code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDM,10051548,MULTI PURPOSE RM 1ST 1/2HR,715.0,536.25,,,0
CDM,10062362,VISCOAT VISCOELASTIC AGENT,533.0,399.75,,,0
CDM,1050129,"3BN, SEMI-PRIVATE",2975.0,2231.25,,,0
CDM,1050137,"3BS, SEMI-PRIVATE",2975.0,2231.25,,,0
CDM,1050145,2WS NURSERY,2250.0,1687.5,,,0
CDM,1050160,2WS PRIVATE ROOM PT TYPE T,3355.0,2516.25,,,0
CDM,1050178,2WN NURSERY,2250.0,1687.5,,,0
CDM,1050186,2WN PT TYPE U PRIVATE,3355.0,2516.25,,,0
CDM,1050335,"3WN, NURSERY",2250.0,1687.5,,,0
CDM,1050343,"3WN, PRIVATE",3355.0,2516.25,,,0
CDM,1050350,"3BN, PRIVATE",3355.0,2516.25,,,0
CDM,1050368,"3BS, PRIVATE",3355.0,2516.25,,,0
CDM,1050384,"3WS, SEMI/PRIVATE (LD) CC 4000",2975.0,2231.25,,,0
CDM,1050392,"3WS, NURSERY (LDRP) CC 1404",2250.0,1687.5,,,0
CDM,1050525,2WN PRIVATE ROOM PT TYPE T,3355.0,2516.25,,,0
CDM,1050624,NICU LEVEL 2 PT O,6572.0,4929.0,,,0
CDM,1050632,NICU LEVEL 3 PT W,8610.0,6457.5,,,0
CDM,1050723,CARDIOLOGY INVASIVE PT TYPE N,9013.0,6759.75,,,0
CDM,1050731,CARDIOLOGY INVASIVE PT TYPE V,3154.0,2365.5,,,0
CDM,1050830,OUTPATIENT SURGERY PT TYPE V,2975.0,2231.25,,,0
CDM,1050889,9WS PRIVATE ROOM PT S,5265.0,3948.75,,,0
CDM,1050897,IMCU ICU ROOM TYPE Q,9013.0,6759.75,,,0
CDM,1050947,NURSERY LEVEL 1 PT B,2250.0,1687.5,,,0
CDM,1050970,2WN PT TYPE V SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,1050996,2WN NURSERY B,2250.0,1687.5,,,0
CDM,1051002,8WS PT TYPE N,9013.0,6759.75,,,0
CDM,1051010,3BS PT TYPE N,9013.0,6759.75,,,0
CDM,1051077,3BN PT TYPE N,9013.0,6759.75,,,0
CDM,1051085,MSCU PT TYPE S,5265.0,3948.75,,,0
CDM,1051093,3BS PT TYPE S,5265.0,3948.75,,,0
CDM,1051101,10WS PT TYPE S,5265.0,3948.75,,,0
CDM,1051119,EMD PT TYPE S,5265.0,3948.75,,,0
CDM,1051127,6B PT TYPE S,5265.0,3948.75,,,0
CDM,1051135,5WS PT TYPE S,5265.0,3948.75,,,0
CDM,1051143,4WS PT TYPE S,5265.0,3948.75,,,0
CDM,1051150,2BNS PT TYPE S,5265.0,3948.75,,,0
CDM,1051168,OBRR PT TYPE P,2640.0,1980.0,,,0
CDM,1051176,OBRR PT TYPE T,2640.0,1980.0,,,0
CDM,1051184,OBRR PT TYPE N,7546.0,5659.5,,,0
CDM,1051192,MSCU PT TYPE P,2640.0,1980.0,,,0
CDM,1311059,5WS SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,1321058,5WS PRIVATE,3355.0,2516.25,,,0
CDM,1332006,IMCU ICU ROOM TYPE N,9013.0,6759.75,,,0
CDM,1332014,IMCU INTERMEDIATE ROOM TYPE S,5265.0,3948.75,,,0
CDM,1401009,"8WS, PRIVATE",3355.0,2516.25,,,0
CDM,1401058,"8WS, SEMI-PRIVATE",2975.0,2231.25,,,0
CDM,14200984,COR THROMBLYS INFSN,1381.0,1035.75,,,0
CDM,14211791,PL ST CERV CAROTD WO/PRD,11073.0,8304.75,,,0
CDM,14211817,PL ST CERV CAROTD WO/PRD,6724.0,5043.0,,,0
CDM,14211882,PHLEBCTMY < 10,13488.0,10116.0,,,0
CDM,1431105,9WS SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,14400881,INSRT/RPL SQ DEFIB W/ELE,26623.0,19967.25,,,0
CDM,1441054,9WS PRIVATE ROOM,3355.0,2516.25,,,0
CDM,1451129,IMCU SEMI PRIVATE ROOM TYPE V,3355.0,2516.25,,,0
CDM,1451137,5ICU SEMI PRIVATE ROOM TYPE V,2975.0,2231.25,,,0
CDM,1451210,8WS PT TYPE S,5265.0,3948.75,,,0
CDM,1451244,2WN OBSTETRICS PT TYPE P,3154.0,2365.5,,,0
CDM,1451251,3WS OBSTETRICS PT TYPE P,3154.0,2365.5,,,0
CDM,1511005,10WS PRIVATE,3355.0,2516.25,,,0
CDM,1511054,10WS SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,15625478,SURG PROC LEVEL I,1059.0,794.25,,,0
CDM,15625486,SURG PROC LEVEL II,2239.0,1679.25,,,0
CDM,15625494,SURG PROC LEVEL III,3786.0,2839.5,,,0
CDM,15767031,SURG PROC INIT 30 MIN,5865.0,4398.75,,,0
CDM,15767049,SURG PROC EA ADD 15 MIN,1467.0,1100.25,,,0
CDM,15767056,SURG PROC NICU 1ST 30MN,17982.0,13486.5,,,0
CDM,15767064,SURG PROC NICU EA ADD MN,4400.0,3300.0,,,0
CDM,1641000,4WS PRIVATE,3355.0,2516.25,,,0
CDM,1651058,4WS SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,1701069,EMER RM-SEMI PRIVATE,2975.0,2231.25,,,0
CDM,1701077,EMER RM-PRIVATE,3355.0,2516.25,,,0
CDM,1701085,EMER RM-ICU,9013.0,6759.75,,,0
CDM,1701135,DE - PRIVATE,3220.0,2415.0,,,0
CDM,1701143,DE - PRIVATE MEDICALLY JUSTIFI,3220.0,2415.0,,,0
CDM,1701150,DE - SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,1701176,6B - PRIVATE,3355.0,2516.25,,,0
CDM,1701184,6B - SEMI - PRIVATE,2975.0,2231.25,,,0
CDM,1701192,6B - SUITE,3154.0,2365.5,,,0
CDM,1701200,2BS - SEMI- PRIVATE,2975.0,2231.25,,,0
CDM,1701218,2BS PRIVATE PATIENT PREFER,3355.0,2516.25,,,0
CDM,1701309,"6ICU,INTERMEDIATE CARE ROOM",5265.0,3948.75,,,0
CDM,1701317,"5ICU,INTERMEDIATE CARE ROOM",5265.0,3948.75,,,0
CDM,1701325,"4ICU, INTERMEDIATE CARE ROOM",5265.0,3948.75,,,0
CDM,1701408,2BNS PT TYPE N,9013.0,6759.75,,,0
CDM,1701416,9WS PT TYPE N,9013.0,6759.75,,,0
CDM,1701424,6B PT TYPE N,9013.0,6759.75,,,0
CDM,1701440,4WBS PT TYPE N,9013.0,6759.75,,,0
CDM,1701457,2WS OBSTETRICS PT TYPE P,3154.0,2365.5,,,0
CDM,1701465,3WN OBSTETRICS PT TYPE P,3154.0,2365.5,,,0
CDM,1800184,"4 STH, SEMI-PRIVATE, LDR",2975.0,2231.25,,,0
CDM,1800242,"ROOM ICU, MSCU",9013.0,6759.75,,,0
CDM,1800259,NICU LEVEL 3 PT W,8610.0,6457.5,,,0
CDM,1800267,NURSERY SCN (B),2250.0,1687.5,,,0
CDM,1800275,SCN LEVEL 2 PT O,6572.0,4929.0,,,0
CDM,1800283,SCN LEVEL 3 PT Z,8610.0,6457.5,,,0
CDM,1800309,NURSERY LEVEL 1 PT B,2250.0,1687.5,,,0
CDM,1800457,3WS NURSERY (CC 4000),2250.0,1687.5,,,0
CDM,1800465,"3WS, PRIVATE (CC 1404)",3355.0,2516.25,,,0
CDM,1800473,"3WS, SEMI/PRIVATE (1404)",2975.0,2231.25,,,0
CDM,1800481,PRIVATE ROOM (MSCU),3355.0,2516.25,,,0
CDM,21502620,BX LIVER PERC NDL,318.0,238.5,,,0
CDM,21502745,TRNSCTH BIOPSY,1516.0,1137.0,,,0
CDM,21506944,CISTRNL LAT CERVCL PUNCT,1347.0,1010.25,,,0
CDM,21512306,BX PROSTATE NEEDLE/PUNCH,1836.0,1377.0,,,0
CDM,21514815,OCCLSN/EMBL CATH NON-CNS,4852.0,3639.0,,,0
CDM,21514880,PLC CATH AORTA,6174.0,4630.5,,,0
CDM,21515341,PLC CATH VENACAVA,1661.0,1245.75,,,0
CDM,21516414,PLC CATH ART 2ND ORDR,11739.0,8804.25,,,0
CDM,21516448,PLC CATH ART 1ST ORDR,5834.0,4375.5,,,0
CDM,21516778,PLC CATH VEIN 1ST ORDR,2050.0,1537.5,,,0
CDM,21516786,PLC CATH VEIN 2ND ORDR,2216.0,1662.0,,,0
CDM,21517172,PLC CATH LT/RT ARTERY,4375.0,3281.25,,,0
CDM,21517453,REPOS GI TUBE THRU DUODN,954.0,715.5,,,0
CDM,21517982,VENOUS CATH SAMPLING,2233.0,1674.75,,,0
CDM,21523089,SPINAL PUNCTURE THERAPTC,728.0,546.0,,,0
CDM,21523139,BX ABD/RETROPER PERC NDL,1172.0,879.0,,,0
CDM,21523188,ASPIR/INJ MAJ JT WO/US,514.0,385.5,,,0
CDM,21523196,ASP ABS/HEMAT/CYST,538.0,403.5,,,0
CDM,21523204,ASPIR BREAST CYST,1081.0,810.75,,,0
CDM,21523295,BX PLEURA PERC NDL,1672.0,1254.0,,,0
CDM,21523303,BIOPSY BONE DEEP,8227.0,6170.25,,,0
CDM,21523311,BIOPSY BONE SUPERFICIAL,1960.0,1470.0,,,0
CDM,21523352,EXCH ABSC/CYST DRN CATH,847.0,635.25,,,0
CDM,21523436,BILIARY ENDO DIL W/STENT,2413.0,1809.75,,,0
CDM,21523733,INSRT TEMP BLADDER CATH,161.0,120.75,,,0
CDM,21523931,INJ&CATH HYSTER/SONOHYST,3321.0,2490.75,,,0
CDM,21523964,INJ LYMPHANGIOGRAPHY,1672.0,1254.0,,,0
CDM,21524004,INJ SINUS TRACT DIAGNSTC,353.0,264.75,,,0
CDM,21524038,INJ VENOGRPHY EXTRMTY,3299.0,2474.25,,,0
CDM,21524145,PERC BIOPSY LYMPH NODE,1077.0,807.75,,,0
CDM,21524400,PLC CATH EXTRM ARTERY,1503.0,1127.25,,,0
CDM,21524517,ASP/INJ RENL CYST/PELVIS,1662.0,1246.5,,,0
CDM,21524574,THROMBECT ART/VEN GRFT,5260.0,3945.0,,,0
CDM,21580741,BX PANCREAS PERC NDL,1485.0,1113.75,,,0
CDM,21580758,BX RENAL PERC NDL,1090.0,817.5,,,0
CDM,21585245,PLC CATH ART ADD ORDR,1095.0,821.25,,,0
CDM,21585252,PLC CATH ART ABD 1ST,11671.0,8753.25,,,0
CDM,21585294,PLC CATH ART ABD 2ND,5720.0,4290.0,,,0
CDM,21585302,PLC CATH ART ABD 3RD,6718.0,5038.5,,,0
CDM,21585385,PLC CATH ART ABD ADD,3317.0,2487.75,,,0
CDM,21585450,PLC CATH ART 3RD ORDR,4630.0,3472.5,,,0
CDM,21586813,INJ EPID LUMB/CAUD,2256.0,1692.0,,,0
CDM,21586821,INJ EPID BLD PATCH,1515.0,1136.25,,,0
CDM,21586839,INJ EPID CERV/THORC,2589.0,1941.75,,,0
CDM,21587167,ENDV TMP OCCLS ART HD/NK,42614.0,31960.5,,,0
CDM,21587191,TRNSVN INTRHEP PORT SHNT,51298.0,38473.5,,,0
CDM,21587217,LMBR SARACH SPINAL SHUNT,27628.0,20721.0,,,0
CDM,21587225,REVSN INTRHEP PORTO SHNT,30203.0,22652.25,,,0
CDM,21587423,REPLCE NON-TUNNL CV CATH,1988.0,1491.0,,,0
CDM,21587449,RPLC TUNNL CVAD W PORT,3832.0,2874.0,,,0
CDM,21587464,RPLC PICC NO PRT/PMP W/IMG,2129.0,1596.75,,,0
CDM,21587472,REPLC COMP CVAD W SQ PRT,12732.0,9549.0,,,0
CDM,21587480,REMV TUNL CVC WO PMP/PRT,1672.0,1254.0,,,0
CDM,21587498,RMV TUNLD CVAD W SQ PORT,1706.0,1279.5,,,0
CDM,21587522,REPOSITN CV CATH W/FLURO,1004.0,753.0,,,0
CDM,21587555,INSRT NON-TUNNL CV CTH<5,2219.0,1664.25,,,0
CDM,21587563,INSRT NONTUNNL CV CTH 5>,2129.0,1596.75,,,0
CDM,21587589,INSRT TNL CV CTH5>WO PMP,3196.0,2397.0,,,0
CDM,21587597,INSRT TUNNL VAD<5 W PORT,3832.0,2874.0,,,0
CDM,21587605,INSRT TUNNL VAD 5>W PORT,4470.0,3352.5,,,0
CDM,21587647,INSRT PICC NO PRT/PMP<5 NO IMG,2219.0,1664.25,,,0
CDM,21587654,INSRT PICC NO PRT/PMP>5 NO IMG,2553.0,1914.75,,,0
CDM,21587670,INSRT CVAD W PRT 5YRS>,3832.0,2874.0,,,0
CDM,21587720,PLC NG TUBE W FLUORO,1575.0,1181.25,,,0
CDM,21587746,REM TUNNLD INTRAPER CATH,5671.0,4253.25,,,0
CDM,21587951,BX SALIVARY GLAND NDL,695.0,521.25,,,0
CDM,21588983,CONTRST EVAL EXISTNG CVD,924.0,693.0,,,0
CDM,21588991,THROMB NONCOR INITL VSL,14101.0,10575.75,,,0
CDM,21589007,THROMB NONCOR ADD VESSLS,10553.0,7914.75,,,0
CDM,21589015,THROMB NONCOR SECONDARY,13473.0,10104.75,,,0
CDM,21589023,PERC MECH THROMBECTMY VN,5450.0,4087.5,,,0
CDM,21589031,MECH THRMBCTMY VN RPEAT,3948.0,2961.0,,,0
CDM,21589056,CHANGE URETER STENT PERC,2190.0,1642.5,,,0
CDM,21589064,REMOVE URETER STENT PERC,2073.0,1554.75,,,0
CDM,21589072,CHNG EXT/INT URETR STENT,5367.0,4025.25,,,0
CDM,21589080,REMVE RENL TUBE W/FLUORO,433.0,324.75,,,0
CDM,21589098,PTA INTRACRANIAL,10954.0,8215.5,,,0
CDM,21589106,PTA INTRACRANIAL W/STENT,12291.0,9218.25,,,0
CDM,21589114,DILATE IC VASOSPM INITL,9539.0,7154.25,,,0
CDM,21589320,ABLATN RENL TUMORS CRYO,3742.0,2806.5,,,0
CDM,21589767,CRYOSURG ABLATE FA EA,11768.0,8826.0,,,0
CDM,21589791,PERC RF ABLATE LIVR TUMR,19519.0,14639.25,,,0
CDM,21589809,PERC RF ABLATE RENL TUMR,19519.0,14639.25,,,0
CDM,21589825,PERC RF ABLATE PULM TUMR+IMG,23069.0,17301.75,,,0
CDM,21590179,PL GASTRO TUBE W/FLUORO,5179.0,3884.25,,,0
CDM,21590187,PL DUODNOSTMY TBE WFLUOR,5179.0,3884.25,,,0
CDM,21590203,CH GTUBE TO GJTUBE W/FLU,3107.0,2330.25,,,0
CDM,21590211,REPL GASTRO TUBE W/FLUOR,2979.0,2234.25,,,0
CDM,21590229,REPL DUODEN TUBE W/FLUOR,3275.0,2456.25,,,0
CDM,21590237,REPL GJ TUBE W/FLUOR,2979.0,2234.25,,,0
CDM,21590252,INJ CM EVAL GTUBE,2542.0,1906.5,,,0
CDM,21590260,CHANGE URETER STENT TRAN,5063.0,3797.25,,,0
CDM,21590518,DX BONE MARROW BIOPSIES,2090.0,1567.5,,,0
CDM,21590526,DX BONE MARROW ASP/BX MULTI,1981.0,1485.75,,,0
CDM,21590641,BX SFT TISS BCK/FLNK SUPFICIL,6809.0,5106.75,,,0
CDM,21590666,BX SFT TISS SHLDR SUPERFICIAL,5676.0,4257.0,,,0
CDM,21590674,BX ARM/ELBOW SOFT TISSUE,5324.0,3993.0,,,0
CDM,21590732,BX SOFT TISSUE LEG/ANKLE,2787.0,2090.25,,,0
CDM,21590765,BX SFT TISS SHDLR SUPERFICIAL,2641.0,1980.75,,,0
CDM,21590898,INJ CM EVAL GTUBE,2794.0,2095.5,,,0
CDM,21591185,I&D ABSCESS SIMP/SNGL,719.0,539.25,,,0
CDM,21591201,REM PERICTH OBST CV CATH,5437.0,4077.75,,,0
CDM,21591771,PLC FIDUCL MRKR LUNG,5014.0,3760.5,,,0
CDM,21591789,PLC FIDUCL MRKR ABD/PEL,4057.0,3042.75,,,0
CDM,21592142,INS TUNN INTRAPER CATH,10958.0,8218.5,,,0
CDM,21592449,SIMPLE CLOSURE WOUND,1397.0,1047.75,,,0
CDM,21593017,INS CATH REN ART 1ST BIL,21191.0,15893.25,,,0
CDM,21593025,INS CATH REN ART 2ND UNI,12900.0,9675.0,,,0
CDM,21593033,INS CATH REN ART 2ND BIL,18533.0,13899.75,,,0
CDM,21593041,INS ENDOVA VENACAVA FILT,10290.0,7717.5,,,0
CDM,21593058,REPOS ENDO VENACAVA FILT,11805.0,8853.75,,,0
CDM,21593066,REM ENDO VENA CAVA FILTR,11218.0,8413.5,,,0
CDM,21593074,ABD PARACENTESIS W/IMAGE,3221.0,2415.75,,,0
CDM,21593363,INSRT PERITONL VEN SHUNT,19055.0,14291.25,,,0
CDM,21593371,REVSN PERITONL VEN SHUNT,10586.0,7939.5,,,0
CDM,21594205,ABD PARACENTESIS W/OIMAG,1412.0,1059.0,,,0
CDM,21594460,ARTERIOG SUBC/INOM,10891.0,8168.25,,,0
CDM,21594494,ANGIO IC VERT SEL,9011.0,6758.25,,,0
CDM,21594502,TCATH RETRV INTRAVASC FB+IMG,9217.0,6912.75,,,0
CDM,21594510,TCATH TX INIT NONCOR ART,12213.0,9159.75,,,0
CDM,21594528,TCATH TX INIT NONCOR VEN,11710.0,8782.5,,,0
CDM,21594536,TCATH TX A/V NONCOR SUBS,14097.0,10572.75,,,0
CDM,21594544,TCATH TX CESSATION,14097.0,10572.75,,,0
CDM,21594551,THORACENTSIS W/IMAGING,3418.0,2563.5,,,0
CDM,21597877,PLEURAL DRAINAGE PERC,5352.0,4014.0,,,0
CDM,21597885,PLEURAL DRAINAGE PERC,5352.0,4014.0,,,0
CDM,21597927,PERC CHOLECYSTOSTOMY,7547.0,5660.25,,,0
CDM,21597935,PERC CHOLECYSTOSTOMY,6576.0,4932.0,,,0
CDM,21597950,SPINAL PUNCTR LUMB DIAG,1809.0,1356.75,,,0
CDM,21597992,GUIDE CATH FLUID DRAINAG,455.0,341.25,,,0
CDM,21598008,GUIDE CATH FLUID DRAINAG,455.0,341.25,,,0
CDM,21598172,OPEN/PERC PL ST 1ST VN,41678.0,31258.5,,,0
CDM,21598180,OPEN/PERC PL ST E/ADD VN,23121.0,17340.75,,,0
CDM,21598198,VASC EMB/OCC VENOUS,46870.0,35152.5,,,0
CDM,21598206,VASC EMB/OCC ARTERY,47764.0,35823.0,,,0
CDM,21598214,VASC EMB/OCC ORGAN,50524.0,37893.0,,,0
CDM,21598222,VASC EMB/OCC BLEED,50680.0,38010.0,,,0
CDM,21598255,IMG CATH FLUID COL VISC,3226.0,2419.5,,,0
CDM,21598271,IMG CATH FLUID COL VISC,3226.0,2419.5,,,0
CDM,21598305,IMG CATH FLUID PERI/RETR,3226.0,2419.5,,,0
CDM,21598313,IMG CATH FLUID TRNS/VAG,2201.0,1650.75,,,0
CDM,21598339,IMG CATH FLUID TRNS/RCTL,2000.0,1500.0,,,0
CDM,21598396,GUIDE CATH FLUID DRAINAG,520.0,390.0,,,0
CDM,21599246,I&D HEMA SEROMA FL,3292.0,2469.0,,,0
CDM,21599287,ASPIR/INJ INTMD JT W/US,617.0,462.75,,,0
CDM,21599295,ASPIR/INJ MAJOR JT W/US,617.0,462.75,,,0
CDM,21599311,PERC VERT 1 BD LSAC/IMG,8746.0,6559.5,,,0
CDM,21599329,PERC VERT 1 BD ADD/IMG,1809.0,1356.75,,,0
CDM,21599337,PERC AUG 1 BD THOR/IMG,18527.0,13895.25,,,0
CDM,21599345,PERC AUG 1 BD LUMB/IMG,19322.0,14491.5,,,0
CDM,21599378,PERC CRY ABLAT LIVR TUMR,12003.0,9002.25,,,0
CDM,21599386,CERVICAL MYELO LUMB INJ,1800.0,1350.0,,,0
CDM,21599394,THORACIC MYELO LUMB INJ,1800.0,1350.0,,,0
CDM,21599402,L/S MYELO W/INJ,1800.0,1350.0,,,0
CDM,21599410,MYELOGRAM C/T/L LUMB INJ,1800.0,1350.0,,,0
CDM,21599816,ASPIR/INJ SMALL JT W/US,645.0,483.75,,,0
CDM,21599857,PLC SFT TISS DEV PERC 1ST+IMG,1412.0,1059.0,,,0
CDM,21599865,PLC SOFT TISS DEV PERC EA ADDL,616.0,462.0,,,0
CDM,21599881,IVUS NON CORON ADDL VESL,5124.0,3843.0,,,0
CDM,21599899,CHOLANGIO+INJ EXIST CTH,1026.0,769.5,,,0
CDM,21599907,CHOLANGIO+INJ NEW,7175.0,5381.25,,,0
CDM,21599915,INSRT BILI DRAIN EXT,7175.0,5381.25,,,0
CDM,21599923,INSRT BILI DRAIN INT/EXT,7175.0,5381.25,,,0
CDM,21599931,CONVERT EXT BILI DRAIN,7175.0,5381.25,,,0
CDM,21599956,REMOVE BILI DRAIN CATH,1283.0,962.25,,,0
CDM,21599964,PL STNT BIL EXIS ACCESS,12300.0,9225.0,,,0
CDM,21599972,PL STNT BIL W/O DRN,12300.0,9225.0,,,0
CDM,21599980,PL STNT INT/EXT BILE DRN,12300.0,9225.0,,,0
CDM,21600002,DILAT BILE DUCT EA,4509.0,3381.75,,,0
CDM,21600010,ENDOLUM BX BILI TREE,8553.0,6414.75,,,0
CDM,21600028,BILIARY DUCT STONE EXTR,6531.0,4898.25,,,0
CDM,21600051,INJ NEPHROGRM EXIS ACC,1436.0,1077.0,,,0
CDM,21600069,PLC NEPHROSTOMY CATH,4714.0,3535.5,,,0
CDM,21600077,PLC NEPHROURETERAL CATH,4714.0,3535.5,,,0
CDM,21600085,CONVRT NEPHOST TO URETER,1644.0,1233.0,,,0
CDM,21600093,CHANGE NEPHROSTOMY TUBE,1436.0,1077.0,,,0
CDM,21600119,PLC STNT W/DX NEPHRO,7379.0,5534.25,,,0
CDM,21600127,PLC STNT NEW DX WO/CATH,7379.0,5534.25,,,0
CDM,21600135,PLC STNT NEW DX W/CATH,7379.0,5534.25,,,0
CDM,21600143,URETERAL EMBOLIZE W/IMG+S&I,1128.0,846.0,,,0
CDM,21600150,BALOON DILATE URETER,7175.0,5381.25,,,0
CDM,21600168,PERC MECH THROMBUS ART,10661.0,7995.75,,,0
CDM,21600176,INTRACRAN ADM THERA AGNT,5124.0,3843.0,,,0
CDM,21600184,INTRACRAN ADM AGNT ADDL,4057.0,3042.75,,,0
CDM,21600432,INTRO NDL DIAL-CIRC+S&I,1901.0,1425.75,,,0
CDM,21600440,DIA-CIR STENT+IMG+S&I,10692.0,8019.0,,,0
CDM,21600457,DIA-CIR THRO+IMG+S&I,13410.0,10057.5,,,0
CDM,21600473,DIA-CIR APLAS+IMG+S&I,9609.0,7206.75,,,0
CDM,21600499,ANGIPLASTY ART INIT+S&I,12858.0,9643.5,,,0
CDM,21600507,ANGIPLASTY VEN INIT+S&I,12858.0,9643.5,,,0
CDM,21600515,ANGIPLASTY VEN EA ADDL,10692.0,8019.0,,,0
CDM,21600572,DIA-CIR THRO+PLST+IMG+S&I,25990.0,19492.5,,,0
CDM,21600580,DIAL-CIRC STNT+PLSTY+S&I,27105.0,20328.75,,,0
CDM,21600598,ANGIPLASTY ART EA ADDL,10692.0,8019.0,,,0
CDM,21601471,PL JEJUNOSTMYTBE WFLUORO,8878.0,6658.5,,,0
CDM,21601489,REPL J-TUBE W/FLUOR,4704.0,3528.0,,,0
CDM,21601497,INJ CM EVAL DTUBE,2794.0,2095.5,,,0
CDM,21601505,INJ CM EVAL JTUBE,2794.0,2095.5,,,0
CDM,21601513,INJ CM EVAL GJTUBE,2794.0,2095.5,,,0
CDM,21601554,IMG CATH FLUID TRNS/RCTL,7747.0,5810.25,,,0
CDM,21601604,INJ CM EVAL DTUBE,2542.0,1906.5,,,0
CDM,21601612,INJ CM EVAL JTUBE,2542.0,1906.5,,,0
CDM,21601620,INJ CM EVAL GJTUBE,2542.0,1906.5,,,0
CDM,22601025,LASIX,12.0,9.0,,,0
CDM,22701023,PLC CATH RT HRT/PULM ART,4586.0,3439.5,,,0
CDM,25120585,ALBUMIN VIAL,1280.0,960.0,,,0
CDM,25220104,NURSING CARE/HR 251,1921.0,1440.75,,,0
CDM,25220112,NURSING CARE/HR 251,1444.0,1083.0,,,0
CDM,25250416,LUNELLE INJECTION - 1 MONTH,166.0,124.5,,,0
CDM,2526366,SURG PROC LEVEL I,4324.0,3243.0,,,0
CDM,2526390,SURG PROC LEVEL II,9382.0,7036.5,,,0
CDM,2526424,SURG PROC LEVEL III,18309.0,13731.75,,,0
CDM,25361064,INJECT VITAMIN B-12 UP-1000MCG,22.0,16.5,,,0
CDM,25361072,KENALOG 10MG,391.0,293.25,,,0
CDM,25364761,SURG PROC LEVEL I,593.0,444.75,,,0
CDM,25364779,SURG PROC LEVEL II,1611.0,1208.25,,,0
CDM,25364787,SURG PROC LEVEL III,3867.0,2900.25,,,0
CDM,25364795,SURG PROC LEVEL IV,7786.0,5839.5,,,0
CDM,26000083,IP HEMODIALYSIS,5973.0,4479.75,,,0
CDM,26199802,IP HEMODIALYSIS,4284.0,3213.0,,,0
CDM,27464015,TRANSFUSION BLD/BLD COMP,607.0,455.25,,,0
CDM,27464031,INS/RPL PM W/TRNSV LD VE,10582.0,7936.5,,,0
CDM,27464056,INS/PM GEN W/EXIST LD,9518.0,7138.5,,,0
CDM,27464064,INS/PMGEN W/EXISDUALLDS,10050.0,7537.5,,,0
CDM,27464098,INSRT TRAN ELCTRD SNGL,10122.0,7591.5,,,0
CDM,27464106,INSRT TRAN ELCTRD DUAL,14776.0,11082.0,,,0
CDM,27464171,REPS PREV LD VEN LTVENT,12752.0,9564.0,,,0
CDM,27464510,CONTRST EVAL EXISTNG CVD,1003.0,752.25,,,0
CDM,27464569,MECH THRMBCTMY VN RPEAT,5085.0,3813.75,,,0
CDM,27464734,PTA INTRACRANIAL W/STENT,12538.0,9403.5,,,0
CDM,28536118,PROVISC,724.0,543.0,,,0
CDM,28571909,SURG LEVEL I INT 30 MIN,10606.0,7954.5,,,0
CDM,28571917,SURG LEVEL I EA ADD 15,2388.0,1791.0,,,0
CDM,28571925,SURG LEVEL II INT 30MIN,12993.0,9744.75,,,0
CDM,28571933,SURG LEVEL II EA ADD 15,3708.0,2781.0,,,0
CDM,28571941,SURG LEVEL III INT 30MIN,16253.0,12189.75,,,0
CDM,28571958,SURG LEVEL III EA ADD 15,4030.0,3022.5,,,0
CDM,28571966,SURG LEVEL IV INT 30 MIN,22577.0,16932.75,,,0
CDM,28571974,SURG LEVEL IV EA ADD 15,4973.0,3729.75,,,0
CDM,3101003,HOLDING BED SEMI-PRIVATE,2975.0,2231.25,,,0
CDM,3101052,HOLDING BED PRIVATE,3355.0,2516.25,,,0
CDM,3101250,HOLDING BED ICU,9013.0,6759.75,,,0
CDM,35000520,POST OP HEARING CHECK AIR ONLY,375.0,281.25,,,0
CDM,38200663,OTHER ASSESSMENTS,370.0,277.5,,,0
CDM,4101002,4ICU ROOM CHARGE,9013.0,6759.75,,,0
CDM,4151007,5ICU ROOM CHARGE,9013.0,6759.75,,,0
CDM,4251005,9ICU ROOM CHARGE,9013.0,6759.75,,,0
CDM,4251021,4ICU SEMI PRIVATE,2975.0,2231.25,,,0
CDM,4251039,9ICU SEMI PRIVATE,2975.0,2231.25,,,0
CDM,4251047,9ICU PT TYPE S,5265.0,3948.75,,,0
CDM,44112001,ACETYLCYSTEINE 20% INH 800MG/4,101.0,75.75,,,0
CDM,44113009,ACETYLCYSTEINE 20% INH 6000MG/,104.0,78.0,,,0
CDM,44123008,"ALCOHOL 70%, ISOPROPYL LIQ 480",28.0,21.0,,,0
CDM,44167005,ASCORBIC ACID INJ 1000MG/2ML,12.0,9.0,,,0
CDM,44191112,BALANCED SALT SOLUTION OPSOL 5,131.0,98.25,,,0
CDM,44191120,BALANCED SALT SOLUTION PLUS OP,1202.0,901.5,,,0
CDM,44191146,CARBACHOL INTRAOCULAR 0.01%IN,271.0,203.25,,,0
CDM,44191203,FLURBIPROFEN 0.03% OPSOL 2.5ML,70.0,52.5,,,0
CDM,44191211,HOMATROPINE 5% OPSOL 1ML OPSOL,35.0,26.25,,,0
CDM,44191310,SODIUM CHLORIDE 5% OPSOL 15ML,191.0,143.25,,,0
CDM,44239416,CAFFEINE/SODIUM BENZOATE INJ 2,343.0,257.25,,,0
CDM,44281004,ACTIVATED CHARCOAL IN SORBITOL,668.0,501.0,,,0
CDM,44290492,CISATRACURIUM INJ 20MG/10ML,290.0,217.5,,,0
CDM,44290500,CISATRACURIUM INJ 200MG/20ML,3025.0,2268.75,,,0
CDM,44333003,COCAINE 4% SOLN 40MG/ML 4ML,4049.0,3036.75,,,0
CDM,44353001,CYCLOPENTOLATE 1% OPSOL 2ML OP,537.0,402.75,,,0
CDM,44378008,DANTROLENE 20MG IJ,1361.0,1020.75,,,0
CDM,44399004,DEXTROSE 50% INJ 50ML SYR,204.0,153.0,,,0
CDM,44470003,EPHEDRINE INJ 50MG/1ML,990.0,742.5,,,0
CDM,44495000,ETOMIDATE INJ 20MG/10ML,130.0,97.5,,,0
CDM,44496503,EYE STREAM OPSOL 120ML OPSOL,46.0,34.5,,,0
CDM,44519007,FLUORESCEIN 10% INJ 500MG/5ML,960.0,720.0,,,0
CDM,44522118,FLUORESCEIN/PROPARACAINE OPSOL,456.0,342.0,,,0
CDM,44539047,AMIKACIN FORTIFIED 20MG/ML OS,31.0,23.25,,,0
CDM,44539070,CEFAZOLIN/TEARS OPSOL 10ML OPS,38.0,28.5,,,0
CDM,44539088,CEFTAZ CMPD OS,185.0,138.75,,,0
CDM,44539195,VANCOMYCIN FORTIFIED 25MG/ML 2,56.0,42.0,,,0
CDM,44539203,VANCOMYCIN FORTIFIED 31 MG/ML,945.0,708.75,,,0
CDM,44611002,HOMATROPINE 5% OPSOL 5ML OPSOL,808.0,606.0,,,0
CDM,44679009,ISOPROTERENOL INJ 1MG/5ML,2417.0,1812.75,,,0
CDM,44757003,LIDOCAINE 2% JELLY 30GM JELLY,1733.0,1299.75,,,0
CDM,44865004,MULTIVITAMIN (MVI-12) INJ 10ML,98.0,73.5,,,0
CDM,44886000,NEOMYCIN/POLYMYXIN B SULFATE I,158.0,118.5,,,0
CDM,44904001,NITROPRUSSIDE INJ 50MG/2ML,5950.0,4462.5,,,0
CDM,44905008,NOREPINEPHRINE INJ 4MG/4ML,125.0,93.75,,,0
CDM,44919009,PANCURONM10MLIJ,31.0,23.25,,,0
CDM,44935005,PENTAMIDINE (INJECTION) INJ 10,1637.0,1227.75,,,0
CDM,44935021,PENTAMIDINE INHALATION 300MG,1961.0,1470.75,,,0
CDM,44949006,PHENYLEPHRINE 10% OPSOL 5ML OP,690.0,517.5,,,0
CDM,44962256,PHYSOSTIGIMINE INJ 2MG/2ML,726.0,544.5,,,0
CDM,44978005,POLYMIXIN B INJ 500000IU/10ML,125.0,93.75,,,0
CDM,44979003,POTASSIUM ACETATE INJ 40MEQ/20,22.0,16.5,,,0
CDM,44988004,POTASSIUM PHOSPHATE INJ 15MMOL,197.0,147.75,,,0
CDM,44988269,POTASSIUM PHOSPHATE INJ 45MMOL,290.0,217.5,,,0
CDM,45023009,"PROCHLORPERAZINE, 5MG, ORAL",14.0,10.5,,,0
CDM,45025004,PROPARACAINE 0.5% OPSOL 15ML O,678.0,508.5,,,0
CDM,45043007,PYRIDOSTIGMINE INJ 10MG/2ML,670.0,502.5,,,0
CDM,45056710,REMIFENTANIL INJ 1MG/3ML,1361.0,1020.75,,,0
CDM,45071008,SILVER NITRATE STICK STICK,17.0,12.75,,,0
CDM,45081007,SODIUM ACETATE INJ 40MEQ/20ML,60.0,45.0,,,0
CDM,45081999,SODIUM BICARBONATE 8.4% INJ 50,159.0,119.25,,,0
CDM,45082005,SODIUM BICARBONATE 8.4% INJ 50,174.0,130.5,,,0
CDM,45082252,SODIUM BICARBONATE 8.4% (PED),208.0,156.0,,,0
CDM,45086006,SODIUM CHLORIDE INJ 50MEQ/20ML,25.0,18.75,,,0
CDM,45088002,SODIUM CHLORIDE 0.9% INJ 10ML,20.0,15.0,,,0
CDM,45091006,SODIUM PHOSPHATE INJ 45MM/15ML,639.0,479.25,,,0
CDM,45094000,SODIUM TETRADECYL 3% INJ 60MG/,1536.0,1152.0,,,0
CDM,45096005,BALANCED SALT SOLUTION OPSOL 1,64.0,48.0,,,0
CDM,45117017,CEFAZOL CMPD OS,41.0,30.75,,,0
CDM,45173002,THROMBIN TOPICAL PWDR 5000IU/1,1216.0,912.0,,,0
CDM,45203007,TRIFLURIDINE 1% OPSOL 7.5ML OP,3055.0,2291.25,,,0
CDM,45207008,TROPICAMIDE 1% OPSOL 15ML OPSO,110.0,82.5,,,0
CDM,45213253,ROCURONIUM INJ 10MG/ML 5ML,50.0,37.5,,,0
CDM,45213261,ROCURONIUM INJ 100MG/10ML,99.0,74.25,,,0
CDM,45225000,VECURONIUM INJ 10MG/10ML,102.0,76.5,,,0
CDM,45226008,VERAPAMIL INJ 5MG/2ML,529.0,396.75,,,0
CDM,45243003,"WATER, STERILE PRESERV FREE IN",38.0,28.5,,,0
CDM,47000161,TPN NEONATE INJ TPN,728.0,546.0,,,0
CDM,47000591,AMIKACIN INJ 400MCG/0.1ML,287.0,215.25,,,0
CDM,47000831,CARMUS7.7MGWFIJ,314317.0,235737.75,,,0
CDM,47001458,FENOLDOPAM INJ 10MG/ML,6520.0,4890.0,,,0
CDM,47001714,LICOCAINE 2% INHALANT,26.0,19.5,,,0
CDM,47001920,KETAMINE INJ 500MG/5ML,253.0,189.75,,,0
CDM,47002944,PENICILLIN G NA 5MU/100MLD5W P,262.0,196.5,,,0
CDM,47003264,NA PHENYLACET/BENZOATE #I-035,82014.0,61510.5,,,0
CDM,47003595,VITAMIN A INJ 100000IU/2ML,4508.0,3381.0,,,0
CDM,47003850,GLYCOPYRROLATE/D5W 50MCG/ML IN,48.0,36.0,,,0
CDM,47004429,FLUOCINONIDE 0.05% SOLN 60ML S,1779.0,1334.25,,,0
CDM,47004478,MYCOPHENOLATE INJ 500MG/14ML,112.0,84.0,,,0
CDM,47004494,SODIUM CHLORIDE 0.9% FLUSH INJ,14.0,10.5,,,0
CDM,47004585,FERRIC SUBSULFATE PASTE PASTE,89.0,66.75,,,0
CDM,47004734,"WATER, STERILE INJ PF PER ML",2.0,1.5,,,0
CDM,47004817,"WATER, STERILE INJ 1ML",26.0,19.5,,,0
CDM,47004858,SODIUM HYPOCHLORITE 0.5% LIO 4,199.0,149.25,,,0
CDM,47004866,SODIUM HYPOCHLORITE 0.25% LIO,148.0,111.0,,,0
CDM,47005178,TPN NOVAMINE INJ TPN,1151.0,863.25,,,0
CDM,47005251,SODIUM HYALURONATE-5 INJ 13.8M,3369.0,2526.75,,,0
CDM,47006267,TETRACAINE 0.5% OPSOL 15ML OPS,850.0,637.5,,,0
CDM,47006903,LIDOCAINE 5% PATCH PATCH 5 PAT,97.0,72.75,,,0
CDM,47007026,IODINE/POTASSIUM IODINE SOLN 1,175.0,131.25,,,0
CDM,47007166,SODIUM PHOSPHATE/D5W 0.05 MMOL,35.0,26.25,,,0
CDM,47007174,SODIUM PHOSPHATE/D5W 0.12 MMOL,134.0,100.5,,,0
CDM,47008149,LIDOCAINE 4% CREAM 5GM CREAM,61.0,45.75,,,0
CDM,47008321,FENTANYL PCA 50 MCG/ML INJ50M,198.0,148.5,,,0
CDM,47008446,FLUCONAZOLE/NS 2MG/ML INJ 2MG,12.0,9.0,,,0
CDM,47008750,MITOMYCIN 0.25MG/0.5ML (NON-ON,1062.0,796.5,,,0
CDM,47008917,LIDO/EPI/BUP MPF AXILLARY BLOC,556.0,417.0,,,0
CDM,47009121,DEXTROSE 10% 0.45% NACL INJ 10,147.0,110.25,,,0
CDM,47009352,ALBUTEROL .5% 0.5ML IS,22.0,16.5,,,0
CDM,47010251,PYXIS-OXYTOCIN 10 UNITS/LR 500,449.0,336.75,,,0
CDM,47010368,OLANZAPINE INJ 5MG/ML 2ML,325.0,243.75,,,0
CDM,47010723,TETRACAINE 0.5% OPSOL 2ML OPSO,181.0,135.75,,,0
CDM,47011002,"TALC,STERILE AERO 4GM AEROSOL",3183.0,2387.25,,,0
CDM,47011069,TRYPAN BLUE 0.06% OPSOL 2.25ML,940.0,705.0,,,0
CDM,47011135,FENTANYL 2500 MCG/50 ML DRIP,1009.0,756.75,,,0
CDM,47011697,PREDNISOLONE/GENTAMICIN OOINT,2770.0,2077.5,,,0
CDM,47011838,DEXTROSE 2.5% 0.2% NACL INJ 50,238.0,178.5,,,0
CDM,47011846,DEXTROSE 2.5% 0.33% NACL INJ 5,238.0,178.5,,,0
CDM,47011853,DEXTROSE 2.5% 0.45% NACL INJ 5,238.0,178.5,,,0
CDM,47011861,DEXTROSE 2.5% 0.9% NACL INJ 50,147.0,110.25,,,0
CDM,47011879,DEXTROSE 7.5% 0.2% NACL INJ 50,147.0,110.25,,,0
CDM,47011887,DEXTROSE 7.5% 0.33% NACL INJ 5,149.0,111.75,,,0
CDM,47011895,DEXTROSE 7.5% 0.45% NACL INJ 5,149.0,111.75,,,0
CDM,47011903,DEXTROSE 7.5% 0.9% NACL INJ 50,238.0,178.5,,,0
CDM,47011911,DEXTROSE 10% 0.2% NACL INJ 500,147.0,110.25,,,0
CDM,47011929,DEXTROSE 10% 0.33% NACL INJ 50,147.0,110.25,,,0
CDM,47011945,DEXTROSE 12.5% 0.2% NACL INJ 5,147.0,110.25,,,0
CDM,47011952,DEXTROSE 12.5% 0.33% NACL INJ,147.0,110.25,,,0
CDM,47011960,DEXTROSE 12.5% 0.45% NACL INJ,147.0,110.25,,,0
CDM,47011978,DEXTROSE 12.5% 0.9% NACL INJ 5,147.0,110.25,,,0
CDM,47011986,DEXTROSE 2.5% IN WATER INJ 500,149.0,111.75,,,0
CDM,47011994,DEXTROSE 7.5% IN WATER INJ 500,147.0,110.25,,,0
CDM,47012000,DEXTROSE 12.5% IN WATER INJ 50,147.0,110.25,,,0
CDM,47012174,SODIUM CHLORIDE 0.2% INJ 500ML,147.0,110.25,,,0
CDM,47012257,DEXTROSE 15% IN WATER INJ 500M,147.0,110.25,,,0
CDM,47012265,DEXTROSE 17.5% IN WATER INJ 50,238.0,178.5,,,0
CDM,47012273,DEXTROSE 22.5% IN WATER INJ 50,238.0,178.5,,,0
CDM,47012299,DEXTROSE 15% 0.2% NACL INJ 500,147.0,110.25,,,0
CDM,47012307,DEXTROSE 15% 0.33% NACL INJ 50,149.0,111.75,,,0
CDM,47012315,DEXTROSE 15% 0.45% NACL INJ 50,149.0,111.75,,,0
CDM,47012323,DEXTROSE 15% 0.9%NACL INJ 500,238.0,178.5,,,0
CDM,47012331,DEXTROSE 17.5% 0.2% NACL INJ 5,238.0,178.5,,,0
CDM,47012349,DEXTROSE 17.5% 0.33% NACL INJ,238.0,178.5,,,0
CDM,47012356,DEXTROSE 17.5% 0.45% NACL INJ,238.0,178.5,,,0
CDM,47012372,DEXTROSE 20% 0.2% NACL INJ 500,147.0,110.25,,,0
CDM,47012380,DEXTROSE 20% 0.33% NACL INJ 50,238.0,178.5,,,0
CDM,47012398,DEXTROSE 20% 0.45% NACL INJ 50,238.0,178.5,,,0
CDM,47012406,DEXTROSE 20% 0.9% NACL INJ 500,149.0,111.75,,,0
CDM,47012422,DEXTROSE 22.5% 0.33% NACL INJ,238.0,178.5,,,0
CDM,47012604,D25W 500ML TPN,238.0,178.5,,,0
CDM,47012794,FENT 3.125MCG/ML + BUPIV 0.062,286.0,214.5,,,0
CDM,47013321,DEXTROSE 10% 0.2%NACL INJ 250,147.0,110.25,,,0
CDM,47013701,PRISMASATE BGK 4/2.5 INJ 5000,147.0,110.25,,,0
CDM,47013719,PRISMASOL BGK 2/3.5 INJ 5000 M,148.0,111.0,,,0
CDM,47014311,DIANEAL LOW CALCM D4.25% 2.5L,95.0,71.25,,,0
CDM,47014840,RIFAMPIN NEO IJ,26.0,19.5,,,0
CDM,47015128,CEFAZOLIN 100MG/ML SUBCONJUNCT,26.0,19.5,,,0
CDM,47015359,"THROMBIN EPISTAXIS 5,000 UNIT",1159.0,869.25,,,0
CDM,47015458,FLUOROURACIL SUBCONJ 5MG/0.5ML,184.0,138.0,,,0
CDM,47015862,VASOPRESSIN 20 U/NS 100ML BAG,147.0,110.25,,,0
CDM,47015987,GENTAMICIN 80MG/LR 1L BAG IRR,147.0,110.25,,,0
CDM,47016019,GENT80MG+VANCO500MG+NS500ML,148.0,111.0,,,0
CDM,47016282,DEXMEDETOMIDINE 100MCG/ML,558.0,418.5,,,0
CDM,47016290,COLISTIMETHATE/D5W 1.5MG/ML,410.0,307.5,,,0
CDM,47016316,POTAS PHOS (PEDS) 0.12MM OL/ML,184.0,138.0,,,0
CDM,47016324,POTAS PHOS (PEDS) 0.05MM OL/ML,38.0,28.5,,,0
CDM,47016332,CEFAZOLIN 1GM/1L NS IRRIGATION,130.0,97.5,,,0
CDM,47016340,VANCOMYCIN 1GM 3L NS TS,179.0,134.25,,,0
CDM,47016407,NICARDIPINE 40MG+NS 200ML,2899.0,2174.25,,,0
CDM,47016415,EPINEPHRIN4MG/NS1000MLIJ,147.0,110.25,,,0
CDM,47016597,HEPARIN 25000 UNITS/250MLNS IR,147.0,110.25,,,0
CDM,47016605,ALTEPASE 10MG/250ML NS IRR,10098.0,7573.5,,,0
CDM,47016654,PAPAVERINE 300MG/250ML NS IRR,166.0,124.5,,,0
CDM,47016662,PAPAVERINE 60MG/120ML NS IRR,1412.0,1059.0,,,0
CDM,47016795,CEFAZOLIN 1GM+NACL 0.9% 250ML,147.0,110.25,,,0
CDM,47016803,CEFAZOLIN 1GM+NS 500ML IRR,149.0,111.75,,,0
CDM,47016860,HEPARIN10000U+NS 250ML,147.0,110.25,,,0
CDM,47016886,HEPARIN1000U+PAPV120MG+NS250M,147.0,110.25,,,0
CDM,47016910,heparin5000U+LR 500mL,149.0,111.75,,,0
CDM,47016985,verap+nitro+nahco3+LR,243.0,182.25,,,0
CDM,47016993,"HEPARIN 1,000 U+NS 1L BAG IRR",147.0,110.25,,,0
CDM,47017041,HEPARIN 10000U+NS 1L IRR,148.0,111.0,,,0
CDM,47017066,HEPARIN 10000U+NS 100M IRR,147.0,110.25,,,0
CDM,47017074,HEPARIN 2000U+NS 1L IRR,147.0,110.25,,,0
CDM,47017165,EPINEPHRINE 1MG+LR 3000 ML,147.0,110.25,,,0
CDM,47017249,RIMSO-DEX-LID-BUPI-KET-BIC-HEP,147.0,110.25,,,0
CDM,47017348,GENTAMICIN 240MG / 3L NS IRR,147.0,110.25,,,0
CDM,47017389,HEPARIN/VERAP 1000/5 1 L PLASR,149.0,111.75,,,0
CDM,47017405,VANCO/GENT 2GM/1GM IN 1L NS IR,147.0,110.25,,,0
CDM,47017579,NTG 2.5MG + NACL 0.9% 250ML,166.0,124.5,,,0
CDM,47017587,VASOPRESSIN 20 UNITS + 20ML NS,569.0,426.75,,,0
CDM,47017603,VANCO1GM+NS1L IRRIGATION,147.0,110.25,,,0
CDM,47017777,HYPROMELLOSE GEL 0.3% 10ML,171.0,128.25,,,0
CDM,47017785,HEPARIN 1000 UNITS + 1L LR,147.0,110.25,,,0
CDM,47017793,FENTANYL-D5W 2500 MCG/250ML,291.0,218.25,,,0
CDM,47017884,NA BICARB 150MEQ/L + D5W 1L,233.0,174.75,,,0
CDM,47017967,VG SOLUTION,164.0,123.0,,,0
CDM,47017975,LASER FLUSH,192.0,144.0,,,0
CDM,47018528,COCAINE 4% 40MG/ML10ML TS,1320.0,990.0,,,0
CDM,47018569,LEVOTHYROXINE-NS 4MCG/ML,186.0,139.5,,,0
CDM,47018882,HYALURONIDASE(VITRASE)200U/ML,2176.0,1632.0,,,0
CDM,47019419,VASOPRESSIN 40 U 100ML NS IRR,149.0,111.75,,,0
CDM,47019971,OR IRRIG SDSC-TUMESCENT,147.0,110.25,,,0
CDM,47020094,ETHANOL DEHYDRATED 5 ML,8480.0,6360.0,,,0
CDM,47020391,PCN DESENSITIZATION STOCK A,166.0,124.5,,,0
CDM,47020417,PCN DESENSITIZATION STOCK C,166.0,124.5,,,0
CDM,47020508,OR IRRIG VANCO2GM 1000ML 0.9%,265.0,198.75,,,0
CDM,47020565,CEFAZOLIN-SW(SYRING)500MG,278.0,208.5,,,0
CDM,47020672,EPINEPHRINE-NS 1.25MG/500ML,147.0,110.25,,,0
CDM,47020763,CYANIDE KT IJ,8570.0,6427.5,,,0
CDM,47021324,TNF NON-FORMULARY,2139.0,1604.25,,,0
CDM,47021407,SODIUM BICARBONATE 4.2%,197.0,147.75,,,0
CDM,47021449,MEROPENEM DESEN SOL D,50.0,37.5,,,0
CDM,47021456,MEROPENEM DESEN SOL C,111.0,83.25,,,0
CDM,47021464,MEROPENEM DESEN SOL B,27.0,20.25,,,0
CDM,47021472,MEROPENEM DESEN SOL A,71.0,53.25,,,0
CDM,47021597,ETOMIDATE 40 MG/20 ML,168.0,126.0,,,0
CDM,47021811,OXACILLIN (IM - PED) 167 MG/ML,25.0,18.75,,,0
CDM,47021993,p-dobutamine-D5W 1000mg/250mL,289.0,216.75,,,0
CDM,47022124,VORICONAZOLE 100MCG EYE INJ,16.0,12.0,,,0
CDM,47022272,OR IRR CEFAZOLIN 3GM IN 3L NS,147.0,110.25,,,0
CDM,47022637,ETHIOOIL48%10IJ,4146.0,3109.5,,,0
CDM,47022702,PHENYLEPHRINE 2.5% 2ML OPH SLN,617.0,462.75,,,0
CDM,47022850,D10W SYRINGE,138.0,103.5,,,0
CDM,47023015,FENT 2.5MCG/ML+BUPIV 0.0625%,202.0,151.5,,,0
CDM,47023122,LIDOCAINE 2% URO-JET 5ML JELLY,89.0,66.75,,,0
CDM,47023270,FENTANYL 1000MCG/20ML-EPIDURAL,125.0,93.75,,,0
CDM,47023304,"HEPARIN10,000UNITS+LR500ML IRR",147.0,110.25,,,0
CDM,47023429,DEXMEDETOM400IJ,1215.0,911.25,,,0
CDM,47023668,SODIUM BICARB 8.4% 50 MEQ/50ML,134.0,100.5,,,0
CDM,47023783,RIFAMPIN600MG+NS 60ML IRRIG,128.0,96.0,,,0
CDM,47023866,DEXMEDETOM200IJ,166.0,124.5,,,0
CDM,47024088,SODIUM ACETATE 0.2%,147.0,110.25,,,0
CDM,47024120,SODIUM ACETATE 0.3% 500ML,149.0,111.75,,,0
CDM,47024419,OR IRRIG RIFAMIPIN-VASCULAR GR,8733.0,6549.75,,,0
CDM,47024815,HYDROCORTISONE/NS 1MG/ML,172.0,129.0,,,0
CDM,47024823,CARNITINE/NS 5MG/ML,36.0,27.0,,,0
CDM,47024831,ROCURONIUM1MGIJ,182.0,136.5,,,0
CDM,47025663,SILDENAFIL10 IJ,3048.0,2286.0,,,0
CDM,47025770,LIDO 1% PHENYLEPHRINE 1.5% 1ML,342.0,256.5,,,0
CDM,47026679,VANCOMYCIN 500MG+NS500MLRECTAL,287.0,215.25,,,0
CDM,47026869,SODIUM ACETATE 400MEG/100ML,135.0,101.25,,,0
CDM,47027289,NOREPINEPHRINE 64 MCG/ML 250ML,1683.0,1262.25,,,0
CDM,47028022,BUMETANIDE-D5W 0.05 MG/ML,1.0,0.75,,,0
CDM,47028089,SUGAMMADEX 100MG/ML 2ML,2175.0,1631.25,,,0
CDM,47028097,SUGAMMADEX 100MG/ML 500MG,4387.0,3290.25,,,0
CDM,47028139,SODIUM ACETATE 0.45% 500 ML IV,147.0,110.25,,,0
CDM,47028261,EPHEDRINE 50MG/5ML SYRINGE,175.0,131.25,,,0
CDM,47028311,KETAMINE 5ML IJ,104.0,78.0,,,0
CDM,47028352,LIDOCAINE 2% UROJECT 6 ML JELL,77.0,57.75,,,0
CDM,47028493,LIDOCAINE 2% UROJECT 11 ML JEL,111.0,83.25,,,0
CDM,47028667,FAT EMULSION 20% SMOF PER 1 ML,205.0,153.75,,,0
CDM,47028717,PRISMASOL 4-2.5,153.0,114.75,,,0
CDM,47028758,"TALC, STERILE 4 GM POWDER",3109.0,2331.75,,,0
CDM,47029053,OR OPHTH SYRINGE,138.0,103.5,,,0
CDM,47029061,PROPARACAINE-FLUORESCEIN 1ML,251.0,188.25,,,0
CDM,47029459,FECAL MICROBIOTA PREPARATION,20273.0,15204.75,,,0
CDM,47029525,BARIUM SUSP 0.1 450ML LQ,130.0,97.5,,,0
CDM,47029566,THROMBIN 5000U RECOM KT,2414.0,1810.5,,,0
CDM,47029582,THROMBIN 20000 IU RECOMB KT,8324.0,6243.0,,,0
CDM,47029681,MOXIFLOXACIN OPHTH INJ 0.3 ML,783.0,587.25,,,0
CDM,47029798,PORACTANT1.5 IS,5294.0,3970.5,,,0
CDM,47029806,PORACTANT3ML IS,6476.0,4857.0,,,0
CDM,47029848,CA GLUC 2GM NS 100ML IJ,5.0,3.75,,,0
CDM,47030275,NA PHOS5ML IJ,147.0,110.25,,,0
CDM,47030549,NA BICA150MEQIJ,184.0,138.0,,,0
CDM,47030580,EPI 10ML TS,1141.0,855.75,,,0
CDM,47030648,MOXIFLOXACOPHTHIJ,180.0,135.0,,,0
CDM,47030788,TRANEXAMIC ACID1GM/100ML PMXIJ,16.0,12.0,,,0
CDM,47031067,BRIVARACETAM 50MG/5ML IJ,137.0,102.75,,,0
CDM,47031109,ANAKINRA 100MG/.67ML IJ,9631.0,7223.25,,,0
CDM,47031281,ORALCONTRASTCMPD,38.0,28.5,,,0
CDM,47031547,NF-CHEM,632.0,474.0,,,0
CDM,47031711,NACL 0.45 5ML FLUSH,181.0,135.75,,,0
CDM,47032206,BSSW/ADDSIRR500OS,427.0,320.25,,,0
CDM,47032446,CARDIOP1000MLIJ,641.0,480.75,,,0
CDM,47032677,PLASMALY A 0.5L,148.0,111.0,,,0
CDM,47032685,ANTICONACIT250IJ,166.0,124.5,,,0
CDM,47033097,METHYLENE IRRIG TS 1L,208.0,156.0,,,0
CDM,47033113,DEXMEDETOM400IJ,214.0,160.5,,,0
CDM,47033600,PHYSOSTIGM5MLIJ,3221.0,2415.75,,,0
CDM,47033626,SUGAMMADEX 50MG PFS IJ,1262.0,946.5,,,0
CDM,47033634,SUGAMMADEX 150MG PFS IJ,2577.0,1932.75,,,0
CDM,47033642,SUGAMMADEX 200MG PFS IJ,3195.0,2396.25,,,0
CDM,47063045,MELPHALAN OPHTH IJ,155.0,116.25,,,0
CDM,49402118,SODIUM CHLORIDE 0.9% PF SYRING,1.0,0.75,,,0
CDM,49403504,SODIUM CHLORIDE 0.45% INJ 500M,147.0,110.25,,,0
CDM,49404007,SODIUM CHLORIDE 0.45% INJ 1000,147.0,110.25,,,0
CDM,49405004,SODIUM CHLORIDE 0.9% BTTL IRRI,147.0,110.25,,,0
CDM,49410251,DEXTROSE 5% 0.33% NACL INJ 500,160.0,120.0,,,0
CDM,49411002,DEXTROSE 5% 0.45% NACL INJ 500,147.0,110.25,,,0
CDM,49411507,DEXTROSE 5% 0.45% NACL INJ 100,147.0,110.25,,,0
CDM,49412000,DEXT 5% 0.45% NACL 20MEQ KCL I,147.0,110.25,,,0
CDM,49415003,DEXTROSE 10% IN WATER INJ 1000,147.0,110.25,,,0
CDM,49420508,MANNITOL 20% INJ 100GM/500ML,1216.0,912.0,,,0
CDM,49426414,ACETIC ACID 0.25% BTTL IRRI 10,149.0,111.75,,,0
CDM,49801376,ACETIC ACID 4% SOLN 120ML,85.0,63.75,,,0
CDM,49807779,ARGININE 10% 300ML IJ,895.0,671.25,,,0
CDM,49815608,CARBOPROST TROMETHAMINE INJ 25,6017.0,4512.75,,,0
CDM,49819055,CHLOROTHIAZIDE / SW 25MG/ML IN,1223.0,917.25,,,0
CDM,49824626,CYCLOPENTOL15OS,226.0,169.5,,,0
CDM,49827363,DEXT 5% 0.2% NACL 20MEQ KCL IN,147.0,110.25,,,0
CDM,49827603,DEXT 5% 0.9% NACL 20MEQ KCL IN,147.0,110.25,,,0
CDM,49827835,D10W 0.9NS 1000ML TPN,147.0,110.25,,,0
CDM,49827942,DEXTROSE 10% IN WATER INJ 250M,147.0,110.25,,,0
CDM,49827975,DEXTROSE 10% IN WATER INJ 500M,147.0,110.25,,,0
CDM,49828015,DEXTROSE 20% IN WATER INJ 500M,198.0,148.5,,,0
CDM,49828148,DEXTROSE 5% 0.2% NACL INJ 1000,160.0,120.0,,,0
CDM,49828197,DEXTROSE 5% 0.2% NACL INJ 250M,160.0,120.0,,,0
CDM,49828221,DEXTROSE 5% 0.2% NACL INJ 500M,147.0,110.25,,,0
CDM,49829351,DEXTROSE 50% IN WATER INJ 500M,229.0,171.75,,,0
CDM,49829385,DEXTROSE 50% INJ 50ML IV ADD,43.0,32.25,,,0
CDM,49832496,DINOPROSTONE VGSUP 10MG VGSUP,5489.0,4116.75,,,0
CDM,49835903,ENALAPRILAT INJ 1.25MG/1ML,28.0,21.0,,,0
CDM,49836539,EPI 30ML TS,4988.0,3741.0,,,0
CDM,49839350,FAT EMULSION 20% INJ 100ML,201.0,150.75,,,0
CDM,49839368,FAT EMULSION 20% 250ML,238.0,178.5,,,0
CDM,49839400,FAT EMULS 20% 500ML TPN,238.0,178.5,,,0
CDM,49841042,FLUMAZENIL INJ 0.5MG/5ML,146.0,109.5,,,0
CDM,49841380,FLUORESCEIN STRIP STRIP 1 STRI,14.0,10.5,,,0
CDM,49849912,HYDROXYPROPYLMETHYLCELL 0.3% O,51.0,38.25,,,0
CDM,49851637,INDOCYANINE GREEN INJ 25MG,2197.0,1647.75,,,0
CDM,49851652,INDOMETHACIN / SW 0.5MG/ML INJ,5187.0,3890.25,,,0
CDM,49851660,INDOMETH NEO IJ,3314.0,2485.5,,,0
CDM,49854607,ISOPROTERE5MLIJ,1378.0,1033.5,,,0
CDM,49855349,KETAMINE INJ 200MG/20ML,343.0,257.25,,,0
CDM,49855398,KETAMINE INJ 500MG/10ML,95.0,71.25,,,0
CDM,49856081,L RING 1L IRR,149.0,111.75,,,0
CDM,49858418,LIDOCAINE 2% JELLY 5ML JELLY,159.0,119.25,,,0
CDM,49858459,LIDOCAINE 2% UROJECT JELLY 10M,155.0,116.25,,,0
CDM,49858715,LIDOCAINE 4% TOP (LARYNG-O-JET,351.0,263.25,,,0
CDM,49875396,PENICILLIN G SODIUM INJ 5MU/10,665.0,498.75,,,0
CDM,49879711,PLASMA-LYTE A PH 7.4 INJ 1000M,147.0,110.25,,,0
CDM,49886351,REMIFENTANIL INJ 2MG/5ML,2474.0,1855.5,,,0
CDM,49888530,SILVER NITRATE STICK 10 STICK,17.0,12.75,,,0
CDM,49889066,SODIUM BICARBONATE 4.2% (INFAN,137.0,102.75,,,0
CDM,49889363,SODIUM CHL 3% SPUTUM INDUCTION,20.0,15.0,,,0
CDM,49889553,SODIUM CHLORIDE 0.9% (BACT) IN,13.0,9.75,,,0
CDM,49889876,NACL 0.9% SYRINGE,14.0,10.5,,,0
CDM,49890080,SODIUM CHLORIDE 0.9% INJ 3 ML,14.0,10.5,,,0
CDM,49890320,NACL.9KCL201IVF,147.0,110.25,,,0
CDM,49890361,SODIUM CHLORIDE 0.9% PRESER FR,23.0,17.25,,,0
CDM,49890403,SODIUM CHLORIDE 23.4% INJ 30ML,81.0,60.75,,,0
CDM,49890692,SODIUM CHLORIDE INJ 100MEQ/40M,123.0,92.25,,,0
CDM,49892268,SULFA/TMP / D5W 20:1 INJ 1 ML,194.0,145.5,,,0
CDM,49898117,TRANEXAMIC ACID INJ 100MG/ML 1,362.0,271.5,,,0
CDM,49900228,TROPHAMINE 10%(AMINO ACIDS10%),204.0,153.0,,,0
CDM,49901408,VALPROATE INJ 500MG/5ML,40.0,30.0,,,0
CDM,49903453,WATER BAC30MLIJ,27.0,20.25,,,0
CDM,49903693,"WATER, STERILE INJ 50ML",31.0,23.25,,,0
CDM,5051008,6ICU ROOM CHARGE,9013.0,6759.75,,,0
CDM,5051016,"6ICU, SEMI-PRIVATE ROOM CHARGE",2975.0,2231.25,,,0
CDM,52000007,INSRT PICC NO PRT/PMP>5 NO IMG,5633.0,4224.75,,,0
CDM,52000072,INSRT PICC NO PRT/PMP>5 NO IMG,5755.0,4316.25,,,0
CDM,5450598,CIRCUMCISION,711.0,533.25,,,0
CDM,57017188,35882059PK IV FLD 0.9% NACL 50,159.0,119.25,,,0
CDM,57017469,35882038EA IV FLD D 5% 0.45% N,130.0,97.5,,,0
CDM,57017626,35882037EA IV FLD D 5% NS 0.33,142.0,106.5,,,0
CDM,57017782,35882044EA IV FLD D5NS.9+20K,130.0,97.5,,,0
CDM,57018152,35882051EA IV FLD LAC RING,164.0,123.0,,,0
CDM,59012336,SURG PROC I,339.0,254.25,,,0
CDM,59012344,SURG PROC II,1018.0,763.5,,,0
CDM,59012351,SURG PROC III,2034.0,1525.5,,,0
CDM,59012369,SURG PROC IV,4436.0,3327.0,,,0
CDM,59912394,SURG PROC III,18309.0,13731.75,,,0
CDM,59912402,SURG PROC II,9382.0,7036.5,,,0
CDM,59912451,SURG PROC I,4324.0,3243.0,,,0
CDM,60100245,SPEC PROC INIT 30 MIN,6462.0,4846.5,,,0
CDM,7650062,3W-INJ SUB-Q/IM THER/DIAG,356.0,267.0,,,0
CDM,7770100,ANESTHSIA INIT 30 MIN,4199.0,3149.25,,,0
CDM,7770332,ANESTHSIA INIT 30 MIN,4612.0,3459.0,,,0
CDM,81175374,PLC CHOLEDOCHAL STENT,2994.0,2245.5,,,0
CDM,8192767,HEALON GV FLUID .85CC SYRINGE,997.0,747.75,,,0
CDM,8255366,SPEC PROC EA ADDL 15 MIN,913.0,684.75,,,0
CDM,8255382,RBTCS MAKO LVL II INT 30 MIN,15381.0,11535.75,,,0
CDM,8255390,RBTCS MAKO LVL II EA 15 MIN,7690.0,5767.5,,,0
CDM,8255408,RBTCS MAKO LVL III INT 30 MIN,19600.0,14700.0,,,0
CDM,8255416,RBTCS MAKO LVL III EA 15 MIN,9800.0,7350.0,,,0
CDM,8255424,RBTCS MAKO LVL IV INT 30 MIN,23155.0,17366.25,,,0
CDM,8255432,RBTCS MAKO LVL IV EA 15 MIN,11577.0,8682.75,,,0
CDM,8255440,RBTCS DAVN LVL II INT 30,10112.0,7584.0,,,0
CDM,8255457,RBTCS DAVN LVL II EA 15,2277.0,1707.75,,,0
CDM,8255465,RBTCS DAVN LVL III INT30,12390.0,9292.5,,,0
CDM,8255473,RBTCS DAVN LVL III EA 15,3535.0,2651.25,,,0
CDM,8255481,RBTCS DAVN LVL IV INT 30,15499.0,11624.25,,,0
CDM,8255499,RBTCS DAVN LVL IV EA 15,3840.0,2880.0,,,0
CDM,8255507,SURG LEVEL I INT 30MIN,10606.0,7954.5,,,0
CDM,8255515,SURG LEVEL I EA ADD15M,2388.0,1791.0,,,0
CDM,8255523,SURG LEVEL II INT 30MIN,12993.0,9744.75,,,0
CDM,8255531,SURG LEVEL II EA ADD 15M,3708.0,2781.0,,,0
CDM,8255549,SURG LEVEL III INT 30MIN,16253.0,12189.75,,,0
CDM,8255556,SURG LEVEL III EA ADD 15,4030.0,3022.5,,,0
CDM,8255564,SURG LEVEL IV INT 30 MIN,22577.0,16932.75,,,0
CDM,8255572,SURG LEVEL IV EA ADD 15,4973.0,3729.75,,,0
CDM,86500014,AEROSOL TUBING,130.0,97.5,,,0
CDM,8819971,IV SOLUTIONS & IRRIGATION,235.0,176.25,,,0
CDM,8837262,RECOVERY INIT 30 MIN,2266.0,1699.5,,,0
CDM,8837270,RECOVERY EA ADDL 15 MIN,1086.0,814.5,,,0
CDM,8841579,KIDNEY ACQUIS CADAVER,207617.0,155712.75,,,0
CDM,8841587,KIDNEY ACQUIS LIVNG DNR,175197.0,131397.75,,,0
CDM,8866972,ANESTHSIA INIT 30 MIN,4612.0,3459.0,,,0
CDM,8867459,RECOVERY INIT 30 MIN,2099.0,1574.25,,,0
CDM,8867467,RECOVERY EA ADDL 15 MIN,993.0,744.75,,,0
CDM,88750195,CIRCUMCISION,711.0,533.25,,,0
CDM,88750823,INJECTION-ROCEPHIN 250MG,76.0,57.0,,,0
CDM,88750849,INJECTION-BICILLIN L-A 2.4,438.0,328.5,,,0
CDM,88750930,L&D SURG LVL I INT 30 M,5865.0,4398.75,,,0
CDM,88750948,L&D SURG LVL I EA 15 MIN,1467.0,1100.25,,,0
CDM,88750955,L&D SURG LVL II INT 30 M,10281.0,7710.75,,,0
CDM,88750963,L&D SURG LVL II EA 15 M,2932.0,2199.0,,,0
CDM,88750971,L&D SURG LVL III INT 30M,17982.0,13486.5,,,0
CDM,88750989,L&D SURG LVL III EA 15M,4400.0,3300.0,,,0
CDM,88750997,L&D SURG LVL IV INT 30M,22718.0,17038.5,,,0
CDM,88751003,L&D SURG LVL IV EA 15M,5869.0,4401.75,,,0
CDM,88751011,TRANSFUSION BLD/BLD COMP,2787.0,2090.25,,,0
CDM,88751029,L&D RECOVERY INT 30 MIN,3014.0,2260.5,,,0
CDM,88751037,L&D RECOVERY ADD 15 MIN,758.0,568.5,,,0
CDM,88751045,LABOR SIMPLE 1ST HR,997.0,747.75,,,0
CDM,88751052,LABOR SIMPLE ADD HR,512.0,384.0,,,0
CDM,88751060,LABOR INTERIM 1ST HR,2360.0,1770.0,,,0
CDM,88751078,LABOR INTERIM ADD HR,633.0,474.75,,,0
CDM,88751086,LABOR COMPLEX 1ST HR,5555.0,4166.25,,,0
CDM,88751094,LABOR COMPLEX ADD HR,1001.0,750.75,,,0
CDM,88751102,DELIVERY SIMPLE,9964.0,7473.0,,,0
CDM,88751110,DELIVERY COMPLEX,11493.0,8619.75,,,0
CDM,88751128,L&D SPEC PROC INT 30 MIN,5255.0,3941.25,,,0
CDM,88751136,L&D SPEC PROC ADD 15 MIN,2627.0,1970.25,,,0
CDM,8915704,ANESTHESIA EA ADD 15 MIN,649.0,486.75,,,0
CDM,9030354,GI RECOVERY EA ADD 15MIN,950.0,712.5,,,0
CDM,9030362,GI RECOVERY INIT 30 MIN,2120.0,1590.0,,,0
CDM,9054339,GI SURG LVL I INT 30MIN,4193.0,3144.75,,,0
CDM,9054347,GI SURG LVL I EA ADD 15,1612.0,1209.0,,,0
CDM,9054354,GI SURG LVL II INT 30MIN,7053.0,5289.75,,,0
CDM,9054362,GI SURG LVL II EA ADD 15,1936.0,1452.0,,,0
CDM,9054370,GI SURG LVL III INT 30M,8669.0,6501.75,,,0
CDM,9054388,GI SURG LVL III EA ADD15,2014.0,1510.5,,,0
CPT,10004,FNA BX W/O IMG GDN EA ADDL,,,0.22,536.96,108
CPT,10005,"FNA BX US GUIDANCE, 1ST LESION",2979.0,2234.25,0.22,2681.1,114
CPT,10006,FNA BX US GUIDANCE EA ADD LES,1922.0,1441.5,0.22,1729.8,114
CPT,10007,FNA BX FLUOR GUIDANCE 1ST LES,2979.0,2234.25,0.22,2681.1,114
CPT,10008,FNA BX FLUOR GUIDE EA ADD LES,1922.0,1441.5,0.22,1729.8,114
CPT,10009,FNA BX CT GUIDANCE 1ST LES,2979.0,2234.25,0.22,2681.1,114
CPT,10010,FNA BX CT GUIDANCE EA ADD LES,1922.0,1441.5,0.22,2875.64,114
CPT,10011,FNA BX MR GUIDANCE 1ST LESION,2979.0,2234.25,0.22,2681.1,112
CPT,10012,FNA BX MR GUIDANCE EA ADD LES,1922.0,1441.5,0.22,2157.69,112
CPT,10021,"FNA BX W/O IMG GUIDE,1ST LES",1282.5,961.875,0.22,1401.3,210
CPT,10030,IMAGE-GUIDED CATH - FLUID DRN,4549.0,3411.75,0.22,4094.1,104
CPT,10035,PLMT SFT TISS LOCLZJ DEV 1ST,,,0.22,1437.37,108
CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,,,0.22,4757.25,108
CPT,10040,DEBRIDEMENT SKIN PARTIAL THICK,1008.0,756.0,0.22,1137.0,105
CPT,10060,I&D SKIN ABSCESS SINGLE/SIMPLE,837.0,627.75,0.22,1137.0,105
CPT,10060,INCISION AND DRAINAGE OF ABSCE,1243.0,932.25,0.22,1137.0,105
CPT,10061,INCISION AND DRAINAGE OF ABSCE,1336.0,1002.0,0.22,1202.4,110
CPT,10080,I&D PILONIDAL CYST,1122.0,841.5,0.22,1137.0,105
CPT,10081,I&D PILONIDAL CYST COMP,,,0.22,5085.0,99
CPT,100T,PROSTH RETINA RECEIVE&GEN,,,0.22,8165.0,102
CPT,10120,REMV FOREIGN BODY SUB-Q/SIMPL,1384.0,1038.0,0.22,1245.6,105
CPT,10121,INC&RMVL FB SUBQ TISS COMP,,,0.22,5085.0,100
CPT,10140,I&D HEMATOMA/SEROMA FLUID,3997.0,2997.75,0.22,5085.0,105
CPT,10160,ASP ABSCESS/HEMA/BULLA/CYST,837.0,627.75,0.22,1137.0,105
CPT,10180,I&D COMPLEX PO WOUND INFCTJ,,,0.22,5812.0,100
CPT,101T,ESW MUSCSKEL SYS NOS,,,0.22,7166.0,102
CPT,101U,HERED COLON CA DO 15 GENES,,,0.92,1169.97,14
CPT,102T,ESW PHY ANES LAT HMRL EPCNDL,,,0.22,7166.0,102
CPT,102U,HERED BRST CA RLTD DO 17 GEN,,,0.92,1117.97,14
CPT,103U,HERED OVA CA PNL 24 GENES,,,0.92,1117.97,14
CPT,105U,NEPH CKD MULT ECLIA TUM NEC,,,0.92,950.0,14
CPT,106T,TOUCH QUANT SENSORY TEST,,,1.0,3.2,10
CPT,106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,0.92,874.49,14
CPT,107T,VIBRATE QUANT SENSORY TEST,,,1.0,3.2,10
CPT,107U,C DIFF TOX AG DETCJ IA STOOL,,,1.0,16.0,14
CPT,108T,COOL QUANT SENSORY TEST,,,1.0,3.2,10
CPT,108U,GI BARRETT ESOPH 9 PRTN BMRK,,,0.92,2513.25,14
CPT,109T,HEAT QUANT SENSORY TEST,,,1.0,3.2,10
CPT,109U,ID ASPERGILLUS DNA 4 SPECIES,,,0.92,142.63,14
CPT,10U,NFCT DS STRN TYP WHL GEN SEQ,,,0.92,427.26,14
CPT,11000,DEBRIDE INFECTED SKIN TO 10%,1581.0,1185.75,0.22,1422.9,105
CPT,11001,DBRDMT ECZ/INFCT SKN EA ADDL,,,0.22,1137.0,99
CPT,11004,DBRDMT SKIN XTRNL GENT&PER,,,0.22,5483.0,99
CPT,11005,DBRDMT SKIN ABDOMINAL WALL,,,0.22,5483.0,99
CPT,11006,DBRDMT SKIN XTRNL GENT PER,,,0.22,5483.0,99
CPT,11008,RMV PRSTC MTRL/MESH ABD WALL,,,0.22,7166.0,99
CPT,11010,DEBRIDE SKIN AT FX SITE,,,0.22,3791.0,99
CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,,,0.22,3791.0,99
CPT,11012,DEB SKIN BONE AT FX SITE,,,0.22,3791.0,99
CPT,11042,DEBRIDE SUBQ TISSUE TO 20SQCM,4210.0,3157.5,0.22,3789.0,110
CPT,11042,DEBRIDEMENT SKIN & SUBCUT TIS,786.0,589.5,0.22,1137.0,110
CPT,11043,DEBRIDE SKIN/SUBQ TISS/MUSCLE,1594.0,1195.5,0.22,2139.79,110
CPT,11044,DEBRIDE TISS/MUSCL/BONE 20SQCM,1857.0,1392.75,0.22,4136.15,110
CPT,11045,DEBRIDE SUBQ TISS ADDL 20SQCM,2661.0,1995.75,0.22,2394.9,110
CPT,11046,DBRDMT MUSC&/FSCA EA ADDL,,,0.22,1137.0,104
CPT,11047,DBRDMT BONE EACH ADDL,,,0.22,3791.0,104
CPT,11055,"PARING/CUT BENIGN LESION, SNGL",656.0,492.0,0.22,1137.0,110
CPT,11056,"PARING/CUT BENIGN LESION, 2-4",665.0,498.75,0.22,1137.0,105
CPT,11057,PARNG/CUTG B9 HYPRKR LES >4,,,0.22,1137.0,99
CPT,110T,NOS QUANT SENSORY TEST,,,1.0,3.2,10
CPT,110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,0.92,27.11,14
CPT,11100,BIOPSY OF SKIN/SUBCUTANEOUS,853.0,639.75,1137.0,1137.0,1
CPT,11100,BX SKIN/SUBC TISSUE SNGL LES,391.0,293.25,1137.0,1137.0,1
CPT,11101,BX-SKIN/SUBC/MUCOUS MEMBRANE-E,1130.0,847.5,1137.0,1137.0,1
CPT,11102,TANGNTL BX SKIN SINGLE LES,705.0,528.75,0.22,634.5,114
CPT,11103,TANGNTL BX SKIN EA SEP/ADDL,,,0.22,457.68,108
CPT,11104,PUNCH BX SKIN SINGLE LESION,1139.0,854.25,0.22,1415.7,228
CPT,11105,PUNCH BX SKIN EA SEP/ADDL,977.0,732.75,0.22,879.3,114
CPT,11106,INCISIONAL BX SKIN SGL LES,719.0,539.25,0.22,647.1,114
CPT,11106,INCISIONAL BX SKIN SNGL LES,4462.0,3346.5,0.22,4015.8,114
CPT,11107,INCISIONAL BIOPSY SKIN EA ADD,2765.0,2073.75,0.22,2488.5,114
CPT,111U,ONC COLON CA KRAS&NRAS ALYS,,,1.0,682.29,14
CPT,11200,REMOVAL SKIN TAGS UP TO 15,3502.0,2626.5,0.22,3151.8,105
CPT,11200,REMOVE SKIN TAGS 1 TO 15,2979.0,2234.25,0.22,2681.1,105
CPT,11201,RMVL SKIN TAGS EA ADDL 10,,,0.22,1137.0,99
CPT,112U,IADI 16S&18S RRNA GENES,,,0.92,356.13,14
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,,,0.22,1137.0,99
CPT,11301,SHAVE SKIN LESION 0.6-1.0 CM,,,0.22,1137.0,99
CPT,11302,SHAVE SKIN LESION 1.1-2.0 CM,,,0.22,1137.0,99
CPT,11303,SHAVE SKIN LESION >2.0 CM,,,0.22,1137.0,99
CPT,11305,SHAVE SKIN LESION 0.5 CM/<,,,0.22,1137.0,99
CPT,11306,SHAVE SKIN LESION 0.6-1.0 CM,,,0.22,1137.0,99
CPT,11307,SHAVE SKIN LESION 1.1-2.0 CM,,,0.22,1137.0,99
CPT,11308,SHAVE SKIN LESION >2.0 CM,,,0.22,1137.0,99
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,,,0.22,1137.0,99
CPT,11311,SHAVE SKIN LESION 0.6-1CM,603.0,452.25,0.22,1137.0,105
CPT,11312,SHAVE SKIN LESION 1.1-2.0 CM,,,0.22,1137.0,99
CPT,11313,SHAVE SKIN LESION >2.0 CM,,,0.22,1137.0,99
CPT,113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,1.0,760.0,14
CPT,1140,ANESTH AMPUTATION AT PELVIS,,,,,0
CPT,11400,EX BENIGN LESION < = .5CM,6688.0,5016.0,0.22,6019.2,105
CPT,11400,EXCISE B9+MRGN TRNK-EXT TO.5CM,1650.0,1237.5,0.22,3791.0,105
CPT,11401,EXCISE B9+MARG TRNK-EXT.6-1CM,1515.0,1136.25,0.22,3791.0,105
CPT,11402,EXCISE B9+MARGE TRNK/EXT1.1-2C,2275.0,1706.25,0.22,3791.0,105
CPT,11403,EXCISE B9+MARG TRK/EXT 2.1-3CM,3039.0,2279.25,0.22,3791.0,105
CPT,11404,EXCISE B9+MRG 3.1-4CM TRK-EXTR,5263.0,3947.25,0.22,5085.0,106
CPT,11406,EXC B9+MRG TRNK/EXTREM >4.0CM,7587.0,5690.25,0.22,6828.3,106
CPT,11420,EXCISE B9+MRGN HEAD/HND TO.5CM,3170.0,2377.5,0.22,3791.0,105
CPT,11421,EXCISE B9+MRGN .6-1.CM-H-F-NK,3865.0,2898.75,0.22,3791.0,105
CPT,11422,EXCISE B9+MRGN 1.1- 2CM H-F-NK,5184.0,3888.0,0.22,4801.11,110
CPT,11423,EXCISE B9+MRGN 2.1- 3CM H-F-NK,5931.0,4448.25,0.22,5337.9,105
CPT,11424,EXC B9+MRG 3.1-4.0CM SC-NK-H-F,10033.0,7524.75,0.22,9029.7,106
CPT,11426,EXC B9+MRG >4.0CM SC-NK-HND-FT,8592.0,6444.0,0.22,7732.8,106
CPT,11440,EXCISE FACE-MM B9+MARG TO.5CM,1397.0,1047.75,0.22,3791.0,105
CPT,11440,EXCISION BENIGN LESION FACE,4822.0,3616.5,0.22,4339.8,105
CPT,11441,EXCISE FACE-MM B9+MARG 0.6 -1,1785.0,1338.75,0.22,3791.0,105
CPT,11442,EXCISE FACE-B9+MARG 1.1-2 CM,3080.0,2310.0,0.22,3791.0,105
CPT,11443,EXC B9 LS MRG XCP SK 2.1-3CM,3594.0,2695.5,0.22,3791.0,105
CPT,11444,EXC FACE-MM B9+MARG 3.1-4 CM,8599.0,6449.25,0.22,7739.1,106
CPT,11446,EXC FACE-MM B9+MARG >4 CM,10220.0,7665.0,0.22,9198.0,106
CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,0.22,5812.0,100
CPT,11451,EXC SKN HDRDNT AX COMPLEX,,,0.22,5812.0,100
CPT,11462,REMOVAL SWEAT GLAND LESION,11605.0,8703.75,0.22,10444.5,106
CPT,11463,EXC SKN HDRDNT ING COMPLEX,,,0.22,5812.0,100
CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,,,0.22,5812.0,100
CPT,11471,EXC SKN H/P/P/U COMPLEX,,,0.22,5812.0,100
CPT,114U,GI BARRETTS ESOPH VIM&CCNA1,,,0.92,1938.01,14
CPT,1150,ANESTH PELVIC TUMOR SURGERY,,,,,0
CPT,115U,RESPIR IADNA 18 VIRAL&2 BACT,,,0.92,275.35,14
CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,0.22,3791.0,99
CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,0.22,3791.0,99
CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,,,0.22,3791.0,99
CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,0.22,3791.0,99
CPT,11604,EXCISE MAL+MRG 3.1-4CM TRK-EXT,7994.0,5995.5,0.22,7194.6,105
CPT,11606,EXC TR-EXT MAL+MARG >4 CM,,,0.22,5085.0,100
CPT,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,,,0.22,3791.0,99
CPT,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,7153.0,5364.75,0.22,6437.7,105
CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,0.22,3791.0,99
CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,0.22,5085.0,99
CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,0.22,5085.0,100
CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,0.22,5812.0,100
CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,0.22,3791.0,99
CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,0.22,3791.0,99
CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,0.22,3791.0,99
CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,0.22,3791.0,99
CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,0.22,5085.0,100
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,0.22,5812.0,100
CPT,116U,RX MNTR NZM IA 35+ORAL FLU,,,0.92,246.92,14
CPT,11719,TRIM NONDYSTROPHIC NAIL/S,374.0,280.5,0.22,1137.0,105
CPT,11720,DEBRIDE NAIL ANY METH 1-5,399.0,299.25,0.22,1137.0,105
CPT,11721,DEBRIDE NAIL 6 OR MORE,392.0,294.0,0.22,1137.0,105
CPT,11730,REMOVAL OF NAIL PLATE,,,0.22,1137.0,99
CPT,11732,REMOVE NAIL PLATE ADD-ON,,,0.22,1137.0,99
CPT,11740,DRAIN BLOOD FROM UNDER NAIL,,,0.22,1137.0,99
CPT,11750,"EXCISION, NAIL & MATRIX - PERM",4869.0,3651.75,0.22,4382.1,105
CPT,11755,BIOPSY NAIL UNIT,,,0.22,3791.0,99
CPT,11760,REPAIR OF NAIL BED,,,0.22,1137.0,99
CPT,11762,RECONSTRUCTION OF NAIL BED,,,0.22,5085.0,99
CPT,11765,EXCISION OF NAIL FOLD TOE,,,0.22,1137.0,99
CPT,11770,REMOVE PILONIDAL CYST SIMPLE,,,0.22,5812.0,100
CPT,11771,REMOVE PILONIDAL CYST EXTEN,16996.0,12747.0,0.22,15296.4,106
CPT,11772,REMOVE PILONIDAL CYST COMPL,,,0.22,5812.0,100
CPT,117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,0.92,840.65,14
CPT,118U,TRNSPLJ DON-DRV CLL-FR DNA,,,0.92,2753.25,14
CPT,11900,INJ INTRALESIONAL TO 7 LESIONS,468.0,351.0,0.22,1137.0,105
CPT,11900,INTRALESION INJECTION 1-7 LESI,699.0,524.25,0.22,1137.0,105
CPT,11901,INJECT SKIN LESIONS >7,,,0.22,1137.0,99
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,,,0.22,1137.0,99
CPT,11921,CORRECT SKN COLOR 6.1-20.0CM,,,0.22,1137.0,99
CPT,11922,CORRECT SKIN COLOR EA 20.0CM,,,0.22,1137.0,99
CPT,11950,TX CONTOUR DEFECTS 1 CC/<,,,0.22,1137.0,99
CPT,11951,TX CONTOUR DEFECTS 1.1-5.0CC,,,0.22,1137.0,99
CPT,11952,TX CONTOUR DEFECTS 5.1-10CC,,,0.22,1137.0,99
CPT,11954,TX CONTOUR DEFECTS >10.0 CC,,,0.22,1137.0,99
CPT,11960,INSERT TISSUE EXPANDER(S),,,0.22,5812.0,100
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,0.22,8165.0,100
CPT,11971,REMOVE TISSUE EXPANDER(S),16648.0,12486.0,0.22,14983.2,106
CPT,11976,REMOVAL IMPL CONT CAPSULES,1973.0,1479.75,0.22,3791.0,105
CPT,11980,IMPLANT HORMONE PELLET(S),,,0.22,1137.0,99
CPT,11981,INSERTION IMPL CONT CAPSULES,711.0,533.25,0.22,1137.0,105
CPT,11981,INSERTION-NEXPLANON,3579.5,2684.625,0.22,6254.1,315
CPT,11982,REMOVAL-NEXPLANON,1099.0,824.25,0.22,1137.0,105
CPT,11983,REMOVAL W/REINSERT-NEXPLANON,1206.0,904.5,0.22,1137.0,105
CPT,119U,CRD CERAMIDES LIQ CHROM PLSM,,,0.92,83.76,14
CPT,11M,ONC PRST8 CA MRNA 12 GEN ALG,,,0.92,760.0,14
CPT,11U,RX MNTR LC-MS/MS ORAL FLUID,,,0.92,114.43,14
CPT,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,,,0.22,1137.0,104
CPT,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,,,0.22,1137.0,104
CPT,12004,RPR S/N/AX/GEN/TRK7.6-12.5CM,,,0.22,1137.0,99
CPT,12005,RPR S/N/A/GEN/TRK12.6-20.0CM,,,0.22,1137.0,99
CPT,12006,RPR S/N/A/GEN/TRK20.1-30.0CM,,,0.22,1137.0,99
CPT,12007,RPR S/N/AX/GEN/TRNK >30.0 CM,,,0.22,1137.0,99
CPT,12011,RPR F/E/E/N/L/M 2.5 CM/<,,,0.22,1137.0,99
CPT,12013,RPR F/E/E/N/L/M 2.6-5.0 CM,,,0.22,1137.0,99
CPT,12014,RPR F/E/E/N/L/M 5.1-7.5 CM,,,0.22,1137.0,99
CPT,12015,RPR F/E/E/N/L/M 7.6-12.5 CM,,,0.22,1137.0,99
CPT,12016,RPR FE/E/EN/L/M 12.6-20.0 CM,,,0.22,1137.0,99
CPT,12017,RPR FE/E/EN/L/M 20.1-30.0 CM,,,0.22,1137.0,99
CPT,12018,RPR HEAD/FACE/MUCOUS MEM >30CM,633.0,474.75,0.22,1137.0,105
CPT,12020,CLOSURE OF SUPERFICIAL WOUND-S,2649.0,1986.75,0.22,3791.0,105
CPT,12021,TX SUPFC WND DEHSN W/PACKING,,,0.22,1137.0,99
CPT,12031,INTMD RPR S/A/T/EXT 2.5CM <,2970.0,2227.5,0.22,2673.0,105
CPT,12032,INTMD RPR S/A/T/EXT2.6-7.5CM,2662.0,1996.5,0.22,2395.8,105
CPT,12034,RPR INTERMED WNDS 7.6 - 12.5CM,2857.0,2142.75,0.22,2571.3,105
CPT,12035,INTMD RPR S/A/T/EXT 12.6-20,,,0.22,1137.0,99
CPT,12036,INTMD RPR S/A/T/EXT 20.1-30,,,0.22,1137.0,99
CPT,12037,INTMD RPR S/TR/EXT >30.0 CM,,,0.22,1137.0,99
CPT,12041,INTMD RPR N-HF/GENIT 2.5CM/<,,,0.22,1137.0,99
CPT,12042,INTMD RPR N-HF/GENIT2.6-7.5,,,0.22,1277.35,104
CPT,12044,INTMD RPR N-HF/GENIT7.6-12.5,,,0.22,1137.0,99
CPT,12045,INTMD RPR N-HF/GENIT12.6-20,,,0.22,1137.0,99
CPT,12046,INTMD RPR N-HF/GENIT20.1-30,,,0.22,1137.0,99
CPT,12047,INTMD RPR N-HF/GENIT >30.0CM,,,0.22,1137.0,99
CPT,12051,INTMD RPR FACE/MM 2.5CM<,711.0,533.25,0.22,1137.0,110
CPT,12051,RPR INTERMED FACE-MM TO 2.5CM,818.0,613.5,0.22,1137.0,110
CPT,12052,INTMD RPR FACE/MM 2.6-5.0 CM,1070.0,802.5,0.22,1137.0,105
CPT,12052,RPR INTERMED FACE-MM 2.6-5.0CM,1178.0,883.5,0.22,1137.0,105
CPT,12053,INTMD RPR FACE/MM 5.1-7.5 CM,,,0.22,1137.0,104
CPT,12054,INTMD RPR FACE/MM 7.6-12.5CM,,,0.22,1137.0,99
CPT,12055,INTMD RPR FACE/MM 12.6-20 CM,,,0.22,1137.0,99
CPT,12056,INTMD RPR FACE/MM 20.1-30.0,,,0.22,1137.0,99
CPT,12057,INTMD RPR FACE/MM >30.0 CM,,,0.22,1137.0,99
CPT,120U,ONC B CLL LYMPHM MRNA 58 GEN,,,0.92,2510.21,14
CPT,1212,ANESTH HIP DISARTICULATION,,,,,0
CPT,121U,SC DIS VCAM-1 WHOLE BLOOD,,,0.92,509.2,14
CPT,122U,SC DIS P-SELECTIN WHL BLOOD,,,0.92,526.23,14
CPT,1232,ANESTH AMPUTATION OF FEMUR,,,,,0
CPT,1234,ANESTH RADICAL FEMUR SURG,,,,,0
CPT,123U,MCHNL FRAGILITY RBC PRFLG,,,0.92,357.63,14
CPT,1272,ANESTH FEMORAL ARTERY SURG,,,,,0
CPT,1274,ANESTH FEMORAL EMBOLECTOMY,,,,,0
CPT,129U,HERED BRST CA RLTD DO PANEL,,,0.92,1117.97,14
CPT,12M,ONC MRNA 5 GEN RSK URTHL CA,,,0.92,760.0,14
CPT,130U,HERED COLON CA DO MRNA PNL,,,0.92,584.9,14
CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,,,0.22,3791.0,99
CPT,13101,RPR COMPLX TRUNK 2.6-7.5CM,7361.0,5520.75,0.22,6624.9,105
CPT,13102,RPR COMPLX TRUNK EA ADDL 5CM/<,775.0,581.25,0.22,1137.0,105
CPT,13120,CMPLX RPR S/A/L 1.1-2.5 CM,,,0.22,1137.0,99
CPT,13121,CMPLX RPR S/A/L 2.6-7.5 CM,4651.0,3488.25,0.22,4185.9,105
CPT,13122,COMPLEX SCALP REPAIR EA<=5CM,3613.0,2709.75,0.22,3251.7,105
CPT,13131,"RPR CMPLX FACE,HND,FT 1.1-2.5C",3218.0,2413.5,0.22,2896.2,105
CPT,13132,CMPLX RPR F/C/C/M/N/AX/G/H/F,5004.0,3753.0,0.22,4503.6,105
CPT,13133,CMPLX RPR F/C/C/M/N/AX/G/H/F,4204.0,3153.0,0.22,3783.6,105
CPT,13151,RPR COMPLEX E/N/E/L 1.1-2.5CM,1515.0,1136.25,0.22,3791.0,105
CPT,13152,CMPLX RPR E/N/E/L 2.6-7.5 CM,5302.0,3976.5,0.22,4771.8,105
CPT,13153,CMPLX RPR E/N/E/L ADDL 5CM,3062.0,2296.5,0.22,2755.8,105
CPT,13160,SECOND CLOSE SURG WOUND,12681.0,9510.75,0.22,11412.9,106
CPT,131U,HERED BRST CA RLTD DO PNL 13,,,0.92,710.0,14
CPT,132U,HERED OVA CA RLTD DO PNL 17,,,0.92,741.64,14
CPT,133U,HERED PRST8 CA RLTD DO 11,,,0.92,690.29,14
CPT,134U,HERED PAN CA MRNA PNL 18 GEN,,,0.92,748.39,14
CPT,135U,HERED GYN CA MRNA PNL 12 GEN,,,0.92,700.56,14
CPT,136U,ATM MRNA SEQ ALYS,,,0.92,407.43,14
CPT,137U,PALB2 MRNA SEQ ALYS,,,0.92,282.88,14
CPT,138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,0.92,468.33,14
CPT,13M,ONC MRNA 5 GEN RECR URTHL CA,,,0.92,760.0,14
CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,0.22,5085.0,100
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,0.22,5085.0,100
CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,,,0.22,5085.0,100
CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,0.22,5085.0,100
CPT,1404,ANESTH AMPUTATION AT KNEE,,,,,0
CPT,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,13617.0,10212.75,0.22,12255.3,106
CPT,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,,,0.22,5085.0,100
CPT,14060,TISS TRANS FACE PARTS <11SQCM,6933.0,5199.75,0.22,6239.7,106
CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,0.22,5085.0,100
CPT,140U,NFCT DS FUNGI DNA 15 TRGT,,,0.92,156.75,14
CPT,141U,NFCT DS BACT&FNG GRAM POS,,,0.92,156.75,14
CPT,142U,NFCT DS BACT&FNG GRAM NEG,,,0.92,156.75,14
CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,0.22,5812.0,99
CPT,14302,TIS TRNFR ADDL 30 SQ CM,,,0.22,5812.0,99
CPT,14350,FILLETED FINGER/TOE FLAP,,,0.22,5812.0,100
CPT,1442,ANESTH KNEE ARTERY SURG,,,,,0
CPT,1444,ANESTH KNEE ARTERY REPAIR,,,,,0
CPT,15002,WOUND PREP TRK/ARM/LEG,,,0.22,3791.0,99
CPT,15003,WOUND PREP ADDL 100 CM,,,0.22,3791.0,99
CPT,15004,WOUND PREP F/N/HF/G,,,0.22,1137.0,99
CPT,15005,WND PREP F/N/HF/G ADDL CM,,,0.22,3791.0,99
CPT,15011,Harvest of skin for skin cell suspension autograft; first 25 sq cm or less,,,1.0,16.13,95
CPT,15012,Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure),,,1.0,16.13,95
CPT,15013,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin",,,1.0,16.13,95
CPT,15014,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereo",,,1.0,16.13,95
CPT,15015,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less",,,1.0,16.13,95
CPT,15016,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addi",,,1.0,16.13,95
CPT,15017,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1.0,16.13,95
CPT,15018,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1.0,16.13,95
CPT,1502,ANESTH LWR LEG EMBOLECTOMY,,,,,0
CPT,15040,HARVEST CULTURED SKIN GRAFT,,,0.22,1137.0,99
CPT,15050,PINCH GRAFT UP TO 2 CM DIAM,,,0.22,1137.0,99
CPT,15100,SKIN SPLT GRFT TRNK/ARM/LEG,,,0.22,5812.0,100
CPT,15101,SKIN SPLT GRFT T/A/L ADD-ON,,,0.22,5812.0,100
CPT,15110,EPIDRM AUTOGRFT TRNK/ARM/LEG,,,0.22,3791.0,100
CPT,15111,EPIDRM AUTOGRFT T/A/L ADD-ON,,,0.22,3791.0,100
CPT,15115,EPIDRM A-GRFT FACE/NCK/HF/G,,,0.22,3791.0,100
CPT,15116,EPIDRM A-GRFT F/N/HF/G ADDL,,,0.22,1530.0,100
CPT,15120,SKN SPLT A-GRFT FAC/NCK/HF/G,,,0.22,5812.0,100
CPT,15121,SKN SPLT A-GRFT F/N/HF/G ADD,,,0.22,5812.0,100
CPT,15130,DERM AUTOGRAFT TRNK/ARM/LEG,,,0.22,5085.0,100
CPT,15131,DERM AUTOGRAFT T/A/L ADD-ON,,,0.22,5085.0,100
CPT,15135,DERM AUTOGRAFT FACE/NCK/HF/G,,,0.22,5085.0,100
CPT,15136,DERM AUTOGRAFT F/N/HF/G ADD,,,0.22,5085.0,100
CPT,15150,CULT SKIN GRFT T/ARM/LEG,,,0.22,1639.0,100
CPT,15151,CULT SKIN GRFT T/A/L ADDL,,,0.22,1530.0,100
CPT,15152,CULT SKIN GRAFT T/A/L +%,,,0.22,1530.0,100
CPT,15155,CULT SKIN GRAFT F/N/HF/G,,,0.22,1639.0,100
CPT,15156,CULT SKIN GRFT F/N/HFG ADD,,,0.22,1530.0,100
CPT,15157,CULT EPIDERM GRFT F/N/HFG +%,,,0.22,1530.0,100
CPT,15200,FTH GRF FR TRNK 20 SQ CM/<,,,0.22,5085.0,100
CPT,15201,FTH GRF FR TRNK EACH ADDL,,,0.22,5085.0,99
CPT,15220,FTH GRF FR S/A/L 20 SQ CM/<,,,0.22,5085.0,100
CPT,15221,FTH GRF FR S/A/L EACH ADDL,,,0.22,3791.0,99
CPT,15240,FTH GR FR F/C/C/M/N/AX/G/H/F,,,0.22,5085.0,100
CPT,15241,FTH GR F/C/C/M/N/AX/G/H/F EA,,,0.22,1137.0,99
CPT,15260,FTH GRF FR N/E/E/L 20 SQCM/<,,,0.22,5085.0,100
CPT,15261,FTH GRF FR N/E/E/L EACH ADDL,,,0.22,5085.0,99
CPT,15271,SKIN SUB GRAFT TRNK/ARM/LEG,6094.0,4570.5,0.22,5484.6,105
CPT,15272,SKIN SUB GRAFT T/A/L ADD-ON,,,0.22,1137.0,99
CPT,15273,SKIN SUB GRFT T/ARM/LG CHILD,,,0.22,3791.0,99
CPT,15274,SKN SUB GRFT T/A/L CHILD ADD,,,0.22,1137.0,99
CPT,15275,APPLY SKNSB F/N/H/G 1ST,6451.0,4838.25,0.22,5805.9,105
CPT,15276,APPLY SKNSB F/N/H/G EA,3853.0,2889.75,0.22,3467.7,105
CPT,15277,SKN SUB GRFT F/N/HF/G CHILD,,,0.22,3791.0,99
CPT,15278,SKN SUB GRFT F/N/HF/G CH ADD,,,0.22,1137.0,99
CPT,152U,NFCT DS DNA UNTRGT NGNRJ SEQ,1800.0,1350.0,0.92,2126.2,14
CPT,153U,ONC BREAST MRNA 101 GENES,,,0.92,3159.42,14
CPT,154U,ONC URTHL CA RNA FGFR3 GENE,,,0.92,482.14,14
CPT,15570,SKIN PEDICLE FLAP TRUNK,,,0.22,5812.0,100
CPT,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,0.22,5812.0,100
CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,0.22,5812.0,100
CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,0.22,5812.0,100
CPT,155U,ONC BRST CA DNA PIK3CA GENE,,,1.0,274.83,14
CPT,15600,DELAY FLAP TRUNK,,,0.22,5812.0,100
CPT,15610,DELAY FLAP ARMS/LEGS,,,0.22,5812.0,100
CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,0.22,5812.0,100
CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,0.22,5812.0,100
CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,0.22,5812.0,100
CPT,156U,COPY NUMBER SEQUENCE ALYS,,,0.92,1740.0,14
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,0.22,1844.77,98
CPT,15731,FOREHEAD FLAP W/VASC PEDICLE,,,0.22,5812.0,100
CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,0.22,1411.62,98
CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,0.22,5812.0,100
CPT,15736,MUSCLE-SKIN GRAFT ARM,,,0.22,5812.0,100
CPT,15738,MUSCLE-SKIN GRAFT LEG,,,0.22,5812.0,100
CPT,15740,ISLAND PEDICLE FLAP GRAFT,,,0.22,5085.0,100
CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,0.22,5812.0,100
CPT,15756,FREE MYO/SKIN FLAP MICROVASC,,,0.22,5812.0,99
CPT,15757,FREE SKIN FLAP MICROVASC,,,0.22,5812.0,99
CPT,15758,FREE FASCIAL FLAP MICROVASC,,,0.22,5812.0,99
CPT,15760,COMPOSITE SKIN GRAFT,,,0.22,5812.0,100
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,0.22,7430.47,103
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,0.22,5812.0,100
CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,0.22,12990.13,103
CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,0.22,1829.84,103
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,0.22,4049.93,103
CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,0.22,1773.77,103
CPT,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,0.22,1137.0,99
CPT,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,0.22,1137.0,99
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,0.22,5085.0,99
CPT,15778,IMPL ABSRB MSH/PRSTH DLY CLS,,,0.22,559.46,98
CPT,15780,DERMABRASION TOTAL FACE,,,0.22,5812.0,99
CPT,15781,DERMABRASION SEGMENTAL FACE,,,0.22,3791.0,99
CPT,15782,DERMABRASION OTHER THAN FACE,,,0.22,3791.0,99
CPT,15783,DERMABRASION SUPRFL ANY SITE,,,0.22,1137.0,99
CPT,15786,ABRASION LESION SINGLE,,,0.22,1137.0,99
CPT,15787,ABRASION LESIONS ADD-ON,,,0.22,1137.0,99
CPT,15788,CHEMICAL PEEL FACE EPIDERM,,,0.22,1137.0,99
CPT,15789,CHEMICAL PEEL FACE DERMAL,,,0.22,1137.0,99
CPT,15792,CHEMICAL PEEL NONFACIAL,,,0.22,1137.0,99
CPT,15793,CHEMICAL PEEL NONFACIAL,,,0.22,1137.0,99
CPT,157U,APC MRNA SEQ ALYS,,,0.92,282.88,14
CPT,15819,PLASTIC SURGERY NECK,,,0.22,1137.0,2
CPT,15820,REVISION OF LOWER EYELID,,,0.22,5812.0,100
CPT,15821,REVISION OF LOWER EYELID,,,0.22,5812.0,100
CPT,15822,BLEPHAROPLASTY UPPER LID,9524.0,7143.0,0.22,8571.6,106
CPT,15823,REVISION OF UPPER EYELID,,,0.22,5812.0,100
CPT,15824,REMOVAL OF FOREHEAD WRINKLES,,,0.22,5812.0,98
CPT,15825,REMOVAL OF NECK WRINKLES,,,0.22,5812.0,98
CPT,15826,REMOVAL OF BROW WRINKLES,,,0.22,5812.0,98
CPT,15828,REMOVAL OF FACE WRINKLES,,,0.22,5812.0,98
CPT,15829,REMOVAL OF SKIN WRINKLES,,,0.22,5812.0,98
CPT,15830,EXC SKIN ABD,,,0.22,5812.0,100
CPT,15832,EXCISE EXCESSIVE SKIN THIGH,,,0.22,5812.0,100
CPT,15833,EXCISE EXCESSIVE SKIN LEG,,,0.22,5812.0,100
CPT,15834,EXCISE EXCESSIVE SKIN HIP,,,0.22,5812.0,100
CPT,15835,EXCISE EXCESSIVE SKIN BUTTCK,,,0.22,5812.0,99
CPT,15836,EXCISE EXCESSIVE SKIN ARM,,,0.22,5085.0,100
CPT,15837,EXCISE EXCESS SKIN ARM/HAND,,,0.22,5085.0,99
CPT,15838,EXCISE EXCESS SKIN FAT PAD,,,0.22,5085.0,99
CPT,15839,EXCESSION EXCESSIVE SKIN,14785.0,11088.75,0.22,13306.5,106
CPT,15840,NERVE PALSY FASCIAL GRAFT,,,0.22,5812.0,100
CPT,15841,NERVE PALSY MUSCLE GRAFT,,,0.22,5812.0,100
CPT,15842,NERVE PALSY MICROSURG GRAFT,,,0.22,5812.0,99
CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,0.22,5812.0,100
CPT,15847,EXC SKIN ABD ADD-ON,,,0.22,5812.0,98
CPT,15850,Removal Of Sutures Under Anesthesia By Same Surgeon,,,1137.0,1137.0,1
CPT,15851,REMOVAL SUTR/STAPLE REQ ANES,,,0.22,1137.0,99
CPT,15852,DRESSING CHANGE UNDER ANESTHES,7246.0,5434.5,0.22,6521.4,105
CPT,15853,REMOVAL SUTR/STAPL XREQ ANES,,,1.0,16.13,97
CPT,15854,REMOVAL SUTR&STAPL XREQ ANES,,,1.0,18.6,97
CPT,15860,TEST FOR BLOOD FLOW IN GRAFT,,,0.22,1137.0,99
CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,0.22,5812.0,98
CPT,15877,SUCTION LIPECTOMY TRUNK,,,0.22,5812.0,98
CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,0.22,5812.0,98
CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,0.22,5812.0,98
CPT,158U,MLH1 MRNA SEQ ALYS,,,0.92,282.88,14
CPT,15920,REMOVAL OF TAIL BONE ULCER,,,0.22,3791.0,99
CPT,15922,REMOVAL OF TAIL BONE ULCER,,,0.22,5812.0,100
CPT,15931,REMOVE SACRUM PRESSURE SORE,,,0.22,5812.0,100
CPT,15933,REMOVE SACRUM PRESSURE SORE,,,0.22,5812.0,100
CPT,15934,REMOVE SACRUM PRESSURE SORE,,,0.22,5812.0,100
CPT,15935,REMOVE SACRUM PRESSURE SORE,,,0.22,5812.0,100
CPT,15936,REMOVE SACRUM PRESSURE SORE,,,0.22,5085.0,100
CPT,15937,REMOVE SACRUM PRESSURE SORE,,,0.22,5812.0,100
CPT,15940,REMOVE HIP PRESSURE SORE,,,0.22,5812.0,100
CPT,15941,REMOVE HIP PRESSURE SORE,,,0.22,5812.0,100
CPT,15944,REMOVE HIP PRESSURE SORE,,,0.22,5812.0,100
CPT,15945,REMOVE HIP PRESSURE SORE,,,0.22,5812.0,100
CPT,15946,REMOVE HIP PRESSURE SORE,,,0.22,5812.0,100
CPT,15950,REMOVE THIGH PRESSURE SORE,,,0.22,5812.0,100
CPT,15951,REMOVE THIGH PRESSURE SORE,,,0.22,5812.0,100
CPT,15952,REMOVE THIGH PRESSURE SORE,,,0.22,5085.0,100
CPT,15953,REMOVE THIGH PRESSURE SORE,,,0.22,5085.0,100
CPT,15956,REMOVE THIGH PRESSURE SORE,,,0.22,5085.0,100
CPT,15958,REMOVE THIGH PRESSURE SORE,,,0.22,5085.0,100
CPT,15999,UNLISTED PX EXC PRESSURE ULC,,,0.22,3791.0,97
CPT,159U,MSH2 MRNA SEQ ALYS,,,0.92,282.88,14
CPT,15M,ADRNL CORTCL TUM BCHM ASY 25,,,0.92,1305.37,14
CPT,16000,INITIAL LOCAL TX 1% BURN,1346.0,1009.5,0.22,1211.4,105
CPT,16020,BURN DRESSING CHANGE SMALL,1091.0,818.25,0.22,1137.0,110
CPT,16025,BURN DRESSING CHANGE MEDIUM,400.0,300.0,0.22,1137.0,105
CPT,16030,BURN DRESSING CHANGE LARGE,1936.0,1452.0,0.22,1742.4,105
CPT,16035,INCISION OF BURN SCAB INITI,,,0.22,1137.0,99
CPT,16036,ESCHAROTOMY ADDL INCISION,,,0.22,5085.0,99
CPT,160U,MSH6 MRNA SEQ ALYS,,,0.92,282.88,14
CPT,161U,PMS2 MRNA SEQ ALYS,,,0.92,282.88,14
CPT,162U,HERED COLON CA TRGT MRNA PNL,,,0.92,486.54,14
CPT,1634,ANESTH SHOULDER JOINT AMPUT,,,,,0
CPT,1636,ANESTH FOREQUARTER AMPUT,,,,,0
CPT,163T,"Insertion Of Lower Spine Artificial Disc, Anterior Approach",,,5483.0,5483.0,1
CPT,163U,ONC CLRCT SCR 3 PRTN ALG,,,0.92,390.75,14
CPT,164T,REMOVE LUMB ARTIF DISC ADDL,,,0.22,5483.0,97
CPT,164U,GI IBS IA ANTI-CDTB&VINCULIN,,,0.92,112.02,14
CPT,1652,ANESTH SHOULDER VESSEL SURG,,,,,0
CPT,1654,ANESTH SHOULDER VESSEL SURG,,,,,0
CPT,1656,ANESTH ARM-LEG VESSEL SURG,,,,,0
CPT,165T,REVISE LUMB ARTIF DISC ADDL,,,0.22,5483.0,97
CPT,165U,PEANUT ALLG ASMT EPI,,,0.92,463.76,14
CPT,166U,LIVER DS 10 BIOCHEM ASY SRM,,,0.92,503.4,14
CPT,169U,NUDT15&TPMT GENE COM VRNT,,,0.92,466.17,14
CPT,16M,ONC BLADDER MRNA 219 GEN ALG,,,0.92,3489.63,14
CPT,16U,ONC HMTLMF NEO RNA BCR/ABL1,,,0.92,163.96,14
CPT,17000,DESTRUCT PREMALG LESION,,,0.22,1137.0,99
CPT,17003,DESTRUCT PREMALG LES 2-14,,,0.22,1137.0,99
CPT,17004,DESTROY PREMAL LESIONS 15/>,,,0.22,1137.0,99
CPT,170U,NEURO ASD RNA NEXT GEN SEQ,,,0.92,1755.0,14
CPT,17106,DESTRUCTION OF SKIN LESIONS,,,0.22,1137.0,99
CPT,17107,DESTRUCTION OF SKIN LESIONS,,,0.22,1137.0,99
CPT,17108,DESTRUCTION OF SKIN LESIONS,,,0.22,1137.0,99
CPT,17110,DESTRUCT B9 LESIONS 1-14,879.0,659.25,0.22,1137.0,105
CPT,17111,DESTRUCT LESION 15 OR MORE,,,0.22,1137.0,99
CPT,171U,TRGT GEN SEQ ALYS PNL DNA 23,,,0.92,1519.06,14
CPT,17250,CHEMICAL CAUTERY - TISSUE,753.0,564.75,0.22,1137.0,105
CPT,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,,,0.22,1137.0,99
CPT,17261,DSTRJ MAL LES T/A/L .6-1.0CM,,,0.22,1137.0,99
CPT,17262,DSTRJ MAL LES T/A/L 1.1-2.0,,,0.22,1137.0,99
CPT,17263,DSTRJ MAL LES T/A/L 2.1-3.0,,,0.22,1137.0,99
CPT,17264,DSTRJ MAL LES T/A/L 3.1-4.0,,,0.22,1137.0,99
CPT,17266,DSTRJ MAL LES T/A/L >4.0 CM,,,0.22,1137.0,99
CPT,17270,DSTR MAL LES S/N/H/F/G .5 /<,,,0.22,1137.0,99
CPT,17271,DSTR MAL LES S/N/H/F/G 0.6-1,,,0.22,1137.0,99
CPT,17272,DSTR MAL LES S/N/H/F/G 1.1-2,,,0.22,1137.0,99
CPT,17273,DSTR MAL LES S/N/H/F/G 2.1-3,,,0.22,1137.0,99
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,0.22,1137.0,99
CPT,17276,DSTR MAL LES S/N/H/F/G >4.0,,,0.22,1137.0,99
CPT,17280,DSTR MAL LS F/E/E/N/L/M .5/<,,,0.22,1137.0,99
CPT,17281,DSTR MAL LS F/E/E/N/L/M .6-1,,,0.22,1137.0,99
CPT,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,,,0.22,1137.0,99
CPT,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,,,0.22,1137.0,99
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,0.22,1137.0,99
CPT,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,0.22,1137.0,99
CPT,172U,ONC SLD TUM ALYS BRCA1 BRCA2,,,1.0,3030.0,14
CPT,17311,MOHS 1 STAGE H/N/HF/G,,,0.22,3791.0,99
CPT,17312,MOHS ADDL STAGE,,,0.22,3791.0,99
CPT,17313,MOHS 1 STAGE T/A/L,,,0.22,3791.0,99
CPT,17314,MOHS ADDL STAGE T/A/L,,,0.22,3791.0,99
CPT,17315,MOHS SURG ADDL BLOCK,,,0.22,3791.0,99
CPT,17340,CRYOTHERAPY OF SKIN,,,0.22,1137.0,99
CPT,17360,SKIN PEEL THERAPY,,,0.22,1137.0,99
CPT,17380,HAIR REMOVAL BY ELECTROLYSIS,,,0.22,1137.0,97
CPT,173U,PSYC GEN ALYS PANEL 14 GENES,,,0.92,466.17,14
CPT,174T,CAD CXR WITH INTERP,,,0.92,1.6,15
CPT,174U,ONC SOLID TUMOR 30 PRTN TRGT,,,0.92,1305.37,14
CPT,1756,ANESTH RADICAL HUMERUS SURG,,,,,0
CPT,175T,CAD CXR REMOTE,,,0.92,1.6,15
CPT,175U,PSYC GEN ALYS PANEL 15 GENES,,,0.92,1336.09,14
CPT,176,ANESTH PHARYNGEAL SURGERY,,,,,0
CPT,176U,CDTB&VINCULIN IGG ANTB IA,,,0.92,64.19,14
CPT,177U,ONC BRST CA DNA PIK3CA 11,,,1.0,274.83,14
CPT,178U,PEANUT ALLG ASMT EPI CLIN RX,,,0.92,459.86,14
CPT,17999,SKIN TISSUE PROCEDURE,10376.0,7782.0,0.22,9338.4,103
CPT,17999,SUBCUTANEOUS CRYOABLAT,10552.0,7914.0,0.22,9496.8,103
CPT,179U,ONC NONSM CLL LNG CA ALYS 23,,,0.92,1943.21,14
CPT,17M,ONC DLBCL MRNA 20 GENES ALG,,,0.92,2510.21,14
CPT,17U,ONC HMTLMF NEO JAK2 MUT DNA,,,1.0,91.66,14
CPT,180U,ABO GNOTYP ABO 7 EXONS,,,0.92,274.83,14
CPT,181U,CO GNOTYP AQP1 EXON 1,,,0.92,185.2,14
CPT,182U,CROM GNOTYP CD55 EXONS 1-10,,,0.92,301.35,14
CPT,183U,DI GNOTYP SLC4A1 EXON 19,,,0.92,185.2,14
CPT,184T,EXC RECTAL TUMOR ENDOSCOPIC,,,0.22,5812.0,97
CPT,184U,DO GNOTYP ART4 EXON 2,,,0.92,185.2,14
CPT,185U,FUT1 GNOTYP FUT1 EXON 4,,,0.92,185.2,14
CPT,186U,FUT2 GNOTYP FUT2 EXON 2,,,0.92,185.2,14
CPT,187U,FY GNOTYP ACKR1 EXONS 1-2,,,0.92,274.83,14
CPT,188U,GE GNOTYP GYPC EXONS 1-4,,,0.92,274.83,14
CPT,189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,0.92,274.83,14
CPT,18M,TRNSPLJ RNL MEAS CD154+CLL,,,0.92,640.73,14
CPT,18U,ONC THYR 10 MICRORNA SEQ ALG,,,1.0,3354.24,14
CPT,19000,ASPIRATE BREAST LESION/CYST,2496.0,1872.0,0.22,3791.0,110
CPT,19001,ASPIR BREAST CYST ADD,1323.0,992.25,0.22,1190.7,110
CPT,19020,MASTOTOMY EXPL DRG ABSC DP,,,0.22,5812.0,100
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,,,0.22,1691.52,104
CPT,19081,BX BREAST 1ST LESION STRTCTC,,,0.22,631.88,98
CPT,19082,BX BREAST ADD LESION STRTCTC,,,0.22,477.36,98
CPT,19083,BX BREAST 1ST LESION US IMAG,,,0.22,624.0,98
CPT,19084,BX BRST ADD LESION US,4889.0,3666.75,0.22,4400.1,104
CPT,19085,BX BREAST 1ST LESION MR IMAG,,,0.22,948.89,98
CPT,19086,BX BREAST ADD LESION MR IMAG,,,0.22,726.21,98
CPT,190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,0.92,274.83,14
CPT,19100,BIOPSY OF BREAST-NEEDLE CORE,6801.0,5100.75,0.22,6120.9,110
CPT,19100,BIOPSY-BREAST PERCUT W/O IMAGE,6801.0,5100.75,0.22,6120.9,110
CPT,19101,BIOPSY OF BREAST OPEN,,,0.22,5812.0,100
CPT,19105,CRYOSURG ABLATE FA EACH,,,0.22,7166.0,99
CPT,19110,NIPPLE EXPLORATION,,,0.22,5812.0,100
CPT,19112,EXCISE BREAST DUCT FISTULA,,,0.22,5812.0,100
CPT,19120,REMOVAL OF BREAST LESION,14925.0,11193.75,0.22,13432.5,106
CPT,19125,EXCISION BREAST LESION,,,0.22,7745.87,105
CPT,19126,EXCISION ADDL BREAST LESION,,,0.22,5812.0,100
CPT,191U,IN GNOTYP CD44 EXONS 2 3 6,,,0.92,274.83,14
CPT,192,ANESTH FACIAL BONE SURGERY,,,,,0
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,,,0.22,311.68,98
CPT,19282,PERQ DEVICE BREAST EA IMAG,,,0.22,217.12,98
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,,,0.22,332.61,98
CPT,19284,PERQ DEV BREAST ADD STRTCTC,,,0.22,237.73,98
CPT,19285,PERQ DEV BREAST 1ST US IMAG,,,0.22,456.99,98
CPT,19286,PERQ DEV BREAST ADD US IMAG,,,0.22,368.8,98
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,,,0.22,784.76,98
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,,,0.22,599.55,98
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,,,0.22,593.57,103
CPT,19296,PLACE PO BREAST CATH FOR RAD,,,0.22,9407.0,100
CPT,19297,PLACE BREAST CATH FOR RAD,,,0.22,9407.0,100
CPT,19298,PLACE BREAST RAD TUBE/CATHS,,,0.22,9407.0,100
CPT,192U,JK GNOTYP SLC14A1 EXON 9,,,0.92,274.83,14
CPT,19300,MASECTOMY FOR GYNEMASTIA,16524.0,12393.0,0.22,14871.6,106
CPT,19301,PARTIAL MASTECTOMY,,,0.22,5812.0,100
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,0.22,8165.0,100
CPT,19303,MAST SIMPLE COMPLETE,,,0.22,7166.0,100
CPT,19305,MAST RADICAL,,,0.22,5483.0,99
CPT,19306,MAST RAD URBAN TYPE,,,0.22,5483.0,99
CPT,19307,MAST MOD RAD,,,0.22,8165.0,99
CPT,19316,SUSPENSION OF BREAST,,,0.22,7166.0,100
CPT,19318,BREAST REDUCTION,,,0.22,8165.0,100
CPT,19324,Breast Enlargement Without A Prosthesis,,,4317.0,8165.0,2
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,0.22,9407.0,100
CPT,19328,RMVL INTACT BREAST IMPLANT,12563.0,9422.25,0.22,11306.7,106
CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,0.22,7166.0,100
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,0.22,8165.0,100
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,0.22,9407.0,100
CPT,19350,BREAST RECONSTRUCTION,,,0.22,5812.0,100
CPT,19355,CORRECTION INVERTED NIPPLE,10099.0,7574.25,0.22,9089.1,106
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,0.22,9407.0,100
CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,0.22,5483.0,99
CPT,19364,BRST RCNSTJ FREE FLAP,,,0.22,8165.0,99
CPT,19366,Plastic Surgery To Reconstruct Breast With Other Technique,,,4481.0,7166.0,2
CPT,19367,BRST RCNSTJ 1 PDCL TRAM FLAP,,,0.22,8165.0,99
CPT,19368,BRST RCNSTJ 1PDCL TRAM ANAST,,,0.22,8165.0,99
CPT,19369,BRST RCNSTJ 2 PDCL TRAM FLAP,,,0.22,8165.0,99
CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,0.22,7166.0,100
CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,0.22,7166.0,100
CPT,19380,REVJ RECONSTRUCTED BREAST,,,0.22,8165.0,100
CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,0.22,7166.0,99
CPT,193U,JR GNOTYP ABCG2 EXONS 2-26,,,0.92,282.88,14
CPT,19499,UNLISTED PROCEDURE BREAST,,,0.22,6663.99,102
CPT,194U,KEL GNOTYP KEL EXON 8,,,0.92,185.2,14
CPT,195U,KLF1 TARGETED SEQUENCING,,,0.92,375.25,14
CPT,196U,LU GNOTYP BCAM EXON 3,,,0.92,185.2,14
CPT,197U,LW GNOTYP ICAM4 EXON 1,,,0.92,185.2,14
CPT,198T,OCULAR BLOOD FLOW MEASURE,,,0.22,3.2,11
CPT,198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,0.92,282.88,14
CPT,1990,SUPPORT FOR ORGAN DONOR,,,,,0
CPT,199U,SC GNOTYP ERMAP EXONS 4 12,,,0.92,274.83,14
CPT,19M,CV DS PLASMA ALYS PRTN BMRK,,,0.92,712.4,14
CPT,19U,ONC RNA TISS PREDICT ALG,,,0.92,3675.0,14
CPT,1U,RBC DNA HEA 35 AG 11 BLD GRP,,,0.92,720.0,14
CPT,200T,PERC SACRL AUGMENT UNIL,19745.0,14808.75,0.22,17770.5,103
CPT,200U,XK GNOTYP XK EXONS 1-3,,,0.92,274.83,14
CPT,20100,EXPLORE WOUND NECK,,,0.22,3791.0,99
CPT,20101,EXPLORE WOUND CHEST,,,0.22,5812.0,99
CPT,20102,EXPLORE WOUND ABDOMEN,14583.0,10937.25,0.22,13124.7,105
CPT,20103,EXPLORE WOUND EXTREMITY,9238.0,6928.5,0.22,8314.2,105
CPT,20150,EXCISE EPIPHYSEAL BAR,,,0.22,8165.0,99
CPT,201T,PERQ SACRAL AUGMT BILAT INJ,,,0.22,7166.0,97
CPT,201U,YT GNOTYP ACHE EXON 2,,,0.92,185.2,14
CPT,20200,MUSCLE BIOPSY SUPERFICIAL,,,0.22,5085.0,100
CPT,20205,DEEP MUSCLE BIOPSY,,,0.22,5085.0,100
CPT,20206,BX MUSCLE PERC NDL,4647.0,3485.25,0.22,4182.3,105
CPT,20206,NEEDLE BIOPSY MUSCLE,4471.0,3353.25,0.22,4023.9,105
CPT,20220,BONE BIOPSY TROCAR/NDL SUPFC,,,0.22,3791.0,99
CPT,20225,BONE BIOPSY TROCAR/NDL DEEP,,,0.22,5085.0,99
CPT,20240,BONE BIOPSY OPEN SUPERFICIAL,,,0.22,5812.0,100
CPT,20245,BONE BIOPSY OPEN DEEP,,,0.22,5812.0,100
CPT,20250,BIOPSY VRT BDY OPEN THORACIC,,,0.22,7166.0,100
CPT,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,0.22,7166.0,100
CPT,202T,POST VERT ARTHRPLST 1 LUMBAR,,,0.22,5483.0,97
CPT,202U,BIOFIRE 22 TRGT SARSCOV2,2310.0,1732.5,1.0,416.78,28
CPT,203U,AI IBD MRNA XPRSN PRFL 17,,,0.92,760.0,19
CPT,20500,INJECTION OF SINUS TRACT,,,0.22,3791.0,99
CPT,20501,INJECT SINUS TRACT FOR X-RAY,,,0.22,1137.0,99
CPT,20520,REMV FORGN BODY-SIMPL MUSC/TND,11154.0,8365.5,0.22,10038.6,105
CPT,20525,REMOVAL OF FOREIGN BODY,,,0.22,5812.0,100
CPT,20526,THER INJECTION CARP TUNNEL,1369.0,1026.75,0.22,1232.1,105
CPT,20526,THER INJECTION CARPAL TUNNEL,1368.0,1026.0,0.22,1231.2,105
CPT,20527,INJ DUPUYTREN CORD W/ENZYME,,,0.22,1137.0,99
CPT,20550,INJ TENDON SHEATH/LIG/TRIG PTS,1379.0,1034.25,0.22,1241.1,110
CPT,20550,INJ TENDON SHEATH/LIGAMENT,1875.0,1406.25,0.22,1687.5,110
CPT,20551,INJ TENDON ORIGIN/INSERTION,1797.0,1347.75,0.22,1617.3,105
CPT,20552,INJ TRIGGER PNTS 1-2 MUSCLES,1279.0,959.25,0.22,1151.1,105
CPT,20552,INJ TRIGGER POINT 1/2 MUSCL,1937.0,1452.75,0.22,1743.3,105
CPT,20552,INJ TRIGGER PTS 1/2 MUSC,1428.0,1071.0,0.22,1285.2,105
CPT,20553,INJECT TRIGGER POINTS 3/>,1701.0,1275.75,0.22,1637.1,210
CPT,20555,PLACE NDL MUSC/TIS FOR RT,,,0.22,7166.0,99
CPT,20560,NDL INSJ W/O NJX 1 OR 2 MUSC,,,0.22,33.18,103
CPT,20561,NDL INSJ W/O NJX 3+ MUSC,,,0.22,48.5,103
CPT,205U,OPH AMD ALYS 3 GENE VARIANTS,,,0.92,47.0,14
CPT,20600,ARTHRO/DRAIN/INJ SMALL JOINT,1993.0,1494.75,0.22,1793.7,105
CPT,20604,DRAIN/INJ JOINT/BURSA W/US,,,0.22,870.51,103
CPT,20605,ARTHRO/DRAIN/INJ INTRMED JOINT,1444.0,1083.0,0.22,1299.6,110
CPT,20606,DRAIN/INJ JOINT/BURSA W/US,,,0.22,2062.98,103
CPT,20610,ASPIR/INJ MAJ JT WO/US,706.0,529.5,0.22,1137.0,110
CPT,20610,DRAIN/INJ JOINT/BURSA W/O US,2594.5,1945.875,0.22,2373.3,220
CPT,20611,DRAIN/INJ JOINT/BURSA W/US,,,0.22,870.51,103
CPT,20612,ASPIRATE/INJ GANGLION CYST,909.0,681.75,0.22,1137.0,210
CPT,20615,TREATMENT OF BONE CYST,,,0.22,3791.0,99
CPT,20650,INSERT AND REMOVE BONE PIN,,,0.22,7166.0,100
CPT,20660,APPLY REM FIXATION DEVICE,,,0.22,3791.0,99
CPT,20661,APPLICATION HALO CRANIAL,,,0.22,5812.0,99
CPT,20662,APPLICATION HALO PELVIC,,,0.22,5812.0,99
CPT,20663,APPLICATION HALO FEMORAL,,,0.22,7166.0,99
CPT,20664,APPL HALO CRANIAL 6+PINS,,,0.22,5812.0,99
CPT,20665,RMVL TONGS/HALO ANTHR INDIV,,,0.22,1137.0,104
CPT,20670,REMOVAL OF IMPLANT-SUPERFICIAL,12546.0,9409.5,0.22,11291.4,106
CPT,20680,REMOVAL IMPLANT DEEP,18045.0,13533.75,0.22,16240.5,106
CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,0.22,7166.0,100
CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,0.22,7166.0,100
CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,0.22,7166.0,100
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,0.22,5812.0,100
CPT,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,0.22,7166.0,99
CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,0.22,5812.0,99
CPT,206U,NEURO ALZHEIMER CELL AGGREGJ,,,0.92,2215.4,19
CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,0.22,855.3,103
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,,,0.22,638.0,103
CPT,20702,MNL PREP&INSJ IMED RX DEV,,,0.22,1423.19,103
CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,0.22,1020.09,103
CPT,20704,MNL PREP&INSJ I-ARTIC RX DEV,,,0.22,1482.8,103
CPT,20705,RMVL I-ARTIC RX DELIVERY DEV,,,0.22,1219.91,103
CPT,207T,CLEAR EYELID GLAND W/HEAT,,,0.22,1137.0,17
CPT,207U,NEURO ALZHEIMER QUAN IMAGING,,,0.92,511.2,19
CPT,20802,REPLANTATION ARM COMPLETE,,,0.22,5483.0,99
CPT,20805,REPLANT FOREARM COMPLETE,,,0.22,5483.0,99
CPT,20808,REPLANTATION HAND COMPLETE,,,0.22,5489.09,99
CPT,20816,REPLANTATION DIGIT COMPLETE,,,0.22,5483.0,99
CPT,20822,REPLANTATION DIGIT COMPLETE,,,0.22,5812.0,99
CPT,20824,REPLANTATION THUMB COMPLETE,,,0.22,5483.0,99
CPT,20827,REPLANTATION THUMB COMPLETE,,,0.22,5483.0,99
CPT,20838,REPLANTATION FOOT COMPLETE,,,0.22,5483.0,99
CPT,208T,AUDIOMETRY AIR ONLY,,,1.0,3.2,10
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,0.22,7166.0,100
CPT,20902,REMOVAL OF BONE FOR GRAFT,,,0.22,7166.0,100
CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,0.22,5812.0,100
CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,0.22,5812.0,100
CPT,20920,REMOVAL OF FASCIA FOR GRAFT,,,0.22,5085.0,100
CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,0.22,5085.0,100
CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,0.22,7166.0,100
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,0.22,1137.0,97
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,0.22,1137.0,99
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,0.22,1052.7,98
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,0.22,965.14,98
CPT,20934,INTERCALARY ALGRFT COMPL,,,0.22,1051.52,98
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,0.22,7166.0,97
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,0.22,7166.0,99
CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,0.22,7166.0,99
CPT,20939,BONE MARROW ASPIR BONE GRFG,,,0.22,100.86,98
CPT,20950,FLUID PRESSURE MUSCLE,,,0.22,1137.0,99
CPT,20955,FIBULA BONE GRAFT MICROVASC,,,0.22,7166.0,99
CPT,20956,ILIAC BONE GRAFT MICROVASC,,,0.22,5483.0,99
CPT,20957,MT BONE GRAFT MICROVASC,,,0.22,5483.0,99
CPT,20962,OTHER BONE GRAFT MICROVASC,,,0.22,7166.0,99
CPT,20969,BONE/SKIN GRAFT MICROVASC,,,0.22,7166.0,99
CPT,20970,BONE/SKIN GRAFT ILIAC CREST,,,0.22,7166.0,99
CPT,20972,BONE/SKIN GRAFT METATARSAL,,,0.22,9407.0,99
CPT,20973,BONE/SKIN GRAFT GREAT TOE,,,0.22,9407.0,99
CPT,20974,ELECTRICAL BONE STIMULATION,,,0.22,1137.0,99
CPT,20975,ELECTRICAL BONE STIMULATION,,,0.22,1137.0,99
CPT,20979,US BONE STIMULATION,,,0.22,1137.0,99
CPT,20982,PERC RF ABLATE BONE TUMR,25151.0,18863.25,0.22,22635.9,105
CPT,20983,PERC CRYO ABLATE BONE,19856.0,14892.0,0.22,17870.4,109
CPT,20985,CPTR-ASST DIR MS PX,,,0.22,1137.0,99
CPT,20999,ABLAT TUMOR GLUTEUS MUSCLE,11307.0,8480.25,0.22,10176.3,103
CPT,209T,AUDIOMETRY AIR & BONE,,,1.0,3.2,10
CPT,209U,CYTOG CONST ALYS INTERROG,,,0.92,787.15,19
CPT,20M,"Oncology (central nervous system), analysis of 30000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as probability of matching a re",,,0.5,1.12,14
CPT,21010,INCISION OF JAW JOINT,,,0.22,5812.0,100
CPT,21011,EXC FACE LES SC <2 CM,,,0.22,3791.0,99
CPT,21012,EXC FACE LES SBQ 2 CM,11500.0,8625.0,0.22,10350.0,105
CPT,21013,EXC FACE TUM DEEP < 2 CM,,,0.22,3791.0,99
CPT,21014,EXC FACE TUM DEEP 2 CM/>,13557.0,10167.75,0.22,12201.3,105
CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,0.22,5085.0,100
CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,0.22,5812.0,99
CPT,21025,EXCISION OF BONE LOWER JAW,,,0.22,8165.0,100
CPT,21026,EXCISION OF FACIAL BONE(S),,,0.22,8165.0,100
CPT,21029,CONTOUR OF FACE BONE LESION,,,0.22,8165.0,100
CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,0.22,5812.0,99
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,0.22,5812.0,99
CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,0.22,5812.0,99
CPT,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,0.22,8165.0,100
CPT,21040,EXCISE MANDIBLE LESION,,,0.22,5812.0,100
CPT,21044,REMOVAL OF JAW BONE LESION,,,0.22,8165.0,100
CPT,21045,EXTENSIVE JAW SURGERY,,,0.22,5483.0,99
CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,0.22,8165.0,100
CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,0.22,8165.0,100
CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,0.22,8165.0,99
CPT,21049,EXCIS UPPR JAW CYST W/REPAIR,,,0.22,8165.0,99
CPT,21050,REMOVAL OF JAW JOINT,,,0.22,8165.0,100
CPT,21060,REMOVE JAW JOINT CARTILAGE,,,0.22,8165.0,100
CPT,21070,REMOVE CORONOID PROCESS,,,0.22,8165.0,100
CPT,21073,MNPJ OF TMJ W/ANESTH,,,0.22,3791.0,99
CPT,21076,PREPARE FACE/ORAL PROSTHESIS,,,0.22,5812.0,99
CPT,21077,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21079,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21080,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21081,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21082,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21083,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21084,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21085,PREPARE FACE/ORAL PROSTHESIS,,,0.22,5085.0,99
CPT,21086,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21087,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,99
CPT,21088,PREPARE FACE/ORAL PROSTHESIS,,,0.22,8165.0,97
CPT,21089,UNLISTED MAXLFCL PROSTH PX,,,0.22,1137.0,97
CPT,210T,SPEECH AUDIOMETRY THRESHOLD,,,1.0,3.2,10
CPT,210U,SYPHILIS TST ANTB IA QUAN,,,0.92,18.63,19
CPT,211,ANESTH CRAN SURG HEMOTOMA,,,,,0
CPT,21100,MAXILLOFACIAL FIXATION,,,0.22,8165.0,100
CPT,21110,INTERDENTAL FIXATION,,,0.22,3791.0,99
CPT,21116,INJECTION JAW JOINT X-RAY,,,0.22,1137.0,99
CPT,21120,RECONSTRUCTION OF CHIN,,,0.22,5812.0,100
CPT,21121,RECONSTRUCTION OF CHIN,,,0.22,5812.0,100
CPT,21122,RECONSTRUCTION OF CHIN,,,0.22,5812.0,100
CPT,21123,RECONSTRUCTION OF CHIN,,,0.22,5812.0,100
CPT,21125,AUGMENTATION LOWER JAW BONE,,,0.22,5812.0,100
CPT,21127,AUGMENTATION LOWER JAW BONE,,,0.22,8165.0,100
CPT,21137,REDUCTION OF FOREHEAD,,,0.22,5812.0,99
CPT,21138,REDUCTION OF FOREHEAD,,,0.22,8165.0,99
CPT,21139,REDUCTION OF FOREHEAD,,,0.22,8165.0,99
CPT,21141,LEFORT I-1 PIECE W/O GRAFT,,,0.22,5483.0,99
CPT,21142,LEFORT I-2 PIECE W/O GRAFT,,,0.22,5483.0,99
CPT,21143,LEFORT I-3/> PIECE W/O GRAFT,,,0.22,5483.0,99
CPT,21145,LEFORT I-1 PIECE W/ GRAFT,,,0.22,5483.0,99
CPT,21146,LEFORT I-2 PIECE W/ GRAFT,,,0.22,5483.0,99
CPT,21147,LEFORT I-3/> PIECE W/ GRAFT,,,0.22,5483.0,99
CPT,21150,LEFORT II ANTERIOR INTRUSION,,,0.22,8165.0,99
CPT,21151,LEFORT II W/BONE GRAFTS,,,0.22,5483.0,99
CPT,21154,LEFORT III W/O LEFORT I,,,0.22,5483.0,99
CPT,21155,LEFORT III W/ LEFORT I,,,0.22,5483.0,99
CPT,21159,LEFORT III W/FHDW/O LEFORT I,,,0.22,5483.0,99
CPT,21160,LEFORT III W/FHD W/ LEFORT I,,,0.22,5483.0,99
CPT,21172,RECONSTRUCT ORBIT/FOREHEAD,,,0.22,8165.0,99
CPT,21175,RECONSTRUCT ORBIT/FOREHEAD,,,0.22,8165.0,99
CPT,21179,RECONSTRUCT ENTIRE FOREHEAD,,,0.22,5483.0,99
CPT,21180,RECONSTRUCT ENTIRE FOREHEAD,,,0.22,5483.0,99
CPT,21181,CONTOUR CRANIAL BONE LESION,,,0.22,5812.0,100
CPT,21182,RECONSTRUCT CRANIAL BONE,,,0.22,5483.0,99
CPT,21183,RECONSTRUCT CRANIAL BONE,,,0.22,5483.0,99
CPT,21184,RECONSTRUCT CRANIAL BONE,,,0.22,5483.0,99
CPT,21188,RECONSTRUCTION OF MIDFACE,,,0.22,5483.0,99
CPT,21193,RECONST LWR JAW W/O GRAFT,,,0.22,8165.0,99
CPT,21194,RECONST LWR JAW W/GRAFT,,,0.22,5483.0,99
CPT,21195,RECONST LWR JAW W/O FIXATION,,,0.22,8165.0,99
CPT,21196,RECONST LWR JAW W/FIXATION,,,0.22,8165.0,99
CPT,21198,RECONSTR LWR JAW SEGMENT,,,0.22,8165.0,99
CPT,21199,RECONSTR LWR JAW W/ADVANCE,,,0.22,8165.0,99
CPT,211T,SPEECH AUDIOM THRESH & RECOG,,,1.0,3.2,10
CPT,211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,1.0,20302.78,19
CPT,21206,RECONSTRUCT UPPER JAW BONE,,,0.22,8165.0,100
CPT,21208,AUGMENTATION OF FACIAL BONES,,,0.22,8165.0,100
CPT,21209,REDUCTION OF FACIAL BONES,,,0.22,8165.0,100
CPT,21210,FACE BONE GRAFT,,,0.22,8165.0,100
CPT,21215,LOWER JAW BONE GRAFT,,,0.22,8165.0,100
CPT,21230,RIB CARTILAGE GRAFT,,,0.22,8165.0,100
CPT,21235,EAR CARTILAGE GRAFT,,,0.22,5812.0,100
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,0.22,8165.0,100
CPT,21242,RECONSTRUCTION OF JAW JOINT,,,0.22,8165.0,100
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,0.22,8165.0,100
CPT,21244,RECONSTRUCTION OF LOWER JAW,,,0.22,8165.0,100
CPT,21245,RECONSTRUCTION OF JAW,,,0.22,8165.0,100
CPT,21246,RECONSTRUCTION OF JAW,,,0.22,8165.0,100
CPT,21247,RECONSTRUCT LOWER JAW BONE,,,0.22,5483.0,99
CPT,21248,RECONSTRUCTION OF JAW,,,0.22,8165.0,100
CPT,21249,RECONSTRUCTION OF JAW,,,0.22,8165.0,100
CPT,21255,RECONSTRUCT LOWER JAW BONE,,,0.22,5483.0,99
CPT,21256,RECONSTRUCTION OF ORBIT,,,0.22,8165.0,99
CPT,21260,REVISE EYE SOCKETS,,,0.22,8165.0,99
CPT,21261,REVISE EYE SOCKETS,,,0.22,8165.0,99
CPT,21263,REVISE EYE SOCKETS,,,0.22,8165.0,99
CPT,21267,REVISE EYE SOCKETS,,,0.22,8165.0,100
CPT,21268,REVISE EYE SOCKETS,,,0.22,5483.0,99
CPT,21270,AUGMENTATION CHEEK BONE,,,0.22,8165.0,100
CPT,21275,REVISION ORBITOFACIAL BONES,,,0.22,8165.0,100
CPT,21280,REVISION OF EYELID,,,0.22,8165.0,100
CPT,21282,REVISION OF EYELID,,,0.22,5085.0,100
CPT,21295,REVISION OF JAW MUSCLE/BONE,,,0.22,3791.0,100
CPT,21296,REVISION OF JAW MUSCLE/BONE,,,0.22,5812.0,100
CPT,21299,UNLISTED CRANFCL&MAXLFCL PX,,,0.22,1137.0,97
CPT,212T,COMPRE AUDIOMETRY EVALUATION,,,1.0,3.2,10
CPT,212U,RARE DS GEN DNA ALYS PROBAND,,,0.92,5475.2,19
CPT,21310,"Closed Treatment Of Broken Nasal Bone, Without Manipulation",,,1137.0,1137.0,1
CPT,21315,CLSD TX NSL FX MNPJ WO STBLJ,,,0.22,5085.0,99
CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,,,0.22,5085.0,100
CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,,,0.22,5812.0,100
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,0.22,5812.0,100
CPT,21335,OPEN TX NOSE & SEPTAL FX,,,0.22,5812.0,100
CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,0.22,5812.0,100
CPT,21337,CLOSED TX SEPTAL&NOSE FX,,,0.22,5085.0,100
CPT,21338,OPEN NASOETHMOID FX W/O FIXJ,,,0.22,5812.0,100
CPT,21339,OPEN NASOETHMOID FX W/ FIXJ,,,0.22,5812.0,100
CPT,21340,PERQ TX NASOETHMOID FX,,,0.22,8165.0,100
CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,0.22,8165.0,99
CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,0.22,5483.0,99
CPT,21345,CLOSED TX NOSE/JAW FX,,,0.22,5812.0,100
CPT,21346,OPN TX NASOMAX FX W/FIXJ,,,0.22,5812.0,99
CPT,21347,OPN TX NASOMAX FX MULTPLE,,,0.22,5483.0,99
CPT,21348,OPN TX NASOMAX FX W/GRAFT,,,0.22,5483.0,99
CPT,21355,PERQ TX MALAR FRACTURE,,,0.22,8165.0,100
CPT,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,0.22,5812.0,100
CPT,21360,OPN TX DPRSD MALAR FRACTURE,,,0.22,5812.0,99
CPT,21365,OPN TX COMPLX MALAR FX,,,0.22,8165.0,99
CPT,21366,OPN TX COMPLX MALAR W/GRFT,,,0.22,7166.0,99
CPT,21385,OPN TX ORBIT FX TRANSANTRAL,,,0.22,8165.0,99
CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,0.22,8165.0,99
CPT,21387,OPN TX ORBIT FX COMBINED,,,0.22,8165.0,99
CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,0.22,8165.0,99
CPT,21395,OPN TX ORBIT PERIORBT W/GRFT,,,0.22,8165.0,99
CPT,213T,NJX PARAVERT W/US CER/THOR,,,0.22,3791.0,102
CPT,213U,RARE DS GEN DNA ALYS EA COMP,,,0.92,2709.95,19
CPT,214,ANESTH SKULL DRAINAGE,,,,,0
CPT,21400,CLOSED TX ORBIT W/O MANIPULJ,,,0.22,3791.0,100
CPT,21401,CLOSED TX ORBIT W/MANIPULJ,,,0.22,5085.0,100
CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,0.22,8165.0,99
CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,0.22,8165.0,99
CPT,21408,OPN TX ORBIT FX W/BONE GRFT,,,0.22,8165.0,99
CPT,21421,TREAT MOUTH ROOF FRACTURE,,,0.22,5812.0,100
CPT,21422,TREAT MOUTH ROOF FRACTURE,,,0.22,8165.0,99
CPT,21423,TREAT MOUTH ROOF FRACTURE,,,0.22,8165.0,99
CPT,21431,TREAT CRANIOFACIAL FRACTURE,,,0.22,5483.0,99
CPT,21432,TREAT CRANIOFACIAL FRACTURE,,,0.22,5483.0,99
CPT,21433,TREAT CRANIOFACIAL FRACTURE,,,0.22,5483.0,99
CPT,21435,TREAT CRANIOFACIAL FRACTURE,,,0.22,5483.0,99
CPT,21436,TREAT CRANIOFACIAL FRACTURE,,,0.22,5483.0,99
CPT,21440,TREAT DENTAL RIDGE FRACTURE,,,0.22,5812.0,99
CPT,21445,TREAT DENTAL RIDGE FRACTURE,,,0.22,5812.0,100
CPT,21450,TREAT LOWER JAW FRACTURE,,,0.22,1137.0,99
CPT,21451,TREAT LOWER JAW FRACTURE,,,0.22,3791.0,99
CPT,21452,TREAT LOWER JAW FRACTURE,,,0.22,5085.0,100
CPT,21453,TREAT LOWER JAW FRACTURE,,,0.22,8165.0,100
CPT,21454,TREAT LOWER JAW FRACTURE,,,0.22,5812.0,100
CPT,21461,TREAT LOWER JAW FRACTURE,,,0.22,8165.0,100
CPT,21462,TREAT LOWER JAW FRACTURE,,,0.22,8165.0,100
CPT,21465,TREAT LOWER JAW FRACTURE,,,0.22,8165.0,100
CPT,21470,TREAT LOWER JAW FRACTURE,,,0.22,8165.0,99
CPT,21480,RESET DISLOCATED JAW,,,0.22,1137.0,104
CPT,21485,RESET DISLOCATED JAW,,,0.22,5085.0,100
CPT,21490,REPAIR DISLOCATED JAW,,,0.22,8165.0,100
CPT,21497,INTERDENTAL WIRING,,,0.22,5085.0,100
CPT,21499,UNLISTED MUSCSKEL PX HEAD,,,0.22,1137.0,97
CPT,214T,INJ PARAVERT W/US CER/THOR,850.0,637.5,0.22,1137.0,108
CPT,214U,RARE DS XOM DNA ALYS PROBAND,,,0.92,5224.6,19
CPT,215,ANESTH SKULL REPAIR/FRACT,,,,,0
CPT,21501,DRAIN NECK/CHEST LESION,,,0.22,5812.0,100
CPT,21502,DRAIN CHEST LESION,,,0.22,5812.0,100
CPT,21510,DRAINAGE OF BONE LESION,,,0.22,5812.0,99
CPT,21550,BIOPSY OF NECK/CHEST,8703.0,6527.25,0.22,7832.7,105
CPT,21550,BX SOFT TISSUE NECK/THOR,7298.0,5473.5,0.22,6568.2,105
CPT,21552,EXC SOFT TIS NCK/THORAX 3CM/>,6511.0,4883.25,0.22,5859.9,105
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,21555,EXC NECK LES SC < 3CM,12048.0,9036.0,0.22,10843.2,106
CPT,21556,EXC NECK TUM DEEP < 5 CM,,,0.22,5812.0,100
CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,0.22,5085.0,99
CPT,21558,RESECT NECK TUMOR 5 CM/>,,,0.22,5812.0,99
CPT,215T,NJX PARAVERT W/US CER/THOR,,,0.22,1137.0,102
CPT,215U,RARE DS XOM DNA ALYS EA COMP,,,0.92,2574.65,19
CPT,21600,PARTIAL REMOVAL OF RIB,,,0.22,7166.0,100
CPT,21601,EXC CHEST WALL TUMOR W/RIBS,,,0.22,5890.39,103
CPT,21602,EXC CH WAL TUM W/O LYMPHADEC,,,0.22,16065.46,103
CPT,21603,EXC CH WAL TUM W/LYMPHADEC,,,0.22,17779.62,103
CPT,21610,PARTIAL REMOVAL OF RIB,,,0.22,7166.0,100
CPT,21615,REMOVAL OF RIB,,,0.22,5483.0,99
CPT,21616,REMOVAL OF RIB AND NERVES,,,0.22,5483.0,99
CPT,21620,PARTIAL REMOVAL OF STERNUM,,,0.22,5085.0,99
CPT,21627,STERNAL DEBRIDEMENT,,,0.22,5483.0,99
CPT,21630,EXTENSIVE STERNUM SURGERY,,,0.22,5483.0,99
CPT,21632,EXTENSIVE STERNUM SURGERY,,,0.22,5483.0,2
CPT,21685,HYOID MYOTOMY & SUSPENSION,,,0.22,3791.0,99
CPT,216T,NJX PARAVERT W/US LUMB/SAC,,,0.22,3791.0,102
CPT,216U,NEURO INH ATAXIA DNA 12 COM,,,0.92,1537.02,19
CPT,21700,REVISION OF NECK MUSCLE,,,0.22,5812.0,100
CPT,21705,REVISION OF NECK MUSCLE/RIB,,,0.22,5483.0,99
CPT,21720,REVISION OF NECK MUSCLE,,,0.22,5812.0,100
CPT,21725,REVISION OF NECK MUSCLE,,,0.22,1137.0,99
CPT,21740,RECONSTRUCTION OF STERNUM,,,0.22,5483.0,99
CPT,21742,REPAIR STERN/NUSS W/O SCOPE,,,0.22,8165.0,97
CPT,21743,REPAIR STERNUM/NUSS W/SCOPE,,,0.22,8165.0,97
CPT,21750,REPAIR OF STERNUM SEPARATION,,,0.22,5483.0,99
CPT,217T,NJX PARAVERT W/US LUMB/SAC,,,0.22,1137.0,102
CPT,217U,NEURO INH ATAXIA DNA 51 GENE,,,0.92,2198.35,19
CPT,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,0.22,6500.96,103
CPT,21812,TREATMENT OF RIB FRACTURE,,,0.22,3245.85,103
CPT,21813,TREATMENT OF RIB FRACTURE,,,0.22,3245.85,103
CPT,21820,TREAT STERNUM FRACTURE,,,0.22,1137.0,99
CPT,21825,TREAT STERNUM FRACTURE,,,0.22,5483.0,99
CPT,21899,UNLISTED PX NECK/THORAX,,,0.22,1137.0,97
CPT,218T,NJX PARAVERT W/US LUMB/SAC,,,0.22,1137.0,102
CPT,218U,NEURO MUSC DYS DMD SEQ ALYS,,,0.92,2279.0,19
CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,0.22,3791.0,99
CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,0.22,5812.0,100
CPT,21930,EXC BACK LES SC < 3 CM,,,0.22,5085.0,100
CPT,21931,EXC SOFT TIS BCK/FLANK 3CM/>,3275.0,2456.25,0.22,5812.0,105
CPT,21932,EXC BACK TUM DEEP < 5 CM,,,0.22,5085.0,99
CPT,21933,EXC BACK TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,21935,RESECT BACK TUM < 5 CM,,,0.22,5085.0,100
CPT,21936,RESECT BACK TUM 5 CM/>,,,0.22,5812.0,99
CPT,219T,PLMT POST FACET IMPLT CERV,,,0.22,5483.0,7
CPT,219U,NFCT AGT HIV GNRJ SEQ ALYS,,,0.92,725.0,19
CPT,21U,ONC PRST8 DETCJ 8 AUTOANTB,,,0.92,760.0,14
CPT,22010,I&D P-SPINE C/T/CERV-THOR,,,0.22,5483.0,99
CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,0.22,5483.0,99
CPT,220T,PLMT POST FACET IMPLT THOR,,,0.22,5483.0,7
CPT,220U,ONC BRST CA AI ASSMT 12 FEAT,,,0.92,706.25,19
CPT,22100,REMOVE PART OF NECK VERTEBRA,,,0.22,9407.0,99
CPT,22101,REMOVE PART THORAX VERTEBRA,,,0.22,9407.0,99
CPT,22102,REMOVE PART LUMBAR VERTEBRA,,,0.22,9407.0,99
CPT,22103,REMOVE EXTRA SPINE SEGMENT,,,0.22,9407.0,99
CPT,22110,REMOVE PART OF NECK VERTEBRA,,,0.22,5483.0,99
CPT,22112,REMOVE PART THORAX VERTEBRA,,,0.22,5483.0,99
CPT,22114,REMOVE PART LUMBAR VERTEBRA,,,0.22,5483.0,99
CPT,22116,REMOVE EXTRA SPINE SEGMENT,,,0.22,5483.0,99
CPT,221T,PLMT POST FACET IMPLT LUMB,,,0.22,7166.0,7
CPT,221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,0.92,274.83,14
CPT,22206,INCIS SPINE 3 COLUMN THORAC,,,0.22,5483.0,99
CPT,22207,INCIS SPINE 3 COLUMN LUMBAR,,,0.22,5483.0,99
CPT,22208,INCIS SPINE 3 COLUMN ADL SEG,,,0.22,5483.0,99
CPT,22210,INCIS 1 VERTEBRAL SEG CERV,,,0.22,5483.0,99
CPT,22212,INCIS 1 VERTEBRAL SEG THORAC,,,0.22,5483.0,99
CPT,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,0.22,5483.0,99
CPT,22216,INCIS ADDL SPINE SEGMENT,,,0.22,5483.0,99
CPT,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,0.22,5483.0,99
CPT,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,0.22,9407.0,99
CPT,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,0.22,5483.0,99
CPT,22226,OSTEOT DSC ANT 1VRT SGM EA,,,0.22,5483.0,99
CPT,222T,PLMT POST FACET IMPLT ADDL,,,0.22,7166.0,7
CPT,222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,0.92,282.88,14
CPT,22310,CLOSED TX VERT FX W/O MANJ,,,0.22,3791.0,99
CPT,22315,CLOSED TX VERT FX W/MANJ,,,0.22,5812.0,99
CPT,22318,TREAT ODONTOID FX W/O GRAFT,,,0.22,5812.0,99
CPT,22319,TREAT ODONTOID FX W/GRAFT,,,0.22,5812.0,99
CPT,22325,TREAT SPINE FRACTURE,,,0.22,5812.0,99
CPT,22326,TREAT NECK SPINE FRACTURE,,,0.22,5812.0,99
CPT,22327,TREAT THORAX SPINE FRACTURE,,,0.22,5812.0,99
CPT,22328,TREAT EACH ADD SPINE FX,,,0.22,5812.0,99
CPT,223U,NFCT DS 22 TRGT SARS-COV-2,,,1.0,416.62,14
CPT,224U,ANTIBODY SARS-COV-2 TITER(S),,,1.0,42.22,14
CPT,22505,MANIPULATION OF SPINE,,,0.22,5085.0,100
CPT,22510,PERQ CERVICOTHORACIC INJECT,,,0.22,6999.72,108
CPT,22511,PERQ LUMBOSACRAL INJECTION,,,0.22,6999.72,108
CPT,22512,VERTEBROPLASTY ADDL INJECT,,,0.22,9802.97,108
CPT,22513,PERQ VERTEBRAL AUGMENTATION,,,0.22,16329.63,108
CPT,22514,PERQ VERTEBRAL AUGMENTATION,,,0.22,16539.73,108
CPT,22515,PERQ VERTEBRAL AUGMENTATION,,,0.22,33908.72,108
CPT,22526,IDET SINGLE LEVEL,,,0.22,7166.0,97
CPT,22527,IDET 1 OR MORE LEVELS,,,0.22,7166.0,97
CPT,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,0.22,5483.0,99
CPT,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,0.22,5483.0,99
CPT,22534,ARTHRD LAT XTRCVTRY TQ EA AD,,,0.22,5483.0,99
CPT,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,0.22,5483.0,99
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,0.22,9407.0,99
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,0.22,8165.0,99
CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,0.22,9407.0,99
CPT,22556,ARTHRD ANT NTRBD MIN DSC THC,,,0.22,5483.0,99
CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,0.22,5483.0,99
CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,0.22,9407.0,99
CPT,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,0.22,5483.0,99
CPT,22590,ARTHRD PST TQ CRANIOCERVICAL,,,0.22,5483.0,99
CPT,22595,ARTHRD PST TQ ATLAS-AXIS,,,0.22,5483.0,99
CPT,225U,NFCT DS DNA&RNA 21 SARSCOV2,,,0.92,416.62,14
CPT,22600,ARTHRD PST TQ 1NTRSPC CRV,,,0.22,5483.0,99
CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,0.22,5483.0,99
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,0.22,9407.0,99
CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,0.22,9407.0,99
CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,0.22,5483.0,99
CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,0.22,5483.0,99
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,0.22,5483.0,99
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,0.22,5483.0,99
CPT,226U,SVNT SARSCOV2 ELISA PLSM SRM,,,1.0,42.22,14
CPT,227U,RX ASY PRSMV 30+RX/METABLT,,,0.92,62.14,14
CPT,22800,ARTHRD PST DFRM<6 VRT SGM,,,0.22,5483.0,99
CPT,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,0.22,5483.0,99
CPT,22804,ARTHRD PST DFRM 13+ VRT SGM,,,0.22,5483.0,99
CPT,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,0.22,5483.0,99
CPT,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,0.22,5483.0,99
CPT,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,0.22,5483.0,99
CPT,22818,KYPHECTOMY 1-2 SEGMENTS,,,0.22,5483.0,99
CPT,22819,KYPHECTOMY 3 OR MORE,,,0.22,5483.0,99
CPT,22830,EXPLORATION OF SPINAL FUSION,,,0.22,5483.0,99
CPT,22836,ANT THRC VRT BODY TETHRG <7,,,0.22,2314.63,98
CPT,22837,ANT THRC VRT BODY TETHRG 8+,,,0.22,2552.41,98
CPT,22838,REV RPLC/RMV THRC VRT TETHRG,,,0.22,2585.51,98
CPT,22840,INSERT SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22841,INSERT SPINE FIXATION DEVICE,,,0.22,5483.0,97
CPT,22842,INSERT SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22843,INSERT SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22844,INSERT SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22845,INSERT SPINE FIXATION DEVICE,,,0.22,9407.0,99
CPT,22846,INSERT SPINE FIXATION DEVICE,,,0.22,9407.0,99
CPT,22847,INSERT SPINE FIXATION DEVICE,,,0.22,9407.0,99
CPT,22848,INSERT PELV FIXATION DEVICE,,,0.22,5483.0,99
CPT,22849,REINSERT SPINAL FIXATION,,,0.22,5483.0,99
CPT,22850,REMOVE SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22852,REMOVE SPINE FIXATION DEVICE,,,0.22,5483.0,99
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,0.22,374.49,98
CPT,22854,INSJ BIOMECHANICAL DEVICE,,,0.22,489.74,98
CPT,22855,REMOVAL ANTERIOR INSTRMJ,,,0.22,5483.0,99
CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,0.22,5483.0,99
CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,0.22,5483.0,99
CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,0.22,734.5,98
CPT,22859,INSJ BIOMECHANICAL DEVICE,,,0.22,488.99,98
CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,0.22,594.23,98
CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,0.22,5483.0,99
CPT,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,0.22,5483.0,99
CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,0.22,5483.0,99
CPT,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,0.22,5483.0,99
CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,0.22,1523.73,98
CPT,22868,INSJ STABLJ DEV W/DCMPRN,,,0.22,351.38,98
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,,,0.22,579.46,98
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,,,0.22,157.04,98
CPT,22899,UNLISTED PROCEDURE SPINE,,,0.22,7166.0,97
CPT,228U,ONC PRST8 MA MOLEC PRFL ALG,,,0.92,173.03,19
CPT,22900,EXC ABDL TUM DEEP < 5 CM,,,0.22,5812.0,100
CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,22902,EXC ABD LES SC < 3 CM,,,0.22,5085.0,99
CPT,22903,EXC ABD LES SC 3 CM/>,14078.0,10558.5,0.22,12670.2,105
CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,0.22,5085.0,99
CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,0.22,5812.0,99
CPT,22999,UNLISTED PX ABDOMEN MUSCSKEL,,,0.22,5812.0,97
CPT,229U,BCAT1&IKZF1 PRMTR MTHYLN ALY,,,0.92,192.0,14
CPT,22U,TGSAP NSM LUNG NEO DNA&RNA23,,,1.0,1950.0,14
CPT,23000,REMOVAL OF CALCIUM DEPOSITS,,,0.22,5085.0,100
CPT,23020,RELEASE SHOULDER JOINT,,,0.22,7166.0,100
CPT,23030,DRAIN SHOULDER LESION,,,0.22,5812.0,100
CPT,23031,DRAIN SHOULDER BURSA,,,0.22,5812.0,100
CPT,23035,DRAIN SHOULDER BONE LESION,,,0.22,5812.0,100
CPT,23040,EXPLORATORY SHOULDER SURGERY,,,0.22,7166.0,100
CPT,23044,EXPLORATORY SHOULDER SURGERY,,,0.22,7166.0,100
CPT,23065,BIOPSY SHOULDER TISSUES,,,0.22,3791.0,99
CPT,23066,BIOPSY SHOULDER TISSUES,,,0.22,5812.0,100
CPT,23071,EXC SHOULDER LES SC 3 CM/>,12072.0,9054.0,0.22,10864.8,105
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,23075,EXC SHOULDER LES SC < 3 CM,,,0.22,5085.0,100
CPT,23076,EXC SHOULDER TUM DEEP < 5 CM,,,0.22,5085.0,100
CPT,23077,RESECT SHOULDER TUMOR < 5 CM,,,0.22,5085.0,100
CPT,23078,RESECT SHOULDER TUMOR 5 CM/>,,,0.22,5812.0,99
CPT,230U,AR FULL SEQUENCE ANALYSIS,,,0.92,301.35,14
CPT,23100,BIOPSY OF SHOULDER JOINT,,,0.22,5812.0,100
CPT,23101,SHOULDER JOINT SURGERY,,,0.22,7166.0,100
CPT,23105,REMOVE SHOULDER JOINT LINING,,,0.22,7166.0,100
CPT,23106,INCISION OF COLLARBONE JOINT,,,0.22,7166.0,100
CPT,23107,EXPLORE TREAT SHOULDER JOINT,,,0.22,7166.0,100
CPT,23120,PARTIAL REMOVAL COLLAR BONE,,,0.22,7166.0,100
CPT,23125,REMOVAL OF COLLAR BONE,,,0.22,7166.0,100
CPT,23130,REMOVE SHOULDER BONE PART,,,0.22,8165.0,100
CPT,23140,REMOVAL OF BONE LESION,,,0.22,5812.0,100
CPT,23145,REMOVAL OF BONE LESION,,,0.22,7166.0,100
CPT,23146,REMOVAL OF BONE LESION,,,0.22,7166.0,100
CPT,23150,REMOVAL OF HUMERUS LESION,,,0.22,7166.0,100
CPT,23155,REMOVAL OF HUMERUS LESION,,,0.22,7166.0,100
CPT,23156,REMOVAL OF HUMERUS LESION,,,0.22,7166.0,100
CPT,23170,REMOVE COLLAR BONE LESION,,,0.22,7166.0,100
CPT,23172,REMOVE SHOULDER BLADE LESION,,,0.22,7166.0,100
CPT,23174,REMOVE HUMERUS LESION,,,0.22,7166.0,100
CPT,23180,REMOVE COLLAR BONE LESION,,,0.22,7166.0,100
CPT,23182,REMOVE SHOULDER BLADE LESION,,,0.22,7166.0,100
CPT,23184,REMOVE HUMERUS LESION,,,0.22,7166.0,100
CPT,23190,PARTIAL REMOVAL OF SCAPULA,,,0.22,7166.0,100
CPT,23195,REMOVAL OF HEAD OF HUMERUS,,,0.22,7166.0,100
CPT,231U,CACNA1A FULL GENE ANALYSIS,,,0.92,846.27,14
CPT,23200,RESECT CLAVICLE TUMOR,,,0.22,5483.0,99
CPT,23210,RESECT SCAPULA TUMOR,,,0.22,5483.0,99
CPT,23220,RESECT PROX HUMERUS TUMOR,,,0.22,5483.0,99
CPT,232T,NJX PLATELET PLASMA,,,0.22,1137.0,102
CPT,232U,CSTB FULL GENE ANALYSIS,,,0.92,274.83,14
CPT,23330,REMOVE SHOULDER FOREIGN BODY,,,0.22,3791.0,100
CPT,23333,REMOVE SHOULDER FB DEEP,,,0.22,667.27,98
CPT,23334,SHOULDER PROSTHESIS REMOVAL,,,0.22,1482.87,98
CPT,23335,SHOULDER PROSTHESIS REMOVAL,,,0.22,1764.86,98
CPT,23350,INJ SHOULDER ARTHROGRAM,1430.0,1072.5,0.22,1287.0,110
CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,0.22,8165.0,100
CPT,23397,MUSCLE TRANSFERS,,,0.22,9407.0,100
CPT,233U,FXN GENE ANALYSIS,,,0.92,274.83,14
CPT,23400,FIXATION OF SHOULDER BLADE,,,0.22,7166.0,100
CPT,23405,INCISION OF TENDON & MUSCLE,,,0.22,7166.0,100
CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,0.22,7166.0,100
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,0.22,8165.0,100
CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,0.22,8165.0,100
CPT,23415,RELEASE OF SHOULDER LIGAMENT,,,0.22,8165.0,100
CPT,23420,REPAIR OF SHOULDER,,,0.22,8165.0,100
CPT,23430,REPAIR BICEPS TENDON,,,0.22,8165.0,100
CPT,23440,REMOVE/TRANSPLANT TENDON,,,0.22,7166.0,100
CPT,23450,REPAIR SHOULDER CAPSULE,,,0.22,9407.0,100
CPT,23455,REPAIR SHOULDER CAPSULE,,,0.22,9407.0,100
CPT,23460,REPAIR SHOULDER CAPSULE,,,0.22,9407.0,100
CPT,23462,REPAIR SHOULDER CAPSULE,,,0.22,8165.0,100
CPT,23465,REPAIR SHOULDER CAPSULE,,,0.22,9407.0,100
CPT,23466,REPAIR SHOULDER CAPSULE,,,0.22,8165.0,100
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,0.22,11318.0,99
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,0.22,11318.0,99
CPT,23473,REVIS RECONST SHOULDER JOINT,,,0.22,11318.0,99
CPT,23474,REVIS RECONST SHOULDER JOINT,,,0.22,5483.0,99
CPT,23480,REVISION OF COLLAR BONE,,,0.22,8165.0,100
CPT,23485,REVISION OF COLLAR BONE,,,0.22,9407.0,100
CPT,23490,REINFORCE CLAVICLE,,,0.22,9407.0,100
CPT,23491,REINFORCE SHOULDER BONES,,,0.22,9407.0,100
CPT,234T,TRLUML PERIP ATHRC RENAL ART,,,0.22,11318.0,97
CPT,234U,MECP2 FULL GENE ANALYSIS,,,0.92,527.87,14
CPT,23500,CLTX CLAVICULAR FX W/O MNPJ,,,0.22,1137.0,99
CPT,23505,CLTX CLAVICULAR FX W/MNPJ,,,0.22,5812.0,99
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,0.22,9407.0,100
CPT,23520,CLTX STRNCLAV DISLC W/O MNPJ,,,0.22,3791.0,99
CPT,23525,CLTX STRNCLAV DISLC W/MNPJ,,,0.22,3791.0,99
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,0.22,9407.0,100
CPT,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,0.22,5812.0,100
CPT,23540,CLTX ACROMCLAV DISLC WO MNPJ,,,0.22,1137.0,99
CPT,23545,CLTX ACROMCLAV DISLC W/MNPJ,,,0.22,3791.0,99
CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,0.22,9407.0,100
CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,0.22,9407.0,100
CPT,23570,CLTX SCAPULAR FX W/O MNPJ,,,0.22,1137.0,99
CPT,23575,CLTX SCAP FX W/MNPJ +-TRACTJ,,,0.22,3791.0,99
CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,0.22,9407.0,100
CPT,235T,ATHERECT VISC OPEN PERC,20349.0,15261.75,0.22,18314.1,110
CPT,235U,PTEN FULL GENE ANALYSIS,,,0.92,600.0,14
CPT,23600,CLTX PROX HUMRL FX W/O MNPJ,,,0.22,1137.0,99
CPT,23605,CLTX PRX HMRL FX MNPJ+-TRACT,,,0.22,5812.0,99
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,0.22,9407.0,100
CPT,23616,OPTX PRX HMRL FX FIX RPR RPL,,,0.22,9407.0,100
CPT,23620,CLTX GR HMRL TBRS FX WO MNPJ,,,0.22,1137.0,99
CPT,23625,CLTX GR HMRL TBRS FX W/MNPJ,,,0.22,5812.0,99
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,0.22,9407.0,100
CPT,23650,CLTX SHO DSLC W/MNPJ WO ANES,,,0.22,1137.0,99
CPT,23655,CLTX SHO DSLC W/MNPJ W/ANES,,,0.22,5085.0,100
CPT,23660,OPTX ACUTE SHOULDER DISLC,,,0.22,9407.0,100
CPT,23665,CLTX SHO DSLC FX GR HMRL TBR,,,0.22,3791.0,99
CPT,23670,OPTX SHO DISLC FX,,,0.22,9407.0,100
CPT,23675,CLTX SHO DISLC NECK FX MNPJ,,,0.22,1137.0,99
CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,0.22,9407.0,100
CPT,236T,TRLUML PERIP ATHRC ABD AORTA,,,0.22,11318.0,97
CPT,236U,SMN1&SMN2 FULL GENE ANALYSIS,,,0.92,602.7,14
CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,0.22,5085.0,100
CPT,237T,ATHERECT BRACH OPEN PERC,35935.0,26951.25,0.22,32341.5,103
CPT,237U,CAR ION CHNLPTHY GEN SEQ PNL,,,0.92,584.9,14
CPT,23800,ARTHRODESIS GLENOHUMERAL JT,,,0.22,9407.0,100
CPT,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,0.22,9407.0,100
CPT,238T,ATHERECT ILIAC OPEN PERC,33870.0,25402.5,0.22,30483.0,103
CPT,238U,ONC LNCH SYN GEN DNA SEQ ALY,,,0.92,584.9,14
CPT,23900,INTERTHORACOSCPLR AMPUTATION,,,0.22,5483.0,99
CPT,23920,DISARTICULATION SHOULDER,,,0.22,5483.0,99
CPT,23921,DISARTICULATION SHO SEC CLSR,,,0.22,5085.0,99
CPT,23929,UNLISTED PROCEDURE SHOULDER,,,0.22,1137.0,97
CPT,23930,I&D UPR A/E DP ABSC/HMTMA,,,0.22,5812.0,100
CPT,23931,I&D UPR A/E BURSA,,,0.22,5812.0,100
CPT,23935,INC DP OPN B1 CRTX HUM/ELBW,,,0.22,5812.0,100
CPT,239U,TRGT GEN SEQ ALYS PNL 311+,,,1.0,3500.0,14
CPT,23U,ONC AML DNA DETCJ/NONDETCJ,,,1.0,248.51,14
CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,0.22,7166.0,100
CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,0.22,7166.0,100
CPT,24065,BIOPSY ARM/ELBOW SOFT TISSUE,,,0.22,5085.0,99
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,0.22,5085.0,100
CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,0.22,5812.0,99
CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,24075,EXC ARM/ELBOW LES SC < 3 CM,8572.0,6429.0,0.22,7714.8,106
CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,0.22,5085.0,100
CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,0.22,5085.0,100
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,0.22,5812.0,99
CPT,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,0.22,5812.0,100
CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,0.22,7166.0,100
CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,0.22,7166.0,100
CPT,24105,EXCISION OLECRANON BURSA,,,0.22,8408.75,105
CPT,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,0.22,5812.0,100
CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,0.22,7166.0,100
CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,0.22,7166.0,100
CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,0.22,5812.0,100
CPT,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,0.22,7166.0,100
CPT,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,0.22,7166.0,100
CPT,24130,EXCISION RADIAL HEAD,,,0.22,7166.0,100
CPT,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,0.22,7166.0,100
CPT,24136,SEQUESTRECTOMY RADIAL H/N,,,0.22,7166.0,100
CPT,24138,SEQUESTRECTOMY OLECRN PROCES,,,0.22,7166.0,100
CPT,24140,PARTIAL EXC BONE HUMERUS,,,0.22,7166.0,100
CPT,24145,PRTL EXC BONE RADIAL H/N,,,0.22,7166.0,100
CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,0.22,7166.0,100
CPT,24149,RADICAL RESECTION OF ELBOW,,,0.22,7166.0,99
CPT,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,0.22,8165.0,99
CPT,24152,RAD RESECTION TUM RADIAL H/N,,,0.22,8165.0,99
CPT,24155,RESECTION OF ELBOW JOINT,,,0.22,7166.0,100
CPT,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,0.22,7166.0,100
CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,0.22,7166.0,100
CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,,,0.22,3791.0,99
CPT,24201,REM FB ARM/ELBOW DEEP,18298.0,13723.5,0.22,16468.2,106
CPT,24220,INJ ELBOW ARTHROGRAM,1224.0,918.0,0.22,1137.0,105
CPT,242U,TRGT GEN SEQ ALYS PNL 55-74,,,1.0,5000.0,14
CPT,24300,MNPJ ELBOW UNDER ANES,,,0.22,5085.0,99
CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,0.22,7166.0,100
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,0.22,7166.0,100
CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,0.22,5812.0,100
CPT,24320,TENOPLASTY ELBOW TO SHO 1,,,0.22,7166.0,100
CPT,24330,FLEXOR-PLASTY ELBOW,,,0.22,9407.0,100
CPT,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,0.22,8165.0,100
CPT,24332,TENOLYSIS TRICEPS,,,0.22,7166.0,99
CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,0.22,8165.0,100
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,0.22,8165.0,100
CPT,24342,REPAIR OF RUPTURED TENDON,,,0.22,8165.0,100
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,0.22,7166.0,99
CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,0.22,9407.0,99
CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,0.22,7166.0,100
CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,0.22,9407.0,99
CPT,24357,REPAIR ELBOW PERC,,,0.22,7166.0,99
CPT,24358,REPAIR ELBOW W/DEB OPEN,,,0.22,7166.0,99
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,0.22,7166.0,99
CPT,24360,RECONSTRUCT ELBOW JOINT,,,0.22,8165.0,100
CPT,24361,RECONSTRUCT ELBOW JOINT,,,0.22,11318.0,100
CPT,24362,RECONSTRUCT ELBOW JOINT,,,0.22,9407.0,100
CPT,24363,REPLACE ELBOW JOINT,,,0.22,11318.0,100
CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,0.22,8165.0,100
CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,0.22,11318.0,100
CPT,24370,REVISE RECONST ELBOW JOINT,,,0.22,11318.0,99
CPT,24371,REVISE RECONST ELBOW JOINT,,,0.22,11318.0,99
CPT,243U,OB PE BIOCHEM ASSAY PGF ALG,,,0.92,64.41,14
CPT,24400,REVISION OF HUMERUS,,,0.22,9407.0,100
CPT,24410,REVISION OF HUMERUS,,,0.22,8165.0,100
CPT,24420,REVISION OF HUMERUS,,,0.22,8165.0,100
CPT,24430,REPAIR OF HUMERUS,,,0.22,9407.0,100
CPT,24435,REPAIR HUMERUS WITH GRAFT,,,0.22,9407.0,100
CPT,24470,REVISION OF ELBOW JOINT,,,0.22,8165.0,100
CPT,24495,DECOMPRESSION OF FOREARM,,,0.22,7166.0,100
CPT,24498,REINFORCE HUMERUS,,,0.22,9407.0,100
CPT,244U,ONC SOLID ORGN DNA 257 GENES,,,1.0,3500.0,14
CPT,24500,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24505,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24515,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24516,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24530,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24535,TREAT HUMERUS FRACTURE,,,0.22,3791.0,99
CPT,24538,TREAT HUMERUS FRACTURE,,,0.22,5812.0,100
CPT,24545,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24546,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24560,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24565,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24566,TREAT HUMERUS FRACTURE,,,0.22,5812.0,100
CPT,24575,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24576,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24577,TREAT HUMERUS FRACTURE,,,0.22,1137.0,99
CPT,24579,TREAT HUMERUS FRACTURE,,,0.22,9407.0,100
CPT,24582,TREAT HUMERUS FRACTURE,,,0.22,5812.0,100
CPT,24586,TREAT ELBOW FRACTURE,,,0.22,9407.0,100
CPT,24587,TREAT ELBOW FRACTURE,,,0.22,9407.0,100
CPT,245U,ONC THYR MUT ALYS 10 GEN&37,,,1.0,1414.58,14
CPT,24600,TREAT ELBOW DISLOCATION,,,0.22,1137.0,99
CPT,24605,TREAT ELBOW DISLOCATION,,,0.22,5085.0,100
CPT,24615,TREAT ELBOW DISLOCATION,,,0.22,9407.0,100
CPT,24620,TREAT ELBOW FRACTURE,,,0.22,5812.0,99
CPT,24635,TREAT ELBOW FRACTURE,,,0.22,9407.0,100
CPT,24640,TREAT ELBOW DISLOCATION,,,0.22,1137.0,99
CPT,24650,TREAT RADIUS FRACTURE,,,0.22,1137.0,99
CPT,24655,TREAT RADIUS FRACTURE,,,0.22,3791.0,99
CPT,24665,TREAT RADIUS FRACTURE,,,0.22,9407.0,100
CPT,24666,TREAT RADIUS FRACTURE,,,0.22,9407.0,100
CPT,24670,TREAT ULNAR FRACTURE,,,0.22,1137.0,99
CPT,24675,TREAT ULNAR FRACTURE,,,0.22,1137.0,99
CPT,24685,TREAT ULNAR FRACTURE,,,0.22,9407.0,100
CPT,246U,RBC DNA GNOTYP 16 BLD GROUPS,,,0.92,720.0,14
CPT,247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,0.92,750.0,14
CPT,24800,FUSION OF ELBOW JOINT,,,0.22,8165.0,100
CPT,24802,FUSION/GRAFT OF ELBOW JOINT,,,0.22,9407.0,100
CPT,248U,ONC BRN SPHRD CLL 12 RX PNL,,,0.92,3033.86,14
CPT,24900,AMPUTATION OF UPPER ARM,,,0.22,5483.0,99
CPT,24920,AMPUTATION OF UPPER ARM,,,0.22,5483.0,99
CPT,24925,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,100
CPT,24930,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5483.0,99
CPT,24931,AMPUTATE UPPER ARM & IMPLANT,,,0.22,5483.0,99
CPT,24935,REVISION OF AMPUTATION,,,0.22,9407.0,99
CPT,24940,REVISION OF UPPER ARM,,,0.22,5483.0,97
CPT,24999,UNLISTED PX HUMERUS/ELBOW,,,0.22,1137.0,97
CPT,249U,ONC BRST ALYS 32 PHSPRTN ALG,,,0.92,2219.13,14
CPT,24U,GLYCA NUC MR SPECTRSC QUAN,,,0.92,34.19,14
CPT,25000,INCISION EXTENSOR TEND WRIST,1776.0,1332.0,0.22,5812.0,106
CPT,25001,INCISE FLEXOR CARPI RADIALIS,,,0.22,5812.0,99
CPT,25020,DECOMPRESS FOREARM 1 SPACE,,,0.22,7166.0,100
CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,0.22,7166.0,100
CPT,25024,DECOMPRESS FOREARM 2 SPACES,,,0.22,7166.0,100
CPT,25025,DECOMPRESS FOREARM 2 SPACES,,,0.22,7166.0,100
CPT,25028,DRAINAGE OF FOREARM LESION,,,0.22,5812.0,100
CPT,25031,DRAINAGE OF FOREARM BURSA,,,0.22,5812.0,100
CPT,25035,TREAT FOREARM BONE LESION,,,0.22,5812.0,100
CPT,25040,EXPLORE/TREAT WRIST JOINT,,,0.22,7166.0,100
CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,0.22,3791.0,99
CPT,25066,BIOPSY FOREARM SOFT TISSUES,,,0.22,5812.0,100
CPT,25071,EXC SUB-Q TIS F-ARM/WRIST3CM/>,9848.0,7386.0,0.22,8863.2,105
CPT,25073,EXC FOREARM TUM DEEP 3 CM/>,14236.0,10677.0,0.22,12812.4,105
CPT,25075,EXC FOREARM LES SC < 3 CM,,,0.22,5085.0,100
CPT,25076,EXC FOREARM TUM DEEP < 3 CM,,,0.22,5085.0,100
CPT,25077,RESECT FOREARM/WRIST TUM<3CM,,,0.22,5085.0,100
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,0.22,5812.0,99
CPT,25085,INCISION OF WRIST CAPSULE,,,0.22,5812.0,100
CPT,250U,ONC SLD ORG NEO DNA 505 GENE,,,1.0,2919.6,14
CPT,25100,BIOPSY OF WRIST JOINT,,,0.22,5812.0,100
CPT,25101,EXPLORE/TREAT WRIST JOINT,,,0.22,7166.0,100
CPT,25105,REMOVE WRIST JOINT LINING,,,0.22,7166.0,100
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,0.22,7166.0,100
CPT,25109,EXCISE TENDON FOREARM/WRIST,,,0.22,5812.0,99
CPT,25110,REMOVE WRIST TENDON LESION,,,0.22,5812.0,100
CPT,25111,"EXCISION GANGLION, WRIST",1776.0,1332.0,0.22,5812.0,106
CPT,25112,EXCISION GANG WRIST RECURRENT,1776.0,1332.0,0.22,5812.0,106
CPT,25115,REMOVE WRIST/FOREARM LESION,,,0.22,5812.0,100
CPT,25116,REMOVE WRIST/FOREARM LESION,,,0.22,5812.0,100
CPT,25118,EXCISE WRIST TENDON SHEATH,,,0.22,7166.0,100
CPT,25119,PARTIAL REMOVAL OF ULNA,,,0.22,7166.0,100
CPT,25120,REMOVAL OF FOREARM LESION,,,0.22,7166.0,100
CPT,25125,REMOVE/GRAFT FOREARM LESION,,,0.22,7166.0,100
CPT,25126,REMOVE/GRAFT FOREARM LESION,,,0.22,7166.0,100
CPT,25130,REMOVAL OF WRIST LESION,,,0.22,7166.0,100
CPT,25135,REMOVE & GRAFT WRIST LESION,,,0.22,7166.0,100
CPT,25136,REMOVE & GRAFT WRIST LESION,,,0.22,7166.0,100
CPT,25145,REMOVE FOREARM BONE LESION,,,0.22,7166.0,100
CPT,25150,PARTIAL REMOVAL OF ULNA,,,0.22,7166.0,100
CPT,25151,PARTIAL REMOVAL OF RADIUS,,,0.22,7166.0,100
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,0.22,7166.0,99
CPT,251U,HEPCIDIN-25 ELISA SERUM/PLSM,,,0.92,17.27,14
CPT,25210,REMOVAL OF WRIST BONE,,,0.22,7166.0,100
CPT,25215,REMOVAL OF WRIST BONES,,,0.22,7166.0,100
CPT,25230,PARTIAL REMOVAL OF RADIUS,,,0.22,7166.0,100
CPT,25240,PARTIAL REMOVAL OF ULNA,,,0.22,7166.0,100
CPT,25246,INJ WRIST ARTHROGRAM,2064.0,1548.0,0.22,1857.6,110
CPT,25248,REMOVE FOREARM FOREIGN BODY,,,0.22,5812.0,100
CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,0.22,7166.0,100
CPT,25251,REMOVAL OF WRIST PROSTHESIS,,,0.22,7166.0,100
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,0.22,5812.0,99
CPT,25260,REPAIR FOREARM TENDON/MUSCLE,,,0.22,7166.0,100
CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,0.22,7166.0,100
CPT,25265,REPAIR FOREARM TENDON/MUSCLE,,,0.22,7166.0,100
CPT,25270,REPAIR FOREARM TENDON/MUSCLE,12115.0,9086.25,0.22,10903.5,106
CPT,25272,REPAIR FOREARM TENDON/MUSCLE,,,0.22,7166.0,100
CPT,25274,REPAIR FOREARM TENDON/MUSCLE,,,0.22,7166.0,100
CPT,25275,REPAIR FOREARM TENDON SHEATH,,,0.22,7166.0,100
CPT,25280,REVISE WRIST/FOREARM TENDON,,,0.22,7166.0,100
CPT,25290,INCISE WRIST/FOREARM TENDON,,,0.22,7166.0,100
CPT,25295,RELEASE WRIST/FOREARM TENDON,,,0.22,5812.0,100
CPT,252U,FTL ANEUPLOIDY STR ALYS DNA,,,0.92,759.05,14
CPT,25300,FUSION OF TENDONS AT WRIST,,,0.22,7166.0,100
CPT,25301,FUSION OF TENDONS AT WRIST,,,0.22,7166.0,100
CPT,25310,TRANSPLANT FOREARM TENDON,,,0.22,7166.0,100
CPT,25312,TRANSPLANT FOREARM TENDON,,,0.22,8165.0,100
CPT,25315,REVISE PALSY HAND TENDON(S),,,0.22,7166.0,100
CPT,25316,REVISE PALSY HAND TENDON(S),,,0.22,9407.0,100
CPT,25320,REPAIR/REVISE WRIST JOINT,,,0.22,8165.0,100
CPT,25332,REVISE WRIST JOINT,,,0.22,8165.0,100
CPT,25335,REALIGNMENT OF HAND,,,0.22,8165.0,100
CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,0.22,8165.0,100
CPT,25350,REVISION OF RADIUS,,,0.22,8165.0,100
CPT,25355,REVISION OF RADIUS,,,0.22,8165.0,100
CPT,25360,REVISION OF ULNA,,,0.22,8165.0,100
CPT,25365,REVISE RADIUS & ULNA,,,0.22,9407.0,100
CPT,25370,REVISE RADIUS OR ULNA,,,0.22,8165.0,100
CPT,25375,REVISE RADIUS & ULNA,,,0.22,8165.0,100
CPT,25390,SHORTEN RADIUS OR ULNA,,,0.22,8165.0,100
CPT,25391,LENGTHEN RADIUS OR ULNA,,,0.22,9407.0,100
CPT,25392,SHORTEN RADIUS & ULNA,,,0.22,7166.0,100
CPT,25393,LENGTHEN RADIUS & ULNA,,,0.22,8165.0,100
CPT,25394,REPAIR CARPAL BONE SHORTEN,,,0.22,8165.0,99
CPT,253T,INSERT AQUEOUS DRAIN DEVICE,,,0.22,8165.0,102
CPT,253U,RPRDTVE MED RNA GEN PRFL 238,,,0.92,3159.42,14
CPT,25400,REPAIR RADIUS OR ULNA,,,0.22,9407.0,100
CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,0.22,9407.0,100
CPT,25415,REPAIR RADIUS & ULNA,,,0.22,9407.0,100
CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,0.22,9407.0,100
CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,0.22,9407.0,100
CPT,25426,REPAIR/GRAFT RADIUS & ULNA,,,0.22,8165.0,100
CPT,25430,VASC GRAFT INTO CARPAL BONE,,,0.22,8165.0,99
CPT,25431,REPAIR NONUNION CARPAL BONE,,,0.22,8165.0,99
CPT,25440,REPAIR/GRAFT WRIST BONE,,,0.22,9407.0,100
CPT,25441,RECONSTRUCT WRIST JOINT,,,0.22,11318.0,100
CPT,25442,RECONSTRUCT WRIST JOINT,,,0.22,11318.0,100
CPT,25443,RECONSTRUCT WRIST JOINT,,,0.22,9407.0,100
CPT,25444,RECONSTRUCT WRIST JOINT,,,0.22,9407.0,100
CPT,25445,RECONSTRUCT WRIST JOINT,,,0.22,9407.0,100
CPT,25446,WRIST REPLACEMENT,,,0.22,11318.0,100
CPT,25447,REPAIR WRIST JOINTS,,,0.22,8165.0,100
CPT,25448,"Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed",,,1.0,1233.0,97
CPT,25449,REMOVE WRIST JOINT IMPLANT,,,0.22,8165.0,100
CPT,25450,REVISION OF WRIST JOINT,,,0.22,8165.0,100
CPT,25455,REVISION OF WRIST JOINT,,,0.22,8165.0,100
CPT,25490,REINFORCE RADIUS,,,0.22,8165.0,100
CPT,25491,REINFORCE ULNA,,,0.22,8165.0,100
CPT,25492,REINFORCE RADIUS AND ULNA,,,0.22,8165.0,100
CPT,254U,REPRDTVE MED ALYS 24 CHRMSM,,,0.92,759.05,14
CPT,25500,TREAT FRACTURE OF RADIUS,,,0.22,1137.0,99
CPT,25505,TREAT FRACTURE OF RADIUS,,,0.22,3791.0,99
CPT,25515,TREAT FRACTURE OF RADIUS,,,0.22,9407.0,100
CPT,25520,TREAT FRACTURE OF RADIUS,,,0.22,3791.0,99
CPT,25525,TREAT FRACTURE OF RADIUS,,,0.22,9407.0,100
CPT,25526,TREAT FRACTURE OF RADIUS,,,0.22,9407.0,100
CPT,25530,TREAT FRACTURE OF ULNA,,,0.22,1137.0,99
CPT,25535,TREAT FRACTURE OF ULNA,,,0.22,1137.0,99
CPT,25545,TREAT FRACTURE OF ULNA,,,0.22,9407.0,100
CPT,25560,TREAT FRACTURE RADIUS & ULNA,,,0.22,1137.0,99
CPT,25565,TREAT FRACTURE RADIUS & ULNA,,,0.22,3791.0,99
CPT,25574,TREAT FRACTURE RADIUS & ULNA,,,0.22,9407.0,100
CPT,25575,TREAT FRACTURE RADIUS/ULNA,,,0.22,9407.0,100
CPT,255U,ANDROLOGY INFERTILITY ASSMT,,,0.92,31.6,14
CPT,25600,TREAT FRACTURE RADIUS/ULNA,,,0.22,1137.0,99
CPT,25605,TREAT FRACTURE RADIUS/ULNA,,,0.22,3791.0,99
CPT,25606,TREAT FX DISTAL RADIAL,,,0.22,5812.0,100
CPT,25607,TREAT FX RAD EXTRA-ARTICUL,,,0.22,9407.0,100
CPT,25608,TREAT FX RAD INTRA-ARTICUL,,,0.22,9407.0,100
CPT,25609,TREAT FX RADIAL 3+ FRAG,,,0.22,9407.0,100
CPT,25622,TREAT WRIST BONE FRACTURE,,,0.22,1137.0,99
CPT,25624,TREAT WRIST BONE FRACTURE,,,0.22,3791.0,99
CPT,25628,TREAT WRIST BONE FRACTURE,,,0.22,9407.0,100
CPT,25630,TREAT WRIST BONE FRACTURE,,,0.22,1137.0,99
CPT,25635,TREAT WRIST BONE FRACTURE,,,0.22,1137.0,99
CPT,25645,TREAT WRIST BONE FRACTURE,,,0.22,9407.0,100
CPT,25650,TREAT WRIST BONE FRACTURE,,,0.22,1137.0,99
CPT,25651,PIN ULNAR STYLOID FRACTURE,,,0.22,5812.0,99
CPT,25652,TREAT FRACTURE ULNAR STYLOID,,,0.22,9407.0,99
CPT,25660,TREAT WRIST DISLOCATION,,,0.22,1137.0,99
CPT,25670,TREAT WRIST DISLOCATION,,,0.22,5812.0,100
CPT,25671,PIN RADIOULNAR DISLOCATION,,,0.22,5812.0,100
CPT,25675,TREAT WRIST DISLOCATION,,,0.22,1137.0,99
CPT,25676,TREAT WRIST DISLOCATION,,,0.22,5812.0,100
CPT,25680,TREAT WRIST FRACTURE,,,0.22,1137.0,99
CPT,25685,TREAT WRIST FRACTURE,,,0.22,5812.0,100
CPT,25690,TREAT WRIST DISLOCATION,,,0.22,5812.0,99
CPT,25695,TREAT WRIST DISLOCATION,,,0.22,5812.0,100
CPT,256U,TMA/TMAO PRFL MS/MS UR ALG,,,0.92,159.95,14
CPT,257U,VLCAD LEUK NZM ACTV WHL BLD,,,0.92,712.47,14
CPT,25800,FUSION OF WRIST JOINT,,,0.22,9407.0,100
CPT,25805,FUSION/GRAFT OF WRIST JOINT,,,0.22,9407.0,100
CPT,25810,FUSION/GRAFT OF WRIST JOINT,,,0.22,9407.0,100
CPT,25820,FUSION OF HAND BONES,,,0.22,8165.0,100
CPT,25825,FUSE HAND BONES WITH GRAFT,,,0.22,9407.0,100
CPT,25830,FUSION RADIOULNAR JNT/ULNA,,,0.22,9407.0,100
CPT,258U,AI PSOR MRNA 50-100 GEN ALG,,,0.92,3675.0,14
CPT,25900,AMPUTATION OF FOREARM,,,0.22,5483.0,99
CPT,25905,AMPUTATION OF FOREARM,,,0.22,5483.0,99
CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,100
CPT,25909,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,99
CPT,25915,AMPUTATION OF FOREARM,,,0.22,5483.0,99
CPT,25920,AMPUTATE HAND AT WRIST,,,0.22,5483.0,99
CPT,25922,AMPUTATE HAND AT WRIST,,,0.22,5812.0,100
CPT,25924,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5483.0,99
CPT,25927,AMPUTATION OF HAND,,,0.22,5483.0,99
CPT,25929,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5085.0,100
CPT,25931,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,99
CPT,25999,UNLISTED PX FOREARM/WRIST,,,0.22,1137.0,97
CPT,259U,NEPH CKD NUC MRS MEAS GFR,,,0.92,52.71,14
CPT,25U,TENOFOVIR LIQ CHROM UR QUAN,,,0.92,85.77,14
CPT,26010,"DRAIN ABSCESS - FINGER, SIMPLE",1623.0,1217.25,0.22,1460.7,105
CPT,26011,DRAINAGE OF FINGER ABSCESS,,,0.22,5085.0,100
CPT,26020,DRAIN HAND TENDON SHEATH,,,0.22,5085.0,100
CPT,26025,DRAINAGE OF PALM BURSA,,,0.22,5085.0,100
CPT,26030,DRAINAGE OF PALM BURSAS,,,0.22,5085.0,100
CPT,26034,TREAT HAND BONE LESION,,,0.22,5085.0,100
CPT,26035,DECOMPRESS FINGERS/HAND,,,0.22,5085.0,99
CPT,26037,DECOMPRESS FINGERS/HAND,,,0.22,5085.0,99
CPT,26040,RELEASE PALM CONTRACTURE,,,0.22,5085.0,100
CPT,26045,RELEASE PALM CONTRACTURE,,,0.22,5812.0,100
CPT,26055,TEND SHEATH INCISION TRIG FING,1776.0,1332.0,0.22,5085.0,111
CPT,26060,INCISION OF FINGER TENDON,,,0.22,5085.0,100
CPT,26070,EXPLORE/TREAT HAND JOINT,,,0.22,5085.0,100
CPT,26075,EXPLORE/TREAT FINGER JOINT,,,0.22,5085.0,100
CPT,26080,EXPLORE/TREAT FINGER JOINT,,,0.22,5085.0,100
CPT,260U,RARE DS ID OPT GENOME MAPG,,,0.92,1263.53,14
CPT,26100,BIOPSY HAND JOINT LINING,,,0.22,5085.0,100
CPT,26105,BIOPSY FINGER JOINT LINING,,,0.22,5085.0,100
CPT,26110,BIOPSY FINGER JOINT LINING,,,0.22,5085.0,100
CPT,26111,EXC HAND LES SC 1.5 CM/>,9813.0,7359.75,0.22,8831.7,105
CPT,26113,EXC HAND TUM DEEP 1.5 CM/>,,,0.22,5812.0,99
CPT,26115,EXC HAND LES SC < 1.5 CM,,,0.22,5085.0,100
CPT,26116,EXC HAND TUM DEEP < 1.5 CM,,,0.22,5085.0,100
CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,0.22,5085.0,100
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,0.22,5812.0,99
CPT,26121,RELEASE PALM CONTRACTURE,,,0.22,5812.0,100
CPT,26123,RELEASE PALM CONTRACTURE,,,0.22,5812.0,100
CPT,26125,RELEASE PALM CONTRACTURE,,,0.22,5085.0,100
CPT,26130,REMOVE WRIST JOINT LINING,,,0.22,5085.0,100
CPT,26135,REVISE FINGER JOINT EACH,,,0.22,5812.0,100
CPT,26140,REVISE FINGER JOINT EACH,,,0.22,5085.0,100
CPT,26145,TENDON EXCISION PALM/FINGER,,,0.22,5085.0,100
CPT,26160,EXCISION LESION TEND HAND/FING,1776.0,1332.0,0.22,5085.0,106
CPT,26160,REMOVE TENDON SHEATH LESION,11066.0,8299.5,0.22,9959.4,106
CPT,26170,REMOVAL OF PALM TENDON EACH,,,0.22,5085.0,100
CPT,26180,REMOVAL OF FINGER TENDON,,,0.22,5085.0,100
CPT,26185,REMOVE FINGER BONE,,,0.22,5085.0,100
CPT,261U,ONC CLRCT CA IMG ALYS W/AI,,,0.92,2513.25,14
CPT,26200,REMOVE HAND BONE LESION,,,0.22,5085.0,100
CPT,26205,REMOVE/GRAFT BONE LESION,,,0.22,5812.0,100
CPT,26210,REMOVAL OF FINGER LESION,,,0.22,5085.0,100
CPT,26215,REMOVE/GRAFT FINGER LESION,,,0.22,5085.0,100
CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,0.22,5085.0,99
CPT,26235,PARTIAL REMOVAL FINGER BONE,,,0.22,5085.0,100
CPT,26236,PARTIAL REMOVAL FINGER BONE,,,0.22,5085.0,100
CPT,26250,EXTENSIVE HAND SURGERY,,,0.22,5085.0,100
CPT,26260,RESECT PROX FINGER TUMOR,,,0.22,5085.0,100
CPT,26262,RESECT DISTAL FINGER TUMOR,,,0.22,5085.0,100
CPT,262U,ONC SLD TUM RT-PCR 7 GEN,,,0.92,3200.0,14
CPT,26320,REMOVAL OF IMPLANT FROM HAND,,,0.22,5085.0,100
CPT,26340,MANIPULATE FINGER W/ANESTH,,,0.22,3791.0,99
CPT,26341,MANIPULAT PALM CORD POST INJ,,,0.22,3791.0,99
CPT,26350,REPAIR FINGER/HAND TENDON,12078.0,9058.5,0.22,10870.2,106
CPT,26352,REPAIR/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,26356,REPAIR FINGER/HAND TENDON,,,0.22,5812.0,100
CPT,26357,REPAIR FINGER/HAND TENDON,,,0.22,5812.0,100
CPT,26358,REPAIR/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,26370,REPAIR FINGER/HAND TENDON,,,0.22,5812.0,100
CPT,26372,REPAIR/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,26373,REPAIR FINGER/HAND TENDON,,,0.22,5812.0,100
CPT,26390,REVISE HAND/FINGER TENDON,,,0.22,5812.0,100
CPT,26392,REPAIR/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,263T,IM B1 MRW CEL THER CMPL,,,0.22,7166.0,102
CPT,263U,NEURO ASD MEAS 16 C METBLT,,,0.92,750.0,14
CPT,26410,REPAIR EXTENSOR TEND HAND EA,1776.0,1332.0,0.22,5085.0,106
CPT,26412,REPAIR/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,26415,EXCISION HAND/FINGER TENDON,,,0.22,5812.0,100
CPT,26416,GRAFT HAND OR FINGER TENDON,,,0.22,5812.0,100
CPT,26418,REPAIR EXTENSOR TEND FINGER EA,1776.0,1332.0,0.22,5085.0,106
CPT,26420,REPAIR/GRAFT FINGER TENDON,,,0.22,5812.0,100
CPT,26426,REPAIR FINGER/HAND TENDON,,,0.22,5812.0,100
CPT,26428,REPAIR/GRAFT FINGER TENDON,,,0.22,5812.0,100
CPT,26432,REPAIR FINGER TENDON,,,0.22,5085.0,100
CPT,26433,REPAIR EXT TEND MALLET FINGER,3685.0,2763.75,0.22,5085.0,106
CPT,26434,REPAIR/GRAFT FINGER TENDON,,,0.22,5812.0,100
CPT,26437,REALIGNMENT OF TENDONS,,,0.22,5085.0,100
CPT,26440,RELEASE PALM/FINGER TENDON,,,0.22,5085.0,100
CPT,26442,RELEASE PALM & FINGER TENDON,,,0.22,5812.0,100
CPT,26445,RELEASE HAND/FINGER TENDON,,,0.22,5085.0,100
CPT,26449,RELEASE FOREARM/HAND TENDON,,,0.22,5812.0,100
CPT,26450,INCISION OF PALM TENDON,,,0.22,5085.0,100
CPT,26455,INCISION OF FINGER TENDON,,,0.22,5085.0,100
CPT,26460,INCISE HAND/FINGER TENDON,,,0.22,5085.0,100
CPT,26471,FUSION OF FINGER TENDONS,,,0.22,5085.0,100
CPT,26474,FUSION OF FINGER TENDONS,,,0.22,5085.0,100
CPT,26476,TENDON LENGTHENING,,,0.22,5085.0,100
CPT,26477,TENDON SHORTENING,,,0.22,5085.0,100
CPT,26478,LENGTHENING OF HAND TENDON,,,0.22,5085.0,100
CPT,26479,SHORTENING OF HAND TENDON,,,0.22,5085.0,100
CPT,26480,TRANSPLANT HAND TENDON,,,0.22,5812.0,100
CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,0.22,5812.0,100
CPT,26485,TRANSPLANT PALM TENDON,,,0.22,5812.0,100
CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,0.22,5812.0,100
CPT,26490,REVISE THUMB TENDON,,,0.22,5812.0,100
CPT,26492,TENDON TRANSFER WITH GRAFT,,,0.22,5812.0,100
CPT,26494,HAND TENDON/MUSCLE TRANSFER,,,0.22,5812.0,100
CPT,26496,REVISE THUMB TENDON,,,0.22,5812.0,100
CPT,26497,FINGER TENDON TRANSFER,,,0.22,5812.0,100
CPT,26498,FINGER TENDON TRANSFER,,,0.22,5812.0,100
CPT,26499,REVISION OF FINGER,,,0.22,5812.0,100
CPT,264T,IM B1 MRW CEL THER XCL HRVST,,,0.22,7166.0,102
CPT,264U,RARE DS ID OPT GENOME MAPG,,,0.92,1263.53,14
CPT,26500,HAND TENDON RECONSTRUCTION,,,0.22,5085.0,100
CPT,26502,HAND TENDON RECONSTRUCTION,,,0.22,5812.0,100
CPT,26508,RELEASE THUMB CONTRACTURE,,,0.22,5085.0,100
CPT,26510,THUMB TENDON TRANSFER,,,0.22,5812.0,100
CPT,26516,FUSION OF KNUCKLE JOINT,,,0.22,5812.0,100
CPT,26517,FUSION OF KNUCKLE JOINTS,,,0.22,5812.0,100
CPT,26518,FUSION OF KNUCKLE JOINTS,,,0.22,5812.0,100
CPT,26520,RELEASE KNUCKLE CONTRACTURE,,,0.22,5085.0,100
CPT,26525,RELEASE FINGER CONTRACTURE,,,0.22,5085.0,100
CPT,26530,REVISE KNUCKLE JOINT,,,0.22,8165.0,100
CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,0.22,9407.0,100
CPT,26535,REVISE FINGER JOINT,,,0.22,8165.0,100
CPT,26536,REVISE/IMPLANT FINGER JOINT,,,0.22,9407.0,100
CPT,26540,REPAIR HAND JOINT,,,0.22,5085.0,100
CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,0.22,5812.0,100
CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,0.22,5085.0,100
CPT,26545,RECONSTRUCT FINGER JOINT,,,0.22,5812.0,100
CPT,26546,REPAIR NONUNION HAND,,,0.22,5812.0,100
CPT,26548,RECONSTRUCT FINGER JOINT,,,0.22,5812.0,100
CPT,26550,CONSTRUCT THUMB REPLACEMENT,,,0.22,5812.0,100
CPT,26551,GREAT TOE-HAND TRANSFER,,,0.22,7166.0,99
CPT,26553,SINGLE TRANSFER TOE-HAND,,,0.22,5085.0,99
CPT,26554,DOUBLE TRANSFER TOE-HAND,,,0.22,5283.29,99
CPT,26555,POSITIONAL CHANGE OF FINGER,,,0.22,5812.0,100
CPT,26556,TOE JOINT TRANSFER,,,0.22,5483.0,99
CPT,26560,REPAIR OF WEB FINGER,,,0.22,5085.0,100
CPT,26561,REPAIR OF WEB FINGER,,,0.22,5812.0,100
CPT,26562,REPAIR OF WEB FINGER,,,0.22,5812.0,100
CPT,26565,CORRECT METACARPAL FLAW,,,0.22,5812.0,100
CPT,26567,CORRECT FINGER DEFORMITY,,,0.22,5812.0,100
CPT,26568,LENGTHEN METACARPAL/FINGER,,,0.22,5812.0,100
CPT,26580,REPAIR HAND DEFORMITY,,,0.22,5085.0,100
CPT,26587,RECONSTRUCT EXTRA FINGER,,,0.22,5085.0,100
CPT,26590,REPAIR FINGER DEFORMITY,,,0.22,5085.0,100
CPT,26591,REPAIR MUSCLES OF HAND,,,0.22,5812.0,100
CPT,26593,RELEASE MUSCLES OF HAND,,,0.22,5085.0,100
CPT,26596,EXCISION CONSTRICTING TISSUE,,,0.22,5085.0,100
CPT,265T,IM B1 MRW CEL THER HRVST ONL,,,0.22,7166.0,102
CPT,265U,RAR DO WHL GN&MTCDRL DNA ALS,,,0.92,5475.8,14
CPT,26600,TREAT METACARPAL FRACTURE,,,0.22,1137.0,99
CPT,26605,TREAT METACARPAL FRACTURE,,,0.22,1137.0,99
CPT,26607,TREAT METACARPAL FRACTURE,,,0.22,5812.0,99
CPT,26608,TREAT METACARPAL FRACTURE,,,0.22,5812.0,100
CPT,26615,TREAT METACARPAL FRACTURE,,,0.22,9407.0,100
CPT,26641,TREAT THUMB DISLOCATION,,,0.22,1137.0,99
CPT,26645,TREAT THUMB FRACTURE,,,0.22,3791.0,99
CPT,26650,TREAT THUMB FRACTURE,,,0.22,5812.0,100
CPT,26665,TREAT THUMB FRACTURE,,,0.22,9407.0,100
CPT,26670,TREAT HAND DISLOCATION,,,0.22,1137.0,99
CPT,26675,TREAT HAND DISLOCATION,,,0.22,1137.0,99
CPT,26676,PIN HAND DISLOCATION,,,0.22,5812.0,100
CPT,26685,TREAT HAND DISLOCATION,,,0.22,5812.0,100
CPT,26686,TREAT HAND DISLOCATION,,,0.22,9407.0,100
CPT,266T,IMPLT/RPL CRTD SNS DEV TOTAL,,,0.22,5483.0,97
CPT,266U,UNXPL CNST HRTBL DO GN XPRSN,,,0.92,3200.0,14
CPT,26700,TREAT KNUCKLE DISLOCATION,,,0.22,1137.0,99
CPT,26705,TREAT KNUCKLE DISLOCATION,,,0.22,1137.0,99
CPT,26706,PIN KNUCKLE DISLOCATION,,,0.22,5812.0,99
CPT,26715,TREAT KNUCKLE DISLOCATION,,,0.22,5812.0,100
CPT,26720,TREAT FINGER FRACTURE EACH,,,0.22,1137.0,99
CPT,26725,TREAT FINGER FRACTURE EACH,1595.0,1196.25,0.22,1435.5,105
CPT,26727,TREAT FINGER FRACTURE EACH,,,0.22,5812.0,100
CPT,26735,TREAT FINGER FRACTURE EACH,,,0.22,5812.0,100
CPT,26740,TREAT FINGER FRACTURE EACH,,,0.22,1137.0,99
CPT,26742,TREAT FINGER FRACTURE EACH,,,0.22,1137.0,99
CPT,26746,TREAT FINGER FRACTURE EACH,,,0.22,5812.0,100
CPT,26750,TREAT FINGER FRACTURE EACH,,,0.22,1137.0,99
CPT,26755,TREAT FINGER FRACTURE EACH,,,0.22,1137.0,99
CPT,26756,PIN FINGER FRACTURE EACH,,,0.22,5812.0,100
CPT,26765,TREAT FINGER FRACTURE EACH,,,0.22,5812.0,100
CPT,26770,TREAT FINGER DISLOCATION,,,0.22,1137.0,99
CPT,26775,TREAT FINGER DISLOCATION,,,0.22,5085.0,99
CPT,26776,PIN FINGER DISLOCATION,,,0.22,5812.0,100
CPT,26785,TREAT FINGER DISLOCATION,,,0.22,5812.0,100
CPT,267T,IMPLT/RPL CRTD SNS DEV LEAD,,,0.22,5812.0,102
CPT,267U,RARE DO ID OPT GEN MAPG&SEQ,,,0.92,6739.33,14
CPT,26820,THUMB FUSION WITH GRAFT,,,0.22,5812.0,100
CPT,26841,FUSION OF THUMB,,,0.22,5812.0,100
CPT,26842,THUMB FUSION WITH GRAFT,,,0.22,5812.0,100
CPT,26843,FUSION OF HAND JOINT,,,0.22,5812.0,100
CPT,26844,FUSION/GRAFT OF HAND JOINT,,,0.22,5812.0,100
CPT,26850,FUSION OF KNUCKLE,,,0.22,5812.0,100
CPT,26852,FUSION OF KNUCKLE WITH GRAFT,,,0.22,5812.0,100
CPT,26860,FUSION OF FINGER JOINT,,,0.22,5812.0,100
CPT,26861,FUSION OF FINGER JNT ADD-ON,,,0.22,5812.0,100
CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,0.22,5812.0,100
CPT,26863,FUSE/GRAFT ADDED JOINT,,,0.22,5812.0,100
CPT,268T,IMPLT/RPL CRTD SNS DEV GEN,,,0.22,15229.0,102
CPT,268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,0.92,608.17,14
CPT,26910,AMPUTATE METACARPAL BONE,,,0.22,5812.0,100
CPT,26951,AMPUTATION OF FINGER/THUMB,,,0.22,5085.0,100
CPT,26952,AMPUTATION OF FINGER/THUMB,,,0.22,5085.0,100
CPT,26989,UNLISTED PX HANDS/FINGERS,,,0.22,1137.0,97
CPT,26990,DRAINAGE OF PELVIS LESION,,,0.22,5812.0,100
CPT,26991,DRAINAGE OF PELVIS BURSA,,,0.22,5812.0,100
CPT,26992,DRAINAGE OF BONE LESION,,,0.22,5085.0,99
CPT,269T,REV/REMVL CRTD SNS DEV TOTAL,,,0.22,7166.0,102
CPT,269U,HEM AUT DM CGEN TRMBCTPNA 22,,,0.92,608.17,14
CPT,26U,ONC THYR DNA&MRNA 112 GENES,,,1.0,4022.28,14
CPT,27000,INCISION OF HIP TENDON,,,0.22,5812.0,100
CPT,27001,INCISION OF HIP TENDON,,,0.22,7166.0,100
CPT,27003,INCISION OF HIP TENDON,,,0.22,7166.0,100
CPT,27005,INCISION OF HIP TENDON,,,0.22,5483.0,99
CPT,27006,INCISION OF HIP TENDONS,,,0.22,7166.0,99
CPT,27025,INCISION OF HIP/THIGH FASCIA,,,0.22,5483.0,99
CPT,27027,BUTTOCK FASCIOTOMY,,,0.22,7166.0,99
CPT,27030,DRAINAGE OF HIP JOINT,,,0.22,5812.0,99
CPT,27033,EXPLORATION OF HIP JOINT,,,0.22,8165.0,100
CPT,27035,DENERVATION OF HIP JOINT,,,0.22,7166.0,100
CPT,27036,EXCISION OF HIP JOINT/MUSCLE,,,0.22,7166.0,99
CPT,27040,BX SOFT PELVIS/HIP SPFC,6142.0,4606.5,0.22,5527.8,106
CPT,27041,BX SOFT PELVIS/HIP DEEP,7719.0,5789.25,0.22,6947.1,105
CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,0.22,5812.0,99
CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,0.22,5812.0,99
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,0.22,5085.0,100
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,0.22,5085.0,100
CPT,27049,RESECT HIP/PELV TUM < 5 CM,,,0.22,5085.0,100
CPT,27050,BIOPSY OF SACROILIAC JOINT,,,0.22,5812.0,100
CPT,27052,BIOPSY OF HIP JOINT,,,0.22,5812.0,100
CPT,27054,REMOVAL OF HIP JOINT LINING,,,0.22,5483.0,99
CPT,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,0.22,5812.0,99
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,0.22,5812.0,99
CPT,27060,REMOVAL OF ISCHIAL BURSA,,,0.22,5812.0,100
CPT,27062,REMOVE FEMUR LESION/BURSA,,,0.22,5812.0,100
CPT,27065,REMOVE HIP BONE LES SUPER,,,0.22,5812.0,100
CPT,27066,REMOVE HIP BONE LES DEEP,,,0.22,7166.0,100
CPT,27067,REMOVE/GRAFT HIP BONE LESION,,,0.22,7166.0,100
CPT,27070,PART REMOVE HIP BONE SUPER,,,0.22,5483.0,99
CPT,27071,PART REMOVAL HIP BONE DEEP,,,0.22,9407.0,99
CPT,27075,RESECT HIP TUMOR,,,0.22,5483.0,99
CPT,27076,RESECT HIP TUM INCL ACETABUL,,,0.22,5483.0,99
CPT,27077,RESECT HIP TUM W/INNOM BONE,,,0.22,5483.0,99
CPT,27078,RSECT HIP TUM INCL FEMUR,,,0.22,5483.0,99
CPT,27080,REMOVAL OF TAIL BONE,,,0.22,7166.0,100
CPT,27086,REMOVE HIP FOREIGN BODY,,,0.22,3791.0,100
CPT,27087,REMOVE HIP FOREIGN BODY,,,0.22,6322.27,105
CPT,27090,REMOVAL OF HIP PROSTHESIS,,,0.22,5483.0,99
CPT,27091,REMOVAL OF HIP PROSTHESIS,,,0.22,5483.0,99
CPT,27093,INJ HIP ARTHRO W/O ANES,1167.0,875.25,0.22,1230.7,110
CPT,27095,INJ HIP ARTHROGRM W/ANES,6270.0,4702.5,0.22,5643.0,110
CPT,27096,INJECT PROC SACRO JNT,3404.0,2553.0,0.22,3063.6,105
CPT,27097,REVISION OF HIP TENDON,,,0.22,7166.0,100
CPT,27098,TRANSFER TENDON TO PELVIS,,,0.22,7166.0,100
CPT,270T,REV/REMVL CRTD SNS DEV LEAD,,,0.22,5812.0,102
CPT,270U,HEM CGEN COAGJ DO 20 GENES,2108.0,1581.0,0.92,608.17,14
CPT,27100,TRANSFER OF ABDOMINAL MUSCLE,,,0.22,8165.0,100
CPT,27105,TRANSFER OF SPINAL MUSCLE,,,0.22,8165.0,100
CPT,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,0.22,8165.0,100
CPT,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,0.22,8165.0,100
CPT,27120,RECONSTRUCTION OF HIP SOCKET,,,0.22,5483.0,99
CPT,27122,RECONSTRUCTION OF HIP SOCKET,,,0.22,5483.0,99
CPT,27125,PARTIAL HIP REPLACEMENT,,,0.22,5483.0,99
CPT,27130,TOTAL HIP ARTHROPLASTY,,,0.22,11318.0,99
CPT,27132,TOTAL HIP ARTHROPLASTY,,,0.22,11318.0,99
CPT,27134,REVISE HIP JOINT REPLACEMENT,,,0.22,11318.0,99
CPT,27137,REVISE HIP JOINT REPLACEMENT,,,0.22,11318.0,99
CPT,27138,REVISE HIP JOINT REPLACEMENT,,,0.22,11318.0,99
CPT,27140,TRANSPLANT FEMUR RIDGE,,,0.22,5483.0,99
CPT,27146,INCISION OF HIP BONE,,,0.22,5483.0,99
CPT,27147,REVISION OF HIP BONE,,,0.22,5483.0,99
CPT,27151,INCISION OF HIP BONES,,,0.22,5483.0,99
CPT,27156,REVISION OF HIP BONES,,,0.22,5483.0,99
CPT,27158,REVISION OF PELVIS,,,0.22,5483.0,99
CPT,27161,INCISION OF NECK OF FEMUR,,,0.22,5483.0,99
CPT,27165,INCISION/FIXATION OF FEMUR,,,0.22,5483.0,99
CPT,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,0.22,5483.0,99
CPT,27175,TREAT SLIPPED EPIPHYSIS,,,0.22,5483.0,99
CPT,27176,TREAT SLIPPED EPIPHYSIS,,,0.22,9407.0,99
CPT,27177,TREAT SLIPPED EPIPHYSIS,,,0.22,5483.0,99
CPT,27178,TREAT SLIPPED EPIPHYSIS,,,0.22,9407.0,99
CPT,27179,REVISE HEAD/NECK OF FEMUR,,,0.22,9407.0,99
CPT,27181,TREAT SLIPPED EPIPHYSIS,,,0.22,5483.0,99
CPT,27185,REVISION OF FEMUR EPIPHYSIS,,,0.22,5483.0,99
CPT,27187,REINFORCE HIP BONES,,,0.22,5483.0,99
CPT,27197,CLSD TX PELVIC RING FX,,,0.22,181.62,98
CPT,27198,CLSD TX PELVIC RING FX,,,0.22,442.27,98
CPT,271T,REV/REMVL CRTD SNS DEV GEN,,,0.22,7166.0,102
CPT,271U,HEM CGEN NEUTROPENIA 24 GEN,,,0.92,608.17,14
CPT,27200,TREAT TAIL BONE FRACTURE,,,0.22,1137.0,99
CPT,27202,TREAT TAIL BONE FRACTURE,,,0.22,9407.0,100
CPT,27215,TREAT PELVIC FRACTURE(S),,,0.22,3791.0,97
CPT,27216,TREAT PELVIC RING FRACTURE,,,0.22,7166.0,97
CPT,27217,TREAT PELVIC RING FRACTURE,,,0.22,5085.0,97
CPT,27218,TREAT PELVIC RING FRACTURE,,,0.22,5085.0,97
CPT,27220,TREAT HIP SOCKET FRACTURE,,,0.22,1137.0,99
CPT,27222,TREAT HIP SOCKET FRACTURE,,,0.22,5483.0,99
CPT,27226,TREAT HIP WALL FRACTURE,,,0.22,5812.0,99
CPT,27227,TREAT HIP FRACTURE(S),,,0.22,5812.0,99
CPT,27228,TREAT HIP FRACTURE(S),,,0.22,5812.0,99
CPT,27230,TREAT THIGH FRACTURE,,,0.22,1137.0,99
CPT,27232,TREAT THIGH FRACTURE,,,0.22,5483.0,99
CPT,27235,TREAT THIGH FRACTURE,,,0.22,7166.0,99
CPT,27236,TREAT THIGH FRACTURE,,,0.22,5483.0,99
CPT,27238,TREAT THIGH FRACTURE,,,0.22,3791.0,99
CPT,27240,TREAT THIGH FRACTURE,,,0.22,5483.0,99
CPT,27244,TREAT THIGH FRACTURE,,,0.22,5483.0,99
CPT,27245,TREAT THIGH FRACTURE,,,0.22,5085.0,99
CPT,27246,TREAT THIGH FRACTURE,,,0.22,3791.0,99
CPT,27248,TREAT THIGH FRACTURE,,,0.22,5483.0,99
CPT,27250,TREAT HIP DISLOCATION,,,0.22,1137.0,99
CPT,27252,TREAT HIP DISLOCATION,,,0.22,5085.0,100
CPT,27253,TREAT HIP DISLOCATION,,,0.22,5483.0,99
CPT,27254,TREAT HIP DISLOCATION,,,0.22,5483.0,99
CPT,27256,TREAT HIP DISLOCATION,,,0.22,1137.0,99
CPT,27257,TREAT HIP DISLOCATION,,,0.22,5085.0,100
CPT,27258,TREAT HIP DISLOCATION,,,0.22,5483.0,99
CPT,27259,TREAT HIP DISLOCATION,,,0.22,5483.0,99
CPT,27265,TREAT HIP DISLOCATION,,,0.22,1137.0,99
CPT,27266,TREAT HIP DISLOCATION,,,0.22,5085.0,100
CPT,27267,CLTX THIGH FX,,,0.22,1137.0,99
CPT,27268,CLTX THIGH FX W/MNPJ,,,0.22,5483.0,99
CPT,27269,OPTX THIGH FX,,,0.22,5483.0,99
CPT,27275,MANIPULATION OF HIP JOINT,,,0.22,5085.0,100
CPT,27278,ARTHRD SI JT PRQ WO TFXJ DEV,,,0.22,15548.8,98
CPT,27279,ARTHRD SI JT PERQ/MIN NVAS,,,0.22,40885.64,103
CPT,27280,ARTHR SI JT OPN B1GRF INSTRM,,,0.22,5483.0,99
CPT,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,0.22,5483.0,99
CPT,27284,ARTHRODESIS HIP JOINT,,,0.22,5483.0,99
CPT,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,0.22,5483.0,99
CPT,27290,AMPUTATION OF LEG AT HIP,,,0.22,5483.0,99
CPT,27295,AMPUTATION OF LEG AT HIP,,,0.22,5483.0,99
CPT,27299,UNLISTED PX PELVIS/HIP JOINT,,,0.22,1137.0,97
CPT,272T,INTERROGATE CRTD SNS DEV,,,1.0,3.2,10
CPT,272U,HEM GENETIC BLD DO 60 GENES,,,0.92,608.17,14
CPT,27301,DRAIN THIGH/KNEE LESION,,,0.22,5812.0,100
CPT,27303,DRAINAGE OF BONE LESION,,,0.22,5085.0,99
CPT,27305,INCISE THIGH TENDON & FASCIA,,,0.22,5812.0,100
CPT,27306,INCISION OF THIGH TENDON,,,0.22,5812.0,100
CPT,27307,INCISION OF THIGH TENDONS,,,0.22,7166.0,100
CPT,27310,EXPLORATION OF KNEE JOINT,,,0.22,7166.0,100
CPT,27323,BIOPSY THIGH SOFT TISSUES,,,0.22,3791.0,100
CPT,27324,BIOPSY THIGH SOFT TISSUES,,,0.22,5812.0,100
CPT,27325,NEURECTOMY HAMSTRING,,,0.22,5812.0,100
CPT,27326,NEURECTOMY POPLITEAL,,,0.22,5812.0,100
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,0.22,5812.0,100
CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,0.22,5085.0,100
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,0.22,5085.0,100
CPT,27330,BIOPSY KNEE JOINT LINING,,,0.22,7166.0,100
CPT,27331,EXPLORE/TREAT KNEE JOINT,,,0.22,7166.0,100
CPT,27332,REMOVAL OF KNEE CARTILAGE,,,0.22,7166.0,100
CPT,27333,REMOVAL OF KNEE CARTILAGE,,,0.22,7166.0,100
CPT,27334,REMOVE KNEE JOINT LINING,,,0.22,7166.0,100
CPT,27335,REMOVE KNEE JOINT LINING,,,0.22,7166.0,100
CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,0.22,5812.0,99
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,0.22,5812.0,99
CPT,27340,REMOVAL OF KNEECAP BURSA,,,0.22,5812.0,100
CPT,27345,REMOVAL OF KNEE CYST,,,0.22,5812.0,100
CPT,27347,REMOVE KNEE CYST,,,0.22,5812.0,100
CPT,27350,REMOVAL OF KNEECAP,,,0.22,7166.0,100
CPT,27355,REMOVE FEMUR LESION,,,0.22,7166.0,100
CPT,27356,REMOVE FEMUR LESION/GRAFT,,,0.22,7166.0,100
CPT,27357,REMOVE FEMUR LESION/GRAFT,,,0.22,7166.0,100
CPT,27358,REMOVE FEMUR LESION/FIXATION,,,0.22,7166.0,100
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,0.22,7166.0,100
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,0.22,5812.0,99
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,0.22,5483.0,99
CPT,27369,INJ PROC KNEE ARTHROGRM,1594.0,1195.5,0.22,1434.6,114
CPT,27372,REMOVAL FB THIGH,14734.0,11050.5,0.22,13260.6,106
CPT,27380,REPAIR OF KNEECAP TENDON,,,0.22,7166.0,100
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,0.22,7166.0,100
CPT,27385,REPAIR OF THIGH MUSCLE,,,0.22,7166.0,100
CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,0.22,7166.0,100
CPT,27390,INCISION OF THIGH TENDON,,,0.22,5812.0,100
CPT,27391,INCISION OF THIGH TENDONS,,,0.22,5812.0,100
CPT,27392,INCISION OF THIGH TENDONS,,,0.22,7166.0,100
CPT,27393,LENGTHENING OF THIGH TENDON,,,0.22,7166.0,100
CPT,27394,LENGTHENING OF THIGH TENDONS,,,0.22,7166.0,100
CPT,27395,LENGTHENING OF THIGH TENDONS,,,0.22,8165.0,100
CPT,27396,TRANSPLANT OF THIGH TENDON,,,0.22,7166.0,100
CPT,27397,TRANSPLANTS OF THIGH TENDONS,,,0.22,8165.0,100
CPT,273T,INTERROGATE CRTD SNS W/PGRMG,,,1.0,3.2,10
CPT,273U,HEM GEN HYPRFIBRNLYSIS 8 GEN,,,0.92,608.17,14
CPT,27400,REVISE THIGH MUSCLES/TENDONS,,,0.22,8165.0,100
CPT,27403,REPAIR OF KNEE CARTILAGE,,,0.22,7166.0,100
CPT,27405,REPAIR OF KNEE LIGAMENT,,,0.22,8165.0,100
CPT,27407,REPAIR OF KNEE LIGAMENT,,,0.22,9407.0,100
CPT,27409,REPAIR OF KNEE LIGAMENTS,,,0.22,9407.0,100
CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,0.22,9407.0,99
CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,0.22,9407.0,99
CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,0.22,8165.0,99
CPT,27418,REPAIR DEGENERATED KNEECAP,,,0.22,8165.0,100
CPT,27420,REVISION OF UNSTABLE KNEECAP,,,0.22,8165.0,100
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,0.22,8165.0,100
CPT,27424,REVISION/REMOVAL OF KNEECAP,,,0.22,8165.0,100
CPT,27425,LAT RETINACULAR RELEASE OPEN,,,0.22,7166.0,100
CPT,27427,RECONSTRUCTION KNEE,,,0.22,9407.0,100
CPT,27428,RECONSTRUCTION KNEE,,,0.22,9407.0,100
CPT,27429,RECONSTRUCTION KNEE,,,0.22,9407.0,100
CPT,27430,REVISION OF THIGH MUSCLES,,,0.22,8165.0,100
CPT,27435,INCISION OF KNEE JOINT,,,0.22,7166.0,100
CPT,27437,REVISE KNEECAP,,,0.22,8165.0,100
CPT,27438,REVISE KNEECAP WITH IMPLANT,,,0.22,9407.0,100
CPT,27440,REVISION OF KNEE JOINT,,,0.22,8165.0,99
CPT,27441,REVISION OF KNEE JOINT,,,0.22,8165.0,100
CPT,27442,REVISION OF KNEE JOINT,,,0.22,8165.0,100
CPT,27443,REVISION OF KNEE JOINT,,,0.22,8165.0,100
CPT,27445,REVISION OF KNEE JOINT,,,0.22,9407.0,99
CPT,27446,REVISION OF KNEE JOINT,,,0.22,11318.0,99
CPT,27447,TOTAL KNEE ARTHROPLASTY,,,0.22,11318.0,99
CPT,27448,INCISION OF THIGH,,,0.22,5483.0,99
CPT,27450,INCISION OF THIGH,,,0.22,5483.0,99
CPT,27454,REALIGNMENT OF THIGH BONE,,,0.22,5483.0,99
CPT,27455,REALIGNMENT OF KNEE,,,0.22,5483.0,99
CPT,27457,REALIGNMENT OF KNEE,,,0.22,8165.0,99
CPT,27465,SHORTENING OF THIGH BONE,,,0.22,5483.0,99
CPT,27466,LENGTHENING OF THIGH BONE,,,0.22,5483.0,99
CPT,27468,SHORTEN/LENGTHEN THIGHS,,,0.22,5483.0,99
CPT,27470,REPAIR OF THIGH,,,0.22,5483.0,99
CPT,27472,REPAIR/GRAFT OF THIGH,,,0.22,5483.0,99
CPT,27475,SURGERY TO STOP LEG GROWTH,,,0.22,7166.0,99
CPT,27477,SURGERY TO STOP LEG GROWTH,,,0.22,5483.0,99
CPT,27479,SURGERY TO STOP LEG GROWTH,,,0.22,7166.0,99
CPT,27485,SURGERY TO STOP LEG GROWTH,,,0.22,5483.0,99
CPT,27486,REVISE/REPLACE KNEE JOINT,,,0.22,11318.0,99
CPT,27487,REVISE/REPLACE KNEE JOINT,,,0.22,11318.0,99
CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,0.22,5483.0,99
CPT,27495,REINFORCE THIGH,,,0.22,5483.0,99
CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,0.22,7166.0,100
CPT,27497,DECOMPRESSION OF THIGH/KNEE,,,0.22,5812.0,100
CPT,27498,DECOMPRESSION OF THIGH/KNEE,,,0.22,7166.0,100
CPT,27499,DECOMPRESSION OF THIGH/KNEE,,,0.22,7166.0,100
CPT,274T,PERQ LAMOT/LAM CRV/THRC,,,0.22,9407.0,102
CPT,274U,HEM GEN PLTLT DO 62 GENES,,,0.92,608.17,14
CPT,27500,TREATMENT OF THIGH FRACTURE,,,0.22,3791.0,99
CPT,27501,TREATMENT OF THIGH FRACTURE,,,0.22,1137.0,99
CPT,27502,TREATMENT OF THIGH FRACTURE,,,0.22,5812.0,99
CPT,27503,TREATMENT OF THIGH FRACTURE,,,0.22,1137.0,99
CPT,27506,TREATMENT OF THIGH FRACTURE,,,0.22,5483.0,99
CPT,27507,TREATMENT OF THIGH FRACTURE,,,0.22,7166.0,99
CPT,27508,TREATMENT OF THIGH FRACTURE,,,0.22,1137.0,99
CPT,27509,TREATMENT OF THIGH FRACTURE,,,0.22,5812.0,100
