code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDM,0010001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0010002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0010003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0010004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0010005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0010006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0010007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0010008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0010009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0010010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0010011,Established patient periodic preventive medicine examination (18-39 years),73.0,73.0,37.52,142.35,46
CDM,0010012,Established patient periodic preventive medicine examination (40-64 years),73.0,73.0,37.52,142.35,46
CDM,0010013,Established patient periodic preventive medicine examination (65 year old or older),73.0,73.0,37.52,142.35,46
CDM,0010030,Initial new patient preventive medicine evaluation (younger than 1 year),73.0,73.0,37.52,142.35,46
CDM,0010031,Initial new patient preventive medicine evaluation (1-4 years),73.0,73.0,37.52,142.35,46
CDM,0010032,Initial new patient preventive medicine evaluation (5-11 years),73.0,73.0,37.52,142.35,46
CDM,0010033,Initial new patient preventive medicine evaluation (12-17 years),73.0,73.0,37.52,142.35,46
CDM,0010090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,0010091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,0010092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,0010093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,0010094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,0010095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,0010104,Initial new patient preventive medicine evaluation (18-39 years),73.0,73.0,37.52,142.35,46
CDM,0010105,Initial new patient preventive medicine evaluation (40-64 years),73.0,73.0,37.52,142.35,46
CDM,0010106,Initial new patient preventive medicine evaluation (65 years or older),73.0,73.0,37.52,142.35,46
CDM,0010107,Established patient periodic preventive medicine examination (younger than 1 year),73.0,73.0,37.52,142.35,46
CDM,0010108,Established patient periodic preventive medicine examination (1-4 years),73.0,73.0,37.52,142.35,46
CDM,0010109,Established patient periodic preventive medicine examination (5-11 years),73.0,73.0,37.52,142.35,46
CDM,0010110,Established patient periodic preventive medicine examination (12-17 years),73.0,73.0,37.52,142.35,46
CDM,0010411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0010412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0010413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0010414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0010415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0010416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0010417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0010418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0010419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0010421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0014433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,0050001,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0050002,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0050003,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0050004,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0050005,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0050006,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0050007,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0050008,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0050009,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0050010,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0050011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0050012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0050013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0050014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0050015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0050016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0050017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0050018,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0050019,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0050020,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0050021,Removal of sample of amniotic fluid surrounding fetus for diagnosis,1443.0,674.0,283.42,10537.0,61
CDM,0050022,Removal of amniotic fluid to reduce amount of fluid surrounding fetus using ultrasound guidance,478.0,300.0,128.58,5962.0,61
CDM,0080001,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0080002,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0080003,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0080004,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0080005,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0080006,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0080007,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0080008,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,0080009,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0080010,Injection of drug or substance into vein,333.0,218.0,31.86,3506.0,64
CDM,0080011,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0080012,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,0080017,"Administration of chemotherapy into vein, 1 hour or less",518.0,339.0,178.32,3900.0,64
CDM,0080018,"Administration of chemotherapy into vein, each additional hour",181.0,66.0,63.35,3900.0,64
CDM,0080020,"Administration of additional new drug or substance into vein, 1 hour or less",121.0,66.0,42.35,3900.0,64
CDM,0080032,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0080033,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0080034,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0080041,Transfusion of blood or blood products,691.0,422.0,185.88,7362.0,64
CDM,0080047,DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE,933.0,555.0,326.55,10871.0,63
CDM,0080069,Replacement of stomach stoma tube,588.0,283.0,158.17,5962.0,61
CDM,0080075,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,0080090,Mechanical separation of plasma from blood,4434.0,1450.0,1063.69,15383.0,64
CDM,0080091,Mechanical separation of plasma and abnormal antibodies from blood,6823.0,4301.0,1835.39,27978.0,64
CDM,0080092,"Administration of nasal or oral vaccine, 1 vaccine",113.0,66.0,27.99,220.35,59
CDM,0080093,"Administration of nasal or oral vaccine, each additional vaccine",32.0,32.0,8.61,62.4,59
CDM,0080094,"Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",314.0,191.0,84.47,5962.0,61
CDM,0090001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0090002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0090003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0090004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0090005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0090006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0090007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0090008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0090009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0090010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0090011,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0090012,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0090013,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0090014,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0090015,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0090016,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0090017,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0090018,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0090019,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0090020,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0100002,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0100004,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0100005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0100006,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0100007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0100008,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0100009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0100010,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0100013,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0100015,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0100017,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0100019,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0100021,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0210033,ANESTHESIA EA MIN,29.0,29.0,5.96,23.2,45
CDM,0210051,Initiation of ECMO external vein to vein blood circulation in heart and lungs using a pump,4519.0,4519.0,1215.61,31007.0,64
CDM,0210052,Initiation of ECMO external vein to artery blood circulation in heart and lungs using a pump,4519.0,4519.0,1215.61,31007.0,64
CDM,0210053,Daily management of ECMO external vein to vein blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,0210054,Daily management of ECMO external vein to artery blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,0210056,Interpretation and report of ultrasound of heart,1587.0,1587.0,299.84,3411.0,64
CDM,0214000,OPEN HEART PUMP SUPPORT,7918.0,7918.0,1627.94,6334.4,45
CDM,0220019,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0220024,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0220025,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0230100,RECOVERY ROOM - GENERAL CLASSIFICATION,604.0,604.0,124.18,483.2,45
CDM,0230200,RECOVERY ROOM - GENERAL CLASSIFICATION,352.0,352.0,72.37,281.6,45
CDM,0230300,RECOVERY ROOM - GENERAL CLASSIFICATION,240.0,240.0,49.34,192.0,45
CDM,0230400,RECOVERY ROOM - GENERAL CLASSIFICATION,208.0,208.0,42.76,166.4,45
CDM,0240053,"Outpatient heart rehabilitation, qualified health care professional services",202.0,123.0,54.34,393.9,59
CDM,0240054,"Outpatient heart rehabilitation with electrocardiogram (ECG) monitoring, quality health care professional services",254.0,123.0,68.33,495.3,59
CDM,0240055,"Professional services for outpatient pulmonary rehabilitation, per session",93.0,,23.21,369.0,59
CDM,0240056,"THERAPEUTIC PROCEDURES TO INCREASE STRENGTH OR ENDURANCE OF RESPIRATORY MUSCLES, FACE TO FACE, ONE ON ONE, EACH 15 MINUTES (INCLUDES MONITORING)",251.0,26.0,23.21,1758.0,64
CDM,0240057,"THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION, OTHER THAN DESCRIBED BY G0237, ONE ON ONE, FACE TO FACE, PER 15 MINUTES (INCLUDES MONITORING)",62.0,26.0,16.68,1758.0,64
CDM,0240063,"Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session",93.0,,23.21,369.0,59
CDM,0260008,"Application of vein wound compression bandages on lower leg, ankle, and foot",255.0,150.0,68.6,4984.0,61
CDM,0260011,Application of chemical to stop tissue regrowth in wound,314.0,191.0,84.47,5962.0,61
CDM,0260013,"Removal of bone, 20.0 sq cm or less",2587.0,1496.0,652.63,15383.0,61
CDM,0260021,"Removal of skin and tissue, 20.0 sq cm or less",637.0,368.0,171.35,7362.0,61
CDM,0260026,"APLIGRAF, PER SQUARE CENTIMETER",78.0,78.0,20.98,152.1,43
CDM,0260035,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,56
CDM,0260036,"Removal of tissue from wound, each additional 20.0 sq cm",510.0,510.0,137.19,994.5,56
CDM,0260038,"Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less",314.0,191.0,84.47,612.3,56
CDM,0260039,"Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm",637.0,368.0,171.35,1242.15,56
CDM,0260040,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0260041,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0260042,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0260043,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0260044,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0260045,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0260046,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0260047,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0260048,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0260049,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0260066,"Removal of muscle and/or tissue, 20.0 sq cm or less",1158.0,557.0,257.16,7362.0,61
CDM,0260073,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,0260074,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,61
CDM,0260084,"Removal of fingernails or toenails, 1-5 nails",135.0,59.0,36.32,4984.0,61
CDM,0260091,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0260092,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0260093,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0260094,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0260095,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0260096,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0260097,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0260098,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0260099,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0260100,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0260101,"Removal of skin and tissue, each additional 20.0 sq cm or less",262.0,262.0,70.48,1897.0,61
CDM,0260102,"Removal of muscle and/or tissue, each additional 20.0 sq cm or less",262.0,262.0,70.48,1897.0,61
CDM,0260103,"Removal of bone, each additional 20.0 sq cm or less",813.0,813.0,218.7,1897.0,61
CDM,0260104,"Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less",2493.0,1821.0,670.62,15383.0,61
CDM,0260105,"Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less",102.0,102.0,27.44,1897.0,61
CDM,0260108,"Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less",2493.0,2493.0,670.62,15383.0,61
CDM,0260109,"Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less",102.0,102.0,27.44,1897.0,61
CDM,0260113,Biopsy of surface bone,4550.0,2521.0,1204.2,17883.0,61
CDM,0260119,"Application of vein wound compression bandages on lower leg, ankle, and foot",255.0,150.0,68.6,4984.0,61
CDM,0260120,"Application of vein wound compression bandages on lower leg, ankle, and foot",255.0,150.0,68.6,4984.0,61
CDM,0260131,"PURAPLY AM, PER SQUARE CENTIMETER",195.0,214.5,83.85,380.25,50
CDM,0260132,"Punch biopsy, first skin growth",637.0,368.0,171.35,7362.0,61
CDM,0300001,"Antibody identification test, platelet antibodies",311.0,311.0,5.48,2119.0,64
CDM,0310001,"Blood unit compatibility test, antiglobulin technique",267.0,159.0,88.84,520.65,59
CDM,0310003,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, EACH UNIT",983.0,517.0,187.28,1916.85,57
CDM,0310004,Mechanical separation of white blood cells from blood,3693.0,1450.0,993.42,15383.0,61
CDM,0310005,Mechanical separation of plasma from blood,4434.0,1450.0,1063.69,15383.0,64
CDM,0310007,Collection of donor stem cells for transplantation,3608.0,3608.0,970.55,7035.6,57
CDM,0310009,Screening test for red blood cell antibodies,113.0,53.0,2.17,2119.0,64
CDM,0310010,Red blood cell antibody level,267.0,159.0,2.17,520.65,59
CDM,0310012,Mechanical separation of plasma from blood,4434.0,1450.0,1063.69,15383.0,64
CDM,0310015,"CRYOPRECIPITATE, EACH UNIT",306.38,85.0,82.42,597.44,57
CDM,0310016,"CRYOPRECIPITATE, EACH UNIT",512.78,85.0,137.94,999.92,57
CDM,0310017,"PLASMA, CRYOPRECIPITATE REDUCED, EACH UNIT",202.0,70.0,54.34,417.0,57
CDM,0310019,"RED BLOOD CELLS, DEGLYCEROLIZED, EACH UNIT",1054.0,464.0,63.58,2055.3,57
CDM,0310021,"PLASMA, CRYOPRECIPITATE REDUCED, EACH UNIT",202.0,70.0,54.34,417.0,57
CDM,0310023,"Antibody identification test, platelet antibodies",311.0,311.0,5.48,2119.0,64
CDM,0310028,Identification of red blood cell antibodies,561.0,310.0,88.84,1093.95,59
CDM,0310030,Blood bank physician services for investigation of transfusion reaction with written report,269.0,159.0,58.67,2119.0,64
CDM,0310050,"Blood unit compatibility test, immediate spin technique",267.0,159.0,88.84,520.65,59
CDM,0310051,"Blood unit compatibility test, antiglobulin technique",267.0,159.0,88.84,520.65,59
CDM,0310052,"Blood unit compatibility test, antiglobulin technique",267.0,159.0,88.84,2119.0,64
CDM,0310055,Molecular pathology procedure,188.0,188.0,20.82,2119.0,61
CDM,0310056,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, by density gradient separation",267.0,159.0,54.46,520.65,59
CDM,0310059,Blood typing Rh phenotyping,59.0,36.0,2.17,2119.0,64
CDM,0310060,Analysis for antibody to Cytomegalovirus (CMV),153.0,153.0,5.48,2119.0,64
CDM,0310061,"Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs",700.0,289.0,54.46,1365.0,59
CDM,0310062,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, incubation with chemical agents or drugs",93.0,36.0,39.99,417.0,59
CDM,0310063,Screening test for red blood cell antibodies,113.0,53.0,2.17,417.0,59
CDM,0310064,"Red blood cell antibody detection test, direct",148.0,59.0,2.17,417.0,59
CDM,0310066,"Transplant antibody measurement, standard method",767.26,767.26,30.16,2119.0,64
CDM,0310067,"Blood unit compatibility test, antiglobulin technique",267.0,159.0,88.84,520.65,59
CDM,0310070,"PLATELETS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",568.43,227.0,152.91,1108.44,57
CDM,0310071,"PLATELETS, LEUKOCYTES REDUCED, EACH UNIT",521.46,159.0,140.27,1016.85,57
CDM,0310072,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, EACH UNIT",660.14,517.0,177.58,1287.27,57
CDM,0310073,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",1044.0,656.0,187.28,2035.8,57
CDM,0310075,"PLATELETS, PHERESIS, PATHOGEN-REDUCED, EACH UNIT",931.0,621.0,187.28,1815.45,57
CDM,0310082,"CRYOPRECIPITATED FIBRINOGEN COMPLEX, PATHOGEN REDUCED, EACH UNIT",1023.46,85.0,63.58,1995.75,57
CDM,0310086,Mechanical separation of plasma and abnormal antibodies from blood,6823.0,4301.0,1835.39,27978.0,64
CDM,0310102,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",1116.0,656.0,187.28,2176.2,57
CDM,0310103,"RED BLOOD CELLS, IRRADIATED, EACH UNIT",510.0,180.0,63.58,994.5,57
CDM,0310104,"RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",637.0,277.0,63.58,1242.15,57
CDM,0310105,Blood group typing (ABO),208.0,120.0,2.17,2119.0,64
CDM,0310106,Blood typing for Rh (D) antigen,90.0,36.0,2.17,2119.0,64
CDM,0310201,"BLOOD (WHOLE), FOR TRANSFUSION, PER UNIT",445.0,159.0,63.58,867.75,57
CDM,0310202,"RED BLOOD CELLS, EACH UNIT",414.0,146.0,63.58,807.3,57
CDM,0310204,"FRESH FROZEN PLASMA (SINGLE DONOR), FROZEN WITHIN 8 HOURS OF COLLECTION, EACH UNIT",174.0,88.0,46.81,417.0,57
CDM,0310208,"RED BLOOD CELLS, WASHED, EACH UNIT",565.0,404.0,151.99,1101.75,57
CDM,0310210,"Screening test for compatible blood unit, using reagent serum",562.0,310.0,2.17,1095.9,59
CDM,0310301,"BLOOD, SPLIT UNIT",467.0,157.0,63.58,910.65,57
CDM,0310302,"FRESH FROZEN PLASMA (SINGLE DONOR), FROZEN WITHIN 8 HOURS OF COLLECTION, EACH UNIT",174.0,88.0,46.81,417.0,57
CDM,0310305,"CRYOPRECIPITATE, EACH UNIT",180.0,85.0,48.42,417.0,57
CDM,0310308,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MICROGRAMS (1500 I.U.)",117.0,117.0,31.47,262.08,59
CDM,0310315,"Red blood cell antibody detection test, direct",148.0,59.0,2.17,2119.0,64
CDM,0310316,"Red blood cell antibody detection test, direct",148.0,59.0,2.17,2119.0,64
CDM,0310317,Removal of antibodies from surface of red blood cell,267.0,159.0,88.84,520.65,59
CDM,0310318,Identification of red blood cell antibodies,562.0,310.0,88.84,1095.9,59
CDM,0310320,Red blood cell antibody level,267.0,159.0,2.17,520.65,59
CDM,0310323,"Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis",88.0,88.0,2.96,2119.0,64
CDM,0310327,Measurement of cold agglutinin (protein) to detect infection or disease,90.0,90.0,5.48,2119.0,64
CDM,0310338,"GRANULOCYTES, PHERESIS, EACH UNIT",3325.0,3325.0,187.28,6483.75,59
CDM,0310340,"Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette",48.0,48.0,2.96,2119.0,64
CDM,0310350,Screening test for red blood cell antibodies,113.0,53.0,2.17,2119.0,64
CDM,0310360,"Antibody identification test, platelet antibodies",311.0,311.0,5.48,2119.0,64
CDM,0310373,"Immunologic analysis for autoimmune disease, A, B, or C, multiple antigens",584.0,584.0,30.16,2119.0,64
CDM,0310384,"PLASMA, CRYOPRECIPITATE REDUCED, EACH UNIT",190.0,70.0,51.11,417.0,57
CDM,0310385,"RED BLOOD CELLS, LEUKOCYTES REDUCED, EACH UNIT",431.0,200.0,63.58,840.45,57
CDM,0310402,Collection of stem cells for transplantation,5676.0,1450.0,1063.69,15383.0,57
CDM,0313854,Mechanical separation of red blood cells from blood,3153.0,1450.0,848.16,15383.0,61
CDM,0313855,Mechanical separation of platelet cells from blood,4489.0,422.0,1063.69,8753.55,61
CDM,0313999,"Irradiation of blood product, each unit",133.0,36.0,54.46,417.0,59
CDM,0314016,"Blood unit compatibility test, electronic",267.0,159.0,88.84,520.65,59
CDM,0314018,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, incubation with enzymes",424.0,310.0,54.46,826.8,59
CDM,0314022,"Blood unit compatibility test, immediate spin technique",267.0,159.0,88.84,520.65,59
CDM,0320001,Preparation of stem cells for transplantation with cell concentration in blood fluid (plasma),692.0,422.0,186.15,7362.0,61
CDM,0320002,Collection of stem cells for transplantation,5676.0,1450.0,1063.69,15383.0,57
CDM,0320003,Collection of donor stem cells for transplantation,3608.0,3608.0,970.55,7035.6,57
CDM,0320005,Preparation of stem cells for transplantation with reduction of blood fluid (plasma) volume,692.0,422.0,186.15,7362.0,57
CDM,0320006,Preservation and storage of stem cells for transplantation,691.0,422.0,185.88,7362.0,61
CDM,0320007,Thawing of frozen stem cells for transplantation,2954.0,422.0,794.63,7362.0,61
CDM,0320008,Preparation of stem cells for transplantation with removal of T cells,692.0,422.0,186.15,7362.0,61
CDM,0320022,Preservation and storage of stem cells for transplantation,692.0,422.0,186.15,7362.0,57
CDM,0340001,Insertion of tube in right heart chambers for measurement,16008.0,3084.0,1619.31,34131.0,61
CDM,0340002,Insertion of tube in left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340003,Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340005,Injection for imaging of left heart chambers with review by radiologist,2299.0,2299.0,243.95,34131.0,61
CDM,0340006,Injection for nonselective imaging of pulmonary artery during heart catheterization,1816.0,1816.0,243.95,34131.0,61
CDM,0340009,External shock to heart to regulate heart beat,2083.0,597.0,434.49,4061.85,64
CDM,0340015,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,0340026,Insertion of catheters for recording and pacing of right heart chambers rhythm,12604.0,6464.0,4371.71,34131.0,61
CDM,0340027,Programming of heart rhythm stimulation after drug infusion,6049.0,6049.0,2601.07,34131.0,61
CDM,0340028,Intra-operative heart pacing and mapping of abnormal heart rhythm for surgical correction,5897.0,5897.0,2535.71,34131.0,61
CDM,0340034,Injection for imaging of right heart chambers with review by radiologist,2139.0,2139.0,243.95,34131.0,61
CDM,0340039,Insertion of temporary pacemaker lead in single heart chamber,12459.0,8676.0,1029.92,27978.0,64
CDM,0340044,Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340045,"PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G., ANGIOSEAL PLUG, VASCULAR PLUG)",774.0,774.0,332.82,34131.0,50
CDM,0340047,Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340048,Fluoroscopic guidance for insertion or removal of central vein access device,571.0,571.0,146.51,2086.0,61
CDM,0340050,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",19878.0,10681.0,5688.0,38762.1,61
CDM,0340051,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO",14661.0,14661.0,5688.0,34131.0,61
CDM,0340057,Drug infusion during cardiac catheterization,283.0,283.0,31.86,34131.0,61
CDM,0340156,Removal and replacement of single lead permanent pacemaker,12459.0,8676.0,3171.0,27978.0,64
CDM,0340158,Removal and replacement of dual lead permanent pacemaker,11064.0,11057.0,2976.22,27978.0,64
CDM,0340159,Insertion of defibrillator with existing dual leads,33558.0,24521.0,3171.0,65438.1,64
CDM,0340161,Removal and replacement of single lead defibrillator,36569.0,24521.0,3171.0,71309.55,64
CDM,0340162,Removal and replacement of dual lead defibrillator,36569.0,24521.0,3171.0,71309.55,64
CDM,0340209,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",207.0,227.7,89.01,403.65,50
CDM,0340222,"Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch",18084.0,10681.0,5688.0,35263.8,61
CDM,0340227,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel",4033.0,4033.0,146.51,34131.0,61
CDM,0340320,Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance,4211.0,3044.0,1697.97,20345.0,64
CDM,0340331,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate),40943.0,22818.0,690.0,79838.85,64
CDM,0340334,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,64
CDM,0340394,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery",18999.0,10681.0,3171.0,58285.0,64
CDM,0340398,Occlusion of vein with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,0340405,Repair of congenital abnormality of pulmonary artery to aorta,28715.0,17078.0,5688.0,55994.25,61
CDM,0340441,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",44625.0,49087.5,19188.75,87018.75,50
CDM,0340442,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",44625.0,49087.5,19188.75,87018.75,50
CDM,0340443,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11375.0,12512.5,4891.25,22181.25,50
CDM,0340444,VALVE HEART DEL SYS 20MM,11375.0,12512.5,2338.7,12512.5,50
CDM,0340445,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11375.0,12512.5,4891.25,22181.25,50
CDM,0340448,Replacement of aortic valve through the skin and femoral artery,20522.0,20522.0,3208.0,40017.9,64
CDM,0340449,Injection for imaging of heart vessel grafts during evaluation of congenital abnormalities with review by radiologist,1869.0,1869.0,243.95,34131.0,61
CDM,0340465,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",2909.0,3199.9,1250.87,5672.55,50
CDM,0340468,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1327.0,1459.7,570.61,2587.65,50
CDM,0340469,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1980.39,2178.43,851.57,3861.76,50
CDM,0340502,Insertion of pacemaker and upper and lower heart chamber electrode,14646.0,11057.0,3939.77,28559.7,64
CDM,0340503,Insertion of pacemaker pulse generator with existing single lead,10167.0,8676.0,3171.0,27978.0,64
CDM,0340505,Insertion of implantable defibrillator system,41432.0,34929.0,6296.0,80792.4,64
CDM,0340509,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,0340514,"Insertion of tube into chest or arm artery, additional second, third order and beyond",1332.0,1332.0,358.31,4299.0,64
CDM,0340527,Review by radiologist of major upper body vein image,3215.0,1495.0,221.0,6269.25,64
CDM,0340530,Review by radiologist of image for insertion of material to block blood flow,6395.0,6395.0,146.51,12470.25,61
CDM,0340537,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,0340538,Manual attempt to restore blood circulation and breathing,460.0,281.0,123.74,3411.0,64
CDM,0340541,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel",3918.0,3918.0,146.51,34131.0,61
CDM,0340543,Balloon dilation repair of pulmonary valve,18083.0,10681.0,5688.0,35261.85,61
CDM,0340544,"Incision of partition between upper chambers of heart to allow blood flow for congenital heart defects, via catheter using imaging guidance",4059.0,4059.0,1091.87,58285.0,64
CDM,0340546,"Balloon dilation of pulmonary artery, single vessel",18084.0,10681.0,5688.0,35263.8,61
CDM,0340547,"Balloon dilation of pulmonary artery, each additional vessel",4745.0,4745.0,2040.35,34131.0,61
CDM,0340571,Insertion of pacemaker pulse generator with existing dual leads,11124.0,11057.0,3171.0,27978.0,64
CDM,0340572,Insertion of 2 chamber pacemaker system,25902.0,11057.0,5071.93,50508.9,64
CDM,0340573,Repositioning of pacemaker or defibrillator electrode,4739.0,3044.0,1029.92,20345.0,64
CDM,0340577,Relocation of pacemaker skin pocket,2602.0,1821.0,1029.92,15383.0,64
CDM,0340578,Insertion of 2 electrodes for permanent pacemaker or defibrillator,12963.0,8676.0,1029.92,27978.0,64
CDM,0340580,Removal of single electrode from right heart,5423.0,3662.0,1029.92,27978.0,64
CDM,0340581,Removal of dual electrodes from right heart,4535.0,3662.0,1029.92,27978.0,64
CDM,0340583,REMOVAL SINGLE/DUAL AICD,5691.0,5691.0,1170.07,34131.0,50
CDM,0340584,Removal of defibrillator electrodes through vein,5479.0,3662.0,1029.92,27978.0,64
CDM,0340592,"Balloon dilation of artery with review by radiologist, initial artery",7414.0,5270.0,1994.37,27978.0,64
CDM,0340607,Insertion of tube in pulmonary artery for monitoring,3180.0,1495.0,790.49,34131.0,61
CDM,0340608,Insertion of tube in left heart chamber through heart septum,5296.0,5296.0,1619.31,34131.0,61
CDM,0340611,Insertion of tube in right and left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340612,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with abnormal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0340613,"Insertion of catheter into right and left sides of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0340617,Insertion of tube in coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0340621,Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm,12218.0,6464.0,690.0,23825.1,64
CDM,0340623,Programming of heart rhythm stimulation after drug infusion,6049.0,6049.0,2601.07,34131.0,61
CDM,0340626,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation,40943.0,22818.0,5688.0,79838.85,61
CDM,0340627,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of lower chamber of heart causing ventricular tachycardia (rapid heart rate) or ventricular ectopy (irregular heart,40943.0,22818.0,5688.0,79838.85,61
CDM,0340663,VASCULAR PLUG 10-22MM%,2006.0,2206.6,412.43,2206.6,50
CDM,0340809,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",25813.0,28394.3,11099.59,50335.35,50
CDM,0340812,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21817.0,23998.7,9381.31,42543.15,50
CDM,0340826,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,0340830,"CATHETER, INTRAVASCULAR ULTRASOUND",5491.5,5491.5,1477.21,10708.43,45
CDM,0340833,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1593.0,1593.0,428.52,3106.35,45
CDM,0340854,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1552.0,1552.0,417.49,3026.4,45
CDM,0340857,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",7000.0,7700.0,3010.0,13650.0,50
CDM,0340859,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",2691.0,2960.1,1157.13,5247.45,50
CDM,0340871,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7146.0,7860.6,3072.78,13934.7,50
CDM,0340874,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7058.0,7763.8,3034.94,13763.1,50
CDM,0340888,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2216.0,2437.6,952.88,4321.2,50
CDM,0340891,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",3161.0,3477.1,1359.23,6163.95,50
CDM,0340892,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2006.0,2206.6,862.58,3911.7,50
CDM,0340899,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2006.0,2206.6,862.58,3911.7,50
CDM,0340903,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",920.0,920.0,247.48,1794.0,45
CDM,0340909,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",13825.0,15207.5,5944.75,26958.75,50
CDM,0340911,Insertion of defibrillator with existing single lead,36143.0,24521.0,6296.0,70478.85,64
CDM,0341000,Insertion of blood flow assist device in aorta through skin,1968.0,1968.0,529.39,40059.0,64
CDM,0341071,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",919.0,919.0,247.21,1792.05,45
CDM,0341157,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1420.0,1562.0,610.6,2769.0,50
CDM,0341167,Insertion of heart rhythm monitor under skin,11717.0,8676.0,2103.0,27978.0,64
CDM,0341168,Removal of heart rhythm monitor from under the skin,894.0,662.0,384.42,10537.0,64
CDM,0341200,Biopsy of heart muscle,5648.0,3044.0,1619.31,34131.0,61
CDM,0341256,Repair of congenital abnormality in wall between upper heart chambers with implant,28716.0,17078.0,5688.0,55996.2,61
CDM,0341262,Insertion of implantable defibrillator electrode under breastbone,12963.0,8676.0,1029.92,34131.0,57
CDM,0341271,Drainage of heart sac using tube and imaging guidance (6 years or older),2371.0,2371.0,621.38,31007.0,64
CDM,0341272,Drainage of heart sac using tube and imaging guidance (5 years or younger or any age with congenital heart defect),2371.0,2371.0,621.38,31007.0,64
CDM,0341304,Injection for imaging of aorta above heart valve with review by radiologist,1331.0,1331.0,243.95,34131.0,61
CDM,0341350,Balloon dilation repair of aortic valve,8916.0,5270.0,3833.88,34131.0,61
CDM,0341366,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",7958.0,8753.8,3421.94,15518.1,50
CDM,0341368,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24500.0,26950.0,10535.0,47775.0,50
CDM,0341391,Insertion of heart rhythm monitor under skin,11717.0,8676.0,2103.0,27978.0,64
CDM,0341401,Ultrasound of heart,1459.0,245.0,299.84,3411.0,64
CDM,0341452,Repair of aorta by insertion of stent across major side branches,14434.0,14434.0,955.0,28146.3,61
CDM,0341454,Balloon dilation of native or recurrent narrowing of heart blood vessel,7124.0,7124.0,955.0,13891.8,61
CDM,0341455,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0341456,"Insertion of catheter into left side of heart for evaluation of congenital heart defect, using maging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0341457,"Insertion of catheter into right and left sides of heart for evaluation of congenital heart defect in heart with abnormal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0341458,"Measurement of output of blood from heart, performed during cardiac catheterization for evaluation of congenital heart defects",656.0,,243.95,34131.0,61
CDM,0341462,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",29750.0,32725.0,12792.5,58012.5,50
CDM,0341464,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5639.0,6202.9,2424.77,10996.05,50
CDM,0341468,Repair of left upper heart chamber with implant with review by radiologist,24694.0,24694.0,3208.0,48153.3,64
CDM,0341488,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",18083.0,10681.0,690.0,35261.85,64
CDM,0341489,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",28715.0,17078.0,690.0,55994.25,64
CDM,0341490,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(",28715.0,17078.0,690.0,55994.25,64
CDM,0341491,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDE",28715.0,17078.0,690.0,55994.25,64
CDM,0341492,"GENERATOR, CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE)",40250.0,44275.0,17307.5,78487.5,50
CDM,0341494,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21263.0,23389.3,9143.09,41462.85,50
CDM,0341495,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7350.0,8085.0,3160.5,14332.5,50
CDM,0341497,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,3411.0,64
CDM,0341498,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,3411.0,64
CDM,0341499,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,3411.0,64
CDM,0341500,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",30975.0,34072.5,13319.25,60401.25,50
CDM,0341501,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",41825.0,46007.5,17984.75,81558.75,50
CDM,0341504,"Repair of mitral valve through the skin, initial prosthesis",42355.0,42355.0,3208.0,82592.25,64
CDM,0341505,"Repair of mitral valve through the skin, additional prosthesis",21724.0,21724.0,401.0,58285.0,64
CDM,0341507,FLOW TRIEVER ASPIRATION CATH,19250.0,19250.0,3461.0,15400.0,45
CDM,0341514,SENSATION 40CC IAB W/KIT,1601.0,1601.0,329.17,1280.8,45
CDM,0341515,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6563.0,7219.3,2822.09,12797.85,50
CDM,0341516,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1630.0,1630.0,438.47,3178.5,45
CDM,0341545,Insertion of wireless pressure sensor into lung artery through tube with review by radiologist,41828.0,30674.0,2565.5,81564.6,64
CDM,0341546,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0341547,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1050.0,1050.0,282.45,2047.5,45
CDM,0341566,PERQ TRLUML CORONRY LITHOTRP,23372.0,23372.0,690.0,45575.4,53
CDM,0341567,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2608.0,2608.0,701.55,5085.6,45
CDM,0341568,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",5338.0,5338.0,1435.92,10409.1,45
CDM,0341569,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",14000.0,15400.0,6020.0,27300.0,50
CDM,0341573,Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
CDM,0341574,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",992.0,992.0,266.85,1934.4,45
CDM,0341575,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",14875.0,16362.5,6396.25,29006.25,50
CDM,0341576,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",2363.0,2363.0,635.65,4607.85,45
CDM,0341577,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",7985.0,8783.5,3433.55,15570.75,50
CDM,0341579,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.0,2091.0,562.48,4077.45,45
CDM,0341580,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2608.0,2608.0,701.55,5085.6,45
CDM,0341584,XENOGRAFT HARMONY TPV 25,57750.0,63525.0,11873.4,63525.0,50
CDM,0341585,HARMONY DELIVERY CATH SYTEM,14875.0,14875.0,3058.3,11900.0,45
CDM,0341595,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21201.0,23321.1,9116.43,41341.95,50
CDM,0341596,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",32618.0,35879.8,14025.74,63605.1,50
CDM,0341614,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",971.0,971.0,261.2,1893.45,45
CDM,0341615,SYS PANNUS RETENION,1234.0,1234.0,253.71,987.2,45
CDM,0341616,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1429.0,1429.0,384.4,2786.55,45
CDM,0341617,"CATHETER, INTRAVASCULAR ULTRASOUND",1531.0,1531.0,411.84,2985.45,45
CDM,0341618,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1619.0,1619.0,435.51,3157.05,45
CDM,0341619,WIRE TAVR,1706.0,1706.0,350.75,1364.8,45
CDM,0341620,IMPELLA CASSETTE PURGE GEN 2,1750.0,1750.0,359.8,1400.0,45
CDM,0341621,NEEDLE TRANSSEPTAL EEPROM,2272.0,2272.0,467.12,1817.6,45
CDM,0341622,EMBOLIZATION PROTECTIVE SYSTEM,2791.0,3070.1,1200.13,5442.45,50
CDM,0341623,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",238.0,261.8,102.34,464.1,50
CDM,0341624,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0341625,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",252.0,277.2,108.36,491.4,50
CDM,0341626,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1333.0,1333.0,358.58,2599.35,45
CDM,0341627,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2625.0,2887.5,1128.75,5118.75,50
CDM,0341628,WIRE RF NYKANEN,3500.0,3500.0,719.6,2800.0,45
CDM,0341634,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0341635,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",22138.0,24351.8,9519.34,43169.1,50
CDM,0341636,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",26250.0,28875.0,11287.5,51187.5,50
CDM,0341637,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",18813.0,20694.3,8089.59,36685.35,50
CDM,0341638,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",11013.0,12114.3,4735.59,21475.35,50
CDM,0341639,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24035.0,26438.5,10335.05,46868.25,50
CDM,0341640,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7700.0,8470.0,3311.0,15015.0,50
CDM,0341641,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10500.0,10500.0,2824.5,20475.0,45
CDM,0341642,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17395.0,17395.0,3461.0,33920.25,45
CDM,0341643,"CATHETER, THROMBECTOMY/EMBOLECTOMY",13510.0,13510.0,3461.0,26344.5,45
CDM,0341644,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",8225.0,8225.0,2212.53,16038.75,45
CDM,0341645,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11148.0,12262.8,4793.64,21738.6,50
CDM,0341646,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",75.0,82.5,32.25,146.25,50
CDM,0341647,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0341648,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0341650,Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist,3764.0,3044.0,1206.0,20345.0,64
CDM,0341651,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",3140.0,3454.0,1350.2,6123.0,50
CDM,0341652,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2006.0,2206.6,862.58,3911.7,50
CDM,0341653,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1636.0,1799.6,703.48,3190.2,50
CDM,0341654,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0341655,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0341660,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1313.0,1444.3,564.59,2560.35,50
CDM,0341661,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",9275.0,10202.5,3988.25,18086.25,50
CDM,0341662,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1636.0,1799.6,703.48,3190.2,50
CDM,0341664,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2090.0,2299.0,898.7,4075.5,50
CDM,0341665,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2112.0,2112.0,568.13,4118.4,45
CDM,0341666,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1400.0,1400.0,376.6,2730.0,45
CDM,0341667,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",912.0,912.0,245.33,1778.4,45
CDM,0341668,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",964.0,964.0,259.32,1879.8,45
CDM,0341669,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0341699,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0341700,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7525.0,8277.5,3235.75,14673.75,50
CDM,0341701,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0341702,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2720.0,2992.0,1169.6,5304.0,50
CDM,0341703,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0341715,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0341716,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0341717,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1663.0,1663.0,447.35,3242.85,45
CDM,0341718,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,451.92,3276.0,45
CDM,0341719,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,0341720,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0341721,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1943.0,2137.3,835.49,3788.85,50
CDM,0341722,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2023.0,2225.3,869.89,3944.85,50
CDM,0341724,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1488.0,1636.8,639.84,2901.6,50
CDM,0341740,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0341741,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0341742,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",11366.0,12502.6,4887.38,22163.7,50
CDM,0341743,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",963.0,1059.3,414.09,1877.85,50
CDM,0341744,STENT PAPYRUS,6353.0,6988.3,1306.18,6988.3,50
CDM,0341745,STENT PAPYRUS,5775.0,6352.5,1187.34,6352.5,50
CDM,0341746,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0341747,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1558.0,1713.8,669.94,3038.1,50
CDM,0341748,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0341749,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",12663.0,13929.3,5445.09,24692.85,50
CDM,0341751,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",19723.0,21695.3,8480.89,38459.85,50
CDM,0341752,VENA CAVA FILTER,1566.0,1722.6,673.38,3053.7,50
CDM,0341753,VENA CAVA FILTER,1853.0,2038.3,796.79,3613.35,50
CDM,0341754,VENA CAVA FILTER,2363.0,2599.3,1016.09,4607.85,50
CDM,0341755,VENA CAVA FILTER,3896.0,4285.6,1675.28,7597.2,50
CDM,0341756,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1015.0,1015.0,273.04,1979.25,45
CDM,0341757,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1269.0,1269.0,341.36,2474.55,45
CDM,0341758,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1251.0,1251.0,336.52,2439.45,45
CDM,0341759,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1890.0,1890.0,508.41,3685.5,45
CDM,0341760,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1531.0,1531.0,411.84,2985.45,45
CDM,0341761,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3719.0,4090.9,1599.17,7252.05,50
CDM,0341762,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2035.0,2238.5,875.05,3968.25,50
CDM,0341763,COIL HYDROSOFT HELICAL%,3500.0,3850.0,719.6,3850.0,50
CDM,0341764,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,0341765,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",413.0,454.3,177.59,805.35,50
CDM,0341768,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3322.0,3322.0,893.62,6477.9,45
CDM,0341772,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,0341777,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",71750.0,78925.0,30852.5,139912.5,50
CDM,0341780,Repair of wall between lower heart chambers including pacemaker insertion,27589.0,27589.0,690.0,53798.55,64
CDM,0341781,"Insertion of artificial valve between left heart chambers, accessed through the skin",32065.0,32065.0,690.0,62526.75,64
CDM,0341792,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1514.0,1514.0,407.27,2952.3,45
CDM,0341805,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",1385.0,1523.5,595.55,2700.75,50
CDM,0341806,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3308.0,3308.0,889.85,6450.6,45
CDM,0341808,Insertion of 2 electrodes for permanent pacemaker or defibrillator,12963.0,8676.0,1029.92,27978.0,64
CDM,0341812,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1768.0,1944.8,760.24,3447.6,50
CDM,0341813,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1750.0,1750.0,470.75,3412.5,45
CDM,0341814,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1295.0,1295.0,348.36,2525.25,45
CDM,0341816,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,0341817,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1636.0,1799.6,703.48,3190.2,50
CDM,0341818,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1356.0,1356.0,364.76,2644.2,45
CDM,0341819,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,3411.0,64
CDM,0341820,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,64
CDM,0341821,"Removal of foreign body from tissue, accessed beneath the skin, complex",2588.0,2588.0,793.31,15383.0,64
CDM,0341833,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8916.0,8916.0,955.0,17386.2,50
CDM,0341834,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",18084.0,18084.0,955.0,35263.8,50
CDM,0341835,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,0341836,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,0341837,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8916.0,8916.0,955.0,17386.2,50
CDM,0341838,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",28716.0,28716.0,955.0,55996.2,50
CDM,0341839,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",18084.0,18084.0,955.0,35263.8,50
CDM,0341840,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",28716.0,28716.0,955.0,55996.2,50
CDM,0341841,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",18084.0,18084.0,955.0,35263.8,50
CDM,0341842,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",28716.0,28716.0,955.0,55996.2,50
CDM,0341843,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",28716.0,28716.0,955.0,55996.2,50
CDM,0341844,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",28716.0,28716.0,955.0,55996.2,50
CDM,0341845,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",4962.0,4962.0,955.0,9675.9,50
CDM,0341846,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",6421.0,6421.0,955.0,12520.95,50
CDM,0341847,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",6421.0,6421.0,955.0,12520.95,50
CDM,0341850,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 2 OR MORE DISTINCT CORONARY LESIONS WITH 2",28716.0,28716.0,5688.0,55996.2,50
CDM,0341851,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, SINGLE CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, AND/OR SUBTENDED MAJOR CORONARY ARTERY BRANCHES",18084.0,18084.0,5688.0,35263.8,50
CDM,0341852,Review by radiologist of vein imaging for congenital heart defect of superior vena cava,10712.0,,4606.16,34131.0,50
CDM,0341853,Review by radiologist of vein imaging for congenital heart defect of the azygos/hemiazygos venous system,9595.0,,4125.85,34131.0,50
CDM,0341854,Review by radiologist of vein imaging for congenital heart defect of coronary sinus,5200.0,,2236.0,34131.0,50
CDM,0341855,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals above the heart,10712.0,,4606.16,34131.0,50
CDM,0341856,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals below the heart,10712.0,,4606.16,34131.0,50
CDM,0341859,"Insertion of stent in vein with review by radiologist, each additional vein",9187.0,9187.0,2103.0,58285.0,64
CDM,0341860,Insertion of tube into chest artery for diagnosis or treatment with review by radiologist,6394.0,3044.0,1719.99,20345.0,64
CDM,0341861,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,50
CDM,0341862,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,50
CDM,0341863,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,50
CDM,0341864,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,50
CDM,0341865,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,50
CDM,0341866,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,50
CDM,0341867,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,50
CDM,0341868,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,50
CDM,0341869,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,50
CDM,0341870,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,50
CDM,0343134,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,0343142,Review by radiologist of chest aorta serial images,8716.0,5071.0,221.0,16996.2,64
CDM,0343177,Review by radiologist of image for insertion of material to block blood flow,6395.0,6395.0,146.51,12470.25,61
CDM,0343182,"Balloon dilation of artery with review by radiologist, each additional artery",1847.0,1847.0,401.0,6044.38,64
CDM,0343212,Ultrasound evaluation of heart blood vessel with review by radiologist,3058.0,3058.0,299.84,34131.0,61
CDM,0343214,Repair of congenital abnormality in wall between lower heart chambers with implant,28716.0,17078.0,5688.0,55996.2,61
CDM,0343216,Insertion of left lower heart electrode and attachment to pacemaker or defibrillator,13772.0,11057.0,3171.0,27978.0,64
CDM,0347201,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,64
CDM,0347622,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1335.0,1335.0,359.12,2603.25,45
CDM,0347623,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1287.0,1287.0,346.2,2509.65,45
CDM,0347688,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0347721,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1552.0,1552.0,417.49,3026.4,45
CDM,0347755,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,0347816,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1838.0,1838.0,494.42,3584.1,45
CDM,0347831,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",298.0,327.8,128.14,581.1,50
CDM,0510160,DVC LIGASURE IMPACT 18CM,1322.0,1322.0,271.8,1057.6,45
CDM,0510167,VENTRICULAR TUNNLG.PRESS MON K,2958.0,2958.0,608.16,2366.4,45
CDM,0510191,"BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",12600.0,13860.0,4137.1,13860.0,50
CDM,0510192,"POWER MODULE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",14000.0,15400.0,6020.0,28928.33,50
CDM,0510193,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",9625.0,10587.5,4138.75,35079.88,50
CDM,0510194,"BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",4375.0,4812.5,845.95,4812.5,50
CDM,0510195,"BATTERY CLIPS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1925.0,2117.5,463.63,2117.5,48
CDM,0510196,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE,280.0,308.0,120.4,546.0,48
CDM,0510197,"SHOWER COVER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",788.0,866.8,338.84,1232.89,48
CDM,0510198,DEV PUMP BLOOD PEDIMAG,17500.0,17500.0,3461.0,14000.0,45
CDM,0510199,DVC TRANSDUCER PEDIMAG,4900.0,4900.0,1007.44,3920.0,45
CDM,0510200,KIT ICP SENSOR CERELINK,898.0,898.0,184.63,718.4,45
CDM,0510201,PROBE ICP CERELINK,929.0,929.0,191.0,743.2,45
CDM,0510203,CATH ICP VENTRICULAR CERELINK,1104.0,1104.0,226.98,883.2,45
CDM,0510204,"ARTIFICIAL LARYNX, ANY TYPE",7875.0,8662.5,646.36,8662.5,50
CDM,0510206,EAR COUPLER CABLE,1733.0,1733.0,356.3,1386.4,45
CDM,0510207,PAD TEMP MANG ARCTICGEL LG,3152.0,3152.0,648.05,2521.6,45
CDM,0510208,PAD TEMP MANG ARCTICGEL MD,3127.0,3127.0,642.91,2501.6,45
CDM,0516854,PERCUTANEOUS TRACH INTRO 8,1121.0,1121.0,230.48,896.8,45
CDM,0516855,KIT PERCUTANEOUS TRACH,1121.0,1121.0,230.48,896.8,45
CDM,0523024,"INFUSION, D5W, 1000 CC",85.0,85.0,5.71,190.4,48
CDM,0530002,"TLSO, TRIPLANAR CONTROL, HYPEREXTENSION, RIGID ANTERIOR AND LATERAL FRAME EXTENDS FROM SYMPHYSIS PUBIS TO STERNAL NOTCH WITH TWO ANTERIOR COMPONENTS (ONE PUBIC AND ONE STERNAL), POSTERIOR AND LATERAL ",609.0,669.9,261.87,1031.86,48
CDM,0530012,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,65
CDM,0530020,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,65
CDM,0530026,Application of lower and upper arm splint,317.0,150.0,48.98,4984.0,65
CDM,0530029,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,65
CDM,0530033,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,65
CDM,0530039,Application of thigh to lower leg cylinder cast,439.0,257.0,118.09,5962.0,65
CDM,0530044,Application of short leg cast,521.0,257.0,128.6,5962.0,65
CDM,0530046,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,65
CDM,0530054,Application of long leg splint from thigh to ankle or toe,368.0,150.0,48.98,4984.0,65
CDM,0530056,Application of short leg splint from calf to foot,284.0,150.0,48.98,4984.0,65
CDM,0530058,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,65
CDM,0530060,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,0530061,"CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL BARS, AND THORACIC EXTENSION",683.0,751.3,293.69,1157.17,48
CDM,0530063,"LUMBAR-SACRAL ORTHOSIS, FLEXIBLE, PROVIDES LUMBO-SACRAL SUPPORT, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DI",119.0,130.9,51.17,130.9,48
CDM,0530064,"LUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID POSTERIOR PANEL(S), POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERT",230.0,253.0,98.9,390.14,48
CDM,0530065,"THORACIC-LUMBAR-SACRAL-ORTHOSIS (TLSO), INCLUSIVE OF FURNISHING INITIAL ORTHOSIS ONLY",2300.0,2530.0,989.0,3894.21,48
CDM,0530066,"KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC), POSITIONAL ORTHOSIS, RIGID SUPPORT, PREFABRICATED, OFF-THE SHELF",1073.0,1180.3,445.05,1180.3,48
CDM,0530067,"UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",400.0,440.0,172.0,677.88,48
CDM,0530068,"UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",495.0,544.5,212.85,837.49,48
CDM,0530069,"Removal or cutting of shoulder, hip spica, or jacket cast",439.0,257.0,118.09,5962.0,61
CDM,0530070,"Repair of spica, body cast, or jacket",255.0,150.0,68.6,4984.0,61
CDM,0530074,Application of nonmoveable finger splint,208.0,120.0,48.98,4984.0,61
CDM,0530075,Application of nonmoveable finger splint,209.0,120.0,48.98,4984.0,65
CDM,0531001,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,61
CDM,0531005,Exam of skin surface by creation of opening in cast,255.0,150.0,68.6,4984.0,61
CDM,0531006,"SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, OFF-THE-SHELF",62.0,68.2,26.66,131.25,48
CDM,0531115,"WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PA",642.0,706.2,156.71,706.2,48
CDM,0531501,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,0531503,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,61
CDM,0531505,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,61
CDM,0531506,Application of lower and upper arm splint,317.0,150.0,48.98,4984.0,61
CDM,0531507,Application of short leg cast,521.0,257.0,128.6,5962.0,61
CDM,0531508,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,61
CDM,0531509,Application of short leg splint from calf to foot,284.0,150.0,48.98,4984.0,61
CDM,0531510,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,61
CDM,0531512,Application of long leg splint from thigh to ankle or toe,368.0,150.0,48.98,4984.0,61
CDM,0531613,Application of thigh to lower leg cylinder cast,439.0,257.0,118.09,5962.0,61
CDM,0540013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0540017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3287.0,3615.7,1413.41,6409.65,50
CDM,0540030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),60.0,66.0,25.8,117.0,50
CDM,0540083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),242.0,266.2,104.06,471.9,50
CDM,0540143,"GRAFT, VASCULAR",451.0,496.1,193.93,879.45,50
CDM,0540170,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",914.0,914.0,245.87,1782.3,45
CDM,0540289,RNG ANLOPLASTY PHYSIO MITRAL M,6977.0,7674.7,1434.47,7674.7,50
CDM,0540666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),868.0,954.8,373.24,1692.6,50
CDM,0540667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0540739,MESH (IMPLANTABLE),451.0,496.1,193.93,879.45,50
CDM,0540740,MESH (IMPLANTABLE),451.0,496.1,193.93,879.45,50
CDM,0540741,MESH (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0540756,MESH (IMPLANTABLE),1195.0,1314.5,513.85,2330.25,50
CDM,0540758,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",4121.0,4533.1,1772.03,8035.95,50
CDM,0540774,"GRAFT, VASCULAR",1836.0,2019.6,789.48,3580.2,50
CDM,0540777,"GRAFT, VASCULAR",1836.0,2019.6,789.48,3580.2,50
CDM,0540826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.0,178.2,69.66,315.9,50
CDM,0540827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0540829,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0541090,MESH (IMPLANTABLE),435.0,478.5,187.05,848.25,50
CDM,0541531,STAPLER INTRALUMINAL CVD 21 MM,904.0,904.0,185.86,723.2,45
CDM,0541555,MESH (IMPLANTABLE),715.0,786.5,307.45,1394.25,50
CDM,0541574,KT CRANIAL RPR RESINOUS MATERI,2122.0,2122.0,436.28,1697.6,45
CDM,0541710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),125.0,137.5,53.75,243.75,50
CDM,0541712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),121.0,133.1,52.03,235.95,50
CDM,0541714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),121.0,133.1,52.03,235.95,50
CDM,0541716,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),121.0,133.1,52.03,235.95,50
CDM,0541718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),124.0,136.4,53.32,241.8,50
CDM,0541722,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),231.0,254.1,99.33,450.45,50
CDM,0541724,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),243.0,267.3,104.49,473.85,50
CDM,0541732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0541736,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0541738,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0541742,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0542000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),231.0,254.1,99.33,450.45,50
CDM,0542413,"GRAFT, VASCULAR",250.0,275.0,107.5,487.5,50
CDM,0542447,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",616.0,677.6,264.88,1328.91,50
CDM,0542499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),870.0,957.0,374.1,1696.5,50
CDM,0542666,"GRAFT, VASCULAR",366.0,402.6,157.38,713.7,50
CDM,0542679,RESERVOIR OMMAYA CSF 2.5 W/ CO,1608.0,1608.0,330.6,1286.4,45
CDM,0542681,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",900.0,990.0,387.0,1755.0,50
CDM,0542821,SOL IV NACL INJ 0.9% 100ML,104.0,104.0,21.38,83.2,45
CDM,0543065,MESH (IMPLANTABLE),682.0,750.2,293.26,1329.9,50
CDM,0543084,STAP SURG TT MULT GIA 80-3.8 B,895.0,895.0,184.01,716.0,45
CDM,0543629,SOL IV DEXT 40 10% IN NACL 500,104.0,104.0,21.38,83.2,45
CDM,0543713,MESH (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0543714,MESH (IMPLANTABLE),167.0,183.7,71.81,325.65,50
CDM,0543715,MESH (IMPLANTABLE),913.0,1004.3,392.59,1780.35,50
CDM,0543716,MESH (IMPLANTABLE),248.0,272.8,106.64,483.6,50
CDM,0543717,MESH (IMPLANTABLE),1306.0,1436.6,561.58,2546.7,50
CDM,0543718,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0543719,MESH (IMPLANTABLE),588.0,646.8,252.84,1146.6,50
CDM,0544019,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2443.0,2687.3,1050.49,4763.85,50
CDM,0544020,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1651.0,1816.1,709.93,3219.45,50
CDM,0544021,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1591.0,1750.1,684.13,3102.45,50
CDM,0544027,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2188.0,2406.8,940.84,4266.6,50
CDM,0544052,FIX EXT RING 5/8 COMPOSITE 180,1141.0,1141.0,234.59,912.8,45
CDM,0544071,FIX EXT RING HALF 160MM ID,1654.0,1654.0,340.06,1323.2,45
CDM,0544073,FIX EXT RING HALF COMPSITE 140,960.0,960.0,197.38,768.0,45
CDM,0544075,FIX EXT RING HALF COMPSITE 160,1654.0,1654.0,340.06,1323.2,45
CDM,0544076,FIX EXT RING HALF COMPSITE 180,1654.0,1654.0,340.06,1323.2,45
CDM,0544077,FIX EXT RING HALF COMPSITE 200,1223.0,1223.0,251.45,978.4,45
CDM,0544085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0544158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0544446,"PORT, INDWELLING (IMPLANTABLE)",410.0,451.0,176.3,799.5,50
CDM,0544448,"PORT, INDWELLING (IMPLANTABLE)",588.0,646.8,252.84,1146.6,50
CDM,0544528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1272.0,1399.2,546.96,2480.4,50
CDM,0544530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1272.0,1399.2,546.96,2480.4,50
CDM,0544654,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5726.0,6298.6,2462.18,11165.7,50
CDM,0544705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),121.0,133.1,52.03,235.95,50
CDM,0544712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),166.0,182.6,71.38,323.7,50
CDM,0544713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),175.0,192.5,75.25,341.25,50
CDM,0544717,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),121.0,133.1,52.03,235.95,50
CDM,0544825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),514.0,565.4,221.02,1002.3,50
CDM,0544907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0544937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0544942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0544943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0544951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),313.0,344.3,134.59,610.35,50
CDM,0544981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),54.0,59.4,23.22,105.3,50
CDM,0544982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),54.0,59.4,23.22,105.3,50
CDM,0545012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0545016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0545056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),363.0,399.3,156.09,707.85,50
CDM,0545088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0545090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),91.0,100.1,39.13,177.45,50
CDM,0545096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0545097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),52.0,57.2,22.36,101.4,50
CDM,0545100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0545102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),52.0,57.2,22.36,101.4,50
CDM,0545103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0545106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),47.0,51.7,20.21,91.65,50
CDM,0545108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0545114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),47.0,51.7,20.21,91.65,50
CDM,0545116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),47.0,51.7,20.21,91.65,50
CDM,0545118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0545120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0545136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0545148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0545157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0545158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0545159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0545161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0545196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0545286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),931.0,1024.1,400.33,1815.45,50
CDM,0545296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0545297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0545298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0545332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0545336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0545432,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0545818,"FLOW PROBE, DOPPLER DP-SDP001",1146.0,1146.0,235.62,916.8,45
CDM,0545863,"GASTROSTOMY/JEJUNOSTOMY TUBE, STANDARD, ANY MATERIAL, ANY TYPE, EACH",1580.0,1580.0,425.02,3081.0,45
CDM,0545884,ENDOPATH INTRALUMINAL STAPLER,940.0,940.0,193.26,752.0,45
CDM,0545941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0545994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0546142,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",241.0,265.1,103.63,469.95,50
CDM,0546206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0546340,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",134.0,147.4,57.62,261.3,50
CDM,0546436,CLIP APPLIER W/REUSE HANDLE,2798.0,2798.0,575.27,2238.4,45
CDM,0546704,"CATHETER, BALLOON TISSUE DISSECTOR, NON-VASCULAR (INSERTABLE)",1028.0,1028.0,276.53,2004.6,45
CDM,0546793,PRE PL CEEA 25 INSTR. W/TILT-T,1485.0,1485.0,305.32,1188.0,45
CDM,0546794,PRE PL CEEA 28 INSTR. W/TILT-T,1493.0,1493.0,306.96,1194.4,45
CDM,0546936,MESH (IMPLANTABLE),177.0,194.7,76.11,345.15,50
CDM,0546937,MESH (IMPLANTABLE),1329.0,1461.9,571.47,2591.55,50
CDM,0547091,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",3386.0,3724.6,545.19,3724.6,50
CDM,0547124,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",306.0,336.6,131.58,596.7,50
CDM,0547125,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",306.0,336.6,131.58,596.7,50
CDM,0547129,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",306.0,336.6,131.58,596.7,50
CDM,0547196,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",2238.0,2461.8,962.34,4364.1,50
CDM,0547222,PACK OPEN HEART SURGI PEDI,1270.0,1270.0,261.11,1016.0,45
CDM,0547324,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",15949.0,17543.9,6858.07,31100.55,50
CDM,0547433,MESH (IMPLANTABLE),600.0,660.0,258.0,1170.0,50
CDM,0547434,MESH (IMPLANTABLE),1264.0,1390.4,543.52,2464.8,50
CDM,0547435,MESH (IMPLANTABLE),2527.0,2779.7,1086.61,4927.65,50
CDM,0547436,MESH (IMPLANTABLE),2289.0,2517.9,984.27,4463.55,50
CDM,0547439,MESH (IMPLANTABLE),796.0,875.6,342.28,1552.2,50
CDM,0547460,"GRAFT, VASCULAR",1241.0,1365.1,533.63,2419.95,50
CDM,0547523,"SHEARS,CRV SCISSOR HANDLE 15X1",2145.0,2145.0,441.01,1716.0,45
CDM,0547594,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3022.0,3324.2,1299.46,5892.9,50
CDM,0547624,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",243.0,267.3,104.49,473.85,50
CDM,0547625,FLOCOIL SHUNT OF2000  2.00,243.0,267.3,49.96,267.3,50
CDM,0547689,BIOGLUE SURG.ADHES#BG3010-5-US,1719.0,1719.0,353.43,1375.2,45
CDM,0547694,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",1577.0,1734.7,678.11,3075.15,50
CDM,0547727,BELZERS SOL BARR LAB #0046-06,670.0,670.0,137.75,536.0,45
CDM,0547841,JOINT DEVICE (IMPLANTABLE),2787.0,3065.7,1198.41,5434.65,50
CDM,0547871,FLO-COIL 1.75MM #OF-1750,243.0,267.3,49.96,267.3,50
CDM,0547879,"GRAFT, VASCULAR",1401.0,1541.1,602.43,2731.95,50
CDM,0547890,"GRAFT, VASCULAR",1535.0,1688.5,660.05,2993.25,50
CDM,0547893,"GRAFT, VASCULAR",1836.0,2019.6,789.48,3580.2,50
CDM,0547894,"GRAFT, VASCULAR",1836.0,2019.6,789.48,3580.2,50
CDM,0547903,MESH (IMPLANTABLE),7116.0,7827.6,3059.88,13876.2,50
CDM,0547904,MESH (IMPLANTABLE),3007.0,3307.7,1293.01,5863.65,50
CDM,0547906,MESH (IMPLANTABLE),1538.0,1691.8,661.34,2999.1,50
CDM,0547992,"SUTURE,ADULT CABG PACK  6631E",2023.0,2023.0,415.93,1618.4,45
CDM,0548001,"SUTURE,BASIC GENERAL PACK 6607",993.0,993.0,204.16,794.4,45
CDM,0548029,MICRO FLOW PROBE3MM#HQN3MB,2121.0,2121.0,436.08,1696.8,45
CDM,0548034,PS MEDTRON CHAN SCOPE  2233-00,2538.0,2538.0,521.81,2030.4,45
CDM,0548063,MICROFLOW PROBE 2MM#HQN2MB,2121.0,2121.0,436.08,1696.8,45
CDM,0548064,MICRO FLOW PROBE1.5MM#HQN1.5MB,2237.0,2237.0,459.93,1789.6,45
CDM,0548066,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1328.0,1460.8,571.04,2589.6,50
CDM,0548101,MICROFIBRILLAR COLLAGEN# 1985,196.0,196.0,40.3,156.8,45
CDM,0548106,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",553.0,553.0,148.76,1078.35,45
CDM,0548114,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",567.0,623.7,243.81,1105.65,50
CDM,0548115,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",927.0,1019.7,398.61,1807.65,50
CDM,0548147,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",437.0,480.7,187.91,852.15,50
CDM,0548152,"DISC,LAP LD111",1125.0,1125.0,231.3,900.0,45
CDM,0548156,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0548157,MESH (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0548158,MESH (IMPLANTABLE),177.0,194.7,76.11,345.15,50
CDM,0548235,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",1162.0,1278.2,499.66,2265.9,50
CDM,0548250,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",223.0,245.3,95.89,434.85,50
CDM,0548253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),243.0,267.3,104.49,473.85,50
CDM,0548306,"CATHETER,LUMBOPERITONEAL 44410",1261.0,1261.0,259.26,1008.8,45
CDM,0548365,"GRAFT, VASCULAR",365.0,401.5,156.95,711.75,50
CDM,0548367,CIRCULAR STAPLING UNIT 25MM CS,921.0,921.0,189.36,736.8,45
CDM,0548392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1229.0,1351.9,528.47,2396.55,50
CDM,0548893,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0548937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0548942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548952,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548958,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548960,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0548975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),62.0,68.2,26.66,120.9,50
CDM,0548978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),28.0,30.8,12.04,54.6,50
CDM,0549092,"KIT,LAP HERNIA00E2933",1577.0,1577.0,324.23,1261.6,45
CDM,0549106,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",445.0,489.5,191.35,867.75,50
CDM,0549124,"GRAFT, VASCULAR",611.0,672.1,262.73,1191.45,50
CDM,0549146,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0549147,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0549163,"GRAFT, VASCULAR",365.0,401.5,156.95,711.75,50
CDM,0549200,"CATHETER, INTRASPINAL",1736.0,1736.0,466.98,3385.2,45
CDM,0549248,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0549298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),642.0,706.2,276.06,1251.9,50
CDM,0549299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),632.0,695.2,271.76,1232.4,50
CDM,0549300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),696.0,765.6,299.28,1357.2,50
CDM,0549301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),718.0,789.8,308.74,1400.1,50
CDM,0549302,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1077.0,1184.7,463.11,2100.15,50
CDM,0549307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),415.0,456.5,178.45,809.25,50
CDM,0549320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0549321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),335.0,368.5,144.05,653.25,50
CDM,0549323,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),791.0,870.1,340.13,1542.45,50
CDM,0549325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),817.0,898.7,351.31,1593.15,50
CDM,0549327,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1013.0,1114.3,435.59,1975.35,50
CDM,0549336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0549337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0549340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0549342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0549343,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0549382,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7366.0,8102.6,3167.38,14363.7,50
CDM,0549383,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7366.0,8102.6,3167.38,14363.7,50
CDM,0549635,"ARTERIAL CANNULA,14812-2556-00",7415.0,7415.0,1524.52,5932.0,45
CDM,0549739,"KIT, LAP CHOLE00C9026",1206.0,1206.0,247.95,964.8,45
CDM,0549741,"KIT, LAP CHOLE00C9018",1285.0,1285.0,264.2,1028.0,45
CDM,0549931,"GRAFT, VASCULAR",6974.0,7671.4,2998.82,13599.3,50
CDM,0549934,BLADE SUR S 180 DEG #376900,904.0,904.0,185.86,723.2,45
CDM,0549953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0560009,3/16 OPEN PED HK 9.5MM THROAT,1718.0,1889.8,353.22,1889.8,50
CDM,0560929,MESH (IMPLANTABLE),3000.0,3300.0,1290.0,5850.0,50
CDM,0560984,"GRAFT, VASCULAR",3386.0,3724.6,1455.98,6602.7,50
CDM,0560989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),176.0,193.6,75.68,343.2,50
CDM,0560990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),169.0,185.9,72.67,329.55,50
CDM,0560993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),169.0,185.9,72.67,329.55,50
CDM,0561101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1328.0,1460.8,571.04,2589.6,50
CDM,0561233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0561255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),667.0,733.7,286.81,1300.65,50
CDM,0561269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),134.0,147.4,57.62,261.3,50
CDM,0561270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),134.0,147.4,57.62,261.3,50
CDM,0561274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561312,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0561315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),62.0,68.2,26.66,120.9,50
CDM,0561331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),62.0,68.2,26.66,120.9,50
CDM,0561335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.0,906.4,354.32,1606.8,50
CDM,0561353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),51.0,56.1,21.93,99.45,50
CDM,0561372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0561378,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),45.0,49.5,19.35,87.75,50
CDM,0561379,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),45.0,49.5,19.35,87.75,50
CDM,0561390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),119.0,130.9,51.17,232.05,50
CDM,0561396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0561404,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561410,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0561411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),357.0,392.7,153.51,696.15,50
CDM,0561418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0561420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0561546,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),224.0,246.4,96.32,436.8,50
CDM,0561550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),144.0,158.4,61.92,280.8,50
CDM,0561622,MESH (IMPLANTABLE),1928.0,2120.8,829.04,3759.6,50
CDM,0561674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1255.0,1380.5,539.65,2447.25,50
CDM,0561726,MESH (IMPLANTABLE),2552.0,2807.2,1097.36,4976.4,50
CDM,0561934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0561938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0561945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0561946,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0561947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0561949,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0562050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0562055,ROD TO ROD CLAMPS,855.0,855.0,175.79,684.0,45
CDM,0562203,JOINT DEVICE (IMPLANTABLE),2814.0,3095.4,1210.02,5487.3,50
CDM,0562210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2814.0,3095.4,1210.02,5487.3,50
CDM,0562226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0562233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2814.0,3095.4,1210.02,5487.3,50
CDM,0562235,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2814.0,3095.4,1210.02,5487.3,50
CDM,0562242,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2558.0,2813.8,1099.94,4988.1,50
CDM,0562244,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2814.0,3095.4,1210.02,5487.3,50
CDM,0562377,COMP. FT RING 160 X 160MM 1012,1038.0,1038.0,213.41,830.4,45
CDM,0562379,COMP.FT RING 180 X 160MM 10121,1049.0,1049.0,215.67,839.2,45
CDM,0562386,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),78.0,85.8,33.54,152.1,50
CDM,0562413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),64.0,70.4,27.52,124.8,50
CDM,0562491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),221.0,243.1,95.03,430.95,50
CDM,0562492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),166.0,182.6,71.38,323.7,50
CDM,0562538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0562612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),81.0,89.1,34.83,157.95,50
CDM,0562613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),81.0,89.1,34.83,157.95,50
CDM,0562681,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",909.0,999.9,390.87,1772.55,50
CDM,0562765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0562766,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0562788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),129.0,141.9,55.47,251.55,50
CDM,0562790,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),106.0,116.6,45.58,206.7,50
CDM,0562793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),128.0,140.8,55.04,249.6,50
CDM,0562795,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),128.0,140.8,55.04,249.6,50
CDM,0562807,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0562834,"DRII BIT,CANNULATED873-007",1559.0,1559.0,320.53,1247.2,45
CDM,0562935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0562937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0562969,JOINT DEVICE (IMPLANTABLE),1891.0,2080.1,813.13,3687.45,50
CDM,0562989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.0,401.5,156.95,711.75,50
CDM,0563008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),215.0,236.5,92.45,419.25,50
CDM,0563012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0563026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0563037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0563110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0563137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1801.0,1981.1,774.43,3511.95,50
CDM,0563254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0563256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),197.0,216.7,84.71,384.15,50
CDM,0563542,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",2814.0,3095.4,1210.02,5487.3,50
CDM,0563554,JOINT DEVICE (IMPLANTABLE),2558.0,2813.8,1099.94,4988.1,50
CDM,0563555,JOINT DEVICE (IMPLANTABLE),1739.0,1912.9,747.77,3391.05,50
CDM,0563560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0563562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),68.0,74.8,29.24,132.6,50
CDM,0563568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),206.0,226.6,88.58,401.7,50
CDM,0563569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0563571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0563572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),421.0,463.1,181.03,820.95,50
CDM,0563662,JOINT DEVICE (IMPLANTABLE),2609.0,2869.9,1121.87,5087.55,50
CDM,0563669,JOINT DEVICE (IMPLANTABLE),2267.0,2493.7,974.81,4420.65,50
CDM,0563672,JOINT DEVICE (IMPLANTABLE),6743.0,7417.3,2899.49,13148.85,50
CDM,0563674,JOINT DEVICE (IMPLANTABLE),4885.0,5373.5,2100.55,9525.75,50
CDM,0563680,JOINT DEVICE (IMPLANTABLE),4228.0,4650.8,1818.04,8244.6,50
CDM,0563707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1779.0,1956.9,764.97,3469.05,50
CDM,0563712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),87.0,95.7,37.41,169.65,50
CDM,0563783,JOINT DEVICE (IMPLANTABLE),6570.0,7227.0,2825.1,12811.5,50
CDM,0563831,"GRAFT, VASCULAR",2860.0,3146.0,1229.8,5577.0,50
CDM,0563836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0563837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0563844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0563897,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0563917,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5075.0,5582.5,2182.25,9896.25,50
CDM,0563919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2675.0,2942.5,1150.25,5216.25,50
CDM,0563927,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0563970,JOINT DEVICE (IMPLANTABLE),1014.0,1115.4,436.02,1977.3,50
CDM,0564021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0564023,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0564036,MESH (IMPLANTABLE),493.0,542.3,211.99,961.35,50
CDM,0564041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),595.0,654.5,255.85,1160.25,50
CDM,0564048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),59.0,64.9,25.37,115.05,50
CDM,0564070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0564194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0564196,JOINT DEVICE (IMPLANTABLE),9036.0,9939.6,3885.48,17620.2,50
CDM,0564199,VENA CAVA FILTER,4942.0,5436.2,2125.06,9636.9,50
CDM,0564223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),13248.0,14572.8,5696.64,25833.6,50
CDM,0564280,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1641.0,1805.1,705.63,3199.95,50
CDM,0564281,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",5363.0,5899.3,2306.09,10457.85,50
CDM,0564282,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",9350.0,10285.0,4020.5,18232.5,50
CDM,0564283,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",15065.0,16571.5,6477.95,29376.75,50
CDM,0564400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0564402,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0564445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),833.0,916.3,358.19,1624.35,50
CDM,0564447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0564453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),706.0,776.6,303.58,1376.7,50
CDM,0564455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0564459,MESH (IMPLANTABLE),579.0,636.9,248.97,1129.05,50
CDM,0564465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),295.0,324.5,126.85,575.25,50
CDM,0564493,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),679.0,746.9,291.97,1324.05,50
CDM,0564495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0564496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),555.0,610.5,238.65,1082.25,50
CDM,0564518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0564519,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0564520,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0564535,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1861.0,2047.1,800.23,3628.95,50
CDM,0564553,MESH (IMPLANTABLE),359.0,394.9,154.37,700.05,50
CDM,0564559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),282.0,310.2,121.26,549.9,50
CDM,0564560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0564561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),894.0,983.4,384.42,1743.3,50
CDM,0564562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),627.0,689.7,269.61,1222.65,50
CDM,0564568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2594.0,2853.4,1115.42,5058.3,50
CDM,0564653,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",24676.0,27143.6,10610.68,48118.2,50
CDM,0564718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),543.0,597.3,233.49,1058.85,50
CDM,0564722,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1637.0,1800.7,703.91,3192.15,50
CDM,0564742,JOINT DEVICE (IMPLANTABLE),2170.0,2387.0,933.1,4231.5,50
CDM,0564747,"PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIED",2012.0,2213.2,865.16,3923.4,50
CDM,0564761,JOINT DEVICE (IMPLANTABLE),1747.0,1921.7,751.21,3406.65,50
CDM,0564762,JOINT DEVICE (IMPLANTABLE),2276.0,2503.6,978.68,4438.2,50
CDM,0564793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8690.0,9559.0,3736.7,16945.5,50
CDM,0564794,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),11897.0,13086.7,5115.71,23199.15,50
CDM,0564834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2131.0,2344.1,916.33,4155.45,50
CDM,0564871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0564896,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",2118.0,2329.8,910.74,4130.1,50
CDM,0564901,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0564908,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564910,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0564911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564912,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564913,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0564918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0564927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0564951,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",275.0,302.5,118.25,536.25,50
CDM,0564983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),138.0,151.8,59.34,269.1,50
CDM,0565054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5133.0,5646.3,2207.19,10009.35,50
CDM,0565065,JOINT DEVICE (IMPLANTABLE),2378.0,2615.8,1022.54,4637.1,50
CDM,0565191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0565192,JOINT DEVICE (IMPLANTABLE),2162.0,2378.2,929.66,4215.9,50
CDM,0565205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0565207,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",376.0,413.6,161.68,733.2,50
CDM,0565239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.0,172.7,67.51,306.15,50
CDM,0565262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),212.0,233.2,91.16,413.4,50
CDM,0565263,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",95.0,104.5,40.85,185.25,50
CDM,0565266,"STRUT FAST FXT , MED71070720",3329.0,3329.0,684.44,2663.2,45
CDM,0565278,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1330.0,1463.0,571.9,2593.5,50
CDM,0565279,"STRUT, LONG71070730",1330.0,1330.0,273.45,1064.0,45
CDM,0565280,"EF RING, HALF",1210.0,1210.0,248.78,968.0,45
CDM,0565281,"EF RING, 2/3 RING7",1825.0,1825.0,375.22,1460.0,45
CDM,0565301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),253.0,278.3,108.79,493.35,50
CDM,0565309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0565348,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0565349,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1223.0,1345.3,525.89,2384.85,50
CDM,0565356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0565357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0565364,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1364.0,1500.4,586.52,2659.8,50
CDM,0565365,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1364.0,1500.4,586.52,2659.8,50
CDM,0565367,"STRUT, X-SHORT 71070705",1496.0,1496.0,307.58,1196.8,45
CDM,0565373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0565468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),885.0,973.5,380.55,1725.75,50
CDM,0565487,JOINT DEVICE (IMPLANTABLE),8247.0,9071.7,3546.21,16081.65,50
CDM,0565490,JOINT DEVICE (IMPLANTABLE),7611.0,8372.1,3272.73,14841.45,50
CDM,0565557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0565570,JOINT DEVICE (IMPLANTABLE),2532.0,2785.2,1088.76,4937.4,50
CDM,0565581,"INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)",20125.0,22137.5,8653.75,39243.75,50
CDM,0565582,"INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)",20125.0,22137.5,8653.75,39243.75,50
CDM,0565588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0565589,"IMPLANT, PREFLEX MCPSZ 20MCPX-",1197.0,1316.7,246.1,1316.7,50
CDM,0565590,"IMPLANT, PREFLEX MCPSZ-10MCPX-",1197.0,1316.7,246.1,1316.7,50
CDM,0565591,"IMPLANT,PREFLEX MCP SZ-30MCPX-",1197.0,1316.7,246.1,1316.7,50
CDM,0565623,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",333.0,366.3,143.19,649.35,50
CDM,0565624,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",333.0,366.3,143.19,649.35,50
CDM,0565625,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",333.0,366.3,143.19,649.35,50
CDM,0565723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),518.0,569.8,222.74,1010.1,50
CDM,0565776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0565779,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.0,156.2,61.06,276.9,50
CDM,0565798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0565803,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0565805,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),91.0,100.1,39.13,177.45,50
CDM,0565825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),169.0,185.9,72.67,329.55,50
CDM,0565839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),644.0,708.4,276.92,1255.8,50
CDM,0565840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),559.0,614.9,240.37,1090.05,50
CDM,0565841,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",716.0,787.6,307.88,1396.2,50
CDM,0565847,JOINT DEVICE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0565848,JOINT DEVICE (IMPLANTABLE),2022.0,2224.2,869.46,3942.9,50
CDM,0565850,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0565854,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0565855,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),68.0,74.8,29.24,132.6,50
CDM,0565856,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0565859,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3042.0,3346.2,1308.06,5931.9,50
CDM,0565895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0565899,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0565903,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10376.0,11413.6,4461.68,20233.2,50
CDM,0565909,JOINT DEVICE (IMPLANTABLE),2025.0,2227.5,870.75,3948.75,50
CDM,0565915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),207.0,227.7,89.01,403.65,50
CDM,0565919,JOINT DEVICE (IMPLANTABLE),8158.0,8973.8,3507.94,15908.1,50
CDM,0565964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0565992,MESH (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0565993,MESH (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0565995,MESH (IMPLANTABLE),274.0,301.4,117.82,534.3,50
CDM,0566011,JOINT DEVICE (IMPLANTABLE),2065.0,2271.5,887.95,4026.75,50
CDM,0566014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1910.0,2101.0,821.3,3724.5,50
CDM,0566016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0566048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1779.0,1956.9,764.97,3469.05,50
CDM,0566086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.0,540.1,211.13,957.45,50
CDM,0566133,JOINT DEVICE (IMPLANTABLE),8712.0,9583.2,3746.16,16988.4,50
CDM,0566141,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2433.0,2676.3,1046.19,4744.35,50
CDM,0566143,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2556.0,2811.6,1099.08,4984.2,50
CDM,0566144,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",825.0,907.5,354.75,1608.75,50
CDM,0566146,OSSICULA IMPLANT,478.0,525.8,205.54,722.03,50
CDM,0566152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0566159,"DRILL BIT, SHORT 2.7MM",991.0,991.0,203.75,792.8,45
CDM,0566170,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0566194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),976.0,1073.6,419.68,1903.2,50
CDM,0566196,"PORT, INDWELLING (IMPLANTABLE)",338.0,371.8,145.34,659.1,50
CDM,0566233,"SPACER, DISTAL",250.0,275.0,51.4,275.0,50
CDM,0566234,JOINT DEVICE (IMPLANTABLE),5742.0,6316.2,2469.06,11196.9,50
CDM,0566243,JOINT DEVICE (IMPLANTABLE),6063.0,6669.3,2607.09,11822.85,50
CDM,0566253,JOINT DEVICE (IMPLANTABLE),5755.0,6330.5,2474.65,11222.25,50
CDM,0566254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0566256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0566269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),240.0,264.0,103.2,468.0,50
CDM,0566278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0566282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0566285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),246.0,270.6,105.78,479.7,50
CDM,0566286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1184.0,1302.4,509.12,2308.8,50
CDM,0566318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0566335,MESH (IMPLANTABLE),11250.0,12375.0,4837.5,21937.5,50
CDM,0566355,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),55.0,60.5,23.65,107.25,50
CDM,0566356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),55.0,60.5,23.65,107.25,50
CDM,0566364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0566375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),55.0,60.5,23.65,107.25,50
CDM,0566376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0566377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0566393,OSSICULA IMPLANT,1073.0,1180.3,296.22,1180.3,50
CDM,0566401,OSSICULA IMPLANT,625.0,687.5,268.75,722.03,50
CDM,0566407,"TORP, MICRON OFF- CENTERED 6.5",662.0,728.2,136.11,728.2,50
CDM,0566424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),187.0,205.7,80.41,364.65,50
CDM,0566448,JOINT DEVICE (IMPLANTABLE),1492.0,1641.2,641.56,2909.4,50
CDM,0566481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0566482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2224.0,2446.4,956.32,4336.8,50
CDM,0566483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0566501,"GRAFT, VASCULAR",3129.0,3441.9,1345.47,6101.55,50
CDM,0566509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),351.0,386.1,150.93,684.45,50
CDM,0566512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),665.0,731.5,285.95,1296.75,50
CDM,0566513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),881.0,969.1,378.83,1717.95,50
CDM,0566526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1107.0,1217.7,476.01,2158.65,50
CDM,0566538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0566556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),667.0,733.7,286.81,1300.65,50
CDM,0566562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0566563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0566583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0566592,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",718.0,789.8,308.74,1400.1,50
CDM,0566594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),55.0,60.5,23.65,107.25,50
CDM,0566604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0566605,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0566614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),167.0,183.7,71.81,325.65,50
CDM,0566675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1805.0,1985.5,776.15,3519.75,50
CDM,0566681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),115.0,126.5,49.45,224.25,50
CDM,0566725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),174.0,191.4,74.82,339.3,50
CDM,0566733,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),890.0,979.0,382.7,1735.5,50
CDM,0566738,JOINT DEVICE (IMPLANTABLE),14258.0,15683.8,6130.94,27803.1,50
CDM,0566788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),168.0,184.8,72.24,327.6,50
CDM,0566807,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0566808,"PROSTHESIS, BREAST (IMPLANTABLE)",1059.0,1164.9,455.37,2065.05,50
CDM,0566824,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),583.0,641.3,250.69,1136.85,50
CDM,0566836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0566887,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0566892,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",30450.0,33495.0,13093.5,59377.5,50
CDM,0566893,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",42000.0,46200.0,18060.0,81900.0,50
CDM,0566910,JOINT DEVICE (IMPLANTABLE),1694.0,1863.4,728.42,3303.3,50
CDM,0566911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0566950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0566984,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0567029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),194.0,213.4,83.42,378.3,50
CDM,0567030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0567039,JOINT DEVICE (IMPLANTABLE),1987.0,2185.7,854.41,3874.65,50
CDM,0567053,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6645.0,7309.5,2857.35,12957.75,50
CDM,0567065,JOINT DEVICE (IMPLANTABLE),8527.0,9379.7,3666.61,16627.65,50
CDM,0567070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567077,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6808.0,7488.8,2927.44,13275.6,50
CDM,0567103,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5400.0,5940.0,2322.0,10530.0,50
CDM,0567117,JOINT DEVICE (IMPLANTABLE),6070.0,6677.0,2610.1,11836.5,50
CDM,0567209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0567216,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2468.0,2714.8,1061.24,4812.6,50
CDM,0567231,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0567255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0567270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0567273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567278,JOINT DEVICE (IMPLANTABLE),3710.0,4081.0,1595.3,7234.5,50
CDM,0567334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),91.0,100.1,39.13,177.45,50
CDM,0567348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),168.0,184.8,72.24,327.6,50
CDM,0567356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2928.0,3220.8,1259.04,5709.6,50
CDM,0567358,JOINT DEVICE (IMPLANTABLE),3682.0,4050.2,1583.26,7179.9,50
CDM,0567362,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",2083.0,2291.3,895.69,4061.85,50
CDM,0567375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0567381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0567406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0567427,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0567453,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3970.0,4367.0,1707.1,7741.5,50
CDM,0567468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6795.0,7474.5,2921.85,13250.25,50
CDM,0567505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),758.0,833.8,325.94,1478.1,50
CDM,0567511,JOINT DEVICE (IMPLANTABLE),2094.0,2303.4,900.42,4083.3,50
CDM,0567516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0567519,MESH (IMPLANTABLE),478.0,525.8,205.54,932.1,50
CDM,0567535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3221.0,3543.1,1385.03,6280.95,50
CDM,0567539,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1595.0,1754.5,685.85,3110.25,50
CDM,0567540,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0567592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.0,172.7,67.51,306.15,50
CDM,0567622,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567653,JOINT DEVICE (IMPLANTABLE),7697.0,8466.7,3309.71,15009.15,50
CDM,0567655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),314.0,345.4,135.02,612.3,50
CDM,0567691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0567707,CLAMP  ADJUSTABLE OPEN,1062.0,1062.0,218.35,849.6,45
CDM,0567753,DRILL BIT,1126.0,1126.0,231.51,900.8,45
CDM,0567764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0567781,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5213.0,5734.3,2241.59,10165.35,50
CDM,0567782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),249.0,273.9,107.07,485.55,50
CDM,0567811,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10124.0,11136.4,4353.32,19741.8,50
CDM,0567823,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0567875,MESH (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567889,MESH (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0567902,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),104.0,114.4,44.72,202.8,50
CDM,0567910,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4191.0,4610.1,1802.13,8172.45,50
CDM,0567914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2656.0,2921.6,1142.08,5179.2,50
CDM,0567920,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0567949,KIT REPOSE INFLUENT,3377.0,3377.0,694.31,2701.6,45
CDM,0568043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),255.0,280.5,109.65,497.25,50
CDM,0568067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),571.0,628.1,245.53,1113.45,50
CDM,0568070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1283.0,1283.0,345.13,2501.85,45
CDM,0568071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2197.0,2416.7,944.71,4284.15,50
CDM,0568072,"GRAFT, VASCULAR",4373.0,4810.3,1880.39,8527.35,50
CDM,0568074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),77.0,84.7,33.11,150.15,50
CDM,0568075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),21.0,23.1,9.03,40.95,50
CDM,0568081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0568097,"APLIGRAF, PER SQUARE CENTIMETER",2231.0,2454.1,959.33,4350.45,50
CDM,0568101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0568127,BLADE SPIRAL 65MM,1177.0,1177.0,241.99,941.6,45
CDM,0568138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0568141,SEALER 2.3 BIOPOLAR AQUAMANT,962.0,962.0,197.79,769.6,45
CDM,0568145,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",394.0,433.4,169.42,768.3,50
CDM,0568146,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",462.0,508.2,198.66,900.9,50
CDM,0568149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2031.0,2234.1,873.33,3960.45,50
CDM,0568170,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),750.0,825.0,322.5,1462.5,50
CDM,0568177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),790.0,869.0,339.7,1540.5,50
CDM,0568200,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",881.0,969.1,378.83,1328.91,50
CDM,0568201,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",2589.0,2847.9,545.19,2847.9,50
CDM,0568203,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",881.0,969.1,378.83,1328.91,50
CDM,0568204,"GRAFT, VASCULAR",881.0,969.1,378.83,1717.95,50
CDM,0568205,"GRAFT, VASCULAR",1069.0,1175.9,459.67,2084.55,50
CDM,0568206,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",473.0,520.3,203.39,1328.91,50
CDM,0568207,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",473.0,520.3,203.39,1328.91,50
CDM,0568208,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",449.0,493.9,193.07,1328.91,50
CDM,0568229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),730.0,803.0,313.9,1423.5,50
CDM,0568233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2535.0,2788.5,1090.05,4943.25,50
CDM,0568234,VALVE AORTIC EPIC,5931.0,6524.1,1219.41,6524.1,50
CDM,0568241,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1505.0,1505.0,404.85,2934.75,45
CDM,0568242,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",451.0,496.1,193.93,879.45,50
CDM,0568249,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",2435.0,2678.5,545.19,2678.5,50
CDM,0568250,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",5206.0,5726.6,545.19,5726.6,50
CDM,0568251,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",4186.0,4604.6,545.19,4604.6,50
CDM,0568252,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",5364.0,5900.4,545.19,5900.4,50
CDM,0568256,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4181.0,4599.1,1797.83,8152.95,50
CDM,0568262,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,0568266,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2966.0,2966.0,797.85,5783.7,45
CDM,0568273,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568332,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",13703.0,15073.3,5892.29,26720.85,50
CDM,0568344,"INJECTABLE BULKING AGENT, SYNTHETIC IMPLANT, URINARY TRACT, 1 ML SYRINGE, INCLUDES SHIPPING AND NECESSARY SUPPLIES",811.0,892.1,225.47,892.1,50
CDM,0568353,"GRAFT, VASCULAR",3029.0,3331.9,1302.47,5906.55,50
CDM,0568354,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",5206.0,5726.6,545.19,5726.6,50
CDM,0568360,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5905.0,6495.5,2539.15,11514.75,50
CDM,0568362,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",881.0,969.1,378.83,1328.91,50
CDM,0568365,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0568366,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0568367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0568368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0568370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),114.0,125.4,49.02,222.3,50
CDM,0568375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),529.0,581.9,227.47,1031.55,50
CDM,0568392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),973.0,1070.3,418.39,1897.35,50
CDM,0568406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1167.0,1283.7,501.81,2275.65,50
CDM,0568407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1172.0,1289.2,503.96,2285.4,50
CDM,0568411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1636.0,1799.6,703.48,3190.2,50
CDM,0568412,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0568413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1815.0,1996.5,780.45,3539.25,50
CDM,0568414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0568421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1167.0,1283.7,501.81,2275.65,50
CDM,0568430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1911.0,2102.1,821.73,3726.45,50
CDM,0568434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1167.0,1283.7,501.81,2275.65,50
CDM,0568459,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),896.0,985.6,385.28,1747.2,50
CDM,0568460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.0,179.3,70.09,317.85,50
CDM,0568461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568467,MESH (IMPLANTABLE),9261.0,10187.1,3982.23,18058.95,50
CDM,0568468,MESH (IMPLANTABLE),7938.0,8731.8,3413.34,15479.1,50
CDM,0568469,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0568493,VALVE SHUNT MEDTRC NSC,2586.0,2844.6,531.68,2844.6,50
CDM,0568506,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",8832.0,9715.2,3797.76,17222.4,50
CDM,0568507,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5772.0,6349.2,2481.96,11255.4,50
CDM,0568510,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11379.0,12516.9,4892.97,22189.05,50
CDM,0568511,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11379.0,12516.9,4892.97,22189.05,50
CDM,0568513,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3710.0,4081.0,1595.3,7234.5,50
CDM,0568514,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3710.0,4081.0,1595.3,7234.5,50
CDM,0568515,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3710.0,4081.0,1595.3,7234.5,50
CDM,0568516,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3710.0,4081.0,1595.3,7234.5,50
CDM,0568517,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5772.0,6349.2,2481.96,11255.4,50
CDM,0568518,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",5772.0,6349.2,2481.96,11255.4,50
CDM,0568519,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5772.0,6349.2,2481.96,11255.4,50
CDM,0568520,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",12863.0,14149.3,5531.09,25082.85,50
CDM,0568521,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12863.0,14149.3,5531.09,25082.85,50
CDM,0568526,MESH (IMPLANTABLE),738.0,811.8,317.34,1439.1,50
CDM,0568527,MESH (IMPLANTABLE),948.0,1042.8,407.64,1848.6,50
CDM,0568529,MESH (IMPLANTABLE),886.0,974.6,380.98,1727.7,50
CDM,0568530,MESH (IMPLANTABLE),643.0,707.3,276.49,1253.85,50
CDM,0568531,"CYTAL, PER SQUARE CENTIMETER",3479.0,3826.9,1495.97,6784.05,50
CDM,0568532,"CYTAL, PER SQUARE CENTIMETER",1933.0,2126.3,831.19,3769.35,50
CDM,0568534,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4755.0,5230.5,2044.65,9272.25,50
CDM,0568535,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4867.0,5353.7,2092.81,9490.65,50
CDM,0568536,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5245.0,5769.5,2255.35,10227.75,50
CDM,0568539,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1881.0,1881.0,505.99,3667.95,45
CDM,0568540,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7571.0,8328.1,3255.53,14763.45,50
CDM,0568541,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6797.0,7476.7,2922.71,13254.15,50
CDM,0568542,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,0568543,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4995.0,5494.5,2147.85,9740.25,50
CDM,0568545,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6797.0,7476.7,2922.71,13254.15,50
CDM,0568546,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,0568547,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,0568548,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8015.0,8816.5,3446.45,15629.25,50
CDM,0568549,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6797.0,7476.7,2922.71,13254.15,50
CDM,0568550,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,0568551,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5731.0,6304.1,2464.33,11175.45,50
CDM,0568554,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,0568565,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10526.0,11578.6,4526.18,20525.7,50
CDM,0568566,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2669.0,2935.9,1147.67,5204.55,50
CDM,0568568,"CATHETER, THROMBECTOMY/EMBOLECTOMY",7709.0,7709.0,2073.72,15032.55,45
CDM,0568571,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",3383.0,3721.3,1454.69,6596.85,50
CDM,0568572,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",4282.0,4710.2,1841.26,8349.9,50
CDM,0568595,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1487.0,1487.0,400.0,2899.65,45
CDM,0568597,CATH PX SLIM %,1547.0,1701.7,318.06,1701.7,50
CDM,0568622,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0568624,"MATRISTEM MICROMATRIX, 1 MG",1084.0,1192.4,466.12,2113.8,50
CDM,0568644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),931.0,1024.1,400.33,1815.45,50
CDM,0568721,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6774.0,7451.4,2912.82,13209.3,50
CDM,0568747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0568750,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",873.0,960.3,375.39,1328.91,50
CDM,0568772,JOINT DEVICE (IMPLANTABLE),209.0,229.9,89.87,407.55,50
CDM,0568791,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0568796,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0568806,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0568821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),408.0,448.8,175.44,795.6,50
CDM,0568822,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),408.0,448.8,175.44,795.6,50
CDM,0568829,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0568858,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",691.0,760.1,297.13,1328.91,50
CDM,0568871,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0568883,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),588.0,646.8,252.84,1146.6,50
CDM,0568900,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0568911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.0,405.9,158.67,719.55,50
CDM,0568924,"GRAFT, VASCULAR",2280.0,2508.0,980.4,4446.0,50
CDM,0568927,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1283.0,1411.3,545.19,1411.3,50
CDM,0568928,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",5521.0,6073.1,545.19,6073.1,50
CDM,0568930,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1278.0,1405.8,545.19,1405.8,50
CDM,0568936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0568941,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1575.0,1732.5,677.25,3071.25,50
CDM,0568944,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1575.0,1732.5,677.25,3071.25,50
CDM,0568946,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2100.0,2310.0,903.0,4095.0,50
CDM,0568952,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5425.0,5967.5,2332.75,10578.75,50
CDM,0568953,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7175.0,7892.5,3085.25,13991.25,50
CDM,0568974,BIPOLAR LEFT  HAND CURVED LHP2,4550.0,5005.0,935.48,5005.0,50
CDM,0568995,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",2602.0,2862.2,1118.86,5073.9,50
CDM,0569003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0569005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0569011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0569013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),536.0,589.6,230.48,1045.2,50
CDM,0569014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1049.0,1153.9,451.07,2045.55,50
CDM,0569015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),497.0,546.7,213.71,969.15,50
CDM,0569016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),497.0,546.7,213.71,969.15,50
CDM,0569017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.0,558.8,218.44,990.6,50
CDM,0569019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),581.0,639.1,249.83,1132.95,50
CDM,0569020,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),528.0,580.8,227.04,1029.6,50
CDM,0569024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),931.0,1024.1,400.33,1815.45,50
CDM,0569025,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0569026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0569027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),408.0,448.8,175.44,795.6,50
CDM,0569029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0569034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0569035,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0569036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0569037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0569041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0569054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0569056,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",67414.0,74155.4,28988.02,131457.3,50
CDM,0569057,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5768.0,6344.8,2480.24,11247.6,50
CDM,0569058,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7390.0,8129.0,3177.7,14410.5,50
CDM,0569059,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1622.0,1784.2,697.46,3162.9,50
CDM,0569062,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",914.0,1005.4,393.02,1782.3,50
CDM,0569063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),585.0,643.5,251.55,1140.75,50
CDM,0569064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0569067,TUBE BERLIN  VAD,901.0,901.0,185.25,720.8,45
CDM,0569069,"PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIED",481.0,529.1,206.83,937.95,50
CDM,0569071,IMPLANT HMII LVAD W CONTLR,145250.0,159775.0,29863.4,159775.0,50
CDM,0569073,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",996.0,1095.6,428.28,1942.2,50
CDM,0569074,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",333.0,366.3,143.19,649.35,50
CDM,0569083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),248.0,272.8,106.64,483.6,50
CDM,0569094,OSSICULA IMPLANT,598.0,657.8,257.14,722.03,50
CDM,0569149,EXT FIX CLAMP SS PIN 6,1467.0,1467.0,301.62,1173.6,45
CDM,0569153,MESH (IMPLANTABLE),884.0,972.4,380.12,1723.8,50
CDM,0569202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),642.0,706.2,276.06,1251.9,50
CDM,0569276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0569301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.0,217.8,85.14,386.1,50
CDM,0569307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),715.0,786.5,307.45,1394.25,50
CDM,0569320,SEALER ENSEAL G2 ART CVD 35CM,1002.0,1002.0,206.01,801.6,45
CDM,0569329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),871.0,958.1,374.53,1698.45,50
CDM,0569335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0569350,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",250.0,275.0,107.5,1328.91,50
CDM,0569353,MESH (IMPLANTABLE),744.0,818.4,319.92,1450.8,50
CDM,0569354,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4305.0,4735.5,1851.15,8394.75,50
CDM,0569355,MESH (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0569358,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",557.0,612.7,239.51,1086.15,50
CDM,0569359,"GRAFT, VASCULAR",473.0,520.3,203.39,922.35,50
CDM,0569360,"GRAFT, VASCULAR",736.0,809.6,316.48,1435.2,50
CDM,0569362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1969.0,2165.9,846.67,3839.55,50
CDM,0569363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),199.0,218.9,85.57,388.05,50
CDM,0569374,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0569382,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0569383,"PORT, INDWELLING (IMPLANTABLE)",735.0,808.5,316.05,1433.25,50
CDM,0569392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),972.0,1069.2,417.96,1895.4,50
CDM,0569393,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),567.0,623.7,243.81,1105.65,50
CDM,0569397,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0569400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0569401,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",317.0,348.7,136.31,618.15,50
CDM,0569403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),935.0,1028.5,402.05,1823.25,50
CDM,0569405,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),781.0,859.1,335.83,1522.95,50
CDM,0569407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),934.0,1027.4,401.62,1821.3,50
CDM,0569410,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),875.0,962.5,376.25,1706.25,50
CDM,0569411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0569417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),884.0,972.4,380.12,1723.8,50
CDM,0569418,JOINT DEVICE (IMPLANTABLE),758.0,833.8,325.94,1478.1,50
CDM,0569422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0569440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.0,179.3,70.09,317.85,50
CDM,0569444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1985.0,2183.5,853.55,3870.75,50
CDM,0569447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0569469,EXT FIX RING HALF ILIZAROV %,1654.0,1654.0,340.06,1323.2,45
CDM,0569489,"BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",10675.0,11742.5,4137.1,11742.5,50
CDM,0569490,KIT LAP APPENDECTOMY,2346.0,2346.0,482.34,1876.8,45
CDM,0569503,"GRAFT, VASCULAR",1985.0,2183.5,853.55,3870.75,50
CDM,0569516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),344.0,378.4,147.92,670.8,50
CDM,0569518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0569556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),370.0,407.0,159.1,721.5,50
CDM,0569576,RING EXTERNAL FIX ROCKER,2599.0,2599.0,534.35,2079.2,45
CDM,0569585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0569602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),172.0,189.2,73.96,335.4,50
CDM,0569604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),196.0,215.6,84.28,382.2,50
CDM,0569623,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0569693,NEEDLE EMG MEP NEUROVISION M5,2161.0,2161.0,444.3,1728.8,45
CDM,0569721,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),520.0,572.0,223.6,1014.0,50
CDM,0569725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10107.0,11117.7,4346.01,19708.65,50
CDM,0569728,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0569729,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0569731,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),74.0,81.4,31.82,144.3,50
CDM,0569732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0569737,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0569758,NEEDLE EMG NVM5 MODULE,1413.0,1413.0,290.51,1130.4,45
CDM,0569802,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),153.0,168.3,65.79,298.35,50
CDM,0569839,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1985.0,2183.5,545.19,2183.5,50
CDM,0569857,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0569858,JOINT DEVICE (IMPLANTABLE),4865.0,5351.5,2091.95,9486.75,50
CDM,0569864,NS2000 NOVASURE ABLATION BOX,2207.0,2207.0,453.76,1765.6,45
CDM,0569865,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",900.0,990.0,387.0,1328.91,50
CDM,0569866,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",962.0,1058.2,413.66,1328.91,50
CDM,0569867,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1000.0,1100.0,430.0,1328.91,50
CDM,0569868,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0569875,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),396.0,435.6,170.28,772.2,50
CDM,0569886,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),789.0,867.9,339.27,1538.55,50
CDM,0569888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),549.0,603.9,236.07,1070.55,50
CDM,0569900,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),174.0,191.4,74.82,339.3,50
CDM,0569903,MESH (IMPLANTABLE),762.0,838.2,327.66,1485.9,50
CDM,0569904,MESH (IMPLANTABLE),1210.0,1331.0,520.3,2359.5,50
CDM,0569905,MESH (IMPLANTABLE),1858.0,2043.8,798.94,3623.1,50
CDM,0569917,MESH (IMPLANTABLE),25830.0,28413.0,11106.9,50368.5,50
CDM,0569918,MESH (IMPLANTABLE),17850.0,19635.0,7675.5,34807.5,50
CDM,0569919,MESH (IMPLANTABLE),13776.0,15153.6,5923.68,26863.2,50
CDM,0569920,MESH (IMPLANTABLE),6458.0,7103.8,2776.94,12593.1,50
CDM,0569921,MESH (IMPLANTABLE),4520.0,4972.0,1943.6,8814.0,50
CDM,0569923,"MATRISTEM MICROMATRIX, 1 MG",1315.0,1446.5,565.45,2564.25,50
CDM,0569936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),469.0,515.9,201.67,914.55,50
CDM,0569949,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0569950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),285.0,313.5,122.55,555.75,50
CDM,0569979,PIN APEX EF ADAP LONG DIA 3-4,527.0,579.7,108.35,579.7,50
CDM,0569980,PIN APEX EF ADAP SHORT DIA 3-4,515.0,566.5,105.88,566.5,50
CDM,0569998,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9.0,9.9,3.87,17.55,50
CDM,0570005,MESH (IMPLANTABLE),493.0,542.3,211.99,961.35,50
CDM,0570020,VASOVIEW KITVH-1000,1485.0,1485.0,305.32,1188.0,45
CDM,0570155,KIT STIMLOC BLT NEXFRAME,1377.0,1377.0,283.11,1101.6,45
CDM,0570167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1052.0,1157.2,452.36,2051.4,50
CDM,0570171,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",1399.0,1399.0,376.33,2728.05,45
CDM,0570189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1398.0,1537.8,601.14,2726.1,50
CDM,0570513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0570625,"CATHETER, DRAINAGE",1019.0,1019.0,274.11,1987.05,45
CDM,0570708,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",165.0,181.5,70.95,321.75,50
CDM,0570825,"CATHETER, DRAINAGE",1956.0,1956.0,526.16,3814.2,45
CDM,0570857,"SEALANT,FIBRIN CROSSEAL 5ML-45",890.0,890.0,182.98,712.0,45
CDM,0570929,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2509.0,2759.9,1078.87,4892.55,50
CDM,0570930,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2433.0,2676.3,1046.19,4744.35,50
CDM,0571059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0571085,"INTEGRA MATRIX, PER SQUARE CENTIMETER",4371.0,4808.1,1879.53,8523.45,50
CDM,0571129,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1750.0,1750.0,470.75,3412.5,45
CDM,0571143,"START UP KIT, HEAT EXCHANGE",4130.0,4130.0,849.13,3304.0,45
CDM,0571173,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2441.0,2685.1,1049.63,4759.95,50
CDM,0571240,"PORT, INDWELLING (IMPLANTABLE)",667.0,733.7,286.81,1300.65,50
CDM,0571242,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",611.0,672.1,262.73,1191.45,50
CDM,0571245,GUIDE WIRE,944.0,944.0,253.94,1840.8,45
CDM,0571307,KIT KYPHOPLASTY,4761.0,4761.0,978.86,3808.8,45
CDM,0571308,KIT KYPHOPLASTY KPT2002,4761.0,4761.0,978.86,3808.8,45
CDM,0571316,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1455.0,1455.0,391.4,2837.25,45
CDM,0571366,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",301.0,331.1,129.43,586.95,50
CDM,0571434,GUIDE TRAJECTORY FOR DBS,2341.0,2341.0,481.31,1872.8,45
CDM,0571454,"COILS, EMBOLIZATION",788.0,866.8,162.01,866.8,50
CDM,0571475,GUIDE BIOPSY FOR DBS,1209.0,1209.0,248.57,967.2,45
CDM,0571482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1750.0,470.75,3412.5,45
CDM,0571488,HARMONIC ACE SHEARS CVD 45CM,880.0,880.0,180.93,704.0,45
CDM,0571508,LIGSURE ADV PISTL GRP 5MM-44CM,1414.0,1414.0,290.72,1131.2,45
CDM,0571611,"SEALANT, PULMONARY, LIQUID",1756.0,1756.0,472.36,3424.2,45
CDM,0571650,SYSTEM BALLOON,1645.0,1645.0,338.21,1316.0,45
CDM,0571662,CATH PRUITT AORTIC OCCLUDR 12F,961.0,961.0,197.58,768.8,45
CDM,0571670,SEALER BIPOLAR AQUAMNTYS 9.5XL,902.0,902.0,185.45,721.6,45
CDM,0571676,LIGASURE 5MM BLUNT 20CM SHORT,4988.0,4988.0,1025.53,3990.4,45
CDM,0571677,EGIA45 ARTIC VAS MED CVD RELOD,898.0,898.0,184.63,718.4,45
CDM,0571690,ACCUMAX HIGH POWER 1000 MICRON,1168.0,1168.0,240.14,934.4,45
CDM,0571705,VALVULATOME KIT DISP,5773.0,5773.0,1186.93,4618.4,45
CDM,0571708,PATCH PLEDGET VASCULAR,1163.0,1163.0,239.11,930.4,45
CDM,0571713,VALVE CDMNCERTAS INLN W/SPHGD,6843.0,6843.0,1406.92,5474.4,45
CDM,0571778,PATCH FIBRIN SEALENT,1356.0,1356.0,278.79,1084.8,45
CDM,0571783,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0571784,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0571785,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0571786,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,0571787,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0571788,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0571790,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0571807,LIGASURE SM JAW DEVICE,1146.0,1146.0,235.62,916.8,45
CDM,0571841,GUIDE WIRE,952.0,952.0,256.09,1856.4,45
CDM,0571847,WAND PLASMA PROCISE,1068.0,1068.0,219.58,854.4,45
CDM,0571851,"CATHETER, THROMBECTOMY/EMBOLECTOMY",7910.0,7910.0,2127.79,15424.5,45
CDM,0571871,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2450.0,2450.0,659.05,4777.5,45
CDM,0571874,"PROSTHESIS, BREAST (IMPLANTABLE)",2273.0,2273.0,611.44,4432.35,45
CDM,0571875,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0571876,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2083.0,2291.3,895.69,4061.85,50
CDM,0571877,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3430.0,3773.0,1474.9,6688.5,50
CDM,0571900,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",508.0,558.8,218.44,990.6,50
CDM,0571910,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",4631.0,4631.0,1245.74,9030.45,45
CDM,0571915,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0571917,HNDPCE  MYRIAD 13G 19G%,5014.0,5014.0,1030.88,4011.2,45
CDM,0571920,STAPLER LINEAR ENDO45MM,1469.0,1469.0,302.03,1175.2,45
CDM,0571921,CAPSULE VIDEO BOWEL PILL,984.0,984.0,202.31,787.2,45
CDM,0571927,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0571930,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0571931,VENA CAVA FILTER,2363.0,2599.3,1016.09,4607.85,50
CDM,0571934,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0571955,"BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1158.0,1273.8,497.94,2062.01,48
CDM,0571956,"BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",13336.0,14669.6,4137.1,14669.6,50
CDM,0571957,"BATTERY CLIPS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1019.0,1120.9,438.17,1130.1,48
CDM,0571964,"PROBE/NEEDLE, CRYOABLATION",4025.0,4025.0,1082.73,7848.75,45
CDM,0571979,NICO BRAINPATH SHEATH%,1794.0,1794.0,368.85,1435.2,45
CDM,0571981,STAPLE RELIATACK 3X 10-TK,953.0,953.0,195.94,762.4,45
CDM,0572058,SEALANT  DURASEAL DURA 5ML,1409.0,1409.0,289.69,1127.2,45
CDM,0572092,CUTTER LINEAR ARTICULAT FLEX 6,1136.0,1136.0,233.56,908.8,45
CDM,0572148,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2473.0,2720.3,1063.39,4822.35,50
CDM,0572150,KYPHON EXP II  BONE TAP KIT,5959.0,5959.0,1225.17,4767.2,45
CDM,0572202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7094.0,7803.4,3050.42,13833.3,50
CDM,0572207,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6344.0,6978.4,2727.92,12370.8,50
CDM,0572228,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,173.0,46.54,337.35,45
CDM,0572234,SEALANT FIBRIN EVICEL 2ML,343.0,343.0,70.52,274.4,45
CDM,0572237,SYS VASOVIEW HEMOPRO 2,2423.0,2423.0,498.17,1938.4,45
CDM,0572279,BEAVER BLADE 6900,1034.0,1034.0,212.59,827.2,45
CDM,0572365,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0572376,HYSTEROSCOPIC ENDOMAT TUBING,1779.0,1779.0,365.76,1423.2,45
CDM,0572380,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0572381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0572409,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1510.0,1661.0,649.3,2944.5,50
CDM,0572484,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",587.0,645.7,252.41,1144.65,50
CDM,0572510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.0,355.3,138.89,629.85,50
CDM,0572511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.0,178.2,69.66,315.9,50
CDM,0572523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.0,355.3,138.89,629.85,50
CDM,0572536,SUT MERSILENE 2-0 FS1 R647H,3141.0,3141.0,645.79,2512.8,45
CDM,0572552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0572574,GASTRIC BYPASS KIT OPEN,1783.0,1783.0,366.58,1426.4,45
CDM,0572586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),209.0,229.9,89.87,407.55,50
CDM,0572587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0572589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0572600,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0572603,URETEROSCOPE LITHOVUE DSP,2625.0,2625.0,539.7,2100.0,45
CDM,0572627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0572821,HARMONIC SCALPEL,915.0,915.0,188.12,732.0,45
CDM,0573040,PLATE 3 - 10 HOLE,277.0,304.7,56.95,304.7,50
CDM,0573042,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),736.12,809.73,316.53,1435.43,50
CDM,0573125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1021.0,1123.1,439.03,1990.95,50
CDM,0573126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1113.0,1224.3,478.59,2170.35,50
CDM,0573128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),524.0,576.4,225.32,1021.8,50
CDM,0573224,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1051.0,1156.1,451.93,2049.45,50
CDM,0573233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0573241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0573247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.0,316.8,123.84,561.6,50
CDM,0573248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0573269,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2455.0,2700.5,1055.65,4787.25,50
CDM,0573284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0573301,JOINT DEVICE (IMPLANTABLE),4176.0,4593.6,1795.68,8143.2,50
CDM,0573306,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0573324,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),87.0,95.7,37.41,169.65,50
CDM,0573328,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),48.0,52.8,20.64,93.6,50
CDM,0573333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),50.0,55.0,21.5,97.5,50
CDM,0573334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),50.0,55.0,21.5,97.5,50
CDM,0573335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),45.0,49.5,19.35,87.75,50
CDM,0573348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),272.0,299.2,116.96,530.4,50
CDM,0573381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0573383,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),591.0,650.1,254.13,1152.45,50
CDM,0573385,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),690.0,759.0,296.7,1345.5,50
CDM,0573388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),615.0,676.5,264.45,1199.25,50
CDM,0573391,DRILL BIT CANN COUPLING 12X19,1029.0,1029.0,211.56,823.2,45
CDM,0573394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),233.0,256.3,100.19,454.35,50
CDM,0573416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),737.0,810.7,316.91,1437.15,50
CDM,0573417,"AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE",3441.0,3785.1,1479.63,6709.95,50
CDM,0573433,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",613.0,674.3,263.59,1195.35,50
CDM,0573449,JOINT DEVICE (IMPLANTABLE),5101.0,5611.1,2193.43,9946.95,50
CDM,0573482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.0,311.3,121.69,551.85,50
CDM,0573521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),114.0,125.4,49.02,222.3,50
CDM,0573522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0573523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0573533,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0573545,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.0,339.9,132.87,602.55,50
CDM,0573548,MESH (IMPLANTABLE),3014.0,3315.4,1296.02,5877.3,50
CDM,0573551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0573552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0573553,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),387.0,425.7,166.41,754.65,50
CDM,0573558,JOINT DEVICE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0573563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0573574,JOINT DEVICE (IMPLANTABLE),6925.0,7617.5,2977.75,13503.75,50
CDM,0573575,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3186.0,3504.6,1369.98,6212.7,50
CDM,0573576,JOINT DEVICE (IMPLANTABLE),1147.0,1261.7,493.21,2236.65,50
CDM,0573580,JOINT DEVICE (IMPLANTABLE),3374.0,3711.4,1450.82,6579.3,50
CDM,0573585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.0,339.9,132.87,602.55,50
CDM,0573589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),74.0,81.4,31.82,144.3,50
CDM,0573596,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2566.0,2822.6,1103.38,5003.7,50
CDM,0573599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6269.0,6895.9,2695.67,12224.55,50
CDM,0573606,JOINT DEVICE (IMPLANTABLE),6783.0,7461.3,2916.69,13226.85,50
CDM,0573609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),113.0,124.3,48.59,220.35,50
CDM,0573611,JOINT DEVICE (IMPLANTABLE),5794.0,6373.4,2491.42,11298.3,50
CDM,0573639,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.0,321.2,125.56,569.4,50
CDM,0573644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0573647,CLAMP MICRO LENGTHNR MULTIPIN,1060.0,1166.0,217.94,1166.0,50
CDM,0573648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.0,326.7,127.71,579.15,50
CDM,0573655,JOINT DEVICE (IMPLANTABLE),10171.0,11188.1,4373.53,19833.45,50
CDM,0573663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),855.0,940.5,367.65,1667.25,50
CDM,0573680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3530.0,3883.0,1517.9,6883.5,50
CDM,0573681,JOINT DEVICE (IMPLANTABLE),2445.0,2689.5,1051.35,4767.75,50
CDM,0573682,JOINT DEVICE (IMPLANTABLE),3793.0,4172.3,1630.99,7396.35,50
CDM,0573684,JOINT DEVICE (IMPLANTABLE),2445.0,2689.5,1051.35,4767.75,50
CDM,0573686,JOINT DEVICE (IMPLANTABLE),3060.0,3366.0,1315.8,5967.0,50
CDM,0573693,JOINT DEVICE (IMPLANTABLE),5891.0,6480.1,2533.13,11487.45,50
CDM,0573699,JOINT DEVICE (IMPLANTABLE),2722.0,2994.2,1170.46,5307.9,50
CDM,0573700,JOINT DEVICE (IMPLANTABLE),2928.0,3220.8,1259.04,5709.6,50
CDM,0573703,JOINT DEVICE (IMPLANTABLE),3427.0,3769.7,1473.61,6682.65,50
CDM,0573709,JOINT DEVICE (IMPLANTABLE),2307.0,2537.7,992.01,4498.65,50
CDM,0573711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2718.0,2989.8,1168.74,5300.1,50
CDM,0573716,MEDPOR TITAN 30 R LG,3500.0,3850.0,719.6,3850.0,50
CDM,0573724,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1690.0,1859.0,726.7,3295.5,50
CDM,0573737,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),192.0,211.2,82.56,374.4,50
CDM,0573740,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.0,3408.9,1332.57,6043.05,50
CDM,0573741,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),128.0,140.8,55.04,249.6,50
CDM,0573752,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1014.0,1115.4,436.02,1977.3,50
CDM,0573769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1207.0,1327.7,519.01,2353.65,50
CDM,0573772,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1302.0,1432.2,559.86,2538.9,50
CDM,0573785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0573787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1320.0,1452.0,567.6,2574.0,50
CDM,0573794,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7161.0,7877.1,3079.23,13963.95,50
CDM,0573841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4471.0,4918.1,1922.53,8718.45,50
CDM,0573842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2702.0,2972.2,1161.86,5268.9,50
CDM,0573858,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2074.0,2281.4,891.82,4044.3,50
CDM,0573859,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),988.0,1086.8,424.84,1926.6,50
CDM,0573864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1402.0,1542.2,602.86,2733.9,50
CDM,0573869,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2944.0,3238.4,1265.92,5740.8,50
CDM,0573874,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1811.0,1992.1,778.73,3531.45,50
CDM,0573880,RING FOOT LONG 155MM,2773.0,2773.0,570.13,2218.4,45
CDM,0573884,EF RING TYLR SPA FT LG 130MM,4494.0,4494.0,923.97,3595.2,45
CDM,0573895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0573897,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0573898,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0573899,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0573914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0573923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0573928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0573939,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),6650.0,7315.0,2859.5,12967.5,50
CDM,0573946,JOINT DEVICE (IMPLANTABLE),2179.0,2396.9,936.97,4249.05,50
CDM,0573951,JOINT DEVICE (IMPLANTABLE),2758.0,3033.8,1185.94,5378.1,50
CDM,0573952,JOINT DEVICE (IMPLANTABLE),8107.0,8917.7,3486.01,15808.65,50
CDM,0573953,JOINT DEVICE (IMPLANTABLE),5891.0,6480.1,2533.13,11487.45,50
CDM,0573959,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0573960,JOINT DEVICE (IMPLANTABLE),8754.0,9629.4,3764.22,17070.3,50
CDM,0573973,STRUT LONG,3229.0,3229.0,663.88,2583.2,45
CDM,0573975,STRUT TELES LONG 177-277MM RED,2200.0,2200.0,452.32,1760.0,45
CDM,0573976,SURGICAL ACCESS KIT MAXCESS 4,2244.0,2244.0,461.37,1795.2,45
CDM,0573977,JOINT DEVICE (IMPLANTABLE),8435.0,9278.5,3627.05,16448.25,50
CDM,0573980,JOINT DEVICE (IMPLANTABLE),3591.0,3950.1,1544.13,7002.45,50
CDM,0573983,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5649.0,6213.9,2429.07,11015.55,50
CDM,0574005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4900.0,5390.0,2107.0,9555.0,50
CDM,0574009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7628.0,8390.8,3280.04,14874.6,50
CDM,0574015,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),7005.0,7705.5,3012.15,13659.75,50
CDM,0574016,JOINT DEVICE (IMPLANTABLE),6360.0,6996.0,2734.8,12402.0,50
CDM,0574018,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6650.0,7315.0,2859.5,12967.5,50
CDM,0574019,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),6650.0,7315.0,2859.5,12967.5,50
CDM,0574033,JOINT DEVICE (IMPLANTABLE),4176.0,4593.6,1795.68,8143.2,50
CDM,0574041,JOINT DEVICE (IMPLANTABLE),5990.0,6589.0,2575.7,11680.5,50
CDM,0574043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.0,3164.7,1237.11,5610.15,50
CDM,0574044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.0,3164.7,1237.11,5610.15,50
CDM,0574054,JOINT DEVICE (IMPLANTABLE),3427.0,3769.7,1473.61,6682.65,50
CDM,0574055,ORBITAL FLOOR 3D,3500.0,3850.0,719.6,3850.0,50
CDM,0574056,JOINT DEVICE (IMPLANTABLE),3204.0,3524.4,1377.72,6247.8,50
CDM,0574058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0574060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0574067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0574075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0574076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0574089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0574090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0574092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0574095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2538.0,2791.8,1091.34,4949.1,50
CDM,0574097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0574102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0574108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0574109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0574110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0574112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0574113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0574117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2753.0,3028.3,1183.79,5368.35,50
CDM,0574121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2048.0,2252.8,880.64,3993.6,50
CDM,0574136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0574137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0574138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0574155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0574161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0574162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0574163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0574165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0574174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0574179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1078.0,1185.8,463.54,2102.1,50
CDM,0574192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),936.0,1029.6,402.48,1825.2,50
CDM,0574193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0574201,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",22617.0,24878.7,9725.31,44103.15,50
CDM,0574205,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9275.0,10202.5,3988.25,18086.25,50
CDM,0574206,TOOL SIZING LINX REFLUX DISP,1750.0,1750.0,359.8,1400.0,45
CDM,0574226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0574228,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0574234,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0574237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0574256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3042.0,3346.2,1308.06,5931.9,50
CDM,0574269,JOINT DEVICE (IMPLANTABLE),9551.0,10506.1,4106.93,18624.45,50
CDM,0574270,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0574271,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0574291,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3025.0,3327.5,1300.75,5898.75,50
CDM,0574297,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4305.0,4735.5,1851.15,8394.75,50
CDM,0574298,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4441.0,4885.1,1909.63,8659.95,50
CDM,0574300,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4361.0,4797.1,1875.23,8503.95,50
CDM,0574315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0574337,PROBE APC CIRCULAR 2.3MMX220CM,3806.0,3806.0,782.51,3044.8,45
CDM,0574370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0574371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0574374,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",758.0,833.8,325.94,1478.1,50
CDM,0574376,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",1861.0,2047.1,800.23,3628.95,50
CDM,0574377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1385.0,1523.5,595.55,2700.75,50
CDM,0574409,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0574410,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",19297.0,21226.7,8297.71,37629.15,50
CDM,0574413,MESH (IMPLANTABLE),7700.0,8470.0,3311.0,15015.0,50
CDM,0574417,GUIDE WIRE,1750.0,1750.0,470.75,3412.5,45
CDM,0574418,KIT CORE,1181.0,1181.0,242.81,944.8,45
CDM,0574419,"ALLODERM, PER SQUARE CENTIMETER",6974.0,7671.4,2998.82,13599.3,50
CDM,0574421,PROBE LITHOTRIPT SHOCKPULSE,1338.0,1338.0,275.09,1070.4,45
CDM,0574422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0574423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0574424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0574425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0574428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0574429,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21000.0,23100.0,9030.0,40950.0,50
CDM,0574430,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",9968.0,10964.8,4286.24,19437.6,50
CDM,0574431,"INTEGRA FLOWABLE WOUND MATRIX, INJECTABLE, 1 CC",8784.0,9662.4,3777.12,17128.8,50
CDM,0574432,"NON-SHEET FORM SKIN SUBSTITUTE, FDA CLEARED AS A DEVICE, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",7613.0,8374.3,3273.59,14845.35,50
CDM,0574434,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0574455,JOINT DEVICE (IMPLANTABLE),1691.0,1860.1,727.13,3297.45,50
CDM,0574460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1385.0,1523.5,595.55,2700.75,50
CDM,0574461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1177.0,1294.7,506.11,2295.15,50
CDM,0574469,JOINT DEVICE (IMPLANTABLE),4881.0,5369.1,2098.83,9517.95,50
CDM,0574480,JOINT DEVICE (IMPLANTABLE),6360.0,6996.0,2734.8,12402.0,50
CDM,0574492,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,451.92,3276.0,45
CDM,0574497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12395.0,13634.5,5329.85,24170.25,50
CDM,0574499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8640.0,9504.0,3715.2,16848.0,50
CDM,0574502,EF CLAMP COMB MED,1102.0,1102.0,226.57,881.6,45
CDM,0574503,CLAMP COMBINATION 8MM 11.0MM,1269.0,1269.0,260.91,1015.2,45
CDM,0574509,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0574510,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0574513,JOINT DEVICE (IMPLANTABLE),5891.0,6480.1,2533.13,11487.45,50
CDM,0574516,JOINT DEVICE (IMPLANTABLE),5542.0,6096.2,2383.06,10806.9,50
CDM,0574519,JOINT DEVICE (IMPLANTABLE),4876.0,5363.6,2096.68,9508.2,50
CDM,0574520,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0574522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0574523,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0574524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1488.0,400.27,2901.6,45
CDM,0574525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1488.0,400.27,2901.6,45
CDM,0574527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),744.0,818.4,319.92,1450.8,50
CDM,0574529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1488.0,400.27,2901.6,45
CDM,0574530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1488.0,400.27,2901.6,45
CDM,0574532,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0574533,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0574534,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0574535,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3152.0,3467.2,1355.36,6146.4,50
CDM,0574538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),370.0,407.0,159.1,721.5,50
CDM,0574547,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",680.0,748.0,292.4,1326.0,50
CDM,0574552,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",25296.0,27825.6,10877.28,49327.2,50
CDM,0574555,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2088.0,2296.8,897.84,4071.6,50
CDM,0574557,JOINT DEVICE (IMPLANTABLE),1610.0,1771.0,692.3,3139.5,50
CDM,0574558,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",26583.0,29241.3,11430.69,51836.85,50
CDM,0574563,DEVICE SUT ENDO SYS,1709.0,1709.0,351.37,1367.2,45
CDM,0574569,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1575.0,1732.5,677.25,3071.25,50
CDM,0574572,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0574576,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",804.0,884.4,345.72,1567.8,50
CDM,0574578,JOINT DEVICE (IMPLANTABLE),11861.0,13047.1,5100.23,23128.95,50
CDM,0574579,JOINT DEVICE (IMPLANTABLE),4516.0,4967.6,1941.88,8806.2,50
CDM,0574580,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5880.0,6468.0,2528.4,11466.0,50
CDM,0574584,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",881.0,969.1,378.83,1328.91,50
CDM,0574588,JOINT DEVICE (IMPLANTABLE),1342.0,1476.2,577.06,2616.9,50
CDM,0574589,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0574608,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0574609,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8587.0,9445.7,3692.41,16744.65,50
CDM,0574610,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0574613,JOINT DEVICE (IMPLANTABLE),3914.0,4305.4,1683.02,7632.3,50
CDM,0574616,"INJECTABLE BULKING AGENT, DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT, URINARY TRACT, 1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",4596.0,5055.6,1976.28,8962.2,50
CDM,0574620,"ALLODERM, PER SQUARE CENTIMETER",775.0,852.5,333.25,1511.25,50
CDM,0574626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1372.0,1509.2,589.96,2675.4,50
CDM,0574633,KIT PROBE OSTEOCOOL 17GX20MM,7518.0,7518.0,1545.7,6014.4,45
CDM,0574638,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",1053.0,1053.0,283.26,2053.35,45
CDM,0574645,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),664.0,730.4,285.52,1294.8,50
CDM,0574647,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0574648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0574650,MESH (IMPLANTABLE),1075.0,1182.5,462.25,2096.25,50
CDM,0574651,MESH (IMPLANTABLE),574.0,631.4,246.82,1119.3,50
CDM,0574652,MESH (IMPLANTABLE),901.0,991.1,387.43,1756.95,50
CDM,0574653,MESH (IMPLANTABLE),1276.0,1403.6,548.68,2488.2,50
CDM,0574654,MESH (IMPLANTABLE),1669.0,1835.9,717.67,3254.55,50
CDM,0574655,MESH (IMPLANTABLE),2153.0,2368.3,925.79,4198.35,50
CDM,0574657,MESH (IMPLANTABLE),2297.0,2526.7,987.71,4479.15,50
CDM,0574658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2297.0,2526.7,987.71,4479.15,50
CDM,0574660,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2352.0,2587.2,1011.36,4586.4,50
CDM,0574661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3566.0,3922.6,1533.38,6953.7,50
CDM,0574662,MESH (IMPLANTABLE),3681.0,4049.1,1582.83,7177.95,50
CDM,0574664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7628.0,8390.8,3280.04,14874.6,50
CDM,0574665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10561.0,11617.1,4541.23,20593.95,50
CDM,0574666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0574668,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",220.0,242.0,94.6,429.0,50
CDM,0574671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574672,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0574674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0574675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),620.0,682.0,266.6,1209.0,50
CDM,0574676,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1177.0,1294.7,506.11,2295.15,50
CDM,0574680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1739.0,1912.9,747.77,3391.05,50
CDM,0574682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3993.0,4392.3,1716.99,7786.35,50
CDM,0574686,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",226.0,248.6,97.18,440.7,50
CDM,0574687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0574691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1375.0,1512.5,591.25,2681.25,50
CDM,0574702,PATCH SEALANT TACHOSIL 9.5X4.8,1360.0,1360.0,279.62,1088.0,45
CDM,0574705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0574707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),235.0,258.5,101.05,458.25,50
CDM,0574708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),212.0,233.2,91.16,413.4,50
CDM,0574709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0574719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),259.0,284.9,111.37,505.05,50
CDM,0574725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0574726,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),164.0,180.4,70.52,319.8,50
CDM,0574728,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0574729,JOINT DEVICE (IMPLANTABLE),4176.0,4593.6,1795.68,8143.2,50
CDM,0574731,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1239.0,1362.9,532.77,2416.05,50
CDM,0574732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1141.0,1255.1,490.63,2224.95,50
CDM,0574734,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0574735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2337.0,2570.7,1004.91,4557.15,50
CDM,0574736,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0574744,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),511.0,562.1,219.73,996.45,50
CDM,0574762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1908.0,2098.8,820.44,3720.6,50
CDM,0574775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.0,622.6,243.38,1103.7,50
CDM,0574787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),930.0,1023.0,399.9,1813.5,50
CDM,0574799,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),919.0,1010.9,395.17,1792.05,50
CDM,0574860,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),593.0,652.3,254.99,1156.35,50
CDM,0574907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3162.0,3478.2,1359.66,6165.9,50
CDM,0574909,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2695.0,2964.5,1158.85,5255.25,50
CDM,0574921,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),357.0,392.7,153.51,696.15,50
CDM,0574933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0574934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),357.0,392.7,153.51,696.15,50
CDM,0574935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0574937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2112.0,2323.2,908.16,4118.4,50
CDM,0574938,"PATIENT PROGRAMMER, NEUROSTIMULATOR",2062.0,2062.0,554.68,4020.9,45
CDM,0574939,OSSICULA IMPLANT,491.0,540.1,211.13,722.03,50
CDM,0574940,OSSICULA IMPLANT,420.0,462.0,180.6,722.03,50
CDM,0574941,OSSICULA IMPLANT,482.0,530.2,207.26,722.03,50
CDM,0574943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3238.0,3561.8,1392.34,6314.1,50
CDM,0574951,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",90.0,99.0,38.7,175.5,50
CDM,0574952,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",143.0,157.3,61.49,278.85,50
CDM,0574955,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",174.0,191.4,74.82,339.3,50
CDM,0574956,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",246.0,270.6,105.78,479.7,50
CDM,0574964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0574967,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0574968,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0574976,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0574979,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0574980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0574982,ROD LOPRO OC ADJ 3.5X220-7,700.0,770.0,143.92,770.0,50
CDM,0574983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0574987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0574988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),290.0,319.0,124.7,565.5,50
CDM,0574992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),167.0,183.7,71.81,325.65,50
CDM,0574993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1971.0,2168.1,847.53,3843.45,50
CDM,0574995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0575001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0575006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),81.0,89.1,34.83,157.95,50
CDM,0575011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0575028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0575034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),209.0,229.9,89.87,407.55,50
CDM,0575036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0575040,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.0,101.2,39.56,179.4,50
CDM,0575043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0575057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1672.0,1839.2,718.96,3260.4,50
CDM,0575062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0575090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),184.0,202.4,79.12,358.8,50
CDM,0575116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0575123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0575129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0575131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),356.0,391.6,153.08,694.2,50
CDM,0575139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.0,101.2,39.56,179.4,50
CDM,0575144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0575156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),194.0,213.4,83.42,378.3,50
CDM,0575168,SEALANT COSEAL 4ML,962.0,962.0,197.79,769.6,45
CDM,0575174,JOINT DEVICE (IMPLANTABLE),848.0,932.8,364.64,1653.6,50
CDM,0575175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0575183,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0575188,JOINT DEVICE (IMPLANTABLE),8305.0,9135.5,3571.15,16194.75,50
CDM,0575192,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4305.0,4735.5,1851.15,8394.75,50
CDM,0575195,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0575196,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0575202,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4867.0,5353.7,2092.81,9490.65,50
CDM,0575205,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5402.0,5942.2,2322.86,10533.9,50
CDM,0575206,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3025.0,3327.5,1300.75,5898.75,50
CDM,0575207,"STRATTICE TM, PER SQUARE CENTIMETER",6967.0,7663.7,2995.81,13585.65,50
CDM,0575208,"STRATTICE TM, PER SQUARE CENTIMETER",13932.0,15325.2,5990.76,27167.4,50
CDM,0575209,"STRATTICE TM, PER SQUARE CENTIMETER",13932.0,15325.2,5990.76,27167.4,50
CDM,0575210,"STRATTICE TM, PER SQUARE CENTIMETER",26121.0,28733.1,11232.03,50935.95,50
CDM,0575211,"STRATTICE TM, PER SQUARE CENTIMETER",13932.0,15325.2,5990.76,27167.4,50
CDM,0575212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5159.0,5674.9,2218.37,10060.05,50
CDM,0575213,STRUT 195-311MM CIRC FSTFX,3329.0,3329.0,684.44,2663.2,45
CDM,0575214,STRUT 75-96MM CIRC XTRNFX EXPA,3229.0,3229.0,663.88,2583.2,45
CDM,0575215,STRUT SPATIAL 116-178MM MED,3229.0,3229.0,663.88,2583.2,45
CDM,0575217,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0575218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575227,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1173.0,1290.3,504.39,2287.35,50
CDM,0575229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0575230,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),464.0,510.4,199.52,904.8,50
CDM,0575232,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2007.0,2207.7,863.01,3913.65,50
CDM,0575239,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0575240,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1138.0,1251.8,489.34,2219.1,50
CDM,0575241,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1374.0,1511.4,590.82,2679.3,50
CDM,0575242,MESH (IMPLANTABLE),778.0,855.8,334.54,1517.1,50
CDM,0575256,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2056.0,2261.6,884.08,4009.2,50
CDM,0575258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0575262,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0575265,JOINT DEVICE (IMPLANTABLE),6783.0,7461.3,2916.69,13226.85,50
CDM,0575275,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1692.0,1692.0,455.15,3299.4,45
CDM,0575276,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",4288.0,4288.0,1153.47,8361.6,45
CDM,0575279,EF CLAMP FREEDOM 10.5MM,1274.0,1274.0,261.93,1019.2,45
CDM,0575282,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0575283,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2867.0,3153.7,1232.81,5590.65,50
CDM,0575288,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1732.5,677.25,3071.25,50
CDM,0575293,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0575294,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0575295,JOINT DEVICE (IMPLANTABLE),3591.0,3950.1,1544.13,7002.45,50
CDM,0575296,JOINT DEVICE (IMPLANTABLE),4865.0,5351.5,2091.95,9486.75,50
CDM,0575300,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",583.0,641.3,250.69,1136.85,50
CDM,0575301,JOINT DEVICE (IMPLANTABLE),1064.0,1170.4,457.52,2074.8,50
CDM,0575304,IMPLANT CERVICAL 14X11,1575.0,1732.5,323.82,1732.5,50
CDM,0575305,JOINT DEVICE (IMPLANTABLE),4516.0,4967.6,1941.88,8806.2,50
CDM,0575307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0575309,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0575310,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0575314,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3042.0,3346.2,1308.06,5931.9,50
CDM,0575316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0575317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0575318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3346.0,3680.6,1438.78,6524.7,50
CDM,0575319,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3346.0,3680.6,1438.78,6524.7,50
CDM,0575320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3287.0,3615.7,1413.41,6409.65,50
CDM,0575321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0575322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0575325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.0,3408.9,1332.57,6043.05,50
CDM,0575326,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0575329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0575330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0575331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2126.0,2338.6,914.18,4145.7,50
CDM,0575334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.0,3164.7,1237.11,5610.15,50
CDM,0575335,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5188.0,5706.8,2230.84,10116.6,50
CDM,0575336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575337,JOINT DEVICE (IMPLANTABLE),4984.0,5482.4,2143.12,9718.8,50
CDM,0575338,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",615.0,676.5,264.45,1199.25,50
CDM,0575339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0575341,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0575342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0575343,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),60.0,66.0,25.8,117.0,50
CDM,0575354,MESH (IMPLANTABLE),1308.0,1438.8,562.44,2550.6,50
CDM,0575359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0575369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.0,1337.6,522.88,2371.2,50
CDM,0575372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2104.0,2314.4,904.72,4102.8,50
CDM,0575374,EF RING 2/3,3318.0,3318.0,682.18,2654.4,45
CDM,0575375,EF RING FULL,3476.0,3476.0,714.67,2780.8,45
CDM,0575376,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",225.0,247.5,96.75,438.75,50
CDM,0575381,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",350.0,385.0,150.5,682.5,50
CDM,0575382,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0575383,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0575384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0575385,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0575390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0575394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575412,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0575415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),205.0,225.5,88.15,399.75,50
CDM,0575416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0575418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0575420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0575423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0575430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0575437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0575439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),88.0,96.8,37.84,171.6,50
CDM,0575440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0575446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),236.0,259.6,101.48,460.2,50
CDM,0575449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0575452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0575457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0575458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0575462,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),180.0,198.0,77.4,351.0,50
CDM,0575463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575474,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575478,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),113.0,124.3,48.59,220.35,50
CDM,0575479,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),117.0,128.7,50.31,228.15,50
CDM,0575483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575485,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),434.0,477.4,186.62,846.3,50
CDM,0575501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0575502,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0575505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),199.0,218.9,85.57,388.05,50
CDM,0575506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),230.0,253.0,98.9,448.5,50
CDM,0575507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0575512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0575514,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",109.0,119.9,46.87,212.55,50
CDM,0575515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0575518,JOINT DEVICE (IMPLANTABLE),4603.0,5063.3,1979.29,8975.85,50
CDM,0575524,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4339.0,4772.9,1865.77,8461.05,50
CDM,0575527,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1400.0,1540.0,602.0,2730.0,50
CDM,0575532,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),167.0,183.7,71.81,325.65,50
CDM,0575544,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),265.0,291.5,113.95,516.75,50
CDM,0575547,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0575552,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",188858.0,207743.8,81208.94,368273.1,50
CDM,0575553,"STRATTICE TM, PER SQUARE CENTIMETER",6967.0,7663.7,2995.81,13585.65,50
CDM,0575554,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, LASER",5539.0,5539.0,1489.99,10801.05,45
CDM,0575555,MESH (IMPLANTABLE),781.0,859.1,335.83,1522.95,50
CDM,0575556,MESH (IMPLANTABLE),1023.0,1125.3,439.89,1994.85,50
CDM,0575557,MESH (IMPLANTABLE),1896.0,2085.6,815.28,3697.2,50
CDM,0575558,MESH (IMPLANTABLE),2579.0,2836.9,1108.97,5029.05,50
CDM,0575559,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,0575560,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,0575561,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,776.87,5631.6,45
CDM,0575566,"BIODFENCE, PER SQUARE CENTIMETER",7386.0,8124.6,3175.98,14402.7,50
CDM,0575567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575568,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2266.0,2492.6,974.38,4418.7,50
CDM,0575569,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",3841.0,4225.1,1651.63,7489.95,50
CDM,0575570,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",6991.0,7690.1,3006.13,13632.45,50
CDM,0575571,JUSTRIGHT SEALER,1488.0,1488.0,305.93,1190.4,45
CDM,0575577,JOINT DEVICE (IMPLANTABLE),6173.0,6790.3,2654.39,12037.35,50
CDM,0575591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0575607,CATHETER DRAINAGE SUBDURAL,2958.0,2958.0,608.16,2366.4,45
CDM,0575631,JOINT DEVICE (IMPLANTABLE),2710.0,2981.0,1165.3,5284.5,50
CDM,0575632,JOINT DEVICE (IMPLANTABLE),2897.0,3186.7,1245.71,5649.15,50
CDM,0575634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0575638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3346.0,3680.6,1438.78,6524.7,50
CDM,0575644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.45,405.3,158.43,718.48,50
CDM,0575647,"PRIMATRIX, PER SQUARE CENTIMETER",8855.0,9740.5,3807.65,17267.25,50
CDM,0575654,JOINT DEVICE (IMPLANTABLE),3518.0,3869.8,1512.74,6860.1,50
CDM,0575655,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0575656,JOINT DEVICE (IMPLANTABLE),928.0,1020.8,399.04,1809.6,50
CDM,0575657,JOINT DEVICE (IMPLANTABLE),5742.0,6316.2,2469.06,11196.9,50
CDM,0575659,"PROSTHESIS, BREAST (IMPLANTABLE)",1916.0,2107.6,823.88,3736.2,50
CDM,0575660,"PROSTHESIS, BREAST (IMPLANTABLE)",1453.0,1598.3,624.79,2833.35,50
CDM,0575661,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,635.65,4607.85,45
CDM,0575663,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2867.0,3153.7,1232.81,5590.65,50
CDM,0575664,"GRAFT, VASCULAR",12075.0,13282.5,5192.25,23546.25,50
CDM,0575667,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",2441.0,2685.1,1049.63,4759.95,50
CDM,0575671,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0575690,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",12163.0,13379.3,5230.09,23717.85,50
CDM,0575691,ENDOWRIST VESSEL SEALER,1041.0,1041.0,214.03,832.8,45
CDM,0575692,HARMONIC CURVED SHEARS,954.0,954.0,196.14,763.2,45
CDM,0575693,"HUMAN PLASMA FIBRIN SEALANT, VAPOR-HEATED, SOLVENT-DETERGENT (ARTISS), 2 ML",602.0,202.0,134.5,1173.9,53
CDM,0575694,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",10187.1,11205.81,4380.45,35079.88,50
CDM,0575695,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE,9168.39,10085.23,3942.41,17878.36,50
CDM,0575697,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",8067.0,8873.7,545.19,8873.7,50
CDM,0575702,"CATHETER, OCCLUSION",1618.75,1618.75,435.44,3156.56,45
CDM,0575706,JOINT DEVICE (IMPLANTABLE),3202.0,3522.2,1376.86,6243.9,50
CDM,0575707,JOINT DEVICE (IMPLANTABLE),10543.0,11597.3,4533.49,20558.85,50
CDM,0575712,JOINT DEVICE (IMPLANTABLE),6890.0,7579.0,2962.7,13435.5,50
CDM,0575714,JOINT DEVICE (IMPLANTABLE),10522.0,11574.2,4524.46,20517.9,50
CDM,0575717,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1017.0,1118.7,437.31,1983.15,50
CDM,0575718,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1162.0,1278.2,499.66,2265.9,50
CDM,0575725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0575726,"CYGNUS, PER SQUARE CENTIMETER",4386.0,4824.6,1885.98,8552.7,50
CDM,0575727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1603.0,1763.3,689.29,3125.85,50
CDM,0575734,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1806.0,1986.6,776.58,3521.7,50
CDM,0575744,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2777.0,3054.7,1194.11,5415.15,50
CDM,0575747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0575754,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0575756,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),236.5,260.15,101.7,461.18,50
CDM,0575769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0575773,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0575774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0575779,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0575789,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0575792,"XCELLISTEM, 1 MG",910.0,,244.79,1774.5,45
CDM,0575794,"XCELLISTEM, 1 MG",3525.0,,948.23,6873.75,45
CDM,0575798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1498.0,1647.8,644.14,2921.1,50
CDM,0575803,JOINT DEVICE (IMPLANTABLE),2826.0,3108.6,1215.18,5510.7,50
CDM,0575805,JOINT DEVICE (IMPLANTABLE),7158.0,7873.8,3077.94,13958.1,50
CDM,0575813,JOINT DEVICE (IMPLANTABLE),1489.0,1637.9,640.27,2903.55,50
CDM,0575814,GUIDE DRILL RSP GLENOID,1519.0,1519.0,312.31,1215.2,45
CDM,0575819,"SKIN SUBSTITUTE, INTEGRA MESHED BILAYER WOUND MATRIX, PER SQUARE CENTIMETER",5716.0,6287.6,2457.88,11146.2,50
CDM,0575822,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",12163.0,13379.3,5230.09,23717.85,50
CDM,0575826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0575827,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",350.0,385.0,150.5,682.5,50
CDM,0575829,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0575830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0575833,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0575834,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0575835,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0575838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.0,9438.0,3689.4,16731.0,50
CDM,0575839,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0575840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3763.0,4139.3,1618.09,7337.85,50
CDM,0575843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.0,760.1,297.13,1347.45,50
CDM,0575844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2118.0,2329.8,910.74,4130.1,50
CDM,0575845,PACK SUTURE PARS,2878.0,2878.0,591.72,2302.4,45
CDM,0575846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),431.0,474.1,185.33,840.45,50
CDM,0575853,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0575854,JOINT DEVICE (IMPLANTABLE),2756.0,3031.6,1185.08,5374.2,50
CDM,0575855,JOINT DEVICE (IMPLANTABLE),2586.0,2844.6,1111.98,5042.7,50
CDM,0575856,"BRACHYTHERAPY SOURCE, NON-STRANDED, GOLD-198, PER SOURCE",3927.0,4319.7,145.16,7657.65,61
CDM,0575859,JOINT DEVICE (IMPLANTABLE),1331.0,1464.1,572.33,2595.45,50
CDM,0575864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1208.0,1328.8,519.44,2355.6,50
CDM,0575865,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0575868,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0575879,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1360.0,1496.0,584.8,2652.0,50
CDM,0575882,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0575883,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0575886,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1881.0,2069.1,808.83,3667.95,50
CDM,0575888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5380.0,5918.0,2313.4,10491.0,50
CDM,0575892,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1045.0,1149.5,449.35,2037.75,50
CDM,0575894,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1934.0,2127.4,831.62,3771.3,50
CDM,0575895,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",884.0,972.4,380.12,1723.8,50
CDM,0575898,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0575900,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3399.0,3738.9,1461.57,6628.05,50
CDM,0575905,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0575917,JOINT DEVICE (IMPLANTABLE),2722.0,2994.2,1170.46,5307.9,50
CDM,0575921,JOINT DEVICE (IMPLANTABLE),2445.0,2689.5,1051.35,4767.75,50
CDM,0575926,JOINT DEVICE (IMPLANTABLE),10543.0,11597.3,4533.49,20558.85,50
CDM,0575933,"THERMSOLUTIONS, INC 111-2000",6878.0,6878.0,1414.12,5502.4,45
CDM,0575934,DEVICE HAND ACCESS GELPORT,1456.0,1456.0,299.35,1164.8,45
CDM,0575936,TISSUE FIB SHFT PEDI,3596.0,3955.6,739.34,3955.6,50
CDM,0575940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0575943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),845.0,929.5,363.35,1647.75,50
CDM,0575944,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",994.0,1093.4,427.42,1938.3,50
CDM,0575945,JOINT DEVICE (IMPLANTABLE),3746.0,4120.6,1610.78,7304.7,50
CDM,0575951,JOINT DEVICE (IMPLANTABLE),2154.0,2369.4,926.22,4200.3,50
CDM,0575968,JOINT DEVICE (IMPLANTABLE),16006.0,17606.6,6882.58,31211.7,50
CDM,0575973,JOINT DEVICE (IMPLANTABLE),2197.0,2416.7,944.71,4284.15,50
CDM,0575978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.0,1337.6,522.88,2371.2,50
CDM,0575981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0575983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0575988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0575990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),15642.0,17206.2,6726.06,30501.9,50
CDM,0575991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0575992,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1225.0,1347.5,526.75,2388.75,50
CDM,0575997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0575999,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0576001,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0576002,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1400.0,1540.0,602.0,2730.0,50
CDM,0576004,DILATOR KIT,1159.0,1159.0,238.29,927.2,45
CDM,0576006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1004.0,1104.4,431.72,1957.8,50
CDM,0576007,HLS SET ADV BIOLINE COATING,25468.0,25468.0,3461.0,20374.4,45
CDM,0576017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1293.0,1422.3,555.99,2521.35,50
CDM,0576018,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0576019,JOINT DEVICE (IMPLANTABLE),5027.0,5529.7,2161.61,9802.65,50
CDM,0576024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),210.0,231.0,90.3,409.5,50
CDM,0576025,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0576029,LSR FIBER ACCUMAX 1000,1175.0,1175.0,241.58,940.0,45
CDM,0576033,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0576035,"PROSTHESIS, BREAST (IMPLANTABLE)",1978.0,2175.8,850.54,3857.1,50
CDM,0576038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2493.0,2742.3,1071.99,4861.35,50
CDM,0576039,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4418.0,4859.8,1899.74,8615.1,50
CDM,0576040,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0576044,JOINT DEVICE (IMPLANTABLE),14769.0,16245.9,6350.67,28799.55,50
CDM,0576046,JOINT DEVICE (IMPLANTABLE),9309.0,10239.9,4002.87,18152.55,50
CDM,0576053,JOINT DEVICE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0576055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0576063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576080,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0576081,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0576083,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0576095,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2415.0,2656.5,1038.45,4709.25,50
CDM,0576099,FIBER LASER GREENLIGHT,1741.0,1741.0,357.95,1392.8,45
CDM,0576102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5742.0,6316.2,2469.06,11196.9,50
CDM,0576103,JOINT DEVICE (IMPLANTABLE),3518.0,3869.8,1512.74,6860.1,50
CDM,0576105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0576111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0576112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0576113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0576114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0576119,JOINT DEVICE (IMPLANTABLE),1248.0,1372.8,536.64,2433.6,50
CDM,0576120,JOINT DEVICE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0576121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),784.98,863.48,337.54,1530.71,50
CDM,0576122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0576125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2923.0,3215.3,1256.89,5699.85,50
CDM,0576127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.92,322.21,125.96,571.19,50
CDM,0576128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),330.0,363.0,141.9,643.5,50
CDM,0576133,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1276.0,1276.0,343.24,2488.2,45
CDM,0576134,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0576137,RETRACTOR MAXCESS 4 KIT,2244.0,2244.0,461.37,1795.2,45
CDM,0576138,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3603.0,3963.3,1549.29,7025.85,50
CDM,0576140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576141,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",276.5,304.15,118.9,539.18,50
CDM,0576142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.0,405.9,158.67,719.55,50
CDM,0576143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0576144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),599.0,658.9,257.57,1168.05,50
CDM,0576145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0576150,JOINT DEVICE (IMPLANTABLE),2722.0,2994.2,1170.46,5307.9,50
CDM,0576151,JOINT DEVICE (IMPLANTABLE),7967.0,8763.7,3425.81,15535.65,50
CDM,0576152,JOINT DEVICE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0576156,JOINT DEVICE (IMPLANTABLE),1730.0,1903.0,743.9,3373.5,50
CDM,0576157,"CYGNUS, PER SQUARE CENTIMETER",6052.0,6657.2,2602.36,11801.4,50
CDM,0576159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3427.0,3769.7,1473.61,6682.65,50
CDM,0576160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2354.0,2589.4,1012.22,4590.3,50
CDM,0576164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0576183,SEALER BIPOLAR MALLEABLE,1018.0,1018.0,209.3,814.4,45
CDM,0576185,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2677.0,2944.7,1151.11,5220.15,50
CDM,0576187,KT LVR TRNSPLNT PEDI SRGTRCK,2629.0,2629.0,540.52,2103.2,45
CDM,0576188,LIGHT SOURCE MIS,1750.0,1750.0,359.8,1400.0,45
CDM,0576189,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",217.0,238.7,93.31,423.15,50
CDM,0576190,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",185.0,203.5,79.55,360.75,50
CDM,0576191,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0576192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576193,OSSICULA IMPLANT,305.0,335.5,131.15,722.03,50
CDM,0576194,OSSICULA IMPLANT,360.0,396.0,154.8,722.03,50
CDM,0576198,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0576201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0576202,"GRAFT, VASCULAR",399.0,438.9,171.57,778.05,50
CDM,0576204,OSSICULA IMPLANT,577.0,634.7,248.11,722.03,50
CDM,0576205,OSSICULA IMPLANT,420.0,462.0,180.6,722.03,50
CDM,0576212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),153.0,168.3,65.79,298.35,50
CDM,0576213,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),154.0,169.4,66.22,300.3,50
CDM,0576222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0576223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0576224,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0576225,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),509.46,560.41,219.07,993.45,50
CDM,0576229,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",26670.0,29337.0,11468.1,52006.5,50
CDM,0576230,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8484.0,9332.4,3648.12,16543.8,50
CDM,0576231,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9639.0,10602.9,4144.77,18796.05,50
CDM,0576232,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0576233,MESH (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0576234,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6774.0,7451.4,2912.82,13209.3,50
CDM,0576235,ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE),6738.0,7411.8,2897.34,13139.1,50
CDM,0576236,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0576237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4543.72,4998.09,1953.8,8860.25,50
CDM,0576238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4420.0,4862.0,1900.6,8619.0,50
CDM,0576239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3880.0,4268.0,1668.4,7566.0,50
CDM,0576241,PACEMAKER INTUITY AORTIC 21MM,21000.0,23100.0,4317.6,23100.0,50
CDM,0576242,JOINT DEVICE (IMPLANTABLE),8593.0,9452.3,3694.99,16756.35,50
CDM,0576243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),13153.0,14468.3,5655.79,25648.35,50
CDM,0576244,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",15348.0,16882.8,6599.64,29928.6,50
CDM,0576245,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13078.0,14385.8,5623.54,25502.1,50
CDM,0576246,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11419.0,11419.0,3071.71,22267.05,45
CDM,0576248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2953.0,3248.3,1269.79,5758.35,50
CDM,0576249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3147.0,3461.7,1353.21,6136.65,50
CDM,0576251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9093.0,10002.3,3909.99,17731.35,50
CDM,0576252,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3287.0,3615.7,1413.41,6409.65,50
CDM,0576253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0576254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0576255,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),8855.0,9740.5,3807.65,17267.25,50
CDM,0576256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2938.0,3231.8,1263.34,5729.1,50
CDM,0576257,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3042.0,3346.2,1308.06,5931.9,50
CDM,0576258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1881.0,2069.1,808.83,3667.95,50
CDM,0576259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0576260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1413.0,1554.3,607.59,2755.35,50
CDM,0576261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0576262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.0,3408.9,1332.57,6043.05,50
CDM,0576263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0576266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0576267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0576268,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9639.0,10602.9,4144.77,18796.05,50
CDM,0576269,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6475.0,7122.5,2784.25,12626.25,50
CDM,0576270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0576271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0576273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0576274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2351.0,2586.1,1010.93,4584.45,50
CDM,0576275,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0576276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0576277,JOINT DEVICE (IMPLANTABLE),8400.0,9240.0,3612.0,16380.0,50
CDM,0576278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3225.0,3547.5,1386.75,6288.75,50
CDM,0576279,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",8113.0,8924.3,3488.59,15820.35,50
CDM,0576280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2262.0,2488.2,972.66,4410.9,50
CDM,0576281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0576282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0576283,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0576284,JOINT DEVICE (IMPLANTABLE),8836.0,9719.6,3799.48,17230.2,50
CDM,0576286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2169.0,2385.9,932.67,4229.55,50
CDM,0576289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0576290,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0576291,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0576292,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0576293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0576294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0576296,"CYGNUS, PER SQUARE CENTIMETER",6052.0,6657.2,2602.36,11801.4,50
CDM,0576297,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5863.0,6449.3,2521.09,11432.85,50
CDM,0576298,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0576299,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5688.0,6256.8,2445.84,11091.6,50
CDM,0576300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5412.0,5953.2,2327.16,10553.4,50
CDM,0576301,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5250.0,5775.0,2257.5,10237.5,50
CDM,0576302,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5195.0,5714.5,2233.85,10130.25,50
CDM,0576304,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1683.0,1851.3,723.69,3281.85,50
CDM,0576305,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0576306,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0576307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5043.0,5547.3,2168.49,9833.85,50
CDM,0576309,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4856.0,5341.6,2088.08,9469.2,50
CDM,0576311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0576315,BOLT 8X35MM,4725.0,4725.0,971.46,3780.0,45
CDM,0576316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3930.0,4323.0,1689.9,7663.5,50
CDM,0576317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0576320,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3637.0,4000.7,1563.91,7092.15,50
CDM,0576321,JOINT DEVICE (IMPLANTABLE),4865.0,5351.5,2091.95,9486.75,50
CDM,0576324,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4191.0,4610.1,1802.13,8172.45,50
CDM,0576325,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4181.0,4599.1,1797.83,8152.95,50
CDM,0576326,JOINT DEVICE (IMPLANTABLE),4105.0,4515.5,1765.15,8004.75,50
CDM,0576327,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3965.0,4361.5,1704.95,7731.75,50
CDM,0576329,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3841.0,4225.1,1651.63,7489.95,50
CDM,0576330,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3841.0,4225.1,1651.63,7489.95,50
CDM,0576331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3784.0,4162.4,1627.12,7378.8,50
CDM,0576334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3575.0,3932.5,1537.25,6971.25,50
CDM,0576336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0576337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3840.38,4224.42,1651.36,7488.74,50
CDM,0576338,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3456.0,3801.6,1486.08,6739.2,50
CDM,0576339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3428.0,3770.8,1474.04,6684.6,50
CDM,0576341,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,0576342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3393.0,3732.3,1458.99,6616.35,50
CDM,0576344,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3178.0,3495.8,1366.54,6197.1,50
CDM,0576345,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2822.0,3104.2,1213.46,5502.9,50
CDM,0576346,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3347.0,3681.7,1439.21,6526.65,50
CDM,0576347,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3345.0,3679.5,1438.35,6522.75,50
CDM,0576348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3045.0,3349.5,1309.35,5937.75,50
CDM,0576350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3217.0,3538.7,1383.31,6273.15,50
CDM,0576352,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0576353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3206.0,3526.6,1378.58,6251.7,50
CDM,0576354,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3205.0,3525.5,1378.15,6249.75,50
CDM,0576355,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2848.0,3132.8,1224.64,5553.6,50
CDM,0576357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2842.0,3126.2,1222.06,5541.9,50
CDM,0576359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3198.0,3517.8,1375.14,6236.1,50
CDM,0576363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3096.0,3405.6,1331.28,6037.2,50
CDM,0576364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3095.0,3404.5,1330.85,6035.25,50
CDM,0576365,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0576366,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3075.0,3382.5,1322.25,5996.25,50
CDM,0576367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2479.0,2726.9,1065.97,4834.05,50
CDM,0576369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3045.0,3349.5,1309.35,5937.75,50
CDM,0576371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3035.0,3338.5,1305.05,5918.25,50
CDM,0576376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2405.0,2645.5,1034.15,4689.75,50
CDM,0576378,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2986.0,3284.6,1283.98,5822.7,50
CDM,0576380,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2975.0,3272.5,1279.25,5801.25,50
CDM,0576381,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0576383,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2981.0,3279.1,1281.83,5812.95,50
CDM,0576384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2952.0,3247.2,1269.36,5756.4,50
CDM,0576387,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1413.0,1554.3,607.59,2755.35,50
CDM,0576389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2502.0,2752.2,1075.86,4878.9,50
CDM,0576390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.0,3408.9,1332.57,6043.05,50
CDM,0576391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2906.0,3196.6,1249.58,5666.7,50
CDM,0576392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2891.0,3180.1,1243.13,5637.45,50
CDM,0576393,INSERT ORTHOGNATHIC KIT,2883.0,2883.0,592.74,2306.4,45
CDM,0576394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2855.0,3140.5,1227.65,5567.25,50
CDM,0576395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1624.0,1786.4,698.32,3166.8,50
CDM,0576396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2830.0,3113.0,1216.9,5518.5,50
CDM,0576397,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2013.0,2214.3,865.59,3925.35,50
CDM,0576398,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2625.0,2887.5,1128.75,5118.75,50
CDM,0576399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0576400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2070.0,2277.0,890.1,4036.5,50
CDM,0576401,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2569.0,2825.9,1104.67,5009.55,50
CDM,0576403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2487.0,2735.7,1069.41,4849.65,50
CDM,0576404,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2437.0,2680.7,1047.91,4752.15,50
CDM,0576405,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2392.0,2631.2,1028.56,4664.4,50
CDM,0576406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2356.0,2591.6,1013.08,4594.2,50
CDM,0576407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2322.0,2554.2,998.46,4527.9,50
CDM,0576408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2311.0,2542.1,993.73,4506.45,50
CDM,0576409,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0576410,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2244.0,2468.4,964.92,4375.8,50
CDM,0576411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4330.0,4763.0,1861.9,8443.5,50
CDM,0576412,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1654.0,1819.4,711.22,3225.3,50
CDM,0576413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2125.0,2337.5,913.75,4143.75,50
CDM,0576414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0576415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1771.0,1948.1,761.53,3453.45,50
CDM,0576416,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2040.0,2244.0,877.2,3978.0,50
CDM,0576418,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0576419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1717.0,1888.7,738.31,3348.15,50
CDM,0576421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1948.0,2142.8,837.64,3798.6,50
CDM,0576422,VENA CAVA FILTER,1942.0,2136.2,835.06,3786.9,50
CDM,0576423,"PROSTHESIS, BREAST (IMPLANTABLE)",1916.0,2107.6,823.88,3736.2,50
CDM,0576424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1688.0,1856.8,725.84,3291.6,50
CDM,0576425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0576427,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1891.0,2080.1,813.13,3687.45,50
CDM,0576428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0576430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1866.0,2052.6,802.38,3638.7,50
CDM,0576431,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0576433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1908.0,2098.8,820.44,3720.6,50
CDM,0576434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0576435,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0576436,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1689.0,1857.9,726.27,3293.55,50
CDM,0576437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1734.0,1907.4,745.62,3381.3,50
CDM,0576438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1725.0,1897.5,741.75,3363.75,50
CDM,0576440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1713.0,1884.3,736.59,3340.35,50
CDM,0576443,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0576445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1364.0,1500.4,586.52,2659.8,50
CDM,0576446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0576449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1334.0,1467.4,573.62,2601.3,50
CDM,0576452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1318.0,1449.8,566.74,2570.1,50
CDM,0576454,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0576455,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0576456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1147.0,1261.7,493.21,2236.65,50
CDM,0576457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1290.0,1419.0,554.7,2515.5,50
CDM,0576458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1132.0,1245.2,486.76,2207.4,50
CDM,0576460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0576461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1258.0,1383.8,540.94,2453.1,50
CDM,0576463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1218.0,1339.8,523.74,2375.1,50
CDM,0576466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0576468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1144.0,1258.4,491.92,2230.8,50
CDM,0576470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1094.0,1203.4,470.42,2133.3,50
CDM,0576471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.0,1424.5,556.85,2525.25,50
CDM,0576472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1128.0,1240.8,485.04,2199.6,50
CDM,0576473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1121.0,1233.1,482.03,2185.95,50
CDM,0576476,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),885.0,973.5,380.55,1725.75,50
CDM,0576478,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1092.0,1201.2,469.56,2129.4,50
CDM,0576480,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0576481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1078.0,1185.8,463.54,2102.1,50
CDM,0576482,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1076.0,1183.6,462.68,1328.91,50
CDM,0576483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1545.86,1700.45,664.72,3014.43,50
CDM,0576484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1048.0,1152.8,450.64,2043.6,50
CDM,0576486,"PROSTHESIS, BREAST (IMPLANTABLE)",1041.0,1145.1,447.63,2029.95,50
CDM,0576488,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576489,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0576491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0576492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0576493,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),791.0,870.1,340.13,1542.45,50
CDM,0576494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),735.0,808.5,316.05,1433.25,50
CDM,0576498,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0576499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),927.0,1019.7,398.61,1807.65,50
CDM,0576500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576501,SCREWDRIVER BLADE 52MM,914.0,914.0,187.92,731.2,45
CDM,0576503,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",899.0,988.9,386.57,1753.05,50
CDM,0576504,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0576505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.0,781.0,305.3,1384.5,50
CDM,0576506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),879.0,966.9,377.97,1714.05,50
CDM,0576507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),879.0,966.9,377.97,1714.05,50
CDM,0576510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),862.0,948.2,370.66,1680.9,50
CDM,0576511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0576514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0576515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),785.0,863.5,337.55,1530.75,50
CDM,0576516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),815.0,896.5,350.45,1589.25,50
CDM,0576517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0576522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0576524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),728.0,800.8,313.04,1419.6,50
CDM,0576535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),571.0,628.1,245.53,1113.45,50
CDM,0576538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0576539,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0576548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0576552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0576554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),619.0,680.9,266.17,1207.05,50
CDM,0576555,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),614.0,675.4,264.02,1197.3,50
CDM,0576556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),523.0,575.3,224.89,1019.85,50
CDM,0576558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),609.0,669.9,261.87,1187.55,50
CDM,0576561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0576564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1155.0,1270.5,496.65,2252.25,50
CDM,0576565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),428.75,471.63,184.36,836.06,50
CDM,0576567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),559.0,614.9,240.37,1090.05,50
CDM,0576569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),540.0,594.0,232.2,1053.0,50
CDM,0576573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),888.0,976.8,381.84,1731.6,50
CDM,0576574,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),513.0,564.3,220.59,1000.35,50
CDM,0576576,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0576579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),497.0,546.7,213.71,969.15,50
CDM,0576581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),487.0,535.7,209.41,949.65,50
CDM,0576583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),484.0,532.4,208.12,943.8,50
CDM,0576585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),472.0,519.2,202.96,920.4,50
CDM,0576587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),461.0,507.1,198.23,898.95,50
CDM,0576588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.0,502.7,196.51,891.15,50
CDM,0576589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0576596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0576597,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",438.0,481.8,188.34,854.1,50
CDM,0576599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),342.0,376.2,147.06,666.9,50
CDM,0576600,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),423.0,465.3,181.89,824.85,50
CDM,0576601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0576602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0576603,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),410.0,451.0,176.3,799.5,50
CDM,0576604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0576607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),396.0,435.6,170.28,772.2,50
CDM,0576608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0576609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0576611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0576612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0576613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0576614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0576615,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0576620,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),310.0,341.0,133.3,604.5,50
CDM,0576623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),307.0,337.7,132.01,598.65,50
CDM,0576625,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),301.0,331.1,129.43,586.95,50
CDM,0576629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0576634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),458.43,504.27,197.12,893.94,50
CDM,0576635,ROD 200MM 8MM CFBR XTRNFX MED,296.0,325.6,60.86,325.6,50
CDM,0576636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0576638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),334.0,367.4,143.62,651.3,50
CDM,0576640,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),281.66,309.83,121.11,549.24,50
CDM,0576643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),326.0,358.6,140.18,635.7,50
CDM,0576644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.0,357.5,139.75,633.75,50
CDM,0576645,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.0,355.3,138.89,629.85,50
CDM,0576646,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0576649,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",318.0,349.8,136.74,620.1,50
CDM,0576650,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0576652,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.36,296.3,115.82,525.25,50
CDM,0576655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),310.0,341.0,133.3,604.5,50
CDM,0576656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.0,339.9,132.87,602.55,50
CDM,0576660,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0576661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0576663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0576664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.0,326.7,127.71,579.15,50
CDM,0576665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0576667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),295.0,324.5,126.85,575.25,50
CDM,0576668,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),255.0,280.5,109.65,497.25,50
CDM,0576669,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576670,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.0,321.2,125.56,569.4,50
CDM,0576673,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.0,311.3,121.69,551.85,50
CDM,0576675,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0576677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),224.0,246.4,96.32,436.8,50
CDM,0576679,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0576680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),272.0,299.2,116.96,530.4,50
CDM,0576682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576684,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0576687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),231.0,254.1,99.33,450.45,50
CDM,0576688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),255.0,280.5,109.65,497.25,50
CDM,0576690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),252.0,277.2,108.36,491.4,50
CDM,0576691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0576694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0576696,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),259.7,285.67,111.67,506.42,50
CDM,0576697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576699,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0576703,"TRACHEO-ESOPHAGEAL VOICE PROSTHESIS, INSERTED BY A LICENSED HEALTH CARE PROVIDER, ANY TYPE",250.0,275.0,107.5,275.0,50
CDM,0576705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),265.0,291.5,113.95,516.75,50
CDM,0576711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0576714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),240.0,264.0,103.2,468.0,50
CDM,0576715,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",251.0,276.1,107.93,489.45,50
CDM,0576718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0576719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),191.0,210.1,82.13,372.45,50
CDM,0576720,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0576721,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),224.0,246.4,96.32,436.8,50
CDM,0576722,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),203.0,223.3,87.29,395.85,50
CDM,0576723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),158.0,173.8,67.94,308.1,50
CDM,0576724,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0576725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),170.0,187.0,73.1,331.5,50
CDM,0576726,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),213.0,234.3,91.59,415.35,50
CDM,0576727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),228.0,250.8,98.04,444.6,50
CDM,0576728,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576729,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576731,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),210.0,231.0,90.3,409.5,50
CDM,0576733,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",143.0,157.3,61.49,278.85,50
CDM,0576734,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),193.0,212.3,82.99,376.35,50
CDM,0576738,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),180.0,198.0,77.4,351.0,50
CDM,0576739,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",146.0,160.6,62.78,284.7,50
CDM,0576741,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0576746,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),139.0,152.9,59.77,271.05,50
CDM,0576748,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0576750,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0576754,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.0,143.0,55.9,253.5,50
CDM,0576755,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),185.0,203.5,79.55,360.75,50
CDM,0576756,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),86.0,94.6,36.98,167.7,50
CDM,0576760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),115.0,126.5,49.45,224.25,50
CDM,0576761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),109.0,119.9,46.87,212.55,50
CDM,0576762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),106.0,116.6,45.58,206.7,50
CDM,0576763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.0,156.2,61.06,276.9,50
CDM,0576764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0576765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),171.0,188.1,73.53,333.45,50
CDM,0576766,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0576771,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),90.0,99.0,38.7,175.5,50
CDM,0576773,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),76.0,83.6,32.68,148.2,50
CDM,0576778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0576780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),74.0,81.4,31.82,144.3,50
CDM,0576782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0576783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),68.0,74.8,29.24,132.6,50
CDM,0576785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),69.0,75.9,29.67,134.55,50
CDM,0576787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),64.0,70.4,27.52,124.8,50
CDM,0576788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),63.0,69.3,27.09,122.85,50
CDM,0576789,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),62.0,68.2,26.66,120.9,50
CDM,0576790,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0576797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0576798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0576799,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1671.0,1838.1,718.53,3258.45,50
CDM,0576800,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0576803,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1887.0,2075.7,811.41,3679.65,50
CDM,0576804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0576806,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1684.0,1852.4,724.12,3283.8,50
CDM,0576810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0576812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1473.0,1620.3,633.39,2872.35,50
CDM,0576813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1466.0,1612.6,630.38,2858.7,50
CDM,0576814,VENA CAVA FILTER,1453.0,1598.3,624.79,2833.35,50
CDM,0576816,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0576818,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0576820,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),528.0,580.8,227.04,1029.6,50
CDM,0576821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),473.0,520.3,203.39,922.35,50
CDM,0576822,"PROBE/NEEDLE, CRYOABLATION",10456.0,10456.0,2812.66,20389.2,45
CDM,0576823,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0576826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576827,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0576828,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0576830,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1552.0,1707.2,667.36,3026.4,50
CDM,0576831,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",2544.5,2798.95,1094.14,4961.78,50
CDM,0576833,MESH (IMPLANTABLE),2708.0,2978.8,1164.44,5280.6,50
CDM,0576834,MESH (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0576835,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",3314.8,3646.28,1425.36,6463.86,50
CDM,0576836,"INJECTION, RADIESSE, 0.1 ML",1208.0,1328.8,519.44,2355.6,50
CDM,0576837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0576838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0576839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1694.0,1863.4,728.42,3303.3,50
CDM,0576841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2356.0,2591.6,1013.08,4594.2,50
CDM,0576842,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",889.0,977.9,382.27,1733.55,50
CDM,0576845,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0576846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),392.0,431.2,168.56,764.4,50
CDM,0576847,DRILL BIT,1154.0,1154.0,237.26,923.2,45
CDM,0576850,MESH (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0576852,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",11410.0,12551.0,4906.3,22249.5,50
CDM,0576853,MESH (IMPLANTABLE),673.2,740.52,289.48,1312.74,50
CDM,0576856,"GRAFT, VASCULAR",1743.0,1917.3,749.49,3398.85,50
CDM,0576857,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",5426.0,5968.6,2333.18,10580.7,50
CDM,0576859,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",120.0,132.0,51.6,234.0,50
CDM,0576860,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",38.0,41.8,16.34,74.1,50
CDM,0576862,MESH (IMPLANTABLE),4666.0,5132.6,2006.38,9098.7,50
CDM,0576863,MESH (IMPLANTABLE),1247.35,1372.09,536.36,2432.33,50
CDM,0576865,JOINT DEVICE (IMPLANTABLE),2835.0,3118.5,1219.05,5528.25,50
CDM,0576866,FGT BROACH DISTAL LG,1058.0,1058.0,217.52,846.4,45
CDM,0576867,FGT BROACH DISTAL SM,1108.0,1108.0,227.8,886.4,45
CDM,0576868,DVC FGT BROACH PROX LG,1055.0,1055.0,216.91,844.0,45
CDM,0576869,FGT BROACH PROX SM,1138.0,1138.0,233.97,910.4,45
CDM,0576871,"GRAFT, VASCULAR",205.0,225.5,88.15,399.75,50
CDM,0576875,DRILL BIT 6MM/9MM,1089.0,1089.0,223.9,871.2,45
CDM,0576876,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2800.0,3080.0,1204.0,5460.0,50
CDM,0576878,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",627.0,689.7,269.61,1222.65,50
CDM,0576880,"CYGNUS, PER SQUARE CENTIMETER",4443.0,4887.3,1910.49,8663.85,50
CDM,0576881,MESH (IMPLANTABLE),1418.0,1559.8,609.74,2765.1,50
CDM,0576882,MESH (IMPLANTABLE),1706.0,1876.6,733.58,3326.7,50
CDM,0576883,MESH (IMPLANTABLE),1820.0,2002.0,782.6,3549.0,50
CDM,0576885,FIBER LASER SHARPLAN LUMENIS,2236.0,2236.0,459.72,1788.8,45
CDM,0576886,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4332.0,4765.2,1862.76,8447.4,50
CDM,0576887,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0576888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0576891,"PORT, INDWELLING (IMPLANTABLE)",541.0,595.1,232.63,1054.95,50
CDM,0576892,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0576894,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0576895,DILATOR ES2,936.0,936.0,192.44,748.8,45
CDM,0576898,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),575.0,632.5,247.25,1121.25,50
CDM,0576899,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0576900,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0576901,JOINT DEVICE (IMPLANTABLE),5846.0,6430.6,2513.78,11399.7,50
CDM,0576902,JOINT DEVICE (IMPLANTABLE),2810.0,3091.0,1208.3,5479.5,50
CDM,0576903,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576904,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1292.0,1421.2,555.56,2519.4,50
CDM,0576905,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3211.0,3532.1,1380.73,6261.45,50
CDM,0576908,NAIL EXTRACTOR,1358.0,1358.0,279.2,1086.4,45
CDM,0576909,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2091.0,2300.1,899.13,4077.45,50
CDM,0576910,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0576911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0576912,INST TRIPLE PLAY 4.0MM,1313.0,1313.0,269.95,1050.4,45
CDM,0576914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0576915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0576916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1530.0,1683.0,657.9,2983.5,50
CDM,0576917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0576919,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,0576920,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2616.0,2877.6,1124.88,5101.2,50
CDM,0576921,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3141.0,3455.1,1350.63,6124.95,50
CDM,0576922,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0576923,"INTEGRA DERMAL REGENERATION TEMPLATE (DRT) OR INTEGRA OMNIGRAFT DERMAL REGENERATION MATRIX, PER SQUARE CENTIMETER",8916.0,9807.6,3833.88,17386.2,50
CDM,0576924,MESH (IMPLANTABLE),3710.0,4081.0,1595.3,7234.5,50
CDM,0576925,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3683.0,4051.3,1583.69,7181.85,50
CDM,0576926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.0,178.2,69.66,315.9,50
CDM,0576927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),258.0,283.8,110.94,503.1,50
CDM,0576928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0576929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),326.0,358.6,140.18,635.7,50
CDM,0576932,BIT DRILL CANN 16MM,1623.0,1623.0,333.69,1298.4,45
CDM,0576933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0576935,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",2826.0,2826.0,760.19,5510.7,45
CDM,0576938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3990.0,4389.0,1715.7,7780.5,50
CDM,0576939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7056.0,7761.6,3034.08,13759.2,50
CDM,0576941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),282.0,310.2,121.26,549.9,50
CDM,0576942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1519.0,1670.9,653.17,2962.05,50
CDM,0576943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),462.0,508.2,198.66,900.9,50
CDM,0576944,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2622.0,2884.2,1127.46,5112.9,50
CDM,0576946,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7875.0,8662.5,3386.25,15356.25,50
CDM,0576947,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7350.0,8085.0,3160.5,14332.5,50
CDM,0576948,VC LUMTIP DISSECTOR 27CM,3325.0,3325.0,683.62,2660.0,45
CDM,0576949,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",6563.0,7219.3,2822.09,12797.85,50
CDM,0576952,"GRAFT, VASCULAR",2879.0,3166.9,1237.97,5614.05,50
CDM,0576953,MESH (IMPLANTABLE),807.0,887.7,347.01,1573.65,50
CDM,0576954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1320.0,1452.0,567.6,2574.0,50
CDM,0576955,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",16056.0,17661.6,6904.08,31309.2,50
CDM,0576958,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.0,2685.1,1049.63,4759.95,50
CDM,0576959,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0576960,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0576962,CATH BALLOON IVAS KIT,4113.0,4113.0,845.63,3290.4,45
CDM,0576963,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2354.0,2589.4,1012.22,4590.3,50
CDM,0576964,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",56875.0,62562.5,24456.25,110906.25,50
CDM,0576965,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8713.0,9584.3,3746.59,16990.35,50
CDM,0576966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576967,GUIDE MAN PT SPEC,1154.0,1154.0,237.26,923.2,45
CDM,0576968,MODEL ANA MAN CLEA,2265.0,2265.0,465.68,1812.0,45
CDM,0576969,MODEL PREOP MANDIBLE CLEARVIEW,2265.0,2265.0,465.68,1812.0,45
CDM,0576970,"GRAFT, VASCULAR",13325.0,14657.5,5729.75,25983.75,50
CDM,0576972,METATARSAL JOINT IMPLANT,1998.5,2198.35,358.14,2198.35,50
CDM,0576973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0576974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0576975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0576977,JOINT DEVICE (IMPLANTABLE),4865.0,5351.5,2091.95,9486.75,50
CDM,0576980,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",17413.0,19154.3,7487.59,33955.35,50
CDM,0576981,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",30450.0,33495.0,13093.5,59377.5,50
CDM,0576983,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",30450.0,33495.0,13093.5,59377.5,50
CDM,0576984,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5163.0,5679.3,2220.09,10067.85,50
CDM,0576985,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",1663.0,1829.3,715.09,3242.85,50
CDM,0576986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0576987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0576988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0576989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3136.0,3449.6,1348.48,6115.2,50
CDM,0576991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1285.0,1413.5,552.55,2505.75,50
CDM,0576993,DRILL BIT  4.5 MM TAPERED,884.0,884.0,181.75,707.2,45
CDM,0576995,EF SALAVATION BOLT 5.0,3230.5,3230.5,664.19,2584.4,45
CDM,0576999,SALAVATION FRAME 160MM,13388.0,13388.0,2752.57,10710.4,45
CDM,0577000,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11363.0,12499.3,4886.09,22157.85,50
CDM,0577001,JOINT DEVICE (IMPLANTABLE),7566.0,8322.6,3253.38,14753.7,50
CDM,0577003,RESECTOR ELECTROSURG HABIB,5600.0,5600.0,1151.36,4480.0,45
CDM,0577009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0577011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1017.0,1118.7,437.31,1983.15,50
CDM,0577012,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",525.0,577.5,225.75,1023.75,50
CDM,0577013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0577014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),812.0,893.2,349.16,1583.4,50
CDM,0577015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1300.0,1430.0,559.0,2535.0,50
CDM,0577016,JOINT DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0577017,JOINT DEVICE (IMPLANTABLE),4176.0,4593.6,1795.68,8143.2,50
CDM,0577020,JOINT DEVICE (IMPLANTABLE),3909.0,4299.9,1680.87,7622.55,50
CDM,0577021,JOINT DEVICE (IMPLANTABLE),273.0,300.3,117.39,532.35,50
CDM,0577023,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10296.0,11325.6,4427.28,20077.2,50
CDM,0577024,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",12688.0,13956.8,5455.84,24741.6,50
CDM,0577025,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",4900.0,5390.0,2107.0,9555.0,50
CDM,0577027,"ALLODERM, PER SQUARE CENTIMETER",8664.0,9530.4,3725.52,16894.8,50
CDM,0577032,"DERMACELL, DERMACELL AWM OR DERMACELL AWM POROUS, PER SQUARE CENTIMETER",1920.0,2112.0,825.6,3744.0,50
CDM,0577034,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0577035,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0577036,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0577037,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0577038,"PROSTHESIS, BREAST (IMPLANTABLE)",1916.0,2107.6,823.88,3736.2,50
CDM,0577039,"PROSTHESIS, BREAST (IMPLANTABLE)",1916.0,2107.6,823.88,3736.2,50
CDM,0577041,"PROSTHESIS, BREAST (IMPLANTABLE)",1916.0,2107.6,823.88,3736.2,50
CDM,0577042,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0577045,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",4900.0,5390.0,2107.0,9555.0,50
CDM,0577046,"EXTERNAL RECHARGING SYSTEM FOR BATTERY (INTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR, REPLACEMENT ONLY",3150.0,3465.0,1354.5,4164.24,49
CDM,0577048,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0577049,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",875.0,962.5,376.25,1706.25,50
CDM,0577052,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",56875.0,62562.5,24456.25,110906.25,50
CDM,0577054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1799.0,1978.9,773.57,3508.05,50
CDM,0577055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0577058,JOINT DEVICE (IMPLANTABLE),8926.0,9818.6,3838.18,17405.7,50
CDM,0577059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1759.0,1934.9,756.37,3430.05,50
CDM,0577060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0577061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),40537.0,44590.7,17430.91,79047.15,50
CDM,0577062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0577063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0577064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0577065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0577066,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.0,2685.1,1049.63,4759.95,50
CDM,0577067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2231.0,2454.1,959.33,4350.45,50
CDM,0577069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0577070,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",16293.0,17922.3,7005.99,31771.35,50
CDM,0577071,"CATHETER, OCCLUSION",7742.0,7742.0,2082.6,15096.9,45
CDM,0577072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0577073,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1741.0,1915.1,748.63,3394.95,50
CDM,0577074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0577075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),17150.0,18865.0,7374.5,33442.5,50
CDM,0577076,DVC SYS ILLUMINATION MIS,1750.0,1750.0,359.8,1400.0,45
CDM,0577077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0577079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7350.0,8085.0,3160.5,14332.5,50
CDM,0577082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0577083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1260.0,1386.0,541.8,2457.0,50
CDM,0577084,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1050.0,1155.0,451.5,2047.5,50
CDM,0577085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0577086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1461.0,1607.1,628.23,2848.95,50
CDM,0577087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0577088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.25,1530.38,598.24,2712.94,50
CDM,0577091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0577092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),565.0,621.5,242.95,1101.75,50
CDM,0577094,JOINT DEVICE (IMPLANTABLE),2334.0,2567.4,1003.62,4551.3,50
CDM,0577095,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0577096,JOINT DEVICE (IMPLANTABLE),10543.0,11597.3,4533.49,20558.85,50
CDM,0577100,ELCTRD LOOP RESECTION,8102.0,8102.0,1665.77,6481.6,45
CDM,0577101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),243.0,267.3,104.49,473.85,50
CDM,0577102,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7931.0,8724.1,3410.33,15465.45,50
CDM,0577103,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14263.0,15689.3,6133.09,27812.85,50
CDM,0577104,"STRATTICE TM, PER SQUARE CENTIMETER",7175.0,7892.5,3085.25,13991.25,50
CDM,0577105,"STRATTICE TM, PER SQUARE CENTIMETER",14347.0,15781.7,6169.21,27976.65,50
CDM,0577107,"GRAFT, VASCULAR",1355.0,1490.5,582.65,2642.25,50
CDM,0577108,"GRAFT, VASCULAR",4559.0,5014.9,1960.37,8890.05,50
CDM,0577110,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6983.0,7681.3,3002.69,13616.85,50
CDM,0577112,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0577115,RING ANNULOPLASTY,6825.0,7507.5,1403.22,7507.5,50
CDM,0577116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.5,156.75,61.28,277.88,50
CDM,0577117,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1962.0,2158.2,843.66,3825.9,50
CDM,0577118,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1962.0,2158.2,843.66,3825.9,50
CDM,0577120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0577122,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6291.0,6920.1,2705.13,12267.45,50
CDM,0577124,JOINT DEVICE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0577125,"CATHETER, DRAINAGE",1956.0,1956.0,526.16,3814.2,45
CDM,0577126,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",4725.0,5197.5,2031.75,9213.75,50
CDM,0577128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0577129,"GRAFT, VASCULAR",3227.0,3549.7,1387.61,6292.65,50
CDM,0577130,CATH ANGEL PERCUT,3938.0,3938.0,809.65,3150.4,45
CDM,0577131,JOINT DEVICE (IMPLANTABLE),3064.0,3370.4,1317.52,5974.8,50
CDM,0577132,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7175.0,7892.5,3085.25,13991.25,50
CDM,0577135,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5996.0,6595.6,2578.28,11692.2,50
CDM,0577137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0577141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0577142,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),5345.0,5879.5,2298.35,10422.75,50
CDM,0577143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0577144,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0577145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0577146,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),945.93,1040.52,406.75,1844.56,50
CDM,0577147,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0577148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.0,9438.0,3689.4,16731.0,50
CDM,0577149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0577151,"GRAFT, VASCULAR",4559.0,5014.9,1960.37,8890.05,50
CDM,0577153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1440.0,1584.0,619.2,2808.0,50
CDM,0577154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),725.0,797.5,311.75,1413.75,50
CDM,0577155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0577156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),183.0,201.3,78.69,356.85,50
CDM,0577157,GUIDE WIRE,1052.0,1052.0,282.99,2051.4,45
CDM,0577158,KIT WND COLSURE DERMACLOSE,1748.0,1748.0,359.39,1398.4,45
CDM,0577159,JOINT DEVICE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0577162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0577484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),818.13,899.94,351.8,1595.35,50
CDM,0577485,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0577487,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",28506.0,31356.6,12257.58,55586.7,50
CDM,0578044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),373.0,410.3,160.39,727.35,50
CDM,0578045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0578046,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0578047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),518.0,569.8,222.74,1010.1,50
CDM,0578049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0578050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0578051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0578053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0578054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0578055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0578056,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5689.0,6257.9,2446.27,11093.55,50
CDM,0578057,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6785.0,7463.5,2917.55,13230.75,50
CDM,0578061,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1514.0,1514.0,407.27,2952.3,45
CDM,0578062,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1514.0,1665.4,651.02,2952.3,50
CDM,0578063,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0578065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.0,622.6,243.38,1103.7,50
CDM,0578066,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",26147.0,28761.7,11243.21,50986.65,50
CDM,0578070,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",644.0,708.4,276.92,1255.8,50
CDM,0578071,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0578072,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0578073,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0578074,JOINT DEVICE (IMPLANTABLE),2693.0,2962.3,1157.99,5251.35,50
CDM,0578075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0578076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2753.0,3028.3,1183.79,5368.35,50
CDM,0578077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.38,135.72,53.05,240.59,50
CDM,0578078,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1696.0,1865.6,729.28,3307.2,50
CDM,0578079,JOINT DEVICE (IMPLANTABLE),3580.76,3938.84,1539.73,6982.48,50
CDM,0578080,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0578081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0578082,"PORT, INDWELLING (IMPLANTABLE)",3417.0,3758.7,1469.31,6663.15,50
CDM,0578083,"PORT, INDWELLING (IMPLANTABLE)",3257.0,3582.7,1400.51,6351.15,50
CDM,0578084,CATH ANGEL,3938.0,3938.0,809.65,3150.4,45
CDM,0578237,LEAD LOCKING DEVICE E,1052.92,1052.92,216.48,842.34,45
CDM,0578238,LEAD LOCKING DEVICE 1,917.0,917.0,188.54,733.6,45
CDM,0578239,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",1052.92,1052.92,283.24,2053.19,45
CDM,0578240,LEAD LOCKING DEVICE 3,1052.92,1052.92,216.48,842.34,45
CDM,0578245,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",5082.0,5082.0,1367.06,9909.9,45
CDM,0578304,BMAC-60 SMART PREP,2695.0,2695.0,554.09,2156.0,45
CDM,0578332,MORCELLATOR,1261.0,1261.0,339.21,2458.95,45
CDM,0578406,ADULT SUTURE LIVER PACK,1223.0,1223.0,251.45,978.4,45
CDM,0578471,HIGH SPEED OVAL BUR 3.2MM,1207.0,1207.0,248.16,965.6,45
CDM,0578503,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",1951.0,1951.0,524.82,3804.45,45
CDM,0578627,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4725.0,5197.5,2031.75,9213.75,50
CDM,0578628,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6825.0,7507.5,2934.75,13308.75,50
CDM,0578630,"GRAFT, VASCULAR",1355.0,1490.5,582.65,2642.25,50
CDM,0578632,DVC HANDPIECE MICRO CLAW,1871.0,1871.0,384.68,1496.8,45
CDM,0578633,DVC HANDPIECE SNOPT,1809.0,1809.0,371.93,1447.2,45
CDM,0578634,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0579020,"GRAFT, VASCULAR",4128.0,4540.8,1775.04,8049.6,50
CDM,0579021,"GRAFT, VASCULAR",3988.0,4386.8,1714.84,7776.6,50
CDM,0579030,"PORT, INDWELLING (IMPLANTABLE)",1189.0,1307.9,511.27,2318.55,50
CDM,0579031,"PORT, INDWELLING (IMPLANTABLE)",748.0,822.8,321.64,1458.6,50
CDM,0579034,"INJECTION, RADIESSE, 0.1 ML",1251.25,1376.38,538.04,2439.94,50
CDM,0579481,SUT OPEN HEART VPACK,2015.0,2015.0,414.28,1612.0,45
CDM,0579611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0580001,STEM CELL PROCUREMENT,25884.0,25884.0,3461.0,20707.2,42
CDM,0580002,Transplantation of donor stem cells,2440.0,1450.0,111.0,15383.0,64
CDM,0580003,Preparation of stem cells for transplantation with removal of T cells,692.0,422.0,186.15,7362.0,57
CDM,0580004,Preparation of stem cells for transplantation with cell concentration in blood fluid (plasma),692.0,422.0,186.15,7362.0,57
CDM,0580007,"Harvesting of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy, per day",4779.0,,955.0,9319.05,47
CDM,0580008,Preparation of blood-derived T white blood cells (T lymphocytes) for transportation for chimeric antigen receptor T-cell (CAR-T) therapy,3420.0,,919.98,6669.0,47
CDM,0580009,Receipt and preparation of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy,1462.0,,393.28,2850.9,47
CDM,0580010,Administration of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy,1162.0,,312.58,2265.9,47
CDM,0640070,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,663.35,15383.0,61
CDM,0640079,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0640081,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,663.35,15383.0,61
CDM,0640087,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient younger than 5 years",1741.0,575.0,468.33,7362.0,61
CDM,0640092,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,663.35,15383.0,61
CDM,0650002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0650003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0650004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0650005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0650006,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,0650007,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,61
CDM,0650010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0650012,Drainage of blood or fluid accumulation,2587.0,2587.0,695.9,15383.0,61
CDM,0650014,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,56
CDM,0650015,"Removal of tissue from wound, each additional 20.0 sq cm",510.0,510.0,137.19,994.5,56
CDM,0650016,"Removal of skin and tissue, 20.0 sq cm or less",738.0,368.0,198.52,7362.0,61
CDM,0650040,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0650041,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0650042,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0650043,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0650046,"Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less",323.0,191.0,86.89,5962.0,61
CDM,0650047,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0650048,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0650050,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0650052,"Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,0650053,"Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less",315.0,191.0,84.74,614.25,56
CDM,0650054,"Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm",637.0,368.0,171.35,1242.15,56
CDM,0650055,"Destruction of birthmark, less than 10.0 sq cm",637.0,368.0,171.35,7362.0,61
CDM,0650056,"Destruction of birthmark, 10.0-50.0 sq cm",1158.0,557.0,311.5,7362.0,61
CDM,0650057,"Destruction of birthmark, more than 50.0 sq cm",3232.0,1821.0,726.03,15383.0,61
CDM,0650058,"Destruction of skin growth, 1-14 growths",314.0,191.0,84.47,5962.0,61
CDM,0650060,"Destruction of skin growth, 15 or more growths",314.0,191.0,84.47,5962.0,61
CDM,0650062,"Laser destruction of scar tissue, first 100 cm2, or 1% of body surface area of infants and children",1158.0,557.0,257.16,2258.1,56
CDM,0650063,"Laser destruction of scar tissue, each additional 100 cm2, or 1% of body surface area of infants and children",430.0,430.0,115.67,838.5,56
CDM,0650066,Extensive or complicated repair of surface wound reopening,5551.0,1821.0,652.63,15383.0,61
CDM,0650093,Removal of foreign body in muscle or tendon,2587.0,1496.0,695.9,15383.0,61
CDM,0650094,Complicated removal of foreign body in deep muscle or tendon,4550.0,2521.0,1204.2,17883.0,61
CDM,0650097,"Removal of foreign body of shoulder joint, accessed beneath the skin",2588.0,662.0,696.17,15383.0,61
CDM,0650411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0650412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0650413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0650414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0650415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0650416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0650417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0650418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0650419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0650421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0680001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2343.12,2577.43,1007.54,4569.08,50
CDM,0680010,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1114.24,1225.66,479.12,2172.77,50
CDM,0680019,AS ENDO GIA VASC,1357.0,1357.0,279.0,1085.6,45
CDM,0680061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5148.57,5663.43,2213.89,10039.71,50
CDM,0680062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2231.5,2454.65,959.55,4351.43,50
CDM,0680084,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",26782.0,29460.2,11516.26,52224.9,50
CDM,0680121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0680160,DRILL BITS ALL,1390.5,1390.5,285.89,1112.4,45
CDM,0680239,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",738.0,811.8,317.34,1439.1,50
CDM,0680253,"GRAFT, VASCULAR",357.0,392.7,153.51,696.15,50
CDM,0680254,"GRAFT, VASCULAR",5169.43,5686.37,2222.85,10080.39,50
CDM,0680258,HALO CERV INTO JCKT VEST,10586.0,11644.6,2176.48,11644.6,50
CDM,0680268,JOINT DEVICE (IMPLANTABLE),5311.17,5842.29,2283.8,10356.78,50
CDM,0680272,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",8228.0,9050.8,3538.04,16044.6,50
CDM,0680274,MESH (IMPLANTABLE),1224.0,1346.4,526.32,2386.8,50
CDM,0680277,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,611.58,2107.6,50
CDM,0680278,"RECEIVER AND/OR TRANSMITTER, NEUROSTIMULATOR (IMPLANTABLE)",35438.0,38981.8,15238.34,69104.1,50
CDM,0680311,KT VERTEBRO/KYPHOPLASTY,4999.0,4999.0,1027.79,3999.2,45
CDM,0680316,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",744.0,818.4,319.92,1450.8,50
CDM,0680366,"PATIENT PROGRAMMER, NEUROSTIMULATOR",25804.57,25804.57,3461.0,50318.91,45
CDM,0680387,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1071.0,1178.1,460.53,2088.45,50
CDM,0680440,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0680490,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",9625.0,10587.5,4138.75,18768.75,50
CDM,0680491,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",7706.52,8477.17,3313.8,15027.72,50
CDM,0680492,TISS DERML HUM ORIGN W/,14175.0,14175.0,2914.38,11340.0,45
CDM,0680493,"PROSTHESIS, BREAST (IMPLANTABLE)",5213.0,5734.3,2241.59,10165.35,50
CDM,0680536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2983.32,3281.65,1282.83,5817.47,50
CDM,0680537,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",24225.8,26648.38,10417.09,47240.31,50
CDM,0680541,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",580.5,638.55,249.62,1131.98,50
CDM,0680546,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5600.0,6160.0,2408.0,10920.0,50
CDM,0680547,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",29750.0,29750.0,3461.0,58012.5,45
CDM,0680712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2000.0,2200.0,860.0,3900.0,50
CDM,0680713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2347.98,2347.98,631.61,4578.57,45
CDM,0680714,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",17614.5,19375.95,7574.24,45703.85,50
CDM,0680717,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4840.03,5324.03,2081.21,9438.06,50
CDM,0680718,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10512.0,11563.2,4520.16,20498.4,50
CDM,0680719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3350.53,3685.58,1440.73,6533.53,50
CDM,0680720,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",59500.0,65450.0,25585.0,116025.0,50
CDM,0680721,DISP SPPLY SNGL USE,2788.59,2788.59,573.33,2230.87,45
CDM,0680722,"GRAFT, VASCULAR",1443.67,1588.03,620.78,2815.15,50
CDM,0680724,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2269.0,2495.9,975.67,4424.55,50
CDM,0680726,MESH (IMPLANTABLE),1081.0,1189.1,464.83,2107.95,50
CDM,0681000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),164.65,181.12,70.8,321.07,50
CDM,0681001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0681005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0681010,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.23,111.35,43.53,197.4,50
CDM,0681012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.23,111.35,43.53,197.4,50
CDM,0681015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),89.43,98.37,38.45,174.39,50
CDM,0681018,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),89.43,98.37,38.45,174.39,50
CDM,0681020,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.23,111.35,43.53,197.4,50
CDM,0681022,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.23,111.35,43.53,197.4,50
CDM,0681023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.0,156.2,61.06,276.9,50
CDM,0681024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681025,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.23,111.35,43.53,197.4,50
CDM,0681026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),97.58,107.34,41.96,190.28,50
CDM,0681027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.43,101.67,39.74,180.24,50
CDM,0681028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.43,101.67,39.74,180.24,50
CDM,0681031,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),104.0,114.4,44.72,202.8,50
CDM,0681032,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681033,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),107.56,118.32,46.25,209.74,50
CDM,0681034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681035,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.36,156.6,61.21,277.6,50
CDM,0681038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),98.64,108.5,42.42,192.35,50
CDM,0681039,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.36,156.6,61.21,277.6,50
CDM,0681040,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.72,121.79,47.61,215.9,50
CDM,0681041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681042,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0681043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),293.0,322.3,125.99,571.35,50
CDM,0681044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.8,403.48,157.72,715.26,50
CDM,0681045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),303.0,333.3,130.29,590.85,50
CDM,0681046,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),329.0,361.9,141.47,641.55,50
CDM,0681047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0681048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.0,388.3,151.79,688.35,50
CDM,0681049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0681050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0681051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),443.0,487.3,190.49,863.85,50
CDM,0681052,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),445.0,489.5,191.35,867.75,50
CDM,0681053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.0,547.8,214.14,971.1,50
CDM,0681054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0681055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),555.0,610.5,238.65,1082.25,50
CDM,0681056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),559.0,614.9,240.37,1090.05,50
CDM,0681057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),561.0,617.1,241.23,1093.95,50
CDM,0681058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),648.0,712.8,278.64,1263.6,50
CDM,0681059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0681060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0681061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),779.0,856.9,334.97,1519.05,50
CDM,0681062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),781.0,859.1,335.83,1522.95,50
CDM,0681063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0681064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1404.0,1544.4,603.72,2737.8,50
CDM,0681065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1412.0,1553.2,607.16,2753.4,50
CDM,0681066,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0681067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1422.0,1564.2,611.46,2772.9,50
CDM,0681068,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1429.0,1571.9,614.47,2786.55,50
CDM,0681069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1433.0,1576.3,616.19,2794.35,50
CDM,0681070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0681071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0681072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0681073,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1440.0,1584.0,619.2,2808.0,50
CDM,0681074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0681075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1449.0,1593.9,623.07,2825.55,50
CDM,0681077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1473.0,1620.3,633.39,2872.35,50
CDM,0681078,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1482.0,1630.2,637.26,2889.9,50
CDM,0681079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1494.0,1643.4,642.42,2913.3,50
CDM,0681080,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1498.0,1647.8,644.14,2921.1,50
CDM,0681081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1502.0,1652.2,645.86,2928.9,50
CDM,0681082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1503.0,1653.3,646.29,2930.85,50
CDM,0681083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1508.0,1658.8,648.44,2940.6,50
CDM,0681084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1694.0,662.2,3003.0,50
CDM,0681085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1543.0,1697.3,663.49,3008.85,50
CDM,0681086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1544.0,1698.4,663.92,3010.8,50
CDM,0681087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0681088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0681089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1578.0,1735.8,678.54,3077.1,50
CDM,0681090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0681091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1591.0,1750.1,684.13,3102.45,50
CDM,0681092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1593.0,1752.3,684.99,3106.35,50
CDM,0681093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1594.0,1753.4,685.42,3108.3,50
CDM,0681094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1597.0,1756.7,686.71,3114.15,50
CDM,0681095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1599.0,1758.9,687.57,3118.05,50
CDM,0681096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1603.0,1763.3,689.29,3125.85,50
CDM,0681097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1608.0,1768.8,691.44,3135.6,50
CDM,0681098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0681099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1663.0,1829.3,715.09,3242.85,50
CDM,0681100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1672.0,1839.2,718.96,3260.4,50
CDM,0681101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1688.0,1856.8,725.84,3291.6,50
CDM,0681102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1695.0,1864.5,728.85,3305.25,50
CDM,0681103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1696.0,1865.6,729.28,3307.2,50
CDM,0681104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1718.0,1889.8,738.74,3350.1,50
CDM,0681105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1736.0,1909.6,746.48,3385.2,50
CDM,0681106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1751.0,1926.1,752.93,3414.45,50
CDM,0681107,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1811.0,1992.1,778.73,3531.45,50
CDM,0681108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1839.0,2022.9,790.77,3586.05,50
CDM,0681109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1841.0,2025.1,791.63,3589.95,50
CDM,0681110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1854.0,2039.4,797.22,3615.3,50
CDM,0681111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1887.0,2075.7,811.41,3679.65,50
CDM,0681112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1890.0,2079.0,812.7,3685.5,50
CDM,0681113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1904.0,2094.4,818.72,3712.8,50
CDM,0681114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1909.0,2099.9,820.87,3722.55,50
CDM,0681115,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1461.25,1607.38,628.34,2849.44,50
CDM,0681116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1943.0,2137.3,835.49,3788.85,50
CDM,0681117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1971.0,2168.1,847.53,3843.45,50
CDM,0681118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1997.0,2196.7,858.71,3894.15,50
CDM,0681119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0681120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1413.0,1554.3,607.59,2755.35,50
CDM,0681121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2070.0,2277.0,890.1,4036.5,50
CDM,0681122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2081.0,2289.1,894.83,4057.95,50
CDM,0681123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2089.0,2297.9,898.27,4073.55,50
CDM,0681124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0681125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2158.0,2373.8,927.94,4208.1,50
CDM,0681127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2181.0,2399.1,937.83,4252.95,50
CDM,0681128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0681129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2199.0,2418.9,945.57,4288.05,50
CDM,0681130,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2207.0,2427.7,949.01,4303.65,50
CDM,0681131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2214.0,2435.4,952.02,4317.3,50
CDM,0681132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2217.0,2438.7,953.31,4323.15,50
CDM,0681133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2219.0,2440.9,954.17,4327.05,50
CDM,0681134,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2227.0,2449.7,957.61,4342.65,50
CDM,0681135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2235.0,2458.5,961.05,4358.25,50
CDM,0681136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2240.0,2464.0,963.2,4368.0,50
CDM,0681137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2257.0,2482.7,970.51,4401.15,50
CDM,0681138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0681139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2266.0,2492.6,974.38,4418.7,50
CDM,0681140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2291.0,2520.1,985.13,4467.45,50
CDM,0681141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2443.0,2687.3,1050.49,4763.85,50
CDM,0681142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2565.0,2821.5,1102.95,5001.75,50
CDM,0681143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2571.0,2828.1,1105.53,5013.45,50
CDM,0681144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2579.0,2836.9,1108.97,5029.05,50
CDM,0681145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2582.0,2840.2,1110.26,5034.9,50
CDM,0681146,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2586.0,2844.6,1111.98,5042.7,50
CDM,0681147,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2594.0,2853.4,1115.42,5058.3,50
CDM,0681148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2596.0,2855.6,1116.28,5062.2,50
CDM,0681149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2650.0,2915.0,1139.5,5167.5,50
CDM,0681150,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2670.0,2937.0,1148.1,5206.5,50
CDM,0681152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2672.0,2939.2,1148.96,5210.4,50
CDM,0681153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2681.0,2949.1,1152.83,5227.95,50
CDM,0681154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2689.0,2957.9,1156.27,5243.55,50
CDM,0681155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2697.0,2966.7,1159.71,5259.15,50
CDM,0681156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2704.0,2974.4,1162.72,5272.8,50
CDM,0681157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2713.0,2984.3,1166.59,5290.35,50
CDM,0681158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2714.0,2985.4,1167.02,5292.3,50
CDM,0681159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2730.0,3003.0,1173.9,5323.5,50
CDM,0681160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0681161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2825.0,3107.5,1214.75,5508.75,50
CDM,0681163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2859.0,3144.9,1229.37,5575.05,50
CDM,0681164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2865.0,3151.5,1231.95,5586.75,50
CDM,0681165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2888.0,3176.8,1241.84,5631.6,50
CDM,0681166,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2892.0,3181.2,1243.56,5639.4,50
CDM,0681167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2928.0,3220.8,1259.04,5709.6,50
CDM,0681168,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2931.0,3224.1,1260.33,5715.45,50
CDM,0681169,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2936.0,3229.6,1262.48,5725.2,50
CDM,0681170,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3106.0,3416.6,1335.58,6056.7,50
CDM,0681171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12863.0,14149.3,5531.09,25082.85,50
CDM,0681172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0681173,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.15,160.77,62.84,284.99,50
CDM,0681174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),185.0,203.5,79.55,360.75,50
CDM,0681175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),129.0,141.9,55.47,251.55,50
CDM,0681176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),139.19,153.11,59.85,271.42,50
CDM,0681177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),161.88,178.07,69.61,315.67,50
CDM,0681178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681180,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.88,218.77,85.52,387.82,50
CDM,0681181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),140.0,154.0,60.2,273.0,50
CDM,0681185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),88.49,97.34,38.05,172.56,50
CDM,0681186,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.88,218.77,85.52,387.82,50
CDM,0681189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.88,218.77,85.52,387.82,50
CDM,0681190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),134.0,147.4,57.62,261.3,50
CDM,0681193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),139.19,153.11,59.85,271.42,50
CDM,0681194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),158.18,174.0,68.02,308.45,50
CDM,0681195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),158.18,174.0,68.02,308.45,50
CDM,0681197,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),158.18,174.0,68.02,308.45,50
CDM,0681198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),210.6,231.66,90.56,410.67,50
CDM,0681199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),145.0,159.5,62.35,282.75,50
CDM,0681200,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),136.97,150.67,58.9,267.09,50
CDM,0681201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0681203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),183.0,201.3,78.69,356.85,50
CDM,0681207,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),170.83,187.91,73.46,333.12,50
CDM,0681208,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.63,207.49,81.11,367.83,50
CDM,0681209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.48,157.83,61.7,279.79,50
CDM,0681210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),214.5,235.95,92.24,418.28,50
CDM,0681211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),175.88,193.47,75.63,342.97,50
CDM,0681212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),152.0,167.2,65.36,296.4,50
CDM,0681213,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),178.0,195.8,76.54,347.1,50
CDM,0681214,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681215,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),109.53,120.48,47.1,213.58,50
CDM,0681216,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),184.1,202.51,79.16,359.0,50
CDM,0681217,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),189.0,207.9,81.27,368.55,50
CDM,0681219,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),237.5,261.25,102.13,463.13,50
CDM,0681220,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),213.4,234.74,91.76,416.13,50
CDM,0681221,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.76,207.64,81.17,368.08,50
CDM,0681223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681224,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),226.2,248.82,97.27,441.09,50
CDM,0681225,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),209.0,229.9,89.87,407.55,50
CDM,0681227,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0681229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),219.93,241.92,94.57,428.86,50
CDM,0681230,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),184.83,203.31,79.48,360.42,50
CDM,0681231,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0681232,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),151.05,166.16,64.95,294.55,50
CDM,0681233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),136.77,150.45,58.81,266.7,50
CDM,0681234,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),184.83,203.31,79.48,360.42,50
CDM,0681235,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681236,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),172.0,189.2,73.96,335.4,50
CDM,0681237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),236.0,259.6,101.48,460.2,50
CDM,0681238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),818.0,899.8,351.74,1595.1,50
CDM,0681241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),240.0,264.0,103.2,468.0,50
CDM,0681242,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0681244,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681245,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681246,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.36,580.1,226.76,1028.35,50
CDM,0681248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0681249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0681250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.7,347.27,135.75,615.62,50
CDM,0681251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.45,405.3,158.43,718.48,50
CDM,0681252,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),265.2,291.72,114.04,517.14,50
CDM,0681253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.45,405.3,158.43,718.48,50
CDM,0681254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.84,503.62,196.87,892.79,50
CDM,0681255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),187.5,206.25,80.63,365.63,50
CDM,0681256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),415.05,456.56,178.47,809.35,50
CDM,0681257,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),230.4,253.44,99.07,449.28,50
CDM,0681258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.7,385.77,150.8,683.87,50
CDM,0681259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),446.69,491.36,192.08,871.05,50
CDM,0681260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.05,355.36,138.91,629.95,50
CDM,0681261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0681262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0681263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.43,388.77,151.97,689.19,50
CDM,0681264,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),383.0,421.3,164.69,746.85,50
CDM,0681265,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.25,336.88,131.69,597.19,50
CDM,0681266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.7,347.27,135.75,615.62,50
CDM,0681270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.12,385.13,150.55,682.73,50
CDM,0681271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681272,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.05,370.76,144.93,657.25,50
CDM,0681274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681275,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0681277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0681281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.43,388.77,151.97,689.19,50
CDM,0681282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.36,580.1,226.76,1028.35,50
CDM,0681284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.36,296.3,115.82,525.25,50
CDM,0681287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),500.55,550.61,215.24,976.07,50
CDM,0681288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0681289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),328.06,360.87,141.07,639.72,50
CDM,0681290,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0681291,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.36,580.1,226.76,1028.35,50
CDM,0681292,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.99,327.79,128.14,581.08,50
CDM,0681294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0681295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),371.0,408.1,159.53,723.45,50
CDM,0681297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),399.44,439.38,171.76,778.91,50
CDM,0681298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.38,503.12,196.67,891.89,50
CDM,0681299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.78,373.76,146.11,662.57,50
CDM,0681303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681304,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),586.0,644.6,251.98,1142.7,50
CDM,0681305,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681306,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),395.68,435.25,170.14,771.58,50
CDM,0681308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),395.68,435.25,170.14,771.58,50
CDM,0681309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681310,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681312,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681313,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.38,503.12,196.67,891.89,50
CDM,0681314,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.26,540.39,211.24,957.96,50
CDM,0681319,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),374.85,412.34,161.19,730.96,50
CDM,0681320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),348.6,383.46,149.9,679.77,50
CDM,0681322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681323,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.31,302.84,118.38,536.85,50
CDM,0681324,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0681325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),427.0,469.7,183.61,832.65,50
CDM,0681326,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0681328,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.43,388.77,151.97,689.19,50
CDM,0681329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),261.0,287.1,112.23,508.95,50
CDM,0681331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.0,405.9,158.67,719.55,50
CDM,0681332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.0,558.8,218.44,990.6,50
CDM,0681334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.63,524.29,204.95,929.43,50
CDM,0681335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0681337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),671.0,738.1,288.53,1308.45,50
CDM,0681339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0681340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.26,540.39,211.24,957.96,50
CDM,0681341,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),451.5,496.65,194.15,880.43,50
CDM,0681342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681343,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681344,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681345,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.63,524.29,204.95,929.43,50
CDM,0681346,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681347,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),462.0,508.2,198.66,900.9,50
CDM,0681348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681349,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.63,524.29,204.95,929.43,50
CDM,0681350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681351,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),253.75,279.13,109.11,494.81,50
CDM,0681353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681354,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.63,524.29,204.95,929.43,50
CDM,0681357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),430.29,473.32,185.02,839.07,50
CDM,0681358,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0681359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.2,559.02,218.53,990.99,50
CDM,0681361,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0681362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0681363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0681364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),422.0,464.2,181.46,822.9,50
CDM,0681365,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),462.0,508.2,198.66,900.9,50
CDM,0681367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0681368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0681370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.03,327.83,128.15,581.16,50
CDM,0681371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0681372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),480.0,528.0,206.4,936.0,50
CDM,0681373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0681374,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),485.28,533.81,208.67,946.3,50
CDM,0681375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.03,327.83,128.15,581.16,50
CDM,0681376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.38,503.12,196.67,891.89,50
CDM,0681378,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0681379,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0681381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0681383,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),640.06,704.07,275.23,1248.12,50
CDM,0681384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),418.95,460.85,180.15,816.95,50
CDM,0681385,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),568.75,625.63,244.56,1109.06,50
CDM,0681386,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),542.0,596.2,233.06,1056.9,50
CDM,0681388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.85,344.14,134.53,610.06,50
CDM,0681389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),605.85,666.44,260.52,1181.41,50
CDM,0681390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.85,344.14,134.53,610.06,50
CDM,0681391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0681392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0681393,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),552.0,607.2,237.36,1076.4,50
CDM,0681395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0681396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),589.0,647.9,253.27,1148.55,50
CDM,0681397,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.25,452.38,176.84,801.94,50
CDM,0681398,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.5,178.75,69.88,316.88,50
CDM,0681399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0681400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),603.75,664.13,259.61,1177.31,50
CDM,0681401,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.26,370.99,145.02,657.66,50
CDM,0681402,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),362.25,398.48,155.77,706.39,50
CDM,0681403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.54,371.29,145.14,658.2,50
CDM,0681405,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0681406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0681407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.0,760.1,297.13,1347.45,50
CDM,0681408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0681409,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),598.5,658.35,257.36,1167.08,50
CDM,0681410,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),803.0,883.3,345.29,1565.85,50
CDM,0681411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0681412,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),776.0,853.6,333.68,1513.2,50
CDM,0681413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.5,178.75,69.88,316.88,50
CDM,0681414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1201.06,1321.17,516.46,2342.07,50
CDM,0681415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2444.75,2689.23,1051.24,4767.26,50
CDM,0681416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2270.0,2497.0,976.1,4426.5,50
CDM,0681417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2270.0,2497.0,976.1,4426.5,50
CDM,0681418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3146.0,3460.6,1352.78,6134.7,50
CDM,0681419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3796.0,4175.6,1632.28,7402.2,50
CDM,0681420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2876.56,3164.22,1236.92,5609.29,50
CDM,0681421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),76.0,83.6,32.68,148.2,50
CDM,0681423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.0,760.1,297.13,1347.45,50
CDM,0681424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),921.0,1013.1,396.03,1795.95,50
CDM,0681425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1044.0,1148.4,448.92,2035.8,50
CDM,0681426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1036.0,1139.6,445.48,2020.2,50
CDM,0681427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1036.0,1139.6,445.48,2020.2,50
CDM,0681428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1213.0,1334.3,521.59,2365.35,50
CDM,0681431,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1412.0,1553.2,607.16,2753.4,50
CDM,0681432,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1466.0,1612.6,630.38,2858.7,50
CDM,0681433,JOINT DEVICE (IMPLANTABLE),3061.0,3367.1,1316.23,5968.95,50
CDM,0681434,JOINT DEVICE (IMPLANTABLE),3374.0,3711.4,1450.82,6579.3,50
CDM,0681436,JOINT DEVICE (IMPLANTABLE),4524.0,4976.4,1945.32,8821.8,50
CDM,0681437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),647.0,711.7,278.21,1261.65,50
CDM,0681438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),593.25,652.58,255.1,1156.84,50
CDM,0681439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),919.0,1010.9,395.17,1792.05,50
CDM,0681440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),927.0,1019.7,398.61,1807.65,50
CDM,0681441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),936.0,1029.6,402.48,1825.2,50
CDM,0681442,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0681443,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0681444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1290.0,1419.0,554.7,2515.5,50
CDM,0681445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1334.0,1467.4,573.62,2601.3,50
CDM,0681448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1364.0,1500.4,586.52,2659.8,50
CDM,0681450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0681451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0681452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0681453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681454,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0681455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0681456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0681457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0681458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0681459,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0681461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681462,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0681464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0681465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0681467,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0681469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0681470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1487.5,1636.25,639.63,2900.63,50
CDM,0681471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0681472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0681473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0681475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1649.0,1813.9,709.07,3215.55,50
CDM,0681476,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0681477,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1841.0,2025.1,791.63,3589.95,50
CDM,0681479,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0681480,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0681481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0681482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0681483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.25,1491.88,583.19,2644.69,50
CDM,0681484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0681486,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2075.0,2282.5,892.25,4046.25,50
CDM,0681487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2169.0,2385.9,932.67,4229.55,50
CDM,0681490,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0681491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),212.0,233.2,91.16,413.4,50
CDM,0681493,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),122.86,135.15,52.83,239.58,50
CDM,0681494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.0,326.7,127.71,579.15,50
CDM,0681495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),151.0,166.1,64.93,294.45,50
CDM,0681496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),195.0,214.5,83.85,380.25,50
CDM,0681497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681498,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),195.0,214.5,83.85,380.25,50
CDM,0681499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0681500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0681501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0681503,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),160.0,176.0,68.8,312.0,50
CDM,0681507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0681508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0681509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.3,179.63,70.22,318.44,50
CDM,0681510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.3,179.63,70.22,318.44,50
CDM,0681511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.86,339.75,132.81,602.28,50
CDM,0681512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),239.0,262.9,102.77,466.05,50
CDM,0681513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),795.92,875.51,342.25,1552.04,50
CDM,0681514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),265.3,291.83,114.08,517.34,50
CDM,0681516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.51,340.46,133.09,603.54,50
CDM,0681517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),268.0,294.8,115.24,522.6,50
CDM,0681518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),251.0,276.1,107.93,489.45,50
CDM,0681519,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681520,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.51,354.76,138.68,628.89,50
CDM,0681524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),885.0,973.5,380.55,1725.75,50
CDM,0681529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.0,475.2,185.76,842.4,50
CDM,0681530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),767.55,844.31,330.05,1496.72,50
CDM,0681531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.5,350.35,136.96,621.08,50
CDM,0681532,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681533,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),310.0,341.0,133.3,604.5,50
CDM,0681535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),401.66,441.83,172.71,783.24,50
CDM,0681539,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),320.0,352.0,137.6,624.0,50
CDM,0681540,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.12,296.03,115.72,524.78,50
CDM,0681541,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.12,296.03,115.72,524.78,50
CDM,0681542,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.12,296.03,115.72,524.78,50
CDM,0681543,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.12,296.03,115.72,524.78,50
CDM,0681545,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.0,295.9,115.67,524.55,50
CDM,0681548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),342.0,376.2,147.06,666.9,50
CDM,0681549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.36,311.7,121.84,552.55,50
CDM,0681550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0681551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),242.0,266.2,104.06,471.9,50
CDM,0681552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),363.0,399.3,156.09,707.85,50
CDM,0681553,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.04,290.44,113.54,514.88,50
CDM,0681554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),273.91,301.3,117.78,534.12,50
CDM,0681555,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0681556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),415.0,456.5,178.45,809.25,50
CDM,0681557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.92,298.01,116.5,528.29,50
CDM,0681558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0681559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),960.0,1056.0,412.8,1872.0,50
CDM,0681561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),392.0,431.2,168.56,764.4,50
CDM,0681562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),679.0,746.9,291.97,1324.05,50
CDM,0681563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0681564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),395.0,434.5,169.85,770.25,50
CDM,0681565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0681566,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),434.0,477.4,186.62,846.3,50
CDM,0681567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),473.2,520.52,203.48,922.74,50
CDM,0681568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0681569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),414.0,455.4,178.02,807.3,50
CDM,0681570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.0,502.7,196.51,891.15,50
CDM,0681571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),417.0,458.7,179.31,813.15,50
CDM,0681572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0681573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),399.0,438.9,171.57,778.05,50
CDM,0681574,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),423.0,465.3,181.89,824.85,50
CDM,0681575,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.0,475.2,185.76,842.4,50
CDM,0681576,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.47,404.22,158.01,716.57,50
CDM,0681577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0681578,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.47,404.22,158.01,716.57,50
CDM,0681579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.43,475.67,185.94,843.24,50
CDM,0681580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),443.42,487.76,190.67,864.67,50
CDM,0681581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0681582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.26,395.19,154.48,700.56,50
CDM,0681583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.47,404.22,158.01,716.57,50
CDM,0681584,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),370.04,407.04,159.12,721.58,50
CDM,0681585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.47,404.22,158.01,716.57,50
CDM,0681586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.81,415.59,162.46,736.73,50
CDM,0681587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.28,422.71,165.24,749.35,50
CDM,0681588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),461.0,507.1,198.23,898.95,50
CDM,0681589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.28,422.71,165.24,749.35,50
CDM,0681590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0681591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.28,422.71,165.24,749.35,50
CDM,0681592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.47,404.22,158.01,716.57,50
CDM,0681593,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.24,356.66,139.42,632.27,50
CDM,0681594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),472.0,519.2,202.96,920.4,50
CDM,0681595,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),398.49,438.34,171.35,777.06,50
CDM,0681596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),473.0,520.3,203.39,922.35,50
CDM,0681597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.5,373.45,145.99,662.03,50
CDM,0681598,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),621.39,683.53,267.2,1211.71,50
CDM,0681599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),487.0,535.7,209.41,949.65,50
CDM,0681600,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),488.0,536.8,209.84,951.6,50
CDM,0681601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),490.0,539.0,210.7,955.5,50
CDM,0681602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),495.72,545.29,213.16,966.65,50
CDM,0681603,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),497.0,546.7,213.71,969.15,50
CDM,0681604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0681605,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),512.0,563.2,220.16,998.4,50
CDM,0681606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),431.1,474.21,185.37,840.65,50
CDM,0681607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),514.0,565.4,221.02,1002.3,50
CDM,0681608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),578.0,635.8,248.54,1127.1,50
CDM,0681609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),522.0,574.2,224.46,1017.9,50
CDM,0681610,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),526.0,578.6,226.18,1025.7,50
CDM,0681611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),528.54,581.39,227.27,1030.65,50
CDM,0681612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),529.0,581.9,227.47,1031.55,50
CDM,0681614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),771.0,848.1,331.53,1503.45,50
CDM,0681615,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),540.0,594.0,232.2,1053.0,50
CDM,0681616,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.24,502.96,196.61,891.62,50
CDM,0681617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),550.0,605.0,236.5,1072.5,50
CDM,0681619,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),447.0,491.7,192.21,871.65,50
CDM,0681620,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.62,506.68,198.07,898.21,50
CDM,0681621,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),727.65,800.42,312.89,1418.92,50
CDM,0681622,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),478.73,526.6,205.85,933.52,50
CDM,0681624,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1312.22,1443.44,564.25,2558.83,50
CDM,0681626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),608.97,669.87,261.86,1187.49,50
CDM,0681627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),662.39,728.63,284.83,1291.66,50
CDM,0681629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),592.0,651.2,254.56,1154.4,50
CDM,0681630,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),682.0,750.2,293.26,1329.9,50
CDM,0681631,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),821.68,903.85,353.32,1602.28,50
CDM,0681632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),501.67,551.84,215.72,978.26,50
CDM,0681634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),785.4,863.94,337.72,1531.53,50
CDM,0681635,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),608.0,668.8,261.44,1185.6,50
CDM,0681636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0681637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),619.0,680.9,266.17,1207.05,50
CDM,0681638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),608.0,668.8,261.44,1185.6,50
CDM,0681639,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),663.32,729.65,285.23,1293.47,50
CDM,0681640,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0681641,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),470.1,517.11,202.14,916.7,50
CDM,0681642,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),513.0,564.3,220.59,1000.35,50
CDM,0681643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),706.0,776.6,303.58,1376.7,50
CDM,0681644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),735.0,808.5,316.05,1433.25,50
CDM,0681645,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0681646,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),732.0,805.2,314.76,1427.4,50
CDM,0681647,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.0,1424.5,556.85,2525.25,50
CDM,0681648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),920.43,1012.47,395.78,1794.84,50
CDM,0681649,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.26,577.79,225.86,1024.26,50
CDM,0681650,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0681651,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),565.67,622.24,243.24,1103.06,50
CDM,0681652,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),989.63,1088.59,425.54,1929.78,50
CDM,0681653,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),908.0,998.8,390.44,1770.6,50
CDM,0681654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),701.0,771.1,301.43,1366.95,50
CDM,0681655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0681656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0681657,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),543.92,598.31,233.89,1060.64,50
CDM,0681658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.71,867.58,339.15,1537.98,50
CDM,0681659,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),468.65,515.52,201.52,913.87,50
CDM,0681660,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0681661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),866.0,952.6,372.38,1688.7,50
CDM,0681662,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),721.0,793.1,310.03,1405.95,50
CDM,0681663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),600.93,661.02,258.4,1171.81,50
CDM,0681664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0681665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0681666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),730.0,803.0,313.9,1423.5,50
CDM,0681667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),867.74,954.51,373.13,1692.09,50
CDM,0681668,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1036.0,1139.6,445.48,2020.2,50
CDM,0681669,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1406.0,1546.6,604.58,2741.7,50
CDM,0681670,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),628.37,691.21,270.2,1225.32,50
CDM,0681671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),843.0,927.3,362.49,1643.85,50
CDM,0681673,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),767.0,843.7,329.81,1495.65,50
CDM,0681674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),904.0,994.4,388.72,1762.8,50
CDM,0681675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),897.0,986.7,385.71,1749.15,50
CDM,0681676,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0681677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),789.0,867.9,339.27,1538.55,50
CDM,0681678,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),783.0,861.3,336.69,1526.85,50
CDM,0681680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),930.0,1023.0,399.9,1813.5,50
CDM,0681681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),826.58,909.24,355.43,1611.83,50
CDM,0681682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),662.0,728.2,284.66,1290.9,50
CDM,0681683,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.15,557.87,218.07,988.94,50
CDM,0681684,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),815.0,896.5,350.45,1589.25,50
CDM,0681685,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),942.0,1036.2,405.06,1836.9,50
CDM,0681686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1094.0,1203.4,470.42,2133.3,50
CDM,0681687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.09,760.2,297.17,1347.63,50
CDM,0681688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1208.03,1328.83,519.45,2355.66,50
CDM,0681689,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1041.0,1145.1,447.63,2029.95,50
CDM,0681690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),727.65,800.42,312.89,1418.92,50
CDM,0681691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),867.74,954.51,373.13,1692.09,50
CDM,0681692,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1238.74,1362.61,532.66,2415.54,50
CDM,0681693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.68,781.75,305.59,1385.83,50
CDM,0681694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681696,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),826.58,909.24,355.43,1611.83,50
CDM,0681697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.42,623.06,243.56,1104.52,50
CDM,0681698,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),897.0,986.7,385.71,1749.15,50
CDM,0681699,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1045.0,1149.5,449.35,2037.75,50
CDM,0681700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),995.0,1094.5,427.85,1940.25,50
CDM,0681701,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1024.0,1126.4,440.32,1996.8,50
CDM,0681702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.42,623.06,243.56,1104.52,50
CDM,0681703,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1330.88,1463.97,572.28,2595.22,50
CDM,0681704,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),859.0,944.9,369.37,1675.05,50
CDM,0681705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),826.58,909.24,355.43,1611.83,50
CDM,0681706,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1128.0,1240.8,485.04,2199.6,50
CDM,0681707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.0,1424.5,556.85,2525.25,50
CDM,0681708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),931.0,1024.1,400.33,1815.45,50
CDM,0681709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1361.59,1497.75,585.48,2655.1,50
CDM,0681710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),947.0,1041.7,407.21,1846.65,50
CDM,0681711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),948.0,1042.8,407.64,1848.6,50
CDM,0681712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1826.0,2008.6,785.18,3560.7,50
CDM,0681713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),912.21,1003.43,392.25,1778.81,50
CDM,0681714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1041.0,1145.1,447.63,2029.95,50
CDM,0681715,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0681716,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),956.66,1052.33,411.36,1865.49,50
CDM,0681717,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1170.0,1287.0,503.1,2281.5,50
CDM,0681718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),663.57,729.93,285.34,1293.96,50
CDM,0681719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.36,906.8,354.47,1607.5,50
CDM,0681720,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.36,906.8,354.47,1607.5,50
CDM,0681721,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0681722,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),845.25,929.78,363.46,1648.24,50
CDM,0681723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1221.0,1343.1,525.03,2380.95,50
CDM,0681724,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1258.0,1383.8,540.94,2453.1,50
CDM,0681725,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.2,583.22,227.99,1033.89,50
CDM,0681726,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1069.0,1175.9,459.67,2084.55,50
CDM,0681727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1072.0,1179.2,460.96,2090.4,50
CDM,0681729,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1813.0,1994.3,779.59,3535.35,50
CDM,0681731,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1180.0,1298.0,507.4,2301.0,50
CDM,0681732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),664.34,730.77,285.67,1295.46,50
CDM,0681733,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1095.0,1204.5,470.85,2135.25,50
CDM,0681735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1530.0,1683.0,657.9,2983.5,50
CDM,0681737,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1302.0,1432.2,559.86,2538.9,50
CDM,0681738,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),853.84,939.22,367.15,1664.99,50
CDM,0681739,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1186.0,1304.6,509.98,2312.7,50
CDM,0681740,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.22,911.04,356.13,1615.03,50
CDM,0681741,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),859.51,945.46,369.59,1676.04,50
CDM,0681742,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1132.0,1245.2,486.76,2207.4,50
CDM,0681743,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),829.87,912.86,356.84,1618.25,50
CDM,0681744,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1768.0,1944.8,760.24,3447.6,50
CDM,0681745,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),829.87,912.86,356.84,1618.25,50
CDM,0681746,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),829.87,912.86,356.84,1618.25,50
CDM,0681747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1333.95,1467.35,573.6,2601.2,50
CDM,0681748,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1768.0,1944.8,760.24,3447.6,50
CDM,0681749,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0681750,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1499.0,1648.9,644.57,2923.05,50
CDM,0681751,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0681752,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1150.94,1266.03,494.9,2244.33,50
CDM,0681753,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1806.0,1986.6,776.58,3521.7,50
CDM,0681754,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1510.0,1661.0,649.3,2944.5,50
CDM,0681755,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1954.0,2149.4,840.22,3810.3,50
