code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,22 - UNUSUAL PROCEDURAL SERVICES,,,,,0 ,,50 - BILATERAL PROCEDURE,,,,,0 ,,51 - MULTIPLE PROCEDURES,,,,,0 ,,62 - TWO SURGEONS,,,,,0 ,,80 - ASSISTANT SURGEON,,,,,0 ,,82 - ASSISTANT SURGEON,,,,,0 ,,AS - ASSISTANT AT SURGERY SERVICE,,,,,0 APR-DRG,001-3,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,507127.8,507127.8,2 APR-DRG,001-4,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,544404.2,544404.2,2 APR-DRG,002-3,HEART AND/OR LUNG TRANSPLANT,,,425457.6,425457.6,2 APR-DRG,002-4,HEART AND/OR LUNG TRANSPLANT,,,438498.4,438498.4,2 APR-DRG,004-4,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,1376111.6,1376111.6,2 APR-DRG,005-4,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,1120784.2,1120784.2,2 APR-DRG,006-3,PANCREAS TRANSPLANT,,,388355.2,388355.2,2 APR-DRG,007-3,ALLOGENEIC BONE MARROW TRANSPLANT,,,99552.4,99552.4,2 APR-DRG,007-4,ALLOGENEIC BONE MARROW TRANSPLANT,,,114437.8,114437.8,2 APR-DRG,008-3,AUTOLOGOUS BONE MARROW TRANSPLANT,,,50550.4,50550.4,2 APR-DRG,021-2,OPEN CRANIOTOMY EXCEPT TRAUMA,,,159267.8,159267.8,2 APR-DRG,021-3,OPEN CRANIOTOMY EXCEPT TRAUMA,,,255501.4,255501.4,2 APR-DRG,021-4,OPEN CRANIOTOMY EXCEPT TRAUMA,,,318106.8,318106.8,2 APR-DRG,023-3,SPINAL PROCEDURES,,,166781.4,166781.4,2 APR-DRG,024-4,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,394397.4,394397.4,2 APR-DRG,029-3,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,139815.8,139815.8,2 APR-DRG,030-3,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,144581.0,144581.0,2 APR-DRG,041-2,NERVOUS SYSTEM MALIGNANCY,,,21824.2,21824.2,2 APR-DRG,041-3,NERVOUS SYSTEM MALIGNANCY,,,46871.6,46871.6,2 APR-DRG,042-1,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,84110.0,84110.0,2 APR-DRG,042-2,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,41236.0,41236.0,2 APR-DRG,042-3,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,19095.2,19095.2,2 APR-DRG,043-1,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,46992.0,46992.0,2 APR-DRG,043-2,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,125128.0,125128.0,2 APR-DRG,043-3,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,141783.6,141783.6,2 APR-DRG,045-1,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,62611.4,62611.4,2 APR-DRG,045-2,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,45798.6,45798.6,2 APR-DRG,045-3,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,45616.4,45616.4,2 APR-DRG,045-4,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,194458.0,194458.0,2 APR-DRG,048-2,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,75116.6,75116.6,2 APR-DRG,048-3,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,61757.8,61757.8,2 APR-DRG,049-2,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,110930.2,110930.2,2 APR-DRG,050-2,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,53978.8,53978.8,2 APR-DRG,050-3,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,42577.8,42577.8,2 APR-DRG,050-4,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,279791.0,279791.0,2 APR-DRG,051-3,VIRAL MENINGITIS,,,97447.4,97447.4,2 APR-DRG,052-3,ALTERATION IN CONSCIOUSNESS,,,70661.4,70661.4,2 APR-DRG,053-2,SEIZURE,,,23514.8,23514.8,2 APR-DRG,053-3,SEIZURE,,,47654.8,47654.8,2 APR-DRG,053-4,SEIZURE,,,115186.4,115186.4,2 APR-DRG,055-3,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,58958.6,58958.6,2 APR-DRG,058-2,OTHER DISORDERS OF NERVOUS SYSTEM,,,51236.6,51236.6,2 APR-DRG,058-3,OTHER DISORDERS OF NERVOUS SYSTEM,,,89622.8,89622.8,2 APR-DRG,058-4,OTHER DISORDERS OF NERVOUS SYSTEM,,,30350.8,30350.8,2 APR-DRG,091-3,OTHER MAJOR HEAD AND NECK PROCEDURES,,,454136.6,454136.6,2 APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,95690.4,95690.4,2 APR-DRG,110-2,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,51468.0,51468.0,2 APR-DRG,111-1,VERTIGO AND OTHER LABYRINTH DISORDERS,,,31337.6,31337.6,2 APR-DRG,113-3,INFECTIONS OF UPPER RESPIRATORY TRACT,,,35353.0,35353.0,2 APR-DRG,115-1,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,11650.8,11650.8,2 APR-DRG,115-2,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,6032.0,6032.0,2 APR-DRG,115-3,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,22326.8,22326.8,2 APR-DRG,115-4,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,82337.4,82337.4,2 APR-DRG,120-2,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,59546.4,59546.4,2 APR-DRG,121-2,OTHER RESPIRATORY AND CHEST PROCEDURES,,,48354.6,48354.6,2 APR-DRG,121-3,OTHER RESPIRATORY AND CHEST PROCEDURES,,,55432.2,55432.2,2 APR-DRG,121-4,OTHER RESPIRATORY AND CHEST PROCEDURES,,,344232.2,344232.2,2 APR-DRG,130-4,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,426127.0,426127.0,2 APR-DRG,133-2,RESPIRATORY FAILURE,,,27931.4,27931.4,2 APR-DRG,133-3,RESPIRATORY FAILURE,,,60426.2,60426.2,2 APR-DRG,133-4,RESPIRATORY FAILURE,,,101106.6,101106.6,2 APR-DRG,134-2,PULMONARY EMBOLISM,,,28241.0,28241.0,2 APR-DRG,134-3,PULMONARY EMBOLISM,,,53819.0,53819.0,2 APR-DRG,134-4,PULMONARY EMBOLISM,,,183908.0,183908.0,2 APR-DRG,136-3,RESPIRATORY MALIGNANCY,,,34513.6,34513.6,2 APR-DRG,136-4,RESPIRATORY MALIGNANCY,,,53042.0,53042.0,2 APR-DRG,137-3,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,56317.6,56317.6,2 APR-DRG,137-4,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,23011.8,23011.8,2 APR-DRG,139-3,OTHER PNEUMONIA,,,25530.2,25530.2,2 APR-DRG,139-4,OTHER PNEUMONIA,,,60655.6,60655.6,2 APR-DRG,140-4,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,33082.2,33082.2,2 APR-DRG,141-2,ASTHMA,,,29726.8,29726.8,2 APR-DRG,141-3,ASTHMA,,,51828.2,51828.2,2 APR-DRG,141-4,ASTHMA,,,97725.0,97725.0,2 APR-DRG,143-1,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,36109.6,36109.6,2 APR-DRG,144-1,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,79750.2,79750.2,2 APR-DRG,144-2,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,38267.0,38267.0,2 APR-DRG,145-3,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,37908.8,37908.8,2 APR-DRG,162-4,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,588099.2,588099.2,2 APR-DRG,163-3,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,348898.6,348898.6,2 APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,588774.0,588774.0,2 APR-DRG,169-4,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,184044.6,184044.6,2 APR-DRG,174-2,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,96478.2,96478.2,2 APR-DRG,175-2,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,86432.6,86432.6,2 APR-DRG,178-4,EXTERNAL HEART ASSIST DEVICES,,,1157811.6,1157811.6,2 APR-DRG,180-2,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,,,63436.6,63436.6,2 APR-DRG,180-3,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,,,98738.2,98738.2,2 APR-DRG,182-3,OTHER UPPER VASCULAR PROCEDURES,,,174941.8,174941.8,2 APR-DRG,182-4,OTHER UPPER VASCULAR PROCEDURES,,,794657.4,794657.4,2 APR-DRG,190-2,ACUTE MYOCARDIAL INFARCTION,,,78957.8,78957.8,2 APR-DRG,190-4,ACUTE MYOCARDIAL INFARCTION,,,79172.6,79172.6,2 APR-DRG,191-2,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,95449.0,95449.0,2 APR-DRG,192-3,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,107757.8,107757.8,2 APR-DRG,192-4,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,145810.8,145810.8,2 APR-DRG,193-4,ACUTE AND SUBACUTE ENDOCARDITIS,,,49876.0,49876.0,2 APR-DRG,194-1,HEART FAILURE,,,15172.2,15172.2,2 APR-DRG,194-2,HEART FAILURE,,,23581.4,23581.4,2 APR-DRG,194-3,HEART FAILURE,,,41153.8,41153.8,2 APR-DRG,194-4,HEART FAILURE,,,117785.0,117785.0,2 APR-DRG,196-4,CARDIAC ARREST AND SHOCK,,,109991.4,109991.4,2 APR-DRG,197-3,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,63893.4,63893.4,2 APR-DRG,197-4,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,73617.6,73617.6,2 APR-DRG,198-2,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,21492.4,21492.4,2 APR-DRG,199-2,HYPERTENSION,,,41038.8,41038.8,2 APR-DRG,201-2,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,20909.6,20909.6,2 APR-DRG,201-3,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,22641.6,22641.6,2 APR-DRG,201-4,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,99582.2,99582.2,2 APR-DRG,203-3,CHEST PAIN,,,85413.8,85413.8,2 APR-DRG,204-2,SYNCOPE AND COLLAPSE,,,39577.6,39577.6,2 APR-DRG,206-4,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,75464.2,75464.2,2 APR-DRG,207-2,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,64089.8,64089.8,2 APR-DRG,207-3,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,52908.6,52908.6,2 APR-DRG,207-4,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,80636.0,80636.0,2 APR-DRG,220-2,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,153497.8,153497.8,2 APR-DRG,224-1,PERITONEAL ADHESIOLYSIS,,,46528.2,46528.2,2 APR-DRG,227-2,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,112056.4,112056.4,2 APR-DRG,229-2,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,46981.8,46981.8,2 APR-DRG,230-1,MAJOR SMALL BOWEL PROCEDURES,,,103314.8,103314.8,2 APR-DRG,230-3,MAJOR SMALL BOWEL PROCEDURES,,,94812.2,94812.2,2 APR-DRG,230-4,MAJOR SMALL BOWEL PROCEDURES,,,154410.6,154410.6,2 APR-DRG,231-2,MAJOR LARGE BOWEL PROCEDURES,,,98938.4,98938.4,2 APR-DRG,231-3,MAJOR LARGE BOWEL PROCEDURES,,,106852.4,106852.4,2 APR-DRG,231-4,MAJOR LARGE BOWEL PROCEDURES,,,207903.4,207903.4,2 APR-DRG,233-2,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,40814.6,40814.6,2 APR-DRG,234-2,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,44694.6,44694.6,2 APR-DRG,240-2,DIGESTIVE MALIGNANCY,,,56178.6,56178.6,2 APR-DRG,240-3,DIGESTIVE MALIGNANCY,,,17612.2,17612.2,2 APR-DRG,240-4,DIGESTIVE MALIGNANCY,,,77812.2,77812.2,2 APR-DRG,241-3,PEPTIC ULCER AND GASTRITIS,,,39623.6,39623.6,2 APR-DRG,241-4,PEPTIC ULCER AND GASTRITIS,,,123392.0,123392.0,2 APR-DRG,242-2,MAJOR ESOPHAGEAL DISORDERS,,,27419.8,27419.8,2 APR-DRG,243-3,OTHER ESOPHAGEAL DISORDERS,,,55351.6,55351.6,2 APR-DRG,244-2,DIVERTICULITIS AND DIVERTICULOSIS,,,20768.4,20768.4,2 APR-DRG,244-3,DIVERTICULITIS AND DIVERTICULOSIS,,,68893.4,68893.4,2 APR-DRG,245-2,INFLAMMATORY BOWEL DISEASE,,,44448.0,44448.0,2 APR-DRG,245-4,INFLAMMATORY BOWEL DISEASE,,,96685.8,96685.8,2 APR-DRG,246-3,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,82013.8,82013.8,2 APR-DRG,247-1,INTESTINAL OBSTRUCTION,,,19891.6,19891.6,2 APR-DRG,247-2,INTESTINAL OBSTRUCTION,,,23481.6,23481.6,2 APR-DRG,247-3,INTESTINAL OBSTRUCTION,,,17062.6,17062.6,2 APR-DRG,247-4,INTESTINAL OBSTRUCTION,,,68386.8,68386.8,2 APR-DRG,248-2,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,18887.8,18887.8,2 APR-DRG,248-3,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,41837.8,41837.8,2 APR-DRG,248-4,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,28491.2,28491.2,2 APR-DRG,249-3,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,17139.8,17139.8,2 APR-DRG,252-1,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,105025.2,105025.2,2 APR-DRG,252-4,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,151541.2,151541.2,2 APR-DRG,253-2,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,46031.4,46031.4,2 APR-DRG,254-1,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,11092.4,11092.4,2 APR-DRG,254-2,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,25481.4,25481.4,2 APR-DRG,254-3,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,40329.0,40329.0,2 APR-DRG,254-4,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,77661.6,77661.6,2 APR-DRG,260-2,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,66885.8,66885.8,2 APR-DRG,260-3,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,267836.2,267836.2,2 APR-DRG,263-2,CHOLECYSTECTOMY,,,59887.8,59887.8,2 APR-DRG,263-3,CHOLECYSTECTOMY,,,74041.4,74041.4,2 APR-DRG,264-3,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,54052.4,54052.4,2 APR-DRG,264-4,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,343023.2,343023.2,2 APR-DRG,279-2,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,23238.8,23238.8,2 APR-DRG,279-3,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,65031.8,65031.8,2 APR-DRG,280-1,ALCOHOLIC LIVER DISEASE,,,6402.4,6402.4,2 APR-DRG,280-3,ALCOHOLIC LIVER DISEASE,,,39853.8,39853.8,2 APR-DRG,280-4,ALCOHOLIC LIVER DISEASE,,,96048.2,96048.2,2 APR-DRG,281-4,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,36020.6,36020.6,2 APR-DRG,282-2,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,30180.4,30180.4,2 APR-DRG,282-3,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,48332.0,48332.0,2 APR-DRG,283-2,OTHER DISORDERS OF THE LIVER,,,39712.0,39712.0,2 APR-DRG,283-3,OTHER DISORDERS OF THE LIVER,,,34186.6,34186.6,2 APR-DRG,284-2,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,7262.0,7262.0,2 APR-DRG,284-3,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,44086.4,44086.4,2 APR-DRG,305-3,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,118098.0,118098.0,2 APR-DRG,308-1,HIP AND FEMUR FRACTURE REPAIR,,,66335.8,66335.8,2 APR-DRG,312-2,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,220509.8,220509.8,2 APR-DRG,314-3,FOOT AND TOE PROCEDURES,,,76146.4,76146.4,2 APR-DRG,314-4,FOOT AND TOE PROCEDURES,,,70536.0,70536.0,2 APR-DRG,315-3,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,99967.2,99967.2,2 APR-DRG,317-2,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,73032.4,73032.4,2 APR-DRG,317-3,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,49780.4,49780.4,2 APR-DRG,321-1,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,125588.8,125588.8,2 APR-DRG,321-2,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,121967.6,121967.6,2 APR-DRG,343-3,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,24298.6,24298.6,2 APR-DRG,346-1,CONNECTIVE TISSUE DISORDERS,,,43361.2,43361.2,2 APR-DRG,346-3,CONNECTIVE TISSUE DISORDERS,,,84460.8,84460.8,2 APR-DRG,346-4,CONNECTIVE TISSUE DISORDERS,,,93212.8,93212.8,2 APR-DRG,347-1,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,16497.8,16497.8,2 APR-DRG,347-3,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,44820.0,44820.0,2 APR-DRG,349-2,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,45919.6,45919.6,2 APR-DRG,351-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,15597.8,15597.8,2 APR-DRG,351-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,32527.0,32527.0,2 APR-DRG,361-3,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,44338.6,44338.6,2 APR-DRG,363-3,BREAST PROCEDURES EXCEPT MASTECTOMY,,,128276.6,128276.6,2 APR-DRG,364-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,57272.2,57272.2,2 APR-DRG,380-3,SKIN ULCERS,,,17184.6,17184.6,2 APR-DRG,383-1,CELLULITIS AND OTHER SKIN INFECTIONS,,,13058.2,13058.2,2 APR-DRG,383-2,CELLULITIS AND OTHER SKIN INFECTIONS,,,12351.6,12351.6,2 APR-DRG,383-3,CELLULITIS AND OTHER SKIN INFECTIONS,,,32437.0,32437.0,2 APR-DRG,383-4,CELLULITIS AND OTHER SKIN INFECTIONS,,,67367.0,67367.0,2 APR-DRG,385-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,17750.6,17750.6,2 APR-DRG,385-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,24587.4,24587.4,2 APR-DRG,385-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,29115.2,29115.2,2 APR-DRG,385-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,95450.2,95450.2,2 APR-DRG,405-2,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,143089.6,143089.6,2 APR-DRG,420-1,DIABETES,,,24328.8,24328.8,2 APR-DRG,420-2,DIABETES,,,26886.0,26886.0,2 APR-DRG,420-3,DIABETES,,,34890.6,34890.6,2 APR-DRG,420-4,DIABETES,,,189890.2,189890.2,2 APR-DRG,421-3,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,20950.4,20950.4,2 APR-DRG,424-1,OTHER ENDOCRINE DISORDERS,,,8639.4,8639.4,2 APR-DRG,424-3,OTHER ENDOCRINE DISORDERS,,,31464.0,31464.0,2 APR-DRG,425-2,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,43030.0,43030.0,2 APR-DRG,425-3,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,34049.6,34049.6,2 APR-DRG,425-4,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,54434.8,54434.8,2 APR-DRG,426-2,NON-HYPOVOLEMIC SODIUM DISORDERS,,,43042.0,43042.0,2 APR-DRG,426-3,NON-HYPOVOLEMIC SODIUM DISORDERS,,,39802.6,39802.6,2 APR-DRG,440-3,KIDNEY TRANSPLANT,,,230664.4,230664.4,2 APR-DRG,442-1,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,88418.8,88418.8,2 APR-DRG,442-2,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,95607.0,95607.0,2 APR-DRG,443-3,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,77492.4,77492.4,2 APR-DRG,444-3,RENAL DIALYSIS ACCESS PROCEDURES,,,122477.6,122477.6,2 APR-DRG,446-3,URETHRAL AND TRANSURETHRAL PROCEDURES,,,45363.0,45363.0,2 APR-DRG,461-2,KIDNEY AND URINARY TRACT MALIGNANCY,,,27030.0,27030.0,2 APR-DRG,461-3,KIDNEY AND URINARY TRACT MALIGNANCY,,,89657.8,89657.8,2 APR-DRG,463-2,KIDNEY AND URINARY TRACT INFECTIONS,,,30466.4,30466.4,2 APR-DRG,463-3,KIDNEY AND URINARY TRACT INFECTIONS,,,30124.8,30124.8,2 APR-DRG,466-2,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,45492.2,45492.2,2 APR-DRG,466-3,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,31438.4,31438.4,2 APR-DRG,466-4,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,62664.4,62664.4,2 APR-DRG,468-2,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,16697.4,16697.4,2 APR-DRG,469-2,ACUTE KIDNEY INJURY,,,20489.2,20489.2,2 APR-DRG,469-3,ACUTE KIDNEY INJURY,,,59425.6,59425.6,2 APR-DRG,469-4,ACUTE KIDNEY INJURY,,,46214.8,46214.8,2 APR-DRG,500-3,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,88676.8,88676.8,2 APR-DRG,513-2,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,,,54278.2,54278.2,2 APR-DRG,513-3,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,,,34044.0,34044.0,2 APR-DRG,519-3,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,,,90174.6,90174.6,2 APR-DRG,532-3,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,37536.0,37536.0,2 APR-DRG,660-2,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,97042.8,97042.8,2 APR-DRG,660-3,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,22774.2,22774.2,2 APR-DRG,660-4,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,97619.6,97619.6,2 APR-DRG,661-3,COAGULATION AND PLATELET DISORDERS,,,48566.6,48566.6,2 APR-DRG,662-2,SICKLE CELL ANEMIA CRISIS,,,21726.4,21726.4,2 APR-DRG,663-1,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,18317.0,18317.0,2 APR-DRG,663-2,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,57538.2,57538.2,2 APR-DRG,663-3,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,12489.2,12489.2,2 APR-DRG,680-3,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,215714.0,215714.0,2 APR-DRG,680-4,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,190825.6,190825.6,2 APR-DRG,681-3,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,113467.0,113467.0,2 APR-DRG,690-3,ACUTE LEUKEMIA,,,224190.4,224190.4,2 APR-DRG,690-4,ACUTE LEUKEMIA,,,249258.6,249258.6,2 APR-DRG,691-4,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,138124.6,138124.6,2 APR-DRG,695-3,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,160682.0,160682.0,2 APR-DRG,696-2,OTHER CHEMOTHERAPY,,,13090.6,13090.6,2 APR-DRG,696-3,OTHER CHEMOTHERAPY,,,24557.2,24557.2,2 APR-DRG,710-2,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,72458.8,72458.8,2 APR-DRG,710-3,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,105692.0,105692.0,2 APR-DRG,710-4,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,300322.4,300322.4,2 APR-DRG,711-3,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,155921.6,155921.6,2 APR-DRG,711-4,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,88165.2,88165.2,2 APR-DRG,720-1,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,16081.6,16081.6,2 APR-DRG,720-2,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,24970.4,24970.4,2 APR-DRG,720-3,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,47921.6,47921.6,2 APR-DRG,720-4,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,135410.2,135410.2,2 APR-DRG,721-3,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,82424.8,82424.8,2 APR-DRG,721-4,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,67133.6,67133.6,2 APR-DRG,722-2,FEVER AND INFLAMMATORY CONDITIONS,,,47118.8,47118.8,2 APR-DRG,723-1,VIRAL ILLNESS,,,16790.4,16790.4,2 APR-DRG,723-2,VIRAL ILLNESS,,,12120.8,12120.8,2 APR-DRG,724-3,OTHER INFECTIOUS AND PARASITIC DISEASES,,,66806.8,66806.8,2 APR-DRG,756-2,ACUTE ANXIETY AND STRESS SYNDROMES,,,26813.8,26813.8,2 APR-DRG,770-2,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,29123.4,29123.4,2 APR-DRG,772-2,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,39889.8,39889.8,2 APR-DRG,774-2,COCAINE ABUSE AND DEPENDENCE,,,34473.8,34473.8,2 APR-DRG,775-1,ALCOHOL ABUSE AND DEPENDENCE,,,17695.8,17695.8,2 APR-DRG,775-2,ALCOHOL ABUSE AND DEPENDENCE,,,32259.4,32259.4,2 APR-DRG,775-3,ALCOHOL ABUSE AND DEPENDENCE,,,31134.2,31134.2,2 APR-DRG,775-4,ALCOHOL ABUSE AND DEPENDENCE,,,44597.2,44597.2,2 APR-DRG,792-4,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,376023.0,376023.0,2 APR-DRG,793-3,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,48986.0,48986.0,2 APR-DRG,793-4,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,139515.0,139515.0,2 APR-DRG,812-2,POISONING OF MEDICINAL AGENTS,,,25532.8,25532.8,2 APR-DRG,812-3,POISONING OF MEDICINAL AGENTS,,,47609.4,47609.4,2 APR-DRG,812-4,POISONING OF MEDICINAL AGENTS,,,120548.8,120548.8,2 APR-DRG,813-3,OTHER COMPLICATIONS OF TREATMENT,,,30265.6,30265.6,2 APR-DRG,813-4,OTHER COMPLICATIONS OF TREATMENT,,,163419.0,163419.0,2 APR-DRG,816-4,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,85864.4,85864.4,2 APR-DRG,817-2,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,20141.2,20141.2,2 APR-DRG,817-4,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,91132.8,91132.8,2 APR-DRG,861-1,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,27856.2,27856.2,2 APR-DRG,861-2,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,56032.2,56032.2,2 APR-DRG,861-3,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,41557.6,41557.6,2 APR-DRG,890-3,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,80689.6,80689.6,2 APR-DRG,890-4,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,364821.8,364821.8,2 APR-DRG,894-2,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,28904.2,28904.2,2 APR-DRG,950-2,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,63424.4,63424.4,2 APR-DRG,950-3,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,113376.2,113376.2,2 APR-DRG,951-2,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,43834.0,43834.0,2 APR-DRG,951-3,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,65210.6,65210.6,2 APR-DRG,951-4,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,97417.4,97417.4,2 CDM,PX-0001U001,PR RBC TYPING VITALANT,1304.0,978.0,720.0,1304.0,676 CDM,PX-0003M,PR LIVER DIS 10 ASSAYS W/NASH,1071.0,803.25,503.4,1071.0,676 CDM,PX-00100,PR ANES PROC SALIVARY GLANDS W BX,5.0,3.75,3.38,5.0,1324 CDM,PX-00102,PR ANES PROC CLEFT LIP REPAIR,6.0,4.5,4.06,6.0,1324 CDM,PX-00103,PR ANES PROC EYELID RCNST,5.0,3.75,3.38,5.0,1324 CDM,PX-00104,PR ANES ELECTROCONVULSIVE THERAPY,4.0,3.0,2.71,4.0,1324 CDM,PX-00120,PR ANES PROC EAR WITH BIOPSY,5.0,3.75,3.38,5.0,1324 CDM,PX-00124,PR ANES PROC EAR W BX OTOSCOPY,4.0,3.0,2.71,4.0,1324 CDM,PX-00126,PR ANES PROC EAR W BX TYMPANOTOMY,4.0,3.0,2.71,4.0,1324 CDM,PX-00140,PR ANES PROCEDURES EYE,5.0,3.75,3.38,5.0,1324 CDM,PX-00142,PR ANES PROC EYE LENS SURGERY,4.0,3.0,2.71,4.0,1324 CDM,PX-00144,PR ANES PROC EYE CORNEAL TRNPLT,6.0,4.5,4.06,6.0,1324 CDM,PX-00145,PR ANES PROC EYE VITREORETINAL,6.0,4.5,4.06,6.0,1324 CDM,PX-00147,PR ANES PROC EYE IRIDECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-00148,PR ANES PROC EYE OPHTHALMOSCOPY,4.0,3.0,2.71,4.0,1324 CDM,PX-0015M,PR ADRENAL CORTICAL ASSAY 25,2231.0,1673.25,1305.37,2231.0,676 CDM,PX-00160,PR ANES PROC NOSE AND SINUSES,5.0,3.75,3.38,5.0,1324 CDM,PX-00162,PR ANES PROC NOSE&SINUS RADCL SURG,7.0,5.25,4.74,7.0,1324 CDM,PX-00164,PR ANES NOSE BIOPSY SOFT TISSUE,4.0,3.0,2.71,4.0,1324 CDM,PX-00170,PR ANES INTRAORAL PROC W BIOPSY,5.0,3.75,3.38,5.0,1324 CDM,PX-00172,PR ANES INTORAL PROC W BX CLFT PLT,6.0,4.5,4.06,6.0,1324 CDM,PX-00174,PR ANES BX EXCISN RETROPHARYNGEAL,6.0,4.5,4.06,6.0,1324 CDM,PX-00176,PR ANES INTORAL PROC W BX RADCL SURG,7.0,5.25,4.74,7.0,1324 CDM,PX-0017M,PR LYMPH2CX MRNA (LM2CX),4018.0,3013.5,1808.1,4018.0,676 CDM,PX-00190,PR ANES PROC FACIAL BNS/SKULL,5.0,3.75,3.38,5.0,1324 CDM,PX-00192,PR ANES FCL BNS/SKULL RADCL SURG,7.0,5.25,4.74,7.0,1324 CDM,PX-00210,PR ANES INTRACRANIAL PROCEDURES,11.0,8.25,7.44,11.0,1324 CDM,PX-00211,PR ANES INTRCR PROC CRANIOTOMY,10.0,7.5,6.77,10.0,1324 CDM,PX-00212,PR ANES INTRCR PROC SUBDURAL TAPS,5.0,3.75,3.38,5.0,1324 CDM,PX-00214,PR ANES INTRCR PROC BURR HOLES,9.0,6.75,6.09,9.0,1324 CDM,PX-00215,PR ANES INTRCR PROC CRANIOPLASTY,9.0,6.75,6.09,9.0,1324 CDM,PX-00216,PR ANES INTRCR PROC VASCULAR,15.0,11.25,10.15,15.0,1324 CDM,PX-00218,PR ANES INTRCR PROC SITTING POS,13.0,9.75,8.8,13.0,1324 CDM,PX-00220,PR ANES INTRCR PROC CSF SHUNT,10.0,7.5,6.77,10.0,1324 CDM,PX-00222,PR ANES INTRCR PROC ELECTROCOAG,6.0,4.5,4.06,6.0,1324 CDM,PX-0027U,PR JAK2 GENE TRGT SEQ ANALYSIS,400.0,300.0,121.91,400.0,676 CDM,PX-0029U,PR RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,450.0,406.02,600.0,676 CDM,PX-00300,PR ANES INTEGM MUS & NRV HD/NK/TR,5.0,3.75,3.38,5.0,1324 CDM,PX-0030U,PR RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,525.0,134.13,700.0,676 CDM,PX-0031U,PR CYP1A2 GENE COMMON VARIANTS,600.0,450.0,174.81,600.0,676 CDM,PX-00320,PR ANES NECK ORGAN SURG >=1YR,6.0,4.5,4.06,6.0,1324 CDM,PX-00322,PR ANES THYROID NEEDLE BIOPSY,3.0,2.25,2.03,3.0,1324 CDM,PX-00326,PR ANES PROC LARYNX&TRACHEA <1YR,8.0,6.0,5.41,8.0,1324 CDM,PX-0032U,PR COMT GENE,600.0,450.0,174.81,600.0,676 CDM,PX-0034U,PR TPMT NUDT15 GENE COMMON VARIANTS,600.0,450.0,406.02,600.0,676 CDM,PX-00350,PR ANES PROC NECK MAJOR VESSELS,10.0,7.5,6.77,10.0,1324 CDM,PX-00352,PR ANES NECK VESSELS SMPL LIG,5.0,3.75,3.38,5.0,1324 CDM,PX-00400,PR ANES INTEGM EXT/TRUNK/PERI SURG,3.0,2.25,2.03,3.0,1324 CDM,PX-00402,PR ANES INTEGM PROC BRST RCNST,5.0,3.75,3.38,5.0,1324 CDM,PX-00404,PR ANES PROC BREAST RADCL,5.0,3.75,3.38,5.0,1324 CDM,PX-00406,PR ANES PROC BRST W NODE DISSECT,13.0,9.75,8.8,13.0,1324 CDM,PX-00410,PR ANES PROC ELECT CONV ARRHYTH,4.0,3.0,2.71,4.0,1324 CDM,PX-00450,PR ANES PROC CLAVICLE AND SCAPULA,5.0,3.75,3.38,5.0,1324 CDM,PX-00454,PR ANES CLAVICLE BX,3.0,2.25,2.03,3.0,1324 CDM,PX-00470,PR ANES PARTIAL RIB RESECTION,6.0,4.5,4.06,6.0,1324 CDM,PX-00472,PR ANES PRTL RIB RSECT THORPLST,10.0,7.5,6.77,10.0,1324 CDM,PX-00474,PR ANES PRTL RIB RSECT RADICAL,13.0,9.75,8.8,13.0,1324 CDM,PX-00500,PR ANES PROCEDURES ON ESOPHAGUS,15.0,11.25,10.15,15.0,1324 CDM,PX-00520,PR ANES CLOSED CHEST PROCEDURES,6.0,4.5,4.06,6.0,1324 CDM,PX-00522,PR ANES PLEURA NEEDLE BIOPSY,4.0,3.0,2.71,4.0,1324 CDM,PX-00524,PR ANES CHEST PROC PNEUMOCENTESIS,4.0,3.0,2.71,4.0,1324 CDM,PX-00528,PR ANES MEDSTM&DX THORPLST WO 1 VENT,8.0,6.0,5.41,8.0,1324 CDM,PX-00529,PR ANES MEDSTM&DX THORPLST W 1 VENT,11.0,8.25,7.44,11.0,1324 CDM,PX-00530,PR ANES TRANSVENOUS PPCMKR INS,4.0,3.0,2.71,4.0,1324 CDM,PX-00532,PR ANES CVA CIRCULATION,4.0,3.0,2.71,4.0,1324 CDM,PX-00534,PR ANES TRANSVEN INS/RPLC DEFIB,7.0,5.25,4.74,7.0,1324 CDM,PX-00537,PR ANES CARDIAC EP PROC W RF ABLT,10.0,7.5,6.77,10.0,1324 CDM,PX-00539,PR ANES TRACHEOBRONCHIAL RCNST,18.0,13.5,12.18,18.0,1324 CDM,PX-00540,PR ANES THORACOTOMY PROCEDURES,12.0,9.0,8.12,12.0,1324 CDM,PX-00541,PR ANES THORCTMY PROC W 1 LUNG VENTIL,15.0,11.25,10.15,15.0,1324 CDM,PX-00542,PR ANES THORCTMY PROC DECORTICATION,15.0,11.25,10.15,15.0,1324 CDM,PX-00546,PR ANES THORCTMY PROC PULMONARY,15.0,11.25,10.15,15.0,1324 CDM,PX-00548,PR ANES THORCTMY PROC INTRATHORACIC,17.0,12.75,11.5,17.0,1324 CDM,PX-0054T,PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES,876.0,657.0,109.01,876.0,677 CDM,PX-00550,PR ANES STERNAL DEBRIDEMENT,10.0,7.5,6.77,10.0,1324 CDM,PX-0055T,PR COMP ASST MUSCSKEL NAV ORTHO,2779.0,2084.25,219.52,2779.0,676 CDM,PX-00560,PR ANES PROC HEART WO PUMP O2,15.0,11.25,10.15,15.0,1324 CDM,PX-00561,PR ANES HEART W PUMP O2 <1YR,25.0,18.75,16.92,25.0,1324 CDM,PX-00562,PR ANES HEART W PUMP O2 =>1YR,20.0,15.0,13.53,20.0,1324 CDM,PX-00563,PR ANES PROC HEART W ARREST,25.0,18.75,16.92,25.0,1324 CDM,PX-00566,PR ANES DIRECT CABG WO PUMP O2,25.0,18.75,16.92,25.0,1324 CDM,PX-00567,PR ANES DIRECT CABG W PUMP O2,18.0,13.5,12.18,18.0,1324 CDM,PX-00580,PR ANES HEART/LUNG TRANSPLANT,20.0,15.0,13.53,20.0,1324 CDM,PX-00600,PR ANES PROC CERVICAL SPINE&CORD,10.0,7.5,6.77,10.0,1324 CDM,PX-00604,PR ANES PROC CERV SPINE&CORD SIT,13.0,9.75,8.8,13.0,1324 CDM,PX-00620,PR ANES PROC THOR SPINE & CORD,10.0,7.5,6.77,10.0,1324 CDM,PX-00625,PR ANES THOR SPINE&CORD WO 1 VENTIL,13.0,9.75,8.8,13.0,1324 CDM,PX-00626,PR ANES THOR SPINE&CORD W 1 VENTIL,15.0,11.25,10.15,15.0,1324 CDM,PX-00630,PR ANES PROC LUMBAR REGION,8.0,6.0,5.41,8.0,1324 CDM,PX-00632,PR ANES LUMBAR SYMPATHECTOMY,7.0,5.25,4.74,7.0,1324 CDM,PX-00635,PR ANES PROC DX OR THER LP,4.0,3.0,2.71,4.0,1324 CDM,PX-00640,PR ANES SPINE MANIPULATION,3.0,2.25,2.03,3.0,1324 CDM,PX-00670,PR ANES EXTEN SPINE & CORD PROC,13.0,9.75,8.8,13.0,1324 CDM,PX-00700,PR ANES PROC UPPER ANTR ABD WALL,4.0,3.0,2.71,4.0,1324 CDM,PX-00702,PR ANES PERCUTANEOUS LIVER BX,4.0,3.0,2.71,4.0,1324 CDM,PX-0070U,PR CYP2D6 GEN COM&SLCT RAR VRNT,600.0,450.0,406.02,600.0,676 CDM,PX-0071U,PR CYP2D6 FULL GENE SEQUENCE,600.0,450.0,406.02,600.0,676 CDM,PX-0072U,PR CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,450.0,406.02,600.0,676 CDM,PX-00730,PR ANES PROC UPPER POSTR ABD WALL,5.0,3.75,3.38,5.0,1324 CDM,PX-00731,PR ANES UPR GI NDSC PX NOS,5.0,3.75,3.38,5.0,1324 CDM,PX-00732,PR ANES UPR GI NDSC PX ERCP,6.0,4.5,4.06,6.0,1324 CDM,PX-00750,PR ANES HERNIA RPR UPPER ABD,4.0,3.0,2.71,4.0,1324 CDM,PX-00752,PR ANES LUMBAR &VENTRAL HERNIA,6.0,4.5,4.06,6.0,1324 CDM,PX-00754,PR ANES OMPHALOCELE,7.0,5.25,4.74,7.0,1324 CDM,PX-00756,PR ANES TRNABD RPR DIAPH HERNIA,7.0,5.25,4.74,7.0,1324 CDM,PX-0076U,PR CYP2D6 3' GENE DUP/MLT,600.0,450.0,406.02,600.0,676 CDM,PX-00770,PR ANES MAJOR ABD BLOOD VESSELS,15.0,11.25,10.15,15.0,1324 CDM,PX-0077U,PR IG PARAPROTEIN QUAL SERUM,194.0,145.5,43.43,194.0,676 CDM,PX-0077U001,PR IG PARAPROTEIN QUAL URINE,164.0,123.0,43.43,164.0,676 CDM,PX-00790,PR ANES INTRAPERIT PROC UPPER ABD,7.0,5.25,4.74,7.0,1324 CDM,PX-00792,PR ANES PARTIAL HEPATECTOMY,13.0,9.75,8.8,13.0,1324 CDM,PX-00794,PR ANES PANCREATECTOMY PARTL/TOT,8.0,6.0,5.41,8.0,1324 CDM,PX-00796,PR ANES LAP LIVER TRNSPL,30.0,22.5,20.3,30.0,1324 CDM,PX-00797,PR ANES GASTRIC RESTRICTIVE PROC,11.0,8.25,7.44,11.0,1324 CDM,PX-00800,PR ANES PROC LWR ANTR ABD WALL,4.0,3.0,2.71,4.0,1324 CDM,PX-00802,PR ANES PANNICULECTOMY,5.0,3.75,3.38,5.0,1324 CDM,PX-00811,PR ANES LWR INTST NDSC NOS,4.0,3.0,2.71,4.0,1324 CDM,PX-00812,PR ANES LWR INTST SCR COLSC,4.0,3.0,2.71,4.0,1324 CDM,PX-00813,PR ANES UPR LWR GI NDSC PX,5.0,3.75,3.38,5.0,1324 CDM,PX-00820,PR ANES PROC LWR POSTR ABD WALL,5.0,3.75,3.38,5.0,1324 CDM,PX-00830,PR ANES HERNIA REPAIRS LWR ABD,4.0,3.0,2.71,4.0,1324 CDM,PX-00832,PR ANES VENTRAL & INCISN HERNIAS,6.0,4.5,4.06,6.0,1324 CDM,PX-00834,PR ANES HERNIA RPR <1 YR,5.0,3.75,3.38,5.0,1324 CDM,PX-00836,PR ANES HERNIA RPR < 37 & 50WK,6.0,4.5,4.06,6.0,1324 CDM,PX-00840,PR ANES INTRAPERITONEAL PROC,6.0,4.5,4.06,6.0,1324 CDM,PX-00842,PR ANES AMINOCENTESIS,4.0,3.0,2.71,4.0,1324 CDM,PX-00844,PR ANES ABDOMINOPERINEAL RSECT,7.0,5.25,4.74,7.0,1324 CDM,PX-00846,PR ANES HYSTERECTOMY RADICAL,8.0,6.0,5.41,8.0,1324 CDM,PX-00848,PR ANES PELVIC EXENTERATION,8.0,6.0,5.41,8.0,1324 CDM,PX-00851,PR ANES TUBAL LIGATION,6.0,4.5,4.06,6.0,1324 CDM,PX-00860,PR ANES EXTPERIT INCL URINARY TRACT,6.0,4.5,4.06,6.0,1324 CDM,PX-00862,PR ANES EXTPERIT RENAL PROC,7.0,5.25,4.74,7.0,1324 CDM,PX-00864,PR ANES TOTAL CYSTECTOMY,8.0,6.0,5.41,8.0,1324 CDM,PX-00865,PR ANES RADICAL PROSTATECTOMY,7.0,5.25,4.74,7.0,1324 CDM,PX-00866,PR ANES ADRENALECTOMY,10.0,7.5,6.77,10.0,1324 CDM,PX-00868,PR ANES RENAL TRNSPL RECIPIENT,10.0,7.5,6.77,10.0,1324 CDM,PX-00870,PR ANES CYSTOLITHOTOMY,5.0,3.75,3.38,5.0,1324 CDM,PX-00872,PR ANES LITHOTRIPSY W WATER BATH,7.0,5.25,4.74,7.0,1324 CDM,PX-00873,PR ANES ESWL WO WATER BATH,5.0,3.75,3.38,5.0,1324 CDM,PX-00880,PR ANES PROC MJR LWR ABD VESSELS,15.0,11.25,10.15,15.0,1324 CDM,PX-00882,PR ANES INFERIOR VENA CAVA LIG,10.0,7.5,6.77,10.0,1324 CDM,PX-00902,PR ANES ANORECTAL PROCEDURE,5.0,3.75,3.38,5.0,1324 CDM,PX-00904,PR ANES PERINEAL PROC RADICAL,7.0,5.25,4.74,7.0,1324 CDM,PX-00906,PR ANESTHESIA VULVECTOMY,4.0,3.0,2.71,4.0,1324 CDM,PX-00908,PR ANES PERINEAL PROSTATECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-00910,PR ANES TRANSURETHRAL PROCEDURES,3.0,2.25,2.03,3.0,1324 CDM,PX-00912,PR ANES BLADDER TXURETH RSECT TMR,5.0,3.75,3.38,5.0,1324 CDM,PX-00914,PR ANES PROS TXURETH RSECT TMR,5.0,3.75,3.38,5.0,1324 CDM,PX-00916,PR ANES POST TXURETH RSECT BLEED,5.0,3.75,3.38,5.0,1324 CDM,PX-00918,PR ANES FRG/MANIP/RMVL URETER CLC,5.0,3.75,3.38,5.0,1324 CDM,PX-00920,PR ANES PROC MALE GENITALIA,3.0,2.25,2.03,3.0,1324 CDM,PX-00921,PR ANES VASECTOMY,3.0,2.25,2.03,3.0,1324 CDM,PX-00922,PR ANES SEMINAL VESICLES,6.0,4.5,4.06,6.0,1324 CDM,PX-00924,PR ANES UNDESCENDED TESTIS,4.0,3.0,2.71,4.0,1324 CDM,PX-00926,PR ANES ORCHIECTOMY INGNL RADCL,4.0,3.0,2.71,4.0,1324 CDM,PX-00928,PR ANES ABD ORCHIECTOMY RADICAL,6.0,4.5,4.06,6.0,1324 CDM,PX-00930,PR ANES ORCHIOPEXY,4.0,3.0,2.71,4.0,1324 CDM,PX-00932,PR ANES PENIS COMPLETE AMPUTATION,4.0,3.0,2.71,4.0,1324 CDM,PX-00934,PR ANES PENIS AMP W INGNL LYMPH,6.0,4.5,4.06,6.0,1324 CDM,PX-00936,PR ANES PENIS AMP W INGNL&ILC LYMPH,8.0,6.0,5.41,8.0,1324 CDM,PX-00938,PR ANES INS PENILE PROSTHESIS,4.0,3.0,2.71,4.0,1324 CDM,PX-00940,PR ANES VAGINAL PROCEDURES,3.0,2.25,2.03,3.0,1324 CDM,PX-00942,PR ANES COLPOTOMY/VAGINECTOMY,4.0,3.0,2.71,4.0,1324 CDM,PX-00944,PR ANES VAGINAL HYSTERECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-00948,PR ANES CERVICAL CERCLAGE,4.0,3.0,2.71,4.0,1324 CDM,PX-00950,PR ANES CULDOSCOPY W BX,5.0,3.75,3.38,5.0,1324 CDM,PX-00952,PR ANES HYSTEROSCOPY,4.0,3.0,2.71,4.0,1324 CDM,PX-0095T,"PR REMOVE TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",3547.0,2660.25,177.35,3547.0,676 CDM,PX-0098T,"PR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",9193.0,6894.75,459.65,9193.0,676 CDM,PX-0101T,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS,130.0,97.5,14.21,130.0,592 CDM,PX-0107T,PR QST TEST & INTERP EXT VIBR,98.0,73.5,4.9,98.0,676 CDM,PX-0108T,PR QST TEST & INTERP EXT COOLING,98.0,73.5,4.9,98.0,676 CDM,PX-0109T,PR QST TEST & INTERP EXT HEAT PAN,98.0,73.5,4.9,98.0,676 CDM,PX-01112,PR ANES BN MRW ASP/BX ILIAC CREST,5.0,3.75,3.38,5.0,1324 CDM,PX-01120,PR ANES PROCEDURES BONY PELVIS,6.0,4.5,4.06,6.0,1324 CDM,PX-01130,PR ANES BODY CAST APPLICATION,3.0,2.25,2.03,3.0,1324 CDM,PX-01140,PR ANES INTRPELV AMPUTATION,15.0,11.25,10.15,15.0,1324 CDM,PX-01150,PR ANES PELVIS TUMOR RADICAL,10.0,7.5,6.77,10.0,1324 CDM,PX-01160,PR ANES SYMPHYSIS PUBIS CLSD PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-01170,PR ANES SYMPHYSIS PUBIS OPEN PROC,8.0,6.0,5.41,8.0,1324 CDM,PX-01173,PR ANES PELVIS OPEN FX REPAIR,12.0,9.0,8.12,12.0,1324 CDM,PX-0119U,PR CERAMIDES,217.0,162.75,83.76,217.0,676 CDM,PX-01200,PR ANES HIP JOINT CLOSED PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-01202,PR ANES HIP JOINT ARTHROSCP PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-0120U,"PR LYMPH3CX, LG BCELL LYMPHOMA MRNA",4239.0,3179.25,2510.21,4239.0,42 CDM,PX-01210,PR ANES HIP JOINT OPEN PROC,6.0,4.5,4.06,6.0,1324 CDM,PX-01212,PR ANES HIP DISARTICULATION,10.0,7.5,6.77,10.0,1324 CDM,PX-01214,PR ANES HIP TOTAL ARTHROPLASTY,8.0,6.0,5.41,8.0,1324 CDM,PX-01215,PR ANES HIP REVISION TOTAL ARTHRO,10.0,7.5,6.77,10.0,1324 CDM,PX-01220,PR ANES UPPER FEMUR CLOSED PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-01230,PR ANES UPPER FEMUR OPEN PROC,6.0,4.5,4.06,6.0,1324 CDM,PX-01232,PR ANES UPPER FEMUR AMPUTATION,5.0,3.75,3.38,5.0,1324 CDM,PX-01234,PR ANES UPPER FEMUR RSECT RADICAL,8.0,6.0,5.41,8.0,1324 CDM,PX-01250,PR ANES UPPER LEG NRV/MUS/TNDN,4.0,3.0,2.71,4.0,1324 CDM,PX-01260,PR ANES VEINS UPPER LEG W EXPLR,3.0,2.25,2.03,3.0,1324 CDM,PX-01270,PR ANES ARTERIES UPPER INCL GRFT,8.0,6.0,5.41,8.0,1324 CDM,PX-01272,PR ANES FEMORAL ARTERY LIGATION,4.0,3.0,2.71,4.0,1324 CDM,PX-01274,PR ANES FEM ARTERY EMBOLECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-01320,PR ANES KNEE NRV/MUS/TNDN/FASCIA,4.0,3.0,2.71,4.0,1324 CDM,PX-01340,PR ANES LWR FEMUR CLOSED PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-01360,PR ANES LWR FEMUR OPEN PROC,5.0,3.75,3.38,5.0,1324 CDM,PX-01380,PR ANES PROC KNEE JT CLOSED,3.0,2.25,2.03,3.0,1324 CDM,PX-01382,PR ANES KNEE JT DX ARTHROSCP PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01390,PR ANES UPPER TIBIA/FIBULA CLSD,3.0,2.25,2.03,3.0,1324 CDM,PX-01392,PR ANES UPPER TIBIA/FIBULA OPEN,4.0,3.0,2.71,4.0,1324 CDM,PX-01400,PR ANES KNEE JT OPEN/SURG ARTHSC,4.0,3.0,2.71,4.0,1324 CDM,PX-01402,PR ANES KNEE TOTAL ARTHROPLASTY,7.0,5.25,4.74,7.0,1324 CDM,PX-01404,PR ANES KNEE DISARTICULATION,5.0,3.75,3.38,5.0,1324 CDM,PX-01420,PR ANES KNEE CAST APP/RMVL/REPAIR,3.0,2.25,2.03,3.0,1324 CDM,PX-01430,PR ANES KNEE AND POPLITEAL VEINS,3.0,2.25,2.03,3.0,1324 CDM,PX-01432,PR ANES KNEE VEINS AV FISTULA,6.0,4.5,4.06,6.0,1324 CDM,PX-01440,PR ANES PROC KNEE ARTERIES,8.0,6.0,5.41,8.0,1324 CDM,PX-01442,PR ANES POPLITEAL THROMEND,8.0,6.0,5.41,8.0,1324 CDM,PX-01444,PR ANES POPLITEAL EXCISN & GRAFT,8.0,6.0,5.41,8.0,1324 CDM,PX-01462,PR ANES LWR LEG/ANK/FT CLSD PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01464,PR ANES ANKLE /FOOT ARTHSC PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01470,PR ANES LWR LEG NERVES/MUS/TNDNS,3.0,2.25,2.03,3.0,1324 CDM,PX-01472,PR ANES RPR RUPTURED ACHILLES TNDN,5.0,3.75,3.38,5.0,1324 CDM,PX-01474,PR ANES GASTROCNEMIUS RECESSION,5.0,3.75,3.38,5.0,1324 CDM,PX-01480,PR ANES BN LWR LEG/ANK/FT OPEN,3.0,2.25,2.03,3.0,1324 CDM,PX-01482,PR ANES BN LWR LEG/ANK RDCL RSECT,4.0,3.0,2.71,4.0,1324 CDM,PX-01484,PR ANES TIBIA/FIBULA OSTEOTOMY,4.0,3.0,2.71,4.0,1324 CDM,PX-01486,PR ANES TOTAL ANKLE REPLACEMENT,7.0,5.25,4.74,7.0,1324 CDM,PX-01490,PR ANES LWR LEG CAST APP/RMVL/RPR,3.0,2.25,2.03,3.0,1324 CDM,PX-01500,PR ANES PROC LWR LEG ARTYS W GRFT,8.0,6.0,5.41,8.0,1324 CDM,PX-01502,PR ANES PROC LWR LEG EMBOLECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-01520,PR ANES PROC VEINS OF LOWER LEG,3.0,2.25,2.03,3.0,1324 CDM,PX-01522,PR ANES LWR LEG VENOUS THROMBCTMY,5.0,3.75,3.38,5.0,1324 CDM,PX-01610,PR ANES SHOULDER NERVES/MUS/TNDNS,5.0,3.75,3.38,5.0,1324 CDM,PX-01620,PR ANES HUM/SC/AC/SHLDR JT CLSD,4.0,3.0,2.71,4.0,1324 CDM,PX-01622,PR ANES SHLDR JT DX ARTHROSCOPIC,4.0,3.0,2.71,4.0,1324 CDM,PX-01630,PR ANES HUM/SC/AC/SHLDR JT OPEN,5.0,3.75,3.38,5.0,1324 CDM,PX-01634,PR ANES SHOULDER DISARTICULATION,9.0,6.75,6.09,9.0,1324 CDM,PX-01636,PR ANES INTERTHORACOSCAPULAR AMP,15.0,11.25,10.15,15.0,1324 CDM,PX-01638,PR ANES SHOULDER TOTAL RPLC,10.0,7.5,6.77,10.0,1324 CDM,PX-01650,PR ANES PROC ARTYS SHLDR&AXILLA,6.0,4.5,4.06,6.0,1324 CDM,PX-01652,PR ANES AXILLARY BRACH ANEURYSM,10.0,7.5,6.77,10.0,1324 CDM,PX-01654,PR ANES ARTYS SHLDR&AXILLA W GRFT,8.0,6.0,5.41,8.0,1324 CDM,PX-01656,PR ANES AXILLARY FEMORAL BY GRFT,10.0,7.5,6.77,10.0,1324 CDM,PX-01670,PR ANES PROC VEINS SHLDR&AXILLA,4.0,3.0,2.71,4.0,1324 CDM,PX-01680,PR ANES SHLDR CAST APP/RMVL/RPR,3.0,2.25,2.03,3.0,1324 CDM,PX-01710,PR ANES UPR ARM NERVES/MUS/TNDNS,3.0,2.25,2.03,3.0,1324 CDM,PX-01712,PR ANES ELBOW TO SHLDR TENOTOMY,5.0,3.75,3.38,5.0,1324 CDM,PX-01714,PR ANES ELBOW TO SHLDR TENOPLASTY,5.0,3.75,3.38,5.0,1324 CDM,PX-01716,PR ANES BICEPS TENODESIS,5.0,3.75,3.38,5.0,1324 CDM,PX-01730,PR ANES HUMERUS&ELBOW CLOSED PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01732,PR ANES ELBOW JT DX ARTHSC PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01740,PR ANES PROC ELBOW OPEN,4.0,3.0,2.71,4.0,1324 CDM,PX-01742,PR ANES HUMERUS OSTEOTOMY,5.0,3.75,3.38,5.0,1324 CDM,PX-01744,PR ANES HUMERUS REPAIR NONUNION,5.0,3.75,3.38,5.0,1324 CDM,PX-01756,PR ANES ELBOW RADICAL PROCEDURES,6.0,4.5,4.06,6.0,1324 CDM,PX-01758,PR ANES HUM EXCISION CYST/TUMOR,5.0,3.75,3.38,5.0,1324 CDM,PX-01760,PR ANES ELBOW TOTAL REPLACEMENT,7.0,5.25,4.74,7.0,1324 CDM,PX-01770,PR ANES PROC ARTYS UPR ARM/ELBOW,6.0,4.5,4.06,6.0,1324 CDM,PX-01772,PR ANES UPR ARM/ELBOW EMBOLECTOMY,6.0,4.5,4.06,6.0,1324 CDM,PX-01780,PR ANES PROC VEINS UPPER ARM &ELB,3.0,2.25,2.03,3.0,1324 CDM,PX-01782,PR ANES UPPER ARM&ELB PHLEBRHPHY,4.0,3.0,2.71,4.0,1324 CDM,PX-01810,PR ANES FOREARM NERVES/MUS/TNDNS,3.0,2.25,2.03,3.0,1324 CDM,PX-01820,PR ANES RADS/ULNA/WRST/HAND CLSD,3.0,2.25,2.03,3.0,1324 CDM,PX-01829,PR ANES WRIST DX ARTHSC PROC,3.0,2.25,2.03,3.0,1324 CDM,PX-01830,PR ANES RADS/ULNA/WRST/HAND OPEN,3.0,2.25,2.03,3.0,1324 CDM,PX-01832,PR ANES WRIST TOTAL REPLACEMENT,6.0,4.5,4.06,6.0,1324 CDM,PX-01840,PR ANES ARTYS FOREARM/WRST/HAND,6.0,4.5,4.06,6.0,1324 CDM,PX-01842,PR ANES FRARM/WRST/HAND EMBOLCTMY,6.0,4.5,4.06,6.0,1324 CDM,PX-01844,PR ANES VASCULAR SHUNT,6.0,4.5,4.06,6.0,1324 CDM,PX-0184T,PR EXCISN RECTAL TMR MICROSURG APP,3604.0,2703.0,794.42,3604.0,676 CDM,PX-01850,PR ANES PROC VEIN FRARM/WRST/HAND,3.0,2.25,2.03,3.0,1324 CDM,PX-01852,PR ANES FRARM/WRST/HND PHLEBRHPHY,4.0,3.0,2.71,4.0,1324 CDM,PX-01860,PR ANES FRARM/WRST/HND CASTING,3.0,2.25,2.03,3.0,1324 CDM,PX-01916,PR ANES DX ARTERIOGRPHY/VENOGRPHY,5.0,3.75,3.38,5.0,1324 CDM,PX-01920,PR ANES CARDIAC CATHETERIZATION,7.0,5.25,4.74,7.0,1324 CDM,PX-01922,PR ANES NON-INVASIVE IMAGING,7.0,5.25,4.74,7.0,1324 CDM,PX-01924,PR ANES ARTERIAL SYSTEM THER IR,6.0,4.5,4.06,6.0,1324 CDM,PX-01925,PR ANES THER IR PROC CAROTID/COR,8.0,6.0,5.41,8.0,1324 CDM,PX-01926,PR ANES INTRCR/INCAR/AORTIC,10.0,7.5,6.77,10.0,1324 CDM,PX-01930,PR ANES THER VENOUS/LYMPHATIC SYS,5.0,3.75,3.38,5.0,1324 CDM,PX-01931,PR ANES INTRAHEPATIC/PORTAL CIRC,7.0,5.25,4.74,7.0,1324 CDM,PX-01932,PR ANES INTRATHORACIC/JUGULAR,7.0,5.25,4.74,7.0,1324 CDM,PX-01933,PR ANES THER IR INTRACRANIAL,8.0,6.0,5.41,8.0,1324 CDM,PX-01937,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC,4.0,3.0,2.71,4.0,662 CDM,PX-01938,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC,4.0,3.0,2.71,4.0,662 CDM,PX-01939,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC,4.0,3.0,2.71,4.0,662 CDM,PX-01940,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC,4.0,3.0,2.71,4.0,662 CDM,PX-01941,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC,5.0,3.75,3.38,5.0,662 CDM,PX-01942,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC,5.0,3.75,3.38,5.0,662 CDM,PX-01951,PR ANES 2/3 DGR BURN <4% TBSA,3.0,2.25,2.03,3.0,1324 CDM,PX-01952,PR ANES 2/3 DGR BURN 4-9% TBSA,5.0,3.75,3.38,5.0,1324 CDM,PX-01958,PR ANES EXTRNL CEPHALIC VERSION,5.0,3.75,3.38,5.0,1324 CDM,PX-01960,PR ANES VAGINAL DELIVERY ONLY,5.0,3.75,3.38,5.0,1324 CDM,PX-01961,PR ANES CESAREAN DELIVERY ONLY,7.0,5.25,4.74,7.0,1324 CDM,PX-01962,PR ANES URGENT HYST AFTER DEL,8.0,6.0,5.41,8.0,1324 CDM,PX-01963,PR ANES CESAREAN HYST WO ANALGESIA,10.0,7.5,6.77,10.0,1324 CDM,PX-01965,PR ANES INCOMP/MISSED ABORTION,4.0,3.0,2.71,4.0,1324 CDM,PX-01966,PR ANES INDUCED ABORTION PROC,4.0,3.0,2.71,4.0,1324 CDM,PX-01967,PR ANES NEURAXIAL PLNND VAG DEL,5.0,3.75,3.38,5.0,1324 CDM,PX-01968,PR ANES C/S DEL AFT LABOR ANALG,3.0,2.25,2.03,3.0,1324 CDM,PX-01969,PR ANES C/S HYS AFTER LABOR ANALG,5.0,3.75,3.38,5.0,1324 CDM,PX-01990,PR SPRT HARVST ORGAN BRAIN DEAD PAT,7.0,5.25,4.74,7.0,1324 CDM,PX-01991,PR ANES NERVE BLOCKS & INJECTIONS,3.0,2.25,2.03,3.0,1324 CDM,PX-01992,PR ANES NRV BLOCK/INJ PRONE,5.0,3.75,3.38,5.0,1324 CDM,PX-01996,PR DAILY EPIDURAL MGMT,630.0,472.5,426.32,630.0,674 CDM,PX-0201T,PR PERC SACRL AUGMNTATION BILAT,7733.0,5799.75,1425.39,7733.0,676 CDM,PX-0202U001,PR RESPIR PATHOGEN 22 TARGETS 2,834.0,625.5,416.78,834.0,676 CDM,PX-0207T,"PR EVAC MEIBOMIAN GLANDS, AUTO, HEAT/INTERMIT PRESSURE, UNILATERAL",445.0,333.75,47.01,445.0,677 CDM,PX-0219U,PR INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1639.0,1229.25,725.0,1639.0,676 CDM,PX-0232T,PR PRP-1 SITE,1082.0,811.5,142.61,1082.0,594 CDM,PX-0232T001,PR BMAC INJECTION,4750.0,3562.5,73.23,4750.0,681 CDM,PX-0232T009,PR BMAC INJECTION MULTI SITE,7125.0,5343.75,73.23,7125.0,681 CDM,PX-0232T017,PR PRP-2 SITES,1623.0,1217.25,73.23,1623.0,595 CDM,PX-0232T018,PR PRP-3 SITES,2164.0,1623.0,73.23,2164.0,595 CDM,PX-0232T019,PR PRP-4 SITES,2705.0,2028.75,73.23,2705.0,595 CDM,PX-0232T020,PR PRP 1 SITE W/A2MRP ADD ON,1832.0,1374.0,73.23,1832.0,681 CDM,PX-0232T021,PR PRP 2 SITE W/A2MRP ADD ON,2273.0,1704.75,73.23,2273.0,681 CDM,PX-0330T,PR TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R,174.0,130.5,42.6,174.0,676 CDM,PX-0338T,PR TXCAT RENL SYMP DENERV UNILAT,4153.0,3114.75,207.65,4153.0,676 CDM,PX-0339T,PR TXCATH RENL SYMP DENERV BILAT,4021.0,3015.75,201.05,4021.0,676 CDM,PX-0358T,PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R,103.0,77.25,8.94,103.0,679 CDM,PX-0402T,PR COLLAGEN CROSS-LINKING OF CORNEA,4327.0,3245.25,518.07,4327.0,676 CDM,PX-0431U,PR GLYCINE ALPHA 1 LCBA,138.0,103.5,36.57,138.0,676 CDM,PX-0432U,PR KELCH LIKE PROTEIN 11 QUAL,138.0,103.5,36.57,138.0,676 CDM,PX-0437T,PR IMPLANTATION OF NON-BIOLOGIC O,1190.0,892.5,59.5,1190.0,676 CDM,PX-0442T,PR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,1925.0,1443.75,96.25,1925.0,676 CDM,PX-0449T,PR INSN AQUEOUS DRN DEV,4166.0,3124.5,789.74,4166.0,676 CDM,PX-0481U,PR IDH1/IDH2/TERT NGS,1600.0,1200.0,674.24,1600.0,676 CDM,PX-0483T,PR TMVI PERCUTANEOUS APPROACH,6975.0,5231.25,716.43,6765.75,683 CDM,PX-0559T,PR 3D ANATOMIC MODEL FIRST STRUCTURE,372.0,279.0,18.6,372.0,676 CDM,PX-0569T,"PR TRNSCTH TRICUSP VLV REPAIR, INIT",6452.0,4839.0,934.42,6452.0,676 CDM,PX-0570T,"PR TRNSCTH TRICUS VLV REP, EA ADDL",3228.0,2421.0,467.38,3228.0,676 CDM,PX-0571T,PR IMPL ICD W SUBSTERN LEADS,4664.0,3498.0,233.2,4664.0,676 CDM,PX-0576T,PR INTEROGATE EVAL ICD SUBSTERNAL,182.0,136.5,9.1,182.0,676 CDM,PX-0578T,PR INTER ICD SBSTRNL PROF EA 90DAYS,338.0,253.5,36.03,338.0,678 CDM,PX-0579T,PR INTER ICD SBSTRNL TECH EA 90DAYS,220.0,165.0,21.83,220.0,678 CDM,PX-0582T,PR ABLAT PROSTATE TRANSURETHRAL THERMO,10895.0,8171.25,544.75,10895.0,676 CDM,PX-0582U,PR RAPID WHOLE GENOME SEQ,5500.0,4125.0,2475.0,5500.0,676 CDM,PX-0583U,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,1350.0,3000.0,676 CDM,PX-0584U,PR RT QUIC PRION CSF,120.0,90.0,54.0,120.0,676 CDM,PX-0600T,"PR ABLT IRR ELECTROPORATION 1+ TMR, PERC",5289.0,3966.75,264.45,5289.0,676 CDM,PX-0644T,PR TCAT RMVL/DBLK ICAR MAS PERQ,8595.0,6446.25,883.36,8337.15,683 CDM,PX-0645T,PR TCAT IMPLTJ C SINS RDCTJ DEV,6935.0,5201.25,2600.63,6726.95,683 CDM,PX-0646T,PR TTVI/RPLCMT W/PRSTC VLV PERQ,9060.0,6795.0,226.5,8788.2,683 CDM,PX-0647T,PR INSJ GTUBE PERQ MAG GASTRPXY,5124.0,3843.0,86.81,4970.28,684 CDM,PX-0654T,PR EGD FLX TRANSNASAL TUBE/CATH,421.0,315.75,70.23,408.37,683 CDM,PX-0660T,PR IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS,3905.0,2928.75,469.42,3787.85,683 CDM,PX-0671T,PR INSJ ANT SGM AQ DRG DEV 1+,4992.0,3744.0,124.8,4842.24,683 CDM,PX-0699T,PR NJX PST CHMBR EYE MEDICATION,466.0,349.5,44.65,452.02,684 CDM,PX-0764T,PR ASSTV ALG ECG RSK-BASED ASSMT RELATED CONCURRENT ECG,105.0,78.75,47.25,105.0,676 CDM,PX-0804T,PR PRGRMG EVL LDLS PM 2CHMBR IP,334.0,250.5,16.7,334.0,676 CDM,PX-0866T,PR QUAN MRI ALYS BRN W/DX MRI,803.0,602.25,27.5,1056.0,1352 CDM,PX-0868T,PR HI-RES GASTRIC EP MAPPING,840.0,630.0,378.0,840.0,676 CDM,PX-0882T,PR INTRAOP THER ESTIM PN UE 1ST,4590.0,3442.5,229.5,4590.0,676 CDM,PX-0883T,PR INTRAOP THER ESTIM PN UE EA,2295.0,1721.25,45.5,2295.0,676 CDM,PX-0935T,PR CYSTO W/RNL PEL SYMP DNRVTJ,372.0,279.0,139.5,360.84,683 CDM,PX-10004,PR FNA BX WO IMG EACH ADD LESION,417.0,312.75,51.78,417.0,677 CDM,PX-10005,PR FNA BX W/US GDN 1ST LES,682.0,511.5,64.5,661.54,684 CDM,PX-10006,PR FNA BX W/US GDN EA ADDL,390.0,292.5,58.86,390.0,676 CDM,PX-10009,PR FNA BX W/CT GDN 1ST LES,1603.0,1202.25,200.56,1554.91,683 CDM,PX-10021,PR FNA BX WO IMG 1ST LESION,424.0,318.0,49.13,411.28,684 CDM,PX-10030,PR IMG GUIDE FLUID CATH DRAIN,2857.0,2142.75,301.57,2771.29,683 CDM,PX-10035,PR PLC LOC DEV PERC W IMG 1ST LESN,1864.0,1398.0,167.87,1808.08,683 CDM,PX-10036,PR PLC LOC DEV PERC W IMG ADD LESN,1545.0,1158.75,36.05,1545.0,690 CDM,PX-10040,PR ACNE SURGERY,317.0,237.75,55.17,307.49,684 CDM,PX-10060,PR I&D ABSC SMPL/SNGL,469.0,351.75,62.68,454.93,684 CDM,PX-10061,PR I&D ABSC CMPLX/MULT,1040.0,780.0,91.17,1008.8,693 CDM,PX-10080,PR I&D PILONIDAL CYST SMPL,749.0,561.75,130.84,726.53,683 CDM,PX-10081,PR I&D PILONIDAL CYST CMPLX,1063.0,797.25,184.52,1031.11,683 CDM,PX-10120,PR INCISN/RMVL FB SUBQ SMPL,866.0,649.5,76.58,840.02,683 CDM,PX-10121,PR INCISN/RMVL FB SUBQ CMPLX,1231.0,923.25,134.01,1194.07,683 CDM,PX-10140,PR I&D HEMA/SEROMA/FLUID COLL,738.0,553.5,84.88,715.86,683 CDM,PX-10160,PR NDL ASP ABSC/HEMA/BULLA/CYST,719.0,539.25,64.09,697.43,684 CDM,PX-10180,PR I&D WND POSTOP CMPLX,1115.0,836.25,139.88,1081.55,683 CDM,PX-11004,PR DBRD SKIN SUBQ EXTRNL GENT&PERIN,2710.0,2032.5,245.97,2628.7,683 CDM,PX-11005,PR DBRD SKIN SUBQ TISS ABD WALL,6926.0,5194.5,672.61,6926.0,676 CDM,PX-11008,PR RMVL PROSTH ABD WALL INFECTN,1697.0,1272.75,237.25,1697.0,676 CDM,PX-11010,PR DBRD OPN FX SKIN & SUBQ TISS,2357.0,1767.75,121.59,2286.29,697 CDM,PX-11012,PR DBRD OPN FX SUBQ TISS/MUS/BN,3116.0,2337.0,333.7,3022.52,683 CDM,PX-11042,PR DBRD SKIN & SUBQ TISS<=20SCM,428.0,321.0,54.83,415.16,694 CDM,PX-11043,PR DBRD MUS/FASCIA<=20SCM,829.0,621.75,116.6,804.13,683 CDM,PX-11044,PR DBRD BONE MUS/FASCIA<=20SCM,1300.0,975.0,156.22,1261.0,683 CDM,PX-11045,PR DBRD SKIN & SUBQ TISS ADD 20SCM,126.0,94.5,34.6,126.0,686 CDM,PX-11046,PR DBRD MUS/FASCIA ADD 20SCM,364.0,273.0,74.44,364.0,676 CDM,PX-11047,PR DBRD BN MUS/FASC EA ADD 20SCM,706.0,529.5,125.11,706.0,676 CDM,PX-11055,PR PAR/CUT BENIGN SKIN LESN SNGL,210.0,157.5,34.11,203.7,683 CDM,PX-11056,PR PAR/CUT BENIGN SKIN LESN 2-4,238.0,178.5,9.73,230.86,697 CDM,PX-11057,PR PAR/CUT BENIGN SKIN LESN >4,236.0,177.0,12.53,228.92,697 CDM,PX-111000000,INTERMED MED/SURG/GYN PRIVATE - FACILITY,5564.0,4173.0,3338.4,5564.0,789 CDM,PX-111000001,MED/SURG/GYN PRIVATE - FACILITY,3006.0,2254.5,1803.6,3006.0,789 CDM,PX-111000003,TELEMETRY MED/SURG/GYN PRIV - FACILITY,4736.0,3552.0,2841.6,4736.0,789 CDM,PX-111000006,TELEMETRY DUMMY CHARGE - FACILITY,1.0,0.75,0.6,1.0,789 CDM,PX-111000007,INPATIENT ONLY ROOM AND BOARD FACILITY,1.0,0.75,0.6,1.0,789 CDM,PX-11102,PR TANGNTL BX SKIN SINGLE LES,357.0,267.75,39.53,346.29,695 CDM,PX-11103,PR TANGNTL BX SKIN EA SEP/ADDL,186.0,139.5,47.49,186.0,680 CDM,PX-11104,PR PUNCH BX SKIN SINGLE LESION,469.0,351.75,50.15,454.93,696 CDM,PX-11105,PR PUNCH BX SKIN EA SEP/ADDL,214.0,160.5,49.95,214.0,690 CDM,PX-11106,PR INCAL BX SKN SINGLE LES,579.0,434.25,73.59,561.63,683 CDM,PX-11107,PR INCAL BX SKN EA SEP/ADDL,415.0,311.25,24.6,415.0,691 CDM,PX-11200,PR RMVL SKIN TAGS <=15,330.0,247.5,38.19,320.1,694 CDM,PX-11201,PR RMVL SKIN TAGS EA ADD 10,74.0,55.5,12.8,74.0,690 CDM,PX-11300,PR SHAVE LESN TR/EXT <=0.5CM,345.0,258.75,13.63,334.65,697 CDM,PX-11301,PR SHAVE LESN TR/EXT 0.6-1.0 CM,407.0,305.25,56.62,394.79,683 CDM,PX-11302,PR SHAVE LESN TR/EXT 1.1-2.0CM,418.0,313.5,23.83,405.46,697 CDM,PX-11305,PR SHAVE S/N/H/F/G LESN <=0.5CM,287.0,215.25,16.13,278.39,697 CDM,PX-11306,PR SHAVE S/N/H/F/G LESN 0.6-1.0CM,297.0,222.75,20.08,288.09,697 CDM,PX-11307,PR SHAVE S/N/H/F/G LESN 1.1-2.0CM,379.0,284.25,25.32,367.63,697 CDM,PX-11308,PR SHAVE S/N/H/F/G LESN > 2.0CM,420.0,315.0,29.46,407.4,697 CDM,PX-11310,PR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,379.0,284.25,54.32,367.63,683 CDM,PX-11311,PR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,410.0,307.5,24.95,397.7,697 CDM,PX-11400,PR EXCISN BEN LESN TR/LMB <=0.5CM,437.0,327.75,62.23,423.89,684 CDM,PX-11401,PR EXCISN BEN LESN TR/EXT 0.6-1CM,522.0,391.5,75.44,506.34,684 CDM,PX-11402,PR EXCISN BEN LESN TR/EXT 1.1-2CM,595.0,446.25,83.25,577.15,684 CDM,PX-11403,PR EXCISN BEN LESN TR/EXT 2.1-3CM,728.0,546.0,97.23,706.16,683 CDM,PX-11404,PR EXCISN BEN LESN TR/EXT 3.1-4CM,839.0,629.25,112.37,813.83,683 CDM,PX-11406,PR EXCISN BEN LESN TR/EXT >4CM,1439.0,1079.25,162.24,1395.83,683 CDM,PX-11420,PR EXCISN BEN LESN S/N/H/F <=0.5,509.0,381.75,60.84,493.73,684 CDM,PX-11421,PR EXCISN BEN LESN S/N/H/F .6-1CM,669.0,501.75,77.61,648.93,684 CDM,PX-11422,PR EXCISN BEN LESN S/N/H 1.1-2CM,672.0,504.0,87.52,651.84,684 CDM,PX-11423,PR EXCISN BEN LESN S/N/H 2.1-3CM,766.0,574.5,101.68,743.02,683 CDM,PX-11424,PR EXCISN BEN LESN S/N/H 3.1-4CM,839.0,629.25,118.69,813.83,684 CDM,PX-11426,PR EXCISN BEN LESN S/N/H/F >4.0CM,1349.0,1011.75,165.6,1308.53,684 CDM,PX-11440,PR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,544.0,408.0,69.1,527.68,684 CDM,PX-11441,PR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,654.0,490.5,84.57,634.38,683 CDM,PX-11442,PR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,762.0,571.5,94.5,739.14,683 CDM,PX-11443,PR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,814.0,610.5,112.12,789.58,683 CDM,PX-11444,PR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,1220.0,915.0,140.46,1183.4,684 CDM,PX-11446,PR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,2564.0,1923.0,138.05,2487.08,697 CDM,PX-11450,PR EXCISN SKN HDRDNTS AXLRY SMPL,2055.0,1541.25,223.75,1993.35,684 CDM,PX-11462,PR EXCISN SKN HDRDNTS INGNL SMPL,1947.0,1460.25,218.13,1888.59,683 CDM,PX-11470,PR EXCISN LESN SWEAT GLAND SMPL,1936.0,1452.0,243.3,1877.92,683 CDM,PX-11600,PR EXCISN LESN MLG TR/LMB <=0.5CM,573.0,429.75,53.02,555.81,697 CDM,PX-11601,PR EXCISN LESN MLG TR/LMB .6-1CM,702.0,526.5,110.64,680.94,683 CDM,PX-11602,PR EXCISN LESN MLG TR/LMB 1.1-2CM,926.0,694.5,117.23,898.22,683 CDM,PX-11603,PR EXCISN LESN MLG TR/LMB 2.1-3CM,1030.0,772.5,134.63,999.1,684 CDM,PX-11604,PR EXCISN LESN MLG TR/LMB 3.1-4CM,1180.0,885.0,151.51,1144.6,684 CDM,PX-11606,PR EXCISN LESN MLG TR/LMB >4CM,1514.0,1135.5,225.57,1468.58,684 CDM,PX-11620,PR EXCISN LESN MLG NK/EXT <=.5CM,783.0,587.25,96.72,759.51,683 CDM,PX-11621,PR EXCISN LESN MLG NK/EXT .6-1CM,746.0,559.5,111.29,723.62,684 CDM,PX-11622,PR EXCISN LESN MLG NK/EXT 1.1-2CM,886.0,664.5,121.78,859.42,684 CDM,PX-11623,PR EXCISN LESN MLG NK/EXT 2.1-3CM,1070.0,802.5,143.91,1037.9,683 CDM,PX-11624,PR EXCISN LESN MLG NK/EXT 3.1-4CM,1233.0,924.75,165.34,1196.01,683 CDM,PX-11626,PR EXCISN LESN MLG NK/EXT >4CM,1646.0,1234.5,203.99,1596.62,683 CDM,PX-11640,PR EXCISN LESN MLG F/E/EY/NO <=0.5CM,853.0,639.75,98.54,827.41,683 CDM,PX-11641,PR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,992.0,744.0,115.51,962.24,683 CDM,PX-11642,PR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,914.0,685.5,130.06,886.58,683 CDM,PX-11643,PR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,1261.0,945.75,154.0,1223.17,683 CDM,PX-11644,PR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,1775.0,1331.25,191.39,1721.75,683 CDM,PX-11646,PR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,2481.0,1860.75,251.07,2406.57,683 CDM,PX-11720,PR DBRD NAIL(S) 1-5,102.0,76.5,12.51,102.0,690 CDM,PX-11730,PR AVUL NAIL PLATE SMPL,377.0,282.75,54.43,365.69,683 CDM,PX-11732,PR AVUL NAIL PLATE SMPL EA ADD,408.0,306.0,14.83,408.0,690 CDM,PX-11740,PR EVAC SUBUNGUAL HEMA,217.0,162.75,27.97,210.49,683 CDM,PX-11750,PR EXCISN NAIL BED PRTL/COMPLT,580.0,435.0,76.92,562.6,683 CDM,PX-11755,PR BX NAIL UNIT,373.0,279.75,58.36,361.81,684 CDM,PX-11760,PR RPR NAIL BED,1142.0,856.5,90.93,1107.74,683 CDM,PX-11765,PR EXCISN INGROWN TOENAIL,478.0,358.5,43.66,463.66,697 CDM,PX-11770,PR EXCISN PILONIDAL CYST SMPL,1544.0,1158.0,189.21,1497.68,683 CDM,PX-11771,PR EXCISN PILONIDAL CYST EXTEN,1913.0,1434.75,335.85,1855.61,683 CDM,PX-11772,PR EXCISN PILONIDAL CYST CMPLX,2812.0,2109.0,411.06,2727.64,683 CDM,PX-11900,PR INJ INTRALESN <=7 LESN,203.0,152.25,27.68,196.91,684 CDM,PX-11901,PR INJ INTRALESN >7 LESN,260.0,195.0,33.61,252.2,683 CDM,PX-11920,PR TATTOO INCL MICROPIG<= 6.0 SCM,1902.0,1426.5,49.97,1844.94,697 CDM,PX-11921,PR TATTOO INCL MICROPIG 6.1-20 CM,2348.0,1761.0,113.43,2277.56,684 CDM,PX-11922,PR TATTOO INCL MPIG EA ADD 20 SCM,642.0,481.5,64.28,642.0,677 CDM,PX-11950,PR INJ FILL MATERIAL SUBQ <=1CC,974.0,730.5,21.67,944.78,697 CDM,PX-11951,PR SUBQ INJ FILLING MATRL >1CC,1260.0,945.0,30.31,1222.2,697 CDM,PX-11952,PR INJ FILL MATRL SUBQ 5.1-10CC,1475.0,1106.25,42.69,1430.75,697 CDM,PX-11954,PR INJ SUBQ FILLING >10.0 CC,1649.0,1236.75,46.88,1599.53,697 CDM,PX-11960,PR INSN TISS EXPAND NOT BREAST,7562.0,5671.5,461.49,7335.14,683 CDM,PX-11970,PR RPLC TISS EXPAND W PERM IMPLNT,5870.0,4402.5,251.9,5693.9,683 CDM,PX-11971,PR RMVL TISS EXPAND WO INS IMPLNT,3309.0,2481.75,250.99,3209.73,683 CDM,PX-11980,PR IMPL SUBQ HORMONE PELLET,324.0,243.0,23.74,314.28,698 CDM,PX-11981,PR INS NON-BIODEGRADABLE DRUG DEL,482.0,361.5,44.44,467.54,694 CDM,PX-11982,PR RMVL DRUG IMPL,465.0,348.75,47.39,451.05,694 CDM,PX-11983,PR RMVL W REINS NONBIO DEL IMPL,677.0,507.75,59.84,656.69,694 CDM,PX-12001,PR SMPL RPR S/NK/TR/EXT <=2.5CM,449.0,336.75,55.27,435.53,684 CDM,PX-12002,PR SMPL S/NK/TR/EXT 2.6-7.5CM,599.0,449.25,67.61,581.03,683 CDM,PX-12004,PR SMPL RPR S/N/TR/EXT 7.6-12.5CM,699.0,524.25,78.59,678.03,683 CDM,PX-12005,PR SMPL RPR S/NK/TR/EXT 12.6-20CM,1287.0,965.25,102.46,1248.39,683 CDM,PX-12006,PR SMPL RPR S/NK/TR/EXT 20.1-30CM,1363.0,1022.25,116.6,1322.11,683 CDM,PX-12007,PR SMPL RPR SCLP/NK/TR/EXT >30CM,1467.0,1100.25,65.19,1422.99,697 CDM,PX-12011,PR SMPL RPR F/E/EY/NO/L/M<=2.5CM,640.0,480.0,67.75,620.8,683 CDM,PX-12013,PR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,553.0,414.75,70.67,536.41,683 CDM,PX-12014,PR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,861.0,645.75,83.62,835.17,683 CDM,PX-12015,PR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,1280.0,960.0,102.28,1241.6,683 CDM,PX-12018,PR SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,1319.0,989.25,84.48,1279.43,683 CDM,PX-12020,PR TX WND DEHIS SMPL,1260.0,945.0,130.86,1222.2,693 CDM,PX-12021,PR TX WND DEHIS W PACKING,601.0,450.75,90.31,582.97,683 CDM,PX-12031,PR INT RPR SCLP/AX/TR/EXT <=2.5,956.0,717.0,126.48,927.32,685 CDM,PX-12032,PR INT RPR SCLP/AX/TR/EXT 2.6-7.5,1147.0,860.25,146.11,1112.59,686 CDM,PX-12034,PR INT RPR SCLP/AX/TR/EXT 7.6-12.5,1420.0,1065.0,162.92,1377.4,683 CDM,PX-12035,PR INT RPR SCLP/AX/TR/EXT 12.6-20,1779.0,1334.25,201.26,1725.63,684 CDM,PX-12036,PR INT RPR SCLP/AX/TR/EXT 20-30,2163.0,1622.25,232.98,2098.11,684 CDM,PX-12037,PR INT RPR SCLP/AX/TR/EXT >30.0,2970.0,2227.5,260.24,2880.9,683 CDM,PX-12041,PR INT RPR NK/HND/FT/EXG <=2.5,1136.0,852.0,127.95,1101.92,683 CDM,PX-12042,PR INT RPR NK/HND/FT/EXG 2.6-7.5,1202.0,901.5,148.59,1165.94,684 CDM,PX-12044,PR INT RPR NK/HND/FT/EXG 7.6-12.5,1400.0,1050.0,188.83,1358.0,683 CDM,PX-12045,PR INT RPR NK/HND/FT/EXG 12.6-20,2102.0,1576.5,130.69,2038.94,697 CDM,PX-12051,PR INT RPR F/E/EY/NO/L/M <=2.5,1359.0,1019.25,137.7,1318.23,684 CDM,PX-12052,PR INT F/E/EY/NO/L/M 2.6-5,1478.0,1108.5,151.96,1433.66,683 CDM,PX-12053,PR INT RPR F/E/EY/NO/L/M 5.1-7.5,1605.0,1203.75,175.8,1556.85,683 CDM,PX-12054,PR INT RPR F/E/EY/NO/L/M 7.6-12.5,1714.0,1285.5,96.28,1662.58,697 CDM,PX-13100,PR CMPLX RPR TRUNK 1.1-2.5CM,1195.0,896.25,164.61,1159.15,683 CDM,PX-13101,PR CMPLX RPR TRUNK 2.6-7.5CM,1375.0,1031.25,190.19,1333.75,683 CDM,PX-13102,PR CMPLX RPR TRUNK EA <=5CM,509.0,381.75,117.01,509.0,676 CDM,PX-13120,PR CMPLX RPR SCLP/LIMB 1.1-2.5CM,999.0,749.25,171.0,969.03,683 CDM,PX-13121,PR CMPLX RPR SCLP/LIMB 2.6-7.5CM,1529.0,1146.75,203.64,1483.13,683 CDM,PX-13122,PR CMPLX RPR SCLP/LIMB ADD 5CM,555.0,416.25,124.94,555.0,677 CDM,PX-13131,PR CMPLX RPR FACE/AX/EXT 1.1-2.5,1262.0,946.5,187.34,1224.14,683 CDM,PX-13132,PR CMPLX RPR FACE/AX/EXT 2.6-7.5,2137.0,1602.75,225.42,2072.89,683 CDM,PX-13133,PR CMPLX RPR FACE/AX/EXT ADD 5CM,1111.0,833.25,164.0,1111.0,676 CDM,PX-13151,PR CMPLX RPR EY/NO/E/L 1.1-2.5CM,1537.0,1152.75,204.34,1490.89,683 CDM,PX-13152,PR CMPLX RPR EY/NO/E/L 2.6-7.5CM,2674.0,2005.5,239.27,2593.78,684 CDM,PX-13153,PR CMPLX RPR EY/NO/E/L ADD<=5CM,1247.0,935.25,184.23,1247.0,676 CDM,PX-13160,PR RPR WND SURGICAL SECNDRY CMPLX,4878.0,3658.5,361.05,4731.66,683 CDM,PX-14000,PR TISS XFER TR DEFECT <=10SCM,2337.0,1752.75,324.49,2266.89,683 CDM,PX-14001,PR TISS XFER TR DEFECT 10-30SCM,4457.0,3342.75,416.93,4323.29,683 CDM,PX-14020,PR TISS XFER SCLP/LIMB <=10SCM,2819.0,2114.25,349.37,2734.43,683 CDM,PX-14021,PR TISS XFER SCLP/LIMB 10-30SCM,3587.0,2690.25,430.15,3479.39,683 CDM,PX-14040,PR TISS XFER FACE/NK/EXT <=10SCM,3186.0,2389.5,374.04,3090.42,684 CDM,PX-14041,PR TISS XFER FACE/NK/EXT 10-30CM,3276.0,2457.0,451.8,3177.72,684 CDM,PX-14060,PR TISS XFER EAR/EY/N/LIP <=10SCM,3109.0,2331.75,376.63,3015.73,683 CDM,PX-14061,PR TISS XFER EY/N/E/LIP 10.1-30SCM,3749.0,2811.75,486.83,3636.53,683 CDM,PX-14301,PR TISS XFER ADJ 30.1-60SCM,11250.0,8437.5,545.31,10912.5,683 CDM,PX-14302,PR TISS XFER ADJ ADD 30SCM,2600.0,1950.0,216.51,2600.0,676 CDM,PX-15002,PR PREP WND TR/EXT PEDS 100SCM,3328.0,2496.0,353.05,3328.0,676 CDM,PX-15003,PR PREP WND TR/EXT EA ADD 100SCM,808.0,606.0,72.63,808.0,676 CDM,PX-15004,PR PREP WND HD/EXT EA ADD 100SCM,1818.0,1363.5,394.23,1818.0,676 CDM,PX-15005,PR PREP WND HD/EXT >100SCM,1032.0,774.0,121.06,1032.0,676 CDM,PX-15011,PR HARVEST SKIN CELLS FOR SUSP AUTOGRFT CM,2979.0,2234.25,74.48,2889.63,683 CDM,PX-15013,PR PREP SKIN CELLS SUSP AUTOGRAFT 25CM,6295.0,4721.25,157.38,6106.15,683 CDM,PX-15015,PR APPLICATION SKIN CELL SUSP AUTOGRAFT- T/A/L 480CM,8736.0,6552.0,218.4,8473.92,683 CDM,PX-15017,PR APPLICATION SKIN CELL SUSP AUTOGRAFT- F/N/G/HF 480CM,7767.0,5825.25,402.59,7533.99,683 CDM,PX-15100,PR GRFT SPLIT SKN TR/LIMB 100SCM,4678.0,3508.5,448.36,4537.66,683 CDM,PX-15101,PR GRFT SPLIT SKN TR/LIMB ADD 100,1008.0,756.0,195.47,1008.0,676 CDM,PX-15120,PR SPLIT AUTGRFT F/NK/HF <=100SCM,4878.0,3658.5,425.55,4731.66,683 CDM,PX-15121,PR SPLIT AUTGRFT F/NK/HF EA ADD,1887.0,1415.25,214.69,1887.0,676 CDM,PX-15200,PR GRFT FULL THCK TR <=20 SCM,4106.0,3079.5,426.1,3982.82,683 CDM,PX-15220,PR GRFT FULL THCK SCLP <= 20 SCM,3501.0,2625.75,381.3,3395.97,683 CDM,PX-15221,PR GRFT FULL THCK SCLP EA ADD 20 CM,930.0,697.5,130.23,930.0,676 CDM,PX-15240,PR GRFT FULL THCK F/G/HF <=20SCM,5753.0,4314.75,457.0,5580.41,683 CDM,PX-15241,PR GRFT FULL THCK F/G/HF EA ADD 20CM,1444.0,1083.0,174.91,1444.0,677 CDM,PX-15260,PR GRFT FULL THCK EY/NO/E/L <=20SCM,3745.0,2808.75,488.4,3632.65,683 CDM,PX-15261,PR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,1848.0,1386.0,202.43,1848.0,676 CDM,PX-15271,PR SKN GRFT A/TR/L <=100SCM/1ST 25,546.0,409.5,65.37,529.62,693 CDM,PX-15272,PR SKN SUBST GRFT A/TR/L ADD 25SCM,334.0,250.5,25.06,334.0,676 CDM,PX-15273,PR SKN GRFT A/TR/L <=100SCM PEDS,1666.0,1249.5,156.6,1616.02,683 CDM,PX-15274,PR SKN GRFT A/TR/L ADD 100SCM PEDS,353.0,264.75,84.32,353.0,676 CDM,PX-15275,PR SKN GRFT F/N/G/HF <=100SCM,648.0,486.0,78.22,628.56,683 CDM,PX-15276,PR SKN GRFT F/N/G/HF ADD 25SCM,261.0,195.75,32.93,261.0,676 CDM,PX-15277,PR GRFT F/N/G/HF <=100SCM 1ST,1988.0,1491.0,175.62,1928.36,683 CDM,PX-15278,PR GRFT F/N/G/HF <=100SCM ADD,628.0,471.0,98.33,628.0,676 CDM,PX-15570,PR FORM DIRECT/TUBED PEDICLE TRUNK,6089.0,4566.75,327.32,5906.33,697 CDM,PX-15572,PR FORM PEDCL SCLP/A/L,4958.0,3718.5,454.58,4809.26,683 CDM,PX-15574,PR FORM PEDCL FACE/NK/AX/EXG/EXT,6136.0,4602.0,426.66,5951.92,683 CDM,PX-15576,PR FORM PEDCL EY/NO/E/L,4385.0,3288.75,387.59,4253.45,683 CDM,PX-15600,PR DELAY FLAP TR,3264.0,2448.0,181.24,3166.08,683 CDM,PX-15610,PR DELAY FLAP SCLP/A/L,3203.0,2402.25,190.15,3106.91,683 CDM,PX-15620,PR DELAY FLAP FACE/NK/AX/EXG/EXT,3385.0,2538.75,225.42,3283.45,683 CDM,PX-15630,PR DELAY FLAP EY/NO/E/L,2948.0,2211.0,228.74,2859.56,683 CDM,PX-15730,PR MDFC FLAP W/PRSRV VASC PEDCL,8685.0,6513.75,701.97,8424.45,683 CDM,PX-15731,PR FHD FLAP W VASC PEDCL,6507.0,4880.25,559.58,6311.79,683 CDM,PX-15733,PR MUSC MYOQ/FSCQ FLP H&N PEDCL,8176.0,6132.0,443.06,7930.72,683 CDM,PX-15734,PR MUSCLE FLAP TRUNK,12480.0,9360.0,674.12,12105.6,683 CDM,PX-15736,PR MUSCLE FLAP UPPER EXT,8004.0,6003.0,540.75,7763.88,683 CDM,PX-15738,PR MUSCLE FLAP LWR EXT,15583.0,11687.25,559.14,15115.51,683 CDM,PX-15740,PR FLAP ISLAND PEDCL,5073.0,3804.75,510.95,4920.81,683 CDM,PX-15750,PR FLAP NEUR VASC PEDCL,7637.0,5727.75,408.85,7407.89,683 CDM,PX-15756,PR MUS FLAP W MICROVASC ANAST,21210.0,15907.5,958.11,20573.7,683 CDM,PX-15758,PR FCL FLAP W MICROVASC ANAST,20604.0,15453.0,948.36,19985.88,683 CDM,PX-15760,PR COMPOSITE SKIN GRAFT,6151.0,4613.25,417.88,5966.47,683 CDM,PX-15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,4335.0,3251.25,221.11,4204.95,683 CDM,PX-15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,6210.0,4657.5,322.14,6023.7,683 CDM,PX-15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,2040.0,1530.0,200.2,2040.0,676 CDM,PX-15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,4868.0,3651.0,304.76,4721.96,683 CDM,PX-15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1649.0,1236.75,195.33,1649.0,676 CDM,PX-15777,PR IMPLANTATION BIOLOGIC IMPLANT,2322.0,1741.5,218.33,2322.0,676 CDM,PX-15778,PR IMPL ABSRB MSH/PRSTH DLY CLS,3092.0,2319.0,171.56,2999.24,683 CDM,PX-15781,PR DERMABRASION SEGM FACE,1730.0,1297.5,253.57,1678.1,683 CDM,PX-15788,PR CHEM PEEL FACIAL EPIDERMAL,1020.0,765.0,95.47,989.4,697 CDM,PX-15789,PR CHEM PEEL FACIAL DERMAL,1175.0,881.25,174.86,1139.75,697 CDM,PX-15793,PR CHEMICAL PEEL NONFACIAL DERMAL,495.0,371.25,155.21,495.0,697 CDM,PX-15820,PR BLEPH LWR EYELID,6047.0,4535.25,287.24,5865.59,683 CDM,PX-15821,PR BLEPH LWR EYELID W FAT PAD,3395.0,2546.25,236.56,3293.15,697 CDM,PX-15822,PR BLEPH UPR EYELID,3264.0,2448.0,173.75,3166.08,697 CDM,PX-15823,PR BLEPH UPR EYELID W EXCESS SKIN LID,4113.0,3084.75,309.01,3989.61,683 CDM,PX-15824,PR RHYTIDECTOMY FOREHEAD,6921.0,5190.75,2595.38,6713.37,683 CDM,PX-15825,PR RHYTIDECTOMY NK W TGHTNNG,13752.0,10314.0,5157.0,13339.44,683 CDM,PX-15828,PR RHYTIDECTOMY CHEEK/CHIN/NECK,17190.0,12892.5,6446.25,16674.3,683 CDM,PX-15829,PR RHYTIDECTOMY SUPERFICIAL,15441.0,11580.75,5790.38,14977.77,683 CDM,PX-15830,PR EXCISN EXCESS SKIN/TISS ABD,7788.0,5841.0,519.35,7554.36,683 CDM,PX-15832,PR EXCISN EXCESS SKIN/TISS THIGH,6426.0,4819.5,410.16,6233.22,683 CDM,PX-15833,PR EXCISN EXCESS SKIN LEG,6442.0,4831.5,388.56,6248.74,683 CDM,PX-15835,PR EXCISN EXCESS SKIN/TISS BUTTOCK,7904.0,5928.0,411.39,7666.88,683 CDM,PX-15836,PR EXCISN EXCESS SKIN/TISS ARM,5283.0,3962.25,354.84,5124.51,683 CDM,PX-15839,PR EXCISN EXCESS SKN/TISS OTHER,5250.0,3937.5,466.27,5092.5,683 CDM,PX-15840,PR FACE NRV PALSY FASCIA GRFT,8284.0,6213.0,432.78,8035.48,683 CDM,PX-15841,PR GRAFT FACIAL NRV PARLYS FREE,12142.0,9106.5,770.16,11777.74,683 CDM,PX-15845,PR GRAFT FACIAL NRV PARLYS MUS TR,7219.0,5414.25,471.16,7002.43,683 CDM,PX-15847,PR EXCISN EXC SKIN/ SUBQ TISS ABD,5702.0,4276.5,456.22,5702.0,676 CDM,PX-15851,PR RMVL SUTR W ANES OTHER SURG,315.0,236.25,28.63,305.55,683 CDM,PX-15852,PR DRSG CHNG W ANES NOT BURN,314.0,235.5,18.98,304.58,683 CDM,PX-15853,PR RMVL SUTURES WO ANES,93.0,69.75,10.97,93.0,687 CDM,PX-15854,PR RMVL SUTURES & STAPLE WO ANES,102.0,76.5,17.12,102.0,677 CDM,PX-15860,PR TEST INJ VASC FLOW FLAP/GRFT,646.0,484.5,45.44,626.62,683 CDM,PX-15876,PR SUCTION ASSIS LIPECTOMY HD/NK,4455.0,3341.25,1670.63,4321.35,683 CDM,PX-15877,PR SUCTION ASSIS LIPECTOMY TRUNK,6490.0,4867.5,2433.75,6295.3,683 CDM,PX-15878,PR SUCT ASSIS LIPECTOMY UPP EXT,1150.0,862.5,431.25,1115.5,683 CDM,PX-15879,PR SUCT ASSIS LIPECTOMY LWR EXT,8911.0,6683.25,3341.63,8643.67,683 CDM,PX-15931,PR EXCISN ULCER SACRAL W SUTR,3692.0,2769.0,326.78,3581.24,683 CDM,PX-15936,PR EXCISN SAC PRESS ULCER IN PREP,6237.0,4677.75,407.05,6049.89,683 CDM,PX-15937,PR EXCISN ULCER PREP GRFT OSTEOT,7755.0,5816.25,448.02,7522.35,683 CDM,PX-15946,PR EXCISN ULCER ISCHL PREP GRFT,9085.0,6813.75,710.64,8812.45,683 CDM,PX-16000,PR TX BURN 1ST DEGREE INIT,280.0,210.0,43.86,271.6,683 CDM,PX-16020,PR DBRD BURN PRTL THCK <5%,325.0,243.75,38.35,315.25,693 CDM,PX-16025,PR DBRD BURN PRTL THCK 5-10%,497.0,372.75,80.64,482.09,683 CDM,PX-161000000,ADVANCED CARE AT HOME R&B FACILITY,5500.0,4125.0,3300.0,5500.0,789 CDM,PX-17000,PR DEST PREMALIGNANT LESN 1ST,246.0,184.5,27.54,238.62,696 CDM,PX-17003,PR DEST PREMALIGNANT LESN 2-14,45.0,33.75,5.26,45.0,691 CDM,PX-17004,PR DEST PREMALIGNANT LESN =>15,907.0,680.25,134.46,907.0,689 CDM,PX-17106,PR DEST CUT LESN PROLIF <10SCM,1591.0,1193.25,117.1,1543.27,697 CDM,PX-17110,PR DEST BENIGN LESN OTHR<=14,405.0,303.75,46.0,392.85,696 CDM,PX-17111,PR DEST BENIGN LESIONS OTHR >=15,443.0,332.25,36.11,429.71,697 CDM,PX-17250,PR CAUTERIZE CHEM GRANULATION TIS,343.0,257.25,37.25,332.71,684 CDM,PX-17260,PR DEST LESN MLG T/A/L <=0.5CM,323.0,242.25,47.27,313.31,684 CDM,PX-17261,PR DEST LESN MLG T/A/L .6-1CM,510.0,382.5,59.76,494.7,695 CDM,PX-17262,PR DEST LESN MLG TR/LIMB 1.1-2CM,630.0,472.5,71.97,611.1,694 CDM,PX-17263,PR DEST LESN MLG TR/LIMB 2.1-3CM,642.0,481.5,91.86,622.74,683 CDM,PX-17264,PR DEST LESN MLG TR/LIMB 3.1-4CM,676.0,507.0,53.57,655.72,697 CDM,PX-17266,PR DEST LESN MLG TR/LIMB >4CM,828.0,621.0,112.44,803.16,683 CDM,PX-17270,PR DEST LESN MLG S/NK/EXT<=.5CM,484.0,363.0,71.65,469.48,684 CDM,PX-17271,PR DEST LESN MLG S/NK/EXT .6-1CM,602.0,451.5,67.27,583.94,695 CDM,PX-17272,PR DEST LESN MLG S/NK/EXT 1.1-2CM,669.0,501.75,76.01,648.93,694 CDM,PX-17273,PR DEST LESN MLG S/NK/EXT 2.1-3CM,672.0,504.0,56.19,651.84,697 CDM,PX-17274,PR DEST LESN MLG S/NK/EXT 3.1-4CM,823.0,617.25,68.18,798.31,697 CDM,PX-17276,PR DEST SKIN MAL LES >4.0 CM,1118.0,838.5,82.24,1084.46,697 CDM,PX-17280,PR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,507.0,380.25,67.39,491.79,684 CDM,PX-17281,PR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,582.0,436.5,72.71,564.54,693 CDM,PX-17282,PR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,648.0,486.0,97.78,628.56,684 CDM,PX-17283,PR DEST SKIN MLG LESN 2.1-3.0 CM,780.0,585.0,69.18,756.6,697 CDM,PX-17284,PR DEST SKIN MLG LESN 3.1-4.0 CM,984.0,738.0,81.1,954.48,697 CDM,PX-17286,PR DEST LESN MLG F/E/EY/NO/L/M >4CM,1396.0,1047.0,110.14,1354.12,697 CDM,PX-17311,PR MOHS HD/NK/EXDT/EXG 1 STAGE,2270.0,1702.5,141.03,2201.9,699 CDM,PX-17312,PR MOHS HD/NK/EXDT/EXG ADD STAGE,1379.0,1034.25,150.32,1379.0,692 CDM,PX-17313,PR MOHS TR/LIMB 1 STAGE 1-5,1922.0,1441.5,126.58,1864.34,698 CDM,PX-17314,PR MOHS TR/LIMB EA ADD STAGE,1230.0,922.5,137.28,1230.0,691 CDM,PX-17315,PR MOHS EA BLOCK AFTER FIRST 5,376.0,282.0,39.45,376.0,691 CDM,PX-17380,PR ELECTROLYSIS EPILATION EA 30 MIN,341.0,255.75,127.88,330.77,683 CDM,PX-17999027,PR DEEP FX,2000.0,1500.0,50.0,1940.0,685 CDM,PX-17999042,PR FRAXEL TEST PATCH,200.0,150.0,5.0,194.0,685 CDM,PX-17999090,PR IPL CHEST ONLY 1 TREATMENT,400.0,300.0,10.0,388.0,685 CDM,PX-17999091,PR IPL FACE/NECK 1 TREATMENT,600.0,450.0,15.0,582.0,685 CDM,PX-17999092,PR IPL FOREARMS ONLY 1 TREATMENT,500.0,375.0,12.5,485.0,685 CDM,PX-17999093,PR IPL FULL FACE 1 TREATMENT,400.0,300.0,10.0,388.0,685 CDM,PX-17999095,PR IPL HAND 1 TREATMENT,300.0,225.0,7.5,291.0,685 CDM,PX-17999096,PR IPL LEGS ONLY 1 TREATMENT,2000.0,1500.0,50.0,1940.0,685 CDM,PX-17999097,PR IPL NECK ONLY 1 TREATMENT,300.0,225.0,7.5,291.0,685 CDM,PX-17999098,PR IPL NECK/CHEST 1 TREATMENT,600.0,450.0,15.0,582.0,685 CDM,PX-17999099,PR IPL OPH DRY EYE,515.0,386.25,12.88,499.55,685 CDM,PX-17999104,PR JUVEDERM VOLUMA XC 1CC,860.0,645.0,21.5,834.2,685 CDM,PX-17999106,PR LASER 11 - 40 PULSES,300.0,225.0,7.5,291.0,685 CDM,PX-17999107,PR LASER 101 - 150 PULSES,450.0,337.5,11.25,436.5,685 CDM,PX-17999108,PR LASER 151 - 200 PULSES,500.0,375.0,12.5,485.0,685 CDM,PX-17999109,PR LASER 201 - 300 PULSES,600.0,450.0,15.0,582.0,685 CDM,PX-17999110,PR LASER 301 - 400 PULSES,700.0,525.0,17.5,679.0,685 CDM,PX-17999111,PR LASER 401 - 500 PULSES,800.0,600.0,20.0,776.0,685 CDM,PX-17999112,PR LASER 41 - 100 PULSES,350.0,262.5,8.75,339.5,685 CDM,PX-17999113,PR LASER 501 - 600 PULSES,900.0,675.0,22.5,873.0,685 CDM,PX-17999114,PR LASER 601 - 700 PULSES,1000.0,750.0,25.0,970.0,685 CDM,PX-17999116,PR LASER 801 - 900 PULSES,1200.0,900.0,30.0,1164.0,685 CDM,PX-17999117,PR LASER 1 - 10 PULSES,200.0,150.0,5.0,194.0,685 CDM,PX-17999138,PR LASER TEST SPOT,150.0,112.5,3.75,145.5,685 CDM,PX-17999141,PR LASER TX SCAR W PULSEDYE >50CM,1116.0,837.0,27.9,1082.52,685 CDM,PX-17999142,PR LASER TX SCAR W PULSEDYE 10-50CM,744.0,558.0,18.6,721.68,685 CDM,PX-17999171,PR TATOO RMVL EXTRA SMALL,150.0,112.5,3.75,145.5,685 CDM,PX-17999172,PR TATOO RMVL LARGE,1000.0,750.0,25.0,970.0,685 CDM,PX-17999175,PR TATOO RMVL MEDIUM,500.0,375.0,12.5,485.0,685 CDM,PX-17999177,PR TATOO RMVL SMALL,250.0,187.5,6.25,242.5,685 CDM,PX-17999179,PR TOTAL FX,3500.0,2625.0,87.5,3395.0,685 CDM,PX-17999197,PR MIRADRY TREATMENT,2000.0,1500.0,50.0,1940.0,685 CDM,PX-17999209,PR FIBROBLAST SKIN BX,469.0,351.75,11.73,454.93,685 CDM,PX-19000,PR ASP BREAST CYST,440.0,330.0,46.83,426.8,683 CDM,PX-19001,PR ASP BREAST CYST ADD,187.0,140.25,25.8,187.0,676 CDM,PX-19020,PR MASTOTOMY W EXPLR/DRAIN ABSC,2181.0,1635.75,153.45,2115.57,697 CDM,PX-19081,PR BX BRST W DEV 1ST LESN STERETCTC,3941.0,2955.75,68.0,3822.77,697 CDM,PX-19082,PR BX BRST W DEV ADD STRTC GUID,2188.0,1641.0,68.35,2188.0,690 CDM,PX-19083,PR BX BRST W DEV 1ST LESN US GUID,2892.0,2169.0,231.37,2805.24,683 CDM,PX-19084,PR BX BRST ADD LESION US GUID,1919.0,1439.25,347.27,1919.0,676 CDM,PX-19085,PR BX BREAST W LOC MR GUID 1ST,3975.0,2981.25,349.43,3855.75,683 CDM,PX-19086,PR BX BREAST W LOC MR GUID ADD,2021.0,1515.75,537.16,2021.0,676 CDM,PX-19101,PR BX BRST OPN,1839.0,1379.25,169.9,1783.83,683 CDM,PX-19110,PR EXPLORE NIPPLE,2739.0,2054.25,259.04,2656.83,683 CDM,PX-19120,PR RMVL BREAST LESN 1 OR MORE,1876.0,1407.0,236.26,1819.72,693 CDM,PX-19125,PR EXCISN BRST LESN MARKER ID OPN,1380.0,1035.0,307.84,1338.6,683 CDM,PX-19126,PR EXCISN BRST LESN MARKER ID ADD,1405.0,1053.75,139.7,1405.0,676 CDM,PX-19281,PR PLC BREAST LOC DEV MAMMO 1ST,966.0,724.5,40.95,937.02,697 CDM,PX-19282,PR PLC BREAST LOC DEV MAMMO ADD,631.0,473.25,40.85,631.0,690 CDM,PX-19283,PR PERC LOC DEV BRST 1ST STRTCTC,1616.0,1212.0,41.4,1567.52,697 CDM,PX-19285,PR PLC BRST LOC DEV 1ST W US,1739.0,1304.25,35.32,1686.83,697 CDM,PX-19286,PR PLC BRST LOC DEV EA ADD/US,1005.0,753.75,35.47,1005.0,690 CDM,PX-19287,PR PLC BREAST LOC DEV MR GUID 1ST,3429.0,2571.75,291.18,3326.13,683 CDM,PX-19300,PR MASTECTOMY GYNECOMASTIA,3569.0,2676.75,309.17,3461.93,683 CDM,PX-19301,PR MASTECTOMY PARTIAL,2422.0,1816.5,306.83,2349.34,683 CDM,PX-19302,PR MAST PRTL W AXLRY LYMPHDEC,5409.0,4056.75,420.71,5246.73,683 CDM,PX-19303,PR MASTECT SMPL COMPLT,5769.0,4326.75,444.23,5595.93,683 CDM,PX-19305,PR MAST RADCL INCL PECT MUS,7249.0,5436.75,531.81,7031.53,683 CDM,PX-19307,PR MASTECT RADICAL MODIFIED,6047.0,4535.25,546.38,5865.59,683 CDM,PX-19316,PR MASTOPEXY,7655.0,5741.25,354.85,7425.35,683 CDM,PX-19318,PR BREAST REDUC,11036.0,8277.0,477.47,10704.92,683 CDM,PX-19325,PR BREAST AUGMENT W IMPLNT,6344.0,4758.0,275.61,6153.68,683 CDM,PX-19328,PR RMVL INTACT BRST IMPLNT,4342.0,3256.5,249.84,4211.74,683 CDM,PX-19330,PR RMVL RPTRD BRST IMPLNT,4502.0,3376.5,288.44,4366.94,683 CDM,PX-19340,PR IMMED INSRT BRST IMPLNT,9090.0,6817.5,341.18,8817.3,683 CDM,PX-19342,PR DELAYED INSRT/RPLC BRST IMPLNT,10221.0,7665.75,338.13,9914.37,683 CDM,PX-19350,PR RCNST NIPPLE/AREOLA,6717.0,5037.75,434.5,6515.49,683 CDM,PX-19355,PR CORRECTION INVERTED NIPPLES,6173.0,4629.75,395.79,5987.81,683 CDM,PX-19357,PR RCNST BRST TISS EXPAND,14216.0,10662.0,522.15,13789.52,683 CDM,PX-19361,PR RCNST BRST W LAT DORSI FLAP,16601.0,12450.75,673.34,16102.97,683 CDM,PX-19364,PR RCNST BRST W FREE FLAP,66963.0,50222.25,1154.54,64954.11,683 CDM,PX-19368,PR RCNST BRST TRAM FLAP ANASTO,15683.0,11762.25,919.51,15212.51,683 CDM,PX-19370,PR REV PERI CAPSULOTOMY BRST,6916.0,5187.0,299.87,6708.52,683 CDM,PX-19371,PR PERI IMPLT CAPSULECTOMY BRST COMPL,13480.0,10110.0,316.16,13075.6,683 CDM,PX-19380,PR REVISION OF RECONSTRUCTED BRST,9903.0,7427.25,358.28,9605.91,683 CDM,PX-19499004,PR TOMO GUIDED BREAST BIOPSY,3941.0,2955.75,98.53,3822.77,683 CDM,PX-200000000,INTENSIVE CARE - FACILITY,9404.0,7053.0,5642.4,9404.0,789 CDM,PX-20103,PR EXPLR PNTRATE WND EXT,3046.0,2284.5,287.68,2954.62,683 CDM,PX-20200,PR BX MUS SUPFCL,938.0,703.5,117.2,909.86,683 CDM,PX-20205,PR BX MUS DEEP,1152.0,864.0,164.05,1117.44,683 CDM,PX-20206,PR BX MUS PERC NDL,914.0,685.5,101.92,886.58,683 CDM,PX-20220,PR BX BN TROCAR/NDL SUPFCL,1017.0,762.75,108.62,986.49,683 