CPT,27510,TREATMENT OF THIGH FRACTURE,,,0.22,3791.0,99
CPT,27511,TREATMENT OF THIGH FRACTURE,,,0.22,7166.0,99
CPT,27513,TREATMENT OF THIGH FRACTURE,,,0.22,8165.0,99
CPT,27514,TREATMENT OF THIGH FRACTURE,,,0.22,5483.0,99
CPT,27516,TREAT THIGH FX GROWTH PLATE,,,0.22,1137.0,99
CPT,27517,TREAT THIGH FX GROWTH PLATE,,,0.22,1137.0,99
CPT,27519,TREAT THIGH FX GROWTH PLATE,,,0.22,5483.0,99
CPT,27520,TREAT KNEECAP FRACTURE,,,0.22,1137.0,99
CPT,27524,TREAT KNEECAP FRACTURE,,,0.22,9407.0,99
CPT,27530,TREAT KNEE FRACTURE,,,0.22,1137.0,99
CPT,27532,TREAT KNEE FRACTURE,,,0.22,5812.0,99
CPT,27535,TREAT KNEE FRACTURE,,,0.22,5812.0,99
CPT,27536,TREAT KNEE FRACTURE,,,0.22,7166.0,99
CPT,27538,TREAT KNEE FRACTURE(S),,,0.22,1137.0,99
CPT,27540,TREAT KNEE FRACTURE,,,0.22,8165.0,99
CPT,27550,TREAT KNEE DISLOCATION,,,0.22,1137.0,99
CPT,27552,TREAT KNEE DISLOCATION,,,0.22,5085.0,100
CPT,27556,TREAT KNEE DISLOCATION,,,0.22,7166.0,99
CPT,27557,TREAT KNEE DISLOCATION,,,0.22,8165.0,99
CPT,27558,TREAT KNEE DISLOCATION,,,0.22,7166.0,99
CPT,27560,TREAT KNEECAP DISLOCATION,,,0.22,1137.0,99
CPT,27562,TREAT KNEECAP DISLOCATION,,,0.22,5085.0,100
CPT,27566,TREAT KNEECAP DISLOCATION,,,0.22,9407.0,100
CPT,27570,FIXATION OF KNEE JOINT,,,0.22,5085.0,100
CPT,27580,FUSION OF KNEE,,,0.22,5483.0,99
CPT,27590,AMPUTATE LEG AT THIGH,,,0.22,5483.0,99
CPT,27591,AMPUTATE LEG AT THIGH,,,0.22,5483.0,99
CPT,27592,AMPUTATE LEG AT THIGH,,,0.22,5483.0,99
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,100
CPT,27596,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5483.0,99
CPT,27598,AMPUTATE LOWER LEG AT KNEE,,,0.22,5483.0,99
CPT,27599,UNLISTED PX FEMUR/KNEE,,,0.22,1137.0,97
CPT,275T,PERQ LAMOT/LAM LUMBAR,,,0.22,9407.0,102
CPT,275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,0.92,18.37,14
CPT,27600,DECOMPRESSION OF LOWER LEG,,,0.22,5812.0,100
CPT,27601,DECOMPRESSION OF LOWER LEG,,,0.22,5812.0,100
CPT,27602,DECOMPRESSION OF LOWER LEG,,,0.22,7166.0,100
CPT,27603,DRAIN LOWER LEG LESION,,,0.22,5812.0,100
CPT,27604,DRAIN LOWER LEG BURSA,,,0.22,7166.0,100
CPT,27605,INCISION OF ACHILLES TENDON,,,0.22,5812.0,100
CPT,27606,INCISION OF ACHILLES TENDON,,,0.22,5812.0,100
CPT,27607,TREAT LOWER LEG BONE LESION,,,0.22,5812.0,100
CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,0.22,7166.0,100
CPT,27612,EXPLORATION OF ANKLE JOINT,,,0.22,7166.0,100
CPT,27613,BIOPSY LOWER LEG SOFT TISSUE,,,0.22,3791.0,99
CPT,27614,BIOPSY LOWER LEG SOFT TISSUE,,,0.22,5812.0,100
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,0.22,5085.0,100
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,0.22,5812.0,99
CPT,27618,EXC LEG/ANKLE TUM < 3 CM,,,0.22,5085.0,100
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,0.22,5085.0,100
CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,0.22,7166.0,100
CPT,27625,REMOVE ANKLE JOINT LINING,,,0.22,7166.0,100
CPT,27626,REMOVE ANKLE JOINT LINING,,,0.22,7166.0,100
CPT,27630,REMOVAL OF TENDON LESION,,,0.22,5812.0,100
CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,0.22,5812.0,99
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,0.22,5812.0,99
CPT,27635,REMOVE LOWER LEG BONE LESION,,,0.22,7166.0,100
CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,0.22,7166.0,100
CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,0.22,7166.0,100
CPT,27640,PARTIAL REMOVAL OF TIBIA,,,0.22,7166.0,100
CPT,27641,PARTIAL REMOVAL OF FIBULA,,,0.22,7166.0,100
CPT,27645,RESECT TIBIA TUMOR,,,0.22,5483.0,99
CPT,27646,RESECT FIBULA TUMOR,,,0.22,5483.0,99
CPT,27647,RESECT TALUS/CALCANEUS TUM,,,0.22,7166.0,100
CPT,27648,INJ ANKLE ARTHROGRAM,1479.0,1109.25,0.22,1331.1,105
CPT,27650,REPAIR ACHILLES TENDON,,,0.22,8165.0,100
CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,0.22,9407.0,100
CPT,27654,REPAIR OF ACHILLES TENDON,,,0.22,8165.0,100
CPT,27656,REPAIR LEG FASCIA DEFECT,,,0.22,5812.0,100
CPT,27658,REPAIR OF LEG TENDON EACH,,,0.22,5812.0,100
CPT,27659,REPAIR OF LEG TENDON EACH,,,0.22,5812.0,100
CPT,27664,REPAIR OF LEG TENDON EACH,,,0.22,7166.0,100
CPT,27665,REPAIR OF LEG TENDON EACH,,,0.22,7166.0,100
CPT,27675,REPAIR LOWER LEG TENDONS,,,0.22,5812.0,100
CPT,27676,REPAIR LOWER LEG TENDONS,,,0.22,7166.0,100
CPT,27680,RELEASE OF LOWER LEG TENDON,,,0.22,7166.0,100
CPT,27681,RELEASE OF LOWER LEG TENDONS,,,0.22,7166.0,100
CPT,27685,REVISION OF LOWER LEG TENDON,,,0.22,7166.0,100
CPT,27686,REVISE LOWER LEG TENDONS,,,0.22,7166.0,100
CPT,27687,REVISION OF CALF TENDON,,,0.22,7166.0,100
CPT,27690,REVISE LOWER LEG TENDON,,,0.22,8165.0,100
CPT,27691,REVISE LOWER LEG TENDON,,,0.22,8165.0,100
CPT,27692,REVISE ADDITIONAL LEG TENDON,,,0.22,8165.0,100
CPT,27695,REPAIR OF ANKLE LIGAMENT,,,0.22,7166.0,100
CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,0.22,7166.0,100
CPT,27698,REPAIR OF ANKLE LIGAMENT,,,0.22,7166.0,100
CPT,276U,HEM INH THROMBOCYTOPENIA 42,2379.0,1784.25,0.92,2448.56,14
CPT,27700,REVISION OF ANKLE JOINT,,,0.22,8165.0,100
CPT,27702,RECONSTRUCT ANKLE JOINT,,,0.22,5483.0,99
CPT,27703,RECONSTRUCTION ANKLE JOINT,,,0.22,5483.0,99
CPT,27704,REMOVAL OF ANKLE IMPLANT,,,0.22,5812.0,100
CPT,27705,INCISION OF TIBIA,,,0.22,8165.0,100
CPT,27707,INCISION OF FIBULA,,,0.22,7166.0,100
CPT,27709,INCISION OF TIBIA & FIBULA,,,0.22,7166.0,100
CPT,27712,REALIGNMENT OF LOWER LEG,,,0.22,5483.0,99
CPT,27715,REVISION OF LOWER LEG,,,0.22,7166.0,99
CPT,27720,REPAIR OF TIBIA,,,0.22,9407.0,99
CPT,27722,REPAIR/GRAFT OF TIBIA,,,0.22,9407.0,99
CPT,27724,REPAIR/GRAFT OF TIBIA,,,0.22,5483.0,99
CPT,27725,REPAIR OF LOWER LEG,,,0.22,5483.0,99
CPT,27726,REPAIR FIBULA NONUNION,,,0.22,9407.0,99
CPT,27727,REPAIR OF LOWER LEG,,,0.22,5483.0,99
CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,0.22,7166.0,100
CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,0.22,7166.0,100
CPT,27734,REPAIR LOWER LEG EPIPHYSES,,,0.22,7166.0,100
CPT,27740,REPAIR OF LEG EPIPHYSES,,,0.22,7166.0,100
CPT,27742,REPAIR OF LEG EPIPHYSES,,,0.22,8165.0,100
CPT,27745,REINFORCE TIBIA,,,0.22,9407.0,100
CPT,27750,TREATMENT OF TIBIA FRACTURE,,,0.22,1137.0,99
CPT,27752,TREATMENT OF TIBIA FRACTURE,,,0.22,5812.0,99
CPT,27756,TREATMENT OF TIBIA FRACTURE,,,0.22,5812.0,100
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,0.22,9407.0,100
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,0.22,9407.0,100
CPT,27760,CLTX MEDIAL ANKLE FX,,,0.22,1137.0,99
CPT,27762,CLTX MED ANKLE FX W/MNPJ,,,0.22,5812.0,99
CPT,27766,OPTX MEDIAL ANKLE FX,,,0.22,9407.0,100
CPT,27767,CLTX POST ANKLE FX,,,0.22,1137.0,99
CPT,27768,CLTX POST ANKLE FX W/MNPJ,,,0.22,1137.0,99
CPT,27769,OPTX POST ANKLE FX,,,0.22,9407.0,99
CPT,27780,TREATMENT OF FIBULA FRACTURE,,,0.22,1137.0,99
CPT,27781,TREATMENT OF FIBULA FRACTURE,,,0.22,5812.0,99
CPT,27784,TREATMENT OF FIBULA FRACTURE,,,0.22,9407.0,100
CPT,27786,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,27788,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,0.22,9407.0,100
CPT,277U,HEM GEN PLTLT FUNCJ DO 40,,,0.92,608.17,14
CPT,27808,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,27810,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,0.22,9407.0,100
CPT,27816,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,27818,TREATMENT OF ANKLE FRACTURE,,,0.22,3791.0,99
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,0.22,9407.0,100
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,0.22,9407.0,100
CPT,27824,TREAT LOWER LEG FRACTURE,,,0.22,1137.0,99
CPT,27825,TREAT LOWER LEG FRACTURE,,,0.22,5812.0,99
CPT,27826,TREAT LOWER LEG FRACTURE,,,0.22,9407.0,100
CPT,27827,TREAT LOWER LEG FRACTURE,,,0.22,9407.0,100
CPT,27828,TREAT LOWER LEG FRACTURE,,,0.22,9407.0,100
CPT,27829,TREAT LOWER LEG JOINT,,,0.22,9407.0,100
CPT,27830,TREAT LOWER LEG DISLOCATION,,,0.22,1137.0,99
CPT,27831,TREAT LOWER LEG DISLOCATION,,,0.22,5812.0,99
CPT,27832,TREAT LOWER LEG DISLOCATION,,,0.22,9407.0,100
CPT,27840,TREAT ANKLE DISLOCATION,,,0.22,1137.0,99
CPT,27842,TREAT ANKLE DISLOCATION,,,0.22,5085.0,100
CPT,27846,TREAT ANKLE DISLOCATION,,,0.22,9407.0,100
CPT,27848,TREAT ANKLE DISLOCATION,,,0.22,9407.0,100
CPT,27860,FIXATION OF ANKLE JOINT,,,0.22,5085.0,100
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,0.22,9407.0,100
CPT,27871,FUSION OF TIBIOFIBULAR JOINT,,,0.22,9407.0,100
CPT,27880,AMPUTATION OF LOWER LEG,,,0.22,5483.0,99
CPT,27881,AMPUTATION OF LOWER LEG,,,0.22,5483.0,99
CPT,27882,AMPUTATION OF LOWER LEG,,,0.22,5483.0,99
CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5812.0,100
CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,0.22,5483.0,99
CPT,27888,AMPUTATION OF FOOT AT ANKLE,,,0.22,5483.0,99
CPT,27889,AMPUTATION OF FOOT AT ANKLE,,,0.22,7166.0,100
CPT,27892,DECOMPRESSION OF LEG,,,0.22,7166.0,100
CPT,27893,DECOMPRESSION OF LEG,,,0.22,7166.0,100
CPT,27894,DECOMPRESSION OF LEG,,,0.22,7166.0,100
CPT,27899,UNLISTED PX LEG/ANKLE,,,0.22,1137.0,97
CPT,278T,TEMPR,,,1.0,1137.0,16
CPT,278U,HEM GEN THROMBOSIS 14 GENES,,,0.92,608.17,14
CPT,279U,HEM VW FACTOR&CLGN III BNDG,175.0,131.25,0.92,11.53,14
CPT,27U,JAK2 GENE TRGT SEQ ALYS,,,1.0,121.91,14
CPT,28001,DRAINAGE OF BURSA OF FOOT,,,0.22,5085.0,99
CPT,28002,TREATMENT OF FOOT INFECTION,,,0.22,5812.0,100
CPT,28003,TREATMENT OF FOOT INFECTION,,,0.22,5812.0,100
CPT,28005,TREAT FOOT BONE LESION,,,0.22,5812.0,100
CPT,28008,INCISION OF FOOT FASCIA,,,0.22,5812.0,100
CPT,28010,INCISION OF TOE TENDON,,,0.22,5812.0,99
CPT,28011,INCISION OF TOE TENDONS,,,0.22,5812.0,100
CPT,28020,EXPLORATION OF FOOT JOINT,,,0.22,5812.0,100
CPT,28022,EXPLORATION OF FOOT JOINT,,,0.22,5812.0,100
CPT,28024,EXPLORATION OF TOE JOINT,,,0.22,5812.0,100
CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,0.22,5812.0,100
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,0.22,5812.0,99
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,0.22,5812.0,99
CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,0.22,5085.0,100
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,0.22,5085.0,100
CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,0.22,5085.0,100
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,0.22,5812.0,99
CPT,28050,BIOPSY OF FOOT JOINT LINING,,,0.22,5812.0,100
CPT,28052,BIOPSY OF FOOT JOINT LINING,,,0.22,5812.0,100
CPT,28054,BIOPSY OF TOE JOINT LINING,,,0.22,5812.0,100
CPT,28055,NEURECTOMY FOOT,,,0.22,5812.0,100
CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,0.22,5812.0,100
CPT,28062,REMOVAL OF FOOT FASCIA,,,0.22,5812.0,100
CPT,28070,REMOVAL OF FOOT JOINT LINING,,,0.22,5812.0,100
CPT,28072,REMOVAL OF FOOT JOINT LINING,,,0.22,5812.0,100
CPT,28080,REMOVAL OF FOOT LESION,,,0.22,5812.0,100
CPT,28086,EXCISE FOOT TENDON SHEATH,,,0.22,5812.0,100
CPT,28088,EXCISE FOOT TENDON SHEATH,,,0.22,5812.0,100
CPT,28090,REMOVAL OF FOOT LESION,,,0.22,5812.0,100
CPT,28092,REMOVAL OF TOE LESIONS,,,0.22,5812.0,100
CPT,280U,HEM VW FACTOR&CLGN IV BNDG,384.0,288.0,0.92,17.27,14
CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,0.22,5812.0,100
CPT,28102,REMOVE/GRAFT FOOT LESION,,,0.22,9407.0,100
CPT,28103,REMOVE/GRAFT FOOT LESION,,,0.22,9407.0,100
CPT,28104,REMOVAL OF FOOT LESION,,,0.22,5812.0,100
CPT,28106,REMOVE/GRAFT FOOT LESION,,,0.22,9407.0,100
CPT,28107,REMOVE/GRAFT FOOT LESION,,,0.22,9407.0,100
CPT,28108,REMOVAL OF TOE LESIONS,,,0.22,5812.0,100
CPT,28110,PART REMOVAL OF METATARSAL,,,0.22,5812.0,100
CPT,28111,PART REMOVAL OF METATARSAL,,,0.22,5812.0,100
CPT,28112,PART REMOVAL OF METATARSAL,,,0.22,5812.0,100
CPT,28113,PART REMOVAL OF METATARSAL,,,0.22,5812.0,100
CPT,28114,REMOVAL OF METATARSAL HEADS,,,0.22,5812.0,100
CPT,28116,REVISION OF FOOT,,,0.22,5812.0,100
CPT,28118,REMOVAL OF HEEL BONE,,,0.22,5812.0,100
CPT,28119,REMOVAL OF HEEL SPUR,,,0.22,5812.0,100
CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,0.22,5812.0,100
CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,0.22,5812.0,100
CPT,28124,PARTIAL REMOVAL OF TOE,,,0.22,5812.0,99
CPT,28126,PARTIAL REMOVAL OF TOE,,,0.22,5812.0,100
CPT,28130,REMOVAL OF ANKLE BONE,,,0.22,5812.0,100
CPT,28140,REMOVAL OF METATARSAL,,,0.22,5812.0,100
CPT,28150,REMOVAL OF TOE,,,0.22,5812.0,100
CPT,28153,PARTIAL REMOVAL OF TOE,,,0.22,5812.0,100
CPT,28160,PARTIAL REMOVAL OF TOE,,,0.22,5812.0,100
CPT,28171,RESECT TARSAL TUMOR,,,0.22,5812.0,100
CPT,28173,RESECT METATARSAL TUMOR,,,0.22,5812.0,100
CPT,28175,RESECT PHALANX OF TOE TUMOR,,,0.22,5812.0,100
CPT,28190,REMOVAL OF FOOT FOREIGN BODY,,,0.22,3791.0,99
CPT,28192,REMOVAL OF FOOT FOREIGN BODY,,,0.22,5085.0,100
CPT,28193,REMOVAL OF FOOT FOREIGN BODY,,,0.22,3791.0,99
CPT,281U,HEM VWD PROPEPTIDE AG LVL,206.0,154.5,0.92,17.27,14
CPT,28200,REPAIR OF FOOT TENDON,,,0.22,5812.0,100
CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,0.22,5812.0,100
CPT,28208,REPAIR OF FOOT TENDON,,,0.22,5812.0,100
CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,0.22,9407.0,100
CPT,28220,RELEASE OF FOOT TENDON,,,0.22,5812.0,99
CPT,28222,RELEASE OF FOOT TENDONS,,,0.22,5812.0,100
CPT,28225,RELEASE OF FOOT TENDON,,,0.22,5812.0,100
CPT,28226,RELEASE OF FOOT TENDONS,,,0.22,5812.0,100
CPT,28230,INCISION OF FOOT TENDON(S),,,0.22,5812.0,99
CPT,28232,INCISION OF TOE TENDON,,,0.22,5812.0,99
CPT,28234,INCISION OF FOOT TENDON,,,0.22,5812.0,100
CPT,28238,REVISION OF FOOT TENDON,,,0.22,9407.0,100
CPT,28240,RELEASE OF BIG TOE,,,0.22,5812.0,100
CPT,28250,REVISION OF FOOT FASCIA,,,0.22,5812.0,100
CPT,28260,RELEASE OF MIDFOOT JOINT,,,0.22,5812.0,100
CPT,28261,REVISION OF FOOT TENDON,,,0.22,5812.0,100
CPT,28262,REVISION OF FOOT AND ANKLE,,,0.22,5812.0,100
CPT,28264,RELEASE OF MIDFOOT JOINT,,,0.22,9407.0,100
CPT,28270,RELEASE OF FOOT CONTRACTURE,,,0.22,5812.0,100
CPT,28272,RELEASE OF TOE JOINT EACH,,,0.22,5812.0,99
CPT,28280,FUSION OF TOES,,,0.22,5812.0,100
CPT,28285,REPAIR OF HAMMERTOE,,,0.22,5812.0,100
CPT,28286,REPAIR OF HAMMERTOE,,,0.22,5812.0,100
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,0.22,5812.0,100
CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,0.22,5812.0,100
CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,0.22,895.22,98
CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,0.22,7166.0,100
CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,0.22,1356.04,98
CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,0.22,7603.01,105
CPT,28297,COR HLX VLGS JT ARTHRD,,,0.22,7166.0,100
CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,0.22,7166.0,100
CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,0.22,13453.8,105
CPT,282U,RBC DNA GNTYP 12 BLD GRP GEN,,,0.92,720.0,14
CPT,28300,INCISION OF HEEL BONE,,,0.22,9407.0,100
CPT,28302,INCISION OF ANKLE BONE,,,0.22,5812.0,100
CPT,28304,INCISION OF MIDFOOT BONES,,,0.22,9407.0,100
CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,0.22,9407.0,100
CPT,28306,INCISION OF METATARSAL,,,0.22,5812.0,100
CPT,28307,INCISION OF METATARSAL,,,0.22,5812.0,100
CPT,28308,INCISION OF METATARSAL,,,0.22,5812.0,100
CPT,28309,INCISION OF METATARSALS,,,0.22,9407.0,100
CPT,28310,REVISION OF BIG TOE,,,0.22,5812.0,100
CPT,28312,REVISION OF TOE,,,0.22,5812.0,100
CPT,28313,REPAIR DEFORMITY OF TOE,,,0.22,5812.0,100
CPT,28315,REMOVAL OF SESAMOID BONE,,,0.22,5812.0,100
CPT,28320,REPAIR OF FOOT BONES,,,0.22,9407.0,100
CPT,28322,REPAIR OF METATARSALS,,,0.22,9407.0,100
CPT,28340,RESECT ENLARGED TOE TISSUE,,,0.22,5812.0,100
CPT,28341,RESECT ENLARGED TOE,,,0.22,5812.0,100
CPT,28344,REPAIR EXTRA TOE(S),,,0.22,5812.0,100
CPT,28345,REPAIR WEBBED TOE(S),,,0.22,5812.0,100
CPT,28360,RECONSTRUCT CLEFT FOOT,,,0.22,9407.0,99
CPT,283U,VW FACTOR TYPE 2B EVAL PLSM,274.0,205.5,0.92,18.4,28
CPT,28400,TREATMENT OF HEEL FRACTURE,,,0.22,1137.0,99
CPT,28405,TREATMENT OF HEEL FRACTURE,,,0.22,5812.0,99
CPT,28406,TREATMENT OF HEEL FRACTURE,,,0.22,5812.0,100
CPT,28415,TREAT HEEL FRACTURE,,,0.22,9407.0,100
CPT,28420,TREAT/GRAFT HEEL FRACTURE,,,0.22,9407.0,100
CPT,28430,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,28435,TREATMENT OF ANKLE FRACTURE,,,0.22,1137.0,99
CPT,28436,TREATMENT OF ANKLE FRACTURE,,,0.22,5812.0,100
CPT,28445,TREAT ANKLE FRACTURE,,,0.22,9407.0,100
CPT,28446,OSTEOCHONDRAL TALUS AUTOGRFT,,,0.22,9407.0,99
CPT,28450,TREAT MIDFOOT FRACTURE EACH,,,0.22,1137.0,99
CPT,28455,TREAT MIDFOOT FRACTURE EACH,,,0.22,1137.0,99
CPT,28456,TREAT MIDFOOT FRACTURE,,,0.22,5812.0,100
CPT,28465,TREAT MIDFOOT FRACTURE EACH,,,0.22,9407.0,100
CPT,28470,TREAT METATARSAL FRACTURE,,,0.22,1137.0,99
CPT,28475,TREAT METATARSAL FRACTURE,,,0.22,1137.0,99
CPT,28476,TREAT METATARSAL FRACTURE,,,0.22,6322.27,105
CPT,28485,TREAT METATARSAL FRACTURE,,,0.22,9407.0,100
CPT,28490,TREAT BIG TOE FRACTURE,,,0.22,1137.0,99
CPT,28495,TREAT BIG TOE FRACTURE,,,0.22,1137.0,99
CPT,28496,TREAT BIG TOE FRACTURE,,,0.22,5812.0,100
CPT,284U,VW FACTOR TYPE 2N EVAL PLSM,,,0.92,17.27,14
CPT,28505,TREAT BIG TOE FRACTURE,,,0.22,5812.0,100
CPT,28510,TREATMENT OF TOE FRACTURE,,,0.22,1137.0,99
CPT,28515,TREATMENT OF TOE FRACTURE,,,0.22,1137.0,99
CPT,28525,TREAT TOE FRACTURE,,,0.22,5812.0,100
CPT,28530,TREAT SESAMOID BONE FRACTURE,,,0.22,1137.0,99
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,0.22,5812.0,100
CPT,28540,TREAT FOOT DISLOCATION,,,0.22,1137.0,99
CPT,28545,TREAT FOOT DISLOCATION,,,0.22,5812.0,100
CPT,28546,TREAT FOOT DISLOCATION,,,0.22,5812.0,100
CPT,28555,REPAIR FOOT DISLOCATION,,,0.22,9407.0,100
CPT,28570,TREAT FOOT DISLOCATION,,,0.22,1137.0,99
CPT,28575,TREAT FOOT DISLOCATION,,,0.22,5812.0,99
CPT,28576,TREAT FOOT DISLOCATION,,,0.22,5812.0,100
CPT,28585,REPAIR FOOT DISLOCATION,,,0.22,5812.0,100
CPT,285U,ONC RSPS RADJ CLL FR DNA TOX,,,0.92,443.31,14
CPT,28600,TREAT FOOT DISLOCATION,,,0.22,1137.0,99
CPT,28605,TREAT FOOT DISLOCATION,,,0.22,1137.0,99
CPT,28606,TREAT FOOT DISLOCATION,,,0.22,5812.0,100
CPT,28615,REPAIR FOOT DISLOCATION,,,0.22,9407.0,100
CPT,28630,TREAT TOE DISLOCATION,,,0.22,1137.0,99
CPT,28635,TREAT TOE DISLOCATION,,,0.22,5085.0,100
CPT,28636,TREAT TOE DISLOCATION,,,0.22,5812.0,100
CPT,28645,REPAIR TOE DISLOCATION,,,0.22,5812.0,100
CPT,28660,TREAT TOE DISLOCATION,,,0.22,1137.0,99
CPT,28665,TREAT TOE DISLOCATION,,,0.22,5085.0,100
CPT,28666,TREAT TOE DISLOCATION,,,0.22,5812.0,100
CPT,28675,REPAIR OF TOE DISLOCATION,,,0.22,5812.0,100
CPT,286U,CEP72 NUDT15&TPMT GENE ALYS,,,0.92,134.13,14
CPT,28705,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28715,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28725,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28730,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28735,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28737,REVISION OF FOOT BONES,,,0.22,9407.0,100
CPT,28740,FUSION OF FOOT BONES,,,0.22,9407.0,100
CPT,28750,FUSION OF BIG TOE JOINT,,,0.22,9407.0,100
CPT,28755,FUSION OF BIG TOE JOINT,,,0.22,5812.0,100
CPT,28760,FUSION OF BIG TOE JOINT,,,0.22,9407.0,100
CPT,287U,ONC THYR DNA&MRNA 112 GENES,,,0.92,3600.0,14
CPT,28800,AMPUTATION OF MIDFOOT,,,0.22,5483.0,99
CPT,28805,AMPUTATION THRU METATARSAL,,,0.22,5812.0,99
CPT,28810,AMPUTATION TOE & METATARSAL,,,0.22,5812.0,100
CPT,28820,AMPUTATION OF TOE,,,0.22,5812.0,100
CPT,28825,PARTIAL AMPUTATION OF TOE,,,0.22,5812.0,100
CPT,28890,HI ENRGY ESWT PLANTAR FASCIA,,,0.22,7166.0,99
CPT,28899,UNLISTED PX FOOT/TOES,,,0.22,1137.0,97
CPT,288U,ONC LUNG MRNA QUAN PCR 11&3,,,0.92,3873.0,14
CPT,289U,NEURO ALZHEIMER MRNA 24 GEN,,,0.92,760.0,14
CPT,29000,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29010,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29015,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29035,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29040,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29044,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29046,APPLICATION OF BODY CAST,,,0.22,1137.0,104
CPT,29049,APPLICATION OF FIGURE EIGHT,,,0.22,1137.0,104
CPT,29055,APPLICATION OF SHOULDER CAST,,,0.22,1137.0,104
CPT,29058,APPLICATION OF SHOULDER CAST,,,0.22,1137.0,104
CPT,29065,APPLICATION OF LONG ARM CAST,,,0.22,1137.0,104
CPT,29075,APPLICATION OF FOREARM CAST,,,0.22,1137.0,104
CPT,29085,APPLY HAND/WRIST CAST,,,0.22,1137.0,104
CPT,29086,APPLY FINGER CAST,,,0.22,1137.0,104
CPT,290U,PAIN MGMT MRNA GEN XPRSN 36,,,0.92,760.0,14
CPT,29105,APPLY LONG ARM SPLINT,,,0.22,1137.0,104
CPT,29125,APPL/FOREARM SPLINT-STATIC,790.0,592.5,0.22,1137.0,110
CPT,29126,APPLY FOREARM SPLINT,,,0.22,1137.0,104
CPT,29130,APPLICATION OF FINGER SPLINT,656.0,492.0,0.22,1137.0,110
CPT,29131,APPLICATION OF FINGER SPLINT,,,0.22,1137.0,104
CPT,291U,PSYC MOOD DO MRNA 144 GENES,,,0.92,1755.0,14
CPT,29200,STRAPPING OF CHEST,,,0.22,1137.0,104
CPT,29240,STRAPPING OF SHOULDER,,,0.22,1137.0,104
CPT,29260,STRAPPING OF ELBOW OR WRIST,,,0.22,1137.0,104
CPT,29280,STRAPPING OF HAND OR FINGER,,,0.22,1137.0,104
CPT,292U,PSYC STRS DO MRNA 72 GENES,,,0.92,1755.0,14
CPT,29305,APPLICATION OF HIP CAST,,,0.22,1137.0,104
CPT,29325,APPLICATION OF HIP CASTS,,,0.22,1137.0,104
CPT,29345,APPLICATION OF LONG LEG CAST,,,0.22,1137.0,104
CPT,29355,APPLICATION OF LONG LEG CAST,,,0.22,1137.0,104
CPT,29358,APPLY LONG LEG CAST BRACE,,,0.22,1137.0,104
CPT,29365,APPLICATION OF LONG LEG CAST,,,0.22,1137.0,104
CPT,293U,PSYC SUICIDAL IDEA MRNA 54,,,0.92,760.0,14
CPT,29405,APPLY SHORT LEG CAST,,,0.22,1137.0,104
CPT,29425,APPLY SHORT LEG CAST,,,0.22,1137.0,104
CPT,29435,APPLY SHORT LEG CAST,,,0.22,1137.0,104
CPT,29440,ADDITION OF WALKER TO CAST,,,0.22,1137.0,104
CPT,29445,"APPL/CAST, RIGID LEG",955.0,716.25,0.22,1137.0,110
CPT,29450,APPLICATION OF LEG CAST,,,0.22,1137.0,104
CPT,294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,0.92,760.0,14
CPT,29505,APPLICATION LONG LEG SPLINT,,,0.22,1137.0,104
CPT,29515,"APPL/SPLINT, SHORT LEG",550.0,412.5,0.22,1137.0,110
CPT,29520,STRAPPING OF HIP,,,0.22,1137.0,104
CPT,29530,STRAPPING OF KNEE,,,0.22,1137.0,104
CPT,29540,STRAPPING OF ANKLE AND/OR FT,,,0.22,1137.0,104
CPT,29550,STRAPPING OF TOES,,,0.22,1137.0,104
CPT,29580,APPLICATION OF UNNA BOOT,1034.0,775.5,0.22,1137.0,110
CPT,29580,"APPLICATION, UNNA BOOT",573.0,429.75,0.22,1137.0,110
CPT,29581,APPL/CMPRS SYS-MULTLAY-LWR LEG,536.0,402.0,0.22,1137.0,110
CPT,29584,APPL MULTLAY COMPRS ARM/HAND,,,0.22,1137.0,104
CPT,295U,ONC BRST DUX CARC 7 PROTEINS,,,0.92,1897.0,14
CPT,296U,ONC ORL&/OROP CA 20 MLC FEAT,,,0.92,1755.0,14
CPT,29700,REMOVAL/REVISION OF CAST,,,0.22,1137.0,104
CPT,29705,REMV/REVISE FULL ARM/LEG CAST,585.0,438.75,0.22,1137.0,110
CPT,29710,REMOVAL/REVISION OF CAST,,,0.22,1137.0,104
CPT,29720,REPAIR OF BODY CAST,,,0.22,1137.0,104
CPT,29730,WINDOWING OF CAST,,,0.22,1137.0,104
CPT,29740,WEDGING OF CAST,,,0.22,1137.0,104
CPT,29750,WEDGING OF CLUBFOOT CAST,,,0.22,1137.0,104
CPT,29799,CASTING/STRAPPING PROCEDURE,1031.0,773.25,0.22,1137.0,108
CPT,297U,ONC PAN TUM WHL GEN SEQ DNA,,,0.92,2919.6,14
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,0.22,7166.0,105
CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,0.22,16517.19,105
CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,0.22,16507.32,105
CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,0.22,9407.0,105
CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,0.22,9407.0,105
CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,0.22,9407.0,105
CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,0.22,11648.26,105
CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,0.22,10580.88,105
CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,0.22,10580.88,105
CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,0.22,9407.0,105
CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,0.22,9118.09,105
CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,0.22,15699.82,105
CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,0.22,9407.0,99
CPT,29830,ELBOW ARTHROSCOPY,,,0.22,7166.0,105
CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,0.22,7366.22,105
CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,0.22,11780.33,105
CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29840,WRIST ARTHROSCOPY,,,0.22,7166.0,105
CPT,29843,WRIST ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29847,WRIST ARTHROSCOPY/SURGERY,,,0.22,11780.33,105
CPT,29848,WRIST ENDOSCOPY/SURGERY,,,0.22,7299.4,105
CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,0.22,9407.0,105
CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,0.22,14377.14,105
CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,0.22,13081.47,105
CPT,29860,HIP ARTHROSCOPY DX,,,0.22,11780.33,105
CPT,29861,HIP ARTHRO W/FB REMOVAL,,,0.22,9407.0,105
CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,0.22,11780.33,105
CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,0.22,9407.0,105
CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,0.22,11605.07,104
CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,0.22,25491.55,104
CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,0.22,13921.41,104
CPT,29870,KNEE ARTHROSCOPY DX,,,0.22,7166.0,105
CPT,29871,KNEE ARTHROSCOPY/DRAINAGE,,,0.22,7166.0,105
CPT,29873,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29874,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29875,KNEE ARTHROSCOPY/SURGERY,,,0.22,9709.8,105
CPT,29876,KNEE ARTHROSCOPY/SURGERY,,,0.22,10273.58,105
CPT,29877,KNEE ARTHROSCOPY/SURGERY,,,0.22,8689.51,105
CPT,29879,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29880,KNEE ARTHROSCOPY/SURGERY,,,0.22,9828.61,105
CPT,29881,KNEE ARTHROSCOPY/SURGERY,,,0.22,9134.71,105
CPT,29882,KNEE ARTHROSCOPY/SURGERY,,,0.22,13380.67,105
CPT,29883,KNEE ARTHROSCOPY/SURGERY,,,0.22,7304.2,105
CPT,29884,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29885,KNEE ARTHROSCOPY/SURGERY,,,0.22,11780.33,105
CPT,29886,KNEE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29887,KNEE ARTHROSCOPY/SURGERY,,,0.22,11780.33,105
CPT,29888,KNEE ARTHROSCOPY/SURGERY,,,0.22,19601.8,105
CPT,29889,KNEE ARTHROSCOPY/SURGERY,,,0.22,23828.62,105
CPT,29891,ANKLE ARTHROSCOPY/SURGERY,,,0.22,9407.0,105
CPT,29892,ANKLE ARTHROSCOPY/SURGERY,,,0.22,11780.33,105
CPT,29893,SCOPE PLANTAR FASCIOTOMY,,,0.22,5812.0,104
CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,0.22,7166.0,105
CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,0.22,18314.08,105
CPT,298U,ONC PAN TUM WHL TRNS SEQ RNA,,,0.92,2919.6,14
CPT,29900,MCP JOINT ARTHROSCOPY DX,,,0.22,7166.0,105
CPT,29901,MCP JOINT ARTHROSCOPY SURG,,,0.22,7366.22,105
CPT,29902,MCP JOINT ARTHROSCOPY SURG,,,0.22,7166.0,105
CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,0.22,7166.0,104
CPT,29905,SUBTALAR ARTHRO W/EXC,,,0.22,7166.0,104
CPT,29906,SUBTALAR ARTHRO W/DEB,,,0.22,7166.0,104
CPT,29907,SUBTALAR ARTHRO W/FUSION,,,0.22,22135.21,104
CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,0.22,11780.33,104
CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,0.22,17286.68,104
CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,0.22,18314.08,104
CPT,29999,UNLISTED PX ARTHROSCOPY,,,0.22,7166.0,102
CPT,299U,ONC PAN TUM WHL GEN OPT MAPG,,,0.92,1863.22,14
CPT,29U,RX METAB ADVRS TRGT SEQ ALYS,,,0.92,742.27,14
CPT,2M,LIVER DIS 10 ASSAYS W/ASH,,,1.0,421.84,10
CPT,2U,ONC CLRCT 3 UR METAB ALG PLP,,,0.92,25.0,14
CPT,30000,DRAINAGE OF NOSE LESION,,,0.22,1137.0,99
CPT,30020,DRAINAGE OF NOSE LESION,,,0.22,1137.0,99
CPT,300U,ONC PAN TUM WHL GEN SEQ&OPT,,,0.92,4183.13,14
CPT,30100,INTRANASAL BIOPSY,,,0.22,3791.0,99
CPT,30110,REMOVAL OF NOSE POLYP(S),,,0.22,5085.0,99
CPT,30115,REMOVAL OF NOSE POLYP(S),,,0.22,5085.0,100
CPT,30117,REMOVAL OF INTRANASAL LESION,,,0.22,5085.0,100
CPT,30118,REMOVAL OF INTRANASAL LESION,,,0.22,5812.0,100
CPT,30120,REVISION OF NOSE,,,0.22,5812.0,100
CPT,30124,REMOVAL OF NOSE LESION,,,0.22,3791.0,99
CPT,30125,REMOVAL OF NOSE LESION,,,0.22,8165.0,100
CPT,30130,EXCISE INFERIOR TURBINATE,,,0.22,5085.0,100
CPT,30140,RESECT INFERIOR TURBINATE,,,0.22,5812.0,100
CPT,30150,PARTIAL REMOVAL OF NOSE,,,0.22,8165.0,100
CPT,30160,REMOVAL OF NOSE,,,0.22,8165.0,100
CPT,301U,IADNA BARTONELLA DDPCR,,,0.92,262.72,14
CPT,30200,INJECTION TREATMENT OF NOSE,,,0.22,3791.0,99
CPT,30210,NASAL SINUS THERAPY,,,0.22,3791.0,99
CPT,30220,INSERT NASAL SEPTAL BUTTON,,,0.22,3791.0,99
CPT,302U,IADNA BRTNLA DDPCR FLWG LIQ,,,0.92,361.37,14
CPT,30300,REMOVE NASAL FOREIGN BODY,,,0.22,1137.0,99
CPT,30310,REMOVE NASAL FOREIGN BODY,,,0.22,5085.0,100
CPT,30320,REMOVE NASAL FOREIGN BODY,,,0.22,5085.0,100
CPT,303U,HEM RBC ADS WHL BLD HYPOXIC,,,0.92,2201.62,14
CPT,30400,RECONSTRUCTION OF NOSE,,,0.22,8165.0,100
CPT,30410,RECONSTRUCTION OF NOSE,,,0.22,8165.0,100
CPT,30420,RECONSTRUCTION OF NOSE,,,0.22,8165.0,100
CPT,30430,REVISION OF NOSE,,,0.22,5812.0,100
CPT,30435,REVISION OF NOSE,,,0.22,8165.0,100
CPT,30450,REVISION OF NOSE,,,0.22,8165.0,100
CPT,30460,REVISION OF NOSE,,,0.22,8165.0,100
CPT,30462,REVISION OF NOSE,,,0.22,8165.0,100
CPT,30465,REPAIR NASAL STENOSIS,,,0.22,8165.0,100
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,0.22,3047.44,103
CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,0.22,2963.01,98
CPT,304U,HEM RBC ADS WHL BLD NORMOXIC,,,0.92,2075.8,14
CPT,30520,REPAIR OF NASAL SEPTUM,,,0.22,5812.0,100
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,0.22,8165.0,100
CPT,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,0.22,8165.0,100
CPT,30560,LYSIS INTRANASAL SYNECHIA,,,0.22,1137.0,99
CPT,30580,REPAIR UPPER JAW FISTULA,,,0.22,8165.0,100
CPT,305U,HEM RBC FNCLTY&DFRM SHR STRS,,,0.92,662.58,14
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,0.22,8165.0,100
CPT,30620,INTRANASAL RECONSTRUCTION,,,0.22,8165.0,100
CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,0.22,5812.0,100
CPT,306U,ONC MRD NXT-GNRJ ALYS 1ST,,,0.92,3878.45,14
CPT,307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,0.92,794.49,14
CPT,30801,ABLATE INF TURBINATE SUPERF,,,0.22,3791.0,100
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,0.22,5085.0,100
CPT,308T,INSJ OCULAR TELESCOPE PROSTH,,,0.22,87951.63,102
CPT,308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,0.92,390.75,14
CPT,30901,CONTROL OF NOSEBLEED,,,0.22,1137.0,99
CPT,30903,CONTROL OF NOSEBLEED,,,0.22,1137.0,99
CPT,30905,CONTROL OF NOSEBLEED,,,0.22,1137.0,99
CPT,30906,REPEAT CONTROL OF NOSEBLEED,,,0.22,1137.0,99
CPT,30915,LIGATION NASAL SINUS ARTERY,,,0.22,5812.0,100
CPT,30920,LIGATION UPPER JAW ARTERY,,,0.22,5812.0,100
CPT,30930,THER FX NASAL INF TURBINATE,,,0.22,5085.0,100
CPT,30999,UNLISTED PROCEDURE NOSE,,,0.22,1137.0,97
CPT,309U,CRD CV DS ALY 4 PRTN PLM ALG,,,0.92,390.75,14
CPT,30U,RX METAB WARF TRGT SEQ ALYS,,,0.92,134.13,14
CPT,31000,IRRIGATION MAXILLARY SINUS,,,0.22,1137.0,99
CPT,31002,IRRIGATION SPHENOID SINUS,,,0.22,3791.0,99
CPT,31020,EXPLORATION MAXILLARY SINUS,,,0.22,5812.0,100
CPT,31030,EXPLORATION MAXILLARY SINUS,,,0.22,8165.0,100
CPT,31032,EXPLORE SINUS REMOVE POLYPS,,,0.22,8165.0,100
CPT,31040,EXPLORATION BEHIND UPPER JAW,,,0.22,5812.0,99
CPT,31050,EXPLORATION SPHENOID SINUS,,,0.22,8165.0,100
CPT,31051,SPHENOID SINUS SURGERY,,,0.22,8165.0,100
CPT,31070,EXPLORATION OF FRONTAL SINUS,,,0.22,5812.0,100
CPT,31075,EXPLORATION OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31080,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31081,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31084,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31085,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31086,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31087,REMOVAL OF FRONTAL SINUS,,,0.22,8165.0,100
CPT,31090,EXPLORATION OF SINUSES,,,0.22,8165.0,100
CPT,310U,PED VSCLTS KD ALYS 3 BMRKS,,,0.92,390.75,14
CPT,311U,NFCT DS BCT QUAN ANTMCRB SC,,,0.92,8.08,14
CPT,31200,REMOVAL OF ETHMOID SINUS,,,0.22,8165.0,100
CPT,31201,REMOVAL OF ETHMOID SINUS,,,0.22,8165.0,100
CPT,31205,REMOVAL OF ETHMOID SINUS,,,0.22,8165.0,100
CPT,31225,REMOVAL OF UPPER JAW,,,0.22,5483.0,99
CPT,31230,REMOVAL OF UPPER JAW,,,0.22,5483.0,99
CPT,31231,NASAL ENDOSCOPY DX,1852.0,1389.0,0.22,1666.8,105
CPT,31233,NSL/SINS NDSC DX MAX SINUSC,,,0.22,1137.0,99
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,,,0.22,5812.0,100
CPT,31237,NASAL/SINUS ENDOSCOPY SURG,10890.0,8167.5,0.22,9801.0,106
CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,,,0.22,5812.0,100
CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,0.22,7166.0,100
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,0.22,5812.0,100
CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,0.22,606.25,98
CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,0.22,3050.04,98
CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,0.22,2962.03,98
CPT,31253,NSL/SINS NDSC TOTAL,,,0.22,681.99,98
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,0.22,7166.0,100
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,0.22,7166.0,100
CPT,31256,EXPLORATION MAXILLARY SINUS,,,0.22,7166.0,100
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,0.22,608.07,98
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,0.22,644.42,98
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,0.22,7166.0,100
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,0.22,7166.0,100
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,0.22,7166.0,100
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,0.22,7166.0,100
CPT,31290,NASAL/SINUS ENDOSCOPY SURG,,,0.22,5483.0,99
CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,0.22,5483.0,99
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,,,0.22,7166.0,99
CPT,31293,NSL/SINS NDSC MED&INF DCMPRN,,,0.22,7166.0,99
CPT,31294,NSL/SINS NDSC SURG ON DCMPRN,,,0.22,7166.0,99
CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,0.22,7166.0,99
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,0.22,7166.0,99
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,,,0.22,7166.0,99
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,0.22,3779.06,98
CPT,31299,UNLISTED PX ACCESSORY SINUS,,,0.22,1137.0,97
CPT,312T,Implantation Of Neurostimulator Electrodes And Pulse Generator For Vagus Nerve Blocking Therapy For Obesity Using An Endoscope,,,5483.0,5483.0,1
CPT,312U,AI DS SLE ALYS 8 IGG AUTOANT,,,0.92,840.65,14
CPT,31300,REMOVAL OF LARYNX LESION,,,0.22,5812.0,100
CPT,31360,REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31365,REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31367,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31368,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31370,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31375,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31380,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31382,PARTIAL REMOVAL OF LARYNX,,,0.22,5483.0,99
CPT,31390,REMOVAL OF LARYNX & PHARYNX,,,0.22,5483.0,99
CPT,31395,RECONSTRUCT LARYNX & PHARYNX,,,0.22,5483.0,99
CPT,313T,Revision Or Replacement Of Neurostimulator Electrodes For Vagus Nerve Blocking Therapy For Obesity Using An Endoscope,,,5812.0,5812.0,1
CPT,313U,ONC PNCRS DNA&MRNA SEQ 74,,,0.92,3600.0,14
CPT,31400,REVISION OF LARYNX,,,0.22,8165.0,100
CPT,31420,REMOVAL OF EPIGLOTTIS,,,0.22,8165.0,100
CPT,314T,Removal Of Neurostimulator Electrodes And Pulse Generator For Vagus Nerve Blocking Therapy For Obesity Using An Endoscope,,,7166.0,7166.0,1
CPT,314U,ONC CUTAN MLNMA MRNA 35 GENE,,,0.92,1950.0,14
CPT,31500,INTUBATION,1674.0,1255.5,0.22,1506.6,110
CPT,31502,TRACHEOSTOMY TUBE CHANGE,3096.0,2322.0,0.22,2786.4,105
CPT,31505,DIAGNOSTIC LARYNGOSCOPY,,,0.22,1137.0,104
CPT,31510,LARYNGOSCOPY WITH BIOPSY,,,0.22,5812.0,100
CPT,31511,REMOVE FOREIGN BODY LARYNX,,,0.22,1137.0,99
CPT,31512,REMOVAL OF LARYNX LESION,,,0.22,5812.0,100
CPT,31513,INJECTION INTO VOCAL CORD,,,0.22,1137.0,99
CPT,31515,LARYNGOSCOPY FOR ASPIRATION,,,0.22,5812.0,100
CPT,31520,DX LARYNGOSCOPY NEWBORN,,,0.22,1137.0,99
CPT,31525,DX LARYNGOSCOPY EXCL NB,,,0.22,5812.0,100
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,0.22,5812.0,100
CPT,31527,LARYNGOSCOPY FOR TREATMENT,,,0.22,7166.0,100
CPT,31528,LARYNGOSCOPY AND DILATION,,,0.22,5812.0,100
CPT,31529,LARYNGOSCOPY AND DILATION,,,0.22,5812.0,100
CPT,31530,LARYNGOSCOPY W/FB REMOVAL,,,0.22,5812.0,100
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,0.22,5812.0,100
CPT,31535,LARYNGOSCOPY W/BIOPSY,,,0.22,5812.0,100
CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,0.22,5812.0,100
CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,0.22,5812.0,100
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,0.22,5812.0,100
CPT,31545,REMOVE VC LESION W/SCOPE,,,0.22,7166.0,100
CPT,31546,REMOVE VC LESION SCOPE/GRAFT,,,0.22,7166.0,100
CPT,31551,LARYNGOPLASTY LARYNGEAL STEN,,,0.22,2092.26,98
CPT,31552,LARYNGOPLASTY LARYNGEAL STEN,,,0.22,2019.09,98
CPT,31553,LARYNGOPLASTY LARYNGEAL STEN,,,0.22,2260.87,98
CPT,31554,LARYNGOPLASTY LARYNGEAL STEN,,,0.22,2261.72,98
CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,0.22,7166.0,100
CPT,31561,LARYNSCOP REMVE CART + SCOP,,,0.22,7166.0,100
CPT,31570,LARYNGOSCOPE W/VC INJ,,,0.22,5812.0,100
CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,0.22,7166.0,100
CPT,31572,LARGSC W/LASER DSTRJ LES,,,0.22,666.62,98
CPT,31573,LARGSC W/THER INJECTION,,,0.22,376.77,98
CPT,31574,LARGSC W/NJX AUGMENTATION,,,0.22,1155.58,98
CPT,31575,"LARYNGOSCOPY, FLEX FIBER, DIAG",2214.0,1660.5,0.22,1992.6,105
CPT,31576,LARYNGOSCOPY WITH BIOPSY,,,0.22,5812.0,100
CPT,31577,LARGSC W/RMVL FOREIGN BDY(S),,,0.22,3791.0,99
CPT,31578,LARGSC W/REMOVAL LESION,,,0.22,7166.0,100
CPT,31579,LARYNGOSCOPY TELESCOPIC,,,0.22,3791.0,104
CPT,31580,LARYNGOPLASTY LARYNGEAL WEB,,,0.22,8165.0,100
CPT,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,0.22,7166.0,99
CPT,31587,LARYNGOPLASTY CRICOID SPLIT,,,0.22,5483.0,99
CPT,31590,REINNERVATE LARYNX,,,0.22,8165.0,100
CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,0.22,1487.53,98
CPT,31592,CRICOTRACHEAL RESECTION,,,0.22,2352.11,98
CPT,31599,UNLISTED PROCEDURE LARYNX,,,0.22,1137.0,97
CPT,315T,Removal Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of Obesity,,,7166.0,7166.0,1
CPT,315U,ONC CUTAN SQ CLL CA MRNA 40,,,0.92,8500.0,14
CPT,31600,INCISION OF WINDPIPE,,,0.22,5812.0,99
CPT,31601,INCISION OF WINDPIPE,,,0.22,5812.0,99
CPT,31603,INCISION OF WINDPIPE,,,0.22,3791.0,100
CPT,31605,INCISION OF WINDPIPE,,,0.22,3791.0,99
CPT,31610,INCISION OF WINDPIPE,,,0.22,5812.0,99
CPT,31611,SURGERY/SPEECH PROSTHESIS,,,0.22,5812.0,100
CPT,31612,PUNCTURE/CLEAR WINDPIPE,,,0.22,5812.0,100
CPT,31613,REPAIR WINDPIPE OPENING,,,0.22,5812.0,100
CPT,31614,REPAIR WINDPIPE OPENING,,,0.22,8165.0,100
CPT,31615,VISUALIZATION OF WINDPIPE,,,0.22,3791.0,100
CPT,31622,BRONCHOSCOPY DIAGNOSTIC,3495.0,2621.25,0.22,5085.0,106
CPT,31623,DX BRONCHOSCOPE/BRUSH,,,0.22,5085.0,100
CPT,31624,BRONCHSCPY ALVEOLAR LVG,7661.0,5745.75,0.22,6894.9,106
CPT,31625,BRONCHOSCOPY W/BIOPSY(S),,,0.22,5085.0,100
CPT,31626,BRONCHOSCOPY W/MARKERS,,,0.22,5812.0,99
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,0.22,1293.51,99
CPT,31628,BRONCHOSCOPY/LUNG BX EACH,,,0.22,5085.0,100
CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,0.22,5085.0,100
CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,0.22,5812.0,100
CPT,31631,BRONCHOSCOPY DILATE W/STENT,,,0.22,5812.0,100
CPT,31632,BRONCHOSCOPY/LUNG BX ADDL,,,0.22,5085.0,99
CPT,31633,BRONCHOSCOPY/NEEDLE BX ADDL,,,0.22,5085.0,99
CPT,31634,BRONCH W/BALLOON OCCLUSION,,,0.22,5085.0,99
CPT,31635,BRONCHOSCOPY W/FB REMOVAL,,,0.22,5085.0,100
CPT,31636,BRONCHOSCOPY BRONCH STENTS,,,0.22,5812.0,100
CPT,31637,BRONCHOSCOPY STENT ADD-ON,,,0.22,5085.0,100
CPT,31638,BRONCHOSCOPY REVISE STENT,,,0.22,5812.0,100
CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,0.22,5812.0,100
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,0.22,5812.0,100
CPT,31643,DIAG BRONCHOSCOPE/CATHETER,,,0.22,5085.0,100
CPT,31645,BRONCH NON-DIAG BEDSIDE,7498.0,5623.5,0.22,6748.2,106
CPT,31646,BRNCHSC W/THER ASPIR SBSQ,,,0.22,5085.0,100
CPT,31647,BRONCHIAL VALVE INIT INSERT,,,0.22,13217.96,104
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,0.22,6098.57,104
CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,0.22,5085.0,104
CPT,31651,BRONCHIAL VALVE ADDL INSERT,,,0.22,5812.0,104
CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,0.22,7767.55,108
CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,0.22,8753.8,108
CPT,31654,BRONCH EBUS IVNTJ PERPH LES,,,0.22,1294.83,108
CPT,31660,BRONCH THERMOPLSTY 1 LOBE,,,0.22,5812.0,99
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,,,0.22,5812.0,99
CPT,316T,Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of Obesity,,,15229.0,15229.0,1
CPT,316U,B BRGDRFERI LYME DS OSPA EVL,,,0.92,18.66,14
CPT,31717,BRONCHIAL BRUSH BIOPSY,,,0.22,3791.0,99
CPT,31720,CLEARANCE OF AIRWAYS,,,0.22,1137.0,99
CPT,31725,CLEARANCE OF AIRWAYS,,,0.22,5483.0,99
CPT,31730,INTRO WINDPIPE WIRE/TUBE,,,0.22,3791.0,99
CPT,31750,REPAIR OF WINDPIPE,,,0.22,8165.0,100
CPT,31755,REPAIR OF WINDPIPE,,,0.22,8165.0,100
CPT,31760,REPAIR OF WINDPIPE,,,0.22,5483.0,99
CPT,31766,RECONSTRUCTION OF WINDPIPE,,,0.22,5483.0,99
CPT,31770,REPAIR/GRAFT OF BRONCHUS,,,0.22,5483.0,99
CPT,31775,RECONSTRUCT BRONCHUS,,,0.22,5483.0,99
CPT,31780,RECONSTRUCT WINDPIPE,,,0.22,5483.0,99
CPT,31781,RECONSTRUCT WINDPIPE,,,0.22,5483.0,99
CPT,31785,REMOVE WINDPIPE LESION,,,0.22,5812.0,99
CPT,31786,REMOVE WINDPIPE LESION,,,0.22,5483.0,99
CPT,317T,Pulse Generator Analysis Of A Vagus Nerve Blocking Therapy System For Treatment Of Obesity,,,1137.0,1137.0,1
CPT,317U,ONC LUNG CA 4-PRB FISH ASSAY,,,0.92,2030.0,14
CPT,31800,REPAIR OF WINDPIPE INJURY,,,0.22,5085.0,99
CPT,31805,REPAIR OF WINDPIPE INJURY,,,0.22,5483.0,99
CPT,31820,CLOSURE OF WINDPIPE LESION,,,0.22,5812.0,100
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,0.22,5812.0,100
CPT,31830,REVISE WINDPIPE SCAR,,,0.22,5812.0,100
CPT,31899,UNLISTED PX TRACHEA BRONCHI,,,0.22,5085.0,97
CPT,318U,PED WHL GEN MTHYLTN ALYS 50+,,,0.92,1770.48,14
CPT,319U,NEPH RNA PRETRNSPL PERPH BLD,,,0.92,2650.0,14
CPT,31U,CYP1A2 GENE,,,0.92,174.81,14
CPT,32035,THORACOSTOMY W/RIB RESECTION,,,0.22,5483.0,99
CPT,32036,THORACOSTOMY W/FLAP DRAINAGE,,,0.22,5483.0,99
CPT,32096,OPEN WEDGE/BX LUNG INFILTR,,,0.22,5483.0,99
CPT,32097,OPEN WEDGE/BX LUNG NODULE,,,0.22,5483.0,99
CPT,32098,OPEN BIOPSY OF LUNG PLEURA,,,0.22,5483.0,99
CPT,320U,NEPH RNA PSTTRNSPL PERPH BLD,,,0.92,2650.0,14
CPT,32100,EXPLORATION OF CHEST,,,0.22,5483.0,99
CPT,32110,EXPLORE/REPAIR CHEST,,,0.22,5483.0,99
CPT,32120,RE-EXPLORATION OF CHEST,,,0.22,5483.0,99
CPT,32124,EXPLORE CHEST FREE ADHESIONS,,,0.22,5483.0,99
CPT,32140,REMOVAL OF LUNG LESION(S),,,0.22,5483.0,99
CPT,32141,REMOVE/TREAT LUNG LESIONS,,,0.22,5483.0,99
CPT,32150,REMOVAL OF LUNG LESION(S),,,0.22,5483.0,99
CPT,32151,REMOVE LUNG FOREIGN BODY,,,0.22,5483.0,99
CPT,32160,OPEN CHEST HEART MASSAGE,,,0.22,5483.0,99
CPT,321U,IADNA GU PTHGN 20BCT&FNG ORG,,,0.92,634.84,14
CPT,32200,DRAIN OPEN LUNG LESION,,,0.22,5483.0,99
CPT,32215,TREAT CHEST LINING,,,0.22,5483.0,99
CPT,32220,RELEASE OF LUNG,,,0.22,11318.0,99
CPT,32225,PARTIAL RELEASE OF LUNG,,,0.22,11318.0,99
CPT,322U,NEURO ASD MEAS 14 ACYL CARN,,,0.92,750.0,14
CPT,32310,REMOVAL OF CHEST LINING,,,0.22,11318.0,99
CPT,32320,FREE/REMOVE CHEST LINING,,,0.22,11318.0,99
CPT,323U,IADNA CNS PTHGN NEXT GEN SEQ,,,0.92,2126.2,14
CPT,32400,NEEDLE BIOPSY CHEST LINING,,,0.22,5085.0,100
CPT,32405,"Needle Biopsy Of Lung Or Chest Tissue, Accessed Through The Skin",,,1530.0,5085.0,2
CPT,32408,BX LUNG/MEDIAST PERC NDL,5663.0,4247.25,0.22,5096.7,104
CPT,32440,REMOVE LUNG PNEUMONECTOMY,,,0.22,5483.0,99
CPT,32442,SLEEVE PNEUMONECTOMY,,,0.22,5483.0,99
CPT,32445,REMOVAL OF LUNG EXTRAPLEURAL,,,0.22,5483.0,99
CPT,32480,PARTIAL REMOVAL OF LUNG,,,0.22,5483.0,99
CPT,32482,BILOBECTOMY,,,0.22,5483.0,99
CPT,32484,SEGMENTECTOMY,,,0.22,5483.0,99
CPT,32486,SLEEVE LOBECTOMY,,,0.22,5483.0,99
CPT,32488,COMPLETION PNEUMONECTOMY,,,0.22,5483.0,99
CPT,32491,LUNG VOLUME REDUCTION,,,0.22,5483.0,99
CPT,32501,REPAIR BRONCHUS ADD-ON,,,0.22,5483.0,99
CPT,32503,RESECT APICAL LUNG TUMOR,,,0.22,5483.0,99
CPT,32504,RESECT APICAL LUNG TUM/CHEST,,,0.22,5483.0,99
CPT,32505,WEDGE RESECT OF LUNG INITIAL,,,0.22,5483.0,99
CPT,32506,WEDGE RESECT OF LUNG ADD-ON,,,0.22,5483.0,99
CPT,32507,WEDGE RESECT OF LUNG DIAG,,,0.22,5483.0,99
CPT,32540,REMOVAL OF LUNG LESION,,,0.22,5483.0,99
CPT,32550,INSRT TUNLD PLEURAL CATH,7498.5,5623.875,0.22,7597.8,210
CPT,32551,INSERTION OF CHEST TUBE,,,0.22,3791.0,99
CPT,32552,REM TUNNLD PLEURL CATH,5774.0,4330.5,0.22,5196.6,105
CPT,32553,INS MARK THOR FOR RT PERQ,,,0.22,5085.0,99
CPT,32554,ASPIRATE PLEURA W/O IMAGING,,,0.22,3791.0,99
CPT,32555,ASPIRATE PLEURA W/ IMAGING,,,0.22,3791.0,99
CPT,32556,INSERT CATH PLEURA W/O IMAGE,,,0.22,3791.0,99
CPT,32557,PLEURAL DRAINAGE PERC,6688.0,5016.0,0.22,6019.2,105
CPT,32560,TREAT PLEURODESIS W/AGENT,,,0.22,3791.0,99
CPT,32561,INSTL AGNT VIA CHEST TBE INIT,2621.0,1965.75,0.22,3791.0,105
CPT,32562,INSTL AGNT VIA CHEST TBE SUBQ,2474.0,1855.5,0.22,3791.0,105
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,0.22,7166.0,99
CPT,32604,THORACOSCOPY WBX SAC,,,0.22,7166.0,99
CPT,32606,THORACOSCOPY W/BX MED SPACE,,,0.22,7166.0,99
CPT,32607,THORACOSCOPY W/BX INFILTRATE,,,0.22,7166.0,99
CPT,32608,THORACOSCOPY W/BX NODULE,,,0.22,7166.0,99
CPT,32609,THORACOSCOPY W/BX PLEURA,,,0.22,7166.0,99
CPT,32650,THORACOSCOPY W/PLEURODESIS,,,0.22,11318.0,99
CPT,32651,THORACOSCOPY REMOVE CORTEX,,,0.22,11318.0,99
CPT,32652,THORACOSCOPY REM TOTL CORTEX,,,0.22,11318.0,99
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,0.22,9407.0,99
CPT,32654,THORACOSCOPY CONTRL BLEEDING,,,0.22,5483.0,99
CPT,32655,THORACOSCOPY RESECT BULLAE,,,0.22,11318.0,99
CPT,32656,THORACOSCOPY W/PLEURECTOMY,,,0.22,11318.0,99
CPT,32658,THORACOSCOPY W/SAC FB REMOVE,,,0.22,5483.0,99
CPT,32659,THORACOSCOPY W/SAC DRAINAGE,,,0.22,5483.0,99
CPT,32661,THORACOSCOPY W/PERICARD EXC,,,0.22,5483.0,99
CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,0.22,5483.0,99
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,0.22,5483.0,99
CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,0.22,7166.0,99
CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,0.22,5483.0,99
CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,0.22,5483.0,99
CPT,32667,THORACOSCOPY W/W RESECT ADDL,,,0.22,5483.0,99
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,0.22,5483.0,99
CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,0.22,5483.0,99
CPT,32670,THORACOSCOPY BILOBECTOMY,,,0.22,5483.0,99
CPT,32671,THORACOSCOPY PNEUMONECTOMY,,,0.22,5483.0,99
CPT,32672,THORACOSCOPY FOR LVRS,,,0.22,5483.0,99
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,0.22,5483.0,99
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,0.22,5483.0,99
CPT,326U,TRGT GEN SEQ ALYS PNL 83+,,,1.0,5000.0,14
CPT,32701,THORAX STEREO RAD TARGETW/TX,,,0.22,288.54,93
CPT,327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,1.0,795.0,14
CPT,32800,REPAIR LUNG HERNIA,,,0.22,5483.0,99
CPT,32810,CLOSE CHEST AFTER DRAINAGE,,,0.22,5483.0,99
CPT,32815,CLOSE BRONCHIAL FISTULA,,,0.22,5483.0,99
CPT,32820,RECONSTRUCT INJURED CHEST,,,0.22,5483.0,99
CPT,32850,DONOR PNEUMONECTOMY,,,1.0,5483.0,96
CPT,32851,LUNG TRANSPLANT SINGLE,,,1.0,5483.0,98
CPT,32852,LUNG TRANSPLANT WITH BYPASS,,,1.0,5483.0,98
CPT,32853,LUNG TRANSPLANT DOUBLE,,,1.0,6465.03,98
CPT,32854,LUNG TRANSPLANT WITH BYPASS,,,1.0,6837.91,98
CPT,32855,PREPARE DONOR LUNG SINGLE,,,1.0,5483.0,96
CPT,32856,PREPARE DONOR LUNG DOUBLE,,,1.0,5483.0,96
CPT,328U,DRUG ASSAY 120+ RX&METABLT,,,0.92,114.43,14
CPT,32900,REMOVAL OF RIB(S),,,0.22,5483.0,99
CPT,32905,REVISE & REPAIR CHEST WALL,,,0.22,5483.0,99
CPT,32906,REVISE & REPAIR CHEST WALL,,,0.22,5483.0,99
CPT,32940,REVISION OF LUNG,,,0.22,5483.0,99
CPT,32960,THERAPEUTIC PNEUMOTHORAX,,,0.22,3791.0,99
CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,,,0.22,5893.49,103
CPT,32997,TOTAL LUNG LAVAGE,,,0.22,5085.0,99
CPT,32998,ABLATE PULM TUMOR PERQ RF,,,0.22,9407.0,99
CPT,32999,CT PLEURAL BLD PATCH,9104.0,6828.0,0.22,8193.6,103
CPT,329U,ONC NEO XOME&TRNS SEQ ALYS,,,0.92,3437.98,14
CPT,32U,COMT GENE,,,0.92,174.81,14
CPT,33016,PERICARDIOCENTESIS+IMG,8450.0,6337.5,0.22,7605.0,218
CPT,33017,PERC PERICRD DRN CATH>6,3384.0,2538.0,0.22,3045.6,222
CPT,33018,PERC PERICRD DRN CATH<5,3384.0,2538.0,0.22,3045.6,222
CPT,33019,PERC PERICRD DRN INSRT CATH+CT,3384.0,2538.0,0.22,3045.6,111
CPT,33020,INCISION OF HEART SAC,,,0.22,5483.0,99
CPT,33025,INCISION OF HEART SAC,,,0.22,5483.0,99
CPT,33030,PARTIAL REMOVAL OF HEART SAC,,,0.22,5483.0,99
CPT,33031,PARTIAL REMOVAL OF HEART SAC,,,0.22,5483.0,99
CPT,33050,RESECT HEART SAC LESION,,,0.22,5483.0,99
CPT,330U,IADNA VAG PTHGN PANEL 27 ORG,,,0.92,416.78,14
CPT,33120,REMOVAL OF HEART LESION,,,0.22,5483.0,99
CPT,33130,REMOVAL OF HEART LESION,,,0.22,5483.0,99
CPT,33140,HEART REVASCULARIZE (TMR),,,0.22,5483.0,99
CPT,33141,HEART TMR W/OTHER PROCEDURE,,,0.22,5483.0,99
CPT,331T,HEART SYMP IMAGE PLNR,,,0.92,1.12,10
CPT,331U,ONC HL NEO OPT GEN MAPPING,,,0.92,1863.22,14
CPT,33202,INSERT EPICARD ELTRD OPEN,,,0.22,5483.0,99
CPT,33203,INSERT EPICARD ELTRD ENDO,,,0.22,5483.0,99
CPT,33206,INS/REPL PM W/TRNSV LD AT,36057.0,27042.75,0.22,32451.3,105
CPT,33206,INS/RPL PM W/TRNSV LD AT,35935.5,26951.625,0.22,35529.3,210
CPT,33207,INS/RPL PM W/TRNSV LD VE,26623.0,19967.25,0.22,36892.26,110
CPT,33208,INS/RPL PMW/TRNSV LD A-V,44523.0,33392.25,0.22,40070.7,110
CPT,33210,INSRT/REPL TEMP PM LEAD,21916.0,16437.0,0.22,21429.14,220
CPT,33211,INSERT CARD ELECTRODES DUAL,,,0.22,25136.39,104
CPT,33212,INS/PM GEN W/EXIST LD,18436.0,13827.0,0.22,29442.29,111
CPT,33213,INS/PMGEN W/EXISDUALLDS,36588.0,27441.0,0.22,39874.13,111
CPT,33214,UPGRADE OF PACEMAKER SYSTEM,,,0.22,11081.0,99
CPT,33215,REPS TRNSV LD RT ATR/VNT,9732.0,7299.0,0.22,8758.8,110
CPT,33216,INSRT TRAN ELCTRD SNGL,24496.0,18372.0,0.22,22046.4,220
CPT,33217,INSRT TRAN ELCTRD DUAL,22807.0,17105.25,0.22,20526.3,105
CPT,33218,REPAIR LEAD PACE-DEFIB ONE,,,0.22,5812.0,99
CPT,33220,REPAIR LEAD PACE-DEFIB DUAL,,,0.22,5812.0,99
CPT,33221,INSRT PULSE GEN MULT LDS,45257.0,33942.75,0.22,40731.3,105
CPT,33222,REVSN/RELOC PM SKN POCKT,8741.0,6555.75,0.22,7866.9,111
CPT,33223,RELOCATE SKIN PKT AICD,8741.0,6555.75,0.22,7866.9,106
CPT,33224,INSRT LD VEN LTVENT PREV,49576.0,37182.0,0.22,52366.69,110
CPT,33225,INS LV LD W/PM OR AICD,93641.0,70230.75,0.22,84276.9,110
CPT,33226,REPOSITION L VENTRIC LEAD,,,0.22,5812.0,104
CPT,33227,REM/REPL PM GEN SGL LD,14183.0,10637.25,0.22,12764.7,105
CPT,33228,REM/REPL PM GEN DUAL LD,43375.0,32531.25,0.22,39037.5,110
CPT,33229,REM/REPL PM MULT LDS,50653.0,37989.75,0.22,45587.7,105
CPT,33230,INS AICD W/DUAL LDS,60680.0,45510.0,0.22,54612.0,105
CPT,33231,INS AICD W/MULTI LDS,59026.0,44269.5,0.22,53123.4,105
CPT,33233,REM PCMKR PULS GEN ONLY,20856.0,15642.0,0.22,21081.56,111
CPT,33234,REM TRANSV PM ELCTD SNGL,8741.0,6555.75,0.22,7866.9,110
CPT,33235,REM PCMKR TRAN ELCT DUAL,13703.0,10277.25,0.22,12332.7,110
CPT,33236,REMOVE ELECTRODE/THORACOTOMY,,,0.22,5483.0,99
CPT,33237,REMOVE ELECTRODE/THORACOTOMY,,,0.22,5483.0,99
CPT,33238,REMOVE ELECTRODE/THORACOTOMY,,,0.22,5483.0,99
CPT,33240,INSRT AICD W/EXIS LD,67831.0,50873.25,0.22,100301.77,110
CPT,33241,REM AICD PULS GEN,8139.0,6104.25,0.22,7325.1,110
CPT,33243,REM SGL DUAL DFIB ELECT THORA,15175.0,11381.25,0.22,13657.5,112
CPT,33244,REM AICD LDS TRANSVEN,15177.0,11382.75,0.22,13659.3,110
CPT,33249,INSRT/RPLC AICD & LDS,95372.0,71529.0,0.22,108584.15,330
CPT,33250,ABLATE HEART DYSRHYTHM FOCUS,,,0.22,5483.0,99
CPT,33251,ABLATE HEART DYSRHYTHM FOCUS,,,0.22,5483.0,99
CPT,33254,ABLATE ATRIA LMTD,,,0.22,5483.0,99
CPT,33255,ABLATE ATRIA W/O BYPASS EXT,,,0.22,5483.0,99
CPT,33256,ABLATE ATRIA W/BYPASS EXTEN,,,0.22,5483.0,99
CPT,33257,ABLATE ATRIA LMTD ADD-ON,,,0.22,5483.0,99
CPT,33258,ABLATE ATRIA X10SV ADD-ON,,,0.22,5483.0,99
CPT,33259,ABLATE ATRIA W/BYPASS ADD-ON,,,0.22,5483.0,99
CPT,33261,ABLATE HEART DYSRHYTHM FOCUS,,,0.22,5483.0,99
CPT,33262,REM/REPL AICD SINGL LD,59026.0,44269.5,0.22,81642.13,110
CPT,33263,REM/REPL AICD DUAL LD,59026.0,44269.5,0.22,100384.31,110
CPT,33264,REM/REPL AICD MULT LD,59026.0,44269.5,0.22,115952.13,110
CPT,33265,ABLATE ATRIA LMTD ENDO,,,0.22,5483.0,99
CPT,33266,ABLATE ATRIA X10SV ENDO,,,0.22,5483.0,99
CPT,33267,EXCL LAA OPEN ANY METHOD,,,0.22,1468.89,98
CPT,33268,EXCL LAA OPN OTH PX ANY METH,,,0.22,182.77,98
CPT,33269,EXCL LAA THRSCP ANY METHOD,,,0.22,1168.41,98
CPT,33270,INSRT/RPL SQ DEFIB W/ELE,111564.0,83673.0,0.22,137944.51,218
CPT,33271,INS SQ DEFIB ELEC,16869.0,12651.75,0.22,30749.25,109
CPT,33272,RMV SQ DEFIB ELEC,8247.0,6185.25,0.22,7422.3,109
CPT,33273,REPOS SQ DEFIB ELEC/GEN,20212.0,15159.0,0.22,18190.8,109
CPT,33274,TRANSCATH INS/RPL PERM LDLS PM,62282.0,46711.5,0.22,56053.8,109
CPT,33275,REM PPM LDLES VENTR,18846.0,14134.5,0.22,16961.4,109
CPT,33276,INSJ PHRNC NRV STIM SYS,,,0.22,803.79,98
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,,,0.22,362.71,98
CPT,33278,RMVL PHRNC NRV STIM SYS,,,0.22,799.57,98
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,,,0.22,478.38,98
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,,,0.22,274.57,98
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,,,0.22,486.25,98
CPT,33285,INSRT SUBQ CAR RHYTHM MNTR,30716.0,23037.0,0.22,28050.3,218
CPT,33286,RMVL SUBQ CAR RHYTHM MNTR,9217.5,6913.125,0.22,8488.8,218
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,0.22,539.39,98
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,0.22,655.42,98
CPT,33289,TCAT IMPL WRLS P-ART PRS SNR,88020.0,66015.0,0.22,79218.0,218
CPT,332T,HEART SYMP IMAGE PLNR SPECT,,,0.92,1.12,10
CPT,332U,ONC PAN TUM GEN PRFLG 8 DNA,,,0.92,1142.06,14
CPT,33300,REPAIR OF HEART WOUND,,,0.22,5483.0,99
CPT,33305,REPAIR OF HEART WOUND,,,0.22,5741.48,99
CPT,33310,EXPLORATORY HEART SURGERY,,,0.22,5483.0,99
CPT,33315,EXPLORATORY HEART SURGERY,,,0.22,5483.0,99
CPT,33320,REPAIR MAJOR BLOOD VESSEL(S),,,0.22,5483.0,99
CPT,33321,REPAIR MAJOR VESSEL,,,0.22,5483.0,99
CPT,33322,REPAIR MAJOR BLOOD VESSEL(S),,,0.22,5483.0,99
CPT,33330,INSERT MAJOR VESSEL GRAFT,,,0.22,5483.0,99
CPT,33335,INSERT MAJOR VESSEL GRAFT,,,0.22,5483.0,99
CPT,33340,ATRIAL APPENDGE OCCLUSN,42410.0,31807.5,0.22,38169.0,111
CPT,33361,TAVR PERC FEM,83918.0,62938.5,0.22,75526.2,112
CPT,33362,TAVR OPEN FEM,83918.0,62938.5,0.22,75526.2,112
CPT,33363,REPLACE AORTIC VALVE OPEN,,,0.22,5483.0,99
CPT,33364,REPLACE AORTIC VALVE OPEN,,,0.22,5483.0,99
CPT,33365,REPLACE AORTIC VALVE OPEN,,,0.22,5483.0,99
CPT,33366,TRCATH REPLACE AORTIC VALVE,,,0.22,2195.68,98
CPT,33367,REPLACE AORTIC VALVE W/BYP,,,0.22,5483.0,99
CPT,33368,REPLACE AORTIC VALVE W/BYP,,,0.22,5483.0,99
CPT,33369,REPLACE AORTIC VALVE W/BYP,,,0.22,5483.0,99
CPT,33370,TCAT PLMT&RMVL CEPD PERQ,,,0.22,187.23,98
CPT,33390,VALVULOPLASTY AORTIC VALVE,,,0.22,2699.49,98
CPT,33391,VALVULOPLASTY AORTIC VALVE,,,0.22,3201.41,98
CPT,333U,ONC LVR SURVEILANC HCC CFDNA,,,0.92,662.32,14
CPT,33404,PREPARE HEART-AORTA CONDUIT,,,0.22,5483.0,99
CPT,33405,REPLACEMENT AORTIC VALVE OPN,,,0.22,5483.0,99
CPT,33406,REPLACEMENT AORTIC VALVE OPN,,,0.22,5483.0,99
CPT,33410,REPLACEMENT AORTIC VALVE OPN,,,0.22,5483.0,99
CPT,33411,REPLACEMENT OF AORTIC VALVE,,,0.22,5483.0,99
CPT,33412,REPLACEMENT OF AORTIC VALVE,,,0.22,5483.0,99
CPT,33413,REPLACEMENT OF AORTIC VALVE,,,0.22,5483.0,99
CPT,33414,REPAIR OF AORTIC VALVE,,,0.22,5483.0,99
CPT,33415,REVISION SUBVALVULAR TISSUE,,,0.22,5483.0,99
CPT,33416,REVISE VENTRICLE MUSCLE,,,0.22,5483.0,99
CPT,33417,REPAIR OF AORTIC VALVE,,,0.22,5483.0,99
CPT,33418,PERC T-CATH MTRL VLV RPR,15502.0,11626.5,0.22,13951.8,111
CPT,33419,REPAIR TCAT MITRAL VALVE,,,0.22,590.27,98
CPT,33420,REVISION OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33422,REVISION OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33425,REPAIR OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33426,REPAIR OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33427,REPAIR OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33430,REPLACEMENT OF MITRAL VALVE,,,0.22,5483.0,99
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,,,0.22,35351.25,103
CPT,33460,REVISION OF TRICUSPID VALVE,,,0.22,5483.0,99
CPT,33463,VALVULOPLASTY TRICUSPID,,,0.22,5483.0,99
CPT,33464,VALVULOPLASTY TRICUSPID,,,0.22,5483.0,99
CPT,33465,REPLACE TRICUSPID VALVE,,,0.22,5483.0,99
CPT,33468,REVISION OF TRICUSPID VALVE,,,0.22,5483.0,99
CPT,33470,"Incision Of Valve Between Lower Right Heart Chamber And Main Lung Artery, Closed Heart Procedure, Approached Through Heart",,,5483.0,5483.0,1
CPT,33471,VLVT PV CLSD HRT VIA P-ART,,,0.22,5483.0,2
CPT,33474,REVISION OF PULMONARY VALVE,,,0.22,5483.0,99
CPT,33475,REPLACEMENT PULMONARY VALVE,,,0.22,5483.0,99
CPT,33476,REVISION OF HEART CHAMBER,,,0.22,5483.0,99
CPT,33477,IMPLT TRANSCATH PULM VAL PERC,57865.0,43398.75,0.22,52078.5,111
CPT,33478,REVISION OF HEART CHAMBER,,,0.22,5483.0,99
CPT,33496,REPAIR PROSTH VALVE CLOT,,,0.22,5483.0,99
CPT,334U,ONC SLD ORGN TGSA DNA 84/+,,,1.0,3463.63,14
CPT,33500,REPAIR HEART VESSEL FISTULA,,,0.22,5483.0,99
CPT,33501,REPAIR HEART VESSEL FISTULA,,,0.22,5483.0,99
CPT,33502,CORONARY ARTERY CORRECTION,,,0.22,5483.0,99
CPT,33503,CORONARY ARTERY GRAFT,,,0.22,5483.0,99
CPT,33504,CORONARY ARTERY GRAFT,,,0.22,5483.0,99
CPT,33505,REPAIR ARTERY W/TUNNEL,,,0.22,5483.0,99
CPT,33506,REPAIR ARTERY TRANSLOCATION,,,0.22,5483.0,99
CPT,33507,REPAIR ART INTRAMURAL,,,0.22,5483.0,99
CPT,33508,ENDOSCOPIC VEIN HARVEST,,,0.22,1137.0,99
CPT,33509,NDSC HRV UXTR ART 1 SGM CAB,,,0.22,244.12,98
CPT,33510,CABG VEIN SINGLE,,,0.22,5483.0,99
CPT,33511,CABG VEIN TWO,,,0.22,5483.0,99
CPT,33512,CABG VEIN THREE,,,0.22,5483.0,99
CPT,33513,CABG VEIN FOUR,,,0.22,5483.0,99
CPT,33514,CABG VEIN FIVE,,,0.22,5483.0,99
CPT,33516,CABG VEIN SIX OR MORE,,,0.22,5483.0,99
CPT,33517,CABG ARTERY-VEIN SINGLE,,,0.22,5483.0,99
CPT,33518,CABG ARTERY-VEIN TWO,,,0.22,5483.0,99
CPT,33519,CABG ARTERY-VEIN THREE,,,0.22,5483.0,99
CPT,33521,CABG ARTERY-VEIN FOUR,,,0.22,5483.0,99
CPT,33522,CABG ARTERY-VEIN FIVE,,,0.22,5483.0,99
CPT,33523,CABG ART-VEIN SIX OR MORE,,,0.22,5483.0,99
CPT,33530,CORONARY ARTERY BYPASS/REOP,,,0.22,5483.0,99
CPT,33533,CABG ARTERIAL SINGLE,,,0.22,5483.0,99
CPT,33534,CABG ARTERIAL TWO,,,0.22,5483.0,99
CPT,33535,CABG ARTERIAL THREE,,,0.22,5483.0,99
CPT,33536,CABG ARTERIAL FOUR OR MORE,,,0.22,5483.0,99
CPT,33542,REMOVAL OF HEART LESION,,,0.22,5483.0,99
CPT,33545,REPAIR OF HEART DAMAGE,,,0.22,5483.0,99
CPT,33548,RESTORE/REMODEL VENTRICLE,,,0.22,5483.0,99
CPT,33572,OPEN CORONARY ENDARTERECTOMY,,,0.22,5483.0,99
CPT,335T,INSJ SINUS TARSI IMPLANT,,,0.22,16.13,101
CPT,335U,RARE DS WHL GEN SEQ FETA,,,0.92,5224.6,14
CPT,33600,CLOSURE OF VALVE,,,0.22,5483.0,99
CPT,33602,CLOSURE OF VALVE,,,0.22,5483.0,99
CPT,33606,ANASTOMOSIS/ARTERY-AORTA,,,0.22,5483.0,99
CPT,33608,REPAIR ANOMALY W/CONDUIT,,,0.22,5483.0,99
CPT,33610,REPAIR BY ENLARGEMENT,,,0.22,5483.0,99
CPT,33611,REPAIR DOUBLE VENTRICLE,,,0.22,5483.0,99
CPT,33612,REPAIR DOUBLE VENTRICLE,,,0.22,5483.0,99
CPT,33615,REPAIR MODIFIED FONTAN,,,0.22,5483.0,99
CPT,33617,REPAIR SINGLE VENTRICLE,,,0.22,5483.0,99
CPT,33619,REPAIR SINGLE VENTRICLE,,,0.22,5483.0,99
CPT,33620,APPLY R&L PULM ART BANDS,,,0.22,5483.0,99
CPT,33621,TRANSTHOR CATH FOR STENT,,,0.22,5483.0,99
CPT,33622,REDO COMPL CARDIAC ANOMALY,,,0.22,5483.0,99
CPT,33641,REPAIR HEART SEPTUM DEFECT,,,0.22,5483.0,99
CPT,33645,REVISION OF HEART VEINS,,,0.22,5483.0,99
CPT,33647,REPAIR HEART SEPTUM DEFECTS,,,0.22,5483.0,99
CPT,33660,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33665,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33670,REPAIR OF HEART CHAMBERS,,,0.22,5483.0,99
CPT,33675,CLOSE MULT VSD,,,0.22,5483.0,99
CPT,33676,CLOSE MULT VSD W/RESECTION,,,0.22,5483.0,99
CPT,33677,CL MULT VSD W/REM PUL BAND,,,0.22,5483.0,99
CPT,33681,REPAIR HEART SEPTUM DEFECT,,,0.22,5483.0,99
CPT,33684,REPAIR HEART SEPTUM DEFECT,,,0.22,5483.0,99
CPT,33688,REPAIR HEART SEPTUM DEFECT,,,0.22,5483.0,99
CPT,33690,REINFORCE PULMONARY ARTERY,,,0.22,5483.0,99
CPT,33692,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33694,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33697,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,336U,RARE DS WHL GEN SEQ BLD/SLV,,,0.92,2574.65,14
CPT,33702,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33710,REPAIR OF HEART DEFECTS,,,0.22,5483.0,99
CPT,33720,REPAIR OF HEART DEFECT,,,0.22,5483.0,99
CPT,33722,Repair Of Extra Blood Flow Tract From Left Heart Chamber To Aorta,,,5483.0,5483.0,1
CPT,33724,REPAIR VENOUS ANOMALY,,,0.22,5483.0,99
CPT,33726,REPAIR PUL VENOUS STENOSIS,,,0.22,5483.0,99
CPT,33730,REPAIR HEART-VEIN DEFECT(S),,,0.22,5483.0,99
CPT,33732,REPAIR HEART-VEIN DEFECT,,,0.22,5483.0,99
CPT,33735,REVISION OF HEART CHAMBER,,,0.22,5483.0,99
CPT,33736,REVISION OF HEART CHAMBER,,,0.22,5483.0,99
CPT,33737,REVISION OF HEART CHAMBER,,,0.22,5483.0,2
CPT,33741,TAS CONGENITAL CAR ANOMAL,,,0.22,1047.51,98
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,,,0.22,1496.19,98
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,,,0.22,597.44,98
CPT,33750,MAJOR VESSEL SHUNT,,,0.22,5483.0,99
CPT,33755,MAJOR VESSEL SHUNT,,,0.22,5483.0,99
CPT,33762,MAJOR VESSEL SHUNT,,,0.22,5483.0,99
CPT,33764,MAJOR VESSEL SHUNT & GRAFT,,,0.22,5483.0,99
CPT,33766,MAJOR VESSEL SHUNT,,,0.22,5483.0,99
CPT,33767,MAJOR VESSEL SHUNT,,,0.22,5483.0,99
CPT,33768,CAVOPULMONARY SHUNTING,,,0.22,5483.0,99
CPT,33770,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33771,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33774,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33775,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33776,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33777,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33778,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33779,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33780,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33781,REPAIR GREAT VESSELS DEFECT,,,0.22,5483.0,99
CPT,33782,NIKAIDOH PROC,,,0.22,5483.0,99
CPT,33783,NIKAIDOH PROC W/OSTIA IMPLT,,,0.22,5483.0,99
CPT,33786,REPAIR ARTERIAL TRUNK,,,0.22,5483.0,99
CPT,33788,REVISION OF PULMONARY ARTERY,,,0.22,5483.0,99
CPT,337U,ONC PLSM CELL DO&MYELOMA ID,,,0.92,2435.0,14
CPT,33800,AORTIC SUSPENSION,,,0.22,5483.0,99
CPT,33802,REPAIR VESSEL DEFECT,,,0.22,5483.0,99
CPT,33803,REPAIR VESSEL DEFECT,,,0.22,5483.0,99
CPT,33813,REPAIR SEPTAL DEFECT,,,0.22,5483.0,2
CPT,33814,REPAIR SEPTAL DEFECT,,,0.22,5483.0,99
CPT,33820,REVISE MAJOR VESSEL,,,0.22,11081.0,99
CPT,33822,REVISE MAJOR VESSEL,,,0.22,11318.0,99
CPT,33824,REVISE MAJOR VESSEL,,,0.22,11081.0,99
CPT,33840,REMOVE AORTA CONSTRICTION,,,0.22,5483.0,99
CPT,33845,REMOVE AORTA CONSTRICTION,,,0.22,5483.0,99
CPT,33851,REMOVE AORTA CONSTRICTION,,,0.22,5483.0,99
CPT,33852,REPAIR SEPTAL DEFECT,,,0.22,5483.0,99
CPT,33853,REPAIR SEPTAL DEFECT,,,0.22,5483.0,99
CPT,33858,AS-AORT GRF F/AORTIC DSJ,,,0.22,4765.61,98
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,,,0.22,3421.45,98
CPT,33863,ASCENDING AORTIC GRAFT,,,0.22,5483.0,99
CPT,33864,ASCENDING AORTIC GRAFT,,,0.22,5483.0,99
CPT,33866,AORTIC HEMIARCH GRAFT,,,0.22,10756.78,103
CPT,33871,TRANSVRS A-ARCH GRF HYPTHRM,,,0.22,4567.11,98
CPT,33875,THORACIC AORTIC GRAFT,,,0.22,5483.0,99
CPT,33877,THORACOABDOMINAL GRAFT,,,0.22,5483.0,99
CPT,33880,ENDOVASC TAA REPR INCL SUBCL,,,0.22,5483.0,99
CPT,33881,ENDOVASC TAA REPR W/O SUBCL,,,0.22,5483.0,99
CPT,33883,INSERT ENDOVASC PROSTH TAA,,,0.22,5483.0,99
CPT,33884,ENDOVASC PROSTH TAA ADD-ON,,,0.22,5483.0,99
CPT,33886,ENDOVASC PROSTH DELAYED,,,0.22,5483.0,99
CPT,33889,ARTERY TRANSPOSE/ENDOVAS TAA,,,0.22,5483.0,99
CPT,33891,CAR-CAR BP GRFT/ENDOVAS TAA,,,0.22,5483.0,99
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,0.22,1366.97,98
CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,0.22,1087.09,98
CPT,33897,PERQ TRLUML ANGP NT/RECR COA,,,0.22,808.37,98
CPT,338T,TRNSCTH RENAL SYMP DENRV UNL,,,0.22,16.13,96
CPT,338U,ONC SLD TUM CRCG TUM CL SLCT,,,0.92,2435.0,14
CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,,,0.22,28930.14,103
CPT,33901,PERQ P-ART REVSC 1 NM NT BI,,,0.22,31421.36,103
CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,0.22,51815.45,103
CPT,33903,PERQ P-ART REVSC 1 ABNOR BI,,,0.22,36116.3,103
CPT,33904,PERQ P-ART REVSC EACH ADDL,,,0.22,414.05,98
CPT,33910,REMOVE LUNG ARTERY EMBOLI,,,0.22,5483.0,99
CPT,33915,REMOVE LUNG ARTERY EMBOLI,,,0.22,5483.0,99
CPT,33916,SURGERY OF GREAT VESSEL,,,0.22,5864.25,99
CPT,33917,REPAIR PULMONARY ARTERY,,,0.22,5483.0,99
CPT,33920,REPAIR PULMONARY ATRESIA,,,0.22,5483.0,99
CPT,33922,TRANSECT PULMONARY ARTERY,,,0.22,5483.0,99
CPT,33924,REMOVE PULMONARY SHUNT,,,0.22,5483.0,99
CPT,33925,RPR PUL ART UNIFOCAL W/O CPB,,,0.22,5483.0,99
CPT,33926,REPR PUL ART UNIFOCAL W/CPB,,,0.22,5483.0,99
CPT,33927,IMPLTJ TOT RPLCMT HRT SYS,,,0.22,3588.52,98
CPT,33928,RMVL & RPLCMT TOT HRT SYS,,,0.22,16.13,96
CPT,33929,RMVL RPLCMT HRT SYS F/TRNSPL,,,0.22,16.13,96
CPT,33930,REMOVAL OF DONOR HEART/LUNG,,,0.22,5483.0,97
CPT,33933,PREPARE DONOR HEART/LUNG,,,0.22,5483.0,97
CPT,33935,TRANSPLANTATION HEART/LUNG,,,0.22,6881.36,99
CPT,33940,REMOVAL OF DONOR HEART,,,0.22,5483.0,97
CPT,33944,PREPARE DONOR HEART,,,1.0,5483.0,96
CPT,33945,TRANSPLANTATION OF HEART,,,0.22,6826.54,99
CPT,33946,ECMO/INIT DAY VENO-VENOUS,30221.0,22665.75,0.22,27198.9,116
CPT,33947,ECMO/INIT DAY VENO-ARTERIAL,30221.0,22665.75,0.22,27198.9,116
CPT,33948,ECMO DAILY MGMT VENO-VENOUS,10056.0,7542.0,0.22,9050.4,116
CPT,33949,ECMO/DAILY MGMT VENO-ARTERIAL,10056.0,7542.0,0.22,9050.4,116
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,,,0.22,4493.91,103
CPT,33952,ECMO/ECLS INSJ PRPH CANNULA,,,0.22,4493.91,103
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,,,0.22,5020.52,103
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,,,0.22,5020.52,103
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,,,0.22,8793.12,103
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,,,0.22,8757.0,103
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,,,0.22,1958.45,103
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,,,0.22,1911.54,103
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,,,0.22,2481.38,103
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,,,0.22,2481.38,103
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,,,0.22,4962.76,103
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,,,0.22,5074.6,103
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,,,0.22,1958.45,103
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,,,0.22,2492.17,103
CPT,33967,PERC INSERT IABP DEV,3130.0,2347.5,0.22,15229.0,112
CPT,33968,PERC IABP REMOVAL,4687.0,3515.25,0.22,15229.0,112
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,,,0.22,2899.84,103
CPT,33970,AORTIC CIRCULATION ASSIST,,,0.22,5483.0,99
CPT,33971,AORTIC CIRCULATION ASSIST,,,0.22,5483.0,99
CPT,33973,INSERT BALLOON DEVICE,,,0.22,5483.0,99
CPT,33974,REMOVE INTRA-AORTIC BALLOON,,,0.22,5483.0,99
CPT,33975,INSRT VAD SGL VENTRICLE,98592.0,73944.0,0.22,88732.8,112
CPT,33976,IMPLANT VENTRICULAR DEVICE,,,0.22,5483.0,99
CPT,33977,REMOVE VENTRICULAR DEVICE,,,0.22,5483.0,99
CPT,33978,REMOVE VENTRICULAR DEVICE,,,0.22,5483.0,99
CPT,33979,INSERT INTRACORPOREAL DEVICE,,,0.22,5483.0,99
CPT,33980,REMOVE INTRACORPOREAL DEVICE,,,0.22,5483.0,99
CPT,33981,REPLACE VAD PUMP EXT,,,0.22,5483.0,99
CPT,33982,REPLACE VAD INTRA W/O BP,,,0.22,5483.0,99
CPT,33983,REPLACE VAD INTRA W/BP,,,0.22,5483.0,99
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,,,0.22,3011.62,103
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,,,0.22,5431.62,103
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,,,0.22,5493.0,103
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,,,0.22,2207.32,103
CPT,33988,INSERTION OF LEFT HEART VENT,,,0.22,8241.3,103
CPT,33989,REMOVAL OF LEFT HEART VENT,,,0.22,5218.9,103
CPT,33990,INS VAD LEFT HRT PERC ART,91377.0,68532.75,0.22,82239.3,112
CPT,33990,INS VAD PERC ART,24401.0,18300.75,0.22,21960.9,112
CPT,33991,INS VAD LEFT PERC ART/VEIN,91374.0,68530.5,0.22,82236.6,112
CPT,33992,REMOVE PERC VAD,98592.0,73944.0,0.22,88732.8,112
CPT,33993,REPOS VAD PERC W/IMAGING,101694.0,76270.5,0.22,91524.6,112
CPT,33995,INSJ PERQ VAD R HRT VENOUS,,,0.22,493.94,98
CPT,33997,RMVL PERQ RIGHT HEART VAD,,,0.22,225.08,98
CPT,33999,UNLISTED PX CARDIAC SURGERY,,,0.22,3791.0,97
CPT,339T,TRNSCTH RENAL SYMP DENRV BIL,,,0.22,16.13,96
CPT,339U,ONC PRST8 MRNA HOXC6 & DLX1,,,1.0,760.0,14
CPT,33U,HTR2A HTR2C GENES,,,0.92,349.62,14
CPT,34001,REMOVAL OF ARTERY CLOT,,,0.22,5483.0,99
CPT,34051,REMOVAL OF ARTERY CLOT,,,0.22,5483.0,99
CPT,340U,ONC PAN CA ALYS MRD PLASMA,,,0.92,3920.0,14
CPT,34101,REMOVAL OF ARTERY CLOT,,,0.22,8165.0,99
CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,0.22,8165.0,99
CPT,34151,REMOVAL OF ARTERY CLOT,,,0.22,5483.0,99
CPT,341U,FTL ANEUP DNA SEQ CMPR ALYS,,,0.92,1900.2,14
CPT,34201,REMOVAL OF ARTERY CLOT,,,0.22,8165.0,99
CPT,34203,REMOVAL OF LEG ARTERY CLOT,,,0.22,8165.0,99
CPT,342T,THXP APHERESIS W/HDL DELIP,,,0.22,16.13,101
CPT,342U,ONC PNCRTC CA MULT IA ECLIA,,,0.92,897.0,14
CPT,343U,ONC PRST8 XOM ALY 442 SNCRNA,,,0.92,760.0,14
CPT,34401,REMOVAL OF VEIN CLOT,,,0.22,5483.0,99
CPT,34421,REMOVAL OF VEIN CLOT,,,0.22,8165.0,99
CPT,34451,REMOVAL OF VEIN CLOT,,,0.22,5483.0,99
CPT,34471,REMOVAL OF VEIN CLOT,,,0.22,8165.0,99
CPT,34490,REMOVAL OF VEIN CLOT,,,0.22,8165.0,99
CPT,344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,0.92,792.17,14
CPT,34501,REPAIR VALVE FEMORAL VEIN,,,0.22,8165.0,99
CPT,34502,RECONSTRUCT VENA CAVA,,,0.22,5483.0,99
CPT,34510,TRANSPOSITION OF VEIN VALVE,,,0.22,8165.0,99
CPT,34520,CROSS-OVER VEIN GRAFT,,,0.22,8165.0,99
CPT,34530,LEG VEIN FUSION,,,0.22,8165.0,99
CPT,345T,TRANSCATH MTRAL VLVE REPAIR,,,0.22,16.13,96
CPT,345U,PSYC GENOM ALYS PNL 15 GEN,,,0.92,1336.09,14
CPT,34701,ENDO RPR AA ENDOGRT NO RUP+S&I,16761.0,12570.75,0.22,15084.9,116
CPT,34702,EVASC RPR A-AO NDGFT RPT,,,0.22,6716.05,103
CPT,34703,EVASC RPR A-UNILAC NDGFT,,,0.22,5065.99,103
CPT,34704,EVASC RPR A-UNILAC NDGFT RPT,,,0.22,8426.53,103
CPT,34705,ENDO RPR AORT-BI-ILIAC NO/RUP,15377.0,11532.75,0.22,13839.3,116
CPT,34706,EVASC RPR A-BIILIAC RPT,,,0.22,8400.11,103
CPT,34707,EVASC RPR ILIO-ILIAC NDGFT,,,0.22,4192.49,103
CPT,34708,EVASC RPR ILIO-ILIAC RPT,,,0.22,6747.53,103
CPT,34709,PLMT XTN PROSTH EVASC RPR,,,0.22,1180.61,103
CPT,34710,DELAY PLC PROX ANEU INIT+S&I,17172.5,12879.375,0.22,15825.6,232
CPT,34711,DLYD PLMT XTN PROSTH EA ADDL,,,0.22,1089.96,103
CPT,34712,TCAT DLVR ENHNCD FIXJ DEV,,,0.22,2500.9,103
CPT,34713,PERC ACCES+DEL GFT+US/UNI,13870.0,10402.5,0.22,12483.0,109
CPT,34714,OPN FEM ART EXPOS CNDT CRTJ,,,0.22,379.08,98
CPT,34715,OPN AX/SUBCLA ART EXPOS,,,0.22,421.13,98
CPT,34716,OPN AX/SUBCLA ART EXPOS CNDT,,,0.22,523.85,98
CPT,34717,EVASC RPR A-ILIAC NDGFT,,,0.22,623.25,98
CPT,34718,EVASC RPR N/A A-ILIAC NDGFT,,,0.22,1740.22,98
CPT,347T,INS BONE DEVICE FOR RSA,,,0.22,16.13,101
CPT,347U,RX METAB/PCX DNA 16 GEN ALYS,,,0.92,1336.09,14
CPT,34808,ENDOVAS ILIAC A DEVICE ADDON,,,0.22,5483.0,99
CPT,34812,OPN FEM ART EXPOS,,,0.22,5483.0,99
CPT,34813,FEMORAL ENDOVAS GRAFT ADD-ON,,,0.22,5483.0,99
CPT,34820,OPN ILIAC ART EXPOS,,,0.22,5483.0,99
CPT,34830,OPEN AORTIC TUBE PROSTH REPR,,,0.22,5483.0,99
CPT,34831,OPEN AORTOILIAC PROSTH REPR,,,0.22,5483.0,99
CPT,34832,OPEN AORTOFEMOR PROSTH REPR,,,0.22,5483.0,99
CPT,34833,OPN ILAC ART EXPOS CNDT CRTJ,,,0.22,5483.0,99
CPT,34834,OPN BRACH ART EXPOS,,,0.22,5483.0,99
CPT,34839,PLNNING PT SPEC FENEST GRAFT,,,1.0,16.13,90
CPT,34841,ENDOVASC VISC AORTA 1 GRAFT,,,0.22,12932.21,101
CPT,34842,ENDOVASC VISC AORTA 2 GRAFT,,,0.22,14369.1,101
CPT,34843,ENDOVASC VISC AORTA 3 GRAFT,,,0.22,17242.92,101
CPT,34844,ENDOVASC VISC AORTA 4 GRAFT,,,0.22,21553.62,101
CPT,34845,VISC & INFRAREN ABD 1 PROSTH,,,0.22,12932.21,101
CPT,34846,VISC & INFRAREN ABD 2 PROSTH,,,0.22,14369.1,101
CPT,34847,VISC & INFRAREN ABD 3 PROSTH,,,0.22,17242.92,101
CPT,34848,VISC & INFRAREN ABD 4+ PROST,,,0.22,21553.62,101
CPT,348T,RSA SPINE EXAM,,,0.92,145.42,15
CPT,348U,RX METAB/PCX DNA 25 GEN ALYS,,,0.92,742.27,14
CPT,349T,RSA UPPER EXTR EXAM,,,0.92,145.42,15
CPT,349U,RX METAB/PCX DNA 27GEN RX IA,,,0.92,742.27,14
CPT,34U,TPMT NUDT15 GENES,,,1.0,466.17,14
CPT,35001,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35002,REPAIR ARTERY RUPTURE NECK,,,0.22,5483.0,99
CPT,35005,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35011,REPAIR DEFECT OF ARTERY,,,0.22,8165.0,99
CPT,35013,REPAIR ARTERY RUPTURE ARM,,,0.22,5483.0,99
CPT,35021,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35022,REPAIR ARTERY RUPTURE CHEST,,,0.22,5483.0,99
CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,0.22,7166.0,99
CPT,35081,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35082,REPAIR ARTERY RUPTURE AORTA,,,0.22,5483.0,99
CPT,35091,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35092,REPAIR ARTERY RUPTURE AORTA,,,0.22,5483.0,99
CPT,350T,RSA LOWER EXTR EXAM,,,0.92,145.42,15
CPT,350U,RX METAB/PCX DNA 27 GEN ALYS,,,0.92,1336.09,14
CPT,35102,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35103,REPAIR ARTERY RUPTURE AORTA,,,0.22,5483.0,99
CPT,35111,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35112,REPAIR ARTERY RUPTURE SPLEEN,,,0.22,5483.0,99
CPT,35121,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35122,REPAIR ARTERY RUPTURE BELLY,,,0.22,5483.0,99
CPT,35131,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35132,REPAIR ARTERY RUPTURE GROIN,,,0.22,5483.0,99
CPT,35141,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35142,REPAIR ARTERY RUPTURE THIGH,,,0.22,5483.0,99
CPT,35151,REPAIR DEFECT OF ARTERY,,,0.22,5483.0,99
CPT,35152,REPAIR RUPTD POPLITEAL ART,,,0.22,5483.0,99
CPT,35180,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35182,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35184,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35188,REPAIR BLOOD VESSEL LESION,,,0.22,8165.0,100
CPT,35189,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35190,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,351T,INTRAOP OCT BRST/NODE SPEC,,,0.22,3.2,21
CPT,351U,NFCT DS BCT/VIRAL TRAIL IP10,,,0.92,260.5,14
CPT,35201,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35206,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35207,REPAIR BLOOD VESSEL LESION,,,0.22,8165.0,100
CPT,35211,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35216,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35221,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35226,REPAIR BLOOD VESSEL LESION,,,0.22,3791.0,104
CPT,35231,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35236,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35241,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35246,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35251,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35256,REPAIR BLOOD VESSEL LESION,,,0.22,7166.0,99
CPT,35261,REPAIR BLOOD VESSEL LESION,,,0.22,8165.0,99
CPT,35266,REPAIR BLOOD VESSEL LESION,,,0.22,8165.0,99
CPT,35271,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35276,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35281,REPAIR BLOOD VESSEL LESION,,,0.22,5483.0,99
CPT,35286,REPAIR BLOOD VESSEL LESION,,,0.22,8165.0,99
CPT,352T,OCT BRST/NODE I&R PER SPEC,,,0.92,1554.27,20
CPT,35301,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35302,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35303,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35304,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35305,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35306,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35311,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35321,RECHANNELING OF ARTERY,,,0.22,7166.0,99
CPT,35331,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35341,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35351,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35355,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35361,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35363,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35371,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35372,RECHANNELING OF ARTERY,,,0.22,5483.0,99
CPT,35390,REOPERATION CAROTID ADD-ON,,,0.22,5483.0,99
CPT,353T,INTRAOP OCT BREAST CAVITY,,,0.22,3.2,21
CPT,35400,ANGIOSCOPY,,,0.22,5483.0,99
CPT,354T,OCT BREAST SURG CAVITY I&R,,,0.92,1554.27,20
CPT,35500,HARVEST VEIN FOR BYPASS,,,0.22,5085.0,99
CPT,35501,ART BYP GRFT IPSILAT CAROTID,,,0.22,5483.0,99
CPT,35506,ART BYP GRFT SUBCLAV-CAROTID,,,0.22,5483.0,99
CPT,35508,ART BYP GRFT CAROTID-VERTBRL,,,0.22,5483.0,99
CPT,35509,ART BYP GRFT CONTRAL CAROTID,,,0.22,5483.0,99
CPT,35510,ART BYP GRFT CAROTID-BRCHIAL,,,0.22,5483.0,99
CPT,35511,ART BYP GRFT SUBCLAV-SUBCLAV,,,0.22,5483.0,99
CPT,35512,ART BYP GRFT SUBCLAV-BRCHIAL,,,0.22,5483.0,99
CPT,35515,ART BYP GRFT SUBCLAV-VERTBRL,,,0.22,5483.0,99
CPT,35516,ART BYP GRFT SUBCLAV-AXILARY,,,0.22,5483.0,99
CPT,35518,ART BYP GRFT AXILLARY-AXILRY,,,0.22,5483.0,99
CPT,35521,ART BYP GRFT AXILL-FEMORAL,,,0.22,5483.0,99
CPT,35522,ART BYP GRFT AXILL-BRACHIAL,,,0.22,5483.0,99
CPT,35523,ART BYP GRFT BRCHL-ULNR-RDL,,,0.22,5483.0,99
CPT,35525,ART BYP GRFT BRACHIAL-BRCHL,,,0.22,5483.0,99
CPT,35526,ART BYP GRFT AOR/CAROT/INNOM,,,0.22,5483.0,99
CPT,35531,ART BYP GRFT AORCEL/AORMESEN,,,0.22,5483.0,99
CPT,35533,ART BYP GRFT AXILL/FEM/FEM,,,0.22,5483.0,99
CPT,35535,ART BYP GRFT HEPATORENAL,,,0.22,5483.0,99
CPT,35536,ART BYP GRFT SPLENORENAL,,,0.22,5483.0,99
CPT,35537,ART BYP GRFT AORTOILIAC,,,0.22,5483.0,99
CPT,35538,ART BYP GRFT AORTOBI-ILIAC,,,0.22,5483.0,99
CPT,35539,ART BYP GRFT AORTOFEMORAL,,,0.22,5483.0,99
CPT,35540,ART BYP GRFT AORTBIFEMORAL,,,0.22,5483.0,99
CPT,35556,ART BYP GRFT FEM-POPLITEAL,,,0.22,5483.0,99
CPT,35558,ART BYP GRFT FEM-FEMORAL,,,0.22,5483.0,99
CPT,35560,ART BYP GRFT AORTORENAL,,,0.22,5483.0,99
CPT,35563,ART BYP GRFT ILIOILIAC,,,0.22,5483.0,99
CPT,35565,ART BYP GRFT ILIOFEMORAL,,,0.22,5483.0,99
CPT,35566,ART BYP FEM-ANT-POST TIB/PRL,,,0.22,5483.0,99
CPT,35570,ART BYP TIBIAL-TIB/PERONEAL,,,0.22,5483.0,99
CPT,35571,ART BYP POP-TIBL-PRL-OTHER,,,0.22,5483.0,99
CPT,35572,HARVEST FEMOROPOPLITEAL VEIN,,,0.22,1137.0,99
CPT,35583,VEIN BYP GRFT FEM-POPLITEAL,,,0.22,5483.0,99
CPT,35585,VEIN BYP FEM-TIBIAL PERONEAL,,,0.22,5483.0,99
CPT,35587,VEIN BYP POP-TIBL PERONEAL,,,0.22,5483.0,99
CPT,355U,APOL1 RISK VARIANTS,,,0.92,137.0,14
CPT,35600,OPEN HRV UXTR ART 1 SGM CAB,,,0.22,5483.0,99
CPT,35601,ART BYP COMMON IPSI CAROTID,,,0.22,5483.0,99
CPT,35606,ART BYP CAROTID-SUBCLAVIAN,,,0.22,5483.0,99
CPT,35612,ART BYP SUBCLAV-SUBCLAVIAN,,,0.22,5483.0,99
CPT,35616,ART BYP SUBCLAV-AXILLARY,,,0.22,5483.0,99
CPT,35621,ART BYP AXILLARY-FEMORAL,,,0.22,5483.0,99
CPT,35623,ART BYP AXILLARY-POP-TIBIAL,,,0.22,5483.0,99
CPT,35626,ART BYP AORSUBCL/CAROT/INNOM,,,0.22,5483.0,99
CPT,35631,ART BYP AOR-CELIAC-MSN-RENAL,,,0.22,5483.0,99
CPT,35632,ART BYP ILIO-CELIAC,,,0.22,5483.0,99
CPT,35633,ART BYP ILIO-MESENTERIC,,,0.22,5483.0,99
CPT,35634,ART BYP ILIORENAL,,,0.22,5483.0,99
CPT,35636,ART BYP SPENORENAL,,,0.22,5483.0,99
CPT,35637,ART BYP AORTOILIAC,,,0.22,5483.0,99
CPT,35638,ART BYP AORTOBI-ILIAC,,,0.22,5483.0,99
CPT,35642,ART BYP CAROTID-VERTEBRAL,,,0.22,5483.0,99
CPT,35645,ART BYP SUBCLAV-VERTEBRL,,,0.22,5483.0,99
CPT,35646,ART BYP AORTOBIFEMORAL,,,0.22,5483.0,99
CPT,35647,ART BYP AORTOFEMORAL,,,0.22,5483.0,99
CPT,35650,ART BYP AXILLARY-AXILLARY,,,0.22,5483.0,99
CPT,35654,ART BYP AXILL-FEM-FEMORAL,,,0.22,5483.0,99
CPT,35656,ART BYP FEMORAL-POPLITEAL,,,0.22,5483.0,99
CPT,35661,ART BYP FEMORAL-FEMORAL,,,0.22,5483.0,99
CPT,35663,ART BYP ILIOILIAC,,,0.22,5483.0,99
CPT,35665,ART BYP ILIOFEMORAL,,,0.22,5483.0,99
CPT,35666,ART BYP FEM-ANT-POST TIB/PRL,,,0.22,5483.0,99
CPT,35671,ART BYP POP-TIBL-PRL-OTHER,,,0.22,5483.0,99
CPT,35681,COMPOSITE BYP GRFT PROS&VEIN,,,0.22,5483.0,99
CPT,35682,COMPOSITE BYP GRFT 2 VEINS,,,0.22,5483.0,99
CPT,35683,COMPOSITE BYP GRFT 3/> SEGMT,,,0.22,5483.0,99
CPT,35685,BYPASS GRAFT PATENCY/PATCH,,,0.22,7166.0,99
CPT,35686,BYPASS GRAFT/AV FIST PATENCY,,,0.22,7166.0,99
CPT,35691,ART TRNSPOSJ VERTBRL CAROTID,,,0.22,5483.0,99
CPT,35693,ART TRNSPOSJ SUBCLAVIAN,,,0.22,5483.0,99
CPT,35694,ART TRNSPOSJ SUBCLAV CAROTID,,,0.22,5483.0,99
CPT,35695,ART TRNSPOSJ CAROTID SUBCLAV,,,0.22,5483.0,99
CPT,35697,REIMPLANT ARTERY EACH,,,0.22,5483.0,99
CPT,356U,ONC OROP/ANAL 17 DNA DDPCR,,,0.92,1800.0,14
CPT,35700,REOPERATION BYPASS GRAFT,,,0.22,5483.0,99
CPT,35701,EXPL N/FLWD SURG NECK ART,,,0.22,5483.0,99
CPT,35702,EXPL N/FLWD SURG UXTR ART,,,0.22,575.79,98
CPT,35703,EXPL N/FLWD SURG LXTR ART,,,0.22,587.2,98
CPT,35800,EXPLORE NECK VESSELS,,,0.22,5483.0,99
CPT,35820,EXPLORE CHEST VESSELS,,,0.22,5483.0,99
CPT,35840,EXPLORE ABDOMINAL VESSELS,,,0.22,5483.0,99
CPT,35860,EXPLORE LIMB VESSELS,,,0.22,7166.0,99
CPT,35870,REPAIR VESSEL GRAFT DEFECT,,,0.22,5483.0,99
CPT,35875,REMOVAL OF CLOT IN GRAFT,,,0.22,8165.0,100
CPT,35876,REMOVAL OF CLOT IN GRAFT,,,0.22,8165.0,100
CPT,35879,REVISE GRAFT W/VEIN,,,0.22,8165.0,99
CPT,35881,REVISE GRAFT W/VEIN,,,0.22,8165.0,99
CPT,35883,REVJ FEM ANAST NONAUTOG GRF,,,0.22,8165.0,99
CPT,35884,REVJ FEM ANAST AUTOG VN GRF,,,0.22,8165.0,99
CPT,358T,BIA WHOLE BODY,,,1.0,3.2,10
CPT,358U,NEURO ALYS B-AMYL 1-42&1-40,,,0.92,260.5,14
CPT,35901,EXCISION GRAFT NECK,,,0.22,5483.0,99
CPT,35903,EXCISION GRAFT EXTREMITY,,,0.22,7166.0,99
CPT,35905,EXCISION GRAFT THORAX,,,0.22,5483.0,99
CPT,35907,EXCISION GRAFT ABDOMEN,,,0.22,5483.0,99
CPT,359U,ONC PRST8 CA ALYS ALL PSA,,,1.0,760.0,14
CPT,35U,NEURO CSF PRION PRTN QUAL,,,0.92,540.99,14
CPT,36000,PLACE NEEDLE IN VEIN,,,0.22,1137.0,102
CPT,36002,INJ PERC EXT PSEUDANYSM,2461.0,1845.75,0.22,2214.9,105
CPT,36005,INJ VENOGRPHY EXTRMTY,858.0,643.5,0.22,5432.58,110
CPT,36010,PLC CATH VENACAVA,1820.0,1365.0,0.22,4944.74,110
CPT,36011,PLC CATH VEIN 1ST ORDR,2156.0,1617.0,0.22,1940.4,105
CPT,36012,PLC CATH VEIN 2ND ORDR,2487.0,1865.25,0.22,2238.3,105
CPT,36013,PLACE CATHETER IN ARTERY,,,0.22,1137.0,99
CPT,36014,PLC CATH LT/RT ARTERY,4095.0,3071.25,0.22,3685.5,105
CPT,36015,PLC CATH SEGMNTL ARTR,6580.0,4935.0,0.22,5922.0,105
CPT,360U,ONC LUNG ELISA 7 AUTOANT ALG,,,0.92,840.65,14
CPT,36100,ESTABLISH ACCESS TO ARTERY,,,0.22,1137.0,99
CPT,36140,PLC CATH EXTRM ARTERY,7379.0,5534.25,0.22,6641.1,110
CPT,36160,ESTABLISH ACCESS TO AORTA,,,0.22,1137.0,99
CPT,361U,NEURFLMNT LT CHN DIG IA QUAN,,,0.92,116.23,14
CPT,36200,PLC CATH AORTA,2503.0,1877.25,0.22,5489.41,110
CPT,36215,PLC CATH ART 1ST ORDR,5101.0,3825.75,0.22,11483.76,110
CPT,36216,PLC CATH ART 2ND ORDR,12911.0,9683.25,0.22,11873.18,110
CPT,36217,PLC CATH ART 3RD ORDR,6531.0,4898.25,0.22,19432.85,110
CPT,36218,PLACE CATHETER IN ARTERY,,,0.22,1900.69,104
CPT,36221,ARTEROGRAM ARCH,17994.0,13495.5,0.22,16194.6,115
CPT,36221,ARTEROGRAM ARCH NON SEL,11470.0,8602.5,0.22,10323.0,115
CPT,36222,ARTERIOGR CAR NK SEL,13121.0,9840.75,0.22,11808.9,230
CPT,36223,ARTERIOGR CAR HD SEL,13121.0,9840.75,0.22,14163.2,230
CPT,36224,ARTERIO IC NKHD,30276.0,22707.0,0.22,27248.4,115
CPT,36224,ARTERIOG CAR NKHD SEL,22570.0,16927.5,0.22,20313.0,115
CPT,36225,ARTERIOG SUBC/INOM,12199.0,9149.25,0.22,10979.1,115
CPT,36226,ARTERIOG VERT SEL,19852.0,14889.0,0.22,24903.59,230
CPT,36227,ARTERIOG EXT CAR SEL,12703.5,9527.625,0.22,15496.2,230
CPT,36228,PLACE CATH INTRACRANIAL ART,,,0.22,13070.68,109
CPT,36245,PLC CATH ART ABD 1ST,6246.0,4684.5,0.22,13308.73,110
CPT,36246,PLC CATH ART ABD 2ND,6735.0,5051.25,0.22,9907.5,110
CPT,36247,PLC CATH ART ABD 3RD,8050.0,6037.5,0.22,13137.98,110
CPT,36248,PLC CATH ART ABD ADD,6883.0,5162.25,0.22,6194.7,105
CPT,36251,INS CATH REN ART 1ST UNI,19188.5,14391.375,0.22,20785.5,210
CPT,36252,INS CATH REN ART 1ST BIL,19454.0,14590.5,0.22,17508.6,105
CPT,36253,INS CATH REN ART 2ND UNI,16131.0,12098.25,0.22,14517.9,105
CPT,36254,INS CATH REN ART 2ND BIL,17447.0,13085.25,0.22,15702.3,105
CPT,36260,INSERTION OF INFUSION PUMP,,,0.22,7166.0,100
CPT,36261,REVISION OF INFUSION PUMP,,,0.22,5812.0,100
CPT,36262,REMOVAL OF INFUSION PUMP,,,0.22,5812.0,100
CPT,36299,UNLISTED PX VASCULAR NJX,,,0.22,1766.44,102
CPT,362T,BHV ID SUPRT ASSMT EA 15 MIN,,,1.0,3.2,10
CPT,362U,ONC PAP THYR CA RNA 82&10,,,0.92,3600.0,14
CPT,363U,ONC URTHL MRNA 5 GEN ALG,,,0.92,760.0,14
CPT,36400,BL DRAW < 3 YRS FEM/JUGULAR,,,1.0,36.59,12
CPT,36405,BL DRAW <3 YRS SCALP VEIN,,,1.0,31.69,12
CPT,36406,BL DRAW <3 YRS OTHER VEIN,,,1.0,23.65,12
CPT,36410,MIDLINE INSERTION 3+YRS,1902.5,1426.875,1.0,24.1,24
CPT,36415,BLOOD DRAW BY VENIPUNCTURE,62.0,46.5,1.0,5.65,15
CPT,36415,SPECIMEN COLLECTION,78.0,58.5,1.0,5.65,30
CPT,36415,VENIPUNCTURE,65.0,48.75,1.0,5.65,15
CPT,36416,BD GAS CAP STICK,42.5,31.875,1.0,3.14,30
CPT,36416,CAPILLARY BY CLINIC STAFF,47.0,35.25,1.0,3.14,15
CPT,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,0.22,1137.0,99
CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,0.22,1137.0,99
CPT,36430,BLOOD ADMINISTRATION,2396.0,1797.0,0.22,2156.4,25
CPT,36430,BLOOD TRANSFUSION SERVICE,2020.0,1515.0,0.22,1818.0,25
CPT,36430,TRANSFUSION BLD/BLD COMP,2212.0,1659.0,0.22,4068.9,175
CPT,36440,BLD PUSH TFUJ 2 YR/<,,,0.22,1137.0,19
CPT,36450,BLD EXCHANGE TRUJ NEWBORN,,,0.22,1137.0,19
CPT,36455,BLD EXCHANGE TRUJ OTH THN NB,,,0.22,1137.0,19
CPT,36456,PRTL EXCHANGE TRANSFUSE NB,,,0.22,128.23,18
CPT,36460,INTRAUTERINE TRANSFUSION FTL,,,0.22,1137.0,19
CPT,36465,NJX NONCMPND SCLRSNT 1 VEIN,,,0.22,1572.47,103
CPT,36466,NJX NONCMPND SCLRSNT MLT VN,,,0.22,1653.38,103
CPT,36468,NJX SCLRSNT SPIDER VEINS,,,0.22,1137.0,97
CPT,36470,NJX SCLRSNT 1 INCMPTNT VEIN,,,0.22,1137.0,99
CPT,36471,NJX SCLRSNT MLT INCMPTNT VN,,,0.22,1137.0,99
CPT,36473,ENDOVENOUS MCHNCHEM 1ST VEIN,,,0.22,1466.32,98
CPT,36474,ENDOVENOUS MCHNCHEM ADD-ON,,,0.22,324.3,98
CPT,36475,ENDOVENOUS RF 1ST VEIN,,,0.22,8165.0,105
CPT,36476,ENDOVENOUS RF VEIN ADD-ON,,,0.22,6556.0,100
CPT,36478,ENDOVENOUS LASER 1ST VEIN,,,0.22,6556.0,100
CPT,36479,ENDOVENOUS LASER VEIN ADDON,,,0.22,6556.0,100
CPT,36481,CATH PORT VEIN,9154.0,6865.5,0.22,8238.6,105
CPT,36482,ENDOVEN THER CHEM ADHES 1ST,,,0.22,2498.27,103
CPT,36483,ENDOVEN THER CHEM ADHES SBSQ,,,0.22,528.51,103
CPT,364U,ONC HL NEO GEN SEQ ALYS ALG,,,1.0,2007.25,14
CPT,36500,INSERTION OF CATHETER VEIN,,,0.22,1137.0,99
CPT,36510,INSERTION OF CATHETER VEIN,,,0.22,1137.0,99
CPT,36511,APHERESIS WBC,,,0.22,5085.0,99
CPT,36512,APHERESIS RBC,9511.0,7133.25,0.22,8559.9,110
CPT,36512,THERAPEUTIC APHERESIS,5213.0,3909.75,0.22,5085.0,110
CPT,36513,APHERESIS PLATELETS,10467.0,7850.25,0.22,9420.3,110
CPT,36514,APHERESIS PLASMA,9493.0,7119.75,0.22,8543.7,110
CPT,36514,PLASMAPHERESIS THERAPTC,8707.0,6530.25,0.22,7836.3,110
CPT,36516,COLUMN PHERESIS/PROSORBA SUPPL,13225.0,9918.75,0.22,11902.5,105
CPT,36522,PHOTOPHERESIS,21410.0,16057.5,0.22,19269.0,105
CPT,36522,PHOTOPHORESIS,21410.0,16057.5,0.22,19269.0,105
CPT,36555,INSERT NON-TUNNEL CV CATH,,,0.22,5085.0,100
CPT,36556,INSRT NONTUNNL CV CTH 5>,5526.0,4144.5,0.22,9537.77,111
CPT,36556,INSRT PICC NO PRT/PMP<5 NO IMG,3690.0,2767.5,0.22,9537.77,111
CPT,36557,INSRT TNL CV CTH<5WO PMP,14474.0,10855.5,0.22,13026.6,106
CPT,36558,INSERT TUNNELED CV CATH,,,0.22,5812.0,100
CPT,36560,INSERT TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36561,INSERT TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36563,INSERT TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36565,INSERT TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36566,INSR TNL VAD 2STS W PRT,17789.0,13341.75,0.22,16010.1,106
CPT,36568,INSJ PICC <5 YR W/O IMAGING,,,0.22,5085.0,100
CPT,36569,INSRT PICC NO PRT/PMP>5 NO IMG,964.0,723.0,0.22,5085.0,555
CPT,36570,INSERT PICVAD CATH,,,0.22,5812.0,100
CPT,36571,INSERT PICVAD CATH,,,0.22,5812.0,100
CPT,36572,INSRT PICC W/IMG <5YR,5633.0,4224.75,0.22,5069.7,218
CPT,36573,INSRT PICC W/IMG 5+YR,5633.0,4224.75,0.22,5069.7,109
CPT,36573,INSRT PICC W/IMG 5YR+,5633.0,4224.75,0.22,5069.7,109
CPT,36575,REPAIR TUNNELED CV CATH,,,0.22,3791.0,100
CPT,36576,REPAIR TUNNELED CV CATH,,,0.22,5085.0,100
CPT,36578,REPLCE CATH ONLY CVAD,15189.0,11391.75,0.22,13670.1,106
CPT,36580,REPLACE CVAD CATH,,,0.22,5085.0,100
CPT,36581,REPLACE TUNNELED CV CATH,10733.0,8049.75,0.22,9659.7,106
CPT,36582,REPLACE TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36583,REPLACE TUNNELED CV CATH,,,0.22,7166.0,100
CPT,36584,RPLC PICC NO PRT/PMP W/IMG,3495.0,2621.25,0.22,5085.0,106
CPT,36585,REPLACE PICVAD CATH,,,0.22,5812.0,105
CPT,36589,REMOVE TUNNELED CV CATH,2398.0,1798.5,0.22,3791.0,111
CPT,36589,RMVL TUN CVC W/O PORT/PMP,1640.0,1230.0,0.22,3791.0,111
CPT,36590,REMOVAL TUNNELED CV CATH,,,0.22,5085.0,100
CPT,36591,COLLECTION OF SPECIMEN VAD,1422.0,1066.5,0.22,1279.8,50
CPT,36591,VENOUS DEVICE BLOOD DRAW,931.0,698.25,0.22,1279.8,50
CPT,36592,BLOOD DRAW FROM PICC,141.0,105.75,0.22,1137.0,25
CPT,36592,CENTRAL LINE BLOOD DRAW,280.0,210.0,0.22,1137.0,25
CPT,36593,DCLOT CVAD THROMBL AGENT,1219.0,914.25,0.22,1137.0,105
CPT,36593,DECLOT OF VAD W/THROMBOLYTIC,1182.0,886.5,0.22,1137.0,105
CPT,36593,DECLOTTING VAD W/THROMB DRUG,1984.5,1488.375,0.22,1863.0,210
CPT,36595,MECH REMOV TUNNELED CV CATH,,,0.22,5812.0,99
CPT,36596,MECH REMOV TUNNELED CV CATH,,,0.22,5085.0,99
CPT,36597,REPOSITION VENOUS CATHETER,,,0.22,5085.0,99
CPT,36598,INJ W/FLUOR EVAL CV DEVICE,,,0.22,1137.0,104
CPT,365U,ONC BLDR 10 PRB BLDR CA,,,0.92,897.0,14
CPT,36600,ARTERIAL PUNCTURE,548.0,411.0,0.22,1137.0,110
CPT,36600,BLOOD GAS ARTERIAL STICK,548.0,411.0,0.22,1137.0,110
CPT,36620,ARTERIAL CATH MONIT/SAMP,3272.5,2454.375,0.22,3325.5,220
CPT,36625,INSERTION CATHETER ARTERY,,,0.22,1137.0,99
CPT,36640,INSERTION CATHETER ARTERY,,,0.22,7166.0,100
CPT,36660,INSERTION CATHETER ARTERY,,,0.22,5483.0,99
CPT,36680,INSERT NEEDLE BONE CAVITY,,,0.22,1137.0,99
CPT,366U,ONC BLDR 10 PRB RECR BLDR CA,,,0.92,897.0,14
CPT,367U,ONC BLDR 10 FLWG TRURL RESCJ,,,0.92,902.18,14
CPT,36800,QUENTON CATHETER,23834.0,17875.5,0.22,21450.6,106
CPT,36810,INSERTION OF CANNULA,,,0.22,7166.0,100
CPT,36815,INSERTION OF CANNULA,,,0.22,7166.0,100
CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,0.22,8165.0,100
CPT,36819,AV FUSE UPPR ARM BASILIC,,,0.22,8165.0,100
CPT,36820,AV FUSION/FOREARM VEIN,,,0.22,8165.0,100
CPT,36821,AV FUSION DIRECT ANY SITE,,,0.22,8165.0,100
CPT,36823,INSERTION OF CANNULA(S),,,0.22,5812.0,99
CPT,36825,ARTERY-VEIN AUTOGRAFT,,,0.22,8165.0,100
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,0.22,8165.0,100
CPT,36831,OPEN THROMBECT AV FISTULA,,,0.22,8165.0,100
CPT,36832,AV FISTULA REVISION OPEN,,,0.22,8165.0,100
CPT,36833,AV FISTULA REVISION,,,0.22,8165.0,100
CPT,36835,ARTERY TO VEIN SHUNT,,,0.22,7166.0,100
CPT,36836,PRQ AV FSTL CRTJ UXTR SGL ACC,53834.0,40375.5,1.0,9740.06,97
CPT,36837,PRQ AV FSTL CRT UXTR SEPR ACC,52012.0,39009.0,1.0,11573.45,97
CPT,36838,DIST REVAS LIGATION HEMO,,,0.22,8165.0,99
CPT,36860,EXTERNAL CANNULA DECLOTTING,,,0.22,1137.0,99
CPT,36861,CANNULA DECLOT W/CATH,36204.0,27153.0,0.22,32583.6,106
CPT,368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,0.92,416.78,14
CPT,36901,INTRO NDL DIAL-CIRC+S&I,3354.0,2515.5,0.22,3018.6,104
CPT,36902,DIAL-CIRC BAL-PLASTY+S&I,25455.5,19091.625,0.22,25708.5,208
CPT,36903,DIAL-CIRC STNT+PLSTY+S&I,44688.0,33516.0,0.22,40219.2,104
CPT,36904,DIA-CIR THRO+IMG+S&I,28337.0,21252.75,0.22,25503.3,104
CPT,36905,DIA-CIR THRO+PLST+IMG+S&I,44688.0,33516.0,0.22,40219.2,104
CPT,36906,DIA+CIR THRO+STN+IMG+SI,77561.0,58170.75,0.22,69804.9,104
CPT,36906,THRO+STN+IMG,64736.0,48552.0,0.22,58262.4,104
CPT,36907,DIA-CIR APLAS+IMG+S&I,11171.0,8378.25,0.22,10053.9,104
CPT,36908,STENT+IMG+S&I,10791.0,8093.25,0.22,9711.9,104
CPT,36909,EMBOL+IMG+S&I,21985.0,16488.75,0.22,19786.5,104
CPT,36U,XOME TUM & NML SPEC SEQ ALYS,,,0.92,4780.0,14
CPT,37140,REVISION OF CIRCULATION,,,0.22,5483.0,99
CPT,37145,REVISION OF CIRCULATION,,,0.22,5483.0,99
CPT,37160,REVISION OF CIRCULATION,,,0.22,5483.0,99
CPT,37180,REVISION OF CIRCULATION,,,0.22,5483.0,99
CPT,37181,SPLICE SPLEEN/KIDNEY VEINS,,,0.22,5483.0,99
CPT,37182,INSERT HEPATIC SHUNT (TIPS),,,0.22,5483.0,99
CPT,37183,REVISION TIPS,,,0.22,11318.0,99
CPT,37184,THROMB NONCOR INITL VSL,27594.0,20695.5,0.22,24834.6,105
CPT,37185,THROMB NONCOR ADD VESSLS,14766.0,11074.5,0.22,13289.4,105
CPT,37186,THROMB NONCOR SECONDARY,17070.0,12802.5,0.22,15363.0,105
CPT,37187,PERC MECH THROMBECTMY VN,23513.0,17634.75,0.22,21161.7,105
CPT,37188,VEN MECHNL THRMBC REPEAT TX,,,0.22,8165.0,99
CPT,37191,INS ENDOVA VENACAVA FILT,12568.0,9426.0,0.22,11311.2,105
CPT,37192,REDO ENDOVAS VENA CAVA FILTR,,,0.22,7166.0,99
CPT,37193,REM ENDO VENA CAVA FILTR,11218.0,8413.5,0.22,10096.2,105
CPT,37195,THROMBOLYTIC THERAPY STROKE,,,0.22,1137.0,97
CPT,37197,TCATH RETRV INTRAVASC FB+IMG,11526.0,8644.5,0.22,10373.4,105
CPT,371U,IADNA GU PTHGN SEMIQ DNA16&1,,,0.92,416.78,14
CPT,37200,TRANSCATHETER BIOPSY,,,0.22,7166.0,99
CPT,37211,TCATH TX INIT NONCOR ART,13879.0,10409.25,0.22,12491.1,105
CPT,37212,TCATH TX INIT NONCOR VEN,13879.0,10409.25,0.22,12491.1,105
CPT,37213,THROMBLYTIC ART/VEN THERAPY,,,0.22,5812.0,99
CPT,37214,TCATH TX CESSATION,13121.0,9840.75,0.22,11808.9,105
CPT,37215,PLC CERV CAROTD W/PRD,12284.0,9213.0,0.22,11055.6,234
CPT,37216,TRANSCATH STENT CCA W/O EPS,,,0.22,5483.0,97
CPT,37217,STENT PLACEMT RETRO CAROTID,,,0.22,1522.92,98
CPT,37218,STENT PLACEMT ANTE CAROTID,,,0.22,1161.25,98
CPT,37220,ILIAC O/P INIT,30930.0,23197.5,0.22,27837.0,105
CPT,37220,REVASC ILIAC INITIAL,19351.0,14513.25,0.22,17415.9,105
CPT,37221,REVASC ILIAC W/STENT,38761.0,29070.75,0.22,43755.3,210
CPT,37222,REVASC ILIAC ADD ON,16340.0,12255.0,0.22,14706.0,105
CPT,37223,REVASC ILI W/STENT ADD/O,21093.0,15819.75,0.22,18983.7,105
CPT,37224,FEM/POP W/TLA,31898.0,23923.5,0.22,28708.2,105
CPT,37224,REVASC FEMPOP W/TLA,23499.0,17624.25,0.22,21149.1,105
CPT,37225,REVASC FEMPOP W/ATHER,32497.0,24372.75,0.22,29247.3,105
CPT,37226,FEM/POP W/STENT,53651.0,40238.25,0.22,48285.9,105
CPT,37226,REVASC FEMPOP W/STENT,32497.0,24372.75,0.22,29247.3,105
CPT,37227,REVASC FEMPOP STNT ATHER,63981.0,47985.75,0.22,76463.1,210
CPT,37228,REVASC TIBPER W/TLA,19351.0,14513.25,0.22,17415.9,105
CPT,37229,REVASC TIBPER W/ATHER,32497.0,24372.75,0.22,29247.3,105
CPT,37230,REVASC TIBPER W/STENT,37339.0,28004.25,0.22,33605.1,105
CPT,37230,TIB/PER W/STEN,54321.0,40740.75,0.22,48888.9,105
CPT,37231,REVASC TIBPER STNT ATHER,44848.0,33636.0,0.22,40363.2,105
CPT,37232,REVASC TIB PER ADD ON,19351.0,14513.25,0.22,17415.9,105
CPT,37233,REVASC TIB PER ATH ADD/O,32497.0,24372.75,0.22,29247.3,105
CPT,37234,REVSC OPN/PRQ TIB/PERO STENT,,,0.22,9407.0,99
CPT,37235,TIB/PER REVASC STNT & ATHER,,,0.22,9407.0,99
CPT,37236,OPEN/PERC PL ST 1ST AR,46369.0,34776.75,0.22,42576.3,208
CPT,37237,OPEN/PERC PL ST E/ADD AR,24165.0,18123.75,0.22,21748.5,104
CPT,37238,OPEN/PERC PL ST 1ST VN,45431.0,34073.25,0.22,40887.9,104
CPT,37239,OPEN/PERC PL ST E/ADD VN,24165.0,18123.75,0.22,21748.5,104
CPT,37241,VASC EMB/OCC VENOUS,28646.0,21484.5,0.22,25781.4,104
CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,,,0.22,8554.18,98
CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,,,0.22,10354.4,98
CPT,37244,VASC EMB/OCC BLEED,39639.0,29729.25,0.22,35675.1,104
CPT,37246,ANGIPLASTY ART INIT+S&I,24189.0,18141.75,0.22,21770.1,104
CPT,37247,ANGIPLASTY ART EA ADDL,11171.0,8378.25,0.22,10053.9,104
CPT,37248,ANGIPLASTY VEN INIT+S&I,21380.0,16035.0,0.22,19242.0,104
CPT,37249,ANGIPLASTY VEN EA ADDL,11652.0,8739.0,0.22,10486.8,104
CPT,37252,IVUS NON CORONARY INITL,8200.0,6150.0,0.22,7380.0,109
CPT,37253,IVUS NON CORON ADDL VESL,8461.0,6345.75,0.22,7614.9,109
CPT,372U,NFCT DS GU PTHGN ARG DETCJ,,,0.92,416.78,14
CPT,373T,ADAPT BHV TX EA 15 MIN,,,1.0,3.2,10
CPT,37500,ENDOSCOPY LIGATE PERF VEINS,,,0.22,8165.0,100
CPT,37501,UNLISTED VASC ENDOSCOPY PX,,,0.22,5812.0,97
CPT,37565,LIGATION OF NECK VEIN,,,0.22,7166.0,99
CPT,375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,0.92,897.0,14
CPT,37600,LIGATION OF NECK ARTERY,,,0.22,7166.0,99
CPT,37605,LIGATION OF NECK ARTERY,,,0.22,8165.0,99
CPT,37606,LIGATION OF NECK ARTERY,,,0.22,5812.0,99
CPT,37607,LIGATION OF A-V FISTULA,,,0.22,5812.0,100
CPT,37609,TEMPORAL ARTERY PROCEDURE,,,0.22,5085.0,100
CPT,37615,LIGATION OF NECK ARTERY,,,0.22,5812.0,99
CPT,37616,LIGATION OF CHEST ARTERY,,,0.22,5483.0,99
CPT,37617,LIGATION OF ABDOMEN ARTERY,,,0.22,5483.0,99
CPT,37618,LIGATION OF EXTREMITY ARTERY,,,0.22,5483.0,99
CPT,37619,LIGATION OF INF VENA CAVA,,,0.22,8165.0,99
CPT,37650,REVISION OF MAJOR VEIN,,,0.22,5812.0,100
CPT,37660,REVISION OF MAJOR VEIN,,,0.22,5483.0,99
CPT,376U,ONC PRST8 CA IMG ALYS 128,,,0.92,706.25,14
CPT,37700,REVISE LEG VEIN,,,0.22,5812.0,100
CPT,37718,LIGATE/STRIP SHORT LEG VEIN,,,0.22,5812.0,100
CPT,37722,LIGATE/STRIP LONG LEG VEIN,,,0.22,8165.0,100
CPT,37735,REMOVAL OF LEG VEINS/LESION,,,0.22,8165.0,100
CPT,37760,LIGATE LEG VEINS RADICAL,,,0.22,5812.0,100
CPT,37761,LIGATE LEG VEINS OPEN,,,0.22,5812.0,99
CPT,37765,STAB PHLEB VEINS XTR 10-20,,,0.22,5812.0,99
CPT,37766,PHLEB VEINS - EXTREM 20+,,,0.22,5812.0,99
CPT,37780,REVISION OF LEG VEIN,,,0.22,5812.0,100
CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,,,0.22,5812.0,100
CPT,37788,REVASCULARIZATION PENIS,,,0.22,5483.0,99
CPT,37790,PENILE VENOUS OCCLUSION,,,0.22,7166.0,100
CPT,37799,PHLEBCTMY < 10,6646.0,4984.5,0.22,5981.4,108
CPT,377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,0.92,47.58,14
CPT,378T,VISUAL FIELD ASSMNT REV/RPRT,,,1.0,3.2,10
CPT,378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,0.92,137.0,14
CPT,379T,VIS FIELD ASSMNT TECH SUPPT,,,1.0,3.2,10
CPT,379U,TGSAP SL OR NEO DNA523&RNA55,,,1.0,3288.51,14
CPT,37U,TRGT GEN SEQ DNA 324 GENES,,,1.0,3910.55,14
CPT,38100,REMOVAL OF SPLEEN TOTAL,,,0.22,5483.0,99
CPT,38101,REMOVAL OF SPLEEN PARTIAL,,,0.22,5483.0,99
CPT,38102,REMOVAL OF SPLEEN TOTAL,,,0.22,5483.0,99
CPT,38115,REPAIR OF RUPTURED SPLEEN,,,0.22,5483.0,99
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,0.22,9407.0,99
CPT,38129,UNLISTED LAPS PX SPLEEN,,,0.22,8165.0,97
CPT,381U,MAPLE SYRUP UR DS MNTR QUAN,,,0.92,44.12,14
CPT,38200,INJECTION FOR SPLEEN X-RAY,,,0.22,1137.0,99
CPT,38204,BL DONOR SEARCH MANAGEMENT,,,0.22,1096.42,96
CPT,38205,HARVEST ALLOGENEIC STEM CELL,,,0.22,1137.0,99
CPT,38206,HARVEST AUTO STEM CELLS,,,0.22,5085.0,99
CPT,38207,CRYOPRESERVE STEM CELLS,,,0.22,1137.0,97
CPT,38208,THAW PRESERVED STEM CELLS,,,0.22,1137.0,97
CPT,38209,WASH HARVEST STEM CELLS,,,0.22,1137.0,97
CPT,38210,T-CELL DEPLETION OF HARVEST,,,0.22,3791.0,97
CPT,38211,TUMOR CELL DEPLETE OF HARVST,,,0.22,3791.0,97
CPT,38212,RBC DEPLETION OF HARVEST,,,0.22,3791.0,97
CPT,38213,PLATELET DEPLETE OF HARVEST,,,0.22,3791.0,97
CPT,38214,VOLUME DEPLETE OF HARVEST,,,0.22,3791.0,97
CPT,38215,HARVEST STEM CELL CONCENTRTE,,,0.22,3791.0,97
CPT,38220,DX BONE MARROW ASPIRATIONS,,,0.22,1137.0,99
CPT,38221,DX BONE MARROW BIOPSIES,,,0.22,1137.0,99
CPT,38222,DX BONE MARROW BX & ASPIR,,,0.22,227.52,98
CPT,38225,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day",,,1.0,16.13,95
CPT,38226,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage)",,,1.0,16.13,95
CPT,38227,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration,,,1.0,16.13,95
CPT,38228,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous",,,1.0,376.71,97
CPT,38230,BONE MARROW HARVEST ALLOGEN,,,0.22,7166.0,99
CPT,38232,BONE MARROW HARVEST AUTOLOG,,,0.22,7166.0,99
CPT,38240,TRANSPLT ALLO HCT/DONOR,,,0.22,7166.0,99
CPT,38241,TRANSPLT AUTOL HCT/DONOR,,,0.22,7166.0,99
CPT,38242,TRANSPLT ALLO LYMPHOCYTES,,,0.22,5085.0,99
CPT,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,0.22,5085.0,99
CPT,382U,HYPRPHENYLALNINMIA MNTR QUAN,,,0.92,51.64,14
CPT,38300,DRAINAGE LYMPH NODE LESION,,,0.22,5085.0,100
CPT,38305,DRAINAGE LYMPH NODE LESION,,,0.22,5812.0,100
CPT,38308,INCISION OF LYMPH CHANNELS,,,0.22,5812.0,100
CPT,38380,THORACIC DUCT PROCEDURE,,,0.22,5483.0,99
CPT,38381,THORACIC DUCT PROCEDURE,,,0.22,5483.0,99
CPT,38382,THORACIC DUCT PROCEDURE,,,0.22,5483.0,99
CPT,383U,TYROSINEMIA TYP I MNTR QUAN,,,0.92,52.05,14
CPT,384U,NEPH CKD RSK HI STG KDN DS,,,0.92,750.0,14
CPT,38500,BIOPSY/REMOVAL LYMPH NODES,,,0.22,5812.0,100
CPT,38505,BIOPSY CORE-OTHER THAN BREAST,4687.0,3515.25,0.22,4218.3,105
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,15336.0,11502.0,0.22,13802.4,106
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,0.22,5812.0,100
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,0.22,5812.0,100
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,0.22,5812.0,100
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,0.22,8549.82,103
CPT,38542,EXPLORE DEEP NODE(S) NECK,,,0.22,9407.0,100
CPT,38550,REMOVAL NECK/ARMPIT LESION,,,0.22,5812.0,100
CPT,38555,REMOVAL NECK/ARMPIT LESION,,,0.22,5812.0,100
CPT,38562,REMOVAL PELVIC LYMPH NODES,,,0.22,5483.0,99
CPT,38564,REMOVAL ABDOMEN LYMPH NODES,,,0.22,5483.0,99
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,0.22,9407.0,100
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,0.22,9407.0,100
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,0.22,9407.0,100
CPT,38573,LAPS PELVIC LYMPHADEC,,,0.22,1631.87,98
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,0.22,8165.0,97
CPT,385U,NEPH CKD ALG RSK DBTC KDN DS,,,0.92,390.75,14
CPT,38700,REMOVAL OF LYMPH NODES NECK,,,0.22,5812.0,99
CPT,38720,REMOVAL OF LYMPH NODES NECK,,,0.22,5812.0,99
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,0.22,5483.0,99
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,0.22,9407.0,100
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,0.22,9407.0,100
CPT,38746,REMOVE THORACIC LYMPH NODES,,,0.22,5483.0,99
CPT,38747,REMOVE ABDOMINAL LYMPH NODES,,,0.22,5483.0,99
CPT,38760,REMOVE GROIN LYMPH NODES,,,0.22,5812.0,100
CPT,38765,REMOVE GROIN LYMPH NODES,,,0.22,5483.0,99
CPT,38770,REMOVE PELVIS LYMPH NODES,,,0.22,5483.0,99
CPT,38780,REMOVE ABDOMEN LYMPH NODES,,,0.22,5483.0,99
CPT,38790,INJECT FOR LYMPHATIC X-RAY,,,0.22,1137.0,99
CPT,38792,RA TRACER ID OF SENTINL NODE,,,0.22,1137.0,99
CPT,38794,ACCESS THORACIC LYMPH DUCT,,,0.22,1137.0,99
CPT,387U,ONC MLNMA AMBRA1&AMLO,,,0.92,948.5,14
CPT,388U,ONC NONSM CLL LNG CA 37 GEN,,,0.92,3500.0,14
CPT,38900,IO MAP OF SENT LYMPH NODE,,,0.22,1137.0,99
CPT,38999,ABLATE LYMPH NODES CRYO,15414.0,11560.5,0.22,13872.6,103
CPT,389U,PED FBRL KD IFI27&MCEMP1 RNA,,,0.92,70.2,14
CPT,38U,VITAMIN D SRM MICROSAMP QUAN,,,0.92,29.6,14
CPT,39000,EXPLORATION OF CHEST,,,0.22,5483.0,99
CPT,39010,EXPLORATION OF CHEST,,,0.22,5483.0,99
CPT,390U,OB PE KDR ENG&RBP4 IA ALG,,,0.92,64.41,14
CPT,391U,ONC SLD TUM DNA&RNA 437 GEN,,,0.92,3600.0,14
CPT,39200,RESECT MEDIASTINAL CYST,,,0.22,5483.0,99
CPT,39220,RESECT MEDIASTINAL TUMOR,,,0.22,5483.0,99
CPT,392U,RX METAB GENRX IA 16 GENES,,,0.92,1336.09,14
CPT,393U,NEU PRKSN MSFL A-SYNCLN PRTN,,,0.92,540.99,14
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,0.22,9106.63,103
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,0.22,16530.6,103
CPT,39499,UNLISTED PX MEDIASTINUM,,,0.22,5483.0,97
CPT,394T,HDR ELCTRNC SKN SURF BRCHYTX,,,0.92,16.13,100
CPT,394U,NEU PRKSN MSFL _-SYNCLN PRTN,,,0.92,198.74,14
CPT,39501,REPAIR DIAPHRAGM LACERATION,,,0.22,5483.0,99
CPT,39503,REPAIR OF DIAPHRAGM HERNIA,,,0.22,8202.79,99
CPT,39540,REPAIR OF DIAPHRAGM HERNIA,,,0.22,5483.0,99
CPT,39541,REPAIR OF DIAPHRAGM HERNIA,,,0.22,5483.0,99
CPT,39545,REVISION OF DIAPHRAGM,,,0.22,5483.0,99
CPT,39560,RESECT DIAPHRAGM SIMPLE,,,0.22,5483.0,99
CPT,39561,RESECT DIAPHRAGM COMPLEX,,,0.22,5483.0,99
CPT,39599,UNLISTED PX DIAPHRAGM,,,0.22,5483.0,100
CPT,395T,HDR ELCTR NTRST/NTRCV BRCHTX,,,0.92,16.13,100
CPT,395U,HDR ELCTRNC SKN SURF BRCHYTX,,,0.92,797.45,14
CPT,397T,ERCP W/OPTICAL ENDOMICROSCPY,,,0.22,16.13,101
CPT,398T,MRGFUS STRTCTC LES ABLTJ,,,0.22,0.22,1
CPT,398U,PFAS 16 PFAS COMPND LC MS/MS,,,0.92,1755.0,14
CPT,399U,PFAS 16 PFAS COMPND LC MS/MS,,,0.92,300.0,14
CPT,39U,DNA ANTB 2STRAND HI AVIDITY,,,1.0,13.74,14
CPT,3M,LIVER DIS 10 ASSAYS W/NASH,,,1.0,421.84,10
CPT,3U,ONC OVAR 5 PRTN SER ALG SCOR,,,1.0,950.0,14
CPT,400U,HDR ELCTR NTRST/NTRCV BRCHTX,,,0.92,1456.88,14
CPT,401U,ONC LNG MULTIOMICS PLSM ALG,,,0.92,489.68,14
CPT,402T,COLGN CRS-LINK CRN&PACHYMTRY,,,0.22,6769.1,101
CPT,402U,NFCT AGT STI MULT AMP PRB TQ,,,0.92,142.63,14
CPT,403T,DIABETES PREV STANDARD CURR,,,1.0,3.2,10
CPT,403U,ONC LNG MULTIOMICS PLSM ALG,,,1.0,760.0,14
CPT,40490,BIOPSY OF LIP,,,0.22,1137.0,99
CPT,404U,OB PREIMPLTJ TST 300000 DNA,,,0.92,322.96,14
CPT,40500,PARTIAL EXCISION OF LIP,,,0.22,5085.0,100
CPT,40510,PARTIAL EXCISION OF LIP,,,0.22,5812.0,100
CPT,40520,PARTIAL EXCISION OF LIP,,,0.22,5085.0,100
CPT,40525,RECONSTRUCT LIP WITH FLAP,,,0.22,5812.0,100
CPT,40527,RECONSTRUCT LIP WITH FLAP,,,0.22,5812.0,100
CPT,40530,PARTIAL REMOVAL OF LIP,,,0.22,5812.0,100
CPT,405U,ERCP W/OPTICAL ENDOMICROSCPY,,,0.92,1770.48,14
CPT,40650,RPR LIP FTH VERMILION ONLY,,,0.22,3791.0,99
CPT,40652,RPR LIP FTH<HALF VER HEIGHT,,,0.22,3791.0,99
CPT,40654,RPR LIP FTH>1HALF VER HT/CPX,,,0.22,3791.0,99
CPT,406U,MRGFUS STRTCTC LES ABLTJ,,,0.92,760.0,14
CPT,40700,REPAIR CLEFT LIP/NASAL,,,0.22,8165.0,100
CPT,40701,REPAIR CLEFT LIP/NASAL,,,0.22,8165.0,100
CPT,40702,REPAIR CLEFT LIP/NASAL,,,0.22,8165.0,99
CPT,40720,REPAIR CLEFT LIP/NASAL,,,0.22,8165.0,100
CPT,40761,REPAIR CLEFT LIP/NASAL,,,0.22,8165.0,100
CPT,40799,UNLISTED PROCEDURE LIPS,,,0.22,1137.0,97
CPT,407U,GI BARET ESPH DNA MTHYLN ALY,,,0.92,950.0,14
CPT,40800,DRAINAGE OF MOUTH LESION,,,0.22,1137.0,99
CPT,40801,DRAINAGE OF MOUTH LESION,,,0.22,3791.0,100
CPT,40804,REMOVAL FOREIGN BODY MOUTH,,,0.22,1137.0,99
CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,0.22,3791.0,99
CPT,40806,INCISION OF LIP FOLD,,,0.22,1137.0,99
CPT,40808,BIOPSY OF MOUTH LESION,,,0.22,1137.0,99
CPT,40810,EXCISION OF MOUTH LESION,,,0.22,5085.0,99
CPT,40812,EXCISE/REPAIR MOUTH LESION,10754.0,8065.5,0.22,9678.6,105
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,0.22,5085.0,100
CPT,40816,EXCISION OF MOUTH LESION,,,0.22,5812.0,100
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,0.22,1137.0,99
CPT,40819,EXCISE LIP OR CHEEK FOLD,,,0.22,3791.0,100
CPT,40820,TREATMENT OF MOUTH LESION,,,0.22,5085.0,99
CPT,40830,REPAIR MOUTH LACERATION,,,0.22,1137.0,99
CPT,40831,REPAIR MOUTH LACERATION,,,0.22,3791.0,100
CPT,40840,RECONSTRUCTION OF MOUTH,,,0.22,5812.0,100
CPT,40842,RECONSTRUCTION OF MOUTH,,,0.22,5812.0,100
CPT,40843,RECONSTRUCTION OF MOUTH,,,0.22,5812.0,100
CPT,40844,RECONSTRUCTION OF MOUTH,,,0.22,8165.0,100
CPT,40845,RECONSTRUCTION OF MOUTH,,,0.22,8165.0,100
CPT,40899,UNLISTED PX VESTIBULE MOUTH,,,0.22,1137.0,97
CPT,408T,INSJ/RPLC CARDIAC MODULJ SYS,,,0.22,16.13,101
CPT,408U,IAAD BLK AC WV BSNSR SARSCV2,,,0.92,14.13,14
CPT,409T,INSJ/RPLC CAR MODULJ PLS GN,,,0.22,16.13,101
CPT,409U,GI BARET ESPH DNA MTHYLN ALY,,,0.92,2919.6,14
CPT,40U,BCR/ABL1 GENE MAJOR BP QUAN,,,1.0,409.9,14
CPT,41000,DRAINAGE OF MOUTH LESION,,,0.22,5085.0,99
CPT,41005,DRAINAGE OF MOUTH LESION,,,0.22,1137.0,99
CPT,41006,DRAINAGE OF MOUTH LESION,,,0.22,5812.0,100
CPT,41007,DRAINAGE OF MOUTH LESION,,,0.22,5085.0,100
CPT,41008,DRAINAGE OF MOUTH LESION,,,0.22,5085.0,100
CPT,41009,DRAINAGE OF MOUTH LESION,,,0.22,1137.0,99
CPT,41010,INCISION OF TONGUE FOLD,,,0.22,3791.0,100
CPT,41015,DRAINAGE OF MOUTH LESION,,,0.22,1137.0,99
CPT,41016,DRAINAGE OF MOUTH LESION,,,0.22,3791.0,100
CPT,41017,DRAINAGE OF MOUTH LESION,,,0.22,3791.0,100
CPT,41018,DRAINAGE OF MOUTH LESION,,,0.22,3791.0,100
CPT,41019,PLACE NEEDLES H&N FOR RT,,,0.22,5812.0,99
CPT,410T,INSJ/RPLC CAR MODULJ ATR ELT,,,0.22,16.13,101
CPT,410U,NEURO CERE FOLATE DEFNCY SRM,,,0.92,1160.0,14
CPT,41100,BIOPSY OF TONGUE,,,0.22,3791.0,99
CPT,41105,BIOPSY OF TONGUE,,,0.22,5085.0,99
CPT,41108,BIOPSY OF MOUTH-FLOOR,6466.0,4849.5,0.22,5819.4,105
CPT,41110,EXCISION OF TONGUE LESION,,,0.22,5085.0,99
CPT,41112,EXCISION OF TONGUE LESION,,,0.22,5085.0,100
CPT,41113,EXCISION OF TONGUE LESION,,,0.22,5085.0,100
CPT,41114,EXCISION OF TONGUE LESION,,,0.22,5812.0,100
CPT,41115,EXCISION OF TONGUE FOLD,,,0.22,3791.0,99
CPT,41116,EXCISION OF MOUTH LESION,,,0.22,5085.0,100
CPT,41120,PARTIAL REMOVAL OF TONGUE,,,0.22,5812.0,100
CPT,41130,PARTIAL REMOVAL OF TONGUE,,,0.22,5483.0,99
CPT,41135,TONGUE AND NECK SURGERY,,,0.22,5483.0,99
CPT,41140,REMOVAL OF TONGUE,,,0.22,5483.0,99
CPT,41145,TONGUE REMOVAL NECK SURGERY,,,0.22,5483.0,99
CPT,41150,TONGUE MOUTH JAW SURGERY,,,0.22,5483.0,99
CPT,41153,TONGUE MOUTH NECK SURGERY,,,0.22,5483.0,99
CPT,41155,TONGUE JAW & NECK SURGERY,,,0.22,5483.0,99
CPT,411T,INSJ/RPLC CAR MODULJ VNT ELT,,,0.22,16.13,101
CPT,411U,PSYC GENOM ALYS PNL 15 GEN,,,0.92,1336.09,14
CPT,41250,REPAIR TONGUE LACERATION,,,0.22,1137.0,99
CPT,41251,REPAIR TONGUE LACERATION,,,0.22,1137.0,99
CPT,41252,REPAIR TONGUE LACERATION,,,0.22,3791.0,100
CPT,412T,RMVL CARDIAC MODULJ PLS GEN,,,0.22,16.13,101
CPT,412U,NEURO CERE FOLATE DEFNCY SRM,,,0.92,750.0,14
CPT,413T,RMVL CAR MODULJ TRANVNS ELT,,,0.22,16.13,101
CPT,413U,OB XPND CAR SCR 145 GENES,,,0.92,1263.53,14
CPT,414T,RMVL & RPL CAR MODULJ PLS GN,,,0.22,16.13,101
CPT,414U,OB XPND CAR SCR 145 GENES,,,0.92,706.25,14
CPT,41510,TONGUE TO LIP SURGERY,,,0.22,5085.0,100
CPT,41512,TONGUE SUSPENSION,,,0.22,3791.0,99
CPT,41520,RECONSTRUCTION TONGUE FOLD,,,0.22,3791.0,100
CPT,41530,TONGUE BASE VOL REDUCTION,,,0.22,5812.0,99
CPT,41599,UNLISTED PX TONGUE FLR MOUTH,,,0.22,1137.0,97
CPT,415T,REPOS CAR MODULJ TRANVNS ELT,,,0.22,16.13,101
CPT,415U,CV DS ACS BLD ALG 5 YR SCORE,,,0.92,390.75,14
CPT,416T,RELOC SKIN POCKET PLS GEN,,,0.22,16.13,101
CPT,417T,PRGRMG EVAL CARDIAC MODULJ,,,1.0,16.13,95
CPT,417U,CRD C HRT DS 9 GEN 12 VRNTS,,,0.92,2842.53,14
CPT,41800,DRAINAGE OF GUM LESION,,,0.22,1137.0,99
CPT,41805,REMOVAL FOREIGN BODY GUM,,,0.22,5812.0,99
CPT,41806,REMOVAL FOREIGN BODY JAWBONE,,,0.22,5085.0,99
CPT,41820,EXCISION GUM EACH QUADRANT,,,0.22,3791.0,97
CPT,41821,EXCISION OF GUM FLAP,,,0.22,3791.0,97
CPT,41822,EXCISION OF GUM LESION,,,0.22,5085.0,99
CPT,41823,EXCISION OF GUM LESION,,,0.22,5812.0,99
CPT,41825,EXCISION OF GUM LESION,,,0.22,5085.0,99
CPT,41826,EXCISION OF GUM LESION,,,0.22,5812.0,99
CPT,41827,EXCISION OF GUM LESION,,,0.22,5812.0,100
CPT,41828,EXCISION OF GUM LESION,,,0.22,5085.0,99
CPT,41830,REMOVAL OF GUM TISSUE,,,0.22,5085.0,99
CPT,41850,TREATMENT OF GUM LESION,,,0.22,5085.0,97
CPT,41870,GUM GRAFT,,,0.22,5812.0,97
CPT,41872,REPAIR GUM,,,0.22,5085.0,99
CPT,41874,REPAIR TOOTH SOCKET,,,0.22,5812.0,99
CPT,41899,UNLISTED PX DENTALVLR STRUX,,,0.22,5126.5,102
CPT,418T,INTERRO EVAL CARDIAC MODULJ,,,1.0,16.13,95
CPT,418U,COLGN CRS-LINK CRN&PACHYMTRY,,,0.92,706.25,14
CPT,419T,DSTRJ NEUROFIBROMA XTNSV,,,0.22,925.32,101
CPT,419U,NRPSYC GEN SEQ VRNT ALY 13,,,0.92,1336.09,14
CPT,41U,B BRGDRFERI ANTB 5 PRTN IGM,,,1.0,17.21,14
CPT,42000,DRAINAGE MOUTH ROOF LESION,,,0.22,1137.0,99
CPT,420T,DSTRJ NEUROFIBROMA XTNSV,,,0.22,925.32,101
CPT,420U,ONC URTHL MRNA XPRSN 6 SNP,,,0.5,1.12,14
CPT,42100,BIOPSY ROOF OF MOUTH,,,0.22,3791.0,99
CPT,42104,EXCISION LESION MOUTH ROOF,,,0.22,5085.0,99
CPT,42106,EXCISION LESION MOUTH ROOF,,,0.22,5085.0,99
CPT,42107,EXCISION LESION MOUTH ROOF,,,0.22,5812.0,100
CPT,42120,REMOVE PALATE/LESION,,,0.22,8165.0,100
CPT,42140,EXCISION OF UVULA,,,0.22,3791.0,100
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,0.22,5812.0,100
CPT,42160,TREATMENT MOUTH ROOF LESION,,,0.22,5085.0,99
CPT,42180,REPAIR LAC PALATE<2 CM,,,0.22,1137.0,99
CPT,42182,REPAIR PALATE,,,0.22,8165.0,100
CPT,421T,WATERJET PROSTATE ABLTJ CMPL,,,0.22,16.13,96
CPT,421U,ONC CLRCT SCR SGL AMP 8 RNA,,,1.0,508.87,14
CPT,42200,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,100
CPT,42205,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,100
CPT,42210,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,100
CPT,42215,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,100
CPT,42220,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,100
CPT,42225,RECONSTRUCT CLEFT PALATE,,,0.22,8165.0,99
CPT,42226,LENGTHENING OF PALATE,,,0.22,8165.0,100
CPT,42227,LENGTHENING OF PALATE,,,0.22,8165.0,99
CPT,42235,REPAIR PALATE,,,0.22,5085.0,100
CPT,42260,REPAIR NOSE TO LIP FISTULA,,,0.22,5812.0,100
CPT,42280,PREPARATION PALATE MOLD,,,0.22,1137.0,99
CPT,42281,INSERTION PALATE PROSTHESIS,,,0.22,5085.0,99
CPT,42299,UNLISTED PX PALATE UVULA,,,0.22,1137.0,97
CPT,422T,TACTILE BREAST IMG UNI/BI,,,0.92,147.31,15
CPT,422U,ONC PAN SOLID TUM ALYS DNA,,,0.5,1.12,14
CPT,42300,DRAINAGE OF SALIVARY GLAND,,,0.22,5085.0,100
CPT,42305,DRAINAGE OF SALIVARY GLAND,,,0.22,5085.0,100
CPT,42310,DRAINAGE OF SALIVARY GLAND,,,0.22,1137.0,99
CPT,42320,DRAINAGE OF SALIVARY GLAND,,,0.22,1137.0,99
CPT,42330,REMOVAL OF SALIVARY STONE,,,0.22,5085.0,99
CPT,42335,REMOVAL OF SALIVARY STONE,,,0.22,5085.0,99
CPT,42340,REMOVAL OF SALIVARY STONE,,,0.22,5085.0,100
CPT,423U,PSYC GENOMIC ALYS PNL 26 GEN,,,0.92,416.78,14
CPT,42400,BIOPSY OF SALIVARY GLAND,,,0.22,3791.0,99
CPT,42405,BIOPSY OF SALIVARY GLAND,,,0.22,5812.0,100
CPT,42408,EXCISION OF SALIVARY CYST,,,0.22,5085.0,100
CPT,42409,DRAINAGE OF SALIVARY CYST,,,0.22,5085.0,100
CPT,42410,EXCISE PAROTID GLAND/LESION,,,0.22,8165.0,100
CPT,42415,EXCISE PAROTID GLAND/LESION,,,0.22,8165.0,100
CPT,42420,EXCISE PAROTID GLAND/LESION,,,0.22,8165.0,100
CPT,42425,EXCISE PAROTID GLAND/LESION,,,0.22,8165.0,100
CPT,42426,EXCISE PAROTID GLAND/LESION,,,0.22,5483.0,99
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,0.22,8165.0,100
CPT,42450,EXCISE SUBLINGUAL GLAND,,,0.22,5812.0,100
CPT,424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,0.92,760.0,14
CPT,42500,REPAIR SALIVARY DUCT,,,0.22,5812.0,100
CPT,42505,REPAIR SALIVARY DUCT,,,0.22,8165.0,100
CPT,42507,PAROTID DUCT DIVERSION,,,0.22,8165.0,100
CPT,42509,PAROTID DUCT DIVERSION,,,0.22,8165.0,100
CPT,42510,PAROTID DUCT DIVERSION,,,0.22,8165.0,100
CPT,42550,INJECTION FOR SALIVARY X-RAY,,,0.22,1395.85,104
CPT,425U,GENOM RPD SEQ ALYS EA CMPRTR,,,0.5,0.5,4
CPT,42600,CLOSURE OF SALIVARY FISTULA,,,0.22,5085.0,100
CPT,42650,DILATION OF SALIVARY DUCT,,,0.22,3791.0,99
CPT,42660,DILATION OF SALIVARY DUCT,,,0.22,1137.0,99
CPT,42665,LIGATION OF SALIVARY DUCT,,,0.22,5812.0,100
CPT,42699,UNLISTED PX SALIVRY GLND/DUX,,,0.22,1137.0,97
CPT,426U,GENOME ULTRA-RAPID SEQ ALYS,,,0.5,0.5,4
CPT,42700,DRAINAGE OF TONSIL ABSCESS,,,0.22,1137.0,99
CPT,42720,DRAINAGE OF THROAT ABSCESS,,,0.22,5085.0,100
CPT,42725,DRAINAGE OF THROAT ABSCESS,,,0.22,8165.0,100
CPT,427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,0.92,4.48,14
CPT,42800,BIOPSY OF THROAT,,,0.22,3791.0,99
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,,,0.22,5085.0,100
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,0.22,5812.0,100
CPT,42808,EXCISE PHARYNX LESION,,,0.22,5812.0,100
CPT,42809,REML FORGN BODY FROM PHARYNX,1020.0,765.0,0.22,1137.0,105
CPT,42810,EXCISION OF NECK CYST,,,0.22,5812.0,100
CPT,42815,EXCISION OF NECK CYST,,,0.22,8165.0,100
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,0.22,8010.17,105
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,0.22,5812.0,105
CPT,42825,REMOVAL OF TONSILS,,,0.22,5812.0,100
CPT,42826,REMOVAL OF TONSILS,,,0.22,5812.0,100
CPT,42830,REMOVAL OF ADENOIDS,,,0.22,5812.0,100
CPT,42831,REMOVAL OF ADENOIDS,,,0.22,5812.0,100
CPT,42835,REMOVAL OF ADENOIDS,,,0.22,5812.0,100
CPT,42836,REMOVAL OF ADENOIDS,,,0.22,5812.0,100
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,0.22,5812.0,99
CPT,42844,EXTENSIVE SURGERY OF THROAT,,,0.22,8165.0,99
CPT,42845,EXTENSIVE SURGERY OF THROAT,,,0.22,5483.0,99
CPT,42860,EXCISION OF TONSIL TAGS,,,0.22,5812.0,100
CPT,42870,EXCISION OF LINGUAL TONSIL,,,0.22,5812.0,100
CPT,42890,PARTIAL REMOVAL OF PHARYNX,,,0.22,8165.0,100
CPT,42892,REVISION OF PHARYNGEAL WALLS,,,0.22,8165.0,100
CPT,42894,REVISION OF PHARYNGEAL WALLS,,,0.22,5483.0,99
CPT,42900,REPAIR THROAT WOUND,,,0.22,3791.0,100
CPT,42950,RECONSTRUCTION OF THROAT,,,0.22,5812.0,100
CPT,42953,REPAIR THROAT ESOPHAGUS,,,0.22,5483.0,99
CPT,42955,SURGICAL OPENING OF THROAT,,,0.22,5812.0,100
CPT,42960,CONTROL THROAT BLEEDING,,,0.22,1137.0,99
CPT,42961,CONTROL THROAT BLEEDING,,,0.22,5483.0,99
CPT,42962,CONTROL THROAT BLEEDING,,,0.22,8165.0,100
CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,0.22,1137.0,99
CPT,42971,CONTROL NOSE/THROAT BLEEDING,,,0.22,5483.0,99
CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,0.22,5085.0,100
CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,0.22,132.26,98
CPT,42999,UNLISTED PX PHRNX ADND/TNSL,,,0.22,1137.0,97
CPT,429U,HPV OROP SWAB 14 HI-RISK TYP,,,0.92,35.09,14
CPT,42T,CT PERFUSION W/CONTRAST CBF,,,1.0,262.03,15
CPT,42U,B BRGDRFERI ANTB 12 PRTN IGG,,,1.0,17.21,14
CPT,43020,INCISION OF ESOPHAGUS,,,0.22,3791.0,99
CPT,43030,THROAT MUSCLE SURGERY,,,0.22,5085.0,99
CPT,43045,INCISION OF ESOPHAGUS,,,0.22,5483.0,99
CPT,430U,GI MALABS AAT CALPRO PNCRTC,,,0.92,61.54,14
CPT,43100,EXCISION OF ESOPHAGUS LESION,,,0.22,5483.0,99
CPT,43101,EXCISION OF ESOPHAGUS LESION,,,0.22,5483.0,99
CPT,43107,REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43108,REMOVAL OF ESOPHAGUS,,,0.22,6269.92,99
CPT,43112,ESPHG TOT W/THRCM,,,0.22,5483.0,99
CPT,43113,REMOVAL OF ESOPHAGUS,,,0.22,6129.27,99
CPT,43116,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,7010.19,99
CPT,43117,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43118,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43121,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43122,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43123,PARTIAL REMOVAL OF ESOPHAGUS,,,0.22,6353.74,99
CPT,43124,REMOVAL OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43130,REMOVAL OF ESOPHAGUS POUCH,,,0.22,8165.0,99
CPT,43135,REMOVAL OF ESOPHAGUS POUCH,,,0.22,5483.0,99
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,0.22,752.57,98
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,0.22,213.96,98
CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,0.22,231.93,98
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,0.22,232.99,98
CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,0.22,264.42,98
CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,0.22,254.76,98
CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,0.22,268.54,98
CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,0.22,253.7,98
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,0.22,281.34,98
CPT,431U,GLY RCPTR ALPHA1 IGG SRM/CSF,,,0.92,36.57,14
CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,0.22,5085.0,100
CPT,43201,ESOPH SCOPE W/SUBMUCOUS INJ,,,0.22,5085.0,100
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,0.22,5085.0,100
CPT,43204,ESOPH SCOPE W/SCLEROSIS INJ,,,0.22,5085.0,100
CPT,43205,ESOPHAGUS ENDOSCOPY/LIGATION,,,0.22,5085.0,100
CPT,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,0.22,5085.0,99
CPT,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,0.22,588.4,103
CPT,43211,ESOPHAGOSCOP MUCOSAL RESECT,,,0.22,313.93,98
CPT,43212,ESOPHAGOSCOP STENT PLACEMENT,,,0.22,260.17,98
CPT,43213,ESOPHAGOSCOPY RETRO BALLOON,,,0.22,1512.0,98
CPT,43214,ESOPHAGOSC DILATE BALLOON 30,,,0.22,266.99,98
CPT,43215,ESOPHAGOSCOPY FLEX REMOVE FB,,,0.22,5085.0,100
CPT,43216,ESOPHAGOSCOPY LESION REMOVAL,,,0.22,5812.0,100
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,,,0.22,5085.0,100
CPT,43220,ESOPHAGOSCOPY BALLOON <30MM,,,0.22,5085.0,100
CPT,43226,ESOPH ENDOSCOPY DILATION,,,0.22,5085.0,100
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,,,0.22,5085.0,100
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,0.22,887.2,98
CPT,43231,ESOPHAGOSCOP ULTRASOUND EXAM,,,0.22,5085.0,100
CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,,,0.22,5085.0,100
CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,,,0.22,311.88,98
CPT,43235,EGD DIAGNOSTIC BRUSH WASH,,,0.22,5085.0,100
CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,,,0.22,5085.0,100
CPT,43237,ENDOSCOPIC US EXAM ESOPH,,,0.22,5085.0,100
CPT,43238,EGD US FINE NEEDLE BX/ASPIR,,,0.22,5085.0,100
CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,,,0.22,5085.0,100
CPT,43240,EGD W/TRANSMURAL DRAIN CYST,,,0.22,5085.0,100
CPT,43241,EGD TUBE/CATH INSERTION,,,0.22,5085.0,100
CPT,43242,EGD US FINE NEEDLE BX/ASPIR,,,0.22,5085.0,100
CPT,43243,EGD INJECTION VARICES,,,0.22,5085.0,100
CPT,43244,EGD VARICES LIGATION,,,0.22,5085.0,100
CPT,43245,EGD DILATE STRICTURE,,,0.22,5085.0,100
CPT,43246,EGD PLACE GASTROSTOMY TUBE,,,0.22,5085.0,100
CPT,43247,EGD REMOVE FOREIGN BODY,,,0.22,5085.0,100
CPT,43248,EGD GUIDE WIRE INSERTION,,,0.22,5085.0,100
CPT,43249,ESOPH EGD DILATION <30 MM,,,0.22,5085.0,100
CPT,43250,EGD CAUTERY TUMOR POLYP,,,0.22,5085.0,100
CPT,43251,EGD REMOVE LESION SNARE,,,0.22,5085.0,100
CPT,43252,EGD OPTICAL ENDOMICROSCOPY,,,0.22,5085.0,99
CPT,43253,EGD US TRANSMURAL INJXN/MARK,,,0.22,351.09,98
CPT,43254,EGD ENDO MUCOSAL RESECTION,,,0.22,361.16,98
CPT,43255,EGD CONTROL BLEEDING ANY,,,0.22,5085.0,100
CPT,43257,EGD W/THRML TXMNT GERD,,,0.22,5812.0,100
CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,,,0.22,5085.0,100
CPT,43260,ERCP W/SPECIMEN COLLECTION,,,0.22,5812.0,100
CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,0.22,5812.0,100
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,0.22,5812.0,100
CPT,43263,ERCP SPHINCTER PRESSURE MEAS,,,0.22,5812.0,100
CPT,43264,ERCP REMOVE DUCT CALCULI,,,0.22,5812.0,100
CPT,43265,ERCP LITHOTRIPSY CALCULI,,,0.22,5812.0,100
CPT,43266,EGD ENDOSCOPIC STENT PLACE,,,0.22,293.1,98
CPT,43270,EGD LESION ABLATION,,,0.22,917.55,98
CPT,43273,ENDOSCOPIC PANCREATOSCOPY,,,0.22,5812.0,99
CPT,43274,ERCP DUCT STENT PLACEMENT,,,0.22,616.87,98
CPT,43275,ERCP REMOVE FORGN BODY DUCT,,,0.22,502.11,98
CPT,43276,ERCP STENT EXCHANGE W/DILATE,,,0.22,641.46,98
CPT,43277,ERCP EA DUCT/AMPULLA DILATE,,,0.22,504.7,98
CPT,43278,ERCP LESION ABLATE W/DILATE,,,0.22,577.58,98
CPT,43279,LAP MYOTOMY HELLER,,,0.22,9407.0,99
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,0.22,9407.0,102
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,0.22,9407.0,102
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,0.22,9407.0,99
CPT,43283,LAP ESOPH LENGTHENING,,,0.22,5483.0,99
CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,0.22,931.88,98
CPT,43285,RMVL ESOPHGL SPHNCTR DEV,,,0.22,956.87,98
CPT,43286,ESPHG TOT W/LAPS MOBLJ,,,0.22,4501.08,98
CPT,43287,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,0.22,5010.83,98
CPT,43288,ESPHG THRSC MOBLJ,,,0.22,5285.95,98
CPT,43289,UNLISTED LAPS PX ESOPH,,,0.22,8165.0,100
CPT,43290,EGD FLX TRNSORL DPLMNT BALO,,,0.22,3099.08,98
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,0.22,587.07,98
CPT,432U,KLHL11 ANTB SR/CSF ASY QUAL,,,0.92,36.57,14
CPT,43300,REPAIR OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43305,REPAIR ESOPHAGUS AND FISTULA,,,0.22,5483.0,99
CPT,43310,REPAIR OF ESOPHAGUS,,,0.22,5483.0,99
CPT,43312,REPAIR ESOPHAGUS AND FISTULA,,,0.22,5483.0,99
CPT,43313,ESOPHAGOPLASTY CONGENITAL,,,0.22,5483.0,99
CPT,43314,TRACHEO-ESOPHAGOPLASTY CONG,,,0.22,5483.0,99
CPT,43320,FUSE ESOPHAGUS & STOMACH,,,0.22,5483.0,99
CPT,43325,REVISE ESOPHAGUS & STOMACH,,,0.22,5483.0,99
CPT,43327,ESOPH FUNDOPLASTY LAP,,,0.22,5483.0,99
CPT,43328,ESOPH FUNDOPLASTY THOR,,,0.22,5483.0,99
CPT,43330,ESOPHAGOMYOTOMY ABDOMINAL,,,0.22,5483.0,99
CPT,43331,ESOPHAGOMYOTOMY THORACIC,,,0.22,5483.0,99
CPT,43332,TRANSAB ESOPH HIAT HERN RPR,,,0.22,5483.0,99
CPT,43333,TRANSAB ESOPH HIAT HERN RPR,,,0.22,5483.0,99
CPT,43334,TRANSTHOR DIAPHRAG HERN RPR,,,0.22,5483.0,99
CPT,43335,TRANSTHOR DIAPHRAG HERN RPR,,,0.22,5483.0,99
CPT,43336,THORABD DIAPHR HERN REPAIR,,,0.22,5483.0,99
CPT,43337,THORABD DIAPHR HERN REPAIR,,,0.22,5483.0,99
CPT,43338,ESOPH LENGTHENING,,,0.22,5483.0,99
CPT,43340,FUSE ESOPHAGUS & INTESTINE,,,0.22,5483.0,99
CPT,43341,FUSE ESOPHAGUS & INTESTINE,,,0.22,5483.0,99
CPT,43351,SURGICAL OPENING ESOPHAGUS,,,0.22,5483.0,99
CPT,43352,SURGICAL OPENING ESOPHAGUS,,,0.22,5483.0,99
CPT,43360,GASTROINTESTINAL REPAIR,,,0.22,5483.0,99
CPT,43361,GASTROINTESTINAL REPAIR,,,0.22,5483.0,99
CPT,433U,ONC PRST8 5 DNA REG MRK PCR,,,0.92,760.0,14
CPT,43400,LIGATE ESOPHAGUS VEINS,,,0.22,9407.0,99
CPT,43405,LIGATE/STAPLE ESOPHAGUS,,,0.22,5483.0,99
CPT,43410,REPAIR ESOPHAGUS WOUND,,,0.22,5483.0,99
CPT,43415,REPAIR ESOPHAGUS WOUND,,,0.22,5483.0,99
CPT,43420,REPAIR ESOPHAGUS OPENING,,,0.22,5812.0,99
CPT,43425,REPAIR ESOPHAGUS OPENING,,,0.22,5483.0,99
CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,0.22,3791.0,100
CPT,43453,DILATE ESOPHAGUS,,,0.22,3791.0,100
CPT,43460,PRESSURE TREATMENT ESOPHAGUS,,,0.22,5483.0,99
CPT,43496,FREE JEJUNUM FLAP MICROVASC,,,0.22,5483.0,97
CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,0.22,1071.53,98
CPT,43499,UNLISTED PROCEDURE ESOPHAGUS,,,0.22,5085.0,97
CPT,434U,RX METAB ADVRS VRNT ALYS 25,,,0.92,416.78,14
CPT,43500,SURGICAL OPENING OF STOMACH,,,0.22,5483.0,99
CPT,43501,SURGICAL REPAIR OF STOMACH,,,0.22,5483.0,99
CPT,43502,SURGICAL REPAIR OF STOMACH,,,0.22,5483.0,99
CPT,43510,SURGICAL OPENING OF STOMACH,,,0.22,5085.0,99
CPT,43520,INCISION OF PYLORIC MUSCLE,,,0.22,5483.0,99
CPT,435U,ONC CHEMO RX CYTOX CSC 14 RX,,,0.92,3033.86,14
CPT,43605,BIOPSY OF STOMACH,,,0.22,5812.0,99
CPT,43610,EXCISION OF STOMACH LESION,,,0.22,5483.0,99
CPT,43611,EXCISION OF STOMACH LESION,,,0.22,5483.0,99
CPT,43620,REMOVAL OF STOMACH,,,0.22,5483.0,99
CPT,43621,REMOVAL OF STOMACH,,,0.22,5483.0,99
CPT,43622,REMOVAL OF STOMACH,,,0.22,5483.0,99
CPT,43631,REMOVAL OF STOMACH PARTIAL,,,0.22,5483.0,99
CPT,43632,REMOVAL OF STOMACH PARTIAL,,,0.22,5483.0,99
CPT,43633,REMOVAL OF STOMACH PARTIAL,,,0.22,5483.0,99
CPT,43634,REMOVAL OF STOMACH PARTIAL,,,0.22,5483.0,99
CPT,43635,REMOVAL OF STOMACH PARTIAL,,,0.22,5483.0,99
CPT,43640,VAGOTOMY & PYLORUS REPAIR,,,0.22,5483.0,99
CPT,43641,VAGOTOMY & PYLORUS REPAIR,,,0.22,5483.0,99
CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,0.22,9407.0,99
CPT,43645,LAP GASTR BYPASS INCL SMLL I,,,0.22,9407.0,99
CPT,43647,LAP IMPL ELECTRODE ANTRUM,,,0.22,9407.0,97
CPT,43648,LAP REVISE/REMV ELTRD ANTRUM,,,0.22,8165.0,97
CPT,43651,LAPAROSCOPY VAGUS NERVE,,,0.22,9407.0,99
CPT,43652,LAPAROSCOPY VAGUS NERVE,,,0.22,9407.0,99
CPT,43653,LAPAROSCOPY GASTROSTOMY,,,0.22,9407.0,100
CPT,43659,UNLISTED LAPS PX STOMACH,,,0.22,8165.0,97
CPT,436U,ONC LNG PLSM ALYS 388 PRTN,,,0.5,1.12,14
CPT,43752,NASAL/OROGASTRIC W/TUBE PLMT,,,0.22,1137.0,99
CPT,43753,TX GASTRO INTUB W/ASP,,,0.22,1137.0,99
CPT,43754,DX GASTR INTUB W/ASP SPEC,,,0.22,1137.0,99
CPT,43755,DX GASTR INTUB W/ASP SPECS,,,0.22,1137.0,99
CPT,43756,DX DUOD INTUB W/ASP SPEC,,,0.22,1137.0,99
CPT,43757,DX DUOD INTUB W/ASP SPECS,,,0.22,1137.0,99
CPT,43761,REPOSITION GASTROSTOMY TUBE,,,0.22,5085.0,100
CPT,43762,RPLC GTUBE NO REVJ TRC,1982.0,1486.5,0.22,2015.1,327
CPT,43763,RPLC GTUBE REVJ GSTRST TRC,2239.0,1679.25,0.22,2015.1,109
CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,0.22,19816.51,104
CPT,43771,LAP REVISE GASTR ADJ DEVICE,,,0.22,7166.0,99
CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,0.22,7166.0,99
CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,0.22,8165.0,99
CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,0.22,11318.0,99
CPT,43775,LAP SLEEVE GASTRECTOMY,,,0.22,9407.0,99
CPT,437T,IMPLTJ SYNTH RNFCMT ABDL WAL,,,0.22,16.13,96
CPT,437U,PSYC ANXIETY DO MRNA 15 BMRK,,,0.92,760.0,14
CPT,43800,RECONSTRUCTION OF PYLORUS,,,0.22,5483.0,99
CPT,43810,FUSION OF STOMACH AND BOWEL,,,0.22,5483.0,99
CPT,43820,FUSION OF STOMACH AND BOWEL,,,0.22,5483.0,99
CPT,43825,FUSION OF STOMACH AND BOWEL,,,0.22,5483.0,99
CPT,43830,PLACE GASTROSTOMY TUBE,,,0.22,5812.0,99
CPT,43831,PLACE GASTROSTOMY TUBE,,,0.22,5085.0,99
CPT,43832,PLACE GASTROSTOMY TUBE,,,0.22,5483.0,99
CPT,43840,REPAIR OF STOMACH LESION,,,0.22,5483.0,99
CPT,43842,V-BAND GASTROPLASTY,,,0.22,5483.0,97
CPT,43843,GASTROPLASTY W/O V-BAND,,,0.22,8165.0,99
CPT,43845,GASTROPLASTY DUODENAL SWITCH,,,0.22,5483.0,99
CPT,43846,GASTRIC BYPASS FOR OBESITY,,,0.22,5483.0,99
CPT,43847,GASTRIC BYPASS INCL SMALL I,,,0.22,5483.0,99
CPT,43848,REVISION GASTROPLASTY,,,0.22,5483.0,99
CPT,43850,Revision Of Attachment Of Stomach And Small Bowel,,,5483.0,5483.0,1
CPT,43855,Revision Of Attachment Of Stomach To Upper Small Bowel,,,5483.0,5483.0,1
CPT,43860,REVISE STOMACH-BOWEL FUSION,,,0.22,5483.0,99
CPT,43865,REVISE STOMACH-BOWEL FUSION,,,0.22,5483.0,99
CPT,43870,REPAIR STOMACH OPENING,,,0.22,5812.0,100
CPT,43880,REPAIR STOMACH-BOWEL FISTULA,,,0.22,5483.0,99
CPT,43881,IMPL/REDO ELECTRD ANTRUM,,,0.22,5483.0,97
CPT,43882,REVISE/REMOVE ELECTRD ANTRUM,,,0.22,5483.0,97
CPT,43886,REVISE GASTRIC PORT OPEN,,,0.22,5812.0,99
CPT,43887,REMOVE GASTRIC PORT OPEN,,,0.22,3791.0,99
CPT,43888,CHANGE GASTRIC PORT OPEN,,,0.22,5812.0,99
CPT,438U,RX METAB ADVRS VRNT ALYS 33,,,0.92,416.78,14
CPT,43999,UNLISTED PROCEDURE STOMACH,,,0.22,5085.0,97
CPT,439T,MYOCRD CONTRAST PRFUJ ECHO,,,0.92,1.12,10
CPT,439U,"Cardiology (coronary heart disease [CHD]), DNA, analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934], rs6560711 [WDR37], rs3735222 [SCIN/LOC107986769], rs6820447 [intergenic",,,0.5,1.12,14
CPT,43U,TBRF B GRP ANTB 4 PRTN IGM,,,1.0,14.86,14
CPT,44005,FREEING OF BOWEL ADHESION,,,0.22,5483.0,99
CPT,44010,INCISION OF SMALL BOWEL,,,0.22,5483.0,99
CPT,44015,INSERT NEEDLE CATH BOWEL,,,0.22,5483.0,99
CPT,44020,EXPLORE SMALL INTESTINE,,,0.22,5483.0,99
CPT,44021,DECOMPRESS SMALL BOWEL,,,0.22,5483.0,99
CPT,44025,INCISION OF LARGE BOWEL,,,0.22,5483.0,99
CPT,44050,REDUCE BOWEL OBSTRUCTION,,,0.22,5483.0,99
CPT,44055,CORRECT MALROTATION OF BOWEL,,,0.22,5483.0,99
CPT,440T,ABLTJ PERC UXTR/PERPH NRV,,,0.22,16.13,96
CPT,440U,"Cardiology (coronary heart disease [CHD]), DNA, analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019], rs1333048 [CDKN2B-AS1], rs12129789 [KCND3], rs942317 [KTN1-AS1], rs1441433",,,0.5,1.12,14
CPT,44100,BIOPSY OF BOWEL,,,0.22,5085.0,100
CPT,44110,EXCISE INTESTINE LESION(S),,,0.22,5483.0,99
CPT,44111,EXCISION OF BOWEL LESION(S),,,0.22,5483.0,99
CPT,44120,REMOVAL OF SMALL INTESTINE,,,0.22,5483.0,99
CPT,44121,REMOVAL OF SMALL INTESTINE,,,0.22,5483.0,99
CPT,44125,REMOVAL OF SMALL INTESTINE,,,0.22,5483.0,99
CPT,44126,ENTERECTOMY W/O TAPER CONG,,,0.22,5483.0,99
CPT,44127,ENTERECTOMY W/TAPER CONG,,,0.22,5483.0,99
CPT,44128,ENTERECTOMY CONG ADD-ON,,,0.22,5483.0,99
CPT,44130,BOWEL TO BOWEL FUSION,,,0.22,5483.0,99
CPT,44132,ENTERECTOMY CADAVER DONOR,,,0.22,5483.0,97
CPT,44133,ENTERECTOMY LIVE DONOR,,,0.22,5483.0,97
CPT,44135,INTESTINE TRANSPLNT CADAVER,,,0.22,5483.0,97
CPT,44136,INTESTINE TRANSPLANT LIVE,,,0.22,5483.0,97
CPT,44137,REMOVE INTESTINAL ALLOGRAFT,,,0.22,5483.0,97
CPT,44139,MOBILIZATION OF COLON,,,0.22,5483.0,99
CPT,44140,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44141,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44143,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44144,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44145,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44146,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44147,PARTIAL REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44150,REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44151,REMOVAL OF COLON/ILEOSTOMY,,,0.22,5483.0,99
CPT,44155,REMOVAL OF COLON/ILEOSTOMY,,,0.22,5483.0,99
CPT,44156,REMOVAL OF COLON/ILEOSTOMY,,,0.22,5483.0,99
CPT,44157,COLECTOMY W/ILEOANAL ANAST,,,0.22,5483.0,99
CPT,44158,COLECTOMY W/NEO-RECTUM POUCH,,,0.22,5483.0,99
CPT,44160,REMOVAL OF COLON,,,0.22,5483.0,99
CPT,44180,LAP ENTEROLYSIS,,,0.22,9407.0,99
CPT,44186,LAP JEJUNOSTOMY,,,0.22,9407.0,99
CPT,44187,LAP ILEO/JEJUNO-STOMY,,,0.22,5483.0,99
CPT,44188,LAP COLOSTOMY,,,0.22,5483.0,99
CPT,441T,ABLTJ PERC LXTR/PERPH NRV,,,0.22,16.13,96
CPT,441U,"Infectious disease (bacterial, fungal, or viral infection), semiquantitative biomechanical assessment (via deformability cytometry), whole blood, with algorithmic analysis and result reported as an in",,,0.5,1.12,14
CPT,44202,LAP ENTERECTOMY,,,0.22,8165.0,99
CPT,44203,LAP RESECT S/INTESTINE ADDL,,,0.22,8165.0,99
CPT,44204,LAPARO PARTIAL COLECTOMY,,,0.22,8165.0,99
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,0.22,5483.0,99
CPT,44206,LAP PART COLECTOMY W/STOMA,,,0.22,9407.0,99
CPT,44207,L COLECTOMY/COLOPROCTOSTOMY,,,0.22,9407.0,99
CPT,44208,L COLECTOMY/COLOPROCTOSTOMY,,,0.22,9407.0,99
CPT,44210,LAPARO TOTAL PROCTOCOLECTOMY,,,0.22,5483.0,99
CPT,44211,LAP COLECTOMY W/PROCTECTOMY,,,0.22,5483.0,99
CPT,44212,LAPARO TOTAL PROCTOCOLECTOMY,,,0.22,5483.0,99
CPT,44213,LAP MOBIL SPLENIC FL ADD-ON,,,0.22,8165.0,99
CPT,44227,LAP CLOSE ENTEROSTOMY,,,0.22,5483.0,99
CPT,44238,UNLISTED LAPS PX INTESTINE,,,0.22,8165.0,97
CPT,442T,ABLTJ PERC PLEX/TRNCL NRV,,,0.22,16.13,96
CPT,442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A (MxA) and C-reactive protein (CRP), fingerstick whole blood specimen, each biomarker reported as present or absent",,,0.92,41.38,14
CPT,44300,PLCMNT ENTER/CECOSTOMY OPEN,15868.0,11901.0,0.22,14281.2,112
CPT,44310,ILEOSTOMY/JEJUNOSTOMY,,,0.22,5483.0,99
CPT,44312,REVISION OF ILEOSTOMY,,,0.22,5812.0,100
CPT,44314,REVISION OF ILEOSTOMY,,,0.22,5483.0,99
CPT,44316,DEVISE BOWEL POUCH,,,0.22,5483.0,99
CPT,44320,COLOSTOMY,,,0.22,5483.0,99
CPT,44322,COLOSTOMY WITH BIOPSIES,,,0.22,5483.0,99
CPT,44340,REVISION OF COLOSTOMY,,,0.22,5812.0,100
CPT,44345,REVISION OF COLOSTOMY,,,0.22,7166.0,99
CPT,44346,REVISION OF COLOSTOMY,,,0.22,7166.0,99
CPT,44360,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,0.22,5085.0,100
CPT,44363,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44364,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44365,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44366,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44369,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44370,SMALL BOWEL ENDOSCOPY/STENT,,,0.22,7166.0,100
CPT,44372,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44373,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44376,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44377,SMALL BOWEL ENDOSCOPY/BIOPSY,,,0.22,5085.0,100
CPT,44378,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44379,S BOWEL ENDOSCOPE W/STENT,,,0.22,7166.0,100
CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,0.22,5085.0,100
CPT,44381,SMALL BOWEL ENDOSCOPY BR/WA,,,0.22,1181.14,98
CPT,44382,SMALL BOWEL ENDOSCOPY,,,0.22,5085.0,100
CPT,44384,SMALL BOWEL ENDOSCOPY,,,0.22,206.16,98
CPT,44385,ENDOSCOPY OF BOWEL POUCH,,,0.22,5085.0,100
CPT,44386,ENDOSCOPY BOWEL POUCH/BIOP,,,0.22,5085.0,100
CPT,44388,COLONOSCOPY THRU STOMA SPX,,,0.22,5085.0,100
CPT,44389,COLONOSCOPY WITH BIOPSY,,,0.22,5085.0,100
CPT,44390,COLONOSCOPY FOR FOREIGN BODY,,,0.22,5085.0,100
CPT,44391,COLONOSCOPY FOR BLEEDING,,,0.22,5085.0,100
CPT,44392,COLONOSCOPY & POLYPECTOMY,,,0.22,5085.0,100
CPT,44394,COLONOSCOPY W/SNARE,,,0.22,5085.0,100
CPT,443T,R-T SPCTRL ALYS PRST8 TISS,,,1.0,16.13,95
CPT,443U,"Neurofilament light chain (NfL), ultra-sensitive immunoassay, serum or cerebrospinal fluid",,,0.5,1.12,14
CPT,44401,COLONOSCOPY WITH ABLATION,,,0.22,2854.34,98
CPT,44402,COLONOSCOPY W/STENT PLCMT,,,0.22,348.62,98
CPT,44403,COLONOSCOPY W/RESECTION,,,0.22,405.2,98
CPT,44404,COLONOSCOPY W/INJECTION,,,0.22,542.69,98
CPT,44405,COLONOSCOPY W/DILATION,,,0.22,701.76,98
CPT,44406,COLONOSCOPY W/ULTRASOUND,,,0.22,307.48,98
CPT,44407,COLONOSCOPY W/NDL ASPIR/BX,,,0.22,367.92,98
CPT,44408,COLONOSCOPY W/DECOMPRESSION,,,0.22,310.07,98
CPT,444T,1ST PLMT DRUG ELUT OC INS,,,0.22,16.13,96
CPT,444U,"Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene fusions, translocations, or other rearrangements, using DNA from formalin-fixed paraffin",,,0.92,2919.6,14
CPT,44500,INTRO LONG GI TUBE,2736.0,2052.0,0.22,3791.0,105
CPT,445T,SBSQT PLMT DRUG ELUT OC INS,,,0.22,16.13,96
CPT,445U,"β-amyloid (Abeta42) and phospho tau (181P) (pTau181), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology",,,0.92,260.5,14
CPT,44602,SUTURE SMALL INTESTINE,,,0.22,5483.0,99
CPT,44603,SUTURE SMALL INTESTINE,,,0.22,5483.0,99
CPT,44604,SUTURE LARGE INTESTINE,,,0.22,5483.0,99
CPT,44605,REPAIR OF BOWEL LESION,,,0.22,5483.0,99
CPT,44615,INTESTINAL STRICTUROPLASTY,,,0.22,5483.0,99
CPT,44620,REPAIR BOWEL OPENING,,,0.22,5483.0,99
CPT,44625,REPAIR BOWEL OPENING,,,0.22,5483.0,99
CPT,44626,REPAIR BOWEL OPENING,,,0.22,5483.0,99
CPT,44640,REPAIR BOWEL-SKIN FISTULA,,,0.22,5483.0,99
CPT,44650,REPAIR BOWEL FISTULA,,,0.22,5483.0,99
CPT,44660,REPAIR BOWEL-BLADDER FISTULA,,,0.22,5483.0,99
CPT,44661,REPAIR BOWEL-BLADDER FISTULA,,,0.22,5483.0,99
CPT,44680,SURGICAL REVISION INTESTINE,,,0.22,5483.0,99
CPT,446T,INSJ IMPLTBL GLUCOSE SENSOR,,,0.22,3901.78,98
CPT,446U,"Autoimmune diseases (systemic lupus erythematosus [SLE]), analysis of 10 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic risk score for ",,,0.92,840.65,14
CPT,44700,SUSPEND BOWEL W/PROSTHESIS,,,0.22,5483.0,99
CPT,44701,INTRAOP COLON LAVAGE ADD-ON,,,0.22,1137.0,99
CPT,44705,PREPARE FECAL MICROBIOTA,,,1.0,16.13,90
CPT,44715,PREPARE DONOR INTESTINE,,,0.22,5483.0,97
CPT,44720,PREP DONOR INTESTINE/VENOUS,,,0.22,5483.0,99
CPT,44721,PREP DONOR INTESTINE/ARTERY,,,0.22,5483.0,99
CPT,44799,UNLISTED PX SMALL INTESTINE,,,0.22,5812.0,97
CPT,447T,RMVL IMPLTBL GLUCOSE SENSOR,,,0.22,128.62,98
CPT,447U,"Autoimmune diseases (systemic lupus erythematosus [SLE]), analysis of 11 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic prognostic risk",,,0.92,840.65,14
CPT,44800,EXCISION OF BOWEL POUCH,,,0.22,5483.0,99
CPT,44820,EXCISION OF MESENTERY LESION,,,0.22,5483.0,99
CPT,44850,REPAIR OF MESENTERY,,,0.22,5483.0,99
CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,0.22,5483.0,97
CPT,448T,REMVL INSJ IMPLTBL GLUC SENS,,,0.22,3699.53,98
CPT,44900,DRAIN APPENDIX ABSCESS OPEN,,,0.22,5483.0,99
CPT,44950,APPENDECTOMY,,,0.22,13650.32,104
CPT,44955,APPENDECTOMY ADD-ON,,,0.22,5812.0,99
CPT,44960,APPENDECTOMY,,,0.22,5483.0,99
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,0.22,9407.0,99
CPT,44979,UNLISTED LAPS PX APPENDIX,,,0.22,8165.0,97
CPT,449T,INSJ AQUEOUS DRAIN DEV 1ST,,,0.22,12232.19,101
CPT,449U,"Carrier screening for severe inherited conditions (eg, cystic fibrosis, spinal muscular atrophy, beta hemoglobinopathies [including sickle cell disease], alpha thalassemia), regardless of race or self",,,0.92,1824.88,14
CPT,44U,TBRF B GRP ANTB 4 PRTN IGG,,,1.0,14.86,14
CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,0.22,5812.0,99
CPT,45005,DRAINAGE OF RECTAL ABSCESS,,,0.22,5812.0,100
CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,0.22,5085.0,100
CPT,450T,INSJ AQUEOUS DRAIN DEV EACH,,,0.22,5898.62,101
CPT,450U,"Oncology (multiple myeloma), liquid chromatography with tandem mass spectrometry (LC-MS/MS), monoclonal paraprotein sequencing analysis, serum, results reported as baseline presence or absence of dete",,,0.92,43.43,14
CPT,45100,BIOPSY OF RECTUM,,,0.22,5812.0,100
CPT,45108,REMOVAL OF ANORECTAL LESION,,,0.22,5812.0,100
CPT,45110,REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45111,PARTIAL REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45112,REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45113,PARTIAL PROCTECTOMY,,,0.22,5483.0,99
CPT,45114,PARTIAL REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45116,PARTIAL REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45119,REMOVE RECTUM W/RESERVOIR,,,0.22,5483.0,99
CPT,45120,REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45121,REMOVAL OF RECTUM AND COLON,,,0.22,5483.0,99
CPT,45123,PARTIAL PROCTECTOMY,,,0.22,9407.0,99
CPT,45126,PELVIC EXENTERATION,,,0.22,5483.0,99
CPT,45130,EXCISION OF RECTAL PROLAPSE,,,0.22,5483.0,99
CPT,45135,EXCISION OF RECTAL PROLAPSE,,,0.22,5483.0,99
CPT,45136,EXCISE ILEOANAL RESERVIOR,,,0.22,5483.0,99
CPT,45150,EXCISION OF RECTAL STRICTURE,,,0.22,5812.0,100
CPT,45160,EXCISION OF RECTAL LESION,,,0.22,5812.0,100
CPT,45171,EXC RECT TUM TRANSANAL PART,,,0.22,5812.0,99
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,0.22,5812.0,99
CPT,45190,DESTRUCTION RECTAL TUMOR,,,0.22,6556.0,100
CPT,451U,"Oncology (multiple myeloma), LC-MS/MS, peptide ion quantification, serum, results compared with baseline to determine monoclonal paraprotein abundance",,,0.92,43.43,14
CPT,452U,"Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP), urine, reported as likelihood of bladder cancer",,,0.92,192.0,14
CPT,45300,PROCTOSIGMOIDOSCOPY DX,,,0.22,3791.0,99
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,,,0.22,5085.0,99
CPT,45305,PROCTOSIGMOIDOSCOPY W/BX,,,0.22,5085.0,100
CPT,45307,PROCTOSIGMOIDOSCOPY FB,,,0.22,5812.0,100
CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,0.22,5085.0,100
CPT,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,0.22,5085.0,100
CPT,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,0.22,5085.0,100
CPT,45317,PROCTOSIGMOIDOSCOPY BLEED,,,0.22,5085.0,100
CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,0.22,5812.0,100
CPT,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,0.22,5812.0,100
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,0.22,7166.0,100
CPT,45330,DIAGNOSTIC SIGMOIDOSCOPY,,,0.22,3791.0,99
CPT,45331,SIGMOIDOSCOPY AND BIOPSY,,,0.22,3791.0,99
CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,0.22,3791.0,99
CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,,,0.22,3791.0,100
CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,,,0.22,5085.0,100
CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,0.22,3791.0,99
CPT,45337,SIGMOIDOSCOPY & DECOMPRESS,,,0.22,3791.0,99
CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,0.22,3791.0,100
CPT,45340,SIG W/TNDSC BALLOON DILATION,,,0.22,5085.0,100
CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,,,0.22,3791.0,100
CPT,45342,SIGMOIDOSCOPY W/US GUIDE BX,,,0.22,5085.0,100
CPT,45346,SIGMOIDOSCOPY W/ABLATION,,,0.22,2751.23,103
CPT,45347,SIGMOIDOSCOPY W/PLCMT STENT,,,0.22,12045.85,103
CPT,45349,SIGMOIDOSCOPY W/RESECTION,,,0.22,2459.93,103
CPT,45350,SGMDSC W/BAND LIGATION,,,0.22,2459.93,103
CPT,45378,DIAGNOSTIC COLONOSCOPY,,,0.22,5085.0,105
CPT,45379,COLONOSCOPY W/FB REMOVAL,,,0.22,5085.0,100
CPT,45380,COLONOSCOPY AND BIOPSY,,,0.22,5085.0,100
CPT,45381,COLONOSCOPY SUBMUCOUS NJX,,,0.22,5085.0,100
CPT,45382,COLONOSCOPY W/CONTROL BLEED,,,0.22,5085.0,100
CPT,45384,COLONOSCOPY W/LESION REMOVAL,,,0.22,5085.0,105
CPT,45385,COLONOSCOPY W/LESION REMOVAL,,,0.22,5085.0,100
CPT,45386,COLONOSCOPY W/BALLOON DILAT,,,0.22,5085.0,100
CPT,45388,COLONOSCOPY W/ABLATION,,,0.22,2959.3,103
CPT,45389,COLONOSCOPY W/STENT PLCMT,,,0.22,11742.68,103
CPT,45390,COLONOSCOPY W/RESECTION,,,0.22,4802.55,103
CPT,45391,COLONOSCOPY W/ENDOSCOPE US,,,0.22,5085.0,100
CPT,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,0.22,5085.0,100
CPT,45393,COLONOSCOPY W/DECOMPRESSION,,,0.22,2459.93,103
CPT,45395,LAP REMOVAL OF RECTUM,,,0.22,5483.0,99
CPT,45397,LAP REMOVE RECTUM W/POUCH,,,0.22,5483.0,99
CPT,45398,COLONOSCOPY W/BAND LIGATION,,,0.22,2458.91,103
CPT,45399,UNLISTED PROCEDURE COLON,,,0.22,1780.08,101
CPT,453U,"Oncology (colorectal cancer), cell-free DNA (cfDNA), methylation-based quantitative PCR assay (SEPTIN9, IKZF1, BCAT1, Septin9-2, VAV3, BCAN), plasma, reported as presence or absence of circulating tum",,,0.92,192.0,14
CPT,45400,LAPAROSCOPIC PROC,,,0.22,5483.0,99
CPT,45402,LAP PROCTOPEXY W/SIG RESECT,,,0.22,5483.0,99
CPT,45499,LAPAROSCOPE PROC RECTUM,,,0.22,8165.0,97
CPT,454U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping",,,0.92,1263.53,14
CPT,45500,REPAIR OF RECTUM,,,0.22,5812.0,100
CPT,45505,REPAIR OF RECTUM,,,0.22,7166.0,100
CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,0.22,1137.0,99
CPT,45540,CORRECT RECTAL PROLAPSE,,,0.22,5483.0,99
CPT,45541,CORRECT RECTAL PROLAPSE,,,0.22,7166.0,99
CPT,45550,REPAIR RECTUM/REMOVE SIGMOID,,,0.22,5483.0,99
CPT,45560,REPAIR OF RECTOCELE,,,0.22,7166.0,100
CPT,45562,EXPLORATION/REPAIR OF RECTUM,,,0.22,5483.0,99
CPT,45563,EXPLORATION/REPAIR OF RECTUM,,,0.22,5483.0,99
CPT,455U,"Infectious agents (sexually transmitted infection), Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, multiplex amplified probe technique, vaginal, endocervical, gynecological s",,,0.92,142.63,14
CPT,457U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC-MS/MS, plasma or serum, quantitative",,,0.92,198.74,14
CPT,45800,REPAIR RECT/BLADDER FISTULA,,,0.22,5483.0,99
CPT,45805,REPAIR FISTULA W/COLOSTOMY,,,0.22,5483.0,99
CPT,45820,REPAIR RECTOURETHRAL FISTULA,,,0.22,5483.0,99
CPT,45825,REPAIR FISTULA W/COLOSTOMY,,,0.22,5483.0,99
CPT,458U,"Oncology (breast cancer), S100A8 and S100A9, by enzyme-linked immunosorbent assay (ELISA), tear fluid with age, algorithm reported as a risk score",,,0.92,260.5,14
CPT,45900,REDUCTION OF RECTAL PROLAPSE,,,0.22,3791.0,99
CPT,45905,DILATION OF ANAL SPHINCTER,,,0.22,5812.0,100
CPT,45910,DILATION OF RECTAL NARROWING,,,0.22,5812.0,100
CPT,45915,REMOVE RECTAL OBSTRUCTION,,,0.22,5085.0,99
CPT,45990,SURG DX EXAM ANORECTAL,,,0.22,5812.0,99
CPT,45999,UNLISTED PROCEDURE RECTUM,,,0.22,3791.0,97
CPT,459U,"β-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology",,,0.92,260.5,14
CPT,45U,ONC BRST DUX CARC IS 12 GENE,,,0.92,3873.0,14
CPT,46020,PLACEMENT OF SETON,,,0.22,5812.0,100
CPT,46030,REMOVAL OF RECTAL MARKER,,,0.22,3791.0,99
CPT,46040,INCISION OF RECTAL ABSCESS,,,0.22,5812.0,100
CPT,46045,INCISION OF RECTAL ABSCESS,,,0.22,5812.0,100
CPT,46050,INCISION OF ANAL ABSCESS,,,0.22,3791.0,99
CPT,46060,INCISION OF RECTAL ABSCESS,,,0.22,5812.0,100
CPT,46070,INCISION OF ANAL SEPTUM,,,0.22,5085.0,99
CPT,46080,INCISION OF ANAL SPHINCTER,,,0.22,5812.0,100
CPT,46083,INCISE-THROMBOSE HEMORR-EXTRNL,1289.0,966.75,0.22,1160.1,105
CPT,460U,"Oncology, whole blood or buccal, DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes",,,0.5,1.12,14
CPT,461U,"Oncology, pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, whole blood or buccal swab, with variant analysis, including impacted gene-drug inte",,,0.5,1.12,14
CPT,46200,REMOVAL OF ANAL FISSURE,,,0.22,5812.0,100
CPT,46220,EXCISE ANAL EXT TAG/PAPIL SNGL,9246.0,6934.5,0.22,8321.4,106
CPT,46221,LIGATION OF HEMORRHOID,2609.0,1956.75,0.22,3791.0,105
CPT,46230,REMOVAL OF ANAL TAGS,,,0.22,5812.0,100
CPT,46250,REMOVE EXT HEM GROUPS 2+,,,0.22,5812.0,100
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,0.22,5812.0,100
CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,0.22,5812.0,100
CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,0.22,5812.0,100
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,0.22,5812.0,100
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,0.22,5812.0,100
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,0.22,5812.0,100
CPT,46270,REMOVE ANAL FIST SUBQ,,,0.22,5812.0,100
CPT,46275,REMOVE ANAL FIST INTER,,,0.22,5812.0,100
CPT,46280,REMOVE ANAL FIST COMPLEX,,,0.22,5812.0,100
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,0.22,5812.0,100
CPT,46288,REPAIR ANAL FISTULA,,,0.22,5812.0,100
CPT,462U,"Melatonin levels test, sleep study, 7 or 9 sample melatonin profile (cortisol optional), enzyme-linked immunosorbent assay (ELISA), saliva, screening/preliminary",,,0.92,17.27,14
CPT,46320,ENUCLEAT/EXC EXTR THROMBO HEMO,9072.0,6804.0,0.22,8164.8,105
CPT,463U,"Oncology (cervix), mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16, 18, 31, 33, 45, 52, 58), by real-time nucleic acid sequence-based",,,0.5,1.12,14
CPT,464T,VISUAL EP TEST FOR GLAUCOMA,,,1.0,3.2,10
CPT,464U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification, methylated DNA markers, including LASS4, LRRC4 and PPP2R5C, a reference marker ZDHHC1, and a protein marker (fe",,,1.0,591.92,14
CPT,46500,INJECTION INTO HEMORRHOID(S),,,0.22,3791.0,99
CPT,46505,CHEMODENERVATION ANAL MUSC,,,0.22,5812.0,99
CPT,465U,"Oncology (urothelial carcinoma), DNA, quantitative methylation-specific PCR of 2 genes (ONECUT2, VIM), algorithmic analysis reported as positive or negative",,,0.92,1938.01,14
CPT,46600,DIAGNOSTIC ANOSCOPY SPX,,,0.22,1137.0,99
CPT,46601,DIAGNOSTIC ANOSCOPY,,,0.22,197.43,98
CPT,46604,ANOSCOPY AND DILATION,,,0.22,5085.0,99
CPT,46606,ANOSCOPY AND BIOPSY,,,0.22,3791.0,99
CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,0.22,272.25,98
CPT,46608,ANOSCOPY REMOVE FOR BODY,,,0.22,3791.0,100
CPT,46610,ANOSCOPY REMOVE LESION,,,0.22,5812.0,100
CPT,46611,ANOSCOPY,,,0.22,5085.0,100
CPT,46612,ANOSCOPY REMOVE LESIONS,,,0.22,5812.0,100
CPT,46614,ANOSCOPY CONTROL BLEEDING,,,0.22,3791.0,99
CPT,46615,ANOSCOPY,,,0.22,5812.0,100
CPT,466U,"Cardiology (coronary artery disease [CAD]), DNA, genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs], targeted variant genotyping), patient lifestyle and clinical data, bucc",,,0.5,1.12,14
CPT,46700,REPAIR OF ANAL STRICTURE,,,0.22,5812.0,100
CPT,46705,REPAIR OF ANAL STRICTURE,,,0.22,5483.0,99
CPT,46706,REPR OF ANAL FISTULA W/GLUE,,,0.22,7166.0,100
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,0.22,7166.0,99
CPT,46710,REPR PER/VAG POUCH SNGL PROC,,,0.22,5483.0,99
CPT,46712,REPR PER/VAG POUCH DBL PROC,,,0.22,5483.0,99
CPT,46715,REP PERF ANOPER FISTU,,,0.22,5483.0,99
CPT,46716,REP PERF ANOPER/VESTIB FISTU,,,0.22,5483.0,99
CPT,46730,CONSTRUCTION OF ABSENT ANUS,,,0.22,5483.0,99
CPT,46735,CONSTRUCTION OF ABSENT ANUS,,,0.22,5483.0,99
CPT,46740,CONSTRUCTION OF ABSENT ANUS,,,0.22,5483.0,99
CPT,46742,REPAIR OF IMPERFORATED ANUS,,,0.22,5483.0,99
CPT,46744,REPAIR OF CLOACAL ANOMALY,,,0.22,5483.0,99
CPT,46746,REPAIR OF CLOACAL ANOMALY,,,0.22,5557.63,99
CPT,46748,REPAIR OF CLOACAL ANOMALY,,,0.22,6024.11,99
CPT,46750,REPAIR OF ANAL SPHINCTER,,,0.22,7166.0,100
CPT,46751,REPAIR OF ANAL SPHINCTER,,,0.22,5483.0,99
CPT,46753,RECONSTRUCTION OF ANUS,,,0.22,5812.0,100
CPT,46754,REMOVAL OF SUTURE FROM ANUS,,,0.22,5812.0,100
CPT,46760,REPAIR OF ANAL SPHINCTER,,,0.22,7166.0,100
CPT,46761,REPAIR OF ANAL SPHINCTER,,,0.22,7166.0,100
CPT,467U,"Oncology (bladder), DNA, next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy, urine, algorithms reported as minimal residual disease (MRD) status positive or negative and quantita",,,0.92,1519.06,14
CPT,468U,"Hepatology (nonalcoholic steatohepatitis [NASH]), miR-34a-5p, alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity and fibrosis",,,0.92,251.7,14
CPT,46900,DESTRUCTION ANAL LESION(S),,,0.22,1137.0,99
CPT,46910,DESTRUCTION ANAL LESION(S),,,0.22,5812.0,99
CPT,46916,CRYOSURGERY ANAL LESION(S),,,0.22,1137.0,99
CPT,46917,LASER SURGERY ANAL LESIONS,,,0.22,5812.0,100
CPT,46922,EXCISION OF ANAL LESION(S),,,0.22,5812.0,100
CPT,46924,DESTRUCTION ANAL LESION(S),,,0.22,5812.0,100
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,,,0.22,3791.0,99
CPT,46940,TREATMENT OF ANAL FISSURE,,,0.22,5812.0,99
CPT,46942,TREATMENT OF ANAL FISSURE,,,0.22,3791.0,99
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,,,0.22,5812.0,99
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,0.22,5812.0,100
CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,0.22,7166.0,100
CPT,46948,INT HRHC TRANAL DARTLZJ 2+,,,0.22,609.2,103
CPT,46999,UNLISTED PROCEDURE ANUS,,,0.22,3791.0,97
CPT,469T,RTA POLARIZE SCAN OC SCR BI,,,1.0,3.2,10
CPT,469U,"Rare diseases (constitutional/heritable disorders), whole genome sequence analysis for chromosomal abnormalities, copy number variants, duplications/deletions, inversions, unbalanced translocations, r",,,0.92,1197.94,14
CPT,46U,FLT3 GENE ITD VARIANTS QUAN,,,1.0,407.43,14
CPT,47000,NEEDLE BIOPSY OF LIVER,,,0.22,5085.0,100
CPT,47001,NEEDLE BIOPSY LIVER ADD-ON,,,0.22,1137.0,99
CPT,47010,OPEN DRAINAGE LIVER LESION,,,0.22,5483.0,99
CPT,47015,INJECT/ASPIRATE LIVER CYST,,,0.22,5085.0,99
CPT,470U,"Oncology (oropharyngeal), detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets, cell-free HPV 16 and 18 DNA from plasma",,,0.5,1.12,14
CPT,47100,WEDGE BIOPSY OF LIVER,,,0.22,5483.0,99
CPT,47120,PARTIAL REMOVAL OF LIVER,,,0.22,5483.0,99
CPT,47122,EXTENSIVE REMOVAL OF LIVER,,,0.22,5483.0,99
CPT,47125,PARTIAL REMOVAL OF LIVER,,,0.22,5483.0,99
CPT,47130,PARTIAL REMOVAL OF LIVER,,,0.22,5483.0,99
CPT,47133,REMOVAL OF DONOR LIVER,,,0.22,5483.0,97
CPT,47135,TRANSPLANTATION OF LIVER,,,0.22,7694.99,99
CPT,47140,PARTIAL REMOVAL DONOR LIVER,,,0.22,5483.0,99
CPT,47141,PARTIAL REMOVAL DONOR LIVER,,,0.22,6095.48,99
CPT,47142,PARTIAL REMOVAL DONOR LIVER,,,0.22,6716.4,99
CPT,47143,PREP DONOR LIVER WHOLE,,,0.22,5483.0,97
CPT,47144,PREP DONOR LIVER 3-SEGMENT,,,0.22,5483.0,97
CPT,47145,PREP DONOR LIVER LOBE SPLIT,,,0.22,5483.0,97
CPT,47146,PREP DONOR LIVER/VENOUS,,,0.22,5483.0,99
CPT,47147,PREP DONOR LIVER/ARTERIAL,,,0.22,5483.0,99
CPT,471U,"Oncology (colorectal cancer), qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2, 3, 4), formalin-fixed paraffin-embedded (FFPE), predictive, identification of detected mutations",,,1.0,760.0,14
CPT,472T,PRGRMG IO RTA ELTRD RA,,,1.0,3.2,10
CPT,472U,"Carbonic anhydrase VI (CA VI), parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG, IgM, and IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative, blood, repo",,,0.5,1.12,14
CPT,47300,SURGERY FOR LIVER LESION,,,0.22,5483.0,99
CPT,47350,REPAIR LIVER WOUND,,,0.22,5483.0,99
CPT,47360,REPAIR LIVER WOUND,,,0.22,5483.0,99
CPT,47361,REPAIR LIVER WOUND,,,0.22,5483.0,99
CPT,47362,REPAIR LIVER WOUND,,,0.22,5483.0,99
CPT,47370,LAPARO ABLATE LIVER TUMOR RF,,,0.22,11318.0,99
CPT,47371,LAPARO ABLATE LIVER CRYOSURG,,,0.22,11318.0,99
CPT,47379,UNLISTED LAPS PX LIVER,,,0.22,8165.0,97
CPT,47380,OPEN ABLATE LIVER TUMOR RF,,,0.22,5483.0,99