CDM,0681756,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1166.0,1282.6,501.38,2273.7,50
CDM,0681757,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1291.12,1420.23,555.18,2517.68,50
CDM,0681758,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1622.25,1784.48,697.57,3163.39,50
CDM,0681759,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1468.0,1614.8,631.24,2862.6,50
CDM,0681760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1960.0,2156.0,842.8,3822.0,50
CDM,0681761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1159.18,1275.1,498.45,2260.4,50
CDM,0681762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1380.0,1518.0,593.4,2691.0,50
CDM,0681763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1524.0,1676.4,655.32,2971.8,50
CDM,0681764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1016.0,1117.6,436.88,1981.2,50
CDM,0681766,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1286.0,1414.6,552.98,2507.7,50
CDM,0681768,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1083.01,1191.31,465.69,2111.87,50
CDM,0681769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2194.0,2413.4,943.42,4278.3,50
CDM,0681770,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1889.0,2077.9,812.27,3683.55,50
CDM,0681772,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1228.34,1351.17,528.19,2395.26,50
CDM,0681773,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1684.0,1852.4,724.12,3283.8,50
CDM,0681774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1409.0,1549.9,605.87,2747.55,50
CDM,0681775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.35,1925.39,752.65,3413.18,50
CDM,0681776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1969.0,2165.9,846.67,3839.55,50
CDM,0681777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1252.0,1377.2,538.36,2441.4,50
CDM,0681778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1586.0,1744.6,681.98,3092.7,50
CDM,0681779,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1602.0,1762.2,688.86,3123.9,50
CDM,0681780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1610.0,1771.0,692.3,3139.5,50
CDM,0681781,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1608.0,1768.8,691.44,3135.6,50
CDM,0681782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1199.0,1318.9,515.57,2338.05,50
CDM,0681783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1634.92,1798.41,703.02,3188.09,50
CDM,0681784,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1199.0,1318.9,515.57,2338.05,50
CDM,0681785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2095.31,2304.84,900.98,4085.85,50
CDM,0681786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1215.0,1336.5,522.45,2369.25,50
CDM,0681787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1199.0,1318.9,515.57,2338.05,50
CDM,0681788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),995.4,1094.94,428.02,1941.03,50
CDM,0681789,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1670.0,1837.0,718.1,3256.5,50
CDM,0681790,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1199.0,1318.9,515.57,2338.05,50
CDM,0681791,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2174.0,2391.4,934.82,4239.3,50
CDM,0681792,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0681793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1409.59,1550.55,606.12,2748.7,50
CDM,0681794,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1266.0,1392.6,544.38,2468.7,50
CDM,0681795,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0681797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0681798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1985.0,2183.5,853.55,3870.75,50
CDM,0681799,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1734.0,1907.4,745.62,3381.3,50
CDM,0681800,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0681801,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2157.0,2372.7,927.51,4206.15,50
CDM,0681802,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0681803,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0681804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0681805,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0681807,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2049.0,2253.9,881.07,3995.55,50
CDM,0681808,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2104.0,2314.4,904.72,4102.8,50
CDM,0681809,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1835.75,2019.33,789.37,3579.71,50
CDM,0681810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2009.0,2209.9,863.87,3917.55,50
CDM,0681811,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1649.0,1813.9,709.07,3215.55,50
CDM,0681812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1649.0,1813.9,709.07,3215.55,50
CDM,0681813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2162.0,2378.2,929.66,4215.9,50
CDM,0681815,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2155.0,2370.5,926.65,4202.25,50
CDM,0681817,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2069.55,2276.51,889.91,4035.62,50
CDM,0681818,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0681820,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1693.0,1862.3,727.99,3301.35,50
CDM,0681821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1635.38,1798.92,703.21,3188.99,50
CDM,0681822,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1733.0,1906.3,745.19,3379.35,50
CDM,0681823,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1799.0,1978.9,773.57,3508.05,50
CDM,0681824,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1746.0,1920.6,750.78,3404.7,50
CDM,0681825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2021.0,2223.1,869.03,3940.95,50
CDM,0681826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1353.0,1488.3,581.79,2638.35,50
CDM,0681828,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2067.0,2273.7,888.81,4030.65,50
CDM,0681830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2170.0,2387.0,933.1,4231.5,50
CDM,0681831,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1787.15,1965.87,768.47,3484.94,50
CDM,0681832,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2502.15,2752.37,1075.92,4879.19,50
CDM,0681833,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2943.0,3237.3,1265.49,5738.85,50
CDM,0681834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2818.0,3099.8,1211.74,5495.1,50
CDM,0681835,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2297.0,2526.7,987.71,4479.15,50
CDM,0681836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3021.0,3323.1,1299.03,5890.95,50
CDM,0681837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2234.0,2457.4,960.62,4356.3,50
CDM,0681838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2543.0,2797.3,1093.49,4958.85,50
CDM,0681839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2854.0,3139.4,1227.22,5565.3,50
CDM,0681842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2444.75,2689.23,1051.24,4767.26,50
CDM,0681843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1827.7,2010.47,785.91,3564.02,50
CDM,0681844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2610.72,2871.79,1122.61,5090.9,50
CDM,0681845,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2830.0,3113.0,1216.9,5518.5,50
CDM,0681846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2232.0,2455.2,959.76,4352.4,50
CDM,0681847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2234.0,2457.4,960.62,4356.3,50
CDM,0681848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1998.0,2197.8,859.14,3896.1,50
CDM,0681850,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2887.0,3175.7,1241.41,5629.65,50
CDM,0681851,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2798.0,3077.8,1203.14,5456.1,50
CDM,0681853,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3262.0,3588.2,1402.66,6360.9,50
CDM,0681854,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2479.0,2726.9,1065.97,4834.05,50
CDM,0681855,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2891.0,3180.1,1243.13,5637.45,50
CDM,0681859,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2662.0,2928.2,1144.66,5190.9,50
CDM,0681860,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2766.75,3043.43,1189.7,5395.16,50
CDM,0681861,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2513.0,2764.3,1080.59,4900.35,50
CDM,0681862,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3162.0,3478.2,1359.66,6165.9,50
CDM,0681863,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2555.0,2810.5,1098.65,4982.25,50
CDM,0681864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2543.0,2797.3,1093.49,4958.85,50
CDM,0681865,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3255.0,3580.5,1399.65,6347.25,50
CDM,0681866,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2444.75,2689.23,1051.24,4767.26,50
CDM,0681867,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2571.0,2828.1,1105.53,5013.45,50
CDM,0681869,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3071.0,3378.1,1320.53,5988.45,50
CDM,0681871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2886.0,3174.6,1240.98,5627.7,50
CDM,0681872,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4589.0,5047.9,1973.27,8948.55,50
CDM,0681873,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3357.0,3692.7,1443.51,6546.15,50
CDM,0681874,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2048.69,2253.56,880.94,3994.95,50
CDM,0681875,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3030.0,3333.0,1302.9,5908.5,50
CDM,0681876,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2842.0,3126.2,1222.06,5541.9,50
CDM,0681877,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2982.0,3280.2,1282.26,5814.9,50
CDM,0681878,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2848.0,3132.8,1224.64,5553.6,50
CDM,0681880,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1535.0,1688.5,660.05,2993.25,50
CDM,0681881,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2112.0,2323.2,908.16,4118.4,50
CDM,0681882,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2887.0,3175.7,1241.41,5629.65,50
CDM,0681883,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2422.0,2664.2,1041.46,4722.9,50
CDM,0681884,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3258.0,3583.8,1400.94,6353.1,50
CDM,0681885,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3133.0,3446.3,1347.19,6109.35,50
CDM,0681886,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3828.0,4210.8,1646.04,7464.6,50
CDM,0681887,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2496.76,2746.44,1073.61,4868.68,50
CDM,0681888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0681891,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2832.17,3115.39,1217.83,5522.73,50
CDM,0681892,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3842.0,4226.2,1652.06,7491.9,50
CDM,0681893,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3055.0,3360.5,1313.65,5957.25,50
CDM,0681894,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2943.0,3237.3,1265.49,5738.85,50
CDM,0681895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2451.0,2696.1,1053.93,4779.45,50
CDM,0681896,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3306.38,3637.02,1421.74,6447.44,50
CDM,0681898,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2675.47,2943.02,1150.45,5217.17,50
CDM,0681899,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2207.63,2428.39,949.28,4304.88,50
CDM,0681900,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3178.0,3495.8,1366.54,6197.1,50
CDM,0681901,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2832.17,3115.39,1217.83,5522.73,50
CDM,0681902,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3976.0,4373.6,1709.68,7753.2,50
CDM,0681903,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2247.0,2471.7,966.21,4381.65,50
CDM,0681904,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2700.0,2970.0,1161.0,5265.0,50
CDM,0681905,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2700.0,2970.0,1161.0,5265.0,50
CDM,0681906,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4042.0,4446.2,1738.06,7881.9,50
CDM,0681907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2952.0,3247.2,1269.36,5756.4,50
CDM,0681908,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2719.0,2990.9,1169.17,5302.05,50
CDM,0681909,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2917.0,3208.7,1254.31,5688.15,50
CDM,0681910,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1595.0,1754.5,685.85,3110.25,50
CDM,0681913,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2478.0,2725.8,1065.54,4832.1,50
CDM,0681914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4063.0,4469.3,1747.09,7922.85,50
CDM,0681915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2695.0,2964.5,1158.85,5255.25,50
CDM,0681916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4348.0,4782.8,1869.64,8478.6,50
CDM,0681917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4019.0,4420.9,1728.17,7837.05,50
CDM,0681918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2404.54,2644.99,1033.95,4688.85,50
CDM,0681919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4511.0,4962.1,1939.73,8796.45,50
CDM,0681921,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4264.0,4690.4,1833.52,8314.8,50
CDM,0681922,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3263.0,3589.3,1403.09,6362.85,50
CDM,0681923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3035.0,3338.5,1305.05,5918.25,50
CDM,0681924,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2589.0,2847.9,1113.27,5048.55,50
CDM,0681925,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4386.0,4824.6,1885.98,8552.7,50
CDM,0681926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3188.0,3506.8,1370.84,6216.6,50
CDM,0681927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2883.0,3171.3,1239.69,5621.85,50
CDM,0681928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0681929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4024.79,4427.27,1730.66,7848.34,50
CDM,0681930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3188.0,3506.8,1370.84,6216.6,50
CDM,0681931,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3279.0,3606.9,1409.97,6394.05,50
CDM,0681932,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3895.5,4285.05,1675.07,7596.23,50
CDM,0681933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2695.0,2964.5,1158.85,5255.25,50
CDM,0681934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3326.09,3658.7,1430.22,6485.88,50
CDM,0681935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2703.0,2973.3,1162.29,5270.85,50
CDM,0681936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3326.09,3658.7,1430.22,6485.88,50
CDM,0681937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3263.0,3589.3,1403.09,6362.85,50
CDM,0681938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3130.0,3443.0,1345.9,6103.5,50
CDM,0681939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2652.0,2917.2,1140.36,5171.4,50
CDM,0681940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2757.83,3033.61,1185.87,5377.77,50
CDM,0681941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2695.44,2964.98,1159.04,5256.11,50
CDM,0681942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2781.63,3059.79,1196.1,5424.18,50
CDM,0681943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3456.0,3801.6,1486.08,6739.2,50
CDM,0681945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2688.0,2956.8,1155.84,5241.6,50
CDM,0681946,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3839.0,4222.9,1650.77,7486.05,50
CDM,0681947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3575.0,3932.5,1537.25,6971.25,50
CDM,0681948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6594.0,7253.4,2835.42,12858.3,50
CDM,0681949,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3462.55,3808.81,1488.9,6751.97,50
CDM,0681950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4511.0,4962.1,1939.73,8796.45,50
CDM,0681951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3297.0,3626.7,1417.71,6429.15,50
CDM,0681952,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4792.0,5271.2,2060.56,9344.4,50
CDM,0681953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2707.0,2977.7,1164.01,5278.65,50
CDM,0681954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2563.0,2819.3,1102.09,4997.85,50
CDM,0681955,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4065.08,4471.59,1747.98,7926.91,50
CDM,0681956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2563.0,2819.3,1102.09,4997.85,50
CDM,0681957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3344.0,3678.4,1437.92,6520.8,50
CDM,0681958,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3090.62,3399.68,1328.97,6026.71,50
CDM,0681961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4284.0,4712.4,1842.12,8353.8,50
CDM,0681962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0681963,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4200.0,4620.0,1806.0,8190.0,50
CDM,0681964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4370.0,4807.0,1879.1,8521.5,50
CDM,0681966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5430.0,5973.0,2334.9,10588.5,50
CDM,0681968,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4856.0,5341.6,2088.08,9469.2,50
CDM,0681969,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0681970,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8319.0,9150.9,3577.17,16222.05,50
CDM,0681971,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6825.0,7507.5,2934.75,13308.75,50
CDM,0681972,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7747.0,8521.7,3331.21,15106.65,50
CDM,0681973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8713.0,9584.3,3746.59,16990.35,50
CDM,0681974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10400.58,11440.64,4472.25,20281.13,50
CDM,0681975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.0,220.0,86.0,390.0,50
CDM,0681976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),885.0,973.5,380.55,1725.75,50
CDM,0681978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0681979,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0681980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),625.63,688.19,269.02,1219.98,50
CDM,0681981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),837.38,921.12,360.07,1632.89,50
CDM,0681982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),625.63,688.19,269.02,1219.98,50
CDM,0681983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),630.0,693.0,270.9,1228.5,50
CDM,0681984,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681985,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0681986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0681987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0681990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.36,156.6,61.21,277.6,50
CDM,0681991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),83.13,91.44,35.75,162.1,50
CDM,0681992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0681993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0681995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0681996,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),74.18,81.6,31.9,144.65,50
CDM,0681997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.38,135.72,53.05,240.59,50
CDM,0681998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),185.0,203.5,79.55,360.75,50
CDM,0681999,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0682000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.15,160.77,62.84,284.99,50
CDM,0682001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.15,160.77,62.84,284.99,50
CDM,0682002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.15,160.77,62.84,284.99,50
CDM,0682003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),93.85,103.24,40.36,183.01,50
CDM,0682004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.36,156.6,61.21,277.6,50
CDM,0682005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.36,156.6,61.21,277.6,50
CDM,0682006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0682007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0682008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0682009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.78,121.86,47.64,216.02,50
CDM,0682012,CANNULA PROTEK DUO,34125.0,34125.0,3461.0,27300.0,45
CDM,0682017,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",1199.0,1199.0,322.53,2338.05,45
CDM,0682019,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",959.0,959.0,257.97,1870.05,45
CDM,0682020,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1179.5,1179.5,317.29,2300.03,45
CDM,0682021,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1584.0,1584.0,426.1,3088.8,45
CDM,0682022,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1179.5,1179.5,317.29,2300.03,45
CDM,0682023,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2091.0,2091.0,562.48,4077.45,45
CDM,0682025,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1396.5,1396.5,375.66,2723.18,45
CDM,0682026,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1396.5,1396.5,375.66,2723.18,45
CDM,0682027,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1662.5,1662.5,447.21,3241.88,45
CDM,0682028,CATH BALLN VALVULOPLASTY,1396.5,1396.5,287.12,1117.2,45
CDM,0682029,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1706.0,1706.0,458.91,3326.7,45
CDM,0682030,"CATHETER, THROMBECTOMY/EMBOLECTOMY",5058.0,5058.0,1360.6,9863.1,45
CDM,0682031,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2156.0,2156.0,579.96,4204.2,45
CDM,0682032,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2156.0,2156.0,579.96,4204.2,45
CDM,0682033,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2133.0,2133.0,573.78,4159.35,45
CDM,0682034,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1776.0,1776.0,477.74,3463.2,45
CDM,0682035,"CATHETER, OCCLUSION",2275.0,2275.0,611.98,4436.25,45
CDM,0682039,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1593.0,1593.0,428.52,3106.35,45
CDM,0682040,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1593.0,1593.0,428.52,3106.35,45
CDM,0682041,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1566.0,1566.0,421.25,3053.7,45
CDM,0682042,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1579.0,1579.0,424.75,3079.05,45
CDM,0682044,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",1006.25,1006.25,270.68,1962.19,45
CDM,0682047,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1951.0,1951.0,524.82,3804.45,45
CDM,0682049,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1636.0,1636.0,440.08,3190.2,45
CDM,0682050,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,0682052,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2147.0,2147.0,577.54,4186.65,45
CDM,0682053,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2147.0,2147.0,577.54,4186.65,45
CDM,0682054,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2147.0,2147.0,577.54,4186.65,45
CDM,0682055,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1741.0,1741.0,468.33,3394.95,45
CDM,0682056,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0682057,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1969.0,1969.0,529.66,3839.55,45
CDM,0682058,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1969.0,1969.0,529.66,3839.55,45
CDM,0682059,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1243.0,1243.0,334.37,2423.85,45
CDM,0682060,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1566.25,1566.25,421.32,3054.19,45
CDM,0682061,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2100.0,2100.0,564.9,4095.0,45
CDM,0682062,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1505.0,1505.0,404.85,2934.75,45
CDM,0682064,CATH IABP 8FR FBROP 40ML,1899.0,1899.0,390.43,1519.2,45
CDM,0682067,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4891.0,4891.0,1315.68,9537.45,45
CDM,0682069,"CATHETER, OCCLUSION",2742.0,2742.0,737.6,5346.9,45
CDM,0682070,"CATHETER, OCCLUSION",2793.0,2793.0,751.32,5446.35,45
CDM,0682071,"CATHETER, OCCLUSION",2793.0,2793.0,751.32,5446.35,45
CDM,0682073,CUTTER SPNL DISC BRYAN,1575.0,1575.0,323.82,1260.0,45
CDM,0682074,DRLLBIT 300MM 13MM CNN STRL,1248.0,1248.0,256.59,998.4,45
CDM,0682082,DRLLBIT CANN FLEX 16MM,1623.16,1623.16,333.72,1298.53,45
CDM,0682085,DRLLBIT DRL 200MM 4.3MM,1147.0,1147.0,235.82,917.6,45
CDM,0682087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9100.0,10010.0,3913.0,17745.0,50
CDM,0682088,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2538.0,2791.8,1091.34,4949.1,50
CDM,0682089,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682090,FORCEP BIOPSY SEMI 34CM 5FR,1524.0,1524.0,313.33,1219.2,45
CDM,0682091,FORCEP BIPOLAR  .4X20.140MM,1024.0,1024.0,210.53,819.2,45
CDM,0682092,FORCEP BIPOLAR .7X95X215MM,1026.0,1026.0,210.95,820.8,45
CDM,0682093,FORCEP BIPOLAR 175MM,936.0,936.0,192.44,748.8,45
CDM,0682097,FORCEP REDUC SPEED LOCK 205MM,1282.0,1282.0,263.58,1025.6,45
CDM,0682098,FORCEPS BAYONET BIPOLAR 190MM,1442.0,1442.0,296.48,1153.6,45
CDM,0682105,SCRDRIVER CRCFRM 1.5MM 2MM,1250.0,1250.0,257.0,1000.0,45
CDM,0682107,URETEROSCOPE FLEX SINGLE,2625.0,2625.0,539.7,2100.0,45
CDM,0682108,"ENDOSCOPE, SINGLE-USE (I.E. DISPOSABLE), URINARY TRACT, IMAGING/ILLUMINATION DEVICE (INSERTABLE)",2625.0,,706.13,5118.75,45
CDM,0682110,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,776.87,5631.6,45
CDM,0682111,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1960.0,1960.0,527.24,3822.0,45
CDM,0682112,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2187.5,2187.5,588.44,4265.63,45
CDM,0682113,CUTTER SURG ACD 15,1575.0,1575.0,323.82,1260.0,45
CDM,0682114,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",20125.0,22137.5,8653.75,39243.75,50
CDM,0682115,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",20125.0,22137.5,8653.75,39243.75,50
CDM,0682117,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",21210.0,23331.0,9120.3,41359.5,50
CDM,0682118,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",21525.0,23677.5,9255.75,41973.75,50
CDM,0682119,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",26652.5,29317.75,11460.58,51972.38,50
CDM,0682120,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",26670.0,29337.0,11468.1,52006.5,50
CDM,0682121,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",21525.0,23677.5,9255.75,41973.75,50
CDM,0682122,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",22050.0,24255.0,9481.5,42997.5,50
CDM,0682123,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",25200.0,27720.0,10836.0,49140.0,50
CDM,0682124,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",30739.0,33812.9,13217.77,59941.05,50
CDM,0682125,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0682126,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",25240.0,27764.0,10853.2,49218.0,50
CDM,0682127,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",16292.5,17921.75,7005.78,31770.38,50
CDM,0682128,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",24106.25,26516.88,10365.69,47007.19,50
CDM,0682129,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",24570.0,27027.0,10565.1,47911.5,50
CDM,0682130,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",15750.0,17325.0,6772.5,30712.5,50
CDM,0682131,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0682133,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",18375.0,20212.5,7901.25,35831.25,50
CDM,0682134,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",19512.5,21463.75,8390.38,38049.38,50
CDM,0682135,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",19451.25,21396.38,8364.04,37929.94,50
CDM,0682136,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",19451.25,21396.38,8364.04,37929.94,50
CDM,0682137,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",27991.25,30790.38,12036.24,54582.94,50
CDM,0682138,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",111475.0,122622.5,47934.25,217376.25,50
CDM,0682139,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29094.0,32003.4,12510.42,56733.3,50
CDM,0682140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5145.0,5659.5,2212.35,10032.75,50
CDM,0682141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4427.5,4870.25,1903.83,8633.63,50
CDM,0682142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.25,9438.28,3689.51,16731.49,50
CDM,0682143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9100.0,10010.0,3913.0,17745.0,50
CDM,0682144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9100.0,10010.0,3913.0,17745.0,50
CDM,0682146,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),335.0,368.5,144.05,653.25,50
CDM,0682147,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",372.0,409.2,159.96,725.4,50
CDM,0682148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),402.0,442.2,172.86,783.9,50
CDM,0682149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),362.0,398.2,155.66,705.9,50
CDM,0682150,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),362.0,398.2,155.66,705.9,50
CDM,0682151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),291.5,320.65,125.35,568.43,50
CDM,0682152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),291.5,320.65,125.35,568.43,50
CDM,0682153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),291.5,320.65,125.35,568.43,50
CDM,0682155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),488.0,536.8,209.84,951.6,50
CDM,0682156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0682157,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",345.12,379.63,148.4,672.98,50
CDM,0682158,CVR HOLR BURR ULTRA LP MD,345.0,379.5,70.93,379.5,50
CDM,0682159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),470.35,517.39,202.25,917.18,50
CDM,0682160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),528.71,581.58,227.35,1030.98,50
CDM,0682161,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1575.0,1732.5,677.25,3071.25,50
CDM,0682162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0682163,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4725.0,5197.5,2031.75,9213.75,50
CDM,0682166,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0682167,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7875.0,8662.5,3386.25,15356.25,50
CDM,0682168,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7875.0,8662.5,3386.25,15356.25,50
CDM,0682169,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8625.0,9487.5,3708.75,16818.75,50
CDM,0682170,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0682171,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0682172,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0682173,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0682174,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0682176,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8400.0,9240.0,3612.0,16380.0,50
CDM,0682177,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11200.0,12320.0,4816.0,21840.0,50
CDM,0682178,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12975.0,14272.5,5579.25,25301.25,50
CDM,0682179,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),5145.0,5659.5,2212.35,10032.75,50
CDM,0682180,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0682181,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10763.0,11839.3,4628.09,20987.85,50
CDM,0682182,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1715.0,1886.5,737.45,3344.25,50
CDM,0682183,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0682185,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1606.5,1767.15,690.8,3132.68,50
CDM,0682186,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7438.0,8181.8,3198.34,14504.1,50
CDM,0682187,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0682188,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0682190,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5146.0,5660.6,2212.78,10034.7,50
CDM,0682191,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),6475.0,7122.5,2784.25,12626.25,50
CDM,0682192,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7438.0,8181.8,3198.34,14504.1,50
CDM,0682193,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10877.0,11964.7,4677.11,21210.15,50
CDM,0682194,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4200.0,4620.0,1806.0,8190.0,50
CDM,0682196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),517.0,568.7,222.31,1008.15,50
CDM,0682197,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",517.0,568.7,222.31,1008.15,50
CDM,0682198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),276.0,303.6,118.68,538.2,50
CDM,0682199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),503.0,553.3,216.29,980.85,50
CDM,0682201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0682204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.95,406.95,159.08,721.4,50
CDM,0682205,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",469.0,515.9,201.67,914.55,50
CDM,0682206,JOINT DEVICE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0682207,JOINT DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0682209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682211,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21000.0,23100.0,9030.0,40950.0,50
CDM,0682212,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682213,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",718.03,789.83,308.75,1400.16,50
CDM,0682214,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7875.0,8662.5,3386.25,15356.25,50
CDM,0682215,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682216,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",718.03,789.83,308.75,1400.16,50
CDM,0682217,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682219,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682220,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6991.0,7690.1,3006.13,13632.45,50
CDM,0682221,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682222,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.25,937.48,366.47,1661.89,50
CDM,0682223,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682224,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1212.0,1333.2,521.16,2363.4,50
CDM,0682226,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682227,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.25,937.48,366.47,1661.89,50
CDM,0682228,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682229,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682230,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682231,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682232,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682233,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682234,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682235,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0682236,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",39.0,42.9,16.77,76.05,50
CDM,0682237,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682239,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682242,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682243,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682244,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1925.0,752.5,3412.5,50
CDM,0682245,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0682246,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0682247,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",207.0,227.7,89.01,403.65,50
CDM,0682248,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",207.0,227.7,89.01,403.65,50
CDM,0682249,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",207.0,227.7,89.01,403.65,50
CDM,0682250,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",207.0,227.7,89.01,403.65,50
CDM,0682251,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1978.0,2175.8,850.54,3857.1,50
CDM,0682252,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682253,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21875.0,24062.5,9406.25,42656.25,50
CDM,0682254,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",23450.0,25795.0,10083.5,45727.5,50
CDM,0682255,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21875.0,24062.5,9406.25,42656.25,50
CDM,0682256,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682257,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682258,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1925.0,752.5,3412.5,50
CDM,0682259,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1978.0,2175.8,850.54,3857.1,50
CDM,0682260,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682261,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682262,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682263,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682264,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682265,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682266,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682267,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3150.0,3465.0,1354.5,6142.5,50
CDM,0682268,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3990.0,4389.0,1715.7,7780.5,50
CDM,0682269,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4160.0,4576.0,1788.8,8112.0,50
CDM,0682270,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4202.0,4622.2,1806.86,8193.9,50
CDM,0682271,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4244.0,4668.4,1824.92,8275.8,50
CDM,0682272,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4330.0,4763.0,1861.9,8443.5,50
CDM,0682273,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0682274,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4414.0,4855.4,1898.02,8607.3,50
CDM,0682275,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4322.5,4754.75,1858.68,8428.88,50
CDM,0682276,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4387.0,4825.7,1886.41,8554.65,50
CDM,0682277,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5075.0,5582.5,2182.25,9896.25,50
CDM,0682278,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5075.0,5582.5,2182.25,9896.25,50
CDM,0682279,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682280,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682281,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682282,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682283,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682284,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682286,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682287,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682288,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682289,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682290,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682291,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682292,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682293,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682294,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682295,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682296,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682297,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682298,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682299,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682300,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682301,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682302,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3938.0,4331.8,1693.34,7679.1,50
CDM,0682303,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682304,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682305,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682306,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682307,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3938.0,4331.8,1693.34,7679.1,50
CDM,0682308,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682309,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2987.0,3285.7,1284.41,5824.65,50
CDM,0682310,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682311,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682312,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682313,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682314,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682315,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682316,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682317,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682318,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682319,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682320,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682321,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682322,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682323,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682324,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682325,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682326,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682327,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682328,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5416.0,5957.6,2328.88,10561.2,50
CDM,0682329,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682330,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0682331,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3491.0,3840.1,1501.13,6807.45,50
CDM,0682332,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3666.0,4032.6,1576.38,7148.7,50
CDM,0682333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.79,340.77,133.21,604.09,50
CDM,0682348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.07,354.28,138.49,628.04,50
CDM,0682349,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1838.0,2021.8,790.34,3584.1,50
CDM,0682350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0682357,JOINT DEVICE (IMPLANTABLE),4900.0,5390.0,2107.0,9555.0,50
CDM,0682358,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,611.58,2107.6,50
CDM,0682359,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0682360,JOINT DEVICE (IMPLANTABLE),356.13,391.74,153.14,694.45,50
CDM,0682363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0682364,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",43750.0,48125.0,18812.5,85312.5,50
CDM,0682365,JOINT DEVICE (IMPLANTABLE),9100.0,10010.0,3913.0,17745.0,50
CDM,0682366,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9625.0,10587.5,4138.75,18768.75,50
CDM,0682367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1146.0,1260.6,492.78,2234.7,50
CDM,0682368,JOINT DEVICE (IMPLANTABLE),2132.0,2345.2,916.76,4157.4,50
CDM,0682369,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1606.5,1767.15,690.8,3132.68,50
CDM,0682370,JOINT DEVICE (IMPLANTABLE),2270.0,2497.0,976.1,4426.5,50
CDM,0682371,JOINT DEVICE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0682373,JOINT DEVICE (IMPLANTABLE),6359.5,6995.45,2734.59,12401.03,50
CDM,0682374,JOINT DEVICE (IMPLANTABLE),5250.0,5775.0,2257.5,10237.5,50
CDM,0682375,JOINT DEVICE (IMPLANTABLE),5775.0,6352.5,2483.25,11261.25,50
CDM,0682376,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0682377,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0682378,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0682379,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0682380,JOINT DEVICE (IMPLANTABLE),2483.0,2731.3,1067.69,4841.85,50
CDM,0682381,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1205.0,1325.5,518.15,2349.75,50
CDM,0682384,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2625.0,2887.5,1128.75,5118.75,50
CDM,0682385,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0682386,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0682387,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2678.0,2945.8,1151.54,5222.1,50
CDM,0682389,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",1356.0,1491.6,583.08,2644.2,50
CDM,0682390,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0682391,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",12308.0,13538.8,5292.44,24000.6,50
CDM,0682392,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0682393,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0682394,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",7875.0,8662.5,3386.25,15356.25,50
CDM,0682396,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",4112.5,4523.75,1768.38,8019.38,50
CDM,0682397,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0682398,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0682399,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0682400,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0682401,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0682403,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0682404,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0682405,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",729.0,801.9,313.47,1421.55,50
CDM,0682406,"LEAD, PACEMAKER, TRANSVENOUS VDD SINGLE PASS",872.0,959.2,374.96,1700.4,50
CDM,0682407,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0682408,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0682409,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",1356.0,1491.6,583.08,2644.2,50
CDM,0682410,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0682411,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",656.25,721.88,282.19,1279.69,50
CDM,0682412,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",1356.0,1491.6,583.08,2644.2,50
CDM,0682413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.64,583.7,228.18,1034.75,50
CDM,0682414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.73,781.8,305.61,1385.92,50
CDM,0682415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),778.09,855.9,334.58,1517.28,50
CDM,0682416,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",3157.54,3473.29,1357.74,6157.2,50
CDM,0682417,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1916.0,2107.6,823.88,3736.2,50
CDM,0682419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),310.0,341.0,133.3,604.5,50
CDM,0682422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0682423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.45,488.9,191.11,866.68,50
CDM,0682424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),454.0,499.4,195.22,885.3,50
CDM,0682425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2311.0,2542.1,993.73,4506.45,50
CDM,0682426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0682427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1374.7,1512.17,591.12,2680.67,50
CDM,0682428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2392.0,2631.2,1028.56,4664.4,50
CDM,0682429,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2311.0,2542.1,993.73,4506.45,50
CDM,0682430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),514.0,565.4,221.02,1002.3,50
CDM,0682431,RMR HALLOW 4.5,854.0,854.0,175.58,683.2,45
CDM,0682432,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",270.38,297.42,116.26,527.24,50
CDM,0682433,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",109.0,119.9,46.87,212.55,50
CDM,0682434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0682435,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682436,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",267.0,293.7,114.81,520.65,50
CDM,0682437,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",75.0,82.5,32.25,146.25,50
CDM,0682438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0682439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0682440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0682441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0682442,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",350.0,385.0,150.5,682.5,50
CDM,0682443,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0682445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0682446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0682447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0682448,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",288.0,316.8,123.84,561.6,50
CDM,0682450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0682451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0682452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0682453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0682454,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0682455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),542.0,596.2,233.06,1056.9,50
CDM,0682456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),135.0,148.5,58.05,263.25,50
CDM,0682457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0682458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1055.25,1160.78,453.76,2057.74,50
CDM,0682459,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682462,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.0,311.3,121.69,551.85,50
CDM,0682467,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.38,135.72,53.05,240.59,50
CDM,0682468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1055.25,1160.78,453.76,2057.74,50
CDM,0682469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0682470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0682471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),779.0,856.9,334.97,1519.05,50
CDM,0682472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0682473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0682474,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0682476,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1243.0,1367.3,534.49,2423.85,50
CDM,0682477,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1117.81,1229.59,480.66,2179.73,50
CDM,0682478,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1220.0,1342.0,524.6,2379.0,50
CDM,0682479,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0682480,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0682481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0682482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0682483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0682484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),882.0,970.2,379.26,1719.9,50
CDM,0682485,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0682486,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682488,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682489,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682490,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1432.0,1575.2,615.76,2792.4,50
CDM,0682492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682493,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1117.81,1229.59,480.66,2179.73,50
CDM,0682494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1117.81,1229.59,480.66,2179.73,50
CDM,0682495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1431.5,1574.65,615.55,2791.43,50
CDM,0682496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1117.81,1229.59,480.66,2179.73,50
CDM,0682497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.25,3409.18,1332.68,6043.54,50
CDM,0682498,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1103.0,1213.3,474.29,2150.85,50
CDM,0682502,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0682504,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.25,172.98,67.62,306.64,50
CDM,0682505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0682506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),818.0,899.8,351.74,1595.1,50
CDM,0682508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),849.0,933.9,365.07,1655.55,50
CDM,0682509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682519,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682520,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682532,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682533,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682534,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682537,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682539,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.25,721.88,282.19,1279.69,50
CDM,0682540,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682541,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0682542,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0682543,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0682545,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0682546,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0682549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0682550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1017.0,1118.7,437.31,1983.15,50
CDM,0682551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682553,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0682559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0682560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0682561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0682562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0682563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682566,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1696.0,1865.6,729.28,3307.2,50
CDM,0682569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0682571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0682573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682574,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0682575,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682576,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0682577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682578,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0682582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0682583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0682592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0682593,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0682596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0682597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1335.65,1469.22,574.33,2604.52,50
CDM,0682598,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0682601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.32,751.65,293.83,1332.47,50
CDM,0682602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.29,488.72,191.04,866.37,50
CDM,0682603,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",391.0,430.1,168.13,762.45,50
CDM,0682604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1544.0,1698.4,663.92,3010.8,50
CDM,0682605,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6174.0,6791.4,2654.82,12039.3,50
CDM,0682606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0682607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10063.0,11069.3,4327.09,19622.85,50
CDM,0682609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1543.5,1697.85,663.71,3009.83,50
CDM,0682610,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),7005.0,7705.5,3012.15,13659.75,50
CDM,0682611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12994.0,14293.4,5587.42,25338.3,50
CDM,0682612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0682613,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4430.0,4873.0,1904.9,8638.5,50
CDM,0682615,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",6125.0,6737.5,2633.75,11943.75,50
CDM,0682616,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682617,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2040.0,2244.0,877.2,3978.0,50
CDM,0682618,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1869.0,2055.9,803.67,3644.55,50
CDM,0682619,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0682621,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2441.0,2685.1,1049.63,4759.95,50
CDM,0682622,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2188.0,2406.8,940.84,4266.6,50
CDM,0682623,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2581.0,2839.1,1109.83,5032.95,50
CDM,0682624,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0682625,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0682626,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3637.0,4000.7,1563.91,7092.15,50
CDM,0682627,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13078.0,14385.8,5623.54,25502.1,50
CDM,0682628,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",215.0,236.5,92.45,419.25,50
CDM,0682629,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",327.0,359.7,140.61,637.65,50
CDM,0682630,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1654.0,1819.4,711.22,3225.3,50
CDM,0682631,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,0682632,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10296.0,11325.6,4427.28,20077.2,50
CDM,0682633,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",28506.0,31356.6,12257.58,55586.7,50
CDM,0682634,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0682635,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1868.53,2055.38,803.47,3643.63,50
CDM,0682636,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0682637,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,0682638,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10296.0,11325.6,4427.28,20077.2,50
CDM,0682639,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",12064.0,13270.4,5187.52,23524.8,50
CDM,0682640,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10296.0,11325.6,4427.28,20077.2,50
CDM,0682641,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",11419.0,12560.9,4910.17,22267.05,50
CDM,0682642,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10296.0,11325.6,4427.28,20077.2,50
CDM,0682643,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0682644,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,0682645,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4555.25,5010.78,1958.76,8882.74,50
CDM,0682646,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4867.0,5353.7,2092.81,9490.65,50
CDM,0682647,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4867.0,5353.7,2092.81,9490.65,50
CDM,0682648,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",215.0,236.5,92.45,419.25,50
CDM,0682649,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",38.0,41.8,16.34,74.1,50
CDM,0682650,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",233.0,256.3,100.19,454.35,50
CDM,0682651,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682652,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682653,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",215.0,236.5,92.45,419.25,50
CDM,0682654,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682655,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682656,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0682657,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",13998.25,15398.08,6019.25,27296.59,50
CDM,0682658,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0682659,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4288.0,4716.8,1843.84,8361.6,50
CDM,0682660,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4288.0,4716.8,1843.84,8361.6,50
CDM,0682661,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0682662,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6344.0,6978.4,2727.92,12370.8,50
CDM,0682663,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0682664,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0682665,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0682666,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",56875.0,62562.5,24456.25,110906.25,50
CDM,0682667,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5726.0,6298.6,2462.18,11165.7,50
CDM,0682668,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5726.0,6298.6,2462.18,11165.7,50
CDM,0682669,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",19936.0,21929.6,8572.48,38875.2,50
CDM,0682723,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682724,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682725,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0682726,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3150.0,3465.0,1354.5,6142.5,50
CDM,0682727,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2284.0,2512.4,982.12,4453.8,50
CDM,0682728,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2284.0,2512.4,982.12,4453.8,50
CDM,0682729,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682730,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4051.0,4456.1,1741.93,7899.45,50
CDM,0682731,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4016.0,4417.6,1726.88,7831.2,50
CDM,0682732,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3474.0,3821.4,1493.82,6774.3,50
CDM,0682733,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682734,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682735,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4051.25,4456.38,1742.04,7899.94,50
CDM,0682736,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682737,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,0682738,"PROSTHESIS, BREAST (IMPLANTABLE)",2275.0,2502.5,978.25,4436.25,50
CDM,0682739,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1978.0,2175.8,850.54,3857.1,50
CDM,0682740,FORCEP BAYONETTA BIPOLAR,1313.0,1313.0,269.95,1050.4,45
CDM,0682741,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0682743,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.5,1112.65,434.95,1972.43,50
CDM,0682745,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2039.0,2242.9,876.77,3976.05,50
CDM,0682769,"CYTAL, PER SQUARE CENTIMETER",1315.0,1446.5,565.45,2564.25,50
CDM,0682770,"MATRISTEM MICROMATRIX, 1 MG",487.0,535.7,209.41,949.65,50
CDM,0682771,"MATRISTEM MICROMATRIX, 1 MG",2280.0,2280.0,613.32,4446.0,43
CDM,0682772,"MATRISTEM MICROMATRIX, 1 MG",4176.0,4593.6,1795.68,8143.2,50
CDM,0682774,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2518.0,2769.8,1082.74,4910.1,50
CDM,0682775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0682776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0682777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0682778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0682779,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",350.0,385.0,150.5,682.5,50
CDM,0682780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0682782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3216.0,3537.6,1382.88,6271.2,50
CDM,0682784,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),866.0,952.6,372.38,1688.7,50
CDM,0682786,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6344.0,6978.4,2727.92,12370.8,50
CDM,0682788,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5726.0,6298.6,2462.18,11165.7,50
CDM,0682789,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5726.0,6298.6,2462.18,11165.7,50
CDM,0682790,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12162.5,13378.75,5229.88,23716.88,50
CDM,0682791,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0682792,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0682793,JOINT DEVICE (IMPLANTABLE),5742.0,6316.2,2469.06,11196.9,50
CDM,0682794,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0682795,JOINT DEVICE (IMPLANTABLE),3518.0,3869.8,1512.74,6860.1,50
CDM,0682796,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",656.25,721.88,282.19,1279.69,50
CDM,0682797,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",1208.0,1328.8,519.44,2355.6,50
CDM,0682798,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0682800,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6291.0,6920.1,2705.13,12267.45,50
CDM,0682801,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6998.0,7697.8,3009.14,13646.1,50
CDM,0682802,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",10588.0,11646.8,4552.84,20646.6,50
CDM,0682803,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",27823.25,30605.58,11964.0,54255.34,50
CDM,0682804,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",25373.0,27910.3,10910.39,49477.35,50
CDM,0682805,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",20253.0,22278.3,8708.79,39493.35,50
CDM,0682806,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1262.0,1388.2,542.66,2460.9,50
CDM,0682807,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5835.0,6418.5,2509.05,11378.25,50
CDM,0682808,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0682809,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",19297.0,21226.7,8297.71,37629.15,50
CDM,0682811,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0682812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),195.0,214.5,83.85,380.25,50
CDM,0682813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2002.0,2202.2,860.86,3903.9,50
CDM,0682815,BLADE CUP REMOVAL,1330.0,1330.0,273.45,1064.0,45
CDM,0682817,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21150.0,23265.0,9094.5,41242.5,50
CDM,0682818,FLOW COUPLER,1663.0,1663.0,341.91,1330.4,45
CDM,0682819,JOINT DEVICE (IMPLANTABLE),7967.0,8763.7,3425.81,15535.65,50
CDM,0682820,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8414.0,9255.4,3618.02,16407.3,50
CDM,0682821,MDL ANATOMCL GRFT BONE,3973.0,3973.0,816.85,3178.4,45
CDM,0682823,"PROSTHESIS, BREAST (IMPLANTABLE)",2958.0,3253.8,1271.94,5768.1,50
CDM,0682825,DVC HNDPC SONOPET LG,1637.69,1637.69,336.71,1310.15,45
CDM,0682826,DVC HNDPC BARRACUDA,1775.0,1775.0,364.94,1420.0,45
CDM,0682827,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0682828,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0682829,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",996.0,996.0,267.92,1942.2,45
CDM,0682830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),257.76,283.54,110.84,502.63,50
CDM,0682831,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",840.0,924.0,361.2,1638.0,50
CDM,0682832,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2021.0,2223.1,869.03,3940.95,50
CDM,0682833,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0682835,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",4900.0,5390.0,2107.0,9555.0,50
CDM,0682836,DVC SONOPET IQ,1622.47,1622.47,333.58,1297.98,45
CDM,0682837,JOINT DEVICE (IMPLANTABLE),2835.0,3118.5,1219.05,5528.25,50
CDM,0682839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7289.0,8017.9,3134.27,14213.55,50
CDM,0682843,DVC HNDPC ULTRA DRIVE,1071.0,1071.0,220.2,856.8,45
CDM,0682845,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14875.0,16362.5,6396.25,29006.25,50
CDM,0682846,MESH (IMPLANTABLE),4751.0,5226.1,2042.93,9264.45,50
CDM,0682847,MESH (IMPLANTABLE),1654.0,1819.4,711.22,3225.3,50
CDM,0682848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10850.0,11935.0,4665.5,21157.5,50
CDM,0682850,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0682855,MESH (IMPLANTABLE),1144.0,1258.4,491.92,2230.8,50
CDM,0682857,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6497.0,7146.7,2793.71,12669.15,50
CDM,0682858,JOINT DEVICE (IMPLANTABLE),3701.0,4071.1,1591.43,7216.95,50
CDM,0682860,JOINT DEVICE (IMPLANTABLE),4595.0,5054.5,1975.85,8960.25,50
CDM,0682861,JOINT DEVICE (IMPLANTABLE),278.0,305.8,119.54,542.1,50
CDM,0682862,"FLOWERAMNIOPATCH, PER SQUARE CENTIMETER",4358.0,4793.8,1873.94,8498.1,50
CDM,0682863,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21150.0,23265.0,9094.5,41242.5,50
CDM,0682864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),31681.0,34849.1,13622.83,61777.95,50
CDM,0682865,"HUMAN PLASMA FIBRIN SEALANT, VAPOR-HEATED, SOLVENT-DETERGENT (ARTISS), 2 ML",584.0,202.0,157.1,1138.8,45
CDM,0682866,METACARPOPHALANGEAL JOINT IMPLANT,2123.0,2335.3,329.97,2335.3,50
CDM,0682867,JOINT DEVICE (IMPLANTABLE),18153.0,19968.3,7805.79,35398.35,50
CDM,0682868,JOINT DEVICE (IMPLANTABLE),17002.0,18702.2,7310.86,33153.9,50
CDM,0682869,JOINT DEVICE (IMPLANTABLE),991.0,1090.1,426.13,1932.45,50
CDM,0682870,JOINT DEVICE (IMPLANTABLE),1071.0,1178.1,460.53,2088.45,50
CDM,0682871,JOINT DEVICE (IMPLANTABLE),2235.0,2458.5,961.05,4358.25,50
CDM,0682872,JOINT DEVICE (IMPLANTABLE),3401.0,3741.1,1462.43,6631.95,50
CDM,0682873,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682875,JOINT DEVICE (IMPLANTABLE),1665.0,1831.5,715.95,3246.75,50
CDM,0682877,JOINT DEVICE (IMPLANTABLE),10522.0,11574.2,4524.46,20517.9,50
CDM,0682881,MESH (IMPLANTABLE),3711.0,4082.1,1595.73,7236.45,50
CDM,0682882,MESH (IMPLANTABLE),4830.0,5313.0,2076.9,9418.5,50
CDM,0682883,JOINT DEVICE (IMPLANTABLE),9507.0,10457.7,4088.01,18538.65,50
CDM,0682884,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.88,3165.67,1237.49,5611.87,50
CDM,0682885,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1440.0,1584.0,619.2,2808.0,50
CDM,0682888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),818.0,899.8,351.74,1595.1,50
CDM,0682889,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8580.0,9438.0,3689.4,16731.0,50
CDM,0682892,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9144.0,10058.4,3931.92,17830.8,50
CDM,0682893,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682894,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1247.0,1371.7,536.21,2431.65,50
CDM,0682895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1663.0,1829.3,715.09,3242.85,50
CDM,0682896,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",416.0,457.6,178.88,811.2,50
CDM,0682897,"GRAFT, VASCULAR",2520.0,2772.0,1083.6,4914.0,50
CDM,0682898,JOINT DEVICE (IMPLANTABLE),8593.0,9452.3,3694.99,16756.35,50
CDM,0682901,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.0,288.2,112.66,510.9,50
CDM,0682902,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1297.0,1426.7,557.71,2529.15,50
CDM,0682903,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),35000.0,38500.0,15050.0,68250.0,50
CDM,0682904,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",656.0,721.6,282.08,1279.2,50
CDM,0682906,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1513.0,1664.3,650.59,2950.35,50
CDM,0682907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682908,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0682909,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0682911,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2625.0,2887.5,1128.75,5118.75,50
CDM,0682914,CATH ANGIO SPYGLASS DS,4288.0,4288.0,881.61,3430.4,45
CDM,0682916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),793.0,872.3,340.99,1546.35,50
CDM,0682917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1122.0,1234.2,482.46,2187.9,50
CDM,0682918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2409.0,2649.9,1035.87,4697.55,50
CDM,0682919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0682920,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0682923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0682924,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),705.0,775.5,303.15,1374.75,50
CDM,0682926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0682927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0682929,MESH (IMPLANTABLE),597.0,656.7,256.71,1164.15,50
CDM,0682930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),207.0,227.7,89.01,403.65,50
CDM,0682931,"PROSTHESIS, PENILE, INFLATABLE",1395.0,1534.5,599.85,2720.25,50
CDM,0682933,"PROSTHESIS, PENILE, INFLATABLE",19495.0,21444.5,8382.85,38015.25,50
CDM,0682936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2826.0,3108.6,1215.18,5510.7,50
CDM,0682937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1440.0,1584.0,619.2,2808.0,50
CDM,0682938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),327.0,359.7,140.61,637.65,50
CDM,0682939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3581.0,3939.1,1539.83,6982.95,50
CDM,0682940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.7,347.27,135.75,615.62,50
CDM,0682941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2337.0,2570.7,1004.91,4557.15,50
CDM,0682942,MDL ANTMCL MANDIBLE,5020.0,5020.0,1032.11,4016.0,45
CDM,0682944,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",3228.75,3228.75,868.53,6296.06,45
CDM,0682945,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",4173.75,4173.75,1122.74,8138.81,45
CDM,0682946,SUTR PASSER FIRSTPASS ST,1663.0,1663.0,341.91,1330.4,45
CDM,0682947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2091.0,2300.1,899.13,4077.45,50
CDM,0682950,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",2966.0,2966.0,797.85,5783.7,45
CDM,0682951,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",4173.75,4173.75,1122.74,8138.81,45
CDM,0682953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3608.0,3968.8,1551.44,7035.6,50
CDM,0682954,"PATIENT PROGRAMMER, NEUROSTIMULATOR",3238.0,3238.0,871.02,6314.1,45
CDM,0682955,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0682956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),217.0,238.7,93.31,423.15,50
CDM,0682957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0682958,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.0,2685.1,1049.63,4759.95,50
CDM,0682959,JOINT DEVICE (IMPLANTABLE),6570.0,7227.0,2825.1,12811.5,50
CDM,0682961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.0,502.7,196.51,891.15,50
CDM,0682963,INS MTP FUSION REAMER,1566.0,1566.0,321.97,1252.8,45
CDM,0682965,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0682966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0682967,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0682968,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",631.0,694.1,271.33,1230.45,50
CDM,0682972,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0682974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),523.0,575.3,224.89,1019.85,50
CDM,0682978,JOINT DEVICE (IMPLANTABLE),1964.0,2160.4,844.52,3829.8,50
CDM,0682980,JOINT DEVICE (IMPLANTABLE),7566.0,8322.6,3253.38,14753.7,50
CDM,0682981,JOINT DEVICE (IMPLANTABLE),7369.0,8105.9,3168.67,14369.55,50
CDM,0682985,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0682986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1501.5,1651.65,645.65,2927.93,50
CDM,0682987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0682988,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,611.58,2107.6,50
CDM,0682990,"ALLODERM, PER SQUARE CENTIMETER",16909.0,18599.9,7270.87,32972.55,50
CDM,0682991,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4856.0,5341.6,2088.08,9469.2,50
CDM,0682992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2622.0,2884.2,1127.46,5112.9,50
CDM,0682993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0682997,EF SALVATION QUICK STRUT,2560.0,2560.0,526.34,2048.0,45
CDM,0683000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1127.0,1239.7,484.61,2197.65,50
CDM,0683001,JOINT DEVICE (IMPLANTABLE),4825.0,5307.5,2074.75,9408.75,50
CDM,0683003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1420.0,1562.0,610.6,2769.0,50
CDM,0683005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3227.0,3549.7,1387.61,6292.65,50
CDM,0683007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0683008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1348.0,1482.8,579.64,2628.6,50
CDM,0683009,JOINT DEVICE (IMPLANTABLE),12549.0,13803.9,5396.07,24470.55,50
CDM,0683010,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6291.0,6920.1,2705.13,12267.45,50
CDM,0683011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),331.0,364.1,142.33,645.45,50
CDM,0683012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1092.0,1201.2,469.56,2129.4,50
CDM,0683015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0683018,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2451.0,2696.1,1053.93,4779.45,50
CDM,0683020,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1659.0,1824.9,713.37,3235.05,50
CDM,0683021,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",30864.0,33950.4,13271.52,60184.8,50
CDM,0683022,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0683023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2240.0,2464.0,963.2,4368.0,50
CDM,0683027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4760.0,5236.0,2046.8,9282.0,50
CDM,0683028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683029,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0683031,MODEL PT SPECIFIC HAND,3726.0,3726.0,766.07,2980.8,45
CDM,0683032,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",831.0,914.1,357.33,1620.45,50
CDM,0683033,"PROBE/NEEDLE, CRYOABLATION",4725.0,4725.0,1271.03,9213.75,45
CDM,0683034,CLAMP ABL ISOLATOR ELECSURG,4025.0,4025.0,827.54,3220.0,45
CDM,0683037,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,0683038,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3150.0,3465.0,1354.5,6142.5,50
CDM,0683040,MODEL IPS  VERIFICATION,1741.0,1741.0,357.95,1392.8,45
CDM,0683041,MODEL CUSTM IPS EP 00007,3387.0,3387.0,696.37,2709.6,45
CDM,0683042,MODEL CUSTM IPS TI 00087,16660.0,16660.0,3425.3,13328.0,45
CDM,0683043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683044,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1461.25,1607.38,628.34,2849.44,50
CDM,0683045,"PROBE/NEEDLE, CRYOABLATION",4375.0,4375.0,1176.88,8531.25,45
CDM,0683047,EF HGE COMPASS UNNIV,9707.0,9707.0,1995.76,7765.6,45
CDM,0683048,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8295.0,9124.5,3566.85,16175.25,50
CDM,0683049,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",20252.75,22278.03,8708.68,39492.86,50
CDM,0683050,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",28506.0,31356.6,12257.58,55586.7,50
CDM,0683051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1956.62,2152.28,841.35,3815.41,50
CDM,0683052,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),195.0,214.5,83.85,380.25,50
CDM,0683054,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0683055,"HYALOMATRIX, PER SQUARE CENTIMETER",5797.0,6376.7,2492.71,11304.15,50
CDM,0683056,"HYALOMATRIX, PER SQUARE CENTIMETER",6290.0,6919.0,2704.7,12265.5,50
CDM,0683057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),930.0,1023.0,399.9,1813.5,50
CDM,0683058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),958.0,1053.8,411.94,1868.1,50
CDM,0683059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0683060,JOINT DEVICE (IMPLANTABLE),2561.0,2817.1,1101.23,4993.95,50
CDM,0683061,JOINT DEVICE (IMPLANTABLE),812.0,893.2,349.16,1583.4,50
CDM,0683062,JOINT DEVICE (IMPLANTABLE),5020.0,5522.0,2158.6,9789.0,50
CDM,0683064,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,0683065,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9975.0,10972.5,4289.25,19451.25,50
CDM,0683067,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",438.0,481.8,188.34,854.1,50
CDM,0683068,JOINT DEVICE (IMPLANTABLE),3158.0,3473.8,1357.94,6158.1,50
CDM,0683070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0683072,JOINT DEVICE (IMPLANTABLE),2914.0,3205.4,1253.02,5682.3,50
CDM,0683073,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1694.0,1863.4,728.42,3303.3,50
CDM,0683074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0683075,MESH (IMPLANTABLE),3681.0,4049.1,1582.83,7177.95,50
CDM,0683076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0683077,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",579.0,636.9,248.97,1129.05,50
CDM,0683078,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",631.0,694.1,271.33,1230.45,50
CDM,0683079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),180.0,198.0,77.4,351.0,50
CDM,0683082,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6785.0,7463.5,2917.55,13230.75,50
CDM,0683083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0683084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),35000.0,38500.0,15050.0,68250.0,50
CDM,0683087,"FLOWERAMNIOFLO, 0.1 CC",3719.0,4090.9,1599.17,7252.05,50
CDM,0683088,"FLOWERAMNIOPATCH, PER SQUARE CENTIMETER",1873.0,2060.3,805.39,3652.35,50
CDM,0683091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0683092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0683093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0683094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0683096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683098,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",25373.0,27910.3,10910.39,49477.35,50
CDM,0683099,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",10587.5,11646.25,4552.63,20645.63,50
CDM,0683101,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0683102,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0683103,MTP FUSION REAMER,1566.0,1566.0,321.97,1252.8,45
CDM,0683104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1172.0,1289.2,503.96,2285.4,50
CDM,0683106,"STRATTICE TM, PER SQUARE CENTIMETER",26899.0,29588.9,11566.57,52453.05,50
CDM,0683107,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0683108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2733.0,3006.3,1175.19,5329.35,50
CDM,0683109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2091.0,2300.1,899.13,4077.45,50
CDM,0683110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1741.0,1915.1,748.63,3394.95,50
CDM,0683111,JOINT DEVICE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0683112,JOINT DEVICE (IMPLANTABLE),4550.0,5005.0,1956.5,8872.5,50
CDM,0683113,JOINT DEVICE (IMPLANTABLE),1373.0,1510.3,590.39,2677.35,50
CDM,0683114,JOINT DEVICE (IMPLANTABLE),1607.0,1767.7,691.01,3133.65,50
CDM,0683115,METATARSAL JOINT IMPLANT,1998.5,2198.35,358.14,2198.35,50
CDM,0683116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),673.75,741.13,289.71,1313.81,50
CDM,0683117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),273.0,300.3,117.39,532.35,50
CDM,0683118,"AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",5845.0,6429.5,2513.35,11484.54,50
CDM,0683119,"AUDITORY OSSEOINTEGRATED DEVICE, EXTERNAL SOUND PROCESSOR, EXCLUDES TRANSDUCER/ACTUATOR, REPLACEMENT ONLY, EACH",6913.0,7604.3,1705.67,7604.3,50
CDM,0683121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),371.0,408.1,159.53,723.45,50
CDM,0683122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1672.0,1839.2,718.96,3260.4,50
CDM,0683123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),593.0,652.3,254.99,1156.35,50
CDM,0683124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1008.0,1108.8,433.44,1965.6,50
CDM,0683125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),217.0,238.7,93.31,423.15,50
CDM,0683126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.0,217.8,85.14,386.1,50
CDM,0683127,GUIDE PT SPECF MIDFC,1154.0,1154.0,237.26,923.2,45
CDM,0683129,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,611.58,2107.6,50
CDM,0683131,TIP ASPIRATOR US SPETZLER,1201.0,1201.0,246.93,960.8,45
CDM,0683134,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3666.0,4032.6,1576.38,7148.7,50
CDM,0683135,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",56875.0,62562.5,24456.25,110906.25,50
CDM,0683136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),848.75,933.63,364.96,1655.06,50
CDM,0683137,SYS VEIN HRVST CONNCL DISSCTR,2241.0,2241.0,460.75,1792.8,45
CDM,0683138,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2058.0,2263.8,884.94,4013.1,50
CDM,0683139,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1544.0,1698.4,663.92,3010.8,50
CDM,0683140,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1033.0,1136.3,444.19,2014.35,50
CDM,0683141,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1029.0,1131.9,442.47,2006.55,50
CDM,0683144,JOINT DEVICE (IMPLANTABLE),9365.0,10301.5,4026.95,18261.75,50
CDM,0683145,JOINT DEVICE (IMPLANTABLE),3909.0,4299.9,1680.87,7622.55,50
CDM,0683146,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5985.0,6583.5,2573.55,11670.75,50
CDM,0683147,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",35359.0,38894.9,15204.37,68950.05,50
CDM,0683148,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",37616.0,41377.6,16174.88,73351.2,50
CDM,0683149,JOINT DEVICE (IMPLANTABLE),3518.0,3869.8,1512.74,6860.1,50
CDM,0683150,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0683157,HND PIECE TIP ULTRASON SGL USE,2003.0,2003.0,411.82,1602.4,45
CDM,0683158,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0683159,"STRATTICE TM, PER SQUARE CENTIMETER",39181.0,43099.1,16847.83,76402.95,50
CDM,0683160,"STRATTICE TM, PER SQUARE CENTIMETER",19590.0,21549.0,8423.7,38200.5,50
CDM,0683161,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2867.0,3153.7,1232.81,5590.65,50
CDM,0683162,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2867.0,3153.7,1232.81,5590.65,50
CDM,0683163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0683166,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0683167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683170,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",35359.0,38894.9,15204.37,68950.05,50
CDM,0683173,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",70350.0,77385.0,18750.3,77385.0,50
CDM,0683175,JOINT DEVICE (IMPLANTABLE),2769.0,3045.9,1190.67,5399.55,50
CDM,0683176,REAMER SURFACING CONVEX 20MM,1150.0,1150.0,236.44,920.0,45
CDM,0683178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.6,475.86,186.02,843.57,50
CDM,0683179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),278.0,305.8,119.54,542.1,50
CDM,0683180,"PROSTHESIS, PENILE, NON-INFLATABLE",17470.25,19217.28,7512.21,34066.99,50
CDM,0683181,FIBER LASER GREENLIGHT,2947.0,2947.0,605.9,2357.6,45
CDM,0683184,SPLNT ORTHOG DOUBLE JAW,2639.28,2639.28,542.64,2111.42,45
CDM,0683185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2904.72,3195.19,1249.03,5664.2,50
CDM,0683186,CUST GUIDE ORTHO/MAX,1428.26,1428.26,293.65,1142.61,45
CDM,0683187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8313.0,9144.3,3574.59,16210.35,50
CDM,0683189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0683190,JOINT DEVICE (IMPLANTABLE),1607.0,1767.7,691.01,3133.65,50
CDM,0683192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0683194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5406.0,5946.6,2324.58,10541.7,50
CDM,0683195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.5,373.45,145.99,662.03,50
CDM,0683196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0683200,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2708.0,2978.8,1164.44,5280.6,50
CDM,0683202,PL ANA DIST FIB TR,75.0,82.5,15.42,82.5,50
CDM,0683204,PL ANA DIS FIB 4H RT,2423.0,2665.3,498.17,2665.3,50
CDM,0683205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),329.0,361.9,141.47,641.55,50
CDM,0683207,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0683209,BIT DRILL STEP TFN ADV 10MM,945.0,945.0,194.29,756.0,45
CDM,0683210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0683211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1297.0,1426.7,557.71,2529.15,50
CDM,0683212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2953.0,3248.3,1269.79,5758.35,50
CDM,0683216,JOINT DEVICE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0683217,JOINT DEVICE (IMPLANTABLE),1582.0,1740.2,680.26,3084.9,50
CDM,0683219,JOINT DEVICE (IMPLANTABLE),2142.0,2356.2,921.06,4176.9,50
CDM,0683220,JOINT DEVICE (IMPLANTABLE),3103.0,3413.3,1334.29,6050.85,50
CDM,0683222,JOINT DEVICE (IMPLANTABLE),2410.0,2651.0,1036.3,4699.5,50
CDM,0683224,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3020.0,3322.0,1298.6,5889.0,50
CDM,0683227,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683228,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0683230,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0683232,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2091.0,2300.1,899.13,4077.45,50
CDM,0683235,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.5,178.75,69.88,316.88,50
CDM,0683236,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0683237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0683238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0683239,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",4123.0,4535.3,1772.89,8039.85,50
CDM,0683240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.61,311.97,121.95,553.04,50
CDM,0683243,JOINT DEVICE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0683244,JOINT DEVICE (IMPLANTABLE),2797.0,3076.7,1202.71,5454.15,50
CDM,0683245,JOINT DEVICE (IMPLANTABLE),1215.0,1336.5,522.45,2369.25,50
CDM,0683246,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0683247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),521.01,573.11,224.03,1015.97,50
CDM,0683248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),521.0,573.1,224.03,1015.95,50
CDM,0683249,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",15400.0,16940.0,6622.0,30030.0,50
CDM,0683250,GUIDE PT SPCF SPLNT ORTHOGN,1154.0,1154.0,237.26,923.2,45
CDM,0683251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.88,218.77,85.52,387.82,50
CDM,0683252,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2184.0,2402.4,939.12,4258.8,50
CDM,0683253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2374.0,2611.4,1020.82,4629.3,50
CDM,0683254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0683255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0683256,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,611.58,2107.6,50
CDM,0683257,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1391.0,1530.1,598.13,1530.1,50
CDM,0683258,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1391.0,1530.1,598.13,1530.1,50
CDM,0683260,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0683261,"PROSTHESIS, BREAST (IMPLANTABLE)",2275.0,2502.5,978.25,4436.25,50
CDM,0683262,"PROSTHESIS, BREAST (IMPLANTABLE)",1978.0,2175.8,850.54,3857.1,50
CDM,0683263,"PROSTHESIS, BREAST (IMPLANTABLE)",963.0,1059.3,414.09,1877.85,50
CDM,0683264,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),15409.0,16949.9,6625.87,30047.55,50
CDM,0683265,MRKG/CUTT GUID VSP,2457.0,2457.0,505.16,1965.6,45
CDM,0683266,MDL MAX/MAND CLEARVIEW,8577.0,8577.0,1763.43,6861.6,45
CDM,0683267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),134.75,148.23,57.94,262.76,50
CDM,0683268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),181.3,199.43,77.96,353.54,50
CDM,0683271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1068.81,1175.69,459.59,2084.18,50
CDM,0683272,DRILL FL ENDO CANN,1713.0,1713.0,352.19,1370.4,45
CDM,0683273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8577.0,9434.7,3688.11,16725.15,50
CDM,0683274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1922.0,2114.2,826.46,3747.9,50
CDM,0683277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.25,529.38,206.94,938.44,50
CDM,0683278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),713.02,784.32,306.6,1390.39,50
CDM,0683279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1441.44,1585.58,619.82,2810.81,50
CDM,0683280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.05,357.56,139.77,633.85,50
CDM,0683281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0683283,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5533.5,6086.85,2379.41,10790.33,50
CDM,0683284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),451.5,496.65,194.15,880.43,50
CDM,0683285,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9254.0,10179.4,3979.22,18045.3,50
CDM,0683286,EXT FIX RING 5/8,1537.0,1537.0,316.01,1229.6,45
CDM,0683287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2076.0,2283.6,892.68,4048.2,50
CDM,0683288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1529.0,1681.9,657.47,2981.55,50
CDM,0683291,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0683292,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1741.0,1915.1,748.63,3394.95,50
CDM,0683293,NANOSCOPE HANDPIECE,1271.0,1271.0,261.32,1016.8,45
CDM,0683294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0683295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1741.0,1915.1,748.63,3394.95,50
CDM,0683296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1992.0,2191.2,856.56,3884.4,50
CDM,0683297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),631.0,694.1,271.33,1230.45,50
CDM,0683298,JOINT DEVICE (IMPLANTABLE),5655.48,6221.03,2431.86,11028.19,50
CDM,0683299,JOINT DEVICE (IMPLANTABLE),3918.08,4309.89,1684.77,7640.26,50
CDM,0683300,JOINT DEVICE (IMPLANTABLE),3051.0,3356.1,1311.93,5949.45,50
CDM,0683303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683306,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4886.0,5374.6,2100.98,9527.7,50
CDM,0683307,EXPANDER EXTREM SOFTSPAN,1400.0,1540.0,287.84,1540.0,50
CDM,0683308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3647.88,4012.67,1568.59,7113.37,50
CDM,0683309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4418.0,4859.8,1899.74,8615.1,50
CDM,0683310,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),914.0,1005.4,393.02,1782.3,50
CDM,0683311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),514.5,565.95,221.24,1003.28,50
CDM,0683312,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),38686.0,42554.6,16634.98,75437.7,50
CDM,0683314,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",416.0,457.6,178.88,811.2,50
CDM,0683315,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",237.5,261.25,102.13,463.13,50
CDM,0683316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0683318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683319,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",306.0,336.6,131.58,596.7,50
CDM,0683320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683321,JOINT DEVICE (IMPLANTABLE),1147.0,1261.7,493.21,2236.65,50
CDM,0683322,APPLICATOR PROGEL EXT,1409.0,1409.0,289.69,1127.2,45
CDM,0683323,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",527.0,579.7,226.61,1027.65,50
CDM,0683324,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1741.0,1915.1,748.63,3394.95,50
CDM,0683325,MDL CUSTOM ANATOMY,1877.0,1877.0,385.91,1501.6,45
CDM,0683327,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),156.0,171.6,67.08,304.2,50
CDM,0683329,JOINT DEVICE (IMPLANTABLE),1874.0,2061.4,805.82,3654.3,50
CDM,0683330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2664.0,2930.4,1145.52,5194.8,50
CDM,0683332,"GRAFT, VASCULAR",15225.0,16747.5,6546.75,29688.75,50
CDM,0683335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0683339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0683340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.4,288.64,112.83,511.68,50
CDM,0683342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),895.13,984.64,384.91,1745.5,50
CDM,0683344,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1855.0,2040.5,797.65,3617.25,50
CDM,0683346,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21873.0,24060.3,9405.39,42652.35,50
CDM,0683347,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10587.5,11646.25,4552.63,20645.63,50
CDM,0683348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1629.25,1792.18,700.58,3177.04,50
CDM,0683350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0683351,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),918.75,1010.63,395.06,1791.56,50
CDM,0683352,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683353,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2030.0,2233.0,872.9,3958.5,50
CDM,0683354,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3411.0,3752.1,1466.73,6651.45,50
CDM,0683357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0683360,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0683362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0683363,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0683364,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19722.5,21694.75,8480.68,38458.88,50
CDM,0683365,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1733.0,1906.3,745.19,3379.35,50
CDM,0683366,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0683367,"ALLODERM, PER SQUARE CENTIMETER",16909.0,18599.9,7270.87,32972.55,50
CDM,0683368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0683369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0683371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1957.0,2152.7,841.51,3816.15,50
CDM,0683372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1746.0,1920.6,750.78,3404.7,50
CDM,0683373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),166.0,182.6,71.38,323.7,50
CDM,0683374,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),382.0,420.2,164.26,744.9,50
CDM,0683375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1908.0,2098.8,820.44,3720.6,50
CDM,0683377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0683378,ANGIOVAC C180,22750.0,22750.0,3461.0,18200.0,45
CDM,0683379,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6181.0,6799.1,2657.83,12052.95,50
CDM,0683381,"PROSTHESIS, BREAST (IMPLANTABLE)",525.0,577.5,225.75,1023.75,50
CDM,0683384,JOINT DEVICE (IMPLANTABLE),1315.13,1446.64,565.51,2564.5,50
CDM,0683386,JOINT DEVICE (IMPLANTABLE),6473.25,7120.58,2783.5,12622.84,50
CDM,0683387,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",315.0,346.5,135.45,614.25,50
CDM,0683389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7350.0,8085.0,3160.5,14332.5,50
CDM,0683391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),370.0,407.0,159.1,721.5,50
CDM,0683392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.88,370.57,144.86,656.92,50
CDM,0683393,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),730.0,803.0,313.9,1423.5,50
CDM,0683394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1232.0,1355.2,529.76,2402.4,50
CDM,0683395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0683396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.88,370.57,144.86,656.92,50
CDM,0683397,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",49613.0,54574.3,18750.3,54574.3,50
CDM,0683398,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",46988.0,51686.8,18750.3,51686.8,50
CDM,0683400,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0683401,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0683402,JOINT DEVICE (IMPLANTABLE),8754.0,9629.4,3764.22,17070.3,50
CDM,0683404,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7350.0,8085.0,3160.5,14332.5,50
CDM,0683405,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0683407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.0,836.0,326.8,1482.0,50
CDM,0683408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1200.36,1320.4,516.15,2340.7,50
CDM,0683411,PTO - ANGIOVAC C180,25375.0,25375.0,3461.0,20300.0,45
CDM,0683412,CLAMP EXTERNAL FIXATION OPEN A,914.0,914.0,187.92,731.2,45
CDM,0683414,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",10587.5,11646.25,4552.63,20645.63,50
CDM,0683415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1579.0,1736.9,678.97,3079.05,50
CDM,0683416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4802.88,5283.17,2065.24,9365.62,50
CDM,0683417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1337.88,1471.67,575.29,2608.87,50
CDM,0683418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0683419,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0683420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0683421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0683423,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6929.0,7621.9,2979.47,13511.55,50
CDM,0683424,JOINT DEVICE (IMPLANTABLE),3229.0,3551.9,1388.47,6296.55,50
CDM,0683425,JOINT DEVICE (IMPLANTABLE),1668.98,1835.88,717.66,3254.51,50
CDM,0683426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),352.43,387.67,151.54,687.24,50
CDM,0683427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0683428,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",30424.0,33466.4,13082.32,59326.8,50
CDM,0683430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.63,395.59,154.64,701.28,50
CDM,0683431,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),274.0,301.4,117.82,534.3,50
CDM,0683435,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0683436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),614.0,675.4,264.02,1197.3,50
CDM,0683437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),229.0,251.9,98.47,446.55,50
CDM,0683438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.0,836.0,326.8,1482.0,50
CDM,0683439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),147.0,161.7,63.21,286.65,50
CDM,0683440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.14,547.95,214.2,971.37,50
CDM,0683441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.14,547.95,214.2,971.37,50
CDM,0683442,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.41,321.65,125.74,570.2,50
CDM,0683443,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2953.0,3248.3,1269.79,5758.35,50
CDM,0683444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.42,377.76,147.67,669.67,50
CDM,0683445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0683446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0683447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2250.5,2475.55,967.72,4388.48,50
CDM,0683448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0683449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0683450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0683451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0683452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0683453,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5569.0,6125.9,2394.67,10859.55,50
CDM,0683454,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.38,836.42,326.96,1482.74,50
CDM,0683455,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1647.0,1811.7,708.21,3211.65,50
CDM,0683456,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4362.96,4799.26,1876.07,8507.77,50
CDM,0683457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.6,475.86,186.02,843.57,50
CDM,0683458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0683459,MESH (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0683460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0683461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0683462,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7000.0,7700.0,3010.0,13650.0,50
CDM,0683463,KNIFE NOPET 11MM,1887.73,1887.73,388.12,1510.18,45
CDM,0683464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0683467,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14522.0,15974.2,6244.46,28317.9,50
CDM,0683468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0683469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0683471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),685.13,753.64,294.61,1336.0,50
CDM,0683473,EF RING SALVATION,1927.8,1927.8,396.36,1542.24,45
CDM,0683474,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),175.4,192.94,75.42,342.03,50
CDM,0683475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1827.0,2009.7,785.61,3562.65,50
CDM,0683476,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1928.5,2121.35,829.26,3760.58,50
CDM,0683477,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1923.0,2115.3,826.89,3749.85,50
CDM,0683478,"HYALOMATRIX, PER SQUARE CENTIMETER",481.0,529.1,206.83,937.95,50
CDM,0683479,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0683480,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0683482,ELECTRODE GROUND NATUS,1276.0,1276.0,262.35,1020.8,45
CDM,0683484,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3133.0,3446.3,1347.19,6109.35,50
CDM,0683486,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0683489,"MIRRAGEN ADVANCED WOUND MATRIX, PER SQUARE CENTIMETER",2888.0,3176.8,1241.84,5631.6,50
CDM,0683490,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",30608.0,33668.8,13161.44,59685.6,50
CDM,0683491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0683492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.0,2685.1,1049.63,4759.95,50
CDM,0683493,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0683495,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0683496,MESH (IMPLANTABLE),579.35,637.29,249.12,1129.73,50
CDM,0683497,MESH (IMPLANTABLE),806.95,887.65,346.99,1573.55,50
CDM,0683498,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0683499,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0683500,"PROSTHESIS, BREAST (IMPLANTABLE)",1391.0,1530.1,598.13,2712.45,50
CDM,0683501,JOINT DEVICE (IMPLANTABLE),1847.0,2031.7,794.21,3601.65,50
CDM,0683502,JOINT DEVICE (IMPLANTABLE),4583.0,5041.3,1970.69,8936.85,50
CDM,0683503,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8295.0,9124.5,3566.85,16175.25,50
CDM,0683504,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.6,475.86,186.02,843.57,50
CDM,0683505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1099.0,1208.9,472.57,2143.05,50
CDM,0683506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.0,9438.0,3689.4,16731.0,50
CDM,0683508,STIMULATOR NERVE CHECKPOINT,1352.75,1352.75,278.13,1082.2,45
CDM,0683509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0683510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0683511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0683512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0683513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),914.0,1005.4,393.02,1782.3,50
CDM,0683514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0683515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3648.0,4012.8,1568.64,7113.6,50
CDM,0683516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9975.0,10972.5,4289.25,19451.25,50
CDM,0683517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0683518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683519,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2639.0,2902.9,1134.77,5146.05,50
CDM,0683521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),478.73,526.6,205.85,933.52,50
CDM,0683522,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0683524,JOINT DEVICE (IMPLANTABLE),2142.0,2356.2,921.06,4176.9,50
CDM,0683525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683526,JOINT DEVICE (IMPLANTABLE),5439.82,5983.8,2339.12,10607.65,50
CDM,0683527,JOINT DEVICE (IMPLANTABLE),13850.38,15235.42,5955.66,27008.24,50
CDM,0683528,JOINT DEVICE (IMPLANTABLE),15824.0,17406.4,6804.32,30856.8,50
CDM,0683529,JOINT DEVICE (IMPLANTABLE),9757.0,10732.7,4195.51,19026.15,50
CDM,0683530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2423.0,2665.3,1041.89,4724.85,50
CDM,0683532,DVC VIEWSITE BRAIN ACCESS SYS,1041.25,1041.25,214.08,833.0,45
CDM,0683547,JOINT DEVICE (IMPLANTABLE),15047.0,16551.7,6470.21,29341.65,50
CDM,0683548,METACARPOPHALANGEAL JOINT IMPLANT,1874.0,2061.4,329.97,2061.4,50
CDM,0683549,JOINT DEVICE (IMPLANTABLE),7523.0,8275.3,3234.89,14669.85,50
CDM,0683550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0683551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),259.0,284.9,111.37,505.05,50
CDM,0683553,JOINT DEVICE (IMPLANTABLE),2101.0,2311.1,903.43,4096.95,50
CDM,0683554,JOINT DEVICE (IMPLANTABLE),1064.0,1170.4,457.52,2074.8,50
CDM,0683556,JOINT DEVICE (IMPLANTABLE),1582.0,1740.2,680.26,3084.9,50
CDM,0683557,JOINT DEVICE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0683558,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6641.0,7305.1,2855.63,12949.95,50
CDM,0683559,JOINT DEVICE (IMPLANTABLE),4349.0,4783.9,1870.07,8480.55,50
CDM,0683560,JOINT DEVICE (IMPLANTABLE),1953.88,2149.27,840.17,3810.07,50
CDM,0683561,JOINT DEVICE (IMPLANTABLE),943.0,1037.3,405.49,1838.85,50
CDM,0683562,JOINT DEVICE (IMPLANTABLE),3850.0,4235.0,1655.5,7507.5,50
CDM,0683563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0683564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683565,JOINT DEVICE (IMPLANTABLE),4428.0,4870.8,1904.04,8634.6,50
CDM,0683566,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3011.0,3312.1,1294.73,5871.45,50
CDM,0683567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),255.0,280.5,109.65,497.25,50
CDM,0683568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),279.0,306.9,119.97,544.05,50
CDM,0683569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),301.0,331.1,129.43,586.95,50
CDM,0683570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1399.0,1538.9,601.57,2728.05,50
CDM,0683571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1775.0,1952.5,763.25,3461.25,50
CDM,0683572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0683573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0683574,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1055.25,1160.78,453.76,2057.74,50
CDM,0683578,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0683580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.25,529.38,206.94,938.44,50
CDM,0683581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0683583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683584,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",34207.0,37627.7,14709.01,66703.65,50
CDM,0683585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),386.75,425.43,166.3,754.16,50
CDM,0683586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),399.44,439.38,171.76,778.91,50
CDM,0683587,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3693.0,4062.3,1587.99,7201.35,50
CDM,0683588,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3673.0,4040.3,1579.39,7162.35,50
CDM,0683589,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0683590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),408.84,449.72,175.8,797.24,50
CDM,0683592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),102.66,112.93,44.14,200.19,50
CDM,0683594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0683595,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),351.94,387.13,151.33,686.28,50
CDM,0683598,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1530.38,1683.42,658.06,2984.24,50
CDM,0683600,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0683601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0683602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),575.0,632.5,247.25,1121.25,50
CDM,0683603,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1715.0,1886.5,737.45,3344.25,50
CDM,0683606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0683607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),831.0,914.1,357.33,1620.45,50
CDM,0683609,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0683610,10MM SINGLE USE OATS SET,910.0,910.0,187.1,728.0,45
CDM,0683611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0683612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.0,547.8,214.14,971.1,50
CDM,0683613,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",3743.0,4117.3,1609.49,7298.85,50
CDM,0683614,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0683615,"ALLODERM, PER SQUARE CENTIMETER",4069.0,4475.9,1749.67,7934.55,50
CDM,0683617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683618,JOINT DEVICE (IMPLANTABLE),6135.0,6748.5,2638.05,11963.25,50
CDM,0683619,JOINT DEVICE (IMPLANTABLE),4701.55,5171.71,2021.67,9168.02,50
CDM,0683622,JOINT DEVICE (IMPLANTABLE),7963.0,8759.3,3424.09,15527.85,50
CDM,0683623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1746.0,1920.6,750.78,3404.7,50
CDM,0683625,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.85,220.94,86.37,391.66,50
CDM,0683630,JOINT DEVICE (IMPLANTABLE),7725.38,8497.92,3321.91,15064.49,50
CDM,0683631,JOINT DEVICE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0683632,JOINT DEVICE (IMPLANTABLE),3016.0,3317.6,1296.88,5881.2,50
CDM,0683633,JOINT DEVICE (IMPLANTABLE),4969.0,5465.9,2136.67,9689.55,50
CDM,0683634,JOINT DEVICE (IMPLANTABLE),4040.0,4444.0,1737.2,7878.0,50
CDM,0683635,JOINT DEVICE (IMPLANTABLE),3701.25,4071.38,1591.54,7217.44,50
CDM,0683637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0683638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0683639,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",56875.0,62562.5,24456.25,110906.25,50
CDM,0683640,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",962.0,1058.2,413.66,1328.91,50
CDM,0683641,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0683642,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1443.75,1588.13,620.81,2815.31,50
CDM,0683643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),560.0,616.0,240.8,1092.0,50
CDM,0683644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0683646,DVC EXPLT TRUNCATED BLD,1321.25,1321.25,271.65,1057.0,45
CDM,0683647,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0683648,JOINT DEVICE (IMPLANTABLE),2616.0,2877.6,1124.88,5101.2,50
CDM,0683649,PT SPEC SYS,1439.0,1439.0,295.86,1151.2,45
CDM,0683650,"GRAFT, VASCULAR",2835.0,3118.5,1219.05,5528.25,50
CDM,0683651,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",25373.0,27910.3,10910.39,49477.35,50
CDM,0683652,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),738.68,812.55,317.63,1440.43,50
CDM,0683653,JOINT DEVICE (IMPLANTABLE),7118.0,7829.8,3060.74,13880.1,50
CDM,0683654,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0683655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10558.0,11613.8,4539.94,20588.1,50
CDM,0683656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4851.0,5336.1,2085.93,9459.45,50
CDM,0683657,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2639.0,2902.9,1134.77,5146.05,50
CDM,0683658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.3,353.43,138.16,626.54,50
CDM,0683659,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0683660,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),243.0,267.3,104.49,473.85,50
CDM,0683661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3190.25,3509.28,1371.81,6220.99,50
CDM,0683662,"GRAFTJACKET, PER SQUARE CENTIMETER",4685.0,5153.5,2014.55,9135.75,50
CDM,0683663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2618.0,2879.8,1125.74,5105.1,50
CDM,0683665,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6090.0,6699.0,2618.7,11875.5,50
CDM,0683666,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6344.0,6978.4,2727.92,12370.8,50
CDM,0683667,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0683668,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683670,JOINT DEVICE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683671,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0683675,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",12950.0,14245.0,5568.5,25252.5,50
CDM,0683676,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),462.0,508.2,198.66,900.9,50
CDM,0683677,"ALLODERM, PER SQUARE CENTIMETER",16417.0,18058.7,7059.31,32013.15,50
CDM,0683679,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0683680,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",333.0,366.3,143.19,649.35,50
CDM,0683681,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0683682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6650.0,7315.0,2859.5,12967.5,50
CDM,0683683,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1247.0,1371.7,536.21,2431.65,50
CDM,0683684,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0683685,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),109.73,120.7,47.18,213.97,50
CDM,0683686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0683688,JOINT DEVICE (IMPLANTABLE),2570.0,2827.0,1105.1,5011.5,50
CDM,0683689,JOINT DEVICE (IMPLANTABLE),1079.58,1187.54,464.22,2105.18,50
CDM,0683690,JOINT DEVICE (IMPLANTABLE),7613.0,8374.3,3273.59,14845.35,50
CDM,0683691,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0683692,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0683693,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683694,JOINT DEVICE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683695,JOINT DEVICE (IMPLANTABLE),4172.0,4589.2,1793.96,8135.4,50
CDM,0683696,JOINT DEVICE (IMPLANTABLE),1641.0,1805.1,705.63,3199.95,50
CDM,0683697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0683698,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9975.0,10972.5,4289.25,19451.25,50
CDM,0683699,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),437.0,480.7,187.91,852.15,50
CDM,0683700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2386.0,2624.6,1025.98,4652.7,50
CDM,0683701,JOINT DEVICE (IMPLANTABLE),2517.0,2768.7,1082.31,4908.15,50
CDM,0683702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683703,CRYO-LT DISTAL ULNA W/ RADIUS,4676.0,5143.6,961.39,5143.6,50
CDM,0683704,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),570.0,627.0,245.1,1111.5,50
CDM,0683705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),178.78,196.66,76.88,348.62,50
CDM,0683706,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),241.0,265.1,103.63,469.95,50
CDM,0683707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0683708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3666.0,4032.6,1576.38,7148.7,50
CDM,0683710,JOINT DEVICE (IMPLANTABLE),6886.0,7574.6,2960.98,13427.7,50
CDM,0683712,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",670.0,737.0,288.1,1306.5,50
CDM,0683713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),597.0,656.7,256.71,1164.15,50
CDM,0683715,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),770.0,847.0,331.1,1501.5,50
CDM,0683717,"PROSTHESIS, PENILE, NON-INFLATABLE",16961.0,18657.1,7293.23,33073.95,50
CDM,0683718,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",11869.0,13055.9,5103.67,23144.55,50
CDM,0683719,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0683720,JOINT DEVICE (IMPLANTABLE),5058.0,5563.8,2174.94,9863.1,50
CDM,0683725,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0683727,JOINT DEVICE (IMPLANTABLE),48048.0,52852.8,20660.64,93693.6,50
CDM,0683728,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",41147.0,45261.7,17693.21,80236.65,50
CDM,0683729,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",41147.0,45261.7,17693.21,80236.65,50
CDM,0683730,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",40050.0,44055.0,17221.5,78097.5,50
CDM,0683731,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",37625.0,41387.5,16178.75,73368.75,50
CDM,0683732,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",37625.0,41387.5,16178.75,73368.75,50
CDM,0683733,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0683734,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0683735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),35000.0,38500.0,15050.0,68250.0,50
CDM,0683736,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",32980.0,36278.0,14181.4,64311.0,50
CDM,0683737,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",30240.0,33264.0,13003.2,58968.0,50
CDM,0683738,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29750.0,32725.0,12792.5,58012.5,50
CDM,0683739,"INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)",29717.0,32688.7,12778.31,57948.15,50
CDM,0683740,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27991.0,30790.1,12036.13,54582.45,50
CDM,0683741,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",28506.0,31356.6,12257.58,55586.7,50
CDM,0683742,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0683743,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",27125.0,29837.5,11663.75,52893.75,50
CDM,0683744,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",25550.0,28105.0,10986.5,49822.5,50
CDM,0683746,CANN W/DILATOR STRT 20 DEG,2625.0,2625.0,539.7,2100.0,45
CDM,0683747,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",22491.0,24740.1,9671.13,43857.45,50
CDM,0683748,OXYGENATOR CARDIO HELP 7,19250.0,19250.0,3461.0,15400.0,45
CDM,0683749,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",19297.0,21226.7,8297.71,37629.15,50
CDM,0683750,STEM MOD SLVD 240MM SZ17,17889.0,19677.9,3677.98,19677.9,50
CDM,0683761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.0,288.2,112.66,510.9,50
CDM,0683777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1413.0,1554.3,607.59,2755.35,50
CDM,0683778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0683780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0683782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0683784,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2176.0,2393.6,935.68,4243.2,50
CDM,0683785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0683786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0683788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0683790,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0683791,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2678.0,2945.8,1151.54,5222.1,50
CDM,0683792,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1768.0,1944.8,760.24,3447.6,50
CDM,0683793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683794,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1661.0,1827.1,714.23,3238.95,50
CDM,0683795,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0683796,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1312.5,1443.75,564.38,2559.38,50
CDM,0683797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1314.0,1445.4,565.02,2562.3,50
CDM,0683798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5159.0,5674.9,2218.37,10060.05,50
CDM,0683799,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1519.0,1670.9,653.17,2962.05,50
CDM,0683800,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1487.5,1636.25,639.63,2900.63,50
CDM,0683801,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0683802,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1420.0,1562.0,610.6,2769.0,50
CDM,0683804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0683805,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1297.0,1426.7,557.71,2529.15,50
CDM,0683807,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1223.0,1345.3,525.89,2384.85,50
CDM,0683808,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3150.0,3465.0,1354.5,6142.5,50
CDM,0683809,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1210.0,1331.0,520.3,2359.5,50
CDM,0683810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0683813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),895.09,984.6,384.89,1745.43,50
CDM,0683814,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.85,344.14,134.53,610.06,50
CDM,0683816,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1055.25,1160.78,453.76,2057.74,50
CDM,0683818,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),929.0,1021.9,399.47,1811.55,50
CDM,0683821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),652.05,717.26,280.38,1271.5,50
CDM,0683823,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0683824,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0683825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),769.67,846.64,330.96,1500.86,50
CDM,0683826,SCREWDRIVER BLADE,914.0,914.0,187.92,731.2,45
CDM,0683827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),803.0,883.3,345.29,1565.85,50
CDM,0683830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),698.0,767.8,300.14,1361.1,50
CDM,0683831,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0683832,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),804.0,884.4,345.72,1567.8,50
CDM,0683834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),681.0,749.1,292.83,1327.95,50
CDM,0683836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),661.0,727.1,284.23,1288.95,50
CDM,0683837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),642.0,706.2,276.06,1251.9,50
CDM,0683838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),362.0,398.2,155.66,705.9,50
CDM,0683839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),338.0,371.8,145.34,659.1,50
CDM,0683840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),589.0,647.9,253.27,1148.55,50
CDM,0683841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),582.0,640.2,250.26,1134.9,50
CDM,0683842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),538.0,591.8,231.34,1049.1,50
CDM,0683843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0683846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0683847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),313.0,344.3,134.59,610.35,50
CDM,0683848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),528.0,580.8,227.04,1029.6,50
CDM,0683849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),313.0,344.3,134.59,610.35,50
CDM,0683851,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),568.0,624.8,244.24,1107.6,50
CDM,0683852,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),278.27,306.1,119.66,542.63,50
CDM,0683853,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0683854,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),224.0,246.4,96.32,436.8,50
CDM,0683856,JOINT DEVICE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0683859,KIT NEPHRECTMY DONOR SURGITRK,4087.0,4087.0,840.29,3269.6,45
CDM,0683861,KIT HEART STND SURGITRAC,2434.0,2434.0,500.43,1947.2,45
CDM,0683863,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0683864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.0,404.8,158.24,717.6,50
CDM,0683865,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",1706.0,1876.6,733.58,3326.7,50
CDM,0683866,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),100.0,110.0,43.0,195.0,50
CDM,0683867,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0683868,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1302.0,1432.2,559.86,2538.9,50
CDM,0683869,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0683870,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2311.0,2542.1,993.73,4506.45,50
CDM,0683871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1311.63,1442.79,564.0,2557.68,50
CDM,0683872,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.36,906.8,354.47,1607.5,50
CDM,0683873,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0683874,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",9844.0,10828.4,4232.92,19195.8,50
CDM,0683875,"STENT, COATED/COVERED, WITHOUT DELIVERY SYSTEM",8050.0,8855.0,3461.5,15697.5,50
CDM,0683876,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",8508.0,9358.8,3658.44,16590.6,50
CDM,0683877,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3841.0,4225.1,1651.63,7489.95,50
CDM,0683878,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",8050.0,8855.0,3461.5,15697.5,50
CDM,0683879,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",3476.0,3823.6,1494.68,6778.2,50
CDM,0683880,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,0683881,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5250.0,5775.0,2257.5,10237.5,50
CDM,0683882,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5250.0,5775.0,2257.5,10237.5,50
CDM,0683883,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7772.0,8549.2,3341.96,15155.4,50
CDM,0683884,BIT DRILL CANN 15MM 280MM LG,908.0,908.0,186.68,726.4,45
CDM,0683885,BIT DRILL LRG 4.5 6.5 485 MM,1085.0,1085.0,223.08,868.0,45
CDM,0683886,BIT DRILL,1036.0,1036.0,213.0,828.8,45
CDM,0683888,BIT DRILL CANN 6.5MM LG AO,946.0,946.0,194.5,756.8,45
CDM,0683889,BIT DRILL CERV CANN 4MM,1166.0,1166.0,239.73,932.8,45
CDM,0683890,BIT DRILL 465MM 13MM LARGE QC,1404.0,1404.0,288.66,1123.2,45
CDM,0683891,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0683892,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,0683893,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0683895,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0683896,JOINT DEVICE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0683898,JOINT DEVICE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0683899,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0683900,JOINT DEVICE (IMPLANTABLE),4081.0,4489.1,1754.83,7957.95,50
CDM,0683901,JOINT DEVICE (IMPLANTABLE),8866.81,9753.49,3812.73,17290.28,50
CDM,0683902,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1780.63,1958.69,765.67,3472.23,50
CDM,0683904,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2685.0,2953.5,1154.55,5235.75,50
CDM,0683905,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1663.0,1829.3,715.09,3242.85,50
CDM,0683906,GUIDE CUTTING EXTRA SM,2972.0,2972.0,611.04,2377.6,45
CDM,0683907,IMPL CUSTOM MARKING LG,2546.0,2800.6,523.46,2800.6,50
CDM,0683909,GUIDE W/PLANNING CUTTING,7215.0,7215.0,1483.4,5772.0,45
CDM,0683910,CUST MANDIBLE,16100.0,16100.0,3310.16,12880.0,45
CDM,0683911,MESH (IMPLANTABLE),281.0,309.1,120.83,547.95,50
CDM,0683912,JOINT DEVICE (IMPLANTABLE),3204.0,3524.4,1377.72,6247.8,50
CDM,0683913,JOINT DEVICE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0683914,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6458.0,7103.8,2776.94,12593.1,50
CDM,0683916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4226.0,4648.6,1817.18,8240.7,50
CDM,0683917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0683919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4874.0,5361.4,2095.82,9504.3,50
CDM,0683920,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),402.0,442.2,172.86,783.9,50
CDM,0683922,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),513.0,564.3,220.59,1000.35,50
CDM,0683923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),546.0,600.6,234.78,1064.7,50
CDM,0683924,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),637.0,700.7,273.91,1242.15,50
CDM,0683925,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1071.0,1178.1,460.53,2088.45,50
CDM,0683926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2262.0,2488.2,972.66,4410.9,50
CDM,0683927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3304.0,3634.4,1420.72,6442.8,50
CDM,0683928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2392.0,2631.2,1028.56,4664.4,50
CDM,0683929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.25,3409.18,1332.68,6043.54,50
CDM,0683930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3042.0,3346.2,1308.06,5931.9,50
CDM,0683932,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1961.0,2157.1,843.23,3823.95,50
CDM,0683933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0683935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3287.0,3615.7,1413.41,6409.65,50
CDM,0683936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3030.0,3333.0,1302.9,5908.5,50
CDM,0683937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4470.0,4917.0,1922.1,8716.5,50
CDM,0683939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3352.0,3687.2,1441.36,6536.4,50
CDM,0683940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3620.0,3982.0,1556.6,7059.0,50
CDM,0683941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4544.0,4998.4,1953.92,8860.8,50
CDM,0683942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3918.0,4309.8,1684.74,7640.1,50
CDM,0683943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3208.0,3528.8,1379.44,6255.6,50
CDM,0683944,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2333.0,2566.3,1003.19,4549.35,50
CDM,0683945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4354.0,4789.4,1872.22,8490.3,50
CDM,0683946,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3084.0,3392.4,1326.12,6013.8,50
CDM,0683947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.0,3164.7,1237.11,5610.15,50
CDM,0683948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0683949,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0683950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0683951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),159.0,174.9,68.37,310.05,50
CDM,0683952,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),166.0,182.6,71.38,323.7,50
CDM,0683954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),597.0,656.7,256.71,1164.15,50
CDM,0683955,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),210.0,231.0,90.3,409.5,50
CDM,0683956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683959,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683960,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0683961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683963,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683965,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0683967,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0683968,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0683970,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),407.0,447.7,175.01,793.65,50
CDM,0683971,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),295.0,324.5,126.85,575.25,50
CDM,0683972,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0683973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.0,354.2,138.46,627.9,50
CDM,0683974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),327.0,359.7,140.61,637.65,50
CDM,0683975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0683976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),344.0,378.4,147.92,670.8,50
CDM,0683977,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.0,394.9,154.37,700.05,50
CDM,0683978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),371.0,408.1,159.53,723.45,50
CDM,0683979,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0683980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0683981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),401.0,441.1,172.43,781.95,50
CDM,0683982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),412.0,453.2,177.16,803.4,50
CDM,0683983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.0,475.2,185.76,842.4,50
CDM,0683984,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),439.0,482.9,188.77,856.05,50
CDM,0683986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),470.0,517.0,202.1,916.5,50
CDM,0683987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0683988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),543.0,597.3,233.49,1058.85,50
CDM,0683989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0683990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),804.0,884.4,345.72,1567.8,50
CDM,0683991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),550.0,605.0,236.5,1072.5,50
CDM,0683992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),550.0,605.0,236.5,1072.5,50
CDM,0683993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),552.0,607.2,237.36,1076.4,50
CDM,0683994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.0,583.0,227.9,1033.5,50
CDM,0683995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),985.0,1083.5,423.55,1920.75,50
CDM,0683996,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),590.0,649.0,253.7,1150.5,50
CDM,0683997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),599.0,658.9,257.57,1168.05,50
CDM,0683998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),992.0,1091.2,426.56,1934.4,50
CDM,0683999,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),626.0,688.6,269.18,1220.7,50
CDM,0684000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),659.0,724.9,283.37,1285.05,50
CDM,0684001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0684002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),715.0,786.5,307.45,1394.25,50
CDM,0684003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),717.0,788.7,308.31,1398.15,50
CDM,0684005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),736.0,809.6,316.48,1435.2,50
CDM,0684007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),730.0,803.0,313.9,1423.5,50
CDM,0684008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),774.0,851.4,332.82,1509.3,50
CDM,0684009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.0,865.7,338.41,1534.65,50
CDM,0684010,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.0,865.7,338.41,1534.65,50
CDM,0684011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),501.0,551.1,215.43,976.95,50
CDM,0684012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),817.0,898.7,351.31,1593.15,50
CDM,0684013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0684014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.0,906.4,354.32,1606.8,50
CDM,0684015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),833.0,916.3,358.19,1624.35,50
CDM,0684016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),520.0,572.0,223.6,1014.0,50
CDM,0684018,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),471.0,518.1,202.53,918.45,50
CDM,0684019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1239.0,1362.9,532.77,2416.05,50
CDM,0684020,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),863.0,949.3,371.09,1682.85,50
CDM,0684021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),910.0,1001.0,391.3,1774.5,50
CDM,0684023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0684024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),923.0,1015.3,396.89,1799.85,50
CDM,0684026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),663.57,729.93,285.34,1293.96,50
CDM,0684027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),958.0,1053.8,411.94,1868.1,50
CDM,0684028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1025.0,1127.5,440.75,1998.75,50
CDM,0684029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1033.0,1136.3,444.19,2014.35,50
CDM,0684030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.0,583.0,227.9,1033.5,50
CDM,0684031,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),998.0,1097.8,429.14,1946.1,50
CDM,0684032,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1124.0,1236.4,483.32,2191.8,50
CDM,0684033,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),716.0,787.6,307.88,1396.2,50
CDM,0684034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1162.0,1278.2,499.66,2265.9,50
CDM,0684035,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1166.0,1282.6,501.38,2273.7,50
CDM,0684036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0684037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1108.0,1218.8,476.44,2160.6,50
CDM,0684038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1202.0,1322.2,516.86,2343.9,50
CDM,0684039,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1204.0,1324.4,517.72,2347.8,50
CDM,0684040,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1210.0,1331.0,520.3,2359.5,50
CDM,0684041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1219.0,1340.9,524.17,2377.05,50
CDM,0684043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1273.0,1400.3,547.39,2482.35,50
CDM,0684044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0684045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1339.0,1472.9,575.77,2611.05,50
CDM,0684046,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),934.0,1027.4,401.62,1821.3,50
CDM,0684047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1356.0,1491.6,583.08,2644.2,50
CDM,0684048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1383.0,1521.3,594.69,2696.85,50
CDM,0684049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1677.0,1844.7,721.11,3270.15,50
CDM,0684050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1401.0,1541.1,602.43,2731.95,50
CDM,0684052,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1446.0,1590.6,621.78,2819.7,50
CDM,0684054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0684055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1593.0,1752.3,684.99,3106.35,50
CDM,0684056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0684058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1856.0,2041.6,798.08,3619.2,50
CDM,0684059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1695.0,1864.5,728.85,3305.25,50
CDM,0684060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1617.0,1778.7,695.31,3153.15,50
CDM,0684061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0684063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1557.0,1712.7,669.51,3036.15,50
CDM,0684064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1177.0,1294.7,506.11,2295.15,50
CDM,0684067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1717.0,1888.7,738.31,3348.15,50
CDM,0684069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1771.0,1948.1,761.53,3453.45,50
CDM,0684070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1773.0,1950.3,762.39,3457.35,50
CDM,0684071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1783.0,1961.3,766.69,3476.85,50
CDM,0684072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2035.0,2238.5,875.05,3968.25,50
CDM,0684073,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1821.0,2003.1,783.03,3550.95,50
CDM,0684074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1864.0,2050.4,801.52,3634.8,50
CDM,0684075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1935.0,2128.5,832.05,3773.25,50
CDM,0684077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2282.0,2510.2,981.26,4449.9,50
CDM,0684078,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1642.0,1806.2,706.06,3201.9,50
CDM,0684079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2307.0,2537.7,992.01,4498.65,50
CDM,0684080,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2012.0,2213.2,865.16,3923.4,50
CDM,0684082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2234.0,2457.4,960.62,4356.3,50
CDM,0684083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1353.0,1488.3,581.79,2638.35,50
CDM,0684084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2044.0,2248.4,878.92,3985.8,50
CDM,0684085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2050.0,2255.0,881.5,3997.5,50
CDM,0684086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2052.0,2257.2,882.36,4001.4,50
CDM,0684087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1985.0,2183.5,853.55,3870.75,50
CDM,0684088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2049.0,2253.9,881.07,3995.55,50
CDM,0684089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0684090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1482.0,1630.2,637.26,2889.9,50
CDM,0684091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2235.0,2458.5,961.05,4358.25,50
CDM,0684092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2314.17,2545.59,995.09,4512.63,50
CDM,0684093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2104.0,2314.4,904.72,4102.8,50
CDM,0684094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2121.0,2333.1,912.03,4135.95,50
CDM,0684096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2225.0,2447.5,956.75,4338.75,50
CDM,0684097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2447.0,2691.7,1052.21,4771.65,50
CDM,0684098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2451.0,2696.1,1053.93,4779.45,50
CDM,0684099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2934.0,3227.4,1261.62,5721.3,50
CDM,0684100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2934.0,3227.4,1261.62,5721.3,50
CDM,0684101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3021.0,3323.1,1299.03,5890.95,50
CDM,0684103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2568.0,2824.8,1104.24,5007.6,50
CDM,0684104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2611.0,2872.1,1122.73,5091.45,50
CDM,0684105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2647.0,2911.7,1138.21,5161.65,50
CDM,0684106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2658.0,2923.8,1142.94,5183.1,50
CDM,0684108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2793.0,3072.3,1200.99,5446.35,50
CDM,0684109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3119.0,3430.9,1341.17,6082.05,50
CDM,0684110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2822.0,3104.2,1213.46,5502.9,50
CDM,0684111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2860.0,3146.0,1229.8,5577.0,50
CDM,0684112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2891.0,3180.1,1243.13,5637.45,50
CDM,0684113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2943.0,3237.3,1265.49,5738.85,50
CDM,0684114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3394.0,3733.4,1459.42,6618.3,50
CDM,0684116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2563.0,2819.3,1102.09,4997.85,50
CDM,0684117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3171.0,3488.1,1363.53,6183.45,50
CDM,0684118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3192.0,3511.2,1372.56,6224.4,50
CDM,0684119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3808.0,4188.8,1637.44,7425.6,50
CDM,0684120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3899.0,4288.9,1676.57,7603.05,50
CDM,0684121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3263.0,3589.3,1403.09,6362.85,50
CDM,0684124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2746.0,3020.6,1180.78,5354.7,50
CDM,0684125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3575.0,3932.5,1537.25,6971.25,50
CDM,0684126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4347.0,4781.7,1869.21,8476.65,50
CDM,0684128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3940.0,4334.0,1694.2,7683.0,50
CDM,0684130,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4059.0,4464.9,1745.37,7915.05,50
CDM,0684131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4760.0,5236.0,2046.8,9282.0,50
CDM,0684132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0684133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12231.0,13454.1,5259.33,23850.45,50
CDM,0684135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2166.0,2382.6,931.38,4223.7,50
CDM,0684136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4356.0,4791.6,1873.08,8494.2,50
CDM,0684137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2265.0,2491.5,973.95,4416.75,50
CDM,0684138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),64.0,70.4,27.52,124.8,50
CDM,0684139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),66.0,72.6,28.38,128.7,50
CDM,0684140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0684141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),72.0,79.2,30.96,140.4,50
CDM,0684142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0684143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),138.0,151.8,59.34,269.1,50
CDM,0684144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.0,172.7,67.51,306.15,50
CDM,0684146,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0684147,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),207.0,227.7,89.01,403.65,50
CDM,0684148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),208.0,228.8,89.44,405.6,50
CDM,0684149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),216.0,237.6,92.88,421.2,50
CDM,0684150,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0684152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0684153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),536.0,589.6,230.48,1045.2,50
CDM,0684154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),856.0,941.6,368.08,1669.2,50
CDM,0684155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1193.0,1312.3,512.99,2326.35,50
CDM,0684156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1124.0,1236.4,483.32,2191.8,50
CDM,0684157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1180.0,1298.0,507.4,2301.0,50
CDM,0684158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1428.0,1570.8,614.04,2784.6,50
CDM,0684159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0684160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1505.0,1655.5,647.15,2934.75,50
CDM,0684161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1596.0,1755.6,686.28,3112.2,50
CDM,0684162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1666.0,1832.6,716.38,3248.7,50
CDM,0684164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1775.0,1952.5,763.25,3461.25,50
CDM,0684165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1844.0,2028.4,792.92,3595.8,50
CDM,0684166,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2187.0,2405.7,940.41,4264.65,50
CDM,0684167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2392.0,2631.2,1028.56,4664.4,50
CDM,0684168,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2662.0,2928.2,1144.66,5190.9,50
CDM,0684169,JOINT DEVICE (IMPLANTABLE),7967.0,8763.7,3425.81,15535.65,50
CDM,0684170,JOINT DEVICE (IMPLANTABLE),15112.0,16623.2,6498.16,29468.4,50
CDM,0684171,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),18296.0,20125.6,7867.28,35677.2,50
CDM,0684173,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12863.0,14149.3,5531.09,25082.85,50
CDM,0684174,JOINT DEVICE (IMPLANTABLE),14485.0,15933.5,6228.55,28245.75,50
CDM,0684175,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10850.0,11935.0,4665.5,21157.5,50
CDM,0684176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),11900.0,13090.0,5117.0,23205.0,50
CDM,0684177,JOINT DEVICE (IMPLANTABLE),11884.0,13072.4,5110.12,23173.8,50
CDM,0684178,JOINT DEVICE (IMPLANTABLE),8707.0,9577.7,3744.01,16978.65,50
CDM,0684179,JOINT DEVICE (IMPLANTABLE),11776.0,12953.6,5063.68,22963.2,50
CDM,0684181,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10480.0,11528.0,4506.4,20436.0,50
CDM,0684182,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10325.0,11357.5,4439.75,20133.75,50
CDM,0684183,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10413.0,11454.3,4477.59,20305.35,50
CDM,0684184,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13248.0,14572.8,5696.64,25833.6,50
CDM,0684185,APPLICATOR SPHERICAL 3.5CM,18009.0,18009.0,3461.0,14407.2,45
CDM,0684186,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10225.0,11247.5,4396.75,19938.75,50
CDM,0684187,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10178.0,11195.8,4376.54,19847.1,50
CDM,0684188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684191,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7175.0,7892.5,3085.25,13991.25,50
CDM,0684192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2440.0,2684.0,1049.2,4758.0,50
CDM,0684193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.19,403.91,157.89,716.02,50
CDM,0684194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),395.0,434.5,169.85,770.25,50
CDM,0684196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),171.13,188.24,73.59,333.7,50
CDM,0684197,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2333.0,2566.3,1003.19,4549.35,50
CDM,0684198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),278.0,305.8,119.54,542.1,50
CDM,0684199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0684200,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2531.0,2784.1,1088.33,4935.45,50
CDM,0684203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0684204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1801.0,1981.1,774.43,3511.95,50
CDM,0684205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),758.0,833.8,325.94,1478.1,50
CDM,0684206,JOINT DEVICE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0684207,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0684208,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.0,583.0,227.9,1033.5,50
CDM,0684209,JOINT DEVICE (IMPLANTABLE),2921.0,3213.1,1256.03,5695.95,50
CDM,0684211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.72,121.79,47.61,215.9,50
CDM,0684212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0684213,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4375.0,4812.5,1881.25,8531.25,50
CDM,0684216,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0684218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0684219,JOINT DEVICE (IMPLANTABLE),13056.75,14362.43,5614.4,25460.66,50
CDM,0684221,JOINT DEVICE (IMPLANTABLE),3244.5,3568.95,1395.14,6326.78,50
CDM,0684222,JOINT DEVICE (IMPLANTABLE),2229.0,2451.9,958.47,4346.55,50
CDM,0684223,JOINT DEVICE (IMPLANTABLE),4079.0,4486.9,1753.97,7954.05,50
CDM,0684224,JOINT DEVICE (IMPLANTABLE),5103.0,5613.3,2194.29,9950.85,50
CDM,0684225,JOINT DEVICE (IMPLANTABLE),2063.0,2269.3,887.09,4022.85,50
CDM,0684226,JOINT DEVICE (IMPLANTABLE),1480.5,1628.55,636.62,2886.98,50
CDM,0684227,JOINT DEVICE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0684228,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",9625.0,10587.5,4138.75,18768.75,50
CDM,0684229,JOINT DEVICE (IMPLANTABLE),9551.0,10506.1,4106.93,18624.45,50
CDM,0684230,JOINT DEVICE (IMPLANTABLE),9275.0,10202.5,3988.25,18086.25,50
CDM,0684232,JOINT DEVICE (IMPLANTABLE),3202.0,3522.2,1376.86,6243.9,50
CDM,0684233,JOINT DEVICE (IMPLANTABLE),8860.0,9746.0,3809.8,17277.0,50
CDM,0684234,JOINT DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0684235,JOINT DEVICE (IMPLANTABLE),8400.0,9240.0,3612.0,16380.0,50
CDM,0684236,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.25,529.38,206.94,938.44,50
CDM,0684238,JOINT DEVICE (IMPLANTABLE),7774.0,8551.4,3342.82,15159.3,50
CDM,0684239,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0684240,JOINT DEVICE (IMPLANTABLE),5730.0,6303.0,2463.9,11173.5,50
CDM,0684241,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0684242,JOINT DEVICE (IMPLANTABLE),9489.0,10437.9,4080.27,18503.55,50
CDM,0684243,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0684244,JOINT DEVICE (IMPLANTABLE),6143.0,6757.3,2641.49,11978.85,50
CDM,0684245,JOINT DEVICE (IMPLANTABLE),6354.0,6989.4,2732.22,12390.3,50
CDM,0684246,JOINT DEVICE (IMPLANTABLE),6354.0,6989.4,2732.22,12390.3,50
CDM,0684247,JOINT DEVICE (IMPLANTABLE),1818.0,1999.8,781.74,3545.1,50
CDM,0684248,JOINT DEVICE (IMPLANTABLE),6295.0,6924.5,2706.85,12275.25,50
CDM,0684249,JOINT DEVICE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0684250,JOINT DEVICE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0684253,JOINT DEVICE (IMPLANTABLE),2782.0,3060.2,1196.26,5424.9,50
CDM,0684254,JOINT DEVICE (IMPLANTABLE),3061.0,3367.1,1316.23,5968.95,50
CDM,0684255,JOINT DEVICE (IMPLANTABLE),5846.0,6430.6,2513.78,11399.7,50
CDM,0684256,JOINT DEVICE (IMPLANTABLE),5846.0,6430.6,2513.78,11399.7,50
CDM,0684257,JOINT DEVICE (IMPLANTABLE),5425.0,5967.5,2332.75,10578.75,50
CDM,0684258,JOINT DEVICE (IMPLANTABLE),5425.0,5967.5,2332.75,10578.75,50
CDM,0684259,JOINT DEVICE (IMPLANTABLE),6654.0,7319.4,2861.22,12975.3,50
CDM,0684260,JOINT DEVICE (IMPLANTABLE),2709.0,2979.9,1164.87,5282.55,50
CDM,0684261,BIT DRL CANN 300X5MM,888.0,888.0,182.57,710.4,45
CDM,0684262,BIT DRL CANN FLEX 17X310MM LG,1336.0,1336.0,274.68,1068.8,45
CDM,0684263,BIT DRL CANN FLEXIBLE 14MM LG,1757.0,1757.0,361.24,1405.6,45
CDM,0684264,JOINT DEVICE (IMPLANTABLE),11744.0,12918.4,5049.92,22900.8,50
CDM,0684268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4558.0,5013.8,1959.94,8888.1,50
CDM,0684269,JOINT DEVICE (IMPLANTABLE),509.0,559.9,218.87,992.55,50
CDM,0684270,JOINT DEVICE (IMPLANTABLE),5455.0,6000.5,2345.65,10637.25,50
CDM,0684271,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684272,JOINT DEVICE (IMPLANTABLE),4725.0,5197.5,2031.75,9213.75,50
CDM,0684273,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684275,JOINT DEVICE (IMPLANTABLE),709.0,779.9,304.87,1382.55,50
CDM,0684277,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1881.0,1881.0,505.99,3667.95,45
CDM,0684278,JOINT DEVICE (IMPLANTABLE),4200.0,4620.0,1806.0,8190.0,50
CDM,0684279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),776.0,853.6,333.68,1513.2,50
CDM,0684280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1318.0,1449.8,566.74,2570.1,50
CDM,0684281,JOINT DEVICE (IMPLANTABLE),5425.0,5967.5,2332.75,10578.75,50
CDM,0684282,JOINT DEVICE (IMPLANTABLE),8400.0,9240.0,3612.0,16380.0,50
CDM,0684283,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0684284,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",558.0,613.8,239.94,1088.1,50
CDM,0684286,CLAMP CONNECTING 3MM/3MM,1286.0,1286.0,264.4,1028.8,45
CDM,0684287,CLAMP EXTERNAL FIXATION,888.0,888.0,182.57,710.4,45
CDM,0684288,CLAMP PIN 5H,879.0,879.0,180.72,703.2,45
CDM,0684289,CLAMP QUICK 6MM - 4MM,876.0,876.0,180.11,700.8,45
CDM,0684293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),487.0,535.7,209.41,949.65,50
CDM,0684294,JOINT DEVICE (IMPLANTABLE),5153.0,5668.3,2215.79,10048.35,50
CDM,0684295,JOINT DEVICE (IMPLANTABLE),1360.0,1496.0,584.8,2652.0,50
CDM,0684296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.72,121.79,47.61,215.9,50
CDM,0684297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),86.0,94.6,36.98,167.7,50
CDM,0684299,JOINT DEVICE (IMPLANTABLE),4984.0,5482.4,2143.12,9718.8,50
CDM,0684300,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684301,JOINT DEVICE (IMPLANTABLE),1404.9,1545.39,604.11,2739.56,50
CDM,0684302,JOINT DEVICE (IMPLANTABLE),4063.5,4469.85,1747.31,7923.83,50
CDM,0684303,JOINT DEVICE (IMPLANTABLE),2928.0,3220.8,1259.04,5709.6,50
CDM,0684304,JOINT DEVICE (IMPLANTABLE),3158.0,3473.8,1357.94,6158.1,50
CDM,0684305,JOINT DEVICE (IMPLANTABLE),1303.0,1433.3,560.29,2540.85,50
CDM,0684306,JOINT DEVICE (IMPLANTABLE),2109.0,2319.9,906.87,4112.55,50
CDM,0684307,JOINT DEVICE (IMPLANTABLE),3793.0,4172.3,1630.99,7396.35,50
CDM,0684308,JOINT DEVICE (IMPLANTABLE),948.0,1042.8,407.64,1848.6,50
CDM,0684309,JOINT DEVICE (IMPLANTABLE),2025.0,2227.5,870.75,3948.75,50
CDM,0684310,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684311,JOINT DEVICE (IMPLANTABLE),2155.0,2370.5,926.65,4202.25,50
CDM,0684312,JOINT DEVICE (IMPLANTABLE),2914.0,3205.4,1253.02,5682.3,50
CDM,0684313,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0684314,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0684315,JOINT DEVICE (IMPLANTABLE),2658.0,2923.8,1142.94,5183.1,50
CDM,0684316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1348.0,1482.8,579.64,2628.6,50
CDM,0684317,JOINT DEVICE (IMPLANTABLE),1152.0,1267.2,495.36,2246.4,50
CDM,0684318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1120.0,1232.0,481.6,2184.0,50
CDM,0684319,JOINT DEVICE (IMPLANTABLE),2930.0,3223.0,1259.9,5713.5,50
CDM,0684320,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",777.0,854.7,334.11,1515.15,50
CDM,0684321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),370.0,407.0,159.1,721.5,50
CDM,0684322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),732.0,805.2,314.76,1427.4,50
CDM,0684323,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.0,1337.6,522.88,2371.2,50
CDM,0684324,JOINT DEVICE (IMPLANTABLE),3045.0,3349.5,1309.35,5937.75,50
CDM,0684325,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0684326,JOINT DEVICE (IMPLANTABLE),2897.0,3186.7,1245.71,5649.15,50
CDM,0684328,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11900.0,13090.0,5117.0,23205.0,50
CDM,0684329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0684330,JOINT DEVICE (IMPLANTABLE),3523.0,3875.3,1514.89,6869.85,50
CDM,0684331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0684332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0684333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684335,JOINT DEVICE (IMPLANTABLE),2209.0,2429.9,949.87,4307.55,50
CDM,0684336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0684337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4445.0,4889.5,1911.35,8667.75,50
CDM,0684338,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1957.0,2152.7,841.51,3816.15,50
CDM,0684339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0684340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1247.0,1371.7,536.21,2431.65,50
CDM,0684342,"HYALOMATRIX, PER SQUARE CENTIMETER",467.0,513.7,200.81,910.65,50
CDM,0684344,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1294.0,1423.4,556.42,2523.3,50
CDM,0684345,JOINT DEVICE (IMPLANTABLE),7566.0,8322.6,3253.38,14753.7,50
CDM,0684347,DVC CUTTING GUIDE,5287.38,5287.38,1087.09,4229.9,45
CDM,0684348,VEIN FEMORAL 27CM,11841.0,13025.1,2434.51,13025.1,50
CDM,0684349,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0684350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1694.0,1863.4,728.42,3303.3,50
CDM,0684351,BIT DRL CANN LRG 11.0MM 280MM,898.0,898.0,184.63,718.4,45
CDM,0684352,BIT DRL CANN 14MM,1084.0,1084.0,222.87,867.2,45
CDM,0684353,BIT DRL CANN 6MM 10MM 435MM,1202.0,1202.0,247.13,961.6,45
CDM,0684354,BIT DRL GUIDE LCP 3.5MM,1210.0,1210.0,248.78,968.0,45
CDM,0684355,BIT DRL 310MM 15MM LARGE QC,1250.0,1250.0,257.0,1000.0,45
CDM,0684356,BIT DRL FLEX CANN 13X465MM LG,1504.0,1504.0,309.22,1203.2,45
CDM,0684357,BIT DRL CANN LARGE 17MM 300MM,1415.0,1415.0,290.92,1132.0,45
CDM,0684358,BIT DRL HOLLOW CANN 16MM,1827.0,1827.0,375.63,1461.6,45
CDM,0684359,BIT DRL HOLLW CANN PERCUTANEOU,2017.0,2017.0,414.7,1613.6,45
CDM,0684360,JOINT DEVICE (IMPLANTABLE),2709.18,2980.1,1164.95,5282.9,50
CDM,0684361,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),214.0,235.4,92.02,417.3,50
CDM,0684362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),80.0,88.0,34.4,156.0,50
CDM,0684363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),129.0,141.9,55.47,251.55,50
CDM,0684365,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),381.0,419.1,163.83,742.95,50
CDM,0684368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),327.0,359.7,140.61,637.65,50
CDM,0684369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0684370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.5,156.75,61.28,277.88,50
CDM,0684371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),573.0,630.3,246.39,1117.35,50
CDM,0684372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),875.0,962.5,376.25,1706.25,50
CDM,0684373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1618.0,1779.8,695.74,3155.1,50
CDM,0684374,JOINT DEVICE (IMPLANTABLE),11319.0,12450.9,4867.17,22072.05,50
CDM,0684375,JOINT DEVICE (IMPLANTABLE),9275.0,10202.5,3988.25,18086.25,50
CDM,0684376,JOINT DEVICE (IMPLANTABLE),9275.0,10202.5,3988.25,18086.25,50
CDM,0684377,JOINT DEVICE (IMPLANTABLE),8905.0,9795.5,3829.15,17364.75,50
CDM,0684378,JOINT DEVICE (IMPLANTABLE),8247.0,9071.7,3546.21,16081.65,50
CDM,0684379,JOINT DEVICE (IMPLANTABLE),8754.0,9629.4,3764.22,17070.3,50
CDM,0684380,JOINT DEVICE (IMPLANTABLE),7170.0,7887.0,3083.1,13981.5,50
CDM,0684381,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6388.0,7026.8,2746.84,12456.6,50
CDM,0684382,JOINT DEVICE (IMPLANTABLE),6379.0,7016.9,2742.97,12439.05,50
CDM,0684383,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0684384,JOINT DEVICE (IMPLANTABLE),4180.0,4598.0,1797.4,8151.0,50
CDM,0684385,JOINT DEVICE (IMPLANTABLE),5500.0,6050.0,2365.0,10725.0,50
CDM,0684386,JOINT DEVICE (IMPLANTABLE),5108.0,5618.8,2196.44,9960.6,50
CDM,0684387,JOINT DEVICE (IMPLANTABLE),3746.0,4120.6,1610.78,7304.7,50
CDM,0684388,JOINT DEVICE (IMPLANTABLE),5153.0,5668.3,2215.79,10048.35,50
CDM,0684389,JOINT DEVICE (IMPLANTABLE),3746.4,4121.04,1610.95,7305.48,50
CDM,0684390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4852.0,5337.2,2086.36,9461.4,50
CDM,0684391,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0684392,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4441.0,4885.1,1909.63,8659.95,50
CDM,0684393,JOINT DEVICE (IMPLANTABLE),4751.0,5226.1,2042.93,9264.45,50
CDM,0684395,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4478.0,4925.8,1925.54,8732.1,50
CDM,0684396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0684397,JOINT DEVICE (IMPLANTABLE),4368.0,4804.8,1878.24,8517.6,50
CDM,0684398,JOINT DEVICE (IMPLANTABLE),4314.0,4745.4,1855.02,8412.3,50
CDM,0684399,JOINT DEVICE (IMPLANTABLE),4219.0,4640.9,1814.17,8227.05,50
CDM,0684400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3412.0,3753.2,1467.16,6653.4,50
CDM,0684401,JOINT DEVICE (IMPLANTABLE),5655.0,6220.5,2431.65,11027.25,50
CDM,0684402,KIT AVA FLEX 11GA,5040.0,5040.0,1036.22,4032.0,45
CDM,0684403,JOINT DEVICE (IMPLANTABLE),2809.8,3090.78,1208.21,5479.11,50
CDM,0684404,JOINT DEVICE (IMPLANTABLE),3951.0,4346.1,1698.93,7704.45,50
CDM,0684405,JOINT DEVICE (IMPLANTABLE),3904.0,4294.4,1678.72,7612.8,50
CDM,0684406,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4927.56,5420.32,2118.85,9608.74,50
CDM,0684409,JOINT DEVICE (IMPLANTABLE),3523.0,3875.3,1514.89,6869.85,50
CDM,0684410,JOINT DEVICE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0684411,JOINT DEVICE (IMPLANTABLE),2897.0,3186.7,1245.71,5649.15,50
CDM,0684413,JOINT DEVICE (IMPLANTABLE),3657.5,4023.25,1572.73,7132.13,50
CDM,0684414,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3350.0,3685.0,1440.5,6532.5,50
CDM,0684415,MESH CONTOURABLE 100100MM,3192.0,3511.2,656.28,3511.2,50
CDM,0684416,JOINT DEVICE (IMPLANTABLE),3083.0,3391.3,1325.69,6011.85,50
CDM,0684417,JOINT DEVICE (IMPLANTABLE),2963.0,3259.3,1274.09,5777.85,50
CDM,0684418,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684419,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",341.0,375.1,146.63,664.95,50
CDM,0684420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3559.0,3914.9,1530.37,6940.05,50
CDM,0684421,JOINT DEVICE (IMPLANTABLE),2847.0,3131.7,1224.21,5551.65,50
CDM,0684422,FOOT ARCH,2412.0,2412.0,495.91,1929.6,45
CDM,0684425,JOINT DEVICE (IMPLANTABLE),2755.0,3030.5,1184.65,5372.25,50
CDM,0684427,JOINT DEVICE (IMPLANTABLE),2484.13,2732.54,1068.18,4844.05,50
CDM,0684429,REAMER-COMPLETE / DHS TRIPLE,2545.0,2545.0,523.25,2036.0,45
CDM,0684431,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2073.0,2280.3,891.39,4042.35,50
CDM,0684432,RING OPEN CARBON 155MM,1974.0,2171.4,405.85,2171.4,50
CDM,0684433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2719.0,2990.9,1169.17,5302.05,50
CDM,0684434,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2933.0,3226.3,1261.19,5719.35,50
CDM,0684435,STRUCT MAXFRAME QA,2369.0,2369.0,487.07,1895.2,45
CDM,0684436,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2355.0,2590.5,1012.65,4592.25,50
CDM,0684437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2341.0,2575.1,1006.63,4564.95,50
CDM,0684438,FIXATION DEVICE,1905.0,1905.0,391.67,1524.0,45
CDM,0684439,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2217.0,2438.7,953.31,4323.15,50
CDM,0684440,REAMER,2209.0,2209.0,454.17,1767.2,45
CDM,0684441,JOINT DEVICE (IMPLANTABLE),2189.0,2407.9,941.27,4268.55,50
CDM,0684442,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2045.0,2249.5,879.35,3987.75,50
CDM,0684443,JOINT DEVICE (IMPLANTABLE),1903.0,2093.3,818.29,3710.85,50
CDM,0684444,JOINT DEVICE (IMPLANTABLE),1886.0,2074.6,810.98,3677.7,50
CDM,0684446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0684448,JOINT DEVICE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0684449,RING HALF/FULL/CIRC,3449.0,3449.0,709.11,2759.2,45
CDM,0684450,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1638.0,1801.8,704.34,3194.1,50
CDM,0684451,STRUT FSTFX XTRNFX XSH TLT SP,3329.0,3329.0,684.44,2663.2,45
CDM,0684452,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1488.0,1636.8,639.84,2901.6,50
CDM,0684453,INTRODUCER BULLET MAT,1400.0,1400.0,287.84,1120.0,45
CDM,0684454,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1339.0,1472.9,575.77,2611.05,50
CDM,0684455,NDL SPINE PEDICLE,1313.0,1313.0,269.95,1050.4,45
CDM,0684456,ROD EXTERNAL FIX 382X11MM 90D,1271.0,1271.0,261.32,1016.8,45
CDM,0684457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3189.0,3507.9,1371.27,6218.55,50
CDM,0684458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1164.0,1280.4,500.52,2269.8,50
CDM,0684459,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1147.0,1261.7,493.21,2236.65,50
CDM,0684461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1112.0,1223.2,478.16,2168.4,50
CDM,0684462,SLEEVE HOLDING 3.5/4 123MM,1101.0,1101.0,226.37,880.8,45
CDM,0684463,RING FRM EXFIX 160MM 1/2 RO,1654.0,1654.0,340.06,1323.2,45
CDM,0684467,DISTRACTOR PRECICE FAST,989.0,989.0,203.34,791.2,45
CDM,0684468,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",982.0,1080.2,422.26,1914.9,50
CDM,0684469,P PUSHPULL REDUCTION,1106.0,1106.0,227.39,884.8,45
CDM,0684473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),897.0,986.7,385.71,1749.15,50
CDM,0684475,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",860.0,946.0,369.8,1677.0,50
CDM,0684478,JOINT DEVICE (IMPLANTABLE),758.0,833.8,325.94,1478.1,50
CDM,0684480,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),364.0,400.4,156.52,709.8,50
CDM,0684481,TAP DHS/DCS 12.5MM 220MM,1068.0,1068.0,219.58,854.4,45
CDM,0684482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1175.0,1292.5,505.25,2291.25,50
CDM,0684483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),648.0,712.8,278.64,1263.6,50
CDM,0684484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),605.0,665.5,260.15,1179.75,50
CDM,0684486,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",589.0,647.9,253.27,1148.55,50
CDM,0684487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),827.0,909.7,355.61,1612.65,50
CDM,0684488,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),579.0,636.9,248.97,1129.05,50
CDM,0684490,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",574.0,631.4,246.82,1119.3,50
CDM,0684492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0684495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),543.0,597.3,233.49,1058.85,50
CDM,0684496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),539.0,592.9,231.77,1051.05,50
CDM,0684497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0684498,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),645.0,709.5,277.35,1257.75,50
CDM,0684499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),521.0,573.1,224.03,1015.95,50
CDM,0684500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1112.0,1223.2,478.16,2168.4,50
CDM,0684501,JOINT DEVICE (IMPLANTABLE),480.0,528.0,206.4,936.0,50
CDM,0684502,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",434.0,477.4,186.62,846.3,50
CDM,0684504,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",415.0,456.5,178.45,809.25,50
CDM,0684505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),390.0,429.0,167.7,760.5,50
CDM,0684506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),388.0,426.8,166.84,756.6,50
CDM,0684507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.0,394.9,154.37,700.05,50
CDM,0684508,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",357.0,392.7,153.51,696.15,50
CDM,0684509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0684510,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",439.0,482.9,188.77,856.05,50
CDM,0684512,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",306.0,336.6,131.58,596.7,50
CDM,0684513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),610.0,671.0,262.3,1189.5,50
CDM,0684516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),301.0,331.1,129.43,586.95,50
CDM,0684517,STRUT 116-152MM CIRC FSTFX,3329.0,3329.0,684.44,2663.2,45
CDM,0684519,JOINT DEVICE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0684523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0684524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),259.7,285.67,111.67,506.42,50
CDM,0684526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0684528,JOINT DEVICE (IMPLANTABLE),221.0,243.1,95.03,430.95,50
CDM,0684529,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0684531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0684535,PL 1/3 TUB TI W/COLL 5H/61,188.0,206.8,38.65,206.8,50
CDM,0684539,ROD THREADED 120MM,143.0,157.3,29.4,157.3,50
CDM,0684540,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0684543,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),199.0,218.9,85.57,388.05,50
CDM,0684547,PIN ORTHO BONE,72.0,79.2,14.8,79.2,50
CDM,0684549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0684550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1739.0,1912.9,747.77,3391.05,50
CDM,0684551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2491.0,2740.1,1071.13,4857.45,50
CDM,0684552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3227.0,3549.7,1387.61,6292.65,50
CDM,0684553,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",14875.0,16362.5,6396.25,29006.25,50
CDM,0684554,JOINT DEVICE (IMPLANTABLE),3687.0,4055.7,1585.41,7189.65,50
CDM,0684556,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9660.0,10626.0,4153.8,18837.0,50
CDM,0684557,JOINT DEVICE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0684558,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",4288.0,4716.8,1843.84,8361.6,50
CDM,0684559,BLADE HELICAL,1365.0,1365.0,280.64,1092.0,45
CDM,0684560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1260.0,1386.0,541.8,2457.0,50
CDM,0684561,BLADE HOOK NAR 8,1208.0,1208.0,248.36,966.4,45
CDM,0684562,METACARPOPHALANGEAL JOINT IMPLANT,2122.77,2335.05,329.97,2335.05,50
CDM,0684563,ANGEL SYST W/ASPIRAT KIT,1715.0,1715.0,352.6,1372.0,45
CDM,0684564,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",35359.0,38894.9,15204.37,68950.05,50
CDM,0684565,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1496.0,1645.6,643.28,2917.2,50
CDM,0684566,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1794.0,1973.4,771.42,3498.3,50
CDM,0684567,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1838.0,2021.8,790.34,3584.1,50
CDM,0684568,MESH (IMPLANTABLE),9765.0,10741.5,4198.95,19041.75,50
CDM,0684569,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9639.0,10602.9,4144.77,18796.05,50
CDM,0684570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0684573,JOINT DEVICE (IMPLANTABLE),3059.79,3365.77,1315.71,5966.59,50
CDM,0684575,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7481.0,8229.1,3216.83,14587.95,50
CDM,0684577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0684578,BOLT 9338030 8X30MM TI,4725.0,4725.0,971.46,3780.0,45
CDM,0684579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1050.0,282.45,2047.5,45
CDM,0684581,"AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",3071.0,3378.1,1320.53,11484.54,50
CDM,0684582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0684583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0684584,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",350.0,385.0,150.5,682.5,50
CDM,0684585,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2450.0,2695.0,1053.5,4777.5,50
CDM,0684586,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5226.0,5748.6,2247.18,10190.7,50
CDM,0684588,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7005.0,7705.5,3012.15,13659.75,50
CDM,0684589,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7000.0,7700.0,3010.0,13650.0,50
CDM,0684590,JOINT DEVICE (IMPLANTABLE),1168.0,1284.8,502.24,2277.6,50
CDM,0684591,JOINT DEVICE (IMPLANTABLE),1352.0,1487.2,581.36,2636.4,50
CDM,0684592,JOINT DEVICE (IMPLANTABLE),3746.0,4120.6,1610.78,7304.7,50
CDM,0684593,JOINT DEVICE (IMPLANTABLE),7170.0,7887.0,3083.1,13981.5,50
CDM,0684594,RING 200MM 5/8 RING CIRC COMP,1088.0,1088.0,223.69,870.4,45
CDM,0684595,RING FRAME EXFIX,1761.0,1761.0,362.06,1408.8,45
CDM,0684596,RING FRM EXFIX 220MM 1/2 RO,1943.0,1943.0,399.48,1554.4,45
CDM,0684597,RING FULL RING CIRC,3449.0,3449.0,709.11,2759.2,45
CDM,0684598,RING CIRC FT XTRNFX LNG,4085.0,4085.0,839.88,3268.0,45
CDM,0684599,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1925.0,2117.5,827.75,3753.75,50
CDM,0684600,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5250.0,5775.0,2257.5,10237.5,50
CDM,0684603,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",324.0,356.4,139.32,631.8,50
CDM,0684604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0684605,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0684606,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",438.0,481.8,188.34,854.1,50
CDM,0684608,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",438.0,481.8,188.34,854.1,50
CDM,0684609,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",569.0,625.9,244.67,1109.55,50
CDM,0684610,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0684612,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",656.0,721.6,282.08,1279.2,50
CDM,0684613,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",700.0,770.0,301.0,1365.0,50
CDM,0684614,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0684615,ROD CONNECTOR,875.0,875.0,179.9,700.0,45
CDM,0684616,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0684617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0684618,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0684619,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0684621,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7525.0,8277.5,3235.75,14673.75,50
CDM,0684622,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7005.0,7705.5,3012.15,13659.75,50
CDM,0684624,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684625,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0684626,ROD CONNECTOR,1575.0,1575.0,323.82,1260.0,45
CDM,0684627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0684628,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0684630,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",963.0,1059.3,414.09,1877.85,50
CDM,0684633,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",696.0,765.6,299.28,1357.2,50
CDM,0684634,ENCAP SPINAL IMPLANT,1607.0,1767.7,330.4,1767.7,50
CDM,0684635,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",4194.0,4613.4,545.19,4613.4,50
CDM,0684636,CATHETER VENOUS 9.3FR DIA45,1609.0,1609.0,330.81,1287.2,45
CDM,0684637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),211.7,232.87,91.03,412.82,50
CDM,0684638,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",2910.0,3201.0,1251.3,5674.5,50
CDM,0684640,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1177.0,1294.7,506.11,2295.15,50
CDM,0684641,JOINT DEVICE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0684645,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1925.0,2117.5,827.75,3753.75,50
CDM,0684647,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1575.0,423.68,3071.25,45
CDM,0684648,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",4288.0,4288.0,1153.47,8361.6,45
CDM,0684649,RETRACTOR RING,1736.0,1736.0,356.92,1388.8,45
CDM,0684650,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0684652,JOINT DEVICE (IMPLANTABLE),1335.0,1468.5,574.05,2603.25,50
CDM,0684654,CLAMP RAIL LOWER 2H,987.0,987.0,202.93,789.6,45
CDM,0684655,CLAMP SWIVEL,2079.0,2079.0,427.44,1663.2,45
CDM,0684656,CLAMP ELECTROSURGICAL BIPOLAR,4725.0,4725.0,971.46,3780.0,45
CDM,0684657,HOOK BLADE WIDE,1208.0,1208.0,248.36,966.4,45
CDM,0684658,HOOK 5.5/6 RAMP NARRW BLADE SM,1225.0,1225.0,251.86,980.0,45
CDM,0684659,"PROSTHESIS, PENILE, INFLATABLE",1174.0,1291.4,504.82,2289.3,50
CDM,0684660,KIT ACL/PCL REPAIR,1050.0,1050.0,215.88,840.0,45
CDM,0684661,"CATHETER, ABLATION, NON-CARDIAC, ENDOVASCULAR (IMPLANTABLE)",1471.0,1471.0,395.7,2868.45,45
CDM,0684663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0684664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.26,540.39,211.24,957.96,50
CDM,0684665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2953.0,3248.3,1269.79,5758.35,50
CDM,0684666,"PROSTHESIS, BREAST (IMPLANTABLE)",2363.0,2599.3,1016.09,4607.85,50
CDM,0684667,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0684668,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684669,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684670,JOINT DEVICE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0684671,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684672,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),86.0,94.6,36.98,167.7,50
CDM,0684673,JOINT DEVICE (IMPLANTABLE),12086.2,13294.82,5197.07,23568.09,50
CDM,0684674,JOINT DEVICE (IMPLANTABLE),2340.8,2574.88,1006.54,4564.56,50
CDM,0684675,JOINT DEVICE (IMPLANTABLE),4734.8,5208.28,2035.96,9232.86,50
CDM,0684676,JOINT DEVICE (IMPLANTABLE),3480.4,3828.44,1496.57,6786.78,50
CDM,0684677,JOINT DEVICE (IMPLANTABLE),3273.0,3600.3,1407.39,6382.35,50
CDM,0684678,JOINT DEVICE (IMPLANTABLE),5947.2,6541.92,2557.3,11597.04,50
CDM,0684679,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2135.0,2348.5,918.05,4163.25,50
CDM,0684681,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1715.0,1886.5,737.45,3344.25,50
CDM,0684682,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",718.03,789.83,308.75,1400.16,50
CDM,0684684,JOINT DEVICE (IMPLANTABLE),7040.0,7744.0,3027.2,13728.0,50
CDM,0684687,JOINT DEVICE (IMPLANTABLE),1386.72,1525.39,596.29,2704.1,50
CDM,0684688,JOINT DEVICE (IMPLANTABLE),1834.0,2017.4,788.62,3576.3,50
CDM,0684690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),449.75,494.73,193.39,877.01,50
CDM,0684691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2355.0,2590.5,1012.65,4592.25,50
CDM,0684692,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",9450.0,10395.0,4063.5,18427.5,50
CDM,0684694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),172.98,190.28,74.38,337.31,50
CDM,0684695,JOINT DEVICE (IMPLANTABLE),7774.0,8551.4,3342.82,15159.3,50
CDM,0684696,CUSTOM-MADE ANAT MODEL,7630.0,7630.0,1568.73,6104.0,45
CDM,0684697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0684698,JOINT DEVICE (IMPLANTABLE),7262.0,7988.2,3122.66,14160.9,50
CDM,0684701,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3498.0,3847.8,1504.14,6821.1,50
CDM,0684702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),240.0,264.0,103.2,468.0,50
CDM,0684703,JOINT DEVICE (IMPLANTABLE),5958.0,6553.8,2561.94,11618.1,50
CDM,0684704,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0684705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0684707,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6388.0,7026.8,2746.84,12456.6,50
CDM,0684708,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5600.0,6160.0,2408.0,10920.0,50
CDM,0684709,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4900.0,5390.0,2107.0,9555.0,50
CDM,0684710,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1496.0,1645.6,643.28,2917.2,50
CDM,0684711,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0684712,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1767.0,1943.7,759.81,3445.65,50
CDM,0684713,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1820.0,2002.0,782.6,3549.0,50
CDM,0684714,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1891.0,2080.1,813.13,3687.45,50
CDM,0684715,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0684716,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0684717,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4236.0,4659.6,1821.48,8260.2,50
CDM,0684718,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4441.0,4885.1,1909.63,8659.95,50
CDM,0684719,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4270.0,4697.0,1836.1,8326.5,50
CDM,0684720,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7914.0,8705.4,3403.02,15432.3,50
CDM,0684721,JOINT DEVICE (IMPLANTABLE),1335.0,1468.5,574.05,2603.25,50
CDM,0684722,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",16658.0,18323.8,7162.94,32483.1,50
CDM,0684723,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6787.0,7465.7,2918.41,13234.65,50
CDM,0684724,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3850.0,4235.0,1655.5,7507.5,50
CDM,0684725,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0684727,RAIL DISTRACTOR LOW PROFILE,1187.0,1187.0,244.05,949.6,45
CDM,0684729,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5995.5,6595.05,2578.07,11691.23,50
CDM,0684730,PLT HUMERAL DIST POST 3.5MM,2276.0,2503.6,467.95,2503.6,50
CDM,0684731,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14522.0,15974.2,6244.46,28317.9,50
CDM,0684732,MTP FUS REAMER,1216.0,1216.0,250.01,972.8,45
CDM,0684733,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),38686.0,42554.6,16634.98,75437.7,50
CDM,0684734,"PROBE/NEEDLE, CRYOABLATION",4025.0,4025.0,1082.73,7848.75,45
CDM,0684735,JOINT DEVICE (IMPLANTABLE),4927.0,5419.7,2118.61,9607.65,50
CDM,0684736,JOINT DEVICE (IMPLANTABLE),2292.0,2521.2,985.56,4469.4,50
CDM,0684737,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2184.0,2402.4,939.12,4258.8,50
CDM,0684739,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),252.0,277.2,108.36,491.4,50
CDM,0684740,IMPL EAR BASE MEDPOR EXT 60X30,2167.0,2383.7,445.54,2383.7,50
CDM,0684741,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684742,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1575.0,1732.5,677.25,3071.25,50
CDM,0684743,SCOPE NEUROENDO 3.5MMX13CM,1760.0,1760.0,361.86,1408.0,45
CDM,0684744,JAW SINGLE OCCLUSAL SPLINT,1689.0,1689.0,347.26,1351.2,45
CDM,0684745,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1803.0,1983.3,775.29,3515.85,50
CDM,0684746,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1591.0,1750.1,684.13,3102.45,50
CDM,0684747,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1400.0,1540.0,602.0,2730.0,50
CDM,0684748,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),368.45,405.3,158.43,718.48,50
CDM,0684749,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),284.0,312.4,122.12,553.8,50
CDM,0684750,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.7,347.27,135.75,615.62,50
CDM,0684751,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",21438.0,23581.8,9218.34,41804.1,50
CDM,0684752,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2135.0,2348.5,918.05,4163.25,50
CDM,0684754,CRYO-LT DISTAL FEMUR W/ LIGA,9161.0,10077.1,1883.5,10077.1,50
CDM,0684755,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),383.0,421.3,164.69,746.85,50
CDM,0684756,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2276.0,2503.6,978.68,4438.2,50
CDM,0684757,JOINT DEVICE (IMPLANTABLE),3598.88,3958.77,1547.52,7017.82,50
CDM,0684758,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0684759,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0684760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),313.0,344.3,134.59,610.35,50
CDM,0684761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3609.0,3969.9,1551.87,7037.55,50
CDM,0684762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),141.0,155.1,60.63,274.95,50
CDM,0684763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.38,135.72,53.05,240.59,50
CDM,0684764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),251.0,276.1,107.93,489.45,50
CDM,0684765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),282.0,310.2,121.26,549.9,50
CDM,0684766,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),68.0,74.8,29.24,132.6,50
CDM,0684768,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),334.0,367.4,143.62,651.3,50
CDM,0684769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0684770,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),594.0,653.4,255.42,1158.3,50
CDM,0684771,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),100.0,110.0,43.0,195.0,50
CDM,0684772,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),83.13,91.44,35.75,162.1,50
CDM,0684773,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0684774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),133.0,146.3,57.19,259.35,50
CDM,0684775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),363.0,399.3,156.09,707.85,50
CDM,0684776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0684777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),154.88,170.37,66.6,302.02,50
CDM,0684778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0684779,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),267.0,293.7,114.81,520.65,50
CDM,0684780,JOINT DEVICE (IMPLANTABLE),2477.0,2724.7,1065.11,4830.15,50
CDM,0684781,JOINT DEVICE (IMPLANTABLE),6346.0,6980.6,2728.78,12374.7,50
CDM,0684782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1248.0,1372.8,536.64,2433.6,50
CDM,0684783,"GRAFT, VASCULAR",1552.0,1707.2,667.36,3026.4,50
CDM,0684784,"GRAFT, VASCULAR",881.0,969.1,378.83,1717.95,50
CDM,0684785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2712.0,2983.2,1166.16,5288.4,50
CDM,0684786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0684793,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684794,JOINT DEVICE (IMPLANTABLE),2975.0,3272.5,1279.25,5801.25,50
CDM,0684795,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684796,JOINT DEVICE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0684797,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0684798,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684799,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684800,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684801,JOINT DEVICE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0684802,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0684803,JOINT DEVICE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0684804,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0684805,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0684806,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0684807,JOINT DEVICE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0684808,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0684809,JOINT DEVICE (IMPLANTABLE),5108.0,5618.8,2196.44,9960.6,50
CDM,0684810,SEPARATOR FLEX .041,5215.0,5215.0,1072.2,4172.0,45
CDM,0684811,JOINT DEVICE (IMPLANTABLE),3746.0,4120.6,1610.78,7304.7,50
CDM,0684812,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5094.0,5603.4,2190.42,9933.3,50
CDM,0684814,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11524.0,11524.0,3099.96,22471.8,45
CDM,0684816,JOINT DEVICE (IMPLANTABLE),2897.0,3186.7,1245.71,5649.15,50
CDM,0684817,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0684818,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),374.0,411.4,160.82,729.3,50
CDM,0684819,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),393.0,432.3,168.99,766.35,50
CDM,0684820,"INJECTABLE BULKING AGENT FOR VOCAL CORD MEDIALIZATION, 0.1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",1094.0,1203.4,42.5,1203.4,50
CDM,0684821,DEVICE HEMOSPRAY 7FR 220CMX2.8,4375.0,4375.0,899.5,3500.0,45
CDM,0684822,"PROSTHESIS, BREAST (IMPLANTABLE)",2205.0,2425.5,948.15,4299.75,50
CDM,0684823,DVR ANATOMIC LEFT,1513.0,1664.3,311.07,1664.3,50
CDM,0684824,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2266.0,2492.6,974.38,4418.7,50
CDM,0684825,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2100.0,2310.0,903.0,4095.0,50
CDM,0684826,MESH (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0684827,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684828,MESH (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0684829,MESH (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0684830,"PORT, INDWELLING (IMPLANTABLE)",638.75,702.63,274.66,1245.56,50
CDM,0684831,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1575.0,423.68,3071.25,45
CDM,0684832,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.0,523.6,204.68,928.2,50
CDM,0684833,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),436.0,479.6,187.48,850.2,50
CDM,0684834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684835,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0684836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),482.0,530.2,207.26,939.9,50
CDM,0684837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),492.0,541.2,211.56,959.4,50
CDM,0684838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),495.0,544.5,212.85,965.25,50
CDM,0684840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),551.0,606.1,236.93,1074.45,50
CDM,0684841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),860.0,946.0,369.8,1677.0,50
CDM,0684842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0684843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),672.0,739.2,288.96,1310.4,50
CDM,0684844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),740.0,814.0,318.2,1443.0,50
CDM,0684845,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),746.0,820.6,320.78,1454.7,50
CDM,0684846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),755.0,830.5,324.65,1472.25,50
CDM,0684847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),490.0,539.0,210.7,955.5,50
CDM,0684848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),868.0,954.8,373.24,1692.6,50
CDM,0684849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),805.72,886.29,346.46,1571.15,50
CDM,0684850,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1048.0,1152.8,450.64,2043.6,50
CDM,0684851,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0684852,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",10123.0,11135.3,4352.89,19739.85,50
CDM,0684853,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",10506.0,11556.6,4517.58,20486.7,50
CDM,0684854,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",8125.0,8937.5,3493.75,15843.75,50
CDM,0684855,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7788.0,8566.8,3348.84,15186.6,50
CDM,0684856,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",15785.0,17363.5,6787.55,30780.75,50
CDM,0684858,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",18725.0,20597.5,8051.75,36513.75,50
CDM,0684859,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7000.0,7700.0,3010.0,13650.0,50
CDM,0684861,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",17850.0,19635.0,7675.5,34807.5,50
CDM,0684862,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6615.0,7276.5,2844.45,12899.25,50
CDM,0684863,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5425.0,5967.5,2332.75,10578.75,50
CDM,0684864,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11480.0,12628.0,4936.4,22386.0,50
CDM,0684866,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",14525.0,15977.5,6245.75,28323.75,50
CDM,0684867,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",11430.0,12573.0,4914.9,22288.5,50
CDM,0684868,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5143.0,5657.3,2211.49,10028.85,50
CDM,0684869,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0684870,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3359.0,3694.9,1444.37,6550.05,50
CDM,0684871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4478.0,4925.8,1925.54,8732.1,50
CDM,0684872,"ALLODERM, PER SQUARE CENTIMETER",4925.0,5417.5,2117.75,9603.75,50
CDM,0684873,"ALLODERM, PER SQUARE CENTIMETER",2329.0,2561.9,1001.47,4541.55,50
CDM,0684874,JOINT DEVICE (IMPLANTABLE),4389.0,4827.9,1887.27,8558.55,50
CDM,0684875,JOINT DEVICE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0684876,JOINT DEVICE (IMPLANTABLE),2611.0,2872.1,1122.73,5091.45,50
CDM,0684877,JOINT DEVICE (IMPLANTABLE),2956.0,3251.6,1271.08,5764.2,50
CDM,0684878,JOINT DEVICE (IMPLANTABLE),5485.0,6033.5,2358.55,10695.75,50
CDM,0684879,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0684880,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1663.0,1829.3,715.09,3242.85,50
CDM,0684881,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",875.0,875.0,235.38,1706.25,45
CDM,0684883,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0684884,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0684885,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0684887,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",744.0,818.4,319.92,1450.8,50
CDM,0684888,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",1097.0,1206.7,471.71,2139.15,50
CDM,0684889,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",1251.0,1376.1,537.93,2439.45,50
CDM,0684890,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",2100.0,2310.0,903.0,4095.0,50
CDM,0684891,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2886.0,3174.6,1240.98,5627.7,50
CDM,0684892,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2625.0,2887.5,1128.75,5118.75,50
CDM,0684893,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0684894,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3238.0,3561.8,1392.34,6314.1,50
CDM,0684895,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3500.0,3850.0,1505.0,6825.0,50
CDM,0684896,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2188.0,2406.8,940.84,4266.6,50
CDM,0684897,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0684898,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0684899,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0684900,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",4113.0,4524.3,1768.59,8020.35,50
CDM,0684901,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",9052.0,9957.2,3892.36,17651.4,50
CDM,0684902,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",29750.0,32725.0,12792.5,58012.5,50
CDM,0684903,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",17150.0,18865.0,7374.5,33442.5,50
CDM,0684904,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",16293.0,17922.3,7005.99,31771.35,50
CDM,0684905,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19425.0,21367.5,8352.75,37878.75,50
CDM,0684907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2105.0,2315.5,905.15,4104.75,50
CDM,0684908,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0684909,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3845.0,4229.5,1653.35,7497.75,50
CDM,0684910,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0684911,"CATHETER, OCCLUSION",914.0,914.0,245.87,1782.3,45
CDM,0684912,CANUL PRFSN 42FR VNTRC ATR,1908.0,1908.0,392.28,1526.4,45
CDM,0684913,"CATHETER, BALLOON DILATATION, NON-VASCULAR",1094.0,1094.0,294.29,2133.3,45
CDM,0684914,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3150.0,3465.0,1354.5,6142.5,50
CDM,0684915,CIRCUIT DRAIN ANGIOVAC W/TRAP,20125.0,20125.0,3461.0,16100.0,45
CDM,0684916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),945.0,1039.5,406.35,1842.75,50
CDM,0684917,COAGULATION AND SUCTION CANNUL,1092.0,1092.0,224.52,873.6,45
CDM,0684918,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1488.0,1636.8,639.84,2901.6,50
CDM,0684920,JOINT DEVICE (IMPLANTABLE),3202.0,3522.2,1376.86,6243.9,50
CDM,0684921,BALLOON SYNFLATE SM,1441.0,1441.0,296.27,1152.8,45
CDM,0684923,"AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",2323.0,2555.3,998.89,11484.54,50
CDM,0684924,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2853.0,2853.0,767.46,5563.35,45
CDM,0684927,JOINT DEVICE (IMPLANTABLE),1303.0,1433.3,560.29,2540.85,50
CDM,0684928,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",449.0,493.9,193.07,1328.91,50
CDM,0684929,JOINT DEVICE (IMPLANTABLE),4927.0,5419.7,2118.61,9607.65,50
CDM,0684930,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",36326.0,39958.6,15620.18,70835.7,50
CDM,0684931,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",32980.0,36278.0,14181.4,64311.0,50
CDM,0684932,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",213.0,234.3,91.59,415.35,50
CDM,0684933,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",30240.0,33264.0,13003.2,58968.0,50
CDM,0684934,JOINT DEVICE (IMPLANTABLE),20215.0,22236.5,8692.45,39419.25,50
CDM,0684935,JOINT DEVICE (IMPLANTABLE),8707.0,9577.7,3744.01,16978.65,50
CDM,0684936,JOINT DEVICE (IMPLANTABLE),5891.0,6480.1,2533.13,11487.45,50
CDM,0684937,JOINT DEVICE (IMPLANTABLE),1335.0,1468.5,574.05,2603.25,50
CDM,0684938,JOINT DEVICE (IMPLANTABLE),3909.0,4299.9,1680.87,7622.55,50
CDM,0684939,JOINT DEVICE (IMPLANTABLE),6365.0,7001.5,2736.95,12411.75,50
CDM,0684940,JOINT DEVICE (IMPLANTABLE),8282.0,9110.2,3561.26,16149.9,50
CDM,0684941,JOINT DEVICE (IMPLANTABLE),3909.0,4299.9,1680.87,7622.55,50
CDM,0684942,JOINT DEVICE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0684945,JOINT DEVICE (IMPLANTABLE),2186.0,2404.6,939.98,4262.7,50
CDM,0684946,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0684947,JOINT DEVICE (IMPLANTABLE),1903.0,2093.3,818.29,3710.85,50
CDM,0684948,JOINT DEVICE (IMPLANTABLE),1857.0,2042.7,798.51,3621.15,50
CDM,0684949,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0684950,JOINT DEVICE (IMPLANTABLE),9567.0,10523.7,4113.81,18655.65,50
CDM,0684951,JOINT DEVICE (IMPLANTABLE),713.02,784.32,306.6,1390.39,50
CDM,0684952,JOINT DEVICE (IMPLANTABLE),6783.0,7461.3,2916.69,13226.85,50
CDM,0684953,JOINT DEVICE (IMPLANTABLE),4965.0,5461.5,2134.95,9681.75,50
CDM,0684954,JOINT DEVICE (IMPLANTABLE),5153.0,5668.3,2215.79,10048.35,50
CDM,0684955,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0684956,JOINT DEVICE (IMPLANTABLE),2237.0,2460.7,961.91,4362.15,50
CDM,0684957,JOINT DEVICE (IMPLANTABLE),2354.0,2589.4,1012.22,4590.3,50
CDM,0684958,JOINT DEVICE (IMPLANTABLE),1479.0,1626.9,635.97,2884.05,50
CDM,0684959,JOINT DEVICE (IMPLANTABLE),14143.0,15557.3,6081.49,27578.85,50
CDM,0684960,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0684961,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0684963,JOINT DEVICE (IMPLANTABLE),16244.0,17868.4,6984.92,31675.8,50
CDM,0684964,JOINT DEVICE (IMPLANTABLE),11744.0,12918.4,5049.92,22900.8,50
CDM,0684966,JOINT DEVICE (IMPLANTABLE),16868.0,18554.8,7253.24,32892.6,50
CDM,0684967,JOINT DEVICE (IMPLANTABLE),14039.0,15442.9,6036.77,27376.05,50
CDM,0684968,JOINT DEVICE (IMPLANTABLE),4267.0,4693.7,1834.81,8320.65,50
CDM,0684969,JOINT DEVICE (IMPLANTABLE),11537.0,12690.7,4960.91,22497.15,50
CDM,0684970,ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE),6116.0,6727.6,2629.88,11926.2,50
CDM,0684971,ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE),5970.0,6567.0,2567.1,11641.5,50
CDM,0684972,JOINT DEVICE (IMPLANTABLE),1582.0,1740.2,680.26,3084.9,50
CDM,0684973,JOINT DEVICE (IMPLANTABLE),2837.0,3120.7,1219.91,5532.15,50
CDM,0684974,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0684975,JOINT DEVICE (IMPLANTABLE),2852.0,3137.2,1226.36,5561.4,50
CDM,0684977,JOINT DEVICE (IMPLANTABLE),7769.23,8546.15,3340.77,15150.0,50
CDM,0684978,JOINT DEVICE (IMPLANTABLE),4200.0,4620.0,1806.0,8190.0,50
CDM,0684979,JOINT DEVICE (IMPLANTABLE),7717.0,8488.7,3318.31,15048.15,50
CDM,0684980,JOINT DEVICE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0684981,JOINT DEVICE (IMPLANTABLE),3553.0,3908.3,1527.79,6928.35,50
CDM,0684982,JOINT DEVICE (IMPLANTABLE),2350.0,2585.0,1010.5,4582.5,50
CDM,0684983,JOINT DEVICE (IMPLANTABLE),8905.0,9795.5,3829.15,17364.75,50
CDM,0684984,JOINT DEVICE (IMPLANTABLE),754.0,829.4,324.22,1470.3,50
CDM,0684985,JOINT DEVICE (IMPLANTABLE),7875.0,8662.5,3386.25,15356.25,50
CDM,0684986,JOINT DEVICE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0684987,JOINT DEVICE (IMPLANTABLE),12495.0,13744.5,5372.85,24365.25,50
CDM,0684988,JOINT DEVICE (IMPLANTABLE),19307.75,21238.53,8302.33,37650.11,50
CDM,0684989,JOINT DEVICE (IMPLANTABLE),14039.0,15442.9,6036.77,27376.05,50
CDM,0684990,JOINT DEVICE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0684991,JOINT DEVICE (IMPLANTABLE),1331.0,1464.1,572.33,2595.45,50
CDM,0684992,JOINT DEVICE (IMPLANTABLE),3126.0,3438.6,1344.18,6095.7,50
CDM,0684994,JOINT DEVICE (IMPLANTABLE),3442.0,3786.2,1480.06,6711.9,50
CDM,0684995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0684996,JOINT DEVICE (IMPLANTABLE),3004.0,3304.4,1291.72,5857.8,50
CDM,0684997,JOINT DEVICE (IMPLANTABLE),3701.25,4071.38,1591.54,7217.44,50
CDM,0684998,JOINT DEVICE (IMPLANTABLE),5846.0,6430.6,2513.78,11399.7,50
CDM,0684999,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0685001,JOINT DEVICE (IMPLANTABLE),5201.0,5721.1,2236.43,10141.95,50
CDM,0685002,JOINT DEVICE (IMPLANTABLE),2709.0,2979.9,1164.87,5282.55,50
CDM,0685003,JOINT DEVICE (IMPLANTABLE),7707.0,8477.7,3314.01,15028.65,50
CDM,0685006,JOINT DEVICE (IMPLANTABLE),878.0,965.8,377.54,1712.1,50
CDM,0685007,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1636.0,1636.0,440.08,3190.2,45
CDM,0685008,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1980.0,1980.0,532.62,3861.0,45
CDM,0685009,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2156.0,2156.0,579.96,4204.2,45
CDM,0685010,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11375.0,12512.5,4891.25,22181.25,50
CDM,0685011,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",59.0,64.9,25.37,115.05,50
CDM,0685012,JOINT DEVICE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0685013,JOINT DEVICE (IMPLANTABLE),1903.0,2093.3,818.29,3710.85,50
CDM,0685015,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1269.0,1395.9,545.67,2474.55,50
CDM,0685016,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685017,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1313.0,1313.0,353.2,2560.35,45
CDM,0685018,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1392.0,1392.0,374.45,2714.4,45
CDM,0685019,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685020,"LEAD, NEUROSTIMULATOR TEST KIT (IMPLANTABLE)",1566.0,1566.0,421.25,3053.7,45
CDM,0685021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2356.0,2591.6,1013.08,4594.2,50
CDM,0685023,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",1293.0,1422.3,555.99,2521.35,50
CDM,0685024,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1881.0,2069.1,808.83,3667.95,50
CDM,0685025,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1097.0,1206.7,471.71,2139.15,50
CDM,0685026,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0685027,JOINT DEVICE (IMPLANTABLE),1983.0,2181.3,852.69,3866.85,50
CDM,0685028,JOINT DEVICE (IMPLANTABLE),2186.0,2404.6,939.98,4262.7,50
CDM,0685029,JOINT DEVICE (IMPLANTABLE),1857.0,2042.7,798.51,3621.15,50
CDM,0685030,JOINT DEVICE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0685031,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",506.0,556.6,217.58,986.7,50
CDM,0685033,DVC CANNULA,900.0,900.0,185.04,720.0,45
CDM,0685035,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9625.0,10587.5,4138.75,18768.75,50
CDM,0685036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0685037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0685038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7470.0,8217.0,3212.1,14566.5,50
CDM,0685039,EF CLAMP HOLDING,11470.0,11470.0,2358.23,9176.0,45
CDM,0685041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4017.0,4418.7,1727.31,7833.15,50
CDM,0685042,JOINT DEVICE (IMPLANTABLE),2477.0,2724.7,1065.11,4830.15,50
CDM,0685043,JOINT DEVICE (IMPLANTABLE),7581.0,8339.1,3259.83,14782.95,50
CDM,0685044,JOINT DEVICE (IMPLANTABLE),5432.0,5975.2,2335.76,10592.4,50
CDM,0685045,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9660.0,10626.0,4153.8,18837.0,50
CDM,0685046,INSRT PERILOC,250.0,275.0,51.4,275.0,50
CDM,0685047,JOINT DEVICE (IMPLANTABLE),4219.0,4640.9,1814.17,8227.05,50
CDM,0685048,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1076.0,1183.6,462.68,2098.2,50
CDM,0685049,JOINT DEVICE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0685050,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1076.0,1183.6,462.68,2098.2,50
CDM,0685051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4544.0,4998.4,1953.92,8860.8,50
CDM,0685052,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0685053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3620.0,3982.0,1556.6,7059.0,50
CDM,0685054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1938.0,2131.8,833.34,3779.1,50
CDM,0685056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2333.0,2566.3,1003.19,4549.35,50
CDM,0685057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3224.81,3547.29,1386.67,6288.38,50
CDM,0685059,JOINT DEVICE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2092.0,2301.2,899.56,4079.4,50
CDM,0685061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1968.0,2164.8,846.24,3837.6,50
CDM,0685062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1120.0,1232.0,481.6,2184.0,50
CDM,0685063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1053.82,1159.2,453.14,2054.95,50
CDM,0685064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1083.0,1191.3,465.69,2111.85,50
CDM,0685065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2227.0,2449.7,957.61,4342.65,50
CDM,0685066,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1228.34,1351.17,528.19,2395.26,50
CDM,0685067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3159.78,3475.76,1358.71,6161.57,50
CDM,0685068,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),934.0,1027.4,401.62,1821.3,50
CDM,0685069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3214.0,3535.4,1382.02,6267.3,50
CDM,0685070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2399.0,2638.9,1031.57,4678.05,50
CDM,0685071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),986.0,1084.6,423.98,1922.7,50
CDM,0685072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2152.08,2367.29,925.39,4196.56,50
CDM,0685073,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1076.0,1183.6,462.68,2098.2,50
CDM,0685075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),986.0,1084.6,423.98,1922.7,50
CDM,0685076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1402.0,1542.2,602.86,2733.9,50
CDM,0685077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1872.0,2059.2,804.96,3650.4,50
CDM,0685078,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2924.0,3216.4,1257.32,5701.8,50
CDM,0685079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2644.0,2908.4,1136.92,5155.8,50
CDM,0685080,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2924.32,3216.75,1257.46,5702.42,50
CDM,0685081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3053.0,3358.3,1312.79,5953.35,50
CDM,0685082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3795.0,4174.5,1631.85,7400.25,50
CDM,0685083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),632.0,695.2,271.76,1232.4,50
CDM,0685084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),611.0,672.1,262.73,1191.45,50
CDM,0685085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),868.0,954.8,373.24,1692.6,50
CDM,0685086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3899.0,4288.9,1676.57,7603.05,50
CDM,0685087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2491.0,2740.1,1071.13,4857.45,50
CDM,0685088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1142.0,1256.2,491.06,2226.9,50
CDM,0685089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),428.0,470.8,184.04,834.6,50
CDM,0685090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),920.0,1012.0,395.6,1794.0,50
CDM,0685091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0685093,EF RING COMP,1283.0,1283.0,263.78,1026.4,45
CDM,0685094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0685095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.0,357.5,139.75,633.75,50
CDM,0685098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0685100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.43,101.67,39.74,180.24,50
CDM,0685102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.0,217.8,85.14,386.1,50
CDM,0685103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0685104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),447.0,491.7,192.21,871.65,50
CDM,0685105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),293.0,322.3,125.99,571.35,50
CDM,0685106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),549.0,603.9,236.07,1070.55,50
CDM,0685107,RAIL ARC NON THREAD EXT FIX,1407.0,1407.0,289.28,1125.6,45
CDM,0685109,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,0685110,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",1216.0,1337.6,522.88,2371.2,50
CDM,0685111,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",963.0,1059.3,414.09,1877.85,50
CDM,0685112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0685114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0685115,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),88.0,96.8,37.84,171.6,50
CDM,0685116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),105.0,115.5,45.15,204.75,50
CDM,0685117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.0,220.0,86.0,390.0,50
CDM,0685118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),258.0,283.8,110.94,503.1,50
CDM,0685121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0685122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),313.0,344.3,134.59,610.35,50
CDM,0685123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0685125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.0,523.6,204.68,928.2,50
CDM,0685126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),826.0,908.6,355.18,1610.7,50
CDM,0685127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1301.41,1431.55,559.61,2537.75,50
CDM,0685128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0685129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0685131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685133,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0685134,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0685135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0685136,JOINT DEVICE (IMPLANTABLE),1912.63,2103.89,822.43,3729.63,50
CDM,0685137,JOINT DEVICE (IMPLANTABLE),2209.0,2429.9,949.87,4307.55,50
CDM,0685138,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0685139,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3700.0,4070.0,1591.0,7215.0,50
CDM,0685140,JOINT DEVICE (IMPLANTABLE),2417.0,2658.7,1039.31,4713.15,50
CDM,0685142,"INTEGRA MATRIX, PER SQUARE CENTIMETER",7789.0,8567.9,3349.27,15188.55,50
CDM,0685143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),952.88,1048.17,409.74,1858.12,50
CDM,0685144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1395.63,1535.19,600.12,2721.48,50
CDM,0685145,EF SPD FRAME CLAMP RING 180MM,1400.0,1400.0,287.84,1120.0,45
CDM,0685146,BLADE DERMA CONE TPRD,980.0,980.0,201.49,784.0,45
CDM,0685148,JOINT DEVICE (IMPLANTABLE),2611.0,2872.1,1122.73,5091.45,50
CDM,0685151,JOINT DEVICE (IMPLANTABLE),4649.0,5113.9,1999.07,9065.55,50
CDM,0685152,JOINT DEVICE (IMPLANTABLE),1321.0,1453.1,568.03,2575.95,50
CDM,0685153,JOINT DEVICE (IMPLANTABLE),17912.0,19703.2,7702.16,34928.4,50
CDM,0685154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),532.0,585.2,228.76,1037.4,50
CDM,0685155,OXYGENATOR TANDEM KIT,27300.0,27300.0,3461.0,21840.0,45
CDM,0685157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1142.75,1257.03,491.38,2228.36,50
CDM,0685159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0685161,JOINT DEVICE (IMPLANTABLE),1315.13,1446.64,565.51,2564.5,50
CDM,0685163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),178.78,196.66,76.88,348.62,50
CDM,0685164,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3500.0,3850.0,1505.0,6825.0,50
CDM,0685165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0685167,JOINT DEVICE (IMPLANTABLE),3763.39,4139.73,1618.26,7338.61,50
CDM,0685169,JOINT DEVICE (IMPLANTABLE),2975.0,3272.5,1279.25,5801.25,50
CDM,0685170,JOINT DEVICE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0685172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0685173,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3316.0,3647.6,1425.88,6466.2,50
CDM,0685175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0685176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0685177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0685178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0685179,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",35359.0,38894.9,15204.37,68950.05,50
CDM,0685181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2253.0,2478.3,968.79,4393.35,50
CDM,0685182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),198.88,218.77,85.52,387.82,50
CDM,0685183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),291.0,320.1,125.13,567.45,50
CDM,0685184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),399.0,438.9,171.57,778.05,50
CDM,0685185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2601.0,2861.1,1118.43,5071.95,50
CDM,0685186,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),379.42,417.36,163.15,739.87,50
CDM,0685188,JOINT DEVICE (IMPLANTABLE),16859.0,18544.9,7249.37,32875.05,50
CDM,0685189,JOINT DEVICE (IMPLANTABLE),2155.0,2370.5,926.65,4202.25,50
CDM,0685190,JOINT DEVICE (IMPLANTABLE),10345.0,11379.5,4448.35,20172.75,50
CDM,0685191,JOINT DEVICE (IMPLANTABLE),7678.0,8445.8,3301.54,14972.1,50
CDM,0685192,JOINT DEVICE (IMPLANTABLE),3404.0,3744.4,1463.72,6637.8,50
CDM,0685193,JOINT DEVICE (IMPLANTABLE),6034.0,6637.4,2594.62,11766.3,50
CDM,0685194,JOINT DEVICE (IMPLANTABLE),10008.25,11009.08,4303.55,19516.09,50
CDM,0685195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1016.75,1118.43,437.2,1982.66,50
CDM,0685198,JOINT DEVICE (IMPLANTABLE),7566.0,8322.6,3253.38,14753.7,50
CDM,0685199,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",27823.25,30605.58,11964.0,54255.34,50
CDM,0685200,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7787.5,8566.25,3348.63,15185.63,50
CDM,0685201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1297.0,1426.7,557.71,2529.15,50
CDM,0685202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),664.0,730.4,285.52,1294.8,50
CDM,0685203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3465.0,3811.5,1489.95,6756.75,50
CDM,0685204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3279.0,3606.9,1409.97,6394.05,50
CDM,0685205,JOINT DEVICE (IMPLANTABLE),5846.0,6430.6,2513.78,11399.7,50
CDM,0685206,JOINT DEVICE (IMPLANTABLE),4580.0,5038.0,1969.4,8931.0,50
CDM,0685207,JOINT DEVICE (IMPLANTABLE),3024.0,3326.4,1300.32,5896.8,50
CDM,0685208,JOINT DEVICE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0685209,JOINT DEVICE (IMPLANTABLE),2101.0,2311.1,903.43,4096.95,50
CDM,0685211,WASHER ORTO 7MM,3099.25,3099.25,637.21,2479.4,45
CDM,0685213,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),557.0,612.7,239.51,1086.15,50
CDM,0685214,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),598.0,657.8,257.14,1166.1,50
CDM,0685215,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),586.0,644.6,251.98,1142.7,50
CDM,0685216,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),608.0,668.8,261.44,1185.6,50
CDM,0685218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),799.0,878.9,343.57,1558.05,50
CDM,0685219,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),735.0,808.5,316.05,1433.25,50
CDM,0685220,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),382.0,420.2,164.26,744.9,50
CDM,0685221,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1117.81,1229.59,480.66,2179.73,50
CDM,0685222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2094.0,2303.4,900.42,4083.3,50
CDM,0685223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0685225,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0685226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2678.0,2945.8,1151.54,5222.1,50
CDM,0685227,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3880.0,4268.0,1668.4,7566.0,50
CDM,0685228,PROBE TRILOGY,1365.0,1365.0,280.64,1092.0,45
CDM,0685229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685230,JOINT DEVICE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0685231,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0685232,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0685233,JOINT DEVICE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0685234,JOINT DEVICE (IMPLANTABLE),2975.0,3272.5,1279.25,5801.25,50
CDM,0685235,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0685236,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.26,369.89,144.59,655.71,50
CDM,0685237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),109.53,120.48,47.1,213.58,50
CDM,0685240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1547.0,1701.7,665.21,3016.65,50
CDM,0685242,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2520.0,2772.0,1083.6,4914.0,50
CDM,0685243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0685244,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3640.0,4004.0,1565.2,7098.0,50
CDM,0685245,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7875.0,8662.5,3386.25,15356.25,50
CDM,0685247,"GRAFT, VASCULAR",1941.0,2135.1,834.63,3784.95,50
CDM,0685248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),430.0,473.0,184.9,838.5,50
CDM,0685249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1470.0,1617.0,632.1,2866.5,50
CDM,0685250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1116.0,1227.6,479.88,2176.2,50
CDM,0685251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4226.0,4648.6,1817.18,8240.7,50
CDM,0685252,JOINT DEVICE (IMPLANTABLE),9968.0,10964.8,4286.24,19437.6,50
CDM,0685254,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0685255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),437.5,481.25,188.13,853.13,50
CDM,0685256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0685257,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",431.0,474.1,185.33,840.45,50
CDM,0685258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),83.0,91.3,35.69,161.85,50
CDM,0685259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2534.09,2787.5,1089.66,4941.48,50
CDM,0685262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0685263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2526.0,2778.6,1086.18,4925.7,50
CDM,0685265,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0685266,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1496.0,1645.6,643.28,2917.2,50
CDM,0685267,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4113.0,4524.3,1768.59,8020.35,50
CDM,0685268,JOINT DEVICE (IMPLANTABLE),858.0,943.8,368.94,1673.1,50
CDM,0685270,JOINT DEVICE (IMPLANTABLE),1394.0,1533.4,599.42,2718.3,50
CDM,0685271,JOINT DEVICE (IMPLANTABLE),4524.0,4976.4,1945.32,8821.8,50
CDM,0685272,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0685273,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4191.0,4610.1,1802.13,8172.45,50
CDM,0685274,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0685276,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0685277,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9625.0,10587.5,4138.75,18768.75,50
CDM,0685278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0685280,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",333.0,366.3,143.19,649.35,50
CDM,0685282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),673.0,740.3,289.39,1312.35,50
CDM,0685283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2542.0,2796.2,1093.06,4956.9,50
CDM,0685284,JOINT DEVICE (IMPLANTABLE),5407.0,5947.7,2325.01,10543.65,50
CDM,0685285,"ALLODERM, PER SQUARE CENTIMETER",2329.0,2561.9,1001.47,4541.55,50
CDM,0685286,"ALLODERM, PER SQUARE CENTIMETER",3106.0,3416.6,1335.58,6056.7,50
CDM,0685287,"ALLODERM, PER SQUARE CENTIMETER",3495.0,3844.5,1502.85,6815.25,50
CDM,0685288,"ALLODERM, PER SQUARE CENTIMETER",4925.0,5417.5,2117.75,9603.75,50
CDM,0685289,"ALLODERM, PER SQUARE CENTIMETER",5541.0,6095.1,2382.63,10804.95,50
CDM,0685290,"ALLODERM, PER SQUARE CENTIMETER",6566.0,7222.6,2823.38,12803.7,50
CDM,0685292,"ALLODERM, PER SQUARE CENTIMETER",16417.0,18058.7,7059.31,32013.15,50
CDM,0685293,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",134.0,147.4,57.62,261.3,50
CDM,0685294,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",143.0,157.3,61.49,278.85,50
CDM,0685295,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",223.0,245.3,95.89,434.85,50
CDM,0685296,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",319.0,350.9,137.17,622.05,50
CDM,0685297,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0685298,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",248.0,272.8,106.64,483.6,50
CDM,0685299,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0685300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0685301,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",41650.0,45815.0,17909.5,81217.5,50
CDM,0685302,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),290.2,319.22,124.79,565.89,50
CDM,0685303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),495.11,544.62,212.9,965.46,50
CDM,0685304,JOINT DEVICE (IMPLANTABLE),3531.0,3884.1,1518.33,6885.45,50
CDM,0685305,JOINT DEVICE (IMPLANTABLE),6382.0,7020.2,2744.26,12444.9,50
CDM,0685306,JOINT DEVICE (IMPLANTABLE),6886.0,7574.6,2960.98,13427.7,50
CDM,0685307,JOINT DEVICE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0685308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4210.0,4631.0,1810.3,8209.5,50
CDM,0685309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0685310,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4143.0,4557.3,1781.49,8078.85,50
CDM,0685311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1817.0,1998.7,781.31,3543.15,50
CDM,0685312,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.38,135.72,53.05,240.59,50
CDM,0685313,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1000.0,1100.0,430.0,1328.91,50
CDM,0685314,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1308.0,1438.8,545.19,1438.8,50
CDM,0685315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1110.38,1221.42,477.46,2165.24,50
CDM,0685316,JOINT DEVICE (IMPLANTABLE),2291.63,2520.79,985.4,4468.68,50
CDM,0685317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),762.0,838.2,327.66,1485.9,50
CDM,0685318,JOINT DEVICE (IMPLANTABLE),6379.0,7016.9,2742.97,12439.05,50
CDM,0685319,JOINT DEVICE (IMPLANTABLE),12355.88,13591.47,5313.03,24093.97,50
CDM,0685320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),291.0,320.1,125.13,567.45,50
CDM,0685321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1228.0,1350.8,528.04,2394.6,50
CDM,0685322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),445.0,489.5,191.35,867.75,50
CDM,0685324,JOINT DEVICE (IMPLANTABLE),2307.11,2537.82,992.06,4498.86,50
CDM,0685325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2050.0,2255.0,881.5,3997.5,50
CDM,0685326,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2759.0,3034.9,1186.37,5380.05,50
CDM,0685327,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0685328,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.01,365.21,142.76,647.42,50
CDM,0685329,JOINT DEVICE (IMPLANTABLE),465.0,511.5,199.95,906.75,50
CDM,0685330,JOINT DEVICE (IMPLANTABLE),772.0,849.2,331.96,1505.4,50
CDM,0685331,JOINT DEVICE (IMPLANTABLE),1393.88,1533.27,599.37,2718.07,50
CDM,0685332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3011.09,3312.2,1294.77,5871.63,50
CDM,0685333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0685334,FLOW COUPLER P-A,1663.0,1663.0,341.91,1330.4,45
CDM,0685335,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0685337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2944.0,3238.4,1265.92,5740.8,50
CDM,0685338,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0685339,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3152.0,3467.2,1355.36,6146.4,50
CDM,0685340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2409.0,2649.9,1035.87,4697.55,50
CDM,0685341,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1068.0,1174.8,459.24,2082.6,50
CDM,0685342,EF PLT FOOT DBL 160MM,1400.0,1400.0,287.84,1120.0,45
CDM,0685343,EF 160MM OVAL RING,1138.0,1138.0,233.97,910.4,45
CDM,0685345,EF RAIL BODY COMPL-LONG,1750.0,1750.0,359.8,1400.0,45
CDM,0685347,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),4812.5,5293.75,2069.38,9384.38,50
CDM,0685348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0685349,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",12295.5,13525.05,5287.07,23976.23,50
CDM,0685350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2991.0,3290.1,1286.13,5832.45,50
CDM,0685351,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0685352,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),104.0,114.4,44.72,202.8,50
CDM,0685353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1514.0,1665.4,651.02,2952.3,50
CDM,0685354,DRILL BIT CANNULATED 11MM,975.0,975.0,200.46,780.0,45
CDM,0685355,NAIL ANTEGRD TIB,46076.0,50683.6,9473.23,50683.6,50
CDM,0685356,PRECISE FAST DISTRACTOR,1121.75,1121.75,230.63,897.4,45
CDM,0685358,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),303.0,333.3,130.29,590.85,50
CDM,0685359,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",12163.0,13379.3,5230.09,23717.85,50
CDM,0685361,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685362,EF BAR ANGVICER CLAMP,1050.0,1050.0,215.88,840.0,45
CDM,0685363,EF RAIL 350,1575.0,1575.0,323.82,1260.0,45
CDM,0685364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0685365,JOINT DEVICE (IMPLANTABLE),5600.0,6160.0,2408.0,10920.0,50
CDM,0685366,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0685367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685368,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7175.0,7892.5,3085.25,13991.25,50
CDM,0685369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),86.0,94.6,36.98,167.7,50
CDM,0685370,JOINT DEVICE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0685371,MDL IPS SKULL,8309.0,8309.0,1708.33,6647.2,45
CDM,0685373,JOINT DEVICE (IMPLANTABLE),8400.0,9240.0,3612.0,16380.0,50
CDM,0685374,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5380.0,5918.0,2313.4,10491.0,50
CDM,0685375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.38,412.92,161.41,731.99,50
CDM,0685376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),549.0,603.9,236.07,1070.55,50
CDM,0685377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),548.63,603.49,235.91,1069.83,50
CDM,0685378,"GRAFT, VASCULAR",8246.0,9070.6,3545.78,16079.7,50
CDM,0685379,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",30424.0,33466.4,13082.32,59326.8,50
CDM,0685380,JOINT DEVICE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0685381,JOINT DEVICE (IMPLANTABLE),898.0,987.8,386.14,1751.1,50
CDM,0685382,JOINT DEVICE (IMPLANTABLE),7158.38,7874.22,3078.1,13958.84,50
CDM,0685383,JOINT DEVICE (IMPLANTABLE),3126.38,3439.02,1344.34,6096.44,50
CDM,0685384,JOINT DEVICE (IMPLANTABLE),3661.88,4028.07,1574.61,7140.67,50
CDM,0685386,BIT DRL 16MM CANN HOL,1729.0,1729.0,355.48,1383.2,45
CDM,0685387,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),865.0,951.5,371.95,1686.75,50
CDM,0685388,SCR INSERTER,2271.0,2271.0,466.92,1816.8,45
CDM,0685389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2317.0,2548.7,996.31,4518.15,50
CDM,0685390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1753.0,1928.3,753.79,3418.35,50
CDM,0685391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0685394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2495.0,2744.5,1072.85,4865.25,50
CDM,0685395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.36,296.3,115.82,525.25,50
CDM,0685396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),181.3,199.43,77.96,353.54,50
CDM,0685397,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",60638.0,66701.8,26074.34,118244.1,50
CDM,0685398,JOINT DEVICE (IMPLANTABLE),2764.0,3040.4,1188.52,5389.8,50
CDM,0685399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0685402,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1961.75,2157.93,843.55,3825.41,50
CDM,0685403,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0685404,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0685406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),420.0,462.0,180.6,819.0,50
CDM,0685407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.5,296.45,115.89,525.53,50
CDM,0685408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),355.0,390.5,152.65,692.25,50
CDM,0685409,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0685410,TRIPLE PL DEV 3.0MM,1443.75,1443.75,296.84,1155.0,45
CDM,0685411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3166.0,3482.6,1361.38,6173.7,50
CDM,0685414,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",34207.0,37627.7,14709.01,66703.65,50
CDM,0685415,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1160.0,1160.0,312.04,2262.0,45
CDM,0685416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3676.75,4044.43,1581.0,7169.66,50
CDM,0685417,JOINT DEVICE (IMPLANTABLE),1984.5,2182.95,853.34,3869.78,50
CDM,0685418,JOINT DEVICE (IMPLANTABLE),1984.5,2182.95,853.34,3869.78,50
CDM,0685419,JOINT DEVICE (IMPLANTABLE),4433.63,4876.99,1906.46,8645.58,50
CDM,0685420,JOINT DEVICE (IMPLANTABLE),12387.38,13626.12,5326.57,24155.39,50
CDM,0685421,JOINT DEVICE (IMPLANTABLE),4323.38,4755.72,1859.05,8430.59,50
CDM,0685422,GRFT ENDOPROSTHESIS SYS,19297.0,21226.7,3967.46,21226.7,50
CDM,0685423,JOINT DEVICE (IMPLANTABLE),2051.0,2256.1,881.93,3999.45,50
CDM,0685424,JOINT DEVICE (IMPLANTABLE),2842.88,3127.17,1222.44,5543.62,50
CDM,0685425,JOINT DEVICE (IMPLANTABLE),7183.75,7902.13,3089.01,14008.31,50
CDM,0685426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1136.47,1250.12,488.68,2216.12,50
CDM,0685427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1458.0,1603.8,626.94,2843.1,50
CDM,0685430,EF SPEED FRAME RAIL,2188.0,2188.0,449.85,1750.4,45
CDM,0685431,EF SPEED FRAME 180MM,1400.0,1400.0,287.84,1120.0,45
CDM,0685433,EF WALKING SKI,1313.0,1313.0,269.95,1050.4,45
CDM,0685434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6762.0,7438.2,2907.66,13185.9,50
CDM,0685435,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1481.0,1629.1,636.83,2887.95,50
CDM,0685439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1831.0,2014.1,787.33,3570.45,50
CDM,0685440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685441,JOINT DEVICE (IMPLANTABLE),4641.0,5105.1,1995.63,9049.95,50
CDM,0685442,JOINT DEVICE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0685447,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0685449,JOINT DEVICE (IMPLANTABLE),7709.0,8479.9,3314.87,15032.55,50
CDM,0685450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),500.5,550.55,215.22,975.98,50
CDM,0685451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3210.0,3531.0,1380.3,6259.5,50
CDM,0685452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685453,COMPL OP DRBT/REAM ASSY,2968.35,2968.35,610.29,2374.68,45
CDM,0685454,"STRATTICE TM, PER SQUARE CENTIMETER",22418.0,24659.8,9639.74,43715.1,50
CDM,0685457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3462.01,3808.21,1488.66,6750.92,50
CDM,0685459,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4191.0,4610.1,1802.13,8172.45,50
CDM,0685460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.85,220.94,86.37,391.66,50
CDM,0685461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0685463,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),6563.0,7219.3,2822.09,12797.85,50
CDM,0685464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),612.5,673.75,263.38,1194.38,50
CDM,0685465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.88,424.47,165.93,752.47,50
CDM,0685466,JOINT DEVICE (IMPLANTABLE),12434.0,13677.4,5346.62,24246.3,50
CDM,0685467,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5644.0,6208.4,2426.92,11005.8,50
CDM,0685468,"HYALOMATRIX, PER SQUARE CENTIMETER",1093.0,1202.3,469.99,2131.35,50
CDM,0685469,"HYALOMATRIX, PER SQUARE CENTIMETER",4271.0,4698.1,1836.53,8328.45,50
CDM,0685470,"HYALOMATRIX, PER SQUARE CENTIMETER",6290.0,6919.0,2704.7,12265.5,50
CDM,0685471,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",1443.0,1587.3,620.49,2813.85,50
CDM,0685472,MESH (IMPLANTABLE),1331.0,1464.1,572.33,2595.45,50
CDM,0685473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2406.6,2647.26,1034.84,4692.87,50
CDM,0685474,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2175.0,2392.5,935.25,4241.25,50
CDM,0685475,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6991.0,7690.1,3006.13,13632.45,50
CDM,0685476,KIT ACCESS RAPIDPORT EZ 0,1444.0,1444.0,296.89,1155.2,45
CDM,0685477,"CATHETER, DRAINAGE",1116.22,1116.22,300.26,2176.63,45
CDM,0685478,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",612.0,673.2,263.16,1193.4,50
CDM,0685479,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",678.0,745.8,291.54,1322.1,50
CDM,0685480,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",875.0,962.5,376.25,1706.25,50
CDM,0685481,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2880.0,3168.0,1238.4,5616.0,50
CDM,0685482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2012.0,2213.2,865.16,3923.4,50
CDM,0685483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1751.0,1926.1,752.93,3414.45,50
CDM,0685484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1695.0,1864.5,728.85,3305.25,50
CDM,0685486,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.0,288.2,112.66,510.9,50
CDM,0685487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),130.76,143.84,56.23,254.98,50
CDM,0685488,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0685489,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1289.75,1418.73,554.59,2515.01,50
CDM,0685490,JOINT DEVICE (IMPLANTABLE),2897.0,3186.7,1245.71,5649.15,50
CDM,0685491,"PURAPLY, PER SQUARE CENTIMETER",4900.0,5390.0,2107.0,9555.0,50
CDM,0685492,"PURAPLY AM, PER SQUARE CENTIMETER",1313.0,1444.3,564.59,2560.35,50
CDM,0685494,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0685495,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0685496,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0685497,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2704.0,2974.4,1162.72,5272.8,50
CDM,0685498,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),857.0,942.7,368.51,1671.15,50
CDM,0685499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),538.0,591.8,231.34,1049.1,50
CDM,0685500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1105.0,1215.5,475.15,2154.75,50
CDM,0685501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3480.0,3828.0,1496.4,6786.0,50
CDM,0685502,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1933.17,2126.49,831.26,3769.68,50
CDM,0685503,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1197.0,1316.7,514.71,2334.15,50
CDM,0685506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),905.0,995.5,389.15,1764.75,50
CDM,0685507,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",998.0,998.0,268.46,1946.1,45
CDM,0685511,DVC BLADE FENESTRATED,1365.0,1365.0,280.64,1092.0,45
CDM,0685512,ENDOBLADE FASCIA RELEA,1723.0,1723.0,354.25,1378.4,45
CDM,0685513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1663.0,1829.3,715.09,3242.85,50
CDM,0685514,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1857.0,2042.7,798.51,3621.15,50
CDM,0685515,DVC AC REPAIR KNOTLESS,2994.0,2994.0,615.57,2395.2,45
CDM,0685518,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",2198.0,2198.0,591.26,4286.1,45
CDM,0685519,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2013.0,2013.0,541.5,3925.35,45
CDM,0685520,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",3649.0,3649.0,981.58,7115.55,45
CDM,0685521,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1855.0,1855.0,499.0,3617.25,45
CDM,0685522,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",9100.0,10010.0,3913.0,17745.0,50
CDM,0685523,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",6816.0,6816.0,1833.5,13291.2,45
CDM,0685524,JOINT DEVICE (IMPLANTABLE),1419.0,1560.9,610.17,2767.05,50
CDM,0685525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1099.0,1208.9,472.57,2143.05,50
CDM,0685526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3668.0,4034.8,1577.24,7152.6,50
CDM,0685527,DOUBLE HOLE FOOTPLATE 180MM,1444.0,1444.0,296.89,1155.2,45
CDM,0685528,OVAL RING 180MM,1181.0,1181.0,242.81,944.8,45
CDM,0685529,HALF RING 180MM,919.0,919.0,188.95,735.2,45
CDM,0685530,JOINT DEVICE (IMPLANTABLE),3500.0,3850.0,1505.0,6825.0,50
CDM,0685531,DRAWING 21MM/15MM,1041.0,1041.0,214.03,832.8,45
CDM,0685532,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",6125.0,6125.0,1647.63,11943.75,45
CDM,0685533,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",5775.0,5775.0,1553.48,11261.25,45
CDM,0685534,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5556.0,6111.6,2389.08,10834.2,50
CDM,0685535,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",44625.0,49087.5,19188.75,87018.75,50
CDM,0685536,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",47250.0,51975.0,20317.5,92137.5,50
CDM,0685537,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",37643.0,41407.3,16186.49,73403.85,50
CDM,0685538,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",41388.0,45526.8,17796.84,80706.6,50
CDM,0685539,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",37118.0,40829.8,15960.74,72380.1,50
CDM,0685540,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",32892.0,36181.2,14143.56,64139.4,50
CDM,0685542,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",31281.0,34409.1,13450.83,60997.95,50
CDM,0685543,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29094.0,32003.4,12510.42,56733.3,50
CDM,0685544,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0685545,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27738.0,30511.8,11927.34,54089.1,50
CDM,0685546,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",17299.0,19028.9,7438.57,33733.05,50
CDM,0685547,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27125.0,29837.5,11663.75,52893.75,50
CDM,0685548,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",26600.0,29260.0,11438.0,51870.0,50
CDM,0685549,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC/PNEUMATIC COMBINATION VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",25874.0,28461.4,4507.77,28461.4,50
CDM,0685550,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",18865.0,20751.5,8111.95,36786.75,50
CDM,0685551,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",23450.0,25795.0,10083.5,45727.5,50
CDM,0685552,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",20825.0,22907.5,8954.75,40608.75,50
CDM,0685554,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11419.0,11419.0,3071.71,22267.05,45
CDM,0685555,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10528.0,11580.8,4527.04,20529.6,50
CDM,0685556,DVC 3D REVASC,9433.0,9433.0,1939.42,7546.4,45
CDM,0685557,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8184.0,9002.4,3519.12,15958.8,50
CDM,0685558,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8102.0,8912.2,3483.86,15798.9,50
CDM,0685559,"CATHETER, THROMBECTOMY/EMBOLECTOMY",5696.0,5696.0,1532.22,11107.2,45
CDM,0685560,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3876.0,4263.6,1666.68,7558.2,50
CDM,0685561,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4891.0,4891.0,1315.68,9537.45,45
CDM,0685562,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4708.0,4708.0,1266.45,9180.6,45
CDM,0685563,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3876.0,4263.6,1666.68,7558.2,50
CDM,0685564,SEPARATOR PENUMBRA 3MAX,5215.0,5215.0,1072.2,4172.0,45
CDM,0685565,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4253.0,4253.0,1144.06,8293.35,45
CDM,0685566,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3946.0,3946.0,1061.47,7694.7,45
CDM,0685567,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3491.0,3491.0,939.08,6807.45,45
CDM,0685568,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4253.0,4253.0,1144.06,8293.35,45
CDM,0685569,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2853.0,2853.0,767.46,5563.35,45
CDM,0685571,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0685572,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,0685573,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,0685574,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0685575,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0685576,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0685577,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1579.0,1579.0,424.75,3079.05,45
CDM,0685578,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1444.0,1588.4,620.92,2815.8,50
CDM,0685579,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1383.0,1521.3,594.69,2696.85,50
CDM,0685580,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.25,937.48,366.47,1661.89,50
CDM,0685581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0685582,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685583,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685584,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685585,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685586,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685587,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",563.0,619.3,242.09,1097.85,50
CDM,0685588,JOINT DEVICE (IMPLANTABLE),11319.0,12450.9,4867.17,22072.05,50
CDM,0685589,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0685590,JOINT DEVICE (IMPLANTABLE),25057.0,27562.7,10774.51,48861.15,50
CDM,0685591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14522.0,15974.2,6244.46,28317.9,50
CDM,0685593,"CATHETER, THROMBECTOMY/EMBOLECTOMY",12592.0,12592.0,3387.25,24554.4,45
CDM,0685594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),13463.0,14809.3,5789.09,26252.85,50
CDM,0685595,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13300.0,14630.0,5719.0,25935.0,50
CDM,0685596,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13213.0,14534.3,5681.59,25765.35,50
CDM,0685597,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",13825.0,15207.5,5944.75,26958.75,50
CDM,0685598,"CATHETER, THROMBECTOMY/EMBOLECTOMY",12592.0,12592.0,3387.25,24554.4,45
CDM,0685599,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5304.0,5304.0,1426.78,10342.8,45
CDM,0685600,JOINT DEVICE (IMPLANTABLE),10543.0,11597.3,4533.49,20558.85,50
CDM,0685601,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8489.0,9337.9,3650.27,16553.55,50
CDM,0685602,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7306.0,8036.6,3141.58,14246.7,50
CDM,0685603,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5941.0,6535.1,2554.63,11584.95,50
CDM,0685604,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5775.0,6352.5,2483.25,11261.25,50
CDM,0685605,JOINT DEVICE (IMPLANTABLE),4867.0,5353.7,2092.81,9490.65,50
CDM,0685606,EF CLAMP W/2,5452.0,5452.0,1120.93,4361.6,45
CDM,0685607,KIT SOLERO ABLATION 19CM,6178.0,6178.0,1270.2,4942.4,45
CDM,0685608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5761.0,6337.1,2477.23,11233.95,50
CDM,0685609,JOINT DEVICE (IMPLANTABLE),4977.0,5474.7,2140.11,9705.15,50
CDM,0685610,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4979.0,5476.9,2140.97,9709.05,50
CDM,0685611,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4375.0,4812.5,1881.25,8531.25,50
CDM,0685613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0685614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2690.0,2959.0,1156.7,5245.5,50
CDM,0685615,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4367.0,4803.7,1877.81,8515.65,50
CDM,0685616,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2645.0,2909.5,1137.35,5157.75,50
CDM,0685618,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4202.0,4622.2,1806.86,8193.9,50
CDM,0685620,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2525.0,2777.5,1085.75,4923.75,50
CDM,0685621,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4161.0,4577.1,1789.23,8113.95,50
CDM,0685622,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2333.21,2566.53,1003.28,4549.76,50
CDM,0685623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2255.0,2480.5,969.65,4397.25,50
CDM,0685624,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,0685625,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2622.0,2884.2,1127.46,5112.9,50
CDM,0685626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3620.0,3982.0,1556.6,7059.0,50
CDM,0685627,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3259.0,3584.9,1401.37,6355.05,50
CDM,0685628,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3238.0,3561.8,1392.34,6314.1,50
CDM,0685629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3147.0,3461.7,1353.21,6136.65,50
CDM,0685630,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3033.0,3336.3,1304.19,5914.35,50
CDM,0685631,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3015.0,3316.5,1296.45,5879.25,50
CDM,0685633,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2840.0,3124.0,1221.2,5538.0,50
CDM,0685634,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2828.0,3110.8,1216.04,5514.6,50
CDM,0685635,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2804.0,3084.4,1205.72,5467.8,50
CDM,0685636,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2704.0,2974.4,1162.72,5272.8,50
CDM,0685637,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2585.0,2843.5,1111.55,5040.75,50
CDM,0685638,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1925.0,752.5,3412.5,50
CDM,0685639,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2422.0,2664.2,1041.46,4722.9,50
CDM,0685640,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2408.0,2648.8,1035.44,4695.6,50
CDM,0685641,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2392.0,2631.2,1028.56,4664.4,50
CDM,0685642,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2380.0,2618.0,1023.4,4641.0,50
CDM,0685643,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2352.0,2587.2,1011.36,4586.4,50
CDM,0685644,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2303.0,2533.3,990.29,4490.85,50
CDM,0685645,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2296.0,2525.6,987.28,4477.2,50
CDM,0685646,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2240.0,2464.0,963.2,4368.0,50
CDM,0685647,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2886.0,3174.6,1240.98,5627.7,50
CDM,0685648,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2236.0,2459.6,961.48,4360.2,50
CDM,0685649,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2157.0,2372.7,927.51,4206.15,50
CDM,0685650,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2153.0,2368.3,925.79,4198.35,50
CDM,0685651,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2128.0,2340.8,915.04,4149.6,50
CDM,0685652,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2106.0,2316.6,905.58,4106.7,50
CDM,0685653,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2072.0,2279.2,890.96,4040.4,50
CDM,0685654,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2044.0,2248.4,878.92,3985.8,50
CDM,0685655,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2016.0,2217.6,866.88,3931.2,50
CDM,0685656,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1988.0,2186.8,854.84,3876.6,50
CDM,0685657,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1979.0,2176.9,850.97,3859.05,50
CDM,0685659,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1962.0,2158.2,843.66,3825.9,50
CDM,0685660,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1858.0,2043.8,798.94,3623.1,50
CDM,0685661,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2352.0,2587.2,1011.36,4586.4,50
CDM,0685662,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1815.0,1996.5,780.45,3539.25,50
CDM,0685663,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1925.0,752.5,3412.5,50
CDM,0685664,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4239.0,4662.9,1822.77,8266.05,50
CDM,0685665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0685666,JOINT DEVICE (IMPLANTABLE),1648.0,1812.8,708.64,3213.6,50
CDM,0685667,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1679.0,1846.9,721.97,3274.05,50
CDM,0685668,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1654.0,1819.4,711.22,3225.3,50
CDM,0685669,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1613.0,1774.3,693.59,3145.35,50
CDM,0685670,EF CLAM FREEDOM ANKLE,1540.0,1540.0,316.62,1232.0,45
CDM,0685671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0685672,EF CLAMP UNIV,1444.0,1444.0,296.89,1155.2,45
CDM,0685673,EF CLAMP MULTIPIN,1688.0,1688.0,347.05,1350.4,45
CDM,0685674,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1181.0,1299.1,507.83,2302.95,50
CDM,0685676,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1055.0,1160.5,453.65,2057.25,50
CDM,0685677,SNR RETRIEVAL SPYGLASS,915.0,915.0,188.12,732.0,45
CDM,0685678,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,0685679,EF CLAMP CABLE,963.0,963.0,197.99,770.4,45
CDM,0685681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3141.0,3455.1,1350.63,6124.95,50
CDM,0685683,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0685684,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",744.0,818.4,319.92,1450.8,50
CDM,0685686,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",660.0,726.0,283.8,1287.0,50
CDM,0685687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),505.0,555.5,217.15,984.75,50
CDM,0685688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),333.0,366.3,143.19,649.35,50
CDM,0685689,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),469.0,515.9,201.67,914.55,50
CDM,0685690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),311.0,342.1,133.73,606.45,50
CDM,0685691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),478.0,525.8,205.54,932.1,50
CDM,0685693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),475.0,522.5,204.25,926.25,50
CDM,0685694,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",396.0,435.6,170.28,772.2,50
CDM,0685696,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",330.0,363.0,141.9,643.5,50
CDM,0685697,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",259.0,284.9,111.37,505.05,50
CDM,0685698,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0685699,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0685700,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0685701,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0685702,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",238.0,261.8,102.34,464.1,50
CDM,0685703,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0685704,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",219.0,240.9,94.17,427.05,50
CDM,0685705,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",217.0,238.7,93.31,423.15,50
CDM,0685706,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",213.0,234.3,91.59,415.35,50
CDM,0685707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),83.0,91.3,35.69,161.85,50
CDM,0685708,JOINT DEVICE (IMPLANTABLE),14485.0,15933.5,6228.55,28245.75,50
CDM,0685709,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",12250.0,13475.0,5267.5,23887.5,50
CDM,0685710,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13213.0,14534.3,5681.59,25765.35,50
CDM,0685711,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11725.0,12897.5,5041.75,22863.75,50
CDM,0685712,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13017.0,14318.7,5597.31,25383.15,50
CDM,0685713,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11419.0,11419.0,3071.71,22267.05,45
CDM,0685714,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",11419.0,12560.9,4910.17,22267.05,50
CDM,0685715,"CATHETER, THROMBECTOMY/EMBOLECTOMY",12592.0,12592.0,3387.25,24554.4,45
CDM,0685716,EF FRAME,11291.0,11291.0,2321.43,9032.8,45
CDM,0685717,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10693.0,11762.3,4597.99,20851.35,50
CDM,0685718,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10455.0,11500.5,4495.65,20387.25,50
CDM,0685719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10413.0,11454.3,4477.59,20305.35,50
CDM,0685720,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5910.0,6501.0,2541.3,11524.5,50
CDM,0685721,JOINT DEVICE (IMPLANTABLE),9678.0,10645.8,4161.54,18872.1,50
CDM,0685722,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7931.0,8724.1,3410.33,15465.45,50
CDM,0685723,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",10063.0,11069.3,4327.09,19622.85,50
CDM,0685724,KIT NYKANEN RF WIRE,3500.0,3500.0,719.6,2800.0,45
CDM,0685725,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3232.0,3555.2,1389.76,6302.4,50
CDM,0685726,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2021.0,2223.1,869.03,3940.95,50
CDM,0685727,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1943.0,2137.3,835.49,3788.85,50
CDM,0685728,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3168.0,3484.8,1362.24,6177.6,50
CDM,0685729,HALO RING TRACTION,1213.0,1213.0,249.39,970.4,45
CDM,0685730,HALO RING TRACTION,1155.0,1155.0,237.47,924.0,45
CDM,0685731,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1778.0,1778.0,478.28,3467.1,45
CDM,0685732,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1750.0,1750.0,470.75,3412.5,45
CDM,0685733,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3938.0,4331.8,1693.34,7679.1,50
CDM,0685734,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6475.0,7122.5,2784.25,12626.25,50
CDM,0685735,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4283.0,4711.3,1841.69,8351.85,50
CDM,0685736,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",875.0,875.0,235.38,1706.25,45
CDM,0685737,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1181.0,1181.0,317.69,2302.95,45
CDM,0685738,CATH PASSER,906.0,906.0,186.27,724.8,45
CDM,0685739,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",910.0,910.0,244.79,1774.5,45
CDM,0685740,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1269.0,1269.0,341.36,2474.55,45
CDM,0685741,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685742,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685743,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685744,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685745,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685746,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1358.0,1358.0,365.3,2648.1,45
CDM,0685747,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1399.0,1399.0,376.33,2728.05,45
CDM,0685748,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685749,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685750,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685751,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0685752,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1333.0,1333.0,358.58,2599.35,45
CDM,0685753,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1050.0,1050.0,282.45,2047.5,45
CDM,0685754,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1593.0,1593.0,428.52,3106.35,45
CDM,0685755,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1295.0,1295.0,348.36,2525.25,45
CDM,0685756,"CATHETER, BALLOON TISSUE DISSECTOR, NON-VASCULAR (INSERTABLE)",1400.0,1400.0,376.6,2730.0,45
CDM,0685757,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0685758,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1636.0,1636.0,440.08,3190.2,45
CDM,0685759,"CATHETER, OCCLUSION",1661.0,1661.0,446.81,3238.95,45
CDM,0685760,"CATHETER, OCCLUSION",1988.0,1988.0,534.77,3876.6,45
CDM,0685761,"CATHETER, OCCLUSION",2301.0,2301.0,618.97,4486.95,45
CDM,0685762,CATH CLOSUREFAST,1050.0,1050.0,215.88,840.0,45
CDM,0685763,"CATHETER, OCCLUSION",2085.0,2085.0,560.87,4065.75,45
CDM,0685764,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",2363.0,2363.0,635.65,4607.85,45
CDM,0685765,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",2492.0,2492.0,670.35,4859.4,45
CDM,0685766,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",1554.0,1554.0,418.03,3030.3,45
CDM,0685767,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",1615.0,1615.0,434.44,3149.25,45
CDM,0685768,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",4923.0,4923.0,1324.29,9599.85,45
CDM,0685769,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0685770,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,0685771,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,0685772,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0685773,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5066.0,5066.0,1362.75,9878.7,45
CDM,0685774,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1225.0,1225.0,329.53,2388.75,45
CDM,0685775,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1552.0,1552.0,417.49,3026.4,45
CDM,0685776,CATH SYS DEL TORQVUE,1552.0,1552.0,319.09,1241.6,45
CDM,0685777,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1488.0,1488.0,400.27,2901.6,45
CDM,0685778,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1225.0,1225.0,329.53,2388.75,45
CDM,0685779,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1488.0,1488.0,400.27,2901.6,45
CDM,0685780,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2100.0,2100.0,564.9,4095.0,45
CDM,0685781,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2188.0,2188.0,588.57,4266.6,45
CDM,0685782,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2275.0,2275.0,611.98,4436.25,45
CDM,0685784,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",964.0,964.0,259.32,1879.8,45
CDM,0685786,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",3294.0,3294.0,886.09,6423.3,45
CDM,0685787,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",6402.0,6402.0,1722.14,12483.9,45
CDM,0685788,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",5121.0,5121.0,1377.55,9985.95,45
CDM,0685789,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1216.0,1216.0,327.1,2371.2,45
CDM,0685790,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1396.0,1396.0,375.52,2722.2,45
CDM,0685791,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0685792,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6440.0,7084.0,2769.2,12558.0,50
CDM,0685793,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",5775.0,5775.0,1553.48,11261.25,45
CDM,0685794,GUIDE WIRE,1216.0,1216.0,327.1,2371.2,45
CDM,0685795,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1401.0,1401.0,376.87,2731.95,45
CDM,0685796,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",4415.0,4415.0,1187.64,8609.25,45
CDM,0685797,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3763.0,3763.0,1012.25,7337.85,45
CDM,0685798,"CATHETER, DRAINAGE",1842.0,1842.0,495.5,3591.9,45
CDM,0685799,CATH SYPONTRAK,3316.0,3316.0,681.77,2652.8,45
CDM,0685800,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",963.0,963.0,259.05,1877.85,45
CDM,0685801,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",425.0,467.5,182.75,828.75,50
CDM,0685802,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7306.0,8036.6,3141.58,14246.7,50
CDM,0685803,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",7691.0,8460.1,3307.13,14997.45,50
CDM,0685804,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",32892.0,36181.2,14143.56,64139.4,50
CDM,0685806,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5121.0,5121.0,1377.55,9985.95,45
CDM,0685807,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4988.0,5486.8,2144.84,9726.6,50
CDM,0685808,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4891.0,4891.0,1315.68,9537.45,45
CDM,0685809,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4881.0,5369.1,2098.83,9517.95,50
CDM,0685810,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4813.0,5294.3,2069.59,9385.35,50
CDM,0685811,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4668.0,5134.8,2007.24,9102.6,50
CDM,0685812,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4550.0,5005.0,1956.5,8872.5,50
CDM,0685813,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4512.0,4963.2,1940.16,8798.4,50
CDM,0685814,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",4391.0,4391.0,1181.18,8562.45,45
CDM,0685815,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",1160.25,1160.25,312.11,2262.49,45
CDM,0685816,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4111.0,4522.1,1767.73,8016.45,50
CDM,0685817,CATH CVC IVC ANGEL,3938.0,3938.0,809.65,3150.4,45
CDM,0685818,CATH MICRO APOLLO,3491.0,3491.0,717.75,2792.8,45
CDM,0685819,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,0685820,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",3292.0,3292.0,885.55,6419.4,45
CDM,0685821,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2931.0,3224.1,1260.33,5715.45,50
CDM,0685822,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",2713.0,2713.0,729.8,5290.35,45
CDM,0685823,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2704.0,2974.4,1162.72,5272.8,50
CDM,0685824,"CATHETER, INTRAVASCULAR ULTRASOUND",2538.0,2538.0,682.72,4949.1,45
CDM,0685825,"CATHETER, OCCLUSION",2529.0,2529.0,680.3,4931.55,45
CDM,0685826,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",2492.0,2492.0,670.35,4859.4,45
CDM,0685827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2395.0,2634.5,1029.85,4670.25,50
CDM,0685828,CABLE ELECTROPHYSIOLOGY,2363.0,2363.0,485.83,1890.4,45
CDM,0685829,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2363.0,2599.3,1016.09,4607.85,50
CDM,0685830,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",2275.0,2275.0,611.98,4436.25,45
CDM,0685831,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2266.0,2266.0,609.55,4418.7,45
CDM,0685832,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",2188.0,2188.0,588.57,4266.6,45
CDM,0685833,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",2100.0,2100.0,564.9,4095.0,45
CDM,0685834,"CATHETER, OCCLUSION",2091.0,2091.0,562.48,4077.45,45
CDM,0685835,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",2013.0,2013.0,541.5,3925.35,45
CDM,0685836,"CATHETER, OCCLUSION",1988.0,1988.0,534.77,3876.6,45
CDM,0685837,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1925.0,1925.0,517.83,3753.75,45
CDM,0685838,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1869.0,2055.9,803.67,3644.55,50
CDM,0685839,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1848.0,1848.0,497.11,3603.6,45
CDM,0685840,CATH FRONTRUNNER,1811.0,1811.0,372.34,1448.8,45
CDM,0685841,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1750.0,1750.0,470.75,3412.5,45
CDM,0685842,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0685843,"CATHETER, OCCLUSION",1617.0,1617.0,434.97,3153.15,45
CDM,0685844,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1602.0,1602.0,430.94,3123.9,45
CDM,0685845,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,0685846,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",1566.0,1566.0,421.25,3053.7,45
CDM,0685847,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1500.0,1500.0,403.5,2925.0,45
CDM,0685848,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1488.0,1636.8,639.84,2901.6,50
CDM,0685849,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1433.0,1576.3,616.19,2794.35,50
CDM,0685850,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1412.0,1412.0,379.83,2753.4,45
CDM,0685851,CATH EXT 7FR TELESCOPE,1400.0,1400.0,287.84,1120.0,45
CDM,0685852,CATH C7 DRAGONFLY,1313.0,1313.0,269.95,1050.4,45
CDM,0685853,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1269.0,1395.9,545.67,2474.55,50
CDM,0685854,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1225.0,1225.0,329.53,2388.75,45
CDM,0685855,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1216.0,1216.0,327.1,2371.2,45
CDM,0685856,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1078.0,1078.0,289.98,2102.1,45
CDM,0685857,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1066.0,1066.0,286.75,2078.7,45
CDM,0685858,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1050.0,1155.0,451.5,2047.5,50
CDM,0685859,CATH PASSER SHR,988.0,988.0,203.13,790.4,45
CDM,0685860,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",901.0,991.1,387.43,1756.95,50
CDM,0685861,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),769.0,845.9,330.67,1499.55,50
CDM,0685863,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),518.0,569.8,222.74,1010.1,50
CDM,0685864,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",511.0,562.1,219.73,996.45,50
CDM,0685865,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",271.0,298.1,116.53,528.45,50
CDM,0685866,"CATHETER, INTRAVASCULAR ULTRASOUND",2266.0,2266.0,609.55,4418.7,45
CDM,0685867,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",791.0,870.1,340.13,1328.91,50
CDM,0685868,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",899.83,989.81,386.93,1328.91,50
CDM,0685869,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",977.0,1074.7,420.11,1328.91,50
CDM,0685870,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4191.0,4610.1,1802.13,8172.45,50
CDM,0685871,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",870.0,957.0,374.1,1696.5,50
CDM,0685872,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3588.0,3946.8,1542.84,6996.6,50
CDM,0685873,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3413.0,3754.3,1467.59,6655.35,50
CDM,0685874,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",4900.0,5390.0,2107.0,9555.0,50
CDM,0685875,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",2065.0,2271.5,887.95,4026.75,50
CDM,0685876,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2693.0,2962.3,1157.99,5251.35,50
CDM,0685877,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5250.0,5775.0,2257.5,10237.5,50
CDM,0685878,DERMAGRAFT (38SQCM),2056.0,2261.6,422.71,2261.6,50
CDM,0685879,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,0685880,"GRAFT, VASCULAR",2835.0,3118.5,1219.05,5528.25,50
CDM,0685881,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",810.0,891.0,348.3,1579.5,50
CDM,0685882,PACK HARVEST BMAC-60,2450.0,2450.0,503.72,1960.0,45
CDM,0685883,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7403.0,8143.3,3183.29,14435.85,50
CDM,0685884,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),934.0,1027.4,401.62,1821.3,50
CDM,0685885,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1028.0,1130.8,442.04,1328.91,50
CDM,0685886,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1323.0,1455.3,545.19,1455.3,50
CDM,0685887,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",1642.0,1806.2,706.06,3201.9,50
CDM,0685888,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",1118.0,1229.8,480.74,2180.1,50
CDM,0685889,"GRAFTJACKET, PER SQUARE CENTIMETER",1717.0,1888.7,738.31,3348.15,50
CDM,0685890,"GRAFTJACKET, PER SQUARE CENTIMETER",4247.0,4671.7,1826.21,8281.65,50
CDM,0685891,MESH (IMPLANTABLE),546.0,600.6,234.78,1064.7,50
CDM,0685892,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",2300.0,2530.0,545.19,2530.0,50
CDM,0685893,"PURAPLY AM, PER SQUARE CENTIMETER",1568.0,1724.8,674.24,3057.6,50
CDM,0685894,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8619.0,9480.9,3706.17,16807.05,50
CDM,0685895,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2100.0,2310.0,903.0,4095.0,50
CDM,0685896,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2058.0,2263.8,884.94,4013.1,50
CDM,0685897,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1033.0,1136.3,444.19,2014.35,50
CDM,0685898,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",685.0,753.5,294.55,1335.75,50
CDM,0685899,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1575.0,1732.5,677.25,3071.25,50
CDM,0685900,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0685901,JOINT DEVICE (IMPLANTABLE),3404.0,3744.4,1463.72,6637.8,50
CDM,0685902,JOINT DEVICE (IMPLANTABLE),4977.0,5474.7,2140.11,9705.15,50
CDM,0685903,JOINT DEVICE (IMPLANTABLE),5618.0,6179.8,2415.74,10955.1,50
CDM,0685904,JOINT DEVICE (IMPLANTABLE),7425.0,8167.5,3192.75,14478.75,50
CDM,0685905,JOINT DEVICE (IMPLANTABLE),10230.0,11253.0,4398.9,19948.5,50
CDM,0685906,JOINT DEVICE (IMPLANTABLE),2500.0,2750.0,1075.0,4875.0,50
CDM,0685907,JOINT DEVICE (IMPLANTABLE),6034.0,6637.4,2594.62,11766.3,50
CDM,0685908,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",35359.0,38894.9,15204.37,68950.05,50
CDM,0685909,"GRAFT, VASCULAR",2106.0,2316.6,905.58,4106.7,50
CDM,0685910,"GRAFT, VASCULAR",1738.0,1911.8,747.34,3389.1,50
CDM,0685911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.07,354.28,138.49,628.04,50
CDM,0685912,BLADE CHISEL FLEX,1312.5,1312.5,269.85,1050.0,45
CDM,0685913,ABTHERA WOUND DRESSING,1585.68,1585.68,326.02,1268.54,45
CDM,0685914,JOINT DEVICE (IMPLANTABLE),5783.75,6362.13,2487.01,11278.31,50
CDM,0685915,JOINT DEVICE (IMPLANTABLE),7183.75,7902.13,3089.01,14008.31,50
CDM,0685916,JOINT DEVICE (IMPLANTABLE),7709.0,8479.9,3314.87,15032.55,50
CDM,0685917,"GRAFTJACKET, PER SQUARE CENTIMETER",6057.0,6662.7,2604.51,11811.15,50
CDM,0685918,"GRAFTJACKET, PER SQUARE CENTIMETER",4745.0,5219.5,2040.35,9252.75,50
CDM,0685919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),357.0,392.7,153.51,696.15,50
CDM,0685920,"GRAFTJACKET, PER SQUARE CENTIMETER",4294.0,4723.4,1846.42,8373.3,50
CDM,0685921,"REPAIR DEVICE, URINARY, INCONTINENCE, WITHOUT SLING GRAFT",1424.0,1424.0,383.06,2776.8,45
CDM,0685922,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1663.0,1829.3,715.09,3242.85,50
CDM,0685923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1041.0,1145.1,447.63,2029.95,50
CDM,0685924,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),490.0,539.0,210.7,955.5,50
CDM,0685925,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.0,540.1,211.13,957.45,50
CDM,0685926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),464.0,510.4,199.52,904.8,50
CDM,0685927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0685928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1794.0,1973.4,771.42,3498.3,50
CDM,0685929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4113.0,4524.3,1768.59,8020.35,50
CDM,0685930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0685931,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685932,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0685933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),967.0,1063.7,415.81,1885.65,50
CDM,0685934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),897.0,986.7,385.71,1749.15,50
CDM,0685935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),968.0,1064.8,416.24,1887.6,50
CDM,0685936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),892.0,981.2,383.56,1739.4,50
CDM,0685937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2927.0,3219.7,1258.61,5707.65,50
CDM,0685938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2374.0,2611.4,1020.82,4629.3,50
CDM,0685939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3046.0,3350.6,1309.78,5939.7,50
CDM,0685940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4410.0,4851.0,1896.3,8599.5,50
CDM,0685941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4979.0,5476.9,2140.97,9709.05,50
CDM,0685942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4013.0,4414.3,1725.59,7825.35,50
CDM,0685943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3825.0,4207.5,1644.75,7458.75,50
CDM,0685944,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2092.0,2301.2,899.56,4079.4,50
CDM,0685945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3012.0,3313.2,1295.16,5873.4,50
CDM,0685946,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3227.0,3549.7,1387.61,6292.65,50
CDM,0685947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0685948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2945.0,3239.5,1266.35,5742.75,50
CDM,0685950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),759.0,834.9,326.37,1480.05,50
CDM,0685951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2024.0,2226.4,870.32,3946.8,50
CDM,0685952,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0685953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.2,1530.32,598.22,2712.84,50
CDM,0685954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1183.0,1301.3,508.69,2306.85,50
CDM,0685955,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3067.0,3373.7,1318.81,5980.65,50
CDM,0685956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0685957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685958,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0685959,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2739.0,3012.9,1177.77,5341.05,50
CDM,0685960,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2429.53,2672.48,1044.7,4737.58,50
CDM,0685961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1338.0,1471.8,575.34,2609.1,50
CDM,0685962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1122.0,1234.2,482.46,2187.9,50
CDM,0685963,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),447.0,491.7,192.21,871.65,50
CDM,0685964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),408.84,449.72,175.8,797.24,50
CDM,0685965,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),387.0,425.7,166.41,754.65,50
CDM,0685966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0685967,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.0,321.2,125.56,569.4,50
CDM,0685968,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),293.7,323.07,126.29,572.72,50
CDM,0685969,DVC PLT CUBOID,2231.0,2231.0,458.69,1784.8,45
CDM,0685970,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3202.5,3522.75,1377.08,6244.88,50
CDM,0685971,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6825.0,7507.5,2934.75,13308.75,50
CDM,0685972,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4995.0,5494.5,2147.85,9740.25,50
CDM,0685973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4197.0,4616.7,1804.71,8184.15,50
CDM,0685974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4110.0,4521.0,1767.3,8014.5,50
CDM,0685975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2591.0,2850.1,1114.13,5052.45,50
CDM,0685976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2344.0,2578.4,1007.92,4570.8,50
CDM,0685977,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2327.0,2559.7,1000.61,4537.65,50
CDM,0685978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2689.0,2957.9,1156.27,5243.55,50
CDM,0685979,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2247.0,2471.7,966.21,4381.65,50
CDM,0685980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2237.0,2460.7,961.91,4362.15,50
CDM,0685981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2084.0,2292.4,896.12,4063.8,50
CDM,0685982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2082.0,2290.2,895.26,4059.9,50
CDM,0685983,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2059.0,2264.9,885.37,4015.05,50
CDM,0685984,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1846.0,2030.6,793.78,3599.7,50
CDM,0685985,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1842.0,2026.2,792.06,3591.9,50
CDM,0685986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1574.0,1731.4,676.82,3069.3,50
CDM,0685987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1359.0,1494.9,584.37,2650.05,50
CDM,0685988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1308.0,1438.8,562.44,2550.6,50
CDM,0685989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1098.0,1207.8,472.14,2141.1,50
CDM,0685990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),958.0,1053.8,411.94,1868.1,50
CDM,0685991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),861.0,947.1,370.23,1678.95,50
CDM,0685992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),791.0,870.1,340.13,1542.45,50
CDM,0685993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),735.0,808.5,316.05,1433.25,50
CDM,0685994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),719.81,791.79,309.52,1403.63,50
CDM,0685995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),553.0,608.3,237.79,1078.35,50
CDM,0685996,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),531.44,584.58,228.52,1036.31,50
CDM,0685998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),672.0,739.2,288.96,1310.4,50
CDM,0685999,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4550.0,5005.0,1956.5,8872.5,50
CDM,0686000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4508.0,4958.8,1938.44,8790.6,50
CDM,0686001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4456.0,4901.6,1916.08,8689.2,50
CDM,0686002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4127.0,4539.7,1774.61,8047.65,50
CDM,0686003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3843.0,4227.3,1652.49,7493.85,50
CDM,0686004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3643.0,4007.3,1566.49,7103.85,50
CDM,0686005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3348.0,3682.8,1439.64,6528.6,50
CDM,0686006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3319.0,3650.9,1427.17,6472.05,50
CDM,0686007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3298.0,3627.8,1418.14,6431.1,50
CDM,0686008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3274.0,3601.4,1407.82,6384.3,50
CDM,0686009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3250.0,3575.0,1397.5,6337.5,50
CDM,0686010,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3243.0,3567.3,1394.49,6323.85,50
CDM,0686011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3157.0,3472.7,1357.51,6156.15,50
CDM,0686012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2290.38,2519.42,984.86,4466.24,50
CDM,0686013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3083.0,3391.3,1325.69,6011.85,50
CDM,0686014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3018.0,3319.8,1297.74,5885.1,50
CDM,0686015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3002.0,3302.2,1290.86,5853.9,50
CDM,0686016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2908.0,3198.8,1250.44,5670.6,50
CDM,0686017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2742.0,3016.2,1179.06,5346.9,50
CDM,0686018,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2643.0,2907.3,1136.49,5153.85,50
CDM,0686019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2611.0,2872.1,1122.73,5091.45,50
CDM,0686020,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2536.0,2789.6,1090.48,4945.2,50
CDM,0686021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2523.0,2775.3,1084.89,4919.85,50
CDM,0686022,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2486.0,2734.6,1068.98,4847.7,50
CDM,0686023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2440.0,2684.0,1049.2,4758.0,50
CDM,0686024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1481.92,1630.11,637.23,2889.74,50
CDM,0686025,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2193.0,2412.3,942.99,4276.35,50
CDM,0686026,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1989.0,2187.9,855.27,3878.55,50
CDM,0686027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1989.0,2187.9,855.27,3878.55,50
CDM,0686028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1943.0,2137.3,835.49,3788.85,50
CDM,0686029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2099.0,2308.9,902.57,4093.05,50
CDM,0686030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1900.0,2090.0,817.0,3705.0,50
CDM,0686031,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1882.0,2070.2,809.26,3669.9,50
CDM,0686032,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1793.0,1972.3,770.99,3496.35,50
CDM,0686034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1687.0,1855.7,725.41,3289.65,50
CDM,0686035,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1632.0,1795.2,701.76,3182.4,50
CDM,0686036,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1550.0,1705.0,666.5,3022.5,50
CDM,0686037,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1338.0,1471.8,575.34,2609.1,50
CDM,0686038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1270.0,1397.0,546.1,2476.5,50
CDM,0686039,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.42,623.06,243.56,1104.52,50
CDM,0686040,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.0,760.1,297.13,1347.45,50
CDM,0686041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),383.0,421.3,164.69,746.85,50
CDM,0686042,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0686043,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),293.0,322.3,125.99,571.35,50
CDM,0686044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0686045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),268.07,294.88,115.27,522.74,50
CDM,0686046,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2440.0,2684.0,1049.2,4758.0,50
CDM,0686047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1353.49,1488.84,582.0,2639.31,50
CDM,0686048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3157.0,3472.7,1357.51,6156.15,50
CDM,0686050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),940.19,1034.21,404.28,1833.37,50
CDM,0686052,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),147.0,161.7,63.21,286.65,50
CDM,0686053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),147.0,161.7,63.21,286.65,50
CDM,0686054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0686055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),191.0,210.1,82.13,372.45,50
CDM,0686056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686057,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),301.0,331.1,129.43,586.95,50
CDM,0686058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0686059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),351.0,386.1,150.93,684.45,50
CDM,0686060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),351.0,386.1,150.93,684.45,50
CDM,0686061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.0,394.9,154.37,700.05,50
CDM,0686062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0686063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),374.0,411.4,160.82,729.3,50
CDM,0686064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0686065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),386.0,424.6,165.98,752.7,50
CDM,0686066,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0686067,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0686068,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),439.0,482.9,188.77,856.05,50
CDM,0686069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),465.0,511.5,199.95,906.75,50
CDM,0686070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),504.0,554.4,216.72,982.8,50
CDM,0686071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.02,524.72,205.12,930.19,50
CDM,0686072,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0686073,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),486.0,534.6,208.98,947.7,50
CDM,0686074,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),500.0,550.0,215.0,975.0,50
CDM,0686075,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0686076,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),511.0,562.1,219.73,996.45,50
CDM,0686077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),513.0,564.3,220.59,1000.35,50
CDM,0686078,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),519.0,570.9,223.17,1012.05,50
CDM,0686079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),520.0,572.0,223.6,1014.0,50
CDM,0686080,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),521.0,573.1,224.03,1015.95,50
CDM,0686081,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),524.0,576.4,225.32,1021.8,50
CDM,0686082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),547.0,601.7,235.21,1066.65,50
CDM,0686083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),549.0,603.9,236.07,1070.55,50
CDM,0686084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),553.0,608.3,237.79,1078.35,50
CDM,0686085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),557.0,612.7,239.51,1086.15,50
CDM,0686086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),571.0,628.1,245.53,1113.45,50
CDM,0686087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),583.0,641.3,250.69,1136.85,50
CDM,0686088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),586.0,644.6,251.98,1142.7,50
CDM,0686089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),596.0,655.6,256.28,1162.2,50
CDM,0686090,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),629.0,691.9,270.47,1226.55,50
CDM,0686091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),636.0,699.6,273.48,1240.2,50
CDM,0686092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),639.0,702.9,274.77,1246.05,50
CDM,0686093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),647.0,711.7,278.21,1261.65,50
CDM,0686095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),653.0,718.3,280.79,1273.35,50
CDM,0686096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),959.0,1054.9,412.37,1870.05,50
CDM,0686097,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),709.0,779.9,304.87,1382.55,50
CDM,0686098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),719.0,790.9,309.17,1402.05,50
CDM,0686099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),786.0,864.6,337.98,1532.7,50
CDM,0686100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.0,865.7,338.41,1534.65,50
CDM,0686101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0686102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),817.0,898.7,351.31,1593.15,50
CDM,0686103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),823.0,905.3,353.89,1604.85,50
CDM,0686104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),839.0,922.9,360.77,1636.05,50
CDM,0686105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),890.0,979.0,382.7,1735.5,50
CDM,0686106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),573.0,630.3,246.39,1117.35,50
CDM,0686107,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),938.0,1031.8,403.34,1829.1,50
CDM,0686108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),968.0,1064.8,416.24,1887.6,50
CDM,0686109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),979.0,1076.9,420.97,1909.05,50
CDM,0686110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),993.0,1092.3,426.99,1936.35,50
CDM,0686111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1009.0,1109.9,433.87,1967.55,50
CDM,0686112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1031.0,1134.1,443.33,2010.45,50
CDM,0686113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1033.0,1136.3,444.19,2014.35,50
CDM,0686114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1041.0,1145.1,447.63,2029.95,50
CDM,0686115,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1177.0,1294.7,506.11,2295.15,50
CDM,0686116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1051.0,1156.1,451.93,2049.45,50
CDM,0686117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1058.0,1163.8,454.94,2063.1,50
CDM,0686118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1089.0,1197.9,468.27,2123.55,50
CDM,0686119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1119.0,1230.9,481.17,2182.05,50
CDM,0686120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1145.0,1259.5,492.35,2232.75,50
CDM,0686121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1150.0,1265.0,494.5,2242.5,50
CDM,0686122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1152.0,1267.2,495.36,2246.4,50
CDM,0686123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1187.0,1305.7,510.41,2314.65,50
CDM,0686124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1258.0,1383.8,540.94,2453.1,50
CDM,0686125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1258.0,1383.8,540.94,2453.1,50
CDM,0686126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1264.0,1390.4,543.52,2464.8,50
CDM,0686127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1319.0,1450.9,567.17,2572.05,50
CDM,0686128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1331.0,1464.1,572.33,2595.45,50
CDM,0686129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1339.0,1472.9,575.77,2611.05,50
CDM,0686130,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1345.0,1479.5,578.35,2622.75,50
CDM,0686131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1439.0,1582.9,618.77,2806.05,50
CDM,0686132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1439.0,1582.9,618.77,2806.05,50
CDM,0686133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1445.0,1589.5,621.35,2817.75,50
CDM,0686134,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1524.0,1676.4,655.32,2971.8,50
CDM,0686135,PLT PELVIC RECON BENDER,3367.0,3367.0,692.26,2693.6,45
CDM,0686136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1542.0,1696.2,663.06,3006.9,50
CDM,0686137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1438.0,1581.8,618.34,2804.1,50
CDM,0686138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1558.0,1713.8,669.94,3038.1,50
CDM,0686139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1571.0,1728.1,675.53,3063.45,50
CDM,0686140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1668.0,1834.8,717.24,3252.6,50
CDM,0686141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1600.0,1760.0,688.0,3120.0,50
CDM,0686142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1632.0,1795.2,701.76,3182.4,50
CDM,0686143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1744.0,1918.4,749.92,3400.8,50
CDM,0686144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1646.0,1810.6,707.78,3209.7,50
CDM,0686145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1647.0,1811.7,708.21,3211.65,50
CDM,0686146,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1680.0,1848.0,722.4,3276.0,50
CDM,0686147,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1705.0,1875.5,733.15,3324.75,50
CDM,0686148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1722.0,1894.2,740.46,3357.9,50
CDM,0686149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1725.0,1897.5,741.75,3363.75,50
CDM,0686150,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1840.0,2024.0,791.2,3588.0,50
CDM,0686151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1855.0,2040.5,797.65,3617.25,50
CDM,0686152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1926.0,2118.6,828.18,3755.7,50
CDM,0686153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2070.0,2277.0,890.1,4036.5,50
CDM,0686154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0686155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0686156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2179.0,2396.9,936.97,4249.05,50
CDM,0686157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2246.0,2470.6,965.78,4379.7,50
CDM,0686158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2478.0,2725.8,1065.54,4832.1,50
CDM,0686159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2527.0,2779.7,1086.61,4927.65,50
CDM,0686160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2677.0,2944.7,1151.11,5220.15,50
CDM,0686161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2710.0,2981.0,1165.3,5284.5,50
CDM,0686162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2710.0,2981.0,1165.3,5284.5,50
CDM,0686163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.79,339.67,132.78,602.14,50
CDM,0686164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2767.0,3043.7,1189.81,5395.65,50
CDM,0686165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2798.0,3077.8,1203.14,5456.1,50
CDM,0686166,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2818.0,3099.8,1211.74,5495.1,50
CDM,0686167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2848.0,3132.8,1224.64,5553.6,50
CDM,0686168,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3175.0,3492.5,1365.25,6191.25,50
CDM,0686169,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2898.0,3187.8,1246.14,5651.1,50
CDM,0686170,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2903.0,3193.3,1248.29,5660.85,50
CDM,0686171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2977.0,3274.7,1280.11,5805.15,50
CDM,0686172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3008.0,3308.8,1293.44,5865.6,50
CDM,0686173,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3028.0,3330.8,1302.04,5904.6,50
CDM,0686174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3036.0,3339.6,1305.48,5920.2,50
CDM,0686175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3101.0,3411.1,1333.43,6046.95,50
CDM,0686176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3148.0,3462.8,1353.64,6138.6,50
CDM,0686177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3166.0,3482.6,1361.38,6173.7,50
CDM,0686178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3171.0,3488.1,1363.53,6183.45,50
CDM,0686179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3263.0,3589.3,1403.09,6362.85,50
CDM,0686180,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2844.0,3128.4,1222.92,5545.8,50
CDM,0686181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3623.0,3985.3,1557.89,7064.85,50
CDM,0686182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3638.0,4001.8,1564.34,7094.1,50
CDM,0686184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4024.0,4426.4,1730.32,7846.8,50
CDM,0686185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686186,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),679.0,746.9,291.97,1324.05,50
CDM,0686187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2200.0,2420.0,946.0,4290.0,50
CDM,0686188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2337.3,2571.03,1005.04,4557.74,50
CDM,0686189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4001.0,4401.1,1720.43,7801.95,50
CDM,0686190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0686191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1874.0,2061.4,805.82,3654.3,50
CDM,0686192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1571.0,1728.1,675.53,3063.45,50
CDM,0686193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1680.0,1848.0,722.4,3276.0,50
CDM,0686194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),122.0,134.2,52.46,237.9,50
CDM,0686195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),93.85,103.24,40.36,183.01,50
CDM,0686197,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),290.2,319.22,124.79,565.89,50
CDM,0686199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),253.58,278.94,109.04,494.48,50
CDM,0686201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),458.0,503.8,196.94,893.1,50
CDM,0686202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.85,344.14,134.53,610.06,50
CDM,0686204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),347.99,382.79,149.64,678.58,50
CDM,0686205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.15,557.87,218.07,988.94,50
CDM,0686206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.42,623.06,243.56,1104.52,50