CDM,PX-20225,PR BX BN TROCAR/NDL DEEP,2280.0,1710.0,177.46,2211.6,683 CDM,PX-20240,PR BX BN OPN SUPFCL,929.0,696.75,62.08,901.13,683 CDM,PX-20245,PR BX BN OPN DEEP,2968.0,2226.0,147.99,2878.96,683 CDM,PX-20250,PR BX VERTEBRAL BODY OPEN THORAC,2602.0,1951.5,187.59,2523.94,683 CDM,PX-20251,PR BX VERTEBRAL BODY OPEN LUMB/CERV,3955.0,2966.25,203.82,3836.35,683 CDM,PX-20500,PR INJ SINUS TRACT THERAPEUTIC,663.0,497.25,62.67,643.11,683 CDM,PX-20501,PR INJ SINUS TRACT DX,396.0,297.0,65.96,384.12,683 CDM,PX-20520,PR RMVL FB MUS SMPL,814.0,610.5,111.79,789.58,683 CDM,PX-20525,PR RMVL FB MUS DEEP/COMPLICATED,2271.0,1703.25,241.34,2202.87,683 CDM,PX-20526,PR INJ THER CARPAL TUNNEL,420.0,315.0,36.45,407.4,693 CDM,PX-20527,PR INJ ENZYME PALMAR FASCIAL CORD,334.0,250.5,28.47,323.98,697 CDM,PX-20550,PR INJ SNGL TNDN/SHTH/LGMNT,284.0,213.0,25.08,275.48,693 CDM,PX-20551,PR INJ SNGL TENDN ORIGIN/INS,255.0,191.25,16.25,247.35,698 CDM,PX-20552,PR INJ TRIGGER PNT<=2 MUS,378.0,283.5,21.49,366.66,694 CDM,PX-20553,PR INJ TRIGGER PNT >=3 MUS,425.0,318.75,24.82,412.25,694 CDM,PX-20560,PR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,89.0,66.75,12.26,89.0,606 CDM,PX-20560002,PR NDL INSERT W/O INJECT; 1-2 MUSCLES OT,89.0,66.75,12.26,89.0,691 CDM,PX-20561,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,131.0,98.25,19.47,131.0,606 CDM,PX-20561002,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES OT,130.0,97.5,19.47,130.0,691 CDM,PX-20600,PR ARTHCS ASP/INJ SM JT WO US,220.0,165.0,23.26,213.4,693 CDM,PX-206000000,INTERMEDIATE INTENSIVE CARE - FACILITY,6474.0,4855.5,3884.4,6474.0,789 CDM,PX-20604,PR ARTHCS ASP/INJ JOINT/BURSA W US,871.0,653.25,42.48,844.87,683 CDM,PX-20605,PR ARTHCS ASP/INJ INT JT WO US,256.0,192.0,23.69,248.32,693 CDM,PX-20606,PR ARTHCS ASP/INJ INT JT W US,530.0,397.5,45.92,514.1,683 CDM,PX-20610,PR ARTHCS ASP/INJ MJR JT WO US,350.0,262.5,28.47,339.5,693 CDM,PX-20611,PR ARTHCS ASP/INJ MJR JT W US,703.0,527.25,43.17,681.91,693 CDM,PX-20612,PR ASP/INJ CYST GANGLION,268.0,201.0,33.04,259.96,683 CDM,PX-20615,PR ASP/INJ CYST BN,1148.0,861.0,70.62,1113.56,697 CDM,PX-20660,PR APP TONGS/CALIPER CRAN W RMVL,1317.0,987.75,103.7,1277.49,683 CDM,PX-20670,PR RMVL IMPLANT SUPERFICIAL,1906.0,1429.5,179.87,1848.82,683 CDM,PX-20680,PR RMVL IMPLANT DEEP,2724.0,2043.0,307.19,2642.28,683 CDM,PX-20690,PR APP UNIPLN EXTRNL FIX,2793.0,2094.75,265.6,2709.21,683 CDM,PX-20692,PR APP MLTPLN EXTRNL FIX,6173.0,4629.75,510.01,5987.81,683 CDM,PX-20693,PR ADJUST EXTRNL FIX W ANES,2816.0,2112.0,209.35,2731.52,683 CDM,PX-20694,PR RMVL EXTRNL FIX W ANES,2049.0,1536.75,224.48,1987.53,683 CDM,PX-20700,"PR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",749.0,561.75,82.74,749.0,676 CDM,PX-20701,"PR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",346.0,259.5,53.43,346.0,690 CDM,PX-20702,"PR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",1038.0,778.5,119.78,1038.0,690 CDM,PX-20704,"PR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1136.0,852.0,151.53,1136.0,676 CDM,PX-20705,"PR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",868.0,651.0,124.83,868.0,676 CDM,PX-20900,PR GRFT BN ANY AREA MINOR/SML,1798.0,1348.5,193.51,1744.06,683 CDM,PX-20902,PR GRFT BN ANY AREA MJR/LRG,1485.0,1113.75,117.91,1440.45,683 CDM,PX-20910,PR CARTILAGE GRAFT COSTOCHONDRAL,3338.0,2503.5,225.4,3237.86,683 CDM,PX-20912,PR GRFT CRTLG NASAL SEPTUM,3194.0,2395.5,212.28,3098.18,683 CDM,PX-20922,PR GRFT FASCIA LATA INCISN CMPLX,3549.0,2661.75,319.13,3442.53,683 CDM,PX-20924,PR GRFT TNDN FROM DISTANCE,3023.0,2267.25,228.74,2932.31,683 CDM,PX-20930,PR ALLOGRAFT MORSEL SPINE SURG,1258.0,943.5,566.1,1258.0,635 CDM,PX-20931,PR ALLOGRAFT STRUCTURE SPINE SURG,890.0,667.5,94.75,890.0,676 CDM,PX-20932,PR OSTEOART ALGRFT W/SURF & B1,5782.0,4336.5,631.48,5782.0,676 CDM,PX-20934,PR INTERCALARY ALGRFT COMPL,5616.0,4212.0,631.48,5616.0,676 CDM,PX-20936,PR AUTOGRAFT LOCAL SPINE SURG,1314.0,985.5,591.3,1314.0,635 CDM,PX-20937,PR AUTOGRAFT MORSEL SPINE SURG SEP,1643.0,1232.25,142.57,1643.0,676 CDM,PX-20938,PR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,1949.0,1461.75,157.69,1949.0,676 CDM,PX-20939,PR BONE MARROW ASPIR BONE GRFG,466.0,349.5,59.44,466.0,676 CDM,PX-20950,PR MONITOR INTERSTITIAL FLUID PRSR,1523.0,1142.25,40.68,1477.31,698 CDM,PX-20955,PR GRFT BN FIBULA MICROVASC ANAST,16611.0,12458.25,1105.35,16112.67,683 CDM,PX-20956,PR ILIAC BONE GRAFT MICROVASC,16800.0,12600.0,1145.8,16296.0,683 CDM,PX-20962,PR GRFT BN NOT FIBULA MICROVASC ANAST,12169.0,9126.75,1180.9,11803.93,683 CDM,PX-20969,PR FREE OSTQ FLAP W MICROVASC GR TOE,17835.0,13376.25,1135.25,17299.95,683 CDM,PX-20974,PR E-STIM AID BN HEALING NONINV,510.0,382.5,49.21,510.0,691 CDM,PX-20982,PR ABLATION BN TMR RADIOFREQUENCY,12009.0,9006.75,1688.72,11648.73,683 CDM,PX-20983,PR ABLATION BN TMR CRYOABLATION,10972.0,8229.0,2378.83,10642.84,683 CDM,PX-20985,PR CASN PROC MUSSKL NO IMG,596.0,447.0,120.72,596.0,676 CDM,PX-20999014,PR BARBOTAGE PROC,3328.0,2496.0,83.2,3228.16,683 CDM,PX-21011,PR EXCISN TMR FACE/SCLP SUBQ <2CM,1636.0,1227.0,121.72,1586.92,697 CDM,PX-21012,PR EXCISN TMR FACE/SCLP SUBQ>=2CM,1629.0,1221.75,157.5,1580.13,683 CDM,PX-21013,PR EXCISN TMR FACE/SCALP SUBFAS <2CM,2955.0,2216.25,274.86,2866.35,683 CDM,PX-21014,PR EXCISN TMR FACE/SCALP SUBFAS >=2CM,3396.0,2547.0,233.82,3294.12,683 CDM,PX-21015,PR RADCL RSECT TMR FACE/SCLP <2CM,3297.0,2472.75,311.7,3198.09,683 CDM,PX-21016,PR RADCL RSECT TMR FACE/SCLP>=2CM,6399.0,4799.25,439.29,6207.03,683 CDM,PX-21025,PR EXCISN BN MAND,3748.0,2811.0,409.59,3635.56,683 CDM,PX-21026,PR EXCISN BN FACIAL,2265.0,1698.75,280.62,2197.05,683 CDM,PX-21032,PR EXCISN MAXILLARY TORUS PALATIN,1290.0,967.5,186.82,1251.3,683 CDM,PX-21034,PR EXCISN TMR MLG MAXILLA/ZYGOMA,8228.0,6171.0,636.64,7981.16,683 CDM,PX-21044,PR EXCISN LESN MLG MAND,6066.0,4549.5,373.56,5884.02,683 CDM,PX-21045,PR EXCISN MLG TMR MAND RADICAL,7950.0,5962.5,518.29,7711.5,683 CDM,PX-21046,PR EXCISN BEN TMR MAND INTRAORAL,5337.0,4002.75,439.65,5176.89,683 CDM,PX-21047,PR EXCISN BEN TMR MAND EXTRAORAL,9702.0,7276.5,526.78,9410.94,683 CDM,PX-21049,PR EXCISN TMR BEN EO/PRTL MAXL,8100.0,6075.0,499.82,7857.0,683 CDM,PX-21070,PR CORONOIDECTOMY SEPARATE PROC,4884.0,3663.0,263.7,4737.48,683 CDM,PX-21073,PR MANIP OF TMJ THER W ANES,1558.0,1168.5,209.11,1511.26,683 CDM,PX-21085,PR IMPRESS&CUST ORAL SURG SPLINT,2163.0,1622.25,210.8,2098.11,697 CDM,PX-21110,PR APP INTERDENTAL FIXATION DEVICE,3076.0,2307.0,328.58,2983.72,697 CDM,PX-21120,PR GENIOPLASTY AUGMENTATION,5338.0,4003.5,237.59,5177.86,697 CDM,PX-21196,PR RCNST LWR JAW W FIXATION,13484.0,10113.0,633.16,13079.48,683 CDM,PX-21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,10811.0,8108.25,444.47,10486.67,683 CDM,PX-21206,PR OSTEOTOMY MAXILLA SEGMENTAL,9427.0,7070.25,427.73,9144.19,683 CDM,PX-21208,PR OSTEOPLASTY FACIAL BNS AUG,4845.0,3633.75,806.12,4699.65,683 CDM,PX-21209,PR OSTEOPLASTY FACIAL BNS RED,5171.0,3878.25,270.34,5015.87,697 CDM,PX-21210,PR GRFT BN NASAL/MAXILLARY,3953.0,2964.75,872.39,3834.41,683 CDM,PX-21215,PR GRFT BN MAND,2528.0,1896.0,948.0,2528.0,683 CDM,PX-21230,PR GRFT RIB CRTLG AUTOGENOUS,6847.0,5135.25,321.95,6641.59,683 CDM,PX-21235,PR GRFT EAR CRTLG AUTOGENOUS,3334.0,2500.5,359.02,3233.98,683 CDM,PX-21244,PR RCNST EXT MAND W TXOST BN PLT,9642.0,7231.5,438.05,9352.74,683 CDM,PX-21245,PR RCNST MNDBL SUBOST IMPL PRTL,6960.0,5220.0,423.07,6751.2,697 CDM,PX-21282,PR CANTHOPEXY LAT,3338.0,2503.5,180.17,3237.86,683 CDM,PX-21315,PR CLSD TX NASAL FX WO STABL,1046.0,784.5,77.7,1014.62,683 CDM,PX-21320,PR CLSD TX NASAL FX W STABL,1778.0,1333.5,107.34,1724.66,683 CDM,PX-21325,PR OPN TX NASAL FX UNCOMP,2896.0,2172.0,201.34,2809.12,683 CDM,PX-21343,PR OPN TX DEPRSD FRNTL SINUS FX,7014.0,5260.5,475.57,6803.58,683 CDM,PX-21365,PR OPN TX CMPLX MALAR FX,8558.0,6418.5,469.97,8301.26,683 CDM,PX-21386,PR OPN TX ORBIT FX PERIORBITAL,5045.0,3783.75,307.26,4893.65,683 CDM,PX-21390,PR OPN TX ORBIT FLOOR FX W IMPL,6106.0,4579.5,346.13,5922.82,683 CDM,PX-21462,PR OPN TX MANDIB FX W INTDENT FIX,9100.0,6825.0,538.65,8827.0,697 CDM,PX-21470,PR OPN TX CMPLX MANDIB FX MLT APPR,11471.0,8603.25,507.63,11126.87,683 CDM,PX-21480,PR CLSD TX DISLOC TMJ,595.0,446.25,83.4,577.15,683 CDM,PX-21497,PR WIRING INTERDENTAL NOT FX,4347.0,3260.25,273.59,4216.59,697 CDM,PX-21501,PR I&D DEEP ABSC NK/THORAX,2355.0,1766.25,251.28,2284.35,683 CDM,PX-21550,PR BX SOFT TISS NK/THORAX,1152.0,864.0,70.09,1117.44,697 CDM,PX-21552,PR EXCISN TMR NK/THRX SUBQ >=3CM,1920.0,1440.0,208.4,1862.4,683 CDM,PX-21554,PR EXCISN TMR THRX SUBFSCL >=5CM,4131.0,3098.25,330.91,4007.07,683 CDM,PX-21555,PR EXCISN TMR NK/THORAX SUBQ <3CM,1710.0,1282.5,224.58,1658.7,684 CDM,PX-21556,PR EXCISN TMR THORAX SUBFSCL <5CM,2672.0,2004.0,239.12,2591.84,683 CDM,PX-21557,PR RSECT TMR NK/THORAX RADCL <5CM,7118.0,5338.5,429.11,6904.46,683 CDM,PX-21558,PR RSECT TMR NK/THRX RADCL >=5CM,7912.0,5934.0,594.21,7674.64,683 CDM,PX-21600,PR EXCISN RIB PARTIAL,5137.0,3852.75,275.6,4982.89,683 CDM,PX-21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,8803.0,6602.25,539.16,8538.91,683 CDM,PX-21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,12138.0,9103.5,742.03,11773.86,683 CDM,PX-21610,PR PARTIAL REMOVAL RIB,7729.0,5796.75,585.37,7497.13,683 CDM,PX-21615,PR EXCISION 1ST &/CERVICAL RIB,5508.0,4131.0,282.71,5342.76,683 CDM,PX-21620,PR OSTECTOMY STERNUM PARTIAL,3972.0,2979.0,242.85,3852.84,683 CDM,PX-21627,PR DEBRIDEMENT STERNAL,4721.0,3540.75,269.6,4579.37,683 CDM,PX-21630,PR RADICAL RESECTION STERNUM,8447.0,6335.25,570.34,8193.59,683 CDM,PX-21685,PR HYOID MYOTOMY & SUSPENSION,5875.0,4406.25,421.35,5698.75,683 CDM,PX-21700,PR DVISN SCAL ANTICUS WO RSECT,3012.0,2259.0,161.24,2921.64,683 CDM,PX-21740,PR RCNST RPECTUS EXCAVATUM OPN,11628.0,8721.0,480.23,11279.16,683 CDM,PX-21742,PR RCNST PEC EXCISN WO THORSC,9741.0,7305.75,584.24,9448.77,683 CDM,PX-21743,PR RCNST PEC EXCISN W THORSC,16716.0,12537.0,417.9,16214.52,683 CDM,PX-21750,PR CLSR SEP STERNUM W/WO DBRD,4317.0,3237.75,320.7,4187.49,683 CDM,PX-21811,PR OPN TX RIB FX W FIX 1-3 RIBS,4116.0,3087.0,264.48,3992.52,683 CDM,PX-21812,PR OPN TX RIB FX W FIX 4-6 RIBS,6660.0,4995.0,318.28,6460.2,683 CDM,PX-21825,PR TX STERNUM FX W/WO SKELT FIX,5096.0,3822.0,273.56,4943.12,683 CDM,PX-21899005,PR BILATERAL BONE OSTEOPHYTE EXCISION,7706.0,5779.5,192.65,7474.82,683 CDM,PX-21899006,PR UNILATERAL BONE OSTEOPHYTE EXCISION,5137.0,3852.75,128.43,4982.89,683 CDM,PX-21925,PR BX SOFT TISS BACK/FLANK DEEP,2086.0,1564.5,263.52,2023.42,683 CDM,PX-21930,PR EXCISN TMR BACK/FLNK SUBQ <3CM,2347.0,1760.25,262.48,2276.59,684 CDM,PX-21931,PR EXCISN TMR BK/FLNK SUBQ >=3CM,1740.0,1305.0,220.11,1687.8,684 CDM,PX-21932,PR EXCISN TMR BACK SUBFSCL <5CM,4098.0,3073.5,304.62,3975.06,683 CDM,PX-21933,PR EXCISN TMR BACK SUBFSCL >=5CM,3462.0,2596.5,339.83,3358.14,683 CDM,PX-21935,PR RSECT TMR BACK RADICAL <5CM,6361.0,4770.75,464.28,6170.17,683 CDM,PX-21936,PR RSECT TMR BACK RADICAL >=5CM,8059.0,6044.25,635.23,7817.23,683 CDM,PX-22010,PR I&D OPN DEEP ABSC CERV/THOR,6986.0,5239.5,459.63,6776.42,683 CDM,PX-22015,PR I&D OPN DEEP ABSC LUMB/SAC,5858.0,4393.5,446.19,5682.26,683 CDM,PX-22100,PR EXCISN PRTL POSTR VERT CERV,5304.0,3978.0,478.81,5144.88,683 CDM,PX-22101,PR PRTL EXCISN VERT INTRNSC THOR,5732.0,4299.0,419.55,5560.04,683 CDM,PX-22102,PR PRTL EXCISN VERT INTRNSC LUMB,5349.0,4011.75,342.45,5188.53,683 CDM,PX-22110,PR PRTL EXCISN VRT WO DCMP CERVICAL,6177.0,4632.75,492.5,5991.69,683 CDM,PX-22114,PR PRTL EXCISN VRT WO DCMP LUMBAR,6739.0,5054.25,563.58,6536.83,683 CDM,PX-22116,PR PRTL EXCISN VRT WO DCMP EA ADD,983.0,737.25,121.49,983.0,676 CDM,PX-22206,PR OSTEOMY SPINE POSTR 3 COL THOR,17944.0,13458.0,1103.29,17405.68,683 CDM,PX-22207,PR OSTEOMY SPINE POSTR 3 COL LUMB,15415.0,11561.25,1070.8,14952.55,683 CDM,PX-22208,PR OSTEOMY SP POSTR 3 COL EA ADD,3917.0,2937.75,509.37,3917.0,676 CDM,PX-22210,PR OST SPINE POSTR 1 VRT SEG CRV,13416.0,10062.0,703.53,13013.52,693 CDM,PX-22212,PR OST SPINE POSTR 1 VRT SEG THRX,10576.0,7932.0,704.04,10258.72,683 CDM,PX-22214,PR OST SPINE POSTR 1 VRT SEG LMBR,11138.0,8353.5,698.71,10803.86,683 CDM,PX-22216,PR OST SPINE POSTR EA ADD SEGM,3412.0,2559.0,310.12,3412.0,676 CDM,PX-22315,PR CLSD TX VRT FX REQ CAST MANIP,5512.0,4134.0,366.53,5346.64,697 CDM,PX-22318,PR OPN TX/RDCT ODONTOID FX WO GRFT,13457.0,10092.75,781.67,13053.29,683 CDM,PX-22325,PR OPN TX FX POSTR 1 VERT LUMB,7733.0,5799.75,696.94,7501.01,683 CDM,PX-22326,PR OPN TX FX POSTR 1 VERT CERV,10773.0,8079.75,710.48,10449.81,683 CDM,PX-22327,PR OPN TX FX POSTR 1 VERT THRX,11246.0,8434.5,725.26,10908.62,683 CDM,PX-22328,PR OPN TX FX SPINE EA ADD SEGM,2852.0,2139.0,243.44,2852.0,676 CDM,PX-22510,PR PERC CERVICOTHORACIC INJECT,8601.0,6450.75,187.42,8342.97,697 CDM,PX-22511,PR PERC LUMBOSACRAL INJECTION,8050.0,6037.5,861.15,7808.5,683 CDM,PX-22512,PR VERTEBROPLASTY ADDL INJECT,3883.0,2912.25,177.07,3883.0,690 CDM,PX-22513,PR PERC VERTEBPLSTY CAVTY IMG GUID 1,21476.0,16107.0,2812.02,20831.72,683 CDM,PX-22514,PR PERC VERT AGMNTJ CAV CRTJ LMBR,26335.0,19751.25,2814.2,25544.95,683 CDM,PX-22515,PR PERC VERT AGMNT MECH EA ADD,11767.0,8825.25,2886.44,11767.0,676 CDM,PX-22532,PR ARTHRDSIS LATERAL THORACIC,13628.0,10221.0,835.85,13219.16,683 CDM,PX-22534,PR ARTHRDSIS THOR/LUMB EA ADD,2975.0,2231.25,312.46,2975.0,676 CDM,PX-22551,PR ARTHRDSIS ANTR BOD CRV BEL C2,13393.0,10044.75,774.65,12991.21,683 CDM,PX-22552,PR ARTHRDSIS ANTR CRV BEL C2 ADD,3180.0,2385.0,340.74,3180.0,676 CDM,PX-22554,PR ARTHRDSIS DISECT CERV BEL C2,13393.0,10044.75,587.18,12991.21,683 CDM,PX-22556,PR ARTHRDSIS ANTR THORACIC,12662.0,9496.5,772.59,12282.14,683 CDM,PX-22558,PR ARTHRDSIS ANTR LUMBAR,12720.0,9540.0,689.5,12338.4,683 CDM,PX-22585,PR ARTHRDSIS ANTR INTBODY EA ADD,3094.0,2320.5,278.16,3094.0,676 CDM,PX-22590,PR ARTHRDSIS CRNCERV POSTR TECH,11883.0,8912.25,751.21,11526.51,683 CDM,PX-22595,PR ARTHRDSIS ATLAS AXIS POSTR C1 C2,11614.0,8710.5,722.23,11265.58,683 CDM,PX-22600,PR ARTHRDSIS CERV BEL C2 POSTR,9257.0,6942.75,618.91,8979.29,683 CDM,PX-22610,PR ARTHRDSIS THOR POSTR TECHNIQUE,9515.0,7136.25,606.13,9229.55,683 CDM,PX-22612,PR ARTHRDSIS LUMB POSTR TECHNIQUE,14006.0,10504.5,710.46,13585.82,683 CDM,PX-22614,PR ARTHRDSIS POSTR TECH EA ADD,3388.0,2541.0,337.18,3388.0,676 CDM,PX-22630,PR ARTHRDSIS POSTR INTRBDY LUMB,12629.0,9471.75,728.23,12250.13,683 CDM,PX-22632,PR ARTHRDSIS POSTR LUMB EA ADD,3207.0,2405.25,277.18,3207.0,676 CDM,PX-22633,PR ARTHRDSIS LUMB W POSTR/POSTRLT,14516.0,10887.0,821.27,14080.52,683 CDM,PX-22634,PR ARTHRDSIS LUMB POSTR/POSTRLT ADD,3577.0,2682.75,417.43,3577.0,676 CDM,PX-22800,PR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,12433.0,9324.75,635.12,12060.01,683 CDM,PX-22802,PR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,13442.0,10081.5,937.72,13038.74,683 CDM,PX-22804,PR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,17653.0,13239.75,1076.18,17123.41,683 CDM,PX-22830,PR EXPLORATION SPINAL FUSION,8237.0,6177.75,382.89,7989.89,683 CDM,PX-22840,PR POSTR NON SEGM INSTRUMENTATION,8673.0,6504.75,646.08,8673.0,676 CDM,PX-22842,PR INSTRUM POSTR SEGM 3-6 SEGMS,7517.0,5637.75,656.51,7517.0,676 CDM,PX-22843,PR INSTRUM POSTR SEGM 7-12 SEGMS,8139.0,6104.25,703.19,8139.0,676 CDM,PX-22844,PR INSTRUM POSTR SEGM >=13 SEGMS,7979.0,5984.25,846.17,7979.0,676 CDM,PX-22845,PR INSTRUM ANTR 2-3 VERT SEGMS,6773.0,5079.75,625.09,6773.0,676 CDM,PX-22846,PR INSTRUM ANTR 4-7 VERT SEGMS,6552.0,4914.0,649.87,6552.0,676 CDM,PX-22848,PR FIXATION PELVIC,3027.0,2270.25,307.28,3027.0,676 CDM,PX-22849,PR REINSERTION SPINAL FIX DEVICE,9505.0,7128.75,593.16,9219.85,683 CDM,PX-22850,PR RMVL POSTR NON SEGM INSTRUM,5175.0,3881.25,346.56,5019.75,683 CDM,PX-22852,PR RMVL POSTR SEGM INSTRUM,5879.0,4409.25,334.66,5702.63,683 CDM,PX-22853,PR INSJ BIOMECHANICAL DEVICE,2121.0,1590.75,220.97,2121.0,676 CDM,PX-22854,PR INSN BIOMECHANICAL DEVICE,6557.0,4917.75,289.89,6557.0,676 CDM,PX-22855,PR REMOVAL ANTERIOR INSTRUM,8098.0,6073.5,507.87,7855.06,683 CDM,PX-22856,PR TOT DISC ARTHRP ANTR APP CRV,13334.0,10000.5,735.63,12933.98,683 CDM,PX-22858,PR ARTHRO TOTAL DISC CERV ANTR,3700.0,2775.0,434.21,3700.0,676 CDM,PX-22859,PR INSN INTRVTBL BIOMECHANICAL DEV,2308.0,1731.0,289.65,2308.0,676 CDM,PX-22861,"PR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE",11002.0,8251.5,1080.52,10671.94,683 CDM,PX-22864,PR RMVL TOTL DISC ARTHRO,13207.0,9905.25,971.19,12810.79,683 CDM,PX-22869,PR INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,3976.0,2982.0,193.75,3856.72,683 CDM,PX-22870,PR INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,1046.0,784.5,99.31,1046.0,676 CDM,PX-22900,PR EXCISN TMR ABD SUBFSCL <5CM,2457.0,1842.75,265.7,2383.29,683 CDM,PX-22901,PR EXCISN TMR ABD SUBFSCL >=5CM,4087.0,3065.25,311.32,3964.39,683 CDM,PX-22902,PR EXCISN TMR ABD WALL SUBQ <3CM,1965.0,1473.75,250.89,1906.05,683 CDM,PX-22903,PR EXCISN TMR ABD WALL SUBQ >=3CM,1787.0,1340.25,208.07,1733.39,683 CDM,PX-22904,PR RSECT TMR ABD RADICAL <5CM,6282.0,4711.5,478.68,6093.54,683 CDM,PX-23030,PR I&D SHOULDER DEEP ABSC/HEMA,2075.0,1556.25,118.57,2012.75,697 CDM,PX-23035,PR INCISN BN CORTEX SHOULDER,4010.0,3007.5,308.63,3889.7,683 CDM,PX-23040,PR ARTHRT GLH JT EXPLR RMVL FB,5304.0,3978.0,278.21,5144.88,693 CDM,PX-23044,PR ARTHRT AC/SC JT EXPLR,3690.0,2767.5,263.87,3579.3,683 CDM,PX-23065,PR BX SOFT TISS SHLDR SUPERFICIAL,763.0,572.25,71.54,740.11,697 CDM,PX-23066,PR BX SOFT TISS SHOULDER DEEP,2554.0,1915.5,303.54,2477.38,683 CDM,PX-23071,PR EXCISN TMR SHOULDER SUBQ >=3CM,1720.0,1290.0,197.67,1668.4,683 CDM,PX-23073,PR EXCISN TMR SHLDR SUBFSCL >=5CM,4808.0,3606.0,319.96,4663.76,683 CDM,PX-23075,PR EXCISN TMR SHLDR SUBQ <3CM,1958.0,1468.5,156.07,1899.26,697 CDM,PX-23076,PR EXCISN TMR SHLDR SUBFSCL<5CM,3396.0,2547.0,254.25,3294.12,683 CDM,PX-23077,PR RSECT TMR SHLDR RADICAL <5CM,8576.0,6432.0,510.93,8318.72,683 CDM,PX-23078,PR RSECT TMR SHLDR RADICAL >=5CM,10059.0,7544.25,644.21,9757.23,683 CDM,PX-23120,PR CLAVICULETOMY PARTIAL,3217.0,2412.75,274.59,3120.49,683 CDM,PX-23140,PR EXCISN BONE LESN CLAV/SCAP,3099.0,2324.25,258.29,3006.03,683 CDM,PX-23150,PR EXCISN BEN BONE LESION HUMERUS,4853.0,3639.75,307.51,4707.41,683 CDM,PX-23180,PR EXCISN BN CLAVICLE PARTIAL,4374.0,3280.5,318.38,4242.78,683 CDM,PX-23182,PR PARTIAL EXCISION BONE SCAPULA,4424.0,3318.0,311.53,4291.28,683 CDM,PX-23184,PR PART EXCIS BONE PROX HUM,3932.0,2949.0,338.56,3814.04,683 CDM,PX-23190,PR OSTECTOMY SCAPULA PARTIAL,3498.0,2623.5,266.59,3393.06,683 CDM,PX-23195,PR RESECTION HUMERAL HEAD,6698.0,5023.5,345.06,6497.06,683 CDM,PX-23210,PR RSECT TMR SCAPULA RADICAL,11963.0,8972.25,773.07,11604.11,683 CDM,PX-23220,PR RAD RSECT PROX HUM TMR,12009.0,9006.75,845.26,11648.73,683 CDM,PX-23333,PR RMVL FB SHOULDER DEEP,2455.0,1841.25,223.35,2381.35,683 CDM,PX-23335,PR PRSTH RMVL HUMERAL & GLENOID,7956.0,5967.0,558.88,7717.32,683 CDM,PX-23350,PR INJ SHOULDER ARTHGM,716.0,537.0,20.73,694.52,697 CDM,PX-23395,PR TRANSFER MUS SHLDR/UARM SNGL,9549.0,7161.75,572.95,9262.53,683 CDM,PX-23397,PR TRANSFER MUS SHLDR/UARM MULT,7592.0,5694.0,507.12,7364.24,683 CDM,PX-23400,PR SCAPULOPEXY,7928.0,5946.0,437.03,7690.16,683 CDM,PX-23405,PR TENOTOMY SHOULDER SNGL TENDON,3618.0,2713.5,279.71,3509.46,683 CDM,PX-23406,PR INCISN TENDON(S) & MUSCLE(S),6500.0,4875.0,329.33,6305.0,683 CDM,PX-23410,PR RPR RUPT MUSCTNDN CUFF ACUTE,6225.0,4668.75,372.0,6038.25,683 CDM,PX-23412,PR RPR RUPT MUSCTNDN CUFF CHRONIC,6874.0,5155.5,385.01,6667.78,683 CDM,PX-23430,PR TENODESIS BICEP LONG TENDON,6189.0,4641.75,338.79,6003.33,683 CDM,PX-23455,PR CPSLRPY ANTR W LABRAL RPR,10411.0,7808.25,428.83,10098.67,683 CDM,PX-23460,PR CPSLRPY ANTR W BONE BLOCK,10745.0,8058.75,486.63,10422.65,683 CDM,PX-23462,PR CPSLRPY ANTR W CORACOID TRNSFR,6853.0,5139.75,475.29,6647.41,683 CDM,PX-23470,PR ARTHRO GLH JT HEMIARTHRO,9907.0,7430.25,529.38,9609.79,683 CDM,PX-23472,PR ARTHRO GLH JT TOTAL SHOULDER,13475.0,10106.25,632.94,13070.75,683 CDM,PX-23473,PR REVIS SHLDR ARTHRO HUM OR GLENOID,14130.0,10597.5,701.2,13706.1,683 CDM,PX-23474,PR REVIS SHLDR ARTHRO HUM&GLENOID,15800.0,11850.0,755.6,15326.0,683 CDM,PX-23485,PR OST CLAVICLE BN GRFT NONUNION,6797.0,5097.75,424.02,6593.09,683 CDM,PX-23491,PR PROPH TX W/WO METHYL PROX HUM,7159.0,5369.25,455.89,6944.23,683 CDM,PX-23500,PR CLSD TX CLAVICLE FX WO MANIP,1414.0,1060.5,125.36,1371.58,683 CDM,PX-23515,PR OPN TX CLAVICLE FX W INT FIX,4081.0,3060.75,330.23,3958.57,683 CDM,PX-23550,PR OPN TX DISLOC CLAV ACUTE/CHR,3568.0,2676.0,263.08,3460.96,683 CDM,PX-23552,PR OPN TX DISLOC CLAV W FASC GRFT,4668.0,3501.0,297.9,4527.96,683 CDM,PX-23570,PR CLSD TX SCAPULAR FX WO MANIP,1185.0,888.75,129.12,1149.45,683 CDM,PX-23575,PR CLSD TX SCAPULAR FX W/WO MANIP,2224.0,1668.0,222.83,2157.28,683 CDM,PX-23585,PR OPN TX SCAPULAR FX W INT FIX,5902.0,4426.5,435.72,5724.94,683 CDM,PX-23600,PR CLSD TX PROX HUMRL FX WO MANIP,1741.0,1305.75,185.01,1688.77,683 CDM,PX-23615,PR OPN TX PROX HUMERAL FX W FIX,5476.0,4107.0,400.58,5311.72,683 CDM,PX-23616,PR OPN TX PROX HUM FX W PRSTH RPL,9598.0,7198.5,545.71,9310.06,683 CDM,PX-23620,PR CLSD TX GRT TBERSTY FX WO MANIP,1359.0,1019.25,150.36,1318.23,683 CDM,PX-23630,PR OPN TX HUM TUBEROSITY FX W FIX,4516.0,3387.0,357.05,4380.52,683 CDM,PX-23650,PR CLSD TX DISLOC SHLDR WO ANES,2314.0,1735.5,210.45,2244.58,683 CDM,PX-23655,PR CLSD TX DISLOC SHLDR W ANES,2358.0,1768.5,203.41,2287.26,683 CDM,PX-23665,PR CLSD TX DISLOC SHLDR W MANIP,2021.0,1515.75,205.63,1960.37,693 CDM,PX-23675,PR CLSD TX DISLOC SHLDR W NECK FX,3112.0,2334.0,305.54,3018.64,683 CDM,PX-23800,PR ARTHRODESIS GLENOHUMERAL JT,5925.0,4443.75,460.3,5747.25,683 CDM,PX-23900,PR INTERTHORACOSCAPULAR AMP,9198.0,6898.5,611.3,8922.06,683 CDM,PX-23920,PR DISARTICULATION SHOULDER,7481.0,5610.75,503.03,7256.57,683 CDM,PX-23929004,PR TENOTOMY SHLDR TX1 PROCEDURE,3999.0,2999.25,99.98,3879.03,683 CDM,PX-23930,PR I&D UARM/ELB DEEP ABSC/HEMA,1961.0,1470.75,185.01,1902.17,683 CDM,PX-23931,PR I&D UARM/ELBOW BURSA,1523.0,1142.25,157.24,1477.31,683 CDM,PX-23935,PR DRAIN ARM/ELBOW BONE LESION,2985.0,2238.75,240.76,2895.45,683 CDM,PX-24000,PR ATHRT ELB W DRAIN/RMVL FB,3713.0,2784.75,224.25,3601.61,683 CDM,PX-24006,PR ARTHRT ELB W CAPSULAR EXCISN,4999.0,3749.25,323.15,4849.03,683 CDM,PX-24065,PR BX SOFT TISS ARM/ELBOW SUPFCL,956.0,717.0,72.56,927.32,697 CDM,PX-24066,PR BX SOFT TISS ARM/ELBOW DEEP,2629.0,1971.75,333.0,2550.13,683 CDM,PX-24071,PR EXCISN TMR ARM/ELB SUBQ >=3CM,1926.0,1444.5,190.23,1868.22,683 CDM,PX-24073,PR EXCISN TMR ARM/ELB DEEP >=5CM,4174.0,3130.5,317.41,4048.78,683 CDM,PX-24075,PR EXCISN TMR ARM/ELBOW SUBQ <3CM,2006.0,1504.5,276.36,1945.82,683 CDM,PX-24076,PR EXCISN TMR ARM/ELB SUBFSCL<5CM,3296.0,2472.0,253.25,3197.12,683 CDM,PX-24077,PR RSECT RADCL TMR UARM/ELB<5CM,7695.0,5771.25,465.4,7464.15,683 CDM,PX-24079,PR RSECT RADCL TMR UARM/ELB>=5CM,7811.0,5858.25,595.75,7576.67,683 CDM,PX-24101,PR ATHRT ELB W/WO BX RMVL FB,4219.0,3164.25,234.66,4092.43,683 CDM,PX-24102,PR ATHRT ELBOW W SYNOVECTOMY,5666.0,4249.5,281.56,5496.02,683 CDM,PX-24105,PR EXCISN BURSA OLECRANON,1901.0,1425.75,173.98,1843.97,683 CDM,PX-24110,PR EXCISN BN CYST/BEN TMR HUMERUS,4457.0,3342.75,275.16,4323.29,683 CDM,PX-24130,PR EXCISN RADIAL HEAD,4098.0,3073.5,236.06,3975.06,683 CDM,PX-24140,PR EXCISN BONE HUMERUS PARTIAL,5094.0,3820.5,271.19,4941.18,693 CDM,PX-24147,PR EXCISN BN OLECRANON PRCS PRTL,3650.0,2737.5,290.09,3540.5,683 CDM,PX-24149,PR RSECT RADCL SOFT TISS/BN ELB,6767.0,5075.25,530.39,6563.99,683 CDM,PX-24150,PR RAD RSECT DISTAL HUM TUMOR,9006.0,6754.5,679.58,8735.82,683 CDM,PX-24160,PR RMVL PROSTH HUM&ULN COMPONENTS,8131.0,6098.25,558.44,7887.07,683 CDM,PX-24164,PR PROSTHESIS REMOVAL RADIAL HEAD,4361.0,3270.75,331.74,4230.17,683 CDM,PX-24220,PR INJ ELBOW ARTHGM,867.0,650.25,27.61,840.99,697 CDM,PX-24300,PR MANIPULATION ELBOW W ANES,2647.0,1985.25,216.81,2567.59,683 CDM,PX-24301,PR MUS/TNDN TRANSFER UARM/ELB SNG,5897.0,4422.75,340.77,5720.09,683 CDM,PX-24305,PR TENDON LENGTHENING UPR ARM/ELB,4370.0,3277.5,263.19,4238.9,683 CDM,PX-24340,PR TENODESIS BICEPS TNDN AT ELBOW,4571.0,3428.25,283.74,4433.87,683 CDM,PX-24341,PR RPR TNDN/MUS ELBOW UARM,5168.0,3876.0,344.41,5012.96,683 CDM,PX-24342,PR REINS TNDN BICEP/TRICEP DISTAL,4380.0,3285.0,348.46,4248.6,683 CDM,PX-24343,PR REPR ELBOW LAT LIGMNT W TISS,5748.0,4311.0,279.76,5575.56,693 CDM,PX-24344,PR RCNST LAT LGMNT ELB W GRFT,7097.0,5322.75,500.95,6884.09,683 CDM,PX-24345,PR RPR MED COLLAT LGMNT WLOC TISS,4998.0,3748.5,328.08,4848.06,683 CDM,PX-24346,PR RCNST MED COLTRL LIGM ELB W GRFT,7908.0,5931.0,500.95,7670.76,683 CDM,PX-24357,PR TENOTOMY ELBOW PERCUTANEOUS,2234.0,1675.5,187.84,2166.98,683 CDM,PX-24358,PR TENOTOMY ELB DBRD TISS/BN OPN,3647.0,2735.25,243.2,3537.59,683 CDM,PX-24359,PR TENOTOMY ELB DBRD OPN TNDN RPR,3214.0,2410.5,300.15,3117.58,683 CDM,PX-24360,PR ARTHROPLASTY ELBOW W MEMBRANE,5038.0,3778.5,407.31,4886.86,683 CDM,PX-24362,PR RECONSTRUCT ELBOW JOINT,6871.0,5153.25,474.6,6664.87,683 CDM,PX-24363,PR ARTHRO ELB W DH/PU PROSTH RPLC,10835.0,8126.25,633.09,10509.95,683 CDM,PX-24366,PR ARTHRO RADIAL HEAD W IMPL,4435.0,3326.25,309.03,4301.95,683 CDM,PX-24370,PR REV ELB ARTHRO HUM/ULNA COMPNT,8198.0,6148.5,670.24,7952.06,683 CDM,PX-24371,PR REV ELB ARTHRO HUM&LNA COMPNT,8529.0,6396.75,765.17,8273.13,683 CDM,PX-24430,PR RPR NON/MALUNION HUM WO GRFT,7731.0,5798.25,400.96,7499.07,693 CDM,PX-24435,PR RPR NON/MALUNION HUM W AUTOGRFT,8267.0,6200.25,488.27,8018.99,683 CDM,PX-24498,PR TX PROPHX HUM SHAFT W/WO MMA,5282.0,3961.5,390.15,5123.54,683 CDM,PX-24500,PR CLSD TX HUM SHAFT FX WO MANIP,1773.0,1329.75,201.55,1719.81,683 CDM,PX-24515,PR OPN TX HUM FX W PLT W/WO CERCLG,4717.0,3537.75,399.88,4575.49,683 CDM,PX-24516,PR OPN TX HUM FX W INSRT IMPLNT,4649.0,3486.75,387.88,4509.53,683 CDM,PX-24530,PR CLSD TX SUPRA HUM FX WO MANIP,1622.0,1216.5,210.83,1573.34,683 CDM,PX-24546,PR OPN TX HUM SUPRA FX W EXTENSN,6890.0,5167.5,463.89,6683.3,683 CDM,PX-24560,PR CLSD TX HUM EPICNDY FX WO MANIP,1356.0,1017.0,189.68,1315.32,683 CDM,PX-24575,PR OPN TX HUM EPICNDY FX W FIX,3533.0,2649.75,337.85,3427.01,683 CDM,PX-24576,PR CLSD TX HUM CONDYL FX WO MANIP,1472.0,1104.0,198.9,1427.84,683 CDM,PX-24579,PR OPN TX HUM CONDYLAR FX W FIX,4528.0,3396.0,379.46,4392.16,683 CDM,PX-24586,PR OPN TX PERIARTICUL FX &/DISLOC ELB,7484.0,5613.0,481.38,7259.48,683 CDM,PX-24600,PR CLSD TX DISLOC ELBOW WO ANES,2567.0,1925.25,231.21,2489.99,683 CDM,PX-24605,PR CLSD TX DISLOC ELBOW W ANES,2302.0,1726.5,232.81,2232.94,683 CDM,PX-24635,PR TX MONTEG ELB FX/DISLOC W FIX,5165.0,3873.75,311.22,5010.05,683 CDM,PX-24640,PR TX ELBOW NURSEMAID FX W MANIP,574.0,430.5,50.99,556.78,683 CDM,PX-24650,PR CLSD TX RADL HD/NK FX WO MANIP,1146.0,859.5,146.45,1111.62,683 CDM,PX-24655,PR CL TX RADL HEAD/NK FX W MANIP,2207.0,1655.25,258.5,2140.79,683 CDM,PX-24665,PR OPN TX RADIAL HEAD/NK FX W FIX,3194.0,2395.5,257.22,3098.18,693 CDM,PX-24666,PR OPN TX RADL HD/NK FX W PROSTH,4813.0,3609.75,333.21,4668.61,683 CDM,PX-24670,PR CLSD TX ULNAR PROX FX WO MANIP,1238.0,928.5,163.46,1200.86,683 CDM,PX-24685,PR OPN TX ULNAR FX PROX W FIX,3803.0,2852.25,302.56,3688.91,683 CDM,PX-24802,PR ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,5630.0,4222.5,450.52,5461.1,683 CDM,PX-24900,PR AMP ARM THRU HUM W PRIM CLSR,3517.0,2637.75,350.06,3411.49,683 CDM,PX-25000,PR INCISN EXTENSOR TNDN SHTH WRST,2620.0,1965.0,165.45,2541.4,683 CDM,PX-25020,PR DCMPRN FORARM FLEX/EXT WO DBRD,6092.0,4569.0,350.62,5909.24,683 CDM,PX-25023,PR DCMPRN FOREARM FLEX/EXT W DBRD,7095.0,5321.25,614.17,6882.15,683 CDM,PX-25024,PR DCMPRN FORARM FLEX&EXT WO DBRD,4741.0,3555.75,353.45,4598.77,683 CDM,PX-25025,PR DCMPRN FORARM FLEX&EXT W DBRD,6246.0,4684.5,546.75,6058.62,683 CDM,PX-25028,PR I&D FOREARM DEEP ABSCESS/HEMA,3860.0,2895.0,334.07,3744.2,683 CDM,PX-25035,PR INCISN DEEP BN CORTEX FRARM/WRST,3217.0,2412.75,273.87,3120.49,683 CDM,PX-25040,PR ARTHRT RADIO/MIDCARPAL W EXPLR,3748.0,2811.0,255.28,3635.56,683 CDM,PX-25065,PR BX SOFT TISS FRARM /WRST SUPFC,1252.0,939.0,71.22,1214.44,697 CDM,PX-25066,PR BX SOFT TISS FOREARM/WRST DEEP,2216.0,1662.0,174.25,2149.52,683 CDM,PX-25071,PR EXCISN TMR WRST SUBQ>=3CM,2574.0,1930.5,196.54,2496.78,683 CDM,PX-25073,PR EXCISN TMR WRST SUBFSCL>=3CM,3556.0,2667.0,209.92,3449.32,693 CDM,PX-25075,PR EXCISN TMR WRST SUBQ<3CM,2373.0,1779.75,268.13,2301.81,683 CDM,PX-25076,PR EXCISN TMR WRST SUBFSCL<3CM,3920.0,2940.0,238.84,3802.4,683 CDM,PX-25078,PR RSECT TMR WRST RADCL >=3CM,7361.0,5520.75,525.91,7140.17,683 CDM,PX-25105,PR ARTHRT WRST JT W SYNOVECTOMY,4206.0,3154.5,225.83,4079.82,683 CDM,PX-25107,PR ARTHRT DSTL RADIOULNR JT W RPR,3425.0,2568.75,285.97,3322.25,683 CDM,PX-25109,PR EXCISN TNDN FOREARM/WRST EA,3489.0,2616.75,246.24,3384.33,683 CDM,PX-25110,PR EXCISN LESN TNDN SHTH FOREARM,2704.0,2028.0,164.18,2622.88,683 CDM,PX-25111,PR EXCISN WRST GANGLION PRIMARY,1761.0,1320.75,156.05,1708.17,683 CDM,PX-25112,PR EXCISN WRST GANGLION RECURRENT,2620.0,1965.0,183.4,2541.4,683 CDM,PX-25115,PR EXCISN TNDN SHTH FLEXORS RADCL,6295.0,4721.25,342.36,6106.15,683 CDM,PX-25116,PR EXCISN TNDN SHTH EXTNSRS RADCL,4766.0,3574.5,277.88,4623.02,683 CDM,PX-25118,PR SYNO EXT TNDN SHTH WRST SNGL,2385.0,1788.75,179.84,2313.45,683 CDM,PX-25119,PR SYN EXT TND SHTH WRST W RSCT DU,3234.0,2425.5,236.46,3136.98,683 CDM,PX-25120,PR EXCISN BN CYST RADIUS/ULNA,4599.0,3449.25,231.18,4461.03,683 CDM,PX-25126,PR EXCISN CYST/TMR RADS/UL W ALLOGRFT,3976.0,2982.0,279.22,3856.72,683 CDM,PX-25130,PR EXCISN CYST/TMR CARPAL BONES,3407.0,2555.25,209.59,3304.79,683 CDM,PX-25150,PR EXCISN BN ULNA PARTIAL,4811.0,3608.25,260.1,4666.67,683 CDM,PX-25151,PR EXCISN BN RADIUS PARTIAL,6487.0,4865.25,225.73,6292.39,693 CDM,PX-25170,PR RSECT RADIUS/ULNAR TMR RADCL,9508.0,7131.0,646.75,9222.76,683 CDM,PX-25210,PR CARPECTOMY ONE BONE,3828.0,2871.0,227.32,3713.16,683 CDM,PX-25215,PR CARPECTOMY PROX ROW ALL BONES,4850.0,3637.5,281.22,4704.5,683 CDM,PX-25230,PR STYLOIDECTOMY RADIAL,3827.0,2870.25,201.13,3712.19,683 CDM,PX-25240,PR EXCISN DISTAL ULNA PRTL/COMPLT,3311.0,2483.25,199.66,3211.67,683 CDM,PX-25246,PR INJ WRIST ARTHGM,845.0,633.75,30.24,819.65,697 CDM,PX-25259,PR MANIPULATION WRIST W ANES,2185.0,1638.75,212.38,2119.45,683 CDM,PX-25260,PR RPR TNDN/MS FLX FRARM/WRST PRI EA,3494.0,2620.5,291.53,3389.18,683 CDM,PX-25263,PR RPR TNDN WRIST FLEX SNGL,4347.0,3260.25,295.44,4216.59,683 CDM,PX-25265,PR RPR TNDN/MS FLX FRARM/WRST SEC EA,4878.0,3658.5,334.99,4731.66,683 CDM,PX-25270,PR RPR TNDN/MS EXT FRARM/WRST PRI EA,3868.0,2901.0,229.05,3751.96,683 CDM,PX-25274,PR RPR TNDN WRST EXTENS EA TNDN,4222.0,3166.5,299.83,4095.34,683 CDM,PX-25275,PR RPR TNDN SHTH EXT WRST W GRFT,4533.0,3399.75,258.13,4397.01,693 CDM,PX-25280,PR LNGTH/SHRT FLXR/EXTSR TNDN EA,6450.0,4837.5,259.03,6256.5,683 CDM,PX-25290,PR TENOTOMY FLEXOR/EXTNSR WRST EA,3344.0,2508.0,201.66,3243.68,683 CDM,PX-25295,PR TENOLYSIS FLEXR/EXTNSR WRST EA,3796.0,2847.0,241.81,3682.12,683 CDM,PX-25310,PR TRNSPL FLX/EXT TNDN SNGL EA,5290.0,3967.5,325.21,5131.3,683 CDM,PX-25312,PR TRNSPL FLX/EXT SNGL TNDN GRFT,5408.0,4056.0,323.12,5245.76,683 CDM,PX-25320,PR CPSLRPY/RCNST WRST FOR CARP,9167.0,6875.25,451.28,8891.99,683 CDM,PX-25332,PR ARTHRP WRST W/WO INTERPOS,6121.0,4590.75,377.18,5937.37,683 CDM,PX-25337,PR RCNST DISTAL JT W/WO REDUC,6884.0,5163.0,403.12,6677.48,683 CDM,PX-25360,PR OSTEOTOMY ULNA,3646.0,2734.5,296.76,3536.62,683 CDM,PX-25390,PR OSTEOPLASTY RADIUS/ULNA SHRTNG,6532.0,4899.0,343.08,6336.04,683 CDM,PX-25400,PR RPR NON/MALUN RAD/ULN WO GRFT,6530.0,4897.5,358.77,6334.1,683 CDM,PX-25405,PR RPR NON/MALUNION RAD/ULN W AUTGRFT,7908.0,5931.0,457.22,7670.76,683 CDM,PX-25420,PR RPR NON/MALUN RAD & ULN W GRFT,6540.0,4905.0,519.61,6343.8,683 CDM,PX-25430,PR INS VASCULAR PEDICLE CRPL BONE,4829.0,3621.75,338.02,4684.13,683 CDM,PX-25440,PR RPR NONUN SCPHD CRPL BN RDL STYL,4271.0,3203.25,343.07,4142.87,683 CDM,PX-25441,PR ARTHRO W PROSTH RPLC RADIUS,5765.0,4323.75,422.6,5592.05,683 CDM,PX-25442,PR ARTHRO W PROSTH RPLC ULNA,4420.0,3315.0,360.52,4287.4,683 CDM,PX-25446,PR ARTHRO W PROSTH RPLC TOT WRST,9025.0,6768.75,512.14,8754.25,683 CDM,PX-25447,PR ARTHRO INTERCARP/CMC JT,6699.0,5024.25,361.99,6498.03,683 CDM,PX-25448,PR ARTHRP INTERCARP/CARP/MTCRPL JT SUSP,8989.0,6741.75,398.79,8719.33,683 CDM,PX-25449,PR REV ARTHRP W RMVL IMPL WRIST,6201.0,4650.75,453.9,6014.97,683 CDM,PX-25491,PR TX PROPHYLACTIC ULNA W/WO MMA,4352.0,3264.0,337.75,4221.44,683 CDM,PX-25500,PR TX RADIAL SHAFT FX WO MANIP,1082.0,811.5,158.62,1049.54,683 CDM,PX-25515,PR OPN TX RADIAL SHAFT FX W FIX,3431.0,2573.25,308.31,3328.07,683 CDM,PX-25525,PR TX FX RADIAL SHAFT OPN W FIX,3804.0,2853.0,358.43,3689.88,683 CDM,PX-25530,PR CLSD TX ULNAR SHAFT FX WO MANIP,1339.0,1004.25,146.59,1298.83,683 CDM,PX-25535,PR CLSD TX ULNAR SHAFT FX W MANIP,2492.0,1869.0,266.23,2417.24,683 CDM,PX-25545,PR OPN TX ULNAR SHAFT FX W FIX,3702.0,2776.5,289.28,3590.94,683 CDM,PX-25560,PR CLSD TX RDL & ULNAR FX WO MANIP,1260.0,945.0,132.89,1222.2,697 CDM,PX-25565,PR CLSD TX RDL & ULNAR FX W MANIP,3380.0,2535.0,302.61,3278.6,683 CDM,PX-25575,PR OPN TX RDL&ULN FX W FIX RAD&ULN,5172.0,3879.0,411.27,5016.84,683 CDM,PX-25600,PR CLSD TX DIST RDL FX WO MANIP,1501.0,1125.75,159.05,1455.97,693 CDM,PX-25605,PR CLSD TX DIST RDL FX W MANIP,3656.0,2742.0,308.04,3546.32,683 CDM,PX-25606,PR FIX FX PERC SKELETAL DIST RDL,3372.0,2529.0,311.88,3270.84,683 CDM,PX-25607,PR OPN TX DIST RDL EXART FX W FIX,3810.0,2857.5,339.18,3695.7,683 CDM,PX-25608,PR OPN TX DIST RDL INART FX 2 FIX,4328.0,3246.0,375.48,4198.16,683 CDM,PX-25609,PR OPN TX DIST RDL INART FX 3 FIX,5163.0,3872.25,471.21,5008.11,683 CDM,PX-25622,PR CLSD TX CRPL SCPHD FX WO MANIP,1470.0,1102.5,170.31,1425.9,683 CDM,PX-25628,PR OPN TX CARPAL SCPHD FX W FIX,3533.0,2649.75,325.63,3427.01,683 CDM,PX-25630,PR CLSD TX CRPL FX WO MANIP EA BN,1493.0,1119.75,167.6,1448.21,683 CDM,PX-25645,PR OPN TX CARPAL BONE FX EA BONE,2662.0,1996.5,225.63,2582.14,693 CDM,PX-25650,PR CLSD TX ULNAR FX STYLOID,2121.0,1590.75,184.06,2057.37,683 CDM,PX-25652,PR OPN TX ULNAR STYLOID FX,2870.0,2152.5,287.38,2783.9,683 CDM,PX-25675,PR CLSD TX DISLOC RADIUS W MANIP,1631.0,1223.25,237.42,1582.07,697 CDM,PX-25800,PR ARTHRDSIS WRST COMPLT WO GRFT,4376.0,3282.0,327.78,4244.72,683 CDM,PX-25810,PR ARTHRDSIS WRST W ILIAC AUTOGRFT,5862.0,4396.5,386.55,5686.14,683 CDM,PX-25820,PR ARTHRDSIS WRST LTD WO BN GRFT,4846.0,3634.5,299.21,4700.62,683 CDM,PX-25825,PR ARTHRODESIS WRST LTD W AUTOGRFT,4773.0,3579.75,361.91,4629.81,683 CDM,PX-25830,PR ARTHRDSIS DISTAL RADIOU JT,6063.0,4547.25,471.84,5881.11,683 CDM,PX-25900,PR AMP FRARM THROUGH RADIUS&ULNA,4172.0,3129.0,325.93,4046.84,683 CDM,PX-25920,PR DISARTICULATION THROUGH WRIST,4103.0,3077.25,338.92,3979.91,683 CDM,PX-25927,PR TRANSMETACARPAL AMPUTATION,4674.0,3505.5,408.0,4533.78,683 CDM,PX-25931,PR TRANSMETACARPAL AMPUTATION RE-AMPUTATION,3899.0,2924.25,379.91,3782.03,683 CDM,PX-260000000,HC INJ THER IV PUSH SNGL INITIAL,240.0,180.0,55.02,261.02,921 CDM,PX-260000001,HC INJ THER SUBQ/IM,96.0,72.0,22.55,96.0,921 CDM,PX-260000002,HC IV INF HYDRAT EA ADD HR,109.0,81.75,19.02,109.0,921 CDM,PX-260000003,HC IV INF HYDRAT INIT 31MIN-1HR,337.0,252.75,48.75,337.0,917 CDM,PX-260000004,HC IV INF THER ADD SEQ NEW 1ST HR,167.0,125.25,43.44,167.0,916 CDM,PX-260000005,HC IV INF THER CONCURR (MAX 1),124.0,93.0,30.3,124.0,910 CDM,PX-260000006,HC IV INF THER EA ADD HR,129.0,96.75,31.29,129.0,919 CDM,PX-260000007,HC IV INF THER INIT 1ST HR,337.0,252.75,97.68,337.0,922 CDM,PX-260000008,HC IV PUSH EA ADD SEQ DRUG,391.0,293.25,175.95,391.0,913 CDM,PX-260000009,HC IV PUSH EA ADD SEQ NEW DRUG,136.0,102.0,22.92,136.0,921 CDM,PX-260000011,HC SQ INF THER 1 DRUG 1ST HR,568.0,426.0,210.86,568.0,915 CDM,PX-260000012,HC SQ INF THER 1 DRUG ADDL HR,233.0,174.75,24.99,233.0,915 CDM,PX-260000014,HC APPLICATION OF ON BODY INJECTOR,112.0,84.0,27.89,112.0,916 CDM,PX-260000028,"HC IV INJ PEMIVIBART, INCL INJ AND POST ADMIN MONITORING",936.0,702.0,421.2,936.0,915 CDM,PX-26010,PR I&D ABSC FGR SMPL,994.0,745.5,182.01,964.18,683 CDM,PX-26011,PR I&D ABSC FINGER COMPLICATED,1714.0,1285.5,250.83,1662.58,683 CDM,PX-26020,PR DRN TNDN SHEATH DIGIT/PALM EA,3020.0,2265.0,258.77,2929.4,683 CDM,PX-26025,PR DRN PALMAR BURSA SNGL,2387.0,1790.25,196.67,2315.39,683 CDM,PX-26037,PR FASCIOTOMY DCMPRN HAND,3626.0,2719.5,256.47,3517.22,683 CDM,PX-26040,PR FASCIOTOMY PALMAR PERCUTANEOUS,1959.0,1469.25,150.11,1900.23,683 CDM,PX-26045,PR FASCIOTOMY PALMAR OPEN PARTIAL,3089.0,2316.75,220.4,2996.33,683 CDM,PX-26055,PR INCISN TNDN SHEATH,2441.0,1830.75,305.52,2367.77,683 CDM,PX-26075,PR ARTHRT EXPL DRN LOOSE/FB MCP JT,3007.0,2255.25,160.48,2916.79,683 CDM,PX-26080,PR ARTHRT EXPL DRN LOOSE/FB I-P JT,2728.0,2046.0,188.56,2646.16,683 CDM,PX-26105,PR ARTHROTOMY BX MTCARPHLNG JT EA,2211.0,1658.25,165.33,2144.67,683 CDM,PX-26110,PR ARTHROTOMY I-P JT W BX EACH,2032.0,1524.0,154.62,1971.04,683 CDM,PX-26111,PR EXCISN TMR HND/FGR SUBQ >=1.5C,2600.0,1950.0,191.24,2522.0,683 CDM,PX-26113,PR EXCISN TMR HND/FGR DEEP>=1.5CM,2939.0,2204.25,249.21,2850.83,683 CDM,PX-26115,PR EXCISN TMR HND/FGR SUBQ <1.5CM,2816.0,2112.0,285.56,2731.52,683 CDM,PX-26116,PR EXCISN TMR HND/FGR SUBF <1.5CM,3379.0,2534.25,240.39,3277.63,683 CDM,PX-26117,PR RADCL RSECT HAND TUMOR < 3 CM,5408.0,4056.0,337.82,5245.76,683 CDM,PX-26118,PR RADCL RSECT HAND TMR >=3CM,7597.0,5697.75,473.88,7369.09,683 CDM,PX-26121,PR FASCTMY PALM W/WO ZPLASTY,3800.0,2850.0,273.38,3686.0,683 CDM,PX-26123,PR FASCTMY PALM PRTL W SNGL DIG,6722.0,5041.5,380.2,6520.34,683 CDM,PX-26125,PR FASCTMY PALM PRTL EA ADD DIG,2497.0,1872.75,222.46,2497.0,676 CDM,PX-26140,PR SYNOVTMY I-P INCL RCNST,3165.0,2373.75,233.83,3070.05,683 CDM,PX-26145,PR SYNO FLEXOR TNDN PALM/FGR EA,4498.0,3373.5,236.94,4363.06,683 CDM,PX-26160,PR EXCISN LESN TNDN SHTH HND/FGR,2346.0,1759.5,319.2,2275.62,683 CDM,PX-26170,PR REMOVAL OF PALM TENDON EACH,2806.0,2104.5,190.57,2721.82,683 CDM,PX-26180,PR EXCISN TNDN FGR/FLEXOR/EXTNSR,3046.0,2284.5,209.74,2954.62,683 CDM,PX-26185,PR SESAMOIDECTOMY THUMB OR FINGER,2758.0,2068.5,266.0,2675.26,683 CDM,PX-26200,PR EXCISN BN CYST/TMR METACARPAL,2542.0,1906.5,208.77,2465.74,683 CDM,PX-26210,PR EXCISN BN CYST PROX/MID/DIST PHAL,3164.0,2373.0,208.43,3069.08,683 CDM,PX-26215,PR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,4093.0,3069.75,263.97,3970.21,683 CDM,PX-26230,PR EXCISN BN METACARPAL PRTL,3250.0,2437.5,229.47,3152.5,683 CDM,PX-26235,PR EXCISN BN PROX/MID PHAL PRTL,3287.0,2465.25,226.05,3188.39,683 CDM,PX-26236,PR EXCISN BN DISTAL PHAL PRTL,2917.0,2187.75,205.34,2829.49,683 CDM,PX-26320,PR RMVL IMPLANT FROM FINGER/HAND,2532.0,1899.0,164.21,2456.04,683 CDM,PX-26340,PR MANIP FGR JT UNDER ANES EA JT,1788.0,1341.0,177.51,1734.36,683 CDM,PX-26341,PR MANIP PALMAR FASCIAL POST INJ,676.0,507.0,35.58,655.72,697 CDM,PX-26350,PR RPR FLEX TNDN NOT Z2 WO GRFT EA,5121.0,3840.75,358.85,4967.37,683 CDM,PX-26356,PR RPR FLEX TNDN ZN 2 PRIM WO GRFT,7039.0,5279.25,366.53,6827.83,683 CDM,PX-26357,PR RPR FLEX TNDN Z2 SECNDRY WO GRFT,4768.0,3576.0,414.72,4624.96,683 CDM,PX-26370,PR RPR ROFUNDUS TNDN PRIM EA,5611.0,4208.25,369.31,5442.67,683 CDM,PX-26390,PR EXCISN FLEX TNDN HAND W IMPLN,4191.0,3143.25,413.56,4065.27,683 CDM,PX-26410,PR RPR EXTNSR TNDN HND WO GRFT EA,2973.0,2229.75,290.71,2883.81,683 CDM,PX-26418,PR RPR EXTNSR TNDN FGR WO GRFT,3185.0,2388.75,304.73,3089.45,683 CDM,PX-26426,PR RPR EXTNSR TNDN SECNDRY W TISS,4814.0,3610.5,231.59,4669.58,683 CDM,PX-26432,PR CLSD TX EXT TNDN DIST W/WO PIN,2701.0,2025.75,263.58,2619.97,683 CDM,PX-26433,PR RPR EXTNSR TNDN DIST INS,3466.0,2599.5,275.8,3362.02,683 CDM,PX-26437,PR REALIGN EXTNSR TNDN HAND EA,4089.0,3066.75,315.67,3966.33,683 CDM,PX-26440,PR TENOLYSIS FLEXOR PALM/FINGER,4404.0,3303.0,312.15,4271.88,683 CDM,PX-26442,PR TENOLYSIS FLEXOR PALM&FINGER,4836.0,3627.0,467.03,4690.92,683 CDM,PX-26445,PR TENOLYSIS EXTNSR TNDN HND/FGR,3457.0,2592.75,293.75,3353.29,683 CDM,PX-26455,PR TENOTOMY FLEXOR FNGR OPN EA,2490.0,1867.5,222.95,2415.3,683 CDM,PX-26460,PR TENOTOMY EXTNSR HND/FGR OPN EA,2718.0,2038.5,217.92,2636.46,683 CDM,PX-26471,PR TENODESIS PROX I-P JT EA,4569.0,3426.75,312.8,4431.93,683 CDM,PX-26474,PR TENODESIS DISTAL JOINT EACH,3561.0,2670.75,317.96,3454.17,683 CDM,PX-26478,PR LENGTHN TNDN FLEXOR HAND/FNGR,1509.0,1131.75,316.28,1463.73,683 CDM,PX-26480,PR TRNSF TNDN DORSUM WO GRFT EA,4615.0,3461.25,325.07,4476.55,683 CDM,PX-26485,PR TRNSPL TNDN PALMAR WO GRFT EA,4965.0,3723.75,392.18,4816.05,683 CDM,PX-26489,PR TRNSPL TNDN PALMAR W GRFT EA,6354.0,4765.5,456.81,6163.38,683 CDM,PX-26496,PR OPPONENSPLASTY OTHER METHODS,5480.0,4110.0,427.83,5315.6,683 CDM,PX-26499,PR CORRECTION CLAW FINGER,5127.0,3845.25,413.04,4973.19,683 CDM,PX-26502,PR RCNST TNDN PULLEY W GRFT,4800.0,3600.0,361.9,4656.0,683 CDM,PX-26516,PR CAPSULODESIS MCP JT EA,5152.0,3864.0,348.72,4997.44,683 CDM,PX-26520,PR CAPSULECTOMY MCP JT EA,4545.0,3408.75,325.79,4408.65,683 CDM,PX-26525,PR CAPSULECTOMY I-P JT EA,4198.0,3148.5,328.84,4072.06,683 CDM,PX-26530,PR ARTHROPLASTY MCP JT EA,3820.0,2865.0,248.01,3705.4,683 CDM,PX-26531,PR ARTHROPLSTY MCP JT W PROSTH EA,3697.0,2772.75,286.27,3586.09,683 CDM,PX-26536,PR ARTHROPLSTY I-P JT W PROSTH EA,5000.0,3750.0,355.25,4850.0,683 CDM,PX-26540,PR RPR LGMNT MCP/I-P JT,3414.0,2560.5,330.15,3311.58,683 CDM,PX-26541,PR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,5860.0,4395.0,388.75,5684.2,683 CDM,PX-26542,PR RCNST LGMNT MCP W LOCAL TISS,4618.0,3463.5,338.63,4479.46,683 CDM,PX-26546,PR RPR NONUNION/METCARP/PHALANX,5283.0,3962.25,482.93,5124.51,683 CDM,PX-26548,PR RPR & RCNST FGR VOLAR PLATE,4927.0,3695.25,372.33,4779.19,683 CDM,PX-26565,PR OSTEOTOMY METACARPAL EA,4950.0,3712.5,335.52,4801.5,683 CDM,PX-26593,PR RLS INTRINSIC MUS HAND EA,4294.0,3220.5,308.77,4165.18,683 CDM,PX-26600,PR CLSD TX METCARP FX WO MANIP EA BN,1124.0,843.0,141.05,1090.28,693 CDM,PX-26605,PR CLSD TX METCARP FX W MANIP EA BN,1455.0,1091.25,182.76,1411.35,683 CDM,PX-26608,PR FIX PERC METCARP FX EA,2530.0,1897.5,225.72,2454.1,683 CDM,PX-26615,PR OPN TX METCARP FX W FIX SNGL EA BN,3065.0,2298.75,266.46,2973.05,683 CDM,PX-26645,PR CLSD TX THUMB FX W MANIP,2111.0,1583.25,234.83,2047.67,683 CDM,PX-26650,PR FIX PERC THUMB DISLOC W MANIP,3175.0,2381.25,228.76,3079.75,683 CDM,PX-26665,PR OPN TX CMC FX THUMB DISLOC,3796.0,2847.0,281.48,3682.12,683 CDM,PX-26676,PR FIX CMC DISLOC W MANIP,2951.0,2213.25,237.8,2862.47,683 CDM,PX-26700,PR CLSD TX MCP DISLOC W MANIP WO ANS,1882.0,1411.5,197.47,1825.54,683 CDM,PX-26720,PR CLSD TX PHAL SHFT FX WO MANIP EA,1052.0,789.0,97.16,1020.44,693 CDM,PX-26725,PR CLSD TX PHAL SHFT FX W MANIP EA,1750.0,1312.5,192.16,1697.5,683 CDM,PX-26727,PR TX PERC FGR PROX/MID W MANIP EA,2384.0,1788.0,222.15,2312.48,683 CDM,PX-26735,PR OPN TX PHALANGEAL SHAFT FX EA,3447.0,2585.25,274.59,3343.59,683 CDM,PX-26742,PR CLSD TX ARTICULAR FX W MANIP EA,1514.0,1135.5,165.57,1468.58,697 CDM,PX-26746,PR OPN TX ARTICULAR FX W FIX EA JT,4525.0,3393.75,335.04,4389.25,683 CDM,PX-26750,PR CLSD TX DISTL PHAL WO MANIP EA,1096.0,822.0,107.02,1063.12,683 CDM,PX-26756,PR FIX PERC SKEL DIST PHAL FX EA,2570.0,1927.5,171.41,2492.9,693 CDM,PX-26765,PR OPN TX DIST PHAL FX W INT FIX EA,3042.0,2281.5,236.63,2950.74,683 CDM,PX-26770,PR CLSD TX I-P DISLOC W MANIP WO ANES,1894.0,1420.5,175.55,1837.18,683 CDM,PX-26775,PR TX I-P DISLOC W MANIP W ANES,1644.0,1233.0,213.34,1594.68,683 CDM,PX-26776,PR CLSD TX PERC I-P DISLOC W MANIP,2400.0,1800.0,211.47,2328.0,683 CDM,PX-26785,PR OPN TX I-P DISLOC W FIX SNGL,2513.0,1884.75,255.05,2437.61,683 CDM,PX-26841,PR ARTHRDSIS CMC W/WO INT FIX,4564.0,3423.0,365.0,4427.08,683 CDM,PX-26843,PR ARTHRDSIS CMC OTHER THAN THMB,4307.0,3230.25,373.73,4177.79,683 CDM,PX-26844,PR ARTHRDSIS CMC W AUTOGRFT,5514.0,4135.5,408.35,5348.58,683 CDM,PX-26850,PR ARTHRDSIS MCP W/WO INT FIX,4286.0,3214.5,343.38,4157.42,683 CDM,PX-26860,PR ARTHRDSIS I-P JT W/WO FIX,3430.0,2572.5,294.63,3327.1,683 CDM,PX-26861,PR ARTHRDSIS IP W/WO FIX EA ADD,1188.0,891.0,84.63,1188.0,676 CDM,PX-26862,PR ARTHRDSIS IP W AUTOGRFT,4098.0,3073.5,358.51,3975.06,683 CDM,PX-26910,PR AMP MTCRPL W FGR OR THUMB SNGL,4369.0,3276.75,359.9,4237.93,683 CDM,PX-26951,PR AMP FGR/THUMB W DIRECT CLSR,4948.0,3711.0,339.71,4799.56,683 CDM,PX-26952,PR AMP FGR/THUMB W ADV FLAPS,4028.0,3021.0,324.45,3907.16,683 CDM,PX-26990,PR I&D PELVIS/HIP JT DEEP ABSC,4260.0,3195.0,320.94,4132.2,683 CDM,PX-26991,PR I&D PELVIS/HIP INFECTED BURSA,4087.0,3065.25,307.51,3964.39,693 CDM,PX-26992,PR INCISN BN CORTEX PELV/HIP JT,6036.0,4527.0,459.2,5854.92,683 CDM,PX-27000,PR TENOTOMY HIP ADDUCTOR PERC,2380.0,1785.0,177.39,2308.6,683 CDM,PX-270000203,HC OXYGEN HOURLY,35.0,26.25,15.75,35.0,909 CDM,PX-27006,PR TENOTOMY HIP ABD/EXTEN OPEN,5321.0,3990.75,318.52,5161.37,683 CDM,PX-27030,PR ARTHRT HIP W DRN,5595.0,4196.25,418.6,5427.15,683 CDM,PX-27033,PR ARTHRT HIP INCL EXPLR RMVL FB,7228.0,5421.0,434.52,7011.16,683 CDM,PX-27043,PR EXCISN TMR PLV/HIP SUBQ>=3CM,2709.0,2031.75,220.29,2627.73,683 CDM,PX-27045,PR EXCISN TMR PLV/HP SUBFSCL>=5CM,4970.0,3727.5,336.18,4820.9,683 CDM,PX-27047,PR EXCISN TMR PELVIS/HIP SUBQ<3CM,2862.0,2146.5,259.45,2776.14,683 CDM,PX-27048,PR EXCISN TMR PLV/HIP SUBFSCL<5CM,3457.0,2592.75,285.01,3353.29,683 CDM,PX-27059,PR RSECT TMR PELVIS/HIP >=5CM,14724.0,11043.0,799.41,14282.28,683 CDM,PX-27065,PR EXCISN BN CYST IL/PU/FM SUPFC,4808.0,3606.0,247.06,4663.76,683 CDM,PX-27066,PR EXCISN BN CYST IL/PU/FM DEEP,5890.0,4417.5,368.9,5713.3,683 CDM,PX-27070,PR EXCISN PRTL ILIUM WING SUPFCL,5382.0,4036.5,401.79,5220.54,683 CDM,PX-27071,PR EXCISN PRTL ILIUM WING DEEP,6490.0,4867.5,445.34,6295.3,683 CDM,PX-27075,PR RSECT TUMOR ILIUM WING RAD,13594.0,10195.5,904.11,13186.18,683 CDM,PX-27076,PR RSECT TMR ILIUM/ISCH/ACET RAD,16363.0,12272.25,1086.34,15872.11,683 CDM,PX-27077,PR RSECT TUMOR INOMINATE BN TOT,15308.0,11481.0,1208.09,14848.76,683 CDM,PX-27078,PR RSECT TMR ISCH TUBR&GRT TRCNTR,13196.0,9897.0,892.07,12800.12,683 CDM,PX-27080,PR COCCYGECTOMY PRIMARY,3160.0,2370.0,242.87,3065.2,683 CDM,PX-27087,PR RMVL FB PELVIS/HIP DEEP,3016.0,2262.0,289.73,2925.52,683 CDM,PX-27091,PR RMVL HIP PROSTHESIS CMPLX,12376.0,9282.0,699.14,12004.72,683 CDM,PX-27093,PR INJ PROC HIP ARTHGRPH WO ANES,1266.0,949.5,28.37,1228.02,697 CDM,PX-27096,PR INJ SI JT W IMA W ARTHROGRPHY,1537.0,1152.75,85.6,1383.3,596 CDM,PX-271000159,HC BELT/STRAP/SLEEVE COVER,35.0,26.25,15.75,35.0,909 CDM,PX-271000167,HC NON-ELEC OSCILLATORY PEP DVC,52.0,39.0,23.4,52.0,909 CDM,PX-27122,PR ACETABULOPLASTY RSECT FEM HEAD,8944.0,6708.0,491.53,8675.68,683 CDM,PX-27125,PR HEMIARTHROPLASTY HIP PRTL,8951.0,6713.25,503.75,8682.47,683 CDM,PX-27130,PR ARTHRO ACETAB&FEM PROSTH (THA),12900.0,9675.0,565.25,12513.0,683 CDM,PX-27132,PR CONVERT PREV TOTAL HIP ARTHRO,15660.0,11745.0,731.66,15190.2,683 CDM,PX-27134,PR REV TOTAL HIP BOTH COMPONENT,16000.0,12000.0,824.87,15520.0,683 CDM,PX-27137,PR REV TOTAL HIP ACETABULR ONLY,13136.0,9852.0,640.98,12741.92,683 CDM,PX-27138,PR REV TOTAL HIP FEMORAL ONLY,15212.0,11409.0,665.08,14755.64,683 CDM,PX-27146,PR OSTEOTOMY ILIAC/ACETABULAR BN,12120.0,9090.0,568.53,11756.4,683 CDM,PX-27151,PR OSTEOT IL/ACETAB BN W FEM OST,11702.0,8776.5,694.86,11350.94,683 CDM,PX-27165,PR OSTEOT INTER/SUBTROCHANTERIC,12114.0,9085.5,612.55,11750.58,683 CDM,PX-27187,PR TX PROPHX FEM NK&PROX W/WO MMA,8981.0,6735.75,447.31,8711.57,683 CDM,PX-272000317,HC PEAK FLOW METER,27.0,20.25,12.15,42.36,909 CDM,PX-272000415,HC TRAY PICC KIT 4FR SL SOLO,1166.0,874.5,524.7,1166.0,911 CDM,PX-272000416,HC TRAY PICC KIT 5FR DL SOLO,1166.0,874.5,524.7,1166.0,911 CDM,PX-272000418,HC TRAY PICC SOLO 5FR TL,502.0,376.5,225.9,502.0,911 CDM,PX-272000948,HC CATH PICC 4FR DL PWR,562.0,421.5,252.9,562.0,911 CDM,PX-272000996,HC POWERGLIDE ST MAX KIT,313.0,234.75,140.85,313.0,911 CDM,PX-272000997,HC POWERGLIDE ST SINGLE KIT,654.0,490.5,294.3,654.0,911 CDM,PX-272001001,HC RF CANN INSUL TRIDENT,90.0,67.5,40.5,90.0,909 CDM,PX-272001003,HC COOLIEF COOLED RADIO FREQUENCY KIT OF (1),750.0,562.5,337.5,750.0,910 CDM,PX-272001004,HC COOLIEF COOLED RADIO FREQUENCY KIT OF (2),1330.0,997.5,598.5,1330.0,910 CDM,PX-272001013,HC CUST TRAY/MEDLINE TRIAL SPINAL CORD STIM KIT,319.0,239.25,143.55,319.0,909 CDM,PX-272001032,HC TRAY PICC KIT 4FR DL SOLO,524.0,393.0,235.8,524.0,911 CDM,PX-272001035,"HC STERILE NIMBUS RF ELECTRODE (50MM, 100MM OR 150MM)",440.0,330.0,198.0,440.0,909 CDM,PX-272001044,HC DRINKING CUP ASSISTIVE 5ML,214.0,160.5,96.3,214.0,909 CDM,PX-272001045,HC DRINKING CUP ASSISTIVE 10ML,214.0,160.5,96.3,214.0,909 CDM,PX-272001047,HC RMT TRAINER KIT,252.0,189.0,113.4,252.0,909 CDM,PX-272001051,HC EMST150 TRAINER,330.0,247.5,148.5,330.0,909 CDM,PX-272001052,HC EMST75LITE TRAINER,330.0,247.5,148.5,330.0,909 CDM,PX-272001053,HC IA150 ADAPTER,180.0,135.0,81.0,180.0,909 CDM,PX-27216,PR TX PELVIC BN FX PERC SKEL FIX,5470.0,4102.5,951.24,5470.0,676 CDM,PX-27228,PR OPN TX ACETAB FX 2 CLMNS W FIX,15152.0,11364.0,820.02,14697.44,683 CDM,PX-27230,PR CLSD TX FEM FX PROX WO MANIP,2435.0,1826.25,260.53,2361.95,683 CDM,PX-27235,PR TX FEM FX PROX END NK PERC,4662.0,3496.5,406.8,4522.14,683 CDM,PX-27236,PR OPN TX FEM FX PROX END NK,6276.0,4707.0,530.12,6087.72,683 CDM,PX-27238,PR CLSD TX FEMORAL FX WO MANIP,2320.0,1740.0,222.33,2250.4,683 CDM,PX-27244,PR TX FEM FX W PLATE/SCREW IMPL,8535.0,6401.25,545.36,8278.95,683 CDM,PX-27245,PR TX FEM FX W INTRAMEDULLRY IMPL,6705.0,5028.75,543.98,6503.85,683 CDM,PX-27246,PR CLSD TX GREATER TROCH WO MANIP,1737.0,1302.75,207.84,1684.89,683 CDM,PX-27252,PR CLSD TX HIP DISLOC W ANES,4044.0,3033.0,349.2,3922.68,683 CDM,PX-27257,PR TX HIP DISLOC W MANIP W ANES,2095.0,1571.25,160.33,2032.15,683 CDM,PX-27265,PR CLSD TX HIP DISLOC WO ANES,2352.0,1764.0,239.35,2281.44,683 CDM,PX-27266,PR TX POST HIP ARTHR DISLOC ANES,3363.0,2522.25,271.13,3262.11,683 CDM,PX-27279,PR ARTHRDSIS SACROILIAC PERC,5055.0,3791.25,368.69,4903.35,683 CDM,PX-27290,PR AMP INTERPELVIABDOMINAL,10157.0,7617.75,713.37,9852.29,683 CDM,PX-27295,PR DISARTICULATION OF HIP,8629.0,6471.75,557.64,8370.13,683 CDM,PX-27299008,PR CURETTAGE FEMUR TUMOR,5890.0,4417.5,147.25,5713.3,684 CDM,PX-27301,PR I&D ABSC/BURSA/HEMA THIGH/KNEE,3856.0,2892.0,349.61,3740.32,683 CDM,PX-27303,PR INCISN FEM W OPN BN CORTX DEEP,4182.0,3136.5,293.66,4056.54,683 CDM,PX-27305,PR FASCIOTOMY ILIOTIBIAL OPEN,2826.0,2119.5,225.71,2741.22,683 CDM,PX-27306,PR TENOTOMY ADD/HMSTRNG PERC SNG,2393.0,1794.75,158.97,2321.21,683 CDM,PX-27310,PR ARTHRT KNEE EXPLR/DRN/RMVL FB,5835.0,4376.25,335.03,5659.95,683 CDM,PX-27324,PR BX SOFT TISS THIGH/KNEE DEEP,2791.0,2093.25,195.41,2707.27,683 CDM,PX-27326,PR NEURECTOMY POPLITEAL,3051.0,2288.25,245.12,2959.47,683 CDM,PX-27327,PR EXCISN TMR THIGH/KNEE SUBQ<3CM,2124.0,1593.0,261.71,2060.28,683 CDM,PX-27328,PR EXCISN TMR TH/KNE SUBFSCL<5CM,3128.0,2346.0,286.72,3034.16,683 CDM,PX-27329,PR RSECT TMR THIGH/KNEE <5CM,13502.0,10126.5,469.38,13096.94,683 CDM,PX-27331,PR ARTHRT KNEE JT EXPLOR/BX/RMVL,5446.0,4084.5,223.39,5282.62,683 CDM,PX-27334,PR ARTHRT W SYNOVECTOMY KNEE,6612.0,4959.0,315.97,6413.64,683 CDM,PX-27335,PR ARTHRT KNEE ANTR&POSTR,4995.0,3746.25,349.61,4845.15,683 CDM,PX-27337,PR EXCISN TMR THIGH/KNE SUBQ>=3CM,2144.0,1608.0,198.11,2079.68,683 CDM,PX-27339,PR EXCISN TMR TH/KNE SUBFSCL>=5CM,4543.0,3407.25,347.01,4406.71,683 CDM,PX-27340,PR EXCISN PREPATELLAR BURSA,4220.0,3165.0,179.66,4093.4,683 CDM,PX-27345,PR EXCISN SYNOVIAL CYST POP SPACE,3120.0,2340.0,227.58,3026.4,683 CDM,PX-27347,PR EXCISN LESN KNEE MENISC/CAPSL,7104.0,5328.0,247.01,6890.88,683 CDM,PX-27350,PR PATELLECTOMY/HEMIPATELLECTOMY,3892.0,2919.0,301.56,3775.24,683 CDM,PX-27355,PR EXCISN BN CYST/BENIGN TMR FEM,5816.0,4362.0,280.75,5641.52,683 CDM,PX-27356,PR EXCISN BN FEMUR W ALLOGRAFT,6340.0,4755.0,338.72,6149.8,683 CDM,PX-27357,PR EXCISN BN FEMUR W AUTOGRAFT,4727.0,3545.25,372.67,4585.19,683 CDM,PX-27358,PR EXCISN BN FEMUR W INTRNL FIX,3569.0,2676.75,195.63,3569.0,686 CDM,PX-27360,PR EXCISN BN FEM/TIB/FIB PRTL,7077.0,5307.75,416.38,6864.69,683 CDM,PX-27364,PR RSECT TMR THIGH/KNEE >=5CM,13131.0,9848.25,695.39,12737.07,683 CDM,PX-27365,PR RSECT TUMOR FEMUR/KNEE RADICAL,14850.0,11137.5,893.65,14404.5,683 CDM,PX-27369,PR NJX CNTRST KNE ARTHG/CT/MRI,426.0,319.5,16.75,413.22,697 CDM,PX-27372,PR RMVL FB THIGH/KNEE DEEP,4104.0,3078.0,310.19,3980.88,683 CDM,PX-27380,PR SUTR INFRAPATELLAR TNDN PRIM,3297.0,2472.75,290.6,3198.09,683 CDM,PX-27385,PR SUTR QUAD/HAMSTRNG RUPT PRIM,4029.0,3021.75,286.06,3908.13,683 CDM,PX-27386,PR SUTR QUAD/HAMSTRNG RUPT SCNDRY,5872.0,4404.0,392.57,5695.84,683 CDM,PX-274000015,HC BOOT PNEUMATIC WALK CPF,294.0,220.5,132.3,397.73,915 CDM,PX-274000016,HC BOOT PNEUMATIC/VAC WALK OTS,290.0,217.5,130.5,397.73,915 CDM,PX-274000029,HC BRACE HUMERAL FRACTURE,113.0,84.75,50.85,540.86,915 CDM,PX-274000030,HC BRACE KNEE ADJUSTABLE JT CPF,154.0,115.5,69.3,1058.14,916 CDM,PX-274000049,HC COLLAR CERVICAL FOAM NON-ADJ OTS,45.0,33.75,20.25,45.0,915 CDM,PX-274000050,HC COLLAR CERVICAL PLASTIC SEMI ADJ,236.0,177.0,91.95,236.0,909 CDM,PX-274000064,HC IMMOBILIZER KNEE LONG,148.0,111.0,66.6,148.0,915 CDM,PX-274000076,"HC LIFT ELEVATION TAPERED <= .5""",87.0,65.25,39.15,113.31,915 CDM,PX-274000079,HC ORHTO EWH RIG WO JT CPF FIT&ADJUST,728.0,546.0,327.6,1046.24,915 CDM,PX-274000083,HC ORTHO ELBOW HINGED FIT&ADJUST,432.0,324.0,194.4,699.2,915 CDM,PX-274000084,HC ORTHO ELBOW WO JT CPF FIT&ADJUST,545.0,408.75,245.25,545.0,915 CDM,PX-274000086,HC ORTHO WHF RIG W JT CPF,392.0,294.0,176.4,635.04,915 CDM,PX-274000090,HC ORTHO WH SPRT WO JT CPF FIT&ADJUST,468.0,351.0,210.6,708.49,915 CDM,PX-274000092,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,393.0,294.75,176.85,498.04,915 CDM,PX-274000095,HC ORTHO WHF WO JT CPF FIT&ADJUST,219.0,164.25,98.55,349.59,915 CDM,PX-274000096,HC ORTHO WRST COCK-UP OTS,71.0,53.25,31.95,102.5,915 CDM,PX-274000097,HC ORTHOSIS ANKLE CTRL PREFAB OTS,109.0,81.75,49.05,148.63,915 CDM,PX-274000098,HC ORTHOSIS ANKLE/FOOT CUSTOM,162.0,121.5,72.9,257.79,909 CDM,PX-274000100,HC ORTHOSIS FINGER SPRING PREFAB OTS,57.0,42.75,25.65,91.84,915 CDM,PX-274000101,HC ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,184.0,138.0,82.8,298.3,915 CDM,PX-274000102,HC ORTHOSIS HAND W JTS CUSTOM,277.0,207.75,124.65,449.1,915 CDM,PX-274000104,HC ORTHOSIS HAND/FNGR WO JTS CUSTOM,234.0,175.5,105.3,378.63,915 CDM,PX-274000117,HC POST OP SHOE/BOOT EA,22.0,16.5,9.9,22.0,909 CDM,PX-274000128,HC SLING ARM,52.0,39.0,13.73,52.0,909 CDM,PX-274000139,HC HFO W/O JOINTS PRE CST,78.0,58.5,35.1,135.05,915 CDM,PX-274000146,HC TRACH SPEAKING VALVE,498.0,373.5,184.85,498.0,909 CDM,PX-274000278,HC SPLINT,44.0,33.0,19.8,44.0,909 CDM,PX-274000298,HC GLOVE FLEXION,40.0,30.0,18.0,147.3,915 CDM,PX-274000300,HC ORTHOSIS FNGR WO SPRING PREFAB OTS,31.0,23.25,13.95,48.94,915 CDM,PX-274000356,HC ORTHO WH NONTORSN JT CPF FIT&ADJUST,855.0,641.25,384.75,1386.45,909 CDM,PX-27403,PR ARTHRT W MENISCUS RPR KNEE,3621.0,2715.75,296.85,3512.37,683 CDM,PX-27405,PR RPR KNE TORN LGMNT PRIM COLLAT,4378.0,3283.5,309.95,4246.66,683 CDM,PX-27412,PR IMPL KNEE AUTO CHONDROCYTE,13348.0,10011.0,726.99,12947.56,683 CDM,PX-27415,PR ALLOGRAFT OSTEOCHON KNEE OPN,8274.0,6205.5,612.03,8025.78,683 CDM,PX-27418,PR TUBERCLEPLASTY ANTERIOR TIBIAL,4651.0,3488.25,371.37,4511.47,683 CDM,PX-27420,PR RCNST DISLOC PATELLA,4883.0,3662.25,342.78,4736.51,683 CDM,PX-27422,PR RCNST DISLOC PATEL EXTN REALIGN,4628.0,3471.0,339.77,4489.16,683 CDM,PX-27427,PR RCNST LGMNT KNEE EXART,4825.0,3618.75,322.48,4680.25,683 CDM,PX-27430,PR QUADRICEPSPLASTY,3883.0,2912.25,339.87,3766.51,683 CDM,PX-27437,PR ARTHRO PATELLA WO PROSTHESIS,5505.0,4128.75,303.82,5339.85,683 CDM,PX-27438,PR ARTHRO PATELLA W PROSTHESIS,5304.0,3978.0,380.25,5144.88,683 CDM,PX-27446,PR ARTHRO KNEE MED/LAT CMPRT (UNILAT),5240.0,3930.0,509.48,5082.8,683 CDM,PX-27447,PR ARTHRO KNEE CONDYLE&PLAT (TKA),12800.0,9600.0,564.01,12416.0,683 CDM,PX-27450,PR OSTEOTOMY FEM SHAFT W FIX,7211.0,5408.25,451.73,6994.67,683 CDM,PX-27457,PR OSTEOTOMY TIB AFT EPIPHYS CLSR,7259.0,5444.25,428.01,7041.23,683 CDM,PX-27486,PR REV TOT KNEE ARTHRO 1 COMPNT,13755.0,10316.25,620.15,13342.35,683 CDM,PX-27487,PR REV TOT KNEE ARTHRO FEM&TIB,15575.0,11681.25,765.97,15107.75,683 CDM,PX-27488,PR RMVL PROSTH KNEE,6306.0,4729.5,534.93,6116.82,683 CDM,PX-27495,PR PROPHX TX FEMUR W/WO MMA,7623.0,5717.25,503.71,7394.31,683 CDM,PX-27498,PR DCMPRN THIGH/KNEE MULT CMPRT,2677.0,2007.75,303.77,2596.69,683 CDM,PX-27506,PR OPN TX FEM FX INTRAMEDLRY IMPL,8518.0,6388.5,594.93,8262.46,683 CDM,PX-27507,PR OPN TX FEM FX W PLATE/SCREWS,6208.0,4656.0,429.7,6021.76,683 CDM,PX-27508,PR CLSD TX FEM FX DIST WO MANIP,2656.0,1992.0,282.46,2576.32,683 CDM,PX-27511,PR TX FEM SUPRACONDYL FX WO EXTSN,7485.0,5613.75,438.21,7260.45,683 CDM,PX-27514,PR OPN TX FEMORAL FX W FIX,7877.0,5907.75,425.7,7640.69,683 CDM,PX-27520,PR CLSD TX PATELLA FX WO MANIP,1647.0,1235.25,179.53,1597.59,683 CDM,PX-27524,PR OPN TX PATELLA FX FIX/PATLCTMY,4232.0,3174.0,342.87,4105.04,683 CDM,PX-27530,PR CLSD TX TIB FX WO MANIP,1719.0,1289.25,169.45,1667.43,683 CDM,PX-27532,PR CLSD TX TIB FX W/WO MANIP,3569.0,2676.75,270.19,3461.93,697 CDM,PX-27535,PR OPN TX TIB FX PROX UNICONDYLAR,5263.0,3947.25,396.6,5105.11,683 CDM,PX-27552,PR CLSD TX KNEE DISLOC W ANES,4370.0,3277.5,294.68,4238.9,683 CDM,PX-27560,PR CLSD TX PATLLR DISLOC WO ANES,2600.0,1950.0,226.37,2522.0,683 CDM,PX-27562,PR CLSD TX PATLLR DISLOC W ANES,3032.0,2274.0,231.43,2941.04,683 CDM,PX-27570,PR MANIP KNEE JT W ANES,2426.0,1819.5,72.87,2353.22,683 CDM,PX-27590,PR AMP THIGH THRU FEM,5006.0,3754.5,350.01,4855.82,683 CDM,PX-27591,PR AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST,7187.0,5390.25,432.33,6971.39,683 CDM,PX-27592,PR AMP THIGH THRU FEM OPN,5301.0,3975.75,305.02,5141.97,683 CDM,PX-27596,PR AMP THIGH THRU FEM REAMP,6151.0,4613.25,320.49,5966.47,683 CDM,PX-27599008,PR MARLEX MESH RECON EXTNSR,5872.0,4404.0,146.8,5695.84,683 CDM,PX-27599009,PR MANI KNEE JT W REGIONAL/MAC ANES,2426.0,1819.5,60.65,2353.22,683 CDM,PX-27599010,PR OPEN ILIOTIBIAL BAND TENODESIS,5397.0,4047.75,134.93,5235.09,683 CDM,PX-27600,PR DCMPRN LEG ANTR/LATERAL CMPRT,2515.0,1886.25,182.8,2439.55,683 CDM,PX-27601,PR DCMPRN LEG POSTR CMPRT,3115.0,2336.25,203.55,3021.55,683 CDM,PX-27602,PR DCMPRN LEG ANTR/LATERAL/POSTR,3594.0,2695.5,215.47,3486.18,683 CDM,PX-27603,PR I&D LEG/ANK DEEP ABSC/HEMA,2822.0,2116.5,264.85,2737.34,683 CDM,PX-27605,PR TNTMY ACHIL TNDN PERC LOC ANES,1648.0,1236.0,84.94,1598.56,697 CDM,PX-27610,PR ARTHRT ANKLE EXPLR/DRN/RMVL FB,4599.0,3449.25,296.85,4461.03,683 CDM,PX-27612,PR ARTHRT ANK POSTR CAPSULAR RLS,3407.0,2555.25,264.08,3304.79,683 CDM,PX-27613,PR BX SOFT TISS LEG/ANKLE SUPFCL,966.0,724.5,73.64,937.02,697 CDM,PX-27614,PR BX SOFT TISS LEG/ANKLE DEEP,1931.0,1448.25,296.86,1873.07,683 CDM,PX-27616,PR RSECT TMR LEG/ANK >=5CM RADCL,9397.0,7047.75,563.42,9115.09,683 CDM,PX-27618,PR EXCISN TMR LEG/ANKLE SUBQ <3CM,2163.0,1622.25,251.68,2098.11,683 CDM,PX-27619,PR EXCISN TMR LEG/ANKLE SUBF <5CM,3191.0,2393.25,212.71,3095.27,683 CDM,PX-27620,PR ARTHRT ANKLE W JT EXPLR,3914.0,2935.5,212.19,3796.58,683 CDM,PX-27630,PR EXCISN LESN LEG/ANK TNDN SHTH,2501.0,1875.75,275.92,2425.97,683 CDM,PX-27632,PR EXCISN TMR LEG/ANK >=3CM,1858.0,1393.5,191.15,1802.26,683 CDM,PX-27634,PR EXCISN TMR LEG/ANK >=5CM,4206.0,3154.5,303.46,4079.82,683 CDM,PX-27635,PR EXCISN BN CYST TIB/FIB,3838.0,2878.5,265.86,3722.86,683 CDM,PX-27638,PR EXCISN BN CYST TIB/FIB W GRFT,5614.0,4210.5,340.43,5445.58,683 CDM,PX-27640,PR EXCISN BN TIB PRTL,5514.0,4135.5,374.43,5348.58,683 CDM,PX-27641,PR EXCISN BN FIB PRTL,2981.0,2235.75,297.56,2891.57,683 CDM,PX-27646,PR RSECT TUMOR FIBULA RADICAL,6295.0,4721.25,675.99,6106.15,683 CDM,PX-27650,PR RPR ACHILLES TNDN PRIM,3925.0,2943.75,304.37,3807.25,683 CDM,PX-27652,PR RPR ACHILLES TNDN PRIM W GRFT,4307.0,3230.25,301.55,4177.79,683 CDM,PX-27654,PR RPR ACHILLES TNDN SECNDRY,4678.0,3508.5,329.8,4537.66,683 CDM,PX-27658,PR RPR FLEXOR TNDN LEG WO GRFT,2679.0,2009.25,174.15,2598.63,683 CDM,PX-27659,PR RPR FLEXOR TENDON LEG SECNDRY,2197.0,1647.75,218.08,2131.09,683 CDM,PX-27675,PR RPR DISLOC PRNEAL TNDN WO OS,1551.0,1163.25,229.06,1504.47,683 CDM,PX-27676,PR RPR DISLOC PRNEAL TNDN W OS,4382.0,3286.5,279.8,4250.54,683 CDM,PX-27680,PR TNLYS LEG/ANKLE FLEX/EXT SNG,1957.0,1467.75,199.07,1898.29,683 CDM,PX-27685,PR LNGTH/SHORT LEG/ANK TNDN SNGL,3656.0,2742.0,331.93,3546.32,683 CDM,PX-27687,PR GASTROCNEMIUS RECESSION,2604.0,1953.0,211.76,2525.88,683 CDM,PX-27690,PR TRNSF/TRNSPL TNDN SNGL SUPFCL,3884.0,2913.0,296.75,3767.48,683 CDM,PX-27691,PR TRNSF/TRNSPL TENDON SNGL DEEP,3757.0,2817.75,342.3,3644.29,683 CDM,PX-27695,PR RPR DISRPTD LGMNT ANK COLAT,2536.0,1902.0,226.95,2459.92,683 CDM,PX-27698,PR RPR ANK SECNDRY DISRUP LGMNT,3975.0,2981.25,291.21,3855.75,683 CDM,PX-27702,PR ARTHROPLASTY ANK W IMPLANT,7411.0,5558.25,431.14,7188.67,683 CDM,PX-27703,PR ARTHROPLASTY ANKLE REV TOTAL,8843.0,6632.25,495.74,8577.71,683 CDM,PX-27705,PR OSTEOTOMY TIBIA,5211.0,3908.25,337.42,5054.67,683 CDM,PX-27724,PR RPR NON/MALUNION TIB AUTOGRAFT,9848.0,7386.0,552.01,9552.56,683 CDM,PX-27745,PR PROPHX TX TIBIA W/WO MMA,4722.0,3541.5,330.53,4580.34,683 CDM,PX-27750,PR CLSD TX TIB SHAFT FX WO MANIP,1750.0,1312.5,192.03,1697.5,683 CDM,PX-27752,PR CLSD TX TIB SHAFT FX W MANIP,3250.0,2437.5,295.32,3152.5,683 CDM,PX-27758,PR OPN TX TIB FX PLATE/SCRWS,5364.0,4023.0,405.24,5203.08,683 CDM,PX-27759,PR TX TIB FX INTRAMDLRY IMPL,6072.0,4554.0,446.56,5889.84,683 CDM,PX-27760,PR CLSD TX MDL MELLEOL WO MANIP,1629.0,1221.75,182.89,1580.13,683 CDM,PX-27766,PR OPN TX MEDIAL MALLEOL FX,3315.0,2486.25,282.1,3215.55,683 CDM,PX-27767,PR CLSD TX POSTR MALLEOL WO MANIP,1303.0,977.25,146.07,1263.91,697 CDM,PX-27768,PR CLSD TX POSTR MALLEOL W MANIP,2377.0,1782.75,214.84,2305.69,683 CDM,PX-27769,PR OPN TX POSTR MALLEOLUS FX,4220.0,3165.0,328.78,4093.4,683 CDM,PX-27780,PR CLSD TX PROX FIBULA WO MANIP,1322.0,991.5,171.59,1282.34,683 CDM,PX-27784,PR OPN TX PROX FIBULA FX W/FIX,3299.0,2474.25,327.46,3200.03,683 CDM,PX-27786,PR CLSD TX DIST FIB WO MANIP,1446.0,1084.5,170.1,1402.62,683 CDM,PX-27788,PR CLSD TX DIST FIB FX W MANIP,2191.0,1643.25,242.08,2125.27,683 CDM,PX-27792,PR OPN TX DIST FIB FX,3560.0,2670.0,295.91,3453.2,683 CDM,PX-278000225,HC TRIAL NEVRO LEAD KIT,1000.0,750.0,450.0,1000.0,910 CDM,PX-278000226,HC TRIAL OCTRODE LEAD KIT,3010.0,2257.5,1354.5,3010.0,910 CDM,PX-278000227,HC TRIAL MEDTRONIC LEAD KIT,2000.0,1500.0,900.0,2000.0,909 CDM,PX-278000245,HC SPRINT ENDURA PNS SYSTEM (1 LEAD KIT),9800.0,7350.0,4410.0,9800.0,911 CDM,PX-278000246,HC SPRINT EXTENSA PNS SYSTEM (2 LEAD KIT),15600.0,11700.0,7020.0,15600.0,911 CDM,PX-278000262,HC BOSTON SCIENTIFIC LINEAR TRIAL LEAD KIT,2520.0,1890.0,1134.0,2520.0,909 CDM,PX-278000263,HC BOSTON SCIENTIFIC INFINION TRIAL LEAD KIT,4720.0,3540.0,2124.0,4720.0,909 CDM,PX-278000275,HC INTRACEPT BASIVERTEBRAL NERVE ABLATION PER 1,26400.0,19800.0,11880.0,26400.0,913 CDM,PX-278000276,HC NALU SYSTEM (2 LEAD KIT),3200.0,2400.0,1440.0,3200.0,911 CDM,PX-278000278,HC BIOTRONIK SCS TRIAL DEVICE,5000.0,3750.0,2250.0,5000.0,911 CDM,PX-27808,PR CLSD TX BIMALOR ANK WO MANIP,1811.0,1358.25,185.73,1756.67,683 CDM,PX-27810,PR CLSD TX BIMALOR ANK W MANIP,2926.0,2194.5,272.84,2838.22,683 CDM,PX-27814,PR OPN TX BIMALOR ANK FX,4542.0,3406.5,347.66,4405.74,683 CDM,PX-27816,PR CLSD TX TRIMALOR ANK WO MANIP,1661.0,1245.75,185.51,1611.17,683 CDM,PX-27818,PR CLSD TX TRIMALOR ANK FX MANIP,3441.0,2580.75,283.88,3337.77,683 CDM,PX-27822,PR OPN TX TRIMALOR ANK FX WO FIX,4837.0,3627.75,401.98,4691.89,683 CDM,PX-27823,PR OPN TX TRIMALOR ANK FX W FIX,5454.0,4090.5,449.16,5290.38,683 CDM,PX-27824,PR CLSD TX TIB W/WO ANES WO MANIP,1235.0,926.25,173.28,1197.95,683 CDM,PX-27827,PR OPN TX DIST TIBIA FX,6163.0,4622.25,512.16,5978.11,683 CDM,PX-27829,PR OPN TX DIST TIBFIB DISRPN,4185.0,3138.75,327.45,4059.45,683 CDM,PX-27832,PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,4280.0,3210.0,348.44,4151.6,683 CDM,PX-27840,PR CLSD TX DISLOC ANKLE WO ANES,2350.0,1762.5,219.81,2279.5,683 CDM,PX-27842,PR CLSD TX DISLOC ANKLE W ANES,3082.0,2311.5,238.68,2989.54,683 CDM,PX-27870,PR ARTHRODESIS ANKLE OPN,6387.0,4790.25,452.26,6195.39,683 CDM,PX-27880,PR AMP LEG THRU TIB &FIB,5265.0,3948.75,399.42,5107.05,683 CDM,PX-27882,PR AMP LEG THRU TIB &FIB OPN,4284.0,3213.0,268.12,4155.48,683 CDM,PX-27884,PR AMP LEG THRU TIB &FIB CLSR/REV,4044.0,3033.0,265.95,3922.68,683 CDM,PX-27886,PR AMP LEG THRU TIB &FIB REAMP,4712.0,3534.0,292.22,4570.64,683 CDM,PX-27894,PR DCMPRN LEG ANTR/LAT/POSTR DBRD,4471.0,3353.25,367.99,4336.87,683 CDM,PX-279000000,HC WOUND VAC TX 1ST DEVICE USED,175.0,131.25,78.75,175.0,909 CDM,PX-279000001,HC WND VAC TX 2ND DEV-SME DAY USE,159.0,119.25,71.55,159.0,909 CDM,PX-28002,PR I&D FASCIA FOOT SNGL,1291.0,968.25,62.6,1252.27,697 CDM,PX-28005,PR INCISION FOOT BN LESN,1768.0,1326.0,262.04,1714.96,683 CDM,PX-28008,PR FASCIOTOMY FOOT&/TOE,1406.0,1054.5,206.06,1363.82,683 CDM,PX-28010,PR TENOTOMY TOE TNDN PERC SNGL,643.0,482.25,115.1,623.71,683 CDM,PX-28020,PR ARTHRT INTARS/TARSOMET RMVL FB,1979.0,1484.25,171.36,1919.63,697 CDM,PX-28022,PR ARTHRT MTRPHL W EXPL RMVL FB,1695.0,1271.25,242.52,1644.15,683 CDM,PX-28024,PR ARTHRT I-P W EXPL RMVL FB,1309.0,981.75,145.71,1269.73,697 CDM,PX-28035,PR RELEASE TARSAL TUNL,2564.0,1923.0,265.66,2487.08,683 CDM,PX-28039,PR EXCISN TMR FT/TOE SUBQ >=1.5CM,2051.0,1538.25,232.55,1989.47,683 CDM,PX-28041,PR EXCISN TMR FT/TOE SUBF >=1.5CM,2442.0,1831.5,206.1,2368.74,683 CDM,PX-28043,PR EXCISN TMR FT/TOE SUBQ <1.5CM,1653.0,1239.75,121.16,1603.41,697 CDM,PX-28045,PR EXCISN TMR FT/TOE SUBF <1.5CM,1649.0,1236.75,161.29,1599.53,697 CDM,PX-28047,PR EXCISN TMR FT/TOE >=3CM RADCL,6444.0,4833.0,467.49,6250.68,683 CDM,PX-28052,PR ARTHROTOMY W BX METATARSLPHL JT,2458.0,1843.5,118.88,2384.26,697 CDM,PX-28060,PR FASCIECTOMY PLANTAR PRTL,1862.0,1396.5,255.97,1806.14,683 CDM,PX-28080,PR EXCISN INTERDIGITAL NEUROMA,2069.0,1551.75,266.65,2006.93,683 CDM,PX-28086,PR SYNO FOOT TNDN SHEATH FLEXOR,3130.0,2347.5,263.1,3036.1,683 CDM,PX-28090,PR EXCISN LESN FT TNDN/SHTH/CPSL,1878.0,1408.5,228.76,1821.66,683 CDM,PX-28092,PR EXCISN LESN TOE TNDN/SHTH/CPSL,1731.0,1298.25,205.89,1679.07,683 CDM,PX-28104,PR EXCISN BN CYST/TMR TARSAL,2817.0,2112.75,263.45,2732.49,683 CDM,PX-28110,PR OSTECTOMY EXCISN 5TH MTRSL HD,1941.0,1455.75,227.66,1882.77,683 CDM,PX-28111,PR OSTECTOMY EXCISN 1ST MTRSL HD,2009.0,1506.75,230.71,1948.73,683 CDM,PX-28112,PR OSTECTOMY EXCISN 2-4TH MTRSL,1739.0,1304.25,234.93,1686.83,683 CDM,PX-28113,PR OSTECTOMY EXCISN 5TH MTRSL,2381.0,1785.75,285.15,2309.57,683 CDM,PX-28114,PR OSTECTOMY EXCISN ALL MTRSL HDS,4554.0,3415.5,389.31,4417.38,697 CDM,PX-28116,PR OSTECTOMY EXCISN TARSL COALITN,3353.0,2514.75,238.48,3252.41,697 CDM,PX-28118,PR OSTECTOMY CALCANEUS,2553.0,1914.75,307.65,2476.41,683 CDM,PX-28120,PR PRTL RMVL ANKLE/HEEL,3012.0,2259.0,334.6,2921.64,683 CDM,PX-28122,PR RMVL BN FT NOT ANK/HEEL PRTL,2754.0,2065.5,292.32,2671.38,683 CDM,PX-28124,PR PRTL RMVL PHALANX TOE,1674.0,1255.5,231.44,1623.78,683 CDM,PX-28150,PR RMVL TOE EA,2092.0,1569.0,129.98,2029.24,697 CDM,PX-28160,PR EXCISN I-P JT TOE PROX END,1894.0,1420.5,198.33,1837.18,683 CDM,PX-28190,PR RMVL FB FT SUBCUTANEOUS,1200.0,900.0,116.65,1164.0,683 CDM,PX-28192,PR RMVL FB FT DEEP,1517.0,1137.75,143.79,1471.49,697 CDM,PX-28200,PR RPR TNDN FLEXOR FT WO GRFT,2067.0,1550.25,245.7,2004.99,683 CDM,PX-28202,PR RPR TNDN FLX FT W GRFT EA,2892.0,2169.0,199.26,2805.24,697 CDM,PX-28208,PR RPR TNDN EXTENSOR FT,1843.0,1382.25,242.67,1787.71,683 CDM,PX-28210,PR RPR FOOT TENDON,2784.0,2088.0,194.4,2700.48,697 CDM,PX-28220,PR TENOLYSIS FLEXOR FT SNGL TNDN,1889.0,1416.75,141.35,1832.33,697 CDM,PX-28222,PR TENOLYSIS FLEXOR FT MULT TNDNS,2440.0,1830.0,170.85,2366.8,697 CDM,PX-28230,PR TENOTOMY TENDON FLEXOR FT OPN,1341.0,1005.75,209.99,1300.77,683 CDM,PX-28232,PR TENOTOMY TNDN FLEXOR TOE OPN,1304.0,978.0,182.38,1264.88,683 CDM,PX-28234,PR TENOTOMY EXTNSR FT/TOE OPN EA,860.0,645.0,200.62,834.2,683 CDM,PX-28238,PR RCNST POSTR TIB TNDN EXCIS,3207.0,2405.25,334.3,3110.79,683 CDM,PX-28270,PR CAPSULOTOMY METATARSOPHAL JT,1839.0,1379.25,238.3,1783.83,683 CDM,PX-28272,PR CAPSULOTOMY I-P EACH JOINT,1011.0,758.25,184.02,980.67,683 CDM,PX-28280,PR SYNDACTYLIZATION TOES,1832.0,1374.0,242.96,1777.04,683 CDM,PX-28285,PR CORRECTION HAMMERTOE,2730.0,2047.5,267.39,2648.1,683 CDM,PX-28288,PR OSTECTOMY MTRSL HD PRTL,2243.0,1682.25,297.58,2175.71,683 CDM,PX-28289,PR CORR BUNION W CHEILECTOMY,2783.0,2087.25,342.39,2699.51,683 CDM,PX-28292,PR CORR BUNION KELLER/MAYO TYPE,3259.0,2444.25,342.93,3161.23,683 CDM,PX-28295,PR CORR BUNION W SESAMDECTMY,5267.0,3950.25,518.1,5108.99,683 CDM,PX-28296,PR CORR BUNION W MTRSL OSTEOTOMY,3306.0,2479.5,430.65,3206.82,683 CDM,PX-28298,PR CORR BUNION PHALANX OSTEOT,3453.0,2589.75,418.92,3349.41,683 CDM,PX-28299,PR CORR BUNION DOUBLE OSTEOTOMY,3938.0,2953.5,504.71,3819.86,683 CDM,PX-28300,PR OSTEOTOMY CALCANEUS,3130.0,2347.5,298.02,3036.1,683 CDM,PX-28304,PR OSTEOTOMY TARSAL BN,3156.0,2367.0,424.36,3061.32,683 CDM,PX-28306,PR OSTEOTOMY 1ST METATARSAL,2974.0,2230.5,305.88,2884.78,683 CDM,PX-28308,PR OSTEOTOMY METATARSAL NOT 1ST,2158.0,1618.5,181.6,2093.26,697 CDM,PX-28310,PR OSTEOTOMY PROX PHALANX 1ST TOE,1949.0,1461.75,170.98,1890.53,697 CDM,PX-28315,PR SESAMOIDECTOMY 1ST TOE,2009.0,1506.75,234.7,1948.73,683 CDM,PX-28322,PR RPR METATAR BNS NON/MALUNION,3046.0,2284.5,396.21,2954.62,683 CDM,PX-28400,PR CLSD TX CALCANEAL FX WO MANIP,1314.0,985.5,131.87,1274.58,683 CDM,PX-28430,PR CLSD TX TALUS FX WO MANIP,1155.0,866.25,129.24,1120.35,683 CDM,PX-28450,PR CLSD TX TARSAL BN WO MANIP,1159.0,869.25,112.65,1124.23,683 CDM,PX-28470,PR CLSD TX METATARSAL FX WO MANIP,1041.0,780.75,115.38,1009.77,683 CDM,PX-28476,PR PERC FIX METATARSAL FX W MANIP,2220.0,1665.0,188.66,2153.4,683 CDM,PX-28485,PR OPN TX METATARSAL FX,2620.0,1965.0,264.48,2541.4,683 CDM,PX-28490,PR CLSD TX GRT TOE FX WO MANIP,757.0,567.75,77.14,734.29,683 CDM,PX-28495,PR CLSD TX GRT TOE FX W MANIP,653.0,489.75,75.24,633.41,697 CDM,PX-28505,PR OPN TX PHALANX FX INCL INT FIX,2465.0,1848.75,229.98,2391.05,697 CDM,PX-28510,PR CLSD TX PHALANX FX WO MANIP,712.0,534.0,63.75,690.64,683 CDM,PX-28515,PR CLSD TX PHALANX FX W MANIP,803.0,602.25,84.92,778.91,683 CDM,PX-28531,PR OPN TX SESAMD FX W/WO INT FIX,1664.0,1248.0,157.55,1614.08,683 CDM,PX-28555,PR OPN TX TARSAL DISLOC,4719.0,3539.25,298.53,4577.43,697 CDM,PX-28615,PR OPN TX TARSMET DISLOC,4122.0,3091.5,386.27,3998.34,683 CDM,PX-28630,PR CLSD TX MTRPHL DISLOC WO ANEST,686.0,514.5,54.07,665.42,697 CDM,PX-28645,PR OPN TX MTRPHL JOINT DISLOC,2257.0,1692.75,324.9,2189.29,683 CDM,PX-28660,PR CLSD TX I-P DISLOC WO ANEST,661.0,495.75,72.51,641.17,683 CDM,PX-28665,PR CLSD TX I-P DISLOC W ANEST,710.0,532.5,58.73,688.7,697 CDM,PX-28715,PR ARTHRODESIS TRIPLE,5198.0,3898.5,430.52,5042.06,683 CDM,PX-28725,PR ARTHRODESIS SUBTALAR,4397.0,3297.75,355.44,4265.09,683 CDM,PX-28730,PR ARTHRDSIS MIDT/TARSMET MULT,3253.0,2439.75,331.02,3155.41,683 CDM,PX-28740,PR ARTHRODESIS MIDT/TARSMET SNGL,3383.0,2537.25,413.3,3281.51,683 CDM,PX-28750,PR ARTHRODESIS GREAT TOE MTRPHL,3195.0,2396.25,506.14,3099.15,683 CDM,PX-28755,PR ARTHRODESIS GREAT TOE I-P,2259.0,1694.25,228.47,2191.23,697 CDM,PX-28805,PR AMP FOOT TRANSMETATARSAL,2865.0,2148.75,318.07,2779.05,683 CDM,PX-28810,PR AMP METATARSAL W TOE SINGLE,1672.0,1254.0,193.79,1621.84,683 CDM,PX-28820,PR AMP TOE MTP JOINT,2082.0,1561.5,145.01,2019.54,683 CDM,PX-28825,PR AMP TOE INTERPHALANGEAL JT,2050.0,1537.5,141.45,1988.5,683 CDM,PX-29065,PR APP CAST LONG ARM,439.0,329.25,31.35,425.83,697 CDM,PX-29075,PR APP CAST SHORT ELBOW-FGR,397.0,297.75,28.61,385.09,697 CDM,PX-29085,PR APP CAST SHORT ARM GAUNTLET,373.0,279.75,30.89,361.81,697 CDM,PX-29105,PR APP SPLINT LONG ARM,506.0,379.5,40.1,490.82,693 CDM,PX-29125,PR APP SPLINT SHORT ARM STATIC,313.0,234.75,32.67,303.61,693 CDM,PX-29126,PR APP SPLINT SHORT ARM DYNAMIC,334.0,250.5,22.18,323.98,697 CDM,PX-29130,PR APP SPLINT FINGER STATIC,195.0,146.25,22.44,189.15,683 CDM,PX-292000001,HC CRUTCHES NON WOOD,46.0,34.5,20.7,46.0,909 CDM,PX-292000007,HC WALKER FOLDING ADJUST/FIXED,84.0,63.0,37.8,84.0,909 CDM,PX-292000011,HC WALKER FOLDING WHEELED,121.0,90.75,54.45,121.0,909 CDM,PX-29345,PR APP CAST LONG LEG,621.0,465.75,44.56,602.37,697 CDM,PX-29355,PR APP CAST LONG LEG WALK,804.0,603.0,47.18,779.88,697 CDM,PX-29365,PR APP CAST CYLINDER,754.0,565.5,39.97,731.38,697 CDM,PX-29405,PR APP CAST SHORT LEG KNEE-TOE,368.0,276.0,36.31,356.96,683 CDM,PX-29425,PR APP CAST SHORT LEG WALK,453.0,339.75,25.0,439.41,697 CDM,PX-29445,PR APP CAST LEG RIGID TOT CONTACT,474.0,355.5,44.38,459.78,697 CDM,PX-29505,PR APP SPLINT LONG LEG,433.0,324.75,45.21,420.01,693 CDM,PX-29515,PR APP SPLINT SHORT LEG,357.0,267.75,40.11,346.29,683 CDM,PX-29580,PR STRAPPING UNNA BOOT,274.0,205.5,30.74,265.78,684 CDM,PX-29581,PR APP MULTILYR COMPRSN SYS LWR LEG,326.0,244.5,11.46,316.22,697 CDM,PX-29584,PR APP MULTILYR COMPRSN AM/HD/FIN,207.0,155.25,6.63,200.79,697 CDM,PX-29805,PR ARTHROSCOPY SHLDR DX W/WO BX,2433.0,1824.75,218.26,2360.01,683 CDM,PX-29806,PR ARTHSC SHLDR CAPSULORRHAPHY,5893.0,4419.75,473.35,5716.21,683 CDM,PX-29807,PR ARTHSC SHLDR RPR SLAP LESN,6123.0,4592.25,463.08,5939.31,683 CDM,PX-29819,PR ARTHSC SHLDR W RMVL FB,4355.0,3266.25,267.64,4224.35,683 CDM,PX-29820,PR ARTHSC SHLDR SYNO PARTIAL,3343.0,2507.25,244.16,3242.71,683 CDM,PX-29821,PR ARTHSC SHLDR SYNO COMPLETE,4322.0,3241.5,271.17,4192.34,683 CDM,PX-29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,3479.0,2609.25,250.91,3374.63,683 CDM,PX-29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,3324.0,2493.0,271.82,3224.28,683 CDM,PX-29824,PR ARTHSC SHLDR DISTAL CLAVTMY,3682.0,2761.5,310.79,3571.54,683 CDM,PX-29825,PR ARTHSC SHLDR LYSIS ADHESION,4017.0,3012.75,269.22,3896.49,683 CDM,PX-29826,PR ARTHSC SHLDR DCMPRN SUBACR SPC,2682.0,2011.5,143.9,2682.0,676 CDM,PX-29827,PR ARTHSC SHLDR W ROTATOR CUFF RPR,6327.0,4745.25,475.14,6137.19,683 CDM,PX-29828,PR ARTHSC SHLDR BICEPS TENODESIS,5219.0,3914.25,410.55,5062.43,683 CDM,PX-29834,PR ARTHSC ELBOW W RMVL FB,3872.0,2904.0,227.91,3755.84,683 CDM,PX-29835,PR ARTHSC ELBOW SYNOVECTOMY PRTL,4566.0,3424.5,236.72,4429.02,683 CDM,PX-29837,PR ARTHSC ELBOW DBRD LIMITED,4326.0,3244.5,246.29,4196.22,683 CDM,PX-29838,PR ARTHSC ELBOW DBRD EXTEN,4930.0,3697.5,271.65,4782.1,683 CDM,PX-29840,PR ARTHSC WRIST DX W/WO SYNOV BX,3028.0,2271.0,214.4,2937.16,683 CDM,PX-29844,PR ARTHSC WRST SYNOVECTOMY PRTL,3574.0,2680.5,229.11,3466.78,683 CDM,PX-29845,PR ARTHSC WRST SYNOVECTOMY COMPLT,4412.0,3309.0,266.06,4279.64,683 CDM,PX-29846,PR ARTHSC WRIST EXCISN/REPAIR,3752.0,2814.0,237.48,3639.44,683 CDM,PX-29848,PR ENDO WRST RLS TRNSV CRPL LGMNT,3468.0,2601.0,236.24,3363.96,683 CDM,PX-29850,PR KNEE ARTHROSCOPY/SURGERY,4914.0,3685.5,288.52,4766.58,683 CDM,PX-29862,PR ARTHSC HIP W DEBRIDEMENT,6106.0,4579.5,369.7,5922.82,683 CDM,PX-29868,PR ARTHSC KNE MNSC TRANSPL MED/LAT,11980.0,8985.0,735.63,11620.6,683 CDM,PX-29870,PR ARTHSC KNEE DX W/WO SYNOV BX,3381.0,2535.75,292.78,3279.57,683 CDM,PX-29871,PR ARTHSC KNEE LAVAGE&DRAINAGE,3084.0,2313.0,238.88,2991.48,683 CDM,PX-29873,PR ARTHSC KNEE W LAT RELEASE,3382.0,2536.5,253.22,3280.54,683 CDM,PX-29874,PR ARTHSC KNEE W RMVL FB,3750.0,2812.5,246.12,3637.5,683 CDM,PX-29875,PR ARTHSC KNEE SYNOVECTOMY LTD,2952.0,2214.0,230.58,2863.44,683 CDM,PX-29876,PR ARTHSC KNEE SYNOVECTOMY MJR,4043.0,3032.25,299.06,3921.71,683 CDM,PX-29877,PR ARTHSC KNEE DBRD/SHAVE CRTLG,4002.0,3001.5,285.39,3881.94,683 CDM,PX-29879,PR ARTHSC KNEE ABRASION ARTHRO,4627.0,3470.25,303.08,4488.19,683 CDM,PX-29880,PR ARTHSC KNE W MNSCECTOMY MED&LAT,4938.0,3703.5,259.24,4789.86,683 CDM,PX-29881,PR ARTHSC KNE W MNSCECTOMY MED/LAT,4343.0,3257.25,250.77,4212.71,683 CDM,PX-29882,PR ARTHSC KNE W MNSC RPR MED/LAT,4605.0,3453.75,312.37,4466.85,683 CDM,PX-29883,PR ARTHSC KNE W MNSC RPR MED&LAT,6115.0,4586.25,382.18,5931.55,683 CDM,PX-29884,PR ARTHSC KNEE W LYSIS ADHESN,4172.0,3129.0,285.05,4046.84,683 CDM,PX-29887,PR ARTHSC KNEE W DRILL INT FIX,6550.0,4912.5,345.36,6353.5,683 CDM,PX-29888,PR ARTHSC AID ACL RPR,7456.0,5592.0,432.99,7232.32,683 CDM,PX-29889,PR ARTHSC AID PCL RPR,8945.0,6708.75,550.57,8676.65,683 CDM,PX-29891,PR ARTHSC ANKLE EXCISN DEFECT,4317.0,3237.75,309.07,4187.49,683 CDM,PX-29892,PR ARTHSC REPAIR ANKLE,4552.0,3414.0,292.32,4415.44,683 CDM,PX-29894,PR ARTHSC ANKLE W RVML FB,3329.0,2496.75,231.57,3229.13,683 CDM,PX-29895,PR