CPT,47381,OPEN ABLATE LIVER TUMOR CRYO,,,0.22,5483.0,99
CPT,47382,PERC RF ABLATE LIVR TUMR,17984.0,13488.0,0.22,16185.6,105
CPT,47383,PERC CRY ABLAT LIVR TUMR,17738.0,13303.5,0.22,15964.2,109
CPT,47399,UNLISTED PROCEDURE LIVER,,,0.22,3791.0,97
CPT,473T,REPRGRMG IO RTA ELTRD RA,,,1.0,3.2,10
CPT,473U,"Oncology (solid tumor), next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva),",,,1.0,4500.0,14
CPT,474,ANESTH SURGERY OF RIB,,,,,0
CPT,47400,INCISION OF LIVER DUCT,,,0.22,5483.0,99
CPT,47420,INCISION OF BILE DUCT,,,0.22,5483.0,99
CPT,47425,INCISION OF BILE DUCT,,,0.22,5483.0,99
CPT,47460,INCISE BILE DUCT SPHINCTER,,,0.22,5483.0,99
CPT,47480,INCISION OF GALLBLADDER,,,0.22,5483.0,99
CPT,47490,PERC CHOLECYSTM,12742.0,9556.5,0.22,11467.8,105
CPT,474T,INSJ AQUEOUS DRG DEV IO RSVR,,,0.22,12619.28,101
CPT,474U,"Hereditary pan-cancer (eg, hereditary sarcomas, hereditary endocrine tumors, hereditary neuroendocrine tumors, hereditary cutaneous melanoma), genomic sequence analysis panel of 88 genes with 20 dupli",,,0.92,1303.95,14
CPT,47531,INJECTION FOR CHOLANGIOGRAM,,,0.22,2442.87,108
CPT,47532,INJECTION FOR CHOLANGIOGRAM,,,0.22,7632.4,108
CPT,47533,PLMT BILIARY DRAINAGE CATH,,,0.22,2255.96,103
CPT,47534,PLMT BILIARY DRAINAGE CATH,,,0.22,2255.96,103
CPT,47535,CONVERSION EXT BIL DRG CATH,,,0.22,2255.96,103
CPT,47536,CHANGE BILIARY DRAIN CTH,13244.0,9933.0,0.22,11919.6,109
CPT,47537,REMOVAL BILIARY DRG CATH,4317.0,3237.75,0.22,3885.3,109
CPT,47538,PERQ PLMT BILE DUCT STENT,,,0.22,4522.29,103
CPT,47539,PERQ PLMT BILE DUCT STENT,,,0.22,5064.83,103
CPT,47540,PERQ PLMT BILE DUCT STENT,,,0.22,5122.98,103
CPT,47541,PLMT ACCESS BIL TREE SM BWL,,,0.22,2255.96,103
CPT,47542,DILATE BILIARY DUCT/AMPULLA,,,0.22,1648.8,103
CPT,47543,ENDOLUMINAL BX BILIARY TREE,,,0.22,2060.38,103
CPT,47544,REMOVAL DUCT GLBLDR CALCULI,,,0.22,3884.13,103
CPT,47550,BILE DUCT ENDOSCOPY ADD-ON,,,0.22,3791.0,99
CPT,47552,BILIARY ENDO PERQ DX W/SPECI,,,0.22,7166.0,100
CPT,47553,BILIARY ENDOSCOPY THRU SKIN,,,0.22,7166.0,100
CPT,47554,BILIARY ENDOSCOPY THRU SKIN,,,0.22,7166.0,100
CPT,47555,BILIARY ENDO DIL WO STNT,11821.0,8865.75,0.22,10638.9,106
CPT,47556,BILIARY ENDOSCOPY THRU SKIN,,,0.22,9407.0,99
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,0.22,14405.5,104
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,0.22,9407.0,99
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,0.22,9407.0,99
CPT,47570,LAPARO CHOLECYSTOENTEROSTOMY,,,0.22,5483.0,99
CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,0.22,8165.0,97
CPT,475U,"Hereditary prostate cancer-related disorders, genomic sequence analysis panel using next-generation sequencing (NGS), Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA), and ar",,,0.92,1303.95,14
CPT,47600,REMOVAL OF GALLBLADDER,,,0.22,5483.0,99
CPT,47605,REMOVAL OF GALLBLADDER,,,0.22,5483.0,99
CPT,47610,REMOVAL OF GALLBLADDER,,,0.22,5483.0,99
CPT,47612,REMOVAL OF GALLBLADDER,,,0.22,5483.0,99
CPT,47620,REMOVAL OF GALLBLADDER,,,0.22,5483.0,99
CPT,476U,"Drug metabolism, psychiatry (eg, major depressive disorder, general anxiety disorder, attention deficit hyperactivity disorder [ADHD], schizophrenia), whole blood, buccal swab, and pharmacogenomic gen",,,0.92,416.78,14
CPT,47700,EXPLORATION OF BILE DUCTS,,,0.22,5483.0,99
CPT,47701,BILE DUCT REVISION,,,0.22,5483.0,99
CPT,47711,EXCISION OF BILE DUCT TUMOR,,,0.22,5483.0,99
CPT,47712,EXCISION OF BILE DUCT TUMOR,,,0.22,5483.0,99
CPT,47715,EXCISION OF BILE DUCT CYST,,,0.22,5483.0,99
CPT,47720,FUSE GALLBLADDER & BOWEL,,,0.22,5483.0,99
CPT,47721,FUSE UPPER GI STRUCTURES,,,0.22,5483.0,99
CPT,47740,FUSE GALLBLADDER & BOWEL,,,0.22,5483.0,99
CPT,47741,FUSE GALLBLADDER & BOWEL,,,0.22,5483.0,99
CPT,47760,FUSE BILE DUCTS AND BOWEL,,,0.22,5483.0,99
CPT,47765,FUSE LIVER DUCTS & BOWEL,,,0.22,5483.0,99
CPT,47780,FUSE BILE DUCTS AND BOWEL,,,0.22,5483.0,99
CPT,47785,FUSE BILE DUCTS AND BOWEL,,,0.22,5483.0,99
CPT,477U,"Drug metabolism, psychiatry (eg, major depressive disorder, general anxiety disorder, attention deficit hyperactivity disorder [ADHD], schizophrenia), whole blood, buccal swab, and pharmacogenomic gen",,,0.92,416.78,14
CPT,47800,RECONSTRUCTION OF BILE DUCTS,,,0.22,5483.0,99
CPT,47801,PLACEMENT BILE DUCT SUPPORT,,,0.22,5483.0,99
CPT,47802,FUSE LIVER DUCT & INTESTINE,,,0.22,5483.0,2
CPT,478U,"Oncology (non-small cell lung cancer), DNA and RNA, digital PCR analysis of 9 genes (EGFR, KRAS, BRAF, ALK, ROS1, RET, NTRK 1/2/3, ERBB2, and MET) in formalin-fixed paraffin-embedded (FFPE) tissue, in",,,0.5,1.12,14
CPT,47900,SUTURE BILE DUCT INJURY,,,0.22,5483.0,99
CPT,47999,UNLISTED PX BILIARY TRACT,,,0.22,7166.0,97
CPT,479T,FXJL ABL LSR 1ST 100 SQ CM,,,0.22,16.13,96
CPT,479U,"Tau, phosphorylated, pTau217",,,0.92,17.27,14
CPT,47U,ONC PRST8 MRNA 17 GENE ALG,,,1.0,3873.0,14
CPT,48000,DRAINAGE OF ABDOMEN,,,0.22,5483.0,99
CPT,48001,PLACEMENT OF DRAIN PANCREAS,,,0.22,5483.0,99
CPT,48020,REMOVAL OF PANCREATIC STONE,,,0.22,5483.0,99
CPT,480T,FXJL ABL LSR EA ADDL 100SQCM,,,0.22,16.13,96
CPT,480U,ID CSF METAG NGS ALYS,3000.0,2250.0,0.92,2126.2,14
CPT,48100,BIOPSY OF PANCREAS OPEN,,,0.22,5483.0,99
CPT,48102,NEEDLE BIOPSY PANCREAS,,,0.22,5085.0,105
CPT,48105,RESECT/DEBRIDE PANCREAS,,,0.22,5483.0,99
CPT,48120,REMOVAL OF PANCREAS LESION,,,0.22,5483.0,99
CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,0.22,5483.0,99
CPT,48145,PARTIAL REMOVAL OF PANCREAS,,,0.22,5483.0,99
CPT,48146,PANCREATECTOMY,,,0.22,5483.0,99
CPT,48148,REMOVAL OF PANCREATIC DUCT,,,0.22,5483.0,99
CPT,48150,PARTIAL REMOVAL OF PANCREAS,,,0.22,5483.0,99
CPT,48152,PANCREATECTOMY,,,0.22,5483.0,99
CPT,48153,PANCREATECTOMY,,,0.22,5483.0,99
CPT,48154,PANCREATECTOMY,,,0.22,5483.0,99
CPT,48155,REMOVAL OF PANCREAS,,,0.22,5483.0,99
CPT,48160,PANCREAS REMOVAL/TRANSPLANT,,,0.22,5483.0,97
CPT,481T,NJX AUTOL WBC CONCENTRATE,,,1.0,16.13,95
CPT,481U,"IDH1 (isocitrate dehydrogenase 1 [NADP+]), IDH2 (isocitrate dehydrogenase 2 [NADP+]), and TERT (telomerase reverse transcriptase) promoter (eg, central nervous system [CNS] tumors), next-generation se",,,0.92,674.24,14
CPT,482U,"Obstetrics (preeclampsia), biochemical assay of soluble fms-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF), serum, ratio reported for sFlt-1/PlGF, with risk of progression for pree",,,0.92,128.82,14
CPT,483T,TMVI PERCUTANEOUS APPROACH,,,0.22,16.13,96
CPT,483U,"Infectious disease (Neisseria gonorrhoeae), sensitivity, ciprofloxacin resistance (gyrA S91F point mutation), oral, rectal, or vaginal swab, algorithm reported as probability of fluoroquinolone resist",,,0.5,1.12,14
CPT,48400,INJECTION INTRAOP ADD-ON,,,0.22,5483.0,99
CPT,484T,TMVI TRANSTHORACIC EXPOSURE,,,0.22,16.13,96
CPT,484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal, or vaginal swab, algorithm reported as probability of macrolide resistance",,,0.5,1.12,14
CPT,48500,SURGERY OF PANCREATIC CYST,,,0.22,5483.0,99
CPT,48510,DRAIN PANCREATIC PSEUDOCYST,,,0.22,5483.0,99
CPT,48520,FUSE PANCREAS CYST AND BOWEL,,,0.22,5483.0,99
CPT,48540,FUSE PANCREAS CYST AND BOWEL,,,0.22,5483.0,99
CPT,48545,PANCREATORRHAPHY,,,0.22,5483.0,99
CPT,48547,DUODENAL EXCLUSION,,,0.22,5483.0,99
CPT,48548,FUSE PANCREAS AND BOWEL,,,0.22,5483.0,99
CPT,48550,DONOR PANCREATECTOMY,,,1.0,16.13,90
CPT,48551,PREP DONOR PANCREAS,,,1.0,16.13,90
CPT,48552,PREP DONOR PANCREAS/VENOUS,,,1.0,335.91,92
CPT,48554,TRANSPL ALLOGRAFT PANCREAS,,,1.0,3724.6,92
CPT,48556,REMOVAL ALLOGRAFT PANCREAS,,,1.0,1837.52,92
CPT,485T,OCT MID EAR I&R UNILATERAL,,,0.92,1.12,10
CPT,485U,"Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc",,,0.5,1.12,14
CPT,486T,OCT MID EAR I&R BILATERAL,,,0.92,1.12,10
CPT,486U,"Oncology (pan-solid tumor), next-generation sequencing analysis of tumor methylation markers present in cell-free circulating tumor DNA, algorithm reported as quantitative measurement of methylation a",,,0.5,1.12,14
CPT,487U,"Oncology (solid tumor), cell-free circulating DNA, targeted genomic sequence analysis panel of 84 genes, interrogation for sequence variants, aneuploidy-corrected gene copy number amplifications and l",,,0.92,2919.6,14
CPT,488T,DIABETES PREV ONLINE/ELEC,,,1.0,3.2,10
CPT,488U,"Obstetrics (fetal antigen noninvasive prenatal test), cell-free DNA sequence analysis for detection of fetal presence or absence of 1 or more of the Rh, C, c, D, E, Duffy (Fya), or Kell (K) antigen in",,,1.0,759.05,14
CPT,48999,UNLISTED PROCEDURE PANCREAS,,,0.22,3791.0,97
CPT,489T,REGN CELL TX SCLDR HANDS,,,0.22,16.13,96
CPT,489U,"Obstetrics (single-gene noninvasive prenatal test), cell-free DNA sequence analysis of 1 or more targets (eg, CFTR, SMN1, HBB, HBA1, HBA2) to identify paternally inherited pathogenic variants, and rel",,,0.5,1.12,14
CPT,48U,ONC SLD ORG NEO DNA 468 GENE,,,0.92,2919.6,14
CPT,49000,EXPLORATION OF ABDOMEN,,,0.22,7166.0,99
CPT,49002,REOPENING OF ABDOMEN,,,0.22,5483.0,99
CPT,49010,EXPLORATION BEHIND ABDOMEN,,,0.22,5483.0,99
CPT,49013,PRPERTL PEL PACK HEMRRG TRMA,,,0.22,652.45,98
CPT,49014,REEXPLORATION PELVIC WOUND,,,0.22,542.65,98
CPT,49020,DRAINAGE ABDOM ABSCESS OPEN,,,0.22,5483.0,99
CPT,49040,DRAIN OPEN ABDOM ABSCESS,,,0.22,5483.0,99
CPT,49060,DRAIN OPEN RETROPERI ABSCESS,,,0.22,5483.0,99
CPT,49062,DRAIN TO PERITONEAL CAVITY,,,0.22,5483.0,99
CPT,49082,ABD PARCENT DX/THER W/O GUID.,3705.0,2778.75,0.22,3791.0,105
CPT,49083,ABD PARACENTESIS W/IMAGING,,,0.22,3791.0,109
CPT,49084,PERITONEAL LAVAGE,,,0.22,3791.0,99
CPT,490T,REGN CELL TX SCLDR H MLT INJ,,,0.22,16.13,96
CPT,490U,"Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and enumeration based on differential CD146, high molecular-weight melanoma-associated antigen,",,,0.92,2435.0,14
CPT,49180,BIOPSY ABDOMINAL MASS,,,0.22,5085.0,105
CPT,49185,SCLEROTHERAPY FLUID COLL,6319.0,4739.25,0.22,5687.1,218
CPT,49186,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less",,,1.0,1834.45,97
CPT,49187,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm",,,1.0,2365.51,97
CPT,49188,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm",,,1.0,2825.05,97
CPT,49189,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm",,,1.0,3290.54,97
CPT,49190,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1.0,4054.05,97
CPT,491U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytokeratins 8, 18, and 19, CD",,,0.92,2435.0,14
CPT,49203,EXC ABD TUM 5 CM OR LESS,,,0.22,5812.0,2
CPT,49204,EXC ABD TUM OVER 5 CM,,,0.22,9407.0,2
CPT,49205,EXC ABD TUM OVER 10 CM,,,0.22,9407.0,2
CPT,49215,EXCISE SACRAL SPINE TUMOR,,,0.22,5483.0,99
CPT,49220,Liver And/Or Bone Marrow Biopsy With Removal Of Spleen And Lymph Nodes,,,5483.0,5483.0,1
CPT,49250,EXCISION OF UMBILICUS,,,0.22,5812.0,100
CPT,49255,REMOVAL OF OMENTUM,,,0.22,5483.0,99
CPT,492U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytokeratins 8, 18, and 19, CD",,,0.92,2435.0,14
CPT,49320,DIAG LAPARO SEPARATE PROC,,,0.22,8165.0,100
CPT,49321,LAPAROSCOPY BIOPSY,,,0.22,8165.0,100
CPT,49322,LAPAROSCOPY ASPIRATION,,,0.22,8165.0,100
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,0.22,8165.0,99
CPT,49324,LAP INSERT TUNNEL IP CATH,,,0.22,8165.0,99
CPT,49325,LAP REVISION PERM IP CATH,,,0.22,8165.0,99
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,0.22,8165.0,99
CPT,49327,LAP INS DEVICE FOR RT,,,0.22,8165.0,99
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,0.22,8165.0,97
CPT,493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA",,,0.92,2753.25,14
CPT,49400,AIR INJECTION INTO ABDOMEN,,,0.22,1137.0,99
CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,0.22,5812.0,100
CPT,49405,CATH FL COLL VI,8681.0,6510.75,0.22,7812.9,104
CPT,49406,IMG CATH FLUID PERI/RETR,5923.5,4442.625,0.22,7758.9,208
CPT,49407,IMAGE CATH FLUID TRNS/VGNL,,,0.22,945.89,98
CPT,49411,PLC FIDUCL MRKR ABD/PEL,8010.0,6007.5,0.22,7209.0,105
CPT,49411,PLC FIDUCL MRKR LIVER,5076.0,3807.0,0.22,5085.0,105
CPT,49412,INS DEVICE FOR RT GUIDE OPEN,,,0.22,5483.0,99
CPT,49418,INSERT TUN IP CATH PERC,,,0.22,7166.0,99
CPT,49419,INSERT TUN IP CATH W/PORT,,,0.22,7166.0,100
CPT,49421,INS TUN IP CATH FOR DIAL OPN,,,0.22,7166.0,100
CPT,49422,REMOVE TUNNELED IP CATH,,,0.22,5812.0,100
CPT,49423,EXCHANGE DRAINAGE CATHETER,,,0.22,5085.0,99
CPT,49424,INJ PREV CATH,2149.0,1611.75,0.22,1934.1,105
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,,,0.22,5085.0,99
CPT,49426,REVISE ABDOMEN-VENOUS SHUNT,,,0.22,5812.0,100
CPT,49427,INJECTION ABDOMINAL SHUNT,,,0.22,1137.0,99
CPT,49428,LIGATION OF SHUNT,,,0.22,5085.0,99
CPT,49429,REMOVAL OF SHUNT,,,0.22,5812.0,99
CPT,49435,INSERT SUBQ EXTEN TO IP CATH,,,0.22,5085.0,99
CPT,49436,EMBEDDED IP CATH EXIT-SITE,,,0.22,5085.0,99
CPT,49440,PL GASTRO TUBE W/FLUORO,5692.0,4269.0,0.22,5122.8,105
CPT,49441,PLACE DUOD/JEJ TUBE PERC,,,0.22,5085.0,99
CPT,49442,PL CECOSTOMY TUBE PERC,5862.0,4396.5,0.22,5812.0,105
CPT,49446,CHANGE G-TUBE TO G-J PERC,,,0.22,5085.0,99
CPT,49450,REPLACE G/C TUBE PERC,,,0.22,3791.0,99
CPT,49451,REPLACE DUOD/JEJ TUBE PERC,4436.0,3327.0,0.22,3992.4,105
CPT,49452,REPLACE G-J TUBE PERC,,,0.22,3791.0,99
CPT,49460,REM OBSTR GTUB,3769.0,2826.75,0.22,3791.0,105
CPT,49465,FLUORO EXAM OF G/COLON TUBE,,,0.22,1137.0,109
CPT,49491,RPR HERN PREEMIE REDUC,,,0.22,7166.0,99
CPT,49492,RPR ING HERN PREMIE BLOCKED,,,0.22,7166.0,99
CPT,49495,RPR ING HERNIA BABY REDUC,,,0.22,7166.0,100
CPT,49496,RPR ING HERNIA BABY BLOCKED,,,0.22,7166.0,100
CPT,494T,PREP & CANNULJ CDVR DON LUNG,,,0.22,16.13,96
CPT,494U,"Red blood cell antigen (fetal RhD gene analysis), next-generation sequencing of circulating cell-free DNA (cfDNA) of blood in pregnant individuals known to be RhD negative, reported as positive or neg",,,1.0,759.05,14
CPT,49500,RPR ING HERNIA INIT REDUCE,,,0.22,7166.0,100
CPT,49501,RPR ING HERNIA INIT BLOCKED,,,0.22,7166.0,100
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,0.22,10893.3,105
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,0.22,7166.0,100
CPT,49520,REREPAIR ING HERNIA REDUCE,,,0.22,7166.0,100
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,0.22,7166.0,100
CPT,49525,REPAIR ING HERNIA SLIDING,,,0.22,7166.0,100
CPT,49540,REPAIR LUMBAR HERNIA,,,0.22,7166.0,100
CPT,49550,RPR REM HERNIA INIT REDUCE,,,0.22,7166.0,100
CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,0.22,7166.0,100
CPT,49555,REREPAIR FEM HERNIA REDUCE,,,0.22,7166.0,100
CPT,49557,REREPAIR FEM HERNIA BLOCKED,,,0.22,7166.0,100
CPT,49560,"Repair Of Incisional Or Abdominal Hernia, Initial Or Primary, Not Trapped",,,4317.0,7166.0,2
CPT,49561,Repair Of Trapped Incisional Or Abdominal Hernia,,,6556.0,7166.0,2
CPT,49565,"Repair Of Incisional Or Abdominal Hernia, Recurrent Of Secondary, Not Trapped",,,4317.0,7166.0,2
CPT,49566,Repair Of Trapped Recurrent Incisional Or Abdominal Hernia,,,6556.0,7166.0,2
CPT,49568,"Placement Of Mesh To Repair Incisional Or Abdominal Hernia, Open Procedure",,,5354.0,7166.0,2
CPT,49570,"Repair Of Not Trapped Incisional Or Abdominal Hernia, In The Upper Stomach Area",,,4317.0,7166.0,2
CPT,49572,Repair Of Trapped Incisional Or Abdominal Hernia In The Upper Stomach Area,,,6556.0,7166.0,2
CPT,49580,Repair Of Hernia At Navel Patient Younger Than Age 5 Years,,,4317.0,7166.0,2
CPT,49582,Repair Of Trapped Hernia At Navel Patient Younger Than Age 5 Years,,,6556.0,7166.0,2
CPT,49585,Repair Of Hernia At Navel Patient Age 5 Years Or Older,,,4317.0,7166.0,2
CPT,49587,Repair Of Trapped Hernia At Navel Patient Age 5 Years Or Older,,,6556.0,7166.0,2
CPT,49590,Repair Of Hernia Between Abdominal Muscles,,,3934.0,7166.0,2
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,0.22,489.13,98
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,0.22,683.13,98
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,0.22,821.44,98
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,0.22,1070.01,98
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,0.22,1107.13,98
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,0.22,1472.14,98
CPT,495T,MNTR CDVR DON LNG 1ST 2 HRS,,,0.22,16.13,96
CPT,495U,"Oncology (prostate), analysis of circulating plasma proteins (tPSA, fPSA, KLK2, PSP94, and GDF15), germline polygenic risk score (60 variants), clinical information (age, family history of prostate ca",,,0.92,760.0,14
CPT,49600,REPAIR UMBILICAL LESION,,,0.22,7166.0,100
CPT,49605,REPAIR UMBILICAL LESION,,,0.22,7027.93,99
CPT,49606,REPAIR UMBILICAL LESION,,,0.22,5483.0,99
CPT,49610,REPAIR UMBILICAL LESION,,,0.22,5483.0,99
CPT,49611,REPAIR UMBILICAL LESION,,,0.22,5483.0,99
CPT,49613,RPR AA HRN RCR < 3 RDC,,,0.22,601.37,98
CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,0.22,818.67,98
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,0.22,915.03,98
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,0.22,1231.04,98
CPT,49617,RPR AA HRN RCR > 10 RDC,,,0.22,1270.6,98
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,0.22,1785.13,98
CPT,49621,RPR PARASTOMAL HERNIA RDC,,,0.22,1072.39,98
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,0.22,1338.9,98
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,0.22,289.98,98
CPT,49650,LAP ING HERNIA REPAIR INIT,,,0.22,9407.0,100
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,0.22,9407.0,100
CPT,49652,Repair Of Hernia Using An Endoscope,,,9407.0,9407.0,1
CPT,49653,Repair Of Trapped Hernia Using An Endoscope,,,9407.0,9407.0,1
CPT,49654,"Repair Of Incisional Hernia Using An Endoscope, Initial Or Primary",,,9407.0,9407.0,1
CPT,49655,"Repair Of Trapped Incisional Hernia Using An Endoscope, Primary",,,9407.0,9407.0,1
CPT,49656,"Repair Of Incisional Hernia Using An Endoscope, Recurrent Of Secondary",,,9407.0,9407.0,1
CPT,49657,"Repair Of Trapped Incisional Hernia Using An Endoscope, Secondary",,,9407.0,9407.0,1
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,0.22,8165.0,100
CPT,496T,MNTR CDVR DON LNG EA ADDL HR,,,0.22,16.13,96
CPT,496U,"Oncology (colorectal), cell-free DNA, 8 genes for mutations, 7 genes for methylation by real-time RT-PCR, and 4 proteins by enzyme-linked immunosorbent assay, blood, reported positive or negative for ",,,0.5,1.12,14
CPT,497U,"Oncology (prostate), mRNA gene-expression profiling by real-time RT-PCR of 6 genes (FOXM1, MCM3, MTUS1, TTC21B, ALAS1, and PPP2CA), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm ",,,0.92,3873.0,14
CPT,498U,"Oncology (colorectal), next-generation sequencing for mutation detection in 43 genes and methylation pattern in 45 genes, blood, and formalin-fixed paraffin-embedded (FFPE) tissue, report of variants ",,,0.5,1.12,14
CPT,49900,REPAIR OF ABDOMINAL WALL,,,0.22,5483.0,99
CPT,49904,OMENTAL FLAP EXTRA-ABDOM,,,0.22,5483.0,99
CPT,49905,OMENTAL FLAP INTRA-ABDOM,,,0.22,5483.0,99
CPT,49906,FREE OMENTAL FLAP MICROVASC,,,0.22,5483.0,97
CPT,49999,SP ABL PARENCHYM TISS PERITON,13563.0,10172.25,0.22,12206.7,103
CPT,499U,"Oncology (colorectal and lung), DNA from formalin-fixed paraffin-embedded (FFPE) tissue, next-generation sequencing of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS, and TP53), mutation detecti",,,0.92,597.91,14
CPT,49U,NPM1 GENE ANALYSIS QUAN,,,1.0,407.43,14
CPT,4M,SCOLIOSIS DNA ALYS,,,0.92,1.12,10
CPT,50010,EXPLORATION OF KIDNEY,,,0.22,5483.0,99
CPT,50020,RENAL ABSCESS OPEN DRAIN,,,0.22,5812.0,99
CPT,50040,NFROS NFROT W/DRG,,,0.22,5812.0,99
CPT,50045,NEPHROTOMY W/EXPLORATION,,,0.22,5483.0,99
CPT,50060,NL REMOVAL CALCULUS,,,0.22,5483.0,99
CPT,50065,NL SEC SURG OPERJ CALCULUS,,,0.22,5483.0,99
CPT,50070,NL COMP CGEN KDN ABNORMALITY,,,0.22,5483.0,99
CPT,50075,NL RMVL LG STAGHORN CALCULUS,,,0.22,5483.0,99
CPT,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,0.22,8165.0,99
CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,0.22,8165.0,99
CPT,500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c.118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C)",,,0.92,175.4,14
CPT,50100,TRNSXJ/REPOS ABRRNT RNL VSLS,,,0.22,5483.0,99
CPT,50120,PYELOTOMY W/EXPLORATION,,,0.22,5483.0,99
CPT,50125,PYELOTOMY W/DRG PYELOSTOMY,,,0.22,5483.0,99
CPT,50130,PYELOTOMY W/REMOVAL CALCULUS,,,0.22,5483.0,99
CPT,50135,PYELOTOMY COMPLICATED,,,0.22,5483.0,2
CPT,501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA)",,,0.5,1.12,14
CPT,50200,RENAL BIOPSY PERQ,,,0.22,5085.0,105
CPT,50205,RENAL BX SURG EXPOSURE KDN,,,0.22,5483.0,99
CPT,50220,REMOVE KIDNEY OPEN,,,0.22,5483.0,99
CPT,50225,REMOVAL KIDNEY OPEN COMPLEX,,,0.22,5483.0,99
CPT,50230,REMOVAL KIDNEY OPEN RADICAL,,,0.22,5483.0,99
CPT,50234,REMOVAL OF KIDNEY & URETER,,,0.22,5483.0,99
CPT,50236,REMOVAL OF KIDNEY & URETER,,,0.22,5483.0,99
CPT,50240,PARTIAL REMOVAL OF KIDNEY,,,0.22,5483.0,99
CPT,50250,CRYOABLATE RENAL MASS OPEN,,,0.22,5483.0,99
CPT,50280,REMOVAL OF KIDNEY LESION,,,0.22,5483.0,99
CPT,50290,REMOVAL OF KIDNEY LESION,,,0.22,5483.0,99
CPT,502U,"Human papillomavirus (HPV), E6/E7 markers for high-risk types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68), cervical cells, branched-chain capture hybridization, reported as negative o",,,0.92,35.09,14
CPT,50300,REMOVE CADAVER DONOR KIDNEY,,,0.22,5483.0,97
CPT,50320,REMOVE KIDNEY LIVING DONOR,,,0.22,5483.0,99
CPT,50323,PREP CADAVER RENAL ALLOGRAFT,,,0.22,5483.0,97
CPT,50325,PREP DONOR RENAL GRAFT,,,0.22,5483.0,97
CPT,50327,PREP RENAL GRAFT/VENOUS,,,0.22,5483.0,99
CPT,50328,PREP RENAL GRAFT/ARTERIAL,,,0.22,5483.0,99
CPT,50329,PREP RENAL GRAFT/URETERAL,,,0.22,5483.0,99
CPT,50340,REMOVAL OF KIDNEY,,,0.22,5483.0,99
CPT,50360,TRANSPLANTATION OF KIDNEY,,,0.22,5483.0,99
CPT,50365,TRANSPLANTATION OF KIDNEY,,,0.22,5483.0,99
CPT,50370,REMOVE TRANSPLANTED KIDNEY,,,0.22,5483.0,99
CPT,50380,REIMPLANTATION OF KIDNEY,,,0.22,5483.0,99
CPT,50382,CHANGE URETER STENT PERCUT,,,0.22,5812.0,99
CPT,50384,REMOVE URETER STENT PERCUT,,,0.22,5085.0,99
CPT,50385,CHANGE STENT VIA TRANSURETH,,,0.22,5812.0,99
CPT,50386,REMOVE STENT VIA TRANSURETH,,,0.22,3791.0,99
CPT,50387,CHANGE NEPHROURETERAL CATH,,,0.22,5085.0,99
CPT,50389,REMOVE RENAL TUBE W/FLUORO,,,0.22,3791.0,99
CPT,50390,DRAINAGE OF KIDNEY LESION,,,0.22,5085.0,105
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,0.22,1137.0,99
CPT,50396,MEASURE KIDNEY PRESSURE,,,0.22,1137.0,99
CPT,503U,"Neurology (Alzheimer disease), beta amyloid (Aβ40, Aβ42, Aβ42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantitation by liquid chromatogr",,,0.92,750.0,14
CPT,50400,REVISION OF KIDNEY/URETER,,,0.22,5483.0,99
CPT,50405,REVISION OF KIDNEY/URETER,,,0.22,5483.0,99
CPT,50430,INJ NEPHROSTOGRAM,7591.0,5693.25,0.22,6831.9,109
CPT,50431,NJX PX NFROSGRM &/URTRGRM,,,0.22,698.69,103
CPT,50432,PLMT NEPHROSTOMY CATHETER,,,0.22,2412.16,103
CPT,50433,PLMT NEPHROURETERAL CATHETER,,,0.22,1485.47,103
CPT,50434,CONVERT NEPHROSTOMY CATHETER,,,0.22,1123.91,103
CPT,50435,EXCHANGE NEPHROSTOMY CATH,,,0.22,2072.46,103
CPT,50436,DILAT XIST TRC NDURLOGIC PROC,13646.0,10234.5,0.22,12281.4,109
CPT,50437,DILAT XIST TRC NEW ACCESS RCS,13646.0,10234.5,0.22,12281.4,109
CPT,504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism",,,0.92,416.78,14
CPT,50500,REPAIR OF KIDNEY WOUND,,,0.22,5483.0,99
CPT,50520,CLOSE KIDNEY-SKIN FISTULA,,,0.22,3791.0,99
CPT,50525,CLOSE NEPHROVISCERAL FISTULA,,,0.22,5483.0,99
CPT,50526,CLOSE NEPHROVISCERAL FISTULA,,,0.22,5483.0,99
CPT,50540,REVISION OF HORSESHOE KIDNEY,,,0.22,5483.0,99
CPT,50541,LAPARO ABLATE RENAL CYST,,,0.22,8165.0,99
CPT,50542,LAPARO ABLATE RENAL MASS,,,0.22,11318.0,99
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,0.22,9407.0,99
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,0.22,9407.0,99
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,0.22,5483.0,99
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,0.22,5483.0,99
CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,0.22,5483.0,99
CPT,50548,LAPARO REMOVE W/URETER,,,0.22,5483.0,99
CPT,50549,UNLISTED LAPS PX RENAL,,,0.22,8165.0,97
CPT,50551,KIDNEY ENDOSCOPY,,,0.22,3791.0,100
CPT,50553,KIDNEY ENDOSCOPY,,,0.22,5812.0,100
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,0.22,3791.0,100
CPT,50557,KIDNEY ENDOSCOPY & TREATMENT,,,0.22,5812.0,100
CPT,50561,KIDNEY ENDOSCOPY & TREATMENT,,,0.22,5812.0,100
CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,0.22,3791.0,99
CPT,50570,KIDNEY ENDOSCOPY,,,0.22,3791.0,99
CPT,50572,KIDNEY ENDOSCOPY,,,0.22,3791.0,99
CPT,50574,KIDNEY ENDOSCOPY & BIOPSY,,,0.22,3791.0,99
CPT,50575,KIDNEY ENDOSCOPY,,,0.22,7166.0,99
CPT,50576,KIDNEY ENDOSCOPY & TREATMENT,,,0.22,5085.0,99
CPT,50580,KIDNEY ENDOSCOPY & TREATMENT,,,0.22,5085.0,99
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,0.22,9407.0,99
CPT,50592,PERC RF ABLATE RENAL TUMOR,,,0.22,9407.0,99
CPT,50593,PERC CRYO ABLATE RENAL TUM,,,0.22,9407.0,99
CPT,505T,EV FEMPOP ARTL REVSC,,,0.22,16.13,101
CPT,505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism",,,0.92,679.77,14
CPT,50600,EXPLORATION OF URETER,,,0.22,5483.0,99
CPT,50605,INSERT URETERAL SUPPORT,,,0.22,5483.0,99
CPT,50606,ENDOLUM BX URTR RNL PLVS,3919.0,2939.25,0.22,3527.1,109
CPT,50610,REMOVAL OF URETER STONE,,,0.22,5483.0,99
CPT,50620,REMOVAL OF URETER STONE,,,0.22,5483.0,99
CPT,50630,REMOVAL OF URETER STONE,,,0.22,5483.0,99
CPT,50650,REMOVAL OF URETER,,,0.22,5483.0,99
CPT,50660,REMOVAL OF URETER,,,0.22,5483.0,99
CPT,50684,INJECTION FOR URETER X-RAY,,,0.22,1137.0,99
CPT,50686,MEASURE URETER PRESSURE,,,0.22,1137.0,99
CPT,50688,CHANGE URETEROSTOMY TUBE,8696.0,6522.0,0.22,7826.4,106
CPT,50690,INJ URETER/ILEAL CONDUIT,4095.0,3071.25,0.22,3685.5,105
CPT,50693,PLMT URETERAL STENT PRQ,,,0.22,2213.89,103
CPT,50694,PLMT URETERAL STENT PRQ,,,0.22,2213.89,103
CPT,50695,PLMT URETERAL STENT PRQ,,,0.22,2213.89,103
CPT,506T,MAC PGMT OPT DNS MEAS HFP,,,0.92,3.2,15
CPT,506U,"Gastroenterology (Barrett's esophagus), esophageal cells, DNA methylation analysis by next-generation sequencing of at least 89 differentially methylated genomic regions, algorithm reported as likelih",,,0.92,1938.01,14
CPT,50700,REVISION OF URETER,,,0.22,5483.0,99
CPT,50705,URETERAL EMBOLIZATION/OCCL,,,0.22,6914.93,103
CPT,50706,BALLOON DILATE URTRL STRIX,,,0.22,2736.27,103
CPT,50715,RELEASE OF URETER,,,0.22,5483.0,99
CPT,50722,RELEASE OF URETER,,,0.22,5483.0,99
CPT,50725,RELEASE/REVISE URETER,,,0.22,5483.0,99
CPT,50727,REVISE URETER,,,0.22,5812.0,99
CPT,50728,REVISE URETER,,,0.22,5483.0,99
CPT,50740,FUSION OF URETER & KIDNEY,,,0.22,5483.0,99
CPT,50750,FUSION OF URETER & KIDNEY,,,0.22,5483.0,99
CPT,50760,FUSION OF URETERS,,,0.22,5483.0,99
CPT,50770,SPLICING OF URETERS,,,0.22,5483.0,99
CPT,50780,REIMPLANT URETER IN BLADDER,,,0.22,5483.0,99
CPT,50782,REIMPLANT URETER IN BLADDER,,,0.22,5483.0,99
CPT,50783,REIMPLANT URETER IN BLADDER,,,0.22,5483.0,99
CPT,50785,REIMPLANT URETER IN BLADDER,,,0.22,5483.0,99
CPT,507T,NEAR IFR 2IMG MIBMN GLND I&R,,,0.22,3.2,16
CPT,507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected",,,0.92,1160.0,14
CPT,50800,IMPLANT URETER IN BOWEL,,,0.22,5483.0,99
CPT,50810,FUSION OF URETER & BOWEL,,,0.22,5483.0,99
CPT,50815,URINE SHUNT TO INTESTINE,,,0.22,5483.0,99
CPT,50820,CONSTRUCT BOWEL BLADDER,,,0.22,5483.0,99
CPT,50825,CONSTRUCT BOWEL BLADDER,,,0.22,5483.0,99
CPT,50830,REVISE URINE FLOW,,,0.22,5483.0,99
CPT,50840,REPLACE URETER BY BOWEL,,,0.22,5483.0,99
CPT,50845,APPENDICO-VESICOSTOMY,,,0.22,5483.0,99
CPT,50860,TRANSPLANT URETER TO SKIN,,,0.22,5483.0,99
CPT,508U,"Transplantation medicine, quantification of donor-derived cell-free DNA using 40 single-nucleotide polymorphisms (SNPs), plasma, and urine, initial evaluation reported as percentage of donor-derived c",,,0.5,1.12,14
CPT,50900,REPAIR OF URETER,,,0.22,5483.0,99
CPT,50920,CLOSURE URETER/SKIN FISTULA,,,0.22,5483.0,99
CPT,50930,CLOSURE URETER/BOWEL FISTULA,,,0.22,5483.0,99
CPT,50940,RELEASE OF URETER,,,0.22,5483.0,99
CPT,50945,LAPAROSCOPY URETEROLITHOTOMY,,,0.22,9407.0,99
CPT,50947,LAPARO NEW URETER/BLADDER,,,0.22,9407.0,100
CPT,50948,LAPARO NEW URETER/BLADDER,,,0.22,9407.0,100
CPT,50949,UNLISTED LAPS PX URETER,,,0.22,8165.0,97
CPT,50951,ENDOSCOPY OF URETER,,,0.22,3791.0,100
CPT,50953,ENDOSCOPY OF URETER,,,0.22,3791.0,100
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,0.22,5812.0,100
CPT,50957,URETER ENDOSCOPY & TREATMENT,,,0.22,5812.0,100
CPT,50961,URETER ENDOSCOPY & TREATMENT,,,0.22,5812.0,100
CPT,50970,URETER ENDOSCOPY,,,0.22,3791.0,100
CPT,50972,URETER ENDOSCOPY & CATHETER,,,0.22,3791.0,100
CPT,50974,URETER ENDOSCOPY & BIOPSY,,,0.22,5085.0,100
CPT,50976,URETER ENDOSCOPY & TREATMENT,,,0.22,5085.0,100
CPT,50980,URETER ENDOSCOPY & TREATMENT,,,0.22,5812.0,100
CPT,509T,PATTERN ERG W/I&R,,,1.0,70.04,12
CPT,509U,"Transplantation medicine, quantification of donor-derived cell-free DNA using up to 12 single-nucleotide polymorphisms (SNPs) previously identified, plasma, reported as percentage of donor-derived cel",,,0.5,1.12,14
CPT,50U,TRGT GEN SEQ DNA 194 GENES,,,0.92,2916.6,14
CPT,51020,INCISE & TREAT BLADDER,,,0.22,5812.0,100
CPT,51030,INCISE & TREAT BLADDER,,,0.22,5812.0,3
CPT,51040,INCISE & DRAIN BLADDER,,,0.22,5812.0,100
CPT,51045,INCISE BLADDER/DRAIN URETER,,,0.22,3791.0,99
CPT,51050,REMOVAL OF BLADDER STONE,,,0.22,5812.0,100
CPT,51060,REMOVAL OF URETER STONE,,,0.22,7166.0,99
CPT,51065,REMOVE URETER CALCULUS,,,0.22,5812.0,100
CPT,51080,DRAINAGE OF BLADDER ABSCESS,,,0.22,5812.0,100
CPT,510T,RMVL SINUS TARSI IMPLANT,,,0.22,16.13,101
CPT,510U,"Oncology (pancreatic cancer), augmentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype",,,0.5,1.12,14
CPT,51100,DRAIN BLADDER BY NEEDLE,,,0.22,1137.0,99
CPT,51101,DRAIN BLADDER BY TROCAR/CATH,,,0.22,1137.0,99
CPT,51102,DRAIN BL W/CATH INSERTION,,,0.22,5812.0,99
CPT,511T,RMVL&RINSJ SINUS TARSI IMPLT,,,0.22,16.13,101
CPT,511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug",,,0.92,3033.86,14
CPT,512T,ESW INTEG WND HLG 1ST WND,,,0.22,16.13,101
CPT,512U,"Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) status, formalin-fixed paraffin-embedded (FFPE) tiss",,,0.92,706.25,14
CPT,513T,ESW INTEG WND HLG EA ADDL,,,0.22,16.13,101
CPT,513U,"Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) and homologous recombination deficiency (HRD) status",,,0.92,706.25,14
CPT,514U,"Gastroenterology (irritable bowel disease [IBD]), immunoassay for quantitative determination of adalimumab (ADL) levels in venous serum in patients undergoing adalimumab therapy, results reported as a",,,0.92,38.57,14
CPT,51500,REMOVAL OF BLADDER CYST,,,0.22,7166.0,100
CPT,51520,REMOVAL OF BLADDER LESION,,,0.22,5812.0,100
CPT,51525,REMOVAL OF BLADDER LESION,,,0.22,7166.0,99
CPT,51530,REMOVAL OF BLADDER LESION,,,0.22,7166.0,99
CPT,51535,REPAIR OF URETER LESION,,,0.22,5812.0,99
CPT,51550,PARTIAL REMOVAL OF BLADDER,,,0.22,5483.0,99
CPT,51555,PARTIAL REMOVAL OF BLADDER,,,0.22,5483.0,99
CPT,51565,REVISE BLADDER & URETER(S),,,0.22,5483.0,99
CPT,51570,REMOVAL OF BLADDER,,,0.22,5483.0,99
CPT,51575,REMOVAL OF BLADDER & NODES,,,0.22,5483.0,99
CPT,51580,REMOVE BLADDER/REVISE TRACT,,,0.22,5483.0,99
CPT,51585,REMOVAL OF BLADDER & NODES,,,0.22,5483.0,99
CPT,51590,REMOVE BLADDER/REVISE TRACT,,,0.22,5483.0,99
CPT,51595,REMOVE BLADDER/REVISE TRACT,,,0.22,5483.0,99
CPT,51596,REMOVE BLADDER/CREATE POUCH,,,0.22,5483.0,99
CPT,51597,REMOVAL OF PELVIC STRUCTURES,,,0.22,5483.0,99
CPT,515T,INSJ WCS LV COMPL SYS,,,0.22,16.13,106
CPT,515U,"Gastroenterology (irritable bowel disease [IBD]), immunoassay for quantitative determination of infliximab (IFX) levels in venous serum in patients undergoing infliximab therapy, results reported as a",,,0.92,38.57,14
CPT,51600,INJ F/CYSTO OR VCUG,2491.0,1868.25,0.22,2241.9,110
CPT,51605,PREPARATION FOR BLADDER XRAY,,,0.22,1137.0,99
CPT,51610,INJECTION FOR BLADDER X-RAY,,,0.22,1417.04,104
CPT,516T,INSJ WCS LV ELTRD ONLY,,,0.22,16.13,106
CPT,516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status",,,0.92,416.78,14
CPT,51700,IRRIGATION OF BLADDER,1613.0,1209.75,0.22,1451.7,105
CPT,51701,INSERT BLADDER CATH,650.0,487.5,0.22,1137.0,110
CPT,51702,INSERT TEMP BLADDER CATH,770.0,577.5,0.22,1137.0,105
CPT,51702,INSERT TEMP BLADDER CATH SMPL,737.0,552.75,0.22,1137.0,105
CPT,51703,INSERT BLADDER CATH COMPLEX,,,0.22,1137.0,99
CPT,51705,CHANGE OF BLADDER TUBE,,,0.22,1137.0,99
CPT,51710,CHANGE OF BLADDER TUBE,,,0.22,3791.0,100
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,0.22,7166.0,100
CPT,51720,TREATMENT OF BLADDER LESION,,,0.22,2002.15,104
CPT,51721,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,0.92,709.66,102
CPT,51725,SIMPLE CYSTOMETROGRAM,,,0.22,1137.0,99
CPT,51726,CYSTOMETROGRAM (ALL),1127.0,845.25,0.22,1435.23,110
CPT,51727,CYSTOMETROGRAM (ALL),1127.0,845.25,0.22,1137.0,105
CPT,51728,CYSTOMETROGRAM (ALL),1127.0,845.25,0.22,1137.0,110
CPT,51729,CYSTOMETROGRAM (ALL),1153.0,864.75,0.22,1137.0,105
CPT,51736,URINE FLOW MEASUREMENT,,,0.22,1137.0,104
CPT,51741,UROFLOWMETRY (ALL),531.0,398.25,0.22,1137.0,110
CPT,51784,EMG ANAL/URETH SPHIN,767.0,575.25,0.22,1137.0,110
CPT,51785,ANAL/URINARY MUSCLE STUDY,,,0.22,1137.0,99
CPT,51792,URINARY REFLEX STUDY,,,0.22,1137.0,104
CPT,51797,INTRAABDOMINAL PRESSURE TEST,,,0.22,2464.76,104
CPT,51798,US URINE CAPACITY MEASURE,536.0,402.0,0.22,1137.0,110
CPT,517T,INSJ WCS LV BOTH COMPNT PG,,,0.22,16.13,106
CPT,517U,"Therapeutic drug monitoring, 80 or more psychoactive drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally and maximally effective dose of prescribed and non-prescr",,,0.92,246.92,14
CPT,51800,REVISION OF BLADDER/URETHRA,,,0.22,5483.0,99
CPT,51820,REVISION OF URINARY TRACT,,,0.22,5483.0,99
CPT,51840,ATTACH BLADDER/URETHRA,,,0.22,5812.0,99
CPT,51841,ATTACH BLADDER/URETHRA,,,0.22,5812.0,99
CPT,51845,REPAIR BLADDER NECK,,,0.22,8165.0,99
CPT,51860,REPAIR OF BLADDER WOUND,,,0.22,5812.0,99
CPT,51865,REPAIR OF BLADDER WOUND,,,0.22,7166.0,99
CPT,51880,REPAIR OF BLADDER OPENING,,,0.22,5812.0,100
CPT,518T,RMVL PG WCS LV BATTERY ONLY,,,0.22,16.13,101
CPT,518U,"Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non-prescribe",,,0.92,246.92,14
CPT,51900,REPAIR BLADDER/VAGINA LESION,,,0.22,7166.0,99
CPT,51920,CLOSE BLADDER-UTERUS FISTULA,,,0.22,5812.0,99
CPT,51925,HYSTERECTOMY/BLADDER REPAIR,,,0.22,5483.0,99
CPT,51940,CORRECTION OF BLADDER DEFECT,,,0.22,5483.0,99
CPT,51960,REVISION OF BLADDER & BOWEL,,,0.22,5483.0,99
CPT,51980,CONSTRUCT BLADDER OPENING,,,0.22,5812.0,99
CPT,51990,LAPARO URETHRAL SUSPENSION,,,0.22,9407.0,99
CPT,51992,LAPARO SLING OPERATION,,,0.22,9407.0,100
CPT,51999,UNLISTED LAPS PX BLADDER,,,0.22,8165.0,97
CPT,519T,RMV&RPLCMT PG WCS LV BOTH,,,0.22,16.13,101
CPT,519U,"Therapeutic drug monitoring, medications specific to pain, depression, and anxiety, LC-MS/MS, plasma, 110 or more drugs or substances, qualitative and quantitative therapeutic minimally effective rang",,,0.92,246.92,14
CPT,51U,RX MNTR LC-MS/MS UR/BLD 31,,,0.92,193.71,14
CPT,52000,CYSTOSCOPY,,,0.22,3791.0,105
CPT,52001,CYSTOSCOPY REMOVAL OF CLOTS,,,0.22,5085.0,99
CPT,52005,CYSTOSCOPY & URETER CATHETER,,,0.22,5812.0,100
CPT,52007,CYSTOSCOPY AND BIOPSY,,,0.22,5812.0,100
CPT,52010,CYSTOSCOPY & DUCT CATHETER,,,0.22,3791.0,99
CPT,520T,RMV&RPLCMT PG WCS LV BATTERY,,,0.22,16.13,101
CPT,520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non-prescribed medications",,,0.92,246.92,14
CPT,521T,INTERROG DEV EVAL WCS IP,,,0.22,16.13,96
CPT,521U,"Rheumatoid factor IgA and IgM, cyclic citrullinated peptide (CCP) antibodies, and scavenger receptor A (SR-A) by immunoassay, blood",,,0.5,1.12,14
CPT,52204,CYSTOSCOPY W/BIOPSY(S),,,0.22,5812.0,100
CPT,52214,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52224,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52234,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52235,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52240,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52250,CYSTOSCOPY AND RADIOTRACER,,,0.22,5812.0,100
CPT,52260,CYSTOSCOPY AND TREATMENT,,,0.22,5085.0,100
CPT,52265,CYSTOSCOPY AND TREATMENT,,,0.22,3791.0,99
CPT,52270,CYSTOSCOPY & REVISE URETHRA,,,0.22,5085.0,100
CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,0.22,5812.0,100
CPT,52276,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52277,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52281,CYSTOSCOPY AND TREATMENT,,,0.22,5085.0,100
CPT,52282,CYSTOSCOPY IMPLANT STENT,,,0.22,7166.0,100
CPT,52283,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52284,CYSTO RX BALO CATH URTL STRX,,,0.22,3256.96,98
CPT,52285,CYSTOSCOPY AND TREATMENT,,,0.22,5085.0,100
CPT,52287,CYSTOSCOPY CHEMODENERVATION,,,0.22,5085.0,99
CPT,52290,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,522T,PRGRMG DEV EVAL WCS IP,,,0.22,16.13,96
CPT,522U,"Carbonic anhydrase VI, parotid specific/secretory protein and salivary protein 1 (SP1), IgG, IgM, and IgA antibodies, chemiluminescence, semiqualitative, blood",,,0.5,1.12,14
CPT,52300,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52301,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52305,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52310,CYSTOSCOPY AND TREATMENT,,,0.22,5085.0,99
CPT,52315,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52317,REMOVE BLADDER STONE,,,0.22,5812.0,100
CPT,52318,REMOVE BLADDER STONE,,,0.22,5812.0,100
CPT,52320,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52325,CYSTOSCOPY STONE REMOVAL,,,0.22,5812.0,100
CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,0.22,7166.0,100
CPT,52330,CYSTOSCOPY AND TREATMENT,,,0.22,5812.0,100
CPT,52332,CYSTOSCOPY AND TREATMENT,,,0.22,7973.67,105
CPT,52334,CREATE PASSAGE TO KIDNEY,,,0.22,5812.0,100
CPT,52341,CYSTO W/URETER STRICTURE TX,,,0.22,5812.0,100
CPT,52342,CYSTO W/UP STRICTURE TX,,,0.22,5812.0,100
CPT,52343,CYSTO W/RENAL STRICTURE TX,,,0.22,5812.0,100
CPT,52344,CYSTO/URETERO STRICTURE TX,,,0.22,5812.0,100
CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,0.22,5812.0,100
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,0.22,5812.0,100
CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,0.22,5812.0,100
CPT,52352,CYSTOURETERO W/STONE REMOVE,,,0.22,5812.0,100
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,18169.0,13626.75,0.22,16352.1,111
CPT,52354,CYSTOURETERO W/BIOPSY,,,0.22,5812.0,100
CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,0.22,5812.0,100
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,0.22,560.3,98
CPT,523T,NTRAPX C FFR W/3D FUNCJL MAP,,,0.22,1.12,16
CPT,523U,"Oncology (solid tumor), DNA, qualitative, next-generation sequencing (NGS) of single-nucleotide variants (SNV) and insertion/deletions in 22 genes utilizing formalin-fixed paraffin-embedded tissue, re",,,0.5,1.12,14
CPT,524,ANESTH CHEST DRAINAGE,,,,,0
CPT,52400,CYSTOURETERO W/CONGEN REPR,,,0.22,5812.0,100
CPT,52402,CYSTOURETHRO CUT EJACUL DUCT,,,0.22,5812.0,100
CPT,52441,CYSTOURETHRO W/IMPLANT,,,0.22,1545.52,103
CPT,52442,CYSTOURETHRO W/ADDL IMPLANT,,,0.22,1046.1,103
CPT,52450,INCISION OF PROSTATE,,,0.22,5812.0,100
CPT,524T,EV CATH DIR CHEM ABLTJ W/IMG,,,0.22,16.13,106
CPT,524U,OB PE SFLT-1/PLGF IA SRM/PLS,66.78,50.09,0.5,1.12,14
CPT,52500,REVISION OF BLADDER NECK,,,0.22,5812.0,100
CPT,525T,INSJ/RPLCMT COMPL IIMS,,,0.22,16.13,106
CPT,525U,"Oncology, spheroid cell culture, 11-drug panel (carboplatin, docetaxel, doxorubicin, etoposide, gemcitabine, niraparib, olaparib, paclitaxel, rucaparib, topotecan, veliparib) ovarian, fallopian, or pe",,,0.5,1.12,14
CPT,52601,PROSTATECTOMY (TURP),,,0.22,7166.0,100
CPT,52630,REMOVE PROSTATE REGROWTH,,,0.22,7166.0,100
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,0.22,5812.0,100
CPT,52647,LASER SURGERY OF PROSTATE,,,0.22,8165.0,100
CPT,52648,LASER SURGERY OF PROSTATE,,,0.22,8165.0,100
CPT,52649,PROSTATE LASER ENUCLEATION,,,0.22,8165.0,99
CPT,526T,INSJ/RPLCMT IIMS ELTRD ONLY,,,0.22,16.13,106
CPT,526U,"Nephrology (renal transplant), quantification of CXCL10 chemokines, flow cytometry, urine, reported as pg/mL creatinine baseline and monitoring over time",,,0.5,1.12,14
CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,0.22,5812.0,100
CPT,527T,INSJ/RPLCMT IIMS IMPLT MNTR,,,0.22,16.13,106
CPT,527U,"Herpes simplex virus (HSV) types 1 and 2 and Varicella zoster virus (VZV), amplified probe technique, each pathogen reported as detected or not detected",,,0.5,1.12,14
CPT,528T,PRGRMG DEV EVAL IIMS IP,,,0.22,3.2,11
CPT,528U,"Lower respiratory tract infectious agent detection, 18 bacteria, 8 viruses, and 7 antimicrobial-resistance genes, amplified probe technique, including reverse transcription for RNA targets, each analy",,,0.5,1.12,14
CPT,529T,INTERROG DEV EVAL IIMS IP,,,0.22,3.2,11
CPT,529U,"Hematology (venous thromboembolism [VTE]), genome-wide single-nucleotide polymorphism variants, including F2 and F5 gene analysis, and Leiden variant, by microarray analysis, saliva, report as risk sc",,,0.5,1.12,14
CPT,52U,LPOPRTN BLD W/5 MAJ CLASSES,,,0.92,33.86,14
CPT,53000,INCISION OF URETHRA,,,0.22,5812.0,100
CPT,53010,INCISION OF URETHRA,,,0.22,5812.0,100
CPT,53020,INCISION OF URETHRA,,,0.22,5812.0,100
CPT,53025,INCISION OF URETHRA,,,0.22,5812.0,99
CPT,53040,DRAINAGE OF URETHRA ABSCESS,,,0.22,5812.0,100
CPT,53060,DRAINAGE OF URETHRA ABSCESS,,,0.22,5812.0,99
CPT,53080,DRAINAGE OF URINARY LEAKAGE,,,0.22,5812.0,100
CPT,53085,DRAINAGE OF URINARY LEAKAGE,,,0.22,5812.0,99
CPT,530T,REMOVAL COMPLETE IIMS,,,0.22,16.13,106
CPT,530U,"Oncology (pan-solid tumor), ctDNA, utilizing plasma, next-generation sequencing (NGS) of 77 genes, 8 fusions, microsatellite instability, and tumor mutation burden, interpretative report for single-nu",,,0.5,1.12,14
CPT,531T,REMOVAL IIMS ELECTRODE ONLY,,,0.22,16.13,106
CPT,531U,"Infectious disease (acid-fast bacteria and invasive fungi), DNA (673 organisms), next-generation sequencing, plasma",,,0.5,1.12,14
CPT,53200,BIOPSY OF URETHRA,,,0.22,5812.0,100
CPT,53210,REMOVAL OF URETHRA,,,0.22,7166.0,100
CPT,53215,REMOVAL OF URETHRA,,,0.22,5812.0,100
CPT,53220,TREATMENT OF URETHRA LESION,,,0.22,7166.0,100
CPT,53230,REMOVAL OF URETHRA LESION,,,0.22,7166.0,100
CPT,53235,REMOVAL OF URETHRA LESION,,,0.22,5812.0,100
CPT,53240,SURGERY FOR URETHRA POUCH,,,0.22,7166.0,100
CPT,53250,REMOVAL OF URETHRA GLAND,,,0.22,5812.0,100
CPT,53260,TREATMENT OF URETHRA LESION,,,0.22,5812.0,100
CPT,53265,TREATMENT OF URETHRA LESION,,,0.22,5812.0,100
CPT,53270,REMOVAL OF URETHRA GLAND,,,0.22,5812.0,100
CPT,53275,REPAIR OF URETHRA DEFECT,,,0.22,5812.0,100
CPT,532T,REMOVAL IIMS IMPLT MNTR ONLY,,,0.22,16.13,106
CPT,532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations, periphera",,,0.5,0.5,4
CPT,533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, UGT1A1, ",,,0.5,1.12,14
CPT,53400,REVISE URETHRA STAGE 1,,,0.22,7166.0,100
CPT,53405,REVISE URETHRA STAGE 2,,,0.22,7166.0,100
CPT,53410,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,53415,RECONSTRUCTION OF URETHRA,,,0.22,8165.0,99
CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,0.22,7166.0,100
CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,0.22,7166.0,100
CPT,53430,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,53431,RECONSTRUCT URETHRA/BLADDER,,,0.22,7166.0,100
CPT,53440,MALE SLING PROCEDURE,,,0.22,11318.0,100
CPT,53442,REMOVE/REVISE MALE SLING,,,0.22,7166.0,100
CPT,53444,INSERT TANDEM CUFF,,,0.22,11318.0,100
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,0.22,11081.0,100
CPT,53446,REMOVE URO SPHINCTER,,,0.22,7166.0,100
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,0.22,11081.0,100
CPT,53448,REMOV/REPLC UR SPHINCTR COMP,,,0.22,3791.0,99
CPT,53449,REPAIR URO SPHINCTER,,,0.22,7166.0,100
CPT,53450,REVISION OF URETHRA,,,0.22,7166.0,100
CPT,53451,TPRNL BALO CNTNC DEV BI,,,0.22,16.13,96
CPT,53452,TPRNL BALO CNTNC DEV UNI,,,0.22,16.13,96
CPT,53453,TPRNL BALO CNTNC DEV RMVL EA,,,0.22,16.13,96
CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,0.22,16.13,96
CPT,53460,REVISION OF URETHRA,,,0.22,5812.0,100
CPT,534U,"Oncology (prostate), microRNA, single-nucleotide polymorphisms (SNPs) analysis by RT-PCR of 32 variants, using buccal swab, algorithm reported as a risk score",,,0.5,1.12,14
CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,0.22,7166.0,99
CPT,53502,REPAIR OF URETHRA INJURY,,,0.22,5812.0,100
CPT,53505,REPAIR OF URETHRA INJURY,,,0.22,7166.0,100
CPT,53510,REPAIR OF URETHRA INJURY,,,0.22,5812.0,100
CPT,53515,REPAIR OF URETHRA INJURY,,,0.22,7166.0,100
CPT,53520,REPAIR OF URETHRA DEFECT,,,0.22,7166.0,100
CPT,535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative",,,0.5,1.12,14
CPT,53600,DILATE URETHRA STRICTURE,,,0.22,1137.0,99
CPT,53601,DILATE URETHRA STRICTURE,,,0.22,1137.0,99
CPT,53605,DILATE URETHRA STRICTURE,,,0.22,5085.0,100
CPT,53620,DILATE URETHRA STRICTURE,,,0.22,5812.0,99
CPT,53621,DILATE URETHRA STRICTURE,,,0.22,1137.0,99
CPT,53660,DILATION OF URETHRA,,,0.22,1137.0,99
CPT,53661,DILATION OF URETHRA,,,0.22,1137.0,99
CPT,53665,DILATION OF URETHRA,,,0.22,5812.0,100
CPT,536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation known to be RhD negative, rep",,,0.5,1.12,14
CPT,537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, next-generation sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as positive or n",,,0.92,1495.0,14
CPT,53850,PROSTATIC MICROWAVE THERMOTX,,,0.22,8165.0,99
CPT,53852,PROSTATIC RF THERMOTX,,,0.22,8165.0,99
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,,,0.22,3880.65,103
CPT,53855,INSERT PROST URETHRAL STENT,,,0.22,1137.0,99
CPT,53860,TRANSURETHRAL RF TREATMENT,,,0.22,5812.0,99
CPT,53865,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate",,,1.0,3755.26,97
CPT,53866,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate",,,1.0,186.62,97
CPT,53899,UNLISTED PX URINARY SYSTEM,,,0.22,1137.0,97
CPT,538U,"Oncology (solid tumor), next-generation targeted sequencing analysis, formalin-fixed paraffin-embedded (FFPE) tumor tissue, DNA analysis of 600 genes, interrogation for single-nucleotide variants, ins",,,0.5,1.12,14
CPT,539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements, copy nu",,,0.5,1.12,14
CPT,540,ANESTH CHEST SURGERY,,,,,0
CPT,54000,SLITTING OF PREPUCE,,,0.22,5812.0,100
CPT,54001,SLITTING OF PREPUCE,,,0.22,5812.0,100
CPT,54015,DRAIN PENIS LESION,,,0.22,5812.0,100
CPT,54050,DESTRUCTION PENIS LESION(S),,,0.22,1137.0,99
CPT,54055,DESTRUCTION PENIS LESION(S),,,0.22,5812.0,99
CPT,54056,CRYOSURGERY PENIS LESION(S),,,0.22,1137.0,99
CPT,54057,LASER SURG PENIS LESION(S),,,0.22,5812.0,100
CPT,54060,EXCISION OF PENIS LESION(S),,,0.22,5812.0,100
CPT,54065,DESTRUCTION PENIS LESION(S),,,0.22,5812.0,100
CPT,540T,CAR-T CLL ADMN AUTOLOGOUS,,,0.22,0.22,1
CPT,540U,"Transplantation medicine, quantification of donor-derived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine probabil",,,0.5,1.12,14
CPT,54100,BIOPSY OF PENIS,,,0.22,5085.0,100
CPT,54105,BIOPSY OF PENIS,,,0.22,5812.0,100
CPT,54110,TREATMENT OF PENIS LESION,,,0.22,7166.0,100
CPT,54111,TREAT PENIS LESION GRAFT,,,0.22,7166.0,100
CPT,54112,TREAT PENIS LESION GRAFT,,,0.22,7166.0,100
CPT,54115,TREATMENT OF PENIS LESION,,,0.22,5812.0,100
CPT,54120,PARTIAL REMOVAL OF PENIS,,,0.22,7166.0,100
CPT,54125,REMOVAL OF PENIS,,,0.22,5085.0,99
CPT,54130,REMOVE PENIS & NODES,,,0.22,5483.0,99
CPT,54135,REMOVE PENIS & NODES,,,0.22,5483.0,99
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,,,0.22,5812.0,100
CPT,54160,CIRCUMCISION NEONATE,,,0.22,5812.0,100
CPT,54161,CIRCUM 28 DAYS OR OLDER,,,0.22,5812.0,100
CPT,54162,LYSIS PENIL CIRCUMIC LESION,,,0.22,5812.0,100
CPT,54163,REPAIR OF CIRCUMCISION,,,0.22,5812.0,100
CPT,54164,FRENULOTOMY OF PENIS,,,0.22,5812.0,100
CPT,541T,MYOCARDIAL IMAGING MCG,,,0.92,3.2,15
CPT,541U,"Cardiovascular disease (HDL reverse cholesterol transport), cholesterol efflux capacity, LC-MS/MS, quantitative measurement of 5 distinct HDL-bound apolipoproteins (apolipoproteins A1, C1, C2, C3, and",,,0.5,1.12,14
CPT,542,ANESTHESIA REMOVAL PLEURA,,,,,0
CPT,54200,TREATMENT OF PENIS LESION,,,0.22,1137.0,99
CPT,54205,TREATMENT OF PENIS LESION,,,0.22,7166.0,100
CPT,54220,TREATMENT OF PENIS LESION,,,0.22,1137.0,99
CPT,54230,PREPARE PENIS STUDY,,,0.22,1137.0,99
CPT,54231,DYNAMIC CAVERNOSOMETRY,,,0.22,5812.0,99
CPT,54235,PENILE INJECTION,,,0.22,1137.0,99
CPT,54240,PENIS STUDY,,,0.22,1137.0,104
CPT,54250,PENIS STUDY,,,0.22,1137.0,99
CPT,542T,MYOCARDIAL IMAGING MCG I&R,,,0.92,3.2,15
CPT,542U,"Nephrology (renal transplant), urine, nuclear magnetic resonance (NMR) spectroscopy measurement of 84 urinary metabolites, combined with patient data, quantification of BK virus (human polyomavirus 1)",,,0.5,1.12,14
CPT,54300,REVISION OF PENIS,,,0.22,7166.0,100
CPT,54304,REVISION OF PENIS,,,0.22,7166.0,100
CPT,54308,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54312,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54316,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54318,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54322,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54324,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54326,RECONSTRUCTION OF URETHRA,,,0.22,7166.0,100
CPT,54328,REVISE PENIS/URETHRA,,,0.22,7166.0,100
CPT,54332,REVISE PENIS/URETHRA,,,0.22,7166.0,99
CPT,54336,REVISE PENIS/URETHRA,,,0.22,7166.0,99
CPT,54340,RPR HYPSPAD COMP SIMPLE,,,0.22,7166.0,100
CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,0.22,7166.0,100
CPT,54348,RPR HYPSPAD COMP DSJ & URTP,,,0.22,7166.0,100
CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,0.22,7166.0,100
CPT,54360,PENIS PLASTIC SURGERY,,,0.22,7166.0,100
CPT,54380,REPAIR PENIS,,,0.22,7166.0,100
CPT,54385,REPAIR PENIS,,,0.22,7166.0,100
CPT,54390,REPAIR PENIS AND BLADDER,,,0.22,8165.0,99
CPT,543T,TA MV RPR W/ARTIF CHORD TEND,,,0.22,16.13,96
CPT,543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffin-embedded (FFPE) tissue of 517 genes, interrogation for single- nucleotide variants, multi-nucleotide variants, in",,,0.5,0.5,4
CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,0.22,11318.0,100
CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,0.22,11081.0,100
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,0.22,11081.0,100
CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,0.22,7166.0,100
CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,0.22,7166.0,100
CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,0.22,11081.0,100
CPT,54411,REMOV/REPLC PENIS PROS COMP,,,0.22,1397.74,99
CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,0.22,7166.0,100
CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,0.22,11081.0,100
CPT,54417,REMV/REPLC PENIS PROS COMPL,,,0.22,3791.0,99
CPT,54420,REVISION OF PENIS,,,0.22,7166.0,100
CPT,54430,REVISION OF PENIS,,,0.22,5483.0,99
CPT,54435,REVISION OF PENIS,,,0.22,7166.0,100
CPT,54437,REPAIR CORPOREAL TEAR,,,0.22,1485.47,103
CPT,54438,REPLANTATION OF PENIS,,,0.22,0.22,1
CPT,54440,REPAIR OF PENIS,,,0.22,7166.0,98
CPT,54450,PREPUTIAL STRETCHING,,,0.22,1137.0,99
CPT,544T,TCAT MV ANNULUS RCNSTJ,,,0.22,16.13,96
CPT,544U,"Nephrology (transplant monitoring), 48 variants by digital PCR, using cell-free DNA from plasma, donor-derived cell-free DNA, percentage reported as risk for rejection",,,0.5,1.12,14
CPT,54500,BIOPSY OF TESTIS,,,0.22,5085.0,100
CPT,54505,BIOPSY OF TESTIS,,,0.22,5812.0,100
CPT,54512,EXCISE LESION TESTIS,,,0.22,5812.0,100
CPT,54520,REMOVAL OF TESTIS,,,0.22,5812.0,100
CPT,54522,ORCHIECTOMY PARTIAL,,,0.22,5812.0,100
CPT,54530,REMOVAL OF TESTIS,,,0.22,7166.0,100
CPT,54535,EXTENSIVE TESTIS SURGERY,,,0.22,7166.0,99
CPT,54550,EXPLORATION FOR TESTIS,,,0.22,7166.0,100
CPT,54560,EXPLORATION FOR TESTIS,,,0.22,5812.0,99
CPT,545T,TCAT TV ANNULUS RCNSTJ,,,0.22,16.13,96
CPT,545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative",,,0.5,1.12,14
CPT,546,ANESTH LUNG CHEST WALL SURG,,,,,0
CPT,54600,REDUCE TESTIS TORSION,,,0.22,5812.0,100
CPT,54620,SUSPENSION OF TESTIS,,,0.22,5812.0,100
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,0.22,7166.0,100
CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,0.22,7166.0,99
CPT,54660,REVISION OF TESTIS,,,0.22,5812.0,100
CPT,54670,REPAIR TESTIS INJURY,,,0.22,5812.0,100
CPT,54680,RELOCATION OF TESTIS(ES),,,0.22,5812.0,100
CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,0.22,9407.0,100
CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,0.22,9407.0,99
CPT,54699,UNLISTED LAPS PX TESTIS,,,0.22,8165.0,97
CPT,546T,RF SPECTRSC NTRAOP MRGN ASMT,,,1.0,16.13,95
CPT,546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative",,,0.5,1.12,14
CPT,54700,DRAINAGE OF SCROTUM,,,0.22,5812.0,100
CPT,547T,B1 MATRL QUAL TST MCRIND TIB,,,0.5,263.09,95
CPT,547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative",,,0.5,1.12,14
CPT,54800,BIOPSY OF EPIDIDYMIS,,,0.22,3791.0,99
CPT,54830,REMOVE EPIDIDYMIS LESION,,,0.22,5812.0,100
CPT,54840,REMOVE EPIDIDYMIS LESION,,,0.22,5812.0,100
CPT,54860,REMOVAL OF EPIDIDYMIS,,,0.22,5812.0,100
CPT,54861,REMOVAL OF EPIDIDYMIS,,,0.22,5812.0,100
CPT,54865,EXPLORE EPIDIDYMIS,,,0.22,5812.0,100
CPT,548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma",,,0.5,1.12,14
CPT,54900,FUSION OF SPERMATIC DUCTS,,,0.22,5812.0,100
CPT,54901,FUSION OF SPERMATIC DUCTS,,,0.22,5812.0,100
CPT,549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer and/or upper tract",,,0.5,1.12,14
CPT,54T,BONE SRGRY CMPTR FLUOR IMAGE,,,0.22,1137.0,97
CPT,54U,RX MNTR 14+ DRUGS & SBSTS,,,0.92,148.96,14
CPT,55000,DRAINAGE OF HYDROCELE,,,0.22,3791.0,99
CPT,55040,REMOVAL OF HYDROCELE,,,0.22,7166.0,100
CPT,55041,REMOVAL OF HYDROCELES,,,0.22,7166.0,100
CPT,55060,REPAIR OF HYDROCELE,,,0.22,5812.0,100
CPT,550U,"Oncology (prostate), enzyme-linked immunosorbent assays (ELISA) for total prostate-specific antigen (PSA) and free PSA, serum, combined with age, previous negative prostate biopsy status, digital rect",,,0.5,1.12,14
CPT,55100,DRAINAGE OF SCROTUM ABSCESS,,,0.22,5085.0,100
CPT,55110,EXPLORE SCROTUM,,,0.22,5812.0,100
CPT,55120,REMOVAL OF SCROTUM LESION,,,0.22,5812.0,100
CPT,55150,REMOVAL OF SCROTUM,,,0.22,5812.0,100
CPT,55175,REVISION OF SCROTUM,,,0.22,5812.0,100
CPT,55180,REVISION OF SCROTUM,,,0.22,5812.0,100
CPT,551U,"Tau, phosphorylated, pTau217, by single-molecule array (ultrasensitive digital protein detection), using plasma",,,0.5,1.12,14
CPT,55200,INCISION OF SPERM DUCT,,,0.22,5812.0,100
CPT,55250,REMOVAL OF SPERM DUCT(S),,,0.22,5812.0,100
CPT,552T,LOW-LEVEL LASER THERAPY,,,1.0,200.84,10
CPT,552U,"Reproductive medicine (preimplantation genetic assessment), analysis for known genetic disorders from trophectoderm biopsy, linkage analysis of disease-causing locus, and when possible, targeted mutat",,,0.5,1.12,14
CPT,55300,PREPARE SPERM DUCT X-RAY,,,0.22,1137.0,99
CPT,553T,PERQ TCAT ILIAC ANAST IMPLT,,,0.22,0.22,1
CPT,553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and a",,,0.5,1.12,14
CPT,55400,REPAIR OF SPERM DUCT,,,0.22,5812.0,100
CPT,554T,B1 STR & FX RSK ANALYSIS,,,1.0,62.37,15
CPT,554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score, ",,,0.5,1.12,14
CPT,55500,REMOVAL OF HYDROCELE,,,0.22,5812.0,100
CPT,55520,REMOVAL OF SPERM CORD LESION,,,0.22,5812.0,100
CPT,55530,REVISE SPERMATIC CORD VEINS,,,0.22,5812.0,100
CPT,55535,REVISE SPERMATIC CORD VEINS,,,0.22,7166.0,100
CPT,55540,REVISE HERNIA & SPERM VEINS,,,0.22,7166.0,100
CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,0.22,9407.0,100
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,0.22,8165.0,97
CPT,555T,B1 STR&FX RSK TRANSMIS DATA,,,1.0,27.47,15
CPT,555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, ploid",,,0.5,1.12,14
CPT,55600,INCISE SPERM DUCT POUCH,,,0.22,5812.0,99
CPT,55605,INCISE SPERM DUCT POUCH,,,0.22,3791.0,99
CPT,55650,REMOVE SPERM DUCT POUCH,,,0.22,3791.0,99
CPT,55680,REMOVE SPERM POUCH LESION,,,0.22,5812.0,100
CPT,556T,B1 STR & FX RSK ASSESSMENT,,,1.0,368.9,15
CPT,556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse trans",,,0.5,1.12,14
CPT,55700,BIOPSY OF PROSTATE,,,0.22,5085.0,104
CPT,55705,BIOPSY OF PROSTATE,,,0.22,5085.0,99
CPT,55706,PROSTATE SATURATION SAMPLING,,,0.22,5085.0,99
CPT,55720,DRAINAGE OF PROSTATE ABSCESS,,,0.22,5812.0,100
CPT,55725,DRAINAGE OF PROSTATE ABSCESS,,,0.22,5812.0,100
CPT,557T,B1 STR & FX RSK I&R,,,1.0,15.58,15
CPT,557U,"Infectious disease (bacterial vaginosis and vaginitis), real-time amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated b",,,0.5,1.12,14
CPT,55801,REMOVAL OF PROSTATE,,,0.22,5483.0,99
CPT,55810,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55812,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55815,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55821,REMOVAL OF PROSTATE,,,0.22,5483.0,99
CPT,55831,REMOVAL OF PROSTATE,,,0.22,5483.0,99
CPT,55840,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55842,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55845,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55860,SURGICAL EXPOSURE PROSTATE,,,0.22,5812.0,99
CPT,55862,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55865,EXTENSIVE PROSTATE SURGERY,,,0.22,5483.0,99
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,0.22,11318.0,99
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,0.22,1425.02,98
CPT,55870,ELECTROEJACULATION,,,0.22,1137.0,99
CPT,55873,CRYOABLATE PROSTATE,,,0.22,11318.0,100
CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,,,0.22,5145.17,103
CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,0.22,7166.0,100
CPT,55876,PLACE RT DEVICE/MARKER PROS,,,0.22,5085.0,99
CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,0.22,3452.95,103
CPT,55881,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation",,,0.92,11228.33,102
CPT,55882,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,0.92,11630.39,102
CPT,55899,UNLISTED PX MALE GENITAL SYS,,,0.22,1137.0,97
CPT,558T,CT SCAN F/BIOMCHN CT ALYS,,,0.92,99.68,15
CPT,558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response/no res",,,0.5,1.12,14
CPT,55920,PLACE NEEDLES PELVIC FOR RT,,,0.22,5812.0,99
CPT,55970,SEX TRANSFORMATION M TO F,,,0.22,16.13,91
CPT,55980,SEX TRANSFORMATION F TO M,,,0.22,16.13,91
CPT,559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,1.0,89.44,15
CPT,559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response/no response to thera",,,0.5,1.12,14
CPT,55T,BONE SRGRY CMPTR CT/MRI IMAG,,,0.22,1137.0,97
CPT,55U,CARD HRT TRNSPL 96 DNA SEQ,,,0.92,3240.0,14
CPT,560,ANESTH HEART SURG W/O PUMP,,,,,0
CPT,560T,ANTMC MDL 3D PRINT EA ADDL,,,1.0,3.2,15
CPT,560U,"Oncology (minimal residual disease [MRD]), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to ev",,,0.5,1.12,14
CPT,561,ANESTH HEART SURG <1 YR,,,,,0
CPT,561T,ANTMC GUIDE 3D PRINT 1ST GD,,,1.0,89.44,15
CPT,561U,"Oncology (minimal residual disease [MRD]), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD",,,0.5,1.12,14
CPT,562,ANESTH HRT SURG W/PMP AGE 1+,,,,,0
CPT,562T,ANTMC GUIDE 3D PRINT EA ADDL,,,1.0,3.2,15
CPT,562U,"Oncology (solid tumor), targeted genomic sequence analysis, 33 genes, detection of single-nucleotide variants (SNVs), insertions and deletions, copy-number amplifications, and translocations in human ",,,0.5,1.12,14
CPT,563T,EVAC MEIBOMIAN GLND HEAT BI,,,1.0,3.2,15
CPT,563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respiratory sp",,,0.5,1.12,14
CPT,56405,INCISION AND DRAINAGE VULVA OR,2035.0,1526.25,0.22,1831.5,105
CPT,56420,DRAINAGE OF GLAND ABSCESS,,,0.22,1137.0,99
CPT,56440,SURGERY FOR VULVA LESION,,,0.22,5812.0,100
CPT,56441,LYSIS OF LABIAL LESION(S),,,0.22,5812.0,100
CPT,56442,HYMENOTOMY,,,0.22,5812.0,100
CPT,564U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 10 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respiratory sp",,,0.5,1.12,14
CPT,56501,DESTROY VULVA LESIONS SIM,,,0.22,5812.0,99
CPT,56515,DESTROY VULVA LESION/S COMPL,,,0.22,5812.0,100
CPT,565T,AUTOL CELL IMPLT ADPS HRVG,,,0.22,3.2,16
CPT,565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cell-free DNA, plasma, algorithm reported as cancer signal detected or ",,,0.5,1.12,14
CPT,56605,BIOPSY VULVA/PERINEUM - AMB,2620.0,1965.0,0.22,2358.0,105
CPT,56606,BIOPSY OF VULVA/PERINEUM,,,0.22,1137.0,99
CPT,56620,PARTIAL REMOVAL OF VULVA,,,0.22,5812.0,100
CPT,56625,COMPLETE REMOVAL OF VULVA,,,0.22,5812.0,100
CPT,56630,EXTENSIVE VULVA SURGERY,,,0.22,5483.0,99
CPT,56631,EXTENSIVE VULVA SURGERY,,,0.22,11318.0,99
CPT,56632,EXTENSIVE VULVA SURGERY,,,0.22,11318.0,99
CPT,56633,EXTENSIVE VULVA SURGERY,,,0.22,11318.0,99
CPT,56634,EXTENSIVE VULVA SURGERY,,,0.22,11318.0,99
CPT,56637,EXTENSIVE VULVA SURGERY,,,0.22,11318.0,99
CPT,56640,EXTENSIVE VULVA SURGERY,,,0.22,5483.0,99
CPT,566T,AUTOL CELL IMPLT ADPS NJX,,,0.22,3.2,16
CPT,566U,"Oncology (lung), qPCR-based analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, alg",,,0.5,1.12,14
CPT,567,ANESTH CABG W/PUMP,,,,,0
CPT,56700,PARTIAL REMOVAL OF HYMEN,,,0.22,5812.0,100
CPT,56740,REMOVE VAGINA GLAND LESION,,,0.22,5812.0,100
CPT,567T,PERM FLP TUBE OCCLS W/IMPLT,,,0.22,0.22,1
CPT,567U,"Rare diseases (constitutional/heritable disorders), whole-genome sequence analysis combination of short and long reads, for single-nucleotide variants, insertions/deletions and characterized intronic ",,,0.5,1.12,14
CPT,56800,REPAIR OF VAGINA,,,0.22,5812.0,100
CPT,56805,REPAIR CLITORIS,,,0.22,5812.0,99
CPT,56810,REPAIR OF PERINEUM,,,0.22,5812.0,100
CPT,56820,COLPOSCOPY VULVA - AMB,662.0,496.5,0.22,1137.0,105
CPT,56821,EXAM/BIOPSY OF VULVA W/SCOPE,5166.0,3874.5,0.22,4649.4,105
CPT,568U,"Neurology (dementia), beta amyloid (Aβ40, Aβ42, Aβ42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), by ult",,,0.5,1.12,14
CPT,569T,TTVR PERQ APPR 1ST PROSTH,,,0.22,16.13,96
CPT,569U,"Oncology (solid tumor), next-generation sequencing analysis of tumor methylation markers (>20000 differentially methylated regions) present in cell-free circulating tumor DNA (ctDNA), whole blood, alg",,,0.5,1.12,14
CPT,57000,EXPLORATION OF VAGINA,,,0.22,5812.0,100
CPT,57010,DRAINAGE OF PELVIC ABSCESS,,,0.22,5812.0,100
CPT,57020,DRAINAGE OF PELVIC FLUID,,,0.22,3791.0,99
CPT,57022,I & D VAGINAL HEMATOMA PP,,,0.22,5085.0,99
CPT,57023,I & D VAG HEMATOMA NON-OB,,,0.22,5812.0,100
CPT,57061,DESTROY VAG LESIONS SIMPLE,,,0.22,5812.0,99
CPT,57065,DESTROY VAG LESIONS COMPLEX,,,0.22,5812.0,100
CPT,570T,TTVR PERQ EA ADDL PROSTH,,,0.22,16.13,96
CPT,570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), immunoassay, whole blood or plasma, individual components ",,,0.5,1.12,14
CPT,57100,BIOPSY VAGINAL MUCOSA-SIMPLE,7471.0,5603.25,0.22,6723.9,105
CPT,57105,BIOPSY OF VAGINA,,,0.22,5812.0,100
CPT,57106,REMOVE VAGINA WALL PARTIAL,,,0.22,5812.0,99
CPT,57107,REMOVE VAGINA TISSUE PART,,,0.22,7166.0,99
CPT,57109,VAGINECTOMY PARTIAL W/NODES,,,0.22,7166.0,99
CPT,57110,REMOVE VAGINA WALL COMPLETE,,,0.22,5483.0,99
CPT,57111,REMOVE VAGINA TISSUE COMPL,,,0.22,7166.0,99
CPT,57112,Complete Removal Of Vaginal Wall And Surrounding Tissue With Removal Of Lymph Nodes On Both Sides Of Pelvis And Aortic Lymph Node Biopsy,,,5483.0,5483.0,1
CPT,57120,CLOSURE OF VAGINA,,,0.22,7166.0,99
CPT,57130,REMOVE VAGINA LESION,,,0.22,5812.0,100
CPT,57135,REMOVE VAGINA LESION,,,0.22,5812.0,100
CPT,57150,TREAT VAGINA INFECTION,639.0,479.25,0.22,1137.0,105
CPT,57155,INSERT UTERI TANDEM/OVOIDS,,,0.22,3791.0,99
CPT,57156,INS VAG BRACHYTX DEVICE,,,0.22,1137.0,99
CPT,57160,INSERT PESSARY/OTHER DEVICE,618.0,463.5,0.22,1137.0,105
CPT,57160,INSERTION OF PESSARY,1249.0,936.75,0.22,1137.0,105
CPT,57170,FITTING OF DIAPHRAGM/CAP,,,0.22,1137.0,99
CPT,57180,TREAT VAGINAL BLEEDING,,,0.22,1137.0,99
CPT,571T,INSJ/RPLCMT ICDS SS ELTRD,,,0.22,82121.24,101
CPT,571U,"Oncology (solid tumor), DNA (80 genes) and RNA (10 genes), by next-generation sequencing, plasma, including single-nucleotide variants, insertions/deletions, copy-number alterations, microsatellite in",,,0.5,1.12,14
CPT,57200,REPAIR OF VAGINA,,,0.22,5812.0,100
CPT,57210,REPAIR VAGINA/PERINEUM,,,0.22,5812.0,100
CPT,57220,REVISION OF URETHRA,,,0.22,8165.0,100
CPT,57230,REPAIR OF URETHRAL LESION,,,0.22,7166.0,100
CPT,57240,ANTERIOR COLPORRHAPHY,,,0.22,7166.0,100
CPT,57250,REPAIR RECTUM & VAGINA,,,0.22,7166.0,100
CPT,57260,CMBN ANT PST COLPRHY,,,0.22,7166.0,100
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,0.22,8165.0,100
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,0.22,7166.0,100
CPT,57268,REPAIR OF BOWEL BULGE,,,0.22,7166.0,100
CPT,57270,REPAIR OF BOWEL POUCH,,,0.22,5812.0,99
CPT,57280,SUSPENSION OF VAGINA,,,0.22,5812.0,99
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,0.22,8165.0,99
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,0.22,8165.0,99
CPT,57284,REPAIR PARAVAG DEFECT OPEN,,,0.22,8165.0,99
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,0.22,8165.0,99
CPT,57287,REVISE/REMOVE SLING REPAIR,,,0.22,7166.0,99
CPT,57288,REPAIR BLADDER DEFECT,,,0.22,8165.0,100
CPT,57289,REPAIR BLADDER & VAGINA,,,0.22,7166.0,100
CPT,57291,CONSTRUCTION OF VAGINA,,,0.22,7166.0,100
CPT,57292,CONSTRUCT VAGINA WITH GRAFT,,,0.22,7166.0,99
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,0.22,5812.0,99
CPT,57296,REVISE VAG GRAFT OPEN ABD,,,0.22,5483.0,99
CPT,572T,INSERTION SS DFB ELECTRODE,,,0.22,21197.75,101
CPT,572U,"Oncology (prostate), high-throughput telomere length quantification by FISH, whole blood, diagnostic algorithm reported as risk of prostate cancer",,,0.5,1.12,14
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,0.22,7166.0,100
CPT,57305,REPAIR RECTUM-VAGINA FISTULA,,,0.22,5483.0,99
CPT,57307,FISTULA REPAIR & COLOSTOMY,,,0.22,5483.0,99
CPT,57308,FISTULA REPAIR TRANSPERINE,,,0.22,5812.0,99
CPT,57310,REPAIR URETHROVAGINAL LESION,,,0.22,8165.0,99
CPT,57311,REPAIR URETHROVAGINAL LESION,,,0.22,7166.0,99
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,0.22,7166.0,99
CPT,57330,REPAIR BLADDER-VAGINA LESION,,,0.22,7166.0,99
CPT,57335,REPAIR VAGINA,,,0.22,7166.0,99
CPT,573T,REMOVAL SS DFB ELECTRODE,,,0.22,9321.56,101
CPT,573U,"Oncology (pancreas), 3 biomarkers (glucose, carcinoembryonic antigen, and gastricsin), pancreatic cyst lesion fluid, algorithm reported as categorical mucinous or non-mucinous",,,0.5,1.12,14
CPT,57400,DILATION OF VAGINA,,,0.22,5812.0,100
CPT,57410,PELVIC EXAMINATION,,,0.22,5812.0,100
CPT,57415,REMOVE VAGINAL FOREIGN BODY,,,0.22,5812.0,100
CPT,57420,COLPOSCOPY VAGINA - AMB,1503.0,1127.25,0.22,1352.7,105
CPT,57421,EXAM/BIOPSY OF VAG W/SCOPE,5272.0,3954.0,0.22,4744.8,105
CPT,57423,REPAIR PARAVAG DEFECT LAP,,,0.22,8165.0,99
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,0.22,9407.0,99
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,0.22,5812.0,99
CPT,57452,COLPOSCOPY/VAGINOSCOPY PROCEDU,1086.0,814.5,0.22,1137.0,105
CPT,57454,COLPOSCOPY/VAGINOSCOPY WITH CE,812.0,609.0,0.22,1137.0,105
CPT,57455,COLPOSCOPY CERVIX W/ BX - AMB,1144.0,858.0,0.22,1137.0,105
CPT,57456,COLPOSCOPY CERVIX W/ ENDOCERVI,1545.0,1158.75,0.22,1390.5,105
CPT,57460,COLPOSCOPY WITH LEEP CERVIX,11381.0,8535.75,0.22,10242.9,105
CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,9185.0,6888.75,0.22,8266.5,105
CPT,57465,CAM CERVIX UTERI DRG COLP,,,0.22,199.53,103
CPT,574T,REPOS PREV SS IMPL DFB ELTRD,,,0.22,9321.56,101
CPT,574U,"Mycobacterium tuberculosis, culture filtrate protein-10-kDa (CFP-10), serum or plasma, liquid chromatography mass spectrometry (LC-MS)",,,0.5,1.12,14
CPT,57500,BIOPSY CERVIX - AMB,3024.0,2268.0,0.22,3791.0,105
CPT,57500,BIOPSY OF CERVIX SINGLE OR MUL,6719.0,5039.25,0.22,6047.1,105
CPT,57500,BPSY CERVIX/EXCISION OF LESION,5670.0,4252.5,0.22,5103.0,105
CPT,57505,BIOPSY ENDOCERVICAL CURRETTAGE,2772.0,2079.0,0.22,3791.0,105
CPT,57505,ECC - ENDOCERVICAL CURETTAGE,5913.0,4434.75,0.22,5321.7,105
CPT,57510,CAUTERIZATION OF CERVIX,,,0.22,5812.0,99
CPT,57511,CRYOCAUTERY OF CERVIX,,,0.22,1137.0,99
CPT,57513,LASER SURGERY OF CERVIX,,,0.22,5812.0,100
CPT,57520,CONIZATION OF CERVIX,,,0.22,5812.0,100
CPT,57522,CONIZATION OF CERVIX,,,0.22,5812.0,100
CPT,57530,REMOVAL OF CERVIX,,,0.22,7166.0,100
CPT,57531,REMOVAL OF CERVIX RADICAL,,,0.22,5483.0,99
CPT,57540,REMOVAL OF RESIDUAL CERVIX,,,0.22,5483.0,99
CPT,57545,REMOVE CERVIX/REPAIR PELVIS,,,0.22,5483.0,99
CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,0.22,7166.0,100
CPT,57555,REMOVE CERVIX/REPAIR VAGINA,,,0.22,7166.0,99
CPT,57556,REMOVE CERVIX REPAIR BOWEL,,,0.22,8165.0,100
CPT,57558,D&C OF CERVICAL STUMP,,,0.22,5812.0,100
CPT,575T,PRGRMG DEV EVAL ICDS SS IP,,,1.0,119.39,10
CPT,576T,INTERROG DEV EVAL ICDS SS IP,,,1.0,119.39,10
CPT,57700,REVISION OF CERVIX,,,0.22,5812.0,100
CPT,57720,REVISION OF CERVIX,,,0.22,5812.0,100
CPT,577T,EPHYS EVAL ICDS SS,,,1.0,3886.83,10
CPT,57800,DILATION OF CERVICAL CANAL,,,0.22,5812.0,99
CPT,579T,REM INTERROG DEV ICDS TECH,,,1.0,3.2,10
CPT,580,ANESTH HEART/LUNG TRANSPLNT,,,,,0
CPT,580T,RMVL SS IMPL DFB PG ONLY,,,0.22,16.13,96
CPT,58100,BIOPSY ENDOMETRIAL - AMB,832.0,624.0,0.22,1137.0,105
CPT,58100,BIOPSY OF UTERUS LINING,1470.0,1102.5,0.22,1323.0,105
CPT,58110,BIOPSY ENDOMETRIAL W/ COLPOSCO,802.0,601.5,0.22,1137.0,105
CPT,58120,DILATION AND CURETTAGE,,,0.22,5812.0,100
CPT,58140,MYOMECTOMY ABDOM METHOD,,,0.22,7166.0,99
CPT,58145,MYOMECTOMY VAG METHOD,,,0.22,7166.0,100
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,0.22,7166.0,99
CPT,58150,TOTAL HYSTERECTOMY,,,0.22,5483.0,99
CPT,58152,TOTAL HYSTERECTOMY,,,0.22,5483.0,99
CPT,58180,PARTIAL HYSTERECTOMY,,,0.22,5483.0,99
CPT,581T,ABLTJ MAL BRST TUM PERQ CRTX,11167.0,8375.25,0.22,10050.3,102
CPT,58200,EXTENSIVE HYSTERECTOMY,,,0.22,5483.0,99
CPT,58210,EXTENSIVE HYSTERECTOMY,,,0.22,5483.0,99
CPT,58240,REMOVAL OF PELVIS CONTENTS,,,0.22,5483.0,99
CPT,58260,VAGINAL HYSTERECTOMY,,,0.22,7166.0,99
CPT,58262,VAG HYST INCLUDING T/O,,,0.22,7166.0,99
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,0.22,7166.0,99
CPT,58267,VAG HYST W/URINARY REPAIR,,,0.22,7166.0,99
CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,0.22,7166.0,99
CPT,58275,HYSTERECTOMY/REVISE VAGINA,,,0.22,7166.0,99
CPT,58280,HYSTERECTOMY/REVISE VAGINA,,,0.22,7166.0,99
CPT,58285,EXTENSIVE HYSTERECTOMY,,,0.22,5483.0,99
CPT,58290,VAG HYST COMPLEX,,,0.22,8165.0,99
CPT,58291,VAG HYST INCL T/O COMPLEX,,,0.22,8165.0,99
CPT,58292,VAG HYST T/O & REPAIR COMPL,,,0.22,8165.0,99
CPT,58293,Vaginal Removal Of Uterus (Greater Than 250 Grams) With Repair For Stress Incontinence,,,7166.0,7166.0,1
CPT,58294,VAG HYST W/ENTEROCELE COMPL,,,0.22,8165.0,99
CPT,582T,TRURL ABLTJ MAL PRST8 TISS,,,0.22,16.13,96
CPT,58300,INSERTION OF IUD,3128.0,2346.0,0.22,4995.0,309
CPT,58301,REMOVAL OF IUD,423.0,317.25,0.22,1137.0,105
CPT,58321,ARTIFICIAL INSEMINATION,,,0.22,1137.0,99
CPT,58322,ARTIFICIAL INSEMINATION,,,0.22,1137.0,104
CPT,58323,SPERM WASHING,,,0.22,1137.0,99
CPT,58340,INJ&CATH HYSTER/SONOHYST,1271.0,953.25,0.22,1143.9,115
CPT,58345,REOPEN FALLOPIAN TUBE,,,0.22,5812.0,99
CPT,58346,INSERT HEYMAN UTERI CAPSULE,,,0.22,5812.0,100
CPT,58350,REOPEN FALLOPIAN TUBE,,,0.22,7166.0,100
CPT,58353,ENDOMETR ABLATE THERMAL,,,0.22,7166.0,100
CPT,58356,ENDOMETRIAL CRYOABLATION,,,0.22,8165.0,99
CPT,583T,TMPST AUTO TUBE DLVR SYS,,,0.22,16.13,96
CPT,58400,SUSPENSION OF UTERUS,,,0.22,5483.0,99
CPT,58410,SUSPENSION OF UTERUS,,,0.22,5483.0,99
CPT,584T,PERQ ISLET CELL TRANSPLANT,,,0.22,16.13,96
CPT,58520,REPAIR OF RUPTURED UTERUS,,,0.22,5483.0,99
CPT,58540,REVISION OF UTERUS,,,0.22,5483.0,99
CPT,58541,LSH UTERUS 250 G OR LESS,,,0.22,9407.0,99
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,0.22,9407.0,99
CPT,58543,LSH UTERUS ABOVE 250 G,,,0.22,9407.0,99
CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,0.22,9407.0,99
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,0.22,8165.0,100
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,0.22,9407.0,100
CPT,58548,LAP RADICAL HYST,,,0.22,8165.0,99
CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,0.22,9407.0,100
CPT,58552,LAPARO-VAG HYST INCL T/O,,,0.22,9407.0,99
CPT,58553,LAPARO-VAG HYST COMPLEX,,,0.22,9407.0,99
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,0.22,9407.0,99
CPT,58555,HYSTEROSCOPY DX SEP PROC,,,0.22,5812.0,100
CPT,58558,HYSTEROSCOPY BIOPSY,,,0.22,5812.0,100
CPT,58559,HYSTEROSCOPY LYSIS,,,0.22,5812.0,100
CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,0.22,7166.0,100
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,0.22,7166.0,100
CPT,58562,HYSTEROSCOPY REMOVE FB,,,0.22,5812.0,100
CPT,58563,HYSTEROSCOPY ABLATION,,,0.22,7166.0,100
CPT,58565,HYSTEROSCOPY STERILIZATION,,,0.22,8165.0,100
CPT,58570,TLH UTERUS 250 G OR LESS,,,0.22,9407.0,99
CPT,58571,TLH W/T/O 250 G OR LESS,,,0.22,9407.0,99
CPT,58572,TLH UTERUS OVER 250 G,,,0.22,9407.0,99
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,0.22,9407.0,99
CPT,58575,LAPS TOT HYST RESJ MAL,,,0.22,2673.51,98
CPT,58578,UNLISTED LAPS PX UTERUS,,,0.22,8165.0,97
CPT,58579,UNLISTED HYSTSC PX UTERUS,,,0.22,5812.0,97
CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,0.22,17822.3,103
CPT,585T,LAPS ISLET CELL TRANSPLANT,,,0.22,16.13,96
CPT,58600,DIVISION OF FALLOPIAN TUBE,,,0.22,7166.0,99
CPT,58605,DIVISION OF FALLOPIAN TUBE,,,0.22,5085.0,99
CPT,58611,LIGATE OVIDUCT(S) ADD-ON,,,0.22,5483.0,99
CPT,58615,OCCLUDE FALLOPIAN TUBE(S),,,0.22,5812.0,99
CPT,58660,LAPAROSCOPY LYSIS,,,0.22,9407.0,100
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,0.22,13807.56,105
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,0.22,13917.28,105
CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,0.22,9407.0,100
CPT,58671,LAPAROSCOPY TUBAL BLOCK,,,0.22,9407.0,100
CPT,58672,LAPAROSCOPY FIMBRIOPLASTY,,,0.22,9407.0,100
CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,0.22,9407.0,100
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,0.22,21125.71,103
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,0.22,8165.0,97
CPT,586T,OPEN ISLET CELL TRANSPLANT,,,0.22,16.13,96
CPT,58700,REMOVAL OF FALLOPIAN TUBE,,,0.22,7166.0,99
CPT,58720,REMOVAL OF OVARY/TUBE(S),,,0.22,8165.0,99
CPT,58740,ADHESIOLYSIS TUBE OVARY,,,0.22,5812.0,99
CPT,58750,REPAIR OVIDUCT,,,0.22,7166.0,99
CPT,58752,REVISE OVARIAN TUBE(S),,,0.22,7166.0,99
CPT,58760,FIMBRIOPLASTY,,,0.22,7166.0,99
CPT,58770,CREATE NEW TUBAL OPENING,,,0.22,7166.0,99
CPT,587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,0.22,16.13,96
CPT,58800,DRAINAGE OF OVARIAN CYST(S),,,0.22,5812.0,100
CPT,58805,DRAINAGE OF OVARIAN CYST(S),,,0.22,7166.0,99
CPT,58820,DRAIN OVARY ABSCESS OPEN,,,0.22,7166.0,100
CPT,58822,DRAIN OVARY ABSCESS PERCUT,,,0.22,7166.0,99
CPT,58825,TRANSPOSITION OVARY(S),,,0.22,7166.0,99
CPT,588T,REVISION/REMOVAL ISDNS PTN,,,0.22,16.13,96
CPT,58900,BIOPSY OF OVARY(S),,,0.22,5812.0,100
CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,0.22,7166.0,99
CPT,58925,REMOVAL OF OVARIAN CYST(S),,,0.22,7166.0,99
CPT,58940,REMOVAL OF OVARY(S),,,0.22,7166.0,99
CPT,58943,REMOVAL OF OVARY(S),,,0.22,7166.0,99
CPT,58950,RESECT OVARIAN MALIGNANCY,,,0.22,7166.0,99
CPT,58951,RESECT OVARIAN MALIGNANCY,,,0.22,5483.0,99
CPT,58952,RESECT OVARIAN MALIGNANCY,,,0.22,5483.0,99
CPT,58953,TAH RAD DISSECT FOR DEBULK,,,0.22,5483.0,99
CPT,58954,TAH RAD DEBULK/LYMPH REMOVE,,,0.22,5483.0,99
CPT,58956,BSO OMENTECTOMY W/TAH,,,0.22,5483.0,99
CPT,58957,RESECT RECURRENT GYN MAL,,,0.22,5483.0,2
CPT,58958,RESECT RECUR GYN MAL W/LYM,,,0.22,5483.0,99
CPT,58960,EXPLORATION OF ABDOMEN,,,0.22,9407.0,99
CPT,58970,RETRIEVAL OF OOCYTE,,,0.22,1137.0,99
CPT,58974,TRANSFER OF EMBRYO,,,0.22,1137.0,97
CPT,58976,TRANSFER OF EMBRYO,,,0.22,1137.0,99
CPT,58999,UNLISTED PX FML GENITAL SYS,,,0.22,1137.0,97
CPT,589T,ELEC ALYS SMPL PRGRMG IINS,,,1.0,293.88,10
CPT,58U,ONC MERKEL CLL CARC SRM QUAN,341.38,256.04,0.92,322.96,14
CPT,59000,AMNIOCENTESIS DIAG,2002.0,1501.5,0.22,2252.3,110
CPT,59001,AMNIOCENTESIS THERAPEUTIC,,,0.22,3791.0,99
CPT,59012,CORDOCENTESIS INTRAUTERINE,767.0,575.25,0.22,1137.0,105
CPT,59015,CHORIONIC VILLUS SAMPLING,5126.0,3844.5,0.22,4613.4,105
CPT,59020,FETAL CONTRACT STRESS TEST,,,0.22,1137.0,104
CPT,59025,FETAL NON-STRESS TEST,1447.5,1085.625,0.22,1406.7,220
CPT,59025,NON-STRESS TEST,1332.0,999.0,0.22,1198.8,110
CPT,59030,FETAL SCALP BLOOD SAMPLE,,,0.22,1137.0,99
CPT,59050,FETAL MONITOR W/REPORT,,,0.22,1137.0,99
CPT,59051,FETAL MONITOR/INTERPRET ONLY,,,0.22,5483.0,99
CPT,59070,TRNSABD AMNONINFUS W/US,2015.0,1511.25,0.22,1813.5,105
CPT,59072,UMBILICAL CORD OCCLUD W/US,,,0.22,1137.0,99
CPT,59074,FETAL FLUID DRAIN W/US,2015.0,1511.25,0.22,1813.5,105
CPT,59076,FETAL SHUNT PLACEMENT W/US,,,0.22,1137.0,99
CPT,590T,ELEC ALYS CPLX PRGRMG IINS,,,1.0,293.88,10
CPT,59100,REMOVE UTERUS LESION,,,0.22,7166.0,99
CPT,59120,TREAT ECTOPIC PREGNANCY,,,0.22,7166.0,99
CPT,59121,TREAT ECTOPIC PREGNANCY,,,0.22,7166.0,99
CPT,59130,TREAT ECTOPIC PREGNANCY,,,0.22,5483.0,99
CPT,59135,Removal Impregnated Ovum Outside The Uterus And Entire Uterus,,,5483.0,5483.0,1
CPT,59136,TREAT ECTOPIC PREGNANCY,,,0.22,5483.0,99
CPT,59140,TREAT ECTOPIC PREGNANCY,,,0.22,5483.0,99
CPT,59150,TREAT ECTOPIC PREGNANCY,,,0.22,9407.0,99
CPT,59151,TREAT ECTOPIC PREGNANCY,,,0.22,9407.0,99
CPT,59160,D & C AFTER DELIVERY,,,0.22,5812.0,100
CPT,59200,INSERT CERVICAL DILATOR,2095.0,1571.25,0.22,1885.5,110
CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,,,0.22,5812.0,99
CPT,59320,CERCLAGE CERVIX PREG VAGINAL,15856.0,11892.0,0.22,14270.4,111
CPT,59325,REVISION OF CERVIX,,,0.22,349.94,98
CPT,59350,REPAIR OF UTERUS,,,0.22,405.57,93
CPT,59400,OBSTETRICAL CARE,,,1.0,3440.78,92
CPT,59409,OBSTETRICAL CARE,,,0.22,5812.0,99
CPT,59410,OBSTETRICAL CARE,,,1.0,1556.75,92
CPT,59412,ANTEPARTUM MANIPULATION,,,0.22,5812.0,99
CPT,59414,DELIVER PLACENTA,,,0.22,5812.0,99
CPT,59425,ANTEPARTUM CARE ONLY,,,1.0,793.73,92
CPT,59426,ANTEPARTUM CARE ONLY,,,1.0,1455.96,92
CPT,59430,CARE AFTER DELIVERY,,,1.0,365.39,92
CPT,594T,OSTEOT HUM XTRNL LNGTH DEV,,,0.22,16.13,101
CPT,59510,CESAREAN DELIVERY,,,1.0,3857.58,92
CPT,59514,CESAREAN DELIVERY ONLY,,,0.22,1318.65,98
CPT,59515,CESAREAN DELIVERY,,,1.0,1946.06,97
CPT,59525,REMOVE UTERUS AFTER CESAREAN,,,0.22,700.68,93
CPT,59610,VBAC DELIVERY,,,1.0,3642.18,92
CPT,59612,VBAC DELIVERY ONLY,,,0.22,5812.0,99
CPT,59614,VBAC CARE AFTER DELIVERY,,,1.0,1705.73,92
CPT,59618,ATTEMPTED VBAC DELIVERY,,,1.0,3903.68,92
CPT,59620,ATTEMPTED VBAC DELIVERY ONLY,,,0.22,1368.8,93
CPT,59622,ATTEMPTED VBAC AFTER CARE,,,1.0,2012.91,92
CPT,596T,TEMP FML IU VLV-PMP 1ST INSJ,,,0.22,16.13,101
CPT,597T,TEMP FML IU VALVE-PMP RPLCMT,,,0.22,16.13,101
CPT,59812,TREATMENT OF MISCARRIAGE,,,0.22,5812.0,100
CPT,59820,CARE OF MISCARRIAGE,,,0.22,5812.0,100
CPT,59821,TREATMENT OF MISCARRIAGE,,,0.22,5812.0,100
CPT,59830,TREAT UTERUS INFECTION,,,0.22,5483.0,99
CPT,59840,ABORTION,,,0.22,5812.0,100
CPT,59841,ABORTION,,,0.22,5812.0,100
CPT,59850,ABORTION,,,0.22,5483.0,99
CPT,59851,ABORTION,,,0.22,5483.0,99
CPT,59852,ABORTION,,,0.22,5483.0,99
CPT,59855,ABORTION,,,0.22,5483.0,99
CPT,59856,ABORTION,,,0.22,5483.0,99
CPT,59857,ABORTION,,,0.22,5483.0,99
CPT,59866,ABORTION (MPR),,,0.22,1137.0,99
CPT,59870,EVACUATE MOLE OF UTERUS,,,0.22,5812.0,100
CPT,59871,REMOVE CERCLAGE SUTURE,,,0.22,5812.0,100
CPT,59897,CSEP ABLATION W/US,1097.0,822.75,0.22,1137.0,103
CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,0.22,8165.0,97
CPT,59899,UNLISTED PX MAT CARE&DLVR,,,0.22,1137.0,102
CPT,598T,NCNTC R-T FLUOR WND IMG 1ST,,,0.92,404.96,15
CPT,599T,NCNTC R-T FLUOR WND IMG EA,,,0.92,1.6,15
CPT,59U,ONC MERKEL CARC SRM AB DET,331.25,248.44,0.92,322.96,14
CPT,5U,ONCO PRST8 3 GENE UR ALG,,,1.0,760.0,14
CPT,60000,DRAIN THYROID/TONGUE CYST,,,0.22,3791.0,100
CPT,600T,IRE ABLT 1+TUM ORGAN PERQ,30135.0,22601.25,0.22,27121.5,102
CPT,60100,BIOPSY OF THYROID,,,0.22,3791.0,104
CPT,601T,IRE ABLT 1+TUMORS OPEN,29522.0,22141.5,0.22,26569.8,107
CPT,60200,REMOVE THYROID LESION,,,0.22,9407.0,100
CPT,60210,PARTIAL THYROID EXCISION,,,0.22,9407.0,99
CPT,60212,PARTIAL THYROID EXCISION,,,0.22,9407.0,99
CPT,60220,PARTIAL REMOVAL OF THYROID,,,0.22,9407.0,99
CPT,60225,PARTIAL REMOVAL OF THYROID,,,0.22,9407.0,99
CPT,60240,REMOVAL OF THYROID,,,0.22,9407.0,99
CPT,60252,REMOVAL OF THYROID,,,0.22,8165.0,99
CPT,60254,EXTENSIVE THYROID SURGERY,,,0.22,5812.0,99
CPT,60260,REPEAT THYROID SURGERY,,,0.22,8165.0,99
CPT,60270,REMOVAL OF THYROID,,,0.22,5085.0,99
CPT,60271,REMOVAL OF THYROID,,,0.22,8165.0,99
CPT,60280,REMOVE THYROID DUCT LESION,,,0.22,9407.0,100
CPT,60281,REMOVE THYROID DUCT LESION,,,0.22,9407.0,100
CPT,602T,TRANSDERMAL GFR MEASUREMENTS,,,0.5,201.33,15
CPT,60300,ASPIR/INJ THYROID CYST,,,0.22,3791.0,99
CPT,603T,TRANSDERMAL GFR MONITORING,,,0.5,508.04,15
CPT,604,ANESTH SITTING PROCEDURE,,,,,0
CPT,604T,REM OCT RTA DEV SETUP&EDUCAJ,,,0.92,185.49,20
CPT,60500,EXPLORE PARATHYROID GLANDS,,,0.22,8165.0,99
CPT,60502,RE-EXPLORE PARATHYROIDS,,,0.22,8165.0,99
CPT,60505,EXPLORE PARATHYROID GLANDS,,,0.22,5483.0,99
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,0.22,5812.0,99
CPT,60520,REMOVAL OF THYMUS GLAND,,,0.22,8165.0,99
CPT,60521,REMOVAL OF THYMUS GLAND,,,0.22,5483.0,99
CPT,60522,REMOVAL OF THYMUS GLAND,,,0.22,5483.0,99
CPT,60540,EXPLORE ADRENAL GLAND,,,0.22,5483.0,99
CPT,60545,EXPLORE ADRENAL GLAND,,,0.22,5483.0,99
CPT,605T,REM OCT RTA TECHL SPRT MIN 8,,,0.92,58.0,20
CPT,60600,REMOVE CAROTID BODY LESION,,,0.22,5483.0,99
CPT,60605,REMOVE CAROTID BODY LESION,,,0.22,5483.0,99
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,0.22,8165.0,99
CPT,60659,UNLISTED LAPS PX ENDOC SYS,,,0.22,8165.0,97
CPT,60660,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency",,,0.92,3179.3,102
CPT,60661,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure)",,,0.92,535.95,102
CPT,60699,CT ABLT ADRENAL MASS,17173.0,12879.75,0.22,15455.7,103
CPT,606T,REM OCT RTA PHYS/QHP EA 30D,,,0.5,28.96,5
CPT,607T,REM MNTR PULM FLU MNTR SETUP,,,1.0,3.2,10
CPT,608T,REM MNTR PULM FLU MNTR ALYS,,,1.0,3.2,10
CPT,609T,MRS DISC PAIN ACQUISJ DATA,,,0.92,368.21,15
CPT,60U,TWN ZYG GEN SEQ ALYS CHRMS2,,,0.92,759.05,14
CPT,61000,REMOVE CRANIAL CAVITY FLUID,,,0.22,3791.0,99
CPT,61001,REMOVE CRANIAL CAVITY FLUID,,,0.22,3791.0,99
CPT,61020,REMOVE BRAIN CAVITY FLUID,,,0.22,3791.0,99
CPT,61026,INJECTION INTO BRAIN CANAL,,,0.22,3791.0,99
CPT,61050,REMOVE BRAIN CANAL FLUID,,,0.22,3791.0,99
CPT,61055,INJECTION INTO BRAIN CANAL,,,0.22,3791.0,99
CPT,61070,PUNCT SHUNT TB/RESERV,3975.0,2981.25,0.22,3791.0,105
CPT,610T,MRS DISC PAIN TRANSMIS DATA,,,0.5,1.12,15
CPT,61105,TWIST DRILL HOLE,,,0.22,5483.0,99
CPT,61107,DRILL HOLE IMPLT VENT PRES/DVC,12940.0,9705.0,0.22,11646.0,112
CPT,61108,DRILL SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61120,BURR HOLE FOR PUNCTURE,,,0.22,5483.0,99
CPT,61140,PIERCE SKULL FOR BIOPSY,,,0.22,5483.0,99
CPT,61150,PIERCE SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61151,PIERCE SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61154,PIERCE SKULL & REMOVE CLOT,,,0.22,5483.0,99
CPT,61156,PIERCE SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,611T,MRS DISC PAIN ALG ALYS DATA,,,0.92,368.21,15
CPT,61210,PIERCE SKULL IMPLANT DEVICE,,,0.22,5483.0,99
CPT,61215,INSERT BRAIN-FLUID DEVICE,,,0.22,8165.0,100
CPT,61250,PIERCE SKULL & EXPLORE,,,0.22,5483.0,99
CPT,61253,PIERCE SKULL & EXPLORE,,,0.22,5483.0,99
CPT,612T,MRS DISCOGENIC PAIN I&R,,,0.5,28.26,15
CPT,61304,OPEN SKULL FOR EXPLORATION,,,0.22,5483.0,99
CPT,61305,OPEN SKULL FOR EXPLORATION,,,0.22,5483.0,99
CPT,61312,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61313,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61314,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61315,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61316,IMPLT CRAN BONE FLAP TO ABDO,,,0.22,5483.0,99
CPT,61320,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61321,OPEN SKULL FOR DRAINAGE,,,0.22,5483.0,99
CPT,61322,DECOMPRESSIVE CRANIOTOMY,,,0.22,5483.0,99
CPT,61323,DECOMPRESSIVE LOBECTOMY,,,0.22,5483.0,99
CPT,61330,DECOMPRESS EYE SOCKET,,,0.22,8165.0,99
CPT,61333,EXPLORE ORBIT/REMOVE LESION,,,0.22,5483.0,99
CPT,61340,SUBTEMPORAL DECOMPRESSION,,,0.22,5483.0,99
CPT,61343,INCISE SKULL (PRESS RELIEF),,,0.22,5483.0,99
CPT,61345,RELIEVE CRANIAL PRESSURE,,,0.22,5483.0,99
CPT,613T,PERQ TCAT INTRATRL SEPTL SHT,,,0.22,16.13,96
CPT,61450,INCISE SKULL FOR SURGERY,,,0.22,5483.0,99
CPT,61458,INCISE SKULL FOR BRAIN WOUND,,,0.22,5483.0,99
CPT,61460,INCISE SKULL FOR SURGERY,,,0.22,5483.0,99
CPT,614T,RMVL&RPLCMT SS IMPL DFB PG,,,0.22,84596.44,101
CPT,61500,REMOVAL OF SKULL LESION,,,0.22,9407.0,99
CPT,61501,REMOVE INFECTED SKULL BONE,,,0.22,5483.0,99
CPT,61510,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61512,REMOVE BRAIN LINING LESION,,,0.22,5483.0,99
CPT,61514,REMOVAL OF BRAIN ABSCESS,,,0.22,5483.0,99
CPT,61516,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61517,IMPLT BRAIN CHEMOTX ADD-ON,,,0.22,5483.0,99
CPT,61518,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61519,REMOVE BRAIN LINING LESION,,,0.22,5483.0,99
CPT,61520,REMOVAL OF BRAIN LESION,,,0.22,5505.68,99
CPT,61521,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61522,REMOVAL OF BRAIN ABSCESS,,,0.22,5483.0,99
CPT,61524,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61526,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61530,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61531,IMPLANT BRAIN ELECTRODES,,,0.22,5085.0,99
CPT,61533,IMPLANT BRAIN ELECTRODES,,,0.22,5483.0,99
CPT,61534,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61535,REMOVE BRAIN ELECTRODES,,,0.22,5483.0,99
CPT,61536,REMOVAL OF BRAIN LESION,,,0.22,5483.0,99
CPT,61537,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61538,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61539,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61540,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61541,INCISION OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61543,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61544,REMOVE & TREAT BRAIN LESION,,,0.22,5483.0,99
CPT,61545,EXCISION OF BRAIN TUMOR,,,0.22,5483.0,99
CPT,61546,REMOVAL OF PITUITARY GLAND,,,0.22,5483.0,99
CPT,61548,REMOVAL OF PITUITARY GLAND,,,0.22,5483.0,99
CPT,61550,RELEASE OF SKULL SEAMS,,,0.22,5483.0,99
CPT,61552,RELEASE OF SKULL SEAMS,,,0.22,5483.0,99
CPT,61556,INCISE SKULL/SUTURES,,,0.22,5483.0,99
CPT,61557,INCISE SKULL/SUTURES,,,0.22,5483.0,99
CPT,61558,EXCISION OF SKULL/SUTURES,,,0.22,5483.0,99
CPT,61559,EXCISION OF SKULL/SUTURES,,,0.22,5483.0,99
CPT,61563,EXCISION OF SKULL TUMOR,,,0.22,5483.0,99
CPT,61564,EXCISION OF SKULL TUMOR,,,0.22,5483.0,99
CPT,61566,REMOVAL OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61567,INCISION OF BRAIN TISSUE,,,0.22,5483.0,99
CPT,61570,REMOVE FOREIGN BODY BRAIN,,,0.22,5483.0,99
CPT,61571,INCISE SKULL FOR BRAIN WOUND,,,0.22,5483.0,99
CPT,61575,SKULL BASE/BRAINSTEM SURGERY,,,0.22,5483.0,99
CPT,61576,SKULL BASE/BRAINSTEM SURGERY,,,0.22,6170.48,99
CPT,61580,CRANIOFACIAL APPROACH SKULL,,,0.22,5483.0,99
CPT,61581,CRANIOFACIAL APPROACH SKULL,,,0.22,5483.0,99
CPT,61582,CRANIOFACIAL APPROACH SKULL,,,0.22,5483.0,99
CPT,61583,CRANIOFACIAL APPROACH SKULL,,,0.22,5483.0,99
CPT,61584,ORBITOCRANIAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61585,ORBITOCRANIAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61586,RESECT NASOPHARYNX SKULL,,,0.22,5483.0,99
CPT,61590,INFRATEMPORAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61591,INFRATEMPORAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61592,ORBITOCRANIAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61595,TRANSTEMPORAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,61596,TRANSCOCHLEAR APPROACH/SKULL,,,0.22,5483.0,99
CPT,61597,TRANSCONDYLAR APPROACH/SKULL,,,0.22,5483.0,99
CPT,61598,TRANSPETROSAL APPROACH/SKULL,,,0.22,5483.0,99
CPT,615T,EYE MVMT ALYS W/O CALBRJ I&R,,,1.0,3.2,10
CPT,61600,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61601,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61605,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61606,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61607,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61608,RESECT/EXCISE CRANIAL LESION,,,0.22,5483.0,99
CPT,61611,TRANSECT ARTERY SINUS,,,0.22,5483.0,99
CPT,61613,REMOVE ANEURYSM SINUS,,,0.22,5483.0,99
CPT,61615,RESECT/EXCISE LESION SKULL,,,0.22,5483.0,99
CPT,61616,RESECT/EXCISE LESION SKULL,,,0.22,5483.0,99
CPT,61618,REPAIR DURA,,,0.22,5483.0,99
CPT,61619,REPAIR DURA,,,0.22,5483.0,99
CPT,61623,ENDOVASC TEMPORY VESSEL OCCL,,,0.22,11318.0,99
CPT,61624,OCCLSN/EMBL CATH CNS,20049.0,15036.75,0.22,18044.1,112
CPT,61626,TRANSCATH OCCLUSION NON-CNS,,,0.22,11318.0,99
CPT,61630,INTRACRANIAL ANGIOPLASTY,,,0.22,5483.0,99
CPT,61635,INTRACRAN ANGIOPLSTY W/STENT,,,0.22,5483.0,99
CPT,61640,DILATE IC VASOSPASM INIT,,,0.22,5483.0,97
CPT,61641,DILAT IC VSPSM EA VSL SM TER,,,0.22,5483.0,97
CPT,61642,DILAT IC VSPSM EA DIFF TER,,,0.22,5483.0,97
CPT,61645,PERQ ART M-THROMBECT &/NFS,,,0.22,2865.89,103
CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,,,0.22,1959.69,103
CPT,61651,EVASC PRLNG ADMN RX AGNT ADD,,,0.22,833.2,103
CPT,61680,INTRACRANIAL VESSEL SURGERY,,,0.22,5483.0,99
CPT,61682,INTRACRANIAL VESSEL SURGERY,,,0.22,6199.19,99
CPT,61684,INTRACRANIAL VESSEL SURGERY,,,0.22,5483.0,99
CPT,61686,INTRACRANIAL VESSEL SURGERY,,,0.22,6725.41,99
CPT,61690,INTRACRANIAL VESSEL SURGERY,,,0.22,5483.0,99
CPT,61692,INTRACRANIAL VESSEL SURGERY,,,0.22,5483.0,99
CPT,61697,BRAIN ANEURYSM REPR COMPLX,,,0.22,6311.26,99
CPT,61698,BRAIN ANEURYSM REPR COMPLX,,,0.22,6925.45,99
CPT,616T,INSERTION OF IRIS PROSTHESIS,,,0.22,0.22,1
CPT,61700,BRAIN ANEURYSM REPR SIMPLE,,,0.22,5483.0,99
CPT,61702,INNER SKULL VESSEL SURGERY,,,0.22,6018.97,99
CPT,61703,CLAMP NECK ARTERY,,,0.22,5483.0,99
CPT,61705,REVISE CIRCULATION TO HEAD,,,0.22,5483.0,99
CPT,61708,REVISE CIRCULATION TO HEAD,,,0.22,5483.0,99
CPT,61710,REVISE CIRCULATION TO HEAD,,,0.22,5483.0,99
CPT,61711,FUSION OF SKULL ARTERIES,,,0.22,5483.0,99
CPT,61715,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed",,,0.92,1802.5,102
CPT,61720,INCISE SKULL/BRAIN SURGERY,,,0.22,7166.0,99
CPT,61735,INCISE SKULL/BRAIN SURGERY,,,0.22,5483.0,99
CPT,61736,LITT ICR 1 TRAJ 1 SMPL LES,,,0.22,1838.0,98
CPT,61737,LITT ICR MLT TRJ MLT/CPLX LS,,,0.22,2183.7,98
CPT,61750,INCISE SKULL/BRAIN BIOPSY,,,0.22,5483.0,99
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,,,0.22,5483.0,99
CPT,61760,IMPLANT BRAIN ELECTRODES,,,0.22,5085.0,99
CPT,61770,INCISE SKULL FOR TREATMENT,,,0.22,7166.0,99
CPT,61781,SCAN PROC CRANIAL INTRA,,,0.22,1137.0,99
CPT,61782,SCAN PROC CRANIAL EXTRA,,,0.22,1137.0,99
CPT,61783,SCAN PROC SPINAL,,,0.22,1137.0,99
CPT,61790,TREAT TRIGEMINAL NERVE,,,0.22,5812.0,100
CPT,61791,TREAT TRIGEMINAL TRACT,,,0.22,5085.0,99
CPT,61796,SRS CRANIAL LESION SIMPLE,,,0.22,9407.0,99
CPT,61797,SRS CRAN LES SIMPLE ADDL,,,0.22,5085.0,99
CPT,61798,SRS CRANIAL LESION COMPLEX,,,0.22,9407.0,99
CPT,61799,SRS CRAN LES COMPLEX ADDL,,,0.22,5085.0,99
CPT,617T,INSJ IRIS PROSTH W/RMVL&INSJ,,,0.22,0.22,1
CPT,61800,APPLY SRS HEADFRAME ADD-ON,,,0.22,1137.0,99
CPT,61850,IMPLANT NEUROELECTRODES,,,0.22,5483.0,99
CPT,61860,IMPLANT NEUROELECTRODES,,,0.22,5483.0,99
CPT,61863,IMPLANT NEUROELECTRODE,,,0.22,5483.0,99
CPT,61864,IMPLANT NEUROELECTRDE ADDL,,,0.22,5483.0,99
CPT,61867,IMPLANT NEUROELECTRODE,,,0.22,5483.0,99
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,0.22,5483.0,99
CPT,61870,Implantation Of Brain Neurostimulator Electrodes,,,5483.0,5483.0,1
CPT,61880,REVISE/REMOVE NEUROELECTRODE,,,0.22,5812.0,99
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,0.22,15229.0,100
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,0.22,19037.0,100
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,0.22,7166.0,100
CPT,61889,INS SK-MNT CRNL NSTM PG/RCVR,,,0.22,1710.81,98
CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,0.22,809.39,98
CPT,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,0.22,1117.98,98
CPT,618T,INSJ IRIS PROSTH SEC IO LENS,,,0.22,0.22,1
CPT,619T,CYSTO W/PRST8 COMMISSUROTOMY,,,0.22,16.13,101
CPT,61U,TC MEAS 5 BMRK SFDI M-S ALYS,,,0.92,25.1,14
CPT,62000,TREAT SKULL FRACTURE,,,0.22,5812.0,99
CPT,62005,TREAT SKULL FRACTURE,,,0.22,5483.0,99
CPT,62010,TREATMENT OF HEAD INJURY,,,0.22,5483.0,99
CPT,620T,EVASC VEN ARTLZ TIBL/PRNL VN,,,0.22,16.13,101
CPT,62100,REPAIR BRAIN FLUID LEAKAGE,,,0.22,5483.0,99
CPT,62115,REDUCTION OF SKULL DEFECT,,,0.22,5483.0,99
CPT,62117,REDUCTION OF SKULL DEFECT,,,0.22,5483.0,99
CPT,62120,REPAIR SKULL CAVITY LESION,,,0.22,5483.0,99
CPT,62121,INCISE SKULL REPAIR,,,0.22,5483.0,99
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,0.22,5483.0,99
CPT,62141,CRNOP SKULL DEFECT>5 CM DIAM,,,0.22,5483.0,99
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,0.22,5483.0,99
CPT,62143,RPL B1 FLP/PROSTC PLATE SKL,,,0.22,5483.0,99
CPT,62145,REPAIR OF SKULL & BRAIN,,,0.22,5483.0,99
CPT,62146,CRNOP W/AUTOGRAFT<5 CM DIAM,,,0.22,5483.0,99
CPT,62147,CRNOP W/AUTOGRAFT>5 CM DIAM,,,0.22,5483.0,99
CPT,62148,RETR BONE FLAP TO FIX SKULL,,,0.22,5483.0,99
CPT,62160,NEUROENDOSCOPY ADD-ON,,,0.22,1137.0,99
CPT,62161,DISSECT BRAIN W/SCOPE,,,0.22,5483.0,99
CPT,62162,REMOVE COLLOID CYST W/SCOPE,,,0.22,5483.0,99
CPT,62163,Removal Of Foreign Material In Brain Using An Endoscope,,,5483.0,5483.0,1
CPT,62164,REMOVE BRAIN TUMOR W/SCOPE,,,0.22,5483.0,99
CPT,62165,REMOVE PITUIT TUMOR W/SCOPE,,,0.22,5483.0,99
CPT,62180,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62190,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62192,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62194,REPLACE/IRRIGATE CATHETER,,,0.22,3791.0,100
CPT,621T,TRABECULOSTOMY INTERNO LASER,,,0.22,16.13,101
CPT,62200,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62201,BRAIN CAVITY SHUNT W/SCOPE,,,0.22,5483.0,99
CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62223,ESTABLISH BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62225,REPLACE/IRRIGATE CATHETER,,,0.22,5085.0,100
CPT,62230,REPLACE/REVISE BRAIN SHUNT,,,0.22,8165.0,100
CPT,62252,CSF SHUNT REPROGRAM,,,0.22,1137.0,99
CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,0.22,5085.0,99
CPT,62258,REPLACE BRAIN CAVITY SHUNT,,,0.22,5483.0,99
CPT,62263,EPIDURAL LYSIS MULT SESSIONS,,,0.22,5085.0,100
CPT,62264,EPIDURAL LYSIS ON SINGLE DAY,,,0.22,5085.0,100
CPT,62267,INTERDISCAL PERQ ASPIR DX,,,0.22,3791.0,99
CPT,62268,DRAIN SPINAL CORD CYST,,,0.22,3791.0,99
CPT,62269,NEEDLE BIOPSY SPINAL CORD,,,0.22,5085.0,100
CPT,62270,LUMBAR PUNCTURE,2631.0,1973.25,0.22,3791.0,110
CPT,62270,SPINAL PUNCTR LUMB DIAG,2257.5,1693.125,0.22,3791.0,220
CPT,62272,THER SPI PNXR DRG CSF,,,0.22,3791.0,99
CPT,62273,INJ EPID BLD PATCH,1901.0,1425.75,0.22,3791.0,111
CPT,62280,TREAT SPINAL CORD LESION,,,0.22,3791.0,100
CPT,62281,TREAT SPINAL CORD LESION,,,0.22,5085.0,100
CPT,62282,TREAT SPINAL CANAL LESION,,,0.22,5085.0,100
CPT,62284,INJ MYELOGRAM LUMBAR,3885.0,2913.75,0.22,3496.5,110
CPT,62287,DCMPRN PX PERQ 1/MLT LUMBAR,,,0.22,7166.0,100
CPT,62290,NJX PX DISCOGRAPHY LUMBAR,,,0.22,1137.0,99
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,,,0.22,1137.0,99
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,,,0.22,3791.0,99
CPT,62294,INJECTION INTO SPINAL ARTERY,,,0.22,3791.0,99
CPT,622T,TRABECULOSTOMY INT LSR W/SCP,,,0.22,16.13,101
CPT,62302,MYELOGRAPHY LUMBAR INJECTION,,,0.22,784.43,103
CPT,62303,MYELOGRAPHY LUMBAR INJECTION,,,0.22,418.38,103
CPT,62304,MYELOGRAPHY LUMBAR INJECTION,,,0.22,802.65,103
CPT,62305,MYELOGRAPHY LUMBAR INJECTION,,,0.22,986.71,103
CPT,62320,NJX INTERLAMINAR CRV/THRC,,,0.22,1421.65,108
CPT,62321,NJX INTERLAMINAR CRV/THRC,,,0.22,1820.1,108
CPT,62322,NJX INTERLAMINAR LMBR/SAC,,,0.22,1421.65,108
CPT,62323,NJX INTERLAMINAR LMBR/SAC,,,0.22,1686.94,108
CPT,62324,NJX INTERLAMINAR CRV/THRC,,,0.22,1790.93,108
CPT,62325,NJX INTERLAMINAR CRV/THRC,,,0.22,1790.93,108
CPT,62326,NJX INTERLAMINAR LMBR/SAC,,,0.22,1790.93,108
CPT,62327,NJX INTERLAMINAR LMBR/SAC,,,0.22,1790.93,108
CPT,62328,DX LUMB PCT DX W FL/CT,5398.0,4048.5,0.22,4858.2,114
CPT,62329,SPINE DRN CSF W FL/CT,5398.0,4048.5,0.22,4858.2,114
CPT,62350,IMPLANT SPINAL CANAL CATH,,,0.22,11184.56,105
CPT,62351,IMPLANT SPINAL CANAL CATH,,,0.22,9407.0,99
CPT,62355,REMOVE SPINAL CANAL CATHETER,,,0.22,5085.0,100
CPT,62360,INSERT SPINE INFUSION DEVICE,,,0.22,8165.0,100
CPT,62361,IMPLANT SPINE INFUSION PUMP,,,0.22,15229.0,100
CPT,62362,IMPLANT SPINE INFUSION PUMP,,,0.22,15229.0,100
CPT,62365,REMOVE SPINE INFUSION DEVICE,,,0.22,7166.0,100
CPT,62367,ANALYZE SPINE INFUS PUMP,,,0.22,1137.0,104
CPT,62368,ANALYZE SP INF PUMP W/REPROG,,,0.22,1137.0,104
CPT,62369,ANAL SP INF PMP W/REPRG&FILL,,,0.22,1137.0,99
CPT,62370,ANL SP INF PMP W/MDREPRG&FIL,,,0.22,1137.0,99
CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,0.22,16.13,96
CPT,623T,AUTO QUANTIFICATION C PLAQUE,,,1.0,3.2,10
CPT,624T,AUTO QUAN C PLAQ DATA PREP,,,1.0,3.2,10
CPT,625T,AUTO QUAN C PLAQ CPTR ALYS,,,1.0,3.2,10
CPT,626T,AUTO QUAN C PLAQ I&R,,,1.0,3.2,10
CPT,627T,PERQ NJX ALGC FLUOR LMBR 1ST,,,0.22,16.13,106
CPT,628T,PERQ NJX ALGC FLUOR LMBR EA,,,0.22,16.13,106
CPT,629T,PERQ NJX ALGC CT LMBR 1ST,,,0.22,16.13,106
CPT,62U,AI SLE IGG&IGM ALYS 80 BMRK,,,0.92,380.72,14
CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,0.22,9407.0,99
CPT,63003,REMOVE SPINE LAMINA 1/2 THRC,,,0.22,9407.0,99
CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,0.22,9407.0,99
CPT,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,0.22,9407.0,99
CPT,63012,REMOVE LAMINA/FACETS LUMBAR,,,0.22,9407.0,99
CPT,63015,REMOVE SPINE LAMINA >2 CRVCL,,,0.22,9407.0,99
CPT,63016,REMOVE SPINE LAMINA >2 THRC,,,0.22,9407.0,99
CPT,63017,REMOVE SPINE LAMINA >2 LMBR,,,0.22,9407.0,99
CPT,63020,NECK SPINE DISK SURGERY,,,0.22,9407.0,99
CPT,63030,LOW BACK DISK SURGERY,,,0.22,9407.0,99
CPT,63035,SPINAL DISK SURGERY ADD-ON,,,0.22,9407.0,99
CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,0.22,9407.0,99
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,0.22,9407.0,99
CPT,63043,LAMINOTOMY ADDL CERVICAL,,,0.22,7166.0,97
CPT,63044,LAMINOTOMY ADDL LUMBAR,,,0.22,7166.0,97
CPT,63045,LAM FACETEC & FORAMOT CRV,,,0.22,9407.0,99
CPT,63046,LAM FACETEC & FORAMOT THRC,,,0.22,9407.0,99
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,0.22,9407.0,99
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,0.22,9407.0,99
CPT,63050,CERVICAL LAMINOPLSTY 2/> SEG,,,0.22,5483.0,99
CPT,63051,C-LAMINOPLASTY W/GRAFT/PLATE,,,0.22,5483.0,99
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,0.22,376.72,98
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,0.22,332.54,98
CPT,63055,DECOMPRESS SPINAL CORD THRC,,,0.22,9407.0,99
CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,0.22,9407.0,99
CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,0.22,9407.0,99
CPT,63064,DECOMPRESS SPINAL CORD THRC,,,0.22,9407.0,99
CPT,63066,DECOMPRESS SPINE CORD ADD-ON,,,0.22,9407.0,99
CPT,63075,NECK SPINE DISK SURGERY,,,0.22,9407.0,99
CPT,63076,NECK SPINE DISK SURGERY,,,0.22,9407.0,99
CPT,63077,SPINE DISK SURGERY THORAX,,,0.22,5483.0,99
CPT,63078,SPINE DISK SURGERY THORAX,,,0.22,5483.0,99
CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,0.22,5483.0,99
CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,0.22,5483.0,99
CPT,63086,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,63087,REMOV VERTBR DCMPRN THRCLMBR,,,0.22,5483.0,99
CPT,63088,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,63090,REMOVE VERT BODY DCMPRN LMBR,,,0.22,5483.0,99
CPT,63091,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,630T,PERQ NJX ALGC CT LMBR EA,,,0.22,16.13,106
CPT,63101,REMOVE VERT BODY DCMPRN THRC,,,0.22,5483.0,99
CPT,63102,REMOVE VERT BODY DCMPRN LMBR,,,0.22,5483.0,99
CPT,63103,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,63170,INCISE SPINAL CORD TRACT(S),,,0.22,5483.0,99
CPT,63172,DRAINAGE OF SPINAL CYST,,,0.22,5483.0,99
CPT,63173,DRAINAGE OF SPINAL CYST,,,0.22,5483.0,99
CPT,63180,"Removal Of Upper Spine Bone With Removal Of Ligaments, 1 Or 2 Segments",,,5483.0,5483.0,1
CPT,63182,"Removal Of Upper Spine Bone With Removal Of Ligaments, More Than 2 Segments",,,5483.0,5483.0,1
CPT,63185,INCISE SPINE NRV HALF SEGMNT,,,0.22,11318.0,99
CPT,63190,INCISE SPINE NRV >2 SEGMNTS,,,0.22,11318.0,99
CPT,63191,INCISE SPINE ACCESSORY NERVE,,,0.22,11318.0,99
CPT,63194,Removal Of Spine Bone With Incision Of One Upper Spinal Cord Tract,,,5483.0,5483.0,1
CPT,63195,Removal Of Spine Bone With Incision Of One Middle Spinal Cord Tract,,,5483.0,5483.0,1
CPT,63196,Removal Of Spine Bone With Incision Of Both Upper Spinal Cord Tracts,,,5483.0,5483.0,1
CPT,63197,LAM W/CORDOTOMY 1STG THRC,,,0.22,5483.0,99
CPT,63198,"Removal Of Spine Bone With Incision Of Upper Spinal Cord, 2 Stages Within 14 Days",,,5483.0,5483.0,1
CPT,63199,"Removal Of Spine Bone With Incision Of Middle Spinal Cord, 2 Stages Within 14 Days",,,5483.0,5483.0,1
CPT,631T,TC VIS LIT HYPERSPECTRAL IMG,,,0.92,3.2,15
CPT,632,ANESTH REMOVAL OF NERVES,,,,,0
CPT,63200,RELEASE SPINAL CORD LUMBAR,,,0.22,11318.0,99
CPT,63250,REVISE SPINAL CORD VSLS CRVL,,,0.22,5483.0,99
CPT,63251,REVISE SPINAL CORD VSLS THRC,,,0.22,5483.0,99
CPT,63252,REVISE SPINE CORD VSL THRLMB,,,0.22,11318.0,99
CPT,63265,EXCISE INTRASPINL LESION CRV,,,0.22,5483.0,99
CPT,63266,EXCISE INTRSPINL LESION THRC,,,0.22,5483.0,99
CPT,63267,EXCISE INTRSPINL LESION LMBR,,,0.22,5812.0,99
CPT,63268,EXCISE INTRSPINL LESION SCRL,,,0.22,5483.0,99
CPT,63270,EXCISE INTRSPINL LESION CRVL,,,0.22,5483.0,99
CPT,63271,EXCISE INTRSPINL LESION THRC,,,0.22,5483.0,99
CPT,63272,EXCISE INTRSPINL LESION LMBR,,,0.22,11318.0,99
CPT,63273,EXCISE INTRSPINL LESION SCRL,,,0.22,5483.0,99
CPT,63275,BX/EXC XDRL SPINE LESN CRVL,,,0.22,5483.0,99
CPT,63276,BX/EXC XDRL SPINE LESN THRC,,,0.22,5483.0,99
CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,0.22,11318.0,99
CPT,63278,BX/EXC XDRL SPINE LESN SCRL,,,0.22,5483.0,99
CPT,63280,BX/EXC IDRL SPINE LESN CRVL,,,0.22,5483.0,99
CPT,63281,BX/EXC IDRL SPINE LESN THRC,,,0.22,5483.0,99
CPT,63282,BX/EXC IDRL SPINE LESN LMBR,,,0.22,11318.0,99
CPT,63283,BX/EXC IDRL SPINE LESN SCRL,,,0.22,5483.0,99
CPT,63285,BX/EXC IDRL IMED LESN CERVL,,,0.22,5483.0,99
CPT,63286,BX/EXC IDRL IMED LESN THRC,,,0.22,5483.0,99
CPT,63287,BX/EXC IDRL IMED LESN THRLMB,,,0.22,11318.0,99
CPT,63290,BX/EXC XDRL/IDRL LSN ANY LVL,,,0.22,11318.0,99
CPT,63295,REPAIR LAMINECTOMY DEFECT,,,0.22,5483.0,99
CPT,632T,PERQ TCAT US ABLTJ NRV P-ART,,,0.22,16.13,106
CPT,63300,REMOVE VERT XDRL BODY CRVCL,,,0.22,5483.0,99
CPT,63301,REMOVE VERT XDRL BODY THRC,,,0.22,5483.0,99
CPT,63302,REMOVE VERT XDRL BODY THRLMB,,,0.22,5483.0,99
CPT,63303,REMOV VERT XDRL BDY LMBR/SAC,,,0.22,5483.0,99
CPT,63304,REMOVE VERT IDRL BODY CRVCL,,,0.22,5483.0,99
CPT,63305,REMOVE VERT IDRL BODY THRC,,,0.22,5483.0,99
CPT,63306,REMOV VERT IDRL BDY THRCLMBR,,,0.22,5483.0,99
CPT,63307,REMOV VERT IDRL BDY LMBR/SAC,,,0.22,5483.0,99
CPT,63308,REMOVE VERTEBRAL BODY ADD-ON,,,0.22,5483.0,99
CPT,633T,CT BREAST W/3D UNI C-,,,0.92,174.35,15
CPT,634T,CT BREAST W/3D UNI C+,,,0.92,285.68,15
CPT,635T,CT BREAST W/3D UNI C-/C+,,,0.92,285.68,15
CPT,63600,REMOVE SPINAL CORD LESION,,,0.22,5812.0,100
CPT,63610,STIMULATION OF SPINAL CORD,,,0.22,5812.0,100
CPT,63620,SRS SPINAL LESION,,,0.22,9407.0,99
CPT,63621,SRS SPINAL LESION ADDL,,,0.22,5085.0,99
CPT,63650,IMPLANT NEUROELECTRODES,,,0.22,9407.0,100
CPT,63655,IMPLANT NEUROELECTRODES,,,0.22,9407.0,99
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,,,0.22,5812.0,99
CPT,63662,REMOVE SPINE ELTRD PLATE,,,0.22,5812.0,99
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,,,0.22,9407.0,99
CPT,63664,REVISE SPINE ELTRD PLATE,,,0.22,9407.0,99
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,0.22,15229.0,100
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,0.22,7166.0,100
CPT,636T,CT BREAST W/3D BI C-,,,0.92,368.21,15
CPT,63700,REPAIR OF SPINAL HERNIATION,,,0.22,5483.0,99
CPT,63702,REPAIR OF SPINAL HERNIATION,,,0.22,5483.0,99
CPT,63704,REPAIR OF SPINAL HERNIATION,,,0.22,5483.0,99
CPT,63706,REPAIR OF SPINAL HERNIATION,,,0.22,5483.0,99
CPT,63707,REPAIR SPINAL FLUID LEAKAGE,,,0.22,5483.0,99
CPT,63709,REPAIR SPINAL FLUID LEAKAGE,,,0.22,5483.0,99
CPT,63710,GRAFT REPAIR OF SPINE DEFECT,,,0.22,5483.0,99
CPT,63740,INSTALL SPINAL SHUNT,,,0.22,5483.0,99
CPT,63741,INSTALL SPINAL SHUNT,,,0.22,8165.0,99
CPT,63744,REVISION OF SPINAL SHUNT,,,0.22,8165.0,100
CPT,63746,REMOVAL OF SPINAL SHUNT,,,0.22,5085.0,100
CPT,637T,CT BREAST W/3D BI C+,,,0.92,588.99,15
CPT,638T,CT BREAST W/3D BI C-/C+,,,0.92,588.99,15
CPT,639T,WRLS SKN SNR ANISOTROPY MEAS,,,0.22,84.09,101
CPT,63U,NEURO AUTISM 32 AMINES ALG,,,0.92,750.0,14
CPT,640T,NCNTC IFR SPCTRSC O/T PAD 1,,,0.92,1.12,10
CPT,643T,TCAT L VENTR RSTRJ DEV IMPLT,,,0.22,16.13,96
CPT,64400,NJX AA&/STRD TRIGEMINAL NRV,,,0.22,1137.0,99
CPT,64405,NJX AA&/STRD GR OCPL NRV,1753.0,1314.75,0.22,3791.0,105
CPT,64408,NJX AA&/STRD VAGUS NRV,,,0.22,1137.0,99
CPT,64415,NJX AA&/STRD BRCH PLXS IMG,,,0.22,3791.0,104
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,,,0.22,3791.0,99
CPT,64417,NJX AA&/STRD AX NERVE IMG,,,0.22,3791.0,99
CPT,64418,NJX AA&/STRD SPRSCAP NRV,,,0.22,3791.0,99
CPT,64420,NJX AA&/STRD NTRCOST NRV 1,,,0.22,3791.0,99
CPT,64421,NJX AA&/STRD NTRCOST NRV EA,,,0.22,3791.0,100
CPT,64425,INJ NERVE BLOCK ILIO-ING/HYPOG,3622.0,2716.5,0.22,3791.0,105
CPT,64430,NJX AA&/STRD PUDENDAL NERVE,5458.0,4093.5,0.22,4912.2,105
CPT,64435,NJX AA&/STRD PARACRV NRV,,,0.22,3791.0,99
CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,,,0.22,3791.0,99
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,,,0.22,3791.0,99
CPT,64447,INJ AG/STER FEM NRV W/WO IMG,7705.0,5778.75,0.22,6934.5,110
CPT,64448,NJX AA&/STRD FEM NRV NFS IMG,,,0.22,3791.0,99
CPT,64449,NJX AA&/STRD LMBR PLEX NFS,,,0.22,3791.0,99
CPT,64450,INJ NERVE BLOCK OTHR PERIPHERL,2039.0,1529.25,0.22,3791.0,110
CPT,64450,NJX AA&/STRD OTHER PN/BRANCH,3975.0,2981.25,0.22,3791.0,110
CPT,64451,NJX AA&/STRD NRV NRVTG SI JT,,,0.22,291.56,98
CPT,64454,NJX AA&/STRD GNCLR NRV BRNCH,,,0.22,283.91,98
CPT,64455,NJX AA&/STRD PLTR COM DG NRV,,,0.22,1137.0,99
CPT,64461,PVB THORACIC SINGLE INJ SITE,,,0.22,310.4,103
CPT,64462,PVB THORACIC 2ND+ INJ SITE,,,0.22,862.03,103
CPT,64463,PVB THORACIC CONT INFUSION,,,0.22,356.51,103
CPT,64466,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed",,,1.0,163.57,97
CPT,64467,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed",,,1.0,298.0,97
CPT,64468,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed",,,1.0,188.25,97
CPT,64469,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed",,,1.0,451.55,97
CPT,64473,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed",,,1.0,153.89,102
CPT,64474,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed",,,1.0,294.55,102
CPT,64479,NJX AA&/STRD TFRM EPI C/T 1,,,0.22,3791.0,105
CPT,64480,NJX AA&/STRD TFRM EPI C/T EA,,,0.22,3791.0,100
CPT,64483,NJX AA&/STRD TFRM EPI L/S 1,,,0.22,3791.0,105
CPT,64484,NJX AA&/STRD TFRM EPI L/S EA,,,0.22,3791.0,100
CPT,64486,TAP BLOCK UNIL BY INJECTION,,,0.22,1244.34,103
CPT,64487,TAP BLOCK UNI BY INFUSION,,,0.22,1377.76,103
CPT,64488,TAP BLOCK BI INJECTION,,,0.22,4159.87,103
CPT,64489,TAP BLOCK BI BY INFUSION,,,0.22,1824.97,103
CPT,64490,INJ PARAVERT F JNT C/T 1 LEV,,,0.22,3791.0,99
CPT,64491,C/T FACET INJ+IMAGE LVL2,1264.0,948.0,0.22,1137.6,105
CPT,64492,C/T FACET INJ+IMAGE LV3+,1264.0,948.0,0.22,1137.6,105
CPT,64493,L SP FACET INJ+IMAG LVL1,2523.0,1892.25,0.22,3791.0,105
CPT,64494,L SP FACET INJ+IMAG LVL2,1264.0,948.0,0.22,1137.6,105
CPT,64495,L SP FACET INJ+IMAG LV3+,1264.0,948.0,0.22,1137.6,105
CPT,644T,TCAT RMVL/DBLK ICAR MAS PERQ,,,0.22,16.13,96
CPT,64505,N BLOCK SPENOPALATINE GANGL,,,0.22,1137.0,99
CPT,64510,N BLOCK STELLATE GANGLION,,,0.22,3791.0,100
CPT,64517,N BLOCK INJ HYPOGAS PLXS,,,0.22,3791.0,99
CPT,64520,N BLOCK LUMBAR/THORACIC,,,0.22,3791.0,100
CPT,64530,INJ CELIAC PLEXUS NRV,5903.0,4427.25,0.22,5312.7,106
CPT,64553,IMPLANT NEUROELECTRODES,,,0.22,9407.0,100
CPT,64555,IMPLANT NEUROELECTRODES,,,0.22,9407.0,99
CPT,64561,IMPLANT NEUROELECTRODES,,,0.22,9407.0,100
CPT,64566,NEUROELTRD STIM POST TIBIAL,,,0.22,1137.0,99
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,0.22,19037.0,99
CPT,64569,REVISE/REPL VAGUS N ELTRD,,,0.22,5812.0,99
CPT,64570,REMOVE VAGUS N ELTRD,,,0.22,7166.0,99
CPT,64575,OPN IMPLTJ NEA PERPH NERVE,,,0.22,9407.0,100
CPT,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,0.22,9407.0,100
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,0.22,9407.0,100
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,0.22,1146.32,98
CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,0.22,1184.81,98
CPT,64584,RMVL HPGLSL NSTIM ARY PG,,,0.22,997.93,98
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,0.22,5812.0,100
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,0.22,15229.0,100
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,0.22,7166.0,100
CPT,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,0.22,16.13,96
CPT,64597,INS/RPLCM PRQ ELTRD RA PN EA,,,0.22,16.13,96
CPT,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,0.22,16.13,96
CPT,645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,0.22,16.13,96
CPT,64600,INJECTION TREATMENT OF NERVE,,,0.22,5085.0,100
CPT,64605,INJECTION TREATMENT OF NERVE,,,0.22,5812.0,100
CPT,64610,INJECTION TREATMENT OF NERVE,,,0.22,5812.0,100
CPT,64611,CHEMODENERV SALIV GLAND,1223.0,917.25,0.22,1137.0,105
CPT,64611,CHEMODENERV SALIVA GLAND BILAT,1223.0,917.25,0.22,1137.0,105
CPT,64612,CHEMODENERV FACE MUSCLE,1094.0,820.5,0.22,1137.0,105
CPT,64612,FACIAL NERVE MUSCLES,1711.0,1283.25,0.22,1539.9,105
CPT,64615,CHEMODENERV FAC/TRIG/CERV MUSC,1186.0,889.5,0.22,1137.0,105
CPT,64615,CHEMODENERV;CN V VII XI,1043.0,782.25,0.22,1137.0,105
CPT,64616,CHEMODEN NECK MUSC EXCL LARYNX,1063.0,797.25,0.22,956.7,104
CPT,64617,CHEMODEN OF MUSCLE LARYNX UNIL,1843.0,1382.25,0.22,1658.7,104
CPT,64620,INJECTION TREATMENT OF NERVE,,,0.22,5085.0,100
CPT,64624,DSTRJ NULYT AGT GNCLR NRV,,,0.22,496.34,98
CPT,64625,RF ABLTJ NRV NRVTG SI JT,,,0.22,606.44,98
CPT,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,,,0.22,15450.27,103
CPT,64629,TRML DSTRJ IOS BVN EA ADDL,,,0.22,263.79,98
CPT,64630,INJECTION TREATMENT OF NERVE,,,0.22,3791.0,99
CPT,64632,N BLOCK INJ COMMON DIGIT,,,0.22,1137.0,99
CPT,64633,DESTROY CERV/THOR FACET JNT,,,0.22,3791.0,99
CPT,64634,DESTROY C/TH FACET JNT ADDL,,,0.22,1137.0,99
CPT,64635,DESTROY LUMB/SAC FACET JNT,,,0.22,5085.0,99
CPT,64636,DESTROY L/S FACET JNT ADDL,,,0.22,3791.0,99
CPT,64640,INJECTION TREATMENT OF NERVE,,,0.22,3791.0,99
CPT,64642,CHEMODEN 1 EXTREMITY 1-4 MUSC,1843.0,1382.25,0.22,1809.0,208
CPT,64642,CHEMODENERV 1 EXTREMITY 1-4,2073.0,1554.75,0.22,1865.7,104
CPT,64643,CHEMODEN 1 EXT ADDL 1-4 MUSC,1676.0,1257.0,0.22,1508.4,104
CPT,64643,CHEMODENERV 1 EXTRM 1-4 ADDL,1372.0,1029.0,0.22,1234.8,104
CPT,64644,CHEMODEN 1 EXTREMITY 5/> MUSC,1057.0,792.75,0.22,951.3,104
CPT,64644,CHEMODENERV 1 EXTREM 5/> MUS,2037.0,1527.75,0.22,1833.3,104
CPT,64645,CHEMODEN 1 EXT ADDL 5/> MUSC,1676.0,1257.0,0.22,1508.4,104
CPT,64645,CHEMODENERV 1 EXT 5/> EA ADDL,1251.0,938.25,0.22,1125.9,104
CPT,64646,CHEMODEN TRUNK MUSCLE 1-5,1779.0,1334.25,0.22,1601.1,104
CPT,64646,CHEMODENERV TRUNK MUSC 1-5,2945.5,2209.125,0.22,2918.7,208
CPT,64647,CHEMODENERV TRUNK MUSC 6/>,3698.0,2773.5,0.22,3328.2,104
CPT,64650,CHEMODENERV ECCRINE GLANDS,,,0.22,1137.0,99
CPT,64653,CHEMODENERV ECCRINE GLANDS,,,0.22,1137.0,99
CPT,64680,DESTR CELIAC PLEX W/AGNT,6384.0,4788.0,0.22,5745.6,105
CPT,64681,INJECTION TREATMENT OF NERVE,,,0.22,5085.0,100
CPT,646T,TTVI/RPLCMT W/PRSTC VLV PERQ,,,0.22,16.13,96
CPT,64702,REVISE FINGER/TOE NERVE,,,0.22,5812.0,100
CPT,64704,REVISE HAND/FOOT NERVE,,,0.22,5812.0,100
CPT,64708,REVISE ARM/LEG NERVE,,,0.22,5812.0,100
CPT,64712,REVISION OF SCIATIC NERVE,,,0.22,5812.0,100
CPT,64713,REVISION OF ARM NERVE(S),,,0.22,5812.0,100
CPT,64714,REVISE LOW BACK NERVE(S),,,0.22,5812.0,100
CPT,64716,REVISION OF CRANIAL NERVE,,,0.22,5812.0,100
CPT,64718,REVISE ULNAR NERVE AT ELBOW,12327.0,9245.25,0.22,11094.3,106
CPT,64719,REVISE ULNAR NERVE AT WRIST,9393.0,7044.75,0.22,8453.7,106
CPT,64721,"CARPAL TUNNEL RELEASE, OPEN",2226.0,1669.5,0.22,5812.0,106
CPT,64722,RELIEVE PRESSURE ON NERVE(S),,,0.22,5812.0,100
CPT,64726,RELEASE FOOT/TOE NERVE,,,0.22,5812.0,100
CPT,64727,INTERNAL NERVE REVISION,,,0.22,5812.0,100
CPT,64732,INCISION OF BROW NERVE,,,0.22,5812.0,100
CPT,64734,INCISION OF CHEEK NERVE,,,0.22,5812.0,100
CPT,64736,INCISION OF CHIN NERVE,,,0.22,5812.0,100
CPT,64738,INCISION OF JAW NERVE,,,0.22,5812.0,100
CPT,64740,INCISION OF TONGUE NERVE,,,0.22,5812.0,100
CPT,64742,INCISION OF FACIAL NERVE,,,0.22,5812.0,100
CPT,64744,INCISE NERVE BACK OF HEAD,,,0.22,5812.0,100
CPT,64746,INCISE DIAPHRAGM NERVE,,,0.22,5812.0,100
CPT,64755,INCISION OF STOMACH NERVES,,,0.22,5483.0,99
CPT,64760,INCISION OF VAGUS NERVE,,,0.22,5483.0,99
CPT,64763,INCISE HIP/THIGH NERVE,,,0.22,5812.0,99
CPT,64766,INCISE HIP/THIGH NERVE,,,0.22,7166.0,99
CPT,64771,SEVER CRANIAL NERVE,,,0.22,5812.0,100
CPT,64772,INCISION OF SPINAL NERVE,,,0.22,5812.0,100
CPT,64774,REMOVE SKIN NERVE LESION,,,0.22,5812.0,100
CPT,64776,REMOVE DIGIT NERVE LESION,,,0.22,5812.0,100
CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,0.22,5812.0,100
CPT,64782,REMOVE LIMB NERVE LESION,,,0.22,5812.0,100
CPT,64783,LIMB NERVE SURGERY ADD-ON,,,0.22,5812.0,100
CPT,64784,REMOVE NERVE LESION,,,0.22,5812.0,100
CPT,64786,REMOVE SCIATIC NERVE LESION,,,0.22,7166.0,100
CPT,64787,IMPLANT NERVE END,,,0.22,5812.0,100
CPT,64788,REMOVE SKIN NERVE LESION,,,0.22,5812.0,100
CPT,64790,REMOVAL OF NERVE LESION,,,0.22,5812.0,100
CPT,64792,REMOVAL OF NERVE LESION,,,0.22,7166.0,100
CPT,64795,BIOPSY OF NERVE,,,0.22,5812.0,100
CPT,647T,INSJ GTUBE PERQ MAG GASTRPXY,,,0.22,16.13,96
CPT,64802,SYMPATHECTOMY CERVICAL,,,0.22,5812.0,100
CPT,64804,REMOVE SYMPATHETIC NERVES,,,0.22,5812.0,99
CPT,64809,REMOVE SYMPATHETIC NERVES,,,0.22,5483.0,99
CPT,64818,REMOVE SYMPATHETIC NERVES,,,0.22,5483.0,99
CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,0.22,5812.0,99
CPT,64821,REMOVE SYMPATHETIC NERVES,,,0.22,5812.0,100
CPT,64822,REMOVE SYMPATHETIC NERVES,,,0.22,5812.0,99
CPT,64823,SYMPATHECTOMY SUPFC PALMAR,,,0.22,5812.0,99
CPT,64831,REPAIR OF DIGIT NERVE,,,0.22,7166.0,100
CPT,64832,REPAIR NERVE ADD-ON,,,0.22,7166.0,100
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,0.22,7166.0,100
CPT,64835,REPAIR OF HAND OR FOOT NERVE,,,0.22,7166.0,100
CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,0.22,7166.0,100
CPT,64837,REPAIR NERVE ADD-ON,,,0.22,7166.0,100
CPT,64840,REPAIR OF LEG NERVE,,,0.22,7166.0,100
CPT,64856,REPAIR/TRANSPOSE NERVE,,,0.22,7166.0,100
CPT,64857,REPAIR ARM/LEG NERVE,,,0.22,7166.0,100
CPT,64858,REPAIR SCIATIC NERVE,,,0.22,7166.0,100
CPT,64859,NERVE SURGERY,,,0.22,7166.0,100
CPT,64861,REPAIR OF ARM NERVES,,,0.22,7166.0,100
CPT,64862,REPAIR OF LOW BACK NERVES,,,0.22,7166.0,100
CPT,64864,REPAIR OF FACIAL NERVE,,,0.22,7166.0,100
CPT,64865,REPAIR OF FACIAL NERVE,,,0.22,7166.0,100
CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,0.22,5483.0,99
CPT,64868,FUSION OF FACIAL/OTHER NERVE,,,0.22,5483.0,99
CPT,64872,SUBSEQUENT REPAIR OF NERVE,,,0.22,7166.0,100
CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,0.22,7166.0,100
CPT,64876,REPAIR NERVE/SHORTEN BONE,,,0.22,7166.0,100
CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,0.22,7166.0,100
CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,0.22,7166.0,100
CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,0.22,7166.0,100
CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,0.22,7166.0,100
CPT,64892,NRV GRF 1STRND ARM/LEG <4CM,,,0.22,7166.0,100
CPT,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,0.22,7166.0,100
CPT,64895,NRV GRF MLTST HND/FOOT <4 CM,,,0.22,7166.0,100
CPT,64896,NRV GRF MLTST HND/FOOT >4 CM,,,0.22,7166.0,100
CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,0.22,7166.0,100
CPT,64898,NRV GRF MLTST ARM/LEG >4 CM,,,0.22,7166.0,100
CPT,648T,QUAN MR TIS WO MRI 1ORGN,,,0.92,230.13,14
CPT,64901,NERVE GRAFT ADD-ON,,,0.22,7166.0,100
CPT,64902,NERVE GRAFT ADD-ON,,,0.22,7166.0,100
CPT,64905,NERVE PEDICLE TRANSFER,,,0.22,7166.0,100
CPT,64907,NERVE PEDICLE TRANSFER,,,0.22,7166.0,100
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,0.22,7166.0,99
CPT,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,0.22,7166.0,99
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,0.22,20460.05,103
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,0.22,236.2,98
CPT,64999,UNLISTED PX NERVOUS SYSTEM,,,0.22,1137.0,97
CPT,649T,QUAN MR TISS W/MRI 1ORGN,,,0.92,1.12,14
CPT,64U,ANTB TP TOTAL&RPR IA QUAL,,,1.0,31.33,14
CPT,65091,REVISE EYE,,,0.22,8165.0,100
CPT,65093,REVISE EYE WITH IMPLANT,,,0.22,8165.0,100
CPT,650T,PRGRMG DEV EVAL SCRMS REMOTE,,,1.0,3.2,10
CPT,65101,REMOVAL OF EYE,,,0.22,8165.0,100
CPT,65103,REMOVE EYE/INSERT IMPLANT,,,0.22,8165.0,100
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,0.22,8165.0,100
CPT,65110,REMOVAL OF EYE,,,0.22,8165.0,100
CPT,65112,REMOVE EYE/REVISE SOCKET,,,0.22,8165.0,100
CPT,65114,REMOVE EYE/REVISE SOCKET,,,0.22,8165.0,100
CPT,65125,REVISE OCULAR IMPLANT,,,0.22,5812.0,99
CPT,65130,INSERT OCULAR IMPLANT,,,0.22,5812.0,100
CPT,65135,INSERT OCULAR IMPLANT,,,0.22,5812.0,100
CPT,65140,ATTACH OCULAR IMPLANT,,,0.22,8165.0,100
CPT,65150,REVISE OCULAR IMPLANT,,,0.22,5812.0,100
CPT,65155,REINSERT OCULAR IMPLANT,,,0.22,8165.0,100
CPT,65175,REMOVAL OF OCULAR IMPLANT,,,0.22,5812.0,100
CPT,651T,MAG CTRLD CAPSULE ENDOSCOPY,,,0.22,16.13,101
CPT,65205,REMOVE FOREIGN BODY FROM EYE,,,0.22,1137.0,99
CPT,65210,REMOVE FOREIGN BODY FROM EYE,,,0.22,1137.0,99
CPT,65220,REMOVE FOREIGN BODY FROM EYE,,,0.22,1137.0,99
CPT,65222,REMOVE FOREIGN BODY FROM EYE,,,0.22,1137.0,104
CPT,65235,REMOVE FOREIGN BODY FROM EYE,,,0.22,5085.0,100
CPT,65260,REMOVE FOREIGN BODY FROM EYE,,,0.22,3934.0,100
CPT,65265,REMOVE FOREIGN BODY FROM EYE,,,0.22,5812.0,100
CPT,65270,REPAIR OF EYE WOUND,,,0.22,5812.0,100
CPT,65272,REPAIR OF EYE WOUND,,,0.22,5812.0,100
CPT,65273,REPAIR OF EYE WOUND,,,0.22,5483.0,99
CPT,65275,REPAIR OF EYE WOUND,,,0.22,5812.0,100
CPT,65280,REPAIR OF EYE WOUND,,,0.22,5812.0,100
CPT,65285,REPAIR OF EYE WOUND,,,0.22,8165.0,100
CPT,65286,REPAIR OF EYE WOUND,,,0.22,3791.0,99
CPT,65290,REPAIR OF EYE SOCKET WOUND,,,0.22,5812.0,100
CPT,652T,EGD FLX TRANSNASAL DX BR/WA,,,0.22,2509.97,101
CPT,653T,EGD FLX TRANSNASAL BX 1/MLT,,,0.22,2509.97,101
CPT,65400,REMOVAL OF EYE LESION,,,0.22,5085.0,100
CPT,65410,BIOPSY OF CORNEA,,,0.22,5085.0,100
CPT,65420,REMOVAL OF EYE LESION,,,0.22,5085.0,100
CPT,65426,REMOVAL OF EYE LESION,,,0.22,5812.0,100
CPT,65430,CORNEAL SMEAR,,,0.22,1137.0,99
CPT,65435,CURETTE/TREAT CORNEA,,,0.22,3791.0,99
CPT,65436,CURETTE/TREAT CORNEA,,,0.22,5085.0,99
CPT,65450,TREATMENT OF CORNEAL LESION,,,0.22,1137.0,99
CPT,654T,EGD FLX TRANSNASAL TUBE/CATH,,,0.22,4232.39,101
CPT,655T,TPRNL FOCAL ABLTJ MAL PRST8,,,0.22,16.13,96
CPT,65600,REVISION OF CORNEA,,,0.22,5812.0,99
CPT,656T,VRT BDY TETHERING ANT <7 SEG,,,0.22,16.13,96
CPT,65710,CORNEAL TRANSPLANT,,,0.22,7166.0,100
CPT,65730,CORNEAL TRANSPLANT,,,0.22,7166.0,100
CPT,65750,CORNEAL TRANSPLANT,,,0.22,7166.0,100
CPT,65755,CORNEAL TRANSPLANT,,,0.22,7166.0,100
CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,0.22,7166.0,99
CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,0.22,1137.0,97
CPT,65760,REVISION OF CORNEA,,,0.22,5812.0,97
CPT,65765,REVISION OF CORNEA,,,0.22,5812.0,97
CPT,65767,CORNEAL TISSUE TRANSPLANT,,,0.22,5812.0,97
CPT,65770,REVISE CORNEA WITH IMPLANT,,,0.22,11318.0,100
CPT,65771,RADIAL KERATOTOMY,,,0.22,5812.0,97
CPT,65772,CORRECTION OF ASTIGMATISM,,,0.22,5085.0,100
CPT,65775,CORRECTION OF ASTIGMATISM,,,0.22,5085.0,100
CPT,65778,COVER EYE W/MEMBRANE,,,0.22,5085.0,99
CPT,65779,COVER EYE W/MEMBRANE SUTURE,,,0.22,5085.0,99
CPT,65780,OCULAR RECONST TRANSPLANT,,,0.22,7166.0,100
CPT,65781,OCULAR RECONST TRANSPLANT,,,0.22,7166.0,100
CPT,65782,OCULAR RECONST TRANSPLANT,,,0.22,7166.0,100
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,0.22,6609.88,103
CPT,657T,VRT BDY TETHERING ANT 8+ SEG,,,0.22,16.13,96
CPT,65800,DRAINAGE OF EYE,,,0.22,3791.0,100
CPT,65810,DRAINAGE OF EYE,,,0.22,5812.0,100
CPT,65815,DRAINAGE OF EYE,,,0.22,5812.0,100
CPT,65820,RELIEVE INNER EYE PRESSURE,,,0.22,5812.0,100
CPT,65850,INCISION OF EYE,,,0.22,5812.0,100
CPT,65855,TRABECULOPLASTY LASER SURG,,,0.22,3791.0,99
CPT,65860,INCISE INNER EYE ADHESIONS,,,0.22,3791.0,99
CPT,65865,INCISE INNER EYE ADHESIONS,,,0.22,5085.0,100
CPT,65870,INCISE INNER EYE ADHESIONS,,,0.22,5812.0,100
CPT,65875,INCISE INNER EYE ADHESIONS,,,0.22,5812.0,100
CPT,65880,INCISE INNER EYE ADHESIONS,,,0.22,5085.0,100
CPT,658T,ELEC IMPD SPECTRSC 1+SKN LES,,,1.0,55.66,14
CPT,65900,REMOVE EYE LESION,,,0.22,4481.0,100
CPT,65920,REMOVE IMPLANT OF EYE,,,0.22,5812.0,100
CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,0.22,5812.0,100
CPT,659T,TCAT INTRA-C NFS SUPERSAT O2,,,0.22,3.2,16
CPT,65U,SYFLS TST NONTREPONEMAL ANTB,,,1.0,18.09,14
CPT,66020,INJECTION TREATMENT OF EYE,,,0.22,5085.0,100
CPT,66030,INJECTION TREATMENT OF EYE,,,0.22,5085.0,100
CPT,660T,IMPLT ANT SGM IO NBIO RX SYS,,,0.22,16.13,96
CPT,66130,REMOVE EYE LESION,,,0.22,5812.0,100
CPT,66150,GLAUCOMA SURGERY,,,0.22,5812.0,100
CPT,66155,GLAUCOMA SURGERY,,,0.22,5812.0,100
CPT,66160,GLAUCOMA SURGERY,,,0.22,5812.0,100
CPT,66170,GLAUCOMA SURGERY,,,0.22,5812.0,100
CPT,66172,INCISION OF EYE,,,0.22,5812.0,100
CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,0.22,8165.0,99
CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,0.22,8165.0,99
CPT,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,0.22,9072.31,103
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,0.22,8165.0,100
CPT,66183,INSERT ANT DRAINAGE DEVICE,,,0.22,1338.97,98
CPT,66184,REVISION OF AQUEOUS SHUNT,,,0.22,5071.14,103
CPT,66185,REVISE AQUEOUS SHUNT EYE,,,0.22,5812.0,100
CPT,661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,0.22,16.13,96
CPT,66225,REPAIR/GRAFT EYE LESION,,,0.22,8165.0,100
CPT,66250,FOLLOW-UP SURGERY OF EYE,,,0.22,5085.0,100
CPT,662T,SCALP COOL 1ST MEAS&CALBRJ,,,1.0,3.2,10
CPT,663T,SCALP COOL PLMT MNTR RMVL,,,1.0,3.2,10
CPT,664T,DON HYSTERECTOMY OPEN CDVR,,,0.22,16.13,96
CPT,66500,INCISION OF IRIS,,,0.22,1530.0,100
CPT,66505,INCISION OF IRIS,,,0.22,3791.0,100
CPT,665T,DON HYSTERECTOMY OPEN LIV,,,0.22,16.13,96
CPT,66600,REMOVE IRIS AND LESION,,,0.22,5812.0,100
CPT,66605,REMOVAL OF IRIS,,,0.22,5812.0,100
CPT,66625,REMOVAL OF IRIS,,,0.22,3791.0,99
CPT,66630,REMOVAL OF IRIS,,,0.22,5812.0,100
CPT,66635,REMOVAL OF IRIS,,,0.22,5812.0,100
CPT,66680,REPAIR IRIS & CILIARY BODY,,,0.22,5812.0,100
CPT,66682,REPAIR IRIS & CILIARY BODY,,,0.22,5812.0,100
CPT,66683,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed",,,1.0,1017.98,97
CPT,666T,DON HYSTERECTOMY LAPS LIV,,,0.22,16.13,96
CPT,66700,DESTRUCTION CILIARY BODY,,,0.22,5085.0,100
CPT,66710,CILIARY TRANSSLERAL THERAPY,,,0.22,5085.0,100
CPT,66711,ECP CILIARY BODY DESTRUCTION,,,0.22,5812.0,100
CPT,66720,DESTRUCTION CILIARY BODY,,,0.22,5085.0,100
CPT,66740,DESTRUCTION CILIARY BODY,,,0.22,5812.0,100
CPT,66761,REVISION OF IRIS,,,0.22,3791.0,99
CPT,66762,REVISION OF IRIS,,,0.22,3791.0,99
CPT,66770,REMOVAL OF INNER EYE LESION,,,0.22,3791.0,99
CPT,667T,DON HYSTERECTOMY RCP UTER,,,0.22,16.13,96
CPT,66820,INCISION SECONDARY CATARACT,,,0.22,3791.0,99
CPT,66821,AFTER CATARACT LASER SURGERY,,,0.22,3791.0,99
CPT,66825,REPOSITION INTRAOCULAR LENS,,,0.22,5812.0,100
CPT,66830,REMOVAL OF LENS LESION,,,0.22,3791.0,99
CPT,66840,REMOVAL OF LENS MATERIAL,,,0.22,5085.0,100
CPT,66850,REMOVAL OF LENS MATERIAL,,,0.22,7166.0,100
CPT,66852,REMOVAL OF LENS MATERIAL,,,0.22,7166.0,100
CPT,668T,BKBENCH PREP DON UTER ALGRFT,,,0.22,16.13,96
CPT,66920,EXTRACTION OF LENS,,,0.22,7166.0,100
CPT,66930,EXTRACTION OF LENS,,,0.22,7166.0,100
CPT,66940,EXTRACTION OF LENS,,,0.22,4481.0,100
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,0.22,5812.0,100
CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,0.22,5812.0,98
CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,0.22,5812.0,100
CPT,66985,INSERT LENS PROSTHESIS,,,0.22,5812.0,100
CPT,66986,EXCHANGE LENS PROSTHESIS,,,0.22,5812.0,100
CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,0.22,11819.78,101
CPT,66988,XCAPSL CTRC RMVL W/ECP,,,0.22,11819.78,101
CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,0.22,1115.75,98
CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,0.22,1137.0,99
CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,0.22,892.28,98
CPT,66999,UNLISTED PX ANT SEGMENT EYE,,,0.22,1137.0,97
CPT,669T,BKBENCH RCNSTJ DON UTER VEN,,,0.22,16.13,96
CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,0.22,5812.0,100
CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,0.22,8165.0,100
CPT,67015,RELEASE OF EYE FLUID,,,0.22,8165.0,100
CPT,67025,REPLACE EYE FLUID,,,0.22,8165.0,100
CPT,67027,IMPLANT EYE DRUG SYSTEM,,,0.22,8165.0,100
CPT,67028,INJECTION EYE DRUG,,,0.22,1137.0,99
CPT,67030,INCISE INNER EYE STRANDS,,,0.22,5812.0,100
CPT,67031,LASER SURGERY EYE STRANDS,,,0.22,3791.0,99
CPT,67036,REMOVAL OF INNER EYE FLUID,,,0.22,8165.0,100
CPT,67039,LASER TREATMENT OF RETINA,,,0.22,8165.0,100
CPT,67040,LASER TREATMENT OF RETINA,,,0.22,8165.0,100
CPT,67041,VIT FOR MACULAR PUCKER,,,0.22,8165.0,99
CPT,67042,VIT FOR MACULAR HOLE,,,0.22,8165.0,99
CPT,67043,VIT FOR MEMBRANE DISSECT,,,0.22,8165.0,99
CPT,670T,BKBENCH RCNSTJ DON UTER ARTL,,,0.22,16.13,96
CPT,67101,REPAIR DETACHED RETINA CRTX,,,0.22,5812.0,99
CPT,67105,REPAIR DETACHED RETINA PC,,,0.22,3791.0,99
CPT,67107,REPAIR DETACHED RETINA,,,0.22,8165.0,100
CPT,67108,REPAIR DETACHED RETINA,,,0.22,8165.0,100
CPT,67110,REPAIR DETACHED RETINA,,,0.22,5812.0,99
CPT,67113,REPAIR RETINAL DETACH CPLX,,,0.22,8165.0,99
CPT,67115,RELEASE ENCIRCLING MATERIAL,,,0.22,5812.0,100
CPT,67120,REMOVE EYE IMPLANT MATERIAL,,,0.22,5812.0,100
CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,0.22,8165.0,100
CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,0.22,3791.0,99
CPT,67145,PROPH RTA DTCHMNT PC,,,0.22,3791.0,99
CPT,671T,INSJ ANT SGM AQ DRG DEV 1+,,,0.22,16.13,96
CPT,67208,TREATMENT OF RETINAL LESION,,,0.22,3791.0,99
CPT,67210,TREATMENT OF RETINAL LESION,,,0.22,3791.0,99
CPT,67218,TREATMENT OF RETINAL LESION,,,0.22,5812.0,100
CPT,67220,TREATMENT OF CHOROID LESION,,,0.22,3791.0,99
CPT,67221,OCULAR PHOTODYNAMIC THER,,,0.22,3791.0,99
CPT,67225,EYE PHOTODYNAMIC THER ADD-ON,,,0.22,3791.0,99
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,,,0.22,5812.0,100
CPT,67228,TREATMENT X10SV RETINOPATHY,,,0.22,3791.0,99
CPT,67229,TR RETINAL LES PRETERM INF,,,0.22,3791.0,99
CPT,67250,REINFORCE EYE WALL,,,0.22,5812.0,100
CPT,67255,REINFORCE/GRAFT EYE WALL,,,0.22,5812.0,100
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,0.22,3791.0,97
CPT,672T,NDOVAG CRYG RF REMDL TISS,,,0.22,16.13,96
CPT,67311,REVISE EYE MUSCLE,,,0.22,5812.0,100
CPT,67312,REVISE TWO EYE MUSCLES,,,0.22,5812.0,100
CPT,67314,REVISE EYE MUSCLE,,,0.22,5812.0,100
CPT,67316,REVISE TWO EYE MUSCLES,,,0.22,5812.0,100
CPT,67318,REVISE EYE MUSCLE(S),,,0.22,5812.0,100
CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,0.22,5812.0,100
CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,0.22,5812.0,100
CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,0.22,5812.0,100
CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,0.22,5812.0,100
CPT,67335,EYE SUTURE DURING SURGERY,,,0.22,5812.0,100
CPT,67340,REVISE EYE MUSCLE ADD-ON,,,0.22,5812.0,100
CPT,67343,RELEASE EYE TISSUE,,,0.22,5812.0,100
CPT,67345,DESTROY NERVE OF EYE MUSCLE,,,0.22,1137.0,99
CPT,67346,BIOPSY EYE MUSCLE,,,0.22,5085.0,100
CPT,67399,UNLISTED PX EXTRAOCULAR MUSC,,,0.22,5812.0,97
CPT,673T,ABLTJ B9 THYR NDUL PERQ LASR,,,0.22,16.13,96
CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,0.22,5812.0,100
CPT,67405,EXPLORE/DRAIN EYE SOCKET,,,0.22,5812.0,100
CPT,67412,EXPLORE/TREAT EYE SOCKET,,,0.22,5812.0,100
CPT,67413,EXPLORE/TREAT EYE SOCKET,,,0.22,5812.0,100
CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,0.22,8165.0,99
CPT,67415,ASPIRATION ORBITAL CONTENTS,,,0.22,5812.0,100
CPT,67420,EXPLORE/TREAT EYE SOCKET,,,0.22,8165.0,100
CPT,67430,EXPLORE/TREAT EYE SOCKET,,,0.22,8165.0,100
CPT,67440,EXPLORE/DRAIN EYE SOCKET,,,0.22,8165.0,100
CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,0.22,8165.0,100
CPT,67450,EXPLORE/BIOPSY EYE SOCKET,,,0.22,8165.0,100
CPT,674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,0.22,16.13,96
CPT,67500,INJECT/TREAT EYE SOCKET,,,0.22,1137.0,99
CPT,67505,INJECT/TREAT EYE SOCKET,,,0.22,1137.0,99
CPT,67515,INJECT/TREAT EYE SOCKET,,,0.22,1137.0,99
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,,,0.22,157.44,98
CPT,67550,INSERT EYE SOCKET IMPLANT,,,0.22,8165.0,100
CPT,67560,REVISE EYE SOCKET IMPLANT,,,0.22,5812.0,100
CPT,67570,DECOMPRESS OPTIC NERVE,,,0.22,8165.0,100
CPT,67599,UNLISTED PROCEDURE ORBIT,,,0.22,1137.0,97
CPT,675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,0.22,16.13,96
CPT,676T,LAPS INSJ NW/RPCMT ISDSS EA,,,0.22,16.13,96
CPT,67700,DRAINAGE OF EYELID ABSCESS,,,0.22,1137.0,99
CPT,67710,INCISION OF EYELID,,,0.22,3791.0,99
CPT,67715,INCISION OF EYELID FOLD,,,0.22,5812.0,100
CPT,677T,LAPS REPOS LEAD ISDSS 1ST LD,,,0.22,16.13,96
CPT,67800,REMOVE EYELID LESION,,,0.22,1137.0,99
CPT,67801,REMOVE EYELID LESIONS,,,0.22,3791.0,99
CPT,67805,REMOVE EYELID LESIONS,,,0.22,1137.0,99
CPT,67808,REMOVE EYELID LESION(S),,,0.22,5812.0,100
CPT,67810,BIOPSY EYELID & LID MARGIN,,,0.22,1137.0,99
CPT,67820,REVISE EYELASHES,,,0.22,1137.0,99
CPT,67825,REVISE EYELASHES,,,0.22,1137.0,99
CPT,67830,REVISE EYELASHES,,,0.22,3791.0,100
CPT,67835,REVISE EYELASHES,,,0.22,5812.0,100
CPT,67840,REMOVE EYELID LESION,,,0.22,3791.0,99
CPT,67850,DSTRJ LESION LID MARGIN <1CM,,,0.22,3791.0,99
CPT,67875,CLOSURE OF EYELID BY SUTURE,,,0.22,3791.0,99
CPT,67880,REVISION OF EYELID,,,0.22,5085.0,100
CPT,67882,REVISION OF EYELID,,,0.22,5812.0,100
CPT,678T,LAPS REPOS LEAD ISDSS EA ADD,,,0.22,16.13,96
CPT,67900,REPAIR BROW DEFECT,,,0.22,5812.0,100
CPT,67901,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67902,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67903,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67904,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67906,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67908,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67909,REVISE EYELID DEFECT,,,0.22,5812.0,100
CPT,67911,REVISE EYELID DEFECT,,,0.22,5812.0,100
CPT,67912,CORRECTION EYELID W/IMPLANT,,,0.22,5812.0,100
CPT,67914,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67915,REPAIR EYELID DEFECT,,,0.22,5812.0,99
CPT,67916,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67917,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67921,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67922,REPAIR EYELID DEFECT,,,0.22,5812.0,99
CPT,67923,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67924,REPAIR EYELID DEFECT,,,0.22,5812.0,100
CPT,67930,REPAIR EYELID WOUND,,,0.22,5812.0,99
CPT,67935,REPAIR EYELID WOUND,,,0.22,5812.0,100
CPT,67938,REMOVE EYELID FOREIGN BODY,,,0.22,1137.0,99
CPT,67950,REVISION OF EYELID,,,0.22,5812.0,100
CPT,67961,REVISION OF EYELID,,,0.22,5812.0,100
CPT,67966,REVISION OF EYELID,,,0.22,5812.0,100
CPT,67971,RECONSTRUCTION OF EYELID,,,0.22,5812.0,100
CPT,67973,RECONSTRUCTION OF EYELID,,,0.22,5812.0,100
CPT,67974,RECONSTRUCTION OF EYELID,,,0.22,5812.0,100
CPT,67975,RECONSTRUCTION OF EYELID,,,0.22,5812.0,100
CPT,67999,UNLISTED PROCEDURE EYELIDS,,,0.22,1137.0,97
CPT,679T,LAPS RMVL LEAD ISDSS,,,0.22,16.13,96
CPT,67U,ONC BRST IMHCHEM PRFL 4 BMRK,,,0.92,1897.0,14
CPT,68020,INCISE/DRAIN EYELID LINING,,,0.22,1137.0,99
CPT,68040,TREATMENT OF EYELID LESIONS,,,0.22,1137.0,99
CPT,680T,INSJ/RPLCMT PG ONLY ISDSS,,,0.22,16.13,96
CPT,68100,BIOPSY OF EYELID LINING,,,0.22,3791.0,99
CPT,68110,REMOVE EYELID LINING LESION,,,0.22,5085.0,99
CPT,68115,REMOVE EYELID LINING LESION,,,0.22,5812.0,100
CPT,68130,REMOVE EYELID LINING LESION,,,0.22,5085.0,100
CPT,68135,REMOVE EYELID LINING LESION,,,0.22,3791.0,99
CPT,681T,RLCJ PULSE GEN ONLY ISDSS,,,0.22,16.13,96
CPT,68200,TREAT EYELID BY INJECTION,,,0.22,1137.0,99
CPT,682T,REMOVAL PULSE GEN ONLY ISDSS,,,0.22,16.13,96
CPT,68320,REVISE/GRAFT EYELID LINING,,,0.22,5812.0,100
CPT,68325,REVISE/GRAFT EYELID LINING,,,0.22,5812.0,100
CPT,68326,REVISE/GRAFT EYELID LINING,,,0.22,5812.0,100
CPT,68328,REVISE/GRAFT EYELID LINING,,,0.22,5812.0,100
CPT,68330,REVISE EYELID LINING,,,0.22,5812.0,100
CPT,68335,REVISE/GRAFT EYELID LINING,,,0.22,5812.0,100
CPT,68340,SEPARATE EYELID ADHESIONS,,,0.22,5812.0,100
CPT,68360,REVISE EYELID LINING,,,0.22,5812.0,100
CPT,68362,REVISE EYELID LINING,,,0.22,5812.0,100
CPT,68371,HARVEST EYE TISSUE ALOGRAFT,,,0.22,5812.0,100
CPT,68399,UNLISTED PX CONJUNCTIVA,,,0.22,1137.0,97
CPT,683T,PRGRMG DEV EVAL ISDSS IP,,,1.0,16.13,90
CPT,68400,INCISE/DRAIN TEAR GLAND,,,0.22,1137.0,99
CPT,68420,INCISE/DRAIN TEAR SAC,,,0.22,5812.0,99
CPT,68440,INCISE TEAR DUCT OPENING,,,0.22,1137.0,99
CPT,684T,PERI-PX DEV EVAL ISDSS IP,,,1.0,16.13,90
CPT,68500,REMOVAL OF TEAR GLAND,,,0.22,5812.0,100
CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,0.22,5812.0,100
CPT,68510,BIOPSY OF TEAR GLAND,,,0.22,5812.0,100
CPT,68520,REMOVAL OF TEAR SAC,,,0.22,5812.0,100
CPT,68525,BIOPSY OF TEAR SAC,,,0.22,5812.0,100
CPT,68530,CLEARANCE OF TEAR DUCT,,,0.22,1137.0,99
CPT,68540,REMOVE TEAR GLAND LESION,,,0.22,5812.0,100
CPT,68550,REMOVE TEAR GLAND LESION,,,0.22,5812.0,100
CPT,685T,INTERROG DEV EVAL ISDSS IP,,,1.0,16.13,90
CPT,686T,HISTOTRIPSY MAL HEPATCEL TIS,,,0.22,42110.87,105
CPT,68700,REPAIR TEAR DUCTS,,,0.22,5812.0,100
CPT,68705,REVISE TEAR DUCT OPENING,,,0.22,1137.0,99
CPT,68720,CREATE TEAR SAC DRAIN,,,0.22,5812.0,100
CPT,68745,CREATE TEAR DUCT DRAIN,,,0.22,5812.0,100
CPT,68750,CREATE TEAR DUCT DRAIN,,,0.22,5812.0,100
CPT,68760,CLOSE TEAR DUCT OPENING,,,0.22,1137.0,99
CPT,68761,CLOSE TEAR DUCT OPENING,,,0.22,1137.0,99
CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,0.22,5812.0,100
CPT,687T,TX AMBLYOPIA DEV SETUP 1ST,,,1.0,3.2,10
CPT,68801,DILATE TEAR DUCT OPENING,,,0.22,1137.0,99
CPT,68810,PROBE NASOLACRIMAL DUCT,,,0.22,1137.0,99
CPT,68811,PROBE NASOLACRIMAL DUCT,,,0.22,5812.0,100
CPT,68815,PROBE NASOLACRIMAL DUCT,,,0.22,5812.0,100
CPT,68816,PROBE NL DUCT W/BALLOON,,,0.22,5812.0,99
CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,0.22,1137.0,99
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,0.22,50.1,98
CPT,68850,INJECTION FOR TEAR SAC X-RAY,,,0.22,1137.0,99
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,,,0.22,1137.0,97
CPT,688T,TX AMBLYOPIA ASSMT W/REPORT,,,1.0,3.2,10
CPT,689T,QUAN US TIS CHARAC W/O DX US,,,0.92,82.61,14
CPT,68U,CANDIDA SPECIES PNL AMP PRB,,,1.0,142.63,14
CPT,69000,DRAIN EXTERNAL EAR LESION,,,0.22,1137.0,99
CPT,69005,DRAIN EXTERNAL EAR LESION,,,0.22,5812.0,99
CPT,69020,DRAIN OUTER EAR CANAL LESION,,,0.22,1137.0,99
CPT,69090,PIERCE EARLOBES,,,1.0,5483.0,96
CPT,690T,QUAN US TIS CHARAC W/DX US,,,0.92,1.12,14
CPT,69100,BIOPSY OF EXTERNAL EAR,,,0.22,1137.0,99
CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,,,0.22,5085.0,99
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,13157.0,9867.75,0.22,11841.3,106
CPT,69120,REMOVAL OF EXTERNAL EAR,,,0.22,5812.0,100
CPT,69140,REMOVE EAR CANAL LESION(S),,,0.22,5812.0,100
CPT,69145,REMOVE EAR CANAL LESION(S),,,0.22,5085.0,100
CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,0.22,3791.0,99
CPT,69155,EXTENSIVE EAR/NECK SURGERY,,,0.22,5483.0,99
CPT,691T,AUTO ALYS XST CT STD VRT FX,,,0.92,8.47,14
CPT,69200,CLEAR OUTER EAR CANAL,,,0.22,1137.0,99
CPT,69205,CLEAR OUTER EAR CANAL,,,0.22,5812.0,100
CPT,69209,REMOVE IMPACTED EAR WAX UNI,,,0.22,201.58,103
CPT,69210,REMOVE IMPACTED CERUMEN,588.0,441.0,0.22,1137.0,105
CPT,69220,CLEAN OUT MASTOID CAVITY,,,0.22,1137.0,99
CPT,69222,CLEAN OUT MASTOID CAVITY,,,0.22,5085.0,99
CPT,692T,THERAPEUTIC ULTRAFILTRATION,,,1.0,3.2,10
CPT,69300,REVISE EXTERNAL EAR,,,0.22,5812.0,100
CPT,69310,REBUILD OUTER EAR CANAL,,,0.22,8165.0,100
CPT,69320,REBUILD OUTER EAR CANAL,,,0.22,8165.0,100
CPT,69399,UNLISTED PX EXTERNAL EAR,,,0.22,1137.0,97
CPT,693T,COMPRE FUL BDY 3D MTN ALYS,,,0.92,350.5,14
CPT,69420,INCISION OF EARDRUM,,,0.22,1137.0,99
CPT,69421,INCISION OF EARDRUM,,,0.22,5085.0,100
CPT,69424,REMOVE VENTILATING TUBE,,,0.22,5085.0,99
CPT,69433,CREATE EARDRUM OPENING,,,0.22,3791.0,99
CPT,69436,CREATE EARDRUM OPENING,,,0.22,5085.0,100
CPT,69440,EXPLORATION OF MIDDLE EAR,,,0.22,5812.0,100
CPT,69450,EARDRUM REVISION,,,0.22,8165.0,100
CPT,694T,3D VOL IMG&RCNSTJ BRST/AX,,,0.22,1.12,15
CPT,69501,MASTOIDECTOMY,,,0.22,8165.0,100
CPT,69502,MASTOIDECTOMY,,,0.22,5812.0,100
CPT,69505,REMOVE MASTOID STRUCTURES,,,0.22,8165.0,100
CPT,69511,EXTENSIVE MASTOID SURGERY,,,0.22,8165.0,100
CPT,69530,EXTENSIVE MASTOID SURGERY,,,0.22,8165.0,100
CPT,69535,REMOVE PART OF TEMPORAL BONE,,,0.22,5483.0,99
CPT,69540,REMOVE EAR LESION,,,0.22,5085.0,99
CPT,69550,REMOVE EAR LESION,,,0.22,8165.0,100
CPT,69552,REMOVE EAR LESION,,,0.22,8165.0,100
CPT,69554,REMOVE EAR LESION,,,0.22,5483.0,99
CPT,695T,BDY SRF MPG PM/CVDFB TM IMPL,,,0.92,1.12,10
CPT,69601,MASTOID SURGERY REVISION,,,0.22,8165.0,100
CPT,69602,MASTOID SURGERY REVISION,,,0.22,8165.0,100
CPT,69603,MASTOID SURGERY REVISION,,,0.22,8165.0,100
CPT,69604,MASTOID SURGERY REVISION,,,0.22,8165.0,100
CPT,69605,"Revision Of Previous Mastoid Surgery, With Removal Of A Portion Of The Temporal Bone",,,5354.0,8165.0,2
CPT,69610,REPAIR OF EARDRUM,,,0.22,5812.0,99
CPT,69620,REPAIR OF EARDRUM,,,0.22,5812.0,100
CPT,69631,REPAIR EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69632,REBUILD EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69633,REBUILD EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69635,REPAIR EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69636,REBUILD EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69637,REBUILD EARDRUM STRUCTURES,,,0.22,8165.0,100
CPT,69641,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69642,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69643,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69644,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69645,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69646,REVISE MIDDLE EAR & MASTOID,,,0.22,8165.0,100
CPT,69650,RELEASE MIDDLE EAR BONE,,,0.22,5812.0,100
CPT,69660,REVISE MIDDLE EAR BONE,,,0.22,8165.0,100
CPT,69661,REVISE MIDDLE EAR BONE,,,0.22,8165.0,100
CPT,69662,REVISE MIDDLE EAR BONE,,,0.22,8165.0,100
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,,,0.22,8165.0,100
CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,0.22,8165.0,100
CPT,69670,REMOVE MASTOID AIR CELLS,,,0.22,8165.0,100
CPT,69676,REMOVE MIDDLE EAR NERVE,,,0.22,8165.0,100
CPT,696T,BDY SURF MAPG PM/CVDFB F/UP,,,0.92,1.12,10
CPT,69700,CLOSE MASTOID FISTULA,,,0.22,8165.0,100
CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,0.22,11803.52,108
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,0.22,12725.57,108
CPT,69710,IMPLANT/REPLACE HEARING AID,,,0.22,8165.0,97
CPT,69711,REMOVE/REPAIR HEARING AID,,,0.22,8165.0,100
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,0.22,11318.0,100
CPT,69715,"Removal Of Mastoid Bone With Implantation Of Cochlear Stimulating System, Accessed Through The Skin",,,6556.0,11318.0,2
CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,0.22,842.31,98
CPT,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,0.22,11318.0,100
CPT,69718,Removal Of Mastoid Bone With Removal And Replacement (Accessed Through The Skin) Of Cochlear Stimulating System,,,6556.0,11318.0,2
CPT,69719,RPLCM OI IMPLT SK TC ESP<100,,,0.22,875.02,98
CPT,69720,RELEASE FACIAL NERVE,,,0.22,8165.0,100
CPT,69725,RELEASE FACIAL NERVE,,,0.22,8165.0,99
CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,0.22,643.62,98
CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,0.22,719.69,98
CPT,69728,RMV NTR OI IMP SK TC>=100,,,0.22,804.73,98
CPT,69729,IMPL OI IMPLT SK TC ESP>=100,,,0.22,913.95,98
CPT,69730,RPLC OI IMPLT SK TC ESP>=100,,,0.22,932.74,98
CPT,69740,REPAIR FACIAL NERVE,,,0.22,8165.0,100
CPT,69745,REPAIR FACIAL NERVE,,,0.22,8165.0,100
CPT,69799,UNLISTED PX MIDDLE EAR,,,0.22,1137.0,97
CPT,697T,QUAN MR TIS WO MRI MLT ORGN,,,0.92,235.0,14
CPT,69801,INCISE INNER EAR,,,0.22,5085.0,100
CPT,69805,EXPLORE INNER EAR,,,0.22,8165.0,100
CPT,69806,EXPLORE INNER EAR,,,0.22,8165.0,100
CPT,698T,QUAN MR TISS W/MRI MLT ORGN,,,0.92,1.12,14
CPT,69905,REMOVE INNER EAR,,,0.22,8165.0,100
CPT,69910,REMOVE INNER EAR & MASTOID,,,0.22,8165.0,100
CPT,69915,INCISE INNER EAR NERVE,,,0.22,8165.0,100
CPT,69930,IMPLANT COCHLEAR DEVICE,,,0.22,19037.0,100
CPT,69949,UNLISTED PX INNER EAR,,,0.22,1137.0,97
CPT,69950,INCISE INNER EAR NERVE,,,0.22,5483.0,99
CPT,69955,RELEASE FACIAL NERVE,,,0.22,8165.0,99
CPT,69960,RELEASE INNER EAR CANAL,,,0.22,8165.0,99
CPT,69970,REMOVE INNER EAR LESION,,,0.22,8165.0,99
CPT,69979,UNLISTED PX TEMPORAL BONE,,,0.22,1137.0,97
CPT,69990,MICROSURGERY ADD-ON,,,0.22,1137.0,99
CPT,699T,NJX PST CHMBR EYE MEDICATION,,,0.22,16.13,96
CPT,69U,ONC CLRCT MICRORNA MIR-31-3P,,,0.92,380.0,14
CPT,6M,ONC HEP GENE RISK CLASSIFIER,,,0.92,1.12,10
CPT,70010,CONTRAST X-RAY OF BRAIN,,,1.0,955.86,17
CPT,70015,CONTRAST X-RAY OF BRAIN,,,1.0,955.86,17
CPT,70030,EYE DETECTION OF FOR/BDY,292.0,219.0,1.0,91.76,17
CPT,700T,MOLEC FLUOR IMG SUS NEV 1ST,,,1.0,35.58,14
CPT,70100,MANDIBLE < 4 VIEWS,502.0,376.5,1.0,91.76,17
CPT,70110,MANDIBLE 4VW MIN,704.0,528.0,1.0,145.42,17
CPT,70120,X-RAY EXAM OF MASTOIDS,,,1.0,108.97,17
CPT,70130,MASTOIDS BI 3VWS PR SIDE,783.0,587.25,1.0,108.97,17
CPT,70134,X-RAY EXAM OF MIDDLE EAR,,,1.0,482.89,17
CPT,70140,FACIAL BONES 2VW MAX,405.0,303.75,1.0,91.76,17
CPT,70150,FACIAL BONES 3VW MIN,704.0,528.0,1.0,145.42,17
CPT,70160,NASAL BONES 3VW MIN,360.0,270.0,1.0,91.76,17
CPT,70170,X-RAY EXAM OF TEAR DUCT,,,1.0,508.66,15
CPT,70190,X-RAY EXAM OF EYE SOCKETS,,,1.0,91.76,17
CPT,701T,MOLEC FLUOR IMG SUS NEV EA,,,1.0,10.51,14
CPT,70200,ORBITS 4VW MIN,704.0,528.0,1.0,108.97,17
CPT,70210,SINUSES 2VW MAX,597.0,447.75,1.0,91.76,17
CPT,70220,SINUSES 3VW MIN,669.0,501.75,1.0,91.76,17
CPT,70240,X-RAY EXAM PITUITARY SADDLE,,,1.0,91.76,17
CPT,70250,SKULL < 4 VIEWS,458.0,343.5,1.0,108.97,17
CPT,70260,SKULL 4VW MIN,744.0,558.0,1.0,145.42,17
CPT,70300,X-RAY EXAM OF TEETH,,,0.92,80.9,17
CPT,70310,X-RAY EXAM OF TEETH,,,0.92,230.13,17
CPT,70320,FULL MOUTH X-RAY OF TEETH,,,0.92,230.13,17
CPT,70328,TM JOINTS UNILATERAL,316.0,237.0,1.0,91.76,17
CPT,70330,TM JOINTS BILATERAL,754.0,565.5,1.0,91.76,17
CPT,70332,X-RAY EXAM OF JAW JOINT,,,1.0,542.93,17
CPT,70336,MRI TMJ,5516.0,4137.0,1.0,471.65,12
CPT,70350,X-RAY HEAD FOR ORTHODONTIA,,,1.0,91.76,17
CPT,70355,PANORAMIC X-RAY OF JAWS,,,1.0,80.9,17
CPT,70360,NECK FOR SOFT TISSUES,374.0,280.5,1.0,91.76,17
CPT,70370,RAD EXM PHARYNX/LARYNX,1307.0,980.25,1.0,250.67,17
CPT,70371,SPEECH EVALUATION COMPLEX,,,1.0,250.67,17
CPT,70380,X-RAY EXAM OF SALIVARY GLAND,,,1.0,91.76,17
CPT,70390,X-RAY EXAM OF SALIVARY DUCT,,,1.0,508.66,17
CPT,70450,CT HEAD/BRAIN WO CONTRST,3575.0,2681.25,1.0,202.35,12
CPT,70460,CT HEAD/BRAIN W CONTRAST,3016.0,2262.0,1.0,398.4,12
CPT,70470,CT HEAD/BRAIN WO/W CONTR,5200.0,3900.0,1.0,448.64,12
CPT,70480,CT ORB/EAR/FOSSA W/O CM,4912.0,3684.0,1.0,202.35,12
CPT,70481,CT ORB/EAR/FOSSA W/CM,4710.0,3532.5,1.0,398.4,12
CPT,70482,CT ORB/EAR/FOSSA WO/W CM,8465.0,6348.75,1.0,448.64,12
CPT,70486,CT MAXILLOFACIAL W/O CM,4599.0,3449.25,1.0,202.35,12
CPT,70486,CT SINUS W/O CONTRAST,4405.0,3303.75,1.0,202.35,12
CPT,70487,CT MAXILLOFACIAL W/CM,5740.0,4305.0,1.0,398.4,12
CPT,70487,CT SINUS WITH CONTRAST,4599.0,3449.25,1.0,398.4,12
CPT,70488,CT MAXILLOFACIAL WO/W CM,8465.0,6348.75,1.0,448.64,12
CPT,70488,CT SINUS WO/W CONTRAST,8465.0,6348.75,1.0,448.64,12
CPT,70490,CT SOFT TISS NECK WO CM,3750.0,2812.5,1.0,202.35,12
CPT,70491,CT SOFT TISS NECK W CM,4185.0,3138.75,1.0,398.4,12
CPT,70492,CT SFT TISS NECK WO/W CM,6446.0,4834.5,1.0,448.64,12
CPT,70496,CTA HEAD W CONTRAST ONLY,14890.0,11167.5,1.0,467.14,12
CPT,70498,CTA NECK W CONTRAST ONLY,7033.0,5274.75,1.0,467.14,12
CPT,704T,REM TX AMBLYOPIA SETUP&EDU,,,1.0,3.2,10
CPT,70540,MRI ORB/FACE/NECK WO CM,5516.0,4137.0,1.0,471.65,12
CPT,70542,MRI ORBIT/FACE/NECK W/DYE,,,1.0,682.38,12
CPT,70543,MRI ORB/FACE/NECK WO/W C,8744.0,6558.0,1.0,788.67,12
CPT,70544,MRA HEAD W/O CONTRAST,6801.0,5100.75,1.0,471.65,24
CPT,70545,MRA HEAD W/CONTRAST,8828.5,6621.375,1.0,682.38,24
CPT,70546,MRA HEAD WO/W CONTRAST,13718.0,10288.5,1.0,788.67,24
CPT,70547,MRA NECK W/O CONTRAST,6801.0,5100.75,1.0,471.65,12
CPT,70548,MRA NECK W CONTRAST,9249.0,6936.75,1.0,682.38,12
CPT,70549,MRA NECK WO/W CONTRAST,11097.0,8322.75,1.0,788.67,12
CPT,70551,MRI BRAIN W/O CONTRAST,7140.0,5355.0,1.0,471.65,12
CPT,70552,MRI BRAIN WITH CONTRAST,7322.0,5491.5,1.0,682.38,12
CPT,70553,MRI BRAIN WO/W CONTRAST,13520.0,10140.0,1.0,788.67,12
CPT,70554,MRI BR FUNCTIONAL TECH,5028.0,3771.0,1.0,471.65,12
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,,,1.0,471.65,15
CPT,70557,MRI BRAIN W/O DYE,,,1.0,612.62,15
CPT,70558,MRI BRAIN W/DYE,,,1.0,682.38,15
CPT,70559,MRI BRAIN W/O & W/DYE,,,1.0,788.67,15
CPT,705T,REM TX AMBLYOPIA TECH SPRT,,,1.0,3.2,10
CPT,706T,REM TX AMBLYOPIA I&R PHY/QHP,,,1.0,3.2,10
CPT,707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,0.22,16.13,96
CPT,708T,ID CA IMMNTX PREP & 1ST NJX,,,1.0,3.2,15
CPT,709T,ID CA IMMNTX EACH ADDL NJX,,,1.0,3.2,15
CPT,70U,CYP2D6 GEN COM&SLCT RAR VRNT,,,0.92,676.37,14
CPT,71045,CHEST 1 VIEW,403.0,302.25,1.0,99.38,17
CPT,71046,CHEST 2 VIEWS,705.0,528.75,1.0,99.38,17
CPT,71047,CHEST 3 VIEWS,607.0,455.25,1.0,99.38,17
CPT,71048,CHEST 4+ VIEWS,631.0,473.25,1.0,189.98,17
CPT,710T,N-INVAS ARTL PLAQ ALYS,,,0.92,1.12,10
CPT,71100,RIBS UNILAT 2VW,429.0,321.75,1.0,91.76,17
CPT,71101,RIBS UNI 3V MIN W/PA CXR,585.0,438.75,1.0,145.42,17
CPT,71110,RIBS BILAT 3VW MIN,706.0,529.5,1.0,145.42,17
CPT,71111,RIBS BI 4V MIN W/PA CXR,1158.0,868.5,1.0,145.42,17
CPT,71120,STERNUM 2VW MIN,591.0,443.25,1.0,91.76,34
CPT,71130,STERNCLAVR JNTS 3VW MIN,510.0,382.5,1.0,91.76,17
CPT,711T,N-NVS ARTL PLAQ ALYS DAT PRP,,,0.92,1.12,10
CPT,71250,CT THORAX W/O CONTRAST,1682.5,1261.875,1.0,202.35,24
CPT,71260,CT THORAX WITH CONTRAST,3554.0,2665.5,1.0,398.4,12
CPT,71270,CT THORAX WO/W CONTRAST,5086.0,3814.5,1.0,448.64,12
CPT,71271,CT LUNG SCREENING,348.0,261.0,1.0,158.88,17
CPT,71275,CTA CHEST (NONCOR) W CM,7578.0,5683.5,1.0,467.14,12
CPT,712T,N-NVS ARTL PLAQ ALYS QUAN,,,0.92,1.12,10
CPT,713T,N-NVS ARTL PLAQ ALYS RVW I&R,,,0.92,1.12,10
CPT,714T,TPRNL LSR ABLT B9 PRST8 HYPR,,,0.22,16.13,96
CPT,71550,MRI CHEST W/O CONTRAST,6268.0,4701.0,1.0,471.65,12
CPT,71551,MRI CHEST W/CONTRAST,7924.0,5943.0,1.0,715.18,12
CPT,71552,MRI CHEST WO/W CONTRAST,9194.0,6895.5,1.0,788.67,12
CPT,71555,MRI ANGIO CHEST W OR W/O DYE,,,1.0,524.45,12
CPT,716T,CAR ACOUS WAVFRM REC CAD RSK,,,0.92,3.2,20
CPT,717T,ADRC THER PRTL RC TEAR,,,0.22,16.13,96
CPT,718T,ADRC THER PRTL RC TEAR NJX,,,0.22,16.13,96
CPT,719T,PST VRT JT RPLCMT LMBR 1 SGM,,,0.22,16.13,96
CPT,71T,US LEIOMYOMATA ABLATE <200,,,0.22,9407.0,102
CPT,71U,CYP2D6 FULL GENE SEQUENCE,,,0.92,600.0,14
CPT,72020,SPINE ANY LEVEL SNGL VW,385.0,288.75,1.0,91.76,17
CPT,72040,SPINE CERVICAL 2 VIEWS,531.0,398.25,1.0,91.76,17
CPT,72040,SPINE CERVICAL 3 VIEWS,1051.0,788.25,1.0,91.76,17
CPT,72050,SPINE CERVICAL 4 OR 5 VW,809.0,606.75,1.0,145.42,17
CPT,72052,SPINE CERV 6 > VWS,790.0,592.5,1.0,145.42,17
CPT,72070,SPINE THORACIC 2 VIEWS,482.0,361.5,1.0,108.97,17
CPT,72072,SPINE THORACIC 3 VIEWS,549.0,411.75,1.0,145.42,17
CPT,72074,SPINE THORACIC 4VW MIN,724.0,543.0,1.0,108.97,17
CPT,72080,SPINE THORACO-LUMBAR JCT,463.0,347.25,1.0,91.76,17
CPT,72081,X-RAY EXAM ENTIRE SPI 1 VW,,,1.0,97.28,17
CPT,72082,X-RAY EXAM ENTIRE SPI 2/3 VW,,,1.0,161.1,17
CPT,72083,X-RAY EXAM ENTIRE SPI 4/5 VW,,,1.0,307.15,17
CPT,72084,X-RAY EXAM ENTIRE SPI 6/> VW,,,1.0,307.15,17
CPT,720T,PRQ ELC NRV STIM CN WO IMPLT,,,0.22,3257.38,16
CPT,72100,SPINE LUMBAR 2 VIEWS,579.0,434.25,1.0,108.97,17
CPT,72100,SPINE LUMBAR 3 VIEWS,1128.0,846.0,1.0,108.97,17
CPT,72110,SPINE LUMBAR MIN 4VWS,837.0,627.75,1.0,145.42,17
CPT,72114,SP LUMBAR MIN 6 VWS,946.0,709.5,1.0,145.42,17
CPT,72120,LUMB BENDNG 2 OR 3 VWS,548.0,411.0,1.0,145.42,17
CPT,72125,CT SPINE CERVICAL W/O CM,4121.0,3090.75,1.0,202.35,12
CPT,72126,CT SPINE CERVICAL W/CM,3045.0,2283.75,1.0,398.4,12
CPT,72127,CT SPINE CERVICL WO/W CM,3501.0,2625.75,1.0,448.64,12
CPT,72128,CT SPINE THORACIC W/O CM,4405.0,3303.75,1.0,202.35,12
CPT,72129,CT SPINE THORACIC W/CM,5267.0,3950.25,1.0,398.4,12
CPT,72130,CT SPINE THORACIC WO/W,7802.0,5851.5,1.0,448.64,12
CPT,72131,CT SPINE LUMBAR W/O CM,2723.0,2042.25,1.0,202.35,12
CPT,72132,CT SPINE LUMBAR W/CM,3037.0,2277.75,1.0,398.4,12
CPT,72133,CT SPINE LUMBAR WO/W CM,4047.0,3035.25,1.0,448.64,12
CPT,72141,MRI SPINE CERVICL W/O CM,6069.0,4551.75,1.0,471.65,12
CPT,72142,MRI SPINE CERVICAL W/CM,7948.0,5961.0,1.0,682.38,12
CPT,72146,MRI SPINE THORAC W/O CM,6106.0,4579.5,1.0,471.65,12
CPT,72147,MRI SPINE THORACIC W/CM,8451.0,6338.25,1.0,682.38,12
CPT,72148,MRI SPINE LUMBAR W/O CM,5714.0,4285.5,1.0,471.65,12
CPT,72149,MRI SPINE LUMBAR W/CM,5614.0,4210.5,1.0,682.38,12
CPT,72156,MRI SPINE CERV WO/W CM,13451.0,10088.25,1.0,788.67,12
CPT,72157,MRI SPINE THOR WO/W CM,13000.0,9750.0,1.0,788.67,12
CPT,72158,MRI SPINE LUMBAR WO/W CM,12003.0,9002.25,1.0,788.67,12
CPT,72159,MR ANGIO SPINE W/O&W/DYE,,,1.0,1338.6,17
CPT,72170,PELVIS 1 VIEW,387.0,290.25,1.0,108.97,17
CPT,72170,PELVIS 2 VIEWS,877.0,657.75,1.0,108.97,17
CPT,72190,PELVIS MIN 3 VWS,425.0,318.75,1.0,108.97,17
CPT,72191,CTA PELVS W CONTRST ONLY,6870.0,5152.5,1.0,467.14,12
CPT,72192,CT PELVIS W/O CONTRAST,2737.0,2052.75,1.0,202.35,12
CPT,72193,CT PELVIS WITH CONTRAST,3272.0,2454.0,1.0,398.4,12
CPT,72194,CT PELVIS WO/W CM,5123.0,3842.25,1.0,448.64,12
CPT,72195,MRI PELVIS W/O CONTRAST,5035.0,3776.25,1.0,471.65,12
CPT,72196,MRI PELVIS W/ CONTRAST,7761.0,5820.75,1.0,682.38,12
CPT,72197,MRI PELVIS WO/W CONTRAST,8740.0,6555.0,1.0,788.67,12
CPT,72198,MR ANGIO PELVIS W/O & W/DYE,,,1.0,533.62,12
CPT,721T,QUAN CT TISS CHARAC W/O CT,,,0.92,650.5,14
CPT,72200,SACROILIAC JOINTS 2 VWS,367.0,275.25,1.0,108.97,17
CPT,72202,SACROILIAC JOINTS 3 VWS,436.0,327.0,1.0,108.97,17
CPT,72220,SACRUM COCCYX 2 VWS,555.0,416.25,1.0,91.76,17
CPT,72240,MYELOGRAM CERV S&I,4701.0,3525.75,1.0,955.86,17
CPT,72255,MYELOGRAM THORACIC S&I,4949.0,3711.75,1.0,955.86,17
CPT,72265,MYELOGRAM LUMBAR S&I,4701.0,3525.75,1.0,955.86,17
CPT,72270,MYELOGRAM 2 OR> REGIONS,5171.0,3878.25,1.0,955.86,17
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,,,1.0,4417.62,17
CPT,72295,DISCOGRAPHY LUMBAR,9985.0,7488.75,1.0,4417.62,17
CPT,722T,QUAN CT TISS CHARAC W/CT,,,0.92,1.12,14
CPT,723T,QMRCP W/O DX MRI SM ANAT SES,,,0.92,950.5,14
CPT,724T,QMRCP W/DX MRI SAME ANATOMY,,,0.92,1.12,14
CPT,725T,VESTIBULAR DEV IMPLTJ UNI,,,0.22,16.13,96
CPT,726T,RMVL IMPLT VSTIBULAR DEV UNI,,,0.22,16.13,96
CPT,727T,RMVL&RPLCMT IMPLT VSTBLR DEV,,,0.22,16.13,96
CPT,728T,DX ALYS VSTBLR IMPLT UNI 1ST,,,1.0,3.2,10
CPT,729T,DX ALYS VSTBLR IMPLT UNI SBQ,,,1.0,3.2,10
CPT,72T,FCSD US ABLTJ LEIOMYOM>=200,,,0.22,9407.0,102
CPT,72U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,0.92,450.91,14
CPT,73000,CLAVICLE COMPLETE,479.0,359.25,1.0,91.76,17
CPT,73010,SCAPULA COMPLETE,463.0,347.25,1.0,108.97,17
CPT,73020,SHOULDER SINGLE VIEW,278.0,208.5,1.0,91.76,17
CPT,73030,SHOULDER 2 VWS MINIMUM,463.0,347.25,1.0,91.76,17
CPT,73040,SHOULDER ARTHROGRAPHY,964.0,723.0,1.0,542.93,17
CPT,73050,ACROMIOCLAVICULAR JTS BI,502.0,376.5,1.0,91.76,17
CPT,73060,HUMERUS 2 VIEW MINIMUM,387.0,290.25,1.0,91.76,17
CPT,73070,ELBOW 2 VIEWS,470.0,352.5,1.0,91.76,17
CPT,73080,ELBOW 3 VIEW MINIMUM,423.0,317.25,1.0,91.76,17
CPT,73085,ELBOW ARTHROGRAPHY,2332.0,1749.0,1.0,542.93,34
CPT,73090,FOREARM 2 VIEWS,370.0,277.5,1.0,91.76,17
CPT,73092,UPPER EXTREMITY INFANT,342.0,256.5,1.0,145.42,17
CPT,730T,TRABECULOTOMY LSR W/OCT GDN,,,0.22,16.13,96
CPT,73100,WRIST 2 VIEWS,453.0,339.75,1.0,91.76,17
CPT,73110,WRIST 3 VIEWS MINIMUM,526.0,394.5,1.0,91.76,17
CPT,73115,WRIST ARTHROGRAPHY,1042.0,781.5,1.0,542.93,17
CPT,73120,HAND 2 VIEWS,356.0,267.0,1.0,108.97,17
CPT,73130,HAND 3 VIEWS MINIMUM,729.0,546.75,1.0,91.76,17
CPT,73140,FINGER(S) 2 VIEWS,348.0,261.0,1.0,91.76,17
CPT,731T,AUGMNT AI-BASED FCL PHNT A/R,,,1.0,3.2,10
CPT,73200,CT UPPER EXTRMTY W/O CM,2685.0,2013.75,1.0,202.35,12
CPT,73201,CT UPPER EXTRMTY W/ CM,2998.0,2248.5,1.0,398.4,12
CPT,73202,CT UPPER EXTRMTY WO/W CM,4434.0,3325.5,1.0,448.64,12
CPT,73206,CTA UP EXT W CONTRST ONL,6693.0,5019.75,1.0,467.14,12
CPT,73218,MRI UP EXT NONJNT W/O CM,5579.0,4184.25,1.0,471.65,12
CPT,73219,MRI UPPER EXTREMITY W/DYE,,,1.0,682.38,12
CPT,73220,MRI UP EXT NONJNT WO/WCM,9170.0,6877.5,1.0,788.67,12
CPT,73221,MRI UP EXT JNT W/O CM,5858.0,4393.5,1.0,471.65,12
CPT,73222,MRI UP EXT JNT W/ CM,8042.0,6031.5,1.0,715.18,12
CPT,73223,MRI UP EXT JNT WO/W CM,9170.0,6877.5,1.0,788.67,12
CPT,73225,MR ANGIO UPR EXTR W/O&W/DYE,,,1.0,550.24,17
CPT,732T,IMMNTX ADMN ELECTROPORATN IM,,,1.0,3.2,15
CPT,733T,REM R-T MTN NREHAB THER SPLY,,,1.0,3.2,10
CPT,734T,REM R-T MTN NREHAB TX MGMT,,,1.0,3.2,10
CPT,73501,HIP UNI SINGLE VIEW,206.0,154.5,1.0,97.28,17
CPT,73501,HIP UNI W/PELVIS 1VW,778.0,583.5,1.0,97.28,17
CPT,73502,HIP UNI W/PELV 2-3 VWS,311.0,233.25,1.0,97.28,17
CPT,73503,HIP UNI W/PEL 4+VWS,410.0,307.5,1.0,161.1,17