CDM,0686209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),986.3,1084.93,424.11,1923.29,50
CDM,0686210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0686211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2877.0,3164.7,1237.11,5610.15,50
CDM,0686212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7324.0,8056.4,3149.32,14281.8,50
CDM,0686213,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1041.0,1145.1,447.63,2029.95,50
CDM,0686214,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),338.64,372.5,145.62,660.35,50
CDM,0686216,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0686217,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1243.0,1367.3,534.49,2423.85,50
CDM,0686218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1173.9,1291.29,504.78,2289.11,50
CDM,0686219,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.3,353.43,138.16,626.54,50
CDM,0686221,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1148.0,1262.8,493.64,2238.6,50
CDM,0686225,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",17150.0,18865.0,7374.5,33442.5,50
CDM,0686226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),280.0,308.0,120.4,546.0,50
CDM,0686228,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2281.0,2509.1,980.83,4447.95,50
CDM,0686229,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",263.0,289.3,113.09,512.85,50
CDM,0686230,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",473.0,520.3,203.39,922.35,50
CDM,0686231,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",455.0,500.5,195.65,887.25,50
CDM,0686232,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",656.0,721.6,282.08,1279.2,50
CDM,0686233,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",700.0,770.0,301.0,1365.0,50
CDM,0686234,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1925.0,2117.5,827.75,3753.75,50
CDM,0686235,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",700.0,770.0,301.0,1365.0,50
CDM,0686236,ROD CONNECT HOFFMAN,915.0,915.0,188.12,732.0,45
CDM,0686237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0686238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0686239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0686240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),116.0,127.6,49.88,226.2,50
CDM,0686241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.07,338.88,132.47,600.74,50
CDM,0686243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),614.46,675.91,264.22,1198.2,50
CDM,0686244,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),356.0,391.6,153.08,694.2,50
CDM,0686245,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),805.72,886.29,346.46,1571.15,50
CDM,0686246,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),205.0,225.5,88.15,399.75,50
CDM,0686247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0686248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.35,347.99,136.03,616.88,50
CDM,0686249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1105.0,1215.5,475.15,2154.75,50
CDM,0686250,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,0686251,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2391.0,2391.0,643.18,4662.45,45
CDM,0686255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),305.0,335.5,131.15,594.75,50
CDM,0686256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0686257,JOINT DEVICE (IMPLANTABLE),8518.0,9369.8,3662.74,16610.1,50
CDM,0686258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0686259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),223.0,245.3,95.89,434.85,50
CDM,0686260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),96.0,105.6,41.28,187.2,50
CDM,0686261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),258.0,283.8,110.94,503.1,50
CDM,0686262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),858.0,943.8,368.94,1673.1,50
CDM,0686264,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),294.0,323.4,126.42,573.3,50
CDM,0686265,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),80.0,88.0,34.4,156.0,50
CDM,0686266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0686267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),168.0,184.8,72.24,327.6,50
CDM,0686268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0686269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),259.0,284.9,111.37,505.05,50
CDM,0686270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0686271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),215.0,236.5,92.45,419.25,50
CDM,0686272,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),268.0,294.8,115.24,522.6,50
CDM,0686273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),660.0,726.0,283.8,1287.0,50
CDM,0686274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0686275,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),434.0,477.4,186.62,846.3,50
CDM,0686276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),603.0,663.3,259.29,1175.85,50
CDM,0686277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),591.0,650.1,254.13,1152.45,50
CDM,0686278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),464.0,510.4,199.52,904.8,50
CDM,0686279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.0,524.7,205.11,930.15,50
CDM,0686280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),623.0,685.3,267.89,1214.85,50
CDM,0686281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.27,336.9,131.7,597.23,50
CDM,0686282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),258.0,283.8,110.94,503.1,50
CDM,0686283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),719.55,791.51,309.41,1403.12,50
CDM,0686284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5094.0,5603.4,2190.42,9933.3,50
CDM,0686285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),852.93,938.22,366.76,1663.21,50
CDM,0686286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3021.46,3323.61,1299.23,5891.85,50
CDM,0686287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2927.61,3220.37,1258.87,5708.84,50
CDM,0686288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.85,344.14,134.53,610.06,50
CDM,0686289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),994.53,1093.98,427.65,1939.33,50
CDM,0686291,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3507.0,3857.7,1508.01,6838.65,50
CDM,0686293,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1580.0,1580.0,425.02,3081.0,45
CDM,0686294,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",15750.0,17325.0,6772.5,30712.5,50
CDM,0686295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3139.5,3453.45,1349.99,6122.03,50
CDM,0686296,IPS PLAN GUIDE RECON,4178.0,4178.0,859.0,3342.4,45
CDM,0686297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2538.0,2791.8,1091.34,4949.1,50
CDM,0686298,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11448.0,12592.8,4922.64,22323.6,50
CDM,0686299,"HYALOMATRIX, PER SQUARE CENTIMETER",14541.0,15995.1,6252.63,28354.95,50
CDM,0686300,JOINT DEVICE (IMPLANTABLE),4827.0,5309.7,2075.61,9412.65,50
CDM,0686301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3745.0,4119.5,1610.35,7302.75,50
CDM,0686302,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4374.0,4811.4,1880.82,8529.3,50
CDM,0686303,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8531.0,9384.1,3668.33,16635.45,50
CDM,0686304,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),803.92,884.31,345.69,1567.64,50
CDM,0686305,JOINT DEVICE (IMPLANTABLE),2913.75,3205.13,1252.91,5681.81,50
CDM,0686306,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7814.0,8595.4,3360.02,15237.3,50
CDM,0686307,DVC ENDO ANC SYST GUIDE,2897.0,2897.0,595.62,2317.6,45
CDM,0686308,JOINT DEVICE (IMPLANTABLE),5947.2,6541.92,2557.3,11597.04,50
CDM,0686309,JOINT DEVICE (IMPLANTABLE),2730.0,3003.0,1173.9,5323.5,50
CDM,0686310,JOINT DEVICE (IMPLANTABLE),4167.8,4584.58,1792.15,8127.21,50
CDM,0686311,JOINT DEVICE (IMPLANTABLE),3480.4,3828.44,1496.57,6786.78,50
CDM,0686312,JOINT DEVICE (IMPLANTABLE),2568.0,2824.8,1104.24,5007.6,50
CDM,0686313,JOINT DEVICE (IMPLANTABLE),4482.0,4930.2,1927.26,8739.9,50
CDM,0686316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),769.67,846.64,330.96,1500.86,50
CDM,0686320,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0686321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5671.75,6238.93,2438.85,11059.91,50
CDM,0686325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1365.0,1501.5,586.95,2661.75,50
CDM,0686326,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1877.0,2064.7,807.11,3660.15,50
CDM,0686327,JOINT DEVICE (IMPLANTABLE),2685.0,2953.5,1154.55,5235.75,50
CDM,0686328,JOINT DEVICE (IMPLANTABLE),697.0,766.7,299.71,1359.15,50
CDM,0686329,JOINT DEVICE (IMPLANTABLE),5990.0,6589.0,2575.7,11680.5,50
CDM,0686330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0686331,"GRAFT, VASCULAR",1736.0,1909.6,746.48,3385.2,50
CDM,0686332,"THERASKIN, PER SQUARE CENTIMETER",1890.0,2079.0,812.7,3685.5,50
CDM,0686333,MESH (IMPLANTABLE),10320.0,11352.0,4437.6,20124.0,50
CDM,0686334,"PROSTHESIS, PENILE, INFLATABLE",1404.38,1544.82,603.88,2738.54,50
CDM,0686335,"PROSTHESIS, PENILE, INFLATABLE",4285.31,4713.84,1842.68,8356.35,50
CDM,0686336,"PROSTHESIS, PENILE, INFLATABLE",21459.42,23605.36,9227.55,41845.87,50
CDM,0686337,"PROSTHESIS, PENILE, INFLATABLE",20870.37,22957.41,8974.26,40697.22,50
CDM,0686338,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,0686339,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),9274.0,10201.4,3987.82,18084.3,50
CDM,0686340,PROBE SRG SPAT,1433.0,1433.0,294.62,1146.4,45
CDM,0686341,PROBE DOPPLER W/8MHZ MULTI,1286.0,1286.0,264.4,1028.8,45
CDM,0686342,PROBE US CLARITEE,1750.0,1750.0,359.8,1400.0,45
CDM,0686343,PROBE NEUROSURGICAL,991.0,991.0,203.75,792.8,45
CDM,0686344,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",6834.0,6834.0,1838.35,13326.3,45
CDM,0686345,JOINT DEVICE (IMPLANTABLE),1624.0,1786.4,698.32,3166.8,50
CDM,0686346,JOINT DEVICE (IMPLANTABLE),1618.0,1779.8,695.74,3155.1,50
CDM,0686347,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1420.0,1562.0,610.6,2769.0,50
CDM,0686348,JOINT DEVICE (IMPLANTABLE),1456.0,1601.6,626.08,2839.2,50
CDM,0686349,JOINT DEVICE (IMPLANTABLE),1351.0,1486.1,580.93,2634.45,50
CDM,0686350,JOINT DEVICE (IMPLANTABLE),1274.0,1401.4,547.82,2484.3,50
CDM,0686351,JOINT DEVICE (IMPLANTABLE),1610.0,1771.0,692.3,3139.5,50
CDM,0686352,"PROBE/NEEDLE, CRYOABLATION",2450.0,2450.0,659.05,4777.5,45
CDM,0686353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0686354,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1048.0,1048.0,281.91,2043.6,45
CDM,0686355,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1715.0,1715.0,461.34,3344.25,45
CDM,0686356,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1797.0,1797.0,483.39,3504.15,45
CDM,0686357,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1276.0,1276.0,343.24,2488.2,45
CDM,0686358,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",361.0,397.1,155.23,703.95,50
CDM,0686359,MDL GUIDE MARKING,5093.0,5093.0,1047.12,4074.4,45
CDM,0686360,MDL GUIDE MARKING,1698.0,1698.0,349.11,1358.4,45
CDM,0686361,"PROBE/NEEDLE, CRYOABLATION",2450.0,2450.0,659.05,4777.5,45
CDM,0686362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),464.0,510.4,199.52,904.8,50
CDM,0686363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2429.0,2671.9,1044.47,4736.55,50
CDM,0686364,JOINT DEVICE (IMPLANTABLE),840.0,924.0,361.2,1638.0,50
CDM,0686365,JOINT DEVICE (IMPLANTABLE),1948.0,2142.8,837.64,3798.6,50
CDM,0686366,JOINT DEVICE (IMPLANTABLE),6677.0,7344.7,2871.11,13020.15,50
CDM,0686367,JOINT DEVICE (IMPLANTABLE),9924.0,10916.4,4267.32,19351.8,50
CDM,0686368,JOINT DEVICE (IMPLANTABLE),5905.0,6495.5,2539.15,11514.75,50
CDM,0686369,JOINT DEVICE (IMPLANTABLE),6455.0,7100.5,2775.65,12587.25,50
CDM,0686370,JOINT DEVICE (IMPLANTABLE),1991.0,2190.1,856.13,3882.45,50
CDM,0686371,SYSTEM PRCOCEDURAL KIT,4230.0,4230.0,869.69,3384.0,45
CDM,0686372,JOINT DEVICE (IMPLANTABLE),3196.0,3515.6,1374.28,6232.2,50
CDM,0686373,JOINT DEVICE (IMPLANTABLE),1914.0,2105.4,823.02,3732.3,50
CDM,0686374,JOINT DEVICE (IMPLANTABLE),6071.0,6678.1,2610.53,11838.45,50
CDM,0686375,JOINT DEVICE (IMPLANTABLE),4295.0,4724.5,1846.85,8375.25,50
CDM,0686376,JOINT DEVICE (IMPLANTABLE),3713.0,4084.3,1596.59,7240.35,50
CDM,0686377,JOINT DEVICE (IMPLANTABLE),2416.0,2657.6,1038.88,4711.2,50
CDM,0686378,JOINT DEVICE (IMPLANTABLE),3956.0,4351.6,1701.08,7714.2,50
CDM,0686379,JOINT DEVICE (IMPLANTABLE),4106.0,4516.6,1765.58,8006.7,50
CDM,0686380,JOINT DEVICE (IMPLANTABLE),5457.0,6002.7,2346.51,10641.15,50
CDM,0686381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3506.0,3856.6,1507.58,6836.7,50
CDM,0686382,JOINT DEVICE (IMPLANTABLE),3079.0,3386.9,1323.97,6004.05,50
CDM,0686383,JOINT DEVICE (IMPLANTABLE),7611.0,8372.1,3272.73,14841.45,50
CDM,0686384,JOINT DEVICE (IMPLANTABLE),9328.0,10260.8,4011.04,18189.6,50
CDM,0686385,VENA CAVA FILTER,2053.0,2258.3,882.79,4003.35,50
CDM,0686386,VENA CAVA FILTER,1400.0,1540.0,602.0,2730.0,50
CDM,0686387,VENA CAVA FILTER,2493.0,2742.3,1071.99,4861.35,50
CDM,0686388,VENA CAVA FILTER,2266.0,2492.6,974.38,4418.7,50
CDM,0686389,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",990.0,990.0,266.31,1930.5,45
CDM,0686392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3045.0,3349.5,1309.35,5937.75,50
CDM,0686393,REAMER CONCAVE 018,1160.0,1160.0,238.5,928.0,45
CDM,0686394,REAMER CONCAVE 020,1117.0,1117.0,229.66,893.6,45
CDM,0686395,REAMER MODIFIED HALL,1597.0,1597.0,328.34,1277.6,45
CDM,0686396,"PORT, INDWELLING (IMPLANTABLE)",1521.0,1673.1,654.03,2965.95,50
CDM,0686397,DVC ELECTRODE COAGULATING,1483.0,1483.0,304.9,1186.4,45
CDM,0686398,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.0,156.2,61.06,276.9,50
CDM,0686399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2762.95,3039.25,1188.07,5387.75,50
CDM,0686400,REAMING HEAD-STAND,1255.0,1255.0,258.03,1004.0,45
CDM,0686403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0686404,JOINT DEVICE (IMPLANTABLE),2984.63,3283.09,1283.39,5820.03,50
CDM,0686406,JOINT DEVICE (IMPLANTABLE),4537.0,4990.7,1950.91,8847.15,50
CDM,0686407,JOINT DEVICE (IMPLANTABLE),18977.86,20875.65,8160.48,37006.83,50
CDM,0686408,JOINT DEVICE (IMPLANTABLE),9363.0,10299.3,4026.09,18257.85,50
CDM,0686409,JOINT DEVICE (IMPLANTABLE),10008.25,11009.08,4303.55,19516.09,50
CDM,0686410,JOINT DEVICE (IMPLANTABLE),1466.68,1613.35,630.67,2860.03,50
CDM,0686411,JOINT DEVICE (IMPLANTABLE),3623.0,3985.3,1557.89,7064.85,50
CDM,0686412,JOINT DEVICE (IMPLANTABLE),2963.0,3259.3,1274.09,5777.85,50
CDM,0686413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0686414,DVC ELECTRODE COAGULATING,1461.0,1461.0,300.38,1168.8,45
CDM,0686415,KIT SURFACE ELECTRODE,1829.0,1829.0,376.04,1463.2,45
CDM,0686416,JOINT DEVICE (IMPLANTABLE),230.0,253.0,98.9,448.5,50
CDM,0686417,JOINT DEVICE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0686418,JOINT DEVICE (IMPLANTABLE),592.0,651.2,254.56,1154.4,50
CDM,0686419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0686420,JOINT DEVICE (IMPLANTABLE),3807.0,4187.7,1637.01,7423.65,50
CDM,0686421,JOINT DEVICE (IMPLANTABLE),6233.0,6856.3,2680.19,12154.35,50
CDM,0686422,JOINT DEVICE (IMPLANTABLE),7703.0,8473.3,3312.29,15020.85,50
CDM,0686423,JOINT DEVICE (IMPLANTABLE),3799.0,4178.9,1633.57,7408.05,50
CDM,0686424,JOINT DEVICE (IMPLANTABLE),2729.0,3001.9,1173.47,5321.55,50
CDM,0686426,JOINT DEVICE (IMPLANTABLE),1652.0,1817.2,710.36,3221.4,50
CDM,0686427,IMPL PLAN KIT MIDFACE,5146.0,5660.6,1058.02,5660.6,50
CDM,0686428,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1767.0,1943.7,759.81,3445.65,50
CDM,0686429,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9660.0,10626.0,4153.8,18837.0,50
CDM,0686430,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",968.0,1064.8,416.24,1887.6,50
CDM,0686431,JOINT DEVICE (IMPLANTABLE),1841.0,2025.1,791.63,3589.95,50
CDM,0686432,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",6825.0,7507.5,2934.75,13308.75,50
CDM,0686433,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",7446.0,8190.6,3201.78,14519.7,50
CDM,0686434,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",8479.0,9326.9,3645.97,16534.05,50
CDM,0686435,"CATHETER, OCCLUSION",1645.0,1645.0,442.51,3207.75,45
CDM,0686436,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",8479.0,9326.9,3645.97,16534.05,50
CDM,0686437,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",8313.0,9144.3,3574.59,16210.35,50
CDM,0686438,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5324.0,5856.4,2289.32,10381.8,50
CDM,0686439,"PROBE/NEEDLE, CRYOABLATION",2450.0,2450.0,659.05,4777.5,45
CDM,0686440,"PORT, INDWELLING (IMPLANTABLE)",766.0,842.6,329.38,1493.7,50
CDM,0686441,"PORT, INDWELLING (IMPLANTABLE)",345.0,379.5,148.35,672.75,50
CDM,0686442,"PORT, INDWELLING (IMPLANTABLE)",615.0,676.5,264.45,1199.25,50
CDM,0686443,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),893.0,982.3,383.99,1741.35,50
CDM,0686444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2181.0,2399.1,937.83,4252.95,50
CDM,0686445,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0686446,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0686447,EF RING,1890.0,1890.0,388.58,1512.0,45
CDM,0686448,EF RING,1951.0,1951.0,401.13,1560.8,45
CDM,0686449,EF RING,2076.0,2076.0,426.83,1660.8,45
CDM,0686450,EF RING,1537.0,1537.0,316.01,1229.6,45
CDM,0686451,EF RING,1631.0,1631.0,335.33,1304.8,45
CDM,0686452,PUMP INFILTRATION KLEIN,1528.0,1528.0,314.16,1222.4,45
CDM,0686453,JOINT DEVICE (IMPLANTABLE),5783.75,6362.13,2487.01,11278.31,50
CDM,0686454,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0686455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10047.0,11051.7,4320.21,19591.65,50
CDM,0686456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),571.0,628.1,245.53,1113.45,50
CDM,0686457,JOINT DEVICE (IMPLANTABLE),12338.0,13571.8,5305.34,24059.1,50
CDM,0686460,JOINT DEVICE (IMPLANTABLE),5058.0,5563.8,2174.94,9863.1,50
CDM,0686461,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4375.0,4812.5,1881.25,8531.25,50
CDM,0686462,JOINT DEVICE (IMPLANTABLE),17912.0,19703.2,7702.16,34928.4,50
CDM,0686463,JOINT DEVICE (IMPLANTABLE),8305.0,9135.5,3571.15,16194.75,50
CDM,0686464,JOINT DEVICE (IMPLANTABLE),363.0,399.3,156.09,707.85,50
CDM,0686465,JOINT DEVICE (IMPLANTABLE),9027.06,9929.77,3881.64,17602.77,50
CDM,0686466,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",919.0,1010.9,395.17,1792.05,50
CDM,0686467,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2267.0,2493.7,974.81,4420.65,50
CDM,0686468,JOINT DEVICE (IMPLANTABLE),9133.25,10046.58,3927.3,17809.84,50
CDM,0686469,JOINT DEVICE (IMPLANTABLE),3895.48,4285.03,1675.06,7596.19,50
CDM,0686470,JOINT DEVICE (IMPLANTABLE),3213.0,3534.3,1381.59,6265.35,50
CDM,0686471,DVC PREVENA PLUS SYS,1138.0,1138.0,233.97,910.4,45
CDM,0686473,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),980.0,1078.0,421.4,1911.0,50
CDM,0686474,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),4200.0,4620.0,1806.0,8190.0,50
CDM,0686475,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),1943.0,2137.3,835.49,3788.85,50
CDM,0686476,JOINT DEVICE (IMPLANTABLE),18273.0,20100.3,7857.39,35632.35,50
CDM,0686477,JOINT DEVICE (IMPLANTABLE),5355.0,5890.5,2302.65,10442.25,50
CDM,0686478,JOINT DEVICE (IMPLANTABLE),8754.0,9629.4,3764.22,17070.3,50
CDM,0686480,JOINT DEVICE (IMPLANTABLE),4254.25,4679.68,1829.33,8295.79,50
CDM,0686481,"PROSTHESIS, PENILE, INFLATABLE",20079.5,22087.45,8634.19,39155.03,50
CDM,0686482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2508.0,2758.8,1078.44,4890.6,50
CDM,0686483,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",14119.0,15530.9,6071.17,27532.05,50
CDM,0686484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1576.75,1734.43,678.0,3074.66,50
CDM,0686485,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1679.51,1847.46,722.19,3275.04,50
CDM,0686487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),565.25,621.78,243.06,1102.24,50
CDM,0686490,POSITIONER SURGICAL HEART,1526.61,1526.61,313.87,1221.29,45
CDM,0686491,SYS HEARTSTRING II,967.33,967.33,198.88,773.86,45
CDM,0686492,STABILIZER SURG MALL,2085.16,2085.16,428.71,1668.13,45
CDM,0686493,"PURAPLY AM, PER SQUARE CENTIMETER",1663.0,1829.3,715.09,3242.85,50
CDM,0686494,"PRIMATRIX, PER SQUARE CENTIMETER",8050.0,8855.0,3461.5,15697.5,50
CDM,0686496,JOINT DEVICE (IMPLANTABLE),6942.0,7636.2,2985.06,13536.9,50
CDM,0686497,JOINT DEVICE (IMPLANTABLE),3758.0,4133.8,1615.94,7328.1,50
CDM,0686499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3239.25,3563.18,1392.88,6316.54,50
CDM,0686500,JOINT DEVICE (IMPLANTABLE),4128.25,4541.08,1775.15,8050.09,50
CDM,0686501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1706.25,1876.88,733.69,3327.19,50
CDM,0686502,BACTISURE LAVAGE WOUND 1L BAG,1313.0,1313.0,269.95,1050.4,45
CDM,0686503,DISK DRILL ULTRADRIVE,1925.0,1925.0,395.78,1540.0,45
CDM,0686504,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),11113.0,12224.3,4778.59,21670.35,50
CDM,0686505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0686506,JOINT DEVICE (IMPLANTABLE),4508.0,4958.8,1938.44,8790.6,50
CDM,0686507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.0,558.8,218.44,990.6,50
CDM,0686508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0686510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4190.0,4609.0,1801.7,8170.5,50
CDM,0686513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),503.79,554.17,216.63,982.39,50
CDM,0686514,DRILL BIT CANN,972.46,972.46,199.94,777.97,45
CDM,0686515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0686516,JOINT DEVICE (IMPLANTABLE),1166.0,1282.6,501.38,2273.7,50
CDM,0686517,JOINT DEVICE (IMPLANTABLE),2205.0,2425.5,948.15,4299.75,50
CDM,0686518,"GRAFTJACKET, PER SQUARE CENTIMETER",4573.0,5030.3,1966.39,8917.35,50
CDM,0686519,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10168.0,10168.0,2735.19,19827.6,45
CDM,0686520,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.25,2685.38,1049.74,4760.44,50
CDM,0686521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),726.41,799.05,312.36,1416.5,50
CDM,0686522,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",394.0,433.4,169.42,768.3,50
CDM,0686523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),607.0,667.7,261.01,1183.65,50
CDM,0686524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),677.0,744.7,291.11,1320.15,50
CDM,0686526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2492.88,2742.17,1071.94,4861.12,50
CDM,0686527,JOINT DEVICE (IMPLANTABLE),1394.0,1533.4,599.42,2718.3,50
CDM,0686528,JOINT DEVICE (IMPLANTABLE),1733.0,1906.3,745.19,3379.35,50
CDM,0686529,JOINT DEVICE (IMPLANTABLE),1267.0,1393.7,544.81,2470.65,50
CDM,0686530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1694.0,662.2,3003.0,50
CDM,0686531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1337.88,1471.67,575.29,2608.87,50
CDM,0686532,EF LG BLU BAR PIN CLMP,1124.76,1124.76,231.25,899.81,45
CDM,0686534,JOINT DEVICE (IMPLANTABLE),3088.75,3397.63,1328.16,6023.06,50
CDM,0686535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1825.0,2007.5,784.75,3558.75,50
CDM,0686536,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2371.0,2608.1,1019.53,4623.45,50
CDM,0686537,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0686538,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",135.0,148.5,58.05,263.25,50
CDM,0686540,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0686541,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),767.0,843.7,329.81,1495.65,50
CDM,0686542,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",29750.0,32725.0,12792.5,58012.5,50
CDM,0686543,BN TISSUE HUMAN,7000.0,7700.0,1439.2,7700.0,50
CDM,0686544,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",6590.0,7249.0,2833.7,12850.5,50
CDM,0686545,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7413.0,8154.3,3187.59,14455.35,50
CDM,0686546,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1513.75,1513.75,407.2,2951.81,45
CDM,0686548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),162.5,178.75,69.88,316.88,50
CDM,0686549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0686550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4373.0,4810.3,1880.39,8527.35,50
CDM,0686551,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11897.0,13086.7,5115.71,23199.15,50
CDM,0686555,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3246.0,3570.6,1395.78,6329.7,50
CDM,0686556,JOINT DEVICE (IMPLANTABLE),7533.75,8287.13,3239.51,14690.81,50
CDM,0686557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),362.25,398.48,155.77,706.39,50
CDM,0686558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8153.0,8968.3,3505.79,15898.35,50
CDM,0686559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0686560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1675.42,1842.96,720.43,3267.07,50
CDM,0686561,JOINT DEVICE (IMPLANTABLE),1292.0,1421.2,555.56,2519.4,50
CDM,0686562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1722.88,1895.17,740.84,3359.62,50
CDM,0686563,JOINT DEVICE (IMPLANTABLE),8766.0,9642.6,3769.38,17093.7,50
CDM,0686564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1119.67,1231.64,481.46,2183.36,50
CDM,0686565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3237.0,3560.7,1391.91,6312.15,50
CDM,0686566,FORCEPS BIPOLAR,935.0,935.0,192.24,748.0,45
CDM,0686567,FORCEP SURGICAL TISSUE,1130.0,1130.0,232.33,904.0,45
CDM,0686568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3841.0,4225.1,1651.63,7489.95,50
CDM,0686569,JOINT DEVICE (IMPLANTABLE),3287.0,3615.7,1413.41,6409.65,50
CDM,0686570,JOINT DEVICE (IMPLANTABLE),13269.38,14596.32,5705.83,25875.29,50
CDM,0686571,JOINT DEVICE (IMPLANTABLE),2063.25,2269.58,887.2,4023.34,50
CDM,0686572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2389.28,2628.21,1027.39,4659.1,50
CDM,0686573,JOINT DEVICE (IMPLANTABLE),4669.88,5136.87,2008.05,9106.27,50
CDM,0686574,JOINT DEVICE (IMPLANTABLE),3228.75,3551.63,1388.36,6296.06,50
CDM,0686575,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2851.0,3136.1,1225.93,5559.45,50
CDM,0686576,JOINT DEVICE (IMPLANTABLE),4662.0,5128.2,2004.66,9090.9,50
CDM,0686577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),402.5,442.75,173.08,784.88,50
CDM,0686579,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",17559.36,19315.3,7550.52,34240.75,50
CDM,0686580,MODEL SKULL FULL,9347.8,9347.8,1921.91,7478.24,45
CDM,0686583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0686584,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4200.0,4620.0,1806.0,8190.0,50
CDM,0686586,JOINT DEVICE (IMPLANTABLE),9298.0,10227.8,3998.14,18131.1,50
CDM,0686587,JOINT DEVICE (IMPLANTABLE),3070.0,3377.0,1320.1,5986.5,50
CDM,0686588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.38,412.92,161.41,731.99,50
CDM,0686589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),206.25,226.88,88.69,402.19,50
CDM,0686590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),998.0,1097.8,429.14,1946.1,50
CDM,0686591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),142.0,156.2,61.06,276.9,50
CDM,0686593,JOINT DEVICE (IMPLANTABLE),2616.0,2877.6,1124.88,5101.2,50
CDM,0686594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1579.0,1736.9,678.97,3079.05,50
CDM,0686595,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),560.0,616.0,240.8,1092.0,50
CDM,0686596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0686598,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",656.0,721.6,282.08,1279.2,50
CDM,0686599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0686600,MESH (IMPLANTABLE),2660.53,2926.58,1144.03,5188.03,50
CDM,0686601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0686602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0686603,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12056.0,13261.6,5184.08,23509.2,50
CDM,0686605,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1575.0,1732.5,677.25,3071.25,50
CDM,0686606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),896.0,985.6,385.28,1747.2,50
CDM,0686607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),767.0,843.7,329.81,1495.65,50
CDM,0686609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4133.0,4546.3,1777.19,8059.35,50
CDM,0686610,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0686613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0686614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3010.4,3311.44,1294.47,5870.28,50
CDM,0686616,ANGIOVAC C20 W/OBTUR,25375.0,25375.0,3461.0,20300.0,45
CDM,0686617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1746.0,1920.6,750.78,3404.7,50
CDM,0686619,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0686621,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",6125.0,6125.0,1647.63,11943.75,45
CDM,0686623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.06,865.77,338.44,1534.77,50
CDM,0686624,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2953.95,3249.35,1270.2,5760.2,50
CDM,0686625,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1083.01,1191.31,465.69,2111.87,50
CDM,0686626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5008.5,5509.35,2153.66,9766.58,50
CDM,0686627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),445.22,489.74,191.44,868.18,50
CDM,0686628,JOINT DEVICE (IMPLANTABLE),3013.0,3314.3,1295.59,5875.35,50
CDM,0686629,JOINT DEVICE (IMPLANTABLE),6220.5,6842.55,2674.82,12129.98,50
CDM,0686630,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.23,2502.75,978.35,4436.7,50
CDM,0686631,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3296.44,3626.08,1417.47,6428.06,50
CDM,0686632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),986.3,1084.93,424.11,1923.29,50
CDM,0686634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),625.17,687.69,268.82,1219.08,50
CDM,0686635,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2952.95,3248.25,1269.77,5758.25,50
CDM,0686636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2083.9,2292.29,896.08,4063.61,50
CDM,0686637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5509.44,6060.38,2369.06,10743.41,50
CDM,0686638,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",306.0,336.6,131.58,596.7,50
CDM,0686639,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1217.0,1338.7,523.31,2373.15,50
CDM,0686640,JOINT DEVICE (IMPLANTABLE),3546.0,3900.6,1524.78,6914.7,50
CDM,0686641,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1630.13,1793.14,700.96,3178.75,50
CDM,0686642,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),513.0,564.3,220.59,1000.35,50
CDM,0686644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.25,406.18,158.78,720.04,50
CDM,0686646,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2660.86,2926.95,1144.17,5188.68,50
CDM,0686647,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),586.18,644.8,252.06,1143.05,50
CDM,0686648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2654.28,2919.71,1141.34,5175.85,50
CDM,0686649,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),304.62,335.08,130.99,594.01,50
CDM,0686650,JOINT DEVICE (IMPLANTABLE),15391.6,16930.76,6618.39,30013.62,50
CDM,0686651,JOINT DEVICE (IMPLANTABLE),4939.2,5433.12,2123.86,9631.44,50
CDM,0686652,JOINT DEVICE (IMPLANTABLE),8055.6,8861.16,3463.91,15708.42,50
CDM,0686653,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2188.0,2406.8,940.84,4266.6,50
CDM,0686654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4827.0,5309.7,2075.61,9412.65,50
CDM,0686655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),218.0,239.8,93.74,425.1,50
CDM,0686656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3840.38,4224.42,1651.36,7488.74,50
CDM,0686657,JOINT DEVICE (IMPLANTABLE),10952.0,12047.2,4709.36,21356.4,50
CDM,0686658,JOINT DEVICE (IMPLANTABLE),2963.0,3259.3,1274.09,5777.85,50
CDM,0686659,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1628.0,1790.8,700.04,3174.6,50
CDM,0686660,JOINT DEVICE (IMPLANTABLE),2401.0,2641.1,1032.43,4681.95,50
CDM,0686661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3742.0,4116.2,1609.06,7296.9,50
CDM,0686663,JOINT DEVICE (IMPLANTABLE),12040.0,13244.0,5177.2,23478.0,50
CDM,0686664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),550.67,605.74,236.79,1073.81,50
CDM,0686665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3350.85,3685.94,1440.87,6534.16,50
CDM,0686666,STER PREC FAST,1688.75,1688.75,347.21,1351.0,45
CDM,0686667,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",34207.0,37627.7,14709.01,66703.65,50
CDM,0686668,JOINT DEVICE (IMPLANTABLE),9605.75,10566.33,4130.47,18731.21,50
CDM,0686669,JOINT DEVICE (IMPLANTABLE),4263.88,4690.27,1833.47,8314.57,50
CDM,0686670,JOINT DEVICE (IMPLANTABLE),8663.0,9529.3,3725.09,16892.85,50
CDM,0686671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8518.0,9369.8,3662.74,16610.1,50
CDM,0686672,"PROSTHESIS, PENILE, INFLATABLE",20079.5,22087.45,8634.19,39155.03,50
CDM,0686673,"PROSTHESIS, PENILE, INFLATABLE",4410.0,4851.0,1896.3,8599.5,50
CDM,0686674,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11918.0,11918.0,3205.94,23240.1,45
CDM,0686675,CATH SEPARATOR,3404.0,3404.0,699.86,2723.2,45
CDM,0686676,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8489.0,9337.9,3650.27,16553.55,50
CDM,0686677,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1982.0,2180.2,852.26,3864.9,50
CDM,0686678,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),273.3,300.63,117.52,532.94,50
CDM,0686679,JOINT DEVICE (IMPLANTABLE),4131.0,4544.1,1776.33,8055.45,50
CDM,0686680,JOINT DEVICE (IMPLANTABLE),1149.0,1263.9,494.07,2240.55,50
CDM,0686681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),280.0,308.0,120.4,546.0,50
CDM,0686682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),878.0,965.8,377.54,1712.1,50
CDM,0686683,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0686684,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),991.9,1091.09,426.52,1934.21,50
CDM,0686685,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3224.81,3547.29,1386.67,6288.38,50
CDM,0686686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2793.7,3073.07,1201.29,5447.72,50
CDM,0686687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),615.0,676.5,264.45,1199.25,50
CDM,0686688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1915.55,2107.11,823.69,3735.32,50
CDM,0686689,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1547.0,1701.7,665.21,3016.65,50
CDM,0686690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),492.92,542.21,211.96,961.19,50
CDM,0686691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2685.38,2953.92,1154.71,5236.49,50
CDM,0686692,"GRAFT, VASCULAR",8050.0,8855.0,3461.5,15697.5,50
CDM,0686695,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686696,KNOT PUSHER,5250.0,5250.0,1079.4,4200.0,45
CDM,0686697,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",3773.0,4150.3,1622.39,7357.35,50
CDM,0686698,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",4323.0,4755.3,1858.89,8429.85,50
CDM,0686699,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4253.76,4679.14,1829.12,8294.83,50
CDM,0686700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),483.0,531.3,207.69,941.85,50
CDM,0686701,"GRAFTJACKET, PER SQUARE CENTIMETER",4026.0,4428.6,1731.18,7850.7,50
CDM,0686703,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0686704,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.75,402.33,157.27,713.21,50
CDM,0686705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),660.0,726.0,283.8,1287.0,50
CDM,0686706,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2680.63,2948.69,1152.67,5227.23,50
CDM,0686707,JOINT DEVICE (IMPLANTABLE),4505.0,4955.5,1937.15,8784.75,50
CDM,0686708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2734.95,3008.45,1176.03,5333.15,50
CDM,0686709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6594.0,7253.4,2835.42,12858.3,50
CDM,0686710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1727.25,1899.98,742.72,3368.14,50
CDM,0686712,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6620.0,7282.0,2846.6,12909.0,50
CDM,0686713,"GRAFT, VASCULAR",5562.0,6118.2,2391.66,10845.9,50
CDM,0686715,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5985.0,6583.5,2573.55,11670.75,50
CDM,0686716,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10587.5,11646.25,4552.63,20645.63,50
CDM,0686717,JOINT DEVICE (IMPLANTABLE),375.2,412.72,161.34,731.64,50
CDM,0686719,CANNULA PROTEK DUO VENO VENOUS,35149.0,35149.0,3461.0,28119.2,45
CDM,0686720,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),902.14,992.35,387.92,1759.17,50
CDM,0686721,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1915.0,2106.5,823.45,3734.25,50
CDM,0686722,"CYTAL, PER SQUARE CENTIMETER",527.0,579.7,226.61,1027.65,50
CDM,0686723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1233.0,1356.3,530.19,2404.35,50
CDM,0686724,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),591.0,650.1,254.13,1152.45,50
CDM,0686726,JOINT DEVICE (IMPLANTABLE),18258.0,20083.8,7850.94,35603.1,50
CDM,0686727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.0,372.9,145.77,661.05,50
CDM,0686728,JOINT DEVICE (IMPLANTABLE),7583.0,8341.3,3260.69,14786.85,50
CDM,0686729,JOINT DEVICE (IMPLANTABLE),9560.0,10516.0,4110.8,18642.0,50
CDM,0686730,JOINT DEVICE (IMPLANTABLE),7608.0,8368.8,3271.44,14835.6,50
CDM,0686731,JOINT DEVICE (IMPLANTABLE),14114.0,15525.4,6069.02,27522.3,50
CDM,0686732,JOINT DEVICE (IMPLANTABLE),4830.0,5313.0,2076.9,9418.5,50
CDM,0686734,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2347.0,2581.7,1009.21,4576.65,50
CDM,0686735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5786.0,6364.6,2487.98,11282.7,50
CDM,0686737,"PROSTHESIS, PENILE, INFLATABLE",20870.0,22957.0,8974.1,40696.5,50
CDM,0686738,"NOVOSORB SYNPATH DERMAL MATRIX, PER SQUARE CENTIMETER",1706.0,1876.6,733.58,3326.7,50
CDM,0686739,"NOVOSORB SYNPATH DERMAL MATRIX, PER SQUARE CENTIMETER",3413.0,3754.3,1467.59,6655.35,50
CDM,0686741,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2962.58,3258.84,1273.91,5777.03,50
CDM,0686742,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3273.0,3600.3,1407.39,6382.35,50
CDM,0686743,"NOVOSORB SYNPATH DERMAL MATRIX, PER SQUARE CENTIMETER",13650.0,15015.0,5869.5,26617.5,50
CDM,0686744,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",4550.0,5005.0,1956.5,8872.5,50
CDM,0686745,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, PEEL-AWAY",2160.0,2160.0,581.04,4212.0,45
CDM,0686746,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0686747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3080.0,3388.0,1324.4,6006.0,50
CDM,0686748,JOINT DEVICE (IMPLANTABLE),1950.0,2145.0,838.5,3802.5,50
CDM,0686749,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2791.25,3070.38,1200.24,5442.94,50
CDM,0686750,KIT FDL SYS 4.75MM,2878.0,2878.0,591.72,2302.4,45
CDM,0686751,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1755.0,1930.5,754.65,3422.25,50
CDM,0686753,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3491.0,3840.1,1501.13,6807.45,50
CDM,0686754,"GRAFT, VASCULAR",4513.0,4964.3,1940.59,8800.35,50
CDM,0686755,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),796.71,876.38,342.59,1553.58,50
CDM,0686756,"GRAFT, VASCULAR",4194.0,4613.4,1803.42,8178.3,50
CDM,0686757,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2658.0,2923.8,1142.94,5183.1,50
CDM,0686758,BRACHYTHERAPY NEEDLE,3646.0,4010.6,1567.78,7109.7,50
CDM,0686759,JOINT DEVICE (IMPLANTABLE),4719.0,5190.9,2029.17,9202.05,50
CDM,0686760,JOINT DEVICE (IMPLANTABLE),12086.2,13294.82,5197.07,23568.09,50
CDM,0686761,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0686762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2294.25,2523.68,986.53,4473.79,50
CDM,0686763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3544.45,3898.9,1524.11,6911.68,50
CDM,0686764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.07,377.38,147.52,668.99,50
CDM,0686765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1525.39,1677.93,655.92,2974.51,50
CDM,0686766,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4427.15,4869.87,1903.67,8632.94,50
CDM,0686767,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),334.88,368.37,144.0,653.02,50
CDM,0686769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5036.85,5540.54,2165.85,9821.86,50
CDM,0686772,JOINT DEVICE (IMPLANTABLE),6761.3,7437.43,2907.36,13184.54,50
CDM,0686773,EF BAR FIB CVD,1300.5,1300.5,267.38,1040.4,45
CDM,0686774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3176.0,3493.6,1365.68,6193.2,50
CDM,0686776,PUMP IMPL ACCESS,9275.0,9275.0,1906.94,7420.0,45
CDM,0686777,PUMP SURG TOOLS,8663.0,8663.0,1781.11,6930.4,45
CDM,0686778,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",3500.0,3850.0,545.19,3850.0,50
CDM,0686780,STABLELOC FIXATION SYSTEM,3665.0,3665.0,753.52,2932.0,45
CDM,0686781,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",10587.5,11646.25,4552.63,20645.63,50
CDM,0686782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0686783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),778.75,856.63,334.86,1518.56,50
CDM,0686784,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1662.5,1828.75,714.88,3241.88,50
CDM,0686785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0686786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1967.0,2163.7,845.81,3835.65,50
CDM,0686787,BIT DRL 1,1191.0,1191.0,244.87,952.8,45
CDM,0686788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0686789,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1877.0,2064.7,807.11,3660.15,50
CDM,0686791,AMNIOTIC MEMBRANE DS,1969.0,2165.9,404.83,2165.9,50
CDM,0686792,AMNIOTIC MEMBRANE DS,2678.0,2945.8,550.6,2945.8,50
CDM,0686793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),560.0,616.0,240.8,1092.0,50
CDM,0686794,JOINT DEVICE (IMPLANTABLE),2607.0,2867.7,1121.01,5083.65,50
CDM,0686795,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5026.28,5528.91,2161.3,9801.25,50
CDM,0686797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3647.0,4011.7,1568.21,7111.65,50
CDM,0686798,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),654.5,719.95,281.44,1276.28,50
CDM,0686799,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1357.13,1492.84,583.57,2646.4,50
CDM,0686800,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1120.0,1232.0,481.6,2184.0,50
CDM,0686801,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),617.0,678.7,265.31,1203.15,50
CDM,0686803,MDL VSP VIRTUAL,2570.0,2570.0,528.39,2056.0,45
CDM,0686806,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",957.0,1052.7,411.51,1866.15,50
CDM,0686807,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2026.5,2229.15,871.4,3951.68,50
CDM,0686808,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,0686809,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0686810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2876.56,3164.22,1236.92,5609.29,50
CDM,0686811,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1356.25,1491.88,583.19,2644.69,50
CDM,0686812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4932.2,5425.42,2120.85,9617.79,50
CDM,0686813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2793.7,3073.07,1201.29,5447.72,50
CDM,0686814,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3439.8,3783.78,1479.11,6707.61,50
CDM,0686815,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),649.74,714.71,279.39,1266.99,50
CDM,0686817,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2940.0,2940.0,790.86,5733.0,45
CDM,0686821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),574.11,631.52,246.87,1119.51,50
CDM,0686822,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7955.33,8750.86,3420.79,15512.89,50
CDM,0686823,JOINT DEVICE (IMPLANTABLE),4158.0,4573.8,1787.94,8108.1,50
CDM,0686824,JOINT DEVICE (IMPLANTABLE),7505.0,8255.5,3227.15,14634.75,50
CDM,0686825,JOINT DEVICE (IMPLANTABLE),2646.0,2910.6,1137.78,5159.7,50
CDM,0686826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),866.25,952.88,372.49,1689.19,50
CDM,0686827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1127.0,1239.7,484.61,2197.65,50
CDM,0686828,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1203.13,1323.44,517.35,2346.1,50
CDM,0686829,JOINT DEVICE (IMPLANTABLE),2686.0,2954.6,1154.98,5237.7,50
CDM,0686830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7256.0,7981.6,3120.08,14149.2,50
CDM,0686831,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),709.68,780.65,305.16,1383.88,50
CDM,0686832,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",250.0,275.0,107.5,487.5,50
CDM,0686833,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",221.0,243.1,95.03,430.95,50
CDM,0686834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2274.3,2501.73,977.95,4434.89,50
CDM,0686835,"GRAFT, VASCULAR",14000.0,15400.0,6020.0,27300.0,50
CDM,0686836,"AMNIOEXCEL, AMNIOEXCEL PLUS OR BIODEXCEL, PER SQUARE CENTIMETER",11668.0,12834.8,5017.24,22752.6,50
CDM,0686838,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",16409.0,18049.9,7055.87,31997.55,50
CDM,0686839,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8184.0,9002.4,3519.12,15958.8,50
CDM,0686840,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7649.0,8413.9,3289.07,14915.55,50
CDM,0686841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4664.0,5130.4,2005.52,9094.8,50
CDM,0686842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),975.0,1072.5,419.25,1901.25,50
CDM,0686843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),303.0,333.3,130.29,590.85,50
CDM,0686845,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3830.51,4213.56,1647.12,7469.49,50
CDM,0686846,"AMNIOEXCEL, AMNIOEXCEL PLUS OR BIODEXCEL, PER SQUARE CENTIMETER",6054.0,6659.4,2603.22,11805.3,50
CDM,0686847,"AMNIOEXCEL, AMNIOEXCEL PLUS OR BIODEXCEL, PER SQUARE CENTIMETER",11668.0,12834.8,5017.24,22752.6,50
CDM,0686848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0686850,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),356.0,391.6,153.08,694.2,50
CDM,0686851,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0686852,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0686853,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0686854,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),783.0,861.3,336.69,1526.85,50
CDM,0686855,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1847.3,2032.03,794.34,3602.24,50
CDM,0686856,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1779.0,1956.9,764.97,3469.05,50
CDM,0686857,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2739.91,3013.9,1178.16,5342.82,50
CDM,0686858,REAMER HEAD FOR RIA,1580.0,1580.0,324.85,1264.0,45
CDM,0686859,REAMER DRIVE SHFT FOR RIA 2,20461.0,20461.0,3461.0,16368.8,45
CDM,0686860,REAMER RIA 2 STER KIT WO FIL,5135.0,5135.0,1055.76,4108.0,45
CDM,0686861,REAMER GRAFT COMP FOR RIA,3602.0,3602.0,740.57,2881.6,45
CDM,0686862,JOINT DEVICE (IMPLANTABLE),2341.5,2575.65,1006.85,4565.93,50
CDM,0686863,CLAMP XTRNFX 11MM HFMN 3 30D 5,951.72,951.72,195.67,761.38,45
CDM,0686864,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1722.88,1895.17,740.84,3359.62,50
CDM,0686865,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3840.38,4224.42,1651.36,7488.74,50
CDM,0686866,JOINT DEVICE (IMPLANTABLE),6008.63,6609.49,2583.71,11716.83,50
CDM,0686867,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",21459.42,23605.36,9227.55,41845.87,50
CDM,0686868,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1544.0,1698.4,663.92,3010.8,50
CDM,0686869,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8295.0,9124.5,3566.85,16175.25,50
CDM,0686870,JOINT DEVICE (IMPLANTABLE),4824.75,5307.23,2074.64,9408.26,50
CDM,0686871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1953.88,2149.27,840.17,3810.07,50
CDM,0686872,DVC KIT FHL IMPL SYS,3840.0,3840.0,789.5,3072.0,45
CDM,0686873,MESH (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686874,"PROBE, IMAGE-GUIDED, ROBOTIC, WATERJET ABLATION",5933.0,5933.0,1595.98,11569.35,45
CDM,0686875,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",791.0,870.1,340.13,1542.45,50
CDM,0686876,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",525.0,577.5,225.75,1023.75,50
CDM,0686877,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0686878,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.6,475.86,186.02,843.57,50
CDM,0686879,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2350.0,2585.0,1010.5,4582.5,50
CDM,0686880,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2192.0,2411.2,942.56,4274.4,50
CDM,0686881,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),537.15,590.87,230.97,1047.44,50
CDM,0686882,MDL MAXILLA CLEAR VIEW,4798.0,4798.0,986.47,3838.4,45
CDM,0686883,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",26295.0,28924.5,11306.85,51275.25,50
CDM,0686884,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),566.42,623.06,243.56,1104.52,50
CDM,0686885,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1564.5,1720.95,672.74,3050.78,50
CDM,0686886,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4025.0,4427.5,1730.75,7848.75,50
CDM,0686887,JOINT DEVICE (IMPLANTABLE),6262.2,6888.42,2692.75,12211.29,50
CDM,0686888,JOINT DEVICE (IMPLANTABLE),3622.5,3984.75,1557.68,7063.88,50
CDM,0686889,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),422.0,464.2,181.46,822.9,50
CDM,0686890,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0686891,JOINT DEVICE (IMPLANTABLE),2126.0,2338.6,914.18,4145.7,50
CDM,0686892,JOINT DEVICE (IMPLANTABLE),2126.0,2338.6,914.18,4145.7,50
CDM,0686893,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2791.0,3070.1,1200.13,5442.45,50
CDM,0686895,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),626.0,688.6,269.18,1220.7,50
CDM,0686896,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1155.0,1270.5,496.65,2252.25,50
CDM,0686897,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),770.0,847.0,331.1,1501.5,50
CDM,0686898,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3380.65,3718.72,1453.68,6592.27,50
CDM,0686899,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1542.45,1696.7,663.25,3007.78,50
CDM,0686901,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",11844.0,13028.4,5092.92,23095.8,50
CDM,0686902,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2901.0,3191.1,1247.43,5656.95,50
CDM,0686903,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2562.07,2818.28,1101.69,4996.04,50
CDM,0686905,PACK DNTL IPS NS LF DISP,932.75,932.75,191.77,746.2,45
CDM,0686906,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1154.49,1269.94,496.43,2251.26,50
CDM,0686907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1842.0,2026.2,792.06,3591.9,50
CDM,0686909,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),764.0,840.4,328.52,1489.8,50
CDM,0686911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1623.0,1785.3,697.89,3164.85,50
CDM,0686912,DRILL BIT 12.8 MM,1516.0,1516.0,311.69,1212.8,45
CDM,0686913,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4263.47,4689.82,1833.29,8313.77,50
CDM,0686914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),521.0,573.1,224.03,1015.95,50
CDM,0686915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2366.02,2602.62,1017.39,4613.74,50
CDM,0686916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),744.0,818.4,319.92,1450.8,50
CDM,0686917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),811.41,892.55,348.91,1582.25,50
CDM,0686918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8162.0,8978.2,3509.66,15915.9,50
CDM,0686919,DRSG PREVENA BELLA,1488.0,1488.0,305.93,1190.4,45
CDM,0686920,DRSG PREVENA BELLA,963.0,963.0,197.99,770.4,45
CDM,0686921,DRSG PREVENA BELLA,1619.0,1619.0,332.87,1295.2,45
CDM,0686922,DRSG PREVENA BELLA,1059.0,1059.0,217.73,847.2,45
CDM,0686925,JOINT DEVICE (IMPLANTABLE),4649.0,5113.9,1999.07,9065.55,50
CDM,0686927,"CATHETER, THROMBECTOMY/EMBOLECTOMY",9818.0,9818.0,2641.04,19145.1,45
CDM,0686928,JOINT DEVICE (IMPLANTABLE),9980.0,10978.0,4291.4,19461.0,50
CDM,0686929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1300.0,1430.0,559.0,2535.0,50
CDM,0686930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1312.5,1443.75,564.38,2559.38,50
CDM,0686931,BNDR ROD DIGITIZER ARY BENDINI,3360.0,3360.0,690.82,2688.0,45
CDM,0686932,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3570.0,3927.0,1535.1,6961.5,50
CDM,0686933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2525.9,2778.49,1086.14,4925.51,50
CDM,0686935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),422.0,464.2,181.46,822.9,50
CDM,0686936,SEALER COOLSEAL TRINITY,901.0,901.0,185.25,720.8,45
CDM,0686937,SEALER COOLSEAL TRINITY,1313.0,1313.0,269.95,1050.4,45
CDM,0686938,JOINT DEVICE (IMPLANTABLE),9780.31,10758.34,4205.53,19071.6,50
CDM,0686939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1531.0,1684.1,658.33,2985.45,50
CDM,0686940,"CATHETER, BALLOON DILATATION, NON-VASCULAR",3413.0,3413.0,918.1,6655.35,45
CDM,0686941,ACUTE AC REP KIT,2165.63,2165.63,445.25,1732.5,45
CDM,0686942,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",888.0,976.8,381.84,1731.6,50
CDM,0686943,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2007.0,2207.7,863.01,3913.65,50
CDM,0686944,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0686945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),477.75,525.53,205.43,931.61,50
CDM,0686946,"PROSTHESIS, PENILE, NON-INFLATABLE",20176.0,22193.6,8675.68,39343.2,50
CDM,0686947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6865.72,7552.29,2952.26,13388.15,50
CDM,0686948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1443.75,1588.13,620.81,2815.31,50
CDM,0686949,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0686950,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2195.0,2414.5,943.85,4280.25,50
CDM,0686951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0686953,JOINT DEVICE (IMPLANTABLE),2920.72,3212.79,1255.91,5695.4,50
CDM,0686954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0686955,JOINT DEVICE (IMPLANTABLE),2156.0,2371.6,927.08,4204.2,50
CDM,0686956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3139.96,3453.96,1350.18,6122.92,50
CDM,0686957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),281.19,309.31,120.91,548.32,50
CDM,0686959,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),16847.0,18531.7,7244.21,32851.65,50
CDM,0686960,JOINT DEVICE (IMPLANTABLE),3406.38,3747.02,1464.74,6642.44,50
CDM,0686961,JOINT DEVICE (IMPLANTABLE),2042.0,2246.2,878.06,3981.9,50
CDM,0686962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4900.0,5390.0,2107.0,9555.0,50
CDM,0686963,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6344.0,6978.4,2727.92,12370.8,50
CDM,0686964,JOINT DEVICE (IMPLANTABLE),11318.76,12450.64,4867.07,22071.58,50
CDM,0686965,JOINT DEVICE (IMPLANTABLE),2677.5,2945.25,1151.33,5221.13,50
CDM,0686966,JOINT DEVICE (IMPLANTABLE),2184.0,2402.4,939.12,4258.8,50
CDM,0686967,JOINT DEVICE (IMPLANTABLE),15842.63,17426.89,6812.33,30893.13,50
CDM,0686968,JOINT DEVICE (IMPLANTABLE),7918.72,8710.59,3405.05,15441.5,50
CDM,0686970,JOINT DEVICE (IMPLANTABLE),4159.8,4575.78,1788.71,8111.61,50
CDM,0686973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3240.0,3564.0,1393.2,6318.0,50
CDM,0686974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1127.0,1239.7,484.61,2197.65,50
CDM,0686975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),850.0,935.0,365.5,1657.5,50
CDM,0686976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6968.5,7665.35,2996.46,13588.58,50
CDM,0686977,FIBERTAPE,1155.0,1155.0,237.47,924.0,45
CDM,0686978,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3220.0,3542.0,1384.6,6279.0,50
CDM,0686979,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4464.0,4910.4,1919.52,8704.8,50
CDM,0686980,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",20252.75,22278.03,8708.68,39492.86,50
CDM,0686981,CVD GLASS FIBER BAR,1277.06,1404.77,262.56,1404.77,50
CDM,0686982,JOINT DEVICE (IMPLANTABLE),4718.0,5189.8,2028.74,9200.1,50
CDM,0686983,"ALLODERM, PER SQUARE CENTIMETER",2427.0,2669.7,1043.61,4732.65,50
CDM,0686984,"ALLODERM, PER SQUARE CENTIMETER",3794.0,4173.4,1631.42,7398.3,50
CDM,0686985,"ALLODERM, PER SQUARE CENTIMETER",7389.0,8127.9,3177.27,14408.55,50
CDM,0686986,"ALLODERM, PER SQUARE CENTIMETER",77.0,84.7,33.11,150.15,50
CDM,0686987,"ALLODERM, PER SQUARE CENTIMETER",1423.0,1565.3,611.89,2774.85,50
CDM,0686988,"ALLODERM, PER SQUARE CENTIMETER",150.0,165.0,64.5,292.5,50
CDM,0686989,"ALLODERM, PER SQUARE CENTIMETER",266.0,292.6,114.38,518.7,50
CDM,0686990,"ALLODERM, PER SQUARE CENTIMETER",446.0,490.6,191.78,869.7,50
CDM,0686991,"ALLODERM, PER SQUARE CENTIMETER",775.0,852.5,333.25,1511.25,50
CDM,0686992,"ALLODERM, PER SQUARE CENTIMETER",1134.0,1247.4,487.62,2211.3,50
CDM,0686993,"ALLODERM, PER SQUARE CENTIMETER",1318.0,1449.8,566.74,2570.1,50
CDM,0686994,"ALLODERM, PER SQUARE CENTIMETER",1363.0,1499.3,586.09,2657.85,50
CDM,0686995,"ALLODERM, PER SQUARE CENTIMETER",1897.0,2086.7,815.71,3699.15,50
CDM,0686997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),769.67,846.64,330.96,1500.86,50
CDM,0686998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3078.67,3386.54,1323.83,6003.41,50
CDM,0687000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),903.0,993.3,388.29,1760.85,50
CDM,0687001,"STRATTICE TM, PER SQUARE CENTIMETER",35865.0,39451.5,15421.95,69936.75,50
CDM,0687002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),401.0,441.1,172.43,781.95,50
CDM,0687003,PASTA BRIDGE KIT,2281.13,2281.13,469.0,1824.9,45
CDM,0687004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0687005,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",953.0,1048.3,409.79,1858.35,50
CDM,0687006,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",270.0,297.0,116.1,526.5,50
CDM,0687007,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",32585.0,35843.5,14011.55,63540.75,50
CDM,0687008,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1575.0,1575.0,423.68,3071.25,45
CDM,0687009,ACTIVA RC RECHARGER,3833.0,3833.0,788.06,3066.4,45
CDM,0687011,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),155.0,170.5,66.65,302.25,50
CDM,0687014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3738.0,4111.8,1607.34,7289.1,50
CDM,0687017,"FLEX HD, OR ALLOPATCH HD, PER SQUARE CENTIMETER",2047.0,2251.7,880.21,3991.65,50
CDM,0687018,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1459.47,1605.42,627.57,2845.97,50
CDM,0687019,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0687020,JOINT DEVICE (IMPLANTABLE),4389.0,4827.9,1887.27,8558.55,50
CDM,0687021,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14088.0,15496.8,6057.84,27471.6,50
CDM,0687022,STEP DRILL,937.0,937.0,192.65,749.6,45
CDM,0687023,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",2544.5,2798.95,1094.14,4961.78,50
CDM,0687024,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3762.5,4138.75,1617.88,7336.88,50
CDM,0687025,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5241.0,5765.1,2253.63,10219.95,50
CDM,0687026,KIT FIBULOCK SYS,1138.0,1138.0,233.97,910.4,45
CDM,0687027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5765.38,6341.92,2479.11,11242.49,50
CDM,0687028,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",15418.0,16959.8,6629.74,30065.1,50
CDM,0687029,MESH (IMPLANTABLE),723.0,795.3,310.89,1409.85,50
CDM,0687030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1182.0,1300.2,508.26,2304.9,50
CDM,0687031,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),457.38,503.12,196.67,891.89,50
CDM,0687036,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",22932.0,25225.2,9860.76,44717.4,50
CDM,0687038,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),933.63,1026.99,401.46,1820.58,50
CDM,0687039,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),365.75,402.33,157.27,713.21,50
CDM,0687040,MESH (IMPLANTABLE),814.0,895.4,350.02,1587.3,50
CDM,0687041,MESH (IMPLANTABLE),866.0,952.6,372.38,1688.7,50
CDM,0687042,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",7518.0,7518.0,2022.34,14660.1,45
CDM,0687043,"PROSTHESIS, PENILE, NON-INFLATABLE",16961.0,18657.1,7293.23,33073.95,50
CDM,0687044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1351.0,1486.1,580.93,2634.45,50
CDM,0687045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0687046,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),520.0,572.0,223.6,1014.0,50
CDM,0687047,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.25,3070.38,1200.24,5442.94,50
CDM,0687048,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3193.75,3513.13,1373.31,6227.81,50
CDM,0687049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1010.63,1111.69,434.57,1970.73,50
CDM,0687050,KIT KYPHOPLASTY,5239.0,5239.0,1077.14,4191.2,45
CDM,0687051,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14414.4,15855.84,6198.19,28108.08,50
CDM,0687052,MDL CUSTOM MAXILLA,4228.14,4228.14,869.31,3382.51,45
CDM,0687054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4016.0,4417.6,1726.88,7831.2,50
CDM,0687055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2205.0,2425.5,948.15,4299.75,50
CDM,0687056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3136.0,3449.6,1348.48,6115.2,50
CDM,0687058,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),25375.0,27912.5,10911.25,49481.25,50
CDM,0687059,DVC SURGICAL ILLUMINATOR,1794.0,1794.0,368.85,1435.2,45
CDM,0687061,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",4279.0,4706.9,1839.97,8344.05,50
CDM,0687062,JOINT DEVICE (IMPLANTABLE),2579.0,2836.9,1108.97,5029.05,50
CDM,0687063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0687064,JOINT DEVICE (IMPLANTABLE),3841.34,4225.47,1651.78,7490.61,50
CDM,0687065,JOINT DEVICE (IMPLANTABLE),2002.0,2202.2,860.86,3903.9,50
CDM,0687066,JOINT DEVICE (IMPLANTABLE),9191.0,10110.1,3952.13,17922.45,50
CDM,0687067,JOINT DEVICE (IMPLANTABLE),6156.0,6771.6,2647.08,12004.2,50
CDM,0687068,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4027.0,4429.7,1731.61,7852.65,50
CDM,0687069,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1722.88,1895.17,740.84,3359.62,50
CDM,0687070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3491.0,3840.1,1501.13,6807.45,50
CDM,0687071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),280.0,308.0,120.4,546.0,50
CDM,0687072,JOINT DEVICE (IMPLANTABLE),6160.0,6776.0,2648.8,12012.0,50
CDM,0687073,JOINT DEVICE (IMPLANTABLE),2791.0,3070.1,1200.13,5442.45,50
CDM,0687074,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1183.35,1301.69,508.84,2307.53,50
CDM,0687075,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,0687076,"GRAFT, VASCULAR",10325.0,11357.5,4439.75,20133.75,50
CDM,0687077,"GRAFT, VASCULAR",10500.0,11550.0,4515.0,20475.0,50
CDM,0687078,"GRAFT, VASCULAR",11725.0,12897.5,5041.75,22863.75,50
CDM,0687079,"GRAFT, VASCULAR",12425.0,13667.5,5342.75,24228.75,50
CDM,0687080,"GRAFT, VASCULAR",13475.0,14822.5,5794.25,26276.25,50
CDM,0687081,"GRAFT, VASCULAR",14438.0,15881.8,6208.34,28154.1,50
CDM,0687082,"GRAFT, VASCULAR",18279.0,20106.9,7859.97,35644.05,50
CDM,0687083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3648.0,4012.8,1568.64,7113.6,50
CDM,0687084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3841.0,4225.1,1651.63,7489.95,50
CDM,0687085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),596.75,656.43,256.6,1163.66,50
CDM,0687086,JOINT DEVICE (IMPLANTABLE),3960.0,4356.0,1702.8,7722.0,50
CDM,0687087,JOINT DEVICE (IMPLANTABLE),3622.5,3984.75,1557.68,7063.88,50
CDM,0687089,VSP GUIDE SURG PLAN,5184.0,5184.0,1065.83,4147.2,45
CDM,0687090,VSP GUIDE SURG PLAN,4275.0,4275.0,878.94,3420.0,45
CDM,0687091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4448.22,4893.04,1912.73,8674.03,50
CDM,0687092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.87,567.46,221.82,1005.95,50
CDM,0687093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3163.39,3479.73,1360.26,6168.61,50
CDM,0687094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3070.38,3377.42,1320.26,5987.24,50
CDM,0687095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1241.63,1365.79,533.9,2421.18,50
CDM,0687096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),567.88,624.67,244.19,1107.37,50
CDM,0687098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1360.0,1496.0,584.8,2652.0,50
CDM,0687099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0687100,PLATE REDUCTION INST,1031.03,1031.03,211.98,824.82,45
CDM,0687102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1695.0,1864.5,728.85,3305.25,50
CDM,0687103,"PROSTHESIS, PENILE, INFLATABLE",4285.31,4713.84,1842.68,8356.35,50
CDM,0687104,MESH (IMPLANTABLE),778.0,855.8,334.54,1517.1,50
CDM,0687105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1028.0,1130.8,442.04,2004.6,50
CDM,0687107,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),517.0,568.7,222.31,1008.15,50
CDM,0687108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3570.0,3927.0,1535.1,6961.5,50
CDM,0687110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0687111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3251.99,3577.19,1398.36,6341.38,50
CDM,0687112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2359.54,2595.49,1014.6,4601.1,50
CDM,0687113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2769.53,3046.48,1190.9,5400.58,50
CDM,0687114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1715.35,1886.89,737.6,3344.93,50
CDM,0687115,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2441.25,2685.38,1049.74,4760.44,50
CDM,0687116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1636.25,1799.88,703.59,3190.69,50
CDM,0687118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),568.0,624.8,244.24,1107.6,50
CDM,0687119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1258.74,1384.61,541.26,2454.54,50
CDM,0687120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1327.0,1459.7,570.61,2587.65,50
CDM,0687121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),758.0,833.8,325.94,1478.1,50
CDM,0687122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),810.0,891.0,348.3,1579.5,50
CDM,0687123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0687125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1917.0,2108.7,824.31,3738.15,50
CDM,0687126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1897.0,2086.7,815.71,3699.15,50
CDM,0687127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1967.0,2163.7,845.81,3835.65,50
CDM,0687128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1957.0,2152.7,841.51,3816.15,50
CDM,0687129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0687130,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3773.0,4150.3,1622.39,7357.35,50
CDM,0687131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0687132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),352.0,387.2,151.36,686.4,50
CDM,0687133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),104.0,114.4,44.72,202.8,50
CDM,0687134,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1294.0,1423.4,556.42,2523.3,50
CDM,0687135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1012.0,1113.2,435.16,1973.4,50
CDM,0687138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),740.0,814.0,318.2,1443.0,50
CDM,0687139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0687141,DOUBLE HOLE FOOT PLATE 200MM,1488.0,1488.0,305.93,1190.4,45
CDM,0687142,OVAL RING 200MM,1225.0,1225.0,251.86,980.0,45
CDM,0687143,JOINT DEVICE (IMPLANTABLE),3685.5,4054.05,1584.77,7186.73,50
CDM,0687145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),398.35,438.19,171.29,776.78,50
CDM,0687161,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",4377.0,4814.7,1882.11,8535.15,50
CDM,0687162,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",4667.0,5133.7,2006.81,9100.65,50
CDM,0687163,EF  RING DIA CARBON,2170.19,2170.19,446.19,1736.15,45
CDM,0687164,EF FOOT RING,2772.84,2772.84,570.1,2218.27,45
CDM,0687166,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1694.0,662.2,3003.0,50
CDM,0687167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4138.75,4552.63,1779.66,8070.56,50
CDM,0687168,DRILL CANNULATED,1087.63,1087.63,223.62,870.1,45
CDM,0687169,"PORT, INDWELLING (IMPLANTABLE)",341.0,375.1,146.63,664.95,50
CDM,0687170,"PORT, INDWELLING (IMPLANTABLE)",735.0,808.5,316.05,1433.25,50
CDM,0687171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.38,836.42,326.96,1482.74,50
CDM,0687172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4995.38,5494.92,2148.01,9740.99,50
CDM,0687173,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0687175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0687177,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),11375.0,12512.5,4891.25,22181.25,50
CDM,0687178,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7159.0,7874.9,3078.37,13960.05,50
CDM,0687179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0687180,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),625.63,688.19,269.02,1219.98,50
CDM,0687181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3361.0,3697.1,1445.23,6553.95,50
CDM,0687182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0687183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3210.0,3531.0,1380.3,6259.5,50
CDM,0687184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),253.58,278.94,109.04,494.48,50
CDM,0687185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0687186,EF STRUT XTRNFX 89-,3347.0,3347.0,688.14,2677.6,45
CDM,0687187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),210.0,231.0,90.3,409.5,50
CDM,0687188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1531.0,1684.1,658.33,2985.45,50
CDM,0687189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.0,220.0,86.0,390.0,50
CDM,0687190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),537.0,590.7,230.91,1047.15,50
CDM,0687191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),562.0,618.2,241.66,1095.9,50
CDM,0687192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),384.0,422.4,165.12,748.8,50
CDM,0687193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),432.0,475.2,185.76,842.4,50
CDM,0687194,JOINT DEVICE (IMPLANTABLE),2341.5,2575.65,1006.85,4565.93,50
CDM,0687195,JOINT DEVICE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0687201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),167.38,184.12,71.97,326.39,50
CDM,0687203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),281.19,309.31,120.91,548.32,50
CDM,0687204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),184.1,202.51,79.16,359.0,50
CDM,0687205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0687206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2231.0,2454.1,959.33,4350.45,50
CDM,0687207,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0687208,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),831.0,914.1,357.33,1620.45,50
CDM,0687211,JOINT DEVICE (IMPLANTABLE),3606.75,3967.43,1550.9,7033.16,50
CDM,0687212,JOINT DEVICE (IMPLANTABLE),1373.0,1510.3,590.39,2677.35,50
CDM,0687214,DISP KT UCL SUT PAS,1216.0,1216.0,250.01,972.8,45
CDM,0687217,JOINT DEVICE (IMPLANTABLE),14020.44,15422.48,6028.79,27339.86,50
CDM,0687218,JOINT DEVICE (IMPLANTABLE),2077.3,2285.03,893.24,4050.74,50
CDM,0687219,JOINT DEVICE (IMPLANTABLE),7007.61,7708.37,3013.27,13664.84,50
CDM,0687220,JOINT DEVICE (IMPLANTABLE),2780.14,3058.15,1195.46,5421.27,50
CDM,0687222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),522.0,574.2,224.46,1017.9,50
CDM,0687223,JOINT DEVICE (IMPLANTABLE),6494.0,7143.4,2792.42,12663.3,50
CDM,0687226,JOINT DEVICE (IMPLANTABLE),5250.0,5775.0,2257.5,10237.5,50
CDM,0687227,JOINT DEVICE (IMPLANTABLE),8663.0,9529.3,3725.09,16892.85,50
CDM,0687228,JOINT DEVICE (IMPLANTABLE),6688.5,7357.35,2876.06,13042.58,50
CDM,0687229,JOINT DEVICE (IMPLANTABLE),7369.25,8106.18,3168.78,14370.04,50
CDM,0687230,JOINT DEVICE (IMPLANTABLE),6920.0,7612.0,2975.6,13494.0,50
CDM,0687231,KIT PEC BUTTON,3176.25,3176.25,653.04,2541.0,45
CDM,0687233,JOINT DEVICE (IMPLANTABLE),3606.75,3967.43,1550.9,7033.16,50
CDM,0687234,"PROSTHESIS, PENILE, INFLATABLE",8583.75,9442.13,3691.01,16738.31,50
CDM,0687235,DVC STANDARD REAMER,1089.0,1089.0,223.9,871.2,45
CDM,0687237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3731.0,4104.1,1604.33,7275.45,50
CDM,0687238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4225.38,4647.92,1816.91,8239.49,50
CDM,0687239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6689.0,7357.9,2876.27,13043.55,50
CDM,0687240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0687241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0687242,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1114.0,1225.4,479.02,2172.3,50
CDM,0687243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2366.02,2366.02,636.46,4613.74,45
CDM,0687244,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),5635.0,6198.5,2423.05,10988.25,50
CDM,0687245,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4733.82,5207.2,2035.54,9230.95,50
CDM,0687246,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1137.5,1251.25,489.13,2218.13,50
CDM,0687247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1605.0,1765.5,690.15,3129.75,50
CDM,0687248,JOINT DEVICE (IMPLANTABLE),3436.13,3779.74,1477.54,6700.45,50
CDM,0687250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0687251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),19414.0,21355.4,8348.02,37857.3,50
CDM,0687253,JOINT DEVICE (IMPLANTABLE),1582.0,1740.2,680.26,3084.9,50
CDM,0687254,JOINT DEVICE (IMPLANTABLE),13925.0,15317.5,5987.75,27153.75,50
CDM,0687255,JOINT DEVICE (IMPLANTABLE),7678.0,8445.8,3301.54,14972.1,50
CDM,0687256,JOINT DEVICE (IMPLANTABLE),2758.0,3033.8,1185.94,5378.1,50
CDM,0687257,JOINT DEVICE (IMPLANTABLE),3599.75,3959.73,1547.89,7019.51,50
CDM,0687258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),808.5,889.35,347.66,1576.58,50
CDM,0687259,MESH (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0687260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),512.0,563.2,220.16,998.4,50
CDM,0687261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0687262,JOINT DEVICE (IMPLANTABLE),6496.88,7146.57,2793.66,12668.92,50
CDM,0687263,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",3314.8,3646.28,1425.36,6463.86,50
CDM,0687264,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",13728.75,15101.63,5903.36,26771.06,50
CDM,0687265,"PURAPLY, PER SQUARE CENTIMETER",9734.0,10707.4,4185.62,18981.3,50
CDM,0687266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1911.26,2102.39,821.84,3726.96,50
CDM,0687267,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19723.0,21695.3,8480.89,38459.85,50
CDM,0687269,JOINT DEVICE (IMPLANTABLE),5794.25,6373.68,2491.53,11298.79,50
CDM,0687270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3666.0,4032.6,1576.38,7148.7,50
CDM,0687271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0687272,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1400.0,1540.0,602.0,2730.0,50
CDM,0687273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0687274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),300.0,330.0,129.0,585.0,50
CDM,0687275,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5573.0,6130.3,2396.39,10867.35,50
CDM,0687276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4226.0,4648.6,1817.18,8240.7,50
CDM,0687278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1914.0,2105.4,823.02,3732.3,50
CDM,0687279,JOINT DEVICE (IMPLANTABLE),7246.0,7970.6,3115.78,14129.7,50
CDM,0687280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1020.0,1122.0,438.6,1989.0,50
CDM,0687281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),585.81,644.39,251.9,1142.33,50
CDM,0687283,"PURAPLY AM, PER SQUARE CENTIMETER",10395.0,11434.5,4469.85,20270.25,50
CDM,0687284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0687285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),682.0,750.2,293.26,1329.9,50
CDM,0687286,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6440.0,7084.0,2769.2,12558.0,50
CDM,0687287,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",78750.0,86625.0,33862.5,153562.5,50
CDM,0687288,"PURAPLY, PER SQUARE CENTIMETER",8978.0,9875.8,3860.54,17507.1,50
CDM,0687289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1129.0,1241.9,485.47,2201.55,50
CDM,0687290,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687291,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",38500.0,42350.0,16555.0,75075.0,50
CDM,0687292,"PATIENT PROGRAMMER, NEUROSTIMULATOR",875.0,875.0,235.38,1706.25,45
CDM,0687293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3731.0,4104.1,1604.33,7275.45,50
CDM,0687294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),531.0,584.1,228.33,1035.45,50
CDM,0687295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.78,122.96,48.07,217.97,50
CDM,0687297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1376.0,1513.6,591.68,2683.2,50
CDM,0687298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3369.0,3705.9,1448.67,6569.55,50
CDM,0687299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1694.0,662.2,3003.0,50
CDM,0687300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.13,476.44,186.25,844.6,50
CDM,0687301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4610.38,5071.42,1982.46,8990.24,50
CDM,0687302,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0687303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3842.0,4226.2,1652.06,7491.9,50
CDM,0687304,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.38,836.42,326.96,1482.74,50
CDM,0687305,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),675.0,742.5,290.25,1316.25,50
CDM,0687306,"PURAPLY AM, PER SQUARE CENTIMETER",2188.0,2406.8,940.84,4266.6,50
CDM,0687308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687309,"INTEGRA MATRIX, PER SQUARE CENTIMETER",13050.0,14355.0,5611.5,25447.5,50
CDM,0687310,"INTEGRA MATRIX, PER SQUARE CENTIMETER",8171.0,8988.1,3513.53,15933.45,50
CDM,0687351,"NUSHIELD, PER SQUARE CENTIMETER",4357.5,4793.25,1873.73,8497.13,50
CDM,0687352,JOINT DEVICE (IMPLANTABLE),3378.87,3716.76,1452.91,6588.8,50
CDM,0687353,JOINT DEVICE (IMPLANTABLE),4908.75,5399.63,2110.76,9572.06,50
CDM,0687354,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2427.0,2669.7,1043.61,4732.65,50
CDM,0687355,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2185.0,2403.5,939.55,4260.75,50
CDM,0687356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1797.0,1976.7,772.71,3504.15,50
CDM,0687358,"BIODFENCE, PER SQUARE CENTIMETER",6508.57,7159.43,2798.69,12691.71,50
CDM,0687359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1299.38,1299.38,349.53,2533.79,45
CDM,0687360,JOINT DEVICE (IMPLANTABLE),1521.71,1673.88,654.34,2967.33,50
CDM,0687361,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4540.6,4994.66,1952.46,8854.17,50
CDM,0687363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),18079.0,19886.9,7773.97,35254.05,50
CDM,0687364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),965.0,1061.5,414.95,1881.75,50
CDM,0687365,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3609.38,3970.32,1552.03,7038.29,50
CDM,0687367,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9187.5,10106.25,3950.63,17915.63,50
CDM,0687368,JOINT DEVICE (IMPLANTABLE),3079.0,3386.9,1323.97,6004.05,50
CDM,0687369,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2203.0,2423.3,947.29,4295.85,50
CDM,0687370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1742.13,1916.34,749.12,3397.15,50
CDM,0687371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4541.0,4995.1,1952.63,8854.95,50
CDM,0687372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4610.0,5071.0,1982.3,8989.5,50
CDM,0687373,KNOTLESS IMPLANT SYSTEM,6063.75,6670.13,1246.71,6670.13,50
CDM,0687374,"BIODFENCE DRYFLEX, PER SQUARE CENTIMETER",6375.74,7013.31,2741.57,12432.69,50
CDM,0687375,KIT HIP CLOSED PROCEDURE KIT,1155.0,1155.0,237.47,924.0,45
CDM,0687376,KNEE OPEN PROCEDURE KIT,1636.0,1636.0,336.36,1308.8,45
CDM,0687377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),505.12,555.63,217.2,984.98,50
CDM,0687378,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2829.0,3111.9,1216.47,5516.55,50
CDM,0687379,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1047.22,1151.94,450.3,2042.08,50
CDM,0687380,MESH (IMPLANTABLE),5007.15,5507.87,2153.07,9763.94,50
CDM,0687381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.72,121.79,47.61,215.9,50
CDM,0687382,DVC SYNCHROSEAL,1268.0,1268.0,260.7,1014.4,45
CDM,0687383,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",424.0,466.4,182.32,826.8,50
CDM,0687384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),747.0,821.7,321.21,1456.65,50
CDM,0687385,MESH (IMPLANTABLE),5971.88,6569.07,2567.91,11645.17,50
CDM,0687386,"PRIMATRIX, PER SQUARE CENTIMETER",3985.0,4383.5,1713.55,7770.75,50
CDM,0687387,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2412.0,2653.2,1037.16,4703.4,50
CDM,0687388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3123.0,3435.3,1342.89,6089.85,50
CDM,0687389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2432.96,2676.26,1046.17,4744.27,50
CDM,0687390,JOINT DEVICE (IMPLANTABLE),2825.0,3107.5,1214.75,5508.75,50
CDM,0687391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1154.0,1269.4,496.22,2250.3,50
CDM,0687392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3213.0,3534.3,1381.59,6265.35,50
CDM,0687393,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),518.0,569.8,222.74,1010.1,50
CDM,0687394,MESH (IMPLANTABLE),10914.75,12006.23,4693.34,21283.76,50
CDM,0687395,JOINT DEVICE (IMPLANTABLE),2426.0,2668.6,1043.18,4730.7,50
CDM,0687396,JOINT DEVICE (IMPLANTABLE),2616.0,2877.6,1124.88,5101.2,50
CDM,0687397,JOINT DEVICE (IMPLANTABLE),9713.0,10684.3,4176.59,18940.35,50
CDM,0687398,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1742.0,1916.2,749.06,3396.9,50
CDM,0687399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3415.0,3756.5,1468.45,6659.25,50
CDM,0687400,JOINT DEVICE (IMPLANTABLE),2937.0,3230.7,1262.91,5727.15,50
CDM,0687401,JOINT DEVICE (IMPLANTABLE),2362.5,2598.75,1015.88,4606.88,50
CDM,0687402,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1384.08,1522.49,595.15,2698.96,50
CDM,0687404,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),606.0,666.6,260.58,1181.7,50
CDM,0687405,JOINT DEVICE (IMPLANTABLE),2126.25,2338.88,914.29,4146.19,50
CDM,0687406,JOINT DEVICE (IMPLANTABLE),7425.34,8167.87,3192.9,14479.41,50
CDM,0687407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),523.6,575.96,225.15,1021.02,50
CDM,0687408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1250.97,1376.07,537.92,2439.39,50
CDM,0687409,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),32814.0,36095.4,14110.02,63987.3,50
CDM,0687411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5715.0,6286.5,2457.45,11144.25,50
CDM,0687412,JOINT DEVICE (IMPLANTABLE),1937.25,2130.98,833.02,3777.64,50
CDM,0687413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2579.5,2837.45,1109.19,5030.03,50
CDM,0687414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.75,540.93,211.45,958.91,50
CDM,0687415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0687416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7320.0,8052.0,3147.6,14274.0,50
CDM,0687417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1127.0,1239.7,484.61,2197.65,50
CDM,0687418,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",3367.65,3704.42,1448.09,6566.92,50
CDM,0687421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.42,377.76,147.67,669.67,50
CDM,0687422,NDL BODY ASPIRATION,2625.0,2625.0,539.7,2100.0,45
CDM,0687423,JOINT DEVICE (IMPLANTABLE),7944.0,8738.4,3415.92,15490.8,50
CDM,0687424,JOINT DEVICE (IMPLANTABLE),5553.0,6108.3,2387.79,10828.35,50
CDM,0687425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),854.0,939.4,367.22,1665.3,50
CDM,0687426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),447.0,491.7,192.21,871.65,50
CDM,0687427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1834.0,2017.4,788.62,3576.3,50
CDM,0687428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2820.58,3102.64,1212.85,5500.13,50
CDM,0687429,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.86,1425.45,557.22,2526.93,50
CDM,0687430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4036.0,4439.6,1735.48,7870.2,50
CDM,0687431,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2688.0,2956.8,1155.84,5241.6,50
CDM,0687432,IMPL CRYO LEFT TALUS,3299.0,3628.9,678.27,3628.9,50
CDM,0687433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0687434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0687435,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.78,458.46,179.22,812.72,50
CDM,0687436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),366.0,402.6,157.38,713.7,50
CDM,0687437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),867.0,953.7,372.81,1690.65,50
CDM,0687439,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5150.0,5665.0,2214.5,10042.5,50
CDM,0687440,DVC CUTTING GUIDE,9450.0,9450.0,1942.92,7560.0,45
CDM,0687441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1399.0,1538.9,601.57,2728.05,50
CDM,0687442,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4782.0,5260.2,2056.26,9324.9,50
CDM,0687443,"PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIED",4204.0,4624.4,1807.72,8197.8,50
CDM,0687444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687445,"PROBE/NEEDLE, CRYOABLATION",6125.0,6125.0,1647.63,11943.75,45
CDM,0687446,DRILL BIT FLEXIBLE,2592.0,2592.0,532.92,2073.6,45
CDM,0687447,MESH (IMPLANTABLE),17199.0,18918.9,7395.57,33538.05,50
CDM,0687448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),635.0,698.5,273.05,1238.25,50
CDM,0687449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2107.88,2318.67,906.39,4110.37,50
CDM,0687450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),223.0,245.3,95.89,434.85,50
CDM,0687451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687452,JOINT DEVICE (IMPLANTABLE),9947.0,10941.7,4277.21,19396.65,50
CDM,0687454,JOINT DEVICE (IMPLANTABLE),2860.0,3146.0,1229.8,5577.0,50
CDM,0687455,JOINT DEVICE (IMPLANTABLE),4125.0,4537.5,1773.75,8043.75,50
CDM,0687456,JOINT DEVICE (IMPLANTABLE),7751.0,8526.1,3332.93,15114.45,50
CDM,0687457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1376.0,1513.6,591.68,2683.2,50
CDM,0687459,"LEAD, NEUROSTIMULATOR TEST KIT (IMPLANTABLE)",5075.0,5582.5,2182.25,9896.25,50
CDM,0687461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1375.5,1513.05,591.47,2682.23,50
CDM,0687462,JOINT DEVICE (IMPLANTABLE),7750.75,8525.83,3332.82,15113.96,50
CDM,0687463,JOINT DEVICE (IMPLANTABLE),9947.0,10941.7,4277.21,19396.65,50
CDM,0687464,JOINT DEVICE (IMPLANTABLE),9560.0,10516.0,4110.8,18642.0,50
CDM,0687465,JOINT DEVICE (IMPLANTABLE),10623.0,11685.3,4567.89,20714.85,50
CDM,0687466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2125.0,2337.5,913.75,4143.75,50
CDM,0687467,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),991.0,1090.1,426.13,1932.45,50
CDM,0687468,JOINT DEVICE (IMPLANTABLE),2776.0,3053.6,1193.68,5413.2,50
CDM,0687469,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",1575.0,1732.5,677.25,3071.25,50
CDM,0687470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1443.0,1587.3,620.49,2813.85,50
CDM,0687471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),402.5,442.75,173.08,784.88,50
CDM,0687472,JOINT DEVICE (IMPLANTABLE),12523.0,13775.3,5384.89,24419.85,50
CDM,0687473,JOINT DEVICE (IMPLANTABLE),2384.0,2622.4,1025.12,4648.8,50
CDM,0687474,ROD XTRNF,1388.0,1388.0,285.37,1110.4,45
CDM,0687475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1439.0,1582.9,618.77,2806.05,50
CDM,0687476,JOINT DEVICE (IMPLANTABLE),9457.0,10402.7,4066.51,18441.15,50
CDM,0687477,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0687478,EF RING 240,1488.0,1488.0,305.93,1190.4,45
CDM,0687479,EF RING 240,1313.0,1313.0,269.95,1050.4,45
CDM,0687480,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),885.5,974.05,380.77,1726.73,50
CDM,0687481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2152.0,2367.2,925.36,4196.4,50
CDM,0687482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2688.0,2956.8,1155.84,5241.6,50
CDM,0687483,"TENDON, POROUS MATRIX OF CROSS-LINKED COLLAGEN AND GLYCOSAMINOGLYCAN MATRIX (TENOGLIDE TENDON PROTECTOR SHEET), PER SQUARE CENTIMETER",6395.64,7035.2,2750.13,12471.5,50
CDM,0687484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5325.0,5857.5,2289.75,10383.75,50
CDM,0687485,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),660.0,726.0,283.8,1287.0,50
CDM,0687486,"STRATTICE TM, PER SQUARE CENTIMETER",17934.0,19727.4,7711.62,34971.3,50
CDM,0687487,JOINT DEVICE (IMPLANTABLE),7425.0,8167.5,3192.75,14478.75,50
CDM,0687488,JOINT DEVICE (IMPLANTABLE),4432.0,4875.2,1905.76,8642.4,50
CDM,0687489,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2887.5,3176.25,1241.63,5630.63,50
CDM,0687490,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2888.0,3176.8,1241.84,5631.6,50
CDM,0687491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1536.0,1689.6,660.48,2995.2,50
CDM,0687493,MESH (IMPLANTABLE),1173.0,1290.3,504.39,2287.35,50
CDM,0687494,MESH (IMPLANTABLE),602.0,662.2,258.86,1173.9,50
CDM,0687495,MESH (IMPLANTABLE),2669.0,2935.9,1147.67,5204.55,50
CDM,0687496,MESH (IMPLANTABLE),3098.0,3407.8,1332.14,6041.1,50
CDM,0687497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0687498,"BIODFENCE, PER SQUARE CENTIMETER",9281.0,10209.1,3990.83,18097.95,50
CDM,0687499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3840.0,4224.0,1651.2,7488.0,50
CDM,0687500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4745.07,5219.58,2040.38,9252.89,50
CDM,0687501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1839.0,2022.9,790.77,3586.05,50
CDM,0687502,KIT ACCESS MAS,2625.0,2625.0,539.7,2100.0,45
CDM,0687503,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2887.5,3176.25,1241.63,5630.63,50
CDM,0687505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0687506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.88,370.57,144.86,656.92,50
CDM,0687507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0687508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),392.0,431.2,168.56,764.4,50
CDM,0687509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4270.0,4697.0,1836.1,8326.5,50
CDM,0687510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),786.0,864.6,337.98,1532.7,50
CDM,0687511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),732.0,805.2,314.76,1427.4,50
CDM,0687512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1706.0,1876.6,733.58,3326.7,50
CDM,0687513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0687518,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10115.0,11126.5,4349.45,19724.25,50
CDM,0687519,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7700.0,8470.0,3311.0,15015.0,50
CDM,0687520,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24500.0,26950.0,10535.0,47775.0,50
CDM,0687521,PEDICLE ACCESS KIT,1225.0,1225.0,251.86,980.0,45
CDM,0687522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2947.0,3241.7,1267.21,5746.65,50
CDM,0687523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1292.0,1421.2,555.56,2519.4,50
CDM,0687524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),533.0,586.3,229.19,1039.35,50
CDM,0687525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),619.12,681.03,266.22,1207.28,50
CDM,0687526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),290.2,319.22,124.79,565.89,50
CDM,0687527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7167.0,7883.7,3081.81,13975.65,50
CDM,0687529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),753.0,828.3,323.79,1468.35,50
CDM,0687530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),840.0,924.0,361.2,1638.0,50
CDM,0687531,BIT DRL 12MM LNG CNN,1943.0,1943.0,399.48,1554.4,45
CDM,0687532,BIT DRL CANN 10.2 X 251,1187.34,1187.34,244.12,949.87,45
CDM,0687533,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),24378.0,26815.8,10482.54,47537.1,50
CDM,0687534,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2221.22,2443.34,955.12,4331.38,50
CDM,0687535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0687536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1496.0,1645.6,643.28,2917.2,50
CDM,0687537,JOINT DEVICE (IMPLANTABLE),4428.0,4870.8,1904.04,8634.6,50
CDM,0687538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4086.0,4494.6,1756.98,7967.7,50
CDM,0687539,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),960.73,1056.8,413.11,1873.42,50
CDM,0687540,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),8484.0,9332.4,3648.12,16543.8,50
CDM,0687541,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),11813.0,12994.3,5079.59,23035.35,50
CDM,0687543,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2042.0,2246.2,878.06,3981.9,50
CDM,0687544,EF RING  HINDFOOT,1567.13,1567.13,322.2,1253.7,45
CDM,0687545,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2027.0,2229.7,871.61,3952.65,50
CDM,0687546,MESH (IMPLANTABLE),586.0,644.6,251.98,1142.7,50
CDM,0687547,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),503.79,554.17,216.63,982.39,50
CDM,0687548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),562.38,618.62,241.82,1096.64,50
CDM,0687549,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",6991.0,7690.1,3006.13,13632.45,50
CDM,0687550,MESH (IMPLANTABLE),16395.05,18034.56,7049.87,31970.35,50
CDM,0687551,MESH (IMPLANTABLE),12678.75,13946.63,5451.86,24723.56,50
CDM,0687552,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0687553,JOINT DEVICE (IMPLANTABLE),8032.5,8835.75,3453.98,15663.38,50
CDM,0687554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.38,836.42,326.96,1482.74,50
CDM,0687556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0687557,JOINT DEVICE (IMPLANTABLE),7856.98,8642.68,3378.5,15321.11,50
CDM,0687558,JOINT DEVICE (IMPLANTABLE),8270.5,9097.55,3556.32,16127.48,50
CDM,0687559,JOINT DEVICE (IMPLANTABLE),11988.0,13186.8,5154.84,23376.6,50
CDM,0687560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0687561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),938.0,1031.8,403.34,1829.1,50
CDM,0687562,KIT EXTERNAL FIXATION,8497.97,8497.97,1747.18,6798.38,45
CDM,0687563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6999.84,7699.82,3009.93,13649.69,50
CDM,0687564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1083.0,1191.3,465.69,2111.85,50
CDM,0687565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),992.0,1091.2,426.56,1934.4,50
CDM,0687566,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4331.0,4764.1,1862.33,8445.45,50
CDM,0687567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4225.0,4647.5,1816.75,8238.75,50
CDM,0687568,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6507.0,7157.7,2798.01,12688.65,50
CDM,0687569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1655.5,1821.05,711.87,3228.23,50
CDM,0687570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),478.0,525.8,205.54,932.1,50
CDM,0687571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1372.0,1509.2,589.96,2675.4,50
CDM,0687572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),343.0,377.3,147.49,668.85,50
CDM,0687573,JOINT DEVICE (IMPLANTABLE),5117.0,5628.7,2200.31,9978.15,50
CDM,0687574,JOINT DEVICE (IMPLANTABLE),16688.0,18356.8,7175.84,32541.6,50
CDM,0687575,JOINT DEVICE (IMPLANTABLE),6372.0,7009.2,2739.96,12425.4,50
CDM,0687576,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1607.0,1767.7,691.01,3133.65,50
CDM,0687577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3246.0,3570.6,1395.78,6329.7,50
CDM,0687578,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",9003.49,9903.84,3871.5,17556.81,50
CDM,0687579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2870.49,3157.54,1234.31,5597.46,50
CDM,0687580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4287.5,4716.25,1843.63,8360.63,50
CDM,0687581,VSP ORTHOG GUIDES-TITANIUM,6291.0,6291.0,1293.43,5032.8,45
CDM,0687582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),665.0,731.5,285.95,1296.75,50
CDM,0687583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0687584,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2975.0,3272.5,1279.25,5801.25,50
CDM,0687585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.5,288.75,112.88,511.88,50
CDM,0687586,MESH (IMPLANTABLE),291.0,320.1,125.13,567.45,50
CDM,0687588,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),10607.86,11668.65,4561.38,20685.33,50
CDM,0687589,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),13970.8,15367.88,6007.44,27243.06,50
CDM,0687590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.82,836.91,327.15,1483.61,50
CDM,0687591,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13937.0,15330.7,5992.91,27177.15,50
CDM,0687592,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",7375.0,8112.5,3171.25,14381.25,50
CDM,0687593,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",24273.0,26700.3,10437.39,47332.35,50
CDM,0687594,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9638.0,10601.8,4144.34,18794.1,50
CDM,0687595,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3408.13,3748.94,1465.5,6645.85,50
CDM,0687596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1392.0,1531.2,598.56,2714.4,50
CDM,0687597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3437.0,3780.7,1477.91,6702.15,50
CDM,0687598,"AUTOGRAFT SUSPENSION, INCLUDING CELL PROCESSING AND APPLICATION, AND ALL SYSTEM COMPONENTS",11681.0,,3142.19,22777.95,45
CDM,0687599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),14487.0,15935.7,6229.41,28249.65,50
CDM,0687600,VSP ORTHOG GUIDES NYLON,3241.0,3241.0,666.35,2592.8,45
CDM,0687601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),840.0,924.0,361.2,1638.0,50
CDM,0687602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3612.0,3973.2,1553.16,7043.4,50
CDM,0687603,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6390.0,7029.0,2747.7,12460.5,50
CDM,0687604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7403.0,8143.3,3183.29,14435.85,50
CDM,0687605,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1008.0,1108.8,433.44,1965.6,50
CDM,0687606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4335.0,4768.5,1864.05,8453.25,50
CDM,0687607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7056.0,7761.6,3034.08,13759.2,50
CDM,0687608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9652.0,10617.2,4150.36,18821.4,50
CDM,0687609,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",669.0,735.9,287.67,1304.55,50
CDM,0687610,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0687611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),945.0,1039.5,406.35,1842.75,50
CDM,0687612,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4025.0,4427.5,1730.75,7848.75,50
CDM,0687613,MESH (IMPLANTABLE),4447.0,4891.7,1912.21,8671.65,50
CDM,0687614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1042.0,1146.2,448.06,2031.9,50
CDM,0687615,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",11716.0,12887.6,5037.88,22846.2,50
CDM,0687616,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),735.0,808.5,316.05,1433.25,50
CDM,0687617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3144.03,3458.43,1351.93,6130.86,50
CDM,0687618,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1851.17,2036.29,796.0,3609.78,50
CDM,0687619,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687620,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.85,220.94,86.37,391.66,50
CDM,0687622,MESH (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0687623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1006.0,1106.6,432.58,1961.7,50
CDM,0687626,JOINT DEVICE (IMPLANTABLE),1966.0,2162.6,845.38,3833.7,50
CDM,0687627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0687628,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0687629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3574.0,3931.4,1536.82,6969.3,50
CDM,0687630,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),428.75,471.63,184.36,836.06,50
CDM,0687631,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",261.0,287.1,112.23,508.95,50
CDM,0687632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1049.13,1154.04,451.13,2045.8,50
CDM,0687633,JOINT DEVICE (IMPLANTABLE),15403.5,16943.85,6623.51,30036.83,50
CDM,0687635,JOINT DEVICE (IMPLANTABLE),3008.25,3309.08,1293.55,5866.09,50
CDM,0687636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),550.67,605.74,236.79,1073.81,50
CDM,0687637,JOINT DEVICE (IMPLANTABLE),1969.45,2166.4,846.86,3840.43,50
CDM,0687638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1518.83,1670.71,653.1,2961.72,50
CDM,0687639,JOINT DEVICE (IMPLANTABLE),3263.96,3590.36,1403.5,6364.72,50
CDM,0687640,JOINT DEVICE (IMPLANTABLE),3844.84,4229.32,1653.28,7497.44,50
CDM,0687641,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4288.0,4716.8,1843.84,8361.6,50
CDM,0687642,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",197.3,217.03,84.84,384.74,50
CDM,0687643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2355.0,2590.5,1012.65,4592.25,50
CDM,0687644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2194.0,2413.4,943.42,4278.3,50
CDM,0687645,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",13613.0,14974.3,5853.59,26545.35,50
CDM,0687646,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7201.0,7921.1,3096.43,14041.95,50
CDM,0687647,JOINT DEVICE (IMPLANTABLE),4055.63,4461.19,1743.92,7908.48,50
CDM,0687648,JOINT DEVICE (IMPLANTABLE),7700.0,8470.0,3311.0,15015.0,50
CDM,0687649,BAR TO PIN,1575.0,1575.0,323.82,1260.0,45
CDM,0687650,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2269.58,2496.54,975.92,4425.68,50
CDM,0687651,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),875.0,962.5,376.25,1706.25,50
CDM,0687652,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8925.0,9817.5,3837.75,17403.75,50
CDM,0687653,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4012.0,4413.2,1725.16,7823.4,50
CDM,0687654,JOINT DEVICE (IMPLANTABLE),4858.0,5343.8,2088.94,9473.1,50
CDM,0687655,JOINT DEVICE (IMPLANTABLE),3266.55,3593.21,1404.62,6369.77,50
CDM,0687657,JOINT DEVICE (IMPLANTABLE),914.0,1005.4,393.02,1782.3,50
CDM,0687658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3556.0,3911.6,1529.08,6934.2,50
CDM,0687659,JOINT DEVICE (IMPLANTABLE),7489.13,8238.04,3220.33,14603.8,50
CDM,0687660,SET PIN GUIDEPSI PSN PREF CR,1750.0,1750.0,359.8,1400.0,45
CDM,0687661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2085.3,2293.83,896.68,4066.34,50
CDM,0687662,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),20835.36,22918.9,8959.2,40628.95,50
CDM,0687663,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5996.0,6595.6,2578.28,11692.2,50
CDM,0687664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1607.38,1768.12,691.17,3134.39,50
CDM,0687665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2695.0,2964.5,1158.85,5255.25,50
CDM,0687666,KIT SPY-PHI,932.34,932.34,191.69,745.87,45
CDM,0687667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1106.58,1217.24,475.83,2157.83,50
CDM,0687668,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5775.0,6352.5,2483.25,11261.25,50
CDM,0687669,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),18612.0,20473.2,8003.16,36293.4,50
CDM,0687670,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3134.0,3447.4,1347.62,6111.3,50
CDM,0687671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2546.0,2800.6,1094.78,4964.7,50
CDM,0687672,TAP SURG ANKLE,1369.9,1369.9,281.65,1095.92,45
CDM,0687673,"GRAFT, VASCULAR",1768.0,1944.8,760.24,3447.6,50
CDM,0687674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1528.8,1681.68,657.38,2981.16,50
CDM,0687675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2033.0,2236.3,874.19,3964.35,50
CDM,0687676,"PROSTHESIS, PENILE, NON-INFLATABLE",20176.0,22193.6,8675.68,39343.2,50
CDM,0687677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1531.0,1684.1,658.33,2985.45,50
CDM,0687678,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),725.0,797.5,311.75,1413.75,50
CDM,0687679,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),364.0,400.4,156.52,709.8,50
CDM,0687680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1076.0,1183.6,462.68,2098.2,50
CDM,0687681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4890.0,5379.0,2102.7,9535.5,50
CDM,0687682,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1663.0,1829.3,715.09,3242.85,50
CDM,0687683,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5165.0,5681.5,2220.95,10071.75,50
CDM,0687684,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",16188.0,17806.8,6960.84,31566.6,50
CDM,0687685,PACK SUTURING KIT,1443.75,1443.75,296.84,1155.0,45
CDM,0687686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),500.5,550.55,215.22,975.98,50
CDM,0687687,KIT PROC IOBP HIP OPEN TIP,1733.0,1733.0,356.3,1386.4,45
CDM,0687688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1681.0,1849.1,722.83,3277.95,50
CDM,0687689,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",40941.0,45035.1,17604.63,79834.95,50
CDM,0687690,MESH (IMPLANTABLE),2338.0,2571.8,1005.34,4559.1,50
CDM,0687691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0687692,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1747.83,1747.83,470.17,3408.27,45
CDM,0687693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5670.67,6237.74,2438.39,11057.81,50
CDM,0687694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3057.93,3363.72,1314.91,5962.96,50
CDM,0687695,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),751.0,826.1,322.93,1464.45,50
CDM,0687696,KIT FIRST FRACTURE,5237.0,5237.0,1076.73,4189.6,45
CDM,0687697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1654.0,1819.4,711.22,3225.3,50
CDM,0687698,JOINT DEVICE (IMPLANTABLE),5746.0,6320.6,2470.78,11204.7,50
CDM,0687699,"STRATTICE TM, PER SQUARE CENTIMETER",40350.0,44385.0,17350.5,78682.5,50
CDM,0687700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4267.0,4693.7,1834.81,8320.65,50
CDM,0687701,JOINT DEVICE (IMPLANTABLE),9713.0,10684.3,4176.59,18940.35,50
CDM,0687703,SONOPET TIP ASPIRATOR,2227.0,2227.0,457.87,1781.6,45
CDM,0687704,SONOPET TIP ASPIRATOR,1905.89,1905.89,391.85,1524.71,45
CDM,0687705,JOINT DEVICE (IMPLANTABLE),2445.0,2689.5,1051.35,4767.75,50
CDM,0687706,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0687707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1491.88,1641.07,641.51,2909.17,50
CDM,0687708,JOINT DEVICE (IMPLANTABLE),7074.0,7781.4,3041.82,13794.3,50
CDM,0687709,PROPHECY INBONE PATIENT SPEC,1745.0,1745.0,358.77,1396.0,45
CDM,0687710,JOINT DEVICE (IMPLANTABLE),7371.0,8108.1,3169.53,14373.45,50
CDM,0687713,JOINT DEVICE (IMPLANTABLE),1873.0,2060.3,805.39,3652.35,50
CDM,0687714,JOINT DEVICE (IMPLANTABLE),996.0,1095.6,428.28,1942.2,50
CDM,0687715,JOINT DEVICE (IMPLANTABLE),2898.0,3187.8,1246.14,5651.1,50
CDM,0687716,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2388.0,2626.8,1026.84,4656.6,50
CDM,0687717,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3150.0,3465.0,1354.5,6142.5,50
CDM,0687721,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1263.92,1390.31,543.49,2464.64,50
CDM,0687722,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.0,547.8,214.14,971.1,50
CDM,0687723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),565.0,621.5,242.95,1101.75,50
CDM,0687724,KIT IOBP KNEE CLOSD TIP,1107.0,1107.0,227.6,885.6,45
CDM,0687725,JOINT DEVICE (IMPLANTABLE),5101.0,5611.1,2193.43,9946.95,50
CDM,0687726,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8052.0,8857.2,3462.36,15701.4,50
CDM,0687727,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0687728,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),473.0,520.3,203.39,922.35,50
CDM,0687729,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5075.0,5582.5,2182.25,9896.25,50
CDM,0687730,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4116.0,4527.6,1769.88,8026.2,50
CDM,0687731,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1155.0,1270.5,496.65,2252.25,50
CDM,0687732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.47,358.02,139.95,634.67,50
CDM,0687733,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),605.0,665.5,260.15,1179.75,50
CDM,0687734,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3013.0,3314.3,1295.59,5875.35,50
CDM,0687735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3715.0,4086.5,1597.45,7244.25,50
CDM,0687736,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1529.0,1681.9,657.47,2981.55,50
CDM,0687737,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0687738,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2605.05,2865.56,1120.17,5079.85,50
CDM,0687739,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),248.0,272.8,106.64,483.6,50
CDM,0687740,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.0,3070.1,1200.13,5442.45,50
CDM,0687741,NAVIGATION MARKER,5250.0,5250.0,1079.4,4200.0,45
CDM,0687742,"ARTHROFLEX, PER SQUARE CENTIMETER",2310.0,2541.0,993.3,4504.5,50
CDM,0687743,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1684.38,1852.82,724.28,3284.54,50
CDM,0687744,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.01,1337.61,522.88,2371.22,50
CDM,0687745,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0687746,JOINT DEVICE (IMPLANTABLE),1363.0,1499.3,586.09,2657.85,50
CDM,0687747,JOINT DEVICE (IMPLANTABLE),7653.0,8418.3,3290.79,14923.35,50
CDM,0687748,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",23291.0,25620.1,10015.13,45417.45,50
CDM,0687749,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2073.0,2280.3,891.39,4042.35,50
CDM,0687750,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1485.0,1633.5,638.55,2895.75,50
CDM,0687751,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0687752,ALLOGRFT SALERA MEMBRANE,2660.0,2926.0,546.9,2926.0,50
CDM,0687753,ALLOGRFT SALERA MEMBRANE,8146.0,8960.6,1674.82,8960.6,50
CDM,0687754,ALLOGRFT SALERA MEMBRANE,3990.0,4389.0,820.34,4389.0,50
CDM,0687755,"PRIMATRIX, PER SQUARE CENTIMETER",3019.0,3320.9,1298.17,5887.05,50
CDM,0687756,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",914.0,1005.4,393.02,1782.3,50
CDM,0687757,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2256.0,2481.6,970.08,4399.2,50
CDM,0687758,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0687759,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),793.1,872.41,341.03,1546.55,50
CDM,0687760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2572.5,2829.75,1106.18,5016.38,50
CDM,0687762,KIT DRSG PREVENA,1047.0,1047.0,215.26,837.6,45
CDM,0687763,CANNULATED TAP,1087.63,1087.63,223.62,870.1,45
CDM,0687764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0687765,JOINT DEVICE (IMPLANTABLE),3263.58,3589.94,1403.34,6363.98,50
CDM,0687766,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",26472.0,29119.2,11382.96,51620.4,50
CDM,0687767,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2436.0,2679.6,1047.48,4750.2,50
CDM,0687768,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1860.25,2046.28,799.91,3627.49,50
CDM,0687769,"AMNIOBAND, 1 MG",4200.0,4620.0,1806.0,8190.0,50
CDM,0687771,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1925.0,752.5,3412.5,50
CDM,0687772,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687773,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2967.0,3263.7,1275.81,5785.65,50
CDM,0687774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3095.0,3404.5,1330.85,6035.25,50
CDM,0687775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),574.0,631.4,246.82,1119.3,50
CDM,0687776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4784.0,5262.4,2057.12,9328.8,50
CDM,0687777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2958.0,3253.8,1271.94,5768.1,50
CDM,0687778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0687780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6587.0,7245.7,2832.41,12844.65,50
CDM,0687781,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),421.96,464.16,181.44,822.82,50
CDM,0687782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3099.0,3408.9,1332.57,6043.05,50
CDM,0687783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1176.0,1293.6,505.68,2293.2,50
CDM,0687784,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3216.85,3538.54,1383.25,6272.86,50
CDM,0687785,JOINT DEVICE (IMPLANTABLE),2510.9,2761.99,1079.69,4896.26,50
CDM,0687786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1896.0,2085.6,815.28,3697.2,50
CDM,0687787,"INTERFYL, 1 MG",4023.0,4425.3,1729.89,7844.85,50
CDM,0687788,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",1951.0,2146.1,838.93,3804.45,50
CDM,0687789,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2550.0,2805.0,1096.5,4972.5,50
CDM,0687790,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3809.0,4189.9,1637.87,7427.55,50
CDM,0687791,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),994.0,1093.4,427.42,1938.3,50
CDM,0687792,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4716.0,5187.6,2027.88,9196.2,50
CDM,0687793,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),949.0,1043.9,408.07,1850.55,50
CDM,0687794,JOINT DEVICE (IMPLANTABLE),5520.0,6072.0,2373.6,10764.0,50
CDM,0687795,JOINT DEVICE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0687796,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, LASER",5451.0,5451.0,1466.32,10629.45,45
CDM,0687797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5486.0,6034.6,2358.98,10697.7,50
CDM,0687798,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",19118.75,21030.63,8221.06,37281.56,50
CDM,0687799,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",6436.5,7080.15,2767.7,12551.18,50
CDM,0687800,KIT NEURO COMM HANDSET,3237.5,3237.5,665.63,2590.0,45
CDM,0687801,MESH (IMPLANTABLE),1774.5,1951.95,763.04,3460.28,50
CDM,0687802,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",2735.0,3008.5,1176.05,5333.25,50
CDM,0687803,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),413.88,455.27,177.97,807.07,50
CDM,0687804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),628.0,690.8,270.04,1224.6,50
CDM,0687806,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),431.0,474.1,185.33,840.45,50
CDM,0687807,DVC HARMONIC,1140.0,1140.0,234.38,912.0,45
CDM,0687808,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0687809,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0687811,JOINT DEVICE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687812,JOINT DEVICE (IMPLANTABLE),3135.65,3449.22,1348.33,6114.52,50
CDM,0687814,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5390.0,5929.0,2317.7,10510.5,50
CDM,0687815,RING SEG EXT FIX,1972.0,1972.0,405.44,1577.6,45
CDM,0687816,DRIVER SURGICAL LAG SCREW,2163.0,2163.0,444.71,1730.4,45
CDM,0687817,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5486.0,6034.6,2358.98,10697.7,50
CDM,0687818,JOINT DEVICE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0687819,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9013.0,9914.3,3875.59,17575.35,50
CDM,0687820,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2328.0,2560.8,1001.04,4539.6,50
CDM,0687821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0687822,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0687823,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0687824,"GRAFT, VASCULAR",8167.0,8983.7,3511.81,15925.65,50
CDM,0687825,"GRAFT, VASCULAR",5835.0,6418.5,2509.05,11378.25,50
CDM,0687826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2244.0,2468.4,964.92,4375.8,50
CDM,0687827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2296.0,2525.6,987.28,4477.2,50
CDM,0687828,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1024.0,1126.4,440.32,1996.8,50
CDM,0687829,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),620.97,683.07,267.02,1210.89,50
CDM,0687830,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),738.13,811.94,317.4,1439.35,50
CDM,0687835,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1093.0,1202.3,469.99,2131.35,50
CDM,0687836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0687837,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),832.0,915.2,357.76,1622.4,50
CDM,0687838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),726.0,798.6,312.18,1415.7,50
CDM,0687839,JOINT DEVICE (IMPLANTABLE),4760.0,5236.0,2046.8,9282.0,50
CDM,0687840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6499.0,7148.9,2794.57,12673.05,50
CDM,0687841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2279.43,2507.37,980.15,4444.89,50
CDM,0687842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10712.63,11783.89,4606.43,20889.63,50
CDM,0687843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2848.0,3132.8,1224.64,5553.6,50
CDM,0687844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4963.0,5459.3,2134.09,9677.85,50
CDM,0687845,MESH (IMPLANTABLE),771.0,848.1,331.53,1503.45,50
CDM,0687846,MESH (IMPLANTABLE),1013.0,1114.3,435.59,1975.35,50
CDM,0687847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0687848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1211.0,1332.1,520.73,2361.45,50
CDM,0687849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),61.88,68.07,26.61,120.67,50
CDM,0687850,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1244.0,1368.4,534.92,2425.8,50
CDM,0687851,"ARTHROFLEX, PER SQUARE CENTIMETER",3548.0,3902.8,1525.64,6918.6,50
CDM,0687852,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3752.96,4128.26,1613.77,7318.27,50
CDM,0687853,JOINT DEVICE (IMPLANTABLE),2781.63,3059.79,1196.1,5424.18,50
CDM,0687854,JOINT DEVICE (IMPLANTABLE),2757.83,3033.61,1185.87,5377.77,50
CDM,0687855,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.0,326.7,127.71,579.15,50
CDM,0687856,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4186.88,4605.57,1800.36,8164.42,50
CDM,0687857,DVC SHEATH HANDLE,1550.0,1550.0,318.68,1240.0,45
CDM,0687858,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2100.0,2310.0,903.0,4095.0,50
CDM,0687859,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1689.0,1857.9,726.27,3293.55,50
CDM,0687860,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0687861,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1972.0,2169.2,847.96,3845.4,50
CDM,0687862,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1876.88,2064.57,807.06,3659.92,50
CDM,0687863,JOINT DEVICE (IMPLANTABLE),2722.0,2994.2,1170.46,5307.9,50
CDM,0687864,JOINT DEVICE (IMPLANTABLE),2984.63,3283.09,1283.39,5820.03,50
CDM,0687865,JOINT DEVICE (IMPLANTABLE),4606.88,5067.57,1980.96,8983.42,50
CDM,0687866,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0687867,DRILL BT ORTHOSORB,1183.35,1183.35,243.3,946.68,45
CDM,0687868,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.33,257.76,100.76,456.94,50
CDM,0687869,RING XTRNFX,1421.88,1421.88,292.34,1137.5,45
CDM,0687870,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),970.0,1067.0,417.1,1891.5,50
CDM,0687871,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3549.0,3903.9,1526.07,6920.55,50
CDM,0687872,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3210.25,3531.28,1380.41,6259.99,50
CDM,0687873,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1402.0,1542.2,602.86,2733.9,50
CDM,0687874,JOINT DEVICE (IMPLANTABLE),3867.5,4254.25,1663.03,7541.63,50
CDM,0687875,JOINT DEVICE (IMPLANTABLE),4060.0,4466.0,1745.8,7917.0,50
CDM,0687876,JOINT DEVICE (IMPLANTABLE),4132.0,4545.2,1776.76,8057.4,50
CDM,0687877,JOINT DEVICE (IMPLANTABLE),2977.0,3274.7,1280.11,5805.15,50
CDM,0687878,JOINT DEVICE (IMPLANTABLE),7957.0,8752.7,3421.51,15516.15,50
CDM,0687880,JOINT DEVICE (IMPLANTABLE),5831.0,6414.1,2507.33,11370.45,50
CDM,0687881,JOINT DEVICE (IMPLANTABLE),2984.0,3282.4,1283.12,5818.8,50
CDM,0687882,JOINT DEVICE (IMPLANTABLE),3057.0,3362.7,1314.51,5961.15,50
CDM,0687883,JOINT DEVICE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0687884,JOINT DEVICE (IMPLANTABLE),3479.0,3826.9,1495.97,6784.05,50
CDM,0687885,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687886,JOINT DEVICE (IMPLANTABLE),4349.0,4783.9,1870.07,8480.55,50
CDM,0687887,JOINT DEVICE (IMPLANTABLE),7653.0,8418.3,3290.79,14923.35,50
CDM,0687888,JOINT DEVICE (IMPLANTABLE),1363.0,1499.3,586.09,2657.85,50
CDM,0687889,JOINT DEVICE (IMPLANTABLE),1607.0,1767.7,691.01,3133.65,50
CDM,0687890,BIT DRILL,1786.0,1786.0,367.2,1428.8,45
CDM,0687891,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0687892,JOINT DEVICE (IMPLANTABLE),2644.0,2908.4,1136.92,5155.8,50
CDM,0687894,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0687900,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1291.0,1420.1,555.13,2517.45,50
CDM,0687901,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1566.0,1722.6,673.38,3053.7,50
CDM,0687902,JOINT DEVICE (IMPLANTABLE),2466.28,2712.91,1060.5,4809.25,50
CDM,0687903,JOINT DEVICE (IMPLANTABLE),2801.0,3081.1,1204.43,5461.95,50
CDM,0687904,JOINT DEVICE (IMPLANTABLE),3365.0,3701.5,1446.95,6561.75,50
CDM,0687905,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3963.75,4360.13,1704.41,7729.31,50
CDM,0687906,JOINT DEVICE (IMPLANTABLE),977.0,1074.7,420.11,1905.15,50
CDM,0687907,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.25,2091.25,562.55,4077.94,45
CDM,0687908,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2607.5,2607.5,701.42,5084.63,45
CDM,0687909,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3594.5,3594.5,966.92,7009.28,45
CDM,0687910,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2121.0,2333.1,912.03,4135.95,50
CDM,0687911,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,0687912,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0687913,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0687914,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),851.0,936.1,365.93,1659.45,50
CDM,0687915,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),737.0,810.7,316.91,1437.15,50
CDM,0687916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1130.0,1243.0,485.9,2203.5,50
CDM,0687917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.77,424.35,165.88,752.25,50
CDM,0687918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1066.0,1172.6,458.38,2078.7,50
CDM,0687919,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1498.0,1647.8,644.14,2921.1,50
CDM,0687922,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1591.0,1750.1,684.13,3102.45,50
CDM,0687923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.17,2899.79,1133.55,5140.53,50
CDM,0687928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0687929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.75,317.63,124.16,563.06,50
CDM,0687930,GUIDE PROPH INVISION PATIENT,2364.25,2364.25,486.09,1891.4,45
CDM,0687932,JOINT DEVICE (IMPLANTABLE),11229.75,12352.73,4828.79,21898.01,50
CDM,0687933,JOINT DEVICE (IMPLANTABLE),11287.5,12416.25,4853.63,22010.63,50
CDM,0687934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4550.0,5005.0,1956.5,8872.5,50
CDM,0687935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2296.0,2525.6,987.28,4477.2,50
CDM,0687936,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7350.0,8085.0,3160.5,14332.5,50
CDM,0687937,"PRIMATRIX, PER SQUARE CENTIMETER",1810.0,1991.0,778.3,3529.5,50
CDM,0687938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),358.05,393.86,153.96,698.2,50
CDM,0687939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0687940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2450.0,2695.0,1053.5,4777.5,50
CDM,0687941,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1433.25,1576.58,616.3,2794.84,50
CDM,0687942,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2236.0,2459.6,961.48,4360.2,50
CDM,0687943,JOINT DEVICE (IMPLANTABLE),12434.0,13677.4,5346.62,24246.3,50
CDM,0687944,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6949.0,7643.9,2988.07,13550.55,50
CDM,0687945,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5353.0,5888.3,2301.79,10438.35,50
CDM,0687946,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1630.0,1630.0,438.47,3178.5,45
CDM,0687947,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5242.0,5766.2,2254.06,10221.9,50
CDM,0687948,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0687949,JOINT DEVICE (IMPLANTABLE),2383.5,2621.85,1024.91,4647.83,50
CDM,0687950,JOINT DEVICE (IMPLANTABLE),7306.0,8036.6,3141.58,14246.7,50
CDM,0687951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2230.0,2453.0,958.9,4348.5,50
CDM,0687952,MESH (IMPLANTABLE),7699.0,8468.9,3310.57,15013.05,50
CDM,0687953,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9459.0,10404.9,4067.37,18445.05,50
CDM,0687954,JOINT DEVICE (IMPLANTABLE),10035.0,11038.5,4315.05,19568.25,50
CDM,0687955,JOINT DEVICE (IMPLANTABLE),10879.75,11967.73,4678.29,21215.51,50
CDM,0687956,JOINT DEVICE (IMPLANTABLE),4173.75,4591.13,1794.71,8138.81,50
CDM,0687957,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1386.0,1524.6,595.98,2702.7,50
CDM,0687959,"INJECTABLE BULKING AGENT, SYNTHETIC IMPLANT, URINARY TRACT, 1 ML SYRINGE, INCLUDES SHIPPING AND NECESSARY SUPPLIES",2013.0,2214.3,225.47,2214.3,50
CDM,0687960,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2013.0,2214.3,865.59,3925.35,50
CDM,0687961,JOINT DEVICE (IMPLANTABLE),3004.75,3305.23,1292.04,5859.26,50
CDM,0687962,JOINT DEVICE (IMPLANTABLE),2386.13,2624.74,1026.04,4652.95,50
CDM,0687963,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",25988.0,28586.8,11174.84,50676.6,50
CDM,0687964,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",963.0,1059.3,414.09,1877.85,50
CDM,0687965,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1488.0,1488.0,400.27,2901.6,45
CDM,0687966,JOINT DEVICE (IMPLANTABLE),2909.0,3199.9,1250.87,5672.55,50
CDM,0687967,JOINT DEVICE (IMPLANTABLE),3202.0,3522.2,1376.86,6243.9,50
CDM,0687968,JOINT DEVICE (IMPLANTABLE),2370.0,2607.0,1019.1,4621.5,50
CDM,0687969,MESH (IMPLANTABLE),197.0,216.7,84.71,384.15,50
CDM,0687971,JOINT DEVICE (IMPLANTABLE),4139.0,4552.9,1779.77,8071.05,50
CDM,0687972,JOINT DEVICE (IMPLANTABLE),4524.0,4976.4,1945.32,8821.8,50
CDM,0687973,PIN GUIDE SUPRAPATELLAR,1391.0,1391.0,285.99,1112.8,45
CDM,0687974,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5796.0,6375.6,2492.28,11302.2,50
CDM,0687975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0687976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3682.0,4050.2,1583.26,7179.9,50
CDM,0687977,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2638.0,2901.8,1134.34,5144.1,50
CDM,0687978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),586.9,645.59,252.37,1144.46,50
CDM,0687979,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",20076.0,22083.6,8632.68,39148.2,50
CDM,0687980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2308.0,2538.8,992.44,4500.6,50
CDM,0687982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2921.63,3213.79,1256.3,5697.18,50
CDM,0687983,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8125.0,8937.5,3493.75,15843.75,50
CDM,0687984,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",16538.0,18191.8,7111.34,32249.1,50
CDM,0687985,JOINT DEVICE (IMPLANTABLE),3670.0,4037.0,1578.1,7156.5,50
CDM,0687986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2809.0,3089.9,1207.87,5477.55,50
CDM,0687987,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",1109.0,1219.9,476.87,2162.55,50
CDM,0687988,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",2185.0,2403.5,939.55,4260.75,50
CDM,0687989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6738.0,7411.8,2897.34,13139.1,50
CDM,0687990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),914.0,1005.4,393.02,1782.3,50
CDM,0687991,BLADE EXTENDER,2100.0,2100.0,431.76,1680.0,45
CDM,0687992,POSITIONING MODULE,1050.0,1050.0,215.88,840.0,45
CDM,0687993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),796.0,875.6,342.28,1552.2,50
CDM,0687994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0687995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2643.0,2907.3,1136.49,5153.85,50
CDM,0687996,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.0,355.3,138.89,629.85,50
CDM,0687997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),924.0,1016.4,397.32,1801.8,50
CDM,0687998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3762.0,4138.2,1617.66,7335.9,50
CDM,0688000,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),955.0,1050.5,410.65,1862.25,50
CDM,0688001,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2726.0,2998.6,1172.18,5315.7,50
CDM,0688002,POD CPLX,2958.0,2958.0,608.16,2366.4,45
CDM,0688003,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0688004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1145.0,1145.0,308.01,2232.75,45
CDM,0688005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0688006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0688007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688008,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3456.0,3801.6,1486.08,6739.2,50
CDM,0688009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4337.0,4770.7,1864.91,8457.15,50
CDM,0688010,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4988.0,5486.8,2144.84,9726.6,50
CDM,0688011,MESH (IMPLANTABLE),5481.53,6029.68,2357.06,10688.98,50
CDM,0688012,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4256.0,4681.6,1830.08,8299.2,50
CDM,0688013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),276.0,303.6,118.68,538.2,50
CDM,0688014,JOINT DEVICE (IMPLANTABLE),3089.0,3397.9,1328.27,6023.55,50
CDM,0688015,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2042.0,2042.0,549.3,3981.9,45
CDM,0688016,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2041.46,2245.61,877.83,3980.85,50
CDM,0688017,CATH MICRO VENTRICUL,3697.0,3697.0,760.1,2957.6,45
CDM,0688018,CATH INTRACRANIAL PRESS,3435.0,3435.0,706.24,2748.0,45
CDM,0688019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0688020,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2284.68,2513.15,982.41,4455.13,50
CDM,0688021,MECTABLD- CUP REMOV,2475.0,2475.0,508.86,1980.0,45
CDM,0688022,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4803.0,5283.3,2065.29,9365.85,50
CDM,0688023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),347.0,381.7,149.21,676.65,50
CDM,0688024,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),755.0,830.5,324.65,1472.25,50
CDM,0688025,JOINT DEVICE (IMPLANTABLE),3584.88,3943.37,1541.5,6990.52,50
CDM,0688026,JOINT DEVICE (IMPLANTABLE),2391.9,2631.09,1028.52,4664.21,50
CDM,0688027,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),331.0,364.1,142.33,645.45,50
CDM,0688029,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1002.0,1102.2,430.86,1953.9,50
CDM,0688030,LASER FIBER,918.0,918.0,188.74,734.4,45
CDM,0688031,LIGASURE LAP SEALER,1054.0,1054.0,216.7,843.2,45
CDM,0688032,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0688033,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3888.0,4276.8,1671.84,7581.6,50
CDM,0688034,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3690.63,4059.69,1586.97,7196.73,50
CDM,0688035,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.25,2091.25,562.55,4077.94,45
CDM,0688036,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0688037,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1558.0,1713.8,669.94,3038.1,50
CDM,0688038,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1907.5,2098.25,820.23,3719.63,50
CDM,0688039,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1558.0,1713.8,669.94,3038.1,50
CDM,0688040,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2310.0,2541.0,993.3,4504.5,50
CDM,0688041,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4986.0,5484.6,2143.98,9722.7,50
CDM,0688042,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688043,JOINT DEVICE (IMPLANTABLE),9216.0,10137.6,3962.88,17971.2,50
CDM,0688044,EF PLT XTRNFX MAXFRAME,3450.0,3450.0,709.32,2760.0,45
CDM,0688045,RING XTRNFX 150MM HLF TI,1125.0,1125.0,231.3,900.0,45
CDM,0688046,KIT XTRNFX MAXFRAME FT PLT,2804.0,2804.0,576.5,2243.2,45
CDM,0688047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0688048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1465.0,1611.5,629.95,2856.75,50
CDM,0688049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0688050,"POWER MODULE PATIENT CABLE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",2144.0,2358.4,768.43,2358.4,48
CDM,0688052,"POWER MODULE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",14818.0,16299.8,6371.74,28928.33,50
CDM,0688053,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4407.0,4847.7,1895.01,8593.65,50
CDM,0688054,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",298.0,327.8,128.14,581.1,50
CDM,0688055,JOINT DEVICE (IMPLANTABLE),2796.5,3076.15,1202.5,5453.18,50
CDM,0688056,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),421.79,463.97,181.37,822.49,50
CDM,0688057,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5275.0,5802.5,2268.25,10286.25,50
CDM,0688058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),691.0,760.1,297.13,1347.45,50
CDM,0688059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5066.0,5572.6,2178.38,9878.7,50
CDM,0688060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4610.38,5071.42,1982.46,8990.24,50
CDM,0688061,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),568.0,624.8,244.24,1107.6,50
CDM,0688062,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0688063,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0688064,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.25,406.18,158.78,720.04,50
CDM,0688065,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2406.6,2647.26,1034.84,4692.87,50
CDM,0688066,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),464.0,510.4,199.52,904.8,50
CDM,0688067,JOINT DEVICE (IMPLANTABLE),11608.0,12768.8,4991.44,22635.6,50
CDM,0688068,JOINT DEVICE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0688069,MESH (IMPLANTABLE),2076.0,2283.6,892.68,4048.2,50
CDM,0688070,JOINT DEVICE (IMPLANTABLE),1111.0,1222.1,477.73,2166.45,50
CDM,0688071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1900.0,2090.0,817.0,3705.0,50
CDM,0688072,MESH (IMPLANTABLE),7901.0,8691.1,3397.43,15406.95,50
CDM,0688074,LARGE COMBINATION CLAMP,868.0,868.0,178.46,694.4,45
CDM,0688075,JOINT DEVICE (IMPLANTABLE),1084.0,1192.4,466.12,2113.8,50
CDM,0688076,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0688077,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10325.0,11357.5,4439.75,20133.75,50
CDM,0688078,MIS EXPOSURE GUARDS 18MM,2100.0,2100.0,431.76,1680.0,45
CDM,0688080,NIAGARA INTRADISCAL SHIM,956.0,956.0,196.55,764.8,45
CDM,0688081,JOINT DEVICE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0688083,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7288.75,8017.63,3134.16,14213.06,50
CDM,0688084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0688085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4222.0,4644.2,1815.46,8232.9,50
CDM,0688086,ILLUMINOSS KIT 22/13 X 240MM,8925.0,9817.5,1834.98,9817.5,50
CDM,0688087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4147.0,4561.7,1783.21,8086.65,50
CDM,0688088,JOINT DEVICE (IMPLANTABLE),2039.0,2242.9,876.77,3976.05,50
CDM,0688089,JOINT DEVICE (IMPLANTABLE),9275.0,10202.5,3988.25,18086.25,50
CDM,0688090,MESH (IMPLANTABLE),954.0,1049.4,410.22,1860.3,50
CDM,0688091,MESH (IMPLANTABLE),4043.0,4447.3,1738.49,7883.85,50
CDM,0688092,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5329.0,5329.0,1433.5,10391.55,45
CDM,0688093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),800.0,880.0,344.0,1560.0,50
CDM,0688094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),18490.0,20339.0,7950.7,36055.5,50
CDM,0688095,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0688096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2784.0,3062.4,1197.12,5428.8,50
CDM,0688097,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2831.73,3114.9,1217.64,5521.87,50
CDM,0688098,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1351.88,1487.07,581.31,2636.17,50
CDM,0688099,REAMER SURGICAL,2221.43,2221.43,456.73,1777.14,45
CDM,0688100,REAMER CANN ENTRY,895.0,895.0,184.01,716.0,45
CDM,0688101,CORTICAL TAP,953.0,953.0,195.94,762.4,45
CDM,0688102,"DERMACELL, DERMACELL AWM OR DERMACELL AWM POROUS, PER SQUARE CENTIMETER",2466.0,2712.6,1060.38,4808.7,50
CDM,0688103,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1915.0,2106.5,823.45,3734.25,50
CDM,0688104,DRILL GUIDE LOCK TOWER,905.0,905.0,186.07,724.0,45
CDM,0688105,MAXBRAID SUTURE KIT,971.0,971.0,199.64,776.8,45
CDM,0688106,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",18007.5,19808.25,7743.23,35114.63,50
CDM,0688107,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3609.0,3969.9,1551.87,7037.55,50
CDM,0688108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6388.0,7026.8,2746.84,12456.6,50
CDM,0688109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6738.0,7411.8,2897.34,13139.1,50
CDM,0688110,DVC HSCRW EXTRACTOR,1881.0,1881.0,386.73,1504.8,45
CDM,0688111,EF RING,1006.0,1006.0,206.83,804.8,45
CDM,0688112,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",29614.0,32575.4,12734.02,57747.3,50
CDM,0688113,JOINT DEVICE (IMPLANTABLE),6917.75,7609.53,2974.63,13489.61,50
CDM,0688114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3069.66,3376.63,1319.95,5985.84,50
CDM,0688115,KIT SUBDR PORT,2584.0,2584.0,531.27,2067.2,45
CDM,0688116,"CYTAL, PER SQUARE CENTIMETER",2088.0,2296.8,897.84,4071.6,50
CDM,0688117,MESH (IMPLANTABLE),24346.0,26780.6,10468.78,47474.7,50
CDM,0688118,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",28298.0,31127.8,12168.14,55181.1,50
CDM,0688119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),905.0,905.0,243.45,1764.75,45
CDM,0688120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2243.0,2467.3,964.49,4373.85,50
CDM,0688121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1953.0,2148.3,839.79,3808.35,50
CDM,0688122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1421.0,1563.1,611.03,2770.95,50
CDM,0688123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1159.0,1274.9,498.37,2260.05,50
CDM,0688124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1054.46,1159.91,453.42,2056.2,50
CDM,0688125,JOINT DEVICE (IMPLANTABLE),6856.0,7541.6,2948.08,13369.2,50
CDM,0688126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5356.31,5891.94,2303.21,10444.8,50
CDM,0688127,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11723.0,12895.3,5040.89,22859.85,50
CDM,0688128,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14420.0,15862.0,6200.6,28119.0,50
CDM,0688129,MDL MODEL HLF IPSSUP,1757.0,1757.0,361.24,1405.6,45
CDM,0688130,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3500.0,3850.0,1505.0,6825.0,50
CDM,0688131,RMR SRG LG SCR,2987.0,2987.0,614.13,2389.6,45
CDM,0688132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2188.0,2406.8,940.84,4266.6,50
CDM,0688133,EF RING OPEN CARBON,2035.0,2035.0,418.4,1628.0,45
CDM,0688134,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1444.0,1444.0,388.44,2815.8,45
CDM,0688135,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",19838.0,21821.8,8530.34,38684.1,50
CDM,0688136,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5698.0,6267.8,2450.14,11111.1,50
CDM,0688137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3749.2,4124.12,1612.16,7310.94,50
CDM,0688139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),97.9,107.69,42.1,190.91,50
CDM,0688140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1533.0,1686.3,659.19,2989.35,50
CDM,0688141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10308.0,11338.8,4432.44,20100.6,50
CDM,0688142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2772.0,3049.2,1191.96,5405.4,50
CDM,0688143,RMR SRG OPN,1363.0,1363.0,280.23,1090.4,45
CDM,0688144,JOINT DEVICE (IMPLANTABLE),3830.0,4213.0,1646.9,7468.5,50
CDM,0688145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3505.0,3855.5,1507.15,6834.75,50
CDM,0688146,MESH (IMPLANTABLE),10103.63,11113.99,4344.56,19702.08,50
CDM,0688147,MESH (IMPLANTABLE),24345.83,26780.41,10468.71,47474.37,50
CDM,0688148,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19722.5,21694.75,8480.68,38458.88,50
CDM,0688149,JOINT DEVICE (IMPLANTABLE),3259.0,3584.9,1401.37,6355.05,50
CDM,0688150,IMPL STEM MORSE,1099.0,1099.0,225.95,879.2,45
CDM,0688151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3179.61,3179.61,855.32,6200.24,45
CDM,0688152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3841.0,4225.1,1651.63,7489.95,50
CDM,0688153,JOINT DEVICE (IMPLANTABLE),1788.5,1967.35,769.06,3487.58,50
CDM,0688154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4347.0,4781.7,1869.21,8476.65,50
CDM,0688155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2492.0,2741.2,1071.56,4859.4,50
CDM,0688156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7219.0,7940.9,3104.17,14077.05,50
CDM,0688157,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3128.25,3441.08,1345.15,6100.09,50
CDM,0688158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3507.0,3857.7,1508.01,6838.65,50
CDM,0688159,PUMP BERLIN EXCOR,69367.0,69367.0,3461.0,55493.6,45
CDM,0688160,"PORT, INDWELLING (IMPLANTABLE)",3893.0,4282.3,1673.99,7591.35,50
CDM,0688161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1636.0,1636.0,440.08,3190.2,45
CDM,0688162,MESH (IMPLANTABLE),7742.0,8516.2,3329.06,15096.9,50
CDM,0688163,MESH (IMPLANTABLE),5481.0,6029.1,2356.83,10687.95,50
CDM,0688164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2764.0,3040.4,1188.52,5389.8,50
CDM,0688165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3876.0,4263.6,1666.68,7558.2,50
CDM,0688167,KIT ILLUMINOSS,6125.0,6125.0,1259.3,4900.0,45
CDM,0688168,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4717.0,5188.7,2028.31,9198.15,50
CDM,0688169,KIT ILLUMINOSS,6300.0,6300.0,1295.28,5040.0,45
CDM,0688170,KIT ILLUMINOSS,6475.0,6475.0,1331.26,5180.0,45
CDM,0688171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1583.0,1741.3,680.69,3086.85,50
CDM,0688172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.67,328.54,128.43,582.41,50
CDM,0688173,VENA CAVA FILTER,1757.0,1932.7,755.51,3426.15,50
CDM,0688174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3362.57,3698.83,1445.91,6557.01,50
CDM,0688175,DVC REAMER,1277.06,1277.06,262.56,1021.65,45
CDM,0688176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),560.0,616.0,240.8,1092.0,50
CDM,0688177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0688178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3675.0,4042.5,1580.25,7166.25,50
CDM,0688179,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",31087.0,34195.7,13367.41,60619.65,50
CDM,0688180,METACARPOPHALANGEAL JOINT IMPLANT,1834.0,2017.4,329.97,2017.4,50
CDM,0688181,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1057.0,1162.7,454.51,2061.15,50
CDM,0688182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2756.0,2756.0,741.36,5374.2,45
CDM,0688183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1433.0,1576.3,616.19,2794.35,50
CDM,0688184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1868.0,2054.8,803.24,3642.6,50
CDM,0688185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1596.0,1755.6,686.28,3112.2,50
CDM,0688186,KIT ATCH FIXATION,2770.0,2770.0,569.51,2216.0,45
CDM,0688187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3213.79,3535.17,1381.93,6266.89,50
CDM,0688188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2333.0,2566.3,1003.19,4549.35,50
CDM,0688189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),529.0,581.9,227.47,1031.55,50
CDM,0688190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),993.18,1092.5,427.07,1936.7,50
CDM,0688191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3309.39,3640.33,1423.04,6453.31,50
CDM,0688192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3143.56,3457.92,1351.73,6129.94,50
CDM,0688193,DRILL PRESS-FIT STEM FLUTE,1360.0,1360.0,279.62,1088.0,45
CDM,0688194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3470.0,3817.0,1492.1,6766.5,50
CDM,0688195,JOINT DEVICE (IMPLANTABLE),2426.0,2668.6,1043.18,4730.7,50
CDM,0688196,GLUE TISSUE  FIBRIN,1472.0,1472.0,302.64,1177.6,45
CDM,0688198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3278.0,3605.8,1409.54,6392.1,50
CDM,0688199,REAMER MTP INFUSION PHAL,1183.0,1183.0,243.22,946.4,45
CDM,0688200,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",421.79,463.97,181.37,822.49,50
CDM,0688201,JOINT DEVICE (IMPLANTABLE),8537.0,9390.7,3670.91,16647.15,50
CDM,0688202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),552.0,607.2,237.36,1076.4,50
CDM,0688203,JOINT DEVICE (IMPLANTABLE),1789.0,1967.9,769.27,3488.55,50
CDM,0688204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4551.0,5006.1,1956.93,8874.45,50
CDM,0688205,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",1846.0,2030.6,793.78,3599.7,50
CDM,0688206,JOINT DEVICE (IMPLANTABLE),2386.13,2624.74,1026.04,4652.95,50
CDM,0688207,JOINT DEVICE (IMPLANTABLE),4760.0,5236.0,2046.8,9282.0,50
CDM,0688208,JOINT DEVICE (IMPLANTABLE),3850.0,4235.0,1655.5,7507.5,50
CDM,0688209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),151.0,166.1,64.93,294.45,50
CDM,0688210,JOINT DEVICE (IMPLANTABLE),3658.0,4023.8,1572.94,7133.1,50
CDM,0688211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),593.0,652.3,254.99,1156.35,50
CDM,0688212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1256.0,1381.6,540.08,2449.2,50
CDM,0688213,REAMER 5.5MM,1629.0,1629.0,334.92,1303.2,45
CDM,0688214,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1644.0,1808.4,706.92,3205.8,50
CDM,0688215,CLAMP XTRNFX HFMN2 PERIART,1093.0,1093.0,224.72,874.4,45
CDM,0688216,TUBE H2 MICRO LENGTHENER,1095.0,1095.0,225.13,876.0,45
CDM,0688217,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3343.2,3677.52,1437.58,6519.24,50
CDM,0688218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),889.98,978.98,382.69,1735.46,50
CDM,0688219,PIN FX SONICWELD RX,2863.0,2863.0,588.63,2290.4,45
CDM,0688220,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),109.53,120.48,47.1,213.58,50
CDM,0688221,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),617.4,679.14,265.48,1203.93,50
CDM,0688222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3834.0,4217.4,1648.62,7476.3,50
CDM,0688223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1386.0,1524.6,595.98,2702.7,50
CDM,0688224,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",875.0,962.5,376.25,1706.25,50
CDM,0688225,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1205.0,1205.0,324.15,2349.75,45
CDM,0688226,DVC TRIGGER FLEX QUAD,1190.0,1190.0,244.66,952.0,45
CDM,0688227,MESH (IMPLANTABLE),2766.0,3042.6,1189.38,5393.7,50
CDM,0688228,JOINT DEVICE (IMPLANTABLE),6910.75,7601.83,2971.62,13475.96,50
CDM,0688229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4112.41,4523.65,1768.34,8019.2,50
CDM,0688230,JOINT DEVICE (IMPLANTABLE),4938.0,5431.8,2123.34,9629.1,50
CDM,0688231,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2006.0,2206.6,862.58,3911.7,50
CDM,0688232,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),926.0,1018.6,398.18,1805.7,50
CDM,0688233,MESH (IMPLANTABLE),3877.0,4264.7,1667.11,7560.15,50
CDM,0688234,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),40537.0,44590.7,17430.91,79047.15,50
CDM,0688235,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3976.0,4373.6,1709.68,7753.2,50
CDM,0688236,DVC CORUS SPINAL SYS X,4769.0,4769.0,980.51,3815.2,45
CDM,0688237,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7894.0,8683.4,3394.42,15393.3,50
CDM,0688238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2419.0,2660.9,1040.17,4717.05,50
CDM,0688239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4803.0,5283.3,2065.29,9365.85,50
CDM,0688240,JOINT DEVICE (IMPLANTABLE),5375.0,5912.5,2311.25,10481.25,50
CDM,0688241,JOINT DEVICE (IMPLANTABLE),4732.88,5206.17,2035.14,9229.12,50
CDM,0688242,DVC TRIGGER-FLEX,989.0,989.0,203.34,791.2,45
CDM,0688243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0688244,JOINT DEVICE (IMPLANTABLE),1954.0,2149.4,840.22,3810.3,50
CDM,0688245,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6693.75,7363.13,2878.31,13052.81,50
CDM,0688246,KIT GFT HRVT OATS DISP,1251.0,1251.0,257.21,1000.8,45
CDM,0688247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1474.0,1621.4,633.82,2874.3,50
CDM,0688248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),230.0,253.0,98.9,448.5,50
CDM,0688249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),248.0,272.8,106.64,483.6,50
CDM,0688250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0688251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1995.0,2194.5,857.85,3890.25,50
CDM,0688252,JOINT DEVICE (IMPLANTABLE),3360.0,3696.0,1444.8,6552.0,50
CDM,0688253,MESH (IMPLANTABLE),954.0,1049.4,410.22,1860.3,50
CDM,0688254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1922.0,2114.2,826.46,3747.9,50
CDM,0688255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.25,375.38,146.74,665.44,50
CDM,0688256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0688257,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1352.0,1487.2,581.36,2636.4,50
CDM,0688258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0688259,JOINT DEVICE (IMPLANTABLE),3241.0,3565.1,1393.63,6319.95,50
CDM,0688260,JOINT DEVICE (IMPLANTABLE),3211.0,3532.1,1380.73,6261.45,50
CDM,0688261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),228.0,250.8,98.04,444.6,50
CDM,0688262,"ALLODERM, PER SQUARE CENTIMETER",6923.0,7615.3,2976.89,13499.85,50
CDM,0688263,REAMER HEAD,1530.0,1530.0,314.57,1224.0,45
CDM,0688264,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),237.0,260.7,101.91,462.15,50
CDM,0688265,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1679.0,1846.9,721.97,3274.05,50
CDM,0688266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1186.0,1304.6,509.98,2312.7,50
CDM,0688267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),171.0,188.1,73.53,333.45,50
CDM,0688268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),319.0,350.9,137.17,622.05,50
CDM,0688269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2495.0,2744.5,1072.85,4865.25,50
CDM,0688270,JOINT DEVICE (IMPLANTABLE),12250.0,13475.0,5267.5,23887.5,50
CDM,0688271,JOINT DEVICE (IMPLANTABLE),3063.0,3369.3,1317.09,5972.85,50
CDM,0688272,JOINT DEVICE (IMPLANTABLE),4342.0,4776.2,1867.06,8466.9,50
CDM,0688273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1418.0,1559.8,609.74,2765.1,50
CDM,0688274,JOINT DEVICE (IMPLANTABLE),3824.0,4206.4,1644.32,7456.8,50
CDM,0688275,JOINT DEVICE (IMPLANTABLE),3784.0,4162.4,1627.12,7378.8,50
CDM,0688276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3713.0,4084.3,1596.59,7240.35,50
CDM,0688277,JOINT DEVICE (IMPLANTABLE),7119.0,7830.9,3061.17,13882.05,50
CDM,0688278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3406.73,3747.4,1464.89,6643.12,50
CDM,0688279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2121.0,2333.1,912.03,4135.95,50
CDM,0688280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1652.0,1817.2,710.36,3221.4,50
CDM,0688281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4184.0,4602.4,1799.12,8158.8,50
CDM,0688282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1454.0,1599.4,625.22,2835.3,50
CDM,0688283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1547.0,1701.7,665.21,3016.65,50
CDM,0688284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4086.0,4494.6,1756.98,7967.7,50
CDM,0688285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3295.0,3295.0,886.36,6425.25,45
CDM,0688286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3070.0,3377.0,1320.1,5986.5,50
CDM,0688287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3736.0,4109.6,1606.48,7285.2,50
CDM,0688288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3431.0,3774.1,1475.33,6690.45,50
CDM,0688289,JOINT DEVICE (IMPLANTABLE),12950.0,14245.0,5568.5,25252.5,50
CDM,0688290,JOINT DEVICE (IMPLANTABLE),6924.0,7616.4,2977.32,13501.8,50
CDM,0688291,JOINT DEVICE (IMPLANTABLE),2341.0,2575.1,1006.63,4564.95,50
CDM,0688292,JOINT DEVICE (IMPLANTABLE),2730.0,3003.0,1173.9,5323.5,50
CDM,0688293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),227.5,250.25,97.83,443.63,50
CDM,0688294,DEV REM MYOSURE,1050.0,1050.0,215.88,840.0,45
CDM,0688295,DEV REM MYOSURE,1864.0,1864.0,383.24,1491.2,45
CDM,0688296,DEV REM MYOSURE,1909.0,1909.0,392.49,1527.2,45
CDM,0688297,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3675.0,4042.5,1580.25,7166.25,50
CDM,0688298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0688299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6666.0,7332.6,2866.38,12998.7,50
CDM,0688300,KIT BLLN KYPHOPLASTY,5213.0,5213.0,1071.79,4170.4,45
CDM,0688301,SLNT TISS DURASEAL,1465.6,1465.6,301.33,1172.48,45
CDM,0688302,SLNT TISS DURASEAL,1507.87,1507.87,310.02,1206.3,45
CDM,0688303,MESH (IMPLANTABLE),1304.0,1434.4,560.72,2542.8,50
CDM,0688304,STNT-GRFT AORTIC ARCH,56000.0,61600.0,11513.6,61600.0,50
CDM,0688305,STNT-GRFT AORTIC ARCH,13650.0,15015.0,2806.44,15015.0,50
CDM,0688306,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4112.0,4523.2,1768.16,8018.4,50
CDM,0688307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3175.0,3492.5,1365.25,6191.25,50
CDM,0688308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3351.0,3686.1,1440.93,6534.45,50
CDM,0688309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1336.0,1469.6,574.48,2605.2,50
CDM,0688310,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0688311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1066.0,1172.6,458.38,2078.7,50
CDM,0688312,JOINT DEVICE (IMPLANTABLE),748.13,822.94,321.7,1458.85,50
CDM,0688313,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0688314,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2906.0,3196.6,1249.58,5666.7,50
CDM,0688315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1454.0,1599.4,625.22,2835.3,50
CDM,0688316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1983.0,2181.3,852.69,3866.85,50
CDM,0688317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2055.0,2260.5,883.65,4007.25,50
CDM,0688318,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),7018.0,7719.8,3017.74,13685.1,50
CDM,0688319,MESH (IMPLANTABLE),19478.0,21425.8,8375.54,37982.1,50
CDM,0688320,JOINT DEVICE (IMPLANTABLE),840.0,924.0,361.2,1638.0,50
CDM,0688321,DVC DISP INVICTUS,1969.0,1969.0,404.83,1575.2,45
CDM,0688322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1940.0,2134.0,834.2,3783.0,50
CDM,0688323,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),281.0,309.1,120.83,547.95,50
CDM,0688324,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2109.0,2319.9,906.87,4112.55,50
CDM,0688326,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2186.0,2404.6,939.98,4262.7,50
CDM,0688327,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6666.0,7332.6,2866.38,12998.7,50
CDM,0688328,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),480.0,528.0,206.4,936.0,50
CDM,0688329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3051.0,3356.1,1311.93,5949.45,50
CDM,0688330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),922.69,1014.96,396.76,1799.25,50
CDM,0688331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),834.0,917.4,358.62,1626.3,50
CDM,0688332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),199.0,218.9,85.57,388.05,50
CDM,0688333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0688334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),338.0,371.8,145.34,659.1,50
CDM,0688335,"INJECTABLE BULKING AGENT, DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT, URINARY TRACT, 1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",5561.0,6117.1,2391.23,10843.95,50
CDM,0688336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),637.0,700.7,273.91,1242.15,50
CDM,0688337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),669.0,735.9,287.67,1304.55,50
CDM,0688338,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1154.0,1269.4,496.22,2250.3,50
CDM,0688339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1246.0,1370.6,535.78,2429.7,50
CDM,0688340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1697.0,1866.7,729.71,3309.15,50
CDM,0688341,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1656.0,1821.6,712.08,3229.2,50
CDM,0688342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),784.0,862.4,337.12,1528.8,50
CDM,0688343,SYS  MIXING AND DELIVERY,963.0,963.0,197.99,770.4,45
CDM,0688344,LASER FIBER,2275.0,2275.0,467.74,1820.0,45
CDM,0688345,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1356.0,1356.0,364.76,2644.2,45
CDM,0688346,CTR ROOT REPR KT SUT,3850.0,3850.0,791.56,3080.0,45
CDM,0688347,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3981.0,4379.1,1711.83,7762.95,50
CDM,0688348,SEALER VESSEL,1149.0,1149.0,236.23,919.2,45
CDM,0688349,CATH ESCP BRONCH,8750.0,8750.0,1799.0,7000.0,45
CDM,0688350,"GRAFT, VASCULAR",20869.0,22955.9,8973.67,40694.55,50
CDM,0688351,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0688352,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0688353,JOINT DEVICE (IMPLANTABLE),7967.0,8763.7,3425.81,15535.65,50
CDM,0688354,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12443.0,13687.3,5350.49,24263.85,50
CDM,0688355,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10938.0,12031.8,4703.34,21329.1,50
CDM,0688356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7690.0,8459.0,3306.7,14995.5,50
CDM,0688357,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0688358,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1908.0,2098.8,820.44,3720.6,50
CDM,0688359,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1908.0,2098.8,820.44,3720.6,50
CDM,0688360,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0688361,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0688362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1781.0,1959.1,765.83,3472.95,50
CDM,0688363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2475.0,2722.5,1064.25,4826.25,50
CDM,0688364,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8488.0,9336.8,3649.84,16551.6,50
CDM,0688365,"PROSTHESIS, PENILE, INFLATABLE",20080.0,22088.0,8634.4,39156.0,50
CDM,0688366,"PROSTHESIS, PENILE, INFLATABLE",782.0,860.2,336.26,1524.9,50
CDM,0688367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6563.0,7219.3,2822.09,12797.85,50
CDM,0688368,JOINT DEVICE (IMPLANTABLE),943.0,1037.3,405.49,1838.85,50
CDM,0688369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1680.0,1848.0,722.4,3276.0,50
CDM,0688370,MESH (IMPLANTABLE),26772.0,29449.2,11511.96,52205.4,50
CDM,0688371,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0688372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),934.0,1027.4,401.62,1821.3,50
CDM,0688373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),688.52,757.37,296.06,1342.61,50
CDM,0688374,JOINT DEVICE (IMPLANTABLE),2457.0,2702.7,1056.51,4791.15,50
CDM,0688375,JOINT DEVICE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0688376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3093.0,3402.3,1329.99,6031.35,50
CDM,0688377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4725.0,5197.5,2031.75,9213.75,50
CDM,0688378,INTRO TROC CNN ESCP AFFIRM,919.0,919.0,188.95,735.2,45
CDM,0688379,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),763.0,839.3,328.09,1487.85,50
CDM,0688380,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0688381,JOINT DEVICE (IMPLANTABLE),1731.0,1904.1,744.33,3375.45,50
CDM,0688382,"PROSTHESIS, BREAST (IMPLANTABLE)",6923.0,7615.3,2976.89,13499.85,50
CDM,0688383,"GRAFT, VASCULAR",2940.0,3234.0,1264.2,5733.0,50
CDM,0688384,"GRAFT, VASCULAR",438.0,481.8,188.34,854.1,50
CDM,0688385,JOINT DEVICE (IMPLANTABLE),7581.0,8339.1,3259.83,14782.95,50
CDM,0688386,JOINT DEVICE (IMPLANTABLE),6372.0,7009.2,2739.96,12425.4,50
CDM,0688387,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6321.0,6321.0,1700.35,12325.95,45
CDM,0688388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5573.0,5573.0,1499.14,10867.35,45
CDM,0688389,JOINT DEVICE (IMPLANTABLE),5727.0,6299.7,2462.61,11167.65,50
CDM,0688390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1492.0,1641.2,641.56,2909.4,50
CDM,0688391,JOINT DEVICE (IMPLANTABLE),1521.0,1673.1,654.03,2965.95,50
CDM,0688392,FXBRIGE TUBEROSITY SYS,1925.0,1925.0,395.78,1540.0,45
CDM,0688393,KIT UCL SUT PASSING,1338.0,1338.0,275.09,1070.4,45
CDM,0688394,DRILL SCR HIP SYS,914.0,914.0,187.92,731.2,45
CDM,0688395,DRILL CANN ENTRY,914.0,914.0,187.92,731.2,45
CDM,0688396,KIT ACL DISP,911.0,911.0,187.3,728.8,45
CDM,0688397,NANO SCOPE,1011.0,1011.0,207.86,808.8,45
CDM,0688398,BONE GRAFT HARVESTER,1088.0,1088.0,223.69,870.4,45
CDM,0688399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1566.0,1722.6,673.38,3053.7,50
CDM,0688400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),529.0,581.9,227.47,1031.55,50
CDM,0688401,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),780.0,858.0,335.4,1521.0,50
CDM,0688402,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1006.0,1106.6,432.58,1961.7,50
CDM,0688403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0688404,DVC PLUNGER DELIVERY,1247.0,1247.0,256.38,997.6,45
CDM,0688405,DVC GUIDE EXTRACTOR,984.0,984.0,202.31,787.2,45
CDM,0688406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1252.0,1377.2,538.36,2441.4,50
CDM,0688407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8663.0,9529.3,3725.09,16892.85,50
CDM,0688408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8118.0,8929.8,3490.74,15830.1,50
CDM,0688409,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4494.0,4943.4,1932.42,8763.3,50
CDM,0688410,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),795.0,874.5,341.85,1550.25,50
CDM,0688411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),466.0,512.6,200.38,908.7,50
CDM,0688412,DRILL BIT,952.0,952.0,195.73,761.6,45
CDM,0688413,EF RING,2631.0,2631.0,540.93,2104.8,45
CDM,0688414,DVC KIT GRFT HRVT,6465.0,6465.0,1329.2,5172.0,45
CDM,0688415,DRILL BIT,2357.0,2357.0,484.6,1885.6,45
CDM,0688416,GUIDE TRUMATCH,5775.0,5775.0,1187.34,4620.0,45
CDM,0688417,GUIDE TRUMATCH,24370.0,24370.0,3461.0,19496.0,45
CDM,0688418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4512.0,4963.2,1940.16,8798.4,50
CDM,0688419,EF RING,1567.0,1567.0,322.18,1253.6,45
CDM,0688420,EF RING,1928.0,1928.0,396.4,1542.4,45
CDM,0688421,EF STRUT QUICK,2496.0,2496.0,513.18,1996.8,45
CDM,0688422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5342.0,5876.2,2297.06,10416.9,50
CDM,0688423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),761.0,837.1,327.23,1483.95,50
CDM,0688424,DRILL SURGICAL,2147.0,2147.0,441.42,1717.6,45
CDM,0688425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5045.0,5045.0,1357.11,9837.75,45
CDM,0688426,KIT MAS ALIF,2510.0,2510.0,516.06,2008.0,45
CDM,0688427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),633.0,696.3,272.19,1234.35,50
CDM,0688428,EF CORETRAK STERIPACK,5525.0,5525.0,1135.94,4420.0,45
CDM,0688429,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0688430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1059.0,1164.9,455.37,2065.05,50
CDM,0688431,JOINT DEVICE (IMPLANTABLE),4175.5,4593.05,1795.47,8142.23,50
CDM,0688432,JOINT DEVICE (IMPLANTABLE),1729.88,1902.87,743.85,3373.27,50
CDM,0688433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2108.0,2108.0,567.05,4110.6,45
CDM,0688434,REAMER STEPPED,953.0,953.0,195.94,762.4,45
CDM,0688435,KIT FIBERTAK,3369.0,3369.0,692.67,2695.2,45
CDM,0688436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6150.0,6765.0,2644.5,11992.5,50
CDM,0688437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.0,372.9,145.77,661.05,50
CDM,0688438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),420.0,462.0,180.6,819.0,50
CDM,0688439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),655.0,720.5,281.65,1277.25,50
CDM,0688440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0688441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),932.0,1025.2,400.76,1817.4,50
CDM,0688442,KNIFF NANO IT,1216.0,1216.0,250.01,972.8,45
CDM,0688443,KNIFF SB,1663.0,1663.0,341.91,1330.4,45
CDM,0688444,KNIFF DUAL LENGH,1748.0,1748.0,359.39,1398.4,45
CDM,0688445,KNIFF ELECTRUDE ESURG,1181.0,1181.0,242.81,944.8,45
CDM,0688446,KNIFE DUAL TIP,2331.0,2331.0,479.25,1864.8,45
CDM,0688447,KIT CUSTM MODEL,1154.0,1154.0,237.26,923.2,45
CDM,0688448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),16170.0,17787.0,6953.1,31531.5,50
CDM,0688449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4025.0,4427.5,1730.75,7848.75,50
CDM,0688450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1481.0,1629.1,636.83,2887.95,50
CDM,0688451,JOINT DEVICE (IMPLANTABLE),7897.0,8686.7,3395.71,15399.15,50
CDM,0688452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4152.0,4567.2,1785.36,8096.4,50
CDM,0688453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),249.0,273.9,107.07,485.55,50
CDM,0688454,REAMER FLEX FIXED HEAD,2363.0,2363.0,485.83,1890.4,45
CDM,0688455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8838.0,9721.8,3800.34,17234.1,50
CDM,0688456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1043.0,1147.3,448.49,2033.85,50
CDM,0688457,BLADE SCREW DRIVER,877.0,877.0,180.31,701.6,45
CDM,0688458,BLADE STEM REMOVAL,3780.0,3780.0,777.17,3024.0,45
CDM,0688459,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2573.0,2830.3,1106.39,5017.35,50
CDM,0688460,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3089.0,3397.9,1328.27,6023.55,50
CDM,0688461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9380.0,10318.0,4033.4,18291.0,50
CDM,0688462,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),15642.0,17206.2,6726.06,30501.9,50
CDM,0688463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1145.0,1259.5,492.35,2232.75,50
CDM,0688464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),24063.0,26469.3,10347.09,46922.85,50
CDM,0688465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3273.0,3600.3,1407.39,6382.35,50
CDM,0688466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1607.0,1767.7,691.01,3133.65,50
CDM,0688467,JOINT DEVICE (IMPLANTABLE),9005.0,9905.5,3872.15,17559.75,50
CDM,0688468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5380.0,5918.0,2313.4,10491.0,50
CDM,0688469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),866.0,952.6,372.38,1688.7,50
CDM,0688470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0688471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1872.0,2059.2,804.96,3650.4,50
CDM,0688472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1294.0,1423.4,556.42,2523.3,50
CDM,0688473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3234.0,3557.4,1390.62,6306.3,50
CDM,0688474,KIT UNIV GRAFTGUN,3150.0,3150.0,647.64,2520.0,45
CDM,0688475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),575.0,632.5,247.25,1121.25,50
CDM,0688476,JOINT DEVICE (IMPLANTABLE),6525.75,7178.33,2806.07,12725.21,50
CDM,0688477,JOINT DEVICE (IMPLANTABLE),3754.0,4129.4,1614.22,7320.3,50
CDM,0688478,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1519.0,1670.9,653.17,2962.05,50
CDM,0688479,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0688481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1218.0,1339.8,523.74,2375.1,50
CDM,0688482,HAND PIECE VERSAJET,1001.0,1001.0,205.81,800.8,45
CDM,0688483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4981.0,5479.1,2141.83,9712.95,50
CDM,0688484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3549.0,3903.9,1526.07,6920.55,50
CDM,0688485,KIT INSTRUMENT,3414.0,3414.0,701.92,2731.2,45
CDM,0688486,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2825.0,3107.5,1214.75,5508.75,50
CDM,0688487,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1055.0,1160.5,453.65,2057.25,50
CDM,0688488,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.0,2091.0,562.48,4077.45,45
CDM,0688489,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0688491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2270.0,2497.0,976.1,4426.5,50
CDM,0688492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1492.0,1641.2,641.56,2909.4,50
CDM,0688493,KIT NEURO,1064.0,1064.0,218.76,851.2,45
CDM,0688494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0688495,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2188.0,2188.0,588.57,4266.6,45
CDM,0688496,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",311.0,342.1,133.73,606.45,50
CDM,0688497,"AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE",4375.0,4812.5,1881.25,8531.25,50
CDM,0688498,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5975.0,6572.5,2569.25,11651.25,50
CDM,0688499,STAPLER IS4000 SUREFOAM,974.0,974.0,200.25,779.2,45
CDM,0688500,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17098.0,17098.0,3461.0,33341.1,45
CDM,0688501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3929.0,4321.9,1689.47,7661.55,50
CDM,0688502,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",9003.0,9903.3,3871.29,17555.85,50
CDM,0688503,JOINT DEVICE (IMPLANTABLE),7306.0,8036.6,3141.58,14246.7,50
CDM,0688504,"CYTAL, PER SQUARE CENTIMETER",3518.0,3869.8,1512.74,6860.1,50
CDM,0688505,"COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER GRAM OF COLLAGEN",3647.0,3647.0,35.31,5725.79,45
CDM,0688506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1671.0,1838.1,718.53,3258.45,50
CDM,0688507,JOINT DEVICE (IMPLANTABLE),1405.0,1545.5,604.15,2739.75,50
CDM,0688508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1723.0,1895.3,740.89,3359.85,50
CDM,0688509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1720.0,1892.0,739.6,3354.0,50
CDM,0688510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),212.0,233.2,91.16,413.4,50
CDM,0688511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1528.0,1680.8,657.04,2979.6,50
CDM,0688512,JOINT DEVICE (IMPLANTABLE),3003.0,3303.3,1291.29,5855.85,50
CDM,0688514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0688515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),503.0,553.3,216.29,980.85,50
CDM,0688516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688517,JOINT DEVICE (IMPLANTABLE),2763.0,3039.3,1188.09,5387.85,50
CDM,0688518,KIT INTVN ENROUT TRANSCAROTID,6213.0,6213.0,1277.39,4970.4,45
CDM,0688519,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4725.0,5197.5,2031.75,9213.75,50
CDM,0688520,"ALLODERM, PER SQUARE CENTIMETER",8664.0,9530.4,3725.52,16894.8,50
CDM,0688521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),658.0,723.8,282.94,1283.1,50
CDM,0688522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),557.0,612.7,239.51,1086.15,50
CDM,0688523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1617.0,1778.7,695.31,3153.15,50
CDM,0688524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),11576.0,12733.6,4977.68,22573.2,50
CDM,0688525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),103.0,113.3,44.29,200.85,50
CDM,0688526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),311.12,342.23,133.78,606.68,50
CDM,0688527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),302.0,332.2,129.86,588.9,50
CDM,0688528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),288.0,316.8,123.84,561.6,50
CDM,0688529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),389.0,427.9,167.27,758.55,50
CDM,0688530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0688531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0688532,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1715.0,1886.5,737.45,3344.25,50
CDM,0688533,JOINT DEVICE (IMPLANTABLE),14414.0,15855.4,6198.02,28107.3,50
CDM,0688534,JOINT DEVICE (IMPLANTABLE),8065.0,8871.5,3467.95,15726.75,50
CDM,0688535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2249.0,2473.9,967.07,4385.55,50
CDM,0688536,JOINT DEVICE (IMPLANTABLE),7543.0,8297.3,3243.49,14708.85,50
CDM,0688537,JOINT DEVICE (IMPLANTABLE),3480.0,3828.0,1496.4,6786.0,50
CDM,0688538,JOINT DEVICE (IMPLANTABLE),4939.0,5432.9,2123.77,9631.05,50
CDM,0688539,JOINT DEVICE (IMPLANTABLE),8056.0,8861.6,3464.08,15709.2,50
CDM,0688540,JOINT DEVICE (IMPLANTABLE),15392.0,16931.2,6618.56,30014.4,50
CDM,0688541,JOINT DEVICE (IMPLANTABLE),8056.0,8861.6,3464.08,15709.2,50
CDM,0688543,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),268.0,294.8,115.24,522.6,50
CDM,0688548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1627.0,1789.7,699.61,3172.65,50
CDM,0688549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3911.0,4302.1,1681.73,7626.45,50
CDM,0688550,JOINT DEVICE (IMPLANTABLE),15718.0,17289.8,6758.74,30650.1,50
CDM,0688551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2589.0,2847.9,1113.27,5048.55,50
CDM,0688552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0688553,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",1741.0,1915.1,748.63,3394.95,50
CDM,0688554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2847.0,3131.7,1224.21,5551.65,50
CDM,0688555,JOINT DEVICE (IMPLANTABLE),8017.0,8818.7,3447.31,15633.15,50
CDM,0688556,JOINT DEVICE (IMPLANTABLE),4204.0,4624.4,1807.72,8197.8,50
CDM,0688557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0688558,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10536.75,11590.43,4530.8,20546.66,50
CDM,0688559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4288.0,4716.8,1843.84,8361.6,50
CDM,0688561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3700.0,4070.0,1591.0,7215.0,50
CDM,0688562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1900.0,2090.0,817.0,3705.0,50
CDM,0688563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1155.0,1270.5,496.65,2252.25,50
CDM,0688564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1436.0,1579.6,617.48,2800.2,50
CDM,0688565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0688566,RING EXTERNAL FIXATION,1950.0,1950.0,400.92,1560.0,45
CDM,0688567,EF SALVATION DISTRACTOR,1561.0,1561.0,320.94,1248.8,45
CDM,0688568,DRILL & DEPTHING PACK 5MM,1418.0,1418.0,291.54,1134.4,45
CDM,0688569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1204.0,1324.4,517.72,2347.8,50
CDM,0688570,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),14875.0,16362.5,6396.25,29006.25,50
CDM,0688571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2913.0,3204.3,1252.59,5680.35,50
CDM,0688572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5573.0,6130.3,2396.39,10867.35,50
CDM,0688573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0688574,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3390.0,3729.0,1457.7,6610.5,50
CDM,0688575,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4545.0,4999.5,1954.35,8862.75,50
CDM,0688576,EF KIT ANKLE FRAME,7365.0,7365.0,1514.24,5892.0,45
CDM,0688577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1458.0,1603.8,626.94,2843.1,50
CDM,0688578,JOINT DEVICE (IMPLANTABLE),5820.0,6402.0,2502.6,11349.0,50
CDM,0688579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1643.0,1807.3,706.49,3203.85,50
CDM,0688580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2098.0,2307.8,902.14,4091.1,50
CDM,0688581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),832.0,915.2,357.76,1622.4,50
CDM,0688582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1307.0,1437.7,562.01,2548.65,50
CDM,0688583,FORCEPS ESCP,915.0,915.0,188.12,732.0,45
CDM,0688584,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8894.0,9783.4,3824.42,17343.3,50
CDM,0688585,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0688586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1964.0,2160.4,844.52,3829.8,50
CDM,0688587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1729.0,1901.9,743.47,3371.55,50
CDM,0688588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3507.0,3857.7,1508.01,6838.65,50
CDM,0688589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),330.75,363.83,142.22,644.96,50
CDM,0688590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),331.0,364.1,142.33,645.45,50
CDM,0688591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),331.0,364.1,142.33,645.45,50
CDM,0688592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),319.0,350.9,137.17,622.05,50
CDM,0688593,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),299.0,328.9,128.57,583.05,50
CDM,0688594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0688595,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),431.0,474.1,185.33,840.45,50
CDM,0688596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0688597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3507.0,3857.7,1508.01,6838.65,50
CDM,0688598,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0688599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2212.0,2433.2,951.16,4313.4,50
CDM,0688600,DRL COUNTERSINK CANN,1183.0,1183.0,243.22,946.4,45
CDM,0688601,"PROSTHESIS, PENILE, INFLATABLE",20870.0,22957.0,8974.1,40696.5,50
CDM,0688602,"PROSTHESIS, PENILE, INFLATABLE",21459.0,23604.9,9227.37,41845.05,50
CDM,0688603,"BIOVANCE, PER SQUARE CENTIMETER",10938.0,12031.8,4703.34,21329.1,50
CDM,0688604,HARVESTER BONE WITH FILTER,4594.0,4594.0,944.53,3675.2,45
CDM,0688605,JOINT DEVICE (IMPLANTABLE),3063.0,3369.3,1317.09,5972.85,50
CDM,0688606,JOINT DEVICE (IMPLANTABLE),3238.0,3561.8,1392.34,6314.1,50
CDM,0688607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),511.88,563.07,220.11,998.17,50
CDM,0688608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2487.0,2735.7,1069.41,4849.65,50
CDM,0688609,"PROSTHESIS, PENILE, INFLATABLE",20860.0,22946.0,8969.8,40677.0,50
CDM,0688610,"PROSTHESIS, PENILE, INFLATABLE",20291.0,22320.1,8725.13,39567.45,50
CDM,0688611,HEROACCESSORYCOMPKT,980.0,980.0,201.49,784.0,45
CDM,0688612,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),2118.0,2329.8,910.74,4130.1,50
CDM,0688613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1540.0,414.26,3003.0,45
CDM,0688614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1232.0,1232.0,331.41,2402.4,45
CDM,0688615,SWIVELOCK KNOTLESS,886.0,886.0,182.16,708.8,45
CDM,0688616,DVC MYOSURE REMVL,933.0,933.0,191.82,746.4,45
CDM,0688617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688618,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9774.0,10751.4,4202.82,19059.3,50
CDM,0688619,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0688620,"INTEGRA DERMAL REGENERATION TEMPLATE (DRT) OR INTEGRA OMNIGRAFT DERMAL REGENERATION MATRIX, PER SQUARE CENTIMETER",5384.0,5922.4,2315.12,10498.8,50
CDM,0688621,"CYTAL, PER SQUARE CENTIMETER",7898.0,8687.8,3396.14,15401.1,50
CDM,0688623,JOINT DEVICE (IMPLANTABLE),2987.0,3285.7,1284.41,5824.65,50
CDM,0688624,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",195.0,214.5,83.85,380.25,50
CDM,0688625,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",225.0,247.5,96.75,438.75,50
CDM,0688626,JOINT DEVICE (IMPLANTABLE),3623.0,3985.3,1557.89,7064.85,50
CDM,0688627,JOINT DEVICE (IMPLANTABLE),4649.0,5113.9,1999.07,9065.55,50
CDM,0688628,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1011.0,271.96,1971.45,45
CDM,0688629,JOINT DEVICE (IMPLANTABLE),763.88,840.27,328.47,1489.57,50
CDM,0688630,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0688631,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0688632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3467.0,3813.7,1490.81,6760.65,50
CDM,0688633,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1481.0,1629.1,636.83,2887.95,50
CDM,0688634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2300.0,2530.0,989.0,4485.0,50
CDM,0688635,EF DISTRACTOR SURGICAL,1888.0,1888.0,388.17,1510.4,45
CDM,0688636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),11638.0,12801.8,5004.34,22694.1,50
CDM,0688637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12031.0,13234.1,5173.33,23460.45,50
CDM,0688638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0688639,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),7875.0,8662.5,3386.25,15356.25,50
CDM,0688640,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10938.0,12031.8,4703.34,21329.1,50
CDM,0688641,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",700.0,770.0,301.0,1365.0,50
CDM,0688642,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0688643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0688645,JOINT DEVICE (IMPLANTABLE),7871.0,8658.1,3384.53,15348.45,50
CDM,0688646,DRL BIT CORTICAL TAP,1145.0,1145.0,235.41,916.0,45
CDM,0688647,JOINT DEVICE (IMPLANTABLE),5718.0,6289.8,2458.74,11150.1,50
CDM,0688648,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",12600.0,13860.0,5418.0,24570.0,50
CDM,0688649,KNIFE SRG  LACEY BYNT STRL,914.0,914.0,187.92,731.2,45
CDM,0688650,ELECTRODE EMG SAFEOP DSP,3176.0,3176.0,652.99,2540.8,45
CDM,0688651,KIT MNTR SAFEOP INSL DIL,2205.0,2205.0,453.35,1764.0,45
CDM,0688652,PROBE EMG SAFEOP,1194.0,1194.0,245.49,955.2,45
CDM,0688653,ASSEMBLY NVG ATEC DSP,1750.0,1750.0,359.8,1400.0,45
CDM,0688654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3619.0,3980.9,1556.17,7057.05,50
CDM,0688655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0688656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3658.0,4023.8,1572.94,7133.1,50
CDM,0688657,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4033.0,4436.3,1734.19,7864.35,50
CDM,0688658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),828.0,910.8,356.04,1614.6,50
CDM,0688659,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),882.0,970.2,379.26,1719.9,50
CDM,0688660,JOINT DEVICE (IMPLANTABLE),4508.0,4958.8,1938.44,8790.6,50
CDM,0688661,JOINT DEVICE (IMPLANTABLE),7534.0,8287.4,3239.62,14691.3,50
CDM,0688662,JOINT DEVICE (IMPLANTABLE),3220.0,3542.0,1384.6,6279.0,50
CDM,0688663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1801.0,1981.1,774.43,3511.95,50
CDM,0688664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),629.0,691.9,270.47,1226.55,50
CDM,0688665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),583.0,641.3,250.69,1136.85,50
CDM,0688666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),116.0,127.6,49.88,226.2,50
CDM,0688667,JOINT DEVICE (IMPLANTABLE),2804.0,3084.4,1205.72,5467.8,50
CDM,0688668,JOINT DEVICE (IMPLANTABLE),1937.0,2130.7,832.91,3777.15,50
CDM,0688669,JOINT DEVICE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0688670,JOINT DEVICE (IMPLANTABLE),4662.0,5128.2,2004.66,9090.9,50
CDM,0688671,MESH (IMPLANTABLE),18026.0,19828.6,7751.18,35150.7,50
CDM,0688672,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4827.0,5309.7,2075.61,9412.65,50
CDM,0688673,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2417.0,2658.7,1039.31,4713.15,50
CDM,0688674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.52,567.07,221.67,1005.26,50
CDM,0688675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),410.0,451.0,176.3,799.5,50
CDM,0688676,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1433.0,1576.3,616.19,2794.35,50
CDM,0688677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0688678,JOINT DEVICE (IMPLANTABLE),3567.0,3923.7,1533.81,6955.65,50
CDM,0688679,JOINT DEVICE (IMPLANTABLE),5150.0,5665.0,2214.5,10042.5,50
CDM,0688680,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0688681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2685.0,2953.5,1154.55,5235.75,50
CDM,0688682,JOINT DEVICE (IMPLANTABLE),876.0,963.6,376.68,1708.2,50
CDM,0688683,JOINT DEVICE (IMPLANTABLE),9442.0,10386.2,4060.06,18411.9,50
CDM,0688684,JOINT DEVICE (IMPLANTABLE),2118.0,2329.8,910.74,4130.1,50
CDM,0688685,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),780.0,858.0,335.4,1521.0,50
CDM,0688686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),369.0,405.9,158.67,719.55,50
CDM,0688687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0688688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),674.0,741.4,289.82,1314.3,50
CDM,0688689,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5968.0,6564.8,2566.24,11637.6,50
CDM,0688690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4383.0,4821.3,1884.69,8546.85,50
CDM,0688691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4821.0,5303.1,2073.03,9400.95,50
CDM,0688692,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),211.0,232.1,90.73,411.45,50
CDM,0688693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1559.0,1714.9,670.37,3040.05,50
CDM,0688694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3567.0,3923.7,1533.81,6955.65,50
CDM,0688695,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3881.0,4269.1,1668.83,7567.95,50
CDM,0688696,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),913.0,1004.3,392.59,1780.35,50
CDM,0688697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1253.0,1378.3,538.79,2443.35,50
CDM,0688698,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1988.0,2186.8,854.84,3876.6,50
CDM,0688699,JOINT DEVICE (IMPLANTABLE),12537.0,13790.7,5390.91,24447.15,50
CDM,0688700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2386.0,2624.6,1025.98,4652.7,50
CDM,0688701,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),852.0,937.2,366.36,1661.4,50
CDM,0688702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2201.5,2421.65,946.65,4292.93,50
CDM,0688703,JOINT DEVICE (IMPLANTABLE),2618.0,2879.8,1125.74,5105.1,50
CDM,0688704,JOINT DEVICE (IMPLANTABLE),5756.63,6332.29,2475.35,11225.43,50
CDM,0688705,PIP DISPOSABLE PACK FOR LIN,1169.0,1169.0,240.35,935.2,45
CDM,0688706,JOINT DEVICE (IMPLANTABLE),2273.0,2500.3,977.39,4432.35,50
CDM,0688707,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7092.0,7801.2,3049.56,13829.4,50
CDM,0688708,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",17408.0,19148.8,7485.44,33945.6,50
CDM,0688709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7525.0,8277.5,3235.75,14673.75,50
CDM,0688710,MESH (IMPLANTABLE),11117.0,12228.7,4780.31,21678.15,50
CDM,0688711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2126.0,2338.6,914.18,4145.7,50
CDM,0688712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4882.0,5370.2,2099.26,9519.9,50
CDM,0688713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1509.0,1659.9,648.87,2942.55,50
CDM,0688714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),436.0,479.6,187.48,850.2,50
CDM,0688715,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1531.0,1531.0,411.84,2985.45,45
CDM,0688716,KIT CRICO,1242.0,1242.0,255.36,993.6,45
CDM,0688717,FORCEP BLACK DIAMOND,5513.0,5513.0,1133.47,4410.4,45
CDM,0688718,KNIFE SURGICAL,1906.0,1906.0,391.87,1524.8,45
CDM,0688719,DVC HANDPIECE,875.0,875.0,179.9,700.0,45
CDM,0688720,DVC PERMAN MONOPOLAR,2205.0,2205.0,453.35,1764.0,45
CDM,0688721,CLIP LIGATION,1191.75,1191.75,245.02,953.4,45
CDM,0688722,DVC SUT CAPIO,1295.0,1295.0,266.25,1036.0,45
CDM,0688723,SCSR LAPSCP JAW,3584.0,3584.0,736.87,2867.2,45
CDM,0688724,STPLR SUREFORM,910.0,910.0,187.1,728.0,45
CDM,0688725,DVC IQ MICRO,1738.23,1738.23,357.38,1390.58,45
CDM,0688726,FORCEPS PROGRASP,4961.0,4961.0,1019.98,3968.8,45
CDM,0688727,DVC MONOPOLAR CURVED SCISSORS,5880.0,5880.0,1208.93,4704.0,45
CDM,0688728,FORCEP FEN BIPOLAR,5145.0,5145.0,1057.81,4116.0,45
CDM,0688729,ELECT STRIP SUBDURAL,938.0,938.0,192.85,750.4,45
CDM,0688730,PROBE AXIEM,946.0,946.0,194.5,756.8,45
CDM,0688731,DVC LIGASURE IMPACT,1322.0,1322.0,271.8,1057.6,45
CDM,0688732,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1484.0,1484.0,399.2,2893.8,45
CDM,0688733,ADHESIVE DERMABOND,1246.0,1246.0,256.18,996.8,45
CDM,0688734,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1036.0,1036.0,278.68,2020.2,45
CDM,0688735,OSSICULA IMPLANT,573.0,630.3,246.39,722.03,50
CDM,0688736,STPLR INTNAL,886.0,886.0,182.16,708.8,45
CDM,0688737,MAGNET ITREL CONTROL,1055.0,1055.0,216.91,844.0,45
CDM,0688738,KIT BN MMARRO,2124.0,2124.0,436.69,1699.2,45
CDM,0688739,KIT VASCULAR ACCESS,1330.0,1330.0,273.45,1064.0,45
CDM,0688740,LIGASURE LAPSCP ATLAS 37CMX10M,1366.0,1366.0,280.85,1092.8,45
CDM,0688742,SNARE VASC,1033.0,1033.0,212.38,826.4,45
CDM,0688743,SYS CATH INDIGO,3395.0,3395.0,698.01,2716.0,45
CDM,0688744,"NUSHIELD, PER SQUARE CENTIMETER",1395.0,1534.5,599.85,2720.25,50
CDM,0688745,JOINT DEVICE (IMPLANTABLE),309.0,339.9,132.87,602.55,50
CDM,0688746,DRL BIT INERTAN LAG,1043.0,1043.0,214.44,834.4,45
CDM,0688747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),651.0,716.1,279.93,1269.45,50
CDM,0688748,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5841.9,6426.09,2512.02,11391.71,50
CDM,0688749,MESH (IMPLANTABLE),3859.0,4244.9,1659.37,7525.05,50
CDM,0688750,MESH (IMPLANTABLE),4410.0,4851.0,1896.3,8599.5,50
CDM,0688751,JOINT DEVICE (IMPLANTABLE),2063.0,2269.3,887.09,4022.85,50
CDM,0688752,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",3315.0,3646.5,1425.45,6464.25,50
CDM,0688753,JOINT DEVICE (IMPLANTABLE),3754.0,4129.4,1614.22,7320.3,50
CDM,0688754,JOINT DEVICE (IMPLANTABLE),16257.0,17882.7,6990.51,31701.15,50
CDM,0688755,JOINT DEVICE (IMPLANTABLE),4485.0,4933.5,1928.55,8745.75,50
CDM,0688756,JOINT DEVICE (IMPLANTABLE),7489.0,8237.9,3220.27,14603.55,50
CDM,0688757,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1103.0,1213.3,474.29,2150.85,50
CDM,0688758,JOINT DEVICE (IMPLANTABLE),5072.0,5579.2,2180.96,9890.4,50
CDM,0688759,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),617.0,678.7,265.31,1203.15,50
CDM,0688760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),441.0,485.1,189.63,859.95,50
CDM,0688761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0688762,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1459.0,1604.9,627.37,2845.05,50
CDM,0688763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1358.0,1493.8,583.94,2648.1,50
CDM,0688764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10210.0,11231.0,4390.3,19909.5,50
CDM,0688765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0688766,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",7984.0,8782.4,3433.12,15568.8,50
CDM,0688767,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),605.0,665.5,260.15,1179.75,50
CDM,0688768,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1027.0,1129.7,441.61,2002.65,50
CDM,0688769,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1226.0,1348.6,527.18,2390.7,50
CDM,0688770,JOINT DEVICE (IMPLANTABLE),6379.0,7016.9,2742.97,12439.05,50
CDM,0688771,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0688772,"REVITALON, PER SQUARE CENTIMETER",5059.0,5564.9,2175.37,9865.05,50
CDM,0688773,JOINT DEVICE (IMPLANTABLE),4043.0,4447.3,1738.49,7883.85,50
CDM,0688774,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4803.0,5283.3,2065.29,9365.85,50
CDM,0688775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1094.28,1203.71,470.54,2133.85,50
CDM,0688776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1706.25,1876.88,733.69,3327.19,50
CDM,0688777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),486.41,535.05,209.16,948.5,50
CDM,0688778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3570.0,3927.0,1535.1,6961.5,50
CDM,0688779,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6259.0,6884.9,2691.37,12205.05,50
CDM,0688780,"CATHETER, THROMBECTOMY/EMBOLECTOMY",14035.0,14035.0,3461.0,27368.25,45
CDM,0688781,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1203.0,1323.3,517.29,2345.85,50
CDM,0688782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),483.0,531.3,207.69,941.85,50
CDM,0688783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),530.0,583.0,227.9,1033.5,50
CDM,0688784,SCOPE AURORA SURGISCOPE,9625.0,9625.0,1978.9,7700.0,45
CDM,0688785,EVACUATOR AURORA,5189.0,5189.0,1066.86,4151.2,45
CDM,0688786,BASEPLATE EMPOWER FINNED,3057.0,3057.0,628.52,2445.6,45
CDM,0688787,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,953.0,256.36,1858.35,45
CDM,0688788,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5188.0,5706.8,2230.84,10116.6,50
CDM,0688789,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0688790,JOINT DEVICE (IMPLANTABLE),15081.0,16589.1,6484.83,29407.95,50
CDM,0688791,JOINT DEVICE (IMPLANTABLE),2103.0,2313.3,904.29,4100.85,50
CDM,0688792,JOINT DEVICE (IMPLANTABLE),2764.0,3040.4,1188.52,5389.8,50
CDM,0688793,JOINT DEVICE (IMPLANTABLE),4867.0,5353.7,2092.81,9490.65,50
CDM,0688794,JOINT DEVICE (IMPLANTABLE),1803.0,1983.3,775.29,3515.85,50
CDM,0688795,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7273.0,8000.3,3127.39,14182.35,50
CDM,0688796,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.0,781.0,305.3,1384.5,50
CDM,0688797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4163.0,4579.3,1790.09,8117.85,50
CDM,0688798,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5513.0,6064.3,2370.59,10750.35,50
CDM,0688799,JOINT DEVICE (IMPLANTABLE),5056.0,5561.6,2174.08,9859.2,50
CDM,0688800,"PROSTHESIS, PENILE, INFLATABLE",10232.0,11255.2,4399.76,19952.4,50
CDM,0688801,IMPL PENIAL PUMP,10232.0,11255.2,2103.7,11255.2,50
CDM,0688802,GUIDE WIRE,919.0,919.0,247.21,1792.05,45
CDM,0688803,EF CLAMP,953.0,953.0,195.94,762.4,45
CDM,0688804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3542.0,3896.2,1523.06,6906.9,50
CDM,0688805,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2310.0,2541.0,993.3,4504.5,50
CDM,0688806,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2119.0,2330.9,911.17,4132.05,50
CDM,0688807,DVC IASSIST KNEE POD,1544.0,1544.0,317.45,1235.2,45
CDM,0688808,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),908.0,998.8,390.44,1770.6,50
CDM,0688809,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0688810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),908.0,998.8,390.44,1770.6,50
CDM,0688811,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0688812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1530.0,1683.0,657.9,2983.5,50
CDM,0688813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1615.0,1776.5,694.45,3149.25,50
CDM,0688814,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3735.0,4108.5,1606.05,7283.25,50
CDM,0688815,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),992.0,1091.2,426.56,1934.4,50
CDM,0688816,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7613.0,8374.3,3273.59,14845.35,50
CDM,0688817,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0688818,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5075.0,5582.5,2182.25,9896.25,50
CDM,0688819,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1930.0,2123.0,829.9,3763.5,50
CDM,0688820,KIT ORTHO FIXATION TETHER,8689.0,8689.0,1786.46,6951.2,45
CDM,0688821,KIT VBT ANCHOR,1374.0,1374.0,282.49,1099.2,45
CDM,0688822,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",3124.0,3436.4,1343.32,6091.8,50
CDM,0688823,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1461.0,1607.1,628.23,2848.95,50
CDM,0688824,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1461.0,1607.1,628.23,2848.95,50
CDM,0688825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12031.0,13234.1,5173.33,23460.45,50
CDM,0688826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0688827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5294.0,5823.4,2276.42,10323.3,50
CDM,0688828,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3850.0,4235.0,1655.5,7507.5,50
CDM,0688829,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1252.0,1377.2,538.36,2441.4,50
CDM,0688830,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",28000.0,30800.0,12040.0,54600.0,50
CDM,0688831,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1481.0,1629.1,636.83,2887.95,50
CDM,0688832,JOINT DEVICE (IMPLANTABLE),2985.0,3283.5,1283.55,5820.75,50
CDM,0688833,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),914.0,1005.4,393.02,1782.3,50
CDM,0688834,JOINT DEVICE (IMPLANTABLE),7505.0,8255.5,3227.15,14634.75,50
CDM,0688835,JOINT DEVICE (IMPLANTABLE),6009.0,6609.9,2583.87,11717.55,50
CDM,0688836,JOINT DEVICE (IMPLANTABLE),11175.0,12292.5,4805.25,21791.25,50
CDM,0688837,JOINT DEVICE (IMPLANTABLE),2733.0,3006.3,1175.19,5329.35,50
CDM,0688838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12005.0,13205.5,5162.15,23409.75,50
CDM,0688839,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6003.0,6603.3,2581.29,11705.85,50
CDM,0688840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0688841,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10502.0,11552.2,4515.86,20478.9,50
CDM,0688842,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",28000.0,30800.0,12040.0,54600.0,50
CDM,0688843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),359.0,394.9,154.37,700.05,50
CDM,0688844,JOINT DEVICE (IMPLANTABLE),13697.0,15066.7,5889.71,26709.15,50
CDM,0688845,JOINT DEVICE (IMPLANTABLE),3040.0,3344.0,1307.2,5928.0,50
CDM,0688846,JOINT DEVICE (IMPLANTABLE),14810.0,16291.0,6368.3,28879.5,50
CDM,0688847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),552.0,607.2,237.36,1076.4,50
CDM,0688848,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2118.0,2329.8,910.74,4130.1,50
CDM,0688849,JOINT DEVICE (IMPLANTABLE),7161.0,7877.1,3079.23,13963.95,50
CDM,0688850,JOINT DEVICE (IMPLANTABLE),7889.0,8677.9,3392.27,15383.55,50
CDM,0688851,JOINT DEVICE (IMPLANTABLE),2831.0,3114.1,1217.33,5520.45,50
CDM,0688852,JOINT DEVICE (IMPLANTABLE),7369.0,8105.9,3168.67,14369.55,50
CDM,0688853,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),919.0,1010.9,395.17,1792.05,50
CDM,0688864,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3063.0,3063.0,823.95,5972.85,45
CDM,0688865,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",14700.0,16170.0,6321.0,28665.0,50
CDM,0688866,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0688867,SUT TIGERTAPE WO NDL CRLGE,914.0,914.0,187.92,731.2,45
CDM,0688868,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",231.0,254.1,99.33,450.45,50
CDM,0688869,NDL BIOPSY,937.0,937.0,192.65,749.6,45
CDM,0688870,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE, WITH IMPLANTABLE STIMULATION LEAD AND EXTERNAL PAIRED STIMULATION CONTROLLER",11375.0,12512.5,4891.25,22181.25,50
CDM,0688871,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE, WITH IMPLANTABLE STIMULATION LEAD AND EXTERNAL PAIRED STIMULATION CONTROLLER",51625.0,56787.5,22198.75,100668.75,50
CDM,0688873,JOINT DEVICE (IMPLANTABLE),8954.0,9849.4,3850.22,17460.3,50
CDM,0688874,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",5677.0,6244.7,2441.11,11070.15,50
CDM,0688875,JOINT DEVICE (IMPLANTABLE),2985.0,3283.5,1283.55,5820.75,50
CDM,0688876,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",12329.0,13561.9,5301.47,24041.55,50
CDM,0688877,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",4867.0,5353.7,2092.81,9490.65,50
CDM,0688878,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1521.0,1673.1,654.03,2965.95,50
CDM,0688879,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0688880,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1855.35,2040.89,797.8,3617.93,50
CDM,0688881,JOINT DEVICE (IMPLANTABLE),8783.0,9661.3,3776.69,17126.85,50
CDM,0688882,MESH (IMPLANTABLE),16446.0,18090.6,7071.78,32069.7,50
CDM,0688883,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3380.0,3718.0,1453.4,6591.0,50
CDM,0688884,JOINT DEVICE (IMPLANTABLE),10096.0,11105.6,4341.28,19687.2,50
CDM,0688885,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1008.0,1108.8,433.44,1965.6,50
CDM,0688886,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2170.0,2387.0,933.1,4231.5,50
CDM,0688887,"AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE",1661.0,1827.1,714.23,3238.95,50
CDM,0688888,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1330.0,1463.0,571.9,2593.5,50
CDM,0688889,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),390.0,429.0,167.7,760.5,50
CDM,0688890,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1540.0,1694.0,662.2,3003.0,50
CDM,0688891,"PROSTHESIS, PENILE, INFLATABLE",21721.0,23893.1,9340.03,42355.95,50
CDM,0688892,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",5915.0,6506.5,2543.45,11534.25,50
CDM,0688893,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13440.0,14784.0,5779.2,26208.0,50
CDM,0688894,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),837.0,920.7,359.91,1632.15,50
CDM,0688896,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5765.0,6341.5,2478.95,11241.75,50
CDM,0688897,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),452.0,497.2,194.36,881.4,50
CDM,0688898,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5075.0,5582.5,2182.25,9896.25,50
CDM,0688899,"PROSTHESIS, PENILE, INFLATABLE",30681.0,33749.1,13192.83,59827.95,50
CDM,0688900,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1556.0,1711.6,669.08,3034.2,50
CDM,0688901,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1204.0,1324.4,517.72,2347.8,50
CDM,0688902,"INTEGRA DERMAL REGENERATION TEMPLATE (DRT) OR INTEGRA OMNIGRAFT DERMAL REGENERATION MATRIX, PER SQUARE CENTIMETER",15154.0,16669.4,6516.22,29550.3,50
CDM,0688903,JOINT DEVICE (IMPLANTABLE),2914.0,3205.4,1253.02,5682.3,50
CDM,0688904,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1337.0,1470.7,574.91,2607.15,50
CDM,0688905,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),248.0,272.8,106.64,483.6,50
CDM,0688906,JOINT DEVICE (IMPLANTABLE),6379.0,7016.9,2742.97,12439.05,50
CDM,0688907,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3359.0,3694.9,1444.37,6550.05,50
CDM,0688908,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3428.0,3770.8,1474.04,6684.6,50
CDM,0688909,NANOSCOPIC RELEASE SYSTEM,1530.0,1530.0,314.57,1224.0,45
CDM,0688910,JOINT DEVICE (IMPLANTABLE),6160.0,6776.0,2648.8,12012.0,50
CDM,0688911,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0688912,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0688913,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1421.0,1563.1,611.03,2770.95,50
CDM,0688914,JOINT DEVICE (IMPLANTABLE),3615.0,3976.5,1554.45,7049.25,50
CDM,0688915,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",1571.0,1728.1,675.53,3063.45,50
CDM,0688916,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4360.0,4796.0,1874.8,8502.0,50
CDM,0688917,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0688918,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1743.0,1917.3,749.49,3398.85,50
CDM,0688919,JOINT DEVICE (IMPLANTABLE),7584.0,8342.4,3261.12,14788.8,50
CDM,0688920,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2592.0,2851.2,1114.56,5054.4,50
CDM,0688921,MESH (IMPLANTABLE),4156.0,4571.6,1787.08,8104.2,50
CDM,0688922,PURASTAT HEMO AGT,1155.0,1155.0,237.47,924.0,45
CDM,0688923,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),645.0,709.5,277.35,1257.75,50
CDM,0688924,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),881.0,969.1,378.83,1717.95,50
CDM,0688925,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1601.0,1761.1,688.43,3121.95,50
CDM,0688926,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3114.0,3425.4,1339.02,6072.3,50
CDM,0688927,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),570.0,627.0,245.1,1111.5,50
CDM,0688928,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.0,172.7,67.51,306.15,50
CDM,0688929,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1990.0,2189.0,855.7,3880.5,50
CDM,0688930,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8652.0,9517.2,3720.36,16871.4,50
CDM,0688931,JOINT DEVICE (IMPLANTABLE),7967.0,8763.7,3425.81,15535.65,50
CDM,0688932,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5709.0,6279.9,2454.87,11132.55,50
CDM,0688933,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0688934,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1033.0,1136.3,444.19,2014.35,50
CDM,0688935,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0688936,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1155.0,1270.5,496.65,2252.25,50
CDM,0688937,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4610.0,5071.0,1982.3,8989.5,50
CDM,0688938,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0688939,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1627.0,1789.7,699.61,3172.65,50
CDM,0688940,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),664.0,730.4,285.52,1294.8,50
CDM,0688951,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0688952,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0688953,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2108.0,2318.8,906.44,4110.6,50
CDM,0688954,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),809.0,889.9,347.87,1577.55,50
CDM,0688955,"PORT, INDWELLING (IMPLANTABLE)",1397.0,1536.7,600.71,2724.15,50
CDM,0688956,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1047.0,1151.7,450.21,2041.65,50
CDM,0688957,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1397.0,1397.0,375.79,2724.15,45
CDM,0688958,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",3150.0,3465.0,1354.5,6142.5,50
CDM,0688959,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1013.0,1114.3,435.59,1975.35,50
CDM,0688960,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),591.0,650.1,254.13,1152.45,50
CDM,0688961,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0688962,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0688963,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0688964,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0688965,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0688966,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0688967,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0688968,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.0,354.2,138.46,627.9,50
CDM,0688969,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),491.0,540.1,211.13,957.45,50
CDM,0688970,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1181.0,1299.1,507.83,2302.95,50
CDM,0688971,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2470.0,2717.0,1062.1,4816.5,50
CDM,0688972,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),292.0,321.2,125.56,569.4,50
CDM,0688973,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0688974,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),479.0,526.9,205.97,934.05,50
CDM,0688975,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2247.0,2471.7,966.21,4381.65,50
CDM,0688976,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1023.0,1125.3,439.89,1994.85,50
CDM,0688977,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0688978,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),505.0,555.5,217.15,984.75,50
CDM,0688979,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3976.0,4373.6,1709.68,7753.2,50
CDM,0688980,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2058.0,2263.8,884.94,4013.1,50
CDM,0688981,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0688982,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),312.0,343.2,134.16,608.4,50
CDM,0688983,JOINT DEVICE (IMPLANTABLE),3600.0,3960.0,1548.0,7020.0,50
CDM,0688984,JOINT DEVICE (IMPLANTABLE),7073.0,7780.3,3041.39,13792.35,50
CDM,0688985,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0688986,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0688987,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688988,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0688989,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0688990,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0688991,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),395.0,434.5,169.85,770.25,50
CDM,0688992,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.0,865.7,338.41,1534.65,50
CDM,0688993,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6341.0,6975.1,2726.63,12364.95,50
CDM,0688994,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),995.0,1094.5,427.85,1940.25,50
CDM,0688995,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1482.0,1630.2,637.26,2889.9,50
CDM,0688996,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),452.0,497.2,194.36,881.4,50
CDM,0688997,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0688998,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1558.0,1713.8,669.94,3038.1,50
CDM,0688999,JOINT DEVICE (IMPLANTABLE),2032.0,2235.2,873.76,3962.4,50
CDM,0689000,JOINT DEVICE (IMPLANTABLE),9658.0,10623.8,4152.94,18833.1,50
CDM,0689001,JOINT DEVICE (IMPLANTABLE),9807.0,10787.7,4217.01,19123.65,50
CDM,0689002,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),86.0,94.6,36.98,167.7,50
CDM,0689003,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),97.0,106.7,41.71,189.15,50
CDM,0689004,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0689005,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),512.0,563.2,220.16,998.4,50
CDM,0689006,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0689007,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),626.0,688.6,269.18,1220.7,50
CDM,0689008,JOINT DEVICE (IMPLANTABLE),2237.0,2460.7,961.91,4362.15,50
CDM,0689009,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),931.0,1024.1,400.33,1815.45,50
CDM,0689010,"CATHETER, BALLOON DILATATION, NON-VASCULAR",4957.0,4957.0,1333.43,9666.15,45
CDM,0689011,MESH (IMPLANTABLE),1331.0,1464.1,572.33,2595.45,50
CDM,0689012,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",1475.0,1622.5,634.25,2876.25,50
CDM,0689013,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0689014,JOINT DEVICE (IMPLANTABLE),16006.0,17606.6,6882.58,31211.7,50
CDM,0689016,PROBE TRILOGY,1365.0,1365.0,280.64,1092.0,45
CDM,0689017,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0689018,JOINT DEVICE (IMPLANTABLE),4716.0,5187.6,2027.88,9196.2,50
CDM,0689019,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4900.0,5390.0,2107.0,9555.0,50
CDM,0689020,ELCTRD EEG CNTC,2154.0,2154.0,442.86,1723.2,45
CDM,0689021,"GRAFT, VASCULAR",8050.0,8855.0,3461.5,15697.5,50
CDM,0689022,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10500.0,11550.0,4515.0,20475.0,50
CDM,0689023,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3273.0,3600.3,1407.39,6382.35,50
CDM,0689024,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",5241.0,5765.1,2253.63,10219.95,50
CDM,0689025,JOINT DEVICE (IMPLANTABLE),9048.0,9952.8,3890.64,17643.6,50
CDM,0689026,JOINT DEVICE (IMPLANTABLE),7700.0,8470.0,3311.0,15015.0,50
CDM,0689027,JOINT DEVICE (IMPLANTABLE),7700.0,8470.0,3311.0,15015.0,50
CDM,0689028,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5486.0,6034.6,2358.98,10697.7,50
CDM,0689029,"ALLODERM, PER SQUARE CENTIMETER",6974.0,7671.4,2998.82,13599.3,50
CDM,0689030,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4995.0,5494.5,2147.85,9740.25,50
CDM,0689031,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3005.0,3305.5,1292.15,5859.75,50
CDM,0689032,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0689033,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3840.0,4224.0,1651.2,7488.0,50
CDM,0689034,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",5241.0,5765.1,2253.63,10219.95,50
CDM,0689035,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",2135.0,2348.5,918.05,4163.25,50
CDM,0689036,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",4386.0,4824.6,1885.98,8552.7,50
CDM,0689037,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",6991.0,7690.1,3006.13,13632.45,50
CDM,0689038,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4954.0,5449.4,2130.22,9660.3,50
CDM,0689039,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3999.0,4398.9,1719.57,7798.05,50
CDM,0689040,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",18342.0,20176.2,7887.06,35766.9,50
CDM,0689041,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7341.0,8075.1,3156.63,14314.95,50
CDM,0689042,KIT FX OMNICURVE,4968.0,4968.0,1021.42,3974.4,45
CDM,0689043,NDL ACCESS AVAFLEX,914.0,914.0,187.92,731.2,45
CDM,0689044,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1460.0,1606.0,627.8,2847.0,50
CDM,0689045,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0689046,PLFM BG STRIP,12005.0,13205.5,2468.23,13205.5,50
CDM,0689047,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3149.0,3463.9,1354.07,6140.55,50
CDM,0689048,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),678.0,745.8,291.54,1322.1,50
CDM,0689049,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2191.0,2410.1,942.13,4272.45,50
CDM,0689050,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),854.0,939.4,367.22,1665.3,50
CDM,0689051,MESH (IMPLANTABLE),574.0,631.4,246.82,1119.3,50
CDM,0689052,MESH (IMPLANTABLE),1173.0,1290.3,504.39,2287.35,50
CDM,0689053,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),705.0,775.5,303.15,1374.75,50
CDM,0689054,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),548.0,602.8,235.64,1068.6,50
CDM,0689055,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),462.0,508.2,198.66,900.9,50
CDM,0689056,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",32366.0,35602.6,13917.38,63113.7,50
CDM,0689057,DRIVER COMPRESSION ROD,2126.0,2126.0,437.11,1700.8,45
CDM,0689058,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8395.0,9234.5,3609.85,16370.25,50
CDM,0689059,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1028.0,1130.8,442.04,2004.6,50
CDM,0689060,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),685.0,753.5,294.55,1335.75,50
CDM,0689061,DRILL TIBIA,928.0,928.0,190.8,742.4,45
CDM,0689062,MESH (IMPLANTABLE),1570.0,1727.0,675.1,3061.5,50
CDM,0689063,"PROSTHESIS, PENILE, INFLATABLE",1572.0,1729.2,675.96,3065.4,50
CDM,0689064,KIT DLVRY SYS VIVIGEN,910.0,910.0,187.1,728.0,45
CDM,0689065,KIT DLVRY SYS VIVIGEN,3259.0,3259.0,670.05,2607.2,45
CDM,0689066,JOINT DEVICE (IMPLANTABLE),5205.0,5725.5,2238.15,10149.75,50
CDM,0689067,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7996.0,8795.6,3438.28,15592.2,50
CDM,0689068,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2752.0,3027.2,1183.36,5366.4,50
CDM,0689069,TEMPLT TENDON SPACER,1273.0,1273.0,261.73,1018.4,45
CDM,0689070,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0689071,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1514.0,1665.4,651.02,2952.3,50
CDM,0689072,BN TAP ALPHAVENT,1377.0,1377.0,283.11,1101.6,45
CDM,0689073,BN AWL ALPHAVENT,1180.0,1180.0,242.61,944.0,45
CDM,0689074,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4057.0,4462.7,1744.51,7911.15,50
CDM,0689075,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3367.0,3703.7,1447.81,6565.65,50
CDM,0689076,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3890.0,4279.0,1672.7,7585.5,50
CDM,0689077,STAPLE KIT REFX MINI,2347.0,2347.0,482.54,1877.6,45
CDM,0689078,CHARGING SYS SNM,1496.0,1496.0,307.58,1196.8,45
CDM,0689079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5294.0,5823.4,2276.42,10323.3,50
CDM,0689080,"BIOVANCE, PER SQUARE CENTIMETER",11813.0,12994.3,5079.59,23035.35,50
CDM,0689081,"ALLODERM, PER SQUARE CENTIMETER",19959.0,21954.9,8582.37,38920.05,50
CDM,0689082,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5380.0,5918.0,2313.4,10491.0,50
CDM,0689083,"ALLODERM, PER SQUARE CENTIMETER",8756.0,10628.0,2355.36,17074.2,45
CDM,0689084,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),319.0,350.9,137.17,622.05,50
CDM,0689085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1116.0,1227.6,479.88,2176.2,50
CDM,0689086,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1268.0,1394.8,545.24,2472.6,50
CDM,0689087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0689088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),501.0,551.1,215.43,976.95,50
CDM,0689089,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0689090,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",928.0,1020.8,399.04,1809.6,50
CDM,0689091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1217.0,1338.7,523.31,2373.15,50
CDM,0689092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1225.0,1347.5,526.75,2388.75,50
CDM,0689093,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1401.0,1541.1,602.43,2731.95,50
CDM,0689094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1567.0,1723.7,673.81,3055.65,50
CDM,0689095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0689096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4192.0,4611.2,1802.56,8174.4,50
CDM,0689097,JOINT DEVICE (IMPLANTABLE),4235.0,4658.5,1821.05,8258.25,50
CDM,0689098,JOINT DEVICE (IMPLANTABLE),4784.0,5262.4,2057.12,9328.8,50
CDM,0689099,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5242.0,5766.2,2254.06,10221.9,50
CDM,0689100,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),599.0,658.9,257.57,1168.05,50
CDM,0689101,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0689102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),16027.0,17629.7,6891.61,31252.65,50
CDM,0689103,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2657.0,2922.7,1142.51,5181.15,50
CDM,0689104,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2698.0,2967.8,1160.14,5261.1,50
CDM,0689105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),169.0,185.9,72.67,329.55,50
CDM,0689106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),227.0,249.7,97.61,442.65,50
CDM,0689107,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),287.0,315.7,123.41,559.65,50
CDM,0689108,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0689109,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1204.0,1324.4,517.72,2347.8,50
CDM,0689110,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2074.0,2281.4,891.82,4044.3,50
CDM,0689111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3395.0,3734.5,1459.85,6620.25,50
CDM,0689112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1286.0,1414.6,552.98,2507.7,50
CDM,0689114,"HYALOMATRIX, PER SQUARE CENTIMETER",13584.0,14942.4,5841.12,26488.8,50
CDM,0689115,SHEATH NICO BRAINPATH,1937.0,1937.0,398.25,1549.6,45
CDM,0689116,JOINT DEVICE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0689117,CUTTING GUIDE RECON,3089.0,3089.0,635.1,2471.2,45
CDM,0689118,CUTTING GUIDE RECON,5296.0,5296.0,1088.86,4236.8,45
CDM,0689119,CENTRIMAG BLOOD PUMP,22050.0,22050.0,3461.0,17640.0,45
CDM,0689120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),380.0,418.0,163.4,741.0,50
CDM,0689121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9100.0,10010.0,3913.0,17745.0,50
CDM,0689122,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3322.0,3322.0,893.62,6477.9,45
CDM,0689123,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11926.0,13118.6,5128.18,23255.7,50
CDM,0689124,"CYGNUS MATRIX, PER SQUARE CENTIMETER",3063.0,3369.3,1317.09,5972.85,50
CDM,0689125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0689126,JOINT DEVICE (IMPLANTABLE),4436.0,4879.6,1907.48,8650.2,50
CDM,0689127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),252.0,277.2,108.36,491.4,50
CDM,0689128,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",713.0,784.3,306.59,1390.35,50
CDM,0689129,JOINT DEVICE (IMPLANTABLE),6335.0,6968.5,2724.05,12353.25,50
CDM,0689130,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6500.0,7150.0,2795.0,12675.0,50
CDM,0689131,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3322.0,3322.0,893.62,6477.9,45
CDM,0689132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1444.0,1588.4,620.92,2815.8,50
CDM,0689133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689134,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0689135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0689136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0689137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0689138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),480.0,528.0,206.4,936.0,50
CDM,0689139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0689140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1740.0,1914.0,748.2,3393.0,50
CDM,0689142,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,0689143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),223.0,245.3,95.89,434.85,50
CDM,0689144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),348.0,382.8,149.64,678.6,50
CDM,0689145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0689146,JOINT DEVICE (IMPLANTABLE),2307.0,2537.7,992.01,4498.65,50
CDM,0689147,JOINT DEVICE (IMPLANTABLE),3995.0,4394.5,1717.85,7790.25,50
CDM,0689148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0689149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0689153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),774.0,851.4,332.82,1509.3,50
CDM,0689154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1027.0,1129.7,441.61,2002.65,50
CDM,0689155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1209.0,1329.9,519.87,2357.55,50
CDM,0689156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2422.0,2664.2,1041.46,4722.9,50
CDM,0689157,COIL TARGET,3156.0,3471.6,648.87,3471.6,50
CDM,0689158,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8766.0,9642.6,3769.38,17093.7,50
CDM,0689159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),575.0,632.5,247.25,1121.25,50
CDM,0689160,COIL COMPLEX,4821.0,5303.1,991.2,5303.1,50
CDM,0689161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2174.0,2391.4,934.82,4239.3,50
CDM,0689162,JOINT DEVICE (IMPLANTABLE),2197.0,2416.7,944.71,4284.15,50
CDM,0689163,JOINT DEVICE (IMPLANTABLE),2229.0,2451.9,958.47,4346.55,50
CDM,0689164,JOINT DEVICE (IMPLANTABLE),5387.0,5925.7,2316.41,10504.65,50
CDM,0689165,JOINT DEVICE (IMPLANTABLE),6497.0,7146.7,2793.71,12669.15,50
CDM,0689166,JOINT DEVICE (IMPLANTABLE),6922.0,7614.2,2976.46,13497.9,50
CDM,0689167,JOINT DEVICE (IMPLANTABLE),10356.0,11391.6,4453.08,20194.2,50
CDM,0689168,JOINT DEVICE (IMPLANTABLE),10971.0,12068.1,4717.53,21393.45,50
CDM,0689169,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3745.0,4119.5,1610.35,7302.75,50
CDM,0689170,JOINT DEVICE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0689171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),613.0,674.3,263.59,1195.35,50
CDM,0689173,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6563.0,7219.3,2822.09,12797.85,50
CDM,0689174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),82.0,90.2,35.26,159.9,50
CDM,0689175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),447.0,491.7,192.21,871.65,50
CDM,0689177,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",841.0,925.1,361.63,1328.91,50
CDM,0689178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),323.0,355.3,138.89,629.85,50
CDM,0689179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689180,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.0,558.8,218.44,990.6,50
CDM,0689181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2822.0,3104.2,1213.46,5502.9,50
CDM,0689182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0689183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0689184,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4025.0,4427.5,1730.75,7848.75,50
CDM,0689185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.0,523.6,204.68,928.2,50
CDM,0689186,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0689188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3662.0,4028.2,1574.66,7140.9,50
CDM,0689189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4156.0,4571.6,1787.08,8104.2,50
CDM,0689190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3468.0,3814.8,1491.24,6762.6,50
CDM,0689191,JOINT DEVICE (IMPLANTABLE),5019.0,5520.9,2158.17,9787.05,50
CDM,0689192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5476.0,6023.6,2354.68,10678.2,50
CDM,0689193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0689194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),169.0,185.9,72.67,329.55,50
CDM,0689195,MESH (IMPLANTABLE),37154.0,40869.4,15976.22,72450.3,50
CDM,0689196,GUIDE WIRE,6543.0,6543.0,1760.07,12758.85,45
CDM,0689197,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4725.0,5197.5,2031.75,9213.75,50
CDM,0689198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),38500.0,42350.0,16555.0,75075.0,50
CDM,0689199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3540.0,3894.0,1522.2,6903.0,50
CDM,0689251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),662.0,728.2,284.66,1290.9,50
CDM,0689252,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0689253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3409.0,3749.9,1465.87,6647.55,50
CDM,0689255,STEPDRILL RECON LAG SCREW,1633.0,1633.0,335.74,1306.4,45
CDM,0689256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2679.0,2946.9,1151.97,5224.05,50
CDM,0689257,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2611.0,2872.1,1122.73,5091.45,50
CDM,0689258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),178.0,195.8,76.54,347.1,50
CDM,0689259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0689260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3308.0,3308.0,889.85,6450.6,45
CDM,0689261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1370.0,1507.0,589.1,2671.5,50
CDM,0689262,JOINT DEVICE (IMPLANTABLE),16064.0,17670.4,6907.52,31324.8,50
CDM,0689263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2156.0,2371.6,927.08,4204.2,50
CDM,0689264,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",41146.0,45260.6,17692.78,80234.7,50
CDM,0689265,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1751.0,1751.0,471.02,3414.45,45
CDM,0689266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1882.0,2070.2,809.26,3669.9,50
CDM,0689267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0689268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0689269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0689270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1364.0,1500.4,586.52,2659.8,50
CDM,0689272,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0689273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0689274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2310.0,2541.0,993.3,4504.5,50
CDM,0689275,JOINT DEVICE (IMPLANTABLE),12688.0,13956.8,5455.84,24741.6,50
CDM,0689276,JOINT DEVICE (IMPLANTABLE),1859.0,2044.9,799.37,3625.05,50
CDM,0689277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0689278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0689279,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1628.0,1790.8,700.04,3174.6,50
CDM,0689280,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2188.0,2406.8,940.84,4266.6,50
CDM,0689281,VIEWLINE RETRACTOR SYSTEM,1715.0,1715.0,352.6,1372.0,45
CDM,0689282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2056.0,2261.6,884.08,4009.2,50
CDM,0689283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0689284,ACCUPORT ZONE-DELIV,900.0,900.0,185.04,720.0,45
CDM,0689285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6561.0,7217.1,2821.23,12793.95,50
CDM,0689286,SYS FSTGRFTR AUTOGRFT HRVEST,1136.0,1136.0,233.56,908.8,45
CDM,0689287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),919.0,1010.9,395.17,1792.05,50
CDM,0689288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0689289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689290,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1585.0,1743.5,681.55,3090.75,50
CDM,0689291,MESH (IMPLANTABLE),900.0,990.0,387.0,1755.0,50
CDM,0689292,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1568.0,1724.8,674.24,3057.6,50
CDM,0689293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3530.0,3883.0,1517.9,6883.5,50
CDM,0689294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.0,353.1,138.03,625.95,50
CDM,0689295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),172.0,189.2,73.96,335.4,50
CDM,0689296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1106.0,1216.6,475.58,2156.7,50
CDM,0689297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1780.0,1958.0,765.4,3471.0,50
CDM,0689298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2268.0,2494.8,975.24,4422.6,50
CDM,0689299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1398.0,1537.8,601.14,2726.1,50
CDM,0689300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689301,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",2536.0,2789.6,1090.48,4945.2,50
CDM,0689302,JOINT DEVICE (IMPLANTABLE),2015.0,2216.5,866.45,3929.25,50
CDM,0689303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1210.0,1331.0,520.3,2359.5,50
CDM,0689304,ANGIOVAC C180,25025.0,25025.0,3461.0,20020.0,45
CDM,0689305,PTO-ANGIOVAC,27913.0,27913.0,3461.0,22330.4,45
CDM,0689306,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1672.0,1839.2,718.96,3260.4,50
CDM,0689307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2228.0,2450.8,958.04,4344.6,50
CDM,0689308,BLADE TISSUE REMOVAL,1083.0,1083.0,222.66,866.4,45
CDM,0689309,MESH (IMPLANTABLE),3812.0,4193.2,1639.16,7433.4,50
CDM,0689310,MESH (IMPLANTABLE),16446.0,18090.6,7071.78,32069.7,50
CDM,0689311,"CYGNUS, PER SQUARE CENTIMETER",4564.0,5020.4,1962.52,8899.8,50
CDM,0689312,PSN KNEE TRIAL,1050.0,1050.0,215.88,840.0,45
CDM,0689313,PSN KNEE TRIAL,1007.0,1007.0,207.04,805.6,45
CDM,0689314,JOINT DEVICE (IMPLANTABLE),8652.0,9517.2,3720.36,16871.4,50
CDM,0689315,CATH TRI-LUMEN,1715.0,1715.0,352.6,1372.0,45
CDM,0689316,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",50750.0,55825.0,21822.5,98962.5,50
CDM,0689317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),429.0,471.9,184.47,836.55,50
CDM,0689318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),376.0,413.6,161.68,733.2,50
CDM,0689319,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1733.0,1906.3,745.19,3379.35,50
CDM,0689320,"INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)",19600.0,21560.0,8428.0,38220.0,50
CDM,0689321,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2342.0,2576.2,1007.06,4566.9,50
CDM,0689322,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0689323,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2243.0,2467.3,964.49,4373.85,50
CDM,0689324,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4436.0,4879.6,1907.48,8650.2,50
CDM,0689325,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1248.0,1372.8,536.64,2433.6,50
CDM,0689326,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",298.0,327.8,128.14,581.1,50
CDM,0689327,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",29750.0,32725.0,12792.5,58012.5,50
CDM,0689328,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",14833.0,16316.3,6378.19,28924.35,50
CDM,0689329,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7973.0,8770.3,3428.39,15547.35,50
CDM,0689330,JOINT DEVICE (IMPLANTABLE),2459.0,2704.9,1057.37,4795.05,50
CDM,0689331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),488.0,536.8,209.84,951.6,50
CDM,0689332,"GRAFT, VASCULAR",2923.0,3215.3,1256.89,5699.85,50
CDM,0689333,"GRAFT, VASCULAR",4813.0,5294.3,2069.59,9385.35,50
CDM,0689334,"GRAFT, VASCULAR",5110.0,5621.0,2197.3,9964.5,50
CDM,0689335,"GRAFT, VASCULAR",8190.0,9009.0,3521.7,15970.5,50
CDM,0689336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0689337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3297.0,3626.7,1417.71,6429.15,50
CDM,0689338,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4192.0,4611.2,1802.56,8174.4,50
CDM,0689339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4016.0,4417.6,1726.88,7831.2,50
CDM,0689340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3842.0,4226.2,1652.06,7491.9,50
CDM,0689341,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1567.0,1723.7,673.81,3055.65,50
CDM,0689342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0689343,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0689344,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.0,836.0,326.8,1482.0,50
CDM,0689345,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0689346,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),499.0,548.9,214.57,973.05,50
CDM,0689347,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0689348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0689349,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0689350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),100.0,110.0,43.0,195.0,50
CDM,0689351,JOINT DEVICE (IMPLANTABLE),3676.0,4043.6,1580.68,7168.2,50
CDM,0689352,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",3675.0,4042.5,1580.25,7166.25,50
CDM,0689353,"PATIENT PROGRAMMER, NEUROSTIMULATOR",35672.0,35672.0,3461.0,69560.4,45
CDM,0689354,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3078.0,3385.8,1323.54,6002.1,50
CDM,0689355,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6116.0,6727.6,2629.88,11926.2,50
CDM,0689356,KIT GRFT GUIDE OATS,1492.0,1492.0,306.76,1193.6,45
CDM,0689357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5380.0,5918.0,2313.4,10491.0,50
CDM,0689358,JOINT DEVICE (IMPLANTABLE),7620.0,8382.0,3276.6,14859.0,50
CDM,0689359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0689360,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.0,751.3,293.69,1331.85,50
CDM,0689361,"KERECIS OMEGA3, PER SQUARE CENTIMETER",3185.0,3503.5,1369.55,6210.75,50
CDM,0689362,"KERECIS OMEGA3, PER SQUARE CENTIMETER",12541.0,13795.1,5392.63,24454.95,50
CDM,0689363,"KERECIS OMEGA3, PER SQUARE CENTIMETER",7166.0,7882.6,3081.38,13973.7,50
CDM,0689364,"KERECIS OMEGA3, PER SQUARE CENTIMETER",3185.0,3503.5,1369.55,6210.75,50
CDM,0689365,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2266.0,2492.6,974.38,4418.7,50
CDM,0689366,AURORA EVAC +COAG,4716.0,4716.0,969.61,3772.8,45
CDM,0689367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1796.0,1975.6,772.28,3502.2,50
CDM,0689368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3826.0,4208.6,1645.18,7460.7,50
CDM,0689369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0689370,JOINT DEVICE (IMPLANTABLE),6119.0,6730.9,2631.17,11932.05,50
CDM,0689371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8138.0,8951.8,3499.34,15869.1,50
CDM,0689373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1006.0,1106.6,432.58,1961.7,50
CDM,0689374,"GRAFT, VASCULAR",2923.0,3215.3,1256.89,5699.85,50
CDM,0689375,"GRAFT, VASCULAR",1365.0,1501.5,586.95,2661.75,50
CDM,0689376,"GRAFT, VASCULAR",2179.0,2396.9,936.97,4249.05,50
CDM,0689377,"GRAFT, VASCULAR",4813.0,5294.3,2069.59,9385.35,50
CDM,0689378,"GRAFT, VASCULAR",5110.0,5621.0,2197.3,9964.5,50
CDM,0689379,"GRAFT, VASCULAR",8190.0,9009.0,3521.7,15970.5,50
CDM,0689380,EFLEX CHISEL PROBE INTE,1026.0,1026.0,210.95,820.8,45
CDM,0689381,PROBE ARTHROSCOPIC RADIOF,1026.0,1026.0,210.95,820.8,45
CDM,0689382,EFLEX TAC-S PROBE INTE,1065.0,1065.0,218.96,852.0,45
CDM,0689383,JOINT DEVICE (IMPLANTABLE),4516.0,4967.6,1941.88,8806.2,50
CDM,0689384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1299.0,1428.9,558.57,2533.05,50
CDM,0689385,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",26782.0,29460.2,11516.26,52224.9,50
CDM,0689386,DVC GRFTNET XL BN COLLECTION,914.0,914.0,187.92,731.2,45
CDM,0689387,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",1925.0,2117.5,827.75,3753.75,50
CDM,0689388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2379.0,2616.9,1022.97,4639.05,50
CDM,0689389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1877.0,2064.7,807.11,3660.15,50
CDM,0689390,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0689391,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",17763.0,19539.3,7638.09,34637.85,50
CDM,0689392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),963.0,1059.3,414.09,1877.85,50
CDM,0689393,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",18375.0,20212.5,7901.25,35831.25,50
CDM,0689394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1969.0,2165.9,846.67,3839.55,50
CDM,0689395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2461.0,2707.1,1058.23,4798.95,50
CDM,0689396,JOINT DEVICE (IMPLANTABLE),3040.0,3344.0,1307.2,5928.0,50
CDM,0689397,DBS CHARGING SYSTEM,3238.0,3238.0,665.73,2590.4,45
CDM,0689398,JOINT DEVICE (IMPLANTABLE),697.0,766.7,299.71,1359.15,50
CDM,0689399,JOINT DEVICE (IMPLANTABLE),2155.0,2370.5,926.65,4202.25,50
CDM,0689400,JOINT DEVICE (IMPLANTABLE),2445.0,2689.5,1051.35,4767.75,50
CDM,0689401,JOINT DEVICE (IMPLANTABLE),5990.0,6589.0,2575.7,11680.5,50
CDM,0689402,JOINT DEVICE (IMPLANTABLE),9370.0,10307.0,4029.1,18271.5,50
CDM,0689403,JOINT DEVICE (IMPLANTABLE),9507.0,10457.7,4088.01,18538.65,50
CDM,0689404,JOINT DEVICE (IMPLANTABLE),9713.0,10684.3,4176.59,18940.35,50
CDM,0689405,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",4851.0,5336.1,2085.93,9459.45,50
CDM,0689406,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0689407,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),186.0,204.6,79.98,362.7,50
CDM,0689408,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0689409,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0689410,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",38.0,41.8,16.34,74.1,50
CDM,0689411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5970.0,6567.0,2567.1,11641.5,50
CDM,0689412,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1328.0,1460.8,571.04,2589.6,50
CDM,0689413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7700.0,8470.0,3311.0,15015.0,50
CDM,0689414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3253.0,3578.3,1398.79,6343.35,50
CDM,0689415,JOINT DEVICE (IMPLANTABLE),10782.0,11860.2,4636.26,21024.9,50
CDM,0689416,JOINT DEVICE (IMPLANTABLE),10455.0,11500.5,4495.65,20387.25,50
CDM,0689417,JOINT DEVICE (IMPLANTABLE),9713.0,10684.3,4176.59,18940.35,50
CDM,0689418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),9647.0,10611.7,4148.21,18811.65,50
CDM,0689419,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",407.0,447.7,175.01,793.65,50
CDM,0689420,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",695.0,764.5,298.85,1355.25,50
CDM,0689421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),450.0,495.0,193.5,877.5,50
CDM,0689422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),819.0,900.9,352.17,1597.05,50
CDM,0689423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),945.0,1039.5,406.35,1842.75,50
CDM,0689424,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6003.0,6603.3,2581.29,11705.85,50
CDM,0689425,JOINT DEVICE (IMPLANTABLE),3218.0,3539.8,1383.74,6275.1,50
CDM,0689426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0689427,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,0689428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5241.0,5765.1,2253.63,10219.95,50
CDM,0689429,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2968.0,3264.8,1276.24,5787.6,50
CDM,0689430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),649.0,713.9,279.07,1265.55,50
CDM,0689431,REAMER CORTEX,1264.0,1264.0,259.88,1011.2,45
CDM,0689432,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8610.0,9471.0,3702.3,16789.5,50
CDM,0689433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1330.0,1463.0,571.9,2593.5,50
CDM,0689434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1330.0,1463.0,571.9,2593.5,50
CDM,0689435,MESH (IMPLANTABLE),9625.0,10587.5,4138.75,18768.75,50
CDM,0689436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2077.0,2284.7,893.11,4050.15,50
CDM,0689437,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",5443.0,5987.3,2340.49,10613.85,50
CDM,0689438,JOINT DEVICE (IMPLANTABLE),2894.0,3183.4,1244.42,5643.3,50
CDM,0689439,JOINT DEVICE (IMPLANTABLE),2197.0,2416.7,944.71,4284.15,50
CDM,0689440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),895.0,984.5,384.85,1745.25,50
CDM,0689441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),955.0,1050.5,410.65,1862.25,50
CDM,0689442,JOINT DEVICE (IMPLANTABLE),3196.0,3515.6,1374.28,6232.2,50
CDM,0689443,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4095.0,4504.5,1760.85,7985.25,50
CDM,0689444,JOINT DEVICE (IMPLANTABLE),6156.0,6771.6,2647.08,12004.2,50
CDM,0689445,JOINT DEVICE (IMPLANTABLE),9191.0,10110.1,3952.13,17922.45,50
CDM,0689446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0689447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),654.0,719.4,281.22,1275.3,50
CDM,0689448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0689449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0689450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2415.0,2656.5,1038.45,4709.25,50
CDM,0689451,DRILL BIT,1292.0,1292.0,265.64,1033.6,45
CDM,0689452,SEALANT PREVELEAK,1229.0,1229.0,252.68,983.2,45
CDM,0689453,JOINT DEVICE (IMPLANTABLE),16209.0,17829.9,6969.87,31607.55,50
CDM,0689454,JOINT DEVICE (IMPLANTABLE),9114.0,10025.4,3919.02,17772.3,50
CDM,0689455,JOINT DEVICE (IMPLANTABLE),96.0,105.6,41.28,187.2,50
CDM,0689456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1488.0,1636.8,639.84,2901.6,50
CDM,0689457,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",306.0,336.6,131.58,596.7,50
CDM,0689458,ELECTRODE DEPTH GAUGE,1544.0,1544.0,317.45,1235.2,45
CDM,0689459,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",33683.0,37051.3,14483.69,45703.85,50
CDM,0689460,SYN BN GRFT B FIBERS BIOCERA,3981.0,3981.0,818.49,3184.8,45
CDM,0689461,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3284.0,3612.4,1412.12,6403.8,50
CDM,0689462,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6003.0,6603.3,2581.29,11705.85,50
CDM,0689463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2391.0,2630.1,1028.13,4662.45,50
CDM,0689464,JOINT DEVICE (IMPLANTABLE),4375.0,4812.5,1881.25,8531.25,50
CDM,0689465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0689466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2499.0,2748.9,1074.57,4873.05,50
CDM,0689467,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),295.0,324.5,126.85,575.25,50
CDM,0689468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),460.0,506.0,197.8,897.0,50
CDM,0689469,MESH (IMPLANTABLE),814.0,895.4,350.02,1587.3,50
CDM,0689471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0689472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3063.0,3369.3,1317.09,5972.85,50
CDM,0689473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4113.0,4524.3,1768.59,8020.35,50
CDM,0689474,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4638.0,5101.8,1994.34,9044.1,50
CDM,0689475,EF CLAMP,1575.0,1575.0,323.82,1260.0,45
CDM,0689476,EF SMART TSF FULL RING,4001.0,4001.0,822.61,3200.8,45
CDM,0689477,SONOPET IQ IRRIGATION SUCTION,921.0,921.0,189.36,736.8,45
CDM,0689478,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",22750.0,25025.0,9782.5,44362.5,50
CDM,0689479,JOINT DEVICE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0689480,"PROSTHESIS, BREAST (IMPLANTABLE)",2025.0,2227.5,870.75,3948.75,50
CDM,0689481,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2093.0,2302.3,899.99,4081.35,50
CDM,0689482,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4546.0,5000.6,1954.78,8864.7,50
CDM,0689483,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1720.0,1892.0,739.6,3354.0,50
CDM,0689484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2275.0,2502.5,978.25,4436.25,50
CDM,0689485,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",35000.0,38500.0,15050.0,68250.0,50
CDM,0689486,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0689487,EF SMART STRUT,3827.0,3827.0,786.83,3061.6,45
CDM,0689488,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1636.0,1799.6,703.48,3190.2,50
CDM,0689489,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3619.0,3980.9,1556.17,7057.05,50
CDM,0689490,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),626.0,688.6,269.18,1220.7,50
CDM,0689491,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),7315.0,8046.5,3145.45,14264.25,50
CDM,0689492,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.0,906.4,354.32,1606.8,50
CDM,0689493,JOINT DEVICE (IMPLANTABLE),7884.0,8672.4,3390.12,15373.8,50
CDM,0689494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0689495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6650.0,7315.0,2859.5,12967.5,50
CDM,0689496,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5163.0,5679.3,2220.09,10067.85,50
CDM,0689497,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",4778.0,5255.8,2054.54,9317.1,50
CDM,0689498,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3124.0,3436.4,1343.32,6091.8,50
CDM,0689499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1167.0,1283.7,501.81,2275.65,50
CDM,0689500,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1378.0,1515.8,592.54,2687.1,50
CDM,0689501,KIT LUNG TRANSPLANT D,6905.0,6905.0,1419.67,5524.0,45
CDM,0689502,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0689503,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),619.0,680.9,266.17,1207.05,50
CDM,0689504,PATIENT CONTROLLER DBS,1103.0,1103.0,226.78,882.4,45
CDM,0689505,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1181.0,1181.0,317.69,2302.95,45
CDM,0689507,KIT ENSITE SURF ELECTRODE,2105.0,2105.0,432.79,1684.0,45
CDM,0689508,CNTRLLR PURGE CASETTE,1750.0,1750.0,359.8,1400.0,45
CDM,0689509,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",6178.0,6178.0,1661.88,12047.1,45
CDM,0689510,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0689511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689513,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),568.0,624.8,244.24,1107.6,50
CDM,0689514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),645.0,709.5,277.35,1257.75,50
CDM,0689515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),683.0,751.3,293.69,1331.85,50
CDM,0689516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),905.0,995.5,389.15,1764.75,50
CDM,0689517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),953.0,1048.3,409.79,1858.35,50
CDM,0689518,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1011.0,1112.1,434.73,1971.45,50
CDM,0689519,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1338.0,1471.8,575.34,2609.1,50
CDM,0689520,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",955.0,955.0,256.9,1862.25,45
CDM,0689521,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",964.0,964.0,259.32,1879.8,45
CDM,0689522,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0689523,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1980.0,1980.0,532.62,3861.0,45
CDM,0689524,"PATIENT PROGRAMMER, NEUROSTIMULATOR",875.0,962.5,376.25,1706.25,50
CDM,0689525,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",963.0,1059.3,414.09,1877.85,50
CDM,0689526,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",1199.0,1199.0,322.53,2338.05,45
CDM,0689527,CONNECTOR ASSEMBLY TOOL PKG,1323.0,1323.0,272.01,1058.4,45
CDM,0689528,"CATHETER, BALLOON DILATATION, NON-VASCULAR",1225.0,1225.0,329.53,2388.75,45
CDM,0689529,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,0689530,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",963.0,963.0,259.05,1877.85,45
CDM,0689531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.0,295.9,115.67,524.55,50
CDM,0689532,FORCEP ESURG,875.0,875.0,179.9,700.0,45
CDM,0689533,NEEDLE LOCALIZER TAG,959.0,959.0,197.17,767.2,45
CDM,0689534,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0689535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0689536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),77.0,84.7,33.11,150.15,50
CDM,0689537,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),324.0,356.4,139.32,631.8,50
CDM,0689538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),333.0,366.3,143.19,649.35,50
CDM,0689539,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",32251.0,35476.1,13867.93,62889.45,50
CDM,0689540,KIT SPNL MAXCESS DISP,1982.0,1982.0,407.5,1585.6,45
CDM,0689541,JOINT DEVICE (IMPLANTABLE),517.0,568.7,222.31,1008.15,50
CDM,0689542,JOINT DEVICE (IMPLANTABLE),1521.0,1673.1,654.03,2965.95,50
CDM,0689543,JOINT DEVICE (IMPLANTABLE),1582.0,1740.2,680.26,3084.9,50
CDM,0689544,JOINT DEVICE (IMPLANTABLE),1604.0,1764.4,689.72,3127.8,50
CDM,0689545,JOINT DEVICE (IMPLANTABLE),1836.0,2019.6,789.48,3580.2,50
CDM,0689546,JOINT DEVICE (IMPLANTABLE),2500.0,2750.0,1075.0,4875.0,50
CDM,0689547,JOINT DEVICE (IMPLANTABLE),7986.0,8784.6,3433.98,15572.7,50
CDM,0689548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8125.0,8937.5,3493.75,15843.75,50
CDM,0689549,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",268.0,294.8,115.24,522.6,50
CDM,0689550,JOINT DEVICE (IMPLANTABLE),9370.0,10307.0,4029.1,18271.5,50
CDM,0689551,JOINT DEVICE (IMPLANTABLE),11813.0,12994.3,5079.59,23035.35,50
CDM,0689552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3841.0,4225.1,1651.63,7489.95,50
CDM,0689553,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5765.0,6341.5,2478.95,11241.75,50
CDM,0689554,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",961.0,961.0,258.51,1873.95,45
CDM,0689555,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",945.0,945.0,254.21,1842.75,45
CDM,0689556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1283.0,1411.3,551.69,2501.85,50
CDM,0689557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4420.0,4862.0,1900.6,8619.0,50
CDM,0689558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),268.0,294.8,115.24,522.6,50
CDM,0689559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),360.0,396.0,154.8,702.0,50
CDM,0689560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1304.0,1434.4,560.72,2542.8,50
CDM,0689561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4148.0,4562.8,1783.64,8088.6,50
CDM,0689562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0689563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1398.0,1537.8,601.14,2726.1,50
CDM,0689564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2096.0,2305.6,901.28,4087.2,50
CDM,0689565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0689569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0689570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),692.0,761.2,297.56,1349.4,50
CDM,0689573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),456.0,501.6,196.08,889.2,50
CDM,0689575,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),548.0,602.8,235.64,1068.6,50
CDM,0689576,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",2025.0,2227.5,611.58,2227.5,50
CDM,0689577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0689578,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),516.0,567.6,221.88,1006.2,50
CDM,0689579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),466.0,512.6,200.38,908.7,50
CDM,0689580,SCR INST CNCT CNN,1188.0,1188.0,244.25,950.4,45
CDM,0689581,GUIDE DRL 3.,1235.0,1235.0,253.92,988.0,45
CDM,0689582,GRAFT FILTER FOR RIA,1321.0,1321.0,271.6,1056.8,45
CDM,0689583,TAP SRG TFN-ADV SCR NS,1434.0,1434.0,294.83,1147.2,45
CDM,0689584,REAMER HEAD,1464.0,1464.0,301.0,1171.2,45
CDM,0689585,REAMER HEAD,1580.0,1580.0,324.85,1264.0,45
CDM,0689586,FLEX SFT CONNECTOR,1701.0,1701.0,349.73,1360.8,45
CDM,0689587,REAMER HEAD,1767.0,1767.0,363.3,1413.6,45
CDM,0689588,SCREWDRIVER STARDRIVE T15,1836.0,1836.0,377.48,1468.8,45
CDM,0689589,PLIER SCREW REMOVAL,2481.0,2481.0,510.09,1984.8,45
CDM,0689590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3107.0,3417.7,1336.01,6058.65,50
CDM,0689604,DEVICE ABS FIXATION,883.0,883.0,181.54,706.4,45
CDM,0689605,STRAP SECURE  ABSORB,891.0,891.0,183.19,712.8,45
CDM,0689606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1492.0,1641.2,641.56,2909.4,50
CDM,0689607,SPLINT ORTHOGNATHIC FINAL,1154.0,1154.0,237.26,923.2,45
CDM,0689608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),15400.0,16940.0,6622.0,30030.0,50
CDM,0689609,TRUMATCH 3D PRINTGUIDE,5775.0,5775.0,1187.34,4620.0,45
CDM,0689610,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),704.0,774.4,302.72,1372.8,50
CDM,0689611,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),938.0,1031.8,403.34,1829.1,50
CDM,0689612,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),867.0,953.7,372.81,1690.65,50
CDM,0689613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),616.0,677.6,264.88,1201.2,50
CDM,0689614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),608.0,668.8,261.44,1185.6,50
CDM,0689615,DSG WND MTRX CONNEXT,2975.0,2975.0,611.66,2380.0,45
CDM,0689616,KIT DSP DUALX,5241.0,5241.0,1077.55,4192.8,45
CDM,0689617,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",438.0,481.8,188.34,854.1,50
CDM,0689618,DUALX GRAFT DELIVERY NOZZLE,875.0,875.0,179.9,700.0,45
CDM,0689619,DUALX SCREWDRIVER,875.0,875.0,179.9,700.0,45
CDM,0689620,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",1313.0,1444.3,564.59,2560.35,50
CDM,0689621,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",2625.0,2887.5,1128.75,5118.75,50
CDM,0689622,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",7875.0,8662.5,3386.25,15356.25,50
CDM,0689623,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",15750.0,17325.0,6772.5,30712.5,50
CDM,0689624,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0689625,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),475.0,522.5,204.25,926.25,50
CDM,0689626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),534.0,587.4,229.62,1041.3,50
CDM,0689627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),6410.0,7051.0,2756.3,12499.5,50
CDM,0689628,"INTERPHALANGEAL JOINT SPACER, SILICONE OR EQUAL, EACH",2273.0,2500.3,307.23,2500.3,50
CDM,0689629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),285.0,313.5,122.55,555.75,50
CDM,0689630,DRILL SHOULDER,901.0,901.0,185.25,720.8,45
CDM,0689631,TAP CANN,1313.0,1313.0,269.95,1050.4,45
CDM,0689632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2100.0,2310.0,903.0,4095.0,50
CDM,0689633,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3791.0,4170.1,1630.13,7392.45,50
CDM,0689634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),108.0,118.8,46.44,210.6,50
CDM,0689635,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),305.0,335.5,131.15,594.75,50
CDM,0689636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1558.0,1713.8,669.94,3038.1,50
CDM,0689637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1822.0,2004.2,783.46,3552.9,50
CDM,0689638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3110.0,3421.0,1337.3,6064.5,50
CDM,0689639,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5246.0,5770.6,2255.78,10229.7,50
CDM,0689640,KIT FOOT JOINT PREP,1111.0,1111.0,228.42,888.8,45
CDM,0689641,JOINT DEVICE (IMPLANTABLE),9059.0,9964.9,3895.37,17665.05,50
CDM,0689642,JOINT DEVICE (IMPLANTABLE),9951.0,10946.1,4278.93,19404.45,50
CDM,0689643,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4575.0,5032.5,1967.25,8921.25,50
CDM,0689644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),371.0,408.1,159.53,723.45,50
CDM,0689645,JOINT DEVICE (IMPLANTABLE),6694.0,7363.4,2878.42,13053.3,50
CDM,0689646,JOINT DEVICE (IMPLANTABLE),2827.0,3109.7,1215.61,5512.65,50
CDM,0689647,JOINT DEVICE (IMPLANTABLE),4426.0,4868.6,1903.18,8630.7,50
CDM,0689648,JOINT DEVICE (IMPLANTABLE),1481.0,1629.1,636.83,2887.95,50
CDM,0689649,JOINT DEVICE (IMPLANTABLE),4166.0,4582.6,1791.38,8123.7,50
CDM,0689650,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0689651,JOINT DEVICE (IMPLANTABLE),1829.0,2011.9,786.47,3566.55,50
CDM,0689652,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3224.0,3546.4,1386.32,6286.8,50
CDM,0689653,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1145.0,1259.5,492.35,2232.75,50
CDM,0689654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2002.0,2202.2,860.86,3903.9,50
CDM,0689655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2744.0,3018.4,1179.92,5350.8,50
CDM,0689656,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1297.0,1426.7,557.71,2529.15,50
CDM,0689657,JOINT DEVICE (IMPLANTABLE),2965.0,3261.5,1274.95,5781.75,50
CDM,0689658,JOINT DEVICE (IMPLANTABLE),4111.0,4522.1,1767.73,8016.45,50
CDM,0689659,CATHETER SPINAL REV,924.0,924.0,189.97,739.2,45
CDM,0689660,EXTRACTOR SURG FEMORAL NAIL,1124.0,1124.0,231.09,899.2,45
CDM,0689661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0689662,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4214.0,4635.4,1812.02,8217.3,50
CDM,0689663,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4725.0,5197.5,2031.75,9213.75,50
CDM,0689664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1724.0,1896.4,741.32,3361.8,50
CDM,0689665,MESH (IMPLANTABLE),1794.0,1973.4,771.42,3498.3,50
CDM,0689666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),893.0,982.3,383.99,1741.35,50
CDM,0689667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),630.0,693.0,270.9,1228.5,50
CDM,0689668,REAMER,966.0,966.0,198.61,772.8,45
CDM,0689669,HEX DRIVER CANN,1864.0,1864.0,383.24,1491.2,45
CDM,0689670,CANN COUNTERSINK,1020.0,1020.0,209.71,816.0,45
CDM,0689671,CANN TAP,1836.0,1836.0,377.48,1468.8,45
CDM,0689672,MESH (IMPLANTABLE),11816.0,12997.6,5080.88,23041.2,50
CDM,0689673,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4366.0,4802.6,1877.38,8513.7,50
CDM,0689674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2511.0,2762.1,1079.73,4896.45,50
CDM,0689675,CEMENT MIXER MANUMIX,1330.0,1330.0,273.45,1064.0,45
CDM,0689676,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5250.0,5775.0,2257.5,10237.5,50
CDM,0689677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0689678,EF RING,2511.0,2511.0,516.26,2008.8,45
CDM,0689680,JOINT DEVICE (IMPLANTABLE),10157.0,11172.7,4367.51,19806.15,50
CDM,0689681,"ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS ""L"" CODE",120.0,132.0,51.6,234.0,50
CDM,0689682,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",4187.0,4605.7,1800.41,8164.65,50
CDM,0689683,"CATHETER, THROMBECTOMY/EMBOLECTOMY",15750.0,15750.0,3461.0,30712.5,45
CDM,0689684,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1195.0,1314.5,513.85,2330.25,50
CDM,0689685,KIT NERURO,1592.0,1592.0,327.32,1273.6,45
CDM,0689686,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2280.0,2508.0,980.4,4446.0,50
CDM,0689687,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),760.0,836.0,326.8,1482.0,50
CDM,0689688,KIT OSTEO FLAP,1001.0,1001.0,205.81,800.8,45
CDM,0689689,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),301.0,331.1,129.43,586.95,50
CDM,0689690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1257.0,1382.7,540.51,2451.15,50
CDM,0689691,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),502.0,552.2,215.86,978.9,50
CDM,0689692,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6738.0,7411.8,2897.34,13139.1,50
CDM,0689693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8190.0,9009.0,3521.7,15970.5,50
CDM,0689694,WND MTRX SURGICLOSE,2315.0,2315.0,475.96,1852.0,45
CDM,0689695,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1461.0,1607.1,628.23,2848.95,50
CDM,0689696,JOINT DEVICE (IMPLANTABLE),2795.0,3074.5,1201.85,5450.25,50
CDM,0689697,REAMER ENTRY CANN,1299.0,1299.0,267.07,1039.2,45
CDM,0689698,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4804.0,5284.4,2065.72,9367.8,50
CDM,0689699,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1309.0,1439.9,562.87,2552.55,50
CDM,0689700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),303.0,333.3,130.29,590.85,50
CDM,0689701,JOINT DEVICE (IMPLANTABLE),2231.0,2454.1,959.33,4350.45,50
CDM,0689702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),137.0,150.7,58.91,267.15,50
CDM,0689703,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0689704,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),592.0,651.2,254.56,1154.4,50
CDM,0689705,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1741.0,1915.1,748.63,3394.95,50
CDM,0689706,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3294.0,3623.4,1416.42,6423.3,50
CDM,0689707,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1348.0,1482.8,579.64,2628.6,50
CDM,0689708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0689709,BIT SCRDRV,1033.0,1033.0,212.38,826.4,45
CDM,0689710,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2186.0,2404.6,939.98,4262.7,50
CDM,0689711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4391.0,4830.1,1888.13,8562.45,50
CDM,0689712,JOINT DEVICE (IMPLANTABLE),3385.0,3723.5,1455.55,6600.75,50
CDM,0689713,KIT SCR DRVR INSRT,1459.0,1459.0,299.97,1167.2,45
CDM,0689714,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3490.0,3839.0,1500.7,6805.5,50
CDM,0689715,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3409.0,3749.9,1465.87,6647.55,50
CDM,0689716,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1995.0,2194.5,857.85,3890.25,50
CDM,0689717,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),326.0,358.6,140.18,635.7,50
CDM,0689718,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4285.0,4713.5,1842.55,8355.75,50
CDM,0689719,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1289.0,1417.9,554.27,2513.55,50
CDM,0689850,DISP DEPTH GAUGE,2345.0,2345.0,482.13,1876.0,45
CDM,0690014,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),136.0,149.6,58.48,265.2,50
CDM,0690076,MESH (IMPLANTABLE),592.0,651.2,254.56,1154.4,50
CDM,0690077,"GRAFT, VASCULAR",881.0,969.1,378.83,1717.95,50
CDM,0690078,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1656.0,1656.0,445.46,3229.2,45
CDM,0690079,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690080,MESH (IMPLANTABLE),3001.0,3301.1,1290.43,5851.95,50
CDM,0690081,SYSTEM BALLOON DILATION,1146.0,1146.0,235.62,916.8,45
CDM,0690082,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0690083,JOINT DEVICE (IMPLANTABLE),3427.0,3769.7,1473.61,6682.65,50
CDM,0690084,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",1654.0,1819.4,711.22,3225.3,50
CDM,0690085,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),103.0,113.3,44.29,200.85,50
CDM,0690086,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1732.5,677.25,3071.25,50
CDM,0690087,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690088,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2315.0,2546.5,995.45,4514.25,50
CDM,0690089,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3150.0,3465.0,1354.5,6142.5,50
CDM,0690090,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5705.0,6275.5,2453.15,11124.75,50
CDM,0690091,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690092,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690093,LIGHT SOURCE MIS,2895.0,2895.0,595.21,2316.0,45
CDM,0690094,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690095,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.0,1424.5,556.85,2525.25,50
CDM,0690096,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0690097,MESH (IMPLANTABLE),803.0,883.3,345.29,1565.85,50
CDM,0690098,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690099,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8479.0,9326.9,3645.97,16534.05,50
CDM,0690100,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0690101,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1099.0,1208.9,472.57,2143.05,50
CDM,0690102,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0690103,JOINT DEVICE (IMPLANTABLE),10543.0,11597.3,4533.49,20558.85,50
CDM,0690104,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690105,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0690106,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690107,JOINT DEVICE (IMPLANTABLE),2928.0,3220.8,1259.04,5709.6,50
CDM,0690108,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",2480.0,2728.0,1066.4,4836.0,50
CDM,0690109,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",2602.0,2862.2,1118.86,5073.9,50
CDM,0690110,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",4519.0,4970.9,1943.17,8812.05,50
CDM,0690111,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690112,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0690113,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0690114,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),136.0,149.6,58.48,265.2,50
CDM,0690115,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0690116,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),89.0,97.9,38.27,173.55,50
CDM,0690117,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0690118,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690120,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),89.0,97.9,38.27,173.55,50
CDM,0690121,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0690122,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),53.0,58.3,22.79,103.35,50
CDM,0690123,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690124,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),90.0,99.0,38.7,175.5,50
CDM,0690125,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690126,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690127,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690128,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690129,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690130,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690131,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0690132,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1190.0,1309.0,511.7,2320.5,50
CDM,0690133,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0690134,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1138.0,1251.8,489.34,2219.1,50
CDM,0690135,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2363.0,2599.3,1016.09,4607.85,50
CDM,0690136,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690137,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),106.0,116.6,45.58,206.7,50
CDM,0690138,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),106.0,116.6,45.58,206.7,50
CDM,0690139,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690140,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690141,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0690142,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),113.0,124.3,48.59,220.35,50
CDM,0690143,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),171.0,188.1,73.53,333.45,50
CDM,0690144,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0690145,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),148.0,162.8,63.64,288.6,50
CDM,0690146,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),139.0,152.9,59.77,271.05,50
CDM,0690147,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),106.0,116.6,45.58,206.7,50
CDM,0690148,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690149,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0690150,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),157.0,172.7,67.51,306.15,50
CDM,0690151,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),114.0,125.4,49.02,222.3,50
CDM,0690152,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),128.0,140.8,55.04,249.6,50
CDM,0690153,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),199.0,218.9,85.57,388.05,50
CDM,0690154,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0690155,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),120.0,132.0,51.6,234.0,50
CDM,0690156,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0690159,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690160,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0690161,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0690162,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),110.0,121.0,47.3,214.5,50
CDM,0690163,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690164,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),151.0,166.1,64.93,294.45,50
CDM,0690165,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0690166,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690167,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),506.0,556.6,217.58,986.7,50
CDM,0690168,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690169,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),174.0,191.4,74.82,339.3,50
CDM,0690170,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690171,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),173.0,190.3,74.39,337.35,50
CDM,0690172,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690173,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0690174,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),144.0,158.4,61.92,280.8,50
CDM,0690175,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),182.0,200.2,78.26,354.9,50
CDM,0690176,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),206.0,226.6,88.58,401.7,50
CDM,0690177,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),191.0,210.1,82.13,372.45,50
CDM,0690178,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0690179,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),194.0,213.4,83.42,378.3,50
CDM,0690180,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0690181,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),213.0,234.3,91.59,415.35,50
CDM,0690182,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),215.0,236.5,92.45,419.25,50
CDM,0690183,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),218.0,239.8,93.74,425.1,50
CDM,0690184,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0690185,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),185.0,203.5,79.55,360.75,50
CDM,0690186,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0690187,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.0,295.9,115.67,524.55,50
CDM,0690188,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0690189,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),181.0,199.1,77.83,352.95,50
CDM,0690190,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),185.0,203.5,79.55,360.75,50
CDM,0690191,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0690192,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0690193,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0690194,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),243.0,267.3,104.49,473.85,50
CDM,0690195,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690196,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690197,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690198,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),150.0,165.0,64.5,292.5,50
CDM,0690199,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),225.0,247.5,96.75,438.75,50
CDM,0690200,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),229.0,251.9,98.47,446.55,50
CDM,0690201,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0690202,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),239.0,262.9,102.77,466.05,50
CDM,0690203,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0690204,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),249.0,273.9,107.07,485.55,50
CDM,0690205,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0690206,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),260.0,286.0,111.8,507.0,50
CDM,0690207,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690208,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690209,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0690210,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),322.0,354.2,138.46,627.9,50
CDM,0690211,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0690212,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0690213,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),407.0,447.7,175.01,793.65,50
CDM,0690214,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0690215,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),600.0,660.0,258.0,1170.0,50
CDM,0690216,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690217,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0690218,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),271.0,298.1,116.53,528.45,50
CDM,0690219,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),202.0,222.2,86.86,393.9,50
CDM,0690220,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0690221,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690222,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690223,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0690224,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690225,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690226,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0690227,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690228,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.0,295.9,115.67,524.55,50
CDM,0690229,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0690230,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0690231,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),266.0,292.6,114.38,518.7,50
CDM,0690232,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),224.0,246.4,96.32,436.8,50
CDM,0690233,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),274.0,301.4,117.82,534.3,50
CDM,0690234,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),275.0,302.5,118.25,536.25,50
CDM,0690235,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),314.0,345.4,135.02,612.3,50
CDM,0690236,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690237,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690238,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),279.0,306.9,119.97,544.05,50
CDM,0690239,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690240,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690241,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0690242,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690243,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),269.0,295.9,115.67,524.55,50
CDM,0690244,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690245,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),328.0,360.8,141.04,639.6,50
CDM,0690246,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.0,388.3,151.79,688.35,50
CDM,0690247,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),283.0,311.3,121.69,551.85,50
CDM,0690248,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0690249,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),305.0,335.5,131.15,594.75,50
CDM,0690250,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0690251,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690252,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690253,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0690254,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690255,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0690256,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690257,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690258,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),264.0,290.4,113.52,514.8,50
CDM,0690259,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),333.0,366.3,143.19,649.35,50
CDM,0690260,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690261,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),415.0,456.5,178.45,809.25,50
CDM,0690262,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),332.0,365.2,142.76,647.4,50
CDM,0690263,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),357.0,392.7,153.51,696.15,50
CDM,0690264,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),307.0,337.7,132.01,598.65,50
CDM,0690265,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690266,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690267,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690268,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690269,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),329.0,361.9,141.47,641.55,50
CDM,0690270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690271,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690272,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),548.0,602.8,235.64,1068.6,50
CDM,0690273,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690274,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.0,179.3,70.09,317.85,50
CDM,0690275,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690276,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690277,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0690278,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690279,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690280,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690281,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690282,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690283,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),396.0,435.6,170.28,772.2,50
CDM,0690284,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0690285,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690286,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690287,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),285.0,313.5,122.55,555.75,50
CDM,0690288,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690289,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),328.0,360.8,141.04,639.6,50
CDM,0690290,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0690291,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0690292,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0690293,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690294,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),349.0,383.9,150.07,680.55,50
CDM,0690295,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),254.0,279.4,109.22,495.3,50
CDM,0690296,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690297,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690298,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),282.0,310.2,121.26,549.9,50
CDM,0690299,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0690300,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690301,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690302,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690303,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690304,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0690305,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),351.0,386.1,150.93,684.45,50
CDM,0690306,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690307,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690308,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690309,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),439.0,482.9,188.77,856.05,50
CDM,0690310,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),444.0,488.4,190.92,865.8,50
CDM,0690311,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),308.0,338.8,132.44,600.6,50
CDM,0690312,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),372.0,409.2,159.96,725.4,50
CDM,0690313,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),508.0,558.8,218.44,990.6,50
CDM,0690314,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0690315,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0690316,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0690317,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),473.0,520.3,203.39,922.35,50
CDM,0690318,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0690319,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),290.0,319.0,124.7,565.5,50
CDM,0690328,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0690329,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),188.0,206.8,80.84,366.6,50
CDM,0690330,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0690331,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),403.0,443.3,173.29,785.85,50
CDM,0690332,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690333,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),430.0,473.0,184.9,838.5,50
CDM,0690334,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),340.0,374.0,146.2,663.0,50
CDM,0690335,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0690336,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0690337,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0690338,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),478.0,525.8,205.54,932.1,50
CDM,0690339,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0690340,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),538.0,591.8,231.34,1049.1,50
CDM,0690341,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),539.0,592.9,231.77,1051.05,50
CDM,0690342,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),378.0,415.8,162.54,737.1,50
CDM,0690343,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),411.0,452.1,176.73,801.45,50
CDM,0690344,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0690345,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),430.0,473.0,184.9,838.5,50
CDM,0690346,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0690347,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0690348,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),455.0,500.5,195.65,887.25,50
CDM,0690349,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.0,353.1,138.03,625.95,50
CDM,0690350,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0690351,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),538.0,591.8,231.34,1049.1,50
CDM,0690352,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),420.0,462.0,180.6,819.0,50
CDM,0690353,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),797.0,876.7,342.71,1554.15,50
CDM,0690354,JOINT DEVICE (IMPLANTABLE),4524.0,4976.4,1945.32,8821.8,50
CDM,0690355,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0690356,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690357,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0690358,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690359,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690360,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),344.0,378.4,147.92,670.8,50
CDM,0690361,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690362,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),746.0,820.6,320.78,1454.7,50
CDM,0690363,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.0,357.5,139.75,633.75,50
CDM,0690364,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),451.0,496.1,193.93,879.45,50
CDM,0690365,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),466.0,512.6,200.38,908.7,50
CDM,0690366,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),551.0,606.1,236.93,1074.45,50
CDM,0690367,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0690368,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),824.0,906.4,354.32,1606.8,50
CDM,0690369,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),774.0,851.4,332.82,1509.3,50
CDM,0690370,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1295.0,1424.5,556.85,2525.25,50
CDM,0690371,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),662.0,728.2,284.66,1290.9,50
CDM,0690372,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),787.0,865.7,338.41,1534.65,50
CDM,0690373,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),789.0,867.9,339.27,1538.55,50
CDM,0690374,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),627.0,689.7,269.61,1222.65,50
CDM,0690375,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),678.0,745.8,291.54,1322.1,50
CDM,0690376,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),759.0,834.9,326.37,1480.05,50
CDM,0690377,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0690378,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),752.0,827.2,323.36,1466.4,50
CDM,0690379,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),730.0,803.0,313.9,1423.5,50
CDM,0690380,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),930.0,1023.0,399.9,1813.5,50
CDM,0690381,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),837.0,920.7,359.91,1632.15,50
CDM,0690382,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),747.0,821.7,321.21,1456.65,50
CDM,0690383,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),827.0,909.7,355.61,1612.65,50
CDM,0690384,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1095.0,1204.5,470.85,2135.25,50
CDM,0690385,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),998.0,1097.8,429.14,1946.1,50
CDM,0690386,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),827.0,909.7,355.61,1612.65,50
CDM,0690387,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),880.0,968.0,378.4,1716.0,50
CDM,0690388,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),967.0,1063.7,415.81,1885.65,50
CDM,0690389,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),925.0,1017.5,397.75,1803.75,50
CDM,0690390,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1496.0,1645.6,643.28,2917.2,50
CDM,0690391,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),999.0,1098.9,429.57,1948.05,50
CDM,0690392,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1161.0,1277.1,499.23,2263.95,50
CDM,0690393,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1191.0,1310.1,512.13,2322.45,50
CDM,0690394,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1001.0,1101.1,430.43,1951.95,50
CDM,0690395,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1294.0,1423.4,556.42,2523.3,50
CDM,0690396,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1319.0,1450.9,567.17,2572.05,50
CDM,0690397,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0690398,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1733.0,1906.3,745.19,3379.35,50
CDM,0690399,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1619.0,1780.9,696.17,3157.05,50
CDM,0690400,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1573.0,1730.3,676.39,3067.35,50
CDM,0690401,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1856.0,2041.6,798.08,3619.2,50
CDM,0690402,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1935.0,2128.5,832.05,3773.25,50
CDM,0690403,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1264.0,1390.4,543.52,2464.8,50
CDM,0690404,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1266.0,1392.6,544.38,2468.7,50
CDM,0690411,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0690412,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1215.0,1336.5,522.45,2369.25,50
CDM,0690413,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0690414,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1878.0,2065.8,807.54,3662.1,50
CDM,0690415,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1945.0,2139.5,836.35,3792.75,50
CDM,0690416,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1617.0,1778.7,695.31,3153.15,50
CDM,0690417,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2152.0,2367.2,925.36,4196.4,50
CDM,0690418,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1793.0,1972.3,770.99,3496.35,50
CDM,0690419,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2273.0,2500.3,977.39,4432.35,50
CDM,0690420,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2568.0,2824.8,1104.24,5007.6,50
CDM,0690421,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3140.0,3454.0,1350.2,6123.0,50
CDM,0690422,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3202.0,3522.2,1376.86,6243.9,50
CDM,0690423,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2504.0,2754.4,1076.72,4882.8,50
CDM,0690424,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1985.0,2183.5,853.55,3870.75,50
CDM,0690425,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2092.0,2301.2,899.56,4079.4,50
CDM,0690426,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2407.0,2647.7,1035.01,4693.65,50
CDM,0690427,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2784.0,3062.4,1197.12,5428.8,50
CDM,0690428,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2943.0,3237.3,1265.49,5738.85,50
CDM,0690429,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3055.0,3360.5,1313.65,5957.25,50
CDM,0690430,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3976.0,4373.6,1709.68,7753.2,50
CDM,0690431,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2864.0,3150.4,1231.52,5584.8,50
CDM,0690432,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3162.0,3478.2,1359.66,6165.9,50
CDM,0690433,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3064.0,3370.4,1317.52,5974.8,50
CDM,0690434,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2688.0,2956.8,1155.84,5241.6,50
CDM,0690435,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5486.0,6034.6,2358.98,10697.7,50
CDM,0690436,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0690437,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),557.0,612.7,239.51,1086.15,50
CDM,0690438,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0690439,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690440,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690441,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0690442,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),69.0,75.9,29.67,134.55,50
CDM,0690443,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690444,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),68.0,74.8,29.24,132.6,50
CDM,0690445,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),119.0,130.9,51.17,232.05,50
CDM,0690446,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0690447,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690448,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0690449,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0690450,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690451,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),64.0,70.4,27.52,124.8,50
CDM,0690452,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),63.0,69.3,27.09,122.85,50
CDM,0690453,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),62.0,68.2,26.66,120.9,50
CDM,0690454,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),101.0,111.1,43.43,196.95,50
CDM,0690455,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),103.0,113.3,44.29,200.85,50
CDM,0690456,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0690457,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0690458,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),123.0,135.3,52.89,239.85,50
CDM,0690459,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690460,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0690461,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),92.0,101.2,39.56,179.4,50
CDM,0690462,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),98.0,107.8,42.14,191.1,50
CDM,0690463,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0690464,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0690465,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690466,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),71.0,78.1,30.53,138.45,50
CDM,0690467,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),83.0,91.3,35.69,161.85,50
CDM,0690468,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690469,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),131.0,144.1,56.33,255.45,50
CDM,0690470,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0690471,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),115.0,126.5,49.45,224.25,50
CDM,0690472,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),94.0,103.4,40.42,183.3,50
CDM,0690473,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),112.0,123.2,48.16,218.4,50
CDM,0690474,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690475,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),89.0,97.9,38.27,173.55,50
CDM,0690476,CATH BALLN VALVULOPLASTY,1663.0,1663.0,341.91,1330.4,45
CDM,0690477,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",40612.0,44673.2,17463.16,79193.4,50
CDM,0690478,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",85925.0,94517.5,36947.75,167553.75,50
CDM,0690479,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",22050.0,24255.0,9481.5,42997.5,50
CDM,0690480,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",22491.0,24740.1,9671.13,43857.45,50
CDM,0690481,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",81200.0,89320.0,34916.0,158340.0,50
CDM,0690482,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",51454.0,56599.4,22125.22,100335.3,50
CDM,0690483,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3786.0,4164.6,1627.98,7382.7,50
CDM,0690484,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690485,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0690486,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0690487,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,0690488,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2212.0,2433.2,951.16,4313.4,50
CDM,0690489,JOINT DEVICE (IMPLANTABLE),4900.0,5390.0,2107.0,9555.0,50
CDM,0690490,JOINT DEVICE (IMPLANTABLE),3623.0,3985.3,1557.89,7064.85,50
CDM,0690491,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0690492,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",729.0,801.9,313.47,1421.55,50
CDM,0690493,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",316.0,347.6,135.88,616.2,50
CDM,0690494,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),58.0,63.8,24.94,113.1,50
CDM,0690495,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),103.0,113.3,44.29,200.85,50
CDM,0690496,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690497,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1017.0,1118.7,437.31,1983.15,50
CDM,0690498,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4988.0,5486.8,2144.84,9726.6,50
CDM,0690499,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),10063.0,11069.3,4327.09,19622.85,50
CDM,0690500,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2013.0,2214.3,865.59,3925.35,50
CDM,0690501,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0690502,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",306.0,336.6,131.58,596.7,50
CDM,0690503,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690504,ELECT ENDO BUTTON TIP,912.0,912.0,187.51,729.6,45
CDM,0690505,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),270.0,297.0,116.1,526.5,50
CDM,0690506,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),206.0,226.6,88.58,401.7,50
CDM,0690507,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),582.0,640.2,250.26,1134.9,50
CDM,0690508,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),599.0,658.9,257.57,1168.05,50
CDM,0690509,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0690510,SYS VEIN HRVST CONNCL DISSCTR,1925.0,1925.0,395.78,1540.0,45
CDM,0690511,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0690512,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.0,288.2,112.66,510.9,50
CDM,0690513,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0690514,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),144.0,158.4,61.92,280.8,50
CDM,0690515,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690516,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),209.0,229.9,89.87,407.55,50
CDM,0690517,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),389.0,427.9,167.27,758.55,50
CDM,0690518,JOINT DEVICE (IMPLANTABLE),3113.0,3424.3,1338.59,6070.35,50
CDM,0690519,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",866.0,952.6,372.38,1688.7,50
CDM,0690520,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",9623.0,10585.3,4137.89,18764.85,50
CDM,0690521,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0690522,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1750.0,1925.0,752.5,3412.5,50
CDM,0690523,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690524,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0690525,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690526,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),277.0,304.7,119.11,540.15,50
CDM,0690527,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690528,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0690529,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),227.0,249.7,97.61,442.65,50
CDM,0690530,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),866.0,952.6,372.38,1688.7,50
CDM,0690531,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),868.0,954.8,373.24,1692.6,50
CDM,0690532,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2546.0,2800.6,1094.78,4964.7,50
CDM,0690533,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2878.0,3165.8,1237.54,5612.1,50
CDM,0690534,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),256.0,281.6,110.08,499.2,50
CDM,0690535,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),315.0,346.5,135.45,614.25,50