ARTHSC ANKLE SYNO PARTIAL,4002.0,3001.5,211.78,3881.94,683 CDM,PX-29897,PR ARTHSC ANKLE DRBD LIMITED,3077.0,2307.75,226.77,2984.69,683 CDM,PX-29898,PR ARTHSC ANKLE DRBD EXTEN,3212.0,2409.0,255.66,3115.64,683 CDM,PX-29914,PR ARTHRSC HIP W FEMOROPLASTY,6497.0,4872.75,445.47,6302.09,683 CDM,PX-29915,PR ARTHRSC HIP W ACETABULOPLSTY,7458.0,5593.5,453.75,7234.26,683 CDM,PX-29916,PR ARTHRSC HIP W LABRAL REPAIR,6358.0,4768.5,452.95,6167.26,683 CDM,PX-29999003,PR ARTHSC PSOAS TENDON LENGTH,3776.0,2832.0,94.4,3662.72,683 CDM,PX-29999004,PR ARTHSC CUBITAL TUNNEL RELEASE,4344.0,3258.0,108.6,4213.68,683 CDM,PX-29999005,PR ARTHSC BICEPS TENOTOMY,3618.0,2713.5,90.45,3509.46,683 CDM,PX-29999006,PR ARTHSC EXCN SYN CYST POP SPACE,3120.0,2340.0,78.0,3026.4,683 CDM,PX-29999007,PR ARTHSC SUBAC BALLOON SHLDR,6161.0,4620.75,154.03,5976.17,683 CDM,PX-29999009,PR ARTHSC SHLDR REMPLISSAGE,6327.0,4745.25,158.18,6137.19,683 CDM,PX-29999010,PR ARTHSC PSOAS LENGTH W CAPSULE PLICATION,5893.0,4419.75,147.33,5716.21,683 CDM,PX-30000,PR DRAIN ABSC/HEM NASAL INT APPR,1044.0,783.0,53.92,1012.68,697 CDM,PX-300000004,HC ABL1 KD VARIANTS,1100.0,825.0,300.0,1100.0,915 CDM,PX-300000007,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,525.0,282.88,700.0,916 CDM,PX-300000015,HC AMYL KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000016,HC ANLYS SEMEN VOL/CNT/MOT/DIFF,240.0,180.0,15.5,240.0,915 CDM,PX-300000020,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,300.0,137.0,400.0,916 CDM,PX-300000027,HC ARSA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000036,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,850.0,637.5,163.96,850.0,916 CDM,PX-300000037,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,850.0,637.5,144.84,850.0,916 CDM,PX-300000047,HC BRAF MUTAION ANALYSIS V600 TUMOR,700.0,525.0,175.4,700.0,915 CDM,PX-300000049,HC BTD FULL GENE ANALYSIS (BTD),700.0,525.0,274.83,700.0,916 CDM,PX-300000053,HC BWS/RSS MOLECULAR ANALYSIS,386.0,289.5,137.0,386.0,916 CDM,PX-300000055,HC C9ORF72 MOLECULAR ANALYSIS,700.0,525.0,315.0,700.0,910 CDM,PX-300000056,HC CALR MUTATION ANALYSIS,510.0,382.5,121.63,510.0,916 CDM,PX-300000060,HC CATH COLLECT URINE SPECIMEN,221.0,165.75,9.34,221.0,915 CDM,PX-300000063,HC CDKN1C FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CDM,PX-300000066,HC CELL COUNT BODY FLUID,57.0,42.75,4.72,57.0,915 CDM,PX-300000074,HC CFTR GENE KNOWN MUTATION,500.0,375.0,97.22,500.0,897 CDM,PX-300000077,HC CHIMERISM ANLYS NO CELL SELECT,1045.0,783.75,207.46,1045.0,916 CDM,PX-300000078,HC CHIMERISM ANLYS W CELL SELECT,1000.0,750.0,260.79,1000.0,916 CDM,PX-300000080,HC COLLECT BLOOD FROM IMPLANT VAD,295.0,221.25,44.12,295.0,918 CDM,PX-300000081,HC COLLECT BLOOD PICC VENOUS NOS,312.0,234.0,48.98,312.0,918 CDM,PX-300000083,HC COMPARATIVE STR MARKERS 2,1300.0,975.0,233.07,1300.0,915 CDM,PX-300000084,HC COMPARATIVE STR MARKERS,800.0,600.0,233.07,800.0,915 CDM,PX-300000098,HC CYP2C19 GENE ANALYSIS,600.0,450.0,291.36,600.0,916 CDM,PX-300000100,HC CYP2C9 GENE COM VARIANTS,600.0,450.0,174.81,600.0,915 CDM,PX-300000108,HC DAZ/SRY DELETION,400.0,300.0,185.2,400.0,916 CDM,PX-300000109,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,525.0,279.0,700.0,915 CDM,PX-300000114,HC EGFR GENE ANALYSIS COM VAR,1200.0,900.0,324.58,1200.0,916 CDM,PX-300000117,HC EXOME COMPARATOR,1240.0,930.0,839.11,18000.0,915 CDM,PX-300000118,HC EXOME,5334.0,4000.5,3609.52,7170.0,915 CDM,PX-300000120,HC F2 GENE ANLYS 20210G A/B VAR,400.0,300.0,65.69,400.0,917 CDM,PX-300000121,HC F5 LEIDEN VAR,400.0,300.0,73.37,400.0,917 CDM,PX-300000122,HC F8 INVERSION ANALYSIS 2,400.0,300.0,185.2,400.0,916 CDM,PX-300000139,HC FLT3 GENE,528.0,396.0,83.0,528.0,916 CDM,PX-300000140,HC FLTITD VARIANCE,528.0,396.0,165.51,528.0,916 CDM,PX-300000141,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,312.0,44.89,416.0,915 CDM,PX-300000142,HC FMR1 FRAGL X SYNDRM ANLY,500.0,375.0,57.04,500.0,915 CDM,PX-300000145,HC GAA FULL GENE SEQUENCE (GAAN),700.0,525.0,282.88,700.0,916 CDM,PX-300000146,HC GAA KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000151,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,525.0,315.0,700.0,910 CDM,PX-300000152,HC GAUCHER DISEASE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000158,HC GLA FULL GENE ANALYSIS (GLA),700.0,525.0,301.35,700.0,916 CDM,PX-300000159,HC GLA KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000171,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,525.0,315.0,700.0,910 CDM,PX-300000173,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,525.0,282.88,700.0,916 CDM,PX-300000174,HC HEXA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000176,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,300.0,65.36,400.0,916 CDM,PX-300000177,HC HLA CL I ABC TYPING HR,1492.0,1119.0,335.38,1492.0,915 CDM,PX-300000178,HC HLA CL I ABC TYPING LR,945.0,708.75,403.59,945.0,915 CDM,PX-300000180,HC HLA CL II TYPING HR,530.0,397.5,123.68,530.0,915 CDM,PX-300000181,HC HLA CONFIRM TYPING LR,1066.0,799.5,404.52,1066.0,915 CDM,PX-300000184,HC HLA DP TYPING LR,475.0,356.25,122.22,475.0,918 CDM,PX-300000185,HC HLA DQ CONFIRM TYPING LR,485.0,363.75,122.22,485.0,918 CDM,PX-300000187,HC HLA I TYPING 1 ANTIGEN LR,258.0,193.5,74.33,258.0,916 CDM,PX-300000190,HC HLAB 5701,600.0,450.0,169.9,600.0,916 CDM,PX-300000192,HC HLAB 5801,600.0,450.0,169.9,600.0,916 CDM,PX-300000203,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,525.0,282.88,700.0,916 CDM,PX-300000206,HC IGH GENE REARRANGE,1000.0,750.0,197.99,1000.0,916 CDM,PX-300000207,HC IGH SOMATIC HYPERMUTATION,1050.0,787.5,294.52,1050.0,915 CDM,PX-300000208,HC IGK REARRANGE ABN CLONAL POP,935.0,701.25,172.73,935.0,916 CDM,PX-300000216,HC JAK2 GENE ANALYSIS V617F,400.0,300.0,91.66,400.0,917 CDM,PX-300000233,HC MCAD MUTATION SCREEN (ACADM),700.0,525.0,315.0,700.0,910 CDM,PX-300000234,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1275.0,1150.39,1740.0,915 CDM,PX-300000235,HC MCR MICROARRAY POC,1700.0,1275.0,1150.39,1740.0,915 CDM,PX-300000244,HC MGMT METHYLATION ANALYSIS,500.0,375.0,124.64,500.0,915 CDM,PX-300000245,HC MICROARRAY BLOOD,1700.0,1275.0,1150.39,1740.0,915 CDM,PX-300000247,HC MICROARRAY PRENATAL,1700.0,1275.0,1150.39,1740.0,915 CDM,PX-300000248,HC MICROSATELLITE INSTABILITY,1200.0,900.0,348.56,1200.0,915 CDM,PX-300000252,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,375.0,192.32,500.0,915 CDM,PX-300000270,HC MSH2 KNOWN MUTATION,500.0,375.0,337.73,506.6,915 CDM,PX-300000289,HC PML/RARALPHA BKPT QUAL/QUANT,700.0,525.0,207.31,700.0,915 CDM,PX-300000294,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,375.0,331.0,500.0,915 CDM,PX-300000301,HC PRSS1 FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,916 CDM,PX-300000315,HC SDH KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000330,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,375.0,51.07,500.0,915 CDM,PX-300000332,HC SPEC HANDLE &/OR CONVEY OTHER,36.0,27.0,16.2,36.0,910 CDM,PX-300000337,HC STR MARKERS SPECIMEN ANAL ADD,300.0,225.0,203.01,457.22,915 CDM,PX-300000355,HC TRB GENE REARRANGE AMPLIFY,865.0,648.75,208.92,865.0,916 CDM,PX-300000356,HC TREC IMMUNE RECONSTITUTION,700.0,525.0,315.0,700.0,910 CDM,PX-300000357,HC TRG GENE REARRANGEMENT ANALYS,900.0,675.0,201.5,900.0,916 CDM,PX-300000368,HC UPD UNIPARENTAL DISOMY,700.0,525.0,150.33,700.0,915 CDM,PX-300000370,HC VENIPUNCTURE,29.0,21.75,9.34,29.0,876 CDM,PX-300000371,HC VHL GENE FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,916 CDM,PX-300000372,HC VHL KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000402,HC IDS KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000408,HC X-ALD KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CDM,PX-300000414,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,525.0,301.35,700.0,916 CDM,PX-300000416,HC NGS ACUTE MYELOID LEUKEMIA,2828.0,2121.0,759.53,2828.0,918 CDM,PX-300000417,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,3260.0,2445.0,759.53,3260.0,918 CDM,PX-300000468,HC POST EJACULATE ANALYSIS,168.0,126.0,19.59,168.0,915 CDM,PX-300000475,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,375.0,192.32,500.0,915 CDM,PX-300000484,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,235.5,137.0,314.0,916 CDM,PX-300000486,HC CYP21A2 COMMON VARIANTS,356.0,267.0,150.33,356.0,915 CDM,PX-300000491,HC CYP21A2 FULL GENE ANALYSIS,644.0,483.0,301.35,644.0,916 CDM,PX-300000504,HC CHLAMYDIA AB,126.0,94.5,11.82,126.0,915 CDM,PX-300000515,HC MONONUCLEAR CELL ANTIGEN,169.0,126.75,26.78,169.0,916 CDM,PX-300000523,HC BPGM FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CDM,PX-300000526,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1280.25,1155.13,1930.5,915 CDM,PX-300000580,HC KIT ASP816VAL MUT ANALYSIS - 1,560.0,420.0,124.87,560.0,917 CDM,PX-300000585,HC UGT1A1 GENE ANALYSIS 3,600.0,450.0,234.0,600.0,915 CDM,PX-300000588,HC NEXT GEN AML 8,2926.0,2194.5,759.53,2926.0,918 CDM,PX-300000590,HC NARCOLEPSY ASSOCIATED HLA AG,475.0,356.25,122.22,475.0,918 CDM,PX-300000610,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,375.0,280.0,500.0,915 CDM,PX-300000614,HC MLH1 GENE KNOWN VARIANTS,500.0,375.0,331.0,500.0,915 CDM,PX-300000615,HC MSH6 GENE KNOWN VARIANTS,500.0,375.0,308.0,500.0,897 CDM,PX-300000632,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,420.75,252.45,561.0,910 CDM,PX-300000650,HC GENOTYPE CARBAMAZEPINE,300.0,225.0,169.9,300.0,916 CDM,PX-300000696,HC CFDNA BRAF V600 TEST,900.0,675.0,175.4,900.0,915 CDM,PX-300000728,"HC KRAS GENE ADDTL VAR, PANEL",450.0,337.5,193.25,450.0,915 CDM,PX-300000729,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,337.5,193.25,450.0,915 CDM,PX-300000735,HC SERPINA1 FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CDM,PX-300000747,HC ALLERGEN IGE RECOMB/PURIFY EA,53.0,39.75,17.93,53.0,915 CDM,PX-300000748,HC DMD GENE MLPA,500.0,375.0,185.2,500.0,916 CDM,PX-300000754,HC CYP3A4 GENOTYPE,600.0,450.0,174.81,600.0,897 CDM,PX-300000755,HC CYP3A5 GENOTYPE,600.0,450.0,174.81,600.0,915 CDM,PX-300000756,HC DPYD GENOTYPE,600.0,450.0,174.81,600.0,916 CDM,PX-300000757,HC DPYD FULL GENE SEQUENCING,1000.0,750.0,174.81,1000.0,916 CDM,PX-300000760,HC G6PD FULL GENE ANALYSIS,1100.0,825.0,600.0,1100.0,915 CDM,PX-300000763,HC IL28B POLYMORPHISM GENOTYPE,600.0,450.0,73.37,600.0,915 CDM,PX-300000764,HC SLCO1B1 GENOTYPE STATIN,600.0,450.0,174.81,600.0,915 CDM,PX-300000765,HC HBB - BETA-GLOB GEN SEQ,500.0,375.0,324.58,500.0,915 CDM,PX-300000767,HC ALPHA GLOBIN GENE SEQUENCE,700.0,525.0,202.4,700.0,915 CDM,PX-300000768,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,375.0,338.35,900.0,915 CDM,PX-300000769,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,525.0,202.4,700.0,915 CDM,PX-300000777,HC GALC GENE,700.0,525.0,137.0,700.0,916 CDM,PX-300000778,HC CFDNA EGFR T790M,900.0,675.0,324.58,900.0,916 CDM,PX-300000783,HC JAK2 GENE TRGT SEQ ANALYSIS,400.0,300.0,121.91,400.0,916 CDM,PX-300000791,HC CYP1A2 GENE COMMON VARIANTS,600.0,450.0,174.81,600.0,915 CDM,PX-300000792,HC COMT GENE,600.0,450.0,174.81,600.0,915 CDM,PX-300000794,HC RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,450.0,406.02,1113.41,915 CDM,PX-300000795,HC RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,525.0,134.13,700.0,915 CDM,PX-300000796,HC TPMT NUDT15 GENE COMMON VARIANTS,600.0,450.0,406.02,699.26,916 CDM,PX-300000803,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,375.0,185.2,500.0,916 CDM,PX-300000835,HC PKLR FULL GENE AND DELETION,500.0,375.0,301.35,500.0,916 CDM,PX-300000882,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,163.96,850.0,916 CDM,PX-300000883,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,144.84,850.0,916 CDM,PX-300000884,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),950.0,712.5,214.62,950.0,916 CDM,PX-300000896,"HC CXCR4, GENE MUTATION, REFLEX",808.0,606.0,363.6,808.0,910 CDM,PX-300000897,HC CXCR4 MUTATION,609.0,456.75,274.05,609.0,910 CDM,PX-300001096,HC BRAF MUTATION ANALYSIS V600E 1,900.0,675.0,175.4,900.0,915 CDM,PX-300001097,HC CALR MUTATION ANALYSIS 1,510.0,382.5,121.63,510.0,916 CDM,PX-300001100,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,375.0,185.2,500.0,916 CDM,PX-300001113,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,900.0,324.58,1200.0,916 CDM,PX-300001114,HC JAK2 GENE ANALYSIS (MPNR),550.0,412.5,91.66,550.0,917 CDM,PX-300001115,HC JAK2 GENE ANALYSIS (PVJAK),550.0,412.5,91.66,550.0,917 CDM,PX-300001137,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,469.5,185.2,626.0,916 CDM,PX-300001146,HC CYP2D6 GEN COM&SLCT RAR VRNT,600.0,450.0,406.02,1014.56,915 CDM,PX-300001147,HC CYP2D6 FULL GENE SEQUENCE,600.0,450.0,406.02,900.0,897 CDM,PX-300001148,HC CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,450.0,406.02,676.37,915 CDM,PX-300001152,HC CYP2D6 3' GENE DUP/MLT,600.0,450.0,406.02,676.37,915 CDM,PX-300001153,HC IG PARAPROTEIN QUAL SERUM,194.0,145.5,43.43,194.0,917 CDM,PX-300001154,HC CFTR GENE DUP/DEL VARIANTS (HPPAN),859.0,644.25,435.07,859.0,915 CDM,PX-300001155,HC CFTR GENE FULL SEQUENCE (HPPAN),1616.0,1212.0,499.0,1616.0,915 CDM,PX-300001169,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,163.96,850.0,916 CDM,PX-300001170,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,144.84,850.0,916 CDM,PX-300001171,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),950.0,712.5,214.62,950.0,916 CDM,PX-300001184,HC PRSS1 FULL GENE ANALYSIS (HPPAN),936.0,702.0,274.83,936.0,916 CDM,PX-300001186,HC SPINK1 FULL GENE ANALYSIS (HPPAN),458.0,343.5,274.83,458.0,916 CDM,PX-300001203,HC CTRC FULL GENE ANALYSIS (HPPAN),868.0,651.0,301.35,868.0,916 CDM,PX-300001225,"HC REFLEX ANALYSIS, NGSHM",2392.0,1794.0,759.53,2392.0,918 CDM,PX-300001227,HC GENE G6PD SEQ,500.0,375.0,338.35,562.88,915 CDM,PX-300001228,HC GENE GJB2 SEQ,500.0,375.0,61.52,500.0,915 CDM,PX-300001229,HC GENE HBA1/HBA2 SEQ,500.0,375.0,338.35,562.88,915 CDM,PX-300001231,HC GENE HBB SEQ,500.0,375.0,338.35,562.88,915 CDM,PX-300001237,HC GENE IDH1 (NGAMT),535.0,401.25,193.25,535.0,915 CDM,PX-300001238,HC GENE IDH2 (NGAMT),669.0,501.75,295.79,669.0,915 CDM,PX-300001239,HC FLT3 GENE DUP VAR (NGAMT),528.0,396.0,165.51,528.0,916 CDM,PX-300001240,HC FLT3 GENE DOMAIN VAR (NGAMT),268.0,201.0,83.0,268.0,916 CDM,PX-300001337,HC AR GENE CHARAC ALLELES,400.0,300.0,137.0,400.0,915 CDM,PX-300001338,HC ATN1 GENE DETC ABNOR ALLELES,500.0,375.0,137.0,500.0,915 CDM,PX-300001344,HC HTT GENE DETC ABNOR ALLELES,400.0,300.0,137.0,400.0,915 CDM,PX-300001345,HC MYD88 GENE PRO VRNT,500.0,375.0,175.4,500.0,916 CDM,PX-300001346,HC MYD88 GENE PRO VRNT (LPLFX),505.0,378.75,175.4,505.0,916 CDM,PX-300001348,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,300.0,137.0,400.0,915 CDM,PX-300001349,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,300.0,137.0,400.0,915 CDM,PX-300001350,HC SMN1 GENE FULL GENE SEQ,1000.0,750.0,301.35,1000.0,915 CDM,PX-300001353,HC INFCT DS CHRNC HCV 6 ASSAYS,198.0,148.5,72.19,198.0,915 CDM,PX-300001430,HC HLA II TYPING 1 LOCUS LR (SSOGP),480.0,360.0,122.22,480.0,918 CDM,PX-300001431,HC HLA I & II TYPING LR (SSOGP),1632.0,1224.0,402.12,1632.0,918 CDM,PX-300001484,HC CHD GENETIC RISK SCORE,800.0,600.0,360.0,800.0,909 CDM,PX-300001485,HC CYP2B6 GENOTYPE (2B6V),600.0,450.0,270.0,600.0,910 CDM,PX-300001549,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CDM,PX-300001562,HC AGXT KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CDM,PX-300001567,HC APAOA1 KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CDM,PX-300001577,HC HLA CLASS I TYPING LOW RESOL (HLABD),886.0,664.5,403.59,886.0,915 CDM,PX-300001578,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),622.0,466.5,220.74,622.0,915 CDM,PX-300001581,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,750.0,274.83,1000.0,916 CDM,PX-300001584,HC WHOLE MITOCHON GENOME (MITOP),793.0,594.75,536.62,1404.0,915 CDM,PX-300001585,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300001593,"HC LYMPH3CX, LG BCELL LYMPHOMA MRNA",4239.0,3179.25,2510.21,4239.0,915 CDM,PX-300001595,HC SERPINC1 FULL GENE NGS,884.0,663.0,397.8,884.0,910 CDM,PX-300001619,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,375.0,324.58,500.0,915 CDM,PX-300001620,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,300.0,180.0,400.0,910 CDM,PX-300001625,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1650.0,1160.0,2200.0,916 CDM,PX-300001626,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1650.0,1160.0,2200.0,916 CDM,PX-300001627,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1650.0,1160.0,2200.0,916 CDM,PX-300001630,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,525.0,202.4,700.0,915 CDM,PX-300001650,HC RBC TYPING VITALANT,1304.0,978.0,720.0,1304.0,916 CDM,PX-300001663,HC NPM1 MUTATION ANALYSIS (NPM1Q),475.0,356.25,246.52,475.0,915 CDM,PX-300001669,HC HLA I & II TYPING HR,2065.0,1548.75,345.57,2065.0,916 CDM,PX-300001674,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,675.0,175.4,900.0,915 CDM,PX-300001688,HC NTRK TRANSLOC ANALYSIS,2000.0,1500.0,518.28,2000.0,915 CDM,PX-300001689,HC MPL GENE SEQ ALYS EXON 10,545.0,408.75,185.2,545.0,916 CDM,PX-300001690,"HC MPL GENE SEQ ALYS EXON 10, 2",567.0,425.25,185.2,567.0,916 CDM,PX-300001693,HC TP53 GENE TARGET SEQ,728.0,546.0,329.51,728.0,916 CDM,PX-300001694,HC TP53 GENE TARGET SEQ (NGAMT),759.0,569.25,329.51,759.0,916 CDM,PX-300001697,HC ADRENAL CORTICAL ASSAY 25,2231.0,1673.25,1305.37,2231.0,915 CDM,PX-300001699,HC LYMPH2CX MRNA (LM2CX),4018.0,3013.5,2510.21,4018.0,915 CDM,PX-300001713,HC CDG GENE PANEL (CDGGP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300001714,HC MOPATH PROC LEVEL 6 (APGP),623.0,467.25,301.35,623.0,916 CDM,PX-300001715,HC MOPATH PROC LEVEL 7 (APGP),585.0,438.75,282.88,585.0,916 CDM,PX-300001716,HC MOPATH PROC (APGP),207.0,155.25,93.15,207.0,910 CDM,PX-300001717,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300001718,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,780.0,703.77,3672.84,916 CDM,PX-300001719,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,701.25,632.71,1930.5,915 CDM,PX-300001720,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,393.75,355.27,1404.0,915 CDM,PX-300001721,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001722,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001723,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1560.0,1407.54,3672.84,916 CDM,PX-300001724,HC MOPATH PROC LEVEL 6 (PCGP),625.0,468.75,301.35,625.0,916 CDM,PX-300001725,HC MOPATH PROC LEVEL 7 (PCGP),584.0,438.0,282.88,584.0,916 CDM,PX-300001726,HC MOPATH PROC (PCGP),207.0,155.25,93.15,207.0,910 CDM,PX-300001727,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300001729,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,750.0,450.0,1000.0,910 CDM,PX-300001730,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1560.0,936.0,2080.0,910 CDM,PX-300001731,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001732,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,1108.5,282.88,1478.0,916 CDM,PX-300001733,HC MOPATH PROC (TYRGP),522.0,391.5,234.9,522.0,910 CDM,PX-300001734,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,468.0,301.35,624.0,916 CDM,PX-300001735,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,438.75,282.88,585.0,916 CDM,PX-300001736,HC MOPATH PROC (PHEGP),206.0,154.5,92.7,206.0,910 CDM,PX-300001737,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,360.75,301.35,481.0,916 CDM,PX-300001738,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,339.75,282.88,453.0,916 CDM,PX-300001739,HC MOPATH PROC (MSUDP),160.0,120.0,72.0,160.0,910 CDM,PX-300001742,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001743,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,750.0,282.88,1000.0,916 CDM,PX-300001744,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001745,HC LSD GENE PANEL (LSDGP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300001746,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001747,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300001760,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,300.0,137.0,400.0,916 CDM,PX-300001765,HC APOL1 GENOTYPE,400.0,300.0,180.0,400.0,910 CDM,PX-300001771,HC CTFR COMMON VARIANTS (CFMP),281.0,210.75,190.15,834.9,915 CDM,PX-300001772,HC CTFR DUP/DEL (CFMP),219.0,164.25,148.2,652.61,915 CDM,PX-300001773,HC CTFR COMMON VARIANTS (CFSMN),352.0,264.0,238.2,834.9,915 CDM,PX-300001774,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,129.75,117.07,205.5,915 CDM,PX-300001775,HC CTFR DUP/DEL (CFSMN),275.0,206.25,186.09,652.61,915 CDM,PX-300001776,HC CTFR COMMON VARIANTS (CSFP),282.0,211.5,190.83,834.9,915 CDM,PX-300001777,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,104.25,94.06,205.5,915 CDM,PX-300001778,HC FMR1 GENE (CSFP),43.0,32.25,19.35,43.0,910 CDM,PX-300001779,HC HBA1/HBA2 GENE (CSFP),43.0,32.25,29.1,153.39,915 CDM,PX-300001780,HC HBB GENE (CSFP),73.0,54.75,49.4,262.22,915 CDM,PX-300001781,HC CTFR DUP/DEL (CSFP),220.0,165.0,148.87,652.61,915 CDM,PX-300001785,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,600.0,137.0,800.0,916 CDM,PX-300001797,HC F5 LEIDEN VAR (F5DNA),400.0,300.0,73.37,400.0,917 CDM,PX-300001803,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,367.5,193.25,490.0,915 CDM,PX-300001804,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,307.5,193.25,410.0,915 CDM,PX-300001806,HC INV(16) CBFB-MYH11 QUANT,523.0,392.25,137.0,523.0,916 CDM,PX-300001808,HC ATAXIN 1 GENE (SCAP),140.0,105.0,94.74,205.5,915 CDM,PX-300001809,HC ATAXIN 2 GENE (SCAP),140.0,105.0,94.74,205.5,915 CDM,PX-300001810,HC ATAXIN 3 GENE (SCAP),140.0,105.0,94.74,205.5,915 CDM,PX-300001811,HC ATAXIN 7 GENE (SCAP),140.0,105.0,94.74,205.5,915 CDM,PX-300001813,HC ATAXIN 1 GENE (SCARA),500.0,375.0,137.0,500.0,915 CDM,PX-300001814,HC ATAXIN 2 GENE (SCARA),500.0,375.0,137.0,500.0,915 CDM,PX-300001815,HC ATAXIN 3 GENE (SCARA),500.0,375.0,137.0,500.0,915 CDM,PX-300001816,HC ATAXIN 7 GENE (SCARA),500.0,375.0,137.0,500.0,915 CDM,PX-300001818,HC BAP1 FULL GENE,1000.0,750.0,450.0,1000.0,910 CDM,PX-300001819,HC FLCN FULL GENE,1000.0,750.0,450.0,1000.0,910 CDM,PX-300001820,HC CDH1 FULL GENE,1000.0,750.0,282.88,1000.0,916 CDM,PX-300001821,HC HEREDITARY GI CANCER PANEL,2000.0,1500.0,1303.95,2000.0,915 CDM,PX-300001822,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1500.0,1303.95,2000.0,915 CDM,PX-300001823,HC BRCA1/2 FULL GENE,2000.0,1500.0,1353.4,2737.32,915 CDM,PX-300001824,HC HEREDITARY PGL/PCC PANEL,2000.0,1500.0,1303.95,2000.0,915 CDM,PX-300001825,HC FH FULL GENE,1000.0,750.0,301.35,1000.0,916 CDM,PX-300001826,HC NF1 FULL GENE,1000.0,750.0,676.7,3000.0,916 CDM,PX-300001827,HC PTEN FULL GENE,1000.0,750.0,600.0,1000.0,915 CDM,PX-300001828,HC RET FULL GENE,1000.0,750.0,282.88,1000.0,916 CDM,PX-300001829,HC STK11 FULL GENE,1000.0,750.0,301.35,1000.0,916 CDM,PX-300001830,HC VHL FULL GENE,1000.0,750.0,274.83,1000.0,916 CDM,PX-300001846,HC PTEN GENE (RENCP),284.0,213.0,192.18,900.0,915 CDM,PX-300001847,HC TP53 GENE (RENCP),302.0,226.5,204.36,962.78,916 CDM,PX-300001848,HC MOPATH PROC LEVEL 5 (RENCP),129.0,96.75,87.29,412.25,916 CDM,PX-300001849,HC MOPATH PROC LEVEL 6 (RENCP),142.0,106.5,96.09,452.03,916 CDM,PX-300001850,HC MOPATH PROC LEVEL 7 (RENCP),134.0,100.5,90.68,424.32,916 CDM,PX-300001851,HC MOPATH PROC LEVEL 8 (RENCP),397.0,297.75,268.65,1269.41,916 CDM,PX-300001852,HC MOPATH PROC (RENCP),65.0,48.75,29.25,65.0,910 CDM,PX-300001853,HC TP53 GENE (WILMP),1383.0,1037.25,641.85,1383.0,916 CDM,PX-300001854,HC WT1 GENE (WILMP),402.0,301.5,272.03,452.03,916 CDM,PX-300001855,HC MOPATH PROC (WILMP),215.0,161.25,96.75,215.0,910 CDM,PX-300001856,HC BRCA1/BRCA2 (XCP),240.0,180.0,162.41,2737.32,915 CDM,PX-300001857,HC APC GENE (XCP),110.0,82.5,74.44,1170.0,915 CDM,PX-300001858,HC MLH1 GENE (XCP),55.0,41.25,37.22,1013.1,915 CDM,PX-300001859,HC MSH2 GENE (XCP),52.0,39.0,35.19,572.55,915 CDM,PX-300001860,HC MSH6 GENE (XCP),170.0,127.5,115.04,962.78,915 CDM,PX-300001861,HC PALB2 GENE (XCP),180.0,135.0,121.81,1014.75,915 CDM,PX-300001862,HC PMS2 GENE DUP/DEL (XCP),30.0,22.5,20.3,305.25,915 CDM,PX-300001863,HC PTEN GENE (XCP),87.0,65.25,58.87,900.0,915 CDM,PX-300001864,HC TP53 GENE (XCP),95.0,71.25,64.29,962.78,916 CDM,PX-300001865,HC EPCAM GENE DUP/DEL (XCP),26.0,19.5,17.59,277.8,916 CDM,PX-300001866,HC MOPATH PROC LEVEL 5 (XCP),43.0,32.25,29.1,412.25,916 CDM,PX-300001867,HC MOPATH PROC LEVEL 6 (XCP),49.0,36.75,33.16,452.03,916 CDM,PX-300001868,HC MOPATH PROC LEVEL 7 (XCP),42.0,31.5,28.42,424.32,916 CDM,PX-300001869,HC MOPATH PROC LEVEL 8 (XCP),120.0,90.0,81.2,1269.41,916 CDM,PX-300001870,HC MOPATH PROC LEVEL 9 (XCP),245.0,183.75,165.79,3000.0,916 CDM,PX-300001871,HC MOPATH PROC (XCP),16.0,12.0,7.2,16.0,910 CDM,PX-300001872,HC BRCA1/BRCA2 (COMCP),263.0,197.25,177.97,2737.32,915 CDM,PX-300001873,HC APC GENE SEQ (COMCP),113.0,84.75,76.47,1170.0,915 CDM,PX-300001874,HC MLH1 GENE SEQ (COMCP),99.0,74.25,66.99,1013.1,915 CDM,PX-300001875,HC MSH2 GENE SEQ (COMCP),55.0,41.25,37.22,572.55,915 CDM,PX-300001876,HC MSH6 GENE SEQ (COMCP),252.0,189.0,170.53,962.78,915 CDM,PX-300001877,HC PALB2 GENE SEQ (COMCP),268.0,201.0,181.36,1014.75,915 CDM,PX-300001878,HC PMS2 (DUP/DEL) (COMCP),30.0,22.5,20.3,305.25,915 CDM,PX-300001879,HC PTEN GENE SEQ (COMCP),87.0,65.25,58.87,900.0,915 CDM,PX-300001880,HC TP53 GENE SEQ (COMCP),93.0,69.75,62.93,962.78,916 CDM,PX-300001881,HC EPCAM (DUP/DEL) (COMCP),23.0,17.25,15.56,277.8,916 CDM,PX-300001882,HC MOPATH PROC LEVEL 5 (COMCP),33.0,24.75,22.33,412.25,916 CDM,PX-300001883,HC MOPATH PROC LEVEL 6 (COMCP),35.0,26.25,23.68,452.03,916 CDM,PX-300001884,HC MOPATH PROC LEVEL 7 (COMCP),33.0,24.75,22.33,424.32,916 CDM,PX-300001885,HC MOPATH PROC LEVEL 9 (COMCP),235.0,176.25,159.02,3000.0,916 CDM,PX-300001886,HC MOPATH PROC (COMCP),12.0,9.0,5.4,12.0,910 CDM,PX-300001913,"HC RUNX1/RUNX1T1, QUANT",523.0,392.25,137.0,523.0,916 CDM,PX-300001916,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,525.0,137.0,700.0,915 CDM,PX-300001926,HC WHOLE EXOME SEQ (WESDX),3000.0,2250.0,2030.1,7170.0,915 CDM,PX-300001927,HC EXOME COMPARATOR (G226),1500.0,1125.0,1015.05,18000.0,915 CDM,PX-300001931,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,450.0,270.0,600.0,910 CDM,PX-300001935,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,337.5,193.25,450.0,915 CDM,PX-300001936,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,337.5,193.25,450.0,915 CDM,PX-300001938,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,525.0,137.0,700.0,915 CDM,PX-300001939,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1875.0,1691.75,3672.84,915 CDM,PX-300001940,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,750.0,450.0,1000.0,910 CDM,PX-300001941,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,750.0,527.87,1000.0,915 CDM,PX-300001943,HC MOPATH PROC LEVEL 6 (HMEP),129.0,96.75,87.29,452.03,916 CDM,PX-300001944,HC MOPATH PROC LEVEL 7 (HMEP),122.0,91.5,82.56,424.32,916 CDM,PX-300001945,HC MOPATH PROC LEVEL 8 (HMEP),363.0,272.25,245.64,1269.41,916 CDM,PX-300001946,HC MOPATH PROC LEVEL 9 (HMEP),858.0,643.5,580.61,3000.0,916 CDM,PX-300001947,HC MOPATH PROC (HMEP),43.0,32.25,19.35,43.0,910 CDM,PX-300001948,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,300.0,270.68,424.32,916 CDM,PX-300001949,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1200.0,846.27,1600.0,916 CDM,PX-300001950,HC INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1639.0,1229.25,725.0,1639.0,915 CDM,PX-300001954,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,900.0,274.83,1200.0,915 CDM,PX-300001955,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,900.0,274.83,1200.0,915 CDM,PX-300001957,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1125.0,320.0,1500.0,915 CDM,PX-300001959,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,89.25,80.53,412.25,916 CDM,PX-300001960,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,97.5,87.97,452.03,916 CDM,PX-300001961,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,92.25,83.23,424.32,916 CDM,PX-300001962,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,276.0,249.03,1269.41,916 CDM,PX-300001963,HC MOPATH PROC (RSCGP),44.0,33.0,19.8,44.0,910 CDM,PX-300001964,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,60.75,54.81,452.03,916 CDM,PX-300001965,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,57.75,52.11,424.32,916 CDM,PX-300001966,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,172.5,155.64,1269.41,916 CDM,PX-300001967,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,406.5,366.77,3000.0,916 CDM,PX-300001968,HC MOPATH PROC (RFSGS),26.0,19.5,11.7,26.0,910 CDM,PX-300001969,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1341.75,846.27,1789.0,916 CDM,PX-300001970,HC MOPATH PROC (ALAGP),211.0,158.25,94.95,211.0,910 CDM,PX-300001971,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,294.0,265.27,1269.41,916 CDM,PX-300001972,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,552.75,498.73,3000.0,916 CDM,PX-300001973,HC MOPATH PROC (ALPGP),134.0,100.5,60.3,134.0,910 CDM,PX-300001974,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,750.0,301.35,1000.0,916 CDM,PX-300001975,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,33.75,30.45,412.25,916 CDM,PX-300001976,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,38.25,34.51,452.03,916 CDM,PX-300001977,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,36.0,32.48,424.32,916 CDM,PX-300001978,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,108.0,97.44,1269.41,916 CDM,PX-300001979,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,255.75,230.75,3000.0,916 CDM,PX-300001980,HC MOPATH PROC (CKDGP),17.0,12.75,7.65,17.0,910 CDM,PX-300001981,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,264.75,238.88,452.03,916 CDM,PX-300001982,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,248.25,223.99,424.32,916 CDM,PX-300001983,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,651.0,587.38,1269.41,916 CDM,PX-300001984,HC MOPATH PROC (ADPKP),117.0,87.75,52.65,117.0,910 CDM,PX-300001985,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,1100.25,274.83,1467.0,916 CDM,PX-300001986,HC MOPATH PROC (AHUGP),533.0,399.75,239.85,533.0,910 CDM,PX-300001987,HC MOPATH PROC LEVEL 5 (RBART),365.0,273.75,247.0,412.25,916 CDM,PX-300001988,HC MOPATH PROC LEVEL 7 (RBART),377.0,282.75,255.12,424.32,916 CDM,PX-300001989,HC MOPATH PROC LEVEL 8 (RBART),1125.0,843.75,761.29,1269.41,916 CDM,PX-300001990,HC MOPATH PROC (RBART),133.0,99.75,59.85,133.0,910 CDM,PX-300001991,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,9.75,8.8,205.5,916 CDM,PX-300001992,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,15.75,14.21,412.25,916 CDM,PX-300001993,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,16.5,14.89,452.03,916 CDM,PX-300001994,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,15.75,14.21,424.32,916 CDM,PX-300001995,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,47.25,42.63,1269.41,916 CDM,PX-300001996,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,113.25,102.18,3000.0,916 CDM,PX-300001997,HC MOPATH PROC (NEPHP),10.0,7.5,4.5,10.0,910 CDM,PX-300001998,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,1875.0,1691.75,4986.0,915 CDM,PX-300001999,HC MITOCHON FULL GENOME (CMITO),1160.0,870.0,784.97,1930.5,915 CDM,PX-300002000,HC MITOCHON NUCLEAR (CMITO),2996.0,2247.0,2027.39,4986.0,915 CDM,PX-300002001,HC MITOCHON DELETION (CMITO),844.0,633.0,571.13,1404.0,915 CDM,PX-300002005,HC MOPATH PROC (PKLRG),200.0,150.0,90.0,200.0,910 CDM,PX-300002011,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1200.0,468.0,1600.0,915 CDM,PX-300002012,HC TP53 MUTATION ANALYSIS (TP53),1200.0,900.0,641.85,1200.0,916 CDM,PX-300002013,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002014,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002019,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002020,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002021,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1200.0,282.88,1600.0,916 CDM,PX-300002022,HC MOPATH PROC (BRFKT),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002027,HC IDH1 GENE (IDHQ),505.0,378.75,193.25,505.0,915 CDM,PX-300002028,HC IDH2 GENE (IDHQ),650.0,487.5,295.79,650.0,915 CDM,PX-300002032,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002033,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1500.0,504.0,2000.0,915 CDM,PX-300002034,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1500.0,584.9,2000.0,915 CDM,PX-300002035,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002036,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002037,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1500.0,584.9,2000.0,915 CDM,PX-300002038,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002039,HC FBN1 FULL GENE ANALYSIS,1000.0,750.0,676.7,3000.0,916 CDM,PX-300002040,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1500.0,504.0,2000.0,915 CDM,PX-300002041,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1500.0,1353.4,3215.4,915 CDM,PX-300002042,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002043,HC PRKAR1A FULL GENE ANALYSIS,1000.0,750.0,450.0,1000.0,910 CDM,PX-300002044,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,750.0,676.7,1269.41,916 CDM,PX-300002050,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,59.25,53.46,412.25,916 CDM,PX-300002051,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,64.5,58.2,452.03,916 CDM,PX-300002052,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,60.75,54.81,424.32,916 CDM,PX-300002053,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,181.5,163.76,1269.41,916 CDM,PX-300002054,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,316.5,285.57,3000.0,916 CDM,PX-300002055,HC MOPATH PROC (CHDGG),29.0,21.75,13.05,29.0,910 CDM,PX-300002056,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,187.5,169.18,452.03,916 CDM,PX-300002057,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1250.25,1128.06,3000.0,916 CDM,PX-300002058,HC MOPATH PROC (CPVTG),83.0,62.25,37.35,83.0,910 CDM,PX-300002059,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,102.0,92.03,452.03,916 CDM,PX-300002060,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,94.5,85.26,424.32,916 CDM,PX-300002061,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,672.75,607.0,3000.0,916 CDM,PX-300002062,HC MOPATH PROC (CVHBG),45.0,33.75,20.25,45.0,910 CDM,PX-300002063,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,729.75,658.43,3000.0,916 CDM,PX-300002064,HC MOPATH PROC (EDSGG),54.0,40.5,24.3,54.0,910 CDM,PX-300002065,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,172.5,155.64,424.32,916 CDM,PX-300002066,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,1033.5,846.27,1378.0,916 CDM,PX-300002067,HC MOPATH PROC (HCHLG),162.0,121.5,72.9,162.0,910 CDM,PX-300002068,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,446.25,282.88,595.0,916 CDM,PX-300002069,HC MOPATH PROC (HHTGG),215.0,161.25,96.75,215.0,910 CDM,PX-300002070,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,352.5,282.88,470.0,916 CDM,PX-300002071,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,1012.5,846.27,1350.0,916 CDM,PX-300002072,HC MOPATH PROC (HYPBG),180.0,135.0,81.0,180.0,910 CDM,PX-300002073,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,172.5,155.64,424.32,916 CDM,PX-300002074,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,1080.0,974.45,3000.0,916 CDM,PX-300002075,HC MOPATH PROC (LIPOG),100.0,75.0,45.0,100.0,910 CDM,PX-300002076,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,165.0,148.87,277.8,916 CDM,PX-300002077,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,243.75,219.93,424.32,916 CDM,PX-300002078,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,753.75,680.08,1269.41,916 CDM,PX-300002079,HC MOPATH PROC (LQTSG),125.0,93.75,56.25,125.0,910 CDM,PX-300002080,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,99.75,90.0,424.32,916 CDM,PX-300002081,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,628.5,567.07,3000.0,916 CDM,PX-300002082,HC MOPATH PROC (OIBFG),58.0,43.5,26.1,58.0,910 CDM,PX-300002083,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,326.25,185.2,435.0,916 CDM,PX-300002084,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,498.75,282.88,665.0,916 CDM,PX-300002085,HC MOPATH PROC (SQTSG),235.0,176.25,105.75,235.0,910 CDM,PX-300002087,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002088,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002089,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002090,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002091,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002092,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002094,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,375.0,225.0,500.0,910 CDM,PX-300002095,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,600.0,360.0,800.0,910 CDM,PX-300002096,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002097,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002098,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002099,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,600.0,360.0,800.0,910 CDM,PX-300002100,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002101,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",354.0,265.5,159.3,354.0,910 CDM,PX-300002103,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002107,HC MSUD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002108,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002112,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002113,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002116,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002117,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002118,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002119,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002120,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,525.0,315.0,700.0,910 CDM,PX-300002121,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1091.0,818.25,490.95,1091.0,910 CDM,PX-300002123,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002124,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002125,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002126,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002128,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002129,HC CPVT GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002130,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002131,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002132,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002133,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002134,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002135,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002136,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002137,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002138,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002139,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1500.0,584.9,2000.0,915 CDM,PX-300002140,HC ATAXIA GENE PANEL (ATAXP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002141,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002142,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,750.0,676.7,3000.0,916 CDM,PX-300002143,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002144,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002145,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1500.0,584.9,2000.0,915 CDM,PX-300002146,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002147,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002148,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002149,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002150,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002151,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1875.0,584.9,2500.0,915 CDM,PX-300002152,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002153,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002154,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,750.0,274.83,1000.0,916 CDM,PX-300002155,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,750.0,274.83,1000.0,916 CDM,PX-300002156,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,51.75,46.69,277.8,916 CDM,PX-300002157,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,76.5,69.02,412.25,916 CDM,PX-300002158,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,84.0,75.79,452.03,916 CDM,PX-300002159,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,78.75,71.05,424.32,916 CDM,PX-300002160,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,235.5,212.48,1269.41,916 CDM,PX-300002161,HC MOPATH PROC (AFTDP),37.0,27.75,16.65,37.0,910 CDM,PX-300002162,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002163,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,429.75,274.83,573.0,916 CDM,PX-300002164,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,471.0,301.35,628.0,916 CDM,PX-300002165,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,221.25,199.63,424.32,916 CDM,PX-300002166,HC MOPATH PROC (EDMDP),209.0,156.75,94.05,209.0,910 CDM,PX-300002167,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002168,HC MOPATH PROC LEVEL 5 (IMNP),380.0,285.0,257.15,412.25,916 CDM,PX-300002169,HC MOPATH PROC LEVEL 6 (IMNP),380.0,285.0,257.15,452.03,916 CDM,PX-300002170,HC MOPATH PROC LEVEL 7 (IMNP),380.0,285.0,257.15,424.32,916 CDM,PX-300002171,HC MOPATH PROC (IMNP),100.0,75.0,45.0,100.0,910 CDM,PX-300002172,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002173,HC MOPATH PROC LEVEL 4 (PARDP),60.0,45.0,40.6,277.8,916 CDM,PX-300002174,HC MOPATH PROC LEVEL 5 (PARDP),88.0,66.0,59.55,412.25,916 CDM,PX-300002175,HC MOPATH PROC LEVEL 6 (PARDP),98.0,73.5,66.32,452.03,916 CDM,PX-300002176,HC MOPATH PROC LEVEL 7 (PARDP),92.0,69.0,62.26,424.32,916 CDM,PX-300002177,HC MOPATH PROC LEVEL 8 (PARDP),275.0,206.25,186.09,1269.41,916 CDM,PX-300002178,HC MOPATH PROC LEVEL 9 (PARDP),649.0,486.75,439.18,3000.0,916 CDM,PX-300002179,HC MOPATH PROC (PARDP),32.0,24.0,14.4,32.0,910 CDM,PX-300002180,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002181,HC MOPATH PROC LEVEL 4 (SMCP),470.0,352.5,185.2,470.0,916 CDM,PX-300002182,HC MOPATH PROC LEVEL 7 (SMCP),460.0,345.0,282.88,460.0,916 CDM,PX-300002183,HC MOPATH PROC (SMCP),150.0,112.5,67.5,150.0,910 CDM,PX-300002184,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002186,HC B-CELL LYMPHOMA NGS,2558.0,1918.5,759.53,2558.0,918 CDM,PX-300002187,HC T-CELL LYMPHOMA NGS,2250.0,1687.5,759.53,2250.0,918 CDM,PX-300002189,HC PLASMA CELL MYELOMA NGS,2163.0,1622.25,759.53,2163.0,918 CDM,PX-300002190,HC CHRONIC LYMPHOID NEOPLASM NGS,2153.0,1614.75,759.53,2153.0,918 CDM,PX-300002193,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1500.0,1353.4,4379.4,916 CDM,PX-300002194,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3000.0,2706.8,7546.8,915 CDM,PX-300002495,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1500.0,1353.4,4064.93,915 CDM,PX-300002496,HC GENOME RE-EVALUATION (WGSR),1500.0,1125.0,1015.05,3506.48,915 CDM,PX-300002497,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,900.0,597.91,1200.0,916 CDM,PX-300002499,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1322.25,1193.02,2437.5,915 CDM,PX-300002500,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,552.75,498.73,1019.36,915 CDM,PX-300002501,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002503,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,750.0,282.88,1000.0,916 CDM,PX-300002510,HC ALPS GENE PANEL (ALPSG),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002511,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,750.0,282.88,1000.0,916 CDM,PX-300002512,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,750.0,499.0,1000.0,915 CDM,PX-300002513,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002514,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,750.0,450.0,1000.0,910 CDM,PX-300002515,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002516,HC HLH GENE PANEL (HLHGP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002517,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002518,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002519,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002520,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002521,HC CFTR GENE (HPANP),800.0,600.0,499.0,800.0,915 CDM,PX-300002522,HC CTRC GENE (HPANP),400.0,300.0,270.68,452.03,916 CDM,PX-300002523,HC MOPATH PROC LEVEL 5 (HPANP),400.0,300.0,270.68,412.25,916 CDM,PX-300002524,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002525,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002526,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002527,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2662.5,1597.5,3550.0,910 CDM,PX-300002528,HC CDA SEQUENCING NGS (NCDA),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002529,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,1125.0,301.35,1500.0,916 CDM,PX-300002530,HC MOPATH PROC (NMEM),500.0,375.0,225.0,500.0,910 CDM,PX-300002531,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2662.5,1597.5,3550.0,910 CDM,PX-300002532,HC VHL FULL GENE (NHEM),1466.0,1099.5,274.83,1466.0,916 CDM,PX-300002533,HC MOPATH PROC (NHEM),534.0,400.5,240.3,534.0,910 CDM,PX-300002534,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002535,HC VHL FULL GENE (NHEP),813.0,609.75,274.83,813.0,916 CDM,PX-300002536,HC PKLR FULL GENE (NHEP),892.0,669.0,301.35,892.0,916 CDM,PX-300002537,HC MOPATH PROC (NHEP),295.0,221.25,132.75,295.0,910 CDM,PX-300002538,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002539,HC GENE AR (FMTT),500.0,375.0,185.2,500.0,915 CDM,PX-300002540,HC GENE FXN (FMTT),500.0,375.0,185.2,500.0,915 CDM,PX-300002541,HC GENE PALB2 (FMTT),500.0,375.0,301.35,500.0,915 CDM,PX-300002544,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,300.0,65.69,400.0,917 CDM,PX-300002552,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1125.0,917.08,1500.0,916 CDM,PX-300002564,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1331.25,1201.14,3672.84,916 CDM,PX-300002565,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002566,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002567,"HC F7 GENE, FULL GENE (GNF7)",1450.0,1087.5,652.5,1450.0,910 CDM,PX-300002568,"HC F11 GENE, FULL GENE (GNF11)",1450.0,1087.5,652.5,1450.0,910 CDM,PX-300002569,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002570,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,750.0,450.0,1000.0,910 CDM,PX-300002571,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,1087.5,652.5,1450.0,910 CDM,PX-300002572,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1331.25,1201.14,3672.84,916 CDM,PX-300002573,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002574,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,1087.5,846.27,1450.0,916 CDM,PX-300002575,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,750.0,600.0,1000.0,915 CDM,PX-300002576,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002577,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002578,HC VWF GENE (GNVWD),1900.0,1425.0,1285.73,3000.0,916 CDM,PX-300002579,HC GP1BA GENE (GNVWD),100.0,75.0,45.0,100.0,910 CDM,PX-300002580,HC VWF AND GP1BA GENES (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002581,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002583,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002584,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002585,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002586,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1331.25,1201.14,3672.84,916 CDM,PX-300002590,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002591,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002592,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002593,HC SCID GENE PANEL (SCIDP),2000.0,1500.0,1353.4,3672.84,916 CDM,PX-300002594,"HC F9 GENE, FULL GENE (GNBLF)",296.0,222.0,200.3,900.0,915 CDM,PX-300002595,"HC F8 GENE, FULL GENE (GNBLF)",418.0,313.5,282.86,1269.41,916 CDM,PX-300002596,HC VWF GENE (GNBLF),987.0,740.25,667.9,3000.0,916 CDM,PX-300002597,HC MOPATH PROC (GNBLF),50.0,37.5,22.5,50.0,910 CDM,PX-300002598,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1312.5,787.5,1750.0,910 CDM,PX-300002599,HC BRCA1/BRCA2 GENE (BRTP),710.0,532.5,480.46,2737.32,915 CDM,PX-300002600,HC PALB2 GENE (BRTP),263.0,197.25,177.97,1014.75,915 CDM,PX-300002601,HC PTEN GENE (BRTP),233.0,174.75,157.67,900.0,915 CDM,PX-300002602,HC TP53 GENE (BRTP),250.0,187.5,169.18,962.78,916 CDM,PX-300002603,HC STK11 GENE (BRTP),118.0,88.5,79.85,452.03,916 CDM,PX-300002604,HC CDH1 GENE (BRTP),110.0,82.5,74.44,424.32,916 CDM,PX-300002605,HC ATM GENE (BRTP),777.0,582.75,525.8,3000.0,916 CDM,PX-300002606,HC MOPATH PROC (BRTP),39.0,29.25,17.55,39.0,910 CDM,PX-300002607,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002608,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1200.0,597.91,1600.0,915 CDM,PX-300002609,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1200.0,597.91,1600.0,915 CDM,PX-300002615,HC FH MUTATION ANALYSIS (TFH),1200.0,900.0,301.35,1200.0,916 CDM,PX-300002616,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002617,HC POLE MUTATION ANALYSIS (POLET),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002618,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002619,HC ALK MUTATION ANALYSIS (ALKT),1200.0,900.0,540.0,1200.0,910 CDM,PX-300002621,HC VHL GENE (MCFRC),280.0,210.0,189.48,412.25,916 CDM,PX-300002622,HC TSC1 GENE (MCFRC),290.0,217.5,196.24,424.32,916 CDM,PX-300002623,HC TSC2 GENE (MCFRC),850.0,637.5,575.2,1269.41,916 CDM,PX-300002624,HC MOPATH PROC (MCFRC),180.0,135.0,81.0,180.0,910 CDM,PX-300002625,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002629,HC SDHD GENE (SDHMP),400.0,300.0,270.68,412.25,916 CDM,PX-300002630,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,300.0,270.68,452.03,916 CDM,PX-300002631,HC SDHA GENE (SDHMP),400.0,300.0,270.68,424.32,916 CDM,PX-300002632,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002640,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,675.0,185.2,900.0,915 CDM,PX-300002645,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1200.0,720.0,1600.0,910 CDM,PX-300002647,HC CELIAC ASSOCIATED HLA-DQ TYPING,499.0,374.25,122.22,499.0,918 CDM,PX-300002648,HC CYP2C19 GENOTYPE (CYPR),600.0,450.0,291.36,600.0,916 CDM,PX-300002650,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,375.0,225.0,500.0,910 CDM,PX-300002651,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1425.0,504.0,1900.0,915 CDM,PX-300002652,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1425.0,584.9,1900.0,915 CDM,PX-300002653,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1425.0,584.9,1900.0,915 CDM,PX-300002654,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1425.0,584.9,1900.0,915 CDM,PX-300002655,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1425.0,1285.73,3672.84,916 CDM,PX-300002656,HC POSTMORTEM HLH GENE PANEL,1900.0,1425.0,1285.73,3672.84,916 CDM,PX-300002659,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2700.0,1345.31,3600.0,915 CDM,PX-300002660,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2700.0,2436.12,4484.33,916 CDM,PX-300002661,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002662,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002663,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002664,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002665,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002666,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002667,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002668,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2100.0,896.87,2800.0,916 CDM,PX-300002669,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002670,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002671,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002673,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,634.5,572.49,1345.31,916 CDM,PX-300002680,HC BRCA1/BRCA2 GENE (T1GS),114.0,85.5,77.14,2737.32,915 CDM,PX-300002681,HC MLH1 GENE SEQ (T1GS),42.0,31.5,28.42,1013.1,915 CDM,PX-300002682,HC MSH2 GENE SEQ (T1GS),24.0,18.0,16.24,572.55,915 CDM,PX-300002683,HC MSH6 GENE SEQ (T1GS),40.0,30.0,27.07,962.78,915 CDM,PX-300002684,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,31.5,28.42,1014.75,915 CDM,PX-300002685,HC MOPATH PROC LEVEL 4 (T1GS),11.0,8.25,7.44,277.8,916 CDM,PX-300002686,HC MOPATH PROC LEVEL 8 (T1GS),53.0,39.75,35.87,1269.41,916 CDM,PX-300002687,HC MOPATH PROC LEVEL 7 (T1GS),9.0,6.75,6.09,424.32,916 CDM,PX-300002688,HC MOPATH PROC (T1GS),6.0,4.5,2.7,6.0,910 CDM,PX-300002689,HC TIER 1 GENOMIC SCREEN (MEC),350.0,262.5,157.5,350.0,910 CDM,PX-300002706,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,525.0,202.4,700.0,915 CDM,PX-300002714,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1350.0,1218.06,4379.4,915 CDM,PX-300002715,HC PMS2 GENE SEQ (COMCP),101.0,75.75,68.35,1014.75,915 CDM,PX-300002719,HC PMS2 GENE SEQ (XCP),99.0,74.25,66.99,1014.75,915 CDM,PX-300002725,HC PKLR FULL GENE (PKLRZ),1000.0,750.0,301.35,1000.0,916 CDM,PX-300002728,HC IDH1/IDH2/TERT NGS,1600.0,1200.0,674.24,1600.0,915 CDM,PX-300002733,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1500.0,1303.95,2000.0,897 CDM,PX-300002734,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1500.0,1303.95,2000.0,897 CDM,PX-300002735,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1500.0,1303.95,2000.0,915 CDM,PX-300002736,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1500.0,1303.95,2000.0,915 CDM,PX-300002737,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1500.0,1303.95,2000.0,897 CDM,PX-300002739,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,525.0,202.4,700.0,915 CDM,PX-300002744,HC RAPID WHOLE GENOME SEQ,5500.0,4125.0,3721.85,7546.8,915 CDM,PX-300002745,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,2030.1,4064.93,915 CDM,PX-300002748,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,1125.0,320.0,1500.0,915 CDM,PX-300002749,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1125.0,1015.05,18000.0,915 CDM,PX-300002753,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1875.0,1303.95,2500.0,897 CDM,PX-300002754,HC D816V VARIANT ANALYSIS (KITQ),613.0,459.75,124.87,613.0,917 CDM,PX-300002760,HC BCR/ABL1 P210 QUANT (BCABL),850.0,637.5,163.96,850.0,916 CDM,PX-300002762,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,621.0,372.6,828.0,910 CDM,PX-300002768,HC HBB GENE DEL/DUP (CSFP),73.0,54.75,49.4,303.6,915 CDM,PX-300002770,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1500.0,1353.4,4379.4,916 CDM,PX-300002774,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,750.0,234.0,1000.0,915 CDM,PX-300002779,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3750.0,2250.0,5000.0,910 CDM,PX-300002784,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,427.5,385.72,748.5,915 CDM,PX-300002785,HC MOPATH PROC LEVEL 5 (PANGP),314.0,235.5,212.48,412.25,916 CDM,PX-300002786,HC MOPATH PROC LEVEL 6 (PANGP),344.0,258.0,232.78,452.03,916 CDM,PX-300002787,HC MOPATH PROC (PANGP),114.0,85.5,51.3,114.0,910 CDM,PX-300002788,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002789,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002790,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1875.0,1691.75,3672.84,916 CDM,PX-300002791,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002792,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1875.0,1691.75,3672.84,915 CDM,PX-300002793,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002794,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,624.0,499.0,832.0,915 CDM,PX-300002795,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,750.75,600.0,1001.0,915 CDM,PX-300002796,HC MOPATH PROC (PHCGD),167.0,125.25,75.15,167.0,910 CDM,PX-300002797,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002798,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1200.0,896.87,1600.0,916 CDM,PX-300002799,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,375.0,225.0,500.0,910 CDM,PX-300002803,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1050.0,630.0,1400.0,910 CDM,PX-300002805,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2700.0,1620.0,3600.0,910 CDM,PX-300002807,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1500.0,900.0,2000.0,910 CDM,PX-300002813,HC RAPID WHOLE GENOME SEQ,5500.0,4125.0,3721.85,11373.3,915 CDM,PX-300002814,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,2030.1,5686.65,915 CDM,PX-300002815,HC RT QUIC PRION CSF,120.0,90.0,81.2,811.49,915 CDM,PX-300002821,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2700.0,1620.0,3600.0,910 CDM,PX-300002822,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,750.0,450.0,1000.0,910 CDM,PX-300002823,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,750.0,450.0,1000.0,910 CDM,PX-300002824,HC BREAST CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,897 CDM,PX-300002825,HC COLON CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,915 CDM,PX-300002826,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,915 CDM,PX-300002832,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-300002835,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1500.0,1353.4,4379.4,916 CDM,PX-300002836,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1500.0,1353.4,4379.4,916 CDM,PX-300002837,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2065.5,1863.63,4379.4,916 CDM,PX-300002838,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1350.0,1218.06,4379.4,916 CDM,PX-300002839,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1875.0,1125.0,2500.0,910 CDM,PX-30100,PR BIOPSY INTRANASAL,553.0,414.75,29.85,536.41,697 CDM,PX-301000001,HC 17 HYDROXYPREGNENOLONE,211.0,158.25,22.81,211.0,916 CDM,PX-301000002,HC 5 HIAA ASSAY,110.0,82.5,12.9,110.0,916 CDM,PX-301000003,HC A1AT PROTEOTYPE,234.0,175.5,24.09,234.0,916 CDM,PX-301000007,HC ACHR GANGLIONIC AB RIA,333.0,249.75,18.4,333.0,916 CDM,PX-301000011,HC ACTH STIMULATION PANEL ADRENAL,235.0,176.25,32.62,235.0,919 CDM,PX-301000012,HC ACTH,315.0,236.25,38.62,315.0,917 CDM,PX-301000013,HC ACUTE HEPATITIS PANEL,437.0,327.75,47.63,437.0,917 CDM,PX-301000015,HC ACYLCARNITINE QUANT EA 2,251.0,188.25,16.87,251.0,915 CDM,PX-301000016,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,272.0,204.0,24.09,272.0,916 CDM,PX-301000019,HC ADMA MS QUANT,173.0,129.75,24.09,173.0,916 CDM,PX-301000020,HC AFP L3 FRACTN ISOFRM TTL AFP,353.0,264.75,64.41,353.0,916 CDM,PX-301000021,HC IMMUNOASSAY TUMOR OTHER QUANT,239.0,179.25,20.81,239.0,917 CDM,PX-301000022,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,36.0,27.0,4.95,36.0,918 CDM,PX-301000023,HC ALBUMIN URINE/OTHER SOURCE QUANT,83.0,62.25,7.78,83.0,916 CDM,PX-301000025,HC ALDOLASE ASSAY,84.0,63.0,9.71,84.0,916 CDM,PX-301000026,HC ALDOSTERONE SERUM,284.0,213.0,40.75,284.0,916 CDM,PX-301000027,HC ALDOSTERONE URINE,287.0,215.25,40.75,287.0,916 CDM,PX-301000028,HC ALK PHOSPHATASE ISOENZYMES,136.0,102.0,14.78,136.0,916 CDM,PX-301000029,HC ALK PHOSPHATASE,42.0,31.5,5.18,42.0,918 CDM,PX-301000031,HC ALPHA 1 ANTITRYPSIN TOTAL,141.0,105.75,13.44,141.0,916 CDM,PX-301000035,HC ALPHA FETOPROTEIN SERUM,125.0,93.75,16.77,125.0,917 CDM,PX-301000037,HC ALPHA GALACTOSIDASE LEUKOCYTE,283.0,212.25,22.17,283.0,916 CDM,PX-301000038,HC ALPHA GALACTOSIDASE PLASMA,283.0,212.25,22.17,283.0,916 CDM,PX-301000042,HC ALPHA SUBUNIT/APGH,209.0,156.75,14.12,209.0,916 CDM,PX-301000043,HC ALPHA1 ANTITRYPSIN PHENOTYPE,170.0,127.5,14.46,170.0,916 CDM,PX-301000045,HC ALT/SGPT,51.0,38.25,5.3,51.0,919 CDM,PX-301000046,HC ALUMINUM ASSAY,273.0,204.75,25.48,273.0,915 CDM,PX-301000047,HC AMIKACIN ASSAY RANDOM,160.0,120.0,15.08,160.0,916 CDM,PX-301000048,HC AMIKACIN ASSAY,160.0,120.0,15.08,160.0,916 CDM,PX-301000050,HC AMINO ACIDS 2 TO 5 QUANT EA,208.0,156.0,19.61,208.0,916 CDM,PX-301000051,HC AMINO ACIDS 6 OR MORE QUANT EA,392.0,294.0,16.87,392.0,915 CDM,PX-301000052,HC ENZYME ACTIVITY IN BLOOD CELLS 4,265.0,198.75,22.17,265.0,916 CDM,PX-301000053,HC AMINOLEVULINIC ACID,172.0,129.0,16.45,172.0,915 CDM,PX-301000054,HC DRUG THERAPEUTIC DRUG 2,270.0,202.5,18.64,270.0,916 CDM,PX-301000055,HC AMMONIA ASSAY,137.0,102.75,14.57,137.0,917 CDM,PX-301000060,HC AMYLASE ASSAY,52.0,39.0,6.48,52.0,917 CDM,PX-301000061,HC AMYLASE PANCREATIC ASSAY,52.0,39.0,6.48,52.0,917 CDM,PX-301000062,HC AMYLASE ASSAY 2,52.0,39.0,6.48,52.0,917 CDM,PX-301000063,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,275.0,206.25,24.09,275.0,916 CDM,PX-301000065,HC ANDROSTENEDIONE,261.0,195.75,29.28,261.0,916 CDM,PX-301000066,HC ANGIOTENSIN I CONVERT ENZYME,136.0,102.0,14.6,136.0,916 CDM,PX-301000080,HC APOLIPOPROTEIN EACH,104.0,78.0,21.09,104.0,916 CDM,PX-301000083,HC ARSENIC ASSAY URINE/SERUM/WB EA,193.0,144.75,18.97,193.0,916 CDM,PX-301000084,HC ARYLSULFATASE A LEUKOCYTES,283.0,212.25,22.17,283.0,916 CDM,PX-301000087,HC ASCORBIC ACID/VITAMIN C BLOOD,135.0,101.25,9.89,135.0,916 CDM,PX-301000088,HC AST/SGOT,67.0,50.25,5.18,67.0,920 CDM,PX-301000090,HC BASIC MET PANEL IONIZED CA,225.0,168.75,13.73,225.0,917 CDM,PX-301000091,HC BASIC METABOLIC PANEL TOTAL CA,192.0,144.0,8.46,192.0,921 CDM,PX-301000093,HC BETA 2 MICROGLOBULIN,162.0,121.5,16.18,162.0,916 CDM,PX-301000098,HC BETA HUMAN CHORIONIC GONADTRPN,130.0,97.5,15.05,130.0,920 CDM,PX-301000100,HC BILE ACID FRACT AND TOTAL,236.0,177.0,24.09,236.0,916 CDM,PX-301000101,HC BILE ACIDS TOTAL,110.0,82.5,17.12,110.0,916 CDM,PX-301000102,HC BILIRUBIN DIRECT,31.0,23.25,5.02,31.0,920 CDM,PX-301000103,HC BILIRUBIN TOTAL,31.0,23.25,5.02,31.0,917 CDM,PX-301000104,HC BIOTINIDASE EA SPECIMEN,68.0,51.0,16.87,68.0,916 CDM,PX-301000105,HC BLD GASES ANY COMBINATION,106.0,79.5,26.07,106.0,917 CDM,PX-301000111,HC BULLOUS PEMPHGD EACH,116.0,87.0,11.53,116.0,916 CDM,PX-301000115,HC C PEPTIDE ASSAY,125.0,93.75,20.81,125.0,917 CDM,PX-301000116,HC C1 ESTERASE INHIB AG S,260.0,195.0,13.6,260.0,916 CDM,PX-301000117,HC C1 ESTERASE INHIBITOR QUANT,271.0,203.25,17.27,271.0,917 CDM,PX-301000118,HC CA URINE QUANT TIMED SPECIMEN,63.0,47.25,6.03,63.0,916 CDM,PX-301000119,HC CADMIUM BLOOD,172.0,129.0,23.64,172.0,916 CDM,PX-301000120,HC CADMIUM URINE,172.0,129.0,23.64,172.0,916 CDM,PX-301000122,HC CAFFEINE ASSAY,98.0,73.5,38.57,98.0,915 CDM,PX-301000123,HC CALCITONIN LYMPH NODE,196.0,147.0,26.79,196.0,916 CDM,PX-301000126,HC CALCIUM IONIZED,102.0,76.5,13.68,102.0,918 CDM,PX-301000127,HC CALCIUM TOTAL,47.0,35.25,5.16,47.0,919 CDM,PX-301000128,HC CALCULUS INFRARED SPECTROSCOPY,130.0,97.5,12.9,130.0,916 CDM,PX-301000129,HC CALPROTECTIN FECAL,265.0,198.75,19.63,265.0,917 CDM,PX-301000131,HC CARBAMAZEPINE FREE ASSAY,141.0,105.75,13.25,141.0,915 CDM,PX-301000132,HC CARBAMAZEPINE/TEGRETOL ASSAY,115.0,86.25,14.57,115.0,916 CDM,PX-301000133,HC CARBOHYDRATE DEF TRANSFERRIN,320.0,240.0,18.06,320.0,915 CDM,PX-301000134,HC SUGARS MULT QUAL,126.0,94.5,5.5,126.0,915 CDM,PX-301000135,HC CARBOXYHEMOGLOBIN QUANT,106.0,79.5,12.32,106.0,917 CDM,PX-301000136,HC CARCINOEMBRYONIC ANTIGEN/CEA,136.0,102.0,18.96,136.0,916 CDM,PX-301000137,HC CARNITINE QUANT EA SPECIMEN,180.0,135.0,16.87,180.0,915 CDM,PX-301000139,HC CATECHOLAMINES FRACTIONATED,287.0,215.25,25.25,287.0,916 CDM,PX-301000140,HC CENTOMERE AB MULT,117.0,87.75,11.53,117.0,916 CDM,PX-301000144,HC CERULOPLASMIN,105.0,78.75,10.74,105.0,916 CDM,PX-301000146,HC CHLORIDE BLOOD,20.0,15.0,4.6,20.0,918 CDM,PX-301000147,HC CHLORIDE OTHER SOURCE,83.0,62.25,5.0,83.0,915 CDM,PX-301000148,HC CHLORIDE URINE,42.0,31.5,5.75,42.0,916 CDM,PX-301000150,HC CHOLESTEROL NON SERUM,72.0,54.0,8.1,72.0,916 CDM,PX-301000151,HC CHOLESTEROL TOTAL,29.0,21.75,4.35,29.0,916 CDM,PX-301000155,HC CHOLINESTERASE SERUM,92.0,69.0,7.87,92.0,915 CDM,PX-301000158,HC CHROMIUM ASSAY,119.0,89.25,20.28,119.0,916 CDM,PX-301000162,HC CITRATE ASSAY,232.0,174.0,27.8,232.0,916 CDM,PX-301000163,HC CLOZAPINE ASSAY,134.0,100.5,20.15,134.0,915 CDM,PX-301000164,HC CO2 ASSAY,31.0,23.25,4.88,31.0,917 CDM,PX-301000167,HC COENZYME Q10 REDUC&TOTAL,295.0,221.25,24.09,295.0,916 CDM,PX-301000168,HC COL CHR/MS NES,293.0,219.75,24.09,293.0,916 CDM,PX-301000169,HC COL CHR/MS STABLE MULT QUANT,287.0,215.25,24.09,287.0,916 CDM,PX-301000170,HC COLLAGEN CROSS LINKS,227.0,170.25,18.68,227.0,915 CDM,PX-301000171,HC COMPREHENSIVE METABOLIC PANEL,375.0,281.25,10.56,375.0,920 CDM,PX-301000173,HC COPPER ASSAY SERUM,110.0,82.5,12.41,110.0,917 CDM,PX-301000174,HC COPPER ASSAY TISSUE,111.0,83.25,12.41,111.0,917 CDM,PX-301000175,HC COPPER ASSAY URINE,110.0,82.5,12.41,110.0,917 CDM,PX-301000178,HC CORTISOL FREE,209.0,156.75,16.71,209.0,916 CDM,PX-301000179,HC CREATINE ASSAY,110.0,82.5,4.64,110.0,915 CDM,PX-301000182,HC CREATINE KINASE TOTAL,35.0,26.25,6.51,35.0,920 CDM,PX-301000183,HC CREATININE BLOOD,50.0,37.5,5.12,50.0,919 CDM,PX-301000184,HC CREATININE CLEARANCE,110.0,82.5,9.46,110.0,916 CDM,PX-301000185,HC CREATININE OTHER SOURCE,50.0,37.5,5.18,50.0,920 CDM,PX-301000187,HC CRMP 5 WESTERN BLOT,263.0,197.25,29.21,263.0,917 CDM,PX-301000188,HC CRYOFIBRINOGEN ASSAY,94.0,70.5,14.14,94.0,916 CDM,PX-301000189,HC CRYOGLOBULIN QUAL,63.0,47.25,6.47,63.0,916 CDM,PX-301000191,HC CYCLOSPORINE ASSAY,182.0,136.5,18.05,182.0,917 CDM,PX-301000192,HC CYSTATIN C,160.0,120.0,18.52,160.0,918 CDM,PX-301000195,HC DEOXYCORTISOL 11,193.0,144.75,29.28,193.0,915 CDM,PX-301000197,HC DES GAMMA CARBOXY PROTHROMBIN,370.0,277.5,64.41,370.0,915 CDM,PX-301000198,HC DESMOGLEIN EACH,122.0,91.5,11.53,122.0,916 CDM,PX-301000199,HC DESOXYCORTICOSTERONE 11,254.0,190.5,30.98,254.0,915 CDM,PX-301000201,HC DHEA SULFATE,188.0,141.0,22.23,188.0,916 CDM,PX-301000202,HC DHEA,283.0,212.25,25.27,283.0,916 CDM,PX-301000207,HC DIGOXIN TOTAL ASSAY,103.0,77.25,13.28,103.0,916 CDM,PX-301000209,HC DISACCHARIDES ANALYSIS,312.0,234.0,22.17,312.0,916 CDM,PX-301000211,HC D-LACTATE,112.0,84.0,11.57,112.0,919 CDM,PX-301000223,HC ELECTROLYTE PANEL,109.0,81.75,7.01,109.0,917 CDM,PX-301000224,HC ELECTROPHORETIC TECH NES,147.0,110.25,61.5,147.0,915 CDM,PX-301000226,HC ERYTHROPOIETIN ASSAY,178.0,133.5,18.79,178.0,916 CDM,PX-301000227,HC ESTRADIOL ASSAY,212.0,159.0,27.94,212.0,916 CDM,PX-301000228,HC ESTRIOL ASSAY,162.0,121.5,24.18,162.0,915 CDM,PX-301000229,HC ESTROGENS FRACTIONATED,418.0,313.5,32.3,418.0,916 CDM,PX-301000230,HC ESTRONE ASSAY,209.0,156.75,24.95,209.0,915 CDM,PX-301000231,HC ETHOSUXIMIDE ASSAY,169.0,126.75,16.34,169.0,915 CDM,PX-301000232,HC EVEROLIMUS ASSAY,250.0,187.5,13.73,250.0,916 CDM,PX-301000234,HC IMMUNOASSAY MULT STEP METHOD A1,117.0,87.75,11.53,117.0,916 CDM,PX-301000237,HC FATTY ACID NONESTERFIED,106.0,79.5,18.77,106.0,916 CDM,PX-301000238,HC FATTY ACID VERY LONG CHAIN,157.0,117.75,19.75,157.0,915 CDM,PX-301000239,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,275.0,206.25,24.09,275.0,916 CDM,PX-301000240,HC FECAL FAT QUANT,219.0,164.25,16.8,219.0,915 CDM,PX-301000241,HC FECAL LACTOFERRIN QUAL,165.0,123.75,19.7,165.0,916 CDM,PX-301000246,HC FERRITIN ASSAY,101.0,75.75,13.63,101.0,921 CDM,PX-301000254,HC FLUCYTOSINE ASSAY,263.0,197.25,18.64,263.0,916 CDM,PX-301000256,HC FLUORIDE ASSAY,146.0,109.5,18.54,146.0,915 CDM,PX-301000261,HC FOLIC ACID SERUM ASSAY,105.0,78.75,14.7,105.0,918 CDM,PX-301000262,HC FRATAXIN QUANT,266.0,199.5,17.27,266.0,917 CDM,PX-301000264,HC FRUCTOSAMINE ASSAY,71.0,53.25,16.76,71.0,915 CDM,PX-301000266,HC FSH/FOLLICLE STIM HORMONE,131.0,98.25,18.58,131.0,917 CDM,PX-301000267,HC G6PD QUANT,120.0,90.0,9.7,120.0,915 CDM,PX-301000268,HC GABAPENTIN ASSAY,162.0,121.5,21.67,162.0,916 CDM,PX-301000272,HC GALACTOKINASE RBC ASSAY,139.0,104.25,21.48,139.0,915 CDM,PX-301000279,HC GALT QUANT,237.0,177.75,21.07,237.0,915 CDM,PX-301000280,HC GAMMA GLUTAMYL TRANSFERASE,52.0,39.0,7.2,52.0,918 CDM,PX-301000284,HC GASTRIN AFTER SECRETIN STIMLN,134.0,100.5,17.69,134.0,915 CDM,PX-301000285,HC GASTRIN ASSAY,167.0,125.25,17.63,167.0,916 CDM,PX-301000286,HC GENERAL HEALTH PANEL,404.0,303.0,181.8,404.0,910 CDM,PX-301000287,HC GENTAMICIN ASSAY 2,118.0,88.5,16.38,118.0,915 CDM,PX-301000288,HC GENTAMICIN ASSAY,118.0,88.5,16.38,118.0,915 CDM,PX-301000292,HC GLUCAGON ASSAY,234.0,175.5,14.29,234.0,916 CDM,PX-301000294,HC GLUCOSE BLOOD QUANT,42.0,31.5,3.93,42.0,918 CDM,PX-301000296,HC GLUCOSE BODY FLUID,68.0,51.0,3.93,68.0,918 CDM,PX-301000298,HC GLUCOSE POSTDOSE,45.0,33.75,4.75,45.0,915 CDM,PX-301000299,HC GLUTATHIONE ASSAY,74.0,55.5,15.45,74.0,915 CDM,PX-301000305,HC HAPTOGLOBIN ASSAY QUANT,115.0,86.25,12.58,115.0,917 CDM,PX-301000307,HC HDL CHOLESTEROL,64.0,48.0,8.19,64.0,916 CDM,PX-301000308,HC HEAVY METAL QUANT EA 2,175.0,131.25,21.96,175.0,916 CDM,PX-301000309,HC IODINE LAB,114.0,85.5,24.11,114.0,915 CDM,PX-301000311,HC HELICOBACTER PYLORI BREATH TEST,392.0,294.0,67.36,392.0,915 CDM,PX-301000312,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,143.0,107.25,18.06,143.0,916 CDM,PX-301000313,HC HEMOGLOBIN GLYCATED A1C,73.0,54.75,9.71,73.0,919 CDM,PX-301000314,HC HEMOGLOBIN PLASMA ASSAY,68.0,51.0,7.31,68.0,916 CDM,PX-301000315,HC HEMOGLOBIN UNSTABLE SCREEN,89.0,66.75,9.47,89.0,915 CDM,PX-301000316,HC HEMOGLOBIN VAR ANALYSIS QUANT,115.0,86.25,24.11,115.0,915 CDM,PX-301000317,HC HEMOSIDERIN ASSAY QUAL,69.0,51.75,4.75,69.0,915 CDM,PX-301000318,HC HEPATIC FUNCTION PANEL,103.0,77.25,8.17,103.0,917 CDM,PX-301000321,HC HEXOKINASE,324.0,243.0,22.17,324.0,916 CDM,PX-301000322,HC HEXOSAMINIDASE ASSAY,71.0,53.25,16.87,71.0,915 CDM,PX-301000323,HC HEXOSAMINIDASE LEUKOCYTES,69.0,51.75,16.87,69.0,915 CDM,PX-301000324,HC HEXOSAMINIDASE SERUM,69.0,51.75,16.87,69.0,915 CDM,PX-301000328,HC HGH SUPRESSION PANEL,523.0,392.25,129.33,523.0,915 CDM,PX-301000333,HC HOMOCYSTEINE ASSAY,183.0,137.25,17.92,183.0,916 CDM,PX-301000334,HC HOMOVANILLIC ACID ASSAY,106.0,79.5,22.41,106.0,915 CDM,PX-301000335,HC HUMAN GROWTH HORMONE ASSAY,136.0,102.0,16.67,136.0,917 CDM,PX-301000337,HC HYDROXYPROGESTERONE ASSAY,193.0,144.75,27.17,193.0,916 CDM,PX-301000339,HC HYPEROXALURIA,284.0,213.0,24.09,284.0,916 CDM,PX-301000342,HC IGFBP 3 QUANT,271.0,203.25,17.27,271.0,917 CDM,PX-301000345,HC IMMUNOASSAY QUANT NOS,270.0,202.5,17.27,270.0,917 CDM,PX-301000347,HC IMMUNOGLOBGULINS EA,68.0,51.0,9.3,68.0,919 CDM,PX-301000348,HC IMMUNOGLOBIN SUBCLASSES EA,130.0,97.5,8.02,130.0,916 CDM,PX-301000349,HC IMMUNOGLOBULIN IGD,68.0,51.0,9.3,68.0,919 CDM,PX-301000350,HC IMMUNOGLOBULIN IGE ASSAY,114.0,85.5,16.46,114.0,916 CDM,PX-301000351,HC CHEMILUMINESCENT ASSAY 1,209.0,156.75,14.12,209.0,916 CDM,PX-301000353,HC INHIBIN B QUANT,292.0,219.0,17.27,292.0,917 CDM,PX-301000354,HC INSULIN ASSAY FREE,138.0,103.5,12.95,138.0,915 CDM,PX-301000355,HC INSULIN ASSAY TOTAL,101.0,75.75,11.43,101.0,916 CDM,PX-301000359,HC IRON ASSAY TOTAL,40.0,30.0,6.47,40.0,918 CDM,PX-301000360,HC IRON BINDING CAPACITY,50.0,37.5,8.74,50.0,918 CDM,PX-301000364,HC KETONE QUANT,98.0,73.5,8.17,98.0,916 CDM,PX-301000368,HC LACTATE DEHYDROGENASE/LDH,54.0,40.5,6.04,54.0,919 CDM,PX-301000369,HC LACTIC ACID BLOOD,112.0,84.0,11.57,112.0,919 CDM,PX-301000370,HC LACTIC ACID/LACTATE ASSAY,114.0,85.5,11.57,114.0,919 CDM,PX-301000372,HC LAMOTRIGINE ASSAY,154.0,115.5,13.25,154.0,916 CDM,PX-301000376,HC LEAD BLOOD,83.0,62.25,12.11,83.0,916 CDM,PX-301000377,HC LEAD URINE,84.0,63.0,12.11,84.0,916 CDM,PX-301000380,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,275.0,206.25,24.09,275.0,916 CDM,PX-301000381,HC LEVETIRACETAM/KEPPRA ASSAY,208.0,156.0,13.25,208.0,916 CDM,PX-301000382,HC LIDOCAINE ASSAY,52.0,39.0,14.69,52.0,915 CDM,PX-301000383,HC LIPASE ASSAY,62.0,46.5,6.89,62.0,920 CDM,PX-301000384,HC LIPID PANEL,101.0,75.75,13.39,101.0,921 CDM,PX-301000385,HC LIPOPROTEIN A,107.0,80.25,14.32,107.0,916 CDM,PX-301000387,HC LIPOPROTEIN HIGH RESOLUTION,298.0,223.5,33.86,298.0,916 CDM,PX-301000389,HC LITHIUM ASSAY,67.0,50.25,6.61,67.0,917 CDM,PX-301000390,HC LP CHOLESTEROL,120.0,90.0,11.26,120.0,915 CDM,PX-301000392,HC LUTEINIZING HORMONE,147.0,110.25,18.52,147.0,917 CDM,PX-301000396,HC LYSOSOMAL DISORDER SN QUANT,235.0,176.25,24.09,235.0,916 CDM,PX-301000398,HC MAGNESIUM ASSAY,56.0,42.0,6.7,56.0,921 CDM,PX-301000401,HC IMMUNOASSAY QUANT NOS 2,292.0,219.0,17.27,292.0,917 CDM,PX-301000406,HC MERCURY QUANT,172.0,129.0,16.26,172.0,916 CDM,PX-301000407,HC METANEPHRINES URINE,296.0,222.0,16.94,296.0,916 CDM,PX-301000408,HC METANEPHRINES,302.0,226.5,16.94,302.0,916 CDM,PX-301000411,HC METHEMOGLOBIN QUANT,65.0,48.75,8.2,65.0,917 CDM,PX-301000412,HC METHEMOGLOBIN REDUCTASE,324.0,243.0,22.17,324.0,916 CDM,PX-301000416,HC METHYLHISTAMINE QUANT,275.0,206.25,24.09,275.0,916 CDM,PX-301000420,HC MEXILETINE SERUM,253.0,189.75,18.64,253.0,916 CDM,PX-301000421,HC MICROALBUMIN QUANT URINE,62.0,46.5,5.78,62.0,919 CDM,PX-301000433,HC MYCOPHENOLIC ACID ASSAY,199.0,149.25,18.05,199.0,917 CDM,PX-301000434,HC MYELOPEROXIDASE AB EACH,117.0,87.75,11.53,117.0,916 CDM,PX-301000437,HC MYOGLOBIN,184.0,138.0,12.92,184.0,915 CDM,PX-301000440,HC NATRIURETIC PEPTIDE/BNP,247.0,185.25,39.26,247.0,917 CDM,PX-301000441,HC NEPHELOMETRY EA ANALYTE NES,105.0,78.75,13.6,105.0,916 CDM,PX-301000444,HC NEURON SPECIFIC ENOLASE QUANT SERUM,281.0,210.75,17.27,281.0,917 CDM,PX-301000455,HC NMR LIPOPROFILE,185.0,138.75,34.19,185.0,916 CDM,PX-301000457,HC NUCLEOTIDASE 5 ASSAY,141.0,105.75,11.15,141.0,915 CDM,PX-301000461,HC OCCULT BLOOD FECES DIAGNOSTIC,22.0,16.5,4.23,22.0,915 CDM,PX-301000463,HC OLIGOCLONAL BANDS,219.0,164.25,27.39,219.0,916 CDM,PX-301000468,HC ORGANIC ACID 1 QUANT 2,251.0,188.25,21.21,251.0,916 CDM,PX-301000469,HC ORGANIC ACID 1 QUANT,247.0,185.25,21.21,247.0,916 CDM,PX-301000470,HC ORGANIC ACIDS QUAL,265.0,198.75,16.45,265.0,915 CDM,PX-301000471,HC ORGANIC ACIDS TOTAL QUANT,360.0,270.0,23.6,360.0,916 CDM,PX-301000472,HC OSMOLALITY ASSAY BLOOD,73.0,54.75,6.61,73.0,916 CDM,PX-301000473,HC OSMOLALITY ASSAY URINE,90.0,67.5,6.82,90.0,917 CDM,PX-301000474,HC OSMOLALITY STOOL,54.0,40.5,24.3,54.0,909 CDM,PX-301000475,HC OSTEOCALCIN ASSAY,199.0,149.25,29.85,199.0,915 CDM,PX-301000476,HC OXCARBAZEPINE ASSAY,136.0,102.0,13.25,136.0,916 CDM,PX-301000479,HC OXYLATE ASSAY,105.0,78.75,14.45,105.0,916 CDM,PX-301000480,HC OXYLATE URINE,105.0,78.75,14.45,105.0,916 CDM,PX-301000482,HC PANCREATIC POLYPEPTIDE QUANT RIA,333.0,249.75,18.4,333.0,916 CDM,PX-301000483,HC PARATHORMONE/PTH,318.0,238.5,41.28,318.0,918 CDM,PX-301000484,HC IMMUNOASSAY MULT STEP METHOD A3,117.0,87.75,11.53,117.0,916 CDM,PX-301000487,HC PBG DEAMINASE,217.0,162.75,22.17,217.0,916 CDM,PX-301000492,HC PH BODY FLUID,20.0,15.0,3.58,20.0,916 CDM,PX-301000493,HC PH URINE,22.0,16.5,3.58,22.0,916 CDM,PX-301000497,HC PHENOBARBITAL ASSAY,106.0,79.5,15.3,106.0,915 CDM,PX-301000498,HC PHENYLALANINE (PKU-NCCI),44.0,33.0,5.5,44.0,915 CDM,PX-301000500,HC PHENYTOIN FREE ASSAY,146.0,109.5,13.76,146.0,916 CDM,PX-301000501,HC PHENYTOIN TOTAL ASSAY,132.0,99.0,13.25,132.0,915 CDM,PX-301000504,HC PHOSPHOHEXOSE ISOMERASE,188.0,141.0,10.73,188.0,915 CDM,PX-301000506,HC PHOSPHORUS ASSAY URINE,37.0,27.75,5.78,37.0,916 CDM,PX-301000507,HC PHOSPHORUS ASSAY,36.0,27.0,4.74,36.0,921 CDM,PX-301000508,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,234.0,175.5,24.09,234.0,916 CDM,PX-301000510,HC PLASMINOGN ACTIVATR 1 ANTG,270.0,202.5,17.19,270.0,915 CDM,PX-301000512,HC PORPHOBILINOGEN URINE QUANT,120.0,90.0,8.44,120.0,915 CDM,PX-301000513,HC PORPHYRINS FECES QUANT,209.0,156.75,39.11,209.0,915 CDM,PX-301000514,HC PORPHYRINS FRACTION,263.0,197.25,24.09,263.0,916 CDM,PX-301000515,HC PORPHYRINS TOTAL,71.0,53.25,8.1,71.0,916 CDM,PX-301000516,HC PORPHYRINS URINE QUANT/FRACT,126.0,94.5,14.71,126.0,915 CDM,PX-301000517,HC PORPHYRINS,71.0,53.25,8.1,71.0,916 CDM,PX-301000521,HC POTASSIUM QUANTITATIVE STOOL,44.0,33.0,19.8,44.0,909 CDM,PX-301000522,HC POTASSIUM SER/PLASMA/WHOLE BLD,40.0,30.0,4.76,40.0,917 CDM,PX-301000523,HC POTASSIUM URINE,32.0,24.0,4.73,32.0,916 CDM,PX-301000524,HC PREALBUMIN,134.0,100.5,14.59,134.0,916 CDM,PX-301000527,HC PREGNENOLONE,162.0,121.5,20.67,162.0,916 CDM,PX-301000528,HC PRIMIDONE ASSAY,155.0,116.25,16.59,155.0,915 CDM,PX-301000531,HC PROCALCITONIN,264.0,198.0,27.22,264.0,916 CDM,PX-301000532,HC