CPT,73521,HIP BI W/PEL 2WS,512.0,384.0,1.0,161.1,17
CPT,73522,HIP BI W/PEL 3-4 VWS,616.0,462.0,1.0,161.1,17
CPT,73523,HIP BI W/PEL 5VWS,718.0,538.5,1.0,307.15,17
CPT,73525,HIP ARTHROGRAPHY,2559.0,1919.25,1.0,542.93,34
CPT,73551,FEMUR 1 VW,206.0,154.5,1.0,97.28,17
CPT,73552,FEMUR 2 VIEWS MIN,311.0,233.25,1.0,97.28,17
CPT,73560,KNEE 1-2 VIEWS,595.0,446.25,1.0,91.76,17
CPT,73562,KNEE 3 VIEWS,531.0,398.25,1.0,91.76,17
CPT,73564,KNEE COMP 4 VW MIN,510.0,382.5,1.0,108.97,17
CPT,73565,KNEES/BILAT AP STANDING,576.0,432.0,1.0,91.76,17
CPT,73580,KNEE ARTHROGRAPHY,2641.0,1980.75,1.0,542.93,17
CPT,73590,TIBIA/FIBULA 2 VIEWS,548.0,411.0,1.0,91.76,17
CPT,73592,LOWER EXT INFANT AP&LAT,342.0,256.5,1.0,91.76,17
CPT,735T,PREP TUM CAV IORT PRIM CRNOT,,,0.22,16.13,96
CPT,73600,ANKLE 2 VIEWS,473.0,354.75,1.0,91.76,17
CPT,73610,ANKLE 3 VIEWS MINIMUM,502.0,376.5,1.0,91.76,17
CPT,73615,ANKLE ARTHROGRAPHY,2179.0,1634.25,1.0,542.93,34
CPT,73620,FOOT 2 VIEWS,356.0,267.0,1.0,91.76,17
CPT,73630,FOOT 3 VIEWS MINIMUM,502.0,376.5,1.0,91.76,17
CPT,73650,OS CALCIS 2 VIEWS,292.0,219.0,1.0,91.76,17
CPT,73660,TOE(S) 2 VIEWS,311.0,233.25,1.0,91.76,17
CPT,736T,NFCT AGT STI MULT AMP PRB TQ,,,0.22,16.13,96
CPT,73700,CT LOWER EXTRMTY W/O CM,2701.0,2025.75,1.0,202.35,12
CPT,73701,CT LOWER EXTRMTY W/ CM,3012.0,2259.0,1.0,398.4,12
CPT,73702,CT LOWER EXTRMTY WO/W CM,5037.0,3777.75,1.0,448.64,12
CPT,73706,CTA LOW EXT W CNTRST ONL,6254.0,4690.5,1.0,467.14,12
CPT,73718,MRI LE NONJNT W/O CM,5557.0,4167.75,1.0,471.65,12
CPT,73719,MRI LE NJ W/CM,7119.0,5339.25,1.0,682.38,12
CPT,73720,MRI LE NONJNT WO/W CM,7101.0,5325.75,1.0,788.67,12
CPT,73721,MRI LOWR EXT JNT W/O CM,4532.0,3399.0,1.0,471.65,12
CPT,73722,MRI LOWR EXT JNT W/ CM,5790.0,4342.5,1.0,715.18,12
CPT,73723,MRI LE JNT WO/W CM,7404.0,5553.0,1.0,788.67,12
CPT,73725,MR ANG LWR EXT W OR W/O DYE,,,1.0,533.62,12
CPT,737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,0.22,16.13,96
CPT,738T,TX PLN MAG FLD ABLTJ PRST8,,,1.0,3.2,10
CPT,739T,ABLTJ MAL PRST8 MAG FLD NDCT,,,0.22,16.13,96
CPT,73U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,0.92,450.91,14
CPT,74018,ABDOMEN 1 VIEW,284.0,213.0,1.0,99.38,17
CPT,74019,ABDOMEN 2 VIEWS,837.0,627.75,1.0,189.98,17
CPT,74021,ABDOMEN 3/+ VIEWS,719.0,539.25,1.0,189.98,17
CPT,74022,ABDOMEN 2+VWS SNGL VW CHEST,772.0,579.0,1.0,145.42,17
CPT,740T,REM AUTON ALG NSLN CAL SETUP,,,1.0,190.18,10
CPT,74150,CT ABDOMEN W/O CM,2955.0,2216.25,1.0,202.35,12
CPT,74160,CT ABDOMEN W/ CM,3354.0,2515.5,1.0,398.4,12
CPT,74170,CT ABDOMEN WO/W CM,5247.0,3935.25,1.0,448.64,12
CPT,74174,CTA ABD/PEL W CONTRAST,6569.0,4926.75,1.0,624.21,17
CPT,74175,CTA ABD W CONTRAST ONLY,6782.0,5086.5,1.0,467.14,12
CPT,74176,CT ABD & PELVIS W/O CM,5064.0,3798.0,1.0,386.86,24
CPT,74177,CT ABD & PELVIS W/CM,5037.0,3777.75,1.0,624.21,24
CPT,74178,CT ABD & PELVIS WO/W CM,5756.0,4317.0,1.0,624.21,24
CPT,74181,MRI ABDOMEN W/O CM,5451.0,4088.25,1.0,471.65,12
CPT,74182,MRI ABDOMEN W/ CM,5590.0,4192.5,1.0,682.38,12
CPT,74183,MRI ABDOMEN WO/W CM,6918.0,5188.5,1.0,788.67,12
CPT,74185,MRI ANGIO ABDOM W ORW/O DYE,,,1.0,534.77,12
CPT,74190,X-RAY EXAM OF PERITONEUM,,,1.0,1181.9,15
CPT,741T,REM AUTON ALG NSLN DATA COLL,,,1.0,1152.61,10
CPT,74210,PHARYX &/OR CERV ESOPH+CM STDY,628.0,471.0,1.0,178.55,17
CPT,74220,X-RAY ESOPHAGUS SNGL CM STDY,803.0,602.25,1.0,178.55,17
CPT,74221,ESOPHAGUS W/CONTRAST,1574.0,1180.5,1.0,291.52,17
CPT,74230,SWAL FUNC W/CINE/VIDEO+CM STDY,994.0,745.5,1.0,178.55,17
CPT,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,1.0,170.19,15
CPT,74240,UPPER GI W/SNGL CM STDY,1446.0,1084.5,1.0,241.97,17
CPT,74246,UPPER GI DOUBLE CM STDY,1926.0,1444.5,1.0,241.97,17
CPT,74248,UPPER GI SM INT F-THRU,4114.0,3085.5,1.0,86.29,17
CPT,74250,SM BOWEL SNGL CM STDY,714.0,535.5,1.0,178.55,17
CPT,74251,ENTERCOLYSIS SM BOWEL DBL CM,289.0,216.75,1.0,526.64,17
CPT,74261,CT COLONOGRAPHY DX,,,1.0,387.85,12
CPT,74262,CT COLONOGRAPHY DX W/DYE,,,1.0,447.8,12
CPT,74263,CT COLONOGRAPHY SCREENING,,,0.92,1023.1,17
CPT,74270,COLON SNGL CM STUDY,1144.0,858.0,1.0,241.97,17
CPT,74280,COLON DBL CM STUDY INCLD GLUC,1579.0,1184.25,1.0,278.5,17
CPT,74283,THER NMA RDCTJ INTUS/OBSTRCJ,,,1.0,285.05,17
CPT,74290,CONTRAST X-RAY GALLBLADDER,,,1.0,178.55,17
CPT,742T,AQMBF SPECT XERS/STRS & REST,,,0.92,3.2,19
CPT,74300,CHOLANGIO INTRAOP S&I INT,2088.0,1566.0,1.0,73.19,15
CPT,74300,CHOLANGIOGRPHY OPERATVE,837.0,627.75,1.0,73.19,15
CPT,74301,X-RAYS AT SURGERY ADD-ON,,,1.0,14.88,15
CPT,74328,ENDO CATH BILIARY SYSTEM,477.0,357.75,1.0,141.04,15
CPT,74329,X-RAY FOR PANCREAS ENDOSCOPY,,,1.0,142.22,15
CPT,74330,ERCP BILIARY&PANCREATIC,827.0,620.25,1.0,129.13,15
CPT,74340,GI TUBE INTRO W/FLUORO,1167.0,875.25,1.0,167.22,15
CPT,74355,X-RAY GUIDE INTESTINAL TUBE,,,1.0,170.79,15
CPT,74360,DIL STRICT/OBST,4260.0,3195.0,1.0,216.61,15
CPT,74360,INTRALUMINL DILATN ESOPH,4011.0,3008.25,1.0,216.61,15
CPT,74363,BILIARY DIL W/WO STENT,2926.0,2194.5,1.0,382.04,15
CPT,743T,B1 STR & FX RSK VRT FX ASSMT,,,1.0,241.72,14
CPT,74400,UROGRAPHY IV +-KUB TOMOG,,,1.0,412.16,17
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,,,1.0,412.16,17
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,,,1.0,412.16,17
CPT,74420,PYELOGRAM RETRO,2526.0,1894.5,1.0,412.16,17
CPT,74420,UROG/PYELOGRAPHY RETRO,974.0,730.5,1.0,412.16,17
CPT,74425,ANTEGRADE NEPHROSTOGRAM,601.0,450.75,1.0,412.16,17
CPT,74430,CYSTOGRAPHY 3VW MIN,577.0,432.75,1.0,412.16,17
CPT,74440,X-RAY MALE GENITAL TRACT,,,1.0,412.16,17
CPT,74445,X-RAY EXAM OF PENIS,,,1.0,412.16,15
CPT,74450,URETHROCYSTOGRAPHY RETR,601.0,450.75,1.0,412.16,15
CPT,74455,URETHROCYSTOGRAPHY VOID,744.0,558.0,1.0,412.16,17
CPT,74470,X-RAY EXAM OF KIDNEY LESION,,,1.0,1181.9,15
CPT,74485,DILAT NEPHRO/URETR/URETH,6206.0,4654.5,1.0,1927.68,17
CPT,744T,INSJ BIOPROSTC VLV FEM VN,,,0.22,16.13,96
CPT,745T,CAR ABLT RAD ARR N-INVAS LOC,,,0.22,3.2,16
CPT,746T,CAR ABLT RAD ARR CNV LOC MAP,,,0.22,3.2,16
CPT,74712,MRI FETAL SNGL/1ST GESTATION,,,1.0,486.17,17
CPT,74713,MRI FETAL EA ADDL GESTATION,,,1.0,203.52,17
CPT,74740,HYSTEROSALPINGOGRAPHY,606.0,454.5,1.0,508.66,17
CPT,74742,X-RAY FALLOPIAN TUBE,,,1.0,204.7,15
CPT,74775,X-RAY EXAM OF PERINEUM,,,1.0,412.16,15
CPT,747T,CAR ABLT RAD ARRHYT DLVR RAD,,,0.22,1.12,16
CPT,748T,NJX STM CL PRDCT ANL SFT TIS,,,0.22,16.13,96
CPT,749T,B1 STR&FX RSK ASSMT DXR-BMD,,,0.5,3.2,14
CPT,74U,CYP2D6 NONDUPLICATED GENE,,,0.92,450.91,14
CPT,750T,B1 STR&FX RSK ASMT DXRBMD1VW,,,0.5,3.2,14
CPT,751T,DGTZ GLS MCRSCP SLD LEVEL II,,,0.5,1.12,14
CPT,752T,DGTZ GLS MCRSCP SLD LVL III,,,0.5,1.12,14
CPT,753T,DGTZ GLS MCRSCP SLD LEVEL IV,,,0.5,1.12,14
CPT,754T,DGTZ GLS MCRSCP SLD LEVEL V,,,0.5,1.12,14
CPT,75557,CMRI MORPH FUNCT WO CONT,5768.0,4326.0,1.0,471.65,12
CPT,75559,CARDIAC MRI W/STRESS IMG,,,1.0,482.89,12
CPT,75561,CMRI MORPH FUNCT WO/W,6974.0,5230.5,1.0,788.67,12
CPT,75563,CARD MRI W/STRESS IMG & DYE,,,1.0,1845.79,12
CPT,75565,CARD MRI VELOC FLOW MAPPING,,,1.0,60.1,17
CPT,75571,CT CARD SCORING WO CONT,154.0,115.5,1.0,133.29,17
CPT,75572,CT HRT STRUCT MORPH W CM,2890.0,2167.5,1.0,355.22,12
CPT,75573,CT HRT C+ STRUX CGEN HRT DS,,,1.0,355.22,12
CPT,75574,CTA HEART W CONTRAST,3152.0,2364.0,1.0,355.22,12
CPT,75580,N-INVAS EST C FFR SW ALY CTA,,,1.0,4246.0,16
CPT,755T,DGTZ GLS MCRSCP SLD LEVEL VI,,,0.5,1.12,14
CPT,75600,THORACIC W/O SERL COMP,11965.0,8973.75,1.0,4122.3,17
CPT,75605,THORACIC W/SERL COMPLT,11949.0,8961.75,1.0,4770.37,51
CPT,75625,ABD AORTOGRPHY BY SERIAL,7217.5,5413.125,1.0,4122.3,51
CPT,75630,ABD AORTA W/BI LWR EXT,6923.0,5192.25,1.0,4122.3,51
CPT,75635,CTA ABD LE RO W CONT ONL,5606.0,4204.5,1.0,467.14,12
CPT,756T,DGTZ GLS MCRSCP SLD SPC GRPI,,,0.5,1.12,14
CPT,75705,ANGIO SPINAL SELECTIVE,15622.0,11716.5,1.0,7221.79,34
CPT,75710,ANGIO EXTREMITY UNILAT,12556.0,9417.0,1.0,4122.3,34
CPT,75716,ANGIO EXTREMITY BILAT,8353.0,6264.75,1.0,4122.3,51
CPT,75726,ANGIO VISCERAL SEL/SUPSEL,15344.0,11508.0,1.0,7221.79,34
CPT,75731,ADRENL SEL UNI,8069.0,6051.75,1.0,4122.3,17
CPT,75733,ARTERY X-RAYS ADRENALS,,,1.0,4122.3,17
CPT,75736,ANGIO PELVIC SELECT/SUP,12864.0,9648.0,1.0,4770.37,34
CPT,75741,ANGIO PULMONARY UNI SLCT,8334.0,6250.5,1.0,4122.3,34
CPT,75743,ANGIO PULM SEL BI,7939.5,5954.625,1.0,4122.3,34
CPT,75746,ANGIO PULM NON-SEL CATH,5026.0,3769.5,1.0,2861.66,17
CPT,75756,ANGIO INTERNAL MAMMARY,8995.0,6746.25,1.0,2861.66,17
CPT,75774,ANGIO SELECT EA ADD VESL,6537.0,4902.75,1.0,89.85,34
CPT,757T,DGTZ GLS MCRSCP SL SPC GRPII,,,0.5,1.12,14
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,,,1.0,690.78,15
CPT,75803,LYMPH VESSEL X-RAY ARMS/LEGS,,,1.0,1735.66,15
CPT,75805,LYMPHNGIO UN PELVIC/ABD,4081.0,3060.75,1.0,3516.7,15
CPT,75807,LYMPHNGIO BI PELVIC/ABD,5560.0,4170.0,1.0,3516.7,15
CPT,75809,SHUNTOGRAM PREV NONVASC,1899.0,1424.25,1.0,145.42,17
CPT,75810,VEIN X-RAY SPLEEN/LIVER,,,1.0,4122.3,15
CPT,75820,VENOGRAM EXTREMITY UNI,3532.0,2649.0,1.0,1406.14,68
CPT,75822,VENOGRAM EXTREMITY BI,2118.0,1588.5,1.0,1406.14,51
CPT,75825,INFERIOR VENACAVAGRAM,5379.0,4034.25,1.0,4122.3,34
CPT,75827,SUPERIOR VENACAVAGRAM,2595.0,1946.25,1.0,1406.14,17
CPT,75831,VENOGRAPHY RENAL UNILAT,7777.0,5832.75,1.0,4122.3,17
CPT,75833,VENOGRAPHY RENAL BILAT,12040.0,9030.0,1.0,4122.3,17
CPT,75840,VEIN X-RAY ADRENAL GLAND,,,1.0,4122.3,17
CPT,75842,VENOGRAPHY ADRENAL BI,10056.0,7542.0,1.0,4770.37,17
CPT,75860,VENOGRM VNUS SINUS/JUGUL,6282.5,4711.875,1.0,2861.66,34
CPT,75870,VENOGRAPHY SUP SAGITTAL,6706.0,5029.5,1.0,2861.66,17
CPT,75872,VEIN X-RAY SKULL EPIDURAL,,,1.0,1323.12,17
CPT,75880,VEIN X-RAY EYE SOCKET,,,1.0,1323.12,17
CPT,75885,PERC TRNSHEP PORT W/EVL,6266.0,4699.5,1.0,4122.3,17
CPT,75887,PERC TRSHEP PORT WO/EVL,6270.0,4702.5,1.0,2861.66,17
CPT,75889,HEPATIC VENGRPHY W/EVAL,6360.0,4770.0,1.0,4122.3,17
CPT,75891,HEPATIC VENGPHY WO/EVAL,10751.0,8063.25,1.0,4122.3,17
CPT,75893,VENOUS SAMPLING VIA CATH,13444.0,10083.0,1.0,4770.37,17
CPT,75894,TRNSCTH EMBOLIZATN,12957.0,9717.75,1.0,1650.14,15
CPT,75898,ANGIO EXIST CATH F/U STU,5007.0,3755.25,1.0,3516.7,15
CPT,758T,DGTZ GLS MCRSCP SL SPC HCHEM,,,0.5,1.12,14
CPT,75901,REM PERICTH OBST CV CATH,1878.0,1408.5,1.0,357.04,17
CPT,75902,REMOVE CVA LUMEN OBSTRUCT,,,1.0,120.21,17
CPT,75956,XRAY ENDOVASC THOR AO REPR,,,0.5,260.64,15
CPT,75957,XRAY ENDOVASC THOR AO REPR,,,0.5,268.38,15
CPT,75958,XRAY PLACE PROX EXT THOR AO,,,0.5,81.53,15
CPT,75959,XRAY PLACE DIST EXT THOR AO,,,0.5,86.88,15
CPT,75970,TRNSCTH BIOPSY S&I,4867.0,3650.25,1.0,698.61,15
CPT,75984,CHANGE PERC DRAIN CATH,1973.0,1479.75,1.0,101.75,17
CPT,75989,PERC DRAIN W CATH PLC,2070.5,1552.875,1.0,99.98,68
CPT,759T,DGTZ GLS MCRSCP SL SP GRPIII,,,0.5,1.12,14
CPT,75T,PL VERT/THORAC STNT INIT,11105.0,8328.75,0.22,9994.5,115
CPT,75T,PL/VERT/THORAC STNT INIT,9574.0,7180.5,0.22,11616.3,230
CPT,75U,CYP2D6 5' GENE DUP/MLT,,,0.92,450.91,14
CPT,76000,FLUOROSCOPY <1HOUR,1262.5,946.875,1.0,250.67,34
CPT,76010,X-RAY NOSE TO RECTUM,,,1.0,91.76,17
CPT,76014,MRI SFTY IMPLT&FB 1ST 15MIN,131.0,98.25,0.92,24.49,16
CPT,76015,MRI SFTY MPLT&FB ADD 30MIN,261.0,195.75,0.92,69.17,16
CPT,76016,MRI SAFETY DETER PHYS/QHP,470.0,352.5,0.92,88.05,16
CPT,76017,MRI SFTY MED PHYSICS XM CSTMZ,1291.0,968.25,0.92,245.41,16
CPT,76018,MRI SAFETY IMPLANT ELEC PREPJ,490.0,367.5,0.92,102.36,16
CPT,76019,MRI SAFETY IMPLT POS&/IMMOBLJ,317.0,237.75,0.92,156.36,16
CPT,76080,FISTULA-SINUS TRCT STDY,1885.0,1413.75,1.0,508.66,17
CPT,76098,SURGICAL SPECIMEN,1490.0,1117.5,1.0,508.66,17
CPT,760T,DGTZ GLS MCRSCP SL IMM 1ST,,,0.5,1.12,14
CPT,76100,X-RAY EXAM OF BODY SECTION,,,1.0,145.42,17
CPT,76120,CINE/VIDEO RADIOGRAPHY,360.0,270.0,1.0,250.67,17
CPT,76125,CINE/VIDEO X-RAYS ADD-ON,,,0.92,1.6,15
CPT,76140,X-RAY CONSULTATION,,,0.5,1.12,15
CPT,76145,MED PHYSIC DOS EVAL RAD EXPS,,,1.0,1757.85,17
CPT,761T,DGTZ GLS MCRSCP SL IMM EA 1,,,0.5,1.12,14
CPT,762T,DGTZ GLS MCRSCP SL IMM EA M,,,0.5,1.12,14
CPT,76376,3D IMAGNG NO POSTPROCESS,1094.0,820.5,1.0,29.16,68
CPT,76377,3D IMAGING W POSTPROCESS,382.5,286.875,1.0,74.98,68
CPT,76380,CT LTD OR LOC F/U STUDY,3584.0,2688.0,1.0,157.1,17
CPT,76390,MRI SPECTROSCOPY,4703.0,3527.25,1.0,602.4,15
CPT,76391,MR (VIBRATION) ELASTOGRAPHY,6247.0,4685.25,1.0,368.9,17
CPT,763T,DGTZ GLS MCRSCP MPHMTRC ALYS,,,0.5,1.12,14
CPT,76496,UNLISTED FLUOROSCOPIC PX,,,0.92,250.67,15
CPT,76497,UNLISTED CT PROCEDURE,,,0.92,127.3,15
CPT,76498,UNLISTED MR PROCEDURE,,,0.92,471.65,15
CPT,76499,UNLISTED DX RADIOGRAPHIC PX,,,0.92,91.76,15
CPT,764T,ASSTV ALG ECG RSK ASMT CNCRT,,,1.0,3.2,10
CPT,76506,ADULT HEAD ECHO,1630.0,1222.5,1.0,215.31,17
CPT,76506,INFANT HEAD ECHO,1403.0,1052.25,1.0,215.31,34
CPT,76510,OPH US DX B-SCAN&QUAN A-SCAN,,,1.0,275.81,17
CPT,76511,OPH US DX QUAN A-SCAN ONLY,,,1.0,215.31,17
CPT,76512,OPH US DX B-SCAN,,,1.0,215.31,17
CPT,76513,OPH US DX ANT SGM US UNI/BI,,,1.0,215.31,17
CPT,76514,ECHO EXAM OF EYE THICKNESS,,,1.0,35.38,17
CPT,76516,ECHO EXAM OF EYE,,,1.0,144.08,17
CPT,76519,ECHO EXAM OF EYE,,,1.0,144.08,17
CPT,76529,ECHO EXAM OF EYE,,,1.0,215.31,17
CPT,76536,US SOFT TISSUE HEAD/NECK,1161.0,870.75,1.0,215.31,17
CPT,765T,ASSTV ALG ECG RSK ASMT PREV,,,1.0,3.2,10
CPT,76604,US CHEST INCLD MEDIASTNM,872.0,654.0,1.0,215.31,36
CPT,76641,US BREAST UNI COMPLETE,311.0,233.25,1.0,146.66,17
CPT,76642,US BREAST UNI LTD,387.0,290.25,1.0,146.66,17
CPT,766T,TC MAG STIMJ PN 1ST NERVE,,,1.0,3.2,10
CPT,76700,US ABDOMEN COMPLETE,1698.0,1273.5,1.0,215.31,12
CPT,76705,US ABD LTD SNGLE/QUAD/FU,1177.0,882.75,1.0,215.31,36
CPT,76706,US EXAM AAA SCREEN,1092.5,819.375,1.0,180.3,34
CPT,76770,US RETROPERITONEAL COMP,2051.0,1538.25,1.0,215.31,36
CPT,76775,US RETROPERITONEAL LTD,1485.0,1113.75,1.0,215.31,36
CPT,76776,US TRANSPLANT KIDNEY,1561.0,1170.75,1.0,215.31,12
CPT,767T,TC MAG STIMJ PN EA ADDL NRV,,,1.0,3.2,10
CPT,76800,US SPINAL CANAL,675.0,506.25,1.0,210.66,17
CPT,76801,US OB COMP<14WKS 1STGEST,1126.5,844.875,1.0,215.31,51
CPT,76802,US OB COMP<14WK ADD GEST,1255.0,941.25,1.0,36.89,34
CPT,76805,US OB COMP>14WK SGL GEST,1428.0,1071.0,1.0,215.31,34
CPT,76810,US OB COMP>14WK ADD GEST,932.0,699.0,1.0,72.0,34
CPT,76811,US OB COMP W FETL ANATMY,1673.0,1254.75,1.0,305.34,17
CPT,76812,US OB FETLANAT ADDL GEST,1582.0,1186.5,1.0,188.04,17
CPT,76813,US OB FTLNUC VAG SNG GES,955.0,716.25,1.0,215.31,17
CPT,76814,US OB FTLNUC VAG ADD GES,607.0,455.25,1.0,48.2,17
CPT,76815,US OB LTD 1OR> FETUS,734.5,550.875,1.0,215.31,51
CPT,76816,US OB F/U PER FETUS,1198.0,898.5,1.0,144.08,34
CPT,76817,US OB TRANSVAGINAL,1655.0,1241.25,1.0,215.31,34
CPT,76818,FETAL BIOPHYS PROFLE NST,932.5,699.375,1.0,215.31,34
CPT,76819,FETAL BIOPHYS W/O STRESS,1384.0,1038.0,1.0,215.31,17
CPT,76820,DOPLR VELOC FETL UMB ART,966.0,724.5,1.0,144.08,17
CPT,76821,DOPLR VELOC FETL MD CERE,930.0,697.5,1.0,144.08,17
CPT,76825,FETAL CV ECHO,4303.5,3227.625,1.0,482.89,34
CPT,76826,FETAL CV ECHO F/U,1706.0,1279.5,1.0,401.07,17
CPT,76827,FETAL CV ECHO W/DOPPLER,3679.0,2759.25,1.0,144.08,34
CPT,76828,FETAL CV ECHO W/DOPP F/U,1706.0,1279.5,1.0,144.08,17
CPT,76830,US TRANSVAGINAL NOT OB,1699.0,1274.25,1.0,215.31,34
CPT,76831,HYSTEROSONOGRAPHY,863.0,647.25,1.0,305.34,12
CPT,76856,US PELVIC COMPLETE,2049.0,1536.75,1.0,215.31,12
CPT,76857,US PELVIC LTD/FU,586.0,439.5,1.0,144.08,12
CPT,76870,US SCROTUM CONTENTS,1713.0,1284.75,1.0,215.31,12
CPT,76872,US TRANSRECTAL,1681.0,1260.75,1.0,293.37,17
CPT,76873,ECHOGRAP TRANS R PROS STUDY,,,1.0,305.34,17
CPT,76881,US COMPLETE SFT TISS W/IMG DOC,586.0,439.5,1.0,215.31,17
CPT,76881,US XTR JOINT COMPLETE,657.0,492.75,1.0,215.31,17
CPT,76882,US XTR JOINT LMTD,528.0,396.0,1.0,144.08,17
CPT,76882,US XTR SOFT TISSUE LMTD,1066.0,799.5,1.0,144.08,34
CPT,76883,US NRV&ACC STRUX 1XTR COMPRE,578.0,433.5,1.0,106.88,16
CPT,76885,US-HIPS-INFANT-(DYNAMIC STUDY),1698.0,1273.5,1.0,177.33,17
CPT,76886,US EXAM INFANT HIPS STATIC,,,1.0,144.08,17
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,,,1.0,106.52,15
CPT,76936,US COMPRESSN REP PSEUDAN,1859.5,1394.625,1.0,293.96,34
CPT,76937,DRH ULTRASOUND GUIDANCE-INPT,213.0,159.75,1.0,44.64,17
CPT,76937,ULTRASOUND GUIDANCE,1001.0,750.75,1.0,44.64,17
CPT,76937,US GUIDE VASCULAR ACCESS,1108.0,831.0,1.0,44.64,85
CPT,76940,US GDE PARENCHYM ABLT,1672.0,1254.0,1.0,106.52,15
CPT,76941,US GDE FTL TRANS/CORDOC,1049.5,787.125,1.0,95.22,30
CPT,76942,US GUIDE NEEDLE PLACEMENT,1776.0,1332.0,1.0,51.78,17
CPT,76942,US GUIDE NEEDLE PLACEMNT,1219.0,914.25,1.0,51.78,102
CPT,76945,US GUID CHORI VILLUS SAM,1093.0,819.75,1.0,98.78,15
CPT,76946,US GUIDE AMNIOCENTESIS,865.0,648.75,1.0,27.37,17
CPT,76948,ECHO GUIDE OVA ASPIRATION,,,1.0,86.29,17
CPT,76965,US GUIDE INTERST RAD APP,1460.0,1095.0,1.0,49.99,17
CPT,76975,GI ENDOSCOPIC ULTRASOUND,,,1.0,305.34,15
CPT,76977,US BONE DENSITY MEASURE,,,1.0,108.97,17
CPT,76978,US TRGT DYN MICROBUBB INIT LES,1153.0,864.75,0.92,322.78,17
CPT,76979,US TRGT DYN MICROBUBB ADDL LES,1153.0,864.75,0.92,106.61,17
CPT,76981,US ELASTOGRAPHY ORGAN,918.0,688.5,1.0,180.02,17
CPT,76982,US ELASTOGRAPHY 1ST TRGT LES,510.0,382.5,1.0,180.02,17
CPT,76983,US ELASTOGRPHY EA ADL TRGT LES,510.0,382.5,1.0,64.86,17
CPT,76984,DX INTRAOP THORACIC AORTA US,,,0.5,82.12,14
CPT,76987,DX INTRAOP EPICAR CAR US CHD,,,0.5,251.12,14
CPT,76988,DX NTROP EPCR US CHD IMG ACQ,,,0.5,160.08,14
CPT,76989,DX INTRAOP EPCAR US CHD I&R,,,0.5,94.02,14
CPT,76998,US GUIDANCE INTRAOPERATV,468.0,351.0,1.0,165.43,15
CPT,76999,MR/US TRUS FUSION URONAV,935.0,701.25,1.0,144.08,15
CPT,76T,S&I STENT/CHEST VERT ART,,,0.22,5483.0,102
CPT,76U,CYP2D6 3' GENE DUP/MLT,,,0.92,450.91,14
CPT,77001,FLUOROGUID FOR VEIN DVCE,1744.0,1308.0,1.0,141.04,51
CPT,77002,FLUORO BX/ASP/INJ/GUIDE,867.0,650.25,1.0,155.91,34
CPT,77003,FLUORO GUIDE SPINE INJ,1184.0,888.0,1.0,133.29,34
CPT,77011,CT SCAN FOR LOCALIZATION,,,1.0,280.27,17
CPT,77012,CT GUIDANCE NDL PLACEMNT,2188.0,1641.0,1.0,102.36,17
CPT,77013,CT GDE PARENCHYM ABLAT,2805.0,2103.75,1.0,541.52,15
CPT,77014,CT SCAN FOR THERAPY GUIDE,,,1.0,132.11,17
CPT,77021,MRI GUIDANCE NDL PLMT RS&I,,,1.0,617.1,17
CPT,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,1.0,497.48,15
CPT,77046,MRI BRST W/O CM UNILATERAL,3798.0,2848.5,1.0,368.9,17
CPT,77047,MRI BRST W/O CM BILATERAL,3308.0,2481.0,1.0,368.9,17
CPT,77048,MRI BREAST C-+ W/CAD UNI,,,1.0,471.1,17
CPT,77049,MRI BREAST C-+ W/CAD BI,,,1.0,468.8,17
CPT,77053,X-RAY OF MAMMARY DUCT,,,1.0,508.66,17
CPT,77054,X-RAY OF MAMMARY DUCTS,,,1.0,508.66,17
CPT,77061,BREAST TOMOSYNTHESIS UNI,,,1.0,192.46,15
CPT,77062,BREAST TOMOSYNTHESIS BI,,,1.0,150.66,15
CPT,77063,BREAST TOMOSYNTHESIS BI,,,1.0,42.85,17
CPT,77065,DX MAMMO INCL CAD UNI,,,1.0,156.5,17
CPT,77066,DX MAMMO INCL CAD BI,,,1.0,199.35,17
CPT,77067,SCR MAMMO BI INCL CAD,,,1.0,164.84,17
CPT,77071,X-RAY STRESS VIEW,,,1.0,96.99,17
CPT,77072,BONE AGE STUDIES,808.0,606.0,1.0,108.97,17
CPT,77073,BONE LENGTH STUDIES,1029.0,771.75,1.0,108.97,17
CPT,77074,BONE SURVEY LIMITED,1305.0,978.75,1.0,145.42,17
CPT,77075,BONE SURVEY COMPLETE,1305.0,978.75,1.0,145.42,17
CPT,77076,BONE SURVEY INFANT,353.0,264.75,1.0,145.42,17
CPT,77077,JOINT SURVEY SINGLE VIEW,,,1.0,108.97,17
CPT,77078,CT BONE DENSITY AXIAL,,,1.0,157.7,17
CPT,77080,DEXA AXIAL SKELETON,1280.0,960.0,1.0,144.26,17
CPT,77081,DEXA APPENDICULAR SKELTN,601.0,450.75,1.0,81.94,17
CPT,77084,MAGNETIC IMAGE BONE MARROW,,,1.0,471.65,17
CPT,77085,DXA BONE DENSITY STUDY,,,1.0,151.97,17
CPT,77086,FRACTURE ASSESSMENT VIA DXA,,,1.0,94.94,17
CPT,77089,TBS DXA CAL W/I&R FX RISK,,,0.92,52.11,16
CPT,77090,TBS TECHL PREP&TRANSMIS DATA,,,0.92,82.61,16
CPT,77091,TBS TECHL CALCULATION ONLY,,,0.92,82.61,16
CPT,77092,TBS I&R FX RSK QHP,,,0.92,12.8,16
CPT,770T,VR TECHNOLOGY ASSIST THERAPY,,,1.0,3.2,10
CPT,771T,VR PX DISSOC SVC SM PHY 1ST,,,1.0,3.2,10
CPT,77261,RADIATION THERAPY PLANNING,,,0.92,92.98,17
CPT,77262,RADIATION THERAPY PLANNING,,,0.92,145.03,17
CPT,77263,RADIATION THERAPY PLANNING,,,0.92,226.72,17
CPT,77280,RADTHER SIMULATION SMPLE,962.0,721.5,1.0,411.2,17
CPT,77285,SET RADIATION THERAPY FIELD,,,1.0,692.67,17
CPT,77290,RADTHER SIMULATION CMPLX,4172.0,3129.0,1.0,639.11,34
CPT,77293,RESPIRATOR MOTION MGMT SIMUL,1643.0,1232.25,1.0,530.21,17
CPT,77295,3D RADIOTX W DOSE VOL HST,12019.0,9014.25,1.0,463.33,51
CPT,77299,UNLISTED PX THER RAD TX PLNG,,,0.92,1.6,15
CPT,772T,VR PX DISSOC SVC SM PHY EA,,,1.0,3.2,10
CPT,77300,BASIC RADIATION DOSIMTRY,1240.5,930.375,1.0,61.3,34
CPT,77301,IMRT PLAN W DOSE VOLUME,19394.0,14545.5,1.0,2654.94,17
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,,,1.0,135.67,17
CPT,77307,TELETHER ISODOSE CMPLEX,5582.0,4186.5,1.0,246.36,17
CPT,77316,BRACHYTX ISODOSE PLAN SIMPLE,,,1.0,310.63,17
CPT,77317,BRACHYTX ISODOSE INTERMED,,,1.0,409.41,17
CPT,77318,BRACHYTX ISODOSE COMPLEX,,,1.0,554.01,17
CPT,77321,SPECIAL TELETX PORT PLAN,,,1.0,80.33,17
CPT,77331,SPECIAL RADIATION DOSIMETRY,,,1.0,34.51,17
CPT,77332,TX DVC DESIGN SMPL,751.0,563.25,1.0,94.01,17
CPT,77333,RADIATION TREATMENT AID(S),,,1.0,124.04,17
CPT,77334,TX DVC DESIGN CMPLX,3988.0,2991.0,1.0,152.61,34
CPT,77336,RADPHYSICS CONSULT P/WK,1292.0,969.0,1.0,163.05,17
CPT,77338,IMRT MLC CONST DESIGN,7217.0,5412.75,1.0,493.27,17
CPT,77370,RADIATION PHYSICS CONSULT,,,1.0,267.78,17
CPT,77371,SRS MULTISOURCE,,,1.0,8541.19,15
CPT,77372,SRS LINEAR BASED,,,1.0,1663.24,17
CPT,77373,RAD TX BODY EA,25101.0,18825.75,1.0,1746.54,17
CPT,77385,NTSTY MODUL RAD TX DLVR SMPL,,,1.0,590.5,15
CPT,77386,IMRT COMPLEX,7550.0,5662.5,1.0,590.5,15
CPT,77387,GUIDANCE RAD TX DLVR,1616.0,1212.0,1.0,126.37,15
CPT,77399,UNLISTED PX MED RADJ PHYSICS,,,0.92,1.6,15
CPT,773T,VR PX DISSOC SVC OTH PHY 1ST,,,1.0,3.2,10
CPT,77401,RADIATION TREATMENT DELIVERY,,,1.0,73.19,17
CPT,77402,RADIATION TREATMENT DELIVERY,,,1.0,128.89,15
CPT,77407,RAD TX DLVR>1MEV INTER,2111.0,1583.25,1.0,128.89,15
CPT,77412,RAD TX DLVR>1MEV COMPLX,4546.0,3409.5,1.0,227.04,15
CPT,77417,PORT FILM,235.0,176.25,1.0,29.16,17
CPT,77423,NEUTRON BEAM TX COMPLEX,,,1.0,646.32,15
CPT,77424,IO RAD TX DELIVERY BY X-RAY,,,1.0,8541.19,15
CPT,77425,IO RAD TX DELIVER BY ELCTRNS,,,1.0,8541.19,15
CPT,77427,RADIATION TX MANAGEMENT X5,,,0.92,258.02,17
CPT,77431,RADIATION THERAPY MANAGEMENT,,,0.92,145.83,17
CPT,77432,STEREOTACTIC RADIATION TRMT,,,0.92,573.31,17
CPT,77435,SBRT MANAGEMENT,,,1.0,1158.01,17
CPT,77469,IO RADIATION TX MANAGEMENT,,,0.92,433.06,17
CPT,77470,SPCL TX PROCEDURE,7286.0,5464.5,1.0,69.62,34
CPT,77499,UNLISTED PX THER RAD TX MGMT,,,0.92,1.6,15
CPT,774T,VR PX DISSOC SVC OTH PHY EA,,,1.0,3.2,10
CPT,77520,PROTON TRMT SIMPLE W/O COMP,,,1.0,1.6,5
CPT,77522,PROTON TRMT SIMPLE W/COMP,,,1.0,1.6,5
CPT,77523,PROTON TRMT INTERMEDIATE,,,1.0,1.6,5
CPT,77525,PROTON TREATMENT COMPLEX,,,1.0,1.6,5
CPT,77600,HYPERTHERMIA TREATMENT,,,1.0,843.82,17
CPT,77605,HYPERTHERMIA TREATMENT,,,0.92,1074.19,17
CPT,77610,HYPERTHERMIA TREATMENT,,,1.0,1078.86,17
CPT,77615,HYPERTHERMIA TREATMENT,,,1.0,1723.33,17
CPT,77620,HYPERTHERMIA TREATMENT,,,0.92,700.45,17
CPT,776T,THER INDCTJ NTRABRN HYPTHRM,,,1.0,3.2,10
CPT,77750,INFUSE RADIOACTIVE MATERIALS,,,1.0,239.23,17
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,,,1.0,397.51,17
CPT,77762,APPLY INTRCAV RADIAT INTERM,,,1.0,457.61,17
CPT,77763,APPLY INTRCAV RADIAT COMPL,,,1.0,602.81,17
CPT,77767,HDR RDNCL SKN SURF BRACHYTX,,,1.0,545.25,107
CPT,77768,HDR RDNCL SKN SURF BRACHYTX,,,1.0,545.25,107
CPT,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,,,1.0,1969.27,107
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,,,1.0,1969.27,107
CPT,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,,,1.0,1969.27,107
CPT,77778,APPLY INTERSTIT RADIAT COMPL,,,1.0,839.65,17
CPT,77789,APPLY SURF LDR RADIONUCLIDE,,,1.0,130.91,17
CPT,77790,RADIATION HANDLING,,,1.0,33.92,17
CPT,77799,UNLISTED PX CLIN BRACHYTX,,,0.92,1.6,15
CPT,777T,R-T PRS SENSING EDRL GDN SYS,,,1.0,3.2,10
CPT,778T,SMMG CNCRNT APPL IMU SNR,,,1.0,145.43,14
CPT,779T,GI MYOELECTRICAL ACTV STUDY,,,1.0,3.2,10
CPT,77U,IG PARAPROTEIN QUAL BLD/UR,,,1.0,43.43,14
CPT,78012,THYROID UPTK SNG/MULT,1370.0,1027.5,1.0,377.12,17
CPT,78013,THYROID IMG W/VASC FLOW,941.0,705.75,1.0,377.12,17
CPT,78014,THYROID IMG VSCFI SG/MLT,3481.0,2610.75,1.0,459.1,17
CPT,78015,THYROID MET IMAGING,,,1.0,612.43,17
CPT,78016,THYROID MET IMAGING/STUDIES,,,1.0,612.43,17
CPT,78018,THYROID C/M IMG WHOL BDY,2061.0,1545.75,1.0,612.43,17
CPT,78020,THYROID MET UPTAKE,,,1.0,94.61,17
CPT,78070,PARATHYROID IMAGING,2050.0,1537.5,1.0,459.1,17
CPT,78071,PARATHYRD PLANAR W/WO SUBTRJ,,,1.0,1181.9,17
CPT,78072,PARATHYRD IMG W/SPECT CT,3842.0,2881.5,1.0,1181.9,17
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,,,1.0,1851.87,17
CPT,78099,UNLISTED ENDOCRINE PX DX NUC,,,0.92,377.12,15
CPT,780T,INSTLJ FECAL MICROBIOTA SSP,,,0.22,412.7,16
CPT,78102,BONE MARROW IMAGING LTD,,,1.0,554.14,17
CPT,78103,BONE MARROW IMAGING MULT,,,1.0,554.14,17
CPT,78104,BONE MARROW IMAGING BODY,,,1.0,554.14,17
CPT,78110,PLASMA VOLUME SINGLE,,,1.0,1305.94,17
CPT,78111,PLASMA VOLUME MULTIPLE,,,1.0,1305.94,17
CPT,78120,RED CELL MASS SINGLE,,,1.0,905.52,17
CPT,78121,RED CELL MASS MULTIPLE,,,1.0,905.52,17
CPT,78122,BLOOD VOLUME,,,1.0,905.52,17
CPT,78130,RED CELL SURVIVAL STUDY,,,1.0,905.52,17
CPT,78140,RED CELL SEQUESTRATION,,,1.0,905.52,17
CPT,78185,SPLEEN IMAGING STATIC,2240.0,1680.0,1.0,554.14,17
CPT,78191,PLATELET SURVIVAL,,,1.0,411.89,17
CPT,78195,LYMPHATICS & LYMPH NODES,2442.0,1831.5,1.0,554.14,17
CPT,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,0.92,554.14,15
CPT,781T,BRNCHSC RF DSTRJ PULM NRV BI,,,0.22,16.13,96
CPT,78201,LIVER IMAGING,,,1.0,596.11,17
CPT,78202,LIVER IMAGING WITH FLOW,,,1.0,596.11,17
CPT,78215,LIVER/SPLEEN IMAG STATIC,2413.0,1809.75,1.0,596.11,17
CPT,78216,LIVER & SPLEEN IMAGE/FLOW,,,1.0,596.11,17
CPT,78226,HEPATOBILIARY SYSTEM IMG,2845.0,2133.75,1.0,596.11,17
CPT,78227,HEPATOBIL IMAGE W/DRUG,2994.0,2245.5,1.0,620.66,17
CPT,78230,SALIVARY GLAND IMAGING,,,1.0,518.05,17
CPT,78231,SERIAL SALIVARY IMAGING,,,1.0,518.05,17
CPT,78232,SALIVARY GLAND FUNCTION EXAM,,,1.0,518.05,17
CPT,78258,ESOPHAGEAL MOTILITY STUDY,,,1.0,518.05,17
CPT,78261,GASTRIC MUCOSA IMAGING,,,1.0,518.05,17
CPT,78262,GASTROESOPH REFLUX STUDY,1444.0,1083.0,1.0,518.05,17
CPT,78264,GASTRIC EMPTYING STUDY,2687.0,2015.25,1.0,518.05,17
CPT,78265,GASTRIC EMPTYING IMAG STUDY,,,1.0,549.25,17
CPT,78266,GASTRIC EMPTYING IMAG STUDY,,,1.0,706.18,17
CPT,78267,BREATH TST ATTAIN/ANAL C-14,,,1.0,17.17,15
CPT,78268,BREATH TEST ANALYSIS C-14,,,1.0,147.02,15
CPT,78278,ACUTE GI BLOOD LOSS IMG,2375.0,1781.25,1.0,518.05,17
CPT,78282,GI PROTEIN LOSS EXAM,,,1.0,518.05,15
CPT,78290,INTESTINE IMAGING,2894.0,2170.5,1.0,518.05,17
CPT,78291,PERITONEAL SHUNT PATENCY,3812.0,2859.0,1.0,518.05,17
CPT,78299,UNLISTED GI PX DX NUC MED,,,0.92,518.05,15
CPT,782T,BRNCHSC RF DSTRJ PLM NRV UNI,,,0.22,16.13,96
CPT,78300,BONE IMAGING LIMITED,3417.0,2562.75,1.0,518.3,17
CPT,78305,BONE IMAGING MULTIPLE,3733.0,2799.75,1.0,518.3,17
CPT,78306,BONE IMAGING WHOLE BODY,2803.0,2102.25,1.0,518.3,17
CPT,78315,BONE IMAG 3 PHASE STUDY,2566.0,1924.5,1.0,518.3,17
CPT,78350,BONE MINERAL SINGLE PHOTON,,,1.0,38.09,15
CPT,78351,BONE MINERAL DUAL PHOTON,,,1.0,26.18,15
CPT,78399,UNLISTED MUSCSKEL PX DX NUC,,,0.92,518.3,15
CPT,783T,TC AURICULR NEUROSTIMULATION,,,1.0,3.2,10
CPT,78414,NON-IMAGING HEART FUNCTION,,,1.0,612.96,15
CPT,78428,CARDIAC SHUNT IMAGING,,,1.0,612.96,17
CPT,78429,PET MYOCRAD W/CT,12459.0,9344.25,1.0,2308.8,15
CPT,78430,PET MYOCRD PERF W/CT,12459.0,9344.25,1.0,2308.8,15
CPT,78431,PET MYOCRD MULTI W/CT,19431.0,14573.25,1.0,3600.8,15
CPT,78432,PET MYOCRD IMG PERF,23748.0,17811.0,1.0,4400.8,15
CPT,78433,PET MYOCRD TRACER+CT,23748.0,17811.0,1.0,4400.8,15
CPT,78434,PET AQMBF REST/STRESS,9714.0,7285.5,0.92,1.6,15
CPT,78445,VASCULAR FLOW IMAGING,,,1.0,508.66,17
CPT,78451,MC PERF SPECT WM EF SNGL,4870.0,3652.5,1.0,1845.79,17
CPT,78452,MC PERF SPECT WM EF MULT,7937.0,5952.75,1.0,1845.79,17
CPT,78453,MC PERF WM EF SINGLE STD,5360.0,4020.0,1.0,1845.79,17
CPT,78454,MC PERF WM EF MULTI STDY,7826.0,5869.5,1.0,1845.79,17
CPT,78456,ACUTE VENOUS THROMBUS IMAGE,,,1.0,1305.94,17
CPT,78457,VENOUS THROMBOSIS IMAGING,,,1.0,508.66,17
CPT,78458,VEN THROMBOSIS IMAGES BILAT,,,1.0,508.66,17
CPT,78459,PET MYOCAR METBOL EVAL SGL SDY,8729.0,6546.75,1.0,2096.96,15
CPT,78466,HEART INFARCT IMAGE,,,1.0,612.96,17
CPT,78468,HEART INFARCT IMAGE (EF),,,1.0,612.96,17
CPT,78469,MYOCARD INFARCT W/ECT,6117.0,4587.75,1.0,612.96,17
CPT,78472,GATED HEART PLANAR SNGL,1855.0,1391.25,1.0,612.96,17
CPT,78473,GATED HEART PLANAR MULT,2847.0,2135.25,1.0,612.96,17
CPT,78481,HEART FIRST PASS SINGLE,,,1.0,612.96,17
CPT,78483,HEART FIRST PASS MULTIPLE,,,1.0,1845.79,17
CPT,78491,MYOCRD IMG PET 1STD RST/STRS,,,1.0,2096.96,15
CPT,78492,MYOCRD IMG PET MLT RST&STRS,,,1.0,2096.96,15
CPT,78494,HEART IMAGE SPECT,,,1.0,612.96,17
CPT,78496,HEART FIRST PASS ADD-ON,,,1.0,33.92,17
CPT,78499,UNLISTED CV PX DX NUC MED,,,0.92,612.96,15
CPT,784T,INS/RPLMT ELTRD RA SPI NSTIM,,,0.22,16.13,96
CPT,78579,LUNG VENTILATION IMAGING,3777.0,2832.75,1.0,489.62,17
CPT,78580,LUNG PERF PARTICULATE,1126.0,844.5,1.0,489.62,17
CPT,78582,LUNG VENT&PERF IMAGING,11295.0,8471.25,1.0,689.39,17
CPT,78597,LUNG PERFUSION DIFFER,3861.0,2895.75,1.0,489.62,17
CPT,78598,LUNG PERF&VENTILAT DIFERENTL,,,1.0,689.39,17
CPT,78599,UNLISTED RESP PX DX NUC MED,,,0.92,489.62,15
CPT,785T,REVJ/RMVL NEA SPI W/NSTIM,,,0.22,16.13,96
CPT,78600,BRAIN IMAGE < 4 VIEWS,,,1.0,377.12,17
CPT,78601,BRAIN < 4VWS W VASC FLOW,1031.0,773.25,1.0,853.09,17
CPT,78605,BRAIN IMAGE 4+ VIEWS,,,1.0,853.09,17
CPT,78606,BRAIN MIN 4 VWS VASCFLOW,5263.0,3947.25,1.0,853.09,17
CPT,78608,BRAIN IMAGING (PET),,,1.0,2096.96,15
CPT,78609,BRAIN IMAGING (PET),,,0.5,1629.68,15
CPT,78610,BRAIN IMAG VASC FLO ONLY,1915.0,1436.25,1.0,853.09,17
CPT,78630,CISTERNOGRAM,2081.0,1560.75,1.0,853.09,17
CPT,78635,CSF VENTRICULOGRAPHY,,,1.0,853.09,17
CPT,78645,SHUNT EVALUATION,3331.0,2498.25,1.0,853.09,17
CPT,78650,CSF LEAKAGE IMAGING,,,1.0,1305.94,17
CPT,78660,NUCLEAR EXAM OF TEAR FLOW,,,1.0,377.12,17
CPT,78699,UNLISTED NRVS SYS PX DX NUC,,,0.92,377.12,15
CPT,786T,INSJ/RPLCMT PRQ RA SAC NSTIM,,,0.22,16.13,96
CPT,78700,KIDNEY IMAGING MORPHOLGY,2325.0,1743.75,1.0,667.23,17
CPT,78701,KIDNEY IMAGING WITH FLOW,,,1.0,667.23,17
CPT,78707,KID IMG FL/FUN SNG WO RX,1988.0,1491.0,1.0,667.23,17
CPT,78708,KID IMG FL/FUN SNG W RX,3025.5,2269.125,1.0,667.23,34
CPT,78709,KIDNEY IMG FLW/FNCT W/WO,6774.0,5080.5,1.0,667.23,17
CPT,78725,KIDNEY FUNCTION STUDY,,,1.0,411.89,17
CPT,78730,URINARY BLADDER RETENTION,,,1.0,104.74,17
CPT,78740,URETERAL REFLUX STUDY,,,1.0,667.23,17
CPT,78761,TESTICULAR IMAGING W/FLOW,,,1.0,667.23,17
CPT,78799,UNLISTED GU PX DX NUC MED,,,0.92,667.23,15
CPT,787T,REVJ/RMVL NEA SAC W/NSTIM,,,0.22,16.13,96
CPT,78800,TUMOR LOCAL PLANAR SNGL AREA,1644.0,1233.0,1.0,612.43,17
CPT,78801,TUMOR LOCAL 2+ AREA 1+DAYS,4514.0,3385.5,1.0,612.43,17
CPT,78802,TUMOR LOCAL PLANAR WHOLEBDY,2605.0,1953.75,1.0,1305.94,17
CPT,78803,TUMR LOC SPECT SGL AREA SGL DY,4091.0,3068.25,1.0,1305.94,34
CPT,78804,TUMOR LOC 2D WHOLE BDY 2+DAYS,3610.0,2707.5,1.0,1851.87,17
CPT,78808,IV INJ RA DRUG DX STUDY,,,1.0,411.89,17
CPT,78811,PET IMAGE LTD AREA,,,1.0,2096.96,15
CPT,78812,PET IMAGE SKULL-THIGH,,,1.0,2096.96,15
CPT,78813,PET IMAGE FULL BODY,,,1.0,2096.96,15
CPT,78814,PET IMAGE W/CT LMTD,,,1.0,2096.96,15
CPT,78815,PET/CT SKULL TO THIGH,8555.0,6416.25,1.0,2096.96,15
CPT,78816,PET IMAGE W/CT FULL BODY,,,1.0,2096.96,15
CPT,78830,LOCALIZ TUM SPECT 1 DAY,10983.0,8237.25,1.0,2035.28,17
CPT,78831,LOCAL TUM SPECT 2DAY,10983.0,8237.25,1.0,2035.28,17
CPT,78832,LOCALIZ TUM SPECT/CT +2,12459.0,9344.25,1.0,2308.8,17
CPT,78835,QUAN MEASURE SNGL AREA,6229.0,4671.75,1.0,120.21,17
CPT,788T,ELEC ALY SMP IINS SP/SAC NRV,,,0.22,293.88,11
CPT,78999,UNLISTED MISC PX DX NUC MED,,,0.92,377.12,15
CPT,789T,ELEC ALY CPX IINS SP/SAC NRV,,,0.22,293.88,11
CPT,79005,RADPHARM TX ORAL,1244.0,933.0,1.0,409.3,17
CPT,790T,REVJ RPLCMT/RMVL VRT TETHRG,,,0.22,16.13,96
CPT,79101,NUCLEAR RX IV ADMIN,,,1.0,409.3,17
CPT,792,ANES IPER UPR ABD PRTL HPTC,,,,,0
CPT,79200,NUCLEAR RX INTRACAV ADMIN,,,1.0,570.69,17
CPT,792T,APPL SLVR DIAMN FLUORIDE 38%,,,1.0,3.2,10
CPT,79300,NUCLR RX INTERSTIT COLLOID,,,1.0,409.3,15
CPT,793T,PRQ TCAT THRM ABLT NRV P-ART,,,0.22,16.13,96
CPT,794,ANES IPER UPR ABD PNCRTECT,,,,,0
CPT,79403,HEMATOPOIETIC NUCLEAR TX,,,1.0,570.69,17
CPT,79440,NUCLEAR RX INTRA-ARTICULAR,,,0.92,570.69,17
CPT,79445,RADPHARM TX INTRA-ARTERL,1244.0,933.0,1.0,409.3,15
CPT,794T,PT SPEC ALG RX-ONC TX OPTION,,,1.0,3.2,15
CPT,795T,TCAT INSRT 2CHMBR LDLS PM CMPL,68122.0,51091.5,0.22,61309.8,107
CPT,796,ANES IPER UPR ABD LVR TRNSPL,,,,,0
CPT,796T,TCAT INS 2CHMBR LDLS PM RA,,,0.22,16.13,101
CPT,797T,TCAT INS 2CHMBR LDLS PM RV,,,0.22,16.13,101
CPT,798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,0.22,7778.88,101
CPT,79999,RP THERAPY UNLISTED PX,,,0.92,409.3,15
CPT,799T,TCAT RMVL 2CHMBR LDLS PM RA,,,0.22,7778.88,101
CPT,79U,CMPRTV DNA ALYS MLT SNPS,,,0.5,1.12,14
CPT,7M,ONC GASTRO 51 GENE NOMOGRAM,,,0.92,1.12,10
CPT,7U,RX TEST PRSMV UR W/DEF CONF,,,1.0,114.43,14
CPT,80047,METABOLIC PANEL IONIZED CA,,,1.0,13.73,15
CPT,80048,BASIC METABOLIC PANEL,697.0,522.75,1.0,11.54,15
CPT,80050,GENERAL HEALTH PANEL,,,1.0,45.36,15
CPT,80051,ELECTROLYTE PANEL,327.5,245.625,1.0,9.57,30
CPT,80053,COMP METABOLIC PANEL,844.0,633.0,1.0,16.97,15
CPT,80055,OBSTETRIC PANEL,,,1.0,62.33,15
CPT,80061,LIPID PANEL,377.14,282.855,1.0,18.27,30
CPT,80069,RENAL FUNCTION PANEL,436.0,327.0,1.0,12.11,15
CPT,80074,ACUTE HEPATITIS PANEL,601.0,450.75,1.0,64.99,15
CPT,80076,HEPATIC FUNCTION PANEL,196.0,147.0,1.0,11.14,15
CPT,80081,OBSTETRIC PANEL,,,1.0,101.97,15
CPT,800T,TCAT RMVL 2CHMBR LDLS PM RV,,,0.22,8318.75,101
CPT,80143,ACETAMINOPHEN,223.0,167.25,1.0,18.64,15
CPT,80145,ADALIMUMAB,138.5,103.88,1.0,38.57,15
CPT,80150,AMAKACIN,5.0,3.75,1.0,20.56,15
CPT,80150,AMIKACIN,343.0,257.25,1.0,20.56,15
CPT,80151,AMIODARONE QUANT,8.15,6.11,1.0,18.64,15
CPT,80155,CAFFEINE QUANT,12.36,9.27,1.0,38.57,15
CPT,80156,CARBAMAZAPINE,274.0,205.5,1.0,19.87,15
CPT,80156,CARBAMAZEPINE,59.0,44.25,1.0,19.87,15
CPT,80157,CARBAMAZEPINE FREE,278.365,208.775,1.0,18.09,30
CPT,80158,CYCLOSPORINE,227.6,170.7,1.0,24.63,30
CPT,80159,CLOZAPINE,20.0,15.0,1.0,25.23,15
CPT,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,1.0,18.64,15
CPT,80162,DIGOXIN TOTAL,292.0,219.0,1.0,18.12,15
CPT,80163,ASSAY OF DIGOXIN FREE,,,1.0,18.07,15
CPT,80164,VALPROIC ACID TOTAL,292.0,219.0,1.0,18.49,15
CPT,80165,VALPROIC ACID FREE,292.745,219.56,1.0,18.44,30
CPT,80167,DRUG ASSAY FELBAMATE,,,1.0,18.64,15
CPT,80168,ETHOSUXIMIDE,9.77,7.33,1.0,22.3,15
CPT,80169,EVEROLIMUS,118.0,88.5,1.0,18.73,15
CPT,80170,GENTAMICIN,19.0,14.25,1.0,22.36,15
CPT,80170,GENTAMYCIN,354.0,265.5,1.0,22.36,15
CPT,80171,GABAPENTIN,133.575,100.18,1.0,21.67,30
CPT,80173,HALOPERIDOL,13.03,9.77,1.0,19.87,15
CPT,80175,LAMOTRIGINE QUANT,136.48,102.36,1.0,18.09,30
CPT,80176,LIDOCAINE,13.19,9.89,1.0,20.04,15
CPT,80177,LEVETIRACETAM,93.795,70.345,1.0,18.09,30
CPT,80178,LITHIUM,235.0,176.25,1.0,9.02,15
CPT,80179,SALICYLATE,120.0,90.0,1.0,18.64,15
CPT,80180,MYCOPHENOLIC ACID,33.1,24.825,1.0,24.63,30
CPT,80181,FLECAINIDE,12.22,9.17,1.0,18.64,15
CPT,80183,OXCARBAZEPINE,6.52,4.89,1.0,18.09,15
CPT,80184,PHENOBARBITAL,168.0,126.0,1.0,15.62,15
CPT,80185,PHENYTOIN TOTAL,327.0,245.25,1.0,18.09,15
CPT,80186,PHENYTOIN FREE,191.37,143.53,1.0,18.78,30
CPT,80187,POSACONAZOLE,79.0,59.25,1.0,27.11,15
CPT,80188,PRIMIDONE,292.0,219.0,1.0,22.64,15
CPT,80189,ITRACONAZOLE,65.0,48.75,1.0,27.11,15
CPT,80190,ASSAY OF PROCAINAMIDE,,,1.0,60.0,15
CPT,80192,N-ACETYL-PROCAINAMIDE,42.0,31.5,1.0,22.85,15
CPT,80193,DRUG ASSAY LEFLUNOMIDE,,,1.0,38.57,15
CPT,80194,ASSAY OF QUINIDINE,,,1.0,19.92,15
CPT,80195,SIROLIMUS,131.5,98.625,1.0,18.73,30
CPT,80197,TACROLIMUS,180.3,135.225,1.0,18.73,30
CPT,80198,THEOPHYLLINE,221.0,165.75,1.0,19.3,15
CPT,80199,TIAGABINE,101.0,75.75,1.0,27.11,15
CPT,801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,0.22,16.13,101
CPT,80200,TOBRAMYCIN,174.5,130.875,1.0,21.99,30
CPT,80201,TOPIRAMATE LVL,9.77,7.33,1.0,16.27,15
CPT,80202,VANCOMYCIN,318.0,238.5,1.0,18.49,15
CPT,80203,ZONISAMIDE,8.0,6.0,1.0,18.09,15
CPT,80204,METHOTREXATE,428.0,321.0,0.92,38.57,15
CPT,80210,DRUG ASSAY RUFINAMIDE,,,1.0,27.11,15
CPT,80220,DRUG ASY HYDROXYCHLOROQUINE,,,1.0,18.64,14
CPT,80230,INFLIXIMAB,90.0,67.5,1.0,38.57,30
CPT,80235,LACOSAMIDE,50.0,37.5,1.0,27.11,15
CPT,80280,VEDOLIZUMAB,62.5,46.88,1.0,38.57,15
CPT,80285,VORICONAZOLE LVL,64.0,48.0,1.0,27.11,15
CPT,80299,BRIVARACETAM,35.0,26.25,1.0,18.68,15
CPT,80299,MELATONIN,98.0,73.5,1.0,18.68,15
CPT,80299,NEURONTIN,200.0,150.0,1.0,18.68,15
CPT,80299,PROTRIPTYLINE,303.0,227.25,1.0,18.68,15
CPT,80299,QUANT OF DRUG NES,41.0,30.75,1.0,18.68,465
CPT,80299,SULFONAMIDES,105.0,78.75,1.0,18.68,15
CPT,80299,THERAPEUTIC DRUG NES,92.0,69.0,1.0,18.68,150
CPT,802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,0.22,16.13,101
CPT,80305,DRUG TEST PRSMV DIR OPT OBS,,,1.0,14.96,15
CPT,80306,DRUG TEST PRSMV INSTRMNT,,,1.0,19.95,15
CPT,80307,ALCOHOL ETHYL,141.0,105.75,1.0,79.81,15
CPT,80307,ALCOHOL ETHYL URINE,835.0,626.25,1.0,79.81,15
CPT,80307,COCAINE MECON,74.0,55.5,1.0,79.81,15
CPT,80307,DRUG SCREEN EACH CLASS,488.5,366.375,1.0,79.81,30
CPT,80307,DRUG SCREEN QUAL,127.0,95.25,1.0,79.81,30
CPT,80307,DRUG SCREEN/MECONIUM,80.0,60.0,1.0,79.81,15
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,75.0,56.25,1.0,79.81,90
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR/2,693.0,519.75,1.0,79.81,15
CPT,80307,METHADANE & METABOLITE,186.0,139.5,1.0,79.81,15
CPT,80307,METHADONE QUAL,186.0,139.5,1.0,79.81,15
CPT,80307,OPIATES,784.0,588.0,1.0,79.81,15
CPT,80307,SINGLE DRUG CLASS,186.0,139.5,1.0,79.81,30
CPT,80307,TRICYCLIC DRUGS QUAL,210.0,157.5,1.0,79.81,15
CPT,80320,ALCOHOLS,136.0,102.0,0.92,23.52,15
CPT,80321,ALCOHOL BIOMARKERS,100.0,75.0,0.92,14.7,15
CPT,80322,ALCOHOLS BIOMARKERS 3/MORE,,,0.92,14.7,15
CPT,80323,NICOTINE URINE,15.0,11.25,0.92,40.85,15
CPT,80324,DRUG SCREEN AMPHETAMINES 1/2,,,0.92,21.15,15
CPT,80325,AMPHETAMINES 3OR 4,,,0.92,21.15,15
CPT,80326,AMPHETAMINES 5+,45.5,34.13,0.92,21.15,15
CPT,80327,ANABOLIC STEROID 1 OR 2,,,0.92,35.13,15
CPT,80328,ANABOLIC STEROID 3 OR MORE,,,0.92,35.13,15
CPT,80329,ACETAMNOPHN QUANT,132.0,99.0,0.92,27.54,15
CPT,80330,ANALGESICS NON-OPIOID 3-5,,,0.92,27.54,15
CPT,80331,ANALGESICS NON-OPIOID 6/MORE,,,0.92,27.54,15
CPT,80332,ANTIDEPRESSANTS CLASS 1 OR 2,,,0.92,24.43,15
CPT,80333,ANTIDEPRESSANTS CLASS 3-5,,,0.92,14.76,15
CPT,80334,ANTIDEPRESSANTS CLASS 6/MORE,,,0.92,9.72,15
CPT,80335,ANTIDPRSSNTS CYCLICAL 1-2,13.19,9.89,0.92,24.36,15
CPT,80336,ANTIDEPRESSANT TRICYCLIC 3-5,,,0.92,24.36,15
CPT,80337,TRICYCLIC & CYCLICALS 6/MORE,,,0.92,24.36,15
CPT,80338,ANTIDEPRESSANT NOT SPECIFIED,,,0.92,12.6,15
CPT,80339,ANTIEPILEPTICS NOS 1-3,,,0.92,20.16,15
CPT,80340,ANTIEPILEPTICS NOS 4-6,,,0.92,20.16,15
CPT,80341,ANTIEPILEPTICS NOS 7/MORE,,,0.92,20.16,15
CPT,80342,FLUPHENAZINE QUAN,24.44,18.33,0.92,21.19,15
CPT,80343,ANTIPSYCHOTICS NOS 4-6,,,0.92,21.19,15
CPT,80344,ANTIPSYCHOTICS NOS 7/MORE,,,0.92,21.19,15
CPT,80345,BARBITURATE,142.0,106.5,0.92,15.58,45
CPT,80346,BENZODIAZEPINE QTY,191.0,143.25,0.92,26.94,15
CPT,80346,BENZODIAZEPINES 1-12,166.0,124.5,0.92,26.94,15
CPT,80347,BENZODIAZEPINES 13+,132.0,99.0,0.92,26.94,15
CPT,80348,BUPRENORPHINE AND METABOLITES,132.0,99.0,0.92,16.2,15
CPT,80349,CANNABINOIDS NATURAL,,,0.92,24.43,15
CPT,80350,CANNABINOIDS SYNTHETIC 1-3,,,0.92,24.43,15
CPT,80351,CANNABINOIDS SYNTHETIC 4-6,,,0.92,16.56,15
CPT,80352,CANNABINOID SYNTHETIC 7/MORE,,,0.92,16.2,15
CPT,80353,COCAINE,137.32,102.99,0.92,20.62,15
CPT,80354,FENTANYL,82.0,61.5,0.92,24.43,15
CPT,80355,GABAPENTIN NON-BLOOD,,,0.92,17.97,15
CPT,80356,HEROIN METABOLITE,,,0.92,26.59,15
CPT,80357,KETAMINE AND NORKETAMINE,,,0.92,21.56,15
CPT,80358,METHADONE QUANT,96.16,72.12,0.92,22.22,30
CPT,80359,METHAMPHETAMINE QUANT,45.5,34.13,0.92,21.2,15
CPT,80360,METHYLPHENIDATE QUANT,75.0,56.25,0.92,21.56,15
CPT,80361,OPIATES,14.38,10.79,0.92,34.98,15
CPT,80362,OPIOIDS/OPIATE ANALOGS 1/2,162.0,121.5,0.92,29.82,30
CPT,80363,OPIOIDS & OPIATE ANALOGS 3/4,,,0.92,21.24,15
CPT,80364,OPIOID &OPIATE ANALOG 5/MORE,,,0.92,15.84,15
CPT,80365,OXYCODONE/METABOLITE,16.0,12.0,0.92,26.59,15
CPT,80366,DRUG SCREENING PREGABALIN,,,0.92,21.56,15
CPT,80367,DRUG SCREENING PROPOXYPHENE,,,0.92,24.43,15
CPT,80368,SEDATIVE HYPNOTICS,,,0.92,23.36,15
CPT,80369,CARISOPRODOL,15.66,11.75,0.92,23.98,15
CPT,80370,SKEL MUSC RELAXANT 3 OR MORE,,,0.92,23.98,15
CPT,80371,STIMULANTS SYNTHETIC,,,0.92,24.43,15
CPT,80372,DRUG SCREENING TAPENTADOL,,,0.92,21.56,15
CPT,80373,TRAMADOL QUANT,78.0,58.5,0.92,21.56,15
CPT,80374,STEREOISOMER ANALYSIS,,,0.92,21.2,15
CPT,80375,AMANTADINE,104.0,78.0,0.92,22.16,15
CPT,80375,DRUG/SUBS DEF QUAL/QUAN 1-3,307.0,230.25,0.92,22.16,15
CPT,80375,WARFARIN,70.0,52.5,0.92,22.16,15
CPT,80376,DRUG/SUBSTANCE NOS 4-6,,,0.92,24.72,15
CPT,80377,DRUGS NOS 7 OR MORE,93.625,70.22,0.92,24.72,30
CPT,803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,0.22,16.13,101
CPT,80400,ACTH STIMULATION PANEL,,,1.0,44.5,15
CPT,80402,ACTH STIMULATION PANEL,,,1.0,118.63,15
CPT,80406,ACTH STIMULATION PANEL,,,1.0,106.76,15
CPT,80408,ALDOSTERONE SUPPRESSION EVAL,,,1.0,171.21,15
CPT,80410,CALCITONIN STIMUL PANEL,,,1.0,109.6,15
CPT,80412,CRH STIMULATION PANEL,,,1.0,801.62,15
CPT,80414,TESTOSTERONE RESPONSE PANEL,,,1.0,70.45,15
CPT,80415,TOT ESTRADIOL RESPONSE PANEL,,,1.0,76.24,15
CPT,80416,RENIN STIMULATION PANEL,,,1.0,209.32,15
CPT,80417,RENIN STIMULATION PANEL,,,1.0,60.01,15
CPT,80418,PITUITARY EVALUATION PANEL,,,1.0,790.72,15
CPT,80420,DEXAMETHASONE PANEL,,,1.0,161.88,15
CPT,80422,GLUCAGON TOLERANCE PANEL,,,1.0,62.86,15
CPT,80424,GLUCAGON TOLERANCE PANEL,,,1.0,68.89,15
CPT,80426,GONADOTROPIN HORMONE PANEL,,,1.0,202.47,15
CPT,80428,GROWTH HORMONE PANEL,,,1.0,91.0,15
CPT,80430,GROWTH HORMONE PANEL,,,1.0,129.33,15
CPT,80432,INSULIN SUPPRESSION PANEL,,,1.0,184.31,15
CPT,80434,INSULIN TOLERANCE PANEL,,,1.0,285.03,15
CPT,80435,INSULIN TOLERANCE PANEL,,,1.0,140.54,15
CPT,80436,METYRAPONE PANEL,,,1.0,124.37,15
CPT,80438,TRH STIMULATION PANEL,,,1.0,68.77,15
CPT,80439,TRH STIMULATION PANEL,,,1.0,91.7,15
CPT,804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,1.0,95.51,95
CPT,80503,PATH CLIN CONSLTJ SF 5-20,,,1.0,50.75,16
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,,,1.0,152.32,16
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,,,1.0,152.32,16
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,,,1.0,56.23,16
CPT,805T,TCAT S&IVC PRSTC VL IMPL PRQ,,,0.22,16.13,96
CPT,806T,TCAT S&IVC PRSTC VL IMPL OPN,,,0.22,16.13,96
CPT,807T,PULM TISS VNTJ ALYS PREV CT,,,0.92,145.43,14
CPT,808T,PULM TISS VNTJ ALYS W/CT,,,0.92,280.06,14
CPT,80U,ONC LNG 5 CLIN RSK FACTR ALG,,,0.92,3520.0,14
CPT,81000,URINALYSIS NONAUTO W/SCOPE,,,1.0,4.32,15
CPT,81001,UA AUTO W/MICRO,66.0,49.5,1.0,4.32,15
CPT,81002,UA NON-AUTO W/O MICRO,20.0,15.0,1.0,3.49,45
CPT,81003,URINE W/O MICRO AUTO,42.0,31.5,1.0,3.06,90
CPT,81005,URINALYSIS CHEMICAL QUAL,108.0,81.0,1.0,2.96,15
CPT,81007,URINE SCREEN FOR BACTERIA,,,1.0,29.98,15
CPT,81015,URINALYSIS MICRO ONLY,38.0,28.5,1.0,4.15,15
CPT,81020,URINALYSIS GLASS TEST,,,1.0,5.03,15
CPT,81025,URINE PREG TEST QUAL,229.0,171.75,1.0,8.63,135
CPT,81050,URINALYSIS VOLUME MEASURE,,,1.0,4.09,15
CPT,81099,UNLISTED URINALYSIS PX,,,0.5,3.21,14
CPT,810T,SUBRTA NJX RX AGT W/VTRC,,,0.22,16.13,96
CPT,81105,HPA-1 GENOTYPING,,,1.0,150.89,15
CPT,81106,HPA-2 GENOTYPING,,,1.0,150.89,15
CPT,81107,HPA-3 GENOTYPING,,,1.0,150.89,15
CPT,81108,HPA-4 GENOTYPING,,,1.0,150.89,15
CPT,81109,HPA-5 GENOTYPING,,,1.0,150.89,15
CPT,81110,HPA-6 GENOTYPING,,,1.0,150.89,15
CPT,81111,HPA-9 GENOTYPING,,,1.0,150.89,15
CPT,81112,HPA-15 GENOTYPING,,,1.0,150.89,15
CPT,81120,IDH1 COMMON VARIANTS,1318.0,988.5,1.0,193.25,15
CPT,81121,IDH2 COMMON VARIANTS,1422.0,1066.5,1.0,295.79,15
CPT,81161,DMD DUP/DELET ANALYSIS,2697.0,2022.75,1.0,279.0,15
CPT,81162,BRCA1&2 GEN FULL SEQ DUP/DEL,,,1.0,2821.18,15
CPT,81163,BRCA1&2 GENE FULL SEQ ALYS,,,1.0,468.0,15
CPT,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,1.0,584.23,15
CPT,81165,BRCA1 GENE FULL SEQ ALYS,,,1.0,282.88,15
CPT,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,1.0,301.35,15
CPT,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,1.0,282.88,15
CPT,81168,CCND1/IGH TRANSLOCATION ALYS,,,1.0,207.31,15
CPT,81170,ABL 1 KINASE MUTATION ANALYSIS,1902.0,1426.5,1.0,329.51,15
CPT,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,1.0,137.0,15
CPT,81172,AFF2 GEN ALYS CHARAC ALLELES,,,1.0,274.83,15
CPT,81173,AR GENE FULL GENE SEQUENCE,,,1.0,301.35,15
CPT,81174,AR GENE KNOWN FAMIL VARIANT,,,1.0,185.2,15
CPT,81175,ASXL1 FULL GENE SEQUENCE,,,0.92,707.02,15
CPT,81176,ASXL1 GENE TARGET SEQ ALYS,,,0.92,298.64,15
CPT,81177,ATN1 GENE DETC ABNOR ALLELES,,,1.0,137.0,15
CPT,81178,ATXN1 GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81179,ATXN2 GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81180,ATXN3 GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81181,ATXN7 GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81182,ATXN8OS GEN DETC ABNOR ALLEL,,,1.0,137.0,15
CPT,81183,ATXN10 GENE DETC ABNOR ALLEL,,,1.0,137.0,15
CPT,81184,CACNA1A GEN DETC ABNOR ALLEL,,,1.0,137.0,15
CPT,81185,CACNA1A GENE FULL GENE SEQ,,,1.0,846.27,15
CPT,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,1.0,185.2,15
CPT,81187,CNBP GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81188,CSTB GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81189,CSTB GENE FULL GENE SEQUENCE,,,1.0,274.83,15
CPT,81190,CSTB GENE KNOWN FAMIL VRNT,,,1.0,185.2,15
CPT,81191,NTRK1 TRANSLOCATION ANALYSIS,,,1.0,207.31,15
CPT,81192,NTRK2 TRANSLOCATION ANALYSIS,,,1.0,207.31,15
CPT,81193,NTRK3 TRANSLOCATION ANALYSIS,,,1.0,207.31,15
CPT,81194,NTRK TRANSLOCATION ANALYSIS,,,1.0,518.28,15
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM)",,,0.92,1263.53,14
CPT,811T,REM MLT DAY UROFLOW SETUP,,,1.0,3.2,10
CPT,81200,ASPA GENE,,,1.0,47.25,15
CPT,81201,APC GENE FULL SEQUENCE,,,1.0,780.0,15
CPT,81202,APC GENE KNOWN FAM VARIANTS,,,1.0,280.0,15
CPT,81203,APC GENE DUP/DELET VARIANTS,,,1.0,200.0,15
CPT,81204,AR GENE CHARAC ALLELES,,,1.0,137.0,15
CPT,81205,BCKDHB GENE,,,1.0,94.99,15
CPT,81206,BCR ABL1 TRANS ANALYSIS,600.0,450.0,1.0,223.69,60
CPT,81206,BCRABL 1 MAJOR BREAKPNT,1384.0,1038.0,1.0,223.69,15
CPT,81207,BCR ABL MINOR BREAKPOINT,600.0,450.0,1.0,197.59,60
CPT,81207,BCRABL 1 MINOR BREAKPNT,1126.0,844.5,1.0,197.59,15
CPT,81208,BCR ABL OTHER BREAKPOINT,597.0,447.75,1.0,219.43,60
CPT,81209,BLM GENE,,,1.0,39.31,15
CPT,81210,BRAF V600E VARIANT,1648.0,1236.0,1.0,179.25,15
CPT,81212,BRCA1&2 185&5385&6174 VRNT,,,1.0,491.61,15
CPT,81215,BRCA1 GENE KNOWN FAMIL VRNT,,,1.0,419.27,15
CPT,81216,BRCA2 GENE FULL SEQ ALYS,,,1.0,206.83,15
CPT,81217,BRCA2 GENE KNOWN FAMIL VRNT,,,1.0,419.27,15
CPT,81218,CEPBA GENE ANALYSIS,1806.0,1354.5,1.0,329.51,30
CPT,81219,CALR EXON 9 VARIANTS,1249.0,936.75,1.0,165.68,45
CPT,81220,CFTR COMMON VARIANTS,1444.0,1083.0,1.0,893.84,15
CPT,81221,CFTR GENE KNOWN FAM VARIANTS,,,1.0,97.22,15
CPT,81222,CFTR GENE DUP/DELET VARIANTS,,,1.0,435.07,15
CPT,81223,CFTR FULL GEN SEQ,980.0,735.0,1.0,499.0,15
CPT,81223,CFTR FULL GENE SEQUENCE,3509.0,2631.75,1.0,499.0,15
CPT,81224,CFTR INTRON 8 POLY T ANL,315.0,236.25,1.0,168.75,15
CPT,81225,CYP2C19 COMMON VARIANTS,1693.0,1269.75,1.0,291.8,15
CPT,81226,CYP2D6 COMMON VARIANTS,1794.0,1345.5,1.0,451.59,15
CPT,81227,CYP2C9 GENOTYPE,176.0,132.0,1.0,175.08,15
CPT,81227,WARFARIN SENSITIVITY PANEL,416.0,312.0,1.0,175.08,15
CPT,81228,CYTOG ALYS CHRML ABNR CGH,,,1.0,900.0,15
CPT,81229,CYTOGEN VARIANT CHROME,89.0,66.75,1.0,1296.07,15
CPT,81229,CYTOGEN VARIANTCHROM ANL,3968.0,2976.0,1.0,1296.07,15
CPT,81229,MICRONARY EVL 251-500 PRBS #1,888.0,666.0,1.0,1296.07,15
CPT,81229,MICRONARY EVL 251-500 PRBS #2,888.0,666.0,1.0,1296.07,15
CPT,81230,CYP3A4 GENE COMMON VARIANTS,,,0.92,174.81,15
CPT,81231,CYP3A5 GENE COMMON VARIANTS,,,0.92,174.81,15
CPT,81232,DPYD GENE COMMON VARIANT,203.63,152.72,0.92,174.81,15
CPT,81233,BTK GENE COMMON VARIANTS,,,1.0,175.4,15
CPT,81234,DMPK GENE DETC ABNOR ALLELE,,,1.0,137.0,15
CPT,81235,EGFR COMMON VARIANTS,1293.0,969.75,1.0,330.01,15
CPT,81236,EZH2 GENE FULL GENE SEQUENCE,,,1.0,282.88,15
CPT,81237,EZH2 GENE COMMON VARIANTS,,,1.0,175.4,15
CPT,81238,F9 FULL GENE SEQUENCE,,,1.0,600.0,15
CPT,81239,DMPK GENE CHARAC ALLELES,,,1.0,274.83,15
CPT,81240,F2 GENE ANLS VARIANT,521.12,390.84,1.0,67.13,30
CPT,81241,F5 LEIDEN VARIANT,421.62,316.215,1.0,83.37,30
CPT,81242,FANCC GENE,,,0.92,36.62,15
CPT,81243,FMR1 ABNL ALLELES,564.295,423.22,1.0,57.04,30
CPT,81244,FMR1 CHARACTER ALLELES,97.59,73.19,1.0,44.89,15
CPT,81245,FLT3 GENE ANALYSIS,1563.0,1172.25,1.0,165.92,45
CPT,81246,FLT3 GENE ANALYSIS TKD,1830.0,1372.5,1.0,83.01,15
CPT,81247,G6PD GENE ALYS CMN VARIANT,,,0.92,174.81,15
CPT,81248,G6PD KNOWN FAMILIAL VARIANT,,,0.92,375.25,15
CPT,81249,G6PD FULL GENE SEQUENCE,,,0.92,600.0,15
CPT,81250,G6PC GENE,,,0.92,58.49,15
CPT,81251,GBA GENE,,,1.0,47.25,15
CPT,81252,GJB2 GENE FULL SEQUENCE,,,1.0,101.12,15
CPT,81253,GJB2 GENE KNOWN FAM VARIANTS,,,1.0,61.52,15
CPT,81254,GJB6 GENE COM VARIANTS,,,1.0,35.0,15
CPT,81255,HEXA ANLS COMMON VARIANT,551.67,413.75,1.0,51.45,15
CPT,81256,HEMOCHROM COMMON VARIANT,468.045,351.035,1.0,89.17,30
CPT,81257,ALPHA THALASSEMIA,968.5,726.375,1.0,102.26,30
CPT,81257,HBA 1/2 DELETES/VARIANTS,285.08,213.81,1.0,102.26,15
CPT,81258,HBA1/HBA2 GENE FAM VRNT,,,1.0,375.25,15
CPT,81259,HBA1/HBA2 FULL GENE SEQUENCE,,,1.0,600.0,15
CPT,81260,IKBKAP GENE,,,0.92,39.31,15
CPT,81261,IGH ANALYSIS,835.0,626.25,1.0,270.11,60
CPT,81261,IGH GENE ANLS AMP METHOD,667.0,500.25,1.0,270.11,15
CPT,81262,IGH GENE REARRANG DIR PROBE,,,1.0,68.55,15
CPT,81263,IGH VARIABLE MUTATION,450.0,337.5,1.0,401.79,15
CPT,81264,IGK ANALYSIS,835.0,626.25,1.0,203.72,60
CPT,81264,IGK GENE REARRANGE ANLS,667.0,500.25,1.0,203.72,15
CPT,81265,COMPARATIVE ANL STR MRKR,598.5,448.875,1.0,293.38,30
CPT,81266,COMPARE ANL MRKRS EA ADD,1511.0,1133.25,1.0,304.81,15
CPT,81267,CHIMERSM NO CELL SELECT,1025.0,768.75,1.0,283.03,15
CPT,81268,CHIMERISM WCELL SEL 1,1080.0,810.0,1.0,355.78,60
CPT,81268,CHIMERISM WCELL SEL 2,1080.0,810.0,1.0,355.78,60
CPT,81268,CHIMERSM CELL SELECTION,423.5,317.63,1.0,355.78,15
CPT,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,,,1.0,202.4,15
CPT,81270,JAK2 VARIANT,602.5,451.875,1.0,125.06,30
CPT,81271,HTT GENE DETC ABNOR ALLELES,753.0,564.75,1.0,137.0,30
CPT,81272,KIT GENE TARGET SEQ ANLS,2001.0,1500.75,1.0,329.51,15
CPT,81272,KIT GENE TARGT SEQ ANLS,2165.5,1624.125,1.0,329.51,30
CPT,81273,KIT D816V GENE ANALYSIS,1698.0,1273.5,1.0,124.87,15
CPT,81274,HTT GENE CHARAC ALLELES,,,1.0,274.83,15
CPT,81275,KRAS VARNT CONDONS 12/13,1265.0,948.75,1.0,197.48,30
CPT,81276,KRAS VRNT CONDONS 61/146,960.0,720.0,1.0,197.19,15
CPT,81277,CYTOGENOMIC NEO MICRORA ALYS,,,0.92,1160.0,15
CPT,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,1.0,207.31,15
CPT,81279,JAK2 GENE TRGT SEQ ALYS,865.0,648.75,1.0,185.2,15
CPT,81283,IFNL3 GENE,,,0.92,75.44,15
CPT,81284,FXN GENE DETC ABNOR ALLELES,,,1.0,137.0,15
CPT,81285,FXN GENE CHARAC ALLELES,,,1.0,274.83,15
CPT,81286,FXN GENE FULL GENE SEQUENCE,,,1.0,274.83,15
CPT,81287,MGMT GENE PRMTR MTHYLTN ALYS,,,1.0,124.64,15
CPT,81288,MLH1 GENE,764.0,573.0,1.0,192.32,15
CPT,81289,FXN GENE KNOWN FAMIL VARIANT,,,1.0,185.2,15
CPT,81290,MCOLN1 GENE,,,0.92,39.31,15
CPT,81291,MTHFR COMMON VARIANT,140.0,105.0,0.92,65.34,15
CPT,81291,MTHFR COMMON VARIANTS,424.5,318.375,0.92,65.34,30
CPT,81292,MLH1 GENE FULL SEQ,,,1.0,675.4,15
CPT,81293,MLH1 GENE KNOWN VARIANTS,,,1.0,331.0,15
CPT,81294,MLH1 GENE DUP/DELETE VARIANT,,,1.0,202.4,15
CPT,81295,MSH2 GENE FULL SEQ,,,1.0,381.7,15
CPT,81296,MSH2 GENE KNOWN VARIANTS,,,1.0,337.73,15
CPT,81297,MSH2 GENE DUP/DELETE VARIANT,,,1.0,213.3,15
CPT,81298,MSH6 GENE FULL SEQ,,,1.0,641.85,15
CPT,81299,MSH6 GENE KNOWN VARIANTS,,,1.0,308.0,15
CPT,812T,REM MLT DAY UROFLOW DEV SPLY,,,1.0,3.2,10
CPT,81300,MSH6 GENE DUP/DELETE VARIANT,,,1.0,238.0,15
CPT,81301,MICROSAT INSTABILITY ANL,1038.0,778.5,1.0,395.04,15
CPT,81302,MECP2 GENE FULL SEQ,,,1.0,527.87,15
CPT,81303,MECP2 GENE KNOWN VARIANT,,,1.0,120.0,15
CPT,81304,MECP2 GENE DUP/DELET VARIANT,,,1.0,150.0,15
CPT,81305,MYD88 GENE ANALYSIS,303.75,227.81,1.0,175.4,15
CPT,81306,NUDT15 GENE COMMON VARIANTS,,,1.0,291.36,15
CPT,81307,PALB2 GENE FULL GENE SEQ,,,1.0,676.5,15
CPT,81308,PALB2 GENE KNOWN FAMIL VRNT,,,1.0,301.35,15
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,,,1.0,274.83,15
CPT,81310,NPM1 EXON 12 VARIANTS,881.375,661.03,1.0,247.14,30
CPT,81311,NRAS VARIANT EXON 2-3,2298.0,1723.5,1.0,295.79,15
CPT,81312,PABPN1 GENE DETC ABNOR ALLEL,,,1.0,137.0,15
CPT,81313,PCA3/KLK3 ANTIGEN,,,1.0,255.05,15
CPT,81314,PDGFRA GENE,,,1.0,329.51,15
CPT,81315,PML/RARALPHA COM BRKPNTS,245.0,183.75,1.0,282.83,15
CPT,81316,PML/RARALPHA 1 BREAKPOINT,,,1.0,431.39,15
CPT,81317,PMS2 GENE FULL SEQ ANALYSIS,,,1.0,781.29,15
CPT,81318,PMS2 KNOWN FAMILIAL VARIANTS,,,1.0,331.0,15
CPT,81319,PMS2 GENE DUP/DELET VARIANTS,,,1.0,221.66,15
CPT,81320,PLCG2 GENE COMMON VARIANTS,,,1.0,291.36,15
CPT,81321,PTEN FULL SEQUENCE ANLS,2091.0,1568.25,1.0,600.7,15
CPT,81322,PTEN GENE KNOWN FAM VARIANT,,,1.0,58.4,15
CPT,81323,PTEN GENE DUP/DELET VARIANT,,,1.0,300.0,15
CPT,81324,PMP22 DUP/DEL ANLS,1771.0,1328.25,1.0,758.36,15
CPT,81325,PMP22 GENE FULL SEQUENCE,,,1.0,769.58,15
CPT,81326,PMP22 GENE KNOWN FAM VARIANT,,,1.0,52.85,15
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,0.92,192.0,15
CPT,81328,SLCO1B1 GENE COM VARIANTS,,,0.92,174.81,15
CPT,81329,SMN1 GENE DOSE DELETION,798.5,598.875,1.0,137.0,30
CPT,81330,SMPD1 GENE COMMON VARIANTS,,,1.0,47.0,15
CPT,81331,ANGELMAN/PWS SYNDROME DNA,669.0,501.75,1.0,51.07,15
CPT,81331,SNRPN/UBE3A METHYLATION,141.0,105.75,1.0,51.07,15
CPT,81332,SERPINA1 GENE,,,1.0,59.55,15
CPT,81333,TGFBI GENE COMMON VARIANTS,,,0.92,137.0,15
CPT,81334,RUNX1 GENE TARGETED SEQ ALYS,,,0.92,329.51,15
CPT,81335,TPMT GENE ANALYSIS,759.0,569.25,1.0,174.81,30
CPT,81336,SMN1 GENE FULL GENE SEQUENCE,,,1.0,301.35,15
CPT,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,1.0,185.2,15
CPT,81338,MPL GENE VARIANTS,344.5,258.375,1.0,150.33,30
CPT,81339,MPL GENE SEQ ALYS EXON 10,275.0,206.25,1.0,185.2,15
CPT,81340,TRB AMPLIFICATION METHOD,548.5,411.375,1.0,285.02,30
CPT,81340,TRB GENE ANALYSIS,870.0,652.5,1.0,285.02,60
CPT,81341,TRB@ GENE REARRANGE DIRPROBE,,,1.0,67.65,15
CPT,81342,T CELL AG RECEPTOR GAMMA,816.0,612.0,1.0,274.9,15
CPT,81342,TRG GENE ANALYSIS,839.0,629.25,1.0,274.9,60
CPT,81343,PPP2R2B GEN DETC ABNOR ALLEL,,,1.0,137.0,15
CPT,81344,TBP GENE DETC ABNOR ALLELES,,,1.0,137.0,15
CPT,81345,TERT GENE TARGETED SEQ ALYS,,,1.0,185.2,15
CPT,81346,TYMS GENE COM VARIANTS,,,0.92,174.81,15
CPT,81347,SF3B1 GENE COMMON VARIANTS,,,0.92,193.25,15
CPT,81348,SRSF2 GENE COMMON VARIANTS,,,0.92,175.4,15
CPT,81349,CYTOG ALYS CHRML ABNR LW-PS,,,1.0,1338.46,14
CPT,81350,UGT1A1 COMMON VARIANT,970.0,727.5,0.92,234.0,15
CPT,81351,TP53 GENE FULL GENE SEQUENCE,,,1.0,641.85,15
CPT,81352,TP53 GENE TRGT SEQ ANALYSIS,983.75,737.81,1.0,329.51,15
CPT,81353,TP53 GENE KNOWN FAMIL VRNT,,,1.0,308.0,15
CPT,81355,VKORC1 GENOTYPE,39.0,29.25,0.92,88.2,15
CPT,81357,U2AF1 GENE COMMON VARIANTS,,,0.92,193.25,15
CPT,81360,ZRSR2 GENE COMMON VARIANTS,,,0.92,193.25,15
CPT,81361,HBB COMMON VARIANTS,901.0,675.75,0.92,174.81,30
CPT,81362,HBB GENE KNOWN FAM VARIANT,,,0.92,375.25,15
CPT,81363,HBB GENE DUP/DEL VARIANTS,,,0.92,202.4,15
CPT,81364,HBB FULL GENE SEQUENCE,1404.5,1053.375,0.92,324.58,30
CPT,81370,HLA I/KK LOW RESOLUTION,4686.0,3514.5,1.0,548.6,15
CPT,81371,HLA I/II-A-B-DRB1/3/4/5,2474.0,1855.5,1.0,404.52,15
CPT,81372,HLA I COMPLETE LOW,913.0,684.75,1.0,403.59,15
CPT,81373,HLA I ONE LOCUS LOW,1048.5,786.375,1.0,151.93,90
CPT,81373,SSPALOCUS,1240.0,930.0,1.0,151.93,15
CPT,81374,HLA I AG EQUIV EACH LOW,778.0,583.5,1.0,99.25,30
CPT,81375,HLA II TYPING AG EQUIV LR,,,1.0,301.15,15
CPT,81376,HLA CLASS II LOCUS 1,667.0,500.25,1.0,166.74,240
CPT,81376,HLA CLASS II LOCUS 2,510.0,382.5,1.0,166.74,240
CPT,81376,HLA II ONE LOCUS LOW,825.0,618.75,1.0,166.74,30
CPT,81376,HLA II ONE LOW LOCUS,861.0,645.75,1.0,166.74,30
CPT,81377,HLA II TYPE 1 AG EQUIV LR-NARC,1306.0,979.5,1.0,125.25,15
CPT,81378,HLA I/II HIGH RESOLUTION,5344.5,4008.375,1.0,471.44,30
CPT,81379,HLA I TYPING COMPLETE HR,,,1.0,457.54,15
CPT,81380,HLA I ONE HIGH,1259.0,944.25,1.0,241.81,30
CPT,81380,HLA I ONE LOCUS HIGH,1446.0,1084.5,1.0,241.81,30
CPT,81381,CW HARPS,1126.0,844.5,1.0,169.9,15
CPT,81381,HIGH RESOLUTION TYPING SSPB13,1126.0,844.5,1.0,169.9,15
CPT,81381,HIGH RESOLUTION TYPING SSPB38,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP -HLA C*02,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA  C*01,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA  C*06,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA  C*16,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C *18,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C* 17,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*03,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*05,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*07,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*08,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*12,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP HLA C*15,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP MISC CL1,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP MISC CL2,1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*01",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*02",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*03",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*11",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*19",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*23",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*24",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER A*68",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*07",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*08",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*14",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*15",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*18",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*22",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*27",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*39",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*40",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*44",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B*51",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B21",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B45",1126.0,844.5,1.0,169.9,15
CPT,81381,"SSP, PRIMER B52",1126.0,844.5,1.0,169.9,15
CPT,81381,SSP- HLA C*14,1126.0,844.5,1.0,169.9,15
CPT,81381,SSP-HLA  C*04,1126.0,844.5,1.0,169.9,15
CPT,81382,HLA II ONE LOCUS HIGH,1101.0,825.75,1.0,168.73,135
CPT,81382,SSP DRB1 LOCUS,1421.0,1065.75,1.0,168.73,15
CPT,81383,"SSP, PRIMER DRB1*08",952.0,714.0,1.0,148.88,15
CPT,81383,"SSP, PRIMER DRB1*15",952.0,714.0,1.0,148.88,15
CPT,81383,"SSP, PRIMER DRB1*16",952.0,714.0,1.0,148.88,15
CPT,813T,EGD VOL ADJMT BARIATRIC BALO,,,0.22,16.13,96
CPT,81400,MOLECULAR PATH LEVEL 1,497.895,373.42,1.0,63.96,30
CPT,81401,MOLECULAR PATH LEVEL 2,533.0,399.75,1.0,137.0,105
CPT,81402,MOLECULAR PATH LEVEL 3,704.0,528.0,1.0,150.33,15
CPT,81403,MOLECULAR PATH LEVEL 4,1030.0,772.5,1.0,185.2,105
CPT,81404,MOLECULAR PATH LEVEL 5,962.0,721.5,1.0,274.83,45
CPT,81405,MOLECULAR PATH LEVEL 6,610.0,457.5,1.0,301.35,45
CPT,81406,MOLECULAR PATH LEVEL 7,953.0,714.75,1.0,316.06,15
CPT,81407,LEVEL 8 MOL PATH PROC,7613.0,5709.75,1.0,846.27,60
CPT,81407,MOLECULAR PATH LEVEL 8,1135.0,851.25,1.0,846.27,15
CPT,81408,MOLECULAR PATH LEVEL 9,953.0,714.75,1.0,2000.0,15
CPT,81408,MOLECULAR PATH LEVEL 9/2,1460.0,1095.0,1.0,2000.0,15
CPT,81410,AORTIC DYSFUNCTION/DILATION,,,1.0,504.0,15
CPT,81411,AORTIC DYSFUNCTION/DILATION,,,1.0,1350.19,15
CPT,81412,ASHKENAZI JEWISH ASSOC DIS,,,1.0,2448.56,15
CPT,81413,CAR ION CHNNLPATH INC 10 GNS,,,1.0,802.33,15
CPT,81414,CAR ION CHNNLPATH INC 2 GNS,,,1.0,802.33,15
CPT,81415,EXOME SEQUENCE ANALYSIS,1346.0,1009.5,1.0,4780.0,15
CPT,81416,EXOME SEQUENCE ANALYSIS,,,1.0,12000.0,15
CPT,81417,EXOME RE-EVALUATION,,,1.0,1061.44,15
CPT,81418,RX METAB GEN SEQ ALYS PNL 6,,,1.0,917.08,14
CPT,81419,EPILEPSY GEN SEQ ALYS PANEL,,,1.0,2448.56,15
CPT,81420,FETAL INFORMA SEQ XY SEQUENCE,400.0,300.0,1.0,802.33,15
CPT,81422,FETAL CHRMOML MICRODELTJ,,,0.92,802.33,15
CPT,81425,GENOME SEQUENCE ANALYSIS,2820.0,2115.0,1.0,5031.2,60
CPT,81426,GENOME SEQUENCE ANAL EA GEN,2291.0,1718.25,1.0,2709.95,45
CPT,81427,GENOME RE-EVALUATION,,,1.0,2337.65,15
CPT,81430,HEARING LOSS SEQUENCE ANALYS,,,1.0,1625.0,15
CPT,81431,HEARING LOSS DUP/DEL ANALYS,,,1.0,1061.44,15
CPT,81432,HRDTRY BRST CA-RLATD DSORDRS,,,1.0,1092.67,15
CPT,81434,HEREDITARY RETINAL DISORDERS,,,0.92,602.1,15
CPT,81435,HEREDITARY COLON CA DSORDRS,,,1.0,1092.67,15
CPT,81437,HEREDTRY NURONDCRN TUM DSRDR,,,1.0,1092.67,15
CPT,81439,HRDTRY CARDMYPY GENE PANEL,,,1.0,802.33,15
CPT,81440,MITOCHONDRIAL GENE,,,0.92,3324.0,15
CPT,81441,IBMFS SEQ ALYS PNL 30 GENES,,,1.0,2448.56,14
CPT,81442,NOONAN SPECTRUM DISORDERS,,,0.92,2143.6,15
CPT,81443,GENETIC TSTG SEVERE INH COND,,,1.0,2448.56,15
CPT,81445,SO NEO GSAP 5-50DNA/DNA&RNA,,,1.0,668.04,15
CPT,81448,HRDTRY PERPH NEURPHY PANEL,,,1.0,722.1,15
CPT,81449,SO NEO GSAP 5-50 RNA ALYS,,,1.0,597.91,14
CPT,81450,TARGT SEQ ANLYS 5-50,6246.0,4684.5,1.0,848.62,15
CPT,81451,HL NEO GSAP 5-50 RNA ALYS,,,1.0,759.53,14
CPT,81455,TARGET GENOMIC ANALYSIS 51+,12549.0,9411.75,1.0,2919.6,15
CPT,81456,SO/HL 51/>GSAP RNA ALYS,,,1.0,2919.6,14
CPT,81457,SO NEO GSAP DNA MCRSTL INS,,,1.0,896.87,14
CPT,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,1.0,1046.35,14
CPT,81459,SO NEO GSAP DNA/DNA&RNA,,,1.0,2989.55,14
CPT,81460,WHOLE MITOCHONDRIAL GENOME,,,0.92,1287.0,15
CPT,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1.0,1195.83,14
CPT,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1.0,1345.31,14
CPT,81464,SO GSAP CLL FR MCRSTL INS,,,1.0,3288.51,14
CPT,81465,WHOLE MITOCHONDRIAL GENOME,,,0.92,936.0,15
CPT,81470,X-LINKED INTELLECTUAL DBLT,,,0.92,914.0,15
CPT,81471,X-LINKED INTELLECTUAL DBLT,,,0.92,914.0,15
CPT,81479,DNA ISOLATION,510.0,382.5,0.5,111.73,56
CPT,81479,KIR,1624.0,1218.0,0.5,111.73,14
CPT,81479,MOL PATH NOS #1,161.0,120.75,0.5,111.73,56
CPT,81479,MOL PATH NOS #2,161.0,120.75,0.5,111.73,56
CPT,81479,MOL PATH NOS #3,161.0,120.75,0.5,111.73,56
CPT,81479,MOL PATH NOS #4,161.0,120.75,0.5,111.73,56
CPT,81479,UNLISTED MOL PATH PROC,510.0,382.5,0.5,111.73,56
CPT,81479,UNLISTED MOLEC PROC,1547.0,1160.25,0.5,111.73,196
CPT,81479,UNLISTED MOLEC PROC/2,1059.0,794.25,0.5,111.73,14
CPT,81479,UNLISTED MOLEC PROC/3,811.0,608.25,0.5,111.73,14
CPT,81479,UNLISTED MOLEC PROC/4,1165.0,873.75,0.5,111.73,14
CPT,81490,AUTOIMMUNE RA ALYS 12 BMRK,,,0.92,840.65,15
CPT,81493,COR ARTERY DISEASE MRNA,,,0.92,1050.0,15
CPT,814T,PRQ NJX BIOD OSTEO MATRL FEM,,,0.22,1.12,16
CPT,81500,ONCO (OVAR) TWO PROTEINS,,,1.0,260.5,15
CPT,81503,ONCOLOGY BIOCHEM ASSAY OVA 1,666.25,499.69,1.0,897.0,15
CPT,81504,ONCOLOGY TISSUE OF ORIGIN,,,0.92,520.0,15
CPT,81506,ENDO ASSAY SEVEN ANAL,,,0.92,81.03,15
CPT,81507,FETAL ANEUPLOIDY TRISOM RISK,,,1.0,795.0,15
CPT,81508,FTL CGEN ABNOR TWO PROTEINS,,,0.92,54.3,15
CPT,81509,FTL CGEN ABNOR 3 PROTEINS,,,1.0,1487.37,15
CPT,81510,FTL CGEN ABNOR THREE ANAL,,,1.0,55.54,15
CPT,81511,AFP MTRNL SER SCRN 4 ANA,68.28,51.21,1.0,153.5,15
CPT,81512,FTL CGEN ABNOR FIVE ANAL,,,1.0,69.52,15
CPT,81513,NFCT DS BV RNA VAG FLU ALG,,,1.0,142.63,15
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,,,1.0,262.99,15
CPT,81515,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,1.0,262.99,14
CPT,81517,LIVER DS ALYS 3 BMRK SRM ALG,,,0.92,176.19,14
CPT,81518,ONC BRST MRNA 11 GENES,,,1.0,3873.0,15
CPT,81519,ONCOLOGY BREAST MRNA,,,1.0,4317.25,15
CPT,81520,ONC BREAST MRNA 58 GENES,,,1.0,3099.02,15
CPT,81521,ONC BREAST MRNA 70 GENES,,,1.0,3888.2,15
CPT,81522,ONC BREAST MRNA 12 GENES,,,1.0,4327.3,15
CPT,81523,ONC BRST MRNA 70 CNT 31 GENE,,,1.0,3873.0,14
CPT,81525,ONCOLOGY COLON MRNA,,,0.92,3125.73,15
CPT,81528,ONCOLOGY COLORECTAL SCR,,,1.0,613.4,15
CPT,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,0.92,7193.0,15
CPT,81535,ONCOLOGY GYNECOLOGIC,,,0.92,579.46,15
CPT,81536,ONCOLOGY GYNECOLOGIC,,,0.92,177.56,15
CPT,81538,ONCOLOGY LUNG,,,0.92,2871.0,15
CPT,81539,ONCOLOGY PROSTATE PROB SCORE,,,1.0,760.0,15
CPT,81540,ONCOLOGY TUM UNKNOWN ORIGIN,,,0.92,3750.0,15
CPT,81541,ONC PROSTATE MRNA 46 GENES,,,1.0,3873.0,15
CPT,81542,ONC PROSTATE MRNA 22 CNT GEN,,,1.0,3873.0,15
CPT,81546,"ONC THYR MRNA 10,196 GEN ALG",,,1.0,4060.27,15
CPT,81551,ONC PROSTATE 3 GENES,,,1.0,2030.0,15
CPT,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,1.0,8688.12,15
CPT,81554,PULM DS IPF MRNA 190 GEN ALG,,,0.92,5500.0,15
CPT,81558,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,0.92,3240.0,14
CPT,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,0.92,640.73,14
CPT,81595,CARDIOLOGY HRT TRNSPL MRNA,,,1.0,3620.05,15
CPT,81596,NFCT DS CHRNC HCV 6 ASSAYS,,,1.0,72.19,15
CPT,81599,UNLISTED MAAA,,,0.5,111.73,14
CPT,815T,US REMS B1 DNS HIPS PLVS/SPI,,,0.5,1.12,14
CPT,816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,0.22,16.13,96
CPT,817T,OPN INSJ/RPLCMT INS PTN SUBF,,,0.22,16.13,96
CPT,818T,REVJ/RMVL INS PTN SUBQ,,,0.22,16.13,96
CPT,819T,REVJ/RMVL INS PTN SUBF,,,0.22,16.13,96
CPT,82009,"ACETONE, QUAL",161.0,120.75,1.0,6.16,15
CPT,82010,BETA HYDROXYBUTYRATE,45.0,33.75,1.0,11.15,15
CPT,82013,ACETYLCHOLINESTERASE,30.35,22.76,1.0,15.24,15
CPT,82016,ACYLCARNITINES QUAL,,,1.0,18.91,15
CPT,82017,ACYLCARNITINES QN EA SPC,249.66,187.245,1.0,23.01,60
CPT,82017,ACYLCCARNITINES QN EA SPC,461.0,345.75,1.0,23.01,15
CPT,82024,ACTH,229.375,172.03,1.0,52.7,30
CPT,82030,AMP CYCLIC,28.51,21.38,1.0,35.19,15
CPT,82040,ALBUMIN SERUM,27.0,20.25,4.88,16.13,90
CPT,82040,"ALBUMIN, SERUM QUANT",78.0,58.5,4.88,16.13,90
CPT,82040,"ALBUMIN,SERUM",55.0,41.25,4.88,16.13,90
CPT,82040,"PROTEIN, ALBUMIN ONLY, BLD, AU",134.0,100.5,4.88,16.13,90
CPT,82040,Serum Albumin,23.0,17.25,4.88,16.13,180
CPT,82042,ALBUMIN QUANT OTH SRC,7.54,5.66,1.0,7.78,15
CPT,82042,ALBUMIN UR QUANT,21.0,15.75,1.0,7.78,15
CPT,82042,ALBUMIN URINE TIMED COLL,63.0,47.25,1.0,7.78,15
CPT,82042,"ALBUMIN, CSF",55.0,41.25,1.0,7.78,15
CPT,82042,"ALBUMIN, URINE QUANT",120.0,90.0,1.0,7.78,15
CPT,82042,"Albumin, Urine",27.0,20.25,1.0,7.78,30
CPT,82042,BODY FLUID ALBUMIN,66.0,49.5,1.0,7.78,15
CPT,82043,MICRO ALBUMIN URINE QNT,213.5,160.125,1.0,7.89,30
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,,,1.0,6.24,15
CPT,82045,ALBUMIN ISCHEMIA MODIFIED,,,0.92,46.31,15
CPT,82075,ASSAY OF BREATH ETHANOL,,,0.92,30.0,15
CPT,82077,ASSAY SPEC XCP UR&BREATH IA,,,1.0,17.27,15
CPT,82085,ALDOLASE,2.0,1.5,1.0,13.24,15
CPT,82088,ALDOSTERONE,87.0,65.25,1.0,55.6,60
CPT,82088,ALDOSTERONE/2,10.0,7.5,1.0,55.6,15
CPT,82103,"ALPHA-1 ANTITRYPASIN, TOTAL",117.0,87.75,1.0,18.33,15
CPT,82103,ANTITRYPSIN ALPHA 1 TOTL,12.129999999999999,9.1,1.0,18.33,60
CPT,82104,ANTITRYPSIN ALPHA PHENO,12.125,9.095,1.0,19.73,30
CPT,82104,PHENOTYPE,117.0,87.75,1.0,19.73,15
CPT,82105,ALPHA FETO PROTEIN SERUM,351.0,263.25,1.0,22.89,30
CPT,82106,ALPHA FETO PROTN AMN FLD,223.0,167.25,1.0,22.89,15
CPT,82107,AFP FRACTION AND TOTAL,75.0,56.25,1.0,87.88,15
CPT,82108,ALUMINUM,175.0,131.25,1.0,34.76,45
CPT,82108,ALUMINUM URINE,6.0,4.5,1.0,34.76,15
CPT,82120,AMINES VAGINAL FLUID QUAL,,,1.0,5.99,15
CPT,82127,AMINO ACID SINGLE QUAL,,,1.0,18.91,15
CPT,82128,AMINO ACIDS MULT QUAL,,,1.0,18.91,15
CPT,82131,AMINO ACIDS QNT SNGL EA,783.5,587.625,1.0,23.01,30
CPT,82131,TRYPTOPHAN,122.0,91.5,1.0,23.01,15
CPT,82135,ALA URINE,26.0,19.5,1.0,22.45,15
CPT,82135,ALA(DELTA AMINOLVLN ACID,62.5,46.88,1.0,22.45,15
CPT,82136,AMINO ACIDS 2-5 QNT EA,409.85,307.39,1.0,23.01,30
CPT,82139,AMINO ACIDS 6+ QNT,264.095,198.07,1.0,23.01,30
CPT,82139,AMINO ACIDS 6+ QNT/2,130.5,97.88,1.0,23.01,15
CPT,82139,AMINO ACIDS 6+ QNT/3,148.75,111.56,1.0,23.01,15
CPT,82140,AMMONIA,194.0,145.5,1.0,19.88,15
CPT,82143,BILIRUBIN AMNIOTIC FLUID,12.0,9.0,1.0,9.37,15
CPT,82150,AMYLASE,20.605,15.455,1.0,8.84,75
CPT,82150,"AMYLASE,TOTAL",130.0,97.5,1.0,8.84,15
CPT,82150,MACROAMYLASE,223.0,167.25,1.0,8.84,15
CPT,82150,TOTAL AMYLASE,223.0,167.25,1.0,8.84,15
CPT,82154,ANDROSTANEDIOL GLUCURNDE,35.0,26.25,1.0,39.34,15
CPT,82157,ANDROSTENEDIONE,72.0,54.0,1.0,39.94,30
CPT,82160,ASSAY OF ANDROSTERONE,,,1.0,34.11,15
CPT,82163,ANGIOTENSIN II,108.43,81.32,1.0,27.99,15
CPT,82164,ANGIOTENSIN CONV ENZYME,18.985,14.24,1.0,19.92,45
CPT,82166,ANTI-MULLERIAN HORMONE,85.25,63.94,1.0,38.62,14
CPT,82172,APOLIPOPROTEIN,16.5,12.375,1.0,21.14,30
CPT,82172,APOLIPOPROTEIN A1,249.0,186.75,1.0,21.14,15
CPT,82172,APOLIPOPROTEIN/2,6.72,5.04,1.0,21.14,15
CPT,82175,ARSENIC,11.125,8.345,1.0,25.89,60
CPT,82175,ARSENIC UR RDM,102.0,76.5,1.0,25.89,45
CPT,82175,ARSENIC URINE,4.0,3.0,1.0,25.89,30
CPT,82180,ASCORBIC ACID,11.24,8.43,1.0,13.48,15
CPT,82180,ASCORBIC ACID(VITAMIN C),56.0,42.0,1.0,13.48,15
CPT,82190,QUANTITATIVE IRON,197.0,147.75,1.0,20.34,15
CPT,82232,BETA-2-MICROGLOBLN,38.0,28.5,1.0,22.07,45
CPT,82233,Beta-amyloid; 1-40 (Abeta 40),,,0.5,1.12,14
CPT,82234,Beta-amyloid; 1-42 (Abeta 42),,,0.5,1.12,14
CPT,82239,BILE ACIDS TOTAL,4.0,3.0,1.0,23.37,15
CPT,82240,BILE ACIDS CHOLYLGLYCINE,,,1.0,36.26,15
CPT,82247,BILIRUBIN TOTAL,75.0,56.25,4.88,16.13,360
CPT,82248,BILIRUBIN DIRECT,80.0,60.0,4.88,16.13,90
CPT,82248,BILIRUBIN UNCONJUGATED,174.0,130.5,4.88,16.13,90
CPT,82252,FECAL BILIRUBIN TEST,,,1.0,6.21,15
CPT,82261,BIOTINIDASE EA SPEC,139.0,104.25,1.0,23.01,30
CPT,82270,OCCULT BLD STL 1-3,112.0,84.0,1.0,4.44,30
CPT,82271,GASTRIC OCCULT BL-UN BASED (ED,28.0,21.0,1.0,5.32,15
CPT,82271,OCCULT BLOOD GASTRIC,118.0,88.5,1.0,5.32,15
CPT,82272,OCCULT BLD FECES ONE SPC,67.5,50.625,1.0,4.44,30
CPT,82274,HGB FECAL IA,133.0,99.75,1.0,21.7,30
CPT,82274,POC IMMUNO FECAL OCCULT BLOOD,154.0,115.5,1.0,21.7,15
CPT,82286,ASSAY OF BRADYKININ,,,0.92,9.4,15
CPT,82300,CADMIUM,48.0,36.0,1.0,31.58,75
CPT,82306,VITAMIN D/25 HYDROXY,631.0,473.25,1.0,40.4,15
CPT,82308,CALCITONIN,8.0,6.0,1.0,36.54,15
CPT,82310,CALCIUM,90.0,67.5,4.88,16.13,90
CPT,82330,CALCIUM IONIZED,165.0,123.75,1.0,18.65,210
CPT,82330,"POC CALCIUM, IONIZED, AUTO",166.0,124.5,1.0,18.65,30
CPT,82330,"POC CALCIUM,IONIZED, AUTO",196.0,147.0,1.0,18.65,15
CPT,82331,CALCIUM INFUSION TEST,,,1.0,13.34,15
CPT,82340,CALCIUM URINE QUAN TIMED,80.0,60.0,1.0,8.23,15
CPT,82340,"CALICUM, 24 HR URINE",65.0,48.75,1.0,8.23,15
CPT,82355,CALCULUS ANALYSIS QUAL,,,1.0,15.79,15
CPT,82360,CALCULUS QUANT CHEMICAL,247.0,185.25,1.0,17.56,15
CPT,82365,CALCULUS INFRARED SPCTRO,19.65,14.74,1.0,17.59,30
CPT,82370,X-RAY ASSAY CALCULUS,,,1.0,17.09,15
CPT,82373,CARBHYDRT DEFC TRNSFRRN,216.55,162.415,1.0,24.63,30
CPT,82374,BICARBONATE URINE,25.0,18.75,4.88,16.13,90
CPT,82374,BMP LYTES CARBON DIOXIDE,52.0,39.0,4.88,16.13,90
CPT,82374,CARBON DIOXIDE,59.0,44.25,4.88,16.13,180
CPT,82375,CARBON MONOXIDE QUAN,5.0,3.75,1.0,16.81,15
CPT,82375,"CARBOXY PROFILE, QUANT",337.0,252.75,1.0,16.81,15
CPT,82375,CARBOXYHEMOGLOBIN QUANT,329.0,246.75,1.0,16.81,15
CPT,82376,ASSAY CARBOXYHB QUAL,,,1.0,14.07,15
CPT,82378,CARCINO-EMBRYONIC AG,298.64,223.98,1.0,25.88,30
CPT,82379,CARNITINE,58.025,43.52,1.0,23.01,30
CPT,82379,CARNITINE FREE AND TOTAL,223.0,167.25,1.0,23.01,15
CPT,82380,CAROTENE,7.52,5.64,1.0,12.58,15
CPT,82382,ASSAY URINE CATECHOLAMINES,,,1.0,27.3,15
CPT,82383,ASSAY BLOOD CATECHOLAMINES,,,1.0,34.19,15
CPT,82384,CATECHOLAMINES FRAC,18.225,13.67,1.0,34.45,30
CPT,82387,ASSAY OF CATHEPSIN-D,,,1.0,28.39,15
CPT,82390,CERULOPLASMIN,100.345,75.26,1.0,14.65,30
CPT,82397,CHEMILUMINESCENT ASSAY,206.0,154.5,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #1,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #2,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #3,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #4,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #5,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY #6,72.0,54.0,1.0,19.27,15
CPT,82397,CHEMILUMINESCENT ASSAY 1,33.0,24.75,1.0,19.27,60
CPT,82397,CHEMILUMINESCENT ASSAY 2,33.0,24.75,1.0,19.27,60
CPT,82397,CHEMILUMINESCENT ASSAY 3,33.0,24.75,1.0,19.27,60
CPT,82397,CHEMILUMINESCENT ASY,90.0,67.5,1.0,19.27,60
CPT,82397,CHEMILUMNESCENT ASY,90.0,67.5,1.0,19.27,45
CPT,823T,TCAT INS 1CHMBR LDLS PM RA,,,0.22,16.13,96
CPT,82415,ASSAY OF CHLORAMPHENICOL,,,1.0,17.29,15
CPT,82435,BMP LYTES CHLORIDE,66.0,49.5,4.6,16.13,90
CPT,82435,CHLORIDE,102.0,76.5,4.6,16.13,180
CPT,82435,POC CHLORIDE,93.5,70.125,4.6,16.13,450
CPT,82436,CHLORIDE URINE,139.0,104.25,1.0,6.86,30
CPT,82436,"CHLORIDE, URINE",120.0,90.0,1.0,6.86,15
CPT,82438,CHLORIDE OTHER SOURCE,127.0,95.25,1.0,6.67,30
CPT,82441,CHLORIDE OTHER SOURCE,130.0,97.5,1.0,8.19,15
CPT,82441,CHLORIN HYDROCARBONS QL,142.0,106.5,1.0,8.19,15
CPT,82465,CHOLESTEROL TOTAL,48.0,36.0,4.35,16.13,90
CPT,82480,CHOLINESTERASE PSEUDO,4.59,3.445,1.0,10.75,30
CPT,82480,DIBUCAINE NUMBER,18.05,13.54,1.0,10.75,15
CPT,82482,CHOLINESTERASE RBC,7.0,5.25,1.0,10.48,15
CPT,82485,ASSAY CHONDROITIN SULFATE,,,1.0,28.17,15
CPT,82495,CHROMIUM,6.0,4.5,1.0,27.67,15
CPT,824T,TCAT RMV 1CHMBR LDLS PM RA,,,0.22,16.13,96
CPT,82507,CITRATE,12.870000000000001,9.655000000000001,1.0,37.93,30
CPT,82507,"CITRATE, URINE",392.0,294.0,1.0,37.93,15
CPT,82523,COLLAGEN CROSS LINKS,60.805,45.605000000000004,1.0,25.5,60
CPT,82525,COPPER,13.1,9.83,1.0,16.93,75
CPT,82525,COPPER URINE,13.0,9.75,1.0,16.93,15
CPT,82528,CORTICOSTERONE,40.32,30.24,1.0,30.72,15
CPT,82530,CORTISOL FREE,11.3,8.48,1.0,22.8,45
CPT,82530,CORTISOL FREE PLASMA/SER,172.0,129.0,1.0,22.8,15
CPT,82533,CORTISOL TOTAL,207.975,155.98,1.0,22.24,30
CPT,82540,CREATINE,61.6,46.2,1.0,6.32,60
CPT,82542,ACYLGLYCINE QUANT,291.0,218.25,1.0,24.63,15
CPT,82542,CHROM/MASS SPEC NES QL,212.5,159.38,1.0,24.63,135
CPT,82542,CHROMATOGRPHY QUAN NES,504.0,378.0,1.0,24.63,15
CPT,82542,HIGH DOSE HEPARIN,107.0,80.25,1.0,24.63,15
CPT,82542,LOW DOSE HEPARIN,107.0,80.25,1.0,24.63,15
CPT,82542,MARIJUANA,62.0,46.5,1.0,24.63,15
CPT,82542,POLYOLS QNT UR,242.0,181.5,1.0,24.63,15
CPT,82542,RUFINAMIDE,197.0,147.75,1.0,24.63,15
CPT,82550,CREATINE KINASE TOTAL,156.91,117.685,4.88,16.13,180
CPT,82552,CREATINE KINASE ISONZ,2.82,2.12,1.0,18.28,15
CPT,82553,CK MB FRACTION,22.48,16.86,1.0,15.75,15
CPT,82554,CREATINE ISOFORMS,,,1.0,16.19,15
CPT,82565,BMP LYTES CREATININE,52.0,39.0,4.88,16.13,90
CPT,82565,CREATININE,86.0,64.5,4.88,16.13,90
CPT,82565,CREATININE BLOOD,156.0,117.0,4.88,16.13,630
CPT,82565,POC CREATININE BLOOD,120.0,90.0,4.88,16.13,360
CPT,82570,CREATININE 24 HR URINE,3.0,2.25,1.0,7.06,15
CPT,82570,CREATININE OTHR SRCE,42.12,31.59,1.0,7.06,135
CPT,82570,CREATININE URINE,4.0,3.0,1.0,7.06,135
CPT,82570,"CREATININE, OTHER SOURCE",62.0,46.5,1.0,7.06,30
CPT,82575,CREATININE CLEARANCE,312.0,234.0,1.0,12.89,15
CPT,82585,CRYOFIBRINOGEN,62.0,46.5,1.0,14.14,15
CPT,82595,CRYOCRIT QUAL/SEMI QNT,4.7,3.53,1.0,8.83,15
CPT,825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,0.22,16.13,96
CPT,82600,CYANIDE,37.0,27.75,1.0,26.46,15
CPT,82607,CYANOCOBLMN(VIT B12),385.0,288.75,1.0,20.56,15
CPT,82608,VITB12 UNSAT,8.0,6.0,1.0,19.54,15
CPT,82610,CYSTATIN C,303.0,227.25,1.0,18.54,15
CPT,82615,"CYSTINE, URINE, QUAL",249.0,186.75,1.0,11.14,15
CPT,82626,DEHYDROEPIANDRSTRONE,4.89,3.67,1.0,34.48,15
CPT,82627,DEHYDROEPIANDRST SULFATE,275.0,206.25,1.0,30.33,15
CPT,82633,DESOXYCORTICSTRNE 11,53.35,40.01,1.0,42.26,15
CPT,82634,11-DEOXYCORTISOL,24.23,18.17,1.0,39.94,15
CPT,82638,DIBUCAINE NUMBER,7.59,5.69,1.0,16.71,15
CPT,82642,DIHYDROTESTOSTERONE,23.83,17.87,1.0,32.53,15
CPT,82652,VIT D1 25-DIHYDROXY,87.885,65.915,1.0,52.53,30
CPT,82653,FECAL ELASTASE EL1 QN/2,65.0,48.75,1.0,22.97,14
CPT,82656,EL-1 FECAL QUAL/SEMIQ,,,1.0,15.74,15
CPT,82657,ALPHA GALACTOSIDASE A,189.0,141.75,1.0,24.63,15
CPT,82657,ENZYME ACTIVITY NES,199.16500000000002,149.375,1.0,24.63,30
CPT,82657,GLUCOAMYLASE ENZYME,42.0,31.5,1.0,24.63,15
CPT,82657,LACTASE ENZYME,43.0,32.25,1.0,24.63,15
CPT,82657,LYSOSOMAL ENZYME SCREEN,200.0,150.0,1.0,24.63,75
CPT,82657,PALATINASE ENZYME,42.0,31.5,1.0,24.63,15
CPT,82657,RBCEVAL HEXOKINASE,345.0,258.75,1.0,24.63,15
CPT,82657,SUCRASE ENZYME,43.0,32.25,1.0,24.63,15
CPT,82657,VLCADD ENZYME,990.0,742.5,1.0,24.63,15
CPT,82658,CARBOXYLASE,605.0,453.75,1.0,44.03,15
CPT,82664,CHYLOMICRON BODY FLUID,46.0,34.5,1.0,61.5,15
CPT,82664,ELECTROPHORETIC TECHNIQ,45.1,33.83,1.0,61.5,15
CPT,82664,ELECTROPHORETIC TECHNIQUE,482.0,361.5,1.0,61.5,60
CPT,82668,ERYTHROPOIETIN,154.0,115.5,1.0,25.65,15
CPT,82670,ESTRADIOL,355.0,266.25,1.0,38.12,15
CPT,82671,ESTROGENS FRACTIONATED,45.0,33.75,1.0,44.07,30
CPT,82672,ASSAY OF ESTROGEN,,,1.0,29.6,15
CPT,82677,ESTRIOL,143.0,107.25,1.0,32.99,30
CPT,82679,ESTRONE,10.0,7.5,1.0,34.05,15
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,,,1.0,27.94,15
CPT,82693,ETHYLENE GLYCOL,210.0,157.5,1.0,20.32,30
CPT,82696,ASSAY OF ETIOCHOLANOLONE,,,1.0,32.18,15
CPT,826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,0.22,3.2,11
CPT,82705,FAT OR LIPID FECES QUAL,379.0,284.25,1.0,6.94,15
CPT,82710,FAT OR LIPID FECES QUANT,12.22,9.17,1.0,22.93,15
CPT,82715,ASSAY OF FECAL FAT,,,1.0,23.48,15
CPT,82725,FATTY ACIDS NONESTERFIED,10.26,7.7,1.0,18.77,15
CPT,82726,VERY LNG CHN FATTY ACID,268.0,201.0,1.0,24.63,15
CPT,82728,FERRITIN,242.0,181.5,1.0,18.59,15
CPT,82731,FETAL FIBRONECTIN,928.0,696.0,1.0,87.88,15
CPT,82735,ASSAY OF FLUORIDE,,,1.0,25.29,15
CPT,82746,FOLIC ACID,370.0,277.5,1.0,20.06,15
CPT,82747,FOLIC ACID RBC,243.0,182.25,1.0,23.63,15
CPT,82757,FRUC SEMEN QT,14.0,10.5,1.0,23.66,15
CPT,82759,ASSAY OF RBC GALACTOKINASE,,,1.0,29.31,15
CPT,82760,GALACTOSE QUANTITATIVE,366.2,274.65,1.0,15.27,15
CPT,82775,GALAC-1-PH/URID/TRNSFRSE,103.0,77.25,1.0,28.74,15
CPT,82776,GALACTOSE TRANSFERASE TEST,,,1.0,11.74,15
CPT,82777,GALECTIN-3,,,0.92,44.25,15
CPT,82784,"GAMMA GLOBULIN IGA, SERUM",183.0,137.25,1.0,12.68,30
CPT,82784,"GAMMA GLOBULIN IGG, SERUM",183.0,137.25,1.0,12.68,30
CPT,82784,"GAMMA GLOBULIN IGM, SERUM",183.0,137.25,1.0,12.68,30
CPT,82784,GAMMAGLOBULIN EA,9.94,7.46,1.0,12.68,45
CPT,82784,IGA,573.0,429.75,1.0,12.68,15
CPT,82784,IGA FLUID,249.0,186.75,1.0,12.68,15
CPT,82784,IGA SERUM,174.0,130.5,1.0,12.68,15
CPT,82784,IGA TOTAL,218.0,163.5,1.0,12.68,15
CPT,82784,IGG SERUM,174.0,130.5,1.0,12.68,15
CPT,82784,IGG Serum,62.0,46.5,1.0,12.68,30
CPT,82784,"IGG, CSF",104.0,78.0,1.0,12.68,45
CPT,82784,"IGG, SERUM",183.0,137.25,1.0,12.68,30
CPT,82784,IGM SERUM,174.0,130.5,1.0,12.68,15
CPT,82784,IMMUNOGLOBULIN D,174.0,130.5,1.0,12.68,15
CPT,82784,TOTAL IGA,322.0,241.5,1.0,12.68,15
CPT,82785,IG-E SERUM,4.25,3.19,1.0,22.47,15
CPT,82785,IGE,520.0,390.0,1.0,22.47,15
CPT,82785,IGE SERUM,234.5,175.875,1.0,22.47,30
CPT,82785,IMMUNOGLOBULINS E SERUM,65.0,48.75,1.0,22.47,30
CPT,82785,TOTAL - IGE,375.0,281.25,1.0,22.47,15
CPT,82785,TOTAL IGE,93.0,69.75,1.0,22.47,15
CPT,82785,TOTAL SERUM 1GE,502.0,376.5,1.0,22.47,15
CPT,82785,"TOTAL SERUM,IGE",122.0,91.5,1.0,22.47,15
CPT,82785,Total Serum 1GE,482.0,361.5,1.0,22.47,30
CPT,82787,IGA SUBCLASS 1,218.0,163.5,1.0,10.94,15
CPT,82787,IGA SUBCLASS 2,218.0,163.5,1.0,10.94,15
CPT,82787,IGG SUBCLASSES,597.0,447.75,1.0,10.94,15
CPT,82787,IMMUNOGLOB SUBCLASS EA,2842.97,2132.23,1.0,10.94,45
CPT,827T,DGTZ GLS MCRSCP CYTP SMEARS,,,0.5,1.12,14
CPT,82800,GAS BLOOD PH ONLY,198.0,148.5,1.0,11.54,15
CPT,82803,ABG W CALC O2 SAT,518.0,388.5,1.0,26.4,300
CPT,82803,CP BLOOD GASES DURING SURGERY,654.0,490.5,1.0,26.4,15
CPT,82803,GAS BLD ANY COMB W/CAL02,525.0,393.75,1.0,26.4,15
CPT,82803,POC BLOODGASES INC.PO2 PCO2 PH,582.0,436.5,1.0,26.4,30
CPT,82803,"POC BLOODGASES(INC.POS,PCOS,PH",693.0,519.75,1.0,26.4,15
CPT,82805,ABG W O2 DIRECT,713.0,534.75,1.0,78.77,15
CPT,82810,BLOOD GAS O2 SAT ONLY,122.0,91.5,1.0,11.91,15
CPT,82820,HGB OXYGEN AFFINITY,315.0,236.25,1.0,13.63,15
CPT,828T,DGTZ GLS MCRSCP CYTP SMPL FL,,,0.5,1.12,14
CPT,82930,GASTRIC ANALY W/PH EA SPEC,,,1.0,7.44,15
CPT,82938,GASTRIN TEST,,,1.0,24.14,15
CPT,82941,GASTRIN,4.72,3.54,1.0,24.06,15
CPT,82943,GLUCAGON,253.0,189.75,1.0,19.49,15
CPT,82945,GLUCOSE BODY FLUID,41.525,31.145,1.0,5.36,45
CPT,82946,GLUCAGON TOLERANCE TEST,,,0.92,20.56,15
CPT,82947,BMP LYTES GLUCOSE,66.0,49.5,3.93,16.13,90
CPT,82947,GLUCOSE QUANT BLOOD,108.0,81.0,3.93,16.13,810
CPT,82947,"GLUCOSE, FASTING PLASMA",65.0,48.75,3.93,16.13,90
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,,,1.0,5.04,15
CPT,82950,GLUCOSE POST DOSE,136.0,102.0,1.0,6.48,15
CPT,82951,GLUCOSE TOLERANCE 3SPEC,338.0,253.5,1.0,17.56,45
CPT,82952,GTT-ADDED SAMPLES,,,1.0,5.35,15
CPT,82955,G6PD QUANT,210.0,157.5,1.0,13.22,15
CPT,82955,RBCEVAL G 6 PD QN RBC,185.0,138.75,1.0,13.22,15
CPT,82960,TEST FOR G6PD ENZYME,,,1.0,8.26,15
CPT,82962,GLUCOSE BLD BY MONIT DEV,15.0,11.25,1.0,3.28,330
CPT,82962,POC GLUCOSE BY METER,21.5,16.125,1.0,3.28,30
CPT,82962,POC GLUCOSE BY METER-UNIT BASE,16.0,12.0,1.0,3.28,15
CPT,82963,ASSAY OF GLUCOSIDASE,,,0.92,29.31,15
CPT,82965,ASSAY OF GDH ENZYME,,,1.0,13.15,15
CPT,82977,GGT,215.0,161.25,4.88,16.13,90
CPT,82977,GLUTAMYLTRANSERASE GGT,13.0,9.75,4.88,16.13,90
CPT,82978,ASSAY OF GLUTATHIONE,,,1.0,19.45,15
CPT,82979,ASSAY RBC GLUTATHIONE,,,1.0,9.44,15
CPT,82985,GLYCATED PROTEIN,4.5,3.38,1.0,20.56,15
CPT,829T,DGTZ GLS MCRSCP CYTP CONCTRJ,,,0.5,1.12,14
CPT,82U,RX TEST DEF 90+ RX/SBSTS UR,,,0.92,246.92,14
CPT,83001,FOLLICLE STIMLAT HORMONE,222.0,166.5,1.0,25.35,30
CPT,83002,LUTEINING HORMONE,235.0,176.25,1.0,25.26,15
CPT,83003,GROWTH HORMONE(HGH),483.0,362.25,1.0,22.76,15
CPT,83006,GROWTH STIMULATION GENE 2,,,0.92,75.6,15
CPT,83009,H PYLORI (C-13) BLOOD,,,1.0,91.89,15
CPT,83010,HAPTOGLOBIN QUANT,22.0,16.5,1.0,17.16,45
CPT,83012,ASSAY OF HAPTOGLOBINS,,,1.0,26.89,15
CPT,83013,H PYLORI BRTH TST,352.0,264.0,1.0,91.89,30
CPT,83014,H PYLORI DRUG ADMIN,,,1.0,10.73,15
CPT,83015,HEAVY METAL SCR UR,47.0,35.25,1.0,25.69,15
CPT,83018,ANTIMONY QUANT,46.0,34.5,1.0,29.96,15
CPT,83018,ANTIMONY URINE,116.0,87.0,1.0,29.96,15
CPT,83018,COBALT QUANT,116.0,87.0,1.0,29.96,15
CPT,83018,HEAVY METAL QUAN,93.0,69.75,1.0,29.96,75
CPT,83020,HEMOGLOBN ELECTRPHORESIS,206.5,154.875,1.0,17.56,30
CPT,83021,HEMOGLOBIN FRAC & QNT,9.16,6.87,1.0,24.63,15
CPT,83026,HEMOGLOBIN COPPER SULFATE,,,1.0,4.01,15
CPT,83030,HEMOGLOBIN F FETAL CHEMICAL,,,1.0,11.28,15
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,,,1.0,8.13,15
CPT,83036,HEMOGLOBIN GLYCATED,60.14,45.105,1.0,13.24,30
CPT,83037,HBA1C (OUTPT CLINIC),66.0,49.5,1.0,13.24,15
CPT,83037,POC HEMOGLOBIN A1C TEST(ENDO,72.0,54.0,1.0,13.24,15
CPT,83037,POC HEMOGLOBIN GLYCATED,69.0,51.75,1.0,13.24,30
CPT,83045,HGB METHEMOGLOBIN QUAL,,,1.0,6.76,15
CPT,83050,HEMGLBN METHEMOGLBN QUAN,355.0,266.25,1.0,10.0,15
CPT,83051,HEMOGLOBIN PLASMA,8.28,6.21,1.0,9.98,15
CPT,83060,HGB SULFHEMOGLOBIN QUAN,,,1.0,11.28,15
CPT,83065,HEMOGLOBIN THERMOLABILE,,,1.0,9.4,15
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,,,1.0,11.54,15
CPT,83069,HEMOGLOBIN URINE,,,1.0,5.39,15
CPT,83070,HEMOSIDERIN QUAL,118.0,88.5,1.0,6.48,15
CPT,83080,B-HEXOSAMINIDASE EA ASSA,276.0,207.0,1.0,23.01,15
CPT,83088,HISTAMINE,494.275,370.705,1.0,40.29,75
CPT,83090,HOMOCYSTEINE QUANT,40.73,30.55,1.0,23.01,45
CPT,830T,DGTZ GLS MCRSCP CYTP SLCTV,,,0.5,1.12,14
CPT,83150,ASSAY OF HOMOVANILLIC ACID,,,1.0,26.4,15
CPT,831T,DGTZ GLS MCRSCP CYTP C/V,,,0.5,1.12,14
CPT,832T,DGTZ GLS MCRSCP CYTP OTH SCR,,,0.5,1.12,14
CPT,833T,DGTZ GLS MCRSCP CYTP OTH PRP,,,0.5,1.12,14
CPT,83491,"17 HYDROXYCORT-ICOIDS,URINE",44.7,33.53,1.0,23.9,15
CPT,83491,HCS URINE 17-OHCS,99.0,74.25,1.0,23.9,15
CPT,83497,HYDRXINDOL ACD5(HIAA)QT,8.0,6.0,1.0,17.59,15
CPT,83498,HYDRXYPRGSTRONE 17-D,10.0,7.5,1.0,37.07,15
CPT,834T,DGTZ GLS MCRSCP CYTP OTH XTN,,,0.5,1.12,14
CPT,83500,HYDRXYPROLINE FREE,129.0,96.75,1.0,30.9,15
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,,,1.0,33.17,15
CPT,83516,21 HYDROXYLASE AB,29.75,22.31,1.0,15.74,15
CPT,83516,ACETYLCHOLINE AB,105.0,78.75,1.0,15.74,15
CPT,83516,ANTI-GLOMERULAR BSMNT,7.33,5.5,1.0,15.74,30
CPT,83516,DISOPYRAMIDE,43.0,32.25,1.0,15.74,15
CPT,83516,FACTOR H AB,356.0,267.0,1.0,15.74,15
CPT,83516,GANGLIOSIDE AB,100.0,75.0,1.0,15.74,45
CPT,83516,GASTRIC PARIETAL CELL AB,8.15,6.11,1.0,15.74,15
CPT,83516,IMMUN NONINF QL/SEMI/M,88.5,66.375,1.0,15.74,30
CPT,83516,IMMUN NONINFC QL/SEM/M,269.0,201.75,1.0,15.74,15
CPT,83516,IMMUN NONINFC QL/SEMI/M,116.38,87.29,1.0,15.74,165
CPT,83516,IMMUNOASSAY F/ANALY MULT,93.0,69.75,1.0,15.74,150
CPT,83516,IMMUNOASSAY MULT-STEP MET,142.0,106.5,1.0,15.74,30
CPT,83516,"IMMUNOASSAY MULT-STEP METHD,#2",83.0,62.25,1.0,15.74,15
CPT,83516,"IMMUNOASSAY, NOT OTH SPECIF 1",144.0,108.0,1.0,15.74,15
CPT,83516,"IMMUNOSSAY, NOT OTH SPECIF 2",144.0,108.0,1.0,15.74,15
CPT,83516,MYELOPEROXIDASE AB,118.0,88.5,1.0,15.74,15
CPT,83516,NATALIZUMAB ABS,185.0,138.75,1.0,15.74,15
CPT,83516,RIBOSOMAL P AB,19.0,14.25,1.0,15.74,15
CPT,83516,"SERINE PROTEASE 3, ABS",118.0,88.5,1.0,15.74,15
CPT,83518,IMMUN NONINFC QL/SEMI/SG,473.1,354.83,1.0,11.56,15
CPT,83519,ACHR AB REFLEX,221.0,165.75,1.0,44.18,20
CPT,83519,ACHR ANTIBODY,118.36,88.77,1.0,44.18,20
CPT,83519,ACHR GANGLIONIC NEURONAL,85.0,63.75,1.0,44.18,20
CPT,83519,ACHR MUSCLE,85.0,63.75,1.0,44.18,20
CPT,83519,ACTYCHLN RCPTR BNDNG AB,39.0,29.25,1.0,44.18,20
CPT,83519,IGF BINDING PROTEIN,546.275,409.71000000000004,1.0,44.18,40
CPT,83519,IMMUNOASSAY,112.0,84.0,1.0,44.18,20
CPT,83519,IMMUNOASSAY F/ANALY MULT,102.5,76.875,1.0,44.18,180
CPT,83519,"IMMUNOASSAY, QUANT BY RIA",199.0,149.25,1.0,44.18,20
CPT,83519,"Immunoassay, by RIA #2",60.0,45.0,1.0,44.18,40
CPT,83519,"Immunoassay, by RIA #3",60.0,45.0,1.0,44.18,40
CPT,83519,"Immunoassay, by RIA #4",60.0,45.0,1.0,44.18,40
CPT,83519,"Immunoassay, by RIA #5",60.0,45.0,1.0,44.18,40
CPT,83519,"Immunoassay, by RIA, #1",60.0,45.0,1.0,44.18,40
CPT,83519,PANCRTC POLYPEP (RIA),35.0,26.25,1.0,44.18,20
CPT,83519,RADIOIMMUNOASSAY(RIA),112.0,84.0,1.0,44.18,20
CPT,83519,VGKC AB,85.0,63.75,1.0,44.18,20
CPT,83519,VGKC AB CSF,260.0,195.0,1.0,44.18,20
CPT,83519,VOLTAGE GATED POTASSIUM,325.0,243.75,1.0,44.18,20
CPT,83520,ADAMTS 13 AB,170.0,127.5,1.0,41.46,20
CPT,83520,ALPHA SUBUNIT,46.834999999999994,35.13,1.0,41.46,40
CPT,83520,AMYLOID BETA,200.8,150.6,1.0,41.46,20
CPT,83520,"ANTI-OMPC IGA, ELISA",118.0,88.5,1.0,41.46,20
CPT,83520,"ASCA IGA, ELISA",118.0,88.5,1.0,41.46,20
CPT,83520,"ASCA, IGG, ELISA",118.0,88.5,1.0,41.46,20
CPT,83520,ASIALO GM1 AB,105.0,78.75,1.0,41.46,40
CPT,83520,ASIALO-GM1 AUTOABS,72.0,54.0,1.0,41.46,20
CPT,83520,C4 BINDINGPROTEIN,62.46,46.85,1.0,41.46,20
CPT,83520,CHEMOKINE LIGAND 9,381.0,285.75,1.0,41.46,20
CPT,83520,FIBROBLAST GROWTH FACTOR 23,209.0,156.75,1.0,41.46,20
CPT,83520,GANGLIOSIDE ASIA LO GM1 AUTOAN,52.0,39.0,1.0,41.46,20
CPT,83520,GANGLIOSIDE ASIALD GM1 ANTOANT,52.0,39.0,1.0,41.46,20
CPT,83520,GD16 AUTOANTIBODIES,72.0,54.0,1.0,41.46,40
CPT,83520,GD1A AUTOANTIBODIES,52.0,39.0,1.0,41.46,20
CPT,83520,GDLA AUTOANTIBODIES,52.0,39.0,1.0,41.46,20
CPT,83520,GDLB AUTOANTIBODIES,52.0,39.0,1.0,41.46,20
CPT,83520,GM1 AUTOANTIBODIES,72.0,54.0,1.0,41.46,60
CPT,83520,GM2 AUTOANTIBODIES,52.0,39.0,1.0,41.46,40
CPT,83520,GQ16 AUTOANTIBODIES,52.0,39.0,1.0,41.46,20
CPT,83520,GQLB AUTOANTIBODIES,52.0,39.0,1.0,41.46,20
CPT,83520,HYALURONIC ACID #1,176.5,132.375,1.0,41.46,40
CPT,83520,HYALURONIC ACID #2,176.5,132.375,1.0,41.46,40
CPT,83520,"IMMUNO ASSAY, NOS",159.0,119.25,1.0,41.46,40
CPT,83520,IMMUNOASSAY ANALYTE NOS,108.0,81.0,1.0,41.46,100
CPT,83520,IMMUNOASSAY NON-RIA,193.0,144.75,1.0,41.46,20
CPT,83520,IMMUNOASSAY NOS 1,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 2,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 3,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 4,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 5,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 6,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 7,60.0,45.0,1.0,41.46,80
CPT,83520,IMMUNOASSAY NOS 8,60.0,45.0,1.0,41.46,80
CPT,83520,"IMMUNOASSAY QUANT, #1",66.0,49.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY QUANT, #2",66.0,49.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY QUANT, #3",66.0,49.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY QUANT, #4",66.0,49.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, NDS, #1",62.0,46.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, NDS, #2",62.0,46.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, NDS, #3",62.0,46.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, NOS",278.0,208.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, OTHER #1",118.0,88.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, OTHER #2",118.0,88.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, OTHER #3",118.0,88.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, OTHER #4",118.0,88.5,1.0,41.46,20
CPT,83520,"IMMUNOASSAY, OTHER #5",118.0,88.5,1.0,41.46,20
CPT,83520,INHIBIN B,30.0,22.5,1.0,41.46,20
CPT,83520,INSULIN GF BINDING PROTEIN,55.644999999999996,41.735,1.0,41.46,40
CPT,83520,INTERFERON,69.0,51.75,1.0,41.46,20
CPT,83520,INTERFERON ALPHA,161.0,120.75,1.0,41.46,20
CPT,83520,INTERLEUKIN,69.0,51.75,1.0,41.46,60
CPT,83520,INTERLEUKIN 10,105.0,78.75,1.0,41.46,20
CPT,83520,INTERLEUKIN 2 RECEPTOR,132.0,99.0,1.0,41.46,20
CPT,83520,INTERLEUKIN BETA,105.0,78.75,1.0,41.46,20
CPT,83520,INTERLEUKIN/2,87.5,65.63,1.0,41.46,20
CPT,83520,"Immunoassay, NOS",278.0,208.5,1.0,41.46,40
CPT,83520,LEPTIN,24.44,18.33,1.0,41.46,20
CPT,83520,MAG-SGPG AB IGM,335.0,251.25,1.0,41.46,40
CPT,83520,MANNOSE BINDING LECTIN,250.0,187.5,1.0,41.46,20
CPT,83520,NEOPTERIN LEVEL,29.1,21.83,1.0,41.46,20
CPT,83520,"NEUTROPHIL AUTOANTIBODY, ELISA",118.0,88.5,1.0,41.46,20
CPT,83520,NON SPECIFIC IMMUNOASSAY,278.0,208.5,1.0,41.46,20
CPT,83520,NOS IMMUNOASSAY NON-RIA,103.9,77.93,1.0,41.46,180
CPT,83520,NOS IMMUNOASSAY NON-RIA/2,396.0,297.0,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED,997.0,747.75,1.0,41.46,40
CPT,83520,NOT OTHERWISE SPECIFIED 1,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED 3,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED 4,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED 5,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED 6,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHERWISE SPECIFIED 7,149.0,111.75,1.0,41.46,20
CPT,83520,NOT OTHREWISE SPECIFIED 2,149.0,111.75,1.0,41.46,20
CPT,83520,PROTHROMBIN FRAGMENT 1.1,88.0,66.0,1.0,41.46,20
CPT,83520,"QUANT IMMUNOASSAY, #1",247.0,185.25,1.0,41.46,20
CPT,83520,"QUANT IMMUNOASSAY, #2",247.0,185.25,1.0,41.46,20
CPT,83520,RNA POLYMERASE III IGG ABS,39.0,29.25,1.0,41.46,20
CPT,83520,STRIATIONAL MUSCLE AB,77.0,57.75,1.0,41.46,20
CPT,83520,SUBSTANCE P,82.95,62.21,1.0,41.46,20
CPT,83520,TRANSFORMING GROWTH FACT BETA1,39.0,29.25,1.0,41.46,20
CPT,83520,TRYPTASE LEVEL,35.71,26.78,1.0,41.46,20
CPT,83520,TSH RECEPTOR AB,13.85,10.39,1.0,41.46,20
CPT,83520,VASC ENDO GROWTH FACTOR,150.0,112.5,1.0,41.46,20
CPT,83520,VONWILLEBRAND CB,54.98,41.24,1.0,41.46,20
CPT,83521,KAPPA LAMBDA LT CHN QUAN,213.0,159.75,1.0,17.27,14
CPT,83521,KAPPA LIGHT CHAIN QUANT,213.0,159.75,1.0,17.27,14
CPT,83521,KAPPA QUANT FREE LIGHT CH,235.0,176.25,1.0,17.27,14
CPT,83521,LAMBDA LIGHT CHAIN QUANT,213.0,159.75,1.0,17.27,14
CPT,83521,LAMBDA QUANT FREE LIGHT C,235.0,176.25,1.0,17.27,14
CPT,83525,INSULIN TOTAL,173.95,130.465,1.0,15.59,30
CPT,83527,INSULIN FREE,4.87,3.65,1.0,17.67,15
CPT,83528,ASSAY OF INTRINSIC FACTOR,,,1.0,21.7,15
CPT,83529,INTERLEUKIN-6,87.5,65.63,1.0,17.27,14
CPT,83540,IRON,54.0,40.5,1.0,8.83,45
CPT,83550,IRON BINDING CAPCTY,128.5,96.375,1.0,11.93,30
CPT,83570,ASSAY OF IDH ENZYME,,,1.0,12.07,15
CPT,83582,ASSAY OF KETOGENIC STEROIDS,,,1.0,19.34,15
CPT,83586,KETOSTEROID 17 TOTAL,75.0,56.25,1.0,17.47,15
CPT,83593,FRACTIONATION KETOSTEROIDS,,,1.0,35.88,15
CPT,835T,DGTZ GLS MCRSCP FNA 1ST EA,,,0.5,1.12,14
CPT,83605,LACTATE(LACTIC ACID),237.0,177.75,1.0,14.57,105
CPT,83605,LACTIC ACID BODY FLUID,264.0,198.0,1.0,14.57,15
CPT,83605,POC LACTIC ACID BLOOD CSF,221.0,165.75,1.0,14.57,15
CPT,83615,"LACTIC DEHYDROGENASE, LDH",111.0,83.25,4.88,16.13,90
CPT,83615,LDH-LACTIC DEHYDROGENASE,57.0,42.75,4.88,16.13,180
CPT,83615,LDH-LACTIC DEHYDROGENASE/2,2.25,1.69,4.88,16.13,90
CPT,83625,"LDH, ISOENZYMES",168.0,126.0,1.0,17.46,30
CPT,83625,LDH-ISOENZYMES ELCTROPHR,3.07,2.3,1.0,17.46,15
CPT,83630,LACTOFERRIN FECAL QUAL,77.0,57.75,1.0,26.78,15
CPT,83631,LACTOFERRIN FECAL QNT,42.0,31.5,1.0,26.78,15
CPT,83632,LACTOGEN HPL,146.0,109.5,1.0,27.58,15
CPT,83633,TEST URINE FOR LACTOSE,,,1.0,11.25,15
CPT,83655,LEAD,48.0,36.0,1.0,16.52,15
CPT,83655,LEAD HEAVY METAL,84.0,63.0,1.0,16.52,15
CPT,83655,LEAD QUANTITATIVE,9.25,6.94,1.0,16.52,75
CPT,83655,LEAD URINE,2.0,1.5,1.0,16.52,30
CPT,83661,L/S RATIO FETAL LUNG,,,1.0,29.99,15
CPT,83662,FOAM STABILITY FETAL LUNG,,,1.0,25.81,15
CPT,83663,FLUORO POLARIZE FETAL LUNG,,,1.0,25.81,15
CPT,83664,FETL LNG MAT LAM DENS,47.21,35.41,1.0,25.81,15
CPT,83670,ASSAY OF LAP ENZYME,,,1.0,12.49,15
CPT,83690,LIPASE,114.0,85.5,1.0,9.4,30
CPT,83695,LIPOPROTEIN (A),86.38,64.785,1.0,17.66,30
CPT,83698,ASSAY LIPOPROTEIN PLA2,,,0.92,46.31,15
CPT,836T,DGTZ GLS MCRSCP FNA EA ADDL,,,0.5,1.12,14
CPT,83700,LIPOPROTEIN BLD ELP QN,3.28,2.46,1.0,15.36,15
CPT,83701,LIPOPROTEIN SUBCLASSES,168.0,126.0,0.92,33.86,15
CPT,83704,LIPOPROTEIN BY NMR,32.61,24.46,0.92,43.04,15
CPT,83718,CHOLESTEROL HDL,71.0,53.25,1.0,11.17,15
CPT,83719,ASSAY OF BLOOD LIPOPROTEIN,,,1.0,15.87,15
CPT,83721,ASSAY OF BLOOD LIPOPROTEIN,,,1.0,13.02,15
CPT,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,0.92,35.06,15
CPT,83727,GONADOTROPIN RELEASING HORMONE,250.0,187.5,1.0,23.46,15
CPT,83735,MAGNESIUM,86.5,64.875,1.0,9.14,30
CPT,83735,"MAGNESIUM, URINE",62.0,46.5,1.0,9.14,15
CPT,83735,MAGNESIUM/3,3.26,2.45,1.0,9.14,15
CPT,83775,ASSAY MALATE DEHYDROGENASE,,,1.0,10.06,15
CPT,83785,MANGANESE,81.86,61.394999999999996,1.0,33.55,30
CPT,83789,18 HYDROXY CORTISOL,245.0,183.75,1.0,24.63,15
CPT,83789,CREATINE,305.0,228.75,1.0,24.63,15
CPT,83789,GUANIDINOACETATE,198.0,148.5,1.0,24.63,15
CPT,83789,MASS SPEC TNDM MS NES,142.0,106.5,1.0,24.63,105
CPT,83789,SILVER BY MS MS/MS,125.0,93.75,1.0,24.63,15
CPT,83789,SULFOCYSTEINE UR QNT MASS SPEC,126.0,94.5,1.0,24.63,15
CPT,837T,DGTZ GLS MCRSCP FNA I&R,,,0.5,1.12,14
CPT,83825,MERCURY,47.0,35.25,1.0,22.18,15
CPT,83825,MERCURY QUANTATIVE URINE,79.0,59.25,1.0,22.18,15
CPT,83825,MERCURY QUANTITATIVE,14.33,10.75,1.0,22.18,60
CPT,83825,MERCURY URINE,4.0,3.0,1.0,22.18,30
CPT,83835,METANEPHRINES,18.61,13.96,1.0,23.11,30
CPT,83857,ASSAY OF METHEMALBUMIN,,,1.0,14.65,15
CPT,83861,MICROFLUID ANALY TEARS,,,1.0,22.54,15
CPT,83864,MUCOPOLYSAAC-ACID URN QN,579.48,434.61,1.0,28.5,15
CPT,83864,"MUCOPOLYSACCHARIDES,ACID QUANT",287.0,215.25,1.0,28.5,15
CPT,83872,ASSAY SYNOVIAL FLUID MUCIN,,,1.0,8.0,15
CPT,83873,MYELIN BASIC PROTEIN CSF,13.16,9.87,1.0,23.47,15
CPT,83874,MYOGLOBIN,5.0,3.75,1.0,17.62,30
CPT,83874,MYOGLOBIN URINE,255.0,191.25,1.0,17.62,15
CPT,83876,ASSAY MYELOPEROXIDASE,,,0.92,50.86,15
CPT,83880,B-TYP NATRIURETC PEPTIDE,288.5,216.375,1.0,46.31,45
CPT,83883,A-2 MACROGLOBULIN,15.96,11.97,1.0,18.54,15
CPT,83883,ASSAY OF NEPHELOMETRY,50.0,37.5,1.0,18.54,15
CPT,83883,MACROGLOBULIN A-2,20.0,15.0,1.0,18.54,15
CPT,83883,NEPHELOMETRY EA ANALYTE,79.0,59.25,1.0,18.54,15
CPT,83883,PROTEIN RETINOL BINDING,21.0,15.75,1.0,18.54,15
CPT,83884,Neurofilament light chain (NfL),,,0.5,1.12,14
CPT,83885,NICKEL,34.46,25.85,1.0,33.43,15
CPT,838T,DGTZ GLS MCRSCP CSLT SLD ELS,,,0.5,1.12,14
CPT,83915,NUCLEOTIDASE 5-,4.89,3.67,1.0,15.21,15
CPT,83916,OLIGOCLONAL BANDS,137.0,102.75,1.0,27.43,45
CPT,83916,OLIGOCLONAL BANDS SERUM,334.0,250.5,1.0,27.43,15
CPT,83918,ASSAY ORGANIC ACIDS QNT,158.5,118.88,1.0,23.6,15
CPT,83919,ORGANIC ACIDS QUAL,486.5,364.88,1.0,22.45,15
CPT,83921,METHYLMALONIC ACID,27.4,20.55,1.0,22.45,30
CPT,83921,ORGANIC ACID SNG QNT,786.0,589.5,1.0,22.45,15
CPT,83921,SUCCINYLACETONE QUANT URINE,195.0,146.25,1.0,22.45,15
CPT,83930,OSMOLALITY BLOOD,267.0,200.25,1.0,9.02,15
CPT,83935,OSMOLALITY URINE,267.0,200.25,1.0,9.3,15
CPT,83935,"OSMOLALITY, URINE",77.0,57.75,1.0,9.3,15
CPT,83937,OSTEOCALCIN,20.36,15.27,1.0,40.72,15
CPT,83945,OXALATE,25.0,18.75,1.0,17.56,60
CPT,83950,ONCOPROTEIN HER-2/NEU,,,1.0,87.88,15
CPT,83951,ONCOPROTEIN DCP,140.09,105.07,0.92,87.88,15
CPT,83970,PARATHORMONE (PTH),359.0,269.25,1.0,56.31,30
CPT,83970,PTH INTACT,431.0,323.25,1.0,56.31,15
CPT,83986,GASTRIC PH-UNIT BASED (ED),23.0,17.25,1.0,4.88,15
CPT,83986,PH BODY FLUID EXCEPT BLD,108.0,81.0,1.0,4.88,15
CPT,83986,"PH, URINE",33.0,24.75,1.0,4.88,15
CPT,83986,STOOL PH,66.0,49.5,1.0,4.88,15
CPT,83987,EXHALED BREATH CONDENSATE,,,0.92,21.66,15
CPT,83992,PHENCYCLIDINE(PCP) QUANT,101.0,75.75,0.92,41.52,30
CPT,83993,CALPROTECTIN FECAL,55.0,41.25,1.0,26.78,15
CPT,839T,DGTZ GLS MCRSCP CSLT MAT PRP,,,0.5,1.12,14
CPT,83U,ONC RSPSE CHEMO CNTRST TOMOG,,,0.92,167.35,14
CPT,84030,PHENYLALANINE PKU BLOOD,171.0,128.25,1.0,7.5,15
CPT,84035,ASSAY OF PHENYLKETONES,,,1.0,5.0,15
CPT,84060,ASSAY ACID PHOSPHATASE,,,1.0,10.08,15
CPT,84066,PHOSPHATSE PROSTATIC,5.7,4.28,1.0,13.18,15
CPT,84075,ALKALINE PHOSPHATASE TOTA,66.0,49.5,4.88,16.13,90
CPT,84075,ALKALINE PHOSPHATASE TOTAL,63.0,47.25,4.88,16.13,90
CPT,84075,PHOSPHATASE ALKALINE,38.0,28.5,4.88,16.13,270
CPT,84078,ASSAY ALKALINE PHOSPHATASE,,,1.0,9.96,15
CPT,84080,ALKALINE PHOS. ISOENZYME,196.0,147.0,1.0,20.17,15
CPT,84080,PHOSPHATASE ISO ALK,13.47,10.104999999999999,1.0,20.17,30
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,,,1.0,22.54,15
CPT,84085,ASSAY OF RBC PG6D ENZYME,,,0.92,9.44,15
CPT,84087,RBCEVAL GLUCOSE PHOSPHATE ISOM,197.0,147.75,0.92,14.09,15
CPT,840T,DGTZ GLS MCRSCP CSLT COMPRE,,,0.5,1.12,14
CPT,84100,PHOSPHORUS,98.0,73.5,4.74,16.13,90
CPT,84105,PHOSPHORUS URINE/2,2.0,1.5,1.0,7.06,15
CPT,84105,"PHOSPHORUS, URINE",62.0,46.5,1.0,7.06,15
CPT,84106,TEST FOR PORPHOBILINOGEN,,,1.0,5.84,15
CPT,84110,PORPHOBILINOGEN URINE QN,6.37,4.78,1.0,11.51,15
CPT,84112,PLACENTAL A1 MICRO DIR,674.0,505.5,1.0,98.11,15
CPT,84119,TEST URINE FOR PORPHYRINS,,,1.0,13.36,15
CPT,84120,PORPHYRINS QUANT/FRACT,212.0,159.0,1.0,20.07,15
CPT,84126,PORPHYRINS FECES QN,152.4,114.3,1.0,39.11,15
CPT,84132,BMP LYTES POTASSIUM,66.0,49.5,4.76,16.13,90
CPT,84132,POC POTASSIUM,135.0,101.25,4.76,16.13,90
CPT,84132,POTASSIUM,101.0,75.75,4.76,16.13,90
CPT,84132,POTASSIUM SERUM,101.0,75.75,4.76,16.13,1530
CPT,84133,POTASSIUM URINE,98.0,73.5,1.0,5.87,15
CPT,84133,"POTASSIUM, URINE",92.0,69.0,1.0,5.87,15
CPT,84134,PRE-ALBUMIN,311.0,233.25,1.0,19.89,15
CPT,84135,ASSAY OF PREGNANEDIOL,,,1.0,26.1,15
CPT,84138,ASSAY OF PREGNANETRIOL,,,1.0,25.83,15
CPT,84140,PREGNENOLONE,26.23,19.67,1.0,28.21,15
CPT,84143,17-HYDROXY PREGNENOLONE,33.39,25.04,1.0,31.13,15
CPT,84144,PROGESTERONE,744.0,558.0,1.0,28.46,15
CPT,84145,PROCALCITONIN,354.25,265.69,1.0,36.54,30
CPT,84146,PROLACTIN,182.365,136.775,1.0,26.44,30
CPT,84150,PROSTAGLANDIN EACH,280.0,210.0,1.0,41.77,30
CPT,84152,ASSAY OF PSA COMPLEXED,,,1.0,25.09,15
CPT,84153,PROSTATE SPECIFIC ANTIGEN,214.0,160.5,1.0,25.09,15
CPT,84153,PSA TOTAL,194.0,145.5,1.0,25.09,15
CPT,84154,DOXEPIN,89.0,66.75,1.0,25.09,15
CPT,84154,"PROSTATE SPECIFIC AG, FRE",214.0,160.5,1.0,25.09,15
CPT,84154,PSA FREE,194.0,145.5,1.0,25.09,15
CPT,84155,PROTEIN TOTAL,82.5,61.875,3.67,16.13,180
CPT,84156,PROTEIN URINE TIMED,120.0,90.0,1.0,5.0,15
CPT,84157,PROTEIN OTHER SOURCES,100.0,75.0,1.0,5.0,15
CPT,84157,PROTEIN SPINAL FLUID,198.0,148.5,1.0,5.0,15
CPT,84160,ASSAY OF PROTEIN ANY SOURCE,,,1.0,7.06,15
CPT,84163,PREG ASSOC PLSM PROTN A,216.5,162.375,1.0,20.54,30
CPT,84165,PROTEIN ELCTRO SERUM,329.0,246.75,1.0,14.65,15
CPT,84166,PROTEIN ELCTRO URINE,252.0,189.0,1.0,24.33,15
CPT,84181,WESTERN BLOT TEST,,,1.0,23.24,15
CPT,84182,PROTN W.B. W/BAND ID EA,40.0,30.0,1.0,29.21,15
CPT,84182,WESTERN BLOT,196.0,147.0,1.0,29.21,15
CPT,84182,WESTERN BLOT BAND ID,234.0,175.5,1.0,29.21,165
CPT,84182,WESTERN BLOT W/INT & REPORT,258.0,193.5,1.0,29.21,30
CPT,841T,DGTZ GLS MCRSCP PTH CSLT 1ST,,,0.5,1.12,14
CPT,84202,PROTOPORPHYRIN RBC QUAN,32.5,24.375,1.0,19.57,30
CPT,84203,TEST RBC PROTOPORPHYRIN,,,1.0,11.74,15
CPT,84206,PRO-INSULIN,28.47,21.35,1.0,26.69,15
CPT,84207,PYRIDOXL PHOSPH VIT B6,7.25,5.44,1.0,38.33,15
CPT,84210,PYRUVATE,40.5,30.375,1.0,14.81,30
CPT,84220,PYRUVATE KINASE,57.0,42.75,1.0,12.88,15
CPT,84220,RBCEVAL PYRUVATE KINASE RBC,180.0,135.0,1.0,12.88,15
CPT,84228,ASSAY OF QUININE,,,1.0,15.87,15
CPT,84233,RECEPTOR ASSAY ESTROGEN,1185.0,888.75,1.0,87.88,15
CPT,84234,PROGESTERONE RECEPT ASSA,1527.0,1145.25,1.0,88.51,15
CPT,84235,ASSAY OF ENDOCRINE HORMONE,,,1.0,71.4,15
CPT,84238,RECEPT ASSAY NON-ENDOCRN,24.44,18.33,1.0,49.89,15
CPT,84244,RENIN,86.0,64.5,1.0,30.01,45
CPT,84252,RIBOFLAVIN(VITAMIN B2),92.0,69.0,1.0,27.61,15
CPT,84255,SELENIUM,98.255,73.69,1.0,34.83,30
CPT,84260,SEROTONIN,15.475000000000001,11.61,1.0,42.26,30
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,,,1.0,29.65,15
CPT,84275,ASSAY OF SIALIC ACID,,,1.0,18.33,15
CPT,84285,ASSAY OF SILICA,,,1.0,32.12,15
CPT,84295,BMP LYTES SODIUM,66.0,49.5,4.81,16.13,90
CPT,84295,POC SODIUM,108.0,81.0,4.81,16.13,90
CPT,84295,SODIUM,126.0,94.5,4.81,16.13,90
CPT,84295,SODIUM BLOOD,99.0,74.25,4.81,16.13,1440
CPT,842T,DGTZ GLS MCRSCP PTH CSLT EA,,,0.5,1.12,14
CPT,84300,SODIUM URINE,111.0,83.25,1.0,6.64,15
CPT,84300,"SODIUM, URINE",72.0,54.0,1.0,6.64,15
CPT,84302,ASSAY OF SWEAT SODIUM,,,1.0,6.64,15
CPT,84305,SOMATOMEDIN,8.0,6.0,1.0,29.0,15
CPT,84307,ASSAY OF SOMATOSTATIN,,,1.0,24.94,15
CPT,84311,ADENOSINE DEAMINASE,70.0,52.5,1.0,9.54,45
CPT,84311,CHOLESTEROL,6.0,4.5,1.0,9.54,15
CPT,84311,CHOLESTEROL FLUID,100.0,75.0,1.0,9.54,15
CPT,84311,PHOSPHOLIPIDS,7.46,5.6,1.0,9.54,15
CPT,84311,PORPHYRINS TOTAL PLASMA,177.23,132.92,1.0,9.54,15
CPT,84311,SPECTROPHOTMETRY NES,57.0,42.75,1.0,9.54,15
CPT,84311,SPECTROPHOTOMETRY,302.5,226.875,1.0,9.54,30
CPT,84311,SPECTROPHOTOMETRY NES,206.225,154.67,1.0,9.54,30
CPT,84311,"SPECTROPHOTOMETRY, #2",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #3",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #4",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #5",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #6",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #7",215.0,161.25,1.0,9.54,15
CPT,84311,"SPECTROPHOTOMETRY, #8",215.0,161.25,1.0,9.54,15
CPT,84315,SP-GR EXCEPT URINE,80.0,60.0,1.0,3.43,15
CPT,84375,CHROMATOGRAM ASSAY SUGARS,,,1.0,39.0,15
CPT,84376,SUGARS SNGL QUAL EA SPEC,15.95,11.96,1.0,7.5,15
CPT,84377,SUGARS MULT QUAL EA SPEC,215.05,161.29000000000002,1.0,7.5,30
CPT,84378,SUGARS QUANT EA SPECIMEN,22.4,16.8,1.0,15.73,15
CPT,84379,SUGARS MULTIPLE QUANT,,,1.0,15.73,15
CPT,84392,"SULFATE, URINE",166.0,124.5,1.0,6.48,15
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each",,,0.5,1.12,14
CPT,84394,"Tau, total (tTau)",,,0.5,1.12,14
CPT,843T,DGTZ GLS MCRSCP CSLT CYT 1ST,,,0.5,1.12,14
CPT,844,ANESTH PELVIS SURGERY,,,,,0
CPT,84402,TESTOSTERONE FREE,352.0,264.0,1.0,34.74,15
CPT,84403,TESTOSTERONE TOTAL,180.825,135.62,1.0,35.22,30
CPT,84403,"TESTOSTERONE, TOTAL",218.0,163.5,1.0,35.22,15
CPT,84403,TOTAL TESTOSTERONE,160.0,120.0,1.0,35.22,15
CPT,84410,TESTOSTERONE BIOAVAILABLE,,,1.0,72.55,15
CPT,84425,THIAMINE(VITAMIN B1),298.0,223.5,1.0,28.96,30
CPT,84430,CYANIDE URINE,60.0,45.0,1.0,15.87,15
CPT,84430,THIOCYANATE,40.0,30.0,1.0,15.87,15
CPT,84431,THROMBOXANE URINE,,,0.92,35.11,15
CPT,84432,THYROGLOBULIN,60.0,45.0,1.0,21.91,45
CPT,84433,THIOPURINE METHYLTRANSFERASE,195.0,146.25,1.0,22.17,14
CPT,84436,THYROXINE TOTAL,209.0,156.75,1.0,9.37,15
CPT,84437,ASSAY OF NEONATAL THYROXINE,,,1.0,8.83,15
CPT,84439,THYROXINE FREE,281.03,210.775,1.0,12.3,30
CPT,84442,TBG-THYROXINE BND GLOBLN,9.37,7.03,1.0,20.17,15
CPT,84443,TSH,353.15,264.865,1.0,22.93,30
CPT,84445,THYRD STIM IMMUNGLBN(TSI,431.0,323.25,1.0,69.38,15
CPT,84445,THYROID STIM IMMUNGLBN,24.44,18.33,1.0,69.38,15
CPT,84446,VITAMIN E(TOCOPHRL ALPHA),8.65,6.49,1.0,19.34,15
CPT,84449,ASSAY OF TRANSCORTIN,,,1.0,24.55,15
CPT,84450,TRANSTERASE AST(SGOT),38.0,28.5,4.88,16.13,90
CPT,84460,TRANSAMINASE-SGPT (ALT),24.0,18.0,4.88,16.13,180
CPT,84466,TRANSFERRIN,355.0,266.25,1.0,17.42,15
CPT,84478,TRIGLYCERIDES,9.15,6.865,4.88,16.13,450
CPT,84479,ASSAY OF THYROID (T3 OR T4),,,1.0,8.83,15
CPT,84480,TRIIODTHYRNIN TOTAL T3,458.0,343.5,1.0,19.34,15
CPT,84481,T3 FREE,561.0,420.75,1.0,23.11,15
CPT,84482,REVERSE T3,5.7,4.28,1.0,21.5,15
CPT,84484,TROPONIN - I,436.0,327.0,1.0,13.42,15
CPT,84484,TROPONIN QUAN,32.754999999999995,24.564999999999998,1.0,13.42,30
CPT,84485,ASSAY DUODENAL FLUID TRYPSIN,,,0.92,10.25,15
CPT,84488,TEST FECES FOR TRYPSIN,,,1.0,9.96,15
CPT,84490,ASSAY OF FECES FOR TRYPSIN,,,1.0,10.37,15
CPT,844T,DGTZ GLS MCRSCP CSLT CYT EA,,,0.5,1.12,14
CPT,84510,ASSAY OF TYROSINE,,,1.0,14.19,15
CPT,84512,ASSAY OF TROPONIN QUAL,,,1.0,10.51,15
CPT,84520,BLD UREA NITROGEN QUAN,100.0,75.0,3.95,16.13,720
CPT,84520,BMP LYTES BUN,52.0,39.0,3.95,16.13,90
CPT,84520,POSTDIALYSIS BUN,104.0,78.0,3.95,16.13,90
CPT,84520,PREDIALYSIS BUN,104.0,78.0,3.95,16.13,90
CPT,84525,UREA NITROGEN SEMI-QUANT,,,0.92,5.14,15
CPT,84540,UREA NITROGEN URINE,99.0,74.25,1.0,6.48,15
CPT,84545,UREA-N CLEARANCE TEST,,,1.0,9.01,15
CPT,84550,URIC ACID BLOOD,86.0,64.5,4.52,16.13,90
CPT,84560,URIC ACID OTHR SOURCE,2.0,1.5,1.0,6.48,15
CPT,84560,URIC ACID URINE,60.0,45.0,1.0,6.48,15
CPT,84577,ASSAY OF FECES/UROBILINOGEN,,,1.0,17.03,15
CPT,84578,TEST URINE UROBILINOGEN,,,1.0,4.47,15
CPT,84580,ASSAY OF URINE UROBILINOGEN,,,1.0,9.68,15
CPT,84583,ASSAY OF URINE UROBILINOGEN,,,1.0,6.86,15
CPT,84585,VMA URINE,5.35,4.015000000000001,1.0,21.14,30
CPT,84586,VASO-INTESTINAL PEPTIDE,219.0,164.25,1.0,48.2,15
CPT,84588,VASOPRESSIN (ADH),36.45,27.34,1.0,46.31,15
CPT,84590,VITAMIN NOS,9.5,7.13,1.0,15.83,15
CPT,84591,VITAMIN NOS,40.0,30.0,1.0,17.06,45
CPT,84597,VITAMIN K,42.0,31.5,0.92,18.71,15
CPT,845T,DGTZ GLS MCRSCP IMFLUOR 1ST,,,0.5,1.12,14
CPT,846,ANESTH HYSTERECTOMY,,,,,0
CPT,84600,VOLATILES,248.5,186.375,1.0,21.93,60
CPT,84620,XYLOSE TOLERANCE TEST,134.0,100.5,1.0,16.16,15
CPT,84630,ZINC,4.28,3.21,1.0,15.53,15
CPT,84630,ZINC QUANTITATIVE,76.0,57.0,1.0,15.53,15
CPT,84630,ZINC QUANTITATIVE URINE,10.0,7.5,1.0,15.53,15
CPT,84630,ZINC RBC,119.0,89.25,1.0,15.53,15
CPT,84630,ZINC URINE,12.0,9.0,1.0,15.53,15
CPT,84681,C-PEPTIDE,3.65,2.74,1.0,28.39,15
CPT,846T,DGTZ GLS MCRSCP IMFLUOR EA,,,0.5,1.12,14
CPT,84702,GONADTOPN CHORNC(HCG)QNT,103.6,77.7,1.0,20.54,90
CPT,84702,HCG QUANT,196.0,147.0,1.0,20.54,15
CPT,84703,GONADTOPN CHRONC(HCG)QL,141.0,105.75,1.0,10.26,15
CPT,84704,HCG FREE BETACHAIN TEST,,,1.0,41.34,15
CPT,847T,DGTZ GLS MCRSCP XM ARCH TISS,,,0.5,1.12,14
CPT,848,ANESTH PELVIC ORGAN SURG,,,,,0
CPT,84830,OVULATION TESTS,,,1.0,13.68,15
CPT,848T,DGTZ GLS MCRSCP ISH 1ST,,,0.5,1.12,14
CPT,84999,"AMYLASE,MONOMERIC",199.0,149.25,0.5,11.14,14
CPT,84999,MISC CHEM/TOX PROC,89.25,66.94,0.5,11.14,42
CPT,849T,DGTZ GLS MCRSCP ISH EA ADL 1,,,0.5,1.12,14
CPT,84U,RBC DNA GNOTYP 10 BLD GROUPS,,,0.92,720.0,14
CPT,85002,BLEEDING TIME TEST,,,1.0,6.15,15
CPT,85004,AUTOMATED DIFF WBC COUNT,,,1.0,8.83,15
CPT,85007,BL SMEAR W/DIFF WBC COUNT,,,1.0,4.69,15
CPT,85008,BL SMEAR W/O DIFF WBC COUNT,,,1.0,4.69,15
CPT,85009,BLD DIF WBC BUFFY,90.0,67.5,1.0,5.08,30
CPT,85009,DIFF WBC COUNT BUFFY COAT,168.0,126.0,1.0,5.08,15
CPT,85013,SPUN MICROHEMATOCRIT,,,1.0,7.0,15
CPT,85014,HEMATOCRIT,92.0,69.0,1.0,3.23,15
CPT,85014,HEMATOCRIT AUTOMATED,78.5,58.875,1.0,3.23,195
CPT,85014,POC HEMATOCRIT-LABORATORY,108.0,81.0,1.0,3.23,15
CPT,85018,BLOOD HEMOGLBN,135.0,101.25,1.0,3.23,75
CPT,85025,CBC/PLT/AUTO DIFF (5),176.0,132.0,1.0,10.61,45
CPT,85027,CBC WITHOUT DIFF,100.0,75.0,1.0,8.83,15
CPT,85032,MANUAL CELL COUNT EACH,,,1.0,5.87,15
CPT,85041,RBC AUTO,90.0,67.5,1.0,4.11,15
CPT,85044,RETICULOCYTE COUNT MAN,183.0,137.25,1.0,5.87,15
CPT,85045,AUTOMATED RETICULOCYTE COUNT,,,1.0,5.45,15
CPT,85046,RETIC AUTO CELLPARAMETRS,229.0,171.75,1.0,7.61,15
CPT,85048,WBC AUTO,86.0,64.5,1.0,3.46,15
CPT,85049,PLATELET AUTOMATED,78.0,58.5,1.0,6.11,15
CPT,85049,PLATELET COUNT (AUTO),174.0,130.5,1.0,6.11,15
CPT,85055,RETICULATED PLT ASSAY,154.0,115.5,1.0,36.53,15
CPT,85060,BLOOD SMEAR INTERPRETATION,,,0.92,31.03,17
CPT,85097,BONE MARROW SMEAR INTRP,474.0,355.5,1.0,656.15,17
CPT,850T,DGTZ GLS MCRSCP ISH EA MULT,,,0.5,1.12,14
CPT,85130,CHROMOGENC SUBSTRATE ASS,480.0,360.0,1.0,16.22,15
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,70.37,52.78,1.0,16.22,15
CPT,85170,CLOT RETRACTION,98.0,73.5,1.0,16.3,15
CPT,85175,BLOOD CLOT LYSIS TIME,,,0.92,20.37,15
CPT,851T,DGTZ GLS MCRSCP MPHMTRC 1ST,,,0.5,1.12,14
CPT,85210,CLOT FACTOR II PRTHRMBN,391.5,293.625,1.0,17.72,30
CPT,85220,CLOT FACTOR V (LABILE),341.11,255.835,1.0,24.07,30
CPT,85230,CLOT FACTOR VII(STABLE),235.0,176.25,1.0,24.43,75
CPT,85240,CLOT FCTR VIII(AHG)1 STG,238.0,178.5,1.0,24.43,45
CPT,85244,CLOT FCTR VIII RELATE AG,435.0,326.25,1.0,27.85,15
CPT,85245,FACTR VIII RISTO CO-FCTR,198.0,148.5,1.0,31.3,15
CPT,85246,FACTOR VIII ANTIGEN,458.0,343.5,1.0,31.3,15
CPT,85246,FACTR VIII VW AG CO-FCTR,200.0,150.0,1.0,31.3,45
CPT,85247,FCTR VIII VW MLT CO-FCTR,193.0,144.75,1.0,31.3,45
CPT,85250,CLOT FCTR IX(PTC/XMAS),606.0,454.5,1.0,25.97,45
CPT,85260,CLOT FACTOR X,29.0,21.75,1.0,24.43,15
CPT,85260,CLOT FCTR X(STUART-PRWR),588.0,441.0,1.0,24.43,45
CPT,85270,CLOT FCTR XI(PTA),441.5,331.125,1.0,24.43,30
CPT,85280,CLOT FCTR XII(HAGEMANN),434.51,325.885,1.0,26.4,30
CPT,85290,CLOT FCTR XIII(FBRN STB),162.5,121.88,1.0,22.3,15
CPT,85291,CLOT FCTR XIII SCREEN,230.5,172.875,1.0,12.14,30
CPT,85292,FLETCHER FACTOR ASSAY,73.92,55.44,1.0,25.84,15
CPT,85293,FITZGERALD FACTOR ASSAY,73.92,55.44,1.0,25.84,15
CPT,852T,DGTZ GLS MCRSCP MPHMTRC EA 1,,,0.5,1.12,14
CPT,85300,ANTITHROMBIN III ACTIV,372.0,279.0,1.0,16.17,30
CPT,85301,ANTI-THROMBINE III AG,214.0,160.5,1.0,14.75,15
CPT,85302,PROTEIN C AG,519.0,389.25,1.0,16.4,30
CPT,85302,PROTEIN C ANTIGEN,7.0,5.25,1.0,16.4,15
CPT,85303,PROTEIN C ACTIVITY,269.0,201.75,1.0,18.87,30
CPT,85305,PROTEIN S TOTAL,214.0,160.5,1.0,15.83,15
CPT,85306,PROTEIN S ACTIVITY,775.0,581.25,1.0,20.91,15
CPT,85306,PROTEIN S ASSAY FREE,376.0,282.0,1.0,20.91,15
CPT,85306,PROTEIN S FREE,16.0,12.0,1.0,20.91,15
CPT,85307,PROTEIN C,225.0,168.75,1.0,20.91,30
CPT,85307,PROTEIN C RESIST,115.325,86.495,1.0,20.91,30
CPT,85335,CLOT FCTR VIII,827.0,620.25,1.0,17.56,15
CPT,85335,FACTOR 10 INHIBITOR,633.0,474.75,1.0,17.56,15
CPT,85335,FACTOR INHIBITOR,386.625,289.97,1.0,17.56,120
CPT,85335,FACTOR INHIBITOR TEST,258.0,193.5,1.0,17.56,15
CPT,85337,THROMBOMODULIN,,,1.0,17.27,15
CPT,85345,COAGULATION TIME LEE & WHITE,,,1.0,5.87,15
CPT,85347,COAGULATION TIME ACTIVTD,1486.0,1114.5,1.0,5.81,90
CPT,85348,COAGULATION TIME OTR METHOD,,,1.0,5.08,15
CPT,85360,EUGLOBULIN LYSIS,40.32,30.24,1.0,11.46,15
CPT,85362,FDP/FSP AGGLUTNATN SLIDE,338.0,253.5,1.0,9.4,15
CPT,85366,FIBRINOGEN TEST,,,1.0,80.46,15
CPT,85370,FIBRINOGEN TEST,,,1.0,15.49,15
CPT,85378,FIBRIN DEGRADE SEMIQUANT,,,1.0,9.73,15
CPT,85379,FDP D-DIMER QNT,266.0,199.5,1.0,13.89,30
CPT,85380,FIBRIN DEGRADJ D-DIMER,,,1.0,13.89,15
CPT,85384,FIBRINOGEN ACTIVITY,1009.0,756.75,1.0,11.58,60
CPT,85385,FIBRINOGEN ANTIGEN,16.29,12.22,1.0,14.46,15
CPT,85390,FIBRINOLYSINS SCREENING,347.815,260.86,1.0,15.48,30
CPT,85396,COAG/FIBRIN ASSAY WBLD,588.0,441.0,1.0,25.44,17
CPT,85397,ADAMTS 13 ACTIVITY,310.75,233.06,1.0,31.3,45
CPT,85397,CLOTTING FUNCT ACTIVITY,146.0,109.5,1.0,31.3,30
CPT,853T,DGTZ GLS MCRSCP MPHMTRC EA M,,,0.5,1.12,14
CPT,85400,FIBRINOLYTIC PLASMIN,,,1.0,12.07,15
CPT,85410,ALPHA 2 ANTIPLASMIN,40.73,30.55,1.0,10.52,15
CPT,85415,FIBRNOLTIC PLSMNOGEN ACT,88.78,66.59,1.0,23.46,45
CPT,85415,FIBRNOLTIC PLSMNOGEN ACT/2,16.29,12.22,1.0,23.46,15
CPT,85420,FIBRNOLTIC PLSMNOGEN XCPT AG,16.29,12.22,1.0,8.92,15
CPT,85420,FIBRNOLYTIC PLASMINOGEN,799.0,599.25,1.0,8.92,15
CPT,85421,FIBRNOLTIC PLSMNOGEN AG,71.68,53.76,1.0,13.9,15
CPT,85441,HEINZ BODIES DIRECT,244.0,183.0,1.0,5.74,15
CPT,85445,HEINZ BODIES INDUCED,,,1.0,9.3,15
CPT,85460,HMOGLBN FETAL(KLEIHAUER),122.0,91.5,1.0,10.56,15
CPT,85461,HEMOGLOBIN FETAL,,,1.0,9.36,15
CPT,85475,HEMOLYSINS ACID(HAM),180.0,135.0,1.0,12.11,15
CPT,854T,DGTZ GLS MCRSCP BLD SMR PRPH,,,0.5,1.12,14
CPT,85520,HEPARIN ASSAY,164.0,123.0,1.0,17.86,75
CPT,85520,RIVAROXABAN ASSAY,508.0,381.0,1.0,17.86,15
CPT,85525,HEPARIN NEUTRALIZATION,60.0,45.0,1.0,16.16,15
CPT,85530,HEPARIN-PROTAMINE TOLERANCE,,,1.0,19.34,15
CPT,85536,IRON STAIN PERPH BLOOD,196.0,147.0,1.0,8.83,15
CPT,85540,WBC ALKALINE PHOSPHATASE,,,1.0,11.74,15
CPT,85547,RBC MECHANICAL FRAGILITY,,,1.0,11.74,15
CPT,85549,MURAMIDASE,5.0,3.75,1.0,25.59,15
CPT,85555,OSMOTIC FRAGILITY RBC,241.0,180.75,1.0,9.12,15
CPT,85557,RBC OSMOTIC FRAGILITY,,,1.0,18.23,15
CPT,85576,PLT AGG EA AGENT,577.0,432.75,1.0,29.31,210
CPT,85576,PLT AGGREGATION EA AGENT,433.0,324.75,1.0,29.31,45
CPT,85576,STICKY PLATELET SYDROME 1,287.0,215.25,1.0,29.31,15
CPT,85576,STICKY PLATELET SYNDROME,287.0,215.25,1.0,29.31,45
CPT,85597,PHOSPHOLIP NEUT PLATELET,196.0,147.0,1.0,24.52,15
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,,,1.0,24.52,15
CPT,855T,DGTZ GLS MCRSCP B1 MAROW SMR,,,0.5,1.12,14
CPT,85610,POC PROTHROMBIN TIME,98.0,73.5,1.0,5.37,30
CPT,85610,PROTHROMBIN TIME,114.5,85.875,1.0,5.37,45
CPT,85611,PROTHROMBIN TEST,,,1.0,5.38,15
CPT,85612,VIPER VENOM PROTHROMBIN TIME,,,1.0,17.49,15
CPT,85613,RUSSL VIPR VEN TIME DIL,216.0,162.0,1.0,13.06,15
CPT,85613,RUSSL VIPR VEN TIME(DIL),259.0,194.25,1.0,13.06,15
CPT,85635,REPTILASE TEST,143.12,107.34,1.0,13.43,30
CPT,85651,SEDIMENTN RATE-NON-AUTO,355.0,266.25,1.0,4.84,15
CPT,85652,SED RATE AUTO,48.0,36.0,1.0,3.69,15
CPT,85660,SICKLING OF RBC,97.0,72.75,1.0,7.53,15
CPT,85670,THROMBIN TIME PLASMA,160.0,120.0,1.0,7.87,15
CPT,85675,THROMBIN TIME TITER,,,1.0,9.34,15
CPT,856T,DGTZ GLS MCRSCP ELECTRON MIC,,,0.5,1.12,14
CPT,85705,THROMBOPLASTIN INHIBITION,,,1.0,13.13,15
CPT,85730,PTT,187.0,140.25,1.0,8.19,90
CPT,85732,PTT SUB EA FRACTION,99.0,74.25,1.0,8.83,15
CPT,857T,OPTO-ACOUSTIC IMG BREAST UNI,,,0.92,104.75,14
CPT,85810,VISCOSITY,10.49,7.87,1.0,15.92,15
CPT,858T,EXT TRNSCRANL MAG STIMJ MEAS,,,1.0,3.2,10
CPT,85999,BONE MARROW ASSIST,191.0,143.25,0.5,7.32,14
CPT,85999,MISC HEMA PROC,196.0,147.0,0.5,7.32,14
CPT,859T,NCNTC IFR SPCTRSC O/T PAD EA,,,0.92,1.12,14
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,,,1.0,9.52,15
CPT,86001,ALLERGEN EACH IGG QUANT,30.5,22.875,1.0,7.82,345
CPT,86001,ALLRGN SPEC IGG EA,3.51,2.635,1.0,7.82,105
CPT,86003,ALLERGEN IGE A FUMIGATUS,15.0,11.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE ALDER TREE,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE ALFALFA,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE BAY LEAF,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE BENTGRASS,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE CHICKEN FEATHERS,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE CODFISH,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE COTTON SEED,73.0,54.75,1.0,7.12,15
CPT,86003,ALLERGEN IGE EGG WHITE,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE GELATIN PORCINE,43.0,32.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE GLUTEN,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE GOAT EPITHELIUM,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE HAZELNUT,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE HONEY,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE HOPS,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE LINSEED,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE MILK,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE MOUSE URINE,74.0,55.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE NECTARINE SPEC,23.0,17.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE PEANUT,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE POMEGRANATE,18.0,13.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE POPPY SEED,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE PUMPKIN SEED,73.0,54.75,1.0,7.12,15
CPT,86003,ALLERGEN IGE RAT URINE,74.0,55.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SAFFLOWER,14.0,10.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SCALLOP,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SESAME SEED,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SHEEP EPITHELIUM,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE SHRIMP,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SOYBEAN,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE SUNFLOWER POLLEN,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE SUNFLOWER SEED,3.26,2.45,1.0,7.12,15
CPT,86003,ALLERGEN IGE TOBACCO,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE TURKEY  FEATHERS,3.26,2.45,1.0,7.12,15
CPT,86003,ALLERGEN IGE VANILLA,3.0,2.25,1.0,7.12,15
CPT,86003,ALLERGEN IGE WALNUT,46.0,34.5,1.0,7.12,15
CPT,86003,ALLERGEN IGE WHEAT,24.5,18.375,1.0,7.12,30
CPT,86003,"ALLERGEN, #1",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #10",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #11",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #2",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #3",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #4",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #5",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #6",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #7",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #8",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, #9",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #01",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #02",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #03",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #04",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #05",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #06",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #07",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #08",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #09",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #10",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #11",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #12",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #13",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #14",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #15",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #16",22.0,16.5,1.0,7.12,15
CPT,86003,"ALLERGEN, IGE, #17",22.0,16.5,1.0,7.12,15
CPT,86003,ALLGN IGE EA ALLERG,32.0,24.0,1.0,7.12,15
CPT,86003,ALLGN IGE PENICILLIN G (MAJOR),3.0,2.25,1.0,7.12,15
CPT,86003,ALLGN SPEC IGE EA ALLERG,25.0,18.75,1.0,7.12,15
CPT,86003,ALLRGN SPEC IGE EA,16.355,12.27,1.0,7.12,1965
CPT,86003,"ALTERNARIA TENUIS,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"CAT EPI & DANDER,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"COCKROACH,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"CODFISH,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"COW'S MILK,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"D. FARINAE,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"D. PTERNYSSINUS,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"DOG DANDER,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"EGG WHITE,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"PEANUT,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,RAST EACH ALLERGEN,65.0,48.75,1.0,7.12,285
CPT,86003,"SOYBEAN,IGE",39.0,29.25,1.0,7.12,15
CPT,86003,"WHEAT,IGE",39.0,29.25,1.0,7.12,15
CPT,86005,ALLG SPEC IGE MULTIALLG SCR,,,1.0,10.88,15
CPT,86008,ALLRGN SPEC IGE RECOMB EA,3.26,2.45,1.0,22.14,60
CPT,86015,ACTIN SMOOTH MUSCLE AB,5.29,3.97,1.0,11.53,14
CPT,86015,SMOOTH MUSCLE AB,446.25,334.69,1.0,11.53,14
CPT,86015,SMOOTH MUSCLE ANTIBODY,446.25,334.69,1.0,11.53,14
CPT,86021,AB ID LEUKOCYTE AB,69.455,52.09,1.0,20.54,30
CPT,86021,"FUNCTIONAL ANTI-FCER, HB",174.0,130.5,1.0,20.54,15
CPT,86021,LEUKOCYTE ABS ID,130.0,97.5,1.0,20.54,15
CPT,86022,ANTIBODY ID PLATELET,182.0,136.5,1.0,25.06,30
CPT,86022,ANTIBODY PLATELET,300.0,225.0,1.0,25.06,15
CPT,86022,PLATELET AB,184.5,138.375,1.0,25.06,30
CPT,86022,PLATELET AB/2,304.0,228.0,1.0,25.06,15
CPT,86023,PLATELET IMMUNOGL ASSAY,159.0,119.25,1.0,17.0,15
CPT,86036,ANCA SCREEN EACH ANTIBODY,,,1.0,12.05,14
CPT,86037,ANCA TITER EACH ANTIBODY,,,1.0,12.05,14
CPT,86038,ANTINUCLEAR AB(ANA),114.0,85.5,1.0,16.49,15
CPT,86038,ANTINUCLEAR ANTIBODIES,203.0,152.25,1.0,16.49,30
CPT,86039,ANTINUCLEAR AB(ANA)TITER,77.0,57.75,1.0,15.23,15
CPT,86041,ACETYLCHOLINE RECEPTOR BIND AB,279.0,209.25,1.0,18.4,14
CPT,86042,ACETYLCHOLN RCPTR BLCKG ANTB,,,1.0,18.4,14
CPT,86043,ACETYLCHOLINE MODUL AB,66.0,49.5,1.0,12.05,28
CPT,86043,ACHR MODLG AB,221.0,165.75,1.0,12.05,14
CPT,86051,AQUAPORIN-4 ANTB ELISA,,,1.0,11.53,14
CPT,86052,AQUAPORIN-4 ANTB CBA EACH,,,1.0,12.05,14
CPT,86053,AQAPRN-4 ANTB FLO CYTMTRY EA,340.0,255.0,1.0,31.62,14
CPT,86060,ANTI-STREPTOLYSN O TITER,118.335,88.75,1.0,9.96,30
CPT,86063,ANTISTREPTOLYSIN O SCREEN,,,1.0,7.87,15
CPT,86077,PHYS BLOOD BANK SERV XMATCH,,,0.92,69.13,17
CPT,86078,PHYS BLOOD BANK SERV REACTJ,,,0.92,149.16,17
CPT,86079,PHYS BLOOD BANK SERV AUTHRJ,,,0.92,68.71,17
CPT,860T,NCNTC IFR SPCTRSC SCR PAD,,,0.5,1.12,14
CPT,86140,C-REACTIVE PROTEIN QN,221.0,165.75,1.0,7.06,15
CPT,86141,CRP HI SENSITIVITY,48.0,36.0,1.0,17.66,15
CPT,86146,BETA 2 GLYCOPROT I AB,96.0,72.0,1.0,34.71,60
CPT,86146,BETA-2 GLYCOPROTEIN 1 ANT,108.0,81.0,1.0,34.71,30
CPT,86146,"BETA-2 GLYCOPROTEIN 1 ANTIB,EA",112.0,84.0,1.0,34.71,30
CPT,86147,CARDIOLIPIN AB QNT,174.0,130.5,1.0,34.71,45
CPT,86148,ANTIPHOSPHATIDYLSERINE AB,6.525,4.895,1.0,21.92,45
CPT,86148,"PHOSPHATIDLYSERINE AB, IGA",99.0,74.25,1.0,21.92,15
CPT,86148,"PHOSPHATIDLYSERINE AB, IGG",99.0,74.25,1.0,21.92,15
CPT,86148,"PHOSPHATIDLYSERINE AB, IGM",99.0,74.25,1.0,21.92,15
CPT,86152,CELL ENUMERATION & ID,,,0.92,250.78,15
CPT,86153,CELL ENUMERATION PHYS INTERP,,,0.5,1.12,14
CPT,86155,CHEMOTAXIS ASSAY,,,1.0,21.81,15
CPT,86156,COLD AGGLUT SCRN,130.0,97.5,1.0,9.14,15
CPT,86157,COLD AGGLUTINATN TITER,104.5,78.375,1.0,11.0,30
CPT,86160,COMPLEMENT AG EA,58.08,43.56,1.0,16.38,105
CPT,86160,COMPLEMENT FACTOR I,66.24,49.68,1.0,16.38,15
CPT,86160,"COMPLEMENT, FACTOR B",51.3,38.48,1.0,16.38,15
CPT,86160,FACTOR H B1H LEVEL,66.24,49.68,1.0,16.38,15
CPT,86161,COMPLEMENT C3,19.34,14.51,1.0,16.38,15
CPT,86161,COMPLEMNT FUNCT ACTIV EA,104.225,78.17,1.0,16.38,45
CPT,86162,COMPLEMENT TOTAL CH50,358.25,268.69,1.0,27.72,30
CPT,86162,COMPLEMENT TOTAL CH50/2,4.0,3.0,1.0,27.72,15
CPT,86171,COMPLEMENT FIXATION EACH,,,1.0,13.66,15
CPT,861T,RMVL PG WCS LV BOTH COMPNT,,,0.22,16.13,96
CPT,86200,CYC CITRULLINATED PEP AB,78.06,58.545,1.0,17.66,30
CPT,86215,DNA ANTIBODY,14.66,11.0,1.0,18.08,15
CPT,86225,DNA AB NATV/DBL STRND,187.5,140.625,1.0,18.74,30
CPT,86226,DNA ANTIBODY SINGLE STRAND,,,1.0,16.52,15
CPT,86231,EMA EACH IG CLASS,,,1.0,12.09,14
CPT,86235,ANTI-RNP AB,71.0,53.25,1.0,24.46,15
CPT,86235,ANTI-SMITH AB,71.0,53.25,1.0,24.46,15
CPT,86235,EIA,146.0,109.5,1.0,24.46,15
CPT,86235,ENA ANTIBODY TEST,59.0,44.25,1.0,24.46,105
CPT,86235,ENA POSITIVE,433.0,324.75,1.0,24.46,30
CPT,86235,JO-1 ANTIBODY,71.0,53.25,1.0,24.46,15
CPT,86235,NUCLEAR ANTIGEN AB,34.4,25.8,1.0,24.46,60
CPT,86235,SCLERODERMA AB SCL-70,71.0,53.25,1.0,24.46,15
CPT,86255,AMPA RECEPTOR AB,242.0,181.5,1.0,16.44,30
CPT,86255,AMPHIPHYSIN ANTIBODY,78.0,58.5,1.0,16.44,30
CPT,86255,ANTI GLIAL NUCLEAR AB TYPE 1,78.0,58.5,1.0,16.44,30
CPT,86255,ANTI HU AB,12.0,9.0,1.0,16.44,15
CPT,86255,ANTI NEURAL NUCLEAR AB TYPE 1,78.0,58.5,1.0,16.44,60
CPT,86255,ANTI NEURAL NUCLEAR AB TYPE 2,63.0,47.25,1.0,16.44,15
CPT,86255,ANTI NEURAL NUCLEAR AB TYPE 3,63.0,47.25,1.0,16.44,15
CPT,86255,ANTI RI AB,12.0,9.0,1.0,16.44,15
CPT,86255,ANTI YO AB,12.0,9.0,1.0,16.44,15
CPT,86255,CASPR2 AB,212.5,159.38,1.0,16.44,45
CPT,86255,CRMP -5 IGG,78.0,58.5,1.0,16.44,30
CPT,86255,DPPX AB,202.0,151.5,1.0,16.44,60
CPT,86255,ENDOMYSIAL AB TITER A (FLUOR),26.0,19.5,1.0,16.44,15
CPT,86255,ENDOMYSIAL AB TITER G (FLUOR),26.0,19.5,1.0,16.44,15
CPT,86255,FLUOR ANTIBODY SCREEN,147.0,110.25,1.0,16.44,15
CPT,86255,FLUORESCNT SCRN EA AB,134.43,100.825,1.0,16.44,60
CPT,86255,FLUORSCNT SCRN EA AB,92.82,69.62,1.0,16.44,15
CPT,86255,GABA-B-R AB,243.5,182.625,1.0,16.44,30
CPT,86255,GFAP AB,281.5,211.125,1.0,16.44,45
CPT,86255,LGI1 AB,212.5,159.38,1.0,16.44,45
CPT,86255,MGLUR1 AB,202.0,151.5,1.0,16.44,75
CPT,86255,MYOCARDIAL AB,168.15,126.11,1.0,16.44,15
CPT,86255,N-METHYL-D-ASPARTATE RECEPT,250.0,187.5,1.0,16.44,45
CPT,86255,N-METHYL-D-ASPARTATE RECPT CSF,147.5,110.63,1.0,16.44,15
CPT,86255,NMO AQP4 FACS SERUM OR CSF,446.0,334.5,1.0,16.44,30
CPT,86255,PARANEOPLASTIC AB,424.0,318.0,1.0,16.44,30
CPT,86255,PARANEOPLASTIC ABS BY IFA,424.0,318.0,1.0,16.44,15
CPT,86255,PURKINJE CELL CYTOP AB TYPE 1,78.0,58.5,1.0,16.44,30
CPT,86255,PURKINJE CELL CYTOP AB TYPE 2,93.0,69.75,1.0,16.44,45
CPT,86255,PURKINJE CELL CYTOP AB TYPE TR,78.0,58.5,1.0,16.44,30
CPT,86255,"RETICULIN AB, IGG",277.0,207.75,1.0,16.44,15
CPT,86255,STRIATED AB SCR,8.99,6.74,1.0,16.44,15
CPT,86256,ACH RECEPTOR BINDING AB,140.0,105.0,1.0,16.44,15
CPT,86256,AMPA-R AB TITER,162.0,121.5,1.0,16.44,15
CPT,86256,"AMPHIPHYSIN AB, S.",140.0,105.0,1.0,16.44,15
CPT,86256,"ANTI-NEURONAL AB, TYPE 1",140.0,105.0,1.0,16.44,15
CPT,86256,"ANTI-NEURONAL NUCLEAR AB,TYPE2",140.0,105.0,1.0,16.44,15
CPT,86256,"CALCIUM CHANNEL BIND AB,P/2 TY",140.0,105.0,1.0,16.44,15
CPT,86256,"CALCIUM CHANNEL BIND,AB N TYPE",140.0,105.0,1.0,16.44,15
CPT,86256,DPPX AB,98.4,73.8,1.0,16.44,30
CPT,86256,FLUORESCENT AB TITER,100.0,75.0,1.0,16.44,15
CPT,86256,FLUORESCENT AB TITER EA,98.4,73.8,1.0,16.44,60
CPT,86256,"FLUORESCENT AGENT TITER, #1",50.0,37.5,1.0,16.44,15
CPT,86256,"FLUORESCENT AGENT TITER, #2",50.0,37.5,1.0,16.44,15
CPT,86256,FLUORESCNT TITR EA AB,111.5,83.625,1.0,16.44,180
CPT,86256,"Flourescent AB, #1",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #2",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #3",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #4",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #5",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #6",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #7",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #8",51.0,38.25,1.0,16.44,30
CPT,86256,"Flourescent AB, #9",51.0,38.25,1.0,16.44,30
CPT,86256,GABA B RECPT AB,155.5,116.625,1.0,16.44,30
CPT,86256,MGLUR1 AB,98.4,73.8,1.0,16.44,15
CPT,86256,NMDA-R AB TITER,162.0,121.5,1.0,16.44,15
CPT,86256,NMO IGG TITER,63.0,47.25,1.0,16.44,30
CPT,86256,PARANEOPLASTIC PROFILE,162.0,121.5,1.0,16.44,45
CPT,86256,"PURKINKE CELL AB, TYPE 1",140.0,105.0,1.0,16.44,15
CPT,86256,"STRIATIONAL AB, S",140.0,105.0,1.0,16.44,15
CPT,86258,GLIADIAN ANTIBODY,3.67,2.75,1.0,11.53,14
CPT,86258,GLIADIN ANTIBODY IGA,130.0,97.5,1.0,11.53,28
CPT,86258,"GLIADIN ANTIBODY, IGG",50.0,37.5,1.0,11.53,14
CPT,86277,GROWTH HORMONE ANTIBODY,,,1.0,21.47,15
CPT,86280,HEMAGGLUTINATION INHIBITION,,,1.0,11.17,15
CPT,86294,IMMUNOASSAY TUMOR QUAL,,,1.0,26.77,15
CPT,862T,RLCJ PG WCS LV BATTERY ONLY,,,0.22,16.13,96
CPT,86300,CA15-3,382.0,286.5,1.0,28.39,30
CPT,86301,CA 19-9,338.0,253.5,1.0,28.39,15
CPT,86301,IA TUMOR CA 19-9 QUAN,11.55,8.665,1.0,28.39,30
CPT,86304,CA 125,292.0,219.0,1.0,28.39,15
CPT,86305,H EPIDIDYMIS PROTEIN 4,180.0,135.0,0.92,28.39,15
CPT,86308,HETEROPHILE AB SCREEN,81.0,60.75,1.0,7.06,15
CPT,86309,HETEROPHILE ANTIBODY TITER,,,1.0,8.83,15
CPT,86310,HETEROPHILE ANTIBODY ABSRBJ,,,1.0,10.06,15
CPT,86316,IA TUMOR AG NES QUAN,26.365000000000002,19.775,1.0,28.39,60
CPT,86316,IMMUNOASSAY TUMOR AG OTH,199.0,149.25,1.0,28.39,15
CPT,86317,ANTIBODY QUAN TITER,42.5,31.875,1.0,20.45,330
CPT,86317,IA INF AGENT AB QUANT NOS,30.0,22.5,1.0,20.45,15
CPT,86317,IA INFECT AGENT AB QN NOS,8.64,6.48,1.0,20.45,60
CPT,86317,IGG QUANT,152.0,114.0,1.0,20.45,45
CPT,86317,IGM QUANT,152.0,114.0,1.0,20.45,45
CPT,86317,IMMUNOASSAY 1,92.0,69.0,1.0,20.45,15
CPT,86317,IMMUNOASSAY 2,92.0,69.0,1.0,20.45,15
CPT,86317,IMMUNOASSAY 3,92.0,69.0,1.0,20.45,15
CPT,86317,"PNEUMOCCAL AB, IGG4",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCCAL AB, IGG5",66.0,49.5,1.0,20.45,30
CPT,86317,PNEUMOCOCCAL AB IGG,38.0,28.5,1.0,20.45,210
CPT,86317,"PNEUMOCOCCAL AB, IGG1",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG10",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG11",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG12",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG13",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG14",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG2",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG3",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG6",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG7",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG8",66.0,49.5,1.0,20.45,30
CPT,86317,"PNEUMOCOCCAL AB, IGG9",66.0,49.5,1.0,20.45,30
CPT,86318,IA INFECTIOUS AGENT ANTIBODY,,,1.0,18.09,15
CPT,86320,IMMUNOELECTROPHORC,502.0,376.5,1.0,30.58,15
CPT,86325,METHOLOGY,331.0,248.25,1.0,30.51,15
CPT,86328,IA NFCT AB SARSCOV2 COVID19,,,0.92,45.28,15
CPT,86329,IGA 1,160.0,120.0,1.0,19.15,15
CPT,86329,IGA 2,160.0,120.0,1.0,19.15,15
CPT,86329,IMMUNODIFF QUAN-EACH,589.5,442.125,1.0,19.15,30
CPT,86331,"ASPERGILLUS AB, GEL",250.5,187.875,1.0,16.35,30
CPT,86331,ASPERGILLUS GEL DIFF QL,32.5,24.375,1.0,16.35,75
CPT,86331,"BLASTOMYCES AB, GEL",100.5,75.375,1.0,16.35,30
CPT,86331,"CANDIDA AB, GEL",136.0,102.0,1.0,16.35,30
CPT,86331,"COCCIDIODIES AB, GEL",102.5,76.875,1.0,16.35,30
CPT,86331,GEL DIFFUSION,120.0,90.0,1.0,16.35,15
CPT,86331,HISTOPLASMOSIS IMMUNODIFF,142.0,106.5,1.0,16.35,15
CPT,86331,HISTOPLASMOSIS IMMUNODIFFUSION,135.0,101.25,1.0,16.35,15
CPT,86331,IMMUNODIFFUSION GEL QUAL,27.0,20.25,1.0,16.35,105
CPT,86331,PRECIPITINS,375.0,281.25,1.0,16.35,15
CPT,86331,Precipitins,375.0,281.25,1.0,16.35,30
CPT,86331,THERMOACTINOMYCES GEL QUAL,32.5,24.375,1.0,16.35,45
CPT,86332,IMMUNE COMPLEX,19.67,14.75,1.0,33.25,60
CPT,86334,IMMUNOFIX ELECTRO SERUM,107.5,80.625,1.0,30.48,30
CPT,86335,IMMUNOFIX ELECTPHRS,329.0,246.75,1.0,40.04,15
CPT,86335,IMMUNOFIX ELECTRO URINE,193.0,144.75,1.0,40.04,15
CPT,86336,INHIBIN A,468.0,351.0,1.0,21.26,15
CPT,86337,INSULIN ANTIBODIES,18.24,13.68,1.0,29.21,15
CPT,86340,INTRINSIC FACTOR ANTIBDY,5.0,3.75,1.0,20.56,15
CPT,86341,GAD65 AB,57.82,43.37,1.0,26.99,15
CPT,86341,ISLET CELL ANTIBODY,92.82,69.62,1.0,26.99,105
CPT,86343,LEUKOCYTE HISTAMINE RELEASE TS,65.0,48.75,0.92,17.01,15
CPT,86343,LEUKOCYTE HISTAMNE RELEASE TST,149.0,111.75,0.92,17.01,15
CPT,86344,LEUKOCYTE PHAGOCYTOSIS,,,0.92,10.9,15
CPT,86352,CELLULAR FUNCTION ASSAY,140.0,105.0,0.92,185.36,45
CPT,86353,LYMPHOCYTE TRANS MITO,106.5,79.875,1.0,66.89,30
CPT,86353,LYMPHOCYTE TRANSF MITOGN,485.5,364.125,1.0,66.89,60
CPT,86353,LYMPHOCYTE TRANSFORMATION,382.0,286.5,1.0,66.89,15
CPT,86355,B CELLS TOTAL COUNT,121.125,90.845,1.0,51.46,30
CPT,86355,"B CELLS, TOTAL COUNT",215.0,161.25,1.0,51.46,15
CPT,86356,MONONUCLEAR CELL AG QNT,83.16,62.37,1.0,36.53,15
CPT,86357,NAT KILLER CELL TOT CNT,121.125,90.845,1.0,51.46,30
CPT,86357,"NK CELLS, TOTAL COUNT",215.0,161.25,1.0,51.46,15
CPT,86359,T CELLS TOTAL COUNT,31.19,23.395000000000003,1.0,51.46,30
CPT,86359,T-CELLS TOTAL COUNT,214.0,160.5,1.0,51.46,45
CPT,86360,T CELLS T4/T8 INC RATIO,224.5,168.375,1.0,64.1,30
CPT,86360,T CELLS T4/T8 PLS RATIO,31.31,23.485,1.0,64.1,30
CPT,86361,T CELL ABSOLUTE COUNT,,,1.0,36.53,15
CPT,86362,MYELIN AB,789.355,592.02,1.0,12.05,28
CPT,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,340.0,255.0,1.0,31.62,42
CPT,86364,TISS TRANSGLUTAMINASE AB,35.145,26.36,1.0,11.53,28
CPT,86364,TISS TRANSGLUTAMINASE AB/3,130.0,97.5,1.0,11.53,28
CPT,86366,MUSCLE-SPECIFIC KINASE AB,574.6,430.95,1.0,18.4,14
CPT,86367,STEM CELLS TOTAL COUNT,,,1.0,77.78,15
CPT,86376,MICROSOMAL ANTIBODY EA,12.49,9.37,1.0,19.85,15
CPT,86376,THYROID PEROXIDASE AB,164.0,123.0,1.0,19.85,15
CPT,86381,MITOCHONDRIAL M2 ANTIBODY,5.95,4.46,1.0,25.45,14
CPT,86382,"NEUTRALIZATION TEST, VIRAL",907.0,680.25,1.0,23.07,15
CPT,86384,NITROBLUE TETRAZOLIUM DYE,,,1.0,15.53,15
CPT,86386,NUCLEAR MATRIX PROTEIN 22,,,1.0,21.79,15
CPT,863T,RLCJ PG WCS LV TRNSMTR ONLY,,,0.22,16.13,96
CPT,864,ANESTH REMOVAL OF BLADDER,,,,,0
CPT,86403,BACTERIAL ANTIGENS X1,33.0,24.75,1.0,13.9,15
CPT,86403,BACTERIAL ANTIGENS X2,33.0,24.75,1.0,13.9,15
CPT,86403,BACTERIAL ANTIGENS X3,33.0,24.75,1.0,13.9,15
CPT,86403,BACTERIAL ANTIGENS X4,33.0,24.75,1.0,13.9,15
CPT,86403,BACTERIAL ANTIGENS X5,33.0,24.75,1.0,13.9,15
CPT,86403,BACTERIAL ANTIGENS X6,33.0,24.75,1.0,13.9,15
CPT,86403,ENTEROTOXIN B ANTIBODY,400.0,300.0,1.0,13.9,15
CPT,86403,PARTICLE AGGL AB QL,190.0,142.5,1.0,13.9,15
CPT,86403,TSS TOXIN ANTIBODY,400.0,300.0,1.0,13.9,15
CPT,86406,CRYPTOCOCCUS AG TITER,45.0,33.75,1.0,14.51,15
CPT,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,1.0,47.07,15
CPT,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,1.0,105.38,15
CPT,86413,SARS-COV-2 ANTB QUANTITATIVE,,,1.0,43.09,15
CPT,86430,RHEUMATOID FACTOR TEST QUAL,,,1.0,7.74,15
CPT,86431,RHEUMATOID FACTOR QUANT,63.775,47.83,1.0,7.74,30
CPT,86480,TB TEST CELL AG RESPONSE,50.0,37.5,1.0,84.56,30
CPT,86480,TUBERCULOSIS AG RESPONSE,105.0,78.75,1.0,84.56,15
CPT,86481,TB TEST CELL SUSPENSION,43.0,32.25,1.0,102.22,15
CPT,86485,SKIN TEST CANDIDA,,,1.0,24.67,15
CPT,86486,SKIN TEST UNLISTED ANTIGN EA,,,0.92,24.67,17
CPT,864T,LOW NTSTY ESWT CORPUS CVRNSM,,,0.22,16.13,91
CPT,86510,HISTOPLASMOSIS SKIN TEST,,,1.0,55.66,17
CPT,86580,SKIN TST PPD TB 5T.U,27.0,20.25,1.0,24.67,17
CPT,86580,TUBERCULIN PPD 5TU IJ,479.0,359.25,1.0,24.67,17
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative",,,0.5,214.77,14
CPT,86590,STREPTOKINASE ANTIBODY,,,1.0,15.07,15
CPT,86592,TRANSPLANT RPR,112.0,84.0,1.0,5.82,15
CPT,86592,VDRL-CSF,120.0,90.0,1.0,5.82,15
CPT,86592,VDRL/RPR QUAL,154.0,115.5,1.0,5.82,15
CPT,86593,SYPHILIS TEST NON-TREP QUANT,,,1.0,6.0,15
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,,,1.0,18.4,14
CPT,865T,QUAN MRI ALYS BRN W/O DX MRI,,,0.92,233.47,14
CPT,866,ANESTH REMOVAL OF ADRENAL,,,,,0
CPT,86602,ANTINOMYCES ANTIBODY,,,1.0,13.89,15
CPT,86603,"ADENOVIRUS AB, IGG",100.0,75.0,1.0,17.55,15
CPT,86603,"ADENOVIRUS AB, IGM",100.0,75.0,1.0,17.55,15
CPT,86603,"Adenovirus AB, IGG",100.0,75.0,1.0,17.55,30
CPT,86603,"Adenovirus AB, IGM",100.0,75.0,1.0,17.55,30
CPT,86606,ASPERGILLUS AB,4.6,3.45,1.0,20.54,75
CPT,86606,ASPERGILLUS AB ID,63.0,47.25,1.0,20.54,105
CPT,86606,"ASPERGILLUS AB, IGE",283.0,212.25,1.0,20.54,15
CPT,86606,"ASPERGILLUS AB, IGG",283.0,212.25,1.0,20.54,15
CPT,86606,IGE ANTIBODIES TO A FUMIGATUS,403.0,302.25,1.0,20.54,15
CPT,86606,IGE Antibodies to A Fumigatus,403.0,302.25,1.0,20.54,30
CPT,86606,IGG ANTIBODIES TO A FUMIGATUS,403.0,302.25,1.0,20.54,15
CPT,86606,IGG Antibodies to A Fumigatus,403.0,302.25,1.0,20.54,30
CPT,86609,BACTERIUM 1,65.0,48.75,1.0,17.58,15
CPT,86609,BACTERIUM AB,71.0,53.25,1.0,17.58,60
CPT,86609,BACTERIUM AB NES,180.22,135.17,1.0,17.58,15
CPT,86609,BACTRIUM 2,65.0,48.75,1.0,17.58,15
CPT,86611,BARTONELLA AB,3.6799999999999997,2.76,1.0,13.89,60
CPT,86611,BARTONELLA HENSELAE IGG,45.0,33.75,1.0,13.89,15
CPT,86611,BARTONELLA HENSELAE IGM,45.0,33.75,1.0,13.89,15
CPT,86611,BARTONELLA QUINTANA IGG,45.0,33.75,1.0,13.89,15
CPT,86611,BARTONELLA QUINTANA IGM,45.0,33.75,1.0,13.89,15
CPT,86612,BLASTOMYCES AB,12.22,9.17,1.0,17.6,15
CPT,86615,BORDETELLA AB,16.24,12.18,1.0,18.0,90
CPT,86617,LYME DISEASE AB TEST,20.605,15.455,1.0,21.13,75
CPT,86617,LYME WESTERN BLOT IGG WB,8.0,6.0,1.0,21.13,15
CPT,86617,LYME WESTERN BLOT IGM WB,7.0,5.25,1.0,21.13,15
CPT,86618,LYME DISEASE,40.0,30.0,1.0,23.24,30
CPT,86618,LYME DISEASE AB,42.0,31.5,1.0,23.24,60
CPT,86619,BORRELIA ANTIBODY,,,1.0,18.25,15
CPT,86622,BRUCELLA AB,13.8,10.35,1.0,12.19,45
CPT,86622,BRUCELLA AB/2,14.66,11.0,1.0,12.19,15
CPT,86625,CAMPYLOBACTER AB,168.0,126.0,1.0,17.9,15
CPT,86628,CANDIDA AB,42.765,32.075,1.0,16.38,45
CPT,86628,CANDIDA AB QUAL,21.0,15.75,1.0,16.38,15
CPT,86628,"CANDIDA ANTIBODY, IGA",136.0,102.0,1.0,16.38,15
CPT,86628,"CANDIDA ANTIBODY, IGG",168.0,126.0,1.0,16.38,15
CPT,86628,"CANDIDA ANTIBODY, IGM",136.0,102.0,1.0,16.38,15
CPT,86631,CHLAMYDIA AB,136.0,102.0,1.0,16.13,15
CPT,86631,CHLAMYDIA PSIT IGG,113.0,84.75,1.0,16.13,15
CPT,86632,CHLAMYDIA PNEUMO IGM,113.0,84.75,1.0,17.31,15
CPT,86632,CHLAMYDIA PSIT IGM,113.0,84.75,1.0,17.31,15
CPT,86632,CHLMYDIA TRACHOMATIS IGM,113.0,84.75,1.0,17.31,30
CPT,86635,COCCIDIOIDES ANTIBODY,14.780000000000001,11.085,1.0,15.65,30
CPT,86638,Q FEVER AB,27.5,20.625,1.0,16.54,90
CPT,86641,CRYPTOCOCCIS AB,18.73,14.05,1.0,19.66,15
CPT,86644,CMV AB,267.0,200.25,1.0,19.64,15
CPT,86644,CYTOMEGALOVIRUS AB,9.3,6.975,1.0,19.64,30
CPT,86644,SCREEN UNIT - CMV,13.0,9.75,1.0,19.64,15
CPT,86644,"TRANSPLANT CMV, ANTIBODY",164.0,123.0,1.0,19.64,15
CPT,86645,CMV AB IGM,109.14,81.855,1.0,22.98,30
CPT,86648,DIPHTHERIA ANTIBODY,,,1.0,20.75,15
CPT,86651,CALIF. ENCEPHALITIS AB IGG,81.0,60.75,1.0,18.0,15
CPT,86651,CALIF. ENCEPHALITIS AB IGM,81.0,60.75,1.0,18.0,15
CPT,86651,ENCEPHALITIS AB CA IGM,74.0,55.5,1.0,18.0,15
CPT,86651,"ENCEPHALITIS AB,IGG",118.0,88.5,1.0,18.0,15
CPT,86651,"ENCEPHALITIS AB,IGM",118.0,88.5,1.0,18.0,15
CPT,86651,ENCEPHALITIS CA LCROS AB,149.8,112.35,1.0,18.0,15
CPT,86651,ENCEPHLTIS AB CA IGG CSF,42.0,31.5,1.0,18.0,15
CPT,86652,EASTERN EQUINE IGG,81.0,60.75,1.0,18.0,15
CPT,86652,EASTERN EQUINE IGM,81.0,60.75,1.0,18.0,15
CPT,86652,ENCEPHALITIS EAST EQ AB,142.7,107.03,1.0,18.0,15
CPT,86653,ST LOUIS IGG ANTIBODY,81.0,60.75,1.0,18.0,15
CPT,86653,ST LOUIS IGM ANTIBODY,81.0,60.75,1.0,18.0,15
CPT,86654,ENCEPHALITIS WEST EQ AB,149.8,112.35,1.0,18.0,15
CPT,86654,WESTERN EQUINE IGG,81.0,60.75,1.0,18.0,15
CPT,86654,WESTERN EQUINE IGM,81.0,60.75,1.0,18.0,15
CPT,86658,COXSACKIE A AB,53.0,39.75,1.0,17.77,15
CPT,86658,"COXSACKIE B1, AB",126.0,94.5,1.0,17.77,30
CPT,86658,"COXSACKIE B2, AB",126.0,94.5,1.0,17.77,30
CPT,86658,"COXSACKIE B3, AB",126.0,94.5,1.0,17.77,30
CPT,86658,"COXSACKIE B4, AB",126.0,94.5,1.0,17.77,30
CPT,86658,"COXSACKIE B5, AB",126.0,94.5,1.0,17.77,30
CPT,86658,"COXSACKIE B6, AB",126.0,94.5,1.0,17.77,30
CPT,86658,ECHO VIRUS(ENTEROVIRUS),57.0,42.75,1.0,17.77,15
CPT,86658,ECHOVIRUS AB TYPE 11,111.0,83.25,1.0,17.77,15
CPT,86658,"ECHOVIRUS AB, TYPE 6",111.0,83.25,1.0,17.77,15
CPT,86658,"ECHOVIRUS AB, TYPE 9",111.0,83.25,1.0,17.77,15
CPT,86658,"ECHOVIRUS ANTIBODY, TYPE",104.0,78.0,1.0,17.77,30
CPT,86658,ECHOVIRUS TYPE 11,57.0,42.75,1.0,17.77,15
CPT,86658,ECHOVIRUS TYPE 30,57.0,42.75,1.0,17.77,15
CPT,86658,ECHOVIRUS TYPE 7,57.0,42.75,1.0,17.77,15
CPT,86658,ECHOVIRUS TYPE 9,57.0,42.75,1.0,17.77,15
CPT,86658,ENTEROVIRUS AB,5.92,4.44,1.0,17.77,120
CPT,86658,POLIOVIRUS AB,295.0,221.25,1.0,17.77,15
CPT,86663,EBV ANTI-EARLY AG,402.0,301.5,1.0,17.9,15
CPT,86663,EBV EARLY AG EA,393.0,294.75,1.0,17.9,15
CPT,86663,EPSTEIN-BARR VIRUS EA AB,12.22,9.17,1.0,17.9,15
CPT,86664,EBV ANTI-NUCLEAR AG,410.0,307.5,1.0,20.87,15
CPT,86664,EBV EBNA,387.0,290.25,1.0,20.87,15
CPT,86665,EBV IGG VCA,312.0,234.0,1.0,24.75,15
CPT,86665,EBV IGM VCA,86.0,64.5,1.0,24.75,15
CPT,86665,EBV VCA IGM AB,76.0,57.0,1.0,24.75,15
CPT,86665,"EPSTEIN-BARR VIRUS, IGG",311.0,233.25,1.0,24.75,15
CPT,86666,EHRLICHIA (HME) IGG,15.0,11.25,1.0,13.89,15
CPT,86666,EHRLICHIA (HME) IGM,15.0,11.25,1.0,13.89,15
CPT,86666,EHRLICHIA AB,87.875,65.905,1.0,13.89,45
CPT,86666,ERLICHIOSIS IGG,30.0,22.5,1.0,13.89,15
CPT,86666,ERLICHIOSIS IGM,30.0,22.5,1.0,13.89,15
CPT,86668,FRANCISELLA TULARENS AB,39.575,29.68,1.0,14.19,30
CPT,86671,FUNGUS AB NES,5.0,3.75,1.0,16.72,30
CPT,86671,SACCHAROMYCES CEREVISIAE IGA,166.0,124.5,1.0,16.72,15
CPT,86671,SACCHAROMYCES CEREVISIAE IGG,166.0,124.5,1.0,16.72,15
CPT,86671,SPOROTHRIX ANTIBODY,171.0,128.25,1.0,16.72,15
CPT,86674,GIARDIA LAMBLIA AB,41.349999999999994,31.015,1.0,20.08,45
CPT,86677,"HELICOBACTER PYLORI,IGA A",140.0,105.0,1.0,19.8,15
CPT,86677,"HELICOBACTER PYLORI,IGG A",140.0,105.0,1.0,19.8,15
CPT,86677,"HELICOBACTER PYLORI,IGM A",140.0,105.0,1.0,19.8,15
CPT,86682,ECHINOCCOSUS AB TITER,65.0,48.75,1.0,17.75,15
CPT,86682,HELMINTH AB NES,58.0,43.5,1.0,17.75,90
CPT,86682,TOXOCARA,46.0,34.5,1.0,17.75,15
CPT,86684,HEMOPHILUS INFLUENZA ANTIBDY,,,1.0,21.61,15
CPT,86687,HTLV I AB,20.37,15.28,1.0,11.45,15
CPT,86687,"TRANSPLANT HTLV I, AB",206.0,154.5,1.0,11.45,15
CPT,86688,HTLV II AB,20.36,15.27,1.0,19.11,15
CPT,86688,"TRANSPLANT HTLV II, AB",206.0,154.5,1.0,19.11,15
CPT,86689,HIV 1 WESTERN BLOT,439.0,329.25,1.0,26.4,15
CPT,86689,HTLV CONFIRMATION,473.0,354.75,1.0,26.4,15
CPT,86692,HEPATITIS DELTA ANTIBODY,187.0,140.25,1.0,23.41,15
CPT,86694,HERPES SIMPLEX NES ANTBDY,,,1.0,19.64,15
CPT,86695,HERPES I AB IGG,55.0,41.25,1.0,18.0,30
CPT,86695,HERPES SIMPLEX 1 IGM AB,147.0,110.25,1.0,18.0,15
CPT,86696,HERPES AB SMPLX TYPE 2,10.0,7.5,1.0,26.4,15
CPT,86696,HERPES II AB IGG,87.0,65.25,1.0,26.4,30
CPT,86696,HERPES SIMPLEX 2 IGM AB,147.0,110.25,1.0,26.4,15
CPT,86698,HISTOPLASMA MYCELIAL CF AB,6.0,4.5,1.0,17.05,15
CPT,86698,HISTOPLASMA MYCELIAL ID AB,6.0,4.5,1.0,17.05,15
CPT,86698,HISTOPLASMA YEAST CF AB,6.0,4.5,1.0,17.05,15
CPT,86698,HISTOPLASMOSIS AB,14.0,10.5,1.0,17.05,60
CPT,866T,QUAN MRI ALYS BRN W/DX MRI,,,0.92,233.47,14
CPT,86701,HIV I ANTIBODY,340.0,255.0,1.0,12.12,15
CPT,86702,HIV-2 AB,340.0,255.0,1.0,18.44,15
CPT,86703,HIV-1/HIV-2 SCREEN,209.0,156.75,1.0,18.7,15
CPT,86703,"TRANSPLANT HIV 1&2, AB",168.0,126.0,1.0,18.7,15
CPT,86704,HEP B CORE AB TOTAL,96.5,72.375,1.0,16.44,30
CPT,86704,TRANSPLANT HEP B CORE ANTIBODY,130.0,97.5,1.0,16.44,15
CPT,86705,HEPATITIS B CORE AB(IGM),81.0,60.75,1.0,16.07,15
CPT,86706,HEPATITIS B SURF AB,190.0,142.5,1.0,14.65,15
CPT,86707,HEPATITIS BE ANTIBODY,2.82,2.12,1.0,15.78,15
CPT,86708,HEPATITIS A AB,244.0,183.0,1.0,16.9,15
CPT,86709,HEPATITIS A AB IGM,134.0,100.5,1.0,15.36,15
CPT,86710,INFLUENZA,69.0,51.75,1.0,18.49,15
CPT,86710,INFLUENZA A,7.0,5.25,1.0,18.49,15
CPT,86710,INFLUENZA B,7.0,5.25,1.0,18.49,15
CPT,86710,INFLUENZA VIRUS AB,11.285,8.465,1.0,18.49,60
CPT,86711,JOHN CUNNINGHAM ANTIBODY,,,1.0,19.64,15
CPT,86713,LEGIONELLA AB,68.0,51.0,1.0,20.88,45
CPT,86717,LEISHMANIA AB,124.02,93.02,1.0,16.71,15
CPT,86717,LEISHMANIA BRAZILIENSIS IGG,10.0,7.5,1.0,16.71,15
CPT,86717,LEISHMANIA BRAZILIENSIS IGM,10.0,7.5,1.0,16.71,15
CPT,86717,"LEISHMANIA DONOVANI, IGG",12.0,9.0,1.0,16.71,15
CPT,86717,"LEISHMANIA DONOVANI, IGM",12.0,9.0,1.0,16.71,15
CPT,86717,"LEISHMANIA MEXICANA, IGG",12.0,9.0,1.0,16.71,15
CPT,86717,"LEISHMANIA MEXICANA, IGM",12.0,9.0,1.0,16.71,15
CPT,86717,LEISHMANIA TROPICA IGG,12.0,9.0,1.0,16.71,15
CPT,86717,"LEISHMANIA TROPICA, IGM",12.0,9.0,1.0,16.71,15
CPT,86720,LEPTOSPIRA AB,75.0,56.25,1.0,18.0,15
CPT,86723,LISTERIA MONOCYTOGENE AB,100.0,75.0,1.0,18.0,15
CPT,86727,"LEM VIRUS AB, IGG",72.0,54.0,1.0,17.55,15
CPT,86727,"LEM VIRUS AB, IGM",72.0,54.0,1.0,17.55,15
CPT,86727,LYMPH CHORIOMENINGIT AB,57.0,42.75,1.0,17.55,15
CPT,86732,MUCORMYCOSIS ANTIBODY,,,1.0,18.0,15
CPT,86735,MUMPS AB,7.34,5.51,1.0,17.8,45
CPT,86738,MYCOPLASMA AB IGG,183.0,137.25,1.0,18.07,15
CPT,86738,MYCOPLASMA AB IGM,108.0,81.0,1.0,18.07,15
CPT,86738,MYCOPLASMA AB/2,43.85,32.89,1.0,18.07,45
CPT,86741,NEISSERIA MENINGITIDIS,,,1.0,18.0,15
CPT,86744,NOCARDIA ANTIBODY,,,1.0,18.0,15
CPT,86747,PARVOVIRUS AB,11.4,8.55,1.0,20.51,30
CPT,86750,MALARIA ANTIBODY,,,1.0,18.0,15
CPT,86753,PROTOZOA AB NES,12.145,9.11,1.0,16.9,75
CPT,86753,TRYPANOSOMA CRUZI IGM,42.0,31.5,1.0,16.9,15
CPT,86756,RESPIRATORY VIRUS ANTIBODY,,,1.0,17.58,15
CPT,86757,RICKETTSIA AB,41.215,30.91,1.0,26.4,30
CPT,86759,ROTAVIRUS ANTIBODY,,,1.0,18.23,15
CPT,86762,RUBELLA AB,223.0,167.25,1.0,19.64,45
CPT,86765,RUBEOLA AB,19.94,14.955,1.0,17.58,60
CPT,86768,SALMONELLA AGGLUTININS,16.5,12.375,1.0,18.0,75
CPT,86768,"SALMONELLA H, TYPE A",62.0,46.5,1.0,18.0,15
CPT,86768,"SALMONELLA H, TYPE B",62.0,46.5,1.0,18.0,15
CPT,86768,"SALMONELLA H, TYPE D",62.0,46.5,1.0,18.0,15
CPT,86768,"SALMONELLA O, TYPE D",62.0,46.5,1.0,18.0,15
CPT,86768,"SALMONELLA O, TYPE VI",62.0,46.5,1.0,18.0,15
CPT,86769,IA NFCT AB SARSCOV2 MULT,86.065,64.55,0.92,42.13,30
CPT,86769,IA NFCT SARSCOV2 MULT/2,130.0,97.5,0.92,42.13,15
CPT,86771,SHIGELLA ANTIBODY,,,1.0,24.48,15
CPT,86774,TETANUS ANTIBODY,,,1.0,20.19,15
CPT,86777,TOXOPLASMA AB,131.19,98.39,1.0,19.64,15
CPT,86777,TOXOPLASMOSIS AB,184.0,138.0,1.0,19.64,15
CPT,86778,TOXOPLASMA AB IGM,114.165,85.625,1.0,19.65,45
CPT,86780,TREPONEMA PALLIDUM AB,135.0,101.25,1.0,18.06,15
CPT,86784,TRICHINELLA ANTIBODY,,,1.0,17.14,15
CPT,86787,VARICELLA ZOSTER AB,29.41,22.06,1.0,17.58,75
CPT,86787,VARICELLA ZOSTER AB IGG,126.0,94.5,1.0,17.58,15
CPT,86788,WEST NILE VIRUS IGM,19.0,14.25,1.0,22.98,30
CPT,86789,WEST NILE VIRUS,19.0,14.25,1.0,19.64,30
CPT,86790,DENGUE FEVER AB,79.725,59.795,1.0,17.58,30
CPT,86790,HEPATITIS E AB,65.0,48.75,1.0,17.58,60
CPT,86790,"HEPATITIS E, IG",303.0,227.25,1.0,17.58,15
CPT,86790,"HEPATITIS E, IGG",303.0,227.25,1.0,17.58,15
CPT,86790,HERPES HUMAN HHV,42.21,31.66,1.0,17.58,60
CPT,86790,"HERPES VIRUS 7,IGG",482.0,361.5,1.0,17.58,30
CPT,86790,"HERPES VIRUS 7,IGM",482.0,361.5,1.0,17.58,30
CPT,86790,HERPES-7 HUMAN HHV-7,271.0,203.25,1.0,17.58,30
CPT,86790,IGG ANTIBODY,19.0,14.25,1.0,17.58,15
CPT,86790,IGM ANTIBODY,19.0,14.25,1.0,17.58,15
CPT,86790,VIRAL STUDIES,65.0,48.75,1.0,17.58,15
CPT,86793,YERSINIA ANTIBODY,,,1.0,18.0,15
CPT,86794,ZIKA VIRUS IGM ANTIBODY,,,1.0,20.8,15
CPT,867T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or equal to 50 mL",,,1.0,16.13,95
CPT,868,ANESTH KIDNEY TRANSPLANT,,,,,0
CPT,86800,THYROGLOBULIN-ANTIBODY,60.0,45.0,1.0,21.7,15
CPT,86803,HEPATITIS C ANTIBODY,170.0,127.5,1.0,19.47,30
CPT,86803,HEPATITIS C LGG ANTIBODY,229.0,171.75,1.0,19.47,30
CPT,86803,"TRANSPLANT HEPATITIS C, AB",52.0,39.0,1.0,19.47,15
CPT,86804,HEP C AB TEST CONFIRM,,,1.0,21.13,15
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,,,1.0,189.51,15
CPT,86806,LYMPHOCYTOTOXICITY ASSAY,,,1.0,64.93,15
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,,,1.0,78.65,15
CPT,86808,CYTOTOXIC ANTIBODY SCREENING,,,1.0,40.49,15
CPT,86812,HLA TYPING A B OR C,,,1.0,35.21,15
CPT,86813,HLA TYPING A B OR C,,,1.0,79.12,15
CPT,86816,HLA TYPING DR/DQ,,,1.0,38.01,15
CPT,86817,HLA TYPING DR/DQ,,,1.0,106.14,15
CPT,86821,HLA TYP MXD LYMPH CULT,1666.0,1249.5,1.0,77.03,15
CPT,86825,HLA XMTCH FLW 1ST DIL,1101.0,825.75,1.0,109.57,30
CPT,86826,HLA XMTCH FLW EA ADD,235.0,176.25,1.0,36.53,30
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,,,1.0,64.19,15
CPT,86829,HLA I/II ANTIBODY QUAL,435.0,326.25,1.0,64.19,30
CPT,86830,HLA AB ID CLASS I PHENO,336.0,252.0,1.0,110.15,15
CPT,86831,HLA CLASS II AB ID,1111.0,833.25,1.0,94.41,15
CPT,86832,HLA CLASS I HIGH DEF QL,1644.0,1233.0,1.0,323.75,15
CPT,86833,HLA CLASS II HIGH DEF,1644.0,1233.0,1.0,325.8,15
CPT,86834,HLA CLASS I SEMIQUANT,4734.0,3550.5,1.0,487.8,15
CPT,86835,HLA CLASS II SEMIQUANT,4289.0,3216.75,1.0,440.6,15
CPT,86849,IMMUNOLOGY PROCEDURE,,,0.5,8.22,14
CPT,86850,RBC ANTIBODIES SCREEN,201.0,150.75,1.0,23.47,40
CPT,86850,TRANPLANT ANTIBODY SCREEN,120.0,90.0,1.0,23.47,20
CPT,86860,RBC ANTIBODY ELUTION HEAT,482.0,361.5,1.0,149.16,40
CPT,86870,ANTIBDY RBC SALINE/HP EA,699.0,524.25,1.0,291.26,45
CPT,86880,COOMBS DIRECT,103.0,77.25,1.0,7.34,60
CPT,86885,COOMBS TEST INDIRECT QUAL,,,1.0,7.81,15
CPT,86886,ANTIBODY RBC TITER,458.0,343.5,1.0,7.06,15
CPT,86890,AUTOLOGOUS BLOOD,1353.0,1014.75,1.0,149.16,15
CPT,86891,AUTOLOGOUS BLOOD OP SALVAGE,,,1.0,656.15,15
CPT,868T,"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling, with interpretation and report",,,1.0,3.2,10
CPT,86900,BLD TYPE ABO ONLY,194.0,145.5,1.0,7.17,20
CPT,86900,TRANSPLANT ABO,229.0,171.75,1.0,7.17,20
CPT,86901,BLD TYPE RHO(D)ONLY,66.0,49.5,1.0,7.17,20
CPT,86901,TRANSPLANT RH BLOOD TYPING,52.0,39.0,1.0,7.17,20
CPT,86902,BLD TYPE ANTIGEN DONOR EA,436.0,327.0,1.0,15.24,20
CPT,86904,BLOOD TYPING PATIENT SERUM,,,1.0,16.34,15
CPT,86905,RBC AG EXCPT ABO/RHO EA,444.0,333.0,1.0,5.22,30
CPT,86906,BLD TYPE RH PHENOTYP CMP,210.5,157.875,1.0,10.57,30
CPT,86910,BLOOD TYPING PATERNITY TEST,,,0.92,26.52,15
CPT,86911,BLOOD TYPING ANTIGEN SYSTEM,,,0.92,23.03,15
CPT,86920,COMP TST EA UT SPIN TECH,457.0,342.75,1.0,149.16,15
CPT,86921,COMPATIBILITY TEST INCUBATE,,,1.0,149.16,15
CPT,86922,COMP TST EA UT AHG TECH,458.0,343.5,1.0,149.16,15
CPT,86923,COMP TST EA ELECTRONIC,405.0,303.75,1.0,149.16,15
CPT,86927,PLASMA FRESH FROZEN,,,1.0,149.16,15
CPT,86930,FROZEN BLOOD PREP,,,1.0,291.26,15
CPT,86931,FROZEN BLOOD THAW,,,1.0,291.26,15
CPT,86932,FROZEN BLOOD FREEZE/THAW,,,1.0,33.84,15
CPT,86940,HEMO & AGGLU AUT SCR EA,54.0,40.5,1.0,11.19,15
CPT,86941,HMOLYSNS/AGGLUTNS INCUBT,54.0,40.5,1.0,16.52,15
CPT,86945,BLOOD PRODUCT IRRAND EA,193.0,144.75,1.0,33.84,15
CPT,86950,LEUKACYTE TRANSFUSION,,,1.0,149.16,15
CPT,86960,VOLUME REDUCE BLOOD PROD,356.0,267.0,1.0,149.16,15
CPT,86965,PRODUCT POOLING PROC,422.0,316.5,1.0,149.16,15
CPT,86970,RBC PRETX INCUBATJ W/CHEMICL,,,1.0,33.84,15
CPT,86971,RBC PRETX INCUBATJ W/ENZYMES,,,1.0,291.26,15
CPT,86972,RBC PRETX INCUBATJ W/DENSITY,,,1.0,149.16,15
CPT,86975,RBC SERUM PRETX INCUBJ DRUGS,,,1.0,270.22,15
CPT,86976,RBC SERUM PRETX ID DILUTION,,,1.0,60.46,15
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,,,1.0,149.16,15
CPT,86978,ANTIBODY ABSORPT.DIFFERENTIAL,600.0,450.0,1.0,33.84,15
CPT,86985,SPLIT BLOOD OR PRODUCTS,,,1.0,149.16,20
CPT,86999,UNLISTED TRANSFUSION MED PX,,,1.0,24.67,20
CPT,869T,"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed",,,1.0,16.13,95
CPT,86U,NFCT DS BACT&FNG ORG ID 6+,,,0.92,200.0,14
CPT,87003,SMALL ANIMAL INOCULATION,,,1.0,22.97,15
CPT,87015,CONCENTRATION FOR INFECT,76.0,57.0,1.0,9.11,15
CPT,87015,CONCENTRATION PROCEDURE,54.0,40.5,1.0,9.11,30
CPT,87015,CONCERTRATION PLUS ISOLATION,311.0,233.25,1.0,9.11,15
CPT,87040,CULT BLOOD AERO/ANAERO,322.0,241.5,1.0,14.09,15
CPT,87045,CULTURE STOOL,252.0,189.0,1.0,12.88,15
CPT,87045,CULTURE STOOL *,111.0,83.25,1.0,12.88,15
CPT,87046,CULT STOOL ADD PATH EA,136.0,102.0,1.0,12.88,15
CPT,87046,CULTURE STOOL ADD PATHOGE,111.0,83.25,1.0,12.88,15
CPT,87070,CULTURE AEROBIC W/ISOL &,193.0,144.75,1.0,11.75,15
CPT,87070,CULTURE OTHER SOURCE,284.5,213.375,1.0,11.75,60
CPT,87070,"CULTURE, QUANT., FLUID",770.0,577.5,1.0,11.75,15
CPT,87071,CULT QNT W/AERBC ISOL,393.0,294.75,1.0,12.88,15
CPT,87071,"QUANT, AEROBIC WITH ISOL",474.0,355.5,1.0,12.88,15
CPT,87073,CULTURE BACTERIA ANAEROBIC,,,1.0,12.88,15
CPT,87075,CULTURE ANAEROBIC ISOL,501.0,375.75,1.0,12.91,15
CPT,87076,ANAEROBIC ID CHG #1,139.0,104.25,1.0,11.03,30
CPT,87076,ANAEROBIC ID CHG #2,139.0,104.25,1.0,11.03,30
CPT,87076,ANAEROBIC ID CHG #3,144.0,108.0,1.0,11.03,15
CPT,87077,BACTERIAL ID 1,77.0,57.75,1.0,11.03,30
CPT,87077,BACTERIAL ID 2,77.0,57.75,1.0,11.03,30
CPT,87077,BACTERIAL ID 3,77.0,57.75,1.0,11.03,15
CPT,87077,CULTURE AEROBIC DEF ID,135.5,101.625,1.0,11.03,90
CPT,87081,CULT H.PYLORI SCREEN,177.0,132.75,1.0,9.05,30
CPT,87081,CULTURE BACTERIAL SCREEN,237.5,178.125,1.0,9.05,30
CPT,87081,CULTURE BETA STREP GR B,253.0,189.75,1.0,9.05,30
CPT,87081,CULTURE SCREENING ONLY,402.0,301.5,1.0,9.05,15
CPT,87081,CULTURE STREP SCREENING,186.5,139.875,1.0,9.05,30
CPT,87084,CULTURE OF SPECIMEN BY KIT,,,1.0,27.07,15
CPT,87086,CULTURE URINE COLONY CT,218.0,163.5,1.0,11.01,45
CPT,87088,URINE BACTERIA CULTURE,,,1.0,11.05,15
CPT,870T,"Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of tunneled indwelling bladder and peritoneal catheters with pump connections, incl",,,1.0,16.13,95
CPT,87101,CULT FUNGI SKN HAIR NAIL,62.0,46.5,1.0,10.52,15
CPT,87101,"FUNGAL CULT: SKIN,HAIR,NA",65.0,48.75,1.0,10.52,15
CPT,87102,"CULTURE FUNGAL, OTHER SOU",649.0,486.75,1.0,11.46,15
CPT,87102,CULTURE FUNGI OTHER,396.5,297.375,1.0,11.46,30
CPT,87103,CULTURE FUNGI BLOOD,229.0,171.75,1.0,20.46,15
CPT,87103,FUNGAL BLOOD CULTURE,275.0,206.25,1.0,20.46,15
CPT,87106,CULT FUNGI ID YEAST EA,86.0,64.5,1.0,14.09,45
CPT,87106,YEAST IDENTIFICATION X 2,93.0,69.75,1.0,14.09,30
CPT,87107,CULT FUNGI ID MOLD EA,169.0,126.75,1.0,14.09,45
CPT,87109,CULTURE MYCOPLASMA ANY,256.0,192.0,1.0,20.99,15
CPT,87110,CHLAMYDIA CULTURE,343.0,257.25,1.0,26.73,15
CPT,87110,CULTURE CHLAMYDIA,10.0,7.5,1.0,26.73,15
CPT,87116,"AFB CULTURE, ISOLATION ON",455.0,341.25,1.0,14.74,15
CPT,87116,CULTURE AFB,470.0,352.5,1.0,14.74,15
CPT,87118,CULTURE AFB IDENT,311.0,233.25,1.0,14.93,15
CPT,87140,CULTURE TYPING FLUORO EA,10.0,7.5,1.0,7.61,15
CPT,87140,CULTURE TYPNG FLUORO EA,670.0,502.5,1.0,7.61,15
CPT,87143,CULTURE TYPING GLC/HPLC,,,1.0,17.09,15
CPT,87147,CULTURE TYPNG SEROLOGIC,130.0,97.5,1.0,7.06,15
CPT,87149,CULT DIR PRB EA ORGANISM,235.0,176.25,1.0,27.36,405
CPT,87150,DNA/RNA AMPLIFIED PROBE,,,1.0,47.87,15
CPT,87152,CULTURE TYPE PULSE FIELD GEL,,,1.0,7.74,15
CPT,87153,DNA/RNA SEQUENCING,,,1.0,157.38,15
CPT,87154,CUL TYP ID BLD PTHGN 6+ TRGT,,,1.0,218.06,14
CPT,87158,CULTURE TYPING ADDED METHOD,,,1.0,7.74,15
CPT,87164,DARK FIELD EXAMINATION,,,1.0,14.65,15
CPT,87166,DARK FIELD EXAMINATION,,,1.0,15.41,15
CPT,87168,EXAM MACRO ARTHROPOD,45.0,33.75,1.0,5.82,15
CPT,87169,MACROSCOPIC EXAM PARASITE,,,1.0,5.82,15
CPT,87172,PIN WORM PREP,134.0,100.5,1.0,5.82,15
CPT,87176,TISSUE HOMOGENIZATION CULTR,,,1.0,8.03,15