CDM,0690536,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),614.0,675.4,264.02,1197.3,50
CDM,0690537,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),908.0,998.8,390.44,1770.6,50
CDM,0690538,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690539,JOINT DEVICE (IMPLANTABLE),2142.0,2356.2,921.06,4176.9,50
CDM,0690540,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0690541,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690542,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.0,1337.6,522.88,2371.2,50
CDM,0690543,JOINT DEVICE (IMPLANTABLE),1937.0,2130.7,832.91,3777.15,50
CDM,0690544,JOINT DEVICE (IMPLANTABLE),1964.0,2160.4,844.52,3829.8,50
CDM,0690545,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),186.0,204.6,79.98,362.7,50
CDM,0690546,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),201.0,221.1,86.43,391.95,50
CDM,0690547,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),207.0,227.7,89.01,403.65,50
CDM,0690548,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),223.0,245.3,95.89,434.85,50
CDM,0690549,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),297.0,326.7,127.71,579.15,50
CDM,0690550,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),617.0,678.7,265.31,1203.15,50
CDM,0690551,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1916.0,2107.6,823.88,3736.2,50
CDM,0690552,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0690553,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0690554,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690555,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5950.0,6545.0,2558.5,11602.5,50
CDM,0690556,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0690557,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),215.0,236.5,92.45,419.25,50
CDM,0690558,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1694.0,1863.4,728.42,3303.3,50
CDM,0690559,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0690560,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690561,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),309.0,339.9,132.87,602.55,50
CDM,0690562,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0690563,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0690564,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690565,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0690566,"THERASKIN, PER SQUARE CENTIMETER",6116.0,6727.6,2629.88,11926.2,50
CDM,0690567,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),262.0,288.2,112.66,510.9,50
CDM,0690568,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),498.0,547.8,214.14,971.1,50
CDM,0690569,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.0,9438.0,3689.4,16731.0,50
CDM,0690570,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8750.0,9625.0,3762.5,17062.5,50
CDM,0690571,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),433.0,476.3,186.19,844.35,50
CDM,0690572,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),329.0,361.9,141.47,641.55,50
CDM,0690573,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),329.0,361.9,141.47,641.55,50
CDM,0690574,JOINT DEVICE (IMPLANTABLE),4813.0,5294.3,2069.59,9385.35,50
CDM,0690575,DVC VIEWSITE BRAIN ACCESS SYS,1216.0,1216.0,250.01,972.8,45
CDM,0690576,JOINT DEVICE (IMPLANTABLE),4428.0,4870.8,1904.04,8634.6,50
CDM,0690577,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0690578,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),191.0,210.1,82.13,372.45,50
CDM,0690579,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0690580,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690581,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1391.0,1530.1,598.13,2712.45,50
CDM,0690582,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),203.0,223.3,87.29,395.85,50
CDM,0690583,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690584,JOINT DEVICE (IMPLANTABLE),4463.0,4909.3,1919.09,8702.85,50
CDM,0690585,JOINT DEVICE (IMPLANTABLE),4016.0,4417.6,1726.88,7831.2,50
CDM,0690586,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690587,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0690589,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690590,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0690591,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0690592,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.0,353.1,138.03,625.95,50
CDM,0690593,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),419.0,460.9,180.17,817.05,50
CDM,0690594,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),296.0,325.6,127.28,577.2,50
CDM,0690595,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690596,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),352.0,387.2,151.36,686.4,50
CDM,0690597,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1269.0,1395.9,545.67,2474.55,50
CDM,0690598,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1396.0,1535.6,600.28,2722.2,50
CDM,0690599,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),8580.0,9438.0,3689.4,16731.0,50
CDM,0690600,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),190.0,209.0,81.7,370.5,50
CDM,0690601,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690602,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),223.0,245.3,95.89,434.85,50
CDM,0690603,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),525.0,577.5,225.75,1023.75,50
CDM,0690604,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690605,JOINT DEVICE (IMPLANTABLE),7844.0,8628.4,3372.92,15295.8,50
CDM,0690606,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2051.0,2256.1,881.93,3999.45,50
CDM,0690607,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2937.0,3230.7,1262.91,5727.15,50
CDM,0690608,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2963.0,3259.3,1274.09,5777.85,50
CDM,0690609,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),99.0,108.9,42.57,193.05,50
CDM,0690610,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),111.0,122.1,47.73,216.45,50
CDM,0690611,JOINT DEVICE (IMPLANTABLE),5058.0,5563.8,2174.94,9863.1,50
CDM,0690612,JOINT DEVICE (IMPLANTABLE),3591.0,3950.1,1544.13,7002.45,50
CDM,0690613,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1836.0,2019.6,789.48,3580.2,50
CDM,0690614,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3189.0,3507.9,1371.27,6218.55,50
CDM,0690615,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),788.0,866.8,338.84,1536.6,50
CDM,0690616,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690617,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0690618,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2450.0,2695.0,1053.5,4777.5,50
CDM,0690619,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1575.0,423.68,3071.25,45
CDM,0690620,JOINT DEVICE (IMPLANTABLE),2341.0,2575.1,1006.63,4564.95,50
CDM,0690621,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",852.0,937.2,366.36,1661.4,50
CDM,0690622,JOINT DEVICE (IMPLANTABLE),1661.0,1827.1,714.23,3238.95,50
CDM,0690623,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.0,353.1,138.03,625.95,50
CDM,0690624,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),397.0,436.7,170.71,774.15,50
CDM,0690625,JOINT DEVICE (IMPLANTABLE),2499.0,2748.9,1074.57,4873.05,50
CDM,0690626,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),353.0,388.3,151.79,688.35,50
CDM,0690627,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690628,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),339.0,372.9,145.77,661.05,50
CDM,0690629,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),341.0,375.1,146.63,664.95,50
CDM,0690630,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0690631,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0690632,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),875.0,962.5,376.25,1706.25,50
CDM,0690633,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),377.0,414.7,162.11,735.15,50
CDM,0690634,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0690635,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),499.0,548.9,214.57,973.05,50
CDM,0690636,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),179.0,196.9,76.97,349.05,50
CDM,0690637,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),541.0,595.1,232.63,1054.95,50
CDM,0690638,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),975.0,1072.5,419.25,1901.25,50
CDM,0690639,JOINT DEVICE (IMPLANTABLE),2410.0,2651.0,1036.3,4699.5,50
CDM,0690640,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0690641,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690642,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4375.0,4812.5,1881.25,8531.25,50
CDM,0690643,JOINT DEVICE (IMPLANTABLE),3229.0,3551.9,1388.47,6296.55,50
CDM,0690644,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),336.0,369.6,144.48,655.2,50
CDM,0690645,JOINT DEVICE (IMPLANTABLE),11900.0,13090.0,5117.0,23205.0,50
CDM,0690646,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2127.0,2339.7,914.61,4147.65,50
CDM,0690647,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),347.0,381.7,149.21,676.65,50
CDM,0690648,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),333.0,366.3,143.19,649.35,50
CDM,0690649,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),420.0,462.0,180.6,819.0,50
CDM,0690650,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690651,JOINT DEVICE (IMPLANTABLE),1457.0,1602.7,626.51,2841.15,50
CDM,0690652,JOINT DEVICE (IMPLANTABLE),843.0,927.3,362.49,1643.85,50
CDM,0690653,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3622.0,3984.2,1557.46,7062.9,50
CDM,0690654,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),499.0,548.9,214.57,973.05,50
CDM,0690655,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0690656,JOINT DEVICE (IMPLANTABLE),3126.0,3438.6,1344.18,6095.7,50
CDM,0690657,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),234.0,257.4,100.62,456.3,50
CDM,0690658,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690659,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1050.0,1155.0,451.5,2047.5,50
CDM,0690660,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690661,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5950.0,6545.0,2558.5,11602.5,50
CDM,0690662,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1383.0,1521.3,594.69,2696.85,50
CDM,0690663,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0690664,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),537.0,590.7,230.91,1047.15,50
CDM,0690665,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),446.0,490.6,191.78,869.7,50
CDM,0690666,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1799.0,1978.9,773.57,3508.05,50
CDM,0690667,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),600.0,660.0,258.0,1170.0,50
CDM,0690668,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),589.0,647.9,253.27,1148.55,50
CDM,0690669,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),346.0,380.6,148.78,674.7,50
CDM,0690670,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),687.0,755.7,295.41,1339.65,50
CDM,0690671,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),706.0,776.6,303.58,1376.7,50
CDM,0690672,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),764.0,840.4,328.52,1489.8,50
CDM,0690673,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),594.0,653.4,255.42,1158.3,50
CDM,0690674,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.0,781.0,305.3,1384.5,50
CDM,0690675,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),956.0,1051.6,411.08,1864.2,50
CDM,0690676,JOINT DEVICE (IMPLANTABLE),3032.0,3335.2,1303.76,5912.4,50
CDM,0690677,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),306.0,336.6,131.58,596.7,50
CDM,0690678,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),710.0,781.0,305.3,1384.5,50
CDM,0690679,JOINT DEVICE (IMPLANTABLE),4168.0,4584.8,1792.24,8127.6,50
CDM,0690680,JOINT DEVICE (IMPLANTABLE),3480.0,3828.0,1496.4,6786.0,50
CDM,0690681,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),163.0,179.3,70.09,317.85,50
CDM,0690682,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),700.0,770.0,301.0,1365.0,50
CDM,0690683,JOINT DEVICE (IMPLANTABLE),16757.0,18432.7,7205.51,32676.15,50
CDM,0690684,JOINT DEVICE (IMPLANTABLE),11550.0,12705.0,4966.5,22522.5,50
CDM,0690685,JOINT DEVICE (IMPLANTABLE),7963.0,8759.3,3424.09,15527.85,50
CDM,0690686,JOINT DEVICE (IMPLANTABLE),10770.0,11847.0,4631.1,21001.5,50
CDM,0690687,JOINT DEVICE (IMPLANTABLE),11025.0,12127.5,4740.75,21498.75,50
CDM,0690688,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),507.0,557.7,218.01,988.65,50
CDM,0690689,SYS HEARTSTRING II,2085.0,2085.0,428.68,1668.0,45
CDM,0690690,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1148.0,1262.8,493.64,2238.6,50
CDM,0690691,JOINT DEVICE (IMPLANTABLE),7000.0,7700.0,3010.0,13650.0,50
CDM,0690692,JOINT DEVICE (IMPLANTABLE),10971.0,12068.1,4717.53,21393.45,50
CDM,0690693,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),583.0,641.3,250.69,1136.85,50
CDM,0690694,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),583.0,641.3,250.69,1136.85,50
CDM,0690695,JOINT DEVICE (IMPLANTABLE),9363.0,10299.3,4026.09,18257.85,50
CDM,0690696,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1326.0,1458.6,570.18,2585.7,50
CDM,0690697,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1400.0,1540.0,602.0,2730.0,50
CDM,0690698,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2013.0,2214.3,865.59,3925.35,50
CDM,0690699,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),416.0,457.6,178.88,811.2,50
CDM,0690700,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4264.0,4690.4,1833.52,8314.8,50
CDM,0690701,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),252.0,277.2,108.36,491.4,50
CDM,0690702,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),153.0,168.3,65.79,298.35,50
CDM,0690703,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1981.0,2179.1,851.83,3862.95,50
CDM,0690704,JOINT DEVICE (IMPLANTABLE),3079.0,3386.9,1323.97,6004.05,50
CDM,0690705,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",3095.0,3404.5,832.56,6035.25,45
CDM,0690706,JOINT DEVICE (IMPLANTABLE),8400.0,9240.0,3612.0,16380.0,50
CDM,0690707,JOINT DEVICE (IMPLANTABLE),8489.0,9337.9,3650.27,16553.55,50
CDM,0690708,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),337.0,370.7,144.91,657.15,50
CDM,0690709,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),316.0,347.6,135.88,616.2,50
CDM,0690710,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",34500.0,37950.0,14835.0,67275.0,50
CDM,0690711,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1706.0,1876.6,733.58,3326.7,50
CDM,0690712,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1769.0,1945.9,760.67,3449.55,50
CDM,0690713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),875.0,962.5,376.25,1706.25,50
CDM,0690714,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),9188.0,10106.8,3950.84,17916.6,50
CDM,0690715,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2100.0,2310.0,903.0,4095.0,50
CDM,0690716,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1469.0,1615.9,631.67,2864.55,50
CDM,0690717,JOINT DEVICE (IMPLANTABLE),7436.0,8179.6,3197.48,14500.2,50
CDM,0690718,JOINT DEVICE (IMPLANTABLE),4341.0,4775.1,1866.63,8464.95,50
CDM,0690719,DVC KIT FHL IMPL SYS,2878.0,2878.0,591.72,2302.4,45
CDM,0690720,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,0690721,JOINT DEVICE (IMPLANTABLE),3788.0,4166.8,1628.84,7386.6,50
CDM,0690722,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1435.0,1578.5,617.05,2798.25,50
CDM,0690723,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3323.0,3655.3,1428.89,6479.85,50
CDM,0690724,JOINT DEVICE (IMPLANTABLE),11415.0,12556.5,4908.45,22259.25,50
CDM,0690725,JOINT DEVICE (IMPLANTABLE),2156.0,2371.6,927.08,4204.2,50
CDM,0690726,JOINT DEVICE (IMPLANTABLE),14143.0,15557.3,6081.49,27578.85,50
CDM,0690727,JOINT DEVICE (IMPLANTABLE),2127.0,2339.7,914.61,4147.65,50
CDM,0690728,"ALLODERM, PER SQUARE CENTIMETER",775.0,852.5,333.25,1511.25,50
CDM,0690729,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4995.0,5494.5,2147.85,9740.25,50
CDM,0690730,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3194.0,3513.4,1373.42,6228.3,50
CDM,0690731,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,0690732,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1116.0,1227.6,479.88,2176.2,50
CDM,0690733,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1566.0,1722.6,673.38,3053.7,50
CDM,0690734,TITANIUM GUIDES,16110.0,16110.0,3312.22,12888.0,45
CDM,0690735,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),919.0,1010.9,395.17,1792.05,50
CDM,0690736,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),414.0,455.4,178.02,807.3,50
CDM,0690737,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),481.0,529.1,206.83,937.95,50
CDM,0690738,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1957.0,2152.7,841.51,3816.15,50
CDM,0690739,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),569.0,625.9,244.67,1109.55,50
CDM,0690740,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4541.0,4995.1,1952.63,8854.95,50
CDM,0690741,EF STRUT XTRNFX 89-,3347.0,3347.0,688.14,2677.6,45
CDM,0690742,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0690743,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),515.0,566.5,221.45,1004.25,50
CDM,0690744,JOINT DEVICE (IMPLANTABLE),2874.0,3161.4,1235.82,5604.3,50
CDM,0690745,JOINT DEVICE (IMPLANTABLE),2914.0,3205.4,1253.02,5682.3,50
CDM,0690746,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3491.0,3840.1,1501.13,6807.45,50
CDM,0690747,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),75.0,82.5,32.25,146.25,50
CDM,0690748,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),394.0,433.4,169.42,768.3,50
CDM,0690749,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1252.0,1377.2,538.36,2441.4,50
CDM,0690750,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10500.0,11550.0,4515.0,20475.0,50
CDM,0690751,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4192.0,4611.2,1802.56,8174.4,50
CDM,0690752,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4541.0,4995.1,1952.63,8854.95,50
CDM,0690753,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),438.0,481.8,188.34,854.1,50
CDM,0690754,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),910.0,1001.0,391.3,1774.5,50
CDM,0690755,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1059.0,1164.9,455.37,2065.05,50
CDM,0690756,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1916.0,2107.6,823.88,3736.2,50
CDM,0690757,JOINT DEVICE (IMPLANTABLE),10770.0,11847.0,4631.1,21001.5,50
CDM,0690758,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3817.0,4198.7,1641.31,7443.15,50
CDM,0690759,JOINT DEVICE (IMPLANTABLE),3574.0,3931.4,1536.82,6969.3,50
CDM,0690760,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1575.0,1732.5,677.25,3071.25,50
CDM,0690761,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),371.0,408.1,159.53,723.45,50
CDM,0690762,JOINT DEVICE (IMPLANTABLE),7350.0,8085.0,3160.5,14332.5,50
CDM,0690763,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1939.0,2132.9,833.77,3781.05,50
CDM,0690764,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690765,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),385.0,423.5,165.55,750.75,50
CDM,0690766,JOINT DEVICE (IMPLANTABLE),6540.0,7194.0,2812.2,12753.0,50
CDM,0690767,JOINT DEVICE (IMPLANTABLE),2574.0,2831.4,1106.82,5019.3,50
CDM,0690768,JOINT DEVICE (IMPLANTABLE),3758.0,4133.8,1615.94,7328.1,50
CDM,0690769,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),325.0,357.5,139.75,633.75,50
CDM,0690770,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4305.0,4735.5,1851.15,8394.75,50
CDM,0690771,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2608.0,2608.0,701.55,5085.6,45
CDM,0690772,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3133.0,3133.0,842.78,6109.35,45
CDM,0690773,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0690774,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0690775,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),350.0,385.0,150.5,682.5,50
CDM,0690776,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2827.0,3109.7,1215.61,5512.65,50
CDM,0690777,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),529.0,581.9,227.47,1031.55,50
CDM,0690778,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2086.0,2294.6,896.98,4067.7,50
CDM,0690779,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),12390.0,13629.0,5327.7,24160.5,50
CDM,0690780,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),965.0,1061.5,414.95,1881.75,50
CDM,0690781,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),133.0,146.3,57.19,259.35,50
CDM,0690782,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5066.0,5572.6,2178.38,9878.7,50
CDM,0690783,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2616.0,2877.6,1124.88,5101.2,50
CDM,0690784,"PORT, INDWELLING (IMPLANTABLE)",1397.0,1536.7,600.71,2724.15,50
CDM,0690785,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),591.0,650.1,254.13,1152.45,50
CDM,0690786,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),367.0,403.7,157.81,715.65,50
CDM,0690787,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2247.0,2471.7,966.21,4381.65,50
CDM,0690788,"GRAFT, VASCULAR",1535.0,1688.5,660.05,2993.25,50
CDM,0690789,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1400.0,1400.0,376.6,2730.0,45
CDM,0690790,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1400.0,1400.0,376.6,2730.0,45
CDM,0690791,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11524.0,11524.0,3099.96,22471.8,45
CDM,0690792,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),567.0,623.7,243.81,1105.65,50
CDM,0690793,"ALLODERM, PER SQUARE CENTIMETER",16909.0,18599.9,7270.87,32972.55,50
CDM,0690794,SEALANT COSEAL 4ML,1331.0,1331.0,273.65,1064.8,45
CDM,0690795,"STRATTICE TM, PER SQUARE CENTIMETER",21767.0,23943.7,9359.81,42445.65,50
CDM,0690796,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0690797,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),16027.0,17629.7,6891.61,31252.65,50
CDM,0690798,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",8750.0,9625.0,3762.5,17062.5,50
CDM,0690799,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1925.0,2117.5,827.75,3753.75,50
CDM,0690800,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),143.0,157.3,61.49,278.85,50
CDM,0690801,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),165.0,181.5,70.95,321.75,50
CDM,0690802,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),220.0,242.0,94.6,429.0,50
CDM,0690803,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),240.0,264.0,103.2,468.0,50
CDM,0690804,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),207.0,227.7,89.01,403.65,50
CDM,0690805,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),298.0,327.8,128.14,581.1,50
CDM,0690806,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690807,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3491.0,3840.1,1501.13,6807.45,50
CDM,0690808,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0690809,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),263.0,289.3,113.09,512.85,50
CDM,0690810,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),200.0,220.0,86.0,390.0,50
CDM,0690811,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),656.0,721.6,282.08,1279.2,50
CDM,0690812,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),318.0,349.8,136.74,620.1,50
CDM,0690813,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),238.0,261.8,102.34,464.1,50
CDM,0690814,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2625.0,2887.5,1128.75,5118.75,50
CDM,0690815,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),245.0,269.5,105.35,477.75,50
CDM,0690816,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690817,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1580.0,1738.0,679.4,3081.0,50
CDM,0690818,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),321.0,353.1,138.03,625.95,50
CDM,0690819,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),397.0,436.7,170.71,774.15,50
CDM,0690820,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),375.0,412.5,161.25,731.25,50
CDM,0690821,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),146.0,160.6,62.78,284.7,50
CDM,0690822,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),527.0,579.7,226.61,1027.65,50
CDM,0690823,JOINT DEVICE (IMPLANTABLE),2763.0,3039.3,1188.09,5387.85,50
CDM,0690824,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3540.0,3894.0,1522.2,6903.0,50
CDM,0690825,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),289.0,317.9,124.27,563.55,50
CDM,0690826,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2770.0,3047.0,1191.1,5401.5,50
CDM,0690827,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1200.0,1320.0,516.0,2340.0,50
CDM,0690828,JOINT DEVICE (IMPLANTABLE),3079.0,3386.9,1323.97,6004.05,50
CDM,0690829,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1750.0,1750.0,470.75,3412.5,45
CDM,0690830,"PORT, INDWELLING (IMPLANTABLE)",368.0,404.8,158.24,717.6,50
CDM,0690831,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),512.0,563.2,220.16,998.4,50
CDM,0690832,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0690833,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5066.0,5572.6,2178.38,9878.7,50
CDM,0690834,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),4995.0,5494.5,2147.85,9740.25,50
CDM,0690835,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",10850.0,11935.0,4665.5,21157.5,50
CDM,0690836,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),891.0,980.1,383.13,1737.45,50
CDM,0690837,VSP ORTHOG GUIDES-TITANIUM,5184.0,5184.0,1065.83,4147.2,45
CDM,0690838,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2447.0,2691.7,1052.21,4771.65,50
CDM,0690839,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1216.0,1337.6,522.88,2371.2,50
CDM,0690840,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1871.0,2058.1,804.53,3648.45,50
CDM,0690841,DRILL BIT 14MM CANN STRL,1936.0,1936.0,398.04,1548.8,45
CDM,0690842,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2455.0,2700.5,1055.65,4787.25,50
CDM,0690843,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2636.0,2899.6,1133.48,5140.2,50
CDM,0690844,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1268.0,1394.8,545.24,2472.6,50
CDM,0690845,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),319.0,350.9,137.17,622.05,50
CDM,0690846,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),317.0,348.7,136.31,618.15,50
CDM,0690847,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),949.0,1043.9,408.07,1850.55,50
CDM,0690848,KIT INSTRUMENT,1264.0,1264.0,259.88,1011.2,45
CDM,0690849,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2916.0,3207.6,1253.88,5686.2,50
CDM,0690850,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.0,2091.0,562.48,4077.45,45
CDM,0690856,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3156.0,3471.6,1357.08,6154.2,50
CDM,0690858,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),250.0,275.0,107.5,487.5,50
CDM,0690863,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),3395.0,3734.5,1459.85,6620.25,50
CDM,0690866,JOINT DEVICE (IMPLANTABLE),3684.0,4052.4,1584.12,7183.8,50
CDM,0690868,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),345.0,379.5,148.35,672.75,50
CDM,0700003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0700004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0700005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0700006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0700007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0700008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0700009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0700010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0700011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0700012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0700013,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0700014,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0700015,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0700016,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0700017,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0700018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0700019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0700020,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0700021,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0700022,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0700023,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,61
CDM,0700025,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0700026,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,0700028,Simple insertion of temporary bladder tube,208.0,120.0,55.63,4984.0,61
CDM,0700029,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0700030,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0700032,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0700033,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0700034,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0700037,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0700038,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0700039,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0700040,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0700041,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0700042,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,0700043,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0700049,Measurement of liver stiffness,202.0,148.0,54.34,393.9,56
CDM,0710003,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,1075.0,696.0,462.25,2096.25,59
CDM,0710004,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,1075.0,696.0,462.25,2096.25,59
CDM,0710005,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0710055,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0710070,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,1075.0,696.0,289.18,2096.25,59
CDM,0710104,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0710105,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0710107,"CVVHD-DAILYSATE 5,000 CC",177.0,177.0,36.39,141.6,45
CDM,0710110,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0710112,PED CVVHD DIALYSATE(1000CC/HR/,288.0,288.0,59.21,230.4,45
CDM,0710114,Mechanical separation of plasma and abnormal antibodies from blood,6823.0,4301.0,1835.39,27978.0,61
CDM,0710116,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0710117,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0710118,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0720010,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0720012,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0720013,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0720015,PED CVVHD DIALYSATE 5000ML/DAY,177.0,177.0,36.39,141.6,45
CDM,0720017,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0720019,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0720023,Mechanical separation of plasma and abnormal antibodies from blood,6823.0,4301.0,420.0,27978.0,64
CDM,0720024,Declotting of central venous tube,518.0,339.0,139.34,5962.0,61
CDM,0720025,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,1075.0,696.0,462.25,2096.25,59
CDM,0720029,AQUADEX BLOOD SET,1715.0,1715.0,352.6,1372.0,45
CDM,0720036,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,56
CDM,0720038,Therapeutic ultrafiltration,2468.0,,178.32,4812.6,56
CDM,0720055,Hemodialysis procedure with physician evaluation,1143.0,696.0,491.49,2228.85,59
CDM,0720061,Dialysis procedure including 1 evaluation,883.0,387.0,379.69,1721.85,59
CDM,0720125,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",275.0,302.5,118.25,536.25,50
CDM,0720167,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0720168,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0720406,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0720408,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,56
CDM,0729100,SCHEDULED INTERDISCIPLINARY TEAM CONFERENCE (MINIMUM OF THREE EXCLUSIVE OF PATIENT CARE NURSING STAFF) WITH PATIENT PRESENT,654.0,387.0,72.0,1275.3,57
CDM,0740003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0740004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0740005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0740006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0740007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0740008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0740009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0740010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0740011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0740012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0740013,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0740014,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0740015,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0740016,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0740017,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0740018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0740019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0740020,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0740021,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0740022,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0740025,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0740027,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,0740030,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0740031,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0740033,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0740034,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0740035,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0740049,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,61
CDM,0740052,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0740053,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0740054,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0740055,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0740056,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0740058,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,0740059,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,0740060,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0740061,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,0740062,Measurement of liver stiffness,202.0,148.0,54.34,393.9,56
CDM,0750001,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,0750003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0750004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0750005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0750006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0750007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0750008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0750009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0750010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0750011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0750012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0750013,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0750014,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0750015,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0750016,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0750017,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0750018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0750019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0750020,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0750021,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0750022,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0750024,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,61
CDM,0750027,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0750029,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,0750030,"Education and training for patient self-management, 5-8 patients, each 30 minutes",96.0,96.0,25.82,187.2,59
CDM,0750031,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,0750032,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0750033,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0750035,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0750036,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0750037,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0750038,"Administration of nasal or oral vaccine, 1 vaccine",113.0,66.0,27.99,220.35,59
CDM,0750052,Needle biopsy of kidney,2588.0,1496.0,696.17,15383.0,61
CDM,0750053,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0750054,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0750055,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0750056,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0750057,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0750059,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,0750060,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,0750061,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0750062,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,0750064,Measurement of liver stiffness,202.0,148.0,54.34,393.9,56
CDM,0760003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0760004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0760005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0760006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0760007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0760008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0760009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0760010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0760011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0760012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0760013,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0760014,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0760015,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0760016,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0760017,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0760018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0760019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0760020,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0760021,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0760022,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0760023,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0760029,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0760031,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0760032,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0760033,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0760036,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0760047,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,0760048,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,61
CDM,0760049,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0760051,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0760052,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0760053,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0760054,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0760055,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,0760056,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,0760058,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,0760059,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,64
CDM,0760063,Measurement of liver stiffness,202.0,148.0,54.34,393.9,56
CDM,0760075,Test for exercise-induced heart and lung stress,682.0,281.0,71.36,1758.0,64
CDM,0780003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0780004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0780005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0780006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,0780007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,0780008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,0780009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0780010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0780011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0780012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0780013,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0780014,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0780015,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0780016,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0780017,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0780018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0780019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0780020,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0780021,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0780022,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0780023,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,61
CDM,0780025,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,0780026,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,0780029,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0780030,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,0780032,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,0780033,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,0780034,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,0780037,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,0780038,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,0780039,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,0780040,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,0780041,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,0780042,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,0780043,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0780049,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,64
CDM,0780052,Measurement of liver stiffness,202.0,148.0,54.34,393.9,56
CDM,0810140,Electrocardiogram (ECG) 1 to 3 leads,182.0,59.0,16.95,1758.0,64
CDM,0810150,Routine electrocardiogram (ECG) using at least 12 leads with tracing,300.0,59.0,16.95,1758.0,64
CDM,0812819,Electrocardiogram (ECG) 2-day continuous with report,890.0,120.0,35.07,2086.0,64
CDM,0812820,Electrocardiogram (ECG) 2-day continuous,431.0,120.0,35.07,2086.0,64
CDM,0812830,Electrocardiogram (ECG) 2-day continuous,431.0,120.0,35.07,2086.0,64
CDM,0812840,Electrocardiogram (ECG) 2-day continuous,431.0,120.0,35.07,2086.0,64
CDM,0812841,Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician,223.0,223.0,59.99,3411.0,64
CDM,0820003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0820007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,0820008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,0820009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,0820010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,0820011,Routine electrocardiogram (ECG) using at least 12 leads with tracing,300.0,59.0,16.95,1758.0,64
CDM,0820012,Programming of multiple lead pacemaker system,59.0,40.0,15.87,3411.0,64
CDM,0820013,Programming of multiple lead implantable defibrillator system,59.0,40.0,15.87,3411.0,64
CDM,0820410,Programming of single lead implantable defibrillator system,370.0,40.0,23.17,3411.0,64
CDM,0820411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,0820412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,0820413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,0820414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0820415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,0820416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,0820417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,0820418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,0820419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,0820421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,0820440,Programming of cardiac rhythm monitor system,296.0,40.0,23.17,3411.0,64
CDM,0821830,Programming of single lead pacemaker system,433.0,40.0,23.17,3411.0,64
CDM,0830001,Insertion of tube in right heart chambers for measurement,16008.0,3084.0,1619.31,34131.0,61
CDM,0830002,Insertion of tube in left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830003,Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830006,Injection for nonselective imaging of pulmonary artery during heart catheterization,1816.0,1816.0,243.95,34131.0,61
CDM,0830007,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,3411.0,64
CDM,0830008,Removal of blood clot in heart artery,3517.0,3517.0,690.0,9800.0,64
CDM,0830009,External shock to heart to regulate heart beat,2083.0,597.0,434.49,4061.85,64
CDM,0830011,Drainage of heart sac using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,0830015,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,0830016,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",47250.0,47250.0,3461.0,92137.5,45
CDM,0830018,Balloon dilation repair of mitral valve,18083.0,10681.0,5688.0,35261.85,61
CDM,0830019,INTRODUCER KIT FOR IMPELLA,1225.0,1225.0,251.86,980.0,45
CDM,0830021,"Balloon dilation of pulmonary artery, single vessel",18084.0,10681.0,5688.0,35263.8,61
CDM,0830026,Insertion of catheters for recording and pacing of right heart chambers rhythm,12604.0,6464.0,4371.71,34131.0,61
CDM,0830027,Programming of heart rhythm stimulation after drug infusion,6049.0,6049.0,2601.07,34131.0,61
CDM,0830028,Intra-operative heart pacing and mapping of abnormal heart rhythm for surgical correction,5897.0,5897.0,2535.71,34131.0,61
CDM,0830029,Infusion of drug with evaluation of coronary artery spasm response,700.0,289.0,109.83,3411.0,64
CDM,0830031,Insertion of tube for 3D mapping of electrical impulses to heart muscle,4207.0,4207.0,1809.01,34131.0,61
CDM,0830034,Injection for imaging of right heart chambers with review by radiologist,2139.0,2139.0,243.95,34131.0,61
CDM,0830039,Insertion of temporary pacemaker lead in single heart chamber,9690.0,8676.0,1029.92,27978.0,64
CDM,0830040,"Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation",27034.0,17078.0,7208.04,52716.3,59
CDM,0830042,Insertion of tube in bypass graft for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830044,Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830045,"PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G., ANGIOSEAL PLUG, VASCULAR PLUG)",774.0,774.0,332.82,34131.0,50
CDM,0830046,"Insertion of tube in right heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist",5079.0,3084.0,1619.31,34131.0,61
CDM,0830047,Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830048,Fluoroscopic guidance for insertion or removal of central vein access device,571.0,571.0,146.51,2086.0,61
CDM,0830049,Fluoroscopic guidance for needle placement,1078.0,1078.0,146.51,2102.1,61
CDM,0830050,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",19878.0,10681.0,5688.0,38762.1,61
CDM,0830051,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO",14661.0,14661.0,5688.0,34131.0,61
CDM,0830055,"Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist",16008.0,3084.0,1619.31,34131.0,61
CDM,0830056,"Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist",16008.0,3084.0,1619.31,34131.0,61
CDM,0830057,Drug infusion during cardiac catheterization,283.0,283.0,31.86,34131.0,61
CDM,0830060,Drug infusion or exercise for heart stimulation during diagnostic study,283.0,283.0,109.83,34131.0,61
CDM,0830062,Injection for imaging of coronary blood vessel during evaluation of congenital abnormalities with review by radiologist,2133.0,2133.0,243.95,34131.0,61
CDM,0830093,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,0830097,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,0830101,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",28196.0,28196.0,955.0,54982.2,50
CDM,0830102,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",6421.0,6421.0,955.0,12520.95,50
CDM,0830103,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",28196.0,28196.0,955.0,54982.2,50
CDM,0830105,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",28196.0,28196.0,955.0,54982.2,50
CDM,0830106,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",6421.0,6421.0,955.0,12520.95,50
CDM,0830155,Insertion of pacemaker pulse generator with existing multiple leads,24291.0,19804.0,3171.0,47367.45,64
CDM,0830156,Removal and replacement of single lead permanent pacemaker,12459.0,8676.0,3171.0,27978.0,64
CDM,0830158,Removal and replacement of dual lead permanent pacemaker,11064.0,11057.0,2976.22,27978.0,64
CDM,0830159,Insertion of defibrillator with existing dual leads,33558.0,24521.0,3171.0,65438.1,64
CDM,0830160,Insertion of defibrillator with existing multiple leads,36569.0,34929.0,3171.0,71309.55,64
CDM,0830161,Removal and replacement of single lead defibrillator,36569.0,24521.0,3171.0,71309.55,64
CDM,0830162,Removal and replacement of dual lead defibrillator,36569.0,24521.0,3171.0,71309.55,64
CDM,0830163,Removal and replacement of multiple lead defibrillator,36569.0,34929.0,3171.0,71309.55,64
CDM,0830220,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2538.0,2791.8,1091.34,4949.1,50
CDM,0830222,"Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch",18084.0,10681.0,5688.0,35263.8,61
CDM,0830227,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel",4033.0,4033.0,146.51,34131.0,61
CDM,0830245,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel",24213.0,10681.0,4649.52,47215.35,64
CDM,0830246,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, subsequent vessels",6189.0,6189.0,401.0,12068.55,64
CDM,0830247,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment",15191.0,10681.0,2646.49,29622.45,64
CDM,0830250,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, repeat treatment on subsequent day",6479.0,3044.0,2646.49,20345.0,64
CDM,0830254,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.25,1531.25,411.91,2985.94,45
CDM,0830256,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5705.0,6275.5,2453.15,11124.75,50
CDM,0830269,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, DURING REST AND CARDIOV",2583.0,761.0,299.84,5036.85,64
CDM,0830274,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0830280,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",998.0,998.0,268.46,1946.1,45
CDM,0830281,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",997.5,997.5,268.33,1945.13,45
CDM,0830284,Removal of plaque with balloon dilation of single coronary artery or branch,18084.0,10681.0,5688.0,35263.8,61
CDM,0830312,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",3780.0,3780.0,1016.82,7371.0,45
CDM,0830320,Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance,4211.0,3044.0,1697.97,20345.0,64
CDM,0830326,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1778.0,1778.0,478.28,3467.1,45
CDM,0830331,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate),40943.0,22818.0,690.0,79838.85,64
CDM,0830332,Insertion of catheters and destruction of tissue to treat abnormal heart rhythm,3874.0,3874.0,690.0,15918.54,64
CDM,0830333,Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm,3874.0,3874.0,690.0,15918.54,64
CDM,0830334,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,64
CDM,0830339,Injection of chemical agent into multiple incompetent veins of leg,551.0,368.0,111.0,7362.0,64
CDM,0830342,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1443.75,1443.75,388.37,2815.31,45
CDM,0830378,Repositioning of blood flow assist device in lower heart chamber using imaging guidance,6271.0,6271.0,1686.9,31007.0,64
CDM,0830379,Removal of blood flow assist device in left lower heart chamber through the skin,5140.0,5140.0,1382.66,31007.0,64
CDM,0830394,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery",18999.0,10681.0,3171.0,58285.0,64
CDM,0830396,"Insertion of stent in vein with review by radiologist, initial vein",18999.0,10681.0,3171.0,58285.0,64
CDM,0830399,Occlusion of artery with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,0830402,Occlusion of artery or vein bleeding with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,0830413,Insertion or replacement of defibrillator with electrode,37509.0,34929.0,3171.0,73142.55,64
CDM,0830414,Programming of implantable defibrillator,10246.0,10246.0,4371.71,34131.0,61
CDM,0830417,CATH CLOSURFAST CF7 %,963.0,963.0,197.99,770.4,45
CDM,0830446,Insertion of pulmonary valve,72672.0,72672.0,3208.0,141710.4,64
CDM,0830447,Repair of congenital abnormality in wall between upper heart chambers with implant,28716.0,17078.0,5688.0,55996.2,61
CDM,0830448,Replacement of aortic valve through the skin and femoral artery,20522.0,20522.0,3208.0,40017.9,64
CDM,0830449,Injection for imaging of heart vessel grafts during evaluation of congenital abnormalities with review by radiologist,1869.0,1869.0,243.95,34131.0,61
CDM,0830462,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1488.0,1636.8,639.84,2901.6,50
CDM,0830477,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",8479.0,9326.9,3645.97,16534.05,50
CDM,0830487,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",6991.25,6991.25,1880.65,13632.94,45
CDM,0830500,Insertion of pacemaker and upper heart chamber electrode,21472.0,11057.0,5071.93,41870.4,64
CDM,0830501,Insertion of pacemaker and lower heart chamber electrode,15324.0,11057.0,4122.16,29881.8,64
CDM,0830502,Insertion of pacemaker and upper and lower heart chamber electrode,14646.0,11057.0,3939.77,28559.7,64
CDM,0830503,Insertion of pacemaker pulse generator with existing single lead,10167.0,8676.0,3171.0,27978.0,64
CDM,0830504,Insertion of 1 electrode for permanent pacemaker or defibrillator,12459.0,8676.0,1029.92,27978.0,64
CDM,0830505,Insertion of implantable defibrillator system,41432.0,34929.0,6296.0,80792.4,64
CDM,0830507,Removal of blood flow assist device in aorta,652.0,652.0,175.39,40059.0,64
CDM,0830510,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,64
CDM,0830516,Insertion of artery tube for blood sampling or infusion through skin,308.0,308.0,82.85,3241.0,64
CDM,0830525,Review by radiologist of 1 arm or leg vein of 1 arm or leg image,2466.0,1495.0,221.0,4808.7,64
CDM,0830526,Review by radiologist of major lower body vein image,4946.0,3044.0,221.0,9644.7,64
CDM,0830527,Review by radiologist of major upper body vein image,3215.0,1495.0,221.0,6269.25,64
CDM,0830528,Review by radiologist of head or neck vein system image,4946.0,3044.0,221.0,9644.7,64
CDM,0830532,Retrieval of foreign body in blood vessel with review by radiologist,5826.0,3044.0,2505.18,20345.0,64
CDM,0830533,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,0830535,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,0830537,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,0830538,Manual attempt to restore blood circulation and breathing,460.0,281.0,123.74,3411.0,64
CDM,0830539,Internal shock to heart to regulate heart beat,2670.0,597.0,434.49,5206.5,64
CDM,0830541,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel",3918.0,3918.0,146.51,34131.0,61
CDM,0830543,Balloon dilation repair of pulmonary valve,18084.0,10681.0,5688.0,35263.8,61
CDM,0830546,"Balloon dilation of pulmonary artery, single vessel",18084.0,10681.0,5688.0,35263.8,61
CDM,0830547,"Balloon dilation of pulmonary artery, each additional vessel",4745.0,4745.0,2040.35,34131.0,61
CDM,0830549,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND ",1228.0,761.0,299.84,3411.0,64
CDM,0830554,Recording of upper heart rhythm,12218.0,6464.0,4371.71,34131.0,61
CDM,0830555,Recording of upper heart chamber rhythm,12218.0,6464.0,4371.71,34131.0,61
CDM,0830556,Recording of right lower heart chamber rhythm,3183.0,1184.0,1368.69,34131.0,61
CDM,0830558,Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm,4133.0,4133.0,690.0,15918.54,64
CDM,0830559,Insertion of temporary pacemaker electrode for diagnostic lower heart pacing,12218.0,6464.0,4371.71,34131.0,61
CDM,0830560,Insertion of probe in esophagus for recording electrical impulses to upper and lower heart chambers,4000.0,1184.0,1720.0,34131.0,61
CDM,0830561,"Insertion of probe in esophagus for recording electrical impulses to upper and lower heart chambers, with pacing",4000.0,1184.0,1720.0,34131.0,61
CDM,0830563,Insertion of catheters for recording and pacing of left lower heart chamber rhythm and induction of abnormal rhythm,7867.0,7867.0,3382.81,34131.0,61
CDM,0830564,Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement,2476.0,2476.0,666.04,5683.23,64
CDM,0830566,Other cardiovascular service or procedure,2903.0,148.0,16.95,5660.85,64
CDM,0830569,Insertion of temporary pacemaker lead in upper and lower heart chambers,9690.0,8676.0,1029.92,27978.0,64
CDM,0830571,Insertion of pacemaker pulse generator with existing dual leads,11124.0,11057.0,3171.0,27978.0,64
CDM,0830572,Insertion of 2 chamber pacemaker system,25902.0,11057.0,5071.93,50508.9,64
CDM,0830573,Repositioning of pacemaker or defibrillator electrode,5854.0,3044.0,1029.92,20345.0,64
CDM,0830575,Repair of electrode for permanent pacemaker or defibrillator,7589.0,3662.0,1029.92,27978.0,64
CDM,0830576,Repair of 2 electrodes for permanent pacemaker or defibrillator,10268.0,3662.0,1029.92,27978.0,64
CDM,0830577,Relocation of pacemaker skin pocket,2602.0,1821.0,1029.92,15383.0,64
CDM,0830578,Relocation of defibrillator skin pocket,4026.0,1821.0,1029.92,15383.0,64
CDM,0830579,Removal of permanent pacemaker pulse generator,9690.0,8676.0,2369.0,27978.0,64
CDM,0830580,Removal of single electrode from right heart,5423.0,3662.0,1029.92,27978.0,64
CDM,0830581,Removal of dual electrodes from right heart,4535.0,3662.0,1029.92,27978.0,64
CDM,0830583,Removal of defibrillator,5691.0,3662.0,1530.88,27978.0,64
CDM,0830584,Removal of defibrillator electrodes through vein,3970.0,3662.0,1029.92,27978.0,64
CDM,0830587,Removal of blood flow assist device in aorta,646.0,646.0,277.78,31007.0,61
CDM,0830590,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",17756.0,17756.0,955.0,34624.2,50
CDM,0830592,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,0830593,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8754.0,8754.0,955.0,17070.3,50
CDM,0830594,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8754.0,8754.0,955.0,17070.3,50
CDM,0830596,Insertion of non-tunneled central venous tube for infusion (5 years or older),4401.0,3044.0,790.49,20345.0,64
CDM,0830597,Insertion of non-tunneled central venous tube for infusion (younger than 5 years),4401.0,3044.0,790.49,20345.0,64
CDM,0830599,Removal of tube into artery or vein with review by radiologist,4566.0,3044.0,1206.0,20345.0,64
CDM,0830603,"Ultrasound evaluation of blood vessel with review by radiologist, initial vessel",1834.0,1834.0,401.0,3576.3,53
CDM,0830604,"Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel",2728.0,2728.0,401.0,5319.6,53
CDM,0830607,Insertion of tube in pulmonary artery for monitoring,3180.0,1495.0,790.49,34131.0,61
CDM,0830608,Insertion of tube in left heart chamber through heart septum,5296.0,5296.0,1619.31,34131.0,61
CDM,0830611,Insertion of tube in right and left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830612,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with abnormal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0830613,"Insertion of catheter into right and left sides of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0830617,Insertion of tube in coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
CDM,0830618,"Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel",4146.0,4146.0,1125.58,34131.0,61
CDM,0830619,"Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel",905.0,905.0,389.15,34131.0,61
CDM,0830621,Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm,12218.0,6464.0,690.0,23825.1,64
CDM,0830622,Insertion of catheters for recording and pacing of left upper heart chamber rhythm and induction of abnormal rhythm,3776.0,3776.0,1623.68,34131.0,61
CDM,0830623,Programming of heart rhythm stimulation after drug infusion,6049.0,6049.0,2601.07,34131.0,61
CDM,0830625,Programming of pacing cardioverter-defibrillator,2851.0,1184.0,1225.93,34131.0,61
CDM,0830626,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation,40943.0,22818.0,5688.0,79838.85,61
CDM,0830627,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of lower chamber of heart causing ventricular tachycardia (rapid heart rate) or ventricular ectopy (irregular heart,40943.0,22818.0,5688.0,79838.85,61
CDM,0830631,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",5297.25,5297.25,1424.96,10329.64,45
CDM,0830632,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",875.0,962.5,376.25,1706.25,50
CDM,0830633,Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access,12338.0,12338.0,3208.0,31007.0,64
CDM,0830647,"Ultrasound of heart blood flow, valves and chambers",1211.0,1211.0,299.84,3411.0,64
CDM,0830651,"Ultrasound of heart with color-depicted blood flow, rate and valve function",840.0,840.0,70.1,3411.0,64
CDM,0830652,3D radiographic procedure,986.0,986.0,221.0,2499.0,50
CDM,0830653,3D radiographic procedure with computerized image postprocessing,986.0,986.0,221.0,2499.0,50
CDM,0830661,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,776.87,5631.6,45
CDM,0830675,EMBOLIZATION PROTECTIVE SYSTEM,2413.0,2413.0,649.1,4705.35,45
CDM,0830695,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL INFARCTION, CORONARY ARTERY OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRA",30652.0,30652.0,5688.0,59771.4,61
CDM,0830696,"Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel",12708.0,12708.0,5464.44,34131.0,61
CDM,0830697,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",28715.0,17078.0,5688.0,55994.25,61
CDM,0830698,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",28715.0,17078.0,5688.0,55994.25,61
CDM,0830700,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",19878.0,10681.0,5688.0,38762.1,61
CDM,0830701,"Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection",18084.0,10681.0,5688.0,35263.8,61
CDM,0830702,"PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH DRUG ELUTING INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",30652.0,17078.0,5688.0,59771.4,61
CDM,0830703,"Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch",19596.0,17078.0,5688.0,38212.2,61
CDM,0830717,"CATHETER, INTRAVASCULAR ULTRASOUND",1312.5,1312.5,353.06,2559.38,45
CDM,0830727,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,0830728,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,0830729,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,64
CDM,0830744,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",14462.0,15908.2,6218.66,28200.9,50
CDM,0830753,EMBOLIZATION PROTECTIVE SYSTEM,2413.0,2413.0,649.1,4705.35,45
CDM,0830772,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",6627.25,6627.25,1782.73,12923.14,45
CDM,0830775,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,0830799,Repositioning of left lower heart electrode,3634.0,3044.0,977.55,20345.0,64
CDM,0830809,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",25813.0,28394.3,11099.59,50335.35,50
CDM,0830811,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",35875.0,39462.5,15426.25,69956.25,50
CDM,0830812,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21817.0,23998.7,9381.31,42543.15,50
CDM,0830818,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1111.0,1111.0,298.86,2166.45,45
CDM,0830826,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,0830830,"CATHETER, INTRAVASCULAR ULTRASOUND",5491.5,5491.5,1477.21,10708.43,45
CDM,0830833,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1593.0,1593.0,428.52,3106.35,45
CDM,0830844,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7582.0,8340.2,3260.26,14784.9,50
CDM,0830848,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",43750.0,48125.0,18812.5,85312.5,50
CDM,0830857,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",7000.0,7700.0,3010.0,13650.0,50
CDM,0830859,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",2691.0,2960.1,1157.13,5247.45,50
CDM,0830860,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0830862,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",941.0,1035.1,404.63,1834.95,50
CDM,0830869,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",3663.0,3663.0,985.35,7142.85,45
CDM,0830870,"PACEMAKER, DUAL CHAMBER, NON RATE-RESPONSIVE (IMPLANTABLE)",12308.0,13538.8,5292.44,24000.6,50
CDM,0830871,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7146.0,7860.6,3072.78,13934.7,50
CDM,0830874,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7058.0,7763.8,3034.94,13763.1,50
CDM,0830875,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",12600.0,13860.0,5418.0,24570.0,50
CDM,0830892,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2441.0,2685.1,1049.63,4759.95,50
CDM,0830893,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5186.0,5704.6,2229.98,10112.7,50
CDM,0830894,"CATHETER, BALLOOM PUMP",1349.95,1349.95,277.55,1079.96,45
CDM,0830899,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",760.0,836.0,326.8,1482.0,50
CDM,0830909,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",13825.0,15207.5,5944.75,26958.75,50
CDM,0830911,Insertion of defibrillator with existing single lead,36143.0,24521.0,6296.0,70478.85,64
CDM,0830912,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.25,3840.38,1501.24,6807.94,50
CDM,0830964,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",17063.0,18769.3,7337.09,33272.85,50
CDM,0830969,Removal of tunneled central venous tube,1774.0,575.0,486.6,7362.0,64
CDM,0830970,Insertion of tube for infusion (5 years or older),2371.0,1495.0,790.49,15383.0,64
CDM,0830974,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",11015.0,12116.5,4736.45,21479.25,50
CDM,0830975,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",11419.0,12560.9,4910.17,22267.05,50
CDM,0830976,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",13423.0,14765.3,5771.89,26174.85,50
CDM,0830977,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",12409.48,13650.43,5336.08,24198.49,50
CDM,0830978,Insertion of permanent leadless pacemaker using imaging guidance,26906.0,17078.0,3953.0,52466.7,64
CDM,0831000,Insertion of blood flow assist device in aorta through skin,1968.0,1968.0,529.39,40059.0,64
CDM,0831001,Balloon dilation of single coronary artery or branch,16157.0,5270.0,5688.0,34131.0,61
CDM,0831003,Insertion of blood flow assist device in aorta through upper leg artery,1571.0,1571.0,422.6,31007.0,64
CDM,0831005,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1363.0,1363.0,366.65,2657.85,45
CDM,0831012,Evaluation of heart function using tilt table,2878.0,519.0,109.83,34131.0,61
CDM,0831023,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",3465.0,3465.0,932.09,6756.75,45
CDM,0831028,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,0831042,VENA CAVA FILTER,1453.0,1598.3,624.79,2833.35,50
CDM,0831091,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",2625.0,2625.0,706.13,5118.75,45
CDM,0831093,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",11813.0,11813.0,3177.7,23035.35,45
CDM,0831094,CATH IABP FIBEROPTIC,1692.0,1692.0,347.88,1353.6,45
CDM,0831124,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",8050.0,8855.0,3461.5,15697.5,50
CDM,0831127,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0831128,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1443.75,1588.13,620.81,2815.31,50
CDM,0831129,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1732.5,677.25,3071.25,50
CDM,0831157,AMPLATZER VASCULAR PLUG,1420.0,1562.0,291.95,1562.0,50
CDM,0831161,Initiation of ECMO external vein to vein blood circulation in heart and lungs using a pump,4519.0,4519.0,1215.61,31007.0,64
CDM,0831166,Insertion of permanent leadless pacemaker using imaging guidance,26906.0,17078.0,3953.0,52466.7,64
CDM,0831167,Insertion of heart rhythm monitor under skin,11717.0,8676.0,2103.0,27978.0,64
CDM,0831168,Removal of heart rhythm monitor from under the skin,894.0,662.0,384.42,10537.0,64
CDM,0831173,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831174,SURGICEL POWDER 3GM,1225.0,1225.0,251.86,980.0,45
CDM,0831175,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1225.0,1347.5,526.75,2388.75,50
CDM,0831179,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",6291.0,6291.0,1692.28,12267.45,45
CDM,0831181,"ILIAC AND/OR FEMORAL ARTERY ANGIOGRAPHY, NON-SELECTIVE, BILATERAL OR IPSILATERAL TO CATHETER INSERTION, PERFORMED AT THE SAME TIME AS CARDIAC CATHETERIZATION AND/OR CORONARY ANGIOGRAPHY, INCLUDES POSI",2642.0,2642.0,1136.06,34131.0,61
CDM,0831184,CATH SUPERCROSS,901.25,901.25,185.3,721.0,45
CDM,0831186,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5310.0,5310.0,1428.39,10354.5,45
CDM,0831191,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1396.5,1396.5,375.66,2723.18,45
CDM,0831193,CATH TRUE FLOW VALVE,2187.5,2187.5,449.75,1750.0,45
CDM,0831196,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",5250.0,5775.0,2257.5,10237.5,50
CDM,0831199,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0831200,Biopsy of heart muscle,5648.0,3044.0,1619.31,34131.0,61
CDM,0831201,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",4112.5,4523.75,1768.38,8019.38,50
CDM,0831202,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2677.5,2945.25,1151.33,5221.13,50
CDM,0831203,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2678.0,2945.8,1151.54,5222.1,50
CDM,0831204,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",875.0,962.5,376.25,1706.25,50
CDM,0831205,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0831206,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0831207,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",22050.0,24255.0,9481.5,42997.5,50
CDM,0831208,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0831209,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",19451.0,21396.1,8363.93,37929.45,50
CDM,0831210,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6457.5,7103.25,2776.73,12592.13,50
CDM,0831211,INDIGO CAT RX + TUBING,3395.0,3395.0,698.01,2716.0,45
CDM,0831212,"CATHETER, THROMBECTOMY/EMBOLECTOMY",5696.0,5696.0,1532.22,11107.2,45
CDM,0831214,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3946.0,3946.0,1061.47,7694.7,45
CDM,0831219,TELESCOPE GUIDE EXTENSION CATH,1041.0,1041.0,214.03,832.8,45
CDM,0831221,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11480.0,12628.0,4936.4,22386.0,50
CDM,0831222,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",22050.0,24255.0,9481.5,42997.5,50
CDM,0831223,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0831225,LEAD BIPOLAR 5F 401764,744.0,818.4,152.97,818.4,50
CDM,0831226,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",4961.25,5457.38,2133.34,9674.44,50
CDM,0831227,DUAL CHAMBER PACER 407145,6650.0,7315.0,1367.24,7315.0,50
CDM,0831228,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0831229,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3500.0,3850.0,1505.0,6825.0,50
CDM,0831232,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",17850.0,19635.0,7675.5,34807.5,50
CDM,0831236,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",656.25,721.88,282.19,1279.69,50
CDM,0831237,RV LEAD SOLIA 377179,656.25,721.88,134.93,721.88,50
CDM,0831239,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0831242,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3238.0,3561.8,1392.34,6314.1,50
CDM,0831243,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",29925.0,32917.5,12867.75,58353.75,50
CDM,0831244,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",5355.0,5890.5,2302.65,10442.25,50
CDM,0831256,Repair of congenital abnormality in wall between upper heart chambers with implant,28716.0,17078.0,5688.0,55996.2,61
CDM,0831257,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11480.0,12628.0,4936.4,22386.0,50
CDM,0831258,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0831259,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",36750.0,40425.0,15802.5,71662.5,50
CDM,0831260,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3500.0,3850.0,1505.0,6825.0,50
CDM,0831261,Insertion or replacement of implantable cardioverter-defibrillator system with electrodes under breastbone,49168.0,34929.0,5688.0,95877.6,57
CDM,0831267,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1068.0,1068.0,287.29,2082.6,45
CDM,0831273,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",4112.5,4523.75,1768.38,8019.38,50
CDM,0831275,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",10500.0,11550.0,4515.0,20475.0,50
CDM,0831276,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1636.0,1636.0,440.08,3190.2,45
CDM,0831277,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0831278,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",75.0,82.5,32.25,146.25,50
CDM,0831282,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",27842.5,30626.75,11972.28,54292.88,50
CDM,0831283,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",656.25,721.88,282.19,1279.69,50
CDM,0831284,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",4768.31,5245.14,2050.37,9298.2,50
CDM,0831287,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0831288,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",334.0,367.4,143.62,651.3,50
CDM,0831289,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",16537.5,18191.25,7111.13,32248.13,50
CDM,0831292,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24500.0,26950.0,10535.0,47775.0,50
CDM,0831295,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",22750.0,25025.0,9782.5,44362.5,50
CDM,0831296,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21875.0,24062.5,9406.25,42656.25,50
CDM,0831298,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0831299,S-ICD ELECTRODE DELIVERY SYS,1750.0,1750.0,359.8,1400.0,45
CDM,0831302,Destruction of heart conduction tissue to create heart block,13606.0,6464.0,5688.0,34131.0,61
CDM,0831304,Injection for imaging of aorta above heart valve with review by radiologist,1331.0,1331.0,243.95,34131.0,61
CDM,0831310,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",32366.0,35602.6,13917.38,63113.7,50
CDM,0831314,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",17150.0,18865.0,7374.5,33442.5,50
CDM,0831315,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5460.0,6006.0,2347.8,10647.0,50
CDM,0831319,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",831.0,914.1,357.33,1620.45,50
CDM,0831320,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2266.0,2492.6,974.38,4418.7,50
CDM,0831325,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",28000.0,30800.0,12040.0,54600.0,50
CDM,0831328,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1977.5,1977.5,531.95,3856.13,45
CDM,0831329,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",6772.5,6772.5,1821.8,13206.38,45
CDM,0831330,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",6772.5,6772.5,1821.8,13206.38,45
CDM,0831331,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1205.0,1205.0,324.15,2349.75,45
CDM,0831332,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5187.88,5706.67,2230.79,10116.37,50
CDM,0831334,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",2830.0,3113.0,1216.9,5518.5,50
CDM,0831335,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",26583.0,29241.3,11430.69,51836.85,50
CDM,0831336,"Insertion of right lower heart chamber blood flow assist device via vein accessed through skin, including radiological supervision and interpretation",9275.0,9275.0,2494.98,31007.0,64
CDM,0831338,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",5350.0,5350.0,1439.15,10432.5,45
CDM,0831340,MAPPING PATCHES EN0020-P,2023.0,2023.0,415.93,1618.4,45
CDM,0831342,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",4112.5,4523.75,1768.38,8019.38,50
CDM,0831343,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",5350.0,5350.0,1439.15,10432.5,45
CDM,0831345,GUIDE WIRE,1225.0,1225.0,329.53,2388.75,45
CDM,0831346,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",3866.0,3866.0,1039.95,7538.7,45
CDM,0831348,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",18865.0,20751.5,8111.95,36786.75,50
CDM,0831350,Balloon dilation repair of aortic valve,8916.0,5270.0,3833.88,34131.0,61
CDM,0831351,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",729.0,801.9,313.47,1421.55,50
CDM,0831352,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0831353,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0831356,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0831357,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0831358,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2975.0,3272.5,1279.25,5801.25,50
CDM,0831360,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",3193.75,3513.13,1373.31,6227.81,50
CDM,0831362,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0831363,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1552.0,1552.0,417.49,3026.4,45
CDM,0831364,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",17491.0,19240.1,7521.13,34107.45,50
CDM,0831367,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4812.5,4812.5,1294.56,9384.38,45
CDM,0831368,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",18375.0,20212.5,7901.25,35831.25,50
CDM,0831369,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831370,TORQVUE LP DEL SYS 4F/90/60,1552.0,1552.0,319.09,1241.6,45
CDM,0831373,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1348.0,1482.8,579.64,2628.6,50
CDM,0831374,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1908.0,2098.8,820.44,3720.6,50
CDM,0831375,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1908.0,2098.8,820.44,3720.6,50
CDM,0831376,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1558.0,1713.8,669.94,3038.1,50
CDM,0831377,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",16292.5,17921.75,7005.78,31770.38,50
CDM,0831378,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,0831383,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",17150.0,18865.0,7374.5,33442.5,50
CDM,0831385,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",32366.0,35602.6,13917.38,63113.7,50
CDM,0831387,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5328.75,5328.75,1433.43,10391.06,45
CDM,0831388,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",25296.0,27825.6,10877.28,49327.2,50
CDM,0831389,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.25,3070.38,1200.24,5442.94,50
CDM,0831390,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.0,3070.1,1200.13,5442.45,50
CDM,0831391,Insertion of heart rhythm monitor under skin,11717.0,8676.0,2103.0,27978.0,64
CDM,0831392,Removal of heart rhythm monitor from under the skin,894.0,662.0,384.42,10537.0,64
CDM,0831393,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,0831396,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3595.0,3595.0,967.06,7010.25,45
CDM,0831401,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITHOUT SPECT",1459.0,761.0,299.84,3411.0,64
CDM,0831402,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.0,3070.1,1200.13,5442.45,50
CDM,0831405,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",212.0,233.2,91.16,413.4,50
CDM,0831432,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3063.0,3369.3,1317.09,5972.85,50
CDM,0831440,GUIDE WIRE,1059.0,1059.0,284.87,2065.05,45
CDM,0831448,"CATHETER, TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY, CORONARY",8225.0,8225.0,2212.53,16038.75,45
CDM,0831449,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5329.0,5329.0,1433.5,10391.55,45
CDM,0831452,Repair of aorta by insertion of stent across major side branches,14434.0,14434.0,955.0,28146.3,61
CDM,0831453,Repair of aorta by insertion of stent not crossing major side branches,9189.0,9189.0,955.0,17918.55,61
CDM,0831454,Balloon dilation of native or recurrent narrowing of heart blood vessel,7124.0,7124.0,955.0,13891.8,61
CDM,0831455,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0831456,"Insertion of catheter into left side of heart for evaluation of congenital heart defect, using maging guidance",5079.0,5079.0,1619.31,34131.0,61
CDM,0831458,"Measurement of output of blood from heart, performed during cardiac catheterization for evaluation of congenital heart defects",656.0,,243.95,34131.0,61
CDM,0831459,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",744.0,818.4,319.92,1450.8,50
CDM,0831460,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6125.0,6737.5,2633.75,11943.75,50
CDM,0831461,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",919.0,1010.9,395.17,1792.05,50
CDM,0831462,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",29750.0,32725.0,12792.5,58012.5,50
CDM,0831463,WATCHMAN TUESEAL ACCESS KIT,1750.0,1750.0,359.8,1400.0,45
CDM,0831465,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,0831466,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0831467,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",743.75,818.13,319.81,1450.31,50
CDM,0831468,Repair of left upper heart chamber with implant with review by radiologist,24694.0,24694.0,3208.0,48153.3,64
CDM,0831469,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6183.0,6801.3,2658.69,12056.85,50
CDM,0831470,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0831471,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21263.0,23389.3,9143.09,41462.85,50
CDM,0831472,Insertion or replacement of pulse generator and electrodes of heart contractility modulator system,33559.0,24521.0,2565.5,65440.05,59
CDM,0831473,Insertion or replacement of pulse generator of heart contractility modulator system,33559.0,24521.0,6296.0,65440.05,59
CDM,0831474,Insertion or replacement of electrodes in upper chamber of heart for heart contractility modulator system,11873.0,8676.0,1029.92,23152.35,59
CDM,0831475,Insertion or replacement of electrodes in lower chamber of heart for heart contractility modulator system,11873.0,8676.0,1029.92,23152.35,59
CDM,0831476,Removal of pulse generator for heart contractility modulator system,5011.0,3662.0,2154.73,9771.45,59
CDM,0831477,Removal of electrode for heart contractility modulator system,5011.0,3662.0,1029.92,9771.45,59
CDM,0831478,Replacement of pulse generator of heart contractility modulator system,33559.0,24521.0,6296.0,65440.05,59
CDM,0831479,Relocation of skin pocket for pulse generator of heart contractility modulator system,2493.0,1821.0,1029.92,7963.0,59
CDM,0831480,Repositioning of electrode of heart contractility modulator system,787.0,575.0,338.41,5204.0,59
CDM,0831481,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",3500.0,3850.0,1505.0,6825.0,50
CDM,0831482,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0831483,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",9396.94,9396.94,2527.78,18324.03,45
CDM,0831485,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7700.0,8470.0,3311.0,15015.0,50
CDM,0831486,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7481.25,8229.38,3216.94,14588.44,50
CDM,0831487,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",708.75,779.63,304.76,1382.06,50
CDM,0831488,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",18083.0,10681.0,690.0,35261.85,64
CDM,0831489,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",28715.0,17078.0,690.0,55994.25,64
CDM,0831490,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(",28715.0,17078.0,690.0,55994.25,64
CDM,0831491,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDE",28715.0,17078.0,690.0,55994.25,64
CDM,0831494,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21263.0,23389.3,9143.09,41462.85,50
CDM,0831495,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7350.0,8085.0,3160.5,14332.5,50
CDM,0831496,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",4113.0,4524.3,1768.59,8020.35,50
CDM,0831497,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,3411.0,64
CDM,0831498,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,3411.0,64
CDM,0831499,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,3411.0,64
CDM,0831500,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0831501,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",37643.0,41407.3,16186.49,73403.85,50
CDM,0831502,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831503,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831504,"Repair of mitral valve through the skin, initial prosthesis",42355.0,42355.0,3208.0,82592.25,64
CDM,0831505,"Repair of mitral valve through the skin, additional prosthesis",21724.0,21724.0,401.0,58285.0,64
CDM,0831507,FLOW TRIEVER ASPIRATION CATH,19250.0,19250.0,3461.0,15400.0,45
CDM,0831508,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",5024.0,5024.0,1351.46,9796.8,45
CDM,0831509,SPLIT HANDLE EXT. CABLE,2678.0,2678.0,550.6,2142.4,45
CDM,0831510,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",2109.0,2109.0,567.32,4112.55,45
CDM,0831511,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0831512,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,0831513,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1383.0,1521.3,594.69,2696.85,50
CDM,0831514,SENSATION 40CC IAB W/KIT,1601.0,1601.0,329.17,1280.8,45
CDM,0831515,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",6563.0,7219.3,2822.09,12797.85,50
CDM,0831516,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1630.0,1630.0,438.47,3178.5,45
CDM,0831517,"GENERATOR, CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE)",45500.0,50050.0,19565.0,88725.0,50
CDM,0831518,BALLOON CATH IAB-06850-U,1698.0,1698.0,349.11,1358.4,45
CDM,0831519,BALLOON CATH IAB-S840C,1418.0,1418.0,291.54,1134.4,45
CDM,0831520,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1750.0,1750.0,470.75,3412.5,45
CDM,0831521,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1750.0,1750.0,470.75,3412.5,45
CDM,0831522,"CATHETER PLACEMENT IN CORONARY ARTERY(S) FOR CORONARY ANGIOGRAPHY, INCLUDING INTRAPROCEDURAL INJECTION(S) FOR CORONARY ANGIOGRAPHY, WITH ENDOLUMINAL IMAGING OF INITIAL CORONARY VESSEL OR GRAFT USING I",16008.0,,1619.31,34131.0,61
CDM,0831541,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17098.0,17098.0,3461.0,33341.1,45
CDM,0831545,Insertion of wireless pressure sensor into lung artery through tube with review by radiologist,41828.0,30674.0,2565.5,81564.6,64
CDM,0831546,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0831547,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1050.0,1050.0,282.45,2047.5,45
CDM,0831548,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",18007.5,19808.25,7743.23,35114.63,50
CDM,0831549,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",18865.0,20751.5,8111.95,36786.75,50
CDM,0831552,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",23135.0,25448.5,9948.05,45113.25,50
CDM,0831553,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",18218.0,20039.8,7833.74,35525.1,50
CDM,0831554,"CATHETER, THROMBECTOMY/EMBOLECTOMY",14035.0,14035.0,3461.0,27368.25,45
CDM,0831555,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19722.5,21694.75,8480.68,38458.88,50
CDM,0831556,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",14700.0,16170.0,6321.0,28665.0,50
CDM,0831557,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3063.0,3063.0,823.95,5972.85,45
CDM,0831558,CATHETER DELIVERY LSCD111,3063.0,3063.0,629.75,2450.4,45
CDM,0831559,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1050.0,1050.0,282.45,2047.5,45
CDM,0831560,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",28298.0,31127.8,12168.14,55181.1,50
CDM,0831561,"IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER, INCLUDING ALL SYSTEM COMPONENTS",34913.0,38404.3,15012.59,68080.35,50
CDM,0831566,Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter,23372.0,,690.0,45575.4,53
CDM,0831567,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2608.0,2608.0,701.55,5085.6,45
CDM,0831568,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",5338.0,5338.0,1435.92,10409.1,45
CDM,0831569,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",10780.0,11858.0,4635.4,21021.0,50
CDM,0831570,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,0831571,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",47318.0,52049.8,20346.74,92270.1,50
CDM,0831572,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2130.0,2343.0,915.9,4153.5,50
CDM,0831573,Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
CDM,0831574,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",992.0,992.0,266.85,1934.4,45
CDM,0831575,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0831576,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",2363.0,2363.0,635.65,4607.85,45
CDM,0831577,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",7985.0,8783.5,3433.55,15570.75,50
CDM,0831578,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",30791.0,33870.1,13240.13,60042.45,50
CDM,0831579,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2091.0,2091.0,562.48,4077.45,45
CDM,0831580,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2608.0,2608.0,701.55,5085.6,45
CDM,0831581,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",7525.0,7525.0,2024.23,14673.75,45
CDM,0831582,ENSITE X SURFACE ELECTRODE KIT,2104.96,2104.96,432.78,1683.97,45
CDM,0831584,XENOGRAFT HARMONY TPV 25,57750.0,63525.0,11873.4,63525.0,50
CDM,0831585,HARMONY DELIVERY CATH SYTEM,14875.0,14875.0,3058.3,11900.0,45
CDM,0831586,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0831587,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",30044.0,33048.4,12918.92,58585.8,50
CDM,0831588,PACING LEAD QUARTET 1457Q 86CM,2888.0,3176.8,593.77,3176.8,50
CDM,0831589,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21201.0,23321.1,9116.43,41341.95,50
CDM,0831590,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",32618.0,35879.8,14025.74,63605.1,50
CDM,0831591,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",41591.0,45750.1,17884.13,81102.45,50
CDM,0831593,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",41031.0,45134.1,17643.33,80010.45,50
CDM,0831594,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",26782.0,29460.2,11516.26,52224.9,50
CDM,0831595,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21201.0,23321.1,9116.43,41341.95,50
CDM,0831596,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",32618.0,35879.8,14025.74,63605.1,50
CDM,0831597,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0831598,Transcatheter insertion of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial and right ventricular pacemaker components,26905.65,26905.65,5071.93,52466.02,56
CDM,0831599,Transcatheter removal of the right atrial and right ventricular components of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
CDM,0831600,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial and right ventricular components,26905.65,26905.65,5071.93,52466.02,56
CDM,0831601,Transcatheter insertion of permanent dual-chamber pacemaker using fluoroscopy and device interrogation of right atrial pacemaker component,26905.65,26905.65,5071.93,52466.02,56
CDM,0831602,Transcatheter insertion of a permanent dual chamber leadless pacemaker using fluoroscopy and device interrogation of right ventricular pacemaker component,26905.65,26905.65,5071.93,52466.02,56
CDM,0831603,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial component,26905.65,26905.65,5071.93,52466.02,56
CDM,0831604,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right ventricular component,26905.65,26905.65,5071.93,52466.02,56
CDM,0831605,Transcatheter removal of the right atrial component of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
CDM,0831606,Transcatheter removal of the right ventricular component of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
CDM,0831607,Insertion of permanent single-chamber leadless pacemaker for pacing the right upper heart chamber using imaging guidance,26905.65,26905.65,913.0,52466.02,48
CDM,0831608,Removal of permanent single-chamber leadless pacemaker for pacing the right upper chamber of the heart using imaging guidance,4401.36,4401.36,913.0,8582.65,48
CDM,0831609,Removal and replacement of single-chamber permanent leadless pacemaker for pacing the right upper chamber of the heart using imaging guidance,26905.65,26905.65,6917.0,52466.02,45
CDM,0831610,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3413.0,3413.0,918.1,6655.35,45
CDM,0831611,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0831612,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24035.0,26438.5,10335.05,46868.25,50
CDM,0831613,SENSITHERMTM PROBE,1467.0,1467.0,301.62,1173.6,45
CDM,0831614,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",971.0,971.0,261.2,1893.45,45
CDM,0831615,SYS PANNUS RETENION,1234.0,1234.0,253.71,987.2,45
CDM,0831616,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1429.0,1429.0,384.4,2786.55,45
CDM,0831617,"CATHETER, INTRAVASCULAR ULTRASOUND",1531.0,1531.0,411.84,2985.45,45
CDM,0831618,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1619.0,1619.0,435.51,3157.05,45
CDM,0831619,WIRE TAVR,1706.0,1706.0,350.75,1364.8,45
CDM,0831620,IMPELLA CASSETTE PURGE GEN 2,1750.0,1750.0,359.8,1400.0,45
CDM,0831621,NEEDLE TRANSSEPTAL EEPROM,2272.0,2272.0,467.12,1817.6,45
CDM,0831622,EMBOLIZATION PROTECTIVE SYSTEM,2791.0,3070.1,1200.13,5442.45,50
CDM,0831623,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",238.0,261.8,102.34,464.1,50
CDM,0831624,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",250.0,275.0,107.5,487.5,50
CDM,0831625,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",252.0,277.2,108.36,491.4,50
CDM,0831626,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1333.0,1333.0,358.58,2599.35,45
CDM,0831627,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2625.0,2887.5,1128.75,5118.75,50
CDM,0831628,WIRE RF NYKANEN,3500.0,3500.0,719.6,2800.0,45
CDM,0831629,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0831630,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",3339.0,3339.0,898.19,6511.05,45
CDM,0831631,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5488.0,6036.8,2359.84,10701.6,50
CDM,0831632,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1768.0,1944.8,760.24,3447.6,50
CDM,0831634,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0831635,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",22138.0,24351.8,9519.34,43169.1,50
CDM,0831636,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",26250.0,28875.0,11287.5,51187.5,50
CDM,0831637,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",18813.0,20694.3,8089.59,36685.35,50
CDM,0831638,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",44012.5,48413.75,18925.38,85824.38,50
CDM,0831639,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",24035.0,26438.5,10335.05,46868.25,50
CDM,0831640,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7700.0,8470.0,3311.0,15015.0,50
CDM,0831641,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10500.0,10500.0,2824.5,20475.0,45
CDM,0831642,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11918.0,11918.0,3205.94,23240.1,45
CDM,0831643,"CATHETER, THROMBECTOMY/EMBOLECTOMY",13510.0,13510.0,3461.0,26344.5,45
CDM,0831644,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",8225.0,8225.0,2212.53,16038.75,45
CDM,0831645,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",11148.0,12262.8,4793.64,21738.6,50
CDM,0831646,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",75.0,82.5,32.25,146.25,50
CDM,0831647,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",27563.0,30319.3,11852.09,53747.85,50
CDM,0831648,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2830.0,3113.0,1216.9,5518.5,50
CDM,0831649,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831650,Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist,3764.0,3044.0,1206.0,20345.0,64
CDM,0831651,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",2616.0,2877.6,1124.88,5101.2,50
CDM,0831652,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1671.0,1838.1,718.53,3258.45,50
CDM,0831653,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",387.0,425.7,166.41,754.65,50
CDM,0831654,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0831655,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0831656,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17395.0,17395.0,3461.0,33920.25,45
CDM,0831657,ELEMENT VAS SHEATH,1680.0,1680.0,345.41,1344.0,45
CDM,0831658,ELEMENT,7875.0,7875.0,1619.1,6300.0,45
CDM,0831660,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1313.0,1444.3,564.59,2560.35,50
CDM,0831661,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",9275.0,10202.5,3988.25,18086.25,50
CDM,0831662,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1351.0,1486.1,580.93,2634.45,50
CDM,0831664,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1741.0,1915.1,748.63,3394.95,50
CDM,0831665,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2112.0,2112.0,568.13,4118.4,45
CDM,0831666,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1400.0,1400.0,376.6,2730.0,45
CDM,0831667,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",912.0,912.0,245.33,1778.4,45
CDM,0831668,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",964.0,964.0,259.32,1879.8,45
CDM,0831669,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",946.0,946.0,254.47,1844.7,45
CDM,0831697,CLOT RETRIEVER SYS INARI,21000.0,21000.0,3461.0,16800.0,45
CDM,0831698,CARDIAC OCCLUDER DELIVERY KIT,2625.0,2625.0,539.7,2100.0,45
CDM,0831699,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,0831700,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7525.0,8277.5,3235.75,14673.75,50
CDM,0831701,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0831702,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2266.0,2492.6,974.38,4418.7,50
CDM,0831703,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0831711,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",5534.0,6087.4,2379.62,10791.3,50
CDM,0831712,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",14515.0,15966.5,6241.45,28304.25,50
CDM,0831713,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",875.0,962.5,376.25,1706.25,50
CDM,0831714,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1094.0,1203.4,470.42,2133.3,50
CDM,0831715,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,0831716,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0831717,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1663.0,1663.0,447.35,3242.85,45
CDM,0831718,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,451.92,3276.0,45
CDM,0831719,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,0831720,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0831721,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1943.0,2137.3,835.49,3788.85,50
CDM,0831722,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2023.0,2225.3,869.89,3944.85,50
CDM,0831723,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,0831724,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,0831725,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",23625.0,25987.5,10158.75,46068.75,50
CDM,0831726,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,0831727,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1181.0,1181.0,317.69,2302.95,45
CDM,0831728,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,0831729,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2441.0,2685.1,1049.63,4759.95,50
CDM,0831730,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3168.0,3484.8,1362.24,6177.6,50
CDM,0831731,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,0831732,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1732.5,677.25,3071.25,50
CDM,0831733,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",22750.0,25025.0,9782.5,44362.5,50
CDM,0831734,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2266.0,2492.6,974.38,4418.7,50
CDM,0831735,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",6038.0,6038.0,1624.22,11774.1,45
CDM,0831737,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5250.0,5775.0,2257.5,10237.5,50
CDM,0831738,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,0831739,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0831740,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,0831741,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0831742,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",11366.0,12502.6,4887.38,22163.7,50
CDM,0831743,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",963.0,1059.3,414.09,1877.85,50
CDM,0831744,STENT PAPYRUS,6353.0,6988.3,1306.18,6988.3,50
CDM,0831745,STENT PAPYRUS,5775.0,6352.5,1187.34,6352.5,50
CDM,0831746,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,0831747,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",1558.0,1713.8,669.94,3038.1,50
CDM,0831748,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,0831749,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",12663.0,13929.3,5445.09,24692.85,50
CDM,0831750,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",4288.0,4288.0,1153.47,8361.6,45
CDM,0831751,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19723.0,21695.3,8480.89,38459.85,50
CDM,0831752,VENA CAVA FILTER,1566.0,1722.6,673.38,3053.7,50
CDM,0831753,VENA CAVA FILTER,2092.0,2301.2,899.56,4079.4,50
CDM,0831754,VENA CAVA FILTER,2363.0,2599.3,1016.09,4607.85,50
CDM,0831755,VENA CAVA FILTER,3896.0,4285.6,1675.28,7597.2,50
CDM,0831756,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1015.0,1015.0,273.04,1979.25,45
CDM,0831757,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1269.0,1269.0,341.36,2474.55,45
CDM,0831758,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1251.0,1251.0,336.52,2439.45,45
CDM,0831759,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1890.0,1890.0,508.41,3685.5,45
CDM,0831760,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1531.0,1531.0,411.84,2985.45,45
CDM,0831761,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3719.0,4090.9,1599.17,7252.05,50
CDM,0831762,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2035.0,2238.5,875.05,3968.25,50
CDM,0831763,COIL HYDROSOFT HELICAL%,3500.0,3850.0,719.6,3850.0,50
CDM,0831764,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,0831765,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,0831766,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4463.0,4463.0,1200.55,8702.85,45
CDM,0831767,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",20003.0,22003.3,8601.29,39005.85,50
CDM,0831768,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3322.0,3322.0,893.62,6477.9,45
CDM,0831769,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",37625.0,41387.5,16178.75,73368.75,50
CDM,0831770,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",9433.0,10376.3,4056.19,18394.35,50
CDM,0831771,TUNNEL TOOL STERNALTRAVERSE EV,1050.0,1050.0,215.88,840.0,45
CDM,0831772,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,0831773,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",14788.0,14788.0,3461.0,28836.6,45
CDM,0831774,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",2275.0,2275.0,611.98,4436.25,45
CDM,0831775,CATHETER KIT 5.5 S2,71750.0,71750.0,3461.0,57400.0,45
CDM,0831776,GUIDE WIRE,1050.0,1050.0,282.45,2047.5,45
CDM,0831777,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",78750.0,86625.0,33862.5,153562.5,50
CDM,0831778,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1295.0,1295.0,348.36,2525.25,45
CDM,0831779,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",24570.0,27027.0,10565.1,47911.5,50
CDM,0831780,Repair of wall between lower heart chambers including pacemaker insertion,27589.0,27589.0,690.0,53798.55,64
CDM,0831781,"Insertion of artificial valve between left heart chambers, accessed through the skin",32065.0,32065.0,690.0,62526.75,64
CDM,0831782,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",52500.0,57750.0,22575.0,102375.0,50
CDM,0831783,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",8479.0,9326.9,3645.97,16534.05,50
CDM,0831784,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1435.0,1435.0,386.02,2798.25,45
CDM,0831785,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,0831786,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",4279.0,4279.0,1151.05,8344.05,45
CDM,0831787,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",3693.0,3693.0,993.42,7201.35,45
CDM,0831788,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",6650.0,7315.0,2859.5,12967.5,50
CDM,0831789,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",19723.0,21695.3,8480.89,38459.85,50
CDM,0831790,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1349.0,1349.0,362.88,2630.55,45
CDM,0831791,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",4900.0,4900.0,1318.1,9555.0,45
CDM,0831792,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1514.0,1514.0,407.27,2952.3,45
CDM,0831793,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",18375.0,20212.5,7901.25,35831.25,50
CDM,0831794,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",1552.0,1552.0,417.49,3026.4,45
CDM,0831795,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",9275.0,10202.5,3988.25,18086.25,50
CDM,0831796,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1276.0,1276.0,343.24,2488.2,45
CDM,0831797,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1019.0,1019.0,274.11,1987.05,45
CDM,0831798,COIL POD XL,3553.0,3908.3,730.5,3908.3,50
CDM,0831799,COIL POD XL,4603.0,5063.3,946.38,5063.3,50
CDM,0831800,COIL POD/RUBY XL,5303.0,5833.3,1090.3,5833.3,50
CDM,0831801,PACKING COIL XL-15CM,3500.0,3850.0,719.6,3850.0,50
CDM,0831802,PACKING COIL XL-30CM,4550.0,5005.0,935.48,5005.0,50
CDM,0831803,PACKING COIL XL-45CM,6300.0,6930.0,1295.28,6930.0,50
CDM,0831804,PACKING COIL XL 55/70 CM,5250.0,5775.0,1079.4,5775.0,50
CDM,0831805,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",1385.0,1523.5,595.55,2700.75,50
CDM,0831806,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3308.0,3308.0,889.85,6450.6,45
CDM,0831807,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1160.0,1160.0,312.04,2262.0,45
CDM,0831808,Insertion of 2 electrodes for permanent pacemaker or defibrillator,12963.0,8676.0,1029.92,27978.0,64
CDM,0831809,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",977.0,977.0,262.81,1905.15,45
CDM,0831810,IMPL PLUG VASCULAR  IV 4MM,1960.0,2156.0,402.98,2156.0,50
CDM,0831811,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",3789.0,3789.0,1019.24,7388.55,45
CDM,0831812,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1768.0,1944.8,760.24,3447.6,50
CDM,0831813,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1750.0,1750.0,470.75,3412.5,45
CDM,0831814,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1295.0,1295.0,348.36,2525.25,45
CDM,0831816,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,0831818,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1356.0,1356.0,364.76,2644.2,45
CDM,0831819,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,3411.0,64
CDM,0831820,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,64
CDM,0831821,"Removal of foreign body from tissue, accessed beneath the skin, complex",2588.0,2588.0,793.31,15383.0,64
CDM,0831824,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,0831826,STENTLIKE BIOPROSTHESIS GRAFT,43750.0,48125.0,8995.0,48125.0,50
CDM,0831829,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,0831830,FLEXNAV DELIV SYS,2625.0,2625.0,539.7,2100.0,45
CDM,0831831,FLEXNAV LOADING,875.0,875.0,179.9,700.0,45
CDM,0831832,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",14560.0,16016.0,6260.8,28392.0,50
CDM,0831833,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8916.0,8916.0,955.0,17386.2,50
CDM,0831834,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",18084.0,18084.0,955.0,35263.8,50
CDM,0831835,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,0831836,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,0831837,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8916.0,8916.0,955.0,17386.2,50
CDM,0831838,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",28716.0,28716.0,955.0,55996.2,50
CDM,0831839,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",18084.0,18084.0,955.0,35263.8,50
CDM,0831840,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",28716.0,28716.0,955.0,55996.2,50
CDM,0831841,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",18084.0,18084.0,955.0,35263.8,50
CDM,0831842,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",28716.0,28716.0,955.0,55996.2,50
CDM,0831843,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",28716.0,28716.0,955.0,55996.2,50
CDM,0831844,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",28716.0,28716.0,955.0,55996.2,50
CDM,0831845,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",4962.0,4962.0,955.0,9675.9,50
CDM,0831846,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",6421.0,6421.0,955.0,12520.95,50
CDM,0831847,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",6421.0,6421.0,955.0,12520.95,50
CDM,0831848,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",3150.0,3150.0,847.35,6142.5,45
CDM,0831849,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1225.0,1225.0,329.53,2388.75,45
CDM,0831850,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 2 OR MORE DISTINCT CORONARY LESIONS WITH 2",28716.0,28716.0,5688.0,55996.2,50
CDM,0831851,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, SINGLE CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, AND/OR SUBTENDED MAJOR CORONARY ARTERY BRANCHES",18084.0,18084.0,5688.0,35263.8,50
CDM,0831852,Review by radiologist of vein imaging for congenital heart defect of superior vena cava,10712.0,,4606.16,34131.0,50
CDM,0831853,Review by radiologist of vein imaging for congenital heart defect of the azygos/hemiazygos venous system,9595.0,,4125.85,34131.0,50
CDM,0831854,Review by radiologist of vein imaging for congenital heart defect of coronary sinus,5200.0,,2236.0,34131.0,50
CDM,0831855,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals above the heart,10712.0,,4606.16,34131.0,50
CDM,0831856,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals below the heart,10712.0,,4606.16,34131.0,50
CDM,0831859,"Insertion of stent in vein with review by radiologist, each additional vein",9187.0,9187.0,2103.0,58285.0,64
CDM,0831860,Insertion of tube into chest artery for diagnosis or treatment with review by radiologist,6394.0,3044.0,1719.99,20345.0,64
CDM,0831861,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,50
CDM,0831862,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,50
CDM,0831863,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,50
CDM,0831864,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,50
CDM,0831865,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,50
CDM,0831866,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,50
CDM,0831867,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,50
CDM,0831868,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,50
CDM,0831869,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,50
CDM,0831870,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,50
CDM,0833013,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,0833031,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,0833047,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,0833056,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,0833104,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,64
CDM,0833106,Insertion of tube into vena cava,1295.0,1295.0,348.36,3241.0,64
CDM,0833110,Insertion of non-tunneled central venous tube for infusion (5 years or older),4401.0,3044.0,790.49,20345.0,64
CDM,0833114,Insertion of central venous tube with port (5 years or older),3978.0,3044.0,1397.3,20345.0,64
CDM,0833115,Insertion of tube for infusion (5 years or older),2371.0,1495.0,790.49,15383.0,64
CDM,0833130,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,0833131,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",17756.0,17756.0,955.0,34624.2,50
CDM,0833132,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",17756.0,17756.0,955.0,34624.2,50
CDM,0833133,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",4962.0,4962.0,955.0,9675.9,50
CDM,0833134,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,0833141,Insertion of vena cava filter with review by radiologist,6341.0,5071.0,1705.73,27978.0,64
CDM,0833142,Review by radiologist of chest aorta serial images,8717.0,5071.0,221.0,16998.15,64
CDM,0833143,Review by radiologist of abdominal aorta image,4946.0,3044.0,221.0,9644.7,64
CDM,0833144,Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist,7588.0,5071.0,2041.17,27978.0,64
CDM,0833146,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,64
CDM,0833147,Review by radiologist of both arms or legs arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,0833149,Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist,3502.0,3044.0,942.04,20345.0,64
CDM,0833150,Review by radiologist of abdominal artery image,8716.0,5071.0,221.0,16996.2,64
CDM,0833151,Review by radiologist of pelvis artery image,8717.0,5071.0,221.0,16998.15,64
CDM,0833152,Review by radiologist of lung artery image,4946.0,3044.0,221.0,9644.7,64
CDM,0833153,Review by radiologist of arteries of both lungs image,4946.0,3044.0,221.0,9644.7,64
CDM,0833158,Review by radiologist of 1 arm or leg vein of 1 arm or leg image,2466.0,1495.0,221.0,4808.7,64
CDM,0833159,Review by radiologist of both arms and legs veins of both arms or legs image,2466.0,1495.0,221.0,4808.7,64
CDM,0833171,Ultrasonic guidance for blood vessel access,732.0,732.0,70.15,2499.0,61
CDM,0833175,"Insertion of tube into artery for drug infusion for blood clot with review by radiologist, initial treatment day",7588.0,5071.0,2103.0,27978.0,64
CDM,0833180,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,0833182,"Balloon dilation of artery with review by radiologist, each additional artery",1847.0,1847.0,401.0,6044.38,64
CDM,0833183,"Balloon dilation of vein with review by radiologist, each additional vein",5240.0,5240.0,401.0,10218.0,64
CDM,0833192,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,0833200,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,0833203,"Insertion of tube into chest or arm artery, additional second, third order and beyond",1332.0,1332.0,358.31,4299.0,64
CDM,0833204,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,64
CDM,0833208,Review by radiologist of abdominal aorta and both leg arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,0833212,Ultrasound evaluation of heart blood vessel with review by radiologist,3058.0,3058.0,299.84,34131.0,61
CDM,0833214,Repair of congenital abnormality in wall between lower heart chambers with implant,28716.0,17078.0,5688.0,55996.2,61
CDM,0833215,Insertion of left lower heart electrode for pacemaker or defibrillator,16416.0,16416.0,955.0,32011.2,64
CDM,0833216,Insertion of left lower heart electrode and attachment to pacemaker or defibrillator,13772.0,11057.0,3171.0,27978.0,64
CDM,0833219,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",28196.0,28196.0,955.0,54982.2,50
CDM,0833220,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",28196.0,28196.0,955.0,54982.2,50
CDM,0837201,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,64
CDM,0837633,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5705.0,6275.5,2453.15,11124.75,50
CDM,0837649,Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist,8717.0,5071.0,2344.87,27978.0,64
CDM,0837653,ASPIRATION CATH 6F MEDTRONICS,1181.25,1181.25,242.87,945.0,45
CDM,0837661,Insertion of pacemaker pulse generator with existing single lead,10167.0,8676.0,3171.0,27978.0,64
CDM,0837671,Insertion of pacemaker and upper and lower heart chamber electrode,14646.0,11057.0,3939.77,28559.7,64
CDM,0837679,"CATHETER, INTRAVASCULAR ULTRASOUND",1312.5,1312.5,353.06,2559.38,45
CDM,0837690,"CATHETER, INTRAVASCULAR ULTRASOUND",4725.0,4725.0,1271.03,9213.75,45
CDM,0837746,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",4543.0,4543.0,1222.07,8858.85,45
CDM,0837752,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5297.25,5297.25,1424.96,10329.64,45
CDM,0837755,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,0837759,CATH BLN PERC TRNSVNS 28CC,4725.0,4725.0,971.46,3780.0,45
CDM,0837780,GUIDE WIRE,1216.25,1216.25,327.17,2371.69,45
CDM,0910040,"Measurement of brain wave activity with video (VEEG), 2-12 hours with intermittent monitoring",585.0,281.0,157.37,1982.0,61
CDM,0910041,"Measurement of brain wave activity (EEG), continuous",380.0,281.0,102.22,1982.0,61
CDM,0910042,"Measurement of brain wave activity with video (VEEG), 2-12 hours with continuous monitoring",706.0,519.0,189.91,1982.0,61
CDM,0910043,"Measurement of brain wave activity with video (VEEG), 12-26 hours with continuous monitoring",1346.0,978.0,320.66,2624.7,61
CDM,0910044,Measurement of brain wave activity (EEG) in specific area of brain,1532.0,978.0,238.61,2987.4,61
CDM,0912100,Measurement of brain wave activity (EEG) to evaluate brain death,1071.0,519.0,238.61,2088.45,61
CDM,0912115,"Measurement of brain wave activity with video (VEEG), 12-26 hours with intermittent monitoring",728.0,519.0,195.83,1982.0,61
CDM,0912120,Measurement of brain wave activity (EEG) with drug or activity stimulation,1761.0,519.0,238.61,3433.95,61
CDM,0912135,"Measurement of brain wave activity (EEG), 12-26 hours",706.0,519.0,189.91,1982.0,61
CDM,0912190,Measurement of brain wave activity (EEG) during surgery,4557.0,4557.0,238.61,8886.15,61
CDM,0912225,"Measurement of brain wave activity (EEG), 41-60 minutes",1115.0,281.0,299.94,2174.25,61
CDM,0912230,"Measurement of brain wave activity (EEG), 61-119 minutes",1218.0,281.0,320.66,2375.1,61
CDM,0912235,"Measurement of brain wave activity (EEG), awake and drowsy",1055.0,281.0,238.61,2057.25,61
CDM,0912245,"Measurement of brain wave activity (EEG), awake and asleep",1442.0,281.0,238.61,2811.9,61
CDM,0912246,"Measurement of brain wave activity (EEG), in coma or asleep",433.0,281.0,116.48,1982.0,61
CDM,0919530,Complete ultrasound of within the brain blood flow,1120.0,245.0,105.0,2184.0,59
CDM,0919531,Ultrasound of blood flow withing brain to assess flexibility of vessels,582.0,,156.56,1134.9,48
CDM,0919532,Ultrasound of within the brain blood flow for blood clots,431.0,116.0,105.0,840.45,59
CDM,0919533,Ultrasound of blood flow within brain for atypical blood flow detection with microbubble injection,582.0,116.0,70.1,1134.9,59
CDM,0919540,Ultrasound of within the brain blood flow,670.0,116.0,70.1,1306.5,59
CDM,0920005,"Nerve conduction, 1-2 studies",338.0,148.0,89.14,659.1,59
CDM,0920006,"Nerve conduction, 3-4 studies",469.0,281.0,89.14,914.55,59
CDM,0920007,"Nerve conduction, 5-6 studies",469.0,281.0,89.14,914.55,59
CDM,0920009,"Nerve conduction, 7-8 studies",585.0,281.0,89.14,1140.75,59
CDM,0920010,"Nerve conduction, 9-10 studies",648.0,519.0,89.14,1263.6,59
CDM,0920011,"Nerve conduction, 11-12 studies",648.0,519.0,89.14,1263.6,59
CDM,0920012,"Nerve conduction, 13 or more studies",648.0,519.0,89.14,1263.6,59
CDM,0920013,"Needle measurement of electrical activity in arm or leg muscles, limited study",109.0,109.0,29.32,418.0,59
CDM,0920014,"Needle measurement of electrical activity in arm or leg muscles, complete study",109.0,109.0,29.32,418.0,59
CDM,0920015,Needle measurement of electrical activity in trunk or head muscles,59.0,59.0,15.87,418.0,59
CDM,0920017,Test of electrical activity of 1-12 muscles during functional activities,433.0,148.0,89.14,844.35,59
CDM,0921000,"Needle measurement of electrical activity in arm or leg muscles, 1 extremity",396.0,120.0,89.14,772.2,59
CDM,0921001,"Needle measurement of electrical activity in arm or leg muscles, 2 extremities",600.0,120.0,89.14,1170.0,59
CDM,0921006,Testing of nerve-muscle junction,226.0,148.0,60.79,440.7,59
CDM,0921007,"Needle measurement of electrical activity in muscle, including jitter, blocking and/or fiber density",338.0,148.0,89.14,659.1,59
CDM,0921011,Needle measurement of electrical activity in muscles on side of body,362.0,281.0,89.14,705.9,59
CDM,0921012,Measurement of nerve conduction patterns of eye blink reflex,166.0,59.0,44.65,686.0,59
CDM,0921013,Needle measurement of electrical activity in muscles on both sides of body,643.0,281.0,89.14,1253.85,59
CDM,0921120,Testing of autonomic nervous system function and heart rate response to deep breathing,415.0,148.0,89.14,809.25,59
CDM,0921130,Testing of autonomic (sympathetic) nervous system function,415.0,120.0,89.14,809.25,59
CDM,0921220,Needle measurement of electrical activity in middle spine muscles,433.0,148.0,89.14,844.35,59
CDM,0921250,Assessment of muscle signal of pelvic nerves,358.0,59.0,89.14,4984.0,64
CDM,1110090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,1110091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,1110092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,1110093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,1110094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,1110095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,1110312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,57
CDM,1110617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,1110618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,1110619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,1110620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,1110621,ED PROC LEVEL E,5946.0,5946.0,432.0,4756.8,49
CDM,1110649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,1110651,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,2020.2,60
CDM,1110652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1110654,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,1110655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1110656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1110657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,3411.0,64
CDM,1110658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,1110659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1110660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,1110661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,1110662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,1110663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,1110664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,1110665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,1110666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,1110667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1110668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1110670,Fetal test,317.0,181.0,85.27,5962.0,65
CDM,1114208,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,1114209,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,1114225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,1114226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,1114227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,1114228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,1114229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,1114230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,1114231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,1114232,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,1114233,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",137.0,66.0,36.85,3506.0,64
CDM,1114430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,1114431,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,1114432,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,1114433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,1115000,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,1115100,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,1120009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,1120030,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,1120031,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,1120032,"Psychotherapy, 30 minutes",278.0,142.0,74.78,542.1,57
CDM,1120033,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,1120034,"Psychotherapy, 1 hour",288.0,142.0,77.47,561.6,57
CDM,1120035,"Family psychotherapy without patient, 50 minutes",334.0,142.0,75.0,651.3,57
CDM,1120036,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,57
CDM,1120413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,1120419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,1120420,Group psychotherapy,160.0,80.0,43.04,312.0,56
CDM,1130090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,1130091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,1130092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,1130093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,1130094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,1130095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,1130312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,53
CDM,1130617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,1130618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,1130619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,1130620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,1130621,ED PROC LEVEL E,5946.0,5946.0,432.0,4756.8,49
CDM,1130649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,1130651,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,2020.2,60
CDM,1130652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1130654,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,1130655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1130656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1130657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,2499.0,61
CDM,1130658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,1130659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1130660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,1130661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,1130662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,1130663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,1130664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,1130665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,1130666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,1130667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1130668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1134225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,1134226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,1134227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,1134228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,1134229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,1134230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,1134231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,1134232,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,1134233,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,1134430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,1134433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,1160090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,1160091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,1160092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,1160093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,1160094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,1160095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,1160312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,53
CDM,1160613,ADMINISTRATION OF HEPATITIS B VACCINE,85.0,43.0,22.87,165.75,59
CDM,1160617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,1160618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,1160619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,1160620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,1160621,ED PROC LEVEL E,5946.0,5946.0,432.0,4756.8,49
CDM,1160649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,1160651,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,2020.2,60
CDM,1160652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1160654,TRANSFUSE BLOOD/COMP,509.0,509.0,104.65,417.0,48
CDM,1160655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1160656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1160657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,2499.0,61
CDM,1160658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,1160659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1160660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,1160661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,1160662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,1160663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,1160664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,1160665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,1160666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,1160667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1160668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1160670,Fetal test,317.0,181.0,85.27,5962.0,65
CDM,1164208,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,1164209,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,1164225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,1164226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,1164227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,1164228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,1164229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,1164230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,1164231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,1164232,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,1164233,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,1164430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,1164431,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,1164432,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,1164433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,1180090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,1180091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,1180092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,1180093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,1180094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,1180617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,1180618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,1180619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,1180620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,1180649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,1180651,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,2020.2,60
CDM,1180652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1180654,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,1180655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1180656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1180657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,2499.0,61
CDM,1180658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,1180659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1180660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,1180661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,1180662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,1180663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,1180664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,1180665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,1180666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,1180667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1180668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,1190090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,1190091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,1190092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,1190093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,1190094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,1190095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,1190312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,53
CDM,1190613,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,1190617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,1190619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,1190620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,1190621,ED PROC LEVEL E,5946.0,5946.0,432.0,4756.8,49
CDM,1190633,"INTRAVENOUS INFUSION, TOCILIZUMAB, FOR HOSPITALIZED ADULTS AND PEDIATRIC PATIENTS (2 YEARS OF AGE AND OLDER) WITH COVID-19 WHO ARE RECEIVING SYSTEMIC CORTICOSTEROIDS AND REQUIRE SUPPLEMENTAL OXYGEN, N",691.0,469.0,37.0,1347.45,57
CDM,1190634,"INTRAVENOUS INFUSION, TOCILIZUMAB, FOR HOSPITALIZED ADULTS AND PEDIATRIC PATIENTS (2 YEARS OF AGE AND OLDER) WITH COVID-19 WHO ARE RECEIVING SYSTEMIC CORTICOSTEROIDS AND REQUIRE SUPPLEMENTAL OXYGEN, N",691.0,469.0,37.0,1347.45,57
CDM,1190638,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,1190639,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1190640,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1190641,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,1190642,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,1190643,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,1190644,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,1190645,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,1190646,Complete ultrasound scan of joint,164.0,116.0,70.1,2499.0,64
CDM,1194209,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,1194226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,1194430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,1194431,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,1194432,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,1194433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,1195000,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,1195100,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,1210002,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",4717.0,5188.7,2028.31,9198.15,50
CDM,1210003,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",4764.0,5240.4,2048.52,9289.8,50
CDM,1210017,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,1210038,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4288.0,4716.8,1843.84,8361.6,50
CDM,1210040,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",319.22,351.14,137.26,622.48,50
CDM,1210042,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4361.0,4797.1,1875.23,8503.95,50
CDM,1210046,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4441.0,4885.1,1909.63,8659.95,50
CDM,1210049,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4270.0,4697.0,1836.1,8326.5,50
CDM,1210054,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",264.18,290.6,113.6,515.15,50
CDM,1210055,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,1210069,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",105.0,115.5,45.15,204.75,50
CDM,1210070,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",266.0,292.6,114.38,518.7,50
CDM,1210072,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,1210073,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",266.0,292.6,114.38,518.7,50
CDM,1210074,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,1210077,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",178.0,195.8,76.54,347.1,50
CDM,1210080,Review by radiologist of ultrasound of digestive tract using an endoscope,374.0,245.0,70.15,2499.0,64
CDM,1210085,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",266.0,292.6,114.38,518.7,50
CDM,1210086,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3082.0,3390.2,1325.26,6009.9,50
CDM,1210087,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4270.0,4697.0,1836.1,8326.5,50
CDM,1210094,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",266.0,292.6,114.38,518.7,50
CDM,1210095,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4236.0,4659.6,1821.48,8260.2,50
CDM,1210097,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",266.0,292.6,114.38,518.7,50
CDM,1210112,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3238.0,3561.8,1392.34,6314.1,50
CDM,1210139,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,1210145,SPHINCTEROTOME TIP,726.0,726.0,149.27,580.8,45
CDM,1210148,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3025.0,3327.5,1300.75,5898.75,50
CDM,1210149,"MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PERFORMING A GASTROINTESTINAL ENDOSCOPIC SERVICE THAT SEDATION SUPPORTS, REQUIRING THE PRESENCE OF",397.0,397.0,16.56,774.15,56
CDM,1210150,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,766.35,56
CDM,1210151,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,1210152,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,630.0,630.0,129.53,504.0,45
CDM,1210153,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2250.0,2250.0,462.6,1800.0,45
CDM,1210154,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2430.0,2430.0,499.61,1944.0,45
CDM,1210155,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,3150.0,3150.0,647.64,2520.0,45
CDM,1210156,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,630.0,630.0,129.53,504.0,45
CDM,1210157,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2250.0,2250.0,462.6,1800.0,45
CDM,1210158,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2430.0,2430.0,499.61,1944.0,45
CDM,1210159,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,3150.0,3150.0,647.64,2520.0,45
CDM,1210161,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",143.0,157.3,61.49,278.85,50
CDM,1210162,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",197.0,216.7,84.71,384.15,50
CDM,1210164,FORCEP SPY BITE,915.0,915.0,188.12,732.0,45
CDM,1210165,NEEDLE BIOPSY,937.0,937.0,192.65,749.6,45
CDM,1210166,CAPSULE VIDEO SMALL BOWEL PILL,984.0,984.0,202.31,787.2,45
CDM,1210167,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4288.0,4716.8,1843.84,8361.6,50
CDM,1210168,CATH SPYGLASS,4288.0,4288.0,881.61,3430.4,45
CDM,1210169,DVC HEMOSPRAY,4375.0,4375.0,899.5,3500.0,45
CDM,1210170,SCOPE TAEWOONG THRU,4886.0,4886.0,1004.56,3908.8,45
CDM,1210171,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7931.0,8724.1,3410.33,15465.45,50
CDM,1210172,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",9003.0,9903.3,3871.29,17555.85,50
CDM,1210173,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4361.0,4797.1,1875.23,8503.95,50
CDM,1210174,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",231.0,254.1,99.33,450.45,50
CDM,1210175,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,1210176,Imaging of esophagus done from the inside of the esophagus,1421.0,860.0,199.45,2770.95,56
CDM,1210240,Study of esophagus to assess movement,693.0,519.0,186.42,1351.35,56
CDM,1210265,Imaging of digestive tract done from the inside of the digestive tract,1614.0,860.0,199.45,3147.3,56
CDM,1210270,Review by radiologist of image to guide opening of digestive tract,2119.0,2119.0,146.51,4132.05,61
CDM,1210272,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,1210324,GOLD PROBE,710.0,710.0,145.98,568.0,45
CDM,1210325,APC STRAIGHT FIRE PROBE,4003.0,4003.0,823.02,3202.4,45
CDM,1210336,"CATHETER, BALLOON DILATATION, NON-VASCULAR",1252.0,1252.0,336.79,2441.4,45
CDM,1210342,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",275.0,302.5,118.25,536.25,50
CDM,1210343,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",468.56,515.42,201.48,913.69,50
CDM,1210411,Monitoring and recording of esophageal function through a capsule attached to the esophagus wall,1348.0,519.0,199.45,2628.6,56
CDM,1210421,GUIDE WIRE,744.0,744.0,200.14,1450.8,45
CDM,1210422,JUMBO OVAL SNARES,980.0,980.0,201.49,784.0,45
CDM,1210663,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",223.0,245.3,95.89,434.85,50
CDM,1214410,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",319.22,351.14,137.26,622.48,50
CDM,1300003,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1300005,Follow-up therapy service to facilitate lung function,208.0,120.0,41.72,599.0,59
CDM,1300007,Other service or procedure on lung,1312.0,148.0,41.72,2558.4,59
CDM,1300009,Physician attendance at delivery and stabilization of newborn,585.0,585.0,157.37,1140.75,48
CDM,1300011,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,1300016,Blood sodium level,68.0,68.0,2.74,2119.0,64
CDM,1300018,Therapy procedure using a positive pressure ventilator,965.0,200.0,101.4,1881.75,59
CDM,1300019,Blood potassium level,74.0,74.0,2.74,2119.0,64
CDM,1300020,Test to measure the total volume of air that can be exhaled after inhaling,240.0,148.0,41.72,1758.0,64
CDM,1300021,"Calcium level, ionized",196.0,196.0,6.04,2119.0,64
CDM,1300022,Initial hospital inpatient or observation ventilation assistance and management,2958.0,518.0,406.0,5768.1,59
CDM,1300023,Follow-up inpatient or observation ventilation assistance and management,2516.0,518.0,406.0,4906.2,59
CDM,1300024,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1300025,Red blood cell concentration measurement,35.0,35.0,2.13,2119.0,64
CDM,1300026,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1300028,Therapy procedure to clear airway using an inflatable vest,344.0,200.0,41.72,670.8,59
CDM,1300030,Initial therapy service to facilitate lung function,209.0,120.0,41.72,599.0,59
CDM,1300031,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1300033,Manual attempt to restore blood circulation and breathing,460.0,281.0,123.74,897.0,59
CDM,1300035,NITRIC OXIDE DAILY,6968.0,6968.0,1432.62,5574.4,45
CDM,1300046,Administration of medication through breathing tube,957.0,200.0,41.72,1866.15,64
CDM,1300068,"Inhalation treatment for acute airway obstruction, each additional hour",77.0,77.0,20.71,599.0,59
CDM,1300069,"Inhalation treatment for acute airway obstruction, first hour",208.0,120.0,41.72,599.0,59
CDM,1300401,Reviving newborn at delivery,1036.0,597.0,278.68,2020.2,59
CDM,1300487,Initial hospital inpatient or observation ventilation assistance and management,3019.0,518.0,406.0,5887.05,59
CDM,1300488,Follow-up inpatient or observation ventilation assistance and management,2541.0,518.0,406.0,4954.95,59
CDM,1300489,Follow-up inpatient or observation ventilation assistance and management,2566.0,518.0,406.0,5003.7,59
CDM,1310002,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1310007,Carboxyhemoglobin (protein) level,144.0,144.0,6.04,2119.0,64
CDM,1310008,"Methemoglobin (hemoglobin) analysis, quantitative",81.0,81.0,2.74,2119.0,64
CDM,1310009,Emergent insertion of breathing tube into windpipe using an endoscope,954.0,225.0,256.63,5962.0,64
CDM,1310016,Follow-up therapy service to facilitate lung function,209.0,120.0,41.72,599.0,59
CDM,1310017,Other service or procedure on lung,1312.0,148.0,41.72,2558.4,59
CDM,1310018,Therapy procedure using a positive pressure ventilator,965.0,200.0,101.4,1881.75,59
CDM,1310020,Test to measure the total volume of air that can be exhaled after inhaling,240.0,148.0,41.72,1758.0,64
CDM,1310022,Initial hospital inpatient or observation ventilation assistance and management,2958.0,518.0,406.0,5768.1,59
CDM,1310023,Follow-up inpatient or observation ventilation assistance and management,2516.0,518.0,406.0,4906.2,59
CDM,1310026,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1310029,"Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)",166.0,166.0,4.48,2119.0,64
CDM,1310030,Initial therapy service to facilitate lung function,209.0,120.0,41.72,599.0,59
CDM,1310031,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1310033,Manual attempt to restore blood circulation and breathing,460.0,281.0,123.74,897.0,59
CDM,1310034,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1310035,NITRIC OXIDE DAILY,6968.0,6968.0,1432.62,5574.4,45
CDM,1310036,"Calcium level, ionized",196.0,196.0,6.04,2119.0,64
CDM,1310037,Therapy procedure to clear airway using an inflatable vest,344.0,200.0,41.72,670.8,59
CDM,1310100,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,1310481,"Inhalation treatment for acute airway obstruction, first hour",209.0,120.0,41.72,599.0,59
CDM,1310482,"Inhalation treatment for acute airway obstruction, each additional hour",77.0,77.0,20.71,599.0,59
CDM,1310487,Initial hospital inpatient or observation ventilation assistance and management,3019.0,518.0,406.0,5887.05,59
CDM,1310488,Follow-up inpatient or observation ventilation assistance and management,2541.0,518.0,406.0,4954.95,59
CDM,1310489,Follow-up inpatient or observation ventilation assistance and management,2566.0,518.0,406.0,5003.7,59
CDM,1320006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,1320009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,1320413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,1320414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,1320417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,1320419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,1410011,"Test of car seat or bed (1 year or younger), 1 hour",69.0,36.0,18.56,1758.0,64
CDM,1410012,"Test of car seat or bed (1 year or younger), each additional 30 minutes",69.0,69.0,18.56,1758.0,64
CDM,1410014,Insertion of tube for infusion (younger than 5 years),2466.0,1495.0,663.35,15383.0,61
CDM,1410015,Insertion of tube for infusion (younger than 5 years),2466.0,1495.0,663.35,15383.0,61
CDM,1410019,Screening evaluation of brain response to sound with automated analysis,171.0,171.0,21.73,343.0,59
CDM,1410202,Removal of foreskin using clamp or device,3275.0,1904.0,880.98,16462.0,61
CDM,1420001,Initiation of ECMO external vein to vein blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,64
CDM,1420002,Initiation of ECMO external vein to artery blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,64
CDM,1420003,Daily management of ECMO external vein to vein blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,1420004,Daily management of ECMO external vein to artery blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,1420006,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,3411.0,64
CDM,1430003,Initiation of ECMO external vein to vein blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,64
CDM,1430004,Initiation of ECMO external vein to artery blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,64
CDM,1430005,Daily management of ECMO external vein to vein blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,1430006,Daily management of ECMO external vein to artery blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,64
CDM,1430008,Photography of the retina,208.0,120.0,33.38,405.6,56
CDM,1430010,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,3411.0,64
CDM,1450208,Administration of chemotherapy into vein using push technique,518.0,218.0,31.86,3900.0,64
CDM,1450210,"Administration of chemotherapy into vein, 1 hour or less",518.0,339.0,178.32,3900.0,64
CDM,1450211,Administration of prolonged chemotherapy into vein,517.0,339.0,180.95,3900.0,64
CDM,1450212,Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord,518.0,339.0,181.3,3900.0,64
CDM,1450623,Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle,113.0,66.0,31.86,3900.0,64
CDM,1450624,Administration of additional new drug or substance into vein using push technique,133.0,66.0,31.86,3900.0,64
CDM,1450626,"Administration of chemotherapy into growth, more than 7",334.0,218.0,31.86,3900.0,64
CDM,1456029,"Administration of chemotherapy into vein, each additional hour",181.0,66.0,63.35,3900.0,64
CDM,1460001,Sleep study in sleep lab (6 years or older),1346.0,978.0,362.07,2624.7,59
CDM,1460005,Sleep study in sleep lab (younger than 6 years),1346.0,978.0,362.07,2624.7,59
CDM,1460006,Sleep study in sleep lab with continuous airway pressure (younger than 6 years),1346.0,978.0,362.07,2624.7,59
CDM,1460009,Sleep study in sleep lab,1346.0,978.0,362.07,2624.7,59
CDM,1466065,Sleep study in sleep lab with continuous airway pressure (6 years or older),1346.0,978.0,362.07,2624.7,59
CDM,1466066,"Sleep study, multiple trials",1345.0,519.0,361.81,2622.75,59
CDM,1700001,SMALL BOWEL ACQUISITION,81387.0,81387.0,3461.0,65109.6,42
CDM,1740001,LIVER PROCUREMENT-CADAVER,82415.0,82415.0,3461.0,65932.0,42
CDM,1750100,KIDNEY ACQUISITION CHG-CADAVER,105268.0,105268.0,3461.0,84214.4,42
CDM,1750200,KIDNEY ACQUISI LIVING DONOR,90289.0,90289.0,3461.0,72231.2,42
CDM,1760001,HEART PROCUREMENT,71021.0,71021.0,3461.0,56816.8,42
CDM,1770001,PANCREAS ACQUISITION,60972.0,60972.0,3461.0,48777.6,42
CDM,1780001,LUNG ACQUISITION - SINGLE,30425.0,30425.0,3461.0,24340.0,42
CDM,1780002,LUNG ACQUISITION- BILATERAL,60849.0,60849.0,3461.0,48679.2,42
CDM,1790005,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,64
CDM,1790006,Fibrinogen (factor 1) activity measurement,231.0,231.0,2.22,2119.0,64
CDM,1790007,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1790008,"Troponin (protein) analysis, quantitative",221.0,221.0,6.04,2119.0,64
CDM,1790009,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,64
CDM,1790010,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,1790011,Blood sodium level,68.0,68.0,2.74,2119.0,64
CDM,1790012,Blood potassium level,74.0,74.0,2.74,2119.0,64
CDM,1790013,"Calcium level, ionized",196.0,196.0,6.04,2119.0,64
CDM,1790014,Red blood cell concentration measurement,35.0,35.0,2.13,2119.0,64
CDM,1790015,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1790016,"Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)",166.0,166.0,4.48,2119.0,64
CDM,1790017,"Urea nitrogen level to assess kidney function, quantitative",62.0,62.0,2.74,2119.0,64
CDM,1790018,Blood creatinine level,50.0,50.0,2.74,2119.0,64
CDM,1790019,"Blood gases measurement, with O2 saturation",354.0,354.0,33.99,2119.0,64
CDM,1790020,Lactic acid level,205.0,205.0,6.04,2119.0,64
CDM,1790021,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1790024,"Blood test, comprehensive group of blood chemicals",454.0,454.0,4.48,2119.0,64
CDM,1790025,Automated urinalysis test,91.0,91.0,1.48,2119.0,64
CDM,1790029,"Blood test, clotting time",76.0,76.0,2.22,2119.0,64
CDM,1790030,"Blood count, hemoglobin",32.0,32.0,2.13,2119.0,64
CDM,1790034,Gonadotropin (reproductive hormone) analysis,182.0,182.0,2.74,2119.0,64
CDM,1790035,Carboxyhemoglobin (protein) level,144.0,144.0,6.04,2119.0,64
CDM,1790036,"Methemoglobin (hemoglobin) analysis, quantitative",81.0,81.0,2.74,2119.0,64
CDM,1790039,"Blood gas, oxygen saturation measurement",22.0,22.0,2.74,2119.0,64
CDM,1790040,Glucose (sugar) level on body fluid,102.0,102.0,2.74,2119.0,64
CDM,1790041,Lactic acid level,205.0,205.0,6.04,2119.0,64
CDM,1790042,Pyruvate (organic acid) level,116.15,116.15,6.04,2119.0,64
CDM,1790043,Heparin therapy assessment,168.0,168.0,2.22,2119.0,64
CDM,1790044,Heparin assay,141.75,141.75,2.22,2119.0,64
CDM,1790045,Blood chloride level,73.0,73.0,2.74,2119.0,64
CDM,1790046,Coagulation function screening test with interpretation and report,52.0,52.0,2.22,2119.0,64
CDM,1790047,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus,66.0,66.0,4.04,2119.0,64
CDM,1790049,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1790050,"Blood test, basic group of blood chemicals (Calcium, ionized)",20.0,20.0,4.48,2119.0,64
CDM,1790051,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza,106.0,106.0,23.95,2119.0,64
CDM,1790052,Detection test by immunoassay technique for influenza virus,21.0,21.0,4.04,2119.0,64
CDM,1790053,Detection test by immunoassay technique for respiratory syncytial virus (RSV),21.0,21.0,4.04,2119.0,64
CDM,1790054,"Detection test by immunoassay technique for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,1800004,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",90.0,90.0,23.95,2119.0,64
CDM,1800005,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,64
CDM,1800006,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,64
CDM,1800007,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,64
CDM,1800008,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,64
CDM,1800014,Tissue culture for tumor disorders of bone marrow and blood cells,143.75,143.75,61.81,2119.0,64
CDM,1800016,Analysis for antibody to parvovirus,15.03,15.03,5.48,2119.0,64
CDM,1800018,Analysis for antibody to Chlamydia (bacteria),17.0,17.0,5.48,2119.0,64
CDM,1800019,Analysis for antibody to Chlamydia (bacteria),12.0,12.0,5.16,2119.0,64
CDM,1800020,Analysis for antibody (IgM) to Chlamydia (bacteria),13.0,13.0,5.48,2119.0,64
CDM,1800021,Islet cell (pancreas) antibody measurement,71.0,71.0,5.48,2119.0,64
CDM,1800022,Analysis for antibody to Influenza virus,26.45,26.45,5.48,2119.0,64
CDM,1800023,Analysis for antibody to Influenza virus,26.45,26.45,5.48,2119.0,64
CDM,1800034,Analysis for antibody to Enterovirus (gastrointestinal virus),72.0,72.0,5.48,2119.0,64
CDM,1800037,Organic acids analysis,128.0,128.0,6.04,2119.0,64
CDM,1800040,Analysis for antibody to Western equine virus (viral encephalitis),29.0,29.0,5.48,2119.0,64
CDM,1800041,Analysis for antibody to virus,45.95,45.95,5.48,2119.0,64
CDM,1800054,"White blood cell function measurement, mitogen or antigen induced blastogenesis",249.0,249.0,19.95,2119.0,64
CDM,1800061,Gene analysis (cystic fibrosis transmembrane conductance regular) common variants,556.6,556.6,119.0,2119.0,64
CDM,1800110,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800111,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800112,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800113,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800114,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800115,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800139,Analysis for antibody to virus,55.59,55.59,5.48,2119.0,64
CDM,1800142,Thyroid stimulating immune globulins (thyroid related protein) level,50.86,50.86,17.25,2119.0,64
CDM,1800148,"Cortisol (hormone) measurement, free",48.89,48.89,6.04,2119.0,64
CDM,1800149,"Cortisol (hormone) measurement, total",48.89,48.89,6.61,2119.0,64
CDM,1800150,"Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus",495.0,495.0,97.79,2119.0,64
CDM,1800168,"White blood cell function measurement, mitogen or antigen induced blastogenesis",93.0,93.0,19.95,2119.0,64
CDM,1800172,"Detection test by nucleic acid for herpes simplex virus, quantification",45.0,45.0,19.35,2119.0,64
CDM,1800173,"Detection test by nucleic acid for herpes simplex virus, quantification",45.0,45.0,19.35,2119.0,64
CDM,1800174,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1800175,Analysis for antibody to virus,119.0,119.0,5.48,2119.0,64
CDM,1800176,"Detection test by nucleic acid for cytomegalovirus, quantification",85.0,85.0,23.95,2119.0,64
CDM,1800177,"Detection test by nucleic acid for herpes virus-6, quantification",130.0,130.0,23.95,2119.0,64
CDM,1800178,"Detection test by nucleic acid for organism, quantification",175.0,175.0,23.95,2119.0,64
CDM,1800179,"Detection test by nucleic acid for organism, quantification",175.0,175.0,23.95,2119.0,64
CDM,1800181,"Detection test by nucleic acid for organism, quantification",100.0,100.0,23.95,2119.0,64
CDM,1800393,Analysis for antibody to protozoa (parasite),107.0,107.0,5.48,2119.0,64
CDM,1800394,Analysis for antibody to helminth (intestinal worm),68.0,68.0,5.48,2119.0,64
CDM,1800395,Analysis for antibody to virus,55.5,55.5,5.48,2119.0,64
CDM,1800396,Measurement of substance using immunoassay technique,80.0,80.0,6.04,2119.0,64
CDM,1800398,Detection of pancreatic elastase (enzyme) in stool,224.0,224.0,6.04,2119.0,64
CDM,1800399,Analysis for antibody to St. Louis virus (viral encephalitis),43.8,43.8,5.48,2119.0,64
CDM,1800400,Analysis for antibody to St. Louis virus (viral encephalitis),30.0,30.0,5.48,2119.0,64
CDM,1800401,Analysis for antibody to Western equine virus (viral encephalitis),42.24,42.24,5.48,2119.0,64
CDM,1800402,Analysis for antibody to Western equine virus (viral encephalitis),30.0,30.0,5.48,2119.0,64
CDM,1800403,Arsenic level,32.65,32.65,5.95,2119.0,64
CDM,1800404,Lead level,50.0,50.0,5.95,2119.0,64
CDM,1800405,Mercury level,50.0,50.0,5.95,2119.0,64
CDM,1800462,Measurement of blood coagulation and fibrinolysis (clot dissolving) function,30.86,30.86,12.56,2119.0,64
CDM,1800512,Phospholipid antibody (autoimmune antibody) measurement,71.0,71.0,5.48,2119.0,64
CDM,1800513,Phospholipid antibody (autoimmune antibody) measurement,71.0,71.0,5.48,2119.0,64
CDM,1800514,Phospholipid antibody (autoimmune antibody) measurement,71.0,71.0,5.48,2119.0,64
CDM,1800520,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.16,7.16,3.08,2119.0,64
CDM,1800522,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.16,7.16,3.08,2119.0,64
CDM,1800523,Analysis for antibody to helminth (intestinal worm),45.27,45.27,5.48,2119.0,64
CDM,1800524,Screening test for antibody to noninfectious agent,14.0,14.0,5.48,2119.0,64
CDM,1800525,Screening test for antibody to noninfectious agent,13.0,13.0,5.48,2119.0,64
CDM,1800526,Analysis using chemiluminescent technique (light and chemical )reaction,45.14,45.14,6.04,2119.0,64
CDM,1800531,Histamine (immune system substance) level,51.69,51.69,13.91,2119.0,64
CDM,1800535,Measurement of substance using immunoassay technique,43.0,43.0,6.04,2119.0,64
CDM,1800536,Measurement of substance using immunoassay technique,42.0,42.0,6.04,2119.0,64
CDM,1800537,Analysis for antibody to Coxiella burnetii (Q fever bacteria),15.65,15.65,5.48,2119.0,64
CDM,1800538,Analysis for antibody to Coxiella burnetii (Q fever bacteria),13.5,13.5,5.48,2119.0,64
CDM,1800539,Analysis for antibody to Coxiella burnetii (Q fever bacteria),13.5,13.5,5.48,2119.0,64
CDM,1800540,Analysis for antibody to Coxiella burnetii (Q fever bacteria),13.5,13.5,5.48,2119.0,64
CDM,1800542,Analysis for antibody to fungus,53.16,53.16,5.48,2119.0,64
CDM,1800543,Analysis for antibody to fungus,60.0,60.0,5.48,2119.0,64
CDM,1800544,Molecular pathology procedure level 2,137.0,137.0,58.91,2119.0,64
CDM,1800548,"Gene analysis (fragile X syndrome, X-linked intellectual disability) for detection of abnormal alleles",269.0,269.0,20.82,2119.0,64
CDM,1800564,Screening test for antibody to noninfectious agent,35.97,35.97,5.48,2119.0,64
CDM,1800566,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800567,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800568,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800569,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800570,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800571,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800572,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800573,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800574,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800575,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800576,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800577,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800578,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800579,"Detection of infectious agent antibody, quantitative",17.85,17.85,5.48,2119.0,64
CDM,1800584,Mass spectrometry (laboratory testing method),69.51,69.51,6.04,2119.0,64
CDM,1800596,Human growth hormone level,17.0,17.0,6.61,2119.0,64
CDM,1800600,Erythropoietin (protein) level,50.0,50.0,6.04,2119.0,64
CDM,1800601,G6PD (enzyme) level,20.63,20.63,2.74,2119.0,64
CDM,1800653,Molecular pathology procedure,125.0,125.0,20.82,2119.0,61
CDM,1800658,Manganese (heavy metal) level,39.78,39.78,5.95,2119.0,64
CDM,1800660,"Analysis of substance using immunoassay technique, multiple step method",407.2,407.2,6.04,2119.0,64
CDM,1800662,Primidone level,31.0,31.0,6.08,2119.0,64
CDM,1800663,Phenobarbital level,31.0,31.0,6.08,2119.0,64
CDM,1800669,Tissue culture for disorders of amniotic fluid or placenta cells,151.0,151.0,64.93,2119.0,64
CDM,1800677,Detection test by immunoassay technique for hepatitis Be surface antigen,15.0,15.0,4.04,2119.0,64
CDM,1800693,"Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease",38.0,38.0,2.74,2119.0,64
CDM,1800694,"Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease",24.15,24.15,2.74,2119.0,64
CDM,1800695,Cholinesterase (enzyme) level,24.15,24.15,2.74,2119.0,64
CDM,1800699,Analysis for antibody to Brucella (bacteria),54.0,54.0,5.48,2119.0,64
CDM,1800700,Analysis for antibody to Brucella (bacteria),54.0,54.0,5.48,2119.0,64
CDM,1800701,Analysis for antibody to Rickettsia (bacteria),31.19,31.19,5.48,2119.0,64
CDM,1800702,Analysis for antibody to Rickettsia (bacteria),30.0,30.0,5.48,2119.0,64
CDM,1800703,Analysis for antibody to Rickettsia (bacteria),30.0,30.0,5.48,2119.0,64
CDM,1800704,Analysis for antibody to Rickettsia (bacteria),30.0,30.0,5.48,2119.0,64
CDM,1800705,"Antibody identification test, platelet antibodies",260.0,260.0,5.48,2119.0,64
CDM,1800706,"Testosterone (hormone) level, total",29.85,29.85,6.61,2119.0,64
CDM,1800723,Vitamin measurement,154.8,154.8,6.04,2119.0,64
CDM,1800730,Platelet function test,54.93,54.93,2.22,2119.0,64
CDM,1800739,"Detection test by nucleic acid for organism, amplified probe technique",85.0,85.0,23.95,2119.0,64
CDM,1800765,Quinidine level,35.65,35.65,6.08,2119.0,64
CDM,1800766,Analysis for antibody to respiratory syncytial virus (RSV),47.5,47.5,5.48,2119.0,64
CDM,1800770,"Detection test by nucleic acid for organism, amplified probe technique",175.25,175.25,23.95,2119.0,64
CDM,1800771,"Detection test by nucleic acid for organism, amplified probe technique",100.0,100.0,23.95,2119.0,64
CDM,1800772,"Detection test by nucleic acid for organism, amplified probe technique",100.0,100.0,23.95,2119.0,64
CDM,1800874,Chromium level to test for poisoning or deficiency,99.0,99.0,5.95,2119.0,64
CDM,1800877,"Phosphatase (enzyme) level, alkaline",20.0,20.0,2.74,2119.0,64
CDM,1800878,Analysis for antibody to aspergillus (fungus),15.05,15.05,5.48,2119.0,64
CDM,1800879,Analysis for antibody to aspergillus (fungus),15.05,15.05,5.48,2119.0,64
CDM,1800880,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800881,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800882,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800883,Lipoprotein measurement,37.0,37.0,13.91,2119.0,64
CDM,1800888,Analysis for antibody to Enterovirus (gastrointestinal virus),13.03,13.03,5.48,2119.0,64
CDM,1800889,Analysis for antibody to virus,45.95,45.95,5.48,2119.0,64
CDM,1800891,Analysis for antibody to parvovirus,15.03,15.03,5.48,2119.0,64
CDM,1800892,Vitamin measurement,17.06,17.06,6.04,2119.0,64
CDM,1800905,Translocation analysis (BCR/ABL1) major breakpoint,224.91,224.91,80.06,2119.0,64
CDM,1800910,Vitamin B-1 (thiamine) level,30.93,30.93,6.04,2119.0,64
CDM,1800911,Analysis for antibody to Brucella (bacteria),50.6,50.6,5.48,2119.0,64
CDM,1800912,Detection test by immunoassay technique for Histoplasma capsulatum (parasite),85.0,85.0,4.04,2119.0,64
CDM,1800913,"Analysis for antibody to Herpes simplex virus, type 1",20.33,20.33,5.48,2119.0,64
CDM,1800914,"Analysis for antibody to Herpes simplex virus, type 2",21.52,21.52,5.48,2119.0,64
CDM,1800915,"Analysis for antibody to Herpes simplex virus, type 1",42.93,42.93,5.48,2119.0,64
CDM,1800916,"Analysis for antibody to Herpes simplex virus, type 2",42.93,42.93,5.48,2119.0,64
CDM,1800917,Beta-2 microglobulin (protein) level,31.5,31.5,6.61,2119.0,64
CDM,1800918,Chemical test for genetic disorder,172.0,172.0,6.04,2119.0,64
CDM,1800920,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",114.43,114.43,30.78,2119.0,64
CDM,1800922,Organic acid level,72.48,72.48,6.04,2119.0,64
CDM,1800923,Breath test analysis for helicobacter pylori,67.36,67.36,28.96,2119.0,64
CDM,1800939,Detection test by immunoassay technique for Shiga-like toxin (bacterial toxin),68.15,68.15,4.04,2119.0,64
CDM,1800941,Measurement of antibody to noninfectious agent,29.0,29.0,5.48,2119.0,64
CDM,1800943,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800944,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800945,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1800947,Measurement of antibody to noninfectious agent,35.0,35.0,5.48,2119.0,64
CDM,1800949,Protein measurement,70.0,70.0,5.48,2119.0,64
CDM,1800956,Protein measurement,100.0,100.0,5.48,2119.0,64
CDM,1800958,"Testing for presence of drug, by chemistry analyzers",407.0,407.0,34.6,2119.0,64
CDM,1800967,Translocation analysis (BCR/ABL1) major breakpoint,224.91,224.91,80.06,2119.0,64
CDM,1800968,Translocation analysis (BCR/ABL1) minor breakpoint,198.68,198.68,80.06,2119.0,64
CDM,1800969,Molecular pathology procedure level 2,420.0,420.0,80.06,2119.0,64
CDM,1800971,Alpha-fetoprotein (AFP) analysis,64.41,64.41,13.91,2119.0,64
CDM,1800972,Catecholamines (organic nitrogen) level,25.25,25.25,6.61,2119.0,64
CDM,1800973,"Desoxycorticosterone, 11 (hormone) level",158.94,158.94,17.25,2119.0,64
CDM,1800974,Gammaglobulin (immune system protein) measurement,53.51,53.51,2.74,2119.0,64
CDM,1800975,"Analysis of substance using immunoassay technique, multiple step method",49.05,49.05,6.04,2119.0,64
CDM,1800976,"Analysis of substance using immunoassay technique, multiple step method",50.0,50.0,6.04,2119.0,64
CDM,1800977,"Measurement of substance using immunoassay technique, by radioimmunoassay",100.0,100.0,6.04,2119.0,64
CDM,1800978,"Measurement of substance using immunoassay technique, by radioimmunoassay",100.0,100.0,6.04,2119.0,64
CDM,1800979,"Measurement of substance using immunoassay technique, by radioimmunoassay",100.0,100.0,6.04,2119.0,64
CDM,1800981,Measurement of substance using immunoassay technique,135.0,135.0,6.04,2119.0,64
CDM,1800982,Measurement of substance using immunoassay technique,43.08,43.08,6.04,2119.0,64
CDM,1800983,Measurement of substance using immunoassay technique,43.08,43.08,6.04,2119.0,64
CDM,1800984,Measurement of substance using immunoassay technique,108.0,108.0,6.04,2119.0,64
CDM,1800985,Evaluation of thiopurine S-methyltransferase (TPMT),100.0,,6.04,2119.0,61
CDM,1800989,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.16,7.16,3.08,2119.0,64
CDM,1800990,"Antibody identification test, platelet antibodies",260.0,260.0,5.48,2119.0,64
CDM,1800991,Phospholipid antibody (autoimmune antibody) measurement,72.0,72.0,5.48,2119.0,64
CDM,1800992,Phospholipid antibody (autoimmune antibody) measurement,70.0,70.0,5.48,2119.0,64
CDM,1800993,Screening test for antibody to noninfectious agent,61.13,61.13,5.48,2119.0,64
CDM,1800994,Islet cell (pancreas) antibody measurement,122.0,122.0,5.48,2119.0,64
CDM,1801001,Analysis for antibody to aspergillus (fungus),15.05,15.05,5.48,2119.0,64
CDM,1801004,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,64
CDM,1801006,Analysis for antibody to Diphtheria (bacteria),89.29,89.29,5.48,2119.0,64
CDM,1801007,Analysis for antibody to helminth (intestinal worm),87.88,87.88,5.48,2119.0,64
CDM,1801009,Analysis for antibody (IgM) to West Nile virus,56.0,56.0,5.48,2119.0,64
CDM,1801010,Analysis for antibody to West Nile virus,56.0,56.0,5.48,2119.0,64
CDM,1801013,Analysis for antibody to tetanus bacteria (Clostridium tetanus),20.0,20.0,5.48,2119.0,64
CDM,1801018,Apolipoprotein level,21.09,21.09,6.04,2119.0,64
CDM,1801019,Beta-2 microglobulin (protein) level,30.9,30.9,6.61,2119.0,64
CDM,1801022,Chemical analysis using chromatography technique,96.45,96.45,6.04,2119.0,64
CDM,1801023,Ethylene glycol (antifreeze) measurement,44.72,44.72,5.95,2119.0,64
CDM,1801026,Fatty acids measurement,36.51,36.51,6.04,2119.0,64
CDM,1801028,Thyroglobulin (thyroid related hormone) level,60.0,60.0,6.61,2119.0,64
CDM,1801029,Urine vanillylmandelic acid,15.75,15.75,6.61,2119.0,64
CDM,1801031,"Gonadotropin, chorionic (reproductive hormone) level",38.98,38.98,6.61,2119.0,64
CDM,1801032,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.16,7.16,3.08,2119.0,64
CDM,1801033,Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV,71.93,71.93,5.48,2119.0,64
CDM,1801050,"Detection test by nucleic acid for organism, amplified probe technique",135.0,135.0,23.95,2119.0,64
CDM,1801071,Thyroid hormone evaluation,7.06,7.06,3.04,2119.0,64
CDM,1801076,"Measurement of substance using immunoassay technique, by radioimmunoassay",23.0,23.0,6.04,2119.0,64
CDM,1801077,Screening test for antibody to noninfectious agent,18.53,18.53,5.48,2119.0,64
CDM,1801078,Measurement of antibody to noninfectious agent,20.0,20.0,5.48,2119.0,64
CDM,1801079,Screening test for antibody to noninfectious agent,41.0,41.0,5.48,2119.0,64
CDM,1801080,Measurement of antibody to noninfectious agent,41.0,41.0,5.48,2119.0,64
CDM,1801085,Analysis for antibody to virus,20.1,20.1,5.48,2119.0,64
CDM,1801090,Analysis for antibody to virus,20.0,20.0,5.48,2119.0,64
CDM,1801115,"Protein C, (clotting inhibitor) activity",12.01,12.01,2.22,2119.0,64
CDM,1801128,Molecular pathology procedure level 5 genetic analysis,347.0,347.0,80.06,2119.0,64
CDM,1801129,Molecular pathology procedure level 5 genetic analysis,347.0,347.0,80.06,2119.0,64
CDM,1801130,Urine porphyrins (metabolism substance) measurement,35.15,35.15,6.04,2119.0,64
CDM,1801139,Culture for identification of yeast,61.6,61.6,4.04,2119.0,64
CDM,1801140,Screening test for antibody to noninfectious agent,26.53,26.53,5.48,2119.0,64
CDM,1801142,Analysis for antibody to Coxiella burnetii (Q fever bacteria),29.25,29.25,5.48,2119.0,64
CDM,1801143,Analysis for antibody to Coxiella burnetii (Q fever bacteria),29.25,29.25,5.48,2119.0,64
CDM,1801144,Analysis for antibody to Coxiella burnetii (Q fever bacteria),33.8,33.8,5.48,2119.0,64
CDM,1801145,Analysis for antibody to Coxiella burnetii (Q fever bacteria),33.8,33.8,5.48,2119.0,64
CDM,1801147,"Identification of organisms by genetic analysis, direct probe technique",150.0,150.0,4.04,2119.0,64
CDM,1801148,"Identification of organisms by genetic analysis, direct probe technique",150.0,150.0,4.04,2119.0,64
CDM,1801149,"Identification of organisms by genetic analysis, direct probe technique",150.0,150.0,4.04,2119.0,64
CDM,1801151,Phospholipid test,42.04,42.04,2.22,2119.0,64
CDM,1801152,"Clotting factor X assessment test, diluted",30.0,30.0,2.22,2119.0,64
CDM,1801154,Stool lactoferrin (immune system protein) analysis,68.5,68.5,6.04,2119.0,64
CDM,1801160,"Immunologic analysis technique on body fluid, other fluids with concentration",229.56,229.56,19.95,2119.0,64
CDM,1801164,"Amino acid analysis, quantitative, each specimen",22.98,22.98,6.04,2119.0,64
CDM,1801165,"Analysis of substance using immunoassay technique, multiple step method",141.12,141.12,6.04,2119.0,64
CDM,1801166,"Analysis of substance using immunoassay technique, multiple step method",141.12,141.12,6.04,2119.0,64
CDM,1801167,"Detection by nucleic acid Bartonella henselae and Bartonella quintana (bacteria), amplified probe technique",219.0,219.0,23.95,2119.0,64
CDM,1801168,Gene analysis (alpha globin 1 and alpha globin 2) for common deletions or variant,460.0,460.0,20.82,2119.0,64
CDM,1801169,"Analysis of substance using immunoassay technique, multiple step method",14.0,14.0,6.02,2119.0,64
CDM,1801170,"Analysis of substance using immunoassay technique, multiple step method",14.0,14.0,6.02,2119.0,64
CDM,1801175,"Detection test by nucleic acid for organism, amplified probe technique",180.0,180.0,23.95,2119.0,64
CDM,1801176,Body fluid pH level,43.3,43.3,2.74,2119.0,64
CDM,1801190,Analysis for antibody (IgM) to West Nile virus,56.0,56.0,5.48,2119.0,64
CDM,1801197,"Enzyme activity measurement, nonradioactive substrate",403.29,403.29,6.04,2119.0,64
CDM,1801201,Lactic acid level,24.9,24.9,6.04,2119.0,64
CDM,1801202,"Detection test by nucleic acid for organism, amplified probe technique",210.0,210.0,23.95,2119.0,64
CDM,1801229,"Analysis test by nucleic acid for HIV-1 virus, other region",128.73,128.73,55.35,2119.0,64
CDM,1801232,"Analysis for antibody to Herpes simplex virus, type 2",150.0,150.0,5.48,2119.0,64
CDM,1801237,Analysis for antibody to Chlamydia (bacteria),19.0,19.0,5.48,2119.0,64
CDM,1801238,Analysis for antibody to Chlamydia (bacteria),16.0,16.0,5.48,2119.0,64
CDM,1801239,Analysis for antibody to Chlamydia (bacteria),16.0,16.0,5.48,2119.0,64
CDM,1801243,Analysis for antibody (IgM) to Chlamydia (bacteria),17.0,17.0,5.48,2119.0,64
CDM,1801244,Analysis for antibody (IgM) to Chlamydia (bacteria),17.0,17.0,5.48,2119.0,64
CDM,1801245,Analysis for antibody (IgM) to Chlamydia (bacteria),17.0,17.0,5.48,2119.0,64
CDM,1801266,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),15.49,15.49,5.48,2119.0,64
CDM,1801267,Measurement of substance using immunoassay technique,33.09,33.09,6.04,2119.0,64
CDM,1801268,"Measurement of complement (immune system proteins), antigen,",33.0,33.0,5.48,2119.0,64
CDM,1801274,Detection test by immunofluorescent technique for organism,59.0,59.0,4.04,2119.0,64
CDM,1801276,Quantitation of therapeutic drug,72.0,72.0,6.08,2119.0,64
CDM,1801309,"Microscopic genetic analysis of tissue, manual, initial procedure",561.0,310.0,102.05,2119.0,64
CDM,1801380,Analysis for antibody to helminth (intestinal worm),62.0,62.0,5.48,2119.0,64
CDM,1801381,Chemical analysis using chromatography technique,78.0,78.0,6.04,2119.0,64
CDM,1801382,Measurement of lacosamide,95.0,95.0,6.08,2119.0,64
CDM,1801383,"Immunologic analysis technique, unspecified",55.0,55.0,5.48,2119.0,64
CDM,1801387,"Analysis of substance using immunoassay technique, multiple step method",89.0,89.0,6.04,2119.0,64
CDM,1801388,"Analysis of substance using immunoassay technique, multiple step method",89.0,89.0,6.04,2119.0,64
CDM,1801389,"Analysis of substance using immunoassay technique, multiple step method",89.0,89.0,6.04,2119.0,64
CDM,1801390,"Analysis of substance using immunoassay technique, multiple step method",89.0,89.0,6.04,2119.0,64
CDM,1801391,"Analysis of substance using immunoassay technique, multiple step method",89.0,89.0,6.04,2119.0,64
CDM,1801406,Chloride level,33.84,33.84,2.74,2119.0,64
CDM,1801407,Sodium level,33.0,33.0,2.74,2119.0,64
CDM,1801408,Chemical analysis using spectrophotometry (light),33.0,33.0,2.74,2119.0,64
CDM,1801414,Measurement of substance using immunoassay technique,42.0,42.0,6.04,2119.0,64
CDM,1801482,"Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure",315.82,159.0,102.05,2119.0,64
CDM,1801498,Chemical analysis using chromatography technique,24.09,24.09,6.04,2119.0,64
CDM,1801500,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801501,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801502,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801503,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801504,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801505,Measurement of substance using immunoassay technique,40.29,40.29,6.04,2119.0,64
CDM,1801514,Everolimus level,18.84,18.84,6.08,2119.0,64
CDM,1801515,Tacrolimus level,18.84,18.84,6.08,2119.0,64
CDM,1801516,Mass spectrometry (laboratory testing method),24.11,24.11,6.04,2119.0,64
CDM,1801525,Analysis test by nucleic acid for HIV-1 virus,353.15,353.15,80.06,2119.0,64
CDM,1801530,"Special stained specimen slides to examine tissue, each multiplex procedure",561.0,310.0,102.05,2119.0,64
CDM,1801587,"Immunologic analysis for autoimmune disease, with titration",189.52,189.52,81.49,2119.0,64
CDM,1801588,Total cell count for B cells (white blood cells),52.0,52.0,19.95,2119.0,64
CDM,1801589,White blood cell antigen measurement,33.06,33.06,14.22,2119.0,64
CDM,1801594,Total cell count for natural killer cells (white blood cell),52.0,52.0,19.95,2119.0,64
CDM,1801595,"T cells count, total",52.0,52.0,19.95,2119.0,64
CDM,1801596,"T cell count and ratio, including ratio",52.21,52.21,19.95,2119.0,64
CDM,1801597,"Stem cells count, total",77.79,77.79,19.95,2119.0,64
CDM,1801603,"Phosphatase (enzyme) measurement, alkaline, isoenzymes",23.35,23.35,6.04,2119.0,64
CDM,1801604,Comparative analysis using Short Tandem Repeat (STR) markers of patient and specimen,233.07,233.07,80.06,2119.0,64
CDM,1801605,Assessment of antibodies to Class I and Class II human leukocyte antigens (HLA) antigens,64.19,64.19,27.6,2119.0,64
CDM,1801606,"Analysis for antibody to Human T-cell lymphotropic virus, type 1 (HTLV-1)",12.0,12.0,5.16,2119.0,64
CDM,1801609,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",323.75,323.75,88.84,2119.0,64
CDM,1801610,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class II",325.8,325.8,88.84,2119.0,64
CDM,1801614,Measurement of voriconazole,110.0,110.0,6.08,2119.0,64
CDM,1801615,"HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1",551.61,551.61,119.0,2119.0,64
CDM,1801616,HLA class II typing low resolution one locus,167.66,167.66,20.82,2119.0,64
CDM,1801619,Analysis for antibody to protozoa (parasite),12.39,12.39,5.33,2119.0,64
CDM,1801621,Lactate dehydrogenase (enzyme) measurement,17.0,17.0,6.04,2119.0,64
CDM,1801622,Islet cell (pancreas) antibody measurement,24.0,24.0,5.48,2119.0,64
CDM,1801623,Lactate dehydrogenase (enzyme) level,6.04,6.04,2.6,2119.0,64
CDM,1801624,"Collagen cross links test, (urine test to evaluate bone health)",139.0,139.0,6.04,2119.0,64
CDM,1801627,Analysis for antibody to virus,50.0,50.0,5.48,2119.0,64
CDM,1801629,Analysis for antibody to virus,45.0,45.0,5.48,2119.0,64
CDM,1801631,Analysis for antibody to virus,75.0,75.0,5.48,2119.0,64
CDM,1801632,Analysis for antibody to virus,79.0,79.0,5.48,2119.0,64
CDM,1801635,Gene analysis (O-6-methylguanine-DNA methyltransferase) for promoter methylation,450.0,450.0,20.82,2119.0,64
CDM,1801636,Genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 genes associated with solid organ abnormal growth of tissue,1715.0,1715.0,119.0,3344.25,64
CDM,1801646,"Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel",759.05,759.05,119.0,2119.0,64
CDM,1801650,Tissue culture for tumor disorders of bone marrow and blood cells,143.75,143.75,61.81,2119.0,64
CDM,1801651,"Chromosome analysis for genetic defects, count 5 cells",264.34,264.34,80.06,2119.0,64
CDM,1801652,"Chromosome analysis for genetic defects, additional karyotypes, each study",33.47,33.47,14.39,2119.0,64
CDM,1801653,Interpretation and report of genetic testing,171.89,171.89,31.19,2119.0,64
CDM,1801698,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1801701,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.47,7.47,3.21,2119.0,64
CDM,1801705,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1801715,Analysis for antibody to Giardia lamblia (intestinal parasite),40.25,40.25,5.48,2119.0,64
CDM,1801720,Analysis for antibody to Legionella (waterborne bacteria),84.0,84.0,5.48,2119.0,64
CDM,1801730,Analysis for antibody to helminth (intestinal worm),46.75,46.75,5.48,2119.0,64
CDM,1801732,"Detection test by nucleic acid for Hepatitis C virus, quantification",59.0,59.0,23.95,2119.0,64
CDM,1801733,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",43.33,43.33,18.63,2119.0,64
CDM,1801735,Analysis for antibody to Mycoplasma (bacteria),13.24,13.24,5.48,2119.0,64
CDM,1801737,"Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion",317.0,317.0,80.06,2119.0,64
CDM,1801738,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",86.66,86.66,23.95,2119.0,64
CDM,1801739,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",86.66,86.66,23.95,2119.0,64
CDM,1801740,Analysis for antibody to Mycoplasma (bacteria),13.24,13.24,5.48,2119.0,64
CDM,1801741,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",86.66,86.66,23.95,2119.0,64
CDM,1801745,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),15.49,15.49,5.48,2119.0,64
CDM,1801750,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),15.49,15.49,5.48,2119.0,64
CDM,1801763,"Detection test by nucleic acid for organism, quantification",52.88,52.88,22.74,2119.0,64
CDM,1801769,"Detection test by nucleic acid for Zika virus, amplified probe technique",63.35,63.35,23.95,2119.0,64
CDM,1801770,"Detection test by nucleic acid for Zika virus, amplified probe technique",63.35,63.35,23.95,2119.0,64
CDM,1801788,"Genetic sequencing localization, each multiplex procedure",297.45,310.0,102.05,2119.0,64
CDM,1801789,"Genetic sequencing localization, each multiplex procedure",297.45,310.0,102.05,2119.0,64
CDM,1801799,DNA testing for genetic defects,120.0,120.0,19.28,2119.0,64
CDM,1801800,"Chromosome analysis for genetic defects, analyze 10-30 cells",120.0,120.0,20.82,2119.0,64
CDM,1801801,Interpretation and report of genetic testing,120.0,120.0,31.19,2119.0,64
CDM,1801803,Genome-wide microarray analysis for copy number and single nucleotide polymorphism (SNP) variants,1200.0,1200.0,119.0,2340.0,64
CDM,1801804,Tissue culture for disorders of amniotic fluid or placenta cells,181.81,181.81,78.18,2119.0,64
CDM,1801811,Chemical test for genetic disorder,179.0,179.0,6.04,2119.0,64
CDM,1801812,Carnitine level,170.0,170.0,6.04,2119.0,64
CDM,1801819,Levetiracetam level,32.62,32.62,6.08,2119.0,64
CDM,1801822,Chromosome analysis of amniotic fluid for genetic defects,184.82,184.82,79.47,2119.0,64
CDM,1801823,"Chromosome analysis for genetic defects, additional karyotypes, each study",74.75,74.75,20.82,2119.0,64
CDM,1801824,Interpretation and report of genetic testing,74.75,74.75,31.19,2119.0,64
CDM,1801830,"Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique",112.5,112.5,23.95,2119.0,64
CDM,1801831,"Detection test by nucleic acid for organism, amplified probe technique",112.5,112.5,23.95,2119.0,64
CDM,1801832,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),78.0,78.0,5.48,2119.0,64
CDM,1801833,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),78.0,78.0,5.48,2119.0,64
CDM,1801834,Measurement of substance using immunoassay technique,212.5,212.5,6.04,2119.0,64
CDM,1801835,Measurement of adalimumab,212.5,212.5,6.08,2119.0,64
CDM,1801837,"Analysis for antibody to Herpes simplex virus, type 1",65.0,65.0,5.48,2119.0,64
CDM,1801838,"Analysis for antibody to Herpes simplex virus, type 2",65.0,65.0,5.48,2119.0,64
CDM,1801839,Screening test for antibody to noninfectious agent,13.4,13.4,5.48,2119.0,64
CDM,1801840,"Measurement of substance using immunoassay technique, by radioimmunoassay",77.57,77.57,6.04,2119.0,64
CDM,1801843,Screening test for antibody to noninfectious agent,175.0,175.0,5.48,2119.0,64
CDM,1801846,Screening test for antibody to noninfectious agent,112.0,112.0,5.48,2119.0,64
CDM,1801847,Screening test for antibody to noninfectious agent,72.0,72.0,5.48,2119.0,64
CDM,1801850,Screening test for antibody to noninfectious agent,72.0,72.0,5.48,2119.0,64
CDM,1801859,Screening test for antibody to noninfectious agent,56.0,56.0,5.48,2119.0,64
CDM,1801860,Screening test for antibody to noninfectious agent,56.0,56.0,5.48,2119.0,64
CDM,1801862,Screening test for antibody to noninfectious agent,56.0,56.0,5.48,2119.0,64
CDM,1801866,"Measurement of substance using immunoassay technique, by radioimmunoassay",58.0,58.0,6.04,2119.0,64
CDM,1801867,"Measurement of substance using immunoassay technique, by radioimmunoassay",58.0,58.0,6.04,2119.0,64
CDM,1801870,"Measurement of complement (immune system proteins), antigen,",13.33,13.33,5.48,2119.0,64
CDM,1801871,"Detection test by nucleic acid for organism, amplified probe technique",38.99,38.99,16.77,2119.0,64
CDM,1801872,"Analysis for antibody to Herpes simplex virus, type 1",14.65,14.65,5.48,2119.0,64
CDM,1801873,"Analysis for antibody to Herpes simplex virus, type 2",21.51,21.51,5.48,2119.0,64
CDM,1801876,Analysis test by nucleic acid for Hepatitis C virus,623.0,623.0,80.06,2119.0,64
CDM,1801877,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1801878,Stool calprotectin (protein) level,140.0,140.0,6.04,2119.0,64
CDM,1801879,"Detection test by nucleic acid for organism, amplified probe technique",298.0,298.0,23.95,2119.0,64
CDM,1801880,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",19.93,19.93,5.48,2119.0,64
CDM,1801883,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1801884,Measurement of substance using immunoassay technique,214.5,214.5,6.04,2119.0,64
CDM,1801885,Screening test for antibody to noninfectious agent,214.5,214.5,5.48,2119.0,64
CDM,1801886,Analysis for antibody to virus,53.15,53.15,5.48,2119.0,64
CDM,1801887,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",19.93,19.93,5.48,2119.0,64
CDM,1801888,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",19.93,19.93,5.48,2119.0,64
CDM,1801889,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",19.93,19.93,5.48,2119.0,64
CDM,1801890,"Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique",180.0,180.0,23.95,2119.0,64
CDM,1801891,"Detection test by nucleic acid for organism, amplified probe technique",180.0,180.0,23.95,2119.0,64
CDM,1801893,Analysis for antibody to virus,16.03,16.03,5.48,2119.0,64
CDM,1801894,Analysis for antibody to Zika virus,18.72,18.72,5.48,2119.0,64
CDM,1801895,DNA and microRNA gene analysis of thyroid nodule tissue,3600.0,3600.0,968.4,7020.0,64
CDM,1801896,Analysis using chemiluminescent technique (light and chemical )reaction,70.0,70.0,6.04,2119.0,64
CDM,1801897,Analysis using chemiluminescent technique (light and chemical )reaction,70.0,70.0,6.04,2119.0,64
CDM,1801898,Analysis for antibody bordetella (respiratory bacteria),87.5,87.5,5.48,2119.0,64
CDM,1801899,Analysis for antibody bordetella (respiratory bacteria),87.5,87.5,5.48,2119.0,64
CDM,1801902,Molecular pathology procedure level 3,245.0,245.0,80.06,2119.0,64
CDM,1801903,Galactose-1-phosphate uridyl transferase (enzyme) level,235.84,235.84,6.04,2119.0,64
CDM,1801904,Total cell count for natural killer cells (white blood cell),75.33,75.33,19.95,2119.0,64
CDM,1801906,Quantitation of therapeutic drug,91.8,91.8,6.08,2119.0,64
CDM,1801907,"Gene analysis (ABL proto-oncogene 1, non-receptor tyrosine kinase)",320.0,320.0,80.06,2119.0,64
CDM,1801908,Cryofibrinogen (protein) level,49.4,49.4,6.04,2119.0,64
CDM,1801909,Galactose-1-phosphate uridyl transferase (enzyme) level,457.1,457.1,6.04,2119.0,64
CDM,1801911,Screening test for antibody to noninfectious agent,127.5,127.5,5.48,2119.0,64
CDM,1801912,Screening test for antibody to noninfectious agent,800.0,800.0,5.48,2119.0,64
CDM,1801913,Screening test for antibody to noninfectious agent,850.0,850.0,5.48,2119.0,64
CDM,1801914,"Genetic profiling on oncology biopsy of ovarian lesions, assays of two proteins",521.0,521.0,80.06,2119.0,64
CDM,1801916,"Detection test for candida species (yeast), amplified probe technique",770.0,770.0,23.95,2119.0,64
CDM,1801918,Biochemical assays for evaluation of chronic Hepatitis C virus infection,288.75,288.75,20.82,2119.0,64
CDM,1801919,Analysis for antibody to Zika virus,275.0,275.0,5.48,2119.0,64
CDM,1801920,IgE (immune system protein) level,16.46,16.46,6.04,2119.0,64
CDM,1801922,"Detection test by nucleic acid for organism, amplified probe technique",161.5,161.5,23.95,2119.0,64
CDM,1801923,"Thyroxine (thyroid chemical), free",14.43,14.43,6.2,2119.0,64
CDM,1801924,Analysis for antibody to Chlamydia (bacteria),11.82,11.82,5.08,2119.0,64
CDM,1801925,Analysis for antibody (IgM) to Chlamydia (bacteria),12.68,12.68,5.45,2119.0,64
CDM,1801926,Screening test for antibody to noninfectious agent,104.0,104.0,5.48,2119.0,64
CDM,1801927,Islet cell (pancreas) antibody measurement,104.0,104.0,5.48,2119.0,64
CDM,1801928,"Measurement of substance using immunoassay technique, by radioimmunoassay",104.0,104.0,6.04,2119.0,64
CDM,1801929,Measurement of substance using immunoassay technique,104.0,104.0,6.04,2119.0,64
CDM,1801930,Measurement of substance using immunoassay technique,110.25,110.25,6.04,2119.0,64
CDM,1801931,Microsomal antibodies (autoantibody) measurement,75.0,75.0,5.48,2119.0,64
CDM,1801932,Measurement of substance using immunoassay technique,91.0,91.0,6.04,2119.0,64
CDM,1801933,Islet cell (pancreas) antibody measurement,94.25,94.25,5.48,2119.0,64
CDM,1801934,"Thyroxine (thyroid chemical), total",14.43,14.43,6.18,2119.0,64
CDM,1801935,Special stained specimen slides to identify organisms including interpretation and report,197.5,53.0,22.47,2119.0,64
CDM,1801936,"Enzyme activity measurement, nonradioactive substrate",39.83,39.83,6.04,2119.0,64
CDM,1801937,"Enzyme activity measurement, nonradioactive substrate",39.83,39.83,6.04,2119.0,64
CDM,1801938,"Enzyme activity measurement, nonradioactive substrate",39.83,39.83,6.04,2119.0,64
CDM,1801939,"Enzyme activity measurement, nonradioactive substrate",39.83,39.83,6.04,2119.0,64
CDM,1801940,"Analysis of substance using immunoassay technique, multiple step method",14.9,14.9,6.04,2119.0,64
CDM,1801941,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),21.0,21.0,5.48,2119.0,64
CDM,1801943,Analysis for antibody to St. Louis virus (viral encephalitis),21.0,21.0,5.48,2119.0,64
CDM,1801944,Analysis for antibody to Western equine virus (viral encephalitis),22.47,22.47,5.48,2119.0,64
CDM,1801945,"Detection test for gardnerella vaginalis (bacteria), quantification",120.0,120.0,23.95,2119.0,64
CDM,1801946,"Detection test by nucleic acid for organism, quantification",120.0,120.0,23.95,2119.0,64
CDM,1801947,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),76.5,76.5,5.48,2119.0,64
CDM,1801948,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),76.5,76.5,5.48,2119.0,64
CDM,1801949,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),30.25,30.25,5.48,2119.0,64
CDM,1801950,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),30.0,30.0,5.48,2119.0,64
CDM,1801951,Analysis for antibody to Eastern equine virus (viral encephalitis),59.3,59.3,5.48,2119.0,64
CDM,1801952,Analysis for antibody to Eastern equine virus (viral encephalitis),59.3,59.3,5.48,2119.0,64
CDM,1801953,Analysis for antibody to Eastern equine virus (viral encephalitis),26.75,26.75,5.48,2119.0,64
CDM,1801954,Analysis for antibody to Eastern equine virus (viral encephalitis),26.75,26.75,5.48,2119.0,64
CDM,1801955,Analysis for antibody to virus,53.15,53.15,5.48,2119.0,64
CDM,1801956,Analysis for antibody to histoplasma (fungus),17.0,17.0,5.48,2119.0,64
CDM,1801957,Analysis for antibody to histoplasma (fungus),17.0,17.0,5.48,2119.0,64
CDM,1801958,Analysis for antibody to Influenza virus,44.14,44.14,5.48,2119.0,64
CDM,1801959,Analysis for antibody to Influenza virus,44.14,44.14,5.48,2119.0,64
CDM,1801960,Analysis for antibody to mumps virus,46.0,46.0,5.48,2119.0,64
CDM,1801961,Analysis for antibody to mumps virus,46.47,46.47,5.48,2119.0,64
CDM,1801962,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801963,Rheumatoid factor level,109.5,109.5,5.1,2119.0,64
CDM,1801966,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",17.93,17.93,5.48,2119.0,64
CDM,1801967,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",17.93,17.93,5.48,2119.0,64
CDM,1801968,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",17.93,17.93,5.48,2119.0,64
CDM,1801969,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",17.93,17.93,5.48,2119.0,64
CDM,1801970,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801971,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801972,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801973,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801974,Measurement of substance using immunoassay technique,101.0,101.0,6.04,2119.0,64
CDM,1801977,Islet cell (pancreas) antibody measurement,67.27,67.27,5.48,2119.0,64
CDM,1801978,Chemical receptor analysis,190.0,190.0,13.91,2119.0,64
CDM,1801979,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1801980,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1801982,Measurement of substance using immunoassay technique,53.0,53.0,6.04,2119.0,64
CDM,1801983,"Measurement of substance using immunoassay technique, by radioimmunoassay",53.31,53.31,6.04,2119.0,64
CDM,1801984,"Measurement of substance using immunoassay technique, by radioimmunoassay",49.41,49.41,6.04,2119.0,64
CDM,1801985,Analysis for antibody to Mycoplasma (bacteria),72.4,72.4,5.48,2119.0,64
CDM,1801988,Analysis for antibody to St. Louis virus (viral encephalitis),36.9,36.9,5.48,2119.0,64
CDM,1801989,Analysis for antibody to St. Louis virus (viral encephalitis),36.9,36.9,5.48,2119.0,64
CDM,1801999,Genome-wide microarray analysis for copy number and single nucleotide polymorphism (SNP) variants,1160.0,1160.0,119.0,2262.0,64
CDM,1802001,Analysis for antibody to mumps virus,30.0,30.0,5.48,2119.0,64
CDM,1802002,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",80.33,80.33,23.95,2119.0,64
CDM,1802007,Clotting factor VIII (VW factor) measurement,22.94,22.94,9.86,2119.0,64
CDM,1802008,"Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique",341.0,341.0,23.95,2119.0,64
CDM,1802012,Clotting factor VIII (VW factor) antigen,22.94,22.94,9.86,2119.0,64
CDM,1802014,Islet cell (pancreas) antibody measurement,23.57,23.57,5.48,2119.0,64
CDM,1802017,Analysis for antibody to Hepatitis D virus,26.79,26.79,5.48,2119.0,64
CDM,1802018,"Detection test by nucleic acid for organism, amplified probe technique",105.0,105.0,23.95,2119.0,64
CDM,1802019,Screening test for presence of antibody,37.6,37.6,5.48,2119.0,64
CDM,1802020,Analysis for antibody to Trichinella (worm parasite),48.25,48.25,5.48,2119.0,64
CDM,1802021,Analysis for antibody to virus,40.87,40.87,5.48,2119.0,64
CDM,1802022,Analysis for antibody to Coccidioides (bacteria),19.72,19.72,5.48,2119.0,64
CDM,1802023,Analysis for antibody to Rubeola (measles virus),45.23,45.23,5.48,2119.0,64
CDM,1802025,Analysis for antibody to aspergillus (fungus),36.6,36.6,5.48,2119.0,64
CDM,1802026,Analysis for antibody bacteria,24.0,24.0,5.48,2119.0,64
CDM,1802027,Analysis for antibody bacteria,24.0,24.0,5.48,2119.0,64
CDM,1802028,Analysis for antibody bacteria,24.0,24.0,5.48,2119.0,64
CDM,1802029,Analysis for antibody bacteria,24.0,24.0,5.48,2119.0,64
CDM,1802030,Immunologic analysis for detection of antigen or antibody,24.0,24.0,5.48,2119.0,64
CDM,1802034,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,64
CDM,1802038,Fatty acids measurement,150.48,150.48,6.04,2119.0,64
CDM,1802039,Carcinoembryonic antigen (CEA) protein level,125.0,125.0,6.04,2119.0,64
CDM,1802040,Measurement of substance using immunoassay technique,95.0,95.0,6.04,2119.0,64
CDM,1802041,"Gene analysis (hemoglobin, subunit beta) full sequence analysis",698.0,698.0,80.06,2119.0,64
CDM,1802042,White blood cell histamine (immune system chemical) release test,100.0,100.0,5.48,2119.0,64
CDM,1802043,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802044,"Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9",35.92,35.92,5.48,2119.0,64
CDM,1802045,Vitamin measurement,75.0,75.0,6.04,2119.0,64
CDM,1802046,Quantitation of therapeutic drug,78.5,78.5,6.08,2119.0,64
CDM,1802047,Everolimus level,112.0,112.0,6.08,2119.0,64
CDM,1802048,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802049,DNA testing for genetic defects,40.0,40.0,17.2,2119.0,64
CDM,1802050,DNA testing for genetic defects,40.0,40.0,17.2,2119.0,64
CDM,1802051,DNA testing for genetic defects,40.0,40.0,17.2,2119.0,64
CDM,1802052,DNA testing for genetic defects,40.0,40.0,17.2,2119.0,64
CDM,1802053,DNA testing for genetic defects,40.0,40.0,17.2,2119.0,64
CDM,1802054,"Chromosome analysis for genetic defects, analyze 25-99 cells",42.38,42.38,18.22,2119.0,64
CDM,1802055,"Chromosome analysis for genetic defects, analyze 25-99 cells",42.38,42.38,18.22,2119.0,64
CDM,1802056,Interpretation and report of genetic testing,45.0,45.0,19.35,2119.0,64
CDM,1802057,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",146.0,146.0,34.6,2119.0,64
CDM,1802061,Analysis for antibody to virus,85.0,85.0,5.48,2119.0,64
CDM,1802063,Analysis for antibody to Coccidioides (bacteria),30.49,30.49,5.48,2119.0,64
CDM,1802064,Organic acid level,222.18,222.18,6.04,2119.0,64
CDM,1802065,"Measurement of substance using immunoassay technique, by radioimmunoassay",810.0,810.0,6.04,2119.0,64
CDM,1802066,Analysis for detection of tumor marker,20.81,20.81,5.48,2119.0,64
CDM,1802067,"Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique",123.5,123.5,23.95,2119.0,64
CDM,1802068,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",123.5,123.5,23.95,2119.0,64
CDM,1802069,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802077,"Chimerism analysis post transplantation, with cell selection",244.57,244.57,80.06,2119.0,64
CDM,1802078,"Chimerism analysis post transplantation, with cell selection",244.57,244.57,80.06,2119.0,64
CDM,1802079,"Chimerism analysis post transplantation, with cell selection",244.57,244.57,80.06,2119.0,64
CDM,1802080,"Chimerism analysis post transplantation, without cell selection",256.12,256.12,80.06,2119.0,64
CDM,1802081,Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology,82.92,82.92,35.66,2119.0,64
CDM,1802082,Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect abnormal clonal population,82.92,82.92,35.66,2119.0,64
CDM,1802083,Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma),82.92,82.92,35.66,2119.0,64
CDM,1802085,HLA class I typing high resolution one locus,196.94,196.94,80.06,2119.0,64
CDM,1802086,"HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1",402.12,402.12,119.0,2119.0,64
CDM,1802087,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802088,"HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1",345.57,345.57,80.06,2119.0,64
CDM,1802089,HLA class II typing high resolution one locus,137.42,137.42,20.82,2119.0,64
CDM,1802090,HLA class II typing high resolution one locus,137.42,137.42,20.82,2119.0,64
CDM,1802091,"HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1",383.96,383.96,80.06,2119.0,64
CDM,1802092,HLA class II typing high resolution one locus,137.42,137.42,20.82,2119.0,64
CDM,1802093,HLA class II typing high resolution one locus,137.42,137.42,20.82,2119.0,64
CDM,1802094,"Detection test by nucleic acid for organism, amplified probe technique",38.99,38.99,16.77,2119.0,64
CDM,1802095,Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV,21.51,21.51,5.48,2119.0,64
CDM,1802096,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802097,Heavy metal level,50.0,50.0,5.95,2119.0,64
CDM,1802098,Chemical analysis using chromatography technique,100.0,100.0,6.04,2119.0,64
CDM,1802099,Creatinine level to test for kidney function or muscle injury,100.0,100.0,2.74,2119.0,64
CDM,1802101,HLA class I typing high resolution one allele or allele group,169.9,169.9,73.06,2119.0,64
CDM,1802102,Analysis for antibody to helminth (intestinal worm),14.45,14.45,5.48,2119.0,64
CDM,1802104,"White blood cell function measurement, mitogen or antigen induced blastogenesis",102.43,102.43,19.95,2119.0,64
CDM,1802106,Measurement of complement function (immune system proteins),84.07,84.07,5.48,2119.0,64
CDM,1802107,Measurement of complement function (immune system proteins),84.07,84.07,5.48,2119.0,64
CDM,1802108,Measurement of complement function (immune system proteins),84.07,84.07,5.48,2119.0,64
CDM,1802109,Molecular pathology procedure level 4 genetic analysis,185.2,185.2,79.64,2119.0,64
CDM,1802110,"Measurement of complement (immune system proteins), antigen,",51.55,51.55,5.48,2119.0,64
CDM,1802114,"Flow cytometry technique for DNA or cell analysis, first marker",561.0,310.0,110.48,2119.0,64
CDM,1802115,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802116,"Flow cytometry technique for DNA or cell analysis, each additional marker",61.55,61.55,12.0,2119.0,64
CDM,1802117,"White blood cell function measurement, mitogen or antigen induced blastogenesis",106.06,106.06,19.95,2119.0,64
CDM,1802118,"White blood cell function measurement, mitogen or antigen induced blastogenesis",106.06,106.06,19.95,2119.0,64
CDM,1802119,"White blood cell function measurement, mitogen or antigen induced blastogenesis",106.06,106.06,19.95,2119.0,64
CDM,1802120,"White blood cell function measurement, mitogen or antigen induced blastogenesis",106.06,106.06,19.95,2119.0,64
CDM,1802121,"White blood cell function measurement, mitogen or antigen induced blastogenesis",106.06,106.06,19.95,2119.0,64
CDM,1802122,"White blood cell function measurement, mitogen or antigen induced blastogenesis",50.0,50.0,19.95,2119.0,64
CDM,1802123,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802124,"Flow cytometry technique for DNA or cell analysis, each additional marker",50.0,50.0,12.0,2119.0,64
CDM,1802125,"Flow cytometry technique for DNA or cell analysis, each additional marker",50.0,50.0,12.0,2119.0,64
CDM,1802126,"Flow cytometry technique for DNA or cell analysis, each additional marker",50.0,50.0,12.0,2119.0,64
CDM,1802127,"Flow cytometry technique for DNA or cell analysis, each additional marker",50.0,50.0,12.0,2119.0,64
CDM,1802128,"Flow cytometry technique for DNA or cell analysis, each additional marker",50.62,50.62,12.0,2119.0,64
CDM,1802129,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802130,"Flow cytometry technique for DNA or cell analysis, each additional marker",46.0,46.0,12.0,2119.0,64
CDM,1802131,"Flow cytometry technique for DNA or cell analysis, each additional marker",46.0,46.0,12.0,2119.0,64
CDM,1802132,"Flow cytometry technique for DNA or cell analysis, each additional marker",46.67,46.67,12.0,2119.0,64
CDM,1802136,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802137,"Flow cytometry technique for DNA or cell analysis, each additional marker",61.55,61.55,12.0,2119.0,64
CDM,1802138,"Flow cytometry technique for DNA or cell analysis, each additional marker",61.56,61.56,12.0,2119.0,64
CDM,1802139,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802140,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802141,"Flow cytometry technique for DNA or cell analysis, each additional marker",58.0,58.0,12.0,2119.0,64
CDM,1802142,"Flow cytometry technique for DNA or cell analysis, each additional marker",59.75,59.75,12.0,2119.0,64
CDM,1802148,"Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants",65.34,65.34,20.82,2119.0,64
CDM,1802149,Molecular pathology procedure,400.0,400.0,20.82,2119.0,61
CDM,1802150,Vitamin B-1 (thiamine) level,21.23,21.23,6.04,2119.0,64
CDM,1802151,"Detection test by nucleic acid for organism, amplified probe technique",265.0,265.0,23.95,2119.0,64
CDM,1802152,"Carbohydrate analysis, single qualitative",17.8,17.8,2.74,2119.0,64
CDM,1802153,Quantitation of therapeutic drug,140.0,140.0,6.08,2119.0,64
CDM,1802154,"Detection of infectious agent antibody, quantitative",50.0,50.0,5.48,2119.0,64
CDM,1802155,"Detection of infectious agent antibody, quantitative",50.0,50.0,5.48,2119.0,64
CDM,1802156,"Detection of infectious agent antibody, quantitative",50.0,50.0,5.48,2119.0,64
CDM,1802157,"White blood cell function measurement, mitogen or antigen induced blastogenesis",120.0,120.0,19.95,2119.0,64
CDM,1802158,"White blood cell function measurement, mitogen or antigen induced blastogenesis",120.0,120.0,19.95,2119.0,64
CDM,1802159,"White blood cell function measurement, mitogen or antigen induced blastogenesis",120.0,120.0,19.95,2119.0,64
CDM,1802168,Measurement of substance using immunoassay technique,212.5,212.5,6.04,2119.0,64
CDM,1802169,Measurement of infliximab,212.5,212.5,6.08,2119.0,64
CDM,1802171,Measurement of substance using immunoassay technique,114.91,114.91,6.04,2119.0,64
CDM,1802173,Chemistry procedures,29.42,29.42,6.04,2119.0,61
CDM,1802175,Tissue culture to identify skin disorders,162.5,162.5,69.88,2119.0,64
CDM,1802176,"Chromosome analysis for genetic defects, count 15-20 cells",162.5,162.5,20.82,2119.0,64
CDM,1802177,Analysis for antibody to protozoa (parasite),85.0,85.0,5.48,2119.0,64
CDM,1802178,Analysis for antibody to Cytomegalovirus (CMV),50.0,50.0,5.48,2119.0,64
CDM,1802179,Analysis for antibody (IgM) to Cytomegalovirus (CMV),50.0,50.0,5.48,2119.0,64
CDM,1802180,Hepatitis B core antibody measurement,35.0,35.0,5.48,2119.0,64
CDM,1802181,Detection test by immunoassay technique for hepatitis B surface antigen,25.0,25.0,4.04,2119.0,64
CDM,1802182,Hepatitis C antibody measurement,35.0,35.0,5.48,2119.0,64
CDM,1802183,Analysis for antibody to HIV-1 and HIV-2 virus,25.0,25.0,5.48,2119.0,64
CDM,1802184,"Analysis for antibody to Human T-cell lymphotropic virus, type 1 (HTLV-1)",17.5,17.5,5.48,2119.0,64
CDM,1802185,"Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2)",17.5,17.5,5.48,2119.0,64
CDM,1802186,Syphilis detection test,20.0,20.0,3.84,2119.0,64
CDM,1802187,Analysis for antibody to Toxoplasma (parasite),50.0,50.0,5.48,2119.0,64
CDM,1802188,Analysis for antibody (IgM) to Toxoplasma (parasite),50.0,50.0,5.48,2119.0,64
CDM,1802189,"Detection test by nucleic acid for Hepatitis B virus, amplified probe technique",45.0,45.0,19.35,2119.0,64
CDM,1802190,"Detection test by nucleic acid for Hepatitis C virus, amplified probe technique",45.0,45.0,19.35,2119.0,64
CDM,1802191,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",45.0,45.0,19.35,2119.0,64
CDM,1802192,"Detection test by nucleic acid for organism, direct probe technique",70.0,70.0,23.95,2119.0,64
CDM,1802193,Detection test by immunoassay technique for hepatitis B surface antigen neutralization,181.0,181.0,4.04,2119.0,64
CDM,1802194,Confirmation test for Hepatitis C antibody,895.0,895.0,5.48,2119.0,64
CDM,1802195,Analysis for antibody to virus,695.0,695.0,5.48,2119.0,64
CDM,1802196,Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV,475.0,475.0,5.48,2119.0,64
CDM,1802197,Syphilis detection test,50.0,50.0,3.84,2119.0,64
CDM,1802198,Analysis for antibody to helminth (intestinal worm),52.0,52.0,5.48,2119.0,64
CDM,1802199,Gene analysis (Human Platelet Antigen 1) for common variant,255.0,255.0,20.82,2119.0,64
CDM,1802200,Test for detecting genes associated with growth stimulation,139.5,139.5,17.25,2119.0,64
CDM,1802201,Antibody identification test for white blood cell antibodies,121.66,121.66,5.48,2119.0,64
CDM,1802202,Analysis for antibody to fungus,121.67,121.67,5.48,2119.0,64
CDM,1802203,Analysis for antibody to fungus,121.67,121.67,5.48,2119.0,64
CDM,1802204,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802206,Measurement of substance using immunoassay technique,205.0,205.0,6.04,2119.0,64
CDM,1802207,Measurement of substance using immunoassay technique,100.0,100.0,6.04,2119.0,64
CDM,1802208,Measurement of total estradiol (hormone),83.05,83.05,6.61,2119.0,64
CDM,1802210,Lipase (fat enzyme) level,12.61,12.61,2.74,2119.0,64
CDM,1802211,"Measurement of complement (immune system proteins), antigen,",25.0,25.0,5.48,2119.0,64
CDM,1802212,Alpha-2 antiplasmin (factor inhibitor) measurement,100.26,100.26,2.22,2119.0,64
CDM,1802213,Carcinoembryonic antigen (CEA) protein level,29.66,29.66,6.04,2119.0,64
CDM,1802217,"Bacterial culture, any other source except urine, blood or stool, aerobic",205.0,205.0,4.04,2119.0,64
CDM,1802220,Culture for acid-fast bacilli,283.0,283.0,4.04,2119.0,64
CDM,1802227,"Assessment of antibody to human leukocyte antigens (HLA) with antibody identification by qualitative panel using complete HLA phenotypes, HLA class I",95.52,95.52,30.16,2119.0,64
CDM,1802228,Clotting factor V (AcG or proaccelerin) measurement,17.65,17.65,2.22,2119.0,64
CDM,1802229,"Clotting factor VII (proconvertin, stable factor)",17.9,17.9,2.22,2119.0,64
CDM,1802230,Clotting factor IX (PTC or Christmas) measurement,19.04,19.04,8.19,2119.0,64
CDM,1802231,Clotting factor X (Stuart-Prower) measurement,17.9,17.9,2.22,2119.0,64
CDM,1802232,Clotting factor XI (PTA) measurement,17.9,17.9,2.22,2119.0,64
CDM,1802233,"Assessment of antibody to human leukocyte antigens (HLA) with antibody identification by qualitative panel using complete HLA phenotypes, HLA class II",88.7,88.7,30.16,2119.0,64
CDM,1802234,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",323.75,323.75,88.84,2119.0,64
CDM,1802235,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class II",325.8,325.8,88.84,2119.0,64
CDM,1802236,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",323.75,323.75,88.84,2119.0,64
CDM,1802237,Assessment of antibodies to Class I and Class II human leukocyte antigens (HLA) antigens,64.19,64.19,27.6,2119.0,64
CDM,1802238,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",323.75,323.75,88.84,2119.0,64
CDM,1802239,"HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1",346.0,346.0,80.06,2119.0,64
CDM,1802240,HLA class II typing high resolution one locus,160.0,160.0,20.82,2119.0,64
CDM,1802241,HLA class II typing high resolution one locus,160.0,160.0,20.82,2119.0,64
CDM,1802242,HLA class II typing high resolution one locus,160.0,160.0,20.82,2119.0,64
CDM,1802243,HLA class II typing high resolution one locus,160.0,160.0,20.82,2119.0,64
CDM,1802244,HLA class II typing high resolution one locus,160.0,160.0,20.82,2119.0,64
CDM,1802249,HLA class I typing low resolution,403.59,403.59,119.0,2119.0,64
CDM,1802250,"Immunologic analysis for organ transplant, first serum sample or dilution",250.0,250.0,30.16,2119.0,64
CDM,1802251,"Immunologic analysis for organ transplant, each additional serum sample or sample dilution",250.0,250.0,30.16,2119.0,64
CDM,1802252,"Immunologic analysis for organ transplant, first serum sample or dilution",250.0,250.0,30.16,2119.0,64
CDM,1802253,"Immunologic analysis for organ transplant, each additional serum sample or sample dilution",250.0,250.0,30.16,2119.0,64
CDM,1802257,Mycoplasma culture,23.4,23.4,4.04,2119.0,64
CDM,1802260,"Cortisol (hormone) measurement, free",38.0,38.0,6.04,2119.0,64
CDM,1802262,"Testing for presence of drug, by chemistry analyzers",144.0,144.0,34.6,2119.0,64
CDM,1802263,Barbiturates levels,111.45,111.45,6.91,2119.0,61
CDM,1802264,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",246.92,246.92,66.42,2119.0,64
CDM,1802265,"HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1",345.57,345.57,80.06,2119.0,64
CDM,1802266,HLA class II typing high resolution one locus,123.68,123.68,20.82,2119.0,64
CDM,1802267,HLA class II typing high resolution one locus,123.68,123.68,20.82,2119.0,64
CDM,1802268,HLA class II typing high resolution one locus,123.68,123.68,20.82,2119.0,64
CDM,1802269,HLA class II typing high resolution one locus,123.68,123.68,20.82,2119.0,64
CDM,1802270,HLA class II typing high resolution one locus,123.68,123.68,20.82,2119.0,64
CDM,1802271,Analysis test by nucleic acid for Hepatitis C virus,257.45,257.45,80.06,2119.0,64
CDM,1802272,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802273,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802274,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802275,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802278,Clotting factor XII (Hageman) measurement,19.35,19.35,8.32,2119.0,64
CDM,1802287,"Detection test by nucleic acid for organism, amplified probe technique",45.0,45.0,19.35,2119.0,64
CDM,1802288,"Detection test by nucleic acid for organism, amplified probe technique",45.0,45.0,19.35,2119.0,64
CDM,1802289,"Detection test by nucleic acid for organism, amplified probe technique",149.0,149.0,23.95,2119.0,64
CDM,1802290,Clotting factor XIII (fibrin stabilizing) measurement,16.34,16.34,2.22,2119.0,64
CDM,1802291,"Detection test by nucleic acid for organism, amplified probe technique",149.0,149.0,23.95,2119.0,64
CDM,1802292,"Procainamide level, with metabolites",16.75,16.75,6.08,2119.0,64
CDM,1802294,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",324.0,324.0,88.84,2119.0,64
CDM,1802295,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class II",326.0,326.0,88.84,2119.0,64
CDM,1802296,Ammonia level,8.33,8.33,3.58,2119.0,64
CDM,1802297,Urine calcium level,8.33,8.33,2.74,2119.0,64
CDM,1802298,Citrate level,8.33,8.33,3.58,2119.0,64
CDM,1802299,Creatinine level to test for kidney function or muscle injury,8.33,8.33,2.74,2119.0,64
CDM,1802300,Magnesium level,8.33,8.33,2.74,2119.0,64
CDM,1802301,Oxalate level,8.33,8.33,3.58,2119.0,64
CDM,1802302,Body fluid pH level,8.33,8.33,2.74,2119.0,64
CDM,1802303,Urine phosphate level,8.33,8.33,2.74,2119.0,64
CDM,1802305,Urine potassium level,8.33,8.33,2.74,2119.0,64
CDM,1802306,Urine sodium level,8.33,8.33,2.74,2119.0,64
CDM,1802307,Urine sulfate (acid) level,8.33,8.33,1.48,2119.0,64
CDM,1802308,Uric acid level,8.37,8.37,2.74,2119.0,64
CDM,1802309,DNA testing for genetic defects,91.33,91.33,19.28,2119.0,64
CDM,1802310,DNA testing for genetic defects,91.33,91.33,19.28,2119.0,64
CDM,1802311,"Chromosome analysis for genetic defects, analyze 100-300 cells",91.34,91.34,20.82,2119.0,64
CDM,1802322,"Measurement of complement (immune system proteins), total hemolytic",29.0,29.0,5.48,2119.0,64
CDM,1802326,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.15,7.15,3.07,2119.0,64
CDM,1802334,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",70.0,70.0,23.95,2119.0,64
CDM,1802344,Measurement of blood coagulation and fibrinolysis (clot dissolving) function,220.0,220.0,12.56,2119.0,64
CDM,1802345,Clotting factor inhibitor test,176.0,176.0,2.22,2119.0,64
CDM,1802346,"Testing for presence of drug, by chemistry analyzers",132.56,132.56,34.6,2119.0,64
CDM,1802347,Analysis using chemiluminescent technique (light and chemical )reaction,73.45,73.45,6.04,2119.0,64
CDM,1802348,"HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1",402.12,402.12,119.0,2119.0,64
CDM,1802349,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802350,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802351,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802352,Comparative analysis using Short Tandem Repeat (STR) markers of patient and specimen,240.0,240.0,80.06,2119.0,64
CDM,1802353,Tissue culture for disorders of amniotic fluid or placenta cells,163.0,163.0,70.09,2119.0,64
CDM,1802354,Chromosome analysis of amniotic fluid or placenta for genetic defects,188.57,188.57,80.06,2119.0,64
CDM,1802355,"Chromosome analysis for genetic defects, additional karyotypes, each study",164.0,164.0,20.82,2119.0,64
CDM,1802360,Blood group typing (ABO),209.0,120.0,2.17,2119.0,64
CDM,1802361,Blood typing for Rh (D) antigen,15.0,36.0,2.17,2119.0,64
CDM,1802362,Screening test for red blood cell antibodies,35.0,53.0,2.17,2119.0,64
CDM,1802363,"Detection test by nucleic acid for organism, amplified probe technique",105.0,105.0,23.95,2119.0,64
CDM,1802365,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1802366,"Detection test by nucleic acid for organism, amplified probe technique",312.0,312.0,23.95,2119.0,64
CDM,1802367,"Detection test by nucleic acid for organism, quantification",175.0,175.0,23.95,2119.0,64
CDM,1802368,"Detection test by nucleic acid for organism, quantification",131.25,131.25,23.95,2119.0,64
CDM,1802369,"Detection test by nucleic acid for Zika virus, amplified probe technique",100.0,100.0,23.95,2119.0,64
CDM,1802370,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802371,Quantitation of therapeutic drug,100.0,100.0,6.08,2119.0,64
CDM,1802372,Screening test for presence of antibody,68.0,68.0,5.48,2119.0,64
CDM,1802373,"Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe technique",280.0,280.0,23.95,2119.0,64
CDM,1802374,"Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified probe technique",280.0,280.0,23.95,2119.0,64
CDM,1802375,Test for detecting genes associated with growth stimulation,400.0,400.0,17.25,2119.0,64
CDM,1802376,Measurement of substance using immunoassay technique,400.0,400.0,6.04,2119.0,64
CDM,1802377,"Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus",229.58,229.58,97.79,2119.0,64
CDM,1802378,"Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus",229.58,229.58,97.79,2119.0,64
CDM,1802379,"Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus",229.59,229.59,97.79,2119.0,64
CDM,1802380,Analysis of cell function and analysis for genetic marker,187.5,187.5,19.95,2119.0,64
CDM,1802381,Analysis of cell function and analysis for genetic marker,187.5,187.5,19.95,2119.0,64
CDM,1802382,Analysis of cell function and analysis for genetic marker,187.5,187.5,19.95,2119.0,64
CDM,1802383,Analysis of cell function and analysis for genetic marker,187.5,187.5,19.95,2119.0,64
CDM,1802384,Analysis of cell function and analysis for genetic marker,212.5,212.5,19.95,2119.0,64
CDM,1802385,Analysis of cell function and analysis for genetic marker,212.5,212.5,19.95,2119.0,64
CDM,1802386,Analysis of cell function and analysis for genetic marker,212.5,212.5,19.95,2119.0,64
CDM,1802387,Analysis of cell function and analysis for genetic marker,212.5,212.5,19.95,2119.0,64
CDM,1802388,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802389,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802390,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802391,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802392,Measurement of substance using immunoassay technique,210.97,210.97,6.04,2119.0,64
CDM,1802393,Measurement of substance using immunoassay technique,211.01,211.01,6.04,2119.0,64
CDM,1802398,Measurement of interleukin-6,199.35,,6.04,2119.0,61
CDM,1802399,Measurement of interleukin-6,199.35,,6.04,2119.0,61
CDM,1802400,Measurement of interleukin-6,199.35,,6.04,2119.0,61
CDM,1802402,"Analysis of substance using immunoassay technique, multiple step method",14.0,14.0,6.02,2119.0,64
CDM,1802403,Screening test for antibody to noninfectious agent,100.0,100.0,5.48,2119.0,64
CDM,1802405,Screening test for antibody to noninfectious agent,90.0,90.0,5.48,2119.0,64
CDM,1802406,"Collagen cross links test, (urine test to evaluate bone health)",114.0,114.0,6.04,2119.0,64
CDM,1802407,Screening test for antibody to noninfectious agent,50.0,50.0,5.48,2119.0,64
CDM,1802409,Measurement of interleukin-6,199.34,,6.04,2119.0,61
CDM,1802410,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802411,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802412,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802413,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802414,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802415,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802416,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802417,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802418,"Detection test by nucleic acid for organism, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802419,Hemosiderin (hemoglobin breakdown product) analysis,11.37,11.37,2.74,2119.0,64
CDM,1802420,"Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802421,"Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802422,"Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802423,"Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant (MRSA bacteria), amplified probe technique",16.87,16.87,7.25,2119.0,64
CDM,1802424,"Detection test by nucleic acid for Strep (Streptococcus, group A), amplified probe technique",16.94,16.94,7.28,2119.0,64
CDM,1802425,Fentanyl level,68.0,68.0,6.91,2119.0,61
CDM,1802426,Myoglobin (muscle protein) level,45.0,45.0,6.04,2119.0,64
CDM,1802432,"Detection test by nucleic acid for cytomegalovirus, quantification",42.84,42.84,18.42,2119.0,64
CDM,1802433,Blood coagulation screening test,9.85,9.85,2.96,2119.0,64
CDM,1802434,"Detection test by nucleic acid for organism, quantification",42.84,42.84,18.42,2119.0,64
CDM,1802435,"Detection test by nucleic acid for Zika virus, amplified probe technique",51.31,51.31,22.06,2119.0,64
CDM,1802437,"Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2)",14.0,14.0,5.48,2119.0,64
CDM,1802438,Testing for presence of prion protein in cerebrospinal fluid,540.99,540.99,145.53,2119.0,64
CDM,1802439,"Detection of infectious agent antibody, quantitative",32.21,32.21,5.48,2119.0,64
CDM,1802440,"Detection of infectious agent antibody, quantitative",32.21,32.21,5.48,2119.0,64
CDM,1802442,Analysis of cell function and analysis for genetic marker,136.0,136.0,19.95,2119.0,64
CDM,1802443,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",323.44,323.44,23.95,2119.0,64
CDM,1802444,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802445,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802446,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802447,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802448,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802449,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802450,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802451,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802452,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802453,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802454,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802455,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802456,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802457,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802458,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1802459,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802460,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802461,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802462,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802463,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802464,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802465,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802466,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802467,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802468,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802469,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802470,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802471,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802472,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802473,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802474,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802475,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802476,"Flow cytometry technique for DNA or cell analysis, 16 or more markers",182.0,182.0,12.0,2119.0,64
CDM,1802477,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802478,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802479,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802480,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802481,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802482,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802483,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802484,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802485,"Flow cytometry technique for DNA or cell analysis, each additional marker",40.11,40.11,12.0,2119.0,64
CDM,1802486,"Flow cytometry technique for DNA or cell analysis, 9 to 15 markers",129.75,129.75,12.0,2119.0,64
CDM,1802487,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802488,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",48.0,48.0,20.64,2119.0,64
CDM,1802489,"Protein measurement, immunological probe for band identification",86.45,86.45,19.95,2119.0,64
CDM,1802490,"Protein measurement, immunological probe for band identification",86.45,86.45,19.95,2119.0,64
CDM,1802491,"Protein measurement, immunological probe for band identification",86.45,86.45,19.95,2119.0,64
CDM,1802492,"Protein measurement, immunological probe for band identification",86.45,86.45,19.95,2119.0,64
CDM,1802493,"Protein measurement, immunological probe for band identification",86.45,86.45,19.95,2119.0,64
CDM,1802494,"Protein measurement, immunological probe for band identification",86.5,86.5,19.95,2119.0,64
CDM,1802495,"Measurement of antibody for assessment of autoimmune disorder, any method",86.45,86.45,5.48,2119.0,64
CDM,1802496,"Measurement of antibody for assessment of autoimmune disorder, any method",86.45,86.45,5.48,2119.0,64
CDM,1802497,"Measurement of antibody for assessment of autoimmune disorder, any method",86.45,86.45,5.48,2119.0,64
CDM,1802498,"Measurement of antibody for assessment of autoimmune disorder, any method",86.45,86.45,5.48,2119.0,64
CDM,1802499,"Measurement of antibody for assessment of autoimmune disorder, any method",86.45,86.45,5.48,2119.0,64
CDM,1802500,Gene analysis (Janus kinase 2) variant,273.75,273.75,20.82,2119.0,64
CDM,1802501,Gene analysis (Janus kinase 2) targeted sequence analysis,273.75,273.75,80.06,2119.0,64
CDM,1802502,"Gene analysis (calreticulin), common variants",273.75,273.75,20.82,2119.0,64
CDM,1802503,"Gene analysis (MPL proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10",273.75,273.75,80.06,2119.0,64
CDM,1802504,Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes,127.0,127.0,54.61,2203.7,64
CDM,1802505,"Gene analysis (fragile X syndrome, X-linked intellectual disability) for detection of abnormal alleles",57.0,57.0,20.82,2119.0,64
CDM,1802506,"Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion",91.0,91.0,39.13,2119.0,64
CDM,1802507,"Analysis of substance using immunoassay technique, multiple step method",71.0,71.0,6.04,2119.0,64
CDM,1802508,"Analysis of substance using immunoassay technique, multiple step method",71.0,71.0,6.04,2119.0,64
CDM,1802509,Measurement of cold agglutinin (protein) to detect infection or disease,8.43,8.43,3.62,2119.0,64
CDM,1802510,Clotting factor VIII (AHG) measurement,17.9,17.9,2.22,2119.0,64
CDM,1802514,Stereoisomer (enantiomer) drug analysis,85.0,85.0,6.91,2119.0,61
CDM,1802516,"Clotting factor X assessment test, diluted",9.58,9.58,2.22,2119.0,64
CDM,1802517,"Thrombin time, fibrinogen screening test, plasma",5.77,5.77,2.22,2119.0,64
CDM,1802518,Platelet function test,17.98,17.98,2.22,2119.0,64
CDM,1802519,"Coagulation assessment blood test, substitution, plasma fractions",6.47,6.47,2.22,2119.0,64
CDM,1802520,Phospholipid test,17.98,17.98,2.22,2119.0,64
CDM,1802521,"Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants",65.34,65.34,20.82,2119.0,64
CDM,1802523,Clotting factor inhibitor test,12.87,12.87,2.22,2119.0,64
CDM,1802525,"HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1",402.12,402.12,119.0,2119.0,64
CDM,1802526,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802527,HLA class II typing low resolution one locus,122.12,122.12,20.82,2119.0,64
CDM,1802528,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,64
CDM,1802529,Clotting factor VIII (VW factor) antigen,22.94,22.94,9.86,2119.0,64
CDM,1802530,Measurement of substance using immunoassay technique,17.27,17.27,6.04,2119.0,64
CDM,1802531,Clotting factor VIII (AHG) measurement,17.9,17.9,2.22,2119.0,64
CDM,1802532,Clotting factor VIII (VW factor) antigen,22.94,22.94,9.86,2119.0,64
CDM,1802533,Clotting factor VIII (VW factor) measurement,22.94,22.94,9.86,2119.0,64
CDM,1802534,Fibrinogen (factor 1) activity measurement,9.72,9.72,2.22,2119.0,64
CDM,1802535,Fibrinogen (factor 1) antigen detection,14.46,14.46,2.22,2119.0,64
CDM,1802536,Blood coagulation screening test,9.85,9.85,2.96,2119.0,64
CDM,1802537,"Thrombin time, fibrinogen screening test, plasma",5.77,5.77,2.22,2119.0,64
CDM,1802538,"Blood test, clotting time",4.29,4.29,1.84,2119.0,64
CDM,1802541,"Coagulation assessment blood test, plasma or whole blood",6.01,6.01,2.22,2119.0,64
CDM,1802542,"Thrombin time, fibrinogen screening test, plasma",5.77,5.77,2.22,2119.0,64
CDM,1802543,Analysis for antibody to Rubeola (measles virus),33.45,33.45,5.48,2119.0,64
CDM,1802544,Analysis for antibody to Rubeola (measles virus),33.46,33.46,5.48,2119.0,64
CDM,1802545,Detection test by nucleic acid for multiple types influenza virus,127.5,127.5,54.83,2119.0,64
CDM,1802546,Detection test by nucleic acid for multiple types influenza virus,127.5,127.5,54.83,2119.0,64
CDM,1802547,Tissue culture for tumor disorders of bone marrow and blood cells,143.75,143.75,61.81,2119.0,64
CDM,1802548,"Chromosome analysis for genetic defects, analyze 20-25 cells",144.6,144.6,62.18,2119.0,64
CDM,1802553,"Detection test by nucleic acid for organism, amplified probe technique",282.3,282.3,23.95,2119.0,64
CDM,1802554,Genomic testing for solid organ cancer,3329.42,,20.82,6492.37,61
CDM,1802555,Genome-wide microarray analysis for copy number and single nucleotide polymorphism (SNP) variants,1070.0,1070.0,119.0,2119.0,64
CDM,1802556,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",80.0,80.0,23.95,2119.0,64
CDM,1802557,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",80.0,80.0,23.95,2119.0,64
CDM,1802558,"Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique",80.0,80.0,23.95,2119.0,64
CDM,1802559,Detection of Mycoplasma genitalium by DNA or RNA probe,80.0,80.0,23.95,2119.0,64
CDM,1802560,"Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel",150.75,150.75,64.82,2119.0,64
CDM,1802561,"Test for detecting genes associated with fetal disease, microdeletion(s) genomic sequence analysis",150.75,150.75,64.82,2119.0,64
CDM,1802562,"Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel",148.5,148.5,63.86,2119.0,64
CDM,1802563,"Test for detecting genes associated with fetal disease, microdeletion(s) genomic sequence analysis",148.5,148.5,63.86,2119.0,64
CDM,1802564,"Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel",151.5,151.5,65.15,2119.0,64
CDM,1802565,"Test for detecting genes associated with fetal disease, microdeletion(s) genomic sequence analysis",151.5,151.5,65.15,2119.0,64
CDM,1802566,Carcinoembryonic antigen (CEA) protein level,29.66,29.66,6.04,2119.0,64
CDM,1802567,Analysis for antibody to protozoa (parasite),1400.0,1400.0,5.48,2730.0,64
CDM,1802568,Infectious agent drug susceptibility analysis,296.0,296.0,97.79,2119.0,64
CDM,1802569,Analysis test by nucleic acid for HIV-1 virus,296.0,296.0,80.06,2119.0,64
CDM,1802570,"Analysis test by nucleic acid for HIV-1 virus, other region",298.0,298.0,97.79,2119.0,64
CDM,1802571,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",5.52,5.52,2.37,2119.0,64
CDM,1802572,IgE (immune system protein) level,51.2,51.2,6.04,2119.0,64
CDM,1803401,Hydroxyindolacetic acid (product of metabolism) level,40.0,40.0,6.61,2119.0,64
CDM,1803403,Clotting factor inhibitor test,28.0,28.0,2.22,2119.0,64
CDM,1803414,Angiotensin l - converting enzyme (ACE) level,15.0,15.0,6.04,2119.0,64
CDM,1803422,Carotene level,17.74,17.74,2.74,2119.0,64
CDM,1803423,Catecholamines (organic nitrogen) level,25.25,25.25,6.61,2119.0,64
CDM,1803429,Chemical analysis using spectrophotometry (light),30.0,30.0,2.74,2119.0,64
CDM,1803437,"Alpha-1-antitrypsin (protein) blood test, phenotype",68.66,68.66,6.04,2119.0,64
CDM,1803438,"Antibody identification test, platelet antibodies",101.31,101.31,5.48,2119.0,64
CDM,1803443,"Estrogen analysis, total",36.0,36.0,6.61,2119.0,64
CDM,1803459,Creatinine level to test for kidney function or muscle injury,10.0,10.0,2.74,2119.0,64
CDM,1803481,Metanephrines level,17.0,17.0,6.61,2119.0,64
CDM,1803486,Quantitation of therapeutic drug,33.63,33.63,6.08,2119.0,64
CDM,1803499,Pyruvate (organic acid) level,25.38,25.38,6.04,2119.0,64
CDM,1803503,"Nephelometry, test method using light",158.0,158.0,5.48,2119.0,64
CDM,1803519,Blood viscosity measurement,20.29,20.29,2.96,2119.0,64
CDM,1803520,Vitamin A level,14.0,14.0,6.02,2119.0,64
CDM,1803522,Urine microalbumin (protein) level,24.2,24.2,1.48,2119.0,64
CDM,1803528,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",114.43,114.43,30.78,2119.0,64
CDM,1803529,Aminolevulinic acid (protein) level,80.54,80.54,6.04,2119.0,64
CDM,1803530,Urine porphobilinogen (metabolism substance) level,14.9,14.9,2.74,2119.0,64
CDM,1803533,Citrate level,71.94,71.94,13.91,2119.0,64
CDM,1803536,Zinc level,14.2,14.2,5.95,2119.0,64
CDM,1803538,Selenium (vitamin) level,59.52,59.52,5.95,2119.0,64
CDM,1803543,"Phenytoin level, free",24.5,24.5,6.08,2119.0,64
CDM,1803547,"Amino acid level, 6 or more amino acids, quantitative, each specimen",112.58,112.58,6.04,2119.0,64
CDM,1803598,Chemical analysis using spectrophotometry (light),150.0,150.0,2.74,2119.0,64
CDM,1803924,"Amino acid level, 6 or more amino acids, quantitative, each specimen",201.0,201.0,6.04,2119.0,64
CDM,1804012,Analysis for antibody to histoplasma (fungus),14.0,14.0,5.48,2119.0,64
CDM,1804013,Analysis for antibody to Legionella (waterborne bacteria),15.3,15.3,5.48,2119.0,64
CDM,1804049,Homovanillic acid (organic acid) level,35.04,35.04,6.61,2119.0,64
CDM,1804050,Oxalate level,18.0,18.0,6.04,2119.0,64
CDM,1804051,"Hydroxyprogesterone, 17-D (synthetic hormone) level",27.17,27.17,6.61,2119.0,64
CDM,1804055,Protoporphyrin (metabolism substance) level,33.43,33.43,6.04,2119.0,64
CDM,1804057,Serotonin (hormone) level,31.0,31.0,13.33,2119.0,64
CDM,1804058,Copper level,19.9,19.9,5.95,2119.0,64
CDM,1804059,Copper level,14.55,14.55,5.95,2119.0,64
CDM,1804070,Arsenic level,65.0,65.0,5.95,2119.0,64
CDM,1804072,Androstenedione (hormone) level,53.76,53.76,6.61,2119.0,64
CDM,1804073,"Testosterone (hormone) level, total",26.0,26.0,6.61,2119.0,64
CDM,1804074,Sex hormone binding globulin (protein) level,26.83,26.83,6.04,2119.0,64
CDM,1804075,Albumin (protein) level,12.0,12.0,2.74,2119.0,64
CDM,1804110,Aldosterone hormone level,41.0,41.0,17.25,2119.0,64
CDM,1804115,Screening test for antibody to noninfectious agent,59.62,59.62,5.48,2119.0,64
CDM,1804120,Mass spectrometry (laboratory testing method),75.0,75.0,6.04,2119.0,64
CDM,1804125,"Amino acid analysis, quantitative, each specimen",22.98,22.98,6.04,2119.0,64
CDM,1804130,Aminolevulinic acid (protein) level,80.54,80.54,6.04,2119.0,64
CDM,1804135,Glycated protein level,17.0,17.0,6.04,2119.0,64
CDM,1804140,Homovanillic acid (organic acid) level,35.84,35.84,6.61,2119.0,64
CDM,1804145,Inhibin A (reproductive organ hormone) measurement,27.62,27.62,5.48,2119.0,64
CDM,1804150,Lipase (fat enzyme) level,26.72,26.72,2.74,2119.0,64
CDM,1804155,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",114.43,114.43,30.78,2119.0,64
CDM,1804160,"Antibody identification test, platelet associated immunoglobulin assay",64.85,64.85,5.48,2119.0,64
CDM,1804165,Proinsulin (pancreatic hormone) level,59.0,59.0,6.61,2119.0,64
CDM,1804170,Thyroxine binding globulin (thyroid related protein) level,16.0,16.0,6.61,2119.0,64
CDM,1804175,Vitamin B-6 level,28.1,28.1,12.08,2119.0,64
CDM,1804180,"Ascorbic acid (Vitamin C) level, blood",18.15,18.15,2.74,2119.0,64
CDM,1804185,"Dihydroxyvitamin D, 1, 25 level",17.94,17.94,7.71,2119.0,64
CDM,1804195,Vitamin E level,15.0,15.0,6.04,2119.0,64
CDM,1804196,Vitamin K level,66.25,66.25,6.04,2119.0,64
CDM,1804201,Amylase (enzyme) level,20.0,20.0,2.74,2119.0,64
CDM,1804202,Chemistry procedures,7.5,7.5,3.23,2119.0,61
CDM,1804220,Antithrombin III antigen (clotting inhibitor) activity,11.85,11.85,2.22,2119.0,64
CDM,1804225,Antithrombin III antigen (clotting inhibitor) level,10.81,10.81,2.22,2119.0,64
CDM,1804230,Activated protein resistance assay,15.32,15.32,2.96,2119.0,64
CDM,1804235,"Clotting factor X assessment test, diluted",9.58,9.58,2.22,2119.0,64
CDM,1804255,Fibrinogen (factor 1) antigen detection,14.46,14.46,2.22,2119.0,64
CDM,1804265,Clotting factor X (Stuart-Prower) measurement,17.9,17.9,2.22,2119.0,64
CDM,1804270,"Coagulation assessment blood test, substitution, plasma fractions",6.47,6.47,2.22,2119.0,64
CDM,1804272,"Coagulation assessment blood test, substitution, plasma fractions",6.47,6.47,2.22,2119.0,64
CDM,1804273,"Coagulation assessment blood test, substitution, plasma fractions",6.47,6.47,2.22,2119.0,64
CDM,1804276,"Blood test, clotting time, substitution",3.94,3.94,1.69,2119.0,64
CDM,1804280,"Antibody identification test, platelet antibodies",18.37,18.37,5.48,2119.0,64
CDM,1804285,Plasminogen activator (fibrinolytic factor) measurement,150.0,150.0,2.22,2119.0,64
CDM,1804301,Protein S (clotting inhibitor) measurement,15.32,15.32,2.22,2119.0,64
CDM,1804305,Protein S (clotting inhibitor) level,11.61,11.61,2.22,2119.0,64
CDM,1804310,Measurement of substance using immunoassay technique,17.27,17.27,6.04,2119.0,64
CDM,1804326,Urine vanillylmandelic acid,15.75,15.75,6.61,2119.0,64
CDM,1804350,Translocation analysis (PML-RARA regulated adaptor molecule 1) common breakpoint,284.0,284.0,80.06,2119.0,64
CDM,1804360,Measurement of substance using immunoassay technique,225.0,225.0,6.04,2119.0,64
CDM,1805003,Aldosterone hormone level,59.62,59.62,17.25,2119.0,64
CDM,1805009,"Cortisol (hormone) measurement, free",21.25,21.25,6.04,2119.0,64
CDM,1805012,Calcitonin (hormone) level,27.0,27.0,6.61,2119.0,64
CDM,1805014,Dehydroepiandrosterone (DHEA-S) hormone level,22.23,22.23,6.61,2119.0,64
CDM,1805017,Estrone (hormone) level,41.35,41.35,6.61,2119.0,64
CDM,1805020,"Folic acid level, RBC",56.2,56.2,6.04,2119.0,64
CDM,1805023,Gastrin (GI tract hormone) level,20.52,20.52,6.61,2119.0,64
CDM,1805024,Glucagon (pancreatic hormone) level,37.0,37.0,6.61,2119.0,64
CDM,1805047,Renin (kidney enzyme) level,22.0,22.0,6.61,2119.0,64
CDM,1805048,Somatomedin (growth factor) level,30.0,30.0,6.61,2119.0,64
CDM,1805049,"Testosterone (hormone) level, total",26.0,26.0,6.61,2119.0,64
CDM,1805070,Oxalate level,14.45,14.45,6.04,2119.0,64
CDM,1805071,"Thyroid hormone, T3 measurement, reverse",38.75,38.75,6.61,2119.0,64
CDM,1805072,Sex hormone binding globulin (protein) level,26.83,26.83,6.04,2119.0,64
CDM,1805074,Thyroglobulin (thyroid related hormone) level,33.7,33.7,6.61,2119.0,64
CDM,1805075,Thyroglobulin (thyroid protein) antibody measurement,33.7,33.7,5.48,2119.0,64
CDM,1805082,Measurement of complement function (immune system proteins),19.8,19.8,5.48,2119.0,64
CDM,1806031,Catecholamines (organic nitrogen) level,25.25,25.25,6.61,2119.0,64
CDM,1806057,Vasoactive intestinal peptide (intestinal hormone) level,59.62,59.62,17.25,2119.0,64
CDM,1806063,"Clotting factor II prothrombin, measurement",12.98,12.98,2.22,2119.0,64
CDM,1806067,Clotting factor VIII (AHG) measurement,17.9,17.9,2.22,2119.0,64
CDM,1806070,Plasminogen (fibrinolytic factor) measurement,6.53,6.53,2.22,2119.0,64
CDM,1806071,Platelet aggregation function test,149.46,149.46,12.56,2119.0,64
CDM,1806073,Insulin antibody measurement,142.0,142.0,5.48,2119.0,64
CDM,1806077,Protein C antigen (clotting inhibitor) measurement,13.84,13.84,2.22,2119.0,64
CDM,1806079,Mycophenolate (mycophenolic acid) level,92.55,92.55,6.08,2119.0,64
CDM,1806080,HLA class I typing high resolution one allele or allele group,180.0,180.0,77.4,2119.0,64
CDM,1806082,Detection test by immunoassay technique for Histoplasma capsulatum (parasite),95.0,95.0,4.04,2119.0,64
CDM,1806086,Metanephrines level,17.0,17.0,6.61,2119.0,64
CDM,1806088,"Deoxycortisol, 11 (hormone) level",65.4,65.4,6.61,2119.0,64
CDM,1806090,Lipoprotein (A) level,25.0,25.0,6.04,2119.0,64
CDM,1806091,Lipoprotein measurement,37.0,37.0,13.91,2119.0,64
CDM,1806092,Measurement of posaconazole,120.0,120.0,6.08,2119.0,64
CDM,1806093,Mercury level,26.3,26.3,5.95,2119.0,64
CDM,1806100,Alpha-2 antiplasmin (factor inhibitor) measurement,7.71,7.71,2.22,2119.0,64
CDM,1806110,Clotting factor VIII (VW factor) measurement,22.94,22.94,9.86,2119.0,64
CDM,1806113,Analysis for antibody to blastomyces (fungus),19.72,19.72,5.48,2119.0,64
CDM,1806115,Fletcher factor (clotting factor) measurement,78.0,78.0,2.22,2119.0,64
CDM,1806119,Topiramate level,47.5,47.5,6.08,2119.0,64
CDM,1806120,Lead level,35.69,35.69,5.95,2119.0,64
CDM,1806121,Thiocyanate (organic sulfur substance) level,47.0,47.0,5.95,2119.0,64
CDM,1806122,"PSA (prostate specific antigen) measurement, total",25.0,25.0,6.04,2119.0,64
CDM,1806123,"PSA (prostate specific antigen) measurement, free",18.39,18.39,6.04,2119.0,64
CDM,1806127,"Gonadotropin, chorionic (reproductive hormone) level",15.05,15.05,6.47,2119.0,64
CDM,1806128,Estriol (hormone) level,25.0,25.0,6.61,2119.0,64
CDM,1806129,"Alpha-fetoprotein (AFP) level, serum",17.0,17.0,6.04,2119.0,64
CDM,1806130,Inhibin A (reproductive organ hormone) measurement,16.0,16.0,5.48,2119.0,64
CDM,1806131,"Enzyme activity measurement, nonradioactive substrate",112.0,112.0,6.04,2119.0,64
CDM,1806135,Transcortin (cortisol binding protein) level,45.0,45.0,6.61,2119.0,64
CDM,1806137,"Measurement of substance using immunoassay technique, by radioimmunoassay",66.0,66.0,6.04,2119.0,64
CDM,1806143,"Measurement of substance using immunoassay technique, by radioimmunoassay",65.0,65.0,6.04,2119.0,64
CDM,1806144,Sirolimus level,20.0,20.0,6.08,2119.0,64
CDM,1806148,17-hydroxypregnenolone (hormone) level,64.96,64.96,6.61,2119.0,64
CDM,1806149,Cholesterol level,6.0,6.0,2.58,2119.0,64
CDM,1806150,Triglycerides level,14.0,14.0,2.74,2119.0,64
CDM,1806151,Lipoprotein measurement,48.0,48.0,13.91,2119.0,64
CDM,1808000,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.47,7.47,3.21,2119.0,64
CDM,1808002,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.0,11.0,4.7,2119.0,64
CDM,1808003,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",10.0,10.0,4.3,2119.0,64
CDM,1808009,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808010,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.47,7.47,3.21,2119.0,64
CDM,1808011,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808012,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.47,7.47,3.21,2119.0,64
CDM,1808022,"Detection test by nucleic acid for organism, amplified probe technique",103.6,103.6,23.95,2119.0,64
CDM,1808023,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808024,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808025,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808027,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808028,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808029,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.0,7.0,3.01,2119.0,64
CDM,1808033,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808039,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808040,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808041,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808047,Analysis for antibody to protozoa (parasite),26.45,26.45,5.48,2119.0,64
CDM,1808048,Analysis for antibody to Haemophilus influenza (respiratory bacteria),42.68,42.68,5.48,2119.0,64
CDM,1808082,Dehydroepiandrosterone (DHEA-S) hormone level,116.0,116.0,6.61,2119.0,64
CDM,1808086,Quantitation of therapeutic drug,18.64,18.64,6.08,2119.0,64
CDM,1808091,Cyanide measurement,68.8,68.8,5.95,2119.0,64
CDM,1808096,Aluminum level,25.48,25.48,5.95,2119.0,64
CDM,1808097,Lead level,13.69,13.69,5.89,2119.0,64
CDM,1808103,Chromium level to test for poisoning or deficiency,45.4,45.4,5.95,2119.0,64
CDM,1808105,Mass spectrometry (laboratory testing method),61.54,61.54,6.04,2119.0,64
CDM,1808109,Organic acid level,21.21,21.21,6.04,2119.0,64
CDM,1808110,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808111,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808112,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808113,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808114,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808115,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808116,Analysis for antibody to Leishmania (parasite),6.75,6.75,2.9,2119.0,64
CDM,1808117,Analysis for antibody to Leishmania (parasite),7.0,7.0,3.01,2119.0,64
CDM,1808118,"Detection test by nucleic acid for HIV-1 virus, quantification",209.0,209.0,23.95,2119.0,64
CDM,1808119,Analysis for antibody (IgM) to Chlamydia (bacteria),18.0,18.0,5.48,2119.0,64
CDM,1808120,Analysis for antibody to Chlamydia (bacteria),12.0,12.0,5.16,2119.0,64
CDM,1808121,Analysis for antibody to Chlamydia (bacteria),12.0,12.0,5.16,2119.0,64
CDM,1808125,White blood cell enzyme activity measurement,25.84,25.84,2.96,2119.0,64
CDM,1808126,"Thyroid hormone, T3 measurement, free",59.63,59.63,6.61,2119.0,64
CDM,1808127,"Stool fat or lipids analysis, quantitative",59.49,59.49,6.04,2119.0,64
CDM,1808128,Chemical analysis using chromatography technique,150.0,150.0,6.04,2119.0,64
CDM,1808129,"Estrogen analysis, fractionated",279.35,279.35,17.25,2119.0,64
CDM,1808130,Quantitation of therapeutic drug,85.6,85.6,6.08,2119.0,64
CDM,1808131,Mass spectrometry (laboratory testing method),80.0,80.0,6.04,2119.0,64
CDM,1808133,Vitamin B-2 (riboflavin) level,24.98,24.98,6.04,2119.0,64
CDM,1808134,"Immunologic analysis for detection of tumor antigen, quantitative; CA 15-3",25.0,25.0,5.48,2119.0,64
CDM,1808139,"Measurement of substance using immunoassay technique, by radioimmunoassay",71.93,71.93,6.04,2119.0,64
CDM,1808142,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808143,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",7.47,7.47,3.21,2119.0,64
CDM,1808149,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808150,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808151,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808153,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808170,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808171,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808180,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808181,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808182,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808184,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",28.0,28.0,4.7,2119.0,64
CDM,1808190,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808191,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808192,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808195,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808196,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808201,"Measurement of substance using immunoassay technique, by radioimmunoassay",35.0,35.0,6.04,2119.0,64
CDM,1808202,"Measurement of substance using immunoassay technique, by radioimmunoassay",35.0,35.0,6.04,2119.0,64
CDM,1808203,"Measurement of substance using immunoassay technique, by radioimmunoassay",35.0,35.0,6.04,2119.0,64
CDM,1808205,Biotinidase (enzyme) level,63.57,63.57,6.04,2119.0,64
CDM,1808207,Arsenic level,39.2,39.2,5.95,2119.0,64
CDM,1808208,Mercury level,25.0,25.0,5.95,2119.0,64
CDM,1808209,Lead level,13.0,13.0,5.59,2119.0,64
CDM,1808210,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808211,Aldolase (enzyme) level,14.0,14.0,2.74,2119.0,64
CDM,1808212,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.0,11.0,4.7,2119.0,64
CDM,1808214,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.0,11.0,4.7,2119.0,64
CDM,1808215,Measurement of substance using immunoassay technique,61.04,61.04,6.04,2119.0,64
CDM,1808233,Oxcarbazepine level,17.75,17.75,6.08,2119.0,64
CDM,1808234,Lidocaine level,47.86,47.86,6.08,2119.0,64
CDM,1808302,Apolipoprotein level,21.09,21.09,6.04,2119.0,64
CDM,1808304,"Measurement of substance using immunoassay technique, by radioimmunoassay",31.0,31.0,6.04,2119.0,64
CDM,1808305,"Myelin basic protein (nerve protein) level, spinal fluid",24.0,24.0,6.04,2119.0,64
CDM,1808337,"Measurement of complement (immune system proteins), total hemolytic",66.72,66.72,5.48,2119.0,64
CDM,1808338,"Gene analysis (glucosidase, beta, acid) common variants",47.25,47.25,20.32,2119.0,64
CDM,1808356,Antibody identification test for white blood cell antibodies,100.0,100.0,5.48,2119.0,64
CDM,1808357,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",20.69,20.69,4.7,2119.0,64
CDM,1808358,Gene analysis (hemochromatosis) common variants,175.0,175.0,20.82,2119.0,64
CDM,1808363,"Measurement C-reactive protein for detection of infection or inflammation, high sensitivity",24.52,24.52,5.48,2119.0,64
CDM,1808375,Measurement of substance using immunoassay technique,107.0,107.0,6.04,2119.0,64
CDM,1808377,"Analysis of substance using immunoassay technique, multiple step method",26.0,26.0,6.04,2119.0,64
CDM,1808378,Measurement of substance using immunoassay technique,115.0,115.0,6.04,2119.0,64
CDM,1808388,Intrinsic factor (stomach protein) antibody measurement,31.48,31.48,5.48,2119.0,64
CDM,1808397,Analysis for antibody to Ehrlichia (bacteria transmitted by ticks),40.93,40.93,5.48,2119.0,64
CDM,1808398,Analysis for antibody to Ehrlichia (bacteria transmitted by ticks),40.0,40.0,5.48,2119.0,64
CDM,1808401,Urine porphobilinogen (metabolism substance) level,14.9,14.9,2.74,2119.0,64
CDM,1808403,"Measurement of complement (immune system proteins), antigen,",25.0,25.0,5.48,2119.0,64
CDM,1808406,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808408,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808409,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808410,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808411,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808413,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808415,Chemical analysis using chromatography technique,37.25,37.25,6.04,2119.0,64
CDM,1808416,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",114.43,114.43,30.78,2119.0,64
CDM,1808417,Quantitation of therapeutic drug,21.5,21.5,6.08,2119.0,64
CDM,1808418,Osteocalcin (bone protein) level,86.65,86.65,17.25,2119.0,64
CDM,1808422,"Phosphatase (enzyme) level, alkaline",19.5,19.5,2.74,2119.0,64
CDM,1808423,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808424,Mass spectrometry (laboratory testing method),69.51,69.51,6.04,2119.0,64
CDM,1808425,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808427,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808428,Quantitation of therapeutic drug,77.0,77.0,6.08,2119.0,64
CDM,1808429,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808430,Metanephrines level,131.44,131.44,6.61,2119.0,64
CDM,1808432,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.0,11.0,4.7,2119.0,64
CDM,1808434,Analysis test by nucleic acid for hepatitis b virus,257.45,257.45,97.79,2119.0,64
CDM,1808440,Analysis test by nucleic acid for hepatitis b virus,257.45,257.45,97.79,2119.0,64
CDM,1808447,Analysis test by nucleic acid for hepatitis b virus,257.45,257.45,97.79,2119.0,64
CDM,1808455,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.0,8.0,3.44,2119.0,64
CDM,1808472,Analysis for antibody to aspergillus (fungus),26.0,26.0,5.48,2119.0,64
CDM,1808473,Analysis for antibody bacteria,26.0,26.0,5.48,2119.0,64
CDM,1808474,Immunologic analysis for detection of antigen or antibody,26.0,26.0,5.48,2119.0,64
CDM,1808475,Analysis for antibody bacteria,26.0,26.0,5.48,2119.0,64
CDM,1808476,Analysis for antibody bacteria,26.0,26.0,5.48,2119.0,64
CDM,1808477,Analysis for antibody bacteria,26.0,26.0,5.48,2119.0,64
CDM,1808481,Quantitation of therapeutic drug,104.0,104.0,6.08,2119.0,64
CDM,1808482,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.9,11.9,4.7,2119.0,64
CDM,1808483,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",11.9,11.9,4.7,2119.0,64
CDM,1808550,Mass spectrometry (laboratory testing method),98.0,98.0,6.04,2119.0,64
CDM,1809001,Carnitine level,132.0,132.0,6.04,2119.0,64
CDM,1809002,Detection test by immunoassay technique for Aspergillus (fungus),90.0,90.0,4.04,2119.0,64
CDM,1809003,Detection test by immunoassay technique for other organism,85.0,85.0,4.04,2119.0,64
CDM,1809008,"Detection test by nucleic acid for organism, quantification",85.0,85.0,23.95,2119.0,64
CDM,1809009,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1809011,"Detection test by nucleic acid for organism, quantification",201.0,201.0,23.95,2119.0,64
CDM,1809012,"Detection test by nucleic acid for organism, quantification",175.0,175.0,23.95,2119.0,64
CDM,1809013,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1809014,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1809096,"Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants",95.0,95.0,20.82,2119.0,64
CDM,1809104,Clotting factor inhibitor test,18.0,18.0,2.22,2119.0,64
CDM,1809110,Gene analysis (coagulation factor V) Leiden variant,73.37,73.37,20.82,2119.0,64
CDM,1809123,Clotting factor VIII (AHG) measurement,65.34,65.34,2.22,2119.0,64
CDM,1809125,"Coagulation assessment blood test, plasma or whole blood",21.0,21.0,2.22,2119.0,64
CDM,1809130,Clotting factor inhibitor test,27.0,27.0,2.22,2119.0,64
CDM,1809140,"Gene analysis (prothrombin, coagulation factor II) A variant",65.69,65.69,20.82,2119.0,64
CDM,1809146,Clotting factor VIII (von Willebrand factor) measurement,22.94,22.94,9.86,2119.0,64
CDM,1809164,Platelet aggregation function test,37.0,37.0,12.56,2119.0,64
CDM,1809171,"Blood test, clotting time, substitution",31.0,31.0,2.22,2119.0,64
CDM,1809190,"Coagulation assessment blood test, substitution, plasma fractions",11.0,11.0,2.22,2119.0,64
CDM,1809191,"Coagulation assessment blood test, substitution, plasma fractions",11.0,11.0,2.22,2119.0,64
CDM,1809192,"Coagulation assessment blood test, substitution, plasma fractions",11.0,11.0,2.22,2119.0,64
CDM,1809195,"Calcium level, ionized",22.22,22.22,6.04,2119.0,64
CDM,1809200,Gammaglobulin (immune system protein) measurement,13.0,13.0,2.74,2119.0,64
CDM,1809201,Gammaglobulin (immune system protein) measurement,9.54,9.54,2.74,2119.0,64
CDM,1809202,Albumin (protein) level,10.0,10.0,2.74,2119.0,64
CDM,1809203,"Cerebrospinal fluid, or amniotic fluid albumin (protein) level",7.78,7.78,2.74,2119.0,64
CDM,1809207,Infrared analysis of stone,19.0,19.0,6.04,2119.0,64
CDM,1809999,MISCELLANEOUS,1189.76,1189.76,244.62,2119.0,50
CDM,1810001,"Pathology examination of tissue using a microscope, intermediate complexity",506.0,53.0,22.47,2119.0,64
CDM,1810005,"Pathology cytologic examination of specimen during surgery, initial site",1263.0,697.0,58.67,2462.85,64
CDM,1810008,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1810011,"Pathology examination of specimen during surgery, first tissue block",335.0,159.0,58.67,2119.0,64
CDM,1810012,"Pathology examination of specimen during surgery, each additional tissue block",205.0,205.0,20.79,2119.0,64
CDM,1810015,"Pathology examination of tissue using a microscope, limited examination",154.0,26.0,20.69,2119.0,64
CDM,1810016,Surgical pathology consultation and report on referred slides prepared elsewhere,105.0,36.0,30.09,2119.0,64
CDM,1810020,Preparation of tissue for examination by removing any calcium present,99.0,99.0,8.12,2119.0,64
CDM,1810062,Special stained specimen slides to identify organisms including interpretation and report,180.0,53.0,22.47,2119.0,64
CDM,1810063,Special stained specimen slides to examine tissue including interpretation and report,232.24,36.0,22.47,2119.0,64
CDM,1810090,Pathology examination of tissue using a microscope,240.0,26.0,20.69,2119.0,64
CDM,1810091,"Pathology examination of tissue using a microscope, moderately low complexity",397.0,53.0,22.47,2119.0,64
CDM,1810092,"Pathology examination of tissue using a microscope, intermediate complexity",506.0,53.0,22.47,2119.0,64
CDM,1810093,"Pathology examination of tissue using a microscope, moderately high complexity",562.0,310.0,102.05,2119.0,64
CDM,1810094,"Pathology examination of tissue using a microscope, high complexity",1263.0,697.0,102.05,2462.85,64
CDM,1811026,"Pathology cytologic examination of specimen during surgery, each additional site",139.0,139.0,16.24,2119.0,64
CDM,1820001,Urine potassium level,55.0,55.0,2.74,2119.0,64
CDM,1820002,Urine sodium level,58.0,58.0,2.74,2119.0,64
CDM,1820003,Urine chloride level,58.0,58.0,2.74,2119.0,64
CDM,1820004,Urine potassium level,55.0,55.0,2.74,2119.0,64
CDM,1820005,Urine sodium level,58.0,58.0,2.74,2119.0,64
CDM,1820006,Glucose (sugar) level on body fluid,102.0,102.0,2.74,2119.0,64
CDM,1820007,"Total protein level, body fluid",54.0,54.0,2.74,2119.0,64
CDM,1820008,Creatinine level to test for kidney function or muscle injury,86.0,86.0,2.74,2119.0,64
CDM,1820009,Urine volume measurement,53.0,53.0,1.48,2119.0,64
CDM,1820028,"Blood glucose (sugar) tolerance test, 3 specimens",111.0,111.0,6.04,2119.0,64
CDM,1820029,"Blood glucose (sugar) tolerance test, each additional beyond 3 specimens",28.0,28.0,2.74,2119.0,64
CDM,1820030,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1820038,Carboxyhemoglobin (protein) level,144.0,144.0,6.04,2119.0,64
CDM,1820039,"Methemoglobin (hemoglobin) analysis, quantitative",81.0,81.0,2.74,2119.0,64
CDM,1820040,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,1820041,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1820042,"Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)",166.0,166.0,4.48,2119.0,64
CDM,1820043,"Calcium level, ionized",196.0,196.0,6.04,2119.0,64
CDM,1820046,Urine chloride level,58.0,58.0,2.74,2119.0,64
CDM,1820047,"Total protein level, body fluid",54.0,54.0,2.74,2119.0,64
CDM,1820052,Vitamin D-3 level,55.0,55.0,13.91,2119.0,64
CDM,1820053,Cervicovaginal secretion of placenta protein,197.0,197.0,33.99,2119.0,64
CDM,1820054,Measurement of Hepatitis A antibody,266.0,266.0,5.48,2119.0,64
CDM,1820055,"Ketone bodies analysis, quantitative",58.0,58.0,2.74,2119.0,64
CDM,1820057,Procalcitonin (hormone) level,68.0,68.0,6.61,2119.0,64
CDM,1820058,Hepatitis C antibody measurement,76.0,76.0,5.48,2119.0,64
CDM,1820059,Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies,164.0,164.0,4.04,2119.0,64
CDM,1820064,Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies,164.0,164.0,4.04,2119.0,64
CDM,1820065,"Testing for presence of drug, by chemistry analyzers",407.0,407.0,34.6,2119.0,64
CDM,1820066,"Testing for presence of drug, by chemistry analyzers",407.0,407.0,34.6,2119.0,64
CDM,1820069,"Measurement of complement (immune system proteins), antigen,",90.0,90.0,5.48,2119.0,64
CDM,1820070,"Measurement of complement (immune system proteins), antigen,",90.0,90.0,5.48,2119.0,64
CDM,1820071,"Alpha-1-antitrypsin (protein) blood test, total",59.0,59.0,6.04,2119.0,64
CDM,1820072,Ceruloplasmin (protein) level,48.0,48.0,2.74,2119.0,64
CDM,1820073,Beta-2 microglobulin (protein) level,53.0,53.0,6.61,2119.0,64
CDM,1820075,Rheumatoid factor level,26.0,26.0,5.1,2119.0,64
CDM,1820077,Body fluid pH level,6.0,6.0,2.58,2119.0,64
CDM,1820079,"2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC",75.0,75.0,4.04,2119.0,64
CDM,1820080,"2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC",75.0,75.0,4.04,2119.0,64
CDM,1820081,Measurement of substance using immunoassay technique,25.0,25.0,6.04,2119.0,64
CDM,1820085,Plasma hemoglobin level,10.0,10.0,2.74,2119.0,64
CDM,1820086,Hepatitis Be antibody measurement,16.0,16.0,5.48,2119.0,64
CDM,1820087,Detection test by immunoassay technique for hepatitis Be surface antigen,16.0,16.0,4.04,2119.0,64
CDM,1820088,Mycophenolate (mycophenolic acid) level,26.0,26.0,6.08,2119.0,64
CDM,1820091,Everolimus level,20.0,20.0,6.08,2119.0,64
CDM,1820093,"Detection test by nucleic acid for Hepatitis C virus, amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1821601,"Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9",57.0,57.0,5.48,2119.0,64
CDM,1821602,"Immunologic analysis for detection of tumor antigen, quantitative; CA 125",46.0,46.0,5.48,2119.0,64
CDM,1821603,"Immunologic analysis for detection of tumor antigen, quantitative; CA 15-3",28.0,28.0,5.48,2119.0,64
CDM,1821604,Caffeine level,159.0,159.0,6.08,2119.0,64
CDM,1821609,Homocysteine (amino acid) level,161.0,161.0,6.61,2119.0,64
CDM,1821659,Measurement C-reactive protein for detection of infection or inflammation,147.0,147.0,4.66,2119.0,64
CDM,1821670,Transferrin (iron binding protein) level,77.0,77.0,6.04,2119.0,64
CDM,1821741,Fetal fibronectin (protein) analysis,638.0,638.0,33.99,2119.0,64
CDM,1821743,Prealbumin (protein) level,164.0,164.0,6.04,2119.0,64
CDM,1821744,Haptoglobin (serum protein) level,136.0,136.0,6.04,2119.0,64
CDM,1823390,Urine microalbumin (protein) level,39.0,39.0,1.48,2119.0,64
CDM,1823402,"Ketone bodies analysis, qualitative",69.0,69.0,2.74,2119.0,64
CDM,1823404,Albumin (protein) level,69.0,69.0,2.74,2119.0,64
CDM,1823407,"Phosphatase (enzyme) level, alkaline",60.0,60.0,2.74,2119.0,64
CDM,1823408,Ammonia level,185.0,185.0,6.04,2119.0,64
CDM,1823410,Amylase (enzyme) level,184.0,184.0,2.74,2119.0,64
CDM,1823411,Amylase (enzyme) level,184.0,184.0,2.74,2119.0,64
CDM,1823415,Amylase (enzyme) level,184.0,184.0,2.74,2119.0,64
CDM,1823416,"Bilirubin level, direct",69.0,69.0,2.74,2119.0,64
CDM,1823417,"Bilirubin level, total",85.0,85.0,2.74,2119.0,64
CDM,1823420,"Calcium level, total",90.0,90.0,2.74,2119.0,64
CDM,1823421,Urine calcium level,97.0,97.0,2.74,2119.0,64
CDM,1823424,Chloride level,69.0,69.0,2.74,2119.0,64
CDM,1823425,Glucose (sugar) level on body fluid,102.0,102.0,2.74,2119.0,64
CDM,1823426,Blood chloride level,73.0,73.0,2.74,2119.0,64
CDM,1823427,Urine chloride level,58.0,58.0,2.74,2119.0,64
CDM,1823430,Cholesterol level,83.0,83.0,2.74,2119.0,64
CDM,1823431,Lactate dehydrogenase (enzyme) level,78.0,78.0,2.74,2119.0,64
CDM,1823436,"Creatine kinase (cardiac enzyme) level, total",115.0,115.0,2.74,2119.0,64
CDM,1823438,"Cerebrospinal fluid, or amniotic fluid albumin (protein) level",69.0,69.0,2.74,2119.0,64
CDM,1823440,Blood creatinine level,50.0,50.0,2.74,2119.0,64
CDM,1823441,Creatinine level to test for kidney function or muscle injury,86.0,86.0,2.74,2119.0,64
CDM,1823446,"Total protein level, urine",83.0,83.0,2.74,2119.0,64
CDM,1823447,"Total protein level, body fluid",54.0,54.0,2.74,2119.0,64
CDM,1823448,Gentamicin (antibiotic) level,215.0,215.0,6.08,2119.0,64
CDM,1823454,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,64
CDM,1823455,Glucose (sugar) level on body fluid,102.0,102.0,2.74,2119.0,64
CDM,1823464,Blood glucose (sugar) level after receiving dose of glucose,117.0,117.0,2.74,2119.0,64
CDM,1823465,Iron level,74.0,74.0,2.74,2119.0,64
CDM,1823466,Iron binding capacity,92.0,92.0,2.74,2119.0,64
CDM,1823470,Lactic acid level,205.0,205.0,6.04,2119.0,64
CDM,1823471,Lactate dehydrogenase (enzyme) level,78.0,78.0,2.74,2119.0,64
CDM,1823476,Lipase (fat enzyme) level,138.0,138.0,2.74,2119.0,64
CDM,1823480,Magnesium level,120.0,120.0,2.74,2119.0,64
CDM,1823483,Blood osmolality (concentration) measurement,138.0,138.0,2.74,2119.0,64
CDM,1823484,Urine osmolality (concentration) measurement,138.0,138.0,2.74,2119.0,64
CDM,1823489,Phosphate level,72.0,72.0,2.74,2119.0,64
CDM,1823490,Urine phosphate level,72.0,72.0,2.74,2119.0,64
CDM,1823494,Blood potassium level,74.0,74.0,2.74,2119.0,64
CDM,1823495,Urine potassium level,55.0,55.0,2.74,2119.0,64
CDM,1823498,"Total protein level, blood",83.0,83.0,2.74,2119.0,64
CDM,1823500,"PSA (prostate specific antigen) measurement, total",104.0,104.0,6.04,2119.0,64
CDM,1823501,Sodium level,63.0,63.0,2.74,2119.0,64
CDM,1823502,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",218.0,218.0,34.6,2119.0,64
CDM,1823504,"Liver enzyme (SGOT), level",68.0,68.0,2.74,2119.0,64
CDM,1823505,"Liver enzyme (SGPT), level",68.0,68.0,2.74,2119.0,64
CDM,1823506,Blood sodium level,68.0,68.0,2.74,2119.0,64
CDM,1823507,Urine sodium level,58.0,58.0,2.74,2119.0,64
CDM,1823510,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",218.0,218.0,34.6,2119.0,64
CDM,1823512,Triglycerides level,101.0,101.0,2.74,2119.0,64
CDM,1823513,"Troponin (protein) analysis, quantitative",221.0,221.0,6.04,2119.0,64
CDM,1823514,"Urea nitrogen level to assess kidney function, quantitative",62.0,62.0,2.74,2119.0,64
CDM,1823516,"Uric acid level, blood",74.0,74.0,2.74,2119.0,64
CDM,1823517,Uric acid level,74.0,74.0,2.74,2119.0,64
CDM,1823526,Lithium level,130.0,130.0,5.95,2119.0,64
CDM,1823535,Magnesium level,120.0,120.0,2.74,2119.0,64
CDM,1823539,"Phenytoin level, total",184.0,184.0,6.08,2119.0,64
CDM,1823544,LDL cholesterol level,85.0,85.0,2.74,2119.0,64
CDM,1823546,Hemoglobin A1C level,137.0,137.0,2.74,2119.0,64
CDM,1823549,Amikacin (antibiotic) level,155.0,155.0,6.08,2119.0,64
CDM,1823550,Vancomycin (antibiotic) level,184.0,184.0,6.08,2119.0,64
CDM,1823551,Tobramycin (antibiotic) level,190.0,190.0,6.08,2119.0,64
CDM,1823554,"Manual urinalysis test with examination using microscope, automated",109.0,109.0,1.48,2119.0,64
CDM,1823556,Automated urinalysis test,91.0,91.0,1.48,2119.0,64
CDM,1823557,Theophylline level,14.14,14.14,6.08,2119.0,64
CDM,1823558,PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA),49.0,49.0,5.48,2119.0,64
CDM,1823565,"Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)",166.0,166.0,4.48,2119.0,64
CDM,1823570,Blood glucose (sugar) level after receiving dose of glucose,117.0,117.0,2.74,2119.0,64
CDM,1823580,"Blood test, lipids (cholesterol and triglycerides)",115.0,115.0,4.48,2119.0,64
CDM,1823581,Kidney function blood test panel,368.0,368.0,4.48,2119.0,64
CDM,1823582,Liver function blood test panel,237.0,237.0,4.48,2119.0,64
CDM,1823584,Creatinine clearance measurement to test for kidney function,171.0,171.0,2.74,2119.0,64
CDM,1823589,Natriuretic peptide (heart and blood vessel protein) level,207.0,207.0,13.91,2119.0,64
CDM,1823596,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1823597,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1823804,Chloride level,69.0,69.0,2.74,2119.0,64
CDM,1823805,Sweat collection,210.0,53.0,12.0,2119.0,64
CDM,1823900,"Blood test, basic group of blood chemicals (Calcium, total)",314.0,314.0,4.48,2119.0,64
CDM,1823906,"Gonadotropin, chorionic (reproductive hormone) level",188.0,188.0,6.61,2119.0,64
CDM,1823907,"Calcium level, ionized",196.0,196.0,6.04,2119.0,64
CDM,1823908,Carbon dioxide (bicarbonate) level,94.0,94.0,2.74,2119.0,64
CDM,1823909,Carboxyhemoglobin (protein) level,144.0,144.0,6.04,2119.0,64
CDM,1823910,"Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease",108.0,108.0,2.74,2119.0,64
CDM,1823911,Blood gases measurement,328.0,328.0,13.91,2119.0,64
CDM,1823912,Glutamyltransferase (liver enzyme) level,109.0,109.0,2.74,2119.0,64
CDM,1823913,"Methemoglobin (hemoglobin) analysis, quantitative",81.0,81.0,2.74,2119.0,64
CDM,1823914,Urinalysis using microscope,95.0,95.0,1.48,2119.0,64
CDM,1823915,Hepatitis B core antibody (IgM) measurement,239.0,239.0,5.48,2119.0,64
CDM,1823917,Measurement of Hepatitis A antibody (IgM),239.0,239.0,5.48,2119.0,64
CDM,1823918,Hepatitis C antibody measurement,76.0,76.0,5.48,2119.0,64
CDM,1823919,Detection test by immunoassay technique for hepatitis B surface antigen,175.0,175.0,4.04,2119.0,64
CDM,1823920,Detection test by immunoassay technique for hepatitis B surface antigen neutralization,43.0,43.0,4.04,2119.0,64
CDM,1824002,Phenobarbital level,184.0,184.0,6.08,2119.0,64
CDM,1824004,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",218.0,218.0,34.6,2119.0,64
CDM,1824038,"Digoxin level, total",110.0,110.0,6.08,2119.0,64
CDM,1824067,HDL cholesterol level,68.0,68.0,2.74,2119.0,64
CDM,1824071,"Valproic acid level, total",176.0,176.0,6.08,2119.0,64
CDM,1825002,Adrenocorticotropic hormone (ACTH) level,119.0,119.0,17.25,2119.0,64
CDM,1825004,"Alpha-fetoprotein (AFP) level, serum",41.0,41.0,6.04,2119.0,64
CDM,1825006,Carcinoembryonic antigen (CEA) protein level,104.0,104.0,6.04,2119.0,64
CDM,1825008,"Cortisol (hormone) measurement, total",226.0,226.0,6.61,2119.0,64
CDM,1825013,"Creatine kinase (cardiac enzyme) level, MB fraction only",184.0,184.0,6.04,2119.0,64
CDM,1825015,Measurement of total estradiol (hormone),39.0,39.0,6.61,2119.0,64
CDM,1825018,Ferritin (blood protein) level,138.0,138.0,6.04,2119.0,64
CDM,1825019,"Folic acid level, serum",172.0,172.0,6.04,2119.0,64
CDM,1825022,"Gonadotropin, follicle stimulating (reproductive hormone) level",54.0,54.0,6.61,2119.0,64
CDM,1825025,Urine pregnancy test,64.0,64.0,1.48,2119.0,64
CDM,1825026,Hepatitis B core antibody measurement,28.0,28.0,5.48,2119.0,64
CDM,1825032,Hepatitis B surface antibody measurement,237.0,237.0,5.48,2119.0,64
CDM,1825034,C-peptide (protein) level,31.0,31.0,6.04,2119.0,64
CDM,1825037,"Insulin measurement, total",29.0,29.0,6.61,2119.0,64
CDM,1825039,"Gonadotropin, luteinizing (reproductive hormone) level",46.0,46.0,6.61,2119.0,64
CDM,1825042,Progesterone (reproductive hormone) level,74.0,74.0,6.61,2119.0,64
CDM,1825043,Prolactin (milk producing hormone) level,68.0,68.0,6.61,2119.0,64
CDM,1825051,"Thyroid hormone, T3 measurement, total",227.0,227.0,6.61,2119.0,64
CDM,1825053,"Thyroxine (thyroid chemical), total",124.0,124.0,6.18,2119.0,64
CDM,1825057,"Blood test, thyroid stimulating hormone (TSH)",99.0,99.0,6.61,2119.0,64
CDM,1825059,Cyanocobalamin (vitamin B-12) level,113.0,113.0,6.61,2119.0,64
CDM,1825061,"Thyroxine (thyroid chemical), free",156.0,156.0,6.61,2119.0,64
CDM,1825069,"Blood test, comprehensive group of blood chemicals",454.0,454.0,4.48,2119.0,64
CDM,1826041,"Urea nitrogen level to assess kidney function, urine",52.0,52.0,2.74,2119.0,64
CDM,1826047,"Carbamazepine level, total",176.0,176.0,6.08,2119.0,64
CDM,1826062,Quantitation of therapeutic drug,183.0,183.0,6.08,2119.0,64
CDM,1828093,Parathormone (parathyroid hormone) level,61.0,61.0,17.25,2119.0,64
CDM,1828108,Quantitation of therapeutic drug,183.0,183.0,6.08,2119.0,64
CDM,1828141,Gonadotropin (reproductive hormone) analysis,182.0,182.0,2.74,2119.0,64
CDM,1830001,"Thrombin time, fibrinogen screening test, plasma",77.0,77.0,2.22,2119.0,64
CDM,1830002,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,64
CDM,1830003,Fibrinogen (factor 1) activity measurement,231.0,231.0,2.22,2119.0,64
CDM,1830004,Platelet aggregation function test,255.0,255.0,12.56,2119.0,64
CDM,1830005,Coagulation function screening test with interpretation and report,52.0,52.0,2.22,2119.0,64
CDM,1830006,"Red blood count automated, with additional calculations",10.0,10.0,2.96,2119.0,64
CDM,1830007,Reticulated (young) platelet measurement,52.0,52.0,12.56,2119.0,64
CDM,1830009,Antithrombin III antigen (clotting inhibitor) activity,17.0,17.0,2.22,2119.0,64
CDM,1832218,"Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count",209.0,209.0,2.96,2119.0,64
CDM,1832227,Microscopic examination for white blood cells with manual cell count,82.0,82.0,2.96,2119.0,64
CDM,1832241,Fibrinogen (factor 1) activity measurement,231.0,231.0,2.22,2119.0,64
CDM,1832243,G6PD (enzyme) screening test,39.0,39.0,2.74,2119.0,64
CDM,1832246,Red blood cell concentration measurement,35.0,35.0,2.13,2119.0,64
CDM,1832262,"Platelet count, automated test",87.0,87.0,2.96,2119.0,64
CDM,1832263,"Blood test, clotting time",76.0,76.0,2.22,2119.0,64
CDM,1832264,"Coagulation assessment blood test, plasma or whole blood",94.0,94.0,2.22,2119.0,64
CDM,1832268,"Complete blood cell count (red cells, white blood cell, platelets), automated test",135.0,135.0,2.96,2119.0,64
CDM,1832272,"Red blood cell sedimentation rate, to detect inflammation, automated",75.0,75.0,2.43,2119.0,64
CDM,1832274,Red blood cell sickling measurement,58.0,58.0,2.96,2119.0,64
CDM,1832500,"Coagulation function measurement, D-dimer; quantitative",170.0,170.0,2.22,2119.0,64
CDM,1832656,Body fluid cell count with cell identification,184.0,184.0,2.43,2119.0,64
CDM,1832661,"Blood count, hemoglobin",32.0,32.0,2.13,2119.0,64
CDM,1836101,Assessment of blood clotting function,55.0,55.0,2.96,2119.0,64
CDM,1836118,Crystal identification from tissue or body fluid,20.0,20.0,2.43,2119.0,64
CDM,1840012,"Analysis for antibody to Herpes simplex virus, type 1",53.0,53.0,5.48,2119.0,64
CDM,1840013,"Analysis for antibody to Herpes simplex virus, type 2",61.0,61.0,5.48,2119.0,64
CDM,1840017,"Stem cells count, total",405.0,405.0,19.95,2119.0,64
CDM,1840018,"Stem cells count, total",405.0,405.0,19.95,2119.0,64
CDM,1840054,"Detection test by nucleic acid for Hepatitis C virus, quantification",97.0,97.0,23.95,2119.0,64
CDM,1840055,Analysis test by nucleic acid for Hepatitis C virus,561.0,561.0,80.06,2119.0,64
CDM,1840058,Special Gram or Giemsa stain for microorganism,61.0,61.0,3.84,2119.0,64
CDM,1840065,"Detection test by nucleic acid for clostridium difficile, amplified probe technique",57.0,57.0,23.95,2119.0,64
CDM,1840066,Detection test by immunoassay technique for other organism,210.0,210.0,4.04,2119.0,64
CDM,1840067,Detection test by immunoassay technique for Clostridium difficile toxins (stool pathogen),161.0,161.0,4.04,2119.0,64
CDM,1840068,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",57.0,57.0,23.95,2119.0,64
CDM,1840069,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",57.0,57.0,23.95,2119.0,64
CDM,1840073,"Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria), amplified probe technique",112.0,112.0,23.95,2119.0,64
CDM,1840074,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840076,"Tuberculosis test, gamma interferon",154.0,154.0,19.95,2119.0,64
CDM,1840080,"Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only",79.0,79.0,23.95,2119.0,64
CDM,1840085,Detection test by immunoassay technique for other organism,210.0,210.0,4.04,2119.0,64
CDM,1840090,Detection test by immunoassay with direct visual observation for other organism,138.0,138.0,4.04,2119.0,64
CDM,1840091,Detection test by immunoassay with direct visual observation for other organism,138.0,138.0,4.04,2119.0,64
CDM,1840093,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840094,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840095,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840096,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840097,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840098,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840099,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840100,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840101,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840102,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840103,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840104,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840120,Detection test by immunoassay with direct visual observation for other organism,138.0,138.0,4.04,2119.0,64
CDM,1840121,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840122,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840123,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840124,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840125,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,64
CDM,1840126,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840127,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840128,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840129,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840130,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1840131,"Identification of organisms by immunologic analysis, other than immunofluorescence method",26.0,26.0,4.04,2119.0,64
CDM,1840132,Syphilis test,100.0,100.0,3.96,2119.0,64
CDM,1840133,"Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets",671.0,671.0,97.79,2119.0,64
CDM,1840135,"Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1840136,"Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant (MRSA bacteria), amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1840137,"Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1840138,"Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant (MRSA bacteria), amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1840139,"2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC",75.0,75.0,4.04,2119.0,64
CDM,1840140,"2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC",75.0,75.0,4.04,2119.0,64
CDM,1840142,"Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2",1675.0,1675.0,196.45,3266.25,64
CDM,1840143,"Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19), influenza virus types A and B, and respiratory syncytial virus",215.0,215.0,23.95,2119.0,64
CDM,1840144,"Detection test by nucleic acid for Strep (Streptococcus, group B), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1840145,"Detection test for candida species (yeast), amplified probe technique",51.0,51.0,21.93,2119.0,64
CDM,1840147,"Bacterial culture, any other source except urine, blood or stool, aerobic",91.0,91.0,4.04,2119.0,64
CDM,1840148,Detection test by immunoassay with direct visual observation for other organism,138.0,138.0,4.04,2119.0,64
CDM,1840149,"Stool analysis for blood, by fecal hemoglobin determination by immunoassay",32.0,32.0,6.04,2119.0,64
CDM,1840150,"Detection test by nucleic acid for Strep (Streptococcus, group A), amplified probe technique",56.0,56.0,23.95,2119.0,64
CDM,1840151,Detection of orthopoxvirus,61.0,,23.95,2119.0,61
CDM,1840152,Test for detection of bacteria causing vaginosis and vaginitis,263.0,,113.09,2119.0,50
CDM,1840153,Detection of orthopoxvirus,61.0,,23.95,2119.0,61
CDM,1840154,Culture for identification of yeast,15.0,15.0,4.04,2119.0,64
CDM,1841605,Syphilis detection test,85.0,85.0,3.84,2119.0,64
CDM,1841606,Syphilis test,100.0,100.0,3.96,2119.0,64
CDM,1841608,"Detection test by nucleic acid for Human Papillomavirus (HPV), high-risk types",93.0,93.0,23.95,2119.0,64
CDM,1841613,"Analysis for antibody, Treponema pallidum",77.0,77.0,5.48,2119.0,64
CDM,1841627,Syphilis detection test,85.0,85.0,3.84,2119.0,64
CDM,1841660,Screening test for mononucleosis (mono),91.0,91.0,4.66,2119.0,64
CDM,1844702,Bacterial blood culture,341.0,341.0,4.04,2119.0,64
CDM,1844704,Culture for acid-fast bacilli,154.0,154.0,4.04,2119.0,64
CDM,1844705,Special fluorescent and/or acid fast stain for microorganism,98.0,98.0,4.04,2119.0,64
CDM,1844707,Concentration of specimen for infectious agents,107.0,107.0,4.04,2119.0,64
CDM,1844709,Fungal culture (mold or yeast),101.0,101.0,4.04,2119.0,64
CDM,1844710,Smear for infectious agents,82.0,82.0,4.04,2119.0,64
CDM,1844711,"Bacterial culture, any other source except urine, blood or stool, aerobic",91.0,91.0,4.04,2119.0,64
CDM,1844712,"Bacterial culture, any source, except blood, anaerobic",112.0,112.0,4.04,2119.0,64
CDM,1844713,Stool analysis for blood to screen for colon tumors,53.0,53.0,2.74,2119.0,64
CDM,1844715,Special Gram or Giemsa stain for microorganism,61.0,61.0,3.84,2119.0,64
CDM,1844720,Smear for parasites,275.0,275.0,4.04,2119.0,64
CDM,1844721,Stool culture,274.0,274.0,4.04,2119.0,64
CDM,1844723,Smear for infectious agents,82.0,82.0,4.04,2119.0,64
CDM,1844726,"Bacterial colony count, urine",138.0,138.0,4.04,2119.0,64
CDM,1844727,Special fluorescent and/or acid fast stain for microorganism,98.0,98.0,4.04,2119.0,64
CDM,1844743,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilution method",26.0,26.0,4.04,2119.0,64
CDM,1844744,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution",181.0,181.0,4.04,2119.0,64
CDM,1844745,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)",62.0,62.0,4.04,2119.0,64
CDM,1844747,"Bacterial culture, any other source except urine, blood or stool, aerobic",91.0,91.0,4.04,2119.0,64
CDM,1844748,Bacterial culture and colony count,210.0,210.0,4.04,2119.0,64
CDM,1844750,Tissue preparation for culture,52.0,52.0,4.04,2119.0,64
CDM,1844756,Special stain for inclusion bodies or parasites,107.0,107.0,4.04,2119.0,64
CDM,1845040,"Detection test by nucleic acid for HIV-1 virus, quantification",122.0,122.0,23.95,2119.0,64
CDM,1845050,Detection test by immunofluorescent technique for pneumocystis carinii (respiratory parasite),62.0,62.0,4.04,2119.0,64
CDM,1845051,Bacterial culture for aerobic isolates,127.0,127.0,4.04,2119.0,64
CDM,1845060,"Detection of antimicrobial drug (antibiotic, antifungal, antiviral)",6.0,6.0,2.58,2119.0,64
CDM,1845063,"Identification of organisms by immunologic analysis, other than immunofluorescence method",26.0,26.0,4.04,2119.0,64
CDM,1845064,"Identification of organisms by immunologic analysis, other than immunofluorescence method",26.0,26.0,4.04,2119.0,64
CDM,1845066,"Fungal culture, yeast",77.0,77.0,4.04,2119.0,64
CDM,1845083,Bacterial culture for aerobic isolates,127.0,127.0,4.04,2119.0,64
CDM,1845084,Bacterial culture for anaerobic isolates,63.0,63.0,4.04,2119.0,64
CDM,1845087,Special stain for parasites,138.0,138.0,4.04,2119.0,64
CDM,1848129,Smear for infectious agents,82.0,82.0,4.04,2119.0,64
CDM,1848135,"Detection test by immunoassay technique for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,1848145,Specimen analysis for blood,10.0,10.0,2.74,2119.0,64
CDM,1850001,"Cerebrospinal fluid, or amniotic fluid albumin (protein) level",69.0,69.0,2.74,2119.0,64
CDM,1850002,Gammaglobulin (immune system protein) measurement,104.0,104.0,2.74,2119.0,64
CDM,1850003,Measurement of immune substance (oligoclonal bands),171.0,171.0,13.91,2119.0,64
CDM,1850004,Albumin (protein) level,69.0,69.0,2.74,2119.0,64
CDM,1850005,Gammaglobulin (immune system protein) measurement,104.0,104.0,2.74,2119.0,64
CDM,1850014,"T cells count, total",128.0,128.0,19.95,2119.0,64
CDM,1850015,"T cell count and ratio, including ratio",128.0,128.0,19.95,2119.0,64
CDM,1850016,Total cell count for B cells (white blood cells),128.0,128.0,19.95,2119.0,64
CDM,1850017,Total cell count for natural killer cells (white blood cell),128.0,128.0,19.95,2119.0,64
CDM,1850018,"Protein measurement, serum",150.0,150.0,2.74,2119.0,64
CDM,1850101,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1850118,"Protein measurement, body fluid",43.0,43.0,6.04,2119.0,64
CDM,1850121,"Analysis of substance using immunoassay technique, multiple step method",129.0,129.0,6.04,2119.0,64
CDM,1850122,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850123,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850126,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850127,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850128,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850129,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850130,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850131,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850132,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850133,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850134,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850135,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850136,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850137,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850138,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850139,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850140,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850141,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850142,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850143,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850144,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850145,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850146,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850148,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850149,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850150,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850152,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850153,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850155,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850158,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850160,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1850164,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850165,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850166,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850167,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1850170,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850173,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850174,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850175,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850176,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850177,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850178,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850179,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850180,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850182,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850183,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850184,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850185,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850186,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850188,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850189,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850190,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850191,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850192,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850193,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850194,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,750.0,27.13,3817.0,48
CDM,1850195,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850196,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850200,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850201,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850206,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850207,"Flow cytometry technique for DNA or cell analysis, each additional marker",133.0,133.0,12.0,2119.0,64
CDM,1850208,Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool,82.0,82.0,4.04,2119.0,64
CDM,1850209,Beta 2 glycoprotein 1 antibody (autoantibody) measurement,151.0,151.0,5.48,2119.0,64
CDM,1850210,Beta 2 glycoprotein 1 antibody (autoantibody) measurement,151.0,151.0,5.48,2119.0,64
CDM,1850211,Beta 2 glycoprotein 1 antibody (autoantibody) measurement,151.0,151.0,5.48,2119.0,64
CDM,1850215,Detection test by immunoassay technique for Aspergillus (fungus),105.0,105.0,4.04,2119.0,64
CDM,1850217,Antibody testing for syphilis,77.0,77.0,19.95,2119.0,64
CDM,1850221,Microsomal antibodies (autoantibody) measurement,75.0,75.0,5.48,2119.0,64
CDM,1850222,Measurement of substance using immunoassay technique,25.0,25.0,6.04,2119.0,64
CDM,1850223,Measurement of substance using immunoassay technique,25.0,25.0,6.04,2119.0,64
CDM,1850224,Analysis for antibody to Coccidioides (bacteria),16.0,16.0,5.48,2119.0,64
CDM,1850225,Analysis for antibody to Coccidioides (bacteria),16.0,16.0,5.48,2119.0,64
CDM,1850226,Analysis for antibody to helminth (intestinal worm),19.0,19.0,5.48,2119.0,64
CDM,1850227,Tacrolimus level,20.0,20.0,6.08,2119.0,64
CDM,1850228,Sirolimus level,20.0,20.0,6.08,2119.0,64
CDM,1850229,Cyclosporine level,26.0,26.0,6.08,2119.0,64
CDM,1850230,"Hemoglobin analysis and measurement, electrophoresis",31.0,31.0,6.04,2119.0,64
CDM,1850235,"Dihydroxyvitamin D, 1, 25 level",58.0,58.0,13.91,2119.0,64
CDM,1851604,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851608,Cardiolipin antibody (tissue antibody) measurement,152.0,152.0,5.48,2119.0,64
CDM,1851609,Cryofibrinogen (protein) level,28.0,28.0,6.04,2119.0,64
CDM,1851611,Cardiolipin antibody (tissue antibody) measurement,152.0,152.0,5.48,2119.0,64
CDM,1851612,Cardiolipin antibody (tissue antibody) measurement,152.0,152.0,5.48,2119.0,64
CDM,1851614,Measurement of antibody to noninfectious agent,143.0,143.0,5.48,2119.0,64
CDM,1851615,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851618,Screening test for antibody to noninfectious agent,64.0,64.0,5.48,2119.0,64
CDM,1851623,"Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses",101.0,101.0,2.74,2119.0,64
CDM,1851624,"Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses",101.0,101.0,2.74,2119.0,64
CDM,1851625,"Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses",101.0,101.0,2.74,2119.0,64
CDM,1851627,"Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses",101.0,101.0,2.74,2119.0,64
CDM,1851631,"Analysis of substance using immunoassay technique, multiple step method",129.0,129.0,6.04,2119.0,64
CDM,1851638,Cystatin C (enzyme inhibitor) level,60.0,60.0,6.04,2119.0,64
CDM,1851652,Screening test for autoimmune disorder,102.0,102.0,5.48,2119.0,64
CDM,1851654,"Measurement of antibody for assessment of autoimmune disorder, titer",136.0,136.0,5.48,2119.0,64
CDM,1851658,Measurement for Strep antibody (strep throat),41.0,41.0,5.48,2119.0,64
CDM,1851750,Immunologic analysis technique on serum (immunofixation),210.0,210.0,5.48,2119.0,64
CDM,1851751,Gammaglobulin (immune system protein) measurement,104.0,104.0,2.74,2119.0,64
CDM,1851754,"Immunologic analysis technique on body fluid, other fluids with concentration",309.0,309.0,19.95,2119.0,64
CDM,1851755,Gammaglobulin (immune system protein) measurement,104.0,104.0,2.74,2119.0,64
CDM,1851756,Gammaglobulin (immune system protein) measurement,104.0,104.0,2.74,2119.0,64
CDM,1851789,"Nephelometry, test method using light",78.0,78.0,5.48,2119.0,64
CDM,1851790,"Flow cytometry technique for DNA or cell analysis, first marker",562.0,310.0,110.48,2119.0,64
CDM,1851791,"Nephelometry, test method using light",78.0,78.0,5.48,2119.0,64
CDM,1851806,Cryoglobulin (protein) measurement,26.0,26.0,2.74,2119.0,64
CDM,1851809,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851810,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851811,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851812,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851813,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851814,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1851815,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1852234,"Protein measurement, serum",150.0,150.0,2.74,2119.0,64
CDM,1852320,Screening test for antibody to noninfectious agent,64.0,64.0,5.48,2119.0,64
CDM,1852327,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1852328,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1852396,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1852399,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1853002,Microscopic genetic analysis of tumor,604.0,159.0,102.05,2119.0,64
CDM,1858215,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.4,8.4,3.61,2119.0,64
CDM,1858376,Measurement of antibody for rheumatoid arthritis assessment,96.0,96.0,5.48,2119.0,64
CDM,1858381,IgE (immune system protein) level,63.0,63.0,6.04,2119.0,64
CDM,1858393,"Measurement of antibody for assessment of autoimmune disorder, any method",79.0,79.0,5.48,2119.0,64
CDM,1860001,Analysis for antibody to Rubeola (measles virus),104.0,104.0,5.48,2119.0,64
CDM,1860003,Tissue culture inoculation for virus isolation,287.0,287.0,4.04,2119.0,64
CDM,1860005,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen",109.0,109.0,5.48,2119.0,64
CDM,1860009,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid",132.0,132.0,5.48,2119.0,64
CDM,1860014,Analysis for antibody to Cytomegalovirus (CMV),153.0,153.0,5.48,2119.0,64
CDM,1860017,Detection test for adenovirus (virus),113.0,113.0,4.04,2119.0,64
CDM,1860018,Analysis for antibody (IgM) to Cytomegalovirus (CMV),156.0,156.0,5.48,2119.0,64
CDM,1860020,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen",107.0,107.0,5.48,2119.0,64
CDM,1860021,Detection test by immunofluorescent technique for cytomegalovirus (CMV),188.0,188.0,4.04,2119.0,64
CDM,1860027,Analysis for antibody to mumps virus,54.0,54.0,5.48,2119.0,64
CDM,1860036,Analysis for antibody to varicella-zoster virus (chicken pox),113.0,113.0,5.48,2119.0,64
CDM,1860037,Analysis for antibody to Rubella (German measles virus),76.0,76.0,5.48,2119.0,64
CDM,1860039,Analysis for antibody to varicella-zoster virus (chicken pox),113.0,113.0,5.48,2119.0,64
CDM,1860042,Analysis for antibody to Rubella (German measles virus),76.0,76.0,5.48,2119.0,64
CDM,1860043,Analysis for antibody to Toxoplasma (parasite),108.0,108.0,5.48,2119.0,64
CDM,1860044,Analysis for antibody (IgM) to Toxoplasma (parasite),126.0,126.0,5.48,2119.0,64
CDM,1860045,Detection test by immunofluorescent technique for varicella (chicken pox) zoster virus,141.0,141.0,4.04,2119.0,64
CDM,1860046,Detection test by immunofluorescent technique for multiple organisms,163.0,163.0,4.04,2119.0,64
CDM,1860047,Analysis for antibody to HIV-1 and HIV-2 virus,164.0,164.0,5.48,2119.0,64
CDM,1860065,"Detection test by nucleic acid for cytomegalovirus, quantification",79.0,79.0,23.95,2119.0,64
CDM,1860066,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860067,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860068,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860069,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860070,"Detection test by nucleic acid for Strep (Streptococcus, group B), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860071,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860072,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860073,"Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860074,"Detection test by nucleic acid for herpes virus-6, amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860075,"Detection test by nucleic acid for herpes simplex virus, amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860076,"Detection test by nucleic acid for herpes simplex virus, amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860077,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860078,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860079,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860080,"Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets",583.0,583.0,97.79,2119.0,64
CDM,1860082,Analysis for antibody to HIV -1 virus,37.0,37.0,5.48,2119.0,64
CDM,1860083,Analysis for antibody to HIV-2 virus,56.0,56.0,5.48,2119.0,64
CDM,1860084,"Detection test by nucleic acid for organism, quantification",587.0,587.0,23.95,2119.0,64
CDM,1860087,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1860089,Analysis for antibody to HIV -1 virus,37.0,37.0,5.48,2119.0,64
CDM,1860090,Analysis for antibody to HIV-2 virus,56.0,56.0,5.48,2119.0,64
CDM,1860091,"Detection test by nucleic acid for herpes virus-6, quantification",60.0,60.0,23.95,2119.0,64
CDM,1860092,"Detection test by nucleic acid for Hepatitis B virus, quantification",61.0,61.0,23.95,2119.0,64
CDM,1860093,"Detection test by nucleic acid for organism, quantification",61.0,61.0,23.95,2119.0,64
CDM,1860095,"Detection test by nucleic acid for organism, quantification",130.0,130.0,23.95,2119.0,64
CDM,1860096,Detection of orthopoxvirus,61.0,,23.95,2119.0,61
CDM,1860097,Detection of orthopoxvirus,61.0,,23.95,2119.0,61
CDM,1860098,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",50.0,50.0,21.5,2119.0,64
CDM,1860099,"Detection test by nucleic acid for HIV-2 virus, amplified probe technique",50.0,50.0,21.5,2119.0,64
CDM,1860100,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",50.0,50.0,21.5,2119.0,64
CDM,1860101,"Detection test by nucleic acid for HIV-2 virus, amplified probe technique",50.0,50.0,21.5,2119.0,64
CDM,1860102,"Detection test by nucleic acid for herpes simplex virus, amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860103,"Detection test by nucleic acid for herpes simplex virus, amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860104,"Detection test by nucleic acid for herpes simplex virus, quantification",61.0,61.0,23.95,2119.0,64
CDM,1860105,"Detection test by nucleic acid for herpes simplex virus, quantification",61.0,61.0,23.95,2119.0,64
CDM,1860106,"Detection test by nucleic acid for organism, amplified probe technique",295.0,295.0,23.95,2119.0,64
CDM,1860109,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1860110,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",116.0,116.0,23.95,2119.0,64
CDM,1861060,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid",132.0,132.0,5.48,2119.0,64
CDM,1870001,"Cell examination of specimen, selective cellular enhancement technique",82.0,53.0,12.0,2119.0,64
CDM,1870006,"Pap test, manual screening",59.0,59.0,10.08,2119.0,64
CDM,1870047,Evaluation of fine needle aspirate with interpretation and report,242.0,53.0,44.52,2119.0,64
CDM,1870052,"Cell examination of specimen, concentration technique",59.0,36.0,12.0,2119.0,64
CDM,1870054,"Pathology examination of tissue using a microscope, intermediate complexity",506.0,53.0,22.47,2119.0,64
CDM,1870055,"Cell examination of body fluid, smears",70.0,36.0,12.0,2119.0,64
CDM,1870090,Evaluation of fine needle aspirate,268.0,159.0,110.48,2119.0,64
CDM,1880001,Test to measure expiratory airflow and volume,338.0,148.0,41.72,1758.0,64
CDM,1880003,Test to determine lung volumes using sensors,585.0,281.0,71.36,1758.0,64
CDM,1880004,"Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes",4508.0,3294.0,1938.44,27978.0,64
CDM,1880005,Test to examine how well the lungs exchange gases,522.0,522.0,41.72,1758.0,64
CDM,1880006,"Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes",4508.0,3294.0,1938.44,27978.0,64
CDM,1880008,Test to measure lung airway sensitivity,585.0,281.0,71.36,1758.0,64
CDM,1880009,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,64
CDM,1880010,Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound,3851.0,3851.0,401.0,7509.45,64
CDM,1880011,Aspiration of fluid from chest cavity,892.0,575.0,383.56,7362.0,64
CDM,1880012,Aspiration of fluid from chest cavity using imaging guidance,1208.0,575.0,519.44,7362.0,64
CDM,1880015,Diagnostic exam of lung airway using an endoscope,2386.0,1591.0,1025.98,15383.0,64
CDM,1880016,Test to determine lung volumes using gas dilution or washout,338.0,148.0,41.72,1758.0,64
CDM,1880018,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,1880019,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,766.35,56