PROCOLLAGEN I INTACT TERM RIA,288.0,216.0,18.4,288.0,916 CDM,PX-301000533,HC PROGESTERONE ASSAY,167.0,125.25,20.86,167.0,916 CDM,PX-301000536,HC PROINSULIN ASSAY,272.0,204.0,26.69,272.0,916 CDM,PX-301000537,HC PROLACTIN ASSAY,196.0,147.0,19.38,196.0,917 CDM,PX-301000542,HC PROSTAGLANDIN ASSAY EACH,298.0,223.5,41.77,298.0,916 CDM,PX-301000543,HC PROSTATIC ACID PHOSPHATE,103.0,77.25,9.66,103.0,915 CDM,PX-301000544,HC PROTEIN ELECTROPHORESIS OTHER,144.0,108.0,17.83,144.0,917 CDM,PX-301000545,HC PROTEIN ELECTROPHORESIS SERUM,115.0,86.25,10.74,115.0,917 CDM,PX-301000546,HC PROTEIN ELECTROPHORESIS URINE,141.0,105.75,17.83,141.0,917 CDM,PX-301000547,HC PROTEIN TOTAL BODY FLUID,61.0,45.75,4.0,61.0,918 CDM,PX-301000548,HC PROTEIN TOTAL CSF,61.0,45.75,4.0,61.0,918 CDM,PX-301000550,HC PROTEIN TOTAL SERUM/PLASMA,26.0,19.5,3.67,26.0,918 CDM,PX-301000551,HC PROTEIN TOTAL URINE,32.0,24.0,3.67,32.0,919 CDM,PX-301000552,HC PROTEINASE 3 AB EACH,117.0,87.75,11.53,117.0,916 CDM,PX-301000555,HC PSA FREE,119.0,89.25,18.39,119.0,916 CDM,PX-301000556,HC PSA TOTAL,122.0,91.5,18.39,122.0,919 CDM,PX-301000557,HC PSYCHOSINE QUANT,272.0,204.0,24.09,272.0,916 CDM,PX-301000558,HC PTH RELATED PEPTIDE/PTHRP,209.0,156.75,14.12,209.0,916 CDM,PX-301000560,HC PYRIDOXIC ACID QUANT,275.0,206.25,24.09,275.0,916 CDM,PX-301000561,HC PYRUVATE ASSAY,83.0,62.25,14.48,83.0,916 CDM,PX-301000563,HC PYRUVATE KINASE ASSAY,213.0,159.75,9.44,213.0,915 CDM,PX-301000566,HC REDUCING SUBSTANCE URINE OR STOOL,88.0,66.0,5.5,88.0,915 CDM,PX-301000567,HC RENAL FUNCTION PANEL,121.0,90.75,8.68,121.0,918 CDM,PX-301000568,HC RENIN ACTIVITY 1 BLOOD,168.0,126.0,21.99,168.0,916 CDM,PX-301000569,HC RETINOL BINDING PROTEIN,260.0,195.0,13.6,260.0,916 CDM,PX-301000571,HC THERAPEUTIC DRUG NES,270.0,202.5,18.64,270.0,916 CDM,PX-301000573,HC IMMUNOASSAY MULT STEP METHOD A2,118.0,88.5,11.53,118.0,916 CDM,PX-301000579,HC SELENIUM ASSAY,162.0,121.5,25.53,162.0,917 CDM,PX-301000580,HC SEROTONIN ASSAY,281.0,210.75,30.98,281.0,915 CDM,PX-301000582,HC SEX HORMONE BINDING GLOBULIN,168.0,126.0,21.73,168.0,916 CDM,PX-301000583,HC SHORT RENAL CLRNCE CREATININE,111.0,83.25,9.46,111.0,916 CDM,PX-301000584,HC SIROLIMUS ASSAY,204.0,153.0,13.73,204.0,916 CDM,PX-301000589,HC SODIUM ASSAY OTHER SOURCES,99.0,74.25,4.86,99.0,915 CDM,PX-301000590,HC SODIUM ASSAY URINE,32.0,24.0,5.06,32.0,917 CDM,PX-301000591,HC SODIUM SERUM/PLASMA/WHOLE BLD,42.0,31.5,4.81,42.0,918 CDM,PX-301000592,HC SOLUBLE TRANSFERRIN RECEPTOR,237.0,177.75,36.57,237.0,916 CDM,PX-301000593,HC SOMATOMEDIN/IGF1,328.0,246.0,21.26,328.0,917 CDM,PX-301000598,HC STEROLS PLASMA QUANT,198.0,148.5,24.09,198.0,916 CDM,PX-301000602,HC SULFAMETHOXAZOLE ASSAY,253.0,189.75,18.64,253.0,916 CDM,PX-301000603,HC SULFATE ASSAY URINE,21.0,15.75,5.49,21.0,916 CDM,PX-301000604,HC SULFHEMOGLOBIN QUANT,90.0,67.5,8.8,90.0,915 CDM,PX-301000606,HC SYN GLUCOCORTICOID SCRN URINE,270.0,202.5,18.64,270.0,916 CDM,PX-301000607,HC SYN GLUCOCORTICOID SCRN,253.0,189.75,18.64,253.0,916 CDM,PX-301000608,HC T3 FREE,182.0,136.5,16.94,182.0,916 CDM,PX-301000609,HC T3 OR T4 UPTAKE,63.0,47.25,6.47,63.0,897 CDM,PX-301000610,HC T3 REVERSE,286.0,214.5,15.76,286.0,916 CDM,PX-301000611,HC T3 TOTAL,126.0,94.5,14.18,126.0,917 CDM,PX-301000612,HC T4 FREE,111.0,83.25,9.02,111.0,919 CDM,PX-301000613,HC T4 TOTAL,52.0,39.0,6.87,52.0,916 CDM,PX-301000614,HC TACROLIMUS ASSAY,203.0,152.25,13.73,203.0,919 CDM,PX-301000617,HC TESTOSTERONE FREE,181.0,135.75,25.47,181.0,916 CDM,PX-301000618,HC TESTOSTERONE TOTAL SERUM,189.0,141.75,25.81,189.0,917 CDM,PX-301000628,HC THYROGLOBULIN LYMPH NODE,126.0,94.5,16.06,126.0,917 CDM,PX-301000629,HC THYROGLOBULIN SERUM,125.0,93.75,16.06,125.0,917 CDM,PX-301000630,HC THYROID STIM IMMUNOGLOBIN,387.0,290.25,50.86,387.0,915 CDM,PX-301000631,HC THYROID STIMULATING HORMONE,114.0,85.5,16.8,114.0,920 CDM,PX-301000633,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,297.0,222.75,17.27,297.0,917 CDM,PX-301000634,HC THYROXINE BIND GLOBULIN,152.0,114.0,14.78,152.0,915 CDM,PX-301000637,HC TOBRAMYCIN ASSAY,160.0,120.0,16.13,160.0,916 CDM,PX-301000638,HC TOPIRAMATE ASSAY 2,178.0,133.5,11.92,178.0,915 CDM,PX-301000640,HC TOTAL LIGHT CHAIN EA,260.0,195.0,13.6,260.0,916 CDM,PX-301000643,HC TRANSFERRIN,104.0,78.0,12.76,104.0,915 CDM,PX-301000646,HC TRIGLYCERIDES,30.0,22.5,5.74,30.0,916 CDM,PX-301000647,HC TRIMETHOPRIM ASSAY,253.0,189.75,18.64,253.0,916 CDM,PX-301000649,HC TROPONIN QUANT,131.0,98.25,12.47,131.0,921 CDM,PX-301000651,HC TRYPTASE SERUM,292.0,219.0,17.27,292.0,917 CDM,PX-301000654,HC TYROSINE (PKU-NCCI),141.0,105.75,10.63,141.0,915 CDM,PX-301000656,HC UPG DECARBOXYLASE,283.0,212.25,22.17,283.0,916 CDM,PX-301000658,HC UREA NITROGEN URINE,47.0,35.25,5.56,47.0,915 CDM,PX-301000659,HC UREA NITROGEN/BUN,32.0,24.0,3.95,32.0,917 CDM,PX-301000660,HC URIC ACID BLOOD,30.0,22.5,4.52,30.0,919 CDM,PX-301000661,HC URIC ACID OTHER SOURCE,26.0,19.5,5.08,26.0,916 CDM,PX-301000662,HC URINARY CYCLIC AMPL,189.0,141.75,25.8,189.0,915 CDM,PX-301000665,HC VALPROIC ACID ASSAY,157.0,117.75,13.54,157.0,916 CDM,PX-301000666,HC VALPROIC ACID FREE ASSAY,170.0,127.5,13.54,170.0,916 CDM,PX-301000667,HC VANCOMYCIN ASSAY,134.0,100.5,13.54,134.0,916 CDM,PX-301000668,HC VANILLYLMANDELIC ACID URINE,136.0,102.0,15.5,136.0,915 CDM,PX-301000669,HC VASOACTIVE INTESTINAL PEPTIDE,383.0,287.25,35.33,383.0,916 CDM,PX-301000673,HC VGKC COMPLEX AB RIA,320.0,240.0,18.4,320.0,916 CDM,PX-301000674,HC VITAMIN A ASSAY,146.0,109.5,11.61,146.0,917 CDM,PX-301000675,HC VITAMIN B1 THIAMINE ASSAY,204.0,153.0,21.23,204.0,917 CDM,PX-301000676,HC VITAMIN B12 ASSAY,121.0,90.75,15.08,121.0,919 CDM,PX-301000677,HC VITAMIN B2 ASSAY,211.0,158.25,20.24,211.0,915 CDM,PX-301000678,HC VITAMIN B6 ASSAY,272.0,204.0,28.1,272.0,916 CDM,PX-301000679,HC VITAMIN D 1 25 DIHYDROXY,333.0,249.75,38.5,333.0,916 CDM,PX-301000680,HC VITAMIN D 25 HYDROXY,244.0,183.0,29.6,244.0,918 CDM,PX-301000681,HC VITAMIN E ASSAY,120.0,90.0,14.18,120.0,917 CDM,PX-301000682,HC VITAMIN K ASSAY,138.0,103.5,13.72,138.0,916 CDM,PX-301000686,HC WESTERN BLOT TEST BAND ID EA,255.0,191.25,29.21,255.0,917 CDM,PX-301000689,HC ZINC ASSAY,115.0,86.25,11.39,115.0,917 CDM,PX-301000690,HC ZONISAMIDE ASSAY,185.0,138.75,13.25,185.0,916 CDM,PX-301000692,HC CORTISOL TOTAL,140.0,105.0,16.3,140.0,920 CDM,PX-301000696,HC OCCULT BLOOD GASTRIC,20.0,15.0,5.32,20.0,915 CDM,PX-301000698,HC THEOPHYLLINE ASSAY,142.0,106.5,14.14,142.0,915 CDM,PX-301000702,"HC ACTH STIM PANEL, 3 BETA-HYDROX",268.0,201.0,78.26,268.0,916 CDM,PX-301000712,HC HEAVY METAL QUANT EA 3,179.0,134.25,21.96,179.0,916 CDM,PX-301000746,HC PROTEIN RANDOM URINE,32.0,24.0,3.67,32.0,919 CDM,PX-301000750,HC CDGN,112.0,84.0,24.11,112.0,915 CDM,PX-301000751,HC GDF15,271.0,203.25,17.27,271.0,917 CDM,PX-301000755,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,223.0,167.25,24.09,223.0,916 CDM,PX-301000770,HC BETA HCG QUANTITATIVE,130.0,97.5,15.05,130.0,920 CDM,PX-301000771,HC TROPONIN I QUANT,133.0,99.75,12.47,133.0,921 CDM,PX-301000778,HC QUANTITATIVE ASSAY DRUG,270.0,202.5,18.64,270.0,916 CDM,PX-301000789,HC OXYSTEROLS QUANT,185.0,138.75,24.09,185.0,916 CDM,PX-301000790,HC PURINE AND PYRIMIDINE PANEL,272.0,204.0,24.09,272.0,916 CDM,PX-301000791,HC ENZYME ACTIVITY IN BLOOD CELLS 3,324.0,243.0,22.17,324.0,916 CDM,PX-301000796,HC LYSOSOMAL ACID LIPASE,209.0,156.75,22.17,209.0,916 CDM,PX-301000811,HC EOSINOPHILS U,103.0,77.25,46.35,103.0,910 CDM,PX-301000812,HC CELL COUNT FLUID W DIFF COUNT,76.0,57.0,5.6,76.0,918 CDM,PX-301000817,HC CRYSTAL EXAM FLUID/TISSUE,82.0,61.5,7.33,82.0,918 CDM,PX-301000818,HC DRUG TEST PRSMV CHEM ANLYZR1,314.0,235.5,62.14,314.0,918 CDM,PX-301000819,HC DRUG TEST PRSMV CHEM ANLYZR2,314.0,235.5,62.14,314.0,918 CDM,PX-301000820,HC DRUG TEST PRSMV CHEM ANLYZR3,314.0,235.5,62.14,314.0,918 CDM,PX-301000822,HC DRUG TEST PRSMV CHEM ANLYZR5,319.0,239.25,62.14,319.0,918 CDM,PX-301000823,HC DRUG TEST PRSMV CHEM ANLYZR6,319.0,239.25,62.14,319.0,918 CDM,PX-301000824,HC DRUG TEST PRSMV CHEM ANLYZR7,314.0,235.5,62.14,314.0,918 CDM,PX-301000826,HC FENTANYL SCREEN,314.0,235.5,62.14,314.0,918 CDM,PX-301000828,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,444.0,333.0,51.28,444.0,917 CDM,PX-301000837,HC PSA TOTAL ULTRASENSITIVE,124.0,93.0,18.39,124.0,919 CDM,PX-301000838,HC IMMUNOGLOBULIN CSF,68.0,51.0,9.3,68.0,919 CDM,PX-301000840,"HC HB VARIANT, A2 AND F QUAN",125.0,93.75,12.87,125.0,916 CDM,PX-301000851,HC HEAVY METAL QUANT EA,162.0,121.5,21.96,162.0,916 CDM,PX-301000852,HC CALCITONIN SERUM,199.0,149.25,26.79,199.0,916 CDM,PX-301000855,HC ADALIMUMAB,271.0,203.25,17.27,271.0,917 CDM,PX-301000860,"HC 7AC4, BILE ACID SYNTH",275.0,206.25,24.09,275.0,916 CDM,PX-301000861,HC PORPHOBILINOGEN,276.0,207.0,24.09,276.0,916 CDM,PX-301000866,HC CYSTATIN C 2,170.0,127.5,18.52,170.0,918 CDM,PX-301000876,HC ECULIZUMAB ASSAY,270.0,202.5,18.64,270.0,916 CDM,PX-301000878,HC ALDOSTERONE PLASMA,298.0,223.5,40.75,298.0,916 CDM,PX-301000879,"HC 24, 25 DIHYDROXY",277.0,207.75,24.09,277.0,916 CDM,PX-301000886,HC HEAVY METAL QUANT EA 4,162.0,121.5,21.96,162.0,916 CDM,PX-301000887,HC CHROMIUM ASSAY 2,146.0,109.5,20.28,146.0,916 CDM,PX-301000888,HC APIXABAN ANTI-XA,270.0,202.5,18.64,270.0,916 CDM,PX-301000889,HC RIVAROXABAN ANTI-XA,270.0,202.5,18.64,270.0,916 CDM,PX-301000942,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,236.0,177.0,24.09,236.0,916 CDM,PX-301000943,HC AMYLOID PROTEIN 2,274.0,205.5,24.09,274.0,916 CDM,PX-301000949,HC THYROGLOBULIN MASS SPEC,125.0,93.75,16.06,125.0,917 CDM,PX-301000955,HC DRUG ASSAY CYCLOSPORINE,181.0,135.75,18.05,181.0,917 CDM,PX-301000956,HC THERAPEUTIC DRUG NES 1,263.0,197.25,18.64,263.0,916 CDM,PX-301000961,HC DRUG TEST PRSMV CHEM ANLYZR12,319.0,239.25,62.14,319.0,918 CDM,PX-301000962,HC DRUG SCRN ANLYZR10 RX MAINT,290.0,217.5,62.14,290.0,918 CDM,PX-301000975,HC ALPHA 1 ANTITRYPSIN TOTAL 1,141.0,105.75,13.44,141.0,916 CDM,PX-301000976,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,193.0,144.75,18.97,193.0,916 CDM,PX-301000978,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,139.0,104.25,18.96,139.0,916 CDM,PX-301000979,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,139.0,104.25,18.96,139.0,916 CDM,PX-301000980,HC CORTISOL FREE 1,209.0,156.75,16.71,209.0,916 CDM,PX-301000981,HC PORPHYRINS FRACTION 1,287.0,215.25,24.09,287.0,916 CDM,PX-301000989,HC IMMUNOASSAY QUANT NOS 4,281.0,210.75,17.27,281.0,917 CDM,PX-301000991,HC IMMUNOASSAY QUANT NOS 1,186.0,139.5,17.27,186.0,917 CDM,PX-301000993,HC ALPHA 1 MICROGLOBIN 1,260.0,195.0,13.6,260.0,916 CDM,PX-301000994,HC RETINOL BINDING PROTEIN 1,250.0,187.5,13.6,250.0,916 CDM,PX-301000997,HC PARATHORMONE/PTH 1,318.0,238.5,41.28,318.0,918 CDM,PX-301000999,HC PROCALCITONIN 1,286.0,214.5,27.22,286.0,916 CDM,PX-301001000,HC PSA TOTAL 1,125.0,93.75,18.39,125.0,919 CDM,PX-301001002,HC TRIGLYCERIDES 1,31.0,23.25,5.74,31.0,916 CDM,PX-301001004,HC NITROGEN TOTAL 1,160.0,120.0,72.0,160.0,909 CDM,PX-301001005,HC EOSINOPHIL COUNT 1,129.0,96.75,58.05,129.0,910 CDM,PX-301001039,HC DIHYDROTESTOSTERONE,237.0,177.75,29.28,237.0,916 CDM,PX-301001040,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,263.0,197.25,24.09,263.0,916 CDM,PX-301001053,HC LYSOSOMAL DISORDER QUANT,112.0,84.0,24.11,112.0,915 CDM,PX-301001058,HC LIVER DIS 10 ASSAYS W/NASH,1071.0,803.25,503.4,1071.0,915 CDM,PX-301001060,HC IGG/IGM MONOS GM1 TITER,195.0,146.25,17.27,195.0,917 CDM,PX-301001062,HC IGG/IMM DISIALO GD1B TITER,198.0,148.5,17.27,198.0,917 CDM,PX-301001063,HC COPEPTIN PROAVP,366.0,274.5,33.94,366.0,915 CDM,PX-301001066,HC OREXIN A RIA,333.0,249.75,18.4,333.0,916 CDM,PX-301001079,HC PHOSPHOLIPASE A2 RECEPT,230.0,172.5,17.27,230.0,917 CDM,PX-301001091,HC CERAMIDES,217.0,162.75,83.76,217.0,915 CDM,PX-301001094,"HC AMINO ACID, MSUD PANEL",237.0,177.75,19.61,237.0,916 CDM,PX-301001098,HC 17-HYDROXYPREGNENOLONE (17PRN),214.0,160.5,22.81,214.0,916 CDM,PX-301001103,HC DRUG ASSAY INFLIXIMAB,247.0,185.25,38.57,247.0,916 CDM,PX-301001104,HC DRUG ASSAY ADALIMUMAB,245.0,183.75,38.57,245.0,916 CDM,PX-301001105,HC DRUG ASSAY LACOSAMIDE,247.0,185.25,27.11,247.0,917 CDM,PX-301001106,HC DRUG ASSAY POSACONAZOLE,256.0,192.0,27.11,256.0,916 CDM,PX-301001107,HC DRUG ASSAY VORICONAZOLE,258.0,193.5,27.11,258.0,916 CDM,PX-301001108,HC DRUG ASSAY VEDOLIZUMAB,255.0,191.25,38.57,255.0,916 CDM,PX-301001112,HC PSA SCREENING,122.0,91.5,18.39,122.0,915 CDM,PX-301001116,HC PROTEIN WESTERN BLOT TEST 1,255.0,191.25,29.21,255.0,917 CDM,PX-301001118,HC CERAMIDE TRIHEX/SULFATIDE,115.0,86.25,24.11,115.0,915 CDM,PX-301001120,HC INTACT FIBROBLAST GF 23,270.0,202.5,17.27,270.0,917 CDM,PX-301001127,HC TYROSINE (TYRBS-NCCI),139.0,104.25,10.63,139.0,915 CDM,PX-301001128,HC PHENYLALANINE (TYRBS-NCCI),44.0,33.0,5.5,44.0,915 CDM,PX-301001129,HC METHIONINE (TYRBS-NCCI),169.0,126.75,22.98,169.0,915 CDM,PX-301001130,HC SUCCINYLACETONE (TYRBS-NCCI),263.0,197.25,24.09,263.0,916 CDM,PX-301001131,HC NITISINONE (TYRBS-NCCI),253.0,189.75,18.64,253.0,916 CDM,PX-301001133,HC TYROSINE (SUAC-NCCI),139.0,104.25,10.63,139.0,915 CDM,PX-301001134,HC SUCCINYLACETONE (SUAC-NCCI),263.0,197.25,24.09,263.0,916 CDM,PX-301001137,HC IMMUNOASSAY QUANT NOS 5,289.0,216.75,17.27,289.0,917 CDM,PX-301001138,HC G6PD ENZYME,17.0,12.75,6.05,17.0,915 CDM,PX-301001141,HC HEAVY METAL QUANT EA 8,165.0,123.75,21.96,165.0,916 CDM,PX-301001142,HC CHROMIUM ASSAY 3,144.0,108.0,20.28,144.0,916 CDM,PX-301001143,HC THIOPURINE METABOLITES,270.0,202.5,18.64,270.0,916 CDM,PX-301001145,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),183.0,137.25,17.92,183.0,916 CDM,PX-301001146,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),468.0,351.0,23.6,468.0,916 CDM,PX-301001147,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),96.0,72.0,19.61,96.0,916 CDM,PX-301001149,HC HCG INTERFERENCE EVAL,132.0,99.0,15.05,132.0,920 CDM,PX-301001156,HC CYTOKINE PANEL,50.0,37.5,17.27,50.0,917 CDM,PX-301001157,HC DRUG ASSAY ACETAMINOPHEN,191.0,143.25,18.64,191.0,916 CDM,PX-301001158,HC DRUG ASSAY AMIODARONE,186.0,139.5,18.64,186.0,916 CDM,PX-301001160,HC DRUG ASSAY FELBAMATE,172.0,129.0,18.64,172.0,915 CDM,PX-301001161,HC DRUG ASSAY SALICYLATE,157.0,117.75,18.64,157.0,916 CDM,PX-301001162,HC DRUG ASSAY FLECAINIDE,178.0,133.5,18.64,178.0,915 CDM,PX-301001163,HC DRUG ASSAY ITRACONAZOLE,295.0,221.25,27.11,295.0,916 CDM,PX-301001165,HC DRUG ASSAY METHOTREXATE,233.0,174.75,38.57,233.0,915 CDM,PX-301001166,HC DRUG ASSAY RUFINAMIDE,251.0,188.25,27.11,251.0,915 CDM,PX-301001167,HC ASSAY OF ALCOHOL NON-URINE/BREATH,181.0,135.75,17.27,181.0,916 CDM,PX-301001175,HC ACYLGLYCINES QN,300.0,225.0,24.09,300.0,916 CDM,PX-301001183,HC BIOTIN,72.0,54.0,17.06,72.0,915 CDM,PX-301001189,HC GLUCOSE OTHER FLUID,69.0,51.75,3.93,69.0,918 CDM,PX-301001191,HC RIBOFLAVIN B2,209.0,156.75,20.24,209.0,915 CDM,PX-301001192,HC HEAVY METAL QUANT EA 9,146.0,109.5,21.96,146.0,916 CDM,PX-301001194,HC DRUG TEST DEF 1-3 CLASSES,328.0,246.0,114.43,328.0,916 CDM,PX-301001195,HC DRUG TEST DEF 4-5 CLASSES,351.0,263.25,114.43,351.0,916 CDM,PX-301001196,HC DRUG TEST DEF 6-7 CLASSES,367.0,275.25,114.43,367.0,916 CDM,PX-301001197,HC DRUG TEST DEF 8-10 CLASSES,372.0,279.0,156.59,372.0,917 CDM,PX-301001198,HC DRUG TEST DEF 11-14 CLASSES,386.0,289.5,156.59,386.0,917 CDM,PX-301001199,HC DRUG TEST DEF 15-17 CLASSES,402.0,301.5,198.74,402.0,916 CDM,PX-301001200,HC DRUG TEST DEF 18-21 CLASSES,479.0,359.25,198.74,479.0,916 CDM,PX-301001203,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,36.0,27.0,4.95,36.0,918 CDM,PX-301001210,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,52.0,39.0,9.64,52.0,916 CDM,PX-301001217,HC ASSAY OF INTERLEUKIN-6 (IL-6),148.0,111.0,17.27,148.0,916 CDM,PX-301001218,HC DRUG ASSAY HYDROXYCHLOROQUINE,300.0,225.0,18.64,300.0,916 CDM,PX-301001219,HC ELASTASE PANCREATIC FECAL QUANT,127.0,95.25,22.97,127.0,916 CDM,PX-301001221,HC IG LIGHT CHAINS FREE EA 2,161.0,120.75,17.27,161.0,917 CDM,PX-301001222,HC IG LIGHT CHAINS FREE EA 3,167.0,125.25,17.27,167.0,917 CDM,PX-301001223,HC MANGANESE ASSAY 2,116.0,87.0,26.65,116.0,915 CDM,PX-301001228,HC IG PARAPROTEIN QUAL URINE,164.0,123.0,43.43,164.0,917 CDM,PX-301001230,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),316.0,237.0,62.14,316.0,918 CDM,PX-301001231,HC ASSAY OF NOS VITAMIN,71.0,53.25,17.06,71.0,915 CDM,PX-301001232,HC GLUCOSE BLOOD QUANT 2,42.0,31.5,3.93,42.0,918 CDM,PX-301001233,HC NATRIURETIC PEPTIDE/BNP 2,216.0,162.0,39.26,216.0,917 CDM,PX-301001235,HC SEROTONIN RELEASE ASSAY,295.0,221.25,24.09,295.0,916 CDM,PX-301001243,HC ASSAY TPMT,106.0,79.5,22.17,106.0,916 CDM,PX-301001246,HC PERAMPANEL,183.0,137.25,18.64,183.0,916 CDM,PX-301001260,HC ASSAY OF INTERLEUKIN-6 (CYPAN),148.0,111.0,17.27,148.0,916 CDM,PX-301001262,HC IMMUNOASSAY QUANT NOS 6,266.0,199.5,17.27,266.0,917 CDM,PX-301001263,HC SMALL DENSE LDL CHOLESTEROL,111.0,83.25,34.19,111.0,915 CDM,PX-301001264,HC IMMUNOASSAY MULT STEP METHOD A4,121.0,90.75,11.53,121.0,916 CDM,PX-301001266,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,275.0,206.25,24.09,275.0,916 CDM,PX-301001277,HC ANTIMULLERIAN HORMONE,245.0,183.75,38.62,245.0,916 CDM,PX-301001279,HC ACH RECP MUSC BINDING AB,217.0,162.75,18.4,217.0,916 CDM,PX-301001280,HC MUSK AUTO AB,217.0,162.75,18.4,217.0,915 CDM,PX-301001292,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),392.0,294.0,16.87,392.0,915 CDM,PX-301001304,HC DRUG THERAPEUTIC DRUG 12,270.0,202.5,18.64,270.0,916 CDM,PX-301001309,HC ASSAY IGA/IGD/IGG/IGM EACH 2,66.0,49.5,9.3,66.0,919 CDM,PX-301001310,HC IMMUNOGLOBIN SUBCLASSES EA 2,125.0,93.75,8.02,125.0,916 CDM,PX-301001312,HC ASSAY OF SIALIC ACID,129.0,96.75,13.44,129.0,915 CDM,PX-301001322,HC BETA-AMYLOID 1-42,154.0,115.5,104.21,193.38,915 CDM,PX-301001323,HC TAU PHOSPHORYLATED EA,154.0,115.5,104.21,193.38,915 CDM,PX-301001324,HC TOTAL TAU,159.0,119.25,107.6,193.38,915 CDM,PX-301001326,HC TAU PHOSPHORYLATED EA 2,154.0,115.5,104.21,193.38,915 CDM,PX-301001327,HC TOTAL TAU 2,159.0,119.25,107.6,193.38,915 CDM,PX-301001332,HC NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,452.25,116.23,603.0,916 CDM,PX-301001333,HC HEMOGLOBIN GLYCATED A1C 2,76.0,57.0,9.71,76.0,919 CDM,PX-301001352,HC VITAMIN A ASSAY 2,146.0,109.5,11.61,146.0,917 CDM,PX-301001353,HC VITAMIN E ASSAY 2,120.0,90.0,14.18,120.0,917 CDM,PX-30117,PR EXCISN/DEST INTNASAL LESN INT APPR,2858.0,2143.5,461.98,2772.26,683 CDM,PX-30118,PR EXCISN/DEST INTNASAL LESN EXT APPR,3468.0,2601.0,310.1,3363.96,683 CDM,PX-30120,PR EXC/SURG PLN SKN/NOSE RHINOPHY,3297.0,2472.75,252.63,3198.09,683 CDM,PX-30130,PR EXCISN TURBINATE PRTL/COMPLT,2033.0,1524.75,191.32,1972.01,683 CDM,PX-30140,PR SUBMUC RSECT TURB PRTL/COMPLT,2856.0,2142.0,143.12,2770.32,683 CDM,PX-30150,PR RHINECTOMY PARTIAL,4835.0,3626.25,349.77,4689.95,683 CDM,PX-30160,PR RHINECTOMY TOTAL,5087.0,3815.25,355.15,4934.39,683 CDM,PX-30200,PR INJ TURBINATE THERAPEUTIC,313.0,234.75,26.4,303.61,697 CDM,PX-302000007,HC AHG INDIRECT TITER EA,78.0,58.5,7.77,209.07,916 CDM,PX-302000009,HC ALLERGEN IGE QUANT/SEMI EA,31.0,23.25,5.22,31.0,916 CDM,PX-302000010,HC ALLERGEN IGG QUANT/SEMI EA,57.0,42.75,7.82,57.0,916 CDM,PX-302000011,HC ALLO ANTIBODY TITER,72.0,54.0,7.77,209.07,916 CDM,PX-302000012,HC ALPHA-FETOPROTEIN CSF QUANT,227.0,170.25,20.81,227.0,917 CDM,PX-302000013,HC AMPA R AB CBA,184.0,138.0,12.05,184.0,918 CDM,PX-302000015,HC AMPHIPHYSIN AB TITER,182.0,136.5,12.05,182.0,918 CDM,PX-302000016,HC ANTI PHOSPHATIDYLSERINE AB,80.0,60.0,16.07,80.0,916 CDM,PX-302000017,HC ANTIBODY ELUTION RBC EACH BS,152.0,114.0,68.4,209.07,916 CDM,PX-302000018,HC ANTIBODY ELUTION RBC EACH,154.0,115.5,69.3,209.07,916 CDM,PX-302000020,HC ANTIBODY ID RBC EACH PANEL,181.0,135.75,81.45,439.87,917 CDM,PX-302000021,HC ANTIBODY SCREEN RBC EA SERUM BS,71.0,53.25,14.66,71.0,919 CDM,PX-302000022,HC ANTIBODY SCREEN RBC EA SERUM,71.0,53.25,14.66,71.0,919 CDM,PX-302000023,HC ANTI-DIPTHERIA TOXOID IGG,78.0,58.5,14.99,78.0,916 CDM,PX-302000026,HC ANTINUCLEAR ANTIBODIES/ANA,101.0,75.75,12.09,101.0,916 CDM,PX-302000028,HC ANTISTREPTOLYSIN O TITER,73.0,54.75,7.3,73.0,915 CDM,PX-302000030,HC ANTI-TETANUS TOXOID IGG,78.0,58.5,14.99,78.0,916 CDM,PX-302000032,HC ASPERGILLUS AB EACH,99.0,74.25,15.05,99.0,916 CDM,PX-302000033,HC B CELL TOTAL COUNT,183.0,137.25,37.73,183.0,917 CDM,PX-302000035,HC BARTONELLA AB EACH,91.0,68.25,10.18,91.0,916 CDM,PX-302000037,HC BETA 2 GLYCOPROTEIN I AB EA,183.0,137.25,25.45,183.0,916 CDM,PX-302000038,HC BLASTOMYCES AB,157.0,117.75,12.9,157.0,916 CDM,PX-302000040,HC BLOOD TYPING ABO BS,45.0,33.75,4.49,163.27,918 CDM,PX-302000041,HC BLOOD TYPING ABO,45.0,33.75,4.49,163.27,918 CDM,PX-302000042,HC BLOOD TYPING DONOR UNIT EA AG BS,174.0,130.5,9.53,439.87,916 CDM,PX-302000043,HC BLOOD TYPING DONOR UNIT EA AG,167.0,125.25,9.53,439.87,916 CDM,PX-302000044,HC BLOOD TYPING RH(D) BS,45.0,33.75,4.49,45.84,918 CDM,PX-302000045,HC BLOOD TYPING RH(D),45.0,33.75,4.49,45.84,918 CDM,PX-302000046,HC BORDETELLA AB EACH,157.0,117.75,13.19,157.0,915 CDM,PX-302000047,HC BRUCELLA AB EACH AGGLUTINATION,111.0,83.25,8.93,111.0,915 CDM,PX-302000048,HC BRUCELLA AB EACH,105.0,78.75,8.93,105.0,915 CDM,PX-302000049,HC CARDIOLIPIN AB EA IG CLASS,178.0,133.5,25.45,178.0,916 CDM,PX-302000052,HC CHIKUNGUNYA AB EA,208.0,156.0,12.88,208.0,916 CDM,PX-302000054,HC CHLAMYDIA IGM AB,126.0,94.5,12.68,126.0,915 CDM,PX-302000055,HC CHROMOGRANIN A QUANT,234.0,175.5,20.81,234.0,917 CDM,PX-302000056,HC COCCIDIOIDES AB,125.0,93.75,11.47,125.0,918 CDM,PX-302000057,HC COLD AGGLUTININ SCREEN,41.0,30.75,8.07,41.0,916 CDM,PX-302000058,HC COLD AGGLUTININ TITER,88.0,66.0,8.06,88.0,915 CDM,PX-302000060,HC COMPATIBILITY TEST AG EA,139.0,104.25,62.55,209.07,916 CDM,PX-302000061,HC COMPATIBILITY TEST ELECTRONIC,103.0,77.25,46.35,209.07,918 CDM,PX-302000062,HC COMPATIBILITY TEST IMM SPIN EA,201.0,150.75,90.45,209.07,916 CDM,PX-302000065,HC COMPLEMENT COMPONENT C1Q,115.0,86.25,12.0,115.0,916 CDM,PX-302000066,HC COMPLEMENT COMPONENT C5/C2,115.0,86.25,12.0,115.0,916 CDM,PX-302000067,HC COMPLEMENT COMPONENT,115.0,86.25,12.0,115.0,916 CDM,PX-302000068,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,192.0,144.0,12.0,192.0,916 CDM,PX-302000069,HC COMPLEMENT FUNC ACTVTY EA,183.0,137.25,12.0,183.0,916 CDM,PX-302000070,HC COMPLEMENT TOTAL,178.0,133.5,20.32,178.0,916 CDM,PX-302000072,HC C-REACTIVE PROTEIN,68.0,51.0,5.18,68.0,919 CDM,PX-302000073,HC CRMP 5 IGG TITER,182.0,136.5,12.05,182.0,918 CDM,PX-302000074,HC CRP HIGH SENSITIVITY,83.0,62.25,12.95,83.0,916 CDM,PX-302000078,HC CRYPTOCOCCAL ANTIGEN,87.0,65.25,16.07,87.0,918 CDM,PX-302000081,HC CYCLIC CITRULLINATED PEPT AB,141.0,105.75,12.95,141.0,917 CDM,PX-302000084,HC CYTOMEGALOVIRUS AB IGM,161.0,120.75,16.85,161.0,917 CDM,PX-302000085,HC CYTOMEGALOVIRUS AB,157.0,117.75,14.39,157.0,917 CDM,PX-302000088,HC DENGUE FEVER EA,216.0,162.0,12.88,216.0,916 CDM,PX-302000089,HC DEOXYRIBONUCLEASE AB,157.0,117.75,13.25,157.0,915 CDM,PX-302000095,HC DIRECT COOMBS EA ANTISERUM,57.0,42.75,8.09,72.39,918 CDM,PX-302000096,HC DNA AB NATIVE/DOUBLE STRANDED,120.0,90.0,13.74,120.0,916 CDM,PX-302000098,HC FLUORESCENT NONINF AG AB EA 9,180.0,135.0,12.05,180.0,918 CDM,PX-302000099,HC ECHINOCOCCUS AB IGG,227.0,170.25,13.01,227.0,916 CDM,PX-302000100,HC EHRLICHIA ANTIBODY,166.0,124.5,10.18,166.0,915 CDM,PX-302000101,HC ENCEPHALITIS CALIFORNIA AB IGG,115.0,86.25,13.19,115.0,916 CDM,PX-302000102,HC ENCEPHALITIS CALIFORNIA AB IGM,115.0,86.25,13.19,115.0,916 CDM,PX-302000103,HC ENCEPHALITIS EAST EQUINE AB IGG,167.0,125.25,13.19,167.0,916 CDM,PX-302000104,HC ENCEPHALITIS EAST EQUINE AB IGM,167.0,125.25,13.19,167.0,916 CDM,PX-302000105,HC ENCEPHALITIS ST LOUIS AB IGG,136.0,102.0,13.19,136.0,916 CDM,PX-302000106,HC ENCEPHALITIS ST LOUIS AB IGM,136.0,102.0,13.19,136.0,916 CDM,PX-302000107,HC ENCEPHALITIS WEST EQUINE AB IGG,136.0,102.0,13.19,136.0,916 CDM,PX-302000108,HC ENCEPHALITIS WEST EQUINE AB IGM,136.0,102.0,13.19,136.0,916 CDM,PX-302000113,HC EPSTEIN-BARR NUCLEAR AG AB,105.0,78.75,15.29,105.0,917 CDM,PX-302000114,HC EPSTEIN-BARR VIRAL CAPSID AB EA,141.0,105.75,18.14,141.0,917 CDM,PX-302000115,HC EXTRACT NUC AG EA AB,131.0,98.25,17.93,131.0,916 CDM,PX-302000116,HC FLOW CYTOMETRIC CROSSMATCH,495.0,371.25,109.49,495.0,915 CDM,PX-302000120,HC FLUORESCENT NONINF AG AB EA 7,184.0,138.0,12.05,184.0,918 CDM,PX-302000122,HC GAD65 AB,225.0,168.75,23.57,225.0,918 CDM,PX-302000124,HC GLIAL NUCLEAR AB TITER,182.0,136.5,12.05,182.0,918 CDM,PX-302000125,HC GRANULOCYTE ANTIBODY,199.0,149.25,15.05,199.0,915 CDM,PX-302000127,HC HAV AB TOTAL,104.0,78.0,12.39,104.0,919 CDM,PX-302000128,HC HAV IGM AB,105.0,78.75,11.26,105.0,917 CDM,PX-302000129,HC HBV CORE AB TOTAL,108.0,81.0,12.05,108.0,921 CDM,PX-302000130,HC HBV CORE IGM AB,115.0,86.25,11.77,115.0,917 CDM,PX-302000131,HC HBV E AB,119.0,89.25,11.57,119.0,916 CDM,PX-302000132,HC HBV SURFACE AB QUANT,77.0,57.75,14.99,77.0,916 CDM,PX-302000133,HC HBV SURFACE AB,94.0,70.5,10.74,94.0,921 CDM,PX-302000135,HC HCV AB CONFIRMATION,277.0,207.75,15.49,277.0,915 CDM,PX-302000136,HC HCV AB W REFLEX,140.0,105.0,14.27,140.0,921 CDM,PX-302000140,HC HEMOLYSIN/AGGLUT INCUBATED,165.0,123.75,12.11,165.0,915 CDM,PX-302000141,HC HEMOLYSINS/AGGLUTININS AUTO,232.0,174.0,8.77,232.0,915 CDM,PX-302000143,HC HEPARIN - PF4 ANTIBODY (HIT),374.0,280.5,18.37,374.0,915 CDM,PX-302000145,HC HERPES SIMPLEX TYPE 1 AB,96.0,72.0,13.19,96.0,917 CDM,PX-302000146,HC HERPES SIMPLEX TYPE 2 AB,112.0,84.0,19.35,112.0,917 CDM,PX-302000147,HC HETEROPHILE AB SCREEN,61.0,45.75,5.18,61.0,917 CDM,PX-302000148,HC HEV AB,207.0,155.25,12.88,207.0,916 CDM,PX-302000149,HC HEV IGM AB CONFIRM,202.0,151.5,12.88,202.0,916 CDM,PX-302000150,HC HISTOPLASMA AB EA,141.0,105.75,13.79,141.0,916 CDM,PX-302000151,HC HIV 1 AB,121.0,90.75,8.89,121.0,915 CDM,PX-302000155,HC HIV 2 AB,195.0,146.25,13.52,195.0,915 CDM,PX-302000158,HC HLA AB CLASS I SOLID PHASE,833.0,624.75,323.75,833.0,921 CDM,PX-302000159,HC HLA AB CLASS II SOLID PHASE,721.0,540.75,325.8,721.0,921 CDM,PX-302000163,HC HLA CROSSMATCH EACH SERUM,273.0,204.75,36.53,273.0,915 CDM,PX-302000165,HC HLA TYPING A/B/C SNGL AG,163.0,122.25,25.81,163.0,916 CDM,PX-302000172,HC HTLV AB CONFIRMATORY TEST,235.0,176.25,19.35,235.0,915 CDM,PX-302000173,HC HTLV I AB,207.0,155.25,12.88,207.0,916 CDM,PX-302000175,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,350.0,262.5,20.81,350.0,916 CDM,PX-302000176,HC IA2 AB,236.0,177.0,23.57,236.0,918 CDM,PX-302000177,HC IFE OTHER FLUIDS,229.0,171.75,29.35,229.0,915 CDM,PX-302000178,HC IFE SERUM,180.0,135.0,22.34,180.0,917 CDM,PX-302000179,HC IFE URINE,221.0,165.75,29.35,221.0,915 CDM,PX-302000181,HC IMMUNOASSAY TUMOR CA 125,188.0,141.0,20.81,188.0,916 CDM,PX-302000182,HC IMMUNOASSAY TUMOR CA 15.3,190.0,142.5,20.81,190.0,916 CDM,PX-302000183,HC IMMUNOASSAY TUMOR CA 19-9,234.0,175.5,20.81,234.0,917 CDM,PX-302000184,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,190.0,142.5,20.81,190.0,916 CDM,PX-302000191,HC INHIBIN A,130.0,97.5,15.59,130.0,916 CDM,PX-302000192,HC INSULIN AB,241.0,180.75,21.41,241.0,915 CDM,PX-302000195,HC INTRINSIC FACTOR AB,185.0,138.75,15.08,185.0,916 CDM,PX-302000197,HC LEGIONELLA AB,167.0,125.25,15.3,167.0,915 CDM,PX-302000198,HC LEISHMANIA AB,188.0,141.0,12.25,188.0,897 CDM,PX-302000199,HC LEPTOSPIRA AB,188.0,141.0,16.2,188.0,897 CDM,PX-302000203,HC LYME DISEASE AB,156.0,117.0,17.03,156.0,916 CDM,PX-302000204,HC LYME DISEASE CONFIRMATORY TEST,126.0,94.5,15.49,126.0,915 CDM,PX-302000206,HC LYMPHOCYTE BLASTOGENESIS AG,303.0,227.25,49.03,303.0,916 CDM,PX-302000207,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,303.0,227.25,49.03,303.0,916 CDM,PX-302000210,HC M PNEUMONIAE AB EIA,136.0,102.0,13.24,136.0,916 CDM,PX-302000211,HC M PNEUMONIAE AB,136.0,102.0,13.24,136.0,916 CDM,PX-302000214,HC MICROSOMAL AB EA/TPO,116.0,87.0,14.55,116.0,918 CDM,PX-302000215,HC MICROSOMAL AB EA,111.0,83.25,14.55,111.0,918 CDM,PX-302000218,HC MONONUCLEAR CELL AG EA,174.0,130.5,26.78,174.0,916 CDM,PX-302000220,HC MUMPS AB IGG,110.0,82.5,13.05,110.0,916 CDM,PX-302000221,HC MUMPS AB IGM,110.0,82.5,13.05,110.0,916 CDM,PX-302000223,HC NATURAL KILLER TOTAL COUNT,45.0,33.75,30.45,56.6,917 CDM,PX-302000227,HC FLUORESCENT NONINF AG AB EA 6,184.0,138.0,12.05,184.0,918 CDM,PX-302000228,HC FLUORESCENT AB TITER EA 2,125.0,93.75,12.05,125.0,915 CDM,PX-302000232,HC PARVOVIRUS AB,125.0,93.75,15.03,125.0,915 CDM,PX-302000235,HC PLATELET ANTIBODIES,383.0,287.25,18.37,383.0,915 CDM,PX-302000237,HC PLATELET ANTIBODY CROSSMATCH,379.0,284.25,18.37,379.0,915 CDM,PX-302000238,HC PRETREAT RBC AB ID DRUG EA,191.0,143.25,62.95,191.0,916 CDM,PX-302000241,HC PRETREAT SERUM AB ID ABSRP EA BS,191.0,143.25,62.95,191.0,916 CDM,PX-302000242,HC PRETREAT SERUM AB ID ABSRP EA,200.0,150.0,62.95,200.0,916 CDM,PX-302000246,HC PROTOZOA AB NES,153.0,114.75,12.39,153.0,917 CDM,PX-302000247,HC PRTZA BABESIA MICROTI AB,164.0,123.0,12.39,164.0,917 CDM,PX-302000250,HC TRYPANOSOMA CRUZI AB IGG,164.0,123.0,12.39,164.0,917 CDM,PX-302000251,HC PURKINJE CELL AB TITER,182.0,136.5,12.05,182.0,918 CDM,PX-302000252,HC Q FEVER/COXIELLA BRUNETII AB IGG,101.0,75.75,12.12,101.0,915 CDM,PX-302000253,HC Q FEVER/COXIELLA BRUNETII AB IGM,101.0,75.75,12.12,101.0,915 CDM,PX-302000254,HC RBC AG NOT ABO/RH(D) EA BS,75.0,56.25,5.75,439.87,916 CDM,PX-302000255,HC RBC AG NOT ABO/RH(D) EA,76.0,57.0,5.75,439.87,916 CDM,PX-302000259,HC RH PHENOTYPING COMPLETE BS,81.0,60.75,11.63,81.0,915 CDM,PX-302000262,HC RHEUMATOID FACTOR QUANT,57.0,42.75,5.67,57.0,917 CDM,PX-302000263,HC RICKETTSIA AB IGG,157.0,117.75,19.35,157.0,916 CDM,PX-302000264,HC RICKETTSIA AB IGM,157.0,117.75,19.35,157.0,916 CDM,PX-302000267,HC RUBELLA AB IGG,109.0,81.75,14.39,109.0,916 CDM,PX-302000268,HC RUBELLA AB,107.0,80.25,14.39,107.0,916 CDM,PX-302000269,HC RUBEOLA AB IGG,109.0,81.75,12.88,109.0,916 CDM,PX-302000270,HC RUBEOLA AB IGM,110.0,82.5,12.88,110.0,916 CDM,PX-302000274,HC SCHISTOSOMA AB,227.0,170.25,13.01,227.0,916 CDM,PX-302000278,HC SPOROTHRIX AB,181.0,135.75,12.25,181.0,915 CDM,PX-302000279,HC STEM CELLS TOTAL COUNT,265.0,198.75,77.78,265.0,916 CDM,PX-302000282,HC STRONGYLOIDES AB IGG,227.0,170.25,13.01,227.0,916 CDM,PX-302000283,HC SYPHILIS IGG AB,146.0,109.5,13.24,146.0,916 CDM,PX-302000284,HC SYPHILIS TPPA,146.0,109.5,13.24,146.0,916 CDM,PX-302000286,HC T CELL ABSOLUTE CD4/CD8 RATIO,275.0,206.25,46.98,275.0,917 CDM,PX-302000288,HC T CELL TOTAL COUNT,192.0,144.0,37.73,192.0,917 CDM,PX-302000296,HC THYROGLOBULIN AB,120.0,90.0,15.91,120.0,917 CDM,PX-302000297,HC TOXOPLASMA AB IGG,137.0,102.75,14.39,137.0,916 CDM,PX-302000298,HC TOXOPLASMA IGM AB,145.0,108.75,14.41,145.0,916 CDM,PX-302000301,HC VARICELLA ZOSTER AB IGM,104.0,78.0,12.88,104.0,917 CDM,PX-302000302,HC VARICELLA ZOSTER AB,105.0,78.75,12.88,105.0,917 CDM,PX-302000303,HC VDRL,42.0,31.5,4.27,42.0,917 CDM,PX-302000305,HC WEST NILE VIRUS AB IGG,88.0,66.0,14.39,88.0,916 CDM,PX-302000306,HC WEST NILE VIRUS AB IGM,156.0,117.0,16.85,156.0,916 CDM,PX-302000314,HC COMPLEMENT AG EA COMPONENT,115.0,86.25,12.0,115.0,916 CDM,PX-302000316,HC HCV AB SCREEN,140.0,105.0,14.27,140.0,921 CDM,PX-302000331,HC NUCLEAR ANTIGEN ANTIBODY,131.0,98.25,17.93,131.0,916 CDM,PX-302000345,HC FLUORESCENT ANTIBODY SCREEN,187.0,140.25,12.05,187.0,918 CDM,PX-302000349,HC T CELL ABSOLUTE COUNT,189.0,141.75,26.78,189.0,915 CDM,PX-302000364,HC HIV-1 AG W/HIV-1 & HIV-2 AB,159.0,119.25,24.08,159.0,920 CDM,PX-302000366,HC LYMPHOCYTE BLASTOGENESIS,303.0,227.25,49.03,303.0,916 CDM,PX-302000367,HC ANTINUCLEAR ANTIBODIES HEP2,84.0,63.0,11.16,84.0,916 CDM,PX-302000369,HC AUTOLOGOUS BLOOD PROCESSING,354.0,265.5,159.3,354.0,915 CDM,PX-302000370,HC CASPR2-IGG AB TITER,189.0,141.75,12.05,189.0,918 CDM,PX-302000371,HC LGI1-IGG AB CBA TITER,184.0,138.0,12.05,184.0,918 CDM,PX-302000372,HC SYPHILIS NON-TREPONEMAL AB QUAN,47.0,35.25,4.4,47.0,916 CDM,PX-302000373,"HC ZNT8, AB",236.0,177.0,23.57,236.0,918 CDM,PX-302000395,"HC HDV TOTAL AB, S",209.0,156.75,17.16,209.0,915 CDM,PX-302000401,HC ZIKA VIRUS AB,202.0,151.5,16.85,202.0,915 CDM,PX-302000412,HC FLUORESCENT AB TITER EA LEV 2,125.0,93.75,12.05,125.0,915 CDM,PX-302000413,HC FLUORESCENT NONINFCT AG AB EA LEV2,189.0,141.75,12.05,189.0,918 CDM,PX-302000451,HC COMPLEMENT ANTIGEN EACH 1,115.0,86.25,12.0,115.0,916 CDM,PX-302000453,HC COMPLEMENT FUNC ACTVTY EA 3,183.0,137.25,12.0,183.0,916 CDM,PX-302000454,HC COMPLEMENT FUNC ACTVTY EA 2,183.0,137.25,12.0,183.0,916 CDM,PX-302000458,HC IMMUNOASSAY TUMOR CA 19-9 1,232.0,174.0,20.81,232.0,917 CDM,PX-302000459,HC LYMPHOCYTE BLASTOGENESIS AG 1,303.0,227.25,49.03,303.0,916 CDM,PX-302000460,HC LYMPHOCYTE BLASTOGENESIS AG 2,303.0,227.25,49.03,303.0,916 CDM,PX-302000464,HC EHRLICHIA ANTIBODY 1,166.0,124.5,10.18,166.0,915 CDM,PX-302000466,HC HEV AB 1,196.0,147.0,12.88,196.0,916 CDM,PX-302000497,HC THSD7A AB,187.0,140.25,12.05,187.0,918 CDM,PX-302000510,HC PARANEOPLASTIC PEMPHIGUS,180.0,135.0,12.05,180.0,918 CDM,PX-302000513,HC BLASTOMYCES AB EIA,158.0,118.5,12.9,158.0,916 CDM,PX-302000515,HC GFAP IFA TITER,122.0,91.5,12.05,122.0,915 CDM,PX-302000516,HC GFAP IFA,189.0,141.75,12.05,189.0,918 CDM,PX-302000517,HC GFAP CBA,182.0,136.5,12.05,182.0,918 CDM,PX-302000518,HC SRP IFA TITER,125.0,93.75,12.05,125.0,915 CDM,PX-302000519,HC CELLULAR FUNCTION W STIM 1,330.0,247.5,135.86,330.0,915 CDM,PX-302000520,HC CELLULAR FUNCTION W STIM 2,314.0,235.5,135.86,314.0,915 CDM,PX-302000521,HC MONONUCLEAR CELL AG EA 1,177.0,132.75,26.78,177.0,916 CDM,PX-302000523,HC MONONUCLEAR CELL AG EA 3,174.0,130.5,26.78,174.0,916 CDM,PX-302000524,HC MONONUCLEAR CELL AG EA 4,174.0,130.5,26.78,174.0,916 CDM,PX-302000525,HC T CELL TOTAL COUNT 1,183.0,137.25,37.73,183.0,917 CDM,PX-302000533,HC FRANCISELLA TULARENSIS 1,94.0,70.5,14.16,94.0,915 CDM,PX-302000534,HC FRANCISELLA TULARENSIS 2,94.0,70.5,14.16,94.0,915 CDM,PX-302000541,HC FLUORESCENT NONINF AG AB EA 4,189.0,141.75,12.05,189.0,918 CDM,PX-302000544,HC SARS-COV-2 ANTIBODY,92.0,69.0,42.13,92.0,916 CDM,PX-302000559,HC TB TEST CELL IMMUNITY MEASURE 2,263.0,197.25,61.98,263.0,916 CDM,PX-302000560,HC S PNEUMONIAE IGG AB TOTAL,76.0,57.0,14.99,76.0,916 CDM,PX-302000572,HC SARS-COV-2 SPIKE AB,88.0,66.0,42.13,88.0,916 CDM,PX-302000574,HC IFE SERUM 2,194.0,145.5,22.34,194.0,917 CDM,PX-302000587,HC FUNGUS AB NES EACH 2,191.0,143.25,12.25,191.0,915 CDM,PX-302000589,HC HBS ANTIGEN SCREEN CONFIRM,109.0,81.75,10.33,109.0,915 CDM,PX-302000596,HC HAEMOPHILUS INFL B AB IGG,209.0,156.75,15.84,209.0,915 CDM,PX-302000598,HC POWASSAN VIRUS IGM,189.0,141.75,12.88,189.0,916 CDM,PX-302000599,HC LYME DISEASE CONFIRMATORY TEST 2,115.0,86.25,15.49,115.0,915 CDM,PX-302000600,HC LYME DISEASE AB 4,158.0,118.5,17.03,158.0,916 CDM,PX-302000602,HC ENDOMYSIAL AB EA IG CLASS,167.0,125.25,12.09,167.0,916 CDM,PX-302000603,HC ENDOMYSIAL AB EA IG CLASS 2,140.0,105.0,12.09,140.0,916 CDM,PX-302000604,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,125.0,93.75,11.53,125.0,916 CDM,PX-302000605,HC GLIADIN AB EA IG CLASS,156.0,117.0,12.05,156.0,916 CDM,PX-302000606,HC MOG-IGG1 AB FLOW CYTO EA,169.0,126.75,37.73,169.0,916 CDM,PX-302000607,HC AQUAPORIN-4 AB FLOW CYTO EA,197.0,147.75,37.73,197.0,916 CDM,PX-302000608,HC AQUAPORIN-4 AB FLOW CYTO EA 2,197.0,147.75,37.73,197.0,916 CDM,PX-302000609,HC MITOCHONDRIAL AB EA,161.0,120.75,25.45,161.0,916 CDM,PX-302000611,HC VOLTAGE-GTD CA CHNL AB EA,202.0,151.5,12.05,202.0,916 CDM,PX-302000612,HC ACTIN SMOOTH MUSCLE AB EA,146.0,109.5,12.05,146.0,916 CDM,PX-302000613,HC ANCA SCREEN EA AB,159.0,119.25,12.05,159.0,916 CDM,PX-302000614,HC ANCA SCREEN EA AB 2,159.0,119.25,12.05,159.0,916 CDM,PX-302000616,HC SYPHILIS TEST RPR QUAL,42.0,31.5,4.27,42.0,917 CDM,PX-302000619,HC HELMINTH AB NES 2,227.0,170.25,13.01,227.0,916 CDM,PX-302000620,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,175.0,131.25,12.39,175.0,917 CDM,PX-302000621,HC TRICHINELLA 2,146.0,109.5,12.56,146.0,916 CDM,PX-302000622,HC FLUORESCENT NONINF AG AB EA 8,162.0,121.5,12.05,162.0,918 CDM,PX-302000623,HC CONTACTIN-1 IGG CBA,162.0,121.5,12.05,162.0,918 CDM,PX-302000628,HC CHLAMYDIA AB 2,125.0,93.75,11.82,125.0,915 CDM,PX-302000629,HC CHLAMYDIA IGM AB 2,136.0,102.0,12.68,136.0,915 CDM,PX-302000630,HC QFEVER ANTIBODY SCRN,109.0,81.75,12.12,109.0,915 CDM,PX-302000631,HC HELMINTH AB NES 3,176.0,132.0,13.01,176.0,916 CDM,PX-302000636,HC ACHR MODULATE FLOW CYTO,132.0,99.0,12.05,132.0,916 CDM,PX-302000637,HC GLYCINE ALPHA 1 LCBA,138.0,103.5,36.57,138.0,915 CDM,PX-302000638,HC KELCH LIKE PROTEIN 11 QUAL,138.0,103.5,36.57,138.0,916 CDM,PX-302000640,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",94.0,70.5,10.74,94.0,921 CDM,PX-302000641,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,81.75,12.05,109.0,921 CDM,PX-302000642,HC HEP B SCRN HIGH RISK INDIV,163.0,122.25,28.27,163.0,915 CDM,PX-302000643,"HC RARE SUBEPI BLISTERING VARIANTS, S",187.0,140.25,12.05,187.0,918 CDM,PX-302000645,HC FLUORESCENT NONINF AG AB EA 10,181.0,135.75,12.05,181.0,918 CDM,PX-302000649,HC COCCIDIOIDES AB 2,125.0,93.75,11.47,125.0,918 CDM,PX-302000652,HC TREPONEMA PALLIDUM AB 2,146.0,109.5,13.24,146.0,916 CDM,PX-302000654,HC COMPLEMENT FUNC ACTVTY EA 6,183.0,137.25,12.0,183.0,916 CDM,PX-302000657,HC STREP PNEUM AB MULTIPLEX,345.0,258.75,92.03,345.0,916 CDM,PX-302000658,HC NUCLEAR ANTIGEN ANTIBODY 2,132.0,99.0,17.93,132.0,916 CDM,PX-302000667,HC B CELL TOTAL COUNT 2,183.0,137.25,37.73,183.0,917 CDM,PX-302000668,HC NATURAL KILLER TOTAL COUNT 2,45.0,33.75,30.45,56.6,917 CDM,PX-30220,PR INS NASAL/SEPTAL PROSTH BUTTON,1273.0,954.75,145.39,1234.81,683 CDM,PX-30300,PR RMVL FB INTRANASAL OFFICE PROC,1053.0,789.75,56.24,1021.41,697 CDM,PX-30310,PR RMVL FB INTRANASAL GEN ANES,1244.0,933.0,92.73,1206.68,683 CDM,PX-30400,PR RHINP PRIM/LAT CRTLG NASALTIP,5673.0,4254.75,581.29,5502.81,683 CDM,PX-30410,PR RHINP PRIM COMPLT EXTRNL PARTS,7838.0,5878.5,658.5,7602.86,683 CDM,PX-30420,PR RHINP PRIM W MJR SEPTAL REPAIR,10072.0,7554.0,639.64,9769.84,683 CDM,PX-30430,PR RHINP SECNDRY MINOR REVISION,5844.0,4383.0,516.46,5668.68,683 CDM,PX-30435,PR RHINP SECNDRY INT REVISION,7536.0,5652.0,627.37,7309.92,683 CDM,PX-30450,PR RHINP SECNDRY MAJOR REVISION,12269.0,9201.75,798.1,11900.93,683 CDM,PX-30465,PR RPR NASAL VESTIBULAR STENOSIS,4903.0,3677.25,449.99,4755.91,683 CDM,PX-30468,PR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT,10165.0,7623.75,1160.64,9860.05,683 CDM,PX-30469,PR RPR NSL VLV COLLAPSE W/RMDLG,8197.0,6147.75,1125.9,7951.09,683 CDM,PX-305000005,HC ALPHA 2 PLASMIN INHIBITOR,203.0,152.25,7.71,203.0,915 CDM,PX-305000006,HC ANTITHROMBIN III ACTIVITY,215.0,161.25,11.85,215.0,917 CDM,PX-305000007,HC ANTITHROMBIN III ANTIGEN,203.0,152.25,10.81,203.0,916 CDM,PX-305000008,HC APC RESISTANCE V,234.0,175.5,15.32,234.0,917 CDM,PX-305000009,HC APTT MIXING STUDY EACH,104.0,78.0,6.47,104.0,916 CDM,PX-305000013,HC BONE MARROW SMEAR INTERP,1976.0,1482.0,57.95,1976.0,918 CDM,PX-305000015,HC CBC AUTO WO DIFF,41.0,30.75,6.47,41.0,921 CDM,PX-305000016,HC CBC W AUTO DIFF,36.0,27.0,7.77,36.0,919 CDM,PX-305000017,HC CHROMOGENIC FACTOR X ACTIVITY,272.0,204.0,17.9,272.0,917 CDM,PX-305000018,HC CLOT SOLUBILITY FACTOR XIII,177.0,132.75,9.11,177.0,916 CDM,PX-305000019,HC COAGULATION TIME ACTIVATED,26.0,19.5,4.28,26.0,917 CDM,PX-305000021,HC FACTOR II ACTIVITY,244.0,183.0,12.98,244.0,917 CDM,PX-305000022,HC FACTOR INHIBITOR BETHESDA TITER,244.0,183.0,12.87,244.0,915 CDM,PX-305000023,HC FACTOR INHIBITOR SCREEN,270.0,202.5,12.87,270.0,915 CDM,PX-305000024,HC FACTOR IX ASSAY,261.0,195.75,19.04,261.0,917 CDM,PX-305000025,HC FACTOR V ACTIVITY,261.0,195.75,17.65,261.0,915 CDM,PX-305000026,HC FACTOR VII ACTIVITY,281.0,210.75,17.9,281.0,917 CDM,PX-305000027,HC FACTOR VIII 1 STAGE ASSAY,261.0,195.75,17.9,261.0,916 CDM,PX-305000028,HC FACTOR X ASSAY,272.0,204.0,17.9,272.0,917 CDM,PX-305000029,HC FACTOR XI ASSAY,246.0,184.5,17.9,246.0,917 CDM,PX-305000030,HC FACTOR XII ASSAY,261.0,195.75,19.35,261.0,915 CDM,PX-305000032,HC FDP SEMIQUANT,111.0,83.25,6.89,111.0,915 CDM,PX-305000033,HC FIBRINOGEN ACTIVITY,130.0,97.5,9.72,130.0,919 CDM,PX-305000034,HC FIBRINOGEN ANTIGEN,115.0,86.25,14.46,115.0,915 CDM,PX-305000035,HC FIBRINOLYSINS/COAGULOPATHY I&R,121.0,90.75,15.48,121.0,916 CDM,PX-305000037,HC HEMATOCRIT,40.0,30.0,2.37,40.0,918 CDM,PX-305000038,HC HEMOGLOBIN,31.0,23.25,2.37,31.0,918 CDM,PX-305000039,HC HEPARIN ASSAY,232.0,174.0,13.09,232.0,917 CDM,PX-305000040,HC HEPARIN-PROTAMINE TOL,137.0,102.75,13.09,137.0,915 CDM,PX-305000041,HC HEXAGONAL PHOSPHOLIPID ASSAY,185.0,138.75,17.98,185.0,915 CDM,PX-305000045,HC LEUKOCYTE (WBC) COUNT AUTO,26.0,19.5,2.54,26.0,916 CDM,PX-305000046,HC MURAMIDASE (LYSOZYME),146.0,109.5,18.75,146.0,915 CDM,PX-305000047,HC OSMOTIC FRAGILITY INCUBATED,127.0,95.25,13.36,127.0,915 CDM,PX-305000048,HC PLASMINOGEN ACTIVITY,208.0,156.0,6.53,208.0,915 CDM,PX-305000049,HC PLATELET AGGREGATION EA,125.0,93.75,24.91,125.0,916 CDM,PX-305000050,HC PLATELET COUNT AUTO,47.0,35.25,4.48,47.0,918 CDM,PX-305000051,HC PLATELET NEUTRALIZATION,156.0,117.0,17.98,156.0,916 CDM,PX-305000052,HC PROTEIN C ACTIVITY,246.0,184.5,13.84,246.0,917 CDM,PX-305000053,HC PROTEIN C ANTIGEN,218.0,163.5,12.01,218.0,915 CDM,PX-305000054,HC PROTEIN S FREE,291.0,218.25,15.32,291.0,917 CDM,PX-305000055,HC PROTEIN S TOTAL,239.0,179.25,11.61,239.0,916 CDM,PX-305000056,HC PROTHROMBIN MIXING STUDIES,65.0,48.75,3.94,65.0,916 CDM,PX-305000057,HC PROTHROMBIN TIME,33.0,24.75,4.29,33.0,921 CDM,PX-305000059,HC RBC SICKLING REDUCTION,58.0,43.5,5.51,58.0,916 CDM,PX-305000060,HC REPTILASE TEST,141.0,105.75,9.85,141.0,915 CDM,PX-305000061,HC RETICULOCYTE COUNT AUTO,42.0,31.5,3.99,42.0,916 CDM,PX-305000063,HC RISTOCETIN COFACTOR,235.0,176.25,22.94,235.0,915 CDM,PX-305000064,HC RUSSELL VIPER VENOM DILUTED,93.0,69.75,9.58,93.0,917 CDM,PX-305000065,HC SEDIMENTATION RATE AUTOMATED,35.0,26.25,2.7,35.0,919 CDM,PX-305000067,HC SOLUBLE FIBIRIN MONOMER COMPLEX,174.0,130.5,80.46,174.0,916 CDM,PX-305000070,HC THROMBIN TIME,87.0,65.25,5.77,87.0,917 CDM,PX-305000071,HC THROMBOPLASTIN TIME (APTT),50.0,37.5,6.01,50.0,919 CDM,PX-305000073,HC VISCOSITY,90.0,67.5,11.67,90.0,916 CDM,PX-305000074,HC VON WILLEBRAND FACTOR ACTIVITY,300.0,225.0,30.86,300.0,916 CDM,PX-305000075,HC VON WILLEBRAND FACTOR ANTIGEN,261.0,195.75,22.94,261.0,916 CDM,PX-305000077,HC BLOOD MANUAL DIFF,30.0,22.5,3.8,30.0,917 CDM,PX-305000078,HC D-DIMER QUANT,202.0,151.5,10.18,202.0,920 CDM,PX-305000079,HC WILLEBRAND FACTOR MULTIMERANALYSIS,308.0,231.0,22.94,308.0,915 CDM,PX-305000084,HC OCCULT BLOOD FECES IMMUNOASSAY,81.0,60.75,15.92,81.0,915 CDM,PX-305000098,"HC PS/PT AB,IGG/IGM,S",80.0,60.0,16.07,80.0,916 CDM,PX-305000101,HC CHROMOGENIC FVIII 2,208.0,156.0,11.89,208.0,915 CDM,PX-305000117,HC HEMOGLOBIN 3,31.0,23.25,2.37,31.0,918 CDM,PX-305000124,HC CHROMOGENIC FACTOR VIII INHIBITOR,235.0,176.25,12.87,235.0,915 CDM,PX-305000132,HC RETICYTE/HGB CONCENTRATE,34.0,25.5,5.57,34.0,917 CDM,PX-305000133,HC RETICYTE/HGB CONCENTRATE 2,34.0,25.5,5.57,34.0,917 CDM,PX-305000139,HC COAG FUNCTIONAL ACTIVITY NOS 2,302.0,226.5,30.86,302.0,916 CDM,PX-305000140,HC FACTOR INHIBITOR TEST,244.0,183.0,12.87,244.0,915 CDM,PX-30520,PR SEPTO/SUBM RESEC W/WO CART GRFT,3483.0,2612.25,298.75,3378.51,683 CDM,PX-30560,PR LYSIS INTRANASAL SYNECHIA,1248.0,936.0,153.07,1210.56,683 CDM,PX-30580,PR REPAIR FISTULA OROMAXILLARY,3125.0,2343.75,304.96,3031.25,683 CDM,PX-30600,PR REPAIR FISTULA ORONASAL,2839.0,2129.25,295.21,2753.83,683 CDM,PX-306000002,HC DETECT AGENT NOS DNA AMP,153.0,114.75,35.09,153.0,918 CDM,PX-306000003,HC DETECT AGENT NOS DNA QUANT 1,299.0,224.25,42.84,299.0,919 CDM,PX-306000004,HC AG DETECT NOS EIA MULT,234.0,175.5,11.98,234.0,917 CDM,PX-306000005,HC AGENT NOS ASSAY W OPTIC,87.0,65.25,16.07,87.0,918 CDM,PX-306000006,HC ANTIMICROBIAL SUSCEPTIBILITY,47.0,35.25,4.75,47.0,916 CDM,PX-306000008,HC ASPERGILLUS AG EIA,211.0,158.25,11.98,211.0,917 CDM,PX-306000009,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),153.0,114.75,35.09,153.0,918 CDM,PX-306000011,HC BARTONELLA BY RAPID PCR,277.0,207.75,70.2,277.0,917 CDM,PX-306000012,HC BETA LACTAMASE,46.0,34.5,4.75,46.0,916 CDM,PX-306000014,HC BK VIRUS DNA QN BY RAPID PCR,302.0,226.5,42.84,302.0,919 CDM,PX-306000019,HC C DIFFICILE TOXIN AMPL PROBE,170.0,127.5,37.27,170.0,916 CDM,PX-306000025,HC CHLAMYDIA TRACH DNA AMPL PROBE,140.0,105.0,35.09,140.0,918 CDM,PX-306000027,HC CLOSTRIDIUM TOXIN AG EIA,144.0,108.0,11.98,144.0,919 CDM,PX-306000028,HC CMV DNA AMPL PROBE QUAL,229.0,171.75,35.09,229.0,916 CDM,PX-306000029,HC CMV PCR QUANT,453.0,339.75,42.84,453.0,918 CDM,PX-306000030,HC COCCIDIOIDES BY RAPID PCR,153.0,114.75,35.09,153.0,918 CDM,PX-306000032,HC CONC FOR INFECTIOUS AGENT,36.0,27.0,6.68,36.0,919 CDM,PX-306000034,HC COXIELLA BURNETII/Q FEVER PC,153.0,114.75,35.09,153.0,918 CDM,PX-306000037,HC CRYPTOCOCCUS AG W OPTIC,87.0,65.25,16.07,87.0,918 CDM,PX-306000038,HC CRYPTOSPORIDIUM AG EIA,125.0,93.75,13.82,125.0,915 CDM,PX-306000040,HC CULT AEROBIC DEFIN ID EA ISOL,35.0,26.25,8.08,35.0,920 CDM,PX-306000041,HC CULT AEROBIC OTHER PRESUMPT ID,85.0,63.75,8.62,85.0,920 CDM,PX-306000043,HC CULT AFB PRES ID,67.0,50.25,10.8,67.0,918 CDM,PX-306000044,HC CULT ANAEROBIC DEFIN ID EA ISOL,31.0,23.25,8.08,31.0,915 CDM,PX-306000045,HC CULT ANAEROBIC ISOL PRES ID,113.0,84.75,9.47,113.0,920 CDM,PX-306000046,HC CULT BLOOD ISOL W PRES ID,98.0,73.5,10.32,98.0,917 CDM,PX-306000048,HC CULT FUNGI DEFIN ID MOLD,47.0,35.25,10.32,47.0,916 CDM,PX-306000049,HC CULT FUNGI DEFIN ID YEAST,83.0,62.25,10.32,83.0,915 CDM,PX-306000050,HC CULT FUNGI PRES ID BLOOD,98.0,73.5,20.46,98.0,917 CDM,PX-306000051,HC CULT FUNGI PRES ID HAIR/SK/NA,103.0,77.25,7.71,103.0,916 CDM,PX-306000052,HC CULT FUNGI PRESUMPT ID OTHER,69.0,51.75,8.41,69.0,918 CDM,PX-306000053,HC CULT ID BY SEQUENCING ANAEROBE,469.0,351.75,115.36,469.0,916 CDM,PX-306000054,HC CULTURE TYPING BY NUC ACID SEQ 1,469.0,351.75,115.36,469.0,916 CDM,PX-306000055,HC CULTURE TYPING BY NUC ACID SEQ 3,473.0,354.75,115.36,473.0,916 CDM,PX-306000056,HC CULT MYCOBACTERIA DEFIN ID,76.0,57.0,14.61,76.0,917 CDM,PX-306000058,HC CULT PRESUMPT ID EA ISOL URINE,30.0,22.5,8.09,30.0,915 CDM,PX-306000059,HC CULT SINGLE SPECIFIC ORG EACH,68.0,51.0,6.63,68.0,917 CDM,PX-306000062,HC CULT TYPE ID BY AMPL PROBE,193.0,144.75,35.09,193.0,917 CDM,PX-306000063,HC CULT TYPE ID BY NUCLEIC ACID,112.0,84.0,20.05,112.0,915 CDM,PX-306000066,HC CULT/COLONY COUNT QUANT URINE,72.0,54.0,8.07,72.0,922 CDM,PX-306000069,HC DETECT AGENT NOS DNA QUANT,299.0,224.25,42.84,299.0,919 CDM,PX-306000071,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),153.0,114.75,35.09,153.0,918 CDM,PX-306000072,HC EIA HEP B AG NEUTRALIZATION,110.0,82.5,10.33,110.0,916 CDM,PX-306000075,HC ENTEROVIRUS,199.0,149.25,35.09,199.0,915 CDM,PX-306000076,HC EPSTEIN BARR AMPL PROBE,153.0,114.75,35.09,153.0,918 CDM,PX-306000081,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,625.5,416.78,834.0,918 CDM,PX-306000083,HC GIARDIA AG EIA,115.0,86.25,11.98,115.0,915 CDM,PX-306000085,HC H PYLORI STOOL AG EIA,219.0,164.25,14.38,219.0,917 CDM,PX-306000088,HC HEP B PCR QUANT,631.0,473.25,42.84,631.0,916 CDM,PX-306000089,HC HEP B SURF AG,83.0,62.25,10.33,83.0,921 CDM,PX-306000093,HC HEP C PCR QUANT,499.0,374.25,42.84,499.0,917 CDM,PX-306000094,HC HEPATITIS BE AG EIA,113.0,84.75,11.53,113.0,916 CDM,PX-306000096,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),183.0,137.25,35.09,183.0,917 CDM,PX-306000098,HC HHV-6 BY RAPID PCR,187.0,140.25,35.09,187.0,915 CDM,PX-306000100,HC HISTOPLASMA CAPSULATUM AG EIA,199.0,149.25,13.25,199.0,915 CDM,PX-306000101,HC HIV 1 PCR QUANT,512.0,384.0,85.1,512.0,916 CDM,PX-306000103,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,159.0,119.25,24.08,159.0,920 CDM,PX-306000106,HC HOMOGENIZATION TISS FOR CULT,47.0,35.25,5.88,47.0,917 CDM,PX-306000108,"HC HPV HIGH RISK, SCREENING",187.0,140.25,35.09,187.0,915 CDM,PX-306000110,HC INF AGENT NOS AMPL PROBE EA ORGSM,152.0,114.0,35.09,152.0,918 CDM,PX-306000115,HC JC VIRUS DETECTION BY PCR,153.0,114.75,35.09,153.0,918 CDM,PX-306000116,HC KOH FUNGI SKIN/HAIR/NAILS,57.0,42.75,4.27,57.0,915 CDM,PX-306000119,HC LEGIONELLA AG URINE W OPTIC,87.0,65.25,16.07,87.0,918 CDM,PX-306000121,HC LEGIONELLA SPECIES DETECTION,273.0,204.75,70.2,273.0,917 CDM,PX-306000123,HC MACROSCOPIC EXAM ARTHROPOD,71.0,53.25,4.27,71.0,915 CDM,PX-306000124,HC MACROSCOPIC EXAM PARASITE,47.0,35.25,4.31,47.0,915 CDM,PX-306000125,HC MALARIA AG W OPTIC,87.0,65.25,16.07,87.0,918 CDM,PX-306000129,HC MRSA AMPL PROBE,126.0,94.5,35.09,126.0,917 CDM,PX-306000130,HC MTB COMPLEX BY RAPID PCR,182.0,136.5,41.68,182.0,916 CDM,PX-306000131,HC CULTURE TYPING BY NUC ACID SEQ 2,469.0,351.75,115.36,469.0,916 CDM,PX-306000133,HC MYCOBACTERIA BROTH PROBE ID,160.0,120.0,35.09,160.0,917 CDM,PX-306000137,HC MYCOPLASMA HOMINIS AMP PROBE,153.0,114.75,35.09,153.0,918 CDM,PX-306000138,HC MYCOPLASMA PNEUMO AMPL PROBE,196.0,147.0,35.09,196.0,915 CDM,PX-306000139,HC NEISSERIA GONORR DNA AMPL,145.0,108.75,35.09,145.0,918 CDM,PX-306000144,HC OVA & PARASITE CONC & ID,83.0,62.25,8.9,83.0,916 CDM,PX-306000146,HC PARVOVIRUS B19 BY RAPID PCR,155.0,116.25,35.09,155.0,918 CDM,PX-306000147,HC PINWORM EXAM,62.0,46.5,4.27,62.0,915 CDM,PX-306000150,HC RESP VIRUS 12 TO 25 TARGETS,834.0,625.5,416.78,834.0,915 CDM,PX-306000159,HC SEROTYPING AGGLUT EA METH 2,26.0,19.5,5.18,26.0,916 CDM,PX-306000163,HC SMEAR ACID FAST ANY SOURCE,37.0,27.75,5.39,37.0,918 CDM,PX-306000164,HC SMEAR COMPLEX STAIN O&P,115.0,86.25,17.98,115.0,916 CDM,PX-306000165,HC SMEAR FILARIA BLOOD,87.0,65.25,5.99,87.0,916 CDM,PX-306000166,HC SMEAR GRAM STAIN,36.0,27.0,4.27,36.0,918 CDM,PX-306000167,HC SMEAR MALARIA/BABESIA,83.0,62.25,5.99,83.0,916 CDM,PX-306000168,HC SMEAR PNEUMOCYSTIS,37.0,27.75,5.39,37.0,918 CDM,PX-306000169,HC SMEAR WET MOUNT,40.0,30.0,5.82,40.0,915 CDM,PX-306000170,HC SPECIAL STAIN INCL OR PARASITE,88.0,66.0,5.99,88.0,916 CDM,PX-306000172,HC STREP A DIRECT,61.0,45.75,16.53,61.0,915 CDM,PX-306000174,HC STREP PNEUMONIAE AG W OPTIC,92.0,69.0,16.07,92.0,918 CDM,PX-306000178,HC SUSCEPT MACROBROTH EA DRUG,88.0,66.0,6.64,88.0,916 CDM,PX-306000179,HC SUSCEPTIBILITY DISK PER PLATE,36.0,27.0,7.48,36.0,916 CDM,PX-306000181,HC SUSCEPTIBILITY PER PLATE 1,87.0,65.25,8.65,87.0,919 CDM,PX-306000182,HC SUSCEPTIBILITY PER PLATE 2,90.0,67.5,8.65,90.0,919 CDM,PX-306000183,HC SUSCEPTIBLITY PANEL YEAST,86.0,64.5,8.65,86.0,919 CDM,PX-306000186,HC TOXOPLASMA GONDII AMPL PB,153.0,114.75,35.09,153.0,918 CDM,PX-306000187,HC TOXOPLASMA GONDII PCR CSF,149.0,111.75,35.09,149.0,918 CDM,PX-306000188,HC TRICHOMONAS RAPID TEST,83.0,62.25,15.29,83.0,916 CDM,PX-306000189,HC TRICHOMONAS VAG AMP PROBE,202.0,151.5,35.09,202.0,917 CDM,PX-306000192,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),155.0,116.25,35.09,155.0,918 CDM,PX-306000193,HC VANCO RESISTANCE DNA AMPL,101.0,75.75,35.09,101.0,916 CDM,PX-306000194,HC VARICELLA ZOSTER VIRUS DETECT,153.0,114.75,35.09,153.0,918 CDM,PX-306000201,HC WEST NILE AMPL PROBE,152.0,114.0,35.09,152.0,918 CDM,PX-306000202,HC WHIPPLES DISEASE DNA DETECT,153.0,114.75,35.09,153.0,918 CDM,PX-306000203,HC CYTOMEGALOVIRUS DETECTION/PCR,236.0,177.0,35.09,236.0,916 CDM,PX-306000207,HC MICROSPORIDIA PCR,153.0,114.75,35.09,153.0,918 CDM,PX-306000209,HC STOOL CULT AEROBIC BACT EA,74.0,55.5,9.44,74.0,918 CDM,PX-306000220,HC CULT TYPE ID BY AMPL PROBE 2,160.0,120.0,35.09,160.0,917 CDM,PX-306000232,HC CNS DNA AMP PROBE TYPE 12-25,834.0,625.5,416.78,834.0,917 CDM,PX-306000234,HC STAIN SLIDE EXAM,115.0,86.25,17.98,115.0,916 CDM,PX-306000258,HC CHLAMYDIA TRACHOMATIS PCR,139.0,104.25,35.09,139.0,918 CDM,PX-306000260,HC NEISSERIA GONORRHOEAE PCR,139.0,104.25,35.09,139.0,918 CDM,PX-306000265,HC ZIKA VIRUS AMPL PROBE,455.0,341.25,51.31,455.0,915 CDM,PX-306000270,HC EBV DNA DETECT QUANT,297.0,222.75,42.84,297.0,919 CDM,PX-306000297,HC CULT AEROBIC DEFIN ID EA ISOL 2,36.0,27.0,8.08,36.0,920 CDM,PX-306000299,HC CULT SINGLE SPECIFIC ORG EACH 1,68.0,51.0,6.63,68.0,917 CDM,PX-306000302,HC SUSCEPTIBILITY PER PLATE 3,91.0,68.25,8.65,91.0,919 CDM,PX-306000304,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,158.0,118.5,24.08,158.0,920 CDM,PX-306000305,HC HEP C PCR QUANT 1,495.0,371.25,42.84,495.0,917 CDM,PX-306000308,HC INF AGENT NOS AMPL PROBE EA ORGSM 1,144.0,108.0,35.09,144.0,918 CDM,PX-306000309,HC MULT ORGANISM AMPL PROBE 1,280.0,210.0,70.2,280.0,917 CDM,PX-306000310,HC HEP C GENOTYPE DNA REVERSE 1,699.0,524.25,257.45,699.0,915 CDM,PX-306000320,"HC GROUP A STREP PCR, THROAT",171.0,128.25,35.09,171.0,916 CDM,PX-306000321,"HC STREP GROUP A, PCR, POCT",164.0,123.0,35.09,164.0,916 CDM,PX-306000330,HC HPV HIGH RISK,186.0,139.5,35.09,186.0,915 CDM,PX-306000331,"HC CHIKUNGUNYA VIRUS, PCR",147.0,110.25,35.09,147.0,918 CDM,PX-306000338,HC SUSCEPTIBILITY PER PLATE 4,88.0,66.0,8.65,88.0,919 CDM,PX-306000346,HC INFCT DIS CULTURE W/FISH 6+ TARGETS,371.0,278.25,200.0,371.0,915 CDM,PX-306000347,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),393.0,294.75,35.09,393.0,916 CDM,PX-306000348,HC B MAYONII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,918 CDM,PX-306000349,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,918 CDM,PX-306000351,HC FUNGITELL,196.0,147.0,11.98,196.0,917 CDM,PX-306000352,"HC CRYPTOCOCCUS AG SCRN, LFA",88.0,66.0,16.07,88.0,918 CDM,PX-306000356,HC DENGUE VIRUS PCR,147.0,110.25,35.09,147.0,918 CDM,PX-306000357,HC M GENITALIUM AMP PROBE,129.0,96.75,35.09,129.0,915 CDM,PX-306000366,HC SARS-COVID19 2,107.0,80.25,51.31,107.0,916 CDM,PX-306000374,HC CANDIDA DNA AMP PROBE 2,132.0,99.0,35.09,132.0,915 CDM,PX-306000376,HC BRBS PCR AND SEQUENCING,147.0,110.25,35.09,147.0,918 CDM,PX-306000378,HC H PYLORI+CLARITHRO RESIST,147.0,110.25,35.09,147.0,918 CDM,PX-306000383,HC SARSCOV2 & INF A&B AMP PRB,303.0,227.25,142.63,303.0,916 CDM,PX-306000386,HC DNA/RNA AMPLIFIED PROBE EACH 2,186.0,139.5,35.09,186.0,917 CDM,PX-306000390,HC RESPIR PATH 22 TARGETS,834.0,625.5,416.78,834.0,918 CDM,PX-306000398,HC DETECT AGENT NOS DNA AMP 2,144.0,108.0,35.09,144.0,918 CDM,PX-306000401,HC BLASTOMYCES AG QUANT EIA,227.0,170.25,11.98,227.0,917 CDM,PX-306000418,HC CULTURE TYPE BLD PATH 6+ TARGET,654.0,490.5,218.06,654.0,916 CDM,PX-306000421,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",433.0,324.75,142.63,433.0,917 CDM,PX-306000434,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),127.0,95.25,35.09,127.0,916 CDM,PX-306000435,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),117.0,87.75,35.09,117.0,916 CDM,PX-306000436,HC BABESIA (LBAB/LBABP-NCCI),127.0,95.25,35.09,127.0,916 CDM,PX-306000437,HC BORRELIA MIYAMOTOI AMP PRB,127.0,95.25,35.09,127.0,916 CDM,PX-306000438,HC BORRELIA MIYAMOTOI AMP PRB 2,126.0,94.5,35.09,126.0,916 CDM,PX-306000441,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),550.0,412.5,247.5,550.0,909 CDM,PX-306000443,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),433.0,324.75,194.85,433.0,909 CDM,PX-306000444,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),364.0,273.0,163.8,364.0,909 CDM,PX-306000448,HC DNA/RNA AMPLIFIED PROBE (BCBS/BCYST-NCCI),202.0,151.5,35.09,202.0,917 CDM,PX-306000449,HC DNA/RNA AMPLIFIED PROBE (BCBS-MEC NCCI),606.0,454.5,272.7,606.0,909 CDM,PX-306000450,HC DNA/RNA AMPLIFIED PROBE (BCYST-MEC NCCI),1010.0,757.5,454.5,1010.0,909 CDM,PX-306000454,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),310.0,232.5,139.5,310.0,909 CDM,PX-306000458,HC HIV-1 DNA AMPL PROBE 2,392.0,294.0,35.09,392.0,917 CDM,PX-306000459,HC HIV-2 PROBE & REVRSE TRNSCR 2,504.0,378.0,35.09,504.0,915 CDM,PX-306000460,HC BLASTOMYCES AG,243.0,182.25,11.98,243.0,917 CDM,PX-306000463,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),366.0,274.5,35.09,366.0,917 CDM,PX-306000464,HC MULT ORGANISM AMPL PROBE 2,290.0,217.5,70.2,290.0,917 CDM,PX-306000465,HC VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),139.0,104.25,35.09,139.0,918 CDM,PX-306000466,HC HERPES & VARICELLA ZOSTER (HSVZA-MEC NCCI),505.0,378.75,227.25,505.0,909 CDM,PX-306000470,HC RESPIR PATHOGEN 22 TARGETS 2,834.0,625.5,416.78,834.0,918 CDM,PX-306000471,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",83.0,62.25,10.33,83.0,921 CDM,PX-306000477,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGGX-NCCI),141.0,105.75,35.09,141.0,918 CDM,PX-306000478,HC NEISSERIA GONORR DNA AMPL (CGGX-NCCI),141.0,105.75,35.09,141.0,918 CDM,PX-306000480,HC AG DETECT NOS EIA MULT 2,145.0,108.75,11.98,145.0,917 CDM,PX-306000483,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),144.0,108.0,35.09,144.0,918 CDM,PX-306000484,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),142.0,106.5,35.09,142.0,918 CDM,PX-306000485,HC MULT ORGANISM AMPL PROBE (CGGX-MEC-NCCI),282.0,211.5,70.2,282.0,917 CDM,PX-306000487,HC HHV-6 DNA QUANT,518.0,388.5,41.76,518.0,916 CDM,PX-306000494,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",488.0,366.0,76.77,488.0,916 CDM,PX-306000498,HC PNEUMOCYSTIS JIROVECII AMP PROBE,177.0,132.75,35.09,177.0,917 CDM,PX-306000499,HC HPV SEPARATE HI-RISK TYPES,194.0,145.5,70.2,194.0,918 CDM,PX-306000500,HC HPV SEPARATE HI-RISK TYPES 2,194.0,145.5,70.2,194.0,918 CDM,PX-306000514,HC INFECT AGENT CHLAM/GONORR MULTIPLEX 2,439.0,329.25,70.18,439.0,916 CDM,PX-30630,PR RPR NASAL SEPTAL PERFORATIONS,4497.0,3372.75,296.19,4362.09,683 CDM,PX-307000004,HC URINALYSIS AUTO W MICRO,35.0,26.25,3.17,35.0,920 CDM,PX-307000005,HC URINALYSIS AUTO WO MICRO,20.0,15.0,2.25,20.0,917 CDM,PX-307000010,HC URINE AUTO SPECIFIC GRAVITY,20.0,15.0,2.25,20.0,917 CDM,PX-307000012,HC VOLUME MEASUREMENT,29.0,21.75,3.64,29.0,916 CDM,PX-307000013,HC PREG TEST URINE VIS COMP,43.0,32.25,8.61,43.0,919 CDM,PX-30801,PR ABLT TURBINATES UNI/BILAT SUPFC,1020.0,765.0,106.27,989.4,684 CDM,PX-30802,PR ABLT TURB UNI/BILAT SUPFC INTMURL,1245.0,933.75,135.47,1207.65,683 CDM,PX-30901,PR CTRL NASAL HEMR ANTERIOR SMPL,646.0,484.5,68.39,626.62,693 CDM,PX-30903,PR CTRL NASAL HEMR ANTERIOR CMPLX,673.0,504.75,109.71,652.81,693 CDM,PX-30905,PR CTRL NSL HEMR PST PCK/CAUT INIT,1299.0,974.25,191.86,1260.03,683 CDM,PX-30920,PR LIG ARTY INTRN MXLRY TRANSNTRL,6814.0,5110.5,378.57,6609.58,683 CDM,PX-30930,PR FX NASAL INFR TURB THERAPEUTIC,422.0,316.5,53.08,409.34,683 CDM,PX-30999006,PR MIDDLE TURBINECTOMY UNILATERAL,2856.0,2142.0,71.4,2770.32,683 CDM,PX-30999007,PR MIDDLE TURBINECTOMY BILATRAL,4284.0,3213.0,107.1,4155.48,683 CDM,PX-310000004,HC CHROMO ANALYSIS <20 CELLS (REDUC),1512.0,1134.0,144.61,1512.0,919 CDM,PX-310000005,HC CHROMO ANALYSIS 15-20 CELL BAND,1263.0,947.25,125.49,1263.0,916 CDM,PX-310000007,HC CHROMO ANLYS ADD CELL COUNT EA,418.0,313.5,26.91,418.0,915 CDM,PX-310000010,HC CHROMOSOME ANALYSIS 20-25 CELL,1424.0,1068.0,144.61,1424.0,919 CDM,PX-310000015,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,296.25,13.07,395.0,915 CDM,PX-310000020,HC CYTOG INTERPHASE 100-300 ISH,289.0,216.75,51.19,289.0,917 CDM,PX-310000023,HC CYTOG INTRPHASE 25-99 CELL,276.0,207.0,42.38,276.0,917 CDM,PX-310000025,HC MOL CYTOG DNA PROBE EA,149.0,111.75,21.42,149.0,918 CDM,PX-310000028,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,519.75,150.3,693.0,915 CDM,PX-310000029,HC TISS CULT BONE MARROW,936.0,702.0,143.75,936.0,919 CDM,PX-310000030,HC TISS CULT LYMPHOCYTE,414.0,310.5,116.49,414.0,916 CDM,PX-310000031,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,492.75,140.73,657.0,915 CDM,PX-310000045,HC IF STUDY EA AB DIR METHOD,478.0,358.5,150.39,478.0,916 CDM,PX-310000046,HC IMMUNOFLUORESCENCE EA ADD,225.0,168.75,115.49,225.0,910 CDM,PX-310000091,HC MOL CYTOG DNA PROBE CELL SUSP EA,168.0,126.0,21.42,168.0,918 CDM,PX-310000092,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,286.0,214.5,51.19,286.0,917 CDM,PX-310000093,HC MOL CYTOG DNA PROBE SORT CELL EA,172.0,129.0,21.42,172.0,918 CDM,PX-310000094,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,335.0,251.25,42.38,335.0,917 CDM,PX-310000097,HC PATH CONSULT LIMITED 5-20 MIN,206.0,154.5,27.26,206.0,915 CDM,PX-310000098,HC PATH CONSULT MOD COMPLEX 21-40 MIN,624.0,468.0,57.45,624.0,918 CDM,PX-310000099,HC PATH CONSULT HIGH COMPLEX 41-60 MIN,728.0,546.0,108.95,728.0,915 CDM,PX-31020,PR SINUSOTOMY MXLRY ANTR INTNASAL,2524.0,1893.0,159.28,2448.28,697 CDM,PX-31030,PR SINUSOTOMY MXLRY WO PLYP RMVL,3407.0,2555.25,231.36,3304.79,697 CDM,PX-31040,PR PTERYGOMXLRY FOSSA SURG ANY,4882.0,3661.5,351.95,4735.54,683 CDM,PX-31075,PR SINUSOT FRONTAL TRANSORBT UNILAT,5394.0,4045.5,365.41,5232.18,683 CDM,PX-31080,PR SINUSOT FRNT OBLIT WO FLAP BROW,6333.0,4749.75,479.13,6143.01,683 CDM,PX-31081,PR SINUSOT FRNT OBLIT WO FLAP CRNL,9356.0,7017.0,511.49,9075.32,683 CDM,PX-31086,PR SINUSOT FRNT NONOBLIT W/FLAP BROW INCISN,7441.0,5580.75,515.24,7217.77,683 CDM,PX-311000005,HC CYTOP GYN THIN PREP MANUAL,121.0,90.75,20.26,121.0,916 CDM,PX-311000007,HC CYTOP NONGYN LIQUID BASED,450.0,337.5,55.61,450.0,917 CDM,PX-311000010,HC CYTOP SMEAR NONGYN W PREP,146.0,109.5,30.86,146.0,915 CDM,PX-311000011,HC FISH BLADDER CA MANUAL,1893.0,1419.75,181.8,1893.0,915 CDM,PX-311000012,HC FLOW CELL CYCLE/DNA ANALYSIS,703.0,527.25,55.61,703.0,917 CDM,PX-311000013,HC FLOW CYTO EA ADD MARKER,155.0,116.25,33.5,155.0,913 CDM,PX-311000014,HC FLOW CYTO FIRST MARKER 2,414.0,310.5,117.86,439.87,919 CDM,PX-311000015,HC FLOW CYTO FIRST MARKER,414.0,310.5,117.86,439.87,919 CDM,PX-311000022,HC CYTOP CONCEN SMEARS & INTERP,400.0,300.0,39.86,400.0,916 CDM,PX-311000023,HC CYTOP FNA EVAL ADEQUACY EA ADD,94.0,70.5,12.63,94.0,909 CDM,PX-311000024,HC CYTOP FNA IMMEDIATE EVAL,242.0,181.5,30.53,242.0,916 CDM,PX-311000025,HC CYTOP FNA INTERP & REPORT,424.0,318.0,55.61,424.0,919 CDM,PX-311000031,HC CYTOP GYN THIN PREP MANUAL SCRN,121.0,90.75,20.26,121.0,915 CDM,PX-312000001,HC CONSULT SURG TOUCH PREP INIT,549.0,411.75,44.61,988.69,915 CDM,PX-312000002,HC CONSULT SURG WO FROZEN,303.0,227.25,41.57,303.0,917 CDM,PX-312000003,HC DECALCIFICATION PROC,73.0,54.75,12.08,73.0,912 CDM,PX-312000004,HC ELECTRON MICROSCOPY DX,1536.0,1152.0,589.35,1536.0,916 CDM,PX-312000006,HC FROZEN SECTION ADD TISS BLOCK,138.0,103.5,35.39,138.0,914 CDM,PX-312000007,HC HISTOCHEMISTRY FOR ENZYME,268.0,201.0,154.76,988.69,916 CDM,PX-312000010,HC IMMUNO STAIN EA MULTIPLEX AB,487.0,365.25,199.47,487.0,916 CDM,PX-312000012,HC INSITU HYBRID EA ADD PROBE,389.0,291.75,137.82,389.0,911 CDM,PX-312000015,HC LVL 6 SURG PATH GROSS MICRO,1490.0,1117.5,405.09,1490.0,919 CDM,PX-312000016,HC MICRODISSECTION LASER,318.0,238.5,100.32,318.0,910 CDM,PX-312000017,HC MICRODISSECTION MANUAL,474.0,355.5,240.57,474.0,910 CDM,PX-312000021,HC NERVE TEASING PREP,506.0,379.5,164.42,988.69,916 CDM,PX-312000022,HC PROSTATE BIOPSY GROSS MICRO,226.0,169.5,50.93,439.87,915 CDM,PX-312000023,HC SPECIAL STAIN HISTOCHEMICAL,254.0,190.5,91.65,254.0,910 CDM,PX-312000026,HC TUMOR IMMUNOHISTO CAT EA AB,735.0,551.25,107.72,735.0,917 CDM,PX-312000027,HC TUMOR IMMUNOHISTO MANUAL EA AB,389.0,291.75,117.92,389.0,919 CDM,PX-312000028,HC CONSULT SLIDE W PREP,706.0,529.5,43.16,706.0,915 CDM,PX-312000030,HC FROZEN SECTION 1ST BLOCK,382.0,286.5,57.23,382.0,920 CDM,PX-312000031,HC IMMUNO STAIN PER SPEC EA ADD AB,243.0,182.25,98.07,243.0,914 CDM,PX-312000032,HC IMMUNO STAIN PER SPEC INITIAL AB,312.0,234.0,112.58,312.0,920 CDM,PX-312000034,HC INSITU HYBRID INITIAL PROBE,483.0,362.25,181.8,483.0,918 CDM,PX-312000035,HC LVL 1 SURG PATH GROSS MICRO,109.0,81.75,17.42,109.0,916 CDM,PX-312000036,HC LVL 2 SURG PATH GROSS MICRO,197.0,147.75,37.32,197.0,917 CDM,PX-312000037,HC LVL 3 SURG PATH GROSS MICRO,185.0,138.75,44.61,185.0,919 CDM,PX-312000039,HC LVL 4 SURG PATH GROSS MICRO,226.0,169.5,50.93,226.0,921 CDM,PX-312000041,HC LVL 5 SURG PATH GROSS MICRO,824.0,618.0,292.52,824.0,920 CDM,PX-312000042,HC SPECIAL STAIN GROUP 1,247.0,185.25,55.61,247.0,918 CDM,PX-312000044,HC SPECIAL STAIN GROUP 2,243.0,182.25,100.92,243.0,920 CDM,PX-312000074,HC MORPH INSITU MAN EA MULTIPLEX A1,866.0,649.5,181.8,866.0,919 CDM,PX-312000082,HC MORPH INSITU MAN EA MULTIPLEX A2,806.0,604.5,181.8,806.0,919 CDM,PX-312000083,HC MORPH INSITU MAN EA MULTIPLEX A3,806.0,604.5,181.8,806.0,919 CDM,PX-312000084,HC MORPH INSITU MAN EA MULTIPLEX A4,830.0,622.5,181.8,830.0,919 CDM,PX-312000085,HC MORPH INSITU MAN EA MULTIPLEX A5,818.0,613.5,181.8,818.0,919 CDM,PX-312000086,HC MORPH INSITU MAN EA MULTIPLEX A6,858.0,643.5,181.8,858.0,919 CDM,PX-312000087,HC MORPH INSITU MAN EA MULTIPLEX A7,858.0,643.5,181.8,858.0,919 CDM,PX-312000107,HC MORPH INSITU MAN EA MULTIPLEX A8,1591.0,1193.25,181.8,1591.0,919 CDM,PX-312000122,HC MORPH INSITU MAN EA MULTIPLEX A9,1196.0,897.0,181.8,1196.0,919 CDM,PX-31225,PR MAXILLECTOMY WO ORBITAL EXNTR,12599.0,9449.25,770.62,12221.03,683 CDM,PX-31230,PR MAXILLECTOMY W ORBITAL EXNTR,14049.0,10536.75,852.52,13627.53,683 CDM,PX-31231,PR NASAL ENDOSCOPY DX UNI/BILAT,716.0,537.0,93.95,694.52,686 CDM,PX-31237,PR ENDO/POLYPECT NOSE/SINUS SURG,1517.0,1137.75,129.76,1471.49,683 CDM,PX-31238,PR ENDO/PLYPECT NOSE W CNTRL HEMR,958.0,718.5,126.71,929.26,683 CDM,PX-31239,PR ENDO NSAL DACRYOCSTORHINOSTOMY,4454.0,3340.5,256.93,4320.38,683 CDM,PX-31240,PR ENDO NSL/SNS W CONCH RSECT,481.0,360.75,66.81,466.57,683 CDM,PX-31241,PR NSL/SINS NDSC W/ARTERY LIG,3391.0,2543.25,182.65,3289.27,683 CDM,PX-31242,PR NASAL/SINUS ENDO DEST RF ABLATION POSTR NSAL NRV,4999.0,3749.25,66.01,4849.03,698 CDM,PX-31243,PR NSL/SINUS NDSC CRYOABLTJ PNN,3056.0,2292.0,1127.59,3056.0,683 CDM,PX-31253,PR NSL/SINS NDSC TOTAL,2553.0,1914.75,205.69,2476.41,683 CDM,PX-31254,PR ENDO NSL/SNS W ETHMDCTOMY PRTL,2465.0,1848.75,212.53,2391.05,683 CDM,PX-31255,PR ENDO NSL/SNS W ETHMDCTOMY TOTL,1814.0,1360.5,133.73,1759.58,683 CDM,PX-31256,PR ENDO NSL/SNS W MXLRY ANTROSTMY,949.0,711.75,74.71,920.53,683 CDM,PX-31257,PR NSL/SINS NDSC TOT W/SPHENDT,5997.0,4497.75,183.62,5817.09,683 CDM,PX-31259,PR NSL/SINS NDSC SPHN TISS RMVL,6176.0,4632.0,194.39,5990.72,683 CDM,PX-31267,PR ENDO NSL MAX ANTROST W RMV TIS,1566.0,1174.5,109.7,1519.02,683 CDM,PX-31276,PR ENDO NSL W FRNTL SINUS EXPLOR,2251.0,1688.25,155.66,2183.47,683 CDM,PX-31287,PR ENDO NSL/ENDO W SPHENOIDOTOMY,2048.0,1536.0,83.39,1986.56,683 CDM,PX-31288,PR ENDO NSL SPHENDTMY W TISS RMVL,1809.0,1356.75,96.94,1754.73,683 CDM,PX-31290,PR ENDO NSL RPR CSF LEAK ETHMOID,8599.0,6449.25,484.82,8341.03,683 CDM,PX-31291,PR ENDO NSL RPR CSF LEAK SPHEMOID,9498.0,7123.5,524.68,9213.06,683 CDM,PX-31292,PR NSL/SINS NDSC MED/INF DCMPRN,6276.0,4707.0,417.68,6087.72,683 CDM,PX-31293,PR NASAL/SINUS ENDSCOPY SURG,7719.0,5789.25,451.41,7487.43,683 CDM,PX-31295,PR NSL/SINS NDSC SURG MAX SINUS,9016.0,6762.0,66.01,8745.52,697 CDM,PX-31296,PR ENDO NSL W DIL FRNTL SINUS,9800.0,7350.0,74.55,9506.0,697 CDM,PX-31297,PR NSL/SINS NDSC SURG SPHN SINUS,10232.0,7674.0,60.43,9925.04,697 CDM,PX-31299001,PR ENDOSCOPIC FREE MUCOSAL GRAFT,3109.0,2331.75,77.73,3015.73,683 CDM,PX-31299002,PR ENDOSCOPIC NASOSEPTAL FLAP,7637.0,5727.75,190.93,7407.89,683 CDM,PX-31299003,PR ENDOSCOPIC MEDIAL MAXILLECTOMY,12599.0,9449.25,314.98,12221.03,683 CDM,PX-31299004,PR ENDOSCOPIC SINUS FRONTAL DRAF III,8929.0,6696.75,223.23,8661.13,683 CDM,PX-31360,PR LARYNGECT TOT WO RAD NK DISEC,11666.0,8749.5,881.82,11316.02,683 CDM,PX-31370,PR LARYNGECT PRTL HORIZONTAL,15260.0,11445.0,884.76,14802.2,683 CDM,PX-31395,PR PHARYNGOLARYNGECTOMY W RCNST,25036.0,18777.0,1247.83,24284.92,683 CDM,PX-31400,PR ARYTENOIDECTOMY/ARYTENOIDOPEXY,6814.0,5110.5,455.21,6609.58,683 CDM,PX-31420,PR EPIGLOTTIDECTOMY,5886.0,4414.5,361.95,5709.42,683 CDM,PX-31500,PR INTUB W ETT,1492.0,1119.0,130.04,1492.0,676 CDM,PX-31502,PR TRACHEOTOMY TUBE CHANGE,290.0,217.5,12.67,281.3,694 CDM,PX-31505,PR LARYNG INDIRECT DX,416.0,312.0,21.86,403.52,698 CDM,PX-31515,PR LARYNG W/WO TRACHEO ASP,1247.0,935.25,49.62,1209.59,698 CDM,PX-31525,PR LARYNG W/WO TRACHEO DX NOT NB,995.0,746.25,122.3,965.15,683 CDM,PX-31526,PR LARYNG W/WO TRACHEO W MIC/TEL,1039.0,779.25,66.14,1007.83,683 CDM,PX-31528,PR LARYNG W/WO TRACHEO DIL INIT,1213.0,909.75,61.06,1176.61,683 CDM,PX-31529,PR LARYNG W/WO TRACHEO DIL SUBQ,1362.0,1021.5,67.47,1321.14,683 CDM,PX-31530,PR LARYNG DIRECT W FB RMVL,1550.0,1162.5,84.58,1503.5,683 CDM,PX-31531,PR LARYNG FB RMVL MICRO/TEL,1670.0,1252.5,88.9,1619.9,683 CDM,PX-31535,PR LARYNG DIRECT OP W BX,1580.0,1185.0,79.23,1532.6,683 CDM,PX-31536,PR LARYNG W BX MICRO/TEL,1935.0,1451.25,87.61,1876.95,683 CDM,PX-31540,PR LARYNG DIRECT W EXCISN TMR,2103.0,1577.25,100.51,2039.91,683 CDM,PX-31541,PR LARYNG EXCISN TMR W MICRO/TEL,2163.0,1622.25,109.34,2098.11,683 CDM,PX-31545,PR LARYNG LESN RMVL VOCAL CORD,2705.0,2028.75,149.55,2623.85,683 CDM,PX-31561,PR LARYNG ARYTENOIDECTMY MIC/TEL,3812.0,2859.0,140.92,3697.64,683 CDM,PX-31570,PR LARYNG INJ VOCAL CORD THER,2473.0,1854.75,167.66,2398.81,684 CDM,PX-31571,PR LARYNG INJ VOCAL CORD MIC/TEL,2055.0,1541.25,103.46,1993.35,683 CDM,PX-31572,PR LARYNG W LASER DEST LESN,2586.0,1939.5,75.8,2508.42,697 CDM,PX-31573,PR LARYNG FLEX W THER INJ,2996.0,2247.0,118.76,2906.12,695 CDM,PX-31574,PR LARYNG FLEX W INJ AUGMENTATION,5586.0,4189.5,437.48,5418.42,684 CDM,PX-31575,PR LARYNG FLEX FIBEROPTIC DX,550.0,412.5,52.6,533.5,686 CDM,PX-31576,PR LARYNG FLEX FIBEROPTIC W BX,1197.0,897.75,130.57,1161.09,684 CDM,PX-31577,PR LARYNG FLEX FBROPTIC RMVL FB,1633.0,1224.75,58.08,1584.01,697 CDM,PX-31579,PR LARYNG FBROPTIC W STROBOSCOPY,1470.0,1102.5,50.83,1425.9,698 CDM,PX-31580,PR LARYNGPLSTY 2 STG W KEEL INSERT,8235.0,6176.25,568.23,7987.95,683 CDM,PX-31591,PR LARYNGOPLASTY MEDIALIZATION,7859.0,5894.25,487.55,7623.23,683 CDM,PX-31592,PR CRICOTRACHEAL RESECTION,12684.0,9513.0,747.72,12303.48,683 CDM,PX-31600,PR TRACHEOSTOMY PLANNED SEP PROC,1840.0,1380.0,133.16,1784.8,683 CDM,PX-31603,PR TRACHEOSTOMY EMR TRANSTRACHEAL,1684.0,1263.0,135.96,1633.48,683 CDM,PX-31605,PR TRACHEOSTOMY EMR CRICOTHYROID,2546.0,1909.5,147.29,2469.62,683 CDM,PX-31611,PR CNSTRCT TRACHEOESOPHGL FSTL,3647.0,2735.25,203.39,3537.59,693 CDM,PX-31612,PR PUNCTURE TRACHEAL ASP/INJ,386.0,289.5,20.43,374.42,697 CDM,PX-31613,PR TRACHSTOMA REV WO FLAP ROTAT SMPL,2785.0,2088.75,192.89,2701.45,683 CDM,PX-31614,PR TRACHSTOMA REV W FLAP ROTAT CMPLX,4543.0,3407.25,313.23,4406.71,683 CDM,PX-31615,PR TRACHEOBRONCH EST TRACH INC,997.0,747.75,84.28,967.09,684 CDM,PX-31622,PR BRONCH DX W CELL WASH FLUOR,1397.0,1047.75,137.46,1355.09,683 CDM,PX-31622001,PR ROBOTIC BRONCH DX W CELL WASH FLUOR,1397.0,1047.75,137.46,1355.09,683 CDM,PX-31623,PR BRONCHOSCOPY DX W BRUSHING,1035.0,776.25,147.65,1003.95,683 CDM,PX-31623001,PR ROBOTIC BRONCHOSCOPY DX W BRUSHING,1035.0,776.25,147.65,1003.95,683 CDM,PX-31624,PR BRONCHOSCOPY W ALVEOLAR LAVAGE,1812.0,1359.0,139.56,1757.64,683 CDM,PX-31624001,PR ROBOTIC BRONCHOSCOPY W ALVEOLAR LAVAGE,1812.0,1359.0,139.56,1757.64,683 CDM,PX-31625,PR BRONCHOSCOPY W BX >=1 SITE,1499.0,1124.25,187.11,1454.03,684 CDM,PX-31625001,PR ROBOTIC BRONCHOSCOPY W BX >=1 SITE,1499.0,1124.25,187.11,1454.03,684 CDM,PX-31626001,PR ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,2011.0,1508.25,422.38,1950.67,683 CDM,PX-31627,PR BRONCH W COMP ASST IMG NAV,1955.0,1466.25,1120.79,1955.0,676 CDM,PX-31627001,PR ROBOTIC BRONCH W COMP ASST IMG NAV,1955.0,1466.25,1120.79,1955.0,676 CDM,PX-31628,PR BRONCH TRANSBRONCH LUNG BX SNG,1512.0,1134.0,199.09,1466.64,683 CDM,PX-31628001,PR ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,1512.0,1134.0,199.09,1466.64,683 CDM,PX-31629,PR BRONCH TRANSBRONCH NDL ASP BX,1710.0,1282.5,242.02,1658.7,683 CDM,PX-31629001,PR ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,1710.0,1282.5,242.02,1658.7,683 CDM,PX-31630,PR BRONCH W TRACHEAL/BRONCH DIL,1292.0,969.0,86.7,1253.24,683 CDM,PX-31630001,PR ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,1292.0,969.0,86.7,1253.24,683 CDM,PX-31631,PR BRONCH W TRACH STENT PLCMNT,1672.0,1254.0,98.07,1621.84,683 CDM,PX-31632,PR BRONCH TRANSBRONCH LUNG BX EA,418.0,313.5,67.41,418.0,676 CDM,PX-31632001,PR ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,418.0,313.5,67.41,418.0,676 CDM,PX-31633001,PR ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,579.0,434.25,84.39,579.0,676 CDM,PX-31634,PR BRONCHOSCOPY BALLOON OCCLUSION,6456.0,4842.0,779.45,6262.32,683 CDM,PX-31635,PR BRONCHOSCOPY W REMOVAL FB,2054.0,1540.5,158.02,1992.38,683 CDM,PX-31636,PR BRONCH W PLC BRNCL STENT INIT,1848.0,1386.0,96.01,1792.56,683 CDM,PX-31638,PR BRONCH REV TRACH/BRNCL STENT,1829.0,1371.75,107.72,1774.13,683 CDM,PX-31641,PR BRONCH DEST TMR RLF STENOSIS,2584.0,1938.0,110.36,2506.48,683 CDM,PX-31641001,PR ROBOTIC BRONCH DEST TMR RLF STENOSIS,2584.0,1938.0,110.36,2506.48,683 CDM,PX-31645,PR BRONCHOSCOPY W ASP THER INIT,1030.0,772.5,150.28,999.1,683 CDM,PX-31646,PR BRONCHOSCOPY W ASP THER SUBSQ,873.0,654.75,63.36,846.81,683 CDM,PX-31647,PR BRONCH W BALN OCC INIT LOBE,1326.0,994.5,91.03,1286.22,683 CDM,PX-31648,PR BRONCH RMVL BRONCHL VALVE INIT,1311.0,983.25,87.07,1271.67,683 CDM,PX-31649,PR BRONCH RMVL BRONCHL VALVE ADD,308.0,231.0,60.8,308.0,690 CDM,PX-31651,PR BRONCH OCCLUS VALVE ADD LOBE,397.0,297.75,66.08,397.0,690 CDM,PX-31652,PR BRONCH W EBUS 1-2 NODE SAMPLE,1401.0,1050.75,525.38,1401.0,683 CDM,PX-31652001,PR ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,1401.0,1050.75,525.38,1401.0,683 CDM,PX-31653,PR BRONCH W EBUS >=3 NODE SAMPLE,1717.0,1287.75,643.88,1717.0,683 CDM,PX-31653001,PR ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,1717.0,1287.75,643.88,1717.0,683 CDM,PX-31654,PR BRONCH W EBUS DX/TX PERIPH LESN,1106.0,829.5,128.12,1106.0,676 CDM,PX-31654001,PR ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,1106.0,829.5,128.12,1106.0,676 CDM,PX-31750,PR TRACHEOPLASTY CERVICAL,9173.0,6879.75,607.64,8897.81,683 CDM,PX-31770,PR BRONCHOPLASTY GRAFT REPAIR,8968.0,6726.0,608.17,8698.96,683 CDM,PX-31780,PR EXCISN TRACHEA STENOSIS&ANASTO,9086.0,6814.5,503.93,8813.42,683 CDM,PX-31785,PR EXCISN TRACHEA TMR CERVICAL,7307.0,5480.25,449.53,7087.79,683 CDM,PX-31800,PR SUTURE TRACHEAL WOUND CERVICAL,4543.0,3407.25,314.25,4406.71,683 CDM,PX-31820,PR SURG CLSR TRACH/FSTLA WO RPR,2498.0,1873.5,217.08,2423.06,683 CDM,PX-31825,PR SURG CLSR TRACH/FSTLA W RPR,3564.0,2673.0,297.59,3457.08,683 CDM,PX-320000000,HC 3D WO IND WORKSTATION,878.0,658.5,23.25,878.0,911 CDM,PX-320000002,HC ANGIO FU THRU CATH S&I,7132.0,5349.0,242.15,7132.0,916 CDM,PX-320000004,HC ANGIO PULMONARY BILAT SEL S&I,9211.0,6908.25,103.79,9211.0,915 CDM,PX-320000006,HC ANGIO PULMONARY UNILAT SEL S&I,9527.0,7145.25,100.86,9527.0,915 CDM,PX-320000008,HC ANGIOGRAPHY EXT BILAT S&I,11194.0,8395.5,105.24,11194.0,916 CDM,PX-320000009,HC ANGIOGRAPHY EXT UNILAT S&I,8845.0,6633.75,99.9,8845.0,915 CDM,PX-320000011,HC ANGIOGRAPHY PELVIC SEL S&I,15142.0,11356.5,135.29,15142.0,916 CDM,PX-320000012,HC ANGIOGRAPHY SEL ADD VSSL S&I,3515.0,2636.25,73.74,3515.0,910 CDM,PX-320000013,HC ANGIOGRAPHY SPINAL SEL S&I,16462.0,12346.5,244.04,16462.0,915 CDM,PX-320000014,HC ANGIOGRAPHY VISCERAL SEL S&I,13586.0,10189.5,111.56,13586.0,916 CDM,PX-320000015,HC AORTOGRAPHY ABD LWR EXT S&I,13409.0,10056.75,93.59,13409.0,915 CDM,PX-320000016,HC AORTOGRAPHY ABDOMINAL S&I,9394.0,7045.5,86.36,9394.0,915 CDM,PX-320000017,HC AORTOGRAPHY THORACIC S&I,10337.0,7752.75,99.9,10337.0,915 CDM,PX-320000021,HC BONE LENGTH STUDY,341.0,255.75,48.5,341.0,916 CDM,PX-320000031,HC CYSTOGRAPHY MIN 3VWS S&I,1230.0,922.5,38.78,1230.0,915 CDM,PX-320000034,HC DEXA BONE DENSITY AXIAL,537.0,402.75,43.64,537.0,915 CDM,PX-320000040,HC ENDO CATH PANCREATIC SYSTEM,783.0,587.25,352.35,783.0,910 CDM,PX-320000042,HC ERCP CATH BILIARY S&I,843.0,632.25,379.35,843.0,911 CDM,PX-320000049,HC FLUORO GUIDE NDL PLC,728.0,546.0,136.85,728.0,911 CDM,PX-320000051,HC FLUORO GUIDE SPINE INJ,600.0,450.0,110.64,600.0,911 CDM,PX-320000052,HC FLUOROSCOPY EXAM UP TO 1 HR,741.0,555.75,41.7,741.0,918 CDM,PX-320000058,HC HSG S&I,792.0,594.0,105.3,792.0,916 CDM,PX-320000061,HC INTRALUMINAL DILATION S&I,852.0,639.0,383.4,852.0,910 CDM,PX-320000073,HC LYMPHANGIOGRPH PELV/ABD BILAT,9405.0,7053.75,3369.29,9405.0,915 CDM,PX-320000074,HC LYMPHANGIOGRPH PELV/ABD UNILAT,8592.0,6444.0,3369.29,8592.0,915 CDM,PX-320000082,HC ORTHOPANTOGRAM,287.0,215.25,13.53,287.0,915 CDM,PX-320000098,HC SWALLOWING STUDY W VIDEO,655.0,491.25,138.8,655.0,917 CDM,PX-320000099,HC THRPY TXCATH EMBL S&I,5434.0,4075.5,274.62,5434.0,909 CDM,PX-320000102,HC TXHEP PORT PERC W HEMO EVAL,9426.0,7069.5,104.27,9426.0,915 CDM,PX-320000103,HC TXHEP PORT PERC WO HEMO EVAL,8332.0,6249.0,104.75,8332.0,915 CDM,PX-320000110,HC UROGRAPHY ANTEGRADE S&I,1146.0,859.5,160.16,1146.0,915 CDM,PX-320000111,HC UROGRAPHY RETRO WO OR W KUB,747.0,560.25,81.99,747.0,917 CDM,PX-320000114,HC VENO HEPATIC W HEMODYN S&I,9733.0,7299.75,104.75,9733.0,916 CDM,PX-320000115,HC