CPT,87177,"OVA AND PARASITE,DIRECT E",47.0,35.25,1.0,12.14,15
CPT,87177,OVA&PARASITES SMEARS,249.0,186.75,1.0,12.14,15
CPT,87181,E-TEST,50.0,37.5,1.0,6.48,60
CPT,87181,E-TEST X 2,48.0,36.0,1.0,6.48,60
CPT,87181,E-TEST X 3,48.0,36.0,1.0,6.48,45
CPT,87181,E-TEST X 4,48.0,36.0,1.0,6.48,30
CPT,87181,ETEST #1,48.0,36.0,1.0,6.48,30
CPT,87181,ETEST #2,48.0,36.0,1.0,6.48,30
CPT,87181,ETEST #3,48.0,36.0,1.0,6.48,30
CPT,87181,ETEST #4,48.0,36.0,1.0,6.48,30
CPT,87181,ETEST #5,50.0,37.5,1.0,6.48,45
CPT,87181,ETEST #6,50.0,37.5,1.0,6.48,15
CPT,87181,SENSITIVITY ANTBDY AGAR,118.0,88.5,1.0,6.48,15
CPT,87181,SENSITIVITY ETEST/EA AB,62.0,46.5,1.0,6.48,105
CPT,87184,DISK SUSCEPTIBILITY # 3,231.0,173.25,1.0,9.41,15
CPT,87184,SENSITV 12 DISKS OR LESS,48.0,36.0,1.0,9.41,15
CPT,87185,MICROBE SUSCEPTIBLE ENZYME,,,1.0,6.48,15
CPT,87186,SYNERGY STUDY,296.0,222.0,1.0,11.8,15
CPT,87187,MICROBE SUSCEPTIBLE MLC,,,1.0,40.17,15
CPT,87188,MICROBE SUSCEPT MACROBROTH,,,1.0,9.06,15
CPT,87190,MICROBE SUSCEPT MYCOBACTERI,,,1.0,7.71,15
CPT,87197,BACTERICIDAL LEVEL SERUM,,,1.0,20.5,15
CPT,871T,"Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and peritoneal catheters, including initial programming and imaging, when performed",,,1.0,16.13,95
CPT,87205,GRAM STAIN SMEAR,100.0,75.0,1.0,5.82,15
CPT,87205,"SMEAR, ROUTINE STAIN W/IN",104.0,78.0,1.0,5.82,45
CPT,87206,ACID FAST STAIN SMEAR,196.0,147.0,1.0,7.34,15
CPT,87206,FLUORESCENT STAIN SMEAR,120.0,90.0,1.0,7.34,15
CPT,87206,"SMEAR, FLUORESCENT / ACID",112.0,84.0,1.0,7.34,45
CPT,87207,SPECIAL STAIN SMEAR,155.0,116.25,1.0,8.18,30
CPT,87209,CMPLX SPEC STN FOR OVA PA,199.0,149.25,1.0,24.52,15
CPT,87209,SPEC STAIN TRICHROME O&P,177.0,132.75,1.0,24.52,15
CPT,87210,SMEAR WET MOUNT SALINE/INK,,,1.0,5.82,15
CPT,87220,TISSUE EXAM FOR FUNGI,,,1.0,5.82,15
CPT,87230,ASSAY TOXIN OR ANTITOXIN,,,1.0,26.94,15
CPT,87250,VIRUS INOCULATE EGGS/ANIMAL,,,1.0,26.68,15
CPT,87252,TISS CULT INOC/OBSERV,74.255,55.69,1.0,35.56,30
CPT,87252,TISSUE CULTURE INOCULATION,172.5,129.375,1.0,35.56,30
CPT,87253,CULT TYPING FLUOR METHOD,423.0,317.25,1.0,27.56,15
CPT,87253,CULTURE TYPING FLUOR METH,147.0,110.25,1.0,27.56,30
CPT,87253,TISS CULT ADD STUDIES,118.51,88.88,1.0,27.56,15
CPT,87253,"VIRUS ISOLATION,TISSUE CULTURE",1018.0,763.5,1.0,27.56,15
CPT,87254,VIRUS INOCULATION SHELL VIA,,,1.0,26.68,15
CPT,87255,HSV CUL W/ID NON IMMUNO,14.0,10.5,1.0,46.2,15
CPT,87260,ADENOVIRUS AG DFA,682.11,511.585,1.0,16.36,30
CPT,87265,PERTUSSIS AG IF,,,1.0,16.36,15
CPT,87267,ENTEROVIRUS ANTIBODY DFA,,,1.0,16.36,15
CPT,87269,GIARDIA AG IF,,,1.0,16.36,15
CPT,87270,CHLAMYDIA TRACHOMATIS AG IF,,,1.0,16.36,15
CPT,87271,CMV DIRECT ANTIGEN IFA,130.0,97.5,1.0,16.36,15
CPT,87272,CRYPTOSPORIDIUM AG IF,,,1.0,16.36,15
CPT,87273,HERPES 2 DFA,246.5,184.875,1.0,16.36,30
CPT,87274,HERPES 1 DFA,246.5,184.875,1.0,16.36,30
CPT,87275,INFLUENZA B AG DFA,262.0,196.5,1.0,16.36,15
CPT,87275,INFLUENZA B DFA,18.73,14.05,1.0,16.36,15
CPT,87275,INFLUENZA B VIRUS AG IF,229.0,171.75,1.0,16.36,15
CPT,87276,INFLUENZA A AG DFA,262.0,196.5,1.0,16.36,15
CPT,87276,INFLUENZA A DET AG,229.0,171.75,1.0,16.36,15
CPT,87276,INFLUENZA A DFA,18.73,14.05,1.0,16.36,15
CPT,87278,LEGIONELLA PNEUMOPHILA,77.45,58.09,1.0,16.36,30
CPT,87279,PARAINFLUENZA 1 AG DFA,304.0,228.0,1.0,16.43,15
CPT,87279,PARAINFLUENZA 2 AG DFA,304.0,228.0,1.0,16.43,15
CPT,87279,PARAINFLUENZA 3 AG DFA,304.0,228.0,1.0,16.43,15
CPT,87279,PARAINFLUENZA AG DFA,252.0,189.0,1.0,16.43,45
CPT,87280,RSV DET AG,531.0,398.25,1.0,16.36,15
CPT,87281,PNEUMOCYST CARIN AG IF,149.0,111.75,1.0,16.36,15
CPT,87281,PNEUMOCYST CARIN DFA,32.58,24.44,1.0,16.36,15
CPT,87283,RUBEOLA AG IF,,,1.0,60.8,15
CPT,87285,TREPONEMA PALLIDUM AG IF,,,1.0,16.36,15
CPT,87290,VARICELLA ZOSTER DFA,130.0,97.5,1.0,16.36,15
CPT,87299,ANTIBODY DETECTION NOS IF,,,1.0,16.36,15
CPT,872T,"Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump, including imaging and programming, when",,,1.0,16.13,95
CPT,87300,RSV AG IMMUNOFLUOR,136.0,102.0,1.0,16.36,15
CPT,87301,ADENOVIRUS AG IA,,,1.0,16.36,15
CPT,87305,ASPERGILLUS AG DET EIA,155.0,116.25,1.0,16.36,30
CPT,87305,ASPERGILLUS IA,59.5,44.63,1.0,16.36,15
CPT,87320,CHLMYD TRACH AG IA,,,1.0,16.36,15
CPT,87324,C DIFF TOXIN SCREEN,287.0,215.25,1.0,16.36,15
CPT,87324,CLOSTRIDIUM IA,244.0,183.0,1.0,16.36,15
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,,,1.0,16.36,15
CPT,87328,CRYPTOSPORIDIUM AG,48.0,36.0,1.0,16.36,15
CPT,87329,GIARDIA ANTIGEN QUAL,48.0,36.0,1.0,16.36,15
CPT,87332,CYTOMEGALOVIRUS AG IA,,,1.0,16.36,15
CPT,87335,E COLI 0157 AG IA,,,1.0,16.36,15
CPT,87336,ENTAMOEB HIST DISPR AG IA,,,1.0,16.36,15
CPT,87337,ENTAMOEB HIST GROUP AG IA,,,1.0,16.36,15
CPT,87338,H. PYLORI STOOL AG,400.0,300.0,1.0,19.62,15
CPT,87339,H PYLORI AG IA,,,1.0,16.36,15
CPT,87340,HEPATITIS BS ANTIGEN,229.0,171.75,1.0,14.1,15
CPT,87340,TRANSPLANT HEPATITIS B SURF AG,130.0,97.5,1.0,14.1,15
CPT,87341,HBS AG NEUTRALIZATION,190.0,142.5,1.0,14.1,15
CPT,87350,HEPATITIS BE IA,2.35,1.76,1.0,15.73,15
CPT,87380,HEPATITIS DELTA AGENT IA,125.0,93.75,1.0,22.39,15
CPT,87385,HISTOPLASMA CAPSUL AG IA,,,1.0,16.36,15
CPT,87389,HIV I AG HIV I HIV II AB,343.0,257.25,1.0,32.86,15
CPT,87390,HIV-1 AG IA,,,1.0,24.06,15
CPT,87391,HIV-2 AG IA,,,1.0,24.06,15
CPT,873T,"Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, whe",,,1.0,16.13,95
CPT,87400,INFLUENZA A/B EACH AG IA,,,1.0,16.36,15
CPT,87420,RESP SYNCYTIAL VIRUS AG IA,,,1.0,16.36,15
CPT,87425,ROTAVIRUS AG,243.0,182.25,1.0,16.36,15
CPT,87425,ROTAVIRUS IA,8.14,6.11,1.0,16.36,15
CPT,87426,SARSCOV IA ANTIGEN,318.0,238.5,1.0,45.37,15
CPT,87427,SHIGA-TOXIN,126.0,94.5,1.0,16.36,30
CPT,87428,SARSCOV & INF VIR A&B AG IA,,,1.0,73.62,15
CPT,87430,STREP A AG IA,,,1.0,16.81,15
CPT,87449,BLASTOMYCES ANTIGEN,108.0,81.0,1.0,16.36,15
CPT,87449,"INFECTIOUS AGENT ANTIGEN, #1",149.0,111.75,1.0,16.36,30
CPT,87449,"INFECTIOUS AGENT ANTIGEN, #2",149.0,111.75,1.0,16.36,30
CPT,87449,INFECTIOUS AGNT AG,119.0,89.25,1.0,16.36,15
CPT,87449,INFECTIOUS AGNT NOS IA,197.5,148.125,1.0,16.36,30
CPT,87449,INFECTIOUS ANTIGEN,66.0,49.5,1.0,16.36,15
CPT,87449,Infectious Agent Antigen #1,52.0,39.0,1.0,16.36,30
CPT,87449,Infectious Agent Antigen #2,52.0,39.0,1.0,16.36,30
CPT,87449,LEGIONELLA AG,126.0,94.5,1.0,16.36,15
CPT,87449,STREP PNEUMO ANTIGEN,126.0,94.5,1.0,16.36,15
CPT,87451,POLYVALENT MULT ORG EA AG IA,,,1.0,13.08,15
CPT,87467,HEP B SURFACE AG,157.0,117.75,1.0,21.22,28
CPT,87467,HEPATITIS BS ANTIGEN,229.0,171.75,1.0,21.22,14
CPT,87468,ANAPLSMA PHGCYTOPHLM AMP PRB,,,1.0,35.09,14
CPT,87469,BABESIA MICROTI AMP PRB,,,1.0,35.09,14
CPT,87471,BARTONELLA AMP PRB,150.0,112.5,1.0,47.87,15
CPT,87472,BARTONELLA DNA QUANT,,,0.92,58.44,15
CPT,87475,LYME DIS DNA DIR PROBE,,,1.0,27.36,15
CPT,87476,LYME AMP PROBE,59.0,44.25,1.0,47.87,15
CPT,87478,BORRELIA MIYAMOTOI AMP PRB,,,1.0,35.09,14
CPT,87480,CANDIDA DIRECT PROBE,81.0,60.75,1.0,27.36,15
CPT,87481,CANDIDA AMP PRB,252.0,189.0,1.0,47.87,15
CPT,87482,CANDIDA DNA QUANT,,,1.0,56.96,15
CPT,87483,CNS PATHOGENS 12-25,1180.5,885.375,1.0,571.72,30
CPT,87484,EHRLICHA CHAFFEENSIS AMP PRB,,,1.0,35.09,14
CPT,87485,CHLMYD PNEUM DNA DIR PROBE,,,1.0,27.36,15
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,,,1.0,47.87,15
CPT,87487,CHLMYD PNEUM DNA QUANT,,,0.92,58.44,15
CPT,87490,CHLMYD TRACH DNA DIR PROBE,,,1.0,27.36,15
CPT,87491,CHLAMYDIA AMP PROBE,9.0,6.75,1.0,47.87,45
CPT,87491,CHLAMYDIA DNA AMP PROBE,221.0,165.75,1.0,47.87,45
CPT,87492,CHLMYD TRACH DNA QUANT,,,0.92,53.47,15
CPT,87493,C DIFF TOXIN AMP PROBE,141.0,105.75,1.0,47.87,15
CPT,87495,CYTOMEG DNA DIR PROBE,,,1.0,30.03,15
CPT,87496,CYTOMEGALOVIRUS,343.0,257.25,1.0,47.87,15
CPT,87496,CYTOMEGALOVIRUS AMP PRB,144.375,108.28,1.0,47.87,45
CPT,87497,CMV QUANT,40.73,30.55,1.0,58.44,15
CPT,87498,ENTEROVIRUS AMP PROBE,148.125,111.095,1.0,47.87,30
CPT,87498,ENTEROVIRUS AMPL PROBE,197.0,147.75,1.0,47.87,45
CPT,87498,"ENTEROVIRUS, PER",536.0,402.0,1.0,47.87,30
CPT,874T,"Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters",,,1.0,16.13,95
CPT,87500,VANOMYCIN DNA AMP PROBE,,,1.0,47.87,15
CPT,87501,INFLUENZA DNA AMP PROB 1+,,,1.0,70.01,15
CPT,87502,INFLUENZA 1ST 2 TYPE/SUB,693.0,519.75,1.0,116.09,30
CPT,87503,INFLUENZA DNA AMP PROB ADDL,,,1.0,29.22,15
CPT,87505,NFCT AGENT DETECTION GI,,,1.0,174.58,15
CPT,87506,IADNA-DNA/RNA PROBE TQ 6-11,,,1.0,290.45,15
CPT,87507,GI PATHOGEN 12-15 AMP PROBE,352.5,264.375,0.92,567.18,30
CPT,87510,GARDNERELLA DIR PROBE,81.0,60.75,1.0,27.36,15
CPT,87511,GARDNER VAG DNA AMP PROBE,,,1.0,47.87,15
CPT,87512,GARDNER VAG DNA QUANT,,,1.0,56.96,15
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique",,,1.0,35.09,14
CPT,87516,HEPATITIS B DNA AMP PROBE,,,1.0,47.87,15
CPT,87517,HEPATITIS B DNA PCR,374.0,280.5,1.0,58.44,15
CPT,87517,HEPATITIS B QUANT,73.31,54.98,1.0,58.44,15
CPT,87520,HEPATITIS C RNA DIR PROBE,,,1.0,31.22,15
CPT,87521,TRANSPLANT HCV NA AMPLIF,247.0,185.25,1.0,47.87,15
CPT,87522,HEP C QUANT,50.0,37.5,1.0,58.44,15
CPT,87522,HEP C QUANT PCR,1151.0,863.25,1.0,58.44,15
CPT,87522,HEPATITIS C QUAN,1368.0,1026.0,1.0,58.44,30
CPT,87523,HEPATITIS D QUANTIFICATION,,,1.0,42.84,14
CPT,87525,HEPATITIS G DNA DIR PROBE,,,0.92,29.8,15
CPT,87526,HEPATITIS G DNA AMP PROBE,,,0.92,47.87,15
CPT,87527,HEPATITIS G DNA QUANT,,,0.92,56.96,15
CPT,87528,HSV DNA DIR PROBE,,,1.0,27.36,15
CPT,87529,"HERPES SIMPLEX 1, PCR",452.0,339.0,1.0,47.87,15
CPT,87529,"HERPES SIMPLEX 2, PCR",452.0,339.0,1.0,47.87,15
CPT,87529,HERPES SIMPLEX VIRUS 1,385.0,288.75,1.0,47.87,30
CPT,87529,HERPES SIMPLX AMP PRB,190.0,142.5,1.0,47.87,45
CPT,87529,HERPES SIMPLX AMP PRB/2,16.29,12.22,1.0,47.87,15
CPT,87530,HSV DNA QUANT,,,0.92,58.44,15
CPT,87531,HHV-6 DNA DIR PROBE,,,1.0,58.0,15
CPT,87532,HHV-6 DNA AMP PROBE,,,1.0,47.87,15
CPT,87533,HERPES VIRUS 6 QUANT,181.5,136.125,1.0,56.96,30
CPT,87534,HIV-1 DNA DIR PROBE,,,1.0,27.36,15
CPT,87535,HIV 1 AMP PROBE,53.25,39.94,1.0,47.87,30
CPT,87535,TRANSPLANT HIV NA AMPLIF,247.0,185.25,1.0,47.87,15
CPT,87536,HIV 1 QUANT RNA/DNA,1101.0,825.75,1.0,116.09,15
CPT,87536,HIV-1 QUANT,170.04,127.53,1.0,116.09,30
CPT,87536,HIV/RNA BY PCR,387.0,290.25,1.0,116.09,15
CPT,87537,HIV-2 DNA DIR PROBE,,,1.0,27.36,15
CPT,87538,HIV 2 AMP PROBE,27.5,20.63,1.0,47.87,15
CPT,87539,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,1.0,58.62,15
CPT,87540,LEGION PNEUMO DNA DIR PROB,,,1.0,27.36,15
CPT,87541,LEGION PNEUMO DNA AMP PROB,,,1.0,47.87,15
CPT,87542,LEGION PNEUMO DNA QUANT,,,0.92,56.96,15
CPT,87550,ID/NAP MYCOBACTERIA SPS,234.0,175.5,1.0,27.36,45
CPT,87551,MYCOBACTERIA NON TB PCR,305.0,228.75,1.0,48.24,15
CPT,87552,MYCOBACTERIA DNA QUANT,,,0.92,58.44,15
CPT,87555,MTB DIR PROBE TECHNIQUE,264.0,198.0,1.0,27.36,15
CPT,87556,MTB DNA BY PCR,244.0,183.0,1.0,47.87,15
CPT,87556,MYCOBACTERIA TUBERCUL AM PRO 1,334.0,250.5,1.0,47.87,15
CPT,87556,MYCOBACTERIA TUBERCUL AM PRO 2,498.0,373.5,1.0,47.87,15
CPT,87556,MYCOBACTERIUM TUBERCULOSIS PRO,759.0,569.25,1.0,47.87,15
CPT,87556,MYCROBACTERIA TUBERCULOSIS PRO,993.0,744.75,1.0,47.87,15
CPT,87557,M.TUBERCULO DNA QUANT,,,0.92,58.44,15
CPT,87560,ID/NAP M.AVIUM-INTRA,225.0,168.75,1.0,27.36,15
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,,,1.0,47.87,15
CPT,87562,M.AVIUM-INTRA DNA QUANT,,,0.92,58.44,15
CPT,87563,M GENITALIUM AMP PROBE,271.0,203.25,1.0,35.09,15
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique",,,1.0,76.77,14
CPT,87580,M.PNEUMON DNA DIR PROBE,,,1.0,27.36,15
CPT,87581,MYCOPLASMA AMP PROBE/2,187.34,140.51,1.0,47.87,15
CPT,87581,MYCOPLASMA DNA BY PCR,498.0,373.5,1.0,47.87,15
CPT,87582,M.PNEUMON DNA QUANT,,,0.92,302.62,15
CPT,87590,N GONOR DIRECT PROBE,225.0,168.75,1.0,27.36,15
CPT,87591,GC DNA AMP PROBE,201.7,151.28,1.0,47.87,75
CPT,87591,N GONOR AMP PROBE,221.0,165.75,1.0,47.87,15
CPT,87592,N.GONORRHOEAE DNA QUANT,,,1.0,58.44,15
CPT,87593,NV ORTHOPOX VIR DNA AMP PROBE,77.0,57.75,1.0,51.17,14
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique",,,1.0,35.09,14
CPT,875T,Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional,,,1.0,16.13,90
CPT,87623,HPV LOW-RISK TYPES,,,1.0,47.76,15
CPT,87624,HPV HIGH-RISK TYPES,,,1.0,47.76,15
CPT,87625,HPV 16 18 45,278.0,208.5,1.0,47.76,15
CPT,87626,HPV SEP HI-RSK TYP&POOL RSLT,38.75,29.06,1.0,70.2,14
CPT,87631,RESP VIRUS 3-5 TARGETS,873.0,654.75,1.0,175.02,45
CPT,87632,RESP VIRUS 6-11 TARGETS,,,1.0,291.18,15
CPT,87633,RESP VIRUS 12-25 TARGETS,1006.5,754.875,1.0,568.6,30
CPT,87634,RSV DNA/RNA PCR AMP PROBE,500.0,375.0,1.0,86.66,15
CPT,87635,SARSCOV2 COVID19 AMP PRB,154.655,115.99,1.0,78.21,30
CPT,87636,SARSCOV2/FLU A&B AMP PRB,489.0,366.75,1.0,142.71,30
CPT,87637,SARSCOV2/A&B/RSV AMP PRB,489.0,366.75,1.0,142.71,15
CPT,87640,STAPH A DNA AMP PROBE,,,1.0,47.87,15
CPT,87641,MR-STAPH DNA AMP PROBE,,,1.0,47.87,15
CPT,87650,STREP A DNA DIR PROBE,,,1.0,27.36,15
CPT,87651,STREP A DNA AMP PROBE,329.5,247.125,1.0,47.87,30
CPT,87652,STREP A DNA QUANT,,,0.92,56.96,15
CPT,87653,STREP B DNA AMP PROBE,,,1.0,47.87,15
CPT,87660,TRICHOMONAS VAG DIR PROB,81.0,60.75,1.0,27.36,15
CPT,87661,TRICHOMONAS AMP PROBE,199.0,149.25,1.0,47.87,45
CPT,87662,ZIKA VIRUS DNA/RNA AMP PROBE,,,1.0,63.35,15
CPT,876T,"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)",,,0.5,1.12,14
CPT,87797,MICROBIAL ID NUCLEIC ACID 1,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 2,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 3,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 4,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 5,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 6,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 7,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL ID NUCLEIC ACID 8,186.0,139.5,1.0,30.03,15
CPT,87797,MICROBIAL MUCLEIC ACID PROBE 4,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 1,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 2,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 3,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 5,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 6,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 7,159.0,119.25,1.0,30.03,15
CPT,87797,MICROBIAL NUCLEIC ACID PROBE 8,159.0,119.25,1.0,30.03,15
CPT,87798,ADENUVIRUS,147.0,110.25,1.0,47.87,15
CPT,87798,"AMPLIFIED PROBE TECH, #2",258.0,193.5,1.0,47.87,15
CPT,87798,"AMPLIFIED PROBE TECH,#1",258.0,193.5,1.0,47.87,15
CPT,87798,Adenovirus,160.0,120.0,1.0,47.87,30
CPT,87798,BORDETELLA PARAPERTUS,196.0,147.0,1.0,47.87,15
CPT,87798,BORDETELLA PERTUSSIS,196.0,147.0,1.0,47.87,15
CPT,87798,DETECT AGENT NOS DNA AMP,110.0,82.5,1.0,47.87,75
CPT,87798,EBV PCR,387.0,290.25,1.0,47.87,15
CPT,87798,"EPSTEIN-BARR VIRUS,QUANT,",1015.0,761.25,1.0,47.87,30
CPT,87798,HTLV I,322.0,241.5,1.0,47.87,15
CPT,87798,HTLV II,322.0,241.5,1.0,47.87,15
CPT,87798,INFECT AGNT NOS AMP PRB,197.99,148.49,1.0,47.87,135
CPT,87798,INFECT AGNT NOS AMP PRB/2,50.0,37.5,1.0,47.87,30
CPT,87798,INFECT AGNT NOS AMP PRB/3,50.0,37.5,1.0,47.87,15
CPT,87798,INFECTIOUS AGENT BY PCR,140.0,105.0,1.0,47.87,30
CPT,87798,INFLUENZA A,159.0,119.25,1.0,47.87,15
CPT,87798,"INFLUENZA A, SUBTYPE H1",160.0,120.0,1.0,47.87,15
CPT,87798,"INFLUENZA A, SUBTYPE H3",160.0,120.0,1.0,47.87,15
CPT,87798,INFLUENZA B,159.0,119.25,1.0,47.87,15
CPT,87798,Influenza A,159.0,119.25,1.0,47.87,30
CPT,87798,"Influenza A, Subtype H1",160.0,120.0,1.0,47.87,30
CPT,87798,"Influenza A, Subtype H3",160.0,120.0,1.0,47.87,30
CPT,87798,Influenza B,159.0,119.25,1.0,47.87,30
CPT,87798,METAPNEUMDVIRUS,147.0,110.25,1.0,47.87,15
CPT,87798,Metapneumdvirus,147.0,110.25,1.0,47.87,30
CPT,87798,PARAINFLUENZA 1,558.0,418.5,1.0,47.87,15
CPT,87798,PARAINFLUENZA 2,558.0,418.5,1.0,47.87,15
CPT,87798,PARAINFLUENZA 3,558.0,418.5,1.0,47.87,15
CPT,87798,PCR,416.0,312.0,1.0,47.87,15
CPT,87798,POLYMERASE CHAIN REACTION,278.0,208.5,1.0,47.87,15
CPT,87798,POLYMERASE CHAIN REACTION 2,278.0,208.5,1.0,47.87,15
CPT,87798,Parainfluenza #1,160.0,120.0,1.0,47.87,30
CPT,87798,Parainfluenza #2,160.0,120.0,1.0,47.87,30
CPT,87798,Parainfluenza #3,160.0,120.0,1.0,47.87,30
CPT,87798,RHINOVIRUS,147.0,110.25,1.0,47.87,15
CPT,87798,RSV A,153.5,115.125,1.0,47.87,45
CPT,87798,RSV B,153.5,115.125,1.0,47.87,45
CPT,87798,Rhinovirus,147.0,110.25,1.0,47.87,30
CPT,87798,"SYPHILIS, PCR 1",389.0,291.75,1.0,47.87,15
CPT,87798,"SYPHILIS, PCR 2",389.0,291.75,1.0,47.87,15
CPT,87798,TRANSPLANT WEST NILE NA AMPLIF,258.0,193.5,1.0,47.87,15
CPT,87798,VARICELLA ZOSTER VIRUS,238.0,178.5,1.0,47.87,15
CPT,87799,ADENOVIRUS DNA PCR QUANT,175.0,131.25,1.0,58.44,15
CPT,87799,EBV DNA QUANT,430.5,322.875,1.0,58.44,30
CPT,87799,INFECT AGENT NUC ACID QN,157.0,117.75,1.0,58.44,30
CPT,87799,INFECT AGNT NOS QUANT,187.5,140.625,1.0,58.44,105
CPT,87799,INFECT AGNT NOS QUANT/2,75.0,56.25,1.0,58.44,15
CPT,87799,JC VIRUS QUANT,205.0,153.75,1.0,58.44,15
CPT,87799,PARVOVIRUS B19 PCR QUANT,175.0,131.25,1.0,58.44,15
CPT,87799,TOXOPLASMA GONDII QPCR,362.0,271.5,1.0,58.44,15
CPT,877T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without concurrent CT examination o,,,0.92,1.12,10
CPT,87800,DETECT AGNT MULT DNA DIREC,,,1.0,54.72,15
CPT,87801,INF NUC ACD MULT AMPL,275.0,206.25,1.0,95.76,15
CPT,87801,MULTI ORGANISMS AMP PRB,588.07,441.05,1.0,95.76,15
CPT,87802,STREP B ASSAY W/OPTIC,,,1.0,16.36,15
CPT,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,1.0,16.36,15
CPT,87804,INFLUENZA ASSAY W/OPTIC,,,1.0,16.55,15
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,1.0,32.77,15
CPT,87807,RESPIRATORY SYNCYT VIRUS,194.0,145.5,1.0,16.36,15
CPT,87808,TRICHOMONAS ASSAY W/OPTIC,,,1.0,16.36,15
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,,,1.0,21.76,15
CPT,87810,CHLMYD TRACH ASSAY W/OPTIC,,,1.0,35.29,15
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,,,1.0,46.23,15
CPT,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,1.0,24.56,15
CPT,87880,STREP A IA DIRECT OBS,166.0,124.5,1.0,16.53,15
CPT,87899,"INFLUENZA A ANTIGEN, EIA",146.0,109.5,1.0,16.36,15
CPT,878T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concurrent CT examination of t,,,0.92,1.12,10
CPT,87900,INFECT AGNT DRUG SUSCEPT,174.0,130.5,1.0,177.82,30
CPT,87901,HIV GENO PROTEAS REGION,1396.0,1047.0,1.0,351.22,15
CPT,87902,HCV GENOTYPE,142.0,106.5,1.0,351.22,45
CPT,87903,HIV PHENOSENSE 1-10 DRU,1021.0,765.75,1.0,666.64,30
CPT,87904,HIV PHENOSEUSE ADD DRUGS,67.0,50.25,1.0,35.56,150
CPT,87905,SIALIDASE ENZYME ASSAY,,,1.0,16.67,15
CPT,87906,GENOTYPE DNA/RNA HIV,142.0,106.5,1.0,175.62,15
CPT,87910,CMV GENOTYPE,705.0,528.75,1.0,351.22,15
CPT,87910,CYTOMEGALOVIRUS NUC ACID,415.0,311.25,1.0,351.22,15
CPT,87912,HEP B GENOTYPE,203.0,152.25,1.0,351.22,15
CPT,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,1.0,257.45,14
CPT,87999,MISC MICRO PROC,1962.5,1471.875,0.5,8.22,28
CPT,879T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data preparation and transmissi,,,0.92,1.12,10
CPT,87U,CRD HRT TRNSPL MRNA 1283 GEN,,,0.92,3159.42,14
CPT,88000,AUTOPSY (NECROPSY) GROSS,,,0.92,225.68,15
CPT,88005,AUTOPSY (NECROPSY) GROSS,,,0.92,263.3,15
CPT,88007,AUTOPSY (NECROPSY) GROSS,,,0.92,275.84,15
CPT,88012,AUTOPSY (NECROPSY) GROSS,,,0.92,225.68,15
CPT,88014,AUTOPSY (NECROPSY) GROSS,,,0.92,207.06,15
CPT,88016,AUTOPSY (NECROPSY) GROSS,,,0.92,288.37,15
CPT,88020,AUTOPSY (NECROPSY) COMPLETE,,,0.92,388.68,15
CPT,88025,AUTOPSY (NECROPSY) COMPLETE,,,0.92,376.14,15
CPT,88027,AUTOPSY (NECROPSY) COMPLETE,,,0.92,401.22,15
CPT,88028,AUTOPSY (NECROPSY) COMPLETE,,,0.92,225.68,15
CPT,88029,AUTOPSY (NECROPSY) COMPLETE,,,0.92,225.68,15
CPT,88036,LIMITED AUTOPSY,,,0.92,112.84,15
CPT,88037,LIMITED AUTOPSY,,,0.92,100.3,15
CPT,88040,FORENSIC AUTOPSY (NECROPSY),,,0.92,626.9,15
CPT,88045,CORONERS AUTOPSY (NECROPSY),,,0.92,62.69,15
CPT,88099,UNLISTED NECROPSY (AUTOPSY),,,0.5,1.12,14
CPT,880T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; physician or other qualified health care pro,,,0.92,1.12,10
CPT,88104,CYTOPATH WASH/BRUSH/SM,283.0,212.25,1.0,70.96,17
CPT,88106,CYTOPATH FL NONGYN FILTER,,,1.0,70.51,17
CPT,88108,CYTOPATH CONL SMR W/INT,146.0,109.5,1.0,64.71,17
CPT,88112,CYTOPTH CELL ENHANCE TEC,423.0,317.25,1.0,54.89,17
CPT,88120,CYTO UA 3-5 PRB EA SPEC,1170.0,877.5,1.0,673.03,17
CPT,88121,CYTP URINE 3-5 PROBES CMPTR,,,1.0,479.78,17
CPT,88125,FORENSIC CYTOPATHOLOGY,,,0.92,49.76,17
CPT,88130,SEX CHROMATIN IDENTIFICATION,,,1.0,20.54,15
CPT,88140,SEX CHROMATIN IDENTIFICATION,,,1.0,10.91,15
CPT,88141,CYTOPATH C/V INTERPRET,,,1.0,33.47,17
CPT,88142,CYTOPATH C/V THIN LAYER,,,1.0,27.64,15
CPT,88143,CYTOPATH C/V THIN LAYER REDO,,,1.0,27.64,15
CPT,88147,CYTOPATH C/V AUTOMATED,,,1.0,50.56,15
CPT,88148,CYTOPATH C/V AUTO RESCREEN,,,1.0,20.73,15
CPT,88150,CYTOPATH C/V MANUAL,,,1.0,15.24,15
CPT,88152,CYTOPATH C/V AUTO REDO,,,1.0,27.64,15
CPT,88153,CYTOPATH C/V REDO,,,1.0,24.03,15
CPT,88155,CYTOPATH C/V INDEX ADD-ON,,,1.0,14.65,15
CPT,88160,CYTOPATH SMEAR OTHER SOURCE,,,1.0,78.11,17
CPT,88161,CYTOPATH SMEAR OTHER SOURCE,,,1.0,79.44,17
CPT,88162,CYTOPATH SMEAR OTHER SOURCE,,,1.0,125.85,17
CPT,88164,CYTO C/V BETHESDA,10.49,7.87,1.0,15.24,15
CPT,88165,CYTOPATH TBS C/V REDO,,,1.0,42.22,15
CPT,88166,CYTOPATH TBS C/V AUTO REDO,,,1.0,15.24,15
CPT,88167,CYTOPATH TBS C/V SELECT,,,1.0,15.24,15
CPT,88172,FNA ADEQUACY FIRST EVAL,573.0,429.75,1.0,149.16,17
CPT,88173,FNA INTRP/REPORT,713.0,534.75,1.0,139.25,17
CPT,88174,CYTOPATH C/V AUTO IN FLUID,,,1.0,29.15,15
CPT,88175,CYTOPATH C/V AUTO FLUID REDO,,,1.0,36.14,15
CPT,88177,FNA ADEQ EA ADD EVAL,28.0,21.0,1.0,11.61,17
CPT,88182,FLOW CYTO CELL CYCLE/DNA,550.0,412.5,1.0,165.57,17
CPT,88184,"DNA Analysis, 1st Marker",4600.0,3450.0,1.0,291.26,34
CPT,88184,FIRST CELL MARKER,410.0,307.5,1.0,291.26,85
CPT,88184,FLOW CYTO CEL FIRST MRKR,579.0,434.25,1.0,291.26,119
CPT,88184,First cell Marker,410.0,307.5,1.0,291.26,34
CPT,88185,"DNA Analysis, Marker #2",149.0,111.75,1.0,53.73,34
CPT,88185,"DNA Analysis, Marker #3",149.0,111.75,1.0,53.73,34
CPT,88185,"DNA Analysis, Marker #4",149.0,111.75,1.0,53.73,34
CPT,88185,EACH ADDITIONAL CELL MARK,198.0,148.5,1.0,53.73,85
CPT,88185,"EACH ADDITIONAL CELL MARKER,#3",85.0,63.75,1.0,53.73,17
CPT,88185,EACH ADDITIONAL MARKER,140.0,105.0,1.0,53.73,17
CPT,88185,"EACH ADDITIONAL MARKER, #",198.0,148.5,1.0,53.73,136
CPT,88185,Each Additional Marker #2,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #3,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #4,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #5,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #6,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #7,149.0,111.75,1.0,53.73,34
CPT,88185,Each Additional Marker #8,149.0,111.75,1.0,53.73,34
CPT,88185,FLOW CYTO ADD MARKER,272.5,204.375,1.0,53.73,153
CPT,88185,FLOW CYTOMETRY EADO ANTIB,142.0,106.5,1.0,53.73,17
CPT,88185,FLOW EA ADD MARK 24+,92.0,69.0,1.0,53.73,34
CPT,88185,FLOW EA ADD MARKER,120.0,90.0,1.0,53.73,476
CPT,88187,"INTERPRETATION, 2-8 MARKE",233.0,174.75,1.0,179.67,17
CPT,88187,"INTERPRETATION, 2-8 MARKERS",225.0,168.75,1.0,179.67,17
CPT,88188,FLOWCYTOMETRY/READ 9-15,,,1.0,278.23,17
CPT,88189,FLOWCYTOMETRY/READ 16 & >,,,1.0,109.35,17
CPT,88199,UNLISTED CYTOPATHOLOGY PX,,,1.0,49.76,15
CPT,881T,"Cryotherapy of the oral cavity using temperature regulated fluid cooling system, including placement of an oral device, monitoring of patient tolerance to treatment, and removal of the oral device",,,1.0,3.2,10
CPT,882,ANESTH MAJOR VEIN LIGATION,,,,,0
CPT,88230,TISS CULT NON NEO LYMPH,1127.0,845.25,1.0,158.94,15
CPT,88233,TISSUE CULTURE,1127.0,845.25,1.0,191.99,15
CPT,88235,CHRMSM ANAL AF OR CV CUL,763.0,572.25,1.0,200.9,15
CPT,88237,TISSUE CULT NEO BN MARROW,1127.0,845.25,1.0,172.32,15
CPT,88239,TISS CULT SOLID TUMOR,1127.0,845.25,1.0,201.26,15
CPT,88240,CELL CRYOPRESERVE/STORAGE,,,1.0,13.78,15
CPT,88241,FROZEN CELL PREPARATION,,,1.0,13.78,15
CPT,88245,CHROMOSOME ANALYSIS 20-25,,,1.0,203.09,15
CPT,88248,CHROMOSOME ANALYSIS 50-100,,,1.0,236.26,15
CPT,88249,CHROMOSOME ANALYSIS 100,,,1.0,236.26,15
CPT,88261,CHRMSM ANALYSIS 5 CELLS W/BND,1975.0,1481.25,1.0,264.34,15
CPT,88262,CHRM ANAL 15-20 CELL W/B,1347.0,1010.25,1.0,170.04,15
CPT,88263,CHRM ANAL 45C MOSAIC W/BND,1950.0,1462.5,1.0,205.03,15
CPT,88264,CHROMOSOME ANALYSIS 20-25,,,1.0,170.04,15
CPT,88267,CHRMSM AMN FLD/CV,1711.0,1283.25,1.0,245.26,15
CPT,88269,CHROMOSOME ANALYS AMNIOTIC,,,1.0,226.91,15
CPT,88271,CYTOGEN DNA PRBE,437.0,327.75,1.0,29.22,45
CPT,88271,DNA Fish Probe #1,111.0,83.25,1.0,29.22,15
CPT,88271,DNA Fish Probe #2,111.0,83.25,1.0,29.22,15
CPT,88271,DNA PROBE #1,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #10,111.0,83.25,1.0,29.22,60
CPT,88271,DNA PROBE #2,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #3,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #4,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #5,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #6,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #7,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #8,122.0,91.5,1.0,29.22,60
CPT,88271,DNA PROBE #9,111.0,83.25,1.0,29.22,45
CPT,88271,FISH PROBE 1,1504.0,1128.0,1.0,29.22,60
CPT,88271,FISH PROBE 2,1504.0,1128.0,1.0,29.22,45
CPT,88271,FISH PROBE 3,1504.0,1128.0,1.0,29.22,30
CPT,88271,FISH PROBE 4,1504.0,1128.0,1.0,29.22,15
CPT,88271,MOLECULAR CYTO DNA PRB EA,435.0,326.25,1.0,29.22,30
CPT,88271,MOLECULAR CYTOGEN DAN PRO,355.0,266.25,1.0,29.22,15
CPT,88271,MOLECULAR CYTOGEN DNA PRO,355.0,266.25,1.0,29.22,60
CPT,88272,CYTOGENETICS 3-5,,,1.0,40.7,15
CPT,88273,CHROMOSOME HYBRID 10-30C,341.0,255.75,1.0,43.84,15
CPT,88273,"Chromosom IN-SITU, 10-30 Cel",244.0,183.0,1.0,43.84,15
CPT,88273,"FISH METAPHASES, 10-30 CE",1324.0,993.0,1.0,43.84,30
CPT,88273,MOLEC CYTOGEN CHRM 10-30,679.0,509.25,1.0,43.84,15
CPT,88274,MOLEC CYTOGEN INTPHS 26-99,341.0,255.75,1.0,47.49,15
CPT,88275,"FISH INTERPHASE, 100-300",1324.0,993.0,1.0,54.79,15
CPT,88275,INTERPHASE IN SITU,2451.0,1838.25,1.0,54.79,15
CPT,88275,"Interphase in Situ, 100-300 CL",255.0,191.25,1.0,54.79,15
CPT,88275,MOL CYTOG INTPHS 100-300 CELLS,294.0,220.5,1.0,54.79,15
CPT,88275,MOLEC CYTOGEN INTPHS 100-300,588.0,441.0,1.0,54.79,15
CPT,88280,ADDITIONAL KARYOTYPE 2,231.0,173.25,1.0,34.24,30
CPT,88280,CHROMO ADD KARYOTYPES EA,520.0,390.0,1.0,34.24,15
CPT,88283,CHROMOSOME BANDING STUDY,,,1.0,93.59,15
CPT,88285,CHROMOSOME ADD CELL CT EA,334.0,250.5,1.0,26.91,15
CPT,88289,CHROMOSOME STUDY ADDITIONAL,,,1.0,46.98,15
CPT,88291,INTERPRETATION & REPORT,1600.0,1200.0,0.92,44.38,85
CPT,88299,UNLISTED CYTOGENETIC STUDY,,,1.0,75.84,15
CPT,882T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; initial nerve (List s",,,1.0,3.2,15
CPT,88300,GROSS EXAM ONLY,104.0,78.0,1.0,24.67,17
CPT,88302,SURGICAL PATH LEVEL II,341.0,255.75,1.0,35.71,17
CPT,88304,SURGICAL PATH III,269.0,201.75,1.0,49.76,17
CPT,88305,SURGICAL PATH LEVEL IV,429.0,321.75,1.0,55.9,51
CPT,88307,SURGICAL PATH LEVEL V,1318.0,988.5,1.0,291.26,17
CPT,88309,SURGICAL PATH LEVEL VI,1865.0,1398.75,1.0,656.15,17
CPT,88311,DECALCIFICATION,214.0,160.5,1.0,11.16,17
CPT,88312,SPEC STAINS GROUP I,217.21,162.91,1.0,115.15,34
CPT,88313,SPEC STAINS GROUP II,246.5,184.875,1.0,94.18,102
CPT,88314,HISTOCHEM STN W/FRZ SECT,180.0,135.0,1.0,88.81,17
CPT,88319,LEUKOCYTE ACID PHOS STN,1051.0,788.25,1.0,656.15,17
CPT,88319,SPECIAL STAIN ID ENZYM,1051.0,788.25,1.0,656.15,17
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,,,0.92,126.71,17
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,,,1.0,49.76,17
CPT,88325,CONSLTJ COMPRE RVW REC REPRT,,,1.0,209.76,17
CPT,88329,PATH CONSLTJ DRG SURG,,,0.92,71.05,17
CPT,88331,CONSULT/FROZEN SEC,601.0,450.75,1.0,149.16,17
CPT,88332,CONSULT/FROZEN ADD,98.0,73.5,1.0,33.47,17
CPT,88333,CYTO CONSLT INITIAL SITE,994.0,745.5,1.0,656.15,17
CPT,88334,CYTO CONSULT EA ADD SITE,229.0,171.75,1.0,25.89,17
CPT,88341,IMMUNOCYTO EA ADD AB STN,159.5,119.625,1.0,264.75,264
CPT,88341,SALL4 IHC EACH ADDITIONAL SL,579.0,434.25,1.0,264.75,22
CPT,88342,IMMUNCYT 1ST AB PER SPEC,619.0,464.25,1.0,149.16,68
CPT,88344,IMMCYT MLTIPLEX AB STAIN,706.0,529.5,1.0,517.97,88
CPT,88346,IMMUNOFLOR 1ST AB PER SPEC,679.0,509.25,1.0,291.26,204
CPT,88346,"IMMUNOFLUOR STDY,DRCT METHOD#1",425.0,318.75,1.0,291.26,17
CPT,88346,"IMMUNOFLUOR STDY,DRCT METHOD#2",425.0,318.75,1.0,291.26,17
CPT,88348,ELECTRON MICROSC COMPL,1508.0,1131.0,1.0,656.15,17
CPT,88348,ELECTRON MICROSCOPY DIAG,428.08500000000004,321.06500000000005,1.0,656.15,34
CPT,88348,ELECTRON MICROSCPY,7330.0,5497.5,1.0,656.15,17
CPT,88348,ELECTRON MICROSCPY DIAG,2591.0,1943.25,1.0,656.15,17
CPT,88350,IMMUNOFLR AB ADDL STAIN,580.855,435.64,1.0,110.23,34
CPT,88355,M/PHMTRC ALYS SKELETAL MUSC,,,1.0,179.67,17
CPT,88356,ANALYSIS NERVE,,,1.0,158.43,17
CPT,88358,ANALYSIS TUMOR,,,1.0,149.16,17
CPT,88360,TUMOR IMM PER SPEC MAN,695.0,521.25,1.0,149.16,34
CPT,88361,TUMOR IMM PER SPEC COMPT,1428.0,1071.0,1.0,291.26,17
CPT,88362,NERVE TEASING PREPARATIONS,,,1.0,656.15,17
CPT,88363,ARCHIV TISSUE EXAM MOLEC,143.0,107.25,1.0,31.24,17
CPT,88364,INSITU EA ADD SNGL PROBE,221.5,166.125,1.0,128.98,34
CPT,88365,IN SITU EA PRB PER SPEC,637.5,478.125,1.0,177.63,34
CPT,88366,INSITU HYBRIDIZATION (FISH),,,1.0,291.26,17
CPT,88367,INSITU HYBRIDIZATION AUTO,,,1.0,291.26,17
CPT,88368,INSITU 1ST PRB MANUAL,576.0,432.0,1.0,291.26,17
CPT,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,,,1.0,130.77,17
CPT,88371,PROTEIN WESTERN BLOT TISSUE,,,0.92,30.32,15
CPT,88372,PROTEIN ANALYSIS W/PROBE,,,0.92,31.03,15
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,1.0,55.34,17
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,1.0,310.63,17
CPT,88375,OPTICAL ENDOMICROSCPY INTERP,,,0.92,61.03,17
CPT,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,1.0,435.6,17
CPT,88380,MICRODISSECTION LASER,,,1.0,110.33,17
CPT,88381,MICRODISSECTION MANUAL,,,1.0,229.85,17
CPT,88387,TISS EXAM MOLECULAR STUDY,,,1.0,9.82,17
CPT,88399,UNLISTED SURGICAL PATH PX,,,1.0,49.76,15
CPT,883T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; each additional nerve",,,1.0,3.2,15
CPT,884T,"Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal s",,,1.0,16.13,95
CPT,885T,"Colonoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, includ",,,1.0,16.13,95
CPT,886T,"Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, incl",,,1.0,16.13,95
CPT,88720,BILIRUBIN TOTAL TRANSCUT,,,1.0,6.84,15
CPT,88738,HGB QUANT TRANSCUTANEOUS,,,0.92,6.84,15
CPT,88740,TRANSCUTANEOUS CARBOXYHB,,,1.0,9.37,15
CPT,88741,TRANSCUTANEOUS METHB,,,1.0,9.37,15
CPT,88749,UNLISTED IN VIVO LAB SERVICE,,,0.5,1.12,14
CPT,888T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance",,,0.92,17500.5,14
CPT,88U,TRNSPLJ KDN ALGRFT REJ 1494,,,0.92,3159.42,14
CPT,89049,CHCT FOR MAL HYPERTHERMIA,,,1.0,388.28,17
CPT,89050,CELL COUNT MISC BODY FLD,79.5,59.625,1.0,6.45,30
CPT,89051,CELL COUNT MISC W/DIFF,298.0,223.5,1.0,7.51,30
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,,,1.0,5.82,15
CPT,89060,CRYST ID BODY FLD EX URN,160.0,120.0,1.0,9.76,15
CPT,89125,FAT STAIN FECES/URIN/ETC,52.0,39.0,1.0,5.89,15
CPT,89160,MEAT FIBERS FECES,154.0,115.5,1.0,5.03,15
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,,,1.0,6.48,15
CPT,89220,SPUTUM SPECIMEN COLLECTION,,,1.0,149.16,17
CPT,89230,COLLECT SWEAT FOR TEST,,,1.0,49.76,17
CPT,89240,UNLISTED MISC PATH TEST,,,1.0,50.13,15
CPT,89250,CULTR OOCYTE/EMBRYO <4 DAYS,,,1.0,251.81,15
CPT,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,0.92,179.67,15
CPT,89253,EMBRYO HATCHING,,,1.0,325.26,15
CPT,89254,OOCYTE IDENTIFICATION,,,1.0,487.88,15
CPT,89255,PREPARE EMBRYO FOR TRANSFER,,,1.0,142.3,15
CPT,89257,SPERM IDENTIFICATION,,,1.0,49.76,15
CPT,89258,CRYOPRESERVATION EMBRYO(S),,,1.0,656.15,15
CPT,89259,CRYOPRESERVATION SPERM,,,1.0,284.59,15
CPT,89260,SPERM ISOLATION SIMPLE,,,1.0,49.76,15
CPT,89261,SPERM ISOLATION COMPLEX,,,1.0,61.47,15
CPT,89264,IDENTIFY SPERM TISSUE,,,1.0,179.67,15
CPT,89268,INSEMINATION OF OOCYTES,,,1.0,179.67,15
CPT,89272,EXTENDED CULTURE OF OOCYTES,,,1.0,656.15,15
CPT,89280,ASSIST OOCYTE FERTILIZATION,,,1.0,1408.64,15
CPT,89281,ASSIST OOCYTE FERTILIZATION,,,1.0,1760.8,15
CPT,89290,BIOPSY OOCYTE POLAR BODY <=5,,,1.0,1267.78,15
CPT,89291,BIOPSY OOCYTE POLAR BODY,,,1.0,1760.8,15
CPT,89300,SEMEN ANALYSIS W/HUHNER,,,1.0,12.17,15
CPT,89310,SEMEN ANALYSIS W/COUNT,,,1.0,11.74,15
CPT,89320,SEMEN ANAL VOL/COUNT/MOT,,,1.0,16.44,15
CPT,89321,SEMEN ANALYSIS PST VAS,259.0,194.25,1.0,16.44,15
CPT,89322,SEMEN ANAL STRICT CRITERIA,,,1.0,21.14,15
CPT,89325,SPERM ANTIBODIES,157.0,117.75,1.0,14.56,15
CPT,89325,SPERM ANTIBODIES 1,108.0,81.0,1.0,14.56,15
CPT,89325,SPERM ANTIBODIES 2,108.0,81.0,1.0,14.56,15
CPT,89329,SPERM EVALUATION TEST,,,1.0,28.61,15
CPT,89330,EVALUATION CERVICAL MUCUS,,,1.0,13.5,15
CPT,89331,RETROGRADE EJACULATION ANAL,,,1.0,26.73,15
CPT,89335,CRYOPRESERVE TESTICULAR TISS,,,1.0,167.6,15
CPT,89337,CRYOPRESERVATION OOCYTE(S),,,1.0,183.62,15
CPT,89342,STORAGE/YEAR EMBRYO(S),,,1.0,268.15,15
CPT,89343,STORAGE/YEAR SPERM/SEMEN,,,1.0,167.6,15
CPT,89344,STORAGE/YEAR REPROD TISSUE,,,1.0,223.46,15
CPT,89346,STORAGE/YEAR OOCYTE(S),,,1.0,291.26,15
CPT,89352,THAWING CRYOPRESRVED EMBRYO,,,1.0,335.19,15
CPT,89353,THAWING CRYOPRESRVED SPERM,,,1.0,49.76,15
CPT,89354,THAW CRYOPRSVRD REPROD TISS,,,1.0,179.67,15
CPT,89356,THAWING CRYOPRESRVED OOCYTE,,,1.0,179.67,15
CPT,89398,UNLISTED REPROD MED LAB PROC,,,1.0,49.76,15
CPT,893T,"Noninvasive assessment of blood oxygenation, gas exchange efficiency, and cardiorespiratory status, with physician or other qualified health care professional interpretation and report",,,1.0,3.2,10
CPT,894T,Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion,,,1.0,16.13,95
CPT,895T,"Connection of liver allograft to normothermic machine perfusion device, hemostasis control; initial 4 hours of monitoring time, including hourly physiological and laboratory assessments (eg, perfusate",,,1.0,16.13,90
CPT,896T,"Connection of liver allograft to normothermic machine perfusion device, hemostasis control; each additional hour, including physiological and laboratory assessments (eg, perfusate temperature, perfusa",,,1.0,16.13,90
CPT,897T,"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations, based on selected intervals of interest from 12-lead electrocardiogram and uploaded",,,1.0,3.2,10
CPT,898T,"Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and pathology, including visualization of margin volume and location, with margin determina",,,0.92,1.12,10
CPT,899T,"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF), derived from augmentative algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR",,,0.92,1.12,10
CPT,89U,ONC MLNMA PRAME & LINC00518,,,1.0,760.0,14
CPT,8U,HPYLORI DETCJ ABX RSTNC DNA,,,0.92,597.91,14
CPT,900T,"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF), derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR), pharm",,,0.92,1.12,10
CPT,901T,"Placement of bone marrow sampling port, including imaging guidance when performed",,,1.0,3.2,15
CPT,90281,HUMAN IG IM,,,1.0,324.71,9
CPT,90283,HUMAN IG IV,,,1.0,180.0,5
CPT,90284,HUMAN IG SC,,,1.0,23.27,5
CPT,90291,CMV IG IV,,,1.0,5572.55,9
CPT,902T,"QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device",,,1.0,3.2,10
CPT,90371,HEP B IG .5ML,7848.0,5886.0,1.0,552.1,9
CPT,90371,HEPATITIS-B IMMUNE GLOBULIN,1792.0,1344.0,1.0,552.1,9
CPT,90375,RABIES IG 150IJ,2648.0,1986.0,1.0,1063.28,9
CPT,90375,"RABIES IG, IM/SC PER 0.5 ML",10307.0,7730.25,1.0,1063.28,9
CPT,90376,RABIES IG HEAT TREATED,,,1.0,1435.51,9
CPT,90377,RABIES IG HT&SOL HUM 150IU IJ,2897.0,2172.75,1.0,1163.58,18
CPT,90378,PALIVIZUMAB INJ PER 50MG,27677.0,20757.75,1.0,5774.95,9
CPT,90380,NIRSEVIMAB-ALIP RSV MAB .5MLIJ,1410.0,1057.5,1.0,1763.99,9
CPT,90381,RSV MONOC ANTB SEASN 1 ML IM,,,1.0,1763.99,9
CPT,90384,RH IG FULL-DOSE IM,,,1.0,792.98,9
CPT,90385,RH IG MINIDOSE IM,,,1.0,94.65,9
CPT,90386,RH IG IV,,,1.0,116.41,9
CPT,90389,TETANUS IG IM,,,1.0,2059.1,9
CPT,90396,VARICELLA-ZOSTER IMMUNE GLOBUL,5275.0,3956.25,1.0,7234.34,9
CPT,903T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; with interpretation and report",,,1.0,3.2,10
CPT,904,ANESTH PERINEAL SURGERY,,,,,0
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,,,1.0,88.05,11
CPT,90461,IM ADMIN EACH ADDL COMPONENT,,,1.0,46.82,11
CPT,90471,2W-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,91.83,11
CPT,90471,90471-IMMUNIZATION ADMIN,240.0,180.0,1.0,91.83,11
CPT,90471,ADM. SINGLE ADULT IMMUNIZATION,77.0,57.75,1.0,91.83,11
CPT,90471,ADMIN SINGLE ADULT IMMUNIZATIO,158.5,118.875,1.0,91.83,66
CPT,90471,"ADMIN, SINGLE ADULT IMMUNIZATN",204.0,153.0,1.0,91.83,11
CPT,90471,"ADMIN,SINGLE ADULT IMMUNIZATN",77.0,57.75,1.0,91.83,11
CPT,90471,IMM ADMIN SNGL/COMBO,211.0,158.25,1.0,91.83,11
CPT,90471,IMM ADMIN SNGL/COMBO VAC,211.0,158.25,1.0,91.83,88
CPT,90471,IMMUNIZATION ADMIN-SINGLE DOSE,240.0,180.0,1.0,91.83,55
CPT,90472,ADMIN EACH ADDL ADULT IMMUNIZA,77.0,57.75,1.0,58.62,22
CPT,90472,IMM ADM EA ADDL VACCINE,77.0,57.75,1.0,58.62,143
CPT,90473,ADMIN IMMUN INTRANSL/ORAL,108.0,81.0,1.0,66.61,11
CPT,90473,IMM ADM/INTRANASAL ORAL SINGLE,108.0,81.0,1.0,66.61,11
CPT,90474,IMM ADM/INTRANASAL ORAL EA/ADD,50.0,37.5,1.0,47.96,11
CPT,90474,IMM ADMIN ORL/NAS EA ADD,50.0,37.5,1.0,47.96,11
CPT,90480,ADMN SARSCOV2 VACC 1 DOSE,,,1.0,91.83,9
CPT,904T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only",,,1.0,3.2,10
CPT,90581,ANTHRAX VACCINE SC OR IM,,,1.0,314.02,9
CPT,90585,BCG VACCINE PERCUT,,,1.0,560.38,9
CPT,90586,BCG VACCINE INTRAVESICAL,,,1.0,560.38,9
CPT,90587,DENGUE VACC QUAD 3 DOSE SUBQ,,,1.0,209.35,9
CPT,90589,CHIKUNGUNYA VACCINE LIVE IM,,,1.0,872.27,9
CPT,90593,"Chikungunya virus vaccine, recombinant, for intramuscular use",,,1.0,872.27,9
CPT,905T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; interpretation and report only",,,1.0,3.2,10
CPT,90611,SMALLPOX&MONKEYPOX VAC 0.5ML,,,1.0,856.41,9
CPT,90619,MENINGOCOCCAL-TT VAC IM IJ,325.0,243.75,1.0,545.47,9
CPT,90620,MENING B VAC IM RCMB IJ,385.0,288.75,1.0,752.15,9
CPT,90620,MENINGOCOCCAL GROUP B VACCINE,352.0,264.0,1.0,752.15,9
CPT,90621,MENB-FHBP VACC 2/3 DOSE IM,,,1.0,657.6,9
CPT,90623,MENACWY-TT MENB-FHBP VACC IM,,,1.0,751.42,9
CPT,90625,CHOLERA VACCINE LIVE ORAL,,,1.0,924.61,9
CPT,90626,TIC-BRN ENCEPH VAC 0.25ML IM,,,1.0,963.94,9
CPT,90627,TIC-BRN ENCEPH VAC 0.5ML IM,,,1.0,963.94,9
CPT,90632,HEPATITIS A VACCINE INACT 1440,165.0,123.75,1.0,257.94,9
CPT,90632,"HEPATITIS A VACCINE,ADULT",235.0,176.25,1.0,257.94,9
CPT,90633,HEPA VACC PED/ADOL 2 DOSE IM,,,1.0,123.23,9
CPT,90636,HEP A/HEP B VACC ADULT IM,,,1.0,420.05,9
CPT,90644,HIB-MENCY VACC 6WK-18M0 IM,,,1.0,78.38,9
CPT,90647,HIB PRP-OMP VACC 3 DOSE IM,,,1.0,97.0,9
CPT,90648,HIB VACCINE ACTHIB INJ 0.5ML,66.0,49.5,1.0,41.77,9
CPT,90649,HPV VACCINE,370.0,277.5,1.0,508.04,9
CPT,90649,INJECTION OF GARDASIL,354.0,265.5,1.0,508.04,9
CPT,90650,2VHPV VACCINE 3 DOSE IM,,,1.0,422.37,9
CPT,90651,HUMAN PAPILLOMAVIRUS VAC 9-VAL,1075.0,806.25,1.0,975.71,9
CPT,90653,IIV ADJUVANT VACCINE IM,,,1.0,251.12,9
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,1.0,66.99,9
CPT,90656,FLUVAC IIV3>6MOS 0.5ML IJ,59.0,44.25,1.0,66.99,9
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,1.0,66.99,9
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,,,1.0,66.99,9
CPT,90660,LAIV3 VACCINE INTRANASAL,,,1.0,83.07,9
CPT,90661,FLU VAC CCIIV3 >6M 0.5ML IJ,78.0,58.5,1.0,138.1,9
CPT,90662,INFLUENZA VIRUS VAC HIGH-DOSE,192.0,144.0,1.0,251.12,9
CPT,90670,PNEUMOCOCCAL-13 CONJ VAC 0.5ML,457.0,342.75,1.0,718.21,9
CPT,90671,PCV15 VACCINE IM,,,1.0,727.0,9
CPT,90672,LAIV4 VACCINE INTRANASAL,,,1.0,77.71,9
CPT,90673,RIV3 VACCINE NO PRESERV IM,,,1.0,251.12,9
CPT,90674,INFLUENZA VACCINE QUAD MDCK,64.0,48.0,1.0,95.47,9
CPT,90675,RABIES VACCINE IM PER 1ML,876.0,657.0,1.0,1378.54,9
CPT,90677,PNEUMOCO20VACIJ!,3089.0,2316.75,1.0,871.0,9
CPT,90678,RSV VAC P-A P-B REC IJ,735.0,551.25,1.0,973.14,9
CPT,90679,RSV VACC PREF RECOMB ADJT IM,,,1.0,971.71,9
CPT,90680,RV5 VACC 3 DOSE LIVE ORAL,,,1.0,313.45,9
CPT,90681,ROTAVIRUS VACCINE-LIVE LIQ 2ML,222.0,166.5,1.0,466.33,9
CPT,90682,RIV4 VACC RECOMBINANT DNA IM,,,1.0,204.62,9
CPT,90683,RSV VACC MRNA LIPID NANO IM,,,1.0,919.85,9
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use",,,1.0,912.71,9
CPT,90685,IIV4 VACC NO PRSV 0.25 ML IM,,,1.0,69.94,9
CPT,90686,INFLU VAC QUAD (FLUZONE>6M),40.0,30.0,1.0,62.58,9
CPT,90686,PULM-FLU VACC PRESRV FREE>2YRS,175.0,131.25,1.0,62.58,9
CPT,90686,PULM-FLU VACCINE-SPLIT VIR>2YR,168.0,126.0,1.0,62.58,9
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,1.0,29.24,9
CPT,90688,IIV4 VACCINE SPLT 0.5 ML IM,,,1.0,58.49,9
CPT,90690,TYPHOID VACCINE ORAL,,,1.0,372.0,9
CPT,90691,TYPHOID VACCINE IM,,,1.0,488.16,9
CPT,90694,VACC AIIV4 NO PRSRV 0.5ML IM,,,1.0,215.63,9
CPT,90696,DTAP-IPV VACCINE 4-6 YRS IM,,,1.0,199.26,9
CPT,90697,DTAP-IPV-HIB-HEPB VACC IM IJ,699.0,524.25,1.0,496.78,9
CPT,90698,DTAP+IPV+HIB+VACCINE 0.5ML,221.0,165.75,1.0,380.82,9
CPT,906T,"Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; first application, total wound(s) surface area less than or equal to 50 sq cm",,,1.0,3.2,10
CPT,90700,DIP/TET/PERT/ (DTAP),45.0,33.75,1.0,93.86,9
CPT,90700,DTAP (INFANRIX) INJ 0.5ML DOSE,28.0,21.0,1.0,93.86,9
CPT,90702,DT VACCINE UNDER 7 YRS IM,,,1.0,209.63,9
CPT,90707,MEASLES/MUMPS/RUBELLA INJ 0.5M,173.0,129.75,1.0,301.96,9
CPT,90707,MEASLES/MUMPS/RUBELLA VAC LIVE,1115.0,836.25,1.0,301.96,18
CPT,90710,MMRV VACCINE SC,,,1.0,882.3,9
CPT,90713,POLIOVIRUS IPV SC/IM,,,1.0,141.88,9
CPT,90714,"TD VACCINE > 7YRS., IM INJ.",61.0,45.75,1.0,134.01,9
CPT,90715,TDAP VACCINE,81.0,60.75,1.0,154.63,9
CPT,90715,"TDAP VACCINE > 7YRS.,IM INJ.",78.0,58.5,1.0,154.63,9
CPT,90715,TETNUS/DIPTH/PERTUSS VACC-TDAP,164.0,123.0,1.0,154.63,9
CPT,90716,VARICELLA VACCINE LIVE,62.0,46.5,1.0,580.46,9
CPT,90717,YELLOW FEVER VACCINE SUBQ,,,1.0,745.9,9
CPT,90723,DTAP-HEP B-IPV VACCINE IM,,,1.0,328.67,9
CPT,90732,IMMUN PNEUMOVAX,21.0,15.75,1.0,371.37,9
CPT,90732,PNEUMOCOCCAL 23 VALENT,235.0,176.25,1.0,371.37,9
CPT,90732,PNEUMONIA VACC 23VALENT >2 YRS,344.0,258.0,1.0,371.37,9
CPT,90732,PULM-PNEUMOCOCCUS VACCINE,802.0,601.5,1.0,371.37,9
CPT,90733,MEMINGOCOCCAL VACCINE-OUTPAT,993.0,744.75,1.0,398.04,9
CPT,90734,MENINGOCOCCAL CONJ VACCINE,268.0,201.0,1.0,528.91,9
CPT,90734,MENINGOCOCCAL VAC (MENACTRA) I,325.0,243.75,1.0,528.91,9
CPT,90736,HZV VACCINE LIVE SUBQ,,,1.0,701.02,9
CPT,90738,INACTIVATED JE VACC IM,,,1.0,935.96,9
CPT,90739,HEPB VACC 2/4 DOSE ADULT IM,,,1.0,494.02,9
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,,,1.0,592.48,9
CPT,90743,HEPATITIS B PED/ADOL,197.0,147.75,1.0,218.26,9
CPT,90744,HEPB VACC 3 DOSE PED/ADOL IM,,,1.0,88.53,9
CPT,90746,HEP B VACCINE-ADULT AGE>=20YR,1091.0,818.25,1.0,218.26,9
CPT,90746,HEPATITIS-B VACCINE ADULT,200.5,150.375,1.0,218.26,18
CPT,90747,HEPB VACC 4 DOSE IMMUNSUP IM,,,1.0,458.28,9
CPT,90748,HIB-HEPB VACCINE IM,,,1.0,135.92,9
CPT,90750,HZV VACC RECOMBINANT IM 0.5ML,449.0,336.75,1.0,683.58,9
CPT,90756,CCIIV4 VACC ABX FREE IM,,,1.0,90.46,9
CPT,90758,ZAIRE EBOLAVIRUS VAC LIVE IM,,,1.0,202.08,9
CPT,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,1.0,205.38,9
CPT,90785,PSYTX COMPLEX INTERACTIVE,,,1.0,19.26,12
CPT,90791,PSYCH DIAGNOSTIC EVALUATION,,,1.0,225.36,2
CPT,90792,PSYCH DIAG EVAL W/MED SRVCS,,,1.0,255.13,2
CPT,907T,"Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately",,,1.0,3.2,10
CPT,908,ANESTH REMOVAL OF PROSTATE,,,,,0
CPT,90832,PSYTX W PT 30 MINUTES,,,1.0,106.37,2
CPT,90833,PSYTX W PT W E/M 30 MIN,,,1.0,98.76,2
CPT,90834,PSYTX W PT 45 MINUTES,,,1.0,140.28,2
CPT,90836,PSYTX W PT W E/M 45 MIN,,,1.0,125.64,2
CPT,90837,PSYTX W PT 60 MINUTES,,,1.0,207.99,2
CPT,90838,PSYTX W PT W E/M 60 MIN,,,1.0,167.68,2
CPT,90839,PSYTX CRISIS INITIAL 60 MIN,,,1.0,200.83,2
CPT,90840,PSYTX CRISIS EA ADDL 30 MIN,,,1.0,98.76,2
CPT,90845,PSYCHOANALYSIS,,,1.0,134.11,2
CPT,90846,FAMILY PSYTX W/O PT 50 MIN,,,1.0,133.5,12
CPT,90847,FAMILY PSYTX W/PT 50 MIN,,,1.0,139.11,12
CPT,90849,MULTIPLE FAMILY GROUP PSYTX,,,1.0,83.56,12
CPT,90853,GROUP PSYCHOTHERAPY,,,1.0,38.1,12
CPT,90865,NARCOSYNTHESIS,,,1.0,211.32,2
CPT,90867,TCRANIAL MAGN STIM TX PLAN,,,1.0,3.2,10
CPT,90868,TCRANIAL MAGN STIM TX DELI,,,1.0,3.2,10
CPT,90870,ELECTROCONVULSIVE THERAPY,,,1.0,1781.39,12
CPT,90880,HYPNOTHERAPY,,,1.0,133.71,12
CPT,90899,UNLISTED PSYC SVC/THERAPY,,,1.0,95.38,10
CPT,908T,"Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed",,,1.0,16.13,95
CPT,90901,BIOFEEDBACK TRAIN ANY METH,,,1.0,52.8,2
CPT,90912,BFB TRAINING 1ST 15 MIN,,,1.0,103.97,2
CPT,90913,BFB TRAINING EA ADDL 15 MIN,,,1.0,42.55,2
CPT,90935,OP HEMODIALYSIS,4674.0,3505.5,1.0,92.89,2
CPT,90937,HEMODIALYSIS REPEATED EVAL,,,1.0,134.91,2
CPT,90940,HEMODIALYSIS ACCESS STUDY,,,1.0,3.2,10
CPT,90945,CONT RENAL REPLACE THRPY,3560.0,2670.0,1.0,113.57,2
CPT,90945,OP HEMODIALYSIS,3742.0,2806.5,1.0,113.57,2
CPT,90947,DIALYSIS REPEATED EVAL,,,1.0,161.55,2
CPT,90951,ESRD SERV 4 VISITS P MO <2YR,,,1.0,1540.4,2
CPT,90954,ESRD SERV 4 VSTS P MO 2-11,,,1.0,1325.35,2
CPT,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,1.0,689.87,2
CPT,90956,ESRD SRV 1 VISIT P MO 2-11,,,1.0,460.21,2
CPT,90957,ESRD SRV 4 VSTS P MO 12-19,,,1.0,1014.64,2
CPT,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,1.0,660.63,2
CPT,90959,ESRD SERV 1 VST P MO 12-19,,,1.0,430.54,2
CPT,90960,ESRD SRV 4 VISITS P MO 20+,,,1.0,468.9,2
CPT,90961,ESRD SRV 2-3 VSTS P MO 20+,,,1.0,388.93,2
CPT,90962,ESRD SERV 1 VISIT P MO 20+,,,1.0,267.75,2
CPT,90963,ESRD HOME PT SERV P MO <2YRS,,,1.0,798.9,2
CPT,90964,ESRD HOME PT SERV P MO 2-11,,,1.0,684.49,2
CPT,90965,ESRD HOME PT SERV P MO 12-19,,,1.0,659.3,2
CPT,90966,ESRD HOME PT SERV P MO 20+,,,1.0,388.93,2
CPT,90967,ESRD SVC PR DAY PT <2,,,1.0,23.0,2
CPT,90968,ESRD SVC PR DAY PT 2-11,,,1.0,22.57,2
CPT,90969,ESRD SVC PR DAY PT 12-19,,,1.0,22.13,2
CPT,90970,ESRD SVC PR DAY PT 20+,,,1.0,12.77,2
CPT,90997,HEMOPERFUSION,,,1.0,116.53,2
CPT,909T,"Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed",,,1.0,16.13,95
CPT,90U,ONC CUTAN MLNMA MRNA 23 GENE,,,0.92,1755.0,14
CPT,91010,ESOPHAGEAL MOTILITY STUDY,4321.0,3240.75,1.0,3791.0,18
CPT,91013,ESOPHGL MOTIL W/STIM/PERFUS,,,1.0,3791.0,18
CPT,91020,GASTRIC MOTILITY STUDIES,,,1.0,3791.0,18
CPT,91022,DUODENAL MOTILITY STUDY,,,1.0,3791.0,18
CPT,91030,ACID PERFUSION OF ESOPHAGUS,,,1.0,3791.0,18
CPT,91034,GASTROESOPHAGEAL REFLUX TEST,,,1.0,3791.0,18
CPT,91035,ESOPH PH TST W ELECT,4644.0,3483.0,1.0,3791.0,103
CPT,91037,ESOPH IMPED FUNCTION TEST,,,1.0,1137.0,18
CPT,91038,ESOPH IMPED FUNCT TEST > 1HR,,,1.0,3791.0,18
CPT,91040,ESOPH BALLOON DISTENSION TST,,,1.0,2278.17,18
CPT,91065,BREATH HYDROGEN/METHANE TEST,,,1.0,1137.0,18
CPT,910T,"Removal of integrated neurostimulation system, vagus nerve",,,1.0,16.13,95
CPT,91110,SM INT IMAGE CAP PROC,4830.0,3622.5,1.0,5085.0,18
CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,1.0,5085.0,18
CPT,91112,GI WIRELESS CAPSULE MEASURE,,,1.0,3791.0,18
CPT,91113,GI TRC IMG INTRAL COLON I&R,,,1.0,935.17,12
CPT,91117,COLON MOTILITY 6 HR STUDY,,,1.0,1137.0,18
CPT,91120,RECTAL SENSATION TEST,,,1.0,2199.73,18
CPT,91122,ANAL PRESSURE RECORD,,,1.0,1137.0,18
CPT,91132,ELECTROGASTROGRAPHY,,,1.0,1137.0,18
CPT,91133,ELECTROGASTROGRAPHY W/TEST,,,1.0,1137.0,18
CPT,911T,"Electronic analysis of implanted integrated neurostimulation system, vagus nerve; without programming by physician or other qualified health care professional",,,1.0,3.2,10
CPT,91200,LIVER ELASTOGRAPHY SCAN,726.0,544.5,1.0,102.33,17
CPT,91299,UNLISTED DX GI PROCEDURE,,,1.0,1137.0,16
CPT,912T,"Electronic analysis of implanted integrated neurostimulation system, vagus nerve; with simple programming by physician or other qualified health care professional",,,1.0,3.2,10
CPT,91304,SARSCOV2 VAC 5MCG/0.5ML IM,,,1.0,442.26,9
CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,,,1.0,179.47,9
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,,,1.0,240.3,9
CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,,,1.0,426.81,9
CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,,,1.0,402.61,9
CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,,,1.0,442.58,9
CPT,913T,PRQ TCAT THER RX NTRAC BALLN,30488.0,22866.0,0.92,16.13,210
CPT,914T,PRQ TCAT THR RX NTR BLLN SEPRT,19676.0,14757.0,0.92,16.13,210
CPT,915T,INS PERM DFB PULSE GEN&DUAL LD,103707.0,77780.25,1.0,16.13,95
CPT,916T,INSRT PERM DFB PULSE GEN ONLY,80990.0,60742.5,1.0,16.13,190
CPT,917T,INSRT PERM DFB SNGL TRANS LEAD,103707.0,77780.25,1.0,16.13,190
CPT,918T,INSRT PERM CCM-D SYS DUAL LD,103400.0,77550.0,1.0,16.13,190
CPT,919T,RMVL PERM DFB PULSE GEN ONLY,21088.0,15816.0,1.0,16.13,190
CPT,91U,ONC CLRCT SCR WHL BLD ALG,,,0.5,1.12,14
CPT,92002,INTRM OPH EXAM NEW PATIENT,,,1.0,200.27,12
CPT,92004,COMPRE OPH EXAM NEW PT 1/>,,,1.0,318.44,12
CPT,92012,INTRM OPH EXAM EST PATIENT,,,1.0,210.22,12
CPT,92014,COMPRE OPH EXAM EST PT 1/>,,,1.0,283.61,12
CPT,92015,DETERMINE REFRACTIVE STATE,,,1.0,21.13,10
CPT,92018,OPTHAL EXAM W/ANES COMP,9218.0,6913.5,0.22,11050.12,110
CPT,92019,LMTD OPH EXAM GENERAL ANES,,,1.0,5085.0,103
CPT,92020,GONIOSCOPY,,,1.0,53.5,12
CPT,92025,CPTRIZED CORNEAL TOPOGRAPHY,,,1.0,88.69,12
CPT,92060,SENSORIMOTOR EXAMINATION,,,1.0,139.82,12
CPT,92065,ORTHOP TRAING PFRMD PHYS/QHP,,,1.0,202.92,12
CPT,92066,ORTHOP TRAING SUPVJ PHYS/QHP,,,1.0,134.73,12
CPT,92071,CONTACT LENS FITTING FOR TX,,,1.0,76.74,12
CPT,92072,FITG C-LENS KERATOCONUS 1ST,,,1.0,291.58,12
CPT,92081,LIMITED VISUAL FIELD XM,,,1.0,90.38,12
CPT,92082,INTERMEDIATE VISUAL FIELD XM,,,1.0,134.73,12
CPT,92083,EXTENDED VISUAL FIELD XM,,,1.0,187.59,12
CPT,920T,RMVL DFB SNGL TRANSV LEAD ONLY,19730.0,14797.5,1.0,16.13,190
CPT,92100,SERIAL TONOMETRY,,,1.0,109.07,12
CPT,92132,CMPTR OPHTH DX IMG ANT SEGMT,,,1.0,18.6,12
CPT,92133,CMPTR OPHTH IMG OPTIC NERVE,,,1.0,73.32,12
CPT,92134,CPTR OPHTH DX IMG POST SEGMT,,,1.0,75.02,12
CPT,92136,OPHTHALMIC BIOMETRY,,,1.0,88.69,12
CPT,92137,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography",,,1.0,311.4,16
CPT,92145,CORNEAL HYSTERESIS DETER,,,1.0,10.09,12
CPT,921T,RMVL DFB SNGL TRANSV DFIB LEAD,16016.0,12012.0,1.0,16.13,95
CPT,92201,OPSCPY EXTND RTA DRAW UNI/BI,,,1.0,43.03,12
CPT,92202,OPSCPY EXTND ON/MAC DRAW,,,1.0,25.55,12
CPT,92227,IMG RTA DETCJ/MNTR DS STAFF,,,1.0,90.38,17
CPT,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,1.0,68.2,17
CPT,92229,IMG RTA DETC/MNTR DS POC ALY,,,1.0,228.51,12
CPT,92230,FLUORESCEIN ANGIOSCOPY I&R,,,1.0,537.15,12
CPT,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,1.0,591.71,12
CPT,92240,ICG ANGIOGRAPHY I&R UNI/BI,,,1.0,970.28,12
CPT,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,1.0,619.34,102
CPT,92250,FUNDUS PHOTOGRAPHY W/I&R,,,1.0,83.56,12
CPT,92260,OPHTHALMODYNAMOMETRY,,,1.0,24.7,12
CPT,92265,NDL OCULOELECTROMYOGRAPHY 1+,,,1.0,53.88,12
CPT,92270,ELECTRO-OCULOGRAPHY W/I&R,,,1.0,402.42,12
CPT,92273,FULL FIELD ERG W/I&R,,,1.0,451.89,12
CPT,92274,MULTIFOCAL ERG W/I&R,,,1.0,289.88,12
CPT,92283,EXTND COLOR VISION XM,,,1.0,233.63,12
CPT,92284,DX DARK ADAPTATION EXAM I&R,,,1.0,153.46,12
CPT,92285,EXTERNAL OCULAR PHOTOGRAPHY,,,1.0,102.33,12
CPT,92286,ANT SGM IMG I&R SPECLR MIC,,,1.0,90.38,12
CPT,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,1.0,138.5,12
CPT,922T,RMVL DFB DUAL TRANSV LEAD ONLY,16016.0,12012.0,1.0,16.13,95
CPT,92310,CONTACT LENS FITTING OU,,,1.0,3.2,10
CPT,92311,CONTACT LENS FITG APHAKIA 1,,,1.0,334.23,12
CPT,92312,CONTACT LENS FITG APHAKIA OU,,,1.0,157.91,12
CPT,92313,C-LENS FITG CORNEOSCLRL LENS,,,1.0,125.14,12
CPT,92314,C-LENS FITG TECH OU,,,1.0,3.2,10
CPT,92315,C-LENS FITG TECH APHAKIA 1,,,1.0,103.97,12
CPT,92316,C-LENS FITG TECH APHAKIA OU,,,1.0,128.36,12
CPT,92317,C-LENS FITG TECH CORNEOSCLRL,,,1.0,109.49,12
CPT,92325,MODIFICATION OF CONTACT LENS,,,1.0,57.71,12
CPT,92326,REPLACEMENT OF CONTACT LENS,,,1.0,49.2,12
CPT,92340,FIT SPECTACLES MONOFOCAL,,,1.0,3.2,10
CPT,92341,FIT SPECTACLES BIFOCAL,,,1.0,3.2,10
CPT,92342,FIT SPECTACLES MULTIFOCAL,,,1.0,3.2,10
CPT,92352,FIT APHAKIA SPECTCL MONOFOCL,,,1.0,3.2,10
CPT,92353,FIT APHAKIA SPECTCL MULTIFOC,,,1.0,3.2,10
CPT,92354,FITG SPECT LOW VIS 1SYSTEM,,,1.0,3.2,10
CPT,92355,FITG SPECT LW VIS CMPND LENS,,,1.0,3.2,10
CPT,92358,APHAKIA PROSTH SERVICE TEMP,,,1.0,3.2,10
CPT,92370,RPR&REFITG SPECT XCP APHAKIA,,,1.0,3.2,10
CPT,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,1.0,3.2,10
CPT,923T,RMVL&RPLCMT PERM CCM-D PG,80866.0,60649.5,1.0,16.13,190
CPT,92499,UNLISTED OPH SVC/PROCEDURE,,,1.0,3.2,10
CPT,924T,REPOSTN PRV CCM-D TRNSVN ELCTR,14104.0,10578.0,1.0,16.13,190
CPT,92502,EAR EXAM W/ANES,9765.0,7323.75,0.22,8788.5,110
CPT,92504,EAR MICROSCOPY EXAMINATION,,,1.0,115.65,12
CPT,92507,SPEECH/LANG TX BASIC,758.0,568.5,1.0,100.54,2
CPT,92507,SPEECH/LANG TX CMPLX,758.0,568.5,1.0,100.54,2
CPT,92507,SPEECH/LANG TX EXTNSV,758.0,568.5,1.0,100.54,2
CPT,92507,SPEECH/LANG TX INTER,758.0,568.5,1.0,100.54,2
CPT,92508,SPEECH/LANG TX GRP BASIC,1001.0,750.75,1.0,31.59,2
CPT,92508,SPEECH/LANG TX GRP COMP,1001.0,750.75,1.0,31.59,2
CPT,92508,SPEECH/LANG TX GRP EXTNSV,1001.0,750.75,1.0,31.59,2
CPT,92508,SPEECH/LANG TX GRP INTER,1001.0,750.75,1.0,31.59,2
CPT,92511,NASOPHARYNGOSCOPY W/ENDOSCOPE,1042.0,781.5,1.0,377.86,12
CPT,92511,NASOPHRYNGSCPY W/ENDOSCP,1028.0,771.0,1.0,377.86,12
CPT,92512,NASAL FUNCTION STUDIES,,,1.0,228.51,12
CPT,92516,FACIAL NERVE FUNCTION TEST,,,1.0,371.75,12
CPT,92517,VEMP TEST I&R CERVICAL,,,1.0,245.54,12
CPT,92518,VEMP TEST I&R OCULAR,,,1.0,98.78,12
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,,,1.0,412.67,12
CPT,92520,LARYNGEAL FUNCTION STUDIES,,,1.0,462.1,12
CPT,92521,EVALUATION OF SPEECH FLUENCY,,,1.0,688.91,12
CPT,92522,EVALUATE SPEECH PRODUCTION,,,1.0,572.94,12
CPT,92523,SP EVAL LNG COM W/EXP BSC,1268.0,951.0,1.0,1178.32,12
CPT,92523,SP EVAL LNG COM W/EXP CMPLX,1268.0,951.0,1.0,1178.32,12
CPT,92523,SP EVAL LNG COM W/EXP EXTNSV,1268.0,951.0,1.0,1178.32,12
CPT,92523,SP EVAL LNG COM W/EXP INTERM,1268.0,951.0,1.0,1178.32,12
CPT,92524,BEHAVRAL QUALIT ANALYS VOICE,,,1.0,562.73,12
CPT,92526,OT SWAL/ORAL FUNCT TX,600.0,450.0,1.0,110.77,2
CPT,92526,OT SWAL/ORAL FUNCT TX CMPLX,600.0,450.0,1.0,110.77,2
CPT,92526,OT SWAL/ORAL FUNCT TX EXTNSV,600.0,450.0,1.0,110.77,2
CPT,92526,OT SWAL/ORAL FUNCT TX INTERM,600.0,450.0,1.0,110.77,2
CPT,92526,SP SWAL/ORAL TX COMPLX,669.0,501.75,1.0,110.77,2
CPT,92526,SP SWAL/ORAL TX EXTNSV,669.0,501.75,1.0,110.77,2
CPT,92526,SP SWAL/ORAL TX GRP BSC,669.0,501.75,1.0,110.77,2
CPT,92526,SP SWAL/ORAL TX INTERM,669.0,501.75,1.0,110.77,2
CPT,92531,SPONTANEOUS NYSTAGMUS STUDY,,,1.0,101.27,10
CPT,92532,POSITIONAL NYSTAGMUS TEST,,,1.0,82.96,10
CPT,92533,CALORIC VESTIBULAR TEST,,,1.0,30.32,10
CPT,92534,OPTOKINETIC NYSTAGMUS TEST,,,1.0,64.74,10
CPT,92537,CALORIC VSTBLR TEST W/REC,,,1.0,199.5,12
CPT,92538,CALORIC VSTBLR TEST W/REC,,,1.0,112.54,12
CPT,92540,BASIC VESTIBULAR EVALUATION,,,1.0,148.37,12
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,,,1.0,127.91,12
CPT,92542,POSITIONAL NYSTAGMUS TEST,,,1.0,146.64,12
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,,,1.0,18.76,12
CPT,92545,OSCILLATING TRACKING TEST,,,1.0,18.76,12
CPT,92546,SINUSOIDAL ROTATIONAL TEST,,,1.0,600.25,12
CPT,92547,SUPPLEMENTAL ELECTRICAL TEST,,,1.0,52.86,12
CPT,92548,CDP-SOT 6 COND W/I&R,,,1.0,17.74,12
CPT,92549,CDP-SOT 6 COND W/I&R MCT&ADT,,,1.0,26.25,12
CPT,92550,TYMPANOMETRY & REFLEX THRESH,,,1.0,49.47,12
CPT,92551,INFANT HEARING SCREEN,214.0,160.5,1.0,63.11,10
CPT,92552,PURE TONE AUDIOMETRY AIR,,,1.0,202.92,12
CPT,92553,AUDIOMETRY AIR & BONE,,,1.0,245.54,12
CPT,92555,SPEECH AUDITORY THRESHOLD,375.0,281.25,1.0,153.46,12
CPT,92556,SPEECH AUDIOMETRY COMPLETE,,,1.0,238.72,12
CPT,92557,AUDITORY ASSESSMENT,304.0,228.0,1.0,80.14,12
CPT,92558,EVOKED AUDITORY TEST QUAL,,,1.0,3.2,10
CPT,92562,LOUDNESS BALANCE TEST,,,1.0,252.36,12
CPT,92563,TONE DECAY HEARING TEST,,,1.0,180.77,12
CPT,92565,STENGER TEST PURE TONE,,,1.0,110.84,12
CPT,92567,TYMPANOMETRY,168.0,126.0,1.0,46.04,12
CPT,92568,ACOUSTIC REFL THRESHOLD TST,,,1.0,25.58,12
CPT,92570,ACOUSTIC IMMITANCE TESTING,,,1.0,66.5,12
CPT,92571,FILTERED SPEECH HEARING TEST,,,1.0,160.28,12
CPT,92572,STAGGERED SPONDAIC WORD TEST,,,1.0,289.88,12
CPT,92575,SENSORINEURAL ACUITY TEST,,,1.0,375.14,12
CPT,92576,SYNTHETIC SENTENCE TEST,,,1.0,230.2,12
CPT,92577,STENGER TEST SPEECH,,,1.0,115.97,12
CPT,92579,VISUAL AUDIOMETRY (VRA),,,1.0,102.33,12
CPT,92582,CONDITIONING PLAY AUDIOMETRY,,,1.0,455.28,12
CPT,92583,SELECT PICTURE AUDIOMETRY,,,1.0,301.82,12
CPT,92584,ELECTROCOCHLEOGRAPHY,,,1.0,375.14,12
CPT,92587,OTOACOUSTIC EMISSIONS SCREEN,635.0,476.25,1.0,18.76,12
CPT,92588,OTOACOUSTIC EMISSIONS DIAG,909.0,681.75,1.0,25.58,12
CPT,92590,HEARING AID EXAM ONE EAR,,,1.0,3.2,10
CPT,92591,HEARING AID EXAM BOTH EARS,,,1.0,3.2,10
CPT,92592,HEARING AID CHECK ONE EAR,,,1.0,3.2,10
CPT,92593,HEARING AID CHECK BOTH EARS,,,1.0,3.2,10
CPT,92594,ELECTRO HEARNG AID TEST ONE,,,1.0,3.2,10
CPT,92595,ELECTRO HEARNG AID TST BOTH,,,1.0,3.2,10
CPT,92596,EAR PROTECTOR EVALUATION,,,1.0,407.54,12
CPT,92597,SP EVAL/FIT VOICE PROSTH,557.0,417.75,1.0,375.14,12
CPT,92597,SP EVAL/FIT VOICE PROSTH CMPLX,557.0,417.75,1.0,375.14,12
CPT,92597,SP EVAL/FIT VOICE PROSTH EXTNS,557.0,417.75,1.0,375.14,12
CPT,92597,SP EVAL/FIT VOICE PROSTH INTRM,557.0,417.75,1.0,375.14,12
CPT,925T,RLCJ SKIN POCKET PULSE GEN,13355.0,10016.25,1.0,16.13,190
CPT,92601,COCHLEAR IMPLT F/UP EXAM <7,,,1.0,803.15,12
CPT,92602,REPROGRAM COCHLEAR IMPLT <7,,,1.0,504.75,12
CPT,92603,COCHLEAR IMPLT F/UP EXAM 7/>,,,1.0,755.41,12
CPT,92604,REPROGRAM COCHLEAR IMPLT 7/>,,,1.0,455.28,12
CPT,92605,EX FOR NONSPEECH DEVICE RX,,,1.0,463.83,10
CPT,92607,EX FOR SPEECH DEVICE RX 1HR,,,1.0,637.75,12
CPT,92608,EX FOR SPEECH DEVICE RX ADDL,,,1.0,250.66,12
CPT,92609,USE OF SPEECH DEVICE SERVICE,,,1.0,532.03,12
CPT,92610,SP SWAL EVAL ORAL PHARYN BASIC,816.0,612.0,1.0,439.95,12
CPT,92610,SP SWAL EVAL ORAL PHARYN COMP,816.0,612.0,1.0,439.95,12
CPT,92610,SP SWAL EVAL ORAL PHARYN EXTNS,816.0,612.0,1.0,439.95,12
CPT,92610,SP SWAL EVAL ORAL PHARYN INTRM,816.0,612.0,1.0,439.95,12
CPT,92611,SP EVAL CINE VIDEO,832.0,624.0,1.0,468.95,17
CPT,92611,SP EVAL CINE VIDEO CMPLX,832.0,624.0,1.0,468.95,17
CPT,92611,SP EVAL CINE VIDEO EXTNSV,832.0,624.0,1.0,468.95,17
CPT,92611,SP EVAL CINE VIDEO INTERM,832.0,624.0,1.0,468.95,17
CPT,92612,ENDOSCOPY SWALLOW (FEES) VID,,,1.0,1019.71,17
CPT,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,1.0,185.86,17
CPT,92614,LARYNGOSCOPIC SENSORY VID,,,1.0,769.05,17
CPT,92615,LARYNGOSCOPIC SENSORY I&R,,,1.0,165.4,12
CPT,92616,FEES W/LARYNGEAL SENSE TEST,,,1.0,1183.41,17
CPT,92617,FEES W/LARYNGEAL SENSE I&R,,,1.0,206.32,12
CPT,92618,EX FOR NONSPEECH DEV RX ADD,,,1.0,162.01,10
CPT,92620,AUDITORY FUNCTION 60 MIN,,,1.0,115.89,12
CPT,92621,AUDITORY FUNCTION + 15 MIN,,,1.0,28.21,12
CPT,92622,DX ALY AUD OI SND PRCSR 1ST,,,1.0,185.86,12
CPT,92623,DX ALY AUD OI SND PRCSR EACH,,,1.0,46.04,12
CPT,92625,TINNITUS ASSESSMENT,,,1.0,342.74,12
CPT,92626,EVAL AUD FUNCJ 1ST HOUR,,,1.0,439.95,12
CPT,92627,EVAL AUD FUNCJ EA ADDL 15,,,1.0,104.02,12
CPT,92630,AUD REHAB PRE-LING HEAR LOSS,,,1.0,395.47,10
CPT,92633,AUD REHAB POSTLING HEAR LOSS,,,1.0,395.47,10
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,1.0,552.49,12
CPT,92650,AEP SCR AUDITORY POTENTIAL,,,1.0,88.69,10
CPT,92651,AEP HEARING STATUS DETER I&R,,,1.0,226.81,12
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,2156.0,1617.0,1.0,286.49,12
CPT,92653,AEP NEURODIAGNOSTIC I&R,2156.0,1617.0,1.0,226.81,12
CPT,926T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including",,,1.0,3.2,10
CPT,92700,UNLISTED ORL SERVICE/PX,,,0.03,1.0,10
CPT,927T,"Interrogation device evaluation (in person) with analysis, review, and report, including connection, recording, and disconnection, per patient encounter, implantable cardiac contractility modulation-d",,,1.0,3.2,10
CPT,928T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation-defibrillation system with interim analysis and report(s) by a physician or other qualified health care profes",,,1.0,3.2,10
CPT,92920,COR ANGPLSTY INIT,22149.0,16611.75,0.22,19934.1,115
CPT,92921,COR ANGPLSTY ADD,22149.0,16611.75,0.22,19934.1,113
CPT,92924,COR ATHERECT APLAS INIT,38802.0,29101.5,0.22,34921.8,25
CPT,92925,COR ATHERECT APLAS ADD,32877.0,24657.75,0.22,29589.3,23
CPT,92928,COR STNT ANGIO INIT,27739.0,20804.25,0.22,28774.0,115
CPT,92929,COR STNT ANGIO ADD,25631.0,19223.25,0.22,23067.9,113
CPT,92933,COR ATHER STNT APLST INI,33870.0,25402.5,0.22,30483.0,25
CPT,92934,COR ATHER STNT APLST ADD,26429.0,19821.75,0.22,23786.1,23
CPT,92937,REVAS PERC TRANS SGL VES,31906.0,23929.5,0.22,28715.4,25
CPT,92938,PRQ REVASC BYP GRAFT ADDL,,,0.22,9407.0,17
CPT,92941,REVAS PERC TRANS OCCL MI,27739.0,20804.25,0.22,24965.1,32
CPT,92943,REVAS PERC TRANS TOT OCC,33870.0,25402.5,0.22,30483.0,115
CPT,92944,REVAS PERC TRANS OCC ADD,28668.0,21501.0,0.22,25801.2,23
CPT,92950,CPR,1169.0,876.75,1.0,1137.0,206
CPT,92950,CPR CARDIOPULM RESUSC,2282.0,1711.5,1.0,1137.0,103
CPT,92950,RT CPR,2033.0,1524.75,1.0,1137.0,103
CPT,92953,TEMP TRANSCUTNEOUS PACNG,2267.0,1700.25,1.0,1137.0,18
CPT,92953,TRANSCUTANEOUS PACING,2266.0,1699.5,1.0,1137.0,18
CPT,92960,CARDIOVERSION ELEC,10144.0,7608.0,1.0,3791.0,206
CPT,92960,CARDIOVERSION ELEC/SCHED,10144.0,7608.0,1.0,3791.0,103
CPT,92960,CARDIOVRT ELECTRC/ELECTV,10144.0,7608.0,1.0,3791.0,103
CPT,92961,CARDIOVERSION ELECTRIC INT,,,1.0,3791.0,18
CPT,92970,CIRC ASSIST INT,2033.0,1524.75,0.22,5483.0,32
CPT,92971,CARDIOASSIST EXTERNAL,,,0.22,5483.0,19
CPT,92972,PERQ TRANSLUM CORONARY LITHOTR,30040.0,22530.0,0.22,27036.0,19
CPT,92973,PERC CORON THROMBECT,6508.0,4881.0,0.22,8165.0,25
CPT,92974,CATH PLACE CARDIO BRACHYTX,,,0.22,5085.0,19
CPT,92975,DISSOLVE CLOT HEART VESSEL,,,0.22,5483.0,19
CPT,92977,DISSOLVE CLOT HEART VESSEL,,,0.22,1137.0,19
CPT,92978,IVUS CORONARY INIT VESSL,4862.0,3646.5,0.22,4375.8,113
CPT,92979,IVUS CORONARY EA ADD,470.0,352.5,0.22,1555.74,113
CPT,92986,PERC VALVULOPLSTY AORTIC,27490.0,20617.5,0.22,24741.0,115
CPT,92987,BALLN VALVULPLSTY MITRL,42382.0,31786.5,0.22,38143.8,25
CPT,92990,VALVULOPLASTY PULM,47344.0,35508.0,0.22,42609.6,25
CPT,92992,Balloon Catheter Enlargement Of Opening Between Two Upper Heart Chambers,,,5483.0,5483.0,1
CPT,92993,Catheter Based Enlargement Of Opening Between Two Upper Heart Chambers,,,5483.0,5483.0,1
CPT,92997,APLASTY PULM ART INITL,26374.0,19780.5,0.22,24832.51,230
CPT,92998,PUL ART BALLOON REPR PERCUT,,,0.22,9407.0,19
CPT,929T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation-defibrillation system, remote data acquisition(s), receipt of transmissions, technician review, technical supp",,,1.0,3.2,10
CPT,92U,ONC LNG 3 PRTN BMRK PLSM ALG,,,0.92,2488.0,14
CPT,93000,EKG W/INTERPRET,310.0,232.5,1.0,32.27,12
CPT,93005,2W-EKG-TRACING ONLY,272.0,204.0,1.0,24.2,12
CPT,93005,4WS-EKG-TRACING ONLY,258.0,193.5,1.0,24.2,12
CPT,93005,5W-EKG-TRACING ONLY,272.0,204.0,1.0,24.2,12
CPT,93005,ECG TRACING ONLY,338.0,253.5,1.0,24.2,12
CPT,93005,EKG 12 LEAD TRACING,511.0,383.25,1.0,24.2,24
CPT,93005,EKG TRACE ONLY,267.0,200.25,1.0,24.2,156
CPT,93005,EKG-12 LEAD TRACING ONLY,294.0,220.5,1.0,24.2,12
CPT,93010,ELECTROCARDIOGRAMINT/REP,106.4,79.8,1.0,10.64,2
CPT,93015,CARDIO STRESS TEST,1130.0,847.5,1.0,238.72,12
CPT,93016,STRESS TST SUPERVSN ONLY,269.0,201.75,1.0,27.01,2
CPT,93016,STRESS TST SUPRVSN ONLY,276.0,207.0,1.0,27.01,2
CPT,93017,CARDIO STRESS TRACE ONLY,2042.875,1532.155,1.0,192.68,48
CPT,93018,STRESS TEST INTERP & REPORT,241.0,180.75,1.0,18.4,2
CPT,93024,CARDIAC DRUG STRESS TEST,,,1.0,301.82,12
CPT,93025,MICROVOLT T-WAVE ASSESS,,,1.0,467.22,12
CPT,93040,RHYTHM ECG WITH REPORT,,,1.0,39.22,12
CPT,93041,RHYTHM ECG TRACING,,,1.0,32.4,12
CPT,93042,RHYTHM ECG REPORT,,,1.0,8.93,2
CPT,93050,ART PRESSURE WAVEFORM ANALYS,,,1.0,10.94,12
CPT,930T,EP EVAL CCM-D LD INITIAL IMP,6539.0,4904.25,1.0,3.2,15
CPT,93150,THERAPY ACTIVATION IPNSS,,,1.0,131.03,12
CPT,93151,INTERROG&PRGRMG IPNSS,,,1.0,114.83,12
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,,,1.0,184.86,12
CPT,93153,INTERROG W/O PRGRMG IPNSS,,,1.0,68.44,12
CPT,931T,EP EVL POST INITIAL IMPLNT SEP,8311.0,6233.25,1.0,3.2,15
CPT,932,ANESTH AMPUTATION OF PENIS,,,,,0
CPT,93224,ECG MONIT/REPRT UP TO 48 HRS,,,1.0,288.19,12
CPT,93225,EKG MNTR UP TO 48 HRS,2004.135,1503.1,1.0,90.38,24
CPT,93226,EKG MNTR SCN W/RPT 48 HR,1538.21,1153.66,1.0,173.95,24
CPT,93227,ECG MONIT/REPRT UP TO 48 HRS,,,1.0,23.56,2
CPT,93228,REMOTE 30 DAY ECG REV/REPORT,,,1.0,33.18,2
CPT,93229,EXT TELEM TECH SUPPORT,5992.0,4494.0,1.0,3911.77,12
CPT,93241,EXT ECG>48HR<7D REC SCAN A/R,,,1.0,1007.19,12
CPT,93242,EXT EKG>48HR<7D RECORDING,543.0,407.25,1.0,45.72,12
CPT,93243,EXT ECG>48HR<7D SCAN A/R,836.0,627.0,1.0,939.96,12
CPT,93244,EXT ECG>48HR<7D REV&INTERPJ,,,1.0,29.91,12
CPT,93245,EXT ECG>7D<15D REC SCAN A/R,,,1.0,1044.84,12
CPT,93246,EXT EKG>7D<15D RECORDING,601.0,450.75,1.0,45.72,12
CPT,93247,EXT ECG>7D<15D SCAN A/R,947.0,710.25,1.0,974.92,12
CPT,93248,EXT ECG>7D<15D REV&INTERPJ,,,1.0,32.93,12
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,1.0,93.68,97
CPT,93261,INTERROGATE SUBQ DEFIB,,,1.0,93.68,97
CPT,93264,REM MNTR WRLS P-ART PRS SNR,,,1.0,68.63,12
CPT,93268,ECG RECORD/REVIEW,,,1.0,765.65,12
CPT,93270,REMOTE 30 DAY ECG REV/REPORT,,,1.0,39.22,12
CPT,93271,EVENT MONITOR ANALYSIS,4085.0,3063.75,1.0,697.43,12
CPT,93272,ECG/REVIEW INTERPRET ONLY,,,1.0,31.19,2
CPT,93278,ECG/SIGNAL-AVERAGED,,,1.0,98.9,12
CPT,93279,PRGRMG DEV EVAL PM/LDLS PM,,,1.0,182.46,12
CPT,93280,PM DUAL CHMB EVAL W PROG,1360.0,1020.0,1.0,211.44,12
CPT,93281,PM DEVICE PROGR EVAL MULTI,,,1.0,214.87,12
CPT,93282,PRGRMG EVAL IMPLANTABLE DFB,,,1.0,194.41,12
CPT,93283,PRGRMG EVAL IMPLANTABLE DFB,,,1.0,213.17,12
CPT,93284,PRGRMG EVAL IMPLANTABLE DFB,,,1.0,228.51,12
CPT,93285,PRGRMG DEV EVAL SCRMS IP,,,1.0,173.95,12
CPT,93286,PROG/EVAL PERIPROC PM OR LDLES,1340.0,1005.0,1.0,153.46,24
CPT,93287,PERI-PX DEVICE EVAL & PRGR,,,1.0,153.46,12
CPT,93288,EVAL W/ANALYSIS PM OR LDLES,606.0,454.5,1.0,180.77,24
CPT,93289,INTERROGATION ANY ICD,488.0,366.0,1.0,180.77,12
CPT,93290,INTERROG DEV EVAL ICPMS IP,,,1.0,162.01,12
CPT,93291,INTERROGATION LOOP RECORDER,316.0,237.0,1.0,156.88,12
CPT,93292,WCD DEVICE INTERROGATE,,,1.0,153.46,12
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,,,1.0,141.55,12
CPT,93294,REM INTERROG EVL PM/LDLS PM,,,1.0,39.22,12
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,,,1.0,49.47,12
CPT,93296,REM INTERROG EVL PM/IDS,,,1.0,100.6,12
CPT,93297,REM INTERROG DEV EVAL ICPMS,,,1.0,182.46,12
CPT,93298,REM INTERROG DEV EVAL SCRMS,,,1.0,390.51,12
CPT,932T,"Noninvasive detection of heart failure derived from augmentative analysis of an echocardiogram that demonstrated preserved ejection fraction, with interpretation and report by a physician or other qua",,,1.0,3.2,10
CPT,93303,ECHO TRANSTHORACIC COMP,1679.0,1259.25,1.0,792.93,12
CPT,93304,ECHO TRANSTHORACIC,,,1.0,596.83,12
CPT,93306,ECHO2D SPECTR/COLOR FLO,3691.0,2768.25,1.0,646.3,36
CPT,93307,ECHO TRANSTHOR 2D COMPL,1926.0,1444.5,1.0,472.35,12
CPT,93307,TRNSTHOR 2D ECHO CMPLETE,2181.0,1635.75,1.0,472.35,12
CPT,93308,ECHO TRNSTHR 2D FU/LTD,1688.0,1266.0,1.0,373.45,12
CPT,93308,ECHOCARDIO 2D LTD,1309.64,982.23,1.0,373.45,12
CPT,93312,ECHO TRANSESOPHAGEAL,4691.0,3518.25,1.0,656.51,12
CPT,93312,TRANSESOPHAGEAL ECHO,2339.0,1754.25,1.0,656.51,12
CPT,93313,ECHO TRANSESOPHAGEAL,,,1.0,14.85,12
CPT,93314,ECHO TRANSESOPHAGEAL,,,1.0,690.61,12
CPT,93315,ECHO TRANSESOPHAGEAL,,,1.0,1755.49,10
CPT,93316,ECHO TRANSESOPHAGEAL,,,1.0,33.59,12
CPT,93317,ECHO TRANSESOPHAGEAL,,,1.0,658.21,10
CPT,93318,TEE CONT/ASSESS/FUNC,5976.0,4482.0,1.0,1755.49,10
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,1386.0,1039.5,1.0,182.46,12
CPT,93320,DOPPLER ECHO PULSE/CONT,1186.0,889.5,1.0,167.1,36
CPT,93321,CARDIAC DOPPLER FU/LTD,839.0,629.25,1.0,90.38,12
CPT,93325,DOPPLER ECHO COLOR FLOW,1371.0,1028.25,1.0,100.6,24
CPT,93350,ECHOCARDIOGRAM EX STRESS,5173.0,3879.75,1.0,588.31,12
CPT,93351,STRESS TTE COMPLETE,,,1.0,760.53,12
CPT,93352,ADMIN ECG CONTRAST AGENT,,,1.0,143.24,12
CPT,93355,TEE W/INTRACARD THERAPY,1999.0,1499.25,1.0,294.44,12
CPT,93356,MYOCARDIAL STRAIN IMAGING,981.0,735.75,1.0,141.55,12
CPT,933T,TCAT IMP WRLS L ATR PRS SNR,108999.0,81749.25,1.0,16.13,95
CPT,934,ANESTH PENIS NODES REMOVAL,,,,,0
CPT,93451,CATH RIGHT HEART,10017.5,7513.125,0.22,9449.1,50
CPT,93452,CATH LT HRT W/LTVENT,16408.0,12306.0,0.22,14767.2,25
CPT,93453,CATH R&L HRT W/VENTRICLG,19047.0,14285.25,0.22,17142.3,25
CPT,93454,CATH CORONARY ARTERY S&I,16801.0,12600.75,0.22,15120.9,25
CPT,93455,CATH COR ART/GRFT S&I,14435.0,10826.25,0.22,12991.5,25
CPT,93456,CATH R HRT COR ART ANG,24062.0,18046.5,0.22,21655.8,25
CPT,93457,CATH R HRT ART/GRFT ANGI,20345.0,15258.75,0.22,18310.5,25
CPT,93458,CATH L HRT ARTERY/VENTR,28743.0,21557.25,0.22,25868.7,25
CPT,93459,CATH L HRT ART/GRFT,18145.0,13608.75,0.22,16330.5,25
CPT,93460,CATH R&L HRT ART/VENT,26060.0,19545.0,0.22,23454.0,25
CPT,93461,CATH R&L HRT AR/VNT BPGF,28730.0,21547.5,0.22,25857.0,25
CPT,93462,CATH LT HRT/TRSEPTPUNCT,18685.0,14013.75,0.22,17617.5,50
CPT,93463,PHARM AGENT EVAL ADD ON,3547.0,2660.25,0.22,3192.3,30
CPT,93464,EXERCISE W/HEMODYNAMIC MEAS,,,0.22,1137.0,19
CPT,934T,"Remote monitoring of a wireless left atrial pressure sensor for up to 30 days, including data from daily uploads of left atrial pressure recordings, interpretation(s) and trend analysis, with adjustme",,,1.0,3.2,10
CPT,93503,INSERT SWANGANZ CATHETER,4426.0,3319.5,0.22,5085.0,50
CPT,93505,ENDOMYOCARDIAL BIOPSY,6430.0,4822.5,0.22,5787.0,25
CPT,93530,Insertion Of Catheter Into Right Upper Heart Chamber For Evaluation Of Congenital Abnormalities,,,8165.0,8165.0,1
CPT,93531,Insertion Of Catheter Into Right And Left Heart Chambers For Evaluation Of Congenital Abnormalities,,,8165.0,8165.0,1
CPT,93532,Insertion Of Catheter Into Right And Left Heart Chambers Through Intact Septum For Evaluation Of Congenital Abnormalities,,,8165.0,8165.0,1
CPT,93533,Insertion Of Catheter Into Right And Left Heart Chambers Through Existing Septal Opening For Evaluation Of Congenital Abnormalities,,,8165.0,8165.0,1
CPT,93561,Cardiac Output Measurements,,,1137.0,1137.0,1
CPT,93562,Subsequent Cardiac Output Measurements,,,1137.0,1137.0,1
CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,,,0.22,1137.0,19
CPT,93564,NJX CGEN CAR CATH SLCTV OPAC,,,0.22,1137.0,19
CPT,93565,NJX CAR CTH SLCTV LV/LA ANG,,,0.22,1137.0,19
CPT,93566,CATH INJ R VENTRIC/ATRIA,374.0,280.5,0.22,1137.0,25
CPT,93567,CATH INJ SUPRVLV AORTOGR,1259.0,944.25,0.22,1144.8,115
CPT,93568,INJ PULM ART HRT CATH NONSLCT,802.5,601.875,0.22,1265.47,230
CPT,93569,NJX CTH SLCT P-ART ANGRP UNI,,,0.22,48.92,18
CPT,93571,DOPP FLW/PR MSMNT INIT,3643.0,2732.25,0.22,3278.7,23
CPT,93572,DOPP FLW/PR MSMNT ADDL,3091.0,2318.25,0.22,2781.9,23
CPT,93573,INJ CATH SLCT P-ART ANGRP BI,8672.0,6504.0,0.22,7804.8,24
CPT,93574,NJX CATH SLCT PULM VN ANGRPH,,,0.22,90.94,18
CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,,,0.22,120.74,18
CPT,93580,PERC CLS INTRATRL W IMPL,68072.0,51054.0,0.22,69644.7,230
CPT,93581,PERC CLS VENT SEPT W IMP,29437.0,22077.75,0.22,26493.3,25
CPT,93582,PERC TRANSCATH CLOS PDA,37929.0,28446.75,0.22,39411.26,109
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,,,0.22,1031.3,98
CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,,,0.22,77.59,13
CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,,,0.22,73.29,13
CPT,93586,VNGRPH CHD CORONARY SINUS,,,0.22,93.16,13
CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,,,0.22,135.74,13
CPT,93588,VNGRPH CHD VNVN CLTRL BELOW,,,0.22,137.78,13
CPT,93590,PERC TRNSCATH LS MITRAL,67033.0,50274.75,0.22,60329.7,109
CPT,93591,PERQ TRANSCATH CLS AORTIC,,,0.22,1165.12,103
CPT,93592,PERQ TRANSCATH CLOSURE EACH,,,0.22,503.35,103
CPT,93593,R HRT CATH CHD NML NT CNJ,,,0.22,10297.98,16
CPT,93594,R HRT CATH CHD ABNL NT CNJ,,,0.22,10297.98,16
CPT,93595,L HRT CATH CHD NM/ABN NT CNJ,,,0.22,10297.98,16
CPT,93596,CATH RT/LT CNGTL NRML W/IMG GD,32674.0,24505.5,0.22,29406.6,22
CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,,,0.22,10297.98,16
CPT,93598,CAR OUTP MEAS DRG CATH CHD,,,1.0,887.54,15
CPT,935T,"Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and mul",,,1.0,16.13,95
CPT,936,ANESTH PENIS NODES REMOVAL,,,,,0
CPT,93600,HIS BUNDLE RECORDING,13683.0,10262.25,1.0,24294.82,16
CPT,93602,INTRA-ARTERIAL RECORDING,11798.0,8848.5,1.0,24294.82,16
CPT,93603,RIGHT VENTRICULAR RECORDING,,,1.0,5085.0,16
CPT,93609,EP CARDIAC MAPPING,12215.0,9161.25,1.0,1137.0,16
CPT,93610,CATH ATRIAL PACING,15692.0,11769.0,1.0,24294.82,16
CPT,93612,INTRAVENTRICULAR PACING,15677.0,11757.75,1.0,24294.82,16
CPT,93613,INTRCRD EP 3DMAP,12607.0,9455.25,1.0,1137.0,18
CPT,93615,ESOPHAGEAL RECORDING,,,1.0,5085.0,16
CPT,93616,ESOPHAGEAL RECORDING,,,1.0,5085.0,16
CPT,93618,INDUCTN ARRHYTHMIA BY EP,4958.0,3718.5,1.0,5085.0,16
CPT,93619,COMP EP W/O INDUC/ARRYTH,43764.0,32823.0,1.0,24294.82,16
CPT,93620,EP COMP STUDY W/INDUCTN,49050.0,36787.5,1.0,24294.82,16
CPT,93621,COMP EP EVAL/LA FRM CS R,22103.0,16577.25,1.0,5272.11,16
CPT,93622,COMP EP EVAL/LV RECORD,27655.0,20741.25,1.0,5272.11,16
CPT,93623,EP POST DRUG INFUSION,4229.0,3171.75,1.0,5272.11,16
CPT,93624,EP DRUG FOLLOW-UP STUDY,9928.0,7446.0,1.0,24294.82,16
CPT,93631,HEART PACING MAPPING,,,1.0,1202.17,16
CPT,93640,EVALUATION HEART DEVICE,,,1.0,1313.02,16
CPT,93641,EP TEST AICD LEAD & GEN,5676.0,4257.0,1.0,1360.75,16
CPT,93642,EP EVAL AICD SUBSEQ,11591.0,8693.25,1.0,5085.0,18
CPT,93644,ELECTROPHYSIOLOGY EVALUATION,,,1.0,63.67,102
CPT,93650,ABLATION-AV NODE,41325.0,30993.75,0.22,37192.5,25
CPT,93653,COMP EP IND/ABLA INTR EP3D SVT,72055.5,54041.625,0.22,83671.2,50
CPT,93654,COMP EP/ABLAT INTRA V-TACH 3D,130899.0,98174.25,0.22,117809.1,25
CPT,93655,INTRACARD ABL ARRHY,81811.0,61358.25,0.22,73629.9,25
CPT,93656,CMP EP ABL INTRA AFIB PVI EP3D,81811.0,61358.25,0.22,73629.9,25
CPT,93657,COMP EP ABL AFIB ADTNL,44622.0,33466.5,0.22,40159.8,25
CPT,93660,TILT TABLE EVAL,8329.0,6246.75,1.0,3791.0,18
CPT,93662,INTRACARD ECHO,6568.0,4926.0,0.22,10304.1,46
CPT,93668,PERIPHERAL VASCULAR REHAB,,,1.0,75.02,12
CPT,936T,"Photobiomodulation therapy of retina, single session",,,1.0,3.2,10
CPT,93701,BIOIMPEDANCE CV ANALYSIS,,,1.0,133.0,12
CPT,93702,BIS XTRACELL FLUID ANALYSIS,,,1.0,601.95,12
CPT,93724,ANALYZE PACEMAKER SYSTEM,,,1.0,237.02,12
CPT,93740,TEMPERATURE GRADIENT STUDIES,,,1.0,3.2,10
CPT,93745,SET-UP CARDIOVERT-DEFIBRILL,,,1.0,1137.0,16
CPT,93750,INTERROGATION VAD IN PERSON,,,1.0,1137.0,18
CPT,93770,MEASURE VENOUS PRESSURE,,,1.0,10.25,10
CPT,93784,AMBL BP MNTR W/SOFTWARE,,,1.0,165.4,12
CPT,93786,AMBL BP MNTR W/SW REC ONLY,,,1.0,114.24,12
CPT,93788,AMBL BP MNTR W/SW A/R,,,1.0,27.28,12
CPT,93790,AMBL BP MNTR W/SW I&R,,,1.0,23.88,12
CPT,93792,PT/CAREGIVER TRAING HOME INR,,,1.0,88.53,2
CPT,93793,ANTICOAG MGMT PT WARFARIN,,,1.0,14.9,2
CPT,93797,CARDIAC REHAB,,,1.0,54.56,12
CPT,93798,C/R EXER PHASE II,597.0,447.75,1.0,78.44,12
CPT,93799,NSRT HEART ASSIST CATH-PERC<24,9385.0,7038.75,1.0,1137.0,16
CPT,937T,"External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; including recording, scanning analysis with report, review and interpretation",,,1.0,3.2,10
CPT,93880,DUPLEX CAROTID BI/COMP,2525.0,1893.75,1.0,767.35,24
CPT,93882,DUPLEX CAROTID UNI/LTD,1031.5,773.625,1.0,509.87,24
CPT,93886,TRANSCRANIAL DOPP COMP,1955.5,1466.625,1.0,1081.12,24
CPT,93888,TRANSCRANIAL DOPP LTD,1034.0,775.5,1.0,642.87,36
CPT,93892,TCD EMBOLI DETECT W/O INJ,,,1.0,1200.48,12
CPT,93893,TCD EMBOLI DETECT W/INJ,,,1.0,1408.52,12
CPT,93895,CAROTID INTIMA ATHEROMA EVAL,,,0.92,16.13,100
CPT,93896,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure)",,,1.0,705.97,12
CPT,93897,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure)",,,1.0,960.03,12
CPT,93898,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,1.0,982.22,12
CPT,938T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; recording (including connection and initial recording),,,1.0,3.2,10
CPT,93922,UE/LE ART STUD LTD 1-2LV,1494.0,1120.5,1.0,358.11,12
CPT,93923,UE/LE ART STUD COMP 3+LVL,1777.0,1332.75,1.0,555.91,12
CPT,93924,NONINVS PHYS STDY LE ART,3076.0,2307.0,1.0,694.03,12
CPT,93925,LE ART IMAGING COMP BILAT,494.0,370.5,1.0,1019.71,12
CPT,93926,LE ART IMAGING UNI/LTD,1286.0,964.5,1.0,610.47,12
CPT,93930,UE ART IMAGING COMP BILAT,1852.0,1389.0,1.0,815.09,12
CPT,93931,UE ART IMAGING UNI/LTD,1393.0,1044.75,1.0,508.14,12
CPT,93970,UE/LE IMG VEINS COMP BILAT,2270.0,1702.5,1.0,779.29,24
CPT,93971,UE/LE IMG VEINS UNI/LTD,1375.5,1031.625,1.0,497.93,24
CPT,93975,ABD ART/VEN FLOW ABD COMP,1961.0,1470.75,1.0,1055.54,24
CPT,93976,ABD ART/VEN FLOW LTD,1518.0,1138.5,1.0,615.59,36
CPT,93978,AORT/INF/IV/BPG COMP,1091.0,818.25,1.0,723.01,36
CPT,93979,AORT/IVC/IV/BPG UNI/LTD,1499.5,1124.625,1.0,477.47,24
CPT,93980,PENILE VASCULAR STUDY,,,1.0,296.7,12
CPT,93981,PENILE VASCULAR STUDY,,,1.0,252.36,12
CPT,93985,SCAN HEMO PREOP BL,1719.0,1289.25,1.0,1065.78,12
CPT,93986,SCAN HEMO PROP UNI,1154.0,865.5,1.0,622.41,12
CPT,93990,SCAN HEMODIALYSIS ACCESS,832.0,624.0,1.0,624.11,12
CPT,93998,UNLISTD NONINVAS VASC DX STD,,,1.0,78.41,10
CPT,939T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; scanning analysis with report,,,1.0,3.2,10
CPT,93U,RX MNTR 65 COM DRUGS URINE,,,1.0,62.14,14
CPT,94002,HIGH FREQ VENT INITIAL,3340.0,2505.0,1.0,122.15,12
CPT,94002,VOLUME VENTILATOR INTL,2120.0,1590.0,1.0,122.15,12
CPT,94003,HIGH FREQ VENT SUBSQ/DLY,2907.0,2180.25,1.0,86.0,12
CPT,94003,VOLUME VENT SUBSQ/DLY,1876.0,1407.0,1.0,86.0,12
CPT,94004,VENT MGMT NF PER DAY,,,1.0,62.47,12
CPT,94010,SPIROMETRY,1018.0,763.5,1.0,98.9,36
CPT,94010,SPIROMETRY W/FVC,303.0,227.25,1.0,98.9,12
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,,,1.0,112.1,12
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,1.0,181.87,12
CPT,94013,MEAS LUNG VOL THRU 2 YRS,,,1.0,24.64,12
CPT,94014,PATIENT RECORDED SPIROMETRY,,,1.0,192.68,12
CPT,94015,PATIENT RECORDED SPIROMETRY,,,1.0,162.01,12
CPT,94016,REVIEW PATIENT SPIROMETRY,,,1.0,31.62,12
CPT,94060,BRONCHOSPASM EVAL PRE/PS,1000.0,750.0,1.0,148.37,24
CPT,94070,BRONCH EVAL W/ MULTI SPIRO,694.0,520.5,1.0,185.86,12
CPT,94070,BRONCH EVAL W/MULT SPIRO,2057.0,1542.75,1.0,185.86,24
CPT,940T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care profe,,,1.0,3.2,10
CPT,94150,VITAL CAPACITY,180.0,135.0,1.0,110.84,10
CPT,941T,"Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization",,,1.0,16.13,95
CPT,94200,MAX VOLUNTARY VENTILATION,213.0,159.75,1.0,63.11,12
CPT,94200,MAX VOLUNTRY VENTILATION,385.0,288.75,1.0,63.11,12
CPT,942T,"Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold",,,1.0,16.13,95
CPT,94375,FLOW VOLUME LOOPS,619.0,464.25,1.0,127.91,12
CPT,94375,RESP FLOW VOLUME LOOPS,348.0,261.0,1.0,127.91,12
CPT,943T,"Cystourethroscopy, flexible; with removal of prostatic urethral scaffold",,,1.0,16.13,95
CPT,94450,HYPOXIA RESPONSE CURVE,,,1.0,347.86,12
CPT,94452,HAST STUDY,438.0,328.5,1.0,187.59,12
CPT,94453,HAST W/OXYGEN TITRATE,592.0,444.0,1.0,250.66,12
CPT,944T,3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation,,,1.0,241.72,94
CPT,945T,"Intraoperative assessment for abnormal (tumor) tissue, in-vivo, following partial mastectomy (eg, lumpectomy) using computer-aided fluorescence imaging (List separately in addition to code for primary",,,1.0,16.13,95
CPT,94610,SURFACTANT ADMIN TUBE,501.0,375.75,1.0,73.21,12
CPT,94617,EXERCISE TST BRNCSPSM W/ECG,,,1.0,298.43,12
CPT,94618,PULMONARY STRESS TST,1617.5,1213.125,1.0,64.8,24
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,,,1.0,226.81,12
CPT,94621,CARDIOPULM EXERCISE TESTING,3428.0,2571.0,1.0,453.58,12
CPT,94625,PHY/QHP OP PULM RHB W/O MNTR,,,1.0,327.41,12
CPT,94626,PHY/QHP OP PULM RHB W/MNTR,,,1.0,327.41,12
CPT,94640,1E-NEBULIZER TREATMENT,628.0,471.0,1.0,39.22,12
CPT,94640,2W-NEBULIZER TREATMENT,628.0,471.0,1.0,39.22,12
CPT,94640,AEROSOL TREATMENT,530.0,397.5,1.0,39.22,108
CPT,94640,HAND HELD NEB TREATMENT,530.0,397.5,1.0,39.22,36
CPT,94640,IPPB TX,530.0,397.5,1.0,39.22,24
CPT,94640,MDI TREATMENT,530.0,397.5,1.0,39.22,24
CPT,94640,NEBULIZER (AMB STAFF),628.0,471.0,1.0,39.22,24
CPT,94640,NEBULIZER TX,530.0,397.5,1.0,39.22,24
CPT,94640,RN NEBULIZER TX,530.0,397.5,1.0,39.22,12
CPT,94642,PENTAMIDINE TREATMENT,468.0,351.0,1.0,651.19,10
CPT,94644,CONT AER MED OBSTR 1STHR,731.0,548.25,1.0,291.58,12
CPT,94645,CONT AER MED OBSTR ADDHR,165.0,123.75,1.0,85.26,12
CPT,94660,BIPAP INITIAL,1122.0,841.5,1.0,196.1,12
CPT,94660,BIPAP MANAGEMENT DLY,438.0,328.5,1.0,196.1,12
CPT,94660,CPAP INITIAL,1745.0,1308.75,1.0,196.1,12
CPT,94660,CPAP MANAGEMENT DLY,438.0,328.5,1.0,196.1,12
CPT,94662,NEGATIVE PRESSURE VENT,2251.0,1688.25,1.0,45.5,36
CPT,94664,AEROSOL DEMO AND/OR EVAL,238.0,178.5,1.0,88.69,12
CPT,94664,HHN DEMO AND/OR EVAL,455.0,341.25,1.0,88.69,24
CPT,94667,CHST WALL MANIPULATN INI,269.0,201.75,1.0,126.18,12
CPT,94668,CHST WALL MANIPULATN SUB,336.0,252.0,1.0,194.41,12
CPT,94669,MECH CHEST WALL OSCILL,573.0,429.75,1.0,432.13,97
CPT,94680,EXHALED AIR ANALYSIS O2,,,1.0,206.32,12
CPT,94681,O2 UPTAKE CO2 OUTPUT %02,991.0,743.25,1.0,197.8,12
CPT,94690,O2 UPTAKE REST INDRCT,974.0,730.5,1.0,228.51,12
CPT,946T,"Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report",,,1.0,106.34,14
CPT,94726,PLETH LUNG VOL/AIR RES.,1079.0,809.25,1.0,230.2,12
CPT,94726,PLETHYSMOGRAPHY LUNG VOL,1079.0,809.25,1.0,230.2,12
CPT,94727,GAS DIL LUNG VOL,901.0,675.75,1.0,170.52,12
CPT,94727,LUNG VOL GAS DIL/WASHOUT,901.0,675.75,1.0,170.52,12
CPT,94728,AIR REST.BY IMPL.OSC,706.0,529.5,1.0,165.4,12
CPT,94728,AIRWAY RESIST OSCILLMTRY,706.0,529.5,1.0,165.4,12
CPT,94729,DIFFUSING CAPACITY,909.0,681.75,1.0,242.14,12
CPT,94760,CCHD,193.0,144.75,1.0,17.07,12
CPT,94760,PULSE OX SINGLE,374.0,280.5,1.0,17.07,12
CPT,94760,PULSE OXIMETRY-INIT,193.0,144.75,1.0,17.07,12
CPT,94761,PULSE OX EXER TOL,458.0,343.5,1.0,18.76,12
CPT,94761,PULSE OXIM MULT DETRM,413.0,309.75,1.0,18.76,12
CPT,94762,PULSE OXIMTRY CONTINUOUS,338.0,253.5,1.0,124.48,12
CPT,94772,BREATH RECORDING INFANT,,,1.0,1698.82,10
CPT,94774,PED HOME APNEA REC COMPL,,,1.0,854.79,10
CPT,94775,PED HOME APNEA REC HK-UP,,,1.0,500.94,10
CPT,94776,PED HOME APNEA REC DOWNLD,,,1.0,500.94,10
CPT,94780,CAR SEAT/BED TEST 60MIN,219.0,164.25,1.0,185.86,12
CPT,94781,CAR/BED TEST EA ADD 30,110.0,82.5,1.0,80.14,12
CPT,94799,ADMIN HELIUM THERAPY DAILY,455.0,341.25,1.0,500.94,10
CPT,94799,OPTIFLOW HFOT INITIAL,504.0,378.0,1.0,500.94,20
CPT,94799,OPTIFLOW HFOT MANAGEMENT DLY,504.0,378.0,1.0,500.94,10
CPT,947T,"Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomark",,,0.5,16.13,99
CPT,948T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system with interim analysis, review and report(s) by a physician or other qualified health care professional",,,1.0,3.2,10
CPT,949T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data acquisition(s), receipt of transmissions, technician review, technical support, and distri",,,1.0,3.2,10
CPT,94U,GENOME RAPID SEQUENCE ALYS,,,1.0,7582.2,14
CPT,95004,PERCUT ALLERGY SKIN TESTS,,,1.0,5.0,12
CPT,95012,EXHALED NITRIC OXIDE MEAS,,,1.0,71.62,17
CPT,95017,PERQ & ICUT ALLG TEST VENOMS,,,1.0,11.16,12
CPT,95018,PERQ&IC ALLG TEST DRUGS/BIOL,,,1.0,26.33,12
CPT,95024,ICUT ALLERGY TEST DRUG/BUG,,,1.0,10.27,12
CPT,95027,ICUT ALLERGY TITRATE-AIRBORN,,,1.0,6.28,12
CPT,95028,ICUT ALLERGY TEST-DELAYED,,,1.0,16.51,12
CPT,95044,ALLERGY PATCH TESTS,,,1.0,6.69,12
CPT,95052,PHOTO PATCH TEST,,,1.0,7.59,12
CPT,95056,PHOTOSENSITIVITY TESTS,,,1.0,70.96,12
CPT,95060,EYE ALLERGY TESTS,,,0.92,50.91,12
CPT,95065,NOSE ALLERGY TEST,,,0.92,37.73,12
CPT,95070,BRONCHIAL ALLERGY TESTS,,,1.0,47.32,12
CPT,95076,INGEST CHALLENGE INI 120 MIN,,,1.0,478.3,17
CPT,95079,INGEST CHALLENGE ADDL 60 MIN,,,1.0,329.97,17
CPT,950T,"Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance",,,1.0,16.13,95
CPT,95115,IMMUNOTHERAPY ONE INJECTION,,,1.0,52.86,12
CPT,95117,IMMUNOTHERAPY INJECTIONS,,,1.0,61.38,12
CPT,95120,IMMUNOTHERAPY ONE INJECTION,,,1.0,80.04,10
CPT,95125,IMMUNOTHERAPY 2/> INJECTIONS,,,1.0,120.03,10
CPT,95130,IMMNTX 1 STING INSECT,,,1.0,117.15,10
CPT,95131,IMMNTX 2 STING INSECTS,,,1.0,155.76,10
CPT,95132,IMMNTX 3 STING INSECTS,,,1.0,198.6,10
CPT,95133,IMMNTX 4 STING INSECTS,,,1.0,198.6,10
CPT,95134,IMMNTX 5 STING INSECTS,,,1.0,231.45,10
CPT,95144,ANTIGEN THERAPY SERVICES,,,1.0,56.48,12
CPT,95145,ANTIGEN THERAPY SERVICES,,,1.0,131.78,12
CPT,95146,ANTIGEN THERAPY SERVICES,,,1.0,250.12,12
CPT,95147,ANTIGEN THERAPY SERVICES,,,1.0,240.7,12
CPT,95148,ANTIGEN THERAPY SERVICES,,,1.0,361.73,12
CPT,95149,ANTIGEN THERAPY SERVICES,,,1.0,484.1,12
CPT,95165,ANTIGEN THERAPY SERVICES,,,1.0,48.41,12
CPT,95170,ANTIGEN THERAPY SERVICES,,,1.0,33.62,12
CPT,95180,RAPID DESENSITIZATION,,,1.0,359.81,12
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,,,1.0,48.6,15
CPT,951T,"Totally implantable active middle ear hearing implant; initial placement, including mastoidectomy, placement of and attachment to sound processor",,,1.0,16.13,95
CPT,95249,CONT GLUC MNTR PT PROV EQP,,,1.0,330.8,12
CPT,95250,CONT GLUC MNTR PHYS/QHP EQP,,,1.0,728.13,12
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,,,1.0,49.47,12
CPT,952T,"Totally implantable active middle ear hearing implant; revision or replacement, with mastoidectomy and replacement of sound processor",,,1.0,16.13,95
CPT,953T,"Totally implantable active middle ear hearing implant; revision or replacement, without mastoidectomy and replacement of sound processor",,,1.0,16.13,95
CPT,954T,"Totally implantable active middle ear hearing implant; replacement of sound processor only, with attachment to existing transducers",,,1.0,16.13,95
CPT,955T,"Totally implantable active middle ear hearing implant; removal, including removal of sound processor and all implant components",,,1.0,16.13,95
CPT,956T,"Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitor",,,1.0,16.13,95
CPT,95700,EEG CONT REC W/VID EEG MIN 8CH,1352.0,1014.0,1.0,500.94,20
CPT,95705,EEG W/O VID 2-12 HR UNMNTR,6973.0,5229.75,1.0,997.01,10
CPT,95706,EEG WO VID 2-12HR INTMT MNTR,,,1.0,997.01,10
CPT,95707,EEG W/O VID 2-12HR CONT MNTR,,,1.0,997.01,10
CPT,95708,EEG WO VID EA 12-26HR UNMNTR,6973.0,5229.75,1.0,1698.82,10
CPT,95709,EEG W/O VID EA 12-26HR INTMT,,,1.0,1698.82,10
CPT,95710,EEG W/O VID EA 12-26HR CONT,,,1.0,1698.82,10
CPT,95711,VEEG 2-12 HR UNMNTR,6972.0,5229.0,1.0,997.01,10
CPT,95712,VEEG 2-12 HR INTMT MNTR,10278.0,7708.5,1.0,997.01,20
CPT,95713,VEEG 2-12 HR CONT MNTR,10278.0,7708.5,1.0,1698.82,20
CPT,95714,VEEG EA 12-26 HR UNMNTR,6972.0,5229.0,1.0,1698.82,10
CPT,95715,VEEG EA 12-26HR INTMT MNTR,10278.0,7708.5,1.0,1698.82,20
CPT,95716,VEEG EA 12-26HR CONT MNTR,10278.0,7708.5,1.0,3257.38,20
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,1.0,179.04,12
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,1.0,226.81,12
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,,,1.0,271.12,12
CPT,95720,EEG PHY/QHP EA INCR W/VEEG,,,1.0,347.86,12
CPT,95721,EEG PHY/QHP>36<60 HR W/O VID,,,1.0,349.56,12
CPT,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,1.0,417.79,12
CPT,95723,EEG PHY/QHP>60<84 HR W/O VID,,,1.0,424.61,12
CPT,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,1.0,523.51,12
CPT,95725,EEG PHY/QHP>84 HR W/O VID,,,1.0,496.23,12
CPT,95726,EEG PHY/QHP>84 HR W/VEEG,,,1.0,678.66,12
CPT,95782,POLYSOM <6 YRS 4/> PARAMTRS,,,1.0,4355.14,12
CPT,95783,POLYSOM <6 YRS CPAP/BILVL,,,1.0,4597.29,12
CPT,957T,"Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including imaging guidance",,,1.0,16.13,95
CPT,95800,SLP STDY UNATTENDED,,,1.0,460.4,12
CPT,95801,SLP STDY UNATND W/ANAL,,,1.0,293.31,12
CPT,95803,ACTIGRAPHY TESTING,,,1.0,114.26,12
CPT,95805,MULT SLEEP LATENCY TEST,5681.0,4260.75,1.0,1957.58,12
CPT,95806,SLEEP STUDY UNATT&RESP EFFT,,,1.0,271.12,12
CPT,95807,SLEEP STUDY ATTENDED,,,1.0,1437.5,12
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,,,1.0,1655.34,12
CPT,95810,POLYSOMNOGRAPHY,9551.0,7163.25,1.0,2062.79,12
CPT,95811,POLYSOMNOGRAPHY CPAP 4,11528.0,8646.0,1.0,2162.3,12
CPT,95812,EEG MONITORING UP TO 1 HOUR,2005.0,1503.75,1.0,1493.79,12
CPT,95813,EEG MONITORING 61-119 MINS,2712.0,2034.0,1.0,1838.22,12
CPT,95816,EEG AWAKE/DROWSY,2139.0,1604.25,1.0,1698.41,12
CPT,95819,EEG AWAKE/SLEEP,1982.0,1486.5,1.0,2024.11,12
CPT,95822,EEG MONITOR SLEEP,1078.0,808.5,1.0,1850.17,12
CPT,95824,EEG CEREBRAL DEATH ONLY,,,1.0,1698.82,10
CPT,95829,ELECTROCORTIGRM AT SURG,12503.0,9377.25,1.0,7247.21,12
CPT,95830,INSERT ELECTRODES FOR EEG,,,1.0,3057.46,12
CPT,95836,ECOG IMPLTD BRN NPGT <30 D,,,1.0,140.43,12
CPT,95851,RANGE OF MOTION MEASUREMENTS,,,1.0,124.48,12
CPT,95852,RANGE OF MOTION MEASUREMENTS,,,1.0,105.72,12
CPT,95857,CHOLINESTERASE CHALLENGE,,,1.0,226.81,12
CPT,95860,EMG ONE EXTREMITY,2218.0,1663.5,1.0,310.34,12
CPT,95861,EMG TWO EXTREMITIES,3287.0,2465.25,1.0,383.69,12
CPT,95863,MUSCLE TEST 3 LIMBS,,,1.0,576.37,12
CPT,95864,MUSCLE TEST 4 LIMBS,,,1.0,607.07,12
CPT,95865,MUSCLE TEST LARYNX,,,1.0,332.53,12
CPT,95866,MUSCLE TEST HEMIDIAPHRAGM,,,1.0,334.23,12
CPT,95867,EMG CRAN MUSC(S) UNI,1276.0,957.0,1.0,320.59,12
CPT,95868,EMG CRANIAL BILATERAL,1276.0,957.0,1.0,330.8,12
CPT,95869,MUSCLE TEST THOR PARASPINAL,,,1.0,364.93,12
CPT,95870,MUSCLE TEST NONPARASPINAL,,,1.0,310.34,12
CPT,95872,EMG SINGLE FIBER,1970.0,1477.5,1.0,192.68,12
CPT,95873,GUIDE NERV DESTR ELEC STIM,,,1.0,250.66,12
CPT,95874,EMG GUIDED DENERVATION,376.0,282.0,1.0,277.94,24
CPT,95875,LIMB EXERCISE TEST,,,1.0,320.59,12
CPT,95885,NEEDLE ELCTROMYGRPHY LTD,450.0,337.5,1.0,213.17,12
CPT,95886,NEEDLE ELCTROMEYGPHY CMP,549.0,411.75,1.0,250.66,12
CPT,95887,NEEDLE ELCTRMYGPH NONEXT,243.0,182.25,1.0,230.2,12
CPT,958T,"Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitoring system, including imaging guidance",,,1.0,16.13,95
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,1.0,153.46,12
CPT,95907,NERVE COND STUDIES 1-2,337.0,252.75,1.0,187.59,12
CPT,95908,NERV COND STUDIES 3-4,955.0,716.25,1.0,233.63,12
CPT,95909,NERVE COND STUDIES 5-6,1135.0,851.25,1.0,281.37,12
CPT,95910,NERVE COND STUDIES 7-8,1397.0,1047.75,1.0,358.11,12
CPT,95911,NERVE COND STUDIES 9-10,1901.0,1425.75,1.0,404.15,12
CPT,95912,NERVE COND STUDIES 11-12,2301.0,1725.75,1.0,450.19,12
CPT,95913,NERVE COND STUDIES >13,2471.0,1853.25,1.0,514.99,12
CPT,95919,QUAN PUPLMTRY PHY/QHP UNI/BI,,,1.0,8.4,12
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,,,1.0,219.99,12
CPT,95922,AUTONOMIC NRV ADRENRG INERVJ,,,1.0,225.08,12
CPT,95923,AUTONOMIC NRV SYST FUNJ TEST,,,1.0,378.57,12
CPT,95924,ANS PARASYMP & SYMP W/TILT,,,1.0,320.59,12
CPT,95925,SOMATOSENSORY EP U/LIMB,907.0,680.25,1.0,646.3,12
CPT,95926,SOMATOSENSORY EP L/LIMB,744.0,558.0,1.0,584.89,12
CPT,95927,SOMATOSENSORY TESTING,,,1.0,765.65,12
CPT,95928,C MOTOR EVOKED UPPR LIMBS,,,1.0,813.39,12
CPT,95929,C MOTOR EVOKED LWR LIMBS,,,1.0,818.51,12
CPT,95930,VISUAL EVOKED POTENTIAL,2508.0,1881.0,1.0,245.54,12
CPT,95933,ORBICULARIS OCULI REFLEX,807.0,605.25,1.0,252.36,12
CPT,95937,NEUROMUSCULAR JNCTN TEST,884.0,663.0,1.0,346.17,12
CPT,95938,SOMATOSEN STDY UPPR/LWER,4162.0,3121.5,1.0,1677.95,24
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,,,1.0,2227.04,12
CPT,95940,IONM IN OPERATNG ROOM 15 MIN,,,1.0,42.51,12
CPT,95941,IONM REMOTE PER HOUR,1304.0,978.0,1.0,3.2,10
CPT,95954,EEG MONITORING/GIVING DRUGS,,,1.0,1403.4,12
CPT,95955,EEG DURING SURGERY,,,1.0,661.63,12
CPT,95957,EEG DIGITAL ANALYSIS,,,1.0,977.09,12
CPT,95958,EEG W/WADA ACTIVATN TST,2326.0,1744.5,1.0,2506.67,12
CPT,95961,CORT/SUBCORT MAP 1ST HR,4252.0,3189.0,1.0,867.95,12
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,,,1.0,569.55,12
CPT,95965,MEG SPONTANEOUS,,,1.0,1136.73,10
CPT,95966,MEG EVOKED SINGLE,,,1.0,1136.73,10
CPT,95967,MEG EVOKED EACH ADDL,,,1.0,338.6,10
CPT,95970,ANALYS IMP SPIN GEN W/O PROG,242.0,181.5,1.0,30.7,12
CPT,95971,ALYS SMPL SP/PN NPGT W/PRGRM,,,1.0,100.6,12
CPT,95972,ANALYS GEN /TRANSMT PROG CMPLX,1409.5,1057.125,1.0,141.55,24
CPT,95976,ALYS SMPL CN NPGT PRGRMG,,,1.0,59.68,12
CPT,95977,ALYS CPLX CN NPGT PRGRMG,,,1.0,78.44,12
CPT,95980,IO ANAL GAST N-STIM INIT,,,1.0,63.24,12
CPT,95981,IO ANAL GAST N-STIM SUBSQ,,,1.0,143.24,12
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,,,1.0,173.95,12
CPT,95983,ANLY NEUROSTM GEN PROG 1ST 15M,891.0,668.25,1.0,83.56,12
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,,,1.0,71.62,12
CPT,95990,REF/MNTN IMPLANTABLE PUMP/RES,853.0,639.75,1.0,1137.0,23
CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,,,1.0,1137.0,18
CPT,95992,CANALITH REPOSITIONING PROC,,,1.0,216.56,12
CPT,95999,UNLISTED NEUROLOGICAL DX PX,,,1.0,500.94,10
CPT,959T,"Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography monitoring system, including imaging guidance",,,1.0,16.13,90
CPT,95T,RMVL ARTIFIC DISC ADDL CRVCL,,,0.22,16.13,91
CPT,95U,EE&MJ BSC PRTN ELISA EST DEV,,,0.92,771.98,14
CPT,96000,MOTION ANALYSIS VIDEO/3D,,,1.0,108.66,12
CPT,96001,MOTION TEST W/FT PRESS MEAS,,,1.0,148.37,12
CPT,96002,DYNAMIC SURFACE EMG,,,1.0,34.1,12
CPT,96004,PHYS REVIEW OF MOTION TESTS,,,1.0,141.4,2
CPT,96020,FUNCTIONAL BRAIN MAPPING,,,1.0,35.8,10
CPT,96041,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter",,,1.0,257.48,10
CPT,960T,"Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for continuous bilateral electroencephalography monitoring system, including imaging guidan",,,1.0,16.13,95
CPT,96105,ASSESSMENT OF APHASIA,,,1.0,126.47,2
CPT,96112,DEVEL TST PHYS/QHP 1ST HR,,,1.0,174.02,2
CPT,96113,DEVEL TST PHYS/QHP EA ADDL,,,1.0,72.27,2
CPT,96116,NUBHVL XM PHYS/QHP 1ST HR,,,1.0,120.07,2
CPT,96121,NUBHVL XM PHY/QHP EA ADDL HR,,,1.0,98.18,2
CPT,96125,COGNITIVE TEST BY HC PRO,,,1.0,133.78,2
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,,,1.0,22.16,12
CPT,96130,PSYCL TST EVAL PHYS/QHP 1ST,,,1.0,160.32,2
CPT,96131,PSYCL TST EVAL PHYS/QHP EA,,,1.0,111.54,2
CPT,96132,NRPSYC TST EVAL PHYS/QHP 1ST,,,1.0,169.57,2
CPT,96133,NRPSYC TST EVAL PHYS/QHP EA,,,1.0,125.58,2
CPT,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,,,1.0,54.92,2
CPT,96137,PSYCL/NRPSYC TST PHY/QHP EA,,,1.0,47.84,2
CPT,96138,PSYCL/NRPSYC TECH 1ST,,,1.0,44.54,2
CPT,96139,PSYCL/NRPSYC TST TECH EA,,,1.0,44.54,2
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,,,1.0,3.29,2
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,,,1.0,133.68,2
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,,,1.0,91.72,2
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,,,1.0,31.33,2
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,,,1.0,15.34,12
CPT,96161,CAREGIVER HEALTH RISK ASSMT,,,1.0,15.34,12
CPT,96164,HLTH BHV IVNTJ GRP 1ST 30,,,1.0,14.09,2
CPT,96165,HLTH BHV IVNTJ GRP EA ADDL,,,1.0,6.45,2
CPT,96167,HLTH BHV IVNTJ FAM 1ST 30,,,1.0,97.32,2
CPT,96168,HLTH BHV IVNTJ FAM EA ADDL,,,1.0,35.09,2
CPT,961T,"Shortwave infrared radiation imaging, surgical pathology specimen, to assist gross examination for lymph node localization in fibroadipose tissue, per specimen (List separately in addition to code for",,,0.92,1.12,14
CPT,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,1.0,47.74,12
CPT,96203,MLT FAM GRP BHV TRAIN EA ADD,,,1.0,10.25,12
CPT,962T,"Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg, reduced ejection fraction, cardiac murmurs, atrial fibrillation), with review and i",,,1.0,3.2,10
CPT,96360,5W-IV INF HYDRATION INITL HR,557.0,417.75,1.0,158.58,17
CPT,96360,9WS-IV INF HYD INIT 31-60MIN,402.0,301.5,1.0,158.58,17
CPT,96360,IV HYDRATION INFUSION INITIAL,796.0,597.0,1.0,158.58,17
CPT,96360,"IV HYDRATION,INITIAL,UP TO 1HR",483.0,362.25,1.0,158.58,34
CPT,96360,"IV HYDRATION,INITIAL,UP TP 1HR",775.0,581.25,1.0,158.58,34
CPT,96360,IV INF HYD INIT 31-60 MIN,470.0,352.5,1.0,158.58,17
CPT,96360,IV INF HYD INIT 31-60MIN,588.5,441.375,1.0,158.58,187
CPT,96360,IV INFUSE-THERA INIT TO 1 HR,592.0,444.0,1.0,158.58,17
CPT,96360,IV Infsion Hydration Initial u,557.0,417.75,1.0,158.58,17
CPT,96361,2W-IV INF HYDRATN EA ADDL HR,142.0,106.5,1.0,61.38,17
CPT,96361,3W-IV INF HYDRATN EA ADDL HR,142.0,106.5,1.0,61.38,17
CPT,96361,4WS-IV INF HYDRATN EA ADDL HR,423.0,317.25,1.0,61.38,17
CPT,96361,5W-IV INF HYDRATN EA ADDL HR,142.0,106.5,1.0,61.38,17
CPT,96361,9WS-IV INF HYD EA ADD HR,101.0,75.75,1.0,61.38,17
CPT,96361,IE-IV INF HYDRATN EA ADDL HR,142.0,106.5,1.0,61.38,17
CPT,96361,IV HYDRATION,336.0,252.0,1.0,61.38,17
CPT,96361,IV INF HYD EA ADD HR,134.0,100.5,1.0,61.38,221
CPT,96361,IV INF HYDRATION EA ADD HR,136.0,102.0,1.0,61.38,17
CPT,96361,IV INFS HYDRTN EA AD HR,336.0,252.0,1.0,61.38,17
CPT,96361,IV INFSION HYDRATION EA ADD HR,429.0,321.75,1.0,61.38,17
CPT,96361,"IV INFUS,HYDRATION,EA ADD'L HR",531.0,398.25,1.0,61.38,17
CPT,96361,"IV INFUSION,HYDRATN,EA ADDL HR",531.0,398.25,1.0,61.38,34
CPT,96361,IV Infsion Hydration EA ADD HR,147.0,110.25,1.0,61.38,17
CPT,96365,2W-IV INF THER/DIAG INITL HR,608.0,456.0,1.0,305.25,17
CPT,96365,5W-IV INF THER/DIAG INITL HR,585.0,438.75,1.0,305.25,17
CPT,96365,9WS-IV INF TX INIT <=1 HR,439.0,329.25,1.0,305.25,17
CPT,96365,IV INF THER/DIAG INIT U/T 1HR,650.0,487.5,1.0,305.25,17
CPT,96365,IV INF THER/DIAG INIT UP TO1HR,964.0,723.0,1.0,305.25,34
CPT,96365,IV INF THER/DIAG INT UP TO 1HR,775.0,581.25,1.0,305.25,17
CPT,96365,IV INF THR/PRP/DIA INT TO 1,775.0,581.25,1.0,305.25,17
CPT,96365,IV INF TX INIT <+1 HR,662.0,496.5,1.0,305.25,17
CPT,96365,IV INF TX INIT <=1 HR,669.0,501.75,1.0,305.25,357
CPT,96366,2W-IV INF THER/DIAG EA ADL HR,142.0,106.5,1.0,102.33,17
CPT,96366,3W-IV INF THER/DIAG EA ADL HR,142.0,106.5,1.0,102.33,17
CPT,96366,5W-IV INF THER/DIAG EA ADL HR,142.0,106.5,1.0,102.33,17
CPT,96366,9WS-IV INF TX EA ADD HR,101.0,75.75,1.0,102.33,17
CPT,96366,IV INF THER/DIAG EA ADD UP TO8,498.0,373.5,1.0,102.33,17
CPT,96366,IV INF THER/DIAG EA ADD'L HOUR,531.0,398.25,1.0,102.33,17
CPT,96366,IV INF THR/PRP/DIA EA AD HR,136.0,102.0,1.0,102.33,34
CPT,96366,IV INF TX EA ADD HR,420.5,315.375,1.0,102.33,238
CPT,96367,2W-IV INF THER/DIAG ADDL SEQ,142.0,106.5,1.0,139.82,17
CPT,96367,5W-IV INF THER/DIAG ADDL SEQ,142.0,106.5,1.0,139.82,17
CPT,96367,9WS-IV INF SEQUENTL 1 HR,101.0,75.75,1.0,139.82,17
CPT,96367,IV INF ADD'L SEQUENTIAL TO 1HR,363.5,272.625,1.0,139.82,34
CPT,96367,IV INF SEQUENTIAL 1 HR,118.0,88.5,1.0,139.82,17
CPT,96367,IV INF SEQUENTL 1 HR,165.0,123.75,1.0,139.82,187
CPT,96367,"IV INFUS AD'L SEQNT, UP TO 1HR",429.0,321.75,1.0,139.82,17
CPT,96367,IV INFUS ADDL SEQ TO 1HR,451.0,338.25,1.0,139.82,17
CPT,96368,3W-IV INFUSION CONCURRENT,142.0,106.5,1.0,97.2,17
CPT,96368,5W-IV INFUSION CONCURRENT,142.0,106.5,1.0,97.2,17
CPT,96368,9WS-IV INF CONCURRENT,101.0,75.75,1.0,97.2,17
CPT,96368,IV INF CONCURRENT,275.0,206.25,1.0,97.2,204
CPT,96368,"IV INFS, PROPHYLXIS DX CONCURR",320.5,240.375,1.0,97.2,34
CPT,96368,IV INFUSION CONCURRENT,142.0,106.5,1.0,97.2,17
CPT,96368,IV INFUSTION CONCURRENT,272.0,204.0,1.0,97.2,17
CPT,96369,9WS-SUBQ INF THER/PROPH 1HR,679.0,509.25,1.0,707.67,17
CPT,96370,9WS-SUBQ INF EACH ADD HOUR,148.0,111.0,1.0,83.56,17
CPT,96371,9WS-SUBQ INF EACH ADD PUMP,301.0,225.75,1.0,293.31,17
CPT,96372,1E-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,1ET-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,1WR-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,1WS-INJ SUB-Q/IM THER DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,2W-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,4W-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,4WS-INJ SUB-Q / IM THER/DIAG,294.0,220.5,1.0,49.15,17
CPT,96372,5W-INJ SUB-Q/IM THER/DIAG,356.0,267.0,1.0,49.15,17
CPT,96372,"IM SUBQ THER/DIAG, NON CHEMO",141.0,105.75,1.0,49.15,17
CPT,96372,"IM SUBQ,THERAP/DIAG, NON CHEMO",164.0,123.0,1.0,49.15,17
CPT,96372,INJ TX/PROPH/DX SQ/IM,294.0,220.5,1.0,49.15,629
CPT,96372,INJECTION IM/SUBCUT/INTRADERM,354.0,265.5,1.0,49.15,17
CPT,96372,INJECTION INTRAMUSCULAR/SUBCUT,380.0,285.0,1.0,49.15,17
CPT,96372,PSYCHOTROPIC INJECTION-ADMINI,256.0,192.0,1.0,49.15,17
CPT,96372,PSYCHOTROPIC INJECTIONS/ADMINI,354.0,265.5,1.0,49.15,17
CPT,96372,"THER/Proph/DX Injection, SC or",356.0,267.0,1.0,49.15,17
CPT,96373,5W-INJ INTRA-ART THER/DIAG,594.0,445.5,1.0,97.2,17
CPT,96373,INJ TX/PROPH/DX ART,658.5,493.875,1.0,97.2,34
CPT,96374,1WS-IV PUSH INITIAL SUBS/DRUG,352.0,264.0,1.0,179.04,17
CPT,96374,2W-IV PUSH INITIAL SUBS/DRUG,352.0,264.0,1.0,179.04,17
CPT,96374,3W-IV PUSH INITIAL SUBS/DRUG,352.0,264.0,1.0,179.04,17
CPT,96374,4W-IV PUSH INITIAL SUBS/DRUG,352.0,264.0,1.0,179.04,17
CPT,96374,4WS-IV PUSH INITIAL SUBS/DRUG,625.0,468.75,1.0,179.04,17
CPT,96374,5W-IV PUSH INITIAL SUBS/DRUG,352.0,264.0,1.0,179.04,17
CPT,96374,INJ TX/PROPH/DX IVP,625.0,468.75,1.0,179.04,34
CPT,96374,INJ TX/PROPH/DX IVP INITIAL,433.0,324.75,1.0,179.04,17
CPT,96374,INJ TX/PRPH/DX IVP INT,490.0,367.5,1.0,179.04,357
CPT,96374,INJECTION INTRAVENOUS NONCHEMO,494.0,370.5,1.0,179.04,17
CPT,96374,IV PUSH INITIAL NON-CHEMO,489.0,366.75,1.0,179.04,17
CPT,96374,IV PUSH INJ INITIAL x1 EA ADD,625.0,468.75,1.0,179.04,34
CPT,96374,IV PUSH THER/PROPH/DIAG INITL,625.0,468.75,1.0,179.04,17
CPT,96374,"IV PUSH,SINGLE,INIT SUBST/DRUG",538.0,403.5,1.0,179.04,17
CPT,96375,1WS-IVP EA ADDL SEQ SUBS/DRUG,161.0,120.75,1.0,75.02,17
CPT,96375,2W-IVP EA ADDL SEQ SUBS/DRUG,161.0,120.75,1.0,75.02,17
CPT,96375,3W-IVP EA ADDL SEQ SUBS/DRUG,161.0,120.75,1.0,75.02,17
CPT,96375,4W-IVP EA ADDL SEQ SUBS/DRUG,161.0,120.75,1.0,75.02,17
CPT,96375,4WS-IVP EA ADDL SEQ SUBS/DRUG,156.0,117.0,1.0,75.02,17
CPT,96375,5W-IVP EA ADDL SEQ SUBS/DRUG,161.0,120.75,1.0,75.02,17
CPT,96375,INJ ADD SEQUENTL IVP,156.0,117.0,1.0,75.02,357
CPT,96375,IV PUSH INJ EA ADD'L SEQ,147.0,110.25,1.0,75.02,17
CPT,96376,1E-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,1ET-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,1WS-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,2W-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,3W-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,4W-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,4WS-IV PUSH (SAME DRUG) SUBS,225.0,168.75,1.0,39.0,15
CPT,96376,5W-IV PUSH(SAME DRUG)SUBS,278.0,208.5,1.0,39.0,15
CPT,96376,INJ T/P/D IVP SAME SUB/DRUG,275.0,206.25,1.0,39.0,15
CPT,96376,INJ T/P/D IVP SAME SUBST,241.5,181.125,1.0,39.0,240
CPT,96376,IV PUSH (SAME DRUG) SUBSEQUENT,451.0,338.25,1.0,39.0,15
CPT,96376,IV PUSH NON CHEMO EA ADD SAME,387.0,290.25,1.0,39.0,15
CPT,96376,IV PUSH(SAME DRUG)SUBSEQUENT,278.0,208.5,1.0,39.0,15
CPT,96377,APPLICATON ON-BODY INJECTOR,,,0.22,92.08,18
CPT,96379,UNL THER/PROP/DIAG INJ/INF,,,0.22,147.73,16
CPT,96380,ADMN RSV MONOC ANTB IM CNSL,,,1.0,91.83,11
CPT,96381,1 ADMN RSV MONOC ANTB IM NJX,,,1.0,91.83,11
CPT,963T,Anoscopy with directed submucosal injection of bulking agent into anal canal,,,1.0,16.13,90
CPT,96401,CHEMO SQ/IM NONHORMONAL,455.5,341.625,1.0,346.31,22
CPT,96402,96402 CHEMO IM-SUBQ HORMONAL,166.0,124.5,1.0,182.45,11
CPT,96402,CHEMO SQ/IM HORMONAL,174.0,130.5,1.0,182.45,33
CPT,96405,CHEMO INTRALESIONAL UP TO 7,,,1.0,415.58,11
CPT,96406,CHEMO INTRALESIONAL OVER 7,,,1.0,636.89,11
CPT,96409,INJ CHEMO INIT DRUG IVP,576.0,432.0,1.0,483.14,22
CPT,96409,INJ CHEMO INITAL DRUP IVP,694.0,520.5,1.0,483.14,11
CPT,96411,INJ CHEMO ADD DRUG IVP,536.0,402.0,1.0,265.23,11
CPT,96411,INJ CHEMO ADD DRUP IVP,520.0,390.0,1.0,265.23,11
CPT,96413,CHEMO IV <+1HR INITIAL,1202.0,901.5,1.0,623.37,11
CPT,96413,CHEMO IV <=1H INIT,1243.0,932.25,1.0,623.37,33
CPT,96413,CHEMO IV INF SGL/INTL DRUG SUB,827.0,620.25,1.0,623.37,11
CPT,96415,CHEMO INF EA ADD HR,505.5,379.125,1.0,133.47,22
CPT,96415,CHEMO IV INF.EA.ADD.HR 1-8 HRS,718.0,538.5,1.0,133.47,11
CPT,96416,INIT CHEMO >8 HRS PORT/PUMP,1257.0,942.75,1.0,613.22,11
CPT,96417,CHEMO INF SEQ ADD DRUG,534.5,400.875,1.0,307.45,22
CPT,96417,CHEMO IV-ADDL/SEQ.UP TO 1 HR,455.0,341.25,1.0,307.45,11
CPT,96417,CHM ADM INF TCHN ADD UP TO 1HR,455.0,341.25,1.0,307.45,11
CPT,96420,CHEMO INJ IA PUSH,549.0,411.75,1.0,493.29,11
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,,,1.0,753.45,11
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,,,1.0,349.7,11
CPT,96425,CHEMOTHERAPY INFUSION METHOD,,,1.0,810.9,11
CPT,96440,CHMOTX ADMN PLRL CAV THRCNTS,,,1.0,3618.6,11
CPT,96446,CHEMOTX ADMN PERTL CAV IMPL,,,1.0,768.65,11
CPT,96450,CHEMO ADM CNS,863.0,647.25,1.0,804.14,11
CPT,964T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; single arch, without mandibular advancement mechanism",,,1.0,3.2,10
CPT,96521,REFILL/MAINT PORTABLE PUMP,,,1.0,601.95,17
CPT,96522,REFILL/MAINT PUMP/RESVR SYST,,,1.0,571.25,17
CPT,96523,IRRIG.IMPLANT VAD DRUG DEL.SYS,190.0,142.5,1.0,122.79,17
CPT,96523,IRRIGATE VASC ACCESS DEV,232.5,174.375,1.0,122.79,68
CPT,96542,CHEMOTHERAPY INJECTION,,,1.0,641.96,11
CPT,96547,INTRAOP HIPEC PX 1ST 60 MIN,,,1.0,1850.17,22
CPT,96548,NTRAOP HIPEC PX EA ADD 30MIN,,,1.0,847.49,22
CPT,96549,UNLISTED CHEMOTHERAPY PX,,,1.0,147.73,15
CPT,96567,PDT DSTR PRMLG LES SKN,,,1.0,1137.0,18
CPT,96570,PHOTODYNMC TX 30 MIN ADD-ON,,,1.0,1137.0,18
CPT,96571,PHOTODYNAMIC TX ADDL 15 MIN,,,1.0,1137.0,18
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,,,1.0,450.42,102
CPT,96574,DEBRIDEMENT LES W/PDT,765.0,573.75,1.0,450.42,102
CPT,965T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement, non-fixed hinge mechani",,,1.0,3.2,10
CPT,966T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement, fixed hinge mechanism",,,1.0,3.2,10
CPT,967T,"Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring component and flexible sheath connected to external vacuum source and monitoring syste",,,1.0,16.13,95
CPT,968T,"Insertion or replacement of epicranial neurostimulator system, including electrode array and pulse generator, with connection to electrode array",,,1.0,16.13,95
CPT,96900,ULTRAVIOLET LIGHT THERAPY,,,1.0,126.18,12
CPT,96902,TRICHOGRAM,,,1.0,37.52,10
CPT,96904,WHOLE BODY PHOTOGRAPHY,,,1.0,84.93,12
CPT,96910,PHOTOCHEMOTHERAPY WITH UV-B,,,1.0,469.31,12
CPT,96912,PHOTOCHEMOTHERAPY WITH UV-A,,,1.0,504.75,12
CPT,96913,PHOTOCHEMOTHERAPY UV-A OR B,,,1.0,765.65,12
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,,,1.0,572.94,12
CPT,96921,EXCIMER LSR PSRIASIS 250-500,,,1.0,610.47,12
CPT,96922,EXCIMER LSR PSRIASIS>500SQCM,,,1.0,760.53,12
CPT,96931,RCM CELULR SUBCELULR IMG SKN,,,0.92,214.44,17
CPT,96932,RCM CELULR SUBCELULR IMG SKN,,,0.92,158.05,17
CPT,96933,RCM CELULR SUBCELULR IMG SKN,,,0.92,56.38,17
CPT,96934,RCM CELULR SUBCELULR IMG SKN,,,0.92,151.59,17
CPT,96935,RCM CELULR SUBCELULR IMG SKN,,,0.92,96.94,17
CPT,96936,RCM CELULR SUBCELULR IMG SKN,,,0.92,54.66,17
CPT,96999,UNLISTED SPEC DERM SVC/PX,,,1.0,636.18,10
CPT,969T,Removal of epicranial neurostimulator system,,,1.0,16.13,95
CPT,96U,HPV HI RISK TYPES MALE URINE,,,0.92,35.09,14
CPT,97012,MECHANICAL TRACTION THERAPY,,,1.0,19.21,2
CPT,97016,VASOPNEUMATIC DEVICE THERAPY,,,1.0,15.76,2
CPT,97018,PARAFFIN BATH THERAPY,,,1.0,8.44,2
CPT,97022,OT WHIRLPOOL BSC,592.0,444.0,1.0,20.85,2
CPT,97022,OT WHIRLPOOL COMPLX,592.0,444.0,1.0,20.85,2
CPT,97022,OT WHIRLPOOL EXTNSV,592.0,444.0,1.0,20.85,2
CPT,97022,OT WHIRLPOOL INTERM,592.0,444.0,1.0,20.85,2
CPT,97022,OTA WHIRLPOOL BSC,592.0,444.0,1.0,20.85,2
CPT,97022,OTA WHIRLPOOL COMPLX,592.0,444.0,1.0,20.85,2
CPT,97022,OTA WHIRLPOOL EXTNSV,592.0,444.0,1.0,20.85,2
CPT,97022,OTA WHIRLPOOL INTERM,592.0,444.0,1.0,20.85,2
CPT,97024,DIATHERMY EG MICROWAVE,,,1.0,9.72,2
CPT,97026,INFRARED THERAPY,,,1.0,9.29,2
CPT,97028,ULTRAVIOLET THERAPY,,,1.0,11.0,2
CPT,97032,APPL MODALITY 1+ESTIM EA 15,,,1.0,19.21,2
CPT,97033,APP MDLTY 1+IONTPHRSIS EA 15,,,1.0,25.17,2
CPT,97034,APP MDLTY 1+CNTRST BTH EA 15,,,1.0,18.33,2
CPT,97035,APP MDLTY 1+ULTRASOUND EA 15,,,1.0,18.76,2
CPT,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,1.0,45.59,2
CPT,97037,APPL MODALITY 1+LLLT PO PAIN,,,1.0,3.2,10
CPT,970T,"Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each tumor",,,1.0,16.13,95
CPT,97110,OT THERAPTC EXER EA 15,154.0,115.5,1.0,38.49,2
CPT,97110,OTA THERAPTC EXER EA 15,154.0,115.5,1.0,38.49,2
CPT,97110,PT THER EX EA 15,243.0,182.25,1.0,38.49,2
CPT,97110,PTA THER EX EA 15,243.0,182.25,1.0,38.49,2
CPT,97112,OT NEUROMUSC RE-EDUC EA1,210.0,157.5,1.0,42.78,2
CPT,97112,OTA NEUROMUSC RE-EDUC EA1,210.0,157.5,1.0,42.78,2
CPT,97112,PT NEUROMUSC RE-ED EA15,264.0,198.0,1.0,42.78,2
CPT,97112,PTA NEUROMUSC RE-ED EA15,264.0,198.0,1.0,42.78,2
CPT,97113,AQUATIC THERAPY/EXERCISES,,,1.0,48.71,2
CPT,97116,PT GAIT/STR TRN EA 15,210.0,157.5,1.0,38.49,2
CPT,97116,PTA GAIT/STR TRN EA 15,210.0,157.5,1.0,38.49,2
CPT,97124,MASSAGE THERAPY,,,1.0,39.69,2
CPT,97129,THER IVNTJ 1ST 15 MIN,,,1.0,29.17,2
CPT,97130,THER IVNTJ EA ADDL 15 MIN,,,1.0,27.88,2
CPT,97140,OT MANUAL THERAPY EA 15M,387.0,290.25,1.0,36.34,2
CPT,97140,OTA MANUAL THERAPY EA 15M,387.0,290.25,1.0,36.34,2
CPT,97140,PT MANUAL THERAPY EA 15M,387.0,290.25,1.0,36.34,2
CPT,97140,PTA MANUAL THERAPY EA 15M,387.0,290.25,1.0,36.34,2
CPT,97150,OT GROUP THERAPY PROCED CMPLX,499.0,374.25,1.0,23.49,2
CPT,97150,OT GROUP THERAPY PROCED EXTNSV,499.0,374.25,1.0,23.49,2
CPT,97150,OT GROUP THERAPY PROCED INTERM,499.0,374.25,1.0,23.49,2
CPT,97150,OTA GRP THERAPY PROC CMPLX,499.0,374.25,1.0,23.49,2
CPT,97150,OTA GRP THERAPY PROC EXTNSV,499.0,374.25,1.0,23.49,2
CPT,97150,OTA GRP THERAPY PROC INTERM,499.0,374.25,1.0,23.49,2
CPT,97161,PT EVAL LOW COMP,934.0,700.5,1.0,131.22,2
CPT,97162,PT EVAL MOD COMP,997.0,747.75,1.0,131.22,2
CPT,97163,PT EVAL HIGH COMP,1079.0,809.25,1.0,131.22,2
CPT,97164,PT RE-EVAL,308.0,231.0,1.0,90.2,2
CPT,97165,OT EVAL HM/WK SITE LOW,1140.0,855.0,1.0,134.62,2
CPT,97166,OT EVAL MOD COMP,1176.0,882.0,1.0,134.62,2
CPT,97167,OT EVAL HIGH COMP,1346.0,1009.5,1.0,134.62,2
CPT,97168,OT RE-EVAL EST PLAN CARE,,,1.0,93.06,2
CPT,97169,ATHLETIC TRN EVAL LOW CMPLX,,,1.0,300.51,10
CPT,97170,ATHLETIC TRN EVAL MOD CMPLX,,,1.0,300.51,10
CPT,97171,ATHLETIC TRN EVAL HIGH CMPLX,,,1.0,300.51,10
CPT,97172,ATHLETIC TRN RE-EVAL PLAN CR,,,1.0,206.54,10
CPT,971T,"Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral",,,1.0,16.13,95
CPT,972T,"Assistive algorithmic classification of burn healing (ie, healing or nonhealing) by noninvasive multispectral imaging, including system set-up and acquisition, selection, and transmission of images, w",,,1.0,3.2,10
CPT,973T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,1.0,16.13,95
CPT,974T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,1.0,16.13,95
CPT,97530,OT THERAPTC ACT EA 15,631.0,473.25,1.0,46.13,2
CPT,97530,OTA THERAPTC ACT EA 15,631.0,473.25,1.0,46.13,2
CPT,97530,PT THERAPEUTC ACT EA 15,214.0,160.5,1.0,46.13,2
CPT,97530,PTA THERAPEUTC ACT EA 15,214.0,160.5,1.0,46.13,2
CPT,97533,SENSORY INTEGRATION,,,1.0,80.17,2
CPT,97535,OT SLF CARE HM MGMT EA15,229.0,171.75,1.0,42.74,2
CPT,97535,OTA SLF CARE HM MGMT EA15,229.0,171.75,1.0,42.74,2
CPT,97537,COMMUNITY/WORK REINTEGRATION,,,1.0,42.34,2
CPT,97542,OT WHLCHR TRN EA 15,229.0,171.75,1.0,41.06,2
CPT,97542,OTA WHLCHR TRN EA 15,229.0,171.75,1.0,41.06,2
CPT,97542,PT WHLCHR TRN EA 15,199.0,149.25,1.0,41.06,2
CPT,97542,PTA WHLCHR TRN EA 15,199.0,149.25,1.0,41.06,2
CPT,97550,CAREGIVER TRAING 1ST 30 MIN,,,1.0,98.9,12
CPT,97551,CAREGIVER TRAING EA ADDL 15,,,1.0,40.92,12
CPT,97552,GROUP CAREGIVER TRAINING,,,1.0,75.02,12
CPT,97597,SEL DEB 1ST 20CM OR LESS,865.0,648.75,1.0,1137.0,103
CPT,97598,WOUND DEBRIDEMENT > 20SQ CM,1787.0,1340.25,1.0,1137.0,103
CPT,975T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,1.0,16.13,95
CPT,97602,WOUND(S) CARE NON-SELECTIVE,,,1.0,211.31,95
CPT,97605,NEG PRESS THRPY <=50CM,736.0,552.0,1.0,243.78,97
CPT,97606,NEG PRS WND THER DME>50 SQCM,,,1.0,264.3,12
CPT,97607,NEG PRS WND THR NDME<=50SQCM,,,1.0,1703.53,12
CPT,97608,NEG PRS WND THER NDME>50SQCM,,,1.0,1776.85,12
CPT,97610,LOW FREQUENCY NON-THERMAL US,,,0.92,522.72,102
CPT,976T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,1.0,16.13,95
CPT,97750,PT PHYS PERF TST 15MIN,225.0,168.75,1.0,44.43,2
CPT,97755,ASSISTIVE TECHNOLOGY ASSESS,,,1.0,50.4,2
CPT,97760,OT ORTHO MGMT INIT EA 15MIN,154.0,115.5,1.0,61.06,2
CPT,97760,PT ORTHO MGMT INIT EA 15MIN,229.0,171.75,1.0,61.06,2
CPT,97761,PT PROSTH TRN INIT EA 15MIN,214.0,160.5,1.0,53.83,2
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENC,,,1.0,66.58,2
CPT,977T,"Upper gastrointestinal blood detection, sensor capsule, with interpretation and report",,,1.0,3.2,10
CPT,97802,MED NUTRTN TH INIT 15MIN,135.0,101.25,1.0,95.51,12
CPT,97802,MED/NUT/THER/INITIAL EA 15MIN,130.0,97.5,1.0,95.51,12
CPT,97803,MED NUTRTN TH REEVAL15MN,101.0,75.75,1.0,85.26,24
CPT,97804,MEDICAL NUTRITION GROUP,,,1.0,42.65,12
CPT,97810,ACUPUNCT W/O STIMUL 15 MIN,,,1.0,235.32,12
CPT,97811,ACUPUNCT W/O STIMUL ADDL 15M,,,1.0,134.73,12
CPT,97813,ACUPUNCT W/STIMUL 15 MIN,,,1.0,271.12,12
CPT,97814,ACUPUNCT W/STIMUL ADDL 15M,,,1.0,151.76,12
CPT,978T,"Submucosal cryolysis therapy; soft palate, base of tongue, and lingual tonsil",,,1.0,16.13,90
CPT,979T,Submucosal cryolysis therapy; soft palate only,,,1.0,16.13,90
CPT,98000,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When us",,,1.0,95.51,10
CPT,98001,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total ti",,,1.0,143.24,10
CPT,98002,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using tot",,,1.0,219.99,10
CPT,98003,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total t",,,1.0,283.06,10
CPT,98004,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",,,1.0,76.74,10
CPT,98005,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low medical decision making. When using",,,1.0,121.06,10
CPT,98006,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When ",,,1.0,173.95,10
CPT,98007,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When usin",,,1.0,223.38,10
CPT,98008,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, and more th",,,1.0,88.69,10
CPT,98009,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 minute",,,1.0,134.73,10
CPT,98010,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more than 10 m",,,1.0,202.92,10
CPT,98011,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than 10 minut",,,1.0,259.21,10
CPT,98012,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, an",,,1.0,68.2,10
CPT,98013,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than ",,,1.0,109.15,10
CPT,98014,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more ",,,1.0,155.19,10
CPT,98015,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than",,,1.0,218.26,10
CPT,98016,"Brief communication technology-based service (eg, virtual check-in) by a physician or other qualified health care professional who can report evaluation and management services, provided to an establi",,,1.0,21.69,2
CPT,980T,Submucosal cryolysis therapy; base of tongue and lingual tonsil only,,,1.0,16.13,90
CPT,981T,"Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including deployment of the sensor, radiological supervision and interpretation, right heart cath",,,1.0,16.13,95
CPT,982T,"Remote monitoring of implantable inferior vena cava pressure sensor, physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial set-up and patient education ",,,1.0,3.2,10
CPT,983T,"Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of inferior vena cava area recordings, interpretation(s), trend analysis, and report(",,,1.0,3.2,10
CPT,984T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1.0,16.13,99
CPT,985T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1.0,16.13,99
CPT,986T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1.0,16.13,99
CPT,987T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1.0,16.13,99
CPT,98925,OSTEOPATH MANJ 1-2 REGIONS,,,1.0,51.45,12
CPT,98926,OSTEOPATH MANJ 3-4 REGIONS,,,1.0,69.73,12
CPT,98927,OSTEOPATH MANJ 5-6 REGIONS,,,1.0,86.86,12
CPT,98928,OSTEOPATH MANJ 7-8 REGIONS,,,1.0,100.6,12
CPT,98929,OSTEOPATH MANJ 9-10 REGIONS,,,1.0,114.3,12
CPT,98940,CHIROPRACT MANJ 1-2 REGIONS,,,1.0,40.02,12
CPT,98941,CHIROPRACT MANJ 3-4 REGIONS,,,1.0,53.72,12
CPT,98942,CHIROPRACTIC MANJ 5 REGIONS,,,1.0,66.5,12
CPT,98943,CHIROPRACT MANJ XTRSPINL 1/>,,,1.0,32.02,10
CPT,98960,SELF-MGMT EDUC & TRAIN 1 PT,,,1.0,156.88,10
CPT,98961,SELF-MGMT EDUC/TRAIN 2-4 PT,,,1.0,47.9,10
CPT,98962,SELF-MGMT EDUC/TRAIN 5-8 PT,,,1.0,35.25,10
CPT,98966,HC PRO PHONE CALL 5-10 MIN,,,1.0,17.64,12
CPT,98967,HC PRO PHONE CALL 11-20 MIN,,,1.0,32.46,12
CPT,98968,HC PRO PHONE CALL 21-30 MIN,,,1.0,44.55,12
CPT,98970,QNHP OL DIG ASSMT&MGMT 5-10,,,1.0,15.38,2
CPT,98971,QNHP OL DIG ASSMT&MGMT 11-20,,,1.0,29.33,2
CPT,98972,QNHP OL DIG ASSMT&MGMT 21+,,,1.0,43.97,2
CPT,98975,REM THER MNTR 1ST SETUP&EDU,,,1.0,79.34,12
CPT,98976,REM THER MNTR DEV SPLY RESP,,,1.0,225.08,12
CPT,98977,REM THER MNTR DV SPLY MSCSKL,,,1.0,177.5,12
CPT,98978,REM THER MNTR DEV SPLY CBT,,,1.0,3.2,10
CPT,98980,REM THER MNTR 1ST 20 MIN,,,1.0,119.68,12
CPT,98981,REM THER MNTR EA ADDL 20 MIN,,,1.0,75.3,12
CPT,98T,REV ARTIFIC DISC ADDL,,,0.22,16.13,91
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,,,1.0,11.34,15
CPT,99001,SPECIMEN HANDLING PT-LAB,,,1.0,11.34,15
CPT,99024,POSTOP FOLLOW-UP VISIT,,,1.0,3.2,10
CPT,99050,MEDICAL SERVICES AFTER HRS,,,1.0,69.77,10
CPT,99051,MED SERV EVE/WKEND/HOLIDAY,,,1.0,69.77,10
CPT,99053,MED SERV 10PM-8AM 24 HR FAC,,,1.0,60.77,10
CPT,99070,SPECIAL SUPPLIES PHYS/QHP,,,1.0,213.11,10
CPT,99071,PATIENT EDUCATION MATERIALS,,,1.0,3.2,10
CPT,99072,ADDL SUPL MATRL&STAF TM PHE,,,1.0,3.2,10
CPT,99078,GROUP HEALTH EDUCATION,,,1.0,3.2,10
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,,,1.0,71.04,12
CPT,99100,ANES PT EXTEME AGE<1 YR&>70,,,1.0,3.2,10
CPT,99116,ANES COMP TOT BDY HYPTHRM,,,1.0,744.4,10
CPT,99135,ANES COMP CTRLD HYPOTENSION,,,1.0,744.4,10
CPT,99140,ANES COMP EMERGENCY COND,,,1.0,297.76,10
CPT,99151,MOD SED SAME<5YRS INIT15,1736.0,1302.0,1.0,236.03,36
CPT,99152,MOD SED SAME>5YRS INIT15,1736.0,1302.0,1.0,228.54,60
CPT,99153,MOD SED SAME EA ADD15,884.0,663.0,1.0,63.68,72
CPT,99155,MOD SED OTH<5YRS INIT15,1739.5,1304.625,1.0,112.62,36
CPT,99156,MOD SED OTH>5YRS INIT15,1699.0,1274.25,1.0,99.8,36
CPT,99157,MOD SED OTH EA ADD15,862.0,646.5,1.0,77.72,36
CPT,99170,ANOGENITAL EXAM CHILD W IMAG,,,1.0,521.81,12
CPT,99172,OCULAR FUNCTION SCREEN,,,1.0,180.32,10
CPT,99173,VISUAL ACUITY SCREEN,,,1.0,15.34,10
CPT,99174,OCULAR INSTRUMNT SCREEN BIL,,,1.0,3.2,10
CPT,99175,INDUCTION OF VOMITING,,,1.0,151.76,12
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,,,1.0,3.2,10
CPT,99183,HYPERBARIC OXYGEN THERAPY,,,1.0,144.43,12
CPT,99184,HYPOTHERMIA ILL NEONATE,,,1.0,282.02,12
CPT,99188,APP TOPICAL FLUORIDE VARNISH,,,1.0,23.88,10
CPT,99190,SPECIAL PUMP SERVICES,,,1.0,1800.22,10
CPT,99191,SPECIAL PUMP SERVICES,,,1.0,1708.43,10
CPT,99192,SPECIAL PUMP SERVICES,,,1.0,1269.28,10
CPT,99195,PHILEBOTOMY THERAPEUTIC,645.0,483.75,1.0,451.89,12
CPT,99195,PHLEBOTOMY THERAPEUTIC,608.0,456.0,1.0,451.89,12
CPT,99195,"PHLEBOTOMY,THER - ONE UNIT",598.0,448.5,1.0,451.89,12
CPT,99202,OFFICE O/P NEW SF 15 MIN,,,1.0,138.89,12
CPT,99203,OFFICE O/P NEW LOW 30 MIN,,,1.0,183.55,12
CPT,99204,OFFICE O/P NEW MOD 45 MIN,,,1.0,245.54,12
CPT,99205,OFFICE O/P NEW HI 60 MIN,,,1.0,297.6,12
CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,,,1.0,57.02,12
CPT,99212,OFFICE O/P EST SF 10 MIN,,,1.0,102.45,12
CPT,99213,OFFICE O/P EST LOW 20 MIN,,,1.0,138.03,12
CPT,99214,OFFICE O/P EST MOD 30 MIN,,,1.0,188.8,12
CPT,99215,OFFICE O/P EST HI 40 MIN,,,1.0,243.14,12
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,,,1.0,111.15,2
CPT,99222,1ST HOSP IP/OBS MODERATE 55,,,1.0,173.82,2
CPT,99223,1ST HOSP IP/OBS HIGH 75,,,1.0,231.21,2
CPT,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,1.0,65.34,2
CPT,99232,SBSQ HOSP IP/OBS MODERATE 35,,,1.0,105.61,2
CPT,99233,SBSQ HOSP IP/OBS HIGH 50,,,1.0,156.79,2
CPT,99234,HOSP IP/OBS SM DT SF/LOW 45,,,1.0,129.82,12
CPT,99235,HOSP IP/OBS SAME DATE MOD 70,,,1.0,210.63,12
CPT,99236,HOSP IP/OBS SAME DATE HI 85,,,1.0,275.9,12
CPT,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,1.0,107.78,2
CPT,99239,HOSP IP/OBS DSCHRG MGMT >30,,,1.0,152.04,2
CPT,99242,OFF/OP CONSLTJ NEW/EST SF 20,,,1.0,3.2,10
CPT,99243,OFF/OP CNSLTJ NEW/EST LOW 30,,,1.0,3.2,10
CPT,99244,OFF/OP CNSLTJ NEW/EST MOD 40,,,1.0,3.2,10
CPT,99245,OFF/OP CONSLTJ NEW/EST HI 55,,,1.0,3.2,10
CPT,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,1.0,3.2,10
CPT,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,1.0,3.2,10
CPT,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,1.0,3.2,10
CPT,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,1.0,3.2,10
CPT,99281,ER VISIT LVL I,605.0,453.75,1.0,488.0,15
CPT,99281,OB ER VISIT LVL I,831.0,623.25,1.0,488.0,30
CPT,99282,ER VISIT LVL II,1163.0,872.25,1.0,600.16,15
CPT,99282,OB ER VISIT LVL II,1161.0,870.75,1.0,600.16,15
CPT,99283,ER VISIT LVL III,2019.0,1514.25,1.0,1007.53,15
CPT,99283,OB ER VISIT LVL III,1861.0,1395.75,1.0,1007.53,30
CPT,99284,ER VISIT LVL IV,4041.0,3030.75,1.0,1728.6,15
CPT,99284,OB ER VISIT LVL IV,4581.0,3435.75,1.0,1728.6,15
CPT,99285,ER VISIT LVL V,5813.0,4359.75,1.0,2494.39,15
CPT,99285,OB ER VISIT LVL V,5235.0,3926.25,1.0,2494.39,15
CPT,99288,DIRECT ADVANCED LIFE SUPPORT,,,1.0,3.2,10
CPT,99291,CRIT CARE E&M 30-74 MIN,6356.0,4767.0,1.0,4182.65,30
CPT,99292,CRITICAL CR E&M ADDL 30,2493.0,1869.75,1.0,4334.96,26
CPT,99304,1ST NF CARE SF/LOW MDM 25,,,1.0,106.93,2
CPT,99305,1ST NF CARE MODERATE MDM 35,,,1.0,175.68,2
CPT,99306,1ST NF CARE HIGH MDM 50,,,1.0,239.96,2
CPT,99307,SBSQ NF CARE SF MDM 10,,,1.0,52.38,2
CPT,99308,SBSQ NF CARE LOW MDM 20,,,1.0,97.86,2
CPT,99309,SBSQ NF CARE MODERATE MDM 30,,,1.0,142.42,2
CPT,99310,SBSQ NF CARE HIGH MDM 45,,,1.0,203.52,2
CPT,99315,NF DSCHRG MGMT 30 MIN/LESS,,,1.0,107.57,2
CPT,99316,NF DSCHRG MGMT 30 MIN+,,,1.0,172.28,2
CPT,99341,HOME/RES VST NEW SF MDM 15,,,1.0,64.5,2
CPT,99342,HOME/RES VST NEW LOW MDM 30,,,1.0,102.92,2
CPT,99344,HOME/RES VST NEW MOD MDM 60,,,1.0,187.01,2
CPT,99345,HOME/RES VST NEW HIGH MDM 75,,,1.0,265.42,2
CPT,99347,HOME/RES VST EST SF MDM 20,,,1.0,59.32,2
CPT,99348,HOME/RES VST EST LOW MDM 30,,,1.0,101.0,2
CPT,99349,HOME/RES VST EST MOD MDM 40,,,1.0,167.98,2
CPT,99350,HOME/RES VST EST HIGH MDM 60,,,1.0,243.74,2
CPT,99358,PROLONG SERVICE W/O CONTACT,,,1.0,127.91,10
CPT,99359,PROLONG SERV W/O CONTACT ADD,,,1.0,57.98,10
CPT,99366,TEAM CONF W/PAT BY HC PROF,,,1.0,3.2,10
CPT,99367,TEAM CONF W/O PAT BY PHYS,,,1.0,3.2,10
CPT,99368,TEAM CONF W/O PAT BY HC PRO,,,1.0,3.2,10
CPT,99381,INIT PM E/M NEW PAT INFANT,,,1.0,289.88,10
CPT,99382,INIT PM E/M NEW PAT 1-4 YRS,,,1.0,296.7,10
CPT,99383,PREV VISIT NEW AGE 5-11,,,1.0,220.15,10
CPT,99384,PREV MED NP 12-17 YRS,393.0,294.75,1.0,233.85,10
CPT,99385,PREV MED NP 18-39 YRS,441.0,330.75,1.0,230.11,10
CPT,99386,PREV MED NP 40-64YRS,393.0,294.75,1.0,250.02,10
CPT,99387,PREV MED NP 65-OVER,435.0,326.25,1.0,276.15,10
CPT,99391,PER PM REEVAL EST PAT INFANT,,,1.0,255.78,10
CPT,99392,PREV VISIT EST AGE 1-4,,,1.0,264.3,10
CPT,99393,PREV VISIT EST AGE 5-11,,,1.0,192.81,10
CPT,99394,PREV MED EP 12-17 YRS,393.0,294.75,1.0,201.51,10
CPT,99395,PREV MED EP 18-39 YRS,441.0,330.75,1.0,205.23,10
CPT,99396,PREV MED EP 40-64YRS,393.0,294.75,1.0,212.69,10
CPT,99397,PREV MED EP 65-OVER,393.0,294.75,1.0,236.35,10
CPT,99401,PREV MED CNSL INDIV APPRX 15,,,1.0,109.15,10
CPT,99402,PREV MED CNSL INDIV APPRX 30,,,1.0,143.24,10
CPT,99403,PREV MED CNSL INDIV APPRX 45,,,1.0,173.95,10
CPT,99404,PREV MED CNSL INDIV APPRX 60,,,1.0,208.05,10
CPT,99406,BEHAV CHNG SMOKING 3-10 MIN,,,1.0,21.13,12
CPT,99407,SMKE/TOBAC CNSL >10 MIN,142.5,106.875,1.0,36.49,24
CPT,99408,AUDIT/DAST 15-30 MIN,,,1.0,56.29,10
CPT,99409,AUDIT/DAST OVER 30 MIN,,,1.0,100.6,10
CPT,99411,PREVENTIVE COUNSELING GROUP,,,1.0,3.2,10
CPT,99412,PREVENTIVE COUNSELING GROUP,,,1.0,3.2,10
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,,,1.0,104.02,12
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,,,1.0,47.74,12
CPT,99417,PROLNG OP E/M EACH 15 MIN,,,1.0,3.2,10
CPT,99418,PROLNG IP/OBS E/M EA 15 MIN,,,1.0,54.56,10
CPT,99421,OL DIG E/M SVC 5-10 MIN,,,1.0,19.94,2
CPT,99422,OL DIG E/M SVC 11-20 MIN,,,1.0,39.05,2
CPT,99423,OL DIG E/M SVC 21+ MIN,,,1.0,60.95,2
CPT,99424,PRIN CARE MGMT PHYS 1ST 30,,,1.0,111.14,2
CPT,99425,PRIN CARE MGMT PHYS EA ADDL,,,1.0,80.01,2
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,,,1.0,83.84,2
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,,,1.0,68.11,2
CPT,99429,UNLISTED PREVENTIVE SERVICE,,,1.0,3.2,10
CPT,99437,CHRNC CARE MGMT PHYS EA ADDL,,,1.0,78.31,12
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,,,1.0,62.15,12
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,,,1.0,23.74,12
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,,,1.0,47.9,12
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,,,1.0,70.89,12
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,,,1.0,96.22,12
CPT,99450,BASIC LIFE DISABILITY EXAM,,,1.0,3.2,10
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,1.0,45.14,12
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,,,1.0,45.99,12
CPT,99453,REM MNTR PHYSIOL PARAM SETUP,,,1.0,100.6,12
CPT,99454,REM MNTR PHYSIOL PARAM DEV,,,1.0,225.08,12
CPT,99455,WORK RELATED DISABILITY EXAM,,,1.0,3.2,10
CPT,99456,DISABILITY EXAMINATION,,,1.0,3.2,10
CPT,99457,REM PHYSIOL MNTR 1ST 20 MIN,,,1.0,64.64,12
CPT,99458,REM PHYSIOL MNTR EA ADDL 20,,,1.0,52.31,12
CPT,99459,PELVIC EXAMINATION,,,1.0,109.15,12
CPT,99460,INIT NB EM PER DAY HOSP,,,1.0,122.01,12
CPT,99461,INIT NB EM PER DAY NON-FAC,,,1.0,119.95,2
CPT,99462,SBSQ NB EM PER DAY HOSP,,,1.0,52.79,2
CPT,99463,SAME DAY NB DISCHARGE,,,1.0,156.88,12
CPT,99464,ATTENDANCE AT DELIVERY,,,1.0,95.25,12
CPT,99465,NEWBORN RESUSCITATION,3791.0,2843.25,1.0,186.61,2
CPT,99466,PED CRIT CARE TRANSPORT,,,1.0,304.75,12
CPT,99467,PED CRIT CARE TRANSPORT ADDL,,,1.0,152.64,12
CPT,99468,NEONATE CRIT CARE INITIAL,,,1.0,1174.49,2
CPT,99469,NEONATE CRIT CARE SUBSQ,,,1.0,508.03,2
CPT,99471,PED CRITICAL CARE INITIAL,,,1.0,1017.1,2
CPT,99472,PED CRITICAL CARE SUBSQ,,,1.0,535.36,2
CPT,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,1.0,71.62,12
CPT,99474,SELF-MEAS BP 2 READG BID 30D,,,1.0,22.13,2
CPT,99475,PED CRIT CARE AGE 2-5 INIT,,,1.0,742.34,2
CPT,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,1.0,450.97,2
CPT,99477,INIT DAY HOSP NEONATE CARE,,,1.0,446.2,2
CPT,99478,IC LBW INF < 1500 GM SUBSQ,,,1.0,174.37,2
CPT,99479,IC LBW INF 1500-2500 G SUBSQ,,,1.0,158.24,2
CPT,99480,IC INF PBW 2501-5000 G SUBSQ,,,1.0,152.64,2
CPT,99483,ASSMT & CARE PLN PT COG IMP,,,1.0,512.46,12
CPT,99484,CARE MGMT SVC BHVL HLTH COND,,,1.0,104.15,12
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,,,1.0,178.48,2
CPT,99489,CPLX CHRNC CARE EA ADDL 30,,,1.0,95.32,2
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,,,1.0,82.13,12
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,,,1.0,112.25,12
CPT,99492,1ST PSYC COLLAB CARE MGMT,,,1.0,400.31,12
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,,,1.0,291.67,12
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,,,1.0,147.34,12
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,,,1.0,271.86,2
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,1.0,368.78,2
CPT,99497,ADVNCD CARE PLAN 30 MIN,,,1.0,108.85,12
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,,,1.0,94.74,12
CPT,99499,UNLISTED E&M SERVICE,,,1.0,8667.16,10
CPT,9U,ONC BRST CA ERBB2 AMP/NONAMP,,,0.92,107.0,14
HCPCS,A0021,OUTSIDE STATE AMBULANCE SERV,,,1.0,27.6,10
HCPCS,A0080,NONINTEREST ESCORT IN NON ER,,,1.0,3.2,10
HCPCS,A0090,INTEREST ESCORT IN NON ER,,,1.0,3.2,10
HCPCS,A0100,NONEMERGENCY TRANSPORT TAXI,,,1.0,3.2,10
HCPCS,A0110,NONEMERGENCY TRANSPORT BUS,,,1.0,3.2,10
HCPCS,A0120,NONER TRANSPORT MINI-BUS,,,1.0,3.2,10
HCPCS,A0130,NONER TRANSPORT WHEELCH VAN,,,1.0,3.2,10
HCPCS,A0140,NONEMERGENCY TRANSPORT AIR,,,1.0,3.2,10
HCPCS,A0160,NONER TRANSPORT CASE WORKER,,,1.0,3.2,10
HCPCS,A0170,TRANSPORT PARKING FEES/TOLLS,,,1.0,3.2,10
HCPCS,A0180,NONER TRANSPORT LODGNG RECIP,,,1.0,3.2,10
HCPCS,A0190,NONER TRANSPORT MEALS RECIP,,,1.0,3.2,10
HCPCS,A0200,NONER TRANSPORT LODGNG ESCRT,,,1.0,3.2,10
HCPCS,A0210,NONER TRANSPORT MEALS ESCORT,,,1.0,3.2,10
HCPCS,A0225,NEONATAL EMERGENCY TRANSPORT,,,1.0,2777.6,10
HCPCS,A0380,BASIC LIFE SUPPORT MILEAGE,,,1.0,27.09,10
HCPCS,A0382,BASIC SUPPORT ROUTINE SUPPLS,,,1.0,3.2,10
HCPCS,A0384,BLS DEFIBRILLATION SUPPLIES,,,1.0,3.2,10
HCPCS,A0390,ADVANCED LIFE SUPPORT MILEAG,,,1.0,30.03,10
HCPCS,A0392,ALS DEFIBRILLATION SUPPLIES,,,1.0,3.2,10
HCPCS,A0394,ALS IV DRUG THERAPY SUPPLIES,,,1.0,3.2,10
HCPCS,A0396,ALS ESOPHAGEAL INTUB SUPPLS,,,1.0,3.2,10
HCPCS,A0398,ALS ROUTINE DISPOSBLE SUPPLS,,,1.0,3.2,10
HCPCS,A0420,AMBULANCE WAITING 1/2 HR,,,1.0,219.51,10
HCPCS,A0422,AMBULANCE 02 LIFE SUSTAINING,,,1.0,160.79,10
HCPCS,A0424,EXTRA AMBULANCE ATTENDANT,,,1.0,3.2,10
HCPCS,A0425,GROUND MILEAGE,,,1.0,49.59,10
HCPCS,A0426,ALS 1,,,1.0,1533.81,10
HCPCS,A0427,ALS1-EMERGENCY,,,1.0,2204.34,10
HCPCS,A0428,BLS,,,1.0,1188.12,10
HCPCS,A0429,BLS-EMERGENCY,,,1.0,1729.3,10
HCPCS,A0430,FIXED WING AIR TRANSPORT,,,1.0,27054.37,10
HCPCS,A0431,ROTARY WING AIR TRANSPORT,,,1.0,31216.58,10
HCPCS,A0432,PI VOLUNTEER AMBULANCE CO,,,1.0,3.2,10
HCPCS,A0433,ALS 2,,,1.0,2830.78,10
HCPCS,A0434,SPECIALTY CARE TRANSPORT,,,1.0,3345.42,10
HCPCS,A0435,FIXED WING AIR MILEAGE,,,1.0,251.81,10
HCPCS,A0436,ROTARY WING AIR MILEAGE,,,1.0,234.68,10
HCPCS,A0888,NONCOVERED AMBULANCE MILEAGE,,,1.0,3.2,10
HCPCS,A0998,AMBULANCE RESPONSE/TREATMENT,,,1.0,1604.47,10
HCPCS,A0999,UNLISTED AMBULANCE SERVICE,,,1.0,788.0,10
HCPCS,A2001,"INNOVAMATRIX AC, PER SQ CM",,,1.0,16.13,90
HCPCS,A2002,MIRRAGEN ADV WND MAT PER SQ,,,1.0,16.13,90
HCPCS,A2004,"XCELLISTEM, 1 MG",,,1.0,16.13,90
HCPCS,A2005,"MICROLYTE MATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,A2006,MATRX NOVO BTM DERML PER SQ CM,95.0,71.25,1.0,16.13,90
HCPCS,A2006,MATRX NOVO MTX DERML PER SQ CM,119.0,89.25,1.0,16.13,90
HCPCS,A2007,WND MATRIX RESTRATA PER SQ CM,337.0,252.75,1.0,16.13,90
HCPCS,A2008,"THERAGENESIS, PER SQ CM",,,1.0,16.13,90
HCPCS,A2009,"SYMPHONY, PER SQ CM",,,1.0,16.13,90
HCPCS,A2010,"APIS, PER SQUARE CENTIMETER",,,1.0,16.13,90
HCPCS,A2011,"SUPRA SDRM, PER SQ CM",,,1.0,16.13,90
HCPCS,A2012,"SUPRATHEL, PER SQ CM",,,1.0,16.13,90
HCPCS,A2013,"INNOVAMATRIX FS, PER SQ CM",,,1.0,16.13,90
HCPCS,A2014,OMEZA COLLAG PER 100 MG,,,1.0,16.13,90
HCPCS,A2015,"PHOENIX WND MTRX, PER SQ CM",,,1.0,16.13,90
HCPCS,A2016,"PERMEADERM B, PER SQ CM",,,1.0,16.13,90
HCPCS,A2018,"PERMEADERM C, PER SQ CM",,,1.0,16.13,90
HCPCS,A2019,KERECIS MARIGEN SHLD SQ CM,,,1.0,16.13,90
HCPCS,A2020,AC5 WOUND SYSTEM,,,1.0,16.13,90
HCPCS,A2021,NEOMATRIX PER SQ CM,,,1.0,16.13,90
HCPCS,A2022,INNOVABRN/INNOVAMATX XL SQCM,,,1.0,16.13,90
HCPCS,A2023,"INNOVAMATRIX PD, 1 MG",,,1.0,16.13,90
HCPCS,A2024,RESOLVE MATRIX PER SQ CM,,,1.0,16.13,90
HCPCS,A2025,MIRO3D PER CUBIC CM,,,1.0,16.13,90
HCPCS,A2026,MINIMATRIX RESTRATA PER 5MG,230.5,172.875,1.0,16.13,180
HCPCS,A2027,MATRIDERM PER SQ CM,69.0,51.75,1.0,16.13,90
HCPCS,A2027,MATRIX DERMAL 1MM 155SQ CM PSC,87.0,65.25,1.0,16.13,90
HCPCS,A2027,MATRIX DERMAL 1MM 38SQCM PSC,207.0,155.25,1.0,16.13,90
HCPCS,A2027,MATRIX DERMAL 2MM 155SQCM PSC,100.0,75.0,1.0,16.13,90
HCPCS,A2028,"MicroMatrix Flex, per mg",,,1.0,16.13,90
HCPCS,A2029,"MiroTract Wound Matrix Sheet, per cubic centimeter",,,1.0,16.13,90
HCPCS,A2030,"Miro3D Fibers, per milligram",,,1.0,16.13,90
HCPCS,A2031,"MiroDry Wound Matrix, per square centimeter",,,1.0,16.13,90
HCPCS,A2032,"Myriad Matrix, per square centimeter",,,1.0,16.13,90
HCPCS,A2033,"Myriad Morcells, 4 milligrams",,,1.0,16.13,90
HCPCS,A2034,"Foundation DRS Solo, per square centimeter",,,1.0,16.13,90
HCPCS,A2035,"Corplex P or Theracor P or Allacor P, per milligram",,,1.0,16.13,90
HCPCS,A4100,SKIN SUB FDA CLRD AS DEV NOS,,,1.0,16.13,90
HCPCS,A4206,1 CC STERILE SYRINGE&NEEDLE,,,0.83,1.02,10
HCPCS,A4207,2 CC STERILE SYRINGE&NEEDLE,,,0.83,1.02,10
HCPCS,A4208,3 CC STERILE SYRINGE&NEEDLE,,,0.83,1.02,10
HCPCS,A4209,5+ CC STERILE SYRINGE&NEEDLE,,,1.0,1.31,10
HCPCS,A4211,SUPP FOR SELF-ADM INJECTIONS,,,1.0,7.2,10
HCPCS,A4212,NON CORING NEEDLE OR STYLET,,,1.0,14.41,10
HCPCS,A4213,20+ CC SYRINGE ONLY,,,1.0,5.76,10
HCPCS,A4215,STERILE NEEDLE,,,0.44,1.0,10
HCPCS,A4216,SODIUM CHLORIDE BACTERIOSTATIC,25.0,18.75,1.0,1.99,10
HCPCS,A4217,WATER ST URO 3L,148.0,111.0,1.0,14.02,10
HCPCS,A4217,"WATER, STERILE INJ 1000ML",118.0,88.5,1.0,14.02,10
HCPCS,A4217,"WATER, STERILE INJ, PER ML",3.0,2.25,1.0,14.02,10
HCPCS,A4218,STERILE SALINE OR WATER,,,1.0,3.33,10
HCPCS,A4220,INFUSION PUMP REFILL KIT,,,1.0,3.2,10
HCPCS,A4221,DME POS,,,1.0,80.65,10
HCPCS,A4222,DME POS,,,1.0,152.98,10
HCPCS,A4223,INFUSION SUPPLIES W/O PUMP,,,1.0,134.66,10
HCPCS,A4224,DME POS,,,1.0,105.75,10
HCPCS,A4225,DME POS,,,1.0,10.82,10
HCPCS,A4230,INFUS INSULIN PUMP NON NEEDL,,,1.0,37.84,10
HCPCS,A4231,INFUSION INSULIN PUMP NEEDLE,,,1.0,16.14,10
HCPCS,A4232,SYRINGE W/NEEDLE INSULIN 3CC,,,1.0,8.45,10
HCPCS,A4233,DME POS,,,1.0,1.63,10
HCPCS,A4234,DME POS,,,1.0,7.56,10
HCPCS,A4236,DME POS,,,1.0,3.71,10
HCPCS,A4244,ALCOHOL OR PEROXIDE PER PINT,,,1.0,4.32,10
HCPCS,A4245,ALCOHOL WIPES PER BOX,,,1.0,14.41,10
HCPCS,A4246,BETADINE/PHISOHEX SOLUTION,,,1.0,18.73,10
HCPCS,A4247,BETADINE/IODINE SWABS/WIPES,,,1.0,24.49,10
HCPCS,A4248,CHLORHEXIDINE ANTISEPT,,,0.23,1.0,10
HCPCS,A4250,URINE REAGENT STRIPS/TABLETS,,,1.0,187.3,10
HCPCS,A4252,BLOOD KETONE TEST OR STRIP,,,1.0,13.77,10
HCPCS,A4253,DME POS,,,1.0,57.98,10
HCPCS,A4258,DME POS,,,1.0,30.0,10
HCPCS,A4259,DME POS,,,1.0,20.04,10
HCPCS,A4261,CERVICAL CAP CONTRACEPTIVE,,,1.0,74.15,95
HCPCS,A4262,TEMPORARY TEAR DUCT PLUG,,,1.0,16.13,90
HCPCS,A4263,EYE STNT MINI MONOKA,407.0,305.25,1.0,16.13,90
HCPCS,A4264,CLIPS FILSHIE TUBAL,582.0,436.5,1.0,1485.59,10
HCPCS,A4264,ESSURE BIRTH CONTROL SYSTEM,11067.0,8300.25,1.0,1485.59,10
HCPCS,A4265,DME POS,,,1.0,15.24,10
HCPCS,A4266,DIAPHRAGM,,,1.0,256.14,10
HCPCS,A4267,MALE CONDOM,,,1.0,3.2,10
HCPCS,A4268,FEMALE CONDOM,,,1.0,3.2,10
HCPCS,A4269,SPERMICIDE,,,1.0,3.2,10
HCPCS,A4270,DISPOSABLE ENDOSCOPE SHEATH,,,1.0,3.2,10
HCPCS,A4280,DME POS,,,1.0,23.82,10
HCPCS,A4281,REPLACEMENT BREASTPUMP TUBE,,,1.0,15.85,10
HCPCS,A4282,REPLACEMENT BREASTPUMP ADPT,,,1.0,43.22,10
HCPCS,A4283,REPLACEMENT BREASTPUMP CAP,,,1.0,8.64,10
HCPCS,A4284,REPLCMNT BREAST PUMP SHIELD,,,1.0,7.94,10
HCPCS,A4285,REPLCMNT BREAST PUMP BOTTLE,,,1.0,28.82,10
HCPCS,A4286,REPLCMNT BREASTPUMP LOK RING,,,1.0,18.73,10
HCPCS,A4290,SACRAL NERVE STIM TEST LEAD,,,1.0,16.13,90
HCPCS,A4305,DRUG DELIVERY SYSTEM >=50 ML,,,1.0,3.2,10
HCPCS,A4306,DRUG DELIVERY SYSTEM <=50 ML,,,1.0,3.2,10
HCPCS,A4310,DME POS,,,1.0,34.55,10
HCPCS,A4311,DME POS,,,1.0,66.28,10
HCPCS,A4312,DME POS,,,1.0,80.68,10
HCPCS,A4313,DME POS,,,1.0,70.44,10
HCPCS,A4314,DME POS,,,1.0,113.08,10
HCPCS,A4315,DME POS,,,1.0,117.98,10
HCPCS,A4316,DME POS,,,1.0,127.04,10
HCPCS,A4320,DME POS,,,1.0,22.0,10
HCPCS,A4321,DME POS,,,1.0,3.2,10
HCPCS,A4322,DME POS,,,1.0,13.64,10
HCPCS,A4326,DME POS,,,1.0,41.88,10
HCPCS,A4327,DME POS,,,1.0,199.53,10
HCPCS,A4328,DME POS,,,1.0,46.55,10
HCPCS,A4330,DME POS,,,1.0,32.05,10
HCPCS,A4331,DME POS,,,1.0,14.22,10
HCPCS,A4332,DME POS,,,0.39,1.0,10
HCPCS,A4333,DME POS,,,1.0,9.93,10
HCPCS,A4334,DME POS,,,1.0,22.0,10
HCPCS,A4335,INCONTINENCE SUPPLY,,,1.0,14.41,10
HCPCS,A4336,DME POS,,,1.0,6.44,10
HCPCS,A4337,INCONTINENT RECTAL INSERT,,,1.0,4.61,10
HCPCS,A4338,DME POS,,,1.0,54.88,10
HCPCS,A4340,DME POS,,,1.0,120.74,10
HCPCS,A4341,DIABETES PREV STANDARD CURR,,,1.0,1091.56,10
HCPCS,A4342,DME POS,,,1.0,2756.15,10
HCPCS,A4344,DME POS,,,1.0,71.59,10
HCPCS,A4346,DME POS,,,1.0,87.6,10
HCPCS,A4349,DME POS,,,1.0,9.0,10
HCPCS,A4351,DME POS,,,1.0,8.1,10
HCPCS,A4352,DME POS,,,1.0,24.4,10
HCPCS,A4353,DME POS,,,1.0,31.34,10
HCPCS,A4354,DME POS,,,1.0,45.53,10
HCPCS,A4355,DME POS,,,1.0,39.89,10
HCPCS,A4356,DME POS,,,1.0,204.11,10
HCPCS,A4357,DME POS,,,1.0,43.45,10
HCPCS,A4358,DME POS,,,1.0,26.22,10
HCPCS,A4360,DME POS,,,1.0,2.21,10
HCPCS,A4362,DME POS,,,1.0,13.42,10
HCPCS,A4363,DME POS,,,1.0,10.6,10
HCPCS,A4364,DME POS,,,1.0,13.16,10
HCPCS,A4366,DME POS,,,1.0,5.76,10
HCPCS,A4367,DME POS,,,1.0,27.98,10
HCPCS,A4368,DME POS,,,0.9,1.12,10
HCPCS,A4369,DME POS,,,1.0,10.85,10
HCPCS,A4371,DME POS,,,1.0,16.33,10
HCPCS,A4372,DME POS,,,1.0,18.79,10
HCPCS,A4373,DME POS,,,1.0,28.05,10
HCPCS,A4375,DME POS,,,1.0,76.81,10
HCPCS,A4376,DME POS,,,1.0,212.85,10
HCPCS,A4377,DME POS,,,1.0,19.18,10
HCPCS,A4378,DME POS,,,1.0,137.55,10
HCPCS,A4379,DME POS,,,1.0,67.17,10
HCPCS,A4380,DME POS,,,1.0,167.0,10
HCPCS,A4381,DME POS,,,1.0,20.68,10
HCPCS,A4382,DME POS,,,1.0,110.14,10
HCPCS,A4383,DME POS,,,1.0,126.08,10
HCPCS,A4384,DME POS,,,1.0,42.97,10
HCPCS,A4385,DME POS,,,1.0,22.8,10
HCPCS,A4387,DME POS,,,1.0,10.05,10
HCPCS,A4388,DME POS,,,1.0,19.5,10
HCPCS,A4389,DME POS,,,1.0,27.76,10
HCPCS,A4390,DME POS,,,1.0,42.93,10
HCPCS,A4391,DME POS,,,1.0,31.6,10
HCPCS,A4392,DME POS,,,1.0,36.56,10
HCPCS,A4393,DME POS,,,1.0,40.44,10
HCPCS,A4394,DME POS,,,1.0,11.59,10
HCPCS,A4395,DME POS,,,0.13,1.0,10
HCPCS,A4396,DME POS,,,1.0,181.09,10
HCPCS,A4398,DME POS,,,1.0,61.82,10
HCPCS,A4399,DME POS,,,1.0,54.88,10
HCPCS,A4400,DME POS,,,1.0,185.83,10
HCPCS,A4402,DME POS,,,1.0,7.14,10
HCPCS,A4404,DME POS,,,1.0,7.49,10
HCPCS,A4405,DME POS,,,1.0,15.27,10
HCPCS,A4406,DME POS,,,1.0,25.61,10
HCPCS,A4407,DME POS,,,1.0,39.19,10
HCPCS,A4408,DME POS,,,1.0,44.15,10
HCPCS,A4409,DME POS,,,1.0,27.76,10
HCPCS,A4410,DME POS,,,1.0,40.44,10
HCPCS,A4413,DME POS,,,1.0,24.65,10
HCPCS,A4414,DME POS,,,1.0,22.0,10
HCPCS,A4415,DME POS,,,1.0,26.83,10
HCPCS,A4416,DME POS,,,1.0,12.33,10
HCPCS,A4417,DME POS,,,1.0,16.68,10
HCPCS,A4418,DME POS,,,1.0,8.1,10
HCPCS,A4419,DME POS,,,1.0,7.72,10
HCPCS,A4420,DME POS,,,1.0,4.93,10
HCPCS,A4421,OSTOMY SUPPLY MISC,,,1.0,3.33,10
HCPCS,A4422,DME POS,,,0.39,1.0,10
HCPCS,A4423,DME POS,,,1.0,8.29,10
HCPCS,A4424,DME POS,,,1.0,21.29,10
HCPCS,A4425,DME POS,,,1.0,16.01,10
HCPCS,A4426,DME POS,,,1.0,12.2,10
HCPCS,A4427,DME POS,,,1.0,12.49,10
HCPCS,A4428,DME POS,,,1.0,29.17,10
HCPCS,A4429,DME POS,,,1.0,36.92,10
HCPCS,A4430,DME POS,,,1.0,38.1,10
HCPCS,A4431,DME POS,,,1.0,27.76,10
HCPCS,A4432,DME POS,,,1.0,16.04,10
HCPCS,A4433,DME POS,,,1.0,15.02,10
HCPCS,A4434,DME POS,,,1.0,16.81,10
HCPCS,A4450,DME POS,,,0.26,1.0,10
HCPCS,A4452,DME POS,,,1.0,1.57,10
HCPCS,A4455,DME POS,,,1.0,6.37,10
HCPCS,A4456,DME POS,,,0.88,1.09,10
HCPCS,A4458,REUSABLE ENEMA BAG,,,1.0,3.2,10
HCPCS,A4461,DME POS,,,1.0,14.76,10
HCPCS,A4463,DME POS,,,1.0,59.55,10
HCPCS,A4465,NON-ELASTIC EXTREMITY BINDER,,,1.0,3.2,10
HCPCS,A4467,BELT STRAP SLEEV GRMNT COVER,,,1.0,3.2,10
HCPCS,A4470,GRAVLEE JET WASHER,,,1.0,3.2,10
HCPCS,A4480,VABRA ASPIRATOR,,,1.0,3.2,10
HCPCS,A4481,DME POS,,,1.0,1.63,10
HCPCS,A4483,DME POS,,,1.0,14.12,10
HCPCS,A4490,ABOVE KNEE SURGICAL STOCKING,,,1.0,100.85,10
HCPCS,A4495,THIGH LENGTH SURG STOCKING,,,1.0,109.5,10
HCPCS,A4500,BELOW KNEE SURGICAL STOCKING,,,1.0,86.45,10
HCPCS,A4510,FULL LENGTH SURG STOCKING,,,1.0,115.26,10
HCPCS,A4520,INCONTINENCE GARMENT ANYTYPE,,,1.0,2.56,10
HCPCS,A4550,SURGICAL TRAYS,,,1.0,3.2,10
HCPCS,A4553,"NONDISP UNDERPADS, ALL SIZES",,,1.0,35.96,10
HCPCS,A4554,DISPOSABLE UNDERPADS,,,1.0,72.04,10
HCPCS,A4555,CA TX E-STIM ELECTR/TRANSDUC,,,1.0,3.2,10
HCPCS,A4556,DME POS,,,1.0,54.33,10
HCPCS,A4557,DME POS,,,1.0,41.17,10
HCPCS,A4558,DME POS,,,1.0,24.4,10
HCPCS,A4559,DME POS,,,0.34,1.0,10
HCPCS,A4560,NMES DISPOSABLE,,,1.0,3.2,10
HCPCS,A4561,DME POS,,,1.0,91.7,10
HCPCS,A4562,DME POS,,,1.0,227.8,10
HCPCS,A4563,DME POS,,,1.0,3.2,10
HCPCS,A4566,SHOULD SLING/VEST/ABRESTRAIN,,,1.0,3.2,10
HCPCS,A4570,SPLINT,,,1.0,3.2,10
HCPCS,A4575,HYPERBARIC O2 CHAMBER DISPS,,,1.0,3.2,10
HCPCS,A4580,CAST SUPPLIES (PLASTER),,,1.0,73.0,10
HCPCS,A4590,SPECIAL CASTING MATERIAL,,,1.0,80.04,10
HCPCS,A4595,DME POS,,,1.0,52.86,10
HCPCS,A4600,"SLEEVE, INTER LIMB COMP DEV",,,1.0,776.19,10
HCPCS,A4601,LITH ION NON PROSTH RECHARGE,,,1.0,363.07,10
HCPCS,A4602,DME POS,,,1.0,16.68,10
HCPCS,A4604,DME POS,,,1.0,155.25,10
HCPCS,A4605,DME POS,,,1.0,73.38,10
HCPCS,A4606,OXYGEN PROBE USED W OXIMETER,,,1.0,648.34,10
HCPCS,A4608,DME POS,,,1.0,224.25,10
HCPCS,A4614,DME POS,,,1.0,106.39,10
HCPCS,A4615,DME POS,,,1.0,3.27,10
HCPCS,A4616,DME POS,,,0.21,1.0,10
HCPCS,A4617,DME POS,,,1.0,13.86,10
HCPCS,A4618,DME POS,,,1.0,39.8,10
HCPCS,A4619,DME POS,,,1.0,8.0,10
HCPCS,A4620,DME POS,,,1.0,2.85,10
HCPCS,A4623,DME POS,,,1.0,29.33,10
HCPCS,A4624,DME POS,,,1.0,10.05,10
HCPCS,A4627,SPACER BAG/RESERVOIR,,,1.0,74.92,10
HCPCS,A4628,DME POS,,,1.0,16.74,10
HCPCS,A4634,REPLACEMENT BULB TH LIGHTBOX,,,1.0,64.83,10
HCPCS,A4641,CAPTOPRIL,81.0,60.75,,,0
HCPCS,A4642,IN111 SATUMOMAB,,,0.92,1.12,10
HCPCS,A4648,MARKER TISSUE IMPLANTED,9613.5,7210.125,,,0
HCPCS,A4648,TISSUE MARKER CLIP,1493.5,1120.125,,,0
HCPCS,A4649,CARTRIDGE OPUS,1170.0,877.5,1.0,434.25,10
HCPCS,A4649,FEMOSTOP PLUS ARCH,763.0,572.25,1.0,434.25,10
HCPCS,A4649,GOLD EYELID LOAD PROSTHESIS,1964.0,1473.0,1.0,434.25,10
HCPCS,A4649,GOLD EYELID WEIGHT IMPLANT 10,1997.0,1497.75,1.0,434.25,10
HCPCS,A4649,GOLD EYELID WRIGHT IMPLANT,3006.0,2254.5,1.0,434.25,10
HCPCS,A4649,GOLD WEIGHT IMPLANT,1933.0,1449.75,1.0,434.25,10
HCPCS,A4649,SILICONE OIL,3093.0,2319.75,1.0,434.25,10
HCPCS,A4649,SILICONE SHEET/STRIP XOMED,164.0,123.0,1.0,434.25,10
HCPCS,A4649,VISCOAT AMERISOURCE 35631268,567.0,425.25,1.0,434.25,10
HCPCS,A4657,SYRINGE W/WO NEEDLE,,,1.0,2.88,10
HCPCS,A4660,SPHYG/BP APP W CUFF AND STET,,,1.0,138.31,10
HCPCS,A4663,DIALYSIS BLOOD PRESSURE CUFF,,,1.0,115.26,10
HCPCS,A4670,"AUTOMATIC BP MONITOR, DIAL",,,1.0,167.13,10
HCPCS,A4680,"ACTIVATED CARBON FILTER, EA",,,1.0,57.63,10
HCPCS,A4690,"DIALYZER, EACH",,,1.0,7025.17,10
HCPCS,A4706,BICARBONATE CONC SOL PER GAL,,,1.0,34.58,10
HCPCS,A4707,BICARBONATE CONC POW PER PAC,,,1.0,2.88,10
HCPCS,A4708,ACETATE CONC SOL PER GALLON,,,1.0,34.58,10
HCPCS,A4709,ACID CONC SOL PER GALLON,,,1.0,34.58,10
HCPCS,A4714,TREATED WATER PER GALLON,,,1.0,11.53,10
HCPCS,A4719,"""""Y SET"""" TUBING",,,1.0,11.53,10
HCPCS,A4720,DIALYSAT SOL FLD VOL > 249CC,,,1.0,8.64,10
HCPCS,A4721,DIALYSAT SOL FLD VOL > 999CC,,,1.0,17.29,10
HCPCS,A4722,DIANEAL LOW CALCIUM D1.5% 2 L,147.0,110.25,1.0,25.93,10
HCPCS,A4722,DIANEAL LOW CALCIUM D1.5% 2.5L,149.0,111.75,1.0,25.93,10
HCPCS,A4722,DIANEAL LOW CALCIUM D2.5% 2 L,147.0,110.25,1.0,25.93,10
HCPCS,A4722,DIANEAL LOW CALCIUM D4.25% 2 L,147.0,110.25,1.0,25.93,10
HCPCS,A4722,DIANEAL LOW CALCM  D2.5% 2.5 L,137.0,102.75,1.0,25.93,10
HCPCS,A4722,DIANEAL PD-2 D1.5% 2 L,147.0,110.25,1.0,25.93,10
HCPCS,A4722,DIANEAL PD-2 D2.5% 2 L,142.0,106.5,1.0,25.93,20
HCPCS,A4722,DIANEAL PD-2 D4.25% 2 L,147.0,110.25,1.0,25.93,10
HCPCS,A4722,DIANEAL PD-2 WITH 1.5% DEXTROS,147.0,110.25,1.0,25.93,10
HCPCS,A4722,PD 2000-2999ML,147.0,110.25,1.0,25.93,10
HCPCS,A4723,DIALYS SOL FLD VOL > 2999CC,,,1.0,34.58,10
HCPCS,A4724,DIALYS SOL FLD VOL > 3999CC,,,1.0,43.22,10
HCPCS,A4725,DIALYS SOL FLD VOL > 4999CC,,,1.0,51.87,10
HCPCS,A4726,DIALYS SOL FLD VOL > 5999CC,,,1.0,60.51,10
HCPCS,A4730,"FISTULA CANNULATION SET, EA",,,1.0,2.88,10
HCPCS,A4736,"TOPICAL ANESTHETIC, PER GRAM",,,1.0,2.88,10
HCPCS,A4737,INJ ANESTHETIC PER 10 ML,,,1.0,7.2,10
HCPCS,A4740,SHUNT ACCESSORY,,,1.0,2.88,10
HCPCS,A4750,ART OR VENOUS BLOOD TUBING,,,1.0,14.41,10
HCPCS,A4755,COMB ART/VENOUS BLOOD TUBING,,,1.0,20.17,10
HCPCS,A4760,"DIALYSATE SOL TEST KIT, EACH",,,1.0,17.29,10
HCPCS,A4765,DIALYSATE CONC POW PER PACK,,,1.0,2.88,10
HCPCS,A4766,DIALYSATE CONC SOL ADD 10 ML,,,1.0,2.88,10
HCPCS,A4770,BLOOD COLLECTION TUBE/VACUUM,,,1.0,2.88,10
HCPCS,A4771,SERUM CLOTTING TIME TUBE,,,1.0,2.88,10
HCPCS,A4772,BLOOD GLUCOSE TEST STRIPS,,,1.0,138.31,10
HCPCS,A4773,OCCULT BLOOD TEST STRIPS,,,1.0,100.85,10
HCPCS,A4774,AMMONIA TEST STRIPS,,,1.0,72.04,10
HCPCS,A4802,PROTAMINE SULFATE PER 50 MG,,,1.0,2.88,10
HCPCS,A4860,DISPOSABLE CATHETER TIPS,,,1.0,2.88,10
HCPCS,A4890,REPAIR/MAINT CONT HEMO EQUIP,,,1.0,3.2,10
HCPCS,A4911,DRAIN BAG/BOTTLE,,,1.0,43.22,10
HCPCS,A4913,MISC DIALYSIS SUPPLIES NOC,,,1.0,144.08,10
HCPCS,A4918,VENOUS PRESSURE CLAMP,,,1.0,2.88,10
HCPCS,A4927,NON-STERILE GLOVES,,,1.0,23.05,10
HCPCS,A4930,"STERILE, GLOVES PER PAIR",,,1.0,2.88,10
HCPCS,A4931,REUSABLE ORAL THERMOMETER,,,1.0,3.2,10
HCPCS,A6010,DME POS,,,1.0,138.54,10
HCPCS,A6011,DME POS,,,1.0,10.21,10
HCPCS,A6021,DME POS,,,1.0,94.07,10
HCPCS,A6022,DME POS,,,1.0,94.07,10
HCPCS,A6023,DME POS,,,1.0,851.33,10
HCPCS,A6024,DME POS,,,1.0,27.66,10
HCPCS,A6025,"SILICONE GEL SHEET, EACH",,,1.0,3.2,10
HCPCS,A6154,DME POS,,,1.0,64.32,10
HCPCS,A6196,DME POS,,,1.0,32.91,10
HCPCS,A6197,DME POS,,,1.0,73.58,10
HCPCS,A6198,ALGINATE DRESSING > 48 SQ IN,,,1.0,74.92,10
HCPCS,A6199,DME POS,,,1.0,23.6,10
HCPCS,A6203,DME POS,,,1.0,15.08,10
HCPCS,A6204,DME POS,,,1.0,27.82,10
HCPCS,A6205,COMPOSITE DRSG > 48 SQ IN,,,1.0,21.61,10
HCPCS,A6206,CONTACT LAYER <= 16 SQ IN,,,1.0,7.65,10
HCPCS,A6207,DME POS,,,1.0,32.85,10
HCPCS,A6208,CONTACT LAYER > 48 SQ IN,,,1.0,21.61,10
HCPCS,A6209,DME POS,,,1.0,33.43,10
HCPCS,A6210,DME POS,,,1.0,89.14,10
HCPCS,A6211,DME POS,,,1.0,131.4,10
HCPCS,A6212,DME POS,,,1.0,43.45,10
HCPCS,A6213,FOAM DRG >16<=48 SQ IN W/BDR,,,1.0,57.63,10
HCPCS,A6214,DME POS,,,1.0,46.07,10
HCPCS,A6215,FOAM DRESSING WOUND FILLER,,,1.0,7.94,10
HCPCS,A6216,DME POS,,,0.13,1.0,10
HCPCS,A6217,DME POS,,,1.0,1.73,10
HCPCS,A6218,NON-STERILE GAUZE > 48 SQ IN,,,1.0,2.18,10
HCPCS,A6219,DME POS,,,1.0,4.26,10
HCPCS,A6220,DME POS,,,1.0,11.59,10
HCPCS,A6221,GAUZE > 48 SQ IN W/BORDER,,,1.0,3.46,10
HCPCS,A6222,DME POS,,,1.0,9.54,10
HCPCS,A6223,DME POS,,,1.0,10.85,10
HCPCS,A6224,DME POS,,,1.0,16.1,10
HCPCS,A6228,GAUZE <= 16 SQ IN WATER/SAL,,,1.0,3.2,10
HCPCS,A6229,DME POS,,,1.0,16.1,10
HCPCS,A6230,GAUZE > 48 SQ IN WATER/SALNE,,,1.0,3.2,10
HCPCS,A6231,DME POS,,,1.0,20.97,10
HCPCS,A6232,DME POS,,,1.0,30.7,10
HCPCS,A6233,DME POS,,,1.0,85.77,10
HCPCS,A6234,DME POS,,,1.0,29.3,10
HCPCS,A6235,DME POS,,,1.0,75.24,10
HCPCS,A6236,DME POS,,,1.0,121.89,10
HCPCS,A6237,DME POS,,,1.0,35.38,10
HCPCS,A6238,DME POS,,,1.0,102.01,10
HCPCS,A6239,HYDROCOLLD DRG > 48 IN W/BDR,,,1.0,95.09,10
HCPCS,A6240,DME POS,,,1.0,54.78,10
HCPCS,A6241,DME POS,,,1.0,11.49,10
HCPCS,A6242,DME POS,,,1.0,27.09,10
HCPCS,A6243,DME POS,,,1.0,55.13,10
HCPCS,A6244,DME POS,,,1.0,175.74,10
HCPCS,A6245,DME POS,,,1.0,32.53,10
HCPCS,A6246,DME POS,,,1.0,44.44,10
HCPCS,A6247,DME POS,,,1.0,106.39,10
HCPCS,A6248,DME POS,,,1.0,72.68,10
HCPCS,A6250,SKIN SEAL PROTECT MOISTURIZR,,,1.0,3.2,10
HCPCS,A6251,DME POS,,,1.0,8.9,10
HCPCS,A6252,DME POS,,,1.0,14.57,10
HCPCS,A6253,DME POS,,,1.0,28.34,10
HCPCS,A6254,DME POS,,,1.0,5.35,10
HCPCS,A6255,DME POS,,,1.0,13.61,10
HCPCS,A6256,ABSORPT DRG > 48 SQ IN W/BDR,,,1.0,23.05,10
HCPCS,A6257,DME POS,,,1.0,6.85,10
HCPCS,A6258,DME POS,,,1.0,19.27,10
HCPCS,A6259,DME POS,,,1.0,48.92,10
HCPCS,A6260,WOUND CLEANSER ANY TYPE/SIZE,,,1.0,3.2,10
HCPCS,A6261,WOUND FILLER GEL/PASTE /OZ,,,1.0,27.37,10
HCPCS,A6262,WOUND FILLER DRY FORM / GRAM,,,1.0,7.94,10
HCPCS,A6266,DME POS,,,1.0,8.55,10
HCPCS,A6402,DME POS,,,0.39,1.0,10
HCPCS,A6403,DME POS,,,1.0,1.82,10
HCPCS,A6404,STERILE GAUZE > 48 SQ IN,,,1.0,4.03,10
HCPCS,A6407,DME POS,,,1.0,8.36,10
HCPCS,A6410,DME POS,,,1.0,1.66,10
HCPCS,A6411,DME POS,,,0.34,1.0,10
HCPCS,A6412,OCCLUSIVE EYE PATCH,,,1.0,1.5,10
HCPCS,A6413,"ADHESIVE BANDAGE, FIRST-AID",,,1.0,3.2,10
HCPCS,A6441,DME POS,,,1.0,3.04,10
HCPCS,A6442,DME POS,,,0.59,1.0,10
HCPCS,A6443,DME POS,,,1.0,1.25,10
HCPCS,A6444,DME POS,,,1.0,2.5,10
HCPCS,A6445,DME POS,,,1.0,1.41,10
HCPCS,A6446,DME POS,,,1.0,1.73,10
HCPCS,A6447,DME POS,,,1.0,3.04,10
HCPCS,A6448,DME POS,,,1.0,5.15,10
HCPCS,A6449,DME POS,,,1.0,7.84,10
HCPCS,A6450,DME POS,,,1.0,7.84,10
HCPCS,A6451,DME POS,,,1.0,7.84,10
HCPCS,A6452,DME POS,,,1.0,26.38,10
HCPCS,A6453,DME POS,,,1.0,2.82,10
HCPCS,A6454,DME POS,,,1.0,3.52,10
HCPCS,A6455,DME POS,,,1.0,6.24,10
HCPCS,A6456,DME POS,,,1.0,5.6,10
HCPCS,A6457,DME POS,,,1.0,5.09,10
HCPCS,A6460,SYNTHETIC DRSG <= 16 SQ IN,,,1.0,32.02,10
HCPCS,A6461,SYNTHETIC DRSG >16<=48 SQ IN,,,1.0,96.05,10
HCPCS,A6501,DME POS,,,1.0,1224.65,10
HCPCS,A6502,DME POS,,,1.0,207.47,10
HCPCS,A6503,DME POS,,,1.0,322.73,10
HCPCS,A6504,DME POS,,,1.0,274.77,10
HCPCS,A6505,DME POS,,,1.0,461.04,10
HCPCS,A6506,DME POS,,,1.0,489.86,10
HCPCS,A6507,DME POS,,,1.0,187.3,10
HCPCS,A6508,DME POS,,,1.0,222.61,10
HCPCS,A6509,DME POS,,,1.0,518.68,10
HCPCS,A6510,DME POS,,,1.0,633.94,10
HCPCS,A6511,DME POS,,,1.0,345.78,10
HCPCS,A6512,"COMPRES BURN GARMENT, NOC",,,1.0,501.39,10
HCPCS,A6513,DME POS,,,1.0,386.13,10
HCPCS,A6531,DME POS,,,1.0,193.54,10
HCPCS,A6532,DME POS,,,1.0,272.72,10
HCPCS,A6590,DME POS,,,1.0,1396.58,10
HCPCS,A6591,DME POS,,,1.0,284.5,10
HCPCS,A7000,DME POS,,,1.0,32.95,10
HCPCS,A7001,DME POS,,,1.0,147.95,10
HCPCS,A7002,DME POS,,,1.0,17.16,10
HCPCS,A7003,DME POS,,,1.0,5.89,10
HCPCS,A7004,DME POS,,,1.0,4.93,10
HCPCS,A7005,DME POS,,,1.0,61.47,10
HCPCS,A7006,DME POS,,,1.0,30.9,10
HCPCS,A7007,DME POS,,,1.0,13.64,10
HCPCS,A7008,DME POS,,,1.0,49.18,10
HCPCS,A7009,DME POS,,,1.0,188.13,10
HCPCS,A7010,DME POS,,,1.0,62.59,10
HCPCS,A7012,DME POS,,,1.0,10.89,10
HCPCS,A7013,DME POS,,,1.0,2.27,10
HCPCS,A7014,DME POS,,,1.0,13.19,10
HCPCS,A7015,DME POS,,,1.0,5.03,10
HCPCS,A7016,DME POS,,,1.0,32.47,10
HCPCS,A7017,DME POS,,,1.0,482.56,10
HCPCS,A7018,DME POS,,,1.0,1.38,10
HCPCS,A7020,DME POS,,,1.0,64.74,10
HCPCS,A7025,DME POS,,,1.0,2042.97,10
HCPCS,A7026,DME POS,,,1.0,128.58,10
HCPCS,A7027,DME POS,,,1.0,477.53,10
HCPCS,A7028,DME POS,,,1.0,134.92,10
HCPCS,A7029,DME POS,,,1.0,60.22,10
HCPCS,A7030,DME POS,,,1.0,345.43,10
HCPCS,A7031,DME POS,,,1.0,130.66,10
HCPCS,A7032,DME POS,,,1.0,71.97,10
HCPCS,A7033,DME POS,,,1.0,60.54,10
HCPCS,A7034,DME POS,,,1.0,218.74,10
HCPCS,A7035,DME POS,,,1.0,71.75,10
HCPCS,A7036,DME POS,,,1.0,42.36,10
HCPCS,A7037,DME POS,,,1.0,60.0,10
HCPCS,A7038,DME POS,,,1.0,8.1,10
HCPCS,A7039,DME POS,,,1.0,24.53,10
HCPCS,A7040,DME POS,,,1.0,180.9,10
HCPCS,A7041,DME POS,,,1.0,340.05,10
HCPCS,A7044,DME POS,,,1.0,340.21,10
HCPCS,A7045,DME POS,,,1.0,50.11,10
HCPCS,A7046,DME POS,,,1.0,53.6,10
HCPCS,A7047,DME POS,,,1.0,3.2,10
HCPCS,A7048,DME POS,,,1.0,189.38,10
HCPCS,A7049,EPAP NASAL VALVE,,,1.0,3.2,10
HCPCS,A7520,TRACH TUBE CUFFLESS,373.0,279.75,,,0
HCPCS,A7527,DME POS,,,1.0,16.01,10
HCPCS,A8000,DME POS,,,1.0,3.2,10
HCPCS,A8001,DME POS,,,1.0,3.2,10
HCPCS,A8002,DME POS,,,1.0,3.2,10
HCPCS,A8003,DME POS,,,1.0,3.2,10
HCPCS,A8004,DME POS,,,1.0,3.2,10
HCPCS,A9156,ORAL MUCOADHESIVE PER 1 ML,,,1.0,3.2,10
HCPCS,A9270,ABACAVIR TAB 300MG,120.0,90.0,,,0
HCPCS,A9270,ABACAVIR-DOLUTEGRAVIR-LAMIVUDI,1824.0,1368.0,,,0
HCPCS,A9270,ABACAVOR/LAMIVUDINE TAB 600/30,617.0,462.75,,,0
HCPCS,A9270,ACETAMINOPHEN 300/CODEINE 30 T,13.0,9.75,,,0
HCPCS,A9270,ACETAMINOPHEN 300/CODEINE 60 T,13.0,9.75,,,0
HCPCS,A9270,ACETAMINOPHEN 32MG/MLPED,11.0,8.25,,,0
HCPCS,A9270,ACETAMINOPHEN CHWT 80MG CHWT,14.0,10.5,,,0
HCPCS,A9270,ACETAMINOPHEN ELIX 32MG/ML 10M,15.0,11.25,,,0
HCPCS,A9270,ACETAMINOPHEN EXTRA STRENGTH T,11.0,8.25,,,0
HCPCS,A9270,ACETAMINOPHEN PEDIATRIC SUPP 1,17.0,12.75,,,0
HCPCS,A9270,ACETAMINOPHEN SUPP 325MG SUPP,20.0,15.0,,,0
HCPCS,A9270,ACETAMINOPHEN SUPP 650MG SUPP,17.0,12.75,,,0
HCPCS,A9270,ACETAMINOPHEN TAB 325MG TAB,11.0,8.25,,,0
HCPCS,A9270,ACETAMINOPHEN/CODEINE ELIX 12.,36.0,27.0,,,0
HCPCS,A9270,ACETAZOLAMIDE 25MG/ML ORAL SY,16.0,12.0,,,0
HCPCS,A9270,ACETAZOLAMIDE SR CRCAP 500MG C,48.0,36.0,,,0
HCPCS,A9270,ACETAZOLAMIDE TAB 250MG TAB,22.0,16.5,,,0
HCPCS,A9270,ACETIC ACID 2% OTIC OTSOL 15ML,362.0,271.5,,,0
HCPCS,A9270,ACTIVATED CHARCOAL IN SORBITOL,416.0,312.0,,,0
HCPCS,A9270,ACYCLOVIR (PED) SUSP 40MG/ML,11.0,8.25,,,0
HCPCS,A9270,ACYCLOVIR CAP 200MG CAP,20.0,15.0,,,0
HCPCS,A9270,ACYCLOVIR SUSP 40MG/ML 120ML,35.0,26.25,,,0
HCPCS,A9270,ALBUTEROL 0.083% INH 2.5MG/3ML,16.0,12.0,,,0
HCPCS,A9270,ALBUTEROL HFA 8 GM INHALER AER,932.0,699.0,,,0
HCPCS,A9270,ALBUTEROL INH SOL'N 0.5% INH 1,22.0,16.5,,,0
HCPCS,A9270,ALBUTEROL SODIUM-IPRATROPIUM I,14.0,10.5,,,0
HCPCS,A9270,ALISKIREN 150MG TAB,100.0,75.0,,,0
HCPCS,A9270,ALLOPURINOL TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,ALLOPURINOL TAB 300MG TAB,16.0,12.0,,,0
HCPCS,A9270,ALPRAZOLAM TAB 0.25MG TAB,12.0,9.0,,,0
HCPCS,A9270,ALPRAZOLAM TAB 0.5MG TAB,11.0,8.25,,,0
HCPCS,A9270,ALPRAZOLAM TAB 1MG TAB,13.0,9.75,,,0
HCPCS,A9270,ALPROSTADIL INJ 0.5MG/1ML,2730.0,2047.5,,,0
HCPCS,A9270,ALUMINUM ACETATE 1:20 SOLN 100,65.0,48.75,,,0
HCPCS,A9270,ALUMINUM HYDROXIDE SUSP 30ML U,53.0,39.75,,,0
HCPCS,A9270,ALUMINUM/MAGNESIUM/SIMETHICONE,49.0,36.75,,,0
HCPCS,A9270,AMANTADIN5ML LQ,16.0,12.0,,,0
HCPCS,A9270,AMANTADINE CAP 100MG CAP,26.0,19.5,,,0
HCPCS,A9270,AMANTADINE SYRUP 10MG/ML 10ML,34.0,25.5,,,0
HCPCS,A9270,AMBRISENTAN 5MG TAB,2073.0,1554.75,,,0
HCPCS,A9270,AMINOCAPR1GM TB,242.0,181.5,,,0
HCPCS,A9270,AMINOCAPROIC ACID TAB 500MG TA,494.0,370.5,,,0
HCPCS,A9270,AMIODARONE TAB 200MG TAB,13.0,9.75,,,0
HCPCS,A9270,AMITRIPTYLINE TAB 10MG TAB,15.0,11.25,,,0
HCPCS,A9270,AMITRIPTYLINE TAB 25MG TAB,15.0,11.25,,,0
HCPCS,A9270,AMITRIPTYLINE TAB 50MG TAB,16.0,12.0,,,0
HCPCS,A9270,AMITRIPTYLINE TAB 75MG TAB,21.0,15.75,,,0
HCPCS,A9270,AMLODIPINE RAB 2.5MG TAB,12.0,9.0,,,0
HCPCS,A9270,AMLODIPINE TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,AMLODIPINE TAB 5MG TAB,14.0,10.5,,,0
HCPCS,A9270,AMOX/CLAV ES120MG/ML ORAL SYR,17.0,12.75,,,0
HCPCS,A9270,AMOXICILLIN (PED) SUSP 25MG/ML,10.0,7.5,,,0
HCPCS,A9270,AMOXICILLIN CAP 250MG CAP,15.0,11.25,,,0
HCPCS,A9270,AMOXICILLIN CAP 500MG CAP,14.0,10.5,,,0
HCPCS,A9270,AMOXICILLIN/CLAVULANATE TAB 50,21.0,15.75,,,0
HCPCS,A9270,AMOXICILLIN/CLAVULANATE TAB 87,24.0,18.0,,,0
HCPCS,A9270,AMPHOTERICIN B 3% OPSOL,97.0,72.75,,,0