CDM,1880020,Test to measure resistance of the airways and lungs to differing frequencies,323.0,281.0,71.36,1758.0,64
CDM,1880022,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,774.15,56
CDM,1880023,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,1880024,Removal of fluid from between lung and chest cavity,2211.0,1495.0,621.38,15383.0,64
CDM,1880025,Insertion of stomach tube using a flexible endoscope,2264.0,1727.0,671.79,16462.0,64
CDM,1880027,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,437.88,10537.0,60
CDM,1880028,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,3241.0,60
CDM,1880029,"Biopsy of lobe of lung using an endoscope, 1 lobe",3833.0,3294.0,1281.61,27978.0,64
CDM,1880030,Test to measure the total volume of air that can be exhaled after inhaling,240.0,148.0,41.72,1758.0,64
CDM,1880032,Drainage of fluid from abdominal cavity,1421.0,860.0,491.77,10537.0,64
CDM,1880033,Test for exercise-induced heart and lung stress,682.0,281.0,71.36,1758.0,64
CDM,1880034,Irrigation and suction of lung airways to obtain cells using an endoscope,2836.0,1591.0,1219.48,15383.0,64
CDM,1880036,Exam of lung airways using an endoscope,2409.0,1591.0,1035.87,15383.0,64
CDM,1880037,Drainage of fluid from abdominal cavity using imaging guidance,1256.0,860.0,491.77,10537.0,64
CDM,1880039,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,1880040,Incision of windpipe for insertion of breathing tube (older than 2 years),4882.0,2909.0,1497.66,20345.0,64
CDM,1880041,Exam of lung airways with repair of air leak using an endoscope,10422.0,6192.0,2924.04,27978.0,64
CDM,1880042,"Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin",1777.0,1496.0,478.01,15383.0,61
CDM,1880043,Other service or procedure on lung,236.0,148.0,41.72,1758.0,64
CDM,1880044,Removal of indwelling tube in lining of lung,1275.0,575.0,111.0,7362.0,64
CDM,1880046,Insertion of indwelling tube for drainage of lung fluid,4929.0,3383.0,621.38,27978.0,64
CDM,1880050,Test to measure expiratory airflow and volume changes before and after medication administration,585.0,281.0,71.36,1758.0,64
CDM,1880061,Biopsy of lung airway using an endoscope,1827.0,1591.0,785.61,15383.0,64
CDM,1880064,"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope",5171.0,3294.0,1281.61,27978.0,64
CDM,1880065,Removal of foreign body in lung airways using an endoscope,2376.0,1591.0,1021.68,15383.0,64
CDM,1880075,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,1880091,Destruction of growth or narrowing of lung airway using an endoscope,3524.0,3294.0,1515.32,27978.0,64
CDM,1880178,"THERAPEUTIC PROCEDURES TO INCREASE STRENGTH OR ENDURANCE OF RESPIRATORY MUSCLES, FACE TO FACE, ONE ON ONE, EACH 15 MINUTES (INCLUDES MONITORING)",251.0,26.0,23.21,599.0,59
CDM,1880179,Test to measure lung function at high altitude,209.0,120.0,41.72,1758.0,64
CDM,1880180,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,64
CDM,1880181,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,1885831,Dilation of windpipe cartilage or treatment of broken windpipe cartilage using an endoscope,5171.0,3294.0,2223.53,27978.0,64
CDM,1885832,Placement of stent into windpipe using an endoscope,8444.0,6192.0,2369.0,27978.0,64
CDM,1885835,Aspiration of initial secretion of lung airway using an endoscope,1930.0,1591.0,829.9,15383.0,64
CDM,1885836,Aspiration of subsequent secretions of lung airway using an endoscope during same hospital stay,564.0,400.0,242.52,7362.0,64
CDM,1890003,"Special stained specimen slides to examine tissue, each additional procedure",64.23,64.23,22.47,2119.0,64
CDM,1890004,"Antibody evaluation, initial single antibody stain procedure",267.0,310.0,102.05,2119.0,64
CDM,1890005,"Antibody evaluation, each additional single antibody stain procedure",93.66,93.66,22.47,2119.0,64
CDM,1890006,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890007,"Special stained specimen slides to examine tissue, each additional procedure",64.23,64.23,22.47,2119.0,64
CDM,1890008,Electron microscopy for diagnosis,1262.0,697.0,102.05,2460.9,64
CDM,1890009,Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma),201.5,201.5,80.06,2119.0,64
CDM,1890010,Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology,197.99,197.99,80.06,2119.0,64
CDM,1890011,Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect abnormal clonal population,195.0,195.0,80.06,2119.0,64
CDM,1890012,"Genetic sequencing localization, initial procedure",143.43,159.0,61.67,2119.0,64
CDM,1890013,Special stained specimen slides to examine tissue including interpretation and report,72.42,36.0,22.47,2119.0,64
CDM,1890014,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,64
CDM,1890015,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,64
CDM,1890016,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,64
CDM,1890017,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,64
CDM,1890018,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,64
CDM,1890019,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890020,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1890021,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1890023,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1890024,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1890025,"Special stained specimen slides to examine tissue, each additional procedure",86.0,86.0,22.47,2119.0,64
CDM,1890026,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890027,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890028,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890029,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890030,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890031,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890032,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890033,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,64
CDM,1890034,Electron microscopy for diagnosis,1263.0,697.0,102.05,2462.85,64
CDM,1890035,Special stained specimen slides to examine tissue including interpretation and report,68.36,36.0,22.47,2119.0,64
CDM,1890036,Special stained specimen slides to examine tissue including interpretation and report,68.36,36.0,22.47,2119.0,64
CDM,1890038,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890041,Electron microscopy for diagnosis,1263.0,697.0,102.05,2462.85,64
CDM,1890042,Special stained specimen slides to identify organisms including interpretation and report,90.83,53.0,22.47,2119.0,64
CDM,1890043,"Pathology examination of tissue using a microscope, intermediate complexity",35.96,53.0,15.46,2119.0,64
CDM,1890044,"Pathology examination of tissue using a microscope, moderately high complexity",562.0,310.0,102.05,2119.0,64
CDM,1890046,Gene analysis (T cell antigen receptor beta) amplification methodology,208.92,208.92,80.06,2119.0,64
CDM,1890047,Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma),292.56,292.56,80.06,2119.0,64
CDM,1890048,Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology,408.88,408.88,80.06,2119.0,64
CDM,1890056,Translocation analysis (BCR/ABL1) major breakpoint,306.0,306.0,80.06,2119.0,64
CDM,1890059,Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect abnormal clonal population,292.56,292.56,80.06,2119.0,64
CDM,1890065,Molecular pathology procedure,200.0,200.0,20.82,2119.0,61
CDM,1890068,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890069,"Antibody evaluation, initial single antibody stain procedure",267.0,310.0,102.05,2119.0,64
CDM,1890070,"Antibody evaluation, each additional single antibody stain procedure",79.99,79.99,22.47,2119.0,64
CDM,1890071,"Genetic sequencing localization, each additional procedure",93.54,93.54,22.47,2119.0,64
CDM,1890072,"Genetic sequencing localization, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890073,"Pathology examination of tissue using a microscope, intermediate complexity",34.79,53.0,14.96,2119.0,64
CDM,1890074,"Pathology examination of tissue using a microscope, intermediate complexity",95.0,53.0,22.47,2119.0,64
CDM,1890075,Special stained specimen slides to examine tissue including interpretation and report,95.0,36.0,22.47,2119.0,64
CDM,1890076,"Microscopic genetic analysis of tumor, manual",267.0,159.0,102.05,2119.0,64
CDM,1890077,Genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 genes associated with solid organ abnormal growth of tissue,2800.0,2800.0,119.0,5460.0,64
CDM,1890078,"DNA and RNA targeted sequencing analysis of 1-23 genes associated with non-small cell lung cancer, reported as presence/absence of variants and associated therapies to consider",2200.0,2200.0,196.45,4290.0,64
CDM,1890079,"Detection test by nucleic acid for cytomegalovirus, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890080,"Detection test by nucleic acid for organism, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890081,"Detection test by nucleic acid for organism, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890082,"Chimerism analysis post transplantation, without cell selection",207.46,207.46,80.06,2119.0,64
CDM,1890083,"Detection test by nucleic acid for organism, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890084,"Detection test by nucleic acid for organism, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890085,"Detection test by nucleic acid for herpes simplex virus, quantification",42.84,42.84,18.42,2119.0,64
CDM,1890086,Tissue culture to identify skin disorders,191.51,191.51,82.35,2119.0,64
CDM,1890090,"Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure",155.0,159.0,66.65,2119.0,64
CDM,1890093,Tissue culture to identify white blood cell disorders,116.49,116.49,50.09,2119.0,64
CDM,1890094,"Chromosome analysis for genetic defects, count 15-20 cells",125.49,125.49,20.82,2119.0,64
CDM,1890095,Interpretation and report of genetic testing,112.0,112.0,31.19,2119.0,64
CDM,1890096,Tissue culture to identify skin disorders,151.0,151.0,64.93,2119.0,64
CDM,1890097,"Chromosome analysis for genetic defects, count 15-20 cells",151.0,151.0,20.82,2119.0,64
CDM,1890098,Interpretation and report of genetic testing,152.0,152.0,31.19,2119.0,64
CDM,1890099,DNA testing for genetic defects,33.0,33.0,14.19,2119.0,64
CDM,1890100,"Chromosome analysis for genetic defects, analyze 10-30 cells",34.81,34.81,14.97,2119.0,64
CDM,1890101,"Chromosome analysis for genetic defects, analyze 25-99 cells",42.38,42.38,18.22,2119.0,64
CDM,1890102,DNA testing for genetic defects,55.0,55.0,19.28,2119.0,64
CDM,1890103,DNA testing for genetic defects,55.0,55.0,19.28,2119.0,64
CDM,1890104,DNA testing for genetic defects,55.0,55.0,19.28,2119.0,64
CDM,1890105,DNA testing for genetic defects,55.0,55.0,19.28,2119.0,64
CDM,1890106,"Chromosome analysis for genetic defects, analyze 100-300 cells",55.0,55.0,20.82,2119.0,64
CDM,1890107,Interpretation and report of genetic testing,55.0,55.0,23.65,2119.0,64
CDM,1890108,DNA testing for genetic defects,38.75,38.75,16.66,2119.0,64
CDM,1890109,DNA testing for genetic defects,38.75,38.75,16.66,2119.0,64
CDM,1890110,"Chromosome analysis for genetic defects, analyze 100-300 cells",51.19,51.19,20.82,2119.0,64
CDM,1890111,"Chromosome analysis for genetic defects, analyze 25-99 cells",42.38,42.38,18.22,2119.0,64
CDM,1890112,DNA testing for genetic defects,38.75,38.75,16.66,2119.0,64
CDM,1890113,DNA testing for genetic defects,38.75,38.75,16.66,2119.0,64
CDM,1890114,Interpretation and report of genetic testing,38.75,38.75,16.66,2119.0,64
CDM,1890115,"Chromosome analysis for genetic defects, analyze 100-300 cells",51.19,51.19,20.82,2119.0,64
CDM,1890116,DNA testing for genetic defects,51.0,51.0,19.28,2119.0,64
CDM,1890117,DNA testing for genetic defects,51.0,51.0,19.28,2119.0,64
CDM,1890118,"Chromosome analysis for genetic defects, analyze 100-300 cells",53.0,53.0,20.82,2119.0,64
CDM,1890119,DNA testing for genetic defects,51.0,51.0,19.28,2119.0,64
CDM,1890120,"Chromosome analysis for genetic defects, analyze 25-99 cells",51.0,51.0,20.82,2119.0,64
CDM,1890121,"Chromosome analysis for genetic defects, analyze 100-300 cells",53.0,53.0,20.82,2119.0,64
CDM,1890122,Gene analysis for cancer (neuroblastoma),296.0,296.0,80.06,2119.0,64
CDM,1890123,Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons 12 and 13,193.25,193.25,80.06,2119.0,64
CDM,1890124,"Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants",193.25,193.25,80.06,2119.0,64
CDM,1890125,DNA testing for genetic defects,55.0,55.0,19.28,2119.0,64
CDM,1890126,"Microscopic genetic analysis of tumor, manual",267.0,159.0,102.05,2119.0,64
CDM,1890128,"Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure",194.55,159.0,83.66,2119.0,64
CDM,1890130,"Genetic sequencing localization, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890131,"Genetic sequencing localization, each additional procedure",93.54,93.54,22.47,2119.0,64
CDM,1890132,"Genetic sequencing localization, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890133,"Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure",149.16,159.0,64.14,2119.0,64
CDM,1890134,"Microscopic genetic analysis of tissue, manual, initial procedure",562.0,310.0,102.05,2119.0,64
CDM,1890143,Genomic sequence analysis panel of DNA or combined DNA and RNA of 51 or more genes associated with blood and lymphatic system disorders,2920.0,2920.0,119.0,5694.0,64
CDM,1890144,Microsatellite instability analysis,1115.38,1115.38,80.06,2174.99,64
CDM,1890145,Molecular pathology procedure,1115.38,1115.38,20.82,2174.99,61
CDM,1890146,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,64
CDM,1890147,"Special stained specimen slides to examine tissue, each additional procedure",34.47,34.47,14.82,2119.0,64
CDM,1890148,"Special stained specimen slides to examine tissue, each additional procedure",34.47,34.47,14.82,2119.0,64
CDM,1890149,"Special stained specimen slides to examine tissue, each additional procedure",34.47,34.47,14.82,2119.0,64
CDM,1890152,Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report,64.74,64.74,22.47,2119.0,64
CDM,1890153,Detection test by immunoassay technique for Clostridium difficile toxins (stool pathogen),11.98,11.98,4.04,2119.0,64
CDM,2010011,Insertion of dilator device into cervix,478.0,300.0,128.58,5962.0,64
CDM,2010012,Turning of fetus through external manipulation,5071.0,2790.0,283.42,20345.0,64
CDM,2010021,LABOR ROOM/DELIVERY - LABOR,386.0,386.0,79.36,1027.0,48
CDM,2010022,LABOR ROOM/DELIVERY - LABOR,591.0,591.0,121.51,1027.0,48
CDM,2010023,LABOR ROOM/DELIVERY - LABOR,796.0,796.0,163.66,1027.0,48
CDM,2010024,LABOR ROOM/DELIVERY - LABOR,209.0,209.0,42.97,1027.0,48
CDM,2010025,LABOR ROOM/DELIVERY - LABOR,251.0,251.0,51.61,1027.0,48
CDM,2010026,LABOR ROOM/DELIVERY - LABOR,389.0,389.0,79.98,1027.0,48
CDM,2010027,Vaginal delivery,5071.0,2790.0,688.0,20345.0,64
CDM,2010028,Vaginal delivery,5071.0,2790.0,688.0,20345.0,64
CDM,2010029,Vaginal delivery,5071.0,2790.0,688.0,20345.0,64
CDM,2010030,RECOVERY ROOM - GENERAL CLASSIFICATION,915.0,915.0,188.12,732.0,45
CDM,2210005,REMOVE TORUS MANDIBULARIS,5193.0,5193.0,944.65,10126.35,56
CDM,2210015,ALVEOPLASTY W/ EXTRACTION,2430.0,2430.0,75.0,4738.5,50
CDM,2210016,CLOSD RDUCTN SPLINT ALVEOLUS,5193.0,5193.0,75.0,10126.35,50
CDM,2210018,EXCISION OF SALIVARY GLAND,581.0,581.0,75.0,1228.04,50
CDM,2210026,BIOPSY OF ORAL TISSUE HARD,524.0,524.0,75.0,1228.04,50
CDM,2210027,BIOPSY OF ORAL TISSUE SOFT,524.0,524.0,75.0,1228.04,50
CDM,2210030,IMPACT TOOTH REMOV COMP BONY,2019.0,1475.0,75.0,3937.05,50
CDM,2210032,TOOTH ROOT REMOVAL,2019.0,1475.0,75.0,3937.05,50
CDM,2210035,ALVEOLOPLASTY W/EXTRACT 1-3,2430.0,2430.0,75.0,4738.5,50
CDM,2210036,ALVEOPLASTY W/O EXTRACTION,2430.0,2430.0,75.0,4738.5,50
CDM,2210037,ALVEOLOPLASTY NOT W/EXTRACTS,2430.0,2430.0,75.0,4738.5,50
CDM,2210038,DENTAL PROPHYLAXIS ADULT,474.0,474.0,75.0,924.3,50
CDM,2210039,DENTAL PROPHYLAXIS CHILD,524.0,524.0,75.0,1021.8,50
CDM,2210040,EXTRACTION ERUPTED TOOTH/EXR,2011.0,1475.0,75.0,3921.45,50
CDM,2210042,IMPACT TOOTH REMOV PART BONY,2019.0,1475.0,75.0,3937.05,50
CDM,2210044,AMALGAM ONE SURFACE PERMANEN,2503.0,2503.0,75.0,4880.85,50
CDM,2210045,AMALGAM TWO SURFACES PERMANE,2503.0,2503.0,75.0,4880.85,50
CDM,2210046,AMALGAM THREE SURFACES PERMA,2503.0,2503.0,75.0,4880.85,50
CDM,2210048,RAD EXC LESION UP TO 1.25 CM,2430.0,2430.0,75.0,4738.5,50
CDM,2210057,REM ODONTOGEN CYST TO 1.25CM,5193.0,5193.0,75.0,10126.35,50
CDM,2210058,REM ODONTOGEN CYST > 1.25 CM,5193.0,5193.0,75.0,10126.35,50
CDM,2210059,REM NONODONTO CYST TO 1.25CM,2503.0,2503.0,75.0,4880.85,50
CDM,2210062,Removal of nasal sinus polyp,9273.0,5408.0,2340.17,27978.0,57
CDM,2210063,INTRAORAL PERIAPICAL FIRST,136.0,136.0,27.03,265.2,50
CDM,2210064,REM EXOSTOSIS ANY SITE,5193.0,5193.0,75.0,10126.35,50
CDM,2210069,INCISION/DRAIN ABSCESS INTRA,1109.0,1109.0,75.0,2162.55,50
CDM,2210073,APPLIANCE REMOVAL,524.0,524.0,75.0,1228.04,50
CDM,2210076,REMOVAL FB SKIN/AREOLAR TISS,2503.0,2503.0,75.0,4880.85,50
CDM,2210078,PANORAMIC IMAGE,374.0,374.0,27.03,729.3,50
CDM,2210091,INTRAOR COMPREHENSIVE SERIES,374.0,374.0,75.0,729.3,50
CDM,2210093,INTRAORAL OCCLUSAL FILM,2019.0,1475.0,27.03,3937.05,50
CDM,2210095,PERIODIC ORAL EVALUATION,209.0,209.0,75.0,407.55,50
CDM,2210096,"RE-EVAL,EST PT,PROBLEM FOCUS",209.0,209.0,75.0,407.55,50
CDM,2210101,CROWN PORCELAIN FUSED BASE M,2503.0,2503.0,75.0,4880.85,50
CDM,2210107,CROWN LENGTHEN HARD TISSUE,2503.0,2503.0,75.0,4880.85,50
CDM,2210109,AUTO TISSUE GRAFT 1ST TOOTH,2430.0,1475.0,75.0,4738.5,50
CDM,2210122,FIX PARTIAL DENTURE SECTION,218.0,218.0,75.0,425.1,50
CDM,2210123,LIMITED OCCLUSAL ADJUSTMENT,2019.0,1475.0,75.0,3937.05,50
CDM,2210126,EXTENSV ORAL EVAL PROB FOCUS,209.0,209.0,75.0,407.55,50
CDM,2210127,BITEWINGS - THREE IMAGES,374.0,374.0,27.03,729.3,50
CDM,2210129,POST >=4SRFC RESINBASE CMPST,2503.0,2503.0,75.0,4880.85,50
CDM,2210130,"Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth",2431.0,1438.0,653.94,15383.0,61
CDM,2210131,INTERIM CROWN,2503.0,2503.0,75.0,4880.85,50
CDM,2210132,RECEMENT INLAY ONLAY OR PART,2503.0,2503.0,75.0,4880.85,50
CDM,2210133,POST AND CORE CAST + CROWN,2503.0,2503.0,75.0,4880.85,50
CDM,2210134,POST REMOVAL,456.0,456.0,75.0,2003.45,50
CDM,2210135,INCOMPLETE ENDODONTIC TX,2503.0,2503.0,75.0,4880.85,50
CDM,2210137,RETREAT ROOT CANAL PREMOLAR,2503.0,2503.0,75.0,4880.85,50
CDM,2210144,PERIODONTAL SCALING 1-3TEETH,2503.0,2503.0,75.0,4880.85,50
CDM,2210146,DENTURES REBASE CMPLT MAXIL,938.0,938.0,75.0,1829.1,50
CDM,2210147,DENTURES REBASE CMPLT MAND,403.0,403.0,75.0,785.85,50
CDM,2210148,DENTURES REBASE PART MAXILL,885.0,885.0,75.0,1725.75,50
CDM,2210149,DENTURES REBASE PART MANDBL,843.0,843.0,75.0,1643.85,50
CDM,2210151,DENTURE INTERM PART MAXILL,1038.0,1038.0,75.0,2024.1,50
CDM,2210152,DENTURE INTERM PART MANDBL,1041.0,1041.0,75.0,2029.95,50
CDM,2210159,SURG REMOVAL OF IMPLANT BODY,989.0,989.0,75.0,1928.55,50
CDM,2210161,BRIDGE PORCELAIN BASE METAL,1582.0,1582.0,75.0,3084.9,50
CDM,2210162,BRIDGE RESIN BASE METAL,1687.0,1687.0,75.0,3289.65,50
CDM,2210165,DENTAL RETAINR CAST METL,1319.0,1319.0,74.93,2572.05,50
CDM,2210166,CROWN PORCELAIN HIGH NOBLE,1685.0,1685.0,75.0,3285.75,50
CDM,2210169,RECEMENT/BOND PART DENTURE,234.0,234.0,74.93,456.3,50
CDM,2210170,EXCISION BENIGN LESION>1.25C,2430.0,2430.0,75.0,4738.5,50
CDM,2210183,I&D ABSCESS EXTRAORAL,2431.0,2431.0,75.0,4740.45,50
CDM,2210186,DENTAL BITEWINGS TWO IMAGES,2019.0,1475.0,27.03,3937.05,50
CDM,2210199,DENT APPL DESENSITIZING MED,39.0,39.0,20.05,257.76,50
CDM,2210205,IV SEDATION EA ADDL 15M,182.0,182.0,35.07,354.9,50
CDM,2210208,"IV MOD SEDATION, 1ST 15 MIN",199.0,199.0,35.07,388.05,50
CDM,2210209,DENTURES IMMEDIAT MAXILLARY,1837.0,1837.0,75.0,3582.15,50
CDM,2210211,DENTURES IMMEDIAT MANDIBLE,1837.0,1837.0,75.0,3582.15,50
CDM,2210212,PALLIATIVE TX DENTAL PAIN,469.0,469.0,75.0,914.55,50
CDM,2210225,"REMOVE UNIL PART DENTURE,MAX",691.0,691.0,75.0,1347.45,50
CDM,2210226,"REMOVE UNIL PART DENTURE,MAN",691.0,691.0,75.0,1347.45,50
CDM,2210227,"OCC GUARD, HARD, FULL ARCH",2019.0,1475.0,75.0,3937.05,50
CDM,2210228,"OCC GUARD, SOFT, FULL ARCH",2019.0,1475.0,75.0,3937.05,50
CDM,2210229,CROWN PORCELAIN/CERAMIC,2503.0,2503.0,75.0,4880.85,50
CDM,2210230,ROOT SURGERY PREMOLAR,2503.0,2503.0,75.0,4880.85,50
CDM,2210231,TOOTH REIMPLANTATION,2503.0,2503.0,75.0,4880.85,50
CDM,2210232,"OCC GUARD, HARD, PART ARCH",2011.0,1475.0,75.0,3921.45,50
CDM,2210233,SCALING GINGIV INFLAMMATION,2503.0,2503.0,75.0,4880.85,50
CDM,2210234,MAXILLARY PART DENTURE FLEX,2179.0,2179.0,75.0,4249.05,50
CDM,2210235,MANDIBULAR PART DENTURE FLEX,2162.0,2162.0,75.0,4215.9,50
CDM,2210237,DENTURE RELN PART MAX DIR,496.0,496.0,75.0,967.2,50
CDM,2210238,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,61
CDM,2210239,SPLINT INTRA-CORONAL,2503.0,2503.0,75.0,4880.85,50
CDM,2210240,SPLINT EXTRA-CORONAL,2503.0,2503.0,75.0,4880.85,50
CDM,2210241,Creation of flap graft to head and/or neck,5551.0,3744.0,1272.22,27978.0,61
CDM,2210242,APICOECTOMY - ANTERIOR,2503.0,2503.0,75.0,4880.85,50
CDM,2210243,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2210244,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2210245,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2210246,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,2210247,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,2210248,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,2210249,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,2210250,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2210251,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2210252,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2210253,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2210254,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,2210255,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,2210256,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,2210257,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2210258,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,2210259,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2210260,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2210261,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,2210262,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2210263,Biopsy of roof of mouth,1659.0,1438.0,446.27,15383.0,61
CDM,2210264,Removal of growth or cyst of upper jaw bone through mouth,9273.0,5408.0,2494.44,27978.0,61
CDM,2210265,Other procedure on teeth and gums,372.0,225.0,100.07,5962.0,61
CDM,2210266,DENTURE RELN CMPLT MAX DIR,564.0,564.0,75.0,1099.8,50
CDM,2210267,BRIDGE PORCELAIN/CERAMIC,1707.0,1707.0,75.0,3328.65,50
CDM,2210268,CROWN PORCELAIN/CERAMIC,1727.0,1727.0,75.0,3367.65,50
CDM,2210269,CROWN PORCELAIN BASE METAL,1623.0,1623.0,75.0,3164.85,50
CDM,2210270,GINGIVECTOMY/PLASTY 4 OR MOR,5193.0,5193.0,75.0,10126.35,50
CDM,2210271,Removal of growth or cyst of lower jaw bone through mouth,9273.0,5408.0,2494.44,27978.0,61
CDM,2210272,Removal of sutures or staples under anesthesia,3232.0,1821.0,793.31,15383.0,61
CDM,2210273,Drainage of blood or fluid accumulation,2588.0,2588.0,696.17,15383.0,61
CDM,2210274,"Fine needle aspiration biopsy, first growth",637.0,368.0,171.35,7362.0,57
CDM,2210275,Repair of abnormal drainage tract between nasal sinuses,9273.0,5408.0,2340.17,27978.0,61
CDM,2210276,"Removal of muscle and/or tissue, 20.0 sq cm or less",1158.0,557.0,257.16,7362.0,61
CDM,2210277,Reshaping of tooth socket,5194.0,2909.0,1397.19,20345.0,61
CDM,2210278,ORTHODONTIC RETENTION,241.0,241.0,75.0,1285.67,50
CDM,2210279,Preparation of temporary prosthesis to close an opening in mouth,2431.0,1438.0,653.94,15383.0,61
CDM,2210280,Closed treatment of dislocated jaw joint,386.0,219.0,103.83,5962.0,61
CDM,2210281,Removal of bony growth of upper jaw bone inside mouth,5194.0,2909.0,1397.19,20345.0,61
CDM,2210282,REM UNILAT DENT FLEX BASE,1659.0,1659.0,75.0,3235.05,50
CDM,2210283,ADD CLASP TO PARTIAL DENTURE,428.0,428.0,75.0,834.6,50
CDM,2210284,Biopsy of front 2/3 of tongue,845.0,481.0,124.21,7362.0,61
CDM,2210285,"Removal of bone, 20.0 sq cm or less",2588.0,1496.0,652.63,15383.0,61
CDM,2210286,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,2210287,Creation of skin and tissue graft,3232.0,1821.0,869.41,15383.0,61
CDM,2210288,Biopsy of floor of mouth,2588.0,1496.0,696.17,15383.0,61
CDM,2210289,Diagnostic exam of voice box using a flexible endoscope,313.0,175.0,84.2,5962.0,61
CDM,2210422,GROSS PULPAL DEBRIDEMENT,2503.0,2503.0,75.0,4880.85,50
CDM,2210435,Closed treatment of broken nose bone with placement of stabilizing device,5193.0,2909.0,329.92,20345.0,61
CDM,2210477,RAD EXC LESION UP TO 1.25 CM,5194.0,5194.0,75.0,10128.3,50
CDM,2210478,RAD EXC LESION UP TO 1.25 CM,5194.0,5194.0,75.0,10128.3,50
CDM,2210481,Removal of tissue connecting tongue and floor of mouth,2431.0,1438.0,653.94,15383.0,61
CDM,2210486,Biopsy of lip,462.0,225.0,124.21,5962.0,61
CDM,2210487,"Simple drainage of abscess, cyst, or blood accumulation of mouth",1110.0,662.0,298.59,10537.0,61
CDM,2210492,Removal of growth of tissue of mouth,5193.0,2909.0,1377.14,20345.0,61
CDM,2210493,EXCISION BENIGN LESION COMPL,4338.0,4338.0,944.65,8459.1,56
CDM,2210494,Removal of growth of mouth with complicated repair,5194.0,2909.0,1397.19,20345.0,61
CDM,2210513,Biopsy of surface bone,4550.0,2521.0,1204.2,17883.0,61
CDM,2210514,BIOPSY OF ORAL TISSUE HARD,4550.0,4550.0,75.0,8872.5,50
CDM,2210526,RESIN ONE SURFACE-ANTERIOR,2503.0,2503.0,75.0,4880.85,50
CDM,2210527,RESIN TWO SURFACES-ANTERIOR,2503.0,2503.0,75.0,4880.85,50
CDM,2210528,RESIN THREE SURFACES-ANTERIO,2503.0,2503.0,75.0,4880.85,50
CDM,2210529,RESIN 4/> SURF OR W INCIS AN,2503.0,2503.0,75.0,4880.85,50
CDM,2210530,POST 1 SRFC RESINBASED CMPST,2503.0,2503.0,75.0,4880.85,50
CDM,2210531,POST 2 SRFC RESINBASED CMPST,2503.0,2503.0,75.0,4880.85,50
CDM,2210532,POST 3 SRFC RESINBASED CMPST,2503.0,2503.0,75.0,4880.85,50
CDM,2219246,Removal of deep implant from bone,4786.0,2521.0,1287.43,17883.0,61
CDM,2219251,CLSD RED SIMPL MANDIBLE FX,9273.0,9273.0,1835.23,18082.35,56
CDM,2219253,LIMIT ORAL EVAL PROBLM FOCUS,209.0,209.0,75.0,407.55,50
CDM,2219254,COMPREHENSVE ORAL EVALUATION,2019.0,1475.0,75.0,3937.05,50
CDM,2219255,COMP PERIODONTAL EVALUATION,209.0,209.0,75.0,407.55,50
CDM,2219256,INTRAORAL PERIAPICAL EA ADD,104.0,104.0,27.03,202.8,50
CDM,2219257,EXTRAORAL 2D PROJECT IMAGE,2019.0,1475.0,27.03,3937.05,50
CDM,2219259,DENTAL BITEWING SINGLE IMAGE,2019.0,1475.0,27.03,3937.05,50
CDM,2219260,BITEWINGS FOUR IMAGES,2019.0,1475.0,27.03,3937.05,50
CDM,2219265,TOBACCO COUNSELING,105.0,105.0,13.82,204.75,50
CDM,2219266,ORAL HYGIENE INSTRUCTIONS,95.0,95.0,48.83,185.25,50
CDM,2219270,RE-CEMENT OR RE-BOND CROWN,2503.0,2503.0,75.0,4880.85,50
CDM,2219272,PREFABRICATED RESIN CROWN,2503.0,2503.0,75.0,4880.85,50
CDM,2219273,PLACE DIRECT RESTORATION,2503.0,2503.0,75.0,4880.85,50
CDM,2219274,CORE BUILD-UP INCL ANY PINS,2503.0,2503.0,75.0,4880.85,50
CDM,2219276,PREFAB POST/CORE + CROWN,2503.0,2503.0,75.0,4880.85,50
CDM,2219277,THERAPEUTIC PULPOTOMY,2503.0,2503.0,75.0,4880.85,50
CDM,2219278,"END THXPY, ANTERIOR TOOTH",2503.0,2503.0,75.0,4880.85,50
CDM,2219279,"END THXPY, PREMOLAR TOOTH",2503.0,2503.0,75.0,4880.85,50
CDM,2219280,"END THXPY, MOLAR TOOTH",2503.0,2503.0,75.0,4880.85,50
CDM,2219282,GINGIVECTOMY/PLASTY 1 TO 3,5193.0,5193.0,75.0,10126.35,50
CDM,2219283,OSSEOUS SURGERY 4 OR MORE,9273.0,1475.0,75.0,18082.35,50
CDM,2219284,PERIODONTAL SCALING & ROOT,2503.0,2503.0,75.0,4880.85,50
CDM,2219285,FULL MOUTH DEBRIDEMENT,2019.0,1475.0,75.0,3937.05,50
CDM,2219286,PERIODONTAL MAINT PROCEDURES,2503.0,2503.0,75.0,4880.85,50
CDM,2219287,DENTURES COMPLETE MAXILLARY,1175.0,1175.0,75.0,2291.25,50
CDM,2219288,DENTURES COMPLETE MANDIBLE,1175.0,1175.0,75.0,2291.25,50
CDM,2219289,DENTURES MAXILL PART RESIN,910.0,910.0,75.0,1774.5,50
CDM,2219290,DENTURES MAND PART RESIN,910.0,910.0,75.0,1774.5,50
CDM,2219291,DENTURES MAXILL PART METAL,1230.0,1230.0,75.0,2398.5,50
CDM,2219292,DENTURES MANDIBL PART METAL,1230.0,1230.0,75.0,2398.5,50
CDM,2219293,DENTURES ADJUST CMPLT MAXIL,101.0,101.0,51.91,257.76,50
CDM,2219294,DENTURES ADJUST CMPLT MAND,101.0,101.0,51.91,257.76,50
CDM,2219295,DENTURES ADJUST PART MAXILL,101.0,101.0,51.91,257.76,50
CDM,2219296,DENTURES ADJUST PART MANDBL,101.0,101.0,51.91,257.76,50
CDM,2219298,REPLACE DENTURE TEETH COMPLT,205.0,205.0,75.0,399.75,50
CDM,2219303,ADD TOOTH TO PARTIAL DENTURE,343.0,343.0,75.0,668.85,50
CDM,2219305,DENTURE RELN CMPLT MAND DIR,547.0,547.0,75.0,1066.65,50
CDM,2219307,DENTURE RELN PART MAND DIR,305.0,305.0,75.0,594.75,50
CDM,2219314,REM IMP TOOTH W MUCOPER FLP,2430.0,1475.0,75.0,4738.5,50
CDM,2219321,I&D ABSC INTRAORAL SOFT TISS,1109.0,1109.0,75.0,2162.55,50
CDM,2219324,DENTAL CONSULTATION,95.0,95.0,48.83,185.25,40
CDM,2220411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,2220412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,2220413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,2220414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2220415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2220416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,2220417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2220418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2220419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,2220421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2220801,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2220802,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2220803,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2220804,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,2220805,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,2220806,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,2220807,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,2220808,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2220809,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2220810,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2224197,Insertion of temporary bladder tube,222.0,120.0,55.63,4984.0,64
CDM,2224198,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,64
CDM,2224225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,2224226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,2224227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,2224228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,2224229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,2224230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,2224231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,2224232,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,2224280,Vaginal delivery,5071.0,2790.0,1364.1,20345.0,64
CDM,2224306,Fetal test,317.0,181.0,85.27,5962.0,64
CDM,2224370,Injection of blood or blood clot into spinal canal,1200.0,675.0,471.65,10537.0,64
CDM,2224403,Delivery of placenta,5071.0,2790.0,1311.77,20345.0,64
CDM,2224430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,2229660,Electrocardiogram (ECG) 1 to 3 leads,182.0,59.0,16.95,1758.0,64
CDM,2230001,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4865.0,4865.0,1000.24,3892.0,45
CDM,2230002,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,1513.0,1513.0,311.07,1210.4,45
CDM,2230100,RECOVERY ROOM - GENERAL CLASSIFICATION,934.0,934.0,192.03,747.2,45
CDM,2230200,RECOVERY ROOM - GENERAL CLASSIFICATION,785.0,785.0,161.4,628.0,45
CDM,2230300,RECOVERY ROOM - GENERAL CLASSIFICATION,398.0,398.0,81.83,318.4,45
CDM,2230400,RECOVERY ROOM - GENERAL CLASSIFICATION,345.0,345.0,70.93,276.0,45
CDM,2420002,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.31,,0.89,7.41,43
CDM,2420004,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.92,,1.59,13.27,43
CDM,2420005,"INJECTION, AMINOPHYLLIN, UP TO 250 MG",49.5,49.5,13.32,110.88,48
CDM,2420008,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
CDM,2420011,UNCLASSIFIED DRUGS,21.73,21.73,5.85,48.68,43
CDM,2420015,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG",51.8,51.8,6.99,116.03,48
CDM,2420019,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",89.1,89.1,4.85,199.58,48
CDM,2420021,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",19.19,19.19,4.85,42.98,48
CDM,2420024,NON-COVERED ITEM OR SERVICE,16.25,16.25,4.37,31.69,45
CDM,2420033,NON-COVERED ITEM OR SERVICE,19.15,19.15,5.15,37.34,45
CDM,2420038,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
CDM,2420040,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
CDM,2420045,NON-COVERED ITEM OR SERVICE,270.85,270.85,72.86,528.16,45
CDM,2420046,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",1.65,1.65,0.44,3.7,43
CDM,2420050,"INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MG",16.5,,4.44,36.96,43
CDM,2420057,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420059,"INJECTION, AMIKACIN SULFATE, 100 MG",9.63,9.63,1.34,21.56,48
CDM,2420061,"INJECTION, AMIKACIN SULFATE, 100 MG",9.58,9.58,1.34,21.45,48
CDM,2420070,DIPHENHYDRAMINE 50 MG/ML VIAL,16.32,16.32,3.36,13.06,45
CDM,2420074,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420075,"INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG",44.78,44.78,12.04,100.3,48
CDM,2420079,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420080,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS",110.0,110.0,29.59,246.4,48
CDM,2420086,VENTOLIN HFA 90 MCG INHALER,87.4,87.4,17.97,69.92,45
CDM,2420091,indocyanine green 5 mg/2 mL Inj (MDV 25 mg/10 mL),70.0,70.0,14.39,56.0,45
CDM,2420092,NON-COVERED ITEM OR SERVICE,3.05,3.05,0.82,5.95,45
CDM,2420115,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG",123.75,123.75,27.69,277.2,48
CDM,2420121,"COLISTIMETHATE SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MG",84.11,84.11,22.62,164.0,56
CDM,2420123,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG",73.3,73.3,6.19,164.19,48
CDM,2420130,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420133,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",14.5,,3.9,32.48,48
CDM,2420135,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",46.9,,12.62,105.06,48
CDM,2420141,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG",182.25,182.25,49.03,408.24,48
CDM,2420147,NON-COVERED ITEM OR SERVICE,19.8,19.8,5.33,38.61,45
CDM,2420152,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG",163.03,163.03,40.86,365.19,48
CDM,2420155,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",3.14,3.14,0.19,7.04,48
CDM,2420156,NON-COVERED ITEM OR SERVICE,3.41,3.41,0.92,6.64,45
CDM,2420164,DEXMEDETOMIDINE 2MCG/ML INJ,2.08,2.08,0.43,1.67,45
CDM,2420167,bupivacaine HCL 0.25% /epi pf 30 mL,32.05,32.05,6.59,25.64,45
CDM,2420179,ETHYL CHLORIDE SPRAY,110.9,110.9,22.8,88.72,45
CDM,2420181,ePHEDrine 50 mg/mL Inj 1 mL,59.4,59.4,12.21,47.52,45
CDM,2420188,NON-COVERED ITEM OR SERVICE,8.8,8.8,2.37,17.16,45
CDM,2420191,NON-COVERED ITEM OR SERVICE,5.6,5.6,1.51,10.92,45
CDM,2420193,"INJECTION, FLUOROURACIL, 500 MG",12.54,12.54,3.37,28.1,48
CDM,2420196,ROCURONIUM 10MG/ML PEDI,4.75,4.75,0.98,3.8,45
CDM,2420208,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",1.38,1.38,0.03,3.08,48
CDM,2420216,"INJECTION, HALOPERIDOL, UP TO 5 MG",23.75,23.75,1.97,53.2,48
CDM,2420217,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",2.88,2.88,0.4,6.45,48
CDM,2420230,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420231,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG",39.9,39.9,10.73,89.38,43
CDM,2420235,"AZATHIOPRINE, ORAL, 50 MG",3.85,3.85,1.04,8.62,48
CDM,2420236,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",20.64,20.64,0.86,46.22,48
CDM,2420237,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420243,"INJECTION, DROPERIDOL, UP TO 5 MG",32.5,32.5,8.74,72.8,43
CDM,2420249,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420250,NON-COVERED ITEM OR SERVICE,146.65,146.65,39.45,285.97,45
CDM,2420256,NON-COVERED ITEM OR SERVICE,213.45,213.45,57.42,416.23,45
CDM,2420265,NON-COVERED ITEM OR SERVICE,181.2,181.2,48.74,353.34,45
CDM,2420271,NON-COVERED ITEM OR SERVICE,447.65,447.65,120.42,872.92,45
CDM,2420272,NON-COVERED ITEM OR SERVICE,187.95,187.95,50.56,366.5,45
CDM,2420274,lanolin/mineral oil/petrol ophth 3.5 g,12.85,12.85,2.64,10.28,45
CDM,2420276,NON-COVERED ITEM OR SERVICE,157.1,157.1,42.26,306.35,45
CDM,2420280,NON-COVERED ITEM OR SERVICE,144.85,144.85,38.96,282.46,45
CDM,2420283,NON-COVERED ITEM OR SERVICE,174.25,174.25,46.87,339.79,45
CDM,2420284,NON-COVERED ITEM OR SERVICE,458.05,458.05,123.22,893.2,45
CDM,2420287,NON-COVERED ITEM OR SERVICE,84.85,84.85,22.82,165.46,45
CDM,2420292,NON-COVERED ITEM OR SERVICE,41.95,41.95,11.28,81.8,45
CDM,2420297,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420298,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",1.02,1.02,0.27,2.28,48
CDM,2420299,"INJECTION, DOPAMINE HCL, 40 MG",4.13,4.13,1.11,9.24,48
CDM,2420303,ketamine HCL 500 mg/10 mL Inj,23.77,23.77,4.89,19.02,45
CDM,2420305,VALGANCICLOVIR HCL 50 MG/ML,314.3,314.3,64.62,251.44,45
CDM,2420306,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",5.46,,1.47,12.23,48
CDM,2420312,NON-COVERED ITEM OR SERVICE,20.15,20.15,5.42,39.29,45
CDM,2420313,"INJECTION, DIGOXIN, UP TO 0.5 MG",24.7,24.7,6.64,55.33,48
CDM,2420320,NON-COVERED ITEM OR SERVICE,150.35,150.35,40.44,293.18,45
CDM,2420323,LEVOPHED 4 MG/4 ML VIAL,75.09,75.09,15.44,60.07,45
CDM,2420325,NON-COVERED ITEM OR SERVICE,83.9,83.9,22.57,163.61,45
CDM,2420326,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG",16.5,16.5,4.44,36.96,48
CDM,2420330,NON-COVERED ITEM OR SERVICE,136.45,136.45,36.71,266.08,45
CDM,2420331,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",3.7,3.7,0.86,8.29,48
CDM,2420332,NON-COVERED ITEM OR SERVICE,121.95,121.95,32.8,237.8,45
CDM,2420339,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
CDM,2420341,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS",3.85,3.85,1.04,8.62,43
CDM,2420344,"METHOTREXATE; ORAL, 2.5 MG",11.7,11.7,0.41,26.21,48
CDM,2420345,"INJECTION, METHOTREXATE SODIUM, 50 MG",4.35,4.35,1.17,9.74,48
CDM,2420346,NON-COVERED ITEM OR SERVICE,22.95,22.95,6.17,44.75,45
CDM,2420351,"INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG",8.25,8.0,2.22,16.09,51
CDM,2420362,REGONOL 10 MG/2 ML AMPUL,126.75,126.75,26.06,101.4,45
CDM,2420370,NON-COVERED ITEM OR SERVICE,22.25,22.25,5.99,43.39,45
CDM,2420372,NON-COVERED ITEM OR SERVICE,57.8,57.8,15.55,112.71,45
CDM,2420373,NON-COVERED ITEM OR SERVICE,72.45,72.45,19.49,141.28,45
CDM,2420385,"PRENATAL VITAMINS, 30-DAY SUPPLY",3.85,3.85,1.04,7.51,45
CDM,2420389,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420392,NON-COVERED ITEM OR SERVICE,57.75,57.75,15.53,112.61,45
CDM,2420400,"INJECTION, LIDOCAINE HYDROCHLORIDE, 1 MG",1.29,,0.35,2.89,43
CDM,2420412,NON-COVERED ITEM OR SERVICE,41.6,41.6,11.19,81.11,45
CDM,2420414,POTASSIUM PHOSP 45 MMOL/15 ML,21.88,21.88,4.5,17.51,45
CDM,2420418,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420421,norepinephrine 4mg/NS 250mL Premix Bag,82.5,82.5,16.96,66.0,45
CDM,2420424,POLYMYXIN B SULFATE VIAL,44.55,44.55,9.16,35.64,45
CDM,2420428,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
CDM,2420431,NON-COVERED ITEM OR SERVICE,1599.9,1599.9,430.37,3119.81,45
CDM,2420438,NON-COVERED ITEM OR SERVICE,10.86,10.86,2.92,21.18,45
CDM,2420439,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",38.61,38.61,10.39,86.49,43
CDM,2420440,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420445,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420458,"INJECTION, METHOCARBAMOL, UP TO 10 ML",110.9,110.9,13.77,248.42,48
CDM,2420461,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2420463,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
CDM,2420464,"INJECTION, GLYCOPYRROLATE, 0.1 MG",26.82,,7.21,60.08,43
CDM,2420468,NON-COVERED ITEM OR SERVICE,64.3,64.3,17.3,125.39,45
CDM,2420470,NON-COVERED ITEM OR SERVICE,9.65,9.65,2.6,18.82,45
CDM,2420472,NON-COVERED ITEM OR SERVICE,14.65,14.65,3.94,28.57,45
CDM,2420473,"MEGESTROL ACETATE, ORAL, 20 MG",2.28,2.28,0.61,5.1,45
CDM,2420478,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420481,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420482,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",45.21,45.21,12.16,101.26,48
CDM,2420490,NON-COVERED ITEM OR SERVICE,7.2,7.2,1.94,14.04,45
CDM,2420491,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS",3.85,3.85,1.04,8.62,43
CDM,2420501,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML",15.97,15.97,0.46,25.07,45
CDM,2420510,NON-COVERED ITEM OR SERVICE,590.05,590.05,158.72,1150.6,45
CDM,2420513,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",5.32,,1.43,11.92,43
CDM,2420522,NON-COVERED ITEM OR SERVICE,11.82,11.82,3.18,23.04,45
CDM,2420524,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
CDM,2420525,NON-COVERED ITEM OR SERVICE,33.95,33.95,9.13,66.2,45
CDM,2420534,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG",76.05,76.05,20.46,170.35,48
CDM,2420535,NON-COVERED ITEM OR SERVICE,8.25,8.25,2.22,16.09,45
CDM,2420544,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",5.45,5.45,1.46,12.2,43
CDM,2420546,ZINC SULFATE 1MG/ML INJ,105.3,105.3,21.65,84.24,45
CDM,2420547,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG",128.4,128.4,34.54,287.61,48
CDM,2420553,PREZISTA 800 MG TABLET,243.6,243.6,50.08,194.88,45
CDM,2420555,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",5.95,5.95,1.6,13.33,43
CDM,2420556,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",5.95,5.95,1.6,13.33,43
CDM,2420563,NON-COVERED ITEM OR SERVICE,6.95,6.95,1.87,13.55,45
CDM,2420571,UNCLASSIFIED DRUGS,95.7,95.7,25.74,214.36,43
CDM,2420582,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",1.22,,0.33,2.72,43
CDM,2420610,"INJECTION, CALCIUM CHLORIDE, 2 MG",14.41,,3.87,32.27,43
CDM,2420614,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420616,NON-COVERED ITEM OR SERVICE,524.1,524.1,140.98,1022.0,45
CDM,2420617,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG",16.5,16.5,4.44,36.96,48
CDM,2420618,"INJECTION, DACTINOMYCIN, 0.5 MG",5693.78,580.0,324.8,12754.06,64
CDM,2420619,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG",27.4,27.4,1.89,61.38,48
CDM,2420620,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
CDM,2420622,STRIBILD TABLET,469.95,469.95,96.62,375.96,45
CDM,2420625,"METHYLPREDNISOLONE ORAL, PER 4 MG",2.93,2.93,0.41,6.55,48
CDM,2420626,NON-COVERED ITEM OR SERVICE,81.9,81.9,22.03,159.71,45
CDM,2420633,ADVANCED EYE RELIEF EYE WASH,9.55,9.55,1.96,7.64,45
CDM,2420634,NON-COVERED ITEM OR SERVICE,9.05,9.05,2.43,17.65,45
CDM,2420642,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420650,NON-COVERED ITEM OR SERVICE,170.3,170.3,45.81,332.09,45
CDM,2420653,NON-COVERED ITEM OR SERVICE,15.05,15.05,4.05,29.35,45
CDM,2420656,acetylcysteine 600 mg/3 mL Oral Syringe,4.1,4.1,0.84,3.28,45
CDM,2420670,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420673,NON-COVERED ITEM OR SERVICE,20.2,20.2,5.43,39.39,45
CDM,2420674,ketamine HCL 200 mg/20 mL Inj,61.41,61.41,12.63,49.13,45
CDM,2420675,NON-COVERED ITEM OR SERVICE,265.95,265.95,71.54,518.6,45
CDM,2420681,NON-COVERED ITEM OR SERVICE,5.7,5.7,1.53,11.12,45
CDM,2420684,NON-COVERED ITEM OR SERVICE,54.5,54.5,14.66,106.28,45
CDM,2420689,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",7.15,7.15,1.92,16.02,43
CDM,2420693,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420697,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",19.28,19.28,5.19,43.19,48
CDM,2420698,NON-COVERED ITEM OR SERVICE,13.98,13.98,3.76,27.25,45
CDM,2420701,NON-COVERED ITEM OR SERVICE,31.5,31.5,8.47,61.43,45
CDM,2420702,ASCORBIC ACID 500MG AMP,16.5,16.5,3.39,13.2,45
CDM,2420704,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420707,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420725,"INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG",8.42,8.42,1.75,18.87,48
CDM,2420730,NON-COVERED ITEM OR SERVICE,49.9,49.9,13.42,97.31,45
CDM,2420737,"INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MG",6.05,,1.63,13.54,43
CDM,2420743,NON-COVERED ITEM OR SERVICE,14.75,14.75,3.97,28.76,45
CDM,2420752,NON-COVERED ITEM OR SERVICE,247.5,247.5,66.58,482.63,45
CDM,2420754,"INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG",9.58,9.58,1.75,21.46,48
CDM,2420762,NON-COVERED ITEM OR SERVICE,33.1,33.1,8.9,64.55,45
CDM,2420766,NON-COVERED ITEM OR SERVICE,28.5,28.5,7.67,55.58,45
CDM,2420768,NON-COVERED ITEM OR SERVICE,233.18,233.18,62.73,454.71,45
CDM,2420769,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG",1765.45,431.0,67.71,3954.61,62
CDM,2420774,NITROPRUSSIDE SOD 50MG VL,1188.0,1188.0,244.25,950.4,45
CDM,2420782,"INJECTION, TRANEXAMIC ACID, 5 MG",47.49,,12.77,106.37,43
CDM,2420791,NON-COVERED ITEM OR SERVICE,232.7,232.7,62.6,453.77,45
CDM,2420794,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",41.85,41.85,11.26,93.75,48
CDM,2420795,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG",11.67,11.67,1.6,26.13,48
CDM,2420815,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",759.97,,204.43,1702.32,43
CDM,2420820,sodium chloride 0.9% P/F 10 mL Inj vial,13.86,13.86,3.73,31.05,43
CDM,2420822,UNCLASSIFIED DRUGS,6.28,6.28,1.69,14.07,43
CDM,2420827,"INJECTION, IRON DEXTRAN, 50 MG",58.85,17.0,15.83,131.83,62
CDM,2420830,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420842,NON-COVERED ITEM OR SERVICE,30.6,30.6,8.23,59.67,45
CDM,2420863,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420864,NON-COVERED ITEM OR SERVICE,44.25,44.25,11.9,86.29,45
CDM,2420865,NON-COVERED ITEM OR SERVICE,12.4,12.4,3.34,24.18,45
CDM,2420872,NON-COVERED ITEM OR SERVICE,114.55,114.55,30.81,223.37,45
CDM,2420873,NON-COVERED ITEM OR SERVICE,541.55,541.55,145.68,1056.02,45
CDM,2420878,NON-COVERED ITEM OR SERVICE,44.3,44.3,11.92,86.39,45
CDM,2420879,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420888,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420890,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420894,"INJECTION, FOMEPIZOLE, 15 MG",42.24,7.0,6.16,103.34,62
CDM,2420895,"INJECTION, DAUNORUBICIN, 10 MG",262.81,48.0,23.52,588.7,62
CDM,2420896,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",1.5,1.5,0.4,3.36,48
CDM,2420897,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NOVOSEVEN RT), 1 MICROGRAM",9.24,2.0,2.49,4123.13,62
CDM,2420898,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NOVOSEVEN RT), 1 MICROGRAM",9.24,2.0,2.49,4123.13,62
CDM,2420903,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",49.4,49.4,13.29,110.66,48
CDM,2420921,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG",16.24,16.24,1.57,36.37,48
CDM,2420922,NON-COVERED ITEM OR SERVICE,5.6,5.6,1.51,10.92,45
CDM,2420923,NON-COVERED ITEM OR SERVICE,7.0,7.0,1.88,13.65,45
CDM,2420925,NON-COVERED ITEM OR SERVICE,91.6,91.6,24.64,178.62,45
CDM,2420926,NON-COVERED ITEM OR SERVICE,106.8,106.8,28.73,208.26,45
CDM,2420927,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
CDM,2420928,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420936,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420938,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2420952,NON-COVERED ITEM OR SERVICE,108.15,108.15,29.09,210.89,45
CDM,2420953,"INJECTION, METHOTREXATE SODIUM, 50 MG",47.14,47.14,4.39,105.6,48
CDM,2420957,L E T GEL 3ML PMIX SYR,13.4,13.4,2.75,10.72,45
CDM,2420966,NON-COVERED ITEM OR SERVICE,19.55,19.55,5.26,38.12,45
CDM,2420972,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",13.6,,3.66,30.46,48
CDM,2420978,"INJECTION, FLUPHENAZINE HCL, 1.25 MG",38.04,,10.23,85.2,43
CDM,2420980,NON-COVERED ITEM OR SERVICE,102.0,102.0,27.44,198.9,45
CDM,2420981,NON-COVERED ITEM OR SERVICE,687.9,687.9,185.05,1341.41,45
CDM,2420986,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421008,NON-COVERED ITEM OR SERVICE,506.5,506.5,136.25,987.68,45
CDM,2421021,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421024,NON-COVERED ITEM OR SERVICE,6.9,6.9,1.86,13.46,45
CDM,2421031,NON-COVERED ITEM OR SERVICE,7.85,7.85,2.11,15.31,45
CDM,2421032,TPN ADULT 1L -BAG,345.74,345.74,71.08,276.59,45
CDM,2421034,NON-COVERED ITEM OR SERVICE,9.05,9.05,2.43,17.65,45
CDM,2421036,NON-COVERED ITEM OR SERVICE,102.75,102.75,27.64,200.36,45
CDM,2421039,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421041,NON-COVERED ITEM OR SERVICE,12.71,12.71,3.42,24.78,45
CDM,2421049,NON-COVERED ITEM OR SERVICE,7.4,7.4,1.99,14.43,45
CDM,2421051,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421057,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
CDM,2421065,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",9.88,9.88,0.02,22.12,48
CDM,2421068,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
CDM,2421071,NON-COVERED ITEM OR SERVICE,4.77,4.77,1.28,9.3,45
CDM,2421073,NON-COVERED ITEM OR SERVICE,121.8,121.8,32.76,237.51,45
CDM,2421077,NON-COVERED ITEM OR SERVICE,59.3,59.3,15.95,115.64,45
CDM,2421083,"INJECTION, IRON SUCROSE, 1 MG",1.98,1.98,0.39,4.44,48
CDM,2421091,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421097,NON-COVERED ITEM OR SERVICE,11.1,11.1,2.99,21.65,45
CDM,2421105,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421106,MOUTHWASH BLM COMP KIT,3.85,3.85,0.79,3.08,45
CDM,2421113,"INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG",239.6,239.6,64.45,536.71,48
CDM,2421117,NON-COVERED ITEM OR SERVICE,2.02,2.02,0.54,3.95,45
CDM,2421124,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG",51.3,51.3,11.73,114.91,48
CDM,2421140,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
CDM,2421151,NON-COVERED ITEM OR SERVICE,90.6,90.6,24.37,176.67,45
CDM,2421156,"INJECTION, PLERIXAFOR, 1 MG",11986.68,419.0,37.08,26850.15,64
CDM,2421167,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421177,NON-COVERED ITEM OR SERVICE,14.75,14.75,3.97,28.76,45
CDM,2421178,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421189,NON-COVERED ITEM OR SERVICE,7.75,7.75,2.08,15.11,45
CDM,2421190,NON-COVERED ITEM OR SERVICE,4.25,4.25,1.14,8.29,45
CDM,2421191,"INJECTION, INDIGOTINDISULFONATE SODIUM, 1 MG",1584.0,,426.1,3548.16,48
CDM,2421199,NON-COVERED ITEM OR SERVICE,8.5,8.5,2.29,16.58,45
CDM,2421200,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421206,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",72.65,,19.54,162.74,48
CDM,2421217,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS",3.85,3.85,1.04,8.62,43
CDM,2421223,NON-COVERED ITEM OR SERVICE,6.7,6.7,1.8,13.07,45
CDM,2421252,NON-COVERED ITEM OR SERVICE,21.2,21.2,5.7,41.34,45
CDM,2421255,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421259,NON-COVERED ITEM OR SERVICE,371.25,371.25,99.87,723.94,45
CDM,2421262,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEE",3.85,3.85,1.04,8.62,43
CDM,2421263,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEE",1.93,1.93,0.52,4.31,43
CDM,2421266,"INJECTION, LEVETIRACETAM, 10 MG",1.76,1.76,0.09,3.95,48
CDM,2421268,"INJECTION, PYRIDOXINE HCL, 100 MG",65.65,65.65,17.15,147.06,48
CDM,2421286,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421287,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421288,NON-COVERED ITEM OR SERVICE,56.75,56.75,15.27,110.66,45
CDM,2421290,NON-COVERED ITEM OR SERVICE,5.8,5.8,1.56,11.31,45
CDM,2421293,NON-COVERED ITEM OR SERVICE,15.2,15.2,4.09,29.64,45
CDM,2421304,NON-COVERED ITEM OR SERVICE,100.1,100.1,26.93,195.2,45
CDM,2421311,SILVER NITRATE 0.5% SOLUTION,277.5,277.5,57.05,222.0,45
CDM,2421312,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",10.2,10.2,2.74,22.85,48
CDM,2421313,E-Z-HD SUSPENSION,23.85,23.85,4.9,19.08,45
CDM,2421322,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421330,NON-COVERED ITEM OR SERVICE,548.1,548.1,147.44,1068.8,45
CDM,2421333,NON-COVERED ITEM OR SERVICE,810.35,810.35,217.98,1580.18,45
CDM,2421336,NON-COVERED ITEM OR SERVICE,147.75,147.75,39.74,288.11,45
CDM,2421348,NON-COVERED ITEM OR SERVICE,29.05,29.05,7.81,56.65,45
CDM,2421352,NON-COVERED ITEM OR SERVICE,10.7,10.7,2.88,20.87,45
CDM,2421353,NON-COVERED ITEM OR SERVICE,30.75,30.75,8.27,59.96,45
CDM,2421354,NON-COVERED ITEM OR SERVICE,5.85,5.85,1.57,11.41,45
CDM,2421355,NON-COVERED ITEM OR SERVICE,192.7,192.7,51.84,375.77,45
CDM,2421364,FLUOROURACIL 5% CREAM,1270.35,1270.35,261.18,1016.28,45
CDM,2421371,NON-COVERED ITEM OR SERVICE,41.0,41.0,11.03,79.95,45
CDM,2421380,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG",39.86,39.86,7.52,89.28,48
CDM,2421382,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421383,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421384,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",9.55,9.55,0.4,21.4,48
CDM,2421389,NON-COVERED ITEM OR SERVICE,5.0,5.0,1.35,9.75,45
CDM,2421390,NON-COVERED ITEM OR SERVICE,15.14,15.14,4.07,29.51,45
CDM,2421391,NON-COVERED ITEM OR SERVICE,8.8,8.8,2.37,17.16,45
CDM,2421393,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421396,sodium phosphate 3 mmol/mL Inj 5 mL,48.9,48.9,10.05,39.12,45
CDM,2421397,SODIUM PHOSPHATE 45 MMOL/15 ML,34.58,34.58,7.11,27.66,45
CDM,2421413,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2421416,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
CDM,2421458,NON-COVERED ITEM OR SERVICE,2.99,2.99,0.8,5.83,45
CDM,2421459,NON-COVERED ITEM OR SERVICE,3.86,3.86,1.04,7.52,45
CDM,2421460,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421464,NON-COVERED ITEM OR SERVICE,36.95,36.95,9.94,72.05,45
CDM,2421471,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421478,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421483,LIQUIGEN EMULSIFIED MCT OIL,41.09,41.09,8.45,32.87,45
CDM,2421490,NON-COVERED ITEM OR SERVICE,99.0,99.0,26.63,193.05,45
CDM,2421495,NON-COVERED ITEM OR SERVICE,7.1,7.1,1.91,13.85,45
CDM,2421499,ATROVENT 17 MCG HFA INHALER,1694.3,1694.3,348.35,1355.44,45
CDM,2421502,NON-COVERED ITEM OR SERVICE,58.45,58.45,15.72,113.98,45
CDM,2421503,NON-COVERED ITEM OR SERVICE,58.45,58.45,15.72,113.98,45
CDM,2421509,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421516,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421519,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2421524,sodium bicarbonate 8.4% Inj 10 mEq LFS,55.65,55.65,11.44,44.52,45
CDM,2421525,NON-COVERED ITEM OR SERVICE,19.25,19.25,5.18,37.54,45
CDM,2421526,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421527,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421529,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421531,NON-COVERED ITEM OR SERVICE,214.7,214.7,57.75,418.67,45
CDM,2421541,"INJECTION, FLUORESCEIN, 1 MG",16.5,,4.44,32.18,45
CDM,2421549,NON-COVERED ITEM OR SERVICE,35.65,35.65,9.59,69.52,45
CDM,2421562,NON-COVERED ITEM OR SERVICE,89.45,89.45,24.06,174.43,45
CDM,2421571,ISOPROTERENOL 1 MG/5 ML VIAL,2376.0,2376.0,488.51,1900.8,45
CDM,2421573,ROSUVASTATIN- 40 MG TAB,36.55,36.55,7.51,29.24,45
CDM,2421575,NON-COVERED ITEM OR SERVICE,4.18,4.18,1.12,8.15,45
CDM,2421577,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
CDM,2421578,SODIUM CHLORIDE 7% VIAL,3.85,3.85,0.79,3.08,45
CDM,2421579,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.97,45
CDM,2421582,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421584,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421586,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421588,NON-COVERED ITEM OR SERVICE,11.35,11.35,3.05,22.13,45
CDM,2421589,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421591,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421592,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421594,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",3.85,3.85,0.02,8.62,48
CDM,2421598,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421600,NON-COVERED ITEM OR SERVICE,8.35,8.35,2.25,16.28,45
CDM,2421603,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421604,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421606,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421607,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421609,"CABERGOLINE, ORAL, 0.25 MG",60.5,60.5,16.27,135.52,48
CDM,2421610,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
CDM,2421613,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
CDM,2421615,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421616,NON-COVERED ITEM OR SERVICE,5.4,5.4,1.45,10.53,45
CDM,2421621,NON-COVERED ITEM OR SERVICE,12.6,12.6,3.39,24.57,45
CDM,2421624,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421625,NON-COVERED ITEM OR SERVICE,4.15,4.15,1.12,8.09,45
CDM,2421626,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421630,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421636,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421637,NON-COVERED ITEM OR SERVICE,14.25,14.25,3.83,27.79,45
CDM,2421638,NON-COVERED ITEM OR SERVICE,6.0,6.0,1.61,11.7,45
CDM,2421639,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421640,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421641,NON-COVERED ITEM OR SERVICE,3.9,3.9,1.05,7.61,45
CDM,2421642,NON-COVERED ITEM OR SERVICE,6.6,6.6,1.78,12.87,45
CDM,2421643,FLUPHENAZINE HCL 1MG U/D5,3.85,3.85,0.79,3.08,45
CDM,2421644,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
CDM,2421648,NON-COVERED ITEM OR SERVICE,13.75,13.75,3.7,26.81,45
CDM,2421649,NON-COVERED ITEM OR SERVICE,5.3,5.3,1.43,10.34,45
CDM,2421650,NON-COVERED ITEM OR SERVICE,7.95,7.95,2.14,15.5,45
CDM,2421652,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421656,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421657,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421658,NON-COVERED ITEM OR SERVICE,5.85,5.85,1.57,11.41,45
CDM,2421659,NON-COVERED ITEM OR SERVICE,5.95,5.95,1.6,11.6,45
CDM,2421663,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421664,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421665,NON-COVERED ITEM OR SERVICE,21.95,21.95,5.9,42.8,45
CDM,2421667,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421668,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421670,"HYPERTONIC SALINE SOLUTION, 1 ML",17.8,17.8,4.79,39.87,43
CDM,2421671,GALZIN 50 MG CAPSULE,11.45,11.45,2.35,9.16,45
CDM,2421672,NON-COVERED ITEM OR SERVICE,630.45,630.45,169.59,1229.38,45
CDM,2421675,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",4.13,4.13,1.11,9.25,43
CDM,2421676,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",3.13,3.13,0.84,7.0,43
CDM,2421677,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",2.46,2.46,0.66,5.5,43
CDM,2421680,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421681,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421682,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HO",3.85,3.85,1.04,8.62,43
CDM,2421683,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HO",3.85,3.85,1.04,8.62,43
CDM,2421685,NON-COVERED ITEM OR SERVICE,43.7,43.7,11.76,85.22,45
CDM,2421689,BSS EYE SOLUTION,40.45,40.45,8.32,32.36,45
CDM,2421692,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
CDM,2421699,NON-COVERED ITEM OR SERVICE,5.15,5.15,1.39,10.04,45
CDM,2421700,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421706,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421707,"METHYLPREDNISOLONE ORAL, PER 4 MG",7.15,7.15,0.41,16.02,48
CDM,2421709,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421711,NON-COVERED ITEM OR SERVICE,12.55,12.55,3.38,24.47,45
CDM,2421714,NON-COVERED ITEM OR SERVICE,4.75,4.75,1.28,9.26,45
CDM,2421715,"STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML",3.85,3.85,1.04,7.51,50
CDM,2421718,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421719,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421722,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421724,NON-COVERED ITEM OR SERVICE,4.35,4.35,1.17,8.48,45
CDM,2421725,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421726,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
CDM,2421727,NON-COVERED ITEM OR SERVICE,7.75,7.75,2.08,15.11,45
CDM,2421728,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421733,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421735,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421737,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421739,NON-COVERED ITEM OR SERVICE,11.2,11.2,3.01,21.84,45
CDM,2421741,NON-COVERED ITEM OR SERVICE,11.6,11.6,3.12,22.62,45
CDM,2421749,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421756,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",42.0,42.0,1.58,94.07,48
CDM,2421758,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5.6,5.6,1.51,12.54,48
CDM,2421759,NON-COVERED ITEM OR SERVICE,13.2,13.2,3.55,25.74,45
CDM,2421761,NON-COVERED ITEM OR SERVICE,1.65,1.65,0.44,3.22,45
CDM,2421765,NON-COVERED ITEM OR SERVICE,65.4,65.4,17.59,127.53,45
CDM,2421770,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421771,NON-COVERED ITEM OR SERVICE,7.45,7.45,2.0,14.53,45
CDM,2421772,NON-COVERED ITEM OR SERVICE,18.4,18.4,4.95,35.87,45
CDM,2421773,"PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 4",5.35,5.35,1.44,11.98,43
CDM,2421774,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2421775,NON-COVERED ITEM OR SERVICE,4.6,4.6,1.24,8.97,45
CDM,2421776,NON-COVERED ITEM OR SERVICE,4.8,4.8,1.29,9.36,45
CDM,2421778,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.07,45
CDM,2421780,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A ",3.85,3.85,1.04,8.62,43
CDM,2421786,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421787,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421789,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",3.85,3.85,1.04,8.62,43
CDM,2421793,NON-COVERED ITEM OR SERVICE,4.0,4.0,1.08,7.8,45
CDM,2421795,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
CDM,2421797,NON-COVERED ITEM OR SERVICE,82.45,82.45,22.18,160.78,45
CDM,2421798,"INJECTION, ACETYLCYSTEINE, 100 MG",12.4,12.4,0.97,27.77,48
CDM,2421799,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",22.02,22.02,5.92,49.32,48
CDM,2421804,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421809,NON-COVERED ITEM OR SERVICE,14.05,14.05,3.78,27.4,45
CDM,2421810,NON-COVERED ITEM OR SERVICE,20.2,20.2,5.43,39.39,45
CDM,2421811,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421818,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",11.83,11.83,3.18,26.49,43
CDM,2421820,NON-COVERED ITEM OR SERVICE,9.85,9.85,2.65,19.21,45
CDM,2421821,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421822,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421825,"INJECTION, FUROSEMIDE, 1 MG",10.05,,2.7,22.51,43
CDM,2421834,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421838,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421846,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
CDM,2421847,NON-COVERED ITEM OR SERVICE,3.86,3.86,1.04,7.52,45
CDM,2421848,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421849,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421851,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421854,NON-COVERED ITEM OR SERVICE,6.93,6.93,1.86,13.51,45
CDM,2421855,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421861,NON-COVERED ITEM OR SERVICE,4.6,4.6,1.24,8.97,45
CDM,2421865,NON-COVERED ITEM OR SERVICE,6.4,6.4,1.72,12.48,45
CDM,2421866,THYROID EXTRACT TAB 120MG,3.85,3.85,0.79,3.08,45
CDM,2421867,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421868,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
CDM,2421869,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421870,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421878,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",3.54,3.54,0.19,7.93,48
CDM,2421880,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421881,NON-COVERED ITEM OR SERVICE,6.1,6.1,1.64,11.9,45
CDM,2421884,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421886,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
CDM,2421888,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
CDM,2421889,NON-COVERED ITEM OR SERVICE,10.85,10.85,2.92,21.16,45
CDM,2421890,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
CDM,2421891,NON-COVERED ITEM OR SERVICE,10.65,10.65,2.86,20.77,45
CDM,2421893,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421894,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
CDM,2421897,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421898,NON-COVERED ITEM OR SERVICE,4.25,4.25,1.14,8.29,45
CDM,2421899,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421900,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421902,"AZATHIOPRINE, ORAL, 50 MG",2.32,2.32,0.62,5.2,48
CDM,2421903,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421906,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421909,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421910,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421911,NON-COVERED ITEM OR SERVICE,40.3,40.3,10.84,78.58,45
CDM,2421912,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",1.35,1.35,0.36,4.06,48
CDM,2421913,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421914,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421915,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421916,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421918,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
CDM,2421922,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421923,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421924,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421925,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421928,"INJECTION, HEMIN, 1 MG",114.48,30.0,30.79,3435.91,62
CDM,2421929,NON-COVERED ITEM OR SERVICE,6.0,6.0,1.61,11.7,45
CDM,2421931,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421932,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421933,NON-COVERED ITEM OR SERVICE,4.95,4.95,1.33,9.65,45
CDM,2421935,NON-COVERED ITEM OR SERVICE,7.95,7.95,2.14,15.5,45
CDM,2421938,NON-COVERED ITEM OR SERVICE,12.5,12.5,3.36,24.38,45
CDM,2421948,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.96,45
CDM,2421953,NON-COVERED ITEM OR SERVICE,6.75,6.75,1.82,13.16,45
CDM,2421960,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421961,NON-COVERED ITEM OR SERVICE,15.25,15.25,4.1,29.74,45
CDM,2421974,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421989,ETHYL ALCOHOL 70%*MFG* INJ 3ML,32.25,32.25,6.63,25.8,45
CDM,2421990,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2421993,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",10.97,10.97,0.78,24.58,48
CDM,2421996,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2421998,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422013,NON-COVERED ITEM OR SERVICE,1863.8,1863.8,501.36,3634.41,45
CDM,2422018,NON-COVERED ITEM OR SERVICE,26.45,26.45,7.12,51.58,45
CDM,2422019,"INJECTION, AZITHROMYCIN, 500 MG",11.78,11.78,3.17,26.39,48
CDM,2422021,"INJECTION, MANNITOL, 250 MG",13.24,,3.56,29.66,43
CDM,2422023,MY WAY 1.5 MG TABLET,120.65,120.65,24.81,96.52,45
CDM,2422024,"INJECTION, TENECTEPLASE, 1 MG",584.36,150.0,157.19,4123.13,62
CDM,2422049,NON-COVERED ITEM OR SERVICE,15.05,15.05,4.05,29.35,45
CDM,2422056,NON-COVERED ITEM OR SERVICE,48.65,48.65,13.09,94.87,45
CDM,2422062,NON-COVERED ITEM OR SERVICE,10.0,10.0,2.69,19.5,45
CDM,2422064,FLUORESCEIN OPTH 1MG TEST,3.85,3.85,0.79,3.08,45
CDM,2422066,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.42,7.42,0.71,16.62,48
CDM,2422068,"INJECTION, LIDOCAINE HYDROCHLORIDE, 1 MG",49.9,,13.42,111.78,43
CDM,2422075,POTASS IOD TOPICAL-15ML LUGOLS,7.85,7.85,1.61,6.28,45
CDM,2422079,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",348.35,49.0,49.28,1045.04,62
CDM,2422090,NON-COVERED ITEM OR SERVICE,7.6,7.6,2.04,14.82,45
CDM,2422092,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422100,ACETIC ACID 5% MTG SOL 15ML,2.2,2.2,0.45,1.76,45
CDM,2422104,UNCLASSIFIED DRUGS,16.34,16.34,4.4,36.61,43
CDM,2422105,"INJECTION, ARGATROBAN, 1 MG (FOR NON-ESRD USE)",15.68,1.0,0.8,79.72,62
CDM,2422116,NON-COVERED ITEM OR SERVICE,17.35,17.35,4.67,33.83,45
CDM,2422118,NON-COVERED ITEM OR SERVICE,8.91,8.91,2.4,17.38,45
CDM,2422122,NON-COVERED ITEM OR SERVICE,94.4,94.4,25.39,184.08,45
CDM,2422123,PRADAXA 75 MG CAPSULE,31.5,31.5,6.48,25.2,45
CDM,2422136,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422137,"INJECTION, CALCITRIOL, 0.1 MCG",25.79,25.79,6.94,57.76,43
CDM,2422138,"INJECTION, BUMETANIDE, 0.5 MG",16.5,16.5,4.44,36.96,43
CDM,2422148,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",6.38,6.38,0.03,14.3,48
CDM,2422150,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",2.43,,0.65,5.45,48
CDM,2422151,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",1.25,,0.34,2.81,48
CDM,2422154,"INJECTION, AMPICILLIN SODIUM, 500 MG",16.5,16.5,1.5,36.96,48
CDM,2422155,RESTASIS 0.05% EYE EMULSION,40.6,40.6,8.35,32.48,45
CDM,2422156,"EVEROLIMUS, ORAL, 0.25 MG",29.77,29.77,8.01,66.68,48
CDM,2422160,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422162,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG",22.2,22.2,3.17,49.73,48
CDM,2422164,NON-COVERED ITEM OR SERVICE,843.95,843.95,227.02,1645.7,45
CDM,2422171,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",1.96,,0.53,4.4,43
CDM,2422175,"INJECTION, BUMETANIDE, 0.5 MG",1.96,1.96,0.53,4.39,43
CDM,2422178,"INJECTION, CEFTAZIDIME, PER 500 MG",20.86,20.86,2.75,46.73,48
CDM,2422181,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG",108.33,108.33,11.75,242.67,48
CDM,2422182,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG",49.5,49.5,11.75,110.88,48
CDM,2422194,NON-COVERED ITEM OR SERVICE,112.2,112.2,30.18,218.79,45
CDM,2422196,UNCLASSIFIED DRUGS,16.03,16.03,4.31,35.92,43
CDM,2422203,CALCIUM ACETATE 667MG CAP,3.85,3.85,0.79,3.08,45
CDM,2422216,ALBUTEROL SUL 1.25 MG/3 ML SOL,5.5,5.5,1.13,4.4,45
CDM,2422223,"INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)",7.23,7.23,0.72,16.2,48
CDM,2422225,NON-COVERED ITEM OR SERVICE,53.95,53.95,14.51,105.2,45
CDM,2422226,"INJECTION FLUCONAZOLE, 200 MG",27.75,27.75,4.16,62.16,48
CDM,2422227,"INJECTION FLUCONAZOLE, 200 MG",27.72,27.72,4.16,62.1,48
CDM,2422228,"INJECTION FLUCONAZOLE, 200 MG",36.5,36.5,4.16,81.76,48
CDM,2422232,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422234,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422236,NON-COVERED ITEM OR SERVICE,18.05,18.05,4.86,35.2,45
CDM,2422237,NON-COVERED ITEM OR SERVICE,16.85,16.85,4.53,32.86,45
CDM,2422238,NON-COVERED ITEM OR SERVICE,25.3,25.3,6.81,49.34,45
CDM,2422240,NON-COVERED ITEM OR SERVICE,8.0,8.0,2.15,15.6,45
CDM,2422242,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422247,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422248,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422257,NON-COVERED ITEM OR SERVICE,61.75,61.75,16.61,120.41,45
CDM,2422264,NON-COVERED ITEM OR SERVICE,165.0,165.0,44.39,321.75,45
CDM,2422266,NON-COVERED ITEM OR SERVICE,513.0,513.0,138.0,1000.35,45
CDM,2422273,NON-COVERED ITEM OR SERVICE,27.3,27.3,7.34,53.24,45
CDM,2422274,NON-COVERED ITEM OR SERVICE,395.9,395.9,106.5,772.01,45
CDM,2422284,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",266.3,,71.64,596.52,43
CDM,2422285,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422289,NON-COVERED ITEM OR SERVICE,10.75,10.75,2.89,20.96,45
CDM,2422296,NON-COVERED ITEM OR SERVICE,59.55,59.55,16.02,116.12,45
CDM,2422298,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422302,NON-COVERED ITEM OR SERVICE,5.6,5.6,1.51,10.92,45
CDM,2422303,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422305,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2422307,NON-COVERED ITEM OR SERVICE,11.55,11.55,3.11,22.52,45
CDM,2422308,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422310,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
CDM,2422311,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",4.72,4.72,1.27,10.56,43
CDM,2422314,NON-COVERED ITEM OR SERVICE,5.05,5.05,1.36,9.85,45
CDM,2422318,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
CDM,2422319,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422320,NON-COVERED ITEM OR SERVICE,71.15,71.15,19.14,138.74,45
CDM,2422321,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422324,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422327,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422328,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422330,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
CDM,2422331,NON-COVERED ITEM OR SERVICE,5.35,5.35,1.44,10.43,45
CDM,2422333,NON-COVERED ITEM OR SERVICE,8.4,8.4,2.26,16.38,45
CDM,2422337,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422338,NON-COVERED ITEM OR SERVICE,11.2,11.2,3.01,21.84,45
CDM,2422359,"INJECTION, CEFTAROLINE FOSAMIL, 10 MG",10.07,4.0,2.71,88.03,62
CDM,2422380,PEDI OR EMERGENCY KIT,247.5,247.5,50.89,198.0,45
CDM,2422381,Pedi OR Patient Specific 1 Kit,297.0,297.0,61.06,237.6,45
CDM,2422388,"ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE ",19.19,19.19,0.02,42.99,48
CDM,2422389,tobramycin Inhal  *80 mg/  2 mL* P/F -Ped,23.15,23.15,4.76,18.52,45
CDM,2422390,"INJECTION, AMINOPHYLLIN, UP TO 250 MG",13.5,13.5,3.63,30.25,48
CDM,2422394,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422395,QUETIAPINE FUMARATE 400 MG TAB,5.55,5.55,1.14,4.44,45
CDM,2422397,SORE THROAT 15-3.6 MG LOZENGE,3.85,3.85,0.79,3.08,45
CDM,2422399,CHROMIUM PICO 200 MCG TABLET,3.85,3.85,0.79,3.08,45
CDM,2422400,UNCLASSIFIED DRUGS,594.94,594.94,160.04,1332.67,43
CDM,2422403,SOTRADECOL 1% VIAL,309.4,309.4,63.61,247.52,45
CDM,2422409,DEXTROSE 10%-0.45% NACL IV SOL,82.5,82.5,16.96,66.0,45
CDM,2422410,dextrose 10% / 0.9% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422411,dextrose 10% / 0.2 NACL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422412,dextrose 12.5% / 0.45% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422413,dextrose 12.5% / 0.9% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422414,dextrose 12.5% / 0.2% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422415,dextrose 15%/0.2% NaCL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422416,dextrose 15% / 0.45 NACL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422417,dextrose 15%/0.9% NaCL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422418,dextrose 7.5% / 0.2 NACL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422424,dextrose 20% /0.2% NACL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422425,dextrose 20% /0.45% NACL 1000 mL,82.5,82.5,16.96,66.0,45
CDM,2422427,DEXTROSE 15% /WATER 1L,82.5,82.5,16.96,66.0,45
CDM,2422429,DEXTROSE 20%/WATER 1L,82.5,82.5,16.96,66.0,45
CDM,2422430,DEXTROSE 12.5%/WATER 1L,82.5,82.5,16.96,66.0,45
CDM,2422431,FOSFOMYCIN 3GM PACKET,361.45,361.45,74.31,289.16,45
CDM,2422440,"INJECTION, REGADENOSON, 0.1 MG",228.94,228.94,5.76,512.82,48
CDM,2422441,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",1.87,1.87,0.5,4.19,43
CDM,2422442,ambrisentan 5 mg Tab,796.25,796.25,163.71,637.0,45
CDM,2422445,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",348.5,92.0,61.32,780.63,62
CDM,2422446,"INJECTION, AZTREONAM, 100 MG",14.29,,3.84,32.01,48
CDM,2422447,"INJECTION, AZTREONAM, 100 MG",11.49,,3.09,25.73,48
CDM,2422453,NON-COVERED ITEM OR SERVICE,34.7,34.7,9.33,67.67,45
CDM,2422454,"INJECTION, GANCICLOVIR SODIUM, 500 MG",240.42,240.42,54.42,538.53,48
CDM,2422455,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
CDM,2422457,NON-COVERED ITEM OR SERVICE,79.2,79.2,21.3,154.44,45
CDM,2422459,NON-COVERED ITEM OR SERVICE,408.4,408.4,109.86,796.38,45
CDM,2422460,NON-COVERED ITEM OR SERVICE,44.65,44.65,12.01,87.07,45
CDM,2422461,ocular lubricant Gel pres -free 10 g,27.95,27.95,5.75,22.36,45
CDM,2422471,isradipine 1 mg/mL Susp Oral Syringe,2.02,2.02,0.42,1.62,45
CDM,2422473,cyclopentolate ophth 1 % Drop 2 mL,48.75,48.75,10.02,39.0,45
CDM,2422474,GLUTASOLVE 15 GM POWDER PACKET,6.6,6.6,1.36,5.28,45
CDM,2422477,RIBOFLAVIN 100 MG TABLET,3.85,3.85,0.79,3.08,45
CDM,2422485,"INJECTION, PAPAVERINE HCL, UP TO 60 MG",46.43,46.43,12.49,104.01,43
CDM,2422493,PRAZIQUANTEL 600 MG TABLET,295.95,295.95,60.85,236.76,45
CDM,2422494,DEXTROSE 20%-WATER IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2422500,"INJECTION, IFOSFAMIDE, 1 GRAM",208.55,208.55,43.72,467.14,48
CDM,2422508,"INJECTION, MESNA, 200 MG",27.5,27.5,3.03,61.6,48
CDM,2422520,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2422521,NON-COVERED ITEM OR SERVICE,11.35,11.35,3.05,22.13,45
CDM,2422523,"INJECTION, MESNA, 200 MG",40.82,40.82,3.03,91.43,48
CDM,2422524,ISRADIPINE 5 MG CAPSULE,6.6,6.6,1.36,5.28,45
CDM,2422525,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
CDM,2422532,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
CDM,2422534,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422535,NON-COVERED ITEM OR SERVICE,91.7,91.7,24.67,178.82,45
CDM,2422538,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",82.5,82.5,12.89,184.8,48
CDM,2422541,"INJECTION, CYTARABINE, 100 MG",89.58,89.58,1.3,200.66,48
CDM,2422549,"INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG",11.88,50.0,3.2,1045.04,62
CDM,2422551,MYCOPHENOLATE *6MG/ML INJ PED,4.71,4.71,0.97,3.77,45
CDM,2422556,PRECEDEX 200 MCG/50 ML BOTTLE,220.0,220.0,45.23,176.0,45
CDM,2422557,NON-COVERED ITEM OR SERVICE,41.5,41.5,11.16,80.93,45
CDM,2422558,NON-COVERED ITEM OR SERVICE,13.85,13.85,3.73,27.01,45
CDM,2422559,mafenide topical Cream 56.7 g,253.6,253.6,52.14,202.88,45
CDM,2422561,NON-COVERED ITEM OR SERVICE,14.05,14.05,3.78,27.4,45
CDM,2422562,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
CDM,2422563,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
CDM,2422564,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
CDM,2422565,"INJECTION, LINEZOLID, 200 MG",120.45,120.45,4.46,269.81,48
CDM,2422568,NON-COVERED ITEM OR SERVICE,215.65,215.65,58.01,420.52,45
CDM,2422569,NON-COVERED ITEM OR SERVICE,32.94,32.94,8.86,64.24,45
CDM,2422570,NON-COVERED ITEM OR SERVICE,32.95,32.95,8.86,64.25,45
CDM,2422575,"INJECTION, BASILIXIMAB, 20 MG",15573.7,4272.0,1144.27,34885.09,64
CDM,2422578,"INJECTION, LABETALOL HYDROCHLORIDE, 5 MG",8.18,,2.2,18.33,48
CDM,2422581,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",28.05,,7.55,62.83,48
CDM,2422584,LATUDA 40 MG TABLET,177.75,177.75,36.55,142.2,45
CDM,2422586,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
CDM,2422589,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
CDM,2422590,NON-COVERED ITEM OR SERVICE,323.7,323.7,87.08,631.22,45
CDM,2422598,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
CDM,2422605,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",2.06,2.06,0.55,4.62,48
CDM,2422606,NON-COVERED ITEM OR SERVICE,253.05,253.05,68.07,493.45,45
CDM,2422607,NON-COVERED ITEM OR SERVICE,8.27,8.27,2.22,16.12,45
CDM,2422608,EMSAM 6 MG/24 HOURS PATCH,243.5,243.5,50.06,194.8,45
CDM,2422610,norepinephrine 16 mg/NS 250 mL Premix Bag,99.0,99.0,20.35,79.2,45
CDM,2422615,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",13.6,,3.66,30.46,48
CDM,2422617,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",18.55,,4.99,41.54,43
CDM,2422619,"INJECTION, CARBOPLATIN, 50 MG",26.57,26.57,6.27,59.53,48
CDM,2422620,"INJECTION, VASOPRESSIN, 1 UNIT",14.85,,3.99,33.26,48
CDM,2422621,"INJECTION, LEVETIRACETAM, 10 MG",2.17,2.17,0.09,4.85,48
CDM,2422622,"INJECTION, LEVETIRACETAM, 10 MG",1.81,1.81,0.09,4.05,48
CDM,2422625,GENTEAL TEARS 0.1%-0.3% DROP,3.85,3.85,0.79,3.08,45
CDM,2422627,cholecalciferol 25 mcg (1000 Int_Unit) Tab,3.85,3.85,0.79,3.08,45
CDM,2422628,"PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 4",2.95,2.95,0.79,6.61,43
CDM,2422629,"INJECTION, LEVETIRACETAM, 10 MG",1.8,1.8,0.09,4.04,48
CDM,2422631,NON-COVERED ITEM OR SERVICE,121.8,121.8,32.76,237.51,45
CDM,2422639,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
CDM,2422640,"INJECTION, NITROGLYCERIN, 5 MG",16.34,,4.4,36.61,48
CDM,2422641,"INJECTION, NICARDIPINE, 0.1 MG",2.01,,0.54,4.51,43
CDM,2422643,"HYDROXYUREA, ORAL, 500 MG",3.48,3.48,0.93,7.78,50
CDM,2422648,"INJECTION, AMPICILLIN SODIUM, 500 MG",9.05,9.05,1.5,20.27,48
CDM,2422651,NON-COVERED ITEM OR SERVICE,13.1,13.1,3.52,25.55,45
CDM,2422652,NON-COVERED ITEM OR SERVICE,533.0,533.0,143.38,1039.35,45
CDM,2422654,"INJECTION, EPOPROSTENOL, 0.5 MG",78.21,78.21,21.04,175.19,48
CDM,2422656,"INJECTION, IRON SUCROSE, 1 MG",1.98,1.98,0.39,4.44,48
CDM,2422659,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME",5.95,5.95,0.32,13.33,48
CDM,2422660,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",18.12,18.12,3.3,40.58,48
CDM,2422664,MAGNESIUM CARBON 54MG/5ML SOLN,3.85,3.85,0.79,3.08,45
CDM,2422665,NON-COVERED ITEM OR SERVICE,38.85,38.85,10.45,75.76,45
CDM,2422683,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",46.75,,12.58,104.72,43
CDM,2422687,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",2.75,2.75,0.74,6.16,43
CDM,2422690,NON-COVERED ITEM OR SERVICE,268.95,268.95,72.35,524.45,45
CDM,2422691,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",83.22,83.22,12.89,186.42,48
CDM,2422692,DEXTROSE 10%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2422702,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
CDM,2422705,NON-COVERED ITEM OR SERVICE,244.25,244.25,65.7,476.29,45
CDM,2422709,NON-COVERED ITEM OR SERVICE,71.95,71.95,19.35,140.3,45
CDM,2422713,TIMOLOL MALEATE 0.5% EYE DROPS,56.1,56.1,11.53,44.88,45
CDM,2422723,"CYCLOPHOSPHAMIDE; ORAL, 25 MG",28.35,28.35,1.64,63.5,48
CDM,2422727,NON-COVERED ITEM OR SERVICE,43.35,43.35,11.66,84.53,45
CDM,2422731,AKOVAZ 25 MG/5 ML SYRINGE,48.95,48.95,10.06,39.16,45
CDM,2422732,PANTOPRAZOLE SOD DR 40 MG TAB,13.5,13.5,2.78,10.8,45
CDM,2422733,PANTOPRAZOLE SOD DR 20 MG TAB,17.4,17.4,3.58,13.92,45
CDM,2422734,MELOXICAM 15 MG TABLET,15.4,15.4,3.17,12.32,45
CDM,2422736,"VITAMIN D3 5,000 UNIT TABLET",3.85,3.85,0.79,3.08,45
CDM,2422744,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",5.5,5.5,0.03,12.32,48
CDM,2422747,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422748,NON-COVERED ITEM OR SERVICE,7.8,7.8,2.1,15.21,45
CDM,2422751,NON-COVERED ITEM OR SERVICE,118.3,118.3,31.82,230.69,45
CDM,2422753,PREZCOBIX 800 MG-150 MG TABLET,204.85,204.85,42.12,163.88,45
CDM,2422754,SOTYLIZE 5 MG/ML ORAL SOLUTION,7.28,7.28,1.5,5.82,45
CDM,2422757,CLOBETASOL 0.05% OINT 60G,1714.35,1714.35,352.47,1371.48,45
CDM,2422758,"INJECTION, CEFTAZIDIME, PER 500 MG",39.6,39.6,2.75,88.7,48
CDM,2422759,NON-COVERED ITEM OR SERVICE,52.8,52.8,14.2,102.96,45
CDM,2422764,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",155.1,155.1,0.12,347.42,48
CDM,2422765,NON-COVERED ITEM OR SERVICE,377.6,377.6,101.57,736.32,45
CDM,2422767,"INJECTION, CEFTAZIDIME AND AVIBACTAM, 0.5 G/0.125 G",370.79,95.0,79.49,830.58,62
CDM,2422768,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422769,NICOTINE 4 MG LOZENGE,3.85,3.85,0.79,3.08,45
CDM,2422770,NON-COVERED ITEM OR SERVICE,102.05,102.05,27.45,199.0,45
CDM,2422772,"INJECTION, FENTANYL CITRATE, 0.1 MG",4.13,4.13,1.11,9.24,48
CDM,2422775,"INJECTION, CEFAZOLIN SODIUM, 500 MG",12.65,12.65,1.39,28.34,48
CDM,2422776,NON-COVERED ITEM OR SERVICE,20.35,20.35,5.47,39.68,45
CDM,2422780,LMX 4 4% CREAM,27.75,27.75,5.7,22.2,45
CDM,2422781,"INJECTION, MEROPENEM, 100 MG",9.83,9.83,0.55,22.03,48
CDM,2422782,"INJECTION, MEROPENEM, 100 MG",14.05,14.05,0.55,31.47,48
CDM,2422783,OPSUMIT 10 MG TABLET,850.2,850.2,174.8,680.16,45
CDM,2422789,NON-COVERED ITEM OR SERVICE,236.7,236.7,63.67,461.57,45
CDM,2422792,CETACAINE SPRAY,238.95,238.95,49.13,191.16,45
CDM,2422795,BUPI 0.0625%-FENTA 2 MCG/ML,82.5,82.5,16.96,66.0,45
CDM,2422796,"SILDENAFIL CITRATE, 25 MG",205.02,205.02,55.15,459.24,45
CDM,2422797,NON-COVERED ITEM OR SERVICE,448.0,448.0,120.51,873.6,45
CDM,2422800,NON-COVERED ITEM OR SERVICE,10.98,10.98,2.95,21.41,45
CDM,2422802,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.3,,0.89,7.39,43
CDM,2422804,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",33.72,33.72,2.17,75.54,48
CDM,2422805,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",9.03,,2.43,20.22,48
CDM,2422808,UNCLASSIFIED DRUGS,435.35,435.35,117.11,975.18,43
CDM,2422809,UNCLASSIFIED DRUGS,689.05,689.05,185.35,1543.47,43
CDM,2422812,NON-COVERED ITEM OR SERVICE,6.45,6.45,1.74,12.58,45
CDM,2422813,NON-COVERED ITEM OR SERVICE,331.05,331.05,89.05,645.55,45
CDM,2422814,NON-COVERED ITEM OR SERVICE,176.0,176.0,47.34,343.2,45
CDM,2422817,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
CDM,2422818,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
CDM,2422819,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
CDM,2422821,lactulose in water Enema 1000 mL,89.77,89.77,18.46,71.81,45
CDM,2422822,"EVEROLIMUS, ORAL, 0.25 MG",69.8,69.8,3.74,156.35,48
CDM,2422823,NON-COVERED ITEM OR SERVICE,8.5,8.5,2.29,16.58,45
CDM,2422824,NON-COVERED ITEM OR SERVICE,156.15,156.15,42.0,304.49,45
CDM,2422825,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",25.84,,6.95,57.87,43
CDM,2422831,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422836,"CLOZAPINE, 25 MG",5.55,5.55,1.49,12.43,50
CDM,2422841,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",10.14,,2.73,22.71,43
CDM,2422842,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",93.5,,25.15,209.44,43
CDM,2422843,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",24.06,24.06,2.17,53.9,48
CDM,2422845,VANCOMYCIN 500MG RECTAL ENEMA,32.0,32.0,6.58,25.6,45
CDM,2422852,DEXMEDETOMIDINE 400 MCG/4 ML,253.45,253.45,52.11,202.76,45
CDM,2422863,SMOFLIPID 20% IV FAT EMULSION,85.8,85.8,17.64,68.64,45
CDM,2422864,SMOFLIPID 20% IV FAT EMULSION,103.0,103.0,21.18,82.4,45
CDM,2422865,SMOFLIPID 20% IV FAT EMULSION,134.65,134.65,27.68,107.72,45
CDM,2422866,"INJECTION, CEFOXITIN SODIUM, 1 GM",57.88,57.88,7.62,129.64,48
CDM,2422877,NON-COVERED ITEM OR SERVICE,3.88,3.88,1.04,7.56,45
CDM,2422880,NON-COVERED ITEM OR SERVICE,12.67,12.67,3.41,24.71,45
CDM,2422882,NON-COVERED ITEM OR SERVICE,38.2,38.2,10.28,74.49,45
CDM,2422895,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422899,NON-COVERED ITEM OR SERVICE,133.64,133.64,35.95,260.6,45
CDM,2422904,NON-COVERED ITEM OR SERVICE,25.3,25.3,6.81,49.34,45
CDM,2422905,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG",95.85,95.85,15.17,214.7,48
CDM,2422907,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422909,NON-COVERED ITEM OR SERVICE,131.75,131.75,35.44,256.91,45
CDM,2422911,NON-COVERED ITEM OR SERVICE,122.8,122.8,33.03,239.46,45
CDM,2422913,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",27.48,27.48,7.39,61.56,43
CDM,2422917,NON-COVERED ITEM OR SERVICE,72.15,72.15,19.41,140.69,45
CDM,2422919,"INJECTION, LABETALOL HYDROCHLORIDE, 5 MG",1.88,,0.51,4.21,48
CDM,2422923,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2422924,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
CDM,2422926,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",70.54,70.54,0.78,158.02,48
CDM,2422929,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",25.55,25.55,3.3,57.23,48
CDM,2422930,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",11.94,11.94,3.21,26.75,48
CDM,2422933,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",52.01,52.01,0.78,116.5,48
CDM,2422936,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",2.91,,0.78,6.51,48
CDM,2422944,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",12.11,12.11,0.78,27.13,48
CDM,2422945,NON-COVERED ITEM OR SERVICE,3.21,3.21,0.86,6.26,45
CDM,2422948,NON-COVERED ITEM OR SERVICE,24.78,24.78,6.67,48.32,45
CDM,2422955,NON-COVERED ITEM OR SERVICE,4.8,4.8,1.29,9.36,45
CDM,2422959,NON-COVERED ITEM OR SERVICE,4.04,4.04,1.09,7.89,45
CDM,2422960,NON-COVERED ITEM OR SERVICE,2.45,2.45,0.66,4.79,45
CDM,2422964,NON-COVERED ITEM OR SERVICE,1.5,1.5,0.4,2.92,45
CDM,2422965,NON-COVERED ITEM OR SERVICE,1.93,1.93,0.52,3.75,45
CDM,2422967,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",660.0,660.0,4.06,1478.4,48
CDM,2422970,NON-COVERED ITEM OR SERVICE,2.24,2.24,0.6,4.36,45
CDM,2422971,NON-COVERED ITEM OR SERVICE,1.26,1.26,0.34,2.46,45
CDM,2422972,"PREDNISOLONE ORAL, PER 5 MG",2.06,2.06,0.41,4.62,48
CDM,2422973,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",2.64,2.64,0.02,5.91,48
CDM,2422979,NON-COVERED ITEM OR SERVICE,6.55,6.55,1.76,12.77,45
CDM,2422981,NON-COVERED ITEM OR SERVICE,1.68,1.68,0.45,3.28,45
CDM,2422982,NON-COVERED ITEM OR SERVICE,1.29,1.29,0.35,2.51,45
CDM,2422985,NON-COVERED ITEM OR SERVICE,1.03,1.03,0.28,2.0,45
CDM,2422994,NON-COVERED ITEM OR SERVICE,2.21,2.21,0.59,4.31,45
CDM,2422996,NON-COVERED ITEM OR SERVICE,3.09,3.09,0.83,6.02,45
CDM,2423004,DEXTROSE 50%-WATER ABBOJECT,31.6,31.6,6.5,25.28,45
CDM,2423005,"INJECTION, CALCIUM CHLORIDE, 2 MG",26.9,,7.24,60.25,43
CDM,2423007,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",1.24,1.24,0.33,2.77,48
CDM,2423008,"INJECTION, ATROPINE SULFATE, 0.01 MG",41.3,41.3,0.14,92.5,48
CDM,2423011,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG",16.75,16.75,4.51,37.53,48
CDM,2423016,"MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG",27.75,,7.47,62.17,43
CDM,2423022,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423023,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",5.86,5.86,1.58,13.12,48
CDM,2423025,NON-COVERED ITEM OR SERVICE,44.54,44.54,11.98,86.85,45
CDM,2423032,"INJECTION, ZOLEDRONIC ACID, 1 MG",435.6,435.6,9.73,975.74,48
CDM,2423041,NUTRILIPID 20% IV FAT EMULSION,80.05,80.05,16.46,64.04,45
CDM,2423045,NON-COVERED ITEM OR SERVICE,420.05,420.05,112.99,819.1,45
CDM,2423054,NON-COVERED ITEM OR SERVICE,88.85,88.85,23.9,173.26,45
CDM,2423057,NON-COVERED ITEM OR SERVICE,12.75,12.75,3.43,24.86,45
CDM,2423067,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.07,45
CDM,2423068,NON-COVERED ITEM OR SERVICE,16.9,16.9,4.55,32.96,45
CDM,2423069,"INJECTION, FUROSEMIDE, 1 MG",4.56,,1.23,10.2,43
CDM,2423071,"INJECTION, FUROSEMIDE, 1 MG",14.92,,4.01,33.42,43
CDM,2423074,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423075,"INJECTION, MEROPENEM AND VABORBACTAM, 10MG/10MG (20MG)",7.03,2.0,1.89,88.03,62
CDM,2423076,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
CDM,2423077,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",7.4,7.4,1.99,16.58,48
CDM,2423078,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",83.64,83.64,4.06,187.35,48
CDM,2423082,NON-COVERED ITEM OR SERVICE,2.44,2.44,0.66,4.76,45
CDM,2423083,"INJECTION, CEFOXITIN SODIUM, 1 GM",39.43,39.43,7.62,88.33,48
CDM,2423085,"INJECTION, CEFOXITIN SODIUM, 1 GM",39.52,39.52,7.62,88.54,48
CDM,2423087,sodium phosphate 0.05 mmol/mL - Pedi,5.5,5.5,1.13,4.4,45
CDM,2423088,WATER FOR INJECTION VIAL,10.34,10.34,2.13,8.27,45
CDM,2423103,"INJECTION, COSYNTROPIN, 0.25 MG",317.6,317.6,36.94,711.42,48
CDM,2423107,NON-COVERED ITEM OR SERVICE,55.2,55.2,14.85,107.64,45
CDM,2423117,NON-COVERED ITEM OR SERVICE,48.1,48.1,12.94,93.8,45
CDM,2423126,NON-COVERED ITEM OR SERVICE,9.57,9.57,2.57,18.66,45
CDM,2423127,"INJECTION, METHYLNALTREXONE, 0.1 MG",6.66,6.66,1.79,14.92,48
CDM,2423129,NON-COVERED ITEM OR SERVICE,60.35,60.35,16.23,117.68,45
CDM,2423131,NON-COVERED ITEM OR SERVICE,413.1,413.1,111.12,805.55,45
CDM,2423133,NUTRILIPID 20% IV FAT EMULSION,66.03,66.03,13.58,52.83,45
CDM,2423136,VERAPAMIL 5 MG/2 ML VIAL,126.05,126.05,25.92,100.84,45
CDM,2423144,NON-COVERED ITEM OR SERVICE,448.0,448.0,120.51,873.6,45
CDM,2423145,"INJECTION, FENTANYL CITRATE, 0.1 MG",16.5,16.5,1.42,36.97,48
CDM,2423146,"INJECTION, ESMOLOL HYDROCHLORIDE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J1805, 10 MG",4.02,,1.08,9.01,48
CDM,2423152,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
CDM,2423153,NON-COVERED ITEM OR SERVICE,7.2,7.2,1.94,14.04,45
CDM,2423169,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
CDM,2423170,NON-COVERED ITEM OR SERVICE,121.15,121.15,32.59,236.24,45
CDM,2423173,"INJECTION, CYCLOSPORINE, 250 MG",171.28,171.28,46.07,383.66,43
CDM,2423175,"INJECTION, ETOPOSIDE, 10 MG",7.28,7.28,1.92,16.32,48
CDM,2423176,ETOMIDATE INJ 2MG/ML 20ML,27.75,27.75,5.71,22.2,45
CDM,2423177,ETOMIDATE INJ 2MG/ML 10ML,38.85,38.85,7.99,31.08,45
CDM,2423178,NON-COVERED ITEM OR SERVICE,171.35,171.35,46.09,334.13,45
CDM,2423179,NON-COVERED ITEM OR SERVICE,292.9,292.9,78.79,571.16,45
CDM,2423180,NON-COVERED ITEM OR SERVICE,772.2,772.2,207.72,1505.79,45
CDM,2423181,VECURONIUM 10 MG VIAL,19.8,19.8,4.07,15.84,45
CDM,2423188,NON-COVERED ITEM OR SERVICE,772.2,772.2,207.72,1505.79,45
CDM,2423192,NON-COVERED ITEM OR SERVICE,1.8,1.8,0.48,3.51,45
CDM,2423193,UNCLASSIFIED DRUGS,91.32,91.32,24.57,204.56,43
CDM,2423198,UNCLASSIFIED DRUGS,33.44,33.44,8.99,74.9,43
CDM,2423203,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",8.74,8.74,0.78,19.57,48
CDM,2423204,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",7.43,7.43,0.78,16.64,48
CDM,2423205,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",3.97,3.97,0.78,8.89,48
CDM,2423206,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",12.89,12.89,0.78,28.88,48
CDM,2423214,NON-COVERED ITEM OR SERVICE,184.05,184.05,49.51,358.9,45
CDM,2423215,NON-COVERED ITEM OR SERVICE,255.3,255.3,68.68,497.84,45
CDM,2423218,NON-COVERED ITEM OR SERVICE,109.35,109.35,29.42,213.23,45
CDM,2423222,NON-COVERED ITEM OR SERVICE,5.7,5.7,1.53,11.12,45
CDM,2423235,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG",1.91,1.91,0.29,4.29,48
CDM,2423236,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",3.85,3.85,0.08,8.62,48
CDM,2423240,NON-COVERED ITEM OR SERVICE,211.95,211.95,57.01,413.3,45
CDM,2423247,ENALAPRILAT 1.25MG/ML 2ML VL,16.5,16.5,3.39,13.2,45
CDM,2423252,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423253,NON-COVERED ITEM OR SERVICE,6.99,6.99,1.88,13.62,45
CDM,2423254,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
CDM,2423255,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
CDM,2423258,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",11.31,11.31,1.42,25.34,48
CDM,2423262,NON-COVERED ITEM OR SERVICE,5.15,5.15,1.39,10.04,45
CDM,2423263,NON-COVERED ITEM OR SERVICE,6.5,6.5,1.75,12.68,45
CDM,2423264,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423268,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",16.5,16.5,1.42,36.96,48
CDM,2423269,NON-COVERED ITEM OR SERVICE,31.4,31.4,8.45,61.23,45
CDM,2423272,NON-COVERED ITEM OR SERVICE,15.7,15.7,4.22,30.62,45
CDM,2423275,NON-COVERED ITEM OR SERVICE,139.0,139.0,37.39,271.05,45
CDM,2423276,"SILDENAFIL CITRATE, 25 MG",58.09,58.09,15.63,130.12,50
CDM,2423283,NON-COVERED ITEM OR SERVICE,32.45,32.45,8.73,63.28,45
CDM,2423285,NON-COVERED ITEM OR SERVICE,208.0,208.0,55.95,405.6,45
CDM,2423286,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",1.03,1.03,0.16,2.31,48
CDM,2423287,"INJECTION, ZOLEDRONIC ACID, 1 MG",623.7,623.7,9.73,1397.09,48
CDM,2423288,NON-COVERED ITEM OR SERVICE,15.85,15.85,4.26,30.91,45
CDM,2423290,TRETINOIN 30MG/30ML ORAL SOLN,120.78,120.78,24.83,96.63,45
CDM,2423296,NON-COVERED ITEM OR SERVICE,2.57,2.57,0.69,5.0,45
CDM,2423302,dextrose 50% in water Inj 500 mL,48.2,48.2,9.91,38.56,45
CDM,2423303,"RECOTHROM 5,000 UNIT VIAL",340.57,340.57,70.02,272.46,45
CDM,2423310,"INJECTION, HUMAN FIBRINOGEN CONCENTRATE (FIBRYGA), 1 MG",4.36,4.36,1.11,1045.04,62
CDM,2423317,GLUTOSE-5 GEL,8.6,8.6,1.77,6.88,45
CDM,2423318,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423324,NON-COVERED ITEM OR SERVICE,2.05,2.05,0.55,4.0,45
CDM,2423328,NORVIR 100 MG POWDER PACKET,33.95,33.95,6.98,27.16,45
CDM,2423336,EPCLUSA 400 MG-100 MG TABLET,3524.4,3524.4,724.62,2819.52,45
CDM,2423338,"INJECTION, IMIPENEM 4 MG, CILASTATIN 4 MG AND RELEBACTAM 2 MG",9.44,2.0,2.5,88.03,62
CDM,2423339,NON-COVERED ITEM OR SERVICE,27.35,27.35,7.36,53.33,45
CDM,2423344,"INJECTION, VALPROATE SODIUM, 5 MG",1.79,,0.48,4.02,43
CDM,2423345,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",82.5,82.5,22.19,184.8,43
CDM,2423347,"ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES",6937.7,6937.7,265.12,15540.45,61
CDM,2423352,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",3.84,3.84,1.03,8.6,48
CDM,2423355,NON-COVERED ITEM OR SERVICE,536.6,536.6,144.35,1046.37,45
CDM,2423356,"INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG",83.2,,22.38,186.37,43
CDM,2423358,"INJECTION, CEFTAZIDIME AND AVIBACTAM, 0.5 G/0.125 G",397.85,95.0,79.49,891.18,62
CDM,2423359,"INJECTION, CEFOTAXIME SODIUM, PER GM",1.62,1.62,0.44,3.63,43
CDM,2423363,BETADINE 5% EYE SOLUTION,1362.9,1362.9,280.21,1090.32,45
CDM,2423364,"METHADONE, ORAL, 5 MG",1.93,1.93,0.52,4.31,45
CDM,2423365,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",3513.95,3513.95,265.12,7871.25,61
CDM,2423369,EMERPHED 50 MG/10 ML VIAL,110.9,110.9,22.8,88.72,45
CDM,2423370,"SIROLIMUS, ORAL, 1 MG",28.0,28.0,2.27,62.72,48
CDM,2423372,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.36,,0.36,3.04,43
CDM,2423373,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",2.84,,0.76,6.37,43
CDM,2423374,GLOPERBA 0.6 MG/5 ML SOLUTION,21.6,21.6,4.44,17.28,45
CDM,2423378,NON-COVERED ITEM OR SERVICE,110.85,110.85,29.82,216.16,45
CDM,2423381,NON-COVERED ITEM OR SERVICE,2.78,2.78,0.75,5.43,45
CDM,2423390,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",17.8,17.8,4.79,39.87,43
CDM,2423402,NON-COVERED ITEM OR SERVICE,504.9,504.9,135.82,984.56,45
CDM,2423403,NON-COVERED ITEM OR SERVICE,973.8,973.8,261.95,1898.91,45
CDM,2423405,NON-COVERED ITEM OR SERVICE,66.7,66.7,17.94,130.07,45
CDM,2423406,NON-COVERED ITEM OR SERVICE,200.85,200.85,54.03,391.66,45
CDM,2423409,"HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG",112.99,11.0,9.16,253.11,62
CDM,2423411,NON-COVERED ITEM OR SERVICE,17.25,17.25,4.64,33.64,45
CDM,2423412,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423416,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",15.68,1.0,4.22,79.72,59
CDM,2423417,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",7.92,1.0,2.13,79.72,59
CDM,2423418,NON-COVERED ITEM OR SERVICE,103.35,103.35,27.8,201.53,45
CDM,2423419,NON-COVERED ITEM OR SERVICE,190.5,190.5,51.24,371.48,45
CDM,2423420,"INJECTION, IRON SUCROSE, 1 MG",2.18,2.18,0.39,4.88,48
CDM,2423422,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423423,NON-COVERED ITEM OR SERVICE,3.03,3.03,0.82,5.91,45
CDM,2423426,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",31.74,31.74,0.03,71.1,48
CDM,2423430,"INJECTION, MANNITOL, 250 MG",185.45,,49.89,415.41,43
CDM,2423431,NON-COVERED ITEM OR SERVICE,70.35,70.35,18.92,137.18,45
CDM,2423432,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",42.06,,11.31,94.21,43
CDM,2423434,NON-COVERED ITEM OR SERVICE,70.35,70.35,18.92,137.18,45
CDM,2423437,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
CDM,2423439,NON-COVERED ITEM OR SERVICE,93.55,93.55,25.16,182.42,45
CDM,2423440,NON-COVERED ITEM OR SERVICE,93.55,93.55,25.16,182.42,45
CDM,2423446,NON-COVERED ITEM OR SERVICE,5.9,5.9,1.59,11.51,45
CDM,2423459,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423460,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423462,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG",5873.45,1538.0,528.45,13156.53,64
CDM,2423473,NON-COVERED ITEM OR SERVICE,7.15,7.15,1.92,13.94,45
CDM,2423474,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423479,"INJECTION, MILRINONE LACTATE, 5 MG",12.38,12.38,2.36,27.72,48
CDM,2423481,NON-COVERED ITEM OR SERVICE,25.2,25.2,6.78,49.14,45
CDM,2423483,VECURONIUM 20 MG VIAL,67.32,67.32,13.84,53.86,45
CDM,2423494,"HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE",1428.1,136.0,67.71,3198.94,62
CDM,2423499,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423506,"HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE",4554.0,513.0,79.49,10200.96,64
CDM,2423507,NON-COVERED ITEM OR SERVICE,6.7,6.7,1.8,13.07,45
CDM,2423510,NON-COVERED ITEM OR SERVICE,6.45,6.45,1.74,12.58,45
CDM,2423511,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.97,45
CDM,2423512,NON-COVERED ITEM OR SERVICE,7.25,7.25,1.95,14.14,45
CDM,2423516,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423517,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
CDM,2423518,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423526,NON-COVERED ITEM OR SERVICE,4.7,4.7,1.26,9.17,45
CDM,2423531,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.65,24.65,0.4,55.22,48
CDM,2423532,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.61,24.61,0.4,55.13,48
CDM,2423533,"TACROLIMUS, PARENTERAL, 5 MG",84.83,243.0,22.82,254.67,62
CDM,2423534,NON-COVERED ITEM OR SERVICE,3.29,3.29,0.88,6.41,45
CDM,2423548,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",83.0,83.0,0.4,185.92,48
CDM,2423549,NON-COVERED ITEM OR SERVICE,332.25,332.25,89.38,647.89,45
CDM,2423550,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",44.38,44.38,0.78,99.4,48
CDM,2423551,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
CDM,2423552,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",44.38,44.38,0.78,99.4,48
CDM,2423554,buffered hypertonic saline 250 mL,82.5,82.5,16.96,66.0,45
CDM,2423555,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423556,NON-COVERED ITEM OR SERVICE,7.5,7.5,2.02,14.63,45
CDM,2423557,NON-COVERED ITEM OR SERVICE,34.1,34.1,9.17,66.5,45
CDM,2423561,"Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years)",83.45,83.45,22.45,162.73,61
CDM,2423569,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.87,3.87,1.04,8.66,48
CDM,2423570,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",140.25,140.25,37.73,314.16,43
CDM,2423583,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.86,3.86,1.04,8.65,48
CDM,2423589,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.85,3.85,1.04,8.63,48
CDM,2423590,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",2.29,2.29,0.62,5.13,43
CDM,2423602,NON-COVERED ITEM OR SERVICE,1356.15,1356.15,364.81,2644.5,45
CDM,2423610,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423616,NON-COVERED ITEM OR SERVICE,412.5,412.5,110.96,804.38,45
CDM,2423620,NON-COVERED ITEM OR SERVICE,5.3,5.3,1.43,10.34,45
CDM,2423622,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
CDM,2423627,"HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML",3.19,3.19,0.86,7.15,43
CDM,2423628,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423629,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423632,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.11,,0.3,2.48,43
CDM,2423640,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
CDM,2423645,NON-COVERED ITEM OR SERVICE,4.95,4.95,1.33,9.65,45
CDM,2423646,NON-COVERED ITEM OR SERVICE,65.4,65.4,17.59,127.53,45
CDM,2423647,"ARTIFICIAL SALIVA, 30 ML",3.85,3.85,1.04,7.51,48
CDM,2423648,NON-COVERED ITEM OR SERVICE,7.85,7.85,2.11,15.31,45
CDM,2423649,"HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML",2.3,2.3,0.62,5.15,43
CDM,2423650,"INJECTION, FOSCARNET SODIUM, PER 1000 MG",311.66,73.0,38.28,698.11,62
CDM,2423651,NON-COVERED ITEM OR SERVICE,880.4,880.4,236.83,1716.78,45
CDM,2423656,NON-COVERED ITEM OR SERVICE,8.65,8.65,2.33,16.87,45
CDM,2423657,NON-COVERED ITEM OR SERVICE,18.35,18.35,4.94,35.78,45
CDM,2423658,"INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG",1.19,1.19,0.32,2.66,43
CDM,2423660,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423661,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423662,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423663,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
CDM,2423668,NON-COVERED ITEM OR SERVICE,6.8,6.8,1.83,13.26,45
CDM,2423672,NON-COVERED ITEM OR SERVICE,8.6,8.6,2.31,16.77,45
CDM,2423673,NON-COVERED ITEM OR SERVICE,19.9,19.9,5.35,38.81,45
CDM,2423674,NON-COVERED ITEM OR SERVICE,14.95,14.95,4.02,29.15,45
CDM,2423682,NON-COVERED ITEM OR SERVICE,7.3,7.3,1.96,14.24,45
CDM,2423683,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2423684,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
CDM,2423689,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",3.98,3.98,0.16,8.91,48
CDM,2423690,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",47.4,47.4,1.58,106.17,48
CDM,2423692,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423711,FAMCICLOVIR 500 MG TABLET,41.9,41.9,8.61,33.52,45
CDM,2423721,NON-COVERED ITEM OR SERVICE,1.23,1.23,0.33,2.4,45
CDM,2423723,"INJECTION, ACETYLCYSTEINE, 100 MG",9.73,9.73,0.97,21.8,48
CDM,2423724,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG",13.1,13.1,0.28,29.34,48
CDM,2423725,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423726,NON-COVERED ITEM OR SERVICE,15.7,15.7,4.22,30.62,45
CDM,2423727,NON-COVERED ITEM OR SERVICE,19.75,19.75,5.31,38.51,45
CDM,2423728,NON-COVERED ITEM OR SERVICE,21.5,21.5,5.78,41.93,45
CDM,2423729,NON-COVERED ITEM OR SERVICE,117.4,117.4,31.58,228.93,45
CDM,2423743,NON-COVERED ITEM OR SERVICE,61.48,61.48,16.54,119.89,45
CDM,2423746,NON-COVERED ITEM OR SERVICE,44.25,44.25,11.9,86.29,45
CDM,2423747,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423748,NON-COVERED ITEM OR SERVICE,504.35,504.35,135.67,983.48,45
CDM,2423749,"INJECTION, LEVOCARNITINE, PER 1 GM",131.19,131.19,35.29,293.87,48
CDM,2423750,NON-COVERED ITEM OR SERVICE,28.35,28.35,7.63,55.28,45
CDM,2423755,NON-COVERED ITEM OR SERVICE,2.95,2.95,0.79,5.76,45
CDM,2423756,"CYCLOSPORINE, ORAL, 25 MG",4.55,4.55,1.22,10.19,48
CDM,2423757,"CYCLOSPORINE, ORAL, 100 MG",18.17,18.17,3.72,40.7,48
CDM,2423759,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
CDM,2423761,NON-COVERED ITEM OR SERVICE,10.2,10.2,2.74,19.89,45
CDM,2423762,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423765,NON-COVERED ITEM OR SERVICE,281.4,281.4,75.7,548.73,45
CDM,2423767,NON-COVERED ITEM OR SERVICE,11.6,11.6,3.12,22.62,45
CDM,2423768,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2423770,"INJECTION, CEFAZOLIN SODIUM, 500 MG",6.04,6.04,1.39,13.52,48
CDM,2423774,NON-COVERED ITEM OR SERVICE,12.83,12.83,3.45,25.02,45
CDM,2423776,"CYCLOSPORINE, ORAL, 100 MG",25.2,25.2,3.72,56.45,48
CDM,2423780,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",1.29,,0.35,2.89,43
CDM,2423782,NON-COVERED ITEM OR SERVICE,350.1,350.1,94.18,682.7,45
CDM,2423788,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423789,"PREDNISOLONE ORAL, PER 5 MG",2.13,2.13,0.41,4.76,48
CDM,2423793,CLIMARA 0.1 MG/DAY PATCH,113.1,113.1,23.25,90.48,45
CDM,2423794,NON-COVERED ITEM OR SERVICE,30.25,30.25,8.14,58.99,45
CDM,2423795,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423799,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",41.25,41.25,0.4,92.4,48
CDM,2423803,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",3.18,3.18,0.86,7.12,43
CDM,2423807,KETAMINE 500 MG/5 ML VIAL,32.45,32.45,6.67,25.96,45
CDM,2423808,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM",24.0,24.0,6.46,53.76,43
CDM,2423813,NON-COVERED ITEM OR SERVICE,75.69,75.69,20.36,147.6,45
CDM,2423814,NON-COVERED ITEM OR SERVICE,28.55,28.55,7.68,55.67,45
CDM,2423815,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423817,NON-COVERED ITEM OR SERVICE,2.8,2.8,0.75,5.46,45
CDM,2423819,NON-COVERED ITEM OR SERVICE,191.05,191.05,51.39,372.55,45
CDM,2423822,SODIUM EDECRIN 50 MG VIAL,19858.05,19858.05,3461.0,15886.44,45
CDM,2423837,NON-COVERED ITEM OR SERVICE,5.55,5.55,1.49,10.82,45
CDM,2423842,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS",391.2,1851.0,105.23,1822.35,59
CDM,2423845,NON-COVERED ITEM OR SERVICE,1034.55,1034.55,278.29,2017.37,45
CDM,2423853,NON-COVERED ITEM OR SERVICE,4.0,4.0,1.08,7.8,45
CDM,2423856,NON-COVERED ITEM OR SERVICE,9.65,9.65,2.6,18.82,45
CDM,2423859,ASCORBIC ACID 500MG VIAL,7.24,7.24,1.49,5.79,45
CDM,2423861,"ANASTROZOLE, ORAL, 1 MG",43.95,43.95,11.82,98.45,45
CDM,2423863,NON-COVERED ITEM OR SERVICE,10.4,10.4,2.8,20.28,45
CDM,2423864,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG",6999.1,173.0,180.79,15677.98,64
CDM,2423865,"INJECTION, ENOXAPARIN SODIUM, 10 MG",29.44,29.44,0.98,65.95,48
CDM,2423866,NON-COVERED ITEM OR SERVICE,12.3,12.3,3.31,23.99,45
CDM,2423868,NON-COVERED ITEM OR SERVICE,61.7,61.7,16.6,120.32,45
CDM,2423869,NON-COVERED ITEM OR SERVICE,36.05,36.05,9.7,70.3,45
CDM,2423870,NON-COVERED ITEM OR SERVICE,220.3,220.3,59.26,429.59,45
CDM,2423872,NON-COVERED ITEM OR SERVICE,11.0,11.0,2.96,21.45,45
CDM,2423876,NON-COVERED ITEM OR SERVICE,16.72,16.72,4.5,32.6,45
CDM,2423877,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423881,"INJECTION, CIDOFOVIR, 375 MG",183.2,643.0,49.28,410.37,62
CDM,2423882,NON-COVERED ITEM OR SERVICE,43.0,43.0,11.57,83.85,45
CDM,2423883,"INJECTION, CANGRELOR, 1 MG",66.03,18.0,17.76,344.65,64
CDM,2423884,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",6.23,6.23,1.68,13.96,43
CDM,2423885,dexmedetomidine 400 mcg in NS 20 mL Pedi,82.5,82.5,16.96,66.0,45
CDM,2423886,"INJECTION, FOSCARNET SODIUM, PER 1000 MG",220.45,73.0,38.28,493.81,62
CDM,2423888,CENTRAL TPN PED 500 ML,495.0,495.0,101.77,396.0,45
CDM,2423889,PERIPHERAL TPN PED 500 ML,495.0,495.0,101.77,396.0,45
CDM,2423890,sodium phosphate 15 mmol/D5W 100 mL Batch,82.5,82.5,16.96,66.0,45
CDM,2423897,NON-COVERED ITEM OR SERVICE,9.9,9.9,2.66,19.31,45
CDM,2423904,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG",8.0,8.0,2.15,17.92,43
CDM,2423906,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",1.24,1.24,0.16,2.77,48
CDM,2423907,"INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG",82.5,,22.19,184.8,43
CDM,2423909,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.24,,0.87,7.25,43
CDM,2423910,"SEPTOCAINE 4%-EPI 1:200,000",1.89,1.89,0.39,1.51,45
CDM,2423911,"MARCAINE 0.5%-EPI 1:200,000",3.37,3.37,0.69,2.69,45
CDM,2423912,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423913,NON-COVERED ITEM OR SERVICE,6.12,6.12,1.65,11.94,45
CDM,2423914,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",27.8,,7.48,62.27,43
CDM,2423921,"INJECTION, CEFAZOLIN SODIUM, 500 MG",13.76,13.76,1.39,30.83,48
CDM,2423926,"INJECTION, METHADONE HCL, UP TO 10 MG",69.33,69.33,18.65,155.29,48
CDM,2423930,NON-COVERED ITEM OR SERVICE,14.6,14.6,3.93,28.47,45
CDM,2423931,SODIUM BICARBONATE 4.2% VIAL,30.68,30.68,6.31,24.55,45
CDM,2423932,PREVYMIS 480 MG/24 ML VIAL,1363.85,1363.85,280.41,1091.08,45
CDM,2423936,BUPRENORPHINE 20 MCG/HR PATCH,729.5,729.5,149.99,583.6,45
CDM,2423937,sodium bicarbonate 50 mEq in 0.45% sodium chloride 1000 mL Batch,82.5,82.5,16.96,66.0,45
CDM,2423938,sodium bicarbonate 150 mEq in dextrose 5% 1000 mL Batch,103.95,103.95,21.37,83.16,45
CDM,2423939,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",83.65,,22.5,187.38,43
CDM,2423944,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423945,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2423955,"INJECTION, LEVOTHYROXINE SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG",28.35,,7.63,63.5,43
CDM,2423958,NON-COVERED ITEM OR SERVICE,32.3,32.3,8.69,62.99,45
CDM,2423961,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
CDM,2423964,NON-COVERED ITEM OR SERVICE,1731.1,1731.1,465.67,3375.65,45
CDM,2423974,"HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE",5940.0,788.0,265.12,13305.6,64
CDM,2423981,NON-COVERED ITEM OR SERVICE,11.54,11.54,3.1,22.5,45
CDM,2423984,NON-COVERED ITEM OR SERVICE,1.82,1.82,0.49,3.55,45
CDM,2423999,"SEVELAMER CARBONATE (RENVELA OR THERAPEUTICALLY EQUIVALENT), ORAL, POWDER, 20 MG (FOR ESRD ON DIALYSIS)",1.51,,0.41,3.38,43
CDM,2424004,NON-COVERED ITEM OR SERVICE,153.45,153.45,41.28,299.23,45
CDM,2424006,ACETYLCYSTEINE 600MG/250ML ENE,59.0,59.0,12.13,47.2,50
CDM,2424007,DEXTROSE 50%-WATER VIAL,16.5,16.5,3.39,13.2,45
CDM,2424013,NON-COVERED ITEM OR SERVICE,269.7,269.7,72.55,525.92,45
CDM,2424016,ferumoxytol 510 mg/17 mL Inj MRI,269.95,269.95,55.5,215.96,45
CDM,2424019,NON-COVERED ITEM OR SERVICE,1652.85,1652.85,444.62,3223.06,45
CDM,2424022,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2424027,"INJECTION, IRON SUCROSE, 1 MG",2.5,2.5,0.67,5.59,48
CDM,2424029,"INJECTION, THIAMINE HCL, 100 MG",17.65,17.65,4.75,39.54,48
CDM,2424057,"INJECTION, NITROGLYCERIN, 5 MG",5.66,,1.52,12.67,48
CDM,2424068,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2424069,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2424070,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2424402,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
CDM,2424958,TPN NEWBORN AMI ACID SL-125ML,165.0,165.0,33.92,132.0,45
CDM,2424985,"TPN, ADULT CENTRAL, 1000ML",339.59,339.59,69.82,271.67,45
CDM,2425022,"INFUSION, DEXTRAN 40, 500 ML",108.7,108.7,29.24,243.49,43
CDM,2425103,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
CDM,2426004,SODIUM ACETATE 40 MEQ/20 ML VL,14.99,14.99,3.08,11.99,45
CDM,2426010,NON-COVERED ITEM OR SERVICE,16.7,16.7,4.49,32.57,45
CDM,2426018,NON-COVERED ITEM OR SERVICE,313.5,313.5,84.33,611.33,45
CDM,2426020,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426021,"INJECTION, MILRINONE LACTATE, 5 MG",8.15,8.15,2.19,18.25,48
CDM,2426022,"INJECTION, PROPOFOL, 10 MG",1.24,1.24,0.15,2.77,48
CDM,2426026,NON-COVERED ITEM OR SERVICE,11.38,11.38,3.06,22.2,45
CDM,2426027,NON-COVERED ITEM OR SERVICE,10.15,10.15,2.73,19.79,45
CDM,2426030,NON-COVERED ITEM OR SERVICE,6.69,6.69,1.8,13.05,45
CDM,2426034,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",25.3,25.3,3.51,56.66,48
CDM,2426035,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426037,NON-COVERED ITEM OR SERVICE,13.35,13.35,3.59,26.03,45
CDM,2426041,NON-COVERED ITEM OR SERVICE,35.95,35.95,9.67,70.1,45
CDM,2426043,NON-COVERED ITEM OR SERVICE,53.1,53.1,14.28,103.55,45
CDM,2426045,NON-COVERED ITEM OR SERVICE,43.65,43.65,11.74,85.12,45
CDM,2426048,"INJECTION, MELPHALAN HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 50 MG",1038.56,309.0,133.69,2326.38,62
CDM,2426051,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426054,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426056,"INJECTION, TOPOTECAN, 0.1 MG",33.21,33.21,1.59,74.4,48
CDM,2426061,NON-COVERED ITEM OR SERVICE,5.5,5.5,1.48,10.73,45
CDM,2426062,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426064,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG",123.5,123.5,19.83,276.64,48
CDM,2426069,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426076,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",33.57,33.57,2.17,75.21,48
CDM,2426079,NON-COVERED ITEM OR SERVICE,7.0,7.0,1.88,13.65,45
CDM,2426080,NON-COVERED ITEM OR SERVICE,126.7,126.7,34.08,247.07,45
CDM,2426086,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
CDM,2426091,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
CDM,2426092,NON-COVERED ITEM OR SERVICE,24.75,24.75,6.66,48.26,45
CDM,2426093,NON-COVERED ITEM OR SERVICE,6.95,6.95,1.87,13.55,45
CDM,2426094,"INJECTION, VALPROATE SODIUM, 5 MG",63.22,,17.01,141.62,43
CDM,2426096,NON-COVERED ITEM OR SERVICE,20.5,20.5,5.51,39.98,45
CDM,2426097,NON-COVERED ITEM OR SERVICE,24.0,24.0,6.46,46.8,45
CDM,2426098,NON-COVERED ITEM OR SERVICE,14.1,14.1,3.79,27.5,45
CDM,2426100,"INJECTION, ETHANOLAMINE OLEATE, 100 MG",1692.9,476.0,302.19,3792.1,62
CDM,2426102,"INJECTION, INSULIN, PER 5 UNITS",4.42,4.42,1.19,9.91,43
CDM,2426103,"INJECTION, INSULIN, PER 5 UNITS",12.46,12.46,3.35,27.92,43
CDM,2426105,"INJECTION, INSULIN, PER 5 UNITS",5.74,5.74,1.54,12.85,43
CDM,2426107,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2426108,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2426109,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2426110,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2426119,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
CDM,2426120,NON-COVERED ITEM OR SERVICE,13.85,13.85,3.73,27.01,45
CDM,2426121,NON-COVERED ITEM OR SERVICE,22.59,22.59,6.08,44.05,45
CDM,2426133,NON-COVERED ITEM OR SERVICE,11.05,11.05,2.97,21.55,45
CDM,2426134,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426135,NON-COVERED ITEM OR SERVICE,24.1,24.1,6.48,47.0,45
CDM,2426136,NON-COVERED ITEM OR SERVICE,11.05,11.05,2.97,21.55,45
CDM,2426137,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426138,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426139,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426140,NON-COVERED ITEM OR SERVICE,48.6,48.6,13.07,94.77,45
CDM,2426141,NON-COVERED ITEM OR SERVICE,55.55,55.55,14.94,108.32,45
CDM,2426144,"INJECTION, LEVOFLOXACIN, 250 MG",23.85,23.85,1.59,53.42,48
CDM,2426145,"INJECTION, LEVOFLOXACIN, 250 MG",12.13,12.13,1.59,27.16,48
CDM,2426149,NON-COVERED ITEM OR SERVICE,89.3,89.3,24.02,174.14,45
CDM,2426150,NON-COVERED ITEM OR SERVICE,86.15,86.15,23.17,167.99,45
CDM,2426151,NON-COVERED ITEM OR SERVICE,103.0,103.0,27.71,200.85,45
CDM,2426156,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
CDM,2426157,NON-COVERED ITEM OR SERVICE,6.2,6.2,1.67,12.09,45
CDM,2426159,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
CDM,2426165,NON-COVERED ITEM OR SERVICE,20.45,20.45,5.5,39.88,45
CDM,2426166,NON-COVERED ITEM OR SERVICE,23.85,23.85,6.42,46.51,45
CDM,2426170,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
CDM,2426172,NON-COVERED ITEM OR SERVICE,5.95,5.95,1.6,11.6,45
CDM,2426173,NON-COVERED ITEM OR SERVICE,9.8,9.8,2.64,19.11,45
CDM,2426174,NON-COVERED ITEM OR SERVICE,8.25,8.25,2.22,16.09,45
CDM,2426177,NON-COVERED ITEM OR SERVICE,14.4,14.4,3.87,28.08,45
CDM,2426182,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426183,NON-COVERED ITEM OR SERVICE,8.3,8.3,2.23,16.19,45
CDM,2426184,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426185,NON-COVERED ITEM OR SERVICE,21.2,21.2,5.7,41.34,45
CDM,2426190,NON-COVERED ITEM OR SERVICE,13.6,13.6,3.66,26.52,45
CDM,2426191,NON-COVERED ITEM OR SERVICE,18.2,18.2,4.9,35.49,45
CDM,2426192,NON-COVERED ITEM OR SERVICE,17.66,17.66,4.75,34.43,45
CDM,2426193,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
CDM,2426195,SILVER NITRATE APPLICATOR,25.15,25.15,5.17,20.12,45
CDM,2426196,NON-COVERED ITEM OR SERVICE,34.2,34.2,9.2,66.69,45
CDM,2426203,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426207,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
CDM,2426210,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG",1.93,1.93,0.28,4.31,48
CDM,2426212,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",43.75,43.75,0.12,98.0,48
CDM,2426216,"INJECTION, ENOXAPARIN SODIUM, 10 MG",9.23,9.23,0.98,20.66,48
CDM,2426223,"INJECTION, AZITHROMYCIN, 500 MG",29.44,29.44,3.7,65.94,48
CDM,2426224,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.06,45
CDM,2426226,NON-COVERED ITEM OR SERVICE,509.15,509.15,136.96,992.84,45
CDM,2426228,NON-COVERED ITEM OR SERVICE,8.32,8.32,2.24,16.23,45
CDM,2426229,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426230,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
CDM,2426231,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426232,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
CDM,2426233,"INJECTION, INSULIN, PER 5 UNITS",13.02,13.02,3.5,29.16,43
CDM,2426237,NON-COVERED ITEM OR SERVICE,10.5,10.5,2.82,20.48,45
CDM,2426238,NON-COVERED ITEM OR SERVICE,10.5,10.5,2.82,20.48,45
CDM,2426241,NON-COVERED ITEM OR SERVICE,21.65,21.65,5.82,42.22,45
CDM,2426243,NON-COVERED ITEM OR SERVICE,4.75,4.75,1.28,9.26,45
CDM,2426244,NON-COVERED ITEM OR SERVICE,8.95,8.95,2.41,17.45,45
CDM,2426249,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",1.19,1.19,0.12,2.66,48
CDM,2426251,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.88,7.88,0.98,17.64,48
CDM,2426252,NON-COVERED ITEM OR SERVICE,12.4,12.4,3.34,24.18,45
CDM,2426253,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG",926.78,163.0,80.88,2075.99,62
CDM,2426254,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG",1086.05,163.0,80.88,2432.75,62
CDM,2426257,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",1.66,1.66,0.19,3.73,48
CDM,2426260,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",3.29,3.29,0.19,7.38,48
CDM,2426261,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",1.98,1.98,0.19,4.44,48
CDM,2426263,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426265,NON-COVERED ITEM OR SERVICE,36.9,36.9,9.93,71.96,45
CDM,2426266,NON-COVERED ITEM OR SERVICE,54.2,54.2,14.58,105.69,45
CDM,2426267,NON-COVERED ITEM OR SERVICE,54.2,54.2,14.58,105.69,45
CDM,2426270,NON-COVERED ITEM OR SERVICE,107.75,107.75,28.98,210.11,45
CDM,2426271,NON-COVERED ITEM OR SERVICE,215.3,215.3,57.92,419.84,45
CDM,2426272,NON-COVERED ITEM OR SERVICE,15.25,15.25,4.1,29.74,45
CDM,2426273,NON-COVERED ITEM OR SERVICE,25.05,25.05,6.74,48.85,45
CDM,2426277,NON-COVERED ITEM OR SERVICE,15.55,15.55,4.18,30.32,45
CDM,2426281,NON-COVERED ITEM OR SERVICE,3.26,3.26,0.88,6.35,45
CDM,2426283,NON-COVERED ITEM OR SERVICE,34.35,34.35,9.24,66.98,45
CDM,2426286,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426288,ZINC SULFATE 10MG/ML  1ML,2.06,2.06,0.42,1.65,45
CDM,2426289,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426295,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",14.9,14.9,0.4,33.37,48
CDM,2426299,NON-COVERED ITEM OR SERVICE,38.44,38.44,10.34,74.96,45
CDM,2426300,NON-COVERED ITEM OR SERVICE,36.35,36.35,9.78,70.88,45
CDM,2426305,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
CDM,2426307,"ZIDOVUDINE, ORAL, 100 MG",3.88,3.88,1.04,8.7,45
CDM,2426313,MONSEL'S FERRIC SUBSULFATE SOL,62.0,62.0,12.75,49.6,45
CDM,2426316,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426320,NON-COVERED ITEM OR SERVICE,18.95,18.95,5.1,36.95,45
CDM,2426326,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",3.3,3.3,0.4,7.4,48
CDM,2426332,NON-COVERED ITEM OR SERVICE,664.2,664.2,178.67,1295.19,45
CDM,2426338,"INJECTION, PARICALCITOL, 1 MCG",8.32,8.32,1.67,18.64,48
CDM,2426339,"INJECTION, PARICALCITOL, 1 MCG",8.32,8.32,1.67,18.64,48
CDM,2426342,NON-COVERED ITEM OR SERVICE,11.85,11.85,3.19,23.11,45
CDM,2426343,NON-COVERED ITEM OR SERVICE,13.0,13.0,3.5,25.35,45
CDM,2426350,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
CDM,2426351,"INJECTION, GLUCAGON HYDROCHLORIDE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J1610, PER 1 MG",1108.05,,67.71,2482.03,59
CDM,2426352,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426359,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",132.89,132.89,2.17,297.68,48
CDM,2426360,CELLCEPT 500 MG VIAL,424.66,424.66,87.31,339.73,45
CDM,2426361,"INJECTION, DOPAMINE HCL, 40 MG",8.25,8.25,1.34,18.48,48
CDM,2426367,"INJECTION, CAFFEINE CITRATE, 5 MG",95.05,95.05,25.57,212.91,43
CDM,2426371,NON-COVERED ITEM OR SERVICE,9.55,9.55,2.57,18.62,45
CDM,2426372,NON-COVERED ITEM OR SERVICE,10.75,10.75,2.89,20.96,45
CDM,2426376,"HYDROXYUREA, ORAL, 500 MG",7.45,7.45,2.0,16.68,45
CDM,2426379,NON-COVERED ITEM OR SERVICE,15.75,15.75,4.24,30.71,45
CDM,2426380,NON-COVERED ITEM OR SERVICE,47.1,47.1,12.67,91.85,45
CDM,2426384,"INJECTION, CAFFEINE CITRATE, 5 MG",6.6,6.6,1.78,14.78,43
CDM,2426385,"INJECTION, MILRINONE LACTATE, 5 MG",31.67,31.67,2.36,70.94,48
CDM,2426386,NON-COVERED ITEM OR SERVICE,22.5,22.5,6.05,43.88,45
CDM,2426387,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426389,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",1.09,1.09,0.12,2.45,48
CDM,2426395,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
CDM,2426397,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2426398,NON-COVERED ITEM OR SERVICE,18.8,18.8,5.06,36.66,45
CDM,2426403,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",22.75,22.75,2.01,50.97,48
CDM,2426404,NON-COVERED ITEM OR SERVICE,82.5,82.5,22.19,160.88,45
CDM,2426405,PRECEDEX 200 MCG/2 ML VIAL,191.29,191.29,39.33,153.04,45
CDM,2426410,NON-COVERED ITEM OR SERVICE,12.77,12.77,3.43,24.89,45
CDM,2426413,NON-COVERED ITEM OR SERVICE,3.67,3.67,0.99,7.15,45
CDM,2426420,NON-COVERED ITEM OR SERVICE,12.05,12.05,3.24,23.5,45
CDM,2426423,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG",59.4,59.4,11.1,133.06,48
CDM,2426426,"MEGESTROL ACETATE, ORAL, 20 MG",1.01,1.01,0.27,2.27,45
CDM,2426427,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",27.1,27.1,0.4,60.7,48
CDM,2426431,NON-COVERED ITEM OR SERVICE,3.9,3.9,1.05,7.61,45
CDM,2426432,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426433,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
CDM,2426434,NON-COVERED ITEM OR SERVICE,10.9,10.9,2.93,21.26,45
CDM,2426435,NON-COVERED ITEM OR SERVICE,10.45,10.45,2.81,20.38,45
CDM,2426448,NON-COVERED ITEM OR SERVICE,12.1,12.1,3.25,23.6,45
CDM,2426449,NON-COVERED ITEM OR SERVICE,8.59,8.59,2.31,16.74,45
CDM,2426458,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG",167.75,167.75,45.12,375.76,48
CDM,2426465,"INJECTION, IRINOTECAN, 20 MG",49.5,49.5,4.61,110.88,48
CDM,2426466,"INJECTION, GEMCITABINE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 200 MG",36.6,36.6,5.6,81.98,48
CDM,2426475,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG",286.94,47.0,46.46,1487.55,62
CDM,2426478,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG",25.19,25.19,3.63,56.42,48
CDM,2426480,NON-COVERED ITEM OR SERVICE,46.2,46.2,12.43,90.09,45
CDM,2426481,NON-COVERED ITEM OR SERVICE,68.45,68.45,18.41,133.48,45
CDM,2426488,NON-COVERED ITEM OR SERVICE,59.85,59.85,16.1,116.71,45
CDM,2426491,IV FAT EMULS 20% 100ML,91.8,91.8,18.87,73.44,45
CDM,2426493,"INJECTION, ENOXAPARIN SODIUM, 10 MG",23.03,23.03,0.98,51.59,48
CDM,2426494,"INJECTION, ENOXAPARIN SODIUM, 10 MG",26.83,26.83,0.98,60.09,48
CDM,2426495,MEDICINAL LEECH   EACH,26.4,26.4,5.43,21.12,45
CDM,2426497,"INJECTION, TIROFIBAN HCL, 0.25 MG",18.93,4.0,5.09,42.4,59
CDM,2426607,NON-COVERED ITEM OR SERVICE,3.55,3.55,0.95,6.91,45
CDM,2426612,NON-COVERED ITEM OR SERVICE,9.92,9.92,2.67,19.35,45
CDM,2426626,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426627,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",4.6,4.6,0.02,10.3,48
CDM,2426634,ursodiol 60mg/mL Oral Syringe - Pedi,4.49,4.49,0.92,3.59,45
CDM,2426639,NON-COVERED ITEM OR SERVICE,2.77,2.77,0.74,5.39,45
CDM,2426645,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426654,NON-COVERED ITEM OR SERVICE,3.24,3.24,0.87,6.32,45
CDM,2426661,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426663,NON-COVERED ITEM OR SERVICE,29.6,29.6,7.96,57.72,45
CDM,2426664,NON-COVERED ITEM OR SERVICE,29.6,29.6,7.96,57.72,45
CDM,2426665,NON-COVERED ITEM OR SERVICE,35.9,35.9,9.66,70.01,45
CDM,2426667,NON-COVERED ITEM OR SERVICE,10.95,10.95,2.95,21.35,45
CDM,2426674,"INFUSION, D5W, 1000 CC",82.5,82.5,5.71,184.8,48
CDM,2426675,5% DEXTROSE/WATER (500 ML = 1 UNIT),101.1,101.1,2.85,226.46,48
CDM,2426676,5% DEXTROSE/WATER (500 ML = 1 UNIT),104.56,104.56,2.85,234.22,48
CDM,2426677,5% DEXTROSE/WATER (500 ML = 1 UNIT),77.96,77.96,2.85,174.63,48
CDM,2426678,"INFUSION, NORMAL SALINE SOLUTION, 250 CC",82.63,82.63,1.14,185.09,48
CDM,2426679,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC",82.44,82.44,4.57,184.67,48
CDM,2426680,"INFUSION, NORMAL SALINE SOLUTION, 250 CC",83.12,83.12,1.14,186.2,48
CDM,2426681,"INFUSION, D5W, 1000 CC",82.5,82.5,5.71,184.8,48
CDM,2426682,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),41.25,41.25,1.97,92.4,48
CDM,2426684,DEXTROSE 5%-0.45% NACL IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2426686,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT)",82.52,82.52,2.29,184.83,48
CDM,2426687,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC",82.5,82.5,4.57,184.8,48
CDM,2426688,SALINE 0.45% SOLN-EXCEL CON,82.5,82.5,16.96,66.0,45
CDM,2426689,MANNITOL 20% (100 GM/500 ML),82.5,82.5,16.96,66.0,45
CDM,2426690,DEXTROSE 5%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2426691,DEXTROSE 5%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2426692,"HYPERTONIC SALINE SOLUTION, 1 ML",82.5,82.5,22.19,184.8,43
CDM,2426703,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
CDM,2426704,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
CDM,2426705,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426718,NON-COVERED ITEM OR SERVICE,39.8,39.8,10.71,77.61,45
CDM,2426725,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426726,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426731,NON-COVERED ITEM OR SERVICE,227.0,227.0,61.06,442.65,45
CDM,2426735,NON-COVERED ITEM OR SERVICE,5.05,5.05,1.36,9.85,45
CDM,2426736,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
CDM,2426737,NON-COVERED ITEM OR SERVICE,16.95,16.95,4.56,33.05,45
CDM,2426738,NON-COVERED ITEM OR SERVICE,17.34,17.34,4.67,33.82,45
CDM,2426741,"SIROLIMUS, ORAL, 1 MG",56.3,56.3,2.27,126.11,48
CDM,2426749,NON-COVERED ITEM OR SERVICE,100.55,100.55,27.05,196.07,45
CDM,2426751,NON-COVERED ITEM OR SERVICE,134.1,134.1,36.07,261.5,45
CDM,2426754,ethyl alcohol 98% 5 mL ampule Inj,3611.85,3611.85,742.6,2889.48,45
CDM,2426755,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG",13.43,13.43,3.61,30.07,48
CDM,2426757,NON-COVERED ITEM OR SERVICE,1057.75,1057.75,284.53,2062.61,45
CDM,2426760,NON-COVERED ITEM OR SERVICE,9.5,9.5,2.56,18.53,45
CDM,2426761,NON-COVERED ITEM OR SERVICE,10.45,10.45,2.81,20.38,45
CDM,2426762,NON-COVERED ITEM OR SERVICE,15.75,15.75,4.24,30.71,45
CDM,2426765,DICLOFENAC 0.1% EYE DROPS,57.75,57.75,11.87,46.2,45
CDM,2426766,NON-COVERED ITEM OR SERVICE,40.25,40.25,10.83,78.49,45
CDM,2426770,NON-COVERED ITEM OR SERVICE,31.45,31.45,8.46,61.33,45
CDM,2426771,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
CDM,2426773,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",332.55,92.0,61.32,744.91,62
CDM,2426775,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426776,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426783,"CAPECITABINE, ORAL, 50 MG",12.91,,3.47,28.92,43
CDM,2426789,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG",31.17,31.17,2.02,69.81,48
CDM,2426790,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG",36.6,36.6,2.02,81.98,48
CDM,2426795,NON-COVERED ITEM OR SERVICE,100.1,100.1,26.93,195.2,45
CDM,2426798,NON-COVERED ITEM OR SERVICE,104.9,104.9,28.22,204.56,45
CDM,2426800,NON-COVERED ITEM OR SERVICE,916.8,916.8,246.62,1787.76,45
CDM,2426801,NON-COVERED ITEM OR SERVICE,916.8,916.8,246.62,1787.76,45
CDM,2426804,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG",3410.35,596.0,528.45,7639.18,64
CDM,2426806,"INJECTION, ZOLEDRONIC ACID, 1 MG",73.37,73.37,9.73,164.35,48
CDM,2426825,"INJECTION, BUMETANIDE, 0.5 MG",6.46,6.46,1.74,14.47,43
CDM,2426826,NON-COVERED ITEM OR SERVICE,46.2,46.2,12.43,90.09,45
CDM,2426832,NON-COVERED ITEM OR SERVICE,131.75,131.75,35.44,256.91,45
CDM,2426833,NON-COVERED ITEM OR SERVICE,122.15,122.15,32.86,238.19,45
CDM,2426835,ANAKINRA 100MG SYRINGE,515.05,515.05,105.89,412.04,45
CDM,2426841,NON-COVERED ITEM OR SERVICE,224.4,224.4,60.36,437.58,45
CDM,2426844,NON-COVERED ITEM OR SERVICE,75.25,75.25,20.24,146.74,45
CDM,2426845,NON-COVERED ITEM OR SERVICE,125.8,125.8,33.84,245.31,45
CDM,2426852,"INJECTION, LINEZOLID, 200 MG",121.0,121.0,4.46,271.04,48
CDM,2426853,NON-COVERED ITEM OR SERVICE,603.9,603.9,162.45,1177.61,45
CDM,2426854,NON-COVERED ITEM OR SERVICE,90.21,90.21,24.27,175.91,45
CDM,2426855,"INJECTION, MEROPENEM, 100 MG",12.03,12.03,0.55,26.95,48
CDM,2426856,"INJECTION, MEROPENEM, 100 MG",7.92,7.92,0.55,17.74,48
CDM,2426857,"INJECTION, THIAMINE HCL, 100 MG",31.08,31.08,3.3,69.62,48
CDM,2426859,NON-COVERED ITEM OR SERVICE,46.0,46.0,12.37,89.7,45
CDM,2426861,SODIUM CHLORIDE 10% VIAL,3.85,3.85,0.79,3.08,45
CDM,2426866,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
CDM,2426867,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
CDM,2426879,NON-COVERED ITEM OR SERVICE,1091.05,1091.05,293.49,2127.55,45
CDM,2426884,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.74,45
CDM,2426886,NON-COVERED ITEM OR SERVICE,1.22,1.22,0.33,2.37,45
CDM,2426889,NON-COVERED ITEM OR SERVICE,1.72,1.72,0.46,3.35,45
CDM,2426891,"INJECTION, ZIPRASIDONE MESYLATE, 10 MG",93.08,93.08,13.74,208.49,48
CDM,2426894,NON-COVERED ITEM OR SERVICE,43.05,43.05,11.58,83.95,45
CDM,2426895,NON-COVERED ITEM OR SERVICE,172.2,172.2,46.32,335.79,45
CDM,2426896,"INJECTION, VORICONAZOLE, 10 MG",29.69,29.69,1.18,66.5,48
CDM,2426897,"INJECTION, ERTAPENEM SODIUM, 500 MG",247.5,247.5,18.26,554.4,48
CDM,2426900,"HYDRO,4MG-0.125%20MCG/ML200ML",252.45,252.45,51.9,201.96,45
CDM,2426903,NON-COVERED ITEM OR SERVICE,43.15,43.15,11.61,84.14,45
CDM,2426904,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",329.87,,88.74,738.91,48
CDM,2426907,"INJECTION, PROPOFOL, 10 MG",1.19,1.19,0.15,2.67,48
CDM,2426908,NON-COVERED ITEM OR SERVICE,51.05,51.05,13.73,99.55,45
CDM,2426912,CAFFEINE-SOD BENZOAT 250 MG/ML,72.2,72.2,14.84,57.76,45
CDM,2426915,"INJECTION, OXALIPLATIN, 0.5 MG",356.6,356.6,0.13,798.78,48
CDM,2426917,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426918,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426920,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426927,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG",3.85,3.85,1.04,8.62,48
CDM,2426935,NON-COVERED ITEM OR SERVICE,940.35,940.35,252.95,1833.68,45
CDM,2426942,"INJECTION, BIVALIRUDIN, 1 MG",8.36,8.36,0.34,79.72,59
CDM,2426944,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426946,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2426947,NON-COVERED ITEM OR SERVICE,102.0,102.0,27.44,198.9,45
CDM,2426948,NON-COVERED ITEM OR SERVICE,166.5,166.5,44.79,324.68,45
CDM,2426949,NON-COVERED ITEM OR SERVICE,136.7,136.7,36.77,266.57,45
CDM,2426952,NON-COVERED ITEM OR SERVICE,16.4,16.4,4.41,31.98,45
CDM,2426954,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
CDM,2426960,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
CDM,2426961,NON-COVERED ITEM OR SERVICE,16.25,16.25,4.37,31.69,45
CDM,2426962,NON-COVERED ITEM OR SERVICE,19.0,19.0,5.11,37.05,45
CDM,2426963,NON-COVERED ITEM OR SERVICE,29.55,29.55,7.95,57.62,45
CDM,2426967,NON-COVERED ITEM OR SERVICE,37.7,37.7,10.14,73.52,45
CDM,2426968,NON-COVERED ITEM OR SERVICE,66.8,66.8,17.97,130.26,45
CDM,2426975,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",368.05,,99.01,824.43,48
CDM,2426976,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2426979,NON-COVERED ITEM OR SERVICE,53.15,53.15,14.3,103.64,45
CDM,2426980,"INJECTION, CEFAZOLIN SODIUM, 500 MG",22.48,22.48,1.39,50.34,48
CDM,2426983,NON-COVERED ITEM OR SERVICE,15.8,15.8,4.25,30.81,45
CDM,2426994,NON-COVERED ITEM OR SERVICE,370.85,370.85,99.76,723.16,45
CDM,2426995,NON-COVERED ITEM OR SERVICE,1302.4,1302.4,350.35,2539.68,45
CDM,2426999,NON-COVERED ITEM OR SERVICE,10.8,10.8,2.91,21.06,45
CDM,2427002,sodium bicarbonate 4.2% Inj 5 mEq/10 mL less than 2 years old,42.84,42.84,8.81,34.27,45
CDM,2427007,NON-COVERED ITEM OR SERVICE,99.15,99.15,26.67,193.34,45
CDM,2427009,SODIUM BICARB 8.4% SYRINGE,39.6,39.6,8.14,31.68,45
CDM,2427010,POTASSIUM ACET 40 MEQ/20 ML VL,40.19,40.19,8.26,32.15,45
CDM,2427020,NON-COVERED ITEM OR SERVICE,3.84,3.84,1.03,7.49,45
CDM,2427030,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427039,"INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG",80.02,8.0,8.9,156.04,51
CDM,2427041,NON-COVERED ITEM OR SERVICE,30.9,30.9,8.31,60.26,45
CDM,2427043,NON-COVERED ITEM OR SERVICE,9.4,9.4,2.53,18.33,45
CDM,2427044,"INJECTION, AMPICILLIN SODIUM, 500 MG",13.83,13.83,1.5,30.97,48
CDM,2427046,BACTERIOSTATIC SALINE VIAL,7.55,7.55,2.03,16.92,43
CDM,2427049,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2427050,"INJECTION, OXYTOCIN, UP TO 10 UNITS",15.78,15.78,4.25,35.36,43
CDM,2427051,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427052,UNCLASSIFIED DRUGS,7.06,7.06,1.9,15.81,43
CDM,2427055,NON-COVERED ITEM OR SERVICE,31.6,31.6,8.5,61.62,45
CDM,2427057,"INJECTION, AMPICILLIN SODIUM, 500 MG",16.5,16.5,1.5,36.96,48
CDM,2427058,"MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG",37.36,,10.05,83.68,43
CDM,2427059,"AZATHIOPRINE, ORAL, 50 MG",24.2,24.2,3.12,54.21,48
CDM,2427061,"INJECTION, MINOCYCLINE HYDROCHLORIDE, 1 MG",7.66,2.0,2.06,17.17,51
CDM,2427067,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
CDM,2427073,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",41.84,41.84,11.26,93.73,48
CDM,2427074,"INJECTION, BORTEZOMIB, 0.1 MG",33.94,41.0,9.13,109.84,59
CDM,2427075,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",74.6,74.6,12.89,167.11,48
CDM,2427076,"INJECTION, NITROGLYCERIN, 5 MG",89.26,,24.01,199.93,48
CDM,2427077,"INJECTION, VASOPRESSIN, 1 UNIT",14.85,,3.99,33.26,48
CDM,2427078,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",10.31,10.31,0.86,23.1,48
CDM,2427079,sodium bicarbonate 8.4% Inj 50mL vial,34.71,34.71,7.14,27.77,45
CDM,2427080,NON-COVERED ITEM OR SERVICE,116.85,116.85,31.43,227.86,45
CDM,2427081,"INJECTION, LEVOFLOXACIN, 250 MG",14.53,14.53,1.59,32.55,48
CDM,2427082,ACETIC ACID 0.25% IRRIG SOLN,16.5,16.5,3.39,13.2,45
CDM,2427083,NON-COVERED ITEM OR SERVICE,7.55,7.55,2.03,14.72,45
CDM,2427085,"INJECTION, AMPICILLIN SODIUM, 500 MG",9.9,9.9,1.5,22.18,48
CDM,2427086,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
CDM,2427088,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427089,"INJECTION, PROTAMINE SULFATE, PER 10 MG",5.84,5.84,1.51,13.08,48
CDM,2427090,NON-COVERED ITEM OR SERVICE,38.55,38.55,10.37,75.17,45
CDM,2427093,MIFEPRISTONE 200MG TAB,297.0,297.0,61.06,237.6,45
CDM,2427094,SPIRIVA HANDIHALER 18 MCG CAP,374.9,374.9,77.08,299.92,45
CDM,2427097,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
CDM,2427102,"ESTRADIOL, TRANSD 0.025MG",72.95,72.95,15.0,58.36,45
CDM,2427118,CALCITRIOL 1 MCG/ML SOLUTION,17.68,17.68,3.63,14.14,45
CDM,2427126,NON-COVERED ITEM OR SERVICE,13.05,13.05,3.51,25.45,45
CDM,2427131,foliC acid 1mg/mL Oral Syringe - Pedi,3.85,3.85,0.79,3.08,45
CDM,2427145,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",1.23,1.23,0.33,2.75,43
CDM,2427153,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",19.8,19.8,5.33,44.35,43
CDM,2427159,NON-COVERED ITEM OR SERVICE,20.8,20.8,5.6,40.56,45
CDM,2427163,NON-COVERED ITEM OR SERVICE,39.25,39.25,10.56,76.54,45
CDM,2427184,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",3.85,3.85,1.04,8.62,43
CDM,2427194,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427202,NON-COVERED ITEM OR SERVICE,2.77,2.77,0.74,5.4,45
CDM,2427238,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
CDM,2427240,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG",2.73,2.73,0.74,24.66,48
CDM,2427248,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",2.06,2.06,0.55,4.61,43
CDM,2427257,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",12.44,12.44,3.35,27.88,43
CDM,2427281,NON-COVERED ITEM OR SERVICE,74.5,74.5,20.04,145.28,45
CDM,2427282,NON-COVERED ITEM OR SERVICE,10.56,10.56,2.84,20.59,45
CDM,2427286,GRISEOFULVIN 125 MG/5 ML SUSP,16.33,16.33,3.36,13.06,45
CDM,2427292,NON-COVERED ITEM OR SERVICE,201.32,201.32,54.15,392.57,45
CDM,2427297,NON-COVERED ITEM OR SERVICE,5.5,5.5,1.48,10.72,45
CDM,2427299,NON-COVERED ITEM OR SERVICE,3.82,3.82,1.03,7.46,45
CDM,2427300,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
CDM,2427301,NON-COVERED ITEM OR SERVICE,17.0,17.0,4.57,33.15,45
CDM,2427302,NON-COVERED ITEM OR SERVICE,3.82,3.82,1.03,7.45,45
CDM,2427307,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427308,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427309,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",41.25,41.25,0.86,92.4,48
CDM,2427312,NON-COVERED ITEM OR SERVICE,4.24,4.24,1.14,8.27,45
CDM,2427318,NON-COVERED ITEM OR SERVICE,8.0,8.0,2.15,15.6,45
CDM,2427319,"INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)",8.58,8.58,0.72,19.22,48
CDM,2427376,NON-COVERED ITEM OR SERVICE,2.09,2.09,0.56,4.07,45
CDM,2427380,NON-COVERED ITEM OR SERVICE,4.87,4.87,1.31,9.5,45
CDM,2427385,ETHOSUXIMIDE SYRUP  5ML,8.2,8.2,1.69,6.56,45
CDM,2427386,"DEXAMETHASONE, ORAL, 0.25 MG",4.35,4.35,0.12,9.75,48
CDM,2427412,NON-COVERED ITEM OR SERVICE,9.09,9.09,2.45,17.73,45
CDM,2427442,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",16.5,16.5,3.14,36.96,48
CDM,2427443,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",8.6,8.6,2.31,19.26,48
CDM,2427464,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",23.38,23.38,2.01,52.36,48
CDM,2427473,UNCLASSIFIED DRUGS,23.0,23.0,6.19,51.52,43
CDM,2427504,"INJECTION, AMPICILLIN SODIUM, 500 MG",93.5,93.5,1.5,209.44,48
CDM,2427505,"MYCOPHENOLIC ACID, ORAL, 180 MG",19.5,19.5,0.64,43.68,48
CDM,2427506,"MYCOPHENOLIC ACID, ORAL, 180 MG",19.35,19.35,0.64,43.34,48
CDM,2427508,NON-COVERED ITEM OR SERVICE,10.1,10.1,2.72,19.7,45
CDM,2427514,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",14.78,14.78,3.51,33.11,48
CDM,2427517,"INJECTION, AZACITIDINE, 1 MG",7.92,1.0,0.74,35.26,59
CDM,2427519,NON-COVERED ITEM OR SERVICE,12.03,12.03,3.24,23.46,45
CDM,2427522,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427524,MURI-LUBE MINERAL OIL VIAL,55.14,55.14,11.34,44.11,45
CDM,2427525,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.41,7.41,0.71,16.59,48
CDM,2427526,NON-COVERED ITEM OR SERVICE,786.4,786.4,211.54,1533.48,45
CDM,2427527,NON-COVERED ITEM OR SERVICE,1052.8,1052.8,283.2,2052.96,45
CDM,2427530,NON-COVERED ITEM OR SERVICE,63.75,63.75,17.15,124.31,45
CDM,2427531,NON-COVERED ITEM OR SERVICE,14.9,14.9,4.01,29.06,45
CDM,2427532,NON-COVERED ITEM OR SERVICE,13.5,13.5,3.63,26.33,45
CDM,2427533,NON-COVERED ITEM OR SERVICE,14.1,14.1,3.79,27.5,45
CDM,2427536,NON-COVERED ITEM OR SERVICE,9.0,9.0,2.42,17.55,45
CDM,2427537,NON-COVERED ITEM OR SERVICE,9.25,9.25,2.49,18.04,45
CDM,2427538,NON-COVERED ITEM OR SERVICE,8.6,8.6,2.31,16.77,45
CDM,2427540,NON-COVERED ITEM OR SERVICE,243.2,243.2,65.42,474.24,45
CDM,2427546,"INJECTION, TIGECYCLINE, 1 MG",8.24,8.24,0.99,18.45,48
CDM,2427548,NON-COVERED ITEM OR SERVICE,33.8,33.8,9.09,65.91,45
CDM,2427549,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",1.6,1.6,0.19,3.59,48
CDM,2427550,ALBUTEROL HFA 90 MCG INHALER,244.3,244.3,50.23,195.44,45
CDM,2427553,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG",23.64,23.64,5.55,52.95,48
CDM,2427554,NON-COVERED ITEM OR SERVICE,915.0,915.0,246.14,1784.25,45
CDM,2427563,sodium hyaluronate 10mg/mL 0.55mL,456.7,456.7,93.9,365.36,45
CDM,2427568,"INFUSION, ALBUMIN (HUMAN), 25%, 50 ML",182.2,55.0,49.01,408.13,59
CDM,2427574,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.87,7.87,0.98,17.63,48
CDM,2427575,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.87,7.87,0.98,17.63,48
CDM,2427576,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427578,NON-COVERED ITEM OR SERVICE,26.4,26.4,7.1,51.48,45
CDM,2427581,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",23.19,23.19,0.4,51.95,48
CDM,2427583,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.61,24.61,0.4,55.13,48
CDM,2427586,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427590,NON-COVERED ITEM OR SERVICE,512.85,512.85,137.96,1000.06,45
CDM,2427596,NON-COVERED ITEM OR SERVICE,38.9,38.9,10.46,75.86,45
CDM,2427599,"INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG",62.57,13.0,13.54,1045.04,62
CDM,2427600,NON-COVERED ITEM OR SERVICE,29.55,29.55,7.95,57.62,45
CDM,2427601,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
CDM,2427602,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
CDM,2427603,NON-COVERED ITEM OR SERVICE,102.05,102.05,27.45,199.0,45
CDM,2427604,NON-COVERED ITEM OR SERVICE,204.1,204.1,54.9,398.0,45
CDM,2427605,NON-COVERED ITEM OR SERVICE,306.15,306.15,82.35,596.99,45
CDM,2427607,NON-COVERED ITEM OR SERVICE,42.8,42.8,11.51,83.46,45
CDM,2427616,"5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC",82.5,82.5,22.19,184.8,43
CDM,2427617,"RINGERS LACTATE INFUSION, UP TO 1000 CC",82.5,82.5,4.17,184.8,48
CDM,2427618,"RINGERS LACTATE INFUSION, UP TO 1000 CC",82.5,82.5,4.17,184.8,48
CDM,2427620,"INJECTION, LEVETIRACETAM, 10 MG",3.88,3.88,0.09,8.7,48
CDM,2427621,NON-COVERED ITEM OR SERVICE,1106.05,1106.05,297.53,2156.8,45
CDM,2427627,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",1.29,1.29,0.35,2.89,43
CDM,2427629,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",174.25,92.0,46.87,390.32,62
CDM,2427631,UNCLASSIFIED DRUGS,13.98,13.98,3.76,31.31,43
CDM,2427634,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",14.72,1.0,3.96,79.72,59
CDM,2427649,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",3.85,3.85,1.04,12.89,48
CDM,2427650,"INJECTION, DOPAMINE HCL, 40 MG",3.85,3.85,1.04,8.62,48
CDM,2427653,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.41,7.41,0.71,16.59,48
CDM,2427654,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.93,,1.59,13.27,43
CDM,2427660,"INJECTION, FENTANYL CITRATE, 0.1 MG",17.0,17.0,1.42,38.08,48
CDM,2427662,"INJECTION, FUROSEMIDE, 1 MG",7.69,,2.07,17.22,43
CDM,2427664,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",1.11,1.11,0.03,2.49,48
CDM,2427668,"INJECTION, INSULIN, PER 5 UNITS",3.85,3.85,1.04,8.62,43
CDM,2427669,"INJECTION, INSULIN, PER 5 UNITS",3.85,3.85,1.04,8.62,43
CDM,2427674,UNCLASSIFIED DRUGS,1.93,1.93,0.52,4.31,48
CDM,2427678,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",8.79,8.79,0.86,19.7,48
CDM,2427679,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",2.79,2.79,0.75,6.26,48
CDM,2427691,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",8.91,8.91,1.54,19.96,48
CDM,2427695,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG",102.25,102.25,27.51,229.04,54
CDM,2427706,"TACROLIMUS, PARENTERAL, 5 MG",66.64,243.0,17.93,254.67,62
CDM,2427709,"INJECTION, VASOPRESSIN, 1 UNIT",7.43,,2.0,16.63,48
CDM,2427710,VECURONIUM 1MG/ML PEDI,2.58,2.58,0.53,2.06,45
CDM,2427715,DEXMEDETOMIDINE 4MCG/ML PEDI,1.52,1.52,0.31,1.22,45
CDM,2427716,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.93,,1.59,13.27,43
CDM,2427717,STERILE WATER FOR INJECTION,82.5,82.5,16.96,66.0,45
CDM,2427720,"INJECTION, IBUPROFEN, 100 MG",843.15,843.15,226.81,1888.66,43
CDM,2427721,"INJECTION, ERTAPENEM SODIUM, 500 MG",154.16,154.16,18.26,345.31,48
CDM,2427726,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",42.45,42.45,1.84,95.08,48
CDM,2427727,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",28.3,28.3,1.84,63.38,48
CDM,2427738,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG",48.77,48.77,13.12,109.24,48
CDM,2427744,"INJECTION, AMIKACIN SULFATE, 100 MG",7.82,7.82,1.34,17.52,48
CDM,2427750,"INJECTION, BUMETANIDE, 0.5 MG",3.9,3.9,1.05,8.74,43
CDM,2427757,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",25.41,25.41,2.17,56.93,48
CDM,2427762,"INJECTION, CEFOXITIN SODIUM, 1 GM",23.54,23.54,6.33,52.73,48
CDM,2427771,"INJECTION, CIDOFOVIR, 375 MG",988.53,643.0,195.75,2214.3,62
CDM,2427772,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",12.8,12.8,3.14,28.67,48
CDM,2427773,"INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG",5.05,5.05,1.36,11.31,43
CDM,2427775,"INJECTION, SULFAMETHOXAZOLE 5 MG AND TRIMETHOPRIM 1 MG",33.52,,9.02,75.09,43
CDM,2427781,UNCLASSIFIED DRUGS,1.04,1.04,0.28,2.34,43
CDM,2427786,"INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM",4.16,1.0,0.98,103.34,62
CDM,2427788,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT",66.01,66.01,17.76,147.87,48
CDM,2427790,"INJECTION, GANCICLOVIR SODIUM, 500 MG",196.33,196.33,52.81,439.77,48
CDM,2427792,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",9.34,9.34,2.51,20.92,48
CDM,2427793,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",7.46,7.46,2.01,33.75,48
CDM,2427797,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",2.7,2.7,0.19,6.05,48
CDM,2427798,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",5.19,5.19,0.19,11.62,48
CDM,2427799,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",9.63,9.63,0.19,21.57,48
CDM,2427807,UNCLASSIFIED DRUGS,26.9,26.9,7.24,60.26,43
CDM,2427810,"INJECTION, LEVOFLOXACIN, 250 MG",7.74,7.74,1.59,17.35,48
CDM,2427813,NON-COVERED ITEM OR SERVICE,12.45,12.45,3.35,24.28,45
CDM,2427814,NON-COVERED ITEM OR SERVICE,12.45,12.45,3.35,24.28,45
CDM,2427820,NON-COVERED ITEM OR SERVICE,5.25,5.25,1.41,10.24,45
CDM,2427824,NON-COVERED ITEM OR SERVICE,79.55,79.55,21.4,155.12,45
CDM,2427826,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG",110.0,110.0,7.52,246.4,48
CDM,2427833,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG",106.93,106.93,19.83,239.53,48
CDM,2427835,"INJECTION, LINEZOLID, 200 MG",169.71,169.71,4.46,380.14,48
CDM,2427836,"INJECTION, MEROPENEM, 100 MG",16.89,16.89,0.55,37.84,48
CDM,2427837,NON-COVERED ITEM OR SERVICE,9.0,9.0,2.42,17.55,45
CDM,2427838,NON-COVERED ITEM OR SERVICE,9.45,9.45,2.54,18.43,45
CDM,2427839,"INJECTION, PROPOFOL, 10 MG",1.19,1.19,0.15,2.66,48
CDM,2427841,UNCLASSIFIED DRUGS,15.72,15.72,4.23,35.21,43
CDM,2427845,NON-COVERED ITEM OR SERVICE,80.15,80.15,21.56,156.29,45
CDM,2427847,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427848,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427850,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",1.84,,0.49,4.11,43
CDM,2427852,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG",7.73,7.73,1.6,17.32,48
CDM,2427855,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",1.66,1.66,0.45,3.71,48
CDM,2427857,"INJECTION, PENTAMIDINE ISETHIONATE, 1 MG",13.22,,3.56,29.61,43
CDM,2427861,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",45.53,45.53,2.01,101.99,48
CDM,2427866,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25 MG",2351.73,940.0,632.62,5267.87,62
CDM,2427867,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",4.57,4.57,1.23,10.23,48
CDM,2427869,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.95,,0.53,4.37,43
CDM,2427872,"INJECTION, VORICONAZOLE, 10 MG",59.38,59.38,1.18,133.01,48
CDM,2427873,"INJECTION, ZIDOVUDINE, 10 MG",3.6,3.6,0.97,8.07,48
CDM,2427876,"INJECTION, METHOTREXATE SODIUM, 50 MG",10.0,10.0,2.69,22.4,48
CDM,2427882,"INJECTION, MESNA, 200 MG",44.64,44.64,3.03,99.99,48
CDM,2427886,"INJECTION, AMPICILLIN SODIUM, 500 MG",51.68,51.68,1.5,115.75,48
CDM,2427893,"MITOMYCIN, INTRAVESICAL INSTILLATION, 1 MG",583.96,,157.08,1308.06,48
CDM,2427917,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",4.07,4.07,0.64,9.11,48
CDM,2427919,NON-COVERED ITEM OR SERVICE,15.1,15.1,4.06,29.45,45
CDM,2427920,NON-COVERED ITEM OR SERVICE,23.3,23.3,6.27,45.44,45
CDM,2427921,NON-COVERED ITEM OR SERVICE,27.45,27.45,7.38,53.53,45
CDM,2427922,NON-COVERED ITEM OR SERVICE,35.75,35.75,9.62,69.71,45
CDM,2427926,NON-COVERED ITEM OR SERVICE,14.55,14.55,3.91,28.37,45
CDM,2427938,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427954,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
CDM,2427955,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427957,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",4.15,4.15,1.12,12.89,48
CDM,2427959,"INJECTION, DOPAMINE HCL, 40 MG",2.41,2.41,0.65,5.39,48
CDM,2427964,KETAMINE 10MG/ML PEDI,3.98,3.98,0.82,3.19,45
CDM,2427965,"INJECTION, MILRINONE LACTATE, 5 MG",10.35,10.35,2.36,23.19,48
CDM,2427970,NITROPRUSSIDE 1000 MCG/ML PEDI,1.65,1.65,0.34,1.32,45
CDM,2427972,NOREPINEPHRINE 128 MCG/ML PEDI,1.83,1.83,0.38,1.46,45
CDM,2427977,"INJECTION, VASOPRESSIN, 1 UNIT",14.85,,3.99,33.26,48
CDM,2427984,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2427986,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",36.07,36.07,1.84,80.8,48
CDM,2427992,NON-COVERED ITEM OR SERVICE,183.41,183.41,49.34,357.64,45
CDM,2427995,NON-COVERED ITEM OR SERVICE,9.45,9.45,2.54,18.43,45
CDM,2427999,NON-COVERED ITEM OR SERVICE,30.6,30.6,8.23,59.67,45
CDM,2428003,"INFUSION, ALBUMIN (HUMAN), 25%, 50 ML",195.29,55.0,52.53,437.44,59
CDM,2428004,"INFUSION, ALBUMIN (HUMAN), 5%, 250 ML",356.4,55.0,53.08,798.34,62
CDM,2428005,ROCuronium 50 mg/5 mL Inj Syring-Tra,83.85,83.85,17.24,67.08,45
CDM,2428006,"INJECTION, LORAZEPAM, 2 MG",5.3,5.3,1.43,11.87,48
CDM,2428007,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",1.63,,0.44,3.64,43
CDM,2428011,"INJECTION, THYROTROPIN ALPHA, 0.9 MG, PROVIDED IN 1.1 MG VIAL",6437.0,2006.0,528.45,14418.88,64
CDM,2428018,Rabies immune globulin for injection,1326.89,222.0,280.37,2587.44,64
CDM,2428021,FIRVANQ 50 MG/ML SOLUTION,2.48,2.48,0.51,1.98,45
CDM,2428024,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428027,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
CDM,2428028,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",3.3,3.3,0.89,7.39,43
CDM,2428035,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML",316.43,73.0,65.94,708.8,62
CDM,2428037,ATRACURIUM 100 MG/10 ML VIAL,62.7,62.7,12.89,50.16,45
CDM,2428041,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",3.63,3.63,0.98,8.13,43
CDM,2428045,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",156.31,156.31,42.05,350.13,59
CDM,2428049,"INJECTION, AMPHOTERICIN B, 50 MG",112.0,112.0,30.13,250.87,48
CDM,2428053,"Measles, mumps, and rubella vaccine",364.8,364.8,22.56,711.36,61
CDM,2428060,"INJECTION, ROMIPLOSTIM, 1 MICROGRAM",25.19,,6.78,56.43,48
CDM,2428061,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",62.49,17.0,16.81,139.99,62
CDM,2428064,"INJECTION, RITUXIMAB, 10 MG",372.05,86.0,76.73,3435.91,62
CDM,2428073,"VINCRISTINE SULFATE, 1 MG",91.67,91.67,14.43,205.33,48
CDM,2428085,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS",2203.35,560.0,79.49,4935.5,62
CDM,2428092,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS",9584.87,1851.0,803.87,21470.11,64
CDM,2428099,"INJECTION, BELATACEPT, 1 MG",15.36,4.0,3.93,686.99,62
CDM,2428106,"INJECTION, VINBLASTINE SULFATE, 1 MG",5.82,5.82,1.57,13.04,48
CDM,2428109,Rabies vaccine for injection into muscle,1501.05,363.0,92.1,2927.05,64
CDM,2428111,"INFUSION, ALBUMIN (HUMAN), 25%, 20 ML",108.9,22.0,21.23,243.94,62
CDM,2428119,"INJECTION, PROTAMINE SULFATE, PER 10 MG",9.71,9.71,1.51,21.75,48
CDM,2428124,"INJECTION, BEVACIZUMAB, 10 MG",1257.03,73.0,73.19,2815.74,62
CDM,2428125,"INJECTION, CARBOPROST TROMETHAMINE, 0.1 MG",980.5,,263.75,2196.32,43
CDM,2428129,VITAMIN A 2ML 50000U/ML INJ,23.8,23.8,4.89,19.04,45
CDM,2428131,PEDVAXHIB VACCINE VIAL,117.2,117.2,24.1,93.76,45
CDM,2428134,"INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG",107.4,107.4,28.89,240.58,48
CDM,2428137,NON-COVERED ITEM OR SERVICE,74.75,74.75,20.11,145.76,45
CDM,2428139,"DACARBAZINE, 100 MG",32.3,32.3,6.12,72.35,48
CDM,2428150,INFUVITE ADULT VIAL,801.1,801.1,164.71,640.88,45
CDM,2428151,"INFUSION, ALBUMIN (HUMAN), 5%, 250 ML",356.64,55.0,53.08,798.87,62
CDM,2428152,"INJECTION, CISPLATIN, POWDER OR SOLUTION, 10 MG",20.98,20.98,5.64,46.99,48
CDM,2428153,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",1.07,1.07,0.29,2.4,43
CDM,2428155,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",175.95,175.95,22.56,343.1,61
CDM,2428161,"INJECTION, DOCETAXEL, 1 MG",60.25,60.25,1.47,134.96,59
CDM,2428165,ATRACURIUM 50 MG/5 ML VIAL,16.5,16.5,3.39,13.2,45
CDM,2428166,TUBERSOL 5T UNIT/0.1 ML VIAL,20.8,20.8,4.28,16.64,45
CDM,2428167,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG",58.91,8.0,4.95,131.95,62
CDM,2428174,"INJECTION, PENTAMIDINE ISETHIONATE, 1 MG",660.9,,177.78,1480.42,43
CDM,2428188,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
CDM,2428189,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
CDM,2428191,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
CDM,2428194,"INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG",44.78,44.78,12.04,100.3,48
CDM,2428195,"INJECTION, FOLIC ACID, 0.1 MG",16.59,,4.46,37.16,43
CDM,2428197,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
CDM,2428198,"VINCRISTINE SULFATE, 1 MG",55.0,55.0,14.43,123.2,48
CDM,2428207,NON-COVERED ITEM OR SERVICE,812.65,812.65,218.6,1584.67,45
CDM,2428229,CARBAGLU 200 MG TAB FOR SUSP,370.15,370.15,76.1,296.12,45
CDM,2428230,"INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM",4.04,1.0,0.98,103.34,62
CDM,2428234,CUSTODIOL HTK PERFUSION SOLN,861.3,861.3,177.08,689.04,45
CDM,2428235,"INJECTION, INSULIN, PER 5 UNITS",6.93,6.93,1.86,15.52,43
CDM,2428239,"INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG",148.19,37.0,39.86,3435.91,62
CDM,2428240,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",6.93,6.93,1.54,15.52,48
CDM,2428241,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",8.92,8.92,1.54,19.99,48
CDM,2428242,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",9.85,9.85,1.54,22.06,48
CDM,2428243,"INJECTION, PERTUZUMAB, 1 MG",59.75,15.0,16.07,3435.91,62
CDM,2428245,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG",9069.64,2897.0,2439.73,20316.0,64
CDM,2428251,"Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine",487.95,487.95,92.1,951.5,61
CDM,2428254,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",16.5,,4.44,36.96,43
CDM,2428256,"INJECTION, CEFTAZIDIME, PER 500 MG",16.5,16.5,2.75,36.96,48
CDM,2428260,ROCURONIUM 50 MG/5 ML VIAL,15.79,15.79,3.25,12.63,45
CDM,2428263,ROCURONIUM 100 MG/10 ML VIAL,27.75,27.75,5.71,22.2,45
CDM,2428267,"INJECTION, AMPHOTERICIN B, 50 MG",16.5,16.5,4.44,79.73,48
CDM,2428271,"INJECTION, CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG",24.79,7.0,6.67,88.03,62
CDM,2428272,"INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG",96.05,23.0,21.67,4123.13,62
CDM,2428273,NON-COVERED ITEM OR SERVICE,11.43,11.43,3.08,22.29,45
CDM,2428275,NON-COVERED ITEM OR SERVICE,1.0,1.0,0.27,1.96,45
CDM,2428277,"INJECTION, PANITUMUMAB, 10 MG",621.51,145.0,165.71,3435.91,62
CDM,2428281,"INJECTION, POSACONAZOLE, 1 MG",2096.4,,563.93,4695.94,48
CDM,2428282,"INJECTION, FOSAPREPITANT, 1 MG",7.07,7.07,0.28,15.83,48
CDM,2428284,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",384.62,44.0,49.3,1045.04,62
CDM,2428285,"INJECTION, ISAVUCONAZONIUM, 1 MG",3.46,1.0,0.93,103.34,62
CDM,2428287,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent",1001.3,1001.3,92.1,1952.54,61
CDM,2428291,Hepatitis A and hepatitis B vaccine,443.95,443.95,92.1,865.7,61
CDM,2428292,"INJECTION, VORICONAZOLE, 10 MG",16.5,16.5,1.18,36.96,48
CDM,2428293,"INJECTION, CARFILZOMIB, 1 MG",85.0,46.0,22.87,1045.04,62
CDM,2428295,"INJECTION, ENOXAPARIN SODIUM, 10 MG",6.62,6.62,0.98,14.82,48
CDM,2428301,Shingles vaccine for injection into muscle,783.7,783.7,92.1,1528.22,61
CDM,2428309,"INJECTION, NIVOLUMAB, 1 MG",110.21,31.0,29.65,4123.13,62
CDM,2428311,"PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY",11.78,2.0,2.21,1487.55,62
CDM,2428313,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B",758.85,758.85,92.1,1479.76,61
CDM,2428318,"INJECTION, FILGRASTIM-SNDZ, BIOSIMILAR, (ZARXIO), 1 MICROGRAM",3.62,3.62,0.36,88.03,62
CDM,2428319,"INJECTION, FILGRASTIM-SNDZ, BIOSIMILAR, (ZARXIO), 1 MICROGRAM",1738.4,1738.4,0.36,3894.02,62
CDM,2428322,"INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL",80548.9,24548.0,8792.06,180429.54,64
CDM,2428323,Varicella vaccine,689.85,689.85,92.1,1345.21,61
CDM,2428327,"INJECTION, LIOTHYRONINE, 1 MCG",1505.54,,404.99,3372.42,43
CDM,2428330,"ANTITHROMBIN III (HUMAN), PER I.U.",16.63,4.0,3.96,4123.13,62
CDM,2428332,CISATRACURIUM 20 MG/10 ML VIAL,91.09,91.09,18.73,72.87,45
CDM,2428337,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT",39.61,39.61,10.65,88.72,48
CDM,2428345,"INJECTION, PEMBROLIZUMAB, 1 MG",215.76,57.0,57.6,5657.35,62
CDM,2428350,"INJECTION, HYALURONIDASE, UP TO 150 UNITS",221.0,221.0,59.45,495.04,54
CDM,2428353,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS",466.5,466.5,28.96,1044.96,48
CDM,2428361,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25 MG",3638.67,940.0,950.26,8150.62,64
CDM,2428362,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",2954.25,823.0,302.19,6617.52,62
CDM,2428368,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG",57.83,8.0,4.95,129.54,62
CDM,2428373,"SIROLIMUS, ORAL, 1 MG",71.04,71.04,2.27,159.14,48
CDM,2428374,"INJECTION, BASILIXIMAB, 20 MG",15573.7,4272.0,1144.27,34885.09,64
CDM,2428378,"INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG",237.11,27.0,23.98,531.14,62
CDM,2428379,"Hepatitis B vaccine, adult dosage (3 dose schedule)",254.15,254.15,22.56,495.59,64
CDM,2428382,"INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG",462.09,36.0,30.53,1035.08,62
CDM,2428386,Hepatitis A vaccine adult dosage,251.9,251.9,22.56,491.21,61
CDM,2428390,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG",878.54,215.0,218.37,4123.13,62
CDM,2428391,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG",859.83,215.0,218.37,4123.13,62
CDM,2428392,"INJECTION, RITUXIMAB, 10 MG",372.05,86.0,76.73,3435.91,62
CDM,2428407,"THROMBIN-JMI 5,000 UNIT EPIST",289.95,289.95,59.61,231.96,45
CDM,2428412,"INFUSION, ALBUMIN (HUMAN), 5%, 50 ML",129.1,11.0,34.73,289.18,59
CDM,2428416,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG",235.25,235.25,63.28,526.96,51
CDM,2428418,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT",24.64,6.0,6.47,344.65,62
CDM,2428434,"INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG",2056.25,,553.13,4606.0,59
CDM,2428441,"Meningococcal conjugate vaccine serogroups A, C, W, Y, B-FHbp, pentavalent, tetanus toxoid carrier",354.15,,95.27,690.59,50
CDM,2428450,"INJECTION, INSULIN, PER 5 UNITS",5.77,5.77,1.55,12.93,43
CDM,2428456,"INJECTION, CETUXIMAB, 10 MG",293.51,72.0,77.1,1487.55,62
CDM,2428460,NON-COVERED ITEM OR SERVICE,11.86,11.86,3.19,23.13,45
CDM,2428467,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428468,NON-COVERED ITEM OR SERVICE,3.62,3.62,0.97,7.07,45
CDM,2428469,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
CDM,2428470,NON-COVERED ITEM OR SERVICE,228.99,228.99,61.6,446.54,45
CDM,2428476,"Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule)",107.85,107.85,22.56,210.31,64
CDM,2428477,NON-COVERED ITEM OR SERVICE,7.19,7.19,1.94,14.03,45
CDM,2428478,NON-COVERED ITEM OR SERVICE,28.65,28.65,7.71,55.87,45
CDM,2428486,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",58.21,17.0,15.66,130.39,62
CDM,2428489,GABAPENTIN ORAL SOL 300MG/6ML,6.29,6.29,1.29,5.04,45
CDM,2428494,"INJECTION, RASBURICASE, 0.5 MG",1233.76,346.0,331.88,2763.62,62
CDM,2428497,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G., POWDER), NOT OTHERWISE SPECIFIED, 500 MG",257.64,77.0,69.3,1487.55,62
CDM,2428507,"INJECTION, BEVACIZUMAB, 10 MG",309.37,73.0,73.19,1487.55,62
CDM,2428510,NON-COVERED ITEM OR SERVICE,552.3,552.3,148.57,1076.99,45
CDM,2428511,NON-COVERED ITEM OR SERVICE,153.4,153.4,41.26,299.13,45
CDM,2428519,"INJECTION, FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER IU, NOT OTHERWISE SPECIFIED",5.41,2.0,1.46,4123.13,62
CDM,2428520,"INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",175.67,45.0,43.8,1487.55,62
CDM,2428530,"INJECTION, DAPTOMYCIN, 1 MG",3.29,3.29,0.04,7.37,48
CDM,2428547,"INJECTION, ECULIZUMAB, 2 MG",846.65,,227.75,1896.49,48
CDM,2428548,"INJECTION, FULVESTRANT, 25 MG",168.3,12.0,6.66,376.99,62
CDM,2428553,CUROSURF 120 MG/1.5 ML VIAL,1955.79,1955.79,402.11,1564.63,45
CDM,2428556,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",64.37,17.0,17.32,144.19,62
CDM,2428558,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),82.5,82.5,1.97,184.8,48
CDM,2428567,"INJECTION, DURVALUMAB, 10 MG",294.62,81.0,79.25,1487.55,62
CDM,2428578,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428584,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
CDM,2428585,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.67,8.0,7.47,103.34,62
CDM,2428586,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
CDM,2428587,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
CDM,2428588,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
CDM,2428589,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
CDM,2428590,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
CDM,2428591,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.73,8.0,7.47,103.34,62
CDM,2428592,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
CDM,2428593,"INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG",374.65,32.0,11.55,839.21,62
CDM,2428594,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.",5.81,1.0,1.2,3435.91,62
CDM,2428595,EPIDIOLEX 100 MG/ML SOLN PACK,56.24,56.24,11.56,44.99,45
CDM,2428596,"INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR, (RENFLEXIS), 10 MG",2983.43,51.0,26.26,6682.89,62
CDM,2428601,NON-COVERED ITEM OR SERVICE,36.85,36.85,9.91,71.86,45
CDM,2428603,BELLADONNA-OPIUM 16.2-60 SUPP,110.4,110.4,22.7,88.32,45
CDM,2428606,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428607,NON-COVERED ITEM OR SERVICE,61.25,61.25,16.48,119.44,45
CDM,2428612,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG",20.03,20.03,5.39,44.87,48
CDM,2428615,NON-COVERED ITEM OR SERVICE,34.4,34.4,9.25,67.08,45
CDM,2428621,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
CDM,2428626,DANAZOL 100 MG CAPSULE,18.0,18.0,3.7,14.4,45
CDM,2428630,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428632,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428637,NON-COVERED ITEM OR SERVICE,19.6,19.6,5.27,38.22,45
CDM,2428641,NON-COVERED ITEM OR SERVICE,163.0,163.0,43.85,317.85,45
CDM,2428644,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428648,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
CDM,2428649,MEMANTINE HCL 10 MG TABLET,20.15,20.15,4.14,16.12,45
CDM,2428650,MEMANTINE HCL 5 MG TABLET,3.85,3.85,0.79,3.08,45
CDM,2428652,NON-COVERED ITEM OR SERVICE,55.9,55.9,15.04,109.01,45
CDM,2428660,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG",61.8,61.8,15.46,138.43,48
CDM,2428669,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428671,NON-COVERED ITEM OR SERVICE,12.1,12.1,3.25,23.6,45
CDM,2428673,NON-COVERED ITEM OR SERVICE,15.4,15.4,4.14,30.03,45
CDM,2428674,NON-COVERED ITEM OR SERVICE,54.4,54.4,14.63,106.08,45
CDM,2428717,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428748,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",28.05,,7.55,62.83,48
CDM,2428754,NON-COVERED ITEM OR SERVICE,35.45,35.45,9.54,69.13,45
CDM,2428761,HYSEPT 0.25% SOLUTION,46.05,46.05,9.47,36.84,45
CDM,2428770,"Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule)",508.3,508.3,92.1,991.19,64
CDM,2428771,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
CDM,2428772,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
CDM,2428775,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
CDM,2428778,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428783,NON-COVERED ITEM OR SERVICE,62.04,62.04,16.69,120.98,45
CDM,2428786,"INJECTION, BEVACIZUMAB-AWWB, BIOSIMILAR, (MVASI), 10 MG",276.25,32.0,28.73,686.99,62
CDM,2428796,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
CDM,2428797,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
CDM,2428798,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
CDM,2428799,"INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG",283.85,41.0,23.59,1487.55,62
CDM,2428802,"INJECTION, REMDESIVIR, 1 MG",23.74,,6.39,344.65,59
CDM,2428803,"INJECTION, CEFIDEROCOL, 5 MG",9.22,9.22,2.48,20.65,43
CDM,2428816,"INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT",20.24,5.0,5.31,344.65,62
CDM,2428818,"INJECTION, ABOBOTULINUMTOXINA, 5 UNITS",34.02,9.0,8.53,344.65,62
CDM,2428822,"INJECTION, REMDESIVIR, 1 MG",23.63,,6.36,344.65,59
CDM,2428826,"INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ",200.61,49.0,51.39,3435.91,62
CDM,2428838,"INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG",355.57,34.0,34.69,1045.04,62
CDM,2428843,"INJECTION, FAM-TRASTUZUMAB DERUXTECAN-NXKI, 1 MG",93.67,26.0,25.2,1487.55,62
CDM,2428844,"INJECTION, CEMIPLIMAB-RWLC, 1 MG",113.12,28.0,28.21,4123.13,62
CDM,2428845,"INJECTION, SACITUZUMAB GOVITECAN-HZIY, 2.5 MG",110.66,33.0,29.77,971.92,62
CDM,2428849,"INJECTION, PEGFILGRASTIM-JMDB (FULPHILA), BIOSIMILAR, 0.5 MG",1377.75,147.0,125.3,3086.16,62
CDM,2428852,"INJECTION, INFLIXIMAB-AXXQ, BIOSIMILAR, (AVSOLA), 10 MG",198.0,38.0,19.83,443.52,62
CDM,2428856,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",985.55,985.55,92.1,1921.82,64
CDM,2428857,"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG",582.62,,156.72,11429.68,59
CDM,2428865,"INJECTION, INSULIN, PER 5 UNITS",5.17,5.17,1.39,11.59,43
CDM,2428866,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",22.85,47.0,6.15,55.71,48
CDM,2428873,"INJECTION, EMAPALUMAB-LZSG, 1 MG",1337.3,391.0,359.73,19217.89,62
CDM,2428879,"INJECTION, CALASPARGASE PEGOL-MKNL, 10 UNITS",264.35,264.35,71.11,5657.35,59
CDM,2428881,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428882,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428883,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428884,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428885,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428886,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428887,"INJECTION, DOSTARLIMAB-GXLY, 10 MG",821.26,,220.92,5657.35,59
CDM,2428889,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",19.32,8.0,5.2,103.34,62
CDM,2428890,"INJECTION, EPOPROSTENOL, 0.5 MG",61.83,61.83,16.63,138.51,48
CDM,2428891,"INJECTION, MILRINONE LACTATE, 5 MG",11.69,11.69,2.36,26.18,48
CDM,2428892,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",22.02,,5.92,49.32,43
CDM,2428893,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",17.94,,4.83,40.2,43
CDM,2428894,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
CDM,2428895,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
CDM,2428896,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
CDM,2428897,DEXTROSE 5%-0.45% NACL IV SOLN,82.5,82.5,16.96,66.0,45
CDM,2428901,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
CDM,2428902,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
CDM,2428903,"INJECTION, TRASTUZUMAB-DKST, BIOSIMILAR, (OGIVRI), 10 MG",245.44,47.0,51.84,1487.55,62
CDM,2428904,potassium acetate 20 mEq/NS 100 mL Batch,82.5,82.5,16.96,66.0,45
CDM,2428905,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
CDM,2428906,"INJECTION, INSULIN, PER 5 UNITS",16.5,16.5,4.44,36.96,43
CDM,2428907,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2428913,NON-COVERED ITEM OR SERVICE,3.3,3.3,0.89,6.44,45
CDM,2428916,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.68,9.0,6.46,147.11,62
CDM,2428917,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.67,9.0,6.46,147.09,62
CDM,2428918,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.66,9.0,6.46,147.08,62
CDM,2428919,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.66,9.0,6.46,147.07,62
CDM,2428920,NON-COVERED ITEM OR SERVICE,4.58,4.58,1.23,8.93,45
CDM,2428921,"Respiratory syncytial virus antibody, 0.5 mL dosage for injection into muscle",1960.2,,527.29,3822.39,61
CDM,2428923,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use",1168.2,,22.56,2277.99,61
CDM,2428924,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use",1108.8,,22.56,2162.16,61
CDM,2428925,XACDURO 1 GM-1 GM VIAL DOSE PK,627.0,627.0,128.91,501.6,45
CDM,2428930,"INJECTION, TRASTUZUMAB-QYYP, BIOSIMILAR, (TRAZIMERA), 10 MG",319.38,42.0,18.97,1487.55,62
CDM,2428934,"INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG",6.27,,1.69,4123.13,59
CDM,2428935,"INJECTION, BIVALIRUDIN, 1 MG",1.16,1.16,0.31,79.72,59
CDM,2428938,"INJECTION, ETELCALCETIDE, 0.1 MG",15.57,15.57,4.19,79.72,59
CDM,2428940,BUFFERED LIDOCAINE 1% SYRINGE,23.4,23.4,4.81,18.72,45
CDM,2428944,"INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG",251.24,,67.58,11429.68,59
CDM,2428945,"INJECTION, ROMIPLOSTIM, 1 MICROGRAM",4958.45,,1333.82,11106.93,50
CDM,2428946,"INJECTION, BEVACIZUMAB-BVZR, BIOSIMILAR, (ZIRABEV), 10 MG",241.92,40.0,23.0,686.99,62
CDM,2428948,NON-COVERED ITEM OR SERVICE,1.66,1.66,0.45,3.24,45
CDM,2428949,"Influenza vaccine split virus, preservative free",290.05,290.05,22.56,565.6,64
CDM,2428952,CON AMPHO B 50 MG/1 L IRRI SOL,198.0,198.0,40.71,158.4,45
CDM,2428962,GIAPREZA 2.5 MG/ML VIAL,6415.2,6415.2,1318.97,5132.16,45
CDM,2428969,"INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG",2117.94,,569.73,4744.18,59
CDM,2428970,"INJECTION, MARGETUXIMAB-CMKB, 5 MG",182.51,46.0,49.09,3435.91,62
CDM,2428972,"INJECTION, FACTOR VIII, (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NUWIQ), 1 I.U.",5.66,1.0,1.24,3435.91,62
CDM,2428974,"INJECTION, LANREOTIDE, 1 MG",315.55,66.0,44.98,4123.13,62
CDM,2428980,UNCLASSIFIED BIOLOGICS,28755.6,28755.6,7735.26,64412.54,50
CDM,2428981,"INJECTION, SPESOLIMAB-SBZO, 1 MG",245.55,,66.05,19217.89,59
CDM,2429006,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",17.76,17.76,4.78,39.79,48
CDM,2429007,NON-COVERED ITEM OR SERVICE,14.85,14.85,3.99,28.96,45
CDM,2429013,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",24.83,24.83,6.68,55.62,48
CDM,2429023,"INJECTION, LORAZEPAM, 2 MG",16.5,16.5,2.22,36.96,48
CDM,2429026,"INJECTION, FENTANYL CITRATE, 0.1 MG",16.19,16.19,1.42,36.26,48
CDM,2429030,SUFENTANIL 50 MCG/ML(1ML),17.79,17.79,3.66,14.23,45
CDM,2429036,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429037,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429048,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429050,NON-COVERED ITEM OR SERVICE,20.7,20.7,5.57,40.37,45
CDM,2429063,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429064,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429065,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429066,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429067,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429080,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429088,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429094,NON-COVERED ITEM OR SERVICE,90.85,90.85,24.44,177.16,45
CDM,2429096,BREVITAL SODIUM 500 MG VIAL,245.3,245.3,50.43,196.24,45
CDM,2429099,"INJECTION, METHADONE HCL, UP TO 10 MG",26.54,26.54,7.14,59.46,48
CDM,2429100,NON-COVERED ITEM OR SERVICE,60.45,60.45,16.26,117.88,45
CDM,2429108,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429111,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
CDM,2429123,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.09,3.09,0.24,6.92,48
CDM,2429128,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429129,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429131,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429132,"INJECTION, FENTANYL CITRATE, 0.1 MG",82.5,82.5,1.42,184.8,48
CDM,2429140,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",82.5,82.5,0.24,184.8,48
CDM,2429143,NON-COVERED ITEM OR SERVICE,83.65,83.65,22.5,163.12,45
CDM,2429147,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
CDM,2429150,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429151,"INJECTION, FENTANYL CITRATE, 0.1 MG",42.05,42.05,1.42,94.19,48
CDM,2429156,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429158,"INJECTION, FENTANYL CITRATE, 0.1 MG",83.5,83.5,1.42,187.04,48
CDM,2429168,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429170,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
CDM,2429179,"BUPRENORPHINE/NALOXONE, ORAL, GREATER THAN 6 MG, BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE",35.6,35.6,9.58,79.74,48
CDM,2429182,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429188,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",153.75,47.0,41.36,344.39,48
CDM,2429189,"INJECTION, HYDROMORPHONE, 0.1 MG",3.3,,0.89,7.39,43
CDM,2429195,KETAMINE 50 MG/5 ML-NACL SYRNG,16.5,16.5,3.39,13.2,45
CDM,2429199,NON-COVERED ITEM OR SERVICE,67.0,67.0,18.02,130.65,45
CDM,2429200,NON-COVERED ITEM OR SERVICE,16.15,16.15,4.34,31.49,45
CDM,2429207,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429209,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429211,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429215,NON-COVERED ITEM OR SERVICE,14.5,14.5,3.9,28.28,45
CDM,2429217,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429218,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429224,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
CDM,2429225,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",16.44,16.44,0.24,36.83,48
CDM,2429226,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.3,3.3,0.24,7.39,48
CDM,2429227,NON-COVERED ITEM OR SERVICE,3.65,3.65,0.98,7.11,45
CDM,2429231,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",38.2,38.2,4.57,85.57,48
CDM,2429237,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",18.75,18.75,4.57,42.0,48
CDM,2429242,"INJECTION, HYDROMORPHONE, 0.1 MG",8.1,,2.18,18.16,43
CDM,2429243,"INJECTION, OXYTOCIN, UP TO 10 UNITS",27.5,27.5,7.4,61.6,43
CDM,2429249,MORPHINE 1 MG/ML-0.9% NACL SYR,13.86,13.86,2.85,11.09,45
CDM,2429254,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",16.07,16.07,0.24,35.99,48
CDM,2429257,"INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG",31.79,31.79,8.55,71.21,48
CDM,2429258,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",16.47,16.47,4.43,36.88,48
CDM,2429259,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",18.35,,4.94,41.09,43
CDM,2429273,NON-COVERED ITEM OR SERVICE,15.65,15.65,4.21,30.52,45
CDM,2429274,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429275,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429279,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429282,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",7.69,7.69,0.24,17.23,48
CDM,2429283,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
CDM,2429284,"METHADONE, ORAL, 5 MG",3.85,3.85,1.04,8.62,45
CDM,2429285,"METHADONE, ORAL, 5 MG",1.93,1.93,0.52,4.31,45
CDM,2429301,NON-COVERED ITEM OR SERVICE,5.4,5.4,1.45,10.53,45
CDM,2429305,REMIFENTANYL (1MG/ML)  VIAL,222.69,222.69,45.79,178.15,45
CDM,2429306,ULTIVA 2 MG VIAL,485.44,485.44,99.81,388.36,45
CDM,2429313,NON-COVERED ITEM OR SERVICE,18.95,18.95,5.1,36.95,45
CDM,2429314,NON-COVERED ITEM OR SERVICE,35.3,35.3,9.5,68.84,45
CDM,2429320,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",71.15,71.15,0.24,159.37,48
CDM,2429322,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429323,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429324,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
CDM,2429327,"INJECTION, DIAZEPAM, UP TO 5 MG",54.55,54.55,9.26,122.19,48
CDM,2429329,"INJECTION, LORAZEPAM, 2 MG",16.19,16.19,2.22,36.26,48
CDM,2429330,"INJECTION, LORAZEPAM, 2 MG",8.25,8.25,2.22,18.48,48
CDM,2429333,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",16.5,16.5,4.44,36.96,48
CDM,2429337,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",16.94,,4.56,37.94,48
CDM,2429338,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",16.5,,4.44,36.96,48
CDM,2429340,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",16.5,16.5,4.44,36.96,48
CDM,2429342,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG",227.12,227.12,61.1,508.75,54
CDM,2429343,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",104.4,47.0,28.08,233.85,48
CDM,2429345,NON-COVERED ITEM OR SERVICE,2.29,2.29,0.62,4.46,45
CDM,2429347,NON-COVERED ITEM OR SERVICE,5.65,5.65,1.52,11.02,45
CDM,2429348,NON-COVERED ITEM OR SERVICE,5.65,5.65,1.52,11.02,45
CDM,2429349,DEXTROAMP-AMPHETAMIN 20 MG TAB,5.65,5.65,1.16,4.52,45
CDM,2429351,"METHADONE, ORAL, 5 MG",3.85,3.85,1.04,8.62,45
CDM,2429356,NON-COVERED ITEM OR SERVICE,20.55,20.55,5.53,40.07,45
CDM,2429367,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429369,NON-COVERED ITEM OR SERVICE,15.35,15.35,4.13,29.93,45
CDM,2429370,"INJECTION, TESTOSTERONE CYPIONATE, 1 MG",94.5,94.5,0.05,211.68,48
CDM,2429372,NON-COVERED ITEM OR SERVICE,20.25,20.25,5.45,39.49,45
CDM,2429377,NON-COVERED ITEM OR SERVICE,15.19,15.19,4.09,29.63,45
CDM,2429379,"METHADONE, ORAL, 5 MG",1.18,1.18,0.32,2.65,45
CDM,2429382,"METHADONE, ORAL, 5 MG",3.81,3.81,1.02,8.53,45
CDM,2429387,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",8.25,8.25,2.22,18.48,48
CDM,2429394,NON-COVERED ITEM OR SERVICE,13.7,13.7,3.69,26.72,45
CDM,2429395,NON-COVERED ITEM OR SERVICE,25.55,25.55,6.87,49.82,45
CDM,2429399,NON-COVERED ITEM OR SERVICE,1.34,1.34,0.36,2.61,45
CDM,2429401,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429402,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429403,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429404,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429405,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2429406,NON-COVERED ITEM OR SERVICE,6.6,6.6,1.78,12.87,45
CDM,2429407,NON-COVERED ITEM OR SERVICE,6.8,6.8,1.83,13.26,45
CDM,2429418,NON-COVERED ITEM OR SERVICE,20.25,20.25,5.45,39.49,45
CDM,2429427,"INJECTION, HYDROMORPHONE, 0.1 MG",16.49,,4.44,36.93,43
CDM,2429428,NON-COVERED ITEM OR SERVICE,28.48,28.48,7.66,55.54,45
CDM,2429432,"INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG",90.55,90.55,17.82,202.83,48
CDM,2429433,"INJECTION, FENTANYL CITRATE, 0.1 MG",5.47,5.47,1.42,12.25,48
CDM,2429437,"INJECTION, LACOSAMIDE, 1 MG",35.1,35.1,9.44,78.62,45
CDM,2429438,"INJECTION, LACOSAMIDE, 1 MG",54.85,54.85,14.75,122.86,45
CDM,2429439,"INJECTION, LACOSAMIDE, 1 MG",58.05,58.05,15.62,130.03,45
CDM,2429440,NON-COVERED ITEM OR SERVICE,71.85,71.85,19.33,140.11,45
CDM,2429443,"INJECTION, LACOSAMIDE, 1 MG",1.62,1.62,0.44,3.62,45
CDM,2429444,NON-COVERED ITEM OR SERVICE,53.2,53.2,14.31,103.74,45
CDM,2429966,NON-COVERED ITEM OR SERVICE,70.2,70.2,18.88,136.89,45
CDM,2429967,NON-COVERED ITEM OR SERVICE,128.35,128.35,34.53,250.28,45
CDM,2429968,NON-COVERED ITEM OR SERVICE,195.75,195.75,52.66,381.71,45
CDM,2429989,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.17,3.17,0.24,7.11,48
CDM,2429992,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",17.79,17.79,4.79,39.85,48
CDM,2429997,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
CDM,2430000,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,2430001,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2430002,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2430004,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2700001,Test to measure exhaled air and carbon dioxide for evaluation of lung function,585.0,281.0,71.36,1758.0,64
CDM,2700002,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,64
CDM,2700006,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2700007,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,2700008,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,2700009,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,2700010,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2700012,"Evaluation of single, dual, or multiple lead implantable defibrillator system",373.0,40.0,23.17,3411.0,64
CDM,2700016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2700017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2700018,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2700019,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,2700020,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,2700021,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,2700022,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,2700023,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2700024,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2700025,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2700027,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL",2573.0,761.0,299.84,5017.35,64
CDM,2700028,"Evaluation of single, dual, multiple lead or leadless pacemaker system",463.0,40.0,23.17,3411.0,64
CDM,2700036,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,64
CDM,2700039,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND ",1228.0,761.0,299.84,3411.0,64
CDM,2700041,Heart muscle strain imaging,840.0,840.0,225.96,3411.0,64
CDM,2700042,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,2700045,Follow-up ultrasound scan of fetal heart,580.0,245.0,62.5,3411.0,64
CDM,2700046,Programming of single lead pacemaker system,433.0,40.0,23.17,3411.0,64
CDM,2700047,Programming of dual lead pacemaker system,59.0,40.0,15.87,3411.0,64
CDM,2700048,Programming of multiple lead pacemaker system,59.0,40.0,15.87,3411.0,64
CDM,2700049,Programming of single lead implantable defibrillator system,370.0,40.0,23.17,3411.0,64
CDM,2700050,Programming of dual lead implantable defibrillator system,59.0,40.0,15.87,3411.0,64
CDM,2700051,Programming of multiple lead implantable defibrillator system,59.0,40.0,15.87,3411.0,64
CDM,2700110,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1228.0,281.0,109.83,3411.0,64
CDM,2700150,Routine electrocardiogram (ECG) using at least 12 leads with tracing,300.0,59.0,16.95,1758.0,64
CDM,2702016,3D radiographic procedure,986.0,986.0,594.56,4516.0,50
CDM,2703030,"Ultrasound of heart blood flow, valves and chambers",1211.0,1211.0,299.84,3411.0,64
CDM,2703031,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, FOLLOW-UP OR LIMITED ST",1171.0,392.0,299.84,3411.0,64
CDM,2703032,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; COMPLETE",1307.0,761.0,299.84,3411.0,64
CDM,2703035,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; FOLLOW-UP OR LIMITED STUDY",1228.0,761.0,299.84,3411.0,64
CDM,2703036,"Ultrasound of heart blood flow, valves and chambers, follow-up",633.0,633.0,170.28,3411.0,64
CDM,2703440,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,64
CDM,2703470,Ultrasound scan of fetal heart blood flow,715.0,116.0,62.5,3411.0,64
CDM,2703471,Follow-up ultrasound scan of fetal heart blood flow,697.0,116.0,62.5,3411.0,64
CDM,2703494,Ultrasound scan of fetal heart,1251.0,514.0,62.5,3411.0,64
CDM,2703496,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,2703497,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2703498,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2703499,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,2703500,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2703509,Electrocardiogram (ECG) 2-day continuous,431.0,120.0,35.07,2086.0,64
CDM,2709050,"Ultrasound of heart with color-depicted blood flow, rate and valve function",840.0,840.0,70.1,3411.0,64
CDM,2710034,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",6130.0,6130.0,1648.97,11953.5,45
CDM,2710041,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",3089.0,3397.9,1328.27,6023.55,50
CDM,2710050,Screening mammography,395.0,395.0,29.38,1758.0,64
CDM,2710051,Diagnostic mammography of both breasts,438.0,438.0,29.38,1758.0,64
CDM,2710052,Diagnostic mammography of 1 breast,348.0,348.0,29.38,1758.0,64
CDM,2710070,X-ray of eye for detection of foreign body,136.0,86.0,36.29,2086.0,64
CDM,2710100,X-ray of eye for detection of foreign body,180.0,86.0,36.29,2086.0,64
CDM,2710109,Repositioning of central venous tube using fluoroscopic guidance,2466.0,1495.0,486.6,15383.0,64
CDM,2710110,"DXA bone density measurement of forearm, finger, hand, or foot",306.0,86.0,46.55,2086.0,64
CDM,2710112,Complete X-ray of body bones,266.0,116.0,76.23,2086.0,64
CDM,2710113,Limited X-ray of body bones,173.0,116.0,36.29,2086.0,64
CDM,2710114,X-ray from nose to rectum,192.0,86.0,36.29,2086.0,64
CDM,2710115,X-ray of surgical specimen,856.0,514.0,76.23,2086.0,64
CDM,2710130,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2710150,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2710155,Insertion of device in abdominal cavity through skin for radiation therapy guidance,1917.0,1343.0,704.08,15383.0,64
CDM,2710157,CT scan of abdomen and pelvis without contrast,3879.0,245.0,204.1,7564.05,64
CDM,2710158,CT scan of abdomen and pelvis with contrast,5999.0,392.0,204.1,11698.05,64
CDM,2710159,CT scan of abdomen and pelvis before and after contrast,6688.0,392.0,204.1,13041.6,64
CDM,2710160,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2710161,Complete ultrasound scan of joint,164.0,116.0,70.1,2499.0,64
CDM,2710170,"X-ray of part of lower jaw, 1-4 views",367.0,86.0,36.29,2086.0,64
CDM,2710174,Ultrasound guided compression repair of blood vessel,726.0,281.0,146.51,2499.0,64
CDM,2710175,"X-ray of part of lower jaw, 1-4 views",367.0,86.0,36.29,2086.0,64
CDM,2710180,"X-ray of part of lower jaw, 1-4 views",734.0,86.0,36.29,2086.0,64
CDM,2710190,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2710196,Destruction of growths and adjacent soft tissue,19371.0,6661.0,1204.2,37773.45,64
CDM,2710218,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2099.0,2099.0,564.63,4093.05,45
CDM,2710250,"X-ray of face bones, 1-2 views",265.0,86.0,36.29,2086.0,64
CDM,2710260,"X-ray of face bones, minimum of 3 views",381.0,116.0,36.29,2086.0,64
CDM,2710295,CT scan of blood vessels of abdomen and pelvis with contrast,3837.0,392.0,250.12,7482.15,64
CDM,2710296,CT scan of blood vessels of abdomen and pelvis with contrast,3837.0,392.0,250.12,7482.15,64
CDM,2710300,"X-ray of nose bones, minimum of 3 views",330.0,86.0,36.29,2086.0,64
CDM,2710302,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2710313,"Laser destruction of incompetent veins of arm or leg using imaging guidance, subsequent",2597.0,2597.0,401.0,5064.15,64
CDM,2710322,"Insertion of tube into vein for drug infusion for blood clot with review by radiologist, initial treatment day",4401.0,3044.0,1892.43,20345.0,64
CDM,2710323,Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist,3764.0,3044.0,1206.0,20345.0,64
CDM,2710347,Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2710351,"Biopsy of breast and placement of locating device using X-ray with needle, first growth",2439.0,1496.0,876.45,15383.0,64
CDM,2710352,"Biopsy of breast and placement of locating device using X-ray with needle, each additional growth",984.0,984.0,264.7,3241.0,64
CDM,2710353,"Biopsy of breast and placement of locating device using ultrasound, first growth",2588.0,1496.0,876.45,15383.0,64
CDM,2710357,"Placement of locating device in breast using imaging guidance, first growth",2239.0,662.0,876.45,15383.0,64
CDM,2710358,"Placement of locating device in breast using imaging guidance, each additional growth",160.0,160.0,43.04,3241.0,64
CDM,2710384,Injection of anesthetic agent into abdominal sympathetic nerve bundle,1386.0,875.0,595.98,10537.0,64
CDM,2710430,Screening 3D breast mammography,128.0,128.0,29.38,1758.0,64
CDM,2710434,Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance,7469.0,6661.0,2009.16,27978.0,64
CDM,2710435,Treatment of broken lower spine bone with placement of stabilizing device,8316.0,6661.0,2237.0,27978.0,64
CDM,2710440,"X-ray of eye socket, minimum of 4 views",427.0,116.0,36.29,2086.0,64
CDM,2710490,"X-ray of paranasal sinus, 1-2 views",311.0,86.0,36.29,2086.0,64
CDM,2710492,Removal of biliary drainage tube using imaging guidance with review by radiologist,1084.0,860.0,199.45,10537.0,64
CDM,2710500,"X-ray of paranasal sinus, minimum of 3 views",591.0,86.0,36.29,2086.0,64
CDM,2710527,Removal of indwelling tube in lining of lung,1275.0,575.0,111.0,7362.0,64
CDM,2710579,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2710590,"X-ray of skull, 1-3 views",461.0,116.0,36.29,2086.0,64
CDM,2710600,"X-ray of skull, minimum of 4 views",895.0,116.0,36.29,2086.0,64
CDM,2710674,"TECHNETIUM TC-99M TILMANOCEPT, DIAGNOSTIC, UP TO 0.5 MILLICURIES",1013.0,1013.0,272.5,5180.0,50
CDM,2710675,Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist,7029.0,5270.0,1890.8,27978.0,64
CDM,2710682,Injection procedure for imaging of kidney and ureter through already existing skin access using imaging guidance with review by radiologist,800.0,612.0,273.03,10537.0,64
CDM,2710700,X-ray of jaw joint on 1 side of mouth,230.0,86.0,36.29,2086.0,64
CDM,2710705,X-ray of jaw joint on 1 side of mouth,230.0,86.0,36.29,2086.0,64
CDM,2710710,X-ray of jaw joints on both sides of mouth,393.0,86.0,36.29,2086.0,64
CDM,2710747,MRI scan of fetus for each additional pregnancy,240.0,240.0,144.72,4516.0,61
CDM,2710770,X-ray of soft tissue of neck,402.0,86.0,36.29,2086.0,64
CDM,2710772,OPERATING ROOM SERVICES - MINOR SURGERY,8174.0,8174.0,1680.57,6539.2,45
CDM,2710773,Destruction of growth of lung using extreme cold,14214.0,5381.0,3569.93,27978.0,64
CDM,2710779,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, PELVIS",2180.0,392.0,288.59,4516.0,64
CDM,2710802,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2710803,Ultrasound scan of fetal brain artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,2710804,Ultrasound scan of fetal heart blood flow,715.0,116.0,62.5,3411.0,64
CDM,2710805,Follow-up ultrasound scan of fetal heart blood flow,697.0,116.0,62.5,3411.0,64
CDM,2710806,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,2710807,Ultrasound scan of fetal heart,1251.0,514.0,62.5,3411.0,64
CDM,2710808,Follow-up ultrasound scan of fetal heart,580.0,245.0,62.5,3411.0,64
CDM,2710813,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2710816,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2710820,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,2710824,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,2710828,Ultrasonic guidance for testing placental tissue,522.0,522.0,70.15,2499.0,61
CDM,2710830,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2710831,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2710832,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2710837,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2710840,Ultrasound scan of uterus and uterine cavity,581.0,245.0,105.0,2499.0,64
CDM,2710841,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2710847,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2710850,Drainage of cysts of ovaries through abdomen,7306.0,2790.0,1616.87,20345.0,64
CDM,2710851,Drainage of cysts of ovaries through vagina,5071.0,2790.0,1616.87,20345.0,64
CDM,2710852,"Ultrasound scan of pregnant uterus (less than 14 weeks), each additional fetus",316.0,316.0,62.5,2499.0,61
CDM,2710853,"Ultrasound scan of pregnant uterus (14 weeks or more), each additional fetus",736.0,736.0,62.5,2499.0,61
CDM,2710854,Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes,386.0,386.0,103.83,3241.0,64
CDM,2710858,"Ultrasound of heart with color-depicted blood flow, rate and valve function",840.0,840.0,70.1,3411.0,64
CDM,2710868,Test of neurological function during functional MRI,1154.0,1154.0,310.43,2250.3,59
CDM,2710869,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,437.88,10537.0,60
CDM,2710870,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,3241.0,60
CDM,2710871,"Fine needle aspiration biopsy, each additional growth",374.0,374.0,100.61,3241.0,60
CDM,2710872,"Fine needle aspiration biopsy of growth using MRI guidance, first growth",839.34,662.0,315.0,10537.0,63
CDM,2710873,"Fine needle aspiration biopsy of growth using MRI guidance, each additional growth",839.34,839.34,225.78,3241.0,63
CDM,2710874,"Fine needle aspiration biopsy using fluoroscopic guidance, first growth",839.34,662.0,360.92,10537.0,60
CDM,2710875,"Fine needle aspiration biopsy using fluoroscopic guidance, each additional growth",839.34,839.34,225.78,3241.0,60
CDM,2710876,"Fine needle aspiration biopsy of growth using CT guidance, first growth",839.34,662.0,360.92,10537.0,60
CDM,2710877,"Fine needle aspiration biopsy of growth using CT guidance, each additional growth",839.34,839.34,225.78,3241.0,63
CDM,2710878,Dilation of existing opening into urinary tract using imaging guidance,4814.0,3269.0,978.2,27978.0,64
CDM,2710879,Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance,4240.41,3269.0,978.2,27978.0,64
CDM,2710880,Replacement of tunneled central venous tube with port,4906.0,3044.0,1397.3,20345.0,64
CDM,2710892,"Ultrasound scan of growth using contrast, each additional growth",292.0,292.0,105.0,2499.0,61
CDM,2710905,"Ultrasound scan of growth using contrast, first growth",546.0,190.0,105.0,2499.0,64
CDM,2710906,"Ultrasound scan of growth using contrast, each additional growth",292.0,292.0,105.0,2499.0,61
CDM,2710940,Complete ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,61
CDM,2710941,Complete ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,61
CDM,2710951,Injection of chemical agent into single incompetent vein of leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,64
CDM,2710952,Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,64
CDM,2710958,Double contrast X-ray of esophagus,593.0,190.0,76.23,2086.0,64
CDM,2710959,Follow-through X-ray of small intestines,783.0,783.0,76.23,2086.0,61
CDM,2710960,Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance,1229.0,675.0,471.65,10537.0,64
CDM,2710961,Removal of cerebrospinal fluid with lower back spinal tap using imaging guidance,1229.0,675.0,471.65,10537.0,64
CDM,2710962,Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance,1229.0,675.0,471.65,10537.0,64
CDM,2710963,"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)",128.0,128.0,29.38,1758.0,64
CDM,2710964,Removal of cerebrospinal fluid with lower back spinal tap using imaging guidance,1229.0,675.0,471.65,10537.0,64
CDM,2710965,Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance,938.0,675.0,403.34,10537.0,64
CDM,2710966,Single contrast X-ray of upper digestive tract,1032.0,190.0,76.23,2086.0,64
CDM,2710967,Double contrast X-ray of upper digestive tract,1127.0,190.0,76.23,2197.65,64
CDM,2710968,"Nuclear medicine study, SPECT imaging with concurrent CT scan, 1 area or single acquisition, single day imaging",2028.0,1390.0,537.1,5180.0,64
CDM,2710969,"Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2240.0,1574.0,537.1,5180.0,64
CDM,2710971,"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)",128.0,128.0,29.38,1758.0,64
CDM,2710975,Ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,61
CDM,2710999,Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access,374.0,245.0,70.1,2499.0,64
CDM,2711000,Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access,163.0,116.0,70.09,2499.0,64
CDM,2711002,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,2711003,Repair of infrarenal aorta and groin artery with graft for other than rupture with review by radiologist,19371.0,19371.0,3208.0,37773.45,64
CDM,2711004,Repair of infrarenal aorta and groin artery with graft for rupture with review by radiologist,19371.0,19371.0,3208.0,37773.45,64
CDM,2711005,Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
CDM,2711006,Repair of infrarenal aorta and groin artery with graft for rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
CDM,2711010,"X-ray of chest, 1 view",391.0,86.0,36.29,1758.0,64
CDM,2711020,"X-ray of chest, 2 views",534.0,86.0,36.29,1758.0,64
CDM,2711025,"X-ray of chest, 3 views",550.0,86.0,36.29,1758.0,64
CDM,2711030,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,64
CDM,2711035,Insertion of stent in dialysis segment with review by radiologist,13418.0,13418.0,401.0,26165.1,64
CDM,2711036,Balloon dilation of dialysis segment with review by radiologist,11310.0,11310.0,401.0,22054.5,64
CDM,2711037,Permanent blockage of hemodialysis circuit with review by radiologist,13700.0,13700.0,401.0,26715.0,64
CDM,2711039,Removal of IUD,478.0,300.0,149.21,5962.0,64
CDM,2711045,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,64
CDM,2711143,Repair of abdominal or groin artery with prosthesis with review by radiologist,6421.0,6421.0,1727.25,31007.0,64
CDM,2711225,Insertion of stomach tube using a flexible endoscope,2264.0,1727.0,671.79,16462.0,64
CDM,2711228,"Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin",1777.0,1496.0,621.38,15383.0,64
CDM,2711229,Low dose CT scan of chest for lung cancer screening,1981.0,116.0,64.89,4140.0,64
CDM,2711240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2711319,Chemical destruction of first incompetent vein of arm or leg using imaging guidance,8717.0,5071.0,1697.97,27978.0,64
CDM,2711320,Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance,4715.0,4715.0,401.0,9194.25,64
CDM,2711395,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",18083.0,10681.0,2646.49,35261.85,59
CDM,2711396,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",28715.0,17078.0,3953.0,55994.25,59
CDM,2711397,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(",28715.0,17078.0,4547.0,55994.25,59
CDM,2711398,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDE",28715.0,17078.0,4547.0,55994.25,59
CDM,2711399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2711401,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES), WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,10681.0,3953.0,45575.4,59
CDM,2711402,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS,  TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY  WITHIN THE SAME VESSEL(S",28715.0,17078.0,3953.0,55994.25,59
CDM,2711403,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",28715.0,17078.0,3953.0,55994.25,59
CDM,2711404,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE",28715.0,17078.0,3953.0,55994.25,59
CDM,2711411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2711423,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,64
CDM,2711424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2711431,Aspiration and/or injection of cyst of kidney,1053.0,662.0,273.03,10537.0,64
CDM,2711432,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES), WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,10681.0,3953.0,45575.4,59
CDM,2711434,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS,  TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY  WITHIN THE SAME VESSEL(S",23372.0,17078.0,3953.0,45575.4,59
CDM,2711435,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,17078.0,3953.0,45575.4,59
CDM,2711454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2711468,Removal of abdominal cavity tube,4740.0,3044.0,491.77,20345.0,64
CDM,2711469,Incision of bladder with drainage,3084.0,1904.0,1026.31,16462.0,64
CDM,2711480,"X-ray of ribs on side of body, minimum of 3 views",535.0,116.0,36.29,2086.0,64
CDM,2711485,"X-ray of ribs on side of body, minimum of 3 views",535.0,116.0,36.29,2086.0,64
CDM,2711490,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2711499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2711500,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2711501,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",25802.0,28382.2,11094.86,50313.9,50
CDM,2711502,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",24117.0,26528.7,10370.31,47028.15,50
CDM,2711510,"X-ray of ribs on both sides of body, 3 views",618.0,116.0,36.29,2086.0,64
CDM,2711515,"X-ray of ribs on both sides of body, minimum of 4 views",694.0,116.0,36.29,2086.0,64
CDM,2711550,"X-ray of lower jaws, upper jaws and teeth",411.0,86.0,36.29,2086.0,64
CDM,2711700,"X-ray of chest bone, minimum of 2 views",471.0,86.0,36.29,2086.0,64
CDM,2711731,"COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING",6496.0,,503.0,12667.2,50
CDM,2711732,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITH CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY (LIST SEPARATELY IN A",3195.0,,503.0,6230.25,50
CDM,2711733,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITHOUT CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY",3195.0,,503.0,6230.25,50
CDM,2711742,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",30.0,,15.42,4516.0,50
CDM,2711750,"X-ray of joint between breast and collar bones, minimum of 2 views",203.0,86.0,36.29,2086.0,64
CDM,2711754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2711755,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8754.18,8754.18,955.0,17070.65,50
CDM,2711756,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,2711757,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8916.0,8916.0,955.0,17386.2,50
CDM,2711758,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,2711759,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",1756.1,1756.1,472.39,3424.4,50
CDM,2711760,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,2711761,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",18084.0,18084.0,955.0,35263.8,50
CDM,2711762,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,2711763,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8754.18,8754.18,955.0,17070.65,50
CDM,2711764,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8916.0,8916.0,955.0,17386.2,50
CDM,2711765,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711766,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711767,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711768,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711769,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711770,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711771,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711772,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4962.0,4962.0,1020.19,3969.6,45
CDM,2711773,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711774,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4962.0,4962.0,1020.19,3969.6,45
CDM,2711775,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711776,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711777,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711778,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711779,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711780,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13633.0,13633.0,2802.94,10906.4,45
CDM,2711781,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711782,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13633.0,13633.0,2802.94,10906.4,45
CDM,2711783,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711784,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711785,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2711786,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2711789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2711790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2711791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2711792,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711793,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711794,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2711795,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2711796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2711797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2711798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2711799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2711800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2712050,"X-ray of upper spine, 2-3 views",592.0,86.0,36.29,2086.0,64
CDM,2712060,"X-ray of upper spine, 6 or more views",735.0,116.0,36.29,2086.0,64
CDM,2712070,"X-ray of upper spine, 4-5 views",615.0,116.0,36.29,2086.0,64
CDM,2712080,"X-ray of middle and lower spine, 2 views",137.0,86.0,36.29,2086.0,64
CDM,2712100,"X-ray of middle spine, 2 views",558.0,116.0,36.29,2086.0,64
CDM,2712105,"X-ray of middle spine, 3 views",765.0,116.0,36.29,2086.0,64
CDM,2712110,"X-ray of middle spine, minimum of 4 views",777.0,116.0,36.29,2086.0,64
CDM,2712130,"X-ray of lower and sacral spine, 2-3 views",575.0,116.0,36.29,2086.0,64
CDM,2712150,"X-ray of lower and sacral spine, minimum of 4 views",836.0,116.0,36.29,2086.0,64
CDM,2712160,"X-ray lower and sacral spine, 2-3 views bending views",385.0,116.0,36.29,2086.0,64
CDM,2712170,"X-ray lower and sacral spine, minimum of 6 views",505.0,116.0,36.29,2086.0,64
CDM,2712180,"X-ray of spine, 1 view",290.0,86.0,36.29,2086.0,64
CDM,2712200,"X-ray of pelvis, 1-2 views",465.0,116.0,36.29,2086.0,64
CDM,2712240,"X-ray of pelvis, minimum of 3 views",687.0,116.0,36.29,2086.0,64
CDM,2712270,"X-ray of joint between lower spine and hip bone, 1-2 views",190.0,116.0,36.29,2086.0,64
CDM,2712275,"X-ray of joint between lower spine and hip bone, 3 or more views",386.0,116.0,36.29,2086.0,64
CDM,2712280,"X-ray of sacrum and tailbone, minimum of 2 views",488.0,86.0,36.29,2086.0,64
CDM,2712310,"X-ray of entire middle and lower spine, 1 view",726.0,86.0,36.29,2086.0,64
CDM,2712320,"X-ray of entire middle and lower spine, 2-3 views",180.0,116.0,36.29,2086.0,64
CDM,2712340,Review by radiologist of multiple spinal canals image,1701.0,761.0,221.0,3316.95,64
CDM,2712370,Review by radiologist of brain and spinal cord image,1228.0,761.0,221.0,2394.6,64
CDM,2712375,Review by radiologist of upper spinal canal image,1644.0,761.0,221.0,3205.8,64
CDM,2712380,Review by radiologist of middle spinal canal image,1644.0,761.0,221.0,3205.8,64
CDM,2712385,Review by radiologist of lower spinal canal image,1228.0,761.0,221.0,2394.6,64
CDM,2712445,Aspiration of fluid from cyst of spinal cord or fluid-filled cavity,2187.0,875.0,471.65,10537.0,64
CDM,2712500,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2712510,X-ray of collar bone,484.0,86.0,36.29,2086.0,64
CDM,2712520,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2712550,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2712560,X-ray of shoulder blade,632.0,116.0,36.29,2086.0,64
CDM,2712570,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2712610,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2712630,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2712635,"X-ray of shoulder, minimum of 2 views",1154.0,86.0,36.29,2250.3,64
CDM,2712640,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2712643,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2712645,"X-ray of shoulder, 1 view",412.0,86.0,36.29,2086.0,64
CDM,2712660,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2712670,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2712700,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2712720,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2712725,"X-ray of upper arm, minimum of 2 views",1130.0,86.0,36.29,2203.5,64
CDM,2712730,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2712735,"X-ray of hand, minimum of 3 views",978.0,86.0,36.29,2086.0,64
CDM,2712740,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2712750,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2712760,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2712765,"X-ray of elbow, 2 views",738.0,86.0,36.29,2086.0,64
CDM,2712780,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2712785,"X-ray of elbow, minimum of 3 views",908.0,86.0,36.29,2086.0,64
CDM,2712790,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2712800,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2712820,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2712825,"X-ray of forearm, 2 views",1148.0,86.0,36.29,2238.6,64
CDM,2712830,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2712835,"X-ray of wrist, minimum of 3 views",1092.0,86.0,36.29,2129.4,64
CDM,2712840,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2712850,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2712860,"X-ray of wrist, 2 views",654.0,86.0,36.29,2086.0,64
CDM,2712870,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2712900,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2712910,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2712920,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2712940,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2712945,"X-ray of finger, minimum of 2 views",644.0,86.0,36.29,2086.0,64
CDM,2712950,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2712960,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2712965,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2712970,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2712975,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2712980,"X-ray of infant arm, minimum of 2 views",764.0,116.0,36.29,2086.0,64
CDM,2712985,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2712990,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2713000,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2713020,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2713030,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,2713040,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,2713050,"X-ray of infant leg, minimum of 2 views",752.0,86.0,36.29,2086.0,64
CDM,2713055,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2713060,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2713070,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2713075,"X-ray of thigh bone, minimum 2 views",1254.0,86.0,36.29,2445.3,64
CDM,2713080,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2713090,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2713095,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2713100,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2713110,"X-ray of knee, 1-2 views",878.0,86.0,36.29,2086.0,64
CDM,2713115,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2713125,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2713135,"X-ray of knee, 3 views",896.0,86.0,36.29,2086.0,64
CDM,2713140,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2713145,"X-ray of knee, 4 or more views",1180.0,116.0,36.29,2301.0,64
CDM,2713150,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2713155,X-ray of both knees while standing,352.0,86.0,36.29,2086.0,64
CDM,2713160,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2713165,"X-ray of lower leg, 2 views",1214.0,86.0,36.29,2367.3,64
CDM,2713170,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2713175,"X-ray of ankle, 2 views",728.0,86.0,36.29,2086.0,64
CDM,2713180,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2713200,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2713205,"X-ray of ankle, minimum of 3 views",1058.0,86.0,36.29,2086.0,64
CDM,2713210,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2713215,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2713220,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2713225,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2713235,"X-ray of foot, minimum of 3 views",1118.0,86.0,36.29,2180.1,64
CDM,2713240,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2713245,"X-ray of foot, 2 views",1118.0,86.0,36.29,2180.1,64
CDM,2713260,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2713265,"X-ray of heel, minimum of 2 views",604.0,86.0,36.29,2086.0,64
CDM,2713270,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2713280,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2713285,"X-ray of toe, minimum of 2 views",728.0,86.0,36.29,2086.0,64
CDM,2713290,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2713300,"X-ray of abdomen, 1 view",392.0,86.0,36.29,2086.0,64
CDM,2713305,"X-ray of abdomen, 2 views",460.0,116.0,36.29,2086.0,64
CDM,2713310,"X-ray of abdomen, 2 views",460.0,116.0,36.29,2086.0,64
CDM,2713315,X-ray series of abdomen with single X-ray of chest,480.0,116.0,36.29,2086.0,64
CDM,2713345,Imaging for evaluation of swallowing function,753.0,190.0,76.23,2086.0,64
CDM,2713350,Single contrast X-ray of esophagus,492.0,190.0,36.29,2086.0,64
CDM,2713355,Single contrast X-ray of upper digestive tract,1032.0,190.0,76.23,2086.0,64
CDM,2713410,Single contrast X-ray of small intestine,983.0,190.0,76.23,2086.0,64
CDM,2713440,Single contrast X-ray of large intestine,684.0,190.0,76.23,2086.0,64
CDM,2713450,Double contrast X-ray of large intestine,735.0,190.0,76.23,2086.0,64
CDM,2713490,Imaging of gallbladder with contrast,426.0,190.0,76.23,2086.0,64
CDM,2713500,Review by radiologist of bile and/or pancreatic duct image during surgery,486.0,486.0,146.51,2086.0,61
CDM,2713510,Removal of biliary duct or gallbladder stone using imaging guidance with review by radiologist,1390.0,1390.0,373.91,4806.51,64
CDM,2713650,Imaging of urinary tract following injection of a contrast agent,632.0,392.0,76.23,2086.0,64
CDM,2713680,Review by radiologist of urinary bladder image,944.0,392.0,76.23,2086.0,64
CDM,2713715,Injection procedure through bladder and urethra for X-ray imaging,98.0,98.0,26.36,1897.0,64
CDM,2713720,Review by radiologist of urinary bladder and urethra images with contrast,955.0,245.0,76.23,2086.0,64
CDM,2713725,Review by radiologist of urinary bladder and urethra images with contrast,955.0,245.0,76.23,2086.0,64
CDM,2713840,Review by radiologist of upper urinary tract image,758.0,392.0,76.23,2086.0,64
CDM,2713920,Review by radiologist of uterine tube and ovary image,722.0,245.0,76.23,2086.0,64
CDM,2713942,Placement of tube of kidney using imaging guidance with review by radiologist,2102.0,1904.0,903.86,16462.0,64
CDM,2713943,Placement of tube of kidney and urinary tube through new skin access using imaging guidance with review by radiologist,4814.0,3269.0,1940.53,27978.0,64
CDM,2713948,Review by radiologist of upper urinary tract image,758.0,392.0,76.23,2086.0,64
CDM,2714003,Fluoroscopic guidance for spine or back muscle injection,360.0,360.0,146.51,2086.0,61
CDM,2714015,Insertion of stomach tube using fluoroscopic guidance with contrast,2117.0,1727.0,199.45,16462.0,64
CDM,2714110,Insertion of stomach tube through nose or mouth using fluoroscopic guidance,550.0,289.0,111.0,7362.0,64
CDM,2714135,Review by radiologist of placement of long small bowel tube,494.0,494.0,146.51,2086.0,61
CDM,2714175,Repositioning of oral or nasal feeding tube in small bowel,1268.0,283.0,199.45,5962.0,64
CDM,2714700,Review by radiologist of abdominal aorta image,4946.0,3044.0,221.0,9644.7,64
CDM,2714705,Review by radiologist of abdominal aorta and both leg arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,2714735,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,64
CDM,2714775,Review by radiologist of abdominal artery image,8717.0,5071.0,221.0,16998.15,64
CDM,2714795,Review by radiologist of both adrenal glands arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,2714875,Review by radiologist of previous placed shunt image,485.0,116.0,76.23,2086.0,64
CDM,2715000,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6289.0,6289.0,221.0,12263.55,45
CDM,2715010,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8717.0,8717.0,221.0,16998.15,45
CDM,2715045,Insertion of tube into chest artery for diagnosis or treatment with review by radiologist,6394.0,3044.0,1719.99,20345.0,64
CDM,2715072,"Insertion of tube into chest or arm artery, initial third order branch",3141.0,3141.0,401.0,6124.95,64
CDM,2715103,Review by radiologist of 1 arm or leg vein of 1 arm or leg image,2466.0,1495.0,221.0,4808.7,64
CDM,2715104,Review by radiologist of both arms and legs veins of both arms or legs image,2466.0,1495.0,221.0,4808.7,64
CDM,2715108,Review by radiologist of kidney image,4946.0,3044.0,221.0,9644.7,64
CDM,2715210,Needle biopsy or removal of surface lymph nodes,2588.0,1496.0,793.31,15383.0,64
CDM,2715380,Review by radiologist of shoulder joint image,676.0,392.0,76.23,2499.0,64
CDM,2715383,Review by radiologist of shoulder joint image,1352.0,392.0,76.23,2636.4,64
CDM,2715385,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6341.0,6341.0,221.0,12364.95,45
CDM,2715390,Review by radiologist of shoulder joint image,676.0,392.0,76.23,2499.0,64
CDM,2715480,Review by radiologist of hip joint image,547.0,392.0,76.23,2499.0,64
CDM,2715484,Review by radiologist of hip joint image,547.0,392.0,76.23,2499.0,64
CDM,2715540,X-ray for estimating bone age,399.0,116.0,36.29,2086.0,64
CDM,2715550,X-ray for bone length assessment,417.0,116.0,36.29,2086.0,64
CDM,2715630,Review by radiologist of abscess or sinus cavity study,923.0,514.0,76.23,2086.0,64
CDM,2715689,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2715810,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2715811,"Fine needle aspiration biopsy, first growth",637.0,368.0,111.0,7362.0,60
CDM,2715815,Enema using air or contrast,368.0,190.0,76.23,2086.0,64
CDM,2715820,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2715829,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2715833,Fluoroscopic guidance for insertion or removal of central vein access device,571.0,571.0,146.51,2086.0,61
CDM,2715835,Fluoroscopic guidance for needle placement,1078.0,1078.0,146.51,2102.1,61
CDM,2716100,CT scan head or brain without contrast,1479.0,116.0,196.15,4140.0,64
CDM,2716115,CT scan of blood vessels of head with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2716130,CT scan of blood vessels of neck with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2716140,CT scan of blood vessels of chest with contrast,3680.0,190.0,250.12,7176.0,64
CDM,2716145,CT scan of blood vessels of chest with contrast,3680.0,190.0,250.12,7176.0,64
CDM,2716430,CT scan of face without contrast,2020.0,116.0,64.89,4140.0,64
CDM,2716800,CT scan of chest without contrast,1981.0,116.0,64.89,4140.0,64
CDM,2716805,CT scan of chest without contrast,1981.0,116.0,64.89,4140.0,64
CDM,2716810,CT scan of chest with contrast,2241.0,190.0,204.1,4369.95,64
CDM,2716820,CT scan of chest before and after contrast,2618.0,190.0,204.1,5105.1,64
CDM,2716860,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2716863,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2716900,CT scan of pelvis without contrast,1976.0,116.0,64.89,4140.0,64
CDM,2716910,CT scan of pelvis with contrast,2378.0,190.0,204.1,4637.1,64
CDM,2716930,CT scan of soft tissue of neck with contrast,2058.0,190.0,204.1,4140.0,64
CDM,2716950,CT scan of upper spine without contrast,2050.0,116.0,64.89,4140.0,64
CDM,2717000,CT scan of middle spine without contrast,2010.0,116.0,64.89,4140.0,64
CDM,2717100,CT scan of lower spine without contrast,2017.0,116.0,64.89,4140.0,64
CDM,2717160,Review by radiologist of CT guidance for needle placement,2008.0,2008.0,49.5,4140.0,61
CDM,2717175,CT scan of abdominal aorta and both leg arteries with contrast,2322.0,190.0,250.12,4527.9,64
CDM,2717191,Limited or follow-up CT scan,804.0,86.0,64.89,4140.0,64
CDM,2717200,CT scan of leg without contrast,1740.0,116.0,64.89,4140.0,64
CDM,2717205,CT scan of blood vessels of lower leg with contrast,2590.0,190.0,250.12,5050.5,64
CDM,2717210,CT scan of leg with contrast material,1892.0,190.0,204.1,4140.0,64
CDM,2717335,Deep biopsy of bone using needle or trocar,1905.0,1496.0,819.15,15383.0,64
CDM,2717340,Biopsy of bone using needle or trocar,2239.0,1496.0,437.88,15383.0,64
CDM,2717355,Needle biopsy of liver through skin,2587.0,1496.0,491.77,15383.0,64
CDM,2717375,Needle biopsy of muscle,2239.0,1496.0,437.88,15383.0,64
CDM,2717380,Needle biopsy of pancreas,1965.0,1496.0,491.77,15383.0,64
CDM,2717425,Review by radiologist of abscess or sinus cavity study,923.0,514.0,76.23,2086.0,64
CDM,2718084,"Aspiration of cyst of breast, each additional cyst",238.0,238.0,64.02,3241.0,64
CDM,2718100,MRI scan of brain without contrast,2913.0,245.0,150.64,5680.35,64
CDM,2718102,MRI scan of brain before and after contrast,3922.0,392.0,249.56,7647.9,64
CDM,2718103,MRI scan of blood vessels of head without contrast,2631.0,245.0,288.59,5130.45,64
CDM,2718113,"MRI scan of bone of eye socket, face, and/or neck without contrast",2389.0,245.0,150.64,4658.55,64
CDM,2718134,MRI scan of upper spinal canal without contrast,2584.0,245.0,150.64,5038.8,64
CDM,2718146,MRI scan of middle spinal canal without contrast,2797.0,245.0,150.64,5454.15,64
CDM,2718170,MRI scan of lower spinal canal without contrast,2939.0,245.0,150.64,5731.05,64
CDM,2718172,MRI scan of lower spinal canal before and after contrast,3428.0,392.0,249.56,6684.6,64
CDM,2718321,MRI scan of leg without contrast,2168.0,245.0,150.64,4516.0,64
CDM,2718329,MRI scan of leg joint without contrast,2166.0,245.0,150.64,4516.0,64
CDM,2718402,MRI scan of abdomen before and after contrast,3626.0,392.0,249.56,7070.7,64
CDM,2718412,MRI scan of pelvis before and after contrast,3146.0,392.0,249.56,6134.7,64
CDM,2718416,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, PELVIS",2180.0,392.0,288.59,4516.0,64
CDM,2718512,MRI scan of both breasts,3730.0,3730.0,249.56,7273.5,64
CDM,2718602,MRI scan of heart before and after contrast,3843.0,392.0,249.56,7493.85,64
CDM,2719035,Irrigation of abdominal cavity,1252.0,860.0,491.77,10537.0,64
CDM,2719054,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,64
CDM,2719075,Aspiration and/or injection of fluid from large joint,481.0,278.0,166.07,5962.0,64
CDM,2719135,Ultrasonic guidance for blood vessel access,732.0,732.0,70.15,2499.0,61
CDM,2719155,Ultrasound study of arm or leg veins with compression and maneuvers,1324.0,245.0,105.0,2581.8,59
CDM,2719156,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2719177,Ultrasound study of arm or leg veins with compression and maneuvers,1324.0,245.0,105.0,2581.8,59
CDM,2719185,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2719200,"DXA bone density measurement of hip, pelvis, spine",298.0,116.0,46.55,2086.0,64
CDM,2719225,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2719230,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,2719260,Complete ultrasound scan of abdomen,1481.0,116.0,105.0,2887.95,64
CDM,2719265,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,2719275,Ultrasound of leg arteries or artery grafts,1414.0,245.0,105.0,2757.3,59
CDM,2719280,Ultrasound scan of transplanted kidney,423.0,116.0,70.1,2499.0,64
CDM,2719287,Ultrasound of one leg arteries or artery grafts,927.0,116.0,70.1,1807.65,59
CDM,2719290,Complete ultrasound scan behind abdominal cavity,755.0,116.0,105.0,2499.0,64
CDM,2719304,Ultrasound of arm arteries or artery grafts,1075.0,245.0,70.1,2096.25,59
CDM,2719305,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2719310,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2719315,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,2719330,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,2719335,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2719355,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2719356,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, each additional fetus",525.0,525.0,62.5,2499.0,61
CDM,2719361,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,2719366,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2719375,Ultrasound of leg arteries or artery grafts,1414.0,245.0,105.0,2757.3,59
CDM,2719385,Ultrasound of one leg arteries or artery grafts,927.0,116.0,70.1,1807.65,59
CDM,2719405,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2719450,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2719455,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2719470,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,2719490,Removal of tissue from placenta for diagnosis,1443.0,674.0,111.0,10537.0,64
CDM,2719565,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2719605,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2719615,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2719625,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2719635,Ultrasound of both sides of head and neck blood flow,1492.0,245.0,105.0,2909.4,59
CDM,2719645,Ultrasound of one side of head and neck blood flow,417.0,116.0,70.1,813.15,59
CDM,2719740,Measurement of urine flow in kidneys and ureters,2472.0,612.0,273.03,10537.0,64
CDM,2719765,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2719788,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel",24213.0,10681.0,4649.52,47215.35,64
CDM,2719789,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, subsequent vessels",6189.0,6189.0,401.0,12068.55,64
CDM,2719793,Removal and replacement of stent in ureter with review by radiologist,2481.0,1904.0,978.2,16462.0,64
CDM,2719893,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,2719901,3D radiographic procedure,986.0,986.0,221.0,2086.0,50
CDM,2719902,3D radiographic procedure with computerized image postprocessing,986.0,986.0,221.0,2086.0,50
CDM,2719906,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",702.0,772.2,301.86,1368.9,50
CDM,2719911,"PORT, INDWELLING (IMPLANTABLE)",609.0,669.9,261.87,1187.55,50
CDM,2719917,CT scan of heart with evaluation of blood vessel calcium,570.0,86.0,64.89,4140.0,64
CDM,2719918,CT scan of heart structure with contrast,1528.0,190.0,204.1,4140.0,64
CDM,2719928,X-ray of infant body bones,173.0,116.0,36.29,2086.0,64
CDM,2719958,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2719972,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,471.65,10537.0,64
CDM,2730000,CT scan head or brain without contrast,1561.0,116.0,196.15,4140.0,64
CDM,2730001,"X-ray of chest, 2 views",578.0,86.0,36.29,1758.0,64
CDM,2730002,Complete ultrasound scan of abdomen,1559.0,116.0,105.0,3040.05,64
CDM,2730003,"Ultrasound of heart during rest, exercise and/or drug-induced stress with report",1236.0,514.0,299.84,3411.0,64
CDM,2730004,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1306.0,281.0,109.83,3411.0,64
CDM,2730005,CT scan of arm before and after contrast,2117.0,190.0,204.1,4140.0,64
CDM,2730006,CT scan of blood vessels of lower leg with contrast,2691.0,190.0,250.12,5247.45,64
CDM,2730007,"X-ray of elbow, minimum of 3 views",1008.0,86.0,36.29,2086.0,64
CDM,2730008,"X-ray of abdomen, 1 view",430.0,86.0,36.29,2086.0,64
CDM,2730009,Ultrasound study of one arm or leg veins with compression and maneuvers,1280.0,116.0,70.1,2496.0,59
CDM,2730010,Complete ultrasound scan behind abdominal cavity,827.0,116.0,105.0,2499.0,64
CDM,2730011,"Ultrasound of heart with color-depicted blood flow, rate, direction and valve function",2708.0,514.0,299.84,5280.6,64
CDM,2730012,"Ultrasound of heart, follow-up",1220.0,245.0,299.84,3411.0,64
CDM,2730013,"Ultrasound of heart blood flow, valves and chambers",1246.0,1246.0,299.84,3411.0,64
CDM,2730014,"Ultrasound of heart blood flow, valves and chambers, follow-up",648.0,648.0,174.31,3411.0,64
CDM,2730015,"Ultrasound of heart with color-depicted blood flow, rate and valve function",846.0,846.0,70.1,3411.0,64
CDM,2730016,Heart muscle strain imaging,865.0,865.0,232.69,3411.0,64
CDM,2730017,CT scan of head or brain before and after contrast,2494.0,190.0,204.1,4863.3,64
CDM,2730018,CT scan of cranial cavity without contrast,1644.0,116.0,64.89,4140.0,64
CDM,2730019,CT scan of cranial cavity with contrast,2316.0,190.0,204.1,4516.2,64
CDM,2730020,CT scan of cranial cavity before and after contrast,2433.0,190.0,204.1,4744.35,64
CDM,2730021,CT scan of face without contrast,2103.0,116.0,64.89,4140.0,64
CDM,2730022,CT scan of face with contrast,2474.0,190.0,204.1,4824.3,64
CDM,2730023,CT scan of face before and after contrast,2774.0,190.0,204.1,5409.3,64
CDM,2730024,CT scan of soft tissue of neck without contrast,2013.0,116.0,64.89,4140.0,64
CDM,2730025,CT scan of soft tissue of neck with contrast,2190.0,190.0,204.1,4270.5,64
CDM,2730026,CT scan of soft tissue of neck before and after contrast,2311.0,190.0,204.1,4506.45,64
CDM,2730027,CT scan of chest without contrast,2085.0,116.0,64.89,4140.0,64
CDM,2730028,CT scan of chest with contrast,2353.0,190.0,204.1,4588.35,64
CDM,2730029,CT scan of chest before and after contrast,2738.0,190.0,204.1,5339.1,64
CDM,2730030,Low dose CT scan of chest for lung cancer screening,2085.0,116.0,64.89,4140.0,64
CDM,2730031,CT scan of upper spine without contrast,2145.0,116.0,64.89,4182.75,64
CDM,2730032,CT scan of upper spine before and after contrast,2726.0,190.0,204.1,5315.7,64
CDM,2730033,CT scan of middle spine without contrast,2105.0,116.0,64.89,4140.0,64
CDM,2730034,CT scan of middle spine before and after contrast,2425.0,190.0,204.1,4728.75,64
CDM,2730035,CT scan of lower spine without contrast,2112.0,116.0,64.89,4140.0,64
CDM,2730036,CT scan of lower spine before and after contrast,2830.0,190.0,204.1,5518.5,64
CDM,2730037,CT scan of pelvis without contrast,2081.0,116.0,64.89,4140.0,64
CDM,2730038,CT scan of pelvis with contrast,2489.0,190.0,204.1,4853.55,64
CDM,2730039,CT scan of pelvis before and after contrast,2807.0,190.0,204.1,5473.65,64
CDM,2730040,CT scan of arm without contrast,1841.0,116.0,64.89,4140.0,64
CDM,2730041,CT scan of arm with contrast,2104.0,392.0,204.1,4140.0,64
CDM,2730042,CT scan of leg without contrast,1835.0,116.0,64.89,4140.0,64
CDM,2730043,CT scan of leg with contrast material,2003.0,190.0,204.1,4140.0,64
CDM,2730044,CT scan of leg before and after contrast,2150.0,190.0,204.1,4192.5,64
CDM,2730045,CT scan of abdomen without contrast,2383.0,116.0,64.89,4646.85,64
CDM,2730046,CT scan of abdomen before and after contrast,3166.0,190.0,204.1,6173.7,64
CDM,2730047,CT scan of abdomen and pelvis without contrast,4046.0,245.0,204.1,7889.7,64
CDM,2730048,CT scan of abdomen and pelvis with contrast,6177.0,392.0,204.1,12045.15,64
CDM,2730049,CT scan of abdomen and pelvis before and after contrast,6882.0,392.0,204.1,13419.9,64
CDM,2730050,CT scan of heart with evaluation of blood vessel calcium,626.0,86.0,64.89,4140.0,64
CDM,2730051,CT scan of heart structure with contrast,1619.0,190.0,204.1,4140.0,64
CDM,2730052,CT scan of congenital heart disease with contrast,2251.0,190.0,204.1,4389.45,64
CDM,2730053,3D radiographic procedure with computerized image postprocessing,1063.0,1063.0,503.0,4140.0,50
CDM,2730054,Limited or follow-up CT scan,896.0,86.0,64.89,4140.0,64
CDM,2730055,CT scan of blood vessels of chest with contrast,3777.0,190.0,250.12,7365.15,64
CDM,2730056,CT scan of blood vessels of chest with contrast,3777.0,190.0,250.12,7365.15,64
CDM,2730057,CT scan of blood vessels of lower leg with contrast,2691.0,190.0,250.12,5247.45,64
CDM,2730058,CT scan of blood vessels and grafts of heart with contrast,2127.0,190.0,250.12,4147.65,64
CDM,2730059,CT scan of abdominal aorta and both leg arteries with contrast,2449.0,190.0,250.12,4775.55,64
CDM,2730060,"INJECTION, PERFLUTREN LIPID MICROSPHERES, PER ML",150.0,150.0,40.35,336.0,43
CDM,2730061,X-ray of eye for detection of foreign body,216.0,86.0,36.29,2086.0,64
CDM,2730062,X-ray of eye for detection of foreign body,137.0,86.0,36.29,2086.0,64
CDM,2730063,X-ray of eye for detection of foreign body,137.0,86.0,36.29,2086.0,64
CDM,2730064,"X-ray of face bones, minimum of 3 views",406.0,116.0,36.29,2086.0,64
CDM,2730065,"X-ray of paranasal sinus, minimum of 3 views",612.0,86.0,36.29,2086.0,64
CDM,2730066,"X-ray of skull, minimum of 4 views",922.0,116.0,36.29,2086.0,64
CDM,2730067,"X-ray of chest, 1 view",409.0,86.0,36.29,1758.0,64
CDM,2730068,"X-ray of upper spine, 2-3 views",645.0,86.0,36.29,2086.0,64
CDM,2730069,"X-ray of middle spine, 3 views",820.0,116.0,36.29,2086.0,64
CDM,2730070,"X-ray of lower and sacral spine, 2-3 views",631.0,116.0,36.29,2086.0,64
CDM,2730071,"X-ray of elbow, minimum of 3 views",504.0,86.0,36.29,2086.0,64
CDM,2730072,"X-ray of elbow, minimum of 3 views",504.0,86.0,36.29,2086.0,64
CDM,2730073,"X-ray of wrist, minimum of 3 views",1204.0,86.0,36.29,2347.8,64
CDM,2730074,"X-ray of wrist, minimum of 3 views",602.0,86.0,36.29,2086.0,64
CDM,2730075,"X-ray of wrist, minimum of 3 views",602.0,86.0,36.29,2086.0,64
CDM,2730076,"X-ray of hand, minimum of 3 views",1076.0,86.0,36.29,2098.2,64
CDM,2730077,"X-ray of hand, minimum of 3 views",538.0,86.0,36.29,2086.0,64
CDM,2730078,"X-ray of hand, minimum of 3 views",538.0,86.0,36.29,2086.0,64
CDM,2730079,"X-ray of knee, 3 views",1010.0,86.0,36.29,2086.0,64
CDM,2730080,"X-ray of knee, 3 views",505.0,86.0,36.29,2086.0,64
CDM,2730081,"X-ray of knee, 3 views",505.0,86.0,36.29,2086.0,64
CDM,2730082,"X-ray of ankle, minimum of 3 views",1158.0,86.0,36.29,2258.1,64
CDM,2730083,"X-ray of ankle, minimum of 3 views",579.0,86.0,36.29,2086.0,64
CDM,2730084,"X-ray of ankle, minimum of 3 views",579.0,86.0,36.29,2086.0,64
CDM,2730085,"X-ray of foot, minimum of 3 views",1210.0,86.0,36.29,2359.5,64
CDM,2730086,"X-ray of foot, minimum of 3 views",605.0,86.0,36.29,2086.0,64
CDM,2730087,"X-ray of foot, minimum of 3 views",605.0,86.0,36.29,2086.0,64
CDM,2730088,"X-ray of toe, minimum of 2 views",818.0,86.0,36.29,2086.0,64
CDM,2730089,"X-ray of toe, minimum of 2 views",409.0,86.0,36.29,2086.0,64
CDM,2730090,"X-ray of toe, minimum of 2 views",409.0,86.0,36.29,2086.0,64
CDM,2730091,Ultrasound scan of chest,229.0,116.0,70.1,2499.0,64
CDM,2730092,Limited ultrasound scan of abdomen,798.0,116.0,70.1,2499.0,64
CDM,2730093,Ultrasound scan of abdominal aorta,217.0,116.0,70.1,2499.0,64
CDM,2730094,Limited ultrasound scan behind abdominal cavity,639.0,116.0,70.1,2499.0,64
CDM,2730095,Complete ultrasound scan of pelvis,718.0,116.0,105.0,2499.0,64
CDM,2730096,Limited ultrasound scan of pelvis,503.0,116.0,70.1,2499.0,64
CDM,2730097,Ultrasound scan of scrotum,607.0,116.0,70.1,2499.0,64
CDM,2730098,Limited ultrasound scan of joint or other extremity structure except blood vessels,241.0,116.0,70.1,2499.0,64
CDM,2730099,Ultrasound of both sides of head and neck blood flow,1571.0,245.0,105.0,3063.45,59
CDM,2730100,Ultrasound of one side of head and neck blood flow,467.0,116.0,70.1,910.65,59
CDM,2730101,Ultrasound of leg arteries or artery grafts,1491.0,245.0,105.0,2907.45,59
CDM,2730102,Ultrasound of one leg arteries or artery grafts,974.0,116.0,70.1,1899.3,59
CDM,2730103,Ultrasound study of arm or leg veins with compression and maneuvers,1391.0,245.0,105.0,2712.45,59
CDM,2730104,Ultrasound study of arm or leg veins with compression and maneuvers,1391.0,245.0,105.0,2712.45,59
CDM,2730105,Ultrasound study of one arm or leg veins with compression and maneuvers,1280.0,116.0,70.1,2496.0,59
CDM,2730106,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1640.0,245.0,105.0,3198.0,59
CDM,2730107,Ultrasound of abdomen and pelvis artery and vein blood flow,588.0,116.0,105.0,1146.6,59
CDM,2730108,CT scan of blood vessels of head with contrast,3332.0,190.0,250.12,6497.4,64
CDM,2730109,CT scan of blood vessels of head with contrast,3332.0,190.0,250.12,6497.4,64
CDM,2730110,CT scan of blood vessels of neck with contrast,3332.0,190.0,250.12,6497.4,64
CDM,2730111,CT scan of blood vessels of neck with contrast,3332.0,190.0,250.12,6497.4,64
CDM,2730112,CT scan of blood vessels of abdomen and pelvis with contrast,3944.0,392.0,250.12,7690.8,64
CDM,2730113,CT scan of blood vessels of abdomen and pelvis with contrast,3944.0,392.0,250.12,7690.8,64
CDM,2730114,Ultrasound scan of head and neck soft tissue,594.0,116.0,70.1,2499.0,64
CDM,2730115,"COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING",6664.0,,503.0,12994.8,50
CDM,2730116,X-ray of collar bone,259.0,86.0,36.29,2086.0,64
CDM,2730117,X-ray of collar bone,519.0,86.0,36.29,2086.0,64
CDM,2730118,X-ray of collar bone,259.0,86.0,36.29,2086.0,64
CDM,2730119,Complete ultrasound scan of joint,279.0,116.0,70.1,2499.0,64
CDM,2730120,Ultrasound of arm arteries or artery grafts,1497.0,245.0,70.1,2919.15,59
CDM,2730121,Ultrasound of one arm arteries or artery grafts,855.0,116.0,70.1,1667.25,59
CDM,2730122,Ultrasound of one arm arteries or artery grafts,855.0,116.0,70.1,1667.25,59
CDM,2730123,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1520.0,245.0,105.0,2964.0,59
CDM,2730124,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",1215.0,116.0,70.1,2369.25,59
CDM,2730125,"X-ray of face bones, 1-2 views",333.0,86.0,36.29,2086.0,64
CDM,2730126,"X-ray of eye socket, minimum of 4 views",526.0,116.0,36.29,2086.0,64
CDM,2730127,"X-ray of paranasal sinus, 1-2 views",380.0,86.0,36.29,2086.0,64
CDM,2730128,X-ray of soft tissue of neck,468.0,86.0,36.29,2086.0,64
CDM,2730129,"X-ray of ribs on side of body, minimum of 3 views",624.0,116.0,36.29,2086.0,64
CDM,2730130,"X-ray of ribs on side of body, minimum of 3 views",624.0,116.0,36.29,2086.0,64
CDM,2730131,"X-ray of ribs on both sides of body, 3 views",708.0,116.0,36.29,1380.6,56
CDM,2730132,"X-ray of ribs on both sides of body, minimum of 4 views",803.0,116.0,36.29,2086.0,64
CDM,2730133,"X-ray of middle spine, 2 views",628.0,116.0,36.29,2086.0,64
CDM,2730134,"X-ray of pelvis, 1-2 views",525.0,116.0,36.29,2086.0,64
CDM,2730135,X-ray of shoulder blade,739.0,116.0,36.29,2086.0,64
CDM,2730136,X-ray of shoulder blade,370.0,116.0,36.29,2086.0,64
CDM,2730137,X-ray of shoulder blade,370.0,116.0,36.29,2086.0,64
CDM,2730138,"X-ray of shoulder, minimum of 2 views",1306.0,86.0,36.29,2546.7,64
CDM,2730139,"X-ray of shoulder, minimum of 2 views",653.0,86.0,36.29,2086.0,64
CDM,2730140,"X-ray of shoulder, minimum of 2 views",653.0,86.0,36.29,2086.0,64
CDM,2730141,"X-ray of upper arm, minimum of 2 views",1267.0,86.0,36.29,2470.65,64
CDM,2730142,"X-ray of upper arm, minimum of 2 views",633.0,86.0,36.29,2086.0,64
CDM,2730143,"X-ray of upper arm, minimum of 2 views",633.0,86.0,36.29,2086.0,64
CDM,2730144,"X-ray of elbow, 2 views",863.0,86.0,36.29,2086.0,64
CDM,2730145,"X-ray of elbow, 2 views",432.0,86.0,36.29,2086.0,64
CDM,2730146,"X-ray of elbow, 2 views",432.0,86.0,36.29,2086.0,64
CDM,2730147,"X-ray of forearm, 2 views",1272.0,86.0,36.29,2480.4,64
CDM,2730148,"X-ray of forearm, 2 views",636.0,86.0,36.29,2086.0,64
CDM,2730149,"X-ray of forearm, 2 views",636.0,86.0,36.29,2086.0,64
CDM,2730150,"X-ray of hip, 2-3 views",505.0,86.0,36.29,2086.0,64
CDM,2730151,"X-ray of hip, 2-3 views",505.0,86.0,36.29,2086.0,64
CDM,2730152,"X-ray of both hips, 3-4 views",690.0,116.0,36.29,2086.0,64
CDM,2730153,"X-ray of thigh bone, minimum 2 views",1406.0,86.0,36.29,2741.7,64
CDM,2730154,"X-ray of thigh bone, minimum 2 views",703.0,86.0,36.29,2086.0,64
CDM,2730155,"X-ray of thigh bone, minimum 2 views",703.0,86.0,36.29,2086.0,64
CDM,2730156,"X-ray of knee, 1-2 views",1024.0,86.0,36.29,2086.0,64
CDM,2730157,"X-ray of knee, 1-2 views",512.0,86.0,36.29,2086.0,64
CDM,2730158,"X-ray of knee, 1-2 views",512.0,86.0,36.29,2086.0,64
CDM,2730159,"X-ray of lower leg, 2 views",1348.0,86.0,36.29,2628.6,64
CDM,2730160,"X-ray of lower leg, 2 views",674.0,86.0,36.29,2086.0,64
CDM,2730161,"X-ray of lower leg, 2 views",674.0,86.0,36.29,2086.0,64
CDM,2730162,"X-ray of ankle, 2 views",866.0,86.0,36.29,2086.0,64
CDM,2730163,"X-ray of ankle, 2 views",433.0,86.0,36.29,2086.0,64
CDM,2730164,"X-ray of ankle, 2 views",433.0,86.0,36.29,2086.0,64
CDM,2730165,"X-ray of foot, 2 views",1241.0,86.0,36.29,2419.95,64
CDM,2730166,"X-ray of foot, 2 views",620.0,86.0,36.29,2086.0,64
CDM,2730167,"X-ray of foot, 2 views",620.0,86.0,36.29,2086.0,64
CDM,2730168,CT scan head or brain with contrast,1934.0,190.0,204.1,4140.0,64
CDM,2730169,CT scan of upper spine with contrast,2523.0,392.0,204.1,4919.85,64
CDM,2730170,CT scan of middle spine with contrast,2426.0,190.0,204.1,4730.7,64
CDM,2730171,CT scan of lower spine with contrast,2506.0,392.0,204.1,4886.7,64
CDM,2730172,CT scan of blood vessels of pelvis with contrast,4474.0,190.0,250.12,8724.3,64
CDM,2730173,CT scan of blood vessels of pelvis with contrast,4474.0,190.0,250.12,8724.3,64
CDM,2730174,CT scan of blood vessels of arm with contrast,4507.0,190.0,250.12,8788.65,64
CDM,2730175,CT scan of abdomen with contrast,2920.0,190.0,204.1,5694.0,64
CDM,2730176,CT scan of blood vessels of abdomen with contrast,4391.0,190.0,250.12,8562.45,64
CDM,2730177,CT scan of blood vessels of abdomen with contrast,4391.0,190.0,250.12,8562.45,64
CDM,2730178,3D radiographic procedure,1040.0,1040.0,503.0,4140.0,50
CDM,2740002,Nuclear medicine study of liver and bile duct system with use of drugs,851.0,520.0,240.08,5180.0,64
CDM,2740006,"IODINE I-131 SODIUM IODIDE SOLUTION, THERAPEUTIC, PER MILLICURIE",38.0,14.0,10.22,739.08,59
CDM,2740008,Nuclear medicine study of heart muscle at rest and with stress and SPECT,2570.0,1390.0,537.1,5180.0,64
CDM,2740033,"IODINE I-123 SODIUM IODIDE, DIAGNOSTIC, PER MILLICURIE",2938.0,2938.0,569.0,5729.1,50
CDM,2740203,"BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCE",50820.0,55902.0,6443.33,99099.0,61
CDM,2740295,"GALLIUM GA-68, DOTATATE, DIAGNOSTIC, 0.1 MILLICURIE",1667.0,1667.0,51.09,5180.0,53
CDM,2740674,"TECHNETIUM TC-99M TILMANOCEPT, DIAGNOSTIC, UP TO 0.5 MILLICURIES",1013.0,1013.0,272.5,5180.0,50
CDM,2742010,Nuclear medicine study of adrenal glands,2028.0,1390.0,537.1,5180.0,64
CDM,2742012,Nuclear medicine study of cerebrospinal fluid flow to evaluate shunt,1693.0,520.0,537.1,5180.0,64
CDM,2742030,Nuclear medicine study of parathyroid,801.0,401.0,344.43,5180.0,64
CDM,2742050,Nuclear medicine study of bone taken at different times,2099.0,401.0,240.08,5180.0,64
CDM,2742060,Nuclear medicine study to assess blood loss,866.0,401.0,372.38,5180.0,64
CDM,2742080,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742090,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742100,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742110,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742120,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742224,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,64
CDM,2742225,"IODINE I-123 IOBENGUANE, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",5495.0,5495.0,569.0,10715.25,53
CDM,2742300,"Nuclear medicine study, SPECT imaging, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2743.0,1390.0,537.1,5348.85,64
CDM,2742680,Nuclear medicine study of salivary gland function,626.0,401.0,240.08,5180.0,64
CDM,2746050,Nuclear medicine study of stomach to assess emptying,1751.0,401.0,240.08,5180.0,64
CDM,2746090,Nuclear medicine study of lymphatic system,1791.0,520.0,537.1,5180.0,64
CDM,2747000,Radioactive drug therapy by mouth,1937.0,269.0,149.68,5180.0,64
CDM,2747020,"Nuclear medicine study of kidney, blood, flow, and function with drug administration",1251.0,520.0,240.08,5180.0,64
CDM,2747160,Radioactive drug therapy by mouth,1937.0,269.0,149.68,5180.0,64
CDM,2747220,Calculation of radiation therapy dose,383.0,135.0,120.39,4634.0,64
CDM,2748000,Nuclear medicine study of thyroid function,627.0,401.0,240.08,5180.0,64
CDM,2748020,Nuclear medicine study of thyroid and thyroid function,1085.0,401.0,240.08,5180.0,64
CDM,2748041,Nuclear medicine study of thyroid and thyroid function,1085.0,401.0,240.08,5180.0,64
CDM,2748270,"Nuclear medicine study of kidney, blood flow, and function",1202.0,520.0,240.08,5180.0,64
CDM,2748710,Nuclear medicine study of bone and/or joint whole body,1560.0,401.0,240.08,5180.0,64
CDM,2748720,Nuclear medicine study of whole body for thyroid cancer,2310.0,520.0,240.08,5180.0,64
CDM,2748730,"Nuclear medicine study of brain and blood flow, 4 static views or more",3389.0,520.0,240.08,6608.55,64
CDM,2748770,Nuclear medicine study of brain with blood flow,1320.0,520.0,240.08,5180.0,64
CDM,2748800,Nuclear medicine study of liver and spleen,1664.0,401.0,537.1,5180.0,64
CDM,2748810,Nuclear medicine study of lung circulation,1124.0,401.0,483.32,5180.0,64
CDM,2748820,Nuclear medicine study of liver and bile duct system,2292.0,401.0,240.08,5180.0,64
CDM,2748870,Nuclear medicine study of intestine,837.0,401.0,240.08,5180.0,64
CDM,2748920,Nuclear medicine study of lung ventilation and blood flow to lung,2334.0,401.0,537.1,5180.0,64
CDM,2748923,Nuclear medicine study of lung ventilation and circulation,1941.0,520.0,537.1,5180.0,64
CDM,2748925,Nuclear medicine study of lung ventilation and circulation,1941.0,520.0,537.1,5180.0,64
CDM,2748950,Nuclear medicine study of thyroid,762.0,401.0,240.08,5180.0,64
CDM,2748970,"Nuclear medicine study, SPECT imaging, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2743.0,1390.0,537.1,5348.85,64
CDM,2748971,"Nuclear medicine study, SPECT imaging, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2743.0,1390.0,537.1,5348.85,64
CDM,2749020,Nuclear medicine studies of heart muscle at rest and with stress and SPECT,4263.0,1390.0,537.1,8312.85,64
CDM,2749021,Nuclear medicine study of heart muscle with metabolic evaluation,2290.0,1390.0,925.13,5881.0,64
CDM,2749028,Nuclear medicine study of brain with metabolic evaluation,5165.0,1574.0,925.13,10071.75,64
CDM,2749029,Nuclear medicine study of brain with blood flow evaluation,3817.0,3817.0,925.13,7443.15,61
CDM,2749050,Nuclear medicine study of heart pumping function by labeling red blood cells with measurement of internal blood volume ejected with every beat over multiple cycles,1240.0,401.0,240.08,5180.0,64
CDM,2749060,Nuclear medicine study for detecting heart shunt,627.0,401.0,240.08,5180.0,64
CDM,2749111,Nuclear medicine study whole body with CT scan,3665.0,1574.0,925.13,7146.75,64
CDM,2749112,Nuclear medicine study from skull base to mid-thigh with CT scan,3436.0,1574.0,925.13,6700.2,64
CDM,2749200,"DXA bone density measurement of hip, pelvis, spine",298.0,116.0,46.55,2086.0,64
CDM,2749210,Nuclear medicine studies of heart muscle at rest and with stress and SPECT,4263.0,1390.0,537.1,8312.85,64
CDM,2749510,"TECHNETIUM TC-99M SESTAMIBI, DIAGNOSTIC, PER STUDY DOSE",525.0,525.0,141.23,5180.0,50
CDM,2749511,"THALLIUM TL-201 THALLOUS CHLORIDE, DIAGNOSTIC, PER MILLICURIE",21.0,21.0,5.65,5180.0,50
CDM,2749520,"IODINE I-131 SODIUM IODIDE CAPSULE(S), THERAPEUTIC, PER MILLICURIE",75.0,21.0,20.18,739.08,59
CDM,2749521,"IODINE I-131 SODIUM IODIDE CAPSULE(S), DIAGNOSTIC, PER MILLICURIE",14.0,14.0,3.77,5180.0,50
CDM,2749522,"IODINE I-131 SODIUM IODIDE SOLUTION, DIAGNOSTIC, PER MILLICURIE",15.0,15.0,4.04,5180.0,50
CDM,2749531,"TECHNETIUM TC-99M MEBROFENIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",123.0,123.0,33.09,5180.0,50
CDM,2749532,"TECHNETIUM TC-99M PENTETATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",55.0,55.0,14.8,5180.0,50
CDM,2749533,"TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 10 MILLICURIES",85.0,85.0,22.87,5180.0,50
CDM,2749534,"TECHNETIUM TC-99M MERTIATIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",1163.0,1163.0,312.85,5180.0,50
CDM,2749535,"TECHNETIUM TC-99M BICISATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",1189.0,1189.0,319.84,5180.0,53
CDM,2749536,"TECHNETIUM TC-99M PERTECHNETATE, DIAGNOSTIC, PER MILLICURIE",45.0,45.0,12.11,5180.0,50
CDM,2749537,"TECHNETIUM TC-99M PYROPHOSPHATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",99.0,99.0,26.63,5180.0,50
CDM,2749538,"TECHNETIUM TC-99M SULFUR COLLOID, DIAGNOSTIC, PER STUDY DOSE, UP TO 20 MILLICURIES",76.0,76.0,20.44,5180.0,50
CDM,2749540,"TECHNETIUM TC-99M EXAMETAZIME LABELED AUTOLOGOUS WHITE BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE",1432.0,1432.0,385.21,5180.0,53
CDM,2749542,"TECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE",532.0,532.0,143.11,5180.0,50
CDM,2749543,"TECHNETIUM TC-99M MEDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",89.0,89.0,23.94,5180.0,50
CDM,2749545,"TECHNETIUM TC-99M OXIDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",111.0,111.0,29.86,5180.0,50
CDM,2749550,"IODINE I-131 IOBENGUANE SULFATE, DIAGNOSTIC, PER 0.5 MILLICURIE",299.0,299.0,80.43,5180.0,50
CDM,2749553,"IODINE I-123 SODIUM IODIDE, DIAGNOSTIC, PER 100 MICROCURIES, UP TO 999 MICROCURIES",16.0,16.0,4.3,5180.0,50
CDM,2749555,"INDIUM IN-111 PENTETATE, DIAGNOSTIC, PER 0.5 MILLICURIE",1143.0,1143.0,307.47,5180.0,53
CDM,2749556,"INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIES",4616.0,4616.0,569.0,9001.2,53
CDM,2749559,"INDIUM IN-111 LABELED AUTOLOGOUS WHITE BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE",1691.0,1691.0,454.88,5180.0,53
CDM,2749560,"GALLIUM GA-67 CITRATE, DIAGNOSTIC, PER MILLICURIE",19.0,19.0,5.11,5180.0,50
CDM,2749561,"FLUORODEOXYGLUCOSE F-18 FDG, DIAGNOSTIC, PER STUDY DOSE, UP TO 45 MILLICURIES",1314.0,1314.0,353.47,5180.0,50
CDM,2749567,"XENON XE-133 GAS, DIAGNOSTIC, PER 10 MILLICURIES",64.0,64.0,17.22,5180.0,50
CDM,2749758,"TECHNETIUM TC-99M LABELED RED BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",286.0,286.0,76.93,5180.0,50
CDM,2749759,"TECHNETIUM TC-99M PENTETATE, DIAGNOSTIC, AEROSOL, PER STUDY DOSE, UP TO 75 MILLICURIES",286.0,286.0,76.93,5180.0,50
CDM,2749760,"INJECTION, SINCALIDE, 5 MICROGRAMS",306.0,306.0,61.32,685.44,59
CDM,2749901,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1228.0,281.0,109.83,3411.0,64
CDM,2749903,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1228.0,281.0,109.83,3411.0,64
CDM,2760424,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, each additional fetus",202.0,202.0,62.5,2499.0,61
CDM,2760802,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2760803,Ultrasound scan of fetal brain artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,2760804,Ultrasound scan of fetal heart blood flow,715.0,116.0,62.5,2499.0,64
CDM,2760805,Follow-up ultrasound scan of fetal heart blood flow,697.0,116.0,62.5,2499.0,64
CDM,2760806,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,2760813,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2760816,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2760820,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,2760823,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,2760824,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,2760825,Ultrasonic guidance for removal of amniotic fluid,540.0,540.0,70.15,2499.0,61
CDM,2760828,Ultrasonic guidance for testing placental tissue,522.0,522.0,70.15,2499.0,61
CDM,2760830,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2760831,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2760832,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2760834,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2760835,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2760837,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2760838,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2760840,Ultrasound scan of uterus and uterine cavity,581.0,245.0,105.0,2499.0,64
CDM,2760841,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2760843,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2760844,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2760845,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,2760847,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2760850,Drainage of cysts of ovaries through abdomen,7306.0,2790.0,1616.87,20345.0,64
CDM,2760852,"Ultrasound scan of pregnant uterus (less than 14 weeks), each additional fetus",316.0,316.0,62.5,2499.0,61
CDM,2760853,"Ultrasound scan of pregnant uterus (14 weeks or more), each additional fetus",736.0,736.0,62.5,2499.0,61
CDM,2760854,Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes,386.0,386.0,103.83,3241.0,64
CDM,2760859,Ultrasound and monitoring of heart of fetus,1065.0,116.0,62.5,2499.0,64
CDM,2761240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2761399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2761411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2761423,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,64
CDM,2761424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2761454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2761499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2761754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2761755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2761788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2761789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2761790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2761791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2761796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2761797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2761798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2761799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2761800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2769315,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,2769335,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2769356,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, each additional fetus",525.0,525.0,62.5,2499.0,61
CDM,2769361,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,2769366,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2769490,Removal of tissue from placenta for diagnosis,1443.0,674.0,111.0,10537.0,64
CDM,2769901,3D radiographic procedure,986.0,986.0,221.0,2499.0,50
CDM,2769902,3D radiographic procedure with computerized image postprocessing,986.0,986.0,221.0,2499.0,50
CDM,2769958,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2780030,"INJECTION, PERFLUTREN LIPID MICROSPHERES, PER ML",150.0,150.0,40.35,336.0,43
CDM,2780033,Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance,4211.0,3044.0,1697.97,20345.0,64
CDM,2780048,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,2986.0,2986.0,613.92,2388.8,45
CDM,2780049,Ultrasound of arm arteries or artery grafts,1075.0,245.0,70.1,2096.25,59
CDM,2780050,"INJECTION, PERFLUTREN LIPID MICROSPHERES, PER ML",75.0,75.0,20.18,168.0,43
CDM,2780057,Ultrasound of within the brain blood flow,670.0,116.0,70.1,1306.5,59
CDM,2780058,Complete ultrasound of within the brain blood flow,1120.0,245.0,105.0,2184.0,59
CDM,2780214,Heart muscle strain imaging,840.0,840.0,225.96,3411.0,64
CDM,2780465,CATH CLOSUREFAST RAIO-FREQ%,963.0,963.0,197.99,770.4,45
CDM,2780467,CATH CLOSUREFAST CPK55,1050.0,1050.0,215.88,840.0,45
CDM,2780468,CATH CLOSUREFAST CPK64,1006.0,1006.0,206.83,804.8,45
CDM,2781000,Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access,163.0,116.0,70.09,2499.0,64
CDM,2781013,Chemical destruction of first incompetent vein of arm or leg using imaging guidance,8717.0,5071.0,1697.97,27978.0,64
CDM,2781014,Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance,4715.0,4715.0,401.0,9194.25,64
CDM,2781070,Complete ultrasound study of arm and leg arteries,659.0,148.0,109.83,1285.05,59
CDM,2781071,Complete ultrasound study of arm and leg arteries,659.0,148.0,109.83,1285.05,59
CDM,2781072,Ultrasound study of arm and leg arteries,333.0,120.0,70.1,686.0,59
CDM,2781074,Ultrasound of leg arteries at rest and after exercise,487.0,281.0,70.1,949.65,59
CDM,2781075,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,686.0,59
CDM,2781399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2781424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2783030,"Ultrasound of heart blood flow, valves and chambers",1211.0,1211.0,299.84,3411.0,64
CDM,2783031,"Ultrasound of heart blood flow, valves and chambers, follow-up",633.0,633.0,170.28,3411.0,64
CDM,2783170,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, FOLLOW-UP OR LIMITED ST",1171.0,392.0,299.84,3411.0,64
CDM,2783400,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITHOUT SPECT",1459.0,761.0,299.84,3411.0,64
CDM,2783900,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,64
CDM,2784100,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, DURING REST AND CARDIOV",2583.0,761.0,299.84,5036.85,64
CDM,2784200,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1228.0,281.0,109.83,3411.0,64
CDM,2784210,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1228.0,281.0,109.83,3411.0,64
CDM,2787270,External shock to heart to regulate heart beat,2083.0,597.0,434.49,4061.85,56
CDM,2789050,"Ultrasound of heart with color-depicted blood flow, rate and valve function",840.0,840.0,70.1,3411.0,64
CDM,2789155,Ultrasound study of arm or leg veins with compression and maneuvers,1324.0,245.0,105.0,2581.8,59
CDM,2789156,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2789185,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2789275,Ultrasound of leg arteries or artery grafts,1414.0,245.0,105.0,2757.3,59
CDM,2789287,Ultrasound of one leg arteries or artery grafts,927.0,116.0,70.1,1807.65,59
CDM,2789305,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2789395,Ultrasound of arm arteries or artery grafts,1075.0,245.0,70.1,2096.25,59
CDM,2789405,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2789635,Ultrasound of both sides of head and neck blood flow,1492.0,245.0,105.0,2909.4,59
CDM,2789788,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL",2573.0,761.0,299.84,5017.35,64
CDM,2789789,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL",2573.0,761.0,299.84,5017.35,64
CDM,2790001,Design and construction of radiation treatment device for high precision radiation therapy,1277.0,360.0,120.39,4634.0,64
CDM,2790012,"High dose radiation therapy, 2-12 channels",1091.0,754.0,469.13,4634.0,64
CDM,2790013,"BRACHYTHERAPY SOURCE, NON-STRANDED, HIGH DOSE RATE IRIDIUM-192, PER SOURCE",599.0,658.9,145.16,1168.05,61
CDM,2790014,Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle,113.0,66.0,31.86,3900.0,64
CDM,2790019,Delivery of single session of intraoperative radiation treatment with X-ray,11538.0,8270.0,887.49,22499.1,64
CDM,2790020,Complete single session course of cranial lesion surgery using radiation and a machine to deliver external radiation,11538.0,8270.0,2342.0,22499.1,64
CDM,2790021,Delivery of radiation therapy per dose to 1 or more lesions not to exceed 5 doses,2801.0,1844.0,887.49,5461.95,61
CDM,2790023,Obtaining respiratory data needed to develop the optimal radiation treatment,2192.0,2192.0,78.62,4634.0,64
CDM,2790184,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,2790185,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,2790189,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,2790190,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,2790410,Delivery of simple radiation treatment,162.0,127.0,69.66,4634.0,64
CDM,2790411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,2790412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,2790414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2790415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2790416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,2790417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2790418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2790419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,231.0,12.0,72.0,450.45,46
CDM,2790420,Delivery of intermediate radiation treatment,604.0,257.0,116.65,4634.0,64
CDM,2790421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2790430,Delivery of complex radiation treatment,866.0,257.0,116.65,4634.0,64
CDM,2790610,"Obtaining data needed to develop the optimal radiation treatment, 1 treatment area",520.0,135.0,78.62,4634.0,64
CDM,2790630,"Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved",1433.0,360.0,120.39,4634.0,64
CDM,2790635,3D radiation therapy planning,3875.0,1343.0,704.08,7556.25,64
CDM,2790840,Special radiation treatment,2144.0,577.0,301.02,4634.0,64
CDM,2796200,X-ray during radiation therapy,153.0,153.0,36.29,4634.0,64
CDM,2796361,High precision radiation therapy planning,2169.0,1343.0,704.08,4634.0,64
CDM,2796370,Complex application of radiation source,4054.0,754.0,887.49,7905.3,64
CDM,2796600,Design and construction of simple radiation treatment device,222.0,135.0,78.62,4634.0,64
CDM,2796620,Design and construction of complex radiation treatment device,614.0,360.0,120.39,4634.0,64
CDM,2796650,Simple radiation therapy planning for delivery of internal radiation,686.0,360.0,78.62,4634.0,64
CDM,2796660,Intermediate radiation therapy planning for delivery of internal radiation,1011.0,360.0,120.39,4634.0,64
CDM,2796670,Complex radiation therapy planning for delivery of internal radiation,1235.0,360.0,120.39,4634.0,64
CDM,2796700,Calculation of radiation therapy dose,383.0,135.0,120.39,4634.0,64
CDM,2796710,Simple radiation therapy planning for delivery of external radiation,587.0,360.0,78.62,4634.0,64
CDM,2796730,Complex radiation therapy planning for delivery of external radiation,587.0,360.0,120.39,4634.0,64
CDM,2796830,Special medical radiation therapy consultation,211.0,135.0,78.62,4634.0,64
CDM,2796831,Diagnostic exam of voice box using a flexible endoscope,313.0,175.0,84.2,5962.0,61
CDM,2796850,Special radiation therapy planning,621.0,135.0,78.62,4634.0,64
CDM,2796880,Continuing radiation therapy consultation per week,336.0,135.0,78.62,4634.0,64
CDM,2796952,"High dose radiation therapy, 1 channel",1867.0,754.0,301.02,4634.0,64
CDM,2800136,Biopsy of bone marrow,2588.0,1496.0,1112.84,15383.0,64
CDM,2800157,CT scan of abdomen and pelvis without contrast,3879.0,245.0,204.1,7564.05,64
CDM,2800158,CT scan of abdomen and pelvis with contrast,5999.0,392.0,204.1,11698.05,64
CDM,2800159,CT scan of abdomen and pelvis before and after contrast,6688.0,392.0,204.1,13041.6,64
CDM,2800227,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1208.0,1208.0,324.95,2355.6,45
CDM,2800291,Simple or single drainage of skin abscess,315.0,191.0,109.83,5962.0,64
CDM,2800295,CT scan of blood vessels of abdomen and pelvis with contrast,3837.0,392.0,250.12,7482.15,64
CDM,2800296,CT scan of blood vessels of abdomen and pelvis with contrast,3837.0,392.0,250.12,7482.15,64
CDM,2800350,Drainage of fluid collection in soft tissue using imaging guidance,1181.0,662.0,111.0,10537.0,60
CDM,2800365,Drainage of fluid collection by tube through skin using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2800366,Drainage of fluid collection of abdominal cavity by tube using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2800426,"Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin",11366.0,6661.0,3374.13,22163.7,59
CDM,2800529,Aspiration of bone marrow sample for diagnosis,2156.0,1496.0,927.08,15383.0,64
CDM,2800734,"INJECTION, SULFUR HEXAFLUORIDE LIPID MICROSPHERES, PER ML",32.54,32.54,8.75,72.89,43
CDM,2800876,"Fine needle aspiration biopsy of growth using CT guidance, first growth",839.34,662.0,360.92,10537.0,60
CDM,2801002,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,2801228,"Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin",1777.0,1496.0,621.38,15383.0,64
CDM,2801229,Low dose CT scan of chest for lung cancer screening,1981.0,116.0,64.89,4140.0,64
CDM,2801240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2801399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2801411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2801424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2801454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2801499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2801731,"COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING",6496.0,,503.0,12667.2,50
CDM,2801732,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITH CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY (LIST SEPARATELY IN A",3195.0,,503.0,6230.25,50
CDM,2801733,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITHOUT CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY",3195.0,,503.0,6230.25,50
CDM,2801754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2801755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2801788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2801789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2801790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2801791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2801796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2801797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2801798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2801799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2801800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2805210,Needle biopsy or removal of surface lymph nodes,2588.0,1496.0,793.31,15383.0,64
CDM,2805550,X-ray for bone length assessment,417.0,116.0,36.29,2086.0,64
CDM,2806100,CT scan head or brain without contrast,1479.0,116.0,196.15,4140.0,64
CDM,2806110,CT scan head or brain with contrast,1619.0,190.0,204.1,4140.0,64
CDM,2806115,CT scan of blood vessels of head with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2806120,CT scan of head or brain before and after contrast,2372.0,190.0,204.1,4625.4,64
CDM,2806125,CT scan of blood vessels of head with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2806130,CT scan of blood vessels of neck with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2806135,CT scan of blood vessels of neck with contrast,3248.0,190.0,250.12,6333.6,64
CDM,2806140,CT scan of blood vessels of chest with contrast,3680.0,190.0,250.12,7176.0,64
CDM,2806145,CT scan of blood vessels of chest with contrast,3680.0,190.0,250.12,7176.0,64
CDM,2806170,CT scan of cranial cavity without contrast,1520.0,116.0,64.89,4140.0,64
CDM,2806180,CT scan of cranial cavity with contrast,2208.0,190.0,204.1,4305.6,64
CDM,2806190,CT scan of cranial cavity before and after contrast,2311.0,190.0,204.1,4506.45,64
CDM,2806245,CT scan of cranial cavity before and after contrast,2311.0,190.0,204.1,4506.45,64
CDM,2806400,CT scan of face without contrast,2020.0,116.0,64.89,4140.0,64
CDM,2806410,CT scan of face with contrast,2366.0,190.0,204.1,4613.7,64
CDM,2806420,CT scan of face before and after contrast,2652.0,190.0,204.1,5171.4,64
CDM,2806425,CT scan of face before and after contrast,2652.0,190.0,204.1,5171.4,64
CDM,2806430,CT scan of face without contrast,2020.0,116.0,64.89,4140.0,64
CDM,2806435,CT scan of face with contrast,2366.0,190.0,204.1,4613.7,64
CDM,2806440,CT scan of face before and after contrast,2652.0,190.0,204.1,5171.4,64
CDM,2806445,CT scan of face without contrast,2020.0,116.0,64.89,4140.0,64
CDM,2806450,CT scan of face with contrast,2366.0,190.0,204.1,4613.7,64
CDM,2806800,CT scan of chest without contrast,1981.0,116.0,64.89,4140.0,64
CDM,2806805,CT scan of chest without contrast,1981.0,116.0,64.89,4140.0,64
CDM,2806810,CT scan of chest with contrast,2241.0,190.0,204.1,4369.95,64
CDM,2806820,CT scan of chest before and after contrast,2618.0,190.0,204.1,5105.1,64
CDM,2806850,CT scan of abdomen without contrast,2269.0,116.0,64.89,4424.55,64
CDM,2806855,CT scan of blood vessels of abdomen with contrast,3837.0,190.0,250.12,7482.15,64
CDM,2806856,CT scan of blood vessels of abdomen with contrast,3837.0,190.0,250.12,7482.15,64
CDM,2806860,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2806861,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2806862,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2806863,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2806865,CT scan of blood vessels of abdomen with contrast,3837.0,190.0,250.12,7482.15,64
CDM,2806870,CT scan of abdomen before and after contrast,3032.0,190.0,204.1,5912.4,64
CDM,2806900,CT scan of pelvis without contrast,1976.0,116.0,64.89,4140.0,64
CDM,2806905,CT scan of blood vessels of pelvis with contrast,3921.0,190.0,250.12,7645.95,64
CDM,2806910,CT scan of pelvis with contrast,2378.0,190.0,204.1,4637.1,64
CDM,2806915,CT scan of blood vessels of pelvis with contrast,3921.0,190.0,250.12,7645.95,64
CDM,2806920,CT scan of pelvis before and after contrast,2691.0,190.0,204.1,5247.45,64
CDM,2806925,CT scan of soft tissue of neck without contrast,1889.0,116.0,64.89,4140.0,64
CDM,2806930,CT scan of soft tissue of neck with contrast,2058.0,190.0,204.1,4140.0,64
CDM,2806935,CT scan of soft tissue of neck before and after contrast,2156.0,190.0,204.1,4204.2,64
CDM,2806950,CT scan of upper spine without contrast,2050.0,116.0,64.89,4140.0,64
CDM,2806960,CT scan of upper spine with contrast,2167.0,392.0,204.1,4225.65,64
CDM,2806970,CT scan of upper spine before and after contrast,2604.0,190.0,204.1,5077.8,64
CDM,2807000,CT scan of middle spine without contrast,2010.0,116.0,64.89,4140.0,64
CDM,2807010,CT scan of middle spine with contrast,2068.0,190.0,204.1,4140.0,64
CDM,2807020,CT scan of middle spine before and after contrast,2303.0,190.0,204.1,4490.85,64
CDM,2807100,CT scan of lower spine without contrast,2017.0,116.0,64.89,4140.0,64
CDM,2807110,CT scan of lower spine with contrast,2149.0,392.0,204.1,4190.55,64
CDM,2807115,CT scan of lower spine before and after contrast,2708.0,190.0,204.1,5280.6,64
CDM,2807125,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2807130,CT scan of cranial cavity without contrast,1520.0,116.0,64.89,4140.0,64
CDM,2807135,CT scan of cranial cavity with contrast,2208.0,190.0,204.1,4305.6,64
CDM,2807140,CT scan of cranial cavity before and after contrast,2311.0,190.0,204.1,4506.45,64
CDM,2807160,Review by radiologist of CT guidance for needle placement,2008.0,2008.0,49.5,4140.0,61
CDM,2807175,CT scan of abdominal aorta and both leg arteries with contrast,2322.0,190.0,250.12,4527.9,64
CDM,2807191,Limited or follow-up CT scan,804.0,86.0,64.89,4140.0,64
CDM,2807200,CT scan of leg without contrast,1740.0,116.0,64.89,4140.0,64
CDM,2807205,CT scan of blood vessels of lower leg with contrast,2590.0,190.0,250.12,5050.5,64
CDM,2807210,CT scan of leg with contrast material,1892.0,190.0,204.1,4140.0,64
CDM,2807215,CT scan of blood vessels of lower leg with contrast,2590.0,190.0,250.12,5050.5,64
CDM,2807220,CT scan of leg before and after contrast,2034.0,190.0,204.1,4140.0,64
CDM,2807240,CT scan of arm without contrast,1746.0,116.0,64.89,4140.0,64
CDM,2807245,CT scan of blood vessels of arm with contrast,3953.0,190.0,250.12,7708.35,64
CDM,2807250,CT scan of arm with contrast,1993.0,392.0,204.1,4140.0,64
CDM,2807255,CT scan of blood vessels of arm with contrast,3953.0,190.0,250.12,7708.35,64
CDM,2807260,CT scan of arm before and after contrast,2001.0,190.0,204.1,4140.0,64
CDM,2807300,Limited or follow-up CT scan,804.0,86.0,64.89,4140.0,64
CDM,2807330,Needle biopsy of growth of abdominal cavity,2239.0,1496.0,491.77,15383.0,64
CDM,2807335,Deep biopsy of bone using needle or trocar,1905.0,1496.0,819.15,15383.0,64
CDM,2807355,Needle biopsy of liver through skin,2588.0,1496.0,491.77,15383.0,64
CDM,2807375,Needle biopsy of muscle,2239.0,1496.0,437.88,15383.0,64
CDM,2807380,Needle biopsy of pancreas,1965.0,1496.0,491.77,15383.0,64
CDM,2807390,Needle biopsy of kidney,2588.0,1496.0,978.2,15383.0,64
CDM,2809054,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,64
CDM,2809080,Removal of fluid from between lung and chest cavity,2211.0,1495.0,621.38,15383.0,64
CDM,2809725,Placement of tube of kidney using imaging guidance with review by radiologist,2102.0,1904.0,903.86,16462.0,64
CDM,2809893,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,2809901,3D radiographic procedure,986.0,986.0,503.0,4140.0,50
CDM,2809902,3D radiographic procedure with computerized image postprocessing,986.0,986.0,503.0,4140.0,50
CDM,2809917,CT scan of heart with evaluation of blood vessel calcium,570.0,86.0,64.89,4140.0,64
CDM,2809918,CT scan of heart structure with contrast,1528.0,190.0,204.1,4140.0,64
CDM,2809921,CT scan of blood vessels and grafts of heart with contrast,1896.0,190.0,250.12,4140.0,64
CDM,2809923,CT scan of congenital heart disease with contrast,2115.0,190.0,204.1,4140.0,64
CDM,2809968,"LOW OSMOLAR CONTRAST MATERIAL, 300-399 MG/ML IODINE CONCENTRATION, PER ML",34.0,34.0,9.15,66.3,43
CDM,2810017,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2810050,Screening mammography,395.0,395.0,29.38,1758.0,64
CDM,2810051,Diagnostic mammography of both breasts,438.0,438.0,29.38,1758.0,64
CDM,2810052,Diagnostic mammography of 1 breast,348.0,348.0,29.38,1758.0,64
CDM,2810181,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,2810218,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2099.0,2099.0,564.63,4093.05,45
CDM,2810351,"Biopsy of breast and placement of locating device using X-ray with needle, first growth",2439.0,1496.0,876.45,15383.0,64
CDM,2810352,"Biopsy of breast and placement of locating device using X-ray with needle, each additional growth",984.0,984.0,264.7,3241.0,64
CDM,2810353,"Biopsy of breast and placement of locating device using ultrasound, first growth",2588.0,1496.0,876.45,15383.0,64
CDM,2810354,"Biopsy of breast and placement of locating device using ultrasound, each additional growth",984.0,984.0,264.7,3241.0,64
CDM,2810357,"Placement of locating device in breast using imaging guidance, first growth",2239.0,662.0,876.45,15383.0,64
CDM,2810358,"Placement of locating device in breast using imaging guidance, each additional growth",160.0,160.0,43.04,3241.0,64
CDM,2810361,"Placement of locating device in breast using ultrasound guidance, first growth",1110.0,662.0,477.3,10537.0,64
CDM,2810428,Complete ultrasound scan of 1 breast,213.0,116.0,70.1,2499.0,64
CDM,2810429,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,2810430,Screening 3D breast mammography,128.0,128.0,29.38,1758.0,64
CDM,2810453,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,2810456,Complete ultrasound scan of 1 breast,213.0,116.0,70.1,2499.0,64
CDM,2810457,Complete ultrasound scan of 1 breast,426.0,116.0,70.1,2499.0,64
CDM,2810458,Limited ultrasound scan of 1 breast,404.0,86.0,70.1,2499.0,64
CDM,2810869,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,437.88,10537.0,60
CDM,2810963,"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)",128.0,128.0,29.38,1758.0,64
CDM,2810971,"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)",128.0,128.0,29.38,1758.0,64
CDM,2811240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2811399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2811411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2811424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2811454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2811499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2811754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2811755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2811788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2811789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2811790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2811791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2811796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2811797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2811798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2811799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2811800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2818001,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2818083,"Aspiration of cyst of breast, first cyst",1110.0,662.0,437.88,10537.0,64
CDM,2818084,"Aspiration of cyst of breast, each additional cyst",238.0,238.0,64.02,3241.0,64
CDM,2820314,"INJECTION, GADOBUTROL, 0.1 ML",75.0,75.0,20.18,146.25,45
CDM,2820316,"INJECTION, GADOBUTROL, 0.1 ML",143.0,143.0,38.47,278.85,45
CDM,2820355,"Biopsy of breast and placement of locating device using MRI, first growth",2439.0,1496.0,876.45,15383.0,64
CDM,2820356,"Biopsy of breast and placement of locating device using MRI, each additional growth",984.0,984.0,264.7,3241.0,64
CDM,2820746,MRI scan of fetus for single or first pregnancy,374.0,245.0,150.64,4516.0,64
CDM,2820747,MRI scan of fetus for each additional pregnancy,240.0,240.0,144.72,4516.0,61
CDM,2820867,Functional MRI scan of brain with neurofunctional testing,374.0,245.0,150.64,4516.0,64
CDM,2820868,Test of neurological function during functional MRI,1154.0,1154.0,310.43,2250.3,59
CDM,2821240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2821399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2821411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2821424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2821454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2821499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2821742,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",30.0,,15.42,4516.0,50
CDM,2821754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2821755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2821788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2821789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2821790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2821791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2821796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2821797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2821798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2821799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2821800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2828100,MRI scan of brain without contrast,2913.0,245.0,150.64,5680.35,64
CDM,2828101,MRI scan of brain with contrast,3332.0,392.0,249.56,6497.4,64
CDM,2828102,MRI scan of brain before and after contrast,3922.0,392.0,249.56,7647.9,64
CDM,2828103,MRI scan of blood vessels of head without contrast,2631.0,245.0,288.59,5130.45,64
CDM,2828104,MRI scan of blood vessels of head with contrast,2650.0,392.0,288.59,5167.5,64
CDM,2828105,MRI scan of blood vessels of head before and after contrast,2867.0,392.0,288.59,5590.65,64
CDM,2828113,"MRI scan of bone of eye socket, face, and/or neck without contrast",2389.0,245.0,150.64,4658.55,64
CDM,2828114,"MRI scan of bone of eye socket, face, and/or neck with contrast",2677.0,392.0,249.56,5220.15,64
CDM,2828115,"MRI scan of bone of eye socket, face, and/or neck before and after contrast",2811.0,392.0,249.56,5481.45,64
CDM,2828118,MRI scan of blood vessels of head before and after contrast,2867.0,392.0,288.59,5590.65,64
CDM,2828122,MRI scan of jaw joint,1813.0,245.0,150.64,4516.0,64
CDM,2828134,MRI scan of upper spinal canal without contrast,2584.0,245.0,150.64,5038.8,64
CDM,2828135,MRI scan of upper spinal canal with contrast,3190.0,392.0,249.56,6220.5,64
CDM,2828136,MRI scan of upper spinal canal before and after contrast,3714.0,392.0,249.56,7242.3,64
CDM,2828137,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,245.0,288.59,4621.5,64
CDM,2828139,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,392.0,288.59,4621.5,64
CDM,2828146,MRI scan of middle spinal canal without contrast,2797.0,245.0,150.64,5454.15,64
CDM,2828147,MRI scan of middle spinal canal with contrast,3150.0,392.0,249.56,6142.5,64
CDM,2828148,MRI scan of middle spinal canal before and after contrast,3859.0,392.0,249.56,7525.05,64
CDM,2828149,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,245.0,288.59,4621.5,64
CDM,2828151,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,392.0,288.59,4621.5,64
CDM,2828170,MRI scan of lower spinal canal without contrast,2939.0,245.0,150.64,5731.05,64
CDM,2828171,MRI scan of lower spinal canal with contrast,3150.0,392.0,249.56,6142.5,64
CDM,2828172,MRI scan of lower spinal canal before and after contrast,3428.0,392.0,249.56,6684.6,64
CDM,2828175,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,392.0,288.59,4621.5,64
CDM,2828185,MRI scan of blood vessels of neck without contrast,2076.0,245.0,288.59,4516.0,64
CDM,2828195,MRI scan of blood vessels of neck before and after contrast,2490.0,392.0,288.59,4855.5,64
CDM,2828300,MRI scan of arm without contrast,2032.0,245.0,150.64,4516.0,64
CDM,2828301,MRI scan of arm with contrast,2419.0,392.0,249.56,4717.05,64
CDM,2828302,MRI scan of arm before and after contrast,2535.0,392.0,249.56,4943.25,64
CDM,2828304,MRI scan of arm without contrast,2032.0,245.0,150.64,4516.0,64
CDM,2828306,MRI scan of arm before and after contrast,2535.0,392.0,249.56,4943.25,64
CDM,2828308,MRI scan of arm joint without contrast,2774.0,245.0,150.64,5409.3,64
CDM,2828309,MRI scan of arm joint with contrast,2899.0,761.0,249.56,5653.05,64
CDM,2828310,MRI scan of arm joint before and after contrast,2969.0,392.0,249.56,5789.55,64
CDM,2828312,MRI scan of arm joint without contrast,2774.0,245.0,150.64,5409.3,64
CDM,2828313,MRI scan of arm joint with contrast,2899.0,761.0,249.56,5653.05,64
CDM,2828314,MRI scan of arm joint before and after contrast,2969.0,392.0,249.56,5789.55,64
CDM,2828316,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, UPPER EXTREMITY",2621.0,392.0,288.59,5110.95,64
CDM,2828317,MRI scan of leg without contrast,2168.0,245.0,150.64,4516.0,64
CDM,2828318,MRI scan of leg with contrast,2258.0,392.0,249.56,4516.0,64
CDM,2828319,MRI scan of leg before and after contrast,2623.0,392.0,249.56,5114.85,64
CDM,2828320,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, UPPER EXTREMITY",2621.0,392.0,288.59,5110.95,64
CDM,2828321,MRI scan of leg without contrast,2168.0,245.0,150.64,4516.0,64
CDM,2828322,MRI scan of leg with contrast,2258.0,392.0,249.56,4516.0,64
CDM,2828323,MRI scan of leg before and after contrast,2623.0,392.0,249.56,5114.85,64
CDM,2828325,MRI scan of leg joint without contrast,2166.0,245.0,150.64,4516.0,64
CDM,2828326,MRI scan of leg joint with contrast,2371.0,761.0,249.56,4623.45,64
CDM,2828327,MRI scan of leg joint before and after contrast,2950.0,392.0,249.56,5752.5,64
CDM,2828329,MRI scan of leg joint without contrast,2166.0,245.0,150.64,4516.0,64
CDM,2828330,MRI scan of leg joint with contrast,2371.0,761.0,249.56,4623.45,64
CDM,2828331,MRI scan of leg joint before and after contrast,2950.0,392.0,249.56,5752.5,64
CDM,2828332,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, LOWER EXTREMITY",2782.0,392.0,288.59,5424.9,64
CDM,2828333,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, LOWER EXTREMITY",2782.0,392.0,288.59,5424.9,64
CDM,2828339,"MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, LOWER EXTREMITY",2344.0,392.0,288.59,4570.8,64
CDM,2828400,MRI scan of abdomen without contrast,2503.0,245.0,150.64,4880.85,64
CDM,2828401,MRI scan of abdomen with contrast,3118.0,392.0,249.56,6080.1,64
CDM,2828402,MRI scan of abdomen before and after contrast,3626.0,392.0,249.56,7070.7,64
CDM,2828403,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, ABDOMEN",2167.0,245.0,288.59,4516.0,64
CDM,2828405,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, ABDOMEN",2280.0,392.0,288.59,4516.0,64
CDM,2828410,MRI scan of pelvis without contrast,1920.0,245.0,150.64,4516.0,64
CDM,2828411,MRI scan of pelvis with contrast,2587.0,392.0,249.56,5044.65,64
CDM,2828412,MRI scan of pelvis before and after contrast,3146.0,392.0,249.56,6134.7,64
CDM,2828414,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, PELVIS",2078.0,245.0,288.59,4516.0,64
CDM,2828416,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, PELVIS",2180.0,392.0,288.59,4516.0,64
CDM,2828440,MRI scan of chest without contrast,2377.0,245.0,150.64,4635.15,64
CDM,2828442,MRI scan of chest before and after contrast,3534.0,392.0,249.56,6891.3,64
CDM,2828443,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, CHEST (EXCLUDING MYOCARDIUM)",2875.0,392.0,288.59,5606.25,64
CDM,2828445,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, CHEST (EXCLUDING MYOCARDIUM)",1772.0,245.0,288.59,4516.0,64
CDM,2828510,MRI scan of both breasts without contrast,3390.0,245.0,150.64,6610.5,64
CDM,2828512,"MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, BREAST; BILATERAL",3730.0,392.0,249.56,7273.5,64
CDM,2828600,MRI scan of heart without contrast,2662.0,245.0,150.64,5190.9,64
CDM,2828602,MRI scan of heart before and after contrast,3843.0,392.0,249.56,7493.85,64
CDM,2828930,"Imaging of organ, complimenting routine exam",235.0,235.0,36.29,2086.0,61
CDM,2829902,3D radiographic procedure with computerized image postprocessing,986.0,986.0,594.56,4516.0,50
CDM,2829940,"INJECTION, GADOTERIDOL, (PROHANCE MULTIPACK), PER ML",5.8,5.8,1.56,11.31,45
CDM,2830015,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2830016,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,2830017,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2830018,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2830019,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,2830020,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2830021,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,2830022,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,2830023,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,2830024,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,2830186,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,231.0,126.0,60.0,450.45,46
CDM,2830187,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,2830188,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,253.0,126.0,60.0,493.35,46
CDM,2830302,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2830588,"Removal of varicose veins of arm or leg, 10-20 incisions",3324.0,3044.0,1429.32,20345.0,64
CDM,2831240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2831399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2831411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2831424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2831454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2831499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2831754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2831755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2831788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2831789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2831790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2831791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2831796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2831797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2831798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2831799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2831800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2839891,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,774.15,56
CDM,2839892,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,766.35,56
CDM,2839893,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,2839899,"Use of a drug to induce depression of consciousness by physician not performing a procedure, each additional 15 minutes",205.0,205.0,16.56,399.75,56
CDM,2840001,Aspiration of bladder with insertion of bladder tube to skin,2812.0,1904.0,1026.31,16462.0,64
CDM,2840002,"Administration of chemotherapy into artery, 1 hour or less",518.0,218.0,178.32,3900.0,64
CDM,2840005,Declotting of central venous tube,518.0,339.0,111.0,5962.0,64
CDM,2840015,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,2840018,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,2840020,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,2840023,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,2840034,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",6130.0,6130.0,1648.97,11953.5,45
CDM,2840035,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",7708.75,7708.75,2073.65,15032.06,45
CDM,2840036,"CATHETER, BALLOON DILATATION, NON-VASCULAR",1093.75,1093.75,294.22,2132.81,45
CDM,2840037,"CATHETER, INTRAVASCULAR ULTRASOUND",1536.0,1536.0,413.18,2995.2,45
CDM,2840038,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2066.0,2066.0,555.75,4028.7,45
CDM,2840040,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",918.75,918.75,247.14,1791.56,45
CDM,2840041,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5705.0,6275.5,2453.15,11124.75,50
CDM,2840042,VENA CAVA FILTER,4942.22,5436.44,2125.15,9637.33,50
CDM,2840043,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1732.5,677.25,3071.25,50
CDM,2840106,Fluoroscopic guidance for insertion or removal of central vein access device,609.0,609.0,146.51,2086.0,61
CDM,2840109,Repositioning of central venous tube using fluoroscopic guidance,2466.0,1495.0,486.6,15383.0,64
CDM,2840136,Biopsy of bone marrow,2588.0,1496.0,1112.84,15383.0,64
CDM,2840142,"Injection of lower or sacral spine facet joint using imaging guidance, second level",460.0,460.0,123.74,3241.0,64
CDM,2840146,"Injection of lower or sacral spine facet joint using imaging guidance, second level",460.0,460.0,123.74,3241.0,64
CDM,2840147,"Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level",460.0,460.0,123.74,3241.0,64
CDM,2840149,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21875.0,24062.5,9406.25,42656.25,50
CDM,2840152,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",234.0,257.4,100.62,456.3,50
CDM,2840153,"STENT, COATED/COVERED, WITHOUT DELIVERY SYSTEM",3491.25,3840.38,1501.24,6807.94,50
CDM,2840155,Insertion of device in abdominal cavity through skin for radiation therapy guidance,1917.0,1343.0,704.08,15383.0,64
CDM,2840157,CT scan of abdomen and pelvis without contrast,3879.0,245.0,204.1,7564.05,64
CDM,2840158,CT scan of abdomen and pelvis with contrast,5999.0,392.0,204.1,11698.05,64
CDM,2840159,CT scan of abdomen and pelvis before and after contrast,6688.0,392.0,204.1,13041.6,64
CDM,2840163,"Balloon dilation of groin artery, initial vessel",7707.0,5270.0,2073.18,27978.0,64
CDM,2840174,Ultrasound guided compression repair of blood vessel,726.0,281.0,146.51,2499.0,64
CDM,2840196,Destruction of growths and adjacent soft tissue,19371.0,6661.0,1204.2,37773.45,64
CDM,2840203,"BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCE",50820.0,55902.0,6443.33,99099.0,61
CDM,2840215,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1036.0,1036.0,278.68,2020.2,45
CDM,2840216,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3637.0,4000.7,1563.91,7092.15,50
CDM,2840218,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1137.5,1137.5,305.99,2218.13,45
CDM,2840219,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3290.0,3290.0,885.01,6415.5,45
CDM,2840222,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",953.0,953.0,256.36,1858.35,45
CDM,2840224,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,2840228,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1956.0,1956.0,526.16,3814.2,45
CDM,2840230,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1019.0,1019.0,274.11,1987.05,45
CDM,2840233,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3850.0,4235.0,1655.5,7507.5,50
CDM,2840236,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13292.0,14621.2,5715.56,25919.4,50
CDM,2840238,KIT TRANSJAGULAR ACCESS,891.0,891.0,183.19,712.8,45
CDM,2840258,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2441.0,2685.1,1049.63,4759.95,50
CDM,2840261,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1006.0,1106.6,432.58,1961.7,50
CDM,2840262,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",206.65,227.32,88.86,402.97,50
CDM,2840263,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1419.6,1561.56,610.43,2768.22,50
CDM,2840264,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11524.0,11524.0,3099.96,22471.8,45
CDM,2840266,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",298.0,327.8,128.14,581.1,50
CDM,2840274,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",2600.15,2860.17,1118.06,5070.29,50
CDM,2840279,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2363.0,2599.3,1016.09,4607.85,50
CDM,2840288,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,2840291,Simple or single drainage of skin abscess,315.0,191.0,109.83,5962.0,64
CDM,2840292,Review by radiologist of spinal artery image,8717.0,5071.0,221.0,16998.15,64
CDM,2840296,CT scan of blood vessels of abdomen and pelvis with contrast,3837.0,392.0,250.12,7482.15,64
CDM,2840298,Insertion of tube into second or third order branches of arteries of kidney for imaging with review by radiologist,7588.0,5071.0,2041.17,27978.0,64
CDM,2840302,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2840309,"CATHETER, DRAINAGE",1789.0,1789.0,481.24,3488.55,45
CDM,2840310,"IMPLANTABLE ACCESS CATHETER, (E.G., VENOUS, ARTERIAL, EPIDURAL SUBARACHNOID, OR PERITONEAL, ETC.) EXTERNAL ACCESS",1841.66,1841.66,495.41,3591.24,45
CDM,2840312,Laser destruction of incompetent vein of arm or leg using imaging guidance,4401.0,3044.0,1697.97,20345.0,64
CDM,2840322,"Insertion of tube into vein for drug infusion for blood clot with review by radiologist, initial treatment day",4401.0,3044.0,1892.43,20345.0,64
CDM,2840323,Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist,3764.0,3044.0,1206.0,20345.0,64
CDM,2840346,Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2840347,Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist,4946.0,3044.0,1330.47,20345.0,64
CDM,2840348,Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist,9525.0,3044.0,2562.23,20345.0,64
CDM,2840349,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2730.0,2730.0,734.37,5323.5,45
CDM,2840350,Drainage of fluid collection in soft tissue using imaging guidance,1181.0,662.0,111.0,10537.0,60
CDM,2840353,"Biopsy of breast and placement of locating device using ultrasound, first growth",2588.0,1496.0,876.45,15383.0,64
CDM,2840365,Drainage of fluid collection by tube through skin using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2840366,Drainage of fluid collection of abdominal cavity by tube using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2840368,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery",18999.0,10681.0,3171.0,58285.0,64
CDM,2840369,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, each additional artery",9189.0,9189.0,2103.0,58285.0,64
CDM,2840370,"Insertion of stent in vein with review by radiologist, initial vein",18999.0,10681.0,3171.0,58285.0,64
CDM,2840371,"Insertion of stent in vein with review by radiologist, each additional vein",9187.0,9187.0,2103.0,58285.0,64
CDM,2840372,Occlusion of vein with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,2840373,Occlusion of artery with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,2840374,Occlusion of growths or obstructed vessels with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,2840375,Occlusion of artery or vein bleeding with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,2840376,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1662.5,1828.75,714.88,3241.88,50
CDM,2840381,GUIDE WIRE,1471.0,1471.0,395.7,2868.45,45
CDM,2840383,Injection of agent to destroy abdominal nerve bundle,2066.0,875.0,603.0,10537.0,64
CDM,2840384,Injection of anesthetic agent into abdominal sympathetic nerve bundle,1386.0,875.0,595.98,10537.0,64
CDM,2840386,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",2883.0,2883.0,775.53,5621.85,45
CDM,2840388,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1435.0,1435.0,386.02,2798.25,45
CDM,2840425,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2887.5,2887.5,776.74,5630.63,45
CDM,2840427,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,11366.0,11366.0,2336.85,9092.8,45
CDM,2840432,Stabilization of lower spine bone,4885.0,3011.0,2100.55,20345.0,64
CDM,2840433,"Stabilization of spine bone, each additional bone",3074.0,3074.0,401.0,8542.0,64
CDM,2840434,Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance,7469.0,6661.0,2009.16,27978.0,64
CDM,2840435,Treatment of broken lower spine bone with placement of stabilizing device,8316.0,6661.0,2237.0,27978.0,64
CDM,2840436,"Treatment of broken spine bone with stabilizing device, each additional segment",7469.0,7469.0,401.0,14564.55,64