VENO HEPATIC WO HEMODYN S&I,9119.0,6839.25,105.24,9119.0,915 CDM,PX-320000117,HC VENO RENAL UNILAT SEL S&I,9151.0,6863.25,99.9,9151.0,915 CDM,PX-320000118,HC VENOGRAPHY EXT BILAT S&I,4873.0,3654.75,95.58,4873.0,917 CDM,PX-320000119,HC VENOGRAPHY EXT UNILAT S&I,4409.0,3306.75,85.88,4409.0,916 CDM,PX-320000120,HC VENOGRAPHY IVC S&I,9377.0,7032.75,89.27,9377.0,917 CDM,PX-320000121,HC VENOGRAPHY SINUS OR JUG S&I,8841.0,6630.75,110.58,8841.0,916 CDM,PX-320000122,HC VENOGRAPHY SUPERIOR SAG SINUS,3699.0,2774.25,176.6,3874.69,915 CDM,PX-320000123,HC VENOGRAPHY SVC S&I,4785.0,3588.75,96.08,4785.0,915 CDM,PX-320000124,HC VENOGRM SEL EA ADD VSSL STUDY,571.0,428.25,92.86,571.0,915 CDM,PX-320000125,HC VENOUS SAMPLING THRU CATH S&I,16695.0,12521.25,122.72,16695.0,916 CDM,PX-320000130,HC XR AC JOINT BILAT,317.0,237.75,30.53,317.0,915 CDM,PX-320000131,HC XR ANKLE 1V,270.0,202.5,35.39,270.0,915 CDM,PX-320000132,HC XR ANKLE 2V,291.0,218.25,35.39,291.0,915 CDM,PX-320000133,HC XR ANKLE COMPLT MIN 3V,318.0,238.5,41.7,318.0,915 CDM,PX-320000138,HC XR BONE SURVEY COMPLETE,371.0,278.25,104.75,371.0,915 CDM,PX-320000141,HC XR CALCANEUS MIN 1V,297.0,222.75,30.05,297.0,915 CDM,PX-320000142,HC XR CALCANEUS MIN 2V,306.0,229.5,30.05,306.0,915 CDM,PX-320000144,HC XR CLAVICLE COMPLT,293.0,219.75,36.84,293.0,916 CDM,PX-320000146,HC XR COLON SINGLE CONTRAST,581.0,435.75,146.57,581.0,917 CDM,PX-320000147,HC XR ELBOW 2V,309.0,231.75,31.02,309.0,915 CDM,PX-320000148,HC XR ELBOW 2V,295.0,221.25,31.02,295.0,915 CDM,PX-320000149,HC XR ELBOW COMPLT MIN 3V,299.0,224.25,35.87,299.0,915 CDM,PX-320000150,HC XR ESOPHAGUS,574.0,430.5,96.56,574.0,918 CDM,PX-320000151,HC XR EYE FB,293.0,219.75,34.91,293.0,915 CDM,PX-320000153,HC XR FACIAL BONES COMPLT MIN 3V,349.0,261.75,49.95,349.0,915 CDM,PX-320000154,HC XR FEMUR 1V,242.0,181.5,31.02,242.0,915 CDM,PX-320000156,HC XR FINGER(S) MIN 2V,281.0,210.75,47.52,281.0,915 CDM,PX-320000157,HC XR FISTULA/ABSC/SINUS TRCT S&I,1558.0,1168.5,50.43,1558.0,917 CDM,PX-320000158,HC XR FOOT 1V,270.0,202.5,30.53,270.0,915 CDM,PX-320000159,HC XR FOOT 2V,284.0,213.0,30.53,284.0,915 CDM,PX-320000160,HC XR FOOT COMPLT MIN 3V,300.0,225.0,37.82,300.0,915 CDM,PX-320000162,HC XR FOREARM 2V,309.0,231.75,31.02,309.0,915 CDM,PX-320000163,HC XR HAND 1V,362.0,271.5,33.93,362.0,915 CDM,PX-320000164,HC XR HAND 2V,353.0,264.75,33.93,353.0,915 CDM,PX-320000165,HC XR HAND MIN 3V,293.0,219.75,42.66,293.0,915 CDM,PX-320000173,HC XR HIP W PELVIS UNILAT 1V,253.0,189.75,35.87,253.0,915 CDM,PX-320000174,HC XR HIP W PELVIS UNILAT 2-3V,285.0,213.75,55.29,285.0,915 CDM,PX-320000175,HC XR HIP W PELVIS UNILAT 4>V,341.0,255.75,71.79,341.0,915 CDM,PX-320000176,HC XR HUMERUS MIN 1V,317.0,237.75,34.91,317.0,916 CDM,PX-320000177,HC XR HUMERUS MIN 2V,323.0,242.25,34.91,323.0,916 CDM,PX-320000180,HC XR KNEE 1-2V,243.0,182.25,38.3,243.0,916 CDM,PX-320000181,HC XR KNEE 3V,251.0,188.25,48.0,251.0,915 CDM,PX-320000183,HC XR KNEE COMPLT MIN 4V,334.0,250.5,55.77,334.0,915 CDM,PX-320000186,HC XR MANDIBLE COMPLT MIN 4V,351.0,263.25,45.59,351.0,915 CDM,PX-320000192,HC XR NASAL BONES COMPLT MIN 3V,274.0,205.5,42.18,274.0,915 CDM,PX-320000193,HC XR NECK/SOFT TISS,323.0,242.25,32.48,323.0,916 CDM,PX-320000196,HC XR ORBITS COMPLT MIN 4V,346.0,259.5,48.98,346.0,915 CDM,PX-320000198,HC XR PELVIS 1-2V,357.0,267.75,28.59,357.0,917 CDM,PX-320000201,HC XR RIB BILAT 3V,338.0,253.5,42.66,338.0,915 CDM,PX-320000202,HC XR RIB UNILAT 2V,281.0,210.75,37.32,281.0,915 CDM,PX-320000206,HC XR SACROILIAC JOINT 1-2V,332.0,249.0,36.84,332.0,915 CDM,PX-320000208,HC XR SACRUM COCCYX MIN 2V,306.0,229.5,34.41,306.0,915 CDM,PX-320000210,HC XR SCAPULA COMPLT,345.0,258.75,23.25,345.0,915 CDM,PX-320000212,HC XR SHOULDER 1V,282.0,211.5,20.82,282.0,915 CDM,PX-320000213,HC XR SHOULDER COMPLT MIN 2V,257.0,192.75,38.78,257.0,915 CDM,PX-320000217,HC XR SKULL 1-3V,330.0,247.5,39.27,330.0,917 CDM,PX-320000220,HC XR SMALL BOWEL,579.0,434.25,117.44,579.0,916 CDM,PX-320000221,HC XR SPINE 1V,237.0,177.75,23.25,237.0,916 CDM,PX-320000222,HC XR SPINE CERV >= 6 VIEWS,437.0,327.75,70.34,437.0,916 CDM,PX-320000223,HC XR SPINE CERV 2-3V,285.0,213.75,42.66,285.0,917 CDM,PX-320000224,HC XR SPINE CERV MIN 4-5V,384.0,288.0,61.11,384.0,916 CDM,PX-320000226,HC XR SPINE LUMBOSACRAL 2-3V,357.0,267.75,43.16,357.0,917 CDM,PX-320000227,HC XR SPINE LUMBOSACRAL MIN 4V,381.0,285.75,59.18,381.0,915 CDM,PX-320000228,HC XR SPINE LUMBOSACRAL MIN 6V,408.0,306.0,68.88,408.0,915 CDM,PX-320000230,HC XR SPINE THORAC 2V,406.0,304.5,33.93,406.0,916 CDM,PX-320000231,HC XR SPINE THORAC 3V,462.0,346.5,41.21,462.0,915 CDM,PX-320000234,HC XR SPINE THORACOLUMBAR 2-3V,352.0,264.0,82.47,352.0,917 CDM,PX-320000240,HC XR STERNUM MIN 2V,251.0,188.25,34.41,251.0,915 CDM,PX-320000241,HC XR SURG SPECIMEN,1372.0,1029.0,41.21,1372.0,918 CDM,PX-320000248,HC XR TIBIA & FIBULA 2V,276.0,207.0,34.41,276.0,915 CDM,PX-320000252,HC XR TOE(S) MIN 2V,281.0,210.75,32.48,281.0,915 CDM,PX-320000258,HC XR UGI SINGLE CONTRAST,658.0,493.5,122.28,658.0,916 CDM,PX-320000261,HC XR WRIST 2V,256.0,192.0,37.82,256.0,915 CDM,PX-320000262,HC XR WRIST COMPLT MIN 3V,252.0,189.0,49.47,252.0,915 CDM,PX-320000263,HC XR FEMUR MIN 2V,311.0,233.25,39.27,311.0,915 CDM,PX-320000287,HC XR EXAM ABDOMEN 1V,317.0,237.75,30.53,317.0,917 CDM,PX-320000288,HC XR EXAM ABDOMEN 2V,347.0,260.25,36.84,347.0,916 CDM,PX-32036,PR THORACOSTOMY DRAINAGE EMPYEMA,4452.0,3339.0,375.79,4318.44,683 CDM,PX-32096,PR THORCTMY BX LUNG INFILTRATE UNILAT,4570.0,3427.5,370.92,4432.9,683 CDM,PX-32097,PR THORCTMY BX LNG NODL/MASS UNILAT,4818.0,3613.5,373.69,4673.46,683 CDM,PX-32098,PR THORCTMY W BIOPSY OF PLEURA,4353.0,3264.75,350.29,4222.41,683 CDM,PX-32100,PR THORCTMY WITH EXPLORATION,7031.0,5273.25,320.68,6820.07,693 CDM,PX-32110,PR THORCTMY CTRL HEMRG/RPR TEAR,6949.0,5211.75,677.53,6740.53,683 CDM,PX-32120,PR THORCTMY POSTOP COMPL,6189.0,4641.75,412.05,6003.33,683 CDM,PX-32124,PR THORCTMY OPN INTPLR PNEUMONOLYS,6324.0,4743.0,436.38,6134.28,683 CDM,PX-32160,PR THORCTMY W CARDIAC MASSAGE,5692.0,4269.0,374.91,5521.24,683 CDM,PX-32215,PR PLEURAL SCARIFICATION,5048.0,3786.0,380.21,4896.56,683 CDM,PX-32220,PR DECORTICATION PULMONARY TOTAL,8674.0,6505.5,746.62,8413.78,683 CDM,PX-32225,PR DECORTICATION PULMONARY PRTL,6190.0,4642.5,464.74,6004.3,683 CDM,PX-32310,PR PLEURECTOMY PARIETAL,6926.0,5194.5,431.59,6718.22,683 CDM,PX-32320,PR DECORT & PARIETAL PLEURECTOMY,8855.0,6641.25,743.93,8589.35,683 CDM,PX-32400,PR BIOPSY PLEURA PERCUTANEOUS NDL,669.0,501.75,81.14,648.93,683 CDM,PX-324000010,HC XR EXAM CHEST 1V,160.0,120.0,24.71,160.0,921 CDM,PX-324000011,HC XR EXAM CHEST 2V,237.0,177.75,33.44,237.0,919 CDM,PX-32408,PR BX LUNG/MEDIASTINUM PERC NDL,1961.0,1470.75,390.65,1902.17,683 CDM,PX-32440,PR REMOVAL OF LUNG PNEUMONECTOMY,9710.0,7282.5,722.9,9418.7,683 CDM,PX-32442,PR RMVL LUNG PNEUMNCTMY RESCT TRACH,17614.0,13210.5,1371.68,17085.58,683 CDM,PX-32445,PR RMVL LUNG PNEUMNCTMY EXTR PLRL,24815.0,18611.25,1599.04,24070.55,683 CDM,PX-32480,PR RMVL LUNG NOT PNEUMONEC 1 LOBE,8244.0,6183.0,680.68,7996.68,683 CDM,PX-32482,PR RMVL LUNG NOT PNEUMONEC 2 LOBE,9827.0,7370.25,729.92,9532.19,683 CDM,PX-32484,PR RMVL LUNG SNGL SEGMENTECTOMY,9888.0,7416.0,656.66,9591.36,683 CDM,PX-32501,PR RESECT & RPR BRONCHUS,1537.0,1152.75,214.32,1537.0,676 CDM,PX-32505,PR THORACOTOMY W WEDGE RSECT INIT,5216.0,3912.0,434.3,5059.52,683 CDM,PX-32506,PR THORACOTOMY W WEDGE RSECT ADDL,1161.0,870.75,137.22,1161.0,676 CDM,PX-32507,PR THORACOTOMY RSECT DX WEDGE,1066.0,799.5,137.22,1066.0,676 CDM,PX-32550,PR INSERTION/CATH PLEURAL CAVITY,2935.0,2201.25,761.32,2935.0,676 CDM,PX-32551,PR INS TUBE THORACOSTOMY,1163.0,872.25,69.76,1128.11,683 CDM,PX-32552,PR REMOVAL LUNG/PLEURAL CATHETER,1420.0,1065.0,93.01,1377.4,683 CDM,PX-32554,PR THORACENTESIS PLEURA WO IMG,1317.0,987.75,107.74,1277.49,693 CDM,PX-32555,PR THORACENTESIS PLEURA W IMG,1841.0,1380.75,128.68,1785.77,693 CDM,PX-32556,PR PLEURA DRAIN PERC WO IMG GUID,2173.0,1629.75,408.05,2107.81,683 CDM,PX-32557,PR PLEURA DRAIN PERC W IMG GUID,3050.0,2287.5,314.9,2958.5,683 CDM,PX-32560,PR INSTILLATION AGT PLEURODESIS,1121.0,840.75,114.05,1087.37,693 CDM,PX-32601,PR THORSC DX LUNG/MED/PLRL WO BX,2629.0,1971.75,139.96,2550.13,683 CDM,PX-32604,PR THORSC DX PERICARDIAL SAC W BX,3221.0,2415.75,216.41,3124.37,683 CDM,PX-32606,PR THORSC DX MEDIASTINAL W BIOPSY,2783.0,2087.25,207.99,2699.51,683 CDM,PX-32607,PR THORSC DX BX LNG INFILTRAT UNILAT,1990.0,1492.5,140.41,1930.3,683 CDM,PX-32608,PR THORSC W DX BX LUNG NODULE UNILAT,2310.0,1732.5,171.36,2240.7,683 CDM,PX-32609,PR THORACOSCOPY W BX OF PLEURA,1476.0,1107.0,116.23,1431.72,683 CDM,PX-32650,PR THORACOSCOPY W PLEURODESIS,4308.0,3231.0,315.72,4178.76,683 CDM,PX-32651,PR THORSC W PRTL PULM DECORT,7162.0,5371.5,428.96,6947.14,693 CDM,PX-32652,PR THORSC TOTAL PULM DECORT,8687.0,6515.25,761.88,8426.39,683 CDM,PX-32653,PR THORSC REMOVAL INTRAPLEURAL FB,6544.0,4908.0,488.78,6347.68,683 CDM,PX-32655,PR THORSC RSECT BULLAE W/WO PLRL,5803.0,4352.25,444.44,5628.91,683 CDM,PX-32656,PR THORACOSC PARIETAL PLEURECTOMY,5112.0,3834.0,378.13,4958.64,683 CDM,PX-32658,PR THORSC RMVL FB PERICARDIAL SAC,4556.0,3417.0,337.42,4419.32,683 CDM,PX-32659,PR THORSC PRTL RSECT PERICARDIAL,5160.0,3870.0,347.66,5005.2,683 CDM,PX-32661,PR THORSC EXCISN PERICARDIAL CYST,5373.0,4029.75,374.4,5211.81,683 CDM,PX-32662,PR THORSC EXCISN MEDIASTINAL CYST,7396.0,5547.0,417.69,7174.12,683 CDM,PX-32663,PR THORSC W LOBECTOMY SINGLE LOBE,8109.0,6081.75,639.95,7865.73,683 CDM,PX-32664,PR THORSC THORACIC SYMPATHECTOMY,7613.0,5709.75,396.11,7384.61,683 CDM,PX-32666,PR THORSC THER WEDGE RSECT INIT,7277.0,5457.75,407.12,7058.69,683 CDM,PX-32667,PR THORSC THER WEDGE RSECT ADDL,1217.0,912.75,137.51,1217.0,676 CDM,PX-32668,PR THORACOSCOPY DX WEDGE RSECT,1150.0,862.5,137.83,1150.0,676 CDM,PX-32669,PR THORACOSCOPY W SEGMENTECTOMY,10450.0,7837.5,615.12,10136.5,683 CDM,PX-32670,PR THORACOSCOPY W BILOBECTOMY,11022.0,8266.5,728.07,10691.34,683 CDM,PX-32671,PR THORACOSCOPY W PNEUMONECTOMY,12601.0,9450.75,805.58,12222.97,683 CDM,PX-32673,PR THORSC RSECT THYMUS UNI/BILAT,7393.0,5544.75,558.59,7171.21,683 CDM,PX-32674,PR THORSC MEDI-REG LYMPHDENECTOMY,1089.0,816.75,189.65,1089.0,676 CDM,PX-32800,PR RPR LUNG HERNIA THRU CHEST WAL,5580.0,4185.0,378.38,5412.6,693 CDM,PX-32810,PR CLSR CHEST WALL W OPN DRAINAGE,5976.0,4482.0,423.98,5796.72,683 CDM,PX-32820,PR RECONSTRUCT INJURED CHEST,7644.0,5733.0,637.63,7414.68,683 CDM,PX-32850,PR DONOR PNEUMONECTOMY FRM CADAVR,8977.0,6732.75,4039.65,8977.0,676 CDM,PX-32851,PR LUNG TRNSPL SNG WO CARDPULM BYPASS,32667.0,24500.25,1479.53,31686.99,683 CDM,PX-32852,PR LUNG TRNSPL SNGL W CARDPULM BYPASS,35714.0,26785.5,1616.42,34642.58,683 CDM,PX-32853,PR LUNG TRNSPL 2 WO CARDPULM BYPASS,59348.0,44511.0,2057.52,57567.56,683 CDM,PX-32854,PR LUNG TRNSPL DBL W CARDPULM BYPASS,65808.0,49356.0,2181.63,63833.76,683 CDM,PX-32855,PR PREP TRNSPL CADAVER DONOR LUNG UNILAT,3461.0,2595.75,98.8,3357.17,683 CDM,PX-32856,PR PREP TRNSPL CADAVER DONOR LUNG BIL,3461.0,2595.75,100.9,3357.17,683 CDM,PX-32994,PR ABLATE PULM TUMOR PERQ CRYBL,15838.0,11878.5,2204.49,15362.86,683 CDM,PX-33016,PR PERICARDIOCENTESIS W IMAGE GUIDE,1839.0,1379.25,99.23,1783.83,683 CDM,PX-33017,PR PERI DRN W FLUOR/US >6YR W/O CONG,2324.0,1743.0,104.1,2254.28,683 CDM,PX-33020,PR PERICARIOTOMY RMVL CLOT/FB PRIM,8549.0,6411.75,380.44,8292.53,683 CDM,PX-33025,PR CREATE PERICARD WNDW PRTL RESEC,6277.0,4707.75,359.27,6088.69,683 CDM,PX-33030,PR PERICARDECT SUBTOT/COMP WO BYP,12393.0,9294.75,911.55,12021.21,683 CDM,PX-33031,PR PERICARDECT SUBTOT/COMP W BYP,20183.0,15137.25,1122.19,19577.51,683 CDM,PX-33050,PR RESECTION PERICARDIAL CYST/TMR,7803.0,5852.25,470.32,7568.91,683 CDM,PX-331000000,HC CHEMO ADMIN CNS REQ SP PUNC,1159.0,869.25,98.19,1159.0,916 CDM,PX-331000002,HC CHEMO HORM ANTI-NEO SQ/IM,172.0,129.0,56.51,172.0,917 CDM,PX-331000003,HC CHEMO IV PUSH EA ADD,308.0,231.0,76.83,308.0,915 CDM,PX-331000004,HC CHEMO IV PUSH SNGL,675.0,506.25,152.0,675.0,917 CDM,PX-331000005,HC CHEMO NON-HORM ANTI-NEO SQ/IM,257.0,192.75,76.83,257.0,916 CDM,PX-331000006,HC CHEMOTX NJX SUBARACH/INTRAVENT,666.0,499.5,52.77,666.0,915 CDM,PX-33120,PR EXCISN INTRACARDIAC TMR W BYP,19068.0,14301.0,805.4,18495.96,693 CDM,PX-33202,PR INS EPICARDIAL ELECTRODE OPEN,7124.0,5343.0,359.78,6910.28,683 CDM,PX-33206,PR INS/RPLC PCMKR ATRIAL,3853.0,2889.75,195.37,3737.41,683 CDM,PX-33207,PR INS/RPLC PCMKR VENT,4012.0,3009.0,205.13,3891.64,683 CDM,PX-33208,PR INS/RPLC PCMKR ATRIAL & VENT,1862.0,1396.5,221.52,1806.14,683 CDM,PX-33210,PR INS/RPLC TEMP ELEC/PCMKR SNGL,661.0,495.75,68.44,641.17,683 CDM,PX-33212,PR INS PCMKR PLS GEN EXIST 1 LEAD,2756.0,2067.0,141.94,2673.32,683 CDM,PX-33213,PR INS PCMKR PLS GEN EXIST 2 LEAD,2939.0,2204.25,147.47,2850.83,683 CDM,PX-33214,PR UPGRADE IMPL PCMKR SYS,3451.0,2588.25,206.77,3347.47,683 CDM,PX-33215,PR REPOSITION PCMKR/LEAD RA/RV,2044.0,1533.0,133.68,1982.68,683 CDM,PX-33216,PR INS SNGL ELTRD/PPCMKR/ICD,2902.0,2176.5,160.94,2814.94,683 CDM,PX-33217,PR INSERT ELECTRODE IMPLANT DUAL,3080.0,2310.0,160.44,2987.6,683 CDM,PX-33218,PR RPR SNGL ELTRD/PPCMKR/ICD,3370.0,2527.5,169.21,3268.9,683 CDM,PX-33221,PR INS PCMKR/GEN EXIST MULTI LEAD,3400.0,2550.0,154.75,3298.0,683 CDM,PX-33222,PR RELOCATION SKIN POCKET PCMKR,2488.0,1866.0,150.68,2413.36,683 CDM,PX-33223,PR RELOCATION SKIN POCKET DFIB,3057.0,2292.75,176.86,2965.29,683 CDM,PX-33224,PR INS PACING ELCTD LV LEAD CONN,3820.0,2865.0,214.57,3705.4,683 CDM,PX-33225,PR INS PACING ELCTD LV LEAD ADD,2448.0,1836.0,383.43,2448.0,676 CDM,PX-33226,PR REPO IMPL LV ELECT,3620.0,2715.0,205.62,3511.4,683 CDM,PX-33227,PR RPLC PERM GEN SNGL LEAD,2703.0,2027.25,146.66,2621.91,683 CDM,PX-33228,PR RPLC PERM GEN DUAL LEAD,2141.0,1605.75,153.14,2076.77,683 CDM,PX-33229,PR RPLC PERM GEN MULT LEAD,2483.0,1862.25,160.14,2408.51,683 CDM,PX-33233,PR RMVL PCMKR PULSE GEN ONLY,1757.0,1317.75,103.15,1704.29,683 CDM,PX-33234,PR RMVL PCMKR ELEC 1 LEAD SYS,3380.0,2535.0,208.5,3278.6,683 CDM,PX-33235,PR RMVL PCMKR ELEC DUAL LEAD SYS,4475.0,3356.25,275.8,4340.75,683 CDM,PX-33236,PR RMVL PPCMKR THORCTMY,6692.0,5019.0,377.88,6491.24,683 CDM,PX-33238,PR RMVL TRANSVENOUS ELEC THRCTMY,7569.0,5676.75,455.07,7341.93,683 CDM,PX-33241,PR RMVL ICD GEN ONLY SUBQ,1943.0,1457.25,96.02,1884.71,683 CDM,PX-33243,PR RMVL ICD ELEC THORCOM 1/2 CHAM,15651.0,11738.25,632.6,15181.47,683 CDM,PX-33244,PR RMVL ICD ELEC TRANSVEN EXTRACT,5682.0,4261.5,372.33,5511.54,683 CDM,PX-33249,PR INS/RPLC DFIB W TRANSVEN LEAD,4361.0,3270.75,387.67,4230.17,683 CDM,PX-33254,PR ABLT TISS/RECONSTCT ATRIA LTD,10535.0,7901.25,533.67,10218.95,693 CDM,PX-33256,PR ABLT TISS/RECON ATRIA EXT W BP,15330.0,11497.5,887.44,14870.1,683 CDM,PX-33257,PR ABLT&RCNSTRCT ATRIA W OTH PROC,6168.0,4626.0,552.44,6168.0,676 CDM,PX-33259,PR ABLT&RCNSTRCT ATRIA W BYPASS,7189.0,5391.75,797.14,7189.0,676 CDM,PX-33261,PR ABLT VENTR ARRHYTHMOGENIC FOC,12863.0,9647.25,744.98,12477.11,683 CDM,PX-33262,PR RMVL&RPLC ICD GEN SNGL LEAD,2981.0,2235.75,159.98,2891.57,683 CDM,PX-33263,PR RMVL&RPLC ICD GEN DUAL LEAD,3204.0,2403.0,166.3,3107.88,683 CDM,PX-33264,PR RMVL&RPLC ICD GEN MULTI LEAD,3041.0,2280.75,172.64,2949.77,683 CDM,PX-33265,"PR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",10913.0,8184.75,628.32,10585.61,683 CDM,PX-33266,PR ENDO TISS ABLT/RECST ATRIA EXT,14732.0,11049.0,845.06,14290.04,683 CDM,PX-33267,PR EXCL LAA OPEN ANY METHOD,9675.0,7256.25,479.99,9384.75,683 CDM,PX-33268,PR EXCL LAA OPN OTH PX ANY METH,1554.0,1165.5,113.9,1554.0,676 CDM,PX-33270,PR INS/RPLC SUBQ ICD W SUBQ ELEC,5360.0,4020.0,239.53,5199.2,683 CDM,PX-33272,PR RMVL SQ IPLT DFB ELEC,3915.0,2936.25,150.75,3797.55,683 CDM,PX-33274,PR RPLC/INSRT TRANSCATH LEADLS PM,4410.0,3307.5,203.86,4277.7,683 CDM,PX-33285,PR IMPL PT ACTV CARD EVENT RECORD,9884.0,7413.0,1943.96,9587.48,683 CDM,PX-33286,PR RMVL IMPL CARDIAC EVENT RECORD,1056.0,792.0,62.54,1024.32,683 CDM,PX-33289,"PR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",2989.0,2241.75,138.5,2899.33,683 CDM,PX-33300,PR RPR CARDIAC WOUND WO BYPASS,12856.0,9642.0,1101.52,12470.32,683 CDM,PX-333000000,HC 3D RAD THER ISODOSE FIELD PLAN,5769.0,4326.75,378.29,5769.0,919 CDM,PX-333000001,HC BASIC CALCULATE RADTN DOSE,707.0,530.25,49.95,707.0,919 CDM,PX-333000002,HC BRACHYTHX ISODOSE PLN SMPL,1310.0,982.5,254.6,1310.0,915 CDM,PX-333000003,HC BRACHYTX ISODOSE PLAN COMPLEX,658.0,493.5,399.55,658.0,916 CDM,PX-333000005,HC CONSULT RAD PHYSICS SPECIAL,984.0,738.0,143.43,984.0,917 CDM,PX-333000006,HC CONSULT RAD PHYSICS/ WEEK,683.0,512.25,133.59,683.0,919 CDM,PX-333000008,HC DESIGN MLC DEV FOR IMRT,1702.0,1276.5,362.75,1702.0,918 CDM,PX-333000009,HC GUIDANCE FOR LOC RAD TX,323.0,242.25,53.81,323.0,913 CDM,PX-333000019,HC IMRT RADIOTHERAPY PLAN,8400.0,6300.0,1476.98,8400.0,919 CDM,PX-333000028,HC INTRAOP RADTN ELECTRON SNGL TX,18979.0,14234.25,7859.37,18979.0,915 CDM,PX-333000030,HC PROTON TX DEL COMPLEX,4718.0,3538.5,1333.58,4718.0,916 CDM,PX-333000031,HC PROTON TX DEL INTERMEDIATE,4718.0,3538.5,1333.58,4718.0,919 CDM,PX-333000032,HC PROTON TX SMPL W COMPENSATION,4718.0,3538.5,1333.58,4718.0,915 CDM,PX-333000034,HC RAD TX DEV DESIGN COMPLEX,1654.0,1240.5,96.08,1654.0,919 CDM,PX-333000035,HC RAD TX DEV DESIGN INTERMEDIATE,715.0,536.25,143.16,715.0,918 CDM,PX-333000036,HC RAD TX DEV DESIGN SIMPLE,578.0,433.5,24.71,578.0,918 CDM,PX-333000038,HC RADTN STEREOTACTIC CRAN LINEAR,18979.0,14234.25,1356.23,18979.0,916 CDM,PX-333000043,HC RADTN TX DEL >=1 MEV SMPL,680.0,510.0,108.87,680.0,915 CDM,PX-333000046,HC RESP MOTION MANAGEMENT SIM,1924.0,1443.0,432.39,1924.0,911 CDM,PX-333000047,HC SET RAD SIM THER FIELD CMPLX,3198.0,2398.5,399.55,3198.0,918 CDM,PX-333000049,HC SET RAD SIM THER FIELD SMPL,1054.0,790.5,143.43,1054.0,917 CDM,PX-333000050,HC SPECIAL DOSIMETRY,657.0,492.75,28.1,657.0,915 CDM,PX-333000051,HC SPECIAL TELETX PORT PLAN,810.0,607.5,65.0,810.0,916 CDM,PX-333000052,HC SPECIAL TX PROC,1801.0,1350.75,56.21,1801.0,918 CDM,PX-333000053,HC STEREOTACTIC BODY RADTN DEL,13482.0,10111.5,1421.04,13482.0,918 CDM,PX-333000054,HC SUPERVISION/HANDLING RADTN,440.0,330.0,27.08,440.0,909 CDM,PX-333000055,HC TELETHX ISODOSE PLN CMPLX,1248.0,936.0,200.76,1248.0,916 CDM,PX-333000056,HC TELETHX ISODOSE PLN SMPL,1213.0,909.75,111.06,1213.0,915 CDM,PX-333000057,HC THER RADIOLOGY PORT FILMS,226.0,169.5,101.7,226.0,912 CDM,PX-333000064,HC HDR RDNCL/ICAV BRACHTX > 12CHNL,1152.0,864.0,743.2,1152.0,915 CDM,PX-333000065,HC HDR RDNCL/ICAV BRACHTX 1 CHNL,2823.0,2117.25,359.4,2823.0,916 CDM,PX-333000066,HC HDR RDNCL/ICAV BRACHTX 2-12CHNL,3104.0,2328.0,597.5,3104.0,916 CDM,PX-333000082,HC INS UTERINE TANDEM/VAG OVOIDS,15696.0,11772.0,351.83,15696.0,916 CDM,PX-333000083,HC INS VAG BRACHYTHRPY DEV,5771.0,4328.25,187.37,5771.0,915 CDM,PX-333000086,HC PROTON TX DEL INTERMEDIATE - HYPOFRACTIONATION,5898.0,4423.5,1333.58,5898.0,919 CDM,PX-333000087,HC PROTON TX DEL COMPLEX - HYPOFRACTIONATION,5898.0,4423.5,1333.58,5898.0,916 CDM,PX-333000092,HC RADTN TX DEL >=1 MEV INT 3D,1230.0,922.5,411.57,1230.0,915 CDM,PX-333000093,HC RADTN TX DEL >=1 MEV INT IMRT,4718.0,3538.5,411.57,4718.0,915 CDM,PX-333000094,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,5898.0,4423.5,411.57,5898.0,915 CDM,PX-333000095,HC RADTN TX DEL >=1 MEV INT 3D HYPO,1538.0,1153.5,411.57,1538.0,915 CDM,PX-333000096,HC RADTN TX DEL >=1 MEV COMPLEX 2D,1317.0,987.75,589.61,1317.0,919 CDM,PX-333000097,HC RADTN TX DEL >=1 MEV COMPLEX 3D,1317.0,987.75,589.61,1317.0,919 CDM,PX-333000098,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,4718.0,3538.5,589.61,4718.0,919 CDM,PX-333000099,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,5898.0,4423.5,589.61,5898.0,919 CDM,PX-333000100,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,1646.0,1234.5,589.61,1646.0,919 CDM,PX-33305,PR RPR CARDIAC WOUND W BYPASS,27683.0,20762.25,1829.03,26852.51,683 CDM,PX-33315,PR CARDIOT RMVL FB/THRMB W BYP,15568.0,11676.0,866.07,15100.96,683 CDM,PX-33320,PR SUTR RPR AORTA/GRT VSSL WO BYP,8295.0,6221.25,493.7,8046.15,683 CDM,PX-33330,PR RPR AORTA/GRT VSSL WO SHNT BYP,12552.0,9414.0,662.2,12175.44,683 CDM,PX-33335,PR INS GRAFT AORTA/GRT VSSL W BYP,11952.0,8964.0,859.19,11593.44,683 CDM,PX-33340,PR PERC TXCATH CLSR LT ATR APNDG,6503.0,4877.25,300.44,6307.91,683 CDM,PX-33361,PR RPLC AORTIC VLV PERC FEM ARTY,4943.0,3707.25,524.28,4794.71,683 CDM,PX-33362,PR RPLC AORTIC VLV OPEN FEM ARTY,11600.0,8700.0,570.95,11252.0,683 CDM,PX-33370,PR TCAT PLMT&RMVL CEPD PERQ,1470.0,1102.5,112.68,1470.0,676 CDM,PX-33390,PR VLVPLSTY AORTIC VALVE SMPL,16923.0,12692.25,860.65,16415.31,683 CDM,PX-33405,PR RPLC AORTIC VLV W PROSTH VLV,13586.0,10189.5,1032.06,13178.42,683 CDM,PX-33411,PR RPLC AORTIC VLV ANNULUS ENLGMT,25985.0,19488.75,1286.59,25205.45,693 CDM,PX-33415,PR RSECT/INC SUBVALVULAR TISSUE,17830.0,13372.5,785.75,17295.1,693 CDM,PX-33416,PR VENTRICULOMYOTOMY-MYECTOMY,24051.0,18038.25,923.52,23329.47,683 CDM,PX-33418,PR TXCATH MITRAL VALVE REPAIR INI,14924.0,11193.0,768.19,14476.28,683 CDM,PX-33419,PR TRNSCATH MITR VLV RPR ADD PROST,3795.0,2846.25,357.8,3795.0,676 CDM,PX-33425,PR VLVPLSTYLSTY MITRAL VLV W BYP,28436.0,21327.0,1237.98,27582.92,683 CDM,PX-33426,PR VLVPLSTYLSTY W BYP W PROSTH RING,25662.0,19246.5,1083.5,24892.14,683 CDM,PX-33427,PR VLVPLSTYLSTY W BYP WO PROSTH RING,21993.0,16494.75,1104.19,21333.21,683 CDM,PX-33430,PR RPLC MITRAL VLV W CARDPULM BYP,16766.0,12574.5,1273.42,16263.02,683 CDM,PX-33463,PR VLVPLSTY TRICUSPID VLV WO RING INS,33386.0,25039.5,1391.54,32384.42,683 CDM,PX-33464,PR VLVPLSTY TRICUSPID VLV W RING INS,20499.0,15374.25,1104.06,19884.03,683 CDM,PX-33465,PR RPLC TRICUSPID VLV W CARD BYP,23699.0,17774.25,1244.96,22988.03,683 CDM,PX-33475,PR REPLACEMENT PULMONARY VALVE,30952.0,23214.0,1043.95,30023.44,683 CDM,PX-33477,PR TRANSCATH PULM VLV IMPL PERC,11064.0,8298.0,550.32,10732.08,683 CDM,PX-33500,PR RPR CORONARY AV/AC FIST W BYP,13794.0,10345.5,722.72,13380.18,683 CDM,PX-335000000,HC CHEMO INF SEQ DIF DRUG 1ST HR,487.0,365.25,76.83,487.0,916 CDM,PX-335000002,HC CHEMO IV INF 1ST HR,758.0,568.5,193.74,758.0,918 CDM,PX-335000003,HC CHEMO IV INF EA ADD HR,183.0,137.25,41.45,183.0,917 CDM,PX-335000004,HC ADMIN CHEMO ARTERY PUSH,649.0,486.75,152.85,649.0,915 CDM,PX-33504,PR RPR COR ART PULM GRFT W BYP,11621.0,8715.75,677.82,11272.37,683 CDM,PX-33507,PR RPR AORTIC ORIGIN CORONARY ART,17912.0,13434.0,661.49,17374.64,693 CDM,PX-33508,PR ENDO SURG W VA HARVEST CABG,348.0,261.0,13.96,348.0,676 CDM,PX-33510,PR COR ART BYPASS 1 COR VEN GRAFT,14867.0,11150.25,748.91,14420.99,693 CDM,PX-33511,PR COR ART BYPASS 2 COR VEN GRAFT,18464.0,13848.0,823.11,17910.08,693 CDM,PX-33512,PR COR ART BYPASS 3 COR VEN GRAFT,20098.0,15073.5,1096.46,19495.06,683 CDM,PX-33513,PR COR ART BYPASS 4 COR VEN GRAFT,20297.0,15222.75,950.91,19688.09,693 CDM,PX-33517,PR COR ART BYP W VEIN GRFT 1 VEIN,1155.0,866.25,165.42,1155.0,676 CDM,PX-33518,PR COR ART BYP W VEIN GRFT 2 VEIN,2166.0,1624.5,362.96,2166.0,676 CDM,PX-33519,PR COR ART BYP W VEIN GRFT 3 VEIN,3712.0,2784.0,479.77,3712.0,676 CDM,PX-33521,PR COR ART BYP W VEIN GRFT 4 VEIN,4774.0,3580.5,576.09,4774.0,676 CDM,PX-33522,PR COR ART BYP W VEIN GRFT 5 VEIN,7075.0,5306.25,549.27,7075.0,686 CDM,PX-33530,PR REOP COR ART BYP/VALVE PROC,4737.0,3552.75,463.6,4737.0,676 CDM,PX-33533,PR CABG W ARTL GRFT 1 ARTL GRFT,11492.0,8619.0,853.4,11147.24,683 CDM,PX-33534,PR CABG W ARTL GRFT 2 ARTL GRFT,14352.0,10764.0,1000.63,13921.44,683 CDM,PX-33535,PR CABG W ARTL GRFT 3 ARTL GRFT,22346.0,16759.5,1109.74,21675.62,683 CDM,PX-33542,PR MYOCARDIAL RESECTION,21402.0,16051.5,1192.16,20759.94,683 CDM,PX-33548,PR SURG VENT RESTORATION PROC,23242.0,17431.5,1348.19,22544.74,683 CDM,PX-33572,PR ENDARTERCOMY CORONAY ARTERY,2911.0,2183.25,203.38,2911.0,676 CDM,PX-33608,PR RPR CARD NOT PULM ATRESIA VSD,19032.0,14274.0,825.0,18461.04,683 CDM,PX-33641,PR RPR ATRIAL SEPTAL DEFECT W BYP,14666.0,10999.5,744.47,14226.02,683 CDM,PX-33675,PR CLSR MULT VEN SEPTAL DEFECTS,20984.0,15738.0,890.71,20354.48,683 CDM,PX-33681,PR CLSR SNGL VEN SEPTAL DEFECT,16709.0,12531.75,847.19,16207.73,683 CDM,PX-33720,PR RPR SINUS VALSALVA ANEURYSM,12265.0,9198.75,710.91,11897.05,683 CDM,PX-33724,PR RPR ISOLATED PRTL PULM VENOUS,13633.0,10224.75,699.76,13224.01,683 CDM,PX-33858,PR AS-AORT GRF F/AORTIC DSJ,30953.0,23214.75,1293.17,30024.41,693 CDM,PX-33859,PR AS-AORT GRF F/DS OTH/THN DSJ,17586.0,13189.5,1098.18,17058.42,683 CDM,PX-33863,PR ASC AORTA GRFT BYP&AORTIC RPLC,17517.0,13137.75,1410.89,16991.49,683 CDM,PX-33864,PR ASC AORTA GRFT VLV ROOT REMODEL,30889.0,23166.75,1224.26,29962.33,693 CDM,PX-33866,PR AORTIC HEMIARCH GRAFT W CIRC ARREST-ADD ON,9610.0,7207.5,812.56,9610.0,676 CDM,PX-33871,PR TRANSVRS A-ARCH GRF HYPTHRM,29785.0,22338.75,1239.39,28891.45,693 CDM,PX-33880,PR ENDOVSC RPR W COVRG SUBCL ART,17472.0,13104.0,624.9,16947.84,683 CDM,PX-33881,PR ENDOVSC RPR WO COVRG SUBCL ART,13554.0,10165.5,524.69,13147.38,683 CDM,PX-33883,PR PLC PROX PROSTH EVASC RPR INIT,9614.0,7210.5,466.93,9325.58,683 CDM,PX-33886,PR PLC DSTL EXTSN PROSTH DELAYED,8518.0,6388.5,466.33,8262.46,683 CDM,PX-33910,PR PULM ARTY EMBOLECTOMY W BYP,21263.0,15947.25,1192.3,20625.11,683 CDM,PX-33915,PR EMBOLECT PULM ART WO CARD BYP,15347.0,11510.25,633.05,14886.59,683 CDM,PX-33917,PR RPR PULMONARY ART STENOSIS,11842.0,8881.5,674.26,11486.74,683 CDM,PX-33922,PR TRANSECTION PULM ARTY W BYP,11182.0,8386.5,641.33,10846.54,683 CDM,PX-33940,PR DONOR CARDIECTOMY,8585.0,6438.75,3863.25,8585.0,676 CDM,PX-33944,PR PREP TRNSPL CADAVER DONOR HEART,3606.0,2704.5,105.09,3497.82,683 CDM,PX-33945,PR HEART TRNSPL W/WO RCPT CARDIECTOMY,45329.0,33996.75,2192.84,43969.13,683 CDM,PX-33946,PR ECMO INITIATION VENO-VENOUS,5323.0,3992.25,272.2,5323.0,676 CDM,PX-33947,PR ECMO INITIATION VENO-ART,5323.0,3992.25,300.1,5323.0,676 CDM,PX-33948,PR ECMO DLY MGMT VENO-VENOUS,3020.0,2265.0,212.09,3020.0,676 CDM,PX-33949,PR ECMO DLY MGMT VENO-ARTERIAL,3020.0,2265.0,204.43,3020.0,676 CDM,PX-33952,PR ECMO INSERT CANNULA >=6YR PERC,4184.0,3138.0,187.11,4058.48,683 CDM,PX-33954,PR ECMO INS PRPH CNULA >=6YR,5259.0,3944.25,209.88,5101.23,683 CDM,PX-33956,PR ECMO INSERT CENTRL CANLA >=6YR,8616.0,6462.0,312.26,8357.52,693 CDM,PX-33958,PR ECMO REPOS CANNULA >=6YR PERC,1761.0,1320.75,82.6,1708.17,683 CDM,PX-33966,PR ECMO RMVL CANNULA >=6YR PERC,2604.0,1953.0,89.14,2525.88,693 CDM,PX-33967,PR INS INTRA AORTIC BLN DEV PERC,2137.0,1602.75,109.3,2072.89,683 CDM,PX-33968,PR RMVL INTRA AORTIC BLN DEV PERC,313.0,234.75,28.92,313.0,676 CDM,PX-33970,PR INS INTRA AORTIC BLN FEM ART,3168.0,2376.0,152.72,3072.96,683 CDM,PX-33971,PR RMVL INTRA AORTIC BLN FEM ART,5085.0,3813.75,326.1,4932.45,683 CDM,PX-33975,PR INS VENT ASSIST DEV SNGL VENT,11907.0,8930.25,572.03,11549.79,683 CDM,PX-33977,PR RMVL VENT ASSIST DEVICE 1 VENT,9643.0,7232.25,502.86,9353.71,683 CDM,PX-33979,PR INS VENT ASSIST DEV IMPL 1VENT,31295.0,23471.25,858.8,30356.15,683 CDM,PX-33980,PR RMVL VENT ASST DEV IMPL SNGL,26455.0,19841.25,794.47,25661.35,683 CDM,PX-33983,PR RPLC VAD IMPL SNGL VENT W BYP,12863.0,9647.25,1018.9,12477.11,683 CDM,PX-33984,PR ECMO RMVL PRPH CANNULA >=6YR OPN,3027.0,2270.25,106.71,2936.19,693 CDM,PX-33986,PR ECMO RMVL CNTRL CANNULA >=6YR OPN,5057.0,3792.75,231.75,4905.29,683 CDM,PX-33987,PR ARTL EXPOS/GRFT PERFSN ECMO,2166.0,1624.5,184.98,2166.0,676 CDM,PX-33988,PR INS LT HEART VENT THOR ECMO,7307.0,5480.25,345.36,7087.79,683 CDM,PX-33989,PR RMVL LT HEART VENT THOR ECMO,4086.0,3064.5,219.42,3963.42,683 CDM,PX-33990,PR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,3606.0,2704.5,152.15,3497.82,683 CDM,PX-33991,PR INSERT VAD PERC LEFT HEART W S&I ART&VEN,5557.0,4167.75,202.05,5390.29,683 CDM,PX-33992,"PR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",1965.0,1473.75,80.19,1906.05,683 CDM,PX-33993,PR REPO PERC VENT ASSIST DEV RT OR LT,1611.0,1208.25,69.41,1562.67,683 CDM,PX-33995,PR INSERT PERQ VAD R HRT VENOUS,3589.0,2691.75,152.05,3481.33,683 CDM,PX-33997,PR REMOVE PERQ R HRT VAD,1381.0,1035.75,57.71,1339.57,693 CDM,PX-33999002,PR TRANSCAROTID TAVR,11993.0,8994.75,299.83,11633.21,683 CDM,PX-340000000,HC ACUTE GI BLEED IMAGING,1487.0,1115.25,378.39,1487.0,915 CDM,PX-340000003,HC BONE/JOINT IMAGING 3 PHASE,1325.0,993.75,373.55,1325.0,915 CDM,PX-340000007,HC BONE/JOINT IMAGING WB,1316.0,987.0,320.19,1316.0,915 CDM,PX-340000012,HC CSF FLOW CISTERNOGRAPHY,1666.0,1249.5,383.19,1666.0,915 CDM,PX-340000015,HC CSF LEAKAGE DETECTION,3288.0,2466.0,321.54,3288.0,916 CDM,PX-340000019,HC GASTRIC EMPTYING W SM BWL,1324.0,993.0,426.59,1324.0,915 CDM,PX-340000020,HC GASTRIC EMPTYING,1224.0,918.0,369.17,1224.0,915 CDM,PX-340000022,HC HEPATOBILIARY SYS IMAGING,1565.0,1173.75,364.8,1565.0,916 CDM,PX-340000023,HC HEPATOBILIARY SYS IMG W DRUG,2088.0,1566.0,496.25,2088.0,916 CDM,PX-340000032,HC KIDNEY VAS FLOW W DRUG SNGL,1596.0,1197.0,171.59,1596.0,916 CDM,PX-340000033,HC KIDNEY VAS FLOW WO DRUG SNGL,1562.0,1171.5,241.07,1562.0,915 CDM,PX-340000038,HC LUNG VENT/PERF IMAGING,1626.0,1219.5,351.69,1626.0,916 CDM,PX-340000040,HC LYMPH NODE IMAGING,1646.0,1234.5,375.0,1646.0,915 CDM,PX-340000041,HC MECKEL DIVERTICULUM EXAM,1316.0,987.0,377.42,1316.0,916 CDM,PX-340000043,HC MYOCARDIAL PERF SPECT MULT,4820.0,3615.0,513.24,4820.0,918 CDM,PX-340000044,HC MYOCARDIAL PERF SPECT SNGL,3968.0,2976.0,360.44,3968.0,915 CDM,PX-340000052,HC QUANT LUNG VENT/PERFUSION DIFF,1666.0,1249.5,329.85,1666.0,916 CDM,PX-340000054,HC RADIOPHARM THPY INTRA ARTERIAL,1634.0,1225.5,248.99,1634.0,916 CDM,PX-340000066,HC TUMOR LOC SPECT,4022.0,3016.5,416.27,4022.0,915 CDM,PX-340000070,HC WHOLE BLOOD VOLUME,4750.0,3562.5,116.78,4750.0,915 CDM,PX-340000074,HC BONE MARROW IMAGING WB,1333.0,999.75,269.22,1333.0,915 CDM,PX-340000075,HC CARDIAC SHUNT DECTECTION,1325.0,993.75,197.37,1325.0,915 CDM,PX-340000080,HC MOLECULAR BREAST IMAGING,801.0,600.75,292.1,801.0,918 CDM,PX-340000084,HC CDS MECHANISM NDS CO MC AUC PROG,1.0,0.75,0.45,1.0,909 CDM,PX-340000089,HC CDSM EVICORE,1.0,0.75,0.45,1.0,909 CDM,PX-340000090,HC CDSM MEDCURRENT,1.0,0.75,0.45,1.0,909 CDM,PX-340000091,HC CDSM MEDICALIS,1.0,0.75,0.45,1.0,909 CDM,PX-340000092,HC CDSM AIM,1.0,0.75,0.45,1.0,909 CDM,PX-340000093,HC CDSM CRANBERRY PK,1.0,0.75,0.45,1.0,909 CDM,PX-340000095,HC CDSM STANSON,1.0,0.75,0.45,1.0,909 CDM,PX-340000096,HC CDSM AGILEMD,1.0,0.75,0.45,1.0,909 CDM,PX-340000097,HC CDSM EVIDENCECARE,1.0,0.75,0.45,1.0,909 CDM,PX-340000098,HC CDSM INVENIQA,1.0,0.75,0.45,1.0,909 CDM,PX-340000099,HC CDSM RELIANT,1.0,0.75,0.45,1.0,909 CDM,PX-340000100,HC CDSM SPEED OF CARE,1.0,0.75,0.45,1.0,909 CDM,PX-340000101,HC CDSM HEALTHHELP,1.0,0.75,0.45,1.0,909 CDM,PX-340000102,HC CDSM INFINX,1.0,0.75,0.45,1.0,909 CDM,PX-340000103,HC CDSM LOGICNETS,1.0,0.75,0.45,1.0,909 CDM,PX-340000104,HC CDSM CURBSIDE,1.0,0.75,0.45,1.0,909 CDM,PX-340000105,HC CDSM EHEALTHLINE,1.0,0.75,0.45,1.0,909 CDM,PX-340000106,HC CDSM INTERMOUNTAIN,1.0,0.75,0.45,1.0,909 CDM,PX-340000107,HC CDSM PERSIVIA,1.0,0.75,0.45,1.0,909 CDM,PX-340000108,HC CDSM QUALIFIED NOS,1.0,0.75,0.45,1.0,909 CDM,PX-341000006,HC PLASMA RADPHARM VOLUME ANALYSIS,10336.0,7752.0,125.52,10336.0,915 CDM,PX-341000007,HC RED CELL VOLUME ANALYSIS,4539.0,3404.25,120.18,4539.0,915 CDM,PX-34101,PR EMBLC/THRMBC AX/BRACH ARM INC,6006.0,4504.5,263.84,5825.82,683 CDM,PX-34151,PR EMBLC/THRMBC RNL/CEL/AORTILIAC,15288.0,11466.0,613.04,14829.36,683 CDM,PX-342000000,HC NM RADIOPHARM THRPY IV ADMIN,855.0,641.25,77.09,855.0,916 CDM,PX-34201,PR EMBLC/THRMBC FEM POP AORTILIAC,7546.0,5659.5,449.93,7319.62,683 CDM,PX-34203,PR EMBLC/THRMBC POPLITEAL TIBIO,8529.0,6396.75,418.48,8273.13,683 CDM,PX-34401,PR THRMBC DIR/W CATH VENA ABD INC,11383.0,8537.25,591.44,11041.51,683 CDM,PX-34502,PR RCNSTRCT VENA CAVA ANY METHOD,19471.0,14603.25,688.37,18886.87,683 CDM,PX-34701,PR EVASC RPR A-AO NDGFT,11493.0,8619.75,541.73,11148.21,683 CDM,PX-34705,PR EVAC RPR A-BIILIAC NDGFT,11305.0,8478.75,667.39,10965.85,683 CDM,PX-34707,PR EVASC RPR ILIO-ILIAC NDGFT,10789.0,8091.75,510.11,10465.33,683 CDM,PX-34709,PR PLMT XTN PROSTH EVASC RPR,2612.0,1959.0,280.2,2612.0,676 CDM,PX-34710,PR DLYD PLMT XTN PROSTH 1ST VSL,6942.0,5206.5,350.72,6733.74,683 CDM,PX-34711,PR DLYD PLMT XTN PROSTH EA ADDL,3249.0,2436.75,256.56,3249.0,676 CDM,PX-34713,PR PERQ ACCESS & CLSR FEM ART,778.0,583.5,107.07,778.0,676 CDM,PX-34714,PR OPN FEM ART EXPOS CNDT CRTJ,2600.0,1950.0,238.03,2600.0,676 CDM,PX-34715,PR OPN AX/SUBCLA ART EXPOS,2799.0,2099.25,222.41,2799.0,686 CDM,PX-34716,PR OPN AX/SUBCLA ART EXPOS CNDT,3706.0,2779.5,328.59,3706.0,676 CDM,PX-34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,5294.0,3970.5,385.25,5294.0,676 CDM,PX-34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,14850.0,11137.5,540.05,14404.5,683 CDM,PX-34812,PR OPEN FEM ARTY EXPOSURE UNILAT,3288.0,2466.0,179.55,3288.0,676 CDM,PX-34831,PR RPR ANYSM W AORTOBIILIAC PRSTH,17532.0,13149.0,851.31,17006.04,683 CDM,PX-34833,PR ILIAC ART EXPOS W CONDUIT UNILAT,4516.0,3387.0,344.59,4516.0,676 CDM,PX-34834,PR BRACH ART EXPOS DPL PROSTH UNILAT,2507.0,1880.25,113.17,2507.0,676 CDM,PX-34842,PR EVASC VISC AORTA RPR 2 GRAFT,17554.0,13165.5,756.24,17027.38,683 CDM,PX-34843,PR EVASC VISCER AORT RPR 3 GRFT,17588.0,13191.0,816.73,17060.36,683 CDM,PX-34845,PR VISC & INFRAREN ABD 1 PROSTH,22917.0,17187.75,756.24,22229.49,683 CDM,PX-34846,PR VISC & INFRAREN ABD 2 PROSTH,24024.0,18018.0,786.48,23303.28,683 CDM,PX-34847,PR VISC & INFRAREN ABD 3 PROSTH,31883.0,23912.25,786.48,30926.51,683 CDM,PX-34848,PR VISC & INFRAREN ABD 4+ PROSTH,35774.0,26830.5,816.73,34700.78,683 CDM,PX-350000000,HC 3D W IND WORKSTATION,578.0,433.5,60.57,578.0,912 CDM,PX-350000002,HC CT COLONOGRAPHY DX WO CNTRST,842.0,631.5,111.56,842.0,916 CDM,PX-350000003,HC CT COLONOGRAPHY DX WO/W CNTRST,1385.0,1038.75,187.17,1385.0,916 CDM,PX-350000005,HC CT GUIDE NDL PLC,1975.0,1481.25,81.02,1975.0,913 CDM,PX-350000008,HC CT HRT WO CNTRST W CA SCORE,509.0,381.75,92.86,509.0,916 CDM,PX-350000010,HC CT NECK/SOFT TISS W CNTRST,2052.0,1539.0,174.18,2052.0,919 CDM,PX-350000011,HC CT NECK/SOFT TISS WO CNTRST,891.0,668.25,111.56,891.0,916 CDM,PX-350000013,HC CTA ABD ART RUNOF WO/W CNTRST,2443.0,1832.25,187.17,2443.0,916 CDM,PX-350000014,HC CTA NECK WO/W CNTRST,1837.0,1377.75,187.17,1837.0,920 CDM,PX-350000016,HC CT SKELETAL SURVEY LDWB,870.0,652.5,92.86,870.0,916 CDM,PX-35045,PR DIR RPR ANEURYSM RAD/ULNR ARTY,9966.0,7474.5,422.84,9667.02,683 CDM,PX-35081,PR DIR RPR ARYSM ABDOMINAL AORTA,17508.0,13131.0,763.74,16982.76,683 CDM,PX-35082,PR DIR RPR RUPTD ARYSM ABD AORTA,23659.0,17744.25,948.94,22949.23,683 CDM,PX-351000001,HC CT HEAD/BRAIN W CNTRST,939.0,704.25,139.71,939.0,917 CDM,PX-351000002,HC CT HEAD/BRAIN WO CNTRST,860.0,645.0,97.53,860.0,918 CDM,PX-351000003,HC CT HEAD/BRAIN WO/W CNTRST,1096.0,822.0,166.41,1096.0,916 CDM,PX-351000004,HC CT MAXFAC W CNTRST,1101.0,825.75,144.56,1101.0,916 CDM,PX-351000005,HC CT MAXFAC WO CNTRST,1087.0,815.25,111.56,1087.0,917 CDM,PX-351000007,HC CT ORBIT/EAR/FOSSA W CNTRST,1108.0,831.0,185.34,1108.0,916 CDM,PX-351000008,HC CT ORBIT/EAR/FOSSA WO CNTRST,817.0,612.75,111.56,817.0,918 CDM,PX-351000010,HC CTA HEAD WO/W CNTRST,1837.0,1377.75,187.17,1837.0,920 CDM,PX-35102,PR DIR REPAIR AAA W ILIAC VESSEL,15860.0,11895.0,825.35,15384.2,683 CDM,PX-35121,PR DIR RPR ARYSM HEP/CEL/RENL/MES,12878.0,9658.5,697.24,12491.66,683 CDM,PX-35131,PR DIR RPR ARYSM& GRFT ILIAC ARTY,13535.0,10151.25,611.04,13128.95,683 CDM,PX-35141,PR DIR RPR ARYSM& GRFT FEM ARTY,10582.0,7936.5,480.78,10264.54,683 CDM,PX-35151,PR DIR RPR ARYSM& GRFT POPLT ARTY,9625.0,7218.75,544.91,9336.25,683 CDM,PX-35190,PR RPR/TRAUMATIC AV FISTULA EXT,6297.0,4722.75,332.86,6108.09,683 CDM,PX-352000000,HC CT ABD&PELVIS W CNTRST,2126.0,1594.5,314.48,2126.0,919 CDM,PX-352000001,HC CT ABD&PELVIS WO CNTRST,1688.0,1266.0,149.9,1688.0,919 CDM,PX-352000002,HC CT ABD&PELVIS WO/W CNTRST,2309.0,1731.75,356.18,2309.0,918 CDM,PX-352000003,HC CT ABDOMEN W CNTRST,1474.0,1105.5,187.17,1474.0,918 CDM,PX-352000004,HC CT ABDOMEN WO CNTRST,853.0,639.75,111.56,853.0,916 CDM,PX-352000005,HC CT ABDOMEN WO/W CNTRST,1822.0,1366.5,187.17,1822.0,916 CDM,PX-352000006,HC CT CERV SPINE W CNTRST,1669.0,1251.75,163.01,1669.0,917 CDM,PX-352000007,HC CT CERV SPINE WO CNTRST,1022.0,766.5,111.56,1022.0,917 CDM,PX-352000008,HC CT CERV SPINE WO/W CNTRST,1750.0,1312.5,187.17,1750.0,915 CDM,PX-352000011,HC CT LUMBAR SPINE W CNTRST,1669.0,1251.75,163.5,1669.0,916 CDM,PX-352000012,HC CT LUMBAR SPINE WO CNTRST,1050.0,787.5,111.56,1050.0,917 CDM,PX-352000014,HC CT LWR EXT W CNTRST,1108.0,831.0,163.5,1108.0,915 CDM,PX-352000015,HC CT LWR EXT WO CNTRST,888.0,666.0,111.56,888.0,917 CDM,PX-352000016,HC CT LWR EXT WO/W CNTRST,1108.0,831.0,187.17,1108.0,915 CDM,PX-352000017,HC CT PELVIS W CNTRST,1309.0,981.75,187.17,1309.0,916 CDM,PX-352000018,HC CT PELVIS WO CNTRST,925.0,693.75,111.56,925.0,917 CDM,PX-352000019,HC CT PELVIS WO/W CNTRST,1432.0,1074.0,187.17,1432.0,915 CDM,PX-352000021,HC CT THORAC SPINE W CNTRST,1336.0,1002.0,164.46,1336.0,916 CDM,PX-352000022,HC CT THORAC SPINE WO CNTRST,1162.0,871.5,111.56,1162.0,917 CDM,PX-352000023,HC CT THORAC SPINE WO/W CNTRST,1584.0,1188.0,187.17,1584.0,915 CDM,PX-352000024,HC CT THORAX W CNTRST,1351.0,1013.25,163.98,1351.0,918 CDM,PX-352000025,HC CT THORAX WO CNTRST,920.0,690.0,111.56,920.0,919 CDM,PX-352000026,HC CT THORAX WO/W CNTRST,1803.0,1352.25,187.17,1803.0,915 CDM,PX-352000027,HC CT UPR EXT W CNTRST,1263.0,947.25,212.04,1263.0,915 CDM,PX-352000028,HC CT UPR EXT WO CNTRST,919.0,689.25,111.56,919.0,916 CDM,PX-352000030,HC CTA ABD&PELVIS WO/W CNTRST,3379.0,2534.25,372.28,3379.0,918 CDM,PX-352000031,HC CTA ABDOMEN WO/W CNTRST,2245.0,1683.75,187.17,2245.0,917 CDM,PX-352000032,HC CTA CHEST WO/W CNTRST,2008.0,1506.0,187.17,2008.0,918 CDM,PX-352000034,HC CTA LWR EXT WO/W CNTRST,1345.0,1008.75,187.17,1345.0,915 CDM,PX-352000035,HC CTA PELVIS WO/W CNTRST,1437.0,1077.75,187.17,1437.0,916 CDM,PX-352000036,HC CTA UPR EXT WO/W CNTRST,1279.0,959.25,187.17,1279.0,915 CDM,PX-35201,PR RPR BLOOD VESSEL DIRECT NECK,9689.0,7266.75,410.71,9398.33,683 CDM,PX-35206,PR RPR BLOOD VSSL DIR UPR EXTRM,8250.0,6187.5,351.92,8002.5,683 CDM,PX-35207,PR RPR BLOOD VESSEL DIR HAND FGR,8034.0,6025.5,332.74,7792.98,683 CDM,PX-35211,PR RPR BLD VSSL INTRATHORA W BYP,15324.0,11493.0,640.92,14864.28,683 CDM,PX-35216,PR RPR BLD VSSL INTRATHORA WO BYP,18358.0,13768.5,926.45,17807.26,683 CDM,PX-35221,PR RPR BLD VSSL DIRECT INTRA ABD,13185.0,9888.75,649.68,12789.45,683 CDM,PX-35226,PR RPR BLD VSSL DIRECT LOWER EXT,9195.0,6896.25,367.19,8919.15,683 CDM,PX-35236,PR RPR BLD VSSL W VEIN GRAFT UE,11836.0,8877.0,445.49,11480.92,683 CDM,PX-35241,PR RPR BLD VSL VEIN GRF INTRATHOR,12075.0,9056.25,665.44,11712.75,683 CDM,PX-35256,PR RPR BLD VSSL VEIN GRFT LOWEREXT,9920.0,7440.0,450.49,9622.4,683 CDM,PX-35266,PR RPR BLD VSL NOT VEIN GRFT UE,8796.0,6597.0,382.34,8532.12,683 CDM,PX-35271,PR RPR BLD VSL NOT V GRFT IT W BYP,12664.0,9498.0,642.27,12284.08,683 CDM,PX-35281,PR RPR BLVSL W GRFT INTRA ABD,17842.0,13381.5,720.89,17306.74,683 CDM,PX-35286,PR RPR BLVSL W GRFT LOWER EXT,8440.0,6330.0,408.45,8186.8,683 CDM,PX-35301,PR TEA CARTD/VERTB/SUBCL NECK INC,6354.0,4765.5,497.54,6163.38,683 CDM,PX-35302,PR TEA W GRFT SUPERFICIAL FEM ARTY,8716.0,6537.0,491.28,8454.52,683 CDM,PX-35351,PR TEA W/WO PATCH GRAFT ILIAC,11357.0,8517.75,567.52,11016.29,683 CDM,PX-35371,PR TEA W/WO PATCH GRFT COMMON FEM,7051.0,5288.25,359.01,6839.47,683 CDM,PX-35556,PR BYP W VEIN FEMRL TO POPLITEAL,11521.0,8640.75,612.4,11175.37,683 CDM,PX-35566,PR BYP FEM TO ANT/POST TIBIAL,12662.0,9496.5,728.7,12282.14,683 CDM,PX-35570,PR BYP TIB-TIB/PERONEAL-TIB,12724.0,9543.0,650.55,12342.28,683 CDM,PX-35571,PR BYP POP TO TIBL OR PERONEAL,13157.0,9867.75,582.47,12762.29,683 CDM,PX-35600,PR HARVEST UE ARTY 1 SEGMENT CABG,2511.0,1883.25,164.15,2511.0,676 CDM,PX-35606,PR BYP NOT VEIN CAROTID TO SUBCL,11034.0,8275.5,516.73,10702.98,683 CDM,PX-35626,PR BYP NOT VEIN AORTOSUBCL/CARTD,16879.0,12659.25,719.11,16372.63,683 CDM,PX-35631,PR BYP NOT VEIN AORTO CEL/MSN/REN,22154.0,16615.5,812.42,21489.38,683 CDM,PX-35633,PR BYP GRFT NOT VEIN ILIO TO MSN,22207.0,16655.25,874.62,21540.79,683 CDM,PX-35634,PR BYP GRFT VEIN NOT ILIORENAL,19514.0,14635.5,779.28,18928.58,683 CDM,PX-35638,PR BYP NOT VEIN AORTOBI TO ILIAC,19307.0,14480.25,767.43,18727.79,683 CDM,PX-35646,PR BYP NOT VEIN AORTOBI TO FEM,14645.0,10983.75,748.88,14205.65,683 CDM,PX-35656,PR BYP NOT VEIN FEMORAL TO POP,11124.0,8343.0,471.69,10790.28,683 CDM,PX-35661,PR BYP NOT VEIN FEM TO FEM,11357.0,8517.75,476.7,11016.29,683 CDM,PX-35665,PR BYP GRFT NOT VEIN ILIOFEMORAL,11492.0,8619.0,517.44,11147.24,683 CDM,PX-35666,PR BYP NOT VEIN FEM TO ANT TIB,12492.0,9369.0,566.58,12117.24,683 CDM,PX-35682,PR BYP AUTOG COMPOSIT 2 SEG 2 LOC,3265.0,2448.75,306.07,3265.0,676 CDM,PX-35694,PR TRPOS&/RPLC SUBCL CARTD ARTY,9603.0,7202.25,437.29,9314.91,683 CDM,PX-35700,PR REOP > 1 MO AFTER ORIGINAL OP,1604.0,1203.0,132.54,1604.0,676 CDM,PX-35701,PR EXPLR W/WO LYSIS CAROTID ARTY,4965.0,3723.75,187.11,4816.05,683 CDM,PX-35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3445.0,2583.75,180.76,3341.65,683 CDM,PX-35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,4594.0,3445.5,184.46,4456.18,683 CDM,PX-35800,PR EXPLR PO HEMR THROM/INFC NECK,4186.0,3139.5,322.06,4060.42,683 CDM,PX-35820,PR EXPLR PO HEMR THROM/INFC CHEST,12793.0,9594.75,908.38,12409.21,683 CDM,PX-35840,PR EXPLR PO HEMR THROM/INFC ABD,6365.0,4773.75,545.23,6174.05,683 CDM,PX-35860,PR EXPLR PO HEMR THROM/INFC EXT,4484.0,3363.0,376.5,4349.48,683 CDM,PX-35875,PR THROMB ARTL GRFT NOT HEMO GRFT,5727.0,4295.25,261.3,5555.19,683 CDM,PX-35876,PR THROMB ARTL/VEIN GRFT W REV GRFT,10374.0,7780.5,415.75,10062.78,683 CDM,PX-35903,PR EXCISN INFECTED GRFT EXTREMITY,6020.0,4515.0,251.33,5839.4,683 CDM,PX-35905,PR EXCISION INFECTED GRAFT THORAX,10069.0,7551.75,740.71,9766.93,683 CDM,PX-35907,PR EXCISN INFECTED GRAFT ABDOMEN,18750.0,14062.5,836.25,18187.5,683 CDM,PX-36000,PR INTRO NDL/CATH VEIN,166.0,124.5,8.3,166.0,635 CDM,PX-360000002,HC OR LEVEL 1 EA 15 MIN,418.0,313.5,188.1,418.0,1879 CDM,PX-360000003,HC OR LEVEL 10 EA 15 MIN,2553.0,1914.75,1148.85,2553.0,1879 CDM,PX-360000004,HC OR LEVEL 10,15088.0,11316.0,6789.6,15088.0,1879 CDM,PX-360000005,HC OR LEVEL 11 EA 15 MIN,2558.0,1918.5,1151.1,2558.0,1879 CDM,PX-360000006,HC OR LEVEL 11,15800.0,11850.0,7110.0,15800.0,1879 CDM,PX-360000007,HC OR LEVEL 12 EA 15 MIN,2965.0,2223.75,1334.25,2965.0,1879 CDM,PX-360000008,HC OR LEVEL 12,16766.0,12574.5,7544.7,16766.0,1879 CDM,PX-360000011,HC OR LEVEL 1,4094.0,3070.5,1842.3,4094.0,1879 CDM,PX-360000014,HC OR LEVEL 2 EA 15 MIN,477.0,357.75,214.65,477.0,1879 CDM,PX-360000015,HC OR LEVEL 2,4477.0,3357.75,2014.65,4477.0,1879 CDM,PX-360000016,HC OR LEVEL 3 EA 15 MIN,526.0,394.5,236.7,526.0,1879 CDM,PX-360000017,HC OR LEVEL 3,5149.0,3861.75,2317.05,5149.0,1879 CDM,PX-360000018,HC OR LEVEL 4 EA 15 MIN,785.0,588.75,353.25,785.0,1879 CDM,PX-360000019,HC OR LEVEL 4,7092.0,5319.0,3191.4,7092.0,1879 CDM,PX-360000020,HC OR LEVEL 5 EA 15 MIN,836.0,627.0,376.2,836.0,1879 CDM,PX-360000021,HC OR LEVEL 5,7858.0,5893.5,3536.1,7858.0,1879 CDM,PX-360000022,HC OR LEVEL 6 EA 15 MIN,1253.0,939.75,563.85,1253.0,1879 CDM,PX-360000023,HC OR LEVEL 6,11447.0,8585.25,5151.15,11447.0,1879 CDM,PX-360000024,HC OR LEVEL 7 EA 15 MIN,1324.0,993.0,595.8,1324.0,1879 CDM,PX-360000025,HC OR LEVEL 7,11801.0,8850.75,5310.45,11801.0,1879 CDM,PX-360000026,HC OR LEVEL 8 EA 15 MIN,2090.0,1567.5,940.5,2090.0,1879 CDM,PX-360000027,HC OR LEVEL 8,12531.0,9398.25,5638.95,12531.0,1879 CDM,PX-360000028,HC OR LEVEL 9 EA 15 MIN,2267.0,1700.25,1020.15,2267.0,1879 CDM,PX-360000029,HC OR LEVEL 9,14578.0,10933.5,6560.1,14578.0,1879 CDM,PX-36002,PR INJ PERC TX EXT PSEUDOARYSM,1263.0,947.25,73.73,1225.11,683 CDM,PX-36005,PR INJ EXT VENOGRPH W NDLCATH,1464.0,1098.0,118.64,1420.08,683 CDM,PX-36010,PR INTRO CATH SUPR/INF VENA CAVA,2537.0,1902.75,248.57,2460.89,683 CDM,PX-36011,PR SEL CATH PLC VEN SYS 1ST ORDER,3934.0,2950.5,379.41,3815.98,683 CDM,PX-36012,PR SEL CATH PLC VEN SYS 2ND ORDER,4150.0,3112.5,392.23,4025.5,683 CDM,PX-36013,PR INTRO CATH RT HEART/PULM ARTY,3176.0,2382.0,54.9,3080.72,697 CDM,PX-36014,PR SEL CATH PLC LT/RT PULM ARTERY,2701.0,2025.75,364.41,2619.97,683 CDM,PX-36015,PR PLC CATH SEGM PULM ARTY,3668.0,2751.0,385.67,3557.96,683 CDM,PX-361000000,HC ABLATION BN TMR RADIOFREQUENCY,20834.0,15625.5,472.04,21516.53,916 CDM,PX-361000002,HC ABLATION RENAL TUMOR PERC CRYO,20349.0,15261.75,587.73,20349.0,915 CDM,PX-361000003,HC ABLATION RENAL TUMORS UNILAT RF,21416.0,16062.0,438.59,21416.0,915 CDM,PX-361000004,HC ABLT >=1 LVR TMR PERC RADIOFREQ,24398.0,18298.5,944.55,24398.0,916 CDM,PX-361000005,HC ABLT OPN LIVER TMR RF,8518.0,6388.5,1305.39,8518.0,915 CDM,PX-361000006,HC ABLT PERC LIVER TMR CRYOABLAT,22136.0,16602.0,593.09,22136.0,915 CDM,PX-361000015,HC ARTHCS ASP/INJ INT JT W US,3241.0,2430.75,65.9,3241.0,915 CDM,PX-361000016,HC ARTHCS ASP/INJ INT JT WO US,1290.0,967.5,47.18,1290.0,915 CDM,PX-361000017,HC ARTHCS ASP/INJ JOINT/BURSA W US,1515.0,1136.25,58.5,1515.0,915 CDM,PX-361000018,HC ARTHCS ASP/INJ MJR JT W US,1628.0,1221.0,73.7,1628.0,915 CDM,PX-361000019,HC ARTHCS ASP/INJ MJR JT WO US,1475.0,1106.25,58.23,1475.0,915 CDM,PX-361000020,HC ARTHCS ASP/INJ SM JT WO US,1297.0,972.75,46.17,1297.0,915 CDM,PX-361000038,HC ARTL CATH/CNULA MONITOR PERC,787.0,590.25,60.3,787.0,909 CDM,PX-361000039,HC ASP BLADDER/INS SUPUBIC CATH,6749.0,5061.75,185.25,6749.0,916 CDM,PX-361000042,HC ASP INJ THYROID CYST,2242.0,1681.5,61.55,2242.0,916 CDM,PX-361000044,HC ASP/INJ CYST GANGLION,1512.0,1134.0,53.96,1512.0,915 CDM,PX-361000045,HC ASPIRATION/INJ RENAL CYST PERC,4536.0,3402.0,119.27,4536.0,915 CDM,PX-361000046,HC BALN DIL URETER STRICTURE W IMG,9194.0,6895.5,229.19,9194.0,909 CDM,PX-361000052,HC BIOPSY PANCREAS PERC NEEDLE,5901.0,4425.75,300.48,5901.0,916 CDM,PX-361000053,HC BIOPSY PLEURA PERCUTANEOUS NDL,4497.0,3372.75,107.0,4497.0,916 CDM,PX-361000055,HC BIOPSY RENAL NEEDLE/TROC PERC,3785.0,2838.75,162.45,3785.0,915 CDM,PX-361000056,HC BIOPSY THYROID PERC CORE NDL,2845.0,2133.75,96.56,2845.0,915 CDM,PX-361000059,HC BLN DILAT BIL DUCT PERC EA,10600.0,7950.0,172.86,10600.0,909 CDM,PX-361000064,HC BRONCH DX W CELL WASH FLUOR,6307.0,4730.25,176.91,6307.0,916 CDM,PX-361000065,HC BRONCH OCCLUS VALVE ADD LOBE,3577.0,2682.75,99.12,3577.0,909 CDM,PX-361000066,HC BRONCH RMVL BRONCHL VALVE INIT,12386.0,9289.5,261.2,12386.0,915 CDM,PX-361000067,HC BRONCH TRANSBRONCH LUNG BX EA,2752.0,2064.0,63.72,2752.0,910 CDM,PX-361000068,HC BRONCH TRANSBRONCH LUNG BX SNG,7231.0,5423.25,234.11,7231.0,917 CDM,PX-361000069,HC BRONCH TRANSBRONCH NDL ASP BX,8616.0,6462.0,248.33,8616.0,917 CDM,PX-361000071,HC BRONCH W BALN OCC INIT LOBE,15960.0,11970.0,273.09,15960.0,915 CDM,PX-361000072,HC BRONCH W COMP ASST IMG NAV,2518.0,1888.5,125.7,2518.0,911 CDM,PX-361000073,HC BRONCH W PLC BRNCL STENT INIT,19176.0,14382.0,288.03,19176.0,916 CDM,PX-361000074,HC BRONCH W TRACH STENT PLCMNT,20094.0,15070.5,294.2,20094.0,915 CDM,PX-361000076,HC BRONCHOSCOPY DX W BRUSHING,5590.0,4192.5,175.94,5590.0,915 CDM,PX-361000077,HC BRONCHOSCOPY W ALVEOLAR LAVAGE,6567.0,4925.25,178.37,6567.0,917 CDM,PX-361000078,HC BRONCHOSCOPY W ASP THER INIT,6381.0,4785.75,196.43,6381.0,915 CDM,PX-361000080,HC BRONCHOSCOPY W BX >=1 SITE,5830.0,4372.5,207.39,5830.0,915 CDM,PX-361000081,HC BRONCHOSCOPY W REMOVAL FB,6287.0,4715.25,233.25,6287.0,916 CDM,PX-361000083,HC BX ABD/RETROPERITNL MASS PERC,3532.0,2649.0,105.02,3532.0,917 CDM,PX-361000085,HC BX BN TROCAR/NDL DEEP,4516.0,3387.0,166.82,4516.0,916 CDM,PX-361000086,HC BX BN TROCAR/NDL SUPFCL,4253.0,3189.75,112.71,4253.0,919 CDM,PX-361000087,HC BX BREAST W LOC MR GUID 1ST,5814.0,4360.5,223.46,5814.0,916 CDM,PX-361000088,HC BX BREAST W LOC MR GUID ADD,6820.0,5115.0,111.51,6820.0,910 CDM,PX-361000097,HC BX MUS PERC NDL,4097.0,3072.75,75.17,4097.0,917 CDM,PX-361000098,HC BX MUS SUPFCL,3093.0,2319.75,131.19,3093.0,915 CDM,PX-361000099,HC BX NDL LIVER PERC,4299.0,3224.25,112.71,4299.0,918 CDM,PX-361000101,HC BX SALIVARY GLAND NEEDLE,4182.0,3136.5,70.16,4182.0,916 CDM,PX-361000108,HC BX/EXCISN LYMPH NODE NDL SUPFCL,4213.0,3159.75,110.19,4213.0,916 CDM,PX-361000111,HC CATH 2ND+ORD RENAL ARTERY UNILAT,18810.0,14107.5,449.33,18810.0,916 CDM,PX-361000112,HC CATH ASPIRATION NASOTRACHEAL,639.0,479.25,67.11,639.0,915 CDM,PX-361000113,HC CATH PORTAL VEIN PERC,6290.0,4717.5,414.72,6290.0,910 CDM,PX-361000114,HC CATH VEN SEL ORGAN BLD SAMPLNG,4603.0,3452.25,234.56,4603.0,910 CDM,PX-361000115,HC CATH W INJ CNTRST HSG,1358.0,1018.5,76.28,1358.0,910 CDM,PX-361000117,HC CESSATION THROMBLYS RMVL CATH,12559.0,9419.25,156.96,12559.0,915 CDM,PX-361000118,HC CHANGE CYSTOSTOMY TUBE SIMPLE,1803.0,1352.25,69.14,1803.0,916 CDM,PX-361000120,HC CHANGE URETEROSTOMY TUBE/STENT,5657.0,4242.75,104.49,5657.0,915 CDM,PX-361000124,HC CHOLECYSTOSTOMY PERC W CATH PLC,13018.0,9763.5,437.97,13018.0,915 CDM,PX-361000134,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,10207.0,7655.25,249.69,10207.0,915 CDM,PX-361000135,HC CONV NEPHROST TO NEPHROURET CATH,7260.0,5445.0,245.63,7260.0,915 CDM,PX-361000136,HC CONVERSION TO GASTRO-JEJ TUBE,5730.0,4297.5,186.17,5730.0,916 CDM,PX-361000148,HC DBRD SKIN & SUBQ TISS<=20SCM,2158.0,1618.5,81.86,2158.0,916 CDM,PX-361000149,HC DECLOT IMPL VAD/CATH,1002.0,751.5,55.23,1002.0,916 CDM,PX-361000150,HC DEST BENIGN LESN OTHR<=14,820.0,615.0,91.44,820.0,916 CDM,PX-361000152,HC DEST CERV/THOR FACET JT,6968.0,5226.0,254.33,6968.0,915 CDM,PX-361000154,HC DEST PREMALIGNANT LESN =>15,2000.0,1500.0,121.74,2000.0,915 CDM,PX-361000161,HC DRN PERITNM FLUID CATH W IMG,7132.0,5349.0,245.94,7132.0,916 CDM,PX-361000164,HC DRN TRANSREC/VAG FL CATH W IMG,3970.0,2977.5,265.22,3970.0,915 CDM,PX-361000165,HC DRN VISC FLUID CATH PERC W IMG,6588.0,4941.0,245.94,6588.0,915 CDM,PX-361000175,HC ENDOLUMINAL BX BIL TREE PERC,7151.0,5363.25,181.34,7151.0,909 CDM,PX-361000191,HC EVASC TEMP BALN ARTL OCCLUSION,38402.0,28801.5,751.83,38402.0,915 CDM,PX-361000195,HC EXCHG BIL DRN CATH PERC W IMG,10316.0,7737.0,168.89,10316.0,916 CDM,PX-361000196,HC EXCHG NEPHROST CATH PERC,5835.0,4376.25,129.3,5835.0,916 CDM,PX-361000197,HC EXCHNG DRN CATH RAD GUIDANCE,6583.0,4937.25,89.66,6583.0,917 CDM,PX-361000221,HC FNA BX WO IMG 1ST LESION,1503.0,1127.25,67.76,1503.0,917 CDM,PX-361000224,HC I&D ABSC SMPL/SNGL,999.0,749.25,147.24,999.0,916 CDM,PX-361000226,HC I&D HEMA/SEROMA/FLUID COLL,6641.0,4980.75,169.19,6641.0,916 CDM,PX-361000233,HC IMG GUIDE FLUID CATH DRAIN,3832.0,2874.0,174.05,3832.0,916 CDM,PX-361000240,HC INJ AIR/CNTRST PERITONEAL CAV,941.0,705.75,115.74,941.0,909 CDM,PX-361000241,HC INJ ANES AGENT CELIAC PLEX,3958.0,2968.5,125.82,3958.0,917 CDM,PX-361000246,HC INJ ANES FORAMEN ADD LVL,2752.0,2064.0,78.39,2752.0,909 CDM,PX-361000247,HC INJ ANES FORAMEN EPI LUMB ADD,2320.0,1740.0,64.67,2320.0,909 CDM,PX-361000248,HC INJ ANES FORAMEN EPI LUMB SNGL,3981.0,2985.75,146.58,3981.0,916 CDM,PX-361000249,HC INJ ANES FORAMEN SNGL CRV/THRC,4056.0,3042.0,171.77,4056.0,916 CDM,PX-361000250,HC INJ ANES GREATER OCCIPITAL NRV,2340.0,1755.0,67.23,2340.0,915 CDM,PX-361000252,HC INJ ANES INTERCOSTAL NRV SNGL,2894.0,2170.5,77.34,2894.0,915 CDM,PX-361000253,HC INJ ANES OTHER PERIPHERAL NRV,2298.0,1723.5,56.57,2298.0,916 CDM,PX-361000255,HC INJ ANES SPENOPLTN GANGLION,1519.0,1139.25,141.68,1519.0,915 CDM,PX-361000260,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,2475.0,1856.25,86.91,2475.0,915 CDM,PX-361000261,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,3819.0,2864.25,199.58,3819.0,915 CDM,PX-361000264,HC INJ CHOLANGIO PERC EXIST ACCESS,10241.0,7680.75,90.99,10241.0,916 CDM,PX-361000265,HC INJ CHOLANGIO PERC NEW ACCESS,10905.0,8178.75,269.22,10905.0,915 CDM,PX-361000266,HC INJ CNTRST EVAL ABSC/CYST,1652.0,1239.0,47.36,1652.0,911 CDM,PX-361000267,HC INJ CNTRST RAD EVAL CVAD FLUOR,1506.0,1129.5,44.9,1506.0,915 CDM,PX-361000268,HC INJ CONTRAST RAD EVAL GI TUBE,935.0,701.25,37.98,935.0,916 CDM,PX-361000269,HC INJ CYSTOGRAPHY/VUCG,1138.0,853.5,55.2,1138.0,910 CDM,PX-361000270,HC INJ DISCOGRAPHY LUMBAR EA LVL,4493.0,3369.75,210.38,4493.0,909 CDM,PX-361000271,HC INJ EPI BLD/CLOT PATCH,2744.0,2058.0,150.63,2744.0,916 CDM,PX-361000275,HC INJ EXT VENOGRPH W NDLCATH,2993.0,2244.75,61.23,2993.0,910 CDM,PX-361000277,HC INJ FACET JT CERV/THOR 1 LVL,4124.0,3093.0,138.69,4124.0,916 CDM,PX-361000278,HC INJ FACET JT CERV/THOR 2 LVL,2238.0,1678.5,74.93,2238.0,910 CDM,PX-361000279,HC INJ FACET JT LUMB/SAC >= 3 LVL,1843.0,1382.25,66.62,1843.0,909 CDM,PX-361000280,HC INJ FACET JT LUMB/SAC 1 LVL,4124.0,3093.0,119.97,4124.0,916 CDM,PX-361000281,HC INJ FACET JT LUMB/SAC 2 LVL,2249.0,1686.75,64.67,2249.0,911 CDM,PX-361000283,HC INJ ILEAL CON/URETEROPYLGRPHY,2053.0,1539.75,91.38,2053.0,910 CDM,PX-361000286,HC INJ MYELOGRAPHY CT WO C1/C2,1802.0,1351.5,105.81,1802.0,911 CDM,PX-361000289,HC INJ PERC TX EXT PSEUDOARYSM,2568.0,1926.0,134.78,2568.0,915 CDM,PX-361000290,HC PRP INJECTION,1082.0,811.5,476.69,1082.0,916 CDM,PX-361000292,HC INJ PROC HIP ARTHGRPH WO ANES,1056.0,792.0,85.11,1056.0,909 CDM,PX-361000293,HC INJ PROCEDURE LYMPHANGIOGRAPHY,1674.0,1255.5,111.03,1674.0,909 CDM,PX-361000294,HC INJ RADIOACT TRACE SENTINEL ND,1695.0,1271.25,40.4,1695.0,917 CDM,PX-361000298,HC INJ SI JT W IMA W ARTHROGRPHY,4500.0,3375.0,72.49,4500.0,915 CDM,PX-361000299,HC INJ SINUS TRACT DX,1690.0,1267.5,45.9,1690.0,909 CDM,PX-361000300,HC INJ SINUS TRACT THERAPEUTIC,4640.0,3480.0,122.46,4640.0,915 CDM,PX-361000301,HC INJ SNGL TENDN ORIGIN/INS,1278.0,958.5,48.75,1278.0,915 CDM,PX-361000302,HC INJ SNGL TNDN/SHTH/LGMNT,1246.0,934.5,49.17,1246.0,916 CDM,PX-361000304,HC INJ TRIGGER PNT<=2 MUS,1103.0,827.25,52.55,1103.0,917 CDM,PX-361000309,HC INS HEPATIC SHUNT (TIPS),15201.0,11400.75,1034.27,22495.57,916 CDM,PX-361000312,HC INS INTRAPERITONEAL CATH W IMG,12789.0,9591.75,257.42,12789.0,916 CDM,PX-361000314,HC INS NON-TUN CVC >5YR,5724.0,4293.0,113.99,5724.0,916 CDM,PX-361000320,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3884.0,2913.0,126.26,3884.0,915 CDM,PX-361000323,HC INS SNGL ELTRD/PPCMKR/ICD,31183.0,23387.25,482.81,31183.0,916 CDM,PX-361000324,HC INS STNT INTRACRANIAL,9409.0,7056.75,1311.39,9409.0,915 CDM,PX-361000330,HC INS TUNL CVAD W PORT >= 5 YR,11357.0,8517.75,439.37,11357.0,917 CDM,PX-361000331,HC INS TUNL CVC WO PORT >=5YR,8484.0,6363.0,341.24,8484.0,916 CDM,PX-361000337,HC INSERT DUODEN/JEJUN TUBE PERC,9776.0,7332.0,318.89,9776.0,915 CDM,PX-361000339,HC INSERT EVASC VENA CAVA FILTER,17640.0,13230.0,280.83,17640.0,916 CDM,PX-361000340,HC INSERT GASTROSTOMY TUBE PERC,5226.0,3919.5,262.76,5226.0,916 CDM,PX-361000341,HC INSERTION/CATH PLEURAL CAVITY,11305.0,8478.75,266.66,11305.0,915 CDM,PX-361000348,HC INTRAVASC US NONCORONARY ADD VSL,6902.0,5176.5,91.38,6902.0,911 CDM,PX-361000349,HC INTRAVASC US NONCORONARY INIT VSL,10275.0,7706.25,115.7,10275.0,911 CDM,PX-361000351,HC INTRO CATH RT HEART/PULM ARTY,957.0,717.75,164.69,957.0,909 CDM,PX-361000352,HC INTRO CATH SUPR/INF VENA CAVA,2643.0,1982.25,139.35,2643.0,910 CDM,PX-361000354,HC INTRO GI TUBE LONG,2723.0,2042.25,24.15,2723.0,916 CDM,PX-361000358,HC INTRO NDL/CATH EXT ARTY,4232.0,3174.0,115.16,4232.0,909 CDM,PX-361000359,HC INTRO NDL/CATH VEIN,164.0,123.0,73.8,164.0,910 CDM,PX-361000362,HC INTRODUCTION CATHETER AORTA,4036.0,3027.0,179.34,4036.0,910 CDM,PX-361000384,HC MYELOGRAPHY LUMB INJ >2 RGNS,3634.0,2725.5,154.76,3634.0,916 CDM,PX-361000386,HC MYELOGRAPHY LUMB INJ S&I LUMB,3431.0,2573.25,148.77,3431.0,916 CDM,PX-361000387,HC MYELOGRAPHY LUMB INJ S&I THOR,2914.0,2185.5,150.35,2914.0,915 CDM,PX-361000388,HC NDL ASP ABSC/HEMA/BULLA/CYST,1182.0,886.5,134.01,1182.0,916 CDM,PX-361000392,HC NONSEL CATH THOR AORTA W ANGIO,25907.0,19430.25,259.61,25907.0,915 CDM,PX-361000402,HC PARACENTESIS ABD W IMG,3694.0,2770.5,136.8,3694.0,917 CDM,PX-361000403,HC PARACENTESIS ABD WO IMG,2713.0,2034.75,104.16,2713.0,915 CDM,PX-361000404,HC PERC ASP INTERDISCAL DX,4291.0,3218.25,198.81,4291.0,915 CDM,PX-361000407,HC PERC CERVICOTHORACIC INJECT,12618.0,9463.5,562.25,12618.0,915 CDM,PX-361000412,HC PERC LUMBOSACRAL INJECTION,12608.0,9456.0,530.34,12608.0,916 CDM,PX-361000413,HC PERC VERT AGMNT MECH EA ADD,30285.0,22713.75,276.38,30285.0,909 CDM,PX-361000414,HC PERC VERT AGMNTJ CAV CRTJ LMBR,24175.0,18131.25,620.51,24175.0,916 CDM,PX-361000415,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,26000.0,19500.0,663.5,26000.0,916 CDM,PX-361000418,HC PHLEB VARICOSE VEIN 10 OR LESS UNILAT,5031.0,3773.25,669.38,5031.0,916 CDM,PX-361000420,HC PLC ACCESS BIL TREE SM BOWEL NEW,10600.0,7950.0,432.15,10600.0,915 CDM,PX-361000421,HC PLC BILIARY DRN CATH EXTRNL,12728.0,9546.0,334.58,12728.0,915 CDM,PX-361000422,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,12667.0,9500.25,467.6,12667.0,915 CDM,PX-361000428,HC PLC CATH SEGM PULM ARTY,4246.0,3184.5,219.06,4246.0,909 CDM,PX-361000432,HC PLC INTERS RAD DEVICE PROSTATE,6865.0,5148.75,133.61,6865.0,917 CDM,PX-361000433,HC PLC LOC DEV PERC W IMG 1ST LESN,3773.0,2829.75,105.03,3773.0,915 CDM,PX-361000435,HC PLC NEPHROSTOMY CATH PERC NEW,8245.0,6183.75,261.9,8245.0,915 CDM,PX-361000436,HC PLC NEPHROURETERAL CATH PERC NEW,10066.0,7549.5,323.61,10066.0,915 CDM,PX-361000439,HC PLC OPN/PERC STENT INIT,35277.0,26457.75,569.15,35277.0,915 CDM,PX-361000440,HC PLC OPN/PERC STENT SAME EA ADD,34663.0,25997.25,192.45,34663.0,909 CDM,PX-361000441,HC PLC OPN/PERC STENT SAME INIT,35443.0,26582.25,395.85,35443.0,916 CDM,PX-361000443,HC PLC STENT CAROTID EMBO PROTECT,27040.0,20280.0,862.38,27040.0,915 CDM,PX-361000445,HC PLC STNT BILE DUCT PERC EXIST,19469.0,14601.75,298.08,19469.0,916 CDM,PX-361000448,HC PLC STNT CARTD WO EMBO PROTECT,27040.0,20280.0,12168.0,27040.0,909 CDM,PX-361000449,HC PLC TUBE NASAL/OROGAST W FLUOR,1594.0,1195.5,50.72,1594.0,915 CDM,PX-361000452,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,10424.0,7818.0,259.95,10424.0,915 CDM,PX-361000454,HC PLEURA DRAIN PERC W IMG GUID,4417.0,3312.75,190.74,4417.0,915 CDM,PX-361000455,HC PLEURA DRAIN PERC WO IMG GUID,5870.0,4402.5,164.33,5870.0,915 CDM,PX-361000461,HC PUNCTURE SPINAL LUMBAR DX,2425.0,1818.75,85.65,2425.0,916 CDM,PX-361000464,HC REMOVAL LUNG/PLEURAL CATHETER,2948.0,2211.0,216.38,2948.0,915 CDM,PX-361000465,HC REMOVAL URETER STENT PERC S&I,6232.0,4674.0,289.65,6232.0,915 CDM,PX-361000469,HC REPO PREV PLC CVC FLUORO GUID,5716.0,4287.0,76.73,5716.0,915 CDM,PX-361000471,HC REPOSITION GASTROSTOMY TUBE,2107.0,1580.25,130.11,2107.0,915 CDM,PX-361000491,HC REVISE HEPATIC SHUNT (TIPS),33663.0,25247.25,474.92,33663.0,916 CDM,PX-361000494,HC RMVL BIL DRN CATH W FLURO,4608.0,3456.0,123.51,4608.0,915 CDM,PX-361000495,HC RMVL BIL DUCT &/ GALBLDR CALC,4505.0,3378.75,198.53,4505.0,909 CDM,PX-361000505,HC RMVL NEPHROSTOMY TUBE W FLUORO,3129.0,2346.75,67.5,3129.0,916 CDM,PX-361000509,HC RMVL TUN CV CATH WO SUBQ PORT,3317.0,2487.75,183.53,3317.0,916 CDM,PX-361000510,HC RMVL TUNL CVAD W SUBQ PORT/PMP,4844.0,3633.0,252.69,4844.0,918 CDM,PX-361000511,HC RMVL TUNL INTRAPERITONEAL CATH,10474.0,7855.5,293.85,10474.0,915 CDM,PX-361000515,HC RMVL/RPLC TRANSNEPH STNT W S&I,5860.0,4395.0,105.96,5860.0,915 CDM,PX-361000517,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,5883.0,4412.25,74.88,5883.0,916 CDM,PX-361000518,HC RPLC COMPLT TUNL CVAD W PORT,9904.0,7428.0,379.61,9904.0,916 CDM,PX-361000519,HC RPLC COMPLT TUNL CVC WO PORT,9438.0,7078.5,241.8,9438.0,916 CDM,PX-361000520,HC RPLC CVC NONTUNL COMPLT,4708.0,3531.0,84.47,4708.0,915 CDM,PX-361000521,HC RPLC DUOD/JEJ TUBE PERC,3359.0,2519.25,112.28,3359.0,916 CDM,PX-361000522,HC RPLC GASTROST/CECOST TUBE PERC,3032.0,2274.0,83.27,3032.0,916 CDM,PX-361000526,HC RPLC TUBE GASTRO-JEJ W FLUORO,4412.0,3309.0,172.56,4412.0,916 CDM,PX-361000540,HC RPR TUN/NON-TUNL CVC WO PORT,1888.0,1416.0,43.82,1888.0,916 CDM,PX-361000541,HC RTREV/RMVL EVASC VENACAVA FLTR,10389.0,7791.75,443.57,10389.0,917 CDM,PX-361000542,HC RTREV/RMVL INTRAVASC FB W IMG,9194.0,6895.5,387.65,9194.0,915 CDM,PX-361000543,HC SCLEROTHERAPY FLUID COLLECT PERC,4891.0,3668.25,154.79,4891.0,916 CDM,PX-361000544,HC SEL CATH 1ST/2ND ORD THRC/BRCH,4532.0,3399.0,355.5,4532.0,909 CDM,PX-361000545,HC SEL CATH 2ND ORDER ABD PLV/LE,6057.0,4542.75,323.52,6057.0,910 CDM,PX-361000546,HC SEL CATH 3RD+ ORD SEL ABD LE,6618.0,4963.5,379.79,6618.0,910 CDM,PX-361000547,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4686.0,3514.5,439.25,4686.0,910 CDM,PX-361000548,HC SEL CATH CARTD ANGIO EXTRACRAN,11299.0,8474.25,367.61,11299.0,915 CDM,PX-361000549,HC SEL CATH CARTD ANGIO INTRCR,16538.0,12403.5,431.12,16538.0,915 CDM,PX-361000550,HC SEL CATH EA 1ST ORD ABD PLV/LE,5464.0,4098.0,303.17,5464.0,909 CDM,PX-361000551,HC SEL CATH EA 1ST ORD THRC/BRCH,4945.0,3708.75,276.14,4945.0,909 CDM,PX-361000552,HC SEL CATH EA 2ND+ ORD ABD LE,4349.0,3261.75,61.04,4349.0,910 CDM,PX-361000553,HC SEL CATH EA 2ND+ ORD THRC/BRCH,3117.0,2337.75,67.82,3117.0,910 CDM,PX-361000554,HC SEL CATH EXT CARTD W ANGIO,9238.0,6928.5,156.78,9238.0,910 CDM,PX-361000555,HC SEL CATH INT CARTD W ANGIO,8036.0,6027.0,325.07,8036.0,909 CDM,PX-361000556,HC SEL CATH INTRNL CARTD ARTERY,20034.0,15025.5,480.93,20034.0,917 CDM,PX-361000557,HC SEL CATH PLC LT/RT PULM ARTERY,1611.0,1208.25,191.67,1611.0,909 CDM,PX-361000558,HC SEL CATH PLC VEN SYS 1ST ORDER,4921.0,3690.75,200.27,4921.0,911 CDM,PX-361000559,HC SEL CATH PLC VEN SYS 2ND ORDER,4489.0,3366.75,225.12,4489.0,909 CDM,PX-361000560,HC SEL CATH RENAL ARTY&ANGIO BIL,20840.0,15630.0,451.86,20840.0,915 CDM,PX-361000561,HC SEL CATH RENAL ARTY&ANGIO UNILAT,12012.0,9009.0,328.59,12012.0,916 CDM,PX-361000562,HC SEL CATH SUBCL ARTY ANGIO VERT,19414.0,14560.5,426.86,19414.0,915 CDM,PX-361000563,HC SEL CATH VERT ARTY ANGIO VERT,16695.0,12521.25,477.27,16695.0,917 CDM,PX-361000564,HC SKN GRFT A/TR/L <=100SCM/1ST 25,7295.0,5471.25,110.31,7295.0,916 CDM,PX-361000570,HC THORACENTESIS PLEURA W IMG,3384.0,2538.0,138.6,3384.0,916 CDM,PX-361000571,HC THORACENTESIS PLEURA WO IMG,3013.0,2259.75,116.63,3013.0,915 CDM,PX-361000573,HC THRMBC MECH PRIM PERC SBSQ VSL,17280.0,12960.0,206.99,17280.0,909 CDM,PX-361000577,HC THRMBCT MECH PRIM PERC INIT VSL,32604.0,24453.0,551.33,32604.0,915 CDM,PX-361000578,HC THRMBCT MECH TRLUML VEIN,30285.0,22713.75,506.85,30285.0,916 CDM,PX-361000585,HC TRANSCATH ARTL THPY W S&I INIT,15756.0,11817.0,495.05,15756.0,915 CDM,PX-361000588,HC TRANSCATH VEN THPY W S&I INIT,8757.0,6567.75,431.66,8757.0,915 CDM,PX-361000589,HC TRANSCATHETER BIOPSY,13167.0,9875.25,273.14,13167.0,917 CDM,PX-361000592,HC TXCATH OCCL/EMBL CNS,37087.0,27815.25,1512.81,37087.0,916 CDM,PX-361000593,HC TXCATH OCCL/EMBL NON CNS,39499.0,29624.25,1096.49,39499.0,915 CDM,PX-361000614,HC VASC EMBL/OCCLUDE ARTERIAL,35864.0,26898.0,607.5,35864.0,916 CDM,PX-361000615,HC VASC EMBL/OCCLUDE HEMORRHAGE,34340.0,25755.0,835.07,34340.0,915 CDM,PX-361000616,HC VASC EMBL/OCCLUDE TMR INFARCT,36209.0,27156.75,711.47,36209.0,918 CDM,PX-361000617,HC VASC EMBL/OCCLUDE VENOUS,37307.0,27980.25,545.43,37307.0,916 CDM,PX-361000618,HC VERTEBROPLASTY ADDL INJECT,14736.0,11052.0,265.61,14736.0,909 CDM,PX-361000626,HC BRONCH RMVL BRONCHL VALVE ADD,3968.0,2976.0,91.2,3968.0,915 CDM,PX-361000628,HC INSTILLATION AGT PLEURODESIS,6921.0,5190.75,100.55,6921.0,915 CDM,PX-361000629,HC ACNE SURGERY,716.0,537.0,62.58,716.0,916 CDM,PX-361000631,HC PAR/CUT BENIGN SKIN LESN SNGL,727.0,545.25,20.27,727.0,915 CDM,PX-361000636,HC RMVL SKIN TAGS <=15,909.0,681.75,101.28,909.0,916 CDM,PX-361000686,HC INJ INTRALESN <=7 LESN,907.0,680.25,35.46,907.0,917 CDM,PX-361000687,HC INJ INTRALESN >7 LESN,1618.0,1213.5,53.73,1618.0,916 CDM,PX-361000689,HC SMPL S/NK/TR/EXT 2.6-7.5CM,912.0,684.0,83.87,912.0,915 CDM,PX-361000693,HC INT RPR SCLP/AX/TR/EXT <=2.5,3254.0,2440.5,195.44,3254.0,915 CDM,PX-361000694,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,4612.0,3459.0,242.18,4612.0,916 CDM,PX-361000728,HC SKN GRFT F/N/G/HF <=100SCM,5085.0,3813.75,123.98,5085.0,915 CDM,PX-361000732,HC DEST PREMALIGNANT LESN 1ST,480.0,360.0,70.01,480.0,916 CDM,PX-361000733,HC DEST PREMALIGNANT LESN 2-14,234.0,175.5,2.49,234.0,910 CDM,PX-361000735,HC DEST BENIGN LESIONS OTHR >=15,962.0,721.5,108.32,962.0,915 CDM,PX-361000736,HC DEST LESN MLG T/A/L <=0.5CM,1202.0,901.5,86.94,1202.0,916 CDM,PX-361000737,HC DEST LESN MLG T/A/L .6-1CM,1258.0,943.5,109.43,1258.0,916 CDM,PX-361000738,HC DEST LESN MLG TR/LIMB 1.1-2CM,1378.0,1033.5,137.01,1378.0,916 CDM,PX-361000739,HC DEST LESN MLG TR/LIMB 2.1-3CM,1473.0,1104.75,150.81,1473.0,915 CDM,PX-361000740,HC DEST LESN MLG TR/LIMB 3.1-4CM,1669.0,1251.75,160.7,1669.0,915 CDM,PX-361000741,HC DEST LESN MLG TR/LIMB >4CM,3072.0,2304.0,187.77,3072.0,915 CDM,PX-361000742,HC DEST LESN MLG S/NK/EXT<=.5CM,1269.0,951.75,119.31,1269.0,915 CDM,PX-361000743,HC DEST LESN MLG S/NK/EXT .6-1CM,1265.0,948.75,131.1,1265.0,916 CDM,PX-361000744,HC DEST LESN MLG S/NK/EXT 1.1-2CM,1415.0,1061.25,149.31,1415.0,916 CDM,PX-361000747,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,1403.0,1052.25,109.43,1403.0,915 CDM,PX-361000748,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,1791.0,1343.25,146.4,1791.0,916 CDM,PX-361000749,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,1838.0,1378.5,167.58,1838.0,915 CDM,PX-361000779,HC INJ SNGL/MULT SPIDER VEIN LIMB,1144.0,858.0,433.79,1144.0,915 CDM,PX-361000780,HC INJ SCLEROSING SOLN MULT VEIN,2479.0,1859.25,97.73,2479.0,916 CDM,PX-361000783,HC BIOPSY LIP,2324.0,1743.0,82.73,2324.0,915 CDM,PX-361000788,HC DEST LESN PENIS SMPL CRYOSURG,1221.0,915.75,145.41,1221.0,915 CDM,PX-361000791,HC BIOPSY PENIS,11226.0,8419.5,152.73,11226.0,916 CDM,PX-361000793,HC BX VULVA/PERINEUM 1 LESN,5443.0,4082.25,75.84,5443.0,916 CDM,PX-361000795,HC BX EYELID SKIN & LID MARGIN,3347.0,2510.25,81.27,3347.0,915 CDM,PX-361000797,HC BIOPSY EXTERNAL EAR,2845.0,2133.75,55.2,2845.0,915 CDM,PX-361000856,HC DEST CUT LESN HCOLIF >50SCM,16199.0,12149.25,665.48,16199.0,915 CDM,PX-361000857,HC DEST SKIN MAL LES >4.0 CM,3813.0,2859.75,246.71,3813.0,915 CDM,PX-361000889,HC CHEMO INTRALESNAL <=7 LESN,725.0,543.75,35.1,725.0,915 CDM,PX-361000917,HC BRONCH W EBUS 1-2 NODE SAMPLE,10567.0,7925.25,292.22,10567.0,916 CDM,PX-361000918,HC BRONCH W EBUS >=3 NODE SAMPLE,10567.0,7925.25,323.34,10567.0,917 CDM,PX-361000919,HC BRONCH W EBUS DX/TX PERIPH LESN,6060.0,4545.0,88.29,6060.0,911 CDM,PX-361000950,HC AV FISTULA IMAGING,4914.0,3685.5,216.3,4914.0,916 CDM,PX-361000951,HC AV FISTULA PTA,23042.0,17281.5,308.61,23042.0,915 CDM,PX-361000952,HC AV FISTULA STENT,57553.0,43164.75,407.28,57553.0,915 CDM,PX-361000953,HC AV FISTULA THROMBECTOMY,21417.0,16062.75,471.02,21417.0,915 CDM,PX-361000954,HC AV FISTULA PTA THROMBECTOMY,36400.0,27300.0,567.06,36400.0,915 CDM,PX-361000955,HC AV FISTULA STENT THROMBECTOMY,51917.0,38937.75,654.44,51917.0,915 CDM,PX-361000956,HC AV FISTULA PTA CENTRAL,15536.0,11652.0,187.46,15536.0,910 CDM,PX-361000957,HC AV FISTULA STENT CENTRAL,14972.0,11229.0,266.63,14972.0,909 CDM,PX-361000959,HC PTA ARTERIAL INITIAL,20649.0,15486.75,451.13,20649.0,915 CDM,PX-361000960,HC PTA ARTERIAL EA ADD,15325.0,11493.75,222.68,15325.0,909 CDM,PX-361000961,HC PTA VENOUS INITIAL,19180.0,14385.0,382.01,19180.0,916 CDM,PX-361000962,HC PTA VENOUS EA ADD,11993.0,8994.75,187.88,11993.0,910 CDM,PX-361000965,HC ABLT THRPY REDUC/ERADCTN BN TMR,20349.0,15261.75,445.58,20349.0,915 CDM,PX-361000967,HC INS TUNL CVC WO PORT < 5 YR,12215.0,9161.25,448.26,12215.0,915 CDM,PX-361000969,HC BILRY ENDO PERC VIA T-TUBE W RMVL,16458.0,12343.5,582.89,16458.0,915 CDM,PX-361000980,HC PERC ARTL M-THROMB &/NFS INTRCR,5189.0,3891.75,731.31,5189.0,915 CDM,PX-361000981,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,4472.0,3354.0,505.22,4472.0,915 CDM,PX-361000982,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,3631.0,2723.25,215.96,3631.0,915 CDM,PX-361000984,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,4985.0,3738.75,233.49,4985.0,915 CDM,PX-361000986,HC PLC INTERS DEV FOR RADTN THRPY,4257.0,3192.75,263.21,4257.0,915 CDM,PX-361000988,HC UNLISTED PROC VASCULAR INJ,1387.0,1040.25,624.15,1387.0,910 CDM,PX-361001000,HC CRYOABLATION ABDOMINAL,4613.0,3459.75,263.21,4613.0,916 CDM,PX-361001019,HC INJ SPINE CERV/THOR W IMG,2921.0,2190.75,140.78,2921.0,918 CDM,PX-361001020,HC INJ SPINE LUMB/SAC W IMG,2348.0,1761.0,131.4,2348.0,918 CDM,PX-361001025,HC ABLATE PULM TUMOR PERQ CRYBL,16968.0,12726.0,561.45,16968.0,915 CDM,PX-361001031,HC BRONCH REV TRACH/BRNCL STENT,15141.0,11355.75,323.15,15141.0,916 CDM,PX-361001041,HC DX BONE MARROW BX & ASPIR,4851.0,3638.25,92.22,4851.0,918 CDM,PX-361001053,HC RMVL PERITONEAL FOREIGN BODY,22734.0,17050.5,1164.8,22734.0,915 CDM,PX-361001063,HC OPN AX/SUBCLA ART EXPOS CNDT,4774.0,3580.5,492.89,4774.0,909 CDM,PX-361001084,HC ABLT PERC LWR EXT PERIPH NRV,5047.0,3785.25,2083.72,5047.0,915 CDM,PX-361001085,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,18317.0,13737.75,8242.65,18317.0,916 CDM,PX-361001094,HC PLC BREAST LOC DEV MR GUID 1ST,2451.0,1838.25,156.47,2451.0,915 CDM,PX-361001096,HC CANNULATION THORACIC DUCT,1692.0,1269.0,379.76,1692.0,909 CDM,PX-361001109,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,7471.0,5603.25,651.42,7471.0,915 CDM,PX-361001119,HC CHANGE CYSTOSTOMY TUBE COMPL,6681.0,5010.75,107.42,6681.0,915 CDM,PX-361001122,HC TANGNTL BX SKIN SINGLE LES,1931.0,1448.25,44.36,1931.0,916 CDM,PX-361001123,HC TANGNTL BX SKIN EA SEP/ADDL,828.0,621.0,26.09,828.0,910 CDM,PX-361001124,HC PUNCH BX SKIN SINGLE LESION,853.0,639.75,56.1,853.0,918 CDM,PX-361001125,HC PUNCH BX SKIN EA SEP/ADDL,804.0,603.0,31.37,804.0,910 CDM,PX-361001126,HC INCAL BX SKN SINGLE LES,1929.0,1446.75,68.33,1929.0,915 CDM,PX-361001127,HC INCAL BX SKN EA SEP/ADDL,3381.0,2535.75,36.9,3381.0,909 CDM,PX-361001129,HC INSJ PICC RS&I 5 YR+,4516.0,3387.0,106.43,4516.0,916 CDM,PX-361001131,HC FNA BX W/US GDN 1ST LES,2438.0,1828.5,92.03,2438.0,919 CDM,PX-361001132,HC FNA BX W/US GDN EA ADDL,1118.0,838.5,63.53,1118.0,910 CDM,PX-361001135,HC FNA BX W/CT GDN 1ST LES,3300.0,2475.0,137.57,3300.0,915 CDM,PX-361001141,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1206.0,904.5,50.3,1206.0,915 CDM,PX-361001146,HC BRONCHOSCOPY BALLOON OCCLUSION,14905.0,11178.75,251.24,14905.0,915 CDM,PX-361001151,HC DESTRUCTION NEURO AGNT TRIGEM,3775.0,2831.25,330.2,3775.0,915 CDM,PX-361001170,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,8677.0,6507.75,234.11,8677.0,917 CDM,PX-361001171,HC ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,7272.0,5454.0,88.29,7272.0,911 CDM,PX-361001172,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,3302.0,2476.5,63.72,3302.0,910 CDM,PX-361001173,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,3150.0,2362.5,82.89,3150.0,910 CDM,PX-361001174,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,10339.0,7754.25,248.33,10339.0,917 CDM,PX-361001175,HC ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,12680.0,9510.0,323.34,12680.0,917 CDM,PX-361001176,HC ROBOTIC BRONCHOSCOPY W ALVEOLAR LAVAGE,7880.0,5910.0,178.37,7880.0,917 CDM,PX-361001177,HC ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,12680.0,9510.0,292.22,12680.0,916 CDM,PX-361001178,HC ROBOTIC BRONCHOSCOPY W BX >=1 SITE,6996.0,5247.0,207.39,6996.0,915 CDM,PX-361001179,HC ROBOTIC BRONCHOSCOPY DX W BRUSHING,6708.0,5031.0,175.94,6708.0,915 CDM,PX-361001184,HC ROBOTIC BRONCH DX W CELL WASH FLUOR,7568.0,5676.0,176.91,7568.0,916 CDM,PX-361001185,HC ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,21191.0,15893.25,262.19,21191.0,915 CDM,PX-361001186,HC ROBOTIC BRONCH W COMP ASST IMG NAV,3022.0,2266.5,125.7,3022.0,911 CDM,PX-361001187,HC ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,10361.0,7770.75,260.09,10361.0,916 CDM,PX-361001194,HC ROBOTIC BRONCH DEST TMR RLF STENOSIS,14618.0,10963.5,331.07,14618.0,916 CDM,PX-361001200,HC PUNCTURE SPINAL LUMBAR DX W GUID,2525.0,1893.75,108.41,2525.0,917 CDM,PX-361001201,HC PUNCTURE SPINAL THER DRN CSF W GUID,2880.0,2160.0,136.07,2880.0,915 CDM,PX-361001218,HC BX LUNG/MEDIASTINUM PERC NDL,4783.0,3587.25,192.72,4783.0,917 CDM,PX-361001225,HC INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,45427.0,34070.25,581.24,45427.0,915 CDM,PX-361001228,HC INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,6261.0,4695.75,148.97,6261.0,909 CDM,PX-361001234,HC TCAT PLMT&RMVL CEPD PERQ,7057.0,5292.75,169.02,7057.0,909 CDM,PX-361001308,HC SYNOVIAL CYST ASPIRATION/INJECTION,4124.0,3093.0,327.54,4124.0,917 CDM,PX-361001309,HC VASC EMB/OCC W/PRS CATH W IMAGING,43890.0,32917.5,19561.37,43890.0,915 CDM,PX-361001313,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,6739.0,5054.25,408.23,6739.0,916 CDM,PX-361001347,HC PEF BRONCH ABLT 3D NAV EBUS,55950.0,41962.5,18278.57,55950.0,915 CDM,PX-36140,PR INTRO NDL/CATH EXT ARTY,2058.0,1543.5,242.29,1996.26,683 CDM,PX-36200,PR INTRODUCTION CATHETER AORTA,2475.0,1856.25,274.69,2400.75,683 CDM,PX-36215,PR SEL CATH EA 1ST ORD THRC/BRCH,3502.0,2626.5,516.52,3396.94,683 CDM,PX-36216,PR SEL CATH 1ST/2ND ORD THRC/BRCH,3903.0,2927.25,524.04,3785.91,683 CDM,PX-36217,PR SEL CATH 3RD+ORD SEL THRC/BRCH,5836.0,4377.0,957.66,5660.92,683 CDM,PX-36218,PR SEL CATH EA 2ND+ ORD THRC/BRCH,972.0,729.0,222.9,972.0,676 CDM,PX-36221,PR NONSEL CATH THOR AORTA W ANGIO,4717.0,3537.75,461.98,4575.49,683 CDM,PX-36222,PR SEL CATH CARTD ANGIO EXTRACRAN,4523.0,3392.25,610.45,4387.31,683 CDM,PX-36223,PR SEL CATH CARTD ANGIO INTRCR,5578.0,4183.5,927.76,5410.66,683 CDM,PX-36224,PR SEL CATH INTRNL CARTD ARTERY,6524.0,4893.0,1138.24,6328.28,683 CDM,PX-36225,PR SEL CATH SUBCL ARTY ANGIO VERT,5103.0,3827.25,868.08,4949.91,683 CDM,PX-36226,PR SEL CATH VERT ARTY ANGIO VERT,6850.0,5137.5,1107.08,6644.5,683 CDM,PX-36227,PR SEL CATH EXT CARTD W ANGIO,2140.0,1605.0,264.73,2140.0,676 CDM,PX-36228,PR SEL CATH INT CARTD W ANGIO,5452.0,4089.0,1492.23,5452.0,676 CDM,PX-36245,PR SEL CATH EA 1ST ORD ABD PLV/LE,4276.0,3207.0,581.52,4147.72,683 CDM,PX-36246,PR SEL CATH 2ND ORDER ABD PLV/LE,3437.0,2577.75,387.16,3333.89,683 CDM,PX-36247,PR SEL CATH 3RD+ ORD SEL ABD LE,5287.0,3965.25,658.2,5128.39,683 CDM,PX-36248,PR SEL CATH EA 2ND+ ORD ABD LE,726.0,544.5,109.31,726.0,676 CDM,PX-36251,PR SEL CATH RENAL ARTY&ANGIO UNILAT,5268.0,3951.0,594.85,5109.96,683 CDM,PX-36252,PR SEL CATH RENAL ARTY&ANGIO BIL,6396.0,4797.0,150.62,6204.12,697 CDM,PX-36253,PR CATH 2ND+ORD RENAL ARTERY UNILAT,7769.0,5826.75,921.37,7535.93,683 CDM,PX-36410,PR VENI >=3 YR W MD,28.0,21.0,9.28,27.84,683 CDM,PX-36415,PR VENIPUNCTURE,29.0,21.75,9.34,28.13,615 CDM,PX-36430,PR BLOOD TRANSFUSION,365.0,273.75,45.85,365.0,676 CDM,PX-36455,PR EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,1196.0,897.0,55.46,1160.12,683 CDM,PX-36465,PR NJX NONCMPND SCLRSNT 1 VEIN,2704.0,2028.0,51.42,2622.88,697 CDM,PX-36468,PR INJ SNGL/MULT SPIDER VEIN LIMB,806.0,604.5,302.25,781.82,683 CDM,PX-36470,PR INJ SCLEROSING SOLN SNGL VEIN,434.0,325.5,58.68,420.98,683 CDM,PX-36471,PR INJ SCLEROSING SOLN MULT VEIN,699.0,524.25,99.57,678.03,684 CDM,PX-36473,PR ENDOVEN ABLT MCHNCHEM 1ST VN,8007.0,6005.25,569.18,7766.79,683 CDM,PX-36475,PR ENDOVENOUS ABLATION 1ST VEIN,6726.0,5044.5,512.21,6524.22,683 CDM,PX-36478,PR ENDOVENOUS ABLT LASER 1ST VEIN,4398.0,3298.5,475.59,4266.06,683 CDM,PX-36481,PR CATH PORTAL VEIN PERC,5541.0,4155.75,796.07,5374.77,683 CDM,PX-36500,PR CATH VEN SEL ORGAN BLD SAMPLNG,1130.0,847.5,78.19,1096.1,683 CDM,PX-36511,PR APHERESIS THERAPEUTIC WBC,530.0,397.5,44.95,514.1,683 CDM,PX-36512,PR APHERESIS THERAPEUTIC RBC,530.0,397.5,42.38,514.1,683 CDM,PX-36513,PR APHERESIS THERAPEUTIC PLT,530.0,397.5,43.43,514.1,683 CDM,PX-36514,PR APHERESIS THERAPEUTIC PLASMA,530.0,397.5,198.75,530.0,683 CDM,PX-36516,PR LDL APHERESIS,530.0,397.5,198.75,530.0,683 CDM,PX-36522,PR PHOTOPHERESIS EXTRACORPOREAL,530.0,397.5,198.75,530.0,683 CDM,PX-36556,PR INS NON-TUN CVC >5YR,1330.0,997.5,231.34,1330.0,676 CDM,PX-36558,PR INS TUNL CVC WO PORT >=5YR,4035.0,3026.25,382.7,3913.95,683 CDM,PX-36561,PR INS TUNL CVAD W PORT >= 5 YR,4721.0,3540.75,467.52,4579.37,683 CDM,PX-36569,PR INS PICC WO PORT/PUMP >=5YR WO GUIDE,1308.0,981.0,71.54,1308.0,686 CDM,PX-36573,PR INSJ PICC RS&I 5 YR+,4506.0,3379.5,355.44,4506.0,676 CDM,PX-36575,PR RPR TUN/NON-TUNL CVC WO PORT,953.0,714.75,71.73,924.41,683 CDM,PX-36576,PR REPAIR CV CATH W SUBQ PORT,2095.0,1571.25,172.14,2032.15,683 CDM,PX-36578,PR RPLC CATH CVAD W SUBQ PORT,3494.0,2620.5,92.03,3389.18,697 CDM,PX-36580,PR RPLC CVC NONTUNL