HCPCS,A9270,ANASTROZOLE TAB 1MG TAB,22.0,16.5,,,0
HCPCS,A9270,ANUSOL-HC 2.5% CREAM 30GM CREA,317.0,237.75,,,0
HCPCS,A9270,APAP 160MG-5ML 20.3ML LQ,34.0,25.5,,,0
HCPCS,A9270,APIXABAN 2.5 MG TAB,108.0,81.0,,,0
HCPCS,A9270,APIXIBAN 5MG TAB,109.0,81.75,,,0
HCPCS,A9270,APREPITANT PER 5 MG,130.0,97.5,,,0
HCPCS,A9270,AQUAPHOR OINT 120GM,126.0,94.5,,,0
HCPCS,A9270,AQUAPHOR OINT 50GM OINT,23.0,17.25,,,0
HCPCS,A9270,ARFORMOTEROL 15 MCG/2ML SOLN,111.0,83.25,,,0
HCPCS,A9270,ARIPIPRAZOLE 2 MG TAB,414.0,310.5,,,0
HCPCS,A9270,ARIPIPRAZOLE TAB 10MG TAB,197.0,147.75,,,0
HCPCS,A9270,ARIPIPRAZOLE TAB 5MG TAB,113.0,84.75,,,0
HCPCS,A9270,ASCORBIC ACID TAB 250MG TAB,14.0,10.5,,,0
HCPCS,A9270,ASCORBIC ACID TAB 500MG TAB,13.0,9.75,,,0
HCPCS,A9270,ASPIRIN CHWT 81MG CHWT,12.0,9.0,,,0
HCPCS,A9270,ASPIRIN ENTERIC COATED ECTAB 3,14.0,10.5,,,0
HCPCS,A9270,ASPIRIN ORAL SUSPENSION 1 MG/M,2.0,1.5,,,0
HCPCS,A9270,ASPIRIN SUPP 300MG SUPP,24.0,18.0,,,0
HCPCS,A9270,ASPIRIN SUPP 600MG SUPP,31.0,23.25,,,0
HCPCS,A9270,ASPIRIN TAB 325MG TAB,13.0,9.75,,,0
HCPCS,A9270,ATAZANAVIR 300 MG CAPSULE,1177.0,882.75,,,0
HCPCS,A9270,ATAZANAVIR SULFATE CAP 150MG C,329.0,246.75,,,0
HCPCS,A9270,ATAZANAVIR SULFATE CAP 200MG C,524.0,393.0,,,0
HCPCS,A9270,ATENOLOL TAB 25MG TAB,13.0,9.75,,,0
HCPCS,A9270,ATENOLOL TAB 50MG TAB,13.0,9.75,,,0
HCPCS,A9270,ATORVASTATIN 10 MG TAB UD,14.0,10.5,,,0
HCPCS,A9270,ATORVASTATIN 20 MG TAB,14.0,10.5,,,0
HCPCS,A9270,ATORVASTATIN 40 MG TAB,14.0,10.5,,,0
HCPCS,A9270,ATORVASTATIN TAB 80MG TAB,14.0,10.5,,,0
HCPCS,A9270,ATOVAQUONE SUSP 150MG/ML 5ML,614.0,460.5,,,0
HCPCS,A9270,ATROPINE 1% 2ML OPH SOLN,453.0,339.75,,,0
HCPCS,A9270,ATROPINE 1% OOINT 3.5GM OOINT,334.0,250.5,,,0
HCPCS,A9270,ATROPINE 1% OPSOL 5ML OPSOL,921.0,690.75,,,0
HCPCS,A9270,AZATHIOPRINE 25MG TAB,15.0,11.25,,,0
HCPCS,A9270,AZATHIOPRINE SUSP 25MG/ML 120M,10.0,7.5,,,0
HCPCS,A9270,AZATHIOPRINE TAB 50MG TAB,12.0,9.0,,,0
HCPCS,A9270,AZITHROMYCIN (PED) SUSP 40MG/M,27.0,20.25,,,0
HCPCS,A9270,AZITHROMYCIN SUSP 40MG/ML 22.5,533.0,399.75,,,0
HCPCS,A9270,AZITHROMYCIN TAB 250MG TAB,24.0,18.0,,,0
HCPCS,A9270,AZITHROMYCIN TAB 600MG TAB,74.0,55.5,,,0
HCPCS,A9270,BACITRACIN FOILPACK OINT 0.9GM,13.0,9.75,,,0
HCPCS,A9270,BACITRACIN OINT 30GM OINT,28.0,21.0,,,0
HCPCS,A9270,BACITRACIN OOINT 3.5GM OOINT,1311.0,983.25,,,0
HCPCS,A9270,BACITRACIN/NEOM/POLY OINT 15GM,45.0,33.75,,,0
HCPCS,A9270,BACITRACIN/NEOMYCIN/POLYMIXYN,289.0,216.75,,,0
HCPCS,A9270,BACITRACIN/POLYMYXYN OOINT 3.5,468.0,351.0,,,0
HCPCS,A9270,BACLOFEN 5MG TAB,25.0,18.75,,,0
HCPCS,A9270,BACLOFEN TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,BALMEX 60G CREAM,81.0,60.75,,,0
HCPCS,A9270,BARICITINIB 1MG TB,2225.0,1668.75,,,0
HCPCS,A9270,BARICITINIB 2MG TB,2245.0,1683.75,,,0
HCPCS,A9270,BECLOMETHASONE 80 MCG-INH,5131.0,3848.25,,,0
HCPCS,A9270,BELLADONNA & OPIUM SUPP 1 SUPP,392.0,294.0,,,0
HCPCS,A9270,BENZOC 30ML TS,653.0,489.75,,,0
HCPCS,A9270,BENZOCAINE 20% SPRAY 57GM SPRA,51.0,38.25,,,0
HCPCS,A9270,BENZOCAINE 20% SPRAY 60ML SPRA,51.0,38.25,,,0
HCPCS,A9270,BENZOCAINE GEL 20% (ORAJEL),114.0,85.5,,,0
HCPCS,A9270,BENZOIN COMPOUND TINC 60ML,41.0,30.75,,,0
HCPCS,A9270,BENZONATATE 100MG UD CP,14.0,10.5,,,0
HCPCS,A9270,BENZONATATE 200 MG CAPSULE,14.0,10.5,,,0
HCPCS,A9270,BENZTROPINE TAB 0.5MG TAB,16.0,12.0,,,0
HCPCS,A9270,BENZTROPINE TAB 1MG TAB,14.0,10.5,,,0
HCPCS,A9270,BENZTROPINE TAB 2MG TAB,14.0,10.5,,,0
HCPCS,A9270,BETAMETHASONE DIPROP 0.05% CRE,481.0,360.75,,,0
HCPCS,A9270,BETAMETHASONE DIPROP 0.05% OIN,1022.0,766.5,,,0
HCPCS,A9270,BETAXOLOL OPHTH S 0.25% 10ML,5060.0,3795.0,,,0
HCPCS,A9270,BETHANECHOL TAB 10MG TAB,28.0,21.0,,,0
HCPCS,A9270,BETHANECHOL TAB 25MG TAB,27.0,20.25,,,0
HCPCS,A9270,BETHANECHOL TAB 50MG TAB,26.0,19.5,,,0
HCPCS,A9270,BICALUTAMIDE TAB 50MG TAB,14.0,10.5,,,0
HCPCS,A9270,BICTEG/EMTRIC/TENOF50/200/25TB,2668.0,2001.0,,,0
HCPCS,A9270,BISACODYL ECTAB 5MG ECTAB,12.0,9.0,,,0
HCPCS,A9270,BISACODYL SUPP 10MG SUPP,14.0,10.5,,,0
HCPCS,A9270,BISMUTH SUBSALICYLATE CHWT 1TA,13.0,9.75,,,0
HCPCS,A9270,BISMUTH SUBSALICYLATE SUSP 120,11.0,8.25,,,0
HCPCS,A9270,BOSENTAN 125 MG TAB,3665.0,2748.75,,,0
HCPCS,A9270,BOSENTAN62MGTB,411.0,308.25,,,0
HCPCS,A9270,BREO ELLIPTA 200MCG-25MCG,2126.0,1594.5,,,0
HCPCS,A9270,BRIMONIDINE 0.2% OPSOL 5ML BTT,50.0,37.5,,,0
HCPCS,A9270,BRINZOLAMID10OS,2951.0,2213.25,,,0
HCPCS,A9270,BRIVARACET 75TB,583.0,437.25,,,0
HCPCS,A9270,BRIVARACETAM 100MG TB,425.0,318.75,,,0
HCPCS,A9270,BRIVARACETAM 10MG/ML 1ML LQ,681.0,510.75,,,0
HCPCS,A9270,BRIVARACETAM 50MG TB,414.0,310.5,,,0
HCPCS,A9270,BRIVARACETAM10ML LQ,1099.0,824.25,,,0
HCPCS,A9270,BROMOCRIPTINE TAB 2.5MG TAB,48.0,36.0,,,0
HCPCS,A9270,BUDESONIDE CAP 3MG CAP,150.0,112.5,,,0
HCPCS,A9270,BUDESONIDE INH 0.25MG/2ML,113.0,84.75,,,0
HCPCS,A9270,BUMETANIDE 2MG TAB,22.0,16.5,,,0
HCPCS,A9270,BUMETANIDE TAB 0.5MG TAB,21.0,15.75,,,0
HCPCS,A9270,BUMETANIDE TAB 1MG TAB,17.0,12.75,,,0
HCPCS,A9270,BUPREN/NALOX 4/1MGSLFM,96.0,72.0,,,0
HCPCS,A9270,BUPREN/NALOX2/.5MGSLFM,53.0,39.75,,,0
HCPCS,A9270,BUPRENOR10MCGTD,1110.0,832.5,,,0
HCPCS,A9270,BUPRENOR20MCGTD,2411.0,1808.25,,,0
HCPCS,A9270,BUPRENOR5MCGTD,788.0,591.0,,,0
HCPCS,A9270,BUPRENORPHINE TAB PER 1MG,7.5,5.625,,,0
HCPCS,A9270,BUPROPION 75MG TAB TAB,24.0,18.0,,,0
HCPCS,A9270,BUPROPION SR TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,BUPROPION SR TAB 150MG TAB,24.0,18.0,,,0
HCPCS,A9270,BUSPIRONE TAB 10MG TAB,12.0,9.0,,,0
HCPCS,A9270,BUSPIRONE TAB 15MG TAB,13.0,9.75,,,0
HCPCS,A9270,BUSPIRONE TAB 5MG TAB,15.0,11.25,,,0
HCPCS,A9270,BUSPIRONE TAB 7.5 MG,20.0,15.0,,,0
HCPCS,A9270,BUTALBITAL/CAFFEINE/ACETAMINOP,28.0,21.0,,,0
HCPCS,A9270,BUTALBITAL/CAFFEINE/ASPIRIN TA,43.0,32.25,,,0
HCPCS,A9270,CA CARBONATE SUSP UD 1250MG/5,41.0,30.75,,,0
HCPCS,A9270,CAFFEINE 200 MG TAB,15.0,11.25,,,0
HCPCS,A9270,CAFFEINE CITRATE (PED) SOLN 20,47.0,35.25,,,0
HCPCS,A9270,CALCITONIN UPTO 400U IJ,27210.0,20407.5,,,0
HCPCS,A9270,CALCITRIOL CAP 0.25MCG CAP,15.0,11.25,,,0
HCPCS,A9270,CALCITRIOL IN OIL SUSP 0.05MCG,108.0,81.0,,,0
HCPCS,A9270,CALCIUM ACETATE TAB 667MG TAB,23.0,17.25,,,0
HCPCS,A9270,CALCIUM CARBONATE LIQ 250MG/ML,13.0,9.75,,,0
HCPCS,A9270,CALCIUM CARBONATE/VITAMIN D TA,13.0,9.75,,,0
HCPCS,A9270,CALCIUM CHWT 750MG CHWT,13.0,9.75,,,0
HCPCS,A9270,CALCIUM TAB 500MG TAB,12.0,9.0,,,0
HCPCS,A9270,CANNABIDIOL100MG/1ML LQ,425.0,318.75,,,0
HCPCS,A9270,CAPSAICIN 0.075% CREAM 56.5GM,86.0,64.5,,,0
HCPCS,A9270,CAPTOPRIL TAB 12.5MG TAB,22.0,16.5,,,0
HCPCS,A9270,CAPTOPRIL TAB 25MG TAB,24.0,18.0,,,0
HCPCS,A9270,CAPTOPRIL TAB 50MG TAB,35.0,26.25,,,0
HCPCS,A9270,CARBAMAZEPINE (PED) SUSP 20MG/,3.0,2.25,,,0
HCPCS,A9270,CARBAMAZEPINE CHWT 100MG CHWT,21.0,15.75,,,0
HCPCS,A9270,CARBAMAZEPINE CHWT 50MG/0.5TAB,16.0,12.0,,,0
HCPCS,A9270,CARBAMAZEPINE SUSP 200MG/10ML,98.0,73.5,,,0
HCPCS,A9270,CARBAMAZEPINE TAB 200MG TAB,23.0,17.25,,,0
HCPCS,A9270,CARBAMAZEPINE XR CRTAB 100MG C,16.0,12.0,,,0
HCPCS,A9270,CARBAMAZEPINE XR CRTAB 200MG C,70.0,52.5,,,0
HCPCS,A9270,CARBAMAZEPINE XR CRTAB 400MG C,105.0,78.75,,,0
HCPCS,A9270,CARBAMIDE PEROXIDE 10% SOLN 60,199.0,149.25,,,0
HCPCS,A9270,CARBAMIDE PEROXIDE 6.5% OTSOL,22.0,16.5,,,0
HCPCS,A9270,CARBIDOPA 10/LEVODOPA 100 TAB,11.0,8.25,,,0
HCPCS,A9270,CARBIDOPA 25/LEVODOPA 100 TAB,14.0,10.5,,,0
HCPCS,A9270,CARBIDOPA 25/LEVODOPA 250 TAB,14.0,10.5,,,0
HCPCS,A9270,CARBIDOPA 50/LEVODOPA 200 CRTA,11.0,8.25,,,0
HCPCS,A9270,CARVEDILOL 3.12MG TAB TAB,14.0,10.5,,,0
HCPCS,A9270,CARVEDILOL TAB 25MG TAB,14.0,10.5,,,0
HCPCS,A9270,CARVEDILOL TAB 6.25MG TAB,12.0,9.0,,,0
HCPCS,A9270,CEFIXIME 20 MG/ML ORAL SYR PED,52.0,39.0,,,0
HCPCS,A9270,CEFIXIME 400 MG CAPSULE,562.0,421.5,,,0
HCPCS,A9270,CELECOXIB CAP 100MG CAP,25.0,18.75,,,0
HCPCS,A9270,CELECOXIB CAP 200MG CAP,21.0,15.75,,,0
HCPCS,A9270,CEPHALEXIN (PED) SUSP 50MG/ML,8.0,6.0,,,0
HCPCS,A9270,CEPHALEXIN CAP 250MG CAP,14.0,10.5,,,0
HCPCS,A9270,CEPHALEXIN CAP 500MG CAP,14.0,10.5,,,0
HCPCS,A9270,CETIRIZINE TAB 5MG TAB,37.0,27.75,,,0
HCPCS,A9270,CHARCL 25-120LQ,337.0,252.75,,,0
HCPCS,A9270,CHLORDIAZEPOXIDE CAP 10MG CAP,14.0,10.5,,,0
HCPCS,A9270,CHLORDIAZEPOXIDE CAP 25MG CAP,11.0,8.25,,,0
HCPCS,A9270,CHLORDIAZEPOXIDE CAP 5MG CAP,13.0,9.75,,,0
HCPCS,A9270,CHLORHEXIDINE 0.12% MWSH 15ML,38.0,28.5,,,0
HCPCS,A9270,CHLOROTHIAZIDE (PED) SUSP 50MG,13.0,9.75,,,0
HCPCS,A9270,CHLORPROMAZINE TAB 100MG TAB,228.0,171.0,,,0
HCPCS,A9270,CHLORPROMAZINE TAB 25MG TAB,66.0,49.5,,,0
HCPCS,A9270,CHLORPROMAZINE TAB 50MG TAB,179.0,134.25,,,0
HCPCS,A9270,CHLORTHALIDONE TAB 25MG TAB,22.0,16.5,,,0
HCPCS,A9270,CHOLECALCIFEROL 1000 U TAB,12.0,9.0,,,0
HCPCS,A9270,CHOLESTYRAMINE 5% CREAM 60GM C,17.0,12.75,,,0
HCPCS,A9270,CHOLESTYRAMINE PWDR 4GM PWDR,116.0,87.0,,,0
HCPCS,A9270,CILOSTAZOLE TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,CINACALCET TAB 30MG TAB,461.0,345.75,,,0
HCPCS,A9270,CINACALCET TAB 60MG TAB,770.0,577.5,,,0
HCPCS,A9270,CINACALCET TAB 90MG TAB,874.0,655.5,,,0
HCPCS,A9270,CIPRO 50MG/ML ORAL SYR PED,26.0,19.5,,,0
HCPCS,A9270,CIPROFLOXACIN 0.3% OPSOL 2.5ML,74.0,55.5,,,0
HCPCS,A9270,CIPROFLOXACIN TAB 250MG TAB,11.0,8.25,,,0
HCPCS,A9270,CIPROFLOXACIN TAB 500MG TAB,24.0,18.0,,,0
HCPCS,A9270,CITALOPRAM TAB 20MG TAB,13.0,9.75,,,0
HCPCS,A9270,CITALOPRAM TAB 40MG TAB,17.0,12.75,,,0
HCPCS,A9270,CITRAC/KCIT1ML,16.0,12.0,,,0
HCPCS,A9270,CLARITHROMYCIN TAB 250MG TAB,26.0,19.5,,,0
HCPCS,A9270,CLARITHROMYCIN TAB 500MG TAB,71.0,53.25,,,0
HCPCS,A9270,CLINDAMYCIN (PED) SUSP 15MG/ML,26.0,19.5,,,0
HCPCS,A9270,CLINDAMYCIN 1% SOLN 60ML,605.0,453.75,,,0
HCPCS,A9270,CLINDAMYCIN CAP 150MG CAP,12.0,9.0,,,0
HCPCS,A9270,CLOBAZAM 10 MG TAB,23.0,17.25,,,0
HCPCS,A9270,CLOBAZAM 5MG/2ML UD CUP,21.0,15.75,,,0
HCPCS,A9270,CLOBETASOL 0.05% OINT 30GM,849.0,636.75,,,0
HCPCS,A9270,CLOBETASOL 25TS,1080.0,810.0,,,0
HCPCS,A9270,CLOBETASOL PROPIONATE 0.05% CR,930.0,697.5,,,0
HCPCS,A9270,CLOBETASOL PROPIONATE 0.05% OI,871.0,653.25,,,0
HCPCS,A9270,CLOMIPRAMINE CAP 25MG CAP,169.0,126.75,,,0
HCPCS,A9270,CLOMIPRAMINE CAP 50MG CAP,28.0,21.0,,,0
HCPCS,A9270,CLONAZEPAM TAB 0.5MG TAB,12.0,9.0,,,0
HCPCS,A9270,CLONAZEPAM TAB 1MG TAB,11.0,8.25,,,0
HCPCS,A9270,CLONAZEPAM.25DT,26.0,19.5,,,0
HCPCS,A9270,CLONIDINE 2 MCG/ML ORAL SUSP,11.0,8.25,,,0
HCPCS,A9270,CLONIDINE TAB 0.1MG TAB,13.0,9.75,,,0
HCPCS,A9270,CLONIDINE TAB 0.2MG TAB,12.0,9.0,,,0
HCPCS,A9270,CLONIDINE TAB 0.3MG TAB,13.0,9.75,,,0
HCPCS,A9270,CLONIDINE TTS-1 PATCH 0.1MG PA,382.0,286.5,,,0
HCPCS,A9270,CLONIDINE TTS-2 PATCH 0.2MG PA,620.0,465.0,,,0
HCPCS,A9270,CLONIDINE TTS-3 PATCH 0.3MG PA,719.0,539.25,,,0
HCPCS,A9270,CLOPIDOGREL 300MG TAB TAB 300,214.0,160.5,,,0
HCPCS,A9270,CLOPIDOGREL TAB 75MG TAB,14.0,10.5,,,0
HCPCS,A9270,CLOTRIMAZOLE 1% 30ML SOLN,976.0,732.0,,,0
HCPCS,A9270,CLOTRIMAZOLE 1% CREAM 30GM CRE,22.0,16.5,,,0
HCPCS,A9270,CLOTRIMAZOLE TRCH 10MG TROCHE,16.0,12.0,,,0
HCPCS,A9270,CLOTRIMAZOLE VAGINAL 1% 45GM V,46.0,34.5,,,0
HCPCS,A9270,CLOZAPINE TAB 100MG TAB,27.0,20.25,,,0
HCPCS,A9270,CLOZAPINE TAB 25MG TAB,17.0,12.75,,,0
HCPCS,A9270,COBICISTAT 150 MG TAB,129.0,96.75,,,0
HCPCS,A9270,CODEINE SULFATE TAB 15MG TAB,16.0,12.0,,,0
HCPCS,A9270,CODEINE SULFATE TAB 30MG TAB,22.0,16.5,,,0
HCPCS,A9270,CODEINE SULFATE TAB 60MG TAB,28.0,21.0,,,0
HCPCS,A9270,COLCHICINE TAB 0.6MG TAB,137.0,102.75,,,0
HCPCS,A9270,COLLAGENASE OINT 30GM OINT,3958.0,2968.5,,,0
HCPCS,A9270,CONJ ESTROGENS 30GM VAG CRM,5988.0,4491.0,,,0
HCPCS,A9270,CONJUGATED ESTROGEN 1.25MG TAB,116.0,87.0,,,0
HCPCS,A9270,CONJUGATED ESTROGEN TAB 0.3MG,97.0,72.75,,,0
HCPCS,A9270,CONJUGATED ESTROGEN TAB 0.625M,130.0,97.5,,,0
HCPCS,A9270,COOK'S OINT 60GM OINT,237.0,177.75,,,0
HCPCS,A9270,CYANOCOBALAMIN TAB 1000 MCG TA,14.0,10.5,,,0
HCPCS,A9270,CYANOCOBALAMIN TAB 100MCG TAB,11.0,8.25,,,0
HCPCS,A9270,CYCLOAPORINE 0.05% OPSUS 0.4ML,171.0,128.25,,,0
HCPCS,A9270,CYCLOBENZAPRINE 5 MG TAB,17.0,12.75,,,0
HCPCS,A9270,CYCLOBENZAPRINE TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,CYCLOPHOSPHAMIDE PER 25MG ORAL,259.0,194.25,,,0
HCPCS,A9270,CYCLOSPORIN PER 100MG,109.0,81.75,,,0
HCPCS,A9270,CYCLOSPORINE 100MG/ML ORAL SYR,187.0,140.25,,,0
HCPCS,A9270,CYPROHEPTADINE TAB 4MG TAB,16.0,12.0,,,0
HCPCS,A9270,CYXLOPHOSPHAMIDE TAB 50MG TAB,31.0,23.25,,,0
HCPCS,A9270,D5W 500ML EXCEL BAG,147.0,110.25,,,0
HCPCS,A9270,DABIGATRAN 150MG CAPSULES,110.0,82.5,,,0
HCPCS,A9270,DABIGATRAN 75MG CAPSULES,152.0,114.0,,,0
HCPCS,A9270,DANAZOL CAP 200MG CAP,71.0,53.25,,,0
HCPCS,A9270,DANAZOL100 CP,32.0,24.0,,,0
HCPCS,A9270,DANTROLENE CAP 100MG CAP,31.0,23.25,,,0
HCPCS,A9270,DANTROLENE CAP 25MG CAP,27.0,20.25,,,0
HCPCS,A9270,DANTROLENE CAP 50MG CAP,28.0,21.0,,,0
HCPCS,A9270,DAPAGLIFLOZ 10T,269.0,201.75,,,0
HCPCS,A9270,DAPAGLIFLOZ 5TB,246.0,184.5,,,0
HCPCS,A9270,DAPSONE TAB 100MG TAB,52.0,39.0,,,0
HCPCS,A9270,DAPSONE TAB 25MG TAB,26.0,19.5,,,0
HCPCS,A9270,DARUNAVIR 600MG TAB,526.0,394.5,,,0
HCPCS,A9270,DARUNAVIR 800MG TAB,843.0,632.25,,,0
HCPCS,A9270,DEFERISIROX(JADENU) 360MG TAB,330.0,247.5,,,0
HCPCS,A9270,DEMECLOCYCLINE TAB 300MG TAB,233.0,174.75,,,0
HCPCS,A9270,DESIPRAMINE TAB 25MG TAB,48.0,36.0,,,0
HCPCS,A9270,DESIPRAMINE TAB 50MG TAB,52.0,39.0,,,0
HCPCS,A9270,DESMOPRESSIN NASAL SPRAY NSPRY,1454.0,1090.5,,,0
HCPCS,A9270,DESMOPRESSIN TAB 0.1MG TAB,24.0,18.0,,,0
HCPCS,A9270,DESMOPRESSIN TAB 0.2MG TAB,33.0,24.75,,,0
HCPCS,A9270,DEXAMETHAS 5 LQ,16.0,12.0,,,0
HCPCS,A9270,DEXAMETHASONE (PED) SOLN 1MG/M,16.0,12.0,,,0
HCPCS,A9270,DEXAMETHASONE OPHTHALMIC 0.1%,1190.0,892.5,,,0
HCPCS,A9270,DEXAMETHASONE TAB 0.5MG TAB,5.0,3.75,,,0
HCPCS,A9270,DEXAMETHASONE TAB 1.5MG TAB,17.0,12.75,,,0
HCPCS,A9270,DEXAMETHASONE TAB 2MG TAB,20.0,15.0,,,0
HCPCS,A9270,DEXAMETHASONE TAB 4MG TAB,14.0,10.5,,,0
HCPCS,A9270,DEXTROAMPHETAMINE TAB 5MG TAB,58.0,43.5,,,0
HCPCS,A9270,DEXTROSE 40% ORAL GEL 31GM GEL,62.0,46.5,,,0
HCPCS,A9270,DIAPER RASH BALM,398.0,298.5,,,0
HCPCS,A9270,DIAZEPAM TAB 10MG TAB,13.0,9.75,,,0
HCPCS,A9270,DIAZEPAM TAB 2MG TAB,14.0,10.5,,,0
HCPCS,A9270,DIAZEPAM TAB 5MG TAB,12.0,9.0,,,0
HCPCS,A9270,DIAZOXIDE (PED) SUSP 50MG/ML,73.0,54.75,,,0
HCPCS,A9270,DICLOFEN100G GL,21.0,15.75,,,0
HCPCS,A9270,DICLOFENAC ECTAB 50MG ECTAB,16.0,12.0,,,0
HCPCS,A9270,DICLOFENAC ECTAB 75MG ECTAB,17.0,12.75,,,0
HCPCS,A9270,DICLOXACILLIN CAP 250MG CAP,16.0,12.0,,,0
HCPCS,A9270,DICLOXACILLIN CAP 500MG CAP,27.0,20.25,,,0
HCPCS,A9270,DICYCLOMINE CAP 10MG CAP,16.0,12.0,,,0
HCPCS,A9270,DICYCLOMINE20TB,16.0,12.0,,,0
HCPCS,A9270,DIGOXIN (PED) ELIX 0.05MG/ML,28.0,21.0,,,0
HCPCS,A9270,DIGOXIN ELIX 60ML,2830.0,2122.5,,,0
HCPCS,A9270,DIGOXIN TAB 0.125MG TAB,24.0,18.0,,,0
HCPCS,A9270,DIGOXIN TAB 0.25MG TAB,15.0,11.25,,,0
HCPCS,A9270,DILTIAZEM CD CRCAP 120MG CRCAP,14.0,10.5,,,0
HCPCS,A9270,DILTIAZEM CD CRCAP 180MG CRCAP,14.0,10.5,,,0
HCPCS,A9270,DILTIAZEM CD CRCAP 240MG CRCAP,15.0,11.25,,,0
HCPCS,A9270,DILTIAZEM CD CRCAP 300MG CRCAP,43.0,32.25,,,0
HCPCS,A9270,DILTIAZEM SR CRCAP 60MG SRCAP,60.0,45.0,,,0
HCPCS,A9270,DILTIAZEM SR CRCAP 90MG SRCAP,52.0,39.0,,,0
HCPCS,A9270,DILTIAZEM TAB 120MG TAB,16.0,12.0,,,0
HCPCS,A9270,DILTIAZEM TAB 30MG TAB,14.0,10.5,,,0
HCPCS,A9270,DILTIAZEM TAB 60MG TAB,13.0,9.75,,,0
HCPCS,A9270,DILTIAZEM TAB 90MG TAB,15.0,11.25,,,0
HCPCS,A9270,DIMENHYDRINATE TAB 50MG TAB,14.0,10.5,,,0
HCPCS,A9270,DIPHENHYDRAMINE 2% 30G CREAM,35.0,26.25,,,0
HCPCS,A9270,DIPHENHYDRAMINE CAP 25MG CAP,13.0,9.75,,,0
HCPCS,A9270,DIPHENHYDRAMINE ELIX 2.5MG/ML,51.0,38.25,,,0
HCPCS,A9270,"DIPHENHYDRAMINE, 50MG, ORAL",12.0,9.0,,,0
HCPCS,A9270,DIPHENOXYLATE/ATROPIN OSYR 5ML,27.0,20.25,,,0
HCPCS,A9270,DIPHENOXYLATE/ATROPINE TAB 2.5,14.0,10.5,,,0
HCPCS,A9270,DIPYRIDAMOLE TAB 25MG TAB,17.0,12.75,,,0
HCPCS,A9270,DIPYRIDAMOLE TAB 50MG TAB,16.0,12.0,,,0
HCPCS,A9270,DIPYRIDAMOLE/ASPIRIN CAP 200/2,111.0,83.25,,,0
HCPCS,A9270,DISOPYRAMIDE CAP 100MG CAP,21.0,15.75,,,0
HCPCS,A9270,DISOPYRAMIDE CAP 150MG CAP,24.0,18.0,,,0
HCPCS,A9270,DISULFIRAM250TB,43.0,32.25,,,0
HCPCS,A9270,DITIAZEM 12MG/ML ORAL LIQUID,21.0,15.75,,,0
HCPCS,A9270,DIVALPROEX CAP 125MG CAP,17.0,12.75,,,0
HCPCS,A9270,DIVALPROEX ECTAB 250MG ECTAB,14.0,10.5,,,0
HCPCS,A9270,DIVALPROEX ECTAB 500MG ECTAB,13.0,9.75,,,0
HCPCS,A9270,DOCUSATE 10MG/ML ORAL SYR,2.0,1.5,,,0
HCPCS,A9270,DOCUSATE CAP 100MG CAP,12.0,9.0,,,0
HCPCS,A9270,DOCUSATE SUPP 283MG SUPP,44.0,33.0,,,0
HCPCS,A9270,DOCUSATE SYRUP 10MG/ML 10ML,22.0,16.5,,,0
HCPCS,A9270,DOFETILIDE CAP 125MCG CAP,165.0,123.75,,,0
HCPCS,A9270,DOFETILIDE CAP 250MCG CAP,174.0,130.5,,,0
HCPCS,A9270,DOFETILIDE CAP 500MCG CAP,244.0,183.0,,,0
HCPCS,A9270,DOLUTEGRAVIR 50 MG TAB,1227.0,920.25,,,0
HCPCS,A9270,DONEPEZIL TAB 10MG TAB,13.0,9.75,,,0
HCPCS,A9270,DONEPEZIL TAB 5MG TAB,13.0,9.75,,,0
HCPCS,A9270,DORNASE ALFA INH 2.5MG/2.5ML,5562.0,4171.5,,,0
HCPCS,A9270,DORZOL/TIMO10OS,436.0,327.0,,,0
HCPCS,A9270,DORZOLAMIDE 2% OPSOL 10ML OPSO,179.0,134.25,,,0
HCPCS,A9270,DOXAZOSIN TAB 2MG TAB,15.0,11.25,,,0
HCPCS,A9270,DOXAZOSIN TAB 4MG TAB,25.0,18.75,,,0
HCPCS,A9270,DOXAZOSIN TAB 8MG TAB,17.0,12.75,,,0
HCPCS,A9270,DOXEPIN 75MG CAP CAP,36.0,27.0,,,0
HCPCS,A9270,DOXEPIN CAP 100MG CAP,36.0,27.0,,,0
HCPCS,A9270,DOXEPIN CAP 10MG CAP,16.0,12.0,,,0
HCPCS,A9270,DOXEPIN CAP 25MG CAP,10.0,7.5,,,0
HCPCS,A9270,DOXEPIN CAP 50MG CAP,25.0,18.75,,,0
HCPCS,A9270,DOXYCYCLINE MONOHYDRATE 100MG,23.0,17.25,,,0
HCPCS,A9270,DOXYCYCLINE MONOHYDRATE50MGCAP,16.0,12.0,,,0
HCPCS,A9270,DOXYCYCLN1MLLQ,16.0,12.0,,,0
HCPCS,A9270,DOXYLAMINE SUCCINATE 25 MG TAB,14.0,10.5,,,0
HCPCS,A9270,"DRONABINOL, 2.5MG, ORAL",51.0,38.25,,,0
HCPCS,A9270,DRONABINOL5MGCP,169.0,126.75,,,0
HCPCS,A9270,DRONEDARONE 400 MG TAB,216.0,162.0,,,0
HCPCS,A9270,DULOXETINE 20 MG CAPSULE,24.0,18.0,,,0
HCPCS,A9270,ECHOTHIOPHATE 0.125% OPSOL 5ML,2096.0,1572.0,,,0
HCPCS,A9270,EDOXABAN 30 MG TAB,171.0,128.25,,,0
HCPCS,A9270,EES 80MG/ML ORAL SYR PED,15.0,11.25,,,0
HCPCS,A9270,EFAVIRENZ CAP 200MG,227.0,170.25,,,0
HCPCS,A9270,EFAVIRENZ TAB 600MG TAB,857.0,642.75,,,0
HCPCS,A9270,EFAVIRENZ/EMTRICITABIN/TENOFOV,2070.0,1552.5,,,0
HCPCS,A9270,EMPAFLIGLOZIN 10MG TB,328.0,246.0,,,0
HCPCS,A9270,EMPAFLIGLOZIN 25MG TB,338.0,253.5,,,0
HCPCS,A9270,EMTRICITABINE CAP 200MG CAP,436.0,327.0,,,0
HCPCS,A9270,EMTRICITABINE-TAF 200 MG-25 MG,1256.0,942.0,,,0
HCPCS,A9270,EMTRICITABINE/RILPIVIRINE/TENO,1345.0,1008.75,,,0
HCPCS,A9270,EMTRICITABINE/TENOFOVIR TAB 20,932.0,699.0,,,0
HCPCS,A9270,ENALAPRIL (PED) SUSP 1MG/ML,83.0,62.25,,,0
HCPCS,A9270,ENALAPRIL TAB 10MG TAB,17.0,12.75,,,0
HCPCS,A9270,ENALAPRIL TAB 20MG TAB,24.0,18.0,,,0
HCPCS,A9270,ENALAPRIL TAB 5MG TAB,20.0,15.0,,,0
HCPCS,A9270,EPINEPHRINE NASAL SOL 0.1% NSO,199.0,149.25,,,0
HCPCS,A9270,EPLERENONE 25 MG TABLET,64.0,48.0,,,0
HCPCS,A9270,EPLERENONE 50 MG TABLET,53.0,39.75,,,0
HCPCS,A9270,ERGOCALCIFEROL (PED) LIQ 8000U,9.0,6.75,,,0
HCPCS,A9270,"ERGOCALCIFEROL TAB 50,000IU TA",14.0,10.5,,,0
HCPCS,A9270,ERYTHROMYCIN 0.5% OOINT 1GM OO,87.0,65.25,,,0
HCPCS,A9270,ERYTHROMYCIN 0.5% OOINT 3.5GM,235.0,176.25,,,0
HCPCS,A9270,ERYTHROMYCIN ECTAB 250MG ECTAB,174.0,130.5,,,0
HCPCS,A9270,ERYTHROMYCIN ECTAB 500MG ECTAB,264.0,198.0,,,0
HCPCS,A9270,ERYTHROMYCIN ETHYLSUCC 200 (PE,15.0,11.25,,,0
HCPCS,A9270,ESLICARBAZEPINE 200MGTB,913.0,684.75,,,0
HCPCS,A9270,ESLICARBAZEPINE 400 MG TAB,426.0,319.5,,,0
HCPCS,A9270,ESLICARBAZEPINE 600 MG TAB,645.0,483.75,,,0
HCPCS,A9270,ESLICARBAZEPINE 800 MG TAB,654.0,490.5,,,0
HCPCS,A9270,ESOMEPRAZOLE 40 MG PWDRDR,184.0,138.0,,,0
HCPCS,A9270,ESTRADIOL PATCH 0.05MG/24HR,269.0,201.75,,,0
HCPCS,A9270,ESTRADIOL PATCH 0.1MG/24HR,344.0,258.0,,,0
HCPCS,A9270,ETHAMBUTOL TAB 100MG TAB,24.0,18.0,,,0
HCPCS,A9270,ETHAMBUTOL TAB 400MG TAB,27.0,20.25,,,0
HCPCS,A9270,ETHOSUXAMI250CP,27.0,20.25,,,0
HCPCS,A9270,ETRAVIR 100MGTB,128.0,96.0,,,0
HCPCS,A9270,ETRAVIRINE 200 MG TAB,543.0,407.25,,,0
HCPCS,A9270,EUCERIN CREAM 454GM CREAM,227.0,170.25,,,0
HCPCS,A9270,EUCERIN CREAM 60GM CREAM,81.0,60.75,,,0
HCPCS,A9270,EZETIMIBE TAB 10MG TAB,171.0,128.25,,,0
HCPCS,A9270,FAMOTIDINE 10MG TAB,4.0,3.0,,,0
HCPCS,A9270,FAMOTIDINE 1ML CMPD LQ,47.0,35.25,,,0
HCPCS,A9270,FAMOTIDINE 20MG TAB,14.0,10.5,,,0
HCPCS,A9270,FENOFIBRATE 48 MG TAB,31.0,23.25,,,0
HCPCS,A9270,FENOFIBRATE MICRONIZED TAB 145,52.0,39.0,,,0
HCPCS,A9270,FENTANYL PATCH 100MCG PATCH,173.0,129.75,,,0
HCPCS,A9270,FENTANYL PATCH 12MCG PATCH,267.0,200.25,,,0
HCPCS,A9270,FENTANYL PATCH 25MCG PATCH,59.0,44.25,,,0
HCPCS,A9270,FENTANYL PATCH 50MCG PATCH,105.0,78.75,,,0
HCPCS,A9270,FENTANYL PATCH 75MCG PATCH,120.0,90.0,,,0
HCPCS,A9270,FERROUS SUL (ELEM)15MG/ML O SY,14.0,10.5,,,0
HCPCS,A9270,FERROUS SULFATE LIQ 60MG/ML 5M,43.0,32.25,,,0
HCPCS,A9270,FERROUS SULFATE TAB 325MG TAB,13.0,9.75,,,0
HCPCS,A9270,FIDAXOMICIN 200 MG TAB,2786.0,2089.5,,,0
HCPCS,A9270,FINASTERIDE TAB 5MG TAB,24.0,18.0,,,0
HCPCS,A9270,FLECAINIDE TAB 100MG TAB,17.0,12.75,,,0
HCPCS,A9270,FLECAINIDE TAB 50MG TAB,15.0,11.25,,,0
HCPCS,A9270,FLUCONAZL 150 TB,31.0,23.25,,,0
HCPCS,A9270,FLUCONAZOLE (PED) SUSP 10MG/ML,12.0,9.0,,,0
HCPCS,A9270,FLUCONAZOLE 40 MG-ML ORAL SUSP,14.0,10.5,,,0
HCPCS,A9270,FLUCONAZOLE TAB 100MG TAB,27.0,20.25,,,0
HCPCS,A9270,FLUCONAZOLE TAB 200MG TAB,25.0,18.75,,,0
HCPCS,A9270,FLUCONAZOLE TAB 50MG TAB,22.0,16.5,,,0
HCPCS,A9270,FLUCYTOSIN500CP,578.0,433.5,,,0
HCPCS,A9270,FLUDROCORTISONE TAB 0.1MG TAB,23.0,17.25,,,0
HCPCS,A9270,FLUOCINONIDE 0.05% GEL 15GM GE,705.0,528.75,,,0
HCPCS,A9270,FLUOROMETHOLONE 0.1% OPSUS 5ML,1402.0,1051.5,,,0
HCPCS,A9270,FLUOXETINE 4MG/ML ORAL SYR,27.0,20.25,,,0
HCPCS,A9270,FLUOXETINE CAP 10MG CAP,12.0,9.0,,,0
HCPCS,A9270,FLUOXETINE CAP 20MG CAP,13.0,9.75,,,0
HCPCS,A9270,FLUOXETINE ELIX 4MG/ML 5ML,36.0,27.0,,,0
HCPCS,A9270,FLUPHENAZINE ELIX 0.5MG/ML 60M,520.0,390.0,,,0
HCPCS,A9270,FLUPHENAZINE TAB 10MG TAB,16.0,12.0,,,0
HCPCS,A9270,FLUPHENAZINE TAB 2.5MG TAB,83.0,62.25,,,0
HCPCS,A9270,FLUPHENAZINE TAB 5MG TAB,15.0,11.25,,,0
HCPCS,A9270,FLUTICASO/VILANTEROL 100/25MCG,2172.0,1629.0,,,0
HCPCS,A9270,FLUTICASONE FUROATE 100MCG-INH,97.0,72.75,,,0
HCPCS,A9270,FLUTICASONE FUROATE 200MCG INH,124.0,93.0,,,0
HCPCS,A9270,FLUTICASONE FUROATE 50MCG-INH,2713.0,2034.75,,,0
HCPCS,A9270,FLUTICASONE NASAL NSPRAY 16GMN,84.0,63.0,,,0
HCPCS,A9270,FOLIC ACID TAB 1MG TAB,14.0,10.5,,,0
HCPCS,A9270,FORMOTEROL 20MCG/2 ML INH SOLN,229.0,171.75,,,0
HCPCS,A9270,FOSFOMYCIN 3 G POWDER PKT,1146.0,859.5,,,0
HCPCS,A9270,FUROSEMIDE (PED) SOLN 10MG/ML,14.0,10.5,,,0
HCPCS,A9270,FUROSEMIDE TAB 20MG TAB,12.0,9.0,,,0
HCPCS,A9270,FUROSEMIDE TAB 40MG TAB,12.0,9.0,,,0
HCPCS,A9270,FUROSEMIDE TAB 80MG TAB,14.0,10.5,,,0
HCPCS,A9270,GABAPENTIN 250MG/5ML LQ,39.0,29.25,,,0
HCPCS,A9270,GABAPENTIN CAP 100MG CAP,13.0,9.75,,,0
HCPCS,A9270,GABAPENTIN CAP 300MG CAP,12.0,9.0,,,0
HCPCS,A9270,GABAPENTIN CAP 400MG CAP,13.0,9.75,,,0
HCPCS,A9270,GABAPENTIN CAP 600MG CAP,15.0,11.25,,,0
HCPCS,A9270,GALANTAMINE TAB 4MG TAB,75.0,56.25,,,0
HCPCS,A9270,GALANTAMINE TAB 8MG TAB,26.0,19.5,,,0
HCPCS,A9270,GEMFIBROZIL TAB 600MG TAB,14.0,10.5,,,0
HCPCS,A9270,GENTAMICIN 0.1% CREAM 15GM CRE,328.0,246.0,,,0
HCPCS,A9270,GENTAMICIN 0.1% OINT 15GM OINT,768.0,576.0,,,0
HCPCS,A9270,GENTAMICIN 0.1% OINT 30 GM,1684.0,1263.0,,,0
HCPCS,A9270,GENTAMICIN 0.3% OOINT 3.5GM OO,317.0,237.75,,,0
HCPCS,A9270,GENTAMICIN 0.3% OPSOL 5ML OPSO,85.0,63.75,,,0
HCPCS,A9270,GENTAMICIN OPSOL 14MG/ML,23.0,17.25,,,0
HCPCS,A9270,GENVOYA 1 TAB,2160.0,1620.0,,,0
HCPCS,A9270,GLIPIZIDE TAB 10MG TAB,22.0,16.5,,,0
HCPCS,A9270,GLIPIZIDE TAB 5MG TAB,13.0,9.75,,,0
HCPCS,A9270,GLIPIZIDE XL 2.5MG CRTAB,16.0,12.0,,,0
HCPCS,A9270,GLIPIZIDE XL CRTAB 10MG CRTAB,26.0,19.5,,,0
HCPCS,A9270,GLIPIZIDE XL CRTAB 5MG CRTAB,24.0,18.0,,,0
HCPCS,A9270,GLUCOSE (GLUTEN-FREE) TAB 5GM,16.0,12.0,,,0
HCPCS,A9270,GLUCOSE 15GM/60ML BOTTLE,41.0,30.75,,,0
HCPCS,A9270,GLUCOSE 40 0.4GM-1ML GL LQ,14.0,10.5,,,0
HCPCS,A9270,GLYBURIDE TAB 2.5MG TAB,17.0,12.75,,,0
HCPCS,A9270,GLYBURIDE TAB 5MG TAB,14.0,10.5,,,0
HCPCS,A9270,GLYCERIN - ADULT SUPP 1 SUPP -,13.0,9.75,,,0
HCPCS,A9270,GLYCERIN - CHILD SUPP 1 SUPP -,14.0,10.5,,,0
HCPCS,A9270,GLYCOPYRR 1MLLQ,16.0,12.0,,,0
HCPCS,A9270,GUAIFENESIN AC ELIX 15ML,3.0,2.25,,,0
HCPCS,A9270,GUAIFENESIN AC ELIX 5ML,21.0,15.75,,,0
HCPCS,A9270,GUAIFENESIN DM ELIX 10ML,23.0,17.25,,,0
HCPCS,A9270,GUAIFENESIN ELIX 20MG/ML 10ML,22.0,16.5,,,0
HCPCS,A9270,GUAIFENESIN ELIX 20MG/ML 15ML,16.0,12.0,,,0
HCPCS,A9270,GUAIFENESIN LA CRTAB 600MG CRT,22.0,16.5,,,0
HCPCS,A9270,GUANFACINE 1 MG TAB,21.0,15.75,,,0
HCPCS,A9270,HALOPERIDOL 2MG/ML ORAL SRY,15.0,11.25,,,0
HCPCS,A9270,HALOPERIDOL TAB 0.5MG TAB,15.0,11.25,,,0
HCPCS,A9270,HALOPERIDOL TAB 10MG TAB,26.0,19.5,,,0
HCPCS,A9270,HALOPERIDOL TAB 1MG TAB,12.0,9.0,,,0
HCPCS,A9270,HALOPERIDOL TAB 2MG TAB,23.0,17.25,,,0
HCPCS,A9270,HALOPERIDOL TAB 5MG TAB,15.0,11.25,,,0
HCPCS,A9270,HC-PRAMOXINE TOP 1%-1%FOAM,234.0,175.5,,,0
HCPCS,A9270,HCTS 100MG/60ML,628.0,471.0,,,0
HCPCS,A9270,HCTS/LIDO28GMRCR,493.0,369.75,,,0
HCPCS,A9270,HUM 70/30 10ML,380.0,285.0,,,0
HCPCS,A9270,HUM REG 10ML,1082.0,811.5,,,0
HCPCS,A9270,HUMALOG DOSE,16.0,12.0,,,0
HCPCS,A9270,HYDRALAZINE TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,HYDRALAZINE TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,HYDRALAZINE TAB 25MG TAB,13.0,9.75,,,0
HCPCS,A9270,HYDRALAZINE TAB 50MG TAB,14.0,10.5,,,0
HCPCS,A9270,HYDROC/ACET 5ML,71.0,53.25,,,0
HCPCS,A9270,HYDROC/APAP10ML,173.0,129.75,,,0
HCPCS,A9270,HYDROCHLOROTHIAZ 10MG/ML OSYR,10.0,7.5,,,0
HCPCS,A9270,HYDROCHLOROTHIAZIDE CAP 12.5MG,12.0,9.0,,,0
HCPCS,A9270,HYDROCHLOROTHIAZIDE TAB 25MG T,12.0,9.0,,,0
HCPCS,A9270,HYDROCHLOROTHIAZIDE TAB 50MG T,12.0,9.0,,,0
HCPCS,A9270,HYDROCODONE 10MG/ACETAMIN 325M,14.0,10.5,,,0
HCPCS,A9270,HYDROCODONE-ACETAM 0.5-22 MG/M,16.0,12.0,,,0
HCPCS,A9270,HYDROCODONE-ACETAM 5-325MG TAB,14.0,10.5,,,0
HCPCS,A9270,HYDROCODONE-ACETAM 7.5-325MG L,14.0,10.5,,,0
HCPCS,A9270,HYDROCODONE-ACETAM 7.5-325MG T,15.0,11.25,,,0
HCPCS,A9270,HYDROCORTISONE (PED) SUSP 2MG,22.0,16.5,,,0
HCPCS,A9270,HYDROCORTISONE 1% CREAM 30GM C,73.0,54.75,,,0
HCPCS,A9270,HYDROCORTISONE 1% LOT 120ML LO,142.0,106.5,,,0
HCPCS,A9270,HYDROCORTISONE 1% OINT 30GM OI,33.0,24.75,,,0
HCPCS,A9270,HYDROCORTISONE 2.5% CREAM 30GM,41.0,30.75,,,0
HCPCS,A9270,HYDROCORTISONE 2.5% LOT 60ML L,617.0,462.75,,,0
HCPCS,A9270,HYDROCORTISONE 2.5% OINT 30GM,49.0,36.75,,,0
HCPCS,A9270,HYDROCORTISONE SUPP 25MG SUPP,22.0,16.5,,,0
HCPCS,A9270,HYDROCORTISONE TAB 10 MG TAB,25.0,18.75,,,0
HCPCS,A9270,HYDROCORTISONE TAB 20MG TAB,23.0,17.25,,,0
HCPCS,A9270,HYDROCORTISONE TAB 5MG TAB,22.0,16.5,,,0
HCPCS,A9270,HYDROGEN PEROXIDE 3% LIQ 480ML,29.0,21.75,,,0
HCPCS,A9270,HYDROMORPHONE TAB 2MG TAB,13.0,9.75,,,0
HCPCS,A9270,HYDROMORPHONE TAB 4MG TAB,13.0,9.75,,,0
HCPCS,A9270,HYDROXYCHLOROQUINE TAB 200MG T,26.0,19.5,,,0
HCPCS,A9270,HYDROXYPROPYL MECEL 2.5% OPSOL,169.0,126.75,,,0
HCPCS,A9270,HYDROXYUREA CAP 500MG CAP,13.0,9.75,,,0
HCPCS,A9270,HYDROXYUREA(XROMI) 1MLLQ,55.0,41.25,,,0
HCPCS,A9270,HYDROXYZIN10TB,16.0,12.0,,,0
HCPCS,A9270,HYDROXYZINE ELIX 2MG/ML,14.0,10.5,,,0
HCPCS,A9270,"HYDROXYZINE PAMOATE,25MG,ORAL",14.0,10.5,,,0
HCPCS,A9270,HYDROXYZINE TAB 50MG TAB,15.0,11.25,,,0
HCPCS,A9270,HYOSCYAMINE ELIX 0.125MG/ML LQ,25.0,18.75,,,0
HCPCS,A9270,IBUPROFEN (PED) SUSP 20MG/ML,14.0,10.5,,,0
HCPCS,A9270,IBUPROFEN SUSP 20MG/ML 10ML,24.0,18.0,,,0
HCPCS,A9270,IBUPROFEN TAB 200MG TAB,11.0,8.25,,,0
HCPCS,A9270,IBUPROFEN TAB 400MG TAB,11.0,8.25,,,0
HCPCS,A9270,IBUPROFEN TAB 600MG TAB,14.0,10.5,,,0
HCPCS,A9270,IMATINIB100TB,526.0,394.5,,,0
HCPCS,A9270,IMIPRAMINE TAB 10MG TAB,17.0,12.75,,,0
HCPCS,A9270,IMIPRAMINE TAB 25MG TAB,12.0,9.0,,,0
HCPCS,A9270,IMIPRAMINE TAB 50MG TAB,16.0,12.0,,,0
HCPCS,A9270,IMMUNE GLOBULIN (ORAL) 5GM,7799.0,5849.25,,,0
HCPCS,A9270,INDOMETHACIN CAP 25MG CAP,14.0,10.5,,,0
HCPCS,A9270,INDOMETHACIN CAP 50MG CAP,14.0,10.5,,,0
HCPCS,A9270,INDOMETHACIN SUPP 50MG SUPP,5847.0,4385.25,,,0
HCPCS,A9270,"INJECTION INSULIN, PER 5 UNITS",196.0,147.0,,,0
HCPCS,A9270,INS GLARG-YFGN PER5U IJ,53.0,39.75,,,0
HCPCS,A9270,INS LISPR 5U 10ML,11.0,8.25,,,0
HCPCS,A9270,INSULIN 70/30 3 ML 100 U/ML,76.0,57.0,,,0
HCPCS,A9270,INSULIN HUM NPH 100U/ML 3ML,59.0,44.25,,,0
HCPCS,A9270,INSULIN HUMAN R PER 5 UNITS,2.0,1.5,,,0
HCPCS,A9270,INSULIN LISPRO 300U/3ML VIAL,283.0,212.25,,,0
HCPCS,A9270,INSULIN LISPRO-PROTAM 75/25 MI,675.0,506.25,,,0
HCPCS,A9270,INSULIN REG(U-500)500 UNITS/ML,80.0,60.0,,,0
HCPCS,A9270,INSULIN REG-D10W 0.05 UNITS/ML,186.0,139.5,,,0
HCPCS,A9270,INSULIN REGULR-NS 0.05 UNITS,150.0,112.5,,,0
HCPCS,A9270,"INSULIN, HUMAN NPH INJ 1000UNI",444.0,333.0,,,0
HCPCS,A9270,"INSULIN, HUMAN REGULAR - IV US",29.0,21.75,,,0
HCPCS,A9270,IPRATROPIUM HFA AERO 12.9GM MD,4891.0,3668.25,,,0
HCPCS,A9270,IPRATROPIUM INH 0.5MG/2.5ML,14.0,10.5,,,0
HCPCS,A9270,ISAVUCONAZONIUM 186 MG CAPSULE,2296.0,1722.0,,,0
HCPCS,A9270,ISONIAZID TAB 300MG TAB,27.0,20.25,,,0
HCPCS,A9270,ISONIAZID100 TB+,16.0,12.0,,,0
HCPCS,A9270,ISOSORBIDE DINITRATE 5MG TAB,20.0,15.0,,,0
HCPCS,A9270,ISOSORBIDE DINITRATE TAB 10MG,20.0,15.0,,,0
HCPCS,A9270,ISOSORBIDE DINITRATE TAB 20MG,22.0,16.5,,,0
HCPCS,A9270,ISOSORBIDE MONONITRATE 30MG CR,13.0,9.75,,,0
HCPCS,A9270,ISOSORBIDE MONONITRATE CRTAB 6,14.0,10.5,,,0
HCPCS,A9270,ITRACONAZOLE 10MG/ML ORAL SYR,28.0,21.0,,,0
HCPCS,A9270,IVABRADINE 5 MG TAB,143.0,107.25,,,0
HCPCS,A9270,IVABRADINE 7.5 MG TAB,135.0,101.25,,,0
HCPCS,A9270,IVABRADINE1MGOS,51.0,38.25,,,0
HCPCS,A9270,IVERMECTIN 3 MG TAB,76.0,57.0,,,0
HCPCS,A9270,K 20MEQ EFF TB,23.0,17.25,,,0
HCPCS,A9270,K IODIDE 30MLLQ,6403.0,4802.25,,,0
HCPCS,A9270,KCL 10% 1ML LQ,6.78,5.09,,,0
HCPCS,A9270,KETOCONAZOLE 2% 15G CREAM,405.0,303.75,,,0
HCPCS,A9270,KETOCONAZOLE TAB 200MG TAB,28.0,21.0,,,0
HCPCS,A9270,KETOROLAC 0.5% EYE SOLN 3 ML,108.0,81.0,,,0
HCPCS,A9270,KETOROLAC 0.5% EYE SOLN 5 ML,85.0,63.75,,,0
HCPCS,A9270,LABETALOL TAB 100MG TAB,13.0,9.75,,,0
HCPCS,A9270,LABETALOL TAB 200MG TAB,14.0,10.5,,,0
HCPCS,A9270,LABETALOL TAB 300MG TAB,22.0,16.5,,,0
HCPCS,A9270,LACHYDRIN 12% LOT 1 APP,184.0,138.0,,,0
HCPCS,A9270,LACOSAMIDE 100 MG TAB,13.0,9.75,,,0
HCPCS,A9270,LACOSAMIDE 100MG/10ML ORAL LIQ,234.0,175.5,,,0
HCPCS,A9270,LACOSAMIDE 50 MG TAB,192.0,144.0,,,0
HCPCS,A9270,LACOSMIDE150MGTB,14.0,10.5,,,0
HCPCS,A9270,LACTASE CHWT 3000IU CHWT,14.0,10.5,,,0
HCPCS,A9270,LACTOBACILLUS GRAN 1GM GRAN,29.0,21.75,,,0
HCPCS,A9270,LACTULOSE 200 GM RECTAL ENEMA,600.0,450.0,,,0
HCPCS,A9270,LACTULOSE SYRUP 20GM/30ML,22.0,16.5,,,0
HCPCS,A9270,LAMIVUDINE 50MG/5ML ORAL SYR,52.0,39.0,,,0
HCPCS,A9270,LAMIVUDINE TAB 150MG TAB,111.0,83.25,,,0
HCPCS,A9270,LAMIVUDINE1MLLQ,4.94,3.71,,,0
HCPCS,A9270,LAMOTRIGENE TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,LAMOTRIGINE TAB 200MG TAB,15.0,11.25,,,0
HCPCS,A9270,LAMOTRIGINE TAB 25MG TAB,10.0,7.5,,,0
HCPCS,A9270,LANOLIN OINTMENT 2 OZ TUBE,136.0,102.0,,,0
HCPCS,A9270,LANSOPRAZOLE/NA BICARBONATE(P,16.0,12.0,,,0
HCPCS,A9270,LANTHANUM CARBONATE TAB 500MG,187.0,140.25,,,0
HCPCS,A9270,LATANOPROST 0.005% OPSOL 125MC,110.0,82.5,,,0
HCPCS,A9270,LEUCOVORIN TAB 5MG TAB,61.0,45.75,,,0
HCPCS,A9270,LEUCOVORIN15MGTB,125.0,93.75,,,0
HCPCS,A9270,LEVALBUTEROL 1.25 MG/0.5 ML,27.0,20.25,,,0
HCPCS,A9270,LEVALBUTEROL INH 0.63MG/3ML,58.0,43.5,,,0
HCPCS,A9270,LEVALBUTEROL3IS,26.0,19.5,,,0
HCPCS,A9270,LEVETIRACETAM (PED) LIQ 100MG,25.0,18.75,,,0
HCPCS,A9270,LEVETIRACETAM 500 MG TAB ER,16.0,12.0,,,0
HCPCS,A9270,LEVETIRACETAM 750MG TAB ER,20.0,15.0,,,0
HCPCS,A9270,LEVETIRACETAM LIQ 100MG/ML 5ML,109.0,81.75,,,0
HCPCS,A9270,LEVETIRACETAM TAB 250MG TAB,12.0,9.0,,,0
HCPCS,A9270,LEVETIRACETAM TAB 500MG/TAB,13.0,9.75,,,0
HCPCS,A9270,LEVOCARN 1ML LQ,3.0,2.25,,,0
HCPCS,A9270,LEVOCARNIT 1LQ,11.0,8.25,,,0
HCPCS,A9270,LEVOFLOXACIN 25MG/ML ORAL1ML,16.0,12.0,,,0
HCPCS,A9270,LEVOFLOXACIN 750 MG TAB UD,16.0,12.0,,,0
HCPCS,A9270,LEVOFLOXACIN TAB 250MG,17.0,12.75,,,0
HCPCS,A9270,LEVOFLOXACIN TAB 500MG TAB,11.0,8.25,,,0
HCPCS,A9270,LEVONORGESTREL 1.5 MG TAB,541.0,405.75,,,0
HCPCS,A9270,LEVOTHYROXINE (PED) SUSP 25MCG,52.0,39.0,,,0
HCPCS,A9270,LEVOTHYROXINE 137MCG TAB,25.0,18.75,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.025MG TAB,15.0,11.25,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.05MG TAB,15.0,11.25,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.075MG TAB,20.0,15.0,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.088MG TAB,15.0,11.25,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.112MG TAB,24.0,18.0,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.125MG TAB,22.0,16.5,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.15MG TAB,25.0,18.75,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.1MG TAB,17.0,12.75,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.2MG TAB,21.0,15.75,,,0
HCPCS,A9270,LEVOTHYROXINE TAB 0.3MG TAB,25.0,18.75,,,0
HCPCS,A9270,LIDO-PRILOC 2.5 30GM CR,198.0,148.5,,,0
HCPCS,A9270,LIDOCAINE 2% VISCOUS LIQ 20ML,22.0,16.5,,,0
HCPCS,A9270,LIDOCAINE 4% PATCH,36.0,27.0,,,0
HCPCS,A9270,LIDOCAINE 4% TOPICAL SOLN 50ML,681.0,510.75,,,0
HCPCS,A9270,LIDOCAINE 5% OINT 35GM OINT,3600.0,2700.0,,,0
HCPCS,A9270,LIDOCAINE/PRILOCAINE CREAM 5GM,17.0,12.75,,,0
HCPCS,A9270,LINEZOLID 20MG/ML ORAL SUSP,90.0,67.5,,,0
HCPCS,A9270,LINEZOLID TAB 600MG TAB,2015.0,1511.25,,,0
HCPCS,A9270,LIOTHYRON5MCGTB,22.0,16.5,,,0
HCPCS,A9270,LIOTHYRONINE TAB 0.025MG TAB,27.0,20.25,,,0
HCPCS,A9270,LISINOPRIL 1MG-ML ORAL SYRING,50.0,37.5,,,0
HCPCS,A9270,LISINOPRIL TAB 10MG TAB,12.0,9.0,,,0
HCPCS,A9270,LISINOPRIL TAB 2.5MG TAB,20.0,15.0,,,0
HCPCS,A9270,LISINOPRIL TAB 20MG TAB,13.0,9.75,,,0
HCPCS,A9270,LISINOPRIL TAB 5MG TAB,12.0,9.0,,,0
HCPCS,A9270,LITHIUM CARBONATE 150MG CAP,15.0,11.25,,,0
HCPCS,A9270,LITHIUM CARBONATE CAP 300MG CA,8.0,6.0,,,0
HCPCS,A9270,LITHIUM CARBONATE CR CRTAB 450,15.0,11.25,,,0
HCPCS,A9270,LOPERAMIDE 0.13 MG/ML ORAL SYR,50.0,37.5,,,0
HCPCS,A9270,LOPERAMIDE CAP 2MG CAP,13.0,9.75,,,0
HCPCS,A9270,LOPINAVIR/RITONAVIR TAB 200/50,223.0,167.25,,,0
HCPCS,A9270,LORATADINE CRTAB 10MG,14.0,10.5,,,0
HCPCS,A9270,LORAZEPAM 2MG/1ML ORAL SYRINGE,17.0,12.75,,,0
HCPCS,A9270,LORAZEPAM TAB 0.5MG TAB,15.0,11.25,,,0
HCPCS,A9270,LORAZEPAM TAB 1MG TAB,14.0,10.5,,,0
HCPCS,A9270,LOSARTAN TAB 25MG TAB,15.0,11.25,,,0
HCPCS,A9270,LOSARTAN TAB 50MG TAB,20.0,15.0,,,0
HCPCS,A9270,MAALOX/LIDOCAI/BEN 5 ML UDCUP,33.0,24.75,,,0
HCPCS,A9270,MAFENIDE 8.5% CREAM 60GM CREAM,47.0,35.25,,,0
HCPCS,A9270,MAGNESIUM  CITRATE LIQ 300ML,14.0,10.5,,,0
HCPCS,A9270,MAGNESIUM CARBONATE 54 MG-5ML,11.0,8.25,,,0
HCPCS,A9270,MAGNESIUM GLUCONATE TAB 500MG,12.0,9.0,,,0
HCPCS,A9270,MAGNESIUM OXIDE TAB 400MG TAB,12.0,9.0,,,0
HCPCS,A9270,MARAVIROC 150 MG TAB,625.0,468.75,,,0
HCPCS,A9270,MARAVIROC 300 MG TAB,568.0,426.0,,,0
HCPCS,A9270,MCT OIL (PED) OIL 5 ML OIL,12.0,9.0,,,0
HCPCS,A9270,MECLIZINE TAB 12.5MG TAB,15.0,11.25,,,0
HCPCS,A9270,MECLIZINE TAB 25MG TAB,22.0,16.5,,,0
HCPCS,A9270,MEDROXYPROG 5B,16.0,12.0,,,0
HCPCS,A9270,MEDROXYPROGESTERONE 10MG TAB T,27.0,20.25,,,0
HCPCS,A9270,MEDROXYPROGESTERONE TAB 2.5MG,16.0,12.0,,,0
HCPCS,A9270,MEGESTROL 40 MG/ML ORAL SUS UD,133.0,99.75,,,0
HCPCS,A9270,MEGESTROL TAB 20MG TAB,12.0,9.0,,,0
HCPCS,A9270,MEGESTROL TAB 40MG TAB,15.0,11.25,,,0
HCPCS,A9270,MELATONIN 5 MG TAB,14.0,10.5,,,0
HCPCS,A9270,MELATONIN1MGTB,14.0,10.5,,,0
HCPCS,A9270,MEMANTINE TAB 10MG TAB,123.0,92.25,,,0
HCPCS,A9270,MEMANTINE TAB 5MG TAB,15.0,11.25,,,0
HCPCS,A9270,MESALAMINE 400 MG CR CAP,87.0,65.25,,,0
HCPCS,A9270,MESALAMINE CAP 250MG CAP,59.0,44.25,,,0
HCPCS,A9270,MESALAMINE RECTAL ENEMA 4GM/60,173.0,129.75,,,0
HCPCS,A9270,METFORMIN TAB 500MG TAB,13.0,9.75,,,0
HCPCS,A9270,METFORMIN TAB 850MG TAB,12.0,9.0,,,0
HCPCS,A9270,METHADONE 10MG/ML ORAL SYRINGE,25.0,18.75,,,0
HCPCS,A9270,METHADONE TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,METHADONE TAB 5MG TAB,11.0,8.25,,,0
HCPCS,A9270,METHIMAZOLE 2.5MG TB,15.0,11.25,,,0
HCPCS,A9270,METHIMAZOLE PO 5MG/ML,16.0,12.0,,,0
HCPCS,A9270,METHIMAZOLE TAB 10MG TAB,17.0,12.75,,,0
HCPCS,A9270,METHIMAZOLE TAB 5MG TAB,15.0,11.25,,,0
HCPCS,A9270,METHOCARBAMOL TAB 500MG TAB,13.0,9.75,,,0
HCPCS,A9270,METHOCARBAMOL TAB 750MG TAB,14.0,10.5,,,0
HCPCS,A9270,METHOTREXATE TAB 2.5MG TAB,14.0,10.5,,,0
HCPCS,A9270,METHYL SAL MENTH 85GM CR,89.0,66.75,,,0
HCPCS,A9270,METHYLERGONOVINE TAB 0.2MG TAB,574.0,430.5,,,0
HCPCS,A9270,METHYLPHENIDATE TAB 10MG TAB,23.0,17.25,,,0
HCPCS,A9270,METHYLPHENIDATE TAB 5MG TAB,27.0,20.25,,,0
HCPCS,A9270,METHYLPREDNISOLONE TAB 16MG TA,43.0,32.25,,,0
HCPCS,A9270,METHYLPREDNISOLONE TAB 4MG TAB,24.0,18.0,,,0
HCPCS,A9270,METOCLOPRAMIDE (PED) ELIX 1MG/,15.0,11.25,,,0
HCPCS,A9270,METOCLOPRAMIDE 5MG TAB,23.0,17.25,,,0
HCPCS,A9270,METOCLOPRAMIDE ELIX 10MG/10ML,22.0,16.5,,,0
HCPCS,A9270,METOCLOPRAMIDE TAB 10MG TAB,12.0,9.0,,,0
HCPCS,A9270,METOLAZONE TAB 2.5MG TAB,16.0,12.0,,,0
HCPCS,A9270,METOLAZONE TAB 5MG TAB,20.0,15.0,,,0
HCPCS,A9270,METOPROLOL 10MG-ML LQ,20.0,15.0,,,0
HCPCS,A9270,METOPROLOL CR CRTAB 25MG CRTAB,23.0,17.25,,,0
HCPCS,A9270,METOPROLOL CR CRTAB 50MG CRTAB,22.0,16.5,,,0
HCPCS,A9270,METOPROLOL IMM REL 12.5MG TAB,12.0,9.0,,,0
HCPCS,A9270,METOPROLOL TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,METOPROLOL TAB 25MG TAB,12.0,9.0,,,0
HCPCS,A9270,METOPROLOL TAB 50MG TAB,13.0,9.75,,,0
HCPCS,A9270,METRONIDAZOLE (PED) SUSP 50MG,16.0,12.0,,,0
HCPCS,A9270,METRONIDAZOLE TAB 500MG TAB,16.0,12.0,,,0
HCPCS,A9270,MEXILETINE 200 MG CAPSULE,27.0,20.25,,,0
HCPCS,A9270,MEXILETINE CAP 150MG CAP,20.0,15.0,,,0
HCPCS,A9270,MICONAZOLE 2% CREAM 30GM CREAM,43.0,32.25,,,0
HCPCS,A9270,MICONAZOLE 2% PWDR PWDR,72.0,54.0,,,0
HCPCS,A9270,MICONAZOLE 2% VGCR 45GM VGCR,58.0,43.5,,,0
HCPCS,A9270,MICONAZOLE VGSUP 200MG VGSUP,254.0,190.5,,,0
HCPCS,A9270,MIDAZOLAM (PED) SYRUP 2MG/ML,28.0,21.0,,,0
HCPCS,A9270,"MIDAZOLAM 2 MG/ML, 5ML SYRUP",131.0,98.25,,,0
HCPCS,A9270,MIDODRINE 10MG TAB,25.0,18.75,,,0
HCPCS,A9270,MIDODRINE 2.5 MG TAB,16.0,12.0,,,0
HCPCS,A9270,MIDODRINE 5 MG TAB,23.0,17.25,,,0
HCPCS,A9270,MILK OF MAGNESIA LIQ 30ML,33.0,24.75,,,0
HCPCS,A9270,MINERAL OIL OIL 30ML OIL,21.0,15.75,,,0
HCPCS,A9270,MINERAL OIL STERILE OIL 10ML O,276.0,207.0,,,0
HCPCS,A9270,MINOCYCLINE 100 MG CAPSULE,21.0,15.75,,,0
HCPCS,A9270,MINOXIDIL TAB 10MG TAB,25.0,18.75,,,0
HCPCS,A9270,MINOXIDIL TAB 2.5MG TAB,11.0,8.25,,,0
HCPCS,A9270,MIRALAX PWDR 17GM PKT,24.0,18.0,,,0
HCPCS,A9270,MIRTAZAPINE 15MG TAB,15.0,11.25,,,0
HCPCS,A9270,MIRTAZAPINE 30MG TAB,15.0,11.25,,,0
HCPCS,A9270,MISOPROSTOL 50 MCG TAB,14.0,10.5,,,0
HCPCS,A9270,MISOPROSTOL TAB 0.1MG TAB,27.0,20.25,,,0
HCPCS,A9270,MISOPROSTOL TAB 0.2MG TAB,23.0,17.25,,,0
HCPCS,A9270,MODAFINIL 100 MG TAB,83.0,62.25,,,0
HCPCS,A9270,MODAFINIL 200 MG TAB,199.0,149.25,,,0
HCPCS,A9270,MONTELEUKAST TAB 10MG TAB,17.0,12.75,,,0
HCPCS,A9270,MONTELUKAST CHWT 4MG CHEWTAB,16.0,12.0,,,0
HCPCS,A9270,MORP 1MG/ML ORAL SYRINGE PED,16.0,12.0,,,0
HCPCS,A9270,MORPHINE 0.4 MG/ML ORAL SOLN,15.0,11.25,,,0
HCPCS,A9270,MORPHINE 20 MG/ML ORAL LIQ,40.0,30.0,,,0
HCPCS,A9270,MORPHINE ELIX 2MG/ML 5ML,25.0,18.75,,,0
HCPCS,A9270,MORPHINE SR CRTAB 100MG CRTAB,75.0,56.25,,,0
HCPCS,A9270,MORPHINE SR CRTAB 15MG CRTAB,20.0,15.0,,,0
HCPCS,A9270,MORPHINE SR CRTAB 30MG CRTAB,25.0,18.75,,,0
HCPCS,A9270,MORPHINE SR CRTAB 60MG CRTAB,48.0,36.0,,,0
HCPCS,A9270,MORPHINE TAB 15MG TAB,14.0,10.5,,,0
HCPCS,A9270,MORPHINE TAB 30MG TAB,20.0,15.0,,,0
HCPCS,A9270,MOXIFLOXACIN 0.5% OPSOL 3ML OP,39.0,29.25,,,0
HCPCS,A9270,MOXIFLOXACIN TAB 400MG TAB,144.0,108.0,,,0
HCPCS,A9270,MULTIVITAMIN (PED) SOLN 1 ML,13.0,9.75,,,0
HCPCS,A9270,MULTIVITAMIN 5ML UDCUP LIQ,22.0,16.5,,,0
HCPCS,A9270,MULTIVITAMIN PRENATAL TAB 1 TA,12.0,9.0,,,0
HCPCS,A9270,MULTIVITAMIN THERAP W/MINERAL,10.0,7.5,,,0
HCPCS,A9270,MULTIVITAMIN THERAPEUTIC TAB 1,12.0,9.0,,,0
HCPCS,A9270,MULTIVITAMIN+ZINC (AQUADEKS),21.0,15.75,,,0
HCPCS,A9270,MULTIVITAMIN+ZINC(DEKAS PLUS),25.0,18.75,,,0
HCPCS,A9270,MULTIVITAMINS & ZINC CHWT 1 CH,22.0,16.5,,,0
HCPCS,A9270,MUPIROCIN 2% OINT 15GM OINT,125.0,93.75,,,0
HCPCS,A9270,MYCOPHEN180MGTB,73.0,54.75,,,0
HCPCS,A9270,MYCOPHENOLATE PER 250MG,13.0,9.75,,,0
HCPCS,A9270,MYLES MAGIC ORAL SYRINGE PED S,4.0,3.0,,,0
HCPCS,A9270,NACL HYPER3.5OO,153.0,114.75,,,0
HCPCS,A9270,NADOLOL TAB 40MG TAB,59.0,44.25,,,0
HCPCS,A9270,NALOXEGOL25MGTB,331.0,248.25,,,0
HCPCS,A9270,NALOXONE 2MG/2ML OS,366.0,274.5,,,0
HCPCS,A9270,NALOXONE 4MG SP,1249.0,936.75,,,0
HCPCS,A9270,NALTREXONE TAB 50MG TAB,27.0,20.25,,,0
HCPCS,A9270,NAPHAZOLINE/PHENIRAMINE OPSOL,181.0,135.75,,,0
HCPCS,A9270,NAPROXEN TAB 250MG TAB,11.0,8.25,,,0
HCPCS,A9270,NAPROXEN TAB 375MG TAB,13.0,9.75,,,0
HCPCS,A9270,NEOMY/POLYMYXIN/BAC 3.5GM OO,241.0,180.75,,,0
HCPCS,A9270,NEOMYCIN TAB 500MG TAB,13.0,9.75,,,0
HCPCS,A9270,NEOMYCIN/POLYMIXYN/DEXAMETHASO,325.5,244.125,,,0
HCPCS,A9270,NEOMYCIN/POLYMYXIN/BACITRACIN,26.0,19.5,,,0
HCPCS,A9270,NEOMYCIN/POLYMYXIN/GRAMICIDIN,1008.0,756.0,,,0
HCPCS,A9270,NEOMYCIN/POLYMYXIN/HC OTIC OTS,1250.0,937.5,,,0
HCPCS,A9270,NEPHROCAPS CAP 1 CAP,23.0,17.25,,,0
HCPCS,A9270,NEVIRAPINE 10MG/ML ORAL LIQUI,16.0,12.0,,,0
HCPCS,A9270,NEVIRAPINE TAB 200MG TAB,16.0,12.0,,,0
HCPCS,A9270,NF-ORALCHEMO,47.0,35.25,,,0
HCPCS,A9270,NFAMPIN 25 MG/ML 240 ML,34.0,25.5,,,0
HCPCS,A9270,NIACIN 100MG TB,8.0,6.0,,,0
HCPCS,A9270,NIACIN CRCAP 250MG ERCAP,9.0,6.75,,,0
HCPCS,A9270,NICARDIPINE 20MG CAP CAP,40.0,30.0,,,0
HCPCS,A9270,NICOTINE PATCH 14MG PATCH,34.0,25.5,,,0
HCPCS,A9270,NICOTINE PATCH 21MG PATCH,35.0,26.25,,,0
HCPCS,A9270,NICOTINE PATCH 7MG PATCH,34.0,25.5,,,0
HCPCS,A9270,NICOTINE POLACRILEX CHWG 2MG C,16.0,12.0,,,0
HCPCS,A9270,NIFEDIPINE CAP 10MG CAP,20.0,15.0,,,0
HCPCS,A9270,NIFEDIPINE CRTAB CRTAB 30MG CR,14.0,10.5,,,0
HCPCS,A9270,NIFEDIPINE X1 90MG CRTAB,34.0,25.5,,,0
HCPCS,A9270,NIFEDIPINE XL (PROCARDIA XL) C,14.0,10.5,,,0
HCPCS,A9270,NIMODIPINE 30MG/5ML LQ,960.0,720.0,,,0
HCPCS,A9270,NIMODIPINE 60MG/10ML LQ,2223.0,1667.25,,,0
HCPCS,A9270,NIMODIPINE CAP 30MG CAP,131.0,98.25,,,0
HCPCS,A9270,NIRMATREL-RITON150-100KIT,3331.0,2498.25,,,0
HCPCS,A9270,NIRMATREL-RITON300-100KIT,3331.0,2498.25,,,0
HCPCS,A9270,NITROFURANTOIN CAP 50MG CAP,27.0,20.25,,,0
HCPCS,A9270,NITROFURANTOIN MACROCRYSTALS C,53.0,39.75,,,0
HCPCS,A9270,NITROGLYCERIN 0.1MG/HR (5CM2),24.0,18.0,,,0
HCPCS,A9270,NITROGLYCERIN 0.4MG/HR (20CM2),23.0,17.25,,,0
HCPCS,A9270,NITROGLYCERIN 2% OINT 1GM OINT,13.0,9.75,,,0
HCPCS,A9270,NITROGLYCERIN 2% OINT 30GM OIN,542.0,406.5,,,0
HCPCS,A9270,NITROGLYCERIN SL SLTAB 0.4MG S,14.0,10.5,,,0
HCPCS,A9270,NITROGLYCERIN SR CRCAP 2.5MG S,13.0,9.75,,,0
HCPCS,A9270,NITROGLYCERIN SR CRCAP 6.5MG S,17.0,12.75,,,0
HCPCS,A9270,NITROGLYCERIN SR CRCAP 9MG SRC,16.0,12.0,,,0
HCPCS,A9270,NORTRIPTYLINE CAP 10MG CAP,11.0,8.25,,,0
HCPCS,A9270,NORTRIPTYLINE CAP 25MG CAP,13.0,9.75,,,0
HCPCS,A9270,NORTRIPTYLINE CAP 50MG CAP,16.0,12.0,,,0
HCPCS,A9270,NTG .2MG/HR TD,27.0,20.25,,,0
HCPCS,A9270,NTG .3MG/HR TD,1270.0,952.5,,,0
HCPCS,A9270,NYSTATIN (PED) SUSP 100000IU/M,14.0,10.5,,,0
HCPCS,A9270,NYSTATIN CREAM 15GM CREAM,99.0,74.25,,,0
HCPCS,A9270,NYSTATIN OINT 15GM OINT,106.0,79.5,,,0
HCPCS,A9270,NYSTATIN SUSP 5ML,23.0,17.25,,,0
HCPCS,A9270,NYSTATIN TAB 500000 UNITS,10.0,7.5,,,0
HCPCS,A9270,OCTREOTIDE IV OR SC PER 25MCG,179.0,134.25,,,0
HCPCS,A9270,OCULAR LUBRICANT OOINT 3.5GM O,39.0,29.25,,,0
HCPCS,A9270,OFLOXACIN 0.3% OPSOL 5ML OPSOL,112.0,84.0,,,0
HCPCS,A9270,OLANZAPINE TAB 10MG TAB,16.0,12.0,,,0
HCPCS,A9270,OLANZAPINE TAB 5MG TAB,17.0,12.75,,,0
HCPCS,A9270,ONDANSETR 8MGDT,26.0,19.5,,,0
HCPCS,A9270,ONDANSETRON (ODT) TAB 4MG TAB,23.0,17.25,,,0
HCPCS,A9270,ONDANSETRON TAB 4MG TAB,15.0,11.25,,,0
HCPCS,A9270,OPIUM 10% TINC 0.6 MG/0.6 ML,26.0,19.5,,,0
HCPCS,A9270,ORPHENADRINE ER CRTAB 100MG CR,11.0,8.25,,,0
HCPCS,A9270,OSELTAMIVIR 30 MG CAPSULE,123.0,92.25,,,0
HCPCS,A9270,OSELTAMIVIR 45 MG CAPSULE,121.0,90.75,,,0
HCPCS,A9270,OSELTAMIVIR PHOSPHATE CAP 75MG,135.0,101.25,,,0
HCPCS,A9270,OXAZEPAM CAP 15MG CAP,29.0,21.75,,,0
HCPCS,A9270,OXCARBAZEPINE 60MG/ML ORAL SYR,13.0,9.75,,,0
HCPCS,A9270,OXCARBAZEPINE TAB 150MG TAB,11.0,8.25,,,0
HCPCS,A9270,OXCARBAZEPINE TAB 300MG TAB,14.0,10.5,,,0
HCPCS,A9270,OXCARBAZEPINE TAB 600MG TAB,17.0,12.75,,,0
HCPCS,A9270,OXYBUTYN 1ML LQ,10.0,7.5,,,0
HCPCS,A9270,OXYBUTYNIN TAB 5MG TAB,16.0,12.0,,,0
HCPCS,A9270,OXYCODONE 1 MG/ML 5ML LIQ,133.0,99.75,,,0
HCPCS,A9270,OXYCODONE CR CRTAB 10MG CRTAB,49.0,36.75,,,0
HCPCS,A9270,OXYCODONE CR CRTAB 20MG CRTAB,126.0,94.5,,,0
HCPCS,A9270,OXYCODONE CR CRTAB 40MG CRTAB,231.0,173.25,,,0
HCPCS,A9270,OXYCODONE CR CRTAB 80MG CRTAB,425.0,318.75,,,0
HCPCS,A9270,OXYCODONE LIQ 20MG/ML 30ML,111.0,83.25,,,0
HCPCS,A9270,OXYCODONE TAB 15MG TAB,23.0,17.25,,,0
HCPCS,A9270,OXYCODONE TAB 5MG TAB,13.0,9.75,,,0
HCPCS,A9270,OXYCODONE/ACETAMINOPHEN 10/325,24.0,18.0,,,0
HCPCS,A9270,OXYCODONE/ACETAMINOPHEN 7.5/32,11.0,8.25,,,0
HCPCS,A9270,OXYCODONE/ACETAMINOPHEN TAB 1,12.0,9.0,,,0
HCPCS,A9270,OXYMETAZOLINE 0.05% NSPRY 15ML,14.0,10.5,,,0
HCPCS,A9270,"PANCRE (CREON 24,000 UNITS) CR",122.0,91.5,,,0
HCPCS,A9270,PANCRELIPASE 60000/12000/38000,64.0,48.0,,,0
HCPCS,A9270,PANTOPRAZOLE TAB 40MG TAB,14.0,10.5,,,0
HCPCS,A9270,PAROXETINE TAB 10MG TAB,15.0,11.25,,,0
HCPCS,A9270,PAROXETINE TAB 20MG TAB,12.0,9.0,,,0
HCPCS,A9270,PEG 3350 249 GM BTTL,242.0,181.5,,,0
HCPCS,A9270,PEG/ELECTROLYTES PWDR PWDR,135.0,101.25,,,0
HCPCS,A9270,PENICILLIN VK (PED) SUSP 50MG/,1.0,0.75,,,0
HCPCS,A9270,PENICILLIN VK TAB 250MG TAB,12.0,9.0,,,0
HCPCS,A9270,PENICILLIN VK TAB 500MG TAB,14.0,10.5,,,0
HCPCS,A9270,PERAMPAN 10MGTB,895.0,671.25,,,0
HCPCS,A9270,PERAMPANEL 4 MG TAB,662.0,496.5,,,0
HCPCS,A9270,PERMETHRIN 1 % LIQ 60ML LIQUID,125.0,93.75,,,0
HCPCS,A9270,PERMETHRIN 5% CREAM 60 GM CREA,1152.0,864.0,,,0
HCPCS,A9270,"PERPHENAZINE, 4MG, ORAL",22.5,16.875,,,0
HCPCS,A9270,PETROLATULARGEGM,382.0,286.5,,,0
HCPCS,A9270,PHENAZOPYRIDINE TAB 100MG TAB,25.0,18.75,,,0
HCPCS,A9270,PHENAZOPYRIDINE TAB 200MG TAB,26.0,19.5,,,0
HCPCS,A9270,PHENOBARBITAL (PED) ELIX 4MG/M,14.0,10.5,,,0
HCPCS,A9270,PHENOBARBITAL 16.2 MG TAB,11.0,8.25,,,0
HCPCS,A9270,PHENOBARBITAL 32.4 MG TAB,17.0,12.75,,,0
HCPCS,A9270,PHENOBARBITAL 64.8 MG TAB,26.0,19.5,,,0
HCPCS,A9270,PHENOBARBITAL 97.2 MG TAB,16.0,12.0,,,0
HCPCS,A9270,PHENOBARBITAL ELIX 20MG/5ML,8.0,6.0,,,0
HCPCS,A9270,PHENOL 180ML SP,28.0,21.0,,,0
HCPCS,A9270,PHENOL SWAB EA,118.0,88.5,,,0
HCPCS,A9270,PHENOXYBENZAMINE CAP 10MG,548.0,411.0,,,0
HCPCS,A9270,PHENYLEP25MLUD OS,194.0,145.5,,,0
HCPCS,A9270,PHENYTOIN 1MLLQ,16.0,12.0,,,0
HCPCS,A9270,PHENYTOIN CAP 100MG CAP,23.0,17.25,,,0
HCPCS,A9270,PHENYTOIN CAP 30MG CAP,29.0,21.75,,,0
HCPCS,A9270,PHENYTOIN CHWT 50MG CHWT,17.0,12.75,,,0
HCPCS,A9270,PHENYTOIN SUSP 25MG/ML 4ML,117.0,87.75,,,0
HCPCS,A9270,PHYTONADIONE TAB 5MG TAB,1139.0,854.25,,,0
HCPCS,A9270,PILOCARPINE 1% OPSOL 15ML OPSO,2085.0,1563.75,,,0
HCPCS,A9270,PILOCARPINE 2% OPSOL 15ML OPSO,1595.0,1196.25,,,0
HCPCS,A9270,PILOCARPINE 4% OPSOL 15ML OPSO,1849.0,1386.75,,,0
HCPCS,A9270,PILOCARPINE TAB 5MG TAB,37.0,27.75,,,0
HCPCS,A9270,POLYETHYLENE GLYC-3350 119GM,112.0,84.0,,,0
HCPCS,A9270,POLYMIXIN B/TRIMETHOPRIM OPSOL,102.0,76.5,,,0
HCPCS,A9270,POSACONAZOLE 40MG/ML 5ML SUS,1711.0,1283.25,,,0
HCPCS,A9270,POSACONAZOLE1LQ,331.0,248.25,,,0
HCPCS,A9270,POSACONZ100XRTB,1265.0,948.75,,,0
HCPCS,A9270,POTASSIUM CHLORIDE (PED) LIQ 1,13.0,9.75,,,0
HCPCS,A9270,POTASSIUM CHLORIDE 20 MEQ PWD,150.0,112.5,,,0
HCPCS,A9270,POTASSIUM CHLORIDE SR CRTAB 10,15.0,11.25,,,0
HCPCS,A9270,POTASSIUM CHLORIDE SR CRTAB 20,13.0,9.75,,,0
HCPCS,A9270,POTASSIUM PHOSPH 3MMOL/ML,10.0,7.5,,,0
HCPCS,A9270,POTASSIUM PHOSPHATE TAB 250MG,24.0,18.0,,,0
HCPCS,A9270,POTASSIUM/SOD PHOS PWD,17.0,12.75,,,0
HCPCS,A9270,PRAMIPEXOLE 0.25MG TAB,16.0,12.0,,,0
HCPCS,A9270,PRAMIPEXOLE 1 MG TAB,14.0,10.5,,,0
HCPCS,A9270,PRASUGREL 10 MG TAB,208.0,156.0,,,0
HCPCS,A9270,PRAVASTATIN TAB 10MG TAB,14.0,10.5,,,0
HCPCS,A9270,PRAVASTATIN TAB 20MG TAB,13.0,9.75,,,0
HCPCS,A9270,PRAVASTATIN TAB 40MG TAB,13.0,9.75,,,0
HCPCS,A9270,PRAZOSIN CAP 1MG CAP,28.0,21.0,,,0
HCPCS,A9270,PRAZOSIN CAP 2MG CAP,37.0,27.75,,,0
HCPCS,A9270,PRAZOSIN CAP 5MG CAP,17.0,12.75,,,0
HCPCS,A9270,PREDNISOLONE (PED) SYRUP 3MG/M,14.0,10.5,,,0
HCPCS,A9270,PREDNISOLONE 1% OPSUS 5ML OPSU,804.0,603.0,,,0
HCPCS,A9270,PREDNISOLONE 45 MG/15 ML LQ,58.0,43.5,,,0
HCPCS,A9270,PREDNISONE ORAL 1 MG,1.5,1.125,,,0
HCPCS,A9270,PREDNISONE TAB 1MG TAB,13.0,9.75,,,0
HCPCS,A9270,PREGABALIN CAP 100MG CAP,122.0,91.5,,,0
HCPCS,A9270,PREGABALIN CAP 150MG CAP,118.0,88.5,,,0
HCPCS,A9270,PREGABALIN CAP 25MG CAP,105.0,78.75,,,0
HCPCS,A9270,PREGABALIN CAP 300MG CAP,136.0,102.0,,,0
HCPCS,A9270,PREGABALIN CAP 50MG CAP,124.0,93.0,,,0
HCPCS,A9270,PREGABALIN CAP 75MG CAP,126.0,94.5,,,0
HCPCS,A9270,PRIMAQUINE TAB 26.3MG TAB,33.0,24.75,,,0
HCPCS,A9270,PRIMIDONE TAB 250MG TAB,15.0,11.25,,,0
HCPCS,A9270,PRIMIDONE TAB 50MG TAB,17.0,12.75,,,0
HCPCS,A9270,PROBENECID TAB 500MG TAB,25.0,18.75,,,0
HCPCS,A9270,PROCHLORPERAZINE SUPP 25MG SUP,118.0,88.5,,,0
HCPCS,A9270,PROGESTERONE GEL 8% 1.45GM APP,614.0,460.5,,,0
HCPCS,A9270,PROMETHAZINE SUPP 12.5MG SUPP,178.0,133.5,,,0
HCPCS,A9270,PROMETHAZINE SUPP 25MG SUPP,137.0,102.75,,,0
HCPCS,A9270,"PROMETHAZINE, 25MG, ORAL",15.0,11.25,,,0
HCPCS,A9270,PROPAFENONE TAB 150MG TAB,14.0,10.5,,,0
HCPCS,A9270,PROPRANOLOL (PED) LIQ 4MG/ML,17.0,12.75,,,0
HCPCS,A9270,PROPRANOLOL 5LQ,81.0,60.75,,,0
HCPCS,A9270,PROPRANOLOL LA 120MG CRCAP CRC,47.0,35.25,,,0
HCPCS,A9270,PROPRANOLOL TAB 10MG TAB,15.0,11.25,,,0
HCPCS,A9270,PROPRANOLOL TAB 20MG TAB,13.0,9.75,,,0
HCPCS,A9270,PROPRANOLOL TAB 40MG TAB,16.0,12.0,,,0
HCPCS,A9270,PROPRANOLOL TAB 80MG TAB,17.0,12.75,,,0
HCPCS,A9270,PROPYLTHIOURACIL TAB 50MG TAB,12.0,9.0,,,0
HCPCS,A9270,PSEUDOEPHEDRINE TAB 30MG TAB,12.0,9.0,,,0
HCPCS,A9270,PSEUDOEPHEDRINE TAB 60MG TAB,12.0,9.0,,,0
HCPCS,A9270,PSYLLIUM PWDR PWDR,13.0,9.75,,,0
HCPCS,A9270,PYRAZINAMIDE TAB 500MG TAB,83.0,62.25,,,0
HCPCS,A9270,PYRIDOSTIGMINE 12MG/ML ORL SYR,33.0,24.75,,,0
HCPCS,A9270,PYRIDOSTIGMINE SR CRTAB 180MG,227.0,170.25,,,0
HCPCS,A9270,PYRIDOSTIGMINE TAB 60MG TAB,20.0,15.0,,,0
HCPCS,A9270,PYRIDOXINE TAB 25MG TAB,13.0,9.75,,,0
HCPCS,A9270,PYRIDOXINE TAB 50MG TAB,14.0,10.5,,,0
HCPCS,A9270,QUETIAPINE 25MG TAB TAB,13.0,9.75,,,0
HCPCS,A9270,QUETIAPINE 50MG TAB UD,12.0,9.0,,,0
HCPCS,A9270,QUETIAPINE ORAL SUSPENSION,16.0,12.0,,,0
HCPCS,A9270,QUETIAPINE TAB 100MG TAB,13.0,9.75,,,0
HCPCS,A9270,QUETIAPINE TAB 200MG TAB,14.0,10.5,,,0
HCPCS,A9270,QUETIAPINE TAB 300MG TAB,20.0,15.0,,,0
HCPCS,A9270,RACEPINEPHRINE 2.25% INH 0.5ML,940.0,705.0,,,0
HCPCS,A9270,RALTEGRAVIR 400 MG TAB,392.0,294.0,,,0
HCPCS,A9270,RAMELTEON8MG TB,53.0,39.75,,,0
HCPCS,A9270,RANOLAZINE 1000 MG CR TAB,156.0,117.0,,,0
HCPCS,A9270,RANOLAZINE 500 MG CR TAB,96.0,72.0,,,0
HCPCS,A9270,RIBOFLAVIN TAB 100MG TAB,12.0,9.0,,,0
HCPCS,A9270,RIFABUTIN CAP 150MG CAP,336.0,252.0,,,0
HCPCS,A9270,RIFAMPIN CAP 150MG CAP,22.0,16.5,,,0
HCPCS,A9270,RIFAMPIN CAP 300MG CAP,20.0,15.0,,,0
HCPCS,A9270,RIFAXIMIN 1MLLQ,49.0,36.75,,,0
HCPCS,A9270,RIFAXIMIN 550 MG TAB,703.0,527.25,,,0
HCPCS,A9270,RIFAXIMIN200TB,154.0,115.5,,,0
HCPCS,A9270,RILPIVIRINE 25 MG TAB,860.0,645.0,,,0
HCPCS,A9270,RISPERIDONE LIQ 1MG/ML,15.0,11.25,,,0
HCPCS,A9270,RISPERIDONE TAB 1MG TAB,14.0,10.5,,,0
HCPCS,A9270,RISPERIDONE TAB 2MG TAB,15.0,11.25,,,0
HCPCS,A9270,RISPERIDONE TAB 3MG TAB,14.0,10.5,,,0
HCPCS,A9270,RISPERIDONE TAB 4MG TAB,22.0,16.5,,,0
HCPCS,A9270,RITONAVIR 100 MG TAB,210.0,157.5,,,0
HCPCS,A9270,RIVAROXAB1MGLQ,68.0,51.0,,,0
HCPCS,A9270,RIVAROXABAN 10 MG TAB,238.0,178.5,,,0
HCPCS,A9270,RIVAROXABAN 15MG TAB,213.0,159.75,,,0
HCPCS,A9270,RIVAROXABAN 2.5MG TB,125.0,93.75,,,0
HCPCS,A9270,RIVAROXABAN 20 MG TAB,228.0,171.0,,,0
HCPCS,A9270,RIVASTIGM 4.6MG,40.0,30.0,,,0
HCPCS,A9270,RIVASTIGM 9.5MG,39.0,29.25,,,0
HCPCS,A9270,RIVASTIGM13.3MG+,65.0,48.75,,,0
HCPCS,A9270,RIVASTIGMINE TARTRATE CAP 1.5M,12.0,9.0,,,0
HCPCS,A9270,RIVASTIGMINE TARTRATE CAP 3MG,27.0,20.25,,,0
HCPCS,A9270,ROPINIROLE 0.25MG TAB,16.0,12.0,,,0
HCPCS,A9270,ROPINIROLE 0.5 MG TAB,12.0,9.0,,,0
HCPCS,A9270,ROPINIROLE 1MG TAB,15.0,11.25,,,0
HCPCS,A9270,ROPINIROLE 2MG TB,70.0,52.5,,,0
HCPCS,A9270,ROSUVASTATIN 20MG TAB,117.0,87.75,,,0
HCPCS,A9270,ROSUVASTATIN 40 MG TAB,120.0,90.0,,,0
HCPCS,A9270,ROSUVASTATIN TAB 10 MG TAB,118.0,88.5,,,0
HCPCS,A9270,ROSUVASTATIN TAB 5MG TAB,125.0,93.75,,,0
HCPCS,A9270,RUFINAMIDE 200MG TABLET,313.0,234.75,,,0
HCPCS,A9270,SACUB/VALSAR4MGOS,5.0,3.75,,,0
HCPCS,A9270,SACUBITRIL-VALSARTAN 24-26 MG,147.0,110.25,,,0
HCPCS,A9270,SACUBITRIL-VALSARTAN 49-51 MG,152.0,114.0,,,0
HCPCS,A9270,SACUBITRIL-VALSARTAN 97-103 MG,150.0,112.5,,,0
HCPCS,A9270,SALICYLIC ACID/SULFUR SHMP 120,37.0,27.75,,,0
HCPCS,A9270,SALIVA SUBSTITUTES-SPRAY,147.0,110.25,,,0
HCPCS,A9270,SCOPOLAMINE PATCH 1.5MG PATCH,279.0,209.25,,,0
HCPCS,A9270,SELEGILINE CAP 5MG CAP,17.0,12.75,,,0
HCPCS,A9270,SELENIUM 200MCG CP,16.0,12.0,,,0
HCPCS,A9270,SENNA8.6 TB,11.0,8.25,,,0
HCPCS,A9270,SERTRALINE 25 MG TAB,11.0,8.25,,,0
HCPCS,A9270,SERTRALINE TAB 50MG TAB,13.0,9.75,,,0
HCPCS,A9270,SEVELAMER 0.8 G ORAL POWDER,202.0,151.5,,,0
HCPCS,A9270,SEVELAMER CARBONATE,136.0,102.0,,,0
HCPCS,A9270,SEVELMER 2.4 G POWDER PACKET,197.0,147.75,,,0
HCPCS,A9270,SILDENAFIL 10MG-1ML LQ,528.0,396.0,,,0
HCPCS,A9270,SILDENAFIL 20MG TAB TAB 20MG,23.0,17.25,,,0
HCPCS,A9270,SILVER SULFADIAZINE 1% CREAM 5,146.0,109.5,,,0
HCPCS,A9270,SIMETHICONE CHWT 80MG CHWT,12.0,9.0,,,0
HCPCS,A9270,SIMETHICONE SOLN (PED) LIQ 67M,14.0,10.5,,,0
HCPCS,A9270,"SIROLIMUS, ORAL, 1MG",441.5,331.125,,,0
HCPCS,A9270,SITAGLIP100MGTB,292.0,219.0,,,0
HCPCS,A9270,SITAGLIPTIN 25 MG TAB,376.0,282.0,,,0
HCPCS,A9270,SITAGLIPTIN 50 MG TAB,190.0,142.5,,,0
HCPCS,A9270,SOD CHL 3% INH 4ML,17.0,12.75,,,0
HCPCS,A9270,SODIUM BICARBONATE TAB 325MG T,13.0,9.75,,,0
HCPCS,A9270,SODIUM BICARBONATE TAB 650MG T,13.0,9.75,,,0
HCPCS,A9270,SODIUM CHLORIDE (PED) SOLN 2.5,14.0,10.5,,,0
HCPCS,A9270,SODIUM CHLORIDE 0.65% NSPRY 45,13.0,9.75,,,0
HCPCS,A9270,SODIUM CHLORIDE 0.9% INH 3ML,16.0,12.0,,,0
HCPCS,A9270,SODIUM CHLORIDE 0.9% INH 5ML,16.0,12.0,,,0
HCPCS,A9270,SODIUM CHLORIDE 7% INHALATION,15.0,11.25,,,0
HCPCS,A9270,SODIUM CHLORIDE EC ECTAB 1000M,15.0,11.25,,,0
HCPCS,A9270,SODIUM CITRATE/CITRIC (PED) LI,12.0,9.0,,,0
HCPCS,A9270,SODIUM CITRATE/CITRIC ACID LIQ,24.0,18.0,,,0
HCPCS,A9270,SODIUM PHOSPHATE(ORAL) LIQ 3M,26.0,19.5,,,0
HCPCS,A9270,SODIUM POLYSTYRENE SUSP 0.25GM,47.0,35.25,,,0
HCPCS,A9270,SOTALOL (PED) SUSP 5MG/ML,40.0,30.0,,,0
HCPCS,A9270,SOTALOL TAB 80MG TAB,12.0,9.0,,,0
HCPCS,A9270,SPIRO/HC12.5/12.5TB+,138.0,103.5,,,0
HCPCS,A9270,SPIRONOLA12.5TB,21.0,15.75,,,0
HCPCS,A9270,SPIRONOLACTONE (PED) SUSP 5MG/,47.0,35.25,,,0
HCPCS,A9270,SPIRONOLACTONE TAB 25MG TAB,14.0,10.5,,,0
HCPCS,A9270,SSD 400GM CR,315.0,236.25,,,0
HCPCS,A9270,STRIBILD 1 TAB,2119.0,1589.25,,,0
HCPCS,A9270,SUCRALFATE SUSP 100MG/ML 10ML,185.0,138.75,,,0
HCPCS,A9270,SUCRALFATE TAB 1GM TAB,15.0,11.25,,,0
HCPCS,A9270,SUCROSE 24% SYRUP 0.4ML,12.0,9.0,,,0
HCPCS,A9270,SUCROSE 24% SYRUP 2ML,14.0,10.5,,,0
HCPCS,A9270,SULFA/TRIMETHOPRIM (PED) SUSP,16.0,12.0,,,0
HCPCS,A9270,SULFA/TRIMETHOPRIM DS TAB 1 TA,14.0,10.5,,,0
HCPCS,A9270,SULFA/TRIMETHOPRIM SUSP 8MG/ML,92.0,69.0,,,0
HCPCS,A9270,SULFA/TRIMETHOPRIM TAB 1 TAB,14.0,10.5,,,0
HCPCS,A9270,SULFACETAMIDE 10% OPSOL 15ML O,821.0,615.75,,,0
HCPCS,A9270,SULFASALAZINE TAB 500MG TAB,14.0,10.5,,,0
HCPCS,A9270,SUMATRIPTAN TAB 50MG TAB,25.0,18.75,,,0
HCPCS,A9270,SYMTUZA,2860.0,2145.0,,,0
HCPCS,A9270,TACROLIMUS CAP 0.5MG CAP,26.0,19.5,,,0
HCPCS,A9270,TAMOXIFEN TAB 10MG TAB,11.0,8.25,,,0
HCPCS,A9270,TAMSULOSIN CAP 0.4MG/CAP,21.0,15.75,,,0
HCPCS,A9270,"TEARS, ARTIFICIAL 1% OPSOL 0.3",16.0,12.0,,,0
HCPCS,A9270,"TEARS, ARTIFICIAL OPSOL 15ML O",28.0,21.0,,,0
HCPCS,A9270,TEMAZEPAM CAP 15MG CAP,12.0,9.0,,,0
HCPCS,A9270,TEMAZEPAM CAP 30MG CAP,17.0,12.75,,,0
HCPCS,A9270,TENOFOVIR TAB 300MG TAB,767.0,575.25,,,0
HCPCS,A9270,TERBUTAL2.5MGTB,26.0,19.5,,,0
HCPCS,A9270,TETRACYCLINE CAP 500MG CAP,134.0,100.5,,,0
HCPCS,A9270,THEOPHYLLINE (PED) LIQ 5.3MG/M,4.0,3.0,,,0
HCPCS,A9270,THEOPHYLLINE SR 100MG SCRAP,31.0,23.25,,,0
HCPCS,A9270,THEOPHYLLINE SR CRCAP 200MG SR,70.0,52.5,,,0
HCPCS,A9270,THEOPHYLLINE SR CRTAB 300MG CR,22.0,16.5,,,0
HCPCS,A9270,THIAMINE TAB 100MG TAB,13.0,9.75,,,0
HCPCS,A9270,THIAMINE TAB 50MG TAB,12.0,9.0,,,0
HCPCS,A9270,THIAMINENEONATALOS,14.0,10.5,,,0
HCPCS,A9270,THIORIDAZINE TAB 25MG TAB,16.0,12.0,,,0
HCPCS,A9270,THYROID TAB 30MG TAB,5.0,3.75,,,0
HCPCS,A9270,THYROID TAB 60MG TAB,22.0,16.5,,,0
HCPCS,A9270,TICAGRELOR 60 MG TAB,134.0,100.5,,,0
HCPCS,A9270,TIMOLOL 0.25% OPSOL 3ML OPSOL,40.0,30.0,,,0
HCPCS,A9270,TIMOLOL 0.5% OPSOL 5ML OPSOL,64.0,48.0,,,0
HCPCS,A9270,TIMOLOL 10ML OS,131.0,98.25,,,0
HCPCS,A9270,TIMOLOL.5%15MLOS,20.0,15.0,,,0
HCPCS,A9270,TIZANIDINE 2 MG TAB,25.0,18.75,,,0
HCPCS,A9270,TIZANIDINE TAB 4MG TAB,20.0,15.0,,,0
HCPCS,A9270,TOBRAMYCIN 0.3% OPSOL 5ML OPSO,25.0,18.75,,,0
HCPCS,A9270,TOBRAMYCIN INHALATION 0.2% INH,762.0,571.5,,,0
HCPCS,A9270,TOBRAMYCIN OPSOL 14MG/ML,73.0,54.75,,,0
HCPCS,A9270,TOBRAMYCIN OPSOL 5MG/ML,65.0,48.75,,,0
HCPCS,A9270,TOBRAMYCIN/DEXAMETHASONE OPSUS,620.0,465.0,,,0
HCPCS,A9270,TOLNAFTATE 1% CREAM 15GM CREAM,26.0,19.5,,,0
HCPCS,A9270,TOLTERODINE CAP 2MG CAP,81.0,60.75,,,0
HCPCS,A9270,TOLTERODINE CAP 4MG CAP,153.0,114.75,,,0
HCPCS,A9270,TOLVAPTAN 15 MG TAB,6757.0,5067.75,,,0
HCPCS,A9270,TOLVAPTAN 30 MG TAB,6520.0,4890.0,,,0
HCPCS,A9270,TOPIRAMATE TAB 100MG TAB,14.0,10.5,,,0
HCPCS,A9270,TOPIRAMATE TAB 200MG TAB,17.0,12.75,,,0
HCPCS,A9270,TOPIRAMATE TAB 25MG TAB,13.0,9.75,,,0
HCPCS,A9270,TOPIRAMATE25MG1MLLQ,22.0,16.5,,,0
HCPCS,A9270,TORSEMIDE 10 MG TAB,13.0,9.75,,,0
HCPCS,A9270,TORSEMIDE 100 MG TAB,11.0,8.25,,,0
HCPCS,A9270,TORSEMIDE 20 MG TAB,13.0,9.75,,,0
HCPCS,A9270,TORSEMIDE 5 MG TAB,10.0,7.5,,,0
HCPCS,A9270,TRANEXAMIC ACID 650 MG TAB,56.0,42.0,,,0
HCPCS,A9270,TRAZODONE TAB 100MG TAB,15.0,11.25,,,0
HCPCS,A9270,TRAZODONE TAB 150MG TAB,23.0,17.25,,,0
HCPCS,A9270,TRAZODONE TAB 50MG TAB,13.0,9.75,,,0
HCPCS,A9270,TRIAMCINOL454OI,324.0,243.0,,,0
HCPCS,A9270,TRIAMCINOLONE 0.1% CREAM 15GM,43.0,32.25,,,0
HCPCS,A9270,TRIAMCINOLONE 0.1% CREAM 80GM,26.0,19.5,,,0
HCPCS,A9270,TRIAMCINOLONE 0.1% LOT 60ML LO,443.0,332.25,,,0
HCPCS,A9270,TRIAMCINOLONE 0.1% OINT 15GM O,43.0,32.25,,,0
HCPCS,A9270,TRIAMCINOLONE 0.1% OINT 80GM O,133.0,99.75,,,0
HCPCS,A9270,"TRIAMCINOLONE DENTAL PASTE,0.1",850.0,637.5,,,0
HCPCS,A9270,TRIAMTERENE 37.5MG/HCTZ 25MG C,14.0,10.5,,,0
HCPCS,A9270,TRIAMTERENE 75MG/HCTZ 50MG TAB,11.0,8.25,,,0
HCPCS,A9270,TRIHEPTANOIN 100% 500ML LQ,11575.0,8681.25,,,0
HCPCS,A9270,TRIHEXYPHEN5TB,16.0,12.0,,,0
HCPCS,A9270,TRIHEXYPHENIDYL 1ML LQ,2.0,1.5,,,0
HCPCS,A9270,TRIHEXYPHENIDYL TAB 2MG TAB,13.0,9.75,,,0
HCPCS,A9270,TRIMETHOPR100TB,22.0,16.5,,,0
HCPCS,A9270,TUCKS PADS STRIP 40PADS,15.0,11.25,,,0
HCPCS,A9270,UMECLIDINIUM BROM 7DS IH,140.0,105.0,,,0
HCPCS,A9270,UREA NA 15 GM PWD,88.0,66.0,,,0
HCPCS,A9270,URSODIOL (PED) SUSP 20MG/ML,5.0,3.75,,,0
HCPCS,A9270,URSODIOL CAP 300MG CAP,55.0,41.25,,,0
HCPCS,A9270,VALACYCLOVIR 1 G TAB,28.0,21.0,,,0
HCPCS,A9270,VALACYCLOVIR 500MG CAPLET TAB,15.0,11.25,,,0
HCPCS,A9270,VALGANCICLOVIR TAB 450MG TAB,657.0,492.75,,,0
HCPCS,A9270,VALGANCICLOVIR50MG/ML ORAL SYA,87.0,65.25,,,0
HCPCS,A9270,VALPROIC ACID (PED) SYRUP 50MG,3.0,2.25,,,0
HCPCS,A9270,VALPROIC ACID SYRUP 250MG/5ML,17.0,12.75,,,0
HCPCS,A9270,VALSARTAN TAB 160MG TAB,14.0,10.5,,,0
HCPCS,A9270,VALSARTAN TAB 80MG TAB,15.0,11.25,,,0
HCPCS,A9270,VANCOMYCIN (ORAL) LIQ 50MG/ML,14.0,10.5,,,0
HCPCS,A9270,VANCOMYCIN 125MG/2.5ML,2.0,1.5,,,0
HCPCS,A9270,VENLAFAXINE XR CRCAP 150MG XRC,16.0,12.0,,,0
HCPCS,A9270,VENLAFAXINE XR CRCAP 37.5MG XR,16.0,12.0,,,0
HCPCS,A9270,VENLAFAXINE XR CRCAP 75MG XRCA,15.0,11.25,,,0
HCPCS,A9270,VERAPAMIL SR CRTAB 180MG CRTAB,15.0,11.25,,,0
HCPCS,A9270,VERAPAMIL SR CRTAB 240MG CRTAB,14.0,10.5,,,0
HCPCS,A9270,VERAPAMIL TAB 120MG TAB,16.0,12.0,,,0
HCPCS,A9270,VERAPAMIL TAB 80MG TAB,15.0,11.25,,,0
HCPCS,A9270,VIGABATRIN500OS,2272.0,1704.0,,,0
HCPCS,A9270,VIT A&D 60GM OI,41.0,30.75,,,0
HCPCS,A9270,VIT D3 50K U CP,17.0,12.75,,,0
HCPCS,A9270,"VITAMIN A CAP 10,000IU CAP",13.0,9.75,,,0
HCPCS,A9270,VITAMIN E CAP 100 UNITS CAP,8.0,6.0,,,0
HCPCS,A9270,VORICONAZOLE FORTIF 10MG/MLOS,255.0,191.25,,,0
HCPCS,A9270,VORICONAZOLE SUSP 40MG/ML,296.0,222.0,,,0
HCPCS,A9270,VORICONAZOLE TAB 200MG TAB,487.0,365.25,,,0
HCPCS,A9270,VORICONAZOLE TAB 50MG TAB,141.0,105.75,,,0
HCPCS,A9270,WARFARIN TAB 10MG TAB,13.0,9.75,,,0
HCPCS,A9270,WARFARIN TAB 1MG TAB,11.0,8.25,,,0
HCPCS,A9270,WARFARIN TAB 2.5MG TAB,12.0,9.0,,,0
HCPCS,A9270,WARFARIN TAB 2MG TAB,11.0,8.25,,,0
HCPCS,A9270,WARFARIN TAB 5MG TAB,11.0,8.25,,,0
HCPCS,A9270,WARFARIN TAB 7.5MG TAB,13.0,9.75,,,0
HCPCS,A9270,ZIDOVUDINE (PED) SYRUP 10MG/ML,14.0,10.5,,,0
HCPCS,A9270,ZIDOVUDINE TAB 300MG TAB,26.0,19.5,,,0
HCPCS,A9270,ZINC OXIDE 20% OINT 30GM OINT,50.0,37.5,,,0
HCPCS,A9270,ZINC OXIDE-ALOE-VITAMIN E CREA,66.0,49.5,,,0
HCPCS,A9270,ZINC SULFATE CAP 220MG CAP,13.0,9.75,,,0
HCPCS,A9270,ZIPRASIDONE 20MG CAP,56.0,42.0,,,0
HCPCS,A9270,ZIPRASIDONE 40MG CAP,92.0,69.0,,,0
HCPCS,A9270,ZIPRASIDONE 80 MG CAPSULE,28.0,21.0,,,0
HCPCS,A9270,ZIRCONIUMCYCLOCSILCATE10GMPWLQ,410.0,307.5,,,0
HCPCS,A9270,ZIRCONIUMCYCLOCSILCATE5GMPWLQ,407.0,305.25,,,0
HCPCS,A9270,ZOLPIDEM TAB 5MG TAB,12.0,9.0,,,0
HCPCS,A9270,ZONISAMIDE CAP 100MG CAP,20.0,15.0,,,0
HCPCS,A9270,amatadine10mg/ml oral syr,14.0,10.5,,,0
HCPCS,A9270,amiordarone 5mg/ml ml oral syr,2.0,1.5,,,0
HCPCS,A9270,amlodipine 1mg/ml oral syring,80.0,60.0,,,0
HCPCS,A9270,clobetasol topical 0.05% Cream,1785.0,1338.75,,,0
HCPCS,A9270,duloxetine 30mg capsule 3,21.0,15.75,,,0
HCPCS,A9270,duloxetine 60mg capsule 6,16.0,12.0,,,0
HCPCS,A9270,hydroxychloroq 25mg/ml oral,2.0,1.5,,,0
HCPCS,A9270,hydroxyurea 100mg/ml oral s,14.0,10.5,,,0
HCPCS,A9270,imatinib 400 mg Tab,2950.0,2212.5,,,0
HCPCS,A9270,taCROlimus 0.5 mg/mL oral syr,43.0,32.25,,,0
HCPCS,A9270,ticagrelor 90 mg Tab,100.0,75.0,,,0
HCPCS,A9272,"DISP WOUND SUCT, DRSG/ACCESS",,,1.0,3.2,10
HCPCS,A9273,HOT/COLD BOTLE/CAP/COL/WRAP,,,1.0,3.2,10
HCPCS,A9276,"DISPOSABLE SENSOR, CGM SYS",,,1.0,46.33,10
HCPCS,A9277,"EXTERNAL TRANSMITTER, CGM",,,1.0,1828.81,10
HCPCS,A9278,"EXTERNAL RECEIVER, CGM SYS",,,1.0,1470.22,10
HCPCS,A9280,"ALERT DEVICE, NOC",,,1.0,3.2,10
HCPCS,A9283,FOOT PRESS OFF LOAD SUPP DEV,,,1.0,3.2,10
HCPCS,A9284,NON-ELECTRONIC SPIROMETER,,,1.0,57.63,10
HCPCS,A9285,INVERSION EVERSION COR DEVIC,,,1.0,3.2,10
HCPCS,A9286,"ANY HYGIENIC ITEM, DEVICE",,,1.0,3.2,10
HCPCS,A9292,PRES DIG VISUAL THERAPY FDA,,,1.0,3.2,10
HCPCS,A9300,EXERCISE EQUIPMENT,,,1.0,3.2,10
HCPCS,A9500,"TC-99M SESTAMIBI, PER DOSE",700.0,525.0,1.0,143.13,10
HCPCS,A9501,TECHNETIUM TC-99M TEBOROXIME,,,1.0,459.8,10
HCPCS,A9502,TC99 TETROFOSMIN DOSE,1722.0,1291.5,1.0,140.43,10
HCPCS,A9503,TC99M MDP UP TO 30MCI,180.0,135.0,1.0,39.11,10
HCPCS,A9504,TC-99M APCITIDE INJ PER DOSE,2159.0,1619.25,1.0,558.65,10
HCPCS,A9505,THALLIUM-201 PER MCI,184.0,138.0,1.0,39.08,10
HCPCS,A9505,THALLIUM-201 PER MCI(NI),267.0,200.25,1.0,39.08,10
HCPCS,A9506,"Graphite crucible for preparation of technetium TC 99m-labeled carbon aerosol, one crucible",,,0.92,1.12,10
HCPCS,A9507,IN111 CAPROMAB,,,0.92,1.12,10
HCPCS,A9508,"I131 IODOBENGUATE, DX",,,1.0,1340.76,10
HCPCS,A9509,IODINE I-123 SOD IODIDE MIL,,,1.0,113.45,10
HCPCS,A9510,TC99M DISOFENIN,,,1.0,67.04,10
HCPCS,A9512,TC99M PERTECHNETATE PER MCI,66.0,49.5,1.0,3.35,10
HCPCS,A9512,Tc-99m/Tc 04,616.0,462.0,1.0,3.35,10
HCPCS,A9513,LUTETIUM LU 177 DOTATAT THER,,,1.0,351.06,10
HCPCS,A9515,CHOLINE C-11,,,1.0,2304.92,10
HCPCS,A9516,DX I-123 SODIUM IOD CAP 100UCI,579.0,434.25,1.0,64.39,10
HCPCS,A9517,TH I-131 CAP PER MCI,48.0,36.0,1.0,25.84,10
HCPCS,A9520,LYMPHOSEEK TC99 TILMANC 0.5MCI,2884.0,2163.0,1.0,555.3,10
HCPCS,A9521,TC-99M HMPAO(CERETEC)PER DOSE,5009.0,3756.75,1.0,896.45,10
HCPCS,A9524,"I131 SERUM ALBUMIN, DX",,,1.0,12.13,10
HCPCS,A9526,NITROGEN N-13 AMMONIA,,,1.0,168.8,10
HCPCS,A9527,IODINE I-125 SODIUM IODIDE,,,1.0,233.05,10
HCPCS,A9528,DX I-131 CAPS PER MCI,62.0,46.5,1.0,139.66,10
HCPCS,A9529,DX I-131 SOLUTION PER MCI,17.0,12.75,1.0,7.61,10
HCPCS,A9530,TH I-131 IODINE SOL PER MCI,48.0,36.0,1.0,23.33,10
HCPCS,A9531,DX I-131 UP TO 100 UCI,62.0,46.5,1.0,11.79,10
HCPCS,A9532,"I125 SERUM ALBUMIN, DX",,,1.0,21.01,10
HCPCS,A9536,TC99M DEPREOTIDE,,,0.92,1.12,10
HCPCS,A9537,TC-99M CHOLETEC PER DOSE,391.0,293.25,1.0,77.98,10
HCPCS,A9538,TC-99M PYROPHOSPHATE PER DOSE,393.0,294.75,1.0,38.58,10
HCPCS,A9539,TC-99M DTPA PER DOSE,435.0,326.25,1.0,63.99,10
HCPCS,A9540,TC-99M MAA PER DOSE,259.0,194.25,1.0,70.51,10
HCPCS,A9541,TC-99M SULFUR COLLOID PER DOSE,520.0,390.0,1.0,91.36,10
HCPCS,A9542,"IN111 IBRITUMOMAB, DX",,,1.0,891.63,10
HCPCS,A9543,"Y90 IBRITUMOMAB, RX",,,1.0,63490.07,10
HCPCS,A9546,CO57/58,,,1.0,31.76,10
HCPCS,A9547,IN111 OXYQUINOLINE,,,1.0,863.27,10
HCPCS,A9548,INDIUM-111 DTPA PER 0.5 MCI,1720.0,1290.0,1.0,799.19,10
HCPCS,A9550,TC99M GLUCEPTATE,,,1.0,52.11,10
HCPCS,A9551,TC99M SUCCIMER,,,1.0,174.85,10
HCPCS,A9552,FDG(PER DOSE)(4-40MCI),1763.0,1322.25,1.0,220.96,10
HCPCS,A9553,CR51 CHROMATE,,,1.0,343.25,10
HCPCS,A9554,"I125 IOTHALAMATE, DX",,,1.0,1173.17,10
HCPCS,A9555,RB82 RUBIDIUM,,,1.0,558.65,10
HCPCS,A9556,GALLIUM-67 PER MCI,199.0,149.25,1.0,75.33,10
HCPCS,A9557,Tc-99m Neurolite,1914.0,1435.5,1.0,764.01,10
HCPCS,A9558,XE133 XENON 10MCI,,,1.0,43.53,10
HCPCS,A9559,CO57 CYANO,,,1.0,191.04,10
HCPCS,A9560,TC-99M TAGGED RBC PER DOSE,1195.0,896.25,1.0,125.23,10
HCPCS,A9561,TC99M OXIDRONATE,,,1.0,56.04,10
HCPCS,A9562,TC-99M MAG-3 PER DOSE,1079.0,809.25,1.0,499.66,10
HCPCS,A9563,P32 NA PHOSPHATE,,,1.0,200.13,10
HCPCS,A9564,P32 CHROMIC PHOSPHATE,,,1.0,79.48,10
HCPCS,A9566,TC99M FANOLESOMAB,,,1.0,1168.47,10
HCPCS,A9567,TC-99M DTPA AEROSOL,274.0,205.5,1.0,71.81,10
HCPCS,A9568,TECHNETIUM TC99M ARCITUMOMAB,,,1.0,904.47,10
HCPCS,A9569,Tc-99m Ceretec WBC,560.0,420.0,1.0,1162.35,10
HCPCS,A9570,INDIUM-111 WBC+PREP PER 0.5MCI,5717.0,4287.75,1.0,1152.37,10
HCPCS,A9571,INDIUM IN-111 AUTO PLATELET,,,1.0,1794.06,10
HCPCS,A9572,INDIUM-111 OCTRSCN UP TO 6 MCI,2761.0,2070.75,1.0,2139.19,10
HCPCS,A9573,"INJ, GADOPICLENOL, 1 ML",,,1.0,3.88,10
HCPCS,A9575,GADOTERATE0.1ML,2.0,1.5,0.1,1.0,15
HCPCS,A9576,GADOTERIDOL PER ML,26.5,19.875,1.0,1.61,20
HCPCS,A9577,GADOBENATE PER 1 ML INJ,41.0,30.75,1.0,1.98,10
HCPCS,A9577,GADOBENATE PER ML,55.0,41.25,1.0,1.98,10
HCPCS,A9578,INJ MULTIHANCE MULTIPACK,,,1.0,1.94,10
HCPCS,A9579,"GADOLINIUM, PER ML",22.0,16.5,1.0,1.68,10
HCPCS,A9579,GADOTERID1MLIJ,137.0,102.75,1.0,1.68,10
HCPCS,A9580,SODIUM FLUORIDE F-18,,,1.0,626.81,10
HCPCS,A9581,GADOXETATE1MLIJ,348.0,261.0,1.0,16.74,10
HCPCS,A9582,IODINE I-123 IOBENGUANE,,,1.0,5707.63,10
HCPCS,A9583,GADOFOSVESET TRISODIUM INJ,,,1.0,21.13,10
HCPCS,A9584,I-123 IOFLUPANE PER DOSE,6089.0,4566.75,1.0,1550.83,10
HCPCS,A9585,GADOBUTROL,1.0,0.75,0.24,1.0,15
HCPCS,A9586,FLORBETAPIR F18,,,0.92,1.12,10
HCPCS,A9587,GALLIUM GA-68,,,1.0,57.08,10
HCPCS,A9588,FLUCICLOVINE F-18,,,1.0,299.91,10
HCPCS,A9589,HEXAMINOLV100MG,14502.0,10876.5,0.92,1.12,10
HCPCS,A9590,IODINE I-131 IOBENGUANE 1MCI,,,1.0,379.45,10
HCPCS,A9591,FLUOROESTRADIOL F 18,,,1.0,55.87,10
HCPCS,A9592,COPPER CU 64 DOTATATE DIAG,,,1.0,1075.4,10
HCPCS,A9593,GALLIUM GA-68 PSMA-11 UCSF,,,1.0,597.65,10
HCPCS,A9594,"GALLIUM GA-68 PSMA-11, UCLA",,,1.0,415.83,10
HCPCS,A9595,"PIFLU F-18, DIA 1 MILLICURIE",,,1.0,371.44,10
HCPCS,A9596,GALLIUM ILLUCCIX 1 MILLICURE,,,1.0,1154.39,10
HCPCS,A9597,"PET, DX, FOR TUMOR ID, NOC",,,1.0,33.52,10
HCPCS,A9598,"PET DX FOR NON-TUMOR ID, NOC",,,1.0,33.52,10
HCPCS,A9600,SR89 STRONTIUM,,,1.0,4632.71,10
HCPCS,A9601,FLORTAUCIPIR INJ 1 MILLICURI,,,0.92,1.12,10
HCPCS,A9602,FLUORODOPA F-18 DIAG PER MCI,,,0.92,1.12,10
HCPCS,A9603,"INJ, PAFOLACIANINE, 0.1 MG",,,1.0,148.39,10
HCPCS,A9604,SM 153 LEXIDRONAM,,,1.0,18192.86,10
HCPCS,A9606,RADIUM RA223 DICHLORIDE THER,,,1.0,536.11,15
HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE,,,1.0,285.87,10
HCPCS,A9608,FLOTUFOLASTAT F18 DIAG 1 MCI,,,1.0,707.51,10
HCPCS,A9609,"F18 FDG, 15 MILLICURIES",,,1.0,262.43,10
HCPCS,A9610,"Xenon Xe-129 hyperpolarized gas, diagnostic, per study dose",,,0.92,1.12,10
HCPCS,A9611,"Flurpiridaz F 18, diagnostic, 1 millicurie",,,1.0,575.41,10
HCPCS,A9612,FLUORESCEIN PER 1MG IJ,2.0,1.5,,,0
HCPCS,A9615,"Injection, pegulicianine, 1 mg",,,0.92,1.12,10
HCPCS,A9697,"INJ, MAGTRACE PER STUDY DOSE",,,1.0,1271.44,10
HCPCS,A9698,NON-RAD CONTRAST MATERIALNOC,,,0.92,1.12,10
HCPCS,A9699,RADIOPHARM RX AGENT NOC,,,1.0,34.01,10
HCPCS,A9700,ECHOCARDIOGRAPHY CONTRAST,,,1.0,209.49,10
HCPCS,A9800,GALLIUM LOCAMETZ 1 MILLICURI,,,1.0,920.66,10
HCPCS,A9900,SUPPLY/ACCESSORY/SERVICE,,,1.0,647.06,10
HCPCS,A9901,DELIVERY/SET UP/DISPENSING,,,1.0,50.43,10
HCPCS,B4034,DME PEN,,,1.0,11.97,10
HCPCS,B4035,DME PEN,,,1.0,21.16,10
HCPCS,B4036,DME PEN,,,1.0,16.39,10
HCPCS,B4081,DME PEN,,,1.0,60.16,10
HCPCS,B4082,DME PEN,,,1.0,42.42,10
HCPCS,B4083,DME PEN,,,1.0,6.28,10
HCPCS,B4087,DME PEN,,,1.0,104.82,10
HCPCS,B4088,DME PEN,,,1.0,391.15,10
HCPCS,B4100,FOOD THICKENER ORAL,,,1.0,3.2,10
HCPCS,B4102,EF ADULT FLUIDS AND ELECTRO,,,1.0,5.7,10
HCPCS,B4103,EF PED FLUID AND ELECTROLYTE,,,1.0,5.7,10
HCPCS,B4148,ENTERAL FEED ELASTOMER DAILY,,,1.0,22.51,10
HCPCS,B4149,DME PEN,,,1.0,3.94,10
HCPCS,B4150,DME PEN,,,1.0,1.47,10
HCPCS,B4152,DME PEN,,,1.0,1.25,10
HCPCS,B4153,DME PEN,,,1.0,4.71,10
HCPCS,B4154,DME PEN,,,1.0,2.56,10
HCPCS,B4155,DME PEN,,,1.0,2.75,10
HCPCS,B4157,EF SPECIAL METABOLIC INHERIT,,,1.0,8.61,10
HCPCS,B4158,EF PED COMPLETE INTACT NUT,,,1.0,2.59,10
HCPCS,B4159,EF PED COMPLETE SOY BASED,,,1.0,2.88,10
HCPCS,B4160,EF PED CALORIC DENSE>/=0.7KC,,,1.0,2.47,10
HCPCS,B4161,EF PED HYDROLYZED/AMINO ACID,,,1.0,5.7,10
HCPCS,B4162,EF PED SPECMETABOLIC INHERIT,,,1.0,8.61,10
HCPCS,B4164,DME PEN,,,1.0,78.95,10
HCPCS,B4168,DME PEN,,,1.0,115.13,10
HCPCS,B4172,PARENTERAL SOL AMINO ACID 5.,,,1.0,27.37,10
HCPCS,B4176,DME PEN,,,1.0,222.74,10
HCPCS,B4178,DME PEN,,,1.0,267.31,10
HCPCS,B4180,DME PEN,,,1.0,113.34,10
HCPCS,B4185,DME PEN,,,1.0,52.16,10
HCPCS,B4187,DME PEN,,,1.0,387.28,10
HCPCS,B4189,DME PEN,,,1.0,825.72,10
HCPCS,B4193,DME PEN,,,1.0,1066.93,10
HCPCS,B4197,DME PEN,,,1.0,1298.99,10
HCPCS,B4199,DME PEN,,,1.0,1484.31,10
HCPCS,B4216,DME PEN,,,1.0,35.86,10
HCPCS,B4220,DME PEN,,,1.0,37.17,10
HCPCS,B4222,DME PEN,,,1.0,45.88,10
HCPCS,B4224,DME PEN,,,1.0,116.13,10
HCPCS,B5000,DME PEN,,,1.0,55.23,10
HCPCS,B5100,DME PEN,,,1.0,21.58,10
HCPCS,B5200,PARENTERAL SOL HEPATIC FREAM,,,1.0,16.36,10
HCPCS,B9002,DME PEN,,,1.0,2751.96,10
HCPCS,B9004,DME PEN,,,1.0,11720.82,10
HCPCS,B9006,DME PEN,,,1.0,11720.82,10
HCPCS,B9998,ENTERAL SUPP NOT OTHERWISE C,,,1.0,294.65,10
HCPCS,B9999,PARENTERAL SUPP NOT OTHRWS C,,,1.0,287.45,10
HCPCS,C1052,"HEMOSTATIC AGENT, GI, TOPIC",,,0.03,1.0,10
HCPCS,C1062,INTRAVERTEBRAL FX AUG IMPL,,,0.22,0.22,1
HCPCS,C1600,"CATH, BLADED, VASC PREP",,,1.0,16.13,90
HCPCS,C1602,ORTH/MATRX/BN FILL DRUG-ELUT,,,1.0,16.13,90
HCPCS,C1603,"RET DEV, LASER, IVC FILTER",,,1.0,16.13,90
HCPCS,C1604,"GRFT, TRNSMURL/TRNSVENS BYPS",,,1.0,16.13,90
HCPCS,C1605,PM LEADLESS AVEIR AR LSP2,41328.0,30996.0,0.03,1.0,10
HCPCS,C1605,PM LEADLESS AVEIR AR LSP201A,79028.0,59271.0,0.03,1.0,10
HCPCS,C1606,"Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope",,,1.0,3.2,10
HCPCS,C1713,1.5MM CORTEX SCREWS,1173.0,879.75,,,0
HCPCS,C1713,2 HOLE STRAIGHT CRANIAL PLATE,279.0,209.25,,,0
HCPCS,C1713,4 HOLE STRAIGHT CRANIAL PLATE,403.0,302.25,,,0
HCPCS,C1713,ACHILLES SUTUREBRIDGE,11380.0,8535.0,,,0
HCPCS,C1713,ALLOGRAFT ANKLE TALUS,44299.0,33224.25,,,0
HCPCS,C1713,ALLOGRAFT CHIP CANCELLS 100150,4146.0,3109.5,,,0
HCPCS,C1713,ALLOGRAFT MATRIX CELL 1CC,4458.0,3343.5,,,0
HCPCS,C1713,ALLOGRAFT MATRIX CELL 5CC,19901.0,14925.75,,,0
HCPCS,C1713,"ALLOGRAFT, DBX, MIX 5CC",7567.0,5675.25,,,0
HCPCS,C1713,ANCH BONE W/ARTHRO DELY SYS,2153.0,1614.75,,,0
HCPCS,C1713,ANCH SUT CROSSFT W/HI-FI SUT,1289.0,966.75,,,0
HCPCS,C1713,ANCHOR ARTHREX,2769.0,2076.75,,,0
HCPCS,C1713,ANCHOR ARTHREX AR-1922PS,3079.0,2309.25,,,0
HCPCS,C1713,ANCHOR BIO-SUTURETAK #2 WIRE,3001.0,2250.75,,,0
HCPCS,C1713,ANCHOR BIO-SWIVELOCK ARTHREX,4638.0,3478.5,,,0
HCPCS,C1713,ANCHOR BIORAPTOR VARIES W/SUT,3061.0,2295.75,,,0
HCPCS,C1713,ANCHOR BOLT AD-TECH VARIES,3241.0,2430.75,,,0
HCPCS,C1713,ANCHOR CLIK SET OF 2,2964.0,2223.0,,,0
HCPCS,C1713,ANCHOR COALITION MIS,1246.0,934.5,,,0
HCPCS,C1713,ANCHOR GII SNAP PACK,2510.0,1882.5,,,0
HCPCS,C1713,ANCHOR JUGGERKNOT,2536.0,1902.0,,,0
HCPCS,C1713,ANCHOR MINI MAGNUM OM,4450.0,3337.5,,,0
HCPCS,C1713,ANCHOR OPUS MAGNUM2 ARTHROCARE,4450.0,3337.5,,,0
HCPCS,C1713,ANCHOR PEEK,2729.5,2047.125,,,0
HCPCS,C1713,ANCHOR PRESSFIT HI FI PEEK,2282.0,1711.5,,,0
HCPCS,C1713,ANCHOR QUICKPLUS VARIES,3547.0,2660.25,,,0
HCPCS,C1713,ANCHOR S&N FAST FIX ULTRA,3823.0,2867.25,,,0
HCPCS,C1713,ANCHOR S&N TWINFIX DURABRAID,2478.0,1858.5,,,0
HCPCS,C1713,ANCHOR S&N TWINFIX W/SUTURE,2129.0,1596.75,,,0
HCPCS,C1713,ANCHOR SUPERQUICK 2 ORTHOCORD,3490.0,2617.5,,,0
HCPCS,C1713,ANCHOR SUTURE BIOCOMP SZ VARY,2088.0,1566.0,,,0
HCPCS,C1713,ANCHOR TENDON,1076.0,807.0,,,0
HCPCS,C1713,ANCHOR VARIOUS,3878.0,2908.5,,,0
HCPCS,C1713,ANCHOR XTENDO BUTTON ACL,2396.0,1797.0,,,0
HCPCS,C1713,ANCHOR Y-KNOT RC ALL SUTURE,2703.0,2027.25,,,0
HCPCS,C1713,ARTHREX BIO SUTURE TAK,4425.0,3318.75,,,0
HCPCS,C1713,ARTHREX BIO-PUSHLOCK AR1926B,4009.0,3006.75,,,0
HCPCS,C1713,ARTHREX CANNULATED SCREW,2620.0,1965.0,,,0
HCPCS,C1713,ARTHREX CORKSCREW ANCHOR,2159.0,1619.25,,,0
HCPCS,C1713,ARTHREX HTO PLATE,10886.0,8164.5,,,0
HCPCS,C1713,ARTHREX STAPLE LIGAMENT,1534.0,1150.5,,,0
HCPCS,C1713,ARTHROTEK WASHERLOC SCREW,1594.5,1195.875,,,0
HCPCS,C1713,AUGMENT BONE GRAFT,19355.0,14516.25,,,0
HCPCS,C1713,BENGAL CAGE LORDOTIC 18-34MM,57562.0,43171.5,,,0
HCPCS,C1713,BIO CORKSCREW FT ANCHOR,3742.0,2806.5,,,0
HCPCS,C1713,BIO IMPLANT CANCELLOUS PLUG,3501.0,2625.75,,,0
HCPCS,C1713,BIO-SUTURE TAK,3039.0,2279.25,,,0
HCPCS,C1713,BIONX SMART NAIL,2033.0,1524.75,,,0
HCPCS,C1713,BLADE TI SPIRAL,2848.0,2136.0,,,0
HCPCS,C1713,BME ELITE TM IMPLANT,8951.0,6713.25,,,0
HCPCS,C1713,BN GRFT INFS XSM,9684.0,7263.0,,,0
HCPCS,C1713,BN PUTTY BG FIBERGRAFT 1CC,1246.0,934.5,,,0
HCPCS,C1713,BOLT ACROMED M2 5.50MM,4839.0,3629.25,,,0
HCPCS,C1713,BOLT LOCKING,880.0,660.0,,,0
HCPCS,C1713,BONE CANCELLOUS CHIPS 15CC,2251.0,1688.25,,,0
HCPCS,C1713,BONE CANCELLOUS CHIPS 5CC,1888.0,1416.0,,,0
HCPCS,C1713,BONE CANCELLOUS CRUSHED 15CC,1510.0,1132.5,,,0
HCPCS,C1713,BONE CHIP CROUTONS 30CC#100150,4902.0,3676.5,,,0
HCPCS,C1713,BONE CHIP CRUSHED 30CC,5643.0,4232.25,,,0
HCPCS,C1713,BONE FILLER NORIAN -5CC,5707.0,4280.25,,,0
HCPCS,C1713,BONE GFT ALLOMATRIX DR 3CC,3722.0,2791.5,,,0
HCPCS,C1713,BONE GRAFT PUROS,1949.0,1461.75,,,0
HCPCS,C1713,BONE INFUSE GRAFT LG 7510800,30025.0,22518.75,,,0
HCPCS,C1713,BONE PLUG,1185.0,888.75,,,0
HCPCS,C1713,BONE SCREW 3.5 X,1255.0,941.25,,,0
HCPCS,C1713,BONE SCREW CANCELLOUS,1021.0,765.75,,,0
HCPCS,C1713,BONE SCREW VARIOUS,582.0,436.5,,,0
HCPCS,C1713,BONE SUBST HYDROSET (SZ VARY),19099.0,14324.25,,,0
HCPCS,C1713,BONE VOID OSTEOVATION 3ML,9075.0,6806.25,,,0
HCPCS,C1713,BONE WEDGE 14 DEGREES,9625.0,7218.75,,,0
HCPCS,C1713,BONE WEDGE ILIAC CREST PLIF,8670.0,6502.5,,,0
HCPCS,C1713,BONE WEDGE MTP,13129.0,9846.75,,,0
HCPCS,C1713,"BONESOURCE,HA CEMENT,5GM",7071.0,5303.25,,,0
HCPCS,C1713,BRIDGE REPAIR KIT ROTATOR CUFF,9626.0,7219.5,,,0
HCPCS,C1713,BURR HOLE COVER,1608.0,1206.0,,,0
HCPCS,C1713,BUTTON CBL POLYAX LCK PLT HEX,1772.0,1329.0,,,0
HCPCS,C1713,BUTTON PLT DSTL CLAVICLE,2219.0,1664.25,,,0
HCPCS,C1713,BUTTON RETRO W/LOOP (SZS VARY),1405.0,1053.75,,,0
HCPCS,C1713,C-RING,1329.0,996.75,,,0
HCPCS,C1713,"CABLE,CERCLG W/CRMP1.8MMX559MM",3490.0,2617.5,,,0
HCPCS,C1713,"CABLE,GTR COCR ZIMMER",3475.0,2606.25,,,0
HCPCS,C1713,CABLE/SLEEVE 2.0MM 6704-0-510,3488.0,2616.0,,,0
HCPCS,C1713,CAGE AN VARIES K2M,31153.0,23364.75,,,0
HCPCS,C1713,CAGE DEPUY BENGAL BENGAL,13322.0,9991.5,,,0
HCPCS,C1713,CAGE EIT CONDUIT PLIF SYSTEM,16570.0,12427.5,,,0
HCPCS,C1713,CAGE LORDOTIC,32163.0,24122.25,,,0
HCPCS,C1713,CAGE PEEK ALIF BLACKSTONE,45734.0,34300.5,,,0
HCPCS,C1713,CAGE PEEK SPINE STABLIZER,42706.0,32029.5,,,0
HCPCS,C1713,CAGE SYNTHES,70159.0,52619.25,,,0
HCPCS,C1713,CAGE TI RT LT(SIZES VARY)MM,52085.0,39063.75,,,0
HCPCS,C1713,CANCELLOUS CHIPS CRUSHED 30CC,5475.0,4106.25,,,0
HCPCS,C1713,CAP END OBELISC,9094.0,6820.5,,,0
HCPCS,C1713,CAP K-WIRE VARIOUS SIZE,20.0,15.0,,,0
HCPCS,C1713,CAP LOCKING MATRIX,2036.0,1527.0,,,0
HCPCS,C1713,"CAP, LOCKING",2463.0,1847.25,,,0
HCPCS,C1713,CARTRIDGE OPUS,1662.0,1246.5,,,0
HCPCS,C1713,CBLE FIX BN,26532.0,19899.0,,,0
HCPCS,C1713,CEMENT 1/2 DOSE,1009.0,756.75,,,0
HCPCS,C1713,CEMENT BONE,2327.0,1745.25,,,0
HCPCS,C1713,CEMENT BONE ANTIBIOTIC,3357.0,2517.75,,,0
HCPCS,C1713,CEMENT BONE DIRECTINJECT 5ML,9910.0,7432.5,,,0
HCPCS,C1713,CEMENT BONE KRYPTONITE,9639.0,7229.25,,,0
HCPCS,C1713,CEMENT BONE MAXILLOFACIAL 10CC,16504.0,12378.0,,,0
HCPCS,C1713,CEMENT BONE NORIAN 10CC,28732.0,21549.0,,,0
HCPCS,C1713,CEMENT BONE RADIOPAQUE ORT,494.0,370.5,,,0
HCPCS,C1713,CEMENT OTOMIMIX 2GMS,1922.0,1441.5,,,0
HCPCS,C1713,CEMENT SIMPLEX,1143.0,857.25,,,0
HCPCS,C1713,CEMENT SIMPLEX P W/TOBRAMYCIN,3963.0,2972.25,,,0
HCPCS,C1713,CEMENT SIMPLEX SPEED SET,786.0,589.5,,,0
HCPCS,C1713,CEMENT SPINAL,28765.0,21573.75,,,0
HCPCS,C1713,CEMNT BN HA DIRECTINJECT 10CC,19049.0,14286.75,,,0
HCPCS,C1713,CERCLAGE WIRE 0.80MM DIA,129.0,96.75,,,0
HCPCS,C1713,CERVICAL CAGE ROI-C,11871.0,8903.25,,,0
HCPCS,C1713,CINCH MENISCAL,3912.0,2934.0,,,0
HCPCS,C1713,COBALT CHROME POLY SPINE,8498.0,6373.5,,,0
HCPCS,C1713,CONNECTOR LG TSRH,11567.0,8675.25,,,0
HCPCS,C1713,CONNECTOR OPEN/CLOSED,2769.0,2076.75,,,0
HCPCS,C1713,CONNECTOR SPINE VARIES,8171.0,6128.25,,,0
HCPCS,C1713,CONNECTOR STRAIGHT,374.0,280.5,,,0
HCPCS,C1713,COV HOLE LARGE LORENZO 19-1020,1844.0,1383.0,,,0
HCPCS,C1713,COVER BURR HOLE,1729.0,1296.75,,,0
HCPCS,C1713,CRANIO-PLAS CEMNT,2021.0,1515.75,,,0
HCPCS,C1713,CROSS CONNECTOR VARIES,9594.0,7195.5,,,0
HCPCS,C1713,CROSSLINK  PLATE 4.0 MM,2769.0,2076.75,,,0
HCPCS,C1713,DALL MILES: CABLE & SLEEVE,4010.0,3007.5,,,0
HCPCS,C1713,DART CHRONDRAL,1116.0,837.0,,,0
HCPCS,C1713,DBM PUTTY 1CC,776.0,582.0,,,0
HCPCS,C1713,DBX  PUTTY 5CC,7183.0,5387.25,,,0
HCPCS,C1713,DBX PUTTY 1CC,1705.0,1278.75,,,0
HCPCS,C1713,DISP W/GUIDE PIN BIO TENODESIS,2190.0,1642.5,,,0
HCPCS,C1713,DISTRACTION PIN 16MM,4527.0,3395.25,,,0
HCPCS,C1713,DRILL PIN ARTHREX TRIM IT,1865.0,1398.75,,,0
HCPCS,C1713,DVC CERV ANT INTRBDY SHORELINE,7754.0,5815.5,,,0
HCPCS,C1713,END CAP,1214.0,910.5,,,0
HCPCS,C1713,"END CAP, TI, T25",962.0,721.5,,,0
HCPCS,C1713,END RING SYN SPINE,610.0,457.5,,,0
HCPCS,C1713,ENDOBUTTON,3032.0,2274.0,,,0
HCPCS,C1713,ENOPHTHLMS SHAPE RT POREX 9541,3078.0,2308.5,,,0
HCPCS,C1713,FIBER DBM PLUS OSTEOSTR,4461.0,3345.75,,,0
HCPCS,C1713,"FIBERTAK RC, TRIPLOAD TAPE BL",2294.0,1720.5,,,0
HCPCS,C1713,"FILLER, BONE CRANIOSCULPT 10CC",22567.0,16925.25,,,0
HCPCS,C1713,GRAFT PUTTY 2.5CC,4654.0,3490.5,,,0
HCPCS,C1713,GRAFTON GEL 10CC,10217.0,7662.75,,,0
HCPCS,C1713,H-PLATE 28MM,1730.0,1297.5,,,0
HCPCS,C1713,HEAD REDUCTION SPINE SCREW,6089.0,4566.75,,,0
HCPCS,C1713,HELI-FX ENDOANCHOR SYSTEM,33190.0,24892.5,,,0
HCPCS,C1713,HEX HEAD SCREW,1245.5,934.125,,,0
HCPCS,C1713,HIP SCREWS ZIMMER,650.0,487.5,,,0
HCPCS,C1713,ICS CORT SELF TAP SCREW 30MM,344.0,258.0,,,0
HCPCS,C1713,ILIAC CREST WEDGE,5524.0,4143.0,,,0
HCPCS,C1713,IMP CAGE-X CERV 4MM CVX,8891.0,6668.25,,,0
HCPCS,C1713,IMP FEMALE LNG TENOTAC,2929.0,2196.75,,,0
HCPCS,C1713,IMP KT TENO TAC STD,5501.0,4125.75,,,0
HCPCS,C1713,IMP LCKNG CAP AEQUALIX,2037.0,1527.75,,,0
HCPCS,C1713,IMP MSH TIT MEDPOR 3D ORBTL FL,13154.0,9865.5,,,0
HCPCS,C1713,IMP SCRW ASSEMBLY AEQ,4367.0,3275.25,,,0
HCPCS,C1713,IMP SHEET BARRIER ORB FLOOR,3822.0,2866.5,,,0
HCPCS,C1713,IMP SPACER CERVICAL,5709.0,4281.75,,,0
HCPCS,C1713,IMPLANT CORTICAL DISK 9MM,7981.0,5985.75,,,0
HCPCS,C1713,IMPLANT FOREHEAD ENDOTINE,4477.0,3357.75,,,0
HCPCS,C1713,IMPLANT HELICAL LCK BLADE,6997.0,5247.75,,,0
HCPCS,C1713,IMPLANT INFUSE BONE BMP7510200,37141.0,27855.75,,,0
HCPCS,C1713,IMPLANT MIDFACE ENDOTINE,1945.0,1458.75,,,0
HCPCS,C1713,INJECT QUICKSET KIT  8CC,12397.0,9297.75,,,0
HCPCS,C1713,INTERFERENCE SCREW ACUFLEX,1955.0,1466.25,,,0
HCPCS,C1713,INTERNALBRACE LIGAMENT AUGMENT,12235.0,9176.25,,,0
HCPCS,C1713,K - WIRE 602251,33.0,24.75,,,0
HCPCS,C1713,K WIRE,133.0,99.75,,,0
HCPCS,C1713,K WIRE SPINAL CON,592.0,444.0,,,0
HCPCS,C1713,K WIRE SYN 1.6MM,591.0,443.25,,,0
HCPCS,C1713,K-WIRE (SIZES VARY),505.0,378.75,,,0
HCPCS,C1713,K-WIRE 0045 X 4IN,81.0,60.75,,,0
HCPCS,C1713,K-WIRE 2.0,352.0,264.0,,,0
HCPCS,C1713,K-WIRE INTEGRA,208.0,156.0,,,0
HCPCS,C1713,K-WIRE ZIMMER,452.0,339.0,,,0
HCPCS,C1713,K-WIRE(SIZES VARY),495.0,371.25,,,0
HCPCS,C1713,"K-WIRE, .035",133.0,99.75,,,0
HCPCS,C1713,"K-WIRE, 1.25MM",59.0,44.25,,,0
HCPCS,C1713,"K-WIRE, ZIMMER 1.6MM",65.0,48.75,,,0
HCPCS,C1713,"K-WIRE,SMOOTH 4.028",71.0,53.25,,,0
HCPCS,C1713,K-WIRES,275.0,206.25,,,0
HCPCS,C1713,KIT MENISCAL REPAIR,7005.0,5253.75,,,0
HCPCS,C1713,KIT PROXIMAL TENODESIS IMPLANT,4896.0,3672.0,,,0
HCPCS,C1713,KLS 1.0 PLATE ORBITAL 25-33208,544.0,408.0,,,0
HCPCS,C1713,KLS PLATE,261.0,195.75,,,0
HCPCS,C1713,KT AC REPAIR,7270.0,5452.5,,,0
HCPCS,C1713,KT HUM CONDYLE W SCREW,8680.0,6510.0,,,0
HCPCS,C1713,KT REPAIR SYNDE,2640.0,1980.0,,,0
HCPCS,C1713,KWIRE 80123 ORTHOFIX,916.0,687.0,,,0
HCPCS,C1713,KWIRE THREADED 0.045,3581.0,2685.75,,,0
HCPCS,C1713,KYPHX BONE CEMENT CO1B,1273.0,954.75,,,0
HCPCS,C1713,LEGACY SCREWS 6.5 TO 7.5,15404.0,11553.0,,,0
HCPCS,C1713,LOCKING CAP GLOBUS,679.0,509.25,,,0
HCPCS,C1713,LOCKING CAP THREADED,579.0,434.25,,,0
HCPCS,C1713,LORENZ PECTUS SUPPORT BAR ALL,9495.0,7121.25,,,0
HCPCS,C1713,MANDIBULAR IMPLANT CUSTOM,149696.0,112272.0,,,0
HCPCS,C1713,MATRX BN CEL VIVIGEN FORM 10CC,17045.0,12783.75,,,0
HCPCS,C1713,MATRX BN CEL VIVIGEN FORM 1CC,28817.0,21612.75,,,0
HCPCS,C1713,MATRX BN FBRGRFT BG MED 6.25CC,12736.0,9552.0,,,0
HCPCS,C1713,MATRX BN FIBERGRAFT BG 12.5CC,22152.0,16614.0,,,0
HCPCS,C1713,MEDIPOR SHEET IMPLANT 6331,3994.0,2995.5,,,0
HCPCS,C1713,MINI TIGHTROPE REPAIR KIT,4789.0,3591.75,,,0
HCPCS,C1713,MIS CANN X-TAB 6X4 VIPER SCREW,17113.0,12834.75,,,0
HCPCS,C1713,MPFL PACK,13272.0,9954.0,,,0
HCPCS,C1713,NAIL ANKLE ARTHRODESIS,41225.0,30918.75,,,0
HCPCS,C1713,NAIL FEMORAL (VARIBLE SIZES),11660.0,8745.0,,,0
HCPCS,C1713,NAIL FIXATION TROC(SIZES VARY),13305.0,9978.75,,,0
HCPCS,C1713,NAIL HINDFOOT TI CANN,6913.0,5184.75,,,0
HCPCS,C1713,NAIL HUMERAL VARY SIZE,6495.0,4871.25,,,0
HCPCS,C1713,NAIL INTRAMEDLLRY PROX HUMERUS,17278.0,12958.5,,,0
HCPCS,C1713,NAIL SMART LINVETEC 1.5MM,1961.0,1470.75,,,0
HCPCS,C1713,NAIL SUPRACONDYLAR T2 STRKR,15430.0,11572.5,,,0
HCPCS,C1713,NAIL TIBIA,6002.0,4501.5,,,0
HCPCS,C1713,"NAIL, TI CANN",11048.0,8286.0,,,0
HCPCS,C1713,"NAIL, TIBIAL",11067.0,8300.25,,,0
HCPCS,C1713,NBC SCREW CORT  VARIOUS,1720.0,1290.0,,,0
HCPCS,C1713,NEURO SCREW SELFDRILLING 04-50,700.0,525.0,,,0
HCPCS,C1713,NEXEGEN STEMMED TIB PLATE,16982.0,12736.5,,,0
HCPCS,C1713,NORIAN BONE FILLER-3CC,3475.0,2606.25,,,0
HCPCS,C1713,NUT LOCKING SYNAPSE CERV,523.0,392.25,,,0
HCPCS,C1713,OMEGA + LAG SCREW,1976.0,1482.0,,,0
HCPCS,C1713,PANEL THICK LORENZ 01-7340,2939.0,2204.25,,,0
HCPCS,C1713,PEEK CAGE PILLAR TL,34351.0,25763.25,,,0
HCPCS,C1713,PEG DVR THREADED OR SMOOTH,608.0,456.0,,,0
HCPCS,C1713,PEG THREADED,620.0,465.0,,,0
HCPCS,C1713,PIN (2)CASPAR DISTRACTION PK,747.0,560.25,,,0
HCPCS,C1713,PIN HEMORRHAGE OCCLUDER,669.0,501.75,,,0
HCPCS,C1713,PIN RESURFAC CAGE ZIMM,27354.0,20515.5,,,0
HCPCS,C1713,PIN STEINMAN 5.0 THRD 293.74,957.0,717.75,,,0
HCPCS,C1713,PIN STEINMAN PL,548.0,411.0,,,0
HCPCS,C1713,PIN STEINMAN VARIES,26.0,19.5,,,0
HCPCS,C1713,PIN SYNTHES GOLD 492.20,704.0,528.0,,,0
HCPCS,C1713,PIN TRANSFX 6.0X225MM,619.0,464.25,,,0
HCPCS,C1713,PIN VARIABLE ANGLE BUTTRESS,930.0,697.5,,,0
HCPCS,C1713,PLATE 1/3 TUB HOLE,548.0,411.0,,,0
HCPCS,C1713,PLATE 1/3 TUBULAR SZ VARIOUS,2265.0,1698.75,,,0
HCPCS,C1713,PLATE 13MM BURR HOLE LORENZ 01,1224.0,918.0,,,0
HCPCS,C1713,PLATE 2 HOLE LORENZO 19-1005,461.0,345.75,,,0
HCPCS,C1713,PLATE 2.4-2.7MM LOCK X,5846.0,4384.5,,,0
HCPCS,C1713,PLATE 4H FRACTURE,2257.0,1692.75,,,0
HCPCS,C1713,PLATE ALPS DISTAL FIBULA,8606.0,6454.5,,,0
HCPCS,C1713,PLATE ANG BLADE,3997.0,2997.75,,,0
HCPCS,C1713,PLATE BLACKSTONE ANCHOR LONG,9656.0,7242.0,,,0
HCPCS,C1713,PLATE BURR HOLE VARIES LORENZ,1292.0,969.0,,,0
HCPCS,C1713,PLATE CALC LCK (SIZES VARY),4690.0,3517.5,,,0
HCPCS,C1713,PLATE CERV VARIES,6237.0,4677.75,,,0
HCPCS,C1713,PLATE CLAVICLE 3.5 VARIOUS,7867.0,5900.25,,,0
HCPCS,C1713,PLATE CMF FRACTURE 4H,3390.0,2542.5,,,0
HCPCS,C1713,PLATE CONDYLAR DEGREE VARI,4995.0,3746.25,,,0
HCPCS,C1713,PLATE CRANI SYNTHES VARIES,565.0,423.75,,,0
HCPCS,C1713,PLATE DISTAL RADIUS(SIZE VARY),7609.0,5706.75,,,0
HCPCS,C1713,PLATE FAN SYNTHES SYNPOR SMOOT,8965.0,6723.75,,,0
HCPCS,C1713,PLATE FIBULAR DIST POST LAT,3556.0,2667.0,,,0
HCPCS,C1713,PLATE FLOOR ORBITAL SIZES VARY,5163.0,3872.25,,,0
HCPCS,C1713,PLATE FUSION,9007.0,6755.25,,,0
HCPCS,C1713,PLATE GAPE BIOMET 19-1025,1306.0,979.5,,,0
HCPCS,C1713,PLATE HAND TYPE & SIZE VARY,2611.0,1958.25,,,0
HCPCS,C1713,PLATE HEAD TO HEAD,15248.0,11436.0,,,0
HCPCS,C1713,PLATE HEMI MANDIBLE RECON 2.4,61268.0,45951.0,,,0
HCPCS,C1713,PLATE HOLE LONG NEURO LORENZ 0,344.0,258.0,,,0
HCPCS,C1713,PLATE HOLE LONG STRAIGHT LOREN,1065.0,798.75,,,0
HCPCS,C1713,PLATE HOLE REG STRAIGHT LORENZ,1466.0,1099.5,,,0
HCPCS,C1713,PLATE HUMERAL ARTHREX SZ VARY,10851.0,8138.25,,,0
HCPCS,C1713,PLATE KLS 2-6 HOLE,319.0,239.25,,,0
HCPCS,C1713,PLATE KLS VARIES,2144.0,1608.0,,,0
HCPCS,C1713,PLATE KLS Y MICRO DBL Y LONG,1176.0,882.0,,,0
HCPCS,C1713,PLATE LAPIDUS FOOT,17793.0,13344.75,,,0
HCPCS,C1713,PLATE LCP,3746.5,2809.875,,,0
HCPCS,C1713,PLATE LCP 4.5MM 7H,2211.0,1658.25,,,0
HCPCS,C1713,PLATE LCP TMT STANDARD ANGLE,4073.0,3054.75,,,0
HCPCS,C1713,PLATE LEIBINGER,1850.0,1387.5,,,0
HCPCS,C1713,PLATE LOCK VOLAR LONG,6189.0,4641.75,,,0
HCPCS,C1713,PLATE LOCKING VARIES,8781.0,6585.75,,,0
HCPCS,C1713,PLATE LORENZ 19-1045,740.0,555.0,,,0
HCPCS,C1713,PLATE LORENZ BIOMET 19-1040,804.0,603.0,,,0
HCPCS,C1713,PLATE LORENZ BIOMET 19-1050,1117.0,837.75,,,0
HCPCS,C1713,PLATE LORENZ CRAN DOG 19-1010,700.0,525.0,,,0
HCPCS,C1713,PLATE LOW PROFILE TITANIUM,7584.0,5688.0,,,0
HCPCS,C1713,PLATE MANDIBLE KLS,17512.0,13134.0,,,0
HCPCS,C1713,PLATE MANDIBLE TI ANGLED,59446.0,44584.5,,,0
HCPCS,C1713,PLATE MANDIBULAR WITH BAR,3582.0,2686.5,,,0
HCPCS,C1713,PLATE MARQUARDT,1608.0,1206.0,,,0
HCPCS,C1713,PLATE NEURO TI,1600.0,1200.0,,,0
HCPCS,C1713,PLATE OLECRANON SZ VARY,10795.0,8096.25,,,0
HCPCS,C1713,PLATE ORBITAL OSTEO 212-0080,3453.0,2589.75,,,0
HCPCS,C1713,PLATE OSTEOTOMY FEMORAL KNEE,8485.0,6363.75,,,0
HCPCS,C1713,PLATE RECONCTRUCTION SZ VARY,4284.0,3213.0,,,0
HCPCS,C1713,PLATE RECONST KLS,7652.0,5739.0,,,0
HCPCS,C1713,PLATE REPLICATOR EQUINOXE,3731.0,2798.25,,,0
HCPCS,C1713,PLATE SKYLINE HYBRID 1 LEVEL,12927.0,9695.25,,,0
HCPCS,C1713,PLATE SKYLINE HYBRID 2 LEVEL,14162.0,10621.5,,,0
HCPCS,C1713,PLATE SKYLINE HYBRID 3 LEVEL,15420.0,11565.0,,,0
HCPCS,C1713,PLATE SQU VARY LORENZ,1311.0,983.25,,,0
HCPCS,C1713,PLATE SYN CONDL LOCK,9588.0,7191.0,,,0
HCPCS,C1713,PLATE SYN LC DCP VARIES,2302.0,1726.5,,,0
HCPCS,C1713,PLATE SYN LCP,6636.0,4977.0,,,0
HCPCS,C1713,PLATE SYN PROX TIBIAL LOCKING,8149.0,6111.75,,,0
HCPCS,C1713,PLATE SYNTH LCP 1/3 TUBULAR,1178.0,883.5,,,0
HCPCS,C1713,PLATE SYNTH LCP LOCKING 3.5MM,2366.0,1774.5,,,0
HCPCS,C1713,PLATE SYNTH LCP RECONSTRUCT,3689.0,2766.75,,,0
HCPCS,C1713,PLATE SYNTHE DCP 226.XX,1692.0,1269.0,,,0
HCPCS,C1713,PLATE SYNTHE SM FRAG 241.14 T,1632.0,1224.0,,,0
HCPCS,C1713,PLATE SYNTHE SM FRAG 241.32,397.0,297.75,,,0
HCPCS,C1713,PLATE SYNTHE SM FRAG 241.35,196.0,147.0,,,0
HCPCS,C1713,PLATE SYNTHE SM FRAG 241.37,342.0,256.5,,,0
HCPCS,C1713,PLATE SYNTHE WRIST  442.XX,5946.0,4459.5,,,0
HCPCS,C1713,PLATE SYNTHES,4186.0,3139.5,,,0
HCPCS,C1713,PLATE SYNTHES 446.20,1874.0,1405.5,,,0
HCPCS,C1713,PLATE SYNTHES 447.232,1463.0,1097.25,,,0
HCPCS,C1713,PLATE SYNTHES 449.15,3646.0,2734.5,,,0
HCPCS,C1713,PLATE SYNTHES 449.931,1463.0,1097.25,,,0
HCPCS,C1713,PLATE SYNTHES 449.936,1397.0,1047.75,,,0
HCPCS,C1713,PLATE SYNTHES 451.101,2267.0,1700.25,,,0
HCPCS,C1713,PLATE SYNTHES LCP T 6H 115MM,5001.0,3750.75,,,0
HCPCS,C1713,PLATE SYNTHES SZ VARY,11353.0,8514.75,,,0
HCPCS,C1713,PLATE SYNTHES T-PLATE,1056.0,792.0,,,0
HCPCS,C1713,PLATE SYNTHES VARIABLE ANGLE,13296.0,9972.0,,,0
HCPCS,C1713,PLATE TIBIA 3.5 LCP,8578.0,6433.5,,,0
HCPCS,C1713,PLATE TOMOFIX,10190.5,7642.875,,,0
HCPCS,C1713,PLATE TUBULAR 1/4 3 HOLE,385.0,288.75,,,0
HCPCS,C1713,PLATE ULNAR VARIOUS,4370.0,3277.5,,,0
HCPCS,C1713,PLATE VECTRA LEVEL 3 TIT,15366.0,11524.5,,,0
HCPCS,C1713,"PLATE, 1/3 TUBULAR, 5 HOLE",336.0,252.0,,,0
HCPCS,C1713,"PLATE, 12 HOLE, RECONSTRUC,STR",3564.0,2673.0,,,0
HCPCS,C1713,"PLATE, 7H DOUBLE Y",1124.0,843.0,,,0
HCPCS,C1713,"PLATE, BIOPLATE STRAIGHT",548.0,411.0,,,0
HCPCS,C1713,"PLATE, BIOPLATE Y-PLATE",796.0,597.0,,,0
HCPCS,C1713,"PLATE, DISTAL POST/LAT HUMERAL",9035.0,6776.25,,,0
HCPCS,C1713,"PLATE, KLS RECON ANGLED LT 26H",11131.0,8348.25,,,0
HCPCS,C1713,"PLATE, LCP",7715.0,5786.25,,,0
HCPCS,C1713,"PLATE, LCP 12 HOLE, SYNTHES",3121.0,2340.75,,,0
HCPCS,C1713,"PLATE, LCP 7 HOLE, SYNTHES",3864.0,2898.0,,,0
HCPCS,C1713,"PLATE, LORENZ SQUARE NEURO",996.0,747.0,,,0
HCPCS,C1713,"PLATE, SQUARE 2 X 2",1173.0,879.75,,,0
HCPCS,C1713,"PLATE, STRAIGHT(SIZES VARY)",1391.0,1043.25,,,0
HCPCS,C1713,"PLATE,(SIZES VARY)",340.0,255.0,,,0
HCPCS,C1713,"PLATE,1.5MM 6H STRAIGHT",1159.0,869.25,,,0
HCPCS,C1713,"PLATE,2.0MM 8H DCP",1585.0,1188.75,,,0
HCPCS,C1713,"PLATE,3.5 LCP",11272.0,8454.0,,,0
HCPCS,C1713,"PLATE,6H RT FEMORAL CONDYLAR",8834.0,6625.5,,,0
HCPCS,C1713,"PLATE,ANGLED BLADE,5-HOLE,60MM",3737.0,2802.75,,,0
HCPCS,C1713,"PLATE,ANGLED BLADE,7-HOLE,80MM",3369.0,2526.75,,,0
HCPCS,C1713,"PLATE,LCP 4.5MM 5H 221.551",1855.0,1391.25,,,0
HCPCS,C1713,"PLATE,MANDIBULAR ST.6HOLE,50MM",3575.0,2681.25,,,0
HCPCS,C1713,PLATE2.0MM 6H STRAIGHT,1760.0,1320.0,,,0
HCPCS,C1713,PLT COMP LCP,2015.0,1511.25,,,0
HCPCS,C1713,PLT FEMUR PERIPROSTH PROXIMAL,14954.0,11215.5,,,0
HCPCS,C1713,PLT HOLE LONG Y LORENZ 01-7102,938.0,703.5,,,0
HCPCS,C1713,PLT LC PROX TIB,7598.0,5698.5,,,0
HCPCS,C1713,PLT MATRIXNEURO STRAIGHT,392.0,294.0,,,0
HCPCS,C1713,PLT OCCIPITAL TI MEDIAL,10159.0,7619.25,,,0
HCPCS,C1713,PLT SHUNT THICK,588.0,441.0,,,0
HCPCS,C1713,PLT WRST DORSAL,4280.0,3210.0,,,0
HCPCS,C1713,PLTE HOLE DBL Y LORENZ 01-7110,1259.0,944.25,,,0
HCPCS,C1713,POLYAXIAL TULIP,9347.0,7010.25,,,0
HCPCS,C1713,PRODENSE 10ML,28098.0,21073.5,,,0
HCPCS,C1713,PRODENSE 4ML,14876.0,11157.0,,,0
HCPCS,C1713,PRODISC C,30944.0,23208.0,,,0
HCPCS,C1713,PROSTOP ARTHOEREISIS  IMPLANT,7599.0,5699.25,,,0
HCPCS,C1713,PUTTY BG FIBERGRAFT 11CC,13707.0,10280.25,,,0
HCPCS,C1713,PUTTY BG FIBERGRAFT 6CC,7476.0,5607.0,,,0
HCPCS,C1713,PUTTY DBM VESUVIUS 100,3490.0,2617.5,,,0
HCPCS,C1713,PUTTY DBX 2.5CC,3477.0,2607.75,,,0
HCPCS,C1713,PUTTY DBX 5CC,6976.0,5232.0,,,0
HCPCS,C1713,PUTTY FIBERGRAFT BG XSML 2CC,2493.0,1869.75,,,0
HCPCS,C1713,PUTTY GRAFTON,5079.0,3809.25,,,0
HCPCS,C1713,Putty DBX 10CC,9777.0,7332.75,,,0
HCPCS,C1713,QUICK ANCHOR PLUS GII MITEK,3048.0,2286.0,,,0
HCPCS,C1713,RESEVOIR CORDIS BURR HOLE,944.0,708.0,,,0
HCPCS,C1713,REVISION CORE MTF,4779.0,3584.25,,,0
HCPCS,C1713,ROD,4186.0,3139.5,,,0
HCPCS,C1713,ROD CARBON FIBER 500MM,737.0,552.75,,,0
HCPCS,C1713,ROD CURVED SPINE,1331.0,998.25,,,0
HCPCS,C1713,ROD CURVED VARIOUS,2282.0,1711.5,,,0
HCPCS,C1713,ROD EXPEDIUM MONO SERIES,4179.0,3134.25,,,0
HCPCS,C1713,ROD EXPEDIUM PRELORDOSED,3711.0,2783.25,,,0
HCPCS,C1713,ROD SPINAL VARIES,2843.0,2132.25,,,0
HCPCS,C1713,ROD SPINE GLOBUS,1543.0,1157.25,,,0
HCPCS,C1713,ROD STRAIGHT,1153.0,864.75,,,0
HCPCS,C1713,ROD STRYKER VARIES,2372.0,1779.0,,,0
HCPCS,C1713,ROD SYNTHES 498.150-158,1898.0,1423.5,,,0
HCPCS,C1713,ROD TI CURVED SIZE VARIES,2725.0,2043.75,,,0
HCPCS,C1713,ROD TI VARIES,2859.0,2144.25,,,0
HCPCS,C1713,ROD TIT 4.0MM,1451.5,1088.625,,,0
HCPCS,C1713,"ROD, 5.5MM SPINAL",1892.0,1419.0,,,0
HCPCS,C1713,"ROD, 5.5MM X 10CM CURVED, SPIN",2464.0,1848.0,,,0
HCPCS,C1713,"ROD, DEPUY",14063.0,10547.25,,,0
HCPCS,C1713,"ROD,TI,REAMING 2.5",752.0,564.0,,,0
HCPCS,C1713,S&N LEGION REV. TIB BASEPLATE,27798.0,20848.5,,,0
HCPCS,C1713,SCR 1.5X5MM TQU LORENZ 91-6105,192.0,144.0,,,0
HCPCS,C1713,SCR 1.8X5MM TQU LORENZ 91-1805,324.0,243.0,,,0
HCPCS,C1713,SCREW,1476.5,1107.375,,,0
HCPCS,C1713,SCREW  BLUNT TIP,1772.0,1329.0,,,0
HCPCS,C1713,SCREW 2.4MM CORTICAL,315.0,236.25,,,0
HCPCS,C1713,SCREW 3.5MM X 14MM-50MM,588.0,441.0,,,0
HCPCS,C1713,SCREW 4.0MM LOCKING,813.0,609.75,,,0
HCPCS,C1713,SCREW 4.5 X 18MM,425.0,318.75,,,0
HCPCS,C1713,SCREW 6.5MM CANNULATED,1578.0,1183.5,,,0
HCPCS,C1713,SCREW ACUFEX,1331.0,998.25,,,0
HCPCS,C1713,SCREW ANGLED VARIES,6153.0,4614.75,,,0
HCPCS,C1713,SCREW ARTHRX SHEATHED BIO/INTR,2251.0,1688.25,,,0
HCPCS,C1713,SCREW ASNIS III CANNULATED 6.5,1904.0,1428.0,,,0
HCPCS,C1713,SCREW BIO TENODESIS (SZS VARY),3164.0,2373.0,,,0
HCPCS,C1713,SCREW BIO-INTERFERENCE VARIES,2536.0,1902.0,,,0
HCPCS,C1713,SCREW BIO-INTERFERENCE-VARIES,1288.0,966.0,,,0
HCPCS,C1713,SCREW BIO-TENODESIS ARTHREX,3066.5,2299.875,,,0
HCPCS,C1713,SCREW BIOSURE HA S&N,2360.0,1770.0,,,0
HCPCS,C1713,SCREW BIOTENODESIS,2653.0,1989.75,,,0
HCPCS,C1713,SCREW BONE,1083.0,812.25,,,0
HCPCS,C1713,SCREW BONE (SIZES VARY),754.0,565.5,,,0
HCPCS,C1713,SCREW BONE 6.5,804.0,603.0,,,0
HCPCS,C1713,SCREW BONE SELF TAP HIP ZMMR,1021.0,765.75,,,0
HCPCS,C1713,SCREW BONE SIZE VARY,5929.0,4446.75,,,0
HCPCS,C1713,SCREW CANC BONE PINNACLE,920.0,690.0,,,0
HCPCS,C1713,SCREW CANC. 6.5X16,1124.0,843.0,,,0
HCPCS,C1713,SCREW CANCELLOUS 4.0MM,311.0,233.25,,,0
HCPCS,C1713,SCREW CANCELLOUS 6.5X30MM,162.0,121.5,,,0
HCPCS,C1713,SCREW CANN,374.0,280.5,,,0
HCPCS,C1713,SCREW CANN 4.0 X VARIOUS LNGTH,1376.5,1032.375,,,0
HCPCS,C1713,SCREW CANN SH & LNG THR VARY,813.0,609.75,,,0
HCPCS,C1713,SCREW CANN VARIES,1503.0,1127.25,,,0
HCPCS,C1713,SCREW CANNULATED,1223.0,917.25,,,0
HCPCS,C1713,SCREW CANNULATED 2.0-4.0,1053.0,789.75,,,0
HCPCS,C1713,SCREW CANNULATED VARIES,2702.0,2026.5,,,0
HCPCS,C1713,SCREW CENTRAL COMPRNS RVR SHLD,1127.0,845.25,,,0
HCPCS,C1713,SCREW CERVICAL VA SD SIZE VARY,3936.0,2952.0,,,0
HCPCS,C1713,SCREW COMPOSITE,2005.0,1503.75,,,0
HCPCS,C1713,SCREW COMPRESSION,1313.0,984.75,,,0
HCPCS,C1713,SCREW COMPRESSION TORNIER 4.5,719.0,539.25,,,0
HCPCS,C1713,SCREW CONICAL 5.0 MM,941.0,705.75,,,0
HCPCS,C1713,SCREW CORT,382.0,286.5,,,0
HCPCS,C1713,SCREW CORTEX,218.0,163.5,,,0
HCPCS,C1713,SCREW CORTEX 4.5,131.0,98.25,,,0
HCPCS,C1713,SCREW CORTEX 4.5 X  40MM,191.0,143.25,,,0
HCPCS,C1713,SCREW CORTEX 4.5 X 36MM,191.0,143.25,,,0
HCPCS,C1713,SCREW CORTEX 4.5 X 42MM,191.0,143.25,,,0
HCPCS,C1713,SCREW CORTEX 4.5 X 54MM,191.0,143.25,,,0
HCPCS,C1713,SCREW CORTEX 4.5 X 60MM,191.0,143.25,,,0
HCPCS,C1713,SCREW CORTEX SIZE VARY,196.0,147.0,,,0
HCPCS,C1713,SCREW CORTEX VARIOUS,193.0,144.75,,,0
HCPCS,C1713,SCREW CORTICAL,927.0,695.25,,,0
HCPCS,C1713,SCREW CORTICAL 2.7MM,566.0,424.5,,,0
HCPCS,C1713,SCREW CORTICAL SIZES VARY,306.0,229.5,,,0
HCPCS,C1713,SCREW EXPEDIUM SS SERIES,6237.0,4677.75,,,0
HCPCS,C1713,SCREW EXPEDIUM UNI SERIES,8092.0,6069.0,,,0
HCPCS,C1713,SCREW EXPEDIUM VARIES DEPUY 17,9473.0,7104.75,,,0
HCPCS,C1713,SCREW FULL THRD CANN INTERFERE,1383.0,1037.25,,,0
HCPCS,C1713,SCREW FXD/VAR 5.5-6.5 NUVASIVE,5149.0,3861.75,,,0
HCPCS,C1713,SCREW GAP II PLATE,1232.0,924.0,,,0
HCPCS,C1713,SCREW GAP PLATE,597.0,447.75,,,0
HCPCS,C1713,SCREW HEADED TI,1758.0,1318.5,,,0
HCPCS,C1713,SCREW HEADED/HEADLESS,1630.0,1222.5,,,0
HCPCS,C1713,SCREW HEADLESS DUAL THREADED,1419.0,1064.25,,,0
HCPCS,C1713,SCREW HIGH TQU LORENZ 91-6103,382.0,286.5,,,0
HCPCS,C1713,SCREW HIP BN STRYKR CAP,501.0,375.75,,,0
HCPCS,C1713,SCREW HTR,495.0,371.25,,,0
HCPCS,C1713,SCREW INNER,1354.0,1015.5,,,0
HCPCS,C1713,SCREW INNERXCONNECT THORACIC,2148.0,1611.0,,,0
HCPCS,C1713,SCREW INTEGRA VAR,3841.0,2880.75,,,0
HCPCS,C1713,SCREW INTERFERENCE VARIES,2082.0,1561.5,,,0
HCPCS,C1713,SCREW KLS ER 2.3,535.0,401.25,,,0
HCPCS,C1713,SCREW KLS MAXI DRIVE,389.0,291.75,,,0
HCPCS,C1713,SCREW KLS MINI,461.0,345.75,,,0
HCPCS,C1713,SCREW KLS NEURO VARIES,313.0,234.75,,,0
HCPCS,C1713,SCREW LCK (SIZES VARY,1006.0,754.5,,,0
HCPCS,C1713,SCREW LOCK OR NON LOCK SZ VARY,623.0,467.25,,,0
HCPCS,C1713,SCREW LOCKING,1527.0,1145.25,,,0
HCPCS,C1713,SCREW LOCKING (SIZES VARY),679.0,509.25,,,0
HCPCS,C1713,SCREW LOCKING 2.3,962.0,721.5,,,0
HCPCS,C1713,SCREW LOCKING 2.7,942.0,706.5,,,0
HCPCS,C1713,SCREW LOCKING 3.5,1468.0,1101.0,,,0
HCPCS,C1713,SCREW LOCKING 5.0,1438.0,1078.5,,,0
HCPCS,C1713,SCREW LOCKING LP  TI,712.0,534.0,,,0
HCPCS,C1713,SCREW LOCKING SYNAPSE CERV,523.0,392.25,,,0
HCPCS,C1713,SCREW LOCKING SZ VARY,3818.0,2863.5,,,0
HCPCS,C1713,SCREW LOCKING VARIAX STRYKER,1031.0,773.25,,,0
HCPCS,C1713,SCREW LORENZ 1.5MM 3.5-9MM,441.0,330.75,,,0
HCPCS,C1713,SCREW LOW PROFILE 6.7MM 60MM,1947.0,1460.25,,,0
HCPCS,C1713,SCREW MATRIX,552.0,414.0,,,0
HCPCS,C1713,SCREW MATRIX LEVEL 3,10727.0,8045.25,,,0
HCPCS,C1713,SCREW MOUNTAINEER INNER,1015.0,761.25,,,0
HCPCS,C1713,SCREW NON LOCK VARIES,988.0,741.0,,,0
HCPCS,C1713,SCREW OCCIPITAL TI,1372.0,1029.0,,,0
HCPCS,C1713,SCREW OCT FAVORED ANGLE,11518.0,8638.5,,,0
HCPCS,C1713,SCREW OSTEOMED LOCKING 2.4MM,592.0,444.0,,,0
HCPCS,C1713,SCREW PEEK TENODESIS,1449.0,1086.75,,,0
HCPCS,C1713,SCREW PEEK TENODESIS 5.5,1226.0,919.5,,,0
HCPCS,C1713,SCREW PINNACLE CANC BONE,1608.0,1206.0,,,0
HCPCS,C1713,SCREW POLY 3.5MM,9301.0,6975.75,,,0
HCPCS,C1713,SCREW POLYAXIAL,7771.0,5828.25,,,0
HCPCS,C1713,SCREW POLYAXIAL 4.0 SIZES VARY,10281.0,7710.75,,,0
HCPCS,C1713,SCREW POLYAXIAL PEDICLE,5440.0,4080.0,,,0
HCPCS,C1713,SCREW POLYAXIAL VARIOUS,10711.0,8033.25,,,0
HCPCS,C1713,SCREW REFL SPHERICAL CANC 6.5,1280.0,960.0,,,0
HCPCS,C1713,SCREW S&N 4.5 SDLF TAP HEX,99.0,74.25,,,0
HCPCS,C1713,SCREW S&N RCI FIXATION,1377.0,1032.75,,,0
HCPCS,C1713,SCREW SCHANZ 5.0X175,784.0,588.0,,,0
HCPCS,C1713,SCREW SELF TAPPING SYNTHES,389.0,291.75,,,0
HCPCS,C1713,SCREW SELF TAPPING SZ VARY,983.0,737.25,,,0
HCPCS,C1713,SCREW SET VARIES,1621.0,1215.75,,,0
HCPCS,C1713,SCREW SET VIPER,1768.0,1326.0,,,0
HCPCS,C1713,SCREW SIZES VARY,164.0,123.0,,,0
HCPCS,C1713,SCREW SKYLINE LARGE DIAMETER,5582.0,4186.5,,,0
HCPCS,C1713,SCREW SKYLINE VARIABLE,4951.0,3713.25,,,0
HCPCS,C1713,SCREW SOFTSILK LF CLEARTRAC,1143.5,857.625,,,0
HCPCS,C1713,SCREW SPECIALITY TYPEI,558.0,418.5,,,0
HCPCS,C1713,SCREW SPINE VARIES,4292.0,3219.0,,,0
HCPCS,C1713,SCREW STERNAL,1053.0,789.75,,,0
HCPCS,C1713,SCREW SYN CANN F THD 4.5X56MM,1462.0,1096.5,,,0
HCPCS,C1713,SCREW SYN HEADLESS,3071.5,2303.625,,,0
HCPCS,C1713,SCREW SYN LOCK 2.4MM SERIES,570.0,427.5,,,0
HCPCS,C1713,SCREW SYN LOCKIN SLFTAP 2.7,874.0,655.5,,,0
HCPCS,C1713,SCREW SYN P THD 6.5X50MM  21,228.0,171.0,,,0
HCPCS,C1713,SCREW SYN SELF TAP 2.4MM,689.0,516.75,,,0
HCPCS,C1713,SCREW SYNFIX EVOLUTION,9672.0,7254.0,,,0
HCPCS,C1713,SCREW SYNTH 2.7MM 202 SERIES,313.0,234.75,,,0
HCPCS,C1713,SCREW SYNTHE 2.0MM 201.016,78.0,58.5,,,0
HCPCS,C1713,SCREW SYNTHE 2.7MM 402.XXX,423.0,317.25,,,0
HCPCS,C1713,SCREW SYNTHE 3.5MM 404.XXX,143.0,107.25,,,0
HCPCS,C1713,SCREW SYNTHE 4MM 207.012 12MM,110.0,82.5,,,0
HCPCS,C1713,SCREW SYNTHE 4MM 207.045 45MM,84.0,63.0,,,0
HCPCS,C1713,SCREW SYNTHE 4MM 207.816 16MM,110.0,82.5,,,0
HCPCS,C1713,SCREW SYNTHE CANC 6.5 216.110,175.0,131.25,,,0
HCPCS,C1713,SCREW SYNTHE CANC 6.5 217.045,129.0,96.75,,,0
HCPCS,C1713,SCREW SYNTHE CANC 6.5 217.070,110.0,82.5,,,0
HCPCS,C1713,SCREW SYNTHE CANC 6.5 THREAD,164.0,123.0,,,0
HCPCS,C1713,SCREW SYNTHE CANN 4.5 214.542,753.0,564.75,,,0
HCPCS,C1713,SCREW SYNTHE CORT 3.5MM,183.5,137.625,,,0
HCPCS,C1713,SCREW SYNTHE CORT 4.5,162.5,121.875,,,0
HCPCS,C1713,SCREW SYNTHE LG CANN 208.125,835.0,626.25,,,0
HCPCS,C1713,SCREW SYNTHE LOCK 3.5MM SERIES,1274.0,955.5,,,0
HCPCS,C1713,SCREW SYNTHE LOCK 5.0,1536.0,1152.0,,,0
HCPCS,C1713,SCREW SYNTHE LOCK 5.0MM SERIES,678.0,508.5,,,0
HCPCS,C1713,SCREW SYNTHE SM CANN 205.016,850.0,637.5,,,0
HCPCS,C1713,SCREW SYNTHE SM CANN 205.244,600.0,450.0,,,0
HCPCS,C1713,SCREW SYNTHES,192.0,144.0,,,0
HCPCS,C1713,SCREW SYNTHES 204.018(18MM),111.0,83.25,,,0
HCPCS,C1713,SCREW SYNTHES VARIOUS 298.XX,657.0,492.75,,,0
HCPCS,C1713,SCREW THIN FLAP LORENZ,487.0,365.25,,,0
HCPCS,C1713,SCREW TI LOCKING,1794.0,1345.5,,,0
HCPCS,C1713,SCREW TORNIER COMPRESS 4.5MM,635.0,476.25,,,0
HCPCS,C1713,SCREW TORNIER LOCKING 4.5MM,1487.0,1115.25,,,0
HCPCS,C1713,SCREW UNIKNEE HEADED ZIMMER,548.0,411.0,,,0
HCPCS,C1713,SCREW VARIOUS,666.5,499.875,,,0
HCPCS,C1713,SCREW VECTRA SDVA 4.0,3658.0,2743.5,,,0
HCPCS,C1713,SCREW VIPER DEPUY,22600.0,16950.0,,,0
HCPCS,C1713,SCREW ZERO-P 3.0MM,2033.0,1524.75,,,0
HCPCS,C1713,"SCREW, 2.7MM CROSS-DRIVE",727.0,545.25,,,0
HCPCS,C1713,"SCREW, 3.5 MM SYNTHES",98.0,73.5,,,0
HCPCS,C1713,"SCREW, 6.5MM CANNULATED",2043.0,1532.25,,,0
HCPCS,C1713,"SCREW, ACUFIX, CORTICAL 3.5MM",2436.0,1827.0,,,0
HCPCS,C1713,"SCREW, BIO-INTER 23 AR-1390B",2815.0,2111.25,,,0
HCPCS,C1713,"SCREW, CANC. BONE, 6.5 X 45MM",291.0,218.25,,,0
HCPCS,C1713,"SCREW, CANCELLOUS",9702.0,7276.5,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 24MM",1319.0,989.25,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 26MM",1301.0,975.75,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 28MM",1322.0,991.5,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 30MM",1301.0,975.75,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 32MM",1301.0,975.75,,,0
HCPCS,C1713,"SCREW, CANNULATED 4.0 X 34MM",977.0,732.75,,,0
HCPCS,C1713,"SCREW, CORTEX",649.0,486.75,,,0
HCPCS,C1713,"SCREW, CORTEX 3.5 X 75",135.0,101.25,,,0
HCPCS,C1713,"SCREW, CORTEX, 2.4MM",312.0,234.0,,,0
HCPCS,C1713,"SCREW, CORTEX, 4.5 X 30MM",136.0,102.0,,,0
HCPCS,C1713,"SCREW, CORTEX, 4.5 X 62MM",81.0,60.75,,,0
HCPCS,C1713,"SCREW, EMERGENCY",336.0,252.0,,,0
HCPCS,C1713,"SCREW, LOCKING",1135.0,851.25,,,0
HCPCS,C1713,"SCREW, LOCKING 5.0",1511.0,1133.25,,,0
HCPCS,C1713,"SCREW, LOCKING, SLF-TPNG",801.0,600.75,,,0
HCPCS,C1713,"SCREW, MICRO 1.2X4MM TITANIUM",615.0,461.25,,,0
HCPCS,C1713,"SCREW, PEDICLE, 4.5",5440.0,4080.0,,,0
HCPCS,C1713,"SCREW, POLYAXIAL",16145.0,12108.75,,,0
HCPCS,C1713,"SCREW, SYNTHES214.052  (52MM)",59.0,44.25,,,0
HCPCS,C1713,"SCREW, TITANIUM, 12 X 3.2MM",928.0,696.0,,,0
HCPCS,C1713,"SCREW,1.0MM X 12MM SELFTAP",641.0,480.75,,,0
HCPCS,C1713,"SCREW,1.0MM X 9MM SELFTAP",641.0,480.75,,,0
HCPCS,C1713,"SCREW,1.3MM X 10MM SELFTAP",597.0,447.75,,,0
HCPCS,C1713,"SCREW,1.3MM X 11MM SELFTAP",382.0,286.5,,,0
HCPCS,C1713,"SCREW,1.3MM X 12MM SELFTAP",382.0,286.5,,,0
HCPCS,C1713,"SCREW,1.5MM X 12MM SELFTAP",407.0,305.25,,,0
HCPCS,C1713,"SCREW,1.5MM X 14MM SELFTAP",354.0,265.5,,,0
HCPCS,C1713,"SCREW,2.0MM X 10MM SELFTAP",423.0,317.25,,,0
HCPCS,C1713,"SCREW,2.0MM X 11MM SELFTAP",423.0,317.25,,,0
HCPCS,C1713,"SCREW,2.0MM X 12MM SELFTAP",423.0,317.25,,,0
HCPCS,C1713,"SCREW,2.0MM X 14MM SELFTAP",472.0,354.0,,,0
HCPCS,C1713,"SCREW,2.0MM X 16MM SELFTAP",376.0,282.0,,,0
HCPCS,C1713,"SCREW,2.0MM X 9MM SELFTAP",423.0,317.25,,,0
HCPCS,C1713,"SCREW,2.0X4-5MM SLF DRILL CRAN",530.0,397.5,,,0
HCPCS,C1713,"SCREW,3.5 X 70 PELVIC-SELF-TAP",191.0,143.25,,,0
HCPCS,C1713,"SCREW,3.5 X 75 PELVIC-SELF-TAP",129.0,96.75,,,0
HCPCS,C1713,"SCREW,3.5 X 80 PELVIC-SELF-TAP",129.0,96.75,,,0
HCPCS,C1713,"SCREW,CANC. BONE, 4.0 X 26MM",161.0,120.75,,,0
HCPCS,C1713,"SCREW,CANC. BONE, 6.5 X 40MM",538.0,403.5,,,0
HCPCS,C1713,"SCREW,SMITH/NEPHEW 9X20MM ACL",1495.0,1121.25,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.014(14MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.016(16MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.020(20MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.022(22MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.024(24MM)",96.0,72.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.028(28MM)",110.0,82.5,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.032(32MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.040(40MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,SYNTHES 204.045(45MM)",120.0,90.0,,,0
HCPCS,C1713,"SCREW,TI LOCKING",1737.0,1302.75,,,0
HCPCS,C1713,"SCREW,VSS 6.0",2399.0,1799.25,,,0
HCPCS,C1713,SCREWCORTEX 2.7,231.0,173.25,,,0
HCPCS,C1713,SCREWSYNTHES 204.012(12MM),120.0,90.0,,,0
HCPCS,C1713,SCRW 9MMX2.7 VAR KLS 25-774-09,944.0,708.0,,,0
HCPCS,C1713,SCRW CORTICAL,1810.0,1357.5,,,0
HCPCS,C1713,SCRW E SCHANZ,716.0,537.0,,,0
HCPCS,C1713,SCRW HEADLESS,4253.0,3189.75,,,0
HCPCS,C1713,SCRW HIP INTRAMED CAPTURED,1003.0,752.25,,,0
HCPCS,C1713,SCRW LCK FEM MD PRX/DST,3613.0,2709.75,,,0
HCPCS,C1713,SCRW LCK NONLCK ZIMMER,662.0,496.5,,,0
HCPCS,C1713,SCRW LCK SLF TAP,213.0,159.75,,,0
HCPCS,C1713,SCRW LOCK NON-LCK EXACT,716.0,537.0,,,0
HCPCS,C1713,SCRW LOCKG/NONLCKNG TORNIER CL,271.0,203.25,,,0
HCPCS,C1713,SCRW LOCKING LOOP TIT,824.0,618.0,,,0
HCPCS,C1713,SCRW MICRO BON,2656.0,1992.0,,,0
HCPCS,C1713,SECND FIX W/BIO SW LCK,4323.0,3242.25,,,0
HCPCS,C1713,SEMITENDINOSUS TENDON,13191.0,9893.25,,,0
HCPCS,C1713,SET SCREW,2372.0,1779.0,,,0
HCPCS,C1713,"SHAFT, FIBULA 2 CM",3903.0,2927.25,,,0
HCPCS,C1713,SLEEVE S-ROM,2991.0,2243.25,,,0
HCPCS,C1713,SMITH & NEPHEW ENDOBUTTON,2563.0,1922.25,,,0
HCPCS,C1713,SPACER ALIF ANT (SIZES VARY),33499.0,25124.25,,,0
HCPCS,C1713,SPACER ALIF INTEG INDEPENDENCE,23813.0,17859.75,,,0
HCPCS,C1713,SPACER CERVICAL CANC 6MM,7412.0,5559.0,,,0
HCPCS,C1713,SPACER COALITION MIS,14954.0,11215.5,,,0
HCPCS,C1713,SPACER LORDOTIC 7MM/8MM ACF,10159.0,7619.25,,,0
HCPCS,C1713,SPACER LORDOTIC ACIS TI,8721.0,6540.75,,,0
HCPCS,C1713,SPACER LUMBAR SYNFIX,87352.0,65514.0,,,0
HCPCS,C1713,SPACER REVOLVE OPAL SYNTHES,28921.0,21690.75,,,0
HCPCS,C1713,"SPACER, CANCELLOUS, CERVICAL",7032.0,5274.0,,,0
HCPCS,C1713,"SPACER, LORDOTIC",8744.0,6558.0,,,0
HCPCS,C1713,SPEEDBRIDGE ACHILLES MIDSUBST,9088.0,6816.0,,,0
HCPCS,C1713,SPEEDBRIDGE IMPLANT SYSTEM,15735.0,11801.25,,,0
HCPCS,C1713,SPINE SPACER VETEBRA PEEK 10MM,28384.0,21288.0,,,0
HCPCS,C1713,STAPLE EASYCLIP VARIOUS MMI,7465.0,5598.75,,,0
HCPCS,C1713,STIMULAN ABSORB CA SULFATE 5CC,7435.0,5576.25,,,0
HCPCS,C1713,STIMULAN ABSRB CA SULFATE 10CC,8573.0,6429.75,,,0
HCPCS,C1713,STIMULAN ABSRB CA SULFATE 20CC,18494.0,13870.5,,,0
HCPCS,C1713,STPL LIGA SPK,403.0,302.25,,,0
HCPCS,C1713,SURGICAL SIMPLEX CEMENT HV,718.0,538.5,,,0
HCPCS,C1713,SUTURE ANCHOR Q FIX,3237.0,2427.75,,,0
HCPCS,C1713,SUTURE ANCHOR TITANIUM,2315.0,1736.25,,,0
HCPCS,C1713,SUTURE ARTHREX ANCHOR,3720.0,2790.0,,,0
HCPCS,C1713,SYNTHE COLLAR STAINLESS STEEL,377.0,282.75,,,0
HCPCS,C1713,SYNTHE STAINLESS STEEL NUTS,453.0,339.75,,,0
HCPCS,C1713,SYS ACHILL SPDBRG PEEK JMPSTRT,11934.0,8950.5,,,0
HCPCS,C1713,SYS BICEP DSTL REPR IMPL,5909.0,4431.75,,,0
HCPCS,C1713,SYS INTERNALBRACE,7329.0,5496.75,,,0
HCPCS,C1713,SYS STAPLE JAWS NITINOL STR,7148.0,5361.0,,,0
HCPCS,C1713,SYSTEM MENISCAL REPAIR W/IMPL,3490.0,2617.5,,,0
HCPCS,C1713,T-FASTENER SET,1058.0,793.5,,,0
HCPCS,C1713,TAK SUTURE PEEK AR-1934PS,3089.0,2316.75,,,0
HCPCS,C1713,TI HELICAL BLADE FOR FIX NAIL,4123.0,3092.25,,,0
HCPCS,C1713,TIBIAL FIXATION DEVICE,2079.0,1559.25,,,0
HCPCS,C1713,TIGHTROPE ABS BUTTON,1076.0,807.0,,,0
HCPCS,C1713,TIGHTROPE ABS IMPLANT,1285.0,963.75,,,0
HCPCS,C1713,TIGHTROPE ACL,2212.0,1659.0,,,0
HCPCS,C1713,TIGHTROPE KNOTLESS REPAIR KIT,8218.0,6163.5,,,0
HCPCS,C1713,TIGHTROPE SYSTEM,4829.0,3621.75,,,0
HCPCS,C1713,TORQUE DEFINING SCREW KIT,1826.0,1369.5,,,0
HCPCS,C1713,TRANSCONNECTOR,10726.0,8044.5,,,0
HCPCS,C1713,TWINFIX 5.0 IMPLANT,2014.0,1510.5,,,0
HCPCS,C1713,VBR OBELISC LOCK SCREW,416.0,312.0,,,0
HCPCS,C1713,VERTEBRAL CEMENT,1608.0,1206.0,,,0
HCPCS,C1713,VIPER 2 LORDOSED ROD TI,5241.0,3930.75,,,0
HCPCS,C1713,WASHER SPIKED 17X6MM,1114.0,835.5,,,0
HCPCS,C1713,WASHER SYNTHE 13MM,279.0,209.25,,,0
HCPCS,C1713,WASHER SYNTHE 7MM 219.99,141.0,105.75,,,0
HCPCS,C1713,WASHER SYNTHES TITANIUM,337.0,252.75,,,0
HCPCS,C1713,"WASHER, LARGE",149.0,111.75,,,0
HCPCS,C1713,WEDGE ALLOGRAFT EVANS MULTI SZ,15356.0,11517.0,,,0
HCPCS,C1713,WIRE 4 K-WIRE,158.0,118.5,,,0
HCPCS,C1713,WIRE 4 K-WIRE .045 STER,125.0,93.75,,,0
HCPCS,C1713,WIRE CERCLAGE,530.0,397.5,,,0
HCPCS,C1713,WIRE K SYNTHES 1.6MM,1128.0,846.0,,,0
HCPCS,C1713,WIRE K WIRE SYNTHES,306.0,229.5,,,0
HCPCS,C1713,WIRE K-WIRE .062 STER,263.5,197.625,,,0
HCPCS,C1713,WIRE K-WIRE VARIES,308.0,231.0,,,0
HCPCS,C1713,WIRE KIRCHNR PL,51.0,38.25,,,0
HCPCS,C1713,WIRE KIRCHNR TH,156.0,117.0,,,0
HCPCS,C1713,WIRE KIRSCHNER TROCAR,752.0,564.0,,,0
HCPCS,C1713,WIRE KIRSCHNER VARIOUS,6090.0,4567.5,,,0
HCPCS,C1713,WIRE W/OLIVE DIAMOND POINT,827.0,620.25,,,0
HCPCS,C1713,X-POST,1521.0,1140.75,,,0
HCPCS,C1713,ZERO P PEEK LORDOTIC SPACER,31190.0,23392.5,,,0
HCPCS,C1713,ZERO-P PEEK LORDOTIC SPACE 8MM,33685.0,25263.75,,,0
HCPCS,C1713,ZIP PLATE & SCREW SET,996.0,747.0,,,0
HCPCS,C1714,CATHETER-ATHERECTOMY,3914.0,2935.5,0.03,1.0,10
HCPCS,C1714,CC-CATHERTER SILVERHAWK PERIPH,8774.0,6580.5,0.03,1.0,10
HCPCS,C1714,MS SILVER HAWK CATH SYS P4016,28160.0,21120.0,0.03,1.0,10
HCPCS,C1715,BRACHYTHERAPY NEEDLE,,,0.03,1.0,10
HCPCS,C1721,"DEFIB-ST JD-EPC+DR U-239,V-236",147845.0,110883.75,,,0
HCPCS,C1721,DEFIBRILIATOR-MEDT-MARQUIS DR,254596.0,190947.0,,,0
HCPCS,C1721,DEFIBRILLATOR MEDT MAXIMO DR 7,123202.0,92401.5,,,0
HCPCS,C1721,DEFIBRILLATOR-DUAL CHAMBER,276944.0,207708.0,,,0
HCPCS,C1721,DEFRIBRILLATOR MEDT 7288,146856.0,110142.0,,,0
HCPCS,C1721,DFB GALLNT DC ICD DR CDDRA500Q,80623.0,60467.25,,,0
HCPCS,C1721,ICD DUAL CHAMBER,92985.0,69738.75,,,0
HCPCS,C1722,DEFIB MEDT MAXIMO VR 7232,108411.0,81308.25,,,0
HCPCS,C1722,DEFIBRILLATOR-SINGLE CHAMBER,240943.0,180707.25,,,0
HCPCS,C1722,DEFRIRILLATOR MARQUIS VR 7230,108411.0,81308.25,,,0
HCPCS,C1722,DEFRIRILLATOR MEDT ONYX VR7290,88707.0,66530.25,,,0
HCPCS,C1722,DFB EMBLEM MRI A219,159141.0,119355.75,,,0
HCPCS,C1722,DFB PERCIVA,64749.0,48561.75,,,0
HCPCS,C1722,DFB VIGILANT EL MRI VR D232,75136.0,56352.0,,,0
HCPCS,C1724,CATH TRANS ATHERECTOMY,29336.0,22002.0,0.03,1.0,10
HCPCS,C1724,CS-ORBIT II ATHERECTOMY DEVICE,22149.0,16611.75,0.03,1.0,10
HCPCS,C1724,DIAMONDBACK 360 PERIPHERAL SYS,27100.0,20325.0,0.03,1.0,10
HCPCS,C1725,BALLOON CATH DILATATION,2917.0,2187.75,0.03,1.0,10
HCPCS,C1725,BALLOON DIL RIVAL PTA,1141.0,855.75,0.03,1.0,10
HCPCS,C1725,BALLOON SCIMED CUT 2.0-10MM/4.,9766.0,7324.5,0.03,1.0,10
HCPCS,C1725,BALLOON SCIMED SURPASS PERFUSI,4507.0,3380.25,0.03,1.0,10
HCPCS,C1725,BALLOON-CORDIS OPTA LP,2992.0,2244.0,0.03,1.0,10
HCPCS,C1725,BALLOON-GUIDANT OPEN SAIL,4134.0,3100.5,0.03,1.0,20
HCPCS,C1725,CATH BALL PTA PACIFIC XTREME,2289.0,1716.75,0.03,1.0,10
HCPCS,C1725,CATH BALL TRI-LOBE GORE BC2640,5052.0,3789.0,0.03,1.0,10
HCPCS,C1725,CATH BALLOON,2894.0,2170.5,0.03,1.0,10
HCPCS,C1725,CATH BALLOON ANGIO BOSTON SC,2931.0,2198.25,0.03,1.0,10
HCPCS,C1725,CATH BALLOON ATLAS 18MM BARD,2894.0,2170.5,0.03,1.0,10
HCPCS,C1725,CATH BALLOON DIL MEDICATED,14324.5,10743.375,0.03,1.0,20
HCPCS,C1725,CATH PERIPH IVL SHOCKWAVE,24855.0,18641.25,0.03,1.0,10
HCPCS,C1725,CATH PERIPH POLARCATH OTW DIL,6199.0,4649.25,0.03,1.0,10
HCPCS,C1725,CATH PTA DORADO,895.0,671.25,0.03,1.0,10
HCPCS,C1725,CATH PTCA APEX,3984.0,2988.0,0.03,1.0,20
HCPCS,C1725,CATH PTCA EMERGE,3984.0,2988.0,0.03,1.0,20
HCPCS,C1725,CATH PTCA MAV,3984.0,2988.0,0.03,1.0,20
HCPCS,C1725,CATH SHOCKWAVE E8,33860.0,25395.0,0.03,1.0,10
HCPCS,C1725,CATHETER BALLOON C1725,3275.0,2456.25,0.03,1.0,10
HCPCS,C1725,CATHETER BALLOON DILATOR,2015.0,1511.25,0.03,1.0,10
HCPCS,C1725,CATHETER ULTRAVERSE VARY,2703.0,2027.25,0.03,1.0,10
HCPCS,C1725,CV CATH OH IABP,3974.075,2980.5550000000003,0.03,1.0,20
HCPCS,C1725,PASSPORT BALLOON,3414.0,2560.5,0.03,1.0,10
HCPCS,C1725,STENT GRAFT BALLOON CATH REL46,4605.0,3453.75,0.03,1.0,10
HCPCS,C1726,BALLOON DILATOR,1533.0,1149.75,0.03,1.0,10
HCPCS,C1726,BALLOON DILATOR PULM,2884.0,2163.0,0.03,1.0,10
HCPCS,C1726,"BALLOON, DILATATION",2208.5,1656.375,0.03,1.0,20
HCPCS,C1726,"BALLOON, DILATOR",1943.0,1457.25,0.03,1.0,10
HCPCS,C1726,BLN DISSECT SPACEMAKER,6560.0,4920.0,0.03,1.0,10
HCPCS,C1726,CATH BALLOON TANDEM BOS SC,1332.0,999.0,0.03,1.0,10
HCPCS,C1726,CATH BILIARY BALLOON,435.0,326.25,0.03,1.0,10
HCPCS,C1726,CATH LACRICATH BALLOON,5600.0,4200.0,0.03,1.0,20
HCPCS,C1726,CATH VALVULOPLSTY BLLN,23367.0,17525.25,0.03,1.0,10
HCPCS,C1726,CATHETER BALLOON,2830.5,2122.875,0.03,1.0,20
HCPCS,C1726,CATHETER BALLOON ACCLARENT,25207.0,18905.25,0.03,1.0,10
HCPCS,C1726,CATHETER BALLOON SINUS,6609.0,4956.75,0.03,1.0,10
HCPCS,C1726,CATHETER UROMAX 225122,4934.0,3700.5,0.03,1.0,10
HCPCS,C1726,"CATHETER, NEPHROMAX",1461.0,1095.75,0.03,1.0,10
HCPCS,C1726,DILATOR BALLOON FIXED WIRE CRE,1949.0,1461.75,0.03,1.0,10
HCPCS,C1726,DILATOR BALLOON HURRICANE,2148.0,1611.0,0.03,1.0,10
HCPCS,C1726,DILATOR BALLOON VARIES SZ,3004.0,2253.0,0.03,1.0,10
HCPCS,C1726,DILATOR CRE WIREGUIDE,1831.0,1373.25,0.03,1.0,10
HCPCS,C1727,"CATH, BAL TIS DIS, NON-VAS",,,0.03,1.0,10
HCPCS,C1728,"CATH, BRACHYTX SEED ADM",,,0.03,1.0,10
HCPCS,C1729,CATH ATRIAL A CODMAN NRS,342.0,256.5,0.03,1.0,10
HCPCS,C1729,CATH CODMAN BACTISEAL 823073/4,3208.0,2406.0,0.03,1.0,10
HCPCS,C1729,CATH CODMAN BACTISEAL VARIOUS,5154.0,3865.5,0.03,1.0,10
HCPCS,C1729,CATH EDM VNTRCLR PSM 23CM41101,373.0,279.75,0.03,1.0,10
HCPCS,C1729,CATH EDM VNTRCLR PSM 35CM46118,796.0,597.0,0.03,1.0,10
HCPCS,C1729,CATH LUMBAR PERITONEAL PSM,680.0,510.0,0.03,1.0,10
HCPCS,C1729,CATH LUMBOPERITO,23923.0,17942.25,0.03,1.0,10
HCPCS,C1729,CATH MALECOT 12FR,78.0,58.5,0.03,1.0,10
HCPCS,C1729,CATH MALECOT 16FR,81.0,60.75,0.03,1.0,10
HCPCS,C1729,CATH MALECOT 18FR,76.0,57.0,0.03,1.0,10
HCPCS,C1729,CATH MALECOT 20FR,76.0,57.0,0.03,1.0,10
HCPCS,C1729,CATH MALECOT 22FR,78.0,58.5,0.03,1.0,10
HCPCS,C1729,CATH MALECOT NEPHROSTOMY B SC,954.0,715.5,0.03,1.0,10
HCPCS,C1729,CATH PLEUREX DRAINAGE 50-7000,1984.0,1488.0,0.03,1.0,10
HCPCS,C1729,CATH THORAC STR 36F 8036,38.0,28.5,0.03,1.0,10
HCPCS,C1729,CATH THORACIC 16FR,28.0,21.0,0.03,1.0,10
HCPCS,C1729,CATH THORACIC 28FR,181.0,135.75,0.03,1.0,10
HCPCS,C1729,CATH THORACIC 32FR,181.0,135.75,0.03,1.0,10
HCPCS,C1729,CATH THORACIC ANGLED VARIOUS,87.0,65.25,0.03,1.0,10
HCPCS,C1729,CATH THORACIC STR 40F 8040,28.0,21.0,0.03,1.0,10
HCPCS,C1729,CATH THORACIC TROCAR 20FR,99.0,74.25,0.03,1.0,10
HCPCS,C1729,CATH VENTRICULAR 6CM 82-1658,867.0,650.25,0.03,1.0,10
HCPCS,C1729,CATH VNTRCLR,664.0,498.0,0.03,1.0,10
HCPCS,C1729,CATHETER ALL PURPOSE 16 10F,373.0,279.75,0.03,1.0,10
HCPCS,C1729,CATHETER PERITONEAL43103CSF PS,1208.0,906.0,0.03,1.0,10
HCPCS,C1729,CATHETER SILICONE 5CC,64.0,48.0,0.03,1.0,10
HCPCS,C1729,CATHETER THOR 24FR ARGL,135.0,101.25,0.03,1.0,10
HCPCS,C1729,CATHETER TRAUMA,687.0,515.25,0.03,1.0,10
HCPCS,C1729,"CATHETER, MALECOT 26F",72.0,54.0,0.03,1.0,10
HCPCS,C1729,"CATHETER, MALECOT DRAIN",55.0,41.25,0.03,1.0,10
HCPCS,C1729,"CATHETER, SILICONE 5CC",71.0,53.25,0.03,1.0,10
HCPCS,C1729,"CATHETER, THORACIC RT ANGLE",161.0,120.75,0.03,1.0,10
HCPCS,C1729,"CATHETER,BACTISEAL VENTRICULAR",2670.0,2002.5,0.03,1.0,10
HCPCS,C1729,"CATHETER,VENTRICULAR 23CM",1093.0,819.75,0.03,1.0,10
HCPCS,C1729,CATHETER-MALECOT 14FR,97.0,72.75,0.03,1.0,10
HCPCS,C1729,CATHETER-MALECOT 18FR,120.0,90.0,0.03,1.0,10
HCPCS,C1729,CATHETER-MALECOT 24FR,108.0,81.0,0.03,1.0,10
HCPCS,C1729,CSF LUMBO PERITONEAL RESERVOIR,2128.0,1596.0,0.03,1.0,10
HCPCS,C1729,DRAIN EDM LUMBAR,3074.0,2305.5,0.03,1.0,10
HCPCS,C1729,DRAIN FLAT 10MM ZIMMER,251.0,188.25,0.03,1.0,10
HCPCS,C1729,"DRAIN, FLAT 7MM (ZIMMER)",251.0,188.25,0.03,1.0,10
HCPCS,C1729,DRAINAGE CATHETER C1729,1198.0,898.5,0.03,1.0,10
HCPCS,C1729,HEMOVAC/JP DRAIN/RESERVOIR,428.0,321.0,0.03,1.0,10
HCPCS,C1729,KIT - PERICARDIALCENTESIS,2612.0,1959.0,0.03,1.0,10
HCPCS,C1729,MALECOT DRAIN 36-38 FR,193.0,144.75,0.03,1.0,10
HCPCS,C1729,RESERVOIR CATHETER  OMMAYA CSF,3090.0,2317.5,0.03,1.0,10
HCPCS,C1729,RESERVOIR SALMON-RICKMAN NRS,2364.0,1773.0,0.03,1.0,10
HCPCS,C1729,SYSTEM CSF DRAINAGE,1192.0,894.0,0.03,1.0,10
HCPCS,C1729,SYSTEM CSF-LUMBO PERIT 44410,3389.0,2541.75,0.03,1.0,10
HCPCS,C1729,"SYSTEM,H-V LUMBAR VALVE,YELLOW",7026.0,5269.5,0.03,1.0,10
HCPCS,C1729,VALVE CODMAN PROGRAMABLE  NRS,35149.0,26361.75,0.03,1.0,10
HCPCS,C1729,VALVE PROGRAMMABLE,34840.0,26130.0,0.03,1.0,10
HCPCS,C1729,VALVE PROGRAMMABLE STRATA,33186.0,24889.5,0.03,1.0,10
HCPCS,C1730,"CABLE,LASSO,DECAPOLAR",2772.0,2079.0,0.03,1.0,10
HCPCS,C1730,"CATH,BOIS/WEB,DECA,FIXED-CURVE",3551.0,2663.25,0.03,1.0,10
HCPCS,C1730,"CATHETER,BOIS/WEB,DECA/DEGLECT",6156.0,4617.0,0.03,1.0,10
HCPCS,C1730,CATHETER-BIO/WEB-LASSO DECA PO,12215.0,9161.25,0.03,1.0,10
HCPCS,C1731,"CATHETER,BIOWEB,HALD XP",12920.0,9690.0,0.03,1.0,10
HCPCS,C1732,CATH ENDOCAR SOL ENSITE EC1000,29797.0,22347.75,0.03,1.0,10
HCPCS,C1733,CATHETER CRYO FREEZOR 207F1-3-,10829.0,8121.75,0.03,1.0,10
HCPCS,C1733,CATHETER CRYO FREEZOR MAX 229F,18128.0,13596.0,0.03,1.0,10
HCPCS,C1733,CATHETER CRYO FREEZOR XTRA 227,13907.0,10430.25,0.03,1.0,10
HCPCS,C1733,CATHETER MEDT MARINR CS,4735.0,3551.25,0.03,1.0,10
HCPCS,C1733,"CATHETER,BLAZER 2,7F/110CM/4MM",8346.0,6259.5,0.03,1.0,10
HCPCS,C1733,"CATHETER,DIAG,QUAD SUPREME",3790.0,2842.5,0.03,1.0,10
HCPCS,C1733,"CATHETER,MEDT,MARINR 7F",6216.0,4662.0,0.03,1.0,10
HCPCS,C1733,CATHTR-IBI THRPY DUAL 8 ABLATN,8501.0,6375.75,0.03,1.0,10
HCPCS,C1733,CTH STJUDE LVWR SP HP 15-24 MM,16629.0,12471.75,0.03,1.0,10
HCPCS,C1733,CTHTR-ISI THRPY THERMOCOUPLE,7344.0,5508.0,0.03,1.0,10
HCPCS,C1734,"ORTH/DEVIC/DRUG BN/BN,TIS/BN",,,1.0,16.13,90
HCPCS,C1735,"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",,,1.0,3.2,10
HCPCS,C1736,"Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components",,,1.0,3.2,10
HCPCS,C1737,"Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable)",,,0.03,1.0,10
HCPCS,C1738,"Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device",,,1.0,3.2,10
HCPCS,C1739,"Tissue marker, probe detectable any method (implantable), with delivery system",,,0.03,1.0,10
HCPCS,C1747,SYS ASPIRATION CVAC CALYXO,25179.0,18884.25,0.03,1.0,10
HCPCS,C1747,URETEROSCOPE LITHOVUE,12380.0,9285.0,0.03,1.0,10
HCPCS,C1750,CATHETER C1750,3791.0,2843.25,,,0
HCPCS,C1750,CATHETER HEMODIALYSIS SET SZ V,3089.0,2316.75,,,0
HCPCS,C1750,"CATHETER, LONG-TERM C1750",3791.0,2843.25,,,0
HCPCS,C1750,"CATHETER, PERITONEAL DIALYSIS",193.0,144.75,,,0
HCPCS,C1750,"CATHETER, TENCKHOFF ONE CUFF",344.0,258.0,,,0
HCPCS,C1750,KT REVISION HERO,6528.0,4896.0,,,0
HCPCS,C1751,CATH BROVIAC 6.6FR 60010,600.0,450.0,,,0
HCPCS,C1751,CATH HICKMAN 9.6FR,397.0,297.75,,,0
HCPCS,C1751,CATHETER INFUSION RENAL VARIES,983.0,737.25,,,0
HCPCS,C1751,CATHETER INFUSION TPA 41053-01,1431.0,1073.25,,,0
HCPCS,C1751,CATHETER VALVED INFUSION 41052,1419.0,1064.25,,,0
HCPCS,C1751,"CATHETER, DOUBLE LUMEN",1404.0,1053.0,,,0
HCPCS,C1751,"CATHETER, TRIPLE LUMEN",1844.0,1383.0,,,0
HCPCS,C1751,"CATHETER, TRPL LUMN ANTISEPTIC",386.0,289.5,,,0
HCPCS,C1751,CATHETER-TRIPLE LUMEN,1121.0,840.75,,,0
HCPCS,C1751,CATHTER HICKMAN TRIFUSION,4527.0,3395.25,,,0
HCPCS,C1751,DUAL LUMEN CATH STER VARIES,227.0,170.25,,,0
HCPCS,C1751,KT CATH THERMODILUTION,1506.0,1129.5,,,0
HCPCS,C1751,MID-LINE CATHETER 3 FR (ARROW,252.0,189.0,,,0
HCPCS,C1751,MID-LINE CATHETER 4 FR (ARROW,259.0,194.25,,,0
HCPCS,C1751,PICC LINE C 1751,995.0,746.25,,,0
HCPCS,C1751,PICC LINE C1751,1070.0,802.5,,,0
HCPCS,C1751,PORT POWER SINGLE LUMEN,2920.0,2190.0,,,0
HCPCS,C1751,PORT POWER SINGLE LUMEN BARD,4885.0,3663.75,,,0
HCPCS,C1751,SYS PERIPH INFUS MACH4,14892.0,11169.0,,,0
HCPCS,C1752,CATH CHRONIC DIALYSIS,4238.0,3178.5,,,0
HCPCS,C1752,CATH DIALYSIS TAL PALINDROME,4194.0,3145.5,,,0
HCPCS,C1752,CATHETER-SHORT TERM C1752,863.0,647.25,,,0
HCPCS,C1752,TRY CATH DIAL ST 3L PWR-TRIAL,1039.0,779.25,,,0
HCPCS,C1753,CATH IVUS DIGITL PV.035,6205.0,4653.75,,,0
HCPCS,C1753,CATH SCIMED IVUS ATLANTIS SR 3,7895.0,5921.25,,,0
HCPCS,C1755,CATH INTRATHECAL ASCENDA,9663.0,7247.25,,,0
HCPCS,C1755,INTRACATH DISTAL REVISION,2977.0,2232.75,,,0
HCPCS,C1757,ADHERENT CLOTH CATH,3441.0,2580.75,,,0
HCPCS,C1757,ANGIOJET THROMBECTOMY SET,14727.0,11045.25,,,0
HCPCS,C1757,ANGIOJET THROMBECTOMY SYSTEM,2770.0,2077.5,,,0
HCPCS,C1757,CATH ASPIRATION FLASH HTORQ,33759.0,25319.25,,,0
HCPCS,C1757,CATH ASPIRATION XTORQ INDIGO,51640.5,38730.375,,,0
HCPCS,C1757,CATH CLOTTRIEVER,26585.0,19938.75,,,0
HCPCS,C1757,CATH EMBOLECTOMY,425.0,318.75,,,0
HCPCS,C1757,CATH EMBOLECTOMY 4F THRU,645.0,483.75,,,0
HCPCS,C1757,CATH EMBOLECTOMY FOGARTY 4,377.0,282.75,,,0
HCPCS,C1757,CATH EMBOLECTOMY OVER WIRE,1159.0,869.25,,,0
HCPCS,C1757,CATH FOGARTY EMB 3FR,179.0,134.25,,,0
HCPCS,C1757,CATH FOGARTY EMB 5FR,461.0,345.75,,,0
HCPCS,C1757,CATH FOGARTY EMB 6FRX80CM,293.0,219.75,,,0
HCPCS,C1757,CATH THROMBECTOMY,14434.0,10825.5,,,0
HCPCS,C1757,CATHETER FOGARTY EMBO 3F,337.0,252.75,,,0
HCPCS,C1757,CATHETER LATIS A4G00,922.0,691.5,,,0
HCPCS,C1757,CATHETER-ANGIOJET,17191.0,12893.25,,,0
HCPCS,C1757,CATHETER-ANGIOJET XMI 2-5MM,18568.0,13926.0,,,0
HCPCS,C1757,CATHETER-ANGIOPLASTY,1404.0,1053.0,,,0
HCPCS,C1757,FOGARTY EMBOLECTOMY CATH,501.0,375.75,,,0
HCPCS,C1757,SYS THROMB FLOWTRIEVER PE,30960.0,23220.0,,,0
HCPCS,C1757,SYSTEM CATH GRAFT CLEANER,6004.0,4503.0,,,0
HCPCS,C1758,10FR DUAL LUMEN URETERAL CATHE,433.0,324.75,0.03,1.0,10
HCPCS,C1758,CATH RUTNER WEDGE URETERAL,118.0,88.5,0.03,1.0,10
HCPCS,C1758,CATH URETERAL,110.0,82.5,0.03,1.0,10
HCPCS,C1758,CATH URETERAL COOK OPEN END,47.0,35.25,0.03,1.0,10
HCPCS,C1758,CATH URETERAL OPEN ENDED COOK,76.0,57.0,0.03,1.0,10
HCPCS,C1758,CATH URETERAL WEDGE TIP,171.0,128.25,0.03,1.0,10
HCPCS,C1758,CATHETER ACCESS AQ-022610,555.0,416.25,0.03,1.0,10
HCPCS,C1758,CATHETER BARD 10F,553.0,414.75,0.03,1.0,10
HCPCS,C1758,"CATHETER, AXXCESS",983.0,737.25,0.03,1.0,10
HCPCS,C1758,CATHETER-URETERAL 12FR,136.0,102.0,0.03,1.0,10
HCPCS,C1758,CATHETER-URETERAL 16FR GU1831-,147.0,110.25,0.03,1.0,10
HCPCS,C1758,CATHETER-URETERAL 24FR,147.0,110.25,0.03,1.0,10
HCPCS,C1758,CATHETER-URETERAL 8FR,159.0,119.25,0.03,1.0,10
HCPCS,C1758,CATHETER-URETH MALE KBK90,12.0,9.0,0.03,1.0,10
HCPCS,C1758,CATHETER-URETHRAL SPIRAL 5 FR,71.0,53.25,0.03,1.0,10
HCPCS,C1759,CATHETER INTRACARDIAC ECHO,28421.0,21315.75,0.03,1.0,10
HCPCS,C1759,"CATHETER,EPT,INTRACARDIAC ECHO",8728.0,6546.0,0.03,1.0,10
HCPCS,C1759,CS-CATHETER-ICE C1759,3774.0,2830.5,0.03,1.0,10
HCPCS,C1760,ARTERIAL CLOSURE DEVICE C1760,1899.0,1424.25,,,0
HCPCS,C1760,PERCLOSE - THE CLOSURE S,3175.0,2381.25,,,0
HCPCS,C1760,PERCLOSE DEVICE 6FR W/SUTURE,3062.0,2296.5,,,0
HCPCS,C1760,PTCH CLOSRE SEALANT FIBRIN EVR,11167.0,8375.25,,,0
HCPCS,C1760,SYS VASCULR CLSR VASCADE,1298.0,973.5,,,0
HCPCS,C1760,SYSTEM VASCULAR CLOSURE,1710.0,1282.5,,,0
HCPCS,C1761,CATH SHOCKWAVE C2,23391.0,17543.25,1.0,16.13,90
HCPCS,C1761,CATH SHOCKWAVE M5 +IVL,18175.81,13631.86,1.0,16.13,90
HCPCS,C1762,ALLOGRAFT MATRIX CELL 15CC,37121.0,27840.75,,,0
HCPCS,C1762,ALLOGRAFT PATELLA OC FRESH,70377.0,52782.75,,,0
HCPCS,C1762,ALLOGRFT 33MM38M ARTHRO,26828.0,20121.0,,,0
HCPCS,C1762,ALLOGRFT OSTEOCHOND DSTL TIBIA,30040.0,22530.0,,,0
HCPCS,C1762,ALLOGRFT OSTEOCHOND OCA CORES,61668.0,46251.0,,,0
HCPCS,C1762,B-T-B HEMI W/QUAD GRAFT 430010,14448.0,10836.0,,,0
HCPCS,C1762,BIOCARTILAGE MATRIX,5427.0,4070.25,,,0
HCPCS,C1762,BIOCARTILAGE MICRONIZED MATRIX,10433.0,7824.75,,,0
HCPCS,C1762,BIOGIDE MEMBRANE 40X50MM,4237.0,3177.75,,,0
HCPCS,C1762,FASCIA LATA TUTOPLAST 2X12,9670.0,7252.5,,,0
HCPCS,C1762,FEMORAL HEAD BONE,2765.0,2073.75,,,0
HCPCS,C1762,FEMUR ALLOGRAFT DISTAL,36130.0,27097.5,,,0
HCPCS,C1762,GRAFT TENDON ANTERIOR TIBIALIS,15789.0,11841.75,,,0
HCPCS,C1762,GRAFT TISSUE PERONEUS LONGUS,13163.0,9872.25,,,0
HCPCS,C1762,GRFT OSTEOCHRND FEMUR DISTAL,107910.0,80932.5,,,0
HCPCS,C1762,GRFT OSTEOCHRND HUM HD,33525.0,25143.75,,,0
HCPCS,C1762,IMP TENDN ACHIL,9578.0,7183.5,,,0
HCPCS,C1762,IMPLANT TUTOPLAST PERICARDIUM,9669.0,7251.75,,,0
HCPCS,C1762,MEMBRANE SFT TISSUE AVIVE,28636.0,21477.0,,,0
HCPCS,C1762,"SHEETING,SILICONE-.020",148.0,111.0,,,0
HCPCS,C1762,"SHEETING,SILICONE-.040",148.0,111.0,,,0
HCPCS,C1762,"SHEETING,SILICONE-.062",135.0,101.25,,,0
HCPCS,C1762,TENDON GRACILIS,10055.0,7541.25,,,0
HCPCS,C1762,TENDON PERONEUS LONGUS,6996.0,5247.0,,,0
HCPCS,C1762,TENDON POSTERIOR TIB ALLOGRAF,13662.0,10246.5,,,0
HCPCS,C1762,"TENDON,ACHILLES 430200",13457.0,10092.75,,,0
HCPCS,C1762,TISSUE SOFT MEMBRANE AVIVE,11770.0,8827.5,,,0
HCPCS,C1763,DURA GEN MATRIX,3180.0,2385.0,,,0
HCPCS,C1763,DURAGUARD 10CM X 16CM,5269.0,3951.75,,,0
HCPCS,C1763,DURAGUARD DG-0404S,2062.0,1546.5,,,0
HCPCS,C1763,DURAL REGENRATION MATRIX,5466.0,4099.5,,,0
HCPCS,C1763,DUREPAIR 7.5CM REGEN MATRIX,4570.0,3427.5,,,0
HCPCS,C1763,DURPAIR REGEN MATRIX 2X2,3115.0,2336.25,,,0
HCPCS,C1763,GENTRIX SURG MATRIX IMP,29427.0,22070.25,,,0
HCPCS,C1763,GRAFT BONE INFUSE SOF DANEK,29352.0,22014.0,,,0
HCPCS,C1763,GRAFT DURA-GEN DURA MATRIX 4X5,9410.0,7057.5,,,0
HCPCS,C1763,GRAFT DURAFORM LRG,9201.0,6900.75,,,0
HCPCS,C1763,GRAFT DURAL DUROFORM,6017.0,4512.75,,,0
HCPCS,C1763,GRAFT DURAL SPONGE 3X3,3367.0,2525.25,,,0
HCPCS,C1763,"GRAFT, DURAFORM 80-1478",6017.0,4512.75,,,0
HCPCS,C1763,"GRAFT, SURGISIS GOLD 13 X 22",9381.0,7035.75,,,0
HCPCS,C1763,GRFT DURAL SCAFFLD 4CM X7CM,3832.0,2874.0,,,0
HCPCS,C1763,GRFT DURAL SCAFFLD 7CMX10CM,5346.0,4009.5,,,0
HCPCS,C1763,GRFT NERVE AVANCE,38626.0,28969.5,,,0
HCPCS,C1763,GRFT NERVE AVANCE 4-5MMX70MM,41536.0,31152.0,,,0
HCPCS,C1763,GRFT OTOLOGIC RPR 2.5CMX2.5CM,1517.0,1137.75,,,0
HCPCS,C1763,IMP BIOINDUCTIVE ARTHROSCOPIC,17106.0,12829.5,,,0
HCPCS,C1763,IMP BIOINTEGRATIVE TAPESTRY,13053.0,9789.75,,,0
HCPCS,C1763,IMP PELVICOL COLLAGEN 482068,8590.0,6442.5,,,0
HCPCS,C1763,IMPLANT DURAGEN PLUS INTEGRA D,11369.0,8526.75,,,0
HCPCS,C1763,IMPLANT SURGISIS ANAL FISTULA,4376.0,3282.0,,,0
HCPCS,C1763,SLING SUPRIS SUPRABUBIC,9456.0,7092.0,,,0
HCPCS,C1763,SURGICAL GENTRIX THIN  MATRIX,7874.0,5905.5,,,0
HCPCS,C1763,WRAP NRV PROTCT AXOGUARD 10X40,13960.0,10470.0,,,0
HCPCS,C1764,EVENT RECORDER-CARDIAC,40425.0,30318.75,,,0
HCPCS,C1764,LOOP RECORDER INSERTABLE,31190.0,23392.5,,,0
HCPCS,C1765,ALLOGRFT ACTIVEBARRIER 2000,27348.0,20511.0,,,0
HCPCS,C1765,INTERCEED,1628.0,1221.0,,,0
HCPCS,C1765,MEMBRANE AMNIOTIC VERSASHIELD,10763.0,8072.25,,,0
HCPCS,C1765,SEPRA FILM  5 X 6 4301-02,2346.0,1759.5,,,0
HCPCS,C1765,SEPRA FILM 3 X 2.5 6380-01,2638.0,1978.5,,,0
HCPCS,C1766,GUIDE SHEATH-C1766,608.0,456.0,,,0
HCPCS,C1766,INTRODUCER  STEERABLE ACCESS,3580.0,2685.0,,,0
HCPCS,C1766,INTRODUCER ST JUDE 8.5 F STEER,11311.0,8483.25,,,0
HCPCS,C1766,SET-SHEATH WITH GUIDEWIRE,147.0,110.25,,,0
HCPCS,C1766,SHEATH STEERABLE TOURGUIDE,2862.0,2146.5,,,0
HCPCS,C1767,GENERATOR DEMIPULSE VAGUS NRV,181582.0,136186.5,,,0
HCPCS,C1767,GENERATOR INTERSTIM 2 3058,108420.0,81315.0,,,0
HCPCS,C1767,GENERATOR NEUROSTIM 7426 UPDAT,110588.0,82941.0,,,0
HCPCS,C1767,GENERATOR PULSE NEUROSTIM,111322.0,83491.5,,,0
HCPCS,C1767,GENERATOR SNS PULSE 3023,83135.0,62351.25,,,0
HCPCS,C1767,"GENERATOR, PULSE",77518.0,58138.5,,,0
HCPCS,C1767,IMP GEN NSTM IPG PNS NALU71020,64674.5,48505.875,,,0
HCPCS,C1767,NEUROSTIMULATOR ACTIVA RC,160891.0,120668.25,,,0
HCPCS,C1767,NEUROSTIMULATOR KIT RNS,189736.0,142302.0,,,0
HCPCS,C1767,STIMULATOR VAGUS NERVE ASPIRE,238572.0,178929.0,,,0
HCPCS,C1767,TRIAL SPINAL CORD STIMULATOR,1.0,0.75,,,0
HCPCS,C1767,VNS GENERATOR DUAL PIN,103960.0,77970.0,,,0
HCPCS,C1768,ARTERY AORTOILIAC,139927.0,104945.25,,,0
HCPCS,C1768,ARTERY CRYOLIFE,56950.0,42712.5,,,0
HCPCS,C1768,CRYOVEIN FEMORAL +30CM,45611.0,34208.25,,,0
HCPCS,C1768,CRYOVEIN FEMORAL 21-29CM,42615.0,31961.25,,,0
HCPCS,C1768,"FABRIC,HEMASHIELD VASCULAR 2X6",3925.0,2943.75,,,0
HCPCS,C1768,"FELT, PTFE PATCH 2 X 2",344.0,258.0,,,0
HCPCS,C1768,"FELT, PTFE PATCH 6X6",1425.0,1068.75,,,0
HCPCS,C1768,GRAFT AORTA ILIAC VARIES,168220.0,126165.0,,,0
HCPCS,C1768,GRAFT ENDO CONTRALATERAL GORE,37336.0,28002.0,,,0
HCPCS,C1768,GRAFT ENDO EXTENDER GORE,22914.0,17185.5,,,0
HCPCS,C1768,GRAFT ENDOVASC AAA ILIAC 8.5,21714.0,16285.5,,,0
HCPCS,C1768,GRAFT GORE,8244.0,6183.0,,,0
HCPCS,C1768,GRAFT GORE RRT08070080L,17942.0,13456.5,,,0
HCPCS,C1768,GRAFT GORE ST0604,2314.0,1735.5,,,0
HCPCS,C1768,GRAFT GORE ST1004,6282.0,4711.5,,,0
HCPCS,C1768,GRAFT GORE V06040L,2261.0,1695.75,,,0
HCPCS,C1768,GRAFT GORE VARIES,29469.0,22101.75,,,0
HCPCS,C1768,GRAFT GORE VASCULAR,2994.0,2245.5,,,0
HCPCS,C1768,GRAFT GORE VT05010L,1713.0,1284.75,,,0
HCPCS,C1768,GRAFT GORETEX VASCULAR,10237.0,7677.75,,,0
HCPCS,C1768,GRAFT ILIAC LEG TFLE-XX-XX,27409.0,20556.75,,,0
HCPCS,C1768,GRAFT PATCH HEMASHIELD FINESSE,1321.0,990.75,,,0
HCPCS,C1768,GRAFT PROPATEN VASC TPR GORE,11177.0,8382.75,,,0
HCPCS,C1768,GRAFT PROPATEN VASCULAR GORE,15086.0,11314.5,,,0
HCPCS,C1768,GRAFT RING(RRT08070100L-8X100),9933.0,7449.75,,,0
HCPCS,C1768,GRAFT STENT ENDOVASC AAA,45616.0,34212.0,,,0
HCPCS,C1768,GRAFT VASC PROPATEN 6MM X 40C,9474.0,7105.5,,,0
HCPCS,C1768,GRAFT VASC PROPATEN 70X80CM,23280.0,17460.0,,,0
HCPCS,C1768,GRAFT VASC PROPATEN T6MM 60X7,20594.0,15445.5,,,0
HCPCS,C1768,GRAFT VASC PROPATEN T6MM 60X8,23026.0,17269.5,,,0
HCPCS,C1768,GRAFT VASC TAG TGXXXX,106538.0,79903.5,,,0
HCPCS,C1768,GRAFT VASCULAR,11797.0,8847.75,,,0
HCPCS,C1768,GRAFT VASCULAR HYBRID VARIES,23668.0,17751.0,,,0
HCPCS,C1768,GRAFT VASCULAR PATCH,891.0,668.25,,,0
HCPCS,C1768,GRAFT VASCUTEK,6090.0,4567.5,,,0
HCPCS,C1768,GRAFT VASCUTEK 6-12MM BIFUR,7449.0,5586.75,,,0
HCPCS,C1768,GRAFT VASCUTEK 734030/8-734034,8165.0,6123.75,,,0
HCPCS,C1768,GRAFT VASCUTEK GELSOFT 30MM'S',5079.0,3809.25,,,0
HCPCS,C1768,GRAFT VASCUTEK GELSOFT 60MM'S',3680.0,2760.0,,,0
HCPCS,C1768,GRAFT VASCUTEK GELWEAVE 60MM S,7681.0,5760.75,,,0
HCPCS,C1768,"GRAFT, BIFUR HEMASHIELD 16X8",7876.0,5907.0,,,0
HCPCS,C1768,"GRAFT, TAPERED 4MM - 7MM",6151.0,4613.25,,,0
HCPCS,C1768,"GRAFT, VASCULAR, BIFURCATED",6007.0,4505.25,,,0
HCPCS,C1768,"GRAFT, VASCULAR, STRAIGHT",2082.0,1561.5,,,0
HCPCS,C1768,"GRAFT,HEMASHIELD BIF. 22 X 11",8590.0,6442.5,,,0
HCPCS,C1768,"GRAFT,RINGED THIN WALL 8X80",15522.0,11641.5,,,0
HCPCS,C1768,GRAFTGORE-RRT06030040L,6010.0,4507.5,,,0
HCPCS,C1768,GRAFTGORE-RRT10070070L,5826.0,4369.5,,,0
HCPCS,C1768,GRAFTGORE-SBT1401,3860.0,2895.0,,,0
HCPCS,C1768,GRFT CNTRLTL LG,20577.0,15432.75,,,0
HCPCS,C1768,GRFT FEMORAL ARTERY,21703.0,16277.25,,,0
HCPCS,C1768,GRFT VASCULAR ECH470045,60069.0,45051.75,,,0
HCPCS,C1768,GRFT VASCULAR RRT06060080L,6270.0,4702.5,,,0
HCPCS,C1768,HEMASHIELD STR GRAFT,3602.0,2701.5,,,0
HCPCS,C1768,IMP DVC IPSILATERA GORE,72646.0,54484.5,,,0
HCPCS,C1768,IMP GFT GELWEAVE 73XXXXXX/XX,16873.0,12654.75,,,0
HCPCS,C1768,IMP ILIAC EXTENDR GORE,14453.0,10839.75,,,0
HCPCS,C1768,IMPLANT GRAFT GORE SAX02,21505.0,16128.75,,,0
HCPCS,C1768,IMPLANT TRUNK-IPSILATERAL LEG,83914.0,62935.5,,,0
HCPCS,C1768,PATCH CARDIOVASCULAR,8639.0,6479.25,,,0
HCPCS,C1768,PATCH GORE 1415020010,6986.0,5239.5,,,0
HCPCS,C1768,PATCH GORE VASC ACUSEAL,9790.0,7342.5,,,0
HCPCS,C1768,PERI-GUARD BOVINE PERICARDIUM,6918.0,5188.5,,,0
HCPCS,C1768,"PERICARDIUM,PERIGUARD",3173.0,2379.75,,,0
HCPCS,C1768,PTCH CARDIOVASCULAR GORETEX,5454.0,4090.5,,,0
HCPCS,C1768,VEIN CRYO SAPH 20-39CM,58130.0,43597.5,,,0
HCPCS,C1768,VEIN CRYO SAPH 60 - 79,81515.0,61136.25,,,0
HCPCS,C1769,CC-GUIDEWIRE SYSTEM- LAA,3968.0,2976.0,,,0
HCPCS,C1769,CS-ORBIT II GUIDEWIRE,1121.0,840.75,,,0
HCPCS,C1769,"G-WIRE,SCIMED,LUGE .014/182 CM",1329.0,996.75,,,0
HCPCS,C1769,"G-WIRE,SCIMED,MAILMAN .014/182",1329.0,996.75,,,0
HCPCS,C1769,GLIDE CATH .038 HYDROPH ANGLED,522.0,391.5,,,0
HCPCS,C1769,GLIDE WIRE STIFF SHAFT BOST SC,3190.0,2392.5,,,0
HCPCS,C1769,GLIDEWIRE 46-151,405.0,303.75,,,0
HCPCS,C1769,"GLIDEWIRE, .038 STRAIGHT",786.0,589.5,,,0
HCPCS,C1769,"GLIDEWIRE, .038 STRAIGHT STIFF",3229.0,2421.75,,,0
HCPCS,C1769,GLIDEWIRE-MEDITECH 018/180 ANG,799.0,599.25,,,0
HCPCS,C1769,GUIDE WIRE,1521.0,1140.75,,,0
HCPCS,C1769,GUIDE WIRE AMPLATZ BOSTON SC,2081.0,1560.75,,,0
HCPCS,C1769,GUIDE WIRE BENTSON FLOPPY TIP,164.0,123.0,,,0
HCPCS,C1769,GUIDE WIRE DBL CURVE,626.0,469.5,,,0
HCPCS,C1769,GUIDE WIRE JAG 260 BOSTON SC,1140.0,855.0,,,0
HCPCS,C1769,GUIDE WIRE MAGIC TOURQUE B SC,2063.0,1547.25,,,0
HCPCS,C1769,GUIDEWIR MALLINCRODT WHOL300CM,1360.0,1020.0,,,0
HCPCS,C1769,GUIDEWIR-MED GLIDE 018/150 ANG,882.0,661.5,,,0
HCPCS,C1769,GUIDEWIRE,2756.0,2067.0,,,0
HCPCS,C1769,GUIDEWIRE AMPLATZ HEP COATED,160.0,120.0,,,0
HCPCS,C1769,GUIDEWIRE BLUNT TIP,505.0,378.75,,,0
HCPCS,C1769,GUIDEWIRE C1769,1535.0,1151.25,,,0
HCPCS,C1769,GUIDEWIRE CORDIS EMERALD,92.0,69.0,,,0
HCPCS,C1769,GUIDEWIRE DOPPLER FLOW 0.014,5077.0,3807.75,,,0
HCPCS,C1769,GUIDEWIRE DUAL FLEX PRFE BOST,382.0,286.5,,,0
HCPCS,C1769,GUIDEWIRE DUAL FLEX PTFE BOST,382.0,286.5,,,0
HCPCS,C1769,GUIDEWIRE EZ GLIDE GYRUS,242.0,181.5,,,0
HCPCS,C1769,GUIDEWIRE GLIDEWIRE BOS SC,435.0,326.25,,,0
HCPCS,C1769,GUIDEWIRE GUIDANT WIGGLE,2609.0,1956.75,,,0
HCPCS,C1769,GUIDEWIRE LUGE 0.014/300,1763.0,1322.25,,,0
HCPCS,C1769,GUIDEWIRE MEDITECH,6511.0,4883.25,,,0
HCPCS,C1769,GUIDEWIRE SPARTCORE,419.0,314.25,,,0
HCPCS,C1769,GUIDEWIRE SUPRACORE 35/300CM,1404.0,1053.0,,,0
HCPCS,C1769,GUIDEWIRE VIPERWIRE,1105.0,828.75,,,0
HCPCS,C1769,GUIDEWIRE WITH TORQUE DEVICE,870.0,652.5,,,0
HCPCS,C1769,"GUIDEWIRE, .038 STIFF FLEX TIP",161.0,120.75,,,0
HCPCS,C1769,"GUIDEWIRE, NON-THREADED",231.0,173.25,,,0
HCPCS,C1769,"GUIDEWIRE,.025 STRAIGHT",597.0,447.75,,,0
HCPCS,C1769,"GUIDEWIRE,3.2MM",663.0,497.25,,,0
HCPCS,C1769,"GUIDEWIRE,DIAG,.038/50CM 3J",66.0,49.5,,,0
HCPCS,C1769,"GUIDEWIRE,ROADRUNNER .018 DIA",1590.0,1192.5,,,0
HCPCS,C1769,"GUIDEWIRE,SCIMED,.025/260",744.0,558.0,,,0
HCPCS,C1769,"GUIDEWIRE,SCIMED,.035/260/3J",165.0,123.75,,,0
HCPCS,C1769,GUIDEWIRE-COOJK-THSCF-32-180-3,213.0,159.75,,,0
HCPCS,C1769,GUIDEWIRE-COOK-THSF-35-260-AES,438.0,328.5,,,0
HCPCS,C1769,GUIDEWIRE-DIAG.038/150CM 3J,141.0,105.75,,,0
HCPCS,C1769,GUIDEWIRE-HEPARIN,193.0,144.75,,,0
HCPCS,C1769,GUIDEWIRE-THSCF-32-180-3-AES,338.0,253.5,,,0
HCPCS,C1769,GUIDEWIRE-THSCF-35-260-3-AES,413.0,309.75,,,0
HCPCS,C1769,GW GLIDEWIRE STD ANGLE,1911.55,1433.66,,,0
HCPCS,C1769,GW GLIDEWIRE STIFF,1444.28,1083.21,,,0
HCPCS,C1769,GWIRE MEDTECH GLWIRE.035/260CM,570.0,427.5,,,0
HCPCS,C1769,"GWIRE,SCIMED PLTPLUS.014/300",1126.0,844.5,,,0
HCPCS,C1769,HUMERUS T2 GUIDE WIRE,1329.0,996.75,,,0
HCPCS,C1769,"KIT, RHINO BLUE",3208.0,2406.0,,,0
HCPCS,C1769,"SPHINCTEROTOME,UTS PRECUR.,25M",1775.0,1331.25,,,0
HCPCS,C1769,TIP DEFLECTING WIRE GUIDE,942.0,706.5,,,0
HCPCS,C1769,VALVULOPLASTY TORAY GUIDEWIRE,1797.0,1347.75,,,0
HCPCS,C1769,"WIRE GLIDE, ANGLED",301.0,225.75,,,0
HCPCS,C1769,WIRE GUIDE .035 ROADRUNNER,329.0,246.75,,,0
HCPCS,C1769,WIRE GUIDE BALL TIPPED 3X1000,1640.0,1230.0,,,0
HCPCS,C1769,WIRE GUIDE THREADED,315.0,236.25,,,0
HCPCS,C1769,"WIRE, GUIDE",877.0,657.75,,,0
HCPCS,C1769,"WIRE, GUIDE THREADED",377.0,282.75,,,0
HCPCS,C1769,"WIRE, GUIDE, CURVED",93.0,69.75,,,0
HCPCS,C1769,"WIRE, MARKED SPRING TIP 210CM",1311.0,983.25,,,0
HCPCS,C1769,WIRE-DEFLECTOR,472.0,354.0,,,0
HCPCS,C1769,WIRES-ROSEN,144.0,108.0,,,0
HCPCS,C1771,DVC REP URN SLING DESARA,4083.0,3062.25,,,0
HCPCS,C1771,"GRAFT, UROGEN URETHRAL SLING",10146.0,7609.5,,,0
HCPCS,C1771,SLING AMS ADVANCE XP MALE,32253.0,24189.75,,,0
HCPCS,C1771,SLING GYNECARE DEVICE,12462.0,9346.5,,,0
HCPCS,C1771,SLING GYNECARE TVT SECUR,10277.0,7707.75,,,0
HCPCS,C1771,SLING SINGLE INCISION ATLIS,11634.0,8725.5,,,0
HCPCS,C1771,SYS SLNG URETH MALE ELEV,23189.0,17391.75,,,0
HCPCS,C1771,TUTOPLAST PERICARD PROCSD 1.5X,2573.0,1929.75,,,0
HCPCS,C1772,IMP PMP INF SYNCHROMED,61888.0,46416.0,,,0
HCPCS,C1772,PUMP PAIN ON-Q DUAL,3659.0,2744.25,,,0
HCPCS,C1772,PUMP PAIN ONQ,1477.0,1107.75,,,0
HCPCS,C1772,PUMP SYNCROMED II,110699.0,83024.25,,,0
HCPCS,C1773,"BYRD WKSTATION, COOK, LR-WSFOO",2690.0,2017.5,,,0
HCPCS,C1773,KIT AMPLATZ SNARE,2927.0,2195.25,,,0
HCPCS,C1773,"KIT SNARE, MICROVENA, GOOSE NE",2934.0,2200.5,,,0
HCPCS,C1773,KIT-RETRIEVAL MICROSNARE 2MM,6430.0,4822.5,,,0
HCPCS,C1773,"LEAD LOCKING DEVICE #1, SPECTR",5198.0,3898.5,,,0
HCPCS,C1773,NEEDLE'S EYESNARE-COOK,4521.0,3390.75,,,0
HCPCS,C1773,"RETRIEVAL SET, COOK, NEEDLE EY",7202.0,5401.5,,,0
HCPCS,C1773,SNARE C1773,2882.0,2161.5,,,0
HCPCS,C1773,SNARE-BARD,214.0,160.5,,,0
HCPCS,C1773,SNARE-COOK-WIRE GUIDE,799.0,599.25,,,0
HCPCS,C1773,STYLET WIRE .013-.015,267.0,200.25,,,0
HCPCS,C1773,"STYLET, COOK, WILKOFF LOCKING",4449.0,3336.75,,,0
HCPCS,C1773,"STYLET-COOK, LIBERATOR",3586.0,2689.5,,,0
HCPCS,C1776,ACETABULAR SHELL SECUR-FIT,22498.0,16873.5,,,0
HCPCS,C1776,ACETABULAR SHLL HEMI ST69,9220.0,6915.0,,,0
HCPCS,C1776,ACETABULAR TRILOGY LINER,11429.0,8571.75,,,0
HCPCS,C1776,ADAPTER HIP NECK LENGTH,1824.0,1368.0,,,0
HCPCS,C1776,ADPT HUM CONN EXACTECH,10730.0,8047.5,,,0
HCPCS,C1776,AEQ REVERSED SPACER,6270.0,4702.5,,,0
HCPCS,C1776,ARTICULAR SURFACE ZIMMER,15809.0,11856.75,,,0
HCPCS,C1776,ARTICULR COMP,8813.0,6609.75,,,0
HCPCS,C1776,BASE POST MOD GLENOID ZIM,7546.0,5659.5,,,0
HCPCS,C1776,BASE TB JRN CTDUNCT SN,5587.0,4190.25,,,0
HCPCS,C1776,BASE TB MD COATD MCRPRT,4062.0,3046.5,,,0
HCPCS,C1776,BASE TIB COAT RP DEPUY,5130.0,3847.5,,,0
HCPCS,C1776,BASE TIB COATED DEPUY,6156.0,4617.0,,,0
HCPCS,C1776,BASE TIB MD KEEL MCRPRT,1016.0,762.0,,,0
HCPCS,C1776,BASE TIB MONOBLK ZIMM,27710.0,20782.5,,,0
HCPCS,C1776,BASE TIB TRIA TRIT STRY,11834.0,8875.5,,,0
HCPCS,C1776,BASE TIB UNCT COCR DPY,5130.0,3847.5,,,0
HCPCS,C1776,BASE TIB UNCT KEEL ZIMM,7838.0,5878.5,,,0
HCPCS,C1776,BASE TIB UNCT PLT ZIMM,12100.0,9075.0,,,0
HCPCS,C1776,BASE TIB UNCT PRSN ZIMM,12100.0,9075.0,,,0
HCPCS,C1776,BASE TIB UNCT TRIA STRY,8830.0,6622.5,,,0
HCPCS,C1776,BASE TIB UNCT TS STRYKR,10468.0,7851.0,,,0
HCPCS,C1776,BASE TIB UNCTD RP PLY,5281.0,3960.75,,,0
HCPCS,C1776,BASEPLATE GLENOID,19234.0,14425.5,,,0
HCPCS,C1776,BASEPLATE GLENOID RVR SHLD,8259.0,6194.25,,,0
HCPCS,C1776,BASEPLATE GLENOID TORNIER CL,5404.0,4053.0,,,0
HCPCS,C1776,BASEPLATE ONLAY TIBIAL,11379.0,8534.25,,,0
HCPCS,C1776,BASEPLATE TIBIAL COMPETITOR,14965.0,11223.75,,,0
HCPCS,C1776,BASEPLATE TORNIER GLENOID,7026.0,5269.5,,,0
HCPCS,C1776,BASEPLATE TRIATHLON PRIMARY,7445.0,5583.75,,,0
HCPCS,C1776,BASEPLATE TRIATHLON PRM TIB,15745.0,11808.75,,,0
HCPCS,C1776,BASEPLT GLENOID RVS TORNIER CL,7567.0,5675.25,,,0
HCPCS,C1776,BASEPLT GLENOID ZIMMER,14148.0,10611.0,,,0
HCPCS,C1776,BEARING TIBIAL DCM CR BIOMET,9473.0,7104.75,,,0
HCPCS,C1776,BEARING TIBIAL PS BIOMET,16447.0,12335.25,,,0
HCPCS,C1776,BIOMET MODULAR HEAD COMPONENT,5766.0,4324.5,,,0
HCPCS,C1776,BIOMET TIBIAL LOCKING BAR,1128.0,846.0,,,0
HCPCS,C1776,BLOCK AUGMENT 16MMX63MM,13847.0,10385.25,,,0
HCPCS,C1776,BLOCK TIBIAL AUGMENT HALF,8657.0,6492.75,,,0
HCPCS,C1776,BODY CONE,18716.0,14037.0,,,0
HCPCS,C1776,BODY CONE PROXIMAL HIGH OFFSET,30081.0,22560.75,,,0
HCPCS,C1776,BS TB UNCTD NTRX MCRPRT,5587.0,4190.25,,,0
HCPCS,C1776,BSE TB UNCTD PLY MCRPRT,5078.0,3808.5,,,0
HCPCS,C1776,CMP FEM COATD MICROPORT,7618.0,5713.5,,,0
HCPCS,C1776,CMP FEM CTD ATTNE DEPUY,9491.0,7118.25,,,0
HCPCS,C1776,CMP FM OXI GN RN LEG SN,10156.0,7617.0,,,0
HCPCS,C1776,CMP FM UNCTD NTX MCRPRT,8125.0,6093.75,,,0
HCPCS,C1776,COMP FEM CT FLX GND ZIM,25020.0,18765.0,,,0
HCPCS,C1776,COMP FEM CT TRIATH STRY,16386.0,12289.5,,,0
HCPCS,C1776,COMP FEM PATL FEM STRYK,17160.0,12870.0,,,0
HCPCS,C1776,COMP FEM UNCT GND VG ZM,22615.0,16961.25,,,0
HCPCS,C1776,COMP FEM UNCT TRIA STRY,13564.0,10173.0,,,0
HCPCS,C1776,COMP FEMOR UNCTD PATELL,8125.0,6093.75,,,0
HCPCS,C1776,COMP FEMR UNCTD MICRPRT,7618.0,5713.5,,,0
HCPCS,C1776,COMP HUM ELBW DISCOVERY,21554.0,16165.5,,,0
HCPCS,C1776,COMP HUM STEM FRE EXACT,23255.0,17441.25,,,0
HCPCS,C1776,COMP HUM ULNA DISCOVERY,23743.0,17807.25,,,0
HCPCS,C1776,COMP KNEE FEM REVISION SN,23158.0,17368.5,,,0
HCPCS,C1776,COMP ROTATIONL CONNECT,15543.0,11657.25,,,0
HCPCS,C1776,COMP TRIATHLON FEMORAL POST,26135.0,19601.25,,,0
HCPCS,C1776,COMPONENT FEM UNCT ZIM,19366.0,14524.5,,,0
HCPCS,C1776,COMPONENT FEMORAL CONDYLE,23274.0,17455.5,,,0
HCPCS,C1776,COMPONENT PATELLOFEMORAL,24383.0,18287.25,,,0
HCPCS,C1776,COMPONENT SEGMENTAL,7084.0,5313.0,,,0
HCPCS,C1776,"COMPONENT, PATELLA",3699.0,2774.25,,,0
HCPCS,C1776,"COMPONENT, PS FEMORAL",28010.0,21007.5,,,0
HCPCS,C1776,CONE BODY (SIZES VARY),40238.0,30178.5,,,0
HCPCS,C1776,CONVERGE CSTI MULTI HOLE SHELL,22625.0,16968.75,,,0
HCPCS,C1776,COUPLR MALE TO MALE 4MM,18522.0,13891.5,,,0
HCPCS,C1776,CP ACE BMN PRSF PLS DPY,5643.0,4232.25,,,0
HCPCS,C1776,CUP ACE UN CTD PR DL SN,4064.0,3048.0,,,0
HCPCS,C1776,CUP ACET 1PC MG M2A ZIM,23395.0,17546.25,,,0
HCPCS,C1776,CUP ACET REGENEREX ZIMM,13063.0,9797.25,,,0
HCPCS,C1776,CUP ACETAB CTD STRYKER,7737.0,5802.75,,,0
HCPCS,C1776,CUP ACETABLR UNCT DEPUY,4618.0,3463.5,,,0
HCPCS,C1776,CUP ACETABULAR (SIZE VARY),7584.0,5688.0,,,0
HCPCS,C1776,CUP ACETABULAR R3 SN,4571.0,3428.25,,,0
HCPCS,C1776,CUP ACETABULR CTD ZIMMR,11333.0,8499.75,,,0
HCPCS,C1776,CUP ACETB GRIPTN CT DPY,4618.0,3463.5,,,0
HCPCS,C1776,CUP ACETB TRITAN STRYKR,9102.0,6826.5,,,0
HCPCS,C1776,CUP ACTB OSSEOT LMT HLE ZIM CL,9636.0,7227.0,,,0
HCPCS,C1776,CUP FEM/ACETAB VARIES,14550.0,10912.5,,,0
HCPCS,C1776,CUP HIP REVISION SN,9903.0,7427.25,,,0
HCPCS,C1776,CUP HIP RSRF ACE BHR SN,11682.0,8761.5,,,0
HCPCS,C1776,CUP HP RV TRNM STRY CAP,17293.0,12969.75,,,0
HCPCS,C1776,CUP SHELL ACETABULAR MULTIHOL,15456.0,11592.0,,,0
HCPCS,C1776,DEPUY MBT STEP WEDGE,9219.0,6914.25,,,0
HCPCS,C1776,DEPUY PINNACLE TOTAL HIP,60642.0,45481.5,,,0
HCPCS,C1776,DIAPHYSEAL SEGMENT IMPLANT,30238.0,22678.5,,,0
HCPCS,C1776,FEM AUGMNT COMP VARY SZ,5450.0,4087.5,,,0
HCPCS,C1776,FEM COMPONENT,24639.0,18479.25,,,0
HCPCS,C1776,FEMORAL COMPONENT,48215.0,36161.25,,,0
HCPCS,C1776,FEMORAL COMPONENT DISTAL XT,42449.0,31836.75,,,0
HCPCS,C1776,FEMORAL COMPONENTS,20381.0,15285.75,,,0
HCPCS,C1776,FEMORAL CR BIOMET INTERLOK,26244.0,19683.0,,,0
HCPCS,C1776,FEMORAL DIST BLOCK,8746.0,6559.5,,,0
HCPCS,C1776,FEMORAL HEAD LFIT V40 STD NECK,6978.0,5233.5,,,0
HCPCS,C1776,FEMORAL POSTERIOR STABILIZED D,44569.0,33426.75,,,0
HCPCS,C1776,FEMORAL STEM STD,20767.0,15575.25,,,0
HCPCS,C1776,FINN POROUS PROXIMAL FEMORAL,36329.0,27246.75,,,0
HCPCS,C1776,FIX MOD GLENOID ZIMMER,2830.0,2122.5,,,0
HCPCS,C1776,GENESIS 11 CONST ART INSERT,12059.0,9044.25,,,0
HCPCS,C1776,GLEN PEG/KEEL/HYBRD TORNIER CL,5945.0,4458.75,,,0
HCPCS,C1776,GLENOID BSPLT EXACTECH,14754.0,11065.5,,,0
HCPCS,C1776,GLENOID CAGED AUG EXACT,11623.0,8717.25,,,0
HCPCS,C1776,GLENOID GLENOSPHERE TORNIER CL,9728.0,7296.0,,,0
HCPCS,C1776,GLENOID PEGGED XL,9382.0,7036.5,,,0
HCPCS,C1776,GLENOSPHERE EXACTECH,7603.0,5702.25,,,0
HCPCS,C1776,GLENOSPHERE TORNIER,34500.0,25875.0,,,0
HCPCS,C1776,GLENOSPHERE ZIMMER,9668.0,7251.0,,,0
HCPCS,C1776,HD FEM CERAM ANY SZ ZIM,9553.0,7164.75,,,0
HCPCS,C1776,HD FEM CERM ANY SZ STRY,6463.0,4847.25,,,0
HCPCS,C1776,HD FEM MAGNUM HD ZIMMER,4550.0,3412.5,,,0
HCPCS,C1776,HD HUM STD OFFS/TECC TRNIER CL,6487.0,4865.25,,,0
HCPCS,C1776,HD HUM STD OFST EC DEPY,10009.0,7506.75,,,0
HCPCS,C1776,HD HUM STD OFST EC EXCT,4973.0,3729.75,,,0
HCPCS,C1776,HEAD BIOLOX C-TPR DLTA,7641.0,5730.75,,,0
HCPCS,C1776,HEAD BIOLOX C-TPR DLTA 280DR32,15162.0,11371.5,,,0
HCPCS,C1776,HEAD BIOLOX ST69 (SIZES VARY),14862.0,11146.5,,,0
HCPCS,C1776,HEAD CERAM SLEEVES,1299.0,974.25,,,0
HCPCS,C1776,HEAD CERAMIC FEMRL ARTICULEZE,27174.0,20380.5,,,0
HCPCS,C1776,HEAD DELTA,6007.0,4505.25,,,0
HCPCS,C1776,HEAD FEM ALL MTL STRYKR,2729.0,2046.75,,,0
HCPCS,C1776,HEAD FEM BIPOLR STRYKER,2729.0,2046.75,,,0
HCPCS,C1776,HEAD FEM METL UNIPLR SN,2032.0,1524.0,,,0
HCPCS,C1776,HEAD FEM TAPER COCR LNG ZMMR,5717.0,4287.75,,,0
HCPCS,C1776,HEAD FEM UNIPOLAR DEPUY,1795.0,1346.25,,,0
HCPCS,C1776,HEAD FEM UNIPOLR STRYKR,2729.0,2046.75,,,0
HCPCS,C1776,HEAD FEM UNIPOLR ZIMMER,4550.0,3412.5,,,0
HCPCS,C1776,HEAD FEMORAL ARTICULEZE 36,6870.0,5152.5,,,0
HCPCS,C1776,HEAD FEMORAL DELTA(SIZES VERY),8685.0,6513.75,,,0
HCPCS,C1776,HEAD FEMORAL IMPLANT,7567.0,5675.25,,,0
HCPCS,C1776,HEAD FEMORAL PCA,10950.0,8212.5,,,0
HCPCS,C1776,HEAD FM CRMC INC OXI SN,4571.0,3428.25,,,0
HCPCS,C1776,HEAD FREEDOM CONSTRAINED,12671.0,9503.25,,,0
HCPCS,C1776,HEAD HIP RESURF BHR SN,24747.0,18560.25,,,0
HCPCS,C1776,HEAD HUM STD OFFST ZIMM,10376.0,7782.0,,,0
HCPCS,C1776,HEAD HUMERAL GLOBAL ADVT DEPUY,14326.0,10744.5,,,0
HCPCS,C1776,HEAD HUMRL RESURF TORNIER CL,17296.0,12972.0,,,0
HCPCS,C1776,HEAD MODULAR BIOMET,10590.0,7942.5,,,0
HCPCS,C1776,HEAD RADIAL COCR,10013.0,7509.75,,,0
HCPCS,C1776,"HEAD, FEMORAL, DEPUU",6790.0,5092.5,,,0
HCPCS,C1776,"HEAD, SELF CENTERING BIPOLAR",10623.0,7967.25,,,0
HCPCS,C1776,"HEAD,BIOLOX-DELTA",14524.0,10893.0,,,0
HCPCS,C1776,HIP CENTRALZR ACC DEPUY,364.0,273.0,,,0
HCPCS,C1776,HIP HEMI ARTHOPLSTY CAP CHRG,23690.0,17767.5,,,0
HCPCS,C1776,HIP HIGH PERFORMANCE CAP CHRG,48271.0,36203.25,,,0
HCPCS,C1776,HIP PART BIPLR CUP ZIMM,3250.0,2437.5,,,0
HCPCS,C1776,HIP PART BIPLR LNR ZIMM,2926.0,2194.5,,,0
HCPCS,C1776,HIP PART SELF CENTR SN,1270.0,952.5,,,0
HCPCS,C1776,HIP PART SLF CENT DEPUY,2195.0,1646.25,,,0
HCPCS,C1776,HIP PART SLF CENT ZIMM,2952.0,2214.0,,,0
HCPCS,C1776,HIP PRIM PROPRIETARY CAP CHRG,57959.0,43469.25,,,0
HCPCS,C1776,HIP PRIMARY CAP CHRG,46360.0,34770.0,,,0
HCPCS,C1776,HIP PRIMARY MAKO CAP CHRG,40286.0,30214.5,,,0
HCPCS,C1776,HIP PRIMARY MODULAR CAP CHRG,13167.0,9875.25,,,0
HCPCS,C1776,HOLE ELIMINATOR APEX,2684.5,2013.375,,,0
HCPCS,C1776,HOW RH AXEL COMP,9313.0,6984.75,,,0
HCPCS,C1776,HOW RH BUMPER COMP,5828.0,4371.0,,,0
HCPCS,C1776,HOW RH TIB SLEEVE,5052.0,3789.0,,,0
HCPCS,C1776,HOW STEM EXT PRESSFIT,7296.0,5472.0,,,0
HCPCS,C1776,HOW TIBIA ROTAT COMPONET,14603.0,10952.25,,,0
HCPCS,C1776,HOWMEDICA RH BUSHING,2347.0,1760.25,,,0
HCPCS,C1776,HUMERAL HEAD IMPLANT,17581.0,13185.75,,,0
HCPCS,C1776,HUMERAL INSERT REVERSE,13272.0,9954.0,,,0
HCPCS,C1776,HUMERAL STEM,22685.0,17013.75,,,0
HCPCS,C1776,IMP BDY PROXIMAL EQUINOX EXACT,65019.0,48764.25,,,0
HCPCS,C1776,IMP COUPLER,5877.0,4407.75,,,0
HCPCS,C1776,IMP FEM CMT REV PERSONA,39862.0,29896.5,,,0
HCPCS,C1776,IMP FEM MD ROTA BUSHNG,1449.0,1086.75,,,0
HCPCS,C1776,IMP FEMORAL AUGMENT,7576.0,5682.0,,,0
HCPCS,C1776,IMP HAMMERTOE,4815.0,3611.25,,,0
HCPCS,C1776,IMP HIP ANCL STRYKR CAP,501.0,375.75,,,0
HCPCS,C1776,IMP HUM HD STB AEQUALS,13116.0,9837.0,,,0
HCPCS,C1776,IMP INSRT BUMPER TRNSTN,2438.0,1828.5,,,0
HCPCS,C1776,IMP INSRT TIB PROX 10MM,5546.0,4159.5,,,0
HCPCS,C1776,IMP MD KNEE AXL HINGE,4966.0,3724.5,,,0
HCPCS,C1776,IMP SHLDR REVRS,8948.0,6711.0,,,0
HCPCS,C1776,IMP SHOULDER CONNECTOR,4476.0,3357.0,,,0
HCPCS,C1776,IMP STEM DIST PARTL CTD,19645.0,14733.75,,,0
HCPCS,C1776,IMP TIB FX NONPOROUS RT,14264.0,10698.0,,,0
HCPCS,C1776,IMP TIB ROTATING,14344.0,10758.0,,,0
HCPCS,C1776,IMP TIB SLEEVE HRHK,2496.0,1872.0,,,0
HCPCS,C1776,IMP TIB TRABECULR CONE,28671.0,21503.25,,,0
HCPCS,C1776,IMP TIBIAL BASEPLATE SM,16034.0,12025.5,,,0
HCPCS,C1776,IMPLANT MPJ HEMI ANATOEMIC,6591.0,4943.25,,,0
HCPCS,C1776,IMPLANT PRODISC MED C,47295.0,35471.25,,,0
HCPCS,C1776,IMPLANT STEM VARIOUS,26636.0,19977.0,,,0
HCPCS,C1776,IMPLANT TOE VARIES SIZE,4744.0,3558.0,,,0
HCPCS,C1776,INS BR PLY CNVNT HGH SN,3808.0,2856.0,,,0
HCPCS,C1776,INS KNEE TS RV STRY CAP,13654.0,10240.5,,,0
HCPCS,C1776,INS LNR BR HUM VITA E,13677.0,10257.75,,,0
HCPCS,C1776,INSBR MDPVDB HG PRM MCR,4062.0,3046.5,,,0
HCPCS,C1776,INSERT ARTICULAR JOURNEY,11431.0,8573.25,,,0
HCPCS,C1776,INSERT HUMERAL,8485.0,6363.75,,,0
HCPCS,C1776,INSERT KNEE REVISION SN,7618.0,5713.5,,,0
HCPCS,C1776,INSERT POLARCUP XLPE NONCEMENT,6771.0,5078.25,,,0
HCPCS,C1776,INSERT TIBIAL ARTICULAR SZ VRY,31238.0,23428.5,,,0
HCPCS,C1776,INSERT TORNIER,9175.0,6881.25,,,0
HCPCS,C1776,INSERT TRDT CRSSFIRE 32,5182.0,3886.5,,,0
HCPCS,C1776,INSERT TRIATHLON TIBIAL BEARN,16657.0,12492.75,,,0
HCPCS,C1776,INSERT TRIDENT X3 0 DEGREE,17698.0,13273.5,,,0
HCPCS,C1776,INSERT TRIDENT X3 10 DEG 36MM,14129.0,10596.75,,,0
HCPCS,C1776,"INSERT, TIBIA PS",13836.0,10377.0,,,0
HCPCS,C1776,INSRT BEARNG TIB RP,4062.0,3046.5,,,0
HCPCS,C1776,INSRT HUM LNR BEAR ZIMM,6838.0,5128.5,,,0
HCPCS,C1776,INSRT HUM LNR BEARN TORNIER CL,5404.0,4053.0,,,0
HCPCS,C1776,INSRT HUM LNR BR EXACT,4765.0,3573.75,,,0
HCPCS,C1776,INSRT PHALAGEAL,9145.0,6858.75,,,0
HCPCS,C1776,INSRT/BEAR FLX CONG ZIM,9748.0,7311.0,,,0
HCPCS,C1776,INSRT/BEAR PLY CNV STRY,5463.0,4097.25,,,0
HCPCS,C1776,INSRT/BEAR POLY X3 STRY,9102.0,6826.5,,,0
HCPCS,C1776,INSRT/BEAR VIVAC E ZIMM,13647.0,10235.25,,,0
HCPCS,C1776,INSRT/BR CRSSLK XLPE SN,5078.0,3808.5,,,0
HCPCS,C1776,INSRT/BR VIT E AOX DPY,3592.0,2694.0,,,0
HCPCS,C1776,KIT BOLT & SLEEVE LEGION HK,6978.0,5233.5,,,0
HCPCS,C1776,KNE UNI ACC GEN INSR SN,3681.0,2760.75,,,0
HCPCS,C1776,KNE UNI EIU PRK TB STRY,8830.0,6622.5,,,0
HCPCS,C1776,KNE UNI FEM 3PC DEPUY,7182.0,5386.5,,,0
HCPCS,C1776,KNE UNI FLX TB VIV ZIMM,16897.0,12672.75,,,0
HCPCS,C1776,KNE UNI MCK FEMUR STRYK,12743.0,9557.25,,,0
HCPCS,C1776,KNE UNI MCK INSRT STRYK,5463.0,4097.25,,,0
HCPCS,C1776,KNE UNI MCK TIB STRYKER,8830.0,6622.5,,,0
HCPCS,C1776,KNE UNI OXFRD POLY ZIM,13322.0,9991.5,,,0
HCPCS,C1776,KNE UNI PKR UNI FM STRY,12743.0,9557.25,,,0
HCPCS,C1776,KNE UNI PKR X3 EIU STRY,9102.0,6826.5,,,0
HCPCS,C1776,KNE UNI POLY INS RP DPY,4490.0,3367.5,,,0
HCPCS,C1776,KNE UNI TIB BAS RP DPY,5130.0,3847.5,,,0
HCPCS,C1776,KNEE ARTICULAR SURFACE,8471.0,6353.25,,,0
HCPCS,C1776,KNEE EXTNSN STEM ZIMMER,11698.0,8773.5,,,0
HCPCS,C1776,KNEE FIXED BEARING CAP CHRG,28439.0,21329.25,,,0
HCPCS,C1776,KNEE PRIM PROPRIETARY CAP CHRG,31679.0,23759.25,,,0
HCPCS,C1776,KNEE PRIM TOTALLEGION CAP CHRG,39341.0,29505.75,,,0
HCPCS,C1776,KNEE PRIMARY CAP CHRG,46360.0,34770.0,,,0
HCPCS,C1776,KNEE PRIMARY MAKO CAP CHRG,36022.0,27016.5,,,0
HCPCS,C1776,LINER ACET BIOMET,7429.0,5571.75,,,0
HCPCS,C1776,LINER ACET R3 CO-CR S&N,18433.0,13824.75,,,0
HCPCS,C1776,LINER ACETAB POLY STRYK,4369.0,3276.75,,,0
HCPCS,C1776,LINER ACETABULAR,12471.0,9353.25,,,0
HCPCS,C1776,LINER ACETABULAR POLYETHYLENE,27748.0,20811.0,,,0
HCPCS,C1776,LINER CEMENTLESS MDM,27855.0,20891.25,,,0
HCPCS,C1776,LINER FREEDOM STD FACE,13379.0,10034.25,,,0
HCPCS,C1776,LINER HIP REVISION SN,11097.0,8322.75,,,0
HCPCS,C1776,LINR ACET BI MNTM DEPUY,4872.0,3654.0,,,0
HCPCS,C1776,LNR ACE MTL CR BI R3 SN,3175.0,2381.25,,,0
HCPCS,C1776,LNR ACE PLY MAR ALT DPY,3847.0,2885.25,,,0
HCPCS,C1776,LNR ACET CONTRAIN STRYK,10013.0,7509.75,,,0
HCPCS,C1776,LNR ACET HI CRSLNK ZIMM,9748.0,7311.0,,,0
HCPCS,C1776,LNR ACET MDM MTL STRYKR,8191.0,6143.25,,,0
HCPCS,C1776,LNR ACET MTL CERAM STRY,6827.0,5120.25,,,0
HCPCS,C1776,LNR ACET POLY X3 STRYKR,6827.0,5120.25,,,0
HCPCS,C1776,LNR ACET VIVA E PLY ZIM,13063.0,9797.25,,,0
HCPCS,C1776,LNR ACET X3 MBL BR STRY,6827.0,5120.25,,,0
HCPCS,C1776,MBT REV CEMENTED TRAY 2.5SZ,28162.0,21121.5,,,0
HCPCS,C1776,METAPHYSIS TORNIER,17644.0,13233.0,,,0
HCPCS,C1776,MOD ROTATE HINGE KNEE FEM COMP,26169.0,19626.75,,,0
HCPCS,C1776,MOD ROTATE HINGE KNEE TIB BASE,28704.0,21528.0,,,0
HCPCS,C1776,MOD ROTATE HINGE TIBIAL INSERT,10345.0,7758.75,,,0
HCPCS,C1776,MODULAR FEMORAL COMPONENT,14005.0,10503.75,,,0
HCPCS,C1776,MOLD SPACER CEMENT HIP STEM,9782.0,7336.5,,,0
HCPCS,C1776,MRH/GMRS DISTAL FEMUR POLYPACK,11086.0,8314.5,,,0
HCPCS,C1776,NEXGEN ARTC SURFACE W/POST EXT,10294.0,7720.5,,,0
HCPCS,C1776,NEXGEN DIST FEM AUGMENT BLOCK,14458.0,10843.5,,,0
HCPCS,C1776,NEXGEN FEM COMP ROTATING HINGE,71800.0,53850.0,,,0
HCPCS,C1776,NEXGEN STEM EXTENSION,8710.0,6532.5,,,0
HCPCS,C1776,NEXGEN TIB COMP ROTATING HINGE,34685.0,26013.75,,,0
HCPCS,C1776,NEXGEN TIB FULL BLOCK AUGMENT,13124.0,9843.0,,,0
HCPCS,C1776,PATELA PERS PROLNG ZIMM,3250.0,2437.5,,,0
HCPCS,C1776,PATELLA ANY X3 MCK STRY,2276.0,1707.0,,,0
HCPCS,C1776,PATELLA ATTN POLY DEPUY,2051.0,1538.25,,,0
HCPCS,C1776,PATELLA DOME ROUND,9611.0,7208.25,,,0
HCPCS,C1776,PATELLA GENESIS II RSRF OVAL,9959.0,7469.25,,,0
HCPCS,C1776,PATELLA METAL MICROPORT,2540.0,1905.0,,,0
HCPCS,C1776,PATELLA MTL/PLY/JRNY SN,1016.0,762.0,,,0
HCPCS,C1776,PATELLA NEXGEN POLY,3033.0,2274.75,,,0
HCPCS,C1776,PATELLA OVAL DOME 3 PEG,8626.0,6469.5,,,0
HCPCS,C1776,PATELLA POLY MICROPORT,2540.0,1905.0,,,0
HCPCS,C1776,PATELLA POLY RP DEPUY,1795.0,1346.25,,,0
HCPCS,C1776,PATELLA POLY STRYKER,1366.0,1024.5,,,0
HCPCS,C1776,PATELLA SCORPIO 9,6059.0,4544.25,,,0
HCPCS,C1776,PATELLA SINGLE W/PEG ARCOM,1487.0,1115.25,,,0
HCPCS,C1776,PATELLA TM MTL POLY ZIM,6497.0,4872.75,,,0
HCPCS,C1776,PATELLA TRIATHLON X3 ASYMMETRI,9210.0,6907.5,,,0
HCPCS,C1776,PATELLA TRIATHLONX3 STRYKER,8832.0,6624.0,,,0
HCPCS,C1776,PEG TRIATHLON FEMORAL DISTAL,3765.0,2823.75,,,0
HCPCS,C1776,PFC FEM/TIB FLUTED STEM EXTEN,10113.0,7584.75,,,0
HCPCS,C1776,PINNACLE ACETABULAR CUP,21992.0,16494.0,,,0
HCPCS,C1776,POLY PATELLA,2540.0,1905.0,,,0
HCPCS,C1776,POST HYBRID GLEN  REGENEREX,6701.0,5025.75,,,0
HCPCS,C1776,PROS HUMERAL COMPONENT,38155.0,28616.25,,,0
HCPCS,C1776,PROSTALAC HIP STEM,16881.0,12660.75,,,0
HCPCS,C1776,PTLLA KNEE UNI STRY CAP,3187.0,2390.25,,,0
HCPCS,C1776,RESTORATION MODULAR HIP SYSTEM,44353.0,33264.75,,,0
HCPCS,C1776,S&N LEGION OFFSET COUPLER,6914.0,5185.5,,,0
HCPCS,C1776,S&N LEGION OX CONSTR FEM COMP,56682.0,42511.5,,,0
HCPCS,C1776,SCORPIO TIBIAL STABILIZER,17528.0,13146.0,,,0
HCPCS,C1776,SEGMENT COMPONENT,7084.0,5313.0,,,0
HCPCS,C1776,SEGMENT W/MALE/FEMALE TAPER,18394.0,13795.5,,,0
HCPCS,C1776,SHELL ACETABULAR,23012.0,17259.0,,,0
HCPCS,C1776,SHELL HEMI CLUSTER VARIES,16400.0,12300.0,,,0
HCPCS,C1776,SHELL R3 STIKTITE S&N,16592.0,12444.0,,,0
HCPCS,C1776,SHELL TRIDENT HEMI,27493.0,20619.75,,,0
HCPCS,C1776,SHOULDER PARTIAL PRIM CAP CHRG,29588.0,22191.0,,,0
HCPCS,C1776,SHOULDER REVERSE PRIM CAP CHRG,51555.5,38666.625,,,0
HCPCS,C1776,SHOULDER TOTAL PRIMRY CAP CHRG,35105.0,26328.75,,,0
HCPCS,C1776,SHOULDER-GLENOID COMPONENT,6315.0,4736.25,,,0
HCPCS,C1776,SIGMA  INSERT TC3 STABILIZED,11750.0,8812.5,,,0
HCPCS,C1776,SIGMA INSERT STABILIZED,17644.0,13233.0,,,0
HCPCS,C1776,SIGMA TC3 RP TIB INSERT 2.5SZ,11168.0,8376.0,,,0
HCPCS,C1776,SLEEVE ADAPTER UNIV C STRYKR,1727.0,1295.25,,,0
HCPCS,C1776,SLEEVE CERAMIC OPT TYPE 1 TPR,1655.0,1241.25,,,0
HCPCS,C1776,SLEEVE PROXIMAL DEPUY,11634.0,8725.5,,,0
HCPCS,C1776,SPACER HUM OR TRY ZIMM,11789.0,8841.75,,,0
HCPCS,C1776,SPACER SHOULDER W/BONE CEMENT,27970.0,20977.5,,,0
HCPCS,C1776,STEM DISTAL CONICAL STRAIGHT,13408.0,10056.0,,,0
HCPCS,C1776,STEM EXT NEXGEN OFFSET ZMMR,11367.0,8525.25,,,0
HCPCS,C1776,STEM EXT SEGMENTAL STRAIGHT,20426.0,15319.5,,,0
HCPCS,C1776,STEM EXT STRAIGHT,8598.0,6448.5,,,0
HCPCS,C1776,STEM FEM COATD HA ZIMMR,11809.0,8856.75,,,0
HCPCS,C1776,STEM FEM COATED STRYKER,16840.0,12630.0,,,0
HCPCS,C1776,STEM FEM CT HA PA STRYK,9399.0,7049.25,,,0
HCPCS,C1776,STEM FEM FRACTR STRYKER,7063.0,5297.25,,,0