CDM,2840441,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1106.0,675.0,111.0,10537.0,64
CDM,2840442,Aspiration and/or injection of fluid large joint using ultrasound guidance,536.0,278.0,111.0,5962.0,64
CDM,2840445,Aspiration and/or injection of fluid large joint using ultrasound guidance,536.0,278.0,111.0,5962.0,64
CDM,2840447,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",1312.5,1312.5,353.06,2559.38,45
CDM,2840459,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",4725.0,4725.0,1271.03,9213.75,45
CDM,2840468,CATH CLOSUREFAST CPK64,1006.0,1006.0,206.83,804.8,45
CDM,2840469,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",250.0,275.0,107.5,487.5,50
CDM,2840485,VENA CAVA FILTER,1453.0,1598.3,624.79,2833.35,50
CDM,2840489,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2257.5,2483.25,970.73,4402.13,50
CDM,2840491,Conversion of external biliary drainage tube to internal-external biliary drainage tube using imaging guidance and study of bile duct with review by radiologist,5313.0,3383.0,1560.11,27978.0,64
CDM,2840492,Removal of biliary drainage tube using imaging guidance with review by radiologist,1084.0,860.0,199.45,10537.0,64
CDM,2840493,Placement of stent of biliary duct through existing skin access using imaging guidance with review by radiologist,6091.0,5381.0,1560.11,27978.0,64
CDM,2840495,Placement of stent and drainage tube of biliary duct using imaging guidance with review by radiologist,6091.0,5381.0,2619.13,27978.0,64
CDM,2840497,Injection of chemical agent into fluid collection using imaging guidance,2239.0,662.0,491.77,15383.0,64
CDM,2840498,Conversion of kidney tube to nephroureteral tube using imaging guidance and study of kidney and ureter with review by radiologist,2812.0,1904.0,978.2,16462.0,64
CDM,2840499,Balloon dilation treatment of stricture of ureter using imaging guidance with review by radiologist,948.0,948.0,255.01,6134.33,64
CDM,2840502,Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance,4396.0,4396.0,1182.52,31007.0,64
CDM,2840505,Placement of stent of ureter through existing skin access using imaging guidance with review by radiologist,5192.0,3269.0,1940.53,27978.0,64
CDM,2840507,Placement of stent of ureter and separate tube in kidney through new skin access using imaging guidance with review by radiologist,5192.0,3269.0,1940.53,27978.0,64
CDM,2840509,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2625.0,2887.5,1128.75,5118.75,50
CDM,2840518,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1269.0,1269.0,341.36,2474.55,45
CDM,2840521,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2257.5,2483.25,970.73,4402.13,50
CDM,2840522,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2783.0,3061.3,1196.69,5426.85,50
CDM,2840523,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1732.5,1905.75,744.98,3378.38,50
CDM,2840524,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2257.5,2483.25,970.73,4402.13,50
CDM,2840525,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,2840526,"Injection of trigger points, 1-2 muscles",481.0,278.0,166.07,5962.0,64
CDM,2840527,Removal of indwelling tube in lining of lung,1275.0,575.0,111.0,7362.0,64
CDM,2840528,Injection of chemical agent into multiple incompetent veins of leg,551.0,368.0,111.0,7362.0,64
CDM,2840529,Aspiration of bone marrow sample for diagnosis,2156.0,1496.0,927.08,15383.0,64
CDM,2840530,Insertion of abdominal tube using imaging guidance with review by radiologist,4398.0,3383.0,1891.14,27978.0,64
CDM,2840533,"Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level",434.0,875.0,186.62,10537.0,64
CDM,2840535,KYPHON EXP II  BONE TAP KIT,6555.5,6555.5,1347.81,5244.4,45
CDM,2840544,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5959.0,6554.9,2562.37,11620.05,50
CDM,2840568,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,776.87,5631.6,45
CDM,2840569,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2756.25,2756.25,741.43,5374.69,45
CDM,2840570,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,776.87,5631.6,45
CDM,2840571,LANTERN DEL MICROCATH STR TIP,1137.5,1137.5,233.87,910.0,45
CDM,2840580,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",916.41,916.41,246.51,1787.0,45
CDM,2840582,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,2975.0,800.28,5801.25,45
CDM,2840583,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1050.0,1155.0,451.5,2047.5,50
CDM,2840585,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2257.5,2483.25,970.73,4402.13,50
CDM,2840657,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4891.0,4891.0,1315.68,9537.45,45
CDM,2840675,Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist,7029.0,5270.0,1890.8,27978.0,64
CDM,2840676,Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist,14206.0,10681.0,3821.41,27978.0,64
CDM,2840677,"Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube",14206.0,10681.0,3821.41,27978.0,64
CDM,2840678,Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist,21532.0,17078.0,5792.11,41987.4,64
CDM,2840680,"Balloon dilation of vein with review by radiologist, each additional vein",5240.0,5240.0,401.0,10218.0,64
CDM,2840682,Injection procedure for imaging of kidney and ureter through already existing skin access using imaging guidance with review by radiologist,800.0,612.0,273.03,10537.0,64
CDM,2840683,Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance,1362.0,1362.0,111.0,4132.0,64
CDM,2840684,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4891.0,4891.0,1315.68,9537.45,45
CDM,2840685,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2485.0,2733.5,1068.55,4845.75,50
CDM,2840696,Biopsy of upper or lower spine bone,7606.0,6661.0,3171.0,27978.0,64
CDM,2840697,Balloon dilation of bile duct using imaging guidance with review by radiologist,2626.0,2626.0,401.0,5120.7,64
CDM,2840698,Biopsy of bile duct or liver duct using imaging guidance with review by radiologist,6746.0,6746.0,401.0,13154.7,64
CDM,2840709,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",417.0,458.7,179.31,813.15,50
CDM,2840713,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2302.0,2302.0,619.24,4488.9,45
CDM,2840719,GUIDE WIRE,1059.0,1059.0,284.87,2065.05,45
CDM,2840723,GUIDE WIRE,963.0,963.0,259.05,1877.85,45
CDM,2840724,GUIDE WIRE,1052.0,1052.0,282.99,2051.4,45
CDM,2840727,GUIDE WIRE,1052.0,1052.0,282.99,2051.4,45
CDM,2840728,GUIDE WIRE,963.0,963.0,259.05,1877.85,45
CDM,2840730,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",483.0,531.3,207.69,941.85,50
CDM,2840732,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",301.38,331.52,129.59,587.69,50
CDM,2840736,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3491.0,3840.1,1501.13,6807.45,50
CDM,2840737,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1706.0,1706.0,458.91,3326.7,45
CDM,2840738,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2147.0,2147.0,577.54,4186.65,45
CDM,2840740,RETRIEVER STENT TREVO PROVUE,13150.0,13150.0,2703.64,10520.0,45
CDM,2840741,"CATHETER, OCCLUSION",3036.0,3036.0,816.68,5920.2,45
CDM,2840743,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1505.0,1505.0,404.85,2934.75,45
CDM,2840744,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1960.0,1960.0,527.24,3822.0,45
CDM,2840745,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2100.0,2100.0,564.9,4095.0,45
CDM,2840749,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1645.7,1810.27,707.65,3209.12,50
CDM,2840760,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1855.0,1855.0,499.0,3617.25,45
CDM,2840761,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1216.25,1216.25,327.17,2371.69,45
CDM,2840762,"CATHETER, OCCLUSION",2793.0,2793.0,751.32,5446.35,45
CDM,2840766,DVCE KYPHO KYPHON KURVE,1575.0,1575.0,323.82,1260.0,45
CDM,2840767,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2625.0,2887.5,1128.75,5118.75,50
CDM,2840772,Freezing of growth of bone and adjacent soft tissue,8174.0,6661.0,1204.2,27978.0,64
CDM,2840776,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3168.0,3484.8,1362.24,6177.6,50
CDM,2840781,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4051.25,4456.38,1742.04,7899.94,50
CDM,2840783,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,2840784,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,2840788,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2986.55,3285.21,1284.22,5823.77,50
CDM,2840791,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3631.25,3631.25,976.81,7080.94,45
CDM,2840794,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2100.0,2100.0,564.9,4095.0,45
CDM,2840828,Ultrasonic guidance for testing placental tissue,522.0,522.0,70.15,2499.0,61
CDM,2840843,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2840851,Drainage of cysts of ovaries through vagina,5071.0,2790.0,1616.87,20345.0,64
CDM,2840868,Test of neurological function during functional MRI,1154.0,1154.0,310.43,2250.3,59
CDM,2840869,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,437.88,10537.0,60
CDM,2840870,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,3241.0,60
CDM,2840874,"Fine needle aspiration biopsy using fluoroscopic guidance, first growth",839.34,662.0,360.92,10537.0,60
CDM,2840876,"Fine needle aspiration biopsy of growth using CT guidance, first growth",839.34,662.0,360.92,10537.0,60
CDM,2840877,"Fine needle aspiration biopsy of growth using CT guidance, each additional growth",839.34,839.34,225.78,3241.0,63
CDM,2840878,Dilation of existing opening into urinary tract using imaging guidance,4814.0,3269.0,978.2,27978.0,64
CDM,2840879,Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance,4240.41,3269.0,978.2,27978.0,64
CDM,2840880,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient younger than 5 years",1741.0,575.0,748.63,7362.0,64
CDM,2840881,KIT SOLERO ABLATION,5348.0,5348.0,1099.55,4278.4,45
CDM,2840882,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1225.0,1225.0,329.53,2388.75,45
CDM,2840887,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,2840890,"PROBE/NEEDLE, CRYOABLATION",2450.0,2450.0,659.05,4777.5,45
CDM,2840902,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",735.0,735.0,197.72,1433.25,45
CDM,2840904,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4891.0,4891.0,1315.68,9537.45,45
CDM,2840907,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",6291.0,6291.0,1692.28,12267.45,45
CDM,2840909,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3089.0,3397.9,1328.27,6023.55,50
CDM,2840914,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2537.5,2791.25,1091.13,4948.13,50
CDM,2840915,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1181.0,1299.1,507.83,2302.95,50
CDM,2840916,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,2840924,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",16409.0,18049.9,7055.87,31997.55,50
CDM,2840942,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",298.0,327.8,128.14,581.1,50
CDM,2840943,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),476.0,523.6,204.68,928.2,50
CDM,2840945,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",11418.75,12560.63,4910.06,22266.56,50
CDM,2840947,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6238.75,6862.63,2682.66,12165.56,50
CDM,2840951,Injection of chemical agent into single incompetent vein of leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,64
CDM,2840952,Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,64
CDM,2840953,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1978.0,2175.8,850.54,3857.1,50
CDM,2840954,TUBING ASPIRATION INDIGO-CATD,4708.0,4708.0,967.96,3766.4,45
CDM,2840956,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3133.0,3446.3,1347.19,6109.35,50
CDM,2840957,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2940.0,2940.0,790.86,5733.0,45
CDM,2840960,Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance,1229.0,675.0,471.65,10537.0,64
CDM,2840972,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2958.0,3253.8,1271.94,5768.1,50
CDM,2840973,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1733.0,1906.3,745.19,3379.35,50
CDM,2840974,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3745.0,4119.5,1610.35,7302.75,50
CDM,2840976,CATH ASP FLOWTRIEVER,15750.0,15750.0,3238.2,12600.0,45
CDM,2840977,NEEDLE ICEROD CX90,2450.0,2450.0,503.72,1960.0,45
CDM,2840978,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1160.0,1160.0,312.04,2262.0,45
CDM,2840979,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5766.0,5766.0,1551.05,11243.7,45
CDM,2840994,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10500.0,10500.0,2824.5,20475.0,45
CDM,2840995,SHEATH THROMBO CLOTTRIEVER,3500.0,3500.0,719.6,2800.0,45
CDM,2841002,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,2841003,Repair of infrarenal aorta and groin artery with graft for other than rupture with review by radiologist,19371.0,19371.0,3208.0,37773.45,64
CDM,2841005,Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
CDM,2841007,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11419.0,11419.0,3071.71,22267.05,45
CDM,2841011,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3237.5,3237.5,870.89,6313.13,45
CDM,2841012,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2035.25,2035.25,547.48,3968.74,45
CDM,2841014,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",21875.0,24062.5,9406.25,42656.25,50
CDM,2841015,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4891.0,4891.0,1315.68,9537.45,45
CDM,2841018,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3062.5,3368.75,1316.88,5971.88,50
CDM,2841019,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3150.0,3465.0,1354.5,6142.5,50
CDM,2841022,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",9268.0,10194.8,3985.24,18072.6,50
CDM,2841023,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",425.0,467.5,182.75,828.75,50
CDM,2841024,"PORT, INDWELLING (IMPLANTABLE)",840.0,924.0,361.2,1638.0,50
CDM,2841027,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,451.92,3276.0,45
CDM,2841028,"CATHETER, INTRAVASCULAR ULTRASOUND",1312.5,1312.5,353.06,2559.38,45
CDM,2841031,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,2841032,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3325.0,3325.0,894.43,6483.75,45
CDM,2841034,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,2841035,Insertion of stent in dialysis segment with review by radiologist,13418.0,13418.0,401.0,26165.1,64
CDM,2841036,Balloon dilation of dialysis segment with review by radiologist,11310.0,11310.0,401.0,22054.5,64
CDM,2841037,Permanent blockage of hemodialysis circuit with review by radiologist,13700.0,13700.0,401.0,26715.0,64
CDM,2841038,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1855.0,1855.0,499.0,3617.25,45
CDM,2841041,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,2841042,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1978.0,2175.8,850.54,3857.1,50
CDM,2841048,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4197.0,4616.7,1804.71,8184.15,50
CDM,2841054,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11918.0,11918.0,3205.94,23240.1,45
CDM,2841056,SEPARATOR 12,3404.0,3404.0,699.86,2723.2,45
CDM,2841058,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6265.0,6891.5,2693.95,12216.75,50
CDM,2841060,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2100.0,2310.0,903.0,4095.0,50
CDM,2841070,"CATHETER, INTRAVASCULAR ULTRASOUND",4725.0,4725.0,1271.03,9213.75,45
CDM,2841078,"CATHETER, SUPRAPUBIC/CYSTOSCOPIC",250.0,275.0,107.5,487.5,50
CDM,2841096,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5310.0,5310.0,1428.39,10354.5,45
CDM,2841097,"PORT, INDWELLING (IMPLANTABLE)",735.0,808.5,316.05,1433.25,50
CDM,2841099,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,2841101,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,2841102,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3001.0,3301.1,1290.43,5851.95,50
CDM,2841105,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",945.0,945.0,254.21,1842.75,45
CDM,2841110,GUIDE WIRE,1020.0,1020.0,274.38,1989.0,45
CDM,2841111,GUIDE WIRE,1059.0,1059.0,284.87,2065.05,45
CDM,2841112,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",919.0,919.0,247.21,1792.05,45
CDM,2841117,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1566.25,1566.25,421.32,3054.19,45
CDM,2841119,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1313.0,1444.3,564.59,2560.35,50
CDM,2841122,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",7518.0,7518.0,2022.34,14660.1,45
CDM,2841124,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,2841125,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1951.0,1951.0,524.82,3804.45,45
CDM,2841129,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2147.0,2147.0,577.54,4186.65,45
CDM,2841131,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2255.0,2480.5,969.65,4397.25,50
CDM,2841132,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",425.0,467.5,182.75,828.75,50
CDM,2841133,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2013.0,2214.3,865.59,3925.35,50
CDM,2841141,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3367.0,3703.7,1447.81,6565.65,50
CDM,2841143,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6421.0,7063.1,2761.03,12520.95,50
CDM,2841152,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3290.0,3290.0,885.01,6415.5,45
CDM,2841162,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4008.0,4408.8,1723.44,7815.6,50
CDM,2841164,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4041.0,4445.1,1737.63,7879.95,50
CDM,2841166,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4074.0,4481.4,1751.82,7944.3,50
CDM,2841172,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4156.0,4571.6,1787.08,8104.2,50
CDM,2841175,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4198.0,4617.8,1805.14,8186.1,50
CDM,2841176,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4223.0,4645.3,1815.89,8234.85,50
CDM,2841178,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4240.0,4664.0,1823.2,8268.0,50
CDM,2841179,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4298.0,4727.8,1848.14,8381.1,50
CDM,2841187,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4489.0,4937.9,1930.27,8753.55,50
CDM,2841189,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4589.0,5047.9,1973.27,8948.55,50
CDM,2841196,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4754.0,5229.4,2044.22,9270.3,50
CDM,2841203,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",13998.0,15397.8,6019.14,27296.1,50
CDM,2841206,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13078.0,14385.8,5623.54,25502.1,50
CDM,2841209,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2975.0,3272.5,1279.25,5801.25,50
CDM,2841210,TUBING ASPIRATION INDIGO,3395.0,3395.0,698.01,2716.0,45
CDM,2841211,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4323.0,4755.3,1858.89,8429.85,50
CDM,2841217,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3675.0,3675.0,988.58,7166.25,45
CDM,2841218,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2908.0,2908.0,782.25,5670.6,45
CDM,2841219,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2713.0,2713.0,729.8,5290.35,45
CDM,2841224,SYS EMB PROT WEB SLS,26163.0,28779.3,5379.11,28779.3,50
CDM,2841225,Insertion of stomach tube using a flexible endoscope,2264.0,1727.0,671.79,16462.0,64
CDM,2841226,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",918.75,918.75,247.14,1791.56,45
CDM,2841227,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",7518.0,7518.0,2022.34,14660.1,45
CDM,2841228,"Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin",1777.0,1496.0,621.38,15383.0,64
CDM,2841230,CAT6KIT,5696.25,5696.25,1171.15,4557.0,45
CDM,2841234,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10168.0,10168.0,2735.19,19827.6,45
CDM,2841235,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2919.0,3210.9,1255.17,5692.05,50
CDM,2841236,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3455.0,3800.5,1485.65,6737.25,50
CDM,2841237,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4057.0,4462.7,1744.51,7911.15,50
CDM,2841239,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6620.0,7282.0,2846.6,12909.0,50
CDM,2841240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2841241,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1776.0,1776.0,477.74,3463.2,45
CDM,2841245,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1881.0,1881.0,505.99,3667.95,45
CDM,2841248,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,2841251,DVC REVASC EMBOTRAP,11725.0,11725.0,2410.66,9380.0,45
CDM,2841252,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",4812.5,4812.5,1294.56,9384.38,45
CDM,2841253,SHEATH,2275.0,2275.0,467.74,1820.0,45
CDM,2841254,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,2841255,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.25,2091.25,562.55,4077.94,45
CDM,2841256,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2607.5,2607.5,701.42,5084.63,45
CDM,2841257,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3322.0,3322.0,893.62,6477.9,45
CDM,2841258,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3595.0,3595.0,967.06,7010.25,45
CDM,2841259,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2730.0,2730.0,734.37,5323.5,45
CDM,2841260,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2607.5,2607.5,701.42,5084.63,45
CDM,2841263,"CATHETER, THROMBECTOMY/EMBOLECTOMY",9818.0,9818.0,2641.04,19145.1,45
CDM,2841264,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.25,3070.38,1200.24,5442.94,50
CDM,2841265,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",238.0,261.8,102.34,464.1,50
CDM,2841266,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",24623.0,27085.3,10587.89,48014.85,50
CDM,2841267,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",24428.0,26870.8,10504.04,47634.6,50
CDM,2841268,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1514.0,1514.0,407.27,2952.3,45
CDM,2841270,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),2354.0,2589.4,1012.22,4590.3,50
CDM,2841271,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3193.75,3513.13,1373.31,6227.81,50
CDM,2841272,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.25,3070.38,1200.24,5442.94,50
CDM,2841274,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1383.0,1521.3,594.69,2696.85,50
CDM,2841275,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",1276.0,1276.0,343.24,2488.2,45
CDM,2841277,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",425.0,467.5,182.75,828.75,50
CDM,2841278,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",1972.0,1972.0,530.47,3845.4,45
CDM,2841281,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",438.0,481.8,188.34,854.1,50
CDM,2841283,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",613.0,674.3,263.59,1195.35,50
CDM,2841284,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",613.0,674.3,263.59,1195.35,50
CDM,2841285,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",441.0,485.1,189.63,859.95,50
CDM,2841287,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",649.0,713.9,279.07,1265.55,50
CDM,2841288,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1382.5,1382.5,371.89,2695.88,45
CDM,2841290,"CATHETER, OCCLUSION",2816.0,2816.0,757.5,5491.2,45
CDM,2841291,"CATHETER, OCCLUSION",3236.0,3236.0,870.48,6310.2,45
CDM,2841292,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5250.0,5775.0,2257.5,10237.5,50
CDM,2841293,GUIDE WIRE,1052.0,1052.0,282.99,2051.4,45
CDM,2841294,GUIDE WIRE,1357.0,1357.0,365.03,2646.15,45
CDM,2841296,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11893.0,11893.0,3199.22,23191.35,45
CDM,2841297,"CATHETER, THROMBECTOMY/EMBOLECTOMY",12419.0,12419.0,3340.71,24217.05,45
CDM,2841299,CATH SPYGLASS,4956.88,4956.88,1019.13,3965.5,45
CDM,2841309,GUIDE WIRE,875.0,875.0,235.38,1706.25,45
CDM,2841310,GUIDE WIRE,1041.0,1041.0,280.03,2029.95,45
CDM,2841311,GUIDE WIRE,1216.0,1216.0,327.1,2371.2,45
CDM,2841312,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",424.0,466.4,182.32,826.8,50
CDM,2841313,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2791.25,3070.38,1200.24,5442.94,50
CDM,2841316,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5985.0,6583.5,2573.55,11670.75,50
CDM,2841319,Chemical destruction of first incompetent vein of arm or leg using imaging guidance,8717.0,5071.0,1697.97,27978.0,64
CDM,2841320,Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance,4715.0,4715.0,401.0,9194.25,64
CDM,2841323,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",700.0,770.0,301.0,1365.0,50
CDM,2841329,GUIDE WIRE,3850.0,3850.0,1035.65,7507.5,45
CDM,2841337,EMBOLIZATION PROTECTIVE SYSTEM,15619.5,17181.45,6716.39,30458.03,50
CDM,2841338,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",3813.7,3813.7,1025.88,7436.71,45
CDM,2841342,"PROBE/NEEDLE, CRYOABLATION",7614.67,7614.67,2048.35,14848.6,45
CDM,2841348,"CATHETER, OCCLUSION",15750.0,15750.0,3461.0,30712.5,45
CDM,2841349,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2476.71,2724.38,1064.98,4829.58,50
CDM,2841350,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",308.0,338.8,132.44,600.6,50
CDM,2841351,GUIDE WIRE,908.0,908.0,244.25,1770.6,45
CDM,2841352,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",6125.0,6737.5,2633.75,11943.75,50
CDM,2841353,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",11419.0,12560.9,4910.17,22267.05,50
CDM,2841354,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",4375.0,4375.0,1176.88,8531.25,45
CDM,2841355,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1138.0,1138.0,306.12,2219.1,45
CDM,2841356,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",143.0,157.3,61.49,278.85,50
CDM,2841357,VENA CAVA FILTER,1741.0,1915.1,748.63,3394.95,50
CDM,2841358,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",885.0,885.0,238.07,1725.75,45
CDM,2841359,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,2841360,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1566.0,1566.0,421.25,3053.7,45
CDM,2841361,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2266.0,2266.0,609.55,4418.7,45
CDM,2841362,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1988.0,1988.0,534.77,3876.6,45
CDM,2841363,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1815.0,1996.5,780.45,3539.25,50
CDM,2841364,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1979.0,2176.9,850.97,3859.05,50
CDM,2841366,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",9100.0,10010.0,3913.0,17745.0,50
CDM,2841367,INTRODUCER OSTEO,1455.0,1455.0,299.15,1164.0,45
CDM,2841368,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1855.0,1855.0,499.0,3617.25,45
CDM,2841369,EMBOLIZATION PROTECTIVE SYSTEM,2616.0,2877.6,1124.88,5101.2,50
CDM,2841370,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1613.0,1774.3,693.59,3145.35,50
CDM,2841371,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1243.0,1243.0,334.37,2423.85,45
CDM,2841372,"CATHETER, OCCLUSION",2275.0,2275.0,611.98,4436.25,45
CDM,2841373,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2585.0,2843.5,1111.55,5040.75,50
CDM,2841374,"CATHETER, OCCLUSION",2737.0,2737.0,736.25,5337.15,45
CDM,2841375,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",830.0,830.0,223.27,1618.5,45
CDM,2841376,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2133.0,2133.0,573.78,4159.35,45
CDM,2841377,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1776.0,1776.0,477.74,3463.2,45
CDM,2841378,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2987.0,3285.7,1284.41,5824.65,50
CDM,2841379,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,2841380,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1050.0,1155.0,451.5,2047.5,50
CDM,2841381,"CATHETER, OCCLUSION",2669.0,2669.0,717.96,5204.55,45
CDM,2841382,"CATHETER, OCCLUSION",3063.0,3063.0,823.95,5972.85,45
CDM,2841383,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1396.0,1535.6,600.28,2722.2,50
CDM,2841384,GUIDE WIRE,908.0,908.0,244.25,1770.6,45
CDM,2841385,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",4620.0,4620.0,1242.78,9009.0,45
CDM,2841386,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",12688.0,13956.8,5455.84,24741.6,50
CDM,2841387,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841389,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1705.0,1705.0,458.65,3324.75,45
CDM,2841392,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1575.0,1575.0,423.68,3071.25,45
CDM,2841393,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1488.0,1488.0,400.27,2901.6,45
CDM,2841394,"CATHETER, BALLOON DILATATION, NON-VASCULAR",2888.0,2888.0,776.87,5631.6,45
CDM,2841395,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",18083.0,10681.0,2646.49,35261.85,59
CDM,2841396,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",28715.0,17078.0,3953.0,55994.25,59
CDM,2841397,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(",28715.0,17078.0,4547.0,55994.25,59
CDM,2841398,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDE",28715.0,17078.0,4547.0,55994.25,59
CDM,2841399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2841400,"CATHETER, THROMBECTOMY/EMBOLECTOMY",19250.0,19250.0,3461.0,37537.5,45
CDM,2841402,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,2841403,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5066.0,5572.6,2178.38,9878.7,50
CDM,2841404,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE",28715.0,17078.0,3953.0,55994.25,59
CDM,2841405,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2188.0,2188.0,588.57,4266.6,45
CDM,2841406,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2450.0,2450.0,659.05,4777.5,45
CDM,2841407,VENA CAVA FILTER,3938.0,4331.8,1693.34,7679.1,50
CDM,2841408,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3168.0,3484.8,1362.24,6177.6,50
CDM,2841409,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,2841410,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3141.25,3455.38,1350.74,6125.44,50
CDM,2841411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2841414,GUIDE WIRE,1024.0,1024.0,275.46,1996.8,45
CDM,2841415,GUIDE WIRE,1071.0,1071.0,288.1,2088.45,45
CDM,2841416,GUIDE WIRE,1150.0,1150.0,309.35,2242.5,45
CDM,2841417,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1859.0,1859.0,500.07,3625.05,45
CDM,2841418,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2205.0,2425.5,948.15,4299.75,50
CDM,2841419,"CATHETER, BALLOON DILATATION, NON-VASCULAR",2816.0,2816.0,757.5,5491.2,45
CDM,2841420,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2919.0,3210.9,1255.17,5692.05,50
CDM,2841421,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3455.0,3800.5,1485.65,6737.25,50
CDM,2841422,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4057.0,4462.7,1744.51,7911.15,50
CDM,2841424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2841425,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1313.0,1444.3,564.59,2560.35,50
CDM,2841426,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1488.0,1636.8,639.84,2901.6,50
CDM,2841427,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2012.5,2213.75,865.38,3924.38,50
CDM,2841428,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",1837.5,2021.25,790.13,3583.13,50
CDM,2841429,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2013.0,2214.3,865.59,3925.35,50
CDM,2841430,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17098.0,17098.0,3461.0,33341.1,45
CDM,2841432,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES), WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,10681.0,3953.0,45575.4,59
CDM,2841433,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",3831.0,3831.0,1030.54,7470.45,45
CDM,2841434,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS,  TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY  WITHIN THE SAME VESSEL(S",23372.0,17078.0,3953.0,45575.4,59
CDM,2841435,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,17078.0,3953.0,45575.4,59
CDM,2841437,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",6816.0,7497.6,2930.88,13291.2,50
CDM,2841439,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",34500.0,37950.0,14835.0,67275.0,50
CDM,2841441,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",221.01,243.11,95.03,430.96,50
CDM,2841442,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3525.0,3877.5,1515.75,6873.75,50
CDM,2841443,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11491.0,12640.1,4941.13,22407.45,50
CDM,2841444,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5439.0,5982.9,2338.77,10606.05,50
CDM,2841445,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4995.0,5494.5,2147.85,9740.25,50
CDM,2841446,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,2841447,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6797.0,7476.7,2922.71,13254.15,50
CDM,2841448,SNARE VASC,1033.0,1033.0,212.38,826.4,45
CDM,2841449,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1210.0,1210.0,325.49,2359.5,45
CDM,2841450,GUIDE WIRE,1041.0,1041.0,280.03,2029.95,45
CDM,2841451,GUIDE WIRE,1216.0,1216.0,327.1,2371.2,45
CDM,2841452,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1692.0,1692.0,455.15,3299.4,45
CDM,2841453,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6125.0,6737.5,2633.75,11943.75,50
CDM,2841454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2841455,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",2616.0,2877.6,1124.88,5101.2,50
CDM,2841456,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",240.0,264.0,103.2,468.0,50
CDM,2841457,"PORT, INDWELLING (IMPLANTABLE)",536.0,589.6,230.48,1045.2,50
CDM,2841458,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2100.0,2310.0,903.0,4095.0,50
CDM,2841459,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3063.0,3369.3,1317.09,5972.85,50
CDM,2841460,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1429.0,1571.9,614.47,2786.55,50
CDM,2841461,"CATHETER, INTRAVASCULAR ULTRASOUND",1313.0,1313.0,353.2,2560.35,45
CDM,2841462,PROBE OSTEOCOOL,7518.0,7518.0,1545.7,6014.4,45
CDM,2841463,PROBE OSTEOCOOL,6834.0,6834.0,1405.07,5467.2,45
CDM,2841464,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1203.0,1203.0,323.61,2345.85,45
CDM,2841465,"CATHETER, THROMBECTOMY/EMBOLECTOMY",11576.0,11576.0,3113.94,22573.2,45
CDM,2841466,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3238.0,3238.0,871.02,6314.1,45
CDM,2841467,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",5591.0,5591.0,1503.98,10902.45,45
CDM,2841468,Removal of abdominal cavity tube,4740.0,3044.0,491.77,20345.0,64
CDM,2841469,Incision of bladder with drainage,3084.0,1904.0,1026.31,16462.0,64
CDM,2841470,GUIDE WIRE,2275.0,2275.0,611.98,4436.25,45
CDM,2841471,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",7996.0,7996.0,2150.92,15592.2,45
CDM,2841476,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1505.0,1655.5,647.15,2934.75,50
CDM,2841477,"CATHETER, THROMBECTOMY/EMBOLECTOMY",10526.0,10526.0,2831.49,20525.7,45
CDM,2841478,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",226.0,248.6,97.18,440.7,50
CDM,2841479,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2888.0,3176.8,1241.84,5631.6,50
CDM,2841481,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1575.0,1732.5,677.25,3071.25,50
CDM,2841482,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11926.0,13118.6,5128.18,23255.7,50
CDM,2841483,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,2841484,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,2841486,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2156.0,2156.0,579.96,4204.2,45
CDM,2841487,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",3430.0,3773.0,1474.9,6688.5,50
CDM,2841488,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2783.0,2783.0,748.63,5426.85,45
CDM,2841489,"CATHETER, THROMBECTOMY/EMBOLECTOMY",14035.0,14035.0,3461.0,27368.25,45
CDM,2841491,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",4183.0,4183.0,1125.23,8156.85,45
CDM,2841492,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",8540.0,8540.0,2297.26,16653.0,45
CDM,2841493,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3500.0,3850.0,1505.0,6825.0,50
CDM,2841494,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2302.3,2302.3,619.32,4489.49,45
CDM,2841495,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",7518.0,7518.0,2022.34,14660.1,45
CDM,2841496,KIT OSTEOCOOL,728.0,728.0,149.68,582.4,45
CDM,2841497,GUIDE WIRE,1706.0,1706.0,458.91,3326.7,45
CDM,2841498,"CATHETER, DRAINAGE",893.0,893.0,240.22,1741.35,45
CDM,2841499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2841501,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",25802.0,28382.2,11094.86,50313.9,50
CDM,2841502,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",24117.0,26528.7,10370.31,47028.15,50
CDM,2841503,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1656.0,1821.6,712.08,3229.2,50
CDM,2841504,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1610.0,1771.0,692.3,3139.5,50
CDM,2841505,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1708.0,1878.8,734.44,3330.6,50
CDM,2841506,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1624.0,1786.4,698.32,3166.8,50
CDM,2841507,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1618.0,1779.8,695.74,3155.1,50
CDM,2841508,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4016.0,4417.6,1726.88,7831.2,50
CDM,2841509,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1531.0,1531.0,411.84,2985.45,45
CDM,2841511,VENA CAVA FILTER,3430.0,3773.0,1474.9,6688.5,50
CDM,2841512,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1015.0,1015.0,273.04,1979.25,45
CDM,2841513,VENA CAVA FILTER,1853.0,1853.0,498.46,3613.35,45
CDM,2841514,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1369.0,1505.9,588.67,2669.55,50
CDM,2841516,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1269.0,1269.0,341.36,2474.55,45
CDM,2841517,COIL VORTE DIAMOND,744.0,818.4,152.97,818.4,50
CDM,2841518,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2616.0,2877.6,1124.88,5101.2,50
CDM,2841519,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2669.0,2669.0,717.96,5204.55,45
CDM,2841520,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,2841521,COIL TEE TRND,238.0,261.8,48.93,261.8,50
CDM,2841522,VENA CAVA FILTER,2266.0,2492.6,974.38,4418.7,50
CDM,2841523,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2363.0,2599.3,1016.09,4607.85,50
CDM,2841524,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841525,VENA CAVA FILTER,2363.0,2599.3,1016.09,4607.85,50
CDM,2841526,VENA CAVA FILTER,1566.0,1722.6,673.38,3053.7,50
CDM,2841527,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1673.0,1673.0,450.04,3262.35,45
CDM,2841528,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1704.0,1704.0,458.38,3322.8,45
CDM,2841529,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,2841530,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,2841531,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841532,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1575.0,423.68,3071.25,45
CDM,2841533,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,2841534,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,2841535,COIL EMB,451.0,496.1,92.73,496.1,50
CDM,2841536,VENA CAVA FILTER,3896.0,4285.6,1675.28,7597.2,50
CDM,2841537,SEPARATOR INDIGO,1251.0,1251.0,257.21,1000.8,45
CDM,2841538,SEPARATOR INDIGO,1890.0,1890.0,388.58,1512.0,45
CDM,2841539,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3360.0,3360.0,903.84,6552.0,45
CDM,2841540,COIL VASC TORNADO,238.0,261.8,48.93,261.8,50
CDM,2841541,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1444.0,1588.4,620.92,2815.8,50
CDM,2841542,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",4900.0,4900.0,1318.1,9555.0,45
CDM,2841543,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2156.0,2156.0,579.96,4204.2,45
CDM,2841544,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",2319.0,2319.0,623.81,4522.05,45
CDM,2841545,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1429.0,1571.9,614.47,2786.55,50
CDM,2841546,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1400.0,1540.0,602.0,2730.0,50
CDM,2841547,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1610.0,1771.0,692.3,3139.5,50
CDM,2841548,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1708.0,1878.8,734.44,3330.6,50
CDM,2841549,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1768.0,1944.8,760.24,3447.6,50
CDM,2841551,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1618.0,1779.8,695.74,3155.1,50
CDM,2841552,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4279.0,4706.9,1839.97,8344.05,50
CDM,2841553,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1531.0,1531.0,411.84,2985.45,45
CDM,2841554,VENA CAVA FILTER,3430.0,3773.0,1474.9,6688.5,50
CDM,2841555,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1015.0,1015.0,273.04,1979.25,45
CDM,2841556,VENA CAVA FILTER,2092.0,2092.0,562.75,4079.4,45
CDM,2841557,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1369.0,1505.9,588.67,2669.55,50
CDM,2841558,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1269.0,1269.0,341.36,2474.55,45
CDM,2841559,COIL VORTE DIAMOND,744.0,818.4,152.97,818.4,50
CDM,2841560,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2616.0,2877.6,1124.88,5101.2,50
CDM,2841561,"CATHETER, THROMBECTOMY/EMBOLECTOMY",2669.0,2669.0,717.96,5204.55,45
CDM,2841562,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",4436.0,4879.6,1907.48,8650.2,50
CDM,2841563,COIL TEE TRND,238.0,261.8,48.93,261.8,50
CDM,2841564,VENA CAVA FILTER,2266.0,2492.6,974.38,4418.7,50
CDM,2841565,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2363.0,2599.3,1016.09,4607.85,50
CDM,2841566,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841567,VENA CAVA FILTER,2363.0,2599.3,1016.09,4607.85,50
CDM,2841568,VENA CAVA FILTER,1566.0,1722.6,673.38,3053.7,50
CDM,2841569,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1673.0,1673.0,450.04,3262.35,45
CDM,2841570,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1704.0,1704.0,458.38,3322.8,45
CDM,2841571,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,2841572,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1190.0,1309.0,511.7,2320.5,50
CDM,2841573,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841574,EMBOLIZATION PROTECTIVE SYSTEM,1575.0,1575.0,423.68,3071.25,45
CDM,2841575,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,2841576,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,2841577,COIL EMB,451.0,496.1,92.73,496.1,50
CDM,2841578,VENA CAVA FILTER,3896.0,4285.6,1675.28,7597.2,50
CDM,2841579,SEPARATOR INDIGO,1251.0,1251.0,257.21,1000.8,45
CDM,2841580,SEPARATOR INDIGO,1890.0,1890.0,388.58,1512.0,45
CDM,2841581,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3360.0,3360.0,903.84,6552.0,45
CDM,2841582,COIL VASC TORNADO,238.0,261.8,48.93,261.8,50
CDM,2841583,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1138.0,1251.8,489.34,2219.1,50
CDM,2841587,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1819.0,1819.0,489.31,3547.05,45
CDM,2841588,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),5066.0,5572.6,2178.38,9878.7,50
CDM,2841589,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",23450.0,25795.0,10083.5,45727.5,50
CDM,2841593,COIL COMPLEX SOFT,1383.0,1521.3,284.34,1521.3,50
CDM,2841594,COIL COMPLEX STD,2258.0,2483.8,464.24,2483.8,50
CDM,2841596,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",5705.0,6275.5,2453.15,11124.75,50
CDM,2841597,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3325.0,3657.5,1429.75,6483.75,50
CDM,2841598,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2275.0,2502.5,978.25,4436.25,50
CDM,2841599,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2035.0,2238.5,875.05,3968.25,50
CDM,2841600,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3308.0,3638.8,1422.44,6450.6,50
CDM,2841601,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2100.0,2310.0,903.0,4095.0,50
CDM,2841602,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,2841603,DEVICE POD J 15CM OCCL,1733.0,1906.3,356.3,1906.3,50
CDM,2841604,COIL OCCLSION POD,3133.0,3446.3,644.14,3446.3,50
CDM,2841605,COIL COMPLEX STD,1733.0,1906.3,356.3,1906.3,50
CDM,2841606,COIL COMPLEX STD 3MMX5CM,1383.0,1521.3,284.34,1521.3,50
CDM,2841607,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2258.0,2483.8,970.94,4403.1,50
CDM,2841608,COIL COMPLEX SOFT,1383.0,1521.3,284.34,1521.3,50
CDM,2841609,COIL COMPLEX STD,1733.0,1906.3,356.3,1906.3,50
CDM,2841610,COIL EMB OCCL 4CM 3-5MM,451.0,496.1,92.73,496.1,50
CDM,2841611,KYPHON EXPRESS II 20/2 FIRST F,5959.0,5959.0,1225.17,4767.2,45
CDM,2841612,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,2841613,CATH DELIVERY,1547.0,1547.0,318.06,1237.6,45
CDM,2841614,COIL EMB VORTX 4X3.7X41MM,240.0,264.0,49.34,264.0,50
CDM,2841615,COIL RUBY STND 4MMX35CM,3500.0,3850.0,719.6,3850.0,50
CDM,2841616,COIL COMPLEX STD 3MMX5CM,1383.0,1521.3,284.34,1521.3,50
CDM,2841617,COIL COMPLEX STD 5MMX20CM,1733.0,1906.3,356.3,1906.3,50
CDM,2841618,COIL SMART STD 7MMX15CM,2975.0,3272.5,611.66,3272.5,50
CDM,2841619,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4891.0,4891.0,1315.68,9537.45,45
CDM,2841620,COIL TARGET 360,2212.0,2433.2,454.79,2433.2,50
CDM,2841621,"CATHETER, OCCLUSION",2742.0,2742.0,737.6,5346.9,45
CDM,2841622,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",2188.0,2188.0,588.57,4266.6,45
CDM,2841623,COIL TARGET 360,3474.0,3821.4,714.25,3821.4,50
CDM,2841624,COIL TARGET 360SOFT,3938.0,4331.8,809.65,4331.8,50
CDM,2841625,COIL TARGET STND,4051.0,4456.1,832.89,4456.1,50
CDM,2841626,COIL TARGET 360SOFT,3474.0,3821.4,714.25,3821.4,50
CDM,2841627,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",4463.0,4463.0,1200.55,8702.85,45
CDM,2841628,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3413.0,3413.0,918.1,6655.35,45
CDM,2841629,COIL 3D DETACH XSOFT 3.5MM,3150.0,3465.0,647.64,3465.0,50
CDM,2841631,COIL 3D DETACH XSOFT,3063.0,3369.3,629.75,3369.3,50
CDM,2841632,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",13327.0,14659.7,5730.61,25987.65,50
CDM,2841633,COIL RUBY EMBOLIZATION,2258.0,2483.8,464.24,2483.8,50
CDM,2841634,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",4716.0,4716.0,1268.6,9196.2,45
CDM,2841635,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3308.0,3308.0,889.85,6450.6,45
CDM,2841636,"CATHETER, THROMBECTOMY/EMBOLECTOMY",3946.0,3946.0,1061.47,7694.7,45
CDM,2841637,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2800.0,3080.0,1204.0,5460.0,50
CDM,2841638,"CATHETER, INTRAVASCULAR ULTRASOUND",1313.0,1313.0,353.2,2560.35,45
CDM,2841639,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,451.92,3276.0,45
CDM,2841640,COIL VASCULAR COMPLEX,1978.0,2175.8,406.68,2175.8,50
CDM,2841641,COIL EMBL,2205.0,2425.5,453.35,2425.5,50
CDM,2841642,COIL SMART,1978.0,2175.8,406.68,2175.8,50
CDM,2841644,COIL EMBL OPTM HLCL SS,2205.0,2425.5,453.35,2425.5,50
CDM,2841645,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5985.0,6583.5,2573.55,11670.75,50
CDM,2841646,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",6038.0,6038.0,1624.22,11774.1,45
CDM,2841647,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3133.0,3133.0,842.78,6109.35,45
CDM,2841648,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3322.0,3322.0,893.62,6477.9,45
CDM,2841649,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,2841650,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2091.0,2091.0,562.48,4077.45,45
CDM,2841651,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3322.0,3322.0,893.62,6477.9,45
CDM,2841652,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",3595.0,3595.0,967.06,7010.25,45
CDM,2841653,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3194.0,3513.4,1373.42,6228.3,50
CDM,2841654,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3194.0,3513.4,1373.42,6228.3,50
CDM,2841655,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,2841656,PIPELINE FLEX,22969.0,25265.9,4722.43,25265.9,50
CDM,2841657,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3194.0,3513.4,1373.42,6228.3,50
CDM,2841658,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1829.0,1829.0,492.0,3566.55,45
CDM,2841659,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3675.0,4042.5,1580.25,7166.25,50
CDM,2841660,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3194.0,3513.4,1373.42,6228.3,50
CDM,2841661,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2056.0,2261.6,884.08,4009.2,50
CDM,2841662,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,2841663,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2056.0,2261.6,884.08,4009.2,50
CDM,2841664,COIL EMBL 35CM,1663.0,1829.3,341.91,1829.3,50
CDM,2841665,CAH OTW US PTA,1575.0,1732.5,323.82,1732.5,50
CDM,2841666,GUIDE WIRE,919.0,919.0,247.21,1792.05,45
CDM,2841667,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,2841668,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",551.0,606.1,236.93,1074.45,50
CDM,2841669,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841670,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3141.0,3455.1,1350.63,6124.95,50
CDM,2841671,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8741.0,9615.1,3758.63,17044.95,50
CDM,2841672,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,2841673,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4867.0,5353.7,2092.81,9490.65,50
CDM,2841674,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",4995.0,5494.5,2147.85,9740.25,50
CDM,2841675,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5731.0,6304.1,2464.33,11175.45,50
CDM,2841676,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5775.0,6352.5,2483.25,11261.25,50
CDM,2841677,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",5985.0,6583.5,2573.55,11670.75,50
CDM,2841678,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6239.0,6862.9,2682.77,12166.05,50
CDM,2841679,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6797.0,7476.7,2922.71,13254.15,50
CDM,2841680,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",7571.0,8328.1,3255.53,14763.45,50
CDM,2841681,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8015.0,8816.5,3446.45,15629.25,50
CDM,2841682,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8391.0,9230.1,3608.13,16362.45,50
CDM,2841683,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",8923.0,9815.3,3836.89,17399.85,50
CDM,2841684,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1269.0,1395.9,545.67,2474.55,50
CDM,2841685,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1400.0,1540.0,602.0,2730.0,50
CDM,2841687,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1733.0,1906.3,745.19,3379.35,50
CDM,2841688,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1750.0,1925.0,752.5,3412.5,50
CDM,2841689,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1869.0,2055.9,803.67,3644.55,50
CDM,2841690,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,2841691,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3491.0,3840.1,1501.13,6807.45,50
CDM,2841692,"CATHETER, THROMBECTOMY/EMBOLECTOMY",1838.0,1838.0,494.42,3584.1,45
CDM,2841693,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2039.0,2242.9,876.77,3976.05,50
CDM,2841694,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3719.0,4090.9,1599.17,7252.05,50
CDM,2841695,"CATHETER, THROMBECTOMY/EMBOLECTOMY",17010.0,17010.0,3461.0,33169.5,45
CDM,2841696,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1680.0,1680.0,451.92,3276.0,45
CDM,2841697,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",2433.0,2676.3,1046.19,4744.35,50
CDM,2841698,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3553.0,3908.3,1527.79,6928.35,50
CDM,2841699,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3185.0,3503.5,1369.55,6210.75,50
CDM,2841701,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3369.0,3705.9,1448.67,6569.55,50
CDM,2841702,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3430.0,3773.0,1474.9,6688.5,50
CDM,2841703,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3920.0,4312.0,1685.6,7644.0,50
CDM,2841704,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3890.0,4279.0,1672.7,7585.5,50
CDM,2841705,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4463.0,4909.3,1919.09,8702.85,50
CDM,2841706,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1444.0,1444.0,388.44,2815.8,45
CDM,2841707,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1531.0,1531.0,411.84,2985.45,45
CDM,2841708,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",11366.0,12502.6,4887.38,22163.7,50
CDM,2841709,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",963.0,1059.3,414.09,1877.85,50
CDM,2841710,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5355.0,5890.5,2302.65,10442.25,50
CDM,2841711,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",12663.0,13929.3,5445.09,24692.85,50
CDM,2841712,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",1094.0,1203.4,470.42,2133.3,50
CDM,2841713,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",19723.0,21695.3,8480.89,38459.85,50
CDM,2841714,CATH VASC KODIAK,2170.0,2170.0,446.15,1736.0,45
CDM,2841715,KIT FRACT FIRST LONG,5129.0,5129.0,1054.52,4103.2,45
CDM,2841716,INST SPINESTAR ABLATION,5871.0,5871.0,1207.08,4696.8,45
CDM,2841717,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",3325.0,3325.0,894.43,6483.75,45
CDM,2841718,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",1225.0,1347.5,526.75,2388.75,50
CDM,2841719,CLOT RETRIEVER VTE-PPP,21000.0,21000.0,3461.0,16800.0,45
CDM,2841720,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3156.0,3471.6,1357.08,6154.2,50
CDM,2841721,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",4407.0,4847.7,1895.01,8593.65,50
CDM,2841722,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1768.0,1944.8,760.24,3447.6,50
CDM,2841723,GUIDE WIRE,1216.0,1216.0,327.1,2371.2,45
CDM,2841724,"CATHETER, DRAINAGE",924.0,924.0,248.56,1801.8,45
CDM,2841725,SHEATH LASER CAVACLEAR,5451.0,5451.0,1120.73,4360.8,45
CDM,2841726,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3728.0,4100.8,1603.04,7269.6,50
CDM,2841727,EMBOLIZATION PROTECTIVE SYSTEM,2791.0,3070.1,1200.13,5442.45,50
CDM,2841728,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3637.0,4000.7,1563.91,7092.15,50
CDM,2841729,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",613.0,674.3,263.59,1195.35,50
CDM,2841730,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5329.0,5329.0,1433.5,10391.55,45
CDM,2841732,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITH CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY (LIST SEPARATELY IN A",3195.0,,503.0,6230.25,50
CDM,2841734,GUIDE WIRE,1039.0,1039.0,279.49,2026.05,45
CDM,2841735,"CATHETER, OCCLUSION",5941.0,6535.1,2554.63,11584.95,50
CDM,2841736,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",11762.0,12938.2,5057.66,22935.9,50
CDM,2841737,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",28866.0,31752.6,12412.38,56288.7,50
CDM,2841738,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1406.0,1406.0,378.21,2741.7,45
CDM,2841747,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",3637.0,4000.7,1563.91,7092.15,50
CDM,2841748,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1400.0,1540.0,602.0,2730.0,50
CDM,2841749,COIL EMOLIZATION INTERLOCK,963.0,1059.3,197.99,1059.3,50
CDM,2841751,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",250.0,275.0,107.5,487.5,50
CDM,2841752,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",3413.0,3754.3,1467.59,6655.35,50
CDM,2841754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2841755,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8754.18,8754.18,955.0,17070.65,50
CDM,2841756,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,2841757,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8916.0,8916.0,955.0,17386.2,50
CDM,2841758,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,50
CDM,2841759,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",1756.1,1756.1,472.39,3424.4,50
CDM,2841760,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,2841761,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",18084.0,18084.0,955.0,35263.8,50
CDM,2841762,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,50
CDM,2841763,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8754.18,8754.18,955.0,17070.65,50
CDM,2841764,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8916.0,8916.0,955.0,17386.2,50
CDM,2841765,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841766,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841767,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841768,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841769,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841770,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841771,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841772,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4962.0,4962.0,1020.19,3969.6,45
CDM,2841773,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841774,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4962.0,4962.0,1020.19,3969.6,45
CDM,2841775,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841776,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841777,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841778,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841779,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841780,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13633.0,13633.0,2802.94,10906.4,45
CDM,2841781,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841782,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13633.0,13633.0,2802.94,10906.4,45
CDM,2841783,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841784,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841785,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,28195.86,28195.86,4701.0,22556.69,45
CDM,2841786,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2841789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2841790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2841791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2841792,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841793,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841794,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17756.1,17756.1,3650.65,14204.88,45
CDM,2841795,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6421.0,6421.0,1320.16,5136.8,45
CDM,2841796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2841797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2841798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2841799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2841800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2842340,Review by radiologist of multiple spinal canals image,1701.0,761.0,221.0,3316.95,64
CDM,2842385,Review by radiologist of lower spinal canal image,1228.0,761.0,221.0,2394.6,64
CDM,2842430,Removal of cerebrospinal fluid with lower back spinal tap,1106.0,675.0,471.65,10537.0,64
CDM,2842435,Injection of substance into lower spine canal,2142.0,675.0,471.65,10537.0,64
CDM,2842440,"Injection of lower or sacral spine facet joint using imaging guidance, single level",1291.0,875.0,471.65,10537.0,64
CDM,2842441,"Injection of upper or middle spine facet joint using imaging guidance, single level",1291.0,875.0,471.65,10537.0,64
CDM,2842445,Aspiration of fluid from cyst of spinal cord or fluid-filled cavity,2187.0,875.0,471.65,10537.0,64
CDM,2842766,Injection of blood or blood clot into spinal canal,1200.0,675.0,471.65,10537.0,64
CDM,2843490,Imaging of gallbladder with contrast,426.0,190.0,76.23,2086.0,64
CDM,2843680,Review by radiologist of urinary bladder image,944.0,392.0,76.23,2086.0,64
CDM,2843840,Review by radiologist of upper urinary tract image,758.0,392.0,76.23,2086.0,64
CDM,2843942,Placement of tube of kidney using imaging guidance with review by radiologist,2102.0,1904.0,903.86,16462.0,64
CDM,2843943,Placement of tube of kidney and urinary tube through new skin access using imaging guidance with review by radiologist,4814.0,3269.0,1940.53,27978.0,64
CDM,2843944,Review by radiologist of image for replacement of stomach or large bowel tube,964.0,964.0,146.51,2086.0,61
CDM,2843948,Review by radiologist of upper urinary tract image,758.0,392.0,76.23,2086.0,64
CDM,2844003,Fluoroscopic guidance for spine or back muscle injection,360.0,360.0,146.51,2086.0,61
CDM,2844015,Insertion of stomach tube using fluoroscopic guidance with contrast,2117.0,1727.0,199.45,16462.0,64
CDM,2844035,Injection of bile duct for X-ray through new skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,64
CDM,2844055,Injection of bile duct for X-ray through already existing skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,64
CDM,2844065,Removal of biliary duct or gallbladder stone using imaging guidance with review by radiologist,1390.0,1390.0,373.91,4806.51,64
CDM,2844075,Review by radiologist of image to guide opening of bile duct,2250.0,2250.0,146.51,4387.5,61
CDM,2844085,Review by radiologist of image to guide opening of bile duct,2250.0,2250.0,146.51,4387.5,61
CDM,2844095,Placement of external drainage tube of biliary duct using imaging guidance with review by radiologist,3620.0,3383.0,1556.6,27978.0,64
CDM,2844105,Placement of internal-external drainage tube of biliary duct using imaging guidance with review by radiologist,5313.0,3383.0,1560.11,27978.0,64
CDM,2844110,Insertion of stomach tube through nose or mouth using fluoroscopic guidance,550.0,289.0,111.0,7362.0,64
CDM,2844120,Review by radiologist of chest aorta serial images,8717.0,5071.0,221.0,16998.15,64
CDM,2844125,Review by radiologist of image for replacement of stomach or large bowel tube,964.0,964.0,146.51,2086.0,61
CDM,2844175,Repositioning of oral or nasal feeding tube in small bowel,1268.0,283.0,199.45,5962.0,64
CDM,2844215,Injection of bile duct for X-ray through new skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,64
CDM,2844225,"Diagnostic exam of gallbladder and pancreatic, liver, and bile ducts using an endoscope",5288.0,3265.0,1786.81,27978.0,64
CDM,2844235,Injection of bile duct for X-ray through already existing skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,64
CDM,2844275,Placement of external drainage tube of biliary duct using imaging guidance with review by radiologist,3620.0,3383.0,1556.6,27978.0,64
CDM,2844285,Placement of internal-external drainage tube of biliary duct using imaging guidance with review by radiologist,5313.0,3383.0,1560.11,27978.0,64
CDM,2844295,Replacement of liver duct drainage tube using imaging guidance with review by radiologist,4244.0,3383.0,1560.11,27978.0,64
CDM,2844700,Review by radiologist of abdominal aorta image,4946.0,3044.0,221.0,9644.7,64
CDM,2844705,Review by radiologist of abdominal aorta and both leg arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,2844715,Insertion of tube into chest aorta for diagnosis or treatment with review by radiologist,6576.0,3044.0,1768.94,20345.0,64
CDM,2844725,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,64
CDM,2844735,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,64
CDM,2844745,Review by radiologist of both arms or legs arteries image,4946.0,3044.0,221.0,9644.7,64
CDM,2844755,Insertion of tube into first order main and accessory arteries of kidney for imaging with review by radiologist,4428.0,3044.0,1191.13,20345.0,64
CDM,2844765,Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist,3502.0,3044.0,942.04,20345.0,64
CDM,2844775,Review by radiologist of abdominal artery image,8717.0,5071.0,221.0,16998.15,64
CDM,2844805,Review by radiologist of pelvis artery image,8717.0,5071.0,221.0,16998.15,64
CDM,2844815,Review by radiologist of lung artery image,4946.0,3044.0,221.0,9644.7,64
CDM,2844825,Review by radiologist of arteries of both lungs image,4946.0,3044.0,221.0,9644.7,64
CDM,2844835,Review by radiologist of lung artery image with contrast,6940.0,3044.0,221.0,13533.0,64
CDM,2844865,Review by radiologist of additional artery image,3453.0,3453.0,221.0,6733.35,61
CDM,2844885,Insertion of tube into aorta,2275.0,2275.0,401.0,4436.25,64
CDM,2844905,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,64
CDM,2844915,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,64
CDM,2844933,Insertion of needle and/or tube into hemodialysis circuit with review by radiologist,1729.0,1495.0,111.0,15383.0,64
CDM,2844945,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,64
CDM,2844951,"Ultrasound evaluation of blood vessel with review by radiologist, initial vessel",1834.0,1834.0,401.0,3576.3,53
CDM,2844952,"Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel",2728.0,2728.0,401.0,5319.6,53
CDM,2844953,"Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel",2728.0,2728.0,401.0,5319.6,53
CDM,2844955,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,64
CDM,2844965,Insertion of tube into vena cava,1295.0,1295.0,348.36,3241.0,64
CDM,2845000,Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist,6289.0,6289.0,401.0,12263.55,64
CDM,2845010,Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist,8717.0,5071.0,2344.87,27978.0,64
CDM,2845020,Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist,7588.0,5071.0,2041.17,27978.0,64
CDM,2845030,Insertion of tube into brain artery for diagnosis or treatment with review by radiologist,6394.0,5071.0,1719.99,27978.0,64
CDM,2845035,Insertion of tube into neck or brain artery for diagnosis or treatment with review by radiologist,6394.0,6394.0,401.0,12468.3,64
CDM,2845045,Insertion of tube into chest artery for diagnosis or treatment with review by radiologist,6394.0,3044.0,1719.99,20345.0,64
CDM,2845055,Review by radiologist of spinal artery image,8717.0,5071.0,221.0,16998.15,64
CDM,2845064,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,2845065,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,2845066,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,2845067,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,64
CDM,2845068,"Insertion of tube into chest or arm artery, initial second order branch",2619.0,2619.0,401.0,5107.05,64
CDM,2845070,"Insertion of tube into chest or arm artery, initial second order branch",2619.0,2619.0,401.0,5107.05,64
CDM,2845071,"Insertion of tube into chest or arm artery, initial second order branch",2619.0,2619.0,401.0,5107.05,64
CDM,2845072,"Insertion of tube into chest or arm artery, initial third order branch",3141.0,3141.0,401.0,6124.95,64
CDM,2845074,"Insertion of tube into chest or arm artery, initial third order branch",3141.0,3141.0,401.0,6124.95,64
CDM,2845076,"Insertion of tube into chest or arm artery, additional second, third order and beyond",1332.0,1332.0,358.31,4299.0,64
CDM,2845078,"Insertion of tube into chest or arm artery, additional second, third order and beyond",1332.0,1332.0,358.31,4299.0,64
CDM,2845080,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845082,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845093,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845094,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845096,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845097,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845098,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,64
CDM,2845103,Review by radiologist of 1 arm or leg vein of 1 arm or leg image,2466.0,1495.0,221.0,4808.7,64
CDM,2845104,Review by radiologist of both arms and legs veins of both arms or legs image,2466.0,1495.0,221.0,4808.7,64
CDM,2845105,Insertion of tube into portal vein of liver,2063.0,2063.0,401.0,4022.85,64
CDM,2845106,Review by radiologist of major lower body vein image,4946.0,3044.0,221.0,9644.7,64
CDM,2845107,Review by radiologist of major upper body vein image,3215.0,1495.0,221.0,6269.25,64
CDM,2845108,Review by radiologist of kidney image,4946.0,3044.0,221.0,9644.7,64
CDM,2845109,Review by radiologist of both kidneys veins image,4946.0,3044.0,221.0,9644.7,64
CDM,2845113,Review by radiologist of the vein that transports blood to the liver image with assessment of blood flow,5407.0,3044.0,221.0,10543.65,64
CDM,2845114,Review by radiologist of the vein that transports blood to the liver image,4946.0,3044.0,221.0,9644.7,64
CDM,2845116,Review by radiologist of liver vein image with assessment of blood flow,6315.0,3044.0,221.0,12314.25,64
CDM,2845117,Review by radiologist of liver vein image,4946.0,3044.0,221.0,9644.7,64
CDM,2845118,Review by radiologist of imaging guidance for removal of blood sample,8717.0,5071.0,221.0,16998.15,64
CDM,2845119,Review by radiologist of head or neck vein system image,4946.0,3044.0,221.0,9644.7,64
CDM,2845121,Review by radiologist of head vein system image,4946.0,3044.0,221.0,9644.7,64
CDM,2845126,Insertion of non-tunneled central venous tube for infusion (younger than 5 years),4401.0,3044.0,790.49,20345.0,64
CDM,2845127,Insertion of non-tunneled central venous tube for infusion (5 years or older),4401.0,3044.0,790.49,20345.0,64
CDM,2845128,Insertion of tunneled central venous tube for infusion (younger than 5 years),8717.0,5071.0,1397.3,27978.0,64
CDM,2845129,Insertion of tunneled central venous tube for infusion (5 years or older),4946.0,3044.0,1397.3,20345.0,64
CDM,2845131,Insertion of central venous tube with port (younger than 5 years),4566.0,3044.0,1397.3,20345.0,64
CDM,2845132,Insertion of central venous tube with port (5 years or older),3978.0,3044.0,1397.3,20345.0,64
CDM,2845133,Insertion of tube for infusion (5 years or older),2371.0,1495.0,790.49,15383.0,64
CDM,2845134,"Replacement of central venous tube, tube only",3808.0,3044.0,486.6,20345.0,64
CDM,2845136,Replacement of nontunneled central venous tube,1801.0,1495.0,774.43,15383.0,64
CDM,2845137,Replacement of tunneled central venous tube,4618.0,3044.0,1397.3,20345.0,64
CDM,2845138,Replacement of tunneled central venous tube with port,4906.0,3044.0,1397.3,20345.0,64
CDM,2845139,Replacement of peripherally inserted central venous tube (PICC) with review by radiologist,1687.0,1495.0,725.41,15383.0,64
CDM,2845141,Removal of tunneled central venous tube,1774.0,575.0,486.6,7362.0,64
CDM,2845142,Removal of central venous tube with port or pump,2797.0,2797.0,486.6,15383.0,64
CDM,2845155,Replacement of tunneled central venous tube with pump,7588.0,5071.0,1397.3,27978.0,64
CDM,2845171,Insertion of shunts to bypass blood flow to liver with review by radiologist,13546.0,13546.0,3643.87,31007.0,64
CDM,2845172,Revision of shunts to bypass blood flow to liver with review by radiologist,13546.0,5270.0,3643.87,27978.0,64
CDM,2845175,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,64
CDM,2845176,Injection to cause blood clot in diseased or pseudoaneurysm of arm or leg,931.0,575.0,400.33,7362.0,64
CDM,2845181,Replacement of tunneled central venous tube with pump,7588.0,5071.0,1397.3,27978.0,64
CDM,2845210,Needle biopsy or removal of surface lymph nodes,2588.0,1496.0,793.31,15383.0,64
CDM,2845310,Review by radiologist of image for insertion of material to block blood flow,6395.0,6395.0,146.51,12470.25,61
CDM,2845315,Imaging of blood vessel,4946.0,3044.0,221.0,9644.7,64
CDM,2845325,Retrieval of foreign body in blood vessel with review by radiologist,5826.0,3044.0,2505.18,20345.0,64
CDM,2845355,"Balloon dilation of artery with review by radiologist, each additional artery",1847.0,1847.0,401.0,6044.38,64
CDM,2845375,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,64
CDM,2845385,Insertion of vena cava filter with review by radiologist,6341.0,5071.0,1705.73,27978.0,64
CDM,2845395,Review by radiologist of image for biopsy of blood vessel with tube,2271.0,2271.0,146.51,4428.45,61
CDM,2845415,"Insertion of tube into artery for drug infusion for blood clot with review by radiologist, initial treatment day",7588.0,5071.0,2103.0,27978.0,64
CDM,2845425,"Infusion of chemical agent into artery of brain with insertion of tube and imaging, initial territory",2838.0,2838.0,763.42,31007.0,64
CDM,2845430,Infusion of drug to dissolve blood clot in brain,6252.0,339.0,178.32,12191.4,64
CDM,2845435,Removal of tube into artery or vein with review by radiologist,4566.0,3044.0,1206.0,20345.0,64
CDM,2845454,Balloon occlusion of head or neck artery with review by radiologist,13704.0,10681.0,3686.38,27978.0,64
CDM,2845455,Occlusion of central nervous system or spinal cord artery,6463.0,6463.0,1738.55,31007.0,64
CDM,2845465,Occlusion of head or neck artery,17073.0,10681.0,4592.64,33292.35,64
CDM,2845495,"Balloon dilation of artery with review by radiologist, initial artery",7892.0,5270.0,2122.95,27978.0,64
CDM,2845554,Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist,6690.0,5270.0,1799.61,27978.0,64
CDM,2845555,Insertion of vena cava filter with review by radiologist,6341.0,5071.0,1705.73,27978.0,64
CDM,2845575,Injection for removal of blood clot from external dialysis tube,3918.0,1495.0,178.32,15383.0,64
CDM,2845585,Insertion of balloon tube for removal of blood clot from external dialysis tube,8138.0,5071.0,2646.49,27978.0,64
CDM,2845595,Removal of blood clot of artery or vein graft,7588.0,5071.0,2720.37,27978.0,64
CDM,2845605,Biopsy of blood vessel using tube,7588.0,5071.0,2113.0,27978.0,64
CDM,2845610,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845612,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845613,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845615,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845616,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845617,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845619,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845623,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845626,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845629,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845630,Review by radiologist of abscess or sinus cavity study,923.0,514.0,76.23,2086.0,64
CDM,2845631,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,64
CDM,2845632,Insertion of tube into vein with collection of blood sample,624.0,624.0,167.86,3241.0,64
CDM,2845633,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845634,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845635,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845636,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845637,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845638,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845639,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,64
CDM,2845640,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845641,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,64
CDM,2845642,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,64
CDM,2845643,Insertion of tube into right heart or main pulmonary artery,1366.0,1366.0,367.45,3241.0,64
CDM,2845644,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845645,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845646,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845649,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845650,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845651,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845652,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845653,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,64
CDM,2845654,Insertion of tube into left or right pulmonary artery,905.0,905.0,243.45,3241.0,64
CDM,2845655,Insertion of tube into left or right pulmonary artery,905.0,905.0,243.45,3241.0,64
CDM,2845656,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845657,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845664,Insertion of tube into artery of lobe of lung,1520.0,1520.0,401.0,3241.0,64
CDM,2845665,Insertion of tube into artery of lobe of lung,1520.0,1520.0,401.0,3241.0,64
CDM,2845674,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845675,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845676,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845678,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845679,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845680,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845681,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845682,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,64
CDM,2845684,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845685,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845686,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845687,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845688,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845689,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845690,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845691,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845692,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,64
CDM,2845694,Insertion of tube into artery of lobe of lung,1520.0,1520.0,401.0,3241.0,64
CDM,2845704,Insertion of tube into artery of lobe of lung,1520.0,1520.0,401.0,3241.0,64
CDM,2845705,Insertion of stent and blood clot protection device in neck artery with review by radiologist,4711.0,4711.0,1267.26,31007.0,64
CDM,2845707,Balloon dilation of blood vessel in head,3372.0,3372.0,1449.96,31007.0,64
CDM,2845708,Insertion of stent in blood vessel of head,7901.0,7901.0,3208.0,31007.0,64
CDM,2845811,"Fine needle aspiration biopsy, first growth",637.0,368.0,111.0,7362.0,60
CDM,2845833,Fluoroscopic guidance for insertion or removal of central vein access device,571.0,571.0,146.51,2086.0,61
CDM,2845835,Fluoroscopic guidance for needle placement,1078.0,1078.0,146.51,2102.1,61
CDM,2846100,CT scan head or brain without contrast,1479.0,116.0,196.15,4140.0,64
CDM,2846140,CT scan of blood vessels of chest with contrast,3680.0,190.0,250.12,7176.0,64
CDM,2846430,CT scan of face without contrast,2020.0,116.0,64.89,4140.0,64
CDM,2846800,CT scan of chest without contrast,1981.0,116.0,64.89,4140.0,64
CDM,2846862,CT scan of abdomen with contrast,2435.0,190.0,204.1,4748.25,64
CDM,2846925,CT scan of soft tissue of neck without contrast,1889.0,116.0,64.89,4140.0,64
CDM,2846950,CT scan of upper spine without contrast,2050.0,116.0,64.89,4140.0,64
CDM,2847125,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2847160,Review by radiologist of CT guidance for needle placement,2008.0,2008.0,49.5,4140.0,61
CDM,2847175,CT scan of abdominal aorta and both leg arteries with contrast,2322.0,190.0,250.12,4527.9,64
CDM,2847191,Limited or follow-up CT scan,804.0,86.0,64.89,4140.0,64
CDM,2847300,Limited or follow-up CT scan,804.0,86.0,64.89,4140.0,64
CDM,2847330,Needle biopsy of growth of abdominal cavity,2239.0,1496.0,491.77,15383.0,64
CDM,2847335,Deep biopsy of bone using needle or trocar,1905.0,1496.0,819.15,15383.0,64
CDM,2847340,Biopsy of bone using needle or trocar,2239.0,1496.0,437.88,15383.0,64
CDM,2847345,Biopsy of soft tissue of neck or chest,1875.0,1496.0,806.25,15383.0,64
CDM,2847350,Biopsy of soft tissue of neck or chest,1875.0,1496.0,806.25,15383.0,64
CDM,2847355,Needle biopsy of liver through skin,1015.0,1496.0,436.45,15383.0,64
CDM,2847375,Needle biopsy of muscle,2239.0,1496.0,437.88,15383.0,64
CDM,2847380,Needle biopsy of pancreas,1965.0,1496.0,491.77,15383.0,64
CDM,2847390,Needle biopsy of kidney,2588.0,1496.0,978.2,15383.0,64
CDM,2847395,Needle biopsy of thyroid through skin,789.0,662.0,339.27,10537.0,64
CDM,2847405,CT guidance for tissue removal,1629.0,1629.0,49.5,4140.0,61
CDM,2847410,Destruction of growth of liver through skin using radiofrequency,5960.0,5381.0,1603.24,27978.0,64
CDM,2847415,Review by radiologist of image for replacement of stomach or large bowel tube,964.0,964.0,146.51,2086.0,61
CDM,2847425,Review by radiologist of abscess or sinus cavity study,923.0,514.0,76.23,2086.0,64
CDM,2847427,Insertion of indwelling tube for drainage of lung fluid,4929.0,3383.0,621.38,27978.0,64
CDM,2847428,Injection of chemical agent into single incompetent vein,601.49,368.0,111.0,7362.0,64
CDM,2847430,Mechanical removal of obstructive material from central venous tube,4618.0,3044.0,486.6,20345.0,64
CDM,2847431,Conversion of stomach tube to stomach-to-small bowel tube using fluoroscopic guidance with contrast,2040.0,1727.0,199.45,16462.0,64
CDM,2847432,Insertion of abdominal cavity tube for drainage or dialysis,11566.0,3383.0,2113.0,27978.0,64
CDM,2847433,"Contrast injection for X-ray imaging through existing tube in stomach, small bowel or large bowel",338.0,245.0,76.23,5962.0,64
CDM,2847434,Review by radiologist of image for removal of obstructive material,177.0,177.0,76.11,2086.0,61
CDM,2847439,Occlusion of growths or obstructed vessels with review by radiologist,19371.0,10681.0,3171.0,37773.45,64
CDM,2847442,Insertion of small bowel tube using fluoroscopic guidance with contrast,2040.0,1727.0,199.45,16462.0,64
CDM,2847443,Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
CDM,2847444,Replacement of small bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
CDM,2847445,Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
CDM,2847446,"Mechanical removal of obstructive material from stomach, large, or small bowel tube using fluoroscopic guidance",1411.0,860.0,199.45,10537.0,64
CDM,2848001,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2848411,MRI scan of pelvis with contrast,2587.0,392.0,249.56,5044.65,64
CDM,2848412,MRI scan of pelvis before and after contrast,3146.0,392.0,249.56,6134.7,64
CDM,2849030,Drainage of fluid from abdominal cavity using imaging guidance,1256.0,860.0,491.77,10537.0,64
CDM,2849035,Irrigation of abdominal cavity,1252.0,860.0,491.77,10537.0,64
CDM,2849040,Insertion of tube into gallbladder using imaging guidance with review by radiologist,4244.0,3383.0,1141.64,27978.0,64
CDM,2849046,Aspiration and/or injection of cyst of kidney,1053.0,662.0,273.03,10537.0,64
CDM,2849054,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,64
CDM,2849075,Aspiration and/or injection of fluid from large joint,481.0,278.0,166.07,5962.0,64
CDM,2849080,Removal of fluid from between lung and chest cavity,2211.0,1495.0,621.38,15383.0,64
CDM,2849086,Injection of contrast through abdominal cavity tube for X-ray study,938.0,938.0,243.95,3241.0,64
CDM,2849087,Exchange of abdominal cavity drainage tube using imaging guidance,3260.0,1727.0,491.77,16462.0,64
CDM,2849091,Injection of abnormal muscle drainage tract for X-ray study,343.0,343.0,92.27,3241.0,64
CDM,2849165,Aspiration of fluid from chest cavity using imaging guidance,1208.0,575.0,519.44,7362.0,64
CDM,2849166,Aspiration of fluid from chest cavity using imaging guidance,1208.0,575.0,519.44,7362.0,64
CDM,2849170,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2849230,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,2849260,Complete ultrasound scan of abdomen,1481.0,116.0,105.0,2887.95,64
CDM,2849265,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,2849330,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,2849450,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2849705,Injection procedure for imaging of kidney and ureter through new skin access using imaging guidance with review by radiologist,943.0,612.0,273.03,10537.0,64
CDM,2849710,Injection of bladder and ureter for imaging,155.0,155.0,41.7,3241.0,64
CDM,2849725,Placement of tube of kidney using imaging guidance with review by radiologist,2102.0,1904.0,903.86,16462.0,64
CDM,2849745,Replacement of kidney drainage tube using imaging guidance with review by radiologist,2812.0,1904.0,978.2,16462.0,64
CDM,2849750,Change of tube or stent in ureter,2812.0,1904.0,978.2,16462.0,64
CDM,2849761,Contrast injection for imaging to evaluate central venous access device,1052.0,218.0,243.95,5962.0,64
CDM,2849764,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2849765,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2849770,Injection of contrast for imaging of lower spinal canal,958.0,958.0,243.95,3241.0,64
CDM,2849788,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel",24213.0,10681.0,4649.52,47215.35,64
CDM,2849789,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, subsequent vessels",6189.0,6189.0,401.0,12068.55,64
CDM,2849790,Secondary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance,6189.0,6189.0,401.0,12068.55,64
CDM,2849791,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment",15191.0,10681.0,2646.49,29622.45,64
CDM,2849792,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, repeat treatment on subsequent day",6479.0,3044.0,2646.49,20345.0,64
CDM,2849794,Removal of stent in ureter through skin with review by radiologist,2812.0,1904.0,978.2,16462.0,64
CDM,2849795,Removal and replacement of stent in kidney and ureter using fluoroscopic guidance with review by radiologist,2812.0,1904.0,978.2,16462.0,64
CDM,2849796,Removal of kidney drainage tube using fluoroscopic guidance,1520.0,612.0,273.03,10537.0,64
CDM,2849891,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,774.15,56
CDM,2849892,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,766.35,56
CDM,2849893,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,354.9,56
CDM,2849901,3D radiographic procedure,986.0,986.0,594.56,4516.0,50
CDM,2849902,3D radiographic procedure with computerized image postprocessing,986.0,986.0,594.56,4516.0,50
CDM,2849903,GUIDE WIRE,1052.0,1052.0,282.99,2051.4,45
CDM,2849906,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",1385.0,1523.5,595.55,2700.75,50
CDM,2849909,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",12295.5,13525.05,5287.07,23976.23,50
CDM,2849910,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2441.0,2685.1,1049.63,4759.95,50
CDM,2849911,"PORT, INDWELLING (IMPLANTABLE)",609.0,669.9,261.87,1187.55,50
CDM,2849914,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",228.0,250.8,98.04,444.6,50
CDM,2849921,CT scan of blood vessels and grafts of heart with contrast,1896.0,190.0,250.12,4140.0,64
CDM,2849972,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,471.65,10537.0,64
CDM,2850127,Ultrasound of hemodialysis access,542.0,116.0,70.1,1056.9,59
CDM,2850161,Complete ultrasound scan of joint,164.0,116.0,70.1,2499.0,64
CDM,2850162,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,2850174,Ultrasound guided compression repair of blood vessel,726.0,281.0,146.51,2499.0,64
CDM,2850312,Laser destruction of incompetent vein of arm or leg using imaging guidance,4401.0,3044.0,1697.97,20345.0,64
CDM,2850350,Drainage of fluid collection in soft tissue using imaging guidance,1181.0,662.0,111.0,10537.0,60
CDM,2850353,"Biopsy of breast and placement of locating device using ultrasound, first growth",2588.0,1496.0,876.45,15383.0,64
CDM,2850361,SPECIALTY SERVICES - TREATMENT ROOM,1109.0,1109.0,228.01,887.2,45
CDM,2850365,Drainage of fluid collection by tube through skin using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2850366,Drainage of fluid collection of abdominal cavity by tube using imaging guidance,2226.0,1496.0,491.77,15383.0,64
CDM,2850428,Complete ultrasound scan of 1 breast,213.0,116.0,70.1,2499.0,64
CDM,2850429,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,2850441,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1106.0,675.0,111.0,10537.0,64
CDM,2850446,Ultrasound scan of organ tissue for measuring elasticity,276.0,116.0,70.1,2499.0,64
CDM,2850453,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,2850456,Complete ultrasound scan of 1 breast,213.0,116.0,70.1,2499.0,64
CDM,2850457,Complete ultrasound scan of 1 breast,426.0,116.0,70.1,2499.0,64
CDM,2850458,Limited ultrasound scan of 1 breast,404.0,86.0,70.1,2499.0,64
CDM,2850681,Ultrasound scan of abdominal aorta,164.0,116.0,70.1,2499.0,64
CDM,2850802,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2850806,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,2850813,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2850816,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,2850820,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,2850824,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,2850830,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2850831,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2850832,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,2850837,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2850838,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2850841,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2850843,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2850844,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2850845,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,2850847,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2850850,OPERATING ROOM SERVICES - MINOR SURGERY,4953.0,4953.0,1018.34,3962.4,45
CDM,2850852,"Ultrasound scan of pregnant uterus (less than 14 weeks), each additional fetus",316.0,316.0,62.5,2499.0,61
CDM,2850853,"Ultrasound scan of pregnant uterus (14 weeks or more), each additional fetus",736.0,736.0,62.5,2499.0,61
CDM,2850859,Ultrasound and monitoring of heart of fetus,1065.0,116.0,62.5,2499.0,64
CDM,2850869,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,437.88,10537.0,60
CDM,2850870,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,3241.0,60
CDM,2850875,"Fine needle aspiration biopsy using fluoroscopic guidance, each additional growth",839.34,839.34,225.78,3241.0,60
CDM,2850940,Complete ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,61
CDM,2850975,Ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,61
CDM,2850999,Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access,374.0,245.0,70.1,2499.0,64
CDM,2851000,Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access,163.0,116.0,70.09,2499.0,64
CDM,2851002,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,64
CDM,2851240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2851399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2851411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2851423,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,64
CDM,2851424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2851454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2851499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2851754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2851755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2851788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2851789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2851790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2851791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2851796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2851797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2851798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2851799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2851800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2855176,Injection to cause blood clot in diseased or pseudoaneurysm of arm or leg,931.0,575.0,400.33,7362.0,64
CDM,2855210,Needle biopsy or removal of surface lymph nodes,2588.0,1496.0,793.31,15383.0,64
CDM,2855835,Fluoroscopic guidance for needle placement,733.0,733.0,146.51,2086.0,61
CDM,2857330,Needle biopsy of growth of abdominal cavity,2239.0,1496.0,491.77,15383.0,64
CDM,2857340,Biopsy of bone using needle or trocar,2239.0,1496.0,437.88,15383.0,64
CDM,2857345,Biopsy of soft tissue of neck or chest,1875.0,1496.0,806.25,15383.0,64
CDM,2857355,Needle biopsy of liver through skin,2588.0,1496.0,491.77,15383.0,64
CDM,2857375,Needle biopsy of muscle,2239.0,1496.0,437.88,15383.0,64
CDM,2857390,Needle biopsy of kidney,2588.0,1496.0,978.2,15383.0,64
CDM,2857395,Needle biopsy of thyroid through skin,789.0,662.0,339.27,10537.0,64
CDM,2858001,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2858083,"Aspiration of cyst of breast, first cyst",1110.0,662.0,437.88,10537.0,64
CDM,2859030,Drainage of fluid from abdominal cavity using imaging guidance,1256.0,860.0,491.77,10537.0,64
CDM,2859040,Insertion of tube into gallbladder using imaging guidance with review by radiologist,4244.0,3383.0,1141.64,27978.0,64
CDM,2859054,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,64
CDM,2859100,Ultrasound study of arm and leg arteries,333.0,120.0,70.1,686.0,59
CDM,2859105,Ultrasound study of arm and leg arteries,333.0,120.0,70.1,686.0,59
CDM,2859110,Complete ultrasound study of arm and leg arteries,659.0,148.0,109.83,1285.05,59
CDM,2859115,Complete ultrasound study of arm and leg arteries,659.0,148.0,109.83,1285.05,59
CDM,2859125,Ultrasound of leg arteries at rest and after exercise,487.0,281.0,70.1,949.65,59
CDM,2859144,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2859145,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",966.0,116.0,70.1,1883.7,59
CDM,2859155,Ultrasound study of arm or leg veins with compression and maneuvers,1324.0,245.0,105.0,2581.8,59
CDM,2859156,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2859165,Aspiration of fluid from chest cavity using imaging guidance,1208.0,575.0,519.44,7362.0,64
CDM,2859177,Ultrasound study of arm or leg veins with compression and maneuvers,1324.0,245.0,105.0,2581.8,59
CDM,2859185,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2412.15,59
CDM,2859195,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859196,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859215,Ultrasound scan of spinal canal,409.0,116.0,70.1,2499.0,64
CDM,2859225,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2859226,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",966.0,116.0,70.1,1883.7,59
CDM,2859230,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,2859235,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,2859245,Ultrasound scan of infant hip during movement,846.0,86.0,70.1,2499.0,64
CDM,2859247,Ultrasound scan of infant hip,558.0,86.0,70.1,2499.0,64
CDM,2859250,Ultrasound scan of brain,936.0,116.0,70.1,2499.0,64
CDM,2859260,Complete ultrasound scan of abdomen,1481.0,116.0,105.0,2887.95,64
CDM,2859265,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,2859275,Ultrasound of leg arteries or artery grafts,1414.0,245.0,105.0,2757.3,59
CDM,2859280,Ultrasound scan of transplanted kidney,423.0,116.0,70.1,2499.0,64
CDM,2859287,Ultrasound of one leg arteries or artery grafts,927.0,116.0,70.1,1807.65,59
CDM,2859290,Complete ultrasound scan behind abdominal cavity,755.0,116.0,105.0,2499.0,64
CDM,2859295,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,2859304,Ultrasound of arm arteries or artery grafts,1075.0,245.0,70.1,2096.25,59
CDM,2859305,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2859310,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,2859315,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,2859324,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859325,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859330,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,2859355,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859361,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,2859365,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859366,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,2859375,Ultrasound of leg arteries or artery grafts,1414.0,245.0,105.0,2757.3,59
CDM,2859385,Ultrasound of one leg arteries or artery grafts,927.0,116.0,70.1,1807.65,59
CDM,2859395,Ultrasound of arm arteries or artery grafts,1075.0,245.0,70.1,2096.25,59
CDM,2859405,Ultrasound of one arm arteries or artery grafts,598.0,116.0,70.1,1166.1,59
CDM,2859450,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,61
CDM,2859455,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2859465,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",966.0,116.0,70.1,1883.7,59
CDM,2859470,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,2859475,Ultrasound scan of pelvic region through rectum,583.0,116.0,70.1,2499.0,64
CDM,2859484,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859485,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859495,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859515,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859555,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859565,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859575,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1133.0,245.0,105.0,2209.35,59
CDM,2859585,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",966.0,116.0,70.1,1883.7,59
CDM,2859595,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,64
CDM,2859605,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859615,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1527.0,245.0,105.0,2977.65,59
CDM,2859625,Ultrasound of abdomen and pelvis artery and vein blood flow,509.0,116.0,105.0,992.55,59
CDM,2859635,Ultrasound of both sides of head and neck blood flow,1492.0,245.0,105.0,2909.4,59
CDM,2859645,Ultrasound of one side of head and neck blood flow,417.0,116.0,70.1,813.15,59
CDM,2859764,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,61
CDM,2859765,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,2859901,3D radiographic procedure,1233.0,1233.0,743.5,4516.0,50
CDM,2859958,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,2870112,Complete X-ray of body bones,266.0,116.0,76.23,2086.0,64
CDM,2870114,X-ray from nose to rectum,192.0,86.0,36.29,2086.0,64
CDM,2870130,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2870150,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2870160,"X-ray of lower jaw, minimum of 4 views",636.0,116.0,36.29,2086.0,64
CDM,2870175,"X-ray of part of lower jaw, 1-4 views",367.0,86.0,36.29,2086.0,64
CDM,2870180,"X-ray of part of lower jaw, 1-4 views",734.0,86.0,36.29,2086.0,64
CDM,2870250,"X-ray of face bones, 1-2 views",265.0,86.0,36.29,2086.0,64
CDM,2870260,"X-ray of face bones, minimum of 3 views",381.0,116.0,36.29,2086.0,64
CDM,2870300,"X-ray of nose bones, minimum of 3 views",330.0,86.0,36.29,2086.0,64
CDM,2870440,"X-ray of eye socket, minimum of 4 views",427.0,116.0,36.29,2086.0,64
CDM,2870490,"X-ray of paranasal sinus, 1-2 views",311.0,86.0,36.29,2086.0,64
CDM,2870500,"X-ray of paranasal sinus, minimum of 3 views",591.0,86.0,36.29,2086.0,64
CDM,2870579,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2870590,"X-ray of skull, 1-3 views",461.0,116.0,36.29,2086.0,64
CDM,2870600,"X-ray of skull, minimum of 4 views",895.0,116.0,36.29,2086.0,64
CDM,2870700,X-ray of jaw joint on 1 side of mouth,230.0,86.0,36.29,2086.0,64
CDM,2870705,X-ray of jaw joint on 1 side of mouth,230.0,86.0,36.29,2086.0,64
CDM,2870710,X-ray of jaw joints on both sides of mouth,393.0,86.0,36.29,2086.0,64
CDM,2870770,X-ray of soft tissue of neck,402.0,86.0,36.29,2086.0,64
CDM,2871010,"X-ray of chest, 1 view",391.0,86.0,36.29,1758.0,64
CDM,2871020,"X-ray of chest, 2 views",534.0,86.0,36.29,1758.0,64
CDM,2871030,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,64
CDM,2871045,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,64
CDM,2871240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2871399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2871411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2871424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2871454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2871480,"X-ray of ribs on side of body, minimum of 3 views",535.0,116.0,36.29,2086.0,64
CDM,2871485,"X-ray of ribs on side of body, minimum of 3 views",535.0,116.0,36.29,2086.0,64
CDM,2871490,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2871499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2871500,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2871510,"X-ray of ribs on both sides of body, 3 views",618.0,116.0,36.29,2086.0,64
CDM,2871515,"X-ray of ribs on both sides of body, minimum of 4 views",694.0,116.0,36.29,2086.0,64
CDM,2871550,"X-ray of lower jaws, upper jaws and teeth",411.0,86.0,36.29,2086.0,64
CDM,2871700,"X-ray of chest bone, minimum of 2 views",471.0,86.0,36.29,2086.0,64
CDM,2871754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2871755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2871788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2871789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2871790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2871791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2871796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2871797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2871798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2871799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2871800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2872050,"X-ray of upper spine, 2-3 views",592.0,86.0,36.29,2086.0,64
CDM,2872060,"X-ray of upper spine, 6 or more views",735.0,116.0,36.29,2086.0,64
CDM,2872070,"X-ray of upper spine, 4-5 views",615.0,116.0,36.29,2086.0,64
CDM,2872080,"X-ray of middle and lower spine, 2 views",137.0,86.0,36.29,2086.0,64
CDM,2872100,"X-ray of middle spine, 2 views",558.0,116.0,36.29,2086.0,64
CDM,2872105,"X-ray of middle spine, 3 views",765.0,116.0,36.29,2086.0,64
CDM,2872110,"X-ray of middle spine, minimum of 4 views",777.0,116.0,36.29,2086.0,64
CDM,2872130,"X-ray of lower and sacral spine, 2-3 views",575.0,116.0,36.29,2086.0,64
CDM,2872150,"X-ray of lower and sacral spine, minimum of 4 views",836.0,116.0,36.29,2086.0,64
CDM,2872160,"X-ray lower and sacral spine, 2-3 views bending views",385.0,116.0,36.29,2086.0,64
CDM,2872170,"X-ray lower and sacral spine, minimum of 6 views",505.0,116.0,36.29,2086.0,64
CDM,2872200,"X-ray of pelvis, 1-2 views",465.0,116.0,36.29,2086.0,64
CDM,2872240,"X-ray of pelvis, minimum of 3 views",687.0,116.0,36.29,2086.0,64
CDM,2872270,"X-ray of joint between lower spine and hip bone, 1-2 views",190.0,116.0,36.29,2086.0,64
CDM,2872275,"X-ray of joint between lower spine and hip bone, 3 or more views",386.0,116.0,36.29,2086.0,64
CDM,2872280,"X-ray of sacrum and tailbone, minimum of 2 views",488.0,86.0,36.29,2086.0,64
CDM,2872310,"X-ray of entire middle and lower spine, 1 view",726.0,86.0,36.29,2086.0,64
CDM,2872500,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2872510,X-ray of collar bone,484.0,86.0,36.29,2086.0,64
CDM,2872520,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2872550,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2872560,X-ray of shoulder blade,632.0,116.0,36.29,2086.0,64
CDM,2872570,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2872610,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2872630,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2872635,"X-ray of shoulder, minimum of 2 views",1154.0,86.0,36.29,2250.3,64
CDM,2872640,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2872643,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2872645,"X-ray of shoulder, 1 view",412.0,86.0,36.29,2086.0,64
CDM,2872660,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2872670,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2872700,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2872720,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2872725,"X-ray of upper arm, minimum of 2 views",1130.0,86.0,36.29,2203.5,64
CDM,2872730,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2872735,"X-ray of hand, minimum of 3 views",978.0,86.0,36.29,2086.0,64
CDM,2872740,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2872750,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2872760,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2872765,"X-ray of elbow, 2 views",738.0,86.0,36.29,2086.0,64
CDM,2872780,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2872785,"X-ray of elbow, minimum of 3 views",908.0,86.0,36.29,2086.0,64
CDM,2872790,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2872800,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2872820,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2872825,"X-ray of forearm, 2 views",1148.0,86.0,36.29,2238.6,64
CDM,2872830,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2872835,"X-ray of wrist, minimum of 3 views",1092.0,86.0,36.29,2129.4,64
CDM,2872840,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2872850,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2872860,"X-ray of wrist, 2 views",654.0,86.0,36.29,2086.0,64
CDM,2872870,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2872900,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2872910,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2872920,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2872940,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2872945,"X-ray of finger, minimum of 2 views",644.0,86.0,36.29,2086.0,64
CDM,2872950,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2872960,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2872965,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2872970,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2872975,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2872980,"X-ray of infant arm, minimum of 2 views",764.0,116.0,36.29,2086.0,64
CDM,2872985,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2872990,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2873000,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2873020,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2873030,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,2873040,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,2873050,"X-ray of infant leg, minimum of 2 views",752.0,86.0,36.29,2086.0,64
CDM,2873055,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2873060,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2873070,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2873075,"X-ray of thigh bone, minimum 2 views",1254.0,86.0,36.29,2445.3,64
CDM,2873080,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2873090,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2873095,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2873100,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2873110,"X-ray of knee, 1-2 views",878.0,86.0,36.29,2086.0,64
CDM,2873115,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2873125,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2873135,"X-ray of knee, 3 views",896.0,86.0,36.29,2086.0,64
CDM,2873140,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2873145,"X-ray of knee, 4 or more views",1180.0,116.0,36.29,2301.0,64
CDM,2873150,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2873155,X-ray of both knees while standing,352.0,86.0,36.29,2086.0,64
CDM,2873160,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2873165,"X-ray of lower leg, 2 views",1214.0,86.0,36.29,2367.3,64
CDM,2873170,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2873175,"X-ray of ankle, 2 views",728.0,86.0,36.29,2086.0,64
CDM,2873180,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2873200,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2873205,"X-ray of ankle, minimum of 3 views",1058.0,86.0,36.29,2086.0,64
CDM,2873210,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2873215,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2873220,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2873225,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2873235,"X-ray of foot, minimum of 3 views",1118.0,86.0,36.29,2180.1,64
CDM,2873240,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2873245,"X-ray of foot, 2 views",1118.0,86.0,36.29,2180.1,64
CDM,2873260,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2873265,"X-ray of heel, minimum of 2 views",604.0,86.0,36.29,2086.0,64
CDM,2873270,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2873280,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2873285,"X-ray of toe, minimum of 2 views",728.0,86.0,36.29,2086.0,64
CDM,2873290,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2873300,"X-ray of abdomen, 1 view",392.0,86.0,36.29,2086.0,64
CDM,2873305,"X-ray of abdomen, 2 views",460.0,116.0,36.29,2086.0,64
CDM,2873310,"X-ray of abdomen, 2 views",460.0,116.0,36.29,2086.0,64
CDM,2873315,X-ray series of abdomen with single X-ray of chest,480.0,116.0,36.29,2086.0,64
CDM,2873410,Single contrast X-ray of small intestine,983.0,190.0,76.23,2086.0,64
CDM,2873650,Imaging of urinary tract following injection of a contrast agent,632.0,392.0,76.23,2086.0,64
CDM,2873725,Review by radiologist of urinary bladder and urethra images with contrast,955.0,245.0,76.23,2086.0,64
CDM,2874875,Review by radiologist of previous placed shunt image,485.0,116.0,76.23,2086.0,64
CDM,2875540,X-ray for estimating bone age,399.0,116.0,36.29,2086.0,64
CDM,2879928,X-ray of infant body bones,173.0,116.0,36.29,2086.0,64
CDM,2880260,"X-ray of face bones, minimum of 3 views",381.0,116.0,36.29,2086.0,64
CDM,2880579,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2880600,"X-ray of skull, minimum of 4 views",895.0,116.0,36.29,2086.0,64
CDM,2880770,X-ray of soft tissue of neck,402.0,86.0,36.29,2086.0,64
CDM,2881010,"X-ray of chest, 1 view",391.0,86.0,36.29,1758.0,64
CDM,2881020,"X-ray of chest, 2 views",534.0,86.0,36.29,1758.0,64
CDM,2881045,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,64
CDM,2881240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2881399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2881411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2881424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2881454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2881485,"X-ray of ribs on side of body, minimum of 3 views",535.0,116.0,36.29,2086.0,64
CDM,2881490,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2881499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2881500,"X-ray of ribs on side of body, 2 views",481.0,86.0,36.29,2086.0,64
CDM,2881754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2881755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2881788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2881789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2881790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2881791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2881796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2881797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2881798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2881799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2881800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2882050,"X-ray of upper spine, 2-3 views",592.0,86.0,36.29,2086.0,64
CDM,2882060,"X-ray of upper spine, 6 or more views",735.0,116.0,36.29,2086.0,64
CDM,2882070,"X-ray of upper spine, 4-5 views",615.0,116.0,36.29,2086.0,64
CDM,2882080,"X-ray of middle and lower spine, 2 views",137.0,86.0,36.29,2086.0,64
CDM,2882100,"X-ray of middle spine, 2 views",558.0,116.0,36.29,2086.0,64
CDM,2882105,"X-ray of middle spine, 3 views",765.0,116.0,36.29,2086.0,64
CDM,2882110,"X-ray of middle spine, minimum of 4 views",777.0,116.0,36.29,2086.0,64
CDM,2882130,"X-ray of lower and sacral spine, 2-3 views",575.0,116.0,36.29,2086.0,64
CDM,2882150,"X-ray of lower and sacral spine, minimum of 4 views",836.0,116.0,36.29,2086.0,64
CDM,2882160,"X-ray lower and sacral spine, 2-3 views bending views",385.0,116.0,36.29,2086.0,64
CDM,2882170,"X-ray lower and sacral spine, minimum of 6 views",505.0,116.0,36.29,2086.0,64
CDM,2882180,"X-ray of spine, 1 view",290.0,86.0,36.29,2086.0,64
CDM,2882200,"X-ray of pelvis, 1-2 views",465.0,116.0,36.29,2086.0,64
CDM,2882240,"X-ray of pelvis, minimum of 3 views",687.0,116.0,36.29,2086.0,64
CDM,2882275,"X-ray of joint between lower spine and hip bone, 3 or more views",386.0,116.0,36.29,2086.0,64
CDM,2882280,"X-ray of sacrum and tailbone, minimum of 2 views",488.0,86.0,36.29,2086.0,64
CDM,2882310,"X-ray of entire middle and lower spine, 1 view",726.0,86.0,36.29,2086.0,64
CDM,2882320,"X-ray of entire middle and lower spine, 2-3 views",180.0,116.0,36.29,2086.0,64
CDM,2882500,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2882510,X-ray of collar bone,484.0,86.0,36.29,2086.0,64
CDM,2882520,X-ray of collar bone,242.0,86.0,36.29,2086.0,64
CDM,2882550,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2882560,X-ray of shoulder blade,632.0,116.0,36.29,2086.0,64
CDM,2882570,X-ray of shoulder blade,316.0,116.0,36.29,2086.0,64
CDM,2882610,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2882630,"X-ray of shoulder, minimum of 2 views",577.0,86.0,36.29,2086.0,64
CDM,2882635,"X-ray of shoulder, minimum of 2 views",1154.0,86.0,36.29,2250.3,64
CDM,2882640,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2882643,"X-ray of shoulder, 1 view",206.0,86.0,36.29,2086.0,64
CDM,2882645,"X-ray of shoulder, 1 view",412.0,86.0,36.29,2086.0,64
CDM,2882660,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2882670,X-ray of both collar bones joints,164.0,86.0,36.29,2086.0,64
CDM,2882700,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2882720,"X-ray of upper arm, minimum of 2 views",565.0,86.0,36.29,2086.0,64
CDM,2882725,"X-ray of upper arm, minimum of 2 views",1130.0,86.0,36.29,2203.5,64
CDM,2882730,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2882735,"X-ray of hand, minimum of 3 views",978.0,86.0,36.29,2086.0,64
CDM,2882740,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,2882750,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2882760,"X-ray of elbow, 2 views",369.0,86.0,36.29,2086.0,64
CDM,2882765,"X-ray of elbow, 2 views",738.0,86.0,36.29,2086.0,64
CDM,2882780,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2882785,"X-ray of elbow, minimum of 3 views",908.0,86.0,36.29,2086.0,64
CDM,2882790,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,2882800,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2882820,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,2882825,"X-ray of forearm, 2 views",1148.0,86.0,36.29,2238.6,64
CDM,2882830,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2882835,"X-ray of wrist, minimum of 3 views",1092.0,86.0,36.29,2129.4,64
CDM,2882840,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,2882850,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2882860,"X-ray of wrist, 2 views",654.0,86.0,36.29,2086.0,64
CDM,2882870,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,2882900,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2882910,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2882920,"X-ray of hand, 2 views",288.0,116.0,36.29,2086.0,64
CDM,2882940,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2882945,"X-ray of finger, minimum of 2 views",644.0,86.0,36.29,2086.0,64
CDM,2882950,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,2882960,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2882965,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2882970,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2882990,"X-ray of infant arm, minimum of 2 views",382.0,116.0,36.29,2086.0,64
CDM,2883000,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2883020,"X-ray of hip, 1 view",236.0,86.0,36.29,2086.0,64
CDM,2883030,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,2883055,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2883060,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2883070,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2883075,"X-ray of thigh bone, minimum 2 views",1254.0,86.0,36.29,2445.3,64
CDM,2883080,"X-ray of thigh bone, minimum 2 views",627.0,86.0,36.29,2086.0,64
CDM,2883090,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,2883095,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,2883100,"X-ray of knee, 1-2 views",439.0,86.0,36.29,2086.0,64
CDM,2883110,"X-ray of knee, 1-2 views",878.0,86.0,36.29,2086.0,64
CDM,2883115,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2883125,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,2883135,"X-ray of knee, 3 views",896.0,86.0,36.29,2086.0,64
CDM,2883140,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2883145,"X-ray of knee, 4 or more views",1180.0,116.0,36.29,2301.0,64
CDM,2883150,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2883155,X-ray of both knees while standing,352.0,86.0,36.29,2086.0,64
CDM,2883160,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,2883165,"X-ray of lower leg, 2 views",1214.0,86.0,36.29,2367.3,64
CDM,2883170,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2883175,"X-ray of ankle, 2 views",728.0,86.0,36.29,2086.0,64
CDM,2883180,"X-ray of ankle, 2 views",364.0,86.0,36.29,2086.0,64
CDM,2883200,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2883205,"X-ray of ankle, minimum of 3 views",1058.0,86.0,36.29,2086.0,64
CDM,2883210,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2883215,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2883220,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2883225,"X-ray of foot, 2 views",559.0,86.0,36.29,2086.0,64
CDM,2883235,"X-ray of foot, minimum of 3 views",1118.0,86.0,36.29,2180.1,64
CDM,2883240,"X-ray of foot, minimum of 3 views",559.0,86.0,36.29,2086.0,64
CDM,2883245,"X-ray of foot, 2 views",1118.0,86.0,36.29,2180.1,64
CDM,2883260,"X-ray of heel, minimum of 2 views",302.0,86.0,36.29,2086.0,64
CDM,2883265,"X-ray of heel, minimum of 2 views",604.0,86.0,36.29,2086.0,64
CDM,2883270,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,2883280,"X-ray of toe, minimum of 2 views",364.0,86.0,36.29,2086.0,64
CDM,2883285,"X-ray of toe, minimum of 2 views",728.0,86.0,36.29,2086.0,64
CDM,2883290,"X-ray of ankle, minimum of 3 views",529.0,86.0,36.29,2086.0,64
CDM,2883300,"X-ray of abdomen, 1 view",392.0,86.0,36.29,2086.0,64
CDM,2883315,X-ray series of abdomen with single X-ray of chest,480.0,116.0,36.29,2086.0,64
CDM,2884875,Review by radiologist of previous placed shunt image,485.0,116.0,76.23,2086.0,64
CDM,2885540,X-ray for estimating bone age,399.0,116.0,36.29,2086.0,64
CDM,2885550,X-ray for bone length assessment,417.0,116.0,36.29,2086.0,64
CDM,2891240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2891399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2891411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2891424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2891454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2891499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2891754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2891755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2891788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2891789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2891790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2891791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2891796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2891797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2891798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2891799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2891800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2901240,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",158.0,173.8,67.94,308.1,50
CDM,2901399,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2901411,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,64
CDM,2901424,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,61
CDM,2901454,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,64
CDM,2901499,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,64
CDM,2901754,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,64
CDM,2901755,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8722.0,8722.0,1793.24,6977.6,45
CDM,2901788,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2901789,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,64
CDM,2901790,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,64
CDM,2901791,Destruction of peripheral nerve or branch,1386.0,875.0,595.98,10537.0,64
CDM,2901796,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,50
CDM,2901797,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,50
CDM,2901798,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,50
CDM,2901799,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,50
CDM,2901800,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,50
CDM,2910001,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,471.65,10537.0,64
CDM,2910002,Removal of sutures or staples under anesthesia,3232.0,1821.0,793.31,15383.0,64
CDM,2910004,Simple or single drainage of skin abscess,315.0,191.0,109.83,5962.0,64
CDM,2910007,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,2910010,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,2910012,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,2910013,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,2910015,Imaging of digestive tract done from the inside of the digestive tract,1614.0,860.0,199.45,3272.0,59
CDM,2910017,Monitoring and recording of esophageal function through a capsule attached to the esophagus wall,1348.0,519.0,199.45,2628.6,56
CDM,2910018,Removal of tunneled central venous tube,1774.0,575.0,486.6,7362.0,64
CDM,2910026,Collection of donor stem cells for transplantation,3608.0,3608.0,401.0,7035.6,64
CDM,2910027,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,630.0,630.0,129.53,504.0,45
CDM,2910028,"Destruction of precancer skin growth, 1 growth",315.0,191.0,84.74,5962.0,61
CDM,2910029,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,935.0,935.0,192.24,748.0,45
CDM,2910030,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2250.0,2250.0,462.6,1800.0,45
CDM,2910031,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2915.0,2915.0,599.32,2332.0,45
CDM,2910032,Administration of drug for helicobacter pylori,144.0,144.0,2.74,2119.0,64
CDM,2910033,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,2430.0,2430.0,499.61,1944.0,45
CDM,2910034,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,3135.0,3135.0,644.56,2508.0,45
CDM,2910036,GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION,4015.0,4015.0,825.48,3212.0,45
CDM,2910037,Drainage of fluid from abdominal cavity using imaging guidance,1256.0,860.0,491.77,10537.0,64
CDM,2910039,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,372.0,12.0,100.07,725.4,45
CDM,2910068,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,91.46,663.0,45
CDM,2910071,Exam of windpipe and lung airways through permanent windpipe opening using an endoscope,845.0,481.0,227.31,7362.0,61
CDM,2910085,Biopsy of bone marrow,2588.0,1496.0,1112.84,15383.0,64
CDM,2910096,RECOVERY ROOM - GENERAL CLASSIFICATION,604.0,604.0,124.18,483.2,45
CDM,2910097,RECOVERY ROOM - GENERAL CLASSIFICATION,76.0,76.0,15.63,60.8,45
CDM,2910098,Drainage of blood or fluid accumulation,2588.0,2588.0,111.0,15383.0,64
CDM,2910099,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,64
CDM,2910101,Diagnostic exam of lung airway using an endoscope,2386.0,1591.0,1025.98,15383.0,64
CDM,2910106,Insertion of tube for infusion (younger than 5 years),2466.0,1495.0,790.49,15383.0,64
CDM,2910107,Insertion of tube for infusion (5 years or older),2371.0,1495.0,790.49,15383.0,64
CDM,2910109,Replacement of peripherally inserted central venous tube (PICC) with review by radiologist,1687.0,1495.0,725.41,15383.0,64
CDM,2910110,Repositioning of central venous tube using fluoroscopic guidance,2466.0,1495.0,486.6,15383.0,61
CDM,2910120,Study of large intestine to assess movement,339.0,283.0,91.19,661.05,56
CDM,2910121,Study of upper small bowel to assess movement,1259.0,519.0,199.45,2455.05,56
CDM,2910122,Study of esophagus to assess movement,693.0,519.0,186.42,1351.35,56
CDM,2910123,Aspiration of fluid from chest cavity,892.0,575.0,383.56,7362.0,64
CDM,2910124,Sweat collection,210.0,53.0,12.0,2119.0,64
CDM,2910128,"ANORECTAL MANOMETRY, WITH RECTAL SENSATION AND RECTAL BALLOON EXPULSION TEST, WHEN PERFORMED",2176.0,2176.0,585.34,4243.2,45
CDM,2910134,"Dressing change or removal of burn tissue, less than 5% of total body surface",512.0,191.0,125.08,5962.0,64
CDM,2910135,"Dressing change or removal of burn tissue, 5-10% of total body surface",660.0,191.0,125.08,5962.0,64
CDM,2910136,"Dressing change or removal of burn tissue, more than 10% of total body surface",1122.0,368.0,257.16,7362.0,64
CDM,2910141,"Incision biopsy, first skin growth",1158.0,557.0,274.64,7362.0,64
CDM,2910142,"Incision biopsy, each additional skin growth",455.0,455.0,122.4,3241.0,64
CDM,2910143,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient younger than 5 years",1741.0,575.0,748.63,7362.0,64
CDM,2910144,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,790.49,15383.0,64
CDM,2910145,Injection of agent to destroy nerve to internal sphincter of anus,1420.0,1103.0,610.6,10740.0,64
CDM,2910146,CAMERA PILLCAM SB3,893.0,893.0,183.6,714.4,45
CDM,2910150,PREFAB STNLSS STEEL CRWN PRI,2503.0,2503.0,673.31,4880.85,56
CDM,2910151,THERAPEUTIC PULPOTOMY,2503.0,2503.0,102.92,4880.85,56
CDM,2910152,POST 1 SRFC RESINBASED CMPST,2503.0,2503.0,673.31,4880.85,56
CDM,2910153,Removal of foreskin (older than 28 days),3275.0,1904.0,1376.96,16462.0,64
CDM,2910154,"Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less",637.0,368.0,171.35,1242.15,56
CDM,2910156,DENTAL SEALANT PER TOOTH,1332.0,1332.0,36.46,2597.4,56
CDM,2910157,SPACE MAINTAINER FXD UNILAT,2503.0,1475.0,97.22,4880.85,56
CDM,2910158,RESIN ONE SURFACE-ANTERIOR,2503.0,2503.0,673.31,4880.85,56
CDM,2910159,RESIN TWO SURFACES-ANTERIOR,2503.0,2503.0,673.31,4880.85,56
CDM,2910160,ANT RESIN-BASED CMPST CROWN,2503.0,2503.0,673.31,4880.85,56
CDM,2910161,POST 2 SRFC RESINBASED CMPST,2503.0,2503.0,673.31,4880.85,56
CDM,2910162,POST 3 SRFC RESINBASED CMPST,2503.0,2503.0,673.31,4880.85,56
CDM,2910163,EXTRACTION ERUPTED TOOTH/EXR,2503.0,1475.0,673.31,4880.85,56
CDM,2910164,REM IMP TOOTH W MUCOPER FLP,2230.0,1475.0,599.87,4348.5,56
CDM,2910165,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,790.49,15383.0,64
CDM,2910166,Replacement of peripherally inserted central venous tube (PICC) with review by radiologist,1687.0,1495.0,725.41,15383.0,64
CDM,2910167,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,790.49,15383.0,64
CDM,2910169,Biopsy of anal and/or rectal wall through anus,3407.0,2598.0,964.16,17883.0,64
CDM,2910182,Removal of tissue at dental edge and cheek,2431.0,1438.0,922.83,15383.0,64
CDM,2910187,IMPACT TOOTH REMOV PART BONY,2503.0,1475.0,673.31,4880.85,56
CDM,2910188,IMPACT TOOTH REMOV COMP BONY,2503.0,1475.0,673.31,4880.85,56
CDM,2910189,DENTURES IMMEDIAT MANDIBLE,1332.0,1332.0,223.61,2597.4,56
CDM,2910190,MOBILIZE ERUPTED/MALPOS TOOT,1332.0,1332.0,358.31,2597.4,56
CDM,2910192,PULP CAP DIRECT,2503.0,2503.0,102.92,4880.85,56
CDM,2910193,APICALLY POSITIONED FLAP,2230.0,2230.0,599.87,4348.5,56
CDM,2910194,EXPOSURE OF UNERUPTED TOOTH,2503.0,2503.0,673.31,4880.85,56
CDM,2910195,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,64
CDM,2910196,PULP CAP INDIRECT,2503.0,2503.0,102.92,4880.85,56
CDM,2910197,Test to measure expiratory airflow and volume,339.0,148.0,41.72,1758.0,64
CDM,2910198,Test to measure expiratory airflow and volume changes before and after medication administration,585.0,281.0,71.36,1758.0,64
CDM,2910199,TOPICAL FLUORIDE VARNISH,1332.0,1332.0,97.22,2597.4,56
CDM,2910200,DENTAL PROPHYLAXIS CHILD,1332.0,1332.0,97.22,2597.4,56
CDM,2910201,RECEMENT SPACE MAINT - MAX,2503.0,1475.0,97.22,4880.85,56
CDM,2910202,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm",4550.0,2521.0,1239.1,17883.0,64
CDM,2910203,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm",637.0,368.0,257.16,7362.0,64
CDM,2910204,EXTRA ORAL POST RADIO IMAGE,136.0,136.0,27.03,265.2,50
CDM,2910205,INTRAORAL OCCLUS RADIO IMAGE,136.0,136.0,27.03,265.2,50
CDM,2910206,INTRAORAL PERIAP RADIO IMAGE,136.0,136.0,27.03,265.2,50
CDM,2910207,INTRAORAL BITE RADIO IMAGE,136.0,136.0,27.03,265.2,50
CDM,2910208,INTRAORAL COMP IMAGE CAPTURE,136.0,136.0,27.03,265.2,50
CDM,2910211,PREFAB STNLSS STEEL CRWN PRI,1332.0,1332.0,358.31,2597.4,56
CDM,2910212,THERAPEUTIC PULPOTOMY,1332.0,1332.0,102.92,2597.4,56
CDM,2910213,EXPOSURE OF UNERUPTED TOOTH,1332.0,1332.0,358.31,2597.4,56
CDM,2910214,ANT RESIN-BASED CMPST CROWN,1332.0,1332.0,358.31,2597.4,56
CDM,2910215,POST 2 SRFC RESINBASED CMPST,1332.0,1332.0,358.31,2597.4,56
CDM,2910216,POST 3 SRFC RESINBASED CMPST,1332.0,1332.0,358.31,2597.4,56
CDM,2910217,DENTURES IMMEDIAT MANDIBLE,1332.0,1332.0,223.61,2597.4,56
CDM,2910218,EXTRACTION ERUPTED TOOTH/EXR,1332.0,1475.0,358.31,2597.4,56
CDM,2910219,APICALLY POSITIONED FLAP,1332.0,1332.0,358.31,2597.4,56
CDM,2910220,IMPACT TOOTH REMOV COMP BONY,1332.0,1475.0,358.31,2597.4,56
CDM,2910221,MOBILIZE ERUPTED/MALPOS TOOT,1332.0,1332.0,358.31,2597.4,56
CDM,2910222,DENTAL PROPHYLAXIS CHILD,1332.0,1332.0,97.22,2597.4,56
CDM,2910223,PULP CAP DIRECT,1332.0,1332.0,102.92,2597.4,56
CDM,2910224,PULP CAP INDIRECT,1332.0,1332.0,102.92,2597.4,56
CDM,2910225,RECEMENT SPACE MAINT - MAX,1332.0,1475.0,97.22,2597.4,56
CDM,2910226,REM IMP TOOTH W MUCOPER FLP,1332.0,1475.0,358.31,2597.4,56
CDM,2910227,RESIN ONE SURFACE-ANTERIOR,1332.0,1332.0,358.31,2597.4,56
CDM,2910228,RESIN TWO SURFACES-ANTERIOR,1332.0,1332.0,358.31,2597.4,56
CDM,2910229,POST 1 SRFC RESINBASED CMPST,1332.0,1332.0,358.31,2597.4,56
CDM,2910230,IMPACT TOOTH REMOV PART BONY,1332.0,1475.0,358.31,2597.4,56
CDM,2910231,DENTAL SEALANT PER TOOTH,1332.0,1332.0,36.46,2597.4,56
CDM,2910232,SPACE MAINTAINER FXD UNILAT,1332.0,1475.0,97.22,2597.4,56
CDM,2910233,TOPICAL FLUORIDE VARNISH,1332.0,1332.0,97.22,2597.4,56
CDM,2910235,HOSPITAL/ASC CALL,4882.0,4882.0,1313.26,9519.9,45
CDM,2911015,Insertion of non-tunneled central venous tube for infusion (younger than 5 years),4401.0,3044.0,790.49,20345.0,64
CDM,2911016,Insertion of non-tunneled central venous tube for infusion (5 years or older),4401.0,3044.0,790.49,20345.0,64
CDM,2911017,Insertion of tunneled central venous tube for infusion (younger than 5 years),8717.0,5071.0,1397.3,27978.0,61
CDM,2911018,Insertion of tunneled central venous tube for infusion (5 years or older),4946.0,3044.0,1330.47,20345.0,61
CDM,2911022,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,2911023,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,2911024,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,2911025,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,2911026,"Treatment of inflammatory skin disease using laser, less than 250.0 sq cm",314.0,191.0,84.47,675.0,59
CDM,2911031,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,2911032,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,2914500,Prolonged monitoring and recording of esophageal function through nasal tube with electrode,754.0,519.0,199.45,1470.3,56
CDM,2914510,Measurement of hydrogen in breath to test for stomach and bowel symptoms,1402.0,148.0,33.99,2733.9,56
CDM,2914520,Needle biopsy of liver through skin,2588.0,1496.0,491.77,15383.0,64
CDM,2914702,MAC (DEEP SEDATION) PER HR,601.0,601.0,123.57,480.8,45
CDM,2914703,MAC (DEEP SEDATION) ADDL 1/2HR,314.0,314.0,64.56,251.2,45
CDM,2915378,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,2915384,"Administration of chemotherapy into vein, 1 hour or less",518.0,339.0,178.32,3900.0,64
CDM,2915385,"Administration of chemotherapy into vein, each additional hour",181.0,66.0,63.35,3900.0,64
CDM,2915392,Collection of blood sample from implanted device,209.0,120.0,50.16,4984.0,64
CDM,3000001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3000002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3000004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3000005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3000006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3000007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3000010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3000011,ROOM & BOARD - DELUXE PRIVATE - REHABILITATION,4747.0,750.0,315.0,3797.6,60
CDM,3000012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3000013,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,4881.0,750.0,315.0,3904.8,60
CDM,3010001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3010002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3010004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3010005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3010006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3010010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3010013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3020001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3020002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3020004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3020005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3020006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3020010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3020013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3030001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3030002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3030004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3030005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3030006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3030008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3030010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3030011,ROOM & BOARD - DELUXE PRIVATE - OBSTETRICS (OB),4747.0,750.0,968.39,3817.0,51
CDM,3030013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3040001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3040002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3040004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3040005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3040006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3040010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3040013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3050001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3050002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3050004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3050005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3050006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3050007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3050010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3050011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3050012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3050013,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,4881.0,750.0,315.0,3904.8,60
CDM,3060001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3060002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3060004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3060005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3060006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3060007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3060010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3060011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3060012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3060013,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,4881.0,750.0,315.0,3904.8,60
CDM,3070001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3070002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3070004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3070005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3070006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3070010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3070011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3070013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3080001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3080002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3080004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3080005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3080006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3080010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3080011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3080013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3090001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3090002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3090004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3090005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3090006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3090007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3090008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3090010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3090013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3100001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3100002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3100004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3100005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3100006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3100010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3100011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3100013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3110001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3110002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3110004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3110005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3110006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3110007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3110008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3110010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3110013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3120001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3120002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3120004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3120005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3120006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3120007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3120010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3120013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3130001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3130002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,3130004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3130008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3130010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3130011,ROOM & BOARD - DELUXE PRIVATE - OBSTETRICS (OB),4747.0,750.0,968.39,3817.0,51
CDM,3130013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3140001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3140002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3140004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3140005,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3140006,NURSERY - NEWBORN - LEVEL II,5518.0,750.0,1125.67,4745.48,57
CDM,3140008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3140009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3140010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3140013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3149006,NURSERY - NEWBORN - LEVEL I,5518.0,750.0,523.0,4414.4,58
CDM,3150001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3150002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3150004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3150005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3150006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3150010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3150013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3160001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3160002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3160004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3160005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3160006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3160010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3160013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3170001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3170002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3170004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3170005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,3170006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3170009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3170010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3170013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3180001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3180002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3180004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3180005,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3180006,NURSERY - NEWBORN - LEVEL II,5518.0,750.0,1125.67,4745.48,57
CDM,3180008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3180009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3180010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3180013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3190001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3190002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3190004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3190005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3190006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3190010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3190011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3190013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3199998,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,1592.0,750.0,324.77,3817.0,51
CDM,3200001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3200002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3200004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3200005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3200006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3200010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3200011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3200013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3210001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3210002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3210004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3210005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3210006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3210010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3210011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3210013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3220001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3220002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3220004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3220005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3220006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3220010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3220011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3220013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3229999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3230001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3230002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3230004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3230005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,3230006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3230010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3230013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3240001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3240002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3240004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3240005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3240006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3240010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3240011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3240013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3249997,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,1815.0,750.0,370.26,3817.0,51
CDM,3249998,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3249999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3250001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3250002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3250004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3250005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3250006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3250010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3250013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3259999,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3260001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3260002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3260004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3260005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3260006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3260010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3260013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3270001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3270002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3270004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3270005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,3270006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,6469.0,51
CDM,3270008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3270010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3270013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3279999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3280001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3280002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3280004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3280005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3280006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3280010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3280011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3280013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3290001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3290002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3290004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3290005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3290006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3290007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3290010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3290013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3300001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3300002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3300004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3300005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3300006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3300010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3300013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3310001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3310002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3310004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3310005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3310006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3310010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3310013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3320001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3320002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3320004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3320005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3320006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3320010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3320011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3320013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3330001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3330002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3330004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3330005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3330006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3330010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3330011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3330013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3340001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3340002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3340004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3340005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3340006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3340010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3340011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3340013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3350001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3350002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3350004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3350005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3350006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3350010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3350013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3360001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3360002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3360004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3360005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3360006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3360010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3360013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3370001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3370002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3370004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3370005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3370006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3370010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3370013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3379999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4187.0,1100.0,854.15,8099.0,51
CDM,3380001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3380002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3380004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3380005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3380006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3380007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3380010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3380013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3390001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3390002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3390004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3390005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3390006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3390010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3390013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3400001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3400002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3400004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3400005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3400006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3400010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3400011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3400013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3409999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3410001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3410002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3410004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3410005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3410006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,6469.0,51
CDM,3410010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3410013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3420001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3420002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3420004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3420005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3420006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3420010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3420013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3430001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3430002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3430004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3430005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,3430006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3430010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3430013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3440001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3440002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3440004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3440005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3440006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3440010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3440013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3450001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3319.0,51
CDM,3450002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3450004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3450005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3450006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3450008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3450010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3450013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3460001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3460002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3460004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3460005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3460006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,6469.0,51
CDM,3460010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3460013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3469999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,1815.0,750.0,370.26,3319.0,58
CDM,3470001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3470002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3470004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3470005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3470006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3470008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3470010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3470013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3480004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3490001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,3490002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3490004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3490005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3490006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3490010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3490013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3499998,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3499999,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3500001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3500002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3500004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3500005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3500006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3500008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3500010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3500013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3510001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3510002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3510005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3510006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3510010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3510013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3520001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3520002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3520004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3520005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3520006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3520007,ROOM & BOARD - WARD - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,55
CDM,3520010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3520013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3530001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3530002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3530004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3530005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3530006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3530010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3530013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3539999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3540001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3540002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3540004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3540005,INTENSIVE CARE UNIT - BURN CARE,8641.0,1100.0,1762.76,8099.0,53
CDM,3540006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3540010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3540011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3540013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3550001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3550002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3550004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3550005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3550006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3550007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3550010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3550013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3560001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3560002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3560004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3560005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3560006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3560007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3560010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3560013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3570001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3570002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3570004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3570005,INTENSIVE CARE UNIT - TRAUMA,8641.0,1100.0,1762.76,8099.0,53
CDM,3570006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3570010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3570013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3579999,INTENSIVE CARE UNIT - TRAUMA,6551.0,1100.0,1336.4,8099.0,53
CDM,3580001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3580002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3580004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3580005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3580006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3580010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3580011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3580013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3590001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3590002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3590004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3590005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3590006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3590010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3590013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3600001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3600002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3600004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3600005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3600006,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,5518.0,1100.0,1125.67,8099.0,51
CDM,3600007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3600010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3600013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3610001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3610002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3610004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3610005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3610006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3610010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3610013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3620001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3620002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3620004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3620005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,3620006,NURSERY - NEWBORN - LEVEL II,5518.0,750.0,1125.67,4745.48,57
CDM,3620007,ROOM & BOARD - WARD  - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,3620008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3620010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3620013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3630001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3630002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3630004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3630005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3630006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3630010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3630013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3640001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3640002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3640004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3640005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3640006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3640010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3640013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3650001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3650002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3650004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3650005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3650006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3650010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3650013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3660001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3660002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3660004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3660005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3660006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3660010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3660013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3670001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3670002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3670004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3670005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3670006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3670013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3680001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3680002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3680004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3680005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3680006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3680010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3680013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3690001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3690002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3690004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3690005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3690006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3690013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3700001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3700002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3700004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3700005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3700006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3700010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3700013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3709999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3710001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3710002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3710003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3710004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3710005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3710006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3710007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3710008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3710009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3710010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3710011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3710012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3710013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3710014,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3720001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3720002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3720003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3720004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3720005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3720006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3720007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3720008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,3720009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,3720010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3720011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,3720012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3720013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3720014,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3730001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3730002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3730004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3730005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3730006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3730007,ROOM & BOARD - WARD - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,55
CDM,3730010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3730013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3740001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION,3222.0,750.0,600.31,3319.0,58
CDM,3740002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION,3222.0,750.0,600.31,3319.0,58
CDM,3740004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3740005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3740006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3740010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3740013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3749999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3750001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3750002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3750004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3750005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3750006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3750010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3750013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3760001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3760002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3760004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3760005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3760006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3760010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3760013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3770001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3770002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3770004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3770005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3770006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3770010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3770013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3780001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3780002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3780004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3780005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3780006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3780010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3780013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3790001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3790002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3790004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3790005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3790006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3790007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3790010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3790013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3800001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3800002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3800004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3800005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3800006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3800007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3800010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3800013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3810001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3810002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3810004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3810005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3810006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3810007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3810010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3810013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3820001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3820002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,3820004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3820005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3820006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3820010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3820013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3830001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION,3222.0,750.0,600.31,3319.0,58
CDM,3830002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION,3222.0,750.0,600.31,3319.0,58
CDM,3830004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3830005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3830006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3830010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3830013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3840001,PRIVATE ROOM,3222.0,3222.0,644.4,2577.6,13
CDM,3840002,SEMI PRIVATE ROOM,3222.0,3222.0,644.4,2577.6,13
CDM,3840004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3840005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3840006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3840010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3840013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3850004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3850005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3850006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3860004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3860007,ROOM & BOARD - WARD - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,55
CDM,3870004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3870007,ROOM & BOARD - WARD - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,55
CDM,3880001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3880002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,3890001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3890002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3890004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3890005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3890006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3890013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3900001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3900002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3900004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3900005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3900006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3900010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3900013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3910001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3910002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3910004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3910005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3910006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3910010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3910013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3920001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3920002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3920004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3920005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3920006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3920013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3930001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3930002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3930004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3930005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3930006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3930013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3940001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3940002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3940004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3940005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3940006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3940013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3950001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3950002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3950004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3950005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3950006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3950007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3950013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3960001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3960002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3960004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3960005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,3960006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3960007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3960013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3970004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3980001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3980002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3980004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3980005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3980006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3980010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3980013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,3990001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3990002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,3990004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,3990005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,3990006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,3990010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,3990013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,4000019,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,4000020,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,4000021,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,4000022,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,4000023,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,4000024,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,4000025,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,4000026,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,4000027,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,4000028,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,4000029,Injection of chemical for paralysis of nerve muscles on side of face,481.0,278.0,129.39,5962.0,61
CDM,4000030,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,481.0,278.0,129.39,5962.0,61
CDM,4000031,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,4000032,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,4000033,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,4000034,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,4000035,"Injection of chemical for paralysis of nerve muscles on trunk, 1-5 muscles",1106.0,675.0,275.98,10537.0,61
CDM,4000041,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,4000042,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,4000043,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,4000044,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,4000045,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,4000046,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,4000047,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,4000048,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,4000049,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,4000050,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,4000051,"Needle measurement of electrical activity in arm or leg muscles, 1 extremity",396.0,120.0,89.14,772.2,59
CDM,4000059,"Needle measurement of electrical activity in arm or leg muscles, limited study",109.0,109.0,29.32,418.0,59
CDM,4000060,"Needle measurement of electrical activity in arm or leg muscles, complete study",109.0,109.0,29.32,418.0,59
CDM,4000063,"Nerve conduction, 3-4 studies",469.0,281.0,89.14,914.55,59
CDM,4000064,"Nerve conduction, 5-6 studies",469.0,281.0,89.14,914.55,59
CDM,4000065,"Nerve conduction, 7-8 studies",585.0,281.0,89.14,1140.75,59
CDM,4000066,"Nerve conduction, 9-10 studies",648.0,519.0,89.14,1263.6,59
CDM,4000067,"Nerve conduction, 11-12 studies",648.0,519.0,89.14,1263.6,59
CDM,4000068,"Nerve conduction, 13 or more studies",648.0,519.0,89.14,1263.6,59
CDM,4000069,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,4000070,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,4000071,Aspiration and/or injection of fluid large joint using ultrasound guidance,536.0,278.0,144.18,5962.0,61
CDM,4000072,Aspiration and/or injection of fluid large joint using ultrasound guidance,536.0,278.0,144.18,5962.0,61
CDM,4000074,"Injection into skin growth, 1-7 growths",314.0,191.0,84.47,5962.0,61
CDM,4000075,Injection of carpal tunnel,481.0,278.0,129.39,5962.0,61
CDM,4000076,Injection of carpal tunnel,481.0,278.0,129.39,5962.0,61
CDM,4000077,Injection into tendon or ligament,481.0,278.0,129.39,5962.0,61
CDM,4000078,Injection into tendon at attachment to bone or muscle,481.0,278.0,129.39,5962.0,61
CDM,4000079,"Injection of trigger points, 1-2 muscles",481.0,278.0,129.39,5962.0,61
CDM,4000080,"Injection of trigger points, 3 or more muscles",481.0,278.0,129.39,5962.0,61
CDM,4000081,Aspiration and/or injection of fluid from small joint,481.0,278.0,129.39,5962.0,61
CDM,4000082,Aspiration and/or injection of fluid from small joint,481.0,278.0,129.39,5962.0,61
CDM,4000083,Aspiration and/or injection of fluid from small joint using ultrasound guidance,481.0,278.0,129.39,5962.0,61
CDM,4000084,Aspiration and/or injection of fluid from small joint using ultrasound guidance,481.0,278.0,129.39,5962.0,61
CDM,4000085,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,61
CDM,4000087,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1106.0,675.0,282.24,10537.0,61
CDM,4000088,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1106.0,675.0,282.24,10537.0,61
CDM,4000089,Aspiration and/or injection of cyst of tendon,481.0,278.0,129.39,5962.0,61
CDM,4000093,Injection of anesthetic agent and/or steroid into upper neck and back of head nerve,481.0,278.0,129.39,5962.0,61
CDM,4000094,Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus),1386.0,875.0,372.83,10537.0,61
CDM,4000095,Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve,1106.0,675.0,275.98,10537.0,61
CDM,4000096,Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve),1106.0,675.0,275.98,10537.0,61
CDM,4000097,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,61
CDM,4000098,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,61
CDM,4000099,Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance,1106.0,675.0,275.98,10537.0,61
CDM,4000100,Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance,1106.0,675.0,275.98,10537.0,61
CDM,4000101,Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face,481.0,278.0,129.39,5962.0,61
CDM,4000103,Destruction of nerve branches of knee using imaging guidance,3059.0,1867.0,822.87,16462.0,61
CDM,4000104,"Osteopathic manipulative treatment, 1-2 body regions",38.0,28.0,10.22,74.1,56
CDM,4000105,"Osteopathic manipulative treatment, 3-4 body regions",38.0,28.0,10.22,74.1,56
CDM,4000106,"Osteopathic manipulative treatment, 5-6 body regions",38.0,28.0,10.22,74.1,56
CDM,4000107,"Osteopathic manipulative treatment, 7-8 body regions",38.0,28.0,10.22,74.1,56
CDM,4000108,"Osteopathic manipulative treatment, 9-10 body regions",38.0,28.0,10.22,74.1,56
CDM,4000109,Harvest and injections of platelet rich plasma using imaging guidance,700.0,289.0,188.3,1365.0,56
CDM,4000110,Complete ultrasound scan of joint,164.0,116.0,70.1,2499.0,64
CDM,4000112,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,4000114,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,61
CDM,4000115,Destruction of peripheral nerve or branch,1386.0,875.0,372.83,10537.0,61
CDM,4000116,Electrical stimulation for guidance with injection of chemical for paralysis of nerve muscle,285.0,285.0,76.67,555.75,59
CDM,4000118,Injection of carpal tunnel,760.0,278.0,166.07,5962.0,61
CDM,4000119,Aspiration and/or injection of fluid from small joint,714.0,278.0,166.07,5962.0,61
CDM,4000121,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,61
CDM,4000122,Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle,232.0,232.0,62.41,452.4,59
CDM,4000126,Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve),1106.0,675.0,297.51,10537.0,61
CDM,4000127,Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve),1106.0,675.0,297.51,10537.0,61
CDM,4000128,Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve),1842.0,675.0,495.5,10537.0,61
CDM,4000129,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,4000130,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,61
CDM,4000131,Aspiration and/or injection of fluid from small joint using ultrasound guidance,750.0,278.0,201.75,5962.0,61
CDM,4000132,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1584.0,675.0,282.24,10537.0,61
CDM,4000133,Aspiration and/or injection of fluid large joint using ultrasound guidance,1072.0,278.0,282.24,5962.0,61
CDM,4000134,Injection of anesthetic agent and/or steroid into rib nerve,1106.0,675.0,275.98,10537.0,61
CDM,4000135,Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block,1386.0,875.0,372.83,10537.0,61
CDM,4000136,"Insertion of needle, 1-2 muscles",46.0,26.0,12.37,4984.0,61
CDM,4000137,"Insertion of needle, 3 muscles or more",46.0,26.0,12.37,4984.0,61
CDM,4000138,Injection of anesthetic and/or steroid drug into foot nerve,481.0,278.0,129.39,5962.0,61
CDM,4000139,Injection of anesthetic and/or steroid drug into foot nerve,481.0,278.0,129.39,5962.0,61
CDM,4000140,Injection of anesthetic and/or steroid drug into foot nerve,818.0,278.0,220.04,5962.0,61
CDM,4000141,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,4000142,Injection of chemical for paralysis of salivary glands on both sides of mouth,481.0,278.0,129.39,5962.0,61
CDM,4000143,Injection of anesthetic agent and/or steroid into external genitals and anus nerve,1385.0,875.0,372.57,10537.0,61
CDM,4000144,Injection of anesthetic agent and/or steroid into external genitals and anus nerve,1385.0,875.0,372.57,10537.0,61
CDM,4000145,Injection of anesthetic agent and/or steroid into external genitals and anus nerve,2770.0,875.0,745.13,10537.0,61
CDM,4070090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,4070091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,4070092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,4070093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,4070094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,4070095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,4070312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,53
CDM,4070617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,4070618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,4070619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,4070620,ED PROC LEVEL D,2172.0,2172.0,432.0,1748.0,49
CDM,4070621,ED PROC LEVEL E,5946.0,5946.0,432.0,4756.8,49
CDM,4070649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,4070652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,4070654,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,4070655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,4070656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,4070657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,2499.0,61
CDM,4070658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,4070659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,4070660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,4070661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,4070662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,4070663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,4070664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,4070665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,4070666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,4070667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,4070668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,4070669,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",3413.0,3413.0,918.1,6655.35,45
CDM,4074225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,4074226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,4074227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,4074228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,4074229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,4074230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,4074231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,4074232,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,4074233,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,4074430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,4074433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,4075000,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,4075100,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,45
CDM,4200004,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",160.0,160.0,43.04,312.0,56
CDM,4200005,"PSYCHOSOCIAL REHABILITATION SERVICES, PER 15 MINUTES",159.0,159.0,42.77,675.0,59
CDM,4200006,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,159.0,159.0,42.77,970.0,59
CDM,4200007,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,159.0,159.0,42.77,970.0,59
CDM,4200008,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",159.0,159.0,42.77,970.0,59
CDM,4200009,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",159.0,159.0,42.77,970.0,59
CDM,4200010,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",286.0,286.0,76.93,970.0,59
CDM,4200011,ALCOHOL AND/OR DRUG ASSESSMENT,286.0,286.0,76.93,970.0,59
CDM,4200012,"CASE MANAGEMENT, EACH 15 MINUTES",72.0,72.0,19.37,675.0,59
CDM,4200013,"TARGETED CASE MANAGEMENT, EACH 15 MINUTES",18.0,18.0,4.84,100.91,56
CDM,4200014,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",159.0,159.0,42.77,970.0,59
CDM,4200015,ALCOHOL AND/OR DRUG ASSESSMENT,159.0,159.0,42.77,970.0,59
CDM,4200016,"MENTAL HEALTH SERVICES, NOT OTHERWISE SPECIFIED",159.0,159.0,42.77,970.0,59
CDM,4200017,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,4200018,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,4200019,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,4200020,"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES, NOT OTHERWISE SPECIFIED",159.0,159.0,42.77,970.0,59
CDM,4200023,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,80.0,725.4,47
CDM,4200025,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,91.46,675.0,48
CDM,4200026,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,95.76,694.2,48
CDM,4200027,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,104.1,754.65,48
CDM,4200029,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,110.02,797.55,48
CDM,4810010,"Evaluation for occupational therapy, typically 30 minutes",383.0,383.0,121.0,1608.0,64
CDM,4810050,"Re-evaluation for occupational therapy, typically 30 minutes",116.0,116.0,49.88,1608.0,64
CDM,4810232,Therapy procedure using sensory experiences,148.0,148.0,22.04,1608.0,64
CDM,4810240,"Training for self-care or home management, each 15 minutes",162.0,50.0,18.99,1608.0,64
CDM,4810250,"Evaluation for wheelchair, each 15 minutes",175.0,175.0,22.04,1608.0,64
CDM,4810260,Therapy procedure using functional activities,197.0,197.0,22.04,1608.0,64
CDM,4810270,Therapy procedure in a group setting,110.0,110.0,22.04,1608.0,64
CDM,4810280,"Training for community or work reintegration, each 15 minutes",220.0,220.0,22.04,1608.0,64
CDM,4810290,"Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",185.0,50.0,22.04,1608.0,64
CDM,4810300,"Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",218.0,218.0,22.04,1608.0,64
CDM,4810320,"Therapy procedure using water pool to exercises, each 15 minutes",123.0,123.0,22.04,1608.0,64
CDM,4810330,"Therapy procedure using manual technique, each 15 minutes",168.0,168.0,22.04,1608.0,64
CDM,4810350,Application of hot wax bath,88.0,88.0,18.99,1608.0,64
CDM,4810360,"Application of electrical stimulation with therapist present, each 15 minutes",138.0,138.0,18.99,1608.0,64
CDM,4810362,"Evaluation for occupational therapy, typically 45 minutes",446.0,446.0,121.0,1608.0,64
CDM,4810363,"Evaluation for occupational therapy, typically 1 hour",541.0,541.0,121.0,1608.0,64
CDM,4810364,"Re-evaluation for occupational therapy, typically 30 minutes",178.0,178.0,76.54,1608.0,64
CDM,4810365,"Re-evaluation for occupational therapy, typically 30 minutes",274.0,274.0,117.82,1608.0,64
CDM,4810367,"Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",185.0,50.0,22.04,1608.0,64
CDM,4810368,"Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",218.0,218.0,22.04,1608.0,64
CDM,4810370,"ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE, AS PART OF A THERAPY PLAN OF CARE",158.0,158.0,18.99,1608.0,64
CDM,4810372,"Therapy procedure using manual technique, each 15 minutes",168.0,168.0,22.04,1608.0,64
CDM,4810373,Therapy procedure using functional activities,197.0,197.0,22.04,1608.0,64
CDM,4810374,"Training for self-care or home management, each 15 minutes",162.0,50.0,18.99,1608.0,64
CDM,4810377,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4810378,"Training in the use of artificial arm and/or leg, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4810379,"Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes",117.0,117.0,22.04,1608.0,64
CDM,4810380,"Application of ultrasound, each 15 minutes",127.0,127.0,18.99,1608.0,64
CDM,4810388,"Therapy procedure for a range of mental processes, initial 15 minutes",38.0,38.0,16.34,1608.0,64
CDM,4810389,"Therapy procedure for a range of mental processes, each additional 15 minutes",37.0,37.0,15.91,1608.0,64
CDM,4810390,Application of hot or cold packs,66.0,66.0,18.99,1608.0,64
CDM,4810391,"Education and training for patient self-management, each 30 minutes",87.0,87.0,37.41,1608.0,64
CDM,4810400,"Application of water therapy using a special tank, each 15 minutes",162.0,162.0,22.04,1608.0,64
CDM,4810510,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4810520,"Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes",117.0,117.0,22.04,1608.0,64
CDM,4810530,"Training in the use of artificial arm and/or leg, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4810594,Application of whirlpool therapy,103.0,103.0,18.99,1608.0,64
CDM,4810596,"Application of hot and cold baths, each 15 minutes",39.0,39.0,16.77,1608.0,64
CDM,4810598,"Therapy procedure using massage, each 15 minutes",108.0,108.0,18.99,1608.0,64
CDM,4820001,"Removal of tissue from wound, each additional 20.0 sq cm",510.0,510.0,170.0,1608.0,64
CDM,4820319,"Evaluation for physical therapy, typically 30 minutes",388.0,388.0,121.0,1608.0,64
CDM,4820320,"Evaluation for physical therapy, typically 45 minutes",447.0,447.0,121.0,1608.0,64
CDM,4820321,"Re-evaluation for physical therapy, typically 20 minutes",216.0,216.0,92.88,1608.0,64
CDM,4820322,"Re-evaluation for physical therapy, typically 20 minutes",307.0,307.0,121.0,1608.0,64
CDM,4820323,"Repositioning exercises of head for treatment of dizziness, each day",103.0,103.0,22.04,1608.0,64
CDM,4820325,"Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",185.0,50.0,22.04,1608.0,64
CDM,4820326,"Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",218.0,218.0,22.04,1608.0,64
CDM,4820327,"Therapy procedure using water pool to exercises, each 15 minutes",123.0,123.0,22.04,1608.0,64
CDM,4820328,"Therapy procedure for walking training, each 15 minutes",188.0,188.0,18.99,1608.0,64
CDM,4820329,"Therapy procedure using manual technique, each 15 minutes",168.0,168.0,22.04,1608.0,64
CDM,4820330,Therapy procedure using functional activities,197.0,197.0,22.04,1608.0,64
CDM,4820331,"Training for self-care or home management, each 15 minutes",162.0,50.0,18.99,1608.0,64
CDM,4820332,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,64
CDM,4820333,"Removal of tissue from wound, each additional 20.0 sq cm",510.0,510.0,170.0,1608.0,64
CDM,4820334,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4820337,"Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less",315.0,191.0,125.08,1608.0,64
CDM,4820338,"Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less",315.0,191.0,125.08,1608.0,64
CDM,4820339,"Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm",637.0,368.0,170.0,1608.0,64
CDM,4820340,"Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm",637.0,368.0,170.0,1608.0,64
CDM,4820341,"Education and training for patient self-management, each 30 minutes",87.0,87.0,37.41,1608.0,64
CDM,4821000,"Evaluation for physical therapy, typically 20 minutes",296.0,296.0,121.0,1608.0,64
CDM,4821040,"Re-evaluation for physical therapy, typically 20 minutes",156.0,156.0,67.08,1608.0,64
CDM,4821100,"Test or measurement for functional capacity, each 15 minutes",125.0,125.0,22.04,1608.0,64
CDM,4821140,"Measurement of range of motion in arm, leg or each spine section",190.0,190.0,81.7,1608.0,53
CDM,4821150,Therapy procedure using functional activities,197.0,197.0,22.04,1608.0,64
CDM,4821160,"Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",185.0,50.0,22.04,1608.0,64
CDM,4821170,"Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",218.0,218.0,22.04,1608.0,64
CDM,4821180,"Therapy procedure for walking training, each 15 minutes",188.0,188.0,18.99,1608.0,64
CDM,4821190,"Therapy procedure using manual technique, each 15 minutes",168.0,168.0,22.04,1608.0,64
CDM,4821205,"Evaluation for assistive technology, each 15 minutes",118.0,118.0,50.74,1608.0,64
CDM,4821210,"Evaluation for wheelchair, each 15 minutes",175.0,175.0,22.04,1608.0,64
CDM,4821220,Therapy procedure in a group setting,110.0,110.0,22.04,1608.0,64
CDM,4821230,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,64
CDM,4821240,"Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes",117.0,117.0,22.04,1608.0,64
CDM,4821265,"ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE, AS PART OF A THERAPY PLAN OF CARE",158.0,158.0,18.99,1608.0,64
CDM,4821270,"Application of electrical stimulation with therapist present, each 15 minutes",138.0,138.0,18.99,1608.0,64
CDM,4821290,"Application of ultrasound, each 15 minutes",127.0,127.0,18.99,1608.0,64
CDM,4821300,Application of hot or cold packs,66.0,66.0,18.99,1608.0,64
CDM,4821350,Application of whirlpool therapy,103.0,103.0,18.99,1608.0,64
CDM,4821366,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,64
CDM,4821370,"Therapy procedure using water pool to exercises, each 15 minutes",123.0,123.0,22.04,1608.0,64
CDM,4821380,"Training for community or work reintegration, each 15 minutes",220.0,220.0,22.04,1608.0,64
CDM,4821390,"Training for self-care or home management, each 15 minutes",162.0,50.0,18.99,1608.0,64
CDM,4821513,Application of mechanical traction,199.0,199.0,18.99,1608.0,64
CDM,4821516,"Therapy procedure using massage, each 15 minutes",108.0,108.0,18.99,1608.0,64
CDM,4821522,"Repositioning exercises of head for treatment of dizziness, each day",103.0,103.0,22.04,1608.0,64
CDM,4830001,"Psychotherapy, 30 minutes",279.0,142.0,75.05,544.05,55
CDM,4830002,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,55
CDM,4830003,"Psychotherapy, 1 hour",288.0,142.0,77.47,561.6,55
CDM,4830005,Psychiatric diagnostic evaluation,286.0,142.0,76.93,557.7,55
CDM,4830010,"Exam of neurobehavioral status, each additional hour",281.0,281.0,75.59,970.0,60
CDM,4830011,Assessment of emotional or behavioral problems,59.0,36.0,13.82,970.0,59
CDM,4830012,"Evaluation of psychological test, first hour",385.0,281.0,80.0,970.0,60
CDM,4830013,"Evaluation of psychological test, each additional hour",99.0,99.0,26.63,970.0,60
CDM,4830014,"Evaluation of neuropsychological test, first hour",740.0,281.0,80.0,1443.0,60
CDM,4830015,"Evaluation of neuropsychological test, each additional hour",99.0,99.0,26.63,970.0,60
CDM,4830016,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,60
CDM,4830017,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,60
CDM,4830019,"Administration of psychological or neuropsychological test, each additional 30 minutes",13.0,13.0,3.5,970.0,60
CDM,4830020,"Administration of psychological or neuropsychological test by technician, first 30 minutes",700.0,289.0,80.0,1365.0,60
CDM,4830021,"Administration of psychological or neuropsychological test by technician, first 30 minutes",700.0,289.0,80.0,1365.0,60
CDM,4830022,"Administration of psychological or neuropsychological test by technician, each additional 30 minutes",13.0,13.0,3.5,970.0,60
CDM,4830023,"Administration of psychological or neuropsychological test by technician, each additional 30 minutes",13.0,13.0,3.5,970.0,60
CDM,4830024,Assessment of health behavior,159.0,80.0,42.77,970.0,60
CDM,4830025,"Treatment of behavior impacting health, initial 30 minutes",279.0,80.0,75.05,544.05,57
CDM,4830026,"Treatment of behavior impacting health, each additional 15 minutes",59.0,59.0,15.87,214.0,47
CDM,4830027,"Treatment of behavior impacting health in group setting, initial 30 minutes",59.0,28.0,15.87,214.0,56
CDM,4830028,"Treatment of behavior impacting health in group setting, each additional 15 minutes",21.0,21.0,5.65,214.0,46
CDM,4830029,"Treatment of behavior impacting health with family and patient, initial 30 minutes",59.0,28.0,15.87,214.0,57
CDM,4830030,"Treatment of behavior impacting health with family and patient, each additional 30 minutes",21.0,21.0,5.65,214.0,47
CDM,4830031,Multiple-family group psychotherapy,279.0,142.0,75.0,544.05,57
CDM,4830821,"Exam of neurobehavioral status, first hour",562.0,281.0,80.0,1095.9,60
CDM,4831026,"Family psychotherapy without patient, 50 minutes",334.0,142.0,75.0,651.3,57
CDM,4831027,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,57
CDM,4832016,"Explanation of psychiatric, medical examinations, procedures, and data to responsible person",184.0,184.0,49.5,970.0,59
CDM,4845118,"KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF",60.0,66.0,25.8,150.6,48
CDM,4845276,"WRIST HAND FINGER ORTHOSIS, RIGID WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENT",428.0,470.8,184.04,732.4,48
CDM,4860001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,4860002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,4860003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,4860004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,4860005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,4860013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,4860014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,4860015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,4860016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,4860017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,4860021,Application of nonmoveable finger splint,209.0,120.0,48.98,4984.0,61
CDM,4860023,SILVER NITRATE,4.6,4.6,0.95,3.68,45
CDM,4860026,"Strapping, Unna boot",412.0,150.0,110.83,4984.0,61
CDM,4860027,"Removal of skin and tissue, 20.0 sq cm or less",738.0,368.0,198.52,7362.0,61
CDM,4860031,Ultrasound study of arm and leg arteries,333.0,120.0,70.1,649.35,56
CDM,4860033,Permanent removal fingernail or toenail,637.0,368.0,171.35,7362.0,61
CDM,4860036,"Strapping, Unna boot",206.0,150.0,55.41,4984.0,61
CDM,4860037,"Strapping, Unna boot",206.0,150.0,55.41,4984.0,61
CDM,4860040,"TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER",92.0,59.0,24.75,179.4,56
CDM,4860043,"Application of walking cast covering foot, ankle, and lower leg",438.0,257.0,117.82,5962.0,61
CDM,4860044,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,61
CDM,4860045,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,61
CDM,4860047,"SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, OFF-THE-SHELF",62.0,68.2,26.66,131.25,48
CDM,4860050,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,4860054,Application of short leg cast,521.0,257.0,128.6,5962.0,61
CDM,4860055,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,61
CDM,4860056,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,61
CDM,4860058,Application of thigh to lower leg cylinder cast,439.0,257.0,118.09,5962.0,61
CDM,4860065,Application of hand and lower forearm cast,646.0,150.0,128.6,4984.0,61
CDM,4860066,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,61
CDM,4860070,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,4860071,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,61
CDM,4860072,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,61
CDM,4860073,Application of short leg cast,521.0,257.0,128.6,5962.0,61
CDM,4860074,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,61
CDM,4860075,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,61
CDM,4860077,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,4860078,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,61
CDM,4860080,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,61
CDM,4860081,Application of lower and upper arm splint,317.0,150.0,48.98,4984.0,61
CDM,4860084,Application of short leg splint from calf to foot,284.0,150.0,48.98,4984.0,61
CDM,4860085,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,61
CDM,4860086,Application of long leg splint from thigh to ankle or toe,368.0,150.0,48.98,4984.0,61
CDM,4860088,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,4860089,Application of hand and lower forearm cast,646.0,150.0,128.6,4984.0,61
CDM,4860091,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,61
CDM,4860092,Application of short leg cast,521.0,257.0,128.6,5962.0,61
CDM,4860093,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,61
CDM,4860097,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,61
CDM,4860098,Application of walking cast covering thigh to toe,439.0,257.0,118.09,5962.0,61
CDM,4860100,Application of kneecap tendon bearing cast,438.0,257.0,117.82,5962.0,61
CDM,4860101,Application of finger cast,255.0,150.0,68.6,4984.0,61
CDM,4860111,"HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (PAVLIK HARNESS), PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN IN",189.0,207.9,81.27,323.95,48
CDM,4860113,"Removal or cutting of gauntlet, boot, or body cast",438.0,257.0,117.82,5962.0,61
CDM,4860114,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,4860117,Injection into tendon or ligament,481.0,278.0,129.39,5962.0,61
CDM,4860118,"Removal of fingernails or toenails, 1-5 nails",135.0,59.0,36.32,4984.0,61
CDM,4860119,"Removal of fingernails or toenails, 6 or more nails",92.0,59.0,24.75,4984.0,61
CDM,4860120,Removal of skin of fingernail or toenail,637.0,368.0,47.16,7362.0,61
CDM,4860123,"UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",400.0,440.0,172.0,677.88,48
CDM,4860124,"UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",495.0,544.5,212.85,837.49,48
CDM,4860126,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,61
CDM,4860127,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,61
CDM,4860128,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,4860129,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,4860130,"Injection of trigger points, 1-2 muscles",481.0,278.0,129.39,5962.0,61
CDM,4860131,"Injection of trigger points, 3 or more muscles",481.0,278.0,129.39,5962.0,61
CDM,4860132,Injection of carpal tunnel,481.0,278.0,129.39,5962.0,61
CDM,4860133,Injection of carpal tunnel,760.0,278.0,166.07,5962.0,61
CDM,4860134,Injection into tendon at attachment to bone or muscle,481.0,278.0,129.39,5962.0,61
CDM,4860135,"Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area more than 50.0 sq cm",637.0,368.0,171.35,1242.15,56
CDM,4860137,Aspiration and/or injection of fluid from large joint,806.0,278.0,166.07,5962.0,61
CDM,4860411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,4860412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,4860413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,4860415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,4860416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,4860417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,4860418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,4860419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,4860421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,4863050,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,4870130,"Test to assess the loss of the ability to speak, write, and understand language",455.0,455.0,170.0,1608.0,64
CDM,4870140,Treatment of swallowing and feeding disorder,308.0,308.0,22.04,1608.0,64
CDM,4870150,"Treatment of speech, language, voice, communication, and/or hearing processing disorder",383.0,115.0,121.0,1608.0,64
CDM,4870330,Evaluation for use of voice artificial device to supplement oral speech,639.0,639.0,161.9,1608.0,64
CDM,4870335,"Evaluation of speech continuity, smoothness, rate, and effort",320.0,320.0,121.0,1608.0,64
CDM,4870337,"Evaluation of speech continuity, smoothness, rate, and effort",565.0,565.0,121.0,1608.0,64
CDM,4870338,Evaluation of speech sound production,309.0,309.0,121.0,1608.0,64
CDM,4870339,Evaluation of speech sound production,431.0,431.0,121.0,1608.0,64
CDM,4870340,Evaluation of speech sound production,554.0,554.0,121.0,1608.0,64
CDM,4870341,Evaluation of speech sound production with evaluation of language comprehension and expression,450.0,450.0,121.0,1608.0,64
CDM,4870342,Evaluation of speech sound production with evaluation of language comprehension and expression,572.0,572.0,121.0,1608.0,64
CDM,4870343,Evaluation of speech sound production with evaluation of language comprehension and expression,816.0,816.0,121.0,1608.0,64
CDM,4870344,Analysis of voice and resonance production,290.0,290.0,121.0,1608.0,64
CDM,4870345,Analysis of voice and resonance production,400.0,400.0,121.0,1608.0,64
CDM,4870346,Analysis of voice and resonance production,621.0,621.0,121.0,1608.0,64
CDM,4870347,"Therapy procedure for a range of mental processes, initial 15 minutes",38.0,38.0,16.34,1608.0,64
CDM,4870348,"Therapy procedure for a range of mental processes, each additional 15 minutes",37.0,37.0,15.91,1608.0,64
CDM,4870349,Screening evaluation of brain response to sound with automated analysis,171.0,171.0,21.73,1608.0,64
CDM,4870352,Evaluation of swallowing function,700.0,700.0,161.9,1608.0,64
CDM,4870353,Evaluation of swallowing function,803.0,803.0,161.9,1608.0,64
CDM,4870354,Evaluation of swallowing function image,742.0,742.0,76.23,1608.0,64
CDM,4870355,Evaluation of swallowing function image,878.0,878.0,76.23,1712.1,64
CDM,4870356,Evaluation and recording of swallowing using an endoscope,104.0,104.0,44.72,1608.0,64
CDM,4870357,"Education and training for patient self-management, each 30 minutes",87.0,87.0,37.41,1608.0,64
CDM,4870370,"Evaluation with prescription of speech-generating and alternative communication device, first hour",456.0,456.0,161.9,1608.0,64
CDM,4870380,"Evaluation with prescription of speech-generating and alternative communication device, each additional 30 minutes",73.0,73.0,31.39,1608.0,64
CDM,4870400,Evaluation of swallowing function,598.0,598.0,161.9,1608.0,64
CDM,4870410,Evaluation of swallowing function image,598.0,598.0,76.23,1608.0,64
CDM,4870520,Therapy service for use of speech-generating device with programming,611.0,611.0,22.04,1608.0,64
CDM,4870522,Placement of ear probe for computerized measurement of sound with interpretation and report,363.0,281.0,54.81,707.85,59
CDM,5010001,GLOBAL FEE URGENT CARE CENTERS,491.0,491.0,72.0,957.45,49
CDM,5010002,GLOBAL FEE URGENT CARE CENTERS,491.0,491.0,72.0,957.45,49
CDM,5010003,GLOBAL FEE URGENT CARE CENTERS,727.0,727.0,72.0,1417.65,49
CDM,5010004,GLOBAL FEE URGENT CARE CENTERS,727.0,727.0,72.0,1417.65,49
CDM,5010005,GLOBAL FEE URGENT CARE CENTERS,968.0,968.0,72.0,1887.6,49
CDM,5010006,GLOBAL FEE URGENT CARE CENTERS,968.0,968.0,72.0,1887.6,49
CDM,5010007,GLOBAL FEE URGENT CARE CENTERS,1537.0,1537.0,72.0,2997.15,49
CDM,5010008,GLOBAL FEE URGENT CARE CENTERS,1537.0,1537.0,72.0,2997.15,49
CDM,5010009,GLOBAL FEE URGENT CARE CENTERS,1958.0,1958.0,72.0,3818.1,49
CDM,5010010,GLOBAL FEE URGENT CARE CENTERS,1958.0,1958.0,72.0,3818.1,49
CDM,5010011,GLOBAL FEE URGENT CARE CENTERS,592.0,592.0,72.0,1154.4,49
CDM,5010012,GLOBAL FEE URGENT CARE CENTERS,592.0,592.0,72.0,1154.4,49
CDM,5010013,GLOBAL FEE URGENT CARE CENTERS,803.0,803.0,72.0,1565.85,49
CDM,5010014,GLOBAL FEE URGENT CARE CENTERS,803.0,803.0,72.0,1565.85,49
CDM,5010015,GLOBAL FEE URGENT CARE CENTERS,1053.0,1053.0,72.0,2053.35,49
CDM,5010016,GLOBAL FEE URGENT CARE CENTERS,1053.0,1053.0,72.0,2053.35,49
CDM,5010017,GLOBAL FEE URGENT CARE CENTERS,1688.0,1688.0,72.0,3291.6,49
CDM,5010018,GLOBAL FEE URGENT CARE CENTERS,1688.0,1688.0,72.0,3291.6,49
CDM,5010019,GLOBAL FEE URGENT CARE CENTERS,2126.0,2126.0,72.0,4145.7,49
CDM,5010020,GLOBAL FEE URGENT CARE CENTERS,2126.0,2126.0,72.0,4145.7,49
CDM,5010021,Screening test for mononucleosis (mono),91.0,91.0,4.66,2119.0,64
CDM,5010022,Infectious agent enzymatic activity to detect organism,232.0,232.0,4.04,2119.0,64
CDM,5010023,SPORTS PHYSICAL WITH EKG,85.0,85.0,17.48,495.0,49
CDM,5010024,COLLEGE PHYSICAL,55.0,55.0,11.31,495.0,49
CDM,5010025,CONCEAL WEAPON(CLASS G)PHYSCL,55.0,55.0,11.31,495.0,49
CDM,5010026,SPORTS PHYSICAL SUMMER SPECIAL,28.0,28.0,5.76,495.0,49
CDM,5010027,BOY SCOUTS PHYSICAL,28.0,28.0,5.76,495.0,49
CDM,5010028,BLACK HAWK PHYSICAL,45.0,45.0,9.25,495.0,49
CDM,5010029,SPORTS PHYSICAL SPECIAL W/EKG,75.0,75.0,15.42,495.0,49
CDM,5010049,"Influenza vaccine split virus, preservative free",80.0,80.0,21.52,156.0,64
CDM,5010050,"Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage",40.0,40.0,10.76,78.0,64
CDM,5010051,SPORTS PHYSCL MIA-DADE AGE5-18,25.0,25.0,5.14,495.0,49
CDM,5010052,SPORT PHY+EKG MIA-DADE AGE5-18,25.0,25.0,5.14,495.0,49
CDM,5010070,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG",17.0,17.0,1.54,38.08,48
CDM,5010135,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",33.0,,8.88,73.92,48
CDM,5010200,SPECIALTY SERVICES - TREATMENT ROOM,348.0,348.0,71.55,278.4,45
CDM,5010201,SPECIALTY SERVICES - TREATMENT ROOM,490.0,490.0,100.74,392.0,45
CDM,5010202,SPECIALTY SERVICES - TREATMENT ROOM,914.0,914.0,187.92,731.2,45
CDM,5010204,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,5010205,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,5010206,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,5010207,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,5010208,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,5010209,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,5010210,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,5010211,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,5010212,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,5010214,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,5010215,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,5010216,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,5010218,Routine electrocardiogram (ECG) using at least 12 leads with tracing,314.0,59.0,16.95,1758.0,64
CDM,5010220,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,5010221,SPORTS PHYSICAL,55.0,55.0,11.31,495.0,49
CDM,5010458,"INJECTION, METHOCARBAMOL, UP TO 10 ML",262.0,262.0,13.77,586.88,48
CDM,5012151,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",31.0,,8.34,69.44,48
CDM,5012171,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",131.0,,35.24,293.44,43
CDM,5012196,UNCLASSIFIED DRUGS,17.0,17.0,4.57,38.08,43
CDM,5012659,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME",7.0,7.0,1.88,15.68,48
CDM,5012838,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",619.0,,166.51,1386.56,43
CDM,5013011,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG",17.0,17.0,4.57,38.08,48
CDM,5013204,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",17.0,17.0,0.78,38.08,48
CDM,5013205,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",17.0,17.0,0.78,38.08,48
CDM,5013236,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",4.0,4.0,1.08,8.96,48
CDM,5013258,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",23.0,23.0,1.42,51.52,48
CDM,5013259,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",17.0,17.0,1.42,38.08,48
CDM,5013689,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",17.0,17.0,0.16,38.08,48
CDM,5014001,Gonadotropin (reproductive hormone) analysis,182.0,182.0,2.74,2119.0,64
CDM,5014003,Detection test by immunoassay with direct visual observation for Trichomonas vaginal (genital parasite),88.0,88.0,4.04,2119.0,64
CDM,5014004,"Blood test, comprehensive group of blood chemicals",454.0,454.0,4.48,2119.0,64
CDM,5014005,Automated urinalysis test,91.0,91.0,1.48,2119.0,64
CDM,5014006,"Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,5014007,Detection test by immunoassay with direct visual observation for respiratory syncytial virus,95.0,95.0,4.04,2119.0,64
CDM,5014008,Detection test by immunoassay with direct visual observation for influenza virus,95.0,95.0,4.04,2119.0,64
CDM,5014010,"Blood count, hemoglobin",32.0,32.0,2.13,2119.0,64
CDM,5014014,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus,66.0,66.0,4.04,2119.0,64
CDM,5014017,Detection test by immunoassay technique for respiratory syncytial virus (RSV),21.0,21.0,4.04,2119.0,64
CDM,5014018,"Detection test by immunoassay technique for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,5014019,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza,106.0,106.0,23.95,2119.0,64
CDM,5014020,Detection test by immunoassay technique for influenza virus,21.0,21.0,4.04,2119.0,64
CDM,5016103,"INJECTION, INSULIN, PER 5 UNITS",17.0,17.0,4.57,38.08,43
CDM,5016127,Diphtheria and tetanus vaccine (7 years or older),102.0,102.0,22.56,198.9,61
CDM,5016549,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",17.0,17.0,0.19,38.08,48
CDM,5017500,"X-ray of foot, minimum of 3 views",651.0,86.0,36.29,2086.0,64
CDM,5017505,"X-ray of part of lower jaw, 1-4 views",838.0,86.0,36.29,2086.0,64
CDM,5017506,"X-ray of part of lower jaw, 1-4 views",419.0,86.0,36.29,2086.0,64
CDM,5017507,"X-ray of part of lower jaw, 1-4 views",419.0,86.0,36.29,2086.0,64
CDM,5017508,"X-ray of lower jaw, minimum of 4 views",696.0,116.0,36.29,2086.0,64
CDM,5017509,"X-ray of lower jaw, minimum of 4 views",696.0,116.0,36.29,2086.0,64
CDM,5017510,"X-ray of lower jaw, minimum of 4 views",696.0,116.0,36.29,2086.0,64
CDM,5017518,"X-ray of face bones, 1-2 views",312.0,86.0,36.29,2086.0,64
CDM,5017519,"X-ray of face bones, minimum of 3 views",446.0,116.0,36.29,2086.0,64
CDM,5017520,"X-ray of nose bones, minimum of 3 views",382.0,86.0,36.29,2086.0,64
CDM,5017522,"X-ray of eye socket, minimum of 4 views",494.0,116.0,36.29,2086.0,64
CDM,5017523,"X-ray of paranasal sinus, 1-2 views",358.0,86.0,36.29,2086.0,64
CDM,5017524,"X-ray of paranasal sinus, minimum of 3 views",650.0,86.0,36.29,2086.0,64
CDM,5017526,"X-ray of skull, 1-3 views",518.0,116.0,36.29,2086.0,64
CDM,5017527,"X-ray of skull, minimum of 4 views",968.0,116.0,36.29,2086.0,64
CDM,5017528,X-ray of jaw joint on 1 side of mouth,279.0,86.0,36.29,2086.0,64
CDM,5017529,X-ray of jaw joint on 1 side of mouth,279.0,86.0,36.29,2086.0,64
CDM,5017530,X-ray of jaw joints on both sides of mouth,467.0,86.0,36.29,2086.0,64
CDM,5017532,X-ray of soft tissue of neck,447.0,86.0,36.29,2086.0,64
CDM,5017533,"X-ray of chest, 1 view",427.0,86.0,36.29,1758.0,64
CDM,5017534,"X-ray of chest, 2 views",578.0,86.0,36.29,1758.0,64
CDM,5017539,"X-ray of ribs on side of body, 2 views",533.0,86.0,36.29,2086.0,64
CDM,5017540,"X-ray of ribs on side of body, 2 views",539.0,86.0,36.29,2086.0,64
CDM,5017541,"X-ray of ribs on side of body, minimum of 3 views",587.0,116.0,36.29,2086.0,64
CDM,5017542,"X-ray of ribs on side of body, minimum of 3 views",593.0,116.0,36.29,2086.0,64
CDM,5017543,"X-ray of ribs on both sides of body, 3 views",677.0,116.0,36.29,2086.0,64
CDM,5017544,"X-ray of ribs on both sides of body, minimum of 4 views",770.0,116.0,36.29,2086.0,64
CDM,5017545,"X-ray of chest bone, minimum of 2 views",518.0,86.0,36.29,2086.0,64
CDM,5017548,"X-ray of upper spine, 2-3 views",645.0,86.0,36.29,2086.0,64
CDM,5017549,"X-ray of upper spine, 4-5 views",686.0,116.0,36.29,2086.0,64
CDM,5017550,"X-ray of upper spine, 6 or more views",824.0,116.0,36.29,2086.0,64
CDM,5017551,"X-ray of middle spine, 2 views",612.0,116.0,36.29,2086.0,64
CDM,5017552,"X-ray of middle spine, 3 views",820.0,116.0,36.29,2086.0,64
CDM,5017553,"X-ray of middle spine, minimum of 4 views",777.0,116.0,36.29,2086.0,64
CDM,5017554,"X-ray of middle and lower spine, 2 views",166.0,86.0,36.29,2086.0,64
CDM,5017557,"X-ray of lower and sacral spine, 2-3 views",631.0,116.0,36.29,2086.0,64
CDM,5017558,"X-ray of lower and sacral spine, minimum of 4 views",914.0,116.0,36.29,2086.0,64
CDM,5017561,"X-ray of pelvis, 1-2 views",516.0,116.0,36.29,2086.0,64
CDM,5017563,"X-ray of joint between lower spine and hip bone, 1-2 views",236.0,116.0,36.29,2086.0,64
CDM,5017564,"X-ray of joint between lower spine and hip bone, 3 or more views",438.0,116.0,36.29,2086.0,64
CDM,5017565,"X-ray of sacrum and tailbone, minimum of 2 views",533.0,86.0,36.29,2086.0,64
CDM,5017566,X-ray of collar bone,572.0,86.0,36.29,2086.0,64
CDM,5017567,X-ray of collar bone,286.0,86.0,36.29,2086.0,64
CDM,5017568,X-ray of collar bone,286.0,86.0,36.29,2086.0,64
CDM,5017570,X-ray of shoulder blade,364.0,116.0,36.29,2086.0,64
CDM,5017571,X-ray of shoulder blade,364.0,116.0,36.29,2086.0,64
CDM,5017574,"X-ray of shoulder, 1 view",243.0,86.0,36.29,2086.0,64
CDM,5017575,"X-ray of shoulder, minimum of 2 views",1246.0,86.0,36.29,2429.7,64
CDM,5017576,"X-ray of shoulder, minimum of 2 views",623.0,86.0,36.29,2086.0,64
CDM,5017577,"X-ray of shoulder, minimum of 2 views",623.0,86.0,36.29,2086.0,64
CDM,5017578,X-ray of both collar bones joints,220.0,86.0,36.29,2086.0,64
CDM,5017581,"X-ray of upper arm, minimum of 2 views",611.0,86.0,36.29,2086.0,64
CDM,5017582,"X-ray of upper arm, minimum of 2 views",611.0,86.0,36.29,2086.0,64
CDM,5017583,"X-ray of elbow, 2 views",824.0,86.0,36.29,2086.0,64
CDM,5017584,"X-ray of elbow, 2 views",412.0,86.0,36.29,2086.0,64
CDM,5017585,"X-ray of elbow, 2 views",412.0,86.0,36.29,2086.0,64
CDM,5017586,"X-ray of elbow, minimum of 3 views",1008.0,86.0,36.29,2086.0,64
CDM,5017587,"X-ray of elbow, minimum of 3 views",504.0,86.0,36.29,2086.0,64
CDM,5017588,"X-ray of elbow, minimum of 3 views",504.0,86.0,36.29,2086.0,64
CDM,5017589,"X-ray of forearm, 2 views",1230.0,86.0,36.29,2398.5,64
CDM,5017590,"X-ray of forearm, 2 views",615.0,86.0,36.29,2086.0,64
CDM,5017591,"X-ray of forearm, 2 views",615.0,86.0,36.29,2086.0,64
CDM,5017596,"X-ray of wrist, 2 views",373.0,86.0,36.29,2086.0,64
CDM,5017597,"X-ray of wrist, 2 views",373.0,86.0,36.29,2086.0,64
CDM,5017598,"X-ray of wrist, minimum of 3 views",1204.0,86.0,36.29,2347.8,64
CDM,5017599,"X-ray of wrist, minimum of 3 views",602.0,86.0,36.29,2086.0,64
CDM,5017600,"X-ray of wrist, minimum of 3 views",602.0,86.0,36.29,2086.0,64
CDM,5017602,"X-ray of hand, 2 views",330.0,116.0,36.29,2086.0,64
CDM,5017603,"X-ray of hand, 2 views",330.0,116.0,36.29,2086.0,64
CDM,5017604,"X-ray of hand, minimum of 3 views",1076.0,86.0,36.29,2098.2,64
CDM,5017605,"X-ray of hand, minimum of 3 views",538.0,86.0,36.29,2086.0,64
CDM,5017606,"X-ray of hand, minimum of 3 views",538.0,86.0,36.29,2086.0,64
CDM,5017608,"X-ray of finger, minimum of 2 views",372.0,86.0,36.29,2086.0,64
CDM,5017609,"X-ray of finger, minimum of 2 views",372.0,86.0,36.29,2086.0,64
CDM,5017612,"X-ray of hip, 1 view",283.0,86.0,36.29,2086.0,64
CDM,5017614,"X-ray of hip, 2-3 views",486.0,86.0,36.29,2086.0,64
CDM,5017615,"X-ray of hip, 2-3 views",468.0,86.0,36.29,2086.0,64
CDM,5017616,"X-ray of hip, 2-3 views",468.0,86.0,36.29,2086.0,64
CDM,5017617,"X-ray of both hips, 3-4 views",652.0,116.0,36.29,2086.0,64
CDM,5017619,"X-ray of thigh bone, minimum 2 views",1358.0,86.0,36.29,2648.1,64
CDM,5017620,"X-ray of thigh bone, minimum 2 views",679.0,86.0,36.29,2086.0,64
CDM,5017621,"X-ray of thigh bone, minimum 2 views",679.0,86.0,36.29,2086.0,64
CDM,5017622,"X-ray of knee, 1-2 views",978.0,86.0,36.29,2086.0,64
CDM,5017623,"X-ray of knee, 1-2 views",489.0,86.0,36.29,2086.0,64
CDM,5017624,"X-ray of knee, 1-2 views",489.0,86.0,36.29,2086.0,64
CDM,5017625,"X-ray of knee, 3 views",1010.0,86.0,36.29,2086.0,64
CDM,5017626,"X-ray of knee, 3 views",505.0,86.0,36.29,2086.0,64
CDM,5017627,"X-ray of knee, 3 views",505.0,86.0,36.29,2086.0,64
CDM,5017629,"X-ray of knee, 4 or more views",652.0,116.0,36.29,2086.0,64
CDM,5017630,"X-ray of knee, 4 or more views",652.0,116.0,36.29,2086.0,64
CDM,5017631,X-ray of both knees while standing,352.0,86.0,36.29,2086.0,64
CDM,5017632,"X-ray of lower leg, 2 views",1306.0,86.0,36.29,2546.7,64
CDM,5017633,"X-ray of lower leg, 2 views",653.0,86.0,36.29,2086.0,64
CDM,5017634,"X-ray of lower leg, 2 views",653.0,86.0,36.29,2086.0,64
CDM,5017636,"X-ray of infant leg, minimum of 2 views",376.0,86.0,36.29,2086.0,64
CDM,5017639,"X-ray of ankle, 2 views",412.0,86.0,36.29,2086.0,64
CDM,5017640,"X-ray of ankle, 2 views",412.0,86.0,36.29,2086.0,64
CDM,5017641,"X-ray of ankle, minimum of 3 views",1158.0,86.0,36.29,2258.1,64
CDM,5017642,"X-ray of ankle, minimum of 3 views",579.0,86.0,36.29,2086.0,64
CDM,5017643,"X-ray of ankle, minimum of 3 views",579.0,86.0,36.29,2086.0,64
CDM,5017645,"X-ray of foot, 2 views",601.0,86.0,36.29,2086.0,64
CDM,5017646,"X-ray of foot, 2 views",601.0,86.0,36.29,2086.0,64
CDM,5017648,"X-ray of foot, minimum of 3 views",1210.0,86.0,36.29,2359.5,64
CDM,5017649,"X-ray of foot, minimum of 3 views",605.0,86.0,36.29,2086.0,64
CDM,5017651,"X-ray of heel, minimum of 2 views",345.0,86.0,36.29,2086.0,64
CDM,5017652,"X-ray of heel, minimum of 2 views",345.0,86.0,36.29,2086.0,64
CDM,5017654,"X-ray of toe, minimum of 2 views",409.0,86.0,36.29,2086.0,64
CDM,5017655,"X-ray of toe, minimum of 2 views",409.0,86.0,36.29,2086.0,64
CDM,5017656,"X-ray of abdomen, 1 view",430.0,86.0,36.29,2086.0,64
CDM,5017659,"X-ray of abdomen, 2 views",516.0,116.0,36.29,2086.0,64
CDM,5017660,X-ray series of abdomen with single X-ray of chest,551.0,116.0,36.29,2086.0,64
CDM,5017729,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",619.0,,166.51,1386.56,43
CDM,5018053,"Measles, mumps, and rubella vaccine",120.0,120.0,22.56,234.0,61
CDM,5018155,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",151.0,151.0,22.56,294.45,61
CDM,5018279,"Influenza vaccine, quadrivalent, preservative free, 0.5 mL dosage",78.0,78.0,20.98,152.1,61
CDM,5110003,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6997.0,6997.0,1438.58,5597.6,45
CDM,5110004,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8239.0,8239.0,1693.94,6591.2,45
CDM,5110005,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,9888.0,9888.0,2032.97,7910.4,45
CDM,5110006,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,12204.0,12204.0,2509.14,9763.2,45
CDM,5110007,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13712.0,13712.0,2819.19,10969.6,45
CDM,5110008,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17604.0,17604.0,3619.38,14083.2,45
CDM,5110009,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,2287.0,2287.0,470.21,1829.6,45
CDM,5110010,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,2840.0,2840.0,583.9,2272.0,45
CDM,5110011,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,3334.0,3334.0,685.47,2667.2,45
CDM,5110012,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,3867.0,3867.0,795.06,3093.6,45
CDM,5110017,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4591.0,4591.0,943.91,3672.8,45
CDM,5110018,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,5757.0,5757.0,1183.64,4605.6,45
CDM,5110020,X-ray of surgical specimen,856.0,514.0,76.23,2086.0,64
CDM,5110021,Closed treatment of broken lower jaw bone with placement of stabilizing device to teeth,9273.0,5408.0,3171.0,27978.0,64
CDM,5110022,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",637.0,368.0,111.0,7362.0,64
CDM,5120003,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6997.0,6997.0,1438.58,5597.6,45
CDM,5120004,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8239.0,8239.0,1693.94,6591.2,45
CDM,5120005,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,9888.0,9888.0,2032.97,7910.4,45
CDM,5120006,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,12204.0,12204.0,2509.14,9763.2,45
CDM,5120007,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,13712.0,13712.0,2819.19,10969.6,45
CDM,5120008,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,17604.0,17604.0,3619.38,14083.2,45
CDM,5120009,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,2287.0,2287.0,470.21,1829.6,45
CDM,5120010,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,2840.0,2840.0,583.9,2272.0,45
CDM,5120011,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,3334.0,3334.0,685.47,2667.2,45
CDM,5120012,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,3867.0,3867.0,795.06,3093.6,45
CDM,5120017,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,4591.0,4591.0,943.91,3672.8,45
CDM,5120018,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,5757.0,5757.0,1183.64,4605.6,45
CDM,5360001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5360002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5360004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5360005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,5360006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,5360007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,5360008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,5360009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5360010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5360011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5360411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,5360412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,5360413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,5360414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5360415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,5360416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,5360417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5360418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,5360419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,5360421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,5362201,Ultrasound scan of uterus and uterine cavity,581.0,245.0,105.0,2499.0,64
CDM,5362202,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,5362207,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,5362208,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,5362209,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,5362210,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,5362212,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,5362213,Ultrasound scan of fetal brain artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,5362216,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,5362219,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,5362220,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,5362221,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,5362222,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,5362223,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,5362224,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,5362225,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,5362227,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,5362233,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,5362234,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, each additional fetus",202.0,202.0,62.5,2499.0,61
CDM,5362235,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,64
CDM,5362236,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,5362238,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,5362239,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,5362240,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,5362500,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",16.5,16.5,4.44,36.96,48
CDM,5362501,"INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG",89.55,89.55,24.09,200.59,48
CDM,5362502,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",175.95,175.95,22.56,343.1,61
CDM,5362503,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent",1001.3,1001.3,92.1,1952.54,61
CDM,5362504,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",749.95,17.0,26.82,1679.89,62
CDM,5362505,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG",27.4,27.4,7.37,61.38,48
CDM,5362507,"Removal of skin tag, 1-15 skin tags",315.0,191.0,84.74,5962.0,61
CDM,5362508,Insertion of drug delivery implant into tissue,270.0,120.0,72.63,4984.0,61
CDM,5362509,Removal of drug delivery implant from tissue,700.0,289.0,109.83,7362.0,61
CDM,5362510,Removal with reinsertion of drug delivery implant into tissue,700.0,289.0,109.83,7362.0,61
CDM,5362511,Incision and drainage of abscess of female genital gland,351.0,181.0,94.42,5962.0,61
CDM,5362512,Creation of drainage tract for gland cyst of female genitals,5071.0,2790.0,1364.1,20345.0,61
CDM,5362513,"Biopsy of growth of external female genitals, first growth",1443.0,674.0,350.48,10537.0,61
CDM,5362514,"Biopsy of growth of external female genitals, each additional growth",387.0,387.0,104.1,1897.0,61
CDM,5362515,Simple biopsy of vaginal mucous membrane,1443.0,674.0,350.48,10537.0,61
CDM,5362516,Fitting and insertion of vaginal support device,317.0,181.0,85.27,5962.0,61
CDM,5362517,Biopsy of vagina and cervix using an endoscope,1443.0,674.0,350.48,10537.0,61
CDM,5362518,Exam of cervix and upper part of vagina using an endoscope,317.0,181.0,85.27,5962.0,61
CDM,5362519,Biopsy and scraping of cervix using an endoscope,477.0,300.0,128.31,5962.0,61
CDM,5362520,Biopsy of cervix using an endoscope,477.0,300.0,128.31,5962.0,61
CDM,5362521,Scraping of cervix using an endoscope,477.0,300.0,128.31,5962.0,61
CDM,5362522,Biopsy of cervix using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,5362523,Cone biopsy of cervix and vagina using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,5362524,Scraping of tissue of cervix,1443.0,674.0,350.48,10537.0,61
CDM,5362525,Removal or destruction of cervix using loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,5362526,Biopsy of lining of uterus,317.0,181.0,85.27,5962.0,61
CDM,5362527,Exam of cervix using an endoscope with biopsy of lining of uterus,321.0,321.0,86.35,1897.0,61
CDM,5362528,Insertion of IUD for pregnancy prevention,248.0,248.0,66.71,4132.0,61
CDM,5362529,Removal of IUD,478.0,300.0,128.58,5962.0,61
CDM,5362530,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,5750001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5750002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5750003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5750004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,5750005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,5750006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,5750007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,5750008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5750009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5750010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5750011,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5750012,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,5750013,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,5750014,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,5750015,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,5750016,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,5750017,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,5750018,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5750019,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,5750020,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,5750023,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,5750026,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,5750030,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,5750033,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,5750034,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,5760001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5760002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5760003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5760004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,5760005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,5760006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,5760007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,5760008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5760009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5760010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5760011,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5760012,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,5760013,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,5760014,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,5760015,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,5760016,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,5760017,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,5760018,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5760019,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,5760020,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,5860001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5860002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5860003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5860004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,5860005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,5860013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,5860014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,5860015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,5860016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,5860017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,5860021,Application of nonmoveable finger splint,209.0,120.0,48.98,4984.0,61
CDM,5860045,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,61
CDM,5860066,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,61
CDM,5860078,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,61
CDM,5860081,Application of lower and upper arm splint,317.0,150.0,48.98,4984.0,61
CDM,5860088,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,61
CDM,5860089,Application of hand and lower forearm cast,646.0,150.0,128.6,4984.0,61
CDM,5860118,"Removal of fingernails or toenails, 1-5 nails",135.0,59.0,36.32,4984.0,61
CDM,5860124,"UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",495.0,544.5,212.85,837.49,48
CDM,5860126,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,61
CDM,5860127,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,61
CDM,5860128,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,5860129,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,5860130,"Injection of trigger points, 1-2 muscles",481.0,278.0,129.39,5962.0,61
CDM,5860132,Injection of carpal tunnel,481.0,278.0,129.39,5962.0,61
CDM,5860134,Injection into tendon at attachment to bone or muscle,481.0,278.0,129.39,5962.0,61
CDM,5860137,Aspiration and/or injection of fluid from large joint,806.0,278.0,166.07,5962.0,61
CDM,5860411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,5860412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,5860413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,5860415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,5860416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,5860417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5860418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,5860419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,5860421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,5863050,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,5865045,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,5865047,"X-ray of elbow, minimum of 3 views",454.0,86.0,36.29,2086.0,64
CDM,5865054,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,5865055,"X-ray of finger, minimum of 2 views",322.0,86.0,36.29,2086.0,64
CDM,5865063,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,5865064,"X-ray of forearm, 2 views",574.0,86.0,36.29,2086.0,64
CDM,5865071,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,5865073,"X-ray of hand, minimum of 3 views",489.0,86.0,36.29,2086.0,64
CDM,5865074,"X-ray of both hips, 3-4 views",574.0,116.0,36.29,2086.0,64
CDM,5865079,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,5865082,"X-ray of hip, 2-3 views",402.0,86.0,36.29,2086.0,64
CDM,5865088,"X-ray of knee, 4 or more views",1180.0,116.0,36.29,2301.0,64
CDM,5865090,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,5865091,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,5865093,"X-ray of knee, 3 views",448.0,86.0,36.29,2086.0,64
CDM,5865094,"X-ray of knee, 4 or more views",590.0,116.0,36.29,2086.0,64
CDM,5865126,"X-ray of pelvis, 1-2 views",465.0,116.0,36.29,2086.0,64
CDM,5865170,"X-ray of lower leg, 2 views",607.0,86.0,36.29,2086.0,64
CDM,5865183,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,5865184,"X-ray of wrist, 2 views",327.0,86.0,36.29,2086.0,64
CDM,5865185,"X-ray of wrist, minimum of 3 views",546.0,86.0,36.29,2086.0,64
CDM,5869002,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,5869003,Insertion of temporary bladder tube,222.0,120.0,55.63,4984.0,61
CDM,5869004,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,5869005,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,6010001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6010002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6010004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,6010005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,6010006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,6010007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6010008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,6010010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,6010011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,6010013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,6020001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,6020002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,6020004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,6110001,Test for hearing various pitches using earphone and device placed against the bone,202.0,148.0,54.34,393.9,59
CDM,6110002,Test for ability to detect and repeat spoken words with speech recognition,93.0,59.0,21.73,343.0,59
CDM,6110018,Test for hearing various pitches using earphone,208.0,120.0,21.73,405.6,59
CDM,6110021,Test for ability to detect and repeat spoken words,93.0,36.0,21.73,343.0,59
CDM,6110023,Comprehensive hearing and speech recognition test,236.0,148.0,54.81,460.2,59
CDM,6110027,Test to assess middle ear muscle reflex,59.0,36.0,15.87,343.0,59
CDM,6110028,Comprehensive hearing test,203.0,148.0,54.61,395.85,59
CDM,6110029,Test to assess hearing loss using 2 simultaneous words at different tones in same ear,799.0,519.0,54.81,1558.05,59
CDM,6110031,Test to assess hearing sensitivity using visual aids,338.0,148.0,54.81,659.1,59
CDM,6110032,Test to assess hearing sensitivity using activity related feedback,203.0,148.0,54.61,395.85,59
CDM,6110033,Test to assess hearing using pictures,93.0,59.0,21.73,343.0,59
CDM,6110035,Test for eardrum and muscle function,338.0,148.0,54.81,659.1,59
CDM,6110037,Placement of ear probe for computerized measurement of repeated sounds with interpretation and report,585.0,281.0,54.81,1140.75,59
CDM,6110040,Placement of ear probe for computerized measurement of sound with interpretation and report,363.0,281.0,54.81,707.85,59
CDM,6110046,Test to assess middle ear function,59.0,36.0,15.87,343.0,59
CDM,6110050,Test to assess defects in adaption to sounds,59.0,36.0,15.87,343.0,59
CDM,6990001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6990002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6990004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,6990005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,6990006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,6990007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,6990008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,6990010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,6990013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,7100066,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7100069,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7100070,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7100073,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7100074,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7100075,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7100076,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7100078,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7200002,Removal of foreskin using clamp or device,3275.0,1904.0,880.98,16462.0,61
CDM,7200003,Removal of foreskin (28 days or younger),2001.0,612.0,538.27,10537.0,61
CDM,7200004,Removal of foreskin (older than 28 days),3275.0,1904.0,880.98,16462.0,61
CDM,7200005,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7200014,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,7200018,Complex measurement of pressure of urine flow in bladder,861.0,283.0,231.61,5962.0,61
CDM,7200020,Complex measurement of pressure of urine flow in bladder with voiding pressure studies,1092.0,612.0,273.03,10537.0,64
CDM,7200021,Electronic assessment of bladder emptying,433.0,148.0,116.48,5962.0,64
CDM,7200022,Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings,202.0,148.0,54.34,4984.0,64
CDM,7200023,Insertion of device into abdomen with pressure and urine flow rate study,303.0,303.0,55.63,1897.0,64
CDM,7200024,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,7200025,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,7200040,Review by radiologist of urinary bladder and urethra images with contrast and after passing urine,1343.0,245.0,76.23,2618.85,64
CDM,7200043,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7200061,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7200062,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7200064,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7200065,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7200066,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7200067,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7200068,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7200069,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7200070,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7200071,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7200073,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7200074,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7200075,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7200076,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7200077,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7200078,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7200085,Simple change of bladder tube,392.0,283.0,55.63,5962.0,64
CDM,7200086,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,7300001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7300004,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7300005,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7300010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7300013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7300014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7300015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7300016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7300017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7300018,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7300019,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7300020,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7300021,Biopsy of anus using an endoscope,1875.0,1103.0,504.38,10740.0,61
CDM,7300022,Destruction of anal polyp or growth using an endoscope,4348.0,2598.0,1169.61,17883.0,61
CDM,7300023,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7300024,Diagnostic exam of anus using an endoscope,208.0,120.0,55.95,4984.0,61
CDM,7300245,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7300270,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7300275,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7300286,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7300411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7300412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7300413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7300414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7300415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7300416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7300417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7300418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7300419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7300421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7310012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7310016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7310017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7310018,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7310019,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7310020,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7310021,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7310022,Inhalation treatment for pneumonia,343.0,200.0,41.72,668.85,59
CDM,7310024,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7310069,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7310070,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7310298,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7310415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7310416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7310417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7310418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7310419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7320002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7320003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7320004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7320005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7320006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7320007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7320008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7320010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7320011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7320012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7320015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7320016,APPLIANCE REMOVAL,524.0,524.0,75.0,1228.04,50
CDM,7320018,Simple change of bladder tube,392.0,283.0,55.63,5962.0,64
CDM,7320020,"Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope",3275.0,1904.0,880.98,16462.0,61
CDM,7320021,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7320029,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,7320031,"Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,7320032,"Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less",1192.0,1079.0,274.64,10537.0,61
CDM,7320040,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,7320043,"Injection of trigger points, 1-2 muscles",481.0,278.0,129.39,5962.0,61
CDM,7320044,"Injection of trigger points, 3 or more muscles",481.0,278.0,129.39,5962.0,61
CDM,7320048,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1106.0,675.0,72.0,10537.0,62
CDM,7320049,Aspiration and/or injection of fluid large joint using ultrasound guidance,536.0,278.0,144.18,5962.0,61
CDM,7320054,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1109.0,662.0,298.32,10537.0,57
CDM,7320058,"Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm",637.0,1079.0,171.35,7362.0,61
CDM,7320061,"Punch biopsy, first skin growth",637.0,368.0,171.35,7362.0,61
CDM,7320063,"Punch biopsy, each additional skin growth",125.0,125.0,33.63,1897.0,61
CDM,7320064,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,7320068,"Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm",2587.0,1079.0,695.9,15383.0,61
CDM,7320079,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,61
CDM,7320081,Fitting and insertion of vaginal support device,317.0,181.0,85.27,5962.0,61
CDM,7320088,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",1109.0,662.0,274.64,10537.0,61
CDM,7320089,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7320091,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,7320094,"Injection into skin growth, 1-7 growths",315.0,191.0,72.0,5962.0,62
CDM,7320098,"Removal of skin and tissue, 20.0 sq cm or less",738.0,368.0,198.52,7362.0,61
CDM,7320099,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,61
CDM,7320101,Removal of external hemorrhoids by rubber banding,1457.0,844.0,391.93,10537.0,61
CDM,7320102,Exam with injections of chemical for destruction of bladder using an endoscope,3275.0,1904.0,1026.31,16462.0,64
CDM,7320103,Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings,202.0,148.0,54.34,4984.0,61
CDM,7320104,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT, ULTRASOUND-LOCALIZED DISCRETE LESION[S])",5522.0,5522.0,955.0,10767.9,50
CDM,7320105,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,61
CDM,7320106,Injection of anesthetic agent and/or steroid into other nerve or branch,1106.0,675.0,275.98,10537.0,61
CDM,7320107,Injection of anesthetic agent and/or steroid into other nerve or branch,1824.0,675.0,275.98,10537.0,61
CDM,7320241,"Fine needle aspiration biopsy, first growth",637.0,368.0,171.35,7362.0,57
CDM,7320280,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,7320411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7320412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7320413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7320414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7320415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7320416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7320417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7320418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7320419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7320421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7322130,Aspiration and/or injection of fluid from small joint,481.0,278.0,129.39,5962.0,61
CDM,7322165,Insertion of temporary bladder tube,222.0,120.0,55.63,4984.0,61
CDM,7322186,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,56
CDM,7322200,Simple bladder irrigation and/or instillation,391.0,283.0,55.63,5962.0,61
CDM,7324001,Insertion of tissue expander,5551.0,3744.0,1239.1,27978.0,61
CDM,7324102,Complex measurement of pressure of urine flow in bladder,861.0,283.0,231.61,5962.0,61
CDM,7324103,Electronic assessment of bladder emptying,433.0,148.0,116.48,5962.0,61
CDM,7324106,Complex measurement of pressure of urine flow in bladder with voiding pressure studies,1093.0,612.0,273.03,10537.0,61
CDM,7324107,Insertion of device into abdomen with pressure and urine flow rate study,303.0,303.0,55.63,1897.0,61
CDM,7324108,Diagnostic exam of bladder and urethra using an endoscope,1945.0,612.0,836.35,10537.0,64
CDM,7326067,Ultrasound scan of pelvic region through rectum,583.0,116.0,70.1,2499.0,64
CDM,7330004,Simple or single drainage of skin abscess,315.0,191.0,109.83,5962.0,64
CDM,7330005,Drainage of blood or fluid accumulation,2588.0,2588.0,111.0,15383.0,64
CDM,7330012,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7330013,"Fine needle aspiration biopsy, first growth",637.0,368.0,111.0,7362.0,60
CDM,7330014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7330017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7330018,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,61
CDM,7330020,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7330021,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7330022,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7330023,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7330028,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7330039,Measurement of lymphedema extracellular fluid,325.0,148.0,35.07,633.75,56
CDM,7330041,Limited ultrasound scan of 1 breast,404.0,86.0,70.1,2499.0,64
CDM,7330042,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,7330043,Limited ultrasound scan of 1 breast,202.0,86.0,70.1,2499.0,64
CDM,7330078,"Aspiration of cyst of breast, first cyst",1110.0,662.0,437.88,10537.0,64
CDM,7330079,"Aspiration of cyst of breast, each additional cyst",238.0,238.0,64.02,3241.0,64
CDM,7330083,"Punch biopsy, each additional skin growth",125.0,125.0,33.63,3241.0,64
CDM,7330084,"Punch biopsy, first skin growth",637.0,368.0,111.0,7362.0,64
CDM,7330411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7330412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7330413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7330414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7330415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7330416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7330417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7330418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7330419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7330421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7338076,Needle biopsy of breast,2588.0,1496.0,876.45,15383.0,64
CDM,7340418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7350001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7350002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7350004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7350005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7350006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7350007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7350008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7350009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7350010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7350011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7350012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7350020,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7350039,Injection of chemical for paralysis of nerve muscles on side of face,760.0,278.0,204.44,5962.0,61
CDM,7350040,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,481.0,278.0,129.39,5962.0,61
CDM,7350041,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,760.0,278.0,204.44,5962.0,61
CDM,7350048,Hemoglobin A1C level,137.0,137.0,2.74,2119.0,64
CDM,7350061,Injection of anesthetic agent and/or steroid into upper neck and back of head nerve,481.0,278.0,129.39,5962.0,61
CDM,7350066,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,7350068,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7350069,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7350072,Heart rhythm recording continuous external EKG over more than 48 hours up to 7 days,59.0,59.0,15.87,1758.0,64
CDM,7350073,Heart rhythm recording of continuous external EKG over 8-15 days,59.0,59.0,15.87,1758.0,64
CDM,7350411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7350412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7350413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7350414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7350415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7350416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7350417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7350418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7350419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7350421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7352154,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7352158,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7352179,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7352181,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,7360001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7360002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7360003,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7360004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7360005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7360006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7360007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7360008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7360009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7360010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7360011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7360012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7360013,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,61
CDM,7360014,Biopsy of anus using an endoscope,1875.0,1103.0,504.38,10740.0,61
CDM,7360015,Destruction of anal polyp or growth using an endoscope,4348.0,2598.0,1169.61,17883.0,61
CDM,7360017,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,169.65,59
CDM,7360019,"Destruction of skin growth, 1-14 growths",315.0,191.0,84.74,5962.0,61
CDM,7360021,Diagnostic exam of anus using an endoscope,209.0,120.0,56.22,4984.0,61
CDM,7360022,Exam of cervix using an endoscope with biopsy of lining of uterus,321.0,321.0,86.35,1897.0,61
CDM,7360023,Biopsy of vagina and cervix using an endoscope,1443.0,674.0,72.0,10537.0,62
CDM,7360024,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7360026,Diagnostic exam of uterus using an endoscope,5071.0,2790.0,1364.1,20345.0,61
CDM,7360030,Removal or destruction of cervix using loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,7360031,Cone biopsy of cervix and vagina using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,7360032,Simple biopsy of vaginal mucous membrane,1443.0,674.0,350.48,10537.0,61
CDM,7360033,Biopsy of cervix or removal of growth,1443.0,674.0,350.48,10537.0,61
CDM,7360034,Electro or thermal destruction of cervix,5071.0,2790.0,1364.1,20345.0,61
CDM,7360035,Urine pregnancy test,64.0,64.0,1.48,2119.0,64
CDM,7360039,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7360040,Biopsy of lining of uterus,317.0,181.0,85.27,5962.0,61
CDM,7360041,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7360042,"Removal of skin tag, 1-15 skin tags",315.0,191.0,84.74,5962.0,61
CDM,7360043,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,7360044,Insertion of drug delivery implant into tissue,270.0,120.0,72.0,4984.0,62
CDM,7360052,"Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope",3275.0,1904.0,880.98,16462.0,61
CDM,7360055,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,7360057,Biopsy of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7360058,Scraping of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7360059,Incision and drainage of abscess of female genital gland,351.0,181.0,94.42,5962.0,61
CDM,7360078,"Biopsy of growth of external female genitals, each additional growth",387.0,387.0,104.1,1897.0,61
CDM,7360082,INTRAUTERINE COPPER CONTRACEPTIVE (PARAGARD),1640.0,1640.0,61.32,3673.6,54
CDM,7360280,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,7360304,Insertion of IUD for pregnancy prevention,248.0,248.0,66.71,4132.0,61
CDM,7360411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7360412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7360413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7360414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7360415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7360416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7360417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7360418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7360419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7360421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7360515,Exam of cervix and upper part of vagina using an endoscope,317.0,181.0,85.27,5962.0,61
CDM,7360516,Biopsy and scraping of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7362158,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7362168,Scraping of tissue of cervix,1443.0,674.0,350.48,10537.0,64
CDM,7362173,Fitting and insertion of vaginal support device,317.0,181.0,85.27,5962.0,61
CDM,7362177,Removal of IUD,478.0,300.0,128.58,5962.0,61
CDM,7362179,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7362185,"Biopsy of growth of external female genitals, first growth",1443.0,674.0,350.48,10537.0,61
CDM,7362252,Removal of drug delivery implant from tissue,700.0,289.0,72.0,7362.0,62
CDM,7362253,Removal with reinsertion of drug delivery implant into tissue,700.0,289.0,72.0,7362.0,62
CDM,7364001,Diagnostic exam of bladder and urethra using an endoscope,1945.0,612.0,523.21,10537.0,61
CDM,7366000,Biopsy of cervix using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,7366002,Removal of implantable contraceptive capsules,1109.0,662.0,274.64,10537.0,61
CDM,7370001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7370004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7370005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7370006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7370007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7370008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7370009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7370010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7370012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7370013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7370014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7370015,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7370016,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7370026,Detection test by immunoassay with direct visual observation for influenza virus,95.0,95.0,4.04,2119.0,64
CDM,7370027,"Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,7370028,Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face,481.0,278.0,129.39,5962.0,61
CDM,7370032,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7370034,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7370035,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7370048,Test to measure expiratory airflow and volume,339.0,148.0,41.72,1758.0,64
CDM,7370056,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7370068,"Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose",64.0,,17.22,124.8,59
CDM,7370201,Administration of first vaccine or toxoid component with counseling (18 years or younger),35.0,35.0,9.42,68.25,59
CDM,7370202,"Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component",17.0,17.0,4.57,38.0,59
CDM,7370291,Evaluation of use of breathing device,344.0,200.0,41.72,670.8,59
CDM,7370411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7370412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7370413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7370414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7370415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7370416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7370417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7370418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7370419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7370421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7370907,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7372126,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,7372167,Insertion of temporary bladder tube,222.0,120.0,55.63,4984.0,61
CDM,7380006,Simple insertion of temporary bladder tube,209.0,120.0,55.63,4984.0,61
CDM,7380018,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7380036,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7380040,Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings,202.0,148.0,54.34,4984.0,64
CDM,7380413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7380414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7380415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7380417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7380418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7380419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7382193,Injection procedure for imaging of bladder during voiding,189.0,189.0,50.84,1897.0,61
CDM,7382200,Simple bladder irrigation and/or instillation,392.0,283.0,55.63,5962.0,61
CDM,7384103,Electronic assessment of bladder emptying,433.0,148.0,116.48,5962.0,61
CDM,7384106,Complex measurement of pressure of urine flow in bladder with voiding pressure studies,1093.0,612.0,273.03,10537.0,61
CDM,7384107,Insertion of device into abdomen with pressure and urine flow rate study,303.0,303.0,55.63,1897.0,61
CDM,7386067,Ultrasound scan of pelvic region through rectum,583.0,116.0,70.1,2499.0,64
CDM,7390002,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7390013,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7390019,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7390065,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7390066,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7390094,"POWER MODULE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",14817.6,16299.36,6371.57,28928.33,50
CDM,7390095,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",9625.0,10587.5,4138.75,35079.88,50
CDM,7390096,"BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",13335.84,14669.42,4137.1,14669.42,50
CDM,7390097,"BATTERY CLIPS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1018.71,1120.58,438.05,1130.1,48
CDM,7390098,"SHOWER COVER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",788.0,866.8,338.84,1232.89,48
CDM,7390099,"BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1157.63,1273.39,497.78,2062.01,48
CDM,7390100,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE,280.0,308.0,120.4,546.0,48
CDM,7390101,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE,9168.0,10084.8,3942.24,17877.6,50
CDM,7420004,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7420005,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",77.0,77.0,20.71,970.0,59
CDM,7420012,"Psychotherapy, 1 hour",288.0,142.0,77.47,970.0,59
CDM,7420014,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,75.0,838.5,48
CDM,7420015,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,75.0,797.55,48
CDM,7420018,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7420019,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7420020,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7420022,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,7420026,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7420027,"Psychotherapy with evaluation and management visit, 45 minutes",251.0,251.0,67.52,970.0,59
CDM,7420029,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,100.07,970.0,48
CDM,7420064,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7420066,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",286.0,286.0,76.93,970.0,59
CDM,7420067,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",263.0,263.0,70.75,970.0,59
CDM,7420070,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,59
CDM,7420071,"Administration of psychological or neuropsychological test, each additional 30 minutes",13.0,13.0,3.5,970.0,59
CDM,7420072,"Administration of psychological or neuropsychological test by technician, first 30 minutes",700.0,289.0,188.3,1365.0,59
CDM,7420073,"Administration of psychological or neuropsychological test by technician, each additional 30 minutes",13.0,13.0,3.5,970.0,59
CDM,7420074,"Evaluation of psychological test, first hour",385.0,281.0,103.57,970.0,59
CDM,7420075,"Evaluation of psychological test, each additional hour",99.0,99.0,26.63,970.0,59
CDM,7420076,"Psychotherapy, 30 minutes",279.0,142.0,72.0,544.05,57
CDM,7420077,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7420078,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7420079,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7420080,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7420801,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7420802,FAMILY THERAPY 15 MIN,160.0,160.0,43.04,312.0,45
CDM,7420803,GROUP THERAPY 15 MIN.,160.0,160.0,43.04,312.0,44
CDM,7422004,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,57
CDM,7422005,Group psychotherapy,160.0,80.0,43.04,312.0,56
CDM,7430002,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7430004,Group psychotherapy,160.0,80.0,43.04,312.0,56
CDM,7430006,"Psychotherapy, 1 hour",288.0,142.0,77.47,970.0,59
CDM,7430010,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7430011,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7430014,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,7430016,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7430022,"Psychotherapy, 30 minutes",279.0,142.0,75.05,544.05,57
CDM,7430028,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,57
CDM,7430029,Multiple-family group psychotherapy,279.0,142.0,75.0,544.05,57
CDM,7430035,"Family psychotherapy without patient, 50 minutes",334.0,142.0,75.0,651.3,57
CDM,7430039,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7430040,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7430041,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,56
CDM,7430042,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,100.07,970.0,48
CDM,7430043,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,116.0,116.0,31.2,970.0,59
CDM,7430045,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,198.0,198.0,53.26,970.0,59
CDM,7430054,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",286.0,286.0,76.93,970.0,59
CDM,7430064,Other psychiatric service or procedure,159.0,28.0,42.77,970.0,59
CDM,7430065,Other psychiatric service or procedure,159.0,28.0,42.77,970.0,59
CDM,7430066,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7430067,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7430069,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7440026,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7440027,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7440028,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7440029,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7440030,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7440032,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7440033,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7440034,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7440035,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7440036,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7440056,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7440057,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7440058,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7440059,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7440060,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7440061,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7440062,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7440063,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7440064,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7440065,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7460001,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7460003,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,57
CDM,7460004,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7460005,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",77.0,77.0,20.71,970.0,59
CDM,7460010,"Psychotherapy, 1 hour",288.0,142.0,77.47,970.0,59
CDM,7460011,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,75.0,881.4,48
CDM,7460012,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,75.0,838.5,48
CDM,7460013,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,75.0,797.55,48
CDM,7460016,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7460018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7460019,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7460021,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7460022,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,7460024,"Psychotherapy with evaluation and management visit, 1 hour",306.0,306.0,82.31,970.0,59
CDM,7460025,"Psychotherapy with evaluation and management visit, 45 minutes",251.0,251.0,67.52,970.0,59
CDM,7460026,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7460027,"Psychotherapy with evaluation and management visit, 30 minutes",167.0,167.0,44.92,970.0,59
CDM,7460029,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,75.0,725.4,48
CDM,7460060,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7460061,ALCOHOL AND/OR DRUG ASSESSMENT,251.0,251.0,67.52,489.45,55
CDM,7460062,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",286.0,286.0,76.93,970.0,59
CDM,7460066,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,59
CDM,7460067,"Administration of psychological or neuropsychological test, each additional 30 minutes",13.0,13.0,3.5,970.0,59
CDM,7460068,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,59
CDM,7460069,"Administration of psychological or neuropsychological test, each additional 30 minutes",13.0,13.0,3.5,970.0,59
CDM,7460074,"Evaluation of psychological test, first hour",385.0,281.0,103.57,970.0,59
CDM,7460075,"Evaluation of psychological test, each additional hour",99.0,99.0,26.63,970.0,59
CDM,7460076,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",160.0,160.0,43.04,970.0,60
CDM,7460077,"Psychotherapy, 30 minutes",279.0,142.0,72.0,544.05,57
CDM,7460078,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7460079,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7460080,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7460081,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7460801,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7460802,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",349.0,349.0,75.0,680.55,57
CDM,7460803,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",160.0,160.0,43.04,312.0,56
CDM,7460805,"Psychotherapy, 30 minutes",279.0,142.0,75.05,544.05,57
CDM,7461031,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,159.0,159.0,42.77,970.0,59
CDM,7461038,Other psychiatric service or procedure,159.0,28.0,42.77,970.0,59
CDM,7470001,Routine electrocardiogram (ECG) using at least 12 leads with tracing,300.0,59.0,16.95,1758.0,64
CDM,7470090,Emergency department visit for problem that may not require health care professional,597.0,77.0,262.68,1748.0,57
CDM,7470091,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,57
CDM,7470092,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,57
CDM,7470093,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,57
CDM,7470094,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,57
CDM,7470095,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,57
CDM,7470312,Emergency department visit for problem that may not require health care professional,94.0,77.0,41.36,1748.0,53
CDM,7470617,ED PROC LEVEL A,257.0,257.0,52.84,1748.0,49
CDM,7470618,ED PROC LEVEL B,601.0,601.0,123.57,1748.0,49
CDM,7470619,ED PROC LEVEL C,1086.0,1086.0,223.28,1748.0,49
CDM,7470649,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,60
CDM,7470651,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,2020.2,60
CDM,7470652,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,7470654,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,7470655,Limited ultrasound scan of abdomen,741.0,116.0,70.1,2499.0,64
CDM,7470656,Ultrasound scan of chest,173.0,116.0,70.1,2499.0,64
CDM,7470657,"Ultrasound of heart, follow-up",1171.0,245.0,299.84,2499.0,61
CDM,7470658,Limited ultrasound scan behind abdominal cavity,583.0,116.0,70.1,2499.0,64
CDM,7470659,Limited ultrasound scan of pelvis,455.0,116.0,70.1,2499.0,64
CDM,7470660,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,7470661,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,7470662,Ultrasound study of one arm or leg veins with compression and maneuvers,1237.0,116.0,70.1,2499.0,61
CDM,7470663,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,64
CDM,7470664,Ultrasound scan of scrotum,545.0,116.0,70.1,2499.0,64
CDM,7470665,Ultrasound scan of head and neck soft tissue,567.0,116.0,70.1,2499.0,64
CDM,7470666,Limited ultrasound scan of joint or other extremity structure except blood vessels,173.0,116.0,70.1,2499.0,64
CDM,7470667,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,7470668,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,64
CDM,7474225,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7474226,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,7474227,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,7474228,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,7474229,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,7474230,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,7474231,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,7474430,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,7474433,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,49
CDM,7490001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7490002,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7490003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7490004,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7490005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7490006,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7490007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7490008,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7490009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7490010,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7490011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7490012,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7490013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7490014,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7490015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7490016,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7490017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7490018,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7490019,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7490020,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7490021,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7490022,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7490028,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7490029,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7490036,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7490040,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7490041,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7490050,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7490084,Detection test by immunoassay with direct visual observation for influenza virus,95.0,95.0,4.04,2119.0,64
CDM,7490085,Hemoglobin A1C level,137.0,137.0,2.74,2119.0,64
CDM,7520004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7520006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,231.0,126.0,60.0,450.45,46
CDM,7520007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7520008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7520011,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7520012,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7520013,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7520014,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7520015,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7520016,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7520017,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7520018,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7520019,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7530001,Psychiatric diagnostic evaluation with medical services,288.0,142.0,77.47,970.0,59
CDM,7530002,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7530003,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7530004,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7530005,Group psychotherapy,160.0,80.0,43.04,312.0,56
CDM,7530006,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7530007,"Psychotherapy, 1 hour",288.0,142.0,77.47,970.0,59
CDM,7530008,"Psychotherapy, 30 minutes",279.0,142.0,75.05,544.05,57
CDM,7530009,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7530010,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7530011,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,75.0,725.4,48
CDM,7530012,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,970.0,59
CDM,7530013,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",55.0,55.0,14.8,970.0,59
CDM,7530014,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7530015,ALCOHOL AND/OR DRUG ASSESSMENT,251.0,251.0,67.52,489.45,55
CDM,7530020,Psychiatric diagnostic evaluation,286.0,142.0,76.93,970.0,59
CDM,7530021,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7530022,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7530023,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7530024,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7540004,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,75.0,838.5,48
CDM,7540005,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,75.0,881.4,48
CDM,7540006,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,75.0,663.0,48
CDM,7540007,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,75.0,694.2,48
CDM,7540008,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7540009,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7540010,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7620003,Collection of blood sample from implanted device,209.0,120.0,50.16,4984.0,61
CDM,7620005,Biopsy of bone marrow,2588.0,1496.0,696.17,15383.0,61
CDM,7620009,Instillation of anti-cancer drug into bladder,1093.0,283.0,273.03,10537.0,61
CDM,7620011,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,330.6,10537.0,61
CDM,7620012,Removal of cerebrospinal fluid with lower back spinal tap,1106.0,675.0,297.51,10537.0,61
CDM,7620016,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,64
CDM,7620017,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,64
CDM,7620018,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,7620019,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,64
CDM,7620020,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",159.0,66.0,42.77,3506.0,64
CDM,7620021,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,64
CDM,7620022,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7620023,Injection of drug or substance into vein,334.0,218.0,31.86,3506.0,64
CDM,7620024,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,64
CDM,7620025,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,64
CDM,7620026,Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle,117.0,66.0,31.86,3900.0,64
CDM,7620027,Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle,113.0,66.0,31.86,3900.0,64
CDM,7620028,Administration of chemotherapy into vein using push technique,518.0,218.0,31.86,3900.0,64
CDM,7620029,Administration of additional new drug or substance into vein using push technique,133.0,66.0,31.86,3900.0,64
CDM,7620030,"Administration of chemotherapy into vein, 1 hour or less",518.0,339.0,178.32,3900.0,64
CDM,7620031,"Administration of chemotherapy into vein, each additional hour",181.0,66.0,63.35,3900.0,64
CDM,7620032,Administration of prolonged chemotherapy into vein,518.0,339.0,181.3,3900.0,64
CDM,7620033,"Administration of additional new drug or substance into vein, 1 hour or less",121.0,66.0,42.35,3900.0,64
CDM,7620036,Irrigation of implanted venous access drug delivery device,110.0,59.0,29.59,3506.0,64
CDM,7620062,Transfusion of blood or blood products,692.0,422.0,186.15,7362.0,64
CDM,7620063,Transfusion of blood or blood products,1018.0,422.0,273.84,7362.0,64
CDM,7620064,Transfusion of blood or blood products,1527.0,422.0,293.02,7362.0,64
CDM,7630001,Removal of growth of tongue without closure,5194.0,2909.0,922.83,20345.0,61
CDM,7630003,"Incision, aspiration, and/or inflation of eardrum",457.0,225.0,122.93,5962.0,61
CDM,7630006,Simple control of nose bleed,208.0,120.0,55.95,4984.0,61
CDM,7630007,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,7630008,"Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,7630012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7630020,"Injection into skin growth, 1-7 growths",315.0,191.0,84.74,5962.0,61
CDM,7630023,"Injection into skin growth, more than 7 growths",315.0,191.0,84.74,5962.0,61
CDM,7630024,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7630025,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7630026,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7630027,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7630030,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7630031,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7630032,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7630033,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7630034,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7630037,"TRACHEO-ESOPHAGEAL VOICE PROSTHESIS, INSERTED BY A LICENSED HEALTH CARE PROVIDER, ANY TYPE",250.0,275.0,107.5,275.0,50
CDM,7630039,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7630040,Removal of impacted ear wax,93.0,59.0,25.02,4984.0,50
CDM,7630041,Initial control of nose bleed and insertion of packing,208.0,120.0,55.95,4984.0,61
CDM,7630042,Removal of tissue at dental edge and cheek,2431.0,1438.0,922.83,15383.0,64
CDM,7630045,Biopsy of lip,462.0,225.0,124.21,5962.0,61
CDM,7630046,Diagnostic exam of nasal passages using an endoscope,313.0,175.0,84.2,5962.0,61
CDM,7630050,Exam of windpipe and lung airways through permanent windpipe opening using an endoscope,845.0,481.0,227.31,7362.0,61
CDM,7630051,Diagnostic exam of voice box using a flexible endoscope,313.0,175.0,84.2,5962.0,61
CDM,7630052,Exam of the nose and throat using an endoscope,313.0,175.0,84.2,610.35,56
CDM,7630053,Exam of ear using a microscope,101.0,101.0,27.17,196.95,45
CDM,7630054,Biopsy of lining of nose,2430.0,1438.0,653.67,15383.0,61
CDM,7630055,Biopsy of mouth,845.0,481.0,227.31,7362.0,61
CDM,7630056,Biopsy of back 1/3 of tongue,5194.0,2909.0,922.83,20345.0,61
CDM,7630057,Biopsy of floor of mouth,2588.0,1496.0,696.17,15383.0,61
CDM,7630058,Biopsy of roof of mouth,2431.0,1438.0,653.94,15383.0,61
CDM,7630059,"Fine needle aspiration biopsy, first growth",637.0,368.0,171.35,7362.0,57
CDM,7630060,Biopsy of ear,670.0,225.0,124.21,5962.0,61
CDM,7630061,Removal of foreign body in ear canal,208.0,120.0,55.95,4984.0,50
CDM,7630063,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7630065,"Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7630069,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
CDM,7630091,Biopsy of front 2/3 of tongue,845.0,481.0,124.21,7362.0,61
CDM,7630096,Removal of impacted ear wax by washing,93.0,59.0,25.02,4984.0,50
CDM,7630097,Removal of impacted ear wax by washing,166.0,59.0,44.65,4984.0,50
CDM,7630098,Injection into vocal cords using an endoscope,5840.0,3294.0,1292.04,27978.0,61
CDM,7630100,Removal of impacted ear wax,166.0,59.0,44.65,4984.0,50
CDM,7630108,"Fine needle aspiration biopsy, each additional growth",374.0,374.0,100.61,1897.0,57
CDM,7630109,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,298.59,10537.0,57
CDM,7630110,Incision of eardrum with insertion of eardrum tube under local or topical anesthesia,1037.0,481.0,124.21,7362.0,61
CDM,7630112,"Punch biopsy, first skin growth",637.0,368.0,171.35,7362.0,61
CDM,7630114,"Incision biopsy, first skin growth",1158.0,557.0,274.64,7362.0,61
CDM,7630117,Control of bleeding of nose using an endoscope,2788.0,1591.0,749.97,15383.0,61
CDM,7630118,Dilation of frontal nasal sinus using an endoscope,11055.0,6192.0,373.51,27978.0,61
CDM,7630119,Exam of windpipe and lung airways through permanent windpipe opening using an endoscope,845.0,481.0,227.31,7362.0,61
CDM,7630120,Injection of chemical for paralysis of nerve muscles on side of face,481.0,278.0,129.39,5962.0,61
CDM,7630121,Injection of chemical for paralysis of nerve muscles on side of face,760.0,278.0,204.44,5962.0,61
CDM,7630122,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,481.0,278.0,129.39,5962.0,61
CDM,7630123,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,760.0,278.0,204.44,5962.0,61
CDM,7630124,Incision of tissue connecting tongue and floor of mouth,2431.0,1438.0,653.94,15383.0,61
CDM,7630125,Removal of tissue connecting tongue and floor of mouth,2431.0,1438.0,653.94,15383.0,61
CDM,7630126,Complicated drainage of external ear abscess or blood accumulation,2587.0,1496.0,695.9,15383.0,61
CDM,7630127,"INJECTABLE BULKING AGENT FOR VOCAL CORD MEDIALIZATION, 0.1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",1190.0,1309.0,42.5,1309.0,50
CDM,7630128,"Removal of growth under skin of neck or front of chest, less than 3.0 cm",2588.0,1496.0,696.17,15383.0,61
CDM,7630129,Evaluation of swallowing function,598.0,598.0,161.9,1608.0,64
CDM,7630131,Evaluation and recording of swallowing using an endoscope,104.0,104.0,44.72,1608.0,64
CDM,7630132,"Treatment of speech, language, voice, communication, and/or hearing processing disorder",383.0,115.0,121.0,1608.0,64
CDM,7630133,Evaluation of speech sound production,554.0,554.0,121.0,1608.0,64
CDM,7630134,Analysis of voice and resonance production,621.0,621.0,121.0,1608.0,64
CDM,7630135,Evaluation for use of voice artificial device to supplement oral speech,639.0,639.0,161.9,1608.0,64
CDM,7630136,Piercing of ear,80.0,80.0,41.12,4132.0,51
CDM,7630163,Complex control of nose bleed,208.0,120.0,55.95,4984.0,61
CDM,7630178,Other procedure on inner ear,507.0,225.0,136.38,5962.0,64
CDM,7630183,"Incision, aspiration, and/or inflation of eardrum",457.0,225.0,122.93,5962.0,61
CDM,7630191,Biopsy or removal of nasal polyp or tissue using an endoscope,2788.0,1591.0,749.97,15383.0,61
CDM,7630193,Simple biopsy of growth of throat behind nose,5194.0,2909.0,922.83,20345.0,61
CDM,7630411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7630412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7630413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7630414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7630415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7630416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7630417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7630418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7630419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7630421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7635003,Biopsy of back of throat,3206.0,1438.0,862.41,15383.0,61
CDM,7650001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7650002,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,61
CDM,7650003,"Removal of noncancer thickened skin growth, 2-4 growths",315.0,191.0,84.74,5962.0,61
CDM,7650004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7650005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7650006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7650007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7650008,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,7650009,"Removal of noncancer thickened skin growth, more than 4 growths",315.0,191.0,84.74,5962.0,61
CDM,7650010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7650011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7650012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7650014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7650015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7650016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7650025,"Strapping, Unna boot",206.0,150.0,55.41,4984.0,61
CDM,7650026,"Removal of skin and tissue, 20.0 sq cm or less",738.0,368.0,198.52,7362.0,61
CDM,7650029,"Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650030,"Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less",1192.0,1079.0,274.64,10537.0,61
CDM,7650032,"Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650033,"Shaving of skin growth of body, arms, or legs, more than 2.0 cm",637.0,368.0,109.83,7362.0,61
CDM,7650035,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,7650036,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650038,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650039,"Application of vein wound compression bandages on lower leg, ankle, and foot",255.0,150.0,68.6,4984.0,61