COMPLT,1330.0,997.5,187.72,1330.0,676 CDM,PX-36581,PR RPLC COMPLT TUNL CVC WO PORT,3710.0,2782.5,368.01,3598.7,683 CDM,PX-36582,PR RPLC COMPLT TUNL CVAD W PORT,5378.0,4033.5,416.53,5216.66,683 CDM,PX-36584,PR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,947.0,710.25,298.81,947.0,676 CDM,PX-36589,PR RMVL TUN CV CATH WO SUBQ PORT,1591.0,1193.25,68.92,1543.27,684 CDM,PX-36590,PR RMVL TUNL CVAD W SUBQ PORT/PMP,1964.0,1473.0,93.19,1905.08,693 CDM,PX-36591,PR COLLECT BLOOD FROM IMPLANT VAD,135.0,101.25,29.41,135.0,683 CDM,PX-36592,PR COLLECT BLOOD PICC VENOUS NOS,124.0,93.0,32.65,124.0,679 CDM,PX-36593,PR DECLOT IMPL VAD/CATH,200.0,150.0,36.82,200.0,680 CDM,PX-36597,PR REPO PREV PLC CVC FLUORO GUID,601.0,450.75,55.03,582.97,683 CDM,PX-36598,PR INJ CNTRST RAD EVAL CVAD FLUOR,1000.0,750.0,56.4,970.0,683 CDM,PX-36600,PR ARTERIAL PUNCTURE,148.0,111.0,6.44,143.56,699 CDM,PX-36620,PR ARTL CATH/CNULA MONITOR PERC,922.0,691.5,40.2,922.0,676 CDM,PX-36680,PR PLC NEEDLE INTRAOSSEUS INF,653.0,489.75,28.17,633.41,683 CDM,PX-36818,PR ART VEN ANAST OPN UARM CEPHALC,5329.0,3996.75,305.06,5169.13,683 CDM,PX-36819,PR ART VEN ANAST OPN UARM BASILIC,7548.0,5661.0,322.02,7321.56,683 CDM,PX-36821,PR ARTERIOVENOUS ANAST OPN DIRECT,3836.0,2877.0,291.57,3720.92,683 CDM,PX-36825,PR CREATE ART VEN FSTL AUTOGRAFT,7248.0,5436.0,349.84,7030.56,683 CDM,PX-36830,PR CREATE ART VEN FSTL NONAUTGRFT,6060.0,4545.0,294.62,5878.2,683 CDM,PX-36832,PR REV ART VEN FSTL WO THRMBCT,5891.0,4418.25,334.08,5714.27,683 CDM,PX-36833,PR REV ART VEN FSTL W THRMBCT,6092.0,4569.0,357.34,5909.24,683 CDM,PX-36901,PR AV FISTULA IMAGING,3259.0,2444.25,333.29,3161.23,683 CDM,PX-36902,PR AV FISTULA PTA,4148.0,3111.0,578.0,4023.56,683 CDM,PX-36903,PR AV FISTULA STENT,30972.0,23229.0,135.76,30042.84,697 CDM,PX-36904,PR AV FISTULA THROMBECTOMY,8301.0,6225.75,845.1,8051.97,683 CDM,PX-36905,PR AV FISTULA PTA THROMBECTOMY,8928.0,6696.0,1070.5,8660.16,683 CDM,PX-36906,PR AV FISTULA STENT THROMBECTOMY,27647.0,20735.25,2868.23,26817.59,683 CDM,PX-36907,PR AV FISTULA PTA CENTRAL,4250.0,3187.5,561.91,4250.0,676 CDM,PX-370000010,HC RN SEDATION CARE,640.0,480.0,288.0,640.0,909 CDM,PX-370000012,HC MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,663.0,497.25,298.35,663.0,909 CDM,PX-370000013,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,125.0,93.75,56.25,125.0,909 CDM,PX-370000021,HC ANESTHESIA LEVEL 1,2940.0,2205.0,1323.0,2940.0,909 CDM,PX-370000022,HC ANESTHESIA LEVEL 2,3049.0,2286.75,1372.05,3049.0,909 CDM,PX-370000023,HC ANESTHESIA LEVEL 3,3059.0,2294.25,1376.55,3059.0,909 CDM,PX-370000024,HC ANESTHESIA LEVEL 4,3117.0,2337.75,1402.65,3117.0,909 CDM,PX-370000025,HC ANESTHESIA LEVEL 5,3135.0,2351.25,1410.75,3135.0,909 CDM,PX-370000026,HC ANESTHESIA LEVEL 6,3151.0,2363.25,1417.95,3151.0,909 CDM,PX-370000027,HC ANESTHESIA LEVEL 7,3639.0,2729.25,1637.55,3639.0,909 CDM,PX-370000028,HC ANESTHESIA LEVEL 8,6092.0,4569.0,2741.4,6092.0,909 CDM,PX-370000029,HC ANESTHESIA LEVEL 9,7765.0,5823.75,3494.25,7765.0,909 CDM,PX-370000030,HC ANESTHESIA LEVEL 10,10146.0,7609.5,4565.7,10146.0,909 CDM,PX-37140,PR VENOUS ANASTOMOSIS OPEN,17620.0,13215.0,1036.17,17091.4,683 CDM,PX-37180,PR VENOUS ANAST OPN SPLENORENAL,16873.0,12654.75,950.67,16366.81,683 CDM,PX-37181,PR VEN ANAST OPN SPLENORENL DIST,22823.0,17117.25,1036.17,22138.31,683 CDM,PX-37182,PR INS HEPATIC SHUNT (TIPS),7873.0,5904.75,344.76,7636.81,683 CDM,PX-37183,PR REVISE HEPATIC SHUNT (TIPS),8347.0,6260.25,2620.67,8096.59,683 CDM,PX-37184,PR THRMBCT MECH PRIM PERC INIT VSL,10832.0,8124.0,791.6,10507.04,683 CDM,PX-37185,PR THRMBC MECH PRIM PERC SBSQ VSL,2689.0,2016.75,445.79,2689.0,676 CDM,PX-37186,PR THRMBCT PERC TRLUML SEC NONCOR,9623.0,7217.25,211.99,9623.0,690 CDM,PX-37187,PR THRMBCT MECH TRLUML VEIN,7738.0,5803.5,776.77,7505.86,683 CDM,PX-37191,PR INSERT EVASC VENA CAVA FILTER,6010.0,4507.5,914.4,5829.7,683 CDM,PX-37193,PR RTREV/RMVL EVASC VENACAVA FLTR,6697.0,5022.75,685.77,6496.09,683 CDM,PX-37197,PR RTREV/RMVL INTRAVASC FB W IMG,9245.0,6933.75,129.22,8967.65,697 CDM,PX-37200,PR TRANSCATHETER BIOPSY,2408.0,1806.0,91.05,2335.76,683 CDM,PX-37211,PR TRANSCATH ARTL THPY W S&I INIT,3336.0,2502.0,165.02,3235.92,683 CDM,PX-37212,PR TRANSCATH VEN THPY W S&I INIT,3724.0,2793.0,143.89,3612.28,683 CDM,PX-37213,PR TRANSCATH ARTL/VEN THPY W S&I,2101.0,1575.75,98.86,2037.97,683 CDM,PX-37214,PR CESSATION THROMBLYS RMVL CATH,1248.0,936.0,52.32,1210.56,683 CDM,PX-37215,PR PLC STENT CAROTID EMBO PROTECT,7784.0,5838.0,431.19,7550.48,683 CDM,PX-37217,PR PLC STENT INTRTHRC CARTD/INNOM,12266.0,9199.5,475.29,11898.02,683 CDM,PX-37236,PR PLC OPN/PERC STENT INIT,9702.0,7276.5,1260.04,9410.94,683 CDM,PX-37237,PR PLC OPN/PERC STENT EA ADD,4455.0,3341.25,1178.94,4455.0,676 CDM,PX-37238,PR PLC OPN/PERC STENT SAME INIT,14180.0,10635.0,1587.27,13754.6,683 CDM,PX-37239,PR PLC OPN/PERC STENT SAME EA ADD,6950.0,5212.5,1609.02,6950.0,676 CDM,PX-37241,PR VASC EMBL/OCCLUDE VENOUS,15402.0,11551.5,2130.54,14939.94,683 CDM,PX-37242,PR VASC EMBL/OCCLUDE ARTERIAL,15124.0,11343.0,3236.28,14670.28,683 CDM,PX-37243,PR VASC EMBL/OCCLUDE TMR INFARCT,23736.0,17802.0,3877.14,23023.92,683 CDM,PX-37244,PR VASC EMBL/OCCLUDE HEMORRHAGE,17808.0,13356.0,2962.91,17273.76,683 CDM,PX-37246,PR PTA ARTERIAL INITIAL,10114.0,7585.5,847.2,9810.58,683 CDM,PX-37247,PR PTA ARTERIAL EA ADD,5510.0,4132.5,581.83,5510.0,676 CDM,PX-37248,PR PTA VENOUS INITIAL,8110.0,6082.5,633.7,7866.7,683 CDM,PX-37249,PR PTA VENOUS EA ADD,3203.0,2402.25,415.24,3203.0,676 CDM,PX-37252,PR INTRAVASC US NONCORONARY INIT VSL,5255.0,3941.25,868.14,5255.0,676 CDM,PX-37253,PR INTRAVASC US NONCORONARY ADD VSL,844.0,633.0,164.81,844.0,676 CDM,PX-37258,PR REVSC EVASC IVT STENT SF 1ST,39566.0,29674.5,194.94,38379.02,697 CDM,PX-37263,PR REVSC EVASC FPVT ANGIO SF 1,31602.0,23701.5,2631.23,30653.94,683 CDM,PX-37265,PR REVSC EVSC FPVT ANGIO CPLX 1,72280.0,54210.0,234.11,70111.6,697 CDM,PX-37267,PR REVSC EVSC FPVT STENT SF 1ST,11028.0,8271.0,2524.12,10697.16,683 CDM,PX-37269,PR REVSC EVASC FPVT ST CPLX 1ST,24460.0,18345.0,5598.59,23726.2,683 CDM,PX-37280,PR REVSC EVSC TPVT ANGIO SF 1ST,30582.0,22936.5,217.57,29664.54,697 CDM,PX-37281,PR REVSC EVSC TPVT ANGIO SF EA,4068.0,3051.0,131.05,4068.0,690 CDM,PX-37282,PR RVSC EVSC TPVT ANGIO CPLX 1,27673.0,20754.75,272.93,26842.81,697 CDM,PX-37289,PR REVSC EVSC TPVT ATHRC SF EA,5091.0,3818.25,209.22,5091.0,690 CDM,PX-37565,PR LIGATION INTERNAL JUGULAR VEIN,6658.0,4993.5,316.97,6458.26,683 CDM,PX-37600,PR LIGATION EXTERNAL CAROTID ARTY,5708.0,4281.0,323.16,5536.76,683 CDM,PX-37605,PR LIG INTERNAL/COM CAROTID ARTY,7699.0,5774.25,327.71,7468.03,683 CDM,PX-37607,PR LIG/BANDING ANGIOACCESS AVF,3260.0,2445.0,168.02,3162.2,683 CDM,PX-37609,PR LIGATION/BIOPSY TEMPORAL ARTY,1832.0,1374.0,153.24,1777.04,683 CDM,PX-37616,PR LIGATION MJR ARTERY CHEST,8638.0,6478.5,519.79,8378.86,683 CDM,PX-37617,PR LIGATION MAJOR ARTERY ABDOMEN,9670.0,7252.5,585.2,9379.9,683 CDM,PX-37618,PR LIGATION MAJOR ARTY EXTREMITY,3592.0,2694.0,179.35,3484.24,683 CDM,PX-37700,PR LIGATION & DIV SAPHENOUS VEIN,2785.0,2088.75,110.5,2701.45,683 CDM,PX-37722,PR LIG & STRIP LONG SAPH VEIN,6246.0,4684.5,205.79,6058.62,683 CDM,PX-37765,PR PHLEB VEINS 1 EXT 10-20 INCS,1825.0,1368.75,201.03,1770.25,683 CDM,PX-37766,PR PHLEB VEINS 1 EXT > 20 INCS,2565.0,1923.75,239.14,2488.05,683 CDM,PX-37799003,PR PHLEB VARICOSE VEIN 10 OR LESS UNILAT,913.0,684.75,22.83,885.61,684 CDM,PX-37799010,PR PORTAL VEIN THROMBECTOMY,11383.0,8537.25,284.58,11041.51,684 CDM,PX-37799011,PR LIGATION OF FACIAL/LINGUAL ARTERIES,5708.0,4281.0,142.7,5536.76,684 CDM,PX-38100,PR SPLENECTOMY TOT SEPARATE PROC,6484.0,4863.0,521.09,6289.48,683 CDM,PX-38102,PR SPLENECTOMY TOTAL W OTHR PROC,2727.0,2045.25,229.39,2727.0,676 CDM,PX-38120,PR LAPAROSCOPIC SURG SPLENECTOMY,7119.0,5339.25,484.48,6905.43,683 CDM,PX-38200,PR INJECTION FOR SPLEEN X-RAY,754.0,565.5,53.8,731.38,683 CDM,PX-38205,PR HPC HARVEST ALLOGENIC,530.0,397.5,33.94,514.1,683 CDM,PX-38206,PR HPC HARVEST AUTOLOGOUS,530.0,397.5,33.28,514.1,683 CDM,PX-38207,PR CRYOPRESERVE/STORAGE,6575.0,4931.25,37.5,6575.0,676 CDM,PX-38214,PR PLASMA DEPLETION,4565.0,3423.75,34.21,4565.0,676 CDM,PX-38221,PR BONE MARROW BIOPSY NDL/TROCAR,1096.0,822.0,81.36,1063.12,683 CDM,PX-38222,PR DX BONE MARROW BX & ASPIR,338.0,253.5,86.25,327.86,683 CDM,PX-38230,PR BONE MARROW HARVEST TX ALLOGEN,3355.0,2516.25,84.72,3254.35,683 CDM,PX-38232,PR BN MARROW HARVEST TRANPL AUTO,1395.0,1046.25,77.46,1353.15,683 CDM,PX-38308,PR LYMPHANGIOTOMY,3232.0,2424.0,217.44,3135.04,683 CDM,PX-38380,PR SUTR&/LIG THORA DUCT CERV APPR,4074.0,3055.5,252.92,3951.78,683 CDM,PX-38381,PR SUTR&/LIG THORA DUCT THOR APPR,9151.0,6863.25,374.52,8876.47,683 CDM,PX-38500,PR BX/EXCISN LYMPH NODE OPN SUPFCL,2470.0,1852.5,179.2,2395.9,683 CDM,PX-38505,PR BX/EXCISN LYMPH NODE NDL SUPFCL,1005.0,753.75,83.02,974.85,683 CDM,PX-38510,PR BX/EXC LYMPHNODE OPN DEEP CERV,2309.0,1731.75,268.02,2239.73,683 CDM,PX-38525,PR BX/EXC LYMPHNODE OPN AXILLARY,2664.0,1998.0,208.81,2584.08,683 CDM,PX-38530,PR BX/EXC LYMPHNODE OPEN MAMMARY,6117.0,4587.75,258.11,5933.49,683 CDM,PX-38531,"PR BX/EXC LYMPHNODE OPN, INGUINOFEM",3427.0,2570.25,209.89,3324.19,683 CDM,PX-38562,PR LMTD LMPHADEC STAGE PEL&AORTIC,4529.0,3396.75,325.8,4393.13,683 CDM,PX-38564,PR LMTD LMPHADEC STAGE RPR AORTIC,5304.0,3978.0,321.99,5144.88,683 CDM,PX-38570,PR LAPROSC RETROPERIT LYMPH ND BX,8059.0,6044.25,233.89,7817.23,683 CDM,PX-38571,PR LAPROSC BILAT TOT PELV LMPHADEC,8846.0,6634.5,291.93,8580.62,683 CDM,PX-38572,PR LAP LMPHADC&PERIAORTC LYMPH BX,8859.0,6644.25,402.4,8593.23,683 CDM,PX-38573,PR LAPS PELVIC LYMPHADEC,9304.0,6978.0,525.81,9024.88,683 CDM,PX-38589001,PR LAPAROSCOPIC ABDOMINAL LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CDM,PX-38589002,PR ROBOTIC ASSISTED ABDOMINAL LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CDM,PX-38589003,PR LAP RESEC RETROPERITONEL LYM NODES,11425.0,8568.75,285.63,11082.25,683 CDM,PX-38700,PR SUPRAHYOID LYMPHADENECTOMY,5810.0,4357.5,346.87,5635.7,683 CDM,PX-38720,PR CERVICAL LYMPHADENECTOMY,7847.0,5885.25,582.91,7611.59,683 CDM,PX-38724,PR CERV LMPH MOD/RAD NECK DISSECT,14393.0,10794.75,616.83,13961.21,683 CDM,PX-38740,PR AXILLARY LYMPHADENECTOMY SUPF,4077.0,3057.75,326.75,3954.69,683 CDM,PX-38745,PR AXILLARY LYMPHADENECTOMY COMPL,5928.0,4446.0,407.56,5750.16,683 CDM,PX-38746,PR LMPHADEC THOR THORCOM MED®,1791.0,1343.25,189.65,1791.0,676 CDM,PX-38747,PR LMPHADEC ABDL REG CELIAC GASTR,2288.0,1716.0,232.5,2288.0,676 CDM,PX-38760,PR INGUINOFEM LMPHADEC SUPFCL,5304.0,3978.0,379.54,5144.88,683 CDM,PX-38765,PR INGUINO LMPHDEC W PLVC LMPHDEC,8812.0,6609.0,595.69,8547.64,683 CDM,PX-38770,PR PLVC LMPHDEC ILIAC HYPOGASTRIC,6280.0,4710.0,360.86,6091.6,683 CDM,PX-38780,PR RPERIT TABDL LMPHDEC PLVC RENL,11425.0,8568.75,476.52,11082.25,683 CDM,PX-38790,PR INJ PROCEDURE LYMPHANGIOGRAPHY,622.0,466.5,37.01,603.34,683 CDM,PX-38792,PR INJ RADIOACT TRACE SENTINEL ND,409.0,306.75,40.01,396.73,683 CDM,PX-38794,PR CANNULATION THORACIC DUCT,1814.0,1360.5,126.59,1759.58,683 CDM,PX-38900,PR INTRAOP SENTINL LYMPH NODE INJ,773.0,579.75,140.77,773.0,676 CDM,PX-38999001,PR LYMPH NODE ABLATION,1428.0,1071.0,35.7,1385.16,683 CDM,PX-38999004,PR MESENTERIC LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CDM,PX-39000,PR MEDIAST W EXPL DRAIN CERV APPR,3697.0,2772.75,239.01,3586.09,683 CDM,PX-390000003,HC CRYOPRECIPITATE EA UNIT,213.0,159.75,71.95,213.0,916 CDM,PX-390000005,HC FFP SNGL DONOR,264.0,198.0,85.98,264.0,916 CDM,PX-390000006,HC GRANULOCYTES PHER PROC EA UNIT,4650.0,3487.5,2092.5,4650.0,909 CDM,PX-390000007,HC CRYOPRESERVE/STORAGE,6575.0,4931.25,470.77,6575.0,916 CDM,PX-390000008,HC HPC HARVEST AUTOLOGOUS,8820.0,6615.0,99.83,8820.0,916 CDM,PX-390000010,HC IAT RBC WASHED INITIAL UNIT,703.0,527.25,316.35,703.0,915 CDM,PX-390000012,HC PLT HLA MATCHED LR EA UNIT,2589.0,1941.75,708.06,2589.0,916 CDM,PX-390000018,HC PLT PHERESIS LR IRRAD EA UNIT,2169.0,1626.75,680.61,2169.0,916 CDM,PX-390000022,HC RBC LR EA UNIT,735.0,551.25,184.91,735.0,918 CDM,PX-390000023,HC RBC LR IRRAD EA UNIT,870.0,652.5,265.41,870.0,917 CDM,PX-390000024,HC RED BLD CELLS DEGLYCEROLIZD LR,840.0,630.0,265.19,840.0,915 CDM,PX-390000025,HC FROZEN PLASMA 8-24 HR EA UNIT,213.0,159.75,73.77,213.0,916 CDM,PX-390000027,"HC FROZEN PLASMA, POOLED, SD, EA UNIT",291.0,218.25,55.96,291.0,916 CDM,PX-390000034,HC PLASMA DEPLETION,4608.0,3456.0,470.77,4608.0,916 CDM,PX-390000041,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,2226.0,1669.5,607.43,2226.0,917 CDM,PX-390000053,HC CONVALESCENT FFP SNGL DONOR,1196.0,897.0,85.98,1196.0,916 CDM,PX-390000055,HC 2 TX CRYOPRESERVE/STORAGE,7001.0,5250.75,470.77,7001.0,916 CDM,PX-390000064,HC FRESH CELL ADMIN PREPARATION,2240.0,1680.0,470.77,2240.0,916 CDM,PX-39010,PR MEDIAST EXPL DRAIN TTHOR APPR,6226.0,4669.5,370.02,6039.22,683 CDM,PX-391000000,HC BLOOD TRANSFUSION,1531.0,1148.25,68.78,1531.0,918 CDM,PX-39200,PR RESECTION OF MEDIASTINAL CYST,8352.0,6264.0,403.59,8101.44,683 CDM,PX-39220,PR RESECTION MEDIASTINAL TUMOR,7234.0,5425.5,518.85,7016.98,683 CDM,PX-39401,PR MEDIASTINOSCOPY W MEDIASTINAL BX,2128.0,1596.0,142.02,2064.16,683 CDM,PX-39402,PR MEDIASTINOSCOPY W LYMPH ND BX,2583.0,1937.25,183.37,2505.51,683 CDM,PX-39501,PR REPAIR LACERATION DIAPHRAGM,8046.0,6034.5,393.24,7804.62,683 CDM,PX-39540,PR RPR HERNIA NOT NEONATAL ACUTE,10667.0,8000.25,397.02,10346.99,683 CDM,PX-39541,PR RPR HERNIA NOT NEONATAL CHRNC,8264.0,6198.0,430.74,8016.08,683 CDM,PX-39545,PR IMBRICATION DIAPHRAGM EVENTRAT,7440.0,5580.0,423.49,7216.8,683 CDM,PX-39560,PR RESC DIAPHRAGM W SIMPLE REPAIR,7705.0,5778.75,368.55,7473.85,683 CDM,PX-39561,PR RESC DIAPHRAGM W COMPLX REPAIR,10517.0,7887.75,502.14,10201.49,693 CDM,PX-39599001,PR VATS DIAPHRAGM PLICATION,7440.0,5580.0,186.0,7216.8,683 CDM,PX-39599002,PR VATS DIAPHRAGMATIC/MORGAGNI HERNIA REPAIR,8264.0,6198.0,206.6,8016.08,683 CDM,PX-399000001,HC THAW,3859.0,2894.25,470.77,3859.0,915 CDM,PX-399000002,HC THAW & WASH,3988.0,2991.0,470.77,3988.0,915 CDM,PX-399000003,HC RBC DEPLETION,2586.0,1939.5,470.77,2586.0,915 CDM,PX-399000006,HC HPC HARVEST ALLOGENIC,8944.0,6708.0,67.88,8944.0,915 CDM,PX-402000008,HC OB US < 14 WKS SINGLE FETUS,555.0,416.25,102.38,555.0,916 CDM,PX-402000010,HC OPHTHAL US DX EYE THICKNESS,318.0,238.5,5.78,318.0,915 CDM,PX-402000019,HC US ABD COMPLT,646.0,484.5,111.56,646.0,919 CDM,PX-402000020,HC US ABD LTD,544.0,408.0,85.4,544.0,916 CDM,PX-402000023,HC US BREAST LTD UNILAT,418.0,313.5,75.68,418.0,915 CDM,PX-402000024,HC US CHEST,424.0,318.0,48.5,424.0,916 CDM,PX-402000027,HC US EXT LTD,381.0,285.75,46.55,381.0,916 CDM,PX-402000028,HC US EXT NON-VASC COMPLETE,473.0,354.75,15.96,473.0,915 CDM,PX-402000033,HC US GUIDE PLC NDL,843.0,632.25,47.52,843.0,911 CDM,PX-402000035,HC US GUIDE VASC ACCESS,332.0,249.0,38.78,332.0,914 CDM,PX-402000036,HC US HEAD&NECK SOFT TISS,510.0,382.5,111.56,510.0,918 CDM,PX-402000046,HC US OB TRANSVAGINAL,410.0,307.5,83.45,410.0,916 CDM,PX-402000047,HC US OPHTHALMIC DX B-SCAN,1042.0,781.5,26.64,1042.0,915 CDM,PX-402000048,HC US PELVIS COMPLETE,478.0,358.5,105.78,478.0,917 CDM,PX-402000049,HC US PELVIS LTD/FU,392.0,294.0,39.75,392.0,916 CDM,PX-402000053,HC US RETROPERITONEAL COMPLT,598.0,448.5,104.81,598.0,917 CDM,PX-402000054,HC US RETROPERITONEAL LTD,435.0,326.25,48.98,435.0,916 CDM,PX-402000055,HC US SCROTUM,492.0,369.0,99.96,492.0,916 CDM,PX-402000058,HC US TRANSPLANT KIDNEY W DPLR,659.0,494.25,111.56,659.0,916 CDM,PX-402000061,HC US TRANSVAGINAL,590.0,442.5,111.56,590.0,917 CDM,PX-402000071,HC US ABD AORTA SCREEN AAA,533.0,399.75,111.56,533.0,915 CDM,PX-402000084,HC US TRGT DYN MBUBB 1ST LES,1063.0,797.25,140.67,1063.0,916 CDM,PX-404000003,HC PET BRAIN METABOLIC EVAL,5370.0,4027.5,1525.87,5370.0,917 CDM,PX-404000006,HC PET LIMITED,4596.0,3447.0,1381.5,4596.0,915 CDM,PX-404000007,HC PET TRUNK,5951.0,4463.25,1525.87,5951.0,915 CDM,PX-404000008,HC PET WHOLE BODY,6292.0,4719.0,1525.87,6292.0,915 CDM,PX-404000010,HC PET/CT TRUNK,6516.0,4887.0,1525.87,6516.0,917 CDM,PX-404000011,HC PET/CT WHOLE BODY,6803.0,5102.25,1525.87,6803.0,917 CDM,PX-40490,PR BIOPSY LIP,428.0,321.0,58.65,415.16,683 CDM,PX-40510,PR EXCISN LIP TRANSV WEDGE W CLSR,2396.0,1797.0,242.58,2324.12,683 CDM,PX-40520,PR EXCISN LIP V-EXCISION W CLSR,2184.0,1638.0,159.49,2118.48,697 CDM,PX-40525,PR EXCISN LIP RCNST W LOCAL FLAP,3851.0,2888.25,242.92,3735.47,683 CDM,PX-40527,PR EXCISN LIP RCNST W CROSS FLAP,4559.0,3419.25,270.37,4422.23,683 CDM,PX-40530,PR RSECT LIP >1/4 WO RCNST,3294.0,2470.5,275.31,3195.18,683 CDM,PX-40650,PR RPR LIP FULL THICK VERMIL ONLY,1869.0,1401.75,278.22,1812.93,683 CDM,PX-40652,PR RPR LIP F THICK HALF VERTC HT,5826.0,4369.5,192.59,5651.22,697 CDM,PX-40799002,PR MICRO NEEDLING,405.0,303.75,10.13,392.85,683 CDM,PX-40800,PR DRN MOUTH LESION SMPL,795.0,596.25,101.95,771.15,683 CDM,PX-40808,PR BIOPSY VESTIBULE OF MOUTH,891.0,668.25,69.42,864.27,694 CDM,PX-40810,PR EXCISN LESN MOUTH WO RPR,930.0,697.5,105.05,902.1,683 CDM,PX-40812,PR EXCISN LESN MOUTH W RPR SMPL,1027.0,770.25,136.91,996.19,683 CDM,PX-40814,PR EXCISN LESN MOUTH W RPR CMPLX,1549.0,1161.75,129.12,1502.53,697 CDM,PX-40816,PR EXCISN LESN MOUTH W MUS EXCISN,1901.0,1425.75,198.9,1843.97,683 CDM,PX-40818,PR EXCISN MUCOSA MOUTH DONOR GRFT,1641.0,1230.75,177.32,1591.77,683 CDM,PX-40820,PR DEST LESN/SCAR VESTIBULE MOUTH,1113.0,834.75,122.58,1079.61,683 CDM,PX-40840,PR VESTIBULOPLASTY ANTERIOR,4748.0,3561.0,430.09,4605.56,683 CDM,PX-40842,PR VESTIBULOPLASTY POSTERIOR UNILAT,4338.0,3253.5,265.89,4207.86,697 CDM,PX-40845,PR VESTIBPLSTY CMPLX W RIDGE EXTN,7669.0,5751.75,512.89,7438.93,697 CDM,PX-410000002,HC CPAP INIT & MGMT,874.0,655.5,47.9,874.0,917 CDM,PX-410000003,HC DEMO/EVAL PAT USE INHALE,595.0,446.25,29.01,595.0,915 CDM,PX-410000004,HC INTUB W ETT,651.0,488.25,195.06,651.0,915 CDM,PX-410000005,HC MANIP CHST WALL INIT,407.0,305.25,39.69,407.0,916 CDM,PX-410000006,HC MANIP CHST WALL SUBSQ,316.0,237.0,56.69,316.0,916 CDM,PX-410000008,HC PENTAMIDINE TX AERO INHAL,656.0,492.0,233.67,656.0,916 CDM,PX-410000012,HC TRACHEOTOMY TUBE CHANGE,843.0,632.25,44.7,843.0,915 CDM,PX-410000014,HC TX INHAL AERO SPUTUM,461.0,345.75,12.57,461.0,918 CDM,PX-410000015,HC VENT MGMT INPT/OBS SUBSQ DAY,1919.0,1439.25,87.38,1919.0,915 CDM,PX-410000016,HC VENTIL MGMT IP INIT DAY,2022.0,1516.5,126.84,2022.0,915 CDM,PX-410000023,HC TX CONT AERO AAO 1ST HR,463.0,347.25,90.68,463.0,915 CDM,PX-410000024,HC TX CONT AERO AAO EA ADD HR,126.0,94.5,24.21,126.0,909 CDM,PX-410000026,HC ARTERIAL PUNCTURE,428.0,321.0,19.31,428.0,915 CDM,PX-41007,PR I&D INTRAORAL SUBMENTAL SPACE,2049.0,1536.75,100.95,1987.53,697 CDM,PX-41008,PR I&D ABSC INTRAORAL SUBMAND SPACE,2158.0,1618.5,119.44,2093.26,697 CDM,PX-41009,PR I&D ABSC INTRAORAL MASTICAT SPACE,1568.0,1176.0,128.98,1520.96,697 CDM,PX-41015,PR I&D EXTRAORAL ABSC SUBLINGUAL,3080.0,2310.0,136.83,2987.6,697 CDM,PX-41017,PR I&D EXTRAORAL ABSC SUBMANDIB,2139.0,1604.25,156.76,2074.83,697 CDM,PX-41018,PR I&D EXTRAORAL ABSC MASTICATOR,2785.0,2088.75,182.87,2701.45,697 CDM,PX-41100,PR BX TONGUE ANTR 2/3,709.0,531.75,91.47,687.73,684 CDM,PX-41105,PR BX TONGUE POSTR 1/3,802.0,601.5,78.3,777.94,694 CDM,PX-41108,PR BIOPSY FLOOR MOUTH,676.0,507.0,82.64,655.72,683 CDM,PX-41110,PR EXCISN LESN TONGUE WO CLSR,886.0,664.5,110.27,859.42,683 CDM,PX-41112,PR EXCISN LESN TNG W CLSR ANTR 2/3,1353.0,1014.75,166.59,1312.41,683 CDM,PX-41113,PR EXCISN LESN TNG W CLSR POSTR 1/3,1697.0,1272.75,119.47,1646.09,697 CDM,PX-41116,PR EXCISN LESN FLOOR OF MOUTH,1607.0,1205.25,163.07,1558.79,683 CDM,PX-41120,PR GLOSSECTOMY <1/2 TONGUE,4914.0,3685.5,476.26,4766.58,683 CDM,PX-41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,6976.0,5232.0,577.65,6766.72,683 CDM,PX-41140,PR GLSSC COMPL WO RAD NECK DISEC,17821.0,13365.75,940.65,17286.37,683 CDM,PX-41150,PR GLSSC COMPOSITE W MANDIB RESEC,17365.0,13023.75,947.97,16844.05,683 CDM,PX-41153,PR GLSSC COMPOSITE SUPRAHYD DISEC,16901.0,12675.75,1026.04,16393.97,683 CDM,PX-41155,PR GLSSC MANDIB RSECT & NK DISEC,21814.0,16360.5,1276.35,21159.58,683 CDM,PX-41250,PR RPR LAC <=2.5CM ANTR 2/3 TNG,1082.0,811.5,163.32,1049.54,683 CDM,PX-41530,PR SUBMUC ABLT TNG >=1 SITE/SESN,10748.0,8061.0,176.12,10425.56,697 CDM,PX-41800,PR DRN ABSC HEMA DENTOAVEOLAR,1013.0,759.75,185.93,982.61,683 CDM,PX-41820,PR GINGIVECTOMY EA QUADRANT,1362.0,1021.5,510.75,1321.14,683 CDM,PX-41825,PR EXCISN LESN DNTOALVOLR WO RPR,1068.0,801.0,104.75,1035.96,683 CDM,PX-41826,PR EXCISN LESN DNTOALVOLR W RPR SMPL,1345.0,1008.75,87.41,1304.65,697 CDM,PX-41830,PR ALVEOLECTOMY W CURRETTAGE,1435.0,1076.25,244.93,1391.95,683 CDM,PX-41899003,PR GINGIVAL BIOPSY,833.0,624.75,20.83,808.01,683 CDM,PX-420000012,HC BIOFEEDBACK TRAINING ANY PT,487.0,365.25,16.25,487.0,915 CDM,PX-420000016,HC CANALITH REPOSITIONING PROC PT,455.0,341.25,29.49,455.0,915 CDM,PX-420000031,HC E-STIM MANUAL EA 15MIN PT,152.0,114.0,14.46,152.0,915 CDM,PX-420000036,HC GAIT TRAINING EA 15MIN PT,242.0,181.5,28.59,242.0,916 CDM,PX-420000037,HC GROUP THERAPY PT,116.0,87.0,17.74,116.0,916 CDM,PX-420000042,HC HOME MGMT TRAIN EA 15MIN PT,261.0,195.75,31.82,261.0,915 CDM,PX-420000043,HC HOT/COLD PACK PT,23.0,17.25,10.35,23.0,909 CDM,PX-420000047,HC IONTOPHORESIS EA 15MIN PT,109.0,81.75,18.68,109.0,915 CDM,PX-420000050,HC MANUAL THERAPY EA 15MIN PT,253.0,189.75,27.27,253.0,915 CDM,PX-420000059,HC NEUROMUSCULAR RE-ED EA15MIN PT,240.0,180.0,32.2,240.0,915 CDM,PX-420000061,HC ORTH TRAIN INIT ENC EA 15MIN PT,222.0,166.5,45.14,222.0,915 CDM,PX-420000067,HC PROSTH TRAIN INIT ENC EA 15MIN PT,211.0,158.25,39.64,211.0,915 CDM,PX-420000072,HC SENSORY INTEG EA 15 MIN PT,157.0,117.75,59.36,157.0,915 CDM,PX-420000082,HC THER FUNCT ACTVTY EA 15MIN PT,209.0,156.75,34.4,209.0,916 CDM,PX-420000085,HC THERAPEUTIC EXERC EA 15MIN PT,233.0,174.75,28.59,233.0,916 CDM,PX-420000087,HC TRACTION MECHANICAL PT,132.0,99.0,14.13,132.0,915 CDM,PX-420000089,HC ULTRASOUND EA 15MIN PT,59.0,44.25,14.1,59.0,915 CDM,PX-420000093,HC WHEELCHAIR MGMT EA 15MIN PT,106.0,79.5,30.56,106.0,915 CDM,PX-420000094,HC WHIRLPOOL PT,78.0,58.5,15.35,78.0,915 CDM,PX-420000100,HC PHYSICAL PERF TEST EA 15MIN PT,266.0,199.5,33.12,266.0,915 CDM,PX-420000111,HC PT EVAL LOW COMPLEX,458.0,343.5,96.39,458.0,917 CDM,PX-420000112,HC PT RE-EVAL EST PLAN CARE,231.0,173.25,66.33,231.0,915 CDM,PX-420000113,HC PT EVAL HIGH COMPLEX,545.0,408.75,96.39,545.0,915 CDM,PX-420000114,HC PT EVAL MOD COMPLEX,504.0,378.0,96.39,504.0,915 CDM,PX-420000134,HC THER INTV COG FUNC INITIAL 15MIN PT,142.0,106.5,19.58,142.0,915 CDM,PX-420000157,HC CAREGIVER TRAINING INITIAL 30 MINS PT,227.0,170.25,39.51,227.0,915 CDM,PX-42100,PR BIOPSY PALATE UVULA,719.0,539.25,62.06,697.43,694 CDM,PX-42104,PR EXCISN LESN PALATE UVULA WO CLSR,958.0,718.5,106.28,929.26,683 CDM,PX-42106,PR EXCISN LESN PALAT UVLA W CLS SMPL,1111.0,833.25,127.29,1077.67,683 CDM,PX-42120,PR RESCT PALATE/EXTENS RESCT LESN,5678.0,4258.5,444.75,5507.66,683 CDM,PX-42140,PR UVULECTOMY EXCISION UVULA,1357.0,1017.75,74.06,1316.29,697 CDM,PX-42145,PR PALATOPHARYNGOPLASTY,5127.0,3845.25,297.17,4973.19,683 CDM,PX-42160,PR DEST LESN PALATE UVULA,1032.0,774.0,62.98,1001.04,697 CDM,PX-42215,PR PALATOP CLEFT PALATE MJR REV,6629.0,4971.75,315.9,6430.13,683 CDM,PX-42330,PR SIALOLITHTOMY UNCOMP INTRAORAL,1114.0,835.5,115.74,1080.58,684 CDM,PX-42400,PR BX SALIVARY GLAND NEEDLE,457.0,342.75,39.14,443.29,694 CDM,PX-42405,PR BX SALIVARY GLAND INCISIONAL,1285.0,963.75,127.11,1246.45,694 CDM,PX-42408,PR EXCISN SUBLINGUAL SALIVARY CYST,2098.0,1573.5,277.37,2035.06,683 CDM,PX-42410,PR EXCISN PRTD TMR LAT WO NRV DISEC,3844.0,2883.0,272.02,3728.68,683 CDM,PX-42415,PR EXCISN PRTD TMR LAT W NRV DISEC,5789.0,4341.75,449.76,5615.33,683 CDM,PX-42420,PR EXCISN PRTD TMR TOT W NRV DISEC,8021.0,6015.75,501.49,7780.37,683 CDM,PX-42425,PR EXCISN PRTD TMR TOT EN BLOC RMVL,6659.0,4994.25,357.03,6459.23,683 CDM,PX-42426,PR EXCISN PRTD TMR TOT RAD NK DISEC,11243.0,8432.25,569.81,10905.71,683 CDM,PX-42440,PR EXCISN SUBMANDIB SUBMAX GLAND,3216.0,2412.0,180.89,3119.52,683 CDM,PX-42450,PR EXCISN SUBLINGUAL GLAND,3520.0,2640.0,229.81,3414.4,683 CDM,PX-42500,PR PLASTIC RPR SALIV DUCT PRIM,2594.0,1945.5,218.56,2516.18,683 CDM,PX-42510,PR PAROTID DUCT DIVERSION BILAT,4134.0,3100.5,262.33,4009.98,683 CDM,PX-42650,PR DILATION SALIVARY DUCT,417.0,312.75,26.08,404.49,697 CDM,PX-42660,PR DILAT&CATH SALIVARY DUCT,602.0,451.5,34.25,583.94,697 CDM,PX-42700,PR I&D ABSCESS PERITONSILLAR,1112.0,834.0,82.28,1078.64,693 CDM,PX-42720,PR I&D ABSC PHRYNGL INTRAORAL,2155.0,1616.25,217.83,2090.35,683 CDM,PX-42800,PR BIOPSY OROPHARYNX,799.0,599.25,77.68,775.03,683 CDM,PX-42804,PR BX NASOPHRYNX VISIBLE LESN SMP,921.0,690.75,104.69,893.37,683 CDM,PX-42806,PR BX NASOPHRYNX SURVEY PRIM LESN,1135.0,851.25,116.93,1100.95,683 CDM,PX-42808,PR EXCISN/DEST LESION PHARYNX,1225.0,918.75,114.13,1188.25,683 CDM,PX-42809,PR REMOVAL FB PHARYNX,838.0,628.5,57.05,812.86,697 CDM,PX-42810,PR EXCISN BRANCHL CLEFT CYST CONFIND,2598.0,1948.5,125.75,2520.06,697 CDM,PX-42815,PR EXCISN BRANCHL CLEFT CYST EXTEND,4054.0,3040.5,233.45,3932.38,683 CDM,PX-42821,PR TONSILLECT&ADENOIDECT >=12 YRS,965.0,723.75,132.94,936.05,683 CDM,PX-42826,PR TONSILLECTOMY PRIM/SEC >=12YR,867.0,650.25,112.98,840.99,683 CDM,PX-42831,PR ADENOIDECTOMY PRIMARY >=12YRS,1392.0,1044.0,103.75,1350.24,683 CDM,PX-42842,PR RADCL RSECT TONSIL WO CLOSURE,5921.0,4440.75,444.14,5743.37,683 CDM,PX-42844,PR RADCL RSECT TONSIL W LOCAL FLAP,9580.0,7185.0,599.26,9292.6,683 CDM,PX-42870,PR EXCISN/DEST LINGUAL TONSIL,2754.0,2065.5,226.97,2671.38,693 CDM,PX-42890,PR LIMITED PHARYNGECTOMY,8802.0,6601.5,612.6,8537.94,683 CDM,PX-42892,PR RESCT LAT PHRYNGL WALL/PYRFRM,10239.0,7679.25,801.38,9931.83,683 CDM,PX-42950,PR PHARYNGOPLASTY,5733.0,4299.75,357.12,5561.01,683 CDM,PX-42953,PR PHARYNGOESOPHAGEAL RPR,6179.0,4634.25,435.28,5993.63,683 CDM,PX-42960,PR CNTRL OROPHARYNGEAL HEMR SMPL,1067.0,800.25,71.06,1034.99,683 CDM,PX-42962,PR CNTRL OROPHARYNGEAL HEMR SURG,2953.0,2214.75,223.61,2864.41,683 CDM,PX-42975,PR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,1061.0,795.75,40.86,1029.17,683 CDM,PX-430000008,HC BIOFEEDBACK TRAINING ANY OT,407.0,305.25,16.25,407.0,915 CDM,PX-430000012,HC CANALITH REPOSITIONING PROC OT,453.0,339.75,29.49,453.0,915 CDM,PX-430000018,HC COMM/WORK REINTGRT EA 15MIN OT,118.0,88.5,31.53,118.0,915 CDM,PX-430000019,HC CONTRAST BATH EA 15MIN OT,134.0,100.5,13.77,134.0,915 CDM,PX-430000022,HC E-STIM MANUAL EA 15MIN OT,152.0,114.0,14.46,152.0,915 CDM,PX-430000024,HC EVAL COGNITIVE TESTING OT,594.0,445.5,101.29,594.0,915 CDM,PX-430000027,HC GROUP THERAPY OT,116.0,87.0,17.74,116.0,916 CDM,PX-430000034,HC HOME MGMT TRAIN EA 15MIN OT,268.0,201.0,31.82,268.0,915 CDM,PX-430000038,HC MANUAL THERAPY EA 15MIN OT,253.0,189.75,27.27,253.0,915 CDM,PX-430000046,HC NEUROMUSCULAR RE-ED EA15MIN OT,240.0,180.0,32.2,240.0,915 CDM,PX-430000047,HC ORTH TRAIN INIT ENC EA 15MIN OT,222.0,166.5,45.14,222.0,915 CDM,PX-430000053,HC PHYSICAL PERF TEST EA 15MIN OT,266.0,199.5,33.12,266.0,915 CDM,PX-430000054,HC PROSTH TRAIN INIT ENC EA 15MIN OT,211.0,158.25,39.64,211.0,915 CDM,PX-430000058,HC SENSORY INTEG EA 15 MIN OT,157.0,117.75,59.36,157.0,915 CDM,PX-430000067,HC THER FUNCT ACTVTY EA 15MIN OT,205.0,153.75,34.4,205.0,916 CDM,PX-430000068,HC THER MASSAGE EA 15MIN OT,86.0,64.5,29.13,86.0,915 CDM,PX-430000069,HC THERAPEUTIC EXERC EA 15MIN OT,233.0,174.75,28.59,233.0,916 CDM,PX-430000072,HC ULTRASOUND EA 15MIN OT,59.0,44.25,14.1,59.0,915 CDM,PX-430000075,HC WHIRLPOOL OT,78.0,58.5,15.35,78.0,915 CDM,PX-430000092,HC OT EVAL LOW COMPLEX,458.0,343.5,98.98,458.0,915 CDM,PX-430000093,HC OT EVAL MOD COMPLEX,504.0,378.0,98.98,504.0,915 CDM,PX-430000094,HC OT EVAL HIGH COMPLEX,545.0,408.75,98.98,545.0,915 CDM,PX-430000095,HC OT RE-EVAL EST PLAN CARE,231.0,173.25,67.31,231.0,915 CDM,PX-430000098,HC ELECTRIC STIMULATION THERAPY OT,72.0,54.0,12.45,72.0,913 CDM,PX-430000101,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,147.0,110.25,49.01,147.0,915 CDM,PX-430000106,HC THER INTV COG FUNC INITIAL 15MIN OT,142.0,106.5,19.58,142.0,915 CDM,PX-430000107,HC THER INTV COG FUNC EA ADD15MIN OT,142.0,106.5,18.3,142.0,915 CDM,PX-430000128,HC CAREGIVER TRAINING INITIAL 30 MINS OT,228.0,171.0,39.51,228.0,915 CDM,PX-43030,PR CRICOPHARYNGEAL MYOTOMY,3309.0,2481.75,227.81,3209.73,683 CDM,PX-43101,PR EXCISN LESN ESOPH RPR THOR APPR,6367.0,4775.25,470.01,6175.99,683 CDM,PX-43117,PR PRTL ESOPHAGECTOMY DSTL,17550.0,13162.5,1469.65,17023.5,683 CDM,PX-43124,PR TOT/PRTL ESOPHCTMY WO RCNST,25020.0,18765.0,1724.51,24269.4,683 CDM,PX-43130,PR DIVERTICULECTOMY CERV APPR,5348.0,4011.0,348.29,5187.56,683 CDM,PX-43180,PR ESOPHAGOSCOPY RIGID TRANSORAL,4012.0,3009.0,234.15,3891.64,683 CDM,PX-43191,PR ESOPHAGOSCOPY RIGID DX,907.0,680.25,66.26,879.79,683 CDM,PX-43192,PR ESOPHAGOSCOPY SUBMUCOSAL INJ,1099.0,824.25,71.86,1066.03,683 CDM,PX-43195,PR ESOPHSCOPY RIGID TXORAL BALN,1252.0,939.0,77.93,1214.44,683 CDM,PX-43196,PR ESOPHSCOPY RIG TXORAL GUID WIR,1356.0,1017.0,84.0,1315.32,683 CDM,PX-43197,PR ESOPHSCOPY FLEX TRANSNASAL DX,833.0,624.75,95.85,808.01,684 CDM,PX-43198,PR ESOPHAGOSCOPY FLEX NASAL BX,1477.0,1107.75,106.12,1432.69,683 CDM,PX-43200,PR ESOPHSCOPY FLEX TRANSORAL DX,1391.0,1043.25,139.33,1757.64,2049 CDM,PX-43201,PR ESOPHSCOPY TXORAL W SUBMUC INJ,2451.0,1838.25,135.26,3286.36,1366 CDM,PX-43202,PR ESOPHSCOPY FLEX TXORAL W BX,2084.0,1563.0,190.95,2739.28,1366 CDM,PX-43205,PR ESOPHAGOSCOPY FLEX LIGATION,1401.0,1050.75,61.75,1358.97,683 CDM,PX-43210,PR EGD FLEX TRANSORAL W FUNDOPLASTY,2263.0,1697.25,185.68,2195.11,683 CDM,PX-43211,PR ESOPHAGOSCOPY W EMR,1465.0,1098.75,101.45,1421.05,683 CDM,PX-43212,PR ESOPHSCOPY TXORAL STENT PLC,1487.0,1115.25,82.97,1442.39,683 CDM,PX-43213,PR ESOPHAGOSCOPY RETROGRADE BALN,2829.0,2121.75,608.73,2744.13,683 CDM,PX-43214,PR ESOPHSCOPY DILATE BALN >=30MM,1336.0,1002.0,82.34,1295.92,683 CDM,PX-43215,PR ESOPHAGOSCOPY FLEX RMVL FB,1496.0,1122.0,212.06,1451.12,683 CDM,PX-43220,PR ESOPHSCOPY DILATE BALN <30MM,2147.5,1610.625,464.64,2545.28,1366 CDM,PX-43226,PR ESOPHSCOPY FLEX GUIDE WIRE DIL,1993.5,1495.125,201.6,2673.32,1366 CDM,PX-43227,PR ESOPHAGOSCOPY W CTRL BLEED,1537.0,1152.75,71.99,1490.89,697 CDM,PX-43229,PR ESOPHAGOSCOPY LESION W ABLT,2243.0,1682.25,379.83,2175.71,683 CDM,PX-43231,PR ESOPHAGOSCOPY W EUS EXAM,1322.0,991.5,67.74,1282.34,683 CDM,PX-43232,PR ESOPHAGOSCOPY W EUS FNA/BX,1479.0,1109.25,87.01,1434.63,683 CDM,PX-43233,PR EGD W BALN DIL > 30MM,1399.0,1049.25,99.76,1357.03,683 CDM,PX-43235,PR EGD TRANSORAL DX,1502.5,1126.875,156.93,1800.32,2050 CDM,PX-43236,PR EGD W DIRECT SUBMUCOSAL INJ,1723.5,1292.625,216.9,1800.32,2049 CDM,PX-43237,PR EGD W EUS LTD,1322.0,991.5,84.86,1282.34,683 CDM,PX-43238,PR EGD W EUS FNA/BX ESOPH ONLY,1900.0,1425.0,100.31,1843.0,683 CDM,PX-43239,PR EGD W BIOPSY SNGL/MULT,1616.0,1212.0,203.63,1809.05,2049 CDM,PX-43240,PR EGD W TRANSMURAL DRN,2105.0,1578.75,167.83,2041.85,683 CDM,PX-43241,PR EGD INTRALUMINAL TUBE/CATH INS,1641.5,1231.125,62.19,1915.75,1366 CDM,PX-43242,PR EGD W EUS FNA BX,1978.0,1483.5,112.8,1918.66,683 CDM,PX-43243,PR EGD INJ SCLEROSIS,1863.0,1397.25,102.46,1807.11,683 CDM,PX-43244,PR EGD BAND LIGATION VARICIES,2327.0,1745.25,105.72,2765.47,1366 CDM,PX-43245,PR EGD DILATION GASTR/DUOD STRICT,2263.0,1697.25,318.11,2753.83,2049 CDM,PX-43246,PR EGD PERC PLC GASTROTOMY TUBE,1932.0,1449.0,87.21,2753.83,1366 CDM,PX-43247,PR EGD FLEX RMVL FB,1545.0,1158.75,207.35,1778.01,1366 CDM,PX-43248,PR EGD INSERT GUIDE WIRE,1663.0,1247.25,222.7,1757.64,2049 CDM,PX-43249,PR EGD BALN DILATION ESOPH <30MM,2207.0,1655.25,572.68,2753.83,2049 CDM,PX-43250,PR EGD DX W RMVL HOT BX,1722.0,1291.5,242.32,1670.34,683 CDM,PX-43251,PR EGD W RMVL SNARE,2086.0,1564.5,265.44,2753.83,2049 CDM,PX-43252,PR EGD W ENDOMICROSCOPY,1722.0,1291.5,183.54,1670.34,683 CDM,PX-43253,PR EGD W EUS TRANSMURAL INJ,1569.0,1176.75,112.94,1521.93,683 CDM,PX-43254,PR EGD W EMR,2291.5,1718.625,116.2,2855.68,1366 CDM,PX-43255,PR EGD CTRL BLEED ANY,2126.0,1594.5,334.91,2675.26,1366 CDM,PX-43259,PR EGD W EUS,1314.0,985.5,97.52,1274.58,683 CDM,PX-43260,PR ERCP DX,1834.0,1375.5,137.88,1778.98,683 CDM,PX-43261,PR ERCP W BX,1893.0,1419.75,145.06,1836.21,683 CDM,PX-43262,PR ERCP SPHINC/PAPILLOT,1921.0,1440.75,152.79,1863.37,683 CDM,PX-43264,PR ERCP W RMVL STONE,3155.0,2366.25,155.72,3060.35,683 CDM,PX-43265,PR ERCP W DESTRUCT CALCULI,2736.0,2052.0,184.9,2653.92,683 CDM,PX-43266,PR EGD W STENT PLC,1217.0,912.75,94.29,1180.49,683 CDM,PX-43270,PR EGD W LESION ABLATION,2537.5,1903.125,390.07,2650.04,2049 CDM,PX-43273,PR ENDOSCOPIC PANCREATOSCOPY,456.0,342.0,100.1,456.0,676 CDM,PX-43274,PR ERCP DUCT STENT PLC W DIL,4141.0,3105.75,197.39,4016.77,683 CDM,PX-43275,PR ERCP W RMVL FB/STNT DUCT,2225.0,1668.75,161.11,2158.25,683 CDM,PX-43276,PR ERCP STENT EXCHANGE W DIL,2652.0,1989.0,205.71,2572.44,683 CDM,PX-43277,PR ERCP W TRANS BALN DIL,1677.0,1257.75,161.96,1626.69,683 CDM,PX-43278,PR ERCP ABLATION W DIL,2823.0,2117.25,184.74,2738.31,683 CDM,PX-43279,PR LAPAROSCOPY ESOPHAGOMYOTOMY,9927.0,7445.25,581.91,9629.19,683 CDM,PX-43280,PR LAPAROSCOPY FUNDOPLASTY,6729.0,5046.75,490.8,6527.13,683 CDM,PX-43281,PR LAP PARAESOPH HERNIA WO MESH,12120.0,9090.0,691.05,11756.4,683 CDM,PX-43282,PR LAP PARAESOPH HERNIA W MESH,12120.0,9090.0,776.79,11756.4,683 CDM,PX-43283,PR LAP ESOPHAGEAL LENGTHN ADDL,1150.0,862.5,117.11,1150.0,686 CDM,PX-43285,PR RMVL ESOPHGL SPHNCTR DEV,4867.0,3650.25,311.98,4720.99,683 CDM,PX-43287,PR ESPHG DIST 2/3 W/LAPS MBL,18722.0,14041.5,1598.42,18160.34,683 CDM,PX-43288,PR ESPHG THRSC MOBLJ,22249.0,16686.75,1680.64,21581.53,683 CDM,PX-43300,PR ESOPH RPR CERV APPR WO FSTL RPR,4967.0,3725.25,269.56,4817.99,683 CDM,PX-43305,PR ESOPH RPR CERV APPR W FSTL RPR,9067.0,6800.25,461.43,8794.99,683 CDM,PX-43310,PR ESOPHPLSTY THOR APPR WO FSTL,8492.0,6369.0,679.64,8237.24,683 CDM,PX-43312,PR ESOPHPLSTY THOR APPR W FSTL,10639.0,7979.25,717.59,10319.83,683 CDM,PX-43328,PR EGST FUNDOPLASTY W THORACOTOMY,7320.0,5490.0,514.97,7100.4,683 CDM,PX-43332,PR RPR HIATAL HERNIA WO MESH,7950.0,5962.5,522.91,7711.5,683 CDM,PX-43333,PR RPR HIATAL HERNIA W MESH,9271.0,6953.25,570.26,8992.87,683 CDM,PX-43337,PR RPR HIAT HERNIA THORABD W MESH,9248.0,6936.0,704.14,8970.56,683 CDM,PX-43338,PR ESOPHAGEAL LENGTHENING PROC,718.0,538.5,100.56,718.0,676 CDM,PX-43340,PR ESOJEJUNOS WO GSTRCT ABDL APPR,8335.0,6251.25,626.4,8084.95,683 CDM,PX-43352,PR ESOPHAGOSTOMY EXTRNL CERV APPR,6608.0,4956.0,501.78,6409.76,683 CDM,PX-43360,PR RCNST ESOPHAGECTOMY STOMACH,15274.0,11455.5,1029.55,14815.78,683 CDM,PX-43410,PR SUTR ESOPH WND CERV APPR,6551.0,4913.25,440.97,6354.47,683 CDM,PX-43415,PR SUTR ESOPH WND THOR/ABD APPR,9664.0,7248.0,1171.73,9374.08,683 CDM,PX-43450,PR DIL ESOPHAGUS UNGUIDED SOUND,930.0,697.5,103.13,1337.63,1366 CDM,PX-43453,PR DILATION ESOPHAGUS GUIDE WIRE,1037.0,777.75,37.92,1037.0,697 CDM,PX-43460,PR ESOPHAGOGASTRIC TAMPONADE,1381.0,1035.75,92.07,1339.57,683 CDM,PX-43497,PR PERORAL ENDOSCOPIC MYOTOMY (POEM),11620.0,8715.0,351.41,11271.4,683 CDM,PX-43499001,PR ENDOSCOPIC SUTURING PROCEDURE,1494.0,1120.5,37.35,1449.18,683 CDM,PX-43499003,PR ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),11620.0,8715.0,290.5,11271.4,683 CDM,PX-43499004,PR ESD ESOPHAGUS,1758.0,1318.5,43.95,1705.26,683 CDM,PX-43500,PR GASTROTOMY W EXPLR/RMVL FB,4392.0,3294.0,364.6,4260.24,683 CDM,PX-43610,PR EXCISN ULCER/BEN TMR STOMACH,8134.0,6100.5,446.24,7889.98,683 CDM,PX-43611,PR EXCISN TMR MLG STOMACH LOCAL,8554.0,6415.5,557.62,8297.38,683 CDM,PX-43621,PR GASTRECTOMY TOTAL W ROUX-EN-Y,17647.0,13235.25,1014.86,17117.59,683 CDM,PX-43631,PR GASTRECT PRTL DSTL W GASTRODUOD,8001.0,6000.75,657.65,7760.97,683 CDM,PX-43632,PR GASTRECTOMY DIST PARTL W G-J,12614.0,9460.5,909.94,12235.58,683 CDM,PX-43633,PR GASTRECTOMY PARTL W ROUX-EN-Y,12168.0,9126.0,861.67,11802.96,683 CDM,PX-43644,PR LAP GASTR BYP&ROUX-EN-Y <150CM,10478.0,7858.5,784.48,10163.66,683 CDM,PX-43647,PR LAP IMPL/RPLC GASTRIC NSTIM,4570.0,3427.5,114.25,4432.9,683 CDM,PX-43653,PR LAPAROSCOPY SURGICAL GASTRO,3087.0,2315.25,274.02,2994.39,683 CDM,PX-43659002,PR ROBOTIC ASSISTED TOTAL GAST W/ ROUX EN Y RECONSTRUCTION,17647.0,13235.25,441.18,17117.59,683 CDM,PX-43659003,PR ROBOTIC ASSISTED EXCISN STOMACH MALIGNANT,8554.0,6415.5,213.85,8297.38,683 CDM,PX-43659004,PR LAPAROSCOPIC REVISION OF GASTRIC BYPASS,16462.0,12346.5,411.55,15968.14,683 CDM,PX-43659005,PR ROBOTIC ASSISTED REVISION OF GASTRIC BYPASS,16462.0,12346.5,411.55,15968.14,683 CDM,PX-43752,PR PLC TUBE NASAL/OROGAST W FLUOR,1208.5,906.375,28.74,1912.0,1373 CDM,PX-43753,PR INTUB&ASP/LAVAGE GASTRIC THER,157.0,117.75,19.9,157.0,676 CDM,PX-43761,PR REPOSITION GASTROSTOMY TUBE,679.0,509.25,51.04,658.63,693 CDM,PX-43762,PR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1141.0,855.75,131.99,1106.77,683 CDM,PX-43763,PR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,2612.0,1959.0,40.48,2533.64,697 CDM,PX-43772,PR LAP RMVL GASTRIC DEVICE,7950.0,5962.5,433.97,7711.5,683 CDM,PX-43773,PR LAP RMVL&RPLC GASTRIC DEVICE,15808.0,11856.0,584.63,15333.76,683 CDM,PX-43774,PR LAP RMVL GASTRIC DEV ALL PARTS,5412.0,4059.0,439.96,5249.64,683 CDM,PX-43775,PR LAP LONGITUDINAL GASTRECTOMY,11358.0,8518.5,484.87,11017.26,683 CDM,PX-43820,PR GASTROJEJUNOSTOMY WO VAGOTOMY,9559.0,7169.25,609.72,9272.23,683 CDM,PX-43830,PR GASTROSTOMY WO CNSTRCT G TUBE,4608.0,3456.0,278.77,4469.76,693 CDM,PX-43840,PR GASTRORRHAPHY SUTR ULCER/WND,6237.0,4677.75,617.28,6049.89,683 CDM,PX-43843,PR GASTR RSTCV WO BYP WO VRT BND,7473.0,5604.75,584.79,7248.81,683 CDM,PX-43846,PR GASTRIC RSTCV W BYP <=150CM,12283.0,9212.25,750.07,11914.51,683 CDM,PX-43848,PR REV GASTRIC RSTCV PROC OPN,16462.0,12346.5,869.04,15968.14,683 CDM,PX-43860,PR REV GASTRO/JJNL ANAST WO VGTMY,10120.0,7590.0,735.57,9816.4,683 CDM,PX-43870,PR CLOSURE GASTROSTOMY SURG,4470.0,3352.5,327.05,4335.9,683 CDM,PX-43887,PR GSTR RSTCV RMVL SUBQ PORT,2082.0,1561.5,162.52,2019.54,683 CDM,PX-43999007,PR TORE PROCEDURE,1967.0,1475.25,49.18,1907.99,683 CDM,PX-43999010,PR EUS GUIDED GASTROJEJUNOSTOMY,11471.0,8603.25,286.78,11126.87,683 CDM,PX-43999012,PR GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),11620.0,8715.0,290.5,11271.4,683 CDM,PX-43999013,PR ESD STOMACH,1967.0,1475.25,49.18,1907.99,683 CDM,PX-440000000,HC ANALYSIS BEHAV/QUAL VOICE ST,639.0,479.25,108.03,639.0,915 CDM,PX-440000005,HC EVAL COGNITIVE TESTING ST,618.0,463.5,101.29,618.0,915 CDM,PX-440000027,HC THRPY SPEECH/LANG/COMM GROUP ST,213.0,159.75,23.61,213.0,915 CDM,PX-440000028,HC THRPY SPEECH/LANG/COMM/APD ST,672.0,504.0,75.1,672.0,915 CDM,PX-440000029,HC TX SWALLOWING DYSFUNCTION ST,530.0,397.5,82.91,530.0,915 CDM,PX-440000053,HC THER INTV COG FUNC INITIAL 15MIN ST,142.0,106.5,19.58,142.0,915 CDM,PX-440000054,HC THER INTV COG FUNC EA ADD15MIN ST,142.0,106.5,18.3,142.0,915 CDM,PX-440000062,HC CAREGIVER TRAINING INITIAL 30 MINS ST,227.0,170.25,39.51,227.0,915 CDM,PX-440000063,HC CAREGIVER TRAINING ADDL 15 MINS ST,113.0,84.75,20.95,113.0,915 CDM,PX-44005,PR ENTEROLYSIS,4963.0,3722.25,495.14,4814.11,683 CDM,PX-44010,PR DUODENOTOMY EXPLR/BX/RMVL FB,4526.0,3394.5,381.38,4390.22,683 CDM,PX-44015,PR INS/INTRO CATH ENTERO/JEJUNUM,1461.0,1095.75,122.97,1461.0,676 CDM,PX-44020,PR ENTEROTOMY SM INTSTN EXPLR/BX,12013.0,9009.75,443.99,11652.61,683 CDM,PX-44021,PR ENTEROTOMY SM INTSTN DCMPRN,4514.0,3385.5,441.09,4378.58,683 CDM,PX-44050,PR REDUC VOLVULUS BY LAPAROTOMY,9914.0,7435.5,427.59,9616.58,683 CDM,PX-44055,PR CORR MALROTATION BOWEL,9872.0,7404.0,668.51,9575.84,683 CDM,PX-44110,PR EXCISN >=1LESN INTSTN ENTRTMY SNGL,4657.0,3492.75,387.37,4517.29,683 CDM,PX-44111,PR EXCISN LES INTSTN ENTRTMY MULT,5786.0,4339.5,440.58,5612.42,683 CDM,PX-44120,PR ENTERCTMY RSECT SM INTSTN SNGL,7644.0,5733.0,551.42,7414.68,683 CDM,PX-44121,PR ENTERECT RSECT SM INTST EA ADD,2083.0,1562.25,210.17,2083.0,676 CDM,PX-44125,PR ENTERECTMY SM INTSTN ENTERSTMY,7497.0,5622.75,533.01,7272.09,683 CDM,PX-44130,PR ENTEROENTEROSTMY ANAST INTSTN,7644.0,5733.0,597.42,7414.68,683 CDM,PX-44139,PR MOBIL SPLENC FLEX W PRTL COLCTMY,737.0,552.75,103.97,737.0,676 CDM,PX-44140,PR COLECTOMY PARTL W ANASTOMOSIS,6503.0,4877.25,606.94,6307.91,683 CDM,PX-44141,PR COLECTMY PARTL W CECOST/COLOST,9069.0,6801.75,820.92,8796.93,683 CDM,PX-44143,PR COLECTOMY PARTL W END CLSR,8171.0,6128.25,743.23,7925.87,683 CDM,PX-44144,PR COLECTMY PARTL W COLOST/ILEOST,8941.0,6705.75,793.83,8672.77,683 CDM,PX-44145,PR COLECTOMY PARTL COLOPROCTOSTMY,8997.0,6747.75,737.0,8727.09,683 CDM,PX-44146,PR COLECTOMY PARTL CLPRCT&COLSTMY,13672.0,10254.0,943.78,13261.84,683 CDM,PX-44150,PR COLECTMY TOT ABD W ILEOS/ILEOP,9706.0,7279.5,840.85,9414.82,683 CDM,PX-44155,PR COLECTOMY TOT ABD PROCT&ILEOST,12440.0,9330.0,933.63,12066.8,683 CDM,PX-44160,PR COLECTOMY PARTL RMVL TRM ILEUM,7323.0,5492.25,562.03,7103.31,683 CDM,PX-44180,PR LAPAROSCOPY ENTEROLYSIS,4572.0,3429.0,419.37,4434.84,683 CDM,PX-44186,PR LAPAROSCOPY JEJUNOSTOMY,3815.0,2861.25,303.13,3700.55,683 CDM,PX-44187,PR LAP ILEOST/JEJUNOST NON TUBE,6231.0,4673.25,498.86,6044.07,683 CDM,PX-44188,PR LAPAROSCOPY COLOSTMY/CECOSTMY,7963.0,5972.25,553.98,7724.11,683 CDM,PX-44202,PR LAP ENTERECT RESEC&ANAST SNGL,9318.0,6988.5,625.75,9038.46,683 CDM,PX-44203,PR LAP ENTERECT RESEC&ANAST EA,1538.0,1153.5,209.85,1538.0,676 CDM,PX-44204,PR LAP COLECTOMY PRTL ANASTOMOSIS,6747.0,5060.25,687.18,6544.59,683 CDM,PX-44205,PR LAP COLECTOMY W ILEOCOLOSTOMY,6333.0,4749.75,596.64,6143.01,683 CDM,PX-44206,PR LAP COLECTOMY W CLSR DIST SEGM,8421.0,6315.75,778.14,8168.37,683 CDM,PX-44207,PR LAP COLECTMY ANAST COLOPROCT,7867.0,5900.25,803.21,7630.99,683 CDM,PX-44208,PR LAP COLECTMY COLOPROCT CLSTMY,11589.0,8691.75,877.56,11241.33,683 CDM,PX-44210,PR LAP COLECTOMY TOT WO PROCTCTMY,11899.0,8924.25,793.34,11542.03,683 CDM,PX-44211,PR LAP COLECTOMY TOT W PROCTCTMY,14926.0,11194.5,942.67,14478.22,683 CDM,PX-44212,PR COLCTMY TOT W PROCTMY/ILEOSTMY,12183.0,9137.25,908.29,11817.51,683 CDM,PX-44213,PR LAPAROSCOPY MOBILE W COLECTOMY,865.0,648.75,160.77,865.0,676 CDM,PX-44227,PR LAPAROSCOPY CLSR ENTEROSTOMY,8662.0,6496.5,738.9,8402.14,683 CDM,PX-44238001,PR LAP REDUCTION/INTUSSUSCEPTION INTERNAL HENIA,9872.0,7404.0,246.8,9575.84,683 CDM,PX-44300,PR PLC ENTEROST/CECOST TUBE OPN,4707.0,3530.25,386.34,4565.79,683 CDM,PX-44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,6406.0,4804.5,470.43,6213.82,683 CDM,PX-44312,PR REVISION ILEOSTOMY SIMPLE,3182.0,2386.5,276.27,3086.54,683 CDM,PX-44314,PR REVISION ILEOSTOMY COMPLICATED,5551.0,4163.25,455.39,5384.47,683 CDM,PX-44320,PR COLOSTOMY OR SKIN LVL CECOSTMY,6235.0,4676.25,545.14,6047.95,683 CDM,PX-44340,PR REVISION COLOSTOMY SIMPLE,3211.0,2408.25,295.1,3114.67,683 CDM,PX-44345,PR REVISION COLOSTOMY COMPLEX,6701.0,5025.75,479.66,6499.97,683 CDM,PX-44346,PR COLOSTOMY RPR PARACLST HERNIA,6336.0,4752.0,535.01,6145.92,683 CDM,PX-44360,PR ENDO UPPER SM INTESTINE,1649.0,1236.75,62.59,2229.06,1366 CDM,PX-44361,PR ENDO SM INTESTINE W BX,2005.5,1504.125,68.98,2687.87,1366 CDM,PX-44363,PR ENDO SM INTESTINE W RMVL FB,1467.0,1100.25,83.21,1422.99,683 CDM,PX-44364,PR ENTEROSCOPY RMVL POLYP SNARE,2009.0,1506.75,88.49,1948.73,683 CDM,PX-44366,PR ENDO SM INTESTINE W CTRL BLEED,2131.0,1598.25,103.27,2067.07,683 CDM,PX-44369,PR ENDO SM INTESTINE W ABLATION,2217.0,1662.75,105.88,2150.49,683 CDM,PX-44372,PR ENDO SM INTSTN W PLC TUBE PERC,2222.0,1666.5,103.89,2155.34,683 CDM,PX-44373,PR ENDO SM INTSTN W G-J TUBE,2564.0,1923.0,83.44,3264.05,1366 CDM,PX-44376,PR ENTEROSCOPY W ILEUM W/WO BX,1878.0,1408.5,121.98,1821.66,683 CDM,PX-44377,PR ENDO SM INTESTINE W ILIUM BX,2421.0,1815.75,128.01,2348.37,683 CDM,PX-44378,PR ENDO SM INTSTN W ILIUM CTRL,2654.0,1990.5,164.42,2574.38,683 CDM,PX-44380,PR ILEOSCOPY STOMA DX,1415.0,1061.25,108.7,1809.05,2049 CDM,PX-44381,PR ILEOSCOPY STOMA W BALN DIL,3460.5,2595.375,517.58,4084.67,1366 CDM,PX-44382,PR ILEOSCOPY STOMA W BX SNGL/MULT,1545.0,1158.75,162.5,1809.05,2049 CDM,PX-44385,PR ENDO EVAL SM INTST POUCH DX,1588.0,1191.0,119.07,1703.32,2049 CDM,PX-44386,PR ENDO EVAL SM INTST POUCH BX,2029.5,1522.125,168.88,2116.54,2050 CDM,PX-44388,PR COLONOSCOPY STOMA DX,1714.0,1285.5,171.98,1703.32,2049 CDM,PX-44389,PR COLONOSCOPY STOMA BX SNGL/MULT,2367.5,1775.625,222.47,2422.09,2049 CDM,PX-44391,PR COLONOSCOPY STOMA W CTRL BLEED,2246.0,1684.5,341.2,2178.62,683 CDM,PX-44394,PR COLONOSCOPY W RMVL LESN SNARE,2197.0,1647.75,235.4,2131.09,683 CDM,PX-444000000,HC ASSESS APHASIA PER HR ST,566.0,424.5,95.81,566.0,915 CDM,PX-444000001,HC EVAL LARYG SWALL FBROPT ENDO ST,806.0,604.5,53.49,806.0,915 CDM,PX-444000003,HC EVAL PROSTHETIC VOICE ST,737.0,552.75,70.14,737.0,915 CDM,PX-444000004,HC EVAL SPEECH FLUENCY ST,441.0,330.75,131.42,441.0,915 CDM,PX-444000005,HC EVAL SPEECH PRODUCTION ST,750.0,562.5,110.26,750.0,915 CDM,PX-444000006,HC EVAL SPEECH PRODUCTN W LANG ST,1300.0,975.0,223.38,1300.0,915 CDM,PX-444000007,HC EVAL SPEECH-GEN DEV 1STHR ST,509.0,381.75,120.34,509.0,915 CDM,PX-444000008,HC EVAL SWALLOW FBROPT ENDO ST,1204.0,903.0,53.53,1204.0,915 CDM,PX-444000009,HC EVAL SWALLOW FUNC FLUORO ST,869.0,651.75,89.85,869.0,915 CDM,PX-444000010,HC EVAL SWALLOW FUNC ST,746.0,559.5,57.3,746.0,915 CDM,PX-44403,PR COLONOSCOPY STOMA EMR,2493.0,1869.75,130.48,2418.21,683 CDM,PX-44404,PR COLONOSCOPY STOMA INJ SUBMUC,2033.0,1524.75,74.91,1972.01,697 CDM,PX-44500,PR INTRO GI TUBE LONG,923.0,692.25,13.69,1627.0,2058 CDM,PX-44602,PR ENTERORRHAPHY PERFORATION SNGL,6427.0,4820.25,626.3,6234.19,683 CDM,PX-44603,PR ENTERORRHAPHY PERFORATION MULT,7797.0,5847.75,720.81,7563.09,683 CDM,PX-44604,PR SUTR LG INTSTN PERF WO COLOST,5894.0,4420.5,473.33,5717.18,683 CDM,PX-44605,PR SUTR LG INTSTN PERF W COLOST,9375.0,7031.25,590.32,9093.75,683 CDM,PX-44615,PR STRICTUROPLASTY INTSTN OBSTR,8026.0,6019.5,483.44,7785.22,683 CDM,PX-44620,PR CLSR ENTEROSTMY LG/SM INTSTN,4608.0,3456.0,391.07,4469.76,683 CDM,PX-44625,PR CLSR ENTEROSTMY INTSTN W RSECT,5355.0,4016.25,454.47,5194.35,683 CDM,PX-44626,PR CLSR ENTEROSTMY INTSTN COLORCT,7014.0,5260.5,707.91,6803.58,683 CDM,PX-44640,PR CLSR INTSTN CUTANEOUS FISTULA,7699.0,5774.25,624.04,7468.03,683 CDM,PX-44650,PR CLSR ENTEROENTERIC/COLIC FSTL,8988.0,6741.0,643.46,8718.36,683 CDM,PX-44661,PR CLSR ENTEROVESC FSTL W RSECT,8972.0,6729.0,688.0,8702.84,683 CDM,PX-44705,PR PREPARE FECAL MICROBIOTA,508.0,381.0,142.59,508.0,676 CDM,PX-44799010,PR LOWER DBL BALLOON,2421.0,1815.75,60.53,2348.37,683 CDM,PX-44799014,PR CHANGE OF JEJUNOSTOMY TUBE,2285.0,1713.75,57.13,2216.45,683 CDM,PX-44799015,PR LOWER DBL BALLOON W/BIOPSY,2421.0,1815.75,60.53,2348.37,683 CDM,PX-44799016,PR DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),11620.0,8715.0,290.5,11271.4,683 CDM,PX-44799017,PR ESD SMALL INTESTINE,2217.0,1662.75,55.43,2150.49,683 CDM,PX-44800,PR EXCISN MECKEL DIVERTICULUM,4430.0,3322.5,359.04,4297.1,683 CDM,PX-44820,PR EXCISION LESION MESENTERY,6127.0,4595.25,391.8,5943.19,683 CDM,PX-44850,PR SUTURE MESENTERY,4187.0,3140.25,344.35,4061.39,683 CDM,PX-44950,PR APPENDECTOMY,4178.0,3133.5,293.82,4052.66,683 CDM,PX-44955,PR APPENDECTOMY W OTHR MAJOR PROC,1293.0,969.75,72.68,1293.0,676 CDM,PX-44970,PR LAPAROSCOPY APPENDECTOMY,3050.0,2287.5,280.4,2958.5,683 CDM,PX-450000001,HC AMP FGR/THUMB W DIRECT CLSR,16550.0,12412.5,1019.13,16053.5,915 CDM,PX-450000009,HC APP CAST SHORT ELBOW-FGR,1032.0,774.0,85.82,1001.04,915 CDM,PX-450000013,HC APP SPLINT FINGER STATIC,450.0,337.5,37.7,436.5,915 CDM,PX-450000014,HC APP SPLINT LONG ARM,745.0,558.75,55.11,722.65,915 CDM,PX-450000015,HC APP SPLINT LONG LEG,653.0,489.75,79.92,633.41,915 CDM,PX-450000017,HC APP SPLINT SHORT ARM STATIC,520.0,390.0,59.97,504.4,915 CDM,PX-450000018,HC APP SPLINT SHORT LEG,684.0,513.0,72.77,663.48,915 CDM,PX-450000020,HC ARTHCS ASP/INJ INT JT WO US,1295.0,971.25,47.18,1256.15,915 CDM,PX-450000021,HC ARTHCS ASP/INJ MJR JT WO US,1259.0,944.25,58.23,1221.23,915 CDM,PX-450000024,HC ARTL CATH/CNULA MONITOR PERC,2153.0,1614.75,60.3,2088.41,909 CDM,PX-450000027,HC ASP HYDROCELE TUNICA VAG,2488.0,1866.0,113.28,2413.36,915 CDM,PX-450000029,HC AVUL NAIL PLATE SMPL,750.0,562.5,72.02,727.5,915 CDM,PX-450000030,HC BLEPHAROTOMY DRN ABSC EYELID,903.0,677.25,150.56,875.91,915 CDM,PX-450000039,HC CARDIOVSN ELECT EXTERNAL,2629.0,1971.75,140.06,2550.13,916 CDM,PX-450000042,HC CAUTERIZE CHEM GRANULATION TIS,587.0,440.25,51.83,569.39,915 CDM,PX-450000043,HC CHANGE CYSTOSTOMY TUBE SIMPLE,1237.0,927.75,69.14,1199.89,916 CDM,PX-450000047,HC CLSD TX BIMALOR ANK W MANIP,5613.0,4209.75,676.26,5444.61,915 CDM,PX-450000048,HC CLSD TX BIMALOR ANK WO MANIP,917.0,687.75,263.21,889.49,915 CDM,PX-450000049,HC CLSD TX CALCANEAL FX WO MANIP,917.0,687.75,263.21,889.49,915 CDM,PX-450000050,HC CLSD TX CLAVICLE FX WO MANIP,783.0,587.25,263.21,759.51,915 CDM,PX-450000052,HC CLSD TX CRPL FX WO MANIP EA BN,795.0,596.25,263.21,771.15,915 CDM,PX-450000054,HC CLSD TX CRPL SCPHD FX WO MANIP,862.0,646.5,263.21,836.14,915 CDM,PX-450000056,HC CLSD TX DISLOC ANKLE W ANES,5590.0,4192.5,716.03,5422.3,915 CDM,PX-450000057,HC CLSD TX DISLOC ANKLE WO ANES,846.0,634.5,263.21,820.62,915 CDM,PX-450000059,HC CLSD TX DISLOC ELBOW W ANES,8355.0,6266.25,465.61,8355.0,897 CDM,PX-450000060,HC CLSD TX DISLOC ELBOW WO ANES,838.0,628.5,263.21,812.86,915 CDM,PX-450000063,HC CLSD TX DISLOC SHLDR W ANES,4811.0,3608.25,610.23,4666.67,915 CDM,PX-450000064,HC CLSD TX DISLOC SHLDR W MANIP,3665.0,2748.75,606.78,3555.05,915 CDM,PX-450000065,HC CLSD TX DISLOC SHLDR W NECK FX,7868.0,5901.0,744.75,7631.96,915 CDM,PX-450000066,HC CLSD TX DISLOC SHLDR WO ANES,863.0,647.25,263.21,837.11,915 CDM,PX-450000067,HC CLSD TX DISLOC TMJ,811.0,608.25,44.36,786.67,915 CDM,PX-450000068,HC CLSD TX DIST FIB FX W MANIP,849.0,636.75,263.21,823.53,915 CDM,PX-450000069,HC CLSD TX DIST FIB WO MANIP,814.0,610.5,263.21,789.58,915 CDM,PX-450000070,HC CLSD TX DIST RDL FX W MANIP,3037.0,2277.75,800.33,2945.89,915 CDM,PX-450000071,HC CLSD TX DIST RDL FX WO MANIP,867.0,650.25,263.21,840.99,915 CDM,PX-450000072,HC CLSD TX DISTL PHAL FX W MANIP EA,2650.0,1987.5,263.21,2570.5,915 CDM,PX-450000073,HC CLSD TX DISTL PHAL WO MANIP EA,814.0,610.5,263.21,789.58,915 CDM,PX-450000075,HC CLSD TX FEM FX DIST WO MANIP,771.0,578.25,263.21,747.87,915 CDM,PX-450000077,HC CLSD TX FEM FX PROX WO MANIP,2524.0,1893.0,263.21,2448.28,915 CDM,PX-450000081,HC CLSD TX GRT TBERSTY FX WO MANIP,784.0,588.0,263.21,760.48,915 CDM,PX-450000083,HC CLSD TX GRT TOE FX WO MANIP,761.0,570.75,193.07,738.17,915 CDM,PX-450000084,HC CLSD TX HIP DISLOC W ANES,5973.0,4479.75,1047.6,5793.81,915 CDM,PX-450000085,HC CLSD TX HIP DISLOC WO ANES,811.0,608.25,263.21,786.67,915 CDM,PX-450000086,HC CLSD TX HUM CONDYL FX WO MANIP,657.0,492.75,263.21,637.29,915 CDM,PX-450000090,HC CLSD TX HUM SHAFT FX WO MANIP,811.0,608.25,263.21,786.67,915 CDM,PX-450000092,HC CLSD TX I-P DISLOC W MANIP WO ANES,835.0,626.25,263.21,809.95,915 CDM,PX-450000093,HC CLSD TX I-P DISLOC WO ANEST,788.0,591.0,147.14,764.36,915 CDM,PX-450000094,HC CLSD TX KNEE DISLOC W ANES,8501.0,6375.75,884.04,8245.97,915 CDM,PX-450000096,HC CLSD TX MCP DISLOC W MANIP WO ANS,640.0,480.0,263.21,620.8,915 CDM,PX-450000099,HC CLSD TX MDL MELLEOL WO MANIP,971.0,728.25,263.21,941.87,915 CDM,PX-450000100,HC CLSD TX METATARSAL FX WO MANIP,952.0,714.0,263.21,923.44,915 CDM,PX-450000101,HC CLSD TX METCARP FX W MANIP EA BN,660.0,495.0,263.21,640.2,915 CDM,PX-450000102,HC CLSD TX METCARP FX WO MANIP EA BN,839.0,629.25,263.21,813.83,915 CDM,PX-450000103,HC CLSD TX MTRPHL DISLOC WO ANEST,640.0,480.0,162.2,620.8,915 CDM,PX-450000106,HC CLSD TX PATELLA FX WO MANIP,890.0,667.5,263.21,863.3,915 CDM,PX-450000107,HC CLSD TX PATLLR DISLOC W ANES,847.0,635.25,263.21,821.59,915 CDM,PX-450000108,HC CLSD TX PATLLR DISLOC WO ANES,866.0,649.5,263.21,840.02,915 CDM,PX-450000109,HC CLSD TX PHAL SHFT FX W MANIP EA,827.0,620.25,263.21,802.19,915 CDM,PX-450000110,HC CLSD TX PHAL SHFT FX WO MANIP EA,788.0,591.0,263.21,764.36,915 CDM,PX-450000111,HC CLSD TX PHALANX FX W MANIP,796.0,597.0,212.04,772.12,915 CDM,PX-450000112,HC CLSD TX PHALANX FX WO MANIP,796.0,597.0,182.49,772.12,915 CDM,PX-450000114,HC CLSD TX POSTR MALLEOL WO MANIP,811.0,608.25,263.21,786.67,915 CDM,PX-450000116,HC CLSD TX PROX FIBULA WO MANIP,780.0,585.0,263.21,756.6,915 CDM,PX-450000117,HC CLSD TX PROX HUMRL FX W MANIP,13800.0,10350.0,642.38,13386.0,915 CDM,PX-450000118,HC CLSD TX PROX HUMRL FX WO MANIP,811.0,608.25,263.21,786.67,915 CDM,PX-450000119,HC CLSD TX RADL HD/NK FX WO MANIP,797.0,597.75,263.21,773.09,915 CDM,PX-450000120,HC CLSD TX RDL & ULNAR FX W MANIP,4017.0,3012.75,742.28,3896.49,915 CDM,PX-450000121,HC CLSD TX RDL & ULNAR FX WO MANIP,811.0,608.25,263.21,786.67,915 CDM,PX-450000122,HC CLSD TX SCAPULAR FX W/WO MANIP,5570.0,4177.5,552.44,5402.9,915 CDM,PX-450000124,HC CLSD TX SUPRA HUM FX W MANIP,3665.0,2748.75,823.4,3555.05,915 CDM,PX-450000125,HC CLSD TX SUPRA HUM FX WO MANIP,839.0,629.25,263.21,813.83,915 CDM,PX-450000126,HC CLSD TX TALUS FX WO MANIP,909.0,681.75,263.21,881.73,915 CDM,PX-450000127,HC CLSD TX TARSAL BN WO MANIP,935.0,701.25,263.21,906.95,915 CDM,PX-450000129,HC CLSD TX THUMB FX W MANIP,10870.0,8152.5,570.98,10543.9,915 CDM,PX-450000130,HC CLSD TX TIB FX WO MANIP,807.0,605.25,263.21,782.79,915 CDM,PX-450000132,HC CLSD TX TIB SHAFT FX WO MANIP,838.0,628.5,263.21,812.86,915 CDM,PX-450000133,HC CLSD TX TIB W/WO ANES W TRACT,13200.0,9900.0,465.78,13200.0,897 CDM,PX-450000134,HC CLSD TX TIB W/WO ANES WO MANIP,842.0,631.5,263.21,816.74,915 CDM,PX-450000135,HC CLSD TX TRIMALOR ANK FX MANIP,5451.0,4088.25,693.84,5287.47,915 CDM,PX-450000136,HC CLSD TX TRIMALOR ANK WO MANIP,839.0,629.25,263.21,813.83,915 CDM,PX-450000137,HC CLSD TX ULNAR FX STYLOID,862.0,646.5,263.21,836.14,915 CDM,PX-450000138,HC CLSD TX ULNAR PROX FX WO MANIP,831.0,623.25,263.21,806.07,915 CDM,PX-450000139,HC CLSD TX ULNAR SHAFT FX WO MANIP,803.0,602.25,263.21,778.91,915 CDM,PX-450000143,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,2252.0,1689.0,342.6,2184.44,916 CDM,PX-450000144,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,2362.0,1771.5,409.53,2291.14,915 CDM,PX-450000146,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1499.0,1124.25,299.85,1454.03,915 CDM,PX-450000147,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,2252.0,1689.0,369.44,2184.44,915 CDM,PX-450000148,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1169.0,876.75,150.36,1133.93,909 CDM,PX-450000158,HC CPR,1290.0,967.5,230.41,1251.3,916 CDM,PX-450000160,HC CRITICAL CARE 30-74MIN,9416.0,7062.0,293.73,9133.52,916 CDM,PX-450000162,HC CRITICAL CARE ADD 30MIN,2919.0,2189.25,147.84,2831.43,910 CDM,PX-450000163,HC CTRL NASAL HEMR ANTERIOR CMPLX,526.0,394.5,102.21,510.22,915 CDM,PX-450000164,HC CTRL NASAL HEMR ANTERIOR SMPL,492.0,369.0,72.93,477.24,915 CDM,PX-450000166,HC CTRL NSL HEMR PST PCK/CAUT INIT,497.0,372.75,141.97,482.09,915 CDM,PX-450000170,HC CYSTOURETHROSCOPY,2804.0,2103.0,104.6,2719.88,916 CDM,PX-450000172,HC DBRD BURN PRTL THCK <5%,714.0,535.5,79.53,692.58,915 CDM,PX-450000174,HC DBRD BURN PRTL THCK 5-10%,587.0,440.25,149.19,569.39,915 CDM,PX-450000183,HC DBRD SKIN & SUBQ TISS<=20SCM,963.0,722.25,81.86,934.11,916 CDM,PX-450000195,HC DRAIN ABSC EXTERNAL EAR SIMPLE,2815.0,2111.25,171.86,2730.55,915 CDM,PX-450000197,HC DRAINAGE SCROTUM ABSCESS,3743.0,2807.25,239.93,3630.71,915 CDM,PX-450000198,HC DRN ABSC HEMA DENTOAVEOLAR,437.0,327.75,141.97,423.89,915 CDM,PX-450000200,HC DRN MOUTH LESION SMPL,2749.0,2061.75,169.43,2666.53,915 CDM,PX-450000203,HC ED VISIT LEVEL 1,429.0,321.75,16.25,416.13,915 CDM,PX-450000205,HC ED VISIT LEVEL 2,750.0,562.5,59.57,727.5,916 CDM,PX-450000207,HC ED VISIT LEVEL 3,1395.0,1046.25,102.33,1353.15,916 CDM,PX-450000209,HC ED VISIT LEVEL 4,2658.0,1993.5,174.14,2578.26,917 CDM,PX-450000211,HC ED VISIT LEVEL 5,4369.0,3276.75,252.54,4237.93,919 CDM,PX-450000212,HC EGD CTRL BLEED ANY,4535.0,3401.25,260.49,4398.95,916 CDM,PX-450000216,HC ENDO/PLYPECT NOSE W CNTRL HEMR,14613.0,10959.75,211.67,14174.61,915 CDM,PX-450000217,HC EVAC SUBUNGUAL HEMA,498.0,373.5,46.02,483.06,915 CDM,PX-450000224,HC EXCISN INGROWN TOENAIL,887.0,665.25,130.97,860.39,915 CDM,PX-450000225,HC EXCISN NAIL BED PRTL/COMPLT,995.0,746.25,138.51,965.15,915 CDM,PX-450000226,HC EXCISN THROMB HEMM EXTRNL,3468.0,2601.0,158.19,3363.96,915 CDM,PX-450000231,HC I&D ABSC CMPLX/MULT,1261.0,945.75,253.82,1223.17,915 CDM,PX-450000232,HC I&D ABSC FGR SMPL,700.0,525.0,211.52,679.0,915 CDM,PX-450000233,HC I&D ABSC SMPL/SNGL,715.0,536.25,147.24,693.55,916 CDM,PX-450000234,HC I&D ABSCESS PERITONSILLAR,841.0,630.75,124.99,841.0,897 CDM,PX-450000235,HC I&D BARTHOLINS GLAND ABSCESS,829.0,621.75,146.46,804.13,915 CDM,PX-450000237,HC I&D HEMA/SEROMA/FLUID COLL,5812.0,4359.0,169.19,5637.64,916 CDM,PX-450000240,HC I&D PERIANAL ABSCESS SUPFCL,3707.0,2780.25,151.02,3595.79,918 CDM,PX-450000241,HC I&D PILONIDAL CYST CMPLX,2882.0,2161.5,164.16,2882.0,897 CDM,PX-450000242,HC I&D PILONIDAL CYST SMPL,1644.0,1233.0,153.65,1594.68,915 CDM,PX-450000243,HC I&D RECTAL ABSCESS,4960.0,3720.0,422.29,4960.0,897 CDM,PX-450000245,HC I&D VULVA/PERINEAL ABSCESS,1315.0,986.25,170.7,1275.55,916 CDM,PX-450000247,HC INCISN THROMB HEMM EXTRNL,1219.0,914.25,156.93,1182.43,915 CDM,PX-450000249,HC INCISN/RMVL FB SUBQ SMPL,1515.0,1136.25,149.61,1469.55,916 CDM,PX-450000253,HC INJ ANES GREATER OCCIPITAL NRV,1191.0,893.25,67.23,1155.27,915 CDM,PX-450000255,HC INJ ANES OTHER PERIPHERAL NRV,2776.0,2082.0,56.57,2692.72,916 CDM,PX-450000257,HC INJ ANES TRIGEMINAL NRV,1182.0,886.5,68.88,1146.54,915 CDM,PX-450000258,HC INJ EPI BLD/CLOT PATCH,2302.0,1726.5,150.63,2232.94,916 CDM,PX-450000263,HC INJ TRIGGER PNT<=2 MUS,1201.0,900.75,52.55,1164.97,917 CDM,PX-450000265,HC INS NON-INDWELLING BLAD CATH,376.0,282.0,32.4,364.72,916 CDM,PX-450000266,HC INS NON-TUN CVC >5YR,5096.0,3822.0,113.99,4943.12,916 CDM,PX-450000269,HC INS TEMP INDW BLAD CATH SMPL,511.0,383.25,33.38,495.67,916 CDM,PX-450000270,HC INS TEMP INDWL BLAD CATH COMPL,706.0,529.5,99.21,684.82,916 CDM,PX-450000271,HC INS TUBE THORACOSTOMY,5823.0,4367.25,209.27,5648.31,915 CDM,PX-450000274,HC INS/RPLC TEMP ELEC/PCMKR SNGL,19421.0,14565.75,205.32,18838.37,915 CDM,PX-450000275,HC INT F/E/EY/NO/L/M 2.6-5,1493.0,1119.75,253.43,1448.21,915 CDM,PX-450000276,HC INT RPR F/E/EY/NO/L/M <=2.5,1494.0,1120.5,218.9,1449.18,915 CDM,PX-450000279,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,1446.0,1084.5,274.46,1402.62,915 CDM,PX-450000281,HC INT RPR NK/HND/FT/EXG <=2.5,1463.0,1097.25,189.65,1419.11,915 CDM,PX-450000283,HC INT RPR NK/HND/FT/EXG 2.6-7.5,1470.0,1102.5,247.22,1425.9,915 CDM,PX-450000284,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1544.0,1158.0,279.56,1497.68,915 CDM,PX-450000285,HC INT RPR SCLP/AX/TR/EXT <=2.5,1152.0,864.0,195.44,1117.44,915 CDM,PX-450000288,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,1487.0,1115.25,242.18,1442.39,916 CDM,PX-450000290,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,1019.0,764.25,263.97,988.43,916 CDM,PX-450000293,HC INTUB W ETT,818.0,613.5,195.06,793.46,915 CDM,PX-450000294,HC INTUB&ASP/LAVAGE GASTRIC THER,700.0,525.0,29.85,679.0,915 CDM,PX-450000295,HC IRRI BLAD SMPL LAVAGE&/INSTILL,888.0,666.0,38.39,861.36,915 CDM,PX-450000296,HC IRRIG CORP CAVERNOSA PRIAPISM,3175.0,2381.25,189.6,3079.75,915 CDM,PX-450000300,HC LARYNG FLEX FIBEROPTIC DX,645.0,483.75,89.54,625.65,919 CDM,PX-450000306,HC MEAS PST VOID RESID US NON IMG,297.0,222.75,18.33,288.09,916 CDM,PX-450000313,HC NASAL ENDOSCOPY DX UNI/BILAT,942.0,706.5,80.37,913.74,915 CDM,PX-450000314,HC NASOPHARYNGOSCOPY W ENDO,726.0,544.5,48.27,704.22,915 CDM,PX-450000315,HC NDL ASP ABSC/HEMA/BULLA/CYST,1063.0,797.25,134.01,1031.11,916 CDM,PX-450000316,HC NEG PRESS WND THRPY <=50SCM,534.0,400.5,31.37,517.98,916 CDM,PX-450000323,HC PARACENTESIS ABD WO IMG,3339.0,2504.25,104.16,3238.83,915 CDM,PX-450000327,HC PLC NEEDLE INTRAOSSEUS INF,1192.0,894.0,84.51,1156.24,916 CDM,PX-450000329,HC PLC TUBE NASAL/OROGAST W FLUOR,1462.0,1096.5,50.72,1418.14,915 CDM,PX-450000330,HC PLEURA DRAIN PERC WO IMG GUID,6847.0,5135.25,164.33,6641.59,915 CDM,PX-450000331,HC PUNCTURE SPINAL LUMBAR DX,2425.0,1818.75,85.65,2352.25,916 CDM,PX-450000335,HC REMOVAL FB CORNEA W SLIT LAMP,518.0,388.5,61.73,502.46,915 CDM,PX-450000336,HC REMOVAL FB CORNEA WO SLIT LAMP,1015.0,761.25,55.43,984.55,915 CDM,PX-450000340,HC RMVL FB EAR CANAL EXTRNL,428.0,321.0,61.23,415.16,915 CDM,PX-450000342,HC RMVL FB EYE SUPFCL,535.0,401.25,36.08,518.95,915 CDM,PX-450000343,HC RMVL FB FT SUBCUTANEOUS,3460.0,2595.0,187.31,3356.2,915 CDM,PX-450000344,HC RMVL FB INTRANASAL OFFICE PROC,513.0,384.75,141.97,497.61,915 CDM,PX-450000347,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,257.0,192.75,39.84,249.29,915 CDM,PX-450000351,HC RMVL TUN CV CATH WO SUBQ PORT,2598.0,1948.5,183.53,2520.06,916 CDM,PX-450000359,HC RPR LAC <=2.5CM ANTR 2/3 TNG,418.0,313.5,242.85,548.2,915 CDM,PX-450000363,HC RPR LIP FULL THICK VERMIL ONLY,1770.0,1327.5,509.39,1716.9,915 CDM,PX-450000364,HC RPR NAIL BED,2307.0,1730.25,152.39,2237.79,915 CDM,PX-450000373,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,963.0,722.25,178.29,934.11,915 CDM,PX-450000374,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,707.0,530.25,131.58,685.79,915 CDM,PX-450000375,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,714.0,535.5,81.39,692.58,915 CDM,PX-450000376,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,756.0,567.0,105.2,733.32,915 CDM,PX-450000377,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,750.0,562.5,79.44,727.5,916 CDM,PX-450000378,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,706.0,529.5,105.17,684.82,915 CDM,PX-450000379,HC SMPL RPR S/NK/TR/EXT <=2.5CM,738.0,553.5,64.34,715.86,915 CDM,PX-450000380,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,1310.0,982.5,131.15,1270.7,915 CDM,PX-450000381,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,1221.0,915.75,159.48,1184.37,915 CDM,PX-450000382,HC SMPL RPR SCLP/NK/TR/EXT >30CM,603.0,452.25,195.57,584.91,915 CDM,PX-450000383,HC SMPL S/NK/TR/EXT 2.6-7.5CM,750.0,562.5,83.87,727.5,915 CDM,PX-450000390,HC THORACENTESIS PLEURA W IMG,3099.0,2324.25,138.6,3006.03,916 CDM,PX-450000391,HC THORACENTESIS PLEURA WO IMG,3130.0,2347.5,116.63,3036.1,915 CDM,PX-450000392,HC THROMBOLYSIS CEREBRAL INFUS,1377.0,1032.75,352.46,1335.69,915 CDM,PX-450000393,HC TRACHEOBRONCH EST TRACH INC,2068.0,1551.0,149.43,2005.96,916 CDM,PX-450000395,HC TRACHEOTOMY TUBE CHANGE,882.0,661.5,44.7,855.54,915 CDM,PX-450000397,HC TX BURN 1ST DEGREE INIT,724.0,543.0,61.68,702.28,915 CDM,PX-450000398,HC TX ELBOW NURSEMAID FX W MANIP,661.0,495.75,105.39,641.17,915 CDM,PX-450000401,HC TX POST HIP ARTHR DISLOC ANES,5775.0,4331.25,813.38,5601.75,909 CDM,PX-450000403,HC TX RADIAL SHAFT FX WO MANIP,806.0,604.5,263.21,781.82,915 CDM,PX-450000404,HC TX WND DEHIS SMPL,1916.0,1437.0,261.33,1858.52,916 CDM,PX-450000423,HC RMVL IMPACT CERUMEN IRRIG UNILAT,275.0,206.25,24.71,266.75,915 CDM,PX-450000425,HC TX INHAL AERO SPUTUM,513.0,384.75,12.57,497.61,918 CDM,PX-450000434,HC CLSD TX SCAPULAR FX WO MANIP,780.0,585.0,263.21,756.6,915 CDM,PX-450000435,HC CLSD TX HUM EPICNDY FX WO MANIP,811.0,608.25,263.21,786.67,915 CDM,PX-450000447,HC CL TX RADL HEAD/NK FX W MANIP,3717.0,2787.75,643.46,3605.49,915 CDM,PX-450000450,HC I&D ABSC FINGER COMPLICATED,3797.0,2847.75,266.03,3683.09,915 CDM,PX-450000459,HC CLSD TX FEMORAL FX WO MANIP,8670.0,6502.5,666.98,8409.9,915 CDM,PX-450000482,HC US GUIDE VASC ACCESS,538.0,403.5,38.78,521.86,914 CDM,PX-450000495,HC IV INF THER CONCURR (MAX 1),212.0,159.0,30.3,205.64,910 CDM,PX-450000496,HC INJ THER SUBQ/IM,261.0,195.75,22.55,253.17,921 CDM,PX-450000512,HC INJ TRIGGER PNT >=3 MUS,5300.0,3975.0,59.91,5141.0,918 CDM,PX-450000515,HC CLSD TX TIB FX W/WO MANIP,9703.0,7277.25,810.56,9411.91,915 CDM,PX-450000517,HC CLSD TX SESAMOID FX,2125.0,1593.75,151.01,2061.25,915 CDM,PX-450000518,HC ARTHCS ASP/INJ MJR JT W US,1191.0,893.25,73.7,1155.27,915 CDM,PX-450000519,HC INJ CORPCAV W PHARM AGENT,2148.0,1611.0,99.99,2083.56,916 CDM,PX-450000559,HC INJ THER IV PUSH SNGL INITIAL,595.0,446.25,55.02,577.15,921 CDM,PX-450000560,HC IV INF HYDRAT EA ADD HR,202.0,151.5,19.02,195.94,921 CDM,PX-450000561,HC IV INF HYDRAT INIT 31MIN-1HR,635.0,476.25,48.75,615.95,917 CDM,PX-450000562,HC IV INF THER ADD SEQ NEW 1ST HR,234.0,175.5,43.44,226.98,916 CDM,PX-450000563,HC IV INF THER EA ADD HR,235.0,176.25,31.29,227.95,919 CDM,PX-450000564,HC IV INF THER INIT 1ST HR,702.0,526.5,97.68,680.94,922 CDM,PX-450000565,HC IV PUSH EA ADD SEQ DRUG,213.0,159.75,95.85,206.61,913 CDM,PX-450000566,HC IV PUSH EA ADD SEQ NEW DRUG,232.0,174.0,22.92,225.04,921 CDM,PX-450000580,HC MONITOR INTERSTITIAL FLUID PRSR,2273.0,1704.75,122.04,2204.81,915 CDM,PX-450000583,HC RPR LIP F THICK =2,1758.0,1318.5,260.62,1705.26,683 CDM,PX-46255,PR HEMRDECT INT & EXT SNGL GROUP,2179.0,1634.25,282.21,2113.63,683 CDM,PX-46260,PR HEMRDECT INT & EXT >=2 GROUPS,1887.0,1415.25,233.25,1830.39,683 CDM,PX-46270,PR TX ANAL FSTL SURG SUBQ,2228.0,1671.0,291.26,2161.16,683 CDM,PX-46275,PR TX ANAL FSTL SURG INTERSPHINCT,2284.0,1713.0,306.42,2215.48,683 CDM,PX-46280,PR TX ANAL FSTL SURG CMPLX,1968.0,1476.0,234.88,1908.96,683 CDM,PX-46288,PR CLSR ANAL FSTL RECTAL FLAP,3394.0,2545.5,268.91,3292.18,683 CDM,PX-46320,PR EXCISN THROMB HEMM EXTRNL,841.0,630.75,52.73,815.77,697 CDM,PX-46505,PR CHEMODENERV INTRNL ANAL SPHINCTER,1630.0,1222.5,166.6,1581.1,683 CDM,PX-46600,PR ANOSCOPY DIAGNOSTIC,398.0,298.5,62.6,386.06,684 CDM,PX-46604,PR ANOSCOPY W DILATION,1932.0,1449.0,30.44,1874.04,697 CDM,PX-46606,PR ANOSCOPY W BX SINGLE/MULTIPLE,933.0,699.75,148.95,905.01,683 CDM,PX-46610,PR ANOSCOPY W RMVL SNGL TMR HOT BX,885.0,663.75,37.11,858.45,697 CDM,PX-46614,PR ANOSCOPY W BLD CONTROL,958.0,718.5,29.98,929.26,697 CDM,PX-46706,PR REPAIR ANAL FISTULA W FIBRIN GLUE,917.0,687.75,86.32,889.49,683 CDM,PX-46750,PR SPHINCTEROPLASTY ANAL ADULT,4080.0,3060.0,335.13,3957.6,683 CDM,PX-46753,PR GRFT RECTAL INCONT/PROLAPSE,4477.0,3357.75,297.86,4342.69,683 CDM,PX-46761,PR SPHINCTRPLSTY ANAL IMBRICATION,3942.0,2956.5,404.99,3823.74,683 CDM,PX-46900,PR DEST LESN ANUS SMPL CHEMICAL,654.0,490.5,64.56,634.38,697 CDM,PX-46910,PR DEST LESN ANUS SMPL ELECTRO,1178.0,883.5,144.1,1142.66,683 CDM,PX-46916,PR DEST LESN ANUS SMPL CRYOSURG,925.0,693.75,59.82,897.25,697 CDM,PX-46917,PR DEST LESN ANUS SMPL LASER SURG,2208.0,1656.0,225.36,2141.76,683 CDM,PX-46922,PR DEST LESN ANUS SMPL SURG EXCISN,1184.0,888.0,167.13,1148.48,683 CDM,PX-46924,PR DEST LESION ANUS EXTENSIVE,2237.0,1677.75,301.77,2169.89,683 CDM,PX-46945,PR HEMORRHOID LIG BAND SINGLE,1482.0,1111.5,170.45,1437.54,684 CDM,PX-46946,PR HEMORRHOID LIG BAND MULTIPLE,1562.5,1171.875,186.95,1609.23,1367 CDM,PX-46947,PR HEMORRHOIDOPEXY STAPLING,1586.0,1189.5,184.35,1538.42,683 CDM,PX-46999005,PR ANAL MAPPING,933.0,699.75,23.33,905.01,684 CDM,PX-47000,PR BX NDL LIVER PERC,1673.0,1254.75,140.01,1622.81,683 CDM,PX-47001,PR BX LIVER NEEDLE W OTHR PROC,714.0,535.5,89.79,714.0,676 CDM,PX-47010,PR HEPATOTOMY OPN DRN ABSC/CYST,9636.0,7227.0,554.4,9346.92,683 CDM,PX-47100,PR BIOPSY LIVER WEDGE,4787.0,3590.25,395.22,4643.39,683 CDM,PX-471000004,HC ANLYS COCLR IMP REPROG>7 SUBSQ,1291.0,968.25,79.56,1291.0,915 CDM,PX-471000015,HC COMPREHENSIVE HEARING TEST,750.0,562.5,38.25,750.0,915 CDM,PX-471000038,HC POSITIONAL NYSTAGMUS TEST >=4,792.0,594.0,5.78,792.0,915 CDM,PX-471000039,HC PURE TONE AUDIOMETRY AIR,201.0,150.75,58.68,201.0,915 CDM,PX-471000045,HC SPONTANEOUS NYSTAGMUS TEST,810.0,607.5,6.26,810.0,915 CDM,PX-471000048,HC TYMPANOMETRY,137.0,102.75,12.87,137.0,915 CDM,PX-471000062,HC AUD EVOKED POTENTIAL NEURODIAGNOSTIC,1118.0,838.5,117.81,1118.0,915 CDM,PX-471000063,HC AUD EVOKED POTENTIAL THRESHOLD EST,1087.0,815.25,158.69,1087.0,915 CDM,PX-47120,PR HEPATECTMY RESECT PARTL LOBECT,12342.0,9256.5,1051.48,11971.74,683 CDM,PX-47122,PR HEPATECTMY RESECT TRISEGMENT,23025.0,17268.75,1526.92,22334.25,683 CDM,PX-47125,PR HEPATECTMY LEFT LOBECT TOT,26386.0,19789.5,1371.11,25594.42,683 CDM,PX-47130,PR HEPATECTMY RIGHT LOBECT TOT,29120.0,21840.0,1466.79,28246.4,683 CDM,PX-47133,PR DONOR HEPATECTOMY CADAVER,16707.0,12530.25,7518.15,16707.0,676 CDM,PX-47135,PR TRANSPLANT LIVER,55692.0,41769.0,2442.98,54021.24,683 CDM,PX-47143,PR BKBENCH PREP CADV DNR WHOLE LVR,4915.0,3686.25,105.09,4767.55,683 CDM,PX-47144,PR BKBENCH CADV LIVER TRISEG SPLT,6490.0,4867.5,179.72,6295.3,683 CDM,PX-47145,PR BKBENCH CADV LIVER LOBE SPLIT,18544.0,13908.0,463.6,17987.68,683 CDM,PX-47146,PR BKBENCH LIVER VEN ANAST EA,2465.0,1848.75,142.98,2391.05,683 CDM,PX-47147,PR BKBENCH ARTERIAL ANASTOMOSIS,4121.0,3090.75,166.68,3997.37,683 CDM,PX-47350,PR SUTR LIVER HEMORRHAGE SMPL,7950.0,5962.5,624.15,7711.5,683 CDM,PX-47361,PR EXPLOR HEPATIC WND/DEBRIDEMENT,15691.0,11768.25,1343.88,15220.27,683 CDM,PX-47362,PR MGMT LIVER HEMORRHAGE,8859.0,6644.25,649.65,8593.23,683 CDM,PX-47370,PR LAP ABLAT >=1 LIVER TMR RF,6866.0,5149.5,568.78,6660.02,683 CDM,PX-47379001,PR LAPAROSCOPIC BX LIVER WEDGE,4787.0,3590.25,119.68,4643.39,683 CDM,PX-47379003,PR LAPAROSCOPIC LIVER BIOPSY,1673.0,1254.75,41.83,1622.81,683 CDM,PX-47379004,PR LAPAROSCOPIC HEPATECTOMY PARTIAL,12342.0,9256.5,308.55,11971.74,683 CDM,PX-47379005,PR LAP LIVER CYST FENEST,9636.0,7227.0,240.9,9346.92,683 CDM,PX-47380,PR ABLT OPN LIVER TMR RF,11629.0,8721.75,652.7,11280.13,683 CDM,PX-47382,PR ABLT >=1 LVR TMR PERC RADIOFREQ,10833.0,8124.75,1666.43,10508.01,683 CDM,PX-47383,PR ABLT PERC LIVER TMR CRYOABLAT,15184.0,11388.0,2823.67,14728.48,683 CDM,PX-47420,PR CHOLEDOCHOTMY WO DUODNL SPHIN,6826.0,5119.5,601.19,6621.22,683 CDM,PX-47490,PR CHOLECYSTOSTOMY PERC W CATH PLC,5156.0,3867.0,145.99,5001.32,683 CDM,PX-47531,PR INJ CHOLANGIO PERC EXIST ACCESS,1502.0,1126.5,193.46,1456.94,683 CDM,PX-47532,PR INJ CHOLANGIO PERC NEW ACCESS,1955.0,1466.25,393.33,1896.35,683 CDM,PX-47533,PR PLC BILIARY DRN CATH EXTRNL,5202.0,3901.5,539.88,5045.94,683 CDM,PX-47534,PR PLC BILIARY DRN CATH INTRNL-EXTRNL,6131.0,4598.25,592.48,5947.07,683 CDM,PX-47535,PR CONV EXT BIL DRN CATH INTRNL-EXTRNL,4128.0,3096.0,83.23,4004.16,697 CDM,PX-47536,PR EXCHG BIL DRN CATH PERC W IMG,2937.0,2202.75,293.7,2848.89,683 CDM,PX-47537,PR RMVL BIL DRN CATH W FLURO,1604.0,1203.0,224.68,1555.88,683 CDM,PX-47538,PR PLC STNT BILE DUCT PERC EXIST,12537.0,9402.75,1694.82,12160.89,683 CDM,PX-47539,PR PLC STNT BILE DUCT PERC NEW WO CATH,8393.0,6294.75,180.24,8141.21,697 CDM,PX-47541,PR PLC ACCESS BIL TREE SM BOWEL NEW,4677.0,3507.75,574.84,4536.69,683 CDM,PX-47542,PR BLN DILAT BIL DUCT PERC EA,2169.0,1626.75,462.84,2169.0,676 CDM,PX-47543,PR ENDOLUMINAL BX BIL TREE PERC,2483.0,1862.25,363.96,2483.0,676 CDM,PX-47544,PR RMVL BIL DUCT &/ GALBLDR CALC,2218.0,1663.5,132.35,2218.0,690 CDM,PX-47550,PR BILIARY ENDOSCOPY INTRAOP,1113.0,834.75,140.83,1113.0,676 CDM,PX-47554,PR BILRY ENDO PERC VIA T-TUBE W RMVL,2894.0,2170.5,194.3,2807.18,683 CDM,PX-47562,PR LAPAROSCOPY CHOLECYSTECTOMY,3315.0,2486.25,306.43,3215.55,683 CDM,PX-47563,PR LAPAROSCOPY CHOLECYST W CHOLNG,3848.0,2886.0,331.83,3732.56,683 CDM,PX-47564,PR LAP CHOLECYST EXPLR COMN DUCT,5747.0,4310.25,514.69,5574.59,683 CDM,PX-47600,PR CHOLECYSTECTOMY,6139.0,4604.25,490.14,5954.83,683 CDM,PX-47605,PR CHOLECYSTECTOMY W CHOLANGIOGR,6319.0,4739.25,514.82,6129.43,683 CDM,PX-47610,PR CHOLECYSTECTOMY W EXPLR DUCT,5854.0,4390.5,569.22,5678.38,683 CDM,PX-47701,PR PORTOENETEROSTOMY,13908.0,10431.0,785.41,13490.76,683 CDM,PX-47711,PR EXCISN BILE DUCT TMR EXTRHPATC,8902.0,6676.5,702.33,8634.94,683 CDM,PX-47760,PR ANASTOMOSIS EXTRHPATC BIL DUCT,16120.0,12090.0,1008.3,15636.4,683 CDM,PX-47780,PR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,15231.0,11423.25,1107.87,14774.07,683 CDM,PX-47785,PR ANASTOMOSIS ROUX-EN-Y INTRHPTC,20366.0,15274.5,1441.99,19755.02,683 CDM,PX-47800,PR RCNST BILRY DUCT ANSTOMOSIS,13520.0,10140.0,710.32,13114.4,683 CDM,PX-47900,PR SUTR EXTRHPATC BIL DUCT PREXST,14573.0,10929.75,629.15,14135.81,683 CDM,PX-480000000,HC ABLT ARRHYTHMIA ADD ON,23482.0,17611.5,380.3,23482.0,910 CDM,PX-480000001,HC ABLT ATRIUM ADD LINEAR CATH,18375.0,13781.25,380.3,18375.0,910 CDM,PX-480000002,HC ABLT AV NODE,24440.0,18330.0,724.59,24440.0,915 CDM,PX-480000003,HC AMBULATORY BP ANALYSIS 24 HR,1108.0,831.0,8.69,1108.0,915 CDM,PX-480000006,HC AMBULATORY BP RECORDING 24 HR,1108.0,831.0,34.41,1108.0,915 CDM,PX-480000010,HC BX ENDOMYOCARDIAL,13031.0,9773.25,624.71,13031.0,916 CDM,PX-480000012,HC CARDIOVSN ELECT EXTERNAL,2580.0,1935.0,140.06,2580.0,916 CDM,PX-480000014,HC CPR,1296.0,972.0,230.41,1296.0,916 CDM,PX-480000017,HC ECHO INTRACARDIAC,7155.0,5366.25,3219.75,7155.0,910 CDM,PX-480000018,HC EP EVAL TX ART FIB PULM VEIN,58140.0,43605.0,1176.06,58140.0,916 CDM,PX-480000019,HC EP EVAL W ARRHYTHMIA,25480.0,19110.0,8322.88,25480.0,916 CDM,PX-480000020,HC EP EVAL W LT ATRL/COR SIN PCNG,11120.0,8340.0,5004.0,11120.0,909 CDM,PX-480000021,HC EP EVAL W LT VENT PACING,11494.0,8620.5,5172.3,11494.0,909 CDM,PX-480000022,HC EP EVAL W SUPRAVENT ABLATE,59032.0,44274.0,1037.27,59032.0,916 CDM,PX-480000023,HC EP EVAL W VENT TACHY ABLATE,68297.0,51222.75,1250.15,68297.0,916 CDM,PX-480000024,HC EP EVAL WO ARRHYTHMIA,26499.0,19874.25,8322.88,26499.0,915 CDM,PX-480000025,HC EP FOLLOW UP STUDY W ARRYTH,22968.0,17226.0,8322.88,22968.0,915 CDM,PX-480000026,HC EVAL EPS ICD GENERATOR W TEST,7695.0,5771.25,3462.75,7695.0,910 CDM,PX-480000028,HC EVAL EPS ICD SYS,8538.0,6403.5,121.2,8538.0,915 CDM,PX-480000031,HC INS/RPLC PCMKR ATRIAL & VENT,37345.0,28008.75,664.55,37345.0,916 CDM,PX-480000032,HC INS/RPLC TEMP ELEC/PCMKR SNGL,25996.0,19497.0,205.32,25996.0,915 CDM,PX-480000034,HC INTER PCMKR/ICD REM TECH 90DAYS,351.0,263.25,39.83,351.0,915 CDM,PX-480000036,HC INTERROGATE DEV SUBQ CARD MON,259.0,194.25,30.86,259.0,916 CDM,PX-480000037,HC INTERROGATE DEV IMPLT SUBQ ICD,348.0,261.0,39.83,348.0,916 CDM,PX-480000038,HC INTERROGATE DEVICE ICD,279.0,209.25,39.83,279.0,916 CDM,PX-480000039,HC INTERROGATE DEVICE PACEMAKER,263.0,197.25,39.83,263.0,915 CDM,PX-480000059,HC PERI-PROC ICD LEAD EVAL & PROG,329.0,246.75,43.64,329.0,910 CDM,PX-480000060,HC PERI-PROC PCMKR EVAL & PROG,211.0,158.25,43.64,211.0,912 CDM,PX-480000062,HC PROGR DEV EVAL ICD DUAL LEAD,327.0,245.25,39.83,327.0,916 CDM,PX-480000063,HC PROGR DEV EVAL ICD MULT LEAD,391.0,293.25,39.83,391.0,916 CDM,PX-480000064,HC PROGR DEV EVAL ICD SNGL LEAD,339.0,254.25,39.83,339.0,916 CDM,PX-480000065,HC PROGR DEV EVAL SUBQ CARD MON,320.0,240.0,39.83,320.0,916 CDM,PX-480000066,HC PROGR DEV EVAL IMPLT SUBQ ICD,352.0,264.0,39.83,352.0,916 CDM,PX-480000067,HC PROGR DEV EVAL PCMKR DUAL LEAD,307.0,230.25,39.83,307.0,916 CDM,PX-480000068,HC PROGR DEV EVAL PCMKR MULT LEAD,357.0,267.75,39.83,357.0,916 CDM,PX-480000069,HC PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,307.0,230.25,39.83,307.0,916 CDM,PX-480000077,HC STIM HRT PACING POST IV INF,11682.0,8761.5,5256.9,11682.0,910 CDM,PX-480000078,HC TELETRACE RHYTM PACE EA 90DAYS,379.0,284.25,38.3,379.0,915 CDM,PX-480000080,HC TILT TABLE EVAL W/WO DRUG,2910.0,2182.5,113.93,2910.0,916 CDM,PX-480000086,HC DRUG ADMIN AND HEMODYN MEAS,1990.0,1492.5,122.64,1990.0,910 CDM,PX-480000097,HC TRANSCATH PULM VLV IMPL PERC,72478.0,54358.5,1100.64,72478.0,915 CDM,PX-480000099,HC PTA ARTERIAL INITIAL,20649.0,15486.75,451.13,20649.0,915 CDM,PX-480000102,HC RPLC/INSRT TRANSCATH LEADLS PM,66610.0,49957.5,611.57,66610.0,915 CDM,PX-480000104,HC IMPL PT ACTV CARD EVENT RECORD,31407.0,23555.25,110.48,31407.0,916 CDM,PX-480000105,HC RMVL IMPL CARDIAC EVENT RECORD,3448.0,2586.0,108.98,3448.0,916 CDM,PX-480000132,HC MYOCARDIAL STRAIN IMAGING,557.0,417.75,14.81,557.0,914 CDM,PX-480000133,HC IMPL ICD W SUBSTERN LEADS,146195.0,109646.25,33494.51,146195.0,916 CDM,PX-480000138,HC INTEROGATE EVAL ICD SUBSTERNAL,219.0,164.25,39.83,219.0,915 CDM,PX-480000146,HC INTERO VAD IN PERSON,3522.0,2641.5,50.3,3522.0,915 CDM,PX-480000156,HC EVASC ST RPR THRC/AA X CRSG,9282.0,6961.5,655.99,9282.0,915 CDM,PX-480000171,HC INSN PHRNC NRV STIM SYS,50294.0,37720.5,736.97,54051.41,916 CDM,PX-480000188,HC TCAT INS 2CHMBR LDLS PM CMPL,82216.0,61662.0,20553.81,82216.0,915 CDM,PX-48100,PR BIOPSY PANCREAS OPEN,5480.0,4110.0,409.52,5315.6,683 CDM,PX-481000002,HC BX ENDOMYOCARDIAL,13031.0,9773.25,624.71,13031.0,916 CDM,PX-481000003,HC CARDIOVSN ELECT EXTERNAL,2580.0,1935.0,140.06,2580.0,916 CDM,PX-481000005,HC CATH PLC ART/GRFT ANG W R&L HRT,14007.0,10505.25,1347.3,14007.0,915 CDM,PX-481000006,HC CATH PLC