HCPCS,C1776,STEM FEM FRACTR ZIMMER,8272.0,6204.0,,,0
HCPCS,C1776,STEM FEM FRACTRE STM SN,4316.0,3237.0,,,0
HCPCS,C1776,STEM FEM FRACTUR DEPUY,5643.0,4232.25,,,0
HCPCS,C1776,STEM FEM MOD SLV NK DPY,1540.0,1155.0,,,0
HCPCS,C1776,STEM FEM UNCOATD STRYKR,13200.0,9900.0,,,0
HCPCS,C1776,STEM FEM UNCOATED DEPUY,6895.0,5171.25,,,0
HCPCS,C1776,STEM FEMORAL,4829.0,3621.75,,,0
HCPCS,C1776,STEM FEMORAL COATED SN,9650.0,7237.5,,,0
HCPCS,C1776,STEM FEMORAL POROUS SZ VARY,39861.0,29895.75,,,0
HCPCS,C1776,STEM HIP MODULAR REV,23395.0,17546.25,,,0
HCPCS,C1776,STEM HIP REVISION SN,15237.0,11427.75,,,0
HCPCS,C1776,STEM HIP STRAIGHT STRYKER,29118.0,21838.5,,,0
HCPCS,C1776,STEM HUM CT UNCEM DEPUY,14181.0,10635.75,,,0
HCPCS,C1776,STEM HUM CT UNCEM EXACT,16614.0,12460.5,,,0
HCPCS,C1776,STEM HUM CTD UNCEM ZIMM,25468.0,19101.0,,,0
HCPCS,C1776,STEM HUM FRCT REV DEPUY,15014.0,11260.5,,,0
HCPCS,C1776,STEM HUM UNCT CEM ZIMM,25468.0,19101.0,,,0
HCPCS,C1776,STEM HUMERAL AEQUALIS SHOULDER,59231.0,44423.25,,,0
HCPCS,C1776,STEM HUMERAL CEMENTLESS,16341.0,12255.75,,,0
HCPCS,C1776,STEM HUMERAL GLOBAL ADV PC,36927.0,27695.25,,,0
HCPCS,C1776,STEM HUMERAL PRESS-FIT,16341.0,12255.75,,,0
HCPCS,C1776,STEM HUMRL COATD TORNIER CL,14594.0,10945.5,,,0
HCPCS,C1776,STEM HUMRL FRACTURE TORNIER CL,13891.0,10418.25,,,0
HCPCS,C1776,STEM HUMRL METAPHYS TORNIER CL,5351.0,4013.25,,,0
HCPCS,C1776,STEM HUMRL UNCOATD TORNIER CL,11729.0,8796.75,,,0
HCPCS,C1776,STEM KNE EXTN STRYK CAP,4551.0,3413.25,,,0
HCPCS,C1776,STEM KNEE EXT CTD DEPUY,5576.0,4182.0,,,0
HCPCS,C1776,STEM KNEE EXTENSION SN,4571.0,3428.25,,,0
HCPCS,C1776,STEM RADIAL EVOLVE,11978.0,8983.5,,,0
HCPCS,C1776,STEM SECURE FIT 7 (SIZES VARY),28226.0,21169.5,,,0
HCPCS,C1776,STEM TIB MODULAR,26194.0,19645.5,,,0
HCPCS,C1776,STM KNEE EXTN UNCTD DPY,3078.0,2308.5,,,0
HCPCS,C1776,SYSM ELBOW IMPLANT TOGGLELOC,12559.0,9419.25,,,0
HCPCS,C1776,TIB BEARING INSERT 4(SIZES VAR,18504.0,13878.0,,,0
HCPCS,C1776,TIBIAL AUGMENT FULL BLOCK,10521.0,7890.75,,,0
HCPCS,C1776,TIBIAL BEARING BIOMET VANGUARD,10659.0,7994.25,,,0
HCPCS,C1776,TIBIAL COMP SYSTEM SM,45721.0,34290.75,,,0
HCPCS,C1776,TIBIAL CONE TRABECLNK,52667.0,39500.25,,,0
HCPCS,C1776,TIBIAL INSERT COMPONET,12337.0,9252.75,,,0
HCPCS,C1776,TIBIAL INSERT STABILIZER,20194.0,15145.5,,,0
HCPCS,C1776,TIBIAL MBT TRAY CEMENTED,35929.0,26946.75,,,0
HCPCS,C1776,TIBIAL STEMMED COMPONENT,16341.0,12255.75,,,0
HCPCS,C1776,TIBIAL TRAY MODULAR 2.5,28134.5,21100.875,,,0
HCPCS,C1776,TIBIAL TRAY STD SERIES 7000,15117.0,11337.75,,,0
HCPCS,C1776,TIBL KNEE TRY REVSN SN,12062.0,9046.5,,,0
HCPCS,C1776,TORNIER CEMENTED HUMERAL STEM,29033.0,21774.75,,,0
HCPCS,C1776,TOT KNEE DISTAL FEMORAL BLK 10,4991.0,3743.25,,,0
HCPCS,C1776,TOTAL KNEE 10MM INSERT,7885.0,5913.75,,,0
HCPCS,C1776,TOTAL KNEE REV STEM EXTENDER,7587.0,5690.25,,,0
HCPCS,C1776,TRABECULAR METAL STEM COLLAR,22387.5,16790.625,,,0
HCPCS,C1776,TRIATHLON ASYMMETRIC PATELLA,6212.0,4659.0,,,0
HCPCS,C1776,TRIATHLON CR FEMUR IMPLANT,24261.0,18195.75,,,0
HCPCS,C1776,TRIATHLON STEM,9071.0,6803.25,,,0
HCPCS,C1776,TRIATHLON TIBIAL BASEPLATE,21667.0,16250.25,,,0
HCPCS,C1776,TRIDENT ALUMINA INSERT,20675.0,15506.25,,,0
HCPCS,C1776,TRIDENT POLYETHYLEN HIP INSERT,7666.0,5749.5,,,0
HCPCS,C1776,TRIDENT PSL HA CLUSTER C-H,16571.0,12428.25,,,0
HCPCS,C1776,TRY SPCE HUM REV TM ZIM,5659.0,4244.25,,,0
HCPCS,C1776,UNIVERSAL BASEPLATE,12696.0,9522.0,,,0
HCPCS,C1776,VARIABLE STIFF STEM EXTENSION,37192.0,27894.0,,,0
HCPCS,C1776,VERSA-DIAL TAPER,1888.0,1416.0,,,0
HCPCS,C1776,ZIMMER ARTICULAR SURFACE (LPS),11537.0,8652.75,,,0
HCPCS,C1776,ZIMMER VERSYS FEMORAL HEAD,4515.0,3386.25,,,0
HCPCS,C1777,LD DFB RELIANCE S END DF4 0272,18838.0,14128.5,,,0
HCPCS,C1777,LD DFB SPRNT QUATR 6935M,16296.0,12222.0,,,0
HCPCS,C1777,LEAD DEFIB V-SPRINT 6932,56829.0,42621.75,,,0
HCPCS,C1777,LEAD DEFIB V-SPRINT 6943,70885.0,53163.75,,,0
HCPCS,C1777,LEAD ICD VARIES,27913.0,20934.75,,,0
HCPCS,C1777,LEAD-MEDTRONIC DEBFIB 6931,41710.0,31282.5,,,0
HCPCS,C1778,DBS LEAD KIT 3387-40,16863.0,12647.25,,,0
HCPCS,C1778,KT SPRINT PNS SNGL LEAD SYS,24993.0,18744.75,,,0
HCPCS,C1778,LD NSTIM NALU 72006,5047.0,3785.25,,,0
HCPCS,C1778,LEAD ELECTODE 2.0MM,43345.0,32508.75,,,0
HCPCS,C1778,LEAD KIT,27701.0,20775.75,,,0
HCPCS,C1778,LEAD KIT INTERSTIM TINED,32988.0,24741.0,,,0
HCPCS,C1778,LEAD SENSING RESPIRATORY,22119.0,16589.25,,,0
HCPCS,C1778,LEAD STIMULATION ARRAY,14144.0,10608.0,,,0
HCPCS,C1778,LEAD VAGUS NERVE,53708.0,40281.0,,,0
HCPCS,C1778,"LEAD, NEUROSTIMULATOR",17047.0,12785.25,,,0
HCPCS,C1778,NEUROSTIMULATOR TRIAL LEAD,12438.0,9328.5,,,0
HCPCS,C1779,"LEAD,STYLET",354.0,265.5,,,0
HCPCS,C1781,IMP MESH DURASORB,33805.0,25353.75,,,0
HCPCS,C1781,IMPLANT CRANIAL PEEK LRG,70386.0,52789.5,,,0
HCPCS,C1781,IMPLANT MEDPOR SHEET 8438,2499.0,1874.25,,,0
HCPCS,C1781,KLS MESH PANEL 1.0MM,10166.0,7624.5,,,0
HCPCS,C1781,MESH BARD,2412.0,1809.0,,,0
HCPCS,C1781,MESH BARD 0115311-0115321,1727.0,1295.25,,,0
HCPCS,C1781,MESH BARD 3DMAX,1611.0,1208.25,,,0
HCPCS,C1781,MESH BARD MD LT/RT0115310/5320,844.0,633.0,,,0
HCPCS,C1781,MESH COMPOSITE PARIETEX VARIES,7957.0,5967.75,,,0
HCPCS,C1781,MESH COMPOSIX BARD 0134113,13217.0,9912.75,,,0
HCPCS,C1781,MESH GYNEMESH GPSL,1935.0,1451.25,,,0
HCPCS,C1781,MESH HERNIA RECTANGLE,43028.0,32271.0,,,0
HCPCS,C1781,MESH KLS TI 3D ALL SZ,15408.0,11556.0,,,0
HCPCS,C1781,MESH KUGEL STOMA 0118001-004,11291.0,8468.25,,,0
HCPCS,C1781,MESH PARIETEX,3777.0,2832.75,,,0
HCPCS,C1781,MESH PARIETEX PROGRIP,2394.0,1795.5,,,0
HCPCS,C1781,MESH PARIETEX RESORB 37 X28CM,20426.0,15319.5,,,0
HCPCS,C1781,MESH PERFIX 5M/MEA,1305.0,978.75,,,0
HCPCS,C1781,MESH PHASIX SQUARE RESORB,11293.0,8469.75,,,0
HCPCS,C1781,MESH PLUG BARD 0112980 XLARGE,2414.0,1810.5,,,0
HCPCS,C1781,MESH PROLENE 6 X 6 PMH,452.0,339.0,,,0
HCPCS,C1781,MESH PROLENE HERNIA PHSM,5363.0,4022.25,,,0
HCPCS,C1781,MESH PRS RSRBABLE PLYMR OVITEX,53153.0,39864.75,,,0
HCPCS,C1781,MESH RESORB PHASIX,28838.0,21628.5,,,0
HCPCS,C1781,MESH RESORB PHASIX ST 15X20CM,37113.0,27834.75,,,0
HCPCS,C1781,MESH SEPRA COMPOS 4X8 SMBC-480,2573.0,1929.75,,,0
HCPCS,C1781,MESH SIZES VARY,7328.0,5496.0,,,0
HCPCS,C1781,MESH SURG IMPLT TIS (SIZ VARY),51197.0,38397.75,,,0
HCPCS,C1781,MESH SYMBOTEX RECTANGLE 30CM,12026.0,9019.5,,,0
HCPCS,C1781,MESH ULTRAPRO,404.0,303.0,,,0
HCPCS,C1781,MESH ULTRAPRO UHSL,1837.0,1377.75,,,0
HCPCS,C1781,MESH VENTRALIGHT STRAIGHT LP,10674.0,8005.5,,,0
HCPCS,C1781,MESN PERFIX 0112970,4485.0,3363.75,,,0
HCPCS,C1781,PATCH GORE 132603402A,26185.0,19638.75,,,0
HCPCS,C1781,PATCH HEMASHIELD VAIRES,1806.0,1354.5,,,0
HCPCS,C1781,PATCH HERNIA VENTRIO,5996.0,4497.0,,,0
HCPCS,C1781,PATCH HERNIA VENTRIO LRG,10314.0,7735.5,,,0
HCPCS,C1781,PATCH OUTFLOW TRACT 2X4,932.0,699.0,,,0
HCPCS,C1781,PATCH VASCUGARD VG-0108,1226.0,919.5,,,0
HCPCS,C1781,"PATCH,SOFT TISSUE,2MM X 10 X15",8729.0,6546.75,,,0
HCPCS,C1781,PATCHGORE-1320030020,9777.0,7332.75,,,0
HCPCS,C1781,PROLENE MESH 12X12,1083.0,812.25,,,0
HCPCS,C1781,PROLENE MESH 21/2X41/2,352.0,264.0,,,0
HCPCS,C1781,SEAMGUARD 60 12BSGEC60,3371.0,2528.25,,,0
HCPCS,C1781,TISSUE REINFORCEMENT GORE 7CM,2965.0,2223.75,,,0
HCPCS,C1781,VENTRALEX HERNIA PATCH,4995.0,3746.25,,,0
HCPCS,C1781,VICRYL KNITTED SURGICAL MESH,1773.0,1329.75,,,0
HCPCS,C1782,MORCELLATOR INTRAUTERINE,6007.0,4505.25,0.03,1.0,10
HCPCS,C1782,MORCELLATOR TRUCLEAR ULTRA,7576.0,5682.0,0.03,1.0,10
HCPCS,C1783,AHMED VALVE,4064.0,3048.0,,,0
HCPCS,C1783,DVC MICROSTENT HYDRUS,9968.0,7476.0,,,0
HCPCS,C1783,MINI SHUNT GLAUCOMA,18479.0,13859.25,,,0
HCPCS,C1783,MOLTENO SINGLE IMPLANT,2704.0,2028.0,,,0
HCPCS,C1783,SYS ISTENT INJ TRBCLR MCRO-BYP,10938.0,8203.5,,,0
HCPCS,C1785,GENERATOR ADVISA DR MRI,41021.0,30765.75,,,0
HCPCS,C1785,PACEMAKER DUAL CHAMBER,83311.0,62483.25,,,0
HCPCS,C1785,PACEMAKER DUAL CHAMBER REPLY,34000.0,25500.0,,,0
HCPCS,C1785,PACEMAKER DUAL CHAMBER-R,79096.0,59322.0,,,0
HCPCS,C1785,PACEMAKER ESSENTIO MRI DR,147066.0,110299.5,,,0
HCPCS,C1785,"PACEMAKER,CLARITY DR 860",81423.0,61067.25,,,0
HCPCS,C1785,"PACEMAKER,DIAMOND II DR 820 E",78176.0,58632.0,,,0
HCPCS,C1785,PACEMAKER-ST JUDE-INTGRTY 5346,54217.0,40662.75,,,0
HCPCS,C1785,PCMKR SYS-ST JUDE-IDNTTY 5370,61102.0,45826.5,,,0
HCPCS,C1785,PM ACCOLADE DR MRI L311,21096.0,15822.0,,,0
HCPCS,C1785,PM ASSURITY MRI PM2272,22065.0,16548.75,,,0
HCPCS,C1786,GENERATOR ADVISA SR MRI,21810.0,16357.5,,,0
HCPCS,C1786,PACEMAKER SINGLE CHAMBER-R,65437.0,49077.75,,,0
HCPCS,C1786,"PACEMAKER,CLARITY SR 560",67091.0,50318.25,,,0
HCPCS,C1786,SYS TRANSCATH PACE MICRA AV,55991.0,41993.25,,,0
HCPCS,C1787,PROGRAMMER PATIENT 3031A,10100.0,7575.0,,,0
HCPCS,C1787,PROGRAMMER PATIENT INTERSTIM,11617.0,8712.75,,,0
HCPCS,C1788,CATHETER PORT-A-CATH 21-4572,2457.0,1842.75,,,0
HCPCS,C1788,PORT PERITONEAL TI W/CATH,1453.0,1089.75,,,0
HCPCS,C1788,PORT VASC ACCESS VARIES,3112.0,2334.0,,,0
HCPCS,C1788,PORT VORTEX MP SYSTEM,3766.0,2824.5,,,0
HCPCS,C1788,PORT-A-CATH,4398.0,3298.5,,,0
HCPCS,C1788,PORT-A-CATH II LOW PROFILE,5124.0,3843.0,,,0
HCPCS,C1788,PORT-INDWELLING C1788,3253.0,2439.75,,,0
HCPCS,C1789,BREAST IMPLANT,8141.0,6105.75,,,0
HCPCS,C1789,BREAST IMPLANT MENTOR VAR SIZE,9785.0,7338.75,,,0
HCPCS,C1789,BREAST IMPLANT SILICONE,8707.0,6530.25,,,0
HCPCS,C1789,EXPANDER BREAST MENTOR/MCGHAN,6378.0,4783.5,,,0
HCPCS,C1789,"EXPANDER, TISSUE",5681.0,4260.75,,,0
HCPCS,C1789,IMP BRST SALINE SMTH RND 68LP,1661.0,1245.75,,,0
HCPCS,C1789,IMPLANT BREAST MENTOR VARIES,11723.0,8792.25,,,0
HCPCS,C1789,IMPLANT BREAST SALINE,5598.0,4198.5,,,0
HCPCS,C1789,IMPLANT BREAST STYLE 68LP,5701.0,4275.75,,,0
HCPCS,C1789,MAMMARY PROSTHESIS RND SALINE,5862.0,4396.5,,,0
HCPCS,C1789,MENTOR BREAST IMPLANTS,8673.0,6504.75,,,0
HCPCS,C1789,MENTOR TISSUE EXPANDER,5035.0,3776.25,,,0
HCPCS,C1789,NATRELLE BREAST IMPLANT,4405.0,3303.75,,,0
HCPCS,C1789,TISSUE EXPAND CONNECTOR,244.0,183.0,,,0
HCPCS,C1789,TISSUE EXPANDER,13629.0,10221.75,,,0
HCPCS,C1789,TISSUE EXPANDER PMT,13429.0,10071.75,,,0
HCPCS,C1789,TISSUE EXPANDER STYLE SFS,5035.0,3776.25,,,0
HCPCS,C1789,TISSUE EXPANDER VARIOUS,8053.0,6039.75,,,0
HCPCS,C1813,AMBICOR PENL PROS AMS 72401452,66985.0,50238.75,,,0
HCPCS,C1813,AMS 700 RESERVOIR IZ,13176.0,9882.0,,,0
HCPCS,C1813,AMS 700 ULTREX PLUS RESERVOIR,10345.0,7758.75,,,0
HCPCS,C1813,AMS 700CX PROSTH WITH PUMP IZ,61508.0,46131.0,,,0
HCPCS,C1813,AMS AMBICOR PENILE PROSTHESIS,70364.0,52773.0,,,0
HCPCS,C1813,AMS IZ EXTENDERS PENILE PROSTH,1420.0,1065.0,,,0
HCPCS,C1813,AMS PENILE PROSTH 700 PRECONN,46805.0,35103.75,,,0
HCPCS,C1813,CYLINDER SCROTAL,38436.0,28827.0,,,0
HCPCS,C1813,IMPLANT PENILE MENTOR TITAN,46657.0,34992.75,,,0
HCPCS,C1813,PROSTHES 100ML RESERV 72402960,10958.0,8218.5,,,0
HCPCS,C1813,RESERVOIR TITAN BIOFLEX,13126.0,9844.5,,,0
HCPCS,C1815,BALLOON AMS SPHINCTER PRSR REG,6950.0,5212.5,,,0
HCPCS,C1815,PROS AMS URI SPHI OCCLUS CUFF,20245.0,15183.75,,,0
HCPCS,C1815,PUMP AMS INHIBIZONE SPHINCTER,35452.0,26589.0,,,0
HCPCS,C1815,SPHINCTER CUFF OCC 4.0CM AMS,7274.0,5455.5,,,0
HCPCS,C1817,CS-CARDIOSEAL C1817,24742.0,18556.5,,,0
HCPCS,C1820,GENERATOR PULSE IMPLT W/CHRGR,50335.0,37751.25,,,0
HCPCS,C1821,CAGE SYNMESH VARIOUS SYNTHES,5211.0,3908.25,,,0
HCPCS,C1824,"GENERATOR, CCM, IMPLANT",,,1.0,16.13,90
HCPCS,C1830,POWER BONE MARROW BX NEEDLE,729.0,546.75,0.03,16.13,95
HCPCS,C1831,PERSONALIZED INTERBODY CAGE,,,1.0,16.13,90
HCPCS,C1832,AUTO CELL PROCESS SYS,,,1.0,16.13,90
HCPCS,C1833,CARDIAC MONITOR SYS,,,1.0,16.13,90
HCPCS,C1839,IRIS PROSTHESIS,,,1.0,16.13,90
HCPCS,C1840,TELESCOPIC INTRAOCULAR LENS,,,0.03,16.13,95
HCPCS,C1874,ENDOPROSTHESIS VIABAHN GORE,34848.0,26136.0,,,0
HCPCS,C1874,GORE VIABAHN ENDORPROSTHESIS,22041.0,16530.75,,,0
HCPCS,C1874,GRAFT ENDOPRO VIABAHN,43889.0,32916.75,,,0
HCPCS,C1874,GRAFT STENT ENDOVAS FLAIR,23650.0,17737.5,,,0
HCPCS,C1874,GRAFT STENT VASC BIFUR/AUI,69260.0,51945.0,,,0
HCPCS,C1874,GRFT DISSECT ENDO ZEN TX2 PRF,89885.0,67413.75,,,0
HCPCS,C1874,IMPLANT VIABAHN ENDOPROSTHESIS,19633.0,14724.75,,,0
HCPCS,C1874,STENT AXIOS W/DELIVERY SYSTEM,36595.0,27446.25,,,0
HCPCS,C1874,STENT C1874,22745.0,17058.75,,,0
HCPCS,C1874,STENT ESOPH COVERED WALLFLEX,24633.0,18474.75,,,0
HCPCS,C1874,STENT ESOPH EVOLUT PART COVER,13036.0,9777.0,,,0
HCPCS,C1874,STENT ESOPHAGEAL,23022.0,17266.5,,,0
HCPCS,C1874,STENT ESOPHAGEAL/BILIARY,13778.0,10333.5,,,0
HCPCS,C1874,STENT ICAST COVERED,11770.0,8827.5,,,0
HCPCS,C1874,STENT ICAST TRACH/BRONCHIAL,23909.0,17931.75,,,0
HCPCS,C1874,STENT RESOLUTE ZOTAROLIMUS,4934.0,3700.5,,,0
HCPCS,C1874,STENT TRACHEOBRONCHIAL AERO,11632.0,8724.0,,,0
HCPCS,C1874,STENT TRACHEOBRONCHIAL BOS SCI,19862.0,14896.5,,,0
HCPCS,C1874,STENT TRACHEOBRONCHIAL FTM0XX4,21279.0,15959.25,,,0
HCPCS,C1874,STENT VASCULAR TIGRIS,10857.0,8142.75,,,0
HCPCS,C1874,STENT VIABAHN ENDOPROSTH 10CM,26017.0,19512.75,,,0
HCPCS,C1874,STENT VIABAHN ENDOPROSTH 5CM,21668.0,16251.0,,,0
HCPCS,C1874,STENT W/DELIVERY SYSTEM COVERE,15947.0,11960.25,,,0
HCPCS,C1874,STENT-CORDIS-CYPHER,32407.0,24305.25,,,0
HCPCS,C1874,STENT-DRUG-ELUT W/DELSYS C1874,32168.0,24126.0,,,0
HCPCS,C1874,STENT-JOMED JOSTENT 9-26MM,32168.0,24126.0,,,0
HCPCS,C1874,STNT C/CV SYNERGY,20904.0,15678.0,,,0
HCPCS,C1874,STNT C/CV SYNERGY LRG,20904.0,15678.0,,,0
HCPCS,C1874,STNT CATH COVERED PAPYRUS,23992.0,17994.0,,,0
HCPCS,C1874,STNT ESOPH ENDOMAXX FCVR,11627.0,8720.25,,,0
HCPCS,C1874,STNT VAS CVR BLN LIFESTREAM,15337.0,11502.75,,,0
HCPCS,C1874,SYS STNT AXIOS,27349.0,20511.75,,,0
HCPCS,C1874,SYS STNT AXIOS ELCTRCAUTY DEL,26317.0,19737.75,,,0
HCPCS,C1874,VIABAHN ENDOPROTHESIS,22677.0,17007.75,,,0
HCPCS,C1874,WALL STENT-COVERED,26319.0,19739.25,,,0
HCPCS,C1874,WALLGRAFT ENDOPROSTHESIS STENT,25865.0,19398.75,,,0
HCPCS,C1874,WALLSTENT ESOPHAGEAL II ENDO,17129.0,12846.75,,,0
HCPCS,C1875,GRAFT STENT ENDOVASCULAR LIMB,23297.0,17472.75,,,0
HCPCS,C1875,STENT C1875,28869.0,21651.75,,,0
HCPCS,C1876,CS-INVEST STENT-CAROTID-CORDIS,4866.0,3649.5,,,0
HCPCS,C1876,STENT BALLOON,10449.0,7836.75,,,0
HCPCS,C1876,STENT BILIARY LD 38047-083013,5354.0,4015.5,,,0
HCPCS,C1876,STENT C1876,20194.0,15145.5,,,0
HCPCS,C1876,STENT CAROTID C1876,16083.0,12062.25,,,0
HCPCS,C1876,STENT COLONIC WALLFLEX,24817.0,18612.75,,,0
HCPCS,C1876,STENT CORDIS AVIATOR GEN 24MM,17047.0,12785.25,,,0
HCPCS,C1876,STENT EXACT STUDY PMA P040038,14892.0,11169.0,,,0
HCPCS,C1876,STENT EXPRESS BILIARY 40MM,12386.0,9289.5,,,0
HCPCS,C1876,STENT EXTRESS BILIARY LD,12739.0,9554.25,,,0
HCPCS,C1876,STENT LIFESTENT VARIOUS,20282.0,15211.5,,,0
HCPCS,C1876,STENT SCIMED M. WALL 5.0/32MM,17792.0,13344.0,,,0
HCPCS,C1876,STENT TRACHEBRONCHIAL WALLGRAF,14790.0,11092.5,,,0
HCPCS,C1876,STENT W/DELIVERY SYSTEM UNCOVE,15929.0,11946.75,,,0
HCPCS,C1876,STENT-CORDIS-SMART STENT 20MM,14699.0,11024.25,,,0
HCPCS,C1876,STENT-NONCOAT W/DEL SYS C1876,15370.0,11527.5,,,0
HCPCS,C1876,STENTGENESISPG1540BPSPG1880BPS,12436.0,9327.0,,,0
HCPCS,C1876,STNT C REBEL,10923.0,8192.25,,,0
HCPCS,C1876,STNT CAROTID RX XACT,13832.0,10374.0,,,0
HCPCS,C1876,STNT NON-COAT/COV W/DELV SYSTM,17227.0,12920.25,,,0
HCPCS,C1876,SYS STENT VENOUS VENOVO,7199.0,5399.25,,,0
HCPCS,C1876,SYS STNT ENROUTE TRANSCAROTID,14953.0,11214.75,,,0
HCPCS,C1876,WALLSTENT ENDOPROSTHESIS BOSTO,9549.0,7161.75,,,0
HCPCS,C1878,GEL PROLARYN INJECTABLE,4590.0,3442.5,,,0
HCPCS,C1880,C1880 FILTER,11576.0,8682.0,,,0
HCPCS,C1880,"FILTER, VENA CAVA C1880",10235.0,7676.25,,,0
HCPCS,C1880,FLTR VC TULIP,7572.0,5679.0,,,0
HCPCS,C1882,CARD DEF-NON-SGL/DUAL-IMPL,176434.0,132325.5,0.03,1.0,10
HCPCS,C1882,DEFIBR-GUIDANT-CONTAK CD 1823,317928.0,238446.0,0.03,1.0,10
HCPCS,C1882,DEFIBRILL INSYNC MATIMO 7303,186285.0,139713.75,0.03,1.0,10
HCPCS,C1882,DFB CLARIA MRI DTMA1D4,87919.0,65939.25,0.03,1.0,10
HCPCS,C1882,DFB COBALT CRTD DTPA2QQ,88686.0,66514.5,0.03,1.0,10
HCPCS,C1882,DFB INTICA PROMRI HF-T 404627,92762.0,69571.5,0.03,1.0,10
HCPCS,C1882,DFB MOMENTUM IS-1 CRT-D G125,94256.0,70692.0,0.03,1.0,10
HCPCS,C1882,DFB PLATINIUM CRT-D 1711,76975.0,57731.25,0.03,1.0,10
HCPCS,C1882,DFB UNIFY ASSURA 335740C,91450.0,68587.5,0.03,1.0,10
HCPCS,C1882,DFB VISIA AF MRI,69115.0,51836.25,0.03,1.0,10
HCPCS,C1882,DFBRLLTOR SYS-ST JUDE-VV343 QR,271047.0,203285.25,0.03,1.0,10
HCPCS,C1882,ICD PARADYM RF CRT-D,124292.0,93219.0,0.03,1.0,10
HCPCS,C1883,EXTENSION NERVE STIMULATOR,2545.0,1908.75,,,0
HCPCS,C1883,EXTENSION SNS 3095-10,4661.0,3495.75,,,0
HCPCS,C1883,KIT DEPTH LEAD,29748.0,22311.0,,,0
HCPCS,C1883,"KIT,EXTENDER DF-1 Y ADAPTOR ME",1257.0,942.75,,,0
HCPCS,C1883,LEAD CONTACT 70CM SC-2138-70,19766.0,14824.5,,,0
HCPCS,C1883,LEAD NEURO STIMULATOR EXT,7060.0,5295.0,,,0
HCPCS,C1884,CS-EMBOLIC PROTECTIVE DEVICE,11428.0,8571.0,,,0
HCPCS,C1884,CS-INV EMBOLIC PROT DEV-CORDIS,6742.0,5056.5,,,0
HCPCS,C1884,CS-INV EMBOLIC PROT DEV-MEDTRO,1.0,0.75,,,0
HCPCS,C1884,EMBOLIC PROTECTION DEVICE,4444.0,3333.0,,,0
HCPCS,C1884,GUARDWIRE MEDTRONIC,17037.0,12777.75,,,0
HCPCS,C1884,SYS TRNSCAR NEUROPRTCT ENROUTE,19938.0,14953.5,,,0
HCPCS,C1885,CATH PERIPH OTW TURBO 414-151,17501.0,13125.75,,,0
HCPCS,C1885,CATHETER LASER C1885,9166.0,6874.5,,,0
HCPCS,C1885,CS CATHETER LASER C1885,10549.0,7911.75,,,0
HCPCS,C1886,CATH ENDO BARRX RF ABLATION,18958.0,14218.5,0.03,1.0,10
HCPCS,C1886,KT PROBE ABLATION RF OSTEOCOOL,24512.0,18384.0,0.03,1.0,10
HCPCS,C1887,ACCU-VU OMINI CATHETER,1080.0,810.0,0.03,1.0,10
HCPCS,C1887,ACCUVU OMNI FLUSH ANGIO CATH,1727.0,1295.25,0.03,1.0,10
HCPCS,C1887,ATTAIN DEL-SYS-MEDT-6216-6218,6529.0,4896.75,0.03,1.0,10
HCPCS,C1887,CATH ACCU-VU SIZING 4F & 5F,290.0,217.5,0.03,1.0,10
HCPCS,C1887,CATH ANG HYDR CT MARINER,206.0,154.5,0.03,1.0,10
HCPCS,C1887,CATH DEFLECTABLE SELECTSITE,1221.0,915.75,0.03,1.0,10
HCPCS,C1887,CATH GUIDING VARIOUS,51.0,38.25,0.03,1.0,10
HCPCS,C1887,CATH HYDROPHILIC CTD ANGIO,1844.0,1383.0,0.03,1.0,10
HCPCS,C1887,CATH INDIGO ASP SYSTEM,13812.0,10359.0,0.03,1.0,10
HCPCS,C1887,CATH-CTO,12893.0,9669.75,0.03,1.0,10
HCPCS,C1887,CATHETER - BERMAN 7FR,561.0,420.75,0.03,1.0,10
HCPCS,C1887,CATHETER ANGIOGRAPHIC,158.0,118.5,0.03,1.0,10
HCPCS,C1887,CATHETER ARROW PACING 7FR,1890.0,1417.5,0.03,1.0,10
HCPCS,C1887,CATHETER BROCKENBROUGH,2226.0,1669.5,0.03,1.0,10
HCPCS,C1887,CATHETER FAST-TRACKER-325,4574.0,3430.5,0.03,1.0,10
HCPCS,C1887,CATHETER GLIDE-CATH,326.0,244.5,0.03,1.0,10
HCPCS,C1887,CATHETER GUIDE BIOPSY SHER,758.0,568.5,0.03,1.0,10
HCPCS,C1887,CATHETER GUIDE RADIAL SCIMED,3721.0,2790.75,0.03,1.0,10
HCPCS,C1887,CATHETER GUIDING VARIOUS,3090.0,2317.5,0.03,1.0,10
HCPCS,C1887,CATHETER MEDT ATTAIN 6218 A AM,1729.0,1296.75,0.03,1.0,10
HCPCS,C1887,CATHETER PERIPHERAL,1263.0,947.25,0.03,1.0,10
HCPCS,C1887,"CATHETER, GLIDE",2765.0,2073.75,0.03,1.0,10
HCPCS,C1887,"CATHETER, MEDT, ATTAIN BALLOON",1020.0,765.0,0.03,1.0,10
HCPCS,C1887,CATHETER-CORDIS MPB2 125CM,354.0,265.5,0.03,1.0,10
HCPCS,C1887,CATHETER-INFUSION SCIMED TRACK,3123.0,2342.25,0.03,1.0,10
HCPCS,C1887,CATHETER-INTRODUCER CORDIS 8FR,802.0,601.5,0.03,1.0,10
HCPCS,C1887,CATHETER-MEDITECH GLIDECATH,679.0,509.25,0.03,1.0,10
HCPCS,C1887,GUIDE CATH-LUMEND MICRO,2577.0,1932.75,0.03,1.0,10
HCPCS,C1887,GUIDE CATHETER SCIMED WISEGUID,1006.0,754.5,0.03,1.0,10
HCPCS,C1887,GUIDE-CATH-CORDIS 8FR RCD (1),841.0,630.75,0.03,1.0,10
HCPCS,C1887,GUIDING CATHETER C1887,863.0,647.25,0.03,1.0,10
HCPCS,C1887,HA-CATHETER-INTRODUCING-GUIDIN,520.0,390.0,0.03,1.0,10
HCPCS,C1887,MCATH DELIVERY LANTERN,5151.0,3863.25,0.03,1.0,10
HCPCS,C1887,SHEATH PINNACLE GUIDE DESTIN,920.0,690.0,0.03,1.0,10
HCPCS,C1887,STEERABLE GUIDE CATHETER,5473.0,4104.75,0.03,1.0,10
HCPCS,C1887,SYS MCATH PROGREAT COAX,2599.0,1949.25,0.03,1.0,10
HCPCS,C1888,VNUS INTRAVASCULAR ABLAT CATH,7558.0,5668.5,,,0
HCPCS,C1889,ANEURYSM CLIP TII VARIES,3497.0,2622.75,0.03,1.0,10
HCPCS,C1889,ANNULOPLASTY RING,41962.0,31471.5,0.03,1.0,10
HCPCS,C1889,ANNULOPLASTY RING 4900,14326.0,10744.5,0.03,1.0,10
HCPCS,C1889,BUTTON NASAL SEPTAL XOMED,1029.0,771.75,0.03,1.0,10
HCPCS,C1889,CAROTID T-SHUNT,4601.0,3450.75,0.03,1.0,10
HCPCS,C1889,CATH.GLO-TIP ERCP - TAPER-TIP,682.0,511.5,0.03,1.0,10
HCPCS,C1889,CENTERPIECE OBELISC VBR,33228.0,24921.0,0.03,1.0,10
HCPCS,C1889,CLIP ANERYSM SUGITA 07-938-02,2448.0,1836.0,0.03,1.0,10
HCPCS,C1889,CLIP ANEURYSM VARIES,3497.0,2622.75,0.03,1.0,10
HCPCS,C1889,COIL - GDC,689.0,516.75,0.03,1.0,10
HCPCS,C1889,COIL DETACH AZUR 35,11332.0,8499.0,0.03,1.0,10
HCPCS,C1889,COIL EMB AZUR CX,4144.0,3108.0,0.03,1.0,10
HCPCS,C1889,COIL EMB HYDROSOFT 3D ADVANCED,10776.0,8082.0,0.03,1.0,10
HCPCS,C1889,COIL EMB MICVENT HYDROSOFT,7759.0,5819.25,0.03,1.0,10
HCPCS,C1889,COIL EMB PERIPH COMPLEX RUBY,7090.0,5317.5,0.03,1.0,10
HCPCS,C1889,COIL EMB TARGET 360/3D,11896.0,8922.0,0.03,1.0,10
HCPCS,C1889,COIL EMB TARGET HELICAL,7708.0,5781.0,0.03,1.0,10
HCPCS,C1889,COIL EMB TARGET XL,16316.0,12237.0,0.03,1.0,10
HCPCS,C1889,COIL EMBO EMBOLD 10-20 CM,5608.0,4206.0,0.03,1.0,10
HCPCS,C1889,COIL EMBO EMBOLD 3-8 CM,5055.0,3791.25,0.03,1.0,10
HCPCS,C1889,COIL EMBO EMBOLD 30-60 CM,7062.0,5296.5,0.03,1.0,10
HCPCS,C1889,COIL EMBO EMBOLD PACKING US,7891.0,5918.25,0.03,1.0,10
HCPCS,C1889,CONN SHUNT RT ANGLE NRS,161.0,120.75,0.03,1.0,10
HCPCS,C1889,CONN SHUNT STR CODMAN NEURO,287.0,215.25,0.03,1.0,10
HCPCS,C1889,CONN SHUNT Y NRS,713.0,534.75,0.03,1.0,10
HCPCS,C1889,CONNECTOR ST STEEL FOR SHUNT,565.0,423.75,0.03,1.0,10
HCPCS,C1889,CS-COREVALVE-RESEARCH,270258.0,202693.5,0.03,1.0,10
HCPCS,C1889,CS-STENT-AAA-BIFURCATION,38597.0,28947.75,0.03,1.0,10
HCPCS,C1889,CS-STENT-AAA-CUFF,16083.0,12062.25,0.03,1.0,10
HCPCS,C1889,CS-STENT-AAA-LIMB,17691.0,13268.25,0.03,1.0,10
HCPCS,C1889,DISC CERVICAL SIZE VARY,50017.0,37512.75,0.03,1.0,10
HCPCS,C1889,DVC ATRICLP FLEX V LAA EXCLUS,10166.0,7624.5,0.03,1.0,10
HCPCS,C1889,EMB MICROSPHR 300-500MIC,6308.0,4731.0,0.03,1.0,10
HCPCS,C1889,EMB MICROSPHR 500-700MIC,6308.0,4731.0,0.03,1.0,10
HCPCS,C1889,ENDPLATE UPPER FOOTPRINT,2714.0,2035.5,0.03,1.0,10
HCPCS,C1889,ENVELOPE ANTIBACT TYREX MED,1850.0,1387.5,0.03,1.0,10
HCPCS,C1889,FALOPE-RING (CABOT),364.0,273.0,0.03,1.0,10
HCPCS,C1889,GRAFT DURAL PATCH 6 X 8 NRS,2432.0,1824.0,0.03,1.0,10
HCPCS,C1889,GRAFT DURAL PATCH 8 X 14 NRS,2952.0,2214.0,0.03,1.0,10
HCPCS,C1889,GRAFT FRA (SZS VARY),33424.0,25068.0,0.03,1.0,10
HCPCS,C1889,GRAFT THORAFLEX HYBRID ANTEFLO,192805.0,144603.75,0.03,1.0,10
HCPCS,C1889,GRFT AMNIOGUARD GLAUCOMA SHNT,7172.0,5379.0,0.03,1.0,10
HCPCS,C1889,HA-COILS-COOK,280.0,210.0,0.03,1.0,10
HCPCS,C1889,HA-TARGET-GDC 10/18 COILS-A,10467.0,7850.25,0.03,1.0,10
HCPCS,C1889,HA-TARGET-GDC 10/18 COILS-C,3299.0,2474.25,0.03,1.0,10
HCPCS,C1889,HA-TARGET-GDC 10/18 COILS-D,3468.0,2601.0,0.03,1.0,10
HCPCS,C1889,IMP BALLOON INSPACE,8924.0,6693.0,0.03,1.0,10
HCPCS,C1889,IMP DISC ARTFCL,17782.0,13336.5,0.03,1.0,10
HCPCS,C1889,IMP NASAL LATER,5950.0,4462.5,0.03,1.0,10
HCPCS,C1889,IMP POUCH DEFIB,3907.5,2930.625,0.03,1.0,20
HCPCS,C1889,IMPLANT LAP BAND B-2250,33056.0,24792.0,0.03,1.0,10
HCPCS,C1889,IMPLANT LAP BAND BIOENTE B2220,15951.0,11963.25,0.03,1.0,10
HCPCS,C1889,IMPLANT PTER8IONAL LEFT 9865,5739.0,4304.25,0.03,1.0,10
HCPCS,C1889,IMPLANT PTERIONAL RIGHT 9864,5633.0,4224.75,0.03,1.0,10
HCPCS,C1889,KT IMPELLA 5.5 W/SMARTASSIST,221604.0,166203.0,0.03,1.0,10
HCPCS,C1889,KT IMPELLA W/SMART ASSIST RP,137718.0,103288.5,0.03,1.0,10
HCPCS,C1889,LAP BAND ACCESS PORT VARIOUS,5879.0,4409.25,0.03,1.0,10
HCPCS,C1889,ON-Q PAIN MGNT SYSTEM 100ML,1269.0,951.75,0.03,1.0,10
HCPCS,C1889,OPTILUME BPH KIT,42505.0,31878.75,0.03,1.0,10
HCPCS,C1889,PATCH DURA-GUARD DURAL REPAIR,3910.0,2932.5,0.03,1.0,10
HCPCS,C1889,PLUG VASCULAR 2,7021.0,5265.75,0.03,1.0,10
HCPCS,C1889,PTCH DURAL RPR DURA-GUARD,881.0,660.75,0.03,1.0,10
HCPCS,C1889,PUMP MANAGER SYNCHROMED,6978.0,5233.5,0.03,1.0,10
HCPCS,C1889,"PUMP, SINGLE ACTION",2706.0,2029.5,0.03,1.0,10
HCPCS,C1889,RING ANNULOPLASTY VARIES,9139.0,6854.25,0.03,1.0,10
HCPCS,C1889,"RING, FULL, 180MM",4231.0,3173.25,0.03,1.0,10
HCPCS,C1889,SEALANT DURAL 5ML,4161.0,3120.75,0.03,1.0,10
HCPCS,C1889,SHUNT DENVER SNGL VALV 42-2055,10260.0,7695.0,0.03,1.0,10
HCPCS,C1889,SHUNT EXPRESS MINI GLAUCOMA,7187.0,5390.25,0.03,1.0,10
HCPCS,C1889,SHUNT FLO-THRU INTRALUMINAL,851.0,638.25,0.03,1.0,10
HCPCS,C1889,SHUNT LEEVEN 378542,3173.0,2379.75,0.03,1.0,10
HCPCS,C1889,"SHUNT, EXTERNAL SUNDT 3.5X5MM",1706.0,1279.5,0.03,1.0,10
HCPCS,C1889,"SHUNT, EXTERNAL SUNDT 3X4MM",1706.0,1279.5,0.03,1.0,10
HCPCS,C1889,SLEEVE VARIES,1987.0,1490.25,0.03,1.0,10
HCPCS,C1889,"SLEEVE, 100DEG LOCKING SPIRAL",2424.0,1818.0,0.03,1.0,10
HCPCS,C1889,"SLEEVE, PACEMAKER",191.0,143.25,0.03,1.0,10
HCPCS,C1889,SP ARTIFICIAL DISC CERV,24387.0,18290.25,0.03,1.0,10
HCPCS,C1889,SPACER LORDOTIC CERVICAL EBI,9395.0,7046.25,0.03,1.0,10
HCPCS,C1889,ST PUMP IMPELLA CP CATH,137718.0,103288.5,0.03,1.0,10
HCPCS,C1889,SYS EMBOLIC LIQUID,13428.0,10071.0,0.03,1.0,10
HCPCS,C1889,SYS LIQUID EMBOLIC,23760.0,17820.0,0.03,1.0,10
HCPCS,C1889,SYS MITRACLIP G4,153020.0,114765.0,0.03,1.0,10
HCPCS,C1889,SYS SPACEOAR HYDROGEL SPACER,16421.0,12315.75,0.03,1.0,10
HCPCS,C1889,SYS WATCHMAN,107322.0,80491.5,0.03,1.0,10
HCPCS,C1889,VAGINAL STENT,2939.0,2204.25,0.03,1.0,10
HCPCS,C1889,VALVE AORTIC TRANSCATH,216127.0,162095.25,0.03,1.0,10
HCPCS,C1889,VALVE SHUNT HORZ/VERT WHITE,10539.0,7904.25,0.03,1.0,10
HCPCS,C1889,VALVE SHUNT HORZ/VERT YELLOW,3254.0,2440.5,0.03,1.0,10
HCPCS,C1889,VALVE SHUNT PSM REG/LOW,4834.0,3625.5,0.03,1.0,10
HCPCS,C1889,VALVE SHUNT PSM REG/MED,4478.0,3358.5,0.03,1.0,10
HCPCS,C1889,VLV AORT MAGNA PERI CARP-EDWRD,37217.0,27912.75,0.03,1.0,10
HCPCS,C1889,VLV AORTIC STD SEWING RING,19938.0,14953.5,0.03,1.0,10
HCPCS,C1889,VLV AORTIC VALSALVA GRAFT,27662.0,20746.5,0.03,1.0,10
HCPCS,C1889,VLV AORTIC W/ANAT SEWING RNG,19938.0,14953.5,0.03,1.0,10
HCPCS,C1889,VLV MITRAL EDWARDS MITRIS RESI,43052.0,32289.0,0.03,1.0,10
HCPCS,C1889,VLV MITRAL STD SEWING RING,19550.0,14662.5,0.03,1.0,10
HCPCS,C1892,"INTRO, BARD, SAFE SHEATH 7-9F",580.0,435.0,,,0
HCPCS,C1892,"INTRO-DAIG-PEEL AWAY, 8-12F/14",393.0,294.75,,,0
HCPCS,C1892,INTRODUCER PEEL-AWAY,318.0,238.5,,,0
HCPCS,C1892,PEEL AWAY SHEATH C1892,414.0,310.5,,,0
HCPCS,C1892,SET INTRODUCER PACEMAKER 8.5,531.0,398.25,,,0
HCPCS,C1893,"INTRO, DAIG, FAST CATH, 8F/12C",474.0,355.5,0.03,1.0,10
HCPCS,C1893,"INTRODUCER-DAIG-SL1-4, 8F/62CM",2070.0,1552.5,0.03,1.0,10
HCPCS,C1893,"SHEATH SET-COOK-BYRD, 8.5F/13F",1101.0,825.75,0.03,1.0,10
HCPCS,C1893,"SHEATH, EPT, SOFT TIP, 8.5F",2128.0,1596.0,0.03,1.0,10
HCPCS,C1893,SHEATH-DAIG-TRANSEPTAL SL1/SL2,3551.0,2663.25,0.03,1.0,10
HCPCS,C1894,CATH INTRODUCERS,206.0,154.5,,,0
HCPCS,C1894,CATHERTER INTRO 4.0,548.0,411.0,,,0
HCPCS,C1894,INTR SHTH PERIP,401.0,300.75,,,0
HCPCS,C1894,INTRO SHEATH,292.0,219.0,,,0
HCPCS,C1894,INTRO SHEATH 24FR.GORE TS2430,2814.0,2110.5,,,0
HCPCS,C1894,INTRO WIRE SHEATH DILATAT 8FR,341.0,255.75,,,0
HCPCS,C1894,INTRODUCER ARROW 5FR/65CM,969.0,726.75,,,0
HCPCS,C1894,INTRODUCER C1894,260.0,195.0,,,0
HCPCS,C1894,INTRODUCER COOK 7FR/90CM,1420.0,1065.0,,,0
HCPCS,C1894,INTRODUCER DAIG DILATOR,66.0,49.5,,,0
HCPCS,C1894,INTRODUCER DAIG FAST CATH 5-9F,156.0,117.0,,,0
HCPCS,C1894,INTRODUCER DAIG SLEEVE,100.0,75.0,,,0
HCPCS,C1894,INTRODUCER INTERSTIM LEAD,2584.0,1938.0,,,0
HCPCS,C1894,INTRODUCER KIT COOK 6FR,431.0,323.25,,,0
HCPCS,C1894,INTRODUCER MEDTRONIC MULLINS,950.0,712.5,,,0
HCPCS,C1894,INTRODUCER SET ALL SIZES,740.0,555.0,,,0
HCPCS,C1894,INTRODUCER SET BARD 13FR 6014,1178.0,883.5,,,0
HCPCS,C1894,"INTRODUCER SET, COOK, 12F/30CM",700.0,525.0,,,0
HCPCS,C1894,"INTRODUCER SET, COOK, 14F/30CM",777.0,582.75,,,0
HCPCS,C1894,INTRODUCER SET-COOK-MPIS-401,247.0,185.25,,,0
HCPCS,C1894,INTRODUCER SET-COOK-PLUN 9/12F,763.0,572.25,,,0
HCPCS,C1894,INTRODUCER SHEATH KOLENDA,1142.0,856.5,,,0
HCPCS,C1894,INTRODUCER VASCULAR,670.0,502.5,,,0
HCPCS,C1894,INTRODUCER VASCULAR COOK,1080.0,810.0,,,0
HCPCS,C1894,"INTRODUCER, (SIZES VARY) FR",453.0,339.75,,,0
HCPCS,C1894,"INTRODUCER, DAIG, 12-14F/30CM",553.0,414.75,,,0
HCPCS,C1894,"INTRODUCER, DAIG, 7-8F/23CM",468.0,351.0,,,0
HCPCS,C1894,"INTRODUCER, SHEATH ACCESS",663.0,497.25,,,0
HCPCS,C1894,"INTRODUCER, SP",816.0,612.0,,,0
HCPCS,C1894,"INTRODUCER-DAIG-SRO-4, 8.5F/60",2070.0,1552.5,,,0
HCPCS,C1894,KIT INTRODUCER GASTRO,1834.0,1375.5,,,0
HCPCS,C1894,KT MICROPUNCT INTRO,2135.0,1601.25,,,0
HCPCS,C1894,MEDTRONIC INTRODUCER,1335.0,1001.25,,,0
HCPCS,C1894,PERCUTANEOUS SHEATH INTRODUCER,1902.0,1426.5,,,0
HCPCS,C1894,SHEATH BALKIN,683.0,512.25,,,0
HCPCS,C1894,SHEATH CLOTTRIEVER,6742.0,5056.5,,,0
HCPCS,C1894,SHEATH INTRO ENDO GORE,2732.0,2049.0,,,0
HCPCS,C1894,SHEATH PINNACLE INTRODUCER BSC,193.0,144.75,,,0
HCPCS,C1894,SHEATH URETERAL,1141.0,855.75,,,0
HCPCS,C1894,SHEATH-MICROPUNCTURE SET,423.0,317.25,,,0
HCPCS,C1894,SHEATH-MULLINS INTRODUCER,1005.0,753.75,,,0
HCPCS,C1895,IMPLANT AICD LEAD GUIDANT 0185,65796.0,49347.0,,,0
HCPCS,C1895,LEAD DEFIB SPRINT 6942,76934.0,57700.5,,,0
HCPCS,C1895,"LEAD DEFIB, SPRINT 6945",79539.0,59654.25,,,0
HCPCS,C1895,LEAD DEFIBRILLATOR,26400.0,19800.0,,,0
HCPCS,C1895,LEAD DEFIBRILLATOR 6947,82693.0,62019.75,,,0
HCPCS,C1895,LEAD MEDT DEFIB FIDELIS 6949,44363.0,33272.25,,,0
HCPCS,C1896,EP-SUB Q ICD LEAD,63056.0,47292.0,,,0
HCPCS,C1896,"LEAD,SVC COIL 6937",9779.0,7334.25,,,0
HCPCS,C1896,SUBQ DEFIB COIL 6996 SQ,31046.0,23284.5,,,0
HCPCS,C1897,LD ANS PERCUTANEOUS TRIAL 3086,16530.0,12397.5,,,0
HCPCS,C1897,LD NSTIM TRIAL NALU 72003,3062.0,2296.5,,,0
HCPCS,C1897,LEAD NEUROSTIMULATOR TEST KIT,5794.0,4345.5,,,0
HCPCS,C1898,IMPLANT ACID 5076,8692.0,6519.0,,,0
HCPCS,C1898,LD PM TENDRIL STS 2088TC,2299.0,1724.25,,,0
HCPCS,C1898,LEAD - MEDTRONIC-PACING 3830,4059.0,3044.25,,,0
HCPCS,C1898,LEAD ATRIAL,9139.0,6854.25,,,0
HCPCS,C1898,LEAD MEDT PACING CAPSURE FIX 4,4930.0,3697.5,,,0
HCPCS,C1898,LEAD MEDTRONIC CAPSURE Z NOVU,4889.0,3666.75,,,0
HCPCS,C1898,LEAD PACING CAPSURE FIX,9377.0,7032.75,,,0
HCPCS,C1898,LEAD VENTRICLE,9139.0,6854.25,,,0
HCPCS,C1898,"LEAD, CAPSURE FIX 694",10431.0,7823.25,,,0
HCPCS,C1898,"LEAD,CAPSURE FIX NOVUS 5076",10808.0,8106.0,,,0
HCPCS,C1898,"LEAD,PACING 5024M-110",9779.0,7334.25,,,0
HCPCS,C1898,LEAD-CODE,8292.0,6219.0,,,0
HCPCS,C1898,LEAD-MDT-SELECTSECURE 3830,7889.0,5916.75,,,0
HCPCS,C1898,LEAD-MEDT-PACING CS/CV 2188,11341.0,8505.75,,,0
HCPCS,C1898,PACEMAKER LEAD MEDTRONIC 5076,8692.0,6519.0,,,0
HCPCS,C1898,PACEMAKER LEAD PED MEDTRONIC,8222.0,6166.5,,,0
HCPCS,C1899,LEAD-CODE,8141.0,6105.75,,,0
HCPCS,C1900,LD ATTAIN PERFORMA 4298,8913.0,6684.75,0.03,1.0,10
HCPCS,C1900,LD QUARTET QUADPLR 1458Q,10187.0,7640.25,0.03,1.0,10
HCPCS,C1900,"LEAD, MEDT-PACE LV 2187",13805.0,10353.75,0.03,1.0,10
HCPCS,C1900,LEAD-GUIDANT-EASYTRAK LV,85687.0,64265.25,0.03,1.0,10
HCPCS,C1900,LEAD-PACIN CV 4194 MFG:MEDTRON,19220.0,14415.0,0.03,1.0,10
HCPCS,C1982,CATHETER INFUSION,42824.0,32118.0,0.03,1.0,10
HCPCS,C2596,"PROBE, ROBOTIC, WATER-JET",,,0.03,1.0,10
HCPCS,C2615,SEALANT PROGEL,8061.0,6045.75,,,0
HCPCS,C2616,NM-Y-90 BRACYTHERAPY SOURCE,86377.0,64782.75,,,0
HCPCS,C2617,DOUBLE PIGTAIL URETERAL STENT,1177.0,882.75,,,0
HCPCS,C2617,HYDROPLUS MICROVA STENT,623.0,467.25,,,0
HCPCS,C2617,STENT ANGLED,978.0,733.5,,,0
HCPCS,C2617,STENT DBL J SOFLEX 4.7FR 24CM,646.0,484.5,,,0
HCPCS,C2617,STENT DBL J SOFLEX 4.7FR 8CM,601.0,450.75,,,0
HCPCS,C2617,STENT NASOPHARYNGEAL VAR,47.0,35.25,,,0
HCPCS,C2617,STENT PERCUFLEX PLUS,1716.0,1287.0,,,0
HCPCS,C2617,STENT POLARIS URETERAL,1601.0,1200.75,,,0
HCPCS,C2617,STENT URETERAL VARIOUS,1500.0,1125.0,,,0
HCPCS,C2617,"STENT, 6.0FR X 24 CM PERCUFLEX",1716.0,1287.0,,,0
HCPCS,C2617,"STENT, 6.0FR X 26CM PERCUFLEX",1716.0,1287.0,,,0
HCPCS,C2617,"STENT, 6.0FR X 28CM PERCUFLEX",1683.0,1262.25,,,0
HCPCS,C2617,"STENT, PERCPLUS 4.8FR X 22CM",1805.0,1353.75,,,0
HCPCS,C2617,"STENT, POLARIS, 5-7FR, 20-28CM",1656.0,1242.0,,,0
HCPCS,C2617,"STENT, URINARY DIVERSION 8FR",2015.0,1511.25,,,0
HCPCS,C2617,URETERAL STENT,1333.0,999.75,,,0
HCPCS,C2617,URINARY DIVERSION STENT,983.0,737.25,,,0
HCPCS,C2618,NEEDLE ICE ROD CRYOABLATION,14144.0,10608.0,,,0
HCPCS,C2618,PRB CRYOABLATION CRYOICE,20757.0,15567.75,,,0
HCPCS,C2618,PROBE CRYO ENDOCARE,5955.0,4466.25,,,0
HCPCS,C2618,PROBE CRYO V PROC KIT,45337.0,34002.75,,,0
HCPCS,C2618,PROBE CRYO-54 TEMP LONG,1203.0,902.25,,,0
HCPCS,C2618,PROBE-CRYOABLATION-2MM,3406.5,2554.875,,,0
HCPCS,C2618,PROBE-CRYOABLATION-3MM,3024.0,2268.0,,,0
HCPCS,C2618,PROBE-CRYOABLATION-5MM,2685.0,2013.75,,,0
HCPCS,C2621,PACEMAKER INSYNC 8040,123873.0,92904.75,,,0
HCPCS,C2621,PACEMAKER MEDT INSYNC III 8042,78860.0,59145.0,,,0
HCPCS,C2621,"PACEMAKER, INSYNC 8040",112515.0,84386.25,,,0
HCPCS,C2621,PM PERCEPTA QUAD MRI W4TR01,36736.0,27552.0,,,0
HCPCS,C2621,PM VALITUDE X4 CRTP U128,39630.0,29722.5,,,0
HCPCS,C2621,SYS TRANSCATH PACE MICRA AV,55991.0,41993.25,,,0
HCPCS,C2622,EXTENDER PENILE PROSTHESIS 724,1173.0,879.75,,,0
HCPCS,C2622,PENILE PROSTHESIS,51764.0,38823.0,,,0
HCPCS,C2622,PROSTHES PENILE MALLEABLE 600,41083.0,30812.25,,,0
HCPCS,C2623,CATH DC BALLOON PTA VAR SIZE,11299.0,8474.25,,,0
HCPCS,C2623,CATH-DRUG ELUTIN BALOON C2623,5011.5,3758.625,,,0
HCPCS,C2624,CS-CARDIOMEM PRESSURE SENSOR,208954.0,156715.5,0.03,1.0,10
HCPCS,C2625,SINUS BIOABSORABLE IMPLANT,6767.0,5075.25,,,0
HCPCS,C2625,STENT BILIARY ADVANIX VARIOUS,1159.0,869.25,,,0
HCPCS,C2625,STENT BILIARY FLEXIMA,1264.0,948.0,,,0
HCPCS,C2627,CATHETER SUPRAPUBIC VARY SIZE,311.0,233.25,,,0
HCPCS,C2628,CATH BLLN CK CODA10.0-35-12040,3178.0,2383.5,,,0
HCPCS,C2628,CATHETER OCCLUSION BALLOON,1111.0,833.25,,,0
HCPCS,C2628,CATHETER PRUITT OCCLUSION,1546.0,1159.5,,,0
HCPCS,C2628,CATHETER-OCCLUSION-C2628,7616.0,5712.0,,,0
HCPCS,C2628,CC-OCCLUSION BALLOON-LAA,2435.0,1826.25,,,0
HCPCS,C2628,HA-BALLOON-OCCLUSION-NONDETACH,815.0,611.25,,,0
HCPCS,C2629,LASER SHEATH-12-14-16F-SPEC T,20273.0,15204.75,,,0
HCPCS,C2630,"CATH,BLAZER2,7F/110CM/8F/5MM",7938.0,5953.5,,,0
HCPCS,C2630,"CATHETER,EPT,7F/110CM/8F/4MM",9201.0,6900.75,,,0
HCPCS,C2631,CC-SUTURE DELIVERY SYSTEM-LAA,21021.0,15765.75,,,0
HCPCS,C2638,C2638-BRCHY SEED STRND IOD 125,162.0,121.5,,,0
HCPCS,C2643,"BRACHYTX, NON-STRANDED,C-131",,,1.0,309.16,10
HCPCS,C5271,LOW COST SKIN SUBSTITUTE APP,,,0.22,1269.99,106
HCPCS,C5272,LOW COST SKIN SUBSTITUTE APP,,,0.01,16.13,102
HCPCS,C5273,LOW COST SKIN SUBSTITUTE APP,,,0.22,4002.09,106
HCPCS,C5274,LOW COST SKIN SUBSTITUTE APP,,,0.01,16.13,102
HCPCS,C5275,LOW COST SKIN SUBSTITUTE APP,,,0.22,1269.99,106
HCPCS,C5276,LOW COST SKIN SUBSTITUTE APP,,,0.01,16.13,102
HCPCS,C5277,LOW COST SKIN SUBSTITUTE APP,,,0.22,1269.99,106
HCPCS,C5278,LOW COST SKIN SUBSTITUTE APP,,,0.01,16.13,102
HCPCS,C7500,DEB BONE 20 CM2 W/DRUG DEV,,,0.22,16.13,96
HCPCS,C7501,PERC BX BREAST LESIONS STERO,,,0.22,16.13,96
HCPCS,C7502,PERC BX BREAST LESIONS MR,,,0.22,16.13,96
HCPCS,C7503,OPEN EXC CERV NODE(S) W/ ID,,,0.22,16.13,96
HCPCS,C7504,PERQ CVT&LS INJ VERT BODIES,,,0.22,16.13,96
HCPCS,C7505,PERQ LS&CVT INJ VERT BODIES,,,0.22,16.13,96
HCPCS,C7506,FUSION OF FINGER JOINTS,,,0.22,16.13,96
HCPCS,C7507,PERQ THOR&LUMB VERT AUG,,,0.22,16.13,96
HCPCS,C7508,PRQ 1STLUMB THOR VERT AUG,19768.0,14826.0,0.22,17791.2,102
HCPCS,C7509,DX BRONCH W/ NAVIGATION,,,0.22,16.13,96
HCPCS,C7510,BRONCH/LAVAG W/ NAVIGATION,,,0.22,16.13,96
HCPCS,C7511,BRONCH/BPSY(S) W/ NAVIGATION,,,0.22,16.13,96
HCPCS,C7512,BRONCH/BPSY(S) W/ EBUS,,,0.22,16.13,96
HCPCS,C7513,CATH/ANGIO DIALCIR W/ANGIO,4997.0,3747.75,0.22,4497.3,102
HCPCS,C7514,CATH/ANGIO DIAL CIR W/STENT,4997.0,3747.75,0.22,4497.3,102
HCPCS,C7515,CATH/ANGIO DIAL CIR W/EMBOL,,,0.22,16.13,96
HCPCS,C7516,COR ANGIO W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7517,COR ANGIO W/ILIC/FEM ANGIO,,,0.22,10430.82,21
HCPCS,C7518,COR/GFT ANGIO W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7519,COR/GFT ANGIO W/ FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7520,COR/GFT ANGIO W/ILIC/FEM ANG,,,0.22,10430.82,21
HCPCS,C7521,R HRT ANGIO W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7522,R HRT ANGIO W/FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7523,L HRT ANGIO W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7524,L HRT ANGIO W/FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7525,L HRT GFT ANG W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7526,L HRT GFT ANG W/FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7527,R&L HRT ANGIO W/ IVUS OR OCT,,,0.22,10430.82,21
HCPCS,C7528,R&L HRT ANGIO W/FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7529,R&L HRT GFT ANG W/FLOW RESRV,,,0.22,10430.82,21
HCPCS,C7530,CATH/APLASTY DIAL CIR W/STNT,,,0.22,16.13,96
HCPCS,C7531,ANGIO FEM/POP W/ US,,,0.22,16.13,96
HCPCS,C7532,ANGIO W/ US NON-CORONARY,,,0.22,16.13,96
HCPCS,C7533,PTCA W/ PLCMT BRACHYTX DEV,,,0.22,16.13,96
HCPCS,C7534,FEM/POP REVASC W/ARTHR & US,,,0.22,16.13,96
HCPCS,C7535,FEM/POP REVASC W/STENT & US,,,0.22,16.13,96
HCPCS,C7537,INSRT ATRIL PM W/L VENT LEAD,,,0.22,16.13,96
HCPCS,C7538,INSRT VENT PM W/L VENT LEAD,,,0.22,16.13,96
HCPCS,C7539,INSRT A & V PM W/L VENT LEAD,,,0.22,16.13,96
HCPCS,C7540,RMV&RPLC PM DUL W/L VNT LEAD,,,0.22,16.13,96
HCPCS,C7541,ERCP W/ PANCREATOSCOPY,,,0.22,16.13,96
HCPCS,C7542,ERCP W/BX & PANCREATOSCOPY,,,0.22,16.13,96
HCPCS,C7543,"ERCP W/OTOMY, PANCREATOSCOPY",,,0.22,16.13,96
HCPCS,C7544,ERCP RMV CALC PANCREATOSCOPY,,,0.22,16.13,96
HCPCS,C7545,EXCH BIL CATH W/ RMV CALCULI,,,0.22,16.13,96
HCPCS,C7546,REP NPH/URT CATH W/DIL STRIC,,,0.22,16.13,96
HCPCS,C7547,CNVRT NEPH CATH W/ DIL STRIC,,,0.22,16.13,96
HCPCS,C7548,EXCH NEPH CATH W/ DIL STRIC,,,0.22,16.13,96
HCPCS,C7549,CHGE URTR STENT W/ DIL STRIC,,,0.22,16.13,96
HCPCS,C7550,CYSTO W/ BX(S) W/ BLUE LIGHT,,,0.22,16.13,96
HCPCS,C7551,EXC NEUROMA W/ IMPLNT NV END,,,0.22,16.13,96
HCPCS,C7552,R HRT ART/GRFT ANG HRT FLOW,,,0.22,10430.82,16
HCPCS,C7553,R&I HRT ART/VENT ANG DRG AD,,,0.22,10430.82,16
HCPCS,C7554,CYSTURETH BLU LI CYST FL IMG,,,0.22,16.13,96
HCPCS,C7555,RMVL THYRD W/AUTOTRAN PARATH,,,0.22,16.13,96
HCPCS,C7556,BRONCH LAVAGE W/EBUS,,,0.22,16.13,91
HCPCS,C7557,COR ANGIO/VENT W/FFR,,,0.22,16.13,96
HCPCS,C7558,COR ANGIO/VENT W/DRUG ADMIN,,,0.22,0.22,1
HCPCS,C7560,ERCP REMOVE FORGN BODY&ENDO,,,0.22,16.13,96
HCPCS,C7562,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,0.03,1.0,15
HCPCS,C7563,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1.0,16.13,95
HCPCS,C7564,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,1.0,16.13,95
HCPCS,C7565,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1.0,16.13,95
HCPCS,C7900,"HOPD MNTL HLT, 15-29 MIN",,,1.0,95.38,10
HCPCS,C7901,"HOPD MNTL HLT, 30-60 MIN",,,1.0,296.16,10
HCPCS,C7902,"HOPD MNTL HLT, EA ADDL",,,0.03,1.0,10
HCPCS,C7903,"HOPD MNTL HLT, GRP",,,1.0,95.38,10
HCPCS,C8000,"Support device, extravascular, for arteriovenous fistula (implantable)",,,1.0,3.2,10
HCPCS,C8001,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,0.92,88.05,14
HCPCS,C8002,"Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (Do not report with manual suspension preparation)",,,1.0,16.13,90
HCPCS,C8003,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,1.0,16.13,95
HCPCS,C8004,SIM ANG W/PRS CATH RAD EMB,60556.0,45417.0,0.92,1.12,10
HCPCS,C8005,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (PEF) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,1.0,16.13,95
HCPCS,C8900,"MRA W/CONT, ABD",,,0.92,682.38,15
HCPCS,C8901,MRA ABDOMEN W/O CM,3341.0,2505.75,0.92,471.65,15
HCPCS,C8902,MRA ABDOMEN WO/W CM,7824.0,5868.0,0.92,788.67,15
HCPCS,C8903,"MRI W/CONT, BREAST,  UNI",,,0.92,682.38,15
HCPCS,C8905,MRI BRST WO&W CM+CAD UNI,8559.0,6419.25,0.92,788.67,15
HCPCS,C8906,MRI BREAST BI W/ CM,5235.0,3926.25,0.92,682.38,15
HCPCS,C8908,MRI BRST WO&W CM+CAD BI,9523.0,7142.25,0.92,788.67,15
HCPCS,C8909,"MRA W/CONT, CHEST",,,0.92,682.38,15
HCPCS,C8910,MRA CHEST W/O CONTRAST,8004.0,6003.0,0.92,471.65,15
HCPCS,C8911,MRA CHEST WO/W CONTRAST,8844.0,6633.0,0.92,788.67,15
HCPCS,C8912,"MRA W/CONT, LWR EXT",,,0.92,682.38,15
HCPCS,C8913,MRA LOWER EXTRMTY W/O CM,4630.0,3472.5,0.92,471.65,15
HCPCS,C8914,MRA LWR EXT W,5768.0,4326.0,0.92,788.67,15
HCPCS,C8918,"MRA W/CONT, PELVIS",,,0.92,682.38,15
HCPCS,C8919,"MRA W/O CONT, PELVIS",,,0.92,471.65,15
HCPCS,C8920,MRA PELVIS WO/W CONTRAST,6847.0,5135.25,0.92,788.67,15
HCPCS,C8921,"TTE W OR W/O FOL W/CONT, COM",,,1.0,2529.54,15
HCPCS,C8922,"TTE W OR W/O FOL W/CONT, F/U",,,1.0,2529.54,15
HCPCS,C8923,"2D TTE W OR W/O FOL W/CON,CO",,,1.0,2529.54,15
HCPCS,C8924,ECHO 2D LIMITED W/CONTR,1811.0,1358.25,1.0,1143.42,15
HCPCS,C8925,"2D TEE W OR W/O FOL W/CON,IN",,,1.0,2529.54,15
HCPCS,C8926,"TEE W OR W/O FOL W/CONT,CONG",,,1.0,2529.54,15
HCPCS,C8927,"TEE W OR W/O FOL W/CONT, MON",,,1.0,2529.54,15
HCPCS,C8928,ECHO 2D STRESS W WO CM,3328.0,2496.0,1.0,2529.54,15
HCPCS,C8929,ECHO2D DOP/COLFL W/CONTR,4389.0,3291.75,1.0,2529.54,15
HCPCS,C8930,ECHO 2D STRESS EKG W WO CM,5608.0,4206.0,1.0,2529.54,15
HCPCS,C8931,"MRA, W/DYE, SPINAL CANAL",,,0.92,682.38,15
HCPCS,C8932,"MRA, W/O DYE, SPINAL CANAL",,,0.92,471.65,15
HCPCS,C8933,"MRA, W/O&W/DYE, SPINAL CANAL",,,0.92,788.67,15
HCPCS,C8934,"MRA, W/DYE, UPPER EXTREMITY",,,0.92,682.38,15
HCPCS,C8935,"MRA, W/O DYE, UPPER EXTR",,,0.92,471.65,15
HCPCS,C8936,"MRA, W/O&W/DYE, UPPER EXTR",,,0.92,788.67,15
HCPCS,C8937,COMPUTER DETECT BRST MRI,112.0,84.0,0.92,1.6,15
HCPCS,C8957,INIT INF >8 PORT/PMP,1658.0,1243.5,1.0,745.07,100
HCPCS,C9046,COCAINE HCL NASAL (GOPRELTO),,,1.0,5.42,9
HCPCS,C9047,"INJECTION, CAPLACIZUMAB-YHDP",,,1.0,2627.03,9
HCPCS,C9067,GALLIUM GA-68 DOTATOC,,,0.79,2.06,9
HCPCS,C9082,"Inj dostarlimab-gxly, 100 mg",,,1.0,7893.75,9
HCPCS,C9083,"Inj, amivantamab-vmjw, 10 mg",,,1.0,324.77,9
HCPCS,C9088,"INSTILL, BUPIVAC AND MELOXIC",,,0.98,2.57,9
HCPCS,C9089,"BUPIVACAINE IMPLANT, 1 MG",,,1.0,2.98,9
HCPCS,C9101,"INJ, OLICERIDINE 0.1 MG",,,1.0,3.65,9
HCPCS,C9140,Afstyla factor viii recomb,,,1.0,6.28,9
HCPCS,C9143,COCAINE HCL NASAL (NUMBRINO),,,1.0,5.01,9
HCPCS,C9144,"INJ, BUPIVACAINE (POSIMIR)",,,0.59,1.55,9
HCPCS,C9145,"INJ, APONVIE, 1 MG",,,1.0,5.84,9
HCPCS,C9248,"INJ, CLEVIDIPINE BUTYRATE",,,1.0,10.85,20
HCPCS,C9250,ARTISS FIBRIN SEALANT,,,1.0,624.78,20
HCPCS,C9254,LACOSAMIDE 200MG/20ML INJ,12.0,9.0,0.39,1.02,9
HCPCS,C9285,"PATCH, LIDOCAINE/TETRACAINE",,,1.0,64.52,9
HCPCS,C9293,"INJECTION, GLUCARPIDASE",,,1.0,1244.94,9
HCPCS,C9352,NEURAGEN 7MMX3CM PER CM,4432.0,3324.0,1.0,2214.81,9
HCPCS,C9353,NEURAWRAP NERVE PROTECTOR,19864.5,14898.375,1.0,3249.48,18
HCPCS,C9354,"VERITAS COLLAGEN MATRIX, CM2",,,0.01,16.13,95
HCPCS,C9355,"NEUROMATRIX NERVE CUFF, CM",,,1.0,578.05,9
HCPCS,C9356,"TENOGLIDE TENDON PROT, CM2",,,1.0,328.55,9
HCPCS,C9358,SURGIMEND 1MM 3X3 PER 0.5 SQCM,97.0,72.75,0.01,16.13,95
HCPCS,C9360,"SURGIMEND, NEONATAL",,,0.01,16.13,95
HCPCS,C9363,INTEGRA BILAYER MATRIX /SQ CM,231.0,173.25,0.01,16.13,95
HCPCS,C9363,MESH BILAYER MATRIX PER SQ CM,697.0,522.75,0.01,16.13,95
HCPCS,C9364,ENDURAGEN DERM COLLGEN,4562.0,3421.5,1.0,71.3,9
HCPCS,C9399,TISSEEL HEMOSTATIC FRZN 10ML,4733.0,3549.75,,,0
HCPCS,C9460,CANGRELOR PER 1MG,125.0,93.75,1.0,57.7,9
HCPCS,C9462,"INJECTION, DELAFLOXACIN",,,0.69,1.81,9
HCPCS,C9482,SOTALOL HYDROCHLORIDE IV,,,1.0,64.68,9
HCPCS,C9507,COVID-19 CONVALESCENT PLASMA,,,1.0,1362.71,10
HCPCS,C9600,PERC COR DRUG-ELUT STNT,43647.0,32735.25,0.22,39282.3,113
HCPCS,C9601,PERC DRUG-ELUT STNT ADDL,34916.0,26187.0,0.01,31424.4,113
HCPCS,C9602,PERC COR ATH D-E STNT,32249.0,24186.75,0.22,39411.26,113
HCPCS,C9603,PERC COR ATHER STNT ADD,37153.0,27864.75,0.01,33437.7,113
HCPCS,C9604,PERC COR REVASC D-E CABG,38417.0,28812.75,0.22,34575.3,113
HCPCS,C9605,PER COR REVAS CABG ADDL,36835.0,27626.25,0.01,33151.5,113
HCPCS,C9606,PER COR REVAS D-E W/AMI,34662.0,25996.5,0.22,39411.26,120
HCPCS,C9607,PER COR REVAS CHRONC SNG,34662.0,25996.5,0.22,39411.26,113
HCPCS,C9608,PERC D-E COR REVASC CHRO ADD,,,0.01,11318.0,107
HCPCS,C9610,"Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)",,,0.03,1.0,10
HCPCS,C9725,PLACE ENDORECTAL APP,,,0.22,1871.46,111
HCPCS,C9726,RXT BREAST APPL PLACE/REMOV,,,0.01,16.13,106
HCPCS,C9727,INSERT PALATE IMPLANTS,,,0.22,2911.02,101
HCPCS,C9728,"PLACE DEVICE/MARKER, NON PRO",,,0.22,2177.51,106
HCPCS,C9733,NON-OPHTHALMIC FVA,,,1.0,508.66,15
HCPCS,C9734,"U/S TRTMT, NOT LEIOMYOMATA",,,1.0,14376.1,10
HCPCS,C9738,BLUE LIGHT CYSTO IMAG AGENT,,,0.22,1146.39,16
HCPCS,C9739,CYSTOSCOPY PROSTATIC IMP 1-3,,,0.22,19223.17,101
HCPCS,C9740,CYSTO IMPL 4 OR MORE,,,0.22,26534.76,101
HCPCS,C9751,"MICROWAVE BRONCH, 3D, EBUS",,,0.22,16.13,101
HCPCS,C9756,FLUORESCENCE LYMPH MAP W/ICG,,,0.22,1.12,16
HCPCS,C9757,SPINE DEVICE IMPLANT SURGERY,,,0.22,16.13,96
HCPCS,C9758,BLIND INTERATRIAL SHUNT IDE,,,0.22,16.13,96
HCPCS,C9759,TRANSCATH INTRAOP MICROINF,,,0.22,16.13,101
HCPCS,C9760,NON-BLIND INTERATRIAL SHUNT,,,0.22,67821.48,101
HCPCS,C9761,"CYSTO, LITHO, VACUUM KIDNEY",,,0.22,16.13,96
HCPCS,C9762,CARDIAC MRI SEG DYS STRAIN,,,1.0,770.53,15
HCPCS,C9763,CARDIAC MRI SEG DYS STRESS,,,1.0,770.53,15
HCPCS,C9764,REVASC INTRVASC LITHO,32102.0,24076.5,0.22,28891.8,107
HCPCS,C9765,INTRAVASC LITHO+STENT,48530.0,36397.5,0.22,43677.0,107
HCPCS,C9766,REVASC INTRAVASC LITHO+ATHER,53175.0,39881.25,0.22,47857.5,107
HCPCS,C9767,REVASC LITHO+STNT+ATHER,69731.0,52298.25,0.22,62757.9,107
HCPCS,C9768,ENDO US-GUIDE HEP PORTO GRAD,,,0.01,16.13,95
HCPCS,C9769,CYSTO W/TEMP PROS IMPLANT,,,0.22,0.22,1
HCPCS,C9772,REVASC INTRAVASC LITHO+PLASTY,35076.0,26307.0,0.22,31568.4,107
HCPCS,C9773,REVASC INTRAVASC LITHO+STNT,51452.0,38589.0,0.22,46306.8,107
HCPCS,C9774,REVASC INTRAVASC LITHO+ATHER,50203.0,37652.25,0.22,45182.7,107
HCPCS,C9775,REVASC INTVASC LITH+STNT+ATHER,105715.0,79286.25,0.22,95143.5,107
HCPCS,C9776,FLUO BILE DUCT IMAGING W/ICG,,,0.22,1.6,16
HCPCS,C9777,ESOPHAG MUC INTEG W/ESO EGD,,,0.22,16.13,101
HCPCS,C9778,"COLPOPEXY, MIN/INV, EX-PERIT",,,0.22,16.13,96
HCPCS,C9779,ESD ENDOSCOPY OR COLONOSCOPY,,,0.22,16.13,96
HCPCS,C9780,INSERT CV CATH INF & SUP APP,,,0.22,16.13,96
HCPCS,C9781,ARTHRO/SHOUL SURG; W/SPACER,,,0.22,16.13,96
HCPCS,C9782,BLIND MYOCAR TRPL BON MARROW,,,0.22,56031.35,16
HCPCS,C9783,BLIND COR SINUS REDUCER IMPL,,,0.22,36309.1,16
HCPCS,C9784,ENDO SLEEVE GASTRO W/TUBE,,,0.22,16.13,96
HCPCS,C9785,ENDO OUTLET RESTRICT W/TUBE,,,0.22,16.13,96
HCPCS,C9789,INSTILL PHARM RENAL PELVIS,,,0.92,1.12,15
HCPCS,C9791,MRI HYPERPOLARIZED XENON129,,,0.92,1250.5,14
HCPCS,C9792,BLIND/NONBLIND TRANS ATRIAL,,,0.22,16.13,96
HCPCS,C9793,PRE-PLAN 3D MODEL W/CCTA,,,0.92,1.12,10
HCPCS,C9796,Rpr intst excl anrect fist,,,0.22,16.13,96
HCPCS,C9797,VASC EMB/OCC W/PRS CATH,47900.0,35925.0,0.22,43110.0,102
HCPCS,C9804,"Elastomeric infusion pump (e.g., On-Q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying Medicare non-opioid Medical device for",,,1.0,3.2,10
HCPCS,C9806,"Rotary peristaltic infusion pump (e.g., ambIT pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying Medicare non-opioid medical device for pos",,,1.0,3.2,10
HCPCS,C9807,"Nerve stimulator, percutaneous, peripheral (e.g., SPRINT peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying",,,1.0,3.2,10
HCPCS,C9808,"Nerve cryoablation probe (e.g., cryoICE, cryoSPHERE, cryoSPHERE MAX, cryoICE cryoSPHERE, cryoICE cryO2), including probe and all disposable system components, non-opioid medical device (must be a qual",,,1.0,3.2,10
HCPCS,C9809,"Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying Medicare non-opioid medical device for post-surgic",,,1.0,3.2,10
HCPCS,C9898,ISOTOPE ADMIN DURING IP STAY,1.0,0.75,0.92,1.12,10
HCPCS,C9899,"INPT IMPLANT PROS DEV,NO COV",,,0.03,1.0,10
HCPCS,C9901,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,1.0,3.2,15
HCPCS,D2989,EXCAVATE TOOTH NON-RESTORABL,,,1.0,1.0,5
HCPCS,D3471,SURG REP ROOT RES ANTERIOR,,,1.0,1.0,5
HCPCS,D3472,SURG REP ROOT RES PREMOLAR,,,1.0,1.0,5
HCPCS,D3473,SURG REP ROOT RES MOLAR,,,1.0,1.0,5
HCPCS,D3501,SURG EXP ROOT SURF ANTERIOR,,,1.0,1.0,5
HCPCS,D3502,SURG EXP ROOT SURF PREMOLAR,,,1.0,1.0,5
HCPCS,D3503,SURG EXP ROOT SURF MOLAR,,,1.0,1.0,5
HCPCS,D3921,DECOR OR SUBMERG ERUPT TOOTH,,,1.0,1.0,5
HCPCS,D4286,REMOVE NON-RESORB BARRIER,,,1.0,1.0,5
HCPCS,D5995,"PERI MEDICAMENT W/SEAL, MAX",,,1.0,1.0,5
HCPCS,D5996,"PERI MEDICAMENT W/SEAL, MAND",,,1.0,1.0,5
HCPCS,D6089,ACCESS/RETORQ IMPLANT SCREW,,,1.0,1.0,5
HCPCS,D6105,REMOVE IMPLANT BODY,,,1.0,1.0,5
HCPCS,D6106,TISSUE REGEN RESORBABLE,,,1.0,1.0,5
HCPCS,D6107,TISSUE REGEN NON-RESORBABLE,,,1.0,1.0,5
HCPCS,D6191,SEMI PRECISION ABUTMENT,,,1.0,1.0,5
HCPCS,D6192,SEMI PRECISION ATTACHMENT,,,1.0,1.0,5
HCPCS,D6197,REPLACE MATERIAL PROSTHESIS,,,1.0,1.0,5
HCPCS,D6198,REMOVE INTERIM IMPLANT,,,1.0,1.0,5
HCPCS,D7284,EXC BIOPSY OF SALIV GLANDS,,,1.0,1.0,5
HCPCS,D7298,REMOVE SCREW RETAINED PLATE,,,1.0,1.0,5
HCPCS,D7299,REM ANCHORAGE DEVICE W/FLAP,,,1.0,1.0,5
HCPCS,D7300,REM ANCHORAGE DEV W/O FLAP,,,1.0,1.0,5
HCPCS,D7509,MARSUPIALIZATION ODON CYST,,,1.0,1.0,5
HCPCS,D7939,INDEXING FOR OSTEOTOMY,,,1.0,1.0,5
HCPCS,D7956,TISS REGEN EDENT RESORB,,,1.0,1.0,5
HCPCS,D7957,TISS REGEN EDENT NONRESORB,,,1.0,1.0,5
HCPCS,D7961,BUCCAL/LABIAL FRENECTOMY,,,1.0,1.0,5
HCPCS,D7962,LINGUAL FRENECTOMY,,,1.0,1.0,5
HCPCS,D7993,SURG PLACE CRANIOFACIAL IMPL,,,1.0,1.0,5
HCPCS,D7994,SURG PLACE ZYGOMATIC IMPL,,,1.0,1.0,5
HCPCS,D9949,REPAIR SLEEP APNEA APPLIANCE,,,1.0,1.0,5
HCPCS,E0100,DME POS,,,1.0,80.14,10
HCPCS,E0105,DME POS,,,1.0,216.4,10
HCPCS,E0110,DME POS,,,1.0,295.04,10
HCPCS,E0111,DME POS,,,1.0,238.17,10
HCPCS,E0112,DME POS,,,1.0,140.71,10
HCPCS,E0113,DME POS,,,1.0,94.58,10
HCPCS,E0114,DME POS,,,1.0,192.74,10
HCPCS,E0116,DME POS,,,1.0,124.13,10
HCPCS,E0117,DME POS,,,1.0,904.67,10
HCPCS,E0118,CRUTCH SUBSTITUTE,,,1.0,1037.35,10
HCPCS,E0130,DME POS,,,1.0,182.27,10
HCPCS,E0135,DME POS,,,1.0,182.98,10
HCPCS,E0140,DME POS,,,1.0,1245.56,10
HCPCS,E0141,DME POS,,,1.0,187.84,10
HCPCS,E0143,DME POS,,,1.0,218.8,10
HCPCS,E0144,DME POS,,,1.0,1124.85,10
HCPCS,E0147,DME POS,,,1.0,1597.62,10
HCPCS,E0148,DME POS,,,1.0,328.62,10
HCPCS,E0149,DME POS,,,1.0,490.82,10
HCPCS,E0153,DME POS,,,1.0,263.88,10
HCPCS,E0154,DME POS,,,1.0,193.0,10
HCPCS,E0155,DME POS,,,1.0,83.02,10
HCPCS,E0156,DME POS,,,1.0,61.34,10
HCPCS,E0157,DME POS,,,1.0,234.88,10
HCPCS,E0158,DME POS,,,1.0,89.1,10
HCPCS,E0159,DME POS,,,1.0,61.02,10
HCPCS,E0160,DME POS,,,1.0,118.01,10
HCPCS,E0161,DME POS,,,1.0,100.28,10
HCPCS,E0162,DME POS,,,1.0,625.84,10
HCPCS,E0163,DME POS,,,1.0,207.73,10
HCPCS,E0165,DME POS,,,1.0,510.32,10
HCPCS,E0167,DME POS,,,1.0,45.05,10
HCPCS,E0168,DME POS,,,1.0,461.56,10
HCPCS,E0170,DME POS,,,1.0,6831.15,10
HCPCS,E0171,DME POS,,,1.0,1280.84,10
HCPCS,E0172,SEAT LIFT MECHANISM TOILET,,,1.0,627.82,10
HCPCS,E0175,DME POS,,,1.0,3.2,10
HCPCS,E0181,DME POS,,,1.0,631.34,10
HCPCS,E0182,DME POS,,,1.0,929.55,10
HCPCS,E0184,DME POS,,,1.0,606.66,10
HCPCS,E0185,DME POS,,,1.0,648.95,10
HCPCS,E0186,DME POS,,,1.0,787.01,10
HCPCS,E0187,DME POS,,,1.0,928.53,10
HCPCS,E0188,DME POS,,,1.0,101.33,10
HCPCS,E0189,DME POS,,,1.0,190.76,10
HCPCS,E0190,POSITIONING CUSHION,,,1.0,3.2,10
HCPCS,E0191,DME POS,,,1.0,44.7,10
HCPCS,E0193,DME POS,,,1.0,29662.73,10
HCPCS,E0194,DME POS,,,1.0,144099.23,10
HCPCS,E0196,DME POS,,,1.0,1380.7,10
HCPCS,E0197,DME POS,,,1.0,769.18,10
HCPCS,E0198,DME POS,,,1.0,1005.17,10
HCPCS,E0199,DME POS,,,1.0,113.56,10
HCPCS,E0200,DME POS,,,1.0,301.44,10
HCPCS,E0202,DME POS,,,1.0,2941.56,10
HCPCS,E0203,THERAPEUTIC LIGHTBOX TABLETP,,,1.0,3.2,10
HCPCS,E0205,DME POS,,,1.0,737.9,10
HCPCS,E0210,DME POS,,,1.0,146.09,10
HCPCS,E0215,DME POS,,,1.0,269.36,10
HCPCS,E0217,DME POS,,,1.0,1887.75,10
HCPCS,E0221,INFRARED HEATING PAD SYSTEM,,,1.0,6368.18,10
HCPCS,E0225,DME POS,,,1.0,1477.81,10
HCPCS,E0235,DME POS,,,1.0,743.31,10
HCPCS,E0236,DME POS,,,1.0,1766.63,10
HCPCS,E0239,DME POS,,,1.0,1710.44,10
HCPCS,E0240,BATH/SHOWER CHAIR,,,1.0,3.2,10
HCPCS,E0241,BATH TUB WALL RAIL,,,1.0,3.2,10
HCPCS,E0242,BATH TUB RAIL FLOOR,,,1.0,3.2,10
HCPCS,E0243,TOILET RAIL,,,1.0,3.2,10
HCPCS,E0244,TOILET SEAT RAISED,,,1.0,3.2,10
HCPCS,E0245,TUB STOOL OR BENCH,,,1.0,3.2,10
HCPCS,E0246,TRANSFER TUB RAIL ATTACHMENT,,,1.0,3.2,10
HCPCS,E0247,TRANS BENCH W/WO COMM OPEN,,,1.0,3.2,10
HCPCS,E0248,HDTRANS BENCH W/WO COMM OPEN,,,1.0,3.2,10
HCPCS,E0249,DME POS,,,1.0,378.73,10
HCPCS,E0271,DME POS,,,1.0,488.0,10
HCPCS,E0272,DME POS,,,1.0,550.44,10
HCPCS,E0273,BED BOARD,,,1.0,3.2,10
HCPCS,E0274,OVER-BED TABLE,,,1.0,3.2,10
HCPCS,E0275,DME POS,,,1.0,54.3,10
HCPCS,E0276,DME POS,,,1.0,48.31,10
HCPCS,E0277,DME POS,,,1.0,7529.73,10
HCPCS,E0291,DME POS,,,1.0,1803.61,10
HCPCS,E0293,DME POS,,,1.0,2301.48,10
HCPCS,E0295,DME POS,,,1.0,2484.36,10
HCPCS,E0297,DME POS,,,1.0,4147.1,10
HCPCS,E0310,DME POS,,,1.0,427.88,10
HCPCS,E0316,DME POS,,,1.0,7923.05,10
HCPCS,E0325,DME POS,,,1.0,35.44,10
HCPCS,E0326,DME POS,,,1.0,38.77,10
HCPCS,E0371,DME POS,,,1.0,7529.73,10
HCPCS,E0372,DME POS,,,1.0,7529.73,10
HCPCS,E0373,DME POS,,,1.0,7529.73,10
HCPCS,E0424,DME POS,,,1.0,3096.04,10
HCPCS,E0425,GAS SYSTEM STATIONARY COMPRE,,,1.0,628.17,10
HCPCS,E0430,OXYGEN SYSTEM GAS PORTABLE,,,1.0,656.67,10
HCPCS,E0431,DME POS,,,1.0,689.65,10
HCPCS,E0433,DME POS,,,1.0,1442.69,10
HCPCS,E0434,DME POS,,,1.0,1442.69,10
HCPCS,E0435,OXYGEN SYSTEM LIQUID PORTABL,,,1.0,3665.31,10
HCPCS,E0439,DME POS,,,1.0,3096.04,10
HCPCS,E0440,OXYGEN SYSTEM LIQUID STATION,,,1.0,9163.27,10
HCPCS,E0441,DME POS,,,1.0,210.64,10
HCPCS,E0442,DME POS,,,1.0,210.64,10
HCPCS,E0443,DME POS,,,1.0,189.09,10
HCPCS,E0444,DME POS,,,1.0,189.09,10
HCPCS,E0445,OXIMETER NON-INVASIVE,,,1.0,3371.39,10
HCPCS,E0446,"TOPICAL OX DELIVER SYS, NOS",,,1.0,3.2,10
HCPCS,E0447,DME POS,,,1.0,283.64,10
HCPCS,E0455,OXYGEN TENT EXCL CROUP/PED T,,,1.0,668.51,10
HCPCS,E0457,CHEST SHELL,,,1.0,1917.21,10
HCPCS,E0459,CHEST WRAP,,,1.0,1667.09,10
HCPCS,E0462,DME POS,,,1.0,11634.82,10
HCPCS,E0465,DME POS,,,1.0,44981.32,10
HCPCS,E0466,DME POS,,,1.0,42699.79,10
HCPCS,E0467,DME POS,,,1.0,49866.16,10
HCPCS,E0470,DME POS,,,1.0,4473.86,10
HCPCS,E0471,DME POS,,,1.0,11261.31,10
HCPCS,E0472,DME POS,,,1.0,17478.94,10
HCPCS,E0480,DME POS,,,1.0,1754.85,10
HCPCS,E0481,INTRPULMNRY PERCUSS VENT SYS,,,1.0,3.2,10
HCPCS,E0482,DME POS,,,1.0,19316.14,10
HCPCS,E0483,DME POS,,,1.0,49936.31,10
HCPCS,E0484,DME POS,,,1.0,165.24,10
HCPCS,E0485,DME POS,,,1.0,864.46,10
HCPCS,E0486,DME POS,,,1.0,7864.66,10
HCPCS,E0487,ELECTRONIC SPIROMETER,,,1.0,2161.15,10
HCPCS,E0500,DME POS,,,1.0,4910.13,10
HCPCS,E0550,DME POS,,,1.0,2001.61,10
HCPCS,E0555,HUMIDIFIER FOR USE W/ REGULA,,,1.0,193.06,10
HCPCS,E0560,DME POS,,,1.0,626.25,10
HCPCS,E0561,DME POS,,,1.0,299.68,10
HCPCS,E0562,DME POS,,,1.0,531.03,10
HCPCS,E0565,DME POS,,,1.0,1772.33,10
HCPCS,E0570,DME POS,,,1.0,389.29,10
HCPCS,E0572,DME POS,,,1.0,1291.28,10
HCPCS,E0574,DME POS,,,1.0,1818.73,10
HCPCS,E0575,DME POS,,,1.0,4827.88,10
HCPCS,E0580,DME POS,,,1.0,516.85,10
HCPCS,E0585,DME POS,,,1.0,1260.0,10
HCPCS,E0600,DME POS,,,1.0,1827.82,10
HCPCS,E0601,DME POS,,,1.0,1723.25,10
HCPCS,E0603,ELECTRIC BREAST PUMP,,,1.0,525.88,10
HCPCS,E0604,HOSP GRADE ELEC BREAST PUMP,,,1.0,3.2,10
HCPCS,E0605,DME POS,,,1.0,118.14,10
HCPCS,E0606,DME POS,,,1.0,976.61,10
HCPCS,E0607,DME POS,,,1.0,298.91,10
HCPCS,E0610,DME POS,,,1.0,1063.99,10
HCPCS,E0615,DME POS,,,1.0,1943.98,10
HCPCS,E0617,DME POS,,,1.0,14280.86,10
HCPCS,E0618,DME POS,,,1.0,3.2,10
HCPCS,E0619,DME POS,,,1.0,8342.03,10
HCPCS,E0620,DME POS,,,1.0,4106.44,10
HCPCS,E0621,DME POS,,,1.0,335.41,10
HCPCS,E0625,PATIENT LIFT BATHROOM OR TOI,,,1.0,3.2,10
HCPCS,E0627,DME POS,,,1.0,1054.48,10
HCPCS,E0629,DME POS,,,1.0,1042.06,10
HCPCS,E0630,DME POS,,,1.0,2428.23,10
HCPCS,E0635,DME POS,,,1.0,4726.35,10
HCPCS,E0636,DME POS,,,1.0,40818.79,10
HCPCS,E0637,COMBINATION SIT TO STAND SYS,,,1.0,11522.18,10
HCPCS,E0641,MULTI-POSITION STND FRAM SYS,,,1.0,9394.84,10
HCPCS,E0642,DYNAMIC STANDING FRAME,,,1.0,10571.76,10
HCPCS,E0705,DME POS,,,1.0,177.02,10
HCPCS,E0720,DME POS,,,1.0,284.89,10
HCPCS,E0730,DME POS,,,1.0,538.14,10
HCPCS,E0731,DME POS,,,1.0,349.02,10
HCPCS,E0755,ELECTRONIC SALIVARY REFLEX S,,,1.0,3.2,10
HCPCS,E0760,DME POS,,,1.0,14462.94,10
HCPCS,E0765,DME POS,,,1.0,376.33,10
HCPCS,E0766,DME POS,,,1.0,3.2,10
HCPCS,E0770,FUNCTIONAL ELECTRIC STIM NOS,,,1.0,14727.82,10
HCPCS,E0776,DME PEN,,,1.0,572.75,10
HCPCS,E0830,AMBULATORY TRACTION DEVICE,,,1.0,3.2,10
HCPCS,E1352,O2 FLOW REG POS INSPIR PRESS,,,1.0,90.61,10
HCPCS,E1353,DME POS,,,1.0,126.69,10
HCPCS,E1354,"WHEELED CART, PORT CYL/CONC",,,1.0,178.21,10
HCPCS,E1355,DME POS,,,1.0,95.47,10
HCPCS,E1356,"BATT PACK/CART, PORT CONC",,,1.0,1120.6,10
HCPCS,E1357,"BATTERY CHARGER, PORT CONC",,,1.0,720.38,10
HCPCS,E1358,"DC POWER ADAPTER, PORT CONC",,,1.0,80.04,10
HCPCS,E1372,DME POS,,,1.0,526.84,10
HCPCS,E1390,DME POS,,,1.0,3418.42,10
HCPCS,E1391,DME POS,,,1.0,3096.04,10
HCPCS,E1392,DME POS,,,1.0,1442.69,10
HCPCS,E1399,DURABLE MEDICAL EQUIPMENT MI,,,1.0,970.85,10
HCPCS,E1405,DME POS,,,1.0,4296.04,10
HCPCS,E1406,DME POS,,,1.0,3336.49,10
HCPCS,E1500,CENTRIFUGE,,,1.0,2809.49,10
HCPCS,E1510,KIDNEY DIALYSATE DELIVRY SYS,,,1.0,7025.17,10
HCPCS,E1520,HEPARIN INFUSION PUMP,,,1.0,2917.55,10
HCPCS,E1530,REPLACEMENT AIR BUBBLE DETEC,,,1.0,108.06,10
HCPCS,E1540,REPLACEMENT PRESSURE ALARM,,,1.0,97.27,10
HCPCS,E1550,BATH CONDUCTIVITY METER,,,1.0,172.89,10
HCPCS,E1560,REPLACE BLOOD LEAK DETECTOR,,,1.0,172.89,10
HCPCS,E1570,ADJUSTABLE CHAIR FOR ESRD PT,,,1.0,1440.77,10
HCPCS,E1575,TRANSDUCER PROTECT/FLD BAR,,,1.0,10.82,10
HCPCS,E1590,HEMODIALYSIS MACHINE,,,1.0,5268.88,10
HCPCS,E1594,CYCLER DIALYSIS MACHINE,,,1.0,423.58,10
HCPCS,E1600,DELI/INSTALL CHRG HEMO EQUIP,,,1.0,194.5,10
HCPCS,E1610,REVERSE OSMOSIS H2O PURI SYS,,,1.0,5273.2,10
HCPCS,E1615,DEIONIZER H2O PURI SYSTEM,,,1.0,5705.43,10
HCPCS,E1620,REPLACEMENT BLOOD PUMP,,,1.0,1567.55,10
HCPCS,E1625,WATER SOFTENING SYSTEM,,,1.0,972.52,10
HCPCS,E1630,RECIPROCATING PERITONEAL DIA,,,1.0,3.2,10
HCPCS,E1635,COMPACT TRAVEL HEMODIALYZER,,,1.0,1296.69,10
HCPCS,E1637,"HEMOSTATS FOR DIALYSIS, EACH",,,1.0,7.2,10
HCPCS,E1639,"SCALE, EACH",,,1.0,43.22,10
HCPCS,E1701,DME POS,,,1.0,40.31,10
HCPCS,E1702,DME POS,,,1.0,85.77,10
HCPCS,E1820,DME POS,,,1.0,358.78,10
HCPCS,E1821,DME POS,,,1.0,470.78,10
HCPCS,E1831,DME POS,,,1.0,3102.93,10
HCPCS,E2000,DME POS,,,1.0,2328.05,10
HCPCS,E2100,DME POS,,,1.0,1236.62,10
HCPCS,E2101,DME POS,,,1.0,843.46,10
HCPCS,E2120,DME POS,,,1.0,13317.05,10
HCPCS,E2201,DME POS,,,1.0,1184.21,10
HCPCS,E2202,DME POS,,,1.0,1754.76,10
HCPCS,E2203,DME POS,,,1.0,1639.97,10
HCPCS,E2204,DME POS,,,1.0,2926.61,10
HCPCS,E2205,DME POS,,,1.0,136.17,10
HCPCS,E2206,DME POS,,,1.0,147.85,10
HCPCS,E2207,DME POS,,,1.0,180.06,10
HCPCS,E2208,DME POS,,,1.0,300.1,10
HCPCS,E2209,DME POS,,,1.0,330.61,10
HCPCS,E2210,DME POS,,,1.0,22.25,10
HCPCS,E2211,DME POS,,,1.0,129.32,10
HCPCS,E2212,DME POS,,,1.0,24.91,10
HCPCS,E2213,DME POS,,,1.0,115.9,10
HCPCS,E2214,DME POS,,,1.0,126.98,10
HCPCS,E2215,DME POS,,,1.0,39.99,10
HCPCS,E2216,DME POS,,,1.0,320.94,10
HCPCS,E2217,DME POS,,,1.0,229.82,10
HCPCS,E2218,DME POS,,,1.0,288.86,10
HCPCS,E2219,DME POS,,,1.0,164.18,10
HCPCS,E2220,DME POS,,,1.0,107.55,10
HCPCS,E2221,DME POS,,,1.0,105.85,10
HCPCS,E2222,DME POS,,,1.0,87.53,10
HCPCS,E2224,DME POS,,,1.0,350.2,10
HCPCS,E2225,DME POS,,,1.0,73.32,10
HCPCS,E2226,DME POS,,,1.0,156.31,10
HCPCS,E2227,DME POS,,,1.0,8787.39,10
HCPCS,E2228,DME POS,,,1.0,3916.83,10
HCPCS,E2231,DME POS,,,1.0,549.51,10
HCPCS,E2291,PLANAR BACK FOR PED SIZE WC,,,1.0,3.2,10
HCPCS,E2292,PLANAR SEAT FOR PED SIZE WC,,,1.0,3.2,10
HCPCS,E2293,CONTOUR BACK FOR PED SIZE WC,,,1.0,3.2,10
HCPCS,E2294,CONTOUR SEAT FOR PED SIZE WC,,,1.0,3.2,10
HCPCS,E2295,PED DYNAMIC SEATING FRAME,,,1.0,80.04,10
HCPCS,E2301,PWR STANDING,,,1.0,1200.77,10
HCPCS,E2310,DME POS,,,1.0,4441.94,10
HCPCS,E2311,DME POS,,,1.0,8963.86,10
HCPCS,E2312,DME POS,,,1.0,9471.85,10
HCPCS,E2313,DME POS,,,1.0,1505.09,10
HCPCS,E2321,DME POS,,,1.0,6035.75,10
HCPCS,E2322,DME POS,,,1.0,5702.26,10
HCPCS,E2323,DME POS,,,1.0,264.72,10
HCPCS,E2324,DME POS,,,1.0,168.95,10
HCPCS,E2325,DME POS,,,1.0,5450.13,10
HCPCS,E2326,DME POS,,,1.0,1405.9,10
HCPCS,E2327,DME POS,,,1.0,10575.5,10
HCPCS,E2328,DME POS,,,1.0,20060.8,10
HCPCS,E2329,DME POS,,,1.0,7149.84,10
HCPCS,E2330,DME POS,,,1.0,13853.6,10
HCPCS,E2331,ATTENDANT CONTROL,,,1.0,2819.58,10
HCPCS,E2340,DME POS,,,1.0,1603.03,10
HCPCS,E2341,DME POS,,,1.0,2404.8,10
HCPCS,E2342,DME POS,,,1.0,2004.04,10
HCPCS,E2343,DME POS,,,1.0,3206.47,10
HCPCS,E2351,DME POS,,,1.0,2694.61,10
HCPCS,E2358,GR 34 NONSEALED LEADACID,,,1.0,309.76,10
HCPCS,E2359,DME POS,,,1.0,668.48,10
HCPCS,E2360,DME POS,,,1.0,427.2,10
HCPCS,E2361,DME POS,,,1.0,448.49,10
HCPCS,E2362,DME POS,,,1.0,411.48,10
HCPCS,E2363,DME POS,,,1.0,586.1,10
HCPCS,E2364,DME POS,,,1.0,427.2,10
HCPCS,E2365,DME POS,,,1.0,299.36,10
HCPCS,E2366,DME POS,,,1.0,622.92,10
HCPCS,E2367,DME POS,,,1.0,1463.11,10
HCPCS,E2368,DME POS,,,1.0,1743.42,10
HCPCS,E2369,DME POS,,,1.0,1648.62,10
HCPCS,E2370,DME POS,,,1.0,2118.28,10
HCPCS,E2371,DME POS,,,1.0,554.28,10
HCPCS,E2372,DME POS,,,1.0,331.25,10
HCPCS,E2373,DME POS,,,1.0,3236.05,10
HCPCS,E2374,DME POS,,,1.0,2047.01,10
HCPCS,E2375,DME POS,,,1.0,2746.26,10
HCPCS,E2376,DME POS,,,1.0,5085.04,10
HCPCS,E2377,DME POS,,,1.0,1883.94,10
HCPCS,E2381,DME POS,,,1.0,248.48,10
HCPCS,E2382,DME POS,,,1.0,71.05,10
HCPCS,E2383,DME POS,,,1.0,512.18,10
HCPCS,E2384,DME POS,,,1.0,252.36,10
HCPCS,E2385,DME POS,,,1.0,170.52,10
HCPCS,E2386,DME POS,,,1.0,401.97,10
HCPCS,E2387,DME POS,,,1.0,204.65,10
HCPCS,E2388,DME POS,,,1.0,185.54,10
HCPCS,E2389,DME POS,,,1.0,103.7,10
HCPCS,E2390,DME POS,,,1.0,160.6,10
HCPCS,E2391,DME POS,,,1.0,71.4,10
HCPCS,E2392,DME POS,,,1.0,176.06,10
HCPCS,E2394,DME POS,,,1.0,229.75,10
HCPCS,E2395,DME POS,,,1.0,178.94,10
HCPCS,E2396,DME POS,,,1.0,198.19,10
HCPCS,E2397,DME POS,,,1.0,1753.22,10
HCPCS,E2398,DME POS,,,1.0,513.17,10
HCPCS,E2402,DME POS,,,1.0,28447.97,10
HCPCS,E2601,DME POS,,,1.0,149.1,10
HCPCS,E2602,DME POS,,,1.0,332.78,10
HCPCS,E2603,DME POS,,,1.0,400.79,10
HCPCS,E2604,DME POS,,,1.0,557.64,10
HCPCS,E2605,DME POS,,,1.0,814.42,10
HCPCS,E2606,DME POS,,,1.0,1362.52,10
HCPCS,E2607,DME POS,,,1.0,801.51,10
HCPCS,E2608,DME POS,,,1.0,1001.04,10
HCPCS,E2609,CUSTOM FABRICATE W/C CUSHION,,,1.0,3409.81,10
HCPCS,E2610,POWERED W/C CUSHION,,,1.0,1259.64,10
HCPCS,E2612,DME POS,,,1.0,1176.66,10
HCPCS,E2613,DME POS,,,1.0,1204.38,10
HCPCS,E2614,DME POS,,,1.0,1850.39,10
HCPCS,E2615,DME POS,,,1.0,1353.1,10
HCPCS,E2616,DME POS,,,1.0,1883.34,10
HCPCS,E2617,CUSTOM FAB W/C BACK CUSHION,,,1.0,5302.02,10
HCPCS,E2619,DME POS,,,1.0,191.05,10
HCPCS,E2620,DME POS,,,1.0,1469.64,10
HCPCS,E2621,DME POS,,,1.0,1775.57,10
HCPCS,E2623,DME POS,,,1.0,1532.59,10
HCPCS,E2624,DME POS,,,1.0,1231.53,10
HCPCS,E2625,DME POS,,,1.0,1524.14,10
HCPCS,E2626,DME POS,,,1.0,2479.62,10
HCPCS,E2627,DME POS,,,1.0,3618.15,10
HCPCS,E2628,DME POS,,,1.0,2869.4,10
HCPCS,E2629,DME POS,,,1.0,3592.72,10
HCPCS,E2630,DME POS,,,1.0,2516.15,10
HCPCS,E2631,DME POS,,,1.0,1044.97,10
HCPCS,E2632,DME POS,,,1.0,656.19,10
HCPCS,E2633,DME POS,,,1.0,536.0,10
HCPCS,G0008,1ET-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,75.02,10
HCPCS,G0008,1WS-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,75.02,10
HCPCS,G0008,3W-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,75.02,10
HCPCS,G0008,4W-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,75.02,10
HCPCS,G0008,4WS-ADMINISTER INFLUENZA VACC,98.0,73.5,1.0,75.02,10
HCPCS,G0008,5W-ADMINISTER INFLUENZA VACC,112.0,84.0,1.0,75.02,10
HCPCS,G0008,ADM INFLUENZA VIRUS VACC-MCAR,159.0,119.25,1.0,75.02,20
HCPCS,G0008,ADMIN INFLUENZA VACCINE,84.0,63.0,1.0,75.02,20
HCPCS,G0008,ADMIN INFLUENZA VIR VAC-MCARE,159.0,119.25,1.0,75.02,10
HCPCS,G0008,"ADMIN,INFLUENZA VIRUS VACC",174.0,130.5,1.0,75.02,10
HCPCS,G0008,ADMIN. FLU VACCINE,65.0,48.75,1.0,75.02,10
HCPCS,G0008,ADMN INFLUENZA VIRS VCCN-MCARE,174.0,130.5,1.0,75.02,30
HCPCS,G0008,ADMN INFLUNZA VIRUS VACC MCARE,78.0,58.5,1.0,75.02,20
HCPCS,G0008,INFLUENZA VACC ADMIN,98.0,73.5,1.0,75.02,500
HCPCS,G0009,1WS-ADMINISTER PNEUMOCOCCAL,108.0,81.0,1.0,75.02,9
HCPCS,G0009,3W-ADMINISTER PNEUMOCOCCAL,112.0,84.0,1.0,75.02,9
HCPCS,G0009,4W-ADMINISTER PNEUMOCOCCAL,112.0,84.0,1.0,75.02,9
HCPCS,G0009,4WS-ADMINISTER PNEUMOCOCCAL,100.0,75.0,1.0,75.02,9
HCPCS,G0009,5W-ADMINISTER PNEUMOCOCCAL,112.0,84.0,1.0,75.02,9
HCPCS,G0009,ADMIN PNEUMOCCAL VAC-MCARE,172.0,129.0,1.0,75.02,9
HCPCS,G0009,ADMIN PNEUMOCCAL VACCINE,117.0,87.75,1.0,75.02,9
HCPCS,G0009,ADMIN PNEUMOCCAL VACCINE MCARE,180.0,135.0,1.0,75.02,9
HCPCS,G0009,ADMIN PNEUMOCCAL VACCINE-MCAR,172.0,129.0,1.0,75.02,9
HCPCS,G0009,ADMIN PNEUMOCCAL VACCINE-MCARE,180.0,135.0,1.0,75.02,18
HCPCS,G0009,ADMIN PNEUMONIA VACCINE,130.0,97.5,1.0,75.02,18
HCPCS,G0009,PNEUMOCOCCAL VACC ADMIN,100.0,75.0,1.0,75.02,477
HCPCS,G0010,ADMIN HEPATITIS B VACCINE,161.0,120.75,1.0,75.02,9
HCPCS,G0010,ADMIN. HEP. B VACCINE,85.0,63.75,1.0,75.02,9
HCPCS,G0010,HEPATITIS B VACC ADMIN,128.0,96.0,1.0,75.02,252
HCPCS,G0011,"HIV PREP COUNSEL, MD 15-30M",,,1.0,36.46,12
HCPCS,G0012,INJECTION OF HIV PREP DRUG,,,1.0,73.32,17
HCPCS,G0013,"HIV PREP COUNSEL, CLIN STAFF",,,1.0,30.21,12
HCPCS,G0017,CRISIS PSYCHOTHERAPY 60M,,,1.0,281.56,12
HCPCS,G0018,ONC PRST8 MRNA 18 GEN DRE UR,,,1.0,138.84,12
HCPCS,G0019,COMM HLTH INTG SVS SDOH 60MN,,,1.0,105.09,12
HCPCS,G0022,COMM HLTH INTG SVS ADD 30 M,,,1.0,65.55,12
HCPCS,G0023,PIN SERVICE 60M PER MONTH,,,1.0,105.09,12
HCPCS,G0024,PIN SRV ADD 30 MIN PR M,,,1.0,65.55,12
HCPCS,G0027,SEMEN ANALYSIS,,,1.0,8.87,15
HCPCS,G0076,CARE MANAG H VST NEW PT 20 M,,,1.0,64.94,2
HCPCS,G0077,CARE MANAG H VST NEW PT 30 M,,,1.0,97.29,2
HCPCS,G0078,CARE MANAG H VST NEW PT 45 M,,,1.0,159.13,2
HCPCS,G0079,CARE MANAG H VST NEW PT 60 M,,,1.0,209.06,2
HCPCS,G0080,CARE MANAG H VST NEW PT 75 M,,,1.0,274.5,2
HCPCS,G0081,CARE MAN H V EXT PT 20 MI,,,1.0,63.64,2
HCPCS,G0082,CARE MAN H V EXT PT 30 M,,,1.0,103.58,2
HCPCS,G0083,CARE MAN H V EXT PT 45 M,,,1.0,163.22,2
HCPCS,G0084,CARE MAN H V EXT PT 60 M,,,1.0,229.91,2
HCPCS,G0085,CARE MAN H V EXT PT 75 M,,,1.0,274.5,2
HCPCS,G0086,CARE MAN HOME CARE PLAN 30 M,,,1.0,98.46,2
HCPCS,G0087,CARE MAN HOME CARE PLAN 60 M,,,1.0,137.96,2
HCPCS,G0101,CA SCREEN - PELVIC BREAST EXAM,190.0,142.5,1.0,112.54,12
HCPCS,G0102,PROSTATE CA SCREENING; DRE,,,1.0,86.96,12
HCPCS,G0103,PSA SCREEN TEST,331.0,248.25,1.0,25.09,15
HCPCS,G0104,CA SCREEN;FLEXI SIGMOIDSCOPE,,,0.22,3791.0,104
HCPCS,G0105,COLORECTAL SCRN; HI RISK IND,,,0.22,3791.0,105
HCPCS,G0108,DIAB SLFMGMT IND 30 MIN,227.5,170.625,1.0,119.36,24
HCPCS,G0109,DIAB SLFMGMT GRP 30 MIN,265.5,199.125,1.0,35.8,36
HCPCS,G0117,GLAUCOMA SCRN HGH RISK DIREC,,,1.0,242.14,12
HCPCS,G0118,GLAUCOMA SCRN HGH RISK DIREC,,,1.0,180.77,12
HCPCS,G0121,COLON CA SCRN NOT HI RSK IND,,,0.22,3791.0,105
HCPCS,G0123,PAP SMEAR SCREENING,235.0,176.25,1.0,27.64,15
HCPCS,G0124,SCREEN C/V THIN LAYER BY MD,,,1.0,33.47,17
HCPCS,G0127,TRIM NAIL(S),,,0.22,1137.0,104
HCPCS,G0128,CORF SKILLED NURSING SERVICE,,,1.0,12.65,2
HCPCS,G0129,PHP/IOP OT SERVICE,,,1.0,3.2,10
HCPCS,G0130,SINGLE ENERGY X-RAY STUDY,,,1.0,108.97,17
HCPCS,G0136,ADM OF SOC DTR ASSESS 5-15 M,,,1.0,64.8,12
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,1.0,227.61,12
HCPCS,G0140,NAV SRV PEER SUP 60 MIN PR M,,,1.0,230.2,12
HCPCS,G0141,"SCR C/V CYTO,AUTOSYS AND MD",,,1.0,33.47,17
HCPCS,G0143,"SCR C/V CYTO,THINLAYER,RESCR",,,1.0,27.64,15
HCPCS,G0144,"SCR C/V CYTO,THINLAYER,RESCR",,,1.0,43.97,15
HCPCS,G0145,SCREENING CYTOPATHOLOGY,70.0,52.5,1.0,36.14,30
HCPCS,G0146,NAV SRV PEER SUP ADD 30 PR M,,,1.0,129.6,12
HCPCS,G0147,"SCR C/V CYTO, AUTOMATED SYS",,,1.0,15.53,15
HCPCS,G0148,"SCR C/V CYTO, AUTOSYS, RESCR",,,1.0,31.94,15
HCPCS,G0166,"EXTRNL COUNTERPULSE, PER TX",,,1.0,504.75,12
HCPCS,G0168,WOUND CLOSURE BY ADHESIVE,,,1.0,1137.0,103
HCPCS,G0173,Linear acc stereo radsur com,,,9407.0,9407.0,1
HCPCS,G0175,"OPPS SERVICE,SCHED TEAM CONF",,,1.0,3.2,10
HCPCS,G0176,OPPS/PHP/IOP; ACTIVITY THRPY,,,1.0,3.2,10
HCPCS,G0177,OPPS/PHP/IOP; TRAIN & EDUC,,,1.0,3.2,10
HCPCS,G0179,MD RECERTIFICATION HHA PT,,,1.0,55.27,2
HCPCS,G0180,MD CERTIFICATION HHA PATIENT,,,1.0,70.2,2
HCPCS,G0181,HOME HEALTH CARE SUPERVISION,,,1.0,139.72,2
HCPCS,G0182,HOSPICE CARE SUPERVISION,,,1.0,137.71,2
HCPCS,G0183,"Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from CT scan(s) data of the chest/heart (with or without contrast)",,,0.92,1.12,10
HCPCS,G0186,"DSTRY EYE LESN,FDR VSSL TECH",,,0.22,3791.0,102
HCPCS,G0219,PET IMG WHOLBOD MELANO NONCO,,,0.5,1.12,15
HCPCS,G0235,PET NOT OTHERWISE SPECIFIED,,,1.0,1879.33,15
HCPCS,G0237,THERAPEUTIC PROCD STRG ENDUR,,,1.0,59.68,12
HCPCS,G0238,"OTH RESP PROC, INDIV",,,1.0,52.86,12
HCPCS,G0239,"OTH RESP PROC, GROUP",,,1.0,66.5,12
HCPCS,G0245,INITIAL FOOT EXAM PT LOPS,,,1.0,170.52,12
HCPCS,G0246,FOLLOWUP EVAL OF FOOT PT LOP,,,1.0,117.66,12
HCPCS,G0247,ROUTINE FOOTCARE PT W LOPS,,,1.0,408.25,97
HCPCS,G0248,DEMONSTRATE USE HOME INR MON,,,1.0,503.05,12
HCPCS,G0249,PROVIDE INR TEST MATER/EQUIP,,,1.0,251.46,12
HCPCS,G0250,MD INR TEST REVIE INTER MGMT,,,1.0,11.5,2
HCPCS,G0251,Linear acc based stero radio,,,5085.0,5085.0,1
HCPCS,G0252,PET IMAGING INITIAL DX,,,0.5,1.12,15
HCPCS,G0255,CURRENT PERCEP THRESHOLD TST,,,1.0,3.2,10
HCPCS,G0257,UNSCHED DIAL ESRD PT,5023.0,3767.25,,,0
HCPCS,G0259,INJECT FOR SACROILIAC JOINT,,,0.22,1137.0,97
HCPCS,G0260,INJ FOR SACROILIAC JT ANESTH,,,0.22,3791.0,103
HCPCS,G0268,REMOVAL OF IMPACTED WAX MD,,,1.0,1137.0,103
HCPCS,G0269,PLC VASC CLSURE DEVICE,1180.0,885.0,0.22,1137.0,216
HCPCS,G0270,MNT SUBS TX CHG DX,60.0,45.0,1.0,85.26,12
HCPCS,G0271,GROUP MNT 2 OR MORE 30 MINS,,,1.0,42.65,12
HCPCS,G0276,PILD/PLACEBO CONTROL CLIN TR,,,0.22,493.75,98
HCPCS,G0277,HBO TRTMNT UP TO 2.0HR NON-MED,4524.0,3393.0,1.0,355.16,12
HCPCS,G0277,"HBOT,FULL BODY CHANBER,30M",1709.0,1281.75,1.0,355.16,12
HCPCS,G0277,PNEUMOCOCCAL VACC ADMIN,294.0,220.5,1.0,355.16,12
HCPCS,G0278,ILIAC ART BI W CARD CTH,7303.0,5477.25,1.0,66.5,22
HCPCS,G0279,"TOMOSYNTHESIS, MAMMO",,,1.0,41.25,17
HCPCS,G0281,ELEC STIM UNATTEND FOR PRESS,,,1.0,15.33,2
HCPCS,G0282,ELECT STIM WOUND CARE NOT PD,,,1.0,3.2,10
HCPCS,G0283,ELEC STIM OTHER THAN WOUND,,,1.0,43.45,12
HCPCS,G0288,"RECON, CTA FOR SURG PLAN",,,1.0,83.31,17
HCPCS,G0289,"ARTHRO, LOOSE BODY + CHONDRO",,,0.22,1137.0,99
HCPCS,G0293,"NON-COV SURG PROC,CLIN TRIAL",,,1.0,16.13,95
HCPCS,G0294,"NON-COV PROC, CLINICAL TRIAL",,,1.0,16.13,95
HCPCS,G0295,ELECTROMAGNETIC THERAPY ONC,,,1.0,195.56,10
HCPCS,G0296,VISIT TO DETERM LDCT ELIG,,,1.0,47.74,12
HCPCS,G0302,PRE-OP SERVICE LVRS COMPLETE,,,1.0,1698.82,10
HCPCS,G0303,PRE-OP SERVICE LVRS 10-15DOS,,,1.0,997.01,10
HCPCS,G0304,PRE-OP SERVICE LVRS 1-9 DOS,,,1.0,1698.82,10
HCPCS,G0305,POST OP SERVICE LVRS MIN 6,,,1.0,3.2,10
HCPCS,G0306,CBC/DIFFWBC W/O PLATELET,,,1.0,10.61,15
HCPCS,G0307,CBC WITHOUT PLATELET,,,1.0,8.83,15
HCPCS,G0316,PROLONG INPT EVAL ADD15 M,,,1.0,42.1,2
HCPCS,G0317,PROLONG NURSIN FAC EVAL 15M,,,1.0,41.67,2
HCPCS,G0318,PROLONG HOME EVAL ADD 15M,,,1.0,41.25,2
HCPCS,G0322,HOME H PHYSIO DATA COLLEC TR,,,1.0,3.2,10
HCPCS,G0323,CARE MANAGE BEH SVS 20MINS,,,1.0,117.66,12
HCPCS,G0327,COLON CA SCRN;BLD-BSD BIOMRK,,,0.5,1.12,14
HCPCS,G0328,FECAL BLOOD SCRN IMMUNOASSAY,,,1.0,21.7,15
HCPCS,G0329,ELECTROMAGNTIC TX FOR ULCERS,,,1.0,13.97,2
HCPCS,G0330,FACILITY SVS DENTAL REHAB,,,0.22,3.2,16
HCPCS,G0339,"ROBOT LIN-RADSURG COM, FIRST",,,1.0,62180.0,26
HCPCS,G0340,ROBT LIN-RADSURG FRACTX 2-5,,,1.0,29607.0,26
HCPCS,G0341,PERCUTANEOUS ISLET CELLTRANS,,,0.22,2027.71,93
HCPCS,G0342,LAPAROSCOPY ISLET CELL TRANS,,,0.22,1075.05,93
HCPCS,G0343,LAPAROTOMY ISLET CELL TRANSP,,,0.22,1759.21,93
HCPCS,G0364,Bone marrow aspirate &biopsy,,,1137.0,1137.0,1
HCPCS,G0372,MD SERVICE REQUIRED FOR PMD,,,1.0,11.49,2
HCPCS,G0378,1E-ICU OBSERVATION 1 HOUR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,1E-TRAUMA OBSERVATION 1 HR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,1W-REHAB OBSERVATION 1HR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,1W-STROKE OBSERVATION 1 HOUR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,2W-SURG OBSERVATION 1 HOUR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,3W-PROG OBSERVATION 1 HOUR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,4W-TELE OBSERVATION 1 HOUR,141.0,105.75,1.0,129.67,10
HCPCS,G0378,4WS - OBSERVATION 1 HOUR,197.0,147.75,1.0,129.67,10
HCPCS,G0378,5BN-OBSERVATION 1 HOUR,166.0,124.5,1.0,129.67,10
HCPCS,G0378,5W-RAU OBSERVATION 1 HOUR,134.0,100.5,1.0,129.67,10
HCPCS,G0378,ED-OBSERVATION 1 HOUR,183.0,137.25,1.0,129.67,10
HCPCS,G0378,HOSP OBS SVC PER HR/INITIAL HR,1333.0,999.75,1.0,129.67,10
HCPCS,G0378,OBS 212 IP HOLD 1/HR,203.0,152.25,1.0,129.67,10
HCPCS,G0378,OBS 217 SDU 1/HR,184.0,138.0,1.0,129.67,10
HCPCS,G0378,OBS 231 M/S 1/HR,197.0,147.75,1.0,129.67,10
HCPCS,G0378,OBS 232 M/S 1/HR,197.0,147.75,1.0,129.67,10
HCPCS,G0378,OBS 233 M/S ADD HR,193.0,144.75,1.0,129.67,10
HCPCS,G0378,OBS 234 M/S 1/HR,197.0,147.75,1.0,129.67,10
HCPCS,G0378,OBS 235 M/S 1/HR,197.0,147.75,1.0,129.67,10
HCPCS,G0378,OBS 251 OB 1/HR,197.0,147.75,1.0,129.67,30
HCPCS,G0378,OBS 624 UNIT 1/HR,197.0,147.75,1.0,129.67,30
HCPCS,G0378,OBSERVATION 4E-MED ADDL HR,99.0,74.25,1.0,129.67,10
HCPCS,G0378,"OBSERVATION,PER HR HOSP SVC",216.0,162.0,1.0,129.67,10
HCPCS,G0378,RESEARCH PT MONITORING CHARGE,174.0,130.5,1.0,129.67,20
HCPCS,G0379,4WS-DIRECT ADMIT-OBSERVATION,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 230 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 231 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 232 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 233 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 234 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 235 M/S DIR ADM,1134.0,850.5,1.0,129.67,10
HCPCS,G0379,OBS 251 OB DIR ADM,1134.0,850.5,1.0,129.67,40
HCPCS,G0379,OBS 624 UNIT DIR ADM,1134.0,850.5,1.0,129.67,40
HCPCS,G0379,OUTPATIENT OBSV ONE HR DIRECT,1333.0,999.75,1.0,129.67,10
HCPCS,G0380,LEV 1 HOSP TYPE B ED VISIT,,,1.0,731.0,19
HCPCS,G0381,LEV 2 HOSP TYPE B ED VISIT,,,1.0,731.0,19
HCPCS,G0382,LEV 3 HOSP TYPE B ED VISIT,,,1.0,1464.0,19
HCPCS,G0383,LEV 4 HOSP TYPE B ED VISIT,,,1.0,4026.0,17
HCPCS,G0384,LEV 5 HOSP TYPE B ED VISIT,,,1.0,4026.0,17
HCPCS,G0390,TRAUMA RESPONS W/HOSP CRITI,,,1.0,99291.0,12
HCPCS,G0396,ALCOHOL/SUBS INTERV 15-30MN,,,1.0,57.98,12
HCPCS,G0397,ALCOHOL/SUBS INTERV >30 MIN,,,1.0,97.2,12
HCPCS,G0398,HOME SLEEP TEST/TYPE 2 PORTA,,,1.0,500.94,10
HCPCS,G0399,HOME SLEEP TEST/TYPE 3 PORTA,,,1.0,500.94,10
HCPCS,G0400,HOME SLEEP TEST/TYPE 4 PORTA,,,1.0,3.2,10
HCPCS,G0402,INITIAL PREVENTIVE EXAM,,,1.0,218.27,2
HCPCS,G0403,EKG FOR INITIAL PREVENT EXAM,,,1.0,40.92,12
HCPCS,G0404,EKG TRACING FOR INITIAL PREV,,,1.0,8.4,12
HCPCS,G0405,EKG INTERPRET & REPORT PREVE,,,1.0,10.64,2
HCPCS,G0406,INPT/TELE FOLLOW UP 15,,,1.0,64.8,12
HCPCS,G0407,INPT/TELE FOLLOW UP 25,,,1.0,109.15,12
HCPCS,G0408,INPT/TELE FOLLOW UP 35,,,1.0,162.01,12
HCPCS,G0409,CORF RELATED SERV 15 MINS EA,,,1.0,30.93,2
HCPCS,G0410,GRP PSYCH PHP/IOP 45-50,,,1.0,132.9,10
HCPCS,G0411,INTERACTIVE GRP PSYC PHP/IOP,,,1.0,161.53,10
HCPCS,G0412,OPEN TX ILIAC SPINE UNI/BIL,,,0.22,5483.0,99
HCPCS,G0413,PELVIC RING FRACTURE UNI/BIL,,,0.22,7166.0,104
HCPCS,G0414,PELVIC RING FX TREAT INT FIX,,,0.22,5483.0,99
HCPCS,G0415,OPEN TX POST PELVIC FXCTURE,,,0.22,5483.0,99
HCPCS,G0416,PROSTATE NEEDLE BX,2508.0,1881.0,1.0,291.26,17
HCPCS,G0420,ED SVC CKD IND PER SESSION,,,1.0,168.83,12
HCPCS,G0421,ED SVC CKD GRP PER SESSION,,,1.0,42.65,12
HCPCS,G0422,INTENS CARDIAC REHAB W/EXERC,,,1.0,171.06,12
HCPCS,G0423,INTENS CARDIAC REHAB NO EXER,,,1.0,171.06,12
HCPCS,G0425,INPT/ED TELECONSULT30,,,1.0,123.7,12
HCPCS,G0426,INPT/ED TELECONSULT50,,,1.0,180.77,12
HCPCS,G0427,INPT/ED TELECONSULT70,,,1.0,246.78,12
HCPCS,G0428,COLLAGEN MENISCUS IMPLANT,,,0.22,7821.63,17
HCPCS,G0429,DERMAL FILLER INJECTION(S),,,0.22,511.57,18
HCPCS,G0432,EIA HIV-1/HIV-2 SCREEN,,,1.0,19.57,15
HCPCS,G0433,ELISA HIV-1/HIV-2 SCREEN,,,1.0,18.7,15
HCPCS,G0434,COMA PANEL,174.0,130.5,,,0
HCPCS,G0434,DRUGS OF ABUSE,331.0,248.25,,,0
HCPCS,G0435,ORAL HIV-1/HIV-2 SCREEN,,,1.0,16.36,15
HCPCS,G0438,"PPPS, INITIAL VISIT",,,1.0,217.84,2
HCPCS,G0439,"PPPS, SUBSEQ VISIT",,,1.0,171.76,2
HCPCS,G0442,ANNUAL ALCOHOL SCREEN 15 MIN,,,1.0,57.98,12
HCPCS,G0443,BRIEF ALCOHOL MISUSE COUNSEL,,,1.0,57.98,12
HCPCS,G0444,DEPRESSION SCREEN ANNUAL,,,1.0,57.98,12
HCPCS,G0445,HIGH INTEN BEH COUNS STD 30M,,,1.0,56.29,12
HCPCS,G0446,INTENS BEHAVE THER CARDIO DX,,,1.0,57.98,12
HCPCS,G0447,BEHAVIOR COUNSEL OBESITY 15M,,,1.0,57.98,12
HCPCS,G0448,PLACE PERM PACING CARDIOVERT,,,0.22,5483.0,97
HCPCS,G0451,DEVLOPMENT TEST INTERPT&REP,,,1.0,15.2,2
HCPCS,G0452,MOLECULAR PATHOLOGY INTERPR,,,0.92,4.57,17
HCPCS,G0453,CONT INTRAOP NEURO MONITOR,,,1.0,1137.0,18
HCPCS,G0454,MD DOCUMENT VISIT BY NPP,,,1.0,11.5,2
HCPCS,G0455,FECAL MICROBIOTA PREP INSTIL,,,1.0,173.56,92
HCPCS,G0456,Neg pre wound <=50 sq cm,,,1137.0,1137.0,1
HCPCS,G0457,Neg pres wound >50 sq cm,,,1137.0,1137.0,1
HCPCS,G0458,LDR PROSTATE BRACHY COMP RAT,,,1.0,584.07,15
HCPCS,G0459,TELEHEALTH INPT PHARM MGMT,,,1.0,57.55,2
HCPCS,G0463,ANTI COAG-ESTAB PT LEVEL 1,397.0,297.75,1.0,412.6,10
HCPCS,G0463,DYC- ESTABL PT VISIT 3,338.0,253.5,1.0,412.6,10
HCPCS,G0463,E&M-EST PATIENT-LVL I,356.0,267.0,1.0,412.6,10
HCPCS,G0463,E&M-EST PATIENT-LVL II,391.0,293.25,1.0,412.6,10
HCPCS,G0463,E&M-EST PATIENT-LVL III,533.0,399.75,1.0,412.6,10
HCPCS,G0463,E&M-EST PATIENT-LVL IV,799.0,599.25,1.0,412.6,10
HCPCS,G0463,E&M-EST PATIENT-LVL V,1079.0,809.25,1.0,412.6,10
HCPCS,G0463,E&M-EST. PATIENT-LVL I,393.0,294.75,1.0,412.6,110
HCPCS,G0463,E&M-EST. PATIENT-LVL II,438.0,328.5,1.0,412.6,60
HCPCS,G0463,E&M-EST. PATIENT-LVL III,388.5,291.375,1.0,412.6,60
HCPCS,G0463,E&M-EST. PATIENT-LVL IV,726.5,544.875,1.0,412.6,50
HCPCS,G0463,E&M-EST. PATIENT-LVL V,994.0,745.5,1.0,412.6,50
HCPCS,G0463,E&M-NEW PATIENT-LVL II,461.0,345.75,1.0,412.6,60
HCPCS,G0463,E&M-NEW PATIENT-LVL III,626.0,469.5,1.0,412.6,50
HCPCS,G0463,E&M-NEW PATIENT-LVL IV,843.5,632.625,1.0,412.6,50
HCPCS,G0463,E&M-NEW PATIENT-LVL V,941.0,705.75,1.0,412.6,60
HCPCS,G0463,F OFF VST ESTAB PT PROB FOCUS,548.0,411.0,1.0,412.6,40
HCPCS,G0463,F OFF VST PT PROB MINIMAL,548.0,411.0,1.0,412.6,20
HCPCS,G0463,F OFFICE VISIT PT PROB MINIMAL,548.0,411.0,1.0,412.6,10
HCPCS,G0463,LEVEL 1-ESTABLISHED PT,289.0,216.75,1.0,412.6,10
HCPCS,G0463,LEVEL 2-ESTABLISHED PT,294.0,220.5,1.0,412.6,10
HCPCS,G0463,LEVEL 2-NEW PT,311.0,233.25,1.0,412.6,10
HCPCS,G0463,LEVEL 3-ESTABLISHED PT,405.0,303.75,1.0,412.6,10
HCPCS,G0463,LEVEL 3-NEW PT,393.0,294.75,1.0,412.6,10
HCPCS,G0463,LEVEL 4 OFFICE/OP VISIT EST PT,360.0,270.0,1.0,412.6,10
HCPCS,G0463,LEVEL 4-ESTABLISHED PT,393.0,294.75,1.0,412.6,10
HCPCS,G0463,LEVEL 4-NEW PT,561.0,420.75,1.0,412.6,10
HCPCS,G0463,LEVEL 5-ESTABLISHED PT,561.0,420.75,1.0,412.6,10
HCPCS,G0463,LEVEL 5-NEW PT,747.0,560.25,1.0,412.6,10
HCPCS,G0463,PULM - ESTAB PT VISIT LEVEL 1,548.0,411.0,1.0,412.6,10
HCPCS,G0463,PULM - ESTAB PT VISIT LEVEL 2,256.0,192.0,1.0,412.6,10
HCPCS,G0463,PULM - ESTAB PT VISIT LEVEL 3,294.0,220.5,1.0,412.6,10
HCPCS,G0463,PULM - ESTAB PT VISIT LEVEL 4,423.0,317.25,1.0,412.6,10
HCPCS,G0463,PULM - ESTAB PT VISIT LEVEL 5,655.0,491.25,1.0,412.6,10
HCPCS,G0463,PULM - NEW  PAT VISIT LEVEL 2,289.0,216.75,1.0,412.6,10
HCPCS,G0463,PULM - NEW  PAT VISIT LEVEL 3,341.0,255.75,1.0,412.6,10
HCPCS,G0463,PULM - NEW  PAT VISIT LEVEL 4,501.0,375.75,1.0,412.6,10
HCPCS,G0463,PULM - NEW  PAT VISIT LEVEL 5,736.0,552.0,1.0,412.6,10
HCPCS,G0465,ONC PRST8 MRNA 18 GEN DRE UR,,,1.0,1175.53,12
HCPCS,G0471,VEN BLOOD COLL SNF/HHA,,,1.0,9.3,10
HCPCS,G0472,HEP C SCREEN HIGH RISK/OTHER,,,1.0,46.35,15
HCPCS,G0473,GROUP BEHAVE COUNS 2-10,,,1.0,16.21,2
HCPCS,G0475,HIV COMBINATION ASSAY,,,1.0,33.03,15
HCPCS,G0476,HPV COMBO ASSAY CA SCREEN,,,1.0,48.14,15
HCPCS,G0480,6-MAM (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,ACEPROMAZINE,346.0,259.5,1.0,114.43,15
HCPCS,G0480,ACETAMINOPHEN,235.0,176.25,1.0,114.43,15
HCPCS,G0480,ACETAZOLAMIDE,126.0,94.5,1.0,114.43,15
HCPCS,G0480,ALCOHOL,122.0,91.5,1.0,114.43,15
HCPCS,G0480,ALCOHOLS,247.0,185.25,1.0,114.43,15
HCPCS,G0480,ALKALOIDS NOS,22.81,17.11,1.0,114.43,15
HCPCS,G0480,AMPHETAMINE,22.0,16.5,1.0,114.43,15
HCPCS,G0480,ANTIPSYCHOTICS NOS 1-3,73.25,54.94,1.0,114.43,15
HCPCS,G0480,BE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,BENZODIAZEPINE QTY,73.0,54.75,1.0,114.43,30
HCPCS,G0480,BUPRENORPHINE,62.0,46.5,1.0,114.43,15
HCPCS,G0480,CANNABINOID GC/MS QUANT,52.5,39.375,1.0,114.43,30
HCPCS,G0480,CE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,COCAINE,22.0,16.5,1.0,114.43,15
HCPCS,G0480,CODEINE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,DOXEPIN,14.0,10.5,1.0,114.43,15
HCPCS,G0480,DRUG LEVEL PCP,304.0,228.0,1.0,114.43,15
HCPCS,G0480,DRUG TEST DEF,98.0,73.5,1.0,114.43,15
HCPCS,G0480,EDDP (METHADONE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,FENTANYL,109.0,81.75,1.0,114.43,15
HCPCS,G0480,HEROIN,182.0,136.5,1.0,114.43,15
HCPCS,G0480,HYDROCODONE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,HYDROMORPHONE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,MDMA (AMPHETAMINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,MEPHENYTOIN,72.0,54.0,1.0,114.43,15
HCPCS,G0480,METHADONE,22.0,16.5,1.0,114.43,15
HCPCS,G0480,METHAMPHETAMINE,22.0,16.5,1.0,114.43,15
HCPCS,G0480,MORPHINE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,NICOTINE,170.0,127.5,1.0,114.43,30
HCPCS,G0480,OXYCODONE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,OXYCODONE/METABOLITE,21.0,15.75,1.0,114.43,15
HCPCS,G0480,OXYMORPHONE (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,PHENCYCLIDINE,60.0,45.0,1.0,114.43,15
HCPCS,G0480,PROTRIPTYLENE QUANT,67.0,50.25,1.0,114.43,15
HCPCS,G0480,RIVAROXABAN,33.0,24.75,1.0,114.43,15
HCPCS,G0480,SALICYLATE,85.0,63.75,1.0,114.43,15
HCPCS,G0480,SOTALOL,109.0,81.75,1.0,114.43,15
HCPCS,G0480,SULFONYLUREA HYPGLYC SCN,98.0,73.5,1.0,114.43,15
HCPCS,G0480,THC (COCAINE),22.0,16.5,1.0,114.43,15
HCPCS,G0480,TRAZODONE,22.85,17.14,1.0,114.43,15
HCPCS,G0480,ZIPRASIDONE,84.0,63.0,1.0,114.43,15
HCPCS,G0481,OPIATES,19.7,14.78,1.0,156.59,15
HCPCS,G0482,BENZODIAZEPINE 13+,55.0,41.25,1.0,198.74,15
HCPCS,G0483,DRUG TEST DEF 22+ CLASSES,,,1.0,246.92,15
HCPCS,G0498,CHEMO EXTEND IV INFUS W/PUMP,,,1.0,1052.09,9
HCPCS,G0499,HEPB SCREEN HIGH RISK INDIV,,,1.0,34.9,15
HCPCS,G0500,MOD SEDAT ENDO SERVICE >5YRS,,,1.0,294.11,12
HCPCS,G0506,COMP ASSES CARE PLAN CCM SVC,,,1.0,82.15,2
HCPCS,G0508,CRIT CARE TELEHEA CONSULT 60,,,1.0,275.89,2
HCPCS,G0509,CRIT CARE TELEHEA CONSULT 50,,,1.0,252.1,2
HCPCS,G0513,"PROLONG PREV SVCS, FIRST 30M",,,1.0,83.0,2
HCPCS,G0514,"PROLONG PREV SVCS, ADDL 30M",,,1.0,83.0,2
HCPCS,G0516,"INSERT DRUG DEL IMPLANT, >=4",,,0.22,224.93,98
HCPCS,G0517,REMOVE DRUG IMPLANT,,,0.22,253.52,98
HCPCS,G0518,REMOVE W INSERT DRUG IMPLANT,,,0.22,402.94,98
HCPCS,G0537,"Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ASCVD) risk assessment, 5-15 minutes, not more often than every 12 months",,,1.0,24.69,12
HCPCS,G0538,Atherosclerotic cardiovascular disease (ASCVD) risk management services; clinical staff time; per calendar month,,,1.0,20.44,12
HCPCS,G0539,"Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (w",,,1.0,70.13,12
HCPCS,G0540,"Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified healt",,,1.0,34.3,12
HCPCS,G0541,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,1.0,70.13,12
HCPCS,G0542,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,1.0,34.3,12
HCPCS,G0543,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,1.0,29.39,12
HCPCS,G0544,"Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month",,,1.0,83.84,2
HCPCS,G0545,"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission ris",,,1.0,59.1,12
HCPCS,G0546,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty   whose covered services are limited by statute to services fo,,,1.0,23.74,2
HCPCS,G0547,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,1.0,47.9,2
HCPCS,G0548,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,1.0,72.8,2
HCPCS,G0549,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,1.0,97.4,2
HCPCS,G0550,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,1.0,44.3,2
HCPCS,G0551,Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to service,,,1.0,46.42,2
HCPCS,G0552,"Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan",,,1.0,3.2,10
HCPCS,G0553,First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (DMHT) device that augments a behavioral therapy plan,,,1.0,69.75,12
HCPCS,G0554,Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (DHMT) device that augments a behavioral th,,,1.0,54.0,12
HCPCS,G0556,"Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk ",,,1.0,20.8,12
HCPCS,G0557,"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient a",,,1.0,66.03,12
HCPCS,G0558,"Advanced primary care management services for a patient that is a qualified Medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death ",,,1.0,145.75,12
HCPCS,G0559,"Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the ",,,1.0,12.54,12
HCPCS,G0560,"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safet",,,1.0,56.16,12
HCPCS,G0561,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (List separately in addition to 69433) (Do not use i",,,1.0,16.13,95
HCPCS,G0562,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of PET and CT imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., mo",,,0.92,1.12,14
HCPCS,G0563,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, e",,,1.0,4190.43,14
HCPCS,G0566,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy",,,0.92,156.46,14
HCPCS,G0567,"Infectious agent detection by nucleic acid (DNA or RNA); Hepatitis C, screening, amplified probe technique",,,0.5,0.5,4
HCPCS,G0659,DRUG TEST DEF SIMPLE ALL CL,,,1.0,79.81,15
HCPCS,G1000,AUC/CDSM APPL PATH - CT,0.01,0.01,,,0
HCPCS,G1000,AUC/CDSM APPL PATH - MRI,0.01,0.01,,,0
HCPCS,G1000,AUC/CDSM APPL PATH - NM/PET,0.01,0.01,,,0
HCPCS,G2001,POST D/C H VST NEW PT 20 M,,,1.0,64.94,2
HCPCS,G2002,POST-D/C H VST NEW PT 30 M,,,1.0,97.29,2
HCPCS,G2003,POST-D/C H VST NEW PT 45 M,,,1.0,159.13,2
HCPCS,G2004,POST-D/C H VST NEW PT 60 M,,,1.0,209.06,2
HCPCS,G2005,POST-D/C H VST NEW PT 75 M,,,1.0,274.5,2
HCPCS,G2006,POST-D/C H VST EXT PT 20 M,,,1.0,63.64,2
HCPCS,G2007,POST-D/C H VST EXT PT 30 M,,,1.0,103.58,2
HCPCS,G2008,POST-D/C H VST EXT PT 45 M,,,1.0,163.22,2
HCPCS,G2009,POST-D/C H VST EXT PT 60 M,,,1.0,229.91,2
HCPCS,G2010,REMOT IMAGE SUBMIT BY PT,,,1.0,16.18,2
HCPCS,G2011,ALCOHOL/SUB MISUSE ASSESS,,,1.0,22.45,2
HCPCS,G2013,POST-D/C H VST EXT PT 75 M,,,1.0,274.5,2
HCPCS,G2014,POST-D/C CARE PLAN OVERS 30M,,,1.0,98.46,2
HCPCS,G2015,POST-D/C CARE PLAN OVERS 60M,,,1.0,137.96,2
HCPCS,G2020,HI INTEN SERV FOR SIP MODEL,,,1.0,3.2,10
HCPCS,G2082,VISIT ESKETAMINE 56M OR LESS,,,1.0,1088.2,2
HCPCS,G2083,"VISIT ESKETAMINE, > 56M",,,1.0,1542.28,2
HCPCS,G2086,OFF BASE OPIOID TX 70MIN,,,1.0,622.12,2
HCPCS,G2087,"OFF BASE OPIOID TX, 60 M",,,1.0,563.45,2
HCPCS,G2088,"OFF BASE OPIOID TX, ADD30",,,1.0,74.57,2
HCPCS,G2211,COMPLEX E/M VISIT ADD ON,,,1.0,21.28,12
HCPCS,G2212,PROLONG OUTPT/OFFICE VIS,,,1.0,42.53,12
HCPCS,G2213,INITIAT MED ASSIST TX IN ER,,,1.0,83.92,12
HCPCS,G2214,INIT/SUB PSYCH CARE M 1ST 30,,,1.0,73.25,2
HCPCS,G2250,"REMOT IMG SUB BY PT, NON E/M",,,1.0,30.7,12
HCPCS,G2251,"BRIEF CHKIN, 5-10, NON-E/M",,,1.0,27.28,12
HCPCS,G2252,"BRIEF CHKIN BY MD/QHP, 11-20",,,1.0,44.34,12
HCPCS,G3002,CHRONIC PAIN MGMT 30 MINS,,,1.0,110.61,12
HCPCS,G3003,CHRONIC PAIN MGMT ADDL 15M,,,1.0,40.33,12
HCPCS,G6001,ECHO GUIDANCE RADIOTHERAPY,,,1.0,259.45,17
HCPCS,G6002,STEREOSCOPIC X-RAY GUIDANCE,,,1.0,98.19,17
HCPCS,G6003,RADIATION TREATMENT DELIVERY,,,1.0,270.16,17
HCPCS,G6004,RADIATION TREATMENT DELIVERY,,,1.0,218.99,17
HCPCS,G6005,RADIATION TREATMENT DELIVERY,,,1.0,218.99,17
HCPCS,G6006,RADIATION TREATMENT DELIVERY,,,1.0,217.8,17
HCPCS,G6007,RADIATION TREATMENT DELIVERY,,,1.0,388.59,17
HCPCS,G6008,RADIATION TREATMENT DELIVERY,,,1.0,301.7,17
HCPCS,G6009,RADIATION TREATMENT DELIVERY,,,1.0,304.08,17
HCPCS,G6010,RADIATION TREATMENT DELIVERY,,,1.0,299.32,17
HCPCS,G6011,RADIATION TREATMENT DELIVERY,,,1.0,397.51,17
HCPCS,G6012,RADIATION TREATMENT DELIVERY,,,1.0,398.11,17
HCPCS,G6013,RADIATION TREATMENT DELIVERY,,,1.0,399.89,17
HCPCS,G6014,RADIATION TREATMENT DELIVERY,,,1.0,397.51,17
HCPCS,G6015,RADIATION TX DELIVERY IMRT,,,1.0,620.66,17
HCPCS,G6016,DELIVERY COMP IMRT,,,1.0,618.28,17
HCPCS,G6017,INTRAFRACTION TRACK MOTION,,,0.92,1.6,15
HCPCS,G9001,"MCCD, INITIAL RATE",,,1.0,3.2,10
HCPCS,G9002,"MCCD,MAINTENANCE RATE",,,1.0,235.81,10
HCPCS,G9003,"MCCD, RISK ADJ HI, INITIAL",,,1.0,3.2,10
HCPCS,G9004,"MCCD, RISK ADJ LO, INITIAL",,,1.0,3.2,10
HCPCS,G9005,"MCCD, RISK ADJ, MAINTENANCE",,,1.0,3.2,10
HCPCS,G9006,"MCCD, HOME MONITORING",,,1.0,3.2,10
HCPCS,G9007,"MCCD, SCH TEAM CONF",,,1.0,3.2,10
HCPCS,G9008,"MCCD,PHYS COOR-CARE OVRSGHT",,,1.0,3.2,10
HCPCS,G9009,"MCCD, RISK ADJ, LEVEL 3",,,1.0,3.2,10
HCPCS,G9010,"MCCD, RISK ADJ, LEVEL 4",,,1.0,3.2,10
HCPCS,G9011,"MCCD, RISK ADJ, LEVEL 5",,,1.0,3.2,10
HCPCS,G9012,OTHER SPECIFIED CASE MGMT,,,1.0,3.2,10
HCPCS,G9140,FRONTIER EXTENDED STAY DEMO,,,1.0,3.2,10
HCPCS,G9143,WARFARIN RESPON GENETIC TEST,,,0.92,164.69,15
HCPCS,G9147,OUTPT IV INSULIN TX ANY MEA,,,1.0,258.6,10
HCPCS,G9157,TRANSESOPH DOPPL CARDIAC MON,,,1.0,125.18,2
HCPCS,G9187,BPCI HOME VISIT,,,1.0,61.88,12
HCPCS,G9481,REMOTE E/M NEW PT 10MINS,,,1.0,24.46,2
HCPCS,G9482,REMOTE E/M NEW PT 20MINS,,,1.0,45.41,2
HCPCS,G9483,REMOTE E/M NEW PT 30MINS,,,1.0,73.27,2
HCPCS,G9484,REMOTE E/M NEW PT 45MINS,,,1.0,122.87,2
HCPCS,G9485,REMOTE E/M NEW PT 60MINS,,,1.0,162.29,2
HCPCS,G9486,REMOTE E/M EST. PT 10MINS,,,1.0,24.46,2
HCPCS,G9487,REMOTE E/M EST. PT 15MINS,,,1.0,49.36,2
HCPCS,G9488,REMOTE E/M EST. PT 25MINS,,,1.0,75.99,2
HCPCS,G9489,REMOTE E/M EST. PT 40MINS,,,1.0,106.82,2
HCPCS,G9490,CMMI MOD HOME VISIT,,,1.0,61.88,2
HCPCS,G9685,ACUTE NURSING FACILITY CARE,,,1.0,247.53,2
HCPCS,G9868,CMMI ASYNTELEHEALTH <10MIN,,,1.0,34.59,2
HCPCS,G9869,CMMI ASYNTELEHEALTH 10-20MIN,,,1.0,46.27,2
HCPCS,G9870,CMMI ASYNTELEHEALTH >20MIN,,,1.0,57.95,2
HCPCS,G9978,REMOTE E/M NEW PT 10MINS,,,1.0,64.86,12
HCPCS,G9979,REMOTE E/M NEW PT 20MINS,,,1.0,94.73,12
HCPCS,G9980,REMOTE E/M NEW PT 30 MINS,,,1.0,141.72,12
HCPCS,G9981,REMOTE E/M NEW PT 45MINS,,,1.0,216.84,12
HCPCS,G9982,REMOTE E/M NEW PT 60MINS,,,1.0,282.62,12
HCPCS,G9983,REMOTE E/M EST. PT 10MINS,,,1.0,64.86,12
HCPCS,G9984,REMOTE E/M EST. PT  15MINS,,,1.0,106.75,12
HCPCS,G9985,REMOTE E/M EST. PT 25MINS,,,1.0,152.52,12
HCPCS,G9986,REMOTE E/M EST. PT 40MINS,,,1.0,209.71,12
HCPCS,G9987,BPCI ADVANCED IN HOME VISIT,,,1.0,61.88,12
HCPCS,H0015,ALCOHOL AND/OR DRUG SERVICES,,,1.0,1068.57,10
HCPCS,H0035,MH PARTIAL HOSP TX UNDER 24H,,,1.0,1234.0,10
HCPCS,J0121,"INJ., OMADACYCLINE, 1 MG",,,1.0,12.94,9
HCPCS,J0122,"INJ., ERAVACYCLINE, 1 MG",,,1.0,4.16,9
HCPCS,J0129,ABATACEPT INJECTION,,,1.0,57.21,5
HCPCS,J0130,ABCIXIMAB INJECTION,,,1.0,4464.45,9
HCPCS,J0131,APAP NOS PER 10MG IJ,1.0,0.75,0.06,1.0,9
HCPCS,J0132,ACETYLCYSTEINE INJ 200MG/ML 30,38.0,28.5,0.45,1.17,9
HCPCS,J0133,ACYCLOVIR INJ PER 5MG,11.0,8.25,0.02,1.0,18
HCPCS,J0134,INJ ACETAMINOPHEN -FRESENIUS,,,0.06,1.0,9
HCPCS,J0136,"INJ, ACETAMINOPHEN (B BRAUN)",,,0.05,1.0,9
HCPCS,J0137,"INJ, ACETAMINOPHEN (HIKMA)",,,0.06,1.0,9
HCPCS,J0138,"Injection, acetaminophen 10 mg and ibuprofen 3 mg",,,0.27,1.0,9
HCPCS,J0153,ADENOSINE 12 MG / 4ML,11.0,8.25,0.56,1.46,9
HCPCS,J0153,ADENOSINE 1MGIJ,9.0,6.75,0.56,1.46,9
HCPCS,J0153,ADENOSINE INJ PER 1 MG,9.0,6.75,0.56,1.46,9
HCPCS,J0153,ADENOSINE INJ PER 6MG,120.5,90.375,0.56,1.46,18
HCPCS,J0153,ADENOSINE-PER MG,23.0,17.25,0.56,1.46,18
HCPCS,J0165,EPINEPHR0.1MGIJ,49.0,36.75,0.72,1.87,9
HCPCS,J0165,EPINEPHRINE (21G/1.5 INCH) INJ,106.0,79.5,0.72,1.87,9
HCPCS,J0165,EPINEPHRINE (3.5 INCH) INJ 1MG,58.0,43.5,0.72,1.87,9
HCPCS,J0165,EPINEPHRINE INJ 1MG/1ML,199.0,149.25,0.72,1.87,9
HCPCS,J0165,EPINEPHRINE INJ 30MG/30ML,5683.0,4262.25,0.72,1.87,9
HCPCS,J0166,"Injection, epinephrine (BPI), not therapeutically equivalent to J0165, 0.1 mg",,,1.0,7.36,9
HCPCS,J0167,EPINEPHRINE (HOSPIRA) 0.1MG IJ,48.0,36.0,0.91,2.38,9
HCPCS,J0168,EPINEPHRINE (I.M.S.) 0.1MG IJ,27.0,20.25,1.0,7.01,9
HCPCS,J0169,EPINEPHRINE(ADRENALIN) 0.1MGIJ,22.0,16.5,1.0,4.25,9
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,1.0,1033.31,9
HCPCS,J0178,AFLIBERCEPT INJECTION,,,1.0,2553.19,9
HCPCS,J0179,"INJ, BROLUCIZUMAB-DBLL, 1 MG",,,1.0,1118.79,9
HCPCS,J0180,AGALSIDASE BETA INJECTION,,,1.0,234.6,5
HCPCS,J0184,"INJ, AMISULPRIDE, 1 MG",,,1.0,30.86,9
HCPCS,J0185,"INJ., APREPITANT, 1 MG",,,1.0,5.71,9
HCPCS,J0202,"INJECTION, ALEMTUZUMAB",,,1.0,2486.75,5
HCPCS,J0205,ALGLUCERASE INJECTION,,,1.0,109.02,9
HCPCS,J0206,INJ ALLOPURINOL SODIUM 1 MG,,,1.0,14.65,9
HCPCS,J0207,AMIFOSTINE,,,1.0,3366.43,9
HCPCS,J0208,INJ SODIUM THIOSULFATE 100MG,,,1.0,294.61,9
HCPCS,J0209,NATHIOSULFATEPER100MGIJ,20.0,15.0,0.75,1.97,9
HCPCS,J0210,METHYLDOPATE HCL INJECTION,,,1.0,111.71,9
HCPCS,J0211,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)",,,1.0,6.31,9
HCPCS,J0215,ALEFACEPT,,,1.0,116.54,9
HCPCS,J0216,"INJ, ALFENTANIL HCL, 500MCG",,,1.0,8.44,9
HCPCS,J0217,VELMANASEPER1MGIJ,5100.0,3825.0,1.0,1502.91,9
HCPCS,J0218,INJ OLIPUDASE ALFA-RPCP 1MG,,,1.0,401.25,5
HCPCS,J0219,INJ AVAL ALFA-NQPT 4MG,,,1.0,82.27,5
HCPCS,J0220,ALGLUCOSIDASE ALFA INJECTION,,,1.0,536.34,9
HCPCS,J0221,LUMIZYME INJECTION,,,1.0,210.51,5
HCPCS,J0222,"INJ., PATISIRAN, 0.1 MG",,,1.0,101.7,5
HCPCS,J0223,INJ GIVOSIRAN 0.5 MG,,,1.0,119.4,5
HCPCS,J0224,"INJ. LUMASIRAN, 0.5 MG",,,1.0,335.31,5
HCPCS,J0225,"INJ, VUTRISIRAN, 1 MG",,,1.0,16106.56,9
HCPCS,J0248,REMDESIVIR1MGIJ,53.0,39.75,1.0,21.73,9
HCPCS,J0256,ALPHA 1 PROTEINASE INHIBITOR,,,1.0,5.28,5
HCPCS,J0257,GLASSIA INJECTION,,,1.0,5.82,5
HCPCS,J0270,ALPROSTADIL FOR INJECTION,,,1.0,3.17,9
HCPCS,J0275,ALPROSTADIL URETHRAL SUPPOS,,,1.0,219.18,9
HCPCS,J0278,AMIKACIN INJ 500MG/2ML,112.0,84.0,0.75,1.97,9
HCPCS,J0278,AMIKACIN100MGIJ,25.0,18.75,0.75,1.97,9
HCPCS,J0280,AMINOPHYLLINE INJ 250MG/10ML,234.0,175.5,1.0,26.8,9
HCPCS,J0280,AMINOPHYLLINE INJ 500MG/20ML,162.0,121.5,1.0,26.8,9
HCPCS,J0281,AMINOCAPROIC ACID 1GMIJ,47.0,35.25,1.0,4.82,9
HCPCS,J0282,AMIODARONE INJ 150MG/3ML,11.0,8.25,0.62,1.62,9
HCPCS,J0282,AMIODARONE INJ PER 30MG,21.0,15.75,0.62,1.62,9
HCPCS,J0283,"INJ, AMIODARONE (NEXTERONE)",,,1.0,8.44,9
HCPCS,J0285,AMPHOT B NEO IJ,283.0,212.25,1.0,110.26,9
HCPCS,J0285,AMPHOTERICIN B INTRAVITREAL IN,135.0,101.25,1.0,110.26,9
HCPCS,J0285,AMPHOTERICIN-B INJ PER 50MG,749.0,561.75,1.0,110.26,9
HCPCS,J0287,AMPHOTER B LC PER 10MGIJ,226.0,169.5,1.0,33.27,9
HCPCS,J0288,AMPHO B CHOLESTERYL SULFATE,,,1.0,35.37,9
HCPCS,J0289,AMPHO-B LIPOSOME PER 10MG,61.0,45.75,1.0,73.08,9
HCPCS,J0290,AMPICILLIN (IM - PED) INJ 250M,25.0,18.75,0.59,1.55,9
HCPCS,J0290,AMPICILLIN / SW 100MG/ML INJ 1,168.0,126.0,0.59,1.55,9
HCPCS,J0290,AMPICILLIN INJ 1GM/4ML,62.0,46.5,0.59,1.55,9
HCPCS,J0290,AMPICILLIN INJ 250MG/1ML,26.0,19.5,0.59,1.55,9
HCPCS,J0290,AMPICILLIN INJ 2GM/8ML,160.0,120.0,0.59,1.55,9
HCPCS,J0290,AMPICILLIN PER 500 MG,255.0,191.25,0.59,1.55,9
HCPCS,J0290,PYXIS - AMPICILLIN INJ 2GM/20M,84.0,63.0,0.59,1.55,9
HCPCS,J0291,"INJ., PLAZOMICIN, 5 MG",,,1.0,11.55,9
HCPCS,J0295,AMP/SULB PER 1.5 GM,205.0,153.75,1.0,4.82,9
HCPCS,J0295,AMPICILLIN/SULBACTAM INJ 1.5GM,40.0,30.0,1.0,4.82,9
HCPCS,J0295,AMPICILLIN/SULBACTAM INJ 3GM/8,317.0,237.75,1.0,4.82,9
HCPCS,J0295,UNASYN 1.5GM + NS 100ML MBP,296.0,222.0,1.0,4.82,9
HCPCS,J0295,UNASYN 3GM + NS 100ML MBP (E,455.0,341.25,1.0,4.82,9
HCPCS,J0300,AMOBARBITAL INJ 500MG/10ML,2025.0,1518.75,1.0,589.4,9
HCPCS,J0330,SUCCINYLCHOL UPTO 20MGIJ,38.0,28.5,1.0,3.49,9
HCPCS,J0330,SUCCINYLCHOLINE 200MG/10ML,31.0,23.25,1.0,3.49,9
HCPCS,J0348,ANIDULAFUNGIN INJECTION,,,0.59,1.55,9
HCPCS,J0349,"INJ, REZAFUNGIN, 1 MG",,,1.0,34.29,9
HCPCS,J0360,HYDRALAZINE INJ 20MG/1ML,49.0,36.75,1.0,16.75,9
HCPCS,J0364,APOMORPHINE HYDROCHLORIDE,,,1.0,114.35,9
HCPCS,J0365,"APROTONIN, 10,000 KIU",,,1.0,7.26,9
HCPCS,J0391,"INJ, ARTESUNATE, 1MG",,,1.0,157.71,9
HCPCS,J0400,ARIPIPRAZOLE INJECTION,,,0.75,1.97,9
HCPCS,J0401,ARIPIPRAZOLE PER1MG XRIJ,47.0,35.25,1.0,23.38,9
HCPCS,J0402,"INJ, ABILIFY ASIMTUFII, 1 MG",,,1.0,19.48,9
HCPCS,J0456,AZITHROMYCIN / D5W 2MG/ML,55.0,41.25,1.0,8.44,9
HCPCS,J0456,AZITHROMYCIN 500MG+ NS 100ML,299.0,224.25,1.0,8.44,9
HCPCS,J0456,AZITHROMYCIN INJ 500MG/5ML,114.0,85.5,1.0,8.44,9
HCPCS,J0457,AZTREONAM 1 GM/NS 100 MLMBP-EA,125.0,93.75,1.0,8.6,9
HCPCS,J0457,AZTREONAM 2 GM/NS 100 MLMBP-EA,167.0,125.25,1.0,8.6,9
HCPCS,J0457,AZTREONAM INJ 1GM/10ML,530.0,397.5,1.0,8.6,9
HCPCS,J0457,AZTREONAM INJ 2GM/20ML,148.0,111.0,1.0,8.6,9
HCPCS,J0457,AZTREONAM SYRINGE INJ 2GM/20,1258.0,943.5,1.0,8.6,9
HCPCS,J0461,ATROPINE PER  0.01MG INJ,2.0,1.5,0.07,1.0,27
HCPCS,J0461,ATROPINE PER 0.01 MG,1.0,0.75,0.07,1.0,9
HCPCS,J0470,DIMECAPROL INJECTION,,,1.0,167.41,9
HCPCS,J0475,BACLOFEN INTRATHECAL TRAIL,2073.0,1554.75,1.0,568.18,9
HCPCS,J0475,BACLOFEN REFIL KIT PER 4000MCG,983.0,737.25,1.0,568.18,9
HCPCS,J0476,BACLOFEN KT50IJ,9.0,6.75,1.0,217.18,9
HCPCS,J0480,"INJ BASILIXIMAB, 20MG",32836.0,24627.0,1.0,15100.21,9
HCPCS,J0485,BELATACEPT INJECTION,,,1.0,12.56,9
HCPCS,J0490,BELIMUMAB PER 10MG IJ,428.0,321.0,1.0,57.06,5
HCPCS,J0491,INJ ANIFROLUMAB-FNIA 1MG,,,1.0,18.44,5
HCPCS,J0500,DICYCLOMINE INJ 20MG/2ML,1177.0,882.75,1.0,37.71,9
HCPCS,J0515,BENZTROPINE INJ 2MG/2ML,473.0,354.75,1.0,55.79,9
HCPCS,J0517,"INJ., BENRALIZUMAB, 1 MG",,,1.0,171.3,5
HCPCS,J0525,CEFOTETAN PER 10MG IJ,2.42,1.82,,,0
HCPCS,J0558,PENG BENZATHINE/PROCAINE INJ,,,1.0,56.11,9
HCPCS,J0561,PEN-G BENZATHIN inj per 0.6mu,289.0,216.75,1.0,97.63,9
HCPCS,J0561,PENICILLIN G BENZATHINE L-A IN,166.0,124.5,1.0,97.63,9
HCPCS,J0561,PENICILLIN G BENZATHINE LA,214.0,160.5,1.0,97.63,9
HCPCS,J0565,"INJ, BEZLOTOXUMAB, 10 MG",,,1.0,40.57,5
HCPCS,J0567,"INJ., CERLIPONASE ALFA 1 MG",,,1.0,371.46,9
HCPCS,J0571,BUPRENORPHINE ORAL 1MG,,,0.24,1.0,9
HCPCS,J0572,BUPREN/NAL UP TO 3MG BUPRENO,,,1.0,12.81,9
HCPCS,J0573,BUPREN/NAL 3.1 TO 6MG BUPREN,,,1.0,24.77,9
HCPCS,J0574,BUPREN/NAL 6.1 TO 10MG BUPRE,,,1.0,23.06,9
HCPCS,J0575,BUPREN/NAL OVER 10MG BUPRENO,,,1.0,49.74,9
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,1.0,1366.45,9
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1.0,5465.85,9
HCPCS,J0583,BIVALIRUDIN INJ PER 250 MG,9.0,6.75,0.19,1.0,9
HCPCS,J0584,BUROSUMABTWZAPER1MGIJ,5239.0,3929.25,1.0,490.65,5
HCPCS,J0585,BOTULINM TOXUIJ,65.0,48.75,1.0,21.0,9
HCPCS,J0586,ABOBOTULINUMTOXINA,,,1.0,29.63,9
HCPCS,J0587,BOTUL TX B100IJ,130.0,97.5,1.0,43.11,9
HCPCS,J0587,RIMABOTULINUMTOXINB 100U IJ,130.0,97.5,1.0,43.11,9
HCPCS,J0588,INCOBOTULINUMTOXINA 1 UNITS,56.0,42.0,1.0,17.13,9
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,1.0,10.02,9
HCPCS,J0592,BUPRENORPHINE INJ 0.3MG/1ML,324.0,243.0,1.0,13.35,9
HCPCS,J0594,BUSULFAN INJECTION,,,1.0,5.93,9
HCPCS,J0595,BUTORPHANOL TARTRATE 1 MG,,,1.0,16.3,9
HCPCS,J0596,"INJECTION, RUCONEST",,,1.0,37.42,5
HCPCS,J0597,"C-1 ESTERASE, BERINERT",,,1.0,77.29,5
HCPCS,J0598,"C-1 ESTERASE, CINRYZE",,,1.0,66.96,5
HCPCS,J0600,EDETATE CAL DISOD 1000MG,63379.0,47534.25,1.0,20859.52,9
HCPCS,J0606,"INJ, ETELCALCETIDE, 0.1 MG",,,1.0,13.23,9
HCPCS,J0612,CALCIUM GLUCONATE 10% 100MG/ML,24.0,18.0,0.05,1.0,9
HCPCS,J0612,CALCIUM GLUCONATE 10% INJ 100M,2.0,1.5,0.05,1.0,9
HCPCS,J0612,CALCIUM GLUCONATE/D5W 50MG/ML,404.0,303.0,0.05,1.0,9
HCPCS,J0613,CA GLUC 1GM NS 50ML IJ,5.0,3.75,0.1,1.0,9
HCPCS,J0616,METOPROLOL PER 1MG IJ,2.0,1.5,0.16,1.0,9
HCPCS,J0618,CACL PER 2MG IJ,0.38,0.29,0.02,1.0,9
HCPCS,J0618,CACL PER 2MG PFS IJ,0.6,0.45,0.02,1.0,9
HCPCS,J0620,CALCIUM GLYCER & LACT/10 ML,,,1.0,35.27,9
HCPCS,J0630,CALCITONIN SALMON INJECTION,,,1.0,1533.39,9
HCPCS,J0636,CALCITRIOL INJ PER 0.1MG,10.0,7.5,1.0,3.08,9
HCPCS,J0637,CASPOFUNGIN ACETATE,,,1.0,7.3,9
HCPCS,J0638,CANAKINUMAB INJECTION,,,1.0,143.65,5
HCPCS,J0640,LEUCOVORIN INJ 350MG/17.5ML,39.0,29.25,1.0,12.75,9
HCPCS,J0640,LEUCOVORIN INJ 50MG/10ML,126.0,94.5,1.0,12.75,9
HCPCS,J0641,INJ LEVOLEUCOVORIN NOS 0.5MG,,,0.04,1.0,9
HCPCS,J0642,"INJECTION, KHAPZORY, 0.5 MG",,,1.0,3.62,9
HCPCS,J0650,LEVOTHYROXINE NOS PER 10MCG IJ,120.0,90.0,1.0,24.87,9
HCPCS,J0651,LEVOTHYROXINE (FRES) 10MCG IJ,171.0,128.25,1.0,22.9,9
HCPCS,J0652,"Inj, levothyroxine, hikma",,,1.0,16.59,9
HCPCS,J0665,"BUP 0.5% EPI 1:200,000 (STERIL",37.0,27.75,0.01,1.0,9
HCPCS,J0665,BUPIVAC 0.75% PF 10ML,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVAC/EPI NOS 0.5MGIJ,0.58,0.44,0.01,1.0,9
HCPCS,J0665,"BUPIVACAINE 0.25% EPI 1:200,0",2739.0,2054.25,0.01,1.0,18
HCPCS,J0665,"BUPIVACAINE 0.25% EPI 1:200,00",68.0,51.0,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.25% EPI MPF 30ML,45.0,33.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.25% PF 10ML,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.25% PF FREE 10ML,27.0,20.25,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.25% PRESERV. FRE,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.5% INJ 10ML VIAL,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.5% INJ 50ML VIAL,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.5% PF 10ML EZ FL,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.5% PRESERV. FREE,31.0,23.25,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.75% INJ 225MG/30,1.0,0.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.75% SPINAL W/DEX,33.0,24.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE 0.75%-DEX 8.25% PF,45.0,33.75,0.01,1.0,9
HCPCS,J0665,BUPIVACAINE-EPINEPHRINE 0.5%,25.0,18.75,0.01,1.0,9
HCPCS,J0665,BUPIVACN PF NOS 0.5MGIJ,0.16,0.12,0.01,1.0,9
HCPCS,J0665,BUPIVACNE 0.75%-EPI 1:200 30ML,88.0,66.0,0.01,1.0,9
HCPCS,J0666,"Injection, bupivacaine liposome, 1 mg",,,1.0,4.82,9
HCPCS,J0670,INJ MEPIVACAINE HCL/10 ML,,,1.0,12.34,9
HCPCS,J0675,CARBOPROST PER 0.1MG IJ,1213.0,909.75,,,0
HCPCS,J0687,CEFAZOLIN (WG CRIT) 500MG IJ,26.0,19.5,1.0,3.2,9
HCPCS,J0688,CEFAZOL 500MGIJ,24.0,18.0,1.0,2.95,9
HCPCS,J0688,CEFAZOLIN(HIKMA)PER500MGIJ,49.0,36.75,1.0,2.95,9
HCPCS,J0689,"INJ CEFAZOLIN SODIUM, BAXTER",,,1.0,4.28,9
HCPCS,J0690,CEFAZOLIN 1G-NS 100ML MBP,118.0,88.5,1.0,2.7,9
HCPCS,J0690,CEFAZOLIN INJ 500MG/4.4ML,37.0,27.75,1.0,2.7,9
HCPCS,J0690,CEFAZOLIN INJ PER 500 MG,51.0,38.25,1.0,2.7,45
HCPCS,J0690,CEFAZOLIN PER 10 GM VIAL,4.0,3.0,1.0,2.7,9
HCPCS,J0691,INJ LEFAMULIN 1 MG,,,0.89,2.32,9
HCPCS,J0692,CEFEPIME INJ PER 500 MG,70.0,52.5,1.0,3.96,9
HCPCS,J0694,CEFOXITIN 2GM/NS100MLMBP,111.0,83.25,1.0,16.59,9
HCPCS,J0694,CEFOXITIN PER 1 GM,227.0,170.25,1.0,16.59,9
HCPCS,J0694,INJECTION CEFOXITIN SODIUM 1GM,84.0,63.0,1.0,16.59,9
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM,166.0,124.5,1.0,29.5,9
HCPCS,J0696,CEFTRIAXONE INJ PER 250 MG,38.0,28.5,0.59,1.55,9
HCPCS,J0696,CEFTRIAXONE PER 250 MG,59.0,44.25,0.59,1.55,9
HCPCS,J0697,STERILE CEFUROXIME INJECTION,,,1.0,7.39,9
HCPCS,J0698,CEFOTAXIME SODIUM INJECTION,,,1.0,24.17,9
HCPCS,J0699,"INJ, CEFIDEROCOL, 10 MG",,,1.0,7.74,9
HCPCS,J0701,INJ. CEFEPIME HCL (BAXTER),,,1.0,18.97,9
HCPCS,J0702,BETAMETHASONE NA PHOS/ACETATE,74.0,55.5,1.0,22.24,9
HCPCS,J0703,"INJ, CEFEPIME HCL (B BRAUN)",,,1.0,16.37,9
HCPCS,J0706,CAFFEINE CITRATE INJ 60MG/1ML,208.0,156.0,1.0,4.88,9
HCPCS,J0706,CAFFINE CITRATE D5W 5MG/ML IN,138.0,103.5,1.0,4.88,9
HCPCS,J0712,CEFTAROLINE PER 10 MG,47.5,35.625,1.0,13.7,18
HCPCS,J0713,CEFTAZID500MGIJ,102.0,76.5,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME (SYRINGE) INJ 1GM/,331.0,248.25,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME (SYRINGE) INJ 2GM/,579.0,434.25,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME / SW (IM-PED) INJ,171.0,128.25,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME / SW 50MG/ML INJ 5,73.0,54.75,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME INJ 1GM/10ML,81.0,60.75,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME INJ 2.25MG/0.1ML,13.0,9.75,1.0,5.3,9
HCPCS,J0713,CEFTAZIDIME INJ 500MG/10ML,102.0,76.5,1.0,5.3,9
HCPCS,J0714,CEFTAIDIME-AVIBACTAM 2.5 GM,1141.0,855.75,1.0,339.17,9
HCPCS,J0715,CEFTIZOXIME SODIUM / 500 MG,,,1.0,2.7,9
HCPCS,J0716,CENTRUROIDES IMMUNE F(AB),,,1.0,16423.78,9
HCPCS,J0717,CERTOLIZUMAB PEGOL INJ 1MG,,,1.0,4.57,5
HCPCS,J0720,CHLORAMPHENICOL SODIUM INJEC,,,1.0,119.9,9
HCPCS,J0725,CHORIONIC GONADOTROPIN/1000U,,,1.0,56.59,9
HCPCS,J0735,CLONIDINE INJ 1MG/10ML,178.0,133.5,1.0,57.09,9
HCPCS,J0736,CLINDAM300PMXIJ,159.0,119.25,1.0,5.39,18
HCPCS,J0736,CLINDAMYCIN INJ PER 300 MG,122.0,91.5,1.0,5.39,9
HCPCS,J0737,"INJ, CLINDAMYCIN (BAXTER)",,,1.0,5.52,9
HCPCS,J0739,"HIV PREP, INJ, CABOTEGRAVIR",,,1.0,22.71,9
HCPCS,J0740,CIDOFOVIR PER 375MG,6520.0,4890.0,1.0,1710.8,9
HCPCS,J0741,"INJ, CABOTE RILPIVIR 2MG 3MG",,,1.0,24.07,5
HCPCS,J0742,INJ IMIP 4 CILAS 4 RELEB 2MG,,,1.0,8.44,9
HCPCS,J0743,IMIPENEM/CIL PER250MG IJ,776.0,582.0,1.0,22.52,9
HCPCS,J0744,CIPROFLOXACIN INJ 400MG/40ML,36.0,27.0,1.0,7.49,9
HCPCS,J0744,CIPROFLOXACIN INJ PER 200 MG,87.0,65.25,1.0,7.49,9
HCPCS,J0745,INJ CODEINE PHOSPHATE /30 MG,,,0.92,2.41,9
HCPCS,J0750,"HIV PREP, FTC/TDF 200/300MG",,,1.0,5.58,9
HCPCS,J0751,"HIV PREP, FTC/TAF 200/25MG",,,1.0,230.31,9
HCPCS,J0770,COLISTIMETHATE INJ 75MG/ML 2ML,711.0,533.25,1.0,36.79,9
HCPCS,J0775,"COLLAGENASE, CLOST HIST INJ",,,1.0,236.43,9
HCPCS,J0780,PROCHLORPERAZINE INJ 10MG/2ML,262.0,196.5,1.0,8.15,9
HCPCS,J0791,CRIZANLIZUMAB PER 5MG IJ,700.0,525.0,1.0,132.02,5
HCPCS,J0795,CORTICORELIN OVINE TRIFLUTAL,,,1.0,28.13,9
HCPCS,J0801,INJ. ACTHAR GEL TO 40 UNITS,,,1.0,13532.69,9
HCPCS,J0802,"INJ. (ANI), UP TO 40 UNITS",,,1.0,11464.01,9
HCPCS,J0834,COSYNTROPIN PER 0.25 MG,456.0,342.0,1.0,90.53,9
HCPCS,J0840,CROTALID POLY IMMUNE-UP TO 1GM,24968.0,18726.0,1.0,6014.68,9
HCPCS,J0841,INJ CROTALIDAE IM F(AB')2 EQ,,,1.0,3374.36,9
HCPCS,J0850,"INJ CYTOMEGALOVIR IMM GLOB,VIA",12064.0,9048.0,1.0,5847.65,9
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,1.0,184.26,9
HCPCS,J0872,"Injection, daptomycin (Xellia), unrefrigerated, not therapeutically equivalent to J0878 or J0873, 1 mg",,,0.06,1.0,9
HCPCS,J0873,"INJ, DAPTOMYCIN (XELLIA)",,,0.05,1.0,9
HCPCS,J0874,"INJ, DAPTOMYCIN (BAXTER)",,,0.07,1.0,9
HCPCS,J0875,DALBAVANCIN PER 5MG IJ,235.0,176.25,1.0,50.24,9
HCPCS,J0877,"INJ, DAPTOMYCIN (HOSPIRA)",,,0.06,1.0,9
HCPCS,J0878,DAPTOMYCIN INJ PER 1MG,1.0,0.75,0.04,1.0,9
HCPCS,J0879,"DIFELIKEFALIN, ESRD ON DIALY",,,0.28,1.0,9
HCPCS,J0881,DARBEP 1MCG RADIO INDUCED,71.0,53.25,1.0,9.48,9
HCPCS,J0882,"DARBEPOETIN ALFA, ESRD USE",,,1.0,9.67,9
HCPCS,J0883,ARGATROBAN (NON-ESRD) PER 1 MG,70.0,52.5,0.91,2.38,9
HCPCS,J0883,ARGATROBAN 125MG/500ML NS IRR,5054.0,3790.5,0.91,2.38,9
HCPCS,J0884,ARGATROBAN ESRD DIALYSIS 1MG,,,0.91,2.38,9
HCPCS,J0885,EPOETIN 1000 UNIT RADIO-INDUC,283.0,212.25,1.0,24.33,9
HCPCS,J0885,EPOETIN NON-ESRD 1000U,171.99,128.99,1.0,24.33,9
HCPCS,J0887,EPOETIN BETA ESRD USE,,,1.0,4.47,9
HCPCS,J0888,EPOETIN BETA NON ESRD,,,1.0,4.57,9
HCPCS,J0890,PEGINESATIDE INJECTION,,,1.0,29.69,9
HCPCS,J0891,ARGATROBAN NONESRD (ACCORD),,,1.0,5.84,9
HCPCS,J0892,ARGATROBAN DIALYSIS (ACCORD),,,1.0,5.84,9
HCPCS,J0893,"INJ, DECITABINE (SUN PHARMA)",,,1.0,3.96,9
HCPCS,J0894,DECITABINE INJECTION,,,1.0,5.14,9
HCPCS,J0895,DEFEROXAMINE INJ 500MG/5ML,116.0,87.0,1.0,29.12,9
HCPCS,J0896,INJ LUSPATERCEPT-AAMT 0.25MG,,,1.0,42.75,5
HCPCS,J0897,DENOSUMAB INJECTION,,,1.0,29.78,5
HCPCS,J0898,ARGATROBAN NONESRD (AUROMED),,,1.0,4.66,9
HCPCS,J0899,"ARGATROBAN DIALYSIS, AUROMED",,,1.0,4.66,9
HCPCS,J0911,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)",,,1.0,26.96,9
HCPCS,J1000,DEPO-ESTRADIOL CYPIONATE INJ,,,1.0,151.59,9
HCPCS,J1010,METHYLPRED A PER 1MG IJ,2.0,1.5,0.15,1.0,9
HCPCS,J1050,DEPOPROVERA INJECTION 1 MG,2.0,1.5,0.17,1.0,9
HCPCS,J1050,MEDROXYPROGESTERONE ACETATE IN,9.0,6.75,0.17,1.0,9
HCPCS,J1071,TESTOST 1MG IJ,1.0,0.75,0.04,1.0,9
HCPCS,J1072,"Injection, testosterone cypionate (Azmiro), 1 mg",,,1.0,4.28,9
HCPCS,J1095,"INJECTION, DEXAMETHASONE 9%",,,1.0,3.68,9
HCPCS,J1096,DEXAMETHA OPTH INSERT 0.1 MG,,,1.0,327.97,9
HCPCS,J1097,PHENYLEP KETOROLAC OPTH SOLN,,,1.0,378.38,9
HCPCS,J1100,DEXAMETHASONE / NS 1MG/ML INJ,77.0,57.75,0.15,1.0,9
HCPCS,J1100,DEXAMETHASONE INJ 2MG/0.5ML,14.0,10.5,0.15,1.0,9
HCPCS,J1100,DEXAMETHASONE INJ 400MCG/0.1ML,12.0,9.0,0.15,1.0,9
HCPCS,J1100,DEXAMETHASONE INJ PER 1 MG,4.0,3.0,0.15,1.0,45
HCPCS,J1105,"DEXMEDETOMIDINE FILM, 1 MCG",,,0.9,2.35,9
HCPCS,J1110,INJ DIHYDROERGOTAMINE MESYLT,,,1.0,313.7,9
HCPCS,J1120,ACETAZOLAMIDE INJ 500MG/5ML,361.0,270.75,1.0,55.67,9
HCPCS,J1130,INJ DICLOFENAC SODIUM 0.5MG,,,0.21,1.0,9
HCPCS,J1160,DIGOXIN INJ 0.5MG/2ML,59.0,44.25,1.0,12.91,9
HCPCS,J1160,DIGOXIN/D5W 2.5 MCG/ML INJ 1ML,186.0,139.5,1.0,12.91,9
HCPCS,J1162,DIGOXIN IMMUNE FAB 1 VIAL,35046.0,26284.5,1.0,16057.17,9
HCPCS,J1163,DILTIAZEM PER 0.5MG IJ,1.0,0.75,0.04,1.0,9
HCPCS,J1165,PHENYTOIN INJ 100MG/2ML,17.0,12.75,0.8,2.09,9
HCPCS,J1165,PHENYTOIN INJ 100MG/2ML SYR,27.0,20.25,0.8,2.09,9
HCPCS,J1165,PHENYTOIN INJ 250MG/5ML,25.0,18.75,0.8,2.09,9
HCPCS,J1165,PHENYTOIN/NS 10MG/ML INJ 10MG,65.0,48.75,0.8,2.09,9
HCPCS,J1171,HYDROMORPH PER 0.1MG INFU IJ,1.0,0.75,0.1,1.0,9
HCPCS,J1171,HYDROMORPHONE PER 0.1MG IJ,4.0,3.0,0.1,1.0,9
HCPCS,J1171,HYDROMORPHONE PER 0.1MG PCA IJ,2.0,1.5,0.1,1.0,9
HCPCS,J1171,HYDROMORPHONE-HP PER 0.1MG IJ,0.75,0.56,0.1,1.0,9
HCPCS,J1190,DEXRAZOXAN250IJ,3463.0,2597.25,1.0,158.6,9
HCPCS,J1190,"DEXRAZOXANE, PER 250MG IJ",3463.0,2597.25,1.0,158.6,9
HCPCS,J1200,DIPHENHYDRAMINE INJ 50MG/1ML,24.0,18.0,1.0,2.92,9
HCPCS,J1201,INJ. CETIRIZINE HCL 0.5MG,,,1.0,52.97,9
HCPCS,J1202,Miglustat oral 65 mg,,,1.0,108.42,9
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,1.0,290.2,9
HCPCS,J1205,CHLOROTHIAZIDE INJ PER 500 MG,86.0,64.5,1.0,130.49,9
HCPCS,J1212,DIMETHYL SULFOXIDE 50% 50 ML,,,1.0,2400.84,9
HCPCS,J1230,METHADONE INJECTION,,,1.0,74.03,9
HCPCS,J1240,DIMENHYDRINATE INJECTION,,,1.0,24.99,9
HCPCS,J1245,DIPYRIDAMOLE PER 10MG,61.0,45.75,1.0,12.47,9
HCPCS,J1250,DOBUTAMINE 100MG/50ML D5W PREM,187.0,140.25,1.0,25.76,9
HCPCS,J1250,DOBUTAMINE INJ 250MG/20ML,80.0,60.0,1.0,25.76,9
HCPCS,J1250,DOBUTAMINE PREMIX 500MG/D5W IN,363.0,272.25,1.0,25.76,9
HCPCS,J1250,DOBUTAMINE-D5W 1 MG/ML SYRINGE,59.0,44.25,1.0,25.76,9
HCPCS,J1260,DOLASETRON MESYLATE,,,1.0,27.94,9
HCPCS,J1265,DOPAMINE INJ 400MG/10ML,2.0,1.5,0.8,2.09,9
HCPCS,J1265,DOPAMINE PREMIX 200MG/D5W INJ,314.0,235.5,0.8,2.09,9
HCPCS,J1265,DOPAMINE PREMIX 400MG/D5W INJ,374.0,280.5,0.8,2.09,9
HCPCS,J1265,DOPAMINE PREMIX 800MG/D5W INJ,375.0,281.25,0.8,2.09,9
HCPCS,J1267,DORIPENEM INJECTION,,,0.52,1.36,9
HCPCS,J1270,"INJECTION, DOXERCALCIFEROL",,,0.46,1.21,9
HCPCS,J1271,DOXYCYCLINE 1MG PMX IJ,4.0,3.0,0.13,1.0,9
HCPCS,J1271,DOXYCYCLINE PER 1MG IJ,2.0,1.5,0.13,1.0,9
HCPCS,J1290,ECALLANTIDE INJECTION,,,1.0,590.93,5
HCPCS,J1299,ECULIZUMAB PER 2MG IJ,505.0,378.75,1.0,45.61,5
HCPCS,J1301,"INJECTION, EDARAVONE, 1 MG",,,1.0,19.19,5
HCPCS,J1302,"INJ, SUTIMLIMAB-JOME, 10 MG",,,1.0,58.52,9
HCPCS,J1303,RAVULIZUMAB-CWVZ 10MGIJ,1258.0,943.5,1.0,229.44,5
HCPCS,J1304,INJ TOFERSEN INTRATHEC 1 MG,,,1.0,502.02,9
HCPCS,J1305,"INJ, EVINACUMAB-DGNB, 5MG",,,1.0,193.33,5
HCPCS,J1306,"INJECTION, INCLISIRAN, 1 MG",,,1.0,12.58,5
HCPCS,J1307,"Injection, crovalimab-akkz, 10 mg",,,1.0,511.96,5
HCPCS,J1308,FAMOTIDINE 0.25MG NEOIJ,120.0,90.0,0.01,1.0,9
HCPCS,J1308,FAMOTIDINE PER 0.25MGIJ,0.33,0.25,0.01,1.0,9
HCPCS,J1322,"ELOSULFASE ALFA, INJECTION",,,1.0,312.58,5
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,1.0,598.85,9
HCPCS,J1325,EPOPROSTE.5MGIJ,283.0,212.25,1.0,52.34,9
HCPCS,J1325,EPOPROSTENAL INJ 0.5MG/VIAL,516.0,387.0,1.0,52.34,9
HCPCS,J1325,EPOPROSTENOL INJ 1.5MG/VIAL,253.0,189.75,1.0,52.34,9
HCPCS,J1326,"Injection, zolbetuximab-clzb, 2 mg",,,1.0,108.45,9
HCPCS,J1327,EPTIFIBATIDE INJECTION,,,1.0,37.43,9
HCPCS,J1330,ERGONOVINE MALEATE INJECTION,,,1.0,12.88,9
HCPCS,J1335,ERTAPENEM PER 500MG,771.0,578.25,1.0,29.15,9
HCPCS,J1364,ERYTHROMYCIN / NS 5MG/ML INJ 5,203.0,152.25,1.0,242.52,9
HCPCS,J1364,ERYTHROMYCIN INJ 1000MG/20ML,31.0,23.25,1.0,242.52,9
HCPCS,J1364,ERYTHROMYCIN INJ 500MG/10ML,845.0,633.75,1.0,242.52,9
HCPCS,J1380,ESTRADIOL VALERATE 20MG/1ML IJ,166.0,124.5,1.0,24.9,9
HCPCS,J1410,CONJUGATED ESTROGEN INJ 25MG/5,6581.0,4935.75,1.0,1262.77,9
HCPCS,J1411,"INJ, HEMGENIX, PER TX DOSE",,,1.0,6660990.0,9
HCPCS,J1412,INJ ROCTAVIAN ML 2X10^13VC G,,,1.0,37565.22,9
HCPCS,J1414,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose",,,1.0,11101650.0,9
HCPCS,J1429,ONC BRST SEMIQ MEAS THYM KN,,,1.0,609.0,9
HCPCS,J1430,ETHANOLAMINE OLEATE 100 MG,,,1.0,1678.92,9
HCPCS,J1434,"Inj, focinvez, 1mg",,,1.0,9.26,9
HCPCS,J1437,INJ. FE DERISOMALTOSE 10 MG,,,1.0,61.22,9
HCPCS,J1439,INJ FERRIC CARBOXYMALTOS 1MG,,,1.0,3.71,9
HCPCS,J1440,FECAL MICROBIOTA JSLM 1 ML,,,1.0,206.9,9
HCPCS,J1442,INJ FILGRASTIM EXCL BIOSIMIL,,,1.0,3.11,9
HCPCS,J1443,INJ FERRIC PYROPHOSPHATE CIT,,,0.01,1.0,9
HCPCS,J1444,FE PYRO CIT POW 0.1 MG IRON,,,0.01,1.0,9
HCPCS,J1445,INJ TRIFERIC AVNU 0.1MG IRON,,,0.21,1.0,9
HCPCS,J1447,TBO-FILGRASTIM 300 MCG/0.5 ML,11.0,8.25,0.35,1.0,9
HCPCS,J1447,TBO-FILGRASTIM PER 1 MCG,13.0,9.75,0.35,1.0,9
HCPCS,J1448,"INJECTION, TRILACICLIB, 1MG",,,1.0,17.41,9
HCPCS,J1449,INJ EFLAPEGRASTIM-XNST 0.1MG,,,1.0,68.23,9
HCPCS,J1450,FLUCONAZOLE PREMIX 200MG INJ 2,262.0,196.5,1.0,7.26,9
HCPCS,J1450,FLUCONAZOLE PREMIX 400MG INJ 4,254.0,190.5,1.0,7.26,9
HCPCS,J1451,FOMEPIZOLE INJ 1.5GM/1.5ML,100.0,75.0,1.0,32.29,9
HCPCS,J1453,FOSAPREPITANT DIMEGLUM PER 1MG,46.0,34.5,0.13,1.0,9
HCPCS,J1453,FOSAPREPPER1MGPMX,45.0,33.75,0.13,1.0,9
HCPCS,J1454,"INJ FOSNETUPITANT, PALONOSET",,,1.0,1959.57,9
HCPCS,J1455,FOSCARNET INJ 2400MCG/0.1ML,11.0,8.25,1.0,50.34,9
HCPCS,J1455,FOSCARNET INJ 6000MG/250ML,1086.0,814.5,1.0,50.34,9
HCPCS,J1456,"INJ, FOSAPREPITANT (TEVA)",,,1.0,3.65,9
HCPCS,J1457,GALLIUM NITRATE INJECTION,,,1.0,5.49,9
HCPCS,J1458,GALSULFASE INJECTION,,,1.0,515.04,5
HCPCS,J1459,INJ IVIG PRIVIGEN 500 MG,,,1.0,51.38,5
HCPCS,J1460,GAMMA GLOBULIN 1 CC INJ,,,1.0,156.47,9
HCPCS,J1551,INJ CUTAQUIG 100 MG,,,1.0,14.47,5
HCPCS,J1552,"Injection, immune globulin (Alyglo), 500 mg",,,1.0,133.59,5
HCPCS,J1554,INJ. ASCENIV,,,1.0,505.87,5
HCPCS,J1555,"INJ CUVITRU, 100 MG",,,1.0,17.92,5
HCPCS,J1556,"INJ, IMM GLOB BIVIGAM, 500MG",,,1.0,78.72,5
HCPCS,J1557,GAMMAPLEX INJECTION,,,1.0,63.64,5
HCPCS,J1558,"INJ. XEMBIFY, 100 MG",,,1.0,15.19,5
HCPCS,J1559,HIZENTRA INJECTION,,,1.0,14.38,5
HCPCS,J1560,GAMMA GLOBULIN > 10 CC INJ,,,1.0,792.98,9
HCPCS,J1561,GAMUNEXPER500MGIVIJ(10G),595.0,446.25,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGIVIJ(20G),408.0,306.0,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGIVIJ(40G),334.0,250.5,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGIVIJ(5G),365.0,273.75,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGSQIJ(10G),420.0,315.0,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGSQIJ(20G),392.0,294.0,1.0,48.93,5
HCPCS,J1561,GAMUNEXPER500MGSQIJ(40G),387.0,290.25,1.0,48.93,5
HCPCS,J1562,"VIVAGLOBIN, INJ",,,1.0,32.99,9
HCPCS,J1566,"IMMUNE GLOBULIN, POWDER",,,1.0,83.24,5
HCPCS,J1568,OCTAGAM INJECTION,,,1.0,49.28,5
HCPCS,J1569,GAMMAGARD LIQUID INJECTION,,,1.0,48.69,5
HCPCS,J1570,GANCICLOVIR / D5W 5MG/ML INJ 5,13.0,9.75,1.0,128.02,9
HCPCS,J1570,GANCICLOVIR INJ 4000MCG/0.1ML,88.0,66.0,1.0,128.02,9
HCPCS,J1570,GANCICLOVIR INJ 500MG/10ML,1236.0,927.0,1.0,128.02,9
HCPCS,J1571,HEPAGAM B IM INJECTION,,,1.0,231.58,9
HCPCS,J1572,FLEBOGAMMA INJECTION,,,1.0,48.82,5
HCPCS,J1573,"HEPAGAM B INTRAVENOUS, INJ",,,1.0,317.32,9
HCPCS,J1574,"INJ, GANCICLOVIR (EXELA)",,,1.0,161.29,9
HCPCS,J1575,HYQVIA 100MG IMMUNEGLOBULIN,,,1.0,18.73,5
HCPCS,J1576,"INJ, PANZYGA, 500 MG",,,1.0,75.86,5
HCPCS,J1580,GENTAMIC 80MGIJ OPTH SUBCON,27.0,20.25,1.0,8.44,9
HCPCS,J1580,GENTAMICIN (IM-PED) INJ 80MG/2,24.0,18.0,1.0,8.44,9
HCPCS,J1580,GENTAMICIN 240MG/30ML,343.0,257.25,1.0,8.44,9
HCPCS,J1580,GENTAMICIN 5MG/2ML 4%NACITRATE,23.0,17.25,1.0,8.44,9
HCPCS,J1580,GENTAMICIN 80MG/30ML,1398.0,1048.5,1.0,8.44,9
HCPCS,J1580,GENTAMICIN INJ 5MG/0.5ML,11.0,8.25,1.0,8.44,9
HCPCS,J1580,GENTAMICIN INJ PER 80 MG,30.0,22.5,1.0,8.44,45
HCPCS,J1596,GLYCOPYRROLATEPER0.1MGIJ,13.0,9.75,0.53,1.4,9
HCPCS,J1597,GLYCOPYRROL (GLYRX-PF) 0.1MGIJ,28.0,21.0,1.0,5.58,9
HCPCS,J1598,GLYCOPYRROL(FRESENIUS) 0.1MGIJ,46.0,34.5,1.0,5.96,9
HCPCS,J1599,"IVIG NON-LYOPHILIZED, NOS",,,1.0,112.15,5
HCPCS,J1600,GOLD SODIUM THIOMALEATE INJ,,,1.0,57.7,9
HCPCS,J1602,GOLIMUMAB FOR IV USE 1MG,,,1.0,11.23,5
HCPCS,J1610,GLUCAGON INJ 1MG/1ML,3572.0,2679.0,1.0,632.73,9
HCPCS,J1610,GLUCAGON KIT INJ ER KIT,2587.0,1940.25,1.0,632.73,9
HCPCS,J1611,"INJ GLUCAGON HCL, FRESENIUS",,,1.0,468.2,9
HCPCS,J1626,GRANISETRON HCL INJECTION,,,0.28,1.0,9
HCPCS,J1627,"INJ, GRANISETRON, XR, 0.1 MG",,,1.0,16.02,9
HCPCS,J1628,"INJ., GUSELKUMAB, 1 MG",,,1.0,76.28,5
HCPCS,J1630,HALOPERIDOL INJ 50MG/10ML,197.0,147.75,1.0,2.7,9
HCPCS,J1630,HALOPERIDOL INJ 5MG/1ML,33.0,24.75,1.0,2.7,9
HCPCS,J1631,HALOPERIDOL DECANOATE INJ 100M,906.0,679.5,1.0,15.13,9
HCPCS,J1631,HALOPERIDOL DECANOATE INJ 50MG,460.0,345.0,1.0,15.13,9
HCPCS,J1640,HEMIN INJ PER 1 MG,361.0,270.75,1.0,110.38,9
HCPCS,J1642,HEPARIN LOCK FLUSH INJ 10UNITS,1.0,0.75,0.01,1.0,9
HCPCS,J1642,HEPARIN PREMIX 1000UNITS/NS 50,221.0,165.75,0.01,1.0,9
HCPCS,J1643,"INJ HEPARIN, PFIZER, 1000U",,,1.0,9.71,9
HCPCS,J1644,HEPAR1000UPMXIJ,74.0,55.5,0.27,1.0,9
HCPCS,J1644,"HEPARIN 10,000UNITS+NS 500ML?",147.0,110.25,0.27,1.0,9
HCPCS,J1644,"HEPARIN 40,000 UNITS/NS 1L CEL",147.0,110.25,0.27,1.0,9
HCPCS,J1644,HEPARIN 5000 U/ML 10ML,142.0,106.5,0.27,1.0,9
HCPCS,J1644,HEPARIN 5000 UNITS IN 1L NS,152.0,114.0,0.27,1.0,9
HCPCS,J1644,HEPARIN INJ 10000IU/1ML,47.0,35.25,0.27,1.0,9
HCPCS,J1644,HEPARIN INJ 1000IU/1ML,26.0,19.5,0.27,1.0,9
HCPCS,J1644,HEPARIN INJ 30000IU/30ML,84.0,63.0,0.27,1.0,9
HCPCS,J1644,HEPARIN INJ PER 1000 UNITS,3.0,2.25,0.27,1.0,9
HCPCS,J1644,"HEPARIN PREMIX 25,000 UNITS/D5",11.0,8.25,0.27,1.0,9
HCPCS,J1644,HEPARIN1000U IJ,4.0,3.0,0.27,1.0,9
HCPCS,J1644,heparin1000U+NS 100mL,149.0,111.75,0.27,1.0,9
HCPCS,J1644,heparin2500U+NS 250mL,147.0,110.25,0.27,1.0,9
HCPCS,J1645,DALTEPARIN SODIUM,,,1.0,58.3,9
HCPCS,J1650,ENOXAPARIN INJ PER 10 MG,20.5,15.375,0.69,1.81,63
HCPCS,J1650,ENOXAPARIN/NS 15MG/ML INJ 15MG,147.0,110.25,0.69,1.81,9
HCPCS,J1650,ENOXAPARIN/NS 40MG/ML INJ 40MG,75.0,56.25,0.69,1.81,9
HCPCS,J1652,FONDAPARINUX INJ 0.5 MG,142.0,106.5,0.89,2.32,9
HCPCS,J1652,FONDAPARINUX INJ 10MG/0.8ML,27.0,20.25,0.89,2.32,9
HCPCS,J1652,FONDAPARINUX INJ 2.5MG/0.5ML,59.0,44.25,0.89,2.32,9
HCPCS,J1652,FONDAPARINUX INJ 7.5MG/0.6ML,33.0,24.75,0.89,2.32,9
HCPCS,J1655,TINZAPARIN SODIUM INJECTION,,,1.0,9.96,9
HCPCS,J1670,TETANUS IG UPTO 250U IJ,6618.0,4963.5,1.0,1864.86,9
HCPCS,J1720,HYDROCORTISONE / NS 2MG/ML INJ,185.0,138.75,1.0,68.51,9
HCPCS,J1720,HYDROCORTISONE / NS 5MG/ML INJ,10.0,7.5,1.0,68.51,9
HCPCS,J1720,HYDROCORTISONE SOD. SUCC. IT I,144.0,108.0,1.0,68.51,9
HCPCS,J1720,HYDROCORTISONE SOD. SUCCINATE,335.0,251.25,1.0,68.51,18
HCPCS,J1726,HYDROXYPROGESTERONE INJ 1250MG,276.0,207.0,,,0
HCPCS,J1726,MAKENA INJECTION,1887.0,1415.25,,,0
HCPCS,J1738,INJ. MELOXICAM 1 MG,,,1.0,10.69,9
HCPCS,J1740,IBANDRONATE SODIUM INJECTION,,,1.0,99.53,9
HCPCS,J1741,IBUPROFEN INJECTION,,,1.0,9.83,9
HCPCS,J1742,IBUTILIDE INJ 1MG/10ML,1443.0,1082.25,1.0,513.91,9
HCPCS,J1743,IDURSULFASE INJECTION,,,1.0,569.09,5
HCPCS,J1744,ICATIBANT INJECTION,,,1.0,126.63,5
HCPCS,J1745,"INJ INFLIXIMAB, 10MG",841.0,630.75,1.0,31.76,5
HCPCS,J1746,"INJ., IBALIZUMAB-UIYK, 10 MG",,,1.0,80.88,5
HCPCS,J1747,"INJ, SPESOLIMAB-SBZO, 1 MG",,,1.0,66.96,5
HCPCS,J1749,"Injection, iloprost, 0.1 mcg",,,1.0,18.46,9
HCPCS,J1750,IRON DEXTRAN PER 50MG,286.0,214.5,1.0,58.24,9
HCPCS,J1756,IRON SUCROSE PER 1MG IJ,8.0,6.0,0.27,1.0,9
HCPCS,J1756,IRONSUCROSEPER1MGPMX,9.0,6.75,0.27,1.0,9
HCPCS,J1786,IMUGLUCERASE INJECTION,,,1.0,44.1,5
HCPCS,J1790,DROPERIDOL INJ 5MG/2ML,17.0,12.75,1.0,17.32,9
HCPCS,J1800,PROPRANOLOL INJ 1MG/1ML,51.0,38.25,1.0,11.74,9
HCPCS,J1805,ESMOLOL PER 10MG IJ,48.0,36.0,0.34,1.0,9
HCPCS,J1805,ESMOLOL PER 10MG PMX IJ,11.0,8.25,0.34,1.0,9
HCPCS,J1806,INJ ESMOLOL HCL WG CRIT CARE,,,0.51,1.33,9
HCPCS,J1807,ETHACRYNATE SOD PER 1MG IJ,119.1,89.33,,,0
HCPCS,J1808,FOLIC ACID PER 0.1MG IJ,3.0,2.25,0.06,1.0,9
HCPCS,J1811,FIASP FOR INSULIN PUMP USE,,,1.0,25.06,9
HCPCS,J1812,INJ. INSULIN (FIASP),,,1.0,5.55,9
HCPCS,J1813,LYUMJEV FOR INSULIN PUMP USE,,,1.0,49.35,9
HCPCS,J1814,INJ. INSULIN (LYUMJEV),,,1.0,5.36,9
HCPCS,J1815,INSULIN INJECTION,,,0.67,1.74,9
HCPCS,J1817,INSULIN FOR INSULIN PUMP USE,,,1.0,10.44,9
HCPCS,J1823,"INJ. INEBILIZUMAB-CDON, 1 MG",,,1.0,503.76,5
HCPCS,J1833,ISAVUCONAZONIUM 372 MG VIAL,17.0,12.75,1.0,3.36,9
HCPCS,J1834,ISONIAZID PER 1MG IJ,5.96,4.47,,,0
HCPCS,J1836,METRONIDAZOLE 500MG/NS PREMIX,11.0,8.25,0.02,1.0,9
HCPCS,J1836,METRONIDAZOLE 5MG/ML INJ 5MG/M,218.0,163.5,0.02,1.0,9
HCPCS,J1885,KETOROLAC INJ 15MG/1ML VIAL,24.0,18.0,0.42,1.11,9
HCPCS,J1885,KETOROLAC INJ PER 15 MG,8.5,6.375,0.42,1.11,18
HCPCS,J1920,LABETALOL 20MG/4 ML INJ,52.0,39.0,0.47,1.24,9
HCPCS,J1920,LABETALOL INJ 100MG/20ML,5.0,3.75,0.47,1.24,9
HCPCS,J1921,"INJ LABETALOL HCL HIKMA, 5MG",,,1.0,4.44,9
HCPCS,J1930,LANREOTIDE INJECTION,,,1.0,118.44,9
HCPCS,J1931,LARONIDASE INJECTION,,,1.0,40.63,5
HCPCS,J1932,"INJ, LANREOTIDE, (CIPLA) 1MG",,,1.0,79.01,9
HCPCS,J1938,FUROSEMIDE PER 1MG IJ,1.0,0.75,0.02,1.0,9
HCPCS,J1938,FUROSEMIDE PER1MG PEDIJ,18.0,13.5,0.02,1.0,9
HCPCS,J1939,BUMETANIDE INJ 1MG/4ML,37.0,27.75,0.74,1.93,9
HCPCS,J1939,BUMETANIDE INJ 2.5MG/10ML,36.0,27.0,0.74,1.93,9
HCPCS,J1943,"INJ., ARISTADA INITIO, 1 MG",,,1.0,10.5,9
HCPCS,J1944,ARIPIPRAZOLE LAUROXIL 1 MG,,,1.0,10.75,9
HCPCS,J1945,LEPIRUDIN,,,1.0,1480.17,9
HCPCS,J1950,INJECTION LUPRON DEPO 11.25MG,7020.0,5265.0,1.0,5613.85,9
HCPCS,J1950,INJECTION LUPRON DEPOT 3.75 MG,2341.0,1755.75,1.0,5613.85,9
HCPCS,J1950,LEUPROLIDE ACE DEPOT 3.75MG,14432.0,10824.0,1.0,5613.85,9
HCPCS,J1951,INJ FENSOLVI 0.25 MG,,,1.0,453.8,9
HCPCS,J1952,"LEUPROLIDE INJ, CAMCEVI, 1MG",,,1.0,166.11,9
HCPCS,J1953,LEVETIRA10PMXIJ,4.0,3.0,0.05,1.0,9
HCPCS,J1953,LEVETIRACETAM INJ 100MG/ML 5ML,1.0,0.75,0.05,1.0,9
HCPCS,J1953,LEVETIRACETAM PER 10 MG,8.5,6.375,0.05,1.0,18
HCPCS,J1953,LEVETIRACETAM-D5W 10 MG/ML INJ,10.0,7.5,0.05,1.0,9
HCPCS,J1954,LEUPROLIDE DEPOT CIPLA 7.5MG,,,1.0,713.36,9
HCPCS,J1955,L-CARNITINE INJ 1000MG/5ML,197.0,147.75,1.0,78.5,9
HCPCS,J1956,LEVOFLO250PMXIJ,243.0,182.25,1.0,6.31,9
HCPCS,J1956,LEVOFLOXACIN 750MG/150ML PREMI,55.0,41.25,1.0,6.31,9
HCPCS,J1956,LEVOFLOXACIN INJ 500MG VIAL,465.0,348.75,1.0,6.31,9
HCPCS,J1956,LEVOFLOXACIN INJ PER 250 MG,130.0,97.5,1.0,6.31,9
HCPCS,J1960,LEVORPHANOL TARTRATE INJ,,,1.0,9.71,9
HCPCS,J1961,"INJ, LENACAPAVIR, 1 MG",,,1.0,71.15,9
HCPCS,J1980,HYOSCYAMINE SULFATE INJ,,,1.0,187.02,9
HCPCS,J1990,CHLORDIAZEPOXIDE INJECTION,,,1.0,57.82,9
HCPCS,J2002,LIDOCAINE D5W PER 1MG IJ,0.12,0.09,0.01,1.0,9
HCPCS,J2003,LIDOCAINE PER 1MG IJ,0.17,0.13,0.04,1.0,9
HCPCS,J2003,LIDOCAINE PER 1MG PF IJ,0.46,0.35,0.04,1.0,9
HCPCS,J2003,LIDOCAINE PER 1MG PFS IJ,1.0,0.75,0.04,1.0,9
HCPCS,J2004,LIDOCAINE PER 1MG W/EPI IJ,1.0,0.75,0.02,1.0,9
HCPCS,J2010,LINCOMYCIN INJECTION,,,1.0,18.11,9
HCPCS,J2020,LINEZOLID 600MG/D5W PREMIX INJ,368.0,276.0,1.0,11.2,9
HCPCS,J2021,"INJ, LINEZOLID (HOSPIRA)",,,1.0,20.46,9
HCPCS,J2060,LORAZEPAM 2MGIJ,27.0,20.25,1.0,4.22,9
HCPCS,J2060,LORAZEPAM INJ 2MG/1ML,26.0,19.5,1.0,4.22,9
HCPCS,J2060,LORAZEPAM PER 2MG INJ,152.0,114.0,1.0,4.22,9
HCPCS,J2062,LOXAPINE FOR INHALATION 1 MG,,,1.0,48.09,9
HCPCS,J2150,MANNITOL 25% INJ 12.5GM/50ML,35.0,26.25,1.0,7.2,9
HCPCS,J2151,MANNITOL PER 250MG IJ,1.48,1.11,,,0
HCPCS,J2175,MEPERIDINE INJ 25MG/1ML SYR,87.0,65.25,1.0,50.72,9
HCPCS,J2175,MEPERIDINE INJ 50MG/1ML,24.0,18.0,1.0,50.72,9
HCPCS,J2175,MEPERIDINE INJ 50MG/1ML SYR,110.0,82.5,1.0,50.72,9
HCPCS,J2182,MEPOLIZUMAB PER 1 MG,365.0,273.75,1.0,31.91,5
HCPCS,J2183,MEROPENEM (WG CRIT) 100MG IJ,11.0,8.25,1.0,5.23,9
HCPCS,J2184,"INJ, MEROPENEM (B. BRAUN)",,,1.0,6.69,9
HCPCS,J2185,MEROPENEM INJ PER 100MG,815.0,611.25,0.53,1.4,9
HCPCS,J2185,MEROPENEM PER 100 MG,45.0,33.75,0.53,1.4,18
HCPCS,J2186,MEROPENEM-VABORBACTAM PER 20MG,34.0,25.5,1.0,6.95,9
HCPCS,J2210,METHYLERGONOVINE INJ 0.2MG/1ML,298.0,223.5,1.0,71.27,9
HCPCS,J2212,METHYLNALTREXONE INJECTION,,,1.0,4.98,9
HCPCS,J2246,"Injection, micafungin in sodium (Baxter), not therapeutically equivalent to J2248, 1 mg",,,0.63,1.65,9
HCPCS,J2247,"INJ, MICAFUNGIN (PAR PHARM)",,,0.44,1.14,9
HCPCS,J2248,MICAFUNGIN INJ PER 1 MG,205.0,153.75,0.38,1.0,18
HCPCS,J2249,"INJ, REMIMAZOLAM, 1 MG",,,1.0,7.04,9
HCPCS,J2250,MIDAZOLAM (PF) 5MG/ML 2ML,16.0,12.0,0.19,1.0,9
HCPCS,J2250,MIDAZOLAM (PF) INJ 1MG/ML 2ML,12.0,9.0,0.19,1.0,9
HCPCS,J2250,MIDAZOLAM (PF) INJ 1MG/ML 5ML,20.0,15.0,0.19,1.0,9
HCPCS,J2250,MIDAZOLAM 1MGIJ,2.0,1.5,0.19,1.0,36
HCPCS,J2250,MIDAZOLAM INJ 2MG / 2ML,8.0,6.0,0.19,1.0,9
HCPCS,J2251,MIDAZOL NS PER1MG IV IJ,10.0,7.5,0.21,1.0,9
HCPCS,J2252,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg",,,0.07,1.0,9
HCPCS,J2260,MILRINONE 20MG/100ML D5W PREMI,344.0,258.0,1.0,4.54,9
HCPCS,J2260,MILRINONE INJ 10MG/10ML,88.0,66.0,1.0,4.54,9
HCPCS,J2260,MILRINONE INJ 20MG/20ML,210.0,157.5,1.0,4.54,9
HCPCS,J2265,MINOCYCLIN1MGIJ,58.0,43.5,1.0,8.06,9
HCPCS,J2267,"Injection, mirikizumab-mrkz, 1 mg",,,1.0,49.18,5
HCPCS,J2270,MORPHINE INJ 10MG/1ML,22.0,16.5,1.0,14.69,9
HCPCS,J2270,MORPHINE INJ PER 10 MG,25.0,18.75,1.0,14.69,18
HCPCS,J2270,MORPHINE INJ UP TO 10 MG,52.0,39.0,1.0,14.69,9
HCPCS,J2270,MORPHINE PCA INJ UP TO 10 MG,51.0,38.25,1.0,14.69,9
HCPCS,J2270,MORPHINE PCA PER 10 MG,11.0,8.25,1.0,14.69,9
HCPCS,J2272,"INJ, MORPHINE (FRESENIUS)",,,1.0,26.26,9
HCPCS,J2274,MORPHINE INJ PF PER 10 MG,141.0,105.75,1.0,34.86,27
HCPCS,J2274,MORPHINE PRESERV FREE INJ 10MG,175.0,131.25,1.0,34.86,9
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,1.0,81.49,9
HCPCS,J2278,ZICONOTIDE INJECTION,,,1.0,32.73,9
HCPCS,J2280,MOXIFLOXACIN 400MG/250ML PREMI,308.0,231.0,1.0,28.13,9
HCPCS,J2281,INJ MOXIFLOXACIN (FRES KABI),,,1.0,25.06,9
HCPCS,J2290,NAFCILLIN PER 20MG IJ,2.0,1.5,0.12,1.0,9
HCPCS,J2290,NAFCILLIN PER 20MG PMX IJ,12.0,9.0,0.12,1.0,9
HCPCS,J2300,NALBUPHINE INJ 10MG/1ML,75.0,56.25,1.0,11.36,9
HCPCS,J2305,NITROGLYCERIN 1000MCG / 10 ML,23.0,17.25,1.0,4.57,9
HCPCS,J2305,NITROGLYCERIN 2MG IVP,22.0,16.5,1.0,4.57,9
HCPCS,J2305,NITROGLYCERIN 50MG/D5W PREMIX,81.0,60.75,1.0,4.57,9
HCPCS,J2305,NITROGLYCERIN INJ 50MG/5ML,17.0,12.75,1.0,4.57,9
HCPCS,J2312,NALOXONE PER 0.01MG IJ,1.0,0.75,0.07,1.0,9
HCPCS,J2313,"Injection, naloxone hydrochloride (Zimhi), 0.01 mg",,,0.01,1.0,9
HCPCS,J2315,"NALTREXONE, DEPOT FORM",,,1.0,13.67,9
HCPCS,J2323,NATALIZUMAB INJ PER 1MG,206.0,154.5,1.0,24.58,5
HCPCS,J2325,NESIRITIDE INJECTION,,,1.0,193.49,9
HCPCS,J2326,"INJ, NUSINERSEN, 0.1MG",,,1.0,4044.17,9
HCPCS,J2327,RISANKIZUMAB-RZAA 1MGIJ,192.0,144.0,1.0,15.12,5
HCPCS,J2329,"INJ UBLITUXIMAB-XIIY, 1 MG",,,1.0,73.26,5
HCPCS,J2350,"INJECTION, OCRELIZUMAB, 1 MG",,,1.0,60.83,5
HCPCS,J2351,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq",,,1.0,48.13,5
HCPCS,J2353,OCTREOTIDE ACE. DEPOT PER 1MG,1745.0,1308.75,1.0,685.76,9
HCPCS,J2353,OCTREOTIDE DEPO PER1MGIJ,1909.0,1431.75,1.0,685.76,9
HCPCS,J2353,OCTREOTIDE1MGIJ,3511.0,2633.25,1.0,685.76,9
HCPCS,J2354,OCTREOTIDE IV OR SC PER 25MCG,14.0,10.5,0.74,1.93,27
HCPCS,J2355,OPRELVEKIN INJECTION,,,1.0,1124.6,9
HCPCS,J2356,"INJ TEZEPELUMAB-EKKO, 1MG",,,1.0,18.64,5
HCPCS,J2357,OMALIZUMAB INJ PER 5 MG,271.0,203.25,1.0,41.32,5
HCPCS,J2358,OLANZAPINE LONG-ACTING INJ,,,1.0,9.39,9
HCPCS,J2359,OLANZAPINE PER 0.5MG IJ,24.0,18.0,1.0,2.92,9
HCPCS,J2360,ORPHENADRINE INJECTION,,,1.0,30.51,9
HCPCS,J2371,PHENYLEPHRINE 1% INJ 10MG/1ML,1.0,0.75,0.01,1.0,9
HCPCS,J2371,PHENYLEPHRINE-D5W 40 MCG/ML 10,14.0,10.5,0.01,1.0,9
HCPCS,J2372,"INJ, BIORPHEN, 20 MICROGRAMS",,,0.21,1.0,9
HCPCS,J2373,"Injection, phenylephrine hydrochloride (Immphentiv), 20 micrograms",,,0.16,1.0,9
HCPCS,J2401,CHLOROPROCAINE 1MG IJ,1.0,0.75,,,0
HCPCS,J2401,CHLOROPROCAINE 1MG IJ(600MG),0.8,0.6,,,0
HCPCS,J2403,"CHLOROPROCAINE OPHT GEL, 1MG",,,0.74,1.93,9
HCPCS,J2404,NICARDIPINEPER0.1MGIJ,0.96,0.72,0.1,1.0,9
HCPCS,J2405,ONDANSETRON INJ 40MG/20ML,27.0,20.25,0.11,1.0,9
HCPCS,J2405,ONDANSETRON INJ PER 1 MG,5.0,3.75,0.11,1.0,9
HCPCS,J2406,"INJECTION, ORITAVANCIN 10 MG",,,1.0,133.79,9
HCPCS,J2407,"INJECTION, ORITAVANCIN",,,1.0,92.14,9
HCPCS,J2410,OXYMORPHONE HCL INJECTION,,,1.0,8.09,9
HCPCS,J2425,PALIFERMIN INJECTION,,,1.0,116.06,9
HCPCS,J2426,"INJ, INVEGA SUSTENNA, 1 MG",,,1.0,48.72,9
HCPCS,J2427,"INJ, INVEGA HAFYERA/TRINZA",,,1.0,41.84,9
HCPCS,J2428,"Injection, paliperidone palmitate extended release (Erzofri), 1 mg",,,1.0,51.96,9
HCPCS,J2430,"INJ PAMIDRONATE DISOD,PER 30MG",362.0,271.5,1.0,36.06,18
HCPCS,J2440,PAPAVERINE INJ 60MG/2ML,393.0,294.75,1.0,105.53,9
HCPCS,J2440,papaverine40mg+NS 40mL,156.0,117.0,1.0,105.53,9
HCPCS,J2468,"Injection, palonosetron hydrochloride (Posfrea), 25 micrograms",,,1.0,190.12,9
HCPCS,J2469,PALONOSETRON HCL,,,0.55,1.43,9
HCPCS,J2470,PANTOPRAZOLE INJ PER VIAL,59.0,44.25,1.0,15.51,9
HCPCS,J2471,PANTOPRAZOLE (HIKMA) 40MG IJ,153.0,114.75,1.0,15.03,9
HCPCS,J2472,"Injection, pantoprazole sodium in sodium chloride (Baxter), 40 mg",,,1.0,24.36,9
HCPCS,J2501,PARICALCITOL,,,0.83,2.16,9
HCPCS,J2502,"INJ, PASIREOTIDE LONG ACTING",,,1.0,1822.0,9
HCPCS,J2503,PEGAPTANIB SODIUM INJECTION,,,1.0,2094.28,9
HCPCS,J2504,"PEGADEMASE BOVINE, 25 IU",,,1.0,315.29,5
HCPCS,J2506,INJ PEGFILGRAST EX BIO 0.5MG,,,1.0,997.5,9
HCPCS,J2507,PEGLOTICASE INJECTION,,,1.0,3707.52,5
HCPCS,J2508,PEGUNIGALSIDASE ALFA-IWXJ,,,1.0,234.62,5
HCPCS,J2510,PENICILLIN G PROCAINE INJ,,,1.0,116.09,9
HCPCS,J2513,PENTASTARCH 10% SOLUTION,,,1.0,34.99,9
HCPCS,J2515,PENTOBARBITAL SODIUM INJ,,,1.0,67.97,9
HCPCS,J2540,PEN GK 600 IVPB,28.0,21.0,1.0,2.82,9
HCPCS,J2540,PEN GK/SW250000IU/ML(IM-PED) I,184.0,138.0,1.0,2.82,9
HCPCS,J2540,PENG K 600KU IJ,92.0,69.0,1.0,2.82,9
HCPCS,J2540,PENICILLIN G POTASSIUM INJ 20M,16.0,12.0,1.0,2.82,9
HCPCS,J2540,PENICILLIN G POTASSIUM INJ 5MU,60.0,45.0,1.0,2.82,9
HCPCS,J2540,"PENICILLIN G, K (SYRINGE) INJ",131.0,98.25,1.0,2.82,9
HCPCS,J2540,"PENICLLIN G K / SW 50,000IU/ML",51.0,38.25,1.0,2.82,9
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 150MG,116.0,87.0,1.0,3.55,9
HCPCS,J2543,PIPERACILLIN/TAZO PER 1.125 GM,61.0,45.75,1.0,3.55,9
HCPCS,J2547,"INJECTION, PERAMIVIR",,,1.0,5.08,9
HCPCS,J2550,PROMETHAZINE HCL INJECTION,,,1.0,9.26,9
HCPCS,J2560,PHENOBARBITAL INJ 120 MG,28.0,21.0,1.0,88.4,9
HCPCS,J2560,PHENOBARBITAL INJ 130MG/1ML,667.0,500.25,1.0,88.4,9
HCPCS,J2560,PHENOBARBITAL INJ 65MG/1ML,239.0,179.25,1.0,88.4,9
HCPCS,J2560,PHENOBARBITAL PER 120MG IJ,885.0,663.75,1.0,88.4,9
HCPCS,J2561,"INJ, SEZABY, 1 MG",,,1.0,4.28,9
HCPCS,J2562,PLERIXAFOR INJECTION,,,1.0,80.69,9
HCPCS,J2590,OXYTOCIN INJ 10UNITS/1ML,237.0,177.75,1.0,6.12,9
HCPCS,J2597,DESMOPRESSIN INJ 40MCG/10ML,164.0,123.0,1.0,12.56,9
HCPCS,J2597,DESMOPRESSIN INJ 4MCG/1ML,234.0,175.5,1.0,12.56,9
HCPCS,J2598,VASOPRESSIN INJ 20UNITS/1ML,259.0,194.25,1.0,4.03,9
HCPCS,J2599,INJ VASOPRESSIN (AM REG) 1 U,,,0.91,2.38,9
HCPCS,J2601,"Injection, vasopressin (Baxter), 1 unit",,,1.0,9.48,9
HCPCS,J2675,INJ PROGESTERONE PER 50 MG,,,0.76,2.0,9
HCPCS,J2679,FLUPHENAZINEHCLPER1.25MGIJ,12.0,9.0,1.0,23.98,9
HCPCS,J2680,FLUPHENAZINE DECANOATE INJ 125,1042.0,781.5,1.0,24.33,9
HCPCS,J2690,PROCAINAMD1GMIJ,1427.0,1070.25,1.0,627.97,9
HCPCS,J2690,PROCAINAMIDE INJ 1000MG/2ML,1383.0,1037.25,1.0,627.97,9
HCPCS,J2700,OXACILLIN/NS 50MG/ML INJ 50MG/,130.0,97.5,1.0,2.63,9
HCPCS,J2704,PROPOFOL INJ 1000MG/100ML,3.0,2.25,0.11,1.0,9
HCPCS,J2704,PROPOFOL INJ 100MG/10ML,5.0,3.75,0.11,1.0,9
HCPCS,J2704,PROPOFOL INJ 500MG/50ML,5.0,3.75,0.11,1.0,9
HCPCS,J2704,PROPOFOL INJ PER 10 MG,9.0,6.75,0.11,1.0,9
HCPCS,J2710,NEOSTIGMINE INJ 10MG/10ML,1160.0,870.0,0.36,1.0,9
HCPCS,J2720,PROTAMINE INJ 250MG/10ML,507.0,380.25,1.0,5.27,9
HCPCS,J2720,PROTAMINE INJ 50MG/5ML,181.0,135.75,1.0,5.27,9
HCPCS,J2724,PROTEIN C CONCENTRATE,,,1.0,47.01,9
HCPCS,J2730,PRALIDOXIME CHLORIDE INJ,,,1.0,271.74,9
HCPCS,J2760,PHENTOLAMINE INJ 5MG/1ML,7041.0,5280.75,1.0,1410.67,9
HCPCS,J2760,PHENTOLAMINE UP TO 5MG,6581.0,4935.75,1.0,1410.67,9
HCPCS,J2765,METOCLOPRAMIDE / D5W 0.2MG/ML,171.0,128.25,1.0,3.2,9
HCPCS,J2765,METOCLOPRAMIDE INJ 10MG/2ML,24.0,18.0,1.0,3.2,9
HCPCS,J2770,QUINUPRISTIN/DALFOPRISTIN,,,1.0,1090.59,9
HCPCS,J2777,"INJ, FARICIMAB-SVOA, 0.1MG",,,1.0,111.4,9
HCPCS,J2778,RANIBIZUMAB INJECTION,,,1.0,294.45,9
HCPCS,J2779,"INJ, SUSVIMO 0.1 MG",,,1.0,253.47,9
HCPCS,J2781,"INJ, PEGCETACOPLAN, 1MG",,,1.0,458.59,9
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,1.0,342.22,9
HCPCS,J2783,RASBURICASE PER 0.5MG,2090.0,1567.5,1.0,1216.68,9
HCPCS,J2785,REGADENOSON INJ 0.4MG,664.0,498.0,1.0,9.33,9
HCPCS,J2785,REGADENOSON INJ PER 0.1 MG,1223.0,917.25,1.0,9.33,9
HCPCS,J2786,"INJECTION, RESLIZUMAB, 1MG",,,1.0,10.77,5
HCPCS,J2787,RIBOFLAVIN 5'PHOS OPTH<=3ML,,,1.0,7311.48,9
HCPCS,J2788,RHO D IMMUNE GLOBULIN 50 MCG,,,1.0,90.02,9
HCPCS,J2790,INJECTION-RHOGAM - O/P,821.0,615.75,1.0,792.98,9
HCPCS,J2791,INJECTION RHOPHYLAC,211.0,158.25,1.0,16.05,9
HCPCS,J2791,RHO D IMMUNE GLOB IM/IV 100 IU,1565.0,1173.75,1.0,16.05,9
HCPCS,J2792,RHO D IMMUNE GLOB SD 100 IU,398.0,298.5,1.0,116.41,9
HCPCS,J2794,"INJ RISPERDAL CONSTA, 0.5 MG",,,1.0,35.33,9
HCPCS,J2795,ROPIVACAIN1MGIJ,1.0,0.75,0.07,1.0,9
HCPCS,J2795,ROPIVACAINE INJ 10MG/ML 20ML,162.0,121.5,0.07,1.0,9
HCPCS,J2795,ROPIVACAINE INJ 40MG/20ML,153.0,114.75,0.07,1.0,9
HCPCS,J2797,"INJ., ROLAPITANT, 0.5 MG",,,0.92,2.41,9
HCPCS,J2798,"INJ., PERSERIS, 0.5 MG",,,1.0,39.2,9
HCPCS,J2799,"INJ, UZEDY, 1 MG",,,1.0,81.01,9
HCPCS,J2800,METHOCARBAMOL INJ 1000MG/10ML,689.0,516.75,1.0,15.45,9
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,1.0,39.74,9
HCPCS,J2802,ROMIPLOSTIM PER 1MCG IJ (125),122.0,91.5,1.0,35.53,9
HCPCS,J2802,ROMIPLOSTIM PER 1MCG IJ (250),122.0,91.5,1.0,35.53,9
HCPCS,J2802,ROMIPLOSTIM PER 1MCG IJ (500),122.0,91.5,1.0,35.53,9
HCPCS,J2804,RIFAMPIN PER 1MG IJ,4.0,3.0,0.19,1.0,9
HCPCS,J2805,KINEVAC,530.0,397.5,1.0,439.4,9
HCPCS,J2810,INJ THEOPHYLLINE PER 40 MG,,,0.01,1.0,9
HCPCS,J2820,SARGRAMOSTIM INJECTION,,,1.0,177.91,9
HCPCS,J2840,INJ SEBELIPASE ALFA 1 MG,,,1.0,516.11,5
HCPCS,J2850,INJ SECRETIN SYNTHETIC HUMAN,,,1.0,135.63,9
HCPCS,J2860,SILTUXIMAB 10MGIJ,1248.0,936.0,1.0,523.4,9
HCPCS,J2865,SULFAMETH/TRIM5MG/1MGIJ,0.74,0.56,0.06,1.0,9
HCPCS,J2916,NAFERRICG12.5IJ,39.0,29.25,1.0,7.04,9
HCPCS,J2919,METHYLPRED SS PER 5MG IJ,2.0,1.5,0.32,1.0,27
HCPCS,J2993,RETEPLASE INJECTION,,,1.0,9716.54,9
HCPCS,J2997,ALTEPASE 30MG IN 100ML NS IRR,891.0,668.25,1.0,304.25,9
HCPCS,J2997,ALTEPLASE 10MG/50ML NS IRR,370.0,277.5,1.0,304.25,9
HCPCS,J2997,ALTEPLASE INJ 2MG/2ML,1131.0,848.25,1.0,304.25,9
HCPCS,J2997,ALTEPLASE INJ PER 1 MG,622.0,466.5,1.0,304.25,18
HCPCS,J2997,ALTEPLASE PER 1 MG,1467.0,1100.25,1.0,304.25,9
HCPCS,J2997,ALTEPLASE PER 1MG IJ,263.0,197.25,1.0,304.25,9
HCPCS,J2997,"ALTEPLASE, RECOMBINANT INJ 100",700.0,525.0,1.0,304.25,9
HCPCS,J2997,"ALTEPLASE, ROCOMBINANT INJ 50M",847.0,635.25,1.0,304.25,9
HCPCS,J2998,INJ PLASMINOGEN TVMH 1MG,,,1.0,117.23,9
HCPCS,J3000,STREPTOMYCIN INJECTION,,,1.0,101.31,9
HCPCS,J3010,FENTANYL 50MCG/ML SYRINGE,29.0,21.75,1.0,3.11,9
HCPCS,J3010,FENTANYL-NS 5MCG/ML,101.0,75.75,1.0,3.11,9
HCPCS,J3010,FENTANYL.1MG IJ,7.0,5.25,1.0,3.11,45
HCPCS,J3010,PYXIS-FENTANYL/NS 5MCG/ML INJ,22.0,16.5,1.0,3.11,9
HCPCS,J3030,SUMATRIPTAN INJ 6MG/0.5ML,160.0,120.0,1.0,15.86,9
HCPCS,J3032,INJ. EPTINEZUMAB-JJMR 1 MG,,,1.0,20.22,5
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,1.0,233.96,9
HCPCS,J3060,"INJ, TALIGLUCERASE ALFA 10 U",,,1.0,41.83,5
HCPCS,J3070,PENTAZOCINE INJECTION,,,0.01,1.0,9
HCPCS,J3090,INJ TEDIZOLID PHOSPHATE,,,1.0,6.15,9
HCPCS,J3095,TELAVANCIN INJECTION,,,1.0,24.11,9
HCPCS,J3101,TENECTE 1MG IJ,1699.0,1274.25,1.0,555.65,9
HCPCS,J3105,TERBUTALINE INJ 1MG/1ML,28.0,21.0,1.0,8.85,9
HCPCS,J3111,INJ. ROMOSOZUMAB-AQQG 1 MG,,,1.0,12.23,5
HCPCS,J3121,INJ TESTOSTERO ENANTHATE 1MG,,,0.06,1.0,9
HCPCS,J3145,TESTOSTERONE UNDECANOATE 1MG,,,1.0,6.44,9
HCPCS,J3230,CHLORPROMAZINE INJ 25MG/ML,497.0,372.75,1.0,87.48,9
HCPCS,J3230,CHLORPROMAZINE INJ 50MG/2ML,338.0,253.5,1.0,87.48,9
HCPCS,J3240,THYROTROPIN INJECTION,,,1.0,6829.45,9
HCPCS,J3241,INJ. TEPROTUMUMAB-TRBW 10 MG,,,1.0,365.86,5
HCPCS,J3243,TIGECYCLINE INJ PER 1 MG,70.0,52.5,0.62,1.62,9
HCPCS,J3244,INJ. TIGECYCLINE (ACCORD),,,1.0,6.91,9
HCPCS,J3245,"INJ., TILDRAKIZUMAB, 1 MG",,,1.0,128.61,5
HCPCS,J3246,TIROFIBAN PER 0.25 MG,147.0,110.25,1.0,11.07,9
HCPCS,J3246,TIROFIBAN PER 0.25MG,123.0,92.25,1.0,11.07,9
HCPCS,J3247,"Injection, secukinumab, intravenous, 1 mg",,,1.0,18.18,5
HCPCS,J3250,TRIMETHOBENZAMIDE HCL INJ,,,1.0,172.55,9
HCPCS,J3260,TOBRAMYCIN INJ 20MG/0.5ML,22.0,16.5,1.0,7.93,9
HCPCS,J3260,TOBRAMYCIN INJ 80MG/2ML,41.0,30.75,1.0,7.93,9
HCPCS,J3260,TOBRAMYCIN PRESERV FREE INJ 1.,1442.0,1081.5,1.0,7.93,9
HCPCS,J3260,TOBRAMYCIN UP TO 80 MG,588.0,441.0,1.0,7.93,9
HCPCS,J3262,TOCILIZUMAB PER 1 MG,43.0,32.25,1.0,5.89,10
HCPCS,J3262,TOCILIZUMAB PER 1MG IJ,52.0,39.0,1.0,5.89,5
HCPCS,J3263,"Injection, toripalimab-tpzi, 1 mg",,,1.0,40.24,5
HCPCS,J3265,INJECTION TORSEMIDE 10 MG/ML,,,1.0,8.15,9
HCPCS,J3285,TREPROSTINIL INJ PER 1MG,4223.0,3167.25,1.0,179.28,18
HCPCS,J3285,TREPROSTINIL1IJ,1688.0,1266.0,1.0,179.28,9
HCPCS,J3290,TRANEXAMIC ACID PER 5MG IVPBIJ,0.35,0.26,,,0
HCPCS,J3290,TRANEXAMIC ACID PER 5MG PMX IJ,1.74,1.31,,,0
HCPCS,J3299,TRIAMCINO10MGIJ,494.0,370.5,1.0,155.11,9
HCPCS,J3300,TRIAM-A PF1MGIJ,90.0,67.5,1.0,79.2,9
HCPCS,J3301,TRIAMCINOLONE INJ 40MG/1ML,51.0,38.25,1.0,2.76,9
HCPCS,J3303,TRIAMCINOLONE HEXACETONL INJ,,,1.0,23.88,9
HCPCS,J3304,INJ TRIAMCINOLONE ACE XR 1MG,,,1.0,58.84,9
HCPCS,J3305,INJ TRIMETREXATE GLUCORONATE,,,1.0,388.4,9
HCPCS,J3315,TRIPTORELIN PAMOATE,,,1.0,1589.69,9
HCPCS,J3316,"INJ., TRIPTORELIN XR 3.75 MG",,,1.0,12192.88,9
HCPCS,J3355,"UROFOLLITROPIN, 75 IU",,,1.0,343.14,9
HCPCS,J3358,"USTEKINUMAB, IV INJECT, 1 MG",,,1.0,13.54,5
HCPCS,J3360,DIAZEPAM INJ 10MG/2ML SYR,361.0,270.75,1.0,19.92,9
HCPCS,J3364,UROKINASE 5000 IU INJECTION,,,1.0,23.73,9
HCPCS,J3365,"UROKINASE 250,000 IU INJ",,,1.0,1257.37,9
HCPCS,J3373,VANCOMYCIN INTRAVIT PER 10MGIJ,4.0,3.0,0.04,1.0,9
HCPCS,J3373,VANCOMYCIN PER 10MG IJ,0.46,0.35,0.04,1.0,9
HCPCS,J3373,VANCOMYCIN PER 10MGPMX,8.0,6.0,0.04,1.0,9
HCPCS,J3373,VANCOMYCIN SUBCONJ PER 10MG IJ,4.0,3.0,0.04,1.0,9
HCPCS,J3374,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to J3373, 10 mg",,,0.15,1.0,9
HCPCS,J3375,VANCOMYCIN(XELLIA) PER 10MGIJ,5.0,3.75,0.16,1.0,9
HCPCS,J3380,"INJECTION, VEDOLIZUMAB",,,1.0,22.47,5
HCPCS,J3385,VELAGLUCERASE ALFA,,,1.0,387.35,5
HCPCS,J3391,"Injection, atidarsagene autotemcel, per treatment",,,1.0,13264885.8,9
HCPCS,J3392,"Injection, exagamglogene autotemcel, per treatment",,,1.0,6978180.0,9
HCPCS,J3393,"Injection, betibeglogene autotemcel, per treatment",,,1.0,8881320.0,9
HCPCS,J3394,"Injection, lovotibeglogene autotemcel, per treatment",,,1.0,9832890.0,9
HCPCS,J3396,VERTEPORFIN INJECTION,,,1.0,37.3,9
HCPCS,J3397,"INJ., VESTRONIDASE ALFA-VJBK",,,1.0,274.58,5
HCPCS,J3398,INJ LUXTURNA 1 BILLION VEC G,,,1.0,5392.23,9
HCPCS,J3399,INJ ONASE ABEPAR-XIOI TREAT,,,1.0,7293783.73,9
HCPCS,J3401,"VYJUVEK 5X10^9PFU/ML, 0.1 ML",,,1.0,1056.68,5
HCPCS,J3410,HYDROXYZINE INJ 25MG/1ML,194.0,145.5,1.0,54.68,9
HCPCS,J3411,THIAMINE INJ 100MG/1ML,90.0,67.5,1.0,5.77,9
HCPCS,J3415,PYRIDOXINE INJ 100MG/1ML,172.0,129.0,1.0,41.36,9
HCPCS,J3420,CYANOCOBALAMIN INJ 1000MCG/ML,74.0,55.5,1.0,3.05,9
HCPCS,J3424,HYDROXOCOBALAMIN IV PER 25MGIJ,52.0,39.0,1.0,16.14,9
HCPCS,J3425,HYDROXOCOBALAMINPER10MCGIJ,0.21,0.16,0.01,1.0,9
HCPCS,J3430,PHYTONADIONE (PED) INJ 1MG/0.5,366.0,274.5,1.0,9.17,9
HCPCS,J3430,PHYTONADIONE INJ 10MG/1ML,1044.0,783.0,1.0,9.17,9
HCPCS,J3465,VORICONAZOLE INJ 200MG/20ML,15.0,11.25,0.96,2.51,9
HCPCS,J3470,HYALURONIDASE INJECTION,,,1.0,101.94,9
HCPCS,J3471,"OVINE, UP TO 999 USP UNITS",,,0.61,1.59,9
HCPCS,J3472,"OVINE, 1000 USP UNITS",,,1.0,1296.17,15
HCPCS,J3473,HYALURONIDASE PER 1 UNIT,8.0,6.0,0.44,1.14,9
HCPCS,J3475,MAG SULF PER 500MG PMX IJ,95.0,71.25,0.61,1.59,9
HCPCS,J3475,MAGNESIUM SULF INJ PER 500 MG,23.0,17.25,0.61,1.59,9
HCPCS,J3475,MAGNESIUM SULF PER 500MG IJ,165.0,123.75,0.61,1.59,9
HCPCS,J3475,MAGNESIUM SULFATE 125MG/ML INJ,27.0,20.25,0.61,1.59,9
HCPCS,J3475,MAGNESIUM SULFATE 50% INJ 25GM,15.0,11.25,0.61,1.59,9
HCPCS,J3475,MAGNESIUM SULFATE-D5W 1GM/50ML,169.0,126.75,0.61,1.59,9
HCPCS,J3475,MAGSULF20GM/500ML(PRE-MIX),255.0,191.25,0.61,1.59,9
HCPCS,J3480,POTASSIUM CHLORIDE 20MEQ PREMI,194.0,145.5,0.21,1.0,9
HCPCS,J3480,POTASSIUM CHLORIDE INJ 20MEQ/1,50.0,37.5,0.21,1.0,9
HCPCS,J3480,POTASSIUM CHLORIDE INJ 40MEQ/2,74.0,55.5,0.21,1.0,9
HCPCS,J3480,POTASSIUM CHLORIDE/D5W 0.08 ME,201.0,150.75,0.21,1.0,9
HCPCS,J3480,POTASSIUM CHLORIDE/D5W 0.15 ME,87.0,65.25,0.21,1.0,9
HCPCS,J3485,ZIDOVUDINE INJ 200MG/10ML,557.0,417.75,1.0,4.88,9
HCPCS,J3485,ZIDOVUDINE/D5W 2MG/ML INJ 2MG/,46.0,34.5,1.0,4.88,9
HCPCS,J3486,ZIPRASIDONE MESYLATE,,,1.0,10.12,9
HCPCS,J3489,ZOLEDRONIC ACID PER 1 MG,353.0,264.75,1.0,16.81,9
HCPCS,J3489,ZOLEDRONIC ACID PER 1MG,884.0,663.0,1.0,16.81,9
HCPCS,J3490,ACETIC AC 500TS,366.0,274.5,,,0
HCPCS,J3490,ACETIC ACID 0.25% IRR 500ML,37.0,27.75,,,0
HCPCS,J3490,BUPIV .125% Q/PMP 550ML IJ,446.0,334.5,,,0
HCPCS,J3490,BUPIV .25% Q/PMP 550ML IJ,670.0,502.5,,,0
HCPCS,J3490,DEXTROSE 40% IN WATER INJ  500,238.0,178.5,,,0
HCPCS,J3490,NITRIC OXIDE <12 HRS,173.0,129.75,,,0
HCPCS,J3490,NITRIC OXIDE PER DAY,6948.0,5211.0,,,0
HCPCS,J3520,EDETATE DISODIUM PER 150 MG,,,1.0,3.39,9
HCPCS,J3590,ALLOGRAFT AMNIOFIX 100 INJECT,10857.0,8142.75,,,0
HCPCS,J3590,ALLOGRAFT AMNIOFIX 160 INJECT,15935.0,11951.25,,,0
HCPCS,J3590,AMNIOEFFECT LYOPHILIZED AMNION,8786.0,6589.5,,,0
HCPCS,J3590,AMNIOGFT BIO-TISSUE ALL SIZES,5015.0,3761.25,,,0
HCPCS,J3590,AMNIOGRAFT BIOTISSUE,6579.0,4934.25,,,0
HCPCS,J3590,GRFT SEGMENT COSTAL CARTILAGE,2282.0,1711.5,,,0
HCPCS,J3590,KT FIBRN SUR VISTASEAL,787.0,590.25,,,0
HCPCS,J3590,MATRIX ACELL HUMAN PLACNTL 500,4593.0,3444.75,,,0
HCPCS,J3590,MATRIX ACELL HUMN PLACNTL 250,2299.0,1724.25,,,0
HCPCS,J3590,MATRIX ACELLULAR HUMAN PLACNTL,17020.0,12765.0,,,0
HCPCS,J3590,MATRX TISS FLOW VIAFLOW 2ML,9421.0,7065.75,,,0
HCPCS,J7030,SODIUM CHLORIDE 0.9% INJ 1000M,147.0,110.25,1.0,7.36,9
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC),152.0,114.0,1.0,4.44,9
HCPCS,J7040,SODIUM CHLORIDE 0.9% INJ 500ML,128.0,96.0,1.0,4.44,9
HCPCS,J7042,DEXTROSE 5% 0.9% NACL INJ 1000,147.0,110.25,1.0,4.38,9
HCPCS,J7042,DEXTROSE 5% 0.9% NACL INJ 500M,147.0,110.25,1.0,4.38,9
HCPCS,J7050,SODIUM CHLORIDE 0.9% (MBP) INJ,142.0,106.5,0.87,2.28,9
HCPCS,J7050,SODIUM CHLORIDE 0.9% INJ 100ML,148.0,111.0,0.87,2.28,9
HCPCS,J7050,SODIUM CHLORIDE 0.9% INJ 150ML,144.0,108.0,0.87,2.28,9
HCPCS,J7050,SODIUM CHLORIDE 0.9% INJ 250ML,147.0,110.25,0.87,2.28,9
HCPCS,J7050,SODIUM CHLORIDE 0.9% INJ 50ML,147.0,110.25,0.87,2.28,9
HCPCS,J7050,SODIUM CHLORIDE 0.9%-AVIVA BAG,206.0,154.5,0.87,2.28,9
HCPCS,J7060,D5W 250ML EXCEL BAG,147.0,110.25,1.0,6.53,9
HCPCS,J7060,DEXTROSE 5% IN WATER INJ  500M,147.0,110.25,1.0,6.53,9
HCPCS,J7060,DEXTROSE 5% IN WATER INJ 100ML,140.0,105.0,1.0,6.53,9
HCPCS,J7060,DEXTROSE 5% IN WATER INJ 150ML,147.0,110.25,1.0,6.53,9
HCPCS,J7060,DEXTROSE 5% IN WATER INJ 250ML,147.0,110.25,1.0,6.53,9
HCPCS,J7060,DEXTROSE 5% IN WATER-AVIVA BAG,136.0,102.0,1.0,6.53,9
HCPCS,J7070,DEXTROSE 5% IN WATER FOR SYRIN,147.0,110.25,1.0,9.8,9
HCPCS,J7070,DEXTROSE 5% IN WATER GLASS INJ,149.0,111.75,1.0,9.8,9
HCPCS,J7070,DEXTROSE 5% IN WATER INJ 1000M,147.0,110.25,1.0,9.8,9
HCPCS,J7070,DEXTROSE 5% IN WATER INJ 50ML,147.0,110.25,1.0,9.8,9
HCPCS,J7100,"DEXTRAN-40 10%, DEXTROSE 5% IN",147.0,110.25,1.0,217.97,9
HCPCS,J7120,L RINGERS50IVF,166.0,124.5,1.0,7.93,9
HCPCS,J7120,LACTATED RINGERS INJ 1000ML,147.0,110.25,1.0,7.93,9
HCPCS,J7120,LACTATED RINGERS INJ 500ML,147.0,110.25,1.0,7.93,9
HCPCS,J7120,RINGERS INJ 500 ML,147.0,110.25,1.0,7.93,9
HCPCS,J7121,D5WLACTATED RINGER PER 1000ML,147.0,110.25,1.0,14.62,9
HCPCS,J7121,DEXTROSE 5% LACTATED RINGER IN,147.0,110.25,1.0,14.62,9
HCPCS,J7131,SODIUM CHLORIDE 3% INJ 500ML,1.0,0.75,0.17,1.0,9
HCPCS,J7165,PROTHROM COMPLX BALFAXAR 1U IJ,15.0,11.25,1.0,10.18,18
HCPCS,J7168,PROTHROMB CMPX HUM 1UIJ,23.0,17.25,1.0,9.55,9
HCPCS,J7169,"INJ ANDEXXA, 10 MG",,,1.0,391.79,9
HCPCS,J7170,"INJ., EMICIZUMAB-KXWH 0.5 MG",,,1.0,58.51,5
HCPCS,J7171,"Injection, ADAMTS13, recombinant-krhn, 10 iu",,,1.0,114.98,9
HCPCS,J7172,"Injection, marstacimab-hncq, 0.5 mg",,,1.0,163.89,9
HCPCS,J7175,"INJ, FACTOR X, (HUMAN), 1IU",,,1.0,32.0,9
HCPCS,J7177,"INJ., FIBRYGA, 1 MG",,,1.0,3.9,9
HCPCS,J7178,INJ HUMAN FIBRINOGEN CON NOS,,,1.0,4.88,9
HCPCS,J7179,VONVENDI INJ 1 IU VWF:RCO,,,1.0,5.96,9
HCPCS,J7180,FACTOR XIII ANTI-HEM FACTOR,,,1.0,34.83,9
HCPCS,J7181,FACTOR XIII RECOMB A-SUBUNIT,,,1.0,59.09,9
HCPCS,J7182,FACTOR VIII RECOMB NOVOEIGHT,,,1.0,4.88,9
HCPCS,J7183,WILATE INJECTION,,,1.0,4.09,9
HCPCS,J7185,XYNTHA INJ,,,1.0,4.95,9
HCPCS,J7186,VWF / FACTOR VIII (WILATE),29.0,21.75,1.0,3.96,9
HCPCS,J7187,FACTOR VIII HUMAN PER IU HUM,29.0,21.75,1.0,4.79,9
HCPCS,J7188,FACTOR VIII RECOMB OBIZUR,,,1.0,10.4,9
HCPCS,J7189,FACTOR VLLA RECOMB PER 1 MCG,26.0,19.5,1.0,8.53,9
HCPCS,J7190,FACTOR VIII,,,1.0,3.65,9
HCPCS,J7192,FACTOR VIII (RECOMBIN) PER IU,29.0,21.75,1.0,4.95,9
HCPCS,J7192,FACTOR VIII RECOMB PER LU,29.0,21.75,1.0,4.95,9
HCPCS,J7193,FACTOR IX NON-RECOMBINANT,,,1.0,4.31,9
HCPCS,J7194,FACTOR IX COMPLEX,,,1.0,5.49,9
HCPCS,J7195,FACTOR IX RECOMBINANT NOS,,,1.0,6.06,9
HCPCS,J7196,ANTITHROMBIN RECOMBINANT,,,1.0,450.54,9
HCPCS,J7197,ANTITHROMBIN III(HUMAN) PER IU,25.0,18.75,1.0,13.2,9
HCPCS,J7198,ANTI-INHIBITOR COAG PER I.U.,29.0,21.75,1.0,7.9,9
HCPCS,J7200,FACTOR IX RECOMBINAN RIXUBIS,,,1.0,5.04,9
HCPCS,J7201,FACTOR IX ALPROLIX RECOMB,,,1.0,11.7,9
HCPCS,J7202,FACTOR IX IDELVION INJ,,,1.0,17.26,9
HCPCS,J7203,FACTOR IX RECOMB GLY REBINYN,,,1.0,14.78,9
HCPCS,J7204,INJ RECOMBIN ESPEROCT PER IU,,,1.0,7.3,9
HCPCS,J7205,FACTOR VIII FC FUSION RECOMB,,,1.0,7.8,9
HCPCS,J7207,FACTOR VIII PEGYLATED RECOMB,,,1.0,6.95,9
HCPCS,J7208,INJ. JIVI 1 IU,,,1.0,8.56,9
HCPCS,J7209,FACTOR VIII NUWIQ RECOMB 1IU,,,1.0,3.77,9
HCPCS,J7210,"INJ, AFSTYLA, 1 I.U.",,,1.0,5.08,9
HCPCS,J7211,"INJ, KOVALTRY, 1 I.U.",,,1.0,5.08,9
HCPCS,J7212,FACTOR VIIA-JNCW PER 1MCG IJ,23.0,17.25,1.0,7.74,18
HCPCS,J7213,"INJ, IXINITY, 1 I.U.",,,1.0,6.15,9
HCPCS,J7214,ALTUVIIIO PER FACTOR VIII IU,,,1.0,15.1,9
HCPCS,J7294,SEG ACET AND ETH ESTR YEARLY,,,1.0,7808.23,9
HCPCS,J7295,ETH ESTR AND ETON MONTHLY,,,1.0,502.68,9
HCPCS,J7296,KYLEENA IUD,7200.5,5400.375,1.0,3922.78,18
HCPCS,J7297,SKYLA IUD/NDC 50419-0422-01,1773.0,1329.75,1.0,2987.87,9
HCPCS,J7298,IUD DEVICE,6360.0,4770.0,1.0,3871.94,9
HCPCS,J7298,MIRENA IUD/NDC 50419-0423-01,3832.5,2874.375,1.0,3871.94,27
HCPCS,J7300,COPPER-INTRAUTERINE DEVICE,11375.0,8531.25,1.0,3651.08,9
HCPCS,J7300,PARAGARD -INTRAUTERINE DEVICE,4035.0,3026.25,1.0,3651.08,18
HCPCS,J7300,PARAGARD IUD/NDC 59365-5129-01,1626.0,1219.5,1.0,3651.08,9
HCPCS,J7301,"SKYLA, 13.5 MG",,,1.0,3237.49,9
HCPCS,J7304,CONTRACEPTIVE HORMONE PATCH,,,1.0,155.2,9
HCPCS,J7306,LEVONORGESTREL IMPLANT SYS,,,1.0,16.13,90
HCPCS,J7307,NEXPLANON IMP/NDC00052-4330-01,4092.0,3069.0,1.0,3918.18,18
HCPCS,J7307,NEXPLANON IMPL/NDC 00052-4330-,2090.0,1567.5,1.0,3918.18,9
HCPCS,J7308,AMINOLEVULINIC ACID HCL TOP,,,1.0,1272.88,9
HCPCS,J7309,"METHYL AMINOLEVULINATE, TOP",,,1.0,217.12,9
HCPCS,J7310,GANCICLOVIR LONG ACT IMPLANT,,,1.0,30.93,95
HCPCS,J7311,FLUOCINOLONE INTRAVIT IMPLANT,194047.0,145535.25,1.0,16.13,90
HCPCS,J7312,DEXAMETHASONE IMPLANTPER 0.1MG,2309.0,1731.75,1.0,16.13,90
HCPCS,J7313,FLUOCINL INJ OPH PER 0.01MG,7498.0,5623.5,1.0,16.13,90
HCPCS,J7314,YUTIQ FLUOCIN OPTH IMPL 0.18MG,4521.0,3390.75,1.0,16.13,90
HCPCS,J7315,OPHTHALMIC MITOMYCIN,,,1.0,1136.68,9
HCPCS,J7316,"INJ, OCRIPLASMIN, 0.125 MG",,,1.0,2977.37,9
HCPCS,J7318,"INJ, DUROLANE 1 MG",,,1.0,21.6,9
HCPCS,J7321,HYALGAN SUPARTZ VISCO-3 DOSE,,,1.0,237.16,9
HCPCS,J7323,EUFLEXXA INJ PER DOSE,,,1.0,369.97,9
HCPCS,J7328,GELSYN-3 INJECTION 0.1 MG,,,0.8,2.09,9
HCPCS,J7330,CULTURED CHONDROCYTES IMPLNT,,,1.0,16.13,90
HCPCS,J7336,CAPSAICIN 1SQCM,37.0,27.75,1.0,10.91,9
HCPCS,J7340,CARBIDOPA LEVODOPA ENT 100ML,,,1.0,785.77,9
HCPCS,J7342,CIPROFLOXACIN OTIC SUSP 6 MG,,,1.0,96.74,9
HCPCS,J7345,"AMINOLEVULINIC ACID, 10% GEL",,,1.0,5.84,9
HCPCS,J7351,INJ BIMATOPROST ITC IMP1MCG,,,1.0,686.3,9
HCPCS,J7352,"AFAMELANOTIDE IMPLANT, 1 MG",,,1.0,10103.23,9
HCPCS,J7353,ANACAULASE-BCDB 8.8% GEL 1 G,,,1.0,144.61,95
HCPCS,J7354,"Cantharidin top, applicator",,,1.0,2163.93,9
HCPCS,J7355,"Injection, travoprost, intracameral implant, 1 microgram",,,1.0,630.99,9
HCPCS,J7500,AZATHIOPRINE ORAL 50MG,,,1.0,6.91,9
HCPCS,J7501,AZATHIOPRINE PARENTERAL,,,1.0,801.7,9
HCPCS,J7502,CYCLOSPORINE ORAL 100 MG,,,1.0,6.66,9
HCPCS,J7503,TACROL ENVARSUS EX REL ORAL,,,1.0,5.9,9
HCPCS,J7504,ANTI-THYMOCYTE EQUINE 250MG,7787.0,5840.25,1.0,16201.08,9
HCPCS,J7507,TACROLIMUS CAP 1MG CAP,25.0,18.75,0.18,1.0,9
HCPCS,J7508,TACROL ASTAGRAF EX REL ORAL,,,0.54,1.87,15
HCPCS,J7509,METHYLPREDNISOLONE ORAL,,,0.28,1.0,9
HCPCS,J7510,PREDNISOLONE ORAL PER 5 MG,,,0.33,1.0,9
HCPCS,J7511,ANTITHYMOCYTE GLOB-RABBIT 25MG,10298.0,7723.5,1.0,3220.08,9
HCPCS,J7512,PREDNISONE IR OR DR ORAL 1MG,,,0.01,1.0,9
HCPCS,J7513,"DACLIZUMAB, PARENTERAL",,,1.0,1127.52,9
HCPCS,J7515,CYCLOSPORINE ORAL 25 MG,,,0.95,2.47,9
HCPCS,J7516,CYCLOSPORINE INJ 250MG/5ML,702.0,526.5,1.0,234.88,9
HCPCS,J7517,MYCOPHENOLATE PER 250MG,141.0,105.75,0.18,1.0,9
HCPCS,J7518,MYCOPHENOLIC ACID,,,0.45,1.17,9
HCPCS,J7519,MYCOPHENOLATE PER 10MG IJ,35.0,26.25,0.51,1.33,9
HCPCS,J7520,"SIROLIMUS, ORAL",,,1.0,3.08,9
HCPCS,J7521,"Tacrolimus, granules, oral suspension, 0.1 mg",,,1.0,4.03,9
HCPCS,J7525,TACROLIMUS INJECTION,,,1.0,847.44,9
HCPCS,J7527,ORAL EVEROLIMUS,,,1.0,6.41,9
HCPCS,J7611,ALBUTEROL NON-COMP CON,,,0.19,1.0,9
HCPCS,J7613,ALBUTEROL NON-COMP UNIT,,,0.08,1.0,9
HCPCS,J7614,LEVALBUTEROL NON-COMP UNIT,,,0.1,1.0,9
HCPCS,J7626,BUDESONIDE NON-COMP UNIT,,,1.0,4.09,9
HCPCS,J7644,IPRATROPIUM BROMIDE NON-COMP,,,0.37,1.27,15
HCPCS,J7665,MANNITOL FOR INHALER,,,0.91,2.38,9
HCPCS,J7674,PULM-METHACHOLINE CHLORIDE-1mg,2.0,1.5,1.0,5.58,9
HCPCS,J7677,REVEFENACIN INH NON-COM 1MCG,,,0.23,1.0,9
HCPCS,J7999,EDETATE DISODIUM 3% EYE SOLN,6470.0,4852.5,,,0
HCPCS,J7999,ETHER IN VEGETABLE OIL 946ML B,258.0,193.5,,,0
HCPCS,J7999,GANCICLO 1ML IJ,16.0,12.0,,,0
HCPCS,J7999,HCTS NEO CMPDIJ,16.0,12.0,,,0
HCPCS,J7999,HEPARIN 5000UNITS/NS 500ML BAG,147.0,110.25,,,0
HCPCS,J7999,LIDOCAIN-EPI1%BUFFCMDIJ,13.0,9.75,,,0
HCPCS,J8501,APREPITANT PER 5 MG,115.0,86.25,1.0,8.75,18
HCPCS,J8510,ORAL BUSULFAN,,,0.01,1.0,9
HCPCS,J8530,CYCLOPHOSPHAMIDE ORAL 25 MG,,,1.0,6.38,9
HCPCS,J8540,ORAL DEXAMETHASONE,,,0.05,1.0,9
HCPCS,J8560,ETOPOSIDE ORAL 50 MG,,,1.0,244.84,9
HCPCS,J8562,ORAL FLUDARABINE PHOSPHATE,,,1.0,212.14,9
HCPCS,J8565,GEFITINIB ORAL,,,1.0,772.99,9
HCPCS,J8600,MELPHALAN ORAL 2 MG,,,0.01,1.0,9
HCPCS,J8610,METHOTREXATE ORAL 2.5 MG,,,0.24,1.0,9
HCPCS,J8611,"Methotrexate (Jylamvo), oral, 2.5 mg",,,1.0,59.85,9
HCPCS,J8612,"Methotrexate (Xatmep), oral, 2.5 mg",,,1.0,73.21,9
HCPCS,J8650,NABILONE ORAL,,,1.0,104.93,9
HCPCS,J8655,"ORAL NETUPITANT, PALONOSETRO",,,1.0,1323.44,9
HCPCS,J8670,"ROLAPITANT, ORAL, 1MG",,,1.0,5.01,9
HCPCS,J8700,TEMOZOLOMIDE,,,0.44,1.14,9
HCPCS,J8705,TOPOTECAN ORAL,,,1.0,403.62,9
HCPCS,J9000,DOXORUBICIN PER 10MG,42.0,31.5,1.0,8.63,18
HCPCS,J9015,ALDESLEUKIN INJECTION,,,1.0,19041.01,9
HCPCS,J9017,ARSENIC TRIOXIDE INJECTION,,,1.0,18.9,9
HCPCS,J9019,ERWINAZE INJECTION,,,1.0,1369.47,9
HCPCS,J9020,"ASPARAGINASE, NOS",,,1.0,167.51,9
HCPCS,J9021,ASPARAGINASE RECOMB PER 0.1MG,128.0,96.0,1.0,178.7,9
HCPCS,J9022,ATEZOLIZUMAB PER 1 VIAL,835.0,626.25,1.0,92.73,5
HCPCS,J9023,"INJECTION, AVELUMAB, 10 MG",,,1.0,102.19,5
HCPCS,J9024,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs",,,1.0,32.23,5
HCPCS,J9025,AZACITIDINE INJ 25MG/ML 4ML,2.0,1.5,0.24,1.0,9
HCPCS,J9025,AZACITIDINE PER 1 MG,59.0,44.25,0.24,1.0,9
HCPCS,J9026,"Injection, tarlatamab-dlle, 1 mg",,,1.0,5065.71,9
HCPCS,J9027,CLOFARABINE INJECTION,,,1.0,47.55,9
HCPCS,J9028,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram",,,1.0,304.15,9
HCPCS,J9029,"INSTILL ADSTILADRIN, TX DOSE",,,1.0,204993.11,9
HCPCS,J9030,"BCG LIVE INTRAVES, PER INSTILL",1260.0,945.0,1.0,10.09,9
HCPCS,J9032,"INJECTION, BELINOSTAT, 10MG",,,1.0,168.17,9
HCPCS,J9033,"INJ., TREANDA 1 MG",,,1.0,5.87,9
HCPCS,J9034,BENDAMUSTINE PER 1 MG,218.0,163.5,1.0,42.38,9
HCPCS,J9035,BEVACIZUMAB PER 1OMG,642.0,481.5,1.0,74.42,5
HCPCS,J9036,INJ. BELRAPZO/BENDAMUSTINE,,,1.0,38.73,9
HCPCS,J9038,"Injection, axatilimab-csfr, 0.1 mg",,,1.0,172.84,9
HCPCS,J9039,BLINATUMOMAB PER 1 MCG,1730.0,1297.5,1.0,527.42,9
HCPCS,J9040,BLEOMYCIN SULFATE INJECTION,,,1.0,66.26,9
HCPCS,J9041,BORTEZOMIB PER 0.1 MG,106.0,79.5,1.0,5.01,9
HCPCS,J9042,BRENTUXIMAB VEDOTIN INJ,,,1.0,819.97,9
HCPCS,J9043,CABAZITAXEL INJECTION,,,1.0,733.91,9
HCPCS,J9045,"CARBOPLATIN, 50MG",156.0,117.0,1.0,6.69,18
HCPCS,J9046,"INJ, BORTEZOMIB, DR. REDDY'S",,,1.0,27.94,9
HCPCS,J9047,CARFILZOMIB INJ PER 1 MG,479.0,359.25,1.0,174.74,9
HCPCS,J9048,"INJ, BORTEZOMIB FRESENIUSKAB",,,1.0,8.63,9
HCPCS,J9049,"INJ, BORTEZOMIB, HOSPIRA",,,1.0,4.98,9
HCPCS,J9050,CARMUSTINE INJECTION,,,1.0,561.14,9
HCPCS,J9051,"INJ, BORTEZOMIB (MAIA)",,,1.0,10.72,9
HCPCS,J9052,"INJ, CARMUSTINE (ACCORD)",,,1.0,317.19,9
HCPCS,J9054,"Injection, bortezomib (Boruzu), 0.1 mg",,,1.0,84.75,9
HCPCS,J9055,CETUXIMAB INJECTION,,,1.0,248.87,9
HCPCS,J9056,"INJ, BENDAMUSTINE, 1 MG",,,1.0,90.65,9
HCPCS,J9057,"INJ., COPANLISIB, 1 MG",,,1.0,274.43,9
HCPCS,J9060,CISPLATIN INJ 50MG/50ML,20.0,15.0,1.0,6.15,9
HCPCS,J9061,"INJ, AMIVANTAMAB-VMJW",,,1.0,71.75,9
HCPCS,J9063,"INJ, ELAHERE, 1 MG",,,1.0,224.67,9
HCPCS,J9064,"INJ, CABAZITAXEL (SANDOZ)",,,0.01,1.0,9
HCPCS,J9065,INJ CLADRIBINE PER 1 MG,,,1.0,31.4,9
HCPCS,J9071,INJ CYCLOPHOSPHAMD AUROMEDIC,,,0.96,2.51,9
HCPCS,J9072,INJ CYCLOPHOS DR.REDDY'S 5MG,,,1.0,29.09,9
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,1.0,3.71,9
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,1.0,13.58,9
HCPCS,J9075,CYCLOPHOSPH NOS PER 5MG IJ,11.0,8.25,0.76,2.0,18
HCPCS,J9076,CYCLOPHOS (BAXTER) PER 5MG IJ,8.0,6.0,1.0,16.24,9