CDM,7650044,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",314.0,191.0,84.47,5962.0,61
CDM,7650045,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",314.0,191.0,84.47,5962.0,61
CDM,7650046,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",637.0,368.0,109.83,7362.0,61
CDM,7650047,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm",637.0,368.0,109.83,7362.0,61
CDM,7650048,"Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm",1110.0,1079.0,274.64,10537.0,61
CDM,7650049,"Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm",2587.0,1079.0,695.9,15383.0,61
CDM,7650051,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",2587.0,1496.0,695.9,15383.0,61
CDM,7650052,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650053,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650054,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650055,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650056,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,61
CDM,7650057,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",1109.0,662.0,274.64,10537.0,61
CDM,7650058,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650060,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
CDM,7650065,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",1797.0,662.0,274.64,10537.0,61
CDM,7650066,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650067,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650068,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm",2588.0,1496.0,696.17,15383.0,61
CDM,7650069,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,61
CDM,7650070,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm",637.0,637.0,171.35,7362.0,61
CDM,7650078,Therapy procedure using ultraviolet radiation with tar or petroleum jelly application,92.0,59.0,22.04,675.0,59
CDM,7650080,"Removal of noncancer thickened skin growth, 1 growth",315.0,191.0,84.74,5962.0,61
CDM,7650082,"Destruction of precancer skin growth, 1 growth",315.0,191.0,84.74,5962.0,61
CDM,7650083,"Destruction of precancer skin growth, 2-14 growths",72.0,72.0,19.37,1897.0,61
CDM,7650084,"Destruction of precancer skin growth, 15 or more growths",637.0,368.0,109.83,7362.0,61
CDM,7650085,"Destruction of skin growth, 1-14 growths",315.0,191.0,84.74,5962.0,61
CDM,7650086,"Destruction of skin growth, 15 or more growths",315.0,191.0,84.74,5962.0,61
CDM,7650087,Application of chemical to stop tissue regrowth in wound,315.0,191.0,84.74,5962.0,61
CDM,7650095,"Removal or cutting of gauntlet, boot, or body cast",439.0,257.0,118.09,5962.0,61
CDM,7650120,"Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less",2258.0,662.0,274.64,10537.0,61
CDM,7650122,"Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm",2276.0,368.0,274.64,7362.0,61
CDM,7650123,"Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650124,"Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm",1110.0,662.0,298.59,10537.0,61
CDM,7650125,"Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650134,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650135,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm",2587.0,2587.0,695.9,15383.0,61
CDM,7650136,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm",2587.0,1496.0,695.9,15383.0,61
CDM,7650137,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,61
CDM,7650139,"Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm",637.0,1079.0,171.35,7362.0,61
CDM,7650140,"Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm",1109.0,1079.0,274.64,10537.0,61
CDM,7650142,"Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm",2588.0,1079.0,696.17,15383.0,61
CDM,7650150,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",1110.0,662.0,274.64,10537.0,61
CDM,7650151,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650152,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
CDM,7650153,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm",2588.0,1496.0,696.17,15383.0,61
CDM,7650156,"Simple separation of fingernail or toenail from nail bed, first nail",315.0,191.0,47.16,5962.0,61
CDM,7650157,"Simple separation of fingernail or toenail from nail bed, each additional nail",84.0,84.0,22.6,1897.0,61
CDM,7650158,Biopsy of fingernail or toenail,1109.0,662.0,274.64,10537.0,61
CDM,7650160,"Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650161,"Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650162,"Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650164,"Destruction of cancer skin growth of trunk, arms, or legs, more than 4.0 cm",3598.0,368.0,109.83,7362.0,61
CDM,7650165,"Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,7650167,"Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
CDM,7650172,"Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",351.0,368.0,94.42,7362.0,61
CDM,7650180,"Removal of skin tag, 1-15 skin tags",315.0,191.0,84.74,5962.0,61
CDM,7650184,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,61
CDM,7650186,Acne surgery,315.0,191.0,84.74,5962.0,57
CDM,7650200,Complicated removal of foreign body in foot,2588.0,1496.0,1112.84,15383.0,64
CDM,7650201,"Injection into skin growth, 1-7 growths",315.0,191.0,84.74,5962.0,61
CDM,7650202,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650203,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650204,"Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
CDM,7650205,"Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650206,"Injection into skin growth, more than 7 growths",315.0,191.0,84.74,5962.0,61
CDM,7650208,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
CDM,7650238,"Complicated repair of wound of trunk, 1.1-2.5 cm",1158.0,557.0,274.64,7362.0,61
CDM,7650239,"Complicated repair of wound of trunk, 2.6-7.5 cm",1158.0,1158.0,274.64,7362.0,61
CDM,7650240,"Complicated repair of wound of trunk, each additional 5.0 cm or less",844.0,844.0,227.04,1897.0,61
CDM,7650241,"Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm",712.0,557.0,191.53,7362.0,61
CDM,7650243,"Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650244,"Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm",763.0,763.0,205.25,7362.0,61
CDM,7650245,"Repair of wound of trunk by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650246,"Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650247,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650250,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650251,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm",637.0,368.0,171.35,7362.0,61
CDM,7650252,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm",652.0,368.0,175.39,7362.0,61
CDM,7650256,"Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650257,"Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650258,"Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
CDM,7650261,"Shaving of skin growth of body, arms, or legs, 0.5 cm or less",637.0,368.0,109.83,7362.0,61
CDM,7650264,Trimming of fingernails or toenails,93.0,59.0,25.02,4984.0,61
CDM,7650267,"Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm",3232.0,1821.0,869.41,15383.0,61
CDM,7650269,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm",3232.0,3232.0,869.41,15383.0,61
CDM,7650270,"Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm",3232.0,1821.0,869.41,15383.0,61
CDM,7650271,"Biopsy of related skin growth, first growth",637.0,191.0,171.35,5962.0,61
CDM,7650272,"Biopsy of related skin growth, each additional growth",256.0,256.0,68.86,1897.0,61
CDM,7650273,"Punch biopsy, first skin growth",637.0,368.0,171.35,7362.0,61
CDM,7650274,"Punch biopsy, each additional skin growth",125.0,125.0,33.63,1897.0,61
CDM,7650275,"Incision biopsy, first skin growth",1158.0,557.0,274.64,7362.0,61
CDM,7650276,"Incision biopsy, each additional skin growth",455.0,455.0,122.4,1897.0,61
CDM,7650277,Insertion of tissue expander,5551.0,3744.0,1239.1,27978.0,61
CDM,7650278,"Repair of wound by transferring skin, 30.1-60.0 sq cm",5551.0,3744.0,1272.22,27978.0,61
CDM,7650411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7650412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7650413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7650414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7650415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7650416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7650417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7650418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7650419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7650421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7655003,"Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
CDM,7670008,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7670009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7670010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7670012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7670014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7670015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7670016,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7670022,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7670025,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7670026,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7670027,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7670029,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7670045,Removal of cerebrospinal fluid with lower back spinal tap,1106.0,675.0,297.51,10537.0,61
CDM,7670242,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7670411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7670412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7670413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7670414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7670415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7670416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7670417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7670418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7670419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7670421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7672080,Biopsy of bone marrow,2588.0,1496.0,696.17,15383.0,61
CDM,7672250,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7680006,Aspiration and/or injection of fluid from small joint,481.0,278.0,129.39,5962.0,61
CDM,7680007,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,7680071,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7680091,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7680092,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7680093,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7680094,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7680095,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7680096,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7680097,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7680098,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7680099,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7680100,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7680101,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7680102,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7680103,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7680104,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7680105,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7680106,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7680107,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7680108,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7680109,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7680110,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7690001,Drainage of fluid from abdominal cavity,1421.0,860.0,382.25,10537.0,61
CDM,7690010,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7690051,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7690054,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7690056,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7690068,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7690069,Evaluation of use of breathing device,344.0,200.0,41.72,670.8,59
CDM,7690075,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7690077,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7690083,Smear for infectious agents,82.0,82.0,4.04,2119.0,64
CDM,7690086,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7690087,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7690088,Urine pregnancy test,64.0,64.0,1.48,2119.0,64
CDM,7690093,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7690094,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7690123,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7690124,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7690125,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7690126,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7690127,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7690128,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7690129,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7690130,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7690131,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7690132,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7690133,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7690134,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7690135,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7690136,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7690137,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7690138,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7690139,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7690140,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7690141,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7690142,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7690177,"Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose",64.0,,17.22,124.8,59
CDM,7700001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7700002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7700003,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7700004,"Removal of skin tag, 1-15 skin tags",315.0,191.0,84.74,5962.0,61
CDM,7700006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7700007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7700008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7700010,Routine electrocardiogram (ECG) using at least 12 leads with tracing,300.0,59.0,16.95,1758.0,64
CDM,7700011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7700012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7700014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7700015,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7700017,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7700018,Exam of vagina and cervix using an endoscope,477.0,300.0,128.31,5962.0,61
CDM,7700019,Biopsy of vagina and cervix using an endoscope,1443.0,674.0,350.48,10537.0,61
CDM,7700020,Removal of IUD,478.0,300.0,128.58,5962.0,61
CDM,7700021,Insertion of IUD for pregnancy prevention,248.0,248.0,66.71,4132.0,61
CDM,7700022,Biopsy of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7700023,Scraping of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7700024,Biopsy and scraping of cervix using an endoscope,478.0,300.0,128.58,5962.0,61
CDM,7700025,Scraping of tissue of cervix,1443.0,674.0,350.48,10537.0,61
CDM,7700026,Biopsy of lining of uterus,317.0,181.0,85.27,5962.0,61
CDM,7700030,Initial new patient preventive medicine evaluation (younger than 1 year),73.0,73.0,37.52,142.35,46
CDM,7700031,Initial new patient preventive medicine evaluation (1-4 years),73.0,73.0,37.52,142.35,46
CDM,7700032,Initial new patient preventive medicine evaluation (5-11 years),73.0,73.0,37.52,142.35,46
CDM,7700033,Initial new patient preventive medicine evaluation (12-17 years),73.0,73.0,37.52,142.35,46
CDM,7700040,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7700042,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7700043,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7700070,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7700071,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7700074,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7700087,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",176.0,176.0,22.56,343.2,60
CDM,7700089,"Hepatitis B vaccine, adult dosage (3 dose schedule)",254.0,254.0,22.56,495.3,64
CDM,7700095,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,64
CDM,7700102,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7700107,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,73.0,126.0,37.52,142.35,46
CDM,7700108,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,73.0,126.0,37.52,142.35,46
CDM,7700109,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,73.0,126.0,37.52,142.35,46
CDM,7700110,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,73.0,126.0,37.52,142.35,46
CDM,7700118,"Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone",1110.0,662.0,257.16,10537.0,61
CDM,7700125,INTRAUTERINE COPPER CONTRACEPTIVE (PARAGARD),250.0,275.0,61.32,560.0,61
CDM,7700126,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,64
CDM,7700128,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7700146,Removal of impacted ear wax,166.0,59.0,44.65,4984.0,50
CDM,7700149,"INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG",323.0,323.0,86.89,723.52,43
CDM,7700152,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",375.0,17.0,26.82,840.0,62
CDM,7700153,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",17.0,17.0,1.42,38.08,48
CDM,7700154,Hepatitis A vaccine adult dosage,303.0,303.0,22.56,590.85,60
CDM,7700163,"Rotavirus vaccine, pentavalent",369.0,369.0,92.1,719.55,56
CDM,7700172,"Pneumococcal vaccine, 23-valent",464.0,464.0,22.56,904.8,64
CDM,7700176,"Diphtheria, tetanus, acellular pertussis, and polio vaccine",225.0,225.0,22.56,438.75,56
CDM,7700179,"Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years)",106.0,106.0,22.56,206.7,61
CDM,7700197,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MICROGRAMS (1500 I.U.)",416.0,416.0,61.32,931.84,59
CDM,7700199,"Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,64
CDM,7700200,Detection test by immunoassay with direct visual observation for influenza virus,95.0,95.0,4.04,2119.0,64
CDM,7700201,Administration of first vaccine or toxoid component with counseling (18 years or younger),35.0,35.0,9.42,68.25,59
CDM,7700202,"Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component",17.0,17.0,4.57,38.0,59
CDM,7700203,"Administration of nasal or oral vaccine, 1 vaccine",113.0,66.0,27.99,220.35,59
CDM,7700204,"Administration of nasal or oral vaccine, each additional vaccine",32.0,32.0,8.61,62.4,59
CDM,7700207,Removal of impacted ear wax by washing,93.0,59.0,25.02,4984.0,50
CDM,7700209,"Punch biopsy, first skin growth",637.0,368.0,171.35,7362.0,61
CDM,7700210,"Punch biopsy, each additional skin growth",125.0,125.0,33.63,1897.0,61
CDM,7700211,"Incision biopsy, first skin growth",1158.0,557.0,274.64,7362.0,61
CDM,7700212,"Incision biopsy, each additional skin growth",455.0,455.0,122.4,1897.0,61
CDM,7700213,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B",673.0,673.0,92.1,1312.35,61
CDM,7700215,Removal or destruction of cervix using loop electrode,5071.0,2790.0,1364.1,20345.0,61
CDM,7700216,Incision and drainage of abscess of female genital gland,351.0,181.0,94.42,5962.0,61
CDM,7700224,"Biopsy of growth of external female genitals, each additional growth",387.0,387.0,104.1,1897.0,61
CDM,7700225,"Biopsy of growth of external female genitals, first growth",1443.0,674.0,350.48,10537.0,61
CDM,7700226,Removal of implantable contraceptive capsules,1110.0,662.0,274.64,10537.0,61
CDM,7700227,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent",1004.0,1004.0,92.1,1957.8,61
CDM,7700228,"Influenza vaccine, quadrivalent, preservative free, 0.5 mL dosage",78.0,78.0,20.98,152.1,61
CDM,7700230,"INJECTION, INSULIN, PER 5 UNITS",17.0,17.0,4.57,38.08,43
CDM,7700231,"INJECTION, INSULIN, PER 5 UNITS",33.0,33.0,8.88,73.92,43
CDM,7700232,"Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine",571.0,571.0,92.1,1113.45,61
CDM,7700233,"Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine",571.0,571.0,92.1,1113.45,61
CDM,7700234,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",49.0,49.0,0.78,109.76,48
CDM,7700235,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",89.0,89.0,0.78,199.36,48
CDM,7700236,Shingles vaccine for injection into muscle,679.0,679.0,92.1,1324.05,61
CDM,7700237,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",4.0,4.0,1.08,8.96,48
CDM,7700238,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",5.0,5.0,1.35,11.2,48
CDM,7700239,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",5.0,5.0,1.35,11.2,48
CDM,7700240,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG",17.0,17.0,1.89,38.08,48
CDM,7700241,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",619.0,,166.51,1386.56,43
CDM,7700242,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",619.0,,166.51,1386.56,43
CDM,7700243,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",260.0,260.0,69.94,507.0,64
CDM,7700244,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,61
CDM,7700245,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,61
CDM,7700246,REV - IHS-MOA CLINIC VISIT,72.0,72.0,14.8,86.0,46
CDM,7700247,REV - IHS-MOA CLINIC VISIT,72.0,72.0,14.8,86.0,46
CDM,7700248,REV - IHS-MOA CLINIC VISIT,27.0,27.0,5.55,86.0,46
CDM,7700249,Measurement of alcohol level in breath specimen,43.0,43.0,6.91,2119.0,64
CDM,7700251,TUBERCULIN PPD,5.0,5.0,1.03,4.0,45
CDM,7700252,REV - IHS-MOA CLINIC VISIT,300.0,300.0,61.68,240.0,46
CDM,7700255,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",3346.6,3346.6,265.12,7496.38,61
CDM,7700256,"Diphtheria, tetanus, acellular pertussis, polio, Haemophilus influenzae type b, and hepatitis B vaccine",578.0,578.0,22.56,1127.1,61
CDM,7700257,Hepatitis A vaccine pediatric or adolescent dosage,145.0,145.0,22.56,282.75,61
CDM,7700260,Varicella vaccine,690.0,690.0,92.1,1345.5,61
CDM,7700261,"Measles, mumps, and rubella vaccine",365.0,365.0,22.56,711.75,61
CDM,7700263,"Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose",64.0,,17.22,124.8,59
CDM,7700265,"Measles, mumps, rubella, and varicella vaccine",1068.0,1068.0,22.56,2082.6,61
CDM,7700266,"Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule)",108.0,108.0,22.56,210.6,64
CDM,7700267,"Haemophilus influenzae type b vaccine, PRP-T conjugate",51.0,51.0,13.72,99.45,61
CDM,7700268,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use",881.0,881.0,92.1,1717.95,64
CDM,7700269,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",45.0,,12.11,100.8,48
CDM,7700270,HIB CONJ VACC7.5MCG/0.5ML PDVX,117.0,117.0,24.06,93.6,45
CDM,7700272,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use",1168.0,,22.56,2277.6,61
CDM,7700273,"Influenza vaccine split virus, preservative free",80.0,80.0,21.52,156.0,64
CDM,7700274,"Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage",40.0,40.0,10.76,78.0,64
CDM,7700276,Insertion of drug delivery implant into tissue,270.0,120.0,72.63,4984.0,61
CDM,7700277,Removal of drug delivery implant from tissue,700.0,289.0,109.83,7362.0,61
CDM,7700278,Removal with reinsertion of drug delivery implant into tissue,700.0,289.0,109.83,7362.0,61
CDM,7700279,"ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES",6938.0,6938.0,265.12,15541.12,61
CDM,7700411,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7700412,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7700413,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7700414,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7700415,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7700416,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7700417,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7700418,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7700419,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7700421,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7708321,Aspiration and/or injection of fluid from large joint,481.0,278.0,129.39,5962.0,61
CDM,7708515,Biopsy of cervix or removal of growth,1443.0,674.0,350.48,10537.0,61
CDM,7720802,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,7720806,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,64
CDM,7720813,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,7720816,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,64
CDM,7720820,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,64
CDM,7720824,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,64
CDM,7720831,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,7720832,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,64
CDM,7720841,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,7720847,Complete ultrasound scan of pelvis,652.0,116.0,105.0,2499.0,64
CDM,7720852,"Ultrasound scan of pregnant uterus (less than 14 weeks), each additional fetus",316.0,316.0,62.5,2499.0,61
CDM,7721423,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,64
CDM,7729361,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,64
CDM,7729366,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,64
CDM,7729958,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,64
CDM,7830004,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7830005,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,75.0,754.65,48
CDM,7830006,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,75.0,797.55,48
CDM,7830007,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,75.0,838.5,48
CDM,7830008,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,75.0,881.4,48
CDM,7830009,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,75.0,663.0,48
CDM,7830010,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,75.0,694.2,48
CDM,7830011,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,75.0,725.4,48
CDM,7830012,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,75.0,754.65,48
CDM,7830013,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,75.0,797.55,48
CDM,7860004,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7860005,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7860007,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7860010,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,159.0,159.0,42.77,970.0,59
CDM,7860022,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7860023,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7860024,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,675.0,59
CDM,7860025,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,173.0,173.0,46.54,675.0,59
CDM,7860039,"Psychotherapy, 1 hour",288.0,142.0,77.47,561.6,57
CDM,7860043,"TARGETED CASE MANAGEMENT, EACH 15 MINUTES",18.0,18.0,4.84,100.91,56
CDM,7860054,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7860055,Psychiatric diagnostic evaluation,286.0,142.0,76.93,970.0,59
CDM,7860057,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",160.0,160.0,43.04,312.0,56
CDM,7890001,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,7890003,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7890004,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",372.0,372.0,100.07,970.0,48
CDM,7890021,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",207.0,207.0,55.68,3506.0,53
CDM,7900001,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,970.0,59
CDM,7900002,ALCOHOL AND/OR DRUG ASSESSMENT,251.0,251.0,67.52,970.0,59
CDM,7900003,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",65.0,65.0,17.49,214.0,57
CDM,7900004,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,67.52,489.45,55
CDM,7900005,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7900006,ALCOHOL AND/OR DRUG ASSESSMENT,55.0,55.0,14.8,970.0,59
CDM,7900009,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,173.0,173.0,46.54,970.0,59
CDM,7900010,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,87.0,87.0,23.4,970.0,59
CDM,7900014,"Psychotherapy, 30 minutes",279.0,142.0,75.05,544.05,57
CDM,7900016,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,57
CDM,7900018,"Psychotherapy, 1 hour",288.0,142.0,77.47,561.6,57
CDM,7900019,"Psychotherapy with evaluation and management visit, 1 hour",306.0,306.0,80.0,596.7,57
CDM,7900020,"TARGETED CASE MANAGEMENT, EACH 15 MINUTES",18.0,18.0,4.84,100.91,56
CDM,7900021,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",198.0,198.0,53.26,386.1,55
CDM,7900030,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,286.0,286.0,64.32,970.0,59
CDM,7900031,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,288.0,288.0,64.32,970.0,59
CDM,7900032,Psychiatric diagnostic evaluation,286.0,142.0,76.93,970.0,59
CDM,7960001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7960002,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7960004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7960005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7960006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7960007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7960008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7960009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7960010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7960011,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7960012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7960038,Injection of chemical for paralysis of nerve muscles on side of face,481.0,278.0,129.39,5962.0,61
CDM,7960039,Injection of chemical for paralysis of nerve muscles on side of face,760.0,278.0,204.44,5962.0,61
CDM,7960040,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,481.0,278.0,129.39,5962.0,61
CDM,7960041,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,760.0,278.0,204.44,5962.0,61
CDM,7960045,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,7960048,Hemoglobin A1C level,137.0,137.0,2.74,2119.0,64
CDM,7960051,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1110.0,662.0,298.59,10537.0,57
CDM,7960052,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,1897.0,57
CDM,7960061,Injection of anesthetic agent and/or steroid into upper neck and back of head nerve,481.0,278.0,129.39,5962.0,61
CDM,7960066,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,7960072,Heart rhythm recording continuous external EKG over more than 48 hours up to 7 days,59.0,59.0,15.87,1758.0,64
CDM,7960073,Heart rhythm recording of continuous external EKG over 8-15 days,59.0,59.0,15.87,1758.0,64
CDM,7960411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7960412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7960413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7960414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7960415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7960416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7960417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7960418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7960419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7960421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7962090,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,330.6,10537.0,61
CDM,7962180,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,7962181,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,7970001,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7970004,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7970005,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7970006,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,430.0,126.0,60.0,838.5,46
CDM,7970007,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,452.0,126.0,60.0,881.4,46
CDM,7970008,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,340.0,126.0,60.0,663.0,46
CDM,7970009,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,356.0,126.0,60.0,694.2,46
CDM,7970010,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,372.0,126.0,60.0,725.4,46
CDM,7970012,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,64
CDM,7970013,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,387.0,126.0,60.0,754.65,46
CDM,7970014,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,409.0,126.0,60.0,797.55,46
CDM,7970015,Administration of vaccine,113.0,66.0,27.99,220.35,59
CDM,7970016,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,59
CDM,7970028,Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face,481.0,278.0,129.39,5962.0,61
CDM,7970030,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity",1106.0,675.0,275.98,10537.0,61
CDM,7970031,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity",474.0,474.0,127.51,1897.0,61
CDM,7970032,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,59
CDM,7970034,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,59
CDM,7970035,ADMINISTRATION OF HEPATITIS B VACCINE,113.0,43.0,27.99,220.35,59
CDM,7970048,Test to measure expiratory airflow and volume,339.0,148.0,41.72,1758.0,64
CDM,7970049,Test to measure expiratory airflow and volume changes before and after medication administration,585.0,281.0,71.36,1758.0,64
CDM,7970056,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,59
CDM,7970201,Administration of first vaccine or toxoid component with counseling (18 years or younger),35.0,35.0,9.42,68.25,59
CDM,7970202,"Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component",17.0,17.0,4.57,38.0,59
CDM,7970291,Evaluation of use of breathing device,344.0,200.0,41.72,670.8,59
CDM,7970411,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,46
CDM,7970412,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,46
CDM,7970413,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",387.0,65.0,72.0,754.65,46
CDM,7970414,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7970415,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,46
CDM,7970416,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,46
CDM,7970417,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,46
CDM,7970418,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,46
CDM,7970419,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,663.0,46
CDM,7970421,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,46
CDM,7972126,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,64
CDM,8000001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8000002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8000003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8000004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8000005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8000006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8000007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8000010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8000013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8009999,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8020001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8020002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8020003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8020004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8020005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8020006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8020007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8020010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8020013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8030001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8030002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8030004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8030005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8030006,NURSERY - NEWBORN - LEVEL II,5518.0,750.0,1125.67,4745.48,57
CDM,8030007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8030008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,8030009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,8030010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8030013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8039999,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,8040001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8040002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8040004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8040005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8040006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8040007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8040008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,8040010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8040013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8050001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3319.0,51
CDM,8050002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8050003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8050004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8050005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8050006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8050007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8050010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8050013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8060001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8060002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8060004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8060005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8060006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8060007,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8060010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8060013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8070001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8070002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8070003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8070004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8070005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8070006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8070007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8070010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8070013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8080001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8080002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8080003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8080004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8080005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8080006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8080007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8080010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8080012,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8080013,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,4881.0,750.0,315.0,3904.8,60
CDM,8080014,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8090001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8090002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8090003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8090004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8090005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8090006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8090007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8090010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8090013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8099999,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8100001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8100002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8100003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8100004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8100005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8100006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8100007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8100010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8100013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8110001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8110002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8110003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8110004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8110005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8110006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8110007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8110010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8110013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8130001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8130002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8130003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8130004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8130005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8130006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8130007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8130010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8130013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8140001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8140002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8140004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8140005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8140006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8140007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8140010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8140013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8150001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8150002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8150003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8150004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8150005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8150006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8150007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8150010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8150013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8160001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8160002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8160003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8160004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8160005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8160006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8160007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8160010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8160013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8170001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8170002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8170004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8170005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8170006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8170007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8170010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8170013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8180001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8180002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8180003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8180004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8180005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8180006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8180007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8180008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,8180009,NURSERY - NEWBORN - LEVEL III,8641.0,750.0,1762.76,8099.0,57
CDM,8180010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8180011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,8180012,ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8180013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8180014,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8190001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,8190002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8190004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8190005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8190006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8190013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8210004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8210007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8220001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8220002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8220004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8220005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8220006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8220010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8220013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,6469.0,51
CDM,8230001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8230002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8230004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8230007,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8240001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8240002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8240004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8240005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8240006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8240010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8240013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8250001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8250002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8250004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8250007,ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8400001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8400002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8400004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8400005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8400006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8400010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8400013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8410001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8410002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8410004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8410005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8410006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8410010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8410013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8420001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,8420002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8420004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8420005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8420006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8420010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8420013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8430001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8430002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8430004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8430005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8430006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8430010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8430013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8440001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8440002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8440004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8440005,INTENSIVE CARE UNIT - MEDICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,8440006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,6469.0,51
CDM,8440008,NURSERY - NEWBORN - LEVEL I,3222.0,750.0,523.0,4200.0,58
CDM,8440010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8440013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8450001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8450002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8450004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8450005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8450006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8450010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8450013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8460001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8460002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8460004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8460005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8460006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8460010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8460013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8470001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8470002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8470004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8470005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8470006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8470010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8470013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8480001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8480002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8480004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8480005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8480006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8480010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8480013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8490001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8490002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8490004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8490005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8490006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8490010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8490013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8680001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8680002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8680003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8680004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8680005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8680006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8680007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8680010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8680013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8690001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8690002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8690003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8690004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8690005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8690006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8690007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8690010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8690013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8700001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8700002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8700003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8700004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8700005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8700006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8700007,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8700010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8700013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8710001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8710002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8710004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8710005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8710006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8710007,ROOM & BOARD - WARD - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8710010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8710013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,6469.0,51
CDM,8720001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8720002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8720004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8720005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8720006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,6469.0,51
CDM,8720007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8720010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8720013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8730001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8730002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8730003,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,8730004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8730005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8730006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8730007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8730010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8730013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8740001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,8740002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,8740004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8740005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8740006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8740007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8740010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8740013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8750001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8750002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OBSTETRICS (OB),3222.0,750.0,657.29,3817.0,51
CDM,8750004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8750005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8750006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8750007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8750008,NURSERY - GENERAL CLASSIFICATION,3222.0,750.0,523.0,4200.0,58
CDM,8750010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8750013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8760001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8760002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8760004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8760005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8760006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8760007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8760010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8760013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8770001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8770002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8770004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8770005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8770006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8770007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8770010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8770013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8779999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,3436.0,1100.0,700.94,8099.0,51
CDM,8780001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8780002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8780004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8780005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8780006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8780007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8780010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8780013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8790001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8790002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8790004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8790005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8790006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8790007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8790010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8790013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8800001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8800002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8800004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8800005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8800006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8800007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8800010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8800013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8810001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8810002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8810004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8810005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8810006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8810007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8810010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8810013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8820001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8820002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8820004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8820005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8820006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8820007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8820010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8820013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8830001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8830002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8830004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8830005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8830006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8830007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8830010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8830013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8840001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,8840002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8840004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8840005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8840006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8840007,ROOM & BOARD - WARD - REHABILITATION,3222.0,750.0,315.0,3000.0,60
CDM,8840010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8840013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8850001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8850002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8850004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8850005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8850006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8850007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8850010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8850013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8860001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8860002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8860004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8860005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8860006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8860007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8860010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8860013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8870001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8870002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8870004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8870005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8870006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8870007,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8870010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8870013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8880001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8880002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8880004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8880005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8880006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8880007,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8880013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8890001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,8890002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,58
CDM,8890004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8890005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8890006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8890007,ROOM & BOARD - WARD - PSYCHIATRIC,3222.0,750.0,657.29,3319.0,55
CDM,8890010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8890013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8900001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8900002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8900004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8900005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8900006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8900007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8900010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8900013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8909998,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8909999,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8910001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8910002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8910004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8910005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8910006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8910007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8910010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8910013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8920001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8920002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8920004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8920005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8920006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8920007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8920010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8920013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8930001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8930002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8930004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8930005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8930006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8930007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8930010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8930013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8940004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8940005,INTENSIVE CARE UNIT - SURGICAL,8641.0,1100.0,1762.76,8099.0,51
CDM,8940006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8940007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8940013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8950001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3319.0,51
CDM,8950002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8950004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8950005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8950006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8950007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8950010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8950013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8960001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8960002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8960004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8960005,INTENSIVE CARE UNIT - GENERAL CLASSIFICATION,8641.0,1100.0,1400.0,8099.0,51
CDM,8960006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8960007,ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8960010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8960011,ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN,4747.0,750.0,968.39,3817.0,51
CDM,8960013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8970001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8970002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - PEDIATRIC,3222.0,750.0,657.29,3817.0,51
CDM,8970004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8970005,INTENSIVE CARE UNIT - PEDIATRIC,8641.0,1100.0,1762.76,8099.0,51
CDM,8970006,INTENSIVE CARE UNIT - INTERMEDIATE ICU,5518.0,1100.0,1125.67,8099.0,51
CDM,8970010,CORONARY CARE UNIT - GENERAL CLASSIFICATION,8132.0,750.0,1658.93,8099.0,51
CDM,8970013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
CDM,8980001,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8980002,ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - MEDICAL/SURGICAL/GYN,3222.0,750.0,657.29,3817.0,51
CDM,8980004,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,74
CDM,8980013,INTENSIVE CARE UNIT - INTERMEDIATE ICU,4881.0,1100.0,995.72,8099.0,51
HCPCS,0022U,"DNA and RNA targeted sequencing analysis of 1-23 genes associated with non-small cell lung cancer, reported as presence/absence of variants and associated therapies to consider",2200.0,2200.0,196.45,4290.0,64
HCPCS,0026U,DNA and microRNA gene analysis of thyroid nodule tissue,3600.0,3600.0,968.4,7020.0,64
HCPCS,0035U,Testing for presence of prion protein in cerebrospinal fluid,540.99,540.99,145.53,2119.0,64
HCPCS,0064U,Antibody testing for syphilis,77.0,77.0,19.95,2119.0,64
HCPCS,0200T,"Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin",11366.0,6661.0,3374.13,22163.7,59
HCPCS,0202U,"Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2",1675.0,1675.0,196.45,3266.25,64
HCPCS,0232T,Harvest and injections of platelet rich plasma using imaging guidance,700.0,289.0,188.3,1365.0,56
HCPCS,0238T,"Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation",27034.0,17078.0,7208.04,52716.3,59
HCPCS,0379U,Genomic testing for solid organ cancer,3329.42,,20.82,6492.37,61
HCPCS,0408T,Insertion or replacement of pulse generator and electrodes of heart contractility modulator system,33559.0,24521.0,2565.5,65440.05,59
HCPCS,0409T,Insertion or replacement of pulse generator of heart contractility modulator system,33559.0,24521.0,6296.0,65440.05,59
HCPCS,0410T,Insertion or replacement of electrodes in upper chamber of heart for heart contractility modulator system,11873.0,8676.0,1029.92,23152.35,59
HCPCS,0411T,Insertion or replacement of electrodes in lower chamber of heart for heart contractility modulator system,11873.0,8676.0,1029.92,23152.35,59
HCPCS,0412T,Removal of pulse generator for heart contractility modulator system,5011.0,3662.0,2154.73,9771.45,59
HCPCS,0413T,Removal of electrode for heart contractility modulator system,5011.0,3662.0,1029.92,9771.45,59
HCPCS,0414T,Replacement of pulse generator of heart contractility modulator system,33559.0,24521.0,6296.0,65440.05,59
HCPCS,0415T,Repositioning of electrode of heart contractility modulator system,787.0,575.0,338.41,5204.0,59
HCPCS,0416T,Relocation of skin pocket for pulse generator of heart contractility modulator system,2493.0,1821.0,1029.92,7963.0,59
HCPCS,0479T,"Laser destruction of scar tissue, first 100 cm2, or 1% of body surface area of infants and children",1158.0,557.0,257.16,2258.1,56
HCPCS,0480T,"Laser destruction of scar tissue, each additional 100 cm2, or 1% of body surface area of infants and children",430.0,430.0,115.67,838.5,56
HCPCS,0483T,"Insertion of artificial valve between left heart chambers, accessed through the skin",32065.0,32065.0,690.0,62526.75,128
HCPCS,0571T,Insertion or replacement of implantable cardioverter-defibrillator system with electrodes under breastbone,49168.0,34929.0,5688.0,95877.6,57
HCPCS,0572T,Insertion of implantable defibrillator electrode under breastbone,12963.0,8676.0,1029.92,34131.0,57
HCPCS,0690T,"Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy",303.0,,70.1,2499.0,793
HCPCS,0692T,Therapeutic ultrafiltration,2468.0,,178.32,4812.6,56
HCPCS,0795T,Transcatheter insertion of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial and right ventricular pacemaker components,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0796T,Transcatheter insertion of permanent dual-chamber pacemaker using fluoroscopy and device interrogation of right atrial pacemaker component,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0797T,Transcatheter insertion of a permanent dual chamber leadless pacemaker using fluoroscopy and device interrogation of right ventricular pacemaker component,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0798T,Transcatheter removal of the right atrial and right ventricular components of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
HCPCS,0799T,Transcatheter removal of the right atrial component of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
HCPCS,0800T,Transcatheter removal of the right ventricular component of a permanent dual-chamber leadless pacemaker using fluoroscopy,4401.36,4401.36,1183.97,8582.65,56
HCPCS,0801T,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial and right ventricular components,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0802T,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial component,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0803T,Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right ventricular component,26905.65,26905.65,5071.93,52466.02,56
HCPCS,0823T,Insertion of permanent single-chamber leadless pacemaker for pacing the right upper heart chamber using imaging guidance,26905.65,26905.65,913.0,52466.02,48
HCPCS,0824T,Removal of permanent single-chamber leadless pacemaker for pacing the right upper chamber of the heart using imaging guidance,4401.36,4401.36,913.0,8582.65,48
HCPCS,0825T,Removal and replacement of single-chamber permanent leadless pacemaker for pacing the right upper chamber of the heart using imaging guidance,26905.65,26905.65,6917.0,52466.02,45
HCPCS,10004,"Fine needle aspiration biopsy, each additional growth",374.0,374.0,100.61,3241.0,117
HCPCS,10005,"Fine needle aspiration biopsy using ultrasound guidance, first growth",1109.5,662.0,298.32,10537.0,471
HCPCS,10006,"Fine needle aspiration biopsy using ultrasound guidance, each additional growth",840.0,840.0,225.96,3241.0,297
HCPCS,10007,"Fine needle aspiration biopsy using fluoroscopic guidance, first growth",839.34,662.0,360.92,10537.0,120
HCPCS,10008,"Fine needle aspiration biopsy using fluoroscopic guidance, each additional growth",839.34,839.34,225.78,3241.0,120
HCPCS,10009,"Fine needle aspiration biopsy of growth using CT guidance, first growth",839.34,662.0,360.92,10537.0,180
HCPCS,10010,"Fine needle aspiration biopsy of growth using CT guidance, each additional growth",839.34,839.34,225.78,3241.0,126
HCPCS,10011,"Fine needle aspiration biopsy of growth using MRI guidance, first growth",839.34,662.0,315.0,10537.0,63
HCPCS,10012,"Fine needle aspiration biopsy of growth using MRI guidance, each additional growth",839.34,839.34,225.78,3241.0,63
HCPCS,10021,"Fine needle aspiration biopsy, first growth",637.0,368.0,111.0,7362.0,351
HCPCS,10030,Drainage of fluid collection in soft tissue using imaging guidance,1181.0,662.0,111.0,10537.0,180
HCPCS,10040,Acne surgery,315.0,191.0,84.74,5962.0,57
HCPCS,10060,Simple or single drainage of skin abscess,315.0,191.0,84.74,5962.0,805
HCPCS,10061,Complicated or multiple drainage of skin abscess,637.0,368.0,109.83,7362.0,305
HCPCS,10120,"Removal of foreign body from tissue, accessed beneath the skin, simple",637.0,368.0,109.83,7362.0,311
HCPCS,10121,"Removal of foreign body from tissue, accessed beneath the skin, complex",2588.0,2588.0,793.31,15383.0,128
HCPCS,10140,Drainage of blood or fluid accumulation,2587.5,2587.5,111.0,15383.0,250
HCPCS,10160,"Aspiration of abscess, blood, or cyst",637.0,368.0,109.83,7362.0,442
HCPCS,11011,"Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone",1110.0,662.0,257.16,10537.0,61
HCPCS,11042,"Removal of skin and tissue, 20.0 sq cm or less",687.5,368.0,171.35,7362.0,305
HCPCS,11043,"Removal of muscle and/or tissue, 20.0 sq cm or less",1158.0,557.0,257.16,7362.0,122
HCPCS,11044,"Removal of bone, 20.0 sq cm or less",2587.5,1496.0,652.63,15383.0,122
HCPCS,11045,"Removal of skin and tissue, each additional 20.0 sq cm or less",262.0,262.0,70.48,1897.0,61
HCPCS,11046,"Removal of muscle and/or tissue, each additional 20.0 sq cm or less",262.0,262.0,70.48,1897.0,61
HCPCS,11047,"Removal of bone, each additional 20.0 sq cm or less",813.0,813.0,218.7,1897.0,61
HCPCS,11055,"Removal of noncancer thickened skin growth, 1 growth",315.0,191.0,84.74,5962.0,61
HCPCS,11056,"Removal of noncancer thickened skin growth, 2-4 growths",315.0,191.0,84.74,5962.0,61
HCPCS,11057,"Removal of noncancer thickened skin growth, more than 4 growths",315.0,191.0,84.74,5962.0,61
HCPCS,11102,"Biopsy of related skin growth, first growth",637.0,191.0,171.35,5962.0,61
HCPCS,11103,"Biopsy of related skin growth, each additional growth",256.0,256.0,68.86,1897.0,61
HCPCS,11104,"Punch biopsy, first skin growth",637.0,368.0,111.0,7362.0,369
HCPCS,11105,"Punch biopsy, each additional skin growth",125.0,125.0,33.63,3241.0,247
HCPCS,11106,"Incision biopsy, first skin growth",1158.0,557.0,274.64,7362.0,247
HCPCS,11107,"Incision biopsy, each additional skin growth",455.0,455.0,122.4,3241.0,186
HCPCS,11200,"Removal of skin tag, 1-15 skin tags",315.0,191.0,84.74,5962.0,244
HCPCS,11300,"Shaving of skin growth of body, arms, or legs, 0.5 cm or less",637.0,368.0,109.83,7362.0,61
HCPCS,11301,"Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,11302,"Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,11303,"Shaving of skin growth of body, arms, or legs, more than 2.0 cm",637.0,368.0,109.83,7362.0,61
HCPCS,11305,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
HCPCS,11306,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,11307,"Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,11310,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",314.0,191.0,84.47,5962.0,61
HCPCS,11311,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",314.0,191.0,84.47,5962.0,61
HCPCS,11312,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",637.0,368.0,109.83,7362.0,61
HCPCS,11313,"Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm",637.0,368.0,109.83,7362.0,61
HCPCS,11400,"Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less",1192.0,1079.0,274.64,10537.0,122
HCPCS,11401,"Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm",637.0,1079.0,171.35,7362.0,122
HCPCS,11402,"Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm",1109.0,1079.0,274.64,10537.0,61
HCPCS,11403,"Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm",1110.0,1079.0,274.64,10537.0,61
HCPCS,11404,"Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm",2587.5,1079.0,695.9,15383.0,122
HCPCS,11406,"Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm",2587.0,1079.0,695.9,15383.0,61
HCPCS,11420,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",2587.0,1496.0,695.9,15383.0,61
HCPCS,11421,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",1110.0,662.0,274.64,10537.0,61
HCPCS,11422,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11423,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11424,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11426,"Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,61
HCPCS,11440,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",1109.0,662.0,274.64,10537.0,61
HCPCS,11441,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",1109.5,662.0,274.64,10537.0,122
HCPCS,11442,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,122
HCPCS,11443,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm",2587.0,2587.0,695.9,15383.0,61
HCPCS,11444,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11446,"Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,125
HCPCS,11600,"Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less",2258.0,662.0,274.64,10537.0,61
HCPCS,11602,"Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm",2276.0,368.0,274.64,7362.0,61
HCPCS,11603,"Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm",1110.0,662.0,274.64,10537.0,61
HCPCS,11604,"Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm",1110.0,662.0,298.59,10537.0,61
HCPCS,11606,"Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11621,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm",1797.0,662.0,274.64,10537.0,61
HCPCS,11622,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
HCPCS,11623,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm",2587.0,1496.0,695.9,15383.0,61
HCPCS,11624,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm",2588.0,1496.0,696.17,15383.0,61
HCPCS,11626,"Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm",4550.0,2521.0,1223.95,17883.0,61
HCPCS,11640,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less",1110.0,662.0,274.64,10537.0,61
HCPCS,11641,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",1110.0,662.0,274.64,10537.0,61
HCPCS,11642,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm",1110.0,662.0,274.64,10537.0,61
HCPCS,11643,"Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm",2588.0,1496.0,696.17,15383.0,61
HCPCS,11719,Trimming of fingernails or toenails,93.0,59.0,25.02,4984.0,61
HCPCS,11720,"Removal of fingernails or toenails, 1-5 nails",135.0,59.0,36.32,4984.0,183
HCPCS,11721,"Removal of fingernails or toenails, 6 or more nails",92.0,59.0,24.75,4984.0,61
HCPCS,11730,"Simple separation of fingernail or toenail from nail bed, first nail",315.0,191.0,47.16,5962.0,61
HCPCS,11732,"Simple separation of fingernail or toenail from nail bed, each additional nail",84.0,84.0,22.6,1897.0,61
HCPCS,11750,Permanent removal fingernail or toenail,637.0,368.0,171.35,7362.0,61
HCPCS,11755,Biopsy of fingernail or toenail,1109.0,662.0,274.64,10537.0,61
HCPCS,11765,Removal of skin of fingernail or toenail,637.0,368.0,47.16,7362.0,61
HCPCS,11900,"Injection into skin growth, 1-7 growths",314.5,191.0,72.0,5962.0,245
HCPCS,11901,"Injection into skin growth, more than 7 growths",315.0,191.0,84.74,5962.0,122
HCPCS,11960,Insertion of tissue expander,5551.0,3744.0,1239.1,27978.0,122
HCPCS,11976,Removal of implantable contraceptive capsules,1109.5,662.0,274.64,10537.0,122
HCPCS,11981,Insertion of drug delivery implant into tissue,270.0,120.0,72.0,4984.0,184
HCPCS,11982,Removal of drug delivery implant from tissue,700.0,289.0,72.0,7362.0,184
HCPCS,11983,Removal with reinsertion of drug delivery implant into tissue,700.0,289.0,72.0,7362.0,184
HCPCS,12001,"Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less",323.0,191.0,86.89,5962.0,61
HCPCS,12011,"Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",314.5,191.0,84.47,5962.0,244
HCPCS,12031,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
HCPCS,12032,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm",637.0,368.0,171.35,7362.0,61
HCPCS,12034,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm",637.0,368.0,171.35,7362.0,61
HCPCS,12035,"Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm",652.0,368.0,175.39,7362.0,61
HCPCS,12041,"Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less",637.0,368.0,171.35,7362.0,61
HCPCS,12042,"Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm",637.0,368.0,171.35,7362.0,61
HCPCS,12051,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less",637.0,368.0,111.0,7362.0,186
HCPCS,12052,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm",637.0,637.0,171.35,7362.0,61
HCPCS,12053,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm",637.0,368.0,171.35,7362.0,61
HCPCS,12054,"Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm",637.0,368.0,171.35,7362.0,125
HCPCS,13100,"Complicated repair of wound of trunk, 1.1-2.5 cm",1158.0,557.0,274.64,7362.0,61
HCPCS,13101,"Complicated repair of wound of trunk, 2.6-7.5 cm",1158.0,1158.0,274.64,7362.0,61
HCPCS,13102,"Complicated repair of wound of trunk, each additional 5.0 cm or less",844.0,844.0,227.04,1897.0,61
HCPCS,13120,"Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm",712.0,557.0,191.53,7362.0,61
HCPCS,13131,"Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm",637.0,368.0,171.35,7362.0,61
HCPCS,13132,"Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm",763.0,763.0,205.25,7362.0,61
HCPCS,13160,Extensive or complicated repair of surface wound reopening,5551.0,1821.0,652.63,15383.0,61
HCPCS,14000,"Repair of wound of trunk by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
HCPCS,14001,"Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm",3232.0,1821.0,869.41,15383.0,61
HCPCS,14040,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,183
HCPCS,14041,"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm",3232.0,3232.0,869.41,15383.0,61
HCPCS,14060,"Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
HCPCS,14061,"Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm",3232.0,1821.0,869.41,15383.0,61
HCPCS,14301,"Repair of wound by transferring skin, 30.1-60.0 sq cm",5551.0,3744.0,1272.22,27978.0,61
HCPCS,15220,"Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
HCPCS,15240,"Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,122
HCPCS,15260,"Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less",3232.0,1821.0,869.41,15383.0,61
HCPCS,15271,"Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less",2493.0,1821.0,670.62,15383.0,61
HCPCS,15272,"Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less",102.0,102.0,27.44,1897.0,61
HCPCS,15275,"Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less",2493.0,2493.0,670.62,15383.0,61
HCPCS,15276,"Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less",102.0,102.0,27.44,1897.0,61
HCPCS,15733,Creation of flap graft to head and/or neck,5551.0,3744.0,1272.22,27978.0,61
HCPCS,15740,Creation of skin and tissue graft,3232.0,1821.0,869.41,15383.0,61
HCPCS,15851,Removal of sutures or staples under anesthesia,3232.0,1821.0,793.31,15383.0,125
HCPCS,16020,"Dressing change or removal of burn tissue, less than 5% of total body surface",512.0,191.0,125.08,5962.0,64
HCPCS,16025,"Dressing change or removal of burn tissue, 5-10% of total body surface",660.0,191.0,125.08,5962.0,64
HCPCS,16030,"Dressing change or removal of burn tissue, more than 10% of total body surface",1122.0,368.0,257.16,7362.0,64
HCPCS,17000,"Destruction of precancer skin growth, 1 growth",315.0,191.0,84.74,5962.0,122
HCPCS,17003,"Destruction of precancer skin growth, 2-14 growths",72.0,72.0,19.37,1897.0,61
HCPCS,17004,"Destruction of precancer skin growth, 15 or more growths",637.0,368.0,109.83,7362.0,61
HCPCS,17106,"Destruction of birthmark, less than 10.0 sq cm",637.0,368.0,171.35,7362.0,61
HCPCS,17107,"Destruction of birthmark, 10.0-50.0 sq cm",1158.0,557.0,311.5,7362.0,61
HCPCS,17108,"Destruction of birthmark, more than 50.0 sq cm",3232.0,1821.0,726.03,15383.0,61
HCPCS,17110,"Destruction of skin growth, 1-14 growths",314.5,191.0,84.47,5962.0,183
HCPCS,17111,"Destruction of skin growth, 15 or more growths",314.5,191.0,84.47,5962.0,122
HCPCS,17250,Application of chemical to stop tissue regrowth in wound,314.5,191.0,84.47,5962.0,122
HCPCS,17260,"Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
HCPCS,17261,"Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,17262,"Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,17263,"Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,17266,"Destruction of cancer skin growth of trunk, arms, or legs, more than 4.0 cm",3598.0,368.0,109.83,7362.0,61
HCPCS,17270,"Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less",315.0,191.0,84.74,5962.0,61
HCPCS,17272,"Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm",315.0,191.0,84.74,5962.0,61
HCPCS,17281,"Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm",351.0,368.0,94.42,7362.0,61
HCPCS,19000,"Aspiration of cyst of breast, first cyst",1110.0,662.0,437.88,10537.0,192
HCPCS,19001,"Aspiration of cyst of breast, each additional cyst",238.0,238.0,64.02,3241.0,192
HCPCS,19081,"Biopsy of breast and placement of locating device using X-ray with needle, first growth",2439.0,1496.0,876.45,15383.0,128
HCPCS,19082,"Biopsy of breast and placement of locating device using X-ray with needle, each additional growth",984.0,984.0,264.7,3241.0,128
HCPCS,19083,"Biopsy of breast and placement of locating device using ultrasound, first growth",2588.0,1496.0,876.45,15383.0,256
HCPCS,19084,"Biopsy of breast and placement of locating device using ultrasound, each additional growth",984.0,984.0,264.7,3241.0,64
HCPCS,19085,"Biopsy of breast and placement of locating device using MRI, first growth",2439.0,1496.0,876.45,15383.0,64
HCPCS,19086,"Biopsy of breast and placement of locating device using MRI, each additional growth",984.0,984.0,264.7,3241.0,64
HCPCS,19100,Needle biopsy of breast,2588.0,1496.0,876.45,15383.0,64
HCPCS,19281,"Placement of locating device in breast using imaging guidance, first growth",2239.0,662.0,876.45,15383.0,128
HCPCS,19282,"Placement of locating device in breast using imaging guidance, each additional growth",160.0,160.0,43.04,3241.0,128
HCPCS,19285,"Placement of locating device in breast using ultrasound guidance, first growth",1110.0,662.0,477.3,10537.0,64
HCPCS,20206,Needle biopsy of muscle,2239.0,1496.0,437.88,15383.0,256
HCPCS,20220,Biopsy of bone using needle or trocar,2239.0,1496.0,437.88,15383.0,192
HCPCS,20225,Deep biopsy of bone using needle or trocar,1905.0,1496.0,819.15,15383.0,192
HCPCS,20240,Biopsy of surface bone,4550.0,2521.0,1204.2,17883.0,122
HCPCS,20251,Biopsy of upper or lower spine bone,7606.0,6661.0,3171.0,27978.0,64
HCPCS,20501,Injection of abnormal muscle drainage tract for X-ray study,343.0,343.0,92.27,3241.0,64
HCPCS,20520,Removal of foreign body in muscle or tendon,2587.0,1496.0,695.9,15383.0,61
HCPCS,20525,Complicated removal of foreign body in deep muscle or tendon,4550.0,2521.0,1204.2,17883.0,61
HCPCS,20526,Injection of carpal tunnel,620.5,278.0,129.39,5962.0,366
HCPCS,20550,Injection into tendon or ligament,481.0,278.0,129.39,5962.0,122
HCPCS,20551,Injection into tendon at attachment to bone or muscle,481.0,278.0,129.39,5962.0,183
HCPCS,20552,"Injection of trigger points, 1-2 muscles",481.0,278.0,129.39,5962.0,308
HCPCS,20553,"Injection of trigger points, 3 or more muscles",481.0,278.0,129.39,5962.0,183
HCPCS,20560,"Insertion of needle, 1-2 muscles",46.0,26.0,12.37,4984.0,61
HCPCS,20561,"Insertion of needle, 3 muscles or more",46.0,26.0,12.37,4984.0,61
HCPCS,20600,Aspiration and/or injection of fluid from small joint,597.5,278.0,129.39,5962.0,305
HCPCS,20604,Aspiration and/or injection of fluid from small joint using ultrasound guidance,615.5,278.0,129.39,5962.0,183
HCPCS,20605,Aspiration and/or injection of fluid from medium joint,481.0,278.0,129.39,5962.0,305
HCPCS,20606,Aspiration and/or injection of fluid from medium joint using ultrasound guidance,1345.0,675.0,72.0,10537.0,373
HCPCS,20610,Aspiration and/or injection of fluid from large joint,643.5,278.0,129.39,5962.0,799
HCPCS,20611,Aspiration and/or injection of fluid large joint using ultrasound guidance,804.0,278.0,111.0,5962.0,372
HCPCS,20612,Aspiration and/or injection of cyst of tendon,481.0,278.0,129.39,5962.0,61
HCPCS,20680,Removal of deep implant from bone,4786.0,2521.0,1287.43,17883.0,61
HCPCS,20982,Destruction of growths and adjacent soft tissue,19371.0,6661.0,1204.2,37773.45,128
HCPCS,20983,Freezing of growth of bone and adjacent soft tissue,8174.0,6661.0,1204.2,27978.0,64
HCPCS,21032,Removal of bony growth of upper jaw bone inside mouth,5194.0,2909.0,1397.19,20345.0,61
HCPCS,21046,Removal of growth or cyst of lower jaw bone through mouth,9273.0,5408.0,2494.44,27978.0,61
HCPCS,21048,Removal of growth or cyst of upper jaw bone through mouth,9273.0,5408.0,2494.44,27978.0,61
HCPCS,21076,Preparation of temporary prosthesis to close an opening in mouth,2431.0,1438.0,653.94,15383.0,61
HCPCS,21320,Closed treatment of broken nose bone with placement of stabilizing device,5193.0,2909.0,329.92,20345.0,61
HCPCS,21453,Closed treatment of broken lower jaw bone with placement of stabilizing device to teeth,9273.0,5408.0,3171.0,27978.0,64
HCPCS,21480,Closed treatment of dislocated jaw joint,386.0,219.0,103.83,5962.0,61
HCPCS,21550,Biopsy of soft tissue of neck or chest,1875.0,1496.0,806.25,15383.0,192
HCPCS,21555,"Removal of growth under skin of neck or front of chest, less than 3.0 cm",2588.0,1496.0,696.17,15383.0,61
HCPCS,22511,Stabilization of lower spine bone,4885.0,3011.0,2100.55,20345.0,64
HCPCS,22512,"Stabilization of spine bone, each additional bone",3074.0,3074.0,401.0,8542.0,64
HCPCS,22513,Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance,7469.0,6661.0,2009.16,27978.0,128
HCPCS,22514,Treatment of broken lower spine bone with placement of stabilizing device,8316.0,6661.0,2237.0,27978.0,128
HCPCS,22515,"Treatment of broken spine bone with stabilizing device, each additional segment",7469.0,7469.0,401.0,14564.55,64
HCPCS,23330,"Removal of foreign body of shoulder joint, accessed beneath the skin",2588.0,662.0,696.17,15383.0,61
HCPCS,27096,Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance,1362.0,1362.0,111.0,4132.0,64
HCPCS,28193,Complicated removal of foreign body in foot,2588.0,1496.0,1112.84,15383.0,64
HCPCS,29065,Application of shoulder to hand cast,439.0,257.0,118.09,5962.0,370
HCPCS,29075,Application of elbow to finger cast,455.0,257.0,122.4,5962.0,431
HCPCS,29085,Application of hand and lower forearm cast,646.0,150.0,128.6,4984.0,183
HCPCS,29086,Application of finger cast,255.0,150.0,68.6,4984.0,61
HCPCS,29105,Application of lower and upper arm splint,317.0,150.0,48.98,4984.0,248
HCPCS,29125,Application of nonmoveable forearm to hand splint,301.0,120.0,48.98,4984.0,370
HCPCS,29130,Application of nonmoveable finger splint,208.5,120.0,48.98,4984.0,248
HCPCS,29345,Application of long leg cast from thigh to toe,476.0,257.0,128.04,5962.0,370
HCPCS,29355,Application of walking cast covering thigh to toe,439.0,257.0,118.09,5962.0,61
HCPCS,29365,Application of thigh to lower leg cylinder cast,439.0,257.0,118.09,5962.0,187
HCPCS,29405,Application of short leg cast,521.0,257.0,128.6,5962.0,309
HCPCS,29425,Application of walking cast covering below knee to toe,439.0,257.0,118.09,5962.0,309
HCPCS,29435,Application of kneecap tendon bearing cast,438.0,257.0,117.82,5962.0,61
HCPCS,29445,"Application of walking cast covering foot, ankle, and lower leg",438.0,257.0,117.82,5962.0,61
HCPCS,29505,Application of long leg splint from thigh to ankle or toe,368.0,150.0,48.98,4984.0,187
HCPCS,29515,Application of short leg splint from calf to foot,284.0,150.0,48.98,4984.0,187
HCPCS,29580,"Strapping, Unna boot",309.0,150.0,55.41,4984.0,244
HCPCS,29581,"Application of vein wound compression bandages on lower leg, ankle, and foot",255.0,150.0,68.6,4984.0,244
HCPCS,29700,"Removal or cutting of gauntlet, boot, or body cast",438.5,257.0,117.82,5962.0,122
HCPCS,29705,Removal or cutting of full arm or leg cast,439.0,257.0,118.09,5962.0,309
HCPCS,29710,"Removal or cutting of shoulder, hip spica, or jacket cast",439.0,257.0,118.09,5962.0,61
HCPCS,29720,"Repair of spica, body cast, or jacket",255.0,150.0,68.6,4984.0,61
HCPCS,29730,Exam of skin surface by creation of opening in cast,255.0,150.0,68.6,4984.0,61
HCPCS,30100,Biopsy of lining of nose,2430.0,1438.0,653.67,15383.0,61
HCPCS,30580,Repair of abnormal drainage tract between nasal sinuses,9273.0,5408.0,2340.17,27978.0,61
HCPCS,30901,Simple control of nose bleed,208.0,120.0,55.95,4984.0,61
HCPCS,30903,Complex control of nose bleed,208.0,120.0,55.95,4984.0,61
HCPCS,30905,Initial control of nose bleed and insertion of packing,208.0,120.0,55.95,4984.0,61
HCPCS,31032,Removal of nasal sinus polyp,9273.0,5408.0,2340.17,27978.0,57
HCPCS,31231,Diagnostic exam of nasal passages using an endoscope,313.0,175.0,84.2,5962.0,61
HCPCS,31237,Biopsy or removal of nasal polyp or tissue using an endoscope,2788.0,1591.0,749.97,15383.0,61
HCPCS,31238,Control of bleeding of nose using an endoscope,2788.0,1591.0,749.97,15383.0,61
HCPCS,31296,Dilation of frontal nasal sinus using an endoscope,11055.0,6192.0,373.51,27978.0,61
HCPCS,31500,Emergent insertion of breathing tube into windpipe using an endoscope,954.0,225.0,256.63,5962.0,64
HCPCS,31570,Injection into vocal cords using an endoscope,5840.0,3294.0,1292.04,27978.0,61
HCPCS,31575,Diagnostic exam of voice box using a flexible endoscope,313.0,175.0,84.2,5962.0,183
HCPCS,31600,Incision of windpipe for insertion of breathing tube (older than 2 years),4882.0,2909.0,1497.66,20345.0,64
HCPCS,31615,Exam of windpipe and lung airways through permanent windpipe opening using an endoscope,845.0,481.0,227.31,7362.0,183
HCPCS,31622,Diagnostic exam of lung airway using an endoscope,2386.0,1591.0,1025.98,15383.0,128
HCPCS,31623,Exam of lung airways using an endoscope,2409.0,1591.0,1035.87,15383.0,64
HCPCS,31624,Irrigation and suction of lung airways to obtain cells using an endoscope,2836.0,1591.0,1219.48,15383.0,64
HCPCS,31625,Biopsy of lung airway using an endoscope,1827.0,1591.0,785.61,15383.0,64
HCPCS,31628,"Biopsy of lobe of lung using an endoscope, 1 lobe",3833.0,3294.0,1281.61,27978.0,64
HCPCS,31629,"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope",5171.0,3294.0,1281.61,27978.0,64
HCPCS,31630,Dilation of windpipe cartilage or treatment of broken windpipe cartilage using an endoscope,5171.0,3294.0,2223.53,27978.0,64
HCPCS,31631,Placement of stent into windpipe using an endoscope,8444.0,6192.0,2369.0,27978.0,64
HCPCS,31634,Exam of lung airways with repair of air leak using an endoscope,10422.0,6192.0,2924.04,27978.0,64
HCPCS,31635,Removal of foreign body in lung airways using an endoscope,2376.0,1591.0,1021.68,15383.0,64
HCPCS,31641,Destruction of growth or narrowing of lung airway using an endoscope,3524.0,3294.0,1515.32,27978.0,64
HCPCS,31645,Aspiration of initial secretion of lung airway using an endoscope,1930.0,1591.0,829.9,15383.0,64
HCPCS,31646,Aspiration of subsequent secretions of lung airway using an endoscope during same hospital stay,564.0,400.0,242.52,7362.0,64
HCPCS,31652,"Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes",4508.0,3294.0,1938.44,27978.0,64
HCPCS,31653,"Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes",4508.0,3294.0,1938.44,27978.0,64
HCPCS,31654,Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound,3851.0,3851.0,401.0,7509.45,64
HCPCS,32408,"Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin",1777.0,1496.0,478.01,15383.0,253
HCPCS,32550,Insertion of indwelling tube for drainage of lung fluid,4929.0,3383.0,621.38,27978.0,128
HCPCS,32551,Removal of fluid from between lung and chest cavity,2211.0,1495.0,621.38,15383.0,192
HCPCS,32552,Removal of indwelling tube in lining of lung,1275.0,575.0,111.0,7362.0,192
HCPCS,32554,Aspiration of fluid from chest cavity,892.0,575.0,383.56,7362.0,128
HCPCS,32555,Aspiration of fluid from chest cavity using imaging guidance,1208.0,575.0,519.44,7362.0,256
HCPCS,32557,Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance,2371.0,1495.0,621.38,15383.0,320
HCPCS,32994,Destruction of growth of lung using extreme cold,14214.0,5381.0,3569.93,27978.0,64
HCPCS,33016,Drainage of heart sac using imaging guidance,2371.0,1495.0,621.38,15383.0,64
HCPCS,33017,Drainage of heart sac using tube and imaging guidance (6 years or older),2371.0,2371.0,621.38,31007.0,64
HCPCS,33018,Drainage of heart sac using tube and imaging guidance (5 years or younger or any age with congenital heart defect),2371.0,2371.0,621.38,31007.0,64
HCPCS,33206,Insertion of pacemaker and upper heart chamber electrode,21472.0,11057.0,5071.93,41870.4,64
HCPCS,33207,Insertion of pacemaker and lower heart chamber electrode,15324.0,11057.0,4122.16,29881.8,64
HCPCS,33208,Insertion of pacemaker and upper and lower heart chamber electrode,14646.0,11057.0,3939.77,28559.7,192
HCPCS,33210,Insertion of temporary pacemaker lead in single heart chamber,11074.5,8676.0,1029.92,27978.0,128
HCPCS,33211,Insertion of temporary pacemaker lead in upper and lower heart chambers,9690.0,8676.0,1029.92,27978.0,64
HCPCS,33212,Insertion of pacemaker pulse generator with existing single lead,10167.0,8676.0,3171.0,27978.0,192
HCPCS,33213,Insertion of pacemaker pulse generator with existing dual leads,11124.0,11057.0,3171.0,27978.0,128
HCPCS,33214,Insertion of 2 chamber pacemaker system,25902.0,11057.0,5071.93,50508.9,128
HCPCS,33215,Repositioning of pacemaker or defibrillator electrode,5296.5,3044.0,1029.92,20345.0,128
HCPCS,33216,Insertion of 1 electrode for permanent pacemaker or defibrillator,12459.0,8676.0,1029.92,27978.0,64
HCPCS,33217,Insertion of 2 electrodes for permanent pacemaker or defibrillator,12963.0,8676.0,1029.92,27978.0,192
HCPCS,33218,Repair of electrode for permanent pacemaker or defibrillator,7589.0,3662.0,1029.92,27978.0,64
HCPCS,33220,Repair of 2 electrodes for permanent pacemaker or defibrillator,10268.0,3662.0,1029.92,27978.0,64
HCPCS,33221,Insertion of pacemaker pulse generator with existing multiple leads,24291.0,19804.0,3171.0,47367.45,64
HCPCS,33222,Relocation of pacemaker skin pocket,2602.0,1821.0,1029.92,15383.0,128
HCPCS,33223,Relocation of defibrillator skin pocket,4026.0,1821.0,1029.92,15383.0,64
HCPCS,33224,Insertion of left lower heart electrode and attachment to pacemaker or defibrillator,13772.0,11057.0,3171.0,27978.0,128
HCPCS,33225,Insertion of left lower heart electrode for pacemaker or defibrillator,16416.0,16416.0,955.0,32011.2,64
HCPCS,33226,Repositioning of left lower heart electrode,3634.0,3044.0,977.55,20345.0,64
HCPCS,33227,Removal and replacement of single lead permanent pacemaker,12459.0,8676.0,3171.0,27978.0,128
HCPCS,33228,Removal and replacement of dual lead permanent pacemaker,11064.0,11057.0,2976.22,27978.0,128
HCPCS,33230,Insertion of defibrillator with existing dual leads,33558.0,24521.0,3171.0,65438.1,128
HCPCS,33231,Insertion of defibrillator with existing multiple leads,36569.0,34929.0,3171.0,71309.55,64
HCPCS,33233,Removal of permanent pacemaker pulse generator,9690.0,8676.0,2369.0,27978.0,64
HCPCS,33234,Removal of single electrode from right heart,5423.0,3662.0,1029.92,27978.0,128
HCPCS,33235,Removal of dual electrodes from right heart,4535.0,3662.0,1029.92,27978.0,128
HCPCS,33240,Insertion of defibrillator with existing single lead,36143.0,24521.0,6296.0,70478.85,128
HCPCS,33241,Removal of defibrillator,5691.0,3662.0,1530.88,27978.0,64
HCPCS,33244,Removal of defibrillator electrodes through vein,4724.5,3662.0,1029.92,27978.0,128
HCPCS,33249,Insertion of implantable defibrillator system,41432.0,34929.0,6296.0,80792.4,128
HCPCS,33262,Removal and replacement of single lead defibrillator,36569.0,24521.0,3171.0,71309.55,128
HCPCS,33263,Removal and replacement of dual lead defibrillator,36569.0,24521.0,3171.0,71309.55,128
HCPCS,33264,Removal and replacement of multiple lead defibrillator,36569.0,34929.0,3171.0,71309.55,64
HCPCS,33270,Insertion or replacement of defibrillator with electrode,37509.0,34929.0,3171.0,73142.55,64
HCPCS,33274,Insertion of permanent leadless pacemaker using imaging guidance,26906.0,17078.0,3953.0,52466.7,128
HCPCS,33285,Insertion of heart rhythm monitor under skin,11717.0,8676.0,2103.0,27978.0,256
HCPCS,33286,Removal of heart rhythm monitor from under the skin,894.0,662.0,384.42,10537.0,192
HCPCS,33289,Insertion of wireless pressure sensor into lung artery through tube with review by radiologist,41828.0,30674.0,2565.5,81564.6,128
HCPCS,33340,Repair of left upper heart chamber with implant with review by radiologist,24694.0,24694.0,3208.0,48153.3,128
HCPCS,33361,Replacement of aortic valve through the skin and femoral artery,20522.0,20522.0,3208.0,40017.9,128
HCPCS,33418,"Repair of mitral valve through the skin, initial prosthesis",42355.0,42355.0,3208.0,82592.25,128
HCPCS,33419,"Repair of mitral valve through the skin, additional prosthesis",21724.0,21724.0,401.0,58285.0,128
HCPCS,33477,Insertion of pulmonary valve,72672.0,72672.0,3208.0,141710.4,64
HCPCS,33741,"Incision of partition between upper chambers of heart to allow blood flow for congenital heart defects, via catheter using imaging guidance",4059.0,4059.0,1091.87,58285.0,64
HCPCS,33894,Repair of aorta by insertion of stent across major side branches,14434.0,14434.0,955.0,28146.3,122
HCPCS,33895,Repair of aorta by insertion of stent not crossing major side branches,9189.0,9189.0,955.0,17918.55,61
HCPCS,33897,Balloon dilation of native or recurrent narrowing of heart blood vessel,7124.0,7124.0,955.0,13891.8,122
HCPCS,33946,Initiation of ECMO external vein to vein blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,256
HCPCS,33947,Initiation of ECMO external vein to artery blood circulation in heart and lungs using a pump,4519.0,4519.0,420.0,31007.0,192
HCPCS,33948,Daily management of ECMO external vein to vein blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,192
HCPCS,33949,Daily management of ECMO external vein to artery blood circulation in heart and lungs using a pump,3664.0,3664.0,420.0,31007.0,192
HCPCS,33967,Insertion of blood flow assist device in aorta through skin,1968.0,1968.0,529.39,40059.0,128
HCPCS,33968,Removal of blood flow assist device in aorta,649.0,649.0,175.39,40059.0,125
HCPCS,33970,Insertion of blood flow assist device in aorta through upper leg artery,1571.0,1571.0,422.6,31007.0,64
HCPCS,33990,Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access,12338.0,12338.0,3208.0,31007.0,64
HCPCS,33992,Removal of blood flow assist device in left lower heart chamber through the skin,5140.0,5140.0,1382.66,31007.0,64
HCPCS,33993,Repositioning of blood flow assist device in lower heart chamber using imaging guidance,6271.0,6271.0,1686.9,31007.0,64
HCPCS,33995,"Insertion of right lower heart chamber blood flow assist device via vein accessed through skin, including radiological supervision and interpretation",9275.0,9275.0,2494.98,31007.0,64
HCPCS,34703,Repair of infrarenal aorta and groin artery with graft for other than rupture with review by radiologist,19371.0,19371.0,3208.0,37773.45,128
HCPCS,34704,Repair of infrarenal aorta and groin artery with graft for rupture with review by radiologist,19371.0,19371.0,3208.0,37773.45,64
HCPCS,34705,Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,256
HCPCS,34706,Repair of infrarenal aorta and groin artery with graft for rupture on both sides with review by radiologist,38742.0,38742.0,3208.0,75546.9,64
HCPCS,34709,Repair of abdominal or groin artery with prosthesis with review by radiologist,6421.0,6421.0,1727.25,31007.0,64
HCPCS,35875,Removal of blood clot of artery or vein graft,7588.0,5071.0,2720.37,27978.0,64
HCPCS,36002,Injection to cause blood clot in diseased or pseudoaneurysm of arm or leg,931.0,575.0,400.33,7362.0,128
HCPCS,36005,Injection for X-ray imaging procedure into vein of arm or leg,809.0,809.0,217.62,3241.0,320
HCPCS,36010,Insertion of tube into vena cava,1295.0,1295.0,348.36,3241.0,128
HCPCS,36011,"Insertion of tube into vein, first order branch",1841.0,1841.0,401.0,3589.95,448
HCPCS,36012,"Insertion of tube into vein, second order branch",2210.0,2210.0,401.0,4309.5,704
HCPCS,36013,Insertion of tube into right heart or main pulmonary artery,1366.0,1366.0,367.45,3241.0,64
HCPCS,36014,Insertion of tube into left or right pulmonary artery,905.0,905.0,243.45,3241.0,128
HCPCS,36015,Insertion of tube into artery of lobe of lung,1520.0,1520.0,401.0,3241.0,256
HCPCS,36140,Insertion of needle or tube into artery of arm or leg,1878.0,1878.0,401.0,3662.1,320
HCPCS,36200,Insertion of tube into aorta,2275.0,2275.0,401.0,4436.25,64
HCPCS,36215,"Insertion of tube into chest or arm artery, each first order branch",2289.0,2289.0,401.0,4463.55,384
HCPCS,36216,"Insertion of tube into chest or arm artery, initial second order branch",2619.0,2619.0,401.0,5107.05,192
HCPCS,36217,"Insertion of tube into chest or arm artery, initial third order branch",3141.0,3141.0,401.0,6124.95,192
HCPCS,36218,"Insertion of tube into chest or arm artery, additional second, third order and beyond",1332.0,1332.0,358.31,4299.0,256
HCPCS,36221,Insertion of tube into chest aorta for diagnosis or treatment with review by radiologist,6576.0,3044.0,1768.94,20345.0,64
HCPCS,36222,Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist,7235.5,3044.0,1330.47,20345.0,256
HCPCS,36223,Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist,7588.0,5071.0,2041.17,27978.0,128
HCPCS,36224,Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist,8717.0,5071.0,2344.87,27978.0,128
HCPCS,36225,Insertion of tube into chest artery for diagnosis or treatment with review by radiologist,6394.0,3044.0,1719.99,20345.0,256
HCPCS,36226,Insertion of tube into brain artery for diagnosis or treatment with review by radiologist,6394.0,5071.0,1719.99,27978.0,64
HCPCS,36227,Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist,6289.0,6289.0,401.0,12263.55,64
HCPCS,36228,Insertion of tube into neck or brain artery for diagnosis or treatment with review by radiologist,6394.0,6394.0,401.0,12468.3,64
HCPCS,36245,"Insertion of tube into abdominal, pelvic, or leg artery, each first order branch",2317.0,2317.0,401.0,4518.15,640
HCPCS,36246,"Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch",2940.0,2940.0,401.0,5733.0,512
HCPCS,36247,"Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch",3529.0,3529.0,401.0,6881.55,704
HCPCS,36248,"Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond",1039.0,1039.0,279.49,4299.0,832
HCPCS,36251,Insertion of tube into first order main and accessory arteries of kidney for imaging with review by radiologist,4428.0,3044.0,1191.13,20345.0,64
HCPCS,36252,Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist,3502.0,3044.0,942.04,20345.0,128
HCPCS,36253,Insertion of tube into second or third order branches of arteries of kidney for imaging with review by radiologist,7588.0,5071.0,2041.17,27978.0,64
HCPCS,36430,Transfusion of blood or blood products,855.0,422.0,185.88,7362.0,640
HCPCS,36465,Injection of chemical agent into single incompetent vein of leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,128
HCPCS,36466,Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance,2244.0,1821.0,482.38,15383.0,128
HCPCS,36470,Injection of chemical agent into single incompetent vein,601.49,368.0,111.0,7362.0,64
HCPCS,36471,Injection of chemical agent into multiple incompetent veins of leg,551.0,368.0,111.0,7362.0,128
HCPCS,36475,Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance,4211.0,3044.0,1697.97,20345.0,192
HCPCS,36478,Laser destruction of incompetent vein of arm or leg using imaging guidance,4401.0,3044.0,1697.97,20345.0,128
HCPCS,36479,"Laser destruction of incompetent veins of arm or leg using imaging guidance, subsequent",2597.0,2597.0,401.0,5064.15,64
HCPCS,36481,Insertion of tube into portal vein of liver,2063.0,2063.0,401.0,4022.85,64
HCPCS,36482,Chemical destruction of first incompetent vein of arm or leg using imaging guidance,8717.0,5071.0,1697.97,27978.0,192
HCPCS,36483,Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance,4715.0,4715.0,401.0,9194.25,192
HCPCS,36500,Insertion of tube into vein with collection of blood sample,624.0,624.0,167.86,3241.0,64
HCPCS,36511,Mechanical separation of white blood cells from blood,3693.0,1450.0,993.42,15383.0,61
HCPCS,36512,Mechanical separation of red blood cells from blood,3153.0,1450.0,848.16,15383.0,61
HCPCS,36513,Mechanical separation of platelet cells from blood,4489.0,422.0,1063.69,8753.55,61
HCPCS,36514,Mechanical separation of plasma from blood,4434.0,1450.0,1063.69,15383.0,192
HCPCS,36516,Mechanical separation of plasma and abnormal antibodies from blood,6823.0,4301.0,420.0,27978.0,253
HCPCS,36555,Insertion of non-tunneled central venous tube for infusion (younger than 5 years),4401.0,3044.0,790.49,20345.0,192
HCPCS,36556,Insertion of non-tunneled central venous tube for infusion (5 years or older),4401.0,3044.0,790.49,20345.0,256
HCPCS,36557,Insertion of tunneled central venous tube for infusion (younger than 5 years),8717.0,5071.0,1397.3,27978.0,125
HCPCS,36558,Insertion of tunneled central venous tube for infusion (5 years or older),4946.0,3044.0,1330.47,20345.0,125
HCPCS,36560,Insertion of central venous tube with port (younger than 5 years),4566.0,3044.0,1397.3,20345.0,64
HCPCS,36561,Insertion of central venous tube with port (5 years or older),3978.0,3044.0,1397.3,20345.0,128
HCPCS,36568,Insertion of tube for infusion (younger than 5 years),2466.0,1495.0,663.35,15383.0,186
HCPCS,36569,Insertion of tube for infusion (5 years or older),2371.0,1495.0,790.49,15383.0,256
HCPCS,36572,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient younger than 5 years",1741.0,575.0,468.33,7362.0,189
HCPCS,36573,"Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older",2466.0,1495.0,663.35,15383.0,375
HCPCS,36578,"Replacement of central venous tube, tube only",3808.0,3044.0,486.6,20345.0,64
HCPCS,36580,Replacement of nontunneled central venous tube,1801.0,1495.0,774.43,15383.0,64
HCPCS,36581,Replacement of tunneled central venous tube,4618.0,3044.0,1397.3,20345.0,64
HCPCS,36582,Replacement of tunneled central venous tube with port,4906.0,3044.0,1397.3,20345.0,128
HCPCS,36583,Replacement of tunneled central venous tube with pump,7588.0,5071.0,1397.3,27978.0,128
HCPCS,36584,Replacement of peripherally inserted central venous tube (PICC) with review by radiologist,1687.0,1495.0,725.41,15383.0,192
HCPCS,36589,Removal of tunneled central venous tube,1774.0,575.0,486.6,7362.0,192
HCPCS,36590,Removal of central venous tube with port or pump,2797.0,2797.0,486.6,15383.0,64
HCPCS,36591,Collection of blood sample from implanted device,209.0,120.0,50.16,4984.0,125
HCPCS,36592,Collection of blood sample from central venous tube,209.0,120.0,50.16,4984.0,305
HCPCS,36593,Declotting of central venous tube,518.0,339.0,111.0,5962.0,125
HCPCS,36595,Mechanical removal of obstructive material from central venous tube,4618.0,3044.0,486.6,20345.0,64
HCPCS,36597,Repositioning of central venous tube using fluoroscopic guidance,2466.0,1495.0,486.6,15383.0,189
HCPCS,36598,Contrast injection for imaging to evaluate central venous access device,1052.0,218.0,243.95,5962.0,64
HCPCS,36620,Insertion of artery tube for blood sampling or infusion through skin,308.0,308.0,82.85,3241.0,64
HCPCS,36860,Injection for removal of blood clot from external dialysis tube,3918.0,1495.0,178.32,15383.0,64
HCPCS,36861,Insertion of balloon tube for removal of blood clot from external dialysis tube,8138.0,5071.0,2646.49,27978.0,64
HCPCS,36901,Insertion of needle and/or tube into hemodialysis circuit with review by radiologist,1729.0,1495.0,111.0,15383.0,64
HCPCS,36902,Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist,7029.0,5270.0,1890.8,27978.0,128
HCPCS,36903,Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist,14206.0,10681.0,3821.41,27978.0,64
HCPCS,36904,Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist,6690.0,5270.0,1799.61,27978.0,64
HCPCS,36905,"Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube",14206.0,10681.0,3821.41,27978.0,64
HCPCS,36906,Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist,21532.0,17078.0,5792.11,41987.4,64
HCPCS,36907,Balloon dilation of dialysis segment with review by radiologist,11310.0,11310.0,401.0,22054.5,128
HCPCS,36908,Insertion of stent in dialysis segment with review by radiologist,13418.0,13418.0,401.0,26165.1,128
HCPCS,36909,Permanent blockage of hemodialysis circuit with review by radiologist,13700.0,13700.0,401.0,26715.0,128
HCPCS,37182,Insertion of shunts to bypass blood flow to liver with review by radiologist,13546.0,13546.0,3643.87,31007.0,64
HCPCS,37183,Revision of shunts to bypass blood flow to liver with review by radiologist,13546.0,5270.0,3643.87,27978.0,64
HCPCS,37184,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel",24213.0,10681.0,4649.52,47215.35,192
HCPCS,37185,"Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, subsequent vessels",6189.0,6189.0,401.0,12068.55,192
HCPCS,37186,Secondary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance,6189.0,6189.0,401.0,12068.55,64
HCPCS,37187,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment",15191.0,10681.0,2646.49,29622.45,128
HCPCS,37188,"Removal and dissolving of blood clot from vein using fluoroscopic guidance, repeat treatment on subsequent day",6479.0,3044.0,2646.49,20345.0,128
HCPCS,37191,Insertion of vena cava filter with review by radiologist,6341.0,5071.0,1705.73,27978.0,192
HCPCS,37193,Removal of vena cava filter with review by radiologist,4946.0,3044.0,1330.47,20345.0,320
HCPCS,37195,Infusion of drug to dissolve blood clot in brain,6252.0,339.0,178.32,12191.4,64
HCPCS,37197,Retrieval of foreign body in blood vessel with review by radiologist,5826.0,3044.0,2505.18,20345.0,128
HCPCS,37200,Biopsy of blood vessel using tube,7588.0,5071.0,2113.0,27978.0,64
HCPCS,37211,"Insertion of tube into artery for drug infusion for blood clot with review by radiologist, initial treatment day",7588.0,5071.0,2103.0,27978.0,128
HCPCS,37212,"Insertion of tube into vein for drug infusion for blood clot with review by radiologist, initial treatment day",4401.0,3044.0,1892.43,20345.0,128
HCPCS,37213,Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist,3764.0,3044.0,1206.0,20345.0,256
HCPCS,37214,Removal of tube into artery or vein with review by radiologist,4566.0,3044.0,1206.0,20345.0,128
HCPCS,37215,Insertion of stent and blood clot protection device in neck artery with review by radiologist,4711.0,4711.0,1267.26,31007.0,64
HCPCS,37220,"Balloon dilation of groin artery, initial vessel",7707.0,5270.0,2073.18,27978.0,64
HCPCS,37236,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery",18999.0,10681.0,3171.0,58285.0,192
HCPCS,37237,"Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, each additional artery",9189.0,9189.0,2103.0,58285.0,64
HCPCS,37238,"Insertion of stent in vein with review by radiologist, initial vein",18999.0,10681.0,3171.0,58285.0,128
HCPCS,37239,"Insertion of stent in vein with review by radiologist, each additional vein",9187.0,9187.0,2103.0,58285.0,192
HCPCS,37241,Occlusion of vein with review by radiologist,19371.0,10681.0,3171.0,37773.45,128
HCPCS,37242,Occlusion of artery with review by radiologist,19371.0,10681.0,3171.0,37773.45,128
HCPCS,37243,Occlusion of growths or obstructed vessels with review by radiologist,19371.0,10681.0,3171.0,37773.45,128
HCPCS,37244,Occlusion of artery or vein bleeding with review by radiologist,19371.0,10681.0,3171.0,37773.45,128
HCPCS,37246,"Balloon dilation of artery with review by radiologist, initial artery",7653.0,5270.0,1994.37,27978.0,448
HCPCS,37247,"Balloon dilation of artery with review by radiologist, each additional artery",1847.0,1847.0,401.0,6044.38,192
HCPCS,37248,"Balloon dilation of vein with review by radiologist, initial vein",7892.0,5270.0,2122.95,27978.0,384
HCPCS,37249,"Balloon dilation of vein with review by radiologist, each additional vein",5240.0,5240.0,401.0,10218.0,128
HCPCS,37252,"Ultrasound evaluation of blood vessel with review by radiologist, initial vessel",1834.0,1834.0,401.0,3576.3,106
HCPCS,37253,"Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel",2728.0,2728.0,401.0,5319.6,159
HCPCS,37254,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8754.09,8754.09,955.0,17070.65,150
HCPCS,37255,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,150
HCPCS,37256,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",8916.0,8916.0,955.0,17386.2,200
HCPCS,37257,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY",6421.0,6421.0,955.0,12520.95,200
HCPCS,37258,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",9756.05,9756.05,472.39,34624.2,150
HCPCS,37259,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,150
HCPCS,37260,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",18084.0,18084.0,955.0,35263.8,200
HCPCS,37261,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS NECESSARY",6421.0,6421.0,955.0,12520.95,200
HCPCS,37263,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8754.09,8754.09,955.0,17070.65,150
HCPCS,37264,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,100
HCPCS,37265,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",8916.0,8916.0,955.0,17386.2,200
HCPCS,37266,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETER",6421.0,6421.0,955.0,12520.95,100
HCPCS,37267,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",17756.0,17756.0,955.0,34624.2,50
HCPCS,37268,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,100
HCPCS,37269,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",18084.0,18084.0,955.0,35263.8,100
HCPCS,37270,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MAN",6421.0,6421.0,955.0,12520.95,100
HCPCS,37271,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",28196.0,28196.0,955.0,54982.2,50
HCPCS,37272,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,100
HCPCS,37273,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",28716.0,28716.0,955.0,55996.2,100
HCPCS,37274,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVE",6421.0,6421.0,955.0,12520.95,100
HCPCS,37275,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",28196.0,28196.0,955.0,54982.2,50
HCPCS,37276,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,100
HCPCS,37277,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",28716.0,28716.0,955.0,55996.2,100
HCPCS,37278,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL AND POPLITEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WH",6421.0,6421.0,955.0,12520.95,100
HCPCS,37280,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",17756.0,17756.0,955.0,34624.2,50
HCPCS,37281,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",4962.0,4962.0,955.0,9675.9,50
HCPCS,37282,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",18084.0,18084.0,955.0,35263.8,100
HCPCS,37283,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZ",4962.0,4962.0,955.0,9675.9,100
HCPCS,37284,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",28196.0,28196.0,955.0,54982.2,50
HCPCS,37285,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",6421.0,6421.0,955.0,12520.95,50
HCPCS,37286,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",28716.0,28716.0,955.0,55996.2,100
HCPCS,37287,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEU",6421.0,6421.0,955.0,12520.95,100
HCPCS,37288,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",28196.0,28196.0,955.0,54982.2,50
HCPCS,37289,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",6421.0,6421.0,955.0,12520.95,50
HCPCS,37290,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",28716.0,28716.0,955.0,55996.2,100
HCPCS,37291,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, INCLUDING ALL MANEUVERS",6421.0,6421.0,955.0,12520.95,100
HCPCS,37292,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",28196.0,28196.0,955.0,54982.2,50
HCPCS,37293,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,100
HCPCS,37294,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",28716.0,28716.0,955.0,55996.2,100
HCPCS,37295,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN",6421.0,6421.0,955.0,12520.95,100
HCPCS,37765,"Removal of varicose veins of arm or leg, 10-20 incisions",3324.0,3044.0,1429.32,20345.0,64
HCPCS,38205,Collection of donor stem cells for transplantation,3608.0,3608.0,401.0,7035.6,178
HCPCS,38206,Collection of stem cells for transplantation,5676.0,1450.0,1063.69,15383.0,114
HCPCS,38207,Preservation and storage of stem cells for transplantation,691.5,422.0,185.88,7362.0,118
HCPCS,38208,Thawing of frozen stem cells for transplantation,2954.0,422.0,794.63,7362.0,61
HCPCS,38210,Preparation of stem cells for transplantation with removal of T cells,692.0,422.0,186.15,7362.0,118
HCPCS,38214,Preparation of stem cells for transplantation with reduction of blood fluid (plasma) volume,692.0,422.0,186.15,7362.0,57
HCPCS,38215,Preparation of stem cells for transplantation with cell concentration in blood fluid (plasma),692.0,422.0,186.15,7362.0,118
HCPCS,38220,Aspiration of bone marrow sample for diagnosis,2156.0,1496.0,927.08,15383.0,128
HCPCS,38221,Biopsy of bone marrow,2588.0,1496.0,696.17,15383.0,314
HCPCS,38222,Biopsy and aspiration of bone marrow sample for diagnosis,4550.0,2521.0,1295.91,17883.0,896
HCPCS,38225,"Harvesting of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy, per day",4779.0,,955.0,9319.05,47
HCPCS,38226,Preparation of blood-derived T white blood cells (T lymphocytes) for transportation for chimeric antigen receptor T-cell (CAR-T) therapy,3420.0,,919.98,6669.0,47
HCPCS,38227,Receipt and preparation of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy,1462.0,,393.28,2850.9,47
HCPCS,38228,Administration of blood-derived T white blood cells (T lymphocytes) for chimeric antigen receptor T-cell (CAR-T) therapy,1162.0,,312.58,2265.9,47
HCPCS,38243,Transplantation of donor stem cells,2440.0,1450.0,111.0,15383.0,64
HCPCS,38505,Needle biopsy or removal of surface lymph nodes,2588.0,1496.0,793.31,15383.0,256
HCPCS,40490,Biopsy of lip,462.0,225.0,124.21,5962.0,122
HCPCS,40800,"Simple drainage of abscess, cyst, or blood accumulation of mouth",1110.0,662.0,298.59,10537.0,61
HCPCS,40808,Biopsy of mouth,845.0,481.0,227.31,7362.0,61
HCPCS,40810,Removal of growth of tissue of mouth,5193.0,2909.0,1377.14,20345.0,61
HCPCS,40814,Removal of growth of mouth with complicated repair,5194.0,2909.0,1397.19,20345.0,61
HCPCS,40819,Removal of tissue at dental edge and cheek,2431.0,1438.0,922.83,15383.0,128
HCPCS,41006,"Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth",2431.0,1438.0,653.94,15383.0,61
HCPCS,41010,Incision of tissue connecting tongue and floor of mouth,2431.0,1438.0,653.94,15383.0,61
HCPCS,41100,Biopsy of front 2/3 of tongue,845.0,481.0,124.21,7362.0,122
HCPCS,41105,Biopsy of back 1/3 of tongue,5194.0,2909.0,922.83,20345.0,61
HCPCS,41108,Biopsy of floor of mouth,2588.0,1496.0,696.17,15383.0,122
HCPCS,41110,Removal of growth of tongue without closure,5194.0,2909.0,922.83,20345.0,61
HCPCS,41115,Removal of tissue connecting tongue and floor of mouth,2431.0,1438.0,653.94,15383.0,122
HCPCS,41874,Reshaping of tooth socket,5194.0,2909.0,1397.19,20345.0,61
HCPCS,41899,Other procedure on teeth and gums,372.0,225.0,100.07,5962.0,61
HCPCS,42100,Biopsy of roof of mouth,2045.0,1438.0,446.27,15383.0,122
HCPCS,42800,Biopsy of back of throat,3206.0,1438.0,862.41,15383.0,61
HCPCS,42804,Simple biopsy of growth of throat behind nose,5194.0,2909.0,922.83,20345.0,61
HCPCS,43246,Insertion of stomach tube using a flexible endoscope,2264.0,1727.0,671.79,16462.0,192
HCPCS,43260,"Diagnostic exam of gallbladder and pancreatic, liver, and bile ducts using an endoscope",5288.0,3265.0,1786.81,27978.0,64
HCPCS,43752,Insertion of stomach tube through nose or mouth using fluoroscopic guidance,550.0,289.0,111.0,7362.0,128
HCPCS,43761,Repositioning of oral or nasal feeding tube in small bowel,1268.0,283.0,199.45,5962.0,128
HCPCS,43762,Replacement of stomach stoma tube,588.0,283.0,158.17,5962.0,61
HCPCS,45100,Biopsy of anal and/or rectal wall through anus,3407.0,2598.0,964.16,17883.0,64
HCPCS,46221,Removal of external hemorrhoids by rubber banding,1457.0,844.0,391.93,10537.0,61
HCPCS,46505,Injection of agent to destroy nerve to internal sphincter of anus,1420.0,1103.0,610.6,10740.0,64
HCPCS,46600,Diagnostic exam of anus using an endoscope,208.5,120.0,55.95,4984.0,122
HCPCS,46606,Biopsy of anus using an endoscope,1875.0,1103.0,504.38,10740.0,122
HCPCS,46615,Destruction of anal polyp or growth using an endoscope,4348.0,2598.0,1169.61,17883.0,122
HCPCS,47000,Needle biopsy of liver through skin,2587.0,1496.0,436.45,15383.0,320
HCPCS,47382,Destruction of growth of liver through skin using radiofrequency,5960.0,5381.0,1603.24,27978.0,64
HCPCS,47490,Insertion of tube into gallbladder using imaging guidance with review by radiologist,4244.0,3383.0,1141.64,27978.0,128
HCPCS,47531,Injection of bile duct for X-ray through already existing skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,128
HCPCS,47532,Injection of bile duct for X-ray through new skin access using imaging guidance with review by radiologist,4777.0,3383.0,1125.58,27978.0,128
HCPCS,47533,Placement of external drainage tube of biliary duct using imaging guidance with review by radiologist,3620.0,3383.0,1556.6,27978.0,128
HCPCS,47534,Placement of internal-external drainage tube of biliary duct using imaging guidance with review by radiologist,5313.0,3383.0,1560.11,27978.0,128
HCPCS,47535,Conversion of external biliary drainage tube to internal-external biliary drainage tube using imaging guidance and study of bile duct with review by radiologist,5313.0,3383.0,1560.11,27978.0,64
HCPCS,47536,Replacement of liver duct drainage tube using imaging guidance with review by radiologist,4244.0,3383.0,1560.11,27978.0,64
HCPCS,47537,Removal of biliary drainage tube using imaging guidance with review by radiologist,1084.0,860.0,199.45,10537.0,128
HCPCS,47538,Placement of stent of biliary duct through existing skin access using imaging guidance with review by radiologist,6091.0,5381.0,1560.11,27978.0,64
HCPCS,47540,Placement of stent and drainage tube of biliary duct using imaging guidance with review by radiologist,6091.0,5381.0,2619.13,27978.0,64
HCPCS,47542,Balloon dilation of bile duct using imaging guidance with review by radiologist,2626.0,2626.0,401.0,5120.7,64
HCPCS,47543,Biopsy of bile duct or liver duct using imaging guidance with review by radiologist,6746.0,6746.0,401.0,13154.7,64
HCPCS,47544,Removal of biliary duct or gallbladder stone using imaging guidance with review by radiologist,1390.0,1390.0,373.91,4806.51,128
HCPCS,48102,Needle biopsy of pancreas,1965.0,1496.0,491.77,15383.0,192
HCPCS,49082,Drainage of fluid from abdominal cavity,1421.0,860.0,382.25,10537.0,125
HCPCS,49083,Drainage of fluid from abdominal cavity using imaging guidance,1256.0,860.0,491.77,10537.0,256
HCPCS,49084,Irrigation of abdominal cavity,1252.0,860.0,491.77,10537.0,128
HCPCS,49180,Needle biopsy of growth of abdominal cavity,2239.0,1496.0,491.77,15383.0,192
HCPCS,49185,Injection of chemical agent into fluid collection using imaging guidance,2239.0,662.0,491.77,15383.0,64
HCPCS,49405,Drainage of fluid collection by tube through skin using imaging guidance,2226.0,1496.0,491.77,15383.0,192
HCPCS,49406,Drainage of fluid collection of abdominal cavity by tube using imaging guidance,2226.0,1496.0,491.77,15383.0,192
HCPCS,49411,Insertion of device in abdominal cavity through skin for radiation therapy guidance,1917.0,1343.0,704.08,15383.0,128
HCPCS,49418,Insertion of abdominal tube using imaging guidance with review by radiologist,4398.0,3383.0,1891.14,27978.0,64
HCPCS,49421,Insertion of abdominal cavity tube for drainage or dialysis,11566.0,3383.0,2113.0,27978.0,64
HCPCS,49422,Removal of abdominal cavity tube,4740.0,3044.0,491.77,20345.0,128
HCPCS,49423,Exchange of abdominal cavity drainage tube using imaging guidance,3260.0,1727.0,491.77,16462.0,64
HCPCS,49424,Injection of contrast through abdominal cavity tube for X-ray study,938.0,938.0,243.95,3241.0,64
HCPCS,49440,Insertion of stomach tube using fluoroscopic guidance with contrast,2117.0,1727.0,199.45,16462.0,128
HCPCS,49441,Insertion of small bowel tube using fluoroscopic guidance with contrast,2040.0,1727.0,199.45,16462.0,64
HCPCS,49446,Conversion of stomach tube to stomach-to-small bowel tube using fluoroscopic guidance with contrast,2040.0,1727.0,199.45,16462.0,64
HCPCS,49450,Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
HCPCS,49451,Replacement of small bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
HCPCS,49452,Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast,1411.0,860.0,199.45,10537.0,64
HCPCS,49460,"Mechanical removal of obstructive material from stomach, large, or small bowel tube using fluoroscopic guidance",1411.0,860.0,199.45,10537.0,64
HCPCS,49465,"Contrast injection for X-ray imaging through existing tube in stomach, small bowel or large bowel",338.0,245.0,76.23,5962.0,64
HCPCS,50200,Needle biopsy of kidney,2588.0,1496.0,696.17,15383.0,253
HCPCS,50382,Removal and replacement of stent in ureter with review by radiologist,2481.0,1904.0,978.2,16462.0,64
HCPCS,50384,Removal of stent in ureter through skin with review by radiologist,2812.0,1904.0,978.2,16462.0,64
HCPCS,50387,Removal and replacement of stent in kidney and ureter using fluoroscopic guidance with review by radiologist,2812.0,1904.0,978.2,16462.0,64
HCPCS,50389,Removal of kidney drainage tube using fluoroscopic guidance,1520.0,612.0,273.03,10537.0,64
HCPCS,50390,Aspiration and/or injection of cyst of kidney,1053.0,662.0,273.03,10537.0,128
HCPCS,50396,Measurement of urine flow in kidneys and ureters,2472.0,612.0,273.03,10537.0,64
HCPCS,50430,Injection procedure for imaging of kidney and ureter through new skin access using imaging guidance with review by radiologist,943.0,612.0,273.03,10537.0,64
HCPCS,50431,Injection procedure for imaging of kidney and ureter through already existing skin access using imaging guidance with review by radiologist,800.0,612.0,273.03,10537.0,128
HCPCS,50432,Placement of tube of kidney using imaging guidance with review by radiologist,2102.0,1904.0,903.86,16462.0,256
HCPCS,50433,Placement of tube of kidney and urinary tube through new skin access using imaging guidance with review by radiologist,4814.0,3269.0,1940.53,27978.0,128
HCPCS,50434,Conversion of kidney tube to nephroureteral tube using imaging guidance and study of kidney and ureter with review by radiologist,2812.0,1904.0,978.2,16462.0,64
HCPCS,50435,Replacement of kidney drainage tube using imaging guidance with review by radiologist,2812.0,1904.0,978.2,16462.0,64
HCPCS,50436,Dilation of existing opening into urinary tract using imaging guidance,4814.0,3269.0,978.2,27978.0,128
HCPCS,50437,Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance,4240.41,3269.0,978.2,27978.0,128
HCPCS,50688,Change of tube or stent in ureter,2812.0,1904.0,978.2,16462.0,64
HCPCS,50690,Injection of bladder and ureter for imaging,155.0,155.0,41.7,3241.0,64
HCPCS,50693,Placement of stent of ureter through existing skin access using imaging guidance with review by radiologist,5192.0,3269.0,1940.53,27978.0,64
HCPCS,50695,Placement of stent of ureter and separate tube in kidney through new skin access using imaging guidance with review by radiologist,5192.0,3269.0,1940.53,27978.0,64
HCPCS,50706,Balloon dilation treatment of stricture of ureter using imaging guidance with review by radiologist,948.0,948.0,255.01,6134.33,64
HCPCS,51040,Incision of bladder with drainage,3084.0,1904.0,1026.31,16462.0,128
HCPCS,51102,Aspiration of bladder with insertion of bladder tube to skin,2812.0,1904.0,1026.31,16462.0,64
HCPCS,51600,Injection procedure for imaging of bladder during voiding,189.0,189.0,50.84,1897.0,61
HCPCS,51610,Injection procedure through bladder and urethra for X-ray imaging,98.0,98.0,26.36,1897.0,64
HCPCS,51700,Simple bladder irrigation and/or instillation,391.5,283.0,55.63,5962.0,122
HCPCS,51701,Insertion of temporary bladder tube,222.0,120.0,55.63,4984.0,247
HCPCS,51702,Simple insertion of temporary bladder tube,208.5,120.0,55.63,4984.0,491
HCPCS,51705,Simple change of bladder tube,392.0,283.0,55.63,5962.0,128
HCPCS,51720,Instillation of anti-cancer drug into bladder,1093.0,283.0,273.03,10537.0,61
HCPCS,51726,Complex measurement of pressure of urine flow in bladder,861.0,283.0,231.61,5962.0,122
HCPCS,51728,Complex measurement of pressure of urine flow in bladder with voiding pressure studies,1092.5,612.0,273.03,10537.0,186
HCPCS,51741,Electronic assessment of bladder emptying,433.0,148.0,116.48,5962.0,186
HCPCS,51784,Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings,202.0,148.0,54.34,4984.0,189
HCPCS,51792,Assessment of muscle signal of pelvic nerves,358.0,59.0,89.14,4984.0,64
HCPCS,51797,Insertion of device into abdomen with pressure and urine flow rate study,303.0,303.0,55.63,1897.0,186
HCPCS,51798,Ultrasound measurement of bladder capacity after voiding,334.0,59.0,55.63,4984.0,366
HCPCS,52000,Diagnostic exam of bladder and urethra using an endoscope,1945.0,612.0,523.21,10537.0,125
HCPCS,52287,Exam with injections of chemical for destruction of bladder using an endoscope,3275.0,1904.0,1026.31,16462.0,64
HCPCS,52310,"Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope",3275.0,1904.0,880.98,16462.0,122
HCPCS,54150,Removal of foreskin using clamp or device,3275.0,1904.0,880.98,16462.0,122
HCPCS,54160,Removal of foreskin (28 days or younger),2001.0,612.0,538.27,10537.0,61
HCPCS,54161,Removal of foreskin (older than 28 days),3275.0,1904.0,880.98,16462.0,125
HCPCS,55707,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT, ULTRASOUND-LOCALIZED DISCRETE LESION[S])",5522.0,5522.0,955.0,10767.9,50
HCPCS,56420,Incision and drainage of abscess of female genital gland,351.0,181.0,94.42,5962.0,183
HCPCS,56440,Creation of drainage tract for gland cyst of female genitals,5071.0,2790.0,1364.1,20345.0,61
HCPCS,56605,"Biopsy of growth of external female genitals, first growth",1443.0,674.0,350.48,10537.0,183
HCPCS,56606,"Biopsy of growth of external female genitals, each additional growth",387.0,387.0,104.1,1897.0,183
HCPCS,57100,Simple biopsy of vaginal mucous membrane,1443.0,674.0,350.48,10537.0,122
HCPCS,57160,Fitting and insertion of vaginal support device,317.0,181.0,85.27,5962.0,183
HCPCS,57420,Exam of vagina and cervix using an endoscope,477.0,300.0,128.31,5962.0,61
HCPCS,57421,Biopsy of vagina and cervix using an endoscope,1443.0,674.0,72.0,10537.0,184
HCPCS,57452,Exam of cervix and upper part of vagina using an endoscope,317.0,181.0,85.27,5962.0,122
HCPCS,57454,Biopsy and scraping of cervix using an endoscope,477.5,300.0,128.31,5962.0,183
HCPCS,57455,Biopsy of cervix using an endoscope,477.5,300.0,128.31,5962.0,183
HCPCS,57456,Scraping of cervix using an endoscope,477.5,300.0,128.31,5962.0,183
HCPCS,57460,Biopsy of cervix using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,122
HCPCS,57461,Cone biopsy of cervix and vagina using an endoscope with loop electrode,5071.0,2790.0,1364.1,20345.0,122
HCPCS,57500,Biopsy of cervix or removal of growth,1443.0,674.0,350.48,10537.0,122
HCPCS,57505,Scraping of tissue of cervix,1443.0,674.0,350.48,10537.0,186
HCPCS,57510,Electro or thermal destruction of cervix,5071.0,2790.0,1364.1,20345.0,61
HCPCS,57522,Removal or destruction of cervix using loop electrode,5071.0,2790.0,1364.1,20345.0,183
HCPCS,58100,Biopsy of lining of uterus,317.0,181.0,85.27,5962.0,183
HCPCS,58110,Exam of cervix using an endoscope with biopsy of lining of uterus,321.0,321.0,86.35,1897.0,122
HCPCS,58300,Insertion of IUD for pregnancy prevention,248.0,248.0,66.71,4132.0,183
HCPCS,58301,Removal of IUD,478.0,300.0,128.58,5962.0,247
HCPCS,58340,Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes,386.0,386.0,103.83,3241.0,128
HCPCS,58555,Diagnostic exam of uterus using an endoscope,5071.0,2790.0,1364.1,20345.0,61
HCPCS,58800,Drainage of cysts of ovaries through vagina,5071.0,2790.0,1616.87,20345.0,128
HCPCS,58805,Drainage of cysts of ovaries through abdomen,7306.0,2790.0,1616.87,20345.0,128
HCPCS,59000,Removal of sample of amniotic fluid surrounding fetus for diagnosis,1443.0,674.0,283.42,10537.0,61
HCPCS,59001,Removal of amniotic fluid to reduce amount of fluid surrounding fetus using ultrasound guidance,478.0,300.0,128.58,5962.0,61
HCPCS,59015,Removal of tissue from placenta for diagnosis,1443.0,674.0,111.0,10537.0,128
HCPCS,59025,Fetal test,317.0,181.0,85.27,5962.0,194
HCPCS,59200,Insertion of dilator device into cervix,478.0,300.0,128.58,5962.0,64
HCPCS,59409,Vaginal delivery,5071.0,2790.0,688.0,20345.0,256
HCPCS,59412,Turning of fetus through external manipulation,5071.0,2790.0,283.42,20345.0,64
HCPCS,59414,Delivery of placenta,5071.0,2790.0,1311.77,20345.0,64
HCPCS,60100,Needle biopsy of thyroid through skin,789.0,662.0,339.27,10537.0,128
HCPCS,61050,Removal of cerebrospinal fluid from upper spine,481.0,278.0,206.83,5962.0,768
HCPCS,61623,Balloon occlusion of head or neck artery with review by radiologist,13704.0,10681.0,3686.38,27978.0,64
HCPCS,61624,Occlusion of central nervous system or spinal cord artery,6463.0,6463.0,1738.55,31007.0,64
HCPCS,61626,Occlusion of head or neck artery,17073.0,10681.0,4592.64,33292.35,64
HCPCS,61630,Balloon dilation of blood vessel in head,3372.0,3372.0,1449.96,31007.0,64
HCPCS,61635,Insertion of stent in blood vessel of head,7901.0,7901.0,3208.0,31007.0,64
HCPCS,61645,Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance,4396.0,4396.0,1182.52,31007.0,64
HCPCS,61650,"Infusion of chemical agent into artery of brain with insertion of tube and imaging, initial territory",2838.0,2838.0,763.42,31007.0,64
HCPCS,62268,Aspiration of fluid from cyst of spinal cord or fluid-filled cavity,2187.0,875.0,471.65,10537.0,128
HCPCS,62270,Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test,1229.0,675.0,330.6,10537.0,314
HCPCS,62272,Removal of cerebrospinal fluid with lower back spinal tap,1106.0,675.0,297.51,10537.0,186
HCPCS,62273,Injection of blood or blood clot into spinal canal,1200.0,675.0,471.65,10537.0,128
HCPCS,62284,Injection of contrast for imaging of lower spinal canal,958.0,958.0,243.95,3241.0,64
HCPCS,62322,Injection of substance into lower spine canal,2142.0,675.0,471.65,10537.0,64
HCPCS,62328,Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance,1229.0,675.0,471.65,10537.0,192
HCPCS,62329,Removal of cerebrospinal fluid with lower back spinal tap using imaging guidance,1229.0,675.0,471.65,10537.0,128
HCPCS,64405,Injection of anesthetic agent and/or steroid into upper neck and back of head nerve,481.0,278.0,129.39,5962.0,183
HCPCS,64415,Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus),1386.0,875.0,372.83,10537.0,61
HCPCS,64418,Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve,1106.0,675.0,275.98,10537.0,61
HCPCS,64420,Injection of anesthetic agent and/or steroid into rib nerve,1106.0,675.0,275.98,10537.0,61
HCPCS,64421,Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block,1386.0,875.0,372.83,10537.0,61
HCPCS,64425,Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve,1106.0,675.0,275.98,10537.0,768
HCPCS,64430,Injection of anesthetic agent and/or steroid into external genitals and anus nerve,2077.5,875.0,372.57,10537.0,183
HCPCS,64445,Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve),1106.0,675.0,275.98,10537.0,61
HCPCS,64447,Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve),1474.0,675.0,297.51,10537.0,183
HCPCS,64450,Injection of anesthetic agent and/or steroid into other nerve or branch,1465.0,675.0,275.98,10537.0,2670
HCPCS,64451,Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance,938.0,675.0,403.34,10537.0,64
HCPCS,64454,Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance,1106.0,675.0,275.98,10537.0,122
HCPCS,64455,Injection of anesthetic and/or steroid drug into foot nerve,649.5,278.0,129.39,5962.0,183
HCPCS,64483,"Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level",434.0,875.0,186.62,10537.0,64
HCPCS,64490,"Injection of upper or middle spine facet joint using imaging guidance, single level",1291.0,875.0,471.65,10537.0,64
HCPCS,64493,"Injection of lower or sacral spine facet joint using imaging guidance, single level",1291.0,875.0,471.65,10537.0,64
HCPCS,64494,"Injection of lower or sacral spine facet joint using imaging guidance, second level",460.0,460.0,123.74,3241.0,128
HCPCS,64495,"Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level",460.0,460.0,123.74,3241.0,64
HCPCS,64530,Injection of anesthetic agent into abdominal sympathetic nerve bundle,1386.0,875.0,595.98,10537.0,128
HCPCS,64611,Injection of chemical for paralysis of salivary glands on both sides of mouth,481.0,278.0,129.39,5962.0,61
HCPCS,64612,Injection of chemical for paralysis of nerve muscles on side of face,620.5,278.0,129.39,5962.0,366
HCPCS,64615,Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face,481.0,278.0,129.39,5962.0,183
HCPCS,64616,Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box,620.5,278.0,129.39,5962.0,427
HCPCS,64624,Destruction of nerve branches of knee using imaging guidance,3059.0,1867.0,822.87,16462.0,61
HCPCS,64640,Destruction of peripheral nerve or branch,1386.0,875.0,372.83,10537.0,829
HCPCS,64642,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity",1106.0,675.0,275.98,10537.0,183
HCPCS,64643,"Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity",474.0,474.0,127.51,1897.0,183
HCPCS,64644,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity",1106.0,675.0,275.98,10537.0,183
HCPCS,64645,"Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity",474.0,474.0,127.51,1897.0,183
HCPCS,64646,"Injection of chemical for paralysis of nerve muscles on trunk, 1-5 muscles",1106.0,675.0,275.98,10537.0,61
HCPCS,64680,Injection of agent to destroy abdominal nerve bundle,2066.0,875.0,603.0,10537.0,64
HCPCS,69005,Complicated drainage of external ear abscess or blood accumulation,2587.0,1496.0,695.9,15383.0,61
HCPCS,69090,Piercing of ear,80.0,80.0,41.12,4132.0,51
HCPCS,69100,Biopsy of ear,670.0,225.0,124.21,5962.0,61
HCPCS,69200,Removal of foreign body in ear canal,208.0,120.0,55.95,4984.0,50
HCPCS,69209,Removal of impacted ear wax by washing,129.5,59.0,25.02,4984.0,150
HCPCS,69210,Removal of impacted ear wax,129.5,59.0,25.02,4984.0,150
HCPCS,69420,"Incision, aspiration, and/or inflation of eardrum",457.0,225.0,122.93,5962.0,122
HCPCS,69433,Incision of eardrum with insertion of eardrum tube under local or topical anesthesia,1037.0,481.0,124.21,7362.0,61
HCPCS,69949,Other procedure on inner ear,507.0,225.0,136.38,5962.0,64
HCPCS,70015,Review by radiologist of brain and spinal cord image,1228.0,761.0,221.0,2394.6,64
HCPCS,70030,X-ray of eye for detection of foreign body,158.5,86.0,36.29,2086.0,320
HCPCS,70100,"X-ray of part of lower jaw, 1-4 views",576.5,86.0,36.29,2086.0,512
HCPCS,70110,"X-ray of lower jaw, minimum of 4 views",666.0,116.0,36.29,2086.0,576
HCPCS,70140,"X-ray of face bones, 1-2 views",312.0,86.0,36.29,2086.0,256
HCPCS,70150,"X-ray of face bones, minimum of 3 views",406.0,116.0,36.29,2086.0,320
HCPCS,70160,"X-ray of nose bones, minimum of 3 views",356.0,86.0,36.29,2086.0,192
HCPCS,70200,"X-ray of eye socket, minimum of 4 views",494.0,116.0,36.29,2086.0,256
HCPCS,70210,"X-ray of paranasal sinus, 1-2 views",358.0,86.0,36.29,2086.0,256
HCPCS,70220,"X-ray of paranasal sinus, minimum of 3 views",612.0,86.0,36.29,2086.0,256
HCPCS,70250,"X-ray of skull, 1-3 views",489.5,116.0,36.29,2086.0,192
HCPCS,70260,"X-ray of skull, minimum of 4 views",922.0,116.0,36.29,2086.0,320
HCPCS,70328,X-ray of jaw joint on 1 side of mouth,254.5,86.0,36.29,2086.0,384
HCPCS,70330,X-ray of jaw joints on both sides of mouth,430.0,86.0,36.29,2086.0,192
HCPCS,70336,MRI scan of jaw joint,1813.0,245.0,150.64,4516.0,64
HCPCS,70355,"X-ray of lower jaws, upper jaws and teeth",411.0,86.0,36.29,2086.0,128
HCPCS,70360,X-ray of soft tissue of neck,447.0,86.0,36.29,2086.0,320
HCPCS,70450,CT scan head or brain without contrast,1520.0,116.0,196.15,4140.0,256
HCPCS,70460,CT scan head or brain with contrast,1776.5,190.0,204.1,4140.0,128
HCPCS,70470,CT scan of head or brain before and after contrast,2433.0,190.0,204.1,4863.3,128
HCPCS,70471,"COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING",6580.0,,503.0,12994.8,150
HCPCS,70472,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITH CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY (LIST SEPARATELY IN A",3195.0,,503.0,6230.25,150
HCPCS,70473,"COMPUTED TOMOGRAPHIC (CT) CEREBRAL PERFUSION ANALYSIS WITH CONTRAST MATERIAL(S), INCLUDING IMAGE POSTPROCESSING PERFORMED WITHOUT CONCURRENT CT OR CT ANGIOGRAPHY OF THE SAME ANATOMY",3195.0,,503.0,6230.25,100
HCPCS,70480,CT scan of cranial cavity without contrast,1582.0,116.0,64.89,4140.0,192
HCPCS,70481,CT scan of cranial cavity with contrast,2262.0,190.0,204.1,4516.2,192
HCPCS,70482,CT scan of cranial cavity before and after contrast,2372.0,190.0,204.1,4744.35,256
HCPCS,70486,CT scan of face without contrast,2061.5,116.0,64.89,4140.0,384
HCPCS,70487,CT scan of face with contrast,2420.0,190.0,204.1,4824.3,256
HCPCS,70488,CT scan of face before and after contrast,2713.0,190.0,204.1,5409.3,256
HCPCS,70490,CT scan of soft tissue of neck without contrast,1951.0,116.0,64.89,4140.0,192
HCPCS,70491,CT scan of soft tissue of neck with contrast,2124.0,190.0,204.1,4270.5,192
HCPCS,70492,CT scan of soft tissue of neck before and after contrast,2233.5,190.0,204.1,4506.45,128
HCPCS,70496,CT scan of blood vessels of head with contrast,3290.0,190.0,250.12,6497.4,320
HCPCS,70498,CT scan of blood vessels of neck with contrast,3290.0,190.0,250.12,6497.4,320
HCPCS,70540,"MRI scan of bone of eye socket, face, and/or neck without contrast",2389.0,245.0,150.64,4658.55,128
HCPCS,70542,"MRI scan of bone of eye socket, face, and/or neck with contrast",2677.0,392.0,249.56,5220.15,64
HCPCS,70543,"MRI scan of bone of eye socket, face, and/or neck before and after contrast",2811.0,392.0,249.56,5481.45,64
HCPCS,70544,MRI scan of blood vessels of head without contrast,2631.0,245.0,288.59,5130.45,128
HCPCS,70545,MRI scan of blood vessels of head with contrast,2650.0,392.0,288.59,5167.5,64
HCPCS,70546,MRI scan of blood vessels of head before and after contrast,2867.0,392.0,288.59,5590.65,128
HCPCS,70547,MRI scan of blood vessels of neck without contrast,2076.0,245.0,288.59,4516.0,64
HCPCS,70549,MRI scan of blood vessels of neck before and after contrast,2490.0,392.0,288.59,4855.5,64
HCPCS,70551,MRI scan of brain without contrast,2913.0,245.0,150.64,5680.35,128
HCPCS,70552,MRI scan of brain with contrast,3332.0,392.0,249.56,6497.4,64
HCPCS,70553,MRI scan of brain before and after contrast,3922.0,392.0,249.56,7647.9,128
HCPCS,70555,Functional MRI scan of brain with neurofunctional testing,374.0,245.0,150.64,4516.0,64
HCPCS,71045,"X-ray of chest, 1 view",409.0,86.0,36.29,1758.0,320
HCPCS,71046,"X-ray of chest, 2 views",556.0,86.0,36.29,1758.0,320
HCPCS,71047,"X-ray of chest, 3 views",550.0,86.0,36.29,1758.0,64
HCPCS,71048,"X-ray of chest, minimum of 4 views",604.0,116.0,36.29,1758.0,320
HCPCS,71100,"X-ray of ribs on side of body, 2 views",533.0,86.0,36.29,2086.0,512
HCPCS,71101,"X-ray of ribs on side of body, minimum of 3 views",590.0,116.0,36.29,2086.0,576
HCPCS,71110,"X-ray of ribs on both sides of body, 3 views",677.0,116.0,36.29,2086.0,248
HCPCS,71111,"X-ray of ribs on both sides of body, minimum of 4 views",770.0,116.0,36.29,2086.0,256
HCPCS,71120,"X-ray of chest bone, minimum of 2 views",494.5,86.0,36.29,2086.0,192
HCPCS,71130,"X-ray of joint between breast and collar bones, minimum of 2 views",203.0,86.0,36.29,2086.0,64
HCPCS,71250,CT scan of chest without contrast,2033.0,116.0,64.89,4140.0,384
HCPCS,71260,CT scan of chest with contrast,2297.0,190.0,204.1,4588.35,192
HCPCS,71270,CT scan of chest before and after contrast,2678.0,190.0,204.1,5339.1,192
HCPCS,71271,Low dose CT scan of chest for lung cancer screening,2033.0,116.0,64.89,4140.0,192
HCPCS,71275,CT scan of blood vessels of chest with contrast,3728.5,190.0,250.12,7365.15,448
HCPCS,71550,MRI scan of chest without contrast,2377.0,245.0,150.64,4635.15,64
HCPCS,71552,MRI scan of chest before and after contrast,3534.0,392.0,249.56,6891.3,64
HCPCS,72020,"X-ray of spine, 1 view",290.0,86.0,36.29,2086.0,128
HCPCS,72040,"X-ray of upper spine, 2-3 views",618.5,86.0,36.29,2086.0,320
HCPCS,72050,"X-ray of upper spine, 4-5 views",650.5,116.0,36.29,2086.0,256
HCPCS,72052,"X-ray of upper spine, 6 or more views",779.5,116.0,36.29,2086.0,256
HCPCS,72070,"X-ray of middle spine, 2 views",612.0,116.0,36.29,2086.0,320
HCPCS,72072,"X-ray of middle spine, 3 views",792.5,116.0,36.29,2086.0,320
HCPCS,72074,"X-ray of middle spine, minimum of 4 views",777.0,116.0,36.29,2086.0,256
HCPCS,72080,"X-ray of middle and lower spine, 2 views",151.5,86.0,36.29,2086.0,256
HCPCS,72081,"X-ray of entire middle and lower spine, 1 view",726.0,86.0,36.29,2086.0,192
HCPCS,72082,"X-ray of entire middle and lower spine, 2-3 views",180.0,116.0,36.29,2086.0,128
HCPCS,72100,"X-ray of lower and sacral spine, 2-3 views",603.0,116.0,36.29,2086.0,320
HCPCS,72110,"X-ray of lower and sacral spine, minimum of 4 views",875.0,116.0,36.29,2086.0,256
HCPCS,72114,"X-ray lower and sacral spine, minimum of 6 views",505.0,116.0,36.29,2086.0,192
HCPCS,72120,"X-ray lower and sacral spine, 2-3 views bending views",385.0,116.0,36.29,2086.0,192
HCPCS,72125,CT scan of upper spine without contrast,2097.5,116.0,64.89,4182.75,256
HCPCS,72126,CT scan of upper spine with contrast,2345.0,392.0,204.1,4919.85,128
HCPCS,72127,CT scan of upper spine before and after contrast,2665.0,190.0,204.1,5315.7,128
HCPCS,72128,CT scan of middle spine without contrast,2057.5,116.0,64.89,4140.0,192
HCPCS,72129,CT scan of middle spine with contrast,2247.0,190.0,204.1,4730.7,128
HCPCS,72130,CT scan of middle spine before and after contrast,2364.0,190.0,204.1,4728.75,128
HCPCS,72131,CT scan of lower spine without contrast,2064.5,116.0,64.89,4140.0,192
HCPCS,72132,CT scan of lower spine with contrast,2327.5,392.0,204.1,4886.7,128
HCPCS,72133,CT scan of lower spine before and after contrast,2769.0,190.0,204.1,5518.5,128
HCPCS,72141,MRI scan of upper spinal canal without contrast,2584.0,245.0,150.64,5038.8,128
HCPCS,72142,MRI scan of upper spinal canal with contrast,3190.0,392.0,249.56,6220.5,64
HCPCS,72146,MRI scan of middle spinal canal without contrast,2797.0,245.0,150.64,5454.15,128
HCPCS,72147,MRI scan of middle spinal canal with contrast,3150.0,392.0,249.56,6142.5,64
HCPCS,72148,MRI scan of lower spinal canal without contrast,2939.0,245.0,150.64,5731.05,128
HCPCS,72149,MRI scan of lower spinal canal with contrast,3150.0,392.0,249.56,6142.5,64
HCPCS,72156,MRI scan of upper spinal canal before and after contrast,3714.0,392.0,249.56,7242.3,64
HCPCS,72157,MRI scan of middle spinal canal before and after contrast,3859.0,392.0,249.56,7525.05,64
HCPCS,72158,MRI scan of lower spinal canal before and after contrast,3428.0,392.0,249.56,6684.6,128
HCPCS,72170,"X-ray of pelvis, 1-2 views",516.0,116.0,36.29,2086.0,384
HCPCS,72190,"X-ray of pelvis, minimum of 3 views",687.0,116.0,36.29,2086.0,192
HCPCS,72191,CT scan of blood vessels of pelvis with contrast,4197.5,190.0,250.12,8724.3,256
HCPCS,72192,CT scan of pelvis without contrast,2028.5,116.0,64.89,4140.0,192
HCPCS,72193,CT scan of pelvis with contrast,2433.5,190.0,204.1,4853.55,192
HCPCS,72194,CT scan of pelvis before and after contrast,2749.0,190.0,204.1,5473.65,128
HCPCS,72195,MRI scan of pelvis without contrast,1920.0,245.0,150.64,4516.0,64
HCPCS,72196,MRI scan of pelvis with contrast,2587.0,392.0,249.56,5044.65,128
HCPCS,72197,MRI scan of pelvis before and after contrast,3146.0,392.0,249.56,6134.7,192
HCPCS,72200,"X-ray of joint between lower spine and hip bone, 1-2 views",213.0,116.0,36.29,2086.0,192
HCPCS,72202,"X-ray of joint between lower spine and hip bone, 3 or more views",412.0,116.0,36.29,2086.0,256
HCPCS,72220,"X-ray of sacrum and tailbone, minimum of 2 views",510.5,86.0,36.29,2086.0,256
HCPCS,72240,Review by radiologist of upper spinal canal image,1644.0,761.0,221.0,3205.8,64
HCPCS,72255,Review by radiologist of middle spinal canal image,1644.0,761.0,221.0,3205.8,64
HCPCS,72265,Review by radiologist of lower spinal canal image,1228.0,761.0,221.0,2394.6,128
HCPCS,72270,Review by radiologist of multiple spinal canals image,1701.0,761.0,221.0,3316.95,128
HCPCS,73000,X-ray of collar bone,385.0,86.0,36.29,2086.0,960
HCPCS,73010,X-ray of shoulder blade,370.0,116.0,36.29,2086.0,896
HCPCS,73020,"X-ray of shoulder, 1 view",243.0,86.0,36.29,2086.0,640
HCPCS,73030,"X-ray of shoulder, minimum of 2 views",903.5,86.0,36.29,2546.7,960
HCPCS,73040,Review by radiologist of shoulder joint image,1014.0,392.0,76.23,2636.4,192
HCPCS,73050,X-ray of both collar bones joints,192.0,86.0,36.29,2086.0,448
HCPCS,73060,"X-ray of upper arm, minimum of 2 views",633.0,86.0,36.29,2470.65,896
HCPCS,73070,"X-ray of elbow, 2 views",585.0,86.0,36.29,2086.0,960
HCPCS,73080,"X-ray of elbow, minimum of 3 views",706.0,86.0,36.29,2086.0,1088
HCPCS,73090,"X-ray of forearm, 2 views",892.0,86.0,36.29,2480.4,1088
HCPCS,73092,"X-ray of infant arm, minimum of 2 views",573.0,116.0,36.29,2086.0,512
HCPCS,73100,"X-ray of wrist, 2 views",373.0,86.0,36.29,2086.0,768
HCPCS,73110,"X-ray of wrist, minimum of 3 views",847.0,86.0,36.29,2347.8,1088
HCPCS,73120,"X-ray of hand, 2 views",309.0,116.0,36.29,2086.0,704
HCPCS,73130,"X-ray of hand, minimum of 3 views",758.0,86.0,36.29,2098.2,1088
HCPCS,73140,"X-ray of finger, minimum of 2 views",372.0,86.0,36.29,2086.0,832
HCPCS,73200,CT scan of arm without contrast,1793.5,116.0,64.89,4140.0,128
HCPCS,73201,CT scan of arm with contrast,2048.5,392.0,204.1,4140.0,128
HCPCS,73202,CT scan of arm before and after contrast,2059.0,190.0,204.1,4140.0,128
HCPCS,73206,CT scan of blood vessels of arm with contrast,4230.0,190.0,250.12,8788.65,192
HCPCS,73218,MRI scan of arm without contrast,2032.0,245.0,150.64,4516.0,128
HCPCS,73219,MRI scan of arm with contrast,2419.0,392.0,249.56,4717.05,64
HCPCS,73220,MRI scan of arm before and after contrast,2535.0,392.0,249.56,4943.25,128
HCPCS,73221,MRI scan of arm joint without contrast,2774.0,245.0,150.64,5409.3,128
HCPCS,73222,MRI scan of arm joint with contrast,2899.0,761.0,249.56,5653.05,128
HCPCS,73223,MRI scan of arm joint before and after contrast,2969.0,392.0,249.56,5789.55,128
HCPCS,73501,"X-ray of hip, 1 view",259.5,86.0,36.29,2086.0,704
HCPCS,73502,"X-ray of hip, 2-3 views",477.0,86.0,36.29,2086.0,1024
HCPCS,73522,"X-ray of both hips, 3-4 views",652.0,116.0,36.29,2086.0,576
HCPCS,73525,Review by radiologist of hip joint image,547.0,392.0,76.23,2499.0,128
HCPCS,73552,"X-ray of thigh bone, minimum 2 views",978.5,86.0,36.29,2741.7,960
HCPCS,73560,"X-ray of knee, 1-2 views",695.0,86.0,36.29,2086.0,960
HCPCS,73562,"X-ray of knee, 3 views",700.5,86.0,36.29,2086.0,1088
HCPCS,73564,"X-ray of knee, 4 or more views",652.0,116.0,36.29,2301.0,896
HCPCS,73565,X-ray of both knees while standing,352.0,86.0,36.29,2086.0,256
HCPCS,73590,"X-ray of lower leg, 2 views",944.0,86.0,36.29,2628.6,1024
HCPCS,73592,"X-ray of infant leg, minimum of 2 views",564.0,86.0,36.29,2086.0,512
HCPCS,73600,"X-ray of ankle, 2 views",433.0,86.0,36.29,2086.0,896
HCPCS,73610,"X-ray of ankle, minimum of 3 views",818.5,86.0,36.29,2258.1,960
HCPCS,73620,"X-ray of foot, 2 views",620.0,86.0,36.29,2419.95,896
HCPCS,73630,"X-ray of foot, minimum of 3 views",651.0,86.0,36.29,2359.5,960
HCPCS,73650,"X-ray of heel, minimum of 2 views",345.0,86.0,36.29,2086.0,704
HCPCS,73660,"X-ray of toe, minimum of 2 views",568.5,86.0,36.29,2086.0,896
HCPCS,73700,CT scan of leg without contrast,1787.5,116.0,64.89,4140.0,192
HCPCS,73701,CT scan of leg with contrast material,1947.5,190.0,204.1,4140.0,192
HCPCS,73702,CT scan of leg before and after contrast,2092.0,190.0,204.1,4192.5,128
HCPCS,73706,CT scan of blood vessels of lower leg with contrast,2640.5,190.0,250.12,5247.45,320
HCPCS,73718,MRI scan of leg without contrast,2168.0,245.0,150.64,4516.0,192
HCPCS,73719,MRI scan of leg with contrast,2258.0,392.0,249.56,4516.0,128
HCPCS,73720,MRI scan of leg before and after contrast,2623.0,392.0,249.56,5114.85,128
HCPCS,73721,MRI scan of leg joint without contrast,2166.0,245.0,150.64,4516.0,192
HCPCS,73722,MRI scan of leg joint with contrast,2371.0,761.0,249.56,4623.45,128
HCPCS,73723,MRI scan of leg joint before and after contrast,2950.0,392.0,249.56,5752.5,128
HCPCS,74018,"X-ray of abdomen, 1 view",411.0,86.0,36.29,2086.0,320
HCPCS,74019,"X-ray of abdomen, 2 views",488.0,116.0,36.29,2086.0,320
HCPCS,74022,X-ray series of abdomen with single X-ray of chest,515.5,116.0,36.29,2086.0,256
HCPCS,74150,CT scan of abdomen without contrast,2326.0,116.0,64.89,4646.85,128
HCPCS,74160,CT scan of abdomen with contrast,2677.5,190.0,204.1,5694.0,512
HCPCS,74170,CT scan of abdomen before and after contrast,3099.0,190.0,204.1,6173.7,128
HCPCS,74174,CT scan of blood vessels of abdomen and pelvis with contrast,3890.5,392.0,250.12,7690.8,448
HCPCS,74175,CT scan of blood vessels of abdomen with contrast,4114.0,190.0,250.12,8562.45,320
HCPCS,74176,CT scan of abdomen and pelvis without contrast,3962.5,245.0,204.1,7889.7,256
HCPCS,74177,CT scan of abdomen and pelvis with contrast,6088.0,392.0,204.1,12045.15,256
HCPCS,74178,CT scan of abdomen and pelvis before and after contrast,6785.0,392.0,204.1,13419.9,256
HCPCS,74181,MRI scan of abdomen without contrast,2503.0,245.0,150.64,4880.85,64
HCPCS,74182,MRI scan of abdomen with contrast,3118.0,392.0,249.56,6080.1,64
HCPCS,74183,MRI scan of abdomen before and after contrast,3626.0,392.0,249.56,7070.7,128
HCPCS,74220,Single contrast X-ray of esophagus,492.0,190.0,36.29,2086.0,64
HCPCS,74221,Double contrast X-ray of esophagus,593.0,190.0,76.23,2086.0,64
HCPCS,74230,Imaging for evaluation of swallowing function,753.0,190.0,76.23,2086.0,64
HCPCS,74240,Single contrast X-ray of upper digestive tract,1032.0,190.0,76.23,2086.0,128
HCPCS,74246,Double contrast X-ray of upper digestive tract,1127.0,190.0,76.23,2197.65,64
HCPCS,74248,Follow-through X-ray of small intestines,783.0,783.0,76.23,2086.0,61
HCPCS,74250,Single contrast X-ray of small intestine,983.0,190.0,76.23,2086.0,128
HCPCS,74270,Single contrast X-ray of large intestine,684.0,190.0,76.23,2086.0,64
HCPCS,74280,Double contrast X-ray of large intestine,735.0,190.0,76.23,2086.0,64
HCPCS,74283,Enema using air or contrast,368.0,190.0,76.23,2086.0,64
HCPCS,74290,Imaging of gallbladder with contrast,426.0,190.0,76.23,2086.0,128
HCPCS,74300,Review by radiologist of bile and/or pancreatic duct image during surgery,486.0,486.0,146.51,2086.0,61
HCPCS,74340,Review by radiologist of placement of long small bowel tube,494.0,494.0,146.51,2086.0,61
HCPCS,74360,Review by radiologist of image to guide opening of digestive tract,2119.0,2119.0,146.51,4132.05,61
HCPCS,74363,Review by radiologist of image to guide opening of bile duct,2250.0,2250.0,146.51,4387.5,122
HCPCS,74420,Imaging of urinary tract following injection of a contrast agent,632.0,392.0,76.23,2086.0,128
HCPCS,74425,Review by radiologist of upper urinary tract image,758.0,392.0,76.23,2086.0,256
HCPCS,74430,Review by radiologist of urinary bladder image,944.0,392.0,76.23,2086.0,128
HCPCS,74450,Review by radiologist of urinary bladder and urethra images with contrast,955.0,245.0,76.23,2086.0,192
HCPCS,74455,Review by radiologist of urinary bladder and urethra images with contrast and after passing urine,1343.0,245.0,76.23,2618.85,64
HCPCS,74712,MRI scan of fetus for single or first pregnancy,374.0,245.0,150.64,4516.0,64
HCPCS,74713,MRI scan of fetus for each additional pregnancy,240.0,240.0,144.72,4516.0,122
HCPCS,74740,Review by radiologist of uterine tube and ovary image,722.0,245.0,76.23,2086.0,64
HCPCS,75557,MRI scan of heart without contrast,2662.0,245.0,150.64,5190.9,64
HCPCS,75561,MRI scan of heart before and after contrast,3843.0,392.0,249.56,7493.85,128
HCPCS,75571,CT scan of heart with evaluation of blood vessel calcium,598.0,86.0,64.89,4140.0,192
HCPCS,75572,CT scan of heart structure with contrast,1573.5,190.0,204.1,4140.0,192
HCPCS,75573,CT scan of congenital heart disease with contrast,2183.0,190.0,204.1,4389.45,128
HCPCS,75574,CT scan of blood vessels and grafts of heart with contrast,2011.5,190.0,250.12,4147.65,192
HCPCS,75605,Review by radiologist of chest aorta serial images,8716.5,5071.0,221.0,16998.15,192
HCPCS,75625,Review by radiologist of abdominal aorta image,4946.0,3044.0,221.0,9644.7,192
HCPCS,75630,Review by radiologist of abdominal aorta and both leg arteries image,4946.0,3044.0,221.0,9644.7,192
HCPCS,75635,CT scan of abdominal aorta and both leg arteries with contrast,2385.5,190.0,250.12,4775.55,256
HCPCS,75660,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6289.0,6289.0,221.0,12263.55,45
HCPCS,75665,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,8717.0,8717.0,221.0,16998.15,45
HCPCS,75705,Review by radiologist of spinal artery image,8717.0,5071.0,221.0,16998.15,128
HCPCS,75710,Review by radiologist of arm or leg artery image,4946.0,3044.0,221.0,9644.7,320
HCPCS,75716,Review by radiologist of both arms or legs arteries image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75726,Review by radiologist of abdominal artery image,8716.5,5071.0,221.0,16998.15,192
HCPCS,75733,Review by radiologist of both adrenal glands arteries image,4946.0,3044.0,221.0,9644.7,64
HCPCS,75736,Review by radiologist of pelvis artery image,8717.0,5071.0,221.0,16998.15,128
HCPCS,75741,Review by radiologist of lung artery image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75743,Review by radiologist of arteries of both lungs image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75746,Review by radiologist of lung artery image with contrast,6940.0,3044.0,221.0,13533.0,64
HCPCS,75774,Review by radiologist of additional artery image,3453.0,3453.0,221.0,6733.35,61
HCPCS,75809,Review by radiologist of previous placed shunt image,485.0,116.0,76.23,2086.0,192
HCPCS,75820,Review by radiologist of 1 arm or leg vein of 1 arm or leg image,2466.0,1495.0,221.0,4808.7,256
HCPCS,75822,Review by radiologist of both arms and legs veins of both arms or legs image,2466.0,1495.0,221.0,4808.7,192
HCPCS,75825,Review by radiologist of major lower body vein image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75827,Review by radiologist of major upper body vein image,3215.0,1495.0,221.0,6269.25,192
HCPCS,75831,Review by radiologist of kidney image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75833,Review by radiologist of both kidneys veins image,4946.0,3044.0,221.0,9644.7,64
HCPCS,75860,Review by radiologist of head or neck vein system image,4946.0,3044.0,221.0,9644.7,128
HCPCS,75870,Review by radiologist of head vein system image,4946.0,3044.0,221.0,9644.7,64
HCPCS,75885,Review by radiologist of the vein that transports blood to the liver image with assessment of blood flow,5407.0,3044.0,221.0,10543.65,64
HCPCS,75887,Review by radiologist of the vein that transports blood to the liver image,4946.0,3044.0,221.0,9644.7,64
HCPCS,75889,Review by radiologist of liver vein image with assessment of blood flow,6315.0,3044.0,221.0,12314.25,64
HCPCS,75891,Review by radiologist of liver vein image,4946.0,3044.0,221.0,9644.7,64
HCPCS,75893,Review by radiologist of imaging guidance for removal of blood sample,8717.0,5071.0,221.0,16998.15,64
HCPCS,75894,Review by radiologist of image for insertion of material to block blood flow,6395.0,6395.0,146.51,12470.25,183
HCPCS,75898,Imaging of blood vessel,4946.0,3044.0,221.0,9644.7,64
HCPCS,75901,Review by radiologist of image for removal of obstructive material,177.0,177.0,76.11,2086.0,61
HCPCS,75940,OPERATING ROOM SERVICES - GENERAL CLASSIFICATION,6341.0,6341.0,221.0,12364.95,45
HCPCS,75970,Review by radiologist of image for biopsy of blood vessel with tube,2271.0,2271.0,146.51,4428.45,61
HCPCS,75984,Review by radiologist of image for replacement of stomach or large bowel tube,964.0,964.0,146.51,2086.0,183
HCPCS,75989,Review by radiologist of image for drainage of fluid,2856.0,2856.0,146.51,5569.2,366
HCPCS,76000,"Imaging guidance for procedure, 60 minutes or less",1123.0,245.0,76.23,2189.85,1024
HCPCS,76010,X-ray from nose to rectum,192.0,86.0,36.29,2086.0,128
HCPCS,76014,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",46.0,,23.64,4516.0,600
HCPCS,76015,"Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR condit",30.0,,15.42,4516.0,100
HCPCS,76016,"Determination of MR safety by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examina",137.0,,70.42,4516.0,600
HCPCS,76017,"Medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert for MR safety, with review and analysis by physician or other qualified health c",374.0,,192.24,4516.0,600
HCPCS,76018,"Preparation under supervision of physician or other qualified health care professional of electronics for MR safety, including MR-specific programming of pulse generator and/or transmitter to verify d",149.0,,76.59,4516.0,600
HCPCS,76019,"Implant positioning and/or immobilization under supervision of physician or other qualified health care professional for MR safety, including application of physical protections to secure implanted me",93.0,,47.8,4516.0,600
HCPCS,76080,Review by radiologist of abscess or sinus cavity study,923.0,514.0,76.23,2086.0,256
HCPCS,76098,X-ray of surgical specimen,856.0,514.0,76.23,2086.0,128
HCPCS,76125,"Imaging of organ, complimenting routine exam",235.0,235.0,36.29,2086.0,61
HCPCS,76376,3D radiographic procedure,1040.0,1040.0,221.0,4516.0,400
HCPCS,76377,3D radiographic procedure with computerized image postprocessing,1024.5,1024.5,221.0,4516.0,350
HCPCS,76380,Limited or follow-up CT scan,850.0,86.0,64.89,4140.0,384
HCPCS,76390,MRI study for measuring biochemical changes in the brain,137.0,86.0,82.61,4516.0,768
HCPCS,76506,Ultrasound scan of brain,936.0,116.0,70.1,2499.0,64
HCPCS,76512,2D ultrasound scan of eye tissue and structures,164.0,116.0,70.1,2499.0,384
HCPCS,76536,Ultrasound scan of head and neck soft tissue,580.5,116.0,70.1,2499.0,768
HCPCS,76604,Ultrasound scan of chest,201.0,116.0,70.1,2499.0,896
HCPCS,76641,Complete ultrasound scan of 1 breast,319.5,116.0,70.1,2499.0,384
HCPCS,76642,Limited ultrasound scan of 1 breast,303.0,86.0,70.1,2499.0,576
HCPCS,76700,Complete ultrasound scan of abdomen,1520.0,116.0,105.0,3040.05,256
HCPCS,76705,Limited ultrasound scan of abdomen,769.5,116.0,70.1,2499.0,1088
HCPCS,76706,Ultrasound scan of abdominal aorta,190.5,116.0,70.1,2499.0,128
HCPCS,76770,Complete ultrasound scan behind abdominal cavity,791.0,116.0,105.0,2499.0,192
HCPCS,76775,Limited ultrasound scan behind abdominal cavity,611.0,116.0,70.1,2499.0,512
HCPCS,76776,Ultrasound scan of transplanted kidney,423.0,116.0,70.1,2499.0,128
HCPCS,76800,Ultrasound scan of spinal canal,409.0,116.0,70.1,2499.0,64
HCPCS,76801,"Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus",327.0,116.0,62.5,2499.0,768
HCPCS,76802,"Ultrasound scan of pregnant uterus (less than 14 weeks), each additional fetus",316.0,316.0,62.5,2499.0,244
HCPCS,76805,"Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus",836.0,116.0,62.5,2499.0,384
HCPCS,76810,"Ultrasound scan of pregnant uterus (14 weeks or more), each additional fetus",736.0,736.0,62.5,2499.0,183
HCPCS,76811,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus",572.0,245.0,62.5,2499.0,448
HCPCS,76812,"Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, each additional fetus",525.0,525.0,62.5,2499.0,122
HCPCS,76813,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus",231.0,116.0,62.5,2499.0,320
HCPCS,76814,"Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, each additional fetus",202.0,202.0,62.5,2499.0,122
HCPCS,76815,Limited ultrasound of pregnant uterus,524.0,116.0,62.5,2499.0,704
HCPCS,76816,Follow-up ultrasound scan of pregnant uterus,524.0,116.0,62.5,2499.0,640
HCPCS,76817,Vaginal ultrasound of pregnant uterus,866.0,116.0,62.5,2499.0,576
HCPCS,76818,Ultrasound and monitoring of heart of fetus,1065.0,116.0,62.5,2499.0,128
HCPCS,76819,Ultrasound scan of fetus,809.0,116.0,62.5,2499.0,640
HCPCS,76820,Ultrasound scan of fetal umbilical artery blood flow rate,704.0,116.0,62.5,2499.0,320
HCPCS,76821,Ultrasound scan of fetal brain artery blood flow rate,704.0,116.0,62.5,2499.0,192
HCPCS,76825,Ultrasound scan of fetal heart,1251.0,514.0,62.5,3411.0,128
HCPCS,76826,Follow-up ultrasound scan of fetal heart,580.0,245.0,62.5,3411.0,128
HCPCS,76827,Ultrasound scan of fetal heart blood flow,715.0,116.0,62.5,3411.0,192
HCPCS,76828,Follow-up ultrasound scan of fetal heart blood flow,697.0,116.0,62.5,3411.0,192
HCPCS,76830,"Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina",487.0,116.0,70.1,2499.0,768
HCPCS,76831,Ultrasound scan of uterus and uterine cavity,581.0,245.0,105.0,2499.0,192
HCPCS,76856,Complete ultrasound scan of pelvis,685.0,116.0,105.0,2499.0,832
HCPCS,76857,Limited ultrasound scan of pelvis,479.0,116.0,70.1,2499.0,960
HCPCS,76870,Ultrasound scan of scrotum,576.0,116.0,70.1,2499.0,640
HCPCS,76872,Ultrasound scan of pelvic region through rectum,583.0,116.0,70.1,2499.0,192
HCPCS,76881,Complete ultrasound scan of joint,221.5,116.0,70.1,2499.0,320
HCPCS,76882,Limited ultrasound scan of joint or other extremity structure except blood vessels,207.0,116.0,70.1,2499.0,640
HCPCS,76885,Ultrasound scan of infant hip during movement,846.0,86.0,70.1,2499.0,64
HCPCS,76886,Ultrasound scan of infant hip,558.0,86.0,70.1,2499.0,64
HCPCS,76936,Ultrasound guided compression repair of blood vessel,726.0,281.0,146.51,2499.0,192
HCPCS,76937,Ultrasonic guidance for blood vessel access,732.0,732.0,70.15,2499.0,122
HCPCS,76942,Ultrasonic guidance for needle placement,1217.0,1217.0,70.15,2499.0,732
HCPCS,76945,Ultrasonic guidance for testing placental tissue,522.0,522.0,70.15,2499.0,183
HCPCS,76946,Ultrasonic guidance for removal of amniotic fluid,540.0,540.0,70.15,2499.0,61
HCPCS,76975,Review by radiologist of ultrasound of digestive tract using an endoscope,374.0,245.0,70.15,2499.0,64
HCPCS,76978,"Ultrasound scan of growth using contrast, first growth",546.0,190.0,105.0,2499.0,64
HCPCS,76979,"Ultrasound scan of growth using contrast, each additional growth",292.0,292.0,105.0,2499.0,122
HCPCS,76981,Ultrasound scan of organ tissue for measuring elasticity,276.0,116.0,70.1,2499.0,64
HCPCS,76998,Ultrasonic guidance during surgery,1033.0,1033.0,70.15,2499.0,488
HCPCS,77001,Fluoroscopic guidance for insertion or removal of central vein access device,590.0,590.0,146.51,2086.0,305
HCPCS,77002,Fluoroscopic guidance for needle placement,905.5,905.5,146.51,2102.1,244
HCPCS,77003,Fluoroscopic guidance for spine or back muscle injection,360.0,360.0,146.51,2086.0,122
HCPCS,77012,Review by radiologist of CT guidance for needle placement,2008.0,2008.0,49.5,4140.0,183
HCPCS,77013,CT guidance for tissue removal,1629.0,1629.0,49.5,4140.0,61
HCPCS,77047,MRI scan of both breasts without contrast,3390.0,245.0,150.64,6610.5,64
HCPCS,77049,MRI scan of both breasts,3730.0,3730.0,249.56,7273.5,64
HCPCS,77063,Screening 3D breast mammography,128.0,128.0,29.38,1758.0,128
HCPCS,77065,Diagnostic mammography of 1 breast,348.0,348.0,29.38,1758.0,128
HCPCS,77066,Diagnostic mammography of both breasts,438.0,438.0,29.38,1758.0,128
HCPCS,77067,Screening mammography,395.0,395.0,29.38,1758.0,128
HCPCS,77072,X-ray for estimating bone age,399.0,116.0,36.29,2086.0,192
HCPCS,77073,X-ray for bone length assessment,417.0,116.0,36.29,2086.0,192
HCPCS,77074,Limited X-ray of body bones,173.0,116.0,36.29,2086.0,64
HCPCS,77075,Complete X-ray of body bones,266.0,116.0,76.23,2086.0,128
HCPCS,77076,X-ray of infant body bones,173.0,116.0,36.29,2086.0,128
HCPCS,77080,"DXA bone density measurement of hip, pelvis, spine",298.0,116.0,46.55,2086.0,128
HCPCS,77081,"DXA bone density measurement of forearm, finger, hand, or foot",306.0,86.0,46.55,2086.0,64
HCPCS,77280,"Obtaining data needed to develop the optimal radiation treatment, 1 treatment area",520.0,135.0,78.62,4634.0,64
HCPCS,77290,"Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved",1433.0,360.0,120.39,4634.0,64
HCPCS,77293,Obtaining respiratory data needed to develop the optimal radiation treatment,2192.0,2192.0,78.62,4634.0,64
HCPCS,77295,3D radiation therapy planning,3875.0,1343.0,704.08,7556.25,64
HCPCS,77300,Calculation of radiation therapy dose,383.0,135.0,120.39,4634.0,128
HCPCS,77301,High precision radiation therapy planning,2169.0,1343.0,704.08,4634.0,64
HCPCS,77306,Simple radiation therapy planning for delivery of external radiation,587.0,360.0,78.62,4634.0,64
HCPCS,77307,Complex radiation therapy planning for delivery of external radiation,587.0,360.0,120.39,4634.0,64
HCPCS,77316,Simple radiation therapy planning for delivery of internal radiation,686.0,360.0,78.62,4634.0,64
HCPCS,77317,Intermediate radiation therapy planning for delivery of internal radiation,1011.0,360.0,120.39,4634.0,64
HCPCS,77318,Complex radiation therapy planning for delivery of internal radiation,1235.0,360.0,120.39,4634.0,64
HCPCS,77331,Special radiation therapy planning,621.0,135.0,78.62,4634.0,64
HCPCS,77332,Design and construction of simple radiation treatment device,222.0,135.0,78.62,4634.0,64
HCPCS,77334,Design and construction of complex radiation treatment device,614.0,360.0,120.39,4634.0,64
HCPCS,77336,Continuing radiation therapy consultation per week,336.0,135.0,78.62,4634.0,64
HCPCS,77338,Design and construction of radiation treatment device for high precision radiation therapy,1277.0,360.0,120.39,4634.0,64
HCPCS,77370,Special medical radiation therapy consultation,211.0,135.0,78.62,4634.0,64
HCPCS,77372,Complete single session course of cranial lesion surgery using radiation and a machine to deliver external radiation,11538.0,8270.0,2342.0,22499.1,64
HCPCS,77373,Delivery of radiation therapy per dose to 1 or more lesions not to exceed 5 doses,2801.0,1844.0,887.49,5461.95,61
HCPCS,77402,Delivery of simple radiation treatment,162.0,127.0,69.66,4634.0,64
HCPCS,77407,Delivery of intermediate radiation treatment,604.0,257.0,116.65,4634.0,64
HCPCS,77412,Delivery of complex radiation treatment,866.0,257.0,116.65,4634.0,64
HCPCS,77417,X-ray during radiation therapy,153.0,153.0,36.29,4634.0,64
HCPCS,77424,Delivery of single session of intraoperative radiation treatment with X-ray,11538.0,8270.0,887.49,22499.1,64
HCPCS,77470,Special radiation treatment,2144.0,577.0,301.02,4634.0,64
HCPCS,77770,"High dose radiation therapy, 1 channel",1867.0,754.0,301.02,4634.0,64
HCPCS,77771,"High dose radiation therapy, 2-12 channels",1091.0,754.0,469.13,4634.0,64
HCPCS,77778,Complex application of radiation source,4054.0,754.0,887.49,7905.3,64
HCPCS,78012,Nuclear medicine study of thyroid function,627.0,401.0,240.08,5180.0,64
HCPCS,78013,Nuclear medicine study of thyroid,762.0,401.0,240.08,5180.0,64
HCPCS,78014,Nuclear medicine study of thyroid and thyroid function,1085.0,401.0,240.08,5180.0,128
HCPCS,78018,Nuclear medicine study of whole body for thyroid cancer,2310.0,520.0,240.08,5180.0,64
HCPCS,78070,Nuclear medicine study of parathyroid,801.0,401.0,344.43,5180.0,64
HCPCS,78075,Nuclear medicine study of adrenal glands,2028.0,1390.0,537.1,5180.0,64
HCPCS,78195,Nuclear medicine study of lymphatic system,1791.0,520.0,537.1,5180.0,64
HCPCS,78215,Nuclear medicine study of liver and spleen,1664.0,401.0,537.1,5180.0,64
HCPCS,78226,Nuclear medicine study of liver and bile duct system,2292.0,401.0,240.08,5180.0,64
HCPCS,78227,Nuclear medicine study of liver and bile duct system with use of drugs,851.0,520.0,240.08,5180.0,64
HCPCS,78232,Nuclear medicine study of salivary gland function,626.0,401.0,240.08,5180.0,64
HCPCS,78264,Nuclear medicine study of stomach to assess emptying,1751.0,401.0,240.08,5180.0,64
HCPCS,78278,Nuclear medicine study to assess blood loss,866.0,401.0,372.38,5180.0,64
HCPCS,78290,Nuclear medicine study of intestine,837.0,401.0,240.08,5180.0,64
HCPCS,78306,Nuclear medicine study of bone and/or joint whole body,1560.0,401.0,240.08,5180.0,64
HCPCS,78315,Nuclear medicine study of bone taken at different times,2099.0,401.0,240.08,5180.0,64
HCPCS,78428,Nuclear medicine study for detecting heart shunt,627.0,401.0,240.08,5180.0,64
HCPCS,78451,Nuclear medicine study of heart muscle at rest and with stress and SPECT,2570.0,1390.0,537.1,5180.0,64
HCPCS,78452,Nuclear medicine studies of heart muscle at rest and with stress and SPECT,4263.0,1390.0,537.1,8312.85,128
HCPCS,78459,Nuclear medicine study of heart muscle with metabolic evaluation,2290.0,1390.0,925.13,5881.0,64
HCPCS,78472,Nuclear medicine study of heart pumping function by labeling red blood cells with measurement of internal blood volume ejected with every beat over multiple cycles,1240.0,401.0,240.08,5180.0,64
HCPCS,78580,Nuclear medicine study of lung circulation,1124.0,401.0,483.32,5180.0,64
HCPCS,78582,Nuclear medicine study of lung ventilation and circulation,1941.0,520.0,537.1,5180.0,128
HCPCS,78597,Nuclear medicine study of lung ventilation and blood flow to lung,2334.0,401.0,537.1,5180.0,64
HCPCS,78606,"Nuclear medicine study of brain and blood flow, 4 static views or more",3389.0,520.0,240.08,6608.55,64
HCPCS,78608,Nuclear medicine study of brain with metabolic evaluation,5165.0,1574.0,925.13,10071.75,64
HCPCS,78609,Nuclear medicine study of brain with blood flow evaluation,3817.0,3817.0,925.13,7443.15,61
HCPCS,78610,Nuclear medicine study of brain with blood flow,1320.0,520.0,240.08,5180.0,64
HCPCS,78645,Nuclear medicine study of cerebrospinal fluid flow to evaluate shunt,1693.0,520.0,537.1,5180.0,64
HCPCS,78707,"Nuclear medicine study of kidney, blood flow, and function",1202.0,520.0,240.08,5180.0,64
HCPCS,78708,"Nuclear medicine study of kidney, blood, flow, and function with drug administration",1251.0,520.0,240.08,5180.0,64
HCPCS,78803,"Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging",1895.0,1390.0,537.1,5180.0,384
HCPCS,78815,Nuclear medicine study from skull base to mid-thigh with CT scan,3436.0,1574.0,925.13,6700.2,64
HCPCS,78816,Nuclear medicine study whole body with CT scan,3665.0,1574.0,925.13,7146.75,64
HCPCS,78830,"Nuclear medicine study, SPECT imaging with concurrent CT scan, 1 area or single acquisition, single day imaging",2028.0,1390.0,537.1,5180.0,64
HCPCS,78831,"Nuclear medicine study, SPECT imaging, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2743.0,1390.0,537.1,5348.85,192
HCPCS,78832,"Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days",2240.0,1574.0,537.1,5180.0,64
HCPCS,79005,Radioactive drug therapy by mouth,1937.0,269.0,149.68,5180.0,128
HCPCS,80047,"Blood test, basic group of blood chemicals (Calcium, ionized)",20.0,20.0,4.48,2119.0,64
HCPCS,80048,"Blood test, basic group of blood chemicals (Calcium, total)",314.0,314.0,4.48,2119.0,64
HCPCS,80051,"Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)",166.0,166.0,4.48,2119.0,256
HCPCS,80053,"Blood test, comprehensive group of blood chemicals",454.0,454.0,4.48,2119.0,192
HCPCS,80061,"Blood test, lipids (cholesterol and triglycerides)",115.0,115.0,4.48,2119.0,64
HCPCS,80069,Kidney function blood test panel,368.0,368.0,4.48,2119.0,64
HCPCS,80076,Liver function blood test panel,237.0,237.0,4.48,2119.0,64
HCPCS,80145,Measurement of adalimumab,212.5,212.5,6.08,2119.0,64
HCPCS,80150,Amikacin (antibiotic) level,155.0,155.0,6.08,2119.0,64
HCPCS,80155,Caffeine level,159.0,159.0,6.08,2119.0,64
HCPCS,80156,"Carbamazepine level, total",176.0,176.0,6.08,2119.0,64
HCPCS,80158,Cyclosporine level,26.0,26.0,6.08,2119.0,64
HCPCS,80162,"Digoxin level, total",110.0,110.0,6.08,2119.0,64
HCPCS,80164,"Valproic acid level, total",176.0,176.0,6.08,2119.0,64
HCPCS,80169,Everolimus level,20.0,20.0,6.08,2119.0,192
HCPCS,80170,Gentamicin (antibiotic) level,215.0,215.0,6.08,2119.0,64
HCPCS,80176,Lidocaine level,47.86,47.86,6.08,2119.0,64
HCPCS,80177,Levetiracetam level,32.62,32.62,6.08,2119.0,64
HCPCS,80178,Lithium level,130.0,130.0,5.95,2119.0,64
HCPCS,80180,Mycophenolate (mycophenolic acid) level,59.275,59.275,6.08,2119.0,128
HCPCS,80183,Oxcarbazepine level,17.75,17.75,6.08,2119.0,64
HCPCS,80184,Phenobarbital level,107.5,107.5,6.08,2119.0,128
HCPCS,80185,"Phenytoin level, total",184.0,184.0,6.08,2119.0,64
HCPCS,80186,"Phenytoin level, free",24.5,24.5,6.08,2119.0,64
HCPCS,80187,Measurement of posaconazole,120.0,120.0,6.08,2119.0,64
HCPCS,80188,Primidone level,31.0,31.0,6.08,2119.0,64
HCPCS,80192,"Procainamide level, with metabolites",16.75,16.75,6.08,2119.0,64
HCPCS,80194,Quinidine level,35.65,35.65,6.08,2119.0,64
HCPCS,80195,Sirolimus level,20.0,20.0,6.08,2119.0,128
HCPCS,80197,Tacrolimus level,19.42,19.42,6.08,2119.0,128
HCPCS,80198,Theophylline level,14.14,14.14,6.08,2119.0,64
HCPCS,80200,Tobramycin (antibiotic) level,190.0,190.0,6.08,2119.0,64
HCPCS,80201,Topiramate level,47.5,47.5,6.08,2119.0,64
HCPCS,80202,Vancomycin (antibiotic) level,184.0,184.0,6.08,2119.0,64
HCPCS,80230,Measurement of infliximab,212.5,212.5,6.08,2119.0,64
HCPCS,80235,Measurement of lacosamide,95.0,95.0,6.08,2119.0,64
HCPCS,80285,Measurement of voriconazole,110.0,110.0,6.08,2119.0,64
HCPCS,80299,Quantitation of therapeutic drug,82.05,82.05,6.08,2119.0,832
HCPCS,80307,"Testing for presence of drug, by chemistry analyzers",144.0,144.0,34.6,2119.0,320
HCPCS,80345,Barbiturates levels,111.45,111.45,6.91,2119.0,61
HCPCS,80354,Fentanyl level,68.0,68.0,6.91,2119.0,61
HCPCS,80374,Stereoisomer (enantiomer) drug analysis,85.0,85.0,6.91,2119.0,61
HCPCS,81001,"Manual urinalysis test with examination using microscope, automated",109.0,109.0,1.48,2119.0,64
HCPCS,81002,"Urinalysis, manual test",34.0,34.0,1.48,2119.0,448
HCPCS,81003,Automated urinalysis test,91.0,91.0,1.48,2119.0,192
HCPCS,81015,Urinalysis using microscope,95.0,95.0,1.48,2119.0,64
HCPCS,81025,Urine pregnancy test,64.0,64.0,1.48,2119.0,192
HCPCS,81050,Urine volume measurement,53.0,53.0,1.48,2119.0,64
HCPCS,81105,Gene analysis (Human Platelet Antigen 1) for common variant,255.0,255.0,20.82,2119.0,64
HCPCS,81170,"Gene analysis (ABL proto-oncogene 1, non-receptor tyrosine kinase)",320.0,320.0,80.06,2119.0,64
HCPCS,81206,Translocation analysis (BCR/ABL1) major breakpoint,265.455,265.455,80.06,2119.0,192
HCPCS,81207,Translocation analysis (BCR/ABL1) minor breakpoint,198.68,198.68,80.06,2119.0,64
HCPCS,81219,"Gene analysis (calreticulin), common variants",273.75,273.75,20.82,2119.0,64
HCPCS,81220,Gene analysis (cystic fibrosis transmembrane conductance regular) common variants,556.6,556.6,119.0,2119.0,64
HCPCS,81229,Genome-wide microarray analysis for copy number and single nucleotide polymorphism (SNP) variants,1160.0,1160.0,119.0,2340.0,192
HCPCS,81240,"Gene analysis (prothrombin, coagulation factor II) A variant",65.69,65.69,20.82,2119.0,64
HCPCS,81241,Gene analysis (coagulation factor V) Leiden variant,73.37,73.37,20.82,2119.0,64
HCPCS,81243,"Gene analysis (fragile X syndrome, X-linked intellectual disability) for detection of abnormal alleles",163.0,163.0,20.82,2119.0,128
HCPCS,81251,"Gene analysis (glucosidase, beta, acid) common variants",47.25,47.25,20.32,2119.0,64
HCPCS,81256,Gene analysis (hemochromatosis) common variants,175.0,175.0,20.82,2119.0,64
HCPCS,81257,Gene analysis (alpha globin 1 and alpha globin 2) for common deletions or variant,460.0,460.0,20.82,2119.0,64
HCPCS,81261,Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology,197.99,197.99,35.66,2119.0,192
HCPCS,81264,Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect abnormal clonal population,195.0,195.0,35.66,2119.0,192
HCPCS,81265,Comparative analysis using Short Tandem Repeat (STR) markers of patient and specimen,236.535,236.535,80.06,2119.0,128
HCPCS,81267,"Chimerism analysis post transplantation, without cell selection",231.79000000000002,231.79000000000002,80.06,2119.0,128
HCPCS,81268,"Chimerism analysis post transplantation, with cell selection",244.57,244.57,80.06,2119.0,192
HCPCS,81270,Gene analysis (Janus kinase 2) variant,273.75,273.75,20.82,2119.0,64
HCPCS,81275,Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons 12 and 13,193.25,193.25,80.06,2119.0,64
HCPCS,81276,"Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants",193.25,193.25,80.06,2119.0,64
HCPCS,81279,Gene analysis (Janus kinase 2) targeted sequence analysis,273.75,273.75,80.06,2119.0,64
HCPCS,81287,Gene analysis (O-6-methylguanine-DNA methyltransferase) for promoter methylation,450.0,450.0,20.82,2119.0,64
HCPCS,81291,"Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants",80.17,80.17,20.82,2119.0,192
HCPCS,81301,Microsatellite instability analysis,1115.38,1115.38,80.06,2174.99,64
HCPCS,81311,Gene analysis for cancer (neuroblastoma),296.0,296.0,80.06,2119.0,64
HCPCS,81315,Translocation analysis (PML-RARA regulated adaptor molecule 1) common breakpoint,284.0,284.0,80.06,2119.0,64
HCPCS,81329,"Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion",204.0,204.0,39.13,2119.0,128
HCPCS,81339,"Gene analysis (MPL proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10",273.75,273.75,80.06,2119.0,64
HCPCS,81340,Gene analysis (T cell antigen receptor beta) amplification methodology,208.92,208.92,80.06,2119.0,64
HCPCS,81342,Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma),201.5,201.5,35.66,2119.0,192
HCPCS,81364,"Gene analysis (hemoglobin, subunit beta) full sequence analysis",698.0,698.0,80.06,2119.0,64
HCPCS,81370,"HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1",476.865,476.865,119.0,2119.0,256
HCPCS,81372,HLA class I typing low resolution,403.59,403.59,119.0,2119.0,64
HCPCS,81376,HLA class II typing low resolution one locus,122.22,122.22,20.82,2119.0,512
HCPCS,81378,"HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1",346.0,346.0,80.06,2119.0,256
HCPCS,81380,HLA class I typing high resolution one locus,196.94,196.94,80.06,2119.0,64
HCPCS,81381,HLA class I typing high resolution one allele or allele group,174.95,174.95,73.06,2119.0,128
HCPCS,81382,HLA class II typing high resolution one locus,137.42,137.42,20.82,2119.0,896
HCPCS,81401,Molecular pathology procedure level 2,278.5,278.5,58.91,2119.0,128
HCPCS,81402,Molecular pathology procedure level 3,245.0,245.0,80.06,2119.0,64
HCPCS,81403,Molecular pathology procedure level 4 genetic analysis,185.2,185.2,79.64,2119.0,64
HCPCS,81404,Molecular pathology procedure level 5 genetic analysis,347.0,347.0,80.06,2119.0,128
HCPCS,81420,"Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel",151.125,151.125,63.86,2119.0,256
HCPCS,81422,"Test for detecting genes associated with fetal disease, microdeletion(s) genomic sequence analysis",150.75,150.75,63.86,2119.0,192
HCPCS,81443,Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes,127.0,127.0,54.61,2203.7,64
HCPCS,81445,Genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 genes associated with solid organ abnormal growth of tissue,2257.5,2257.5,119.0,5460.0,128
HCPCS,81455,Genomic sequence analysis panel of DNA or combined DNA and RNA of 51 or more genes associated with blood and lymphatic system disorders,2920.0,2920.0,119.0,5694.0,64
HCPCS,81479,Molecular pathology procedure,200.0,200.0,20.82,2174.99,305
HCPCS,81500,"Genetic profiling on oncology biopsy of ovarian lesions, assays of two proteins",521.0,521.0,80.06,2119.0,64
HCPCS,81515,Test for detection of bacteria causing vaginosis and vaginitis,263.0,,113.09,2119.0,50
HCPCS,81596,Biochemical assays for evaluation of chronic Hepatitis C virus infection,288.75,288.75,20.82,2119.0,64
HCPCS,82009,"Ketone bodies analysis, qualitative",69.0,69.0,2.74,2119.0,64
HCPCS,82010,"Ketone bodies analysis, quantitative",58.0,58.0,2.74,2119.0,64
HCPCS,82017,Chemical test for genetic disorder,175.5,175.5,6.04,2119.0,128
HCPCS,82024,Adrenocorticotropic hormone (ACTH) level,119.0,119.0,17.25,2119.0,64
HCPCS,82040,Albumin (protein) level,12.0,12.0,2.74,2119.0,256
HCPCS,82042,"Cerebrospinal fluid, or amniotic fluid albumin (protein) level",38.39,38.39,2.74,2119.0,192
HCPCS,82043,Urine microalbumin (protein) level,31.6,31.6,1.48,2119.0,128
HCPCS,82075,Measurement of alcohol level in breath specimen,43.0,43.0,6.91,2119.0,64
HCPCS,82085,Aldolase (enzyme) level,14.0,14.0,2.74,2119.0,64
HCPCS,82088,Aldosterone hormone level,50.31,50.31,17.25,2119.0,128
HCPCS,82103,"Alpha-1-antitrypsin (protein) blood test, total",59.0,59.0,6.04,2119.0,64
HCPCS,82104,"Alpha-1-antitrypsin (protein) blood test, phenotype",68.66,68.66,6.04,2119.0,64
HCPCS,82105,"Alpha-fetoprotein (AFP) level, serum",29.0,29.0,6.04,2119.0,128
HCPCS,82107,Alpha-fetoprotein (AFP) analysis,64.41,64.41,13.91,2119.0,64
HCPCS,82108,Aluminum level,25.48,25.48,5.95,2119.0,64
HCPCS,82131,"Amino acid analysis, quantitative, each specimen",22.98,22.98,6.04,2119.0,128
HCPCS,82135,Aminolevulinic acid (protein) level,80.54,80.54,6.04,2119.0,128
HCPCS,82139,"Amino acid level, 6 or more amino acids, quantitative, each specimen",156.79,156.79,6.04,2119.0,128
HCPCS,82140,Ammonia level,96.665,96.665,3.58,2119.0,128
HCPCS,82150,Amylase (enzyme) level,102.0,102.0,2.74,2119.0,256
HCPCS,82157,Androstenedione (hormone) level,53.76,53.76,6.61,2119.0,64
HCPCS,82164,Angiotensin l - converting enzyme (ACE) level,15.0,15.0,6.04,2119.0,64
HCPCS,82172,Apolipoprotein level,21.09,21.09,6.04,2119.0,128
HCPCS,82175,Arsenic level,39.2,39.2,5.95,2119.0,192
HCPCS,82180,"Ascorbic acid (Vitamin C) level, blood",18.15,18.15,2.74,2119.0,64
HCPCS,82232,Beta-2 microglobulin (protein) level,31.5,31.5,6.61,2119.0,192
HCPCS,82247,"Bilirubin level, total",85.0,85.0,2.74,2119.0,64
HCPCS,82248,"Bilirubin level, direct",69.0,69.0,2.74,2119.0,64
HCPCS,82261,Biotinidase (enzyme) level,63.57,63.57,6.04,2119.0,64
HCPCS,82270,Stool analysis for blood to screen for colon tumors,53.0,53.0,2.74,2119.0,64
HCPCS,82271,Specimen analysis for blood,10.0,10.0,2.74,2119.0,64
HCPCS,82274,"Stool analysis for blood, by fecal hemoglobin determination by immunoassay",32.0,32.0,6.04,2119.0,64
HCPCS,82306,Vitamin D-3 level,55.0,55.0,13.91,2119.0,64
HCPCS,82308,Calcitonin (hormone) level,27.0,27.0,6.61,2119.0,64
HCPCS,82310,"Calcium level, total",90.0,90.0,2.74,2119.0,64
HCPCS,82330,"Calcium level, ionized",109.11,109.11,6.04,2119.0,384
HCPCS,82340,Urine calcium level,52.665,52.665,2.74,2119.0,128
HCPCS,82365,Infrared analysis of stone,19.0,19.0,6.04,2119.0,64
HCPCS,82374,Carbon dioxide (bicarbonate) level,94.0,94.0,2.74,2119.0,64
HCPCS,82375,Carboxyhemoglobin (protein) level,144.0,144.0,6.04,2119.0,256
HCPCS,82378,Carcinoembryonic antigen (CEA) protein level,104.0,104.0,6.04,2119.0,256
HCPCS,82379,Carnitine level,151.0,151.0,6.04,2119.0,128
HCPCS,82380,Carotene level,17.74,17.74,2.74,2119.0,64
HCPCS,82384,Catecholamines (organic nitrogen) level,25.25,25.25,6.61,2119.0,192
HCPCS,82390,Ceruloplasmin (protein) level,48.0,48.0,2.74,2119.0,64
HCPCS,82397,Analysis using chemiluminescent technique (light and chemical )reaction,70.0,70.0,6.04,2119.0,256
HCPCS,82435,Blood chloride level,73.0,73.0,2.74,2119.0,128
HCPCS,82436,Urine chloride level,58.0,58.0,2.74,2119.0,192
HCPCS,82438,Chloride level,51.42,51.42,2.74,2119.0,192
HCPCS,82465,Cholesterol level,44.5,44.5,2.58,2119.0,128
HCPCS,82480,"Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease",38.0,38.0,2.74,2119.0,192
HCPCS,82482,Cholinesterase (enzyme) level,24.15,24.15,2.74,2119.0,64
HCPCS,82495,Chromium level to test for poisoning or deficiency,72.2,72.2,5.95,2119.0,128
HCPCS,82507,Citrate level,40.135,40.135,3.58,2119.0,128
HCPCS,82523,"Collagen cross links test, (urine test to evaluate bone health)",126.5,126.5,6.04,2119.0,128
HCPCS,82525,Copper level,17.225,17.225,5.95,2119.0,128
HCPCS,82530,"Cortisol (hormone) measurement, free",38.0,38.0,6.04,2119.0,192
HCPCS,82533,"Cortisol (hormone) measurement, total",137.445,137.445,6.61,2119.0,128
HCPCS,82542,Chemical analysis using chromatography technique,87.225,87.225,6.04,2119.0,384
HCPCS,82550,"Creatine kinase (cardiac enzyme) level, total",115.0,115.0,2.74,2119.0,64
HCPCS,82553,"Creatine kinase (cardiac enzyme) level, MB fraction only",184.0,184.0,6.04,2119.0,64
HCPCS,82565,Blood creatinine level,50.0,50.0,2.74,2119.0,128
HCPCS,82570,Creatinine level to test for kidney function or muscle injury,48.0,48.0,2.74,2119.0,320
HCPCS,82575,Creatinine clearance measurement to test for kidney function,171.0,171.0,2.74,2119.0,64
HCPCS,82585,Cryofibrinogen (protein) level,38.7,38.7,6.04,2119.0,128
HCPCS,82595,Cryoglobulin (protein) measurement,26.0,26.0,2.74,2119.0,64
HCPCS,82600,Cyanide measurement,68.8,68.8,5.95,2119.0,64
HCPCS,82607,Cyanocobalamin (vitamin B-12) level,113.0,113.0,6.61,2119.0,64
HCPCS,82610,Cystatin C (enzyme inhibitor) level,60.0,60.0,6.04,2119.0,64
HCPCS,82627,Dehydroepiandrosterone (DHEA-S) hormone level,69.115,69.115,6.61,2119.0,128
HCPCS,82633,"Desoxycorticosterone, 11 (hormone) level",158.94,158.94,17.25,2119.0,64
HCPCS,82634,"Deoxycortisol, 11 (hormone) level",65.4,65.4,6.61,2119.0,64
HCPCS,82652,"Dihydroxyvitamin D, 1, 25 level",37.97,37.97,7.71,2119.0,128
HCPCS,82656,Detection of pancreatic elastase (enzyme) in stool,224.0,224.0,6.04,2119.0,64
HCPCS,82657,"Enzyme activity measurement, nonradioactive substrate",112.0,112.0,6.04,2119.0,384
HCPCS,82668,Erythropoietin (protein) level,50.0,50.0,6.04,2119.0,64
HCPCS,82670,Measurement of total estradiol (hormone),61.025,61.025,6.61,2119.0,128
HCPCS,82671,"Estrogen analysis, fractionated",279.35,279.35,17.25,2119.0,64
HCPCS,82672,"Estrogen analysis, total",36.0,36.0,6.61,2119.0,64
HCPCS,82677,Estriol (hormone) level,25.0,25.0,6.61,2119.0,64
HCPCS,82679,Estrone (hormone) level,41.35,41.35,6.61,2119.0,64
HCPCS,82693,Ethylene glycol (antifreeze) measurement,44.72,44.72,5.95,2119.0,64
HCPCS,82710,"Stool fat or lipids analysis, quantitative",59.49,59.49,6.04,2119.0,64
HCPCS,82725,Fatty acids measurement,93.49499999999999,93.49499999999999,6.04,2119.0,128
HCPCS,82728,Ferritin (blood protein) level,138.0,138.0,6.04,2119.0,64
HCPCS,82731,Fetal fibronectin (protein) analysis,638.0,638.0,33.99,2119.0,64
HCPCS,82746,"Folic acid level, serum",172.0,172.0,6.04,2119.0,64
HCPCS,82747,"Folic acid level, RBC",56.2,56.2,6.04,2119.0,64
HCPCS,82775,Galactose-1-phosphate uridyl transferase (enzyme) level,346.47,346.47,6.04,2119.0,128
HCPCS,82784,Gammaglobulin (immune system protein) measurement,33.254999999999995,33.254999999999995,2.74,2119.0,512
HCPCS,82785,IgE (immune system protein) level,51.2,51.2,6.04,2119.0,192
HCPCS,82787,"Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses",101.0,101.0,2.74,2119.0,256
HCPCS,82803,Blood gases measurement,328.0,328.0,13.91,2119.0,448
HCPCS,82805,"Blood gases measurement, with O2 saturation",354.0,354.0,33.99,2119.0,64
HCPCS,82810,"Blood gas, oxygen saturation measurement",22.0,22.0,2.74,2119.0,64
HCPCS,82941,Gastrin (GI tract hormone) level,20.52,20.52,6.61,2119.0,64
HCPCS,82943,Glucagon (pancreatic hormone) level,37.0,37.0,6.61,2119.0,64
HCPCS,82945,Glucose (sugar) level on body fluid,102.0,102.0,2.74,2119.0,256
HCPCS,82947,Blood glucose (sugar) level,59.0,59.0,2.74,2119.0,384
HCPCS,82950,Blood glucose (sugar) level after receiving dose of glucose,117.0,117.0,2.74,2119.0,128
HCPCS,82951,"Blood glucose (sugar) tolerance test, 3 specimens",111.0,111.0,6.04,2119.0,64
HCPCS,82952,"Blood glucose (sugar) tolerance test, each additional beyond 3 specimens",28.0,28.0,2.74,2119.0,64
HCPCS,82955,G6PD (enzyme) level,20.63,20.63,2.74,2119.0,64
HCPCS,82960,G6PD (enzyme) screening test,39.0,39.0,2.74,2119.0,64
HCPCS,82977,Glutamyltransferase (liver enzyme) level,109.0,109.0,2.74,2119.0,64
HCPCS,82985,Glycated protein level,17.0,17.0,6.04,2119.0,64
HCPCS,83001,"Gonadotropin, follicle stimulating (reproductive hormone) level",54.0,54.0,6.61,2119.0,64
HCPCS,83002,"Gonadotropin, luteinizing (reproductive hormone) level",46.0,46.0,6.61,2119.0,64
HCPCS,83003,Human growth hormone level,17.0,17.0,6.61,2119.0,64
HCPCS,83006,Test for detecting genes associated with growth stimulation,269.75,269.75,17.25,2119.0,128
HCPCS,83010,Haptoglobin (serum protein) level,136.0,136.0,6.04,2119.0,64
HCPCS,83013,Breath test analysis for helicobacter pylori,67.36,67.36,28.96,2119.0,64
HCPCS,83014,Administration of drug for helicobacter pylori,144.0,144.0,2.74,2119.0,64
HCPCS,83018,Heavy metal level,50.0,50.0,5.95,2119.0,64
HCPCS,83020,"Hemoglobin analysis and measurement, electrophoresis",31.0,31.0,6.04,2119.0,64
HCPCS,83036,Hemoglobin A1C level,137.0,137.0,2.74,2119.0,256
HCPCS,83050,"Methemoglobin (hemoglobin) analysis, quantitative",81.0,81.0,2.74,2119.0,256
HCPCS,83051,Plasma hemoglobin level,10.0,10.0,2.74,2119.0,64
HCPCS,83070,Hemosiderin (hemoglobin breakdown product) analysis,11.37,11.37,2.74,2119.0,64
HCPCS,83088,Histamine (immune system substance) level,51.69,51.69,13.91,2119.0,64
HCPCS,83090,Homocysteine (amino acid) level,161.0,161.0,6.61,2119.0,64
HCPCS,83150,Homovanillic acid (organic acid) level,35.44,35.44,6.61,2119.0,128
HCPCS,83497,Hydroxyindolacetic acid (product of metabolism) level,40.0,40.0,6.61,2119.0,64
HCPCS,83498,"Hydroxyprogesterone, 17-D (synthetic hormone) level",27.17,27.17,6.61,2119.0,64
HCPCS,83516,"Analysis of substance using immunoassay technique, multiple step method",60.5,60.5,6.02,2119.0,1216
HCPCS,83519,"Measurement of substance using immunoassay technique, by radioimmunoassay",65.0,65.0,6.04,2119.0,1152
HCPCS,83520,Measurement of substance using immunoassay technique,102.5,102.5,6.04,2119.0,3136
HCPCS,83525,"Insulin measurement, total",29.0,29.0,6.61,2119.0,64
HCPCS,83529,Measurement of interleukin-6,199.345,,6.04,2119.0,244
HCPCS,83540,Iron level,74.0,74.0,2.74,2119.0,64
HCPCS,83550,Iron binding capacity,92.0,92.0,2.74,2119.0,64
HCPCS,83605,Lactic acid level,114.95,114.95,6.04,2119.0,256
HCPCS,83615,Lactate dehydrogenase (enzyme) level,42.02,42.02,2.6,2119.0,192
HCPCS,83625,Lactate dehydrogenase (enzyme) measurement,17.0,17.0,6.04,2119.0,64
HCPCS,83630,Stool lactoferrin (immune system protein) analysis,68.5,68.5,6.04,2119.0,64
HCPCS,83655,Lead level,24.689999999999998,24.689999999999998,5.59,2119.0,256
HCPCS,83690,Lipase (fat enzyme) level,26.72,26.72,2.74,2119.0,192
HCPCS,83695,Lipoprotein (A) level,25.0,25.0,6.04,2119.0,64
HCPCS,83701,Lipoprotein measurement,42.5,42.5,13.91,2119.0,192
HCPCS,83718,HDL cholesterol level,68.0,68.0,2.74,2119.0,64
HCPCS,83721,LDL cholesterol level,85.0,85.0,2.74,2119.0,64
HCPCS,83735,Magnesium level,64.165,64.165,2.74,2119.0,192
HCPCS,83785,Manganese (heavy metal) level,39.78,39.78,5.95,2119.0,64
HCPCS,83789,Mass spectrometry (laboratory testing method),72.255,72.255,6.04,2119.0,448
HCPCS,83825,Mercury level,26.3,26.3,5.95,2119.0,192
HCPCS,83835,Metanephrines level,74.22,74.22,6.61,2119.0,192
HCPCS,83873,"Myelin basic protein (nerve protein) level, spinal fluid",24.0,24.0,6.04,2119.0,64
HCPCS,83874,Myoglobin (muscle protein) level,45.0,45.0,6.04,2119.0,64
HCPCS,83880,Natriuretic peptide (heart and blood vessel protein) level,207.0,207.0,13.91,2119.0,64
HCPCS,83883,"Nephelometry, test method using light",118.0,118.0,5.48,2119.0,192
HCPCS,83916,Measurement of immune substance (oligoclonal bands),171.0,171.0,13.91,2119.0,64
HCPCS,83919,Organic acids analysis,128.0,128.0,6.04,2119.0,64
HCPCS,83921,Organic acid level,72.48,72.48,6.04,2119.0,192
HCPCS,83930,Blood osmolality (concentration) measurement,138.0,138.0,2.74,2119.0,64
HCPCS,83935,Urine osmolality (concentration) measurement,138.0,138.0,2.74,2119.0,64
HCPCS,83937,Osteocalcin (bone protein) level,86.65,86.65,17.25,2119.0,64
HCPCS,83945,Oxalate level,14.45,14.45,3.58,2119.0,192
HCPCS,83970,Parathormone (parathyroid hormone) level,61.0,61.0,17.25,2119.0,64
HCPCS,83986,Body fluid pH level,8.33,8.33,2.58,2119.0,192
HCPCS,83993,Stool calprotectin (protein) level,140.0,140.0,6.04,2119.0,64
HCPCS,84075,"Phosphatase (enzyme) level, alkaline",20.0,20.0,2.74,2119.0,192
HCPCS,84080,"Phosphatase (enzyme) measurement, alkaline, isoenzymes",23.35,23.35,6.04,2119.0,64
HCPCS,84100,Phosphate level,72.0,72.0,2.74,2119.0,64
HCPCS,84105,Urine phosphate level,40.165,40.165,2.74,2119.0,128
HCPCS,84110,Urine porphobilinogen (metabolism substance) level,14.9,14.9,2.74,2119.0,128
HCPCS,84112,Cervicovaginal secretion of placenta protein,197.0,197.0,33.99,2119.0,64
HCPCS,84120,Urine porphyrins (metabolism substance) measurement,35.15,35.15,6.04,2119.0,64
HCPCS,84132,Blood potassium level,74.0,74.0,2.74,2119.0,192
HCPCS,84133,Urine potassium level,31.665,31.665,2.74,2119.0,256
HCPCS,84134,Prealbumin (protein) level,164.0,164.0,6.04,2119.0,64
HCPCS,84143,17-hydroxypregnenolone (hormone) level,64.96,64.96,6.61,2119.0,64
HCPCS,84144,Progesterone (reproductive hormone) level,74.0,74.0,6.61,2119.0,64
HCPCS,84145,Procalcitonin (hormone) level,68.0,68.0,6.61,2119.0,64
HCPCS,84146,Prolactin (milk producing hormone) level,68.0,68.0,6.61,2119.0,64
HCPCS,84153,"PSA (prostate specific antigen) measurement, total",64.5,64.5,6.04,2119.0,128
HCPCS,84154,"PSA (prostate specific antigen) measurement, free",18.39,18.39,6.04,2119.0,64
HCPCS,84155,"Total protein level, blood",83.0,83.0,2.74,2119.0,64
HCPCS,84156,"Total protein level, urine",83.0,83.0,2.74,2119.0,64
HCPCS,84157,"Total protein level, body fluid",54.0,54.0,2.74,2119.0,192
HCPCS,84165,"Protein measurement, serum",150.0,150.0,2.74,2119.0,128
HCPCS,84166,"Protein measurement, body fluid",43.0,43.0,6.04,2119.0,64
HCPCS,84181,Protein measurement,85.0,85.0,5.48,2119.0,128
HCPCS,84182,"Protein measurement, immunological probe for band identification",86.475,86.475,19.95,2119.0,384
HCPCS,84202,Protoporphyrin (metabolism substance) level,33.43,33.43,6.04,2119.0,64
HCPCS,84206,Proinsulin (pancreatic hormone) level,59.0,59.0,6.61,2119.0,64
HCPCS,84207,Vitamin B-6 level,28.1,28.1,12.08,2119.0,64
HCPCS,84210,Pyruvate (organic acid) level,70.765,70.765,6.04,2119.0,128
HCPCS,84238,Chemical receptor analysis,190.0,190.0,13.91,2119.0,64
HCPCS,84244,Renin (kidney enzyme) level,22.0,22.0,6.61,2119.0,64
HCPCS,84252,Vitamin B-2 (riboflavin) level,24.98,24.98,6.04,2119.0,64
HCPCS,84255,Selenium (vitamin) level,59.52,59.52,5.95,2119.0,64
HCPCS,84260,Serotonin (hormone) level,31.0,31.0,13.33,2119.0,64
HCPCS,84270,Sex hormone binding globulin (protein) level,26.83,26.83,6.04,2119.0,128
HCPCS,84295,Blood sodium level,68.0,68.0,2.74,2119.0,192
HCPCS,84300,Urine sodium level,33.165,33.165,2.74,2119.0,256
HCPCS,84302,Sodium level,48.0,48.0,2.74,2119.0,128
HCPCS,84305,Somatomedin (growth factor) level,30.0,30.0,6.61,2119.0,64
HCPCS,84311,Chemical analysis using spectrophotometry (light),33.0,33.0,2.74,2119.0,192
HCPCS,84376,"Carbohydrate analysis, single qualitative",17.8,17.8,2.74,2119.0,64
HCPCS,84392,Urine sulfate (acid) level,8.33,8.33,1.48,2119.0,64
HCPCS,84403,"Testosterone (hormone) level, total",27.925,27.925,6.61,2119.0,192
HCPCS,84425,Vitamin B-1 (thiamine) level,26.08,26.08,6.04,2119.0,128
HCPCS,84430,Thiocyanate (organic sulfur substance) level,47.0,47.0,5.95,2119.0,64
HCPCS,84432,Thyroglobulin (thyroid related hormone) level,46.85,46.85,6.61,2119.0,128
HCPCS,84433,Evaluation of thiopurine S-methyltransferase (TPMT),100.0,,6.04,2119.0,61
HCPCS,84436,"Thyroxine (thyroid chemical), total",69.215,69.215,6.18,2119.0,128
HCPCS,84439,"Thyroxine (thyroid chemical), free",85.215,85.215,6.2,2119.0,128
HCPCS,84442,Thyroxine binding globulin (thyroid related protein) level,16.0,16.0,6.61,2119.0,64
HCPCS,84443,"Blood test, thyroid stimulating hormone (TSH)",99.0,99.0,6.61,2119.0,64
HCPCS,84445,Thyroid stimulating immune globulins (thyroid related protein) level,50.86,50.86,17.25,2119.0,64
HCPCS,84446,Vitamin E level,15.0,15.0,6.04,2119.0,64
HCPCS,84449,Transcortin (cortisol binding protein) level,45.0,45.0,6.61,2119.0,64
HCPCS,84450,"Liver enzyme (SGOT), level",68.0,68.0,2.74,2119.0,64
HCPCS,84460,"Liver enzyme (SGPT), level",68.0,68.0,2.74,2119.0,64
HCPCS,84466,Transferrin (iron binding protein) level,77.0,77.0,6.04,2119.0,64
HCPCS,84478,Triglycerides level,57.5,57.5,2.74,2119.0,128
HCPCS,84479,Thyroid hormone evaluation,7.06,7.06,3.04,2119.0,64
HCPCS,84480,"Thyroid hormone, T3 measurement, total",227.0,227.0,6.61,2119.0,64
HCPCS,84481,"Thyroid hormone, T3 measurement, free",59.63,59.63,6.61,2119.0,64
HCPCS,84482,"Thyroid hormone, T3 measurement, reverse",38.75,38.75,6.61,2119.0,64
HCPCS,84484,"Troponin (protein) analysis, quantitative",221.0,221.0,6.04,2119.0,128
HCPCS,84520,"Urea nitrogen level to assess kidney function, quantitative",62.0,62.0,2.74,2119.0,128
HCPCS,84540,"Urea nitrogen level to assess kidney function, urine",52.0,52.0,2.74,2119.0,64
HCPCS,84550,"Uric acid level, blood",74.0,74.0,2.74,2119.0,64
HCPCS,84560,Uric acid level,41.185,41.185,2.74,2119.0,128
HCPCS,84585,Urine vanillylmandelic acid,15.75,15.75,6.61,2119.0,128
HCPCS,84586,Vasoactive intestinal peptide (intestinal hormone) level,59.62,59.62,17.25,2119.0,64
HCPCS,84590,Vitamin A level,14.0,14.0,6.02,2119.0,64
HCPCS,84591,Vitamin measurement,75.0,75.0,6.04,2119.0,192
HCPCS,84597,Vitamin K level,66.25,66.25,6.04,2119.0,64
HCPCS,84630,Zinc level,14.2,14.2,5.95,2119.0,64
HCPCS,84681,C-peptide (protein) level,31.0,31.0,6.04,2119.0,64
HCPCS,84702,"Gonadotropin, chorionic (reproductive hormone) level",38.98,38.98,6.47,2119.0,192
HCPCS,84703,Gonadotropin (reproductive hormone) analysis,182.0,182.0,2.74,2119.0,192
HCPCS,84999,Chemistry procedures,18.46,18.46,3.23,2119.0,122
HCPCS,85007,Microscopic examination for white blood cells with manual cell count,82.0,82.0,2.96,2119.0,64
HCPCS,85014,Red blood cell concentration measurement,35.0,35.0,2.13,2119.0,192
HCPCS,85018,"Blood count, hemoglobin",32.0,32.0,2.13,2119.0,192
HCPCS,85025,"Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count",209.0,209.0,2.96,2119.0,64
HCPCS,85027,"Complete blood cell count (red cells, white blood cell, platelets), automated test",135.0,135.0,2.96,2119.0,64
HCPCS,85046,"Red blood count automated, with additional calculations",10.0,10.0,2.96,2119.0,64
HCPCS,85049,"Platelet count, automated test",87.0,87.0,2.96,2119.0,64
HCPCS,85055,Reticulated (young) platelet measurement,52.0,52.0,12.56,2119.0,64
HCPCS,85130,Assessment of blood clotting function,55.0,55.0,2.96,2119.0,64
HCPCS,85210,"Clotting factor II prothrombin, measurement",12.98,12.98,2.22,2119.0,64
HCPCS,85220,Clotting factor V (AcG or proaccelerin) measurement,17.65,17.65,2.22,2119.0,64
HCPCS,85230,"Clotting factor VII (proconvertin, stable factor)",17.9,17.9,2.22,2119.0,64
HCPCS,85240,Clotting factor VIII (AHG) measurement,41.620000000000005,41.620000000000005,2.22,2119.0,256
HCPCS,85245,Clotting factor VIII (VW factor) measurement,22.94,22.94,9.86,2119.0,192
HCPCS,85246,Clotting factor VIII (VW factor) antigen,22.94,22.94,9.86,2119.0,192
HCPCS,85247,Clotting factor VIII (von Willebrand factor) measurement,22.94,22.94,9.86,2119.0,64
HCPCS,85250,Clotting factor IX (PTC or Christmas) measurement,19.04,19.04,8.19,2119.0,64
HCPCS,85260,Clotting factor X (Stuart-Prower) measurement,17.9,17.9,2.22,2119.0,128
HCPCS,85270,Clotting factor XI (PTA) measurement,17.9,17.9,2.22,2119.0,64
HCPCS,85280,Clotting factor XII (Hageman) measurement,19.35,19.35,8.32,2119.0,64
HCPCS,85290,Clotting factor XIII (fibrin stabilizing) measurement,16.34,16.34,2.22,2119.0,64
HCPCS,85292,Fletcher factor (clotting factor) measurement,78.0,78.0,2.22,2119.0,64
HCPCS,85300,Antithrombin III antigen (clotting inhibitor) activity,14.425,14.425,2.22,2119.0,128
HCPCS,85301,Antithrombin III antigen (clotting inhibitor) level,10.81,10.81,2.22,2119.0,64
HCPCS,85302,"Protein C, (clotting inhibitor) activity",12.01,12.01,2.22,2119.0,64
HCPCS,85303,Protein C antigen (clotting inhibitor) measurement,13.84,13.84,2.22,2119.0,64
HCPCS,85305,Protein S (clotting inhibitor) level,11.61,11.61,2.22,2119.0,64
HCPCS,85306,Protein S (clotting inhibitor) measurement,15.32,15.32,2.22,2119.0,64
HCPCS,85307,Activated protein resistance assay,15.32,15.32,2.96,2119.0,64
HCPCS,85335,Clotting factor inhibitor test,27.0,27.0,2.22,2119.0,320
HCPCS,85347,"Coagulation time measurement, activated",134.0,134.0,2.22,2119.0,320
HCPCS,85379,"Coagulation function measurement, D-dimer; quantitative",170.0,170.0,2.22,2119.0,64
HCPCS,85384,Fibrinogen (factor 1) activity measurement,120.36,120.36,2.22,2119.0,256
HCPCS,85385,Fibrinogen (factor 1) antigen detection,14.46,14.46,2.22,2119.0,128
HCPCS,85390,Coagulation function screening test with interpretation and report,52.0,52.0,2.22,2119.0,128
HCPCS,85397,Measurement of blood coagulation and fibrinolysis (clot dissolving) function,125.43,125.43,12.56,2119.0,128
HCPCS,85410,Alpha-2 antiplasmin (factor inhibitor) measurement,53.985,53.985,2.22,2119.0,128
HCPCS,85415,Plasminogen activator (fibrinolytic factor) measurement,150.0,150.0,2.22,2119.0,64
HCPCS,85420,Plasminogen (fibrinolytic factor) measurement,6.53,6.53,2.22,2119.0,64
HCPCS,85460,"Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis",88.0,88.0,2.96,2119.0,64
HCPCS,85461,"Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette",48.0,48.0,2.96,2119.0,64
HCPCS,85520,Heparin assay,141.75,141.75,2.22,2119.0,64
HCPCS,85530,Heparin therapy assessment,168.0,168.0,2.22,2119.0,64
HCPCS,85549,White blood cell enzyme activity measurement,25.84,25.84,2.96,2119.0,64
HCPCS,85576,Platelet aggregation function test,149.46,149.46,12.56,2119.0,512
HCPCS,85597,Platelet function test,36.455,36.455,2.22,2119.0,128
HCPCS,85598,Phospholipid test,30.009999999999998,30.009999999999998,2.22,2119.0,128
HCPCS,85610,"Blood test, clotting time",40.145,40.145,1.84,2119.0,192
HCPCS,85611,"Blood test, clotting time, substitution",17.47,17.47,1.69,2119.0,128
HCPCS,85613,"Clotting factor X assessment test, diluted",19.79,19.79,2.22,2119.0,192
HCPCS,85635,Blood coagulation screening test,9.85,9.85,2.96,2119.0,128
HCPCS,85652,"Red blood cell sedimentation rate, to detect inflammation, automated",75.0,75.0,2.43,2119.0,64
HCPCS,85660,Red blood cell sickling measurement,58.0,58.0,2.96,2119.0,64
HCPCS,85670,"Thrombin time, fibrinogen screening test, plasma",41.385,41.385,2.22,2119.0,256
HCPCS,85730,"Coagulation assessment blood test, plasma or whole blood",21.0,21.0,2.22,2119.0,192
HCPCS,85732,"Coagulation assessment blood test, substitution, plasma fractions",8.735,8.735,2.22,2119.0,448
HCPCS,85810,Blood viscosity measurement,20.29,20.29,2.96,2119.0,64
HCPCS,86003,"Measurement of antibody (IgE) to allergic substance, crude allergen extract, each",8.2,8.2,2.37,2119.0,4480
HCPCS,86008,"Measurement of antibody (IgE) to allergic substance, recombinant or purified component, each",18.93,18.93,5.48,2119.0,512
HCPCS,86021,Antibody identification test for white blood cell antibodies,110.83,110.83,5.48,2119.0,128
HCPCS,86022,"Antibody identification test, platelet antibodies",180.655,180.655,5.48,2119.0,448
HCPCS,86023,"Antibody identification test, platelet associated immunoglobulin assay",64.85,64.85,5.48,2119.0,64
HCPCS,86038,Screening test for autoimmune disorder,102.0,102.0,5.48,2119.0,64
HCPCS,86039,"Measurement of antibody for assessment of autoimmune disorder, titer",136.0,136.0,5.48,2119.0,64
HCPCS,86060,Measurement for Strep antibody (strep throat),41.0,41.0,5.48,2119.0,64
HCPCS,86078,Blood bank physician services for investigation of transfusion reaction with written report,269.0,159.0,58.67,2119.0,64
HCPCS,86140,Measurement C-reactive protein for detection of infection or inflammation,147.0,147.0,4.66,2119.0,64
HCPCS,86141,"Measurement C-reactive protein for detection of infection or inflammation, high sensitivity",24.52,24.52,5.48,2119.0,64
HCPCS,86146,Beta 2 glycoprotein 1 antibody (autoantibody) measurement,151.0,151.0,5.48,2119.0,192
HCPCS,86147,Cardiolipin antibody (tissue antibody) measurement,152.0,152.0,5.48,2119.0,192
HCPCS,86148,Phospholipid antibody (autoimmune antibody) measurement,71.0,71.0,5.48,2119.0,320
HCPCS,86157,Measurement of cold agglutinin (protein) to detect infection or disease,49.215,49.215,3.62,2119.0,128
HCPCS,86160,"Measurement of complement (immune system proteins), antigen,",33.0,33.0,5.48,2119.0,448
HCPCS,86161,Measurement of complement function (immune system proteins),51.934999999999995,51.934999999999995,5.48,2119.0,256
HCPCS,86162,"Measurement of complement (immune system proteins), total hemolytic",47.86,47.86,5.48,2119.0,128
HCPCS,86200,Measurement of antibody for rheumatoid arthritis assessment,96.0,96.0,5.48,2119.0,64
HCPCS,86235,"Measurement of antibody for assessment of autoimmune disorder, any method",82.725,82.725,5.48,2119.0,1280
HCPCS,86255,Screening test for antibody to noninfectious agent,62.565,62.565,5.48,2119.0,1664
HCPCS,86256,Measurement of antibody to noninfectious agent,35.0,35.0,5.48,2119.0,320
HCPCS,86300,"Immunologic analysis for detection of tumor antigen, quantitative; CA 15-3",26.5,26.5,5.48,2119.0,128
HCPCS,86301,"Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9",46.46,46.46,5.48,2119.0,128
HCPCS,86304,"Immunologic analysis for detection of tumor antigen, quantitative; CA 125",46.0,46.0,5.48,2119.0,64
HCPCS,86308,Screening test for mononucleosis (mono),91.0,91.0,4.66,2119.0,128
HCPCS,86316,Analysis for detection of tumor marker,20.81,20.81,5.48,2119.0,64
HCPCS,86317,"Detection of infectious agent antibody, quantitative",32.21,32.21,5.48,2119.0,1216
HCPCS,86329,"Immunologic analysis technique, unspecified",55.0,55.0,5.48,2119.0,64
HCPCS,86331,Immunologic analysis for detection of antigen or antibody,25.0,25.0,5.48,2119.0,128
HCPCS,86334,Immunologic analysis technique on serum (immunofixation),210.0,210.0,5.48,2119.0,64
HCPCS,86335,"Immunologic analysis technique on body fluid, other fluids with concentration",269.28,269.28,19.95,2119.0,128
HCPCS,86336,Inhibin A (reproductive organ hormone) measurement,21.810000000000002,21.810000000000002,5.48,2119.0,128
HCPCS,86337,Insulin antibody measurement,142.0,142.0,5.48,2119.0,64
HCPCS,86340,Intrinsic factor (stomach protein) antibody measurement,31.48,31.48,5.48,2119.0,64
HCPCS,86341,Islet cell (pancreas) antibody measurement,71.0,71.0,5.48,2119.0,448
HCPCS,86343,White blood cell histamine (immune system chemical) release test,100.0,100.0,5.48,2119.0,64
HCPCS,86352,Analysis of cell function and analysis for genetic marker,187.5,187.5,19.95,2119.0,576
HCPCS,86353,"White blood cell function measurement, mitogen or antigen induced blastogenesis",104.245,104.245,19.95,2119.0,768
HCPCS,86355,Total cell count for B cells (white blood cells),90.0,90.0,19.95,2119.0,128
HCPCS,86356,White blood cell antigen measurement,33.06,33.06,14.22,2119.0,64
HCPCS,86357,Total cell count for natural killer cells (white blood cell),75.33,75.33,19.95,2119.0,192
HCPCS,86359,"T cells count, total",90.0,90.0,19.95,2119.0,128
HCPCS,86360,"T cell count and ratio, including ratio",90.105,90.105,19.95,2119.0,128
HCPCS,86367,"Stem cells count, total",241.395,241.395,19.95,2119.0,192
HCPCS,86376,Microsomal antibodies (autoantibody) measurement,75.0,75.0,5.48,2119.0,128
HCPCS,86403,Screening test for presence of antibody,52.8,52.8,5.48,2119.0,128
HCPCS,86431,Rheumatoid factor level,67.75,67.75,5.1,2119.0,128
HCPCS,86480,"Tuberculosis test, gamma interferon",154.0,154.0,19.95,2119.0,64
HCPCS,86580,Skin test for tuberculosis,46.0,26.0,5.48,2119.0,576
HCPCS,86592,Syphilis detection test,50.0,50.0,3.84,2119.0,256
HCPCS,86593,Syphilis test,100.0,100.0,3.96,2119.0,128
HCPCS,86606,Analysis for antibody to aspergillus (fungus),26.0,26.0,5.48,2119.0,320
HCPCS,86609,Analysis for antibody bacteria,25.0,25.0,5.48,2119.0,512
HCPCS,86611,Analysis for antibody to Bartonella (bacteria),24.05,24.05,5.48,2119.0,448
HCPCS,86612,Analysis for antibody to blastomyces (fungus),19.72,19.72,5.48,2119.0,64
HCPCS,86615,Analysis for antibody bordetella (respiratory bacteria),87.5,87.5,5.48,2119.0,128
HCPCS,86617,Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria),46.745,46.745,5.48,2119.0,320
HCPCS,86622,Analysis for antibody to Brucella (bacteria),52.3,52.3,5.48,2119.0,192
HCPCS,86631,Analysis for antibody to Chlamydia (bacteria),16.0,16.0,5.08,2119.0,512
HCPCS,86632,Analysis for antibody (IgM) to Chlamydia (bacteria),15.0,15.0,5.45,2119.0,384
HCPCS,86635,Analysis for antibody to Coccidioides (bacteria),19.72,19.72,5.48,2119.0,256
HCPCS,86638,Analysis for antibody to Coxiella burnetii (Q fever bacteria),22.45,22.45,5.48,2119.0,512
HCPCS,86644,Analysis for antibody to Cytomegalovirus (CMV),101.5,101.5,5.48,2119.0,192
HCPCS,86645,Analysis for antibody (IgM) to Cytomegalovirus (CMV),103.0,103.0,5.48,2119.0,128
HCPCS,86648,Analysis for antibody to Diphtheria (bacteria),89.29,89.29,5.48,2119.0,64
HCPCS,86651,Analysis for antibody to La crosse (California) virus (encephalitis causing virus),30.125,30.125,5.48,2119.0,320
HCPCS,86652,Analysis for antibody to Eastern equine virus (viral encephalitis),43.025,43.025,5.48,2119.0,256
HCPCS,86653,Analysis for antibody to St. Louis virus (viral encephalitis),33.45,33.45,5.48,2119.0,320
HCPCS,86654,Analysis for antibody to Western equine virus (viral encephalitis),29.5,29.5,5.48,2119.0,256
HCPCS,86658,Analysis for antibody to Enterovirus (gastrointestinal virus),15.0,15.0,5.48,2119.0,832
HCPCS,86663,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen",109.0,109.0,5.48,2119.0,64
HCPCS,86664,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen",107.0,107.0,5.48,2119.0,64
HCPCS,86665,"Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid",132.0,132.0,5.48,2119.0,128
HCPCS,86666,Analysis for antibody to Ehrlichia (bacteria transmitted by ticks),40.465,40.465,5.48,2119.0,128
HCPCS,86671,Analysis for antibody to fungus,60.0,60.0,5.48,2119.0,256
HCPCS,86674,Analysis for antibody to Giardia lamblia (intestinal parasite),40.25,40.25,5.48,2119.0,64
HCPCS,86682,Analysis for antibody to helminth (intestinal worm),49.375,49.375,5.48,2119.0,512
HCPCS,86684,Analysis for antibody to Haemophilus influenza (respiratory bacteria),42.68,42.68,5.48,2119.0,64
HCPCS,86687,"Analysis for antibody to Human T-cell lymphotropic virus, type 1 (HTLV-1)",14.75,14.75,5.16,2119.0,128
HCPCS,86688,"Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2)",15.75,15.75,5.48,2119.0,128
HCPCS,86689,Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV,71.93,71.93,5.48,2119.0,192
HCPCS,86692,Analysis for antibody to Hepatitis D virus,26.79,26.79,5.48,2119.0,64
HCPCS,86695,"Analysis for antibody to Herpes simplex virus, type 1",42.93,42.93,5.48,2119.0,320
HCPCS,86696,"Analysis for antibody to Herpes simplex virus, type 2",51.965,51.965,5.48,2119.0,384
HCPCS,86698,Analysis for antibody to histoplasma (fungus),15.5,15.5,5.48,2119.0,192
HCPCS,86701,Analysis for antibody to HIV -1 virus,37.0,37.0,5.48,2119.0,128
HCPCS,86702,Analysis for antibody to HIV-2 virus,56.0,56.0,5.48,2119.0,128
HCPCS,86703,Analysis for antibody to HIV-1 and HIV-2 virus,94.5,94.5,5.48,2119.0,128
HCPCS,86704,Hepatitis B core antibody measurement,31.5,31.5,5.48,2119.0,128
HCPCS,86705,Hepatitis B core antibody (IgM) measurement,239.0,239.0,5.48,2119.0,64
HCPCS,86706,Hepatitis B surface antibody measurement,237.0,237.0,5.48,2119.0,64
HCPCS,86707,Hepatitis Be antibody measurement,16.0,16.0,5.48,2119.0,64
HCPCS,86708,Measurement of Hepatitis A antibody,266.0,266.0,5.48,2119.0,64
HCPCS,86709,Measurement of Hepatitis A antibody (IgM),239.0,239.0,5.48,2119.0,64
HCPCS,86710,Analysis for antibody to Influenza virus,35.295,35.295,5.48,2119.0,256
HCPCS,86713,Analysis for antibody to Legionella (waterborne bacteria),49.65,49.65,5.48,2119.0,128
HCPCS,86717,Analysis for antibody to Leishmania (parasite),6.875,6.875,2.9,2119.0,512
HCPCS,86735,Analysis for antibody to mumps virus,46.235,46.235,5.48,2119.0,256
HCPCS,86738,Analysis for antibody to Mycoplasma (bacteria),42.82,42.82,5.48,2119.0,192
HCPCS,86747,Analysis for antibody to parvovirus,15.03,15.03,5.48,2119.0,128
HCPCS,86753,Analysis for antibody to protozoa (parasite),85.0,85.0,5.33,2730.0,320
HCPCS,86756,Analysis for antibody to respiratory syncytial virus (RSV),47.5,47.5,5.48,2119.0,64
HCPCS,86757,Analysis for antibody to Rickettsia (bacteria),30.595,30.595,5.48,2119.0,256
HCPCS,86762,Analysis for antibody to Rubella (German measles virus),76.0,76.0,5.48,2119.0,128
HCPCS,86765,Analysis for antibody to Rubeola (measles virus),39.345,39.345,5.48,2119.0,256
HCPCS,86774,Analysis for antibody to tetanus bacteria (Clostridium tetanus),20.0,20.0,5.48,2119.0,64
HCPCS,86777,Analysis for antibody to Toxoplasma (parasite),79.0,79.0,5.48,2119.0,128
HCPCS,86778,Analysis for antibody (IgM) to Toxoplasma (parasite),88.0,88.0,5.48,2119.0,128
HCPCS,86780,"Analysis for antibody, Treponema pallidum",77.0,77.0,5.48,2119.0,64
HCPCS,86784,Analysis for antibody to Trichinella (worm parasite),48.25,48.25,5.48,2119.0,64
HCPCS,86787,Analysis for antibody to varicella-zoster virus (chicken pox),113.0,113.0,5.48,2119.0,128
HCPCS,86788,Analysis for antibody (IgM) to West Nile virus,56.0,56.0,5.48,2119.0,128
HCPCS,86789,Analysis for antibody to West Nile virus,56.0,56.0,5.48,2119.0,64
HCPCS,86790,Analysis for antibody to virus,53.15,53.15,5.48,2119.0,1088
HCPCS,86794,Analysis for antibody to Zika virus,146.86,146.86,5.48,2119.0,128
HCPCS,86800,Thyroglobulin (thyroid protein) antibody measurement,33.7,33.7,5.48,2119.0,64
HCPCS,86803,Hepatitis C antibody measurement,55.5,55.5,5.48,2119.0,192
HCPCS,86804,Confirmation test for Hepatitis C antibody,895.0,895.0,5.48,2119.0,64
HCPCS,86805,"Immunologic analysis for autoimmune disease, with titration",189.52,189.52,81.49,2119.0,64
HCPCS,86807,"Transplant antibody measurement, standard method",767.26,767.26,30.16,2119.0,64
HCPCS,86813,"Immunologic analysis for autoimmune disease, A, B, or C, multiple antigens",584.0,584.0,30.16,2119.0,64
HCPCS,86825,"Immunologic analysis for organ transplant, first serum sample or dilution",250.0,250.0,30.16,2119.0,128
HCPCS,86826,"Immunologic analysis for organ transplant, each additional serum sample or sample dilution",250.0,250.0,30.16,2119.0,128
HCPCS,86828,Assessment of antibodies to Class I and Class II human leukocyte antigens (HLA) antigens,64.19,64.19,27.6,2119.0,128
HCPCS,86830,"Assessment of antibody to human leukocyte antigens (HLA) with antibody identification by qualitative panel using complete HLA phenotypes, HLA class I",95.52,95.52,30.16,2119.0,64
HCPCS,86831,"Assessment of antibody to human leukocyte antigens (HLA) with antibody identification by qualitative panel using complete HLA phenotypes, HLA class II",88.7,88.7,30.16,2119.0,64
HCPCS,86832,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I",323.875,323.875,88.84,2119.0,320
HCPCS,86833,"Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class II",325.9,325.9,88.84,2119.0,192
HCPCS,86850,Screening test for red blood cell antibodies,74.0,53.0,2.17,2119.0,251
HCPCS,86860,Removal of antibodies from surface of red blood cell,267.0,159.0,88.84,520.65,59
HCPCS,86870,Identification of red blood cell antibodies,561.5,310.0,88.84,1095.9,118
HCPCS,86880,"Red blood cell antibody detection test, direct",148.0,59.0,2.17,2119.0,187
HCPCS,86886,Red blood cell antibody level,267.0,159.0,2.17,520.65,118
HCPCS,86900,Blood group typing (ABO),208.5,120.0,2.17,2119.0,128
HCPCS,86901,Blood typing for Rh (D) antigen,52.5,36.0,2.17,2119.0,128
HCPCS,86902,"Screening test for compatible blood unit, using reagent serum",562.0,310.0,2.17,1095.9,59
HCPCS,86906,Blood typing Rh phenotyping,59.0,36.0,2.17,2119.0,64
HCPCS,86920,"Blood unit compatibility test, immediate spin technique",267.0,159.0,88.84,520.65,118
HCPCS,86922,"Blood unit compatibility test, antiglobulin technique",267.0,159.0,88.84,2119.0,241
HCPCS,86923,"Blood unit compatibility test, electronic",267.0,159.0,88.84,520.65,59
HCPCS,86945,"Irradiation of blood product, each unit",133.0,36.0,54.46,417.0,59
HCPCS,86970,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, incubation with chemical agents or drugs",93.0,36.0,39.99,417.0,59
HCPCS,86971,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, incubation with enzymes",424.0,310.0,54.46,826.8,59
HCPCS,86972,"Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement, by density gradient separation",267.0,159.0,54.46,520.65,59
HCPCS,86975,"Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs",700.0,289.0,54.46,1365.0,59
HCPCS,87015,Concentration of specimen for infectious agents,107.0,107.0,4.04,2119.0,64
HCPCS,87040,Bacterial blood culture,341.0,341.0,4.04,2119.0,64
HCPCS,87045,Stool culture,274.0,274.0,4.04,2119.0,64
HCPCS,87070,"Bacterial culture, any other source except urine, blood or stool, aerobic",148.0,148.0,4.04,2119.0,256
HCPCS,87071,Bacterial culture and colony count,210.0,210.0,4.04,2119.0,64
HCPCS,87075,"Bacterial culture, any source, except blood, anaerobic",112.0,112.0,4.04,2119.0,64
HCPCS,87076,Bacterial culture for anaerobic isolates,63.0,63.0,4.04,2119.0,64
HCPCS,87077,Bacterial culture for aerobic isolates,127.0,127.0,4.04,2119.0,128
HCPCS,87086,"Bacterial colony count, urine",138.0,138.0,4.04,2119.0,64
HCPCS,87102,Fungal culture (mold or yeast),101.0,101.0,4.04,2119.0,64
HCPCS,87106,"Fungal culture, yeast",77.0,77.0,4.04,2119.0,64
HCPCS,87107,Culture for identification of yeast,38.3,38.3,4.04,2119.0,128
HCPCS,87109,Mycoplasma culture,23.4,23.4,4.04,2119.0,64
HCPCS,87116,Culture for acid-fast bacilli,218.5,218.5,4.04,2119.0,128
HCPCS,87147,"Identification of organisms by immunologic analysis, other than immunofluorescence method",26.0,26.0,4.04,2119.0,192
HCPCS,87149,"Identification of organisms by genetic analysis, direct probe technique",150.0,150.0,4.04,2119.0,192
HCPCS,87150,"Identification of organisms by genetic analysis, amplified probe technique",137.0,137.0,23.95,2119.0,1088
HCPCS,87176,Tissue preparation for culture,52.0,52.0,4.04,2119.0,64
HCPCS,87177,Smear for parasites,275.0,275.0,4.04,2119.0,64
HCPCS,87181,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilution method",26.0,26.0,4.04,2119.0,64
HCPCS,87184,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)",62.0,62.0,4.04,2119.0,64
HCPCS,87185,"Detection of antimicrobial drug (antibiotic, antifungal, antiviral)",6.0,6.0,2.58,2119.0,64
HCPCS,87186,"Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution",181.0,181.0,4.04,2119.0,64
HCPCS,87205,Special Gram or Giemsa stain for microorganism,61.0,61.0,3.84,2119.0,128
HCPCS,87206,Special fluorescent and/or acid fast stain for microorganism,98.0,98.0,4.04,2119.0,128
HCPCS,87207,Special stain for inclusion bodies or parasites,107.0,107.0,4.04,2119.0,64
HCPCS,87209,Special stain for parasites,138.0,138.0,4.04,2119.0,64
HCPCS,87210,Smear for infectious agents,82.0,82.0,4.04,2119.0,256
HCPCS,87252,Tissue culture inoculation for virus isolation,287.0,287.0,4.04,2119.0,64
HCPCS,87260,Detection test for adenovirus (virus),113.0,113.0,4.04,2119.0,64
HCPCS,87271,Detection test by immunofluorescent technique for cytomegalovirus (CMV),188.0,188.0,4.04,2119.0,64
HCPCS,87281,Detection test by immunofluorescent technique for pneumocystis carinii (respiratory parasite),62.0,62.0,4.04,2119.0,64
HCPCS,87290,Detection test by immunofluorescent technique for varicella (chicken pox) zoster virus,141.0,141.0,4.04,2119.0,64
HCPCS,87299,Detection test by immunofluorescent technique for organism,59.0,59.0,4.04,2119.0,64
HCPCS,87300,Detection test by immunofluorescent technique for multiple organisms,163.0,163.0,4.04,2119.0,64
HCPCS,87305,Detection test by immunoassay technique for Aspergillus (fungus),97.5,97.5,4.04,2119.0,128
HCPCS,87324,Detection test by immunoassay technique for Clostridium difficile toxins (stool pathogen),86.49,86.49,4.04,2119.0,128
HCPCS,87338,Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool,82.0,82.0,4.04,2119.0,64
HCPCS,87340,Detection test by immunoassay technique for hepatitis B surface antigen,100.0,100.0,4.04,2119.0,128
HCPCS,87341,Detection test by immunoassay technique for hepatitis B surface antigen neutralization,112.0,112.0,4.04,2119.0,128
HCPCS,87350,Detection test by immunoassay technique for hepatitis Be surface antigen,15.5,15.5,4.04,2119.0,128
HCPCS,87385,Detection test by immunoassay technique for Histoplasma capsulatum (parasite),90.0,90.0,4.04,2119.0,128
HCPCS,87389,Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies,164.0,164.0,4.04,2119.0,128
HCPCS,87400,Detection test by immunoassay technique for influenza virus,21.0,21.0,4.04,2119.0,128
HCPCS,87420,Detection test by immunoassay technique for respiratory syncytial virus (RSV),21.0,21.0,4.04,2119.0,128
HCPCS,87426,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus,66.0,66.0,4.04,2119.0,128
HCPCS,87427,Detection test by immunoassay technique for Shiga-like toxin (bacterial toxin),68.15,68.15,4.04,2119.0,64
HCPCS,87428,Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza,106.0,106.0,23.95,2119.0,128
HCPCS,87430,"Detection test by immunoassay technique for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,192
HCPCS,87449,Detection test by immunoassay technique for other organism,147.5,147.5,4.04,2119.0,192
HCPCS,87471,"Detection by nucleic acid Bartonella henselae and Bartonella quintana (bacteria), amplified probe technique",219.0,219.0,23.95,2119.0,64
HCPCS,87481,"Detection test for candida species (yeast), amplified probe technique",410.5,410.5,21.93,2119.0,128
HCPCS,87486,"Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe technique",148.435,148.435,7.25,2119.0,128
HCPCS,87491,"Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique",57.0,57.0,20.64,2119.0,320
HCPCS,87493,"Detection test by nucleic acid for clostridium difficile, amplified probe technique",57.0,57.0,23.95,2119.0,64
HCPCS,87496,"Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique",80.33,80.33,23.95,2119.0,320
HCPCS,87497,"Detection test by nucleic acid for cytomegalovirus, quantification",79.0,79.0,18.42,2119.0,256
HCPCS,87498,"Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique",180.0,180.0,23.95,2119.0,192
HCPCS,87502,Detection test by nucleic acid for multiple types influenza virus,127.5,127.5,54.83,2119.0,128
HCPCS,87507,"Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets",671.0,671.0,97.79,2119.0,64
HCPCS,87512,"Detection test for gardnerella vaginalis (bacteria), quantification",120.0,120.0,23.95,2119.0,64
HCPCS,87516,"Detection test by nucleic acid for Hepatitis B virus, amplified probe technique",45.0,45.0,19.35,2119.0,64
HCPCS,87517,"Detection test by nucleic acid for Hepatitis B virus, quantification",61.0,61.0,23.95,2119.0,64
HCPCS,87521,"Detection test by nucleic acid for Hepatitis C virus, amplified probe technique",48.0,48.0,19.35,2119.0,128
HCPCS,87522,"Detection test by nucleic acid for Hepatitis C virus, quantification",78.0,78.0,23.95,2119.0,128
HCPCS,87529,"Detection test by nucleic acid for herpes simplex virus, amplified probe technique",116.0,116.0,23.95,2119.0,256
HCPCS,87530,"Detection test by nucleic acid for herpes simplex virus, quantification",45.0,45.0,18.42,2119.0,320
HCPCS,87532,"Detection test by nucleic acid for herpes virus-6, amplified probe technique",116.0,116.0,23.95,2119.0,64
HCPCS,87533,"Detection test by nucleic acid for herpes virus-6, quantification",95.0,95.0,23.95,2119.0,128
HCPCS,87535,"Detection test by nucleic acid for HIV-1 virus, amplified probe technique",47.5,47.5,18.63,2119.0,320
HCPCS,87536,"Detection test by nucleic acid for HIV-1 virus, quantification",165.5,165.5,23.95,2119.0,128
HCPCS,87538,"Detection test by nucleic acid for HIV-2 virus, amplified probe technique",50.0,50.0,21.5,2119.0,128
HCPCS,87541,"Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique",112.5,112.5,7.25,2119.0,192
HCPCS,87556,"Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria), amplified probe technique",112.0,112.0,23.95,2119.0,64
HCPCS,87563,Detection of Mycoplasma genitalium by DNA or RNA probe,80.0,80.0,23.95,2119.0,64
HCPCS,87581,"Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified probe technique",148.435,148.435,7.25,2119.0,128
HCPCS,87591,"Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique",57.0,57.0,20.64,2119.0,320
HCPCS,87593,Detection of orthopoxvirus,61.0,,23.95,2119.0,244
HCPCS,87624,"Detection test by nucleic acid for Human Papillomavirus (HPV), high-risk types",93.0,93.0,23.95,2119.0,64
HCPCS,87625,"Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only",79.0,79.0,23.95,2119.0,64
HCPCS,87631,"Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets",583.0,583.0,97.79,2119.0,64
HCPCS,87637,"Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19), influenza virus types A and B, and respiratory syncytial virus",215.0,215.0,23.95,2119.0,64
HCPCS,87640,"Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified probe technique",51.0,51.0,21.93,2119.0,128
HCPCS,87641,"Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant (MRSA bacteria), amplified probe technique",33.935,33.935,7.25,2119.0,192
HCPCS,87651,"Detection test by nucleic acid for Strep (Streptococcus, group A), amplified probe technique",36.47,36.47,7.28,2119.0,128
HCPCS,87653,"Detection test by nucleic acid for Strep (Streptococcus, group B), amplified probe technique",116.0,116.0,23.95,2119.0,128
HCPCS,87661,"Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique",80.0,80.0,23.95,2119.0,64
HCPCS,87662,"Detection test by nucleic acid for Zika virus, amplified probe technique",63.35,63.35,22.06,2119.0,256
HCPCS,87797,"Detection test by nucleic acid for organism, direct probe technique",70.0,70.0,23.95,2119.0,64
HCPCS,87798,"Detection test by nucleic acid for organism, amplified probe technique",149.0,149.0,7.25,2119.0,3072
HCPCS,87799,"Detection test by nucleic acid for organism, quantification",120.0,120.0,18.42,2119.0,1472
HCPCS,87801,"Detection test by nucleic acid for multiple organisms, amplified probe(s) technique",123.5,123.5,23.95,2119.0,320
HCPCS,87804,Detection test by immunoassay with direct visual observation for influenza virus,95.0,95.0,4.04,2119.0,256
HCPCS,87807,Detection test by immunoassay with direct visual observation for respiratory syncytial virus,95.0,95.0,4.04,2119.0,64
HCPCS,87808,Detection test by immunoassay with direct visual observation for Trichomonas vaginal (genital parasite),88.0,88.0,4.04,2119.0,64
HCPCS,87880,"Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep)",102.0,102.0,4.04,2119.0,192
HCPCS,87899,Detection test by immunoassay with direct visual observation for other organism,138.0,138.0,4.04,2119.0,256
HCPCS,87900,Infectious agent drug susceptibility analysis,296.0,296.0,97.79,2119.0,64
HCPCS,87901,Analysis test by nucleic acid for HIV-1 virus,324.575,324.575,80.06,2119.0,128
HCPCS,87902,Analysis test by nucleic acid for Hepatitis C virus,561.0,561.0,80.06,2119.0,192
HCPCS,87905,Infectious agent enzymatic activity to detect organism,232.0,232.0,4.04,2119.0,64
HCPCS,87906,"Analysis test by nucleic acid for HIV-1 virus, other region",213.365,213.365,55.35,2119.0,128
HCPCS,87910,"Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus",229.59,229.59,97.79,2119.0,256
HCPCS,87912,Analysis test by nucleic acid for hepatitis b virus,257.45,257.45,97.79,2119.0,192
HCPCS,88104,"Cell examination of body fluid, smears",70.0,36.0,12.0,2119.0,64
HCPCS,88108,"Cell examination of specimen, concentration technique",59.0,36.0,12.0,2119.0,64
HCPCS,88112,"Cell examination of specimen, selective cellular enhancement technique",82.0,53.0,12.0,2119.0,64
HCPCS,88142,"Pap test, manual screening",59.0,59.0,10.08,2119.0,64
HCPCS,88172,Evaluation of fine needle aspirate,268.0,159.0,110.48,2119.0,64
HCPCS,88173,Evaluation of fine needle aspirate with interpretation and report,242.0,53.0,44.52,2119.0,64
HCPCS,88184,"Flow cytometry technique for DNA or cell analysis, first marker",561.5,310.0,110.48,2119.0,768
HCPCS,88185,"Flow cytometry technique for DNA or cell analysis, each additional marker",54.31,58.0,12.0,3817.0,7152
HCPCS,88188,"Flow cytometry technique for DNA or cell analysis, 9 to 15 markers",129.75,129.75,12.0,2119.0,64
HCPCS,88189,"Flow cytometry technique for DNA or cell analysis, 16 or more markers",182.0,182.0,12.0,2119.0,64
HCPCS,88230,Tissue culture to identify white blood cell disorders,116.49,116.49,50.09,2119.0,64
HCPCS,88233,Tissue culture to identify skin disorders,162.5,162.5,64.93,2119.0,192
HCPCS,88235,Tissue culture for disorders of amniotic fluid or placenta cells,163.0,163.0,64.93,2119.0,192
HCPCS,88237,Tissue culture for tumor disorders of bone marrow and blood cells,143.75,143.75,61.81,2119.0,192
HCPCS,88261,"Chromosome analysis for genetic defects, count 5 cells",264.34,264.34,80.06,2119.0,64
HCPCS,88262,"Chromosome analysis for genetic defects, count 15-20 cells",151.0,151.0,20.82,2119.0,192
HCPCS,88264,"Chromosome analysis for genetic defects, analyze 20-25 cells",144.6,144.6,62.18,2119.0,64
HCPCS,88267,Chromosome analysis of amniotic fluid or placenta for genetic defects,188.57,188.57,80.06,2119.0,64
HCPCS,88269,Chromosome analysis of amniotic fluid for genetic defects,184.82,184.82,79.47,2119.0,64
HCPCS,88271,DNA testing for genetic defects,51.0,51.0,14.19,2119.0,1344
HCPCS,88273,"Chromosome analysis for genetic defects, analyze 10-30 cells",77.405,77.405,14.97,2119.0,128
HCPCS,88274,"Chromosome analysis for genetic defects, analyze 25-99 cells",46.69,46.69,18.22,2119.0,320
HCPCS,88275,"Chromosome analysis for genetic defects, analyze 100-300 cells",54.0,54.0,20.82,2119.0,384
HCPCS,88280,"Chromosome analysis for genetic defects, additional karyotypes, each study",74.75,74.75,14.39,2119.0,192
HCPCS,88291,Interpretation and report of genetic testing,93.375,93.375,16.66,2119.0,512
HCPCS,88300,"Pathology examination of tissue using a microscope, limited examination",154.0,26.0,20.69,2119.0,64
HCPCS,88302,Pathology examination of tissue using a microscope,240.0,26.0,20.69,2119.0,64
HCPCS,88304,"Pathology examination of tissue using a microscope, moderately low complexity",397.0,53.0,22.47,2119.0,64
HCPCS,88305,"Pathology examination of tissue using a microscope, intermediate complexity",65.48,53.0,14.96,2119.0,384
HCPCS,88307,"Pathology examination of tissue using a microscope, moderately high complexity",562.0,310.0,102.05,2119.0,128
HCPCS,88309,"Pathology examination of tissue using a microscope, high complexity",1263.0,697.0,102.05,2462.85,64
HCPCS,88311,Preparation of tissue for examination by removing any calcium present,99.0,99.0,8.12,2119.0,64
HCPCS,88312,Special stained specimen slides to identify organisms including interpretation and report,180.0,53.0,22.47,2119.0,192
HCPCS,88313,Special stained specimen slides to examine tissue including interpretation and report,85.0,36.0,22.47,2119.0,640
HCPCS,88314,Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report,64.74,64.74,22.47,2119.0,64
HCPCS,88319,Evaluation of specimen enzymes,1263.0,697.0,102.05,2462.85,576
HCPCS,88321,Surgical pathology consultation and report on referred slides prepared elsewhere,105.0,36.0,30.09,2119.0,64
HCPCS,88331,"Pathology examination of specimen during surgery, first tissue block",335.0,159.0,58.67,2119.0,64
HCPCS,88332,"Pathology examination of specimen during surgery, each additional tissue block",205.0,205.0,20.79,2119.0,64
HCPCS,88333,"Pathology cytologic examination of specimen during surgery, initial site",1263.0,697.0,58.67,2462.85,64
HCPCS,88334,"Pathology cytologic examination of specimen during surgery, each additional site",139.0,139.0,16.24,2119.0,64
HCPCS,88341,"Special stained specimen slides to examine tissue, each additional procedure",64.23,64.23,14.82,2119.0,704
HCPCS,88342,"Special stained specimen slides to examine tissue, initial procedure",267.0,159.0,102.05,2119.0,320
HCPCS,88344,"Special stained specimen slides to examine tissue, each multiplex procedure",561.0,310.0,102.05,2119.0,64
HCPCS,88346,"Antibody evaluation, initial single antibody stain procedure",267.0,310.0,102.05,2119.0,128
HCPCS,88348,Electron microscopy for diagnosis,1262.5,697.0,102.05,2462.85,192
HCPCS,88350,"Antibody evaluation, each additional single antibody stain procedure",86.82499999999999,86.82499999999999,22.47,2119.0,128
HCPCS,88358,Microscopic genetic analysis of tumor,604.0,159.0,102.05,2119.0,64
HCPCS,88360,"Microscopic genetic analysis of tumor, manual",267.0,159.0,102.05,2119.0,128
HCPCS,88364,"Genetic sequencing localization, each additional procedure",93.54,93.54,22.47,2119.0,128
HCPCS,88365,"Genetic sequencing localization, initial procedure",205.215,159.0,61.67,2119.0,256
HCPCS,88366,"Genetic sequencing localization, each multiplex procedure",297.45,310.0,102.05,2119.0,128
HCPCS,88368,"Microscopic genetic analysis of tissue, manual, initial procedure",561.5,310.0,102.05,2119.0,128
HCPCS,88377,"Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure",174.775,159.0,64.14,2119.0,256
HCPCS,89051,Body fluid cell count with cell identification,184.0,184.0,2.43,2119.0,64
HCPCS,89060,Crystal identification from tissue or body fluid,20.0,20.0,2.43,2119.0,64
HCPCS,89230,Sweat collection,210.0,53.0,12.0,2119.0,128
HCPCS,90375,Rabies immune globulin for injection,1326.89,222.0,280.37,2587.44,64
HCPCS,90380,"Respiratory syncytial virus antibody, 0.5 mL dosage for injection into muscle",1960.2,,527.29,3822.39,61
HCPCS,90460,Administration of first vaccine or toxoid component with counseling (18 years or younger),35.0,35.0,9.42,68.25,177
HCPCS,90461,"Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component",17.0,17.0,4.57,38.0,177
HCPCS,90471,Administration of vaccine,113.0,66.0,27.99,220.35,1357
HCPCS,90472,"Administration of vaccine, each additional vaccine",46.0,46.0,12.37,89.7,1298
HCPCS,90473,"Administration of nasal or oral vaccine, 1 vaccine",113.0,66.0,27.99,220.35,177
HCPCS,90474,"Administration of nasal or oral vaccine, each additional vaccine",32.0,32.0,8.61,62.4,118
HCPCS,90480,"Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose",64.0,,17.22,124.8,177
HCPCS,90620,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B",715.925,715.925,92.1,1479.76,122
HCPCS,90623,"Meningococcal conjugate vaccine serogroups A, C, W, Y, B-FHbp, pentavalent, tetanus toxoid carrier",354.15,,95.27,690.59,50
HCPCS,90632,Hepatitis A vaccine adult dosage,277.45,277.45,22.56,590.85,121
HCPCS,90633,Hepatitis A vaccine pediatric or adolescent dosage,145.0,145.0,22.56,282.75,61
HCPCS,90636,Hepatitis A and hepatitis B vaccine,443.95,443.95,92.1,865.7,61
HCPCS,90648,"Haemophilus influenzae type b vaccine, PRP-T conjugate",51.0,51.0,13.72,99.45,61
HCPCS,90651,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent",1002.65,1002.65,92.1,1957.8,183
HCPCS,90656,"Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage",40.0,40.0,10.76,78.0,128
HCPCS,90662,"Influenza vaccine split virus, preservative free",185.025,185.025,21.52,565.6,192
HCPCS,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use",881.0,881.0,92.1,1717.95,64
HCPCS,90675,Rabies vaccine for injection into muscle,1501.05,363.0,92.1,2927.05,64
HCPCS,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",622.775,622.775,69.94,1921.82,128
HCPCS,90678,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use",1168.1,,22.56,2277.99,122
HCPCS,90679,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use",1108.8,,22.56,2162.16,61
HCPCS,90680,"Rotavirus vaccine, pentavalent",369.0,369.0,92.1,719.55,56
HCPCS,90686,"Influenza vaccine, quadrivalent, preservative free, 0.5 mL dosage",78.0,78.0,20.98,152.1,122
HCPCS,90696,"Diphtheria, tetanus, acellular pertussis, and polio vaccine",225.0,225.0,22.56,438.75,56
HCPCS,90697,"Diphtheria, tetanus, acellular pertussis, polio, Haemophilus influenzae type b, and hepatitis B vaccine",578.0,578.0,22.56,1127.1,61
HCPCS,90700,"Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years)",94.725,94.725,22.45,206.7,122
HCPCS,90707,"Measles, mumps, and rubella vaccine",364.8,364.8,22.56,711.75,183
HCPCS,90710,"Measles, mumps, rubella, and varicella vaccine",1068.0,1068.0,22.56,2082.6,61
HCPCS,90714,Diphtheria and tetanus vaccine (7 years or older),102.0,102.0,22.56,198.9,61
HCPCS,90715,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",175.95,175.95,22.56,343.2,243
HCPCS,90716,Varicella vaccine,689.925,689.925,92.1,1345.5,122
HCPCS,90732,"Pneumococcal vaccine, 23-valent",464.0,464.0,22.56,904.8,64
HCPCS,90734,"Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine",529.475,529.475,92.1,1113.45,183
HCPCS,90744,"Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule)",107.925,107.925,22.56,210.6,128
HCPCS,90746,"Hepatitis B vaccine, adult dosage (3 dose schedule)",254.075,254.075,22.56,495.59,128
HCPCS,90747,"Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule)",508.3,508.3,92.1,991.19,64
HCPCS,90750,Shingles vaccine for injection into muscle,731.35,731.35,92.1,1528.22,122
HCPCS,90791,Psychiatric diagnostic evaluation,286.0,142.0,76.93,970.0,232
HCPCS,90792,Psychiatric diagnostic evaluation with medical services,288.0,142.0,77.47,970.0,59
HCPCS,90832,"Psychotherapy, 30 minutes",278.5,142.0,72.0,544.05,454
HCPCS,90833,"Psychotherapy with evaluation and management visit, 30 minutes",167.0,167.0,44.92,970.0,59
HCPCS,90834,"Psychotherapy, 45 minutes",282.0,142.0,75.86,549.9,454
HCPCS,90836,"Psychotherapy with evaluation and management visit, 45 minutes",251.0,251.0,67.52,970.0,118
HCPCS,90837,"Psychotherapy, 1 hour",288.0,142.0,77.47,970.0,462
HCPCS,90838,"Psychotherapy with evaluation and management visit, 1 hour",306.0,306.0,80.0,970.0,116
HCPCS,90846,"Family psychotherapy without patient, 50 minutes",334.0,142.0,75.0,651.3,171
HCPCS,90847,"Family psychotherapy with patient, 50 minutes",349.0,142.0,75.0,680.55,285
HCPCS,90849,Multiple-family group psychotherapy,279.0,142.0,75.0,544.05,114
HCPCS,90853,Group psychotherapy,160.0,80.0,43.04,312.0,224
HCPCS,90887,"Explanation of psychiatric, medical examinations, procedures, and data to responsible person",184.0,184.0,49.5,970.0,59
HCPCS,90899,Other psychiatric service or procedure,159.0,28.0,42.77,970.0,177
HCPCS,90935,Hemodialysis procedure with physician evaluation,1143.0,696.0,307.47,2228.85,451
HCPCS,90945,Dialysis procedure including 1 evaluation,883.0,387.0,237.53,1721.85,451
HCPCS,91010,Study of esophagus to assess movement,693.0,519.0,186.42,1351.35,112
HCPCS,91022,Study of upper small bowel to assess movement,1259.0,519.0,199.45,2455.05,56
HCPCS,91035,Monitoring and recording of esophageal function through a capsule attached to the esophagus wall,1348.0,519.0,199.45,2628.6,112
HCPCS,91038,Prolonged monitoring and recording of esophageal function through nasal tube with electrode,754.0,519.0,199.45,1470.3,56
HCPCS,91065,Measurement of hydrogen in breath to test for stomach and bowel symptoms,1402.0,148.0,33.99,2733.9,56
HCPCS,91110,Imaging of digestive tract done from the inside of the digestive tract,1614.0,860.0,199.45,3272.0,115
HCPCS,91111,Imaging of esophagus done from the inside of the esophagus,1421.0,860.0,199.45,2770.95,56
HCPCS,91117,Study of large intestine to assess movement,339.0,283.0,91.19,661.05,56
HCPCS,91125,"ANORECTAL MANOMETRY, WITH RECTAL SENSATION AND RECTAL BALLOON EXPULSION TEST, WHEN PERFORMED",2176.0,2176.0,585.34,4243.2,45
HCPCS,91200,Measurement of liver stiffness,202.0,148.0,54.34,393.9,280
HCPCS,92250,Photography of the retina,208.0,120.0,33.38,405.6,56
HCPCS,92504,Exam of ear using a microscope,101.0,101.0,27.17,196.95,45
HCPCS,92507,"Treatment of speech, language, voice, communication, and/or hearing processing disorder",383.0,115.0,121.0,1608.0,128
HCPCS,92511,Exam of the nose and throat using an endoscope,313.0,175.0,84.2,610.35,56
HCPCS,92521,"Evaluation of speech continuity, smoothness, rate, and effort",442.5,442.5,121.0,1608.0,128
HCPCS,92522,Evaluation of speech sound production,431.0,431.0,121.0,1608.0,256
HCPCS,92523,Evaluation of speech sound production with evaluation of language comprehension and expression,572.0,572.0,121.0,1608.0,192
HCPCS,92524,Analysis of voice and resonance production,400.0,400.0,121.0,1608.0,256
HCPCS,92526,Treatment of swallowing and feeding disorder,308.0,308.0,22.04,1608.0,64
HCPCS,92550,Test for eardrum and muscle function,338.0,148.0,54.81,659.1,59
HCPCS,92552,Test for hearing various pitches using earphone,208.0,120.0,21.73,405.6,59
HCPCS,92553,Test for hearing various pitches using earphone and device placed against the bone,202.0,148.0,54.34,393.9,59
HCPCS,92555,Test for ability to detect and repeat spoken words,93.0,36.0,21.73,343.0,59
HCPCS,92556,Test for ability to detect and repeat spoken words with speech recognition,93.0,59.0,21.73,343.0,59
HCPCS,92557,Comprehensive hearing and speech recognition test,236.0,148.0,54.81,460.2,59
HCPCS,92563,Test to assess defects in adaption to sounds,59.0,36.0,15.87,343.0,59
HCPCS,92567,Test to assess middle ear function,59.0,36.0,15.87,343.0,59
HCPCS,92568,Test to assess middle ear muscle reflex,59.0,36.0,15.87,343.0,59
HCPCS,92570,Comprehensive hearing test,203.0,148.0,54.61,395.85,59
HCPCS,92577,Test to assess hearing loss using 2 simultaneous words at different tones in same ear,799.0,519.0,54.81,1558.05,59
HCPCS,92579,Test to assess hearing sensitivity using visual aids,338.0,148.0,54.81,659.1,59
HCPCS,92582,Test to assess hearing sensitivity using activity related feedback,203.0,148.0,54.61,395.85,59
HCPCS,92583,Test to assess hearing using pictures,93.0,59.0,21.73,343.0,59
HCPCS,92587,Placement of ear probe for computerized measurement of sound with interpretation and report,363.0,281.0,54.81,707.85,118
HCPCS,92588,Placement of ear probe for computerized measurement of repeated sounds with interpretation and report,585.0,281.0,54.81,1140.75,59
HCPCS,92597,Evaluation for use of voice artificial device to supplement oral speech,639.0,639.0,161.9,1608.0,128
HCPCS,92607,"Evaluation with prescription of speech-generating and alternative communication device, first hour",456.0,456.0,161.9,1608.0,64
HCPCS,92608,"Evaluation with prescription of speech-generating and alternative communication device, each additional 30 minutes",73.0,73.0,31.39,1608.0,64
HCPCS,92609,Therapy service for use of speech-generating device with programming,611.0,611.0,22.04,1608.0,64
HCPCS,92610,Evaluation of swallowing function,700.0,700.0,161.9,1608.0,256
HCPCS,92611,Evaluation of swallowing function image,742.0,742.0,76.23,1712.1,192
HCPCS,92612,Evaluation and recording of swallowing using an endoscope,104.0,104.0,44.72,1608.0,128
HCPCS,92650,Screening evaluation of brain response to sound with automated analysis,171.0,171.0,21.73,1608.0,123
HCPCS,92920,Balloon dilation of single coronary artery or branch,16157.0,5270.0,5688.0,34131.0,61
HCPCS,92924,Removal of plaque with balloon dilation of single coronary artery or branch,18084.0,10681.0,5688.0,35263.8,61
HCPCS,92928,"Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch",18084.0,10681.0,5688.0,35263.8,122
HCPCS,92930,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 2 OR MORE DISTINCT CORONARY LESIONS WITH 2",28716.0,28716.0,5688.0,55996.2,100
HCPCS,92933,"Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch",19596.0,17078.0,5688.0,38212.2,61
HCPCS,92937,"Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection",18084.0,10681.0,5688.0,35263.8,61
HCPCS,92941,"Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel",12708.0,12708.0,5464.44,34131.0,61
HCPCS,92945,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, SINGLE CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, AND/OR SUBTENDED MAJOR CORONARY ARTERY BRANCHES",18084.0,18084.0,5688.0,35263.8,100
HCPCS,92950,Manual attempt to restore blood circulation and breathing,460.0,281.0,123.74,3411.0,246
HCPCS,92953,Temporary pacemaker to regulate heart beat,1036.0,597.0,278.68,3411.0,364
HCPCS,92960,External shock to heart to regulate heart beat,2083.0,597.0,434.49,4061.85,184
HCPCS,92961,Internal shock to heart to regulate heart beat,2670.0,597.0,434.49,5206.5,64
HCPCS,92972,Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter,23372.0,,690.0,45575.4,53
HCPCS,92973,Removal of blood clot in heart artery,3517.0,3517.0,690.0,9800.0,64
HCPCS,92978,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel",4033.0,4033.0,146.51,34131.0,122
HCPCS,92979,"Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel",3918.0,3918.0,146.51,34131.0,122
HCPCS,92986,Balloon dilation repair of aortic valve,8916.0,5270.0,3833.88,34131.0,122
HCPCS,92987,Balloon dilation repair of mitral valve,18083.0,10681.0,5688.0,35261.85,61
HCPCS,92990,Balloon dilation repair of pulmonary valve,18083.5,10681.0,5688.0,35263.8,122
HCPCS,92997,"Balloon dilation of pulmonary artery, single vessel",18084.0,10681.0,5688.0,35263.8,183
HCPCS,92998,"Balloon dilation of pulmonary artery, each additional vessel",4745.0,4745.0,2040.35,34131.0,122
HCPCS,93005,Routine electrocardiogram (ECG) using at least 12 leads with tracing,307.0,59.0,16.95,1758.0,384
HCPCS,93015,Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician,223.0,223.0,59.99,3411.0,64
HCPCS,93017,Exercise or drug-induced heart stress test with electrocardiogram (ECG),1267.0,281.0,109.83,3411.0,384
HCPCS,93024,Infusion of drug with evaluation of coronary artery spasm response,700.0,289.0,109.83,3411.0,64
HCPCS,93041,Electrocardiogram (ECG) 1 to 3 leads,182.0,59.0,16.95,1758.0,128
HCPCS,93225,Electrocardiogram (ECG) 2-day continuous,431.0,120.0,35.07,2086.0,256
HCPCS,93226,Electrocardiogram (ECG) 2-day continuous with report,890.0,120.0,35.07,2086.0,64
HCPCS,93242,Heart rhythm recording continuous external EKG over more than 48 hours up to 7 days,59.0,59.0,15.87,1758.0,128
HCPCS,93246,Heart rhythm recording of continuous external EKG over 8-15 days,59.0,59.0,15.87,1758.0,128
HCPCS,93279,Programming of single lead pacemaker system,433.0,40.0,23.17,3411.0,128
HCPCS,93280,Programming of dual lead pacemaker system,59.0,40.0,15.87,3411.0,64
HCPCS,93281,Programming of multiple lead pacemaker system,59.0,40.0,15.87,3411.0,128
HCPCS,93282,Programming of single lead implantable defibrillator system,370.0,40.0,23.17,3411.0,128
HCPCS,93283,Programming of dual lead implantable defibrillator system,59.0,40.0,15.87,3411.0,64
HCPCS,93284,Programming of multiple lead implantable defibrillator system,59.0,40.0,15.87,3411.0,128
HCPCS,93285,Programming of cardiac rhythm monitor system,296.0,40.0,23.17,3411.0,64
HCPCS,93288,"Evaluation of single, dual, multiple lead or leadless pacemaker system",463.0,40.0,23.17,3411.0,64
HCPCS,93289,"Evaluation of single, dual, or multiple lead implantable defibrillator system",373.0,40.0,23.17,3411.0,64
HCPCS,93306,"Ultrasound of heart with color-depicted blood flow, rate, direction and valve function",2708.0,514.0,299.84,5280.6,64
HCPCS,93307,Ultrasound of heart,1459.0,245.0,299.84,3411.0,64
HCPCS,93308,"Ultrasound of heart, follow-up",1195.5,245.0,299.84,3411.0,433
HCPCS,93312,"Ultrasound of heart with probe in esophagus, with report",856.0,514.0,230.26,3411.0,768
HCPCS,93314,Interpretation and report of ultrasound of heart,1587.0,1587.0,299.84,3411.0,64
HCPCS,93320,"Ultrasound of heart blood flow, valves and chambers",1228.5,1228.5,299.84,3411.0,256
HCPCS,93321,"Ultrasound of heart blood flow, valves and chambers, follow-up",640.5,640.5,170.28,3411.0,192
HCPCS,93325,"Ultrasound of heart with color-depicted blood flow, rate and valve function",843.0,843.0,70.1,3411.0,320
HCPCS,93350,"Ultrasound of heart during rest, exercise and/or drug-induced stress with report",1236.0,514.0,299.84,3411.0,64
HCPCS,93356,Heart muscle strain imaging,852.5,852.5,225.96,3411.0,192
HCPCS,93451,Insertion of tube in right heart chambers for measurement,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93452,Insertion of tube in left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93453,Insertion of tube in right and left heart chambers for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93454,Insertion of tube in coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93455,Insertion of tube in bypass graft for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,61
HCPCS,93456,Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93457,"Insertion of tube in right heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist",5079.0,3084.0,1619.31,34131.0,61
HCPCS,93458,Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93459,"Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist",16008.0,3084.0,1619.31,34131.0,61
HCPCS,93460,Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist,16008.0,3084.0,1619.31,34131.0,122
HCPCS,93461,"Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist",16008.0,3084.0,1619.31,34131.0,61
HCPCS,93462,Insertion of tube in left heart chamber through heart septum,5296.0,5296.0,1619.31,34131.0,122
HCPCS,93463,Drug infusion during cardiac catheterization,283.0,283.0,31.86,34131.0,122
HCPCS,93464,Drug infusion or exercise for heart stimulation during diagnostic study,283.0,283.0,109.83,34131.0,61
HCPCS,93503,Insertion of tube in pulmonary artery for monitoring,3180.0,1495.0,790.49,34131.0,122
HCPCS,93505,Biopsy of heart muscle,5648.0,3044.0,1619.31,34131.0,122
HCPCS,93563,Injection for imaging of coronary blood vessel during evaluation of congenital abnormalities with review by radiologist,2133.0,2133.0,243.95,34131.0,61
HCPCS,93564,Injection for imaging of heart vessel grafts during evaluation of congenital abnormalities with review by radiologist,1869.0,1869.0,243.95,34131.0,122
HCPCS,93565,Injection for imaging of left heart chambers with review by radiologist,2299.0,2299.0,243.95,34131.0,61
HCPCS,93566,Injection for imaging of right heart chambers with review by radiologist,2139.0,2139.0,243.95,34131.0,122
HCPCS,93567,Injection for imaging of aorta above heart valve with review by radiologist,1331.0,1331.0,243.95,34131.0,122
HCPCS,93568,Injection for nonselective imaging of pulmonary artery during heart catheterization,1816.0,1816.0,243.95,34131.0,122
HCPCS,93571,"Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel",4146.0,4146.0,1125.58,34131.0,61
HCPCS,93572,"Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel",905.0,905.0,389.15,34131.0,61
HCPCS,93580,Repair of congenital abnormality in wall between upper heart chambers with implant,28716.0,17078.0,5688.0,55996.2,183
HCPCS,93581,Repair of congenital abnormality in wall between lower heart chambers with implant,28716.0,17078.0,5688.0,55996.2,122
HCPCS,93582,Repair of congenital abnormality of pulmonary artery to aorta,28715.0,17078.0,5688.0,55994.25,61
HCPCS,93583,Repair of wall between lower heart chambers including pacemaker insertion,27589.0,27589.0,690.0,53798.55,128
HCPCS,93584,Review by radiologist of vein imaging for congenital heart defect of superior vena cava,10712.0,,4606.16,34131.0,100
HCPCS,93585,Review by radiologist of vein imaging for congenital heart defect of the azygos/hemiazygos venous system,9595.0,,4125.85,34131.0,100
HCPCS,93586,Review by radiologist of vein imaging for congenital heart defect of coronary sinus,5200.0,,2236.0,34131.0,100
HCPCS,93587,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals above the heart,10712.0,,4606.16,34131.0,100
HCPCS,93588,Review by radiologist of vein imaging for congenital heart defect of venovenous collaterals below the heart,10712.0,,4606.16,34131.0,100
HCPCS,93593,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,122
HCPCS,93594,"Insertion of catheter into right side of heart for evaluation of congenital heart defect in heart with abnormal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,122
HCPCS,93595,"Insertion of catheter into left side of heart for evaluation of congenital heart defect, using maging guidance",5079.0,5079.0,1619.31,34131.0,122
HCPCS,93596,"Insertion of catheter into right and left sides of heart for evaluation of congenital heart defect in heart with abnormal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,61
HCPCS,93597,"Insertion of catheter into right and left sides of heart for evaluation of congenital heart defect in heart with normal native blood vessel connections, using imaging guidance",5079.0,5079.0,1619.31,34131.0,122
HCPCS,93598,"Measurement of output of blood from heart, performed during cardiac catheterization for evaluation of congenital heart defects",656.0,,243.95,34131.0,122
HCPCS,93600,Recording of upper heart rhythm,12218.0,6464.0,4371.71,34131.0,61
HCPCS,93602,Recording of upper heart chamber rhythm,12218.0,6464.0,4371.71,34131.0,61
HCPCS,93603,Recording of right lower heart chamber rhythm,3183.0,1184.0,1368.69,34131.0,61
HCPCS,93609,Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm,4133.0,4133.0,690.0,15918.54,64
HCPCS,93612,Insertion of temporary pacemaker electrode for diagnostic lower heart pacing,12218.0,6464.0,4371.71,34131.0,61
HCPCS,93613,Insertion of tube for 3D mapping of electrical impulses to heart muscle,4207.0,4207.0,1809.01,34131.0,61
HCPCS,93615,Insertion of probe in esophagus for recording electrical impulses to upper and lower heart chambers,4000.0,1184.0,1720.0,34131.0,61
HCPCS,93616,"Insertion of probe in esophagus for recording electrical impulses to upper and lower heart chambers, with pacing",4000.0,1184.0,1720.0,34131.0,61
HCPCS,93619,Insertion of catheters for recording and pacing of right heart chambers rhythm,12604.0,6464.0,4371.71,34131.0,122
HCPCS,93620,Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm,12218.0,6464.0,690.0,23825.1,128
HCPCS,93621,Insertion of catheters for recording and pacing of left upper heart chamber rhythm and induction of abnormal rhythm,3776.0,3776.0,1623.68,34131.0,61
HCPCS,93622,Insertion of catheters for recording and pacing of left lower heart chamber rhythm and induction of abnormal rhythm,7867.0,7867.0,3382.81,34131.0,61
HCPCS,93623,Programming of heart rhythm stimulation after drug infusion,6049.0,6049.0,2601.07,34131.0,244
HCPCS,93631,Intra-operative heart pacing and mapping of abnormal heart rhythm for surgical correction,5897.0,5897.0,2535.71,34131.0,122
HCPCS,93641,Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement,2476.0,2476.0,666.04,5683.23,64
HCPCS,93642,Programming of pacing cardioverter-defibrillator,2851.0,1184.0,1225.93,34131.0,61
HCPCS,93644,Programming of implantable defibrillator,10246.0,10246.0,4371.71,34131.0,61
HCPCS,93650,Destruction of heart conduction tissue to create heart block,13606.0,6464.0,5688.0,34131.0,61
HCPCS,93653,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate),40943.0,22818.0,690.0,79838.85,128
HCPCS,93654,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of lower chamber of heart causing ventricular tachycardia (rapid heart rate) or ventricular ectopy (irregular heart,40943.0,22818.0,5688.0,79838.85,122
HCPCS,93655,Insertion of catheters and destruction of tissue to treat abnormal heart rhythm,3874.0,3874.0,690.0,15918.54,64
HCPCS,93656,Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation,40943.0,22818.0,5688.0,79838.85,122
HCPCS,93657,Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm,3874.0,3874.0,690.0,15918.54,64
HCPCS,93660,Evaluation of heart function using tilt table,2878.0,519.0,109.83,34131.0,61
HCPCS,93662,Ultrasound evaluation of heart blood vessel with review by radiologist,3058.0,3058.0,299.84,34131.0,122
HCPCS,93702,Measurement of lymphedema extracellular fluid,325.0,148.0,35.07,633.75,56
HCPCS,93750,Evaluation of lower heart chamber assist device,150.0,107.0,23.17,3411.0,315
HCPCS,93797,"Outpatient heart rehabilitation, qualified health care professional services",202.0,123.0,54.34,393.9,59
HCPCS,93798,"Outpatient heart rehabilitation with electrocardiogram (ECG) monitoring, quality health care professional services",254.0,123.0,68.33,495.3,59
HCPCS,93799,Other cardiovascular service or procedure,2903.0,148.0,16.95,5660.85,64
HCPCS,93880,Ultrasound of both sides of head and neck blood flow,1531.5,245.0,105.0,3063.45,236
HCPCS,93882,Ultrasound of one side of head and neck blood flow,442.0,116.0,70.1,910.65,177
HCPCS,93886,Complete ultrasound of within the brain blood flow,1120.0,245.0,105.0,2184.0,118
HCPCS,93888,Ultrasound of within the brain blood flow,670.0,116.0,70.1,1306.5,118
HCPCS,93892,Ultrasound of within the brain blood flow for blood clots,431.0,116.0,105.0,840.45,59
HCPCS,93893,Ultrasound of blood flow within brain for atypical blood flow detection with microbubble injection,582.0,116.0,70.1,1134.9,59
HCPCS,93896,Ultrasound of blood flow withing brain to assess flexibility of vessels,582.0,,156.56,1134.9,48
HCPCS,93922,Ultrasound study of arm and leg arteries,333.0,120.0,70.1,686.0,233
HCPCS,93923,Complete ultrasound study of arm and leg arteries,659.0,148.0,109.83,1285.05,236
HCPCS,93924,Ultrasound of leg arteries at rest and after exercise,487.0,281.0,70.1,949.65,118
HCPCS,93925,Ultrasound of leg arteries or artery grafts,1452.5,245.0,105.0,2907.45,354
HCPCS,93926,Ultrasound of one leg arteries or artery grafts,950.5,116.0,70.1,1899.3,354
HCPCS,93930,Ultrasound of arm arteries or artery grafts,1286.0,245.0,70.1,2919.15,354
HCPCS,93931,Ultrasound of one arm arteries or artery grafts,726.5,116.0,70.1,1667.25,472
HCPCS,93970,Ultrasound study of arm or leg veins with compression and maneuvers,1357.5,245.0,105.0,2712.45,413
HCPCS,93971,Ultrasound study of one arm or leg veins with compression and maneuvers,1258.5,116.0,70.1,2499.0,899
HCPCS,93972,PERQ TRLUML CORONRY LITHOTRP,23372.0,23372.0,690.0,45575.4,53
HCPCS,93975,Complete ultrasound of abdomen and pelvis artery and vein blood flow,1583.5,245.0,105.0,3198.0,772
HCPCS,93976,Ultrasound of abdomen and pelvis artery and vein blood flow,548.5,116.0,105.0,1146.6,708
HCPCS,93978,"Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",1326.5,245.0,105.0,2964.0,413
HCPCS,93979,"Ultrasound of aorta, vena cava, groin vessels or bypass grafts",1090.5,116.0,70.1,2369.25,295
HCPCS,93980,Complete ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,183
HCPCS,93981,Ultrasound of penis artery and vein blood flow,163.0,116.0,70.09,2499.0,122
HCPCS,93985,Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access,374.0,245.0,70.1,2499.0,128
HCPCS,93986,Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access,163.0,116.0,70.09,2499.0,192
HCPCS,93990,Ultrasound of hemodialysis access,542.0,116.0,70.1,1056.9,59
HCPCS,94002,Initial hospital inpatient or observation ventilation assistance and management,2988.5,518.0,406.0,5887.05,236
HCPCS,94003,Follow-up inpatient or observation ventilation assistance and management,2541.0,518.0,406.0,5003.7,354
HCPCS,94010,Test to measure expiratory airflow and volume,338.5,148.0,41.72,1758.0,256
HCPCS,94060,Test to measure expiratory airflow and volume changes before and after medication administration,585.0,281.0,71.36,1758.0,192
HCPCS,94070,Test to measure lung airway sensitivity,585.0,281.0,71.36,1758.0,64
HCPCS,94150,Test to measure the total volume of air that can be exhaled after inhaling,240.0,148.0,41.72,1758.0,192
HCPCS,94452,Test to measure lung function at high altitude,209.0,120.0,41.72,1758.0,64
HCPCS,94610,Administration of medication through breathing tube,957.0,200.0,41.72,1866.15,64
HCPCS,94618,Test for exercise-induced lung stress,650.0,120.0,41.72,1758.0,320
HCPCS,94621,Test for exercise-induced heart and lung stress,682.0,281.0,71.36,1758.0,128
HCPCS,94625,"Professional services for outpatient pulmonary rehabilitation, per session",93.0,,23.21,369.0,59
HCPCS,94626,"Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session",93.0,,23.21,369.0,59
HCPCS,94640,Inhalation treatment for airway obstruction or sputum production,344.0,200.0,41.72,670.8,885
HCPCS,94642,Inhalation treatment for pneumonia,343.0,200.0,41.72,668.85,59
HCPCS,94644,"Inhalation treatment for acute airway obstruction, first hour",208.5,120.0,41.72,599.0,118
HCPCS,94645,"Inhalation treatment for acute airway obstruction, each additional hour",77.0,77.0,20.71,599.0,118
HCPCS,94660,Therapy procedure using a positive pressure ventilator,965.0,200.0,101.4,1881.75,118
HCPCS,94664,Evaluation of use of breathing device,344.0,200.0,41.72,670.8,177
HCPCS,94667,Initial therapy service to facilitate lung function,209.0,120.0,41.72,599.0,118
HCPCS,94668,Follow-up therapy service to facilitate lung function,208.5,120.0,41.72,599.0,118
HCPCS,94669,Therapy procedure to clear airway using an inflatable vest,344.0,200.0,41.72,670.8,118
HCPCS,94681,Test to measure exhaled air and carbon dioxide for evaluation of lung function,585.0,281.0,71.36,1758.0,64
HCPCS,94726,Test to determine lung volumes using sensors,585.0,281.0,71.36,1758.0,64
HCPCS,94727,Test to determine lung volumes using gas dilution or washout,338.0,148.0,41.72,1758.0,64
HCPCS,94728,Test to measure resistance of the airways and lungs to differing frequencies,323.0,281.0,71.36,1758.0,64
HCPCS,94729,Test to examine how well the lungs exchange gases,522.0,522.0,41.72,1758.0,64
HCPCS,94780,"Test of car seat or bed (1 year or younger), 1 hour",69.0,36.0,18.56,1758.0,64
HCPCS,94781,"Test of car seat or bed (1 year or younger), each additional 30 minutes",69.0,69.0,18.56,1758.0,64
HCPCS,94799,Other service or procedure on lung,774.0,148.0,41.72,2558.4,182
HCPCS,95700,"Measurement of brain wave activity (EEG), continuous",380.0,281.0,102.22,1982.0,61
HCPCS,95708,"Measurement of brain wave activity (EEG), 12-26 hours",706.0,519.0,189.91,1982.0,61
HCPCS,95712,"Measurement of brain wave activity with video (VEEG), 2-12 hours with intermittent monitoring",585.0,281.0,157.37,1982.0,61
HCPCS,95713,"Measurement of brain wave activity with video (VEEG), 2-12 hours with continuous monitoring",706.0,519.0,189.91,1982.0,61
HCPCS,95715,"Measurement of brain wave activity with video (VEEG), 12-26 hours with intermittent monitoring",728.0,519.0,195.83,1982.0,61
HCPCS,95716,"Measurement of brain wave activity with video (VEEG), 12-26 hours with continuous monitoring",1346.0,978.0,320.66,2624.7,61
HCPCS,95782,Sleep study in sleep lab (younger than 6 years),1346.0,978.0,362.07,2624.7,59
HCPCS,95783,Sleep study in sleep lab with continuous airway pressure (younger than 6 years),1346.0,978.0,362.07,2624.7,59
HCPCS,95805,"Sleep study, multiple trials",1345.0,519.0,361.81,2622.75,59
HCPCS,95808,Sleep study in sleep lab,1346.0,978.0,362.07,2624.7,59
HCPCS,95810,Sleep study in sleep lab (6 years or older),1346.0,978.0,362.07,2624.7,59
HCPCS,95811,Sleep study in sleep lab with continuous airway pressure (6 years or older),1346.0,978.0,362.07,2624.7,59
HCPCS,95812,"Measurement of brain wave activity (EEG), 41-60 minutes",1115.0,281.0,299.94,2174.25,61
HCPCS,95813,"Measurement of brain wave activity (EEG), 61-119 minutes",1218.0,281.0,320.66,2375.1,61
HCPCS,95816,"Measurement of brain wave activity (EEG), awake and drowsy",1055.0,281.0,238.61,2057.25,61
HCPCS,95819,"Measurement of brain wave activity (EEG), awake and asleep",1442.0,281.0,238.61,2811.9,61
HCPCS,95822,"Measurement of brain wave activity (EEG), in coma or asleep",433.0,281.0,116.48,1982.0,61
HCPCS,95824,Measurement of brain wave activity (EEG) to evaluate brain death,1071.0,519.0,238.61,2088.45,61
HCPCS,95829,Measurement of brain wave activity (EEG) during surgery,4557.0,4557.0,238.61,8886.15,61
HCPCS,95851,"Measurement of range of motion in arm, leg or each spine section",190.0,190.0,81.7,1608.0,53
HCPCS,95860,"Needle measurement of electrical activity in arm or leg muscles, 1 extremity",396.0,120.0,89.14,772.2,118
HCPCS,95861,"Needle measurement of electrical activity in arm or leg muscles, 2 extremities",600.0,120.0,89.14,1170.0,59
HCPCS,95867,Needle measurement of electrical activity in muscles on side of body,362.0,281.0,89.14,705.9,59
HCPCS,95868,Needle measurement of electrical activity in muscles on both sides of body,643.0,281.0,89.14,1253.85,59
HCPCS,95869,Needle measurement of electrical activity in middle spine muscles,433.0,148.0,89.14,844.35,59
HCPCS,95872,"Needle measurement of electrical activity in muscle, including jitter, blocking and/or fiber density",338.0,148.0,89.14,659.1,59
HCPCS,95873,Electrical stimulation for guidance with injection of chemical for paralysis of nerve muscle,285.0,285.0,76.67,555.75,59
HCPCS,95874,Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle,232.0,232.0,62.41,452.4,59
HCPCS,95885,"Needle measurement of electrical activity in arm or leg muscles, limited study",109.0,109.0,29.32,418.0,118
HCPCS,95886,"Needle measurement of electrical activity in arm or leg muscles, complete study",109.0,109.0,29.32,418.0,118
HCPCS,95887,Needle measurement of electrical activity in trunk or head muscles,59.0,59.0,15.87,418.0,59
HCPCS,95907,"Nerve conduction, 1-2 studies",338.0,148.0,89.14,659.1,59
HCPCS,95908,"Nerve conduction, 3-4 studies",469.0,281.0,89.14,914.55,118
HCPCS,95909,"Nerve conduction, 5-6 studies",469.0,281.0,89.14,914.55,118
HCPCS,95910,"Nerve conduction, 7-8 studies",585.0,281.0,89.14,1140.75,118
HCPCS,95911,"Nerve conduction, 9-10 studies",648.0,519.0,89.14,1263.6,118
HCPCS,95912,"Nerve conduction, 11-12 studies",648.0,519.0,89.14,1263.6,118
HCPCS,95913,"Nerve conduction, 13 or more studies",648.0,519.0,89.14,1263.6,118
HCPCS,95921,Testing of autonomic nervous system function and heart rate response to deep breathing,415.0,148.0,89.14,809.25,59
HCPCS,95923,Testing of autonomic (sympathetic) nervous system function,415.0,120.0,89.14,809.25,59
HCPCS,95933,Measurement of nerve conduction patterns of eye blink reflex,166.0,59.0,44.65,686.0,59
HCPCS,95937,Testing of nerve-muscle junction,226.0,148.0,60.79,440.7,59
HCPCS,95954,Measurement of brain wave activity (EEG) with drug or activity stimulation,1761.0,519.0,238.61,3433.95,61
HCPCS,95958,Measurement of brain wave activity (EEG) in specific area of brain,1532.0,978.0,238.61,2987.4,61
HCPCS,95992,"Repositioning exercises of head for treatment of dizziness, each day",103.0,103.0,22.04,1608.0,128
HCPCS,96002,Test of electrical activity of 1-12 muscles during functional activities,433.0,148.0,89.14,844.35,59
HCPCS,96020,Test of neurological function during functional MRI,1154.0,1154.0,310.43,2250.3,177
HCPCS,96105,"Test to assess the loss of the ability to speak, write, and understand language",455.0,455.0,170.0,1608.0,64
HCPCS,96116,"Exam of neurobehavioral status, first hour",562.0,281.0,80.0,1095.9,60
HCPCS,96121,"Exam of neurobehavioral status, each additional hour",281.0,281.0,75.59,970.0,60
HCPCS,96127,Assessment of emotional or behavioral problems,59.0,36.0,13.82,970.0,59
HCPCS,96130,"Evaluation of psychological test, first hour",385.0,281.0,80.0,970.0,178
HCPCS,96131,"Evaluation of psychological test, each additional hour",99.0,99.0,26.63,970.0,178
HCPCS,96132,"Evaluation of neuropsychological test, first hour",740.0,281.0,80.0,1443.0,60
HCPCS,96133,"Evaluation of neuropsychological test, each additional hour",99.0,99.0,26.63,970.0,60
HCPCS,96136,"Administration of psychological or neuropsychological test, first 30 minutes",209.0,120.0,56.22,970.0,297
HCPCS,96137,"Administration of psychological or neuropsychological test, each additional 30 minutes",13.0,13.0,3.5,970.0,237
HCPCS,96138,"Administration of psychological or neuropsychological test by technician, first 30 minutes",700.0,289.0,80.0,1365.0,179
HCPCS,96139,"Administration of psychological or neuropsychological test by technician, each additional 30 minutes",13.0,13.0,3.5,970.0,179
HCPCS,96156,Assessment of health behavior,159.0,80.0,42.77,970.0,60
HCPCS,96158,"Treatment of behavior impacting health, initial 30 minutes",279.0,80.0,75.05,544.05,57
HCPCS,96159,"Treatment of behavior impacting health, each additional 15 minutes",59.0,59.0,15.87,214.0,47
HCPCS,96164,"Treatment of behavior impacting health in group setting, initial 30 minutes",59.0,28.0,15.87,214.0,56
HCPCS,96165,"Treatment of behavior impacting health in group setting, each additional 15 minutes",21.0,21.0,5.65,214.0,46
HCPCS,96167,"Treatment of behavior impacting health with family and patient, initial 30 minutes",59.0,28.0,15.87,214.0,57
HCPCS,96168,"Treatment of behavior impacting health with family and patient, each additional 30 minutes",21.0,21.0,5.65,214.0,47
HCPCS,96360,"Infusion into a vein for hydration, 31-60 minutes",334.0,218.0,89.85,3506.0,1024
HCPCS,96361,"Infusion into a vein for hydration, each additional hour",206.0,43.0,55.41,3506.0,960
HCPCS,96365,"Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less",334.0,218.0,89.85,3506.0,1280
HCPCS,96366,"Infusion into a vein for therapy, prevention, or diagnosis, each additional hour",187.0,43.0,50.3,3506.0,960
HCPCS,96367,"Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less",148.0,66.0,36.85,3506.0,896
HCPCS,96368,"Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion",137.0,137.0,36.85,3506.0,640
HCPCS,96372,Injection of drug or substance under skin or into muscle,207.0,66.0,31.86,3506.0,2240
HCPCS,96374,Injection of drug or substance into vein,333.5,218.0,31.86,3506.0,1024
HCPCS,96375,Injection of additional new drug or substance into vein,235.0,43.0,31.86,3506.0,960
HCPCS,96376,Injection of additional drug or substance into vein provided in a facility,123.0,123.0,31.86,3506.0,896
HCPCS,96401,Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle,117.0,66.0,31.86,3900.0,64
HCPCS,96402,Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle,113.0,66.0,31.86,3900.0,192
HCPCS,96406,"Administration of chemotherapy into growth, more than 7",334.0,218.0,31.86,3900.0,64
HCPCS,96409,Administration of chemotherapy into vein using push technique,518.0,218.0,31.86,3900.0,128
HCPCS,96411,Administration of additional new drug or substance into vein using push technique,133.0,66.0,31.86,3900.0,128
HCPCS,96413,"Administration of chemotherapy into vein, 1 hour or less",518.0,339.0,178.32,3900.0,256
HCPCS,96415,"Administration of chemotherapy into vein, each additional hour",181.0,66.0,63.35,3900.0,256
HCPCS,96416,Administration of prolonged chemotherapy into vein,517.5,339.0,180.95,3900.0,128
HCPCS,96417,"Administration of additional new drug or substance into vein, 1 hour or less",121.0,66.0,42.35,3900.0,128
HCPCS,96422,"Administration of chemotherapy into artery, 1 hour or less",518.0,218.0,178.32,3900.0,64
HCPCS,96450,Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord,518.0,339.0,181.3,3900.0,64
HCPCS,96523,Irrigation of implanted venous access drug delivery device,110.0,59.0,29.59,3506.0,64
HCPCS,96910,Therapy procedure using ultraviolet radiation with tar or petroleum jelly application,92.0,59.0,22.04,675.0,59
HCPCS,96920,"Treatment of inflammatory skin disease using laser, less than 250.0 sq cm",314.0,191.0,84.47,675.0,59
HCPCS,97010,Application of hot or cold packs,66.0,66.0,18.99,1608.0,128
HCPCS,97012,Application of mechanical traction,199.0,199.0,18.99,1608.0,64
HCPCS,97018,Application of hot wax bath,88.0,88.0,18.99,1608.0,64
HCPCS,97022,Application of whirlpool therapy,103.0,103.0,18.99,1608.0,128
HCPCS,97032,"Application of electrical stimulation with therapist present, each 15 minutes",138.0,138.0,18.99,1608.0,128
HCPCS,97034,"Application of hot and cold baths, each 15 minutes",39.0,39.0,16.77,1608.0,64
HCPCS,97035,"Application of ultrasound, each 15 minutes",127.0,127.0,18.99,1608.0,128
HCPCS,97036,"Application of water therapy using a special tank, each 15 minutes",162.0,162.0,22.04,1608.0,64
HCPCS,97110,"Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",185.0,50.0,22.04,1608.0,256
HCPCS,97112,"Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",218.0,218.0,22.04,1608.0,256
HCPCS,97113,"Therapy procedure using water pool to exercises, each 15 minutes",123.0,123.0,22.04,1608.0,192
HCPCS,97116,"Therapy procedure for walking training, each 15 minutes",188.0,188.0,18.99,1608.0,128
HCPCS,97124,"Therapy procedure using massage, each 15 minutes",108.0,108.0,18.99,1608.0,128
HCPCS,97129,"Therapy procedure for a range of mental processes, initial 15 minutes",38.0,38.0,16.34,1608.0,128
HCPCS,97130,"Therapy procedure for a range of mental processes, each additional 15 minutes",37.0,37.0,15.91,1608.0,128
HCPCS,97140,"Therapy procedure using manual technique, each 15 minutes",168.0,168.0,22.04,1608.0,256
HCPCS,97150,Therapy procedure in a group setting,110.0,110.0,22.04,1608.0,128
HCPCS,97161,"Evaluation for physical therapy, typically 20 minutes",296.0,296.0,121.0,1608.0,64
HCPCS,97162,"Evaluation for physical therapy, typically 30 minutes",388.0,388.0,121.0,1608.0,64
HCPCS,97163,"Evaluation for physical therapy, typically 45 minutes",447.0,447.0,121.0,1608.0,64
HCPCS,97164,"Re-evaluation for physical therapy, typically 20 minutes",216.0,216.0,67.08,1608.0,192
HCPCS,97165,"Evaluation for occupational therapy, typically 30 minutes",383.0,383.0,121.0,1608.0,64
HCPCS,97166,"Evaluation for occupational therapy, typically 45 minutes",446.0,446.0,121.0,1608.0,64
HCPCS,97167,"Evaluation for occupational therapy, typically 1 hour",541.0,541.0,121.0,1608.0,64
HCPCS,97168,"Re-evaluation for occupational therapy, typically 30 minutes",178.0,178.0,49.88,1608.0,192
HCPCS,97530,Therapy procedure using functional activities,197.0,197.0,22.04,1608.0,256
HCPCS,97533,Therapy procedure using sensory experiences,148.0,148.0,22.04,1608.0,64
HCPCS,97535,"Training for self-care or home management, each 15 minutes",162.0,50.0,18.99,1608.0,256
HCPCS,97537,"Training for community or work reintegration, each 15 minutes",220.0,220.0,22.04,1608.0,128
HCPCS,97542,"Evaluation for wheelchair, each 15 minutes",175.0,175.0,22.04,1608.0,128
HCPCS,97597,"Removal of tissue from wound, 20.0 sq cm or less",830.0,191.0,125.08,1618.5,296
HCPCS,97598,"Removal of tissue from wound, each additional 20.0 sq cm",510.0,510.0,137.19,1608.0,240
HCPCS,97605,"Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less",314.5,191.0,84.47,1608.0,240
HCPCS,97606,"Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm",637.0,368.0,170.0,1608.0,240
HCPCS,97607,"Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less",637.0,368.0,171.35,1242.15,56
HCPCS,97608,"Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area more than 50.0 sq cm",637.0,368.0,171.35,1242.15,56
HCPCS,97750,"Test or measurement for functional capacity, each 15 minutes",125.0,125.0,22.04,1608.0,64
HCPCS,97755,"Evaluation for assistive technology, each 15 minutes",118.0,118.0,50.74,1608.0,64
HCPCS,97760,"Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes",161.0,161.0,22.04,1608.0,320
HCPCS,97761,"Training in the use of artificial arm and/or leg, each 15 minutes",161.0,161.0,22.04,1608.0,128
HCPCS,97763,"Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes",117.0,117.0,22.04,1608.0,192
HCPCS,98925,"Osteopathic manipulative treatment, 1-2 body regions",38.0,28.0,10.22,74.1,56
HCPCS,98926,"Osteopathic manipulative treatment, 3-4 body regions",38.0,28.0,10.22,74.1,56
HCPCS,98927,"Osteopathic manipulative treatment, 5-6 body regions",38.0,28.0,10.22,74.1,56
HCPCS,98928,"Osteopathic manipulative treatment, 7-8 body regions",38.0,28.0,10.22,74.1,56
HCPCS,98929,"Osteopathic manipulative treatment, 9-10 body regions",38.0,28.0,10.22,74.1,56
HCPCS,98960,"Education and training for patient self-management, each 30 minutes",87.0,87.0,23.4,1608.0,664
HCPCS,98962,"Education and training for patient self-management, 5-8 patients, each 30 minutes",96.0,96.0,25.82,187.2,59
HCPCS,99151,"Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes",393.0,393.0,16.56,3411.0,352
HCPCS,99152,"Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",397.0,397.0,16.56,3411.0,296
HCPCS,99153,"Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes",182.0,182.0,16.56,3411.0,464
HCPCS,99157,"Use of a drug to induce depression of consciousness by physician not performing a procedure, each additional 15 minutes",205.0,205.0,16.56,399.75,56
HCPCS,99202,"New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more",379.5,65.0,72.0,754.65,3960
HCPCS,99203,"New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",409.0,100.0,72.0,797.55,2030
HCPCS,99204,"New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",430.0,170.0,72.0,838.5,2170
HCPCS,99205,"New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",452.0,225.0,72.0,881.4,2030
HCPCS,99211,Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional,340.0,12.0,72.0,725.4,2350
HCPCS,99212,"Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",356.0,35.0,72.0,694.2,2260
HCPCS,99213,"Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more",372.0,65.0,72.0,725.4,2356
HCPCS,99214,"Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",387.0,100.0,72.0,754.65,2360
HCPCS,99215,"Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",409.0,140.0,72.0,797.55,2452
HCPCS,99281,Emergency department visit for problem that may not require health care professional,345.5,77.0,41.36,1748.0,778
HCPCS,99282,Emergency department visit with straightforward medical decision making,978.0,140.0,430.32,1907.1,456
HCPCS,99283,Emergency department visit with low level of medical decision making,1320.0,246.0,432.0,2574.0,456
HCPCS,99284,Emergency department visit with moderate level of medical decision making,2317.0,387.0,432.0,4518.15,456
HCPCS,99285,Emergency department visit with high level of medical decision making,2982.0,555.0,432.0,5814.9,456
HCPCS,99291,"Critical care, first 30-74 minutes",4083.0,792.0,432.0,7961.85,399
HCPCS,99292,"Critical care, each additional 30 minutes",1447.0,1447.0,432.0,2821.65,343
HCPCS,99381,Initial new patient preventive medicine evaluation (younger than 1 year),73.0,73.0,37.52,142.35,92
HCPCS,99382,Initial new patient preventive medicine evaluation (1-4 years),73.0,73.0,37.52,142.35,92
HCPCS,99383,Initial new patient preventive medicine evaluation (5-11 years),73.0,73.0,37.52,142.35,92
HCPCS,99384,Initial new patient preventive medicine evaluation (12-17 years),73.0,73.0,37.52,142.35,92
HCPCS,99385,Initial new patient preventive medicine evaluation (18-39 years),73.0,73.0,37.52,142.35,46
HCPCS,99386,Initial new patient preventive medicine evaluation (40-64 years),73.0,73.0,37.52,142.35,46
HCPCS,99387,Initial new patient preventive medicine evaluation (65 years or older),73.0,73.0,37.52,142.35,46
HCPCS,99391,Established patient periodic preventive medicine examination (younger than 1 year),73.0,73.0,37.52,142.35,46
HCPCS,99392,Established patient periodic preventive medicine examination (1-4 years),73.0,73.0,37.52,142.35,46
HCPCS,99393,Established patient periodic preventive medicine examination (5-11 years),73.0,73.0,37.52,142.35,46
HCPCS,99394,Established patient periodic preventive medicine examination (12-17 years),73.0,73.0,37.52,142.35,46
HCPCS,99395,Established patient periodic preventive medicine examination (18-39 years),73.0,73.0,37.52,142.35,46
HCPCS,99396,Established patient periodic preventive medicine examination (40-64 years),73.0,73.0,37.52,142.35,46
HCPCS,99397,Established patient periodic preventive medicine examination (65 year old or older),73.0,73.0,37.52,142.35,46
HCPCS,99464,Physician attendance at delivery and stabilization of newborn,585.0,585.0,157.37,1140.75,48
HCPCS,99465,Reviving newborn at delivery,1036.0,597.0,278.68,2020.2,59
HCPCS,A2002,"MIRRAGEN ADVANCED WOUND MATRIX, PER SQUARE CENTIMETER",2888.0,3176.8,1241.84,5631.6,50
HCPCS,A2004,"XCELLISTEM, 1 MG",2217.5,,244.79,6873.75,90
HCPCS,A2006,"NOVOSORB SYNPATH DERMAL MATRIX, PER SQUARE CENTIMETER",3413.0,3754.3,733.58,26617.5,150
HCPCS,A4100,"NON-SHEET FORM SKIN SUBSTITUTE, FDA CLEARED AS A DEVICE, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",7613.0,8374.3,3273.59,14845.35,50
HCPCS,A4216,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML",15.97,15.97,0.46,25.07,45
HCPCS,A4218,"STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML",3.85,3.85,1.04,7.51,50
HCPCS,A4300,"IMPLANTABLE ACCESS CATHETER, (E.G., VENOUS, ARTERIAL, EPIDURAL SUBARACHNOID, OR PERITONEAL, ETC.) EXTERNAL ACCESS",1841.66,1841.66,495.41,3591.24,45
HCPCS,A4648,"TISSUE MARKER, IMPLANTABLE, ANY TYPE, EACH",424.0,466.4,67.94,3326.7,800
HCPCS,A6010,"COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER GRAM OF COLLAGEN",3647.0,3647.0,35.31,5725.79,45
HCPCS,A9155,"ARTIFICIAL SALIVA, 30 ML",3.85,3.85,1.04,7.51,48
HCPCS,A9270,NON-COVERED ITEM OR SERVICE,23.8,23.8,0.27,3634.41,46665
HCPCS,A9500,"TECHNETIUM TC-99M SESTAMIBI, DIAGNOSTIC, PER STUDY DOSE",525.0,525.0,141.23,5180.0,50
HCPCS,A9502,"TECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE",532.0,532.0,143.11,5180.0,50
HCPCS,A9503,"TECHNETIUM TC-99M MEDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",89.0,89.0,23.94,5180.0,50
HCPCS,A9505,"THALLIUM TL-201 THALLOUS CHLORIDE, DIAGNOSTIC, PER MILLICURIE",21.0,21.0,5.65,5180.0,50
HCPCS,A9508,"IODINE I-131 IOBENGUANE SULFATE, DIAGNOSTIC, PER 0.5 MILLICURIE",299.0,299.0,80.43,5180.0,50
HCPCS,A9509,"IODINE I-123 SODIUM IODIDE, DIAGNOSTIC, PER MILLICURIE",2938.0,2938.0,569.0,5729.1,50
HCPCS,A9512,"TECHNETIUM TC-99M PERTECHNETATE, DIAGNOSTIC, PER MILLICURIE",45.0,45.0,12.11,5180.0,50
HCPCS,A9516,"IODINE I-123 SODIUM IODIDE, DIAGNOSTIC, PER 100 MICROCURIES, UP TO 999 MICROCURIES",16.0,16.0,4.3,5180.0,50
HCPCS,A9517,"IODINE I-131 SODIUM IODIDE CAPSULE(S), THERAPEUTIC, PER MILLICURIE",75.0,21.0,20.18,739.08,59
HCPCS,A9520,"TECHNETIUM TC-99M TILMANOCEPT, DIAGNOSTIC, UP TO 0.5 MILLICURIES",1013.0,1013.0,272.5,5180.0,100
HCPCS,A9528,"IODINE I-131 SODIUM IODIDE CAPSULE(S), DIAGNOSTIC, PER MILLICURIE",14.0,14.0,3.77,5180.0,50
HCPCS,A9529,"IODINE I-131 SODIUM IODIDE SOLUTION, DIAGNOSTIC, PER MILLICURIE",15.0,15.0,4.04,5180.0,50
HCPCS,A9530,"IODINE I-131 SODIUM IODIDE SOLUTION, THERAPEUTIC, PER MILLICURIE",38.0,14.0,10.22,739.08,59
HCPCS,A9537,"TECHNETIUM TC-99M MEBROFENIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",123.0,123.0,33.09,5180.0,50
HCPCS,A9538,"TECHNETIUM TC-99M PYROPHOSPHATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",99.0,99.0,26.63,5180.0,50
HCPCS,A9539,"TECHNETIUM TC-99M PENTETATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",55.0,55.0,14.8,5180.0,50
HCPCS,A9540,"TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 10 MILLICURIES",85.0,85.0,22.87,5180.0,50
HCPCS,A9541,"TECHNETIUM TC-99M SULFUR COLLOID, DIAGNOSTIC, PER STUDY DOSE, UP TO 20 MILLICURIES",76.0,76.0,20.44,5180.0,50
HCPCS,A9548,"INDIUM IN-111 PENTETATE, DIAGNOSTIC, PER 0.5 MILLICURIE",1143.0,1143.0,307.47,5180.0,53
HCPCS,A9552,"FLUORODEOXYGLUCOSE F-18 FDG, DIAGNOSTIC, PER STUDY DOSE, UP TO 45 MILLICURIES",1314.0,1314.0,353.47,5180.0,50
HCPCS,A9556,"GALLIUM GA-67 CITRATE, DIAGNOSTIC, PER MILLICURIE",19.0,19.0,5.11,5180.0,50
HCPCS,A9557,"TECHNETIUM TC-99M BICISATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES",1189.0,1189.0,319.84,5180.0,53
HCPCS,A9558,"XENON XE-133 GAS, DIAGNOSTIC, PER 10 MILLICURIES",64.0,64.0,17.22,5180.0,50
HCPCS,A9560,"TECHNETIUM TC-99M LABELED RED BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",286.0,286.0,76.93,5180.0,50
HCPCS,A9561,"TECHNETIUM TC-99M OXIDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES",111.0,111.0,29.86,5180.0,50
HCPCS,A9562,"TECHNETIUM TC-99M MERTIATIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",1163.0,1163.0,312.85,5180.0,50
HCPCS,A9567,"TECHNETIUM TC-99M PENTETATE, DIAGNOSTIC, AEROSOL, PER STUDY DOSE, UP TO 75 MILLICURIES",286.0,286.0,76.93,5180.0,50
HCPCS,A9569,"TECHNETIUM TC-99M EXAMETAZIME LABELED AUTOLOGOUS WHITE BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE",1432.0,1432.0,385.21,5180.0,53
HCPCS,A9570,"INDIUM IN-111 LABELED AUTOLOGOUS WHITE BLOOD CELLS, DIAGNOSTIC, PER STUDY DOSE",1691.0,1691.0,454.88,5180.0,53
HCPCS,A9572,"INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIES",4616.0,4616.0,569.0,9001.2,53
HCPCS,A9576,"INJECTION, GADOTERIDOL, (PROHANCE MULTIPACK), PER ML",5.8,5.8,1.56,11.31,45
HCPCS,A9582,"IODINE I-123 IOBENGUANE, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES",5495.0,5495.0,569.0,10715.25,53
HCPCS,A9585,"INJECTION, GADOBUTROL, 0.1 ML",109.0,109.0,20.18,278.85,90
HCPCS,A9587,"GALLIUM GA-68, DOTATATE, DIAGNOSTIC, 0.1 MILLICURIE",1667.0,1667.0,51.09,5180.0,53
HCPCS,A9612,"INJECTION, FLUORESCEIN, 1 MG",16.5,,4.44,32.18,45
HCPCS,B4087,"GASTROSTOMY/JEJUNOSTOMY TUBE, STANDARD, ANY MATERIAL, ANY TYPE, EACH",1580.0,1580.0,425.02,3081.0,45
HCPCS,C1713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),1404.5,1543.3000000000002,9.03,79047.15,299665
HCPCS,C1714,"CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL",5328.75,5328.75,894.43,11953.5,450
HCPCS,C1715,BRACHYTHERAPY NEEDLE,3646.0,4010.6,1567.78,7109.7,50
HCPCS,C1716,"BRACHYTHERAPY SOURCE, NON-STRANDED, GOLD-198, PER SOURCE",3927.0,4319.7,145.16,7657.65,61
HCPCS,C1717,"BRACHYTHERAPY SOURCE, NON-STRANDED, HIGH DOSE RATE IRIDIUM-192, PER SOURCE",599.0,658.9,145.16,1168.05,61
HCPCS,C1721,"CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)",26652.5,29317.75,6772.5,167553.75,3100
HCPCS,C1722,"CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)",21263.0,23389.3,25.37,158340.0,2450
HCPCS,C1724,"CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL",5950.0,5950.0,353.06,15032.06,545
HCPCS,C1725,"CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)",1662.5,1649.25,235.38,58012.5,6155
HCPCS,C1726,"CATHETER, BALLOON DILATATION, NON-VASCULAR",2034.0,2034.0,294.22,9666.15,360
HCPCS,C1727,"CATHETER, BALLOON TISSUE DISSECTOR, NON-VASCULAR (INSERTABLE)",1214.0,1214.0,276.53,2730.0,90
HCPCS,C1729,"CATHETER, DRAINAGE",1116.22,1116.22,240.22,3814.2,360
HCPCS,C1730,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES)",1089.5,1089.5,259.32,12483.9,810
HCPCS,C1731,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)",3292.0,3292.0,421.25,7371.0,315
HCPCS,C1732,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING",5121.0,5121.0,312.11,12923.14,405
HCPCS,C1733,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, OTHER THAN COOL-TIP",2713.0,2713.0,262.81,28836.6,405
HCPCS,C1734,ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE),6116.0,6727.6,2567.1,13139.1,150
HCPCS,C1747,"ENDOSCOPE, SINGLE-USE (I.E. DISPOSABLE), URINARY TRACT, IMAGING/ILLUMINATION DEVICE (INSERTABLE)",2625.0,,706.13,5118.75,45
HCPCS,C1750,"CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM",670.0,737.0,118.25,3845.4,890
HCPCS,C1751,"CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)",1226.0,1312.3,107.5,92137.5,1710
HCPCS,C1753,"CATHETER, INTRAVASCULAR ULTRASOUND",1680.0,1680.0,353.06,10708.43,855
HCPCS,C1755,"CATHETER, INTRASPINAL",1736.0,1736.0,466.98,3385.2,45
HCPCS,C1757,"CATHETER, THROMBECTOMY/EMBOLECTOMY",4708.0,4708.0,273.04,37537.5,4060
HCPCS,C1759,"CATHETER, INTRACARDIAC ECHOCARDIOGRAPHY",5297.25,5297.25,670.35,10354.5,270
HCPCS,C1760,"CLOSURE DEVICE, VASCULAR (IMPLANTABLE/INSERTABLE)",1750.0,1750.0,357.33,12797.85,555
HCPCS,C1761,"CATHETER, TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY, CORONARY",8225.0,8225.0,2212.53,16038.75,45
HCPCS,C1762,"CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)",3850.25,4235.275,161.68,25082.85,1450
HCPCS,C1763,"CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)",2212.0,2433.2,95.03,51275.25,1650
HCPCS,C1764,"EVENT RECORDER, CARDIAC (IMPLANTABLE)",7525.0,8277.5,2359.84,22163.7,1000
HCPCS,C1766,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, STEERABLE, OTHER THAN PEEL-AWAY",1778.0,1778.0,379.83,6756.75,360
HCPCS,C1767,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE",19838.0,21821.8,5892.29,63540.75,500
HCPCS,C1768,"GRAFT, VASCULAR",2901.0,3191.1000000000004,88.15,40694.55,4150
HCPCS,C1769,GUIDE WIRE,1055.5,1055.5,200.14,12758.85,1755
HCPCS,C1771,"REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT",2083.0,2291.3,667.36,23144.55,750
HCPCS,C1772,"INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)",20125.0,22137.5,8428.0,57948.15,200
HCPCS,C1773,"RETRIEVAL DEVICE, INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES)",2826.0,2826.0,218.44,9009.0,680
HCPCS,C1776,JOINT DEVICE (IMPLANTABLE),3977.5,4375.25,41.28,93693.6,62050
HCPCS,C1777,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)",5714.5,6285.950000000001,89.01,28200.9,1845
HCPCS,C1778,"LEAD, NEUROSTIMULATOR (IMPLANTABLE)",5600.0,6160.0,1580.25,27532.05,550
HCPCS,C1779,"LEAD, PACEMAKER, TRANSVENOUS VDD SINGLE PASS",872.0,959.2,374.96,1700.4,50
HCPCS,C1781,MESH (IMPLANTABLE),1374.5,1511.9499999999998,48.16,72450.3,8750
HCPCS,C1782,MORCELLATOR,1261.0,1261.0,339.21,2458.95,45