ART/VEN ANG W R&L HRT,13389.0,10041.75,1223.57,13389.0,916 CDM,PX-481000007,HC CATH PLC ARTY/GRFT ANG W L HRT,14773.0,11079.75,1106.57,14773.0,916 CDM,PX-481000008,HC CATH PLC ARTY/GRFT ANG W R HRT,13500.0,10125.0,1238.61,13500.0,915 CDM,PX-481000009,HC CATH PLC ARTY/VENT ANG W L HRT,14134.0,10600.5,1050.3,14134.0,916 CDM,PX-481000010,HC CATH PLC COR ARTY ANGIO S&I,13803.0,10352.25,936.69,13803.0,916 CDM,PX-481000011,HC CATH PLC COR ARTY/ANG W RT HRT,14459.0,10844.25,1148.85,14459.0,916 CDM,PX-481000012,HC CATH PLC COR ARTY/GRFT ANGIO,13892.0,10419.0,1027.97,13892.0,916 CDM,PX-481000018,HC EXERCISE STUDY W HEMODYN MEAS,1989.0,1491.75,197.06,1989.0,910 CDM,PX-481000022,HC INJ ANGIO CONG HRT CATH S&I,7891.0,5918.25,65.19,7891.0,909 CDM,PX-481000023,HC INJ CATH RT VENT/ATRIAL ANGIO,5506.0,4129.5,32.84,5506.0,909 CDM,PX-481000024,HC INJ CATH SUPRVLV AORTOGRAPHY,2077.0,1557.75,47.24,2077.0,909 CDM,PX-481000026,HC INJ PULM ANGIO S&I,4478.0,3358.5,59.06,4478.0,909 CDM,PX-481000028,HC INS INTRA AORTIC BLN DEV PERC,12018.0,9013.5,218.59,12018.0,915 CDM,PX-481000029,HC INS PACING ELCTD LV LEAD ADD,33025.0,24768.75,575.15,33025.0,910 CDM,PX-481000030,HC INS PACING ELCTD LV LEAD CONN,58942.0,44206.5,643.71,58942.0,915 CDM,PX-481000031,HC INS PCMKR PLS GEN EXIST 1 LEAD,36157.0,27117.75,425.81,36157.0,915 CDM,PX-481000032,HC INS PCMKR PLS GEN EXIST 2 LEAD,44431.0,33323.25,442.4,44431.0,915 CDM,PX-481000033,HC INS PCMKR/GEN EXIST MULTI LEAD,38976.0,29232.0,464.25,38976.0,915 CDM,PX-481000034,HC INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,18352.0,13764.0,304.3,18352.0,916 CDM,PX-481000036,HC INS PULSE GEN W EXST MULT LEAD,100578.0,75433.5,517.46,100578.0,915 CDM,PX-481000037,HC INS SNGL ELTRD/PPCMKR/ICD,31183.0,23387.25,482.81,31183.0,916 CDM,PX-481000038,HC INS/PLC FLOW DIR CATH,10794.0,8095.5,120.47,10794.0,915 CDM,PX-481000039,HC INS/RPLC DFIB W TRANSVEN LEAD,78250.0,58687.5,1163.0,78250.0,916 CDM,PX-481000042,HC INS/RPLC PCMKR ATRIAL,35654.0,26740.5,586.1,35654.0,915 CDM,PX-481000043,HC INS/RPLC PCMKR VENT,30901.0,23175.75,615.39,30901.0,915 CDM,PX-481000044,HC INS/RPLC SUBQ ICD W SUBQ ELEC,116655.0,87491.25,718.58,116655.0,917 CDM,PX-481000048,HC INSERT ELECTRODE IMPLANT DUAL,36157.0,27117.75,481.31,36157.0,915 CDM,PX-481000052,HC INTRVAS DPLR ANGIO ADD,8360.0,6270.0,3762.0,8360.0,909 CDM,PX-481000053,HC INTRVAS DPLR ANGIO INIT,3944.0,2958.0,1774.8,3944.0,909 CDM,PX-481000054,HC IVUS HRT EA VSSL ADD W S&I,2985.0,2238.75,1343.25,2985.0,909 CDM,PX-481000055,HC IVUS HRT EA VSSL INIT W S&I,5044.0,3783.0,2269.8,5044.0,910 CDM,PX-481000056,HC LT HRT CATH TXSPTL PUNC,13706.0,10279.5,258.09,13706.0,910 CDM,PX-481000057,HC LT HRT CATH W VENTRICULOGRAPHY,15651.0,11738.25,937.19,15651.0,915 CDM,PX-481000058,HC MAP EPS 3D,8190.0,6142.5,361.31,8190.0,910 CDM,PX-481000061,HC PACING INTRA VENTRICULAR,22647.0,16985.25,8322.88,22647.0,915 CDM,PX-481000066,HC PERC REVASC TRANS CHR SNGL VESL,53458.0,40093.5,924.51,53458.0,915 CDM,PX-481000067,HC PERC REVASC TRANS COR SNGL VESL,45602.0,34201.5,763.7,45602.0,915 CDM,PX-481000068,HC PERC REVASC TRANS MI SNGL VESL,47266.0,35449.5,573.14,47266.0,915 CDM,PX-481000070,HC PERC TRANSCATH PLCT DRUG STNT ADD,34507.0,25880.25,15528.15,34507.0,909 CDM,PX-481000071,HC PERC TRANSCATH PLCT DRUG STNT SNG,30934.0,23200.5,676.46,30934.0,915 CDM,PX-481000073,HC PERC TRANSLUM ATHER WANGIO SNG,61703.0,46277.25,19561.37,61703.0,915 CDM,PX-481000074,HC PERC TRANSLUM REVASC ADDL VSSL,41209.0,30906.75,18544.05,41209.0,909 CDM,PX-481000075,HC PERC TRANSLUM REVASC AMI SNGL,47266.0,35449.5,573.14,47266.0,911 CDM,PX-481000076,HC PERC TRANSLUM REVASC COR SNGL,53458.0,40093.5,924.51,53458.0,915 CDM,PX-481000077,HC PERC TRANSLUM REVASC SNGL VSSL,45602.0,34201.5,763.7,45602.0,915 CDM,PX-481000081,HC PLC INTRACOR STNT SNGL,30934.0,23200.5,676.46,30934.0,915 CDM,PX-481000084,HC PTCA SNGL MJR ARTY/BRNCH,23369.0,17526.75,564.51,23369.0,915 CDM,PX-481000086,HC PTCA W COR ANGIO SNGL MJR,43048.0,32286.0,684.38,43048.0,915 CDM,PX-481000087,HC RELOCATION SKIN POCKET DFIB,17081.0,12810.75,530.57,17081.0,915 CDM,PX-481000088,HC RELOCATION SKIN POCKET PCMKR,8726.0,6544.5,452.03,8726.0,915 CDM,PX-481000089,HC REPO IMPL LV ELECT,23038.0,17278.5,616.86,23038.0,915 CDM,PX-481000091,HC REPOSITION PCMKR/LEAD RA/RV,13645.0,10233.75,401.04,13645.0,915 CDM,PX-481000092,HC RIGHT HEART CATH,14713.0,11034.75,1051.38,14713.0,917 CDM,PX-481000093,HC RMVL ICD ELEC TRANSVEN EXTRACT,13825.0,10368.75,1116.99,13825.0,915 CDM,PX-481000094,HC RMVL ICD GEN ONLY SUBQ,15058.0,11293.5,288.05,15058.0,915 CDM,PX-481000096,HC RMVL PCMKR ELEC 1 LEAD SYS,14409.0,10806.75,625.49,14409.0,915 CDM,PX-481000097,HC RMVL PCMKR ELEC DUAL LEAD SYS,14986.0,11239.5,827.4,14986.0,916 CDM,PX-481000098,HC RMVL PCMKR PULSE GEN ONLY,27134.0,20350.5,309.45,27134.0,915 CDM,PX-481000100,HC RMVL SQ IPLT DFB ELEC,20043.0,15032.25,452.25,20043.0,916 CDM,PX-481000101,HC RMVL&RPLC ICD GEN DUAL LEAD,73091.0,54818.25,498.9,73091.0,916 CDM,PX-481000102,HC RMVL&RPLC ICD GEN MULTI LEAD,82978.0,62233.5,517.91,82978.0,916 CDM,PX-481000103,HC RMVL&RPLC ICD GEN SNGL LEAD,74925.0,56193.75,479.94,74925.0,915 CDM,PX-481000104,HC RPLC AORTIC VALVE TRANSAORTIC,79560.0,59670.0,1237.89,79560.0,915 CDM,PX-481000105,HC RPLC AORTIC VLV OPEN FEM ARTY,16578.0,12433.5,1141.9,16578.0,915 CDM,PX-481000106,HC RPLC AORTIC VLV PERC FEM ARTY,79977.0,59982.75,1048.56,79977.0,915 CDM,PX-481000107,HC RPLC PERM GEN DUAL LEAD,36051.0,27038.25,459.41,36051.0,916 CDM,PX-481000108,HC RPLC PERM GEN MULT LEAD,38609.0,28956.75,480.42,38609.0,916 CDM,PX-481000109,HC RPLC PERM GEN SNGL LEAD,36014.0,27010.5,439.98,36014.0,915 CDM,PX-481000110,HC RPR SNGL ELTRD/PPCMKR/ICD,22668.0,17001.0,507.63,22668.0,915 CDM,PX-481000111,HC RT< HRT CATH W VENTRICLGRPHY,16381.0,12285.75,1172.64,16381.0,915 CDM,PX-481000118,HC SEL CATH EA 1ST ORD THRC/BRCH,4945.0,3708.75,276.14,4945.0,909 CDM,PX-481000129,HC THROMB CRNARY PERC,16018.0,12013.5,118.85,16018.0,909 CDM,PX-481000135,HC TRNSCATH MITR VLV RPR ADD PROST,10185.0,7638.75,536.7,10185.0,909 CDM,PX-481000136,HC TX CATH CLSR ASD W IMP,60262.0,45196.5,1231.04,60262.0,917 CDM,PX-481000140,HC UPGRADE IMPL PCMKR SYS,50619.0,37964.25,620.31,50619.0,915 CDM,PX-481000161,HC PTCA INTRACOR STNT SNGL MJR,61703.0,46277.25,807.06,61703.0,915 CDM,PX-481000165,HC PERC TRANSLUM ATHER WANGIO EA ADD,61703.0,46277.25,27766.35,61703.0,909 CDM,PX-481000166,"HC PARAVALVULAR LEAK CLOSURE, INI",66578.0,49933.5,1349.24,66578.0,915 CDM,PX-481000168,HC PERC TXCATH CLSR LT ATR APNDG,42777.0,32082.75,600.88,42777.0,916 CDM,PX-481000172,HC PTA VENOUS INITIAL,19180.0,14385.0,382.01,19180.0,916 CDM,PX-481000174,HC TMVI PERCUTANEOUS APPROACH,17341.0,13005.75,7803.45,17341.0,909 CDM,PX-481000177,HC PACING HRT RHYTHM,6187.0,4640.25,1299.21,6187.0,915 CDM,PX-481000179,HC RPLC AORTIC VLV OPEN AXIL ARTY,81120.0,60840.0,1186.27,81120.0,915 CDM,PX-481000181,HC PERC TRANSCATH CLSR AORTIC,67538.0,50653.5,1112.33,67538.0,915 CDM,PX-481000195,HC VASC EMBL/OCCLUDE VENOUS,37307.0,27980.25,545.43,37307.0,916 CDM,PX-481000197,HC INJ EXT VENOGRPH W NDLCATH,2993.0,2244.75,61.23,2993.0,910 CDM,PX-481000198,HC PLC OPN/PERC STENT INIT,35277.0,26457.75,569.15,35277.0,915 CDM,PX-481000199,HC PLC OPN/PERC STENT SAME INIT,35443.0,26582.25,395.85,35443.0,916 CDM,PX-481000205,"HC TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",100225.0,75168.75,415.5,100225.0,916 CDM,PX-481000208,HC PERICARDIOCENTESIS W IMAGE GUIDE,10997.0,8247.75,297.69,10997.0,915 CDM,PX-481000209,HC PERI DRN W FLUOR/US >6YR W/O CONG,12012.0,9009.0,208.2,12012.0,915 CDM,PX-481000212,"HC TRNSCTH TRICUSP VLV REPAIR, INIT",19501.0,14625.75,8775.45,19501.0,909 CDM,PX-481000213,"HC TRNSCTH TRICUS VLV REP, EA ADDL",3077.0,2307.75,1384.65,3077.0,909 CDM,PX-481000227,HC INJ CATH LT VENT/ATRIAL ANGIO,4838.0,3628.5,34.07,4838.0,909 CDM,PX-481000232,HC TTVI/RPLCMT W/PRSTC VLV PERQ,14527.0,10895.25,6537.15,14527.0,909 CDM,PX-481000233,HC INSERT PERQ VAD R HRT VENOUS,18172.0,13629.0,304.09,18172.0,915 CDM,PX-481000234,HC R HRT CATH CHD NML NT CNJ,16857.0,12642.75,3459.41,16857.0,915 CDM,PX-481000235,HC R HRT CATH CHD ABNL NT CNJ,16460.0,12345.0,3459.41,16460.0,915 CDM,PX-481000237,HC R&L HRT CATH CHD NML NT CNJ,16138.0,12103.5,3459.41,16138.0,915 CDM,PX-481000238,HC R&L HRT CATH CHD ABNL NT CNJ,16697.0,12522.75,3459.41,16697.0,916 CDM,PX-481000239,HC CAR OUTP MEAS DRG CATH CHD,3215.0,2411.25,1446.75,3215.0,909 CDM,PX-481000240,HC TCAT PLMT&RMVL CEPD PERQ,1622.0,1216.5,169.02,1622.0,909 CDM,PX-481000248,HC NJX CATH SLCT P-ART ANGRP BI,9170.0,6877.5,78.71,9170.0,909 CDM,PX-481000251,HC INTRVAS DPLR ANGIO INIT IFR,5747.0,4310.25,137.3,5747.0,916 CDM,PX-481000284,HC TRANSCAROTID TAVR,2676.0,2007.0,669.38,2676.0,915 CDM,PX-481000287,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3325.0,2493.75,181.01,3325.0,909 CDM,PX-481000295,HC PRQ TCAT THER RX NTRAC BALO1,49276.0,36957.0,12318.6,49276.0,915 CDM,PX-481000418,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,78244.0,58683.0,748.31,78244.0,915 CDM,PX-48102,PR BIOPSY PANCREAS PERC NEEDLE,2080.0,1560.0,240.14,2017.6,683 CDM,PX-48105,PR DBRD PANCREAS NECROTIZING,27547.0,20660.25,1243.53,26720.59,683 CDM,PX-48120,PR EXCISN LESN PANCREAS,6609.0,4956.75,507.57,6410.73,683 CDM,PX-48140,PR PANCREATECT WO PANCROJEJUNOST,8907.0,6680.25,706.86,8639.79,683 CDM,PX-48150,PR PNCRTECT TOT DUOD W PANCRJEJ,17195.0,12896.25,1393.36,16679.15,683 CDM,PX-48152,PR PNCRTECT TOT DUOD WO PANCRJEJ,19399.0,14549.25,1295.7,18817.03,683 CDM,PX-48153,PR PNCRTECT NR TOT DUOD W PANCRJEJ,20557.0,15417.75,1388.5,19940.29,683 CDM,PX-48154,PR PNCRTECT NR TOT DUOD WO PANCRJEJ,18611.0,13958.25,1301.2,18052.67,683 CDM,PX-48155,PR PANCREATECTOMY TOTAL,11030.0,8272.5,830.31,10699.1,683 CDM,PX-482000004,HC CV STRESS TEST TRACE ONLY,1229.0,921.75,56.69,1229.0,920 CDM,PX-483000001,HC ECHO 2D CONG CARD COMPLT W CNTST,2633.0,1974.75,232.86,2633.0,915 CDM,PX-483000004,HC ECHO 2D TTE FU/LTD W CONTRST,1481.0,1110.75,111.06,1481.0,915 CDM,PX-483000005,HC ECHO TEE 2D COMPLETE W CNTRST,2500.0,1875.0,195.0,2500.0,915 CDM,PX-483000006,HC ECHO CONGENITAL CARD COMPLETE,2633.0,1974.75,232.86,2633.0,915 CDM,PX-483000009,HC ECHO TEE 2D COMPLETE,2500.0,1875.0,195.0,2500.0,918 CDM,PX-483000012,HC ECHO TEE,3852.0,2889.0,284.28,3852.0,910 CDM,PX-483000014,HC ECHO TTE STRESS W CONT ECG,2560.0,1920.0,221.16,2560.0,918 CDM,PX-483000015,HC ECHO TTE W DPLR CMPLT W CNTRST,3027.0,2270.25,187.71,3027.0,915 CDM,PX-483000016,HC ECHO TTE W CONT ECG W CNTRST,2560.0,1920.0,221.16,2560.0,915 CDM,PX-483000017,HC ECHO TEE WO/W CNTRST CONGNTAL,4844.0,3633.0,583.07,4844.0,915 CDM,PX-483000018,HC TEE CONGENITAL CARD ANOMALIES,4844.0,3633.0,583.07,4844.0,916 CDM,PX-483000022,HC ECHO CONGENITAL CARD FU/LTD,2488.0,1866.0,172.73,2488.0,915 CDM,PX-483000023,HC ECHO DPLR COLOR FLOW MAP,1157.0,867.75,29.61,1157.0,914 CDM,PX-483000024,HC ECHO DPLR COMPLETE,888.0,666.0,49.47,888.0,913 CDM,PX-483000025,HC ECHO DPLR FU/LIMITED,789.0,591.75,26.22,789.0,914 CDM,PX-483000027,HC ECHO TTE 2D FU/LIMITED,1481.0,1110.75,111.06,1481.0,919 CDM,PX-483000028,HC ECHO TTE 2D W DPLR COMPLETE,3027.0,2270.25,187.71,3027.0,920 CDM,PX-483000033,HC 3D ECHO IMG CGEN CAR ANOMAL,1566.0,1174.5,30.63,1566.0,912 CDM,PX-48550,PR PANCREATECTOMY DONOR,7247.0,5435.25,3261.15,7247.0,676 CDM,PX-48551,PR BKBENCH DONOR PANCREAS,4326.0,3244.5,121.86,4196.22,683 CDM,PX-48552,PR BKBENCH DONOR PANCREAS ANAST,2153.0,1614.75,102.49,2088.41,683 CDM,PX-48554,PR TXPLANT PANCREATIC ALLOGRFT,31512.0,23634.0,1241.45,30566.64,683 CDM,PX-48556,PR RMVL TXPLANT PANCREATIC ALLO,10767.0,8075.25,604.06,10443.99,683 CDM,PX-48999001,PR ENDO PANCREATIC NECROSECTOMY,27547.0,20660.25,1450.0,26720.59,683 CDM,PX-48999004,PR EUS RADIO FREQUENCY ABLATION,13000.0,9750.0,1450.0,12610.0,683 CDM,PX-48999006,PR LAPAROSCOPIC DISTAL PANCREATECTOMY,8907.0,6680.25,1450.0,8639.79,683 CDM,PX-48999007,"PR LAPAROSCOPIC PANCREATECTOMY, PRO TOTAL",20557.0,15417.75,1450.0,19940.29,683 CDM,PX-48999009,PR ROBOTIC-ASSISTED DISTAL PANCREATECTOMY,8907.0,6680.25,1450.0,8639.79,683 CDM,PX-48999010,"PR ROBOTIC PANCREATECTOMY, WHIPPLE STANDARD",20634.0,15475.5,1450.0,20014.98,683 CDM,PX-49000,PR LAP CELIOTOMY W/WO BX EXPLR,3642.0,2731.5,353.76,3532.74,683 CDM,PX-490000000,HC PATIENT DOC NOT EXP FALL,1.0,0.75,0.45,1.0,909 CDM,PX-490000001,HC PATIENT WO IV ANTIBIO ORDER,1.0,0.75,0.45,1.0,909 CDM,PX-49002,PR REOPNING OF RECENT LAPAROTOMY,6365.0,4773.75,472.89,6174.05,683 CDM,PX-49010,PR EXPLR RETROPERITONEAL W/WO BX,5084.0,3813.0,419.6,4931.48,683 CDM,PX-49020,PR DRN PERITON ABSC OPN,7846.0,5884.5,722.44,7610.62,683 CDM,PX-49060,PR DRN RETROPERITONEAL ABCESS OPN,5986.0,4489.5,498.49,5806.42,683 CDM,PX-49062,PR DRN EXTRAPERITONEAL LYMPHOCELE,5062.0,3796.5,355.54,4910.14,683 CDM,PX-49082,PR PARACENTESIS ABD WO IMG,843.0,632.25,101.18,817.71,693 CDM,PX-49083,PR PARACENTESIS ABD W IMG,1793.0,1344.75,117.58,1739.21,693 CDM,PX-49180,PR BX ABD/RETROPERITNL MASS PERC,1651.0,1238.25,83.07,1601.47,683 CDM,PX-49185,PR SCLEROTHERAPY FLUID COLLECT PERC,2855.0,2141.25,994.74,2855.0,686 CDM,PX-49186,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",7370.0,5527.5,593.78,7148.9,683 CDM,PX-49187,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",9419.0,7064.25,751.61,9136.43,683 CDM,PX-49188,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",11255.0,8441.25,900.24,10917.35,683 CDM,PX-49189,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",13094.0,9820.5,1043.6,12701.18,683 CDM,PX-49190,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",16140.0,12105.0,1283.65,15655.8,683 CDM,PX-49215,PR EXCISN PRESAC/SACROCOCCYGEAL TMR,12054.0,9040.5,974.48,11692.38,683 CDM,PX-49255,PR OMENTECTOMY EPIPLOECTOMY,4046.0,3034.5,365.22,3924.62,683 CDM,PX-49320,PR LAP ABD/PERITNM/OMENT DX BRUSH,1955.0,1466.25,153.53,1896.35,683 CDM,PX-49321,PR LAPAROSCOPY W BX SNGL/MULT,2624.0,1968.0,159.93,2545.28,683 CDM,PX-49322,PR LAPAROSCOPY W ASP CAVITY/CYST,2334.0,1750.5,172.54,2263.98,683 CDM,PX-49323,PR LAPAROSCOPY DRN LYMPH TO PERIT,3432.0,2574.0,293.51,3329.04,683 CDM,PX-49324,PR LAPAROSCOPY W INS TUNL CATH,2700.0,2025.0,177.52,2619.0,683 CDM,PX-49325,PR LAP W REV INTRAPERITONEAL CATH,4951.0,3713.25,188.55,4802.47,683 CDM,PX-49329003,PR LAPAROSCOPIC GRAHAM PATCH,2637.0,1977.75,65.93,2557.89,683 CDM,PX-49329004,PR ROBOTIC LAPAROSCOPIC GRAHAM PATCH,2637.0,1977.75,65.93,2557.89,683 CDM,PX-49329005,PR LAP REMOVAL IUD,4730.0,3547.5,118.25,4588.1,683 CDM,PX-49400,PR INJ AIR/CNTRST PERITONEAL CAV,746.0,559.5,38.58,723.62,697 CDM,PX-49402,PR RMVL PERITONEAL FOREIGN BODY,4730.0,3547.5,388.27,4588.1,683 CDM,PX-49405,PR DRN VISC FLUID CATH PERC W IMG,2738.0,2053.5,407.09,2655.86,683 CDM,PX-49406,PR DRN PERITNM FLUID CATH W IMG,3408.0,2556.0,406.77,3305.76,683 CDM,PX-49407,PR DRN TRANSREC/VAG FL CATH W IMG,3303.0,2477.25,358.17,3203.91,683 CDM,PX-49411,PR INS MARK ABD/PEL FOR RT PERC,1596.0,1197.0,229.14,1548.12,683 CDM,PX-49418,PR INS INTRAPERITONEAL CATH W IMG,3106.0,2329.5,456.39,3012.82,683 CDM,PX-49419,PR INS TUNL IP CATH SUBQ PORT,2541.0,1905.75,190.24,2464.77,683 CDM,PX-49422,PR RMVL TUNL INTRAPERITONEAL CATH,2439.0,1829.25,97.95,2365.83,683 CDM,PX-49423,PR EXCHNG DRN CATH RAD GUIDANCE,1329.0,996.75,266.64,1289.13,683 CDM,PX-49424,PR INJ CNTRST EVAL ABSC/CYST,546.0,409.5,83.11,529.62,683 CDM,PX-49428,PR LIGATION PERITNL VENOUS SHUNT,2745.0,2058.75,199.48,2662.65,683 CDM,PX-49440,PR INSERT GASTROSTOMY TUBE PERC,4563.0,3422.25,383.09,4426.11,683 CDM,PX-49441,PR INSERT DUODEN/JEJUN TUBE PERC,3051.0,2288.25,476.56,2959.47,683 CDM,PX-49446,PR CONVERSION TO GASTRO-JEJ TUBE,2360.0,1770.0,370.82,2289.2,683 CDM,PX-49450,PR RPLC GASTROST/CECOST TUBE PERC,2899.0,2174.25,273.73,2812.03,683 CDM,PX-49451,PR RPLC DUOD/JEJ TUBE PERC,2285.0,1713.75,292.15,2216.45,683 CDM,PX-49452,PR RPLC TUBE GASTRO-JEJ W FLUORO,6026.0,4519.5,353.34,5845.22,683 CDM,PX-49465,PR INJ CONTRAST RAD EVAL GI TUBE,585.0,438.75,63.15,567.45,683 CDM,PX-49505,PR RPR INGUINL HERNIA >5YR REDUC,2475.0,1856.25,246.29,2400.75,683 CDM,PX-49507,PR RPR INGUINL HERNIA >5 INCARC,3136.0,2352.0,275.48,3041.92,683 CDM,PX-49520,PR RPR RCUR INGUINL HERNIA REDUC,3849.0,2886.75,294.9,3733.53,683 CDM,PX-49521,PR RPR RCUR INGUINL HERNIA INCARC,4555.0,3416.25,332.19,4418.35,683 CDM,PX-49525,PR RPR INGUINAL HERNIA SLIDING,4081.0,3060.75,228.52,3958.57,693 CDM,PX-49550,PR RPR FEM HERNIA REDUCIBLE INIT,3085.0,2313.75,270.78,2992.45,683 CDM,PX-49553,PR RPR FEMORAL HERNIA INCARC INITIAL,3620.0,2715.0,295.26,3511.4,683 CDM,PX-49591,PR RPR AA HRN 1ST < 3 CM RDC,2525.0,1893.75,153.13,2449.25,683 CDM,PX-49592,PR RPR AA HRN 1ST < 3 NCR/STRN,3822.0,2866.5,211.87,3707.34,683 CDM,PX-49593,PR RPR AA HRN 1ST 3-10 RDC,4417.0,3312.75,254.65,4284.49,683 CDM,PX-49594,PR RPR AA HRN 1ST 3-10 NCR/STRN,5224.0,3918.0,330.9,5067.28,683 CDM,PX-49595,PR RPR AA HRN 1ST > 10 RDC,5611.0,4208.25,341.78,5442.67,683 CDM,PX-49596,PR RPR AA HRN 1ST > 10 NCR/STRN,7460.0,5595.0,454.26,7236.2,683 CDM,PX-49613,PR RPR AA HRN RCR < 3 RDC,3501.0,2625.75,187.79,3395.97,683 CDM,PX-49614,PR RPR AA HRN RCR < 3 NCR/STRN,4541.0,3405.75,254.16,4404.77,683 CDM,PX-49615,PR RPR AA HRN RCR 3-10 RDC,4970.0,3727.5,283.17,4820.9,683 CDM,PX-49616,PR RPR AA HRN RCR 3-10 NCR/STRN,6220.0,4665.0,379.88,6033.4,683 CDM,PX-49617,PR RPR AA HRN RCR > 10 RDC,6395.0,4796.25,392.17,6203.15,683 CDM,PX-49618,PR RPR AA HRN RCR > 10 NCR/STRN,9137.0,6852.75,548.98,8862.89,683 CDM,PX-49621,PR RPR PARASTOMAL HERNIA RDC,6025.0,4518.75,332.05,5844.25,683 CDM,PX-49622,PR RPR PARASTOMAL HRNA NCR/STRN,6361.0,4770.75,412.56,6170.17,683 CDM,PX-49623,PR RMVL NINFCT MESH HERNIA RPR,1842.0,1381.5,178.54,1842.0,676 CDM,PX-49650,PR LAP RPR HERNIA INGUINAL INIT,3137.0,2352.75,205.66,3042.89,683 CDM,PX-49651,PR LAP RPR HERNIA INGUINAL RECUR,2400.0,1800.0,266.7,2328.0,683 CDM,PX-49659002,PR ROBOTIC OR LAP FEM HERNIA RPR UNILAT,3085.0,2313.75,77.13,2992.45,683 CDM,PX-49659003,PR ROBOTIC OR LAP FEM HERNIA RPR BIILAT,4628.0,3471.0,115.7,4489.16,683 CDM,PX-49659004,PR LAP RECTUS MYOFASCIAL RELEAS X2,24960.0,18720.0,624.0,24211.2,683 CDM,PX-49659005,PR LAP RECTUS MYOFASCIAL RELEAS X4,49920.0,37440.0,1248.0,48422.4,683 CDM,PX-49659006,PR ROBOTIC RECTUS MYOFASCIAL RELEAS X2,24960.0,18720.0,624.0,24211.2,683 CDM,PX-49659007,PR ROBOTIC RECTUS MYOFASCIAL RELEAS X4,49920.0,37440.0,1248.0,48422.4,683 CDM,PX-49900,PR SUTR ABD WALL EVISC/DEHIS,4344.0,3258.0,388.27,4213.68,683 CDM,PX-49904,PR OMENTAL FLAP EXTRA ABDOMINAL,9085.0,6813.75,626.0,8812.45,683 CDM,PX-49905,PR OMENTAL FLAP INTRA ABDOMINAL,2637.0,1977.75,306.23,2637.0,676 CDM,PX-49906,PR FREE OMENT FLAP W MICRO ANAST,11860.0,8895.0,795.22,11504.2,683 CDM,PX-49999003,PR PERC ABLAT ABD/RETROPERTNEAL,15184.0,11388.0,379.6,14728.48,683 CDM,PX-49999007,PR ABDOMINAL PEDICLED ROUND LIGAMENT FLAP,2637.0,1977.75,65.93,2557.89,683 CDM,PX-50080,PR NEPHROSTOLITHOTOMY PERC <=2CM,6788.0,5091.0,307.88,6584.36,683 CDM,PX-50081,PR NEPHROLITHOTOMY PERC >2CM,6777.0,5082.75,490.95,6573.69,683 CDM,PX-50200,PR BIOPSY RENAL NEEDLE/TROC PERC,2106.0,1579.5,239.12,2042.82,683 CDM,PX-50205,PR BX RENAL SURG EXPOSURE KIDNEY,5705.0,4278.75,346.08,5533.85,683 CDM,PX-50220,PR NEPHREC INCL PARTL URETERECT,7034.0,5275.5,470.4,6822.98,683 CDM,PX-50230,PR NEPHREC RMVL LYMPHDEC/THROMB,8853.0,6639.75,559.46,8587.41,683 CDM,PX-50234,PR NEPHREC W TOT URETREC SAME INC,8923.0,6692.25,568.53,8655.31,683 CDM,PX-50240,PR NEPHRECTOMY PARTIAL,8089.0,6066.75,583.13,7846.33,683 CDM,PX-50300,PR NEPHRECTOMY CADAVER DONOR,11221.0,8415.75,5049.45,11221.0,676 CDM,PX-50320,PR NEPHRECTOMY OPEN LIVE DONOR,9125.0,6843.75,718.8,8851.25,683 CDM,PX-50323,PR BKBENCH CADAVER RENAL GRFT,3432.0,2574.0,100.9,3329.04,683 CDM,PX-50325,PR BKBENCH LIVING RENAL GRFT,4202.0,3151.5,100.9,4075.94,683 CDM,PX-50327,PR BKBENCH RENAL GRFT VEN ANAST,1928.0,1446.0,94.48,1870.16,683 CDM,PX-50328,PR BKBENCH RENAL GRFT ARTL ANAST,1546.0,1159.5,82.52,1499.62,683 CDM,PX-50329,PR BKBENCH RENAL GRFT URETERAL,1136.0,852.0,78.93,1101.92,683 CDM,PX-50360,PR TRANSPLANT RENAL WO NEPHREC,19469.0,14601.75,1112.31,18884.93,683 CDM,PX-50365,PR TRANSPLANT RENAL W NEPHREC,28879.0,21659.25,1356.97,28012.63,683 CDM,PX-50370,PR RMVL TXPLANT RENAL ALLOGRFT,12679.0,9509.25,567.62,12298.63,683 CDM,PX-50380,PR REIMPLANTATION KIDNEY,9140.0,6855.0,959.02,8865.8,683 CDM,PX-50384,PR REMOVAL URETER STENT PERC S&I,3227.0,2420.25,96.55,3130.19,697 CDM,PX-50387,PR RMVL/RPLC TRANSNEPH STNT W S&I,1175.0,881.25,252.33,1139.75,683 CDM,PX-50389,PR RMVL NEPHROSTOMY TUBE W FLUORO,1268.0,951.0,192.26,1229.96,683 CDM,PX-50390,PR ASPIRATION/INJ RENAL CYST PERC,805.0,603.75,39.76,780.85,683 CDM,PX-50391,PR INSTILL THER AGENT RENL/URETER,915.0,686.25,41.64,887.55,697 CDM,PX-50430,PR INJ ANTEGRD NFROSGRM&/URTGRM NEW,2203.0,1652.25,299.72,2136.91,683 CDM,PX-50431,PR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1238.0,928.5,149.53,1200.86,683 CDM,PX-50432,PR PLC NEPHROSTOMY CATH PERC NEW,3399.0,2549.25,419.86,3297.03,683 CDM,PX-50433,PR PLC NEPHROURETERAL CATH PERC NEW,3127.0,2345.25,522.31,3033.19,683 CDM,PX-50434,PR CONV NEPHROST TO NEPHROURET CATH,3553.0,2664.75,420.26,3446.41,683 CDM,PX-50435,PR EXCHG NEPHROST CATH PERC,2021.0,1515.75,273.54,1960.37,683 CDM,PX-50436,PR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,1156.0,867.0,66.77,1121.32,683 CDM,PX-50437,PR PERQ DIL XST TRC NEW ACS REN COLTJ SYS,1981.0,1485.75,109.96,1921.57,683 CDM,PX-50540,PR SYMPHYSIOTOMY HORSESHOE KIDNEY,6624.0,4968.0,502.48,6425.28,683 CDM,PX-50543,PR LAPAROSCOPY PARTL NEPHRECTOMY,9000.0,6750.0,651.54,8730.0,683 CDM,PX-50544,PR LAPAROSCOPY PYELOPLASTY,7730.0,5797.5,540.75,7498.1,683 CDM,PX-50545,PR LAPAROSCOPY RADCL NEPHRECTOMY,9800.0,7350.0,581.46,9506.0,683 CDM,PX-50546,PR LAP NEPHREC W PARTL URETERECT,8026.0,6019.5,528.32,7785.22,683 CDM,PX-50547,PR LAP LIVING DONOR NEPHRECTOMY,14188.0,10641.0,747.58,13762.36,683 CDM,PX-50548,PR LAP NEPHREC W TOT URETERECT,7733.0,5799.75,583.81,7501.01,683 CDM,PX-50549001,PR ROBOTIC ASSISTED KIDNEY TRANSPLANT,19469.0,14601.75,486.73,18884.93,683 CDM,PX-50551,PR ENDO RENAL NEPHROST/PYELSTMY,1967.0,1475.25,184.21,1907.99,683 CDM,PX-50553,PR ENDO RENL NEPHROST URETER CATH,2191.0,1643.25,196.77,2125.27,683 CDM,PX-50555,PR ENDO RENL NEPHROST/PYELSTMY BX,2241.0,1680.75,209.86,2173.77,683 CDM,PX-50557,PR ENDO RENL NEPHROST/PYELSTMY W FULG,2532.0,1899.0,148.87,2456.04,697 CDM,PX-50561,PR ENDO RENAL NEPHROSTOMY RMVL FB,3453.0,2589.75,241.84,3349.41,683 CDM,PX-50562,PR ENDO RENAL NEPHROST RSECT TUM,3893.0,2919.75,251.2,3776.21,683 CDM,PX-50574,PR ENDO RENAL NEPHROTOMY W BIOPSY,2704.0,2028.0,241.99,2622.88,683 CDM,PX-50590,PR LITHOTRIPSY SHOCK WAVE,3286.0,2464.5,370.93,3187.42,683 CDM,PX-50592,PR ABLATION RENAL TUMORS UNILAT RF,5940.0,4455.0,146.2,5761.8,697 CDM,PX-50593,PR ABLATION RENAL TUMOR PERC CRYO,6445.0,4833.75,1701.56,6251.65,683 CDM,PX-50650,PR URETERECTOMY W BLADDER CUFF,7016.0,5262.0,455.98,6805.52,683 CDM,PX-50688,PR CHANGE URETEROSTOMY TUBE/STENT,474.0,355.5,34.83,459.78,683 CDM,PX-50690,PR INJ ILEAL CON/URETEROPYLGRPHY,559.0,419.25,57.0,542.23,683 CDM,PX-50693,PR PLC URETER STNT PRE-EXIST NEPHROST TRCT,2573.0,1929.75,459.83,2495.81,683 CDM,PX-50706,PR BALN DIL URETER STRICTURE W IMG,3139.0,2354.25,152.79,3139.0,690 CDM,PX-50725,PR URETEROLYSIS RETROCAVAL URETER,6241.0,4680.75,483.3,6053.77,683 CDM,PX-50727,PR REV URINARY CUTNEOUS ANASTOM,7252.0,5439.0,231.56,7034.44,683 CDM,PX-50728,PR REV URINARY ANAST W RPR HERNIA,4088.0,3066.0,311.91,3965.36,683 CDM,PX-50760,PR URETEROURETEROSTOMY,6906.0,5179.5,501.49,6698.82,683 CDM,PX-50770,PR TRANSURETEROURETEROSTOMY ANAST,7562.0,5671.5,504.95,7335.14,683 CDM,PX-50780,PR URETERONEOCYST ANAST 1 URETER,7609.0,5706.75,492.06,7380.73,683 CDM,PX-50785,PR URETERONEOCYST W VESICO HTCH/FLAP,9041.0,6780.75,531.23,8769.77,683 CDM,PX-50800,PR URETEROENTEROSTOMY DIRECT,5991.0,4493.25,407.67,5811.27,683 CDM,PX-50820,PR URETEROILEAL CONDUIT W ANAST,9612.0,7209.0,577.11,9323.64,683 CDM,PX-50825,PR DIVERT CONTINENT ANAST INTSTN,10582.0,7936.5,717.67,10264.54,683 CDM,PX-50830,PR URINARY UNDIVERSION,11955.0,8966.25,783.57,11596.35,683 CDM,PX-50840,PR RPLC URETER W INTSTN SEGMENT,6832.0,5124.0,540.68,6627.04,683 CDM,PX-50845,PR CUTANEOUS APPENDICO-VESICOSTMY,7088.0,5316.0,552.83,6875.36,683 CDM,PX-50900,PR URETERORRHAPHY SUTURE URETER,5573.0,4179.75,372.85,5405.81,683 CDM,PX-50947,PR LAP URETERONEO W CYSTOSC STENT,8498.0,6373.5,604.54,8243.06,683 CDM,PX-50948,PR LAP URETERONEO WO CYSTOSC,6966.0,5224.5,554.43,6757.02,683 CDM,PX-50949001,PR ROBOT ASSISTED URETEROURETEROSTOMY,6906.0,5179.5,172.65,6698.82,683 CDM,PX-50951,PR ENDO URETER THRU URETEROSTOMY,1920.0,1440.0,132.02,1862.4,697 CDM,PX-50953,PR ENDO URETER URETEROST W CATH,2156.0,1617.0,203.78,2091.32,683 CDM,PX-50955,PR ENDO URETER URETEROST W BX,2224.0,1668.0,217.03,2157.28,683 CDM,PX-50957,PR ENDO URETER URETEROST W FULG,2703.0,2027.25,152.64,2621.91,697 CDM,PX-50961,PR ENDO URETER URETEROST RMVL FB,2371.0,1778.25,197.91,2299.87,683 CDM,PX-50970,PR ENDO URETER URETEROTOMY,2470.0,1852.5,159.36,2395.9,683 CDM,PX-510000026,HC ARTERIAL PUNCTURE,454.0,340.5,19.31,454.0,915 CDM,PX-510000120,HC CHEMODENERV NECK MUSCLE UNILAT,890.0,667.5,144.15,890.0,916 CDM,PX-510000122,HC CHEMODENERV TRUNK 1-5 MUS,3147.0,2360.25,151.01,3147.0,916 CDM,PX-510000204,HC CMG CMPLX W VOIDING PRESSURE,1785.0,1338.75,337.79,1785.0,915 CDM,PX-510000229,HC COMP OPTH DX IMG OPTIC NERVE,558.0,418.5,20.82,558.0,915 CDM,PX-510000230,HC COMP OPTH DX IMG RETINA,459.0,344.25,21.8,459.0,915 CDM,PX-510000350,HC EMG ANAL/URETHRAL NOT NEEDLE,1767.0,1325.25,42.66,1767.0,915 CDM,PX-510000467,HC EXTERNAL OCULAR PHOTOGRAPHY,693.0,519.75,30.05,693.0,915 CDM,PX-510000550,HC INJ CORPCAV W PHARM AGENT,2211.0,1658.25,99.99,2211.0,916 CDM,PX-510000577,HC INJ TRIGGER PNT<=2 MUS,1092.0,819.0,52.55,1092.0,917 CDM,PX-510000586,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3884.0,2913.0,126.26,3884.0,915 CDM,PX-510000633,HC MEAS PST VOID RESID US NON IMG,303.0,227.25,18.33,303.0,916 CDM,PX-510000655,HC OFFICE CONSULT LEVEL 2,331.0,248.25,142.07,331.0,914 CDM,PX-510000656,HC OFFICE CONSULT LEVEL 3,388.0,291.0,142.07,388.0,915 CDM,PX-510000657,HC OFFICE CONSULT LEVEL 4,453.0,339.75,142.07,453.0,914 CDM,PX-510000658,HC OFFICE CONSULT LEVEL 5,526.0,394.5,142.07,526.0,915 CDM,PX-510000701,HC POSTOPERATIVE FOLLOW-UP VISIT,201.0,150.75,90.45,201.0,914 CDM,PX-510000885,HC UROFLOWMETRY CMPLX,596.0,447.0,9.66,596.0,915 CDM,PX-510000893,HC VISIT EST PATIENT LEVEL 1,240.0,180.0,7.59,240.0,918 CDM,PX-510000894,HC VISIT EST PATIENT LEVEL 2,265.0,198.75,30.6,265.0,917 CDM,PX-510000895,HC VISIT EST PATIENT LEVEL 3,277.0,207.75,56.67,277.0,919 CDM,PX-510000896,HC VISIT EST PATIENT LEVEL 4,310.0,232.5,83.34,310.0,917 CDM,PX-510000897,HC VISIT EST PATIENT LEVEL 5,382.0,286.5,123.8,382.0,917 CDM,PX-510000899,HC VISIT NEW PATIENT LEVEL 2,300.0,225.0,40.51,300.0,916 CDM,PX-510000900,HC VISIT NEW PATIENT LEVEL 3,341.0,255.75,70.31,341.0,916 CDM,PX-510000901,HC VISIT NEW PATIENT LEVEL 4,387.0,290.25,115.07,387.0,917 CDM,PX-510000902,HC VISIT NEW PATIENT LEVEL 5,477.0,357.75,142.07,477.0,915 CDM,PX-510001018,HC UNLISTED PROC FEMALE GENT,553.0,414.75,215.73,553.0,916 CDM,PX-510001130,HC OP CLINIC VISIT ASSESS/MNG,240.0,180.0,108.0,240.0,915 CDM,PX-510001648,HC PLETHYSMOGRAPHY,740.0,555.0,75.14,740.0,916 CDM,PX-510001960,HC HOME INR MATERIAL/EQUIPT,393.0,294.75,95.58,393.0,915 CDM,PX-510001965,HC INJ SPINE LUMB/SAC W IMG,2348.0,1761.0,131.4,2348.0,918 CDM,PX-510002143,HC VOIDING PRES STUDY INTRABD,1038.0,778.5,167.97,1038.0,909 CDM,PX-510002229,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,46.5,31.44,163.38,915 CDM,PX-510002230,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,143.25,39.83,191.0,915 CDM,PX-510002233,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,115.5,26.05,154.0,915 CDM,PX-510002234,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,96.75,26.05,129.0,915 CDM,PX-510002372,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,143.25,39.83,191.0,915 CDM,PX-510002373,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,56.25,13.19,75.0,915 CDM,PX-51020,PR CYSTOTOMY/CYSTOSTOMY W FULG,4660.0,3495.0,213.06,4520.2,683 CDM,PX-51040,PR CYSTOSTOMY CYSTOTOMY W DRAIN,2644.0,1983.0,133.43,2564.68,683 CDM,PX-51050,PR CYSTOLITHOT CYSTO W RMVL CALC,6864.0,5148.0,212.33,6658.08,683 CDM,PX-511000001,HC ELEC ANALYSIS W REPRG REFIL,1326.0,994.5,43.82,1326.0,915 CDM,PX-511000015,HC PAIN REHAB CTR HALF DAY,372.0,279.0,13.91,372.0,911 CDM,PX-511000016,HC HLTH BHV IVNTJ GRP EA ADDL 15,164.0,123.0,6.0,164.0,911 CDM,PX-51102,PR ASP BLADDER/INS SUPUBIC CATH,1618.0,1213.5,117.58,1569.46,683 CDM,PX-51500,PR EXCISION URACHAL CYST/SINUS,4848.0,3636.0,284.09,4702.56,683 CDM,PX-51525,PR CYSTO EXCISN BLAD DIVERTICULUM,5741.0,4305.75,378.64,5568.77,683 CDM,PX-51530,PR CYSTOTOMY EXCISION BLADDER TMR,6197.0,4647.75,341.09,6011.09,683 CDM,PX-51550,PR CYSTECTOMY PARTIAL SIMPLE,11528.0,8646.0,426.21,11182.16,683 CDM,PX-51555,PR CYSTECTOMY PARTIAL COMPLICATED,11607.0,8705.25,552.97,11258.79,683 CDM,PX-51565,PR CYSTECTOMY PARTL REIMPL URETER,15966.0,11974.5,564.01,15487.02,683 CDM,PX-51570,PR CYSTECTOMY COMPLETE,17997.0,13497.75,639.29,17457.09,683 CDM,PX-51575,PR CYSTECTOMY W BILAT PELV LYMPHDEC,21830.0,16372.5,788.87,21175.1,683 CDM,PX-51580,PR CYSTECTOMY W URETEROSIG/TX,11544.0,8658.0,825.09,11197.68,683 CDM,PX-51590,PR CYSTECT W URETEROILEAL CONDUIT,18983.0,14237.25,838.82,18413.51,683 CDM,PX-51595,PR CYSTECT URETEROILEAL LYMPHDEC,21436.0,16077.0,948.34,20792.92,683 CDM,PX-51596,PR CYSTECT COMPLT W CONT DIVERSN,25823.0,19367.25,1023.35,25048.31,683 CDM,PX-51597,PR EXNTR PELV COMPLT UROLOG MLG,33550.0,25162.5,999.27,32543.5,683 CDM,PX-51600,PR INJ CYSTOGRAPHY/VUCG,940.0,705.0,100.77,911.8,683 CDM,PX-51610,PR INJ RETROGRADE URCG,789.0,591.75,62.45,765.33,684 CDM,PX-51700,PR IRRI BLAD SMPL LAVAGE&/INSTILL,323.0,242.25,38.04,313.31,685 CDM,PX-51701,PR INS NON-INDWELLING BLAD CATH,260.0,195.0,22.13,252.2,685 CDM,PX-51702,PR INS TEMP INDW BLAD CATH SMPL,359.0,269.25,31.84,348.23,684 CDM,PX-51703,PR INS TEMP INDWL BLAD CATH COMPL,526.0,394.5,75.15,510.22,683 CDM,PX-51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,421.0,315.75,49.27,408.37,684 CDM,PX-51710,PR CHANGE CYSTOSTOMY TUBE COMPL,856.0,642.0,68.49,830.32,683 CDM,PX-51715,PR ENDO INJ IMPL MATRL URETH&/BLAD,2100.0,1575.0,168.7,2037.0,683 CDM,PX-51720,PR INSTILL ANTICARCINOGEN BLAD,1067.0,800.25,44.74,1034.99,685 CDM,PX-51725,PR CYSTOMETROGRAM SIMPLE,598.0,448.5,37.32,998.13,2049 CDM,PX-51726,PR CYSTOMETROGRAM COMPLEX,944.0,708.0,41.36,1406.5,2050 CDM,PX-51727,PR CMG CMPLX W URETHRAL PRESSURE,1073.0,804.75,51.92,1687.8,2049 CDM,PX-51728,PR CMG CMPLX W VOIDING PRESSURE,1182.0,886.5,51.18,1745.03,2050 CDM,PX-51729,PR CMG CMPLX VOID&URETHRAL PRES,942.0,706.5,61.75,1570.43,2050 CDM,PX-51736,PR UROFLOWMETRY SIMPLE,152.0,114.0,2.9,230.86,2050 CDM,PX-51741,PR UROFLOWMETRY CMPLX,266.0,199.5,3.22,436.5,2055 CDM,PX-51784,PR EMG ANAL/URETHRAL NOT NEEDLE,341.0,255.75,14.22,642.14,2050 CDM,PX-51785,PR EMG ANAL/URETHRAL NEEDLE,800.0,600.0,45.18,1244.51,2050 CDM,PX-51797,PR VOIDING PRES STUDY INTRABD,524.0,393.0,38.73,906.0,2031 CDM,PX-51798,PR MEAS PST VOID RESID US NON IMG,113.0,84.75,12.22,113.0,682 CDM,PX-51840,PR VESICOURETHROPEXY ANTR SIMPLE,3867.0,2900.25,304.15,3750.99,683 CDM,PX-51860,PR CYSTORRHAPHY SUTURE BLAD SMPL,4664.0,3498.0,333.06,4524.08,683 CDM,PX-51865,PR CYSTORRHAPHY SUTURE BLAD COMPL,5319.0,3989.25,396.24,5159.43,683 CDM,PX-51900,PR CLOSURE VESICOVAGINAL FISTULA,6207.0,4655.25,364.97,6020.79,683 CDM,PX-51960,PR ENTEROCYSTOPLASTY ANASTOMOSIS,9385.0,7038.75,606.07,9103.45,683 CDM,PX-51990,PR LAP URETHRAL SUSPENSION,4413.0,3309.75,328.63,4280.61,683 CDM,PX-51999001,PR ROBOT ASSIST CYSTECTOMY,21596.0,16197.0,2100.0,21596.0,676 CDM,PX-51999002,PR ROBOT ASST CYST W CONT DIVER/NEOBLADDER,30988.0,23241.0,2100.0,30988.0,676 CDM,PX-51999006,PR ROBOT ASST CYSTECTOMY W CONDUIT,22780.0,17085.0,2100.0,22780.0,676 CDM,PX-51999007,PR ROBOTIC BLADDER DIVERTICULECTOMY,10728.0,8046.0,2100.0,10728.0,676 CDM,PX-52000,PR CYSTOURETHROSCOPY,879.0,659.25,104.94,852.63,684 CDM,PX-52001,PR CYSTOURETHROSCOPY IRRI CLOTS,1502.0,1126.5,204.72,1456.94,683 CDM,PX-52005,PR CYSTOURETHROSCOPY URETER CATH,1333.0,999.75,136.59,1293.01,683 CDM,PX-52204,PR CYSTOURETHROSCOPY WITH BX,1890.0,1417.5,172.85,1833.3,683 CDM,PX-52214,PR CYSTHRSCPY W FULGURATION LESNS,2956.0,2217.0,353.42,2867.32,683 CDM,PX-52224,PR CYSTHRSCPY W FULG LESNS MINOR,3413.0,2559.75,369.44,3310.61,684 CDM,PX-52234,PR CYSTHRSCPY FULG BLAD TMR SMALL,1804.0,1353.0,106.28,1749.88,683 CDM,PX-52235,PR CYSTHRSCPY FULG BLAD TMR MED,1525.0,1143.75,124.78,1479.25,683 CDM,PX-52240,PR CYSTHRSCPY FULG BLAD TMR LRG,3031.0,2273.25,168.84,2940.07,683 CDM,PX-52260,PR CYSTHRSCPY DIL BLAD GNRL ANES,1360.0,1020.0,90.99,1319.2,683 CDM,PX-52275,PR CYSTHRSCPY W URETHROTOMY MALE,2467.0,1850.25,107.43,2392.99,697 CDM,PX-52276,PR CYSTHRSCPY DIRCT VISN URETHROT,1844.0,1383.0,114.47,1788.68,683 CDM,PX-52281,PR CYSTHRSCPY W CALIB&/DIL URETH,1064.0,798.0,151.05,1032.08,684 CDM,PX-52283,PR CYSTHRSCPY W STEROID INJ STRIC,1261.0,945.75,161.86,1223.17,683 CDM,PX-52284,PR CYSTO RX BALO CATH URTL STRX,15618.0,11713.5,1300.63,15149.46,683 CDM,PX-52287,PR CYSTHRSCPY INJ CHEMODENRVATION,1144.0,858.0,177.04,1109.68,684 CDM,PX-52300,PR CYSTHRSCPY W RSECT URETEROCELE,1942.0,1456.5,121.19,1883.74,683 CDM,PX-52305,PR CYSTHRSCPY RSECT BLAD DVRTCLM,1625.0,1218.75,120.05,1576.25,683 CDM,PX-52310,PR CYSTHRSCPY RMVL FB/STENT SMPL,1493.0,1119.75,145.42,1448.21,684 CDM,PX-52315,PR CYSTHRSCPY RMVL FB/STENT CMPLX,2357.0,1767.75,223.07,2286.29,683 CDM,PX-52317,PR LITHOLAPAXY SMPL <2.5CM,4085.0,3063.75,422.54,3962.45,683 CDM,PX-52318,PR LITHOLAPAXY COMPL >2.5CM,2973.0,2229.75,203.11,2883.81,683 CDM,PX-52332,PR CYSTHRSCPY W INS URETERAL STNT,2147.0,1610.25,181.35,2082.59,683 CDM,PX-52341,PR CYSTHRSCPY W TX URETERAL STRIC,1781.0,1335.75,122.83,1727.57,683 CDM,PX-52344,PR CYSTHRSCPY/URTRSCPY TX URET STRIC,1514.0,1135.5,159.18,1468.58,683 CDM,PX-52345,PR CYSTHRSCPY/URTRSCPY TX URETROPELV,3180.0,2385.0,169.84,3084.6,683 CDM,PX-52346,PR CYSTHRSCPY/URTRSCPY TX INTRARENAL,3944.0,2958.0,191.96,3825.68,683 CDM,PX-52351,PR CYSTHRSCPY W URTRSCPY/PYELO DX,2048.0,1536.0,130.71,1986.56,683 CDM,PX-52352,PR CYSTHRSCPY/URTRSCPY RMVL CALC,2842.0,2131.5,152.79,2756.74,683 CDM,PX-52353,PR CYSTHRSCPY URTRSCPY LITHOTRIP,2882.0,2161.5,168.55,2795.54,683 CDM,PX-52354,PR CYSTHRSCPY/URTRSCPY BX PELV LESN,3067.0,2300.25,179.64,2974.99,683 CDM,PX-52355,PR CYSTHRSCPY URTRSCPY PELV TMR,3430.0,2572.5,200.98,3327.1,683 CDM,PX-52356,PR CYSTHRSCPY/URTRSCPY LITHO INS STNT,4736.0,3552.0,178.99,4593.92,683 CDM,PX-52400,PR CYSTHRSCPY INCISN URETHRAL VALVE,3474.0,2605.5,209.79,3369.78,683 CDM,PX-52441,PR CYSTHRSCPY INS TP IMPLANT SNGL,3773.0,2829.75,604.41,3659.81,683 CDM,PX-52442,PR CYSTHRSCPY INS TP IMPLANT EA,2685.0,2013.75,838.14,2685.0,676 CDM,PX-52450,PR INCISN PROSTATE TRANSURETHRAL,2787.0,2090.25,214.22,2703.39,683 CDM,PX-52500,PR RSECT BLAD NK TRANSURETHRAL,3154.0,2365.5,172.32,3059.38,683 CDM,PX-52601,PR RSECT PROS CMPLT ELECTROSURG,2958.0,2218.5,257.55,2869.26,683 CDM,PX-52630,PR RSECT REGROW PROS TISS TXURETH,2589.0,1941.75,183.96,2511.33,683 CDM,PX-52640,PR RSECT POSTOP BLAD NK CONTRCTR,2201.0,1650.75,147.76,2134.97,683 CDM,PX-52648,PR LASER VAPORIZATION PROS CMPLT,7006.0,5254.5,258.69,6795.82,683 CDM,PX-52649,PR LASER ENUCLEATION PROSTATE,5115.0,3836.25,321.81,4961.55,683 CDM,PX-52700,PR TXURETH DRAINAGE PROSTATE ABSC,2653.0,1989.75,198.49,2573.41,683 CDM,PX-53010,PR URETHROTOMY PERINEAL URETHRA,1712.0,1284.0,137.43,1660.64,683 CDM,PX-53020,PR MEATOTOMY EXCEPT INFANT,863.0,647.25,42.25,837.11,683 CDM,PX-53200,PR BIOPSY URETHRA,1017.0,762.75,81.02,986.49,683 CDM,PX-53215,PR URETHRECTOMY CYSTOS TOT MALE,5468.0,4101.0,407.92,5303.96,683 CDM,PX-53220,PR EXCISION CARCINOMA URETHRA,2686.0,2014.5,203.52,2605.42,683 CDM,PX-53230,PR EXCISN URETHRAL DVERTCLM FMALE,3514.0,2635.5,270.97,3408.58,683 CDM,PX-53260,PR EXCISION URETHRAL POLYP DISTAL,1103.0,827.25,104.29,1069.91,683 CDM,PX-53265,PR EXCISION URETHRAL CARUNCLE,1314.0,985.5,112.88,1274.58,683 CDM,PX-53270,PR EXCISN/FULG SKENES GLANDS,1342.0,1006.5,106.99,1301.74,683 CDM,PX-53275,PR EXCISN URETHRAL PROLAPSE,1556.0,1167.0,116.69,1509.32,683 CDM,PX-53400,PR URTHPLSTY 1 STG FSTL/DVRTCLM,4740.0,3555.0,354.36,4597.8,683 CDM,PX-53410,PR URTHPLSTY 1 STG RECNST URETHRA,7521.0,5640.75,430.83,7295.37,683 CDM,PX-53415,PR URTHPLSTY 1 STG RECNST TRNSPUB,7933.0,5949.75,495.54,7695.01,683 CDM,PX-53430,PR URTHPLSTY RCNST FEMALE URETHRA,6077.0,4557.75,427.21,5894.69,683 CDM,PX-53440,PR SLING OPR MALE INCONTINENCE,5418.0,4063.5,333.72,5255.46,683 CDM,PX-53442,PR RMVL/REV SLING MALE INCONT,5226.0,3919.5,350.74,5069.22,683 CDM,PX-53445,PR INS INFLT BLADDER NK SPHINC,5541.0,4155.75,337.5,5374.77,683 CDM,PX-53446,PR RMVL INFLT URETHRAL SPHINCTER,3957.0,2967.75,287.47,3838.29,683 CDM,PX-53447,PR RMVL&RPLC INFLT URETH SPHINC,6293.0,4719.75,357.93,6104.21,683 CDM,PX-53448,PR RMVL&RPLC SPHINC INFECT FIELD,8199.0,6149.25,560.06,7953.03,683 CDM,PX-53449,PR REPAIR INFLT URETHRAL SPHINC,3609.0,2706.75,273.89,3500.73,683 CDM,PX-53450,PR URETHROMEATOPLASTY,2419.0,1814.25,185.47,2346.43,683 CDM,PX-53451,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,9006.0,6754.5,658.63,9006.0,676 CDM,PX-53460,PR URETHROMEATOPLSTY PARTL EXCISN,3288.0,2466.0,206.27,3189.36,683 CDM,PX-53500,PR URETHROLYSIS TV W CYSTHRSCPY,4204.0,3153.0,328.85,4077.88,683 CDM,PX-53502,PR URETHRORRHAPHY SUTURE FEMALE,2915.0,2186.25,218.71,2827.55,683 CDM,PX-53505,PR URETHRORRHAPHY SUTURE PENILE,3234.0,2425.5,218.55,3136.98,683 CDM,PX-53515,PR URETHRORRHAPHY PROS-MEMBRANOUS,4655.0,3491.25,351.6,4515.35,683 CDM,PX-53520,PR CLSR URETHROSTOMY FSTL MALE,3277.0,2457.75,250.76,3178.69,683 CDM,PX-53600,PR DIL URETHRAL STRICT MALE INIT,452.0,339.0,44.51,438.44,683 CDM,PX-53601,PR DIL URETHRAL STRICT MALE SUBSQ,421.0,315.75,23.41,408.37,697 CDM,PX-53605,PR DIL URETH STRICT MALE PASSAGE,426.0,319.5,27.37,413.22,683 CDM,PX-53660,PR DIL URETHRA FEMALE INITIAL,376.0,282.0,18.33,364.72,697 CDM,PX-53661,PR DIL URETHRA FEMALE SUBSQ,384.0,288.0,17.69,372.48,697 CDM,PX-53854,PR TXURETH PROST TISS RF THERMO,8239.0,6179.25,1646.72,7991.83,683 CDM,PX-53855,PR INS TEMP PROSTATIC URETH STENT,3157.0,2367.75,35.23,3062.29,697 CDM,PX-53866,PR CATHJ RMVL DEV ISCHMC RMDLG,1154.0,865.5,36.15,1119.38,697 CDM,PX-53899007,PR BUD CATHETER VIA ILEAL CONDUIT,474.0,355.5,11.85,459.78,684 CDM,PX-54001,PR SLITTING PREPUCE NOT NEWBORN,884.0,663.0,99.17,857.48,683 CDM,PX-54015,PR I&D PENIS DEEP,1290.0,967.5,135.78,1251.3,683 CDM,PX-54055,PR DEST LESN PENIS SMPL ELECTRO,400.0,300.0,42.45,388.0,697 CDM,PX-54056,PR DEST LESN PENIS SMPL CRYOSURG,489.0,366.75,59.63,474.33,693 CDM,PX-54057,PR DEST LESN PENIS SMPL LASER,714.0,535.5,44.53,692.58,697 CDM,PX-54060,PR DEST LESN PENIS SMPL SURG EXCISN,806.0,604.5,59.94,781.82,697 CDM,PX-54065,PR DEST LESN PENIS EXTENSIVE,1058.0,793.5,92.41,1026.26,693 CDM,PX-54100,PR BIOPSY PENIS,690.0,517.5,98.97,669.3,684 CDM,PX-54111,PR EXCISN PENILE PLAQUE GRFT<=5CM,5496.0,4122.0,352.95,5331.12,683 CDM,PX-54112,PR EXCISN PENILE PLAQUE GRFT >5CM,5434.0,4075.5,413.17,5270.98,683 CDM,PX-54115,PR REMOVAL FB PENILE TISSUE DEEP,2122.0,1591.5,193.78,2058.34,697 CDM,PX-54120,PR AMPUTATION OF PENIS PARTIAL,3256.0,2442.0,282.25,3158.32,683 CDM,PX-54125,PR AMPUTATION OF PENIS COMPLETE,4654.0,3490.5,365.66,4514.38,683 CDM,PX-54161,PR CIRCUMCISION NOT CLAMP >28DAY,1174.0,880.5,88.6,1138.78,683 CDM,PX-54162,PR EXCISN PENILE POST CIRC ADHESN,1053.0,789.75,90.22,1021.41,697 CDM,PX-54163,PR REPAIR INCMPLT CIRCUMCISION,1037.0,777.75,101.22,1005.89,683 CDM,PX-54164,PR FRENULOTOMY OF PENIS,1015.0,761.25,90.56,984.55,683 CDM,PX-54200,PR INJECTION PEYRONIE DISEASE,349.0,261.75,40.75,338.53,698 CDM,PX-54220,PR IRRIG CORP CAVERNOSA PRIAPISM,824.0,618.0,122.59,799.28,683 CDM,PX-54235,PR INJ CORPCAV W PHARM AGENT,305.0,228.75,46.28,295.85,684 CDM,PX-54300,PR PLASTIC OP PENIS STRT CHORDEE,2823.0,2117.25,288.1,2738.31,683 CDM,PX-54344,PR RPR HYPOSPADIAS COMPL MBL,6287.0,4715.25,416.1,6098.39,683 CDM,PX-54352,PR REV HYPSPDS REPAIR W DISSECT,8221.0,6165.75,617.6,7974.37,683 CDM,PX-54360,PR PLASTIC OPR PENIS ANGULATION,3281.0,2460.75,319.79,3182.57,683 CDM,PX-54400,PR INS PENILE PROSTH NON-INFLT,2741.0,2055.75,237.43,2658.77,683 CDM,PX-54405,PR INS IPP MULTI COMPONENT,5004.0,3753.0,357.01,4853.88,683 CDM,PX-54406,PR REMOVAL IPP MULTI COMPONENT,3487.0,2615.25,325.15,3382.39,683 CDM,PX-54408,PR RPR IPP MULTI COMPONENT,4234.0,3175.5,351.65,4106.98,683 CDM,PX-54410,PR RMVL&RPLC IPP MULT COMPONENT,4732.0,3549.0,383.06,4590.04,683 CDM,PX-54430,PR SHUNT CORPCAV-CORPUS SPONGOSUM,2980.0,2235.0,284.74,2890.6,683 CDM,PX-54437,PR RPR TRAUMETIC CORPOREAL TEAR,3912.0,2934.0,303.28,3794.64,683 CDM,PX-54440,PR PLASTIC OPERATION PENIS INJURY,3219.0,2414.25,357.81,3122.43,683 CDM,PX-54450,PR MANIP FORESKIN,269.0,201.75,35.08,260.93,683 CDM,PX-54512,PR EXCISN EXTRAPRL LESION TESTIS,2417.0,1812.75,240.03,2344.49,683 CDM,PX-54520,PR ORCHIECTOMY SIMPLE,1887.0,1415.25,149.37,1830.39,683 CDM,PX-54522,PR ORCHIECTOMY PARTIAL,3274.0,2455.5,261.99,3175.78,683 CDM,PX-54530,PR ORCHIECTOMY RADCL INGUINAL APPR,2681.0,2010.75,229.55,2600.57,683 CDM,PX-54600,PR REDUCTION TESTIS TORSION,2389.0,1791.75,204.17,2317.33,683 CDM,PX-54620,PR FIXATION CONTRALATERAL TESTIS,1713.0,1284.75,133.46,1661.61,683 CDM,PX-54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPR,3319.0,2489.25,192.72,3219.43,683 CDM,PX-54660,PR INS OF TESTICULAR PROSTHESIS,1810.0,1357.5,163.55,1755.7,683 CDM,PX-54700,PR I&D EPIDIDYMIS TESTIS&/SCRTL,964.0,723.0,97.78,935.08,683 CDM,PX-54830,PR EXCISN LOCAL LESN EPIDIDYMIS,2276.0,1707.0,170.03,2207.72,683 CDM,PX-54840,PR EXCISION OF SPERMATOCELE,1551.0,1163.25,146.09,1504.47,683 CDM,PX-54901,PR EPIDIDYMOVASOSTOMY BILATERAL,6261.0,4695.75,466.0,6073.17,683 CDM,PX-55000,PR ASP HYDROCELE TUNICA VAG,501.0,375.75,61.55,485.97,683 CDM,PX-55040,PR EXCISION HYDROCELE UNILATERAL,1653.0,1239.75,154.01,1603.41,683 CDM,PX-55041,PR EXCISION HYDROCELE BILATERAL,2888.0,2166.0,230.42,2801.36,683 CDM,PX-55060,PR RPR TUNICA VAGINALIS HYDROCELE,1922.0,1441.5,173.15,1864.34,683 CDM,PX-55100,PR DRAINAGE SCROTUM ABSCESS,1207.0,905.25,120.76,1170.79,683 CDM,PX-55110,PR EXPLORATION SCROTUM,1607.0,1205.25,177.48,1558.79,683 CDM,PX-55120,PR REMOVAL FOREIGN BODY SCROTUM,1280.0,960.0,162.08,1241.6,683 CDM,PX-55150,PR RESECTION OF SCROTUM,2619.0,1964.25,222.81,2540.43,683 CDM,PX-55175,PR SCROTOPLASTY SIMPLE,1822.0,1366.5,166.13,1767.34,683 CDM,PX-55180,PR SCROTOPLASTY COMPLICATED,3453.0,2589.75,305.41,3349.41,683 CDM,PX-55250,PR VASECTOMY INCL SEMEN EXAM,1480.0,1110.0,168.89,1435.6,684 CDM,PX-55400,PR VASOVASOSTOMY VASOVASORRHAPHY,4636.0,3477.0,223.53,4496.92,683 CDM,PX-55500,PR EXCISN HYDROCELE SPRM CORD,1893.0,1419.75,179.56,1836.21,683 CDM,PX-55520,PR EXCISN LESN SPERMATIC CORD,1978.0,1483.5,218.09,1918.66,683 CDM,PX-55530,PR EXCISN VARICOCELE SPRM CORD,2128.0,1596.0,159.8,2064.16,683 CDM,PX-55706,PR BX PROSTATE NDL TRANSPRNEAL,1888.0,1416.0,99.71,1831.36,683 CDM,PX-55707,PR BX PRST8 TRCT US GUIDED,2460.0,1845.0,66.73,2386.2,697 CDM,PX-55708,PR BX PRST8 TRCT US W/MRI FUS 1,3514.0,2635.5,83.15,3408.58,698 CDM,PX-55709,PR BX PRST8 TPRNL US GUIDED,3400.0,2550.0,282.79,3298.0,683 CDM,PX-55710,PR BX PRST8 TPRN US W/MRI FUS 1,3810.0,2857.5,317.12,3695.7,683 CDM,PX-55711,PR BX PRST8 TRCT MRI-US 1ST,2842.0,2131.5,66.4,2756.74,697 CDM,PX-55712,PR BX PRST8 TPRNL MRI-US 1ST,3540.0,2655.0,77.38,3433.8,697 CDM,PX-55715,PR BX PRST8 EA ADD MRI-US/CT/MR,475.0,356.25,79.21,475.0,677 CDM,PX-55831,PR PROSTEC RETROPUBIC SUBTOTAL,4701.0,3525.75,379.54,4559.97,683 CDM,PX-55840,PR PROSTATECTOMY RETROPUBIC RADCL,7499.0,5624.25,512.01,7274.03,683 CDM,PX-55845,PR PROSTEC W BILAT PELV LYMPHDEC,10213.0,7659.75,592.71,9906.61,683 CDM,PX-55866,PR LAP PROSTEC RETROPUBIC RADCL,11730.0,8797.5,530.16,11378.1,683 CDM,PX-55867,PR LAPS SURG PRSTECT SMPL STOT,7030.0,5272.5,463.51,6819.1,683 CDM,PX-55869,PR LAP SRG PROSTATECTOMY BI PELV LMPHAD,20576.0,15432.0,651.24,19958.72,683 CDM,PX-55873,PR CRYOSURG ABLATION PROSTATE,11412.0,8559.0,337.2,11069.64,697 CDM,PX-55874,PR TPRNL PLMT BIODEGRDABL MATRL,10593.0,7944.75,1795.73,10275.21,683 CDM,PX-55875,PR PLC CATH TRANSPERI PROSTATE,3357.0,2517.75,337.32,3256.29,683 CDM,PX-55876,PR PLC INTERS RAD DEVICE PROSTATE,530.0,397.5,73.83,514.1,684 CDM,PX-55877,PR ABLTJ IRE PROSTATE 1+ TUM PERCUT,5289.0,3966.75,329.23,5130.33,683 CDM,PX-55880,PR HIFU ABLATION PROSTATE W US GUIDE,3746.0,2809.5,430.87,3633.62,683 CDM,PX-55899002,PR MICRO TEST SPRMEXTR(MICROTESE) UNILATERAL,1535.0,1151.25,38.38,1488.95,684 CDM,PX-55899004,PR TESTICULAR SPERM EXTRACT(TESE) UNILATERAL,1228.0,921.0,30.7,1191.16,684 CDM,PX-55899010,PR TESTICULAR SPERM EXTRACT(TESE) BILATERAL,1842.0,1381.5,46.05,1786.74,684 CDM,PX-55899011,PR MICRO TEST SPRMEXTR(MICROTESE) BILATERAL,2303.0,1727.25,57.58,2233.91,684 CDM,PX-56405,PR I&D VULVA/PERINEAL ABSCESS,595.0,446.25,70.98,577.15,684 CDM,PX-56420,PR I&D BARTHOLINS GLAND ABSCESS,618.0,463.5,88.47,599.46,683 CDM,PX-56440,PR MARSUP BARTHOLINS GLAND CYST,994.0,745.5,79.85,964.18,683 CDM,PX-56441,PR LYSIS OF LABIAL ADHESIONS,733.0,549.75,88.74,711.01,683 CDM,PX-56442,PR HYMENOTOMY INCISION SIMPLE,325.0,243.75,21.32,315.25,683 CDM,PX-56501,PR DESTRUCTION LESION VULVA SMPL,603.0,452.25,76.49,584.91,694 CDM,PX-56515,PR DEST LESN VULVA EXTENSIVE,968.0,726.0,132.97,938.96,683 CDM,PX-56605,PR BX VULVA/PERINEUM 1 LESN,358.0,268.5,38.68,347.26,693 CDM,PX-56606,PR BX VULVA/PERINEUM ADD LESN,187.0,140.25,32.38,187.0,687 CDM,PX-56620,PR VULVECTMY SIMPLE/PARTL,2885.0,2163.75,265.86,2798.45,683 CDM,PX-56630,PR VULVECTOMY RADICAL PARTIAL,5601.0,4200.75,436.46,5432.97,683 CDM,PX-56632,PR VULVECT RADCL PRTL BILAT LYMPHDEC,6757.0,5067.75,650.24,6554.29,683 CDM,PX-56633,PR VULVECTOMY RADICAL COMPLETE,6999.0,5249.25,559.49,6789.03,683 CDM,PX-56634,PR VULVECT RADCL COMPL UNILAT LYMPHDEC,6381.0,4785.75,597.0,6189.57,683 CDM,PX-56740,PR EXCISN BARTHOLIN GLAND/CYST,1453.0,1089.75,137.89,1409.41,683 CDM,PX-56810,PR PERINEOPLASTY RPERINEUM NONOB,1501.0,1125.75,117.67,1455.97,683 CDM,PX-56820,PR COLPOSCOPY VULVA,528.0,396.0,52.89,512.16,694 CDM,PX-56821,PR COLPOSCOPY VULVA W BX,758.0,568.5,49.35,735.26,698 CDM,PX-57000,PR COLPOTOMY WITH EXPLORATION,1061.0,795.75,87.0,1029.17,683 CDM,PX-57010,PR COLPOTOMY W DRN PELV ABSC,2075.0,1556.25,199.16,2012.75,683 CDM,PX-57023,PR I&D VAGINAL HEMATOMA NONOB,1298.0,973.5,138.17,1259.06,683 CDM,PX-57061,PR DEST LESN VAGINAL SIMPLE,601.0,450.75,51.38,582.97,697 CDM,PX-57065,PR DEST LESN VAGINAL EXTENSIVE,1298.0,973.5,80.92,1259.06,697 CDM,PX-57100,PR BX VAGINAL MUCOSA SMPL,463.0,347.25,51.17,449.11,683 CDM,PX-57105,PR BX VAGINAL MUCOSA EXTEN W SUTURE,872.0,654.0,65.96,845.84,697 CDM,PX-57106,PR VAGINECTMY PARTL RMVL VAG WALL,3303.0,2477.25,239.77,3203.91,683 CDM,PX-57107,PR VAGNC PART W REMV PARAVAG TISS,7214.0,5410.5,643.58,6997.58,683 CDM,PX-57120,PR COLPOCLEISIS,3179.0,2384.25,231.14,3083.63,683 CDM,PX-57130,PR EXCISN OF VAGINAL SEPTUM,1310.0,982.5,108.07,1270.7,683 CDM,PX-57135,PR EXCISN OF VAGINAL CYST/TUMOR,1305.0,978.75,118.31,1265.85,683 CDM,PX-57155,PR INS UTERINE TANDEM/VAG OVOIDS,1891.0,1418.25,194.31,1834.27,683 CDM,PX-57156,PR INS VAG BRACHYTHRPY DEV,1089.0,816.75,109.39,1056.33,683 CDM,PX-57160,PR FIT/INST PESSARY/OTR DEV,260.0,195.0,19.75,252.2,697 CDM,PX-57170,PR FIT DIAPHRAGM/CERV CAP,292.0,219.0,20.23,283.24,697 CDM,PX-57200,PR COLPORRHAPHY VAG SUTURE INJURY,1662.0,1246.5,148.31,1612.14,683 CDM,PX-57240,PR COLPORPHY ANTR RPR CYSTOCELE,3060.0,2295.0,266.16,2968.2,683 CDM,PX-57250,PR COLPORPHY POSTR RPR RECTOCELE,2690.0,2017.5,266.24,2609.3,683 CDM,PX-57260,PR COLPORRHAPHY ANTEROPOSTERIOR,3153.0,2364.75,335.64,3058.41,683 CDM,PX-57265,PR COLPORPHY A/P RPR ENTEROCELE,4349.0,3261.75,375.1,4218.53,683 CDM,PX-57268,PR REPAIR ENTEROCELE VAGINAL APPR,2596.0,1947.0,222.64,2518.12,683 CDM,PX-57280,PR COLPOPEXY ABDOMINAL APPROACH,3017.0,2262.75,418.45,2926.49,683 CDM,PX-57282,PR COLPOPEXY VAG EXTRPERIT APPR,2202.0,1651.5,300.43,2135.94,683 CDM,PX-57283,PR COLPOPEXY VAG INTRPERIT APPR,3288.0,2466.0,302.08,3189.36,683 CDM,PX-57285,PR RPR PARA VAG DEFECT VAG APPR,2768.0,2076.0,300.2,2684.96,683 CDM,PX-57287,PR RMVL/RVSN SLING STRESS INCONT,3430.0,2572.5,322.16,3327.1,683 CDM,PX-57288,PR SLING OPR STRESS INCONTINENCE,4360.0,3270.0,324.07,4229.2,683 CDM,PX-57295,PR REV PROSTH VAG GRFT VAG APPR,2560.0,1920.0,218.94,2483.2,684 CDM,PX-57296,PR REV PROSTH VAG GRFT ABD APPR,4792.0,3594.0,411.48,4648.24,683 CDM,PX-57300,PR CLSR RECTOVAG FSTL VAG/ANL APP,3342.0,2506.5,274.69,3241.74,683 CDM,PX-57308,PR CLSR RECTOVAG FSTL TXPERI APPR,3860.0,2895.0,308.09,3744.2,683 CDM,PX-57311,PR RPR URETHROVAGINAL LESN,2708.0,2031.0,246.59,2626.76,683 CDM,PX-57320,PR CLSR VESICOVAG FIST VAG APPR,4308.0,3231.0,244.72,4178.76,683 CDM,PX-57400,PR DILATION OF VAGINA UNDER ANES,884.0,663.0,56.4,857.48,683 CDM,PX-57410,PR PELVIC EXAMINATION UNDER ANES,552.0,414.0,47.09,535.44,683 CDM,PX-57420,PR COLPOSCOPY ENTIRE VAG W CERVIX,657.0,492.75,56.88,637.29,694 CDM,PX-57421,PR COLPOSCOPY ENTIRE VAG CX W BX,891.0,668.25,88.52,864.27,684 CDM,PX-57425,PR LAPAROSCOPY COLPOPEXY,4212.0,3159.0,420.11,4085.64,683 CDM,PX-57426,PR REV PROST VAG GRFT LAPAROSCOPC,5190.0,3892.5,378.75,5034.3,683 CDM,PX-57452,PR COLPOSCOPY CERVIX UPR/ADJ VAG,484.0,363.0,40.24,469.48,698 CDM,PX-57454,PR COLPOSCOPY CERVIX W BX & ECC,683.0,512.25,80.85,662.51,684 CDM,PX-57455,PR COLPOSCOPY CERVIX W BX,458.0,343.5,78.33,444.26,683 CDM,PX-57456,PR COLPOSCOPY CERVIX W ECC,632.0,474.0,43.52,613.04,698 CDM,PX-57460,PR COLPOSCOPY CX W LOOP ELEC BX,1106.0,829.5,150.22,1072.82,683 CDM,PX-57461,PR COLPOSCOPY CERVIX W LOOP CONIZ,1881.0,1410.75,78.92,1824.57,697 CDM,PX-57500,PR BIOPSY CERVIX SNGL/MULT LESN,504.0,378.0,73.52,488.88,683 CDM,PX-57505,PR CURETTAGE ENDOCERVICAL,514.0,385.5,72.38,498.58,684 CDM,PX-57510,PR CAUTERY CERVIX ELECTRO/THERMAL,685.0,513.75,49.84,664.45,697 CDM,PX-57513,PR CAUTERY CERVIX LASER ABLATION,1406.0,1054.5,63.78,1363.82,697 CDM,PX-57520,PR CONIZATION CERVIX KNIFE/LASER,1485.0,1113.75,175.2,1440.45,683 CDM,PX-57522,PR CONIZATION CX EXCISN LOOP ELEC,1208.0,906.0,146.29,1171.76,684 CDM,PX-57530,PR TRACHELECTOMY AMP CERVIX,1861.0,1395.75,165.45,1805.17,683 CDM,PX-57700,PR CERCLAGE UTERINE CERVIX NON OB,1739.0,1304.25,155.17,1686.83,683 CDM,PX-57800,PR DIL CERVIX CANAL INSTRUMENTAL,283.0,212.25,21.16,274.51,697 CDM,PX-58100,PR BX ENDOMETRIAL WO CERVIX DIL,414.0,310.5,47.79,401.58,685 CDM,PX-58110,PR ENDOMETRIAL SAMPL PERF W COLPO,196.0,147.0,34.56,196.0,691 CDM,PX-58120,PR D&C NONOBSTETRICAL,982.0,736.5,123.33,952.54,694 CDM,PX-58140,PR MYOMECTOMY 1-4 MYOMA ABD APPR,4728.0,3546.0,396.77,4586.16,683 CDM,PX-58145,PR MYOMECTOMY 1-4 MYOMA VAG APPR,3540.0,2655.0,243.42,3433.8,683 CDM,PX-58146,PR MYOMECTOMY 5+ MYOMA ABD APPR,6147.0,4610.25,495.35,5962.59,683 CDM,PX-58150,PR HYSTERECTOMY TOTAL ABD,4880.0,3660.0,454.45,4733.6,683 CDM,PX-58180,PR HYSTERECTOMY SUPRACERV ABD,4867.0,3650.25,422.61,4720.99,683 CDM,PX-58200,PR HYSTERECTOMY TOT ABD BX LYMPH,7323.0,5492.25,611.17,7103.31,683 CDM,PX-58210,PR HYSTERECTOMY RADCL ABD,10154.0,7615.5,816.14,9849.38,683 CDM,PX-58240,PR EXENTERATION PELVIC GYN MLG,16602.0,12451.5,1303.74,16103.94,683 CDM,PX-58260,PR HYSTERECTOMY VAGINAL <=250 G,4444.0,3333.0,362.04,4310.68,683 CDM,PX-58262,PR HYST VAG <=250G RMVL TUBES/OV,4450.0,3337.5,399.63,4316.5,683 CDM,PX-58291,PR HYST VAG UTRS>250 G W TUBES/OV,7060.0,5295.0,533.36,6848.2,683 CDM,PX-58300,PR INSERT OF INTRAUTERINE DEVICE,465.0,348.75,102.87,465.0,680 CDM,PX-58301,PR REMOVAL OF INTRAUTERINE DEVICE,389.0,291.75,46.15,377.33,694 CDM,PX-58340,PR CATH W INJ CNTRST HSG,713.0,534.75,97.68,691.61,693 CDM,PX-58345,PR INTRO FALLOPIAN TUBE CATH,1108.0,831.0,124.48,1074.76,683 CDM,PX-58350,PR CHROMOTUBATION OVIDUCT,629.0,471.75,69.62,610.13,683 CDM,PX-58353,PR ENDOMETRIAL ABLATION THERMAL,3894.0,2920.5,99.38,3777.18,697 CDM,PX-58410,PR UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY,4597.0,3447.75,351.58,4459.09,683 CDM,PX-58540,PR HYSTEROPLASTY RPR UTERUS,5043.0,3782.25,394.97,4891.71,683 CDM,PX-58541,PR LAP SUPRACERVICAL HYST<=250 G,4897.0,3672.75,316.77,4750.09,683 CDM,PX-58542,PR LAP SUPRACERV HYST<=250 W RMVL,4895.0,3671.25,358.07,4748.15,683 CDM,PX-58543,PR LAP SUPRACERV HYST>250 G,5300.0,3975.0,362.35,5141.0,683 CDM,PX-58544,PR LAP SUPRACERV HYST>250 W RMVL,5684.0,4263.0,391.46,5513.48,683 CDM,PX-58545,PR LAP MYOMECTOMY 1-4 MYOMA<=250 G,4782.0,3586.5,393.91,4638.54,683 CDM,PX-58546,PR LAP MYOMECTOMY 5+MYOMAS>250 G,6387.0,4790.25,478.29,6195.39,683 CDM,PX-58548,PR LAP RADCL HYST W BILAT LYMPHDEC,8997.0,6747.75,840.53,8727.09,683 CDM,PX-58552,PR LAP VAG HYST UTRS=<250 W RMVL,3744.0,2808.0,427.96,3631.68,683 CDM,PX-58554,PR LAP VAG HYST UTRS>250 G W RMVL,7084.0,5313.0,566.73,6871.48,683 CDM,PX-58555,PR HYSTEROSCOPY DIAGNOSTIC,1483.0,1112.25,159.4,1438.51,684 CDM,PX-58558,PR HYSTERSCPY W BX ENDOMETR/POLYP,4295.0,3221.25,616.02,4166.15,684 CDM,PX-58559,PR HYST W LYSIS INTRAUTER ADHES,2509.0,1881.75,121.67,2433.73,683 CDM,PX-58560,PR HYSTEROSCOPY W DIVISION SEPTUM,2908.0,2181.0,134.2,2820.76,683 CDM,PX-58561,PR HYSTEROSCOPY RMVL LEIOMYOMATA,4500.0,3375.0,153.28,4365.0,683 CDM,PX-58562,PR HYSTEROSCOPY RMVL IMPACTED FB,1700.0,1275.0,193.8,1649.0,684 CDM,PX-58563,PR HYSTEROSCOPY ENDOMETRIAL ABLT,6093.0,4569.75,974.18,5910.21,683 CDM,PX-58565,PR HYSTERSCPY OCC BI TUBE W IMPL,7630.0,5722.5,197.1,7401.1,697 CDM,PX-58570,PR LAP W TOTAL HYST UTRS<=250G,4224.0,3168.0,354.37,4097.28,683 CDM,PX-58571,PR LAP TOT HYST UTRS<=250G W TB/OV,5203.0,3902.25,403.47,5046.91,683 CDM,PX-58572,PR LAP W TOTAL HYST UTRS >250G,5838.0,4378.5,460.53,5662.86,683 CDM,PX-58573,PR LAP TOT HYST UTRS>250G W TB/OV,6173.0,4629.75,538.43,5987.81,683 CDM,PX-58575,PR LAPS TOT HYST RESJ MAL,8694.0,6520.5,863.81,8433.18,683 CDM,PX-58580,PR TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF,16848.0,12636.0,1269.7,16342.56,683 CDM,PX-58660,PR LAPAROSCOPY W LYSIS ADHESIONS,3676.0,2757.0,305.45,3565.72,683 CDM,PX-58661,PR LAPAROSCOPY W RMVL ADNEXA,3786.0,2839.5,285.72,3672.42,683 CDM,PX-58662,PR LAP W FULG/EXC LESN OV/VISC/PERIT,4867.0,3650.25,315.09,4720.99,683 CDM,PX-58672,"PR LAP,FIMBRIOPLASTY",4255.0,3191.25,314.7,4127.35,683 CDM,PX-58674,PR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,4002.0,3001.5,351.62,3881.94,683 CDM,PX-58700,PR SALPINGECTMY CMPLT/PRTL UNI/BILAT,3770.0,2827.5,355.76,3656.9,683 CDM,PX-58720,PR SALPINGO-OOPHORECTOMY,3791.0,2843.25,339.94,3677.27,683 CDM,PX-58822,PR DRN OVARIAN ABCESS ABD APPR,4636.0,3477.0,308.65,4496.92,683 CDM,PX-58825,PR TRANSPOSITION OVARY(S),3759.0,2819.25,306.23,3646.23,683 CDM,PX-58925,PR CYSTECTOMY OVARIAN,4062.0,3046.5,339.95,3940.14,683 CDM,PX-58940,PR OOPHORECTOMY,3246.0,2434.5,250.7,3148.62,683 CDM,PX-58950,PR RSECT OVARIAN MLG BSO,5763.0,4322.25,519.58,5590.11,683 CDM,PX-58951,PR RSECT OVARIAN MLG SALPING TAH,9764.0,7323.0,647.3,9471.08,683 CDM,PX-58952,PR RSECT OVARIAN MLG RADCL DISSECT,10433.0,7824.75,739.11,10120.01,683 CDM,PX-58953,PR SALPINGO-OOPHORECTOMY BILAT HYST,10018.0,7513.5,897.67,9717.46,683 CDM,PX-58954,PR SALPINGO-OOPHORECTOMY BILAT LYMPH,11677.0,8757.75,970.38,11326.69,683 CDM,PX-58956,PR SALPINGO-OOPHORECTOMY TOTAL,7530.0,5647.5,613.26,7304.1,683 CDM,PX-58958,PR RSECT RCUR OVARY MLG W LYMPH,9927.0,7445.25,709.45,9629.19,683 CDM,PX-58999004,PR MONALISA TOUCH VAGINAL LASER TX PKG,1500.0,1125.0,37.5,1455.0,683 CDM,PX-58999005,"PR VAG LASER TX, EACH TX",500.0,375.0,12.5,485.0,683 CDM,PX-58999007,PR VAGINAL CUFF REPAIR/REVISION,1662.0,1246.5,41.55,1612.14,683 CDM,PX-59025,PR FETAL NON STRESS TEST,146.0,109.5,48.88,146.0,676 CDM,PX-59150,PR LAP TX ECTOPIC PREG WO SALPING,3886.0,2914.5,344.46,3769.42,683 CDM,PX-59151,PR LAP ECTOPIC PREG W SALP/OOPH,3713.0,2784.75,335.42,3601.61,683 CDM,PX-59160,PR CURRETTAGE POSTPARTUM,1209.0,906.75,127.44,1172.73,683 CDM,PX-59325,PR CERCLAGE CERVIX ABDOMINAL,2299.0,1724.25,104.03,2230.03,683 CDM,PX-59812,PR TX INCOMPLETE ABORTION,1470.0,1102.5,173.79,1425.9,683 CDM,PX-59820,PR TX MISSED ABORTION SURG 1ST T,1435.0,1076.25,208.7,1391.95,683 CDM,PX-60100,PR BIOPSY THYROID PERC CORE NDL,975.0,731.25,53.06,945.75,683 CDM,PX-60200,PR EXCISN CYST/ADENOMA THYROID,3860.0,2895.0,302.37,3744.2,683 CDM,PX-60210,PR LBCTMY THYROID UNILAT PARTIAL,4661.0,3495.75,314.99,4521.17,683 CDM,PX-60220,PR LBCTMY THYROID TOTAL UNILAT,4837.0,3627.75,311.85,4691.89,683 CDM,PX-60225,PR LBCTMY THYRD TOTL W SUB LBCTMY,6879.0,5159.25,413.52,6672.63,683 CDM,PX-60240,PR THYROIDECTOMY TOTAL/COMPLETE,5356.0,4017.0,403.85,5195.32,683 CDM,PX-60252,PR THYROIDECTOMY W LTD NK DISSECT,6867.0,5150.25,574.14,6660.99,683 CDM,PX-60254,PR THYROIDECTOMY W RAD NK DISSECT,12199.0,9149.25,721.8,11833.03,683 CDM,PX-60260,PR THYROIDECTOMY RMVL REMAIN TISS,6825.0,5118.75,472.62,6620.25,683 CDM,PX-60270,PR THYROIDECT SUBSTERNL THOR APPR,8839.0,6629.25,598.23,8573.83,683 CDM,PX-60271,PR THYROIDECT SUBSTERNL CERV APPR,6032.0,4524.0,460.97,5851.04,683 CDM,PX-60280,PR EXCISN THYROGLOSSAL DUCT CYST,3531.0,2648.25,199.92,3425.07,683 CDM,PX-60281,PR EXCISN THYROGLOS DUCT CYST RECUR,5656.0,4242.0,256.63,5486.32,683 CDM,PX-60300,PR ASP INJ THYROID CYST,493.0,369.75,50.29,478.21,683 CDM,PX-60500,PR PARATHYROIDECTOMY EXPLOR,5750.0,4312.5,433.4,5577.5,683 CDM,PX-60502,PR PARATHYROIDECTOMY RE-EXPLOR,8810.0,6607.5,584.23,8545.7,683 CDM,PX-60512,PR PARATHYROID AUTOTRANSPLANT ADD-ON,1580.0,1185.0,205.6,1580.0,676 CDM,PX-60520,PR THYMECTOMY TXCERV APPR,8137.0,6102.75,477.24,7892.89,683 CDM,PX-60521,PR THYMECTOMY STERNL/THOR APPR,7769.0,5826.75,524.69,7535.93,683 CDM,PX-60522,PR THYMECTOMY STERNL/THOR DISSECT,9164.0,6873.0,631.17,8889.08,683 CDM,PX-60540,PR ADRENALECTOMY,7719.0,5789.25,491.44,7487.43,683 CDM,PX-60545,PR ADRENALECTOMY W EXCISN TMR,9467.0,7100.25,570.34,9182.99,683 CDM,PX-60600,PR EXCISN CARTD TMR WO EXCISN ART,10093.0,7569.75,595.2,9790.21,683 CDM,PX-60650,PR LAPAROSCOPY ADRENALECTOMY,8474.0,6355.5,536.62,8219.78,683 CDM,PX-60660,PR ABLTJ 1/+THYR NDUL 1LOBE PRQ,1212.0,909.0,454.5,1212.0,683 CDM,PX-60699001,PR PERC ABLATION THYROID,2970.0,2227.5,74.25,2880.9,683 CDM,PX-610000009,HC MRI PROCTOGRAPHY & ENDOANAL,5803.0,4352.25,92.86,5803.0,917 CDM,PX-610000030,HC CAD BREAST MRI,1.0,0.75,0.45,1.0,910 CDM,PX-61020,PR VENT PERC BURR HOLE WO INJ,821.0,615.75,47.54,796.37,684 CDM,PX-61026,PR VENT PERC BURR HOLE W INJ,1227.0,920.25,43.15,1190.19,694 CDM,PX-61050,PR PUNC CISTERNAL/LAT C1-C12 WO,602.0,451.5,34.0,583.94,683 CDM,PX-61055,PR PUNCTURE C1-C2 W INJECTION,1223.0,917.25,96.62,1223.0,676 CDM,PX-61070,PR PUNC SHUNT TUBE ASP INJ PROC,472.0,354.0,21.33,457.84,693 CDM,PX-611000003,HC MRI BRAIN W CNTRST,2460.0,1845.0,271.7,2460.0,916 CDM,PX-611000005,HC MRI BRAIN WO CNTRST,1975.0,1481.25,185.34,1975.0,919 CDM,PX-611000006,HC MRI BRAIN WO/W CNTRST,3394.0,2545.5,307.62,3394.0,921 CDM,PX-611000007,HC MRI FUNCT BRAIN NOT REQ MD,2449.0,1836.75,254.61,2449.0,915 CDM,PX-611000008,HC MRI FUNCTIONAL BRAIN REQ MD,2919.0,2189.25,254.61,2919.0,917 CDM,PX-61105,PR TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,4335.0,3251.25,239.99,4204.95,683 CDM,PX-61107,PR IMPL TWIST DRILL HOLE VEN CATH,4512.0,3384.0,276.01,4512.0,676 CDM,PX-61140,PR BURR HOLE W BX BRAIN LESION,11227.0,8420.25,609.75,10890.19,683 CDM,PX-61150,PR BURR HOLE W DRNG BRAIN ABSCESS,11322.0,8491.5,642.37,10982.34,683 CDM,PX-61154,PR BURR HOLE W EVAC HEMATOMA,9754.0,7315.5,618.79,9461.38,683 CDM,PX-61156,PR BURR HOLE W ASP HEMATOMA,8480.0,6360.0,588.47,8225.6,683 CDM,PX-612000000,HC MRI CERV SPINE W CNTRST,2436.0,1827.0,277.53,2436.0,915 CDM,PX-612000001,HC MRI CERV SPINE WO CNTRST,2023.0,1517.25,178.07,2023.0,917 CDM,PX-612000002,HC MRI CERV SPINE WO/W CNTRST,2885.0,2163.75,308.6,2885.0,918 CDM,PX-612000003,HC MRI LUMB SPINE W CNTRST,2364.0,1773.0,272.19,2364.0,916 CDM,PX-612000004,HC MRI LUMB SPINE WO CNTRST,1926.0,1444.5,179.03,1926.0,919 CDM,PX-612000005,HC MRI LUMB SPINE WO/W CNTRST,2918.0,2188.5,309.08,2918.0,918 CDM,PX-612000006,HC MRI THORAC SPINE W CNTRST,2439.0,1829.25,274.62,2439.0,915 CDM,PX-612000007,HC MRI THORAC SPINE WO CNTRST,1687.0,1265.25,177.57,1687.0,918 CDM,PX-612000008,HC MRI THORAC SPINE WO/W CNTRST,3096.0,2322.0,309.57,3096.0,918 CDM,PX-61210,PR BURR HOLE IMPL CRBRAL MNTR DEV,4151.0,3113.25,161.09,4026.47,683 CDM,PX-61215,PR INSRT SUBQ RESERVOIR VENT CATH,5152.0,3864.0,228.24,4997.44,693 CDM,PX-61304,PR CRNCTMY EXPLOR SUPRATENTORIAL,12465.0,9348.75,773.35,12091.05,683 CDM,PX-61305,PR CRNCTMY EXPLOR INFRATENTORIAL,13044.0,9783.0,941.77,12652.68,683 CDM,PX-61312,PR CRNCTMY HEMA SUPRA EXTRADURAL,12110.0,9082.5,963.36,11746.7,683 CDM,PX-61313,PR CRNCTMY HEMA SUPRA INTRACEREB,16248.0,12186.0,936.1,15760.56,683 CDM,PX-61314,PR CRNCTMY HEMA INFRATENT EXTRDRL,13738.0,10303.5,859.78,13325.86,683 CDM,PX-61320,PR CRNCTMY DRN ABSC SUPRA,15315.0,11486.25,883.01,14855.55,683 CDM,PX-61321,PR CRNCTMY DRN ABSC INFRA,16561.0,12420.75,994.19,16064.17,683 CDM,PX-61322,PR CRNCTMY DCMPRN WO LBCTMY,16837.0,12627.75,1106.92,16331.89,683 CDM,PX-61323,PR CRNCTMY W/WO DURAPLST W LBCTMY,18947.0,14210.25,1104.18,18378.59,683 CDM,PX-61343,PR CRNCTMY SUBOCIP W CERV LMNCTMY,20336.0,15252.0,1015.42,19725.92,683 CDM,PX-61345,PR OTHR CRANIAL DCMPRSN PSTR FOSSA,14258.0,10693.5,956.04,13830.26,683 CDM,PX-614000000,HC CARD MRI MORP&FUNC WO/W CNTRST,2836.0,2127.0,356.18,2836.0,918 CDM,PX-614000001,HC CARD MRI MORPH&FUNC WO CNTRST,1979.0,1484.25,249.92,1979.0,916 CDM,PX-614000002,HC CARD MRI MORPH&FUNC WO/W ST,3639.0,2729.25,424.14,3639.0,915 CDM,PX-614000005,HC MRI ABDOMEN W CNTRST,2596.0,1947.0,321.23,2596.0,915 CDM,PX-614000006,HC MRI ABDOMEN WO CNTRST,2356.0,1767.0,184.86,2356.0,916 CDM,PX-614000007,HC MRI ABDOMEN WO/W CNTRST,3511.0,2633.25,340.64,3511.0,918 CDM,PX-614000013,HC MRI CHEST WO CNTRST,2183.0,1637.25,254.61,2183.0,916 CDM,PX-614000014,HC MRI CHEST WO/W CNTRST,3182.0,2386.5,372.28,3182.0,916 CDM,PX-614000015,HC MRI LWR EXT JOINT W CNTRST,2682.0,2011.5,348.41,2682.0,915 CDM,PX-614000016,HC MRI LWR EXT JOINT WO CNTRST,1562.0,1171.5,205.73,1562.0,917 CDM,PX-614000017,HC MRI LWR EXT JOINT WO/W CNTRST,2969.0,2226.75,372.28,2969.0,916 CDM,PX-614000018,HC MRI LWR EXT NOJNT WO/W CNTRST,2452.0,1839.0,342.59,2452.0,917 CDM,PX-614000019,HC MRI LWR EXT NONJNT WO CNTRST,1758.0,1318.5,232.92,1758.0,915 CDM,PX-614000021,HC MRI ORBIT/FACE/NCK W CNTRST,3288.0,2466.0,278.99,3288.0,915 CDM,PX-614000022,HC MRI ORBIT/FACE/NCK WO CNTRST,2394.0,1795.5,236.31,2394.0,916 CDM,PX-614000023,HC MRI ORBT/FACE/NCK WO/W CNTRST,3606.0,2704.5,345.98,3606.0,918 CDM,PX-614000024,HC MRI PELVIS W CNTRST,2860.0,2145.0,274.13,2860.0,915 CDM,PX-614000025,HC MRI PELVIS WO CNTRST,2000.0,1500.0,233.4,2000.0,917 CDM,PX-614000026,HC MRI PELVIS WO/W CNTRST,3495.0,2621.25,338.21,3495.0,918 CDM,PX-614000027,HC MRI TMJ,1946.0,1459.5,254.61,1946.0,916 CDM,PX-614000028,HC MRI UPR EXT JOINT W CNTRST,2760.0,2070.0,345.02,2760.0,915 CDM,PX-614000029,HC MRI UPR EXT JOINT WO CNTRST,1868.0,1401.0,206.22,1868.0,916 CDM,PX-614000030,HC MRI UPR EXT JOINT WO/W CNTRST,2948.0,2211.0,372.28,2948.0,915 CDM,PX-614000031,HC MRI UPR EXT NOJNT WO/W CNTRST,2785.0,2088.75,372.28,2785.0,916 CDM,PX-614000033,HC MRI UPR EXT NONJOINT WO CNTRST,1692.0,1269.0,254.61,1692.0,915 CDM,PX-614000042,HC MRI BREAST WO CNTRST UNILAT,2600.0,1950.0,213.5,2600.0,915 CDM,PX-614000043,HC MRI BREAST WO CNTRST BILAT,2757.0,2067.75,208.16,2757.0,916 CDM,PX-61458,PR CRNCTMY SUBOCIP EXPLR CRNL NRV,16644.0,12483.0,943.62,16144.68,683 CDM,PX-61500,PR CRNCTMY EXCISION TMR SKULL,12284.0,9213.0,579.97,11915.48,683 CDM,PX-615000001,HC MRA HEAD W CNTRST,2571.0,1928.25,248.88,2571.0,917 CDM,PX-615000002,HC MRA HEAD WO CNTRST,2391.0,1793.25,231.89,2391.0,918 CDM,PX-615000003,HC MRA HEAD WO/W CNTRST,3563.0,2672.25,372.28,3563.0,917 CDM,PX-615000005,HC MRA NECK WO CNTRST,1888.0,1416.0,231.89,1888.0,917 CDM,PX-615000006,HC MRA NECK WO/W CNTRST,3407.0,2555.25,372.28,3407.0,918 CDM,PX-61501,PR CRANIECTOMY OSTEOMYELITIS,7836.0,5877.0,511.1,7600.92,683 CDM,PX-61510,PR CRNCTMY EXCISN BRAIN TMR SUPRA,16160.0,12120.0,1038.9,15675.2,683 CDM,PX-61512,PR CRNCTMY EXCISN MENINGIOMA SUPRA,16604.0,12453.0,1183.68,16105.88,683 CDM,PX-61514,PR CRNCTMY EXCISN ABSC SUPRA,16771.0,12578.25,892.82,16267.87,683 CDM,PX-61518,PR CRNCTMY EXCISN BRN TMR INFRATENT,20963.0,15722.25,1290.16,20334.11,683 CDM,PX-61519,PR CRNCTMY EXCISN TMR MENINGIOMA,25565.0,19173.75,1355.9,24798.05,683 CDM,PX-61520,PR CRNCTMY EXCISN BRN TMR CEREB ANGL,28090.0,21067.5,1684.17,27247.3,683 CDM,PX-61521,PR CRNCTMY EXCISN BRN TMR SKULL BASE,20523.0,15392.25,1446.9,19907.31,683 CDM,PX-61522,PR CRNCTMY EXCISN BRAIN ABSCESS,19418.0,14563.5,1019.84,18835.46,683 CDM,PX-61524,PR CRNCTMY EXCISN CYST,16146.0,12109.5,974.45,15661.62,683 CDM,PX-61526,PR CRNCTMY TRANSTEMP EXCISN TMR,30233.0,22674.75,1465.44,29326.01,683 CDM,PX-61536,PR CRANIOT EPILEPTOGENIC FOCUS,25803.0,19352.25,1191.3,25028.91,683 CDM,PX-61537,PR CRANIOT LBCTMY TEMP WO ECOG,20868.0,15651.0,1131.12,20241.96,683 CDM,PX-61538,PR CRANIOT W TEMPORAL LOBECTOMY,23018.0,17263.5,1221.91,22327.46,683 CDM,PX-61543,PR CRANIOT PRTL HEMISPHERECTOMY,18438.0,13828.5,1013.75,17884.86,683 CDM,PX-61545,PR CRANIOT EXCISN CRANIOPHARYNG,21967.0,16475.25,1474.1,21307.99,683 CDM,PX-61570,PR CRNCTMY BRAIN EXCISN FB,13085.0,9813.75,880.87,12692.45,683 CDM,PX-61575,PR DCMPRN LSN SKL BASE TRANSORAL,15697.0,11772.75,1159.1,15226.09,683 CDM,PX-61576,PR TRANSORAL BX/DCMPRS SPLIT TONGUE,30213.0,22659.75,2017.22,29306.61,683 CDM,PX-61580,PR APP CRNFCL EXTDRL WO ORB EXTRN,26723.0,20042.25,1079.03,25921.31,683 CDM,PX-61583,PR APP CRNFCL INTRADURAL W CRANIOT,30096.0,22572.0,1406.91,29193.12,683 CDM,PX-61584,PR APP ORBTCRNL EXTRDRL WO EXTNSN,23121.0,17340.75,1363.78,22427.37,683 CDM,PX-61585,PR APP ORBTCRNL EXTRDRL W ORB EXENT,25458.0,19093.5,1565.6,24694.26,683 CDM,PX-61586,PR BICORNL TRANSZYG APP WO BN GRFT,17958.0,13468.5,1271.27,17419.26,683 CDM,PX-61590,PR APP INFRATEMPRL PRE AURICULAR,32184.0,24138.0,1297.98,31218.48,683 CDM,PX-61592,PR APP ORBITOCRANIAL ZYGOMATIC,30303.0,22727.25,1461.04,29393.91,683 CDM,PX-61597,PR TRANSCONDYLAR PSTR CRNL FOSSA,22781.0,17085.75,1425.75,22097.57,683 CDM,PX-61600,PR RSECT LSN ANTR CRNL FOSSA EXTR,23161.0,17370.75,930.66,22466.17,683 CDM,PX-61601,PR RSECT LSN ANTR CRNL FOSSA INTR,21482.0,16111.5,1156.22,20837.54,683 CDM,PX-61605,PR RSECT LSN INFRATMPRL FOSS EXTR,13935.0,10451.25,932.56,13516.95,683 CDM,PX-61606,PR RSECT LSN INFRATMPRL FOSS INTR,26261.0,19695.75,1316.48,25473.17,683 CDM,PX-61608,PR RSECT LSN PARASELLAR AREA INTR,25855.0,19391.25,1520.55,25079.35,683 CDM,PX-61616,PR RSECT LSN POSTR CRNL FOSS INTR,28933.0,21699.75,1520.84,28065.01,683 CDM,PX-61619,PR RPR SECNDRY DURA CSF LEAK FLAP,25688.0,19266.0,752.45,24917.36,683 CDM,PX-61623,PR EVASC TEMP BALN ARTL OCCLUSION,5501.0,4125.75,250.61,5335.97,683 CDM,PX-61624,PR TXCATH OCCL/EMBL CNS,12951.0,9713.25,504.27,12562.47,683 CDM,PX-61626,PR TXCATH OCCL/EMBL NON CNS,9648.0,7236.0,3618.0,9648.0,683 CDM,PX-61630,PR ANGIO BALN PERC INTRACRANIAL,10463.0,7847.25,606.1,10149.11,683 CDM,PX-61635,PR INS STNT INTRACRANIAL,11554.0,8665.5,655.7,11207.38,683 CDM,PX-61645,PR PERC ARTL TRNSLUM THRMBCT INTRCRNL,5328.0,3996.0,731.31,5328.0,676 CDM,PX-61650,PR EVASC INTRCRNL PROLNG RX ADMIN INIT,3434.0,2575.5,252.61,3330.98,683 CDM,PX-61651,PR EVASC INTRCRNL PROLNG RX ADMIN ADD,1747.0,1310.25,215.96,1747.0,676 CDM,PX-61680,PR INTRCR AV MALFORM SUPRA SMPL,18946.0,14209.5,1060.63,18377.62,683 CDM,PX-61682,PR INTRCR AV MALFORM SUPRA COMPLX,31953.0,23964.75,1865.05,30994.41,683 CDM,PX-61684,PR INTRCR AV MALFORM INFRA SMPL,20433.0,15324.75,1311.96,19820.01,683 CDM,PX-61686,PR INTRCR AV MALFORM INFRA CMPLX,31314.0,23485.5,2040.09,30374.58,683 CDM,PX-61697,PR CMPLX INTRCR ARYSM CARTD CIRC,31718.0,23788.5,1923.05,30766.46,683 CDM,PX-61700,PR SMPL INTRCR ARYSM CARTD CIRC,24944.0,18708.0,1543.34,24195.68,683 CDM,PX-61711,PR ANAST ARTY EXTRACRNL-INTRACRNL,22834.0,17125.5,1198.77,22148.98,683 CDM,PX-61720,PR CREATE LESN STRTCTC GLOBUS,9000.0,6750.0,607.08,8730.0,683 CDM,PX-61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,11504.0,8628.0,1095.86,11504.0,676 CDM,PX-61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13852.0,10389.0,1295.88,13852.0,676 CDM,PX-61750,PR BX STEREOTACTIC INTRACRNL LESN,12606.0,9454.5,665.95,12227.82,683 CDM,PX-61751,PR BX STRTCTC INTRACRN LSN CT/MRI,12538.0,9403.5,666.7,12161.86,683 CDM,PX-61760,PR IMPL STRTCTC ELECTRODES CEREB,15315.0,11486.25,746.91,14855.55,683 CDM,PX-61781,PR STRTCTC COMP-ASSIST CRNL INTRA,2065.0,1548.75,206.52,2065.0,676 CDM,PX-61782,PR STRTCTC COMP-ASSIST CRNL EXTRA,1533.0,1149.75,141.29,1533.0,676 CDM,PX-61783,PR STRTCTC COMP-ASSIST NAV SPINAL,2187.0,1640.25,199.83,2187.0,676 CDM,PX-61790,PR CREATE LESN PERC NEURO GASSER,8492.0,6369.0,432.02,8237.24,683 CDM,PX-61796,PR RADIOSURG CRANIAL LESION SMPL,14702.0,11026.5,973.94,14702.0,676 CDM,PX-61797,PR RADIOSURG CRANL LESN SMPL ADD,3049.0,2286.75,192.02,3049.0,676 CDM,PX-61798,PR RADIOSURG CRANIAL LESION CMPLX,15782.0,11836.5,1286.88,15782.0,676 CDM,PX-61800,PR APP STEREOTACTIC HEADFRAME,1168.0,876.0,139.91,1168.0,676 CDM,PX-618000002,HC MRA ABD WO/W CNTRST,2680.0,2010.0,245.18,2680.0,915 CDM,PX-618000007,HC MRA LWR EXT WO/W CNTRST LWR EXT,2359.0,1769.25,246.15,2359.0,915 CDM,PX-618000009,HC MRA PELVIS WO/W CNTRST,2445.0,1833.75,246.15,2445.0,915 CDM,PX-618000011,HC MRA SPINE WO/W CNTRST,2237.0,1677.75,246.8,2237.0,915 CDM,PX-618000015,HC MRA PELVIS WO CNTRST,882.0,661.5,254.61,882.0,916 CDM,PX-618000021,HC MRA UPR EXT WO CNTRST,765.0,573.75,237.74,765.0,915 CDM,PX-61860,PR CRNCTMY IMPL NEUROSTIM CORTIC,11163.0,8372.25,735.75,10828.11,683 CDM,PX-61863,PR IMPL ELCTD SUBCORT WO REC 1ST,9718.0,7288.5,719.18,9426.46,683 CDM,PX-61864,PR IMPL ELCTD SUBCORT WO REC EA,3120.0,2340.0,211.44,3120.0,686 CDM,PX-61867,PR IMPL ELCTD SUBCORT W REC 1ST,18029.0,13521.75,1060.04,17488.13,683 CDM,PX-61868,PR IMPL ELCTD SUBCORT W REC EA,5041.0,3780.75,437.54,5041.0,676 CDM,PX-61880,PR REVISN INTRACRN NEURSTIM ELECT,5041.0,3780.75,298.34,4889.77,683 CDM,PX-61885,PR INS CRNL PULSE GEN 1 CONNECT,4588.0,3441.0,268.67,4450.36,683 CDM,PX-61886,PR INS CRNL PULSE GEN 2+ CONNECT,4570.0,3427.5,448.58,4432.9,683 CDM,PX-61888,PR RMVL CRANIAL NEUROSTIMULATOR,3591.0,2693.25,194.12,3483.27,683 CDM,PX-61889,PR INS SK-MNT CRNL NSTM PG/RCVR,5303.0,3977.25,840.95,5143.91,683 CDM,PX-61891,PR REV/RPLCMT SK-MNT CRNL NSTM,8412.0,6309.0,403.34,8159.64,683 CDM,PX-61892,PR RMV SK-MNT CRNL NSTM PG/RCVR,11032.0,8274.0,527.07,10701.04,683 CDM,PX-62100,PR CRANIOTOMY RPR CSF LEAK,14285.0,10713.75,703.42,13856.45,683 CDM,PX-62120,PR RPR OF ENCEPHALOCELE,16358.0,12268.5,1032.39,15867.26,683 CDM,PX-62121,PR CRANIOT REPAIR ENCEPHALOCELE,11597.0,8697.75,694.82,11249.09,683 CDM,PX-62140,PR CRNPLSTY SKULL DEFECT <5 CM,10408.0,7806.0,472.42,10095.76,683 CDM,PX-62141,PR CRNPLSTY SKULL DEFECT >5 CM,12823.0,9617.25,537.35,12438.31,683 CDM,PX-62142,PR REMOVAL BONE FLAP SKULL,7979.0,5984.25,433.83,7739.63,683 CDM,PX-62143,PR REPLACEMENT BONE FLAP SKULL,9319.0,6989.25,501.75,9039.43,683 CDM,PX-62146,PR CRANIOPLASTY W AUTOGRAFT<5CM,9137.0,6852.75,597.65,8862.89,683 CDM,PX-62147,PR CRANIOPLASTY W AUTOGRAFT>5CM,20689.0,15516.75,655.71,20068.33,683 CDM,PX-62160,PR NEUROENDO INTRACRNL PLC CATH,2090.0,1567.5,165.47,2090.0,676 CDM,PX-62165,PR NEUROENDO INTRA EXCISN PIT TMR,14604.0,10953.0,677.78,14165.88,683 CDM,PX-62200,PR VENTRICULOCISTERN 3RD VENT,13250.0,9937.5,653.41,12852.5,683 CDM,PX-62201,PR VENTRICULOCISTERN 3 VENT STREO,13053.0,9789.75,589.97,12661.41,683 CDM,PX-62223,PR CREATE SHUNT VENTRIC-PERITONL,7676.0,5757.0,493.37,7445.72,683 CDM,PX-62225,PR REPLACE VENTRICULAR CATHETER,5207.0,3905.25,275.6,5050.79,683 CDM,PX-62230,PR REPLACE/REVISE CSF SHUNT,10525.0,7893.75,404.21,10209.25,683 CDM,PX-62252,PR REPROGRAM CSF SHUNT,423.0,317.25,40.49,576.0,2029 CDM,PX-62256,PR RMVL CSF SHUNT SYSTEM WO RPLC,5130.0,3847.5,308.17,4976.1,683 CDM,PX-62258,PR RMVL CSF SHUNT SYSTEM W RPLC,12216.0,9162.0,531.93,11849.52,683 CDM,PX-62267,PR PERC ASP INTERDISCAL DX,1416.0,1062.0,126.31,1373.52,683 CDM,PX-62270,PR PUNCTURE SPINAL LUMBAR DX,1025.0,768.75,80.01,994.25,686 CDM,PX-62272,PR PUNCTURE SPINAL THER DRN CSF,1038.0,778.5,104.94,1006.86,683 CDM,PX-62273,PR INJ EPI BLD/CLOT PATCH,1485.0,1113.75,84.03,1440.45,683 CDM,PX-62284,PR INJ MYELOGRAPHY CT WO C1/C2,1297.0,972.75,87.7,1258.09,683 CDM,PX-62290,PR INJ DISCOGRAPHY LUMBAR EA LVL,2193.0,1644.75,180.33,2127.21,683 CDM,PX-62303,PR MYELOGRAPHY LUMB INJ S&I THOR,1831.0,1373.25,121.32,1776.07,683 CDM,PX-62304,PR MYELOGRAPHY LUMB INJ S&I LUMB,1626.0,1219.5,118.21,1577.22,683 CDM,PX-62305,PR MYELOGRAPHY LUMB INJ >2 RGNS,1487.0,1115.25,128.94,1442.39,683 CDM,PX-62320,PR INJ SPINE CERV/THOR WO IMG,1632.0,1224.0,79.81,1583.04,683 CDM,PX-62321,PR INJ SPINE CERV/THOR W IMG,1800.0,1350.0,134.64,1746.0,683 CDM,PX-62322,PR INJ SPINE LUMB/SAC WO IMG,473.0,354.75,71.06,458.81,683 CDM,PX-62323,PR INJ SPINE LUMB/SAC W IMG,1985.0,1488.75,132.97,1786.5,597 CDM,PX-62324,PR INJ INF/BOLUS CERV/THORAC DX WO IMG,1392.0,1044.0,75.09,1350.24,683 CDM,PX-62326,PR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,1364.0,1023.0,74.9,1323.08,683 CDM,PX-62327,PR INJ INTERLAMINAR LUMBAR/ SAC,1793.0,1344.75,45.75,1739.21,697 CDM,PX-62328,PR PUNCTURE SPINAL LUMBAR DX W GUID,1563.0,1172.25,104.92,1516.11,683 CDM,PX-62329,PR PUNCTURE SPINAL THER DRN CSF W GUID,2510.0,1882.5,132.9,2434.7,683 CDM,PX-62350,PR IMPL CATH WO LAMINECTOMY,4042.0,3031.5,183.88,3920.74,683 CDM,PX-62355,PR RMVL PREV IMPL CATH,3482.0,2611.5,136.27,3377.54,683 CDM,PX-62360,PR IMPL FOR INF SUBQ RESERVOIR,3450.0,2587.5,150.82,3346.5,683 CDM,PX-62362,PR IMPL FOR INFUSION PROGRAM PUMP,5470.0,4102.5,180.57,5305.9,683 CDM,PX-62365,PR REMOVAL OF SUBQ RESERVOIR,2961.0,2220.75,143.51,2872.17,683 CDM,PX-62367,PR ELEC ANLYS PUMP WO RPRG/REFILL,326.0,244.5,21.01,326.0,690 CDM,PX-62368,PR ELEC ANLYS PUMP W RPRG,276.0,207.0,45.4,276.0,676 CDM,PX-62369,PR ELEC ANALYSIS W REPRG REFIL,775.0,581.25,29.21,775.0,690 CDM,PX-62370,PR ELEC ANLYS PUMP W RPRG&RFLL,496.0,372.0,94.79,496.0,676 CDM,PX-62380,PR ENDOSC DCMPRN FIRST INTRSPC LUMB,9827.0,7370.25,245.68,9532.19,683 CDM,PX-63001,PR LAMINECTOMY W EXPLR CERVICAL,11711.0,8783.25,575.09,11359.67,683 CDM,PX-63003,PR LAMINECTOMY W EXPLR THORACIC,10795.0,8096.25,577.24,10471.15,683 CDM,PX-63005,PR LAMINECTOMY W EXPLR LUMBAR,9494.0,7120.5,488.3,9209.18,693 CDM,PX-63011,PR LMNCTMY WO FACETECT <=2 SEG SAC,8630.0,6472.5,490.12,8371.1,683 CDM,PX-63012,PR LAMINECTOMY W RMVL FACETS LUMB,9380.0,7035.0,554.91,9098.6,683 CDM,PX-63015,PR LMNCTMY W EXPLR 2+ SEG CERV,13220.0,9915.0,695.64,12823.4,683 CDM,PX-63016,PR LMNCTMY W EXPLR 2+ SEG THOR,15978.0,11983.5,705.1,15498.66,683 CDM,PX-63017,PR LMNCTMY W EXPLR 2+ SEG LUMB,10763.0,8072.25,599.8,10440.11,683 CDM,PX-63020,PR LMNOTOMY W DCMPRN 1 SPACE CERV,18278.0,13708.5,514.13,17729.66,683 CDM,PX-63030,PR LMNOTOMY W DCMPRN 1 SPACE LUMB,10605.0,7953.75,433.97,10286.85,683 CDM,PX-63035,PR LMNOTOMY W DCMPRN EA ADD SPACE,2012.0,1509.0,169.58,2012.0,686 CDM,PX-63042,PR LMNOTOMY REEXPLOR 1 SPACE LUMB,12774.0,9580.5,590.09,12390.78,683 CDM,PX-63044,PR LMNOTOMY REEXPLOR LUMB EA ADD,4334.0,3250.5,176.2,4334.0,676 CDM,PX-63045,PR LAMIN/FACE/FORAMIN 1 SEG CERV,12617.0,9462.75,512.14,12238.49,693 CDM,PX-63046,PR LAMIN/FACE/FORAMIN 1 SEG THOR,12824.0,9618.0,571.72,12439.28,683 CDM,PX-63047,PR LAMIN/FACE/FORAMIN 1 SEG LUMB,15273.0,11454.75,514.78,14814.81,683 CDM,PX-63048,PR LAMIN/FACE/FORAMIN EA ADD SEG,3169.0,2376.75,180.92,3169.0,676 CDM,PX-63051,PR LMNPLSTY CERV W DCMPRN&RECNSTR,15769.0,11826.75,761.65,15295.93,683 CDM,PX-63052,PR LAM/FAC/FOR POST ARTHR SGL VERT SEG,3750.0,2812.5,221.87,3750.0,676 CDM,PX-63053,PR LAM/FAC/FOR POST ARTHR EA ADD SEG,2520.0,1890.0,197.65,2520.0,676 CDM,PX-63055,PR TRANSPEDIC DCMPRN 1 SEG THOR,15398.0,11548.5,748.23,14936.06,683 CDM,PX-63056,PR TRANSPEDIC DCMPRN 1 SEG LUMB,18420.0,13815.0,576.44,17867.4,693 CDM,PX-63057,PR TRANSPEDIC DCMPRN EA ADD SEG,4732.0,3549.0,277.33,4732.0,676 CDM,PX-63075,PR DISCTMY ANT W DCMPRN CERV SNGL,13170.0,9877.5,622.1,12774.9,683 