HCPCS,J9098,CYTARABINE LIPOSOME INJ,,,1.0,1782.23,9
HCPCS,J9100,CYTARABINE PER 100MG,34.0,25.5,0.99,2.6,9
HCPCS,J9118,CALASPARGASE PER 1 UNIT,514.0,385.5,1.0,264.7,9
HCPCS,J9119,"INJ., CEMIPLIMAB-RWLC, 1 MG",,,1.0,29.23,5
HCPCS,J9120,DACTINOMYCIN INJECTION,,,1.0,978.94,9
HCPCS,J9130,DACARBAZINE 100 MG INJ,,,1.0,12.08,9
HCPCS,J9144,DARATU/HYALUR PER 10MG SQIJ,487.0,365.25,1.0,55.69,5
HCPCS,J9145,"INJECTION, DARATUMUMAB 10 MG",,,1.0,225.68,9
HCPCS,J9150,DAUNORUBICIN INJECTION,,,1.0,63.85,9
HCPCS,J9151,DAUNORUBICIN CITRATE INJ,,,1.0,630.64,9
HCPCS,J9153,DAUNORUBICIN-CYTARABINE INJ,1898.0,1423.5,1.0,824.38,9
HCPCS,J9155,DEGARELIX INJECTION,,,1.0,14.05,9
HCPCS,J9171,DOCETAXEL INJECTION,,,0.45,1.17,9
HCPCS,J9172,"DOCETAXEL (INGENUS), 1 MG",,,0.04,1.0,9
HCPCS,J9173,DURVALUMAB PER 10 MG INJ,758.0,568.5,1.0,86.85,5
HCPCS,J9174,"Injection, docetaxel (Beizray), 1 mg",,,1.0,154.47,9
HCPCS,J9175,ELLIOTTS B SOLUTION PER ML,,,1.0,31.91,9
HCPCS,J9176,"INJECTION, ELOTUZUMAB, 1MG",,,1.0,25.44,9
HCPCS,J9177,INJ ENFORT VEDO-EJFV 0.25MG,,,1.0,118.47,9
HCPCS,J9178,EPIRUBICIN PER 50 MG,256.0,192.0,1.0,5.11,9
HCPCS,J9179,ERIBULIN MESYLATE INJECTION,,,1.0,331.72,9
HCPCS,J9181,ETOPOSIDE PHOSPHATE PER10MG IJ,77.0,57.75,1.0,4.12,9
HCPCS,J9181,ETOPSIDE PER 10MG,4.0,3.0,1.0,4.12,9
HCPCS,J9185,"FLUDARABINE PHOSPHATE, 50MG",607.0,455.25,1.0,231.55,9
HCPCS,J9190,FLOUROURACIL PER 500 MG,49.0,36.75,1.0,5.42,9
HCPCS,J9190,FLUOROUR500MGIJ,16.0,12.0,1.0,5.42,9
HCPCS,J9196,INJ GEMCITABINE HCL (ACCORD),,,1.0,17.06,9
HCPCS,J9198,"INJ. INFUGEM, 100 MG",,,1.0,76.13,9
HCPCS,J9200,FLOXURID500MGIJ,1016.0,762.0,1.0,13332.73,9
HCPCS,J9201,"GEMCITABINE HCI, 200MG",21.0,15.75,1.0,9.36,9
HCPCS,J9201,GEMCITABINE PER 200 MG,16.0,12.0,1.0,9.36,9
HCPCS,J9202,GOSERELIN ACETATE IMPLANT,,,1.0,2328.65,9
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 0.1 MG,,,1.0,764.68,9
HCPCS,J9204,"INJ MOGAMULIZUMAB-KPKC, 1 MG",,,1.0,803.06,9
HCPCS,J9205,INJ IRINOTECAN LIPOSOME 1 MG,,,1.0,210.87,9
HCPCS,J9206,"IRINOTECAN, 20MG",28.0,21.0,1.0,4.41,9
HCPCS,J9207,IXABEPILONE INJECTION,,,1.0,448.13,9
HCPCS,J9208,IFOSFAMIDE INJECTION,,,1.0,75.94,9
HCPCS,J9209,"MESNA, 200MG",51.0,38.25,1.0,4.28,9
HCPCS,J9210,EMAPALUMAB1MGIJ,7762.0,5821.5,1.0,1233.36,9
HCPCS,J9211,IDARUBICIN HCL INJECTION,,,1.0,119.71,9
HCPCS,J9212,INTERFERON ALFACON-1 INJ,,,1.0,35.4,9
HCPCS,J9213,INTERFERON ALFA-2A INJ,,,1.0,116.73,9
HCPCS,J9214,INTERFERON ALFA-2B INJ,,,1.0,105.24,9
HCPCS,J9215,INTERFERON ALFA-N3 INJ,,,1.0,96.11,9
HCPCS,J9217,"INJ LEUPROLIDE DEPOT, PER7.5MG",1307.0,980.25,1.0,520.86,9
HCPCS,J9217,"INJ LEUPROLIDE DEPOT,PER 7.5MG",1322.0,991.5,1.0,520.86,9
HCPCS,J9217,LEUPROLID DEP PER7.5MGIJ,1165.0,873.75,1.0,520.86,18
HCPCS,J9218,LEUPROLIDE ACETATE INJECITON,,,1.0,123.1,9
HCPCS,J9220,INDIGOTINDISULF 1MG IJ,98.0,73.5,1.0,31.21,9
HCPCS,J9223,LURBINECTEDIN 0.1MG IJ,1685.0,1263.75,1.0,666.13,9
HCPCS,J9225,HISTRELIN(VANTAS) PER 50MG,37309.0,27981.75,1.0,16697.99,9
HCPCS,J9226,SUPPRELIN LA IMPLANT,,,1.0,41877.0,5
HCPCS,J9227,INJ. ISATUXIMAB-IRFC 10 MG,,,1.0,267.77,9
HCPCS,J9228,IPILIMUMAB INJECTION,,,1.0,186.87,5
HCPCS,J9229,INOTUZUMABPER0.1MGIJ,13579.0,10184.25,1.0,8719.39,9
HCPCS,J9230,MECHLORETHAMINE HCL INJ,,,1.0,910.27,9
HCPCS,J9245,INJ MELPHA HYDROCH NOS 50 MG,,,1.0,349.1,9
HCPCS,J9246,"INJ., EVOMELA, 1 MG",,,1.0,56.11,9
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,1.0,2545.93,9
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,1.0,190.73,9
HCPCS,J9255,"INJ, METHOTREXATE (ACCORD)",,,0.01,1.0,9
HCPCS,J9260,METHOTREXATE INJ PER 50MG,21.0,15.75,1.0,7.3,9
HCPCS,J9260,METHOTREXATE PF (NON-ONC) INJ,48.0,36.0,1.0,7.3,9
HCPCS,J9261,NELARABINE INJECTION,,,1.0,204.81,9
HCPCS,J9262,"INJ, OMACETAXINE MEP, 0.01MG",,,1.0,12.78,9
HCPCS,J9263,OXALIPLATIN PER 0.5MG,4.0,3.0,0.11,1.0,9
HCPCS,J9264,PACLITAXEL INJ PRT-BD PER 1MG,77.0,57.75,1.0,38.44,9
HCPCS,J9266,PEGASPARGASE INJECTION,,,1.0,91859.37,9
HCPCS,J9267,PACLITAXEL PER 1MG IJ,2.0,1.5,0.12,1.0,27
HCPCS,J9268,PENTOSTAIN INJ PER 10MG,11143.0,8357.25,1.0,8221.22,9
HCPCS,J9269,INJ. TAGRAXOFUSP-ERZS 10 MCG,,,1.0,1126.63,9
HCPCS,J9271,PEMBROLIZUMAB PER 1 MG,520.0,390.0,1.0,59.66,5
HCPCS,J9272,"INJ, DOSTARLIMAB-GXLY, 10 MG",,,1.0,248.42,5
HCPCS,J9273,"INJ TISOTU VEDOTIN-TFTV, 1MG",,,1.0,609.64,9
HCPCS,J9274,"INJ, TEBENTAFUSP-TEBN, 1 MCG",,,1.0,701.56,9
HCPCS,J9276,"Injection, zanidatamab-hrii, 2 mg",,,1.0,25.55,5
HCPCS,J9280,MITOMYCIN 5MGIJ,355.0,266.25,1.0,91.35,9
HCPCS,J9280,"MITOMYCIN, 5MG",1475.5,1106.625,1.0,91.35,18
HCPCS,J9281,MITOMYCIN INSTILLATION,,,1.0,1025.82,9
HCPCS,J9285,"INJ, OLARATUMAB, 10 MG",,,1.0,164.02,9
HCPCS,J9286,"INJ GLOFITAMAB GXBM, 2.5 MG",,,1.0,8953.77,9
HCPCS,J9289,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy",,,1.0,26.82,5
HCPCS,J9292,"Injection, pemetrexed dipotassium, 10 mg",,,1.0,269.14,9
HCPCS,J9293,MITOXANTRONE HYDROCHL / 5 MG,,,1.0,95.63,9
HCPCS,J9294,"INJ PEMETREXED, HOSPIRA 10MG",,,1.0,15.89,9
HCPCS,J9295,"INJECTION, NECITUMUMAB, 1 MG",,,1.0,18.49,9
HCPCS,J9296,INJ PEMETREXED (ACCORD) 10MG,,,1.0,31.43,9
HCPCS,J9297,INJ PEMETREXED (SANDOZ) 10MG,,,1.0,3.9,9
HCPCS,J9298,INJ NIVOL RELATLIMAB 3MG/1MG,,,1.0,201.37,5
HCPCS,J9299,NIVOLUMAB PER 1 MG,283.0,212.25,1.0,33.62,5
HCPCS,J9299,NIVOLUMAB PER 1MG IJ,292.0,219.0,1.0,33.62,5
HCPCS,J9301,OBINUTUZUMAB INJ,,,1.0,253.56,9
HCPCS,J9302,OFATUMUMAB INJECTION,,,1.0,194.85,9
HCPCS,J9303,PANITUMUMAB INJECTION,,,1.0,547.28,9
HCPCS,J9304,PEMETREXED (PEMFEXY) 10MG IJ,399.0,299.25,1.0,170.43,9
HCPCS,J9305,PEMETREXED 100 MG VIAL,552.0,414.0,1.0,12.05,9
HCPCS,J9305,PEMETREXED PER 10 MG,114.0,85.5,1.0,12.05,9
HCPCS,J9306,"INJECTION, PERTUZUMAB, 1 MG",,,1.0,16.89,5
HCPCS,J9307,PRALATREXATE INJECTION,,,1.0,1256.58,9
HCPCS,J9308,RAMUCIRUMAB PER VIAL,510.0,382.5,1.0,236.15,9
HCPCS,J9309,POLATUZUMAB VEDOTIN PER 1MG IJ,1192.0,894.0,1.0,440.26,9
HCPCS,J9311,"INJ RITUXIMAB, HYALURONIDASE",,,1.0,37.65,5
HCPCS,J9312,RITUXIMAB PER 10MG,553.0,414.75,1.0,245.38,9
HCPCS,J9313,"INJ., LUMOXITI, 0.01 MG",,,1.0,75.59,9
HCPCS,J9314,INJ PEMETREXED (TEVA) 10MG,,,1.0,15.86,9
HCPCS,J9316,"PERTUZU, TRASTUZU, 10 MG",,,1.0,64.58,5
HCPCS,J9317,SACITUZUMAB GOVI-HZIY 2.5MG IJ,204.0,153.0,1.0,117.17,9
HCPCS,J9318,INJ ROMIDEPSIN NON-LYO 0.1MG,,,1.0,92.14,9
HCPCS,J9319,ROMIDEPSIN LYOPH0.1MGIJ,318.0,238.5,1.0,100.42,9
HCPCS,J9320,STREPTOZOCIN INJECTION,,,1.0,1585.95,9
HCPCS,J9321,INJ EPCORITAMAB-BYSP 0.16 MG,,,1.0,179.85,9
HCPCS,J9322,INJ PEMETREXED (BLUEPOINT),,,1.0,28.61,9
HCPCS,J9323,INJ PEMETREXED DITROMETHAMIN,,,1.0,33.4,9
HCPCS,J9324,"INJ, PEMRYDI RTU, 10 MG",,,0.01,1.0,9
HCPCS,J9325,INJ TALIMOGENE LAHERPAREPVEC,,,1.0,237.67,9
HCPCS,J9328,TEMOZOLOMIDE INJECTION,,,1.0,33.59,9
HCPCS,J9329,"Injection, tislelizumab-jsgr, 1mg",,,1.0,58.49,5
HCPCS,J9330,TEMSIROLIMUS INJECTION,,,1.0,104.32,9
HCPCS,J9331,INJ SIROLIMUS PROT PART 1 MG,,,1.0,273.16,9
HCPCS,J9332,INJ EFGARTIGIMOD 2MG,,,1.0,33.0,5
HCPCS,J9333,INJ RONZANOLIXIZUM-NOLI 1 MG,,,1.0,23.59,5
HCPCS,J9334,INJ EFGART-ALFA 2MG HYA-QVFC,,,1.0,34.37,5
HCPCS,J9341,"Injection, thiotepa (Tepylute), 1 mg",,,1.0,115.9,9
HCPCS,J9342,THIOTEPA NOS PER 1MG IJ,392.0,294.0,1.0,39.52,9
HCPCS,J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",,,1.0,30.54,5
HCPCS,J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",,,1.0,143.82,5
HCPCS,J9348,NAXITAMAB PER 1 MG IJ,7572.0,5679.0,1.0,2216.65,9
HCPCS,J9349,"INJ., TAFASITAMAB-CXIX",,,1.0,45.49,9
HCPCS,J9350,"INJ MOSUNETUZUMAB-AXGB, 1 MG",,,1.0,2109.5,9
HCPCS,J9351,TOPOTECAN INJECTION,,,1.0,4.31,9
HCPCS,J9352,INJECTION TRABECTEDIN 0.1MG,,,1.0,1237.96,9
HCPCS,J9353,"INJ. MARGETUXIMAB-CMKB, 5 MG",,,1.0,163.04,9
HCPCS,J9354,"INJ, ADO-TRASTUZUMAB EMT 1MG",,,1.0,132.74,9
HCPCS,J9355,INJ TRASTUZUMAB EXCL BIOSIMI,,,1.0,77.61,5
HCPCS,J9356,"INJ. HERCEPTIN HYLECTA, 10MG",,,1.0,64.16,5
HCPCS,J9357,VALRUBICIN INJECTION,,,1.0,4449.41,9
HCPCS,J9358,ONC PNCRTC 59 MTHLTN BLK MRK,,,1.0,96.93,9
HCPCS,J9359,INJ LON TESIRIN-LPYL 0.075MG,,,1.0,700.45,9
HCPCS,J9360,VINBLASTINE SULFATE INJ,,,1.0,17.1,9
HCPCS,J9361,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg",,,1.0,358.93,9
HCPCS,J9370,VINCRISTINE PER 1 MG,48.0,36.0,1.0,24.93,9
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,1.0,279.98,9
HCPCS,J9380,INJ TECLISTAMAB CQYV 0.5 MG,,,1.0,107.5,9
HCPCS,J9381,INJ TEPLIZUMAB MZWV 5 MCG,,,1.0,121.67,9
HCPCS,J9382,"Injection, zenocutuzumab-zbco, 1 mg",,,1.0,98.84,9
HCPCS,J9390,VINORELBINE TARTRATE INJ,,,1.0,12.69,9
HCPCS,J9393,"INJ, FULVESTRANT (TEVA)",,,1.0,3.68,9
HCPCS,J9394,"INJ, FULVESTRANT (FRESENIUS)",,,1.0,10.72,9
HCPCS,J9395,"INJECTION, FULVESTRANT",,,1.0,22.11,9
HCPCS,J9400,"INJ, ZIV-AFLIBERCEPT, 1MG",,,1.0,25.76,9
HCPCS,J9600,PORFIMER SODIUM INJECTION,,,1.0,73282.82,9
HCPCS,K0017,DME POS,,,1.0,183.94,10
HCPCS,K0018,DME POS,,,1.0,103.96,10
HCPCS,K0019,DME POS,,,1.0,52.92,10
HCPCS,K0020,DME POS,,,1.0,179.14,10
HCPCS,K0037,DME POS,,,1.0,157.81,10
HCPCS,K0038,DME POS,,,1.0,91.92,10
HCPCS,K0039,DME POS,,,1.0,197.38,10
HCPCS,K0040,DME POS,,,1.0,203.63,10
HCPCS,K0041,DME POS,,,1.0,188.64,10
HCPCS,K0042,DME POS,,,1.0,121.15,10
HCPCS,K0043,DME POS,,,1.0,74.79,10
HCPCS,K0044,DME POS,,,1.0,64.16,10
HCPCS,K0045,DME POS,,,1.0,214.03,10
HCPCS,K0046,DME POS,,,1.0,75.24,10
HCPCS,K0047,DME POS,,,1.0,266.03,10
HCPCS,K0050,DME POS,,,1.0,123.43,10
HCPCS,K0051,DME POS,,,1.0,195.24,10
HCPCS,K0052,DME POS,,,1.0,292.22,10
HCPCS,K0053,DME POS,,,1.0,328.62,10
HCPCS,K0056,DME POS,,,1.0,369.19,10
HCPCS,K0065,DME POS,,,1.0,186.02,10
HCPCS,K0069,DME POS,,,1.0,376.52,10
HCPCS,K0070,DME POS,,,1.0,653.53,10
HCPCS,K0071,DME POS,,,1.0,434.15,10
HCPCS,K0072,DME POS,,,1.0,267.15,10
HCPCS,K0073,DME POS,,,1.0,141.07,10
HCPCS,K0077,DME POS,,,1.0,213.3,10
HCPCS,K0105,DME POS,,,1.0,397.11,10
HCPCS,K0108,W/C COMPONENT-ACCESSORY NOS,,,1.0,806.92,10
HCPCS,K0195,DME POS,,,1.0,432.33,10
HCPCS,K0601,DME POS,,,1.0,4.9,10
HCPCS,K0602,DME POS,,,1.0,27.66,10
HCPCS,K0603,DME POS,,,1.0,2.5,10
HCPCS,K0604,DME POS,,,1.0,26.67,10
HCPCS,K0605,DME POS,,,1.0,63.75,10
HCPCS,K0606,DME POS,,,1.0,129766.89,10
HCPCS,K0607,DME POS,,,1.0,912.74,10
HCPCS,K0608,DME POS,,,1.0,542.21,10
HCPCS,K0609,DME POS,,,1.0,3605.91,10
HCPCS,K0730,DME POS,,,1.0,8097.55,10
HCPCS,K0733,DME POS,,,1.0,110.81,10
HCPCS,K0738,DME POS,,,1.0,1442.69,10
HCPCS,K0743,PORTABLE HOME SUCTION PUMP,,,1.0,67235.7,10
HCPCS,K0744,ABSORP DRG <= 16 SUC PUMP,,,1.0,6.02,10
HCPCS,K0745,ABSORP DRG >16<=48 SUC PUMP,,,1.0,9.83,10
HCPCS,K0746,ABSORP DRG >48 SUC PUMP,,,1.0,23.05,10
HCPCS,K1034,COVID TEST SELF-ADMN/COLLECT,,,0.92,1.12,10
HCPCS,L0455,DME POS,,,1.0,712.86,10
HCPCS,L0457,DME POS,,,1.0,2044.29,10
HCPCS,L0467,DME POS,,,1.0,799.5,10
HCPCS,L0469,DME POS,,,1.0,1018.68,10
HCPCS,L0641,DME POS,,,1.0,160.25,10
HCPCS,L0642,DME POS,,,1.0,845.09,10
HCPCS,L0643,DME POS,,,1.0,332.94,10
HCPCS,L0648,DME POS,,,1.0,2110.53,10
HCPCS,L0649,DME POS,,,1.0,589.56,10
HCPCS,L0650,DME POS,,,1.0,2442.0,10
HCPCS,L0651,DME POS,,,1.0,2442.0,10
HCPCS,L1812,DME POS,,,1.0,244.77,10
HCPCS,L1833,DME POS,,,1.0,1588.78,10
HCPCS,L1848,DME POS,,,1.0,2218.78,10
HCPCS,L3809,DME POS,,,1.0,877.87,10
HCPCS,L4361,DME POS,,,1.0,998.74,10
HCPCS,L4387,DME POS,,,1.0,611.65,10
HCPCS,L4397,DME POS,,,1.0,647.35,10
HCPCS,L5969,AK/FT POWER ASST INCL MOTORS,,,1.0,43892.55,10
HCPCS,L8600,BREAST IMPLANT SILICONE,8707.0,6530.25,,,0
HCPCS,L8600,MAMMARY PROS SMOOTH RND GEL,8536.0,6402.0,,,0
HCPCS,L8600,MAMMARY PROST GEL 600-700CC,8786.0,6589.5,,,0
HCPCS,L8600,MAMMARY PROSTHESIS SILICONE,9067.0,6800.25,,,0
HCPCS,L8603,DME POS,,,1.0,16.13,90
HCPCS,L8604,DEXTRANOMER/HYALURONIC ACID,,,1.0,16.13,90
HCPCS,L8605,DME POS,,,1.0,16.13,90
HCPCS,L8606,BULKAMID,5940.0,4455.0,1.0,16.13,90
HCPCS,L8606,DURASPHERE BULK AGENT 1ML,1311.0,983.25,1.0,16.13,90
HCPCS,L8607,DME POS,,,1.0,16.13,90
HCPCS,L8610,CONFORMER/IMPLT JARDON OCULAR,228.0,171.0,,,0
HCPCS,L8610,JARDON IMPLAN,351.0,263.25,,,0
HCPCS,L8610,OCULAR IMPLANT,2865.0,2148.75,,,0
HCPCS,L8610,ORBITAL FLOOR WALL MAX MTB,8010.0,6007.5,,,0
HCPCS,L8610,ORBITAL IMP EYE,172.5,129.375,,,0
HCPCS,L8610,PLUG SCLERAL VARIES,457.0,342.75,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT,301.0,225.75,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT #22,239.0,179.25,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT #220,231.0,173.25,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT #276,306.0,229.5,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT #41,231.0,173.25,,,0
HCPCS,L8610,SCLERAL BUCKLE COMPONENT #510,808.0,606.0,,,0
HCPCS,L8610,SILASTIC OPTHAL SPHERE,210.0,157.5,,,0
HCPCS,L8610,SPHERE VARIES POREX 6326,5073.0,3804.75,,,0
HCPCS,L8613,DELACRUZ STAPES PISTON,2391.0,1793.25,,,0
HCPCS,L8613,MATRIX STAPES PROSTHESIS,1916.0,1437.0,,,0
HCPCS,L8613,PROSTH BOJRAB UNIVERSAL,4002.0,3001.5,,,0
HCPCS,L8613,PROSTH KAR INC STRT L 140855,2729.0,2046.75,,,0
HCPCS,L8613,PROSTH KARTUS INC-STA S 140850,1667.0,1250.25,,,0
HCPCS,L8613,SHEEHY TOP,2823.0,2117.25,,,0
HCPCS,L8614,COCHLEAR IMPLANT,298188.0,223641.0,,,0
HCPCS,L8614,IMP COCHLEAR,112990.0,84742.5,,,0
HCPCS,L8614,IMPLANT 4MM BI300 BAHA,8236.0,6177.0,,,0
HCPCS,L8630,IMP FINGR JT SWANSON W/G,6126.0,4594.5,,,0
HCPCS,L8630,IMPLANT FINGER JOINT SIZE,4637.0,3477.75,,,0
HCPCS,L8641,CARTIVA MTP IMPLANT,22063.0,16547.25,,,0
HCPCS,L8670,GRAFT GORE S47045,6664.0,4998.0,,,0
HCPCS,L8670,"GRAFT,IMPRA BIFURCATED 10 X 20",8694.0,6520.5,,,0
HCPCS,L8670,GRAFTGORE-VT06010L,780.0,585.0,,,0
HCPCS,L8679,DME POS,,,1.0,29979.6,95
HCPCS,L8680,KIT CORTICAL STRIP LEAD,29748.0,22311.0,,,0
HCPCS,L8690,BAHA ABUTMENT SNAP VARIOUS,17866.0,13399.5,,,0
HCPCS,L8690,BAHA HEARING PROCESSOR,33660.0,25245.0,,,0
HCPCS,L8690,BAHA HEARING PROCESSOR BLONDE,30585.0,22938.75,,,0
HCPCS,L8690,BAHA IMPLANT W/ABUTEMENT,28001.0,21000.75,,,0
HCPCS,L8690,IMP HEARING AID OSIA,61168.0,45876.0,,,0
HCPCS,L8690,MAGNET IMPLANT COCHLEAR,11695.0,8771.25,,,0
HCPCS,L8699,ALLOGRAFT AMNIOTIC MEMBRANE2X3,5643.0,4232.25,,,0
HCPCS,L8699,ALLOGRAFT TENDON GRAFTLINK,15883.0,11912.25,,,0
HCPCS,L8699,"ATTACHMENT,QUICK FRAME RING",2316.0,1737.0,,,0
HCPCS,L8699,CAPSULAR TENSION RING,1852.0,1389.0,,,0
HCPCS,L8699,CLAMP WITH LATERAL NUT,5991.0,4493.25,,,0
HCPCS,L8699,"CLAMP, PIN ASSEMBLY W/O POST",3818.0,2863.5,,,0
HCPCS,L8699,COLLAR SYN 6.0MM,1683.0,1262.25,,,0
HCPCS,L8699,COUPLER EBI LUMBAR SLOT,5137.0,3852.75,,,0
HCPCS,L8699,"COUPLER, ANASTOMOTIC VESSEL.",1500.0,1125.0,,,0
HCPCS,L8699,CS-COREVALVE-AORTIC,297282.0,222961.5,,,0
HCPCS,L8699,GRAFT FEMORAL CORTICAL STRUT,8590.0,6442.5,,,0
HCPCS,L8699,IMP BN DOWEL,2869.0,2151.75,,,0
HCPCS,L8699,IMPLANT OPUS MAGNUM OM,4450.0,3337.5,,,0
HCPCS,L8699,MUSCULOSKELATAL TRANSPL VARIES,5870.0,4402.5,,,0
HCPCS,L8699,NUT OUTERXCONNECT THORACIC,2148.0,1611.0,,,0
HCPCS,L8699,OCULAR SILICONE SLEEVE,81.0,60.75,,,0
HCPCS,L8699,OH VALVE PULM,209421.0,157065.75,,,0
HCPCS,L8699,OUTRIGGER EX-FIX (SIZES VARY),749.0,561.75,,,0
HCPCS,L8699,PEEK PSI CRANIAL CUSTOM,111572.0,83679.0,,,0
HCPCS,L8699,PROS TENDON RD,6385.0,4788.75,,,0
HCPCS,L8699,PROS TESTICULAR,9516.0,7137.0,,,0
HCPCS,L8699,PROSTH KAR INC STRT M 140854,3432.0,2574.0,,,0
HCPCS,L8699,PROSTH KAR INC STRT S 140853,3432.0,2574.0,,,0
HCPCS,L8699,RICHARDS T-TUBE,171.0,128.25,,,0
HCPCS,L8699,SPNG BICOL COLLAGEN,168.0,126.0,,,0
HCPCS,L8699,STERNAL TALON CATEGORY 1,9485.0,7113.75,,,0
HCPCS,L8699,TESTICULAR IMPLANT SALINE,15947.0,11960.25,,,0
HCPCS,L8699,TUBE PEG MIC VARIOUS,1235.0,926.25,,,0
HCPCS,L8699,TUBE SALIVARY BYPASS,2185.0,1638.75,,,0
HCPCS,L8699,TUBE VENT GROMMET,93.0,69.75,,,0
HCPCS,L8699,TUBE VENT PAPARELLA TYPE I,85.0,63.75,,,0
HCPCS,L8699,TUBE VENT SOILEAU TYTAN,159.0,119.25,,,0
HCPCS,L8699,"TUBE, P.E. TUBE SHEEHY BUTTON",28.0,21.0,,,0
HCPCS,L8699,VALVE AORTIC HEART,57694.0,43270.5,,,0
HCPCS,L8699,VALVE AORTIC/MITRAL EPIC,51147.0,38360.25,,,0
HCPCS,L8699,VALVE ARORTIC VARIES,77369.0,58026.75,,,0
HCPCS,L8699,VALVE KONECT CONDUIT ANY SZ,72167.0,54125.25,,,0
HCPCS,L8699,VENT TUBE SHEEHY TYTAN TITAN,218.0,163.5,,,0
HCPCS,L8699,"VENT TUBE, GOODE T-TUBES",398.0,298.5,,,0
HCPCS,L8699,"VENT TUBE, TYTAN SPOON BOBBIN",218.0,163.5,,,0
HCPCS,L8699,"VENT TUBE,SHEEHY COLLAR BUTTON",171.0,128.25,,,0
HCPCS,M0075,CELLULAR THERAPY,,,1.0,3.2,10
HCPCS,M0076,PROLOTHERAPY,,,1.0,3.2,10
HCPCS,M0100,INTRAGASTRIC HYPOTHERMIA,,,1.0,3.2,10
HCPCS,M0201,PNE FLU HEPB COV HOME ADMIN,,,1.0,158.6,9
HCPCS,M0224,"Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known SARS-CoV-2 exposure, who e",,,1.0,3.17,9
HCPCS,M0300,IV CHELATIONTHERAPY,,,1.0,3.2,10
HCPCS,P2028,CEPHALIN FLOCULATION TEST,,,0.92,6.11,15
HCPCS,P2029,CONGO RED BLOOD TEST,,,0.92,6.11,15
HCPCS,P2031,HAIR ANALYSIS,,,0.92,6.11,15
HCPCS,P2033,BLOOD THYMOL TURBIDITY,,,0.92,6.11,15
HCPCS,P2038,BLOOD MUCOPROTEIN,,,0.92,6.86,15
HCPCS,P3000,SCREEN PAP BY TECH W MD SUPV,,,1.0,15.24,15
HCPCS,P3001,SCREENING PAP SMEAR BY PHYS,,,1.0,33.47,17
HCPCS,P7001,CULTURE BACTERIAL URINE,,,1.0,19.34,15
HCPCS,P9010,BLOOD WHOLE AUTOLOGOUS,620.0,465.0,1.0,720.77,10
HCPCS,P9011,BLOOD SPLIT AMOUNT,470.0,352.5,1.0,454.0,40
HCPCS,P9012,BLOOD CRYOPRECIPITATE,482.0,361.5,1.0,203.53,10
HCPCS,P9016,BLOOD RC LEUKOCYTE POOR,1176.0,882.0,1.0,582.71,10
HCPCS,P9017,BLD PLASMA FROZEN,689.0,516.75,1.0,269.87,10
HCPCS,P9019,BLOOD PLATELET CONCNTRAT,555.0,416.25,1.0,243.2,10
HCPCS,P9020,PLAELET RICH PLASMA UNIT,,,1.0,3.2,10
HCPCS,P9021,RBC AUTOLOGOUS,1234.0,925.5,1.0,462.07,10
HCPCS,P9022,BLD RCELLS WASHED,2163.0,1622.25,1.0,1270.66,10
HCPCS,P9023,"FROZEN PLASMA, POOLED, SD",,,1.0,199.5,10
HCPCS,P9025,PLASMA CRYO REDU PATH EACH,,,1.0,432.71,10
HCPCS,P9026,CRYO FIB COMP PATH REDU EACH,,,1.0,1004.6,10
HCPCS,P9027,"Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit",,,1.0,3.2,10
HCPCS,P9031,PLT LEUKO REDUC EA UNIT,2043.0,1532.25,1.0,402.68,10
HCPCS,P9032,"PLATELETS, IRRADIATED",,,1.0,434.73,10
HCPCS,P9033,PLT LEUKORED IRRAD,1535.0,1151.25,1.0,657.6,10
HCPCS,P9034,"PLATELETS, PHERESIS",,,1.0,1271.49,10
HCPCS,P9035,BLD PLT PHER LEUKO REDUC,3611.0,2708.25,1.0,1559.55,10
HCPCS,P9036,PLATELET PHERESIS IRRADIATED,,,1.0,1881.48,10
HCPCS,P9037,PLT PHER LEUKORED IRRAD,1679.0,1259.25,1.0,2163.26,10
HCPCS,P9038,RBC IRRADIATED,,,1.0,477.76,10
HCPCS,P9039,RBC DEGLYCEROLIZED,,,1.0,2093.08,10
HCPCS,P9040,RBC LEUKORED IRRAD,775.0,581.25,1.0,818.99,10
HCPCS,P9041,ALBUMIN 5% INJ PER 50 ML,910.0,682.5,1.0,34.64,15
HCPCS,P9043,"PLASMA PROTEIN FRACT,5%,50ML",,,1.0,86.51,10
HCPCS,P9044,CRYOPRECIPITATEREDUCEDPLASMA,,,1.0,471.61,10
HCPCS,P9045,ALBUMIN 5% INJ PER 250ML,554.5,415.875,1.0,171.54,18
HCPCS,P9046,"ALBUMIN (HUMAN), 25%, 20 ML",,,1.0,68.61,9
HCPCS,P9047,ALBUMIN 25% INJ PER 50ML,712.0,534.0,1.0,171.54,9
HCPCS,P9047,ALBUMIN25% 50IJ,786.0,589.5,1.0,171.54,9
HCPCS,P9048,"PLASMAPROTEIN FRACT,5%,250ML",,,1.0,203.21,10
HCPCS,P9050,"GRANULOCYTES, PHERESIS UNIT",,,1.0,4861.72,10
HCPCS,P9051,"BLOOD, L/R, CMV-NEG",,,1.0,3.2,10
HCPCS,P9052,HLA SPECIFIC COMPONENT,4441.0,3330.75,1.0,2489.29,10
HCPCS,P9053,"PLT, PHER, L/R CMV-NEG, IRR",,,1.0,1470.32,10
HCPCS,P9054,BLD LEUKO REDCD FROZEN DEGLYCE,2048.0,1536.0,1.0,776.22,10
HCPCS,P9055,"PLT, APH/PHER, L/R, CMV-NEG",,,1.0,727.59,10
HCPCS,P9056,"BLOOD, L/R, IRRADIATED",,,1.0,269.49,10
HCPCS,P9057,"RBC, FRZ/DEG/WSH, L/R, IRRAD",,,1.0,1554.01,10
HCPCS,P9058,"RBC, L/R, CMV-NEG, IRRAD",,,1.0,713.53,10
HCPCS,P9059,FFP QUICK FREEZE 8 24 HR,450.0,337.5,1.0,227.61,10
HCPCS,P9060,FR FRZ PLASMA DONOR RETESTED,,,1.0,156.66,10
HCPCS,P9070,PATHOGEN REDUCED PLASMA POOL,,,1.0,179.65,10
HCPCS,P9071,PATHOGEN REDUCED PLASMA SING,,,1.0,936.59,10
HCPCS,P9073,PLTS PATH REDCD PHERESIS,3419.0,2564.25,1.0,1880.29,10
HCPCS,P9099,BLOOD COMPONENT/PRODUCT NOC,,,1.0,156.66,10
HCPCS,P9100,PATHOGEN TEST FOR PLATELETS,,,1.0,53.88,20
HCPCS,P9603,ONE-WAY ALLOW PRORATED MILES,,,0.92,1.12,10
HCPCS,P9604,ONE-WAY ALLOW PRORATED TRIP,,,0.92,1.12,10
HCPCS,P9612,CATHETERIZE FOR URINE SPEC,,,0.92,3.2,20
HCPCS,P9615,URINE SPECIMEN COLLECT MULT,,,0.92,3.0,15
HCPCS,Q0035,CARDIOKYMOGRAPHY,,,1.0,69.93,12
HCPCS,Q0081,INFUSION THER OTHER THAN CHE,,,1.0,3.2,10
HCPCS,Q0083,CHEMO BY OTHER THAN INFUSION,,,1.0,256.61,9
HCPCS,Q0084,CHEMOTHERAPY BY INFUSION,,,1.0,256.61,9
HCPCS,Q0085,CHEMO BY BOTH INFUSION AND O,,,1.0,256.61,9
HCPCS,Q0091,OBTAIN SCREEN PAP SMEAR,177.0,132.75,1.0,57.87,17
HCPCS,Q0092,SET UP PORT XRAY EQUIPMENT,,,1.0,47.61,17
HCPCS,Q0111,WET MOUNTS/ W PREPARATIONS,,,0.92,15.15,15
HCPCS,Q0112,POTASSIUM HYDROXIDE PREPS,,,0.92,5.83,15
HCPCS,Q0113,PINWORM EXAMINATIONS,,,0.92,7.38,15
HCPCS,Q0114,FERN TEST,,,0.92,9.76,15
HCPCS,Q0115,POST-COITAL MUCOUS EXAM,,,0.92,25.0,15
HCPCS,Q0138,FERUMOXYT 1MGIJ,14.0,10.5,0.38,1.0,9
HCPCS,Q0139,"FERUMOXYTOL, ESRD USE",,,0.38,1.0,9
HCPCS,Q0161,"CHLORPORMAZINE, 10MG, ORAL",38.0,28.5,0.1,1.0,9
HCPCS,Q0162,ONDANSETRON ORAL,,,0.01,1.0,9
HCPCS,Q0163,DIPHENHYDRAMINE HCL 50MG,,,0.08,1.0,9
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5MG,,,0.64,1.68,9
HCPCS,Q0166,GRANISETRON HCL 1 MG ORAL,,,1.0,46.34,9
HCPCS,Q0167,DRONABINOL 2.5MG ORAL,,,1.0,5.39,9
HCPCS,Q0169,PROMETHAZINE HCL 12.5MG ORAL,,,0.32,1.0,9
HCPCS,Q0175,PERPHENAZINE 4MG ORAL,,,0.83,2.16,9
HCPCS,Q0177,HYDROXYZINE PAMOATE 25MG,,,0.19,1.0,9
HCPCS,Q0180,DOLASETRON MESYLATE ORAL,,,1.0,178.32,9
HCPCS,Q0510,DISPENS FEE IMMUNOSUPRESSIVE,,,1.0,5.71,9
HCPCS,Q0511,"SUP FEE ANTIEM,ANTICA,IMMUNO",,,1.0,5.71,9
HCPCS,Q0512,PX SUP FEE ANTI-CAN SUB PRES,,,1.0,5.71,9
HCPCS,Q0513,DISP FEE INHAL DRUGS/30 DAYS,,,1.0,5.71,9
HCPCS,Q0514,DISP FEE INHAL DRUGS/90 DAYS,,,1.0,5.71,9
HCPCS,Q0515,SERMORELIN ACETATE INJECTION,,,0.01,1.0,9
HCPCS,Q2009,FOSPHENYT50MGIJ (100),31.0,23.25,0.39,1.02,9
HCPCS,Q2017,"TENIPOSIDE, 50 MG",,,1.0,6350.94,9
HCPCS,Q2026,RADIESSE INJECTION,,,1.0,53.03,9
HCPCS,Q2028,"INJ, SCULPTRA, 0.5MG",,,1.0,47.58,9
HCPCS,Q2034,AGRIFLU VACCINE,,,1.0,66.99,9
HCPCS,Q2035,"AFLURIA VACC, 3 YRS & >, IM",,,1.0,66.99,9
HCPCS,Q2036,"FLULAVAL VACC, 3 YRS & >, IM",,,1.0,66.99,9
HCPCS,Q2037,FLU VACCINE SPLIT>3 YRS.IM INJ,39.0,29.25,1.0,66.99,9
HCPCS,Q2037,INFLUENZA PED/ADULT SPLIT,231.0,173.25,1.0,66.99,9
HCPCS,Q2037,INFLUENZA VACCINATION,62.0,46.5,1.0,66.99,9
HCPCS,Q2037,INFLUENZA VACCINE 3 YRS OR >,76.0,57.0,1.0,66.99,9
HCPCS,Q2038,"FLUZONE VACC, 3 YRS & >, IM",,,1.0,66.99,9
HCPCS,Q2039,"INFLUENZA VIRUS VACCINE, NOS",,,1.0,53.92,9
HCPCS,Q2041,AXICABTAGENE CILOLEUCEL CAR+,,,1.0,1722768.38,9
HCPCS,Q2042,TISAGENLECLEUCEL CAR-POS T,,,1.0,1868998.81,9
HCPCS,Q2043,SIPULEUCEL-T AUTO CD54+,,,1.0,207630.25,15
HCPCS,Q2049,IMPORTED LIPODOX INJ,,,1.0,1315.2,9
HCPCS,Q2050,DOXORUBICIN INJ 10MG,,,1.0,353.16,9
HCPCS,Q2052,"HOME IVIG, SERVICES/SUPPLIES",,,1.0,3.2,10
HCPCS,Q2053,BREXUCABTAGENE CAR POS T,,,1.0,1582651.22,9
HCPCS,Q2054,LISOCABTAGENE MARA CAR POS T,,,1.0,1750429.48,9
HCPCS,Q2055,IDECABTAGENE VICLEUCEL CAR,,,1.0,1749216.89,9
HCPCS,Q2056,CILTACABTAGENE CAR-POS T,,,1.0,1788380.47,9
HCPCS,Q2057,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose",,,1.0,2490449.0,9
HCPCS,Q2058,"Obecabtagene autoleucel, 10 up to 400 million CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per infusion",,,1.0,859767.28,9
HCPCS,Q3001,BRACHYTHERAPY RADIOELEMENTS,,,1.0,203.43,10
HCPCS,Q3014,TELEHEALTH FACILITY FEE,146.0,109.5,1.0,66.95,30
HCPCS,Q3031,COLLAGEN SKIN TEST,,,0.5,16.13,94
HCPCS,Q4001,DME POS,,,1.0,195.75,10
HCPCS,Q4002,DME POS,,,1.0,739.66,10
HCPCS,Q4003,DME POS,,,1.0,140.55,10
HCPCS,Q4004,DME POS,,,1.0,486.63,10
HCPCS,Q4005,DME POS,,,1.0,51.84,10
HCPCS,Q4006,DME POS,,,1.0,116.77,10
HCPCS,Q4007,DME POS,,,1.0,25.9,10
HCPCS,Q4008,DME POS,,,1.0,58.37,10
HCPCS,Q4009,DME POS,,,1.0,34.61,10
HCPCS,Q4010,DME POS,,,1.0,77.83,10
HCPCS,Q4011,DME POS,,,1.0,17.26,10
HCPCS,Q4012,DME POS,,,1.0,39.03,10
HCPCS,Q4013,DME POS,,,1.0,63.01,10
HCPCS,Q4014,DME POS,,,1.0,106.23,10
HCPCS,Q4015,DME POS,,,1.0,31.54,10
HCPCS,Q4016,DME POS,,,1.0,53.08,10
HCPCS,Q4017,DME POS,,,1.0,36.4,10
HCPCS,Q4018,DME POS,,,1.0,58.01,10
HCPCS,Q4019,DME POS,,,1.0,18.22,10
HCPCS,Q4020,DME POS,,,1.0,29.14,10
HCPCS,Q4021,DME POS,,,1.0,26.96,10
HCPCS,Q4022,DME POS,,,1.0,48.67,10
HCPCS,Q4023,DME POS,,,1.0,13.54,10
HCPCS,Q4024,DME POS,,,1.0,24.36,10
HCPCS,Q4025,DME POS,,,1.0,151.06,10
HCPCS,Q4026,DME POS,,,1.0,471.83,10
HCPCS,Q4027,DME POS,,,1.0,75.59,10
HCPCS,Q4028,DME POS,,,1.0,236.06,10
HCPCS,Q4029,DME POS,,,1.0,115.58,10
HCPCS,Q4030,DME POS,,,1.0,304.23,10
HCPCS,Q4031,DME POS,,,1.0,57.73,10
HCPCS,Q4032,DME POS,,,1.0,152.11,10
HCPCS,Q4033,DME POS,,,1.0,107.83,10
HCPCS,Q4034,DME POS,,,1.0,268.05,10
HCPCS,Q4035,DME POS,,,1.0,53.88,10
HCPCS,Q4036,DME POS,,,1.0,134.12,10
HCPCS,Q4037,DME POS,,,1.0,65.67,10
HCPCS,Q4038,DME POS,,,1.0,164.73,10
HCPCS,Q4039,DME POS,,,1.0,32.95,10
HCPCS,Q4040,DME POS,,,1.0,82.35,10
HCPCS,Q4041,DME POS,,,1.0,79.98,10
HCPCS,Q4042,DME POS,,,1.0,136.52,10
HCPCS,Q4043,DME POS,,,1.0,39.99,10
HCPCS,Q4044,DME POS,,,1.0,68.36,10
HCPCS,Q4045,DME POS,,,1.0,46.42,10
HCPCS,Q4046,DME POS,,,1.0,74.66,10
HCPCS,Q4047,DME POS,,,1.0,23.12,10
HCPCS,Q4048,DME POS,,,1.0,37.36,10
HCPCS,Q4049,DME POS,,,1.0,8.42,10
HCPCS,Q4050,CAST SUPPLIES UNLISTED,,,1.0,80.04,10
HCPCS,Q4051,SPLINT SUPPLIES MISC,,,1.0,64.39,10
HCPCS,Q4081,EPOETIN ESRD PER 100UIJ,64.0,48.0,0.95,2.47,9
HCPCS,Q4081,EPOETIN ESRD/DIALSIS 100 UNIT,31.0,23.25,0.95,2.47,9
HCPCS,Q4100,GRFT SKIN CRYO SPLTHCK NONMSH,4131.0,3098.25,1.0,79.55,95
HCPCS,Q4101,APLIGRAF,,,1.0,6226.41,95
HCPCS,Q4102,OASIS WOUND MATRIX,,,1.0,4612.61,95
HCPCS,Q4103,OASIS BURN MATRIX,,,1.0,8394.18,95
HCPCS,Q4104,INTEGRA 2LAY 10X12.5 PER SQ CM,190.0,142.5,1.0,6358.17,95
HCPCS,Q4104,INTEGRA 2LYR 10X25CM PER SQ CM,152.0,114.0,1.0,6358.17,95
HCPCS,Q4105,INTEGRA DRT OR OMNIGRAFT,,,1.0,6628.73,95
HCPCS,Q4106,DERMAGRAFT,,,1.0,11565.76,95
HCPCS,Q4107,GRAFTJACKET,,,1.0,279.38,95
HCPCS,Q4108,MATRIX WOUND DRESSING SNGL PLY,14734.0,11050.5,1.0,3472.69,95
HCPCS,Q4110,PRIMATRIX PER SQ CM,223.0,167.25,1.0,4319.11,95
HCPCS,Q4111,GAMMAGRAFT,,,1.0,16.13,90
HCPCS,Q4112,CYMETRA INJECTABLE,,,1.0,16.13,90
HCPCS,Q4113,GRAFTJACKET XPRESS,,,1.0,1224.8,95
HCPCS,Q4114,WOUND MATRIX FLOWABLE PER 3CC,8891.0,6668.25,1.0,6383.42,95
HCPCS,Q4115,ALLOSKIN,,,1.0,16.13,90
HCPCS,Q4116,ALLODERM ACELL PER SQCM 402045,102.0,76.5,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULA GRAFT 1X2,1527.0,1145.25,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULAR GFT 102007,2753.0,2064.75,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULAR GFT 102012,5030.0,3772.5,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULAR GFT 102034,9333.0,6999.75,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULAR GFT 102049,12599.0,9449.25,1.0,4104.22,95
HCPCS,Q4116,ALLODERM ACELLULAR GFT 402025,5830.0,4372.5,1.0,4104.22,95
HCPCS,Q4116,ALLODERM GRAFT (4X12CM),16171.0,12128.25,1.0,4104.22,95
HCPCS,Q4116,ALLODERM RTM PER SQ CM,548.0,411.0,1.0,4104.22,95
HCPCS,Q4116,ALLODERM RTU 16X20 PER SQ CM,155.0,116.25,1.0,4104.22,190
HCPCS,Q4116,ALLODERM RTU THK 4X12 PER SQCM,152.0,114.0,1.0,4104.22,95
HCPCS,Q4116,ALLODERM SIZE VARIES,38788.0,29091.0,1.0,4104.22,95
HCPCS,Q4116,"ALLOGRAFT, ALLODERM 4X12CM",16171.0,12128.25,1.0,4104.22,95
HCPCS,Q4116,GRAFT ALLODERM 2X4,1649.0,1236.75,1.0,4104.22,95
HCPCS,Q4116,GRAFT ALLODERM DERMAL 1 SQ CM,271.5,203.625,1.0,4104.22,190
HCPCS,Q4116,GRAFT ALLODERM TISSUE 16X20CM,98340.0,73755.0,1.0,4104.22,95
HCPCS,Q4116,IMPLANT ALLODERM 102031,2338.0,1753.5,1.0,4104.22,95
HCPCS,Q4117,HYALOMATRIX,,,1.0,155.26,95
HCPCS,Q4118,MATRISTEM MICROMATRIX PER MG,28.0,21.0,1.0,16.13,95
HCPCS,Q4118,MATRISTM MCRMTRX 500MG PER 1MG,9.0,6.75,1.0,16.13,95
HCPCS,Q4121,THERASKIN,,,1.0,110.1,95
HCPCS,Q4122,"DERMACELL, AWM, POROUS SQ CM",,,1.0,216.36,95
HCPCS,Q4123,ALLOSKIN,,,1.0,16.13,90
HCPCS,Q4124,OASIS TRI-LAYER WOUND MATRIX,,,1.0,33.11,95
HCPCS,Q4125,ARTHROFLEX PER SQ CM,486.0,364.5,1.0,16.13,90
HCPCS,Q4125,DERMIS ARTHROFLEX RC PER SQ CM,116.0,87.0,1.0,16.13,90
HCPCS,Q4126,MEMODERM/DERMA/TRANZ/INTEGUP,,,1.0,16.13,90
HCPCS,Q4127,TALYMED,,,1.0,56.87,95
HCPCS,Q4128,ALLOPATCH MTF HD TH/SQ CM,203.0,152.25,1.0,1327.28,95
HCPCS,Q4130,TISSUE MATRX STRATT LRG SQ CM,339.0,254.25,1.0,273.77,95
HCPCS,Q4132,"GRAFIX CORE, GRAFIXPL CORE",,,1.0,876.27,95
HCPCS,Q4133,STRAVIX 3CMX6CM PER SQ CM,824.0,618.0,1.0,787.58,95
HCPCS,Q4134,HMATRIX,,,1.0,16.13,90
HCPCS,Q4135,MEDISKIN,,,1.0,16.13,90
HCPCS,Q4136,EZDERM,,,0.15,16.13,95
HCPCS,Q4137,AMNIOEXCEL PLUS 5X8 SQ CM,554.0,415.5,1.0,16.13,90
HCPCS,Q4138,"BIODFENCE DRYFLEX, 1CM",,,1.0,16.13,90
HCPCS,Q4139,"AMNIO OR BIODMATRIX, INJ 1CC",,,1.0,16.13,90
HCPCS,Q4140,BIODFENCE 1CM,,,1.0,16.13,90
HCPCS,Q4141,"ALLOSKIN AC, 1 CM",,,1.0,16.13,90
HCPCS,Q4142,XCM BIOLOGIC TISS MATRIX 1CM,,,1.0,16.13,90
HCPCS,Q4143,"REPRIZA, 1CM",,,1.0,16.13,90
HCPCS,Q4145,"EPIFIX, INJ, 1MG",,,1.0,16.13,90
HCPCS,Q4146,"TENSIX, 1CM",,,1.0,16.13,90
HCPCS,Q4147,ARCHITECT ECM PX FX 1 SQ CM,,,1.0,683.73,95
HCPCS,Q4148,NEOX 1K 8CM X 3CM PER SQ CM,920.0,690.0,1.0,16.13,90
HCPCS,Q4149,"EXCELLAGEN, 0.1 CC",,,1.0,341.84,95
HCPCS,Q4150,ALLOWRAP DS OR DRY 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4151,AMNIOBAND 2CMX2CM PER SQ CM,722.0,541.5,1.0,16.13,90
HCPCS,Q4151,AMNIOBAND PER SQ CM,476.5,357.375,1.0,16.13,180
HCPCS,Q4152,DERMAPURE 1 SQUARE CM,,,1.0,16.13,90
HCPCS,Q4153,"DERMAVEST, PLURIVEST SQ CM",,,1.0,16.13,90
HCPCS,Q4154,BIOVANCE 1 SQUARE CM,,,1.0,16.13,90
HCPCS,Q4155,NEOX FLO PER 1MG,70.0,52.5,1.0,16.13,90
HCPCS,Q4156,NEOX 100 OR CLARIX 100,,,1.0,16.13,90
HCPCS,Q4157,REVITALON 1 SQUARE CM,,,1.0,16.13,90
HCPCS,Q4158,KERECIS OMEGA3 PER SQ CM,159.0,119.25,1.0,341.84,190
HCPCS,Q4159,AFFINITY1 SQUARE CM,,,1.0,3143.42,95
HCPCS,Q4160,NUSHIELD 1 SQUARE CM,,,1.0,16.13,90
HCPCS,Q4161,BIO-CONNEKT PER SQUARE CM,,,1.0,341.84,95
HCPCS,Q4162,"WNDEX FLW, BIOSKN FLW, 0.5CC",,,1.0,16.13,90
HCPCS,Q4163,"WOUNDEX, BIOSKIN, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4164,"HELICOLL, PER SQUARE CM",,,1.0,341.84,95
HCPCS,Q4165,"KERAMATRIX, KERASORB SQ CM",,,1.0,341.84,95
HCPCS,Q4166,CYTAL BURN 10CMX15CM PER SQ CM,72.0,54.0,1.0,341.84,95
HCPCS,Q4166,WOUND MAT CYTAL 2 LAYER SQ CM,152.0,114.0,1.0,341.84,95
HCPCS,Q4166,WOUND MAT CYTAL 3 LAYER SQ CM,197.0,147.75,1.0,341.84,95
HCPCS,Q4166,WOUND MAT CYTAL 6 LAYER SQ CM,271.0,203.25,1.0,341.84,95
HCPCS,Q4167,"TRUSKIN, PER SQ CENTIMETER",,,1.0,16.13,90
HCPCS,Q4168,AMNIOBAND PER 1MG,56.0,42.0,1.0,16.13,90
HCPCS,Q4169,"ARTACENT WOUND, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4170,"CYGNUS, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4171,"INTERFYL, 1 MG",,,1.0,16.13,90
HCPCS,Q4173,PALINGEN MEMBRN 4X4CM PER SQCM,813.0,609.75,1.0,16.13,90
HCPCS,Q4174,PALINGEN OR PROMATRX,,,1.0,16.13,90
HCPCS,Q4175,MIRODERM,,,1.0,16.13,90
HCPCS,Q4176,"NEOPATCH OR THERION, 1 SQ CM",,,1.0,16.13,90
HCPCS,Q4177,"FLOWERAMNIOFLO, 0.1 CC",,,1.0,16.13,90
HCPCS,Q4178,"FLOWERAMNIOPATCH, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4179,"FLOWERDERM, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4180,"REVITA, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4181,"AMNIO WOUND, PER SQUARE CM",,,1.0,16.13,90
HCPCS,Q4182,"TRANSCYTE, PER SQ CENTIMETER",,,1.0,16.13,90
HCPCS,Q4183,"SURGIGRAFT, 1 SQ CM",,,1.0,16.13,90
HCPCS,Q4184,CELLESTA OR DUO PER SQ CM,,,1.0,16.13,90
HCPCS,Q4185,CELLESTA FLOWAB AMNION 0.5CC,,,1.0,16.13,90
HCPCS,Q4186,ALLOGRAFT DHACM EPIFIX BY SQ C,2126.0,1594.5,1.0,1427.8,190
HCPCS,Q4186,EPIFIX 18MM DISC PER SQ CM,1324.0,993.0,1.0,1427.8,95
HCPCS,Q4187,EPICORD 1 SQ CM,,,1.0,1348.41,95
HCPCS,Q4188,AMNIOARMOR 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4189,"ARTACENT AC, 1 MG",,,1.0,16.13,90
HCPCS,Q4190,ARTACENT AC 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4191,RESTORIGIN 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4192,"RESTORIGIN, 1 CC",,,1.0,16.13,90
HCPCS,Q4193,COLL-E-DERM 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4194,NOVACHOR 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4195,PURAPLY 1 SQ CM,,,1.0,312.43,95
HCPCS,Q4196,WOUND MATRIX PURAPLY CHG SQ CM,816.0,612.0,1.0,312.43,190
HCPCS,Q4197,PURAPLY XT 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4198,GENESIS AMNIO MEMBRANE 1SQCM,,,1.0,16.13,90
HCPCS,Q4199,"CYGNUS MATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4200,SKIN TE 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4201,MATRION 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4202,"KEROXX (2.5G/CC), 1CC",,,1.0,16.13,90
HCPCS,Q4203,"DERMA-GIDE, 1 SQ CM",,,1.0,669.68,95
HCPCS,Q4204,XWRAP 1 SQ CM,,,1.0,16.13,90
HCPCS,Q4205,MEMBRANE GRAFT OR WRAP SQ CM,,,1.0,16.13,90
HCPCS,Q4206,FLUID FLOW OR FLUID GF 1 CC,,,1.0,16.13,90
HCPCS,Q4208,NOVAFIX PER SQ CM,,,1.0,16.13,90
HCPCS,Q4209,SURGRAFT PER SQ CM,,,1.0,16.13,90
HCPCS,Q4211,AMNION BIO OR AXOBIO SQ CM,,,1.0,16.13,90
HCPCS,Q4212,"ALLOGEN, PER CC",,,1.0,16.13,90
HCPCS,Q4213,"ASCENT, 0.5 MG",,,1.0,16.13,90
HCPCS,Q4214,CELLESTA CORD PER SQ CM,,,1.0,16.13,90
HCPCS,Q4215,"AXOLOTL AMBIENT, CRYO 0.1 MG",,,1.0,16.13,90
HCPCS,Q4216,ARTACENT CORD PER SQ CM,,,1.0,16.13,90
HCPCS,Q4217,WOUNDFIX BIOWOUND PLUS XPLUS,,,1.0,16.13,90
HCPCS,Q4218,SURGICORD PER SQ CM,,,1.0,16.13,90
HCPCS,Q4219,SURGIGRAFT DUAL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4220,"BELLACELL HD, SUREDERM SQ CM",,,1.0,16.13,90
HCPCS,Q4221,AMNIOWRAP2 PER SQ CM,,,1.0,16.13,90
HCPCS,Q4222,"PROGENAMATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4224,HHF10-P PER SQ CM,,,1.0,16.13,90
HCPCS,Q4225,"AMNIO OR DERMA TL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4226,MYOWN HARV PREP PROC SQ CM,,,1.0,16.13,90
HCPCS,Q4227,AMNIOCORE PER SQ CM,,,1.0,16.13,90
HCPCS,Q4229,COGENEX AMNIO MEMB PER SQ CM,,,1.0,16.13,90
HCPCS,Q4230,COGENEX FLOW AMNION 0.5 CC,,,1.0,16.13,90
HCPCS,Q4232,"CORPLEX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4233,SURFACTOR /NUDYN PER 0.5 CC,,,1.0,16.13,90
HCPCS,Q4234,"XCELLERATE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4235,AMNIOREPAIR OR ALTIPLY SQ CM,,,1.0,16.13,90
HCPCS,Q4236,CAREPATCH PER SQ CM,,,1.0,16.13,90
HCPCS,Q4237,"CRYO-CORD, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4238,"DERM-MAXX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4239,AMNIO-MAXX OR LITE PER SQ CM,,,1.0,16.13,90
HCPCS,Q4240,CORECYTE TOPICAL ONLY 0.5 CC,,,1.0,16.13,90
HCPCS,Q4241,"POLYCYTE, TOPICAL ONLY 0.5CC",,,1.0,16.13,90
HCPCS,Q4242,"AMNIOCYTE PLUS, PER 0.5 CC",,,1.0,16.13,90
HCPCS,Q4245,"AMNIOTEXT, PER CC",,,1.0,16.13,90
HCPCS,Q4246,"CORETEXT OR PROTEXT, PER CC",,,1.0,16.13,90
HCPCS,Q4247,"AMNIOTEXT PATCH, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4248,DERMACYTE AMN MEM ALLO SQ CM,,,1.0,16.13,90
HCPCS,Q4249,"AMNIPLY, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4250,AMNIOAMP-MP PER SQ CM,,,1.0,16.13,90
HCPCS,Q4251,"VIM, PER SQUARE CENTIMETER",,,1.0,16.13,90
HCPCS,Q4252,"VENDAJE, PER SQUARE CENTIMET",,,1.0,16.13,90
HCPCS,Q4253,ZENITH AMNIOTIC MEMBRANE PSC,,,1.0,16.13,90
HCPCS,Q4254,NOVAFIX DL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4255,"REGUARD, TOPICAL USE PER SQ",,,1.0,16.13,90
HCPCS,Q4256,"MLG COMPLET, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4257,"RELESE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4258,"ENVERSE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4259,CELERA PER SQ CM,,,1.0,16.13,90
HCPCS,Q4260,"SIGNATURE APATCH, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4261,"TAG, PER SQUARE CENTIMETER",,,1.0,16.13,90
HCPCS,Q4262,"DUAL LAYER IMPAX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4263,"SURGRAFT TL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4264,"COCOON MEMBRANE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4265,NEOSTIM TL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4266,NEOSTIM PER SQ CM,,,1.0,16.13,90
HCPCS,Q4267,NEOSTIM DL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4268,SURGRAFT FT PER SQ CM,,,1.0,16.13,90
HCPCS,Q4269,SURGRAFT XT PER SQ CM,,,1.0,16.13,90
HCPCS,Q4270,COMPLETE SL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4271,COMPLETE FT PER SQ CM,,,1.0,16.13,90
HCPCS,Q4272,"ESANO A, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4273,"ESANO AAA, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4274,"ESANO AC, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4275,"ESANO ACA, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4276,"ORION, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4278,"EPIEFFECT, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4279,"VENDAJE AC, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4280,XCELL AMNIO MATRIX PER SQ CM,,,1.0,16.13,90
HCPCS,Q4281,BARRERA SLOR DL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4282,CYGNUS DUAL PER SQ CM,,,1.0,16.13,90
HCPCS,Q4283,"BIOVANCE TRI OR 3L, SQ CM",,,1.0,16.13,90
HCPCS,Q4284,"DERMABIND SL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4285,NUDYN DL OR DL MESH PR SQ CM,,,1.0,16.13,90
HCPCS,Q4286,"NUDYN SL OR SLW, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4287,"DERMABIND DL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4288,"DERMABIND CH, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4289,"REVOSHIELD+ AMNIO, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4290,MEMBRANE WRAP HYDR PER SQ CM,,,1.0,16.13,90
HCPCS,Q4291,"LAMELLAS XT, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4292,"LAMELLAS, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4293,"ACESSO DL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4294,"AMNIO QUAD-CORE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4295,"AMNIO TRI-CORE, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4296,"REBOUND MATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4297,"EMERGE MATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4298,"AMNICORE PRO, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4299,"AMNICORE PRO+, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4300,"ACESSO TL, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4301,"ACTIVATE MATRIX, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4302,"COMPLETE ACA, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4303,"COMPLETE AA, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4304,"GRAFIX PLUS, PER SQ CM",,,1.0,16.13,90
HCPCS,Q4305,Amer am ac tri-lay per sq cm,,,1.0,16.13,90
HCPCS,Q4306,Americ amnion ac per sq cm,,,1.0,16.13,90
HCPCS,Q4307,"American amnion, per sq cm",,,1.0,16.13,90
HCPCS,Q4308,"Sanopellis, per sq cm",,,1.0,16.13,90
HCPCS,Q4309,"Via matrix, per sq cm",,,1.0,16.13,90
HCPCS,Q4310,"Procenta, per 100 mg",,,1.0,16.13,90
HCPCS,Q4311,"Acesso, per square centimeter",,,1.0,16.13,90
HCPCS,Q4312,"Acesso AC, per square centimeter",,,1.0,16.13,90
HCPCS,Q4313,"DermaBind FM, per square centimeter",,,1.0,16.13,90
HCPCS,Q4314,"Reeva FT, per square cenitmeter",,,1.0,16.13,90
HCPCS,Q4315,"RegeneLink amniotic membrane allograft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4316,"AmchoPlast, per square centimeter",,,1.0,16.13,90
HCPCS,Q4317,"VitoGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4318,"E-Graft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4319,"SanoGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4320,"PelloGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4321,"RenoGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4322,"CaregraFT, per square centimeter",,,1.0,16.13,90
HCPCS,Q4323,"alloPLY, per square centimeter",,,1.0,16.13,90
HCPCS,Q4324,"AmnioTX, per square centimeter",,,1.0,16.13,90
HCPCS,Q4325,"ACAPatch, per square centimeter",,,1.0,16.13,90
HCPCS,Q4326,"WoundPlus, per square centimeter",,,1.0,16.13,90
HCPCS,Q4327,"DuoAmnion, per square centimeter",,,1.0,16.13,90
HCPCS,Q4328,"MOST, per square centimeter",,,1.0,16.13,90
HCPCS,Q4329,"Singlay, per square centimeter",,,1.0,16.13,90
HCPCS,Q4330,"TOTAL, per square centimeter",,,1.0,16.13,90
HCPCS,Q4331,"Axolotl Graft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4332,"Axolotl DualGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4333,"ArdeoGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4334,"Amnioplast 1, per square centimeter",,,1.0,16.13,90
HCPCS,Q4335,"Amnioplast 2, per square centimeter",,,1.0,16.13,90
HCPCS,Q4336,"Artacent C, per square centimeter",,,1.0,16.13,90
HCPCS,Q4337,"Artacent Trident, per square centimeter",,,1.0,16.13,90
HCPCS,Q4338,"Artacent Velos, per square centimeter",,,1.0,16.13,90
HCPCS,Q4339,"Artacent VeriClen, per square centimeter",,,1.0,16.13,90
HCPCS,Q4340,"SimpliGraft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4341,"SimpliMax, per square centimeter",,,1.0,16.13,90
HCPCS,Q4342,"TheraMend, per square centimeter",,,1.0,16.13,90
HCPCS,Q4343,"Dermacyte AC matrix amniotic membrane allograft, per square centimeter",,,1.0,16.13,90
HCPCS,Q4344,"Tri-Membrane Wrap, per square centimeter",,,1.0,16.13,90
HCPCS,Q4345,"Matrix HD Allograft Dermis, per square centimeter",,,1.0,16.13,90
HCPCS,Q4346,"Shelter DM matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4347,"Rampart DL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4348,"Sentry SL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4349,"Mantle DL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4350,"Palisade DM matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4351,"Enclose TL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4352,"Overlay SL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4353,"Xceed TL matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4354,"PalinGen Dual-Layer Membrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4355,"Abiomend XPlus Membrane and Abiomend XPlus Hydromembrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4356,"Abiomend Membrane and Abiomend Hydromembrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4357,"XWRAP Plus, per square  centimeter",,,1.0,16.13,90
HCPCS,Q4358,"XWRAP Dual, per square  centimeter",,,1.0,16.13,90
HCPCS,Q4359,"ChoriPly, per square centimeter",,,1.0,16.13,90
HCPCS,Q4360,"Amchoplast FD, per square centimeter",,,1.0,16.13,90
HCPCS,Q4361,"Epixpress, per square centimeter",,,1.0,16.13,90
HCPCS,Q4362,"Cygnus Disk, per square centimeter",,,1.0,16.13,90
HCPCS,Q4363,"Amnio Burgeon Membrane and Hydromembrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4364,"Amnio Burgeon XPlus membrane and XPlus hydromembrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4365,"Amnio Burgeon Dual-Layer Membrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4366,"Dual layer Amnio Burgeon X-Membrane, per square centimeter",,,1.0,16.13,90
HCPCS,Q4367,"AmnioCore SL, per square centimeter",,,1.0,16.13,90
HCPCS,Q4368,"AmchoThick, per square centimeter",,,1.0,16.13,90
HCPCS,Q4369,"AmnioPlast 3, per square centimeter",,,1.0,16.13,90
HCPCS,Q4370,"AeroGuard, per square centimeter",,,1.0,16.13,90
HCPCS,Q4371,"NeoGuard, per square centimeter",,,1.0,16.13,90
HCPCS,Q4372,"AmchoPlast Excel, per square centimeter",,,1.0,16.13,90
HCPCS,Q4373,"Membrane Wrap Lite, per square centimeter",,,1.0,16.13,90
HCPCS,Q4375,"duoGRAFT AC, per square centimeter",,,1.0,16.13,90
HCPCS,Q4376,"duoGRAFT AA, per square centimeter",,,1.0,16.13,90
HCPCS,Q4377,"triGRAFT FT, per square centimeter",,,1.0,16.13,90
HCPCS,Q4378,"Renew FT Matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4379,"AmnioDefend FT Matrix, per square centimeter",,,1.0,16.13,90
HCPCS,Q4380,"AdvoGraft One, per square centimeter",,,1.0,16.13,90
HCPCS,Q4382,"AdvoGraft Dual, per square centimeter",,,1.0,16.13,90
HCPCS,Q5098,"Injection, ustekinumab-srlf (Imuldosa), biosimilar, 1 mg",,,1.0,65.79,9
HCPCS,Q5099,"Injection, ustekinumab-stba (Steqeyma), biosimilar, 1 mg",,,1.0,103.31,9
HCPCS,Q5100,"Injection, ustekinumab-kfce (Yesintek), biosimilar, 1 mg",,,1.0,27.24,5
HCPCS,Q5101,"INJECTION, ZARXIO",,,0.38,1.0,9
HCPCS,Q5103,INFLIXIMAB INJ(INFLECTRA) 10MG,342.0,256.5,1.0,45.42,5
HCPCS,Q5104,INFLIXIMABABDAPER10MG IJ,470.0,352.5,1.0,24.51,5
HCPCS,Q5105,EPOETIN-EPBX ESRD PER 100U IJ,24.0,18.0,0.91,2.38,9
HCPCS,Q5106,EPOETIN-EPBX CHEM INDUC 1000U,252.0,189.0,1.0,23.47,9
HCPCS,Q5106,EPOETIN-EPBX OTH INDIC 1000U,574.0,430.5,1.0,23.47,9
HCPCS,Q5106,EPOETIN-EPBX RAD INDUC 1000U,739.0,554.25,1.0,23.47,9
HCPCS,Q5107,BEVACIZUMAB-AWWB PER 10MG IJ,605.0,453.75,1.0,29.3,10
HCPCS,Q5108,PEGFILGRASTIM-JMDB PER 0.5MGIJ,2710.0,2032.5,1.0,328.93,9
HCPCS,Q5110,NIVESTYM,,,0.27,1.0,9
HCPCS,Q5111,PEGFILGRASTIM-CBQV PER 0.5MGIJ,2391.0,1793.25,1.0,439.66,9
HCPCS,Q5112,INJ ONTRUZANT 10 MG,,,1.0,17.53,5
HCPCS,Q5113,INJ HERZUMA 10 MG,,,1.0,77.48,5
HCPCS,Q5114,INJ OGIVRI 10 MG,,,1.0,41.94,5
HCPCS,Q5115,RITUXIMAB-ABBS PER 10MG IJ,580.5,435.375,1.0,139.98,18
HCPCS,Q5116,TRASTUZUMAB-QYYPPER10MGIJ,550.0,412.5,1.0,39.48,5
HCPCS,Q5117,TRASTUZUMAB-ANNS PER 10MG IJ,800.0,600.0,1.0,40.52,5
HCPCS,Q5118,BEVACIZUMAB-BVZR PER 10 MG,678.5,508.875,1.0,19.89,10
HCPCS,Q5119,RITUXIMAB-PVVR 10MG IJ,519.0,389.25,1.0,71.15,9
HCPCS,Q5120,PEGFILGRAS-BMEZ 0.5MGIJ,2360.0,1770.0,1.0,80.76,9
HCPCS,Q5121,"INJ. AVSOLA, 10 MG",,,1.0,35.1,5
HCPCS,Q5122,"INJ, NYVEPRIA",,,1.0,426.72,9
HCPCS,Q5123,RITUXIMAB-ARRX  PER 10MG IJ,2585.0,1938.75,1.0,136.42,9
HCPCS,Q5124,"INJ. BYOOVIZ, 0.1 MG",,,1.0,642.37,9
HCPCS,Q5125,"INJ, RELEUKO 1 MCG",,,0.44,1.14,9
HCPCS,Q5126,INJ ALYMSYS 10 MG,,,1.0,40.05,5
HCPCS,Q5127,"INJ, STIMUFEND, 0.5 MG",,,1.0,740.42,9
HCPCS,Q5128,"INJ, CIMERLI, 0.1 MG",,,1.0,272.78,9
HCPCS,Q5129,"INJ, VEGZELMA, 10 MG",,,1.0,41.15,5
HCPCS,Q5130,"INJ, FYLNETRA, 0.5 MG",,,1.0,482.19,9
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,1.0,5.9,5
HCPCS,Q5135,"Injection, tocilizumab-aazg (Tyenne), biosimilar, 1 mg",,,1.0,4.59,5
HCPCS,Q5136,"Injection, denosumab-bbdz (Jubbonti/Wyost), biosimilar, 1 mg",,,1.0,83.42,9
HCPCS,Q5138,"Injection, ustekinumab-auub (Wezlana), biosimilar, intravenous, 1 mg",,,1.0,35.08,9
HCPCS,Q5146,"Injection, trastuzumab-strf (Hercessi), biosimilar, 10 mg",,,1.0,77.61,5
HCPCS,Q5147,"Injection, aflibercept-ayyh (Pavblu), biosimilar, 1 mg",,,1.0,2808.65,9
HCPCS,Q5148,"Injection, filgrastim-txid (Nypozi), biosimilar, 1 microgram",,,0.66,1.71,9
HCPCS,Q5151,"Injection, eculizumab-aagh (Epysqli), biosimilar, 2 mg",,,1.0,95.0,9
HCPCS,Q5152,"Injection, eculizumab-aeeb (Bkemv), biosimilar, 2 mg",,,1.0,129.0,9
HCPCS,Q9950,INJ SULF HEXA LIPID MICROSPH,,,1.0,21.16,10
HCPCS,Q9951,"CC-LOCM 400 OR GREATER MG/ML,",1.0,0.75,0.28,1.0,15
HCPCS,Q9951,CT-LOCM 400 OR GREATER MG/ML,1.0,0.75,0.28,1.0,15
HCPCS,Q9951,"SP-LOCM 400 OR GREATER MG/ML,",1.0,0.75,0.28,1.0,15
HCPCS,Q9953,"INJ FE-BASED MR CONTRAST,1ML",,,1.0,98.65,15
HCPCS,Q9954,"ORAL MR CONTRAST, 100 ML",,,1.0,37.68,15
HCPCS,Q9955,"INJ PERFLEXANE LIP MICROS,ML",,,1.0,44.54,20
HCPCS,Q9956,"INJ OCTAFLUOROPROPANE MIC,ML",,,1.0,134.38,20
HCPCS,Q9957,PERFLUTREN 1ML,934.0,700.5,1.0,134.38,20
HCPCS,Q9958,DIATRIZOATE MEG 30% PER 1 ML,2.0,1.5,0.06,1.0,15
HCPCS,Q9958,HOCM 1ML,296.0,222.0,0.06,1.0,15
HCPCS,Q9959,"HOCM 150-199MG/ML IODINE,1ML",,,0.07,1.0,15
HCPCS,Q9960,"HOCM 200-249MG/ML IODINE,1ML",,,0.14,1.0,15
HCPCS,Q9961,"HOCM 250-299MG/ML IODINE,1ML",,,0.27,1.0,15
HCPCS,Q9962,"HOCM 300-349MG/ML IODINE,1ML",,,0.17,1.0,15
HCPCS,Q9963,GASTROGRAFIN PER 1ML,1.0,0.75,0.2,1.0,15
HCPCS,Q9963,HOCM 1ML,187.0,140.25,0.2,1.0,15
HCPCS,Q9964,"HOCM>= 400MG/ML IODINE, 1ML",,,0.28,1.0,15
HCPCS,Q9965,CC-LOCM 100-199mg/ml-per ml,17.0,12.75,1.0,5.8,15
HCPCS,Q9965,CT-LOCM 100-199mg/ml-per ml,16.0,12.0,1.0,5.8,15
HCPCS,Q9965,SP-LOCM 100-199mg/ml-per ml,16.0,12.0,1.0,5.8,15
HCPCS,Q9966,CC-LOCM 200-299mg/ml-per ml,1.0,0.75,0.41,1.43,15
HCPCS,Q9966,CT-LOCM 200-299mg/ml-per ml,1.0,0.75,0.41,1.43,15
HCPCS,Q9966,LOCM 1ML,94.0,70.5,0.41,1.43,30
HCPCS,Q9966,SP-LOCM 200-299mg/ml-per ml,1.0,0.75,0.41,1.43,15
HCPCS,Q9967,CC-LOCM 300-399mg/ml-per ml,1.0,0.75,0.14,1.0,15
HCPCS,Q9967,CT-LOCM 300-399mg/ml-per ml,1.0,0.75,0.14,1.0,15
HCPCS,Q9967,LOCM 1ML,3.0,2.25,0.14,1.0,15
HCPCS,Q9967,SP-LOCM 300-399mg/ml-per ml,1.0,0.75,0.14,1.0,15
HCPCS,Q9968,ISOSF BLUE1MGIJ,168.0,126.0,1.0,25.38,15
HCPCS,Q9968,METH BLUE 1MGIJ,71.0,53.25,1.0,25.38,15
HCPCS,Q9969,NON-HEU TC-99M ADD-ON/DOSE,,,1.0,11.17,10
HCPCS,Q9982,FLUTEMETAMOL F18 DIAGNOSTIC,,,0.92,1.12,10
HCPCS,Q9983,FLORBETABEN F18 DIAGNOSTIC,,,0.92,1.12,10
HCPCS,Q9991,BUPRENORPH XR 100 MG OR LESS,,,1.0,6387.7,9
HCPCS,Q9992,BUPRENORPHINE XR OVER 100 MG,,,1.0,6387.7,9
HCPCS,Q9997,"Injection, ustekinumab-ttwe (Pyzchiva), intravenous, 1 mg",,,1.0,26.93,9
HCPCS,Q9998,"Injection, ustekinumab-aekn (Selarsdi), biosimilar, 1 mg",,,1.0,119.68,9
HCPCS,Q9999,"Injection, ustekinumab-aauz (Otulfi), biosimilar, 1 mg",,,1.0,105.56,9
HCPCS,R0070,TRANSPORT PORTABLE X-RAY,,,1.0,152.94,15
HCPCS,R0075,TRANSPORT PORT X-RAY MULTIPL,,,1.0,23.17,15
HCPCS,R0076,TRANSPORT PORTABLE EKG,,,0.92,1.6,15
HCPCS,S0012,"BUTORPHANOL TARTRATE, NASAL",,,1.0,305.52,9
HCPCS,S0013,"ESKETAMINE, NASAL SPRAY",,,1.0,51.99,9
HCPCS,S0023,"INJECTION, CIMETIDINE HYDROC",,,1.0,6.57,9
HCPCS,S0040,"INJECTION, TICARCILLIN DISOD",,,1.0,32.04,9
HCPCS,S0074,"INJECTION, CEFOTETAN DISODIU",,,1.0,35.02,9
HCPCS,S0078,"INJECTION, FOSPHENYTOIN SODI",,,1.0,156.18,9
HCPCS,S0080,"INJECTION, PENTAMIDINE ISETH",,,1.0,365.34,9
HCPCS,S0081,"INJECTION, PIPERACILLIN SODI",,,1.0,4.76,9
HCPCS,S0088,IMATINIB 100 MG,,,1.0,7.93,9
HCPCS,S0090,"SILDENAFIL CITRATE, 25 MG",,,1.0,73.59,9
HCPCS,S0091,GRANISETRON 1MG,,,1.0,46.34,9
HCPCS,S0092,HYDROMORPHONE 250 MG,,,1.0,227.04,9
HCPCS,S0093,MORPHINE 500 MG,,,1.0,12.08,9
HCPCS,S0108,MERCAPTOPURINE 50 MG,,,1.0,23.63,9
HCPCS,S0119,ONDANSETRON 4 MG,,,0.08,1.0,9
HCPCS,S0122,INJ MENOTROPINS 75 IU,,,1.0,770.17,9
HCPCS,S0126,INJ FOLLITROPIN ALFA 75 IU,,,1.0,750.53,9
HCPCS,S0128,INJ FOLLITROPIN BETA 75 IU,,,1.0,604.75,9
HCPCS,S0132,INJ GANIRELIX ACETAT 250 MCG,,,1.0,484.0,9
HCPCS,S0142,COLISTIMETHATE INH SOL MG,,,0.24,1.0,9
HCPCS,S0155,EPOPROSTENOL DILUTANT,,,1.0,46.47,9
HCPCS,S0156,"EXEMESTANE, 25 MG",,,1.0,21.82,9
HCPCS,S0170,ANASTROZOLE 1 MG,,,0.01,1.0,9
HCPCS,S0172,CHLORAMBUCIL 2 MG,,,1.0,1852.1,9
HCPCS,S0174,DOLASETRON 50 MG,,,1.0,94.78,9
HCPCS,S0175,FLUTAMIDE 125 MG,,,1.0,49.58,9
HCPCS,S0176,HYDROXYUREA 500 MG,,,0.41,1.08,9
HCPCS,S0178,LOMUSTINE 10 MG,,,1.0,378.69,9
HCPCS,S0182,"PROCARBAZINE, ORAL",,,1.0,467.19,9
HCPCS,S0183,PROCHLORPERAZINE 5 MG,,,0.35,1.0,9
HCPCS,S0187,TAMOXIFEN 10 MG,,,0.92,2.41,9
HCPCS,S0189,TESTOSTERONE PELLET 75 MG,,,1.0,345.26,9
HCPCS,S0190,"MIFEPRISTONE, ORAL, 200 MG",,,1.0,628.32,9
HCPCS,S0191,"MISOPROSTOL, ORAL, 200 MCG",,,1.0,7.64,9
HCPCS,S0197,PRENATAL VITAMINS 30 DAY,,,1.0,10.47,9
HCPCS,S0199,MED ABORTION INC ALL EX DRUG,,,1.0,2636.15,95
HCPCS,S0201,PARTIAL HOSPITALIZATION SERV,,,1.0,1234.0,10
HCPCS,S0207,PARAMEDICINTERCEP NONHOSPALS,,,1.0,969.06,10
HCPCS,S0208,PARAMED INTRCEPT NONVOL,,,1.0,969.06,10
HCPCS,S0209,WC VAN MILEAGE PER MI,,,1.0,3.2,10
HCPCS,S0215,NONEMERG TRANSP MILEAGE,,,1.0,3.2,10
HCPCS,S0221,"MEDICAL CONFERENCE, 60 MIN",,,1.0,3.2,10
HCPCS,S0250,COMP GERIATR ASSMT TEAM,,,1.0,3.2,10
HCPCS,S0257,END OF LIFE COUNSELING,,,1.0,3.2,10
HCPCS,S0260,H&P FOR SURGERY,,,1.0,3.2,10
HCPCS,S0265,GENETIC COUNSEL 15 MINS,,,1.0,110.59,10
HCPCS,S0285,CNSLT BEFORE SCREEN COLONOSC,,,1.0,108.47,10
HCPCS,S0302,COMPLETED EPSDT,,,1.0,3.2,10
HCPCS,S0311,COMP MGMT CARE COORD ADV ILL,,,1.0,3.2,10
HCPCS,S0315,DISEASE MANAGEMENT PROGRAM,,,1.0,3.2,10
HCPCS,S0316,FOLLOW-UP/REASSESSMENT,,,1.0,3.2,10
HCPCS,S0317,DISEASE MGMT PER DIEM,,,1.0,3.2,10
HCPCS,S0320,RN TELEPHONE CALLS TO DMP,,,1.0,3.2,10
HCPCS,S0340,LIFESTYLE MOD 1ST STAGE,,,1.0,3.2,10
HCPCS,S0341,LIFESTYLE MOD 2 OR 3 STAGE,,,1.0,100.44,10
HCPCS,S0342,LIFESTYLE MOD 4TH STAGE,,,1.0,3.2,10
HCPCS,S0353,CANCER TREATMENTPLAN INITIAL,,,1.0,3.2,10
HCPCS,S0354,CANCER TREATMENT PLAN CHANGE,,,1.0,3.2,10
HCPCS,S0390,ROUT FOOT CARE PER VISIT,,,1.0,16.13,95
HCPCS,S0395,IMPRESSION CASTING FT,,,1.0,3.2,10
HCPCS,S0400,GLOBAL ESWL KIDNEY,,,1.0,16.13,90
HCPCS,S0596,PHAKIC IOL REFRACTIVE ERROR,,,1.0,16.13,90
HCPCS,S0601,SCREENING PROCTOSCOPY,,,1.0,64.64,95
HCPCS,S0610,ANNUAL GYNECOLOGICAL EXAMINA,,,1.0,327.79,10
HCPCS,S0612,ANNUAL GYNECOLOGICAL EXAMINA,,,1.0,262.22,10
HCPCS,S0613,ANN BREAST EXAM,,,1.0,65.57,10
HCPCS,S0618,AUDIOMETRY FOR HEARING AID,,,1.0,3.2,10
HCPCS,S0620,ROUTINE OPHTHALMOLOGICAL EXA,,,1.0,3.2,10
HCPCS,S0621,ROUTINE OPHTHALMOLOGICAL EXA,,,1.0,3.2,10
HCPCS,S0622,PHYS EXAM FOR COLLEGE,,,1.0,3.2,10
HCPCS,S0630,REMOVAL OF SUTURES,,,1.0,61.66,95
HCPCS,S0800,LASER IN SITU KERATOMILEUSIS,,,1.0,1069.14,95
HCPCS,S0810,PHOTOREFRACTIVE KERATECTOMY,,,1.0,630.64,95
HCPCS,S0812,PHOTOTHERAP KERATECT,,,1.0,959.33,95
HCPCS,S1015,IV TUBING EXTENSION SET,,,1.0,18.73,10
HCPCS,S1016,NON-PVC INTRAVENOUS ADMINIST,,,1.0,27.37,10
HCPCS,S1034,ART PANCREAS SYSTEM,,,1.0,16008.5,10
HCPCS,S1035,ART PANCREAS INV DISP SENSOR,,,1.0,46.33,10
HCPCS,S1036,ART PANCREAS EXT TRANSMITTER,,,1.0,1828.81,10
HCPCS,S1037,ART PANCREAS EXT RECEIVER,,,1.0,1470.22,10
HCPCS,S1091,STENT NON-CORONARY PROPEL,,,1.0,16.13,90
HCPCS,S2053,TRANSPLANTATION OF SMALL INT,,,1.0,16.13,90
HCPCS,S2054,TRANSPLANTATION OF MULTIVISC,,,1.0,16.13,90
HCPCS,S2055,HARVESTING OF DONOR MULTIVIS,,,1.0,16.13,90
HCPCS,S2060,LOBAR LUNG TRANSPLANTATION,,,1.0,16.13,90
HCPCS,S2061,DONOR LOBECTOMY (LUNG),,,1.0,16.13,90
HCPCS,S2065,SIMULT PANC KIDN TRANS,,,1.0,16.13,90
HCPCS,S2066,BREAST GAP FLAP RECONST,,,1.0,16.13,90
HCPCS,S2067,"BREAST """"STACKED"""" DIEP/GAP",,,1.0,16.13,90
HCPCS,S2068,BREAST DIEP OR SIEA FLAP,,,1.0,16.13,90
HCPCS,S2070,CYSTO LASER TX URETERAL CALC,,,1.0,16.13,90
HCPCS,S2079,LAP ESOPHAGOMYOTOMY,,,1.0,16.13,90
HCPCS,S2080,LAUP,,,1.0,16.13,90
HCPCS,S2083,ADJUSTMENT GASTRIC BAND,,,1.0,16.13,90
HCPCS,S2095,TRANSCATH EMBOLIZ MICROSPHER,,,1.0,16.13,90
HCPCS,S2102,ISLET CELL TISSUE TRANSPLANT,,,1.0,16.13,90
HCPCS,S2103,ADRENAL TISSUE TRANSPLANT,,,1.0,16.13,90
HCPCS,S2107,ADOPTIVE IMMUNOTHERAPY,,,1.0,16.13,90
HCPCS,S2112,KNEE ARTHROSCP HARV,,,1.0,16.13,90
HCPCS,S2115,PERIACETABULAR OSTEOTOMY,,,1.0,16.13,90
HCPCS,S2117,"ARTHROEREISIS, SUBTALAR",,,1.0,16.13,90
HCPCS,S2118,TOTAL HIP RESURFACING,,,1.0,16.13,90
HCPCS,S2120,LOW DENSITY LIPOPROTEIN(LDL),,,1.0,16.13,90
HCPCS,S2140,CORD BLOOD HARVESTING,,,1.0,16.13,90
HCPCS,S2142,CORD BLOOD-DERIVED STEM-CELL,,,1.0,16.13,90
HCPCS,S2150,BMT HARV/TRANSPL 28D PKG,,,1.0,16.13,90
HCPCS,S2152,SOLID ORGAN TRANSPL PKG,,,1.0,16.13,90
HCPCS,S2202,ECHOSCLEROTHERAPY,,,1.0,16.13,90
HCPCS,S2205,MINIMALLY INVASIVE DIRECT CO,,,1.0,16.13,90
HCPCS,S2206,MINIMALLY INVASIVE DIRECT CO,,,1.0,16.13,90
HCPCS,S2207,MINIMALLY INVASIVE DIRECT CO,,,1.0,16.13,90
HCPCS,S2208,MINIMALLY INVASIVE DIRECT CO,,,1.0,16.13,90
HCPCS,S2209,MINIMALLY INVASIVE DIRECT CO,,,1.0,16.13,90
HCPCS,S2225,MYRINGOTOMY LASER-ASSIST,,,1.0,16.13,90
HCPCS,S2230,IMPLANT SEMI-IMP HEAR,,,1.0,16.13,90
HCPCS,S2235,IMPLANT AUDITORY BRAIN IMP,,,1.0,16.13,90
HCPCS,S2260,INDUCED ABORTION 17-24 WEEKS,,,1.0,16.13,90
HCPCS,S2265,INDUCED ABORTION 25-28 WKS,,,1.0,16.13,90
HCPCS,S2266,INDUCED ABORTION 29-31 WKS,,,1.0,16.13,90
HCPCS,S2267,INDUCED ABORTION 32 OR MORE,,,1.0,16.13,90
HCPCS,S2300,"ARTHROSCOPY, SHOULDER, SURGI",,,1.0,16.13,90
HCPCS,S2325,HIP CORE DECOMPRESSION,,,1.0,16.13,90
HCPCS,S2340,CHEMODENERVATION OF ABDUCTOR,,,1.0,16.13,90
HCPCS,S2341,CHEMODENERV ADDUCT VOCAL,,,1.0,16.13,90
HCPCS,S2342,NASAL ENDOSCOP PO DEBRID,,,1.0,16.13,90
HCPCS,S2348,DECOMPRESS DISC RF LUMBAR,,,1.0,16.13,90
HCPCS,S2350,"DISKECTOMY, ANTERIOR, WITH D",,,1.0,16.13,90
HCPCS,S2351,"DISKECTOMY, ANTERIOR, WITH D",,,1.0,16.13,90
HCPCS,S2400,FETAL SURG CONGEN HERNIA,,,1.0,16.13,90
HCPCS,S2401,FETAL SURG URIN TRAC OBSTR,,,1.0,16.13,90
HCPCS,S2402,FETAL SURG CONG CYST MALF,,,1.0,16.13,90
HCPCS,S2403,FETAL SURG PULMON SEQUEST,,,1.0,16.13,90
HCPCS,S2404,FETAL SURG MYELOMENINGO,,,1.0,16.13,90
HCPCS,S2405,FETAL SURG SACROCOC TERATOMA,,,1.0,16.13,90
HCPCS,S2409,FETAL SURG NOC,,,1.0,16.13,90
HCPCS,S2411,FETOSCOP LASER THER TTTS,,,1.0,16.13,90
HCPCS,S2900,ROBOTIC SURGICAL SYSTEM,,,1.0,16.13,90
HCPCS,S3000,BILAT DIL RETINAL EXAM,,,1.0,160.98,10
HCPCS,S3005,EVAL SELF-ASSESS DEPRESSION,,,1.0,3.2,10
HCPCS,S3600,STAT LAB,,,0.92,1.12,15
HCPCS,S3601,STAT LAB HOME/NF,,,0.92,1.12,15
HCPCS,S3620,NEWBORN METABOLIC SCREENING,,,1.0,67.18,15
HCPCS,S3630,EOSINOPHIL BLOOD COUNT,,,1.0,6.29,15
HCPCS,S3645,HIV-1 ANTIBODY TESTING OF OR,,,1.0,9.45,15
HCPCS,S3650,"SALIVA TEST, HORMONE LEVEL;",,,0.92,1.12,15
HCPCS,S3652,"SALIVA TEST, HORMONE LEVEL;",,,0.92,1.12,15
HCPCS,S3655,ANTISPERM ANTIBODIES TEST,,,1.0,12.79,15
HCPCS,S3708,GASTROINTESTINAL FAT ABSORPT,,,0.92,1.12,15
HCPCS,S3722,DOSE OPTIMIZATION AUC - 5FU,,,0.92,1.12,10
HCPCS,S3800,GENETIC TESTING ALS,,,1.0,132.66,15
HCPCS,S3840,DNA ANALYSIS RET-ONCOGENE,,,1.0,119.01,15
HCPCS,S3841,GENE TEST RETINOBLASTOMA,,,1.0,133.31,15
HCPCS,S3842,GENE TEST HIPPEL-LINDAU,,,1.0,133.31,15
HCPCS,S3844,DNA ANALYSIS DEAFNESS,,,1.0,90.89,15
HCPCS,S3845,GENE TEST ALPHA-THALASSEMIA,,,1.0,133.31,15
HCPCS,S3846,GENE TEST BETA-THALASSEMIA,,,1.0,133.31,15
HCPCS,S3849,GENE TEST NIEMANN-PICK,,,1.0,213.1,15
HCPCS,S3850,GENE TEST SICKLE CELL,,,1.0,129.96,15
HCPCS,S3852,DNA ANALYSIS APOE ALZHEIMER,,,0.92,1.12,15
HCPCS,S3853,GENE TEST MYO MUSCLR DYST,,,1.0,130.84,15
HCPCS,S3854,GENE PROFILE PANEL BREAST,,,0.92,1.12,15
HCPCS,S3861,GENETIC TEST BRUGADA,,,1.0,5484.56,10
HCPCS,S3865,COMP GENET TEST HYP CARDIOMY,,,1.0,5484.56,10
HCPCS,S3866,SPEC GENE TEST HYP CARDIOMY,,,1.0,908.28,10
HCPCS,S3870,CGH TEST DEVELOPMENTAL DELAY,,,1.0,1296.07,10
HCPCS,S3900,SURFACE EMG,,,1.0,3.2,10
HCPCS,S3902,BALLISTOCARDIOGRAM,,,1.0,3.2,10
HCPCS,S3904,MASTERS TWO STEP,,,1.0,3.2,10
HCPCS,S4005,INTERIM LABOR FACILITY GLOBA,,,1.0,16.13,95
HCPCS,S4011,IVF PACKAGE,,,1.0,5045.69,15
HCPCS,S4013,COMPL GIFT CASE RATE,,,1.0,6982.56,95
HCPCS,S4014,COMPL ZIFT CASE RATE,,,1.0,9975.06,95
HCPCS,S4015,COMPLETE IVF NOS CASE RATE,,,1.0,8478.84,95
HCPCS,S4016,FROZEN IVF CASE RATE,,,1.0,1994.98,95
HCPCS,S4017,IVF CANC A STIM CASE RATE,,,1.0,3.2,10
HCPCS,S4018,F EMB TRNS CANC CASE RATE,,,1.0,3.2,10
HCPCS,S4020,IVF CANC A ASPIR CASE RATE,,,1.0,3.2,10
HCPCS,S4021,IVF CANC P ASPIR CASE RATE,,,1.0,6982.56,95
HCPCS,S4022,ASST OOCYTE FERT CASE RATE,,,1.0,3046.16,10
HCPCS,S4023,INCOMPL DONOR EGG CASE RATE,,,1.0,16.13,95
HCPCS,S4024,"Air polymer-type A intrauterine foam, per study dose",,,0.92,1.12,10
HCPCS,S4025,DONOR SERV IVF CASE RATE,,,1.0,3.2,10
HCPCS,S4026,PROCURE DONOR SPERM,,,1.0,3.2,10
HCPCS,S4027,STORE PREV FROZ EMBRYOS,,,1.0,96.05,15
HCPCS,S4028,MICROSURG EPI SPERM ASP,,,1.0,115.01,95
HCPCS,S4030,SPERM PROCURE INIT VISIT,,,0.92,3.2,15
HCPCS,S4031,SPERM PROCURE SUBS VISIT,,,0.92,3.2,15
HCPCS,S4035,STIMULATED IUI CASE RATE,,,1.0,498.76,95
HCPCS,S4037,CRYO EMBRYO TRANSF CASE RATE,,,1.0,1496.22,95
HCPCS,S4040,MONIT STORE CRYO EMBRYO 30 D,,,1.0,96.05,15
HCPCS,S4042,OVULATION MGMT PER CYCLE,,,1.0,357.79,10
HCPCS,S4981,INSERT LEVONORGESTREL IUS,,,1.0,561.67,95
HCPCS,S4989,CONTRACEPT IUD,,,1.0,864.01,95
HCPCS,S4990,NICOTINE PATCH LEGEND,,,1.0,5.39,9
HCPCS,S4991,NICOTINE PATCH NONLEGEND,,,1.0,7.68,9
HCPCS,S4995,SMOKING CESSATION GUM,,,1.0,63.44,9
HCPCS,S5010,5% DEXTROSE AND 0.45% SALINE,,,1.0,24.99,9
HCPCS,S5012,5% DEXTROSE WITH POTASSIUM,,,1.0,20.84,9
HCPCS,S5108,HOMECARE TRAIN PT 15 MIN,,,1.0,3.2,10
HCPCS,S5109,HOMECARE TRAIN PT SESSION,,,1.0,3.2,10
HCPCS,S5180,HH RESPIRATORY THRPY IN EVAL,,,1.0,3.2,10
HCPCS,S5181,HH RESPIRATORY THRPY NOS/DAY,,,1.0,3.2,10
HCPCS,S5190,WELLNESS ASSESSMENT BY NONPH,,,1.0,3.2,10
HCPCS,S5199,PERSONAL CARE ITEM NOS EACH,,,1.0,3.2,10
HCPCS,S5550,INSULIN RAPID 5 U,,,0.32,1.0,9
HCPCS,S5551,INSULIN MOST RAPID 5 U,,,0.68,1.78,9
HCPCS,S5552,INSULIN INTERMED 5 U,,,0.52,1.36,9
HCPCS,S5553,INSULIN LONG ACTING 5 U,,,0.99,2.6,9
HCPCS,S5560,INSULIN REUSE PEN 1.5 ML,,,1.0,79.87,9
HCPCS,S5561,INSULIN REUSE PEN 3 ML,,,1.0,91.35,9
HCPCS,S5565,INSULIN CARTRIDGE 150 U,,,1.0,43.33,9
HCPCS,S5566,INSULIN CARTRIDGE 300 U,,,1.0,60.65,9
HCPCS,S5570,INSULIN DISPOS PEN 1.5 ML,,,1.0,156.88,9
HCPCS,S5571,INSULIN DISPOS PEN 3 ML,,,1.0,87.04,9
HCPCS,S8030,TANTALUM RING APPLICATION,,,1.0,16.13,95
HCPCS,S8035,MAGNETIC SOURCE IMAGING,,,1.0,757.65,15
HCPCS,S8037,MRCP,,,1.0,844.98,15
HCPCS,S8040,TOPOGRAPHIC BRAIN MAPPING,,,1.0,1.6,5
HCPCS,S8042,MRI LOW FIELD,,,1.0,651.49,15
HCPCS,S8055,US GUIDANCE FETAL REDUCT,,,1.0,95.03,15
HCPCS,S8080,SCINTIMAMMOGRAPHY,,,0.92,1.6,15
HCPCS,S8085,FLUORINE-18 FLUORODEOXYGLUCO,,,0.92,1.6,15
HCPCS,S8092,ELECTRON BEAM COMPUTED TOMOG,,,1.0,1.6,5
HCPCS,S8120,O2 CONTENTS GAS CUBIC FT,,,1.0,3.2,10
HCPCS,S8121,O2 CONTENTS LIQUID LB,,,1.0,3.2,10
HCPCS,S8130,INTERFERENTIAL STIM 2 CHAN,,,1.0,3.2,10
HCPCS,S8131,INTERFERENTIAL STIM 4 CHAN,,,1.0,3.2,10
HCPCS,S8185,FLUTTER DEVICE,,,1.0,97.97,10
HCPCS,S8186,SWIVEL ADAPTOR,,,1.0,5.76,10
HCPCS,S8189,TRACH SUPPLY NOC,,,1.0,688.91,10
HCPCS,S8210,MUCUS TRAP,,,1.0,9.22,10
HCPCS,S8265,HABERMAN FEEDER,,,1.0,86.45,10
HCPCS,S8270,ENURESIS ALARM,,,1.0,230.52,10
HCPCS,S8415,SUPPLIES FOR HOME DELIVERY,,,1.0,86.45,10
HCPCS,S8420,CUSTOM GRADIENT SLEEV/GLOV,,,1.0,417.82,10
HCPCS,S8421,READY GRADIENT SLEEV/GLOV,,,1.0,288.15,10
HCPCS,S8422,CUSTOM GRAD SLEEVE MED,,,1.0,259.34,10
HCPCS,S8423,CUSTOM GRAD SLEEVE HEAVY,,,1.0,331.38,10
HCPCS,S8424,READY GRADIENT SLEEVE,,,1.0,158.48,10
HCPCS,S8425,CUSTOM GRAD GLOVE MED,,,1.0,244.93,10
HCPCS,S8426,CUSTOM GRAD GLOVE HEAVY,,,1.0,302.56,10
HCPCS,S8427,READY GRADIENT GLOVE,,,1.0,129.67,10
HCPCS,S8428,READY GRADIENT GAUNTLET,,,1.0,129.67,10
HCPCS,S8429,GRADIENT PRESSURE WRAP,,,1.0,331.38,10
HCPCS,S8430,PADDING FOR COMPRSSN BDG,,,1.0,7.2,10
HCPCS,S8431,COMPRESSION BANDAGE,,,1.0,10.82,10
HCPCS,S8460,CAMISOLE POST-MAST,,,1.0,224.12,10
HCPCS,S8490,100 INSULIN SYRINGES,,,1.0,86.45,10
HCPCS,S8930,AURICULAR ELECTROSTIMULATION,,,1.0,3.2,10
HCPCS,S8940,HIPPOTHERAPY PER SESSION,,,1.0,3.2,10
HCPCS,S9001,HOME UTERINE MONITOR WITH OR,,,1.0,16.13,90
HCPCS,S9024,PARANASAL SINUS ULTRASOUND,,,0.92,1.12,10
HCPCS,S9025,OMNICARDIOGRAM/CARDIOINTEGRA,,,1.0,3.2,10
HCPCS,S9034,ESWL FOR GALLSTONES,,,1.0,16.13,90
HCPCS,S9056,COMA STIMULATION PER DIEM,,,1.0,3.2,10
HCPCS,S9083,URGENT CARE CENTER GLOBAL,,,1.0,3.2,10
HCPCS,S9088,SERVICES PROVIDED IN URGENT,,,1.0,3.2,10
HCPCS,S9117,BACK SCHOOL VISIT,,,1.0,3.2,10
HCPCS,S9140,"DIABETIC MANAGEMENT PROGRAM,",,,1.0,63.59,10
HCPCS,S9141,"DIABETIC MANAGEMENT PROGRAM,",,,1.0,106.62,10
HCPCS,S9145,INSULIN PUMP INITIATION,,,1.0,3.2,10
HCPCS,S9150,EVALUATION BY OCULARIST,,,1.0,3.2,10
HCPCS,S9401,ANTICOAG CLINIC PER SESSION,,,1.0,3.2,10
HCPCS,S9432,MED FOOD NON INBORN ERR META,,,1.0,3.2,10
HCPCS,S9436,LAMAZE CLASS,,,1.0,3.2,10
HCPCS,S9437,CHILDBIRTH REFRESHER CLASS,,,1.0,3.2,10
HCPCS,S9438,CESAREAN BIRTH CLASS,,,1.0,3.2,10
HCPCS,S9439,VBAC CLASS,,,1.0,3.2,10
HCPCS,S9441,ASTHMA EDUCATION,,,1.0,3.2,10
HCPCS,S9442,BIRTHING CLASS,,,1.0,3.2,10
HCPCS,S9443,LACTATION CLASS,,,1.0,102.45,10
HCPCS,S9444,PARENTING CLASS,,,1.0,3.2,10
HCPCS,S9445,"NUTRITION COUNSELING, S9445",225.0,168.75,,,0
HCPCS,S9447,INFANT SAFETY CLASS,,,1.0,3.2,10
HCPCS,S9449,WEIGHT MGMT CLASS,,,1.0,3.2,10
HCPCS,S9451,EXERCISE CLASS,,,1.0,3.2,10
HCPCS,S9452,NUTRITION CLASS,,,1.0,26.73,10
HCPCS,S9453,SMOKING CESSATION CLASS,,,1.0,56.25,10
HCPCS,S9454,STRESS MGMT CLASS,,,1.0,3.2,10
HCPCS,S9455,"DIABETIC MANAGEMENT PROGRAM,",,,1.0,163.0,10
HCPCS,S9460,"DIABETIC MANAGEMENT PROGRAM,",,,1.0,60.74,10
HCPCS,S9465,"DIABETIC MANAGEMENT PROGRAM,",,,1.0,60.74,10
HCPCS,S9470,NUTRITIONAL EVAL,225.0,168.75,1.0,156.44,10
HCPCS,S9472,CARDIAC REHABILITATION PROGR,,,1.0,3.2,10
HCPCS,S9473,PULMONARY REHABILITATION PRO,,,1.0,289.95,10
HCPCS,S9474,ENTEROSTOMAL THERAPY BY A RE,,,1.0,3.2,10
HCPCS,S9475,AMBULATORY SETTING SUBSTANCE,,,1.0,3.2,10
HCPCS,S9476,VESTIBULAR REHAB PER DIEM,,,1.0,252.58,10
HCPCS,S9480,INTENSIVE OUTPATIENT PSYCHIA,,,1.0,1068.57,10
HCPCS,S9529,VENIPUNCTURE HOME/SNF,,,1.0,3.35,10
HCPCS,S9563,HT INJ IMMUNO DIEM,,,1.0,3.17,9
HCPCS,S9960,AIR AMBULANC NONEMERG FIXED,,,1.0,3.2,10
HCPCS,S9961,AIR AMBULAN NONEMERG ROTARY,,,1.0,3.2,10
HCPCS,T1503,"MED ADMIN, NOT ORAL/INJECT",,,1.0,73.03,10
HCPCS,U0001,2019-NCOV DIAGNOSTIC P,,,1.0,78.21,15
HCPCS,U0002,COVID 19,250.0,187.5,1.0,78.21,15
HCPCS,V2020,DME POS,,,1.0,3.2,10
HCPCS,V2025,EYEGLASSES DELUX FRAMES,,,1.0,3.2,10
HCPCS,V2100,DME POS,,,1.0,3.2,10
HCPCS,V2101,DME POS,,,1.0,3.2,10
HCPCS,V2102,DME POS,,,1.0,3.2,10
HCPCS,V2103,DME POS,,,1.0,3.2,10
HCPCS,V2104,DME POS,,,1.0,3.2,10
HCPCS,V2105,DME POS,,,1.0,3.2,10
HCPCS,V2106,DME POS,,,1.0,3.2,10
HCPCS,V2107,DME POS,,,1.0,3.2,10
HCPCS,V2108,DME POS,,,1.0,3.2,10
HCPCS,V2109,DME POS,,,1.0,3.2,10
HCPCS,V2110,DME POS,,,1.0,3.2,10
HCPCS,V2111,DME POS,,,1.0,3.2,10
HCPCS,V2112,DME POS,,,1.0,3.2,10
HCPCS,V2113,DME POS,,,1.0,3.2,10
HCPCS,V2114,DME POS,,,1.0,3.2,10
HCPCS,V2115,DME POS,,,1.0,3.2,10
HCPCS,V2118,DME POS,,,1.0,3.2,10
HCPCS,V2121,DME POS,,,1.0,3.2,10
HCPCS,V2199,LENS SINGLE VISION NOT OTH C,,,1.0,3.2,10
HCPCS,V2200,DME POS,,,1.0,3.2,10
HCPCS,V2201,DME POS,,,1.0,3.2,10
HCPCS,V2202,DME POS,,,1.0,3.2,10
HCPCS,V2203,DME POS,,,1.0,3.2,10
HCPCS,V2204,DME POS,,,1.0,3.2,10
HCPCS,V2205,DME POS,,,1.0,3.2,10
HCPCS,V2206,DME POS,,,1.0,3.2,10
HCPCS,V2207,DME POS,,,1.0,3.2,10
HCPCS,V2208,DME POS,,,1.0,3.2,10
HCPCS,V2209,DME POS,,,1.0,3.2,10
HCPCS,V2210,DME POS,,,1.0,3.2,10
HCPCS,V2211,DME POS,,,1.0,3.2,10
HCPCS,V2212,DME POS,,,1.0,3.2,10
HCPCS,V2213,DME POS,,,1.0,3.2,10
HCPCS,V2214,DME POS,,,1.0,3.2,10
HCPCS,V2215,DME POS,,,1.0,3.2,10
HCPCS,V2218,DME POS,,,1.0,3.2,10
HCPCS,V2219,DME POS,,,1.0,3.2,10
HCPCS,V2220,DME POS,,,1.0,3.2,10
HCPCS,V2221,DME POS,,,1.0,3.2,10
HCPCS,V2299,LENS BIFOCAL SPECIALITY,,,1.0,3.2,10
HCPCS,V2300,DME POS,,,1.0,3.2,10
HCPCS,V2301,DME POS,,,1.0,3.2,10
HCPCS,V2302,DME POS,,,1.0,3.2,10
HCPCS,V2303,DME POS,,,1.0,3.2,10
HCPCS,V2304,DME POS,,,1.0,3.2,10
HCPCS,V2305,DME POS,,,1.0,3.2,10
HCPCS,V2306,DME POS,,,1.0,3.2,10
HCPCS,V2307,DME POS,,,1.0,3.2,10
HCPCS,V2308,DME POS,,,1.0,3.2,10
HCPCS,V2309,DME POS,,,1.0,3.2,10
HCPCS,V2310,DME POS,,,1.0,3.2,10
HCPCS,V2311,DME POS,,,1.0,3.2,10
HCPCS,V2312,DME POS,,,1.0,3.2,10
HCPCS,V2313,DME POS,,,1.0,3.2,10
HCPCS,V2314,DME POS,,,1.0,3.2,10
HCPCS,V2315,DME POS,,,1.0,3.2,10
HCPCS,V2318,DME POS,,,1.0,3.2,10
HCPCS,V2319,DME POS,,,1.0,3.2,10
HCPCS,V2320,DME POS,,,1.0,3.2,10
HCPCS,V2321,DME POS,,,1.0,3.2,10
HCPCS,V2399,LENS TRIFOCAL SPECIALITY,,,1.0,3.2,10
HCPCS,V2410,DME POS,,,1.0,3.2,10
HCPCS,V2430,DME POS,,,1.0,3.2,10
HCPCS,V2499,VARIABLE ASPHERICITY LENS,,,1.0,3.2,10
HCPCS,V2500,DME POS,,,1.0,3.2,10
HCPCS,V2501,DME POS,,,1.0,3.2,10
HCPCS,V2502,DME POS,,,1.0,3.2,10
HCPCS,V2503,DME POS,,,1.0,3.2,10
HCPCS,V2510,DME POS,,,1.0,3.2,10
HCPCS,V2511,DME POS,,,1.0,3.2,10
HCPCS,V2512,DME POS,,,1.0,3.2,10
HCPCS,V2513,DME POS,,,1.0,3.2,10
HCPCS,V2520,DME POS,,,1.0,3.2,10
HCPCS,V2521,DME POS,,,1.0,3.2,10
HCPCS,V2522,DME POS,,,1.0,3.2,10
HCPCS,V2523,DME POS,,,1.0,3.2,10
HCPCS,V2530,DME POS,,,1.0,3.2,10
HCPCS,V2531,DME POS,,,1.0,3.2,10
HCPCS,V2599,CONTACT LENS/ES OTHER TYPE,,,1.0,3.2,10
HCPCS,V2600,HAND HELD LOW VISION AIDS,,,1.0,3.2,10
HCPCS,V2610,SINGLE LENS SPECTACLE MOUNT,,,1.0,3.2,10
HCPCS,V2615,TELESCOP/OTHR COMPOUND LENS,,,1.0,3.2,10
HCPCS,V2623,DME POS,,,1.0,3623.65,10
HCPCS,V2624,DME POS,,,1.0,233.95,10
HCPCS,V2625,DME POS,,,1.0,1852.73,10
HCPCS,V2626,DME POS,,,1.0,766.68,10
HCPCS,V2627,DME POS,,,1.0,5496.42,10
HCPCS,V2628,DME POS,,,1.0,1169.16,10
HCPCS,V2629,CONFORMER CARIES KATEN K8-6310,110.0,82.5,1.0,3733.18,10
HCPCS,V2630,LENS IOL-ALCON,954.0,715.5,,,0
HCPCS,V2632,DIOPTER LENSE ALCON SA60AT,877.0,657.75,,,0
HCPCS,V2632,INTRAOCULAR LENS,897.0,672.75,,,0
HCPCS,V2632,INTRAOCULAR LENS AKREOS B&L,827.0,620.25,,,0
HCPCS,V2632,INTRAOCULAR LENS ALCON MA30AC,827.0,620.25,,,0
HCPCS,V2632,INTRAOCULAR LENS ALCON SA60AT,731.0,548.25,,,0
HCPCS,V2632,INTRAOCULAR LENS CRYSTALENS,5834.0,4375.5,,,0
HCPCS,V2632,IOL LENS SN60WF,877.0,657.75,,,0
HCPCS,V2632,LENS INTRAOCULAR  EZ E-60  EYE,1006.0,754.5,,,0
HCPCS,V2632,LENS INTRAOCULAR ACRY SOFT,827.0,620.25,,,0
HCPCS,V2632,LENS VITRECTOMY DORC,425.0,318.75,,,0
HCPCS,V2700,DME POS,,,1.0,3.2,10
HCPCS,V2702,DELUXE LENS FEATURE,,,1.0,3.2,10
HCPCS,V2710,DME POS,,,1.0,3.2,10
HCPCS,V2715,DME POS,,,1.0,3.2,10
HCPCS,V2718,DME POS,,,1.0,3.2,10
HCPCS,V2730,DME POS,,,1.0,3.2,10
HCPCS,V2744,DME POS,,,1.0,3.2,10
HCPCS,V2745,DME POS,,,1.0,3.2,10
HCPCS,V2750,DME POS,,,1.0,3.2,10
HCPCS,V2755,DME POS,,,1.0,3.2,10
HCPCS,V2756,EYE GLASS CASE,,,1.0,3.2,10
HCPCS,V2760,DME POS,,,1.0,3.2,10
HCPCS,V2761,MIRROR COATING,,,1.0,3.2,10
HCPCS,V2762,DME POS,,,1.0,3.2,10
HCPCS,V2770,DME POS,,,1.0,3.2,10
HCPCS,V2780,DME POS,,,1.0,3.2,10
HCPCS,V2781,PROGRESSIVE LENS PER LENS,,,1.0,3.2,10
HCPCS,V2782,DME POS,,,1.0,3.2,10
HCPCS,V2783,DME POS,,,1.0,3.2,10
HCPCS,V2784,DME POS,,,1.0,3.2,10
HCPCS,V2785,TISSUE AQUISITION CORNEAL,34579.0,25934.25,,,0
HCPCS,V2786,DME POS,,,1.0,3.2,10
HCPCS,V2787,IOL ALCON TORIC,2816.0,2112.0,1.0,16.13,180
HCPCS,V2787,LENS IOL TRULIGN TORIC,3227.0,2420.25,1.0,16.13,90
HCPCS,V2788,LENS ACRSOF RESTORE IOL,5832.0,4374.0,1.0,16.13,90
HCPCS,V2797,VIS ITEM/SVC IN OTHER CODE,,,1.0,3.2,10
HCPCS,V2799,MISC VISION ITEM OR SERVICE,,,1.0,3.2,10
HCPCS,V5008,HEARING SCREENING,,,1.0,237.09,10
HCPCS,V5010,ASSESSMENT FOR HEARING AID,,,1.0,3.2,10
HCPCS,V5011,HEARING AID FITTING/CHECKING,,,1.0,3.2,10
HCPCS,V5014,HEARING AID REPAIR/MODIFYING,,,1.0,3.2,10
HCPCS,V5020,CONFORMITY EVALUATION,,,1.0,3.2,10
HCPCS,V5030,BODY-WORN HEARING AID AIR,,,1.0,3.2,10
HCPCS,V5040,BODY-WORN HEARING AID BONE,,,1.0,3.2,10
HCPCS,V5050,HEARING AID MONAURAL IN EAR,,,1.0,3.2,10
HCPCS,V5060,BEHIND EAR HEARING AID,,,1.0,3.2,10
HCPCS,V5070,GLASSES AIR CONDUCTION,,,1.0,3.2,10
HCPCS,V5080,GLASSES BONE CONDUCTION,,,1.0,3.2,10
HCPCS,V5090,HEARING AID DISPENSING FEE,,,1.0,3.2,10
HCPCS,V5095,IMPLANT MID EAR HEARING PROS,,,1.0,16.13,95
HCPCS,V5100,BODY-WORN BILAT HEARING AID,,,1.0,3.2,10
HCPCS,V5110,HEARING AID DISPENSING FEE,,,1.0,3.2,10
HCPCS,V5120,BODY-WORN BINAUR HEARING AID,,,1.0,3.2,10
HCPCS,V5130,IN EAR BINAURAL HEARING AID,,,1.0,3.2,10
HCPCS,V5140,BEHIND EAR BINAUR HEARING AI,,,1.0,3.2,10
HCPCS,V5150,GLASSES BINAURAL HEARING AID,,,1.0,3.2,10
HCPCS,V5160,DISPENSING FEE BINAURAL,,,1.0,3.2,10
HCPCS,V5171,HEARING AID MONAURAL ITE,,,1.0,3.2,10
HCPCS,V5172,HEARING AID MONAURAL ITC,,,1.0,3.2,10
HCPCS,V5181,HEARING AID MONAURAL BTE,,,1.0,3.2,10
HCPCS,V5190,HEARING AID MONAURAL GLASSES,,,1.0,3.2,10
HCPCS,V5200,DISP FEE CONTRALATERAL MONAU,,,1.0,3.2,10
HCPCS,V5211,HEARING AID BINAURAL ITE/ITE,,,1.0,3.2,10
HCPCS,V5212,HEARING AID BINAURAL ITE/ITC,,,1.0,3.2,10
HCPCS,V5213,HEARING AID BINAURAL ITE/BTE,,,1.0,3.2,10
HCPCS,V5214,HEARING AID BINAURAL ITC/ITC,,,1.0,3.2,10
HCPCS,V5215,HEARING AID BINAURAL ITC/BTE,,,1.0,3.2,10
HCPCS,V5221,HEARING AID BINAURAL BTE/BTE,,,1.0,3.2,10
HCPCS,V5230,HEARING AID BINAURAL GLASSES,,,1.0,3.2,10
HCPCS,V5240,DISP FEE CONTRALATERAL BINAU,,,1.0,3.2,10
HCPCS,V5241,"DISPENSING FEE, MONAURAL",,,1.0,3.2,10
HCPCS,V5242,"HEARING AID, MONAURAL, CIC",,,1.0,3.2,10
HCPCS,V5243,"HEARING AID, MONAURAL, ITC",,,1.0,3.2,10
HCPCS,V5244,"HEARING AID, PROG, MON, CIC",,,1.0,3.2,10
HCPCS,V5245,"HEARING AID, PROG, MON, ITC",,,1.0,3.2,10
HCPCS,V5246,"HEARING AID, PROG, MON, ITE",,,1.0,3.2,10
HCPCS,V5247,"HEARING AID, PROG, MON, BTE",,,1.0,3.2,10
HCPCS,V5248,"HEARING AID, BINAURAL, CIC",,,1.0,3.2,10
HCPCS,V5249,"HEARING AID, BINAURAL, ITC",,,1.0,3.2,10
HCPCS,V5250,"HEARING AID, PROG, BIN, CIC",,,1.0,3.2,10
HCPCS,V5251,"HEARING AID, PROG, BIN, ITC",,,1.0,3.2,10
HCPCS,V5252,"HEARING AID, PROG, BIN, ITE",,,1.0,3.2,10
HCPCS,V5253,"HEARING AID, PROG, BIN, BTE",,,1.0,3.2,10
HCPCS,V5254,"HEARING ID, DIGIT, MON, CIC",,,1.0,3.2,10
HCPCS,V5255,"HEARING AID, DIGIT, MON, ITC",,,1.0,3.2,10
HCPCS,V5256,"HEARING AID, DIGIT, MON, ITE",,,1.0,3.2,10
HCPCS,V5257,"HEARING AID, DIGIT, MON, BTE",,,1.0,3.2,10
HCPCS,V5258,"HEARING AID, DIGIT, BIN, CIC",,,1.0,3.2,10
HCPCS,V5259,"HEARING AID, DIGIT, BIN, ITC",,,1.0,3.2,10
HCPCS,V5260,"HEARING AID, DIGIT, BIN, ITE",,,1.0,3.2,10
HCPCS,V5261,"HEARING AID, DIGIT, BIN, BTE",,,1.0,3.2,10
HCPCS,V5262,"HEARING AID, DISP, MONAURAL",,,1.0,3.2,10
HCPCS,V5263,"HEARING AID, DISP, BINAURAL",,,1.0,3.2,10
HCPCS,V5264,EAR MOLD/INSERT,,,1.0,3.2,10
HCPCS,V5265,"EAR MOLD/INSERT, DISP",,,1.0,3.2,10
HCPCS,V5266,BATTERY FOR HEARING DEVICE,,,1.0,3.2,10
HCPCS,V5267,HEARING AID SUP/ACCESS/DEV,,,1.0,3.2,10
HCPCS,V5268,ALD TELEPHONE AMPLIFIER,,,1.0,3.2,10
HCPCS,V5269,"ALERTING DEVICE, ANY TYPE",,,1.0,3.2,10
HCPCS,V5270,"ALD, TV AMPLIFIER, ANY TYPE",,,1.0,3.2,10
HCPCS,V5271,"ALD, TV CAPTION DECODER",,,1.0,3.2,10
HCPCS,V5272,TDD,,,1.0,3.2,10
HCPCS,V5273,ALD FOR COCHLEAR IMPLANT,,,1.0,3.2,10
HCPCS,V5274,ALD UNSPECIFIED,,,1.0,3.2,10
HCPCS,V5275,EAR IMPRESSION,,,1.0,3.2,10
HCPCS,V5298,HEARING AID NOC,,,1.0,3.2,10
HCPCS,V5299,HEARING SERVICE,,,1.0,3.2,10
HCPCS,V5336,REPAIR COMMUNICATION DEVICE,,,1.0,3.2,10
HCPCS,V5362,SPEECH SCREENING,,,1.0,3.2,10
HCPCS,V5363,LANGUAGE SCREENING,,,1.0,3.2,10
HCPCS,V5364,DYSPHAGIA SCREENING,,,1.0,3.2,10
MS-DRG,1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,297417.65,728960.72,6
MS-DRG,10,PANCREAS TRANSPLANT,,,76155.7,171341.36,6
MS-DRG,100,SEIZURES WITH MCC,,,20555.26,46246.91,6
MS-DRG,101,SEIZURES WITHOUT MCC,,,9579.29,21552.28,6
MS-DRG,102,HEADACHES WITH MCC,,,11896.11,26764.85,6
MS-DRG,103,HEADACHES WITHOUT MCC,,,8875.65,22948.27,6
MS-DRG,11,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,57884.36,193751.88,22
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,2339.8,56139.57,22
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,3272.2,35786.21,22
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,3548.58,36650.34,22
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,19189.37,43173.81,6
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,11514.04,28492.74,6
MS-DRG,12,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,44744.41,122956.91,6
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,9612.32,27777.28,22
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,8339.7,18763.33,6
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,8475.54,24973.9,6
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,14042.06,31592.98,6
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,8148.66,18333.53,6
MS-DRG,13,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,30584.54,86156.39,6
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,4396.42,51815.26,22
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,6051.25,24771.64,22
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,2452.17,35654.63,22
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,3004.91,21160.68,22
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,2954.97,29506.04,22
MS-DRG,14,ALLOGENEIC BONE MARROW TRANSPLANT,,,127545.97,415992.75,6
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,3633.13,101846.83,22
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,3095.71,76081.76,22
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,3473.67,56262.67,22
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,3606.46,92239.24,22
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,2995.27,41378.19,22
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,3100.82,31244.15,22
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,22471.97,50559.28,6
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,13494.43,30360.88,6
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,8459.62,24248.12,6
MS-DRG,149,DYSEQUILIBRIUM,,,7976.73,19242.04,6
MS-DRG,150,EPISTAXIS WITH MCC,,,14131.21,37782.1,6
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,7789.94,18929.72,6
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,12546.69,28228.57,6
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,7834.52,17626.74,6
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,16593.43,37333.25,6
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,9726.81,25196.99,6
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,7334.64,16502.09,6
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,18220.4,61173.57,6
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,9655.71,22853.08,6
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,7519.31,16917.56,6
MS-DRG,16,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,62931.91,264671.01,6
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,22262.46,107016.42,22
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,26787.21,60352.6,6
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,20315.4,48264.24,22
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,18447.15,89248.8,22
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,10864.79,45983.96,22
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,14501.6,35717.8,6
MS-DRG,17,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,57653.0,135411.14,6
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,31588.53,71070.48,6
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,8950.61,32798.82,22
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,8543.47,39825.45,22
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,8680.48,37314.15,22
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,10358.29,40528.58,22
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,8012.81,30855.54,22
MS-DRG,18,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,201436.11,1031118.9,6
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,8415.46,42168.55,22
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,9825.13,28821.62,22
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,8000.08,25672.0,22
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,16236.83,36530.95,22
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,11293.29,25408.58,6
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,8347.12,18780.05,6
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,16540.36,37213.86,6
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,10497.32,23617.73,6
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,7611.64,17125.3,6
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,13111.3,29498.88,6
MS-DRG,19,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,75719.51,175230.77,6
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,3113.3,26449.66,22
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,5249.38,20129.15,22
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6519.44,17488.65,22
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,6762.9,31385.24,22
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,3201.84,19243.28,22
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,6670.27,15007.32,6
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,1960.71,45062.56,22
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,3755.72,24828.15,22
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,2948.16,17101.42,22
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,4265.33,42123.18,22
MS-DRG,2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,120264.39,270580.72,6
MS-DRG,20,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,9919.9,218444.31,22
MS-DRG,200,PNEUMOTHORAX WITH CC,,,4006.55,26249.09,22
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,3072.45,17075.16,22
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,10307.35,23190.31,6
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,4222.77,15998.26,22
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,4070.11,19279.1,22
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,3486.72,43720.62,22
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,4213.12,22471.59,22
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,3230.21,164085.32,22
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,29171.95,65633.46,6
MS-DRG,21,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,13845.86,159668.19,22
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,115406.82,282592.37,6
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,105673.64,237753.25,6
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,103824.86,244090.44,6
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,69783.66,163552.88,6
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,69783.66,157005.01,6
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,81489.8,183342.45,6
MS-DRG,22,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,8750.85,103173.51,22
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,9951.68,131704.91,22
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,53491.64,120349.9,6
MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC",,,5394.09,24650.5,16
MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC",,,7893.93,20524.77,16
MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC",,,8769.01,27827.36,16
MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC,,,5925.84,19452.76,16
MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC,,,8772.98,20368.14,16
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,6933.15,147246.67,22
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,7983.02,87069.56,22
MS-DRG,23,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,9655.44,136828.1,22
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,8934.72,201289.15,22
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,64342.37,163088.86,6
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,6445.1,182552.09,22
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,6146.59,130438.35,22
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,62283.45,140130.43,6
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,44455.73,100020.17,6
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,52234.0,117520.35,6
MS-DRG,24,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,5936.05,104092.63,22
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,5209.65,68064.24,22
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,4209.72,33056.7,22
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,4225.61,79422.12,22
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,3172.89,52776.55,22
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,3241.56,49260.69,22
MS-DRG,245,AICD GENERATOR PROCEDURES,,,3444.16,108940.99,22
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents,,,4200.07,15662.43,16
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC,,,3016.26,10997.01,16
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents,,,3767.06,10495.34,16
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC,,,3545.17,7408.14,16
MS-DRG,25,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,48254.13,115086.38,6
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,23162.87,60870.17,6
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,3910.07,38180.68,22
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,4129.13,112177.32,22
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,4457.71,61977.74,22
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,3982.15,44320.05,22
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,28627.51,64408.52,6
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,18019.81,45976.85,6
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,11591.52,26079.55,6
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,33347.11,75027.06,6
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,21460.55,48283.7,6
MS-DRG,26,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,8364.95,85739.96,22
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,9931.25,99476.2,22
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,8824.06,54457.15,22
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,17298.13,49326.13,6
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,7226.55,73004.6,22
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,5146.66,79766.85,22
MS-DRG,265,AICD LEAD PROCEDURES,,,38399.96,90115.45,6
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,65040.71,146749.93,6
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,50526.37,123156.2,6
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,72995.15,164230.5,6
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,44820.82,100841.57,6
MS-DRG,27,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,8877.97,77503.57,22
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,55997.37,128064.12,6
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,37743.01,84917.33,6
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,27094.99,60960.53,6
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,43783.93,98508.69,6
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,34934.81,78599.21,6
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,75674.94,179047.05,6
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,63748.05,173208.11,6
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,49016.14,134581.25,6
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,59074.08,132909.72,6
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,3104.23,86113.62,22
MS-DRG,28,SPINAL PROCEDURES WITH MCC,,,63766.09,143466.19,6
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,3377.19,38302.7,22
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,4839.07,23424.19,22
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,3242.7,20324.76,22
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,3141.11,51565.93,22
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,3639.38,19488.92,22
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,6356.13,14300.53,6
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,23484.45,52837.24,6
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,11356.97,27335.66,6
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,28720.9,80424.53,6
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,18115.33,40757.36,6
MS-DRG,29,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,16464.88,81462.18,22
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,9866.91,24456.34,6
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,13624.97,30654.58,6
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,9010.44,20272.42,6
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,6006.96,13514.95,6
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,16576.44,41753.06,6
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,6728.64,15138.65,6
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,4829.98,12942.05,6
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,17327.85,40018.97,22
MS-DRG,3,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,225263.05,559464.78,6
MS-DRG,30,SPINAL PROCEDURES WITHOUT CC/MCC,,,7887.68,55780.8,22
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,11329.38,27084.5,22
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,7638.18,19010.03,6
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,12699.52,35753.49,6
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,7144.67,59041.0,22
MS-DRG,304,HYPERTENSION WITH MCC,,,12629.47,33115.11,22
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,8013.88,20715.45,22
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,16723.97,46077.98,6
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,9691.79,25060.16,6
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,8269.04,28749.11,22
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,7807.98,20300.61,22
MS-DRG,31,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,47551.55,117849.69,6
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,6008.02,27907.38,22
MS-DRG,311,ANGINA PECTORIS,,,7449.26,17653.66,6
MS-DRG,312,SYNCOPE AND COLLAPSE,,,9250.29,37994.69,22
MS-DRG,313,CHEST PAIN,,,7641.36,24479.11,22
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,6272.58,49790.41,22
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,7736.16,24016.6,22
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6942.8,16709.47,22
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,7761.7,159660.25,22
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,47364.76,106565.13,6
MS-DRG,32,VENTRICULAR SHUNT PROCEDURES WITH CC,,,22616.3,50884.02,6
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,8156.11,70525.4,22
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,10047.59,72316.04,22
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,10049.29,50346.39,22
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,9598.69,123905.77,22
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,8505.69,81697.62,22
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,12538.91,76657.93,22
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,8346.79,119089.14,22
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,25940.29,58362.61,6
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,17005.21,38259.72,6
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,48782.65,109755.23,6
MS-DRG,33,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,17648.36,46229.68,6
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,25441.48,57240.34,6
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,17860.62,40184.29,6
MS-DRG,332,RECTAL RESECTION WITH MCC,,,38426.49,86455.07,6
MS-DRG,333,RECTAL RESECTION WITH CC,,,24857.77,57015.22,6
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,17383.03,44700.79,6
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,37897.96,85265.95,6
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,22379.63,50351.54,6
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,16290.95,38674.45,6
MS-DRG,34,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,41079.74,92424.57,6
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without CC/MCC,,,3423.73,12102.51,16
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With MCC,,,3216.02,16852.48,16
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With CC,,,4543.4,13374.27,16
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without CC/MCC,,,5864.55,17210.01,16
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,3608.73,63957.7,22
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,15969.38,36803.49,6
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,5192.62,34260.29,22
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,5263.56,80882.6,22
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,13890.29,31251.53,6
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,4644.42,26345.15,22
MS-DRG,35,CAROTID ARTERY STENT PROCEDURES WITH CC,,,25370.38,57080.36,6
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,26446.53,59501.59,6
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,2839.77,36402.01,22
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,12393.86,34994.99,6
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,30798.93,74844.37,6
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,17855.31,40172.35,6
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,14274.49,32835.51,6
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,46620.79,104891.28,6
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,24680.53,55528.29,6
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,14835.91,40102.21,6
MS-DRG,36,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,20618.94,46390.18,6
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,16894.83,38011.39,6
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,10615.12,24956.06,6
MS-DRG,37,EXTRACRANIAL PROCEDURES WITH MCC,,,34939.06,78608.76,6
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,7437.59,17183.69,6
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,18817.91,42338.08,6
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,10835.87,24379.44,6
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,7719.9,17371.08,6
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,22698.02,51067.88,6
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,12837.48,28882.83,6
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,9809.6,22070.44,6
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,19400.56,43648.98,6
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,10408.17,23644.3,6
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6690.44,17433.54,6
MS-DRG,38,EXTRACRANIAL PROCEDURES WITH CC,,,17220.65,38744.44,6
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,3294.34,47478.97,22
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,2535.02,25871.81,22
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,4591.64,19116.73,22
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,3228.51,32968.35,22
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,4024.14,20410.91,22
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,3541.2,37782.16,22
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,10361.47,23312.09,6
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,7230.64,16268.08,6
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,15673.28,35263.03,6
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,8382.15,18858.84,6
MS-DRG,39,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,12475.58,35946.83,6
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,5773.47,12989.63,6
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,13460.47,30284.47,6
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,8273.89,18615.29,6
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,16973.37,38188.09,6
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,9930.58,22342.64,6
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6887.84,16698.84,6
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,25417.07,57185.42,6
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,16063.84,36141.74,6
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,12148.7,28796.13,6
MS-DRG,4,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,27493.67,330743.73,22
MS-DRG,40,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,7142.55,92197.73,22
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,42669.57,96001.5,6
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,7713.46,130624.6,22
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,30779.82,80451.3,6
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,23556.61,53427.97,6
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,37841.71,114589.64,6
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,23107.68,70876.39,6
MS-DRG,41,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,4249.44,54019.89,22
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,16850.26,45396.82,6
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,35057.92,78876.2,6
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,22313.83,50203.5,6
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,17622.89,39649.42,6
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,37809.87,85067.76,6
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,21933.89,49348.66,6
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,14468.7,35857.6,6
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,25326.86,56982.46,6
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,17952.95,40392.02,6
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,14495.24,35783.24,6
MS-DRG,42,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,5883.84,46848.38,22
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,2993.56,99556.51,22
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,2805.15,47770.47,22
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,2248.43,39427.0,22
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,3324.41,99165.33,22
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,3974.2,52242.68,22
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,2883.47,39421.05,22
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,3069.61,263164.21,22
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,3300.58,172365.73,22
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,3563.9,134242.12,22
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,95618.88,215131.23,6
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,61206.23,137706.81,6
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,20888.51,46996.68,6
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,11209.45,25219.94,6
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,7561.76,17013.08,6
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,19492.9,43856.72,6
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,12004.36,27008.41,6
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,9056.07,22567.53,6
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,17301.31,38925.92,6
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,8927.66,20086.17,6
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6594.92,14837.79,6
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,12791.45,59671.44,22
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,9316.08,28198.51,22
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,7425.92,20790.93,22
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,7042.11,39897.75,22
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,8318.41,26132.08,22
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,6680.04,19822.07,22
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,8767.31,159543.24,23
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,7535.27,101261.82,23
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,29668.0,127260.19,7
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,29668.0,77135.49,7
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,89185.28,200656.39,6
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,63286.38,142386.9,6
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,44283.8,122305.49,6
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,5230.65,131910.15,22
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,3229.64,71057.83,22
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,3035.56,136092.66,22
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,33056.31,74372.81,6
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,3355.63,43546.31,22
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,3441.89,124294.54,22
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,37427.81,84208.15,6
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,3802.25,65616.74,22
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,3021.94,83753.0,23
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,3222.83,46058.27,23
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,26378.0,115299.7,7
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,26378.0,70346.98,7
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,25909.52,58293.36,7
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,45560.55,102505.87,6
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,24152.0,54339.16,6
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,12525.46,28180.82,6
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,36663.67,82488.94,6
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,26099.49,58720.78,6
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,19728.51,44386.81,6
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,30908.24,75817.03,6
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,22228.93,50012.47,6
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,5159.71,38945.02,22
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,6294.14,66187.43,22
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,7080.7,77056.69,22
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,22192.84,49931.29,6
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,16622.08,37397.72,6
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,18773.34,42237.79,6
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,11852.6,26666.95,6
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,18467.0,87670.46,7
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,18467.0,62324.7,7
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,18467.0,47911.21,7
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,38479.55,86574.46,6
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,19144.79,50209.56,6
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,12823.69,32948.54,6
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,32017.3,72035.15,6
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,21383.07,48781.8,6
MS-DRG,5,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,12546.29,275623.12,22
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,4264.76,98604.68,22
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,3404.43,41741.13,22
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,14284.04,34325.73,6
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,29621.94,66645.89,6
MS-DRG,504,FOOT PROCEDURES WITH CC,,,19837.82,44632.76,6
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,19026.99,42808.48,6
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,14319.06,32216.2,6
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,19171.32,43133.22,6
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,16072.33,36160.84,6
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,32056.57,72123.5,6
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,7808.23,50932.36,22
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,17568.76,43359.29,6
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,7451.84,37591.14,22
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,7816.18,29688.76,22
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,33822.57,111606.21,6
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,22054.88,53142.42,6
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,5330.53,36693.32,22
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,5916.76,89239.25,23
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,6845.18,48888.88,23
MS-DRG,52,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,3908.94,43250.22,22
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,15854.76,38763.68,7
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,17757.0,89704.97,7
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,17757.0,51170.32,7
MS-DRG,53,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,3572.98,25925.74,22
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,16638.0,37433.54,6
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,8555.14,19248.06,6
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,13605.87,30611.6,6
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,8571.06,19283.87,6
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,10127.99,36172.89,6
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,7644.54,18242.61,6
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,2886.31,47032.5,22
MS-DRG,54,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,4187.02,36459.32,22
MS-DRG,540,OSTEOMYELITIS WITH CC,,,4516.73,30953.05,22
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,3334.63,18801.54,22
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,2836.37,56952.75,22
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,2906.74,29828.29,22
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,8008.57,22160.03,6
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,26338.28,62461.53,6
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,12241.03,30557.04,6
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,2854.53,24837.08,22
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,2268.86,46106.03,22
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,12812.01,28825.52,6
MS-DRG,55,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,4446.36,28317.24,22
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,9276.82,20871.76,6
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,17788.45,40021.92,6
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,10202.28,22953.92,6
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,13757.63,30953.05,6
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,8809.85,19821.13,6
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,14028.26,37434.08,6
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,8815.16,21101.1,6
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,15780.47,38606.04,6
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,9479.53,21327.83,6
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,19792.18,56580.94,6
MS-DRG,56,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,24655.06,55470.98,6
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,2395.99,26889.02,22
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,1705.34,19195.52,22
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,15121.4,34021.37,6
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,9503.94,21382.75,6
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,2225.17,43609.14,22
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,10341.31,23266.72,6
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,1996.46,17891.79,22
MS-DRG,57,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,13750.2,39864.25,6
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,31213.89,70227.59,6
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,17930.66,40341.88,6
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,12165.68,27371.35,6
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,69530.01,156434.33,6
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,36841.97,82890.09,6
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,19071.56,42908.77,6
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,52016.44,135515.25,6
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,28131.88,86908.94,6
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,17048.72,43168.92,6
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,34370.2,77328.9,6
MS-DRG,58,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,4110.97,40819.44,22
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,2694.49,50468.34,22
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,976.67,72314.25,22
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,20447.01,94232.16,6
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,18301.06,451754.4,22
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,22719.25,76016.32,6
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,20473.54,66325.4,6
MS-DRG,59,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,4345.91,34486.35,22
MS-DRG,592,SKIN ULCERS WITH MCC,,,20539.34,46211.09,6
MS-DRG,593,SKIN ULCERS WITH CC,,,12590.2,134752.31,22
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,9199.35,20697.45,6
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,22506.99,61929.09,6
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,11488.57,25847.94,6
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,17692.93,40485.92,6
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,12006.49,27013.18,6
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,8165.64,18371.73,6
MS-DRG,6,LIVER TRANSPLANT WITHOUT MCC,,,49212.48,110722.29,6
MS-DRG,60,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,3564.47,22740.05,22
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,11054.5,24871.32,6
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6420.86,14446.19,6
MS-DRG,602,CELLULITIS WITH MCC,,,15084.26,93027.44,22
MS-DRG,603,CELLULITIS WITHOUT MCC,,,9242.86,96915.38,22
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,15623.4,35150.8,6
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,9721.51,21872.25,6
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,16059.59,36132.19,6
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,9619.62,65621.16,22
MS-DRG,61,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,29261.1,70462.93,6
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,11191.1,72155.42,22
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,14850.77,44028.55,6
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,37011.78,83272.14,6
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,19849.49,44659.02,6
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,15052.42,33866.17,6
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,18533.0,68945.34,7
MS-DRG,62,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,18649.16,44162.4,6
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,16983.98,38211.96,7
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,5028.62,37759.18,23
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,11750.09,84986.58,22
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,6722.61,44173.07,22
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,13286.41,29892.87,6
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,9960.19,72113.95,22
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,3969.66,39727.42,22
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,14097.25,32912.84,6
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,39552.53,88988.53,6
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,23123.6,52025.39,6
MS-DRG,63,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,14898.53,43832.23,6
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,15489.67,183894.4,22
MS-DRG,637,DIABETES WITH MCC,,,15247.7,34305.52,6
MS-DRG,638,DIABETES WITH CC,,,9511.37,21399.46,6
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,3200.7,19123.05,22
MS-DRG,64,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,21342.74,48018.66,6
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,3481.61,31891.46,22
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,8259.04,18581.86,6
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,15092.75,51307.15,6
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,17470.06,39305.58,6
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,10878.32,24474.95,6
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,8153.97,18345.47,6
MS-DRG,65,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,10722.31,27740.19,6
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,9574.29,228411.86,22
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,7532.43,145827.84,22
MS-DRG,652,KIDNEY TRANSPLANT,,,34274.68,181759.8,6
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,55149.39,124079.64,6
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,29708.97,78613.06,6
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,22463.48,69951.32,6
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,33789.67,85391.95,6
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,19421.79,47648.52,6
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,16469.25,41645.97,6
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,26966.57,60671.61,6
MS-DRG,66,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,7263.54,21038.64,6
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,3663.21,31559.55,22
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,4390.75,26245.17,22
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,3260.86,73102.5,22
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,3282.42,40619.77,22
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,11110.75,29557.61,6
MS-DRG,665,PROSTATECTOMY WITH MCC,,,33125.3,74528.01,6
MS-DRG,666,PROSTATECTOMY WITH CC,,,18565.32,41769.79,6
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,11740.1,26413.84,6
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,30989.96,69723.76,6
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,16471.38,39721.47,6
MS-DRG,67,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,15587.31,36425.73,6
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,10372.08,23700.82,6
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,19050.33,53347.66,6
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,11456.73,25776.3,6
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,44591.58,100325.8,6
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,24819.56,55841.09,6
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,17420.18,39193.35,6
MS-DRG,68,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,9173.88,21648.41,6
MS-DRG,682,RENAL FAILURE WITH MCC,,,15717.85,35363.32,6
MS-DRG,683,RENAL FAILURE WITH CC,,,9294.87,20912.35,6
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,6370.98,14333.96,6
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,19142.67,58621.45,6
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,11120.3,25019.37,6
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,8387.45,20351.53,6
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,12314.26,27705.64,6
MS-DRG,69,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,8477.66,21687.08,6
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,8591.22,40030.32,22
MS-DRG,693,URINARY STONES WITH MCC,,,14269.18,32103.97,6
MS-DRG,694,URINARY STONES WITHOUT MCC,,,4324.92,18665.43,22
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,5063.8,34254.3,22
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,4359.53,17607.82,22
MS-DRG,697,URETHRAL STRICTURE,,,11438.69,25735.71,6
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,17558.15,39503.76,6
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,10772.19,24236.17,6
MS-DRG,7,LUNG TRANSPLANT,,,52543.12,309224.88,22
MS-DRG,70,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,17668.52,42187.33,6
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,7321.91,16473.43,6
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,21229.18,65781.07,6
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,16282.46,39070.06,6
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,24697.51,55566.49,6
MS-DRG,71,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,10888.94,24498.83,6
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,8015.94,33457.85,22
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,8151.0,49756.98,22
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,11671.12,26258.64,6
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,15955.58,35898.19,6
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,11222.19,27032.26,6
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,23744.46,61816.06,6
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,15611.72,40521.61,6
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,20063.88,45141.36,6
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,14254.32,32070.54,6
MS-DRG,72,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,8025.55,18379.44,6
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,2607.66,43212.02,22
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,2682.57,27285.39,22
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2949.3,18766.12,22
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,12419.33,27942.04,6
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,7662.59,17239.92,6
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,15738.02,35408.69,6
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,8609.27,19369.83,6
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,11235.98,25279.64,6
MS-DRG,73,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,7480.22,38307.48,22
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,7131.94,16799.98,6
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,22605.69,50860.14,6
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,14279.79,36119.35,6
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,37936.17,89395.62,6
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,21869.15,49203.01,6
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,15585.19,35064.84,6
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,38024.26,85550.1,6
MS-DRG,74,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,10939.88,24613.44,6
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,5630.17,47282.65,22
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,15135.2,35238.9,6
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,19472.73,43811.35,6
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,13167.55,29625.43,6
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,21747.1,48928.41,6
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,12072.29,30571.91,6
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,18435.84,41478.47,6
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,9124.0,29388.06,6
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,14723.41,44302.2,6
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,27249.94,61309.15,6
MS-DRG,75,VIRAL MENINGITIS WITH CC/MCC,,,20350.43,45786.07,6
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,4072.38,35239.15,22
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,19545.96,45667.5,6
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2985.05,25974.49,22
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,3216.02,22934.82,22
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,4478.71,34190.91,22
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,10390.13,23376.56,6
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5659.68,22235.78,22
MS-DRG,76,VIRAL MENINGITIS WITHOUT CC/MCC,,,8757.85,19704.13,6
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,2218.93,24057.09,22
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,3708.61,13622.4,22
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,1.07,13896.86,13
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,17933.85,40349.04,6
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,1824.51,23942.47,22
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,3557.66,15632.93,22
MS-DRG,779,ABORTION WITHOUT D&C,,,8928.72,20088.56,6
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,9969.0,58622.88,8
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,9969.0,25313.07,8
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,9969.0,22870.35,8
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,9969.0,39386.76,8
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,9969.0,26666.95,8
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,9969.0,22894.23,8
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,30.0,98209.07,11
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,30.0,180995.35,11
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,30.0,58267.48,11
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,30.0,28755.79,27
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,30.0,27335.66,27
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,30.0,21731.28,27
MS-DRG,795,NORMAL NEWBORN,,,30.0,3266.0,11
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,1.17,22225.46,13
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,1.0,18403.23,13
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,0.96,16511.45,13
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,48065.22,108141.07,6
MS-DRG,8,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,20269.4,133826.64,22
MS-DRG,80,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,19209.53,43219.18,6
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,29816.16,67082.85,6
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,20259.16,55337.6,6
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,42283.25,95132.34,6
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,19728.51,44386.81,6
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,14391.23,37704.76,6
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,1.08,13989.07,13
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,0.75,11692.76,13
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,0.67,10389.93,13
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,23432.44,52720.24,6
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,13435.0,30227.16,6
MS-DRG,81,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,9505.0,27127.44,6
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,3296.61,24990.71,22
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,1579.35,33531.88,22
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,2544.67,21924.78,22
MS-DRG,813,COAGULATION DISORDERS,,,3929.37,37975.44,22
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,22570.67,50781.34,6
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,2298.94,24212.29,22
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,2043.0,15090.9,22
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,2554.88,54480.04,22
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,12302.59,27679.38,6
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,9126.12,20532.69,6
MS-DRG,82,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,3325.55,60073.0,22
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,62243.12,140039.69,6
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,23758.26,58249.63,6
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,12778.05,40352.07,6
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,48658.48,113462.3,6
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,24044.81,55495.25,6
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,14321.18,46464.66,6
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,49645.49,111696.51,6
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,24528.77,70394.52,6
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,18082.43,48347.52,6
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,33537.08,96573.09,6
MS-DRG,83,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,14813.63,33328.91,6
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,15972.56,35936.39,6
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,12762.13,28713.29,6
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,7658.34,17230.36,6
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,5549.54,12485.81,6
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,58264.31,219491.33,6
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,22136.6,105907.07,6
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,12942.55,30336.93,6
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,50988.04,120398.84,6
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,22153.58,53737.32,6
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,15324.11,34477.44,6
MS-DRG,84,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,10143.91,22822.59,6
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,34331.99,90984.01,6
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,17314.05,145721.52,22
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,10045.89,93817.4,22
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,3840.84,47631.83,22
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,3163.81,29977.01,22
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,9038.03,23477.73,6
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,27514.2,61903.71,6
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,13883.93,31237.2,6
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,9014.68,20281.97,6
MS-DRG,849,RADIOTHERAPY,,,28755.92,75186.44,6
MS-DRG,85,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,24111.67,54248.43,6
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,8290.61,206771.54,22
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,52413.36,117923.89,6
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,21205.84,47710.63,6
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,15889.78,35750.14,6
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,48275.35,108613.86,6
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,22727.74,51134.74,6
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,14782.85,33259.67,6
MS-DRG,86,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,13825.56,31105.87,6
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,3861.84,43546.31,22
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,6895.12,54431.76,22
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,9421.16,21196.5,6
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,15901.46,35776.41,6
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,9229.06,20764.31,6
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,22215.13,67274.27,6
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,10943.06,25655.06,6
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,7744.31,25134.52,6
MS-DRG,87,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,9707.71,21841.21,6
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,73354.93,165039.96,6
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,20615.75,46383.01,6
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,10860.28,24434.36,6
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,41018.18,92286.08,6
MS-DRG,88,CONCUSSION WITH MCC,,,14346.65,49522.45,6
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,2732.0,22927.66,7
MS-DRG,881,DEPRESSIVE NEUROSES,,,2732.0,22466.81,7
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,2732.0,33207.32,7
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,2732.0,46951.31,7
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,2732.0,38417.31,7
MS-DRG,885,PSYCHOSES,,,2732.0,33352.79,7
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,2732.0,49554.01,7
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,2732.0,25570.95,7
MS-DRG,89,CONCUSSION WITH CC,,,11659.44,33803.14,22
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,4131.4,14730.34,22
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,15023.76,33801.7,6
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,18520.75,41669.5,6
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,9369.16,21079.5,6
MS-DRG,90,CONCUSSION WITHOUT CC/MCC,,,8736.62,25702.65,6
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,44538.52,100206.41,6
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,20318.59,54692.13,6
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,12412.96,30387.49,6
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,38982.61,87706.28,6
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,15743.32,35420.63,6
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,20847.12,47020.9,6
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,40746.49,91674.81,6
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,21175.06,47641.39,6
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,13931.69,31344.65,6
MS-DRG,91,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,13445.21,45926.28,22
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,17348.01,39030.98,6
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,9397.81,21143.97,6
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,17846.82,40153.24,6
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,7071.44,15909.91,6
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,16645.43,37450.26,6
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,9096.4,20465.83,6
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,19430.28,43715.84,6
MS-DRG,92,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,10857.1,35253.67,22
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,10637.41,24129.14,6
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,7305.99,17855.92,6
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,18566.38,91828.76,6
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,10800.85,25312.99,6
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,226592.86,509807.24,6
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,76123.87,171269.73,6
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,34182.35,76906.26,6
MS-DRG,93,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,8451.13,21184.39,6
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,41329.14,92985.71,6
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,23461.1,52784.71,6
MS-DRG,935,NON-EXTENSIVE BURNS,,,21035.66,49188.68,6
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,38509.27,86641.32,6
MS-DRG,94,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,37351.39,86968.43,6
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,24801.52,55800.5,6
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,21519.98,48417.42,6
MS-DRG,945,REHABILITATION WITH CC/MCC,,,1492.0,42594.84,7
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,1492.0,24405.77,7
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,13472.14,30310.73,6
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,8495.71,22231.41,6
MS-DRG,949,AFTERCARE WITH CC/MCC,,,12626.29,28407.66,6
MS-DRG,95,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,8024.45,73693.24,22
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,6661.78,28950.44,22
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,5900.83,22432.71,22
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,71437.16,224661.01,6
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,39936.72,138683.09,6
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,80870.0,190525.65,6
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,44722.12,100619.5,6
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,31245.73,70299.22,6
MS-DRG,96,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,27373.05,61586.14,6
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,29013.82,70947.77,6
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,16265.48,36595.42,6
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,9981.53,22457.26,6
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,64965.36,167485.17,6
MS-DRG,97,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,5084.23,86242.56,22
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,27990.73,62975.84,6
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,30629.12,68911.91,6
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,13743.83,30922.01,6
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,9580.36,21554.67,6
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,13772.49,30986.48,6
MS-DRG,98,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,6091.54,54797.62,22
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,49794.07,132085.65,6
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,26092.06,58704.06,6
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,18190.68,41711.41,6
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,36385.61,98560.06,6
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,17443.53,39245.88,6
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,12727.11,28634.5,6
MS-DRG,99,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,14459.15,39444.84,6
RC,1000,Behavioral Health Accommodations General,,,1.0,1.0,3
RC,1001,Behavioral Health Accommodations Residential Treatment - Psychiatric,,,1.0,1851.0,8
RC,1002,Behavioral Health Accommodations Residential Treatment - Chemical Dependency,,,1.0,1.0,3
RC,1003,Behavioral Health Accommodations Supervised Living,,,1.0,1.0,3
RC,1004,Behavioral Health Accommodations Halfway House,,,1.0,1.0,3
RC,1005,Behavioral Health Accommodations Group Home,,,1.0,1.0,3
RC,114,Room And Board Private (One Bed) Psychiatric,,,1647.0,1851.0,5
RC,118,Room And Board Private (One Bed) Rehabilitation,,,1792.0,1886.0,2
RC,124,Room And Board Semiprivate (Two Beds) Psychiatric,,,1647.0,1851.0,5
RC,128,Room And Board Semiprivate (Two Beds) Rehabilitation,,,1792.0,1886.0,2
RC,134,Room And Board (3 And 4 Beds) Psychiatric,,,1647.0,1851.0,5
RC,138,Room And Board (3 And 4 Beds) Rehabilitation,,,1792.0,1886.0,2
RC,144,Room And Board Deluxe Private Psychiatric,,,1647.0,1851.0,5
RC,148,Room And Board Deluxe Private Rehabilitation,,,1792.0,1886.0,2
RC,154,Room And Board Ward Psychiatric,,,1647.0,1851.0,5
RC,158,Room And Board Ward Rehabilitation,,,1792.0,1886.0,2
RC,167,Other Room And Board Self-Care,,,1.0,1.0,3
RC,180,Leave Of Absence General,,,1.0,1.0,3
RC,182,Leave Of Absence Patience Convenience - Charges Billable,,,1.0,1.0,3
RC,183,Leave Of Absence Therapeutic Leave,,,1.0,1.0,3
RC,185,Leave Of Absence Nursing Home (For Hospitalization),,,1.0,1.0,3
RC,189,Leave Of Absence Other,,,1.0,1.0,3
RC,204,Intensive Care Unit Psychiatric,,,1647.0,1851.0,5
RC,2100,Alternative Therapy Services General,,,1.0,1.0,3
RC,2102,Alternative Therapy Services Acupressure,,,1.0,1.0,3
RC,2104,Alternative Therapy Services Reflexology,,,1.0,1.0,3
RC,2105,Alternative Therapy Services Biofeedback,,,1.0,1.0,3
RC,2106,Alternative Therapy Services Hypnosis,,,1.0,1.0,3
RC,2109,Alternative Therapy Services Other,,,1.0,1.0,3
RC,220,Special Charges General,,,1.0,1.0,3
RC,221,Special Charges Admission Charge,,,1.0,1.0,3
RC,222,Special Charges Technical Support Charge,,,1.0,1.0,3
RC,223,Special Charges Urservice Charge,,,1.0,1.0,3
RC,224,Special Charges Late Discharge - Medically Necessary,,,1.0,1.0,3
RC,229,Special Charges Other,,,1.0,1.0,3
RC,230,Incremental Nursing Charge General,,,,,0
RC,231,Incremental Nursing Charge Nursery,,,,,0
RC,232,Incremental Nursing Charge Ob,,,,,0
RC,233,Incremental Nursing Charge Icu,,,,,0
RC,234,Incremental Nursing Charge Ccu,,,,,0
RC,235,Incremental Nursing Charge Hospice,,,,,0
RC,239,Incremental Nursing Charge Other,,,,,0
RC,240,"All Inclusive Ancillary, General",,,,,0
RC,241,All-Inclusive Ancillary Basic,,,,,0
RC,242,All-Inclusive Ancillary Comprehensive,,,,,0
RC,243,All-Inclusive Ancillary Specialty,,,,,0
RC,249,All-Inclusive Ancillary Other,,,,,0
RC,250,Pharmacy General,,,,,0
RC,251,Pharmacy Generic Drugs,,,,,0
RC,252,Pharmacy Nongeneric Drugs,,,,,0
RC,253,Pharmacy Take-Home Drugs,,,1.0,1.0,3
RC,254,Pharmacy Drugs Incident To Other Diagnostic Services,,,,,0
RC,255,Pharmacy Drugs Incident To Radiology,,,,,0
RC,256,Pharmacy Experimental Drugs,,,1.0,1.0,3
RC,257,Pharmacy Nonprescription,,,,,0
RC,258,Pharmacy Ivsolutions,,,,,0
RC,259,Pharmacy Other,,,,,0
RC,261,"Intravenous (Iv) Therapy, Infusion Pump",,,,,0
RC,262,"Intravenous (Iv) Therapy, Pharmacy Services",,,,,0
RC,263,"Intravenous (Iv) Therapeutic Drug, Supply And Delivery",,,,,0
RC,264,"Intravenous (Iv) Therapy, Supplies",,,,,0
RC,270,Medical/Surgical Supplies And Devices General,,,,,0
RC,271,Medical/Surgical Supplies And Devices Nonsterile,,,,,0
RC,272,Medical/Surgical Supplies And Devices Sterile,,,,,0
RC,273,Medical/Surgical Supplies And Devices Take-Home Supplies,,,1.0,1.0,3
RC,277,Medical/Surgical Supplies And Devices Take-Home Oxygen,,,1.0,1.0,3
RC,279,Medical/Surgical Supplies And Devices Other,,,,,0
RC,290,Durable Medical Equipment (Other Than Renal) General,,,1.0,1.0,3
RC,291,Durable Medical Equipment (Other Than Renal) Rental,,,1.0,1.0,3
RC,292,Durable Medical Equipment (Other Than Renal) Purchase Of Newdme,,,1.0,1.0,3
RC,293,Durable Medical Equipment (Other Than Renal) Purchase Of Useddme,,,1.0,1.0,3
RC,294,Durable Medical Equipment (Other Than Renal) Supplies/Drugs Fordme,,,1.0,1.0,3
RC,299,Durable Medical Equipment (Other Than Renal) Other,,,1.0,1.0,3
RC,300,"Laboratory, General Classification",,,,,0
RC,301,"Laboratory, Chemistry",,,,,0
RC,302,"Laboratory, Immunology",,,,,0
RC,303,"Laboratory, Renal Patient (Home)",,,,,0
RC,304,Laboratory Nonroutine Dialysis,,,,,0
RC,305,"Laboratory, Hematology",,,,,0
RC,306,"Laboratory, Bacteriology And Microbiology",,,,,0
RC,307,"Laboratory, Urology",,,,,0
RC,309,"Laboratory, Other",,,,,0
RC,310,"Laboratory, Pathology General Classification",,,,,0
RC,3101,"Adult Care Adult Daycare, Medical And Social - Hourly",,,1.0,1.0,3
RC,3102,"Adult Care Adult Daycare, Social - Hourly",,,1.0,1.0,3
RC,3103,"Adult Care Adult Daycare, Medical And Social - Daily",,,1.0,1.0,3
RC,3104,"Adult Care Adult Daycare, Social - Daily",,,1.0,1.0,3
RC,3105,Adult Care Adult Foster Care - Daily,,,1.0,1.0,3
RC,3109,Adult Care Other,,,1.0,1.0,3
RC,311,Laboratory Pathology Cytology,,,,,0
RC,312,Laboratory Pathology Histology,,,,,0
RC,314,"Laboratory, Pathology Biopsy",,,,,0
RC,319,"Laboratory, Pathology Other",,,,,0
RC,350,"Computerized Axial Tomography (Cat)Scan, General",,,1148.0,1205.0,2
RC,351,"Computerized Axial Tomography (Cat)Scan, Head Scan",,,1148.0,1205.0,2
RC,352,"Computerized Axial Tomography (Cat)Scan, Body Scan",,,1148.0,1205.0,2
RC,359,"Computerized Axial Tomography (Cat) Scan, Other",,,1148.0,1205.0,2
RC,360,"Operating Room Services, General",,,1.0,1.0,3
RC,361,"Operating Room Services, Minor Surgery",,,1.0,1.0,3
RC,362,Operating Room Services Organ Transplant - Other Than Kidney,,,1.0,1.0,6
RC,367,"Operating Room Services, Kidney Transplant",,,1.0,1.0,6
RC,369,Operating Room Services Other,,,1.0,1.0,3
RC,370,Anesthesia General,,,,,0
RC,371,Anesthesia Incident To Radiology,,,,,0
RC,372,Anesthesia Incident To Other Diagnostic Services,,,,,0
RC,374,Anesthesia Acupuncture,,,,,0
RC,379,Anesthesia Other,,,,,0
RC,380,"Blood And Blood Products, General",,,,,0
RC,381,"Blood And Blood Products, Packed Red Cells",,,,,0
RC,382,Blood And Blood Products Whole Blood And Blood Products,,,,,0
RC,383,"Blood And Blood Products, Plasma",,,,,0
RC,384,"Blood And Blood Products, Platelets",,,,,0
RC,385,"Blood And Blood Products, Leukocytes",,,,,0
RC,386,"Blood And Blood Products, Other Components",,,,,0
RC,387,Blood And Blood Products Other Derivatives (Cryoprecipitates),,,,,0
RC,389,"Blood And Blood Products, Other",,,,,0
RC,390,"Administration, Processing And Storage For Blood And Blood Components General",,,,,0
RC,391,"Administration, Processing And Storage For Blood And Blood Components Administration (E.G., Transfusions)",,,,,0
RC,392,"Administration, Processing And Storage For Blood And Blood Components Processing And Storage",,,,,0
RC,399,"Administration, Processing And Storage For Blood And Blood Components Other Processing And Storage",,,,,0
RC,410,"Respiratory Services, General",,,165.0,165.0,1
RC,412,Respiratory Services Inhalation Services,,,165.0,165.0,1
RC,419,"Respiratory Services, Other",,,165.0,165.0,1
RC,420,"Physical Therapy, General",,,127.0,441.0,9
RC,421,Physical Therapy Visit Charge,,,127.0,441.0,9
RC,422,Physical Therapy Hourly Charge,,,127.0,441.0,9
RC,423,Physical Therapy Group Rate,,,127.0,441.0,9
RC,424,"Physical Therapy, Evaluation Or Reevaluation",,,127.0,441.0,9
RC,429,"Physical Therapy, Other",,,127.0,441.0,9
RC,430,"Occupational Therapy, General",,,127.0,441.0,9
RC,431,Occupational Therapy Visit Charge,,,127.0,441.0,9
RC,432,Occupational Therapy Hourly Charge,,,127.0,441.0,9
RC,433,Occupational Therapy Group Rate,,,127.0,441.0,9
RC,434,"Occupational Therapy, Evaluation Or Reevaluation",,,127.0,441.0,9
RC,439,"Occupational Therapy, Other",,,127.0,441.0,9
RC,440,Occupational Therapy General,,,127.0,441.0,9
RC,441,Occupational Therapy Visit Charge,,,127.0,441.0,9
RC,442,Occupational Therapy Hourly Charge,,,127.0,441.0,9
RC,443,Occupational Therapy Group Rate,,,127.0,441.0,9
RC,444,Occupational Therapy Evaluation Or Reevaluation,,,127.0,441.0,9
RC,449,Occupational Therapy Other,,,127.0,441.0,9
RC,450,"Emergency Room, General",,,463.0,488.0,2
RC,451,Emergency Room Emtalaemergency Medical Screening Services,,,463.0,488.0,2
RC,452,"Emergency Room, Beyond Emtala Screening",,,463.0,488.0,2
RC,456,"Emergency Room, Urgent Care",,,,,0
RC,459,"Emergency Room, Other",,,463.0,488.0,2
RC,481,"Cardiology, Cardiac Catheterization Laboratory",,,1.0,1.0,3
RC,490,Ambulatory Surgical Care General,,,1.0,1.0,3
RC,499,Ambulatory Surgical Care Other,,,1.0,1.0,3
RC,500,Outpatient Services General,,,,,0
RC,509,Outpatient Services Other,,,,,0
RC,510,Clinic General,,,,,0
RC,511,"Clinic, Chronic Pain Center",,,,,0
RC,512,Clinic Dental Clinic,,,1.0,1.0,3
RC,513,Clinic Psychiatric Clinic,,,1.0,1.0,3
RC,514,"Clinic, Obstetrics/Gynecology (Ob/Gyn)",,,,,0
RC,515,Clinic Pediatric Clinic,,,,,0
RC,516,Clinic Urgent Care Clinic,,,,,0
RC,517,Clinic Family Practice Clinic,,,,,0
RC,519,"Clinic, Other",,,,,0
RC,520,Freestanding Clinic General,,,,,0
RC,521,Freestanding Clinic Clinic Visit By Member Torhc/Fqhc,,,1.0,1.0,3
RC,522,Freestanding Clinic Home Visit Byrhc/Fqhcpractitioner,,,1.0,1.0,3
RC,523,Freestanding Clinic Family Practice Clinic,,,,,0
RC,524,Freestanding Clinic Visit Byrhc/Fqhcpractitioner To Member In A Part A Covered Stay Insnf,,,1.0,1.0,3
RC,526,"Snf,Nfor Icfmror Other Residential Facility Urgent Care Clinic",,,,,0
RC,527,"Snf,Nfor Icfmror Other Residential Facility Visiting Nurse Services To Member'S Home In A Home Health Shortage Area",,,1.0,1.0,3
RC,528,"Snf,Nfor Icfmror Other Residential Facility Visit Byrhc/Fqhcpractitioner To Other Non-Rhc/Fqhcsite (E.G., Scene Of Accident)",,,1.0,1.0,3
RC,529,"Snf,Nfor Icfmror Other Residential Facility Other",,,,,0
RC,530,Osteopathic Services General,,,,,0
RC,531,Osteopathic Services Osteopathic Therapy,,,,,0
RC,539,"Osteopathic Services, Other",,,,,0
RC,540,"Ambulance, General",,,624.0,1376.0,5
RC,541,"Ambulance, Supplies",,,,,0
RC,542,"Ambulance, Medical Transport",,,624.0,1376.0,5
RC,543,"Ambulance, Heart Mobile",,,624.0,1376.0,5
RC,544,"Ambulance, Oxygen",,,,,0
RC,546,"Ambulance, Neonatal Services",,,624.0,1376.0,5
RC,547,"Ambulance, Pharmacy",,,624.0,1376.0,5
RC,548,"Ambulance, Electrocardiogram (Ekg) Transmission",,,624.0,1376.0,5
RC,549,"Ambulance, Other",,,624.0,1376.0,5
RC,550,Skilled Nursing General,,,1.0,1.0,3
RC,551,Skilled Nursing Visit Charge,,,1.0,1.0,3
RC,552,Skilled Nursing Hourly Charge,,,1.0,1.0,3
RC,559,Skilled Nursing Other,,,1.0,1.0,3
RC,560,Home Health Medical Social Services General,,,1.0,1.0,3
RC,561,Home Health Medical Social Services Visit Charge,,,1.0,1.0,3
RC,562,Home Health Medical Social Services Hourly Charge,,,1.0,1.0,3
RC,569,Home Health Medical Social Services Other,,,1.0,1.0,3
RC,570,Home Health Aide General,,,1.0,1.0,3
RC,571,Home Health Aide Visit Charge,,,1.0,1.0,3
RC,572,Home Health Aide Hourly Charge,,,1.0,1.0,3
RC,579,Home Health Aide Other,,,1.0,1.0,3
RC,580,Home Health Other Visits General,,,1.0,1.0,3
RC,581,Home Health Other Visits Visit Charge,,,1.0,1.0,3
RC,582,Home Health Other Visits Hourly Charge,,,1.0,1.0,3
RC,583,Home Health Other Visits Assessment,,,1.0,1.0,3
RC,589,Home Health Other Visits Other,,,1.0,1.0,3
RC,590,Home Health Units Of Service General,,,1.0,1.0,3
RC,600,Home Health Oxygen General,,,1.0,1.0,3
RC,601,Home Health Oxygen Stat/Equip/Supply Or Contents,,,1.0,1.0,3
RC,602,Home Health Oxygen Stat/Equip/Supply Under 1lpm,,,1.0,1.0,3
RC,603,Home Health Oxygen Stat/Equip Over 4lpm,,,1.0,1.0,3
RC,604,Home Health Oxygen Portable Add-On,,,1.0,1.0,3
RC,609,Home Health Oxygen Other,,,1.0,1.0,3
RC,610,Magnetic Resonance Technology (Mrt) General,,,2195.0,2305.0,2
RC,611,Magnetic Resonance Technology (Mrt) Brain/Brain Stem,,,2195.0,2305.0,2
RC,612,Magnetic Resonance Technology (Mrt) Spinal Cord/Spine,,,2195.0,2305.0,2
RC,614,"Magnetic Resonance Technology, Other Magnetic Resonance Imaging (MRI)",,,2195.0,2305.0,2
RC,615,Magnetic Resonance Technology (Mrt) Head And Neck,,,2195.0,2305.0,2
RC,616,Magnetic Resonance Technology (Mrt) Lower Extremities,,,2195.0,2305.0,2
RC,618,Magnetic Resonance Technology (Mrt) Other Mra,,,2195.0,2305.0,2
RC,619,Magnetic Resonance Technology (Mrt) Other Mrt,,,2195.0,2305.0,2
RC,621,Medical/Surgical Supplies - Extension Of 027x Incident To Radiology,,,,,0
RC,622,Medical/Surgical Supplies - Extension Of 027x Incident To Other Diagnostic Services,,,,,0
RC,623,Medical/Surgical Supplies - Extension Of 027x Surgical Dressings,,,,,0
RC,624,Medical/Surgical Supplies - Extension Of 027x Fdainvestigational Devices,,,1.0,1.0,3
RC,631,Pharmacy - Extension Of 025x Single Source Drug,,,,,0
RC,632,Pharmacy - Extension Of 025x Multiple Source Drug,,,,,0
RC,633,Pharmacy - Extension Of 025x Restrictive Prescription,,,,,0
RC,634,"Pharmacy - Extension Of 025x Erythropoietin (Epo) Less Than 10,000 Units",,,,,0
RC,635,"Pharmacy Extension Of 025x Erythropoietin (Epo) 10,000 Or More Units",,,,,0
RC,637,Pharmacy - Extension Of 025x Self-Administerable Drugs,,,,,0
RC,640,Homeivtherapy Services General,,,1.0,1.0,3
RC,641,"Homeivtherapy Services Nonroutine Nursing, Central Line",,,1.0,1.0,3
RC,642,"Homeivtherapy Services Ivsite Care, Central Line",,,1.0,1.0,3
RC,643,"Homeivtherapy Services Ivstart/Care, Peripheral Line",,,1.0,1.0,3
RC,644,"Homeivtherapy Services Nonroutine Nursing, Peripheral Line",,,1.0,1.0,3
RC,645,"Homeivtherapy Services Training Patient/Caregiver, Central Line",,,1.0,1.0,3
RC,646,"Homeivtherapy Services Training Disabled Patient, Central Line",,,1.0,1.0,3
RC,647,"Homeivtherapy Services Training Patient/Caregiver, Peripheral Line",,,1.0,1.0,3
RC,648,"Homeivtherapy Services Training Disabled Patient, Peripheral Line",,,1.0,1.0,3
RC,649,Homeivtherapy Services Other,,,1.0,1.0,3
RC,650,Hospice Service General,,,1.0,1.0,3
RC,651,Hospice Service Routine Home Care,,,1.0,1.0,3
RC,652,Hospice Service Continuous Home Care,,,1.0,1.0,3
RC,657,Hospice Service Physician Services,,,1.0,1.0,3
RC,658,Hospice Service Hospice Room And Board - Nursing Facility,,,1.0,1.0,3
RC,659,Hospice Service Other,,,1.0,1.0,3
RC,660,Respite Care General,,,1.0,1.0,3
RC,661,Respite Care Hourly Charge/Nursing,,,1.0,1.0,3
RC,662,Respite Care Hourly Charge/Aide/Homemaker/Companion,,,1.0,1.0,3
RC,663,Respite Care Daily Respite Charge,,,1.0,1.0,3
RC,669,Respite Care Other,,,1.0,1.0,3
RC,670,Outpatient Special Residence Charges General,,,1.0,1.0,3
RC,671,Outpatient Special Residence Charges Hospital Owned,,,1.0,1.0,3
RC,672,Outpatient Special Residence Charges Contracted,,,1.0,1.0,3
RC,679,Outpatient Special Residence Charges Other,,,1.0,1.0,3
RC,681,Trauma Response Level I,,,,,0
RC,682,Trauma Response Level Ii,,,,,0
RC,683,Trauma Response Level Iii,,,,,0
RC,684,Trauma Response Leveliv,,,,,0
RC,689,Trauma Response Other,,,,,0
RC,700,Cast Room General,,,,,0
RC,710,Recovery Room General,,,,,0
RC,723,"Labor Room Delivery, Circumcision",,,,,0
RC,750,Gastrointestinal (Gi) Services General,,,1.0,1.0,3
RC,760,Specialty Services General,,,,,0
RC,761,Specialty Services Treatment Room,,,,,0
RC,769,"Specialty Room, Other Rooms",,,,,0
RC,770,"Preventive Care Services, General",,,,,0
RC,771,"Preventive Care Services, Vaccine Administration",,,,,0
RC,780,"Telemedicine, General",,,,,0
RC,790,"Extra-Corporeal Shock Wave Therapy, General",,,1.0,1.0,3
RC,800,Inpatient Renal Dialysis General,,,,,0
RC,801,Inpatient Renal Dialysis Inpatient Hemodialysis,,,,,0
RC,802,Inpatient Renal Dialysis Inpatient Peritoneal (Non-Capd),,,,,0
RC,803,Inpatient Renal Dialysis Inpatient Continuous Ambulatory Peritoneal Dialysis (Capd),,,,,0
RC,804,Inpatient Renal Dialysis Inpatient Continuous Cycling Peritoneal Dialysis (Ccpd),,,,,0
RC,809,Inpatient Renal Dialysis Other,,,,,0
RC,810,Acquisition Of Body Components General,,,1.0,1.0,3
RC,811,"Acquisition Of Body Components, Living Donor",,,1.0,1.0,3
RC,812,"Acquisition Of Body Components, Cadaver Donor",,,1.0,1.0,3
RC,813,"Acquisition Of Body Components, Unknown Donor",,,1.0,1.0,3
RC,814,Acquisition Of Body Components Unsuccessful Organ Search - Donor Bank Charges,,,1.0,1.0,3
RC,819,Acquisition Of Body Components Other,,,1.0,1.0,3
RC,821,Hemodialysis - Outpatient Or Home Composite Or Other Rate,,,1994.37,2474.47,5
RC,830,Peritoneal Dialysis - Outpatient Or Home General,,,457.0,1009.0,5
RC,831,Peritoneal Dialysis - Outpatient Or Home Composite Or Other Rate,,,457.0,2474.47,10
RC,832,Peritoneal Dialysis - Outpatient Or Home Home Supplies,,,457.0,1009.0,5
RC,833,Peritoneal Dialysis - Outpatient Or Home Home Equipment,,,457.0,1009.0,5
RC,834,Peritoneal Dialysis - Outpatient Or Home Maintenance/100%,,,457.0,1009.0,5
RC,835,Peritoneal Dialysis - Outpatient Or Home Support Services,,,457.0,1009.0,5
RC,839,Peritoneal Dialysis - Outpatient Or Home Other,,,457.0,1009.0,5
RC,840,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home General,,,457.0,1009.0,5
RC,841,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Composite Or Other Rate,,,457.0,2474.47,10
RC,842,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Home Supplies,,,457.0,1009.0,5
RC,843,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Home Equipment,,,457.0,1009.0,5
RC,844,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Maintenance/100%,,,457.0,1009.0,5
RC,845,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Support Services,,,457.0,1009.0,5
RC,849,Continuous Ambulatory Peritoneal Dialysis (Capd)- Outpatient Or Home Other,,,457.0,1009.0,5
RC,850,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home General,,,457.0,1009.0,5
RC,851,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Composite Or Other Rate,,,457.0,2474.47,10
RC,852,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Home Supplies,,,457.0,1009.0,5
RC,853,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Home Equipment,,,457.0,1009.0,5
RC,854,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Maintenance/100%,,,457.0,1009.0,5
RC,855,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Support Services,,,457.0,1009.0,5
RC,859,Continuous Cycling Peritoneal Dialysis (Ccpd) - Outpatient Or Home Other,,,457.0,1009.0,5
RC,880,Miscellaneous Dialysis General,,,,,0
RC,881,Miscellaneous Dialysis Ultrafiltration,,,1994.37,2474.47,5
RC,882,Miscellaneous Dialysis Home Dialysis Aid Visit,,,1.0,1.0,3
RC,889,Miscellaneous Dialysis Other,,,,,0
RC,901,"Behavioral Health Treatment Services, Electroshock",,,1.0,1.0,3
RC,902,"Behavioral Health Treatment Services, Milieu Therapy",,,1.0,1.0,3
RC,903,"Behavioral Health Treatment Services, Play Therapy",,,1.0,1.0,3
RC,904,"Behavioral Health Treatment Services, Activity Therapy",,,1.0,1.0,3
RC,905,"Behavioral Health Treatment Services, Intensive Outpatient Psychiatric",,,1.0,1.0,3
RC,906,"Behavioral Health Treatment Services, Intensive Outpatient Chemical Dependency",,,1.0,1.0,3
RC,907,"Behavioral Health Treatment Services, Community Behavioral Health Program",,,1.0,1.0,3
RC,911,"Behavioral Health Treatment Services, 090x Extension: Rehabilitation",,,1.0,1.0,3
RC,912,"Behavioral Health Treatment Services, 090x Extension: Partial Hospitalization, Less Intensive",,,1.0,1.0,3
RC,913,"Behavioral Health Treatment Services, 090x Extension: Partial Hospitalization, Intensive",,,1.0,1.0,3
RC,914,"Behavioral Health Treatment Services, 090x Extension: Individual Therapy",,,1.0,1.0,3
RC,915,"Behavioral Health Treatment, Services 090x Extension: Group Therapy",,,1.0,1.0,3
RC,916,"Behavioral Health Treatment, Services 090x Extension: Family Therapy",,,1.0,1.0,3
RC,919,"Behavioral Health Treatment, Services 090x Extension: Other",,,1.0,1.0,3
RC,923,"Other Diagnostic Services, Pap Smear",,,,,0
RC,925,"Other Diagnostic Services, Pregnancy Test",,,,,0
RC,931,Medical Rehabilitation Day Program Half Day,,,1.0,1.0,3
RC,932,Medical Rehabilitation Day Program Full Day,,,1.0,1.0,3
RC,941,"Other Therapeutic Services, Recreational Therapy",,,1.0,1.0,3
RC,944,Medical Rehabilitation Day Program Drug Rehabilitation,,,1.0,1.0,3
RC,945,Medical Rehabilitation Day Program Alcohol Rehabilitation,,,1.0,1.0,3
RC,946,Medical Rehabilitation Day Program Complex Medical Equipment - Routine,,,,,0
RC,947,Medical Rehabilitation Day Program Complex Medical Equipment - Ancillary,,,,,0
RC,951,Other Therapeutic Services (Extension Of 094x) Athletic Training,,,,,0
RC,952,Other Therapeutic Services (Extension Of 094x) Kinesiotherapy,,,,,0
RC,960,Professional Fees General,,,1.0,1.0,3
RC,961,Professional Fees Psychiatric,,,1.0,1.0,3
RC,962,Professional Fees Ophthalmology,,,1.0,1.0,3
RC,963,"Professional Fee, Anesthesiologist Medical Doctor",,,1.0,1.0,3
RC,964,"Professional Fee, Anesthesiologist, Certified Registered Nurse Anesthetist (Crna)",,,1.0,1.0,3
RC,969,Professional Fees Other,,,1.0,1.0,3
RC,971,Professional Fees (Extension Of 096x) Laboratory,,,1.0,1.0,3
RC,972,Professional Fees (Extension Of 096x) Radiology - Diagnostic,,,1.0,1.0,3
RC,973,Professional Fees (Extension Of 096x) Radiology - Therapeutic,,,1.0,1.0,3
RC,974,Professional Fees (Extension Of 096x) Nuclear Medicine,,,1.0,1.0,3
RC,975,Professional Fees (Extension Of 096x) Operating Room,,,1.0,1.0,3
RC,976,Professional Fees (Extension Of 096x) Respiratory Therapy,,,1.0,1.0,3
RC,977,Professional Fees (Extension Of 096x) Physical Therapy,,,1.0,1.0,3
RC,978,Professional Fees (Extension Of 096x) Occupational Therapy,,,1.0,1.0,3
RC,979,Professional Fees (Extension Of 096x) Speech Pathology,,,1.0,1.0,3
RC,981,Professional Fees (Extension Of 096x And 097x) Emergency Room,,,1.0,1.0,3
RC,982,Professional Fees (Extension Of 096x And 097x) Outpatient Services,,,1.0,1.0,3
RC,983,Professional Fees (Extension Of 096x And 097x) Clinic,,,1.0,1.0,3
RC,984,Professional Fees (Extension Of 096x And 097x) Medical Social Services,,,1.0,1.0,3
RC,985,Professional Fees (Extension Of 096x And 097x) Ekg,,,1.0,1.0,3
RC,986,Professional Fees (Extension Of 096x And 097x) Eeg,,,1.0,1.0,3
RC,987,Professional Fees (Extension Of 096x And 097x) Hospital Visit,,,1.0,1.0,3
RC,988,Professional Fees (Extension Of 096x And 097x) Consultation,,,1.0,1.0,3
RC,989,Professional Fees (Extension Of 096x And 097x) Private-Duty Nurse,,,1.0,1.0,3
RC,990,Patient Convenience Items General,,,1.0,1.0,3
RC,991,Patient Convenience Items Cafeteria/Guest Tray,,,1.0,1.0,3
RC,992,Patient Convenience Items Private Linen Service,,,1.0,1.0,3
RC,993,Patient Convenience Items Telephone/Telegraph,,,1.0,1.0,3
RC,994,Patient Convenience Items Tv/Radio,,,1.0,1.0,3
RC,995,Patient Convenience Items Nonpatient Room Rentals,,,1.0,1.0,3
RC,996,Patient Convenience Items Late Discharge Charge,,,1.0,1.0,3
RC,997,Patient Convenience Items Admission Kits,,,1.0,1.0,3
RC,998,Patient Convenience Items Beauty Shop/Barber,,,1.0,1.0,3
RC,999,Patient Convenience Items Other,,,1.0,1.0,3