HCPCS,C1785,"PACEMAKER, DUAL CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",8050.0,8855.0,2230.79,85824.38,1650
HCPCS,C1786,"PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE)",7700.0,8470.0,1843.84,53747.85,1650
HCPCS,C1787,"PATIENT PROGRAMMER, NEUROSTIMULATOR",1751.0,1750.5,235.38,69560.4,500
HCPCS,C1788,"PORT, INDWELLING (IMPLANTABLE)",652.875,718.165,145.34,7591.35,1300
HCPCS,C1789,"PROSTHESIS, BREAST (IMPLANTABLE)",2001.5,2201.65,225.75,13499.85,1940
HCPCS,C1813,"PROSTHESIS, PENILE, INFLATABLE",19787.25,21765.975,336.26,59827.95,1150
HCPCS,C1815,"PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)",11716.0,12887.6,1049.63,41845.87,450
HCPCS,C1816,"RECEIVER AND/OR TRANSMITTER, NEUROSTIMULATOR (IMPLANTABLE)",35438.0,38981.8,15238.34,69104.1,50
HCPCS,C1817,"SEPTAL DEFECT IMPLANT SYSTEM, INTRACARDIAC",1682.0,1850.1999999999998,166.41,58012.5,2100
HCPCS,C1820,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM",38500.0,42350.0,1354.5,81900.0,350
HCPCS,C1821,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),8617.0,9478.7,406.75,49481.25,2300
HCPCS,C1824,"GENERATOR, CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE)",42875.0,47162.5,17307.5,88725.0,100
HCPCS,C1825,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE WITH CAROTID SINUS BARORECEPTOR STIMULATION LEAD(S)",1356.0,1356.0,348.36,3412.5,270
HCPCS,C1827,"GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE, WITH IMPLANTABLE STIMULATION LEAD AND EXTERNAL PAIRED STIMULATION CONTROLLER",31500.0,34650.0,4891.25,100668.75,100
HCPCS,C1831,"INTERBODY CAGE, ANTERIOR, LATERAL OR POSTERIOR, PERSONALIZED (IMPLANTABLE)",2625.0,2887.5,188.34,30712.5,250
HCPCS,C1832,"AUTOGRAFT SUSPENSION, INCLUDING CELL PROCESSING AND APPLICATION, AND ALL SYSTEM COMPONENTS",11681.0,,3142.19,22777.95,45
HCPCS,C1874,"STENT, COATED/COVERED, WITH DELIVERY SYSTEM",6181.0,6799.1,113.6,68950.05,10050
HCPCS,C1875,"STENT, COATED/COVERED, WITHOUT DELIVERY SYSTEM",5770.625,6347.6900000000005,1501.24,15697.5,100
HCPCS,C1876,"STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM",2620.5,2882.55,79.55,55586.7,15795
HCPCS,C1877,"STENT, NON-COATED/NON-COVERED, WITHOUT DELIVERY SYSTEM",2999.0,3298.9,129.43,50313.9,950
HCPCS,C1880,VENA CAVA FILTER,2092.0,2258.3,498.46,9637.33,1690
HCPCS,C1881,DIALYSIS ACCESS SYSTEM (IMPLANTABLE),2118.0,2329.8,421.4,13685.1,250
HCPCS,C1882,"CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",30608.0,33668.8,10158.75,217376.25,2050
HCPCS,C1883,"ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)",1619.0,1780.9,376.25,59377.5,300
HCPCS,C1884,EMBOLIZATION PROTECTIVE SYSTEM,2616.0,2645.3,423.68,30458.03,815
HCPCS,C1885,"CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",5082.0,5082.0,1318.1,14519.7,365
HCPCS,C1886,"CATHETER, EXTRAVASCULAR TISSUE ABLATION, ANY MODALITY (INSERTABLE)",6178.0,6178.0,376.33,14660.1,270
HCPCS,C1887,"CATHETER, GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY)",1706.0,1705.5,246.51,16653.0,5675
HCPCS,C1888,"CATHETER, ABLATION, NON-CARDIAC, ENDOVASCULAR (IMPLANTABLE)",1471.0,1471.0,395.7,2868.45,45
HCPCS,C1889,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",3001.0,3293.3999999999996,3.87,368273.1,44980
HCPCS,C1892,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, PEEL-AWAY",2160.0,2160.0,581.04,4212.0,45
HCPCS,C1893,"INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAY",1225.0,1275.25,235.38,3242.85,640
HCPCS,C1894,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, NON-LASER",1365.5,1421.6,197.72,8138.81,1130
HCPCS,C1895,"LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL DUAL COIL (IMPLANTABLE)",5421.5,5963.65,319.92,13650.0,750
HCPCS,C1896,"LEAD, CARDIOVERTER-DEFIBRILLATOR, OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE)",5344.5,5878.95,903.0,71662.5,350
HCPCS,C1897,"LEAD, NEUROSTIMULATOR TEST KIT (IMPLANTABLE)",3320.5,3574.25,421.25,9896.25,95
HCPCS,C1898,"LEAD, PACEMAKER, OTHER THAN TRANSVENOUS VDD SINGLE PASS",897.0,986.7,282.08,24000.6,2100
HCPCS,C1900,"LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",2754.0,3029.4,282.19,6825.0,1400
HCPCS,C2596,"PROBE, IMAGE-GUIDED, ROBOTIC, WATERJET ABLATION",5933.0,5933.0,1595.98,11569.35,45
HCPCS,C2615,"SEALANT, PULMONARY, LIQUID",1756.0,1756.0,472.36,3424.2,45
HCPCS,C2616,"BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCE",50820.0,55902.0,6443.33,99099.0,122
HCPCS,C2617,"STENT, NON-CORONARY, TEMPORARY, WITHOUT DELIVERY SYSTEM",249.0,273.9,16.34,9289.8,2850
HCPCS,C2618,"PROBE/NEEDLE, CRYOABLATION",4725.0,4725.0,659.05,20389.2,495
HCPCS,C2619,"PACEMAKER, DUAL CHAMBER, NON RATE-RESPONSIVE (IMPLANTABLE)",12308.0,13538.8,5292.44,24000.6,50
HCPCS,C2621,"PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)",14000.0,15400.0,322.53,54600.0,995
HCPCS,C2622,"PROSTHESIS, PENILE, NON-INFLATABLE",17470.25,19217.28,7293.23,39343.2,250
HCPCS,C2623,"CATHETER, TRANSLUMINAL ANGIOPLASTY, DRUG-COATED, NON-LASER",2888.0,2888.0,562.48,9196.2,1760
HCPCS,C2624,"IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER, INCLUDING ALL SYSTEM COMPONENTS",34913.0,38404.3,15012.59,68080.35,50
HCPCS,C2625,"STENT, NON-CORONARY, TEMPORARY, WITH DELIVERY SYSTEM",282.0,310.20000000000005,45.15,3628.95,1200
HCPCS,C2627,"CATHETER, SUPRAPUBIC/CYSTOSCOPIC",250.0,275.0,107.5,487.5,50
HCPCS,C2628,"CATHETER, OCCLUSION",2599.0,2599.0,245.87,30712.5,1220
HCPCS,C2629,"INTRODUCER/SHEATH, OTHER THAN GUIDING, OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL, LASER",5495.0,5495.0,1466.32,10801.05,90
HCPCS,C2630,"CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR MAPPING, COOL-TIP",2427.5,2427.5,270.68,14673.75,360
HCPCS,C2631,"REPAIR DEVICE, URINARY, INCONTINENCE, WITHOUT SLING GRAFT",1424.0,1424.0,383.06,2776.8,45
HCPCS,C7516,"CATHETER PLACEMENT IN CORONARY ARTERY(S) FOR CORONARY ANGIOGRAPHY, INCLUDING INTRAPROCEDURAL INJECTION(S) FOR CORONARY ANGIOGRAPHY, WITH ENDOLUMINAL IMAGING OF INITIAL CORONARY VESSEL OR GRAFT USING I",16008.0,,1619.31,34131.0,61
HCPCS,C8901,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, ABDOMEN",2167.0,245.0,288.59,4516.0,64
HCPCS,C8902,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, ABDOMEN",2280.0,392.0,288.59,4516.0,64
HCPCS,C8908,"MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, BREAST; BILATERAL",3730.0,392.0,249.56,7273.5,64
HCPCS,C8910,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, CHEST (EXCLUDING MYOCARDIUM)",1772.0,245.0,288.59,4516.0,64
HCPCS,C8911,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, CHEST (EXCLUDING MYOCARDIUM)",2875.0,392.0,288.59,5606.25,64
HCPCS,C8912,"MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, LOWER EXTREMITY",2344.0,392.0,288.59,4570.8,64
HCPCS,C8914,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, LOWER EXTREMITY",2782.0,392.0,288.59,5424.9,128
HCPCS,C8919,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, PELVIS",2078.0,245.0,288.59,4516.0,64
HCPCS,C8920,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, PELVIS",2180.0,392.0,288.59,4516.0,192
HCPCS,C8921,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; COMPLETE",1307.0,761.0,299.84,3411.0,64
HCPCS,C8922,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; FOLLOW-UP OR LIMITED STUDY",1228.0,761.0,299.84,3411.0,64
HCPCS,C8923,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITHOUT SPECT",1459.0,761.0,299.84,3411.0,128
HCPCS,C8924,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, FOLLOW-UP OR LIMITED ST",1171.0,392.0,299.84,3411.0,128
HCPCS,C8925,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME",3108.0,761.0,299.84,6060.6,320
HCPCS,C8926,"TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND ",1228.0,761.0,299.84,3411.0,128
HCPCS,C8928,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, DURING REST AND CARDIOV",2583.0,761.0,299.84,5036.85,128
HCPCS,C8929,"TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL",2573.0,761.0,299.84,5017.35,192
HCPCS,C8932,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,245.0,288.59,4621.5,128
HCPCS,C8933,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, SPINAL CANAL AND CONTENTS",2370.0,392.0,288.59,4621.5,192
HCPCS,C8936,"MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, UPPER EXTREMITY",2621.0,392.0,288.59,5110.95,128
HCPCS,C9250,"HUMAN PLASMA FIBRIN SEALANT, VAPOR-HEATED, SOLVENT-DETERGENT (ARTISS), 2 ML",593.0,202.0,134.5,1173.9,98
HCPCS,C9254,"INJECTION, LACOSAMIDE, 1 MG",44.975,44.975,0.44,130.03,180
HCPCS,C9352,"MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE), PER CENTIMETER LENGTH",2606.5,2867.1499999999996,354.75,15568.8,450
HCPCS,C9353,"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR), PER CENTIMETER LENGTH",3138.825,3452.71,524.82,11070.15,445
HCPCS,C9356,"TENDON, POROUS MATRIX OF CROSS-LINKED COLLAGEN AND GLYCOSAMINOGLYCAN MATRIX (TENOGLIDE TENDON PROTECTOR SHEET), PER SQUARE CENTIMETER",6395.64,7035.2,2750.13,12471.5,50
HCPCS,C9363,"SKIN SUBSTITUTE, INTEGRA MESHED BILAYER WOUND MATRIX, PER SQUARE CENTIMETER",5716.0,6287.6,2457.88,11146.2,50
HCPCS,C9460,"INJECTION, CANGRELOR, 1 MG",66.03,18.0,17.76,344.65,64
HCPCS,C9600,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",19878.0,10681.0,5688.0,38762.1,122
HCPCS,C9601,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO",14661.0,14661.0,5688.0,34131.0,122
HCPCS,C9602,"PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH DRUG ELUTING INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",30652.0,17078.0,5688.0,59771.4,61
HCPCS,C9604,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",19878.0,10681.0,5688.0,38762.1,61
HCPCS,C9606,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL INFARCTION, CORONARY ARTERY OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRA",30652.0,30652.0,5688.0,59771.4,61
HCPCS,C9607,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",28715.0,17078.0,5688.0,55994.25,122
HCPCS,C9764,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",18083.0,10681.0,690.0,35261.85,246
HCPCS,C9765,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",28715.0,17078.0,690.0,55994.25,246
HCPCS,C9766,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(",28715.0,17078.0,690.0,55994.25,246
HCPCS,C9767,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDE",28715.0,17078.0,690.0,55994.25,246
HCPCS,C9772,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES), WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",23372.0,10681.0,3953.0,45575.4,177
HCPCS,C9773,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS,  TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY  WITHIN THE SAME VESSEL(S",26043.5,17078.0,3953.0,55994.25,177
HCPCS,C9774,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED",26043.5,17078.0,3953.0,55994.25,177
HCPCS,C9775,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND TRANSLUMINAL STENT PLACEMENT(S), AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE",28715.0,17078.0,3953.0,55994.25,118
HCPCS,D0120,PERIODIC ORAL EVALUATION,209.0,209.0,75.0,407.55,50
HCPCS,D0140,LIMIT ORAL EVAL PROBLM FOCUS,209.0,209.0,75.0,407.55,50
HCPCS,D0150,COMPREHENSVE ORAL EVALUATION,2019.0,1475.0,75.0,3937.05,50
HCPCS,D0160,EXTENSV ORAL EVAL PROB FOCUS,209.0,209.0,75.0,407.55,50
HCPCS,D0170,"RE-EVAL,EST PT,PROBLEM FOCUS",209.0,209.0,75.0,407.55,50
HCPCS,D0180,COMP PERIODONTAL EVALUATION,209.0,209.0,75.0,407.55,50
HCPCS,D0210,INTRAOR COMPREHENSIVE SERIES,374.0,374.0,75.0,729.3,50
HCPCS,D0220,INTRAORAL PERIAPICAL FIRST,136.0,136.0,27.03,265.2,50
HCPCS,D0230,INTRAORAL PERIAPICAL EA ADD,104.0,104.0,27.03,202.8,50
HCPCS,D0240,INTRAORAL OCCLUSAL FILM,2019.0,1475.0,27.03,3937.05,50
HCPCS,D0250,EXTRAORAL 2D PROJECT IMAGE,2019.0,1475.0,27.03,3937.05,50
HCPCS,D0270,DENTAL BITEWING SINGLE IMAGE,2019.0,1475.0,27.03,3937.05,50
HCPCS,D0272,DENTAL BITEWINGS TWO IMAGES,2019.0,1475.0,27.03,3937.05,50
HCPCS,D0273,BITEWINGS - THREE IMAGES,374.0,374.0,27.03,729.3,50
HCPCS,D0274,BITEWINGS FOUR IMAGES,2019.0,1475.0,27.03,3937.05,50
HCPCS,D0330,PANORAMIC IMAGE,374.0,374.0,27.03,729.3,50
HCPCS,D0705,EXTRA ORAL POST RADIO IMAGE,136.0,136.0,27.03,265.2,50
HCPCS,D0706,INTRAORAL OCCLUS RADIO IMAGE,136.0,136.0,27.03,265.2,50
HCPCS,D0707,INTRAORAL PERIAP RADIO IMAGE,136.0,136.0,27.03,265.2,50
HCPCS,D0708,INTRAORAL BITE RADIO IMAGE,136.0,136.0,27.03,265.2,50
HCPCS,D0709,INTRAORAL COMP IMAGE CAPTURE,136.0,136.0,27.03,265.2,50
HCPCS,D1110,DENTAL PROPHYLAXIS ADULT,474.0,474.0,75.0,924.3,50
HCPCS,D1120,DENTAL PROPHYLAXIS CHILD,928.0,928.0,75.0,2597.4,162
HCPCS,D1206,TOPICAL FLUORIDE VARNISH,1332.0,1332.0,97.22,2597.4,112
HCPCS,D1320,TOBACCO COUNSELING,105.0,105.0,13.82,204.75,50
HCPCS,D1330,ORAL HYGIENE INSTRUCTIONS,95.0,95.0,48.83,185.25,50
HCPCS,D1351,DENTAL SEALANT PER TOOTH,1332.0,1332.0,36.46,2597.4,112
HCPCS,D1510,SPACE MAINTAINER FXD UNILAT,1917.5,1475.0,97.22,4880.85,112
HCPCS,D1551,RECEMENT SPACE MAINT - MAX,1917.5,1475.0,97.22,4880.85,112
HCPCS,D2140,AMALGAM ONE SURFACE PERMANEN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2150,AMALGAM TWO SURFACES PERMANE,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2160,AMALGAM THREE SURFACES PERMA,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2330,RESIN ONE SURFACE-ANTERIOR,1917.5,1917.5,75.0,4880.85,162
HCPCS,D2331,RESIN TWO SURFACES-ANTERIOR,1917.5,1917.5,75.0,4880.85,162
HCPCS,D2332,RESIN THREE SURFACES-ANTERIO,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2335,RESIN 4/> SURF OR W INCIS AN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2390,ANT RESIN-BASED CMPST CROWN,1917.5,1917.5,358.31,4880.85,112
HCPCS,D2391,POST 1 SRFC RESINBASED CMPST,1917.5,1917.5,75.0,4880.85,162
HCPCS,D2392,POST 2 SRFC RESINBASED CMPST,1917.5,1917.5,75.0,4880.85,162
HCPCS,D2393,POST 3 SRFC RESINBASED CMPST,1917.5,1917.5,75.0,4880.85,162
HCPCS,D2394,POST >=4SRFC RESINBASE CMPST,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2740,CROWN PORCELAIN/CERAMIC,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2751,CROWN PORCELAIN FUSED BASE M,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2799,INTERIM CROWN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2910,RECEMENT INLAY ONLAY OR PART,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2920,RE-CEMENT OR RE-BOND CROWN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2930,PREFAB STNLSS STEEL CRWN PRI,1917.5,1917.5,358.31,4880.85,112
HCPCS,D2932,PREFABRICATED RESIN CROWN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2940,PLACE DIRECT RESTORATION,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2950,CORE BUILD-UP INCL ANY PINS,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2952,POST AND CORE CAST + CROWN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2954,PREFAB POST/CORE + CROWN,2503.0,2503.0,75.0,4880.85,50
HCPCS,D2955,POST REMOVAL,456.0,456.0,75.0,2003.45,50
HCPCS,D3110,PULP CAP DIRECT,1917.5,1917.5,102.92,4880.85,112
HCPCS,D3120,PULP CAP INDIRECT,1917.5,1917.5,102.92,4880.85,112
HCPCS,D3220,THERAPEUTIC PULPOTOMY,1917.5,1917.5,75.0,4880.85,162
HCPCS,D3221,GROSS PULPAL DEBRIDEMENT,2503.0,2503.0,75.0,4880.85,50
HCPCS,D3310,"END THXPY, ANTERIOR TOOTH",2503.0,2503.0,75.0,4880.85,50
HCPCS,D3320,"END THXPY, PREMOLAR TOOTH",2503.0,2503.0,75.0,4880.85,50
HCPCS,D3330,"END THXPY, MOLAR TOOTH",2503.0,2503.0,75.0,4880.85,50
HCPCS,D3332,INCOMPLETE ENDODONTIC TX,2503.0,2503.0,75.0,4880.85,50
HCPCS,D3347,RETREAT ROOT CANAL PREMOLAR,2503.0,2503.0,75.0,4880.85,50
HCPCS,D3410,APICOECTOMY - ANTERIOR,2503.0,2503.0,75.0,4880.85,50
HCPCS,D3421,ROOT SURGERY PREMOLAR,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4210,GINGIVECTOMY/PLASTY 4 OR MOR,5193.0,5193.0,75.0,10126.35,50
HCPCS,D4211,GINGIVECTOMY/PLASTY 1 TO 3,5193.0,5193.0,75.0,10126.35,50
HCPCS,D4245,APICALLY POSITIONED FLAP,1781.0,1781.0,358.31,4348.5,112
HCPCS,D4249,CROWN LENGTHEN HARD TISSUE,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4260,OSSEOUS SURGERY 4 OR MORE,9273.0,1475.0,75.0,18082.35,50
HCPCS,D4273,AUTO TISSUE GRAFT 1ST TOOTH,2430.0,1475.0,75.0,4738.5,50
HCPCS,D4322,SPLINT INTRA-CORONAL,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4323,SPLINT EXTRA-CORONAL,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4341,PERIODONTAL SCALING & ROOT,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4342,PERIODONTAL SCALING 1-3TEETH,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4346,SCALING GINGIV INFLAMMATION,2503.0,2503.0,75.0,4880.85,50
HCPCS,D4355,FULL MOUTH DEBRIDEMENT,2019.0,1475.0,75.0,3937.05,50
HCPCS,D4910,PERIODONTAL MAINT PROCEDURES,2503.0,2503.0,75.0,4880.85,50
HCPCS,D5110,DENTURES COMPLETE MAXILLARY,1175.0,1175.0,75.0,2291.25,50
HCPCS,D5120,DENTURES COMPLETE MANDIBLE,1175.0,1175.0,75.0,2291.25,50
HCPCS,D5130,DENTURES IMMEDIAT MAXILLARY,1837.0,1837.0,75.0,3582.15,50
HCPCS,D5140,DENTURES IMMEDIAT MANDIBLE,1584.5,1584.5,75.0,3582.15,162
HCPCS,D5211,DENTURES MAXILL PART RESIN,910.0,910.0,75.0,1774.5,50
HCPCS,D5212,DENTURES MAND PART RESIN,910.0,910.0,75.0,1774.5,50
HCPCS,D5213,DENTURES MAXILL PART METAL,1230.0,1230.0,75.0,2398.5,50
HCPCS,D5214,DENTURES MANDIBL PART METAL,1230.0,1230.0,75.0,2398.5,50
HCPCS,D5225,MAXILLARY PART DENTURE FLEX,2179.0,2179.0,75.0,4249.05,50
HCPCS,D5226,MANDIBULAR PART DENTURE FLEX,2162.0,2162.0,75.0,4215.9,50
HCPCS,D5282,"REMOVE UNIL PART DENTURE,MAX",691.0,691.0,75.0,1347.45,50
HCPCS,D5283,"REMOVE UNIL PART DENTURE,MAN",691.0,691.0,75.0,1347.45,50
HCPCS,D5284,REM UNILAT DENT FLEX BASE,1659.0,1659.0,75.0,3235.05,50
HCPCS,D5410,DENTURES ADJUST CMPLT MAXIL,101.0,101.0,51.91,257.76,50
HCPCS,D5411,DENTURES ADJUST CMPLT MAND,101.0,101.0,51.91,257.76,50
HCPCS,D5421,DENTURES ADJUST PART MAXILL,101.0,101.0,51.91,257.76,50
HCPCS,D5422,DENTURES ADJUST PART MANDBL,101.0,101.0,51.91,257.76,50
HCPCS,D5520,REPLACE DENTURE TEETH COMPLT,205.0,205.0,75.0,399.75,50
HCPCS,D5650,ADD TOOTH TO PARTIAL DENTURE,343.0,343.0,75.0,668.85,50
HCPCS,D5660,ADD CLASP TO PARTIAL DENTURE,428.0,428.0,75.0,834.6,50
HCPCS,D5710,DENTURES REBASE CMPLT MAXIL,938.0,938.0,75.0,1829.1,50
HCPCS,D5711,DENTURES REBASE CMPLT MAND,403.0,403.0,75.0,785.85,50
HCPCS,D5720,DENTURES REBASE PART MAXILL,885.0,885.0,75.0,1725.75,50
HCPCS,D5721,DENTURES REBASE PART MANDBL,843.0,843.0,75.0,1643.85,50
HCPCS,D5730,DENTURE RELN CMPLT MAX DIR,564.0,564.0,75.0,1099.8,50
HCPCS,D5731,DENTURE RELN CMPLT MAND DIR,547.0,547.0,75.0,1066.65,50
HCPCS,D5740,DENTURE RELN PART MAX DIR,496.0,496.0,75.0,967.2,50
HCPCS,D5741,DENTURE RELN PART MAND DIR,305.0,305.0,75.0,594.75,50
HCPCS,D5820,DENTURE INTERM PART MAXILL,1038.0,1038.0,75.0,2024.1,50
HCPCS,D5821,DENTURE INTERM PART MANDBL,1041.0,1041.0,75.0,2029.95,50
HCPCS,D6100,SURG REMOVAL OF IMPLANT BODY,989.0,989.0,75.0,1928.55,50
HCPCS,D6241,BRIDGE PORCELAIN BASE METAL,1582.0,1582.0,75.0,3084.9,50
HCPCS,D6245,BRIDGE PORCELAIN/CERAMIC,1707.0,1707.0,75.0,3328.65,50
HCPCS,D6251,BRIDGE RESIN BASE METAL,1687.0,1687.0,75.0,3289.65,50
HCPCS,D6545,DENTAL RETAINR CAST METL,1319.0,1319.0,74.93,2572.05,50
HCPCS,D6740,CROWN PORCELAIN/CERAMIC,1727.0,1727.0,75.0,3367.65,50
HCPCS,D6750,CROWN PORCELAIN HIGH NOBLE,1685.0,1685.0,75.0,3285.75,50
HCPCS,D6751,CROWN PORCELAIN BASE METAL,1623.0,1623.0,75.0,3164.85,50
HCPCS,D6930,RECEMENT/BOND PART DENTURE,234.0,234.0,74.93,456.3,50
HCPCS,D7140,EXTRACTION ERUPTED TOOTH/EXR,2011.0,1475.0,75.0,4880.85,162
HCPCS,D7210,REM IMP TOOTH W MUCOPER FLP,2230.0,1475.0,75.0,4738.5,162
HCPCS,D7230,IMPACT TOOTH REMOV PART BONY,2019.0,1475.0,75.0,4880.85,162
HCPCS,D7240,IMPACT TOOTH REMOV COMP BONY,2019.0,1475.0,75.0,4880.85,162
HCPCS,D7250,TOOTH ROOT REMOVAL,2019.0,1475.0,75.0,3937.05,50
HCPCS,D7270,TOOTH REIMPLANTATION,2503.0,2503.0,75.0,4880.85,50
HCPCS,D7280,EXPOSURE OF UNERUPTED TOOTH,1917.5,1917.5,358.31,4880.85,112
HCPCS,D7282,MOBILIZE ERUPTED/MALPOS TOOT,1332.0,1332.0,358.31,2597.4,112
HCPCS,D7285,BIOPSY OF ORAL TISSUE HARD,2537.0,2537.0,75.0,8872.5,100
HCPCS,D7286,BIOPSY OF ORAL TISSUE SOFT,524.0,524.0,75.0,1228.04,50
HCPCS,D7310,ALVEOPLASTY W/ EXTRACTION,2430.0,2430.0,75.0,4738.5,50
HCPCS,D7311,ALVEOLOPLASTY W/EXTRACT 1-3,2430.0,2430.0,75.0,4738.5,50
HCPCS,D7320,ALVEOPLASTY W/O EXTRACTION,2430.0,2430.0,75.0,4738.5,50
HCPCS,D7321,ALVEOLOPLASTY NOT W/EXTRACTS,2430.0,2430.0,75.0,4738.5,50
HCPCS,D7410,RAD EXC LESION UP TO 1.25 CM,3812.0,3812.0,75.0,10128.3,150
HCPCS,D7411,EXCISION BENIGN LESION>1.25C,2430.0,2430.0,75.0,4738.5,50
HCPCS,D7412,EXCISION BENIGN LESION COMPL,4338.0,4338.0,944.65,8459.1,56
HCPCS,D7450,REM ODONTOGEN CYST TO 1.25CM,5193.0,5193.0,75.0,10126.35,50
HCPCS,D7451,REM ODONTOGEN CYST > 1.25 CM,5193.0,5193.0,75.0,10126.35,50
HCPCS,D7460,REM NONODONTO CYST TO 1.25CM,2503.0,2503.0,75.0,4880.85,50
HCPCS,D7471,REM EXOSTOSIS ANY SITE,5193.0,5193.0,75.0,10126.35,50
HCPCS,D7473,REMOVE TORUS MANDIBULARIS,5193.0,5193.0,944.65,10126.35,56
HCPCS,D7510,I&D ABSC INTRAORAL SOFT TISS,1109.0,1109.0,75.0,2162.55,50
HCPCS,D7511,INCISION/DRAIN ABSCESS INTRA,1109.0,1109.0,75.0,2162.55,50
HCPCS,D7520,I&D ABSCESS EXTRAORAL,2431.0,2431.0,75.0,4740.45,50
HCPCS,D7530,REMOVAL FB SKIN/AREOLAR TISS,2503.0,2503.0,75.0,4880.85,50
HCPCS,D7640,CLSD RED SIMPL MANDIBLE FX,9273.0,9273.0,1835.23,18082.35,56
HCPCS,D7670,CLOSD RDUCTN SPLINT ALVEOLUS,5193.0,5193.0,75.0,10126.35,50
HCPCS,D7981,EXCISION OF SALIVARY GLAND,581.0,581.0,75.0,1228.04,50
HCPCS,D7997,APPLIANCE REMOVAL,524.0,524.0,75.0,1228.04,100
HCPCS,D8680,ORTHODONTIC RETENTION,241.0,241.0,75.0,1285.67,50
HCPCS,D9110,PALLIATIVE TX DENTAL PAIN,469.0,469.0,75.0,914.55,50
HCPCS,D9120,FIX PARTIAL DENTURE SECTION,218.0,218.0,75.0,425.1,50
HCPCS,D9239,"IV MOD SEDATION, 1ST 15 MIN",199.0,199.0,35.07,388.05,50
HCPCS,D9243,IV SEDATION EA ADDL 15M,182.0,182.0,35.07,354.9,50
HCPCS,D9310,DENTAL CONSULTATION,95.0,95.0,48.83,185.25,40
HCPCS,D9420,HOSPITAL/ASC CALL,4882.0,4882.0,1313.26,9519.9,45
HCPCS,D9910,DENT APPL DESENSITIZING MED,39.0,39.0,20.05,257.76,50
HCPCS,D9944,"OCC GUARD, HARD, FULL ARCH",2019.0,1475.0,75.0,3937.05,50
HCPCS,D9945,"OCC GUARD, SOFT, FULL ARCH",2019.0,1475.0,75.0,3937.05,50
HCPCS,D9946,"OCC GUARD, HARD, PART ARCH",2011.0,1475.0,75.0,3921.45,50
HCPCS,D9951,LIMITED OCCLUSAL ADJUSTMENT,2019.0,1475.0,75.0,3937.05,50
HCPCS,G0008,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,113.0,43.0,20.5,220.35,1298
HCPCS,G0009,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,113.0,43.0,27.99,220.35,1298
HCPCS,G0010,ADMINISTRATION OF HEPATITIS B VACCINE,99.0,43.0,22.87,220.35,1003
HCPCS,G0103,PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA),49.0,49.0,5.48,2119.0,64
HCPCS,G0127,"TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER",92.0,59.0,24.75,179.4,56
HCPCS,G0175,SCHEDULED INTERDISCIPLINARY TEAM CONFERENCE (MINIMUM OF THREE EXCLUSIVE OF PATIENT CARE NURSING STAFF) WITH PATIENT PRESENT,654.0,387.0,72.0,1275.3,57
HCPCS,G0237,"THERAPEUTIC PROCEDURES TO INCREASE STRENGTH OR ENDURANCE OF RESPIRATORY MUSCLES, FACE TO FACE, ONE ON ONE, EACH 15 MINUTES (INCLUDES MONITORING)",251.0,26.0,23.21,1758.0,123
HCPCS,G0238,"THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION, OTHER THAN DESCRIBED BY G0237, ONE ON ONE, FACE TO FACE, PER 15 MINUTES (INCLUDES MONITORING)",62.0,26.0,16.68,1758.0,64
HCPCS,G0257,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,1075.0,696.0,289.18,2096.25,236
HCPCS,G0269,"PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G., ANGIOSEAL PLUG, VASCULAR PLUG)",774.0,774.0,332.82,34131.0,100
HCPCS,G0278,"ILIAC AND/OR FEMORAL ARTERY ANGIOGRAPHY, NON-SELECTIVE, BILATERAL OR IPSILATERAL TO CATHETER INSERTION, PERFORMED AT THE SAME TIME AS CARDIAC CATHETERIZATION AND/OR CORONARY ANGIOGRAPHY, INCLUDES POSI",2642.0,2642.0,1136.06,34131.0,61
HCPCS,G0279,"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)",128.0,128.0,29.38,1758.0,256
HCPCS,G0283,"ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE, AS PART OF A THERAPY PLAN OF CARE",158.0,158.0,18.99,1608.0,128
HCPCS,G0378,"HOSPITAL OBSERVATION SERVICE, PER HOUR",134.0,134.0,46.9,10871.0,12210
HCPCS,G0379,DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE,933.0,555.0,326.55,10871.0,63
HCPCS,G0390,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2221.0,1013.0,597.45,4330.95,270
HCPCS,G0463,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,364.0,126.0,37.52,881.4,18446
HCPCS,G0480,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",146.0,146.0,30.78,2119.0,512
HCPCS,G0483,"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS), INCLUDING, BUT NOT",246.92,246.92,66.42,2119.0,64
HCPCS,G0500,"MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PERFORMING A GASTROINTESTINAL ENDOSCOPIC SERVICE THAT SEDATION SUPPORTS, REQUIRING THE PRESENCE OF",397.0,397.0,16.56,774.15,56
HCPCS,H0001,ALCOHOL AND/OR DRUG ASSESSMENT,205.0,205.0,14.8,970.0,346
HCPCS,H0031,"MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN",251.0,251.0,42.77,970.0,941
HCPCS,H0032,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,159.0,159.0,23.4,970.0,1003
HCPCS,H0046,"MENTAL HEALTH SERVICES, NOT OTHERWISE SPECIFIED",159.0,159.0,42.77,970.0,59
HCPCS,H0047,"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES, NOT OTHERWISE SPECIFIED",159.0,159.0,42.77,970.0,59
HCPCS,H2000,COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,287.0,287.0,64.32,970.0,826
HCPCS,H2017,"PSYCHOSOCIAL REHABILITATION SERVICES, PER 15 MINUTES",159.0,159.0,42.77,675.0,59
HCPCS,H2019,"THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MINUTES",77.0,77.0,14.8,970.0,916
HCPCS,J0129,"INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",175.67,45.0,43.8,1487.55,62
HCPCS,J0132,"INJECTION, ACETYLCYSTEINE, 100 MG",11.065000000000001,11.065000000000001,0.97,27.77,96
HCPCS,J0153,"INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)",7.905,7.905,0.72,19.22,96
HCPCS,J0169,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",4.615,,0.44,1386.56,516
HCPCS,J0248,"INJECTION, REMDESIVIR, 1 MG",23.685,,6.36,344.65,118
HCPCS,J0270,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",1.1800000000000002,1.1800000000000002,0.29,2.89,86
HCPCS,J0278,"INJECTION, AMIKACIN SULFATE, 100 MG",9.58,9.58,1.34,21.56,144
HCPCS,J0280,"INJECTION, AMINOPHYLLIN, UP TO 250 MG",31.5,31.5,3.63,110.88,96
HCPCS,J0282,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",3.18,3.18,0.5,61.56,215
HCPCS,J0285,"INJECTION, AMPHOTERICIN B, 50 MG",64.25,64.25,4.44,250.87,96
HCPCS,J0289,"INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG",237.11,27.0,23.98,531.14,62
HCPCS,J0290,"INJECTION, AMPICILLIN SODIUM, 500 MG",15.165,15.165,1.5,209.44,336
HCPCS,J0295,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",18.12,18.12,3.21,57.23,144
HCPCS,J0330,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",3.63,3.63,0.89,39.87,129
HCPCS,J0360,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG",51.8,51.8,6.99,116.03,48
HCPCS,J0456,"INJECTION, AZITHROMYCIN, 500 MG",20.61,20.61,3.17,65.94,96
HCPCS,J0457,"INJECTION, AZTREONAM, 100 MG",12.89,,3.09,32.01,96
HCPCS,J0461,"INJECTION, ATROPINE SULFATE, 0.01 MG",41.3,41.3,0.14,92.5,48
HCPCS,J0480,"INJECTION, BASILIXIMAB, 20 MG",15573.7,4272.0,1144.27,34885.09,128
HCPCS,J0485,"INJECTION, BELATACEPT, 1 MG",15.36,4.0,3.93,686.99,62
HCPCS,J0515,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG",123.75,123.75,27.69,277.2,48
HCPCS,J0520,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG",3.85,3.85,1.04,8.62,48
HCPCS,J0561,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",64.37,17.0,15.66,1679.89,310
HCPCS,J0574,"BUPRENORPHINE/NALOXONE, ORAL, GREATER THAN 6 MG, BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE",35.6,35.6,9.58,79.74,48
HCPCS,J0583,"INJECTION, BIVALIRUDIN, 1 MG",4.76,4.76,0.31,79.72,118
HCPCS,J0585,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT",24.64,6.0,6.47,344.65,62
HCPCS,J0586,"INJECTION, ABOBOTULINUMTOXINA, 5 UNITS",34.02,9.0,8.53,344.65,62
HCPCS,J0588,"INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT",20.24,5.0,5.31,344.65,62
HCPCS,J0592,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG",20.03,20.03,5.39,44.87,48
HCPCS,J0602,"SEVELAMER CARBONATE (RENVELA OR THERAPEUTICALLY EQUIVALENT), ORAL, POWDER, 20 MG (FOR ESRD ON DIALYSIS)",1.51,,0.41,3.38,43
HCPCS,J0606,"INJECTION, ETELCALCETIDE, 0.1 MG",15.57,15.57,4.19,79.72,59
HCPCS,J0618,"INJECTION, CALCIUM CHLORIDE, 2 MG",20.655,,3.87,60.25,86
HCPCS,J0630,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS",4988.035000000001,1851.0,105.23,21470.11,123
HCPCS,J0636,"INJECTION, CALCITRIOL, 0.1 MCG",25.79,25.79,6.94,57.76,43
HCPCS,J0640,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG",74.93,74.93,7.52,246.4,96
HCPCS,J0650,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",266.3,,22.5,1702.32,129
HCPCS,J0652,"INJECTION, LEVOTHYROXINE SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG",28.35,,7.63,63.5,43
HCPCS,J0654,"INJECTION, LIOTHYRONINE, 1 MCG",1505.54,,404.99,3372.42,43
HCPCS,J0675,"INJECTION, CARBOPROST TROMETHAMINE, 0.1 MG",980.5,,263.75,2196.32,43
HCPCS,J0688,"INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MG",11.275,,1.63,36.96,86
HCPCS,J0690,"INJECTION, CEFAZOLIN SODIUM, 500 MG",13.205,13.205,1.39,50.34,192
HCPCS,J0692,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",33.57,33.57,2.17,297.68,240
HCPCS,J0693,"INJECTION, CEFIDEROCOL, 5 MG",9.22,9.22,2.48,20.65,43
HCPCS,J0694,"INJECTION, CEFOXITIN SODIUM, 1 GM",39.475,39.475,6.33,129.64,192
HCPCS,J0695,"INJECTION, CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG",24.79,7.0,6.67,88.03,62
HCPCS,J0696,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",16.5,16.5,0.78,199.36,720
HCPCS,J0697,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG",22.2,22.2,3.17,49.73,48
HCPCS,J0698,"INJECTION, CEFOTAXIME SODIUM, PER GM",1.62,1.62,0.44,3.63,43
HCPCS,J0702,"INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG",67.16499999999999,67.16499999999999,12.04,200.59,144
HCPCS,J0706,"INJECTION, CAFFEINE CITRATE, 5 MG",50.824999999999996,50.824999999999996,1.78,212.91,86
HCPCS,J0712,"INJECTION, CEFTAROLINE FOSAMIL, 10 MG",10.07,4.0,2.71,88.03,62
HCPCS,J0713,"INJECTION, CEFTAZIDIME, PER 500 MG",20.86,20.86,2.75,88.7,144
HCPCS,J0714,"INJECTION, CEFTAZIDIME AND AVIBACTAM, 0.5 G/0.125 G",384.32000000000005,95.0,79.49,891.18,124
HCPCS,J0737,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",22.02,,4.83,62.83,134
HCPCS,J0740,"INJECTION, CIDOFOVIR, 375 MG",585.865,643.0,49.28,2214.3,124
HCPCS,J0742,"INJECTION, IMIPENEM 4 MG, CILASTATIN 4 MG AND RELEBACTAM 2 MG",9.44,2.0,2.5,88.03,62
HCPCS,J0743,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG",78.91499999999999,78.91499999999999,11.75,242.67,96
HCPCS,J0744,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",12.8,12.8,2.31,36.96,144
HCPCS,J0780,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG",73.3,73.3,6.19,164.19,48
HCPCS,J0834,"INJECTION, COSYNTROPIN, 0.25 MG",317.6,317.6,36.94,711.42,48
HCPCS,J0878,"INJECTION, DAPTOMYCIN, 1 MG",3.29,3.29,0.04,7.37,48
HCPCS,J0883,"INJECTION, ARGATROBAN, 1 MG (FOR NON-ESRD USE)",15.68,1.0,0.8,79.72,62
HCPCS,J0884,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",14.72,1.0,2.13,79.72,177
HCPCS,J0885,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.67,9.0,6.46,147.11,248
HCPCS,J0895,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG",51.3,51.3,11.73,114.91,48
HCPCS,J1010,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",45.95,,8.88,162.74,192
HCPCS,J1050,"INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG",162.095,162.095,0.32,723.52,86
HCPCS,J1071,"INJECTION, TESTOSTERONE CYPIONATE, 1 MG",94.5,94.5,0.05,211.68,48
HCPCS,J1100,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",3.34,3.34,0.19,38.08,192
HCPCS,J1120,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG",105.9,105.9,13.12,365.19,96
HCPCS,J1160,"INJECTION, DIGOXIN, UP TO 0.5 MG",24.7,24.7,6.64,55.33,48
HCPCS,J1171,"INJECTION, HYDROMORPHONE, 0.1 MG",8.1,,0.89,36.93,129
HCPCS,J1190,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG",1006.415,163.0,80.88,2432.75,124
HCPCS,J1200,"INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG",17.0,17.0,1.54,38.08,48
HCPCS,J1205,"INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG",239.6,239.6,64.45,536.71,48
HCPCS,J1230,"INJECTION, METHADONE HCL, UP TO 10 MG",47.935,47.935,7.14,155.29,96
HCPCS,J1250,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",46.94,46.94,1.04,186.42,288
HCPCS,J1265,"INJECTION, DOPAMINE HCL, 40 MG",3.99,3.99,0.65,18.48,192
HCPCS,J1299,"INJECTION, ECULIZUMAB, 2 MG",846.65,,227.75,1896.49,48
HCPCS,J1325,"INJECTION, EPOPROSTENOL, 0.5 MG",70.02,70.02,16.63,175.19,96
HCPCS,J1335,"INJECTION, ERTAPENEM SODIUM, 500 MG",200.82999999999998,200.82999999999998,18.26,554.4,96
HCPCS,J1364,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG",182.25,182.25,49.03,408.24,48
HCPCS,J1430,"INJECTION, ETHANOLAMINE OLEATE, 100 MG",1692.9,476.0,302.19,3792.1,62
HCPCS,J1438,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",2954.25,823.0,302.19,6617.52,62
HCPCS,J1442,"INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM",4.1,1.0,0.98,103.34,124
HCPCS,J1450,"INJECTION FLUCONAZOLE, 200 MG",27.75,27.75,4.16,81.76,144
HCPCS,J1451,"INJECTION, FOMEPIZOLE, 15 MG",42.24,7.0,6.16,103.34,62
HCPCS,J1453,"INJECTION, FOSAPREPITANT, 1 MG",7.07,7.07,0.28,15.83,48
HCPCS,J1455,"INJECTION, FOSCARNET SODIUM, PER 1000 MG",266.055,73.0,38.28,698.11,124
HCPCS,J1459,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",348.35,49.0,49.28,1045.04,62
HCPCS,J1566,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G., POWDER), NOT OTHERWISE SPECIFIED, 500 MG",257.64,77.0,69.3,1487.55,62
HCPCS,J1568,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",384.62,44.0,49.3,1045.04,62
HCPCS,J1569,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG",286.94,47.0,46.46,1487.55,62
HCPCS,J1570,"INJECTION, GANCICLOVIR SODIUM, 500 MG",218.375,218.375,52.81,538.53,96
HCPCS,J1571,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML",316.43,73.0,65.94,708.8,62
HCPCS,J1580,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",10.2,10.2,1.58,56.66,240
HCPCS,J1596,"INJECTION, GLYCOPYRROLATE, 0.1 MG",26.82,,7.21,60.08,43
HCPCS,J1611,"INJECTION, GLUCAGON HYDROCHLORIDE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J1610, PER 1 MG",1108.05,,67.71,2482.03,59
HCPCS,J1630,"INJECTION, HALOPERIDOL, UP TO 5 MG",23.75,23.75,1.97,53.2,48
HCPCS,J1631,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG",59.4,59.4,11.1,133.06,48
HCPCS,J1640,"INJECTION, HEMIN, 1 MG",114.48,30.0,30.79,3435.91,62
HCPCS,J1642,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",5.5,5.5,0.03,71.1,240
HCPCS,J1644,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",9.55,9.55,0.27,185.92,528
HCPCS,J1650,"INJECTION, ENOXAPARIN SODIUM, 10 MG",9.23,9.23,0.98,65.95,384
HCPCS,J1652,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",36.07,36.07,1.84,95.08,144
HCPCS,J1670,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS",2203.35,560.0,79.49,4935.5,62
HCPCS,J1720,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",41.84,41.84,2.01,101.26,144
HCPCS,J1741,"INJECTION, IBUPROFEN, 100 MG",843.15,843.15,226.81,1888.66,43
HCPCS,J1745,"INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG",462.09,36.0,30.53,1035.08,62
HCPCS,J1747,"INJECTION, SPESOLIMAB-SBZO, 1 MG",245.55,,66.05,19217.89,59
HCPCS,J1750,"INJECTION, IRON DEXTRAN, 50 MG",58.85,17.0,15.83,131.83,62
HCPCS,J1756,"INJECTION, IRON SUCROSE, 1 MG",2.18,2.18,0.39,5.59,192
HCPCS,J1790,"INJECTION, DROPERIDOL, UP TO 5 MG",32.5,32.5,8.74,72.8,43
HCPCS,J1800,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG",23.95,23.95,2.15,89.38,86
HCPCS,J1805,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",5.46,,0.78,824.43,144
HCPCS,J1806,"INJECTION, ESMOLOL HYDROCHLORIDE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J1805, 10 MG",4.02,,1.08,9.01,48
HCPCS,J1808,"INJECTION, FOLIC ACID, 0.1 MG",16.59,,4.46,37.16,43
HCPCS,J1815,"INJECTION, INSULIN, PER 5 UNITS",6.93,6.93,1.04,73.92,559
HCPCS,J1833,"INJECTION, ISAVUCONAZONIUM, 1 MG",3.46,1.0,0.93,103.34,62
HCPCS,J1837,"INJECTION, POSACONAZOLE, 1 MG",2096.4,,563.93,4695.94,48
HCPCS,J1885,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",16.75,16.75,1.42,51.52,240
HCPCS,J1920,"INJECTION, LABETALOL HYDROCHLORIDE, 5 MG",5.029999999999999,,0.51,18.33,96
HCPCS,J1930,"INJECTION, LANREOTIDE, 1 MG",315.55,66.0,44.98,4123.13,62
HCPCS,J1938,"INJECTION, FUROSEMIDE, 1 MG",8.870000000000001,,1.23,33.42,172
HCPCS,J1950,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG",5873.45,1538.0,528.45,13156.53,64
HCPCS,J1953,"INJECTION, LEVETIRACETAM, 10 MG",1.81,1.81,0.09,8.7,240
HCPCS,J1955,"INJECTION, LEVOCARNITINE, PER 1 GM",131.19,131.19,35.29,293.87,48
HCPCS,J1956,"INJECTION, LEVOFLOXACIN, 250 MG",13.33,13.33,1.59,53.42,192
HCPCS,J2003,"INJECTION, LIDOCAINE HYDROCHLORIDE, 1 MG",25.595,,0.35,111.78,86
HCPCS,J2020,"INJECTION, LINEZOLID, 200 MG",121.0,121.0,4.46,380.14,144
HCPCS,J2060,"INJECTION, LORAZEPAM, 2 MG",12.22,12.22,1.43,36.96,192
HCPCS,J2151,"INJECTION, MANNITOL, 250 MG",99.345,,3.56,415.41,86
HCPCS,J2175,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",17.76,17.76,4.44,55.62,144
HCPCS,J2185,"INJECTION, MEROPENEM, 100 MG",12.03,12.03,0.55,37.84,240
HCPCS,J2186,"INJECTION, MEROPENEM AND VABORBACTAM, 10MG/10MG (20MG)",7.03,2.0,1.89,88.03,62
HCPCS,J2210,"INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG",107.4,107.4,28.89,240.58,48
HCPCS,J2212,"INJECTION, METHYLNALTREXONE, 0.1 MG",6.66,6.66,1.79,14.92,48
HCPCS,J2248,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.415,7.415,0.71,16.62,144
HCPCS,J2250,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",11.88,11.88,0.24,184.8,384
HCPCS,J2260,"INJECTION, MILRINONE LACTATE, 5 MG",11.69,11.69,2.19,70.94,240
HCPCS,J2265,"INJECTION, MINOCYCLINE HYDROCHLORIDE, 1 MG",7.66,2.0,2.06,17.17,51
HCPCS,J2270,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",16.485,16.485,2.22,39.85,192
HCPCS,J2272,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",16.94,,4.44,41.09,139
HCPCS,J2274,"INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG",61.17,61.17,8.55,202.83,96
HCPCS,J2300,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG",16.5,16.5,4.44,36.96,48
HCPCS,J2305,"INJECTION, NITROGLYCERIN, 5 MG",16.34,,1.52,199.93,144
HCPCS,J2312,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",5.32,,0.53,293.44,129
HCPCS,J2327,"INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG",6.27,,1.69,4123.13,59
HCPCS,J2353,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG",869.185,215.0,218.37,4123.13,124
HCPCS,J2354,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",8.915,8.915,1.54,22.06,192
HCPCS,J2360,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG",61.8,61.8,15.46,138.43,48
HCPCS,J2404,"INJECTION, NICARDIPINE, 0.1 MG",2.01,,0.54,4.51,43
HCPCS,J2405,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",2.61,2.61,0.16,38.08,192
HCPCS,J2430,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG",115.215,115.215,19.83,276.64,96
HCPCS,J2440,"INJECTION, PAPAVERINE HCL, UP TO 60 MG",46.43,46.43,12.49,104.01,43
HCPCS,J2470,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",18.54,,2.43,62.83,96
HCPCS,J2501,"INJECTION, PARICALCITOL, 1 MCG",8.32,8.32,1.67,18.64,96
HCPCS,J2506,"INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG",2087.0950000000003,,553.13,4744.18,118
HCPCS,J2515,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG",164.685,164.685,27.51,508.75,108
HCPCS,J2516,"INJECTION, PENTAMIDINE ISETHIONATE, 1 MG",337.06,,3.56,1480.42,86
HCPCS,J2540,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",23.8,23.8,0.45,106.17,192
HCPCS,J2543,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",23.38,23.38,2.01,101.99,144
HCPCS,J2550,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG",16.875,16.875,4.51,38.08,96
HCPCS,J2560,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",104.4,47.0,6.15,344.39,144
HCPCS,J2562,"INJECTION, PLERIXAFOR, 1 MG",11986.68,419.0,37.08,26850.15,64
HCPCS,J2590,"INJECTION, OXYTOCIN, UP TO 10 UNITS",21.64,21.64,4.25,61.6,86
HCPCS,J2597,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG",58.37,8.0,4.95,131.95,124
HCPCS,J2598,"INJECTION, VASOPRESSIN, 1 UNIT",11.14,,2.0,33.26,192
HCPCS,J2679,"INJECTION, FLUPHENAZINE HCL, 1.25 MG",38.04,,10.23,85.2,43
HCPCS,J2680,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG",95.85,95.85,15.17,214.7,48
HCPCS,J2700,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG",9.7,9.7,1.6,26.13,96
HCPCS,J2704,"INJECTION, PROPOFOL, 10 MG",1.2149999999999999,1.2149999999999999,0.15,2.77,144
HCPCS,J2710,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",5.45,5.45,0.44,86.49,129
HCPCS,J2720,"INJECTION, PROTAMINE SULFATE, PER 10 MG",7.775,7.775,1.51,21.75,96
HCPCS,J2760,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG",1765.45,431.0,67.71,3954.61,62
HCPCS,J2765,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG",16.24,16.24,1.57,36.37,48
HCPCS,J2783,"INJECTION, RASBURICASE, 0.5 MG",1233.76,346.0,331.88,2763.62,62
HCPCS,J2785,"INJECTION, REGADENOSON, 0.1 MG",228.94,228.94,5.76,512.82,48
HCPCS,J2790,"INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MICROGRAMS (1500 I.U.)",266.5,266.5,31.47,931.84,118
HCPCS,J2795,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",22.47,22.47,0.12,347.42,192
HCPCS,J2800,"INJECTION, METHOCARBAMOL, UP TO 10 ML",186.45,186.45,13.77,586.88,96
HCPCS,J2802,"INJECTION, ROMIPLOSTIM, 1 MICROGRAM",2491.8199999999997,,6.78,11106.93,98
HCPCS,J2805,"INJECTION, SINCALIDE, 5 MICROGRAMS",306.0,306.0,61.32,685.44,59
HCPCS,J2865,"INJECTION, SULFAMETHOXAZOLE 5 MG AND TRIMETHOPRIM 1 MG",33.52,,9.02,75.09,43
HCPCS,J2916,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG",25.19,25.19,3.63,56.42,48
HCPCS,J2919,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",2.43,,0.34,738.91,235
HCPCS,J2997,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",332.55,92.0,46.87,780.63,186
HCPCS,J3010,"INJECTION, FENTANYL CITRATE, 0.1 MG",16.75,16.75,1.11,187.04,384
HCPCS,J3030,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",140.25,140.25,37.73,314.16,43
HCPCS,J3101,"INJECTION, TENECTEPLASE, 1 MG",584.36,150.0,157.19,4123.13,62
HCPCS,J3105,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG",16.5,16.5,4.44,36.96,48
HCPCS,J3230,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG",102.225,102.225,20.46,287.61,96
HCPCS,J3240,"INJECTION, THYROTROPIN ALPHA, 0.9 MG, PROVIDED IN 1.1 MG VIAL",6437.0,2006.0,528.45,14418.88,64
HCPCS,J3243,"INJECTION, TIGECYCLINE, 1 MG",8.24,8.24,0.99,18.45,48
HCPCS,J3246,"INJECTION, TIROFIBAN HCL, 0.25 MG",18.93,4.0,5.09,42.4,59
HCPCS,J3250,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG",167.75,167.75,45.12,375.76,48
HCPCS,J3260,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",7.4,7.4,0.36,1478.4,240
HCPCS,J3290,"INJECTION, TRANEXAMIC ACID, 5 MG",47.49,,12.77,106.37,43
HCPCS,J3291,"INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG",82.85,,22.19,186.37,86
HCPCS,J3301,"INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG",9.0,9.0,1.75,21.46,96
HCPCS,J3360,"INJECTION, DIAZEPAM, UP TO 5 MG",54.55,54.55,9.26,122.19,48
HCPCS,J3373,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",13.32,,0.33,209.44,344
HCPCS,J3374,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.95,,0.3,104.72,215
HCPCS,J3379,"INJECTION, VALPROATE SODIUM, 5 MG",32.505,,0.48,141.62,86
HCPCS,J3380,"INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG",96.05,23.0,21.67,4123.13,62
HCPCS,J3410,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG",8.08,8.08,0.74,30.07,96
HCPCS,J3411,"INJECTION, THIAMINE HCL, 100 MG",24.365,24.365,3.3,69.62,96
HCPCS,J3415,"INJECTION, PYRIDOXINE HCL, 100 MG",65.65,65.65,17.15,147.06,48
HCPCS,J3420,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG",22.2,22.2,1.89,61.38,144
HCPCS,J3430,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",19.19,19.19,1.03,199.58,144
HCPCS,J3465,"INJECTION, VORICONAZOLE, 10 MG",29.69,29.69,1.18,133.01,144
HCPCS,J3470,"INJECTION, HYALURONIDASE, UP TO 150 UNITS",221.0,221.0,59.45,495.04,54
HCPCS,J3475,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",6.244999999999999,6.244999999999999,0.33,92.4,384
HCPCS,J3480,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",4.24,4.24,0.19,184.8,816
HCPCS,J3485,"INJECTION, ZIDOVUDINE, 10 MG",3.6,3.6,0.97,8.07,48
HCPCS,J3486,"INJECTION, ZIPRASIDONE MESYLATE, 10 MG",93.08,93.08,13.74,208.49,48
HCPCS,J3489,"INJECTION, ZOLEDRONIC ACID, 1 MG",435.6,435.6,9.73,1397.09,144
HCPCS,J3490,UNCLASSIFIED DRUGS,19.365000000000002,19.365000000000002,0.28,1543.47,779
HCPCS,J3590,UNCLASSIFIED BIOLOGICS,28755.6,28755.6,7735.26,64412.54,50
HCPCS,J7030,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC",82.47,82.47,4.57,184.8,96
HCPCS,J7040,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT)",82.52,82.52,2.29,184.83,48
HCPCS,J7042,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),61.875,61.875,1.97,184.8,96
HCPCS,J7050,"INFUSION, NORMAL SALINE SOLUTION, 250 CC",82.875,82.875,1.14,186.2,96
HCPCS,J7051,BACTERIOSTATIC SALINE VIAL,7.55,7.55,2.03,16.92,43
HCPCS,J7051,sodium chloride 0.9% P/F 10 mL Inj vial,13.86,13.86,3.73,31.05,43
HCPCS,J7060,5% DEXTROSE/WATER (500 ML = 1 UNIT),101.1,101.1,2.85,234.22,144
HCPCS,J7070,"INFUSION, D5W, 1000 CC",83.75,83.75,5.71,190.4,144
HCPCS,J7100,"INFUSION, DEXTRAN 40, 500 ML",108.7,108.7,29.24,243.49,43
HCPCS,J7120,"RINGERS LACTATE INFUSION, UP TO 1000 CC",82.5,82.5,4.17,184.8,96
HCPCS,J7121,"5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC",82.5,82.5,22.19,184.8,43
HCPCS,J7131,"HYPERTONIC SALINE SOLUTION, 1 ML",50.15,50.15,4.79,184.8,86
HCPCS,J7168,"PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY",11.78,2.0,2.21,1487.55,62
HCPCS,J7177,"INJECTION, HUMAN FIBRINOGEN CONCENTRATE (FIBRYGA), 1 MG",4.36,4.36,1.11,1045.04,62
HCPCS,J7186,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.",5.81,1.0,1.2,3435.91,62
HCPCS,J7189,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NOVOSEVEN RT), 1 MICROGRAM",9.24,2.0,2.49,4123.13,124
HCPCS,J7195,"INJECTION, FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER IU, NOT OTHERWISE SPECIFIED",5.41,2.0,1.46,4123.13,62
HCPCS,J7197,"ANTITHROMBIN III (HUMAN), PER I.U.",16.63,4.0,3.96,4123.13,62
HCPCS,J7209,"INJECTION, FACTOR VIII, (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NUWIQ), 1 I.U.",5.66,1.0,1.24,3435.91,62
HCPCS,J7297,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",3430.2749999999996,3430.2749999999996,265.12,7871.25,122
HCPCS,J7300,INTRAUTERINE COPPER CONTRACEPTIVE (PARAGARD),945.0,957.5,61.32,3673.6,115
HCPCS,J7307,"ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES",6937.85,6937.85,265.12,15541.12,122
HCPCS,J7323,"HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE",1428.1,136.0,67.71,3198.94,62
HCPCS,J7325,"HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG",112.99,11.0,9.16,253.11,62
HCPCS,J7326,"HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE",4554.0,513.0,79.49,10200.96,64
HCPCS,J7327,"HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE",5940.0,788.0,265.12,13305.6,64
HCPCS,J7500,"AZATHIOPRINE, ORAL, 50 MG",3.85,3.85,0.62,54.21,144
HCPCS,J7502,"CYCLOSPORINE, ORAL, 100 MG",21.685000000000002,21.685000000000002,3.72,56.45,96
HCPCS,J7503,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.86,3.86,1.04,8.66,144
HCPCS,J7504,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG",9069.64,2897.0,2439.73,20316.0,64
HCPCS,J7507,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",23.9,23.9,0.4,55.22,240
HCPCS,J7509,"METHYLPREDNISOLONE ORAL, PER 4 MG",5.04,5.04,0.41,16.02,96
HCPCS,J7510,"PREDNISOLONE ORAL, PER 5 MG",2.0949999999999998,2.0949999999999998,0.41,4.76,96
HCPCS,J7511,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25 MG",2995.2,940.0,632.62,8150.62,126
HCPCS,J7512,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",4.225,4.225,0.02,22.12,192
HCPCS,J7515,"CYCLOSPORINE, ORAL, 25 MG",4.55,4.55,1.22,10.19,48
HCPCS,J7516,"INJECTION, CYCLOSPORINE, 250 MG",171.28,171.28,46.07,383.66,43
HCPCS,J7517,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG",7.515,7.515,0.28,29.34,96
HCPCS,J7518,"MYCOPHENOLIC ACID, ORAL, 180 MG",19.425,19.425,0.64,43.68,96
HCPCS,J7520,"SIROLIMUS, ORAL, 1 MG",56.3,56.3,2.27,159.14,144
HCPCS,J7525,"TACROLIMUS, PARENTERAL, 5 MG",75.735,243.0,17.93,254.67,124
HCPCS,J7527,"EVEROLIMUS, ORAL, 0.25 MG",49.785,49.785,3.74,156.35,96
HCPCS,J7528,"MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG",32.555,,7.47,83.68,86
HCPCS,J7608,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",41.85,41.85,5.92,110.66,144
HCPCS,J7611,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG",1.91,1.91,0.29,4.29,48
HCPCS,J7613,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",4.0,4.0,0.08,11.2,240
HCPCS,J7620,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME",6.475,6.475,0.32,15.68,96
HCPCS,J7626,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG",33.885000000000005,33.885000000000005,2.02,81.98,96
HCPCS,J7639,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",156.31,156.31,42.05,350.13,59
HCPCS,J7644,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",4.07,4.07,0.64,9.11,48
HCPCS,J7682,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS",466.5,466.5,28.96,1044.96,48
HCPCS,J7999,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",3.0700000000000003,3.0700000000000003,0.33,44.35,215
HCPCS,J8499,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS",3.85,3.85,1.04,8.62,43
HCPCS,J8515,"CABERGOLINE, ORAL, 0.25 MG",60.5,60.5,16.27,135.52,48
HCPCS,J8522,"CAPECITABINE, ORAL, 50 MG",12.91,,3.47,28.92,43
HCPCS,J8530,"CYCLOPHOSPHAMIDE; ORAL, 25 MG",28.35,28.35,1.64,63.5,48
HCPCS,J8540,"DEXAMETHASONE, ORAL, 0.25 MG",4.1,4.1,0.12,9.75,192
HCPCS,J8597,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",8.275,8.275,1.04,27.88,258
HCPCS,J8610,"METHOTREXATE; ORAL, 2.5 MG",11.7,11.7,0.41,26.21,48
HCPCS,J9000,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG",23.64,23.64,5.55,52.95,48
HCPCS,J9025,"INJECTION, AZACITIDINE, 1 MG",7.92,1.0,0.74,35.26,59
HCPCS,J9035,"INJECTION, BEVACIZUMAB, 10 MG",783.2,73.0,73.19,2815.74,124
HCPCS,J9040,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS",110.0,110.0,29.59,246.4,48
HCPCS,J9041,"INJECTION, BORTEZOMIB, 0.1 MG",33.94,41.0,9.13,109.84,59
HCPCS,J9045,"INJECTION, CARBOPLATIN, 50 MG",26.57,26.57,6.27,59.53,48
HCPCS,J9047,"INJECTION, CARFILZOMIB, 1 MG",85.0,46.0,22.87,1045.04,62
HCPCS,J9055,"INJECTION, CETUXIMAB, 10 MG",293.51,72.0,77.1,1487.55,62
HCPCS,J9060,"INJECTION, CISPLATIN, POWDER OR SOLUTION, 10 MG",20.98,20.98,5.64,46.99,48
HCPCS,J9063,"INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG",251.24,,67.58,11429.68,59
HCPCS,J9075,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",14.05,,3.66,32.48,144
HCPCS,J9100,"INJECTION, CYTARABINE, 100 MG",89.58,89.58,1.3,200.66,48
HCPCS,J9118,"INJECTION, CALASPARGASE PEGOL-MKNL, 10 UNITS",264.35,264.35,71.11,5657.35,59
HCPCS,J9119,"INJECTION, CEMIPLIMAB-RWLC, 1 MG",113.12,28.0,28.21,4123.13,62
HCPCS,J9120,"INJECTION, DACTINOMYCIN, 0.5 MG",5693.78,580.0,324.8,12754.06,64
HCPCS,J9130,"DACARBAZINE, 100 MG",32.3,32.3,6.12,72.35,48
HCPCS,J9144,"INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ",200.61,49.0,51.39,3435.91,62
HCPCS,J9150,"INJECTION, DAUNORUBICIN, 10 MG",262.81,48.0,23.52,588.7,62
HCPCS,J9171,"INJECTION, DOCETAXEL, 1 MG",60.25,60.25,1.47,134.96,59
HCPCS,J9173,"INJECTION, DURVALUMAB, 10 MG",294.62,81.0,79.25,1487.55,62
HCPCS,J9181,"INJECTION, ETOPOSIDE, 10 MG",7.28,7.28,1.92,16.32,48
HCPCS,J9185,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG",235.25,235.25,63.28,526.96,51
HCPCS,J9190,"INJECTION, FLUOROURACIL, 500 MG",12.54,12.54,3.37,28.1,48
HCPCS,J9201,"INJECTION, GEMCITABINE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 200 MG",36.6,36.6,5.6,81.98,48
HCPCS,J9202,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG",3410.35,596.0,528.45,7639.18,64
HCPCS,J9206,"INJECTION, IRINOTECAN, 20 MG",49.5,49.5,4.61,110.88,48
HCPCS,J9208,"INJECTION, IFOSFAMIDE, 1 GRAM",208.55,208.55,43.72,467.14,48
HCPCS,J9209,"INJECTION, MESNA, 200 MG",40.82,40.82,3.03,99.99,144
HCPCS,J9210,"INJECTION, EMAPALUMAB-LZSG, 1 MG",1337.3,391.0,359.73,19217.89,62
HCPCS,J9217,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG",6999.1,173.0,180.79,15677.98,64
HCPCS,J9220,"INJECTION, INDIGOTINDISULFONATE SODIUM, 1 MG",1584.0,,426.1,3548.16,48
HCPCS,J9245,"INJECTION, MELPHALAN HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 50 MG",1038.56,309.0,133.69,2326.38,62
HCPCS,J9260,"INJECTION, METHOTREXATE SODIUM, 50 MG",10.0,10.0,1.17,105.6,144
HCPCS,J9263,"INJECTION, OXALIPLATIN, 0.5 MG",356.6,356.6,0.13,798.78,48
HCPCS,J9264,"INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG",62.57,13.0,13.54,1045.04,62
HCPCS,J9266,"INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL",80548.9,24548.0,8792.06,180429.54,64
HCPCS,J9271,"INJECTION, PEMBROLIZUMAB, 1 MG",215.76,57.0,57.6,5657.35,62
HCPCS,J9272,"INJECTION, DOSTARLIMAB-GXLY, 10 MG",821.26,,220.92,5657.35,59
HCPCS,J9273,"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG",582.62,,156.72,11429.68,59
HCPCS,J9282,"MITOMYCIN, INTRAVESICAL INSTILLATION, 1 MG",583.96,,157.08,1308.06,48
HCPCS,J9299,"INJECTION, NIVOLUMAB, 1 MG",110.21,31.0,29.65,4123.13,62
HCPCS,J9303,"INJECTION, PANITUMUMAB, 10 MG",621.51,145.0,165.71,3435.91,62
HCPCS,J9305,"INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG",11.88,50.0,3.2,1045.04,62
HCPCS,J9306,"INJECTION, PERTUZUMAB, 1 MG",59.75,15.0,16.07,3435.91,62
HCPCS,J9312,"INJECTION, RITUXIMAB, 10 MG",372.05,86.0,76.73,3435.91,124
HCPCS,J9317,"INJECTION, SACITUZUMAB GOVITECAN-HZIY, 2.5 MG",110.66,33.0,29.77,971.92,62
HCPCS,J9351,"INJECTION, TOPOTECAN, 0.1 MG",33.21,33.21,1.59,74.4,48
HCPCS,J9353,"INJECTION, MARGETUXIMAB-CMKB, 5 MG",182.51,46.0,49.09,3435.91,62
HCPCS,J9354,"INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG",148.19,37.0,39.86,3435.91,62
HCPCS,J9358,"INJECTION, FAM-TRASTUZUMAB DERUXTECAN-NXKI, 1 MG",93.67,26.0,25.2,1487.55,62
HCPCS,J9360,"INJECTION, VINBLASTINE SULFATE, 1 MG",5.82,5.82,1.57,13.04,48
HCPCS,J9370,"VINCRISTINE SULFATE, 1 MG",73.33500000000001,73.33500000000001,14.43,205.33,96
HCPCS,J9395,"INJECTION, FULVESTRANT, 25 MG",168.3,12.0,6.66,376.99,62
HCPCS,J9999,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS",3.85,3.85,1.04,8.62,86
HCPCS,L0200,"CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL BARS, AND THORACIC EXTENSION",683.0,751.3,293.69,1157.17,48
HCPCS,L0472,"TLSO, TRIPLANAR CONTROL, HYPEREXTENSION, RIGID ANTERIOR AND LATERAL FRAME EXTENDS FROM SYMPHYSIS PUBIS TO STERNAL NOTCH WITH TWO ANTERIOR COMPONENTS (ONE PUBIC AND ONE STERNAL), POSTERIOR AND LATERAL ",609.0,669.9,261.87,1031.86,48
HCPCS,L0628,"LUMBAR-SACRAL ORTHOSIS, FLEXIBLE, PROVIDES LUMBO-SACRAL SUPPORT, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DI",119.0,130.9,51.17,130.9,48
HCPCS,L0630,"LUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID POSTERIOR PANEL(S), POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERT",230.0,253.0,98.9,390.14,48
HCPCS,L1200,"THORACIC-LUMBAR-SACRAL-ORTHOSIS (TLSO), INCLUSIVE OF FURNISHING INITIAL ORTHOSIS ONLY",2300.0,2530.0,989.0,3894.21,48
HCPCS,L1620,"HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (PAVLIK HARNESS), PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN IN",189.0,207.9,81.27,323.95,48
HCPCS,L1830,"KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF",60.0,66.0,25.8,150.6,48
HCPCS,L1833,"KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC), POSITIONAL ORTHOSIS, RIGID SUPPORT, PREFABRICATED, OFF-THE SHELF",1073.0,1180.3,445.05,1180.3,48
HCPCS,L3650,"SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, OFF-THE-SHELF",62.0,68.2,26.66,131.25,96
HCPCS,L3808,"WRIST HAND FINGER ORTHOSIS, RIGID WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENT",428.0,470.8,184.04,732.4,48
HCPCS,L3980,"UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",400.0,440.0,172.0,677.88,96
HCPCS,L3982,"UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",495.0,544.5,212.85,837.49,144
HCPCS,L4386,"WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PA",642.0,706.2,156.71,706.2,48
HCPCS,L8500,"ARTIFICIAL LARYNX, ANY TYPE",7875.0,8662.5,646.36,8662.5,50
HCPCS,L8509,"TRACHEO-ESOPHAGEAL VOICE PROSTHESIS, INSERTED BY A LICENSED HEALTH CARE PROVIDER, ANY TYPE",250.0,275.0,107.5,275.0,100
HCPCS,L8600,"IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL",1916.0,2107.6,598.13,2227.5,400
HCPCS,L8604,"INJECTABLE BULKING AGENT, DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT, URINARY TRACT, 1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",5078.5,5586.35,1976.28,10843.95,100
HCPCS,L8606,"INJECTABLE BULKING AGENT, SYNTHETIC IMPLANT, URINARY TRACT, 1 ML SYRINGE, INCLUDES SHIPPING AND NECESSARY SUPPLIES",1412.0,1553.2,225.47,2214.3,100
HCPCS,L8607,"INJECTABLE BULKING AGENT FOR VOCAL CORD MEDIALIZATION, 0.1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES",1142.0,1256.2,42.5,1309.0,100
HCPCS,L8613,OSSICULA IMPLANT,491.0,540.1,131.15,1180.3,600
HCPCS,L8614,"COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",46988.0,51686.8,7574.24,77385.0,250
HCPCS,L8630,METACARPOPHALANGEAL JOINT IMPLANT,1998.385,2198.2250000000004,329.97,2335.3,200
HCPCS,L8641,METATARSAL JOINT IMPLANT,1998.5,2198.35,358.14,2198.35,100
HCPCS,L8658,"INTERPHALANGEAL JOINT SPACER, SILICONE OR EQUAL, EACH",2273.0,2500.3,307.23,2500.3,50
HCPCS,L8670,"VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT",1177.0,1294.6999999999998,107.5,8873.7,2000
HCPCS,L8689,"EXTERNAL RECHARGING SYSTEM FOR BATTERY (INTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR, REPLACEMENT ONLY",3150.0,3465.0,1354.5,4164.24,49
HCPCS,L8690,"AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS",3071.0,3378.1,998.89,11484.54,150
HCPCS,L8691,"AUDITORY OSSEOINTEGRATED DEVICE, EXTERNAL SOUND PROCESSOR, EXCLUDES TRANSDUCER/ACTUATOR, REPLACEMENT ONLY, EACH",6913.0,7604.3,1705.67,7604.3,50
HCPCS,L8699,"PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIED",2012.0,2213.2,206.83,8197.8,150
HCPCS,L9900,"ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS ""L"" CODE",120.0,132.0,51.6,234.0,50
HCPCS,M0249,"INTRAVENOUS INFUSION, TOCILIZUMAB, FOR HOSPITALIZED ADULTS AND PEDIATRIC PATIENTS (2 YEARS OF AGE AND OLDER) WITH COVID-19 WHO ARE RECEIVING SYSTEMIC CORTICOSTEROIDS AND REQUIRE SUPPLEMENTAL OXYGEN, N",691.0,469.0,37.0,1347.45,57
HCPCS,M0250,"INTRAVENOUS INFUSION, TOCILIZUMAB, FOR HOSPITALIZED ADULTS AND PEDIATRIC PATIENTS (2 YEARS OF AGE AND OLDER) WITH COVID-19 WHO ARE RECEIVING SYSTEMIC CORTICOSTEROIDS AND REQUIRE SUPPLEMENTAL OXYGEN, N",691.0,469.0,37.0,1347.45,57
HCPCS,NOCOV,FAMILY THERAPY 15 MIN,160.0,160.0,43.04,312.0,45
HCPCS,NOCOV,GROUP THERAPY 15 MIN.,160.0,160.0,43.04,312.0,44
HCPCS,P9010,"BLOOD (WHOLE), FOR TRANSFUSION, PER UNIT",445.0,159.0,63.58,867.75,57
HCPCS,P9011,"BLOOD, SPLIT UNIT",467.0,157.0,63.58,910.65,57
HCPCS,P9012,"CRYOPRECIPITATE, EACH UNIT",306.38,85.0,48.42,999.92,171
HCPCS,P9016,"RED BLOOD CELLS, LEUKOCYTES REDUCED, EACH UNIT",431.0,200.0,63.58,840.45,57
HCPCS,P9017,"FRESH FROZEN PLASMA (SINGLE DONOR), FROZEN WITHIN 8 HOURS OF COLLECTION, EACH UNIT",174.0,88.0,46.81,417.0,114
HCPCS,P9021,"RED BLOOD CELLS, EACH UNIT",414.0,146.0,63.58,807.3,57
HCPCS,P9022,"RED BLOOD CELLS, WASHED, EACH UNIT",565.0,404.0,151.99,1101.75,57
HCPCS,P9026,"CRYOPRECIPITATED FIBRINOGEN COMPLEX, PATHOGEN REDUCED, EACH UNIT",1023.46,85.0,63.58,1995.75,57
HCPCS,P9031,"PLATELETS, LEUKOCYTES REDUCED, EACH UNIT",521.46,159.0,140.27,1016.85,57
HCPCS,P9033,"PLATELETS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",568.43,227.0,152.91,1108.44,57
HCPCS,P9035,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, EACH UNIT",821.5699999999999,517.0,177.58,1916.85,114
HCPCS,P9037,"PLATELETS, PHERESIS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",1080.0,656.0,187.28,2176.2,114
HCPCS,P9038,"RED BLOOD CELLS, IRRADIATED, EACH UNIT",510.0,180.0,63.58,994.5,57
HCPCS,P9039,"RED BLOOD CELLS, DEGLYCEROLIZED, EACH UNIT",1054.0,464.0,63.58,2055.3,57
HCPCS,P9040,"RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT",637.0,277.0,63.58,1242.15,57
HCPCS,P9041,"INFUSION, ALBUMIN (HUMAN), 5%, 50 ML",129.1,11.0,34.73,289.18,59
HCPCS,P9044,"PLASMA, CRYOPRECIPITATE REDUCED, EACH UNIT",196.0,70.0,51.11,417.0,171
HCPCS,P9045,"INFUSION, ALBUMIN (HUMAN), 5%, 250 ML",356.52,55.0,53.08,798.87,124
HCPCS,P9046,"INFUSION, ALBUMIN (HUMAN), 25%, 20 ML",108.9,22.0,21.23,243.94,62
HCPCS,P9047,"INFUSION, ALBUMIN (HUMAN), 25%, 50 ML",188.745,55.0,49.01,437.44,118
HCPCS,P9050,"GRANULOCYTES, PHERESIS, EACH UNIT",3325.0,3325.0,187.28,6483.75,59
HCPCS,P9073,"PLATELETS, PHERESIS, PATHOGEN-REDUCED, EACH UNIT",931.0,621.0,187.28,1815.45,57
HCPCS,P9612,"CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE",14.0,14.0,2.69,1748.0,360
HCPCS,Q0144,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM",24.0,24.0,6.46,53.76,43
HCPCS,Q0161,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",2.795,2.795,0.55,9.25,172
HCPCS,Q0162,"ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE ",19.19,19.19,0.02,42.99,48
HCPCS,Q0163,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A ",3.85,3.85,1.04,8.62,43
HCPCS,Q0164,"PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 4",4.15,4.15,0.79,11.98,86
HCPCS,Q0167,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",28.475,28.475,4.57,85.57,96
HCPCS,Q0169,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEE",2.89,2.89,0.52,8.62,86
HCPCS,Q0175,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",6.550000000000001,6.550000000000001,1.6,16.02,129
HCPCS,Q0177,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HO",3.85,3.85,1.04,8.62,86
HCPCS,Q0477,"POWER MODULE PATIENT CABLE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",2144.0,2358.4,768.43,2358.4,48
HCPCS,Q0479,"POWER MODULE FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",14817.6,16299.36,6020.0,28928.33,150
HCPCS,Q0481,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",9906.05,10896.654999999999,4138.75,35079.88,150
HCPCS,Q0482,"MICROPROCESSOR CONTROL UNIT FOR USE WITH ELECTRIC/PNEUMATIC COMBINATION VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",25874.0,28461.4,4507.77,28461.4,50
HCPCS,Q0495,"BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",12967.92,14264.71,4137.1,14669.6,200
HCPCS,Q0497,"BATTERY CLIPS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1019.0,1120.9,438.05,2117.5,144
HCPCS,Q0501,"SHOWER COVER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",788.0,866.8,338.84,1232.89,96
HCPCS,Q0506,"BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY",1158.0,1273.8,497.78,4812.5,146
HCPCS,Q0508,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE,9168.0,10084.8,120.4,17878.36,196
HCPCS,Q2009,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT",52.81,52.81,10.65,147.87,96
HCPCS,Q2026,"INJECTION, RADIESSE, 0.1 ML",1229.625,1352.5900000000001,519.44,2439.94,100
HCPCS,Q4081,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,236
HCPCS,Q4101,"APLIGRAF, PER SQUARE CENTIMETER",1154.5,1266.05,20.98,4350.45,93
HCPCS,Q4104,"INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQUARE CENTIMETER",12516.5,13768.15,428.28,50986.65,400
HCPCS,Q4105,"INTEGRA DERMAL REGENERATION TEMPLATE (DRT) OR INTEGRA OMNIGRAFT DERMAL REGENERATION MATRIX, PER SQUARE CENTIMETER",8916.0,9807.6,2315.12,29550.3,150
HCPCS,Q4107,"GRAFTJACKET, PER SQUARE CENTIMETER",4433.5,4876.85,738.31,11811.15,400
HCPCS,Q4108,"INTEGRA MATRIX, PER SQUARE CENTIMETER",7980.0,8778.0,1879.53,25447.5,200
HCPCS,Q4110,"PRIMATRIX, PER SQUARE CENTIMETER",3985.0,4383.5,778.3,17267.25,250
HCPCS,Q4114,"INTEGRA FLOWABLE WOUND MATRIX, INJECTABLE, 1 CC",8784.0,9662.4,3777.12,17128.8,50
HCPCS,Q4116,"ALLODERM, PER SQUARE CENTIMETER",3495.0,3844.5,33.11,38920.05,1795
HCPCS,Q4117,"HYALOMATRIX, PER SQUARE CENTIMETER",5034.0,5537.4,200.81,28354.95,450
HCPCS,Q4118,"MATRISTEM MICROMATRIX, 1 MG",1315.0,1446.5,209.41,8143.2,243
HCPCS,Q4121,"THERASKIN, PER SQUARE CENTIMETER",4003.0,4403.3,812.7,11926.2,100
HCPCS,Q4122,"DERMACELL, DERMACELL AWM OR DERMACELL AWM POROUS, PER SQUARE CENTIMETER",2193.0,2412.3,825.6,4808.7,100
HCPCS,Q4125,"ARTHROFLEX, PER SQUARE CENTIMETER",2929.0,3221.9,993.3,6918.6,100
HCPCS,Q4128,"FLEX HD, OR ALLOPATCH HD, PER SQUARE CENTIMETER",2047.0,2251.7,880.21,3991.65,50
HCPCS,Q4130,"STRATTICE TM, PER SQUARE CENTIMETER",21767.0,23943.7,2995.81,78682.5,800
HCPCS,Q4137,"AMNIOEXCEL, AMNIOEXCEL PLUS OR BIODEXCEL, PER SQUARE CENTIMETER",8861.0,9747.099999999999,2603.22,22752.6,150
HCPCS,Q4138,"BIODFENCE DRYFLEX, PER SQUARE CENTIMETER",6375.74,7013.31,2741.57,12432.69,50
HCPCS,Q4140,"BIODFENCE, PER SQUARE CENTIMETER",7386.0,8124.6,2798.69,18097.95,150
HCPCS,Q4151,"AMNIOBAND OR GUARDIAN, PER SQUARE CENTIMETER",4328.0,4760.799999999999,476.87,26771.06,300
HCPCS,Q4154,"BIOVANCE, PER SQUARE CENTIMETER",11375.5,12513.05,4703.34,23035.35,100
HCPCS,Q4157,"REVITALON, PER SQUARE CENTIMETER",5059.0,5564.9,2175.37,9865.05,50
HCPCS,Q4158,"KERECIS OMEGA3, PER SQUARE CENTIMETER",7166.0,7882.6,1369.55,24454.95,200
HCPCS,Q4160,"NUSHIELD, PER SQUARE CENTIMETER",2876.25,3163.875,599.85,8497.13,100
HCPCS,Q4166,"CYTAL, PER SQUARE CENTIMETER",2088.0,2296.8,226.61,15401.1,350
HCPCS,Q4168,"AMNIOBAND, 1 MG",4200.0,4620.0,1806.0,8190.0,50
HCPCS,Q4170,"CYGNUS, PER SQUARE CENTIMETER",4503.5,4953.85,1885.98,11801.4,250
HCPCS,Q4171,"INTERFYL, 1 MG",4023.0,4425.3,1729.89,7844.85,50
HCPCS,Q4177,"FLOWERAMNIOFLO, 0.1 CC",3719.0,4090.9,1599.17,7252.05,50
HCPCS,Q4178,"FLOWERAMNIOPATCH, PER SQUARE CENTIMETER",3115.5,3427.05,805.39,8498.1,100
HCPCS,Q4195,"PURAPLY, PER SQUARE CENTIMETER",8978.0,9875.8,2107.0,18981.3,150
HCPCS,Q4196,"PURAPLY AM, PER SQUARE CENTIMETER",1615.5,1777.05,83.85,20270.25,300
HCPCS,Q4199,"CYGNUS MATRIX, PER SQUARE CENTIMETER",3063.0,3369.3,1317.09,5972.85,50
HCPCS,Q4432,"510(K) SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",1443.0,1587.3,263.16,5616.0,350
HCPCS,Q4433,"361 HCT/P SKIN SUBSTITUTE PRODUCT, NOT OTHERWISE SPECIFIED (LIST IN ADDITION TO PRIMARY PROCEDURE)",3773.0,4150.3,918.05,14381.25,650
HCPCS,Q5101,"INJECTION, FILGRASTIM-SNDZ, BIOSIMILAR, (ZARXIO), 1 MICROGRAM",871.01,871.01,0.36,3894.02,124
HCPCS,Q5103,"INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG",374.65,32.0,11.55,839.21,62
HCPCS,Q5104,"INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR, (RENFLEXIS), 10 MG",2983.43,51.0,26.26,6682.89,62
HCPCS,Q5105,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,248
HCPCS,Q5106,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.675,8.0,5.2,103.34,372
HCPCS,Q5107,"INJECTION, BEVACIZUMAB-AWWB, BIOSIMILAR, (MVASI), 10 MG",276.25,32.0,28.73,686.99,62
HCPCS,Q5108,"INJECTION, PEGFILGRASTIM-JMDB (FULPHILA), BIOSIMILAR, 0.5 MG",1377.75,147.0,125.3,3086.16,62
HCPCS,Q5110,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,186
HCPCS,Q5114,"INJECTION, TRASTUZUMAB-DKST, BIOSIMILAR, (OGIVRI), 10 MG",245.44,47.0,51.84,1487.55,62
HCPCS,Q5115,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,186
HCPCS,Q5116,"INJECTION, TRASTUZUMAB-QYYP, BIOSIMILAR, (TRAZIMERA), 10 MG",319.38,42.0,18.97,1487.55,62
HCPCS,Q5117,"INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG",355.57,34.0,34.69,1045.04,62
HCPCS,Q5118,"INJECTION, BEVACIZUMAB-BVZR, BIOSIMILAR, (ZIRABEV), 10 MG",241.92,40.0,23.0,686.99,62
HCPCS,Q5119,"INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG",283.85,41.0,23.59,1487.55,62
HCPCS,Q5121,"INJECTION, INFLIXIMAB-AXXQ, BIOSIMILAR, (AVSOLA), 10 MG",198.0,38.0,19.83,443.52,62
HCPCS,Q9950,"INJECTION, SULFUR HEXAFLUORIDE LIPID MICROSPHERES, PER ML",32.54,32.54,8.75,72.89,43
HCPCS,Q9957,"INJECTION, PERFLUTREN LIPID MICROSPHERES, PER ML",112.5,112.5,20.18,336.0,129
HCPCS,Q9963,"HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML",2.745,2.745,0.62,7.15,86
HCPCS,Q9967,"LOW OSMOLAR CONTRAST MATERIAL, 300-399 MG/ML IODINE CONCENTRATION, PER ML",34.0,34.0,9.15,66.3,43
HCPCS,Q9968,"INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG",44.135,8.0,2.22,156.04,102
HCPCS,S0077,"INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG",5.05,5.05,1.36,11.31,43
HCPCS,S0090,"SILDENAFIL CITRATE, 25 MG",131.555,131.555,15.63,459.24,95
HCPCS,S0104,"ZIDOVUDINE, ORAL, 100 MG",3.88,3.88,1.04,8.7,45
HCPCS,S0109,"METHADONE, ORAL, 5 MG",2.87,2.87,0.32,8.62,270
HCPCS,S0136,"CLOZAPINE, 25 MG",5.55,5.55,1.49,12.43,50
HCPCS,S0142,"COLISTIMETHATE SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MG",84.11,84.11,22.62,164.0,56
HCPCS,S0164,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",82.5,82.5,22.19,184.8,43
HCPCS,S0170,"ANASTROZOLE, ORAL, 1 MG",43.95,43.95,11.82,98.45,45
HCPCS,S0171,"INJECTION, BUMETANIDE, 0.5 MG",5.18,5.18,0.53,36.96,172
HCPCS,S0176,"HYDROXYUREA, ORAL, 500 MG",5.465,5.465,0.93,16.68,95
HCPCS,S0179,"MEGESTROL ACETATE, ORAL, 20 MG",1.645,1.645,0.27,5.1,90
HCPCS,S0197,"PRENATAL VITAMINS, 30-DAY SUPPLY",3.85,3.85,1.04,7.51,45
HCPCS,S9083,GLOBAL FEE URGENT CARE CENTERS,1010.5,1010.5,72.0,4145.7,980
HCPCS,T1007,"ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION",178.5,178.5,42.77,970.0,668
HCPCS,T1015,"CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE",289.5,289.5,55.68,3506.0,340
HCPCS,T1016,"CASE MANAGEMENT, EACH 15 MINUTES",72.0,72.0,19.37,675.0,59
HCPCS,T1017,"TARGETED CASE MANAGEMENT, EACH 15 MINUTES",18.0,18.0,4.84,100.91,168
HCPCS,U0002,"2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC",75.0,75.0,4.04,2119.0,256
HCPCS,V2790,"AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE",3441.0,3785.1,714.23,8531.25,150
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,1271475.42,193916.73,100000.0,6888773.56,58
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,1742218.21,300416.73,88355.06,1306663.66,58
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",978190.49,138517.2,165494.79,978190.49,64
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",531192.48,131017.2,108000.61,531192.48,64
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,862252.56,75107.4,80391.9,932490.07,59
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,374853.11,60107.4,36155.11,327523.0,58
MS-DRG,007,LUNG TRANSPLANT,728707.74,93487.2,100973.87,1471084.81,58
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,657545.14,44163.6,43699.57,493158.85,58
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",333122.58,41429.2,42526.11,266498.06,64
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",295795.78,43679.2,32872.53,236636.62,64
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",114466.72,30179.2,22469.65,114466.72,64
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,684668.34,96655.2,93000.0,1266898.82,58
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,586874.4,70783.8,46234.4,440155.8,58
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,321785.47,59533.8,37724.66,241339.1,58
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,746453.13,63570.0,51672.87,597162.5,58
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,357703.44,67275.2,61353.74,357703.44,64
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,285056.47,56025.2,41276.24,252403.09,64
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,119129.03,50025.2,23976.83,119129.03,64
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,273402.55,46985.4,44679.66,273214.97,64
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,146922.15,36485.4,30501.44,146922.15,64
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,207292.56,33987.2,315.0,207292.56,68
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,151392.02,27237.2,315.0,148243.55,68
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,115329.64,27237.2,19671.28,115329.64,64
MS-DRG,028,SPINAL PROCEDURES WITH MCC,246476.91,40036.4,46847.26,246476.91,64
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,133622.31,31786.4,26600.55,133622.31,64
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,102793.47,29536.4,17116.17,102793.47,64
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,220230.42,24221.6,34934.86,213625.76,64
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,118529.44,21971.6,16615.6,101603.95,64
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,82930.12,22721.6,12965.78,79285.41,64
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,224264.6,27920.0,30180.2,184551.11,64
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,100807.4,21170.0,17500.03,100807.4,64
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,73800.13,20420.0,15148.19,73800.13,64
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,104559.95,19344.4,25668.8,104559.95,64
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,118743.77,19344.4,12651.56,94995.01,64
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,78798.08,17844.4,9165.48,63038.46,64
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",166724.81,23718.4,315.0,166724.81,68
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",87621.11,22218.4,17143.46,87621.11,64
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",86691.78,23718.4,13471.03,82375.01,64
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,62638.09,13131.0,1575.0,62638.09,68
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,68856.21,11657.4,11905.38,68856.21,64
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,42435.37,10907.4,7949.91,82000.37,64
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,107798.48,22516.2,3150.0,107798.48,68
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,75787.03,21766.2,775.0,61772.91,79
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,240666.38,27845.6,13329.13,192533.1,64
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,67210.49,14345.6,9675.41,59164.87,64
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,36582.89,10595.6,7171.76,36582.89,64
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",156650.41,29744.4,21497.36,131455.77,64
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",85823.26,19994.4,13701.05,83781.54,64
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",76837.06,18094.4,10945.55,66931.78,64
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,117327.69,14482.8,775.0,95882.47,75
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,61826.25,12632.8,7877.4,55763.0,67
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,41409.79,11132.8,5336.33,80974.79,64
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,184697.09,18126.6,11451.59,147757.67,64
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,38615.89,9876.6,6739.8,38615.89,64
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,39891.25,8767.2,6228.32,38184.0,64
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,83774.94,13840.0,12980.6,79376.0,64
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,56423.47,16840.0,7999.81,54833.0,64
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,42005.35,11590.0,5896.16,36054.86,64
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,54641.47,15868.2,12508.87,54641.47,64
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,51793.47,15118.2,315.0,98186.47,68
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,40700.68,10164.0,10208.0,40700.68,64
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,33816.03,10164.0,5838.46,33816.03,64
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,48247.38,9429.2,10208.0,48247.38,64
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,39149.41,7929.2,7658.0,39149.41,64
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,45278.5,10179.2,5158.55,36222.8,64
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,118335.29,16619.4,14112.73,94668.23,64
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,54104.93,12469.4,6983.07,43283.94,64
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,137274.22,21388.0,17821.03,109819.38,64
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,70729.86,14638.0,775.0,160441.86,75
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,52803.72,15388.0,7452.46,142515.72,64
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,121966.15,16138.0,17714.21,109648.0,64
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,59369.36,17988.0,10157.27,125792.36,64
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,45424.93,13888.0,7132.0,125168.93,64
MS-DRG,088,CONCUSSION WITH MCC,54747.98,11594.8,10540.11,54747.98,64
MS-DRG,089,CONCUSSION WITH CC,32325.28,8594.8,4906.0,32325.28,64
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,51387.37,11594.8,6418.56,41109.9,64
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,97034.22,17750.4,3150.0,85505.0,72
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,72973.02,18150.4,2835.0,62479.0,78
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,53186.03,16650.4,1890.0,46923.0,72
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,207007.89,32274.4,27441.08,167801.47,64
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,103634.04,24024.4,20110.25,103634.04,64
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,111266.24,21774.4,20110.25,111266.24,64
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,159543.99,26009.6,28161.53,159543.99,64
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,130698.33,22609.6,17893.54,109418.54,64
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,100997.02,19609.6,10622.76,80797.61,64
MS-DRG,100,SEIZURES WITH MCC,96473.53,16200.6,15101.4,92344.69,64
MS-DRG,101,SEIZURES WITHOUT MCC,35074.52,16950.6,775.0,94194.52,79
MS-DRG,102,HEADACHES WITH MCC,39458.02,9414.6,8739.76,39458.02,64
MS-DRG,103,HEADACHES WITHOUT MCC,35604.31,10164.6,6520.71,35604.31,64
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,79860.21,15073.2,18331.74,79860.21,64
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,90577.53,14673.2,10549.46,72462.02,64
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,99648.88,13980.0,11967.75,79719.1,64
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,323425.81,26905.8,14097.92,258740.65,64
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,30254.89,9925.2,8834.43,30254.89,64
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,26263.75,7675.2,6126.95,26263.75,64
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,57462.96,9487.2,6226.76,45970.36,64
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,115848.76,14178.0,10316.33,92679.01,64
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,31872.19,13428.0,5986.61,95504.19,67
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,83422.51,16800.6,16492.4,83422.51,64
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,40514.25,13050.6,2453.0,40514.25,64
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,72051.74,12366.0,11642.61,71194.28,64
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,45493.07,8616.0,6909.78,42253.13,64
MS-DRG,139,SALIVARY GLAND PROCEDURES,55125.67,10590.0,9423.56,55125.67,64
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,265231.52,27743.6,33256.93,212185.22,64
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,99295.57,22493.6,17006.23,99295.57,64
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,98350.34,22493.6,12447.27,78680.27,64
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",170332.44,19413.2,29212.58,170332.44,64
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",71370.87,16413.2,13511.58,71370.87,64
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",55679.99,17163.2,9374.44,55679.99,64
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",68857.09,17241.2,16509.56,68857.09,64
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",46069.78,13491.2,9914.0,46069.78,64
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",28169.4,9741.2,6215.06,28169.4,64
MS-DRG,149,DYSEQUILIBRIUM,35696.04,6957.6,5860.29,35696.04,64
MS-DRG,150,EPISTAXIS WITH MCC,53275.0,8521.2,10208.0,53275.0,64
MS-DRG,151,EPISTAXIS WITHOUT MCC,40761.6,9271.2,5723.06,34996.39,64
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,48242.03,10573.8,9217.72,48242.03,64
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,25013.2,12073.8,5755.81,72212.2,64
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",72993.47,11978.4,12190.75,72993.47,64
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",38742.81,8978.4,7146.03,38742.81,64
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",23463.63,9728.4,5388.57,51112.63,64
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,76524.78,14073.2,13386.04,76524.78,64
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,46798.25,11073.2,7093.79,94462.25,64
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,34874.59,8823.2,5524.24,33780.57,64
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,242150.91,40536.0,34945.0,213687.74,64
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,152193.01,31536.0,19679.86,121754.41,64
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,101187.56,27036.0,14925.19,91267.14,64
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,199801.1,26578.4,29143.18,178209.8,64
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,112351.69,20578.4,14061.27,89881.35,64
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,63364.23,16828.4,10653.94,63364.23,64
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,63973.8,11753.4,10710.08,63973.8,64
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,39928.35,10253.4,6276.66,87592.35,67
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,84250.57,19300.0,12184.51,83639.0,67
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,74403.07,15550.0,7609.96,70101.0,64
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,54978.98,13300.0,5886.8,44296.0,64
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,115625.08,14201.2,13769.66,92500.07,64
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,64357.31,16451.2,8350.68,51485.85,64
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,29911.57,8951.2,5801.04,29911.57,64
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,87260.86,10957.2,11928.77,72944.1,64
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,59458.84,10207.2,8296.88,119266.84,64
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,39320.7,9457.2,6132.41,89160.7,67
MS-DRG,186,PLEURAL EFFUSION WITH MCC,77009.46,16943.2,12151.76,74307.72,64
MS-DRG,187,PLEURAL EFFUSION WITH CC,54521.55,9443.2,7712.1,47159.3,64
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,20726.01,7943.2,5592.07,20726.01,64
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,51858.98,13974.0,9632.53,119537.98,67
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,62962.3,12269.2,8636.84,59580.0,67
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,36319.25,10769.2,6572.95,36319.25,67
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,39300.71,7769.2,5005.73,31440.57,67
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,71749.47,11200.0,10248.5,150879.47,64
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,34846.41,10450.0,6283.67,98243.41,67
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,23149.48,10450.0,4900.47,66531.48,64
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,104605.05,12769.6,14714.67,89979.81,64
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,48139.27,8269.6,7400.22,45252.14,64
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,31258.95,8269.6,5584.28,31258.95,64
MS-DRG,199,PNEUMOTHORAX WITH MCC,74773.33,11269.6,13754.85,74773.33,64
MS-DRG,200,PNEUMOTHORAX WITH CC,48674.36,15769.6,8571.34,100620.36,64
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,24399.41,9769.6,5575.7,55865.41,64
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,35825.66,11007.0,7572.53,100844.66,67
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,21056.17,8757.0,5224.05,52522.17,64
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,29173.79,8850.0,6295.37,60639.79,64
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,107040.48,13415.4,14276.47,87300.25,67
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,66601.35,12665.4,315.0,54027.0,68
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,250295.7,42877.2,50171.94,250295.7,64
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,106497.35,37627.2,21431.86,106497.35,64
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,332732.7,262516.7,60400.7,332732.7,64
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,185157.27,74474.4,40163.17,203360.72,64
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,302675.48,53829.0,32712.0,302675.48,70
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,267790.3,54579.0,32712.0,267790.3,64
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,207903.55,53079.0,32712.0,207903.55,64
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,364303.31,57579.0,32712.0,364303.31,64
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,259081.65,56079.0,32712.0,254262.57,64
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,180579.97,51579.0,32712.0,180579.97,64
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,214110.24,37241.4,32712.0,214110.24,64
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,127651.74,37241.4,24556.94,127651.74,64
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,928268.35,92005.2,32712.0,742614.68,64
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,129814.06,51505.2,32712.0,129814.06,64
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,322332.8,68935.2,32712.0,322332.8,64
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,267697.46,48985.2,32712.0,260456.07,64
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,304958.96,48388.2,32712.0,279808.98,64
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,244589.26,43888.2,32660.45,199717.8,64
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,224433.3,28225.6,38374.94,224433.3,64
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,132907.14,25225.6,22225.61,132907.14,64
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,120238.51,21597.2,24894.55,120238.51,64
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,78093.05,21597.2,16614.82,78093.05,64
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,68304.34,18597.2,14093.24,68304.34,64
MS-DRG,245,AICD GENERATOR PROCEDURES,92502.48,35245.2,22662.51,103762.4,64
MS-DRG,246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,81935.17,19227.0,12960.0,81935.17,64
MS-DRG,247,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC,90500.62,19227.0,13863.57,90500.62,64
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,119316.65,19869.0,16247.0,104059.42,64
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,90175.63,16869.0,11652.75,72140.5,64
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,261365.39,26403.6,27198.59,209092.31,64
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,121296.14,25653.6,20238.13,121296.14,64
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,71488.96,21903.6,13892.08,71488.96,64
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,88629.29,14891.2,21031.87,88629.29,64
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,79352.81,16391.2,13238.68,79352.81,64
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,86893.63,19762.2,20143.66,86893.63,64
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,99836.75,17512.2,15766.5,96411.71,64
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,181914.6,24173.6,25362.37,155090.25,64
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,75708.84,24573.6,14740.4,75708.84,64
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,61273.52,18573.6,12708.48,61273.52,64
MS-DRG,263,VEIN LIGATION AND STRIPPING,212060.23,20138.4,15017.0,169648.18,64
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,186518.29,29923.2,26046.96,159276.47,64
MS-DRG,265,AICD LEAD PROCEDURES,142661.05,24446.4,27858.72,142661.05,64
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,258099.48,48507.0,47783.69,258099.48,64
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,155920.35,45507.0,37120.39,155920.35,64
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,745477.16,63717.6,53627.61,596381.73,64
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,148731.45,43467.6,32928.67,148731.45,64
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,191868.51,35218.4,41139.79,191868.51,64
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,175548.78,30718.4,27728.79,169560.83,64
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,146007.8,30718.4,19905.97,121724.49,64
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,143922.4,37144.8,32166.89,143922.4,64
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,97273.92,29644.8,25665.68,97273.92,64
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,378205.99,268785.79,55596.37,339970.34,64
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,287523.55,200916.34,46834.0,286388.68,64
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,133567.63,118651.72,36010.86,133567.63,64
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,48549.82,42159.82,14176.55,94937.83,64
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,131379.13,109870.8,15278.33,131379.13,64
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",82484.15,12310.4,4611.0,76481.88,67
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",42876.84,10810.4,775.0,42941.0,75
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",36845.26,9310.4,4611.0,34476.68,67
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",191370.44,19700.4,15444.48,153096.35,64
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",96997.35,10700.4,5397.15,77597.88,64
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",9851.95,7700.4,2876.77,10214.92,64
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",133533.36,19141.8,4611.0,106826.69,64
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",57007.28,15391.8,4611.0,51021.3,67
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,308142.57,23774.0,21100.49,246514.05,64
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,53958.23,14024.0,13308.85,53958.23,64
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,64684.04,14762.4,10009.9,139997.04,67
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,31568.56,11762.4,6619.73,67316.56,64
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,29556.59,9512.4,4413.15,26986.31,64
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,29750.03,8873.4,8687.01,29750.03,64
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",76717.56,9657.6,12178.27,74469.83,64
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",45699.95,7407.6,4861.49,36559.96,64
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,86581.51,10915.6,12730.31,77845.5,64
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,38753.56,10165.6,8323.39,82135.56,64
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,28965.8,11665.6,5611.57,72582.8,64
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,71339.75,9801.6,9330.0,57071.8,64
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,33582.14,8301.6,5249.0,32097.5,64
MS-DRG,304,HYPERTENSION WITH MCC,47636.86,9664.8,9278.54,95300.86,64
MS-DRG,305,HYPERTENSION WITHOUT MCC,31870.81,12664.8,5887.58,91450.81,64
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,166594.58,19128.0,12286.65,133275.66,64
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,40001.01,10128.0,7120.3,40001.01,64
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,60728.93,11180.4,9387.7,60045.0,64
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,32539.89,10430.4,5736.32,75921.89,67
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,29130.28,8930.4,4413.93,72977.28,64
MS-DRG,311,ANGINA PECTORIS,22010.07,5578.8,5472.78,22010.07,64
MS-DRG,312,SYNCOPE AND COLLAPSE,34646.27,10663.2,6795.94,90409.27,67
MS-DRG,313,CHEST PAIN,28867.58,8228.4,5613.9,64150.58,64
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,115264.76,19494.8,16258.49,99420.25,64
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,60540.42,13494.8,7510.94,59580.0,67
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,23613.47,10494.8,5318.4,55544.47,64
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,303477.19,248593.19,47117.78,303477.19,64
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,189045.11,28246.8,34797.63,189045.11,64
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,73495.59,24496.8,10951.0,73495.59,64
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,130536.46,100097.26,18304.64,129725.02,64
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,79622.52,70496.32,13746.27,79622.52,64
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,150850.8,117899.55,19628.6,150850.8,64
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,140840.11,120064.11,17869.9,140840.11,64
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",256665.5,28498.4,38887.21,237794.24,64
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",123000.79,25498.4,19057.65,116537.01,64
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",88538.29,26998.4,12493.28,76396.06,64
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,263829.62,30172.8,35839.32,219156.52,64
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,158136.27,29422.8,18691.18,126509.02,64
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,92522.83,24172.8,13121.72,80238.99,64
MS-DRG,332,RECTAL RESECTION WITH MCC,106514.75,20794.0,22419.85,106514.75,64
MS-DRG,333,RECTAL RESECTION WITH CC,73830.7,19294.0,7359.0,73830.7,64
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,47856.71,19294.0,9812.0,47856.71,64
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,195924.3,26796.4,27842.63,170256.94,64
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,136679.51,22296.4,16441.72,109343.61,64
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,112380.81,19296.4,11968.53,89904.65,64
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,144158.38,17634.4,20138.32,123145.32,64
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,91139.77,23634.4,11732.28,72911.81,64
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,61767.75,13134.4,9248.91,56556.83,64
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,54452.41,13346.0,15900.1,54452.41,64
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,46360.61,14846.0,10204.83,46360.61,64
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,33544.3,12596.0,6788.15,33544.3,64
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,99339.04,15626.8,19429.57,99339.04,64
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,97898.2,14876.8,11886.66,78318.56,64
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,52198.38,13376.8,9105.44,52198.38,64
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,169911.19,19687.2,22627.16,138364.46,64
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,84600.46,16687.2,13117.82,80215.15,64
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,75819.69,15937.2,10487.09,64128.26,64
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,295625.48,30178.0,34251.06,236500.38,64
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,84182.16,21928.0,18132.13,84182.16,64
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,95790.34,21178.0,10899.55,76632.27,64
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,59111.81,11493.2,12412.19,59111.81,64
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,39812.11,10743.2,7798.65,39812.11,64
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,29373.99,9993.2,5464.2,29373.99,64
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,60353.53,10528.4,13825.02,60353.53,64
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,45013.37,12778.4,7960.83,104128.37,64
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,31181.56,10528.4,5671.6,70281.56,64
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,101829.1,18820.0,16675.64,101829.1,67
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,48344.45,12820.0,9431.36,48344.45,64
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,38717.69,10570.0,7206.85,38717.69,64
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,81260.82,14934.4,14253.08,81260.82,64
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,40054.41,13434.4,7646.61,95352.41,64
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,28269.06,8184.4,4915.29,28269.06,64
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,87531.31,16485.6,15299.45,87531.31,64
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,87676.32,13485.6,8448.15,70141.05,64
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,51837.31,15735.6,6242.35,45804.0,64
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,35882.03,8173.8,7658.0,35882.03,64
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,49258.1,11923.8,6664.95,40756.01,64
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,116552.94,15475.6,12337.34,93242.36,64
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,75465.97,10975.6,7612.3,60372.78,64
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,35729.43,10225.6,5312.16,32483.7,64
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,152378.56,13592.8,11514.74,121902.85,64
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,48104.09,11342.8,6158.14,107684.09,67
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,29286.13,8342.8,4241.62,64569.13,67
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",61735.64,14986.8,9889.05,132766.64,64
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",41333.88,10486.8,6078.61,92814.88,67
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,169136.39,15208.4,12469.89,135309.11,64
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,47293.76,14458.4,7295.74,111847.76,64
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,26459.29,9208.4,5060.31,53643.29,64
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,204118.99,136136.49,18673.25,163295.19,64
MS-DRG,398,APPENDIX PROCEDURES WITH CC,106186.74,83725.24,11801.68,84949.39,64
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,47236.13,44473.45,8925.33,47236.13,64
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,131339.73,119409.26,28861.03,131339.73,64
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",199123.21,37774.4,42653.98,199123.21,64
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",134636.47,30274.4,22613.12,134636.47,64
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",93286.12,28774.4,17306.42,93286.12,64
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,223740.6,24067.2,27801.3,178992.48,64
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,138761.55,21067.2,16976.6,111009.24,64
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,84517.79,18067.2,12379.44,75699.95,64
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,89054.8,18325.6,12265.0,89054.8,64
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,132988.55,19075.6,12947.07,106390.84,64
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,278101.75,33901.6,27777.91,222481.4,64
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,124108.64,19651.6,16114.25,99286.91,64
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,65855.57,16651.6,10629.77,65000.78,64
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,81115.66,15875.2,18606.98,81115.66,64
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,87432.73,15875.2,13189.56,80653.8,67
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,60341.8,17375.2,10649.27,60341.8,64
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,400760.61,29810.8,26565.47,320608.49,64
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,53553.74,16310.8,12265.0,53553.74,64
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,60065.06,15560.8,10208.0,60065.06,64
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,345795.12,42627.2,32381.31,276636.1,64
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,117454.47,21627.2,17059.25,104316.88,64
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,62148.1,20127.2,11697.97,62148.1,64
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,301561.65,271277.92,85933.29,358646.84,64
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,239669.11,216929.75,56284.07,239669.11,64
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,188680.9,172485.09,43835.24,188680.9,64
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,387284.43,287839.93,70248.66,387284.43,64
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,203242.29,181669.79,44966.6,203242.29,64
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,164412.7,16817.2,15346.23,131530.16,64
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,50735.39,13817.2,8235.29,101751.39,64
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,14627.94,8567.2,4271.36,14627.94,64
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,107992.32,20901.2,14320.92,87572.02,64
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,50370.42,10401.2,8819.29,50370.42,64
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,34515.7,9651.2,6653.26,34515.7,64
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,117495.09,11300.0,12710.82,93996.07,64
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,36840.61,9800.0,6558.91,36840.61,64
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,25415.61,10550.0,4845.11,53064.61,64
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",156712.5,15915.2,13993.44,125370.0,64
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",50532.94,10665.2,7526.53,46024.54,67
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",31949.14,10665.2,5455.62,67232.14,64
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,73357.06,12365.6,13028.16,73357.06,64
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,58128.84,13865.6,8533.14,117243.84,64
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,33569.44,11615.6,6450.53,73134.44,64
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,268867.24,211827.82,52097.04,268867.24,64
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,151473.1,131316.97,33065.9,151473.1,64
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,195427.06,144280.72,41555.37,195427.06,64
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,107142.67,97528.59,25187.72,107142.67,64
MS-DRG,453,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC,196890.42,52769.6,57492.0,217406.02,64
MS-DRG,454,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC,146139.96,50519.6,42672.87,168373.48,64
MS-DRG,455,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC,110511.08,49019.6,32269.23,163279.0,64
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",187162.26,55499.6,54651.38,200519.39,64
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",206755.74,53999.6,46494.83,206755.74,64
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",180926.3,47999.6,32534.14,180926.3,64
MS-DRG,459,SPINAL FUSION EXCEPT CERVICAL WITH MCC,149395.05,40583.0,43623.35,159186.64,64
MS-DRG,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,82954.25,39833.0,24222.64,93996.12,64
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,429720.43,51975.6,41797.08,343776.34,64
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,311062.78,39627.6,44439.51,271746.46,64
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,206410.88,32877.6,24285.6,165128.7,64
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,118176.91,26127.6,14219.55,94541.53,64
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,376345.57,46134.4,40586.97,301076.45,64
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,189016.36,31884.4,27497.22,168144.76,64
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,87166.84,28134.4,21426.4,87166.84,64
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,134210.09,23838.0,23650.13,134210.09,64
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,110053.56,25338.0,15039.81,91968.02,64
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,233951.83,39893.6,37649.81,230227.59,64
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,114539.48,28643.6,22971.01,114539.48,64
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,89022.86,27143.6,19035.04,89022.86,64
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,198286.06,30180.4,33472.13,198286.06,64
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,115763.16,25680.4,17743.84,108503.1,64
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,138912.2,18180.4,9202.13,111129.76,64
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,214323.11,42119.2,26935.83,171458.49,64
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,101650.4,22619.2,19174.6,101650.4,64
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,59619.62,18869.2,14494.01,59619.62,64
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,193851.18,21452.0,22707.47,155080.94,64
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,135290.04,20702.0,16331.01,108232.03,64
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,94366.78,18452.0,12717.05,77764.45,64
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,132918.97,19291.2,21612.75,132161.42,64
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,106343.59,18224.0,16304.49,99701.56,64
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,86115.18,16724.0,12211.8,74674.85,64
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,153747.96,19006.8,11879.65,122998.37,64
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,90711.46,15256.8,8707.79,72569.17,64
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",193788.99,23174.0,28627.8,175058.22,64
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",136201.01,22424.0,19774.2,120918.71,64
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",85882.74,21674.0,15644.86,85882.74,64
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,201584.57,24466.8,28269.91,172869.75,64
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,94896.37,22216.8,14065.17,86008.15,64
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,121224.79,19216.8,8979.91,96979.83,64
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,103889.63,18466.8,18317.29,103889.63,64
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,77190.6,16216.8,2453.0,77190.6,64
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,248625.88,23517.6,24676.23,198900.7,64
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,86399.21,18267.6,13630.09,83347.66,64
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,80127.81,17517.6,10494.1,64171.17,64
MS-DRG,503,FOOT PROCEDURES WITH MCC,171662.73,22136.8,21762.46,137330.19,64
MS-DRG,504,FOOT PROCEDURES WITH CC,98300.31,17636.8,14574.32,89121.59,64
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,52084.14,14636.8,8795.95,52084.14,64
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,30581.9,10190.4,7359.0,30581.9,64
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,229349.93,22437.0,14084.66,183479.95,64
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,63704.52,11937.0,7631.57,63704.52,64
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",254269.8,21598.0,23551.11,203415.84,64
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",126280.67,20098.0,16213.27,101024.54,64
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",75926.85,17848.0,12907.3,75926.85,64
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",75281.28,13993.8,12274.96,75061.05,64
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",51837.57,10993.8,7970.97,48742.24,64
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,281955.61,26550.4,24848.55,225564.49,64
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,120028.06,21300.4,16203.13,99081.73,67
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,80810.73,19800.4,11981.79,73268.32,64
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,121524.47,23364.4,29140.06,121524.47,64
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,100962.66,19614.4,15595.74,95367.54,64
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,91690.94,19614.4,11648.07,73352.75,64
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,307309.08,27015.0,22379.21,245847.26,64
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,120905.44,22515.0,16511.9,100969.82,64
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,75580.28,12531.0,12223.5,74746.37,64
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,38574.84,9531.0,6285.23,38434.04,64
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,98605.25,15718.8,9995.87,78884.2,64
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,54993.63,9718.8,6296.93,43994.9,64
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",42113.8,7606.8,7440.76,42113.8,64
MS-DRG,539,OSTEOMYELITIS WITH MCC,46927.42,15274.0,13702.81,46927.42,64
MS-DRG,540,OSTEOMYELITIS WITH CC,29500.79,11524.0,8614.23,32901.0,67
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,16897.61,10024.0,4934.1,16897.61,64
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,89524.55,15653.2,13773.56,84224.95,64
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,46474.02,10403.2,8015.41,46474.02,64
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,35248.78,9653.2,5883.68,35248.78,64
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,241431.42,19403.2,19350.04,193145.14,64
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,54041.8,14153.2,8993.16,54041.8,64
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,51404.62,12653.2,6519.93,41123.7,64
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,96420.35,16119.2,15055.4,92063.38,64
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,38903.95,11619.2,9412.65,38903.95,64
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,22121.92,10119.2,6459.6,22121.92,64
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,72783.48,14019.6,13068.7,72783.48,64
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,46381.69,13269.6,7495.34,97390.44,67
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,95774.26,9256.8,10107.37,82278.8,64
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,33713.43,10006.8,6472.36,33713.43,64
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,47580.66,12231.6,10306.19,47580.66,64
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,27022.05,8481.6,6476.26,27022.05,64
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",65446.98,11315.4,11593.49,65446.98,64
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",30802.79,12065.4,6964.36,73719.79,64
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",76870.6,17844.0,3150.0,76870.6,68
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",65840.75,15594.0,3150.0,53691.32,76
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",60887.51,24594.0,3150.0,48710.01,68
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",70975.37,12148.8,11109.29,67933.04,64
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",51976.33,12898.8,6982.29,107739.33,64
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,86448.02,11661.2,12035.59,73597.3,64
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,39580.26,9411.2,315.0,39580.26,68
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,28020.76,8661.2,5842.36,28020.76,64
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,72679.0,15400.4,17470.0,72679.0,64
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,90800.71,19150.4,13173.18,80553.67,64
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,36845.99,13900.4,4906.0,36845.99,64
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,181594.39,31517.6,45104.8,181594.39,64
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,107286.83,30767.6,27066.82,107286.83,64
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,378655.06,54796.4,38215.1,302924.05,64
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,164341.5,24046.4,20667.75,131473.2,64
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,60508.26,24046.4,12525.25,60508.26,64
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",107032.89,21178.0,25250.88,107032.89,64
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",79087.01,18178.0,13473.37,79087.01,64
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",63474.39,18928.0,11251.98,63474.39,64
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,192858.66,16952.4,15021.87,154286.93,64
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,127047.47,13952.4,13445.3,101637.98,64
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",45812.71,18123.0,13377.31,45812.71,64
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",155391.28,15873.0,15041.37,124313.02,64
MS-DRG,592,SKIN ULCERS WITH MCC,62650.39,14188.8,15089.71,62650.39,64
MS-DRG,593,SKIN ULCERS WITH CC,36488.44,10438.8,9249.69,36488.44,64
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,21445.42,8938.8,2453.0,21445.42,64
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,234391.48,20685.0,16535.29,187513.18,64
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,71548.94,15435.0,8440.35,57239.15,64
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,78582.62,16682.4,12998.53,78582.62,64
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,75869.81,14432.4,8820.85,60695.85,64
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,35021.24,8432.4,5716.83,34958.24,64
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,40263.01,7806.6,8121.45,40263.01,64
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,17293.12,6306.6,4717.24,17293.12,64
MS-DRG,602,CELLULITIS WITH MCC,70082.21,13645.8,11082.0,67766.16,64
MS-DRG,603,CELLULITIS WITHOUT MCC,33087.86,9895.8,6790.49,72187.86,67
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",39229.37,10245.0,11454.98,79101.37,64
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",39393.55,12495.0,7142.13,119137.55,67
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,77123.2,13113.0,11798.56,72147.86,64
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,31595.68,10863.0,7067.28,66878.68,64
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,132497.73,16077.0,17089.66,105998.18,64
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,74713.88,16827.0,10910.47,66717.22,64
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",149948.36,30080.4,27191.57,149948.36,64
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",72130.07,18830.4,14582.9,72130.07,64
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,31746.75,8000.0,2453.0,49247.87,64
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,62827.82,8750.0,7359.0,62827.82,64
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,82431.8,11750.0,11761.13,71919.0,64
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",113521.23,17898.4,27751.4,113521.23,64
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",80954.26,18648.4,13987.2,80954.26,64
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",35354.55,16398.4,9761.18,35354.55,64
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",201910.62,30407.6,23547.99,161528.5,64
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",71769.67,13907.6,10111.0,71489.89,64
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",72338.47,15407.6,10356.87,63332.02,64
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",212546.7,31071.6,29058.2,177690.1,64
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",94495.98,19821.6,16988.3,94495.98,64
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",38481.51,17571.6,2453.0,38481.51,64
MS-DRG,637,DIABETES WITH MCC,61034.51,12921.2,11202.08,128248.51,64
MS-DRG,638,DIABETES WITH CC,33346.59,11421.2,6987.75,100560.59,67
MS-DRG,639,DIABETES WITHOUT CC/MCC,24991.19,10671.2,4843.55,72655.19,64
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",74849.19,14107.2,10413.79,67214.0,64
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",38476.8,12607.2,6067.7,98056.8,67
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,111793.07,13143.6,11088.24,89434.46,64
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,84821.84,10455.2,12834.79,78484.4,64
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,44120.6,11955.2,7992.02,95601.6,64
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,43012.71,12705.2,775.0,37741.0,75
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,378734.02,30916.8,36657.24,302987.21,58
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,292591.43,30166.8,25322.0,234073.14,58
MS-DRG,652,KIDNEY TRANSPLANT,304846.76,33166.8,25180.7,228635.07,58
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,463875.86,38188.4,40516.8,371100.68,64
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,160360.57,29188.4,21826.39,133467.82,64
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,122957.36,25438.4,15114.0,100917.37,64
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,202375.88,24543.2,24824.38,161900.7,64
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,104944.01,20793.2,14268.67,87252.57,64
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,75228.84,16293.2,4906.0,73988.27,64
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,197404.84,21206.0,19811.63,157923.87,64
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,78802.88,18206.0,10305.41,63042.3,64
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,55913.84,13706.0,8073.11,49366.84,64
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,108304.2,18210.8,23870.79,108304.2,64
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,52849.12,14460.8,11853.14,52849.12,64
MS-DRG,666,PROSTATECTOMY WITH CC,36294.65,13893.2,7658.0,36294.65,64
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,54875.07,13893.2,8625.14,52742.51,64
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,140305.55,26473.6,22767.5,139222.68,64
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,107095.69,17473.6,12101.08,85676.55,64
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,47356.42,12973.6,7620.1,46596.69,64
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,232474.2,24634.2,13995.78,185979.36,64
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,61445.95,10384.2,2453.0,51469.48,64
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,283985.18,30193.2,32760.25,227188.14,64
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,106117.89,22693.2,18234.27,106117.89,64
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,48701.7,18193.2,12798.14,48701.7,64
MS-DRG,682,RENAL FAILURE WITH MCC,52500.94,10945.2,11547.49,119714.94,67
MS-DRG,683,RENAL FAILURE WITH CC,39351.88,10195.2,6828.69,94649.88,64
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,26573.5,9445.2,4680.59,57809.5,67
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,167444.64,19183.6,14063.61,133955.71,64
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,67199.5,12433.6,8169.79,53759.6,64
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,16060.94,8683.6,4689.79,16060.94,64
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,62091.52,15271.2,9046.96,136939.52,67
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,32792.96,14521.2,775.0,90058.96,79
MS-DRG,693,URINARY STONES WITH MCC,95267.5,13301.4,10483.19,76214.0,64
MS-DRG,694,URINARY STONES WITHOUT MCC,32621.72,11051.4,6094.99,79820.72,64
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,91281.4,16404.6,8918.31,73025.12,64
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,26270.14,6654.6,5372.2,26270.14,64
MS-DRG,697,URETHRAL STRICTURE,48957.8,7173.6,7359.0,48957.8,64
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,72862.74,16334.4,12899.51,155809.74,67
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,43083.51,12584.4,7914.05,106015.51,67
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,28581.1,8834.4,5379.21,28581.1,67
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,133083.8,17827.0,15596.52,106467.04,64
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,69703.43,12577.0,2453.0,69703.43,64
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,60433.13,13926.6,4906.0,60433.13,64
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,77341.36,13372.2,14718.0,77341.36,64
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,39077.6,11872.2,7359.0,39077.6,64
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,74803.48,12211.2,11722.15,71680.61,64
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,33127.1,6926.0,4732.0,33127.1,64
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,37760.71,12821.4,4906.0,38159.68,64
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,121637.7,16984.2,14740.4,97310.16,64
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",71432.56,11710.8,14110.39,71432.56,64
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",47181.95,11710.8,8909.73,47181.95,64
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",9372.9,8710.8,2453.0,10433.23,64
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,59364.87,10303.8,9124.15,55793.97,64
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,39905.06,7303.8,5629.5,34424.24,67
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,85109.45,15663.0,11562.3,70703.19,64
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,32926.18,10413.0,6325.0,32926.18,64
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,43831.7,7765.2,8254.78,43831.7,64
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,48898.35,7765.2,5239.64,39118.68,64
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",61554.65,12495.6,2453.0,61554.65,64
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,201823.4,24534.8,27870.7,170428.59,64
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,117714.95,19284.8,12958.55,98247.35,64
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,85696.64,18534.8,10208.0,70016.61,64
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,172379.52,22908.4,27494.88,168130.46,64
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,97399.24,18408.4,14109.61,86279.92,64
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,77321.98,16908.4,11119.43,67995.02,64
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,83665.33,19776.0,14306.1,83665.33,64
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,50099.69,10711.0,9673.85,50099.69,64
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",80336.43,23019.6,15977.02,80336.43,64
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",28743.65,11019.6,7359.0,28743.65,64
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",67702.37,11437.2,12265.0,67702.37,64
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",36182.03,9187.2,4906.0,36182.03,64
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,75518.74,15494.4,10816.9,66145.08,64
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,126268.43,18787.8,20019.81,122420.6,64
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,49149.9,14287.8,4906.0,49149.9,64
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",86144.55,13691.2,14359.9,86144.55,64
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",59631.84,11441.2,8481.67,51865.22,64
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",17890.43,9191.2,2453.0,17890.43,64
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",55477.82,12352.8,11164.65,55477.82,64
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",50265.26,9352.8,7633.35,46677.74,64
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",30412.24,7852.8,5174.15,30412.24,64
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,26973.39,7788.0,7855.57,26973.39,64
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,28613.25,8538.0,4441.22,59614.25,64
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,31425.67,9039.6,3186.0,31425.67,64
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,74304.19,15008.4,13175.52,74304.19,64
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",25606.24,7758.0,7477.02,25606.24,64
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,20294.04,10288.8,775.0,73051.04,75
MS-DRG,779,ABORTION WITHOUT D&C,25279.95,9613.2,5560.1,25279.95,64
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,64474.03,11750.0,3186.0,64474.03,64
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,43778.86,11000.0,3186.0,90977.86,64
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,32174.75,9500.0,3186.0,71739.75,64
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,54089.16,9250.0,3186.0,113204.16,64
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,45178.77,9250.0,3186.0,45178.77,64
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,38483.22,7750.0,3186.0,38483.22,64
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",203372.3,20697.6,12636.0,162697.84,64
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",455766.9,66021.6,46342.0,369111.75,64
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,111718.02,23829.0,19363.0,162964.02,64
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,28198.23,23829.0,7371.0,57244.23,64
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,66176.4,30531.6,9112.0,84905.4,64
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,12850.15,10807.2,3752.24,45708.15,64
MS-DRG,795,NORMAL NEWBORN,7282.31,1462.8,1557.86,28224.31,64
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,48682.2,9134.8,3186.0,48682.2,64
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,39976.46,9134.8,3186.0,39976.46,64
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,33288.67,10634.8,3186.0,33288.67,64
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,179170.78,25530.4,35312.24,179170.78,64
MS-DRG,800,SPLENIC PROCEDURES WITH CC,203306.2,26280.4,21905.14,162644.96,64
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,78458.85,23280.4,12003.21,78458.85,64
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,144187.86,20172.0,25133.0,144187.86,64
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,61580.28,17172.0,14494.01,61580.28,64
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,70858.61,17172.0,10572.85,64652.72,64
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,35192.11,4000.0,3186.0,82391.11,64
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,27472.86,4000.0,3186.0,27472.86,64
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,23304.37,4000.0,3186.0,23304.37,64
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,205573.34,16349.6,9746.36,164458.67,64
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,54019.63,13349.6,9870.34,108852.63,64
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,45535.81,11849.6,8160.43,45535.81,64
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,73033.09,17270.4,10949.45,160262.09,64
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,30795.76,12020.4,7159.29,89910.76,67
MS-DRG,813,COAGULATION DISORDERS,105433.65,13562.4,11892.9,84346.92,64
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,136829.11,13268.4,16582.07,109463.29,64
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,59664.05,10268.4,7906.25,48346.51,64
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,24310.9,9518.4,4927.76,24310.9,64
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,64018.98,16512.8,13161.49,51481.0,64
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,52493.25,16512.8,8219.69,41994.6,64
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,29677.06,15012.8,6704.72,24309.37,64
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,207594.09,27675.6,45728.37,207594.09,64
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,110284.12,22425.6,17454.57,106734.21,64
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,65042.96,20925.6,7658.0,57405.52,64
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,213762.97,34864.8,35748.1,213762.97,64
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,93163.76,23614.8,17665.09,93163.76,64
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,102461.6,22114.8,10521.39,81969.28,67
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,285383.73,29918.16,36473.23,228306.99,64
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,124186.7,23168.16,18020.63,110195.7,64
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,80913.42,23168.16,13284.68,80913.42,64
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,154197.57,24668.16,24638.8,150665.64,64
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,73409.94,20168.16,11734.62,71756.9,64
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,42563.28,10280.8,9376.0,113594.28,64
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,23190.01,10280.8,612.32,62239.01,75
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,14599.05,8780.8,775.0,34960.05,75
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,241159.02,31156.8,42805.24,241159.02,64
MS-DRG,835,ACUTE LEUKEMIA WITH CC,132372.04,27406.8,16263.17,105897.63,64
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,107405.38,25156.8,9508.55,85924.3,64
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,163628.41,30639.2,37459.56,163628.41,64
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,47518.27,21639.2,12265.0,47518.27,64
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,36479.5,21639.2,10652.01,36479.5,64
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,113527.62,19237.6,25222.81,113527.62,64
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,101668.64,16987.6,12720.17,81334.91,64
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,30022.02,13987.6,7359.0,30022.02,64
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,38967.11,10203.2,854.73,38967.11,75
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,34686.65,9453.2,9492.18,34686.65,64
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,32072.69,10203.2,6640.0,32072.69,64
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,59895.36,13977.6,17489.44,59895.36,64
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,32743.39,13977.6,9561.07,32743.39,64
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,36666.3,13977.6,6622.85,36666.3,64
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,361597.44,253524.64,67518.9,361597.44,64
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,336186.96,33942.4,38506.71,268949.57,64
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,87371.02,22692.4,15579.37,87371.02,64
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,280606.03,29071.68,35466.62,224484.83,64
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,129590.01,19321.68,16697.47,103672.01,64
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,52921.0,17071.68,10860.57,52921.0,64
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,102403.62,20821.68,14219.55,91046.0,64
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,51370.39,17821.68,7780.72,47878.0,64
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,27000.57,7630.8,6921.48,54184.57,64
MS-DRG,865,VIRAL ILLNESS WITH MCC,116217.04,15297.0,11682.38,92973.63,64
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,34044.04,12297.0,775.0,82984.04,75
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,259640.75,31920.4,16320.87,207712.6,64
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,143903.13,21420.4,8039.58,115122.5,64
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,29033.33,9420.4,5689.54,29033.33,64
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,272750.82,46054.4,53891.93,272750.82,64
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,101708.06,36304.4,15145.85,99145.0,67
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,43191.16,28054.4,775.0,127414.16,75
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,84039.59,25353.6,22077.0,84039.59,64
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,15340.69,8800.8,612.32,37380.69,75
MS-DRG,881,DEPRESSIVE NEUROSES,14611.45,7683.6,612.32,32845.45,75
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,14140.97,9314.4,612.32,28876.0,75
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,18137.32,13170.0,854.73,33537.47,75
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,32493.65,13597.2,854.73,74610.65,75
MS-DRG,885,PSYCHOSES,23443.39,15363.6,825.05,65055.39,75
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,10954.23,9866.4,523.04,35396.59,75
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,10216.55,9372.0,631.17,28980.55,75
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",17281.72,11560.8,854.73,55519.72,75
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",17430.55,9310.8,385.6,45700.55,75
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",49556.02,13060.8,612.32,99710.02,75
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",19153.67,12310.8,854.73,54385.67,79
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,395983.96,48301.6,32721.27,316787.17,64
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,56840.46,18301.6,10111.0,56840.46,64
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,125038.59,18301.6,9119.48,100030.87,64
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,155686.01,22224.6,28639.49,155686.01,64
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,83756.55,19224.6,11163.87,68266.79,64
MS-DRG,906,HAND PROCEDURES FOR INJURIES,60425.61,15922.8,13741.59,60425.61,64
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,165392.5,23556.8,29935.37,165392.5,64
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,170691.84,29556.8,15556.75,136553.47,64
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,66416.13,21306.8,10235.24,62588.22,64
MS-DRG,913,TRAUMATIC INJURY WITH MCC,49923.17,8685.6,12745.12,49923.17,64
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,52352.08,12435.6,6904.32,152032.08,64
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,123107.36,14978.4,13111.59,98485.89,64
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,18076.17,16478.4,5195.2,70022.17,64
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,63860.83,13707.6,12228.96,135821.83,64
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,30447.94,12957.6,612.32,100616.94,75
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,104384.29,13037.6,14274.91,87290.71,64
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,57341.38,13787.6,7815.02,55298.0,64
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,35388.76,10787.6,5367.52,74488.76,64
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",101243.16,13531.2,13640.23,83409.64,64
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",25629.03,12031.2,775.0,70752.03,75
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,821481.32,172458.0,143701.93,821481.32,64
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,275501.39,38997.0,55926.19,275501.39,64
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,71637.81,32997.0,20918.24,161349.81,64
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,139906.66,25672.8,18627.0,139906.66,64
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,51373.38,15060.0,15001.03,111181.38,64
MS-DRG,935,NON-EXTENSIVE BURNS,63467.89,19130.4,16062.01,133243.89,64
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,294156.94,39068.4,8820.0,235325.55,68
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,131159.0,24818.4,2835.0,111421.06,68
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,88308.6,17318.4,15810.16,88308.6,64
MS-DRG,945,REHABILITATION WITH CC/MCC,94642.35,10880.4,4410.0,75713.88,76
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,66598.86,9497.4,3465.0,54772.04,72
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,53376.69,11864.4,315.0,106938.69,68
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,34250.22,11703.6,315.0,96146.22,68
MS-DRG,949,AFTERCARE WITH CC/MCC,57413.97,10622.4,1890.0,56723.71,68
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,38446.12,6872.4,945.0,30756.89,68
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,24577.18,12364.8,775.0,103023.18,75
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,408258.99,56190.0,52482.99,326607.19,64
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",263004.2,41748.0,29340.45,210403.36,64
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,334885.89,50592.4,59413.05,334885.89,64
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,206188.23,39342.4,32856.16,200914.54,64
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,107841.01,35592.4,22955.41,107841.01,64
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,138598.05,16902.4,21315.68,130344.85,64
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,74312.83,18402.4,11949.82,154056.83,67
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,45852.28,13902.4,7333.16,95692.28,64
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,190843.44,39605.4,47728.33,190843.44,64
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,118053.68,37355.4,20564.05,118053.68,64
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,176994.77,17694.6,22502.4,141595.82,64
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,83517.52,17694.6,775.0,66814.01,75
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,56280.32,13194.6,775.0,45024.26,75
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,57621.77,12444.6,315.0,57621.77,68
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,255274.89,32353.6,36582.39,223700.33,64
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,117674.74,27853.6,315.0,117218.82,68
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,66280.63,23353.6,13364.21,66280.63,64
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,199350.3,21488.4,26731.54,163462.68,64
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,90332.91,18488.4,315.0,78365.2,68
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,50941.98,16988.4,775.0,50941.98,75
NDC,00002-3229-30,NON-COVERED ITEM OR SERVICE,56.75,56.75,15.27,110.66,45
NDC,00002-7510-01,"INJECTION, INSULIN, PER 5 UNITS",13.02,13.02,3.5,29.16,43
NDC,00002-7597-01,UNCLASSIFIED DRUGS,7.06,7.06,1.9,15.81,43
NDC,00002-7724-11,UNCLASSIFIED BIOLOGICS,28755.6,28755.6,7735.26,64412.54,50
NDC,00002-8215-01,"INJECTION, INSULIN, PER 5 UNITS",12.46,12.46,3.35,27.92,43
NDC,00002-8215-17P2,"INJECTION, INSULIN, PER 5 UNITS",3.85,3.85,1.04,8.62,43
NDC,00002-8215-17P3,"INJECTION, INSULIN, PER 5 UNITS",3.85,3.85,1.04,8.62,43
NDC,00002-8215-17R6,"INJECTION, INSULIN, PER 5 UNITS",16.5,16.5,4.44,36.96,43
NDC,00002-8315-01,"INJECTION, INSULIN, PER 5 UNITS",4.42,4.42,1.19,9.91,43
NDC,00002-8715-17,"INJECTION, INSULIN, PER 5 UNITS",5.74,5.74,1.54,12.85,43
NDC,00003-0371-13,"INJECTION, BELATACEPT, 1 MG",15.36,4.0,3.93,686.99,62
NDC,00003-0494-20,"INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG",9.58,9.58,1.75,21.46,48
NDC,00003-0893-31,NON-COVERED ITEM OR SERVICE,32.94,32.94,8.86,64.24,45
NDC,00003-0894-31,NON-COVERED ITEM OR SERVICE,32.95,32.95,8.86,64.25,45
NDC,00003-1614-12,NON-COVERED ITEM OR SERVICE,181.2,181.2,48.74,353.34,45
NDC,00003-2187-13,"INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",175.67,45.0,43.8,1487.55,62
NDC,00003-2570-16,"INJECTION, AZTREONAM, 100 MG",11.49,,3.09,25.73,48
NDC,00003-3641-11,NON-COVERED ITEM OR SERVICE,211.95,211.95,57.01,413.3,45
NDC,00003-3772-11,"INJECTION, NIVOLUMAB, 1 MG",110.21,31.0,29.65,4123.13,62
NDC,00003-6335-17,"HYDROXYUREA, ORAL, 500 MG",7.45,7.45,2.0,16.68,45
NDC,00004-0298-09,CELLCEPT 500 MG VIAL,424.66,424.66,87.31,339.73,45
NDC,00004-0298-09P,MYCOPHENOLATE *6MG/ML INJ PED,4.71,4.71,0.97,3.77,45
NDC,00004-0802-85,NON-COVERED ITEM OR SERVICE,55.2,55.2,14.85,107.64,45
NDC,00004-6940-03P,"INJECTION, GANCICLOVIR SODIUM, 500 MG",196.33,196.33,52.81,439.77,48
NDC,00005-2000-10,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",985.55,985.55,92.1,1921.82,64
NDC,00006-0227-61,NON-COVERED ITEM OR SERVICE,114.55,114.55,30.81,223.37,45
NDC,00006-0952-54,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
NDC,00006-3026-02,"INJECTION, PEMBROLIZUMAB, 1 MG",215.76,57.0,57.6,5657.35,62
NDC,00006-3069-01,NON-COVERED ITEM OR SERVICE,200.85,200.85,54.03,391.66,45
NDC,00006-3075-02,NON-COVERED ITEM OR SERVICE,772.2,772.2,207.72,1505.79,45
NDC,00006-3076-04,NON-COVERED ITEM OR SERVICE,772.2,772.2,207.72,1505.79,45
NDC,00006-3856-02,"INJECTION, IMIPENEM 4 MG, CILASTATIN 4 MG AND RELEBACTAM 2 MG",9.44,2.0,2.5,88.03,62
NDC,00006-4121-02,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent",1001.3,1001.3,92.1,1952.54,61
NDC,00006-4305-02,"INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR, (RENFLEXIS), 10 MG",2983.43,51.0,26.26,6682.89,62
NDC,00006-4681-00,"Measles, mumps, and rubella vaccine",364.8,364.8,22.56,711.36,61
NDC,00006-4827-00,Varicella vaccine,689.85,689.85,92.1,1345.21,61
NDC,00006-4897-00,PEDVAXHIB VACCINE VIAL,117.2,117.2,24.1,93.76,45
NDC,00006-5004-01,PREVYMIS 480 MG/24 ML VIAL,1363.85,1363.85,280.41,1091.08,45
NDC,00006-5423-12,UNCLASSIFIED DRUGS,435.35,435.35,117.11,975.18,43
NDC,00006-5425-15,UNCLASSIFIED DRUGS,689.05,689.05,185.35,1543.47,43
NDC,00007-4893-20,NON-COVERED ITEM OR SERVICE,21.2,21.2,5.7,41.34,45
NDC,00008-0844-02,NON-COVERED ITEM OR SERVICE,43.35,43.35,11.66,84.53,45
NDC,00008-0923-60,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",28.05,,7.55,62.83,48
NDC,00009-0005-01R,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",45.21,45.21,12.16,101.26,48
NDC,00009-0039-28,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",2.43,,0.65,5.45,48
NDC,00009-0047-22,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",1.25,,0.34,2.81,48
NDC,00009-0113-19,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",1.84,,0.49,4.11,43
NDC,00009-0417-01,"INJECTION, TESTOSTERONE CYPIONATE, 1 MG",94.5,94.5,0.05,211.68,48
NDC,00009-0436-01,NON-COVERED ITEM OR SERVICE,79.55,79.55,21.4,155.12,45
NDC,00009-0825-01,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",41.84,41.84,11.26,93.73,48
NDC,00009-0825-01R,"INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG",7.46,7.46,2.01,33.75,48
NDC,00009-0850-01,"INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, 5 MG",329.87,,88.74,738.91,48
NDC,00009-0856-08,"INJECTION, CARBOPROST TROMETHAMINE, 0.1 MG",980.5,,263.75,2196.32,43
NDC,00009-3073-03,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",46.9,,12.62,105.06,48
NDC,00009-3169-06,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",1.07,1.07,0.29,2.4,43
NDC,00009-3169-06P2,"INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",1.29,1.29,0.35,2.89,43
NDC,00009-3475-01,"INJECTION, METHYLPREDNISOLONE ACETATE, 1 MG",72.65,,19.54,162.74,48
NDC,00009-5137-04,"INJECTION, LINEZOLID, 200 MG",120.45,120.45,4.46,269.81,48
NDC,00009-5137-04R1,"INJECTION, LINEZOLID, 200 MG",169.71,169.71,4.46,380.14,48
NDC,00009-7224-02,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG",9069.64,2897.0,2439.73,20316.0,64
NDC,00013-5301-17,NON-COVERED ITEM OR SERVICE,65.4,65.4,17.59,127.53,45
NDC,00023-1145-01,"INJECTION, ONABOTULINUMTOXINA, 1 UNIT",24.64,6.0,6.47,344.65,62
NDC,00023-5858-01,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",3513.95,3513.95,265.12,7871.25,61
NDC,00023-6082-10,"INJECTION, IRON DEXTRAN, 50 MG",58.85,17.0,15.83,131.83,62
NDC,00023-9163-30,RESTASIS 0.05% EYE EMULSION,40.6,40.6,8.35,32.48,45
NDC,00024-1596-01,NON-COVERED ITEM OR SERVICE,6.7,6.7,1.8,13.07,45
NDC,00024-2792-10,"INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG",25.19,25.19,3.63,56.42,48
NDC,00024-5150-10,"INJECTION, RASBURICASE, 0.5 MG",1233.76,346.0,331.88,2763.62,62
NDC,00024-5862-01,"INJECTION, PLERIXAFOR, 1 MG",11986.68,419.0,37.08,26850.15,64
NDC,00025-1451-34R1,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
NDC,00032-1206-01,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,00032-1212-07,NON-COVERED ITEM OR SERVICE,14.05,14.05,3.78,27.4,45
NDC,00032-1224-07,NON-COVERED ITEM OR SERVICE,20.2,20.2,5.43,39.39,45
NDC,00046-0872-21,NON-COVERED ITEM OR SERVICE,1599.9,1599.9,430.37,3119.81,45
NDC,00049-0014-83P,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",18.12,18.12,3.3,40.58,48
NDC,00049-0530-28,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",42.0,42.0,1.58,94.07,48
NDC,00049-3190-28,"INJECTION, VORICONAZOLE, 10 MG",29.69,29.69,1.18,66.5,48
NDC,00049-3190-28P,"INJECTION, VORICONAZOLE, 10 MG",59.38,59.38,1.18,133.01,48
NDC,00052-0450-15R,ROCuronium 50 mg/5 mL Inj Syring-Tra,83.85,83.85,17.24,67.08,45
NDC,00054-0010-20,NON-COVERED ITEM OR SERVICE,6.7,6.7,1.8,13.07,45
NDC,00054-0021-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-0057-46,NON-COVERED ITEM OR SERVICE,46.2,46.2,12.43,90.09,45
NDC,00054-0057-46R1,NON-COVERED ITEM OR SERVICE,6.93,6.93,1.86,13.51,45
NDC,00054-0097-20,NON-COVERED ITEM OR SERVICE,5.05,5.05,1.36,9.85,45
NDC,00054-0099-20,NON-COVERED ITEM OR SERVICE,16.95,16.95,4.56,33.05,45
NDC,00054-0176-13,NON-COVERED ITEM OR SERVICE,13.7,13.7,3.69,26.72,45
NDC,00054-0177-13,NON-COVERED ITEM OR SERVICE,25.55,25.55,6.87,49.82,45
NDC,00054-0235-24,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-0243-24,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-0244-24,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-0269-13,NON-COVERED ITEM OR SERVICE,59.85,59.85,16.1,116.71,45
NDC,00054-0383-25,"CYCLOPHOSPHAMIDE; ORAL, 25 MG",28.35,28.35,1.64,63.5,48
NDC,00054-0407-13,NON-COVERED ITEM OR SERVICE,30.6,30.6,8.23,59.67,45
NDC,00054-0428-25,NON-COVERED ITEM OR SERVICE,524.1,524.1,140.98,1022.0,45
NDC,00054-0471-21,"EVEROLIMUS, ORAL, 0.25 MG",69.8,69.8,3.74,156.35,48
NDC,00054-3120-41,CALCITRIOL 1 MCG/ML SOLUTION,17.68,17.68,3.63,14.14,45
NDC,00054-3176-44,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",3.54,3.54,0.19,7.93,48
NDC,00054-3177-57,"DEXAMETHASONE, ORAL, 0.25 MG",4.35,4.35,0.12,9.75,48
NDC,00054-3177-63R1,NON-COVERED ITEM OR SERVICE,3.41,3.41,0.92,6.64,45
NDC,00054-3294-46,NON-COVERED ITEM OR SERVICE,2.09,2.09,0.56,4.07,45
NDC,00054-3294-46R1,NON-COVERED ITEM OR SERVICE,2.77,2.77,0.74,5.39,45
NDC,00054-3505-47R,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.74,45
NDC,00054-3532-44,"INJECTION, LORAZEPAM, 2 MG",5.3,5.3,1.43,11.87,48
NDC,00054-3556-63,"METHADONE, ORAL, 5 MG",1.18,1.18,0.32,2.65,45
NDC,00054-3556-63P1,"METHADONE, ORAL, 5 MG",3.81,3.81,1.02,8.53,45
NDC,00054-3556-63P2,"METHADONE, ORAL, 5 MG",3.85,3.85,1.04,8.62,45
NDC,00054-3566-99,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",71.15,71.15,0.24,159.37,48
NDC,00054-3722-50,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",4.6,4.6,0.02,10.3,48
NDC,00054-3722-50R1,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",2.64,2.64,0.02,5.91,48
NDC,00054-3727-63,NON-COVERED ITEM OR SERVICE,2.8,2.8,0.75,5.46,45
NDC,00054-4741-25,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",9.88,9.88,0.02,22.12,48
NDC,00054-8146-22,NON-COVERED ITEM OR SERVICE,11.35,11.35,3.05,22.13,45
NDC,00054-8174-25,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
NDC,00054-8179-25,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
NDC,00054-8181-25,"DEXAMETHASONE, ORAL, 0.25 MG",3.85,3.85,0.12,8.62,48
NDC,00054-8297-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-8526-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-8527-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00054-8550-25,"METHOTREXATE; ORAL, 2.5 MG",11.7,11.7,0.41,26.21,48
NDC,00056-0168-75,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
NDC,00056-0169-75,NON-COVERED ITEM OR SERVICE,7.5,7.5,2.02,14.63,45
NDC,00056-0173-75,NON-COVERED ITEM OR SERVICE,11.2,11.2,3.01,21.84,45
NDC,00056-0174-75,NON-COVERED ITEM OR SERVICE,11.6,11.6,3.12,22.62,45
NDC,00056-0188-75,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
NDC,00056-0189-75,NON-COVERED ITEM OR SERVICE,10.8,10.8,2.91,21.06,45
NDC,00056-0510-30,NON-COVERED ITEM OR SERVICE,122.15,122.15,32.86,238.19,45
NDC,00062-0165-01,NON-COVERED ITEM OR SERVICE,395.9,395.9,106.5,772.01,45
NDC,00062-5422-02,NON-COVERED ITEM OR SERVICE,35.65,35.65,9.59,69.52,45
NDC,00065-0092-65,"INJECTION, FLUORESCEIN, 1 MG",16.5,,4.44,32.18,45
NDC,00065-0395-15P,NON-COVERED ITEM OR SERVICE,20.8,20.8,5.6,40.56,45
NDC,00065-0396-05,NON-COVERED ITEM OR SERVICE,170.3,170.3,45.81,332.09,45
NDC,00065-0396-05P,NON-COVERED ITEM OR SERVICE,39.25,39.25,10.56,76.54,45
NDC,00065-0411-30,BETADINE 5% EYE SOLUTION,1362.9,1362.9,280.21,1090.32,45
NDC,00065-0741-14,NON-COVERED ITEM OR SERVICE,41.95,41.95,11.28,81.8,45
NDC,00065-0795-15,BSS EYE SOLUTION,40.45,40.45,8.32,32.36,45
NDC,00065-8063-01,GENTEAL TEARS 0.1%-0.3% DROP,3.85,3.85,0.79,3.08,45
NDC,00069-0238-01,"INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG",283.85,41.0,23.59,1487.55,62
NDC,00069-0293-10,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
NDC,00069-0293-10R1,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
NDC,00069-0294-10,"INJECTION, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM",2.89,2.89,0.29,88.03,62
NDC,00069-0308-01,"INJECTION, TRASTUZUMAB-QYYP, BIOSIMILAR, (TRAZIMERA), 10 MG",319.38,42.0,18.97,1487.55,62
NDC,00069-0315-01,"INJECTION, BEVACIZUMAB-BVZR, BIOSIMILAR, (ZIRABEV), 10 MG",241.92,40.0,23.0,686.99,62
NDC,00069-0344-01,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use",1168.2,,22.56,2277.99,61
NDC,00069-0809-01,"INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG",374.65,32.0,11.55,839.21,62
NDC,00069-1101-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00069-1305-10,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
NDC,00069-1305-10R1,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.67,8.0,7.47,103.34,62
NDC,00069-1305-10R2,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",19.32,8.0,5.2,103.34,62
NDC,00069-1306-10,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
NDC,00069-1306-10R1,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
NDC,00069-1307-10,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
NDC,00069-1307-10R1,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
NDC,00069-1308-10,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR ESRD ON DIALYSIS), 100 UNITS",4.37,4.37,0.75,79.72,62
NDC,00069-1308-10R1,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.73,8.0,7.47,103.34,62
NDC,00069-1309-04,"INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS",43.68,8.0,7.47,103.34,62
NDC,00069-3034-20,"INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG",23.64,23.64,5.55,52.95,48
NDC,00069-6001-21,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT",39.61,39.61,10.65,88.72,48
NDC,00069-6001-25R2,"INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT",66.01,66.01,17.76,147.87,48
NDC,00071-0237-24,NON-COVERED ITEM OR SERVICE,14.75,14.75,3.97,28.76,45
NDC,00074-1746-30,bupivacaine HCL 0.25% /epi pf 30 mL,32.05,32.05,6.59,25.64,45
NDC,00074-1966-04,sodium chloride 0.9% P/F 10 mL Inj vial,13.86,13.86,3.73,31.05,43
NDC,00074-2344-02P3,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",4.15,4.15,1.12,12.89,48
NDC,00074-3109-32,"CYCLOSPORINE, ORAL, 100 MG",25.2,25.2,3.72,56.45,48
NDC,00074-3346-03,"LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG",6999.1,173.0,180.79,15677.98,64
NDC,00074-3399-30,NORVIR 100 MG POWDER PACKET,33.95,33.95,6.98,27.16,45
NDC,00074-3577-01N,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",1.35,1.35,0.36,4.06,48
NDC,00074-3578-01C,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",3.85,3.85,1.04,8.62,43
NDC,00074-3641-03,"INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG",5873.45,1538.0,528.45,13156.53,64
NDC,00074-3727-90,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
NDC,00074-4332-01,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",3.85,3.85,1.04,8.62,43
NDC,00074-4341-90,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
NDC,00074-4346-73P2,UNCLASSIFIED DRUGS,13.98,13.98,3.76,31.31,43
NDC,00074-4552-11,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,00074-5015-01,"INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG",6.27,,1.69,4123.13,59
NDC,00074-5182-11,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
NDC,00074-6102-02P1,"INJECTION, FUROSEMIDE, 1 MG",7.69,,2.07,17.22,43
NDC,00074-6326-13,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00074-6594-90,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
NDC,00074-6624-11,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.07,45
NDC,00074-6799-22,NON-COVERED ITEM OR SERVICE,33.8,33.8,9.09,65.91,45
NDC,00074-7068-11,NON-COVERED ITEM OR SERVICE,4.6,4.6,1.24,8.97,45
NDC,00074-7069-11,NON-COVERED ITEM OR SERVICE,4.6,4.6,1.24,8.97,45
NDC,00074-7070-90,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
NDC,00074-7148-11,NON-COVERED ITEM OR SERVICE,4.8,4.8,1.29,9.36,45
NDC,00074-9296-90,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
NDC,00078-0109-01,"INJECTION, CYCLOSPORINE, 250 MG",171.28,171.28,46.07,383.66,43
NDC,00078-0331-84,"INJECTION, BASILIXIMAB, 20 MG",15573.7,4272.0,1144.27,34885.09,64
NDC,00078-0331-84P,"INJECTION, BASILIXIMAB, 20 MG",15573.7,4272.0,1144.27,34885.09,64
NDC,00078-0401-34,NON-COVERED ITEM OR SERVICE,370.85,370.85,99.76,723.16,45
NDC,00078-0415-20,"EVEROLIMUS, ORAL, 0.25 MG",29.77,29.77,8.01,66.68,48
NDC,00078-0429-47,ocular lubricant Gel pres -free 10 g,27.95,27.95,5.75,22.36,45
NDC,00078-0470-15,NON-COVERED ITEM OR SERVICE,512.85,512.85,137.96,1000.06,45
NDC,00078-0501-15,NON-COVERED ITEM OR SERVICE,65.4,65.4,17.59,127.53,45
NDC,00078-0502-15,NON-COVERED ITEM OR SERVICE,90.6,90.6,24.37,176.67,45
NDC,00078-0685-15,NON-COVERED ITEM OR SERVICE,533.0,533.0,143.38,1039.35,45
NDC,00078-0686-55,NON-COVERED ITEM OR SERVICE,1731.1,1731.1,465.67,3375.65,45
NDC,00078-0771-01,NON-COVERED ITEM OR SERVICE,810.35,810.35,217.98,1580.18,45
NDC,00078-0777-20R1,NON-COVERED ITEM OR SERVICE,1.82,1.82,0.49,3.55,45
NDC,00078-0818-81,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG",878.54,215.0,218.37,4123.13,62
NDC,00078-0825-81,"INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG",859.83,215.0,218.37,4123.13,62
NDC,00085-1328-01R,NON-COVERED ITEM OR SERVICE,183.41,183.41,49.34,357.64,45
NDC,00087-0402-03R1,NON-COVERED ITEM OR SERVICE,1.93,1.93,0.52,3.75,45
NDC,00088-2220-33,"INJECTION, INSULIN, PER 5 UNITS",5.77,5.77,1.55,12.93,43
NDC,00093-0220-56,NON-COVERED ITEM OR SERVICE,61.25,61.25,16.48,119.44,45
NDC,00093-0314-01,NON-COVERED ITEM OR SERVICE,7.15,7.15,1.92,13.94,45
NDC,00093-4127-73R3,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00093-4127-74R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00093-4127-74R2,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00093-4177-73,NON-COVERED ITEM OR SERVICE,4.75,4.75,1.28,9.26,45
NDC,00093-4404-93,"CLOZAPINE, 25 MG",5.55,5.55,1.49,12.43,50
NDC,00093-5420-88,"CABERGOLINE, ORAL, 0.25 MG",60.5,60.5,16.27,135.52,48
NDC,00093-6815-55,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG",31.17,31.17,2.02,69.81,48
NDC,00093-6816-55,"BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG",36.6,36.6,2.02,81.98,48
NDC,00093-7147-56,NON-COVERED ITEM OR SERVICE,61.7,61.7,16.6,120.32,45
NDC,00093-8119-56,FAMCICLOVIR 500 MG TABLET,41.9,41.9,8.61,33.52,45
NDC,00093-8739-01,NON-COVERED ITEM OR SERVICE,8.4,8.4,2.26,16.38,45
NDC,00093-9614-13,SILVER NITRATE 0.5% SOLUTION,277.5,277.5,57.05,222.0,45
NDC,00115-1404-08,NON-COVERED ITEM OR SERVICE,81.9,81.9,22.03,159.71,45
NDC,00116-2001-16,NON-COVERED ITEM OR SERVICE,34.7,34.7,9.33,67.67,45
NDC,00121-0431-30,NON-COVERED ITEM OR SERVICE,7.75,7.75,2.08,15.11,45
NDC,00121-0489-05,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",11.83,11.83,3.18,26.49,43
NDC,00121-0504-05,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
NDC,00121-0530-05,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-0577-32C2,lactulose in water Enema 1000 mL,89.77,89.77,18.46,71.81,45
NDC,00121-0581-05,NON-COVERED ITEM OR SERVICE,6.75,6.75,1.82,13.16,45
NDC,00121-0595-15,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.96,45
NDC,00121-0638-05,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-0638-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-0646-10,NON-COVERED ITEM OR SERVICE,8.5,8.5,2.29,16.58,45
NDC,00121-0657-21,NON-COVERED ITEM OR SERVICE,1.65,1.65,0.44,3.22,45
NDC,00121-0721-04R1,NON-COVERED ITEM OR SERVICE,3.24,3.24,0.87,6.32,45
NDC,00121-0854-16,NON-COVERED ITEM OR SERVICE,15.25,15.25,4.1,29.74,45
NDC,00121-0867-20,NON-COVERED ITEM OR SERVICE,103.35,103.35,27.8,201.53,45
NDC,00121-0868-00,NON-COVERED ITEM OR SERVICE,5.5,5.5,1.48,10.72,45
NDC,00121-0890-20,NON-COVERED ITEM OR SERVICE,190.5,190.5,51.24,371.48,45
NDC,00121-0978-00,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",12.44,12.44,3.35,27.88,43
NDC,00121-1576-10,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",4.72,4.72,1.27,10.56,43
NDC,00121-1744-05,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-1744-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-1761-30,NON-COVERED ITEM OR SERVICE,12.55,12.55,3.38,24.47,45
NDC,00121-1781-05,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00121-1836-05,NON-COVERED ITEM OR SERVICE,2.95,2.95,0.79,5.76,45
NDC,00121-4721-05,NON-COVERED ITEM OR SERVICE,22.59,22.59,6.08,44.05,45
NDC,00121-4766-05,NON-COVERED ITEM OR SERVICE,10.15,10.15,2.73,19.79,45
NDC,00131-1810-67,"INJECTION, LACOSAMIDE, 1 MG",1.62,1.62,0.44,3.62,45
NDC,00131-2477-60,"INJECTION, LACOSAMIDE, 1 MG",35.1,35.1,9.44,78.62,45
NDC,00131-2478-60,"INJECTION, LACOSAMIDE, 1 MG",54.85,54.85,14.75,122.86,45
NDC,00131-2479-60,"INJECTION, LACOSAMIDE, 1 MG",58.05,58.05,15.62,130.03,45
NDC,00131-2480-60,NON-COVERED ITEM OR SERVICE,71.85,71.85,19.33,140.11,45
NDC,00131-5410-70 R,NON-COVERED ITEM OR SERVICE,53.2,53.2,14.31,103.74,45
NDC,00132-0202-20,NON-COVERED ITEM OR SERVICE,5.0,5.0,1.35,9.75,45
NDC,00132-0301-40,NON-COVERED ITEM OR SERVICE,6.9,6.9,1.86,13.46,45
NDC,00132-0703-36,NON-COVERED ITEM OR SERVICE,7.55,7.55,2.03,14.72,45
NDC,00143-9248-01,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG",1086.05,163.0,80.88,2432.75,62
NDC,00143-9284-10R1,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",9.03,,2.43,20.22,48
NDC,00143-9284-10R2,"INJECTION, PANTOPRAZOLE SODIUM, 40 MG",82.5,82.5,22.19,184.8,43
NDC,00143-9318-10R3,NOREPINEPHRINE 128 MCG/ML PEDI,1.83,1.83,0.38,1.46,45
NDC,00143-9529-01,"INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG",95.85,95.85,15.17,214.7,48
NDC,00143-9552-01,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG",110.0,110.0,7.52,246.4,48
NDC,00143-9555-01,"INJECTION, LEUCOVORIN CALCIUM, PER 50 MG",39.86,39.86,7.52,89.28,48
NDC,00143-9559-01,"INJECTION, ARGATROBAN, 1 MG (FOR NON-ESRD USE)",15.68,1.0,0.8,79.72,62
NDC,00143-9559-01R1,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",14.72,1.0,3.96,79.72,59
NDC,00143-9559-01R4,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",15.68,1.0,4.22,79.72,59
NDC,00143-9564-01,"INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG",1765.45,431.0,67.71,3954.61,62
NDC,00143-9674-01R1,"INJECTION, ARGATROBAN, 1 MG (FOR ESRD ON DIALYSIS)",7.92,1.0,2.13,79.72,59
NDC,00143-9701-01,"INJECTION, IRINOTECAN, 20 MG",49.5,49.5,4.61,110.88,48
NDC,00143-9710-10,"INJECTION, MILRINONE LACTATE, 5 MG",12.38,12.38,2.36,27.72,48
NDC,00143-9721-24,"INJECTION, LEVOFLOXACIN, 250 MG",12.13,12.13,1.59,27.16,48
NDC,00143-9721-24R1,"INJECTION, LEVOFLOXACIN, 250 MG",7.74,7.74,1.59,17.35,48
NDC,00143-9722-01,"INJECTION, LEVOFLOXACIN, 250 MG",23.85,23.85,1.59,53.42,48
NDC,00143-9729-05,"INJECTION, BENZTROPINE MESYLATE, PER 1 MG",123.75,123.75,27.69,277.2,48
NDC,00143-9746-10,"INJECTION, TERBUTALINE SULFATE, UP TO 1 MG",16.5,16.5,4.44,36.96,48
NDC,00143-9785-10,"INJECTION, VALPROATE SODIUM, 5 MG",63.22,,17.01,141.62,43
NDC,00143-9785-10R2,"INJECTION, VALPROATE SODIUM, 5 MG",1.79,,0.48,4.02,43
NDC,00143-9923-90,"INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MG",16.5,,4.44,36.96,43
NDC,00143-9924-90,"INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MG",6.05,,1.63,13.54,43
NDC,00143-9977-22,"INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG",22.2,22.2,3.17,49.73,48
NDC,00147-0244-20,THYROID EXTRACT TAB 120MG,3.85,3.85,0.79,3.08,45
NDC,00168-0003-15,NON-COVERED ITEM OR SERVICE,14.75,14.75,3.97,28.76,45
NDC,00168-0004-16,NON-COVERED ITEM OR SERVICE,104.9,104.9,28.22,204.56,45
NDC,00168-0014-31,NON-COVERED ITEM OR SERVICE,8.149999999999999,8.149999999999999,1.51,20.87,90
NDC,00168-0021-09,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00168-0021-35,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
NDC,00168-0046-31,NON-COVERED ITEM OR SERVICE,19.8,19.8,5.33,38.61,45
NDC,00168-0080-31,NON-COVERED ITEM OR SERVICE,36.35,36.35,9.78,70.88,45
NDC,00168-0099-15,NON-COVERED ITEM OR SERVICE,102.0,102.0,27.44,198.9,45
NDC,00168-0146-30,NON-COVERED ITEM OR SERVICE,38.44,38.44,10.34,74.96,45
NDC,00168-0162-60,CLOBETASOL 0.05% OINT 60G,1714.35,1714.35,352.47,1371.48,45
NDC,00168-0336-60,NON-COVERED ITEM OR SERVICE,247.5,247.5,66.58,482.63,45
NDC,00169-7201-01,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NOVOSEVEN RT), 1 MICROGRAM",9.24,2.0,2.49,4123.13,62
NDC,00169-7202-01,"FACTOR VIIA (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NOVOSEVEN RT), 1 MICROGRAM",9.24,2.0,2.49,4123.13,62
NDC,00172-5728-80,NON-COVERED ITEM OR SERVICE,8.0,8.0,2.15,15.6,45
NDC,00172-7313-20,"CYCLOSPORINE, ORAL, 100 MG",18.17,18.17,3.72,40.7,48
NDC,00173-0107-93P,"INJECTION, ZIDOVUDINE, 10 MG",3.6,3.6,0.97,8.07,48
NDC,00173-0682-24,VENTOLIN HFA 90 MCG INHALER,87.4,87.4,17.97,69.92,45
NDC,00173-0718-20,NON-COVERED ITEM OR SERVICE,786.4,786.4,211.54,1533.48,45
NDC,00173-0719-20,NON-COVERED ITEM OR SERVICE,1052.8,1052.8,283.2,2052.96,45
NDC,00173-0869-06,NON-COVERED ITEM OR SERVICE,32.3,32.3,8.69,62.99,45
NDC,00173-0898-03,"INJECTION, DOSTARLIMAB-GXLY, 10 MG",821.26,,220.92,5657.35,59
NDC,00185-0128-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00185-0129-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00185-0223-60,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
NDC,00185-0757-01,NON-COVERED ITEM OR SERVICE,15.2,15.2,4.09,29.64,45
NDC,00185-5600-01R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00186-0370-28,NON-COVERED ITEM OR SERVICE,630.45,630.45,169.59,1229.38,45
NDC,00186-0372-28,NON-COVERED ITEM OR SERVICE,548.1,548.1,147.44,1068.8,45
NDC,00186-0776-60,NON-COVERED ITEM OR SERVICE,20.35,20.35,5.47,39.68,45
NDC,00186-0777-39,NON-COVERED ITEM OR SERVICE,27.3,27.3,7.34,53.24,45
NDC,00187-0192-01,NON-COVERED ITEM OR SERVICE,71.15,71.15,19.14,138.74,45
NDC,00187-1704-05,NON-COVERED ITEM OR SERVICE,232.7,232.7,62.6,453.77,45
NDC,00187-4302-02,NITROPRUSSIDE SOD 50MG VL,1188.0,1188.0,244.25,950.4,45
NDC,00187-5100-01,NON-COVERED ITEM OR SERVICE,940.35,940.35,252.95,1833.68,45
NDC,00223-1720-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00224-1855-82,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00225-0525-47,NON-COVERED ITEM OR SERVICE,10.1,10.1,2.72,19.7,45
NDC,00228-2076-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00228-2077-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00228-2127-10R1,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",1.23,1.23,0.33,2.75,43
NDC,00228-2348-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00245-0012-01,NON-COVERED ITEM OR SERVICE,8.65,8.65,2.33,16.87,45
NDC,00245-5317-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00245-5319-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00254-2045-02,NON-COVERED ITEM OR SERVICE,244.25,244.25,65.7,476.29,45
NDC,00259-0501-16,NON-COVERED ITEM OR SERVICE,10.98,10.98,2.95,21.41,45
NDC,00259-1610-01,"INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT",20.24,5.0,5.31,344.65,62
NDC,00264-1510-32,5% DEXTROSE/WATER (500 ML = 1 UNIT),101.1,101.1,2.85,226.46,48
NDC,00264-1800-31R1,"INFUSION, NORMAL SALINE SOLUTION, 250 CC",82.63,82.63,1.14,185.09,48
NDC,00264-2304-00,ACETIC ACID 0.25% IRRIG SOLN,16.5,16.5,3.39,13.2,45
NDC,00264-2304-00R1,ACETIC ACID 5% MTG SOL 15ML,2.2,2.2,0.45,1.76,45
NDC,00264-3103-11,"INJECTION, CEFAZOLIN SODIUM, 500 MG",22.48,22.48,1.39,50.34,48
NDC,00264-3105-11,"INJECTION, CEFAZOLIN SODIUM, 500 MG",12.65,12.65,1.39,28.34,48
NDC,00264-3105-11R1,"INJECTION, CEFAZOLIN SODIUM, 500 MG",13.76,13.76,1.39,30.83,48
NDC,00264-3125-11,"INJECTION, CEFOXITIN SODIUM, 1 GM",57.88,57.88,7.62,129.64,48
NDC,00264-3155-11,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",12.11,12.11,0.78,27.13,48
NDC,00264-3155-11R1,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",10.97,10.97,0.78,24.58,48
NDC,00264-3183-11,"INJECTION, MEROPENEM, 100 MG",14.05,14.05,0.55,31.47,48
NDC,00264-3185-11,"INJECTION, MEROPENEM, 100 MG",9.83,9.83,0.55,22.03,48
NDC,00264-3193-11,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",33.72,33.72,2.17,75.54,48
NDC,00264-3195-11,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",24.06,24.06,2.17,53.9,48
NDC,00264-4204-52,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",20.64,20.64,0.86,46.22,48
NDC,00264-4460-10,NUTRILIPID 20% IV FAT EMULSION,66.03,66.03,13.58,52.83,45
NDC,00264-4460-30,NUTRILIPID 20% IV FAT EMULSION,80.05,80.05,16.46,64.04,45
NDC,00264-5802-10R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00264-7520-10,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
NDC,00264-7578-10,MANNITOL 20% (100 GM/500 ML),82.5,82.5,16.96,66.0,45
NDC,00264-7610-00,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),41.25,41.25,1.97,92.4,48
NDC,00264-7610-20,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),82.5,82.5,1.97,184.8,48
NDC,00264-7612-10,DEXTROSE 5%-0.45% NACL IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00264-7616-00,DEXTROSE 5%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00264-7616-20,DEXTROSE 5%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00264-7622-00,DEXTROSE 10%-0.45% NACL IV SOL,82.5,82.5,16.96,66.0,45
NDC,00264-7623-20,DEXTROSE 10%-0.2% NACL IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00264-7635-00,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00264-7652-00,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00264-7750-00,"RINGERS LACTATE INFUSION, UP TO 1000 CC",82.5,82.5,4.17,184.8,48
NDC,00264-7750-10,"RINGERS LACTATE INFUSION, UP TO 1000 CC",82.5,82.5,4.17,184.8,48
NDC,00264-7751-00,"5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC",82.5,82.5,22.19,184.8,43
NDC,00264-7800-10,"INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT)",82.52,82.52,2.29,184.83,48
NDC,00264-7802-00,SALINE 0.45% SOLN-EXCEL CON,82.5,82.5,16.96,66.0,45
NDC,00264-7805-10,"HYPERTONIC SALINE SOLUTION, 1 ML",82.5,82.5,22.19,184.8,43
NDC,00264-7850-00,STERILE WATER FOR INJECTION,82.5,82.5,16.96,66.0,45
NDC,00264-7865-00,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
NDC,00270-0445-35,"HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML",3.19,3.19,0.86,7.15,43
NDC,00270-0445-40,"HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML",2.3,2.3,0.62,5.15,43
NDC,00281-0326-08,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
NDC,00283-0998-31,NON-COVERED ITEM OR SERVICE,33.1,33.1,8.9,64.55,45
NDC,00310-0754-30,ROSUVASTATIN- 40 MG TAB,36.55,36.55,7.51,29.24,45
NDC,00310-1105-30,NON-COVERED ITEM OR SERVICE,93.55,93.55,25.16,182.42,45
NDC,00310-1110-30,NON-COVERED ITEM OR SERVICE,93.55,93.55,25.16,182.42,45
NDC,00310-4500-12,"INJECTION, DURVALUMAB, 10 MG",294.62,81.0,79.25,1487.55,62
NDC,00310-6205-30,NON-COVERED ITEM OR SERVICE,70.35,70.35,18.92,137.18,45
NDC,00310-6210-30,NON-COVERED ITEM OR SERVICE,70.35,70.35,18.92,137.18,45
NDC,00316-0225-15,NON-COVERED ITEM OR SERVICE,14.6,14.6,3.93,28.47,45
NDC,00338-0017-02,5% DEXTROSE/WATER (500 ML = 1 UNIT),104.56,104.56,2.85,234.22,48
NDC,00338-0017-03,5% DEXTROSE/WATER (500 ML = 1 UNIT),77.96,77.96,2.85,174.63,48
NDC,00338-0017-04,"INFUSION, D5W, 1000 CC",82.5,82.5,5.71,184.8,48
NDC,00338-0017-31R1,"INFUSION, D5W, 1000 CC",82.5,82.5,5.71,184.8,48
NDC,00338-0023-02,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
NDC,00338-0023-04,DEXTROSE 10%-WATER IV SOLUTION,82.5,82.5,16.96,66.0,45
NDC,00338-0049-02,"INFUSION, NORMAL SALINE SOLUTION, 250 CC",83.12,83.12,1.14,186.2,48
NDC,00338-0049-04,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC",82.5,82.5,4.57,184.8,48
NDC,00338-0085-04,DEXTROSE 5%-0.45% NACL IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00338-0126-12,"INJECTION, INSULIN, PER 5 UNITS",6.93,6.93,1.86,15.52,43
NDC,00338-0357-02,"INJECTION, MANNITOL, 250 MG",185.45,,49.89,415.41,43
NDC,00338-0433-04,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",41.25,41.25,0.4,92.4,48
NDC,00338-0503-48,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",14.78,14.78,3.51,33.11,48
NDC,00338-0511-41,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",10.2,10.2,2.74,22.85,48
NDC,00338-0519-48,IV FAT EMULS 20% 100ML,91.8,91.8,18.87,73.44,45
NDC,00338-0553-18R1,"INFUSION, NORMAL SALINE SOLUTION , 1000 CC",82.44,82.44,4.57,184.67,48
NDC,00338-0663-04,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00338-0673-04,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00338-0675-04,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00338-0695-04,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00338-0704-34,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
NDC,00338-0709-48,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",3.29,3.29,0.19,7.38,48
NDC,00338-0807-04,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,00338-1009-02,"INJECTION, DOPAMINE HCL, 40 MG",4.13,4.13,1.11,9.24,48
NDC,00338-1047-02R,"INJECTION, NITROGLYCERIN, 5 MG",16.34,,4.4,36.61,48
NDC,00338-1049-02,"INJECTION, NITROGLYCERIN, 5 MG",89.26,,24.01,199.93,48
NDC,00338-1075-02,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",74.6,74.6,12.89,167.11,48
NDC,00338-1305-01,"INJECTION, MESNA, 200 MG",40.82,40.82,3.03,91.43,48
NDC,00338-2689-75,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",17.79,17.79,4.79,39.85,48
NDC,00338-3612-24,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",22.02,,5.92,49.32,43
NDC,00338-3814-24,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",17.94,,4.83,40.2,43
NDC,00338-6011-37,"INJECTION, MILRINONE LACTATE, 5 MG",31.67,31.67,2.36,70.94,48
NDC,00338-9545-24,"INJECTION, CLINDAMYCIN PHOSPHATE (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J0736, 300 MG",28.05,,7.55,62.83,48
NDC,00362-0557-05,"MARCAINE 0.5%-EPI 1:200,000",3.37,3.37,0.69,2.69,45
NDC,00362-9048-02,"SEPTOCAINE 4%-EPI 1:200,000",1.89,1.89,0.39,1.51,45
NDC,00364-2906-38N,"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",1.66,1.66,0.45,3.71,48
NDC,00378-0415-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00378-0871-99,NON-COVERED ITEM OR SERVICE,109.35,109.35,29.42,213.23,45
NDC,00378-0872-99,NON-COVERED ITEM OR SERVICE,184.05,184.05,49.51,358.9,45
NDC,00378-0873-99,NON-COVERED ITEM OR SERVICE,255.3,255.3,68.68,497.84,45
NDC,00378-1030-93,NON-COVERED ITEM OR SERVICE,13.75,13.75,3.7,26.81,45
NDC,00378-1160-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00378-3547-52,NON-COVERED ITEM OR SERVICE,12.71,12.71,3.42,24.78,45
NDC,00378-5375-01,NON-COVERED ITEM OR SERVICE,6.0,6.0,1.61,11.7,45
NDC,00378-6004-01,FLUPHENAZINE HCL 1MG U/D5,3.85,3.85,0.79,3.08,45
NDC,00378-6074-01,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
NDC,00378-6174-01,NON-COVERED ITEM OR SERVICE,10.65,10.65,2.86,20.77,45
NDC,00378-6986-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00378-6997-89,"STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML",3.85,3.85,1.04,7.51,50
NDC,00378-6998-89,SODIUM CHLORIDE 10% VIAL,3.85,3.85,0.79,3.08,45
NDC,00378-7020-93,NON-COVERED ITEM OR SERVICE,103.0,103.0,27.71,200.85,45
NDC,00378-9112-93,NON-COVERED ITEM OR SERVICE,7.2,7.2,1.94,14.04,45
NDC,00378-9119-98,NON-COVERED ITEM OR SERVICE,67.0,67.0,18.02,130.65,45
NDC,00386-0001-02,ETHYL CHLORIDE SPRAY,110.9,110.9,22.8,88.72,45
NDC,00395-0413-96,NON-COVERED ITEM OR SERVICE,14.05,14.05,3.78,27.4,45
NDC,00395-1031-16,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,00406-0484-62,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00406-0512-62,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
NDC,00406-1142-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00406-1144-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00406-8530-62,NON-COVERED ITEM OR SERVICE,14.85,14.85,3.99,28.96,45
NDC,00406-8555-50,NON-COVERED ITEM OR SERVICE,1.34,1.34,0.36,2.61,45
NDC,00409-0185-01,"INJECTION, GEMCITABINE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 200 MG",36.6,36.6,5.6,81.98,48
NDC,00409-0212-02,"INJECTION, MILRINONE LACTATE, 5 MG",8.15,8.15,2.19,18.25,48
NDC,00409-0212-02R1,"INJECTION, MILRINONE LACTATE, 5 MG",10.35,10.35,2.36,23.19,48
NDC,00409-0212-02R3,"INJECTION, MILRINONE LACTATE, 5 MG",11.69,11.69,2.36,26.18,48
NDC,00409-1105-02,ATRACURIUM 100 MG/10 ML VIAL,62.7,62.7,12.89,50.16,45
NDC,00409-1144-05,VERAPAMIL 5 MG/2 ML VIAL,126.05,126.05,25.92,100.84,45
NDC,00409-1178-30,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",24.83,24.83,6.68,55.62,48
NDC,00409-1207-03,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",5.86,5.86,1.58,13.12,48
NDC,00409-1273-32,"INJECTION, DIAZEPAM, UP TO 5 MG",54.55,54.55,9.26,122.19,48
NDC,00409-1463-01,"INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MG",16.5,16.5,4.44,36.96,48
NDC,00409-1638-02,PRECEDEX 200 MCG/2 ML VIAL,191.29,191.29,39.33,153.04,45
NDC,00409-1660-50,PRECEDEX 200 MCG/50 ML BOTTLE,220.0,220.0,45.23,176.0,45
NDC,00409-1778-05,UNCLASSIFIED DRUGS,16.34,16.34,4.4,36.61,43
NDC,00409-1985-30,"INJECTION, LORAZEPAM, 2 MG",16.5,16.5,2.22,36.96,48
NDC,00409-2051-05,KETAMINE 500 MG/5 ML VIAL,32.45,32.45,6.67,25.96,45
NDC,00409-2122-02,ENALAPRILAT 1.25MG/ML 2ML VL,16.5,16.5,3.39,13.2,45
NDC,00409-2267-20,"INJECTION, LABETALOL HYDROCHLORIDE, 5 MG",1.88,,0.51,4.21,48
NDC,00409-2267-20R1,UNCLASSIFIED DRUGS,1.93,1.93,0.52,4.31,48
NDC,00409-2308-01,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.3,3.3,0.24,7.39,48
NDC,00409-2339-34,"INJECTION, LABETALOL HYDROCHLORIDE, 5 MG",8.18,,2.2,18.33,48
NDC,00409-2344-02,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",19.28,19.28,5.19,43.19,48
NDC,00409-2344-02R2,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",3.85,3.85,1.04,12.89,48
NDC,00409-2344-02R3,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",83.22,83.22,12.89,186.42,48
NDC,00409-2720-03,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",1.02,1.02,0.27,2.28,48
NDC,00409-2721-01,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",1.5,1.5,0.4,3.36,48
NDC,00409-3189-10,ROCURONIUM 50 MG/5 ML VIAL,15.79,15.79,3.25,12.63,45
NDC,00409-3308-03R,acetylcysteine 600 mg/3 mL Oral Syringe,4.1,4.1,0.84,3.28,45
NDC,00409-3375-04,LEVOPHED 4 MG/4 ML VIAL,75.09,75.09,15.44,60.07,45
NDC,00409-3414-01,"INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG",16.24,16.24,1.57,36.37,48
NDC,00409-3515-01,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",2.065,,0.35,6.37,86
NDC,00409-3724-32,"INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG",82.5,82.5,12.89,184.8,48
NDC,00409-4031-01,"INJECTION, MANNITOL, 250 MG",13.24,,3.56,29.66,43
NDC,00409-4332-01,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",1.22,,0.33,2.72,43
NDC,00409-4332-01R1,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",93.5,,25.15,209.44,43
NDC,00409-4332-01R2,VANCOMYCIN 500MG RECTAL ENEMA,32.0,32.0,6.58,25.6,45
NDC,00409-4346-73,UNCLASSIFIED DRUGS,21.73,21.73,5.85,48.68,43
NDC,00409-4887-10,"STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML",15.97,15.97,0.46,25.07,45
NDC,00409-4887-50,WATER FOR INJECTION VIAL,10.34,10.34,2.13,8.27,45
NDC,00409-4900-34,sodium bicarbonate 8.4% Inj 10 mEq LFS,55.65,55.65,11.44,44.52,45
NDC,00409-4902-34,DEXTROSE 50%-WATER ABBOJECT,31.6,31.6,6.5,25.28,45
NDC,00409-5534-34,sodium bicarbonate 4.2% Inj 5 mEq/10 mL less than 2 years old,42.84,42.84,8.81,34.27,45
NDC,00409-5555-02,SODIUM BICARBONATE 4.2% VIAL,30.68,30.68,6.31,24.55,45
NDC,00409-5921-01,"INJECTION, AMINOPHYLLIN, UP TO 250 MG",49.5,49.5,13.32,110.88,48
NDC,00409-5922-01P3,"INJECTION, AMINOPHYLLIN, UP TO 250 MG",13.5,13.5,3.63,30.25,48
NDC,00409-6102-04,"INJECTION, FUROSEMIDE, 1 MG",10.05,,2.7,22.51,43
NDC,00409-6102-10,"INJECTION, FUROSEMIDE, 1 MG",4.56,,1.23,10.2,43
NDC,00409-6482-01,"INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG",182.25,182.25,49.03,408.24,48
NDC,00409-6531-02,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",25.84,,6.95,57.87,43
NDC,00409-6531-02R2,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",10.14,,2.73,22.71,43
NDC,00409-6637-14R1,NON-COVERED ITEM OR SERVICE,4.18,4.18,1.12,8.15,45
NDC,00409-6648-02,DEXTROSE 50%-WATER VIAL,16.5,16.5,3.39,13.2,45
NDC,00409-6729-03,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",2.06,2.06,0.55,4.62,48
NDC,00409-6729-23,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",10.31,10.31,0.86,23.1,48
NDC,00409-6729-23R1,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",2.79,2.79,0.75,6.26,48
NDC,00409-7295-01,POTASSIUM PHOSP 45 MMOL/15 ML,21.88,21.88,4.5,17.51,45
NDC,00409-7299-73,SODIUM ACETATE 40 MEQ/20 ML VL,14.99,14.99,3.08,11.99,45
NDC,00409-7332-01,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",3.97,3.97,0.78,8.89,48
NDC,00409-7335-03,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",12.89,12.89,0.78,28.88,48
NDC,00409-7337-01,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",8.74,8.74,0.78,19.57,48
NDC,00409-7338-01,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",7.43,7.43,0.78,16.64,48
NDC,00409-7391-72,SODIUM PHOSPHATE 45 MMOL/15 ML,34.58,34.58,7.11,27.66,45
NDC,00409-7419-03,"INFUSION, DEXTRAN 40, 500 ML",108.7,108.7,29.24,243.49,43
NDC,00409-7620-03,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
NDC,00409-7809-22,"INJECTION, DOPAMINE HCL, 40 MG",8.25,8.25,1.34,18.48,48
NDC,00409-7809-22R1,"INJECTION, DOPAMINE HCL, 40 MG",3.85,3.85,1.04,8.62,48
NDC,00409-7936-19,dextrose 50% in water Inj 500 mL,48.2,48.2,9.91,38.56,45
NDC,00409-8183-01,POTASSIUM ACET 40 MEQ/20 ML VL,40.19,40.19,8.26,32.15,45
NDC,00409-8300-10,"INJECTION, BIVALIRUDIN, 1 MG",8.36,8.36,0.34,79.72,59
NDC,00409-9104-20R1,"INJECTION, DOPAMINE HCL, 40 MG",2.41,2.41,0.65,5.39,48
NDC,00409-9158-01,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",19.19,19.19,4.85,42.98,48
NDC,00456-0457-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00456-0600-10,"INJECTION, CEFTAROLINE FOSAMIL, 10 MG",10.07,4.0,2.71,88.03,62
NDC,00456-2010-01,NON-COVERED ITEM OR SERVICE,13.5,13.5,3.63,26.33,45
NDC,00456-2020-01,NON-COVERED ITEM OR SERVICE,14.1,14.1,3.79,27.5,45
NDC,00456-2700-10,"INJECTION, CEFTAZIDIME AND AVIBACTAM, 0.5 G/0.125 G",370.79,95.0,79.49,830.58,62
NDC,00456-2700-10R1,"INJECTION, CEFTAZIDIME AND AVIBACTAM, 0.5 G/0.125 G",397.85,95.0,79.49,891.18,62
NDC,00456-4300-01,FOSFOMYCIN 3GM PACKET,361.45,361.45,74.31,289.16,45
NDC,00469-0420-99,"INJECTION, ISAVUCONAZONIUM, 1 MG",3.46,1.0,0.93,103.34,62
NDC,00469-0520-14,NON-COVERED ITEM OR SERVICE,377.6,377.6,101.57,736.32,45
NDC,00469-0607-73,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",14.9,14.9,0.4,33.37,48
NDC,00469-0617-73,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.65,24.65,0.4,55.22,48
NDC,00469-0657-73,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.61,24.61,0.4,55.13,48
NDC,00469-0657-73R1,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",23.19,23.19,0.4,51.95,48
NDC,00469-0657-73R2,"TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG",24.61,24.61,0.4,55.13,48
NDC,00469-3016-01,"TACROLIMUS, PARENTERAL, 5 MG",84.83,243.0,22.82,254.67,62
NDC,00469-3016-01P1,"TACROLIMUS, PARENTERAL, 5 MG",66.64,243.0,17.93,254.67,62
NDC,00469-3051-30,"INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG",237.11,27.0,23.98,531.14,62
NDC,00469-5201-30,NON-COVERED ITEM OR SERVICE,916.8,916.8,246.62,1787.76,45
NDC,00469-5202-30,NON-COVERED ITEM OR SERVICE,916.8,916.8,246.62,1787.76,45
NDC,00469-6501-89,"INJECTION, REGADENOSON, 0.1 MG",228.94,228.94,5.76,512.82,48
NDC,00472-0242-60,NON-COVERED ITEM OR SERVICE,408.4,408.4,109.86,796.38,45
NDC,00472-0345-56,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
NDC,00472-0735-14,NON-COVERED ITEM OR SERVICE,7.8,7.8,2.1,15.21,45
NDC,00472-1400-16,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
NDC,00487-0201-01,"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME",5.95,5.95,0.32,13.33,48
NDC,00487-2784-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00487-9501-03,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG",3.85,3.85,0.08,8.62,48
NDC,00487-9801-01,"IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",4.07,4.07,0.64,9.11,48
NDC,00487-9904-25,ALBUTEROL SUL 1.25 MG/3 ML SOL,5.5,5.5,1.13,4.4,45
NDC,00496-0882-06,LMX 4 4% CREAM,27.75,27.75,5.7,22.2,45
NDC,00517-0034-25,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",1.65,1.65,0.44,3.7,43
NDC,00517-0720-01,"INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG",44.78,44.78,12.04,100.3,96
NDC,00517-0740-20,"INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG",107.4,107.4,28.89,240.58,48
NDC,00517-2310-05,"INJECTION, IRON SUCROSE, 1 MG",2.18,2.18,0.39,4.88,48
NDC,00517-2310-05R1,"INJECTION, IRON SUCROSE, 1 MG",2.5,2.5,0.67,5.59,48
NDC,00517-2340-10,"INJECTION, IRON SUCROSE, 1 MG",1.98,1.98,0.39,4.44,48
NDC,00517-2340-10R2,"INJECTION, IRON SUCROSE, 1 MG",1.98,1.98,0.39,4.44,48
NDC,00517-2502-10,CAFFEINE-SOD BENZOAT 250 MG/ML,72.2,72.2,14.84,57.76,45
NDC,00517-2610-25,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",1.24,1.24,0.33,2.77,48
NDC,00517-4002-25,"INJECTION, PAPAVERINE HCL, UP TO 60 MG",46.43,46.43,12.49,104.01,43
NDC,00517-4601-25,"INJECTION, GLYCOPYRROLATE, 0.1 MG",26.82,,7.21,60.08,43
NDC,00517-4810-25,"INJECTION, NITROGLYCERIN, 5 MG",5.66,,1.52,12.67,48
NDC,00517-5601-25,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG",13.43,13.43,3.61,30.07,48
NDC,00517-6110-25,ZINC SULFATE 1MG/ML INJ,105.3,105.3,21.65,84.24,45
NDC,00517-6710-10,"INJECTION, CALCIUM CHLORIDE, 2 MG",14.41,,3.87,32.27,43
NDC,00517-7504-25R2,ACETYLCYSTEINE 600MG/250ML ENE,59.0,59.0,12.13,47.2,50
NDC,00517-7604-25,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",49.4,49.4,13.29,110.66,48
NDC,00517-8575-10C,ETHYL ALCOHOL 70%*MFG* INJ 3ML,32.25,32.25,6.63,25.8,45
NDC,00517-9702-25,"INJECTION, DROPERIDOL, UP TO 5 MG",32.5,32.5,8.74,72.8,43
NDC,00527-1116-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00527-1311-01,NON-COVERED ITEM OR SERVICE,21.95,21.95,5.9,42.8,45
NDC,00527-1368-01,DANAZOL 100 MG CAPSULE,18.0,18.0,3.7,14.4,45
NDC,00527-1927-36,"METHADONE, ORAL, 5 MG",1.93,1.93,0.52,4.31,45
NDC,00536-0091-85,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00536-1024-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00536-1079-97,NON-COVERED ITEM OR SERVICE,30.75,30.75,8.27,59.96,45
NDC,00536-1151-97R1,NON-COVERED ITEM OR SERVICE,3.21,3.21,0.86,6.26,45
NDC,00536-1223-08,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00536-1239-81,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00536-1962-97,NON-COVERED ITEM OR SERVICE,14.65,14.65,3.94,28.57,45
NDC,00536-1970-72,NON-COVERED ITEM OR SERVICE,8.8,8.8,2.37,17.16,45
NDC,00536-4406-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00536-5700-28,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
NDC,00536-7415-51,NON-COVERED ITEM OR SERVICE,3.84,3.84,1.03,7.49,45
NDC,00548-5400-25,"INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG",1.19,1.19,0.32,2.66,43
NDC,00555-0033-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0066-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0159-04,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0635-09,NON-COVERED ITEM OR SERVICE,33.95,33.95,9.13,66.2,45
NDC,00555-0779-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0872-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0886-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00555-0971-02,NON-COVERED ITEM OR SERVICE,5.65,5.65,1.52,11.02,45
NDC,00555-0972-02,NON-COVERED ITEM OR SERVICE,5.65,5.65,1.52,11.02,45
NDC,00555-0973-02,DEXTROAMP-AMPHETAMIN 20 MG TAB,5.65,5.65,1.16,4.52,45
NDC,00555-9016-58,NON-COVERED ITEM OR SERVICE,108.15,108.15,29.09,210.89,45
NDC,00555-9049-58,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00574-0069-24,GLUTOSE-5 GEL,8.6,8.6,1.77,6.88,45
NDC,00574-0106-01,NON-COVERED ITEM OR SERVICE,12.4,12.4,3.34,24.18,45
NDC,00574-0292-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00574-0791-01,NON-COVERED ITEM OR SERVICE,25.3,25.3,6.81,49.34,45
NDC,00574-4024-35,NON-COVERED ITEM OR SERVICE,59.3,59.3,15.95,115.64,45
NDC,00574-7034-12,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,00574-7040-12,BELLADONNA-OPIUM 16.2-60 SUPP,110.4,110.4,22.7,88.32,45
NDC,00574-7045-12,NON-COVERED ITEM OR SERVICE,90.85,90.85,24.44,177.16,45
NDC,00575-6200-30,NON-COVERED ITEM OR SERVICE,48.1,48.1,12.94,93.8,45
NDC,00575-6200-30R,NON-COVERED ITEM OR SERVICE,44.25,44.25,11.9,86.29,45
NDC,00591-0371-01,NON-COVERED ITEM OR SERVICE,6.4,6.4,1.72,12.48,45
NDC,00591-0404-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00591-2469-15,NON-COVERED ITEM OR SERVICE,8.6,8.6,2.31,16.77,45
NDC,00591-2579-20,VALGANCICLOVIR HCL 50 MG/ML,314.3,314.3,64.62,251.44,45
NDC,00591-3525-30,NON-COVERED ITEM OR SERVICE,30.9,30.9,8.31,60.26,45
NDC,00591-3875-44,MEMANTINE HCL 10 MG TABLET,20.15,20.15,4.14,16.12,45
NDC,00591-5347-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00591-5554-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00597-0035-10,"INJECTION, SPESOLIMAB-SBZO, 1 MG",245.55,,66.05,19217.89,59
NDC,00597-0047-24,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.06,45
NDC,00597-0075-75,SPIRIVA HANDIHALER 18 MCG CAP,374.9,374.9,77.08,299.92,45
NDC,00597-0087-17,ATROVENT 17 MCG HFA INHALER,1694.3,1694.3,348.35,1355.44,45
NDC,00597-0190-61,NON-COVERED ITEM OR SERVICE,24.1,24.1,6.48,47.0,45
NDC,00597-0355-56,PRADAXA 75 MG CAPSULE,31.5,31.5,6.48,25.2,45
NDC,00597-0360-82,NON-COVERED ITEM OR SERVICE,31.5,31.5,8.47,61.43,45
NDC,00603-0535-50,NON-COVERED ITEM OR SERVICE,8.8,8.8,2.37,17.16,45
NDC,00603-0894-50,NON-COVERED ITEM OR SERVICE,15.14,15.14,4.07,29.51,45
NDC,00603-1542-58,NON-COVERED ITEM OR SERVICE,40.3,40.3,10.84,78.58,45
NDC,00603-1841-58,NON-COVERED ITEM OR SERVICE,15.05,15.05,4.05,29.35,45
NDC,00603-5167-21,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00603-5168-21,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
NDC,00603-6330-20,NON-COVERED ITEM OR SERVICE,227.0,227.0,61.06,442.65,45
NDC,00603-7805-50,NON-COVERED ITEM OR SERVICE,22.95,22.95,6.17,44.75,45
NDC,00641-0367-25,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",1.6,1.6,0.19,3.59,48
NDC,00641-0376-25,DIPHENHYDRAMINE 50 MG/ML VIAL,16.32,16.32,3.36,13.06,45
NDC,00641-0476-25,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",104.4,47.0,28.08,233.85,48
NDC,00641-0476-25R1,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",22.85,47.0,6.15,55.71,48
NDC,00641-0477-25,"INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG",153.75,47.0,41.36,344.39,48
NDC,00641-0928-25,"INJECTION, PROMETHAZINE HCL, UP TO 50 MG",16.75,16.75,4.51,37.53,48
NDC,00641-1397-35,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG",76.05,76.05,20.46,170.35,48
NDC,00641-1398-35,"INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG",128.4,128.4,34.54,287.61,48
NDC,00641-6007-10,"INJECTION, BUMETANIDE, 0.5 MG",1.96,1.96,0.53,4.39,43
NDC,00641-6007-10R1,"INJECTION, BUMETANIDE, 0.5 MG",3.9,3.9,1.05,8.74,43
NDC,00641-6007-10R4,"INJECTION, BUMETANIDE, 0.5 MG",16.5,16.5,4.44,36.96,43
NDC,00641-6008-10,"INJECTION, BUMETANIDE, 0.5 MG",6.46,6.46,1.74,14.47,43
NDC,00641-6020-10,"INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG",90.55,90.55,17.82,202.83,48
NDC,00641-6027-25P3,"INJECTION, FENTANYL CITRATE, 0.1 MG",42.05,42.05,1.42,94.19,48
NDC,00641-6028-25,"INJECTION, FENTANYL CITRATE, 0.1 MG",5.47,5.47,1.42,12.25,48
NDC,00641-6044-25,"INJECTION, LORAZEPAM, 2 MG",16.19,16.19,2.22,36.26,48
NDC,00641-6045-25,"INJECTION, LORAZEPAM, 2 MG",8.25,8.25,2.22,18.48,48
NDC,00641-6052-25,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",17.76,17.76,4.78,39.79,48
NDC,00641-6053-25,"INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG",16.5,16.5,4.44,36.96,48
NDC,00641-6057-25,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",7.69,7.69,0.24,17.23,48
NDC,00641-6063-25,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",16.44,16.44,0.24,36.83,48
NDC,00641-6078-25R4,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",1.03,1.03,0.16,2.31,48
NDC,00641-6103-25,"INJECTION, METHOCARBAMOL, UP TO 10 ML",110.9,110.9,13.77,248.42,48
NDC,00641-6125-25,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",16.47,16.47,4.43,36.88,48
NDC,00641-6127-25,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",16.5,16.5,4.44,36.96,48
NDC,00641-6149-10,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",38.61,38.61,10.39,86.49,43
NDC,00641-6164-10R1,"INJECTION, CAFFEINE CITRATE, 5 MG",6.6,6.6,1.78,14.78,43
NDC,00641-6174-10,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",8.92,8.92,1.54,19.99,48
NDC,00641-6176-10,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",6.93,6.93,1.54,15.52,48
NDC,00641-6182-10,"INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG",61.8,61.8,15.46,138.43,48
NDC,00703-2914-03R1,VECURONIUM 1MG/ML PEDI,2.58,2.58,0.53,2.06,45
NDC,00703-3301-04R1,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",8.91,8.91,1.54,19.96,48
NDC,00703-3986-01,"INJECTION, OXALIPLATIN, 0.5 MG",356.6,356.6,0.13,798.78,48
NDC,00703-5075-01R1,"DACARBAZINE, 100 MG",32.3,32.3,6.12,72.35,48
NDC,00703-5233-13R3,"INJECTION, DAUNORUBICIN, 10 MG",262.81,48.0,23.52,588.7,62
NDC,00703-8510-23,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.87,7.87,0.98,17.63,48
NDC,00703-8580-23R1,"INJECTION, ENOXAPARIN SODIUM, 10 MG",6.62,6.62,0.98,14.82,48
NDC,00703-9040-03,"INJECTION, AMIKACIN SULFATE, 100 MG",9.58,9.58,1.34,21.45,48
NDC,00703-9514-03,UNCLASSIFIED DRUGS,33.44,33.44,8.99,74.9,43
NDC,00703-9514-03P1,"INJECTION, SULFAMETHOXAZOLE 5 MG AND TRIMETHOPRIM 1 MG",33.52,,9.02,75.09,43
NDC,00703-9526-01,UNCLASSIFIED DRUGS,91.32,91.32,24.57,204.56,43
NDC,00713-0101-09,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00713-0102-13,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00713-0109-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00713-0135-12,NON-COVERED ITEM OR SERVICE,44.25,44.25,11.9,86.29,45
NDC,00713-0503-12,NON-COVERED ITEM OR SERVICE,74.75,74.75,20.11,145.76,45
NDC,00713-0526-12,NON-COVERED ITEM OR SERVICE,58.45,58.45,15.72,113.98,45
NDC,00713-0536-12,NON-COVERED ITEM OR SERVICE,58.45,58.45,15.72,113.98,45
NDC,00713-0686-15,NON-COVERED ITEM OR SERVICE,57.8,57.8,15.55,112.71,45
NDC,00731-0401-06C2,ZINC SULFATE 10MG/ML  1ML,2.06,2.06,0.42,1.65,45
NDC,00781-1205-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00781-1397-13,NON-COVERED ITEM OR SERVICE,5.95,5.95,1.6,11.6,45
NDC,00781-1635-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00781-1655-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00781-1695-13,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
NDC,00781-1961-60,NON-COVERED ITEM OR SERVICE,19.9,19.9,5.35,38.81,45
NDC,00781-1972-01,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
NDC,00781-2145-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00781-2613-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00781-3000-95,"INJECTION, MEROPENEM, 100 MG",12.03,12.03,0.55,26.95,48
NDC,00781-3040-95,REGONOL 10 MG/2 ML AMPUL,126.75,126.75,26.06,101.4,45
NDC,00781-3059-95,"INJECTION, DIGOXIN, UP TO 0.5 MG",24.7,24.7,6.64,55.33,48
NDC,00781-3114-95R1,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",23.38,23.38,2.01,52.36,48
NDC,00781-3207-95R1,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",44.38,44.38,0.78,99.4,48
NDC,00781-3207-95R2,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",44.38,44.38,0.78,99.4,48
NDC,00781-3244-94,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",13.6,,3.66,30.46,48
NDC,00781-3246-64,"INJECTION, ENOXAPARIN SODIUM, 10 MG",23.03,23.03,0.98,51.59,48
NDC,00781-3255-94,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",13.6,,3.66,30.46,48
NDC,00781-3268-69,"INJECTION, ENOXAPARIN SODIUM, 10 MG",9.23,9.23,0.98,20.66,48
NDC,00781-3402-95,"INJECTION, AMPICILLIN SODIUM, 500 MG",16.5,16.5,1.5,36.96,48
NDC,00781-3408-95,"INJECTION, AMPICILLIN SODIUM, 500 MG",13.83,13.83,1.5,30.97,48
NDC,00781-3408-95R,"INJECTION, AMPICILLIN SODIUM, 500 MG",93.5,93.5,1.5,209.44,48
NDC,00781-3428-68,"INJECTION, ENOXAPARIN SODIUM, 10 MG",26.83,26.83,0.98,60.09,48
NDC,00781-3440-95,"INJECTION, COSYNTROPIN, 0.25 MG",317.6,317.6,36.94,711.42,48
NDC,00781-5312-08,NON-COVERED ITEM OR SERVICE,29.55,29.55,7.95,57.62,45
NDC,00781-5438-20,NON-COVERED ITEM OR SERVICE,22.25,22.25,5.99,43.39,45
NDC,00781-7077-87,NON-COVERED ITEM OR SERVICE,504.35,504.35,135.67,983.48,45
NDC,00832-0303-00,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",2.46,2.46,0.66,5.5,43
NDC,00832-0510-00,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00832-0511-00,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.97,45
NDC,00832-0512-01R1,"INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG",3.85,3.85,1.04,8.62,48
NDC,00832-0580-11,NON-COVERED ITEM OR SERVICE,60.45,60.45,16.26,117.88,45
NDC,00832-1212-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00832-1213-00,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00832-1216-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0277-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0520-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0522-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0523-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0530-80,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-0734-31,NON-COVERED ITEM OR SERVICE,11.6,11.6,3.12,22.62,45
NDC,00904-1453-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-2056-61,"DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A ",3.85,3.85,1.04,8.62,43
NDC,00904-3162-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-3571-61,"MEGESTROL ACETATE, ORAL, 20 MG",2.28,2.28,0.61,5.1,45
NDC,00904-3854-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-3865-75,NON-COVERED ITEM OR SERVICE,7.1,7.1,1.91,13.85,45
NDC,00904-5046-61R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5068-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5125-59,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5282-61,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,00904-5392-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5448-61,NON-COVERED ITEM OR SERVICE,4.95,4.95,1.33,9.65,45
NDC,00904-5492-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5610-61,NON-COVERED ITEM OR SERVICE,5.35,5.35,1.44,10.43,45
NDC,00904-5711-30,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
NDC,00904-5785-61,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
NDC,00904-5789-61,NON-COVERED ITEM OR SERVICE,5.05,5.05,1.36,9.85,45
NDC,00904-5797-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5798-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5824-60,cholecalciferol 25 mcg (1000 Int_Unit) Tab,3.85,3.85,0.79,3.08,45
NDC,00904-5859-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5880-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5891-61,NON-COVERED ITEM OR SERVICE,9.55,9.55,2.57,18.62,45
NDC,00904-5923-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5925-61,NON-COVERED ITEM OR SERVICE,5.85,5.85,1.57,11.41,45
NDC,00904-5929-61,NON-COVERED ITEM OR SERVICE,11.55,11.55,3.11,22.52,45
NDC,00904-5959-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-5984-26,NON-COVERED ITEM OR SERVICE,125.8,125.8,33.84,245.31,45
NDC,00904-6008-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6052-61,NON-COVERED ITEM OR SERVICE,10.45,10.45,2.81,20.38,45
NDC,00904-6102-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6103-61,NON-COVERED ITEM OR SERVICE,3.95,3.95,1.06,7.7,45
NDC,00904-6187-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6237-61,NON-COVERED ITEM OR SERVICE,3.86,3.86,1.04,7.52,45
NDC,00904-6255-49,SORE THROAT 15-3.6 MG LOZENGE,3.85,3.85,0.79,3.08,45
NDC,00904-6269-08,NON-COVERED ITEM OR SERVICE,29.6,29.6,7.96,57.72,45
NDC,00904-6270-08,NON-COVERED ITEM OR SERVICE,29.6,29.6,7.96,57.72,45
NDC,00904-6271-08,NON-COVERED ITEM OR SERVICE,35.9,35.9,9.66,70.01,45
NDC,00904-6272-45,NON-COVERED ITEM OR SERVICE,10.95,10.95,2.95,21.35,45
NDC,00904-6294-61,NON-COVERED ITEM OR SERVICE,14.4,14.4,3.87,28.08,45
NDC,00904-6303-61R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6303-61R2,NON-COVERED ITEM OR SERVICE,3.62,3.62,0.97,7.07,45
NDC,00904-6305-21,NON-COVERED ITEM OR SERVICE,8.25,8.25,2.22,16.09,45
NDC,00904-6322-61,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
NDC,00904-6323-61,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
NDC,00904-6324-61,NON-COVERED ITEM OR SERVICE,6.2,6.2,1.67,12.09,45
NDC,00904-6326-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6327-61,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,00904-6338-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6351-61,NON-COVERED ITEM OR SERVICE,48.6,48.6,13.07,94.77,45
NDC,00904-6351-61R1,NON-COVERED ITEM OR SERVICE,4.87,4.87,1.31,9.5,45
NDC,00904-6352-61,NON-COVERED ITEM OR SERVICE,55.55,55.55,14.94,108.32,45
NDC,00904-6357-61,NON-COVERED ITEM OR SERVICE,11.85,11.85,3.19,23.11,45
NDC,00904-6358-61,NON-COVERED ITEM OR SERVICE,13.0,13.0,3.5,25.35,45
NDC,00904-6359-61,NON-COVERED ITEM OR SERVICE,15.1,15.1,4.06,29.45,45
NDC,00904-6360-61,NON-COVERED ITEM OR SERVICE,23.3,23.3,6.27,45.44,45
NDC,00904-6361-61,NON-COVERED ITEM OR SERVICE,27.45,27.45,7.38,53.53,45
NDC,00904-6362-61,NON-COVERED ITEM OR SERVICE,35.75,35.75,9.62,69.71,45
NDC,00904-6364-61,NON-COVERED ITEM OR SERVICE,8.2,8.2,2.21,15.99,45
NDC,00904-6369-61,NON-COVERED ITEM OR SERVICE,5.3,5.3,1.43,10.34,45
NDC,00904-6370-61R1,NON-COVERED ITEM OR SERVICE,1.72,1.72,0.46,3.35,45
NDC,00904-6370-61R2,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
NDC,00904-6373-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6374-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6376-61,NON-COVERED ITEM OR SERVICE,43.65,43.65,11.74,85.12,45
NDC,00904-6401-61,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
NDC,00904-6407-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6434-80,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6436-04,NON-COVERED ITEM OR SERVICE,15.65,15.65,4.21,30.52,45
NDC,00904-6441-61R1,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
NDC,00904-6444-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6452-04,NON-COVERED ITEM OR SERVICE,5.8,5.8,1.56,11.31,45
NDC,00904-6454-61,NON-COVERED ITEM OR SERVICE,19.6,19.6,5.27,38.22,45
NDC,00904-6461-61,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEE",1.93,1.93,0.52,4.31,43
NDC,00904-6470-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6474-61,PANTOPRAZOLE SOD DR 40 MG TAB,13.5,13.5,2.78,10.8,45
NDC,00904-6486-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6501-61,NON-COVERED ITEM OR SERVICE,53.95,53.95,14.51,105.2,45
NDC,00904-6503-61,NON-COVERED ITEM OR SERVICE,25.05,25.05,6.74,48.85,45
NDC,00904-6505-61,MEMANTINE HCL 5 MG TABLET,3.85,3.85,0.79,3.08,45
NDC,00904-6530-61,"METHADONE, ORAL, 5 MG",1.93,1.93,0.52,4.31,45
NDC,00904-6553-04,NON-COVERED ITEM OR SERVICE,603.9,603.9,162.45,1177.61,45
NDC,00904-6556-61R4,NON-COVERED ITEM OR SERVICE,1.8,1.8,0.48,3.51,45
NDC,00904-6557-61,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
NDC,00904-6564-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6565-61,NON-COVERED ITEM OR SERVICE,9.65,9.65,2.6,18.82,45
NDC,00904-6570-61,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
NDC,00904-6585-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6599-61,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",5.95,5.95,1.6,13.33,43
NDC,00904-6600-61,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",5.95,5.95,1.6,13.33,43
NDC,00904-6601-61,"PERPHENAZINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",7.15,7.15,1.92,16.02,43
NDC,00904-6638-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6639-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6640-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6641-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6642-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6643-61,QUETIAPINE FUMARATE 400 MG TAB,5.55,5.55,1.14,4.44,45
NDC,00904-6643-61R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6665-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6667-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6704-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6717-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6745-61,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",18.75,18.75,4.57,42.0,48
NDC,00904-6746-04,"DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAG",38.2,38.2,4.57,85.57,48
NDC,00904-6779-61,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
NDC,00904-6780-61,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
NDC,00904-6785-61,"MYCOPHENOLIC ACID, ORAL, 180 MG",19.5,19.5,0.64,43.68,48
NDC,00904-6786-61,"MYCOPHENOLIC ACID, ORAL, 180 MG",19.35,19.35,0.64,43.34,48
NDC,00904-6791-04,NON-COVERED ITEM OR SERVICE,36.95,36.95,9.94,72.05,45
NDC,00904-6792-04,NON-COVERED ITEM OR SERVICE,55.9,55.9,15.04,109.01,45
NDC,00904-6860-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6861-90,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6867-04,NON-COVERED ITEM OR SERVICE,126.7,126.7,34.08,247.07,45
NDC,00904-6867-04R1,TRETINOIN 30MG/30ML ORAL SOLN,120.78,120.78,24.83,96.63,45
NDC,00904-6869-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6874-04,NON-COVERED ITEM OR SERVICE,34.35,34.35,9.24,66.98,45
NDC,00904-6884-06,NON-COVERED ITEM OR SERVICE,7.75,7.75,2.08,15.11,45
NDC,00904-6893-61,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",4.13,4.13,1.11,9.25,43
NDC,00904-6894-61,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",3.13,3.13,0.84,7.0,43
NDC,00904-6900-04,NON-COVERED ITEM OR SERVICE,7.85,7.85,2.11,15.31,45
NDC,00904-6938-06,NON-COVERED ITEM OR SERVICE,7.2,7.2,1.94,14.04,45
NDC,00904-6991-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-6992-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7000-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7001-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7002-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7003-04,NON-COVERED ITEM OR SERVICE,6.6,6.6,1.78,12.87,45
NDC,00904-7005-04,NON-COVERED ITEM OR SERVICE,6.8,6.8,1.83,13.26,45
NDC,00904-7042-06,NON-COVERED ITEM OR SERVICE,5.6,5.6,1.51,10.92,45
NDC,00904-7044-61,NON-COVERED ITEM OR SERVICE,5.7,5.7,1.53,11.12,45
NDC,00904-7078-61,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG",1.93,1.93,0.28,4.31,48
NDC,00904-7288-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7368-06,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,00904-7591-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,00904-7809-61,NON-COVERED ITEM OR SERVICE,4.0,4.0,1.08,7.8,45
NDC,00944-2700-05,"INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG",286.94,47.0,46.46,1487.55,62
NDC,00955-1003-10,"INJECTION, ENOXAPARIN SODIUM, 10 MG",29.44,29.44,0.98,65.95,48
NDC,00990-7075-26,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",1.98,1.98,0.19,4.44,48
NDC,00990-7905-09,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",8.25,8.25,0.19,18.48,48
NDC,00990-7935-19,DEXTROSE 20%-WATER IV SOLN,82.5,82.5,16.96,66.0,45
NDC,00990-7993-09,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",82.5,82.5,0.19,184.8,48
NDC,08290-3064-13,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",5.5,5.5,0.03,12.32,48
NDC,10006-0700-38,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,10019-0075-87,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",5.46,,1.47,12.23,48
NDC,10019-0510-04,UNCLASSIFIED DRUGS,23.0,23.0,6.19,51.52,43
NDC,10119-0002-52,ADVANCED EYE RELIEF EYE WASH,9.55,9.55,1.96,7.64,45
NDC,10122-0510-01,CUROSURF 120 MG/1.5 ML VIAL,1955.79,1955.79,402.11,1564.63,45
NDC,10122-0620-10,"INJECTION, CANGRELOR, 1 MG",66.03,18.0,17.76,344.65,64
NDC,10147-0750-04,NON-COVERED ITEM OR SERVICE,91.7,91.7,24.67,178.82,45
NDC,10223-0201-03,CETACAINE SPRAY,238.95,238.95,49.13,191.16,45
NDC,10223-0201-04,NON-COVERED ITEM OR SERVICE,208.0,208.0,55.95,405.6,45
NDC,10702-0006-01,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
NDC,10702-0036-45,NON-COVERED ITEM OR SERVICE,38.2,38.2,10.28,74.49,45
NDC,11523-7268-08,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,11845-0714-01,RIBOFLAVIN 100 MG TABLET,3.85,3.85,0.79,3.08,45
NDC,11845-0796-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,11980-0174-05,NON-COVERED ITEM OR SERVICE,458.05,458.05,123.22,893.2,45
NDC,12496-0757-05,"INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG",20.03,20.03,5.39,44.87,48
NDC,12496-1208-03,"BUPRENORPHINE/NALOXONE, ORAL, GREATER THAN 6 MG, BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE",35.6,35.6,9.58,79.74,48
NDC,12870-0001-01,SILVER NITRATE APPLICATOR,25.15,25.15,5.17,20.12,45
NDC,13533-0318-01,Rabies immune globulin for injection,1326.89,222.0,280.37,2587.44,64
NDC,13533-0603-20,"ANTITHROMBIN III (HUMAN), PER I.U.",16.63,4.0,3.96,4123.13,62
NDC,13533-0634-02,"INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS",2203.35,560.0,79.49,4935.5,62
NDC,13533-0684-16,"INFUSION, ALBUMIN (HUMAN), 25%, 20 ML",108.9,22.0,21.23,243.94,62
NDC,13533-0800-12R1,"INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G., POWDER), NOT OTHERWISE SPECIFIED, 500 MG",257.64,77.0,69.3,1487.55,62
NDC,13668-0453-01,NON-COVERED ITEM OR SERVICE,36.85,36.85,9.91,71.86,45
NDC,13811-0515-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,13811-0707-10,NON-COVERED ITEM OR SERVICE,31.6,31.6,8.5,61.62,45
NDC,14539-0675-01,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HO",3.85,3.85,1.04,8.62,43
NDC,14789-0014-01,ePHEDrine 50 mg/mL Inj 1 mL,59.4,59.4,12.21,47.52,45
NDC,14789-0015-05,ISOPROTERENOL 1 MG/5 ML VIAL,2376.0,2376.0,488.51,1900.8,45
NDC,14789-0250-10,EMERPHED 50 MG/10 ML VIAL,110.9,110.9,22.8,88.72,45
NDC,15054-0530-06,"INJECTION, ABOBOTULINUMTOXINA, 5 UNITS",34.02,9.0,8.53,344.65,62
NDC,15054-1120-04,"INJECTION, LANREOTIDE, 1 MG",315.55,66.0,44.98,4123.13,62
NDC,16252-0539-01,NON-COVERED ITEM OR SERVICE,4.55,4.55,1.22,8.87,45
NDC,16252-0540-01,ISRADIPINE 5 MG CAPSULE,6.6,6.6,1.36,5.28,45
NDC,16252-0540-01P,isradipine 1 mg/mL Susp Oral Syringe,2.02,2.02,0.42,1.62,45
NDC,16252-0591-99,NON-COVERED ITEM OR SERVICE,86.15,86.15,23.17,167.99,45
NDC,16571-0330-16,NON-COVERED ITEM OR SERVICE,3.65,3.65,0.98,7.11,45
NDC,16571-0672-01R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,16729-0035-10,"ANASTROZOLE, ORAL, 1 MG",43.95,43.95,11.82,98.45,45
NDC,16729-0073-29,"CAPECITABINE, ORAL, 50 MG",12.91,,3.47,28.92,43
NDC,16729-0114-31,"INJECTION, ETOPOSIDE, 10 MG",7.28,7.28,1.92,16.32,48
NDC,16729-0116-38,"MITOMYCIN, INTRAVESICAL INSTILLATION, 1 MG",583.96,,157.08,1308.06,48
NDC,16729-0151-31,"INJECTION, TOPOTECAN, 0.1 MG",33.21,33.21,1.59,74.4,48
NDC,16729-0184-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,16729-0239-93R1,DEXMEDETOMIDINE 4MCG/ML PEDI,1.52,1.52,0.31,1.22,45
NDC,16729-0298-05,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",1.24,1.24,0.16,2.77,48
NDC,16729-0311-08,"INJECTION, PARICALCITOL, 1 MCG",8.32,8.32,1.67,18.64,48
NDC,16729-0311-93,"INJECTION, PARICALCITOL, 1 MCG",8.32,8.32,1.67,18.64,48
NDC,16729-0434-45R1,"INJECTION, DAPTOMYCIN, 1 MG",3.29,3.29,0.04,7.37,48
NDC,16729-0484-45,"INJECTION, ATROPINE SULFATE, 0.01 MG",41.3,41.3,0.14,92.5,48
NDC,17433-9876-03,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,17478-0050-01,SUFENTANIL 50 MCG/ML(1ML),17.79,17.79,3.66,14.23,45
NDC,17478-0062-35,lanolin/mineral oil/petrol ophth 3.5 g,12.85,12.85,2.64,10.28,45
NDC,17478-0100-02,cyclopentolate ophth 1 % Drop 2 mL,48.75,48.75,10.02,39.0,45
NDC,17478-0102-12R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,17478-0201-15,NON-COVERED ITEM OR SERVICE,371.25,371.25,99.87,723.94,45
NDC,17478-0215-05,NON-COVERED ITEM OR SERVICE,192.7,192.7,51.84,375.77,45
NDC,17478-0238-35,NON-COVERED ITEM OR SERVICE,84.85,84.85,22.82,165.46,45
NDC,17478-0380-20,"INJECTION, METHADONE HCL, UP TO 10 MG",69.33,69.33,18.65,155.29,48
NDC,17478-0404-01,FLUORESCEIN OPTH 1MG TEST,3.85,3.85,0.79,3.08,45
NDC,17478-0503-05,ethyl alcohol 98% 5 mL ampule Inj,3611.85,3611.85,742.6,2889.48,45
NDC,17478-0623-12,NON-COVERED ITEM OR SERVICE,48.65,48.65,13.09,94.87,45
NDC,17478-0701-02,indocyanine green 5 mg/2 mL Inj (MDV 25 mg/10 mL),70.0,70.0,14.39,56.0,45
NDC,17478-0717-10,NON-COVERED ITEM OR SERVICE,40.25,40.25,10.83,78.49,45
NDC,17478-0931-01,"INJECTION, CALCITRIOL, 0.1 MCG",25.79,25.79,6.94,57.76,43
NDC,17478-0937-05,UNCLASSIFIED DRUGS,15.72,15.72,4.23,35.21,43
NDC,18657-0117-04,"INJECTION, HYALURONIDASE, UP TO 150 UNITS",221.0,221.0,59.45,495.04,54
NDC,23155-0026-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,23155-0043-03,NON-COVERED ITEM OR SERVICE,54.2,54.2,14.58,105.69,45
NDC,23155-0044-03,NON-COVERED ITEM OR SERVICE,54.2,54.2,14.58,105.69,45
NDC,23155-0071-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,23155-0071-01R1,NON-COVERED ITEM OR SERVICE,3.3,3.3,0.89,6.44,45
NDC,23155-0166-41,"INJECTION, TRANEXAMIC ACID, 5 MG",47.49,,12.77,106.37,43
NDC,23155-0195-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,23155-0216-31,"INJECTION, CIDOFOVIR, 375 MG",183.2,643.0,49.28,410.37,62
NDC,23155-0216-31P1,"INJECTION, CIDOFOVIR, 375 MG",988.53,643.0,195.75,2214.3,62
NDC,23155-0288-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,23155-0290-41,"INJECTION, AMIKACIN SULFATE, 100 MG",9.63,9.63,1.34,21.56,48
NDC,23155-0290-41N2,"INJECTION, AMIKACIN SULFATE, 100 MG",7.82,7.82,1.34,17.52,48
NDC,23155-0294-42,"INJECTION, PROCHLORPERAZINE, UP TO 10 MG",73.3,73.3,6.19,164.19,48
NDC,23155-0489-01,NON-COVERED ITEM OR SERVICE,10.0,10.0,2.69,19.5,45
NDC,23155-0538-25,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
NDC,24200-0275-89,"INJECTION, METHADONE HCL, UP TO 10 MG",26.54,26.54,7.14,59.46,48
NDC,24201-0002-01,"INJECTION, LEVOTHYROXINE SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG",28.35,,7.63,63.5,43
NDC,24201-0237-01,"INJECTION, FLUDARABINE PHOSPHATE, 50 MG",235.25,235.25,63.28,526.96,51
NDC,24208-0299-05,NON-COVERED ITEM OR SERVICE,1057.75,1057.75,284.53,2062.61,45
NDC,24208-0457-05,DICLOFENAC 0.1% EYE DROPS,57.75,57.75,11.87,46.2,45
NDC,24208-0635-62,NON-COVERED ITEM OR SERVICE,332.25,332.25,89.38,647.89,45
NDC,24208-0720-02,NON-COVERED ITEM OR SERVICE,213.45,213.45,57.42,416.23,45
NDC,24208-0740-59,NON-COVERED ITEM OR SERVICE,3.82,3.82,1.03,7.45,45
NDC,24208-0780-55,NON-COVERED ITEM OR SERVICE,187.95,187.95,50.56,366.5,45
NDC,24208-0785-55,NON-COVERED ITEM OR SERVICE,214.7,214.7,57.75,418.67,45
NDC,24208-0910-19,NON-COVERED ITEM OR SERVICE,41.0,41.0,11.03,79.95,45
NDC,24208-0920-64R1,NON-COVERED ITEM OR SERVICE,2.57,2.57,0.69,5.0,45
NDC,24338-0134-02,NON-COVERED ITEM OR SERVICE,74.5,74.5,20.04,145.28,45
NDC,24338-0134-02R1,NON-COVERED ITEM OR SERVICE,10.56,10.56,2.84,20.59,45
NDC,24338-0260-10,NON-COVERED ITEM OR SERVICE,323.7,323.7,87.08,631.22,45
NDC,24338-0530-25,SOTYLIZE 5 MG/ML ORAL SOLUTION,7.28,7.28,1.5,5.82,45
NDC,24689-0793-02,CALCIUM ACETATE 667MG CAP,3.85,3.85,0.79,3.08,45
NDC,24987-0378-10,"INJECTION, CEFTAZIDIME, PER 500 MG",20.86,20.86,2.75,46.73,48
NDC,25010-0210-27,SODIUM EDECRIN 50 MG VIAL,19858.05,19858.05,3461.0,15886.44,45
NDC,25010-0215-15,NON-COVERED ITEM OR SERVICE,88.85,88.85,23.9,173.26,45
NDC,25021-0115-06,UNCLASSIFIED DRUGS,6.28,6.28,1.69,14.07,43
NDC,25021-0115-06R1,"INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG",5.05,5.05,1.36,11.31,43
NDC,25021-0132-83,"INJECTION, LEVOFLOXACIN, 250 MG",14.53,14.53,1.59,32.55,48
NDC,25021-0136-10,"INJECTION, AMPICILLIN SODIUM, 500 MG",9.9,9.9,1.5,22.18,48
NDC,25021-0143-30,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",11.94,11.94,3.21,26.75,48
NDC,25021-0157-99,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",18.55,,4.99,41.54,43
NDC,25021-0162-24R1,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG",7.73,7.73,1.6,17.32,48
NDC,25021-0184-82R1,"INJECTION FLUCONAZOLE, 200 MG",27.75,27.75,4.16,62.16,48
NDC,25021-0184-82R2,"INJECTION FLUCONAZOLE, 200 MG",36.5,36.5,4.16,81.76,48
NDC,25021-0184-87,"INJECTION FLUCONAZOLE, 200 MG",27.72,27.72,4.16,62.1,48
NDC,25021-0311-02,"INJECTION, FUROSEMIDE, 1 MG",14.92,,4.01,33.42,43
NDC,25021-0662-05R2,ROCURONIUM 10MG/ML PEDI,4.75,4.75,0.98,3.8,45
NDC,25021-0812-30P1,"INJECTION, ACETYLCYSTEINE, 100 MG",9.73,9.73,0.97,21.8,48
NDC,25021-0826-82,"INJECTION, ZOLEDRONIC ACID, 1 MG",623.7,623.7,9.73,1397.09,48
NDC,25208-0002-02,"INJECTION, TIROFIBAN HCL, 0.25 MG",18.93,4.0,5.09,42.4,59
NDC,25682-0001-01,"INJECTION, ECULIZUMAB, 2 MG",846.65,,227.75,1896.49,48
NDC,25767-0735-45,CUSTODIOL HTK PERFUSION SOLN,861.3,861.3,177.08,689.04,45
NDC,27241-0156-04,NON-COVERED ITEM OR SERVICE,10.9,10.9,2.93,21.26,45
NDC,27241-0175-29,"SILDENAFIL CITRATE, 25 MG",205.02,205.02,55.15,459.24,45
NDC,27434-0010-17,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,28595-0120-12,NON-COVERED ITEM OR SERVICE,1106.05,1106.05,297.53,2156.8,45
NDC,31722-0209-30,NON-COVERED ITEM OR SERVICE,43.0,43.0,11.57,83.85,45
NDC,31722-0629-21R1,NON-COVERED ITEM OR SERVICE,24.78,24.78,6.67,48.32,45
NDC,32909-0764-01,E-Z-HD SUSPENSION,23.85,23.85,4.9,19.08,45
NDC,33342-0083-07,NON-COVERED ITEM OR SERVICE,46.2,46.2,12.43,90.09,45
NDC,33342-0085-07,NON-COVERED ITEM OR SERVICE,100.1,100.1,26.93,195.2,45
NDC,33342-0333-54,NON-COVERED ITEM OR SERVICE,136.45,136.45,36.71,266.08,45
NDC,35046-0003-22,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,36000-0008-24,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",16.5,16.5,3.14,36.96,48
NDC,36000-0008-24R1,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",12.8,12.8,3.14,28.67,48
NDC,36000-0009-24,"INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG",8.6,8.6,2.31,19.26,48
NDC,36000-0012-25,"INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG",3.98,3.98,0.16,8.91,48
NDC,37140-1894-16,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,37140-1916-16,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,37205-0068-72,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,39328-0063-25,HYSEPT 0.25% SOLUTION,46.05,46.05,9.47,36.84,45
NDC,39822-0151-01,"INJECTION, LIOTHYRONINE, 1 MCG",1505.54,,404.99,3372.42,43
NDC,39822-0190-01,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG",163.03,163.03,40.86,365.19,48
NDC,39822-0310-05,NON-COVERED ITEM OR SERVICE,5.4,5.4,1.45,10.53,45
NDC,39822-0412-06,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",660.0,660.0,4.06,1478.4,48
NDC,39822-0710-01,"INJECTION, FOMEPIZOLE, 15 MG",42.24,7.0,6.16,103.34,62
NDC,39822-1055-05,"INJECTION, AMPHOTERICIN B, 50 MG",112.0,112.0,30.13,250.87,48
NDC,39822-1055-05R2,CON AMPHO B 50 MG/1 L IRRI SOL,198.0,198.0,40.71,158.4,45
NDC,40093-0101-44,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,40985-0213-68,CHROMIUM PICO 200 MCG TABLET,3.85,3.85,0.79,3.08,45
NDC,42023-0105-01,BREVITAL SODIUM 500 MG VIAL,245.3,245.3,50.43,196.24,45
NDC,42023-0119-25,"INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG",167.75,167.75,45.12,375.76,48
NDC,42023-0131-01,"COLISTIMETHATE SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MG",84.11,84.11,22.62,164.0,56
NDC,42023-0159-25,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.92,,1.59,13.27,43
NDC,42023-0159-25R1,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.93,,1.59,13.27,43
NDC,42023-0159-25R2,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",5.93,,1.59,13.27,43
NDC,42023-0168-01,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.31,,0.89,7.41,43
NDC,42023-0434-10R1,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.3,,0.89,7.39,43
NDC,42023-0622-10,"INJECTION, BIVALIRUDIN, 1 MG",1.16,1.16,0.31,79.72,59
NDC,42192-0329-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42192-0330-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42292-0001-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42794-0018-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42794-0019-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42806-0151-34,NON-COVERED ITEM OR SERVICE,3.55,3.55,0.95,6.91,45
NDC,42858-0301-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42858-0302-25,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,42858-0304-16,NON-COVERED ITEM OR SERVICE,2.29,2.29,0.62,4.46,45
NDC,42858-0802-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,43066-0016-10,"INJECTION, NICARDIPINE, 0.1 MG",2.01,,0.54,4.51,43
NDC,43066-0150-10,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",27.48,27.48,7.39,61.56,43
NDC,43199-0020-01,NON-COVERED ITEM OR SERVICE,6.95,6.95,1.87,13.55,45
NDC,43386-0140-28,NON-COVERED ITEM OR SERVICE,89.45,89.45,24.06,174.43,45
NDC,43386-0405-03,NON-COVERED ITEM OR SERVICE,506.5,506.5,136.25,987.68,45
NDC,43386-0440-24,NON-COVERED ITEM OR SERVICE,4.25,4.25,1.14,8.29,45
NDC,43386-0771-01,NON-COVERED ITEM OR SERVICE,270.85,270.85,72.86,528.16,45
NDC,43547-0406-11,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,43547-0407-10R1,NON-COVERED ITEM OR SERVICE,3.29,3.29,0.88,6.41,45
NDC,43598-0165-30,NON-COVERED ITEM OR SERVICE,53.1,53.1,14.28,103.55,45
NDC,43598-0305-62,"INJECTION, AZACITIDINE, 1 MG",7.92,1.0,0.74,35.26,59
NDC,43598-0405-16R1,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",3.84,3.84,1.03,8.6,48
NDC,43598-0447-74,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,43598-0448-28,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
NDC,43598-0478-90,NON-COVERED ITEM OR SERVICE,60.35,60.35,16.23,117.68,45
NDC,43598-0478-90R1,"SEVELAMER CARBONATE (RENVELA OR THERAPEUTICALLY EQUIVALENT), ORAL, POWDER, 20 MG (FOR ESRD ON DIALYSIS)",1.51,,0.41,3.38,43
NDC,43598-0643-60,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
NDC,43598-0644-60,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
NDC,43598-0645-60,NON-COVERED ITEM OR SERVICE,45.45,45.45,12.23,88.63,45
NDC,43598-0848-58,"INJECTION, ZIPRASIDONE MESYLATE, 10 MG",93.08,93.08,13.74,208.49,48
NDC,43825-0606-41,"RECOTHROM 5,000 UNIT VIAL",340.57,340.57,70.02,272.46,45
NDC,43900-0283-00,GLUTASOLVE 15 GM POWDER PACKET,6.6,6.6,1.36,5.28,45
NDC,43900-0976-47,NON-COVERED ITEM OR SERVICE,6.45,6.45,1.74,12.58,45
NDC,44206-0310-25,"INFUSION, ALBUMIN (HUMAN), 5%, 250 ML",356.4,55.0,53.08,798.34,62
NDC,44206-0310-50,"INFUSION, ALBUMIN (HUMAN), 5%, 250 ML",356.64,55.0,53.08,798.87,62
NDC,44206-0436-05,"INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",348.35,49.0,49.28,1045.04,62
NDC,44567-0101-10,"INJECTION, AMPICILLIN SODIUM, 500 MG",16.5,16.5,1.5,36.96,48
NDC,44567-0102-10R1,"INJECTION, AMPICILLIN SODIUM, 500 MG",9.05,9.05,1.5,20.27,48
NDC,44567-0102-10R2,"INJECTION, AMPICILLIN SODIUM, 500 MG",51.68,51.68,1.5,115.75,48
NDC,44567-0236-10,"INJECTION, CEFTAZIDIME, PER 500 MG",39.6,39.6,2.75,88.7,48
NDC,44567-0245-25,"INJECTION, CEFOXITIN SODIUM, 1 GM",39.43,39.43,7.62,88.33,48
NDC,44567-0245-25P1,"INJECTION, CEFOXITIN SODIUM, 1 GM",23.54,23.54,6.33,52.73,48
NDC,44567-0246-25,"INJECTION, CEFOXITIN SODIUM, 1 GM",39.52,39.52,7.62,88.54,48
NDC,44567-0410-24,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",41.25,41.25,0.86,92.4,48
NDC,44567-0410-24R1,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",8.79,8.79,0.86,19.7,48
NDC,44567-0450-10,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",368.05,,99.01,824.43,48
NDC,44567-0600-04,DEXMEDETOMIDINE 400 MCG/4 ML,253.45,253.45,52.11,202.76,45
NDC,44567-0705-10,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG",108.33,108.33,11.75,242.67,48
NDC,44567-0811-10,"INJECTION, ESMOLOL HYDROCHLORIDE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J1805, 10 MG",4.02,,1.08,9.01,48
NDC,45802-0038-46,NON-COVERED ITEM OR SERVICE,165.0,165.0,44.39,321.75,45
NDC,45802-0040-64,NON-COVERED ITEM OR SERVICE,64.3,64.3,17.3,125.39,45
NDC,45802-0054-35,NON-COVERED ITEM OR SERVICE,20.2,20.2,5.43,39.39,45
NDC,45802-0059-35,NON-COVERED ITEM OR SERVICE,57.75,57.75,15.53,112.61,45
NDC,45802-0060-01,NON-COVERED ITEM OR SERVICE,12.75,12.75,3.43,24.86,45
NDC,45802-0060-03,NON-COVERED ITEM OR SERVICE,17.35,17.35,4.67,33.83,45
NDC,45802-0098-51,NON-COVERED ITEM OR SERVICE,80.15,80.15,21.56,156.29,45
NDC,45802-0143-01,NON-COVERED ITEM OR SERVICE,15.05,15.05,4.05,29.35,45
NDC,45802-0143-70,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,45802-0368-62,NON-COVERED ITEM OR SERVICE,24.75,24.75,6.66,48.26,45
NDC,45802-0434-11,NON-COVERED ITEM OR SERVICE,28.35,28.35,7.63,55.28,45
NDC,45802-0562-02,NON-COVERED ITEM OR SERVICE,191.05,191.05,51.39,372.55,45
NDC,45802-0730-30,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,45802-0873-05,NICOTINE 4 MG LOZENGE,3.85,3.85,0.79,3.08,45
NDC,46287-0006-01,NON-COVERED ITEM OR SERVICE,75.69,75.69,20.36,147.6,45
NDC,46287-0006-01R1,NON-COVERED ITEM OR SERVICE,1.26,1.26,0.34,2.46,45
NDC,46287-0012-16R1,NON-COVERED ITEM OR SERVICE,9.09,9.09,2.45,17.73,45
NDC,46287-0012-16R2,NON-COVERED ITEM OR SERVICE,12.67,12.67,3.41,24.71,45
NDC,46287-0020-01,NON-COVERED ITEM OR SERVICE,9.57,9.57,2.57,18.66,45
NDC,47335-0475-83,NON-COVERED ITEM OR SERVICE,1302.4,1302.4,350.35,2539.68,45
NDC,47335-0932-44,VECURONIUM 20 MG VIAL,67.32,67.32,13.84,53.86,45
NDC,47781-0108-30,NON-COVERED ITEM OR SERVICE,66.8,66.8,17.97,130.26,45
NDC,47781-0204-04,"ESTRADIOL, TRANSD 0.025MG",72.95,72.95,15.0,58.36,45
NDC,47781-0296-03,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
NDC,47781-0303-01,NON-COVERED ITEM OR SERVICE,12.6,12.6,3.39,24.57,45
NDC,47781-0384-26,NON-COVERED ITEM OR SERVICE,8.91,8.91,2.4,17.38,45
NDC,47781-0647-26,NON-COVERED ITEM OR SERVICE,4.77,4.77,1.28,9.3,45
NDC,47781-0647-26R1,NON-COVERED ITEM OR SERVICE,4.04,4.04,1.09,7.89,45
NDC,48582-0802-20,"ARTIFICIAL SALIVA, 30 ML",3.85,3.85,1.04,7.51,48
NDC,48783-0112-08,MONSEL'S FERRIC SUBSULFATE SOL,62.0,62.0,12.75,49.6,45
NDC,49100-0400-07,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,49281-0125-65,"Influenza vaccine split virus, preservative free",290.05,290.05,22.56,565.6,64
NDC,49281-0575-15,"Respiratory syncytial virus antibody, 0.5 mL dosage for injection into muscle",1960.2,,527.29,3822.39,61
NDC,49281-0752-22,TUBERSOL 5T UNIT/0.1 ML VIAL,20.8,20.8,4.28,16.64,45
NDC,49411-0052-08R4,NON-COVERED ITEM OR SERVICE,44.54,44.54,11.98,86.85,45
NDC,49452-3360-01,NON-COVERED ITEM OR SERVICE,29.05,29.05,7.81,56.65,45
NDC,49483-0687-03,NON-COVERED ITEM OR SERVICE,26.4,26.4,7.1,51.48,45
NDC,49502-0393-80,"INJECTION, INSULIN, PER 5 UNITS",5.17,5.17,1.39,11.59,43
NDC,49502-0900-30,EMSAM 6 MG/24 HOURS PATCH,243.5,243.5,50.06,194.8,45
NDC,49502-0901-30,NON-COVERED ITEM OR SERVICE,269.7,269.7,72.55,525.92,45
NDC,49702-0223-18,NON-COVERED ITEM OR SERVICE,102.75,102.75,27.64,200.36,45
NDC,49702-0228-13,NON-COVERED ITEM OR SERVICE,253.05,253.05,68.07,493.45,45
NDC,49702-0231-13,NON-COVERED ITEM OR SERVICE,420.05,420.05,112.99,819.1,45
NDC,49702-0242-13,NON-COVERED ITEM OR SERVICE,413.1,413.1,111.12,805.55,45
NDC,49702-0246-13,NON-COVERED ITEM OR SERVICE,350.1,350.1,94.18,682.7,45
NDC,49702-0250-18,NON-COVERED ITEM OR SERVICE,504.9,504.9,135.82,984.56,45
NDC,49730-0111-30,NON-COVERED ITEM OR SERVICE,5.45,5.45,1.47,10.63,45
NDC,49735-0195-73,LIQUIGEN EMULSIFIED MCT OIL,41.09,41.09,8.45,32.87,45
NDC,49781-0061-04,NON-COVERED ITEM OR SERVICE,2.77,2.77,0.74,5.4,45
NDC,49884-0161-11,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS",391.2,1851.0,105.23,1822.35,59
NDC,49884-0231-83,PRAZIQUANTEL 600 MG TABLET,295.95,295.95,60.85,236.76,45
NDC,49884-0413-01,NON-COVERED ITEM OR SERVICE,15.7,15.7,4.22,30.62,45
NDC,49884-0465-65,NON-COVERED ITEM OR SERVICE,10.86,10.86,2.92,21.18,45
NDC,49884-0658-09,NON-COVERED ITEM OR SERVICE,10.5,10.5,2.82,20.48,45
NDC,49884-0659-09,NON-COVERED ITEM OR SERVICE,10.5,10.5,2.82,20.48,45
NDC,49884-0724-01,NON-COVERED ITEM OR SERVICE,4.25,4.25,1.14,8.29,45
NDC,49884-0907-61R1,"MEGESTROL ACETATE, ORAL, 20 MG",1.01,1.01,0.27,2.27,45
NDC,49884-0935-47,NON-COVERED ITEM OR SERVICE,171.35,171.35,46.09,334.13,45
NDC,49938-0101-30,NON-COVERED ITEM OR SERVICE,11.1,11.1,2.99,21.65,45
NDC,49938-0102-30,NON-COVERED ITEM OR SERVICE,9.05,9.05,2.43,17.65,45
NDC,50016-0957-11,"HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE",4554.0,513.0,79.49,10200.96,64
NDC,50111-0433-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50111-0468-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50228-0146-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50242-0041-64,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",332.55,92.0,61.32,744.91,62
NDC,50242-0044-13,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",348.5,92.0,61.32,780.63,62
NDC,50242-0044-13P3,"INJECTION, ALTEPLASE RECOMBINANT, 1 MG",174.25,92.0,46.87,390.32,62
NDC,50242-0051-21,"INJECTION, RITUXIMAB, 10 MG",372.05,86.0,76.73,3435.91,124
NDC,50242-0060-01,"INJECTION, BEVACIZUMAB, 10 MG",309.37,73.0,73.19,1487.55,62
NDC,50242-0060-01C,"INJECTION, BEVACIZUMAB, 10 MG",1257.03,73.0,73.19,2815.74,62
NDC,50242-0088-01,"INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG",148.19,37.0,39.86,3435.91,62
NDC,50242-0100-40,"DORNASE ALFA, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM",156.31,156.31,42.05,350.13,59
NDC,50242-0120-47R2,"INJECTION, TENECTEPLASE, 1 MG",584.36,150.0,157.19,4123.13,62
NDC,50242-0145-01R,"INJECTION, PERTUZUMAB, 1 MG",59.75,15.0,16.07,3435.91,62
NDC,50268-0050-15,NON-COVERED ITEM OR SERVICE,5.9,5.9,1.59,11.51,45
NDC,50268-0061-15,NON-COVERED ITEM OR SERVICE,12.4,12.4,3.34,24.18,45
NDC,50268-0062-15,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
NDC,50268-0176-15,NON-COVERED ITEM OR SERVICE,7.4,7.4,1.99,14.43,45
NDC,50268-0350-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0430-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0459-15,NON-COVERED ITEM OR SERVICE,30.25,30.25,8.14,58.99,45
NDC,50268-0522-15,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
NDC,50268-0526-15,MELOXICAM 15 MG TABLET,15.4,15.4,3.17,12.32,45
NDC,50268-0573-15,NON-COVERED ITEM OR SERVICE,12.1,12.1,3.25,23.6,45
NDC,50268-0574-15,NON-COVERED ITEM OR SERVICE,13.6,13.6,3.66,26.52,45
NDC,50268-0594-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0595-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0596-15,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
NDC,50268-0599-15,NON-COVERED ITEM OR SERVICE,8.25,8.25,2.22,16.09,45
NDC,50268-0629-13,NON-COVERED ITEM OR SERVICE,10.45,10.45,2.81,20.38,45
NDC,50268-0684-15,"PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 4",5.35,5.35,1.44,11.98,43
NDC,50268-0685-15,"PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 4",2.95,2.95,0.79,6.61,43
NDC,50268-0686-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0687-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0702-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0717-15,NON-COVERED ITEM OR SERVICE,54.4,54.4,14.63,106.08,45
NDC,50268-0728-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0729-13,"PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS",3.85,3.85,1.04,8.62,43
NDC,50268-0851-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0855-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0857-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50268-0859-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50383-0042-48,"PREDNISOLONE ORAL, PER 5 MG",2.13,2.13,0.41,4.76,48
NDC,50383-0042-48R1,"PREDNISOLONE ORAL, PER 5 MG",2.06,2.06,0.41,4.62,48
NDC,50383-0087-07,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50383-0172-90,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50383-0286-16R1,NON-COVERED ITEM OR SERVICE,4.24,4.24,1.14,8.27,45
NDC,50383-0741-20,"ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG",1.91,1.91,0.29,4.29,48
NDC,50383-0771-11,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,50383-0779-33,NON-COVERED ITEM OR SERVICE,9.85,9.85,2.65,19.21,45
NDC,50419-0452-04,CLIMARA 0.1 MG/DAY PATCH,113.1,113.1,23.25,90.48,45
NDC,50419-0773-01,NON-COVERED ITEM OR SERVICE,12.77,12.77,3.43,24.89,45
NDC,50458-0575-01,NON-COVERED ITEM OR SERVICE,12.83,12.83,3.45,25.02,45
NDC,50458-0577-10,NON-COVERED ITEM OR SERVICE,34.1,34.1,9.17,66.5,45
NDC,50458-0578-10,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
NDC,50458-0579-10,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
NDC,50458-0580-10,NON-COVERED ITEM OR SERVICE,65.05,65.05,17.5,126.85,45
NDC,50474-0002-63,"INJECTION, LEVETIRACETAM, 10 MG",3.88,3.88,0.09,8.7,48
NDC,50484-0010-30,NON-COVERED ITEM OR SERVICE,1034.55,1034.55,278.29,2017.37,45
NDC,50632-0010-01,Rabies vaccine for injection into muscle,1501.05,363.0,92.1,2927.05,64
NDC,50742-0484-01,"INJECTION, BORTEZOMIB, 0.1 MG",33.94,41.0,9.13,109.84,59
NDC,50742-0505-04,NON-COVERED ITEM OR SERVICE,66.7,66.7,17.94,130.07,45
NDC,50742-0519-02,"INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG",14.5,,3.9,32.48,48
NDC,50881-0005-60,NON-COVERED ITEM OR SERVICE,973.8,973.8,261.95,1898.91,45
NDC,51079-0020-03,NON-COVERED ITEM OR SERVICE,75.25,75.25,20.24,146.74,45
NDC,51079-0023-20,NON-COVERED ITEM OR SERVICE,10.85,10.85,2.92,21.16,45
NDC,51079-0024-20,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
NDC,51079-0074-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0075-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0083-20,NON-COVERED ITEM OR SERVICE,4.3,4.3,1.16,8.39,45
NDC,51079-0086-20,NON-COVERED ITEM OR SERVICE,9.0,9.0,2.42,17.55,45
NDC,51079-0087-20,NON-COVERED ITEM OR SERVICE,9.25,9.25,2.49,18.04,45
NDC,51079-0088-20,NON-COVERED ITEM OR SERVICE,9.45,9.45,2.54,18.43,45
NDC,51079-0105-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0107-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0119-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0131-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0133-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0142-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0149-20,NON-COVERED ITEM OR SERVICE,9.4,9.4,2.53,18.33,45
NDC,51079-0150-20,NON-COVERED ITEM OR SERVICE,9.45,9.45,2.54,18.43,45
NDC,51079-0164-03,NON-COVERED ITEM OR SERVICE,43.05,43.05,11.58,83.95,45
NDC,51079-0165-03,NON-COVERED ITEM OR SERVICE,172.2,172.2,46.32,335.79,45
NDC,51079-0182-20,NON-COVERED ITEM OR SERVICE,16.85,16.85,4.53,32.86,45
NDC,51079-0205-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0273-03,NON-COVERED ITEM OR SERVICE,22.5,22.5,6.05,43.88,45
NDC,51079-0284-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0286-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0299-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0301-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0345-05,NON-COVERED ITEM OR SERVICE,19.0,19.0,5.11,37.05,45
NDC,51079-0347-05,NON-COVERED ITEM OR SERVICE,38.9,38.9,10.46,75.86,45
NDC,51079-0374-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0385-20,NON-COVERED ITEM OR SERVICE,5.3,5.3,1.43,10.34,45
NDC,51079-0387-20,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,51079-0417-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0425-20,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
NDC,51079-0434-20,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS",3.85,3.85,1.04,8.62,43
NDC,51079-0436-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0437-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0438-20,NON-COVERED ITEM OR SERVICE,3.9,3.9,1.05,7.61,45
NDC,51079-0442-20R1,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0451-56,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
NDC,51079-0452-20,NON-COVERED ITEM OR SERVICE,7.85,7.85,2.11,15.31,45
NDC,51079-0453-20,NON-COVERED ITEM OR SERVICE,8.95,8.95,2.41,17.45,45
NDC,51079-0466-20,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
NDC,51079-0480-20,NON-COVERED ITEM OR SERVICE,6.65,6.65,1.79,12.97,45
NDC,51079-0482-20,NON-COVERED ITEM OR SERVICE,7.25,7.25,1.95,14.14,45
NDC,51079-0488-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0499-20,NON-COVERED ITEM OR SERVICE,15.7,15.7,4.22,30.62,45
NDC,51079-0513-20,NON-COVERED ITEM OR SERVICE,18.8,18.8,5.06,36.66,45
NDC,51079-0558-03,NON-COVERED ITEM OR SERVICE,83.9,83.9,22.57,163.61,45
NDC,51079-0566-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0572-20,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
NDC,51079-0581-06,NON-COVERED ITEM OR SERVICE,10.75,10.75,2.89,20.96,45
NDC,51079-0599-20,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
NDC,51079-0608-20,NON-COVERED ITEM OR SERVICE,17.0,17.0,4.57,33.15,45
NDC,51079-0623-81,mafenide topical Cream 56.7 g,253.6,253.6,52.14,202.88,45
NDC,51079-0623-83,NON-COVERED ITEM OR SERVICE,1652.85,1652.85,444.62,3223.06,45
NDC,51079-0630-20,NON-COVERED ITEM OR SERVICE,6.0,6.0,1.61,11.7,45
NDC,51079-0631-20,NON-COVERED ITEM OR SERVICE,8.35,8.35,2.25,16.28,45
NDC,51079-0632-20,NON-COVERED ITEM OR SERVICE,14.25,14.25,3.83,27.79,45
NDC,51079-0651-20,NON-COVERED ITEM OR SERVICE,6.6,6.6,1.78,12.87,45
NDC,51079-0684-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0685-20,NON-COVERED ITEM OR SERVICE,4.95,4.95,1.33,9.65,45
NDC,51079-0721-20,"MYCOPHENOLATE MOFETIL, ORAL, 250 MG",13.1,13.1,0.28,29.34,48
NDC,51079-0735-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0745-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0782-20,NON-COVERED ITEM OR SERVICE,15.75,15.75,4.24,30.71,45
NDC,51079-0790-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0806-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0810-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0812-20,NON-COVERED ITEM OR SERVICE,20.45,20.45,5.5,39.88,45
NDC,51079-0813-20,NON-COVERED ITEM OR SERVICE,23.85,23.85,6.42,46.51,45
NDC,51079-0820-20,NON-COVERED ITEM OR SERVICE,9.5,9.5,2.56,18.53,45
NDC,51079-0822-20,NON-COVERED ITEM OR SERVICE,15.75,15.75,4.24,30.71,45
NDC,51079-0863-20,NON-COVERED ITEM OR SERVICE,5.7,5.7,1.53,11.12,45
NDC,51079-0865-20,NON-COVERED ITEM OR SERVICE,19.75,19.75,5.31,38.51,45
NDC,51079-0866-20,NON-COVERED ITEM OR SERVICE,21.5,21.5,5.78,41.93,45
NDC,51079-0872-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0888-20,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
NDC,51079-0921-20,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,51079-0922-20,NON-COVERED ITEM OR SERVICE,11.35,11.35,3.05,22.13,45
NDC,51079-0930-20,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,51079-0941-05,NON-COVERED ITEM OR SERVICE,9.65,9.65,2.6,18.82,45
NDC,51079-0943-20,NON-COVERED ITEM OR SERVICE,5.15,5.15,1.39,10.04,45
NDC,51079-0944-20,NON-COVERED ITEM OR SERVICE,6.5,6.5,1.75,12.68,45
NDC,51079-0950-20,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,51079-0957-20,NON-COVERED ITEM OR SERVICE,12.45,12.45,3.35,24.28,45
NDC,51079-0958-20,NON-COVERED ITEM OR SERVICE,12.45,12.45,3.35,24.28,45
NDC,51079-0959-20,NON-COVERED ITEM OR SERVICE,13.05,13.05,3.51,25.45,45
NDC,51079-0981-56,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0984-20,NON-COVERED ITEM OR SERVICE,4.9,4.9,1.32,9.56,45
NDC,51079-0985-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0986-20,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
NDC,51079-0991-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51079-0998-20,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
NDC,51144-0003-01,"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG",582.62,,156.72,11429.68,59
NDC,51285-0424-10,NON-COVERED ITEM OR SERVICE,15.8,15.8,4.25,30.81,45
NDC,51552-1345-01,L E T GEL 3ML PMIX SYR,13.4,13.4,2.75,10.72,45
NDC,51672-1259-01,NON-COVERED ITEM OR SERVICE,513.0,513.0,138.0,1000.35,45
NDC,51672-1284-01,NON-COVERED ITEM OR SERVICE,19.15,19.15,5.15,37.34,45
NDC,51672-1298-02,NON-COVERED ITEM OR SERVICE,687.9,687.9,185.05,1341.41,45
NDC,51672-1312-00,NON-COVERED ITEM OR SERVICE,82.5,82.5,22.19,160.88,45
NDC,51672-1386-01,NON-COVERED ITEM OR SERVICE,150.35,150.35,40.44,293.18,45
NDC,51672-2003-06,NON-COVERED ITEM OR SERVICE,26.45,26.45,7.12,51.58,45
NDC,51672-2115-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51672-2116-02,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51672-4002-01,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,51672-4118-06,FLUOROURACIL 5% CREAM,1270.35,1270.35,261.18,1016.28,45
NDC,51672-4123-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51672-4164-03,NON-COVERED ITEM OR SERVICE,915.0,915.0,246.14,1784.25,45
NDC,51754-0108-03,"INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG",83.2,,22.38,186.37,43
NDC,51754-0108-03R1,"INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG",82.5,,22.19,184.8,43
NDC,51754-0500-01,"INJECTION, CAFFEINE CITRATE, 5 MG",95.05,95.05,25.57,212.91,43
NDC,51754-4250-03,AKOVAZ 25 MG/5 ML SYRINGE,48.95,48.95,10.06,39.16,45
NDC,51801-0001-40,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51862-0458-47,"CYCLOSPORINE, ORAL, 25 MG",4.55,4.55,1.22,10.19,48
NDC,51991-0651-16,NON-COVERED ITEM OR SERVICE,12.03,12.03,3.24,23.46,45
NDC,51991-0651-16R1,NON-COVERED ITEM OR SERVICE,2.21,2.21,0.59,4.31,45
NDC,51991-0651-16R2,NON-COVERED ITEM OR SERVICE,23.8,23.8,6.4,46.41,45
NDC,51991-0817-01,NON-COVERED ITEM OR SERVICE,6.8,6.8,1.83,13.26,45
NDC,51991-0818-01,NON-COVERED ITEM OR SERVICE,7.95,7.95,2.14,15.5,45
NDC,51991-0838-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,51991-0895-33,NON-COVERED ITEM OR SERVICE,146.65,146.65,39.45,285.97,45
NDC,52015-0080-01,NON-COVERED ITEM OR SERVICE,843.95,843.95,227.02,1645.7,45
NDC,52054-0550-22,NON-COVERED ITEM OR SERVICE,664.2,664.2,178.67,1295.19,45
NDC,52268-0100-01,NON-COVERED ITEM OR SERVICE,72.15,72.15,19.41,140.69,45
NDC,52276-0312-05,CARBAGLU 200 MG TAB FOR SUSP,370.15,370.15,76.1,296.12,45
NDC,52565-0012-59,NON-COVERED ITEM OR SERVICE,590.05,590.05,158.72,1150.6,45
NDC,52565-0014-80,NON-COVERED ITEM OR SERVICE,31.4,31.4,8.45,61.23,45
NDC,52565-0090-15,NON-COVERED ITEM OR SERVICE,163.0,163.0,43.85,317.85,45
NDC,52652-4001-01,NON-COVERED ITEM OR SERVICE,11.86,11.86,3.19,23.13,45
NDC,52652-9001-01,NON-COVERED ITEM OR SERVICE,6.12,6.12,1.65,11.94,45
NDC,52817-0392-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,53270-0052-01,"INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML",316.43,73.0,65.94,708.8,62
NDC,53489-0118-02,NON-COVERED ITEM OR SERVICE,7.45,7.45,2.0,14.53,45
NDC,53489-0400-01,NON-COVERED ITEM OR SERVICE,4.35,4.35,1.17,8.48,45
NDC,54092-0189-81,NON-COVERED ITEM OR SERVICE,12.05,12.05,3.24,23.5,45
NDC,54288-0120-01,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",3.24,,0.87,7.25,43
NDC,54288-0147-01,"INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG",8.25,8.0,2.22,16.09,51
NDC,54482-0147-01,"INJECTION, LEVOCARNITINE, PER 1 GM",131.19,131.19,35.29,293.87,48
NDC,54629-7941-01,"VITAMIN D3 5,000 UNIT TABLET",3.85,3.85,0.79,3.08,45
NDC,54643-5649-01,INFUVITE ADULT VIAL,801.1,801.1,164.71,640.88,45
NDC,54838-0005-30R1,NON-COVERED ITEM OR SERVICE,1.29,1.29,0.35,2.51,45
NDC,54838-0011-50R1,NON-COVERED ITEM OR SERVICE,2.45,2.45,0.66,4.79,45
NDC,54838-0502-80R1,"INJECTION, HYDROXYZINE HCL, UP TO 25 MG",2.73,2.73,0.74,24.66,48
NDC,54838-0502-80R2,NON-COVERED ITEM OR SERVICE,1.03,1.03,0.28,2.0,45
NDC,54838-0510-80,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,54838-0510-80R1,NON-COVERED ITEM OR SERVICE,2.24,2.24,0.6,4.36,45
NDC,54838-0512-40R,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,54838-0551-70,NON-COVERED ITEM OR SERVICE,15.85,15.85,4.26,30.91,45
NDC,55111-0263-81,NON-COVERED ITEM OR SERVICE,68.45,68.45,18.41,133.48,45
NDC,55111-0679-10,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",42.45,42.45,1.84,95.08,48
NDC,55111-0680-10,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",28.3,28.3,1.84,63.38,48
NDC,55111-0685-07,"INJECTION, ZOLEDRONIC ACID, 1 MG",73.37,73.37,9.73,164.35,48
NDC,55135-0132-01,"INJECTION, SACITUZUMAB GOVITECAN-HZIY, 2.5 MG",110.66,33.0,29.77,971.92,62
NDC,55150-0116-20,"INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM",25.55,25.55,3.3,57.23,48
NDC,55150-0120-30R1,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",45.53,45.53,2.01,101.99,48
NDC,55150-0121-50,"INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS)",22.75,22.75,2.01,50.97,48
NDC,55150-0128-24,"INJECTION, OXACILLIN SODIUM, UP TO 250 MG",11.67,11.67,1.6,26.13,48
NDC,55150-0166-13,"SILDENAFIL CITRATE, 25 MG",58.09,58.09,15.63,130.12,50
NDC,55150-0173-01,"INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",140.25,140.25,37.73,314.16,43
NDC,55150-0194-10,"INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG",2.91,,0.78,6.51,48
NDC,55150-0196-99,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",1.19,1.19,0.12,2.66,48
NDC,55150-0208-30R1,"INJECTION, MEROPENEM, 100 MG",16.89,16.89,0.55,37.84,48
NDC,55150-0242-51,"INJECTION, LINEZOLID, 200 MG",121.0,121.0,4.46,271.04,48
NDC,55150-0247-47R1,"INJECTION, LEVETIRACETAM, 10 MG",1.76,1.76,0.09,3.95,48
NDC,55150-0282-20,"INJECTION, ERTAPENEM SODIUM, 500 MG",247.5,247.5,18.26,554.4,48
NDC,55150-0282-20R1,"INJECTION, ERTAPENEM SODIUM, 500 MG",154.16,154.16,18.26,345.31,48
NDC,55150-0371-25,"INJECTION, VASOPRESSIN, 1 UNIT",14.85,,3.99,33.26,48
NDC,55150-0371-25R4,"INJECTION, VASOPRESSIN, 1 UNIT",14.85,,3.99,33.26,48
NDC,55150-0434-01,"INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG",926.78,163.0,80.88,2075.99,62
NDC,55154-6673-04,NON-COVERED ITEM OR SERVICE,3.9,3.9,1.05,7.61,45
NDC,55292-0702-55,"INJECTION, HEMIN, 1 MG",114.48,30.0,30.79,3435.91,62
NDC,55513-0126-10,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
NDC,55513-0126-10R1,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.68,9.0,6.46,147.11,62
NDC,55513-0132-01,"INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG",355.57,34.0,34.69,1045.04,62
NDC,55513-0144-10,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
NDC,55513-0144-10R1,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.66,9.0,6.46,147.07,62
NDC,55513-0148-10,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
NDC,55513-0148-10R1,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.66,9.0,6.46,147.08,62
NDC,55513-0190-01,"INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG",2056.25,,553.13,4606.0,59
NDC,55513-0192-01,"INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG",2117.94,,569.73,4744.18,59
NDC,55513-0206-01,"INJECTION, BEVACIZUMAB-AWWB, BIOSIMILAR, (MVASI), 10 MG",276.25,32.0,28.73,686.99,62
NDC,55513-0221-01,"INJECTION, ROMIPLOSTIM, 1 MICROGRAM",25.19,,6.78,56.43,48
NDC,55513-0223-01,"INJECTION, ROMIPLOSTIM, 1 MICROGRAM",4958.45,,1333.82,11106.93,50
NDC,55513-0267-10,"INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)",6.57,6.57,1.77,79.72,59
NDC,55513-0267-10R1,"INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS",65.67,9.0,6.46,147.09,62
NDC,55513-0530-10,"INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM",4.04,1.0,0.98,103.34,62
NDC,55513-0530-10P,"INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM",4.16,1.0,0.98,103.34,62
NDC,55513-0670-01,"INJECTION, INFLIXIMAB-AXXQ, BIOSIMILAR, (AVSOLA), 10 MG",198.0,38.0,19.83,443.52,62
NDC,55513-0740-10,"INJECTION, ETELCALCETIDE, 0.1 MG",15.57,15.57,4.19,79.72,59
NDC,55513-0954-01,"INJECTION, PANITUMUMAB, 10 MG",621.51,145.0,165.71,3435.91,62
NDC,55566-4100-01,"HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE",1428.1,136.0,67.71,3198.94,62
NDC,55566-6500-03,NON-COVERED ITEM OR SERVICE,38.85,38.85,10.45,75.76,45
NDC,57237-0150-35,NON-COVERED ITEM OR SERVICE,61.48,61.48,16.54,119.89,45
NDC,57237-0150-35R1,NON-COVERED ITEM OR SERVICE,9.92,9.92,2.67,19.35,45
NDC,57237-0158-01,NON-COVERED ITEM OR SERVICE,12.1,12.1,3.25,23.6,45
NDC,57237-0274-24,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,57648-0002-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,57664-0336-88,NON-COVERED ITEM OR SERVICE,20.25,20.25,5.45,39.49,45
NDC,57664-0337-88,NON-COVERED ITEM OR SERVICE,20.25,20.25,5.45,39.49,45
NDC,57844-0208-52,GALZIN 50 MG CAPSULE,11.45,11.45,2.35,9.16,45
NDC,57894-0030-01,"INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG",462.09,36.0,30.53,1035.08,62
NDC,57894-0503-01,"INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ",200.61,49.0,51.39,3435.91,62
NDC,57896-0462-08,NON-COVERED ITEM OR SERVICE,3.05,3.05,0.82,5.95,45
NDC,57896-0555-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,57896-0635-06,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,58160-0810-52,"Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years)",83.45,83.45,22.45,162.73,61
NDC,58160-0811-52,"Meningococcal conjugate vaccine serogroups A, C, W, Y, B-FHbp, pentavalent, tetanus toxoid carrier",354.15,,95.27,690.59,50
NDC,58160-0815-52,Hepatitis A and hepatitis B vaccine,443.95,443.95,92.1,865.7,61
NDC,58160-0820-52,"Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule)",107.85,107.85,22.56,210.31,64
NDC,58160-0821-11,"Hepatitis B vaccine, adult dosage (3 dose schedule)",254.15,254.15,22.56,495.59,64
NDC,58160-0821-52R1,"Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule)",508.3,508.3,92.1,991.19,64
NDC,58160-0823-11,Shingles vaccine for injection into muscle,783.7,783.7,92.1,1528.22,61
NDC,58160-0826-52,Hepatitis A vaccine adult dosage,251.9,251.9,22.56,491.21,61
NDC,58160-0842-11,"Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)",175.95,175.95,22.56,343.1,61
NDC,58160-0848-11,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use",1108.8,,22.56,2162.16,61
NDC,58160-0955-09,"Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine",487.95,487.95,92.1,951.5,61
NDC,58160-0976-20,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B",758.85,758.85,92.1,1479.76,61
NDC,58394-0636-03,"INJECTION, FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER IU, NOT OTHERWISE SPECIFIED",5.41,2.0,1.46,4123.13,62
NDC,58406-0425-34,"INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)",2954.25,823.0,302.19,6617.52,62
NDC,58468-0030-02,"INJECTION, THYROTROPIN ALPHA, 0.9 MG, PROVIDED IN 1.1 MG VIAL",6437.0,2006.0,528.45,14418.88,64
NDC,58468-0080-01,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25 MG",3638.67,940.0,950.26,8150.62,64
NDC,58468-0080-01P,"LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25 MG",2351.73,940.0,632.62,5267.87,62
NDC,58468-0090-03,"HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG",112.99,11.0,9.16,253.11,62
NDC,58657-0648-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,58914-0170-14R1,NON-COVERED ITEM OR SERVICE,1.68,1.68,0.45,3.28,45
NDC,58914-0501-56,NON-COVERED ITEM OR SERVICE,153.4,153.4,41.26,299.13,45
NDC,59011-0410-20,NON-COVERED ITEM OR SERVICE,18.95,18.95,5.1,36.95,45
NDC,59011-0420-20,NON-COVERED ITEM OR SERVICE,35.3,35.3,9.5,68.84,45
NDC,59148-0010-35,NON-COVERED ITEM OR SERVICE,166.5,166.5,44.79,324.68,45
NDC,59212-0423-16,NON-COVERED ITEM OR SERVICE,59.55,59.55,16.02,116.12,45
NDC,59338-0775-01R2,ferumoxytol 510 mg/17 mL Inj MRI,269.95,269.95,55.5,215.96,45
NDC,59366-2693-06,NON-COVERED ITEM OR SERVICE,34.4,34.4,9.25,67.08,45
NDC,59630-0266-10,"INJECTION, CEFIDEROCOL, 5 MG",9.22,9.22,2.48,20.65,43
NDC,59676-0278-01,NON-COVERED ITEM OR SERVICE,118.3,118.3,31.82,230.69,45
NDC,59676-0562-01,NON-COVERED ITEM OR SERVICE,121.8,121.8,32.76,237.51,45
NDC,59676-0565-01,NON-COVERED ITEM OR SERVICE,121.8,121.8,32.76,237.51,45
NDC,59676-0566-30,PREZISTA 800 MG TABLET,243.6,243.6,50.08,194.88,45
NDC,59676-0571-01,NON-COVERED ITEM OR SERVICE,71.95,71.95,19.35,140.3,45
NDC,59676-0575-30,PREZCOBIX 800 MG-150 MG TABLET,204.85,204.85,42.12,163.88,45
NDC,59676-0800-30,NON-COVERED ITEM OR SERVICE,536.6,536.6,144.35,1046.37,45
NDC,59676-0820-01,"HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE",5940.0,788.0,265.12,13305.6,64
NDC,59746-0010-32,NON-COVERED ITEM OR SERVICE,16.25,16.25,4.37,31.69,45
NDC,59762-0016-01R1,NON-COVERED ITEM OR SERVICE,2.02,2.02,0.54,3.95,45
NDC,59762-0050-01,"METHYLPREDNISOLONE ORAL, PER 4 MG",2.93,2.93,0.41,6.55,48
NDC,59762-0074-01R1,NON-COVERED ITEM OR SERVICE,2.99,2.99,0.8,5.83,45
NDC,59762-0075-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,59762-0117-01,NON-COVERED ITEM OR SERVICE,13.85,13.85,3.73,27.01,45
NDC,59762-0450-01,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
NDC,59762-0935-03,NON-COVERED ITEM OR SERVICE,228.99,228.99,61.6,446.54,45
NDC,59762-1308-01,NON-COVERED ITEM OR SERVICE,90.21,90.21,24.27,175.91,45
NDC,59762-1518-02,NON-COVERED ITEM OR SERVICE,38.55,38.55,10.37,75.17,45
NDC,59762-3304-03,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,59762-4910-03,NON-COVERED ITEM OR SERVICE,9.0,9.0,2.42,17.55,45
NDC,59762-4940-01,NON-COVERED ITEM OR SERVICE,3.67,3.67,0.99,7.15,45
NDC,59762-5000-05,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,59762-5017-01,NON-COVERED ITEM OR SERVICE,46.0,46.0,12.37,89.7,45
NDC,59762-5050-01,GABAPENTIN ORAL SOL 300MG/6ML,6.29,6.29,1.29,5.04,45
NDC,59762-5050-01R1,NON-COVERED ITEM OR SERVICE,1.22,1.22,0.33,2.37,45
NDC,60219-1721-07,NON-COVERED ITEM OR SERVICE,44.3,44.3,11.92,86.39,45
NDC,60258-0003-16,NON-COVERED ITEM OR SERVICE,8.32,8.32,2.24,16.23,45
NDC,60258-0006-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60432-0065-47,NON-COVERED ITEM OR SERVICE,2.78,2.78,0.75,5.43,45
NDC,60432-0065-47R1,NON-COVERED ITEM OR SERVICE,13.98,13.98,3.76,27.25,45
NDC,60432-0608-16,"CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED",2.06,2.06,0.55,4.61,43
NDC,60505-0055-01,NON-COVERED ITEM OR SERVICE,7.6,7.6,2.04,14.82,45
NDC,60505-0082-00,NON-COVERED ITEM OR SERVICE,18.35,18.35,4.94,35.78,45
NDC,60505-0363-01,NON-COVERED ITEM OR SERVICE,509.15,509.15,136.96,992.84,45
NDC,60505-0402-05,NON-COVERED ITEM OR SERVICE,17.66,17.66,4.75,34.43,45
NDC,60505-0582-04,NON-COVERED ITEM OR SERVICE,552.3,552.3,148.57,1076.99,45
NDC,60505-0829-01,NON-COVERED ITEM OR SERVICE,281.4,281.4,75.7,548.73,45
NDC,60505-2656-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60505-4033-01,NON-COVERED ITEM OR SERVICE,10.4,10.4,2.8,20.28,45
NDC,60505-4643-03,NON-COVERED ITEM OR SERVICE,54.5,54.5,14.66,106.28,45
NDC,60505-4704-00,NON-COVERED ITEM OR SERVICE,1863.8,1863.8,501.36,3634.41,45
NDC,60505-6146-04,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",33.57,33.57,2.17,75.21,48
NDC,60505-6146-04R1,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",25.41,25.41,2.17,56.93,48
NDC,60505-6147-04,"INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG",132.89,132.89,2.17,297.68,48
NDC,60505-6152-01R2,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",52.01,52.01,0.78,116.5,48
NDC,60505-6197-02R1,"SIROLIMUS, ORAL, 1 MG",71.04,71.04,2.27,159.14,48
NDC,60505-6231-05,"INJECTION, CEFAZOLIN SODIUM, 500 MG",6.04,6.04,1.39,13.52,48
NDC,60505-7081-02,NON-COVERED ITEM OR SERVICE,70.2,70.2,18.88,136.89,45
NDC,60505-7082-02,NON-COVERED ITEM OR SERVICE,128.35,128.35,34.53,250.28,45
NDC,60505-7083-02,NON-COVERED ITEM OR SERVICE,195.75,195.75,52.66,381.71,45
NDC,60687-0114-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0130-25,NON-COVERED ITEM OR SERVICE,21.65,21.65,5.82,42.22,45
NDC,60687-0130-25R1,NON-COVERED ITEM OR SERVICE,1.0,1.0,0.27,1.96,45
NDC,60687-0136-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0145-01,"PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG",3.85,3.85,0.02,8.62,48
NDC,60687-0152-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0157-21,NON-COVERED ITEM OR SERVICE,102.05,102.05,27.45,199.0,45
NDC,60687-0163-01,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
NDC,60687-0168-01,NON-COVERED ITEM OR SERVICE,99.15,99.15,26.67,193.34,45
NDC,60687-0191-21,NON-COVERED ITEM OR SERVICE,102.0,102.0,27.44,198.9,45
NDC,60687-0195-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0206-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0211-21,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0213-21,NON-COVERED ITEM OR SERVICE,136.7,136.7,36.77,266.57,45
NDC,60687-0214-01,"METHADONE, ORAL, 5 MG",3.85,3.85,1.04,8.62,45
NDC,60687-0217-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0228-01,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
NDC,60687-0229-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0230-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0265-32,NON-COVERED ITEM OR SERVICE,5.75,5.75,1.55,11.21,45
NDC,60687-0281-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0315-21,NON-COVERED ITEM OR SERVICE,6.1,6.1,1.64,11.9,45
NDC,60687-0330-21,NON-COVERED ITEM OR SERVICE,39.8,39.8,10.71,77.61,45
NDC,60687-0336-65,NON-COVERED ITEM OR SERVICE,4.4,4.4,1.18,8.58,45
NDC,60687-0345-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0363-25R2,NON-COVERED ITEM OR SERVICE,62.04,62.04,16.69,120.98,45
NDC,60687-0369-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60687-0408-25,NON-COVERED ITEM OR SERVICE,41.5,41.5,11.16,80.93,45
NDC,60687-0432-01,NON-COVERED ITEM OR SERVICE,4.85,4.85,1.3,9.46,45
NDC,60687-0436-01,NON-COVERED ITEM OR SERVICE,15.25,15.25,4.1,29.74,45
NDC,60687-0461-01R1,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",2.29,2.29,0.62,5.13,43
NDC,60687-0500-01,NON-COVERED ITEM OR SERVICE,6.35,6.35,1.71,12.38,45
NDC,60687-0528-01,NON-COVERED ITEM OR SERVICE,18.05,18.05,4.86,35.2,45
NDC,60687-0534-78,NON-COVERED ITEM OR SERVICE,117.4,117.4,31.58,228.93,45
NDC,60687-0535-01,NON-COVERED ITEM OR SERVICE,5.85,5.85,1.57,11.41,45
NDC,60687-0719-25,NON-COVERED ITEM OR SERVICE,243.2,243.2,65.42,474.24,45
NDC,60687-0838-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,60758-0119-05,NON-COVERED ITEM OR SERVICE,174.25,174.25,46.87,339.79,45
NDC,60758-0908-10,NON-COVERED ITEM OR SERVICE,43.15,43.15,11.61,84.14,45
NDC,60793-0205-05,"THROMBIN-JMI 5,000 UNIT EPIST",289.95,289.95,59.61,231.96,45
NDC,60793-0700-10,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",64.37,17.0,17.32,144.19,62
NDC,60793-0701-10,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",62.49,17.0,16.81,139.99,62
NDC,60793-0702-10,"INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS",58.21,17.0,15.66,130.39,62
NDC,61314-0014-25,NON-COVERED ITEM OR SERVICE,147.75,147.75,39.74,288.11,45
NDC,61314-0016-01,NON-COVERED ITEM OR SERVICE,74.335,74.335,1.03,282.46,90
NDC,61314-0019-10,NON-COVERED ITEM OR SERVICE,220.3,220.3,59.26,429.59,45
NDC,61314-0143-05,NON-COVERED ITEM OR SERVICE,107.75,107.75,28.98,210.11,45
NDC,61314-0143-10,NON-COVERED ITEM OR SERVICE,215.3,215.3,57.92,419.84,45
NDC,61314-0225-05,NON-COVERED ITEM OR SERVICE,541.55,541.55,145.68,1056.02,45
NDC,61314-0226-10,NON-COVERED ITEM OR SERVICE,91.6,91.6,24.64,178.62,45
NDC,61314-0227-05,TIMOLOL MALEATE 0.5% EYE DROPS,56.1,56.1,11.53,44.88,45
NDC,61314-0227-10,NON-COVERED ITEM OR SERVICE,106.8,106.8,28.73,208.26,45
NDC,61314-0237-10,NON-COVERED ITEM OR SERVICE,122.8,122.8,33.03,239.46,45
NDC,61314-0318-01,"INJECTION, FILGRASTIM-SNDZ, BIOSIMILAR, (ZARXIO), 1 MICROGRAM",3.62,3.62,0.36,88.03,62
NDC,61314-0326-01,"INJECTION, FILGRASTIM-SNDZ, BIOSIMILAR, (ZARXIO), 1 MICROGRAM",1738.4,1738.4,0.36,3894.02,62
NDC,61314-0355-02,NON-COVERED ITEM OR SERVICE,157.1,157.1,42.26,306.35,45
NDC,61314-0547-01,NON-COVERED ITEM OR SERVICE,313.5,313.5,84.33,611.33,45
NDC,61314-0633-05,"COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED",19.8,19.8,5.33,44.35,43
NDC,61314-0643-05,NON-COVERED ITEM OR SERVICE,112.2,112.2,30.18,218.79,45
NDC,61314-0656-05,NON-COVERED ITEM OR SERVICE,156.15,156.15,42.0,304.49,45
NDC,61314-0656-25,NON-COVERED ITEM OR SERVICE,41.6,41.6,11.19,81.11,45
NDC,61553-0106-25,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",155.1,155.1,0.12,347.42,48
NDC,61553-0116-48,"INJECTION, FENTANYL CITRATE, 0.1 MG",4.13,4.13,1.11,9.24,48
NDC,61553-0132-17,BUPI 0.0625%-FENTA 2 MCG/ML,82.5,82.5,16.96,66.0,45
NDC,61553-0158-37,"HYDRO,4MG-0.125%20MCG/ML200ML",252.45,252.45,51.9,201.96,45
NDC,61553-0196-48,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.09,3.09,0.24,6.92,48
NDC,61553-0290-41,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",82.5,82.5,0.24,184.8,48
NDC,61553-0953-75,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
NDC,61570-0131-40,NON-COVERED ITEM OR SERVICE,233.18,233.18,62.73,454.71,45
NDC,61703-0309-16,"VINCRISTINE SULFATE, 1 MG",73.33500000000001,73.33500000000001,14.43,205.33,96
NDC,61703-0332-18,"INJECTION, BLEOMYCIN SULFATE, 15 UNITS",110.0,110.0,29.59,246.4,48
NDC,61703-0339-56,"INJECTION, CARBOPLATIN, 50 MG",26.57,26.57,6.27,59.53,48
NDC,61703-0350-38,"INJECTION, METHOTREXATE SODIUM, 50 MG",4.35,4.35,1.17,9.74,48
NDC,61703-0350-38B1,"INJECTION, METHOTREXATE SODIUM, 50 MG",10.0,10.0,2.69,22.4,48
NDC,61703-0418-18,VITAMIN A 2ML 50000U/ML INJ,23.8,23.8,4.89,19.04,45
NDC,61748-0012-11,NON-COVERED ITEM OR SERVICE,19.55,19.55,5.26,38.12,45
NDC,61748-0024-16R1,ETHOSUXIMIDE SYRUP  5ML,8.2,8.2,1.69,6.56,45
NDC,61748-0220-60,NON-COVERED ITEM OR SERVICE,224.4,224.4,60.36,437.58,45
NDC,61755-0008-01,"INJECTION, CEMIPLIMAB-RWLC, 1 MG",113.12,28.0,28.21,4123.13,62
NDC,61958-0401-01,NON-COVERED ITEM OR SERVICE,131.75,131.75,35.44,256.91,45
NDC,61958-0801-02,ambrisentan 5 mg Tab,796.25,796.25,163.71,637.0,45
NDC,61958-1201-01,STRIBILD TABLET,469.95,469.95,96.62,375.96,45
NDC,61958-1901-01,NON-COVERED ITEM OR SERVICE,448.0,448.0,120.51,873.6,45
NDC,61958-2002-01,NON-COVERED ITEM OR SERVICE,176.0,176.0,47.34,343.2,45
NDC,61958-2101-01,NON-COVERED ITEM OR SERVICE,331.05,331.05,89.05,645.55,45
NDC,61958-2201-01,EPCLUSA 400 MG-100 MG TABLET,3524.4,3524.4,724.62,2819.52,45
NDC,61958-2301-01,NON-COVERED ITEM OR SERVICE,131.75,131.75,35.44,256.91,45
NDC,61958-2501-01,NON-COVERED ITEM OR SERVICE,448.0,448.0,120.51,873.6,45
NDC,61958-2901-01,"INJECTION, REMDESIVIR, 1 MG",23.74,,6.39,344.65,59
NDC,61958-2901-01R1,"INJECTION, REMDESIVIR, 1 MG",23.63,,6.36,344.65,59
NDC,62135-0417-46,NON-COVERED ITEM OR SERVICE,1.23,1.23,0.33,2.4,45
NDC,62175-0310-37,NON-COVERED ITEM OR SERVICE,20.55,20.55,5.53,40.07,45
NDC,62327-0333-43,NON-COVERED ITEM OR SERVICE,412.5,412.5,110.96,804.38,45
NDC,62530-0000-11,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
NDC,62559-0111-11,NON-COVERED ITEM OR SERVICE,94.4,94.4,25.39,184.08,45
NDC,62559-0153-04,NON-COVERED ITEM OR SERVICE,20.7,20.7,5.57,40.37,45
NDC,62559-0159-01,NON-COVERED ITEM OR SERVICE,8.5,8.5,2.29,16.58,45
NDC,62559-0190-16R1,NON-COVERED ITEM OR SERVICE,1.5,1.5,0.4,2.92,45
NDC,62584-0265-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0266-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0267-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0693-21,NON-COVERED ITEM OR SERVICE,18.4,18.4,4.95,35.87,45
NDC,62584-0713-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0734-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0887-21,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,62584-0897-01R1,foliC acid 1mg/mL Oral Syringe - Pedi,3.85,3.85,0.79,3.08,45
NDC,62856-0274-30,NON-COVERED ITEM OR SERVICE,139.0,139.0,37.39,271.05,45
NDC,63323-0012-11,"INJECTION, OXYTOCIN, UP TO 10 UNITS",15.78,15.78,4.25,35.36,43
NDC,63323-0044-01,"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG",27.4,27.4,1.89,61.38,48
NDC,63323-0064-03,"INJECTION, MAGNESIUM SULFATE, PER 500 MG",3.7,3.7,0.86,8.29,48
NDC,63323-0103-51,"INJECTION, CISPLATIN, POWDER OR SOLUTION, 10 MG",20.98,20.98,5.64,46.99,48
NDC,63323-0113-10,"INJECTION, PENTAMIDINE ISETHIONATE, 1 MG",660.9,,177.78,1480.42,43
NDC,63323-0113-10R,"INJECTION, PENTAMIDINE ISETHIONATE, 1 MG",13.22,,3.56,29.61,43
NDC,63323-0117-10,"INJECTION, FLUOROURACIL, 500 MG",12.54,12.54,3.37,28.1,48
NDC,63323-0120-20,"INJECTION, CYTARABINE, 100 MG",89.58,89.58,1.3,200.66,48
NDC,63323-0130-11,UNCLASSIFIED DRUGS,95.7,95.7,25.74,214.36,43
NDC,63323-0130-11P1,UNCLASSIFIED DRUGS,1.04,1.04,0.28,2.34,43
NDC,63323-0142-10,"INJECTION, IFOSFAMIDE, 1 GRAM",208.55,208.55,43.72,467.14,48
NDC,63323-0162-01,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",11.31,11.31,1.42,25.34,48
NDC,63323-0170-05,sodium phosphate 3 mmol/mL Inj 5 mL,48.9,48.9,10.05,39.12,45
NDC,63323-0173-02,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",25.3,25.3,3.51,56.66,48
NDC,63323-0173-02N1,"INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG",9.34,9.34,2.51,20.92,48
NDC,63323-0180-01,"INJECTION, PYRIDOXINE HCL, 100 MG",65.65,65.65,17.15,147.06,48
NDC,63323-0184-10,"INJECTION, FOLIC ACID, 0.1 MG",16.59,,4.46,37.16,43
NDC,63323-0187-30,"HYPERTONIC SALINE SOLUTION, 1 ML",17.8,17.8,4.79,39.87,43
NDC,63323-0229-05,"INJECTION, PROTAMINE SULFATE, PER 10 MG",9.71,9.71,1.51,21.75,48
NDC,63323-0229-30,"INJECTION, PROTAMINE SULFATE, PER 10 MG",5.84,5.84,1.51,13.08,48
NDC,63323-0254-10,MURI-LUBE MINERAL OIL VIAL,55.14,55.14,11.34,44.11,45
NDC,63323-0262-06,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",3.3,3.3,0.4,7.4,48
NDC,63323-0269-29,"INJECTION, PROPOFOL, 10 MG",1.19,1.19,0.15,2.67,48
NDC,63323-0269-50,"INJECTION, PROPOFOL, 10 MG",1.19,1.19,0.15,2.66,48
NDC,63323-0269-65,"INJECTION, PROPOFOL, 10 MG",1.24,1.24,0.15,2.77,48
NDC,63323-0276-02,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",27.1,27.1,0.4,60.7,48
NDC,63323-0276-02P,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",1.38,1.38,0.03,3.08,48
NDC,63323-0278-10,"INJECTION, VINBLASTINE SULFATE, 1 MG",5.82,5.82,1.57,13.04,48
NDC,63323-0281-10,"INJECTION, FLUPHENAZINE HCL, 1.25 MG",38.04,,10.23,85.2,43
NDC,63323-0285-13,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",1.09,1.09,0.12,2.45,48
NDC,63323-0285-23,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",43.75,43.75,0.12,98.0,48
NDC,63323-0303-51R1,tobramycin Inhal  *80 mg/  2 mL* P/F -Ped,23.15,23.15,4.76,18.52,45
NDC,63323-0305-02,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",83.64,83.64,4.06,187.35,48
NDC,63323-0315-10,"INJECTION, GANCICLOVIR SODIUM, 500 MG",240.42,240.42,54.42,538.53,48
NDC,63323-0349-25,"INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG",49.5,49.5,11.75,110.88,48
NDC,63323-0376-01,"INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG",9.85,9.85,1.54,22.06,48
NDC,63323-0398-10,"INJECTION, AZITHROMYCIN, 500 MG",29.44,29.44,3.7,65.94,48
NDC,63323-0398-10R1,"INJECTION, AZITHROMYCIN, 500 MG",11.78,11.78,3.17,26.39,48
NDC,63323-0401-20R1,"INJECTION, AZTREONAM, 100 MG",14.29,,3.84,32.01,48
NDC,63323-0411-25,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",3.17,3.17,0.24,7.11,48
NDC,63323-0412-25,"INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG",16.07,16.07,0.24,35.99,48
NDC,63323-0417-10,CISATRACURIUM 20 MG/10 ML VIAL,91.09,91.09,18.73,72.87,45
NDC,63323-0424-05,UNCLASSIFIED DRUGS,26.9,26.9,7.24,60.26,43
NDC,63323-0474-01,"INJECTION, HALOPERIDOL, UP TO 5 MG",23.75,23.75,1.97,53.2,48
NDC,63323-0491-57,"INJECTION, LIDOCAINE HYDROCHLORIDE, 1 MG",49.9,,13.42,111.78,43
NDC,63323-0508-30,"INJECTION, MEROPENEM, 100 MG",7.92,7.92,0.55,17.74,48
NDC,63323-0540-15,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",2.88,2.88,0.4,6.45,48
NDC,63323-0540-15R1,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",82.5,82.5,0.4,184.8,48
NDC,63323-0549-01R1,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",1.11,1.11,0.03,2.49,48
NDC,63323-0582-82,"INJECTION, GLUCAGON HYDROCHLORIDE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J1610, PER 1 MG",1108.05,,67.71,2482.03,59
NDC,63323-0597-10,"INJECTION, DEFEROXAMINE MESYLATE, 500 MG",51.3,51.3,11.73,114.91,48
NDC,63323-0604-01,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG",39.9,39.9,10.73,89.38,43
NDC,63323-0604-01R2,"INJECTION, PROPRANOLOL HCL, UP TO 1 MG",8.0,8.0,2.15,17.92,43
NDC,63323-0607-88,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.88,7.88,0.98,17.64,48
NDC,63323-0609-90,"INJECTION, ENOXAPARIN SODIUM, 10 MG",7.87,7.87,0.98,17.63,48
NDC,63323-0614-01,"INJECTION, HYDRALAZINE HCL, UP TO 20 MG",51.8,51.8,6.99,116.03,48
NDC,63323-0616-03,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",3.18,3.18,0.86,7.12,43
NDC,63323-0648-10,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",759.97,,204.43,1702.32,43
NDC,63323-0649-07,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",266.3,,71.64,596.52,43
NDC,63323-0649-07R1,"INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG",83.65,,22.5,187.38,43
NDC,63323-0651-02,"INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)",7.23,7.23,0.72,16.2,48
NDC,63323-0658-20R1,"INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG",239.6,239.6,64.45,536.71,48
NDC,63323-0691-30,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",22.02,22.02,5.92,49.32,48
NDC,63323-0695-04,"ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM",41.85,41.85,11.26,93.75,48
NDC,63323-0728-10,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.41,7.41,0.71,16.59,48
NDC,63323-0728-10R1,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.41,7.41,0.71,16.59,48
NDC,63323-0729-10,"INJECTION, MICAFUNGIN SODIUM, 1 MG",7.42,7.42,0.71,16.62,48
NDC,63323-0733-10B1,"INJECTION, MESNA, 200 MG",27.5,27.5,3.03,61.6,48
NDC,63323-0733-10B2,"INJECTION, MESNA, 200 MG",44.64,44.64,3.03,99.99,48
NDC,63323-0806-02,"INJECTION, FENTANYL CITRATE, 0.1 MG",16.19,16.19,1.42,36.26,48
NDC,63323-0808-11,"INJECTION, FENTANYL CITRATE, 0.1 MG",16.5,16.5,1.42,36.97,48
NDC,63323-0820-00,SMOFLIPID 20% IV FAT EMULSION,85.8,85.8,17.64,68.64,45
NDC,63323-0820-50,SMOFLIPID 20% IV FAT EMULSION,134.65,134.65,27.68,107.72,45
NDC,63323-0820-74,SMOFLIPID 20% IV FAT EMULSION,103.0,103.0,21.18,82.4,45
NDC,63323-0915-13,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",83.0,83.0,0.4,185.92,48
NDC,63323-0924-10,BACTERIOSTATIC SALINE VIAL,7.55,7.55,2.03,16.92,43
NDC,63323-0963-30,"INJECTION, ACETYLCYSTEINE, 100 MG",12.4,12.4,0.97,27.77,48
NDC,63323-0965-10,"INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ",1.66,1.66,0.19,3.73,48
NDC,63402-0208-30,NON-COVERED ITEM OR SERVICE,121.15,121.15,32.59,236.24,45
NDC,63402-0302-30,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
NDC,63402-0304-30,LATUDA 40 MG TABLET,177.75,177.75,36.55,142.2,45
NDC,63402-0306-30,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
NDC,63402-0308-30,NON-COVERED ITEM OR SERVICE,177.75,177.75,47.81,346.61,45
NDC,63459-0103-10,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
NDC,63459-0103-10R1,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
NDC,63459-0104-50,"INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG",334.84,55.0,31.83,1487.55,62
NDC,63736-0120-03,NON-COVERED ITEM OR SERVICE,44.65,44.65,12.01,87.07,45
NDC,63736-0378-82,NON-COVERED ITEM OR SERVICE,16.25,16.25,4.37,31.69,45
NDC,63739-0046-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0080-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0269-10,"NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS",3.85,3.85,1.04,8.62,43
NDC,63739-0349-10,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
NDC,63739-0354-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0387-10,NON-COVERED ITEM OR SERVICE,11.2,11.2,3.01,21.84,45
NDC,63739-0526-10,NON-COVERED ITEM OR SERVICE,15.35,15.35,4.13,29.93,45
NDC,63739-0545-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0646-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0678-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0691-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63739-0694-57,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,63833-0386-02,"PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY",11.78,2.0,2.21,1487.55,62
NDC,64068-0000-04,NON-COVERED ITEM OR SERVICE,25.2,25.2,6.78,49.14,45
NDC,64253-0222-21,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",6.38,6.38,0.03,14.3,48
NDC,64253-0444-22,"INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS",31.74,31.74,0.03,71.1,48
NDC,64376-0816-01,"PRENATAL VITAMINS, 30-DAY SUPPLY",3.85,3.85,1.04,7.51,45
NDC,64764-0119-07,NON-COVERED ITEM OR SERVICE,28.5,28.5,7.67,55.58,45
NDC,64764-0300-20,"INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG",96.05,23.0,21.67,4123.13,62
NDC,64764-0800-56,NON-COVERED ITEM OR SERVICE,880.4,880.4,236.83,1716.78,45
NDC,64875-0001-03,MIFEPRISTONE 200MG TAB,297.0,297.0,61.06,237.6,45
NDC,64980-0104-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,64980-0320-05,NON-COVERED ITEM OR SERVICE,265.95,265.95,71.54,518.6,45
NDC,64980-0503-12,NON-COVERED ITEM OR SERVICE,6.99,6.99,1.88,13.62,45
NDC,65162-0649-78,NON-COVERED ITEM OR SERVICE,17.34,17.34,4.67,33.82,45
NDC,65162-0673-84,NON-COVERED ITEM OR SERVICE,16.72,16.72,4.5,32.6,45
NDC,65162-0691-79,"ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE ",19.19,19.19,0.02,42.99,48
NDC,65162-0914-46,"TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS",466.5,466.5,28.96,1044.96,48
NDC,65597-0406-01,"INJECTION, FAM-TRASTUZUMAB DERUXTECAN-NXKI, 1 MG",93.67,26.0,25.2,1487.55,62
NDC,65628-0050-01,MOUTHWASH BLM COMP KIT,3.85,3.85,0.79,3.08,45
NDC,65628-0050-01,NON-COVERED ITEM OR SERVICE,11.82,11.82,3.18,23.04,45
NDC,65628-0101-04,NON-COVERED ITEM OR SERVICE,3.03,3.03,0.82,5.91,45
NDC,65628-0208-10,FIRVANQ 50 MG/ML SOLUTION,2.48,2.48,0.51,1.98,45
NDC,65628-0208-10,NON-COVERED ITEM OR SERVICE,7.19,7.19,1.94,14.03,45
NDC,65628-0208-10R1,NON-COVERED ITEM OR SERVICE,28.65,28.65,7.71,55.87,45
NDC,65628-0272-10,NON-COVERED ITEM OR SERVICE,4.58,4.58,1.23,8.93,45
NDC,65649-0241-41,"AZATHIOPRINE, ORAL, 50 MG",24.2,24.2,3.12,54.21,48
NDC,65649-0303-03,NON-COVERED ITEM OR SERVICE,215.65,215.65,58.01,420.52,45
NDC,65649-0303-03 P,NON-COVERED ITEM OR SERVICE,8.27,8.27,2.22,16.12,45
NDC,65649-0311-12R1,NON-COVERED ITEM OR SERVICE,3.26,3.26,0.88,6.35,45
NDC,65649-0552-04,"INJECTION, METHYLNALTREXONE, 0.1 MG",6.66,6.66,1.79,14.92,48
NDC,65862-0048-24R1,"ZIDOVUDINE, ORAL, 100 MG",3.88,3.88,1.04,8.7,45
NDC,65862-0146-36,NON-COVERED ITEM OR SERVICE,89.3,89.3,24.02,174.14,45
NDC,65862-0177-60,NON-COVERED ITEM OR SERVICE,16.9,16.9,4.55,32.96,45
NDC,65862-0186-01,NON-COVERED ITEM OR SERVICE,12.3,12.3,3.31,23.99,45
NDC,65862-0192-01,NON-COVERED ITEM OR SERVICE,8.6,8.6,2.31,16.77,45
NDC,65862-0203-90,NON-COVERED ITEM OR SERVICE,10.2,10.2,2.74,19.89,45
NDC,65862-0207-68,NON-COVERED ITEM OR SERVICE,27.35,27.35,7.36,53.33,45
NDC,65862-0219-60,NON-COVERED ITEM OR SERVICE,4.65,4.65,1.25,9.07,45
NDC,65862-0290-84,NON-COVERED ITEM OR SERVICE,31.45,31.45,8.46,61.33,45
NDC,65862-0373-01,NON-COVERED ITEM OR SERVICE,14.9,14.9,4.01,29.06,45
NDC,65862-0534-01R1,NON-COVERED ITEM OR SERVICE,11.38,11.38,3.06,22.2,45
NDC,65862-0535-13,NON-COVERED ITEM OR SERVICE,2.05,2.05,0.55,4.0,45
NDC,65862-0559-90,PANTOPRAZOLE SOD DR 20 MG TAB,17.4,17.4,3.58,13.92,45
NDC,65862-0648-60,NON-COVERED ITEM OR SERVICE,15.4,15.4,4.14,30.03,45
NDC,65862-0676-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,65862-0921-27,NON-COVERED ITEM OR SERVICE,20.15,20.15,5.42,39.29,45
NDC,66215-0402-01R1,"INJECTION, EPOPROSTENOL, 0.5 MG",61.83,61.83,16.63,138.51,48
NDC,66215-0403-01,"INJECTION, EPOPROSTENOL, 0.5 MG",78.21,78.21,21.04,175.19,48
NDC,66215-0501-15,OPSUMIT 10 MG TABLET,850.2,850.2,174.8,680.16,45
NDC,66553-0008-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,66582-0414-28,NON-COVERED ITEM OR SERVICE,37.7,37.7,10.14,73.52,45
NDC,66647-6011-25,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",3.3,3.3,0.89,7.39,43
NDC,66658-0234-28,ANAKINRA 100MG SYRINGE,515.05,515.05,105.89,412.04,45
NDC,66658-0505-01,"INJECTION, EMAPALUMAB-LZSG, 1 MG",1337.3,391.0,359.73,19217.89,62
NDC,66685-1001-00,NON-COVERED ITEM OR SERVICE,16.7,16.7,4.49,32.57,45
NDC,66685-1002-00,NON-COVERED ITEM OR SERVICE,12.5,12.5,3.36,24.38,45
NDC,66689-0036-50,NON-COVERED ITEM OR SERVICE,28.55,28.55,7.68,55.67,45
NDC,66689-0201-08,NON-COVERED ITEM OR SERVICE,133.64,133.64,35.95,260.6,45
NDC,66689-0401-50,NON-COVERED ITEM OR SERVICE,28.48,28.48,7.66,55.54,45
NDC,66733-0948-23,"INJECTION, CETUXIMAB, 10 MG",293.51,72.0,77.1,1487.55,62
NDC,66794-0230-42R1,DEXMEDETOMIDINE 2MCG/ML INJ,2.08,2.08,0.43,1.67,45
NDC,66794-0230-42R2,dexmedetomidine 400 mcg in NS 20 mL Pedi,82.5,82.5,16.96,66.0,45
NDC,66993-0478-60,NON-COVERED ITEM OR SERVICE,53.15,53.15,14.3,103.64,45
NDC,66993-0490-36R1,"INJECTION, IBUPROFEN, 100 MG",843.15,843.15,226.81,1888.66,43
NDC,67386-0313-21,NON-COVERED ITEM OR SERVICE,83.65,83.65,22.5,163.12,45
NDC,67386-0501-52P,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG",102.25,102.25,27.51,229.04,54
NDC,67457-0001-10,ketamine HCL 500 mg/10 mL Inj,23.77,23.77,4.89,19.02,45
NDC,67457-0118-50R,ASCORBIC ACID 500MG AMP,16.5,16.5,3.39,13.2,45
NDC,67457-0118-50R2,ASCORBIC ACID 500MG VIAL,7.24,7.24,1.49,5.79,45
NDC,67457-0153-09R1,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",6.23,6.23,1.68,13.96,43
NDC,67457-0153-18,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",1.87,1.87,0.5,4.19,43
NDC,67457-0153-18R1,"INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG",2.75,2.75,0.74,6.16,43
NDC,67457-0162-02,SOTRADECOL 1% VIAL,309.4,309.4,63.61,247.52,45
NDC,67457-0181-20,ketamine HCL 200 mg/20 mL Inj,61.41,61.41,12.63,49.13,45
NDC,67457-0181-20R2,KETAMINE 10MG/ML PEDI,3.98,3.98,0.82,3.19,45
NDC,67457-0195-01,"INJECTION, MELPHALAN HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 50 MG",1038.56,309.0,133.69,2326.38,62
NDC,67457-0196-02,"INJECTION, THIAMINE HCL, 100 MG",31.08,31.08,3.3,69.62,48
NDC,67457-0196-02R1,"INJECTION, THIAMINE HCL, 100 MG",17.65,17.65,4.75,39.54,48
NDC,67457-0198-03,REMIFENTANYL (1MG/ML)  VIAL,222.69,222.69,45.79,178.15,45
NDC,67457-0198-05,ULTIVA 2 MG VIAL,485.44,485.44,99.81,388.36,45
NDC,67457-0220-05,"INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG",80.02,8.0,8.9,156.04,51
NDC,67457-0228-10,ROCURONIUM 100 MG/10 ML VIAL,27.75,27.75,5.71,22.2,45
NDC,67457-0255-10,"INJECTION, LEVETIRACETAM, 10 MG",2.17,2.17,0.09,4.85,48
NDC,67457-0265-10,"INJECTION, LEVETIRACETAM, 10 MG",1.81,1.81,0.09,4.05,48
NDC,67457-0266-10,"INJECTION, LEVETIRACETAM, 10 MG",1.8,1.8,0.09,4.04,48
NDC,67457-0292-02,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",5.32,,1.43,11.92,43
NDC,67457-0340-01,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",42.06,,11.31,94.21,43
NDC,67457-0340-01R1,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.95,,0.53,4.37,43
NDC,67457-0340-01R3,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",46.75,,12.58,104.72,43
NDC,67457-0372-99,"INJECTION, HEPARIN SODIUM, PER 1000 UNITS",9.55,9.55,0.4,21.4,48
NDC,67457-0423-12N,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",3.14,3.14,0.19,7.04,48
NDC,67457-0428-30R1,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",4.57,4.57,1.23,10.23,48
NDC,67457-0430-10,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG",106.93,106.93,19.83,239.53,48
NDC,67457-0433-22,UNCLASSIFIED DRUGS,16.03,16.03,4.31,35.92,43
NDC,67457-0438-10,VECURONIUM 10 MG VIAL,19.8,19.8,4.07,15.84,45
NDC,67457-0445-60,UNCLASSIFIED DRUGS,594.94,594.94,160.04,1332.67,43
NDC,67457-0446-10,"INJECTION, PAMIDRONATE DISODIUM, PER 30 MG",123.5,123.5,19.83,276.64,48
NDC,67457-0473-22,"INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG",7.4,7.4,1.99,16.58,48
NDC,67457-0477-10,ETOMIDATE INJ 2MG/ML 10ML,38.85,38.85,7.99,31.08,45
NDC,67457-0485-99B1,"INJECTION, METHOTREXATE SODIUM, 50 MG",47.14,47.14,4.39,105.6,48
NDC,67457-0513-05,"INJECTION, DACTINOMYCIN, 0.5 MG",5693.78,580.0,324.8,12754.06,64
NDC,67457-0582-10,"INJECTION, FONDAPARINUX SODIUM, 0.5 MG",36.07,36.07,1.84,80.8,48
NDC,67457-0675-02,"INJECTION, CALCITONIN SALMON, UP TO 400 UNITS",9584.87,1851.0,803.87,21470.11,64
NDC,67457-0781-08,"INJECTION, DOCETAXEL, 1 MG",60.25,60.25,1.47,134.96,59
NDC,67457-0794-10,"INJECTION, ZOLEDRONIC ACID, 1 MG",435.6,435.6,9.73,975.74,48
NDC,67457-0823-99,"INJECTION, VANCOMYCIN HYDROCHLORIDE (MYLAN) NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG",1.235,,0.3,3.04,86
NDC,67457-0833-06,"INJECTION, PEGFILGRASTIM-JMDB (FULPHILA), BIOSIMILAR, 0.5 MG",1377.75,147.0,125.3,3086.16,62
NDC,67457-0853-50P1,"INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG",48.77,48.77,13.12,109.24,48
NDC,67457-0856-20,"INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)",8.58,8.58,0.72,19.22,48
NDC,67618-0111-28,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,67871-4790-06,"INJECTION, ETHANOLAMINE OLEATE, 100 MG",1692.9,476.0,302.19,3792.1,62
NDC,67877-0124-05,NON-COVERED ITEM OR SERVICE,49.9,49.9,13.42,97.31,45
NDC,67877-0223-05,NON-COVERED ITEM OR SERVICE,4.45,4.45,1.2,8.68,45
NDC,67877-0230-22,"MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG",37.36,,10.05,83.68,43
NDC,67877-0230-22R4,"MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG",27.75,,7.47,62.17,43
NDC,67877-0251-15,NON-COVERED ITEM OR SERVICE,19.25,19.25,5.18,37.54,45
NDC,67877-0259-30,NON-COVERED ITEM OR SERVICE,82.45,82.45,22.18,160.78,45
NDC,67877-0286-60,NON-COVERED ITEM OR SERVICE,121.95,121.95,32.8,237.8,45
NDC,67877-0319-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,67919-0030-01,"INJECTION, CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG",24.79,7.0,6.67,88.03,62
NDC,68012-0309-30,NON-COVERED ITEM OR SERVICE,236.7,236.7,63.67,461.57,45
NDC,68084-0041-01,NON-COVERED ITEM OR SERVICE,4.2,4.2,1.13,8.19,45
NDC,68084-0044-01,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
NDC,68084-0056-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0071-01,NON-COVERED ITEM OR SERVICE,25.3,25.3,6.81,49.34,45
NDC,68084-0082-01,NON-COVERED ITEM OR SERVICE,4.15,4.15,1.12,8.09,45
NDC,68084-0086-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0111-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0149-01,"METHYLPREDNISOLONE ORAL, PER 4 MG",7.15,7.15,0.41,16.02,48
NDC,68084-0154-01,"PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEE",3.85,3.85,1.04,8.62,43
NDC,68084-0204-01,NON-COVERED ITEM OR SERVICE,5.6,5.6,1.51,10.92,45
NDC,68084-0205-01,NON-COVERED ITEM OR SERVICE,7.0,7.0,1.88,13.65,45
NDC,68084-0206-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0229-01,"AZATHIOPRINE, ORAL, 50 MG",3.85,3.85,1.04,8.62,48
NDC,68084-0229-01R1,"AZATHIOPRINE, ORAL, 50 MG",2.32,2.32,0.62,5.2,48
NDC,68084-0240-01,NON-COVERED ITEM OR SERVICE,4.75,4.75,1.28,9.26,45
NDC,68084-0253-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0255-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0269-01R1,NON-COVERED ITEM OR SERVICE,11.43,11.43,3.08,22.29,45
NDC,68084-0275-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0278-01,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
NDC,68084-0281-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0282-01,NON-COVERED ITEM OR SERVICE,5.25,5.25,1.41,10.24,45
NDC,68084-0284-01P1,"HYDROXYUREA, ORAL, 500 MG",3.48,3.48,0.93,7.78,50
NDC,68084-0288-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0295-21,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
NDC,68084-0310-01,NON-COVERED ITEM OR SERVICE,8.1,8.1,2.18,15.8,45
NDC,68084-0313-01,NON-COVERED ITEM OR SERVICE,4.7,4.7,1.26,9.17,45
NDC,68084-0318-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0333-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0342-01,NON-COVERED ITEM OR SERVICE,6.95,6.95,1.87,13.55,45
NDC,68084-0343-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0344-01,NON-COVERED ITEM OR SERVICE,20.5,20.5,5.51,39.98,45
NDC,68084-0345-21,NON-COVERED ITEM OR SERVICE,24.0,24.0,6.46,46.8,45
NDC,68084-0346-01,NON-COVERED ITEM OR SERVICE,5.55,5.55,1.49,10.82,45
NDC,68084-0361-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0366-01,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
NDC,68084-0388-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0389-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0390-01,NON-COVERED ITEM OR SERVICE,4.1,4.1,1.1,8.0,45
NDC,68084-0392-01,NON-COVERED ITEM OR SERVICE,6.05,6.05,1.63,11.8,45
NDC,68084-0399-01,NON-COVERED ITEM OR SERVICE,11.0,11.0,2.96,21.45,45
NDC,68084-0400-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0469-01,NON-COVERED ITEM OR SERVICE,3.86,3.86,1.04,7.52,45
NDC,68084-0483-01,NON-COVERED ITEM OR SERVICE,116.85,116.85,31.43,227.86,45
NDC,68084-0491-01,"ANTIEMETIC DRUG, ORAL, NOT OTHERWISE SPECIFIED",3.85,3.85,1.04,8.62,43
NDC,68084-0494-01,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
NDC,68084-0499-01,NON-COVERED ITEM OR SERVICE,4.5,4.5,1.21,8.78,45
NDC,68084-0501-01,NON-COVERED ITEM OR SERVICE,10.75,10.75,2.89,20.96,45
NDC,68084-0525-01,NON-COVERED ITEM OR SERVICE,36.9,36.9,9.93,71.96,45
NDC,68084-0528-01,NON-COVERED ITEM OR SERVICE,100.55,100.55,27.05,196.07,45
NDC,68084-0529-01,NON-COVERED ITEM OR SERVICE,134.1,134.1,36.07,261.5,45
NDC,68084-0561-21,NON-COVERED ITEM OR SERVICE,13.35,13.35,3.59,26.03,45
NDC,68084-0593-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0597-01,NON-COVERED ITEM OR SERVICE,5.95,5.95,1.6,11.6,45
NDC,68084-0598-01,NON-COVERED ITEM OR SERVICE,9.8,9.8,2.64,19.11,45
NDC,68084-0680-01,NON-COVERED ITEM OR SERVICE,8.45,8.45,2.27,16.48,45
NDC,68084-0697-01,NON-COVERED ITEM OR SERVICE,5.5,5.5,1.48,10.73,45
NDC,68084-0698-01,NON-COVERED ITEM OR SERVICE,12.35,12.35,3.32,24.08,45
NDC,68084-0703-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0709-01,NON-COVERED ITEM OR SERVICE,13.85,13.85,3.73,27.01,45
NDC,68084-0723-01,NON-COVERED ITEM OR SERVICE,35.95,35.95,9.67,70.1,45
NDC,68084-0728-01,NON-COVERED ITEM OR SERVICE,79.2,79.2,21.3,154.44,45
NDC,68084-0756-35,NON-COVERED ITEM OR SERVICE,18.95,18.95,5.1,36.95,45
NDC,68084-0797-01,NON-COVERED ITEM OR SERVICE,8.0,8.0,2.15,15.6,45
NDC,68084-0847-01,"HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HO",3.85,3.85,1.04,8.62,43
NDC,68084-0853-01,NON-COVERED ITEM OR SERVICE,9.1,9.1,2.45,17.75,45
NDC,68084-0855-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68084-0868-01,NON-COVERED ITEM OR SERVICE,4.0,4.0,1.08,7.8,45
NDC,68084-0875-01,NON-COVERED ITEM OR SERVICE,18.2,18.2,4.9,35.49,45
NDC,68084-0912-32,NON-COVERED ITEM OR SERVICE,61.75,61.75,16.61,120.41,45
NDC,68084-0915-25,"SIROLIMUS, ORAL, 1 MG",56.3,56.3,2.27,126.11,48
NDC,68084-0928-25,NON-COVERED ITEM OR SERVICE,7.0,7.0,1.88,13.65,45
NDC,68094-0001-62,NON-COVERED ITEM OR SERVICE,5.4,5.4,1.45,10.53,45
NDC,68094-0004-62,NON-COVERED ITEM OR SERVICE,8.59,8.59,2.31,16.74,45
NDC,68094-0043-62,NON-COVERED ITEM OR SERVICE,36.05,36.05,9.7,70.3,45
NDC,68094-0193-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68094-0250-61,NON-COVERED ITEM OR SERVICE,13.95,13.95,3.75,27.2,45
NDC,68094-0750-62,NON-COVERED ITEM OR SERVICE,15.19,15.19,4.09,29.63,45
NDC,68094-0755-58,NON-COVERED ITEM OR SERVICE,14.5,14.5,3.9,28.28,45
NDC,68094-0853-62,NON-COVERED ITEM OR SERVICE,9.05,9.05,2.43,17.65,45
NDC,68176-0000-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68176-0000-15,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68180-0150-01,NON-COVERED ITEM OR SERVICE,8.85,8.85,2.38,17.26,45
NDC,68180-0302-20,NON-COVERED ITEM OR SERVICE,14.55,14.55,3.91,28.37,45
NDC,68180-0512-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68180-0622-10R1,"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG",70.54,70.54,0.78,158.02,48
NDC,68180-0677-11,NON-COVERED ITEM OR SERVICE,51.05,51.05,13.73,99.55,45
NDC,68180-0852-11,MY WAY 1.5 MG TABLET,120.65,120.65,24.81,96.52,45
NDC,68308-0152-15,NON-COVERED ITEM OR SERVICE,72.45,72.45,19.49,141.28,45
NDC,68382-0018-01,NON-COVERED ITEM OR SERVICE,6.45,6.45,1.74,12.58,45
NDC,68382-0092-01,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,68382-0094-01,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,68382-0095-01,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,68382-0384-01,NON-COVERED ITEM OR SERVICE,812.65,812.65,218.6,1584.67,45
NDC,68382-0545-08,ETOMIDATE INJ 2MG/ML 20ML,27.75,27.75,5.71,22.2,45
NDC,68382-0762-14,NON-COVERED ITEM OR SERVICE,14.95,14.95,4.02,29.15,45
NDC,68462-0254-01,NON-COVERED ITEM OR SERVICE,8.3,8.3,2.23,16.19,45
NDC,68462-0261-90,NON-COVERED ITEM OR SERVICE,29.55,29.55,7.95,57.62,45
NDC,68462-0292-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,68462-0293-01,NON-COVERED ITEM OR SERVICE,4.8,4.8,1.29,9.36,45
NDC,68462-0330-90,NON-COVERED ITEM OR SERVICE,11.05,11.05,2.97,21.55,45
NDC,68462-0334-90,NON-COVERED ITEM OR SERVICE,11.05,11.05,2.97,21.55,45
NDC,68462-0682-01,"SIROLIMUS, ORAL, 1 MG",28.0,28.0,2.27,62.72,48
NDC,68462-0755-25,"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG",16.5,16.5,1.42,36.96,48
NDC,68462-0904-01,"INJECTION, POSACONAZOLE, 1 MG",2096.4,,563.93,4695.94,48
NDC,68516-5214-05,"INFUSION, ALBUMIN (HUMAN), 5%, 50 ML",129.1,11.0,34.73,289.18,59
NDC,68516-5216-01,"INFUSION, ALBUMIN (HUMAN), 25%, 50 ML",195.29,55.0,52.53,437.44,59
NDC,68516-5216-02,"INFUSION, ALBUMIN (HUMAN), 25%, 50 ML",182.2,55.0,49.01,408.13,59
NDC,68547-0111-10,XACDURO 1 GM-1 GM VIAL DOSE PK,627.0,627.0,128.91,501.6,45
NDC,68547-0501-02,GIAPREZA 2.5 MG/ML VIAL,6415.2,6415.2,1318.97,5132.16,45
NDC,68682-0307-05R1,NON-COVERED ITEM OR SERVICE,6.55,6.55,1.76,12.77,45
NDC,68817-0134-50,"INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG",62.57,13.0,13.54,1045.04,62
NDC,68850-0012-02,NON-COVERED ITEM OR SERVICE,5.15,5.15,1.39,10.04,45
NDC,68982-0143-01,"INJECTION, FACTOR VIII, (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NUWIQ), 1 I.U.",5.66,1.0,1.24,3435.91,62
NDC,68982-0182-01,"INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.",5.81,1.0,1.2,3435.91,62
NDC,68982-0347-01,"INJECTION, HUMAN FIBRINOGEN CONCENTRATE (FIBRYGA), 1 MG",4.36,4.36,1.11,1045.04,62
NDC,68982-0850-02,"INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG",384.62,44.0,49.3,1045.04,62
NDC,68992-3010-03,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.86,3.86,1.04,8.65,48
NDC,68992-3040-03,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.85,3.85,1.04,8.63,48
NDC,68992-3075-03,"TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG",3.87,3.87,1.04,8.66,48
NDC,69097-0142-60,ALBUTEROL HFA 90 MCG INHALER,244.3,244.3,50.23,195.44,45
NDC,69097-0361-08,GRISEOFULVIN 125 MG/5 ML SUSP,16.33,16.33,3.36,13.06,45
NDC,69097-0642-02,NON-COVERED ITEM OR SERVICE,63.75,63.75,17.15,124.31,45
NDC,69097-0934-98,NON-COVERED ITEM OR SERVICE,42.8,42.8,11.51,83.46,45
NDC,69238-1205-02,BUPRENORPHINE 20 MCG/HR PATCH,729.5,729.5,149.99,583.6,45
NDC,69238-1484-01,NON-COVERED ITEM OR SERVICE,43.7,43.7,11.76,85.22,45
NDC,69238-1540-01R1,ursodiol 60mg/mL Oral Syringe - Pedi,4.49,4.49,0.92,3.59,45
NDC,69238-1617-03,NON-COVERED ITEM OR SERVICE,35.45,35.45,9.54,69.13,45
NDC,69339-0138-19,NON-COVERED ITEM OR SERVICE,7.05,7.05,1.9,13.75,45
NDC,69344-0102-33,NON-COVERED ITEM OR SERVICE,1356.15,1356.15,364.81,2644.5,45
NDC,69367-0163-04,NON-COVERED ITEM OR SERVICE,13.2,13.2,3.55,25.74,45
NDC,69374-0902-05,"INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG",5.45,5.45,1.46,12.2,43
NDC,69374-0979-01,MORPHINE 1 MG/ML-0.9% NACL SYR,13.86,13.86,2.85,11.09,45
NDC,69374-0982-55,KETAMINE 50 MG/5 ML-NACL SYRNG,16.5,16.5,3.39,13.2,45
NDC,69452-0150-20,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,69536-0100-15,NON-COVERED ITEM OR SERVICE,14.1,14.1,3.79,27.5,45
NDC,69618-0019-59R2,NON-COVERED ITEM OR SERVICE,1.66,1.66,0.45,3.24,45
NDC,69918-0301-30,NON-COVERED ITEM OR SERVICE,17.25,17.25,4.64,33.64,45
NDC,69918-0899-10,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG",57.83,8.0,4.95,129.54,62
NDC,69918-0901-10,"INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG",58.91,8.0,4.95,131.95,62
NDC,70000-0044-01,NON-COVERED ITEM OR SERVICE,9.9,9.9,2.66,19.31,45
NDC,70000-0318-01,NON-COVERED ITEM OR SERVICE,6.69,6.69,1.8,13.05,45
NDC,70000-0365-03,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,70000-0448-01,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,70000-0510-02,NON-COVERED ITEM OR SERVICE,7.3,7.3,1.96,14.24,45
NDC,70069-0261-01R2,NITROPRUSSIDE 1000 MCG/ML PEDI,1.65,1.65,0.34,1.32,45
NDC,70069-0301-25,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",3.63,3.63,0.98,8.13,43
NDC,70092-1132-43,"INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG",31.79,31.79,8.55,71.21,48
NDC,70092-1443-43,BUFFERED LIDOCAINE 1% SYRINGE,23.4,23.4,4.81,18.72,45
NDC,70092-1617-46,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",27.8,,7.48,62.27,43
NDC,70121-1049-05,"INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG",8.42,8.42,1.75,18.87,48
NDC,70121-1647-07,"INJECTION, TIGECYCLINE, 1 MG",8.24,8.24,0.99,18.45,48
NDC,70127-0100-10,EPIDIOLEX 100 MG/ML SOLN PACK,56.24,56.24,11.56,44.99,45
NDC,70408-0239-32,NON-COVERED ITEM OR SERVICE,201.32,201.32,54.15,392.57,45
NDC,70436-0007-04,NON-COVERED ITEM OR SERVICE,102.05,102.05,27.45,199.0,45
NDC,70436-0008-04,NON-COVERED ITEM OR SERVICE,204.1,204.1,54.9,398.0,45
NDC,70436-0009-04,NON-COVERED ITEM OR SERVICE,306.15,306.15,82.35,596.99,45
NDC,70594-0049-02,POLYMYXIN B SULFATE VIAL,44.55,44.55,9.16,35.64,45
NDC,70710-1389-09,NON-COVERED ITEM OR SERVICE,110.85,110.85,29.82,216.16,45
NDC,70710-1460-02,"AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM",24.0,24.0,6.46,53.76,43
NDC,70720-0950-36,"GOSERELIN ACETATE IMPLANT, PER 3.6 MG",3410.35,596.0,528.45,7639.18,64
NDC,70752-0113-03,NON-COVERED ITEM OR SERVICE,1091.05,1091.05,293.49,2127.55,45
NDC,70756-0640-25,"INJECTION, LIDOCAINE HYDROCHLORIDE, 1 MG",1.29,,0.35,2.89,43
NDC,70756-0703-60,NON-COVERED ITEM OR SERVICE,21.2,21.2,5.7,41.34,45
NDC,70842-0120-06,"INJECTION, MEROPENEM AND VABORBACTAM, 10MG/10MG (20MG)",7.03,2.0,1.89,88.03,62
NDC,70842-0160-10,"INJECTION, MINOCYCLINE HYDROCHLORIDE, 1 MG",7.66,2.0,2.06,17.17,51
NDC,70860-0211-74,"INJECTION, FULVESTRANT, 25 MG",168.3,12.0,6.66,376.99,62
NDC,70954-0188-10,NON-COVERED ITEM OR SERVICE,15.55,15.55,4.18,30.32,45
NDC,70954-0188-10R1,NON-COVERED ITEM OR SERVICE,3.09,3.09,0.83,6.02,45
NDC,70954-0212-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,71285-6044-01,"INJECTION, OXYTOCIN, UP TO 10 UNITS",27.5,27.5,7.4,61.6,43
NDC,71286-2003-07,"INJECTION, FENTANYL CITRATE, 0.1 MG",83.5,83.5,1.42,187.04,48
NDC,71286-2040-60R1,"INJECTION, MORPHINE SULFATE, UP TO 10 MG",8.25,8.25,2.22,18.48,48
NDC,71286-2071-04,"INJECTION, FENTANYL CITRATE, 0.1 MG",82.5,82.5,1.42,184.8,48
NDC,71286-2071-07,"INJECTION, FENTANYL CITRATE, 0.1 MG",17.0,17.0,1.42,38.08,48
NDC,71288-0166-10,"INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG",11.88,50.0,3.2,1045.04,62
NDC,71288-0503-02,"INJECTION, HALOPERIDOL DECANOATE, PER 50 MG",59.4,59.4,11.1,133.06,48
NDC,71288-0701-05,ATRACURIUM 50 MG/5 ML VIAL,16.5,16.5,3.39,13.2,45
NDC,72140-0031-47,NON-COVERED ITEM OR SERVICE,52.8,52.8,14.2,102.96,45
NDC,72140-0452-31,NON-COVERED ITEM OR SERVICE,13.9,13.9,3.74,27.11,45
NDC,72196-6011-02,"INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG",17.8,17.8,4.79,39.87,43
NDC,72205-0054-01,"INJECTION, FOSAPREPITANT, 1 MG",7.07,7.07,0.28,15.83,48
NDC,72205-0336-60,NON-COVERED ITEM OR SERVICE,32.45,32.45,8.73,63.28,45
NDC,72694-0515-01,"INJECTION, CALASPARGASE PEGOL-MKNL, 10 UNITS",264.35,264.35,71.11,5657.35,59
NDC,72694-0954-01,"INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL",80548.9,24548.0,8792.06,180429.54,64
NDC,72888-0162-30,NON-COVERED ITEM OR SERVICE,16.15,16.15,4.34,31.49,45
NDC,72888-0206-66,NON-COVERED ITEM OR SERVICE,16.4,16.4,4.41,31.98,45
NDC,72903-0853-01,"INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG",251.24,,67.58,11429.68,59
NDC,73302-0456-01,NON-COVERED ITEM OR SERVICE,153.45,153.45,41.28,299.23,45
NDC,74300-0005-30,NON-COVERED ITEM OR SERVICE,13.1,13.1,3.52,25.55,45
NDC,74527-0022-03,"INJECTION, MARGETUXIMAB-CMKB, 5 MG",182.51,46.0,49.09,3435.91,62
NDC,75826-0114-10,NON-COVERED ITEM OR SERVICE,7.95,7.95,2.14,15.5,45
NDC,75854-0801-01,GLOPERBA 0.6 MG/5 ML SOLUTION,21.6,21.6,4.44,17.28,45
NDC,76045-0004-11,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",18.35,,4.94,41.09,43
NDC,76045-0004-11R2,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",16.94,,4.56,37.94,48
NDC,76045-0005-11,"INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MG",16.5,,4.44,36.96,48
NDC,76045-0009-06,"INJECTION, HYDROMORPHONE, 0.1 MG",3.3,,0.89,7.39,43
NDC,76045-0009-11,"INJECTION, HYDROMORPHONE, 0.1 MG",16.49,,4.44,36.93,43
NDC,76045-0121-11,"INJECTION, HYDROMORPHONE, 0.1 MG",8.1,,2.18,18.16,43
NDC,76075-0101-01,"INJECTION, CARFILZOMIB, 1 MG",85.0,46.0,22.87,1045.04,62
NDC,76154-0474-15,norepinephrine 4mg/NS 250mL Premix Bag,82.5,82.5,16.96,66.0,45
NDC,76154-0476-15,norepinephrine 16 mg/NS 250 mL Premix Bag,99.0,99.0,20.35,79.2,45
NDC,76204-0022-60,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,76310-0024-25,"INJECTION, FOSCARNET SODIUM, PER 1000 MG",311.66,73.0,38.28,698.11,62
NDC,76310-0024-25R1,"INJECTION, FOSCARNET SODIUM, PER 1000 MG",220.45,73.0,38.28,493.81,62
NDC,76329-1240-01,"INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG",89.1,89.1,4.85,199.58,48
NDC,76329-3015-05,NON-COVERED ITEM OR SERVICE,30.6,30.6,8.23,59.67,45
NDC,76329-3304-01,"INJECTION, CALCIUM CHLORIDE, 2 MG",26.9,,7.24,60.25,43
NDC,76329-3316-01,"INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG",1.63,,0.44,3.64,43
NDC,76329-3352-01,SODIUM BICARB 8.4% SYRINGE,39.6,39.6,8.14,31.68,45
NDC,76329-3369-01,"INJECTION, NALOXONE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 0.01 MG",1.96,,0.53,4.4,43
NDC,76329-6300-05,NON-COVERED ITEM OR SERVICE,99.0,99.0,26.63,193.05,45
NDC,76388-0880-25,NON-COVERED ITEM OR SERVICE,100.1,100.1,26.93,195.2,45
NDC,76478-0501-20,"INJECTION, PENTOBARBITAL SODIUM, PER 50 MG",227.12,227.12,61.1,508.75,54
NDC,77333-0948-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,77333-0951-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,77333-0983-10,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,78112-0011-06,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,78206-0114-01,NON-COVERED ITEM OR SERVICE,292.9,292.9,78.79,571.16,45
NDC,78206-0145-01,"ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES",6937.7,6937.7,265.12,15540.45,61
NDC,81284-0315-05,"INJECTION, INDIGOTINDISULFONATE SODIUM, 1 MG",1584.0,,426.1,3548.16,48
NDC,82667-0100-05,NON-COVERED ITEM OR SERVICE,447.65,447.65,120.42,872.92,45
NDC,83257-0004-12,"INJECTION, TRASTUZUMAB-DKST, BIOSIMILAR, (OGIVRI), 10 MG",245.44,47.0,51.84,1487.55,62
NDC,83490-0307-60,SODIUM CHLORIDE 7% VIAL,3.85,3.85,0.79,3.08,45
NDC,85445-0085-81,sodium hyaluronate 10mg/mL 0.55mL,456.7,456.7,93.9,365.36,45
NDC,89411-0351-16,NON-COVERED ITEM OR SERVICE,4.05,4.05,1.09,7.9,45
NDC,99999-0220-76,"TPN, ADULT CENTRAL, 1000ML",339.59,339.59,69.82,271.67,45
NDC,99999-7676-76,TPN ADULT 1L -BAG,345.74,345.74,71.08,276.59,45
NDC,99999-7676-77,CENTRAL TPN PED 500 ML,495.0,495.0,101.77,396.0,45
NDC,99999-7676-78,PERIPHERAL TPN PED 500 ML,495.0,495.0,101.77,396.0,45
NDC,99999-9997-52,"INJECTION, VORICONAZOLE, 10 MG",16.5,16.5,1.18,36.96,48
NDC,99999-9997-61,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,99999-9997-64,"INJECTION, AMPHOTERICIN B, 50 MG",16.5,16.5,4.44,79.73,48
NDC,99999-9997-69,"INJECTION, CEFTAZIDIME, PER 500 MG",16.5,16.5,2.75,36.96,48
NDC,99999-9997-70,"INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG",16.5,,4.44,36.96,43
NDC,99999-9997-97,NON-COVERED ITEM OR SERVICE,3.85,3.85,1.04,7.51,45
NDC,99999-9998-13,TPN NEWBORN AMI ACID SL-125ML,165.0,165.0,33.92,132.0,45
NDC,99999-9998-45,Pedi OR Patient Specific 1 Kit,297.0,297.0,61.06,237.6,45
NDC,99999-9998-46,PEDI OR EMERGENCY KIT,247.5,247.5,50.89,198.0,45
NDC,99999-9998-56,MEDICINAL LEECH   EACH,26.4,26.4,5.43,21.12,45
NDC,99999-9999-54,dextrose 7.5% / 0.2 NACL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-58,dextrose 20% /0.45% NACL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-59,dextrose 20% /0.2% NACL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-60,DEXTROSE 20%/WATER 1L,82.5,82.5,16.96,66.0,45
NDC,99999-9999-64,dextrose 15%/0.9% NaCL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-65,dextrose 15%/0.2% NaCL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-66,DEXTROSE 15% /WATER 1L,82.5,82.5,16.96,66.0,45
NDC,99999-9999-67,dextrose 15% / 0.45 NACL 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-68,DEXTROSE 12.5%/WATER 1L,82.5,82.5,16.96,66.0,45
NDC,99999-9999-69,dextrose 12.5% / 0.9% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-70,dextrose 12.5% / 0.45% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-71,dextrose 12.5% / 0.2% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-72,dextrose 10% / 0.9% NACL Inj 1000 mL,82.5,82.5,16.96,66.0,45
NDC,99999-9999-74,dextrose 10% / 0.2 NACL 1000 mL,82.5,82.5,16.96,66.0,45