CDM,PX-63077,PR DISCTMY ANT W DCMPRN THOR SNGL,12631.0,9473.25,638.08,12252.07,683 CDM,PX-63081,PR CRPCTMY ANTR APP CERV SNGL,12962.0,9721.5,801.16,12573.14,683 CDM,PX-63082,PR CRPCTMY ANTR APP CERV EA ADD,3905.0,2928.75,229.12,3905.0,676 CDM,PX-63085,PR CRPCTMY TRNSTHOR APP THOR SNGL,15673.0,11754.75,878.5,15202.81,683 CDM,PX-63087,PR CRPCTMY THRCOLMB THOR/LUMB SNGL,17683.0,13262.25,1093.06,17152.51,683 CDM,PX-63101,PR CRPCTMY LAT EXTRCV THOR SNGL,19997.0,14997.75,1068.53,19397.09,683 CDM,PX-63102,PR CRPCTMY LAT EXTRCV LUMB SNGL,16194.0,12145.5,1048.74,15708.18,683 CDM,PX-63103,PR CRPCTMY LAT EXTRCV TH/LB EA AD,3841.0,2880.75,253.58,3841.0,676 CDM,PX-63170,PR LMNCTMY W MYLTMY CRV/THOR/THORCOL,12738.0,9553.5,757.59,12355.86,683 CDM,PX-63200,PR LAMINECTOMY RELEASE CORD LUMB,11597.0,8697.75,738.11,11249.09,683 CDM,PX-63265,PR LMNCTMY EXCISN LSN EXTRA CERV,12267.0,9200.25,776.83,11898.99,683 CDM,PX-63266,PR LMNCTMY EXCISN LSN EXTRA THOR,12972.0,9729.0,798.31,12582.84,683 CDM,PX-63267,PR LMNCTMY EXCISN LSN EXTRA LUMB,9145.0,6858.75,637.99,8870.65,683 CDM,PX-63271,PR LMNCTMY EXCISN LSN INTRA THOR,15924.0,11943.0,967.37,15446.28,683 CDM,PX-63272,PR LMNCTMY EXCISN LSN INTRA LUMB,14873.0,11154.75,880.32,14426.81,683 CDM,PX-63275,PR LMNCTMY BX NEO EXTRADUR CERV,13696.0,10272.0,708.62,13285.12,693 CDM,PX-63276,PR LMNCTMY BX NEO EXTRADUR THOR,13133.0,9849.75,831.25,12739.01,683 CDM,PX-63277,PR LMNCTMY BX NEO EXTRADUR LUMB,12652.0,9489.0,723.94,12272.44,683 CDM,PX-63278,PR LMNCTMY BX NEO EXTRADUR SAC,11843.0,8882.25,759.24,11487.71,683 CDM,PX-63280,PR LMNCTMY BX INTRDUR EXTMED CERV,20988.0,15741.0,991.4,20358.36,683 CDM,PX-63281,PR LMNCTMY BX INTRDUR EXTMED THOR,20321.0,15240.75,983.63,19711.37,683 CDM,PX-63282,PR LMNCTMY BX INTRDUR EXTMED LUMB,14701.0,11025.75,931.6,14259.97,683 CDM,PX-63285,PR LMNCTMY BX INTRDUR INTMED CERV,23641.0,17730.75,1030.7,22931.77,693 CDM,PX-63286,PR LMNCTMY BX INTRDUR INTMED THOR,16287.0,12215.25,1198.48,15798.39,683 CDM,PX-63295,PR RCNST OSTPLSTC DORSAL SPN,2475.0,1856.25,290.42,2475.0,676 CDM,PX-63300,PR CRPCTMY EXCISN LSN EXTRDUR CERV,15147.0,11360.25,839.15,14692.59,683 CDM,PX-63301,PR CRPCTMY EXCISN EXTRDR THOR TRTHOR,14511.0,10883.25,1032.94,14075.67,683 CDM,PX-63302,PR EXCISN LESN EXDUR THOR THORCOLM AP,14337.0,10752.75,1021.54,13906.89,683 CDM,PX-63303,PR CRPCTMY EXCISN EXTRDR LUMB/SAC,15057.0,11292.75,1075.75,14605.29,683 CDM,PX-63308,PR CRPCTMY EXCISN LESN CERV EA ADD,2475.0,1856.25,278.35,2475.0,676 CDM,PX-636000002,HC NITRIC OXIDE PER HOUR,413.0,309.75,185.85,413.0,913 CDM,PX-636000310,HC 2301 HI ACT 6.1-10.0 MCI EACH,351.0,263.25,157.95,351.0,915 CDM,PX-636000311,"HC 2301 HIGH ACTIVITY, 4.1-6.0 MC",299.0,224.25,134.55,299.0,915 CDM,PX-636000312,"HC 2301 HIGH ACTIVITY, 2.1-4.0 MC",208.0,156.0,93.6,208.0,915 CDM,PX-636000378,"HC BRACHYTX, NON-STR,HDR IR-192",577.0,432.75,259.65,577.0,916 CDM,PX-63620,PR SRS SPINAL LESION,10591.0,7943.25,1070.33,10591.0,676 CDM,PX-63650,PR IMPL NEUROSTIM ELEC PERC EPI,10627.0,7970.25,1159.35,10308.19,683 CDM,PX-63655,PR LAMINECTOMY W IMPL NS ELEC EPI,10260.0,7695.0,404.64,9952.2,683 CDM,PX-63661,PR REMOVAL SPINE NEUROSTIM ARRAY,4954.0,3715.5,360.94,4805.38,683 CDM,PX-63662,PR REMOVAL SPINE NEUROSTIM PLATE,5443.0,4082.25,409.94,5279.71,683 CDM,PX-63663,PR REV SPINE ELEC PERC ARRAY,5480.0,4110.0,200.28,5315.6,697 CDM,PX-63664,PR REV SPINE NEUROSTIM PLATE,6890.0,5167.5,427.55,6683.3,683 CDM,PX-63685,PR INS/RPLCMT SPI NPGR POCKET,3437.0,2577.75,155.02,3333.89,683 CDM,PX-63688,PR REV/RMV IMP SPI NPGR DTCH CN,4445.0,3333.75,148.27,4311.65,683 CDM,PX-63700,PR RPR MENINGOCELE <5 CM,8330.0,6247.5,636.41,8080.1,683 CDM,PX-63707,PR REPAIR CSF LEAK WO LAMINECTOMY,8874.0,6655.5,447.75,8607.78,683 CDM,PX-63709,PR REPAIR CSF LEAK W LAMINECTOMY,12744.0,9558.0,523.65,12361.68,683 CDM,PX-63741,PR CREATE SHUNT LUMB WO LMNCTMY,6062.0,4546.5,343.78,5880.14,690 CDM,PX-63744,PR RPLC LUMBOSUBARACHNOID SHUNT,6165.0,4623.75,354.26,5980.05,683 CDM,PX-64400,PR INJ ANES TRIGEMINAL NRV,1162.0,871.5,50.2,1127.14,693 CDM,PX-64405,PR INJ ANES GREATER OCCIPITAL NRV,761.0,570.75,32.53,738.17,683 CDM,PX-64408,PR INJ ANES VAGUS NRV,812.0,609.0,33.02,787.64,684 CDM,PX-64415,PR INJ ANES BRACHIAL PLEX W GUIDANCE,1597.0,1197.75,75.62,1549.09,683 CDM,PX-64416,PR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2401.0,1800.75,35.75,2328.97,683 CDM,PX-64417,PR INJ ANES AXILLARY NERVE W GUIDANCE,1879.0,1409.25,90.56,1822.63,684 CDM,PX-64418,PR INJ ANES SUPRASCAPULAR NERVE,601.0,450.75,43.88,540.9,596 CDM,PX-64420,PR INJ ANES INTERCOSTAL NRV SNGL LVL,1273.0,954.75,51.68,1145.7,596 CDM,PX-64421,PR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,1248.0,936.0,34.3,1248.0,591 CDM,PX-64425,PR INJ ANES ILIOINGUINAL NRV,763.0,572.25,58.92,740.11,683 CDM,PX-64430,PR INJ NRV BLOCK PUDENDAL,1020.0,765.0,46.75,989.4,683 CDM,PX-64435,PR INJ ANES AGENT PARACERV NRV,534.0,400.5,18.91,517.98,697 CDM,PX-64445,PR INJ ANES SCIATIC NERVE W GUIDANCE,1391.0,1043.25,84.41,1251.9,596 CDM,PX-64446,PR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2499.0,1874.25,34.91,2424.03,683 CDM,PX-64447,PR INJ ANES FEM NERVE W GUIDANCE,2704.0,2028.0,65.51,2433.6,596 CDM,PX-64448,PR INJ ANES FEM NERVE CONT W GUIDANCE,1698.0,1273.5,33.44,1647.06,683 CDM,PX-64450,PR INJ ANES OTHER PERIPHERAL NRV,694.0,520.5,33.5,673.18,693 CDM,PX-64451,PR INJ ANES/STEROID NERVES SACROILIAC JNT,1414.0,1060.5,117.51,1371.58,683 CDM,PX-64454,PR INJ ANES/STEROID GENICULAR NERVE,1536.0,1152.0,114.29,1489.92,683 CDM,PX-64455,PR INJ ANES STEROID PLANTAR NRV,243.0,182.25,14.81,235.71,697 CDM,PX-64461,PR PARAVERTEB BLOCK THOR SNGL,1030.0,772.5,73.08,999.1,683 CDM,PX-64466,PR THRC FASCIAL PLN BLK UNI NJX,1700.0,1275.0,69.27,1649.0,683 CDM,PX-64468,PR THRC FASCIAL PLN BLK BI NJX,2550.0,1912.5,80.18,2473.5,683 CDM,PX-64473,PR LWR XTR FSCL PLN BLK UNI NJX,1300.0,975.0,65.67,1261.0,683 CDM,PX-64479,PR INJ ANES FORAMEN SNGL CRV/THRC,1648.0,1236.0,138.98,1598.56,683 CDM,PX-64480,PR INJ ANES FORAMEN ADD LVL,896.0,672.0,139.32,896.0,676 CDM,PX-64483,PR INJ ANES FORAMEN EPI LUMB SNGL,1616.0,1212.0,128.97,1454.4,596 CDM,PX-64484,PR INJ ANES FORAMEN EPI LUMB ADD,776.0,582.0,114.64,776.0,591 CDM,PX-64486,PR TAP BLOCK UNILAT BY INJ,1313.0,984.75,61.29,1181.7,596 CDM,PX-64488,PR INJ ANES TRANSABDOM PLANE BIL,1919.0,1439.25,61.21,1861.43,693 CDM,PX-64490,PR INJ FACET JT CERV/THOR 1 LVL,1850.0,1387.5,99.96,1794.5,683 CDM,PX-64491,PR INJ FACET JT CERV/THOR 2 LVL,950.0,712.5,99.47,950.0,676 CDM,PX-64492,PR INJ FACET JT CERV/THOR >=3 LVL,950.0,712.5,99.87,950.0,676 CDM,PX-64493,PR INJ FACET JT LUMB/SAC 1 LVL,1308.0,981.0,92.75,1268.76,683 CDM,PX-64494,PR INJ FACET JT LUMB/SAC 2 LVL,1020.0,765.0,93.6,1020.0,676 CDM,PX-64495,PR INJ FACET JT LUMB/SAC >= 3 LVL,900.0,675.0,96.51,900.0,676 CDM,PX-64505,PR INJ ANES SPENOPLTN GANGLION,788.0,591.0,61.88,764.36,693 CDM,PX-64510,PR INJ ANES STELLATE GANGLION,1222.0,916.5,75.01,1185.34,683 CDM,PX-64517,PR INJ ANES SUPR HYPOGASTRIC PLEX,1425.0,1068.75,98.97,1382.25,683 CDM,PX-64520,PR INJ ANES AGENT LUMBAR/THORACIC,1485.0,1113.75,117.78,1440.45,683 CDM,PX-64530,PR INJ ANES AGENT CELIAC PLEX,2030.0,1522.5,114.77,1969.1,683 CDM,PX-64553,PR IMPL NEUROSTIM CRANIAL PERC,1436.0,1077.0,216.81,1436.0,697 CDM,PX-64555,PR IMPL NEUROSTIM PERIPHERAL PERC,4209.0,3156.75,1079.1,4082.73,683 CDM,PX-64561,PR IMPL NEUROSTIM SAC NRV W IMG,5568.0,4176.0,361.24,5400.96,684 CDM,PX-64566,PR NEUROSTIM POSTR TIB PERC NDL,460.0,345.0,12.8,446.2,698 CDM,PX-64568,PR INCISION IMPL CRANIAL NERVE,4366.0,3274.5,318.47,4235.02,683 CDM,PX-64569,PR REV CRANIAL NERVE NEUROSTIM,7217.0,5412.75,360.06,7000.49,683 CDM,PX-64570,PR RMVL CRANIAL NERVE NEUROSTIM,4669.0,3501.75,368.77,4528.93,683 CDM,PX-64575,PR INCISN IMPLN NRSTIM PERIPH NRV,4590.0,3442.5,143.18,4452.3,683 CDM,PX-64581,PR INCISN IMPLN NRSTIM SACRAL NRV,3677.0,2757.75,287.71,3566.69,683 CDM,PX-64582,PR OPN MPLTJ HPGLSL NSTM ARY PG,4939.0,3704.25,353.51,4790.83,683 CDM,PX-64583,PR REV/RPLCT HPGLSL NSTM ARY PG,6228.0,4671.0,364.47,6041.16,683 CDM,PX-64585,PR REV/RMVL PERIPH NEUROSTIM ELEC,1865.0,1398.75,122.54,1809.05,683 CDM,PX-64590,PR INS/RPLC PERIPH/GASTR NEUROSTIM,1800.0,1350.0,208.66,1746.0,683 CDM,PX-64595,PR REV/RMVL PERIPH/GASTR NEUROSTIM,2089.0,1566.75,169.5,2026.33,683 CDM,PX-64596,PR INS/RPLCMT PRQ ELTRD RA PN 1,6057.0,4542.75,158.23,5875.29,684 CDM,PX-64597,PR INS/RPLCM PRQ ELTRD RA PN EA,4240.0,3180.0,316.46,4240.0,677 CDM,PX-64600,PR DESTRUCTION NEURO AGNT TRIGEM,2212.0,1659.0,110.07,2145.64,697 CDM,PX-64610,PR DESTRCT TRIGEM 2/3 DIV RADMNTR,4074.0,3055.5,416.03,3951.78,683 CDM,PX-64611,PR CHEMODENERV PAROTID SUBMAN,596.0,447.0,66.94,578.12,684 CDM,PX-64612,PR CHEMODENERV FACIAL MUS UNILAT,779.0,584.25,68.78,755.63,684 CDM,PX-64615,PR CHEMODENERV FACIAL TRIGEM BIL,1400.0,1050.0,64.45,1652.88,1390 CDM,PX-64616,PR CHEMODENERV NECK MUSCLE UNILAT,828.0,621.0,69.42,803.16,684 CDM,PX-64617,PR CHEMODENERV LARYNX UNILAT W EMG,1467.0,1100.25,44.97,1422.99,697 CDM,PX-64620,PR DEST NEURO AGNT INTERCOSTAL NRV,1681.0,1260.75,110.18,1630.57,683 CDM,PX-64624,PR DEST NEURO AGNT GENICULAR NERVE,2289.0,1716.75,200.06,2220.33,683 CDM,PX-64625,PR RF ABLATION NERVES SACROILIAC JNT,2880.0,2160.0,241.25,2793.6,683 CDM,PX-64628,PR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,7800.0,5850.0,178.97,7566.0,683 CDM,PX-64633,PR DEST CERV/THOR FACET JT,2940.0,2205.0,223.46,2851.8,683 CDM,PX-64634,PR DEST CERV/THOR FACET JT ADD,1430.0,1072.5,259.16,1430.0,676 CDM,PX-64635,PR DEST LUMB/SAC FACET JT,2812.0,2109.0,226.4,2727.64,683 CDM,PX-64636,PR DEST LUMB/SAC FACET JT ADD,1377.0,1032.75,244.47,1377.0,676 CDM,PX-64640,PR DEST OTHER PERIPHERAL NERVE,1345.0,1008.75,130.21,1304.65,683 CDM,PX-64642,PR CHEMODENERV 1 EXT 1-4 MUSCLE,737.0,552.75,79.23,714.89,685 CDM,PX-64643,PR CHEMODENERV EA ADD EXT 1-4 MUS,412.0,309.0,58.3,412.0,693 CDM,PX-64644,PR CHEMODENERV 1 EXT >=5 MUS,723.0,542.25,50.33,701.31,698 CDM,PX-64645,PR CHEMODENERV EXT EA ADD > 4 MUS,390.0,292.5,68.42,390.0,690 CDM,PX-64646,PR CHEMODENERV TRUNK 1-5 MUS,723.0,542.25,82.54,701.31,683 CDM,PX-64647,PR CHEMODENERV TRUNK OVER 5 MUS,998.0,748.5,91.88,968.06,684 CDM,PX-64650,PR CHEMODENERV ECCRINE GLND AXIL BOTH,328.0,246.0,16.33,318.16,698 CDM,PX-64653,PR CHEMODENERV ECCRINE GLND OTHR,1254.0,940.5,21.0,1216.38,698 CDM,PX-64680,PR DEST NERVE CELIAC PLEX,2414.0,1810.5,168.83,2341.58,683 CDM,PX-64702,PR NEUROPLASTY DIGITAL SAME DIGIT,3340.0,2505.0,237.86,3239.8,683 CDM,PX-64704,PR NEUROPLASTY HAND/FEET NERVE,2266.0,1699.5,150.68,2198.02,683 CDM,PX-64708,PR NEUROPLASTY ARM/LEG MJR NERVE,4015.0,3011.25,226.55,3894.55,683 CDM,PX-64712,PR NEUROPLASTY SCIATIC NERVE,5946.0,4459.5,271.0,5767.62,683 CDM,PX-64713,PR NEUROPLASTY BRACHIAL PLEXUS,6581.0,4935.75,361.93,6383.57,683 CDM,PX-64714,PR NEUROPLASTY LUMBAR PLEXUS,6645.0,4983.75,347.58,6445.65,683 CDM,PX-64716,PR NEUROPLASTY CRANIAL NERVE,3209.0,2406.75,229.05,3112.73,683 CDM,PX-64718,PR NEUROPLASTY ULNAR NRV AT ELBOW,4344.0,3258.0,237.69,4213.68,693 CDM,PX-64719,PR NEUROPLASTYULNAR NERVE AT WRST,2811.0,2108.25,188.58,2726.67,683 CDM,PX-64721,PR NEUROPLASTY MEDN NRV CARP TUNL,2695.0,2021.25,234.49,2614.15,683 CDM,PX-64722,PR DECOMPRESSION UNSPECIFIED NRV,2850.0,2137.5,181.1,2764.5,683 CDM,PX-64727,PR NEUROLYSIS INTRNL W MICROSCOPE,1980.0,1485.0,142.61,1980.0,676 CDM,PX-64734,PR TRANSECTION AVUL INFRAORBITAL NRV,3440.0,2580.0,268.43,3336.8,683 CDM,PX-64744,PR TRANSECTION GRT OCCIPITAL NRV,3803.0,2852.25,261.1,3688.91,683 CDM,PX-64772,PR TRANS/AVUL OTH SPN NRV EXTRADUR,3050.0,2287.5,251.44,2958.5,683 CDM,PX-64774,PR EXCISN NEUROMA CUTANEOUS NERVE,2927.0,2195.25,200.22,2839.19,683 CDM,PX-64776,PR EXCISN NEUROMA DIGITAL NERVE,2002.0,1501.5,182.52,1941.94,683 CDM,PX-64782,PR EXCISN NEUROMA HAND/FOOT,2376.0,1782.0,212.81,2304.72,683 CDM,PX-64784,PR EXCISN NEUROMA MJR PERIPHERAL,6384.0,4788.0,278.39,6192.48,693 CDM,PX-64786,PR EXCISN NEUROMA SCIATIC NERVE,7320.0,5490.0,461.1,7100.4,683 CDM,PX-64787,PR IMPL NERVE END INTO BONE/MUS,2030.0,1522.5,198.93,2030.0,676 CDM,PX-64788,PR EXCISN NEUROFIBROMA CUTAN NRV,2800.0,2100.0,190.13,2716.0,683 CDM,PX-64790,PR EXCISN NEUROFIBROMA MJR PERIPH,5399.0,4049.25,389.76,5237.03,683 CDM,PX-64792,PR EXCISN NEUROFIBROMA EXTENSIVE,8324.0,6243.0,583.46,8074.28,683 CDM,PX-64795,PR BIOPSY OF NERVE,1502.0,1126.5,90.16,1456.94,683 CDM,PX-64820,PR SYMPATHECTOMY DGTL ARTERIES EA,5478.0,4108.5,340.44,5313.66,683 CDM,PX-64821,PR SYMPATHECTOMY RADIAL ARTERY,4753.0,3564.75,320.99,4610.41,683 CDM,PX-64822,PR SYMPATHECTOMY ULNAR ARTERY,4991.0,3743.25,320.99,4841.27,683 CDM,PX-64831,PR SUTURE DGTL NRV HAND/FT SNGL,4222.0,3166.5,313.26,4095.34,683 CDM,PX-64834,PR SUTURE NERVE HAND/FOOT COMMON,5020.0,3765.0,322.18,4869.4,683 CDM,PX-64856,PR SUTR MJR NRV ARM/LG W TRANSPSTN,7424.0,5568.0,446.57,7201.28,683 CDM,PX-64857,PR SITR MJR NRV ARM/LG WO TRNSPSTN,9059.0,6794.25,459.66,8787.23,683 CDM,PX-64859,PR SUTURE PERIPH NERVE EA ADD,2546.0,1909.5,206.45,2546.0,676 CDM,PX-64864,PR SUTURE FACIAL NRV EXTRACRANIAL,8436.0,6327.0,368.53,8182.92,683 CDM,PX-64885,PR NERVE GRAFT HEAD/NECK <=4CM,9085.0,6813.75,454.21,8812.45,683 CDM,PX-64886,PR NERVE GRFT HEAD/NECK>4 CM,14581.0,10935.75,546.07,14143.57,683 CDM,PX-64892,PR NERVE GRFT ARM/LEG SNGL<=4 CM,7054.0,5290.5,464.46,6842.38,683 CDM,PX-64901,PR NERVE GRFT EA NERVE SINGL,4498.0,3373.5,495.55,4498.0,676 CDM,PX-64905,PR NRV PEDICLE TRANSFER 1ST STAGE,11730.0,8797.5,433.79,11378.1,683 CDM,PX-64910,PR NRV RPR SYNTH COND ALLOGRFT EA,6751.0,5063.25,339.73,6548.47,683 CDM,PX-64912,PR NRV RPR W/NRV ALGRFT 1ST,7878.0,5908.5,398.6,7641.66,683 CDM,PX-64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1362.0,1021.5,143.08,1362.0,676 CDM,PX-64999003,PR CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,540.0,405.0,13.5,523.8,685 CDM,PX-64999016,PR PULSED RF ANY PERIPHERAL NERVE,1345.0,1008.75,33.63,1304.65,685 CDM,PX-64999018,PR PULSED RF CERV/THOR FAC JT,2940.0,2205.0,73.5,2851.8,685 CDM,PX-64999028,PR SPG BLK W/CATH,788.0,591.0,19.7,764.36,685 CDM,PX-64999038,PR CRANIAL FIDUCIAL MARKER PLACEMENT,4833.0,3624.75,120.83,4688.01,685 CDM,PX-64999039,PR ENDOSCOPIC ENDONASAL SKULL BASE TUMOR RESECTION,31026.0,23269.5,775.65,30095.22,685 CDM,PX-64999040,PR LAMINECTOMY WITH SECTIONING OF DENTATE LIGAMENTS,9043.0,6782.25,226.08,8771.71,685 CDM,PX-64999041,PR ENDOSCOPIC BIOPSY OF SKULL-BASED TUMOR,23161.0,17370.75,579.03,22466.17,685 CDM,PX-64999042,PR ENDOSCOPIC TRANSNASAL RESECTION OF SKULL-BASED TUMOR,27793.0,20844.75,694.83,26959.21,685 CDM,PX-64999043,PR INTRACRANIAL EEG RF ABLATION,13157.0,9867.75,328.93,12762.29,685 CDM,PX-64999044,PR ERECTOR SPINAE PLANE BLOCK UNILATERAL,694.0,520.5,17.35,673.18,685 CDM,PX-64999045,PR ERECTOR SPINAE PLANE BLOCK BILATERAL,1041.0,780.75,26.03,1009.77,685 CDM,PX-64999046,PR BILATERAL CRYOABLATION OF INTERCOSTAL NERVES,2522.0,1891.5,63.05,2446.34,685 CDM,PX-64999047,PR UNILATERAL CRYOABLATION OF INTERCOSTAL NERVES,1681.0,1260.75,42.03,1630.57,685 CDM,PX-64999053,PR CAPSAICIN PROCEDURE,717.0,537.75,17.93,695.49,685 CDM,PX-64999054,PR SYNOVIAL CYST ASPIRATION/INJECTION,1308.0,981.0,32.7,1268.76,685 CDM,PX-65105,PR ENUCLEATION EYE W IMPL W MUS,5354.0,4015.5,414.24,5193.38,683 CDM,PX-65110,PR EXENTERATN ORBIT RMVL CONTENTS,7568.0,5676.0,560.84,7340.96,683 CDM,PX-65112,PR EXENTERATN ORBIT RMVL CNTNS&BN,9129.0,6846.75,543.74,8855.13,693 CDM,PX-65114,PR EXTERNTN ORBIT W MUSC FLAP,10930.0,8197.5,665.55,10602.1,683 CDM,PX-65205,PR RMVL FB EYE SUPFCL,224.0,168.0,13.81,217.28,683 CDM,PX-65210,PR RMVL FB EYE SUBCONJUNCT,289.0,216.75,14.82,280.33,697 CDM,PX-65220,PR REMOVAL FB CORNEA WO SLIT LAMP,350.0,262.5,18.48,339.5,697 CDM,PX-65222,PR REMOVAL FB CORNEA W SLIT LAMP,262.0,196.5,20.58,254.14,697 CDM,PX-65260,PR RMVL FB MAGNETIC EXTR,5539.0,4154.25,411.46,5372.83,683 CDM,PX-65270,PR RPR LACERATION CONJUNCTIVA,926.0,694.5,58.15,898.22,697 CDM,PX-65280,PR REPAIR EYE WOUND,3697.0,2772.75,277.41,3586.09,683 CDM,PX-65285,PR RPR EYE WND W RSECT UVEAL TISS,5277.0,3957.75,455.68,5118.69,683 CDM,PX-65400,PR EXCISION LESION CORNEA,2882.0,2161.5,256.24,2795.54,697 CDM,PX-65426,PR EXCISN PTERYGIUM WITH GRAFT,2172.0,1629.0,327.14,2106.84,683 CDM,PX-65430,PR SCRAPE CORNEA DX,692.0,519.0,41.96,671.24,697 CDM,PX-65435,PR REMOVAL CORNEAL EPITHELIUM,259.0,194.25,40.79,251.23,683 CDM,PX-65436,PR RMVL CORNEAL EPITHELM W CHELAT,1612.0,1209.0,191.7,1563.64,683 CDM,PX-65600,PR PUNCTURES ANTR CORNEA MULTIPLE,1340.0,1005.0,146.82,1299.8,697 CDM,PX-65710,PR KERATOPLASTY ANTERIOR LAMELLAR,6906.0,5179.5,481.42,6698.82,683 CDM,PX-65730,PR KERATOPLASTY PENETRATE,7077.0,5307.75,523.2,6864.69,683 CDM,PX-65750,PR KERATOPLASTY PENETRATE APHAKIA,8158.0,6118.5,524.4,7913.26,683 CDM,PX-65755,PR KERATOPLASTY PENETRATE PSEUDO,6840.0,5130.0,521.91,6634.8,683 CDM,PX-65756,PR KERATOPLASTY ENDOTHELIAL,5670.0,4252.5,486.5,5499.9,683 CDM,PX-65770,PR KERATOPROSTHESIS,8554.0,6415.5,579.95,8297.38,683 CDM,PX-65772,PR INCISN CORNEAL CORRECT ASTIGM,2226.0,1669.5,171.9,2159.22,697 CDM,PX-65778,PR PLC AMNIOTIC MEMB OCLR WO SUTR,3030.0,2272.5,617.72,2939.1,683 CDM,PX-65779,PR PLC AMNIOTIC MEMB OCLR W SUTR,4326.0,3244.5,552.94,4196.22,683 CDM,PX-65780,PR RCNST OCULAR W MEMBRANE,3894.0,2920.5,252.55,3777.18,683 CDM,PX-65800,PR PARACENT ANTR CHAMB EYE W ASP,500.0,375.0,58.97,485.0,683 CDM,PX-65810,PR PARACENTSIS EYE HYALOID MEMB,1967.0,1475.25,196.3,1907.99,683 CDM,PX-65815,PR PARACENT ANT CHAMB EYE RMV BLD,2575.0,1931.25,201.53,2497.75,697 CDM,PX-65820,PR GONIOTOMY,2830.0,2122.5,353.74,2745.1,683 CDM,PX-65855,PR TRABECULOPLASTY LASER SURG,1875.0,1406.25,84.12,1818.75,697 CDM,PX-65865,PR SEVER ADHESN EYE GONIOSYNECH,2689.0,2016.75,202.59,2608.33,683 CDM,PX-65870,PR SEVER ADHESN EYE ANTR SYNECH,3272.0,2454.0,251.23,3173.84,683 CDM,PX-65875,PR SEVER ADHESN EYE POSTR SYNECH,2962.0,2221.5,268.37,2873.14,683 CDM,PX-65920,PR RMVL IMPLNT MATERIAL ANTR EYE,3676.0,2757.0,333.52,3565.72,683 CDM,PX-66020,PR INJ ANTR CHAMBER EYE AIR/LIQ,780.0,585.0,55.77,756.6,697 CDM,PX-66130,PR EXCISION LESION SCLERA,2754.0,2065.5,233.71,2671.38,697 CDM,PX-66170,PR GLAUCOMA SURG TRABECULECTOMY,4862.0,3646.5,459.55,4716.14,683 CDM,PX-66174,PR TRNSLMN DIL AQUS WO DEV/STENT,4939.0,3704.25,264.59,4790.83,683 CDM,PX-66175,PR TRNSLMN DIL AQUS W DEV/STENT,5624.0,4218.0,303.87,5455.28,683 CDM,PX-66179,PR SHNT AQUS EXTRAOCL RSRVR WO GRFT,7866.0,5899.5,452.46,7630.02,683 CDM,PX-66180,PR SHNT AQUS EXTRAOCL RSRVR W GRFT,7494.0,5620.5,475.64,7269.18,683 CDM,PX-66183,PR INS ANTR DRN WO EXTRCLR RSRVR,5566.0,4174.5,431.77,5399.02,683 CDM,PX-66184,PR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,4435.0,3326.25,336.14,4301.95,683 CDM,PX-66250,PR RPR OPERATIVE WND ANTR SEGM,2895.0,2171.25,366.66,2808.15,683 CDM,PX-66630,PR IRIDOTOMY SECTOR FOR GLAUCOMA,3409.0,2556.75,238.24,3306.73,683 CDM,PX-66680,PR REPAIR IRIS CILIARY BODY,2897.0,2172.75,248.69,2810.09,683 CDM,PX-66682,PR SUTURE IRIS CILIARY BODY,3113.0,2334.75,277.61,3019.61,683 CDM,PX-66683,PR IMPLANTATION IRIS PROSTHESIS,4827.0,3620.25,324.08,4682.19,683 CDM,PX-66710,PR DEST CILIARY TRANSSCLERAL,2360.0,1770.0,217.56,2289.2,683 CDM,PX-66711,PR DESTRUCTION CILIARY ENDOSCOPIC,2812.0,2109.0,218.23,2727.64,683 CDM,PX-66761,PR IRIDOTOMY LASER PER SESSION,1783.0,1337.25,99.01,1729.51,697 CDM,PX-66762,PR IRIDOPLASTY PHOTOCOAGULATION,2426.0,1819.5,179.78,2353.22,697 CDM,PX-66820,PR RMVL SECNDRY MEMBRANE CATARACT,1196.0,897.0,205.54,1160.12,683 CDM,PX-66821,PR DISC SECNDRY MEMB CATARACT LSR,1411.0,1058.25,134.6,1368.67,697 CDM,PX-66825,PR REPOSIT INTRAOCL LENS PROSTH,3194.0,2395.5,357.0,3098.18,683 CDM,PX-66840,PR RMVL LENS MATERIAL ASPIRATION,3856.0,2892.0,289.41,3740.32,683 CDM,PX-66850,PR RMVL LENS MATERIAL PHACOFRAGM,3927.0,2945.25,328.41,3809.19,683 CDM,PX-66852,PR RMVL LENS MATERIAL PARS PLANA,4310.0,3232.5,348.12,4180.7,683 CDM,PX-66982,PR RMVL CATARACT EXTRACAP CMPLX,4723.0,3542.25,309.21,4581.31,683 CDM,PX-66984,PR RMVL CATARACT INSERT LENS,4182.0,3136.5,226.83,4056.54,683 CDM,PX-66985,PR INS IOL WO CATARACT RMVL,3815.0,2861.25,322.67,3700.55,683 CDM,PX-66986,PR EXCHANGE INTRAOCULAR LENS,3773.0,2829.75,374.66,3659.81,683 CDM,PX-66987,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP,6512.0,4884.0,438.41,6316.64,683 CDM,PX-66988,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP,4846.0,3634.5,358.02,4700.62,683 CDM,PX-66989,PR XCPSL CTRC RMVL CPLX INSJ 1+,5983.0,4487.25,352.64,5803.51,683 CDM,PX-66991,PR XCAPSL CTRC RMVL INSJ 1+,4424.0,3318.0,285.42,4291.28,683 CDM,PX-66999017,PR AMNIOTIC MEMBRANE PLACEMENT,3030.0,2272.5,75.75,2939.1,683 CDM,PX-67005,PR RMVL VITREOUS ANTR APP PRTL,3040.0,2280.0,202.47,2948.8,683 CDM,PX-67010,PR RMVL VITREOUS PRTL W VETRCTMY,3718.0,2788.5,229.43,3606.46,683 CDM,PX-67015,PR ASP VITREOUS FLUID PARS PLANA,3943.0,2957.25,256.64,3824.71,683 CDM,PX-67025,PR INJECTION VITREOUS SUBSTITUTE,3959.0,2969.25,264.6,3840.23,697 CDM,PX-67028,PR INJECTION INTRAVITREAL,842.0,631.5,55.86,816.74,683 CDM,PX-67031,PR SEVER VITR STRANDS LASER >=1,1949.0,1461.75,149.67,1890.53,697 CDM,PX-67036,PR VITRECTOMY MECH PARS PLANA,3825.0,2868.75,372.17,3710.25,683 CDM,PX-67039,PR VITRECTOMY W FOCAL ENDOLASER,5505.0,4128.75,396.81,5339.85,683 CDM,PX-67040,PR VITRECTOMY W ENDOLASER PANRET,6201.0,4650.75,426.59,6014.97,683 CDM,PX-67042,PR VITRECTOMY W RMVL LIM RET MEMB,4632.0,3474.0,468.35,4493.04,683 CDM,PX-67101,PR RPR DETACHED RETINA CRYOTHRPY,3958.0,2968.5,163.75,3839.26,683 CDM,PX-67105,PR RPR DETACHED RETINA PHOTOCOAG,3426.0,2569.5,116.14,3323.22,697 CDM,PX-67107,PR RPR DETACH RET SCLER BUCKLING,6863.0,5147.25,460.94,6657.11,683 CDM,PX-67108,PR RPR DETACHED RETINA W VITRECT,5422.0,4066.5,486.77,5259.34,683 CDM,PX-67110,PR RPR DETACH RETINA W IN AIR/GAS,4350.0,3262.5,435.58,4219.5,683 CDM,PX-67113,PR RPR DETACH RETINA CMPLX,5651.0,4238.25,544.74,5481.47,683 CDM,PX-67121,PR RMVL EYE IMPL INTRAOCULAR,4110.0,3082.5,374.8,3986.7,683 CDM,PX-67141,PR PROPH RETINAL DETACHMENT CRYO,2388.0,1791.0,131.82,2316.36,683 CDM,PX-67145,PR PROPH RETINAL DETACH PHOTOCOAG,1861.0,1395.75,119.85,1805.17,683 CDM,PX-67208,PR DEST RETINA LESION CRYOTHERAPY,3937.0,2952.75,240.96,3818.89,697 CDM,PX-67210,PR DEST RETINA LESION PHOTOCOAG,1644.0,1233.0,209.75,1594.68,697 CDM,PX-67218,PR DEST RETINA LESION RADIATION,8443.0,6332.25,566.9,8189.71,683 CDM,PX-67221,PR DEST CHOROID LSN PHOTODYNAMIC,2028.0,1521.0,82.81,1967.16,697 CDM,PX-67228,PR TX RETINOPATHY PHOTOCOAG EXT,3113.0,2334.75,166.78,3019.61,683 CDM,PX-67255,PR SCLERAL REINFORCEMENT W GRAFT,4145.0,3108.75,292.03,4020.65,683 CDM,PX-67343,PR RELEASE EYE TISSUE,2958.0,2218.5,285.4,2869.26,683 CDM,PX-67345,PR CHEMDNRV EXTRAOCULAR MUSCLE,1267.0,950.25,92.92,1228.99,697 CDM,PX-67400,PR ORBITOTOMY EXPLORATION,6359.0,4769.25,445.44,6168.23,683 CDM,PX-67405,PR ORBITOTOMY W DRAINAGE,4729.0,3546.75,391.69,4587.13,683 CDM,PX-67412,PR ORBITOTOMY W LESION REMOVAL,7390.0,5542.5,426.96,7168.3,683 CDM,PX-67413,PR ORBITOTOMY W FB REMOVAL,5042.0,3781.5,414.05,4890.74,683 CDM,PX-67414,PR ORBITOTOMY W BONE REMOVAL,6473.0,4854.75,611.35,6278.81,683 CDM,PX-67415,PR FINE NEEDLE ASP ORBTL CONTENTS,703.0,527.25,40.44,681.91,683 CDM,PX-67420,PR ORBITOTOMY W LESN RMVL LAT APP,7576.0,5682.0,735.88,7348.72,683 CDM,PX-67500,PR INJ RETROBULBAR MEDICATION,518.0,388.5,27.15,502.46,697 CDM,PX-67515,PR INJECTION TENONS CAPSULE,330.0,247.5,18.88,320.1,697 CDM,PX-67516,PR SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,506.0,379.5,39.22,490.82,697 CDM,PX-67550,PR INSERT ORBITAL IMPL,4859.0,3644.25,467.25,4713.23,683 CDM,PX-67560,PR RMVL/REVISE ORBITAL IMPLANT,4905.0,3678.75,476.85,4757.85,683 CDM,PX-67700,PR BLEPHAROTOMY DRN ABSC EYELID,1099.0,824.25,136.44,1066.03,683 CDM,PX-67710,PR SEVERING TARSORRHAPHY,1030.0,772.5,116.42,999.1,683 CDM,PX-67715,PR CANTHOTOMY SEPARATE PROCEDURE,1335.0,1001.25,133.33,1294.95,683 CDM,PX-67800,PR EXCISION CHALAZION SINGLE,500.0,375.0,42.58,485.0,697 CDM,PX-67801,PR EXCISN CHALAZION MULT SAME LID,839.0,629.25,54.09,813.83,697 CDM,PX-67805,PR EXCISN CHALAZION MULT DIFF LID,1003.0,752.25,67.97,972.91,697 CDM,PX-67810,PR BX EYELID SKIN & LID MARGIN,532.0,399.0,27.09,516.04,698 CDM,PX-67820,PR CORRECT TRICHIASIS EPIL FORCEP,184.0,138.0,9.19,178.48,683 CDM,PX-67825,PR CORRECT TRICHIASIS EPILATION,607.0,455.25,52.62,588.79,697 CDM,PX-67830,PR CORRECT TRICHIASIS INC LID MRG,883.0,662.25,58.4,856.51,697 CDM,PX-67840,PR EXCISION LESION EYELID,770.0,577.5,65.79,746.9,697 CDM,PX-67850,PR DEST LESN EYELID MARGIN <=1CM,893.0,669.75,55.14,866.21,697 CDM,PX-67875,PR TEMPORARY CLSR EYELIDS SUTURE,1359.0,1019.25,88.03,1318.23,683 CDM,PX-67880,PR CNSTRCT EYE INTERMARG ADHSNS,1920.0,1440.0,156.48,1862.4,697 CDM,PX-67882,PR CNSTRCT INTERMARG ADSN W TRNSP,2705.0,2028.75,198.79,2623.85,697 CDM,PX-67900,PR REPAIR BROW PTOSIS,3817.0,2862.75,320.95,3702.49,683 CDM,PX-67901,PR RPR BLEPHAROPT FRNT MUS W SUTR,5401.0,4050.75,246.05,5238.97,697 CDM,PX-67903,PR RPR BLEPHAROPT LEVAT RSECT INT,3639.0,2729.25,200.26,3529.83,697 CDM,PX-67904,PR RPR BLEPHAROPT LEVAT RSECT EXT,4862.0,3646.5,363.67,4716.14,683 CDM,PX-67908,PR RPR BLEPH CONJ-TARSO-MULLER'S,3000.0,2250.0,183.62,2910.0,697 CDM,PX-67911,PR CORRECTION EYELID RETRACTION,3168.0,2376.0,233.91,3072.96,683 CDM,PX-67912,PR CORREC LAGOPHTHALMOS W IMPLNT,4640.0,3480.0,435.3,4500.8,683 CDM,PX-67914,PR REPAIR OF ECTROPION SUTURE,2250.0,1687.5,238.66,2182.5,683 CDM,PX-67917,PR REPAIR ECTROPION EXTENSIVE,3844.0,2883.0,305.19,3728.68,683 CDM,PX-67921,PR REPAIR ENTROPION SUTURE,1768.0,1326.0,135.25,1714.96,697 CDM,PX-67924,PR REPAIR ENTROPION EXTENSIVE,3735.0,2801.25,317.51,3622.95,683 CDM,PX-67930,PR SUTR EYELID RECENT WOUND PRTL,1558.0,1168.5,96.54,1511.26,697 CDM,PX-67935,PR REPAIR EYELID WOUND FULL THICK,2747.0,2060.25,295.85,2664.59,683 CDM,PX-67938,PR REMOVAL EMBEDED FB EYELID,990.0,742.5,122.77,960.3,683 CDM,PX-67950,PR CANTHOPLASTY,3513.0,2634.75,287.38,3407.61,683 CDM,PX-67961,PR EXCISN&RPR EYELID<=1/4 MARGIN,2738.0,2053.5,191.25,2655.86,697 CDM,PX-67966,PR EXCISN&RPR EYELID>1/4 MARGIN,3957.0,2967.75,271.95,3838.29,697 CDM,PX-67971,PR RCNST EYELID <= 2/3 1ST STG,4493.0,3369.75,297.89,4358.21,683 CDM,PX-67973,PR RECONSTR EYELID LOWER 1 STGE,6333.0,4749.75,381.02,6143.01,683 CDM,PX-67975,PR RECONSTR EYELID SCND STGE,3132.0,2349.0,283.52,3038.04,683 CDM,PX-67999002,PR BLEPHEX,250.0,187.5,6.25,242.5,683 CDM,PX-67999003,PR ENDOSCOPIC BROW LIFT,3817.0,2862.75,95.43,3702.49,683 CDM,PX-68020,PR INCISN CONJUNCTIVA DRAINE CYST,545.0,408.75,46.51,528.65,697 CDM,PX-68100,PR BIOPSY OF CONJUNCTIVA,809.0,606.75,87.54,784.73,683 CDM,PX-68110,PR EXCISN LESN CONJUNCTIVA<= 1 CM,960.0,720.0,115.71,931.2,683 CDM,PX-68115,PR EXCISN LESN CONJUNCTIVA> 1 CM,1114.0,835.5,161.23,1080.58,683 CDM,PX-68130,PR EXCISN LSN CONJUNCT ADJ SCLERA,2142.0,1606.5,270.45,2077.74,683 CDM,PX-68135,PR DESTRUCTION LESION CONJUNCTIVA,792.0,594.0,63.62,768.24,697 CDM,PX-68200,PR INJECTION SUBCONJUNCTIVAL,209.0,156.75,14.25,202.73,697 CDM,PX-68320,PR CNJNCTVPLSTY W CNJNCT GRFT,2958.0,2218.5,364.4,2869.26,683 CDM,PX-68326,PR CNJNCTVPLSTY RCNST W GRFT,4136.0,3102.0,270.49,4011.92,683 CDM,PX-68340,PR RPR/DIVISION SYMBLEPHARON,2942.0,2206.5,173.94,2853.74,697 CDM,PX-68362,PR FLAP CONJUNCTIVAL TOTAL,2932.0,2199.0,274.16,2844.04,683 CDM,PX-68420,PR INCISN/DRN LACRIMAL SAC,1342.0,1006.5,69.14,1301.74,697 CDM,PX-68440,PR SNIP INCISION LACRIMAL PUNCTUM,693.0,519.75,44.39,672.21,697 CDM,PX-68525,PR BIOPSY LACRIMAL SAC,1285.0,963.75,101.56,1246.45,683 CDM,PX-68700,PR PLASTIC REPAIR CANALICULI,2834.0,2125.5,252.99,2748.98,683 CDM,PX-68720,PR DACRYOCYSTORHINOSTOMY,4260.0,3195.0,343.97,4132.2,683 CDM,PX-68750,PR CONJUNCTIVORHINOSTOMY W TUBE,5000.0,3750.0,366.37,4850.0,683 CDM,PX-68760,PR CLOSURE LACRIMAL PUNCTUM,889.0,666.75,106.96,862.33,683 CDM,PX-68761,PR CLSR LACRIM PUNCTUM BY PLUG EA,454.0,340.5,70.0,440.38,683 CDM,PX-68801,PR DILATION LACRIMAL PUNCTUM,389.0,291.75,46.12,377.33,683 CDM,PX-68810,PR PROBE NASOLACRIMAL DUCT,724.0,543.0,78.39,702.28,683 CDM,PX-68811,PR PROBE NASOLACRIMAL DUCT W ANES,921.0,690.75,57.56,893.37,683 CDM,PX-68815,PR PROBE NASOLACRIMAL DUCT W TUBE,1707.0,1280.25,181.73,1655.79,683 CDM,PX-68840,PR PROBE LACRIMAL CANALICULI,454.0,340.5,51.14,440.38,697 CDM,PX-68841,PR INSJ RX ELUT IMPLT LAC CANAL,339.0,254.25,18.95,328.83,683 CDM,PX-69000,PR DRAIN ABSC EXTERNAL EAR SIMPLE,703.0,527.25,93.21,681.91,683 CDM,PX-69020,PR DRAIN LESION EAR CANAL EXTRNL,737.0,552.75,64.78,714.89,697 CDM,PX-69090,PR EAR PIERCING,167.0,125.25,75.15,167.0,676 CDM,PX-69100,PR BIOPSY EXTERNAL EAR,424.0,318.0,38.34,411.28,693 CDM,PX-69105,PR BX EXTERNAL AUDITORY CANAL,709.0,531.75,28.06,687.73,697 CDM,PX-69110,PR EXCISN EXTRNL EAR PRTL SMPL,2488.0,1866.0,228.21,2413.36,683 CDM,PX-69120,PR EXCISN EXTRNL EAR COMPLETE AMP,1875.0,1406.25,175.79,1818.75,683 CDM,PX-69140,PR EXCISN EXOSTOSIS EXT AUD CANAL,5036.0,3777.0,410.21,4884.92,683 CDM,PX-69145,PR EXCISN SOFT TISS LSN EXTRNL CANAL,1650.0,1237.5,196.76,1600.5,683 CDM,PX-69200,PR RMVL FB EAR CANAL EXTRNL,501.0,375.75,33.86,485.97,693 CDM,PX-69209,PR RMVL IMPACT CERUMEN IRRIG UNILAT,100.0,75.0,8.24,97.0,683 CDM,PX-69210,PR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,158.0,118.5,19.82,153.26,694 CDM,PX-69220,PR DBRD MASTOIDECTOMY SIMPLE,324.0,243.0,32.49,314.28,693 CDM,PX-69222,PR DBRD MASTOIDECTOMY COMPLEX,816.0,612.0,61.35,791.52,697 CDM,PX-69300,PR OTOPLASTY PROTRUDING EAR,4963.0,3722.25,317.95,4814.11,683 CDM,PX-69310,PR RCNST EXTR AUDITORY CANAL,6812.0,5109.0,504.94,6607.64,683 CDM,PX-69420,PR MYRINGOT INCL ASP/TUBE INFLATN,603.0,452.25,53.89,584.91,697 CDM,PX-69421,PR MYRINGOTOMY W ANES,1033.0,774.75,67.27,1002.01,683 CDM,PX-69424,PR RMVL VENTILATING TUBE W ANES,673.0,504.75,27.13,652.81,697 CDM,PX-69433,PR TYMPANOSTOMY LOC/TOP ANES,781.0,585.75,58.33,757.57,697 CDM,PX-69436,PR TYMPANOSTOMY W GEN ANES,890.0,667.5,70.56,863.3,683 CDM,PX-69440,PR MIDDLE EAR EXPLORATION,4322.0,3241.5,304.26,4192.34,683 CDM,PX-69450,PR TYMPANOLYSIS TRANSCANAL,3505.0,2628.75,242.15,3399.85,683 CDM,PX-69501,PR TRANSMASTOID ANTROTOMY,4632.0,3474.0,310.14,4493.04,683 CDM,PX-69502,PR MASTOIDECTOMY COMPLETE,6130.0,4597.5,410.11,5946.1,683 CDM,PX-69530,PR PETROUS ABICECTOMY W MASTDCTMY,9950.0,7462.5,742.16,9651.5,683 CDM,PX-69535,PR RSECT TEMPORAL BN EXTERNAL APP,16380.0,12285.0,1154.12,15888.6,683 CDM,PX-69550,PR EXCISN AURAL GLOMOS TMR TRNSCANL,6944.0,5208.0,476.96,6735.68,683 CDM,PX-69610,PR REPAIR TYMPANIC MEMBRANE,1440.0,1080.0,186.22,1396.8,683 CDM,PX-69620,PR MYRINGOPLASTY,3990.0,2992.5,360.5,3870.3,683 CDM,PX-69631,PR TYMPANOPLASTY WO RCNST,6074.0,4555.5,389.61,5891.78,683 CDM,PX-69632,PR TYMPANOPLASTY W RCNST,8823.0,6617.25,472.56,8558.31,683 CDM,PX-69633,PR TYMPANOPLSTY W RCNST&PROSTH,7572.0,5679.0,459.71,7344.84,683 CDM,PX-69635,PR TYMPLSTY W ANTROT WO RCNST,8706.0,6529.5,572.22,8444.82,683 CDM,PX-69641,PR TYMPLSTY W MASTOID WO RCNST,7458.0,5593.5,452.74,7234.26,683 CDM,PX-69642,PR TYMPLSTY W MASTOID W RCNST,9388.0,7041.0,578.03,9106.36,683 CDM,PX-69643,PR TYMPLSTY WO OSC CHAIN RCNST,9519.0,7139.25,530.5,9233.43,683 CDM,PX-69644,PR TYMPLSTY W OSC CHAIN RCNST,10661.0,7995.75,668.52,10341.17,683 CDM,PX-69645,PR TYMPLSTY RAD WO OSC CHN RCSTRC,9830.0,7372.5,658.3,9535.1,683 CDM,PX-69646,PR TYMPLSTY RAD W OSC CHN RCSTRCT,12684.0,9513.0,697.55,12303.48,683 CDM,PX-69660,PR STAPEDECTOMY REESTAB OSSICULAR,6756.0,5067.0,399.63,6553.32,683 CDM,PX-69661,PR STAPEDECTOMY W FOOTPLATE DRILL,9129.0,6846.75,519.52,8855.13,683 CDM,PX-69662,PR REVISION OF STAPEDECTOMY,8916.0,6687.0,497.88,8648.52,683 CDM,PX-69667,PR REPAIR ROUND WINDOW FISTULA,8442.0,6331.5,352.96,8188.74,683 CDM,PX-69670,PR MASTOID OBLITERATION,7678.0,5758.5,409.77,7447.66,683 CDM,PX-69705,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,18207.0,13655.25,1245.81,17660.79,683 CDM,PX-69706,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,17307.0,12980.25,1290.14,16787.79,683 CDM,PX-69714,PR IMPL TEMP BONE WO MASTOIDECT,6649.0,4986.75,213.55,6449.53,683 CDM,PX-69716,PR IMPLTJ OI IMPLT SKL TC ESP,4859.0,3644.25,265.86,4713.23,683 CDM,PX-69719,PR REVJ/RPLCMT OI IMPLT TC ESP,3435.0,2576.25,274.62,3331.95,683 CDM,PX-69801,PR TRANSCANAL LABYRINTH PERFUSION,1616.0,1212.0,52.6,1567.52,698 CDM,PX-69805,PR ENDOLYMPHATIC SAC OP WO SHUNT,8532.0,6399.0,442.84,8276.04,683 CDM,PX-69905,PR LABYRINTHECTOMY TRANSCANAL,5721.0,4290.75,399.29,5549.37,683 CDM,PX-69910,PR LABYRINTHECTOMY W MASTOIDECT,8823.0,6617.25,426.79,8558.31,683 CDM,PX-69930,PR COCHLEAR DEVICE IMPLANTATION,9405.0,7053.75,517.64,9122.85,683 CDM,PX-69949002,PR REPAIR OF SEMI-CIRCULAR CANAL DEHISCENCE,8532.0,6399.0,213.3,8276.04,683 CDM,PX-69949003,PR COCHLEAR IMPLANT REMOVAL,7079.0,5309.25,176.98,6866.63,683 CDM,PX-69990,PR MICROSURG TQS W USE OPER MICRO,2253.0,1689.75,190.17,2253.0,676 CDM,PX-70030,PR XR EYE FB,110.5,82.875,8.56,169.0,1352 CDM,PX-70100,PR XR MANDIBLE PRTL 1-3V,124.0,93.0,8.89,172.0,1352 CDM,PX-70110,PR XR MANDIBLE COMPLT MIN 4V,185.5,139.125,11.54,232.0,1352 CDM,PX-70140,PR XR FACIAL BONES 1-2V,76.5,57.375,9.54,115.0,1352 CDM,PX-70150,PR XR FACIAL BONES COMPLT MIN 3V,180.5,135.375,12.2,204.0,1352 CDM,PX-70160,PR XR NASAL BONES COMPLT MIN 3V,130.5,97.875,8.23,191.0,1352 CDM,PX-70200,PR XR ORBITS COMPLT MIN 4V,195.0,146.25,12.86,223.0,1352 CDM,PX-70210,PR XR SINUS 1-2V,114.0,85.5,8.23,135.0,1352 CDM,PX-70220,PR XR SINUS COMPLT MIN 3V,127.5,95.625,10.21,145.0,1352 CDM,PX-70250,PR XR SKULL 1-3V,137.0,102.75,8.56,174.0,1352 CDM,PX-70260,PR XR SKULL COMPLT MIN 4V,161.0,120.75,12.86,196.0,1352 CDM,PX-70336,PR MRI TMJ,1461.0,1095.75,65.96,1645.0,1366 CDM,PX-70355,PR ORTHOPANTOGRAM,91.0,68.25,9.88,104.0,1352 CDM,PX-70360,PR XR NECK/SOFT TISS,98.5,73.875,8.56,131.0,1352 CDM,PX-70371,PR SPEECH EVAL CMPLX W VIDEO,596.0,447.0,108.44,596.0,683 CDM,PX-70450,PR CT HEAD/BRAIN WO CNTRST,699.5,524.625,38.86,994.0,1366 CDM,PX-70460,PR CT HEAD/BRAIN W CNTRST,1020.5,765.375,51.36,1384.0,1366 CDM,PX-70470,PR CT HEAD/BRAIN WO/W CNTRST,833.5,625.125,57.66,1094.0,1366 CDM,PX-70471,PR CTA H&N C+ W/NONCONTRAST IMG,3200.0,2400.0,116.6,5000.0,1366 CDM,PX-70472,PR CT CERE PRFU ALYS C+W/CT/CTA,995.0,746.25,35.89,1372.0,1352 CDM,PX-70473,PR CT CERE PRFU ALY C+WO CT/CTA,3262.0,2446.5,46.77,5517.0,1366 CDM,PX-70480,PR CT ORBIT/EAR/FOSSA WO CNTRST,879.5,659.625,58.32,1289.0,1366 CDM,PX-70481,PR CT ORBIT/EAR/FOSSA W CNTRST,1073.5,805.125,51.36,1531.0,1366 CDM,PX-70482,PR CT ORBT/EAR/FOSSA WO/W CNTRST,1376.5,1032.375,57.34,1779.0,1366 CDM,PX-70486,PR CT MAXFAC WO CNTRST,770.0,577.5,39.19,1030.0,1366 CDM,PX-70487,PR CT MAXFAC W CNTRST,938.0,703.5,51.36,1244.0,1366 CDM,PX-70488,PR CT MAXFAC WO/W CNTRST,1164.5,873.375,57.66,1473.0,1366 CDM,PX-70490,PR CT NECK/SOFT TISS WO CNTRST,795.5,596.625,58.32,980.0,1366 CDM,PX-70491,PR CT NECK/SOFT TISS W CNTRST,1174.0,880.5,62.63,1709.0,1366 CDM,PX-70492,PR CT NECK/SOFT TISS WO/W CNTRST,844.0,633.0,72.86,972.0,1366 CDM,PX-70496,PR CTA HEAD WO/W CNTRST,1652.0,1239.0,79.11,2454.0,1366 CDM,PX-70498,PR CTA NECK WO/W CNTRST,1601.5,1201.125,79.11,2414.0,1366 CDM,PX-70540,PR MRI ORBIT/FACE/NCK WO CNTRST,1566.0,1174.5,60.98,2211.0,1366 CDM,PX-70542,PR MRI ORBIT/FACE/NCK W CNTRST,2579.0,1934.25,73.51,3576.0,1366 CDM,PX-70543,PR MRI ORBT/FACE/NCK WO/W CNTRST,2584.0,1938.0,97.52,3880.0,1366 CDM,PX-70544,PR MRA HEAD WO CNTRST,1326.0,994.5,54.35,2066.0,1366 CDM,PX-70545,PR MRA HEAD W CNTRST,1727.0,1295.25,54.35,2980.0,1366 CDM,PX-70546,PR MRA HEAD WO/W CNTRST,2103.0,1577.25,66.89,3388.0,1366 CDM,PX-70547,PR MRA NECK WO CNTRST,1311.5,983.625,54.35,1909.0,1366 CDM,PX-70548,PR MRA NECK W CNTRST,1615.5,1211.625,67.88,2895.0,1366 CDM,PX-70549,PR MRA NECK WO/W CNTRST,2245.5,1684.125,81.43,3563.0,1366 CDM,PX-70551,PR MRI BRAIN WO CNTRST,1675.5,1256.625,66.89,2311.0,1366 CDM,PX-70552,PR MRI BRAIN W CNTRST,1941.0,1455.75,80.76,2960.0,1366 CDM,PX-70553,PR MRI BRAIN WO/W CNTRST,2514.5,1885.875,103.77,3495.0,1366 CDM,PX-70554,PR MRI FUNCT BRAIN NOT REQ MD,2699.5,2024.625,96.47,3499.0,1366 CDM,PX-70555,PR MRI FUNCTIONAL BRAIN REQ MD,3372.0,2529.0,112.8,5178.0,1352 CDM,PX-70557,PR MR BRAIN INTCRAN PROC WO CST,4904.0,3678.0,151.64,7594.0,1352 CDM,PX-70559,PR MR BRN INTRCR PROC WO/W,3884.0,2913.0,153.97,6350.0,1352 CDM,PX-710000000,HC PACU LEVEL 1,1137.0,852.75,511.65,1137.0,909 CDM,PX-710000001,HC PACU LEVEL 2,1536.0,1152.0,691.2,1536.0,909 CDM,PX-710000002,HC PACU LEVEL 3,1924.0,1443.0,865.8,1924.0,909 CDM,PX-710000003,HC PACU LEVEL 4,2902.0,2176.5,1305.9,2902.0,909 CDM,PX-710000004,HC PACU LEVEL 5,3040.0,2280.0,1368.0,3040.0,909 CDM,PX-710000005,HC PACU LEVEL 1 EA 15 MIN,239.0,179.25,107.55,239.0,909 CDM,PX-710000006,HC PACU LEVEL 2 EA 15 MIN,281.0,210.75,126.45,281.0,909 CDM,PX-710000007,HC PACU LEVEL 3 EA 15 MIN,336.0,252.0,151.2,336.0,909 CDM,PX-710000008,HC PACU LEVEL 4 EA 15 MIN,426.0,319.5,191.7,426.0,909 CDM,PX-710000009,HC PACU LEVEL 5 EA 15 MIN,456.0,342.0,205.2,456.0,909 CDM,PX-71045,PR XR EXAM CHEST 1V,118.0,88.5,8.24,135.0,1352 CDM,PX-71046,PR XR EXAM CHEST 2V,157.0,117.75,9.89,217.0,1352 CDM,PX-71047,PR XR EXAM CHEST 3V,189.0,141.75,12.53,224.0,1352 CDM,PX-71048,PR XR EXAM CHEST 4+V,240.0,180.0,43.89,240.0,676 CDM,PX-71100,PR XR RIB UNILAT 2V,164.0,123.0,10.21,226.0,1352 CDM,PX-71101,PR XR RIB W PA CHST UNILAT MIN 3V,158.0,118.5,12.49,219.0,1352 CDM,PX-71110,PR XR RIB BILAT 3V,152.5,114.375,13.2,180.0,1352 CDM,PX-71120,PR XR STERNUM MIN 2V,118.5,88.875,9.23,140.0,1352 CDM,PX-71130,PR XR STERNCLAV JT MIN 3V,188.0,141.0,10.21,218.0,1352 CDM,PX-71250,PR CT THORAX WO CNTRST,1190.5,892.875,48.76,1717.0,1366 CDM,PX-71260,PR CT THORAX W CNTRST,1308.0,981.0,53.01,2006.0,1366 CDM,PX-71270,PR CT THORAX WO/W CNTRST,1151.5,863.625,56.67,1568.0,1366 CDM,PX-71271,PR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,604.0,453.0,48.76,900.0,1366 CDM,PX-71275,PR CTA CHEST WO/W CNTRST,1994.0,1495.5,82.33,2980.0,1366 CDM,PX-71550,PR MRI CHEST WO CNTRST,1345.5,1009.125,65.61,1823.0,1192 CDM,PX-71551,PR MRI CHEST W CNTRST,1883.0,1412.25,78.44,2578.0,1366 CDM,PX-71552,PR MRI CHEST WO/W CNTRST,2402.0,1801.5,102.44,3393.0,1366 CDM,PX-71555,PR MRA CHEST W OR WO CNTRST,2129.0,1596.75,81.43,3161.0,1366 CDM,PX-72020,PR XR SPINE 1V,92.0,69.0,7.57,109.0,1352 CDM,PX-72040,PR XR SPINE CERV 2-3V,162.5,121.875,10.21,227.0,1352 CDM,PX-72050,PR XR SPINE CERV MIN 4-5V,187.0,140.25,12.82,237.0,1352 CDM,PX-72052,PR XR SPINE CERV >= 6 VIEWS,193.5,145.125,14.14,273.0,1352 CDM,PX-72070,PR XR SPINE THORAC 2V,155.0,116.25,9.56,215.0,1352 CDM,PX-72072,PR XR SPINE THORAC 3V,143.0,107.25,10.22,205.0,1352 CDM,PX-72080,PR XR SPINE THORACOLUMBAR 2V,145.0,108.75,9.88,200.0,1352 CDM,PX-72081,PR XR SPINE THORACOLUMBAR 1V,121.0,90.75,12.48,174.0,1352 CDM,PX-72082,PR XR SPINE THORACOLUMBAR 2-3V,191.5,143.625,14.8,300.0,1352 CDM,PX-72083,PR XR SPINE THORACOLUMBAR 4-5V,279.0,209.25,16.78,374.0,1352 CDM,PX-72084,PR XR SPINE THORACOLUMBAR 6>V,264.0,198.0,19.43,354.0,1352 CDM,PX-72100,PR XR SPINE LUMBOSACRAL 2-3V,154.5,115.875,10.54,223.0,1352 CDM,PX-72110,PR XR SPINE LUMBOSACRAL MIN 4V,197.5,148.125,12.48,259.0,1352 CDM,PX-72114,PR XR SPINE LUMBOSACRAL MIN 6V,213.5,160.125,14.14,293.0,1352 CDM,PX-72120,PR XR LUMBOSACRAL BEND 2-3V,153.5,115.125,10.54,164.0,1352 CDM,PX-72125,PR CT CERV SPINE WO CNTRST,827.0,620.25,45.78,1184.0,1366 CDM,PX-72126,PR CT CERV SPINE W CNTRST,1165.5,874.125,55.34,1754.0,1366 CDM,PX-72127,PR CT CERV SPINE WO/W CNTRST,1522.0,1141.5,57.34,2047.0,1366 CDM,PX-72128,PR CT THORAC SPINE WO CNTRST,648.5,486.375,45.78,802.0,1366 CDM,PX-72129,PR CT THORAC SPINE W CNTRST,1269.0,951.75,55.34,1957.0,1366 CDM,PX-72130,PR CT THORAC SPINE WO/W CNTRST,1727.5,1295.625,57.66,2250.0,1366 CDM,PX-72131,PR CT LUMBAR SPINE WO CNTRST,812.0,609.0,45.78,1117.0,1366 CDM,PX-72132,PR CT LUMBAR SPINE W CNTRST,1269.5,952.125,55.34,1957.0,1366 CDM,PX-72133,PR CT LUMBAR SPINE WO/W CNTRST,1341.5,1006.125,57.66,1779.0,1366 CDM,PX-72141,PR MRI CERV SPINE WO CNTRST,1634.0,1225.5,67.21,2250.0,1366 CDM,PX-72142,PR MRI CERV SPINE W CNTRST,2307.5,1730.625,81.65,3226.0,1366 CDM,PX-72146,PR MRI THORAC SPINE WO CNTRST,1517.5,1138.125,67.21,2094.0,1366 CDM,PX-72147,PR MRI THORAC SPINE W CNTRST,2636.5,1977.375,81.08,3583.0,1366 CDM,PX-72148,PR MRI LUMB SPINE WO CNTRST,1694.0,1270.5,67.54,2388.0,1366 CDM,PX-72149,PR MRI LUMB SPINE W CNTRST,2482.5,1861.875,81.08,3286.0,1366 CDM,PX-72156,PR MRI CERV SPINE WO/W CNTRST,2482.0,1861.5,104.09,3373.0,1366 CDM,PX-72157,PR MRI THORAC SPINE WO/W CNTRST,3055.5,2291.625,104.09,4652.0,1366 CDM,PX-72158,PR MRI LUMB SPINE WO/W CNTRST,2453.0,1839.75,104.09,3616.0,1366 CDM,PX-72159,PR MRA SPINE W/WO CNTRST,1986.0,1489.5,81.43,2807.0,1366 CDM,PX-72170,PR XR PELVIS 1-2V,105.5,79.125,8.23,140.0,1352 CDM,PX-72190,PR XR PELVIS COMPLT MIN 3V,137.5,103.125,12.15,166.0,1352 CDM,PX-72191,PR CTA PELVIS WO/W CNTRST,1924.0,1443.0,81.35,2469.0,1366 CDM,PX-72192,PR CT PELVIS WO CNTRST,834.5,625.875,49.1,1178.0,1366 CDM,PX-72193,PR CT PELVIS W CNTRST,1283.0,962.25,52.69,2037.0,1366 CDM,PX-72194,PR CT PELVIS WO/W CNTRST,1133.5,850.125,55.34,1391.0,1366 CDM,PX-72195,PR MRI PELVIS WO CNTRST,1283.5,962.625,65.94,1855.0,1192 CDM,PX-72196,PR MRI PELVIS W CNTRST,2021.5,1516.125,78.44,2763.0,1366 CDM,PX-72197,PR MRI PELVIS WO/W CNTRST,3021.0,2265.75,100.13,4636.0,1366 CDM,PX-72198,PR MRA PELVIS W/WO CNTRST,2185.5,1639.125,80.78,3063.0,1366 CDM,PX-72200,PR XR SACROILIAC JOINT 1-2V,178.0,133.5,8.23,250.0,1352 CDM,PX-72202,PR XR SACROILIAC JOINT >= 3 V,94.0,70.5,37.7,94.0,676 CDM,PX-72220,PR XR SACRUM COCCYX MIN 2V,122.5,91.875,8.23,178.0,1352 CDM,PX-72295,PR DISCOGRAPHY LUMB S&I,1436.5,1077.375,39.85,2030.0,1352 CDM,PX-73000,PR XR CLAVICLE COMPLT,101.0,75.75,7.9,130.0,1352 CDM,PX-730000004,HC EKG SIGNAL AVERAGING,755.0,566.25,30.05,755.0,915 CDM,PX-730000005,HC EKG 12 LEAD TRACE ONLY,286.0,214.5,10.14,286.0,921 CDM,PX-73010,PR XR SCAPULA COMPLT,106.0,79.5,8.88,140.0,1352 CDM,PX-73020,PR XR SHOULDER 1V,89.5,67.125,7.24,108.0,1352 CDM,PX-73030,PR XR SHOULDER COMPLT MIN 2V,106.5,79.875,8.89,140.0,1352 CDM,PX-73050,PR XR AC JOINT BILAT,128.5,96.375,9.21,148.0,1352 CDM,PX-73060,PR XR HUMERUS MIN 2V,123.0,92.25,7.9,166.0,1352 CDM,PX-73070,PR XR ELBOW 2V,85.5,64.125,7.9,108.0,1352 CDM,PX-73080,PR XR ELBOW COMPLT MIN 3V,118.5,88.875,8.23,161.0,1352 CDM,PX-73090,PR XR FOREARM 2V,103.0,77.25,7.57,142.0,1352 CDM,PX-73100,PR XR WRIST 2V,103.5,77.625,8.22,143.0,1352 CDM,PX-731000000,HC EVENT MONITOR 30DAY RECORDING,673.0,504.75,12.08,673.0,916 CDM,PX-731000001,HC EVENT MONITR 30DAY TRANS/ANLYS,1473.0,1104.75,101.45,1473.0,916 CDM,PX-731000004,HC HOLTER MONITR<=48HRS RECORDING,483.0,362.25,26.16,483.0,918 CDM,PX-731000005,HC HOLTER MONITR<=48HRS SCN/REPRT,488.0,366.0,50.43,488.0,918 CDM,PX-73110,PR XR WRIST COMPLT MIN 3V,103.5,77.625,8.55,146.0,1352 CDM,PX-73120,PR XR HAND 2V,127.0,95.25,7.9,171.0,1352 CDM,PX-73130,PR XR HAND MIN 3V,161.5,121.125,8.55,229.0,1352 CDM,PX-73140,PR XR FINGER(S) MIN 2V,97.0,72.75,6.57,136.0,1352 CDM,PX-73200,PR CT UPR EXT WO CNTRST,691.5,518.625,45.78,950.0,1366 CDM,PX-732000001,HC REMOTE 30 DAY ECG TECH SUPP,3997.0,2997.75,398.19,3997.0,917 CDM,PX-73201,PR CT UPR EXT W CNTRST,997.5,748.125,52.69,1301.0,1366 CDM,PX-73202,PR CT UPR EXT WO/W CNTRST,1266.5,949.875,55.02,1722.0,1366 CDM,PX-73206,PR CTA UPR EXT WO/W CNTRST,1581.0,1185.75,81.35,2105.0,1366 CDM,PX-73218,PR MRI UPR EXT NONJOINT WO CNTRST,1301.0,975.75,61.95,1924.0,1192 CDM,PX-73219,PR MRI UPR EXT NONJOINT W CNTRST,2201.0,1650.75,73.83,3103.0,1366 CDM,PX-73220,PR MRI UPR EXT NOJNT WO/W CNTRST,2076.5,1557.375,98.17,2929.0,1366 CDM,PX-73221,PR MRI UPR EXT JOINT WO CNTRST,1357.5,1018.125,62.27,1883.0,1192 CDM,PX-73222,PR MRI UPR EXT JOINT W CNTRST,1569.5,1177.125,74.16,2221.0,1366 CDM,PX-73223,PR MRI UPR EXT JOINT WO/W CNTRST,1778.5,1333.875,98.17,2517.0,1366 CDM,PX-73501,PR XR HIP W PELVIS UNILAT 1V,98.0,73.5,8.89,114.0,1352 CDM,PX-73502,PR XR HIP W PELVIS UNILAT 2-3V,178.0,133.5,10.54,245.0,1352 CDM,PX-73503,PR XR HIP W PELVIS UNILAT 4>V,221.5,166.125,13.14,308.0,1352 CDM,PX-73521,PR XR HIP W PELVIS BILAT 2V,135.5,101.625,10.54,210.0,1352 CDM,PX-73522,PR XR HIP W PELVIS BILAT 3-4V,150.5,112.875,13.81,181.0,1352 CDM,PX-73523,PR XR HIP W PELVIS BILAT MIN 5V,174.5,130.875,14.48,233.0,1352 CDM,PX-73551,PR XR FEMUR 1V,107.0,80.25,7.9,128.0,1352 CDM,PX-73552,PR XR FEMUR MIN 2V,113.5,85.125,8.56,150.0,1352 CDM,PX-73560,PR XR KNEE 1-2V,110.5,82.875,7.9,141.0,1352 CDM,PX-73562,PR XR KNEE 3V,128.0,96.0,9.21,184.0,1352 CDM,PX-73564,PR XR KNEE COMPLT MIN 4V,179.0,134.25,10.86,247.0,1352 CDM,PX-73590,PR XR TIBIA & FIBULA 2V,97.0,72.75,7.57,126.0,1352 CDM,PX-73600,PR XR ANKLE 2V,101.5,76.125,7.9,128.0,1352 CDM,PX-73610,PR XR ANKLE COMPLT MIN 3V,116.0,87.0,8.23,160.0,1352 CDM,PX-73620,PR XR FOOT 2V,91.5,68.625,7.57,116.0,1352 CDM,PX-73630,PR XR FOOT COMPLT MIN 3V,105.5,79.125,7.91,144.0,1352 CDM,PX-73650,PR XR CALCANEUS MIN 2V,94.0,70.5,7.57,125.0,1352 CDM,PX-73660,PR XR TOE(S) MIN 2V,103.5,77.625,6.25,148.0,1352 CDM,PX-73700,PR CT LWR EXT WO CNTRST,622.5,466.875,45.78,780.0,1366 CDM,PX-73701,PR CT LWR EXT W CNTRST,929.0,696.75,52.69,1360.0,1366 CDM,PX-73702,PR CT LWR EXT WO/W CNTRST,1541.0,1155.75,55.02,1958.0,1366 CDM,PX-73706,PR CTA LWR EXT WO/W CNTRST,1538.0,1153.5,85.61,2022.0,1366 CDM,PX-73718,PR MRI LWR EXT NONJNT WO CNTRST,1326.5,994.875,61.3,2019.0,1192 CDM,PX-73719,PR MRI LWR EXT NONJOINT W CNTRST,2015.5,1511.625,73.19,2731.0,1366 CDM,PX-73720,PR MRI LWR EXT NOJNT WO/W CNTRST,1886.0,1414.5,97.85,2895.0,1366 CDM,PX-73721,PR MRI LWR EXT JOINT WO CNTRST,1245.5,934.125,61.95,1669.0,1192 CDM,PX-73722,PR MRI LWR EXT JOINT W CNTRST,1636.5,1227.375,74.16,2195.0,1366 CDM,PX-73723,PR MRI LWR EXT JOINT WO/W CNTRST,2007.0,1505.25,97.85,2885.0,1366 CDM,PX-740000001,HC EEG COMA/SLEEP,3328.0,2496.0,230.41,3328.0,915 CDM,PX-740000003,HC EEG EXTEND MONITOR >60MIN,2363.0,1772.25,230.41,2363.0,915 CDM,PX-740000004,HC EEG EXTEND MONITOR 41-60MIN,1485.0,1113.75,230.41,1485.0,917 CDM,PX-740000005,HC EEG INCL AWAKE & ASLEEP,1522.0,1141.5,230.41,1522.0,916 CDM,PX-740000006,HC EEG INCL AWAKE & DROWSY,1515.0,1136.25,230.41,1515.0,916 CDM,PX-740000007,HC EEG NONINTRACRANIAL SURG,3505.0,2628.75,210.15,3505.0,910 CDM,PX-740000010,HC ELECTROCORTICOGRAM AT SURGERY,5610.0,4207.5,2377.38,5610.0,909 CDM,PX-740000011,HC MAPPING CORTICAL EA ADD HR,1785.0,1338.75,183.41,1785.0,909 CDM,PX-740000012,HC MAPPING CORTICAL INITIAL HR,3764.0,2823.0,283.89,3764.0,915 CDM,PX-740000014,HC WADA ACTIVATION TEST W EEG,3676.0,2757.0,783.6,3676.0,916 CDM,PX-740000019,HC LONG TERM EEG SET UP,1369.0,1026.75,230.41,1369.0,915 CDM,PX-740000023,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,3732.0,2799.0,398.19,3732.0,915 CDM,PX-740000026,HC VEEG 2-12 HOURS WITH VIDEO UNMONITORED,1883.0,1412.25,230.41,1883.0,916 CDM,PX-740000028,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,3713.0,2784.75,398.19,3713.0,915 CDM,PX-740000029,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,2327.0,1745.25,398.19,2327.0,916 CDM,PX-740000030,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3569.0,2676.75,398.19,3569.0,916 CDM,PX-740000031,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,5267.0,3950.25,916.35,5267.0,915 CDM,PX-740000032,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,3903.0,2927.25,230.41,3903.0,915 CDM,PX-740000033,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,2293.0,1719.75,398.19,2293.0,915 CDM,PX-74018,PR XR EXAM ABDOMEN 1V,111.0,83.25,8.56,139.0,1352 CDM,PX-74019,PR XR EXAM ABDOMEN 2V,132.5,99.375,10.55,172.0,1352 CDM,PX-74021,PR XR EXAM ABDOMEN 3+V,186.0,139.5,12.21,258.0,1352 CDM,PX-74150,PR CT ABDOMEN WO CNTRST,662.0,496.5,54.02,736.0,1366 CDM,PX-74160,PR CT ABDOMEN W CNTRST,1372.5,1029.375,57.66,2079.0,1366 CDM,PX-74170,PR CT ABDOMEN WO/W CNTRST,990.0,742.5,63.3,1403.0,1366 CDM,PX-74174,PR CTA ABD&PELVIS WO/W CNTRST,3260.0,2445.0,99.48,5040.0,1366 CDM,PX-74175,PR CTA ABDOMEN WO/W CNTRST,2365.5,1774.125,82.01,3600.0,1366 CDM,PX-74176,PR CT ABD&PELVIS WO CNTRST,1699.0,1274.25,78.77,2348.0,1366 CDM,PX-74177,PR CT ABD&PELVIS W CNTRST,1889.0,1416.75,82.65,2748.0,1366 CDM,PX-74178,PR CT ABD&PELVIS WO/W CNTRST,2198.0,1648.5,91.55,3296.0,1366 CDM,PX-74181,PR MRI ABDOMEN WO CNTRST,1704.5,1278.375,65.61,2646.0,1366 CDM,PX-74182,PR MRI ABDOMEN W CNTRST,2259.5,1694.625,78.12,3232.0,1366 CDM,PX-74183,PR MRI ABDOMEN WO/W CNTRST,3258.5,2443.875,100.13,4998.0,1366 CDM,PX-74185,PR MRA ABDOMEN WO/W CNTRST,2045.5,1534.125,81.35,2913.0,1366 CDM,PX-74190,PR PERITONEOGRAM S&I,377.0,282.75,21.41,401.0,1352 CDM,PX-74220,PR XR ESOPHAGUS,299.0,224.25,27.36,445.0,1352 CDM,PX-74221,PR XR ESOPHAGUS DBL CONTRAST,444.5,333.375,31.62,551.0,1353 CDM,PX-74230,PR SWALLOWING STUDY W VIDEO,382.0,286.5,24.38,574.0,1352 CDM,PX-74240,PR XR UGI SINGLE CONTRAST,336.0,252.0,37.23,478.0,1352 CDM,PX-74246,PR XR UGI DOUBLE CONTRAST,368.0,276.0,41.18,524.0,1352 CDM,PX-74248,PR XR SMALL BOWEL FOLLOW THROUGH,386.0,289.5,31.62,408.0,1352 CDM,PX-74250,PR XR SMALL BOWEL,341.5,256.125,36.88,492.0,1352 CDM,PX-74261,PR CT COLONOGRAPHY DX WO CNTRST,1579.5,1184.625,109.35,2031.0,1366 CDM,PX-74262,PR CT COLONOGRAPHY DX WO/W CNTRST,1471.5,1103.625,113.98,1940.0,1366 CDM,PX-74263,PR CT COLONOGRAPHY SCRN,1558.5,1168.875,118.51,2464.0,1366 CDM,PX-74270,PR XR COLON SINGLE CONTRAST,464.5,348.375,47.1,730.0,1352 CDM,PX-74300,PR CHOLANG OR S&I,285.5,214.125,12.78,365.0,1352 CDM,PX-74328,PR ERCP CATH BILIARY S&I,325.0,243.75,23.7,325.0,676 CDM,PX-74329,PR ENDO CATH PANCREATIC SYSTEM,572.5,429.375,24.03,818.0,1352 CDM,PX-74330,PR ERCP CATH BILIARY&PANCREAS S&I,654.5,490.875,27.32,975.0,1352 CDM,PX-74340,PR INTRO LONG G TUBE W FL S&I,573.5,430.125,21.0,762.0,1362 CDM,PX-74360,PR INTRALUMINAL DILATION S&I,479.0,359.25,28.52,578.0,1352 CDM,PX-74420,PR UROGRAPHY RETRO WO OR W KUB,520.5,390.375,24.4,687.0,1353 CDM,PX-74425,PR UROGRAPHY ANTEGRADE S&I,462.0,346.5,23.38,597.0,1352 CDM,PX-74430,PR CYSTOGRAPHY MIN 3VWS S&I,388.0,291.0,14.81,456.0,1353 CDM,PX-74450,PR URETHROCYSTOGRAPHY RETRO S&I,444.0,333.0,15.14,677.0,1353 CDM,PX-74455,PR URETHROCYSTOGRAPHY VOIDING S&I,496.5,372.375,15.47,801.0,1353 CDM,PX-74740,PR HSG S&I,242.5,181.875,17.46,311.0,1352 CDM,PX-74775,PR PERINEOGRAM,534.5,400.875,28.3,583.0,1352 CDM,PX-750000000,HC ANOSCOPY DIAGNOSTIC,471.0,353.25,59.13,471.0,915 CDM,PX-750000006,HC BREATH HYDROGEN TEST,761.0,570.75,79.56,761.0,915 CDM,PX-750000008,HC CANCER SCREEN FLEX SIG,2679.0,2009.25,78.33,2679.0,915 CDM,PX-750000009,HC CAPSULE ENDO INTRALUMINAL,4443.0,3332.25,967.83,4443.0,916 CDM,PX-750000013,HC COLONOSCOPY DIAGNOSTIC,3628.0,2721.0,241.97,3628.0,918 CDM,PX-750000014,HC COLONOSCOPY FLEX STENT PLC,16248.0,12186.0,372.65,16248.0,915 CDM,PX-750000015,HC COLONOSCOPY SCREEN NOT HI RI,2901.0,2175.75,241.97,2901.0,915 CDM,PX-750000016,HC COLONOSCOPY SCREENING HI RI,2901.0,2175.75,241.97,2901.0,915 CDM,PX-750000018,HC COLONOSCOPY STOMA BX SNGL/MULT,7456.0,5592.0,225.63,7456.0,916 CDM,PX-750000019,HC COLONOSCOPY STOMA DX,6578.0,4933.5,206.67,6578.0,915 CDM,PX-750000020,HC COLONOSCOPY STOMA EMR,3500.0,2625.0,391.43,3500.0,915 CDM,PX-750000023,HC COLONOSCOPY STOMA W CTRL BLEED,11336.0,8502.0,298.76,11336.0,915 CDM,PX-750000026,HC COLONOSCOPY W BALN DIL,7586.0,5689.5,275.58,7586.0,916 CDM,PX-750000028,HC COLONOSCOPY W BIOPSY,4173.0,3129.75,261.29,4173.0,921 CDM,PX-750000029,HC COLONOSCOPY W CTRL BLEED,5450.0,4087.5,333.87,5450.0,916 CDM,PX-750000030,HC COLONOSCOPY W DECOMPRESSION,5266.0,3949.5,321.42,5266.0,915 CDM,PX-750000031,HC COLONOSCOPY W EMR,8570.0,6427.5,427.35,8570.0,916 CDM,PX-750000032,HC COLONOSCOPY W EUS EXAM,5764.0,4323.0,332.91,5764.0,916 CDM,PX-750000034,HC COLONOSCOPY W RMVL FB,8516.0,6387.0,309.08,8516.0,916 CDM,PX-750000035,HC COLONOSCOPY W RMVL LESN SNARE,4333.0,3249.75,293.54,4333.0,916 CDM,PX-750000036,HC COLONOSCOPY W RMVL SNARE,5282.0,3961.5,328.83,5282.0,919 CDM,PX-750000037,HC COLONOSCOPY W RMVL TMR HOT BX,7658.0,5743.5,298.37,7658.0,915 CDM,PX-750000039,HC COLONOSCOPY W SUBMUC INJ,4477.0,3357.75,261.29,4477.0,916 CDM,PX-750000040,HC COLONOSCOPY W TMR ABLATE,4708.0,3531.0,350.63,4708.0,916 CDM,PX-750000041,HC COLONOSCOPY W TRANS EUS FNA/BX,3544.0,2658.0,391.32,3544.0,916 CDM,PX-750000045,HC CONVERSION TO GASTRO-JEJ TUBE,5730.0,4297.5,186.17,5730.0,916 CDM,PX-750000055,HC EGD W DIRECT SUBMUCOSAL INJ,4720.0,3540.0,181.73,4720.0,916 CDM,PX-750000056,HC EGD BALN DILATION ESOPH <30MM,5834.0,4375.5,200.42,5834.0,917 CDM,PX-750000057,HC EGD BAND LIGATION VARICIES,6663.0,4997.25,317.15,6663.0,916 CDM,PX-750000058,HC EGD CTRL BLEED ANY,6284.0,4713.0,260.49,6284.0,916 CDM,PX-750000059,HC EGD DILATION GASTR/DUOD STRICT,5638.0,4228.5,230.46,5638.0,916 CDM,PX-750000060,HC EGD DX W RMVL HOT BX,7856.0,5892.0,224.0,7856.0,915 CDM,PX-750000061,HC EGD FLEX RMVL FB,6686.0,5014.5,231.21,6686.0,916 CDM,PX-750000062,HC EGD INJ SCLEROSIS,7944.0,5958.0,307.37,7944.0,915 CDM,PX-750000063,HC EGD INSERT GUIDE WIRE,3703.0,2777.25,217.56,3703.0,918 CDM,PX-750000064,HC EGD INTRALUMINAL TUBE/CATH INS,9810.0,7357.5,186.56,9810.0,915 CDM,PX-750000065,HC EGD PERC PLC GASTROTOMY TUBE,6368.0,4776.0,261.63,6368.0,916 CDM,PX-750000066,HC EGD TRANSORAL DX,3729.0,2796.75,162.51,3729.0,918 CDM,PX-750000067,HC EGD W BALN DIL > 30MM,8855.0,6641.25,299.28,8855.0,916 CDM,PX-750000068,HC EGD W BIOPSY SNGL/MULT,3736.0,2802.0,181.73,3736.0,919 CDM,PX-750000069,HC EGD W EMR,7747.0,5810.25,348.59,7747.0,916 CDM,PX-750000070,HC EGD W ENDOMICROSCOPY,11493.0,8619.75,220.49,11493.0,915 CDM,PX-750000071,HC EGD W EUS FNA BX,6994.0,5245.5,338.4,6994.0,916 CDM,PX-750000072,HC EGD W EUS FNA/BX ESOPH ONLY,6829.0,5121.75,300.93,6829.0,916 CDM,PX-750000073,HC EGD W EUS LTD,5522.0,4141.5,254.58,5522.0,918 CDM,PX-750000074,HC EGD W EUS TRANSMURAL INJ,6669.0,5001.75,338.82,6669.0,915 CDM,PX-750000075,HC EGD W EUS,5774.0,4330.5,292.55,5774.0,917 CDM,PX-750000077,HC EGD W LESION ABLATION,5288.0,3966.0,290.99,5288.0,916 CDM,PX-750000078,HC EGD W RMVL SNARE,5925.0,4443.75,254.52,5925.0,916 CDM,PX-750000079,HC EGD W STENT PLC,16005.0,12003.75,282.86,16005.0,916 CDM,PX-750000080,HC EGD W TRANSMURAL DRN,12476.0,9357.0,503.49,12476.0,915 CDM,PX-750000081,HC ENDO EVAL SM INTST POUCH BX,6665.0,4998.75,119.22,6665.0,918 CDM,PX-750000082,HC ENDO EVAL SM INTST POUCH DX,6629.0,4971.75,98.93,6629.0,916 CDM,PX-750000083,HC ENDO PANCREATIC NECROSECTOMY,1231.0,923.25,553.95,1231.0,915 CDM,PX-750000084,HC ENDO SM INTESTINE W ABLATION,10767.0,8075.25,317.64,10767.0,915 CDM,PX-750000085,HC ENDO SM INTESTINE W BX,8653.0,6489.75,206.94,8653.0,917 CDM,PX-750000086,HC ENDO SM INTESTINE W CTRL BLEED,10548.0,7911.0,309.81,10548.0,916 CDM,PX-750000087,HC ENDO SM INTESTINE W ILIUM BX,9875.0,7406.25,384.02,9875.0,916 CDM,PX-750000088,HC ENDO SM INTESTINE W RMVL FB,5554.0,4165.5,249.62,5554.0,915 CDM,PX-750000090,HC ENDO SM INTSTN W G-J TUBE,11248.0,8436.0,250.31,11248.0,915 CDM,PX-750000091,HC ENDO SM INTSTN W ILIUM CTRL,11442.0,8581.5,493.26,11442.0,915 CDM,PX-750000093,HC ENDO SM INTSTN W PLC TUBE PERC,9875.0,7406.25,311.67,9875.0,916 CDM,PX-750000096,HC ENDO UPPER SM INTESTINE,8785.0,6588.75,187.76,8785.0,916 CDM,PX-750000097,HC ENDOSCOPIC PANCREATOSCOPY,6171.0,4628.25,150.15,6171.0,910 CDM,PX-750000098,HC ENTEROSCOPY RMVL POLYP SNARE,8228.0,6171.0,265.46,8228.0,917 CDM,PX-750000099,HC ENTEROSCOPY W ILEUM W/WO BX,7373.0,5529.75,365.94,7373.0,915 CDM,PX-750000100,HC ERCP ABLATION W DIL,14511.0,10883.25,554.21,14511.0,916 CDM,PX-750000101,HC ERCP DUCT STENT PLC W DIL,9392.0,7044.0,592.16,9392.0,916 CDM,PX-750000102,HC ERCP DX,13586.0,10189.5,413.64,13586.0,916 CDM,PX-750000103,HC ERCP SPHINC/PAPILLOT,9437.0,7077.75,458.36,9437.0,916 CDM,PX-750000104,HC ERCP STENT EXCHANGE W DIL,9392.0,7044.0,617.12,9392.0,917 CDM,PX-750000105,HC ERCP W BX,9366.0,7024.5,435.18,9366.0,915 CDM,PX-750000106,HC ERCP W DESTRUCT CALCULI,16716.0,12537.0,554.7,16716.0,916 CDM,PX-750000108,HC ERCP W RMVL FB/STNT DUCT,8997.0,6747.75,483.32,8997.0,916 CDM,PX-750000109,HC ERCP W RMVL STONE,9077.0,6807.75,467.16,9077.0,917 CDM,PX-750000110,HC ERCP W TRANS BALN DIL,12581.0,9435.75,485.87,12581.0,916 CDM,PX-750000116,HC ESOPHAGOSCOPY FLEX LIGATION,6399.0,4799.25,185.25,6399.0,915 CDM,PX-750000118,HC ESOPHAGOSCOPY FLEX RMVL FB,8085.0,6063.75,187.11,8085.0,915 CDM,PX-750000119,HC ESOPHAGOSCOPY LESION W ABLT,14682.0,11011.5,256.86,14682.0,915 CDM,PX-750000122,HC ESOPHAGOSCOPY RIGID TRANSORAL,23580.0,17685.0,702.44,23580.0,916 CDM,PX-750000124,HC ESOPHAGOSCOPY W CTRL BLEED,6483.0,4862.25,215.96,6483.0,915 CDM,PX-750000125,HC ESOPHAGOSCOPY W EMR,5633.0,4224.75,304.34,5633.0,915 CDM,PX-750000127,HC ESOPHAGOSCOPY W EUS EXAM,9626.0,7219.5,203.22,9626.0,915 CDM,PX-750000128,HC ESOPHAGOSCOPY W EUS FNA/BX,3790.0,2842.5,261.02,3790.0,915 CDM,PX-750000132,HC ESOPHSCOPY DILATE BALN <30MM,8722.0,6541.5,155.46,8722.0,915 CDM,PX-750000134,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,8328.0,6246.0,171.75,8328.0,916 CDM,PX-750000135,HC ESOPHSCOPY FLEX TRANSNASAL DX,5706.0,4279.5,100.64,5706.0,915 CDM,PX-750000136,HC ESOPHSCOPY FLEX TRANSORAL DX,5460.0,4095.0,116.51,5460.0,915 CDM,PX-750000137,HC ESOPHSCOPY FLEX TXORAL W BX,7968.0,5976.0,136.88,7968.0,915 CDM,PX-750000140,HC ESOPHSCOPY TXORAL STENT PLC,8532.0,6399.0,248.9,8532.0,915 CDM,PX-750000141,HC ESOPHSCOPY TXORAL W SUBMUC INJ,6342.0,4756.5,135.36,6342.0,915 CDM,PX-750000150,HC ESOPH IMPED FUNCTION TEST,1078.0,808.5,197.48,1078.0,915 CDM,PX-750000170,HC LIGATION OF HEMORRHOID(S),3183.0,2387.25,287.97,3183.0,915 CDM,PX-750000172,HC ILEOSCOPY STOMA DX,6527.0,4895.25,78.0,6527.0,916 CDM,PX-750000173,HC ILEOSCOPY STOMA W BALN DIL,5217.0,3912.75,113.76,5217.0,916 CDM,PX-750000174,HC ILEOSCOPY STOMA W BX SNGL/MULT,4417.0,3312.75,99.59,4417.0,916 CDM,PX-750000185,HC LOWER DBL BALLOON,9875.0,7406.25,967.83,9875.0,917 CDM,PX-750000191,HC PLC TUBE NASAL/OROGAST W FLUOR,1594.0,1195.5,50.72,1594.0,915 CDM,PX-750000204,HC SIGMOID FLEX EMR,7790.0,5842.5,258.0,7790.0,916 CDM,PX-750000205,HC SIGMOID FLEX W BAND LIG,7320.0,5490.0,134.87,7320.0,915 CDM,PX-750000206,HC SIGMOID FLEX W CTRL BLEED,7032.0,5274.0,155.69,7032.0,916 CDM,PX-750000207,HC SIGMOID FLEX W DECOMPRESSION,6600.0,4950.0,146.99,6600.0,915 CDM,PX-750000208,HC SIGMOID FLEX W DIL BALN,7461.0,5595.75,106.28,7461.0,915 CDM,PX-750000209,HC SIGMOID FLEX W EUS EXAM,6256.0,4692.0,164.07,6256.0,916 CDM,PX-750000210,HC SIGMOID FLEX W EUS FNA/BX,10259.0,7694.25,222.89,10259.0,916 CDM,PX-750000211,HC SIGMOID FLEX W RMVL FB,10075.0,7556.25,140.76,10075.0,916 CDM,PX-750000213,HC SIGMOID FLEX W RMVL TMR SNARE,6540.0,4905.0,159.96,6540.0,916 CDM,PX-750000214,HC SIGMOID FLEX W SUBMUCOSAL INJ,4673.0,3504.75,91.56,4673.0,915 CDM,PX-750000215,HC SIGMOIDOSCOPY FLEXIBLE DX,4872.0,3654.0,78.75,4872.0,917 CDM,PX-750000216,HC SIGMOIDOSCOPY FLEXIBLE W BX,4366.0,3274.5,98.03,4366.0,916 CDM,PX-750000228,HC SIGMOIDOSCOPY W ABLATION,6759.0,5069.25,210.6,6759.0,916 CDM,PX-750000229,HC SIGMOIDOSCOPY W PLCMT STENT,15926.0,11944.5,200.99,15926.0,916 CDM,PX-750000230,HC EGD FLEX TRANSORAL W FUNDOPLASTY,24178.0,18133.5,557.03,24178.0,915 CDM,PX-750000232,HC PREPARE FECAL MICROBIOTA,3238.0,2428.5,992.34,3238.0,916 CDM,PX-750000262,HC ESOPH BALLOON DISTENSION STUDY,3210.0,2407.5,398.19,3210.0,916 CDM,PX-750000269,HC TORE PROCEDURE,9296.0,6972.0,967.83,13044.35,917 CDM,PX-750000272,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1206.0,904.5,50.3,1206.0,915 CDM,PX-750000277,HC BALLOON EXPULSION STUDY,259.0,194.25,116.55,259.0,915 CDM,PX-750000280,HC EUS GUIDED GASTROJEJUNOSTOMY,9104.0,6828.0,967.83,9104.0,917 CDM,PX-750000283,HC EUS RADIO FREQUENCY ABLATION,24398.0,18298.5,755.64,24398.0,915 CDM,PX-750000290,HC PLC ACCESS BIL TREE SM BOWEL NEW,10600.0,7950.0,432.15,10600.0,915 CDM,PX-750000294,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),10797.0,8097.75,967.83,10797.0,916 CDM,PX-750000297,HC EGD FLX TRANSNASAL DX BR/WA,2588.0,1941.0,1164.6,2588.0,915 CDM,PX-750000299,HC EGD FLX TRANSNASAL TUBE/CATH,7608.0,5706.0,3423.6,7608.0,916 CDM,PX-750000301,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),10797.0,8097.75,1054.22,10797.0,916 CDM,PX-750000302,HC LOWER DBL BALLOON W/ BIOPSY,7373.0,5529.75,967.83,7373.0,917 CDM,PX-750000303,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),10797.0,8097.75,967.83,10797.0,917 CDM,PX-750000304,HC DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),10284.0,7713.0,967.83,10284.0,917 CDM,PX-750000305,HC ESD ESOPHAGUS,5633.0,4224.75,967.83,5633.0,916 CDM,PX-750000306,HC ESD STOMACH,9296.0,6972.0,967.83,9296.0,917 CDM,PX-750000307,HC ESD SMALL INTESTINE,9296.0,6972.0,967.83,9296.0,917 CDM,PX-750000308,HC ESD COLON,8570.0,6427.5,992.34,8570.0,917 CDM,PX-750000309,HC ESD RECTUM,8570.0,6427.5,992.34,8570.0,916 CDM,PX-750000338,HC ESD ENDOSCOPY OR COLONOSCOPY,15808.0,11856.0,4114.11,15808.0,915 CDM,PX-75557,PR CARD MRI MORPH&FUNC WO CNTRST,2695.0,2021.25,106.25,3627.0,1366 CDM,PX-75559,PR CARD MRI MORPH&FUNC WO W ST,2790.0,2092.5,133.72,3822.0,1366 CDM,PX-75561,PR CARD MRI MORP&FUNC WO/W CNTRST,2861.5,2146.125,118.37,4068.0,1366 CDM,PX-75563,PR CARD MRI MORPH&FUNC WO/W ST,4795.5,3596.625,136.25,6619.0,1366 CDM,PX-75565,PR CARD MRI VELOCITY FLOW MAPPING,432.0,324.0,11.22,651.0,1352 CDM,PX-75571,PR CT HRT WO CNTRST W CA SCORE,427.5,320.625,26.37,620.0,1366 CDM,PX-75572,PR CT HRT W CNTRST MORPHOLOGY,1359.5,1019.625,79.18,1382.0,1366 CDM,PX-75574,PR CTA HRT CORONARY W CNTRST,1588.0,1191.0,109.1,2168.0,1366 CDM,PX-75580,PR N-INVAS EST C FFR SW ALY CTA,1473.0,1104.75,33.98,2837.0,1352 CDM,PX-75605,PR AORTOGRAPHY THORACIC S&I,1169.5,877.125,51.19,1191.0,1352 CDM,PX-75625,PR AORTOGRAPHY ABDOMINAL S&I,489.0,366.75,64.42,645.0,1352 CDM,PX-75630,PR AORTOGRAPHY ABD LWR EXT S&I,804.0,603.0,89.58,804.0,676 CDM,PX-75635,PR CTA ABD ART RUNOF WO/W CNTRST,2144.0,1608.0,108.02,2960.0,1366 CDM,PX-75705,PR ANGIOGRAPHY SPINAL SEL S&I,1934.0,1450.5,119.54,2333.0,1352 CDM,PX-75710,PR ANGIOGRAPHY EXT UNILAT S&I,321.0,240.75,78.9,321.0,676 CDM,PX-75716,PR ANGIOGRAPHY EXT BILAT S&I,942.5,706.875,88.58,947.0,1352 CDM,PX-75726,PR ANGIOGRAPHY VISCERAL SEL S&I,590.0,442.5,89.5,590.0,676 CDM,PX-75731,PR ANGIO ADRENAL UNILAT SEL S&I,1529.5,1147.125,51.7,2253.0,1352 CDM,PX-75736,PR ANGIOGRAPHY PELVIC SEL S&I,1030.5,772.875,49.4,1402.0,1352 CDM,PX-75741,PR ANGIO PULMONARY UNILAT SEL S&I,1262.5,946.875,57.63,1589.0,1352 CDM,PX-75743,PR ANGIO PULMONARY BILAT SEL S&I,1659.5,1244.625,73.4,1948.0,1352 CDM,PX-75746,PR ANGIO PULMONARY NONSEL S&I,1283.5,962.625,50.4,1720.0,1352 CDM,PX-75756,PR ANGIOGRAPHY INTRNL MAMMARY S&I,508.0,381.0,162.73,508.0,676 CDM,PX-75774,PR ANGIOGRAPHY SEL ADD VSSL S&I,852.0,639.0,43.8,1316.0,1352 CDM,PX-75801,PR LYMPHANGIOGRPH EXT ONLY UNILAT,583.0,437.25,42.76,583.0,676 CDM,PX-75803,PR LYMPHANGIOGRPH EXT ONLY BILAT,1153.5,865.125,53.35,1374.0,1352 CDM,PX-75805,PR LYMPHANGIOGRPH PELV/ABD UNILAT,965.0,723.75,37.2,1340.0,1352 CDM,PX-75807,PR LYMPHANGIOGRPH PELV/ABD BILAT,742.0,556.5,50.4,1108.0,1352 CDM,PX-75810,PR SPLENOPORTOGRAPHY S&I,1862.5,1396.875,46.44,3044.0,1352 CDM,PX-75820,PR VENOGRAPHY EXT UNILAT S&I,461.0,345.75,47.36,590.0,1352 CDM,PX-75822,PR VENOGRAPHY EXT BILAT S&I,587.0,440.25,66.38,587.0,676 CDM,PX-75825,PR VENOGRAPHY IVC S&I,746.0,559.5,51.15,746.0,676 CDM,PX-75827,PR VENOGRAPHY SVC S&I,1006.0,754.5,51.76,1006.0,676 CDM,PX-75831,PR VENO RENAL UNILAT SEL S&I,1309.0,981.75,49.36,1600.0,1352 CDM,PX-75833,PR VENO RENAL BILAT SEL S&I,632.0,474.0,70.33,632.0,676 CDM,PX-75860,PR VENOGRAPHY SINUS OR JUG S&I,1094.0,820.5,52.52,1127.0,1352 CDM,PX-75870,PR VENOGRAPHY SUPERIOR SAG SINUS,884.5,663.375,60.84,943.0,1352 CDM,PX-75885,PR TXHEP PORT PERC W HEMO EVAL,1509.5,1132.125,62.53,1987.0,1352 CDM,PX-75887,PR TXHEP PORT PERC WO HEMO EVAL,1460.0,1095.0,62.53,1883.0,1352 CDM,PX-75889,PR VENO HEPATIC W HEMODYN S&I,1763.5,1322.625,49.43,2521.0,1352 CDM,PX-75891,PR VENO HEPATIC WO HEMODYN S&I,1817.5,1363.125,49.76,1824.0,1352 CDM,PX-75893,PR VENOUS SAMPLING THRU CATH S&I,338.0,253.5,25.57,452.0,1352 CDM,PX-75894,PR THRPY TXCATH EMBL S&I,669.0,501.75,124.09,669.0,676 CDM,PX-75898,PR ANGIO FU THRU CATH S&I,959.0,719.25,103.24,959.0,676 CDM,PX-75970,PR BX TRANSCATH S&I,2064.0,1548.0,36.21,3461.0,1352 CDM,PX-75984,PR CHG DRN CATH W CNTRST S&I,609.0,456.75,36.54,798.0,1352 CDM,PX-75989,PR GUIDE DRN PERC PLC CATH S&I,1004.0,753.0,53.65,1241.0,1352 CDM,PX-76000,PR FLUOROSCOPY EXAM UP TO 1 HR,319.5,239.625,15.09,428.0,1352 CDM,PX-76080,PR XR FISTULA/ABSC/SINUS TRCT S&I,406.0,304.5,23.7,489.0,1352 CDM,PX-76098,PR XR SURG SPECIMEN,146.0,109.5,14.48,185.0,1352 CDM,PX-761000009,HC ARTHCS ASP/INJ INT JT W US,3241.0,2430.75,65.9,3143.77,915 CDM,PX-761000010,HC ARTHCS ASP/INJ INT JT WO US,1290.0,967.5,47.18,1251.3,915 CDM,PX-761000012,HC ARTHCS ASP/INJ MJR JT W US,1628.0,1221.0,73.7,1579.16,915 CDM,PX-761000013,HC ARTHCS ASP/INJ MJR JT WO US,1475.0,1106.25,58.23,1430.75,915 CDM,PX-761000022,HC BMT/STEM CELL TX ALLO,48049.0,36036.75,297.87,77188.78,915 CDM,PX-761000023,HC BMT/STEM CELL TX AUTO,7976.0,5982.0,219.95,7736.72,915 CDM,PX-761000024,HC BONE MARROW ASPIRATION ONLY,6618.0,4963.5,81.9,6419.46,915 CDM,PX-761000025,HC BONE MARROW BIOPSY NDL/TROCAR,2696.0,2022.0,85.31,2615.12,917 CDM,PX-761000032,HC CHEMODENERV FACIAL TRIGEM BIL,805.0,603.75,158.04,780.85,916 CDM,PX-761000033,HC CHEMODENERV NECK MUSCLE UNILAT,890.0,667.5,144.15,863.3,916 CDM,PX-761000034,HC CHEMODENERV TRUNK 1-5 MUS,3147.0,2360.25,151.01,3052.59,916 CDM,PX-761000036,HC COLLECT BLOOD FROM IMPLANT VAD,489.0,366.75,44.12,474.33,918 CDM,PX-761000037,HC COLLECT BLOOD PICC VENOUS NOS,446.0,334.5,48.98,432.62,918 CDM,PX-761000043,HC DECLOT IMPL VAD/CATH,1002.0,751.5,55.23,971.94,916 CDM,PX-761000044,HC DEST CERV/THOR FACET JT ADD,2088.0,1566.0,85.32,2025.36,909 CDM,PX-761000045,HC DEST CERV/THOR FACET JT,6968.0,5226.0,254.33,6758.96,915 CDM,PX-761000046,HC DEST LUMB/SAC FACET JT ADD,2100.0,1575.0,74.93,2037.0,909 CDM,PX-761000047,HC DEST LUMB/SAC FACET JT,6732.0,5049.0,254.87,6530.04,915 CDM,PX-761000048,HC DEST NERVE CELIAC PLEX,3804.0,2853.0,215.7,3689.88,917 CDM,PX-761000050,HC DEST OTHER PERIPHERAL NERVE,3419.0,2564.25,163.91,3316.43,915 CDM,PX-761000055,HC ELASTOGRAPHY LIVER WO IMG I&R,601.0,450.75,32.96,582.97,920 CDM,PX-761000056,HC ELEC ANLYS PUMP W RPRG&RFLL,1353.0,1014.75,58.2,1312.41,916 CDM,PX-761000064,HC FNA BX WO IMG 1ST LESION,1503.0,1127.25,67.76,1457.91,917 CDM,PX-761000074,HC INJ ANES AGENT LUMBAR/THORACIC,3902.0,2926.5,113.03,3784.94,917 CDM,PX-761000075,HC INJ ANES AXILLARY NERVE W GUIDANCE,3812.0,2859.0,90.59,3697.64,915 CDM,PX-761000076,HC INJ ANES BRACHIAL PLEX W GUIDANCE,3775.0,2831.25,98.21,3661.75,915 CDM,PX-761000079,HC INJ ANES FEM NERVE W GUIDANCE,2704.0,2028.0,89.72,2622.88,915 CDM,PX-761000080,HC INJ ANES FORAMEN ADD LVL,2752.0,2064.0,78.39,2669.44,909 CDM,PX-761000081,HC INJ ANES FORAMEN EPI LUMB ADD,2320.0,1740.0,64.67,2250.4,909 CDM,PX-761000082,HC INJ ANES FORAMEN EPI LUMB SNGL,3981.0,2985.75,146.58,3861.57,916 CDM,PX-761000083,HC INJ ANES FORAMEN SNGL CRV/THRC,4056.0,3042.0,171.77,3934.32,916 CDM,PX-761000084,HC INJ ANES GREATER OCCIPITAL NRV,2340.0,1755.0,67.23,2269.8,915 CDM,PX-761000085,HC INJ ANES ILIOINGUINAL NRV,2894.0,2170.5,73.35,2807.18,915 CDM,PX-761000086,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,3996.0,2997.0,32.04,3876.12,915 CDM,PX-761000087,HC INJ ANES INTERCOSTAL NRV SNGL LVL,2837.0,2127.75,77.34,2751.89,915 CDM,PX-761000089,HC INJ ANES OTHER PERIPHERAL NRV,2298.0,1723.5,56.57,2229.06,916 CDM,PX-761000091,HC INJ ANES SPENOPLTN GANGLION,1519.0,1139.25,141.68,1473.43,915 CDM,PX-761000092,HC INJ ANES STELLATE GANGLION,3958.0,2968.5,102.69,3839.26,916 CDM,PX-761000094,HC INJ ANES SUPR HYPOGASTRIC PLEX,3922.0,2941.5,167.76,3804.34,915 CDM,PX-761000095,HC INJ ANES TRANSABDOM PLANE BIL,1296.0,972.0,83.99,1257.12,910 CDM,PX-761000096,HC INJ ANES TRIGEMINAL NRV,1476.0,1107.0,68.88,1431.72,915 CDM,PX-761000098,HC INJ EPI BLD/CLOT PATCH,2744.0,2058.0,150.63,2661.68,916 CDM,PX-761000101,HC INJ FACET JT CERV/THOR >=3 LVL,1843.0,1382.25,75.53,1787.71,909 CDM,PX-761000102,HC INJ FACET JT CERV/THOR 1 LVL,4124.0,3093.0,138.69,4000.28,916 CDM,PX-761000103,HC INJ FACET JT CERV/THOR 2 LVL,2238.0,1678.5,74.93,2170.86,910 CDM,PX-761000104,HC INJ FACET JT LUMB/SAC >= 3 LVL,1843.0,1382.25,66.62,1787.71,909 CDM,PX-761000105,HC INJ FACET JT LUMB/SAC 1 LVL,4124.0,3093.0,119.97,4000.28,916 CDM,PX-761000106,HC INJ FACET JT LUMB/SAC 2 LVL,2249.0,1686.75,64.67,2181.53,911 CDM,PX-761000109,HC INJ NRV BLOCK PUDENDAL,3848.0,2886.0,71.78,3732.56,915 CDM,PX-761000110,HC PRP INJECTION,1082.0,811.5,476.69,1049.54,916 CDM,PX-761000111,HC INJ SI JT W IMA W ARTHROGRPHY,4500.0,3375.0,72.49,4365.0,915 CDM,PX-761000112,HC INJ SNGL TENDN ORIGIN/INS,1278.0,958.5,48.75,1239.66,915 CDM,PX-761000113,HC INJ SNGL TNDN/SHTH/LGMNT,1246.0,934.5,49.17,1208.62,916 CDM,PX-761000116,HC INJ TRIGGER PNT >=3 MUS,1241.0,930.75,59.91,1203.77,918 CDM,PX-761000117,HC INJ TRIGGER PNT<=2 MUS,1103.0,827.25,52.55,1069.91,917 CDM,PX-761000127,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3884.0,2913.0,126.26,3767.48,915 CDM,PX-761000136,HC INTUB W ETT,818.0,613.5,195.06,793.46,915 CDM,PX-761000137,HC IP PICC REMOVAL,272.0,204.0,7.59,263.84,918 CDM,PX-761000140,HC IRRIG IMP VAD,636.0,477.0,37.88,616.92,916 CDM,PX-761000141,HC LARYNG FLEX FIBEROPTIC DX,822.0,616.5,89.54,797.34,919 CDM,PX-761000143,HC MEAS PST VOID RESID US NON IMG,303.0,227.25,18.33,293.91,916 CDM,PX-761000155,HC PULSED RF ANY PERIPHERAL NRV,3419.0,2564.25,327.54,3316.43,917 CDM,PX-761000156,HC PULSED RF CERV/THOR FAC JT ADD,3158.0,2368.5,327.54,3063.26,917 CDM,PX-761000157,HC PULSED RF CERV/THOR FAC JT,6968.0,5226.0,327.54,6758.96,917 CDM,PX-761000160,HC PUNC SHUNT TUBE ASP INJ PROC,2936.0,2202.0,75.27,2847.92,915 CDM,PX-761000161,HC PUNCTURE SPINAL LUMBAR DX,2425.0,1818.75,85.65,2352.25,916 CDM,PX-761000164,HC REFILL/MAINT PORTABLE PUMP,433.0,324.75,208.68,420.01,915 CDM,PX-761000167,HC RMVL TUN CV CATH WO SUBQ PORT,3317.0,2487.75,183.53,3217.49,916 CDM,PX-761000169,HC SKN GRFT A/TR/L <=100SCM/1ST 25,7295.0,5471.25,110.31,7076.15,916 CDM,PX-761000170,HC SKN GRFT F/N/G/HF <=100SCM,5288.0,3966.0,123.98,5129.36,915 CDM,PX-761000172,HC THORACENTESIS PLEURA W IMG,3384.0,2538.0,138.6,3282.48,916 CDM,PX-761000177,HC VISIT EST PATIENT LEVEL 1,240.0,180.0,7.59,232.8,918 CDM,PX-761000178,HC VISIT EST PATIENT LEVEL 2,265.0,198.75,30.6,257.05,917 CDM,PX-761000179,HC VISIT EST PATIENT LEVEL 3,277.0,207.75,56.67,268.69,919 CDM,PX-761000180,HC VISIT EST PATIENT LEVEL 4,310.0,232.5,83.34,300.7,917 CDM,PX-761000181,HC VISIT EST PATIENT LEVEL 5,364.0,273.0,123.8,353.08,917 CDM,PX-761000183,HC ELEC ANLYS PUMP W RPRG,1379.0,1034.25,43.34,1337.63,915 CDM,PX-761000184,HC ELEC ANLYS PUMP WO RPRG/REFILL,1225.0,918.75,31.52,1188.25,915 CDM,PX-761000185,HC IMPL NEUROSTIM ELEC PERC EPI,23748.0,17811.0,552.03,23035.56,917 CDM,PX-761000186,HC IMPL NEUROSTIM PERIPHERAL PERC,28257.0,21192.75,432.68,27409.29,916 CDM,PX-761000187,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,3963.0,2972.25,107.24,3844.11,915 CDM,PX-761000188,HC INJ ANES SUPRASCAPULAR NERVE,2730.0,2047.5,70.95,2648.1,915 CDM,PX-761000189,HC NASOPHARYNGOSCOPY W ENDO,807.0,605.25,48.27,782.79,915 CDM,PX-761000190,HC NEUROSTIM SPINAL SIMPLE W PROG,2380.0,1785.0,50.82,2308.6,916 CDM,PX-761000191,HC REFIL&MAINT IMPL SPN/BRN MD/QHP,1266.0,949.5,49.8,1228.02,915 CDM,PX-761000194,HC TAP BLOCK UNILAT BY INJ,1803.0,1352.25,71.7,1748.91,909 CDM,PX-761000200,HC REMOVAL LUNG/PLEURAL CATHETER,2948.0,2211.0,216.38,2859.56,915 CDM,PX-761000201,HC THORACENTESIS PLEURA WO IMG,3013.0,2259.75,116.63,2922.61,915 CDM,PX-761000209,HC BRONCH W TRACHEAL/BRONCH DIL,8634.0,6475.5,260.09,8374.98,916 CDM,PX-761000211,HC BRONCH DEST TMR RLF STENOSIS,12669.0,9501.75,331.07,12288.93,916 CDM,PX-761000222,HC THORACOSCOPY W/BX OF PLEURA,22056.0,16542.0,348.69,21394.32,916 CDM,PX-761000227,HC TRACHEOBRONCH EST TRACH INC,1923.0,1442.25,149.43,1865.31,916 CDM,PX-761000239,HC CAUTERIZE CHEM GRANULATION TIS,592.0,444.0,51.83,574.24,915 CDM,PX-761000253,HC INJ ANES SCIATIC NERVE W GUIDANCE,2782.0,2086.5,97.4,2698.54,915 CDM,PX-761000270,HC INJ SPINE LUMB/SAC WO IMG,3386.0,2539.5,109.28,3284.42,915 CDM,PX-761000271,HC INJ SPINE CERV/THOR WO IMG,2704.0,2028.0,129.23,2622.88,916 CDM,PX-761000273,HC INJ SPINE LUMB/SAC W IMG,2348.0,1761.0,131.4,2277.56,918 CDM,PX-761000274,HC INJ SPINE CERV/THOR W IMG,2921.0,2190.75,140.78,2833.37,918 CDM,PX-761000278,HC DX BONE MARROW BX & ASPIR,4851.0,3638.25,92.22,4705.47,918 CDM,PX-761000280,HC INSTILL ANTICARCINOGEN BLAD,2718.0,2038.5,56.04,2636.46,915 CDM,PX-761000299,HC BX ENDOMETRIAL WO CERVIX DIL,957.0,717.75,80.75,928.29,916 CDM,PX-761000332,HC APP STEREOTACTIC HEADFRAME,8233.0,6174.75,139.91,7986.01,915 CDM,PX-761000359,HC FNA BX W/US GDN 1ST LES,2438.0,1828.5,92.03,2364.86,919 CDM,PX-761000361,HC FNA BX W/FLUOR GDN 1ST LES,1646.0,1234.5,117.72,1596.62,915 CDM,PX-761000368,HC FNA BX WO IMG EACH ADD LESION,1118.0,838.5,53.88,1084.46,909 CDM,PX-761000397,HC INSJ PICC RS&I 5 YR+,4516.0,3387.0,106.43,4380.52,916 CDM,PX-761000398,HC VENI >=3 YR W RN,151.0,113.25,11.82,146.47,909 CDM,PX-761000428,HC PUNCTURE SPINAL THER DRN CSF W GUID,2880.0,2160.0,136.07,2793.6,915 CDM,PX-761000729,HC INJ ANES/STEROID NERVES SACROILIAC JNT,2822.0,2116.5,106.86,2737.34,915 CDM,PX-761000730,HC INJ ANES/STEROID GENICULAR NERVE,2717.0,2037.75,107.88,2635.49,915 CDM,PX-761000731,HC DEST NEURO AGNT GENICULAR NERVE,7729.0,5796.75,196.25,7497.13,915 CDM,PX-761000732,HC RF ABLATION NERVES SACROILIAC JNT,7770.0,5827.5,260.1,7536.9,915 CDM,PX-761000839,HC D&C NONOBSTETRICAL,14948.0,11211.0,306.65,14499.56,915 CDM,PX-761000920,HC THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,80000.0,60000.0,536.9,77600.0,915 CDM,PX-761000930,HC PLC AMNIOTIC MEMB OCLR WO SUTR,12126.0,9094.5,53.0,11762.22,916 CDM,PX-761000931,HC PARACENT ANTR CHAMB EYE W ASP,10137.0,7602.75,105.05,9832.89,915 CDM,PX-761000933,HC CORRECT TRICHIASIS EPIL FORCEP,898.0,673.5,28.04,871.06,915 CDM,PX-761000935,HC CLSR LACRIM PUNCTUM BY PLUG EA,2177.0,1632.75,152.24,2111.69,915 CDM,PX-761000938,HC EXAM EYE NEW PATIENT INTERMED,698.0,523.5,56.12,677.06,915 CDM,PX-761000939,HC EXAM EYE NEW PATIENT COMP,695.0,521.25,115.73,674.15,915 CDM,PX-761000940,HC EXAM EYE EST PATIENT INTERMED,540.0,405.0,61.46,523.8,916 CDM,PX-761000941,HC EXAM EYE EST PATIENT COMP,590.0,442.5,92.28,572.3,916 CDM,PX-761000956,HC OPSCPY EXTND RTA DRAW UNI/BI,532.0,399.0,27.2,516.04,915 CDM,PX-761000957,HC GONIOSCOPY,405.0,303.75,24.29,392.85,915 CDM,PX-761000971,HC INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION,130.0,97.5,58.5,126.1,909 CDM,PX-761000979,HC PROPH RETINAL DETACHMENT CRYO,5708.0,4281.0,277.01,5536.76,915 CDM,PX-761000991,HC COMP OPTH DX IMG ANTERIOR SGMT,544.0,408.0,20.82,527.68,915 CDM,PX-761000992,HC COMP OPTH DX IMG OPTIC NERVE,406.0,304.5,20.82,393.82,915 CDM,PX-761000993,HC COMP OPTH DX IMG RETINA,127.0,95.25,21.8,123.19,915 CDM,PX-762000003,HC OBS INTERMEDIATE PER HR,210.0,157.5,94.5,203.7,1789 CDM,PX-762000004,HC OBSERVATION DIRECT ADMIT,158.0,118.5,71.1,730.8,1794 CDM,PX-762000005,HC OBSERVATION PER HR,158.0,118.5,71.1,153.26,1789 CDM,PX-762000007,HC OBSERVATION HOURLY CARVE-OUT I,158.0,118.5,71.1,153.26,1789 CDM,PX-762000008,HC OBSERVATION HOURLY CARVE-OUT II,158.0,118.5,71.1,153.26,1789 CDM,PX-762000009,HC OBSERVATION HOURLY CARVE-OUT III,158.0,118.5,71.1,153.26,1789 CDM,PX-762000010,HC OBSERVATION HOURLY CARVE-OUT IV,158.0,118.5,71.1,153.26,1789 CDM,PX-762000011,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT I,210.0,157.5,94.5,203.7,1789 CDM,PX-762000012,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT II,210.0,157.5,94.5,203.7,1789 CDM,PX-762000013,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT III,210.0,157.5,94.5,203.7,1789 CDM,PX-762000014,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT IV,210.0,157.5,94.5,203.7,1789 CDM,PX-762000019,HC INTERMEDIATE OBSERVATION DIRECT ADMIT,210.0,157.5,94.5,730.8,1794 CDM,PX-76376,PR 3D WO IND WORKSTATION,742.0,556.5,9.23,1090.0,1358 CDM,PX-76377,PR 3D W IND WORKSTATION,801.5,601.125,36.53,1056.0,1354 CDM,PX-76380,PR CT LTD FU STDY,731.5,548.625,44.1,939.0,1352 CDM,PX-76390,PR MR SPECTROSCOPY,900.0,675.0,68.3,900.0,676 CDM,PX-76391,PR MR ELASTOGRAPHY,1121.0,840.75,49.43,1479.0,1366 CDM,PX-76496001,PR VENOGRM SEL EA ADD VSSL STUDY,748.0,561.0,9.0,1316.0,1352 CDM,PX-76497001,PR CT SKELETAL SURVEY LDWB,1079.0,809.25,25.95,1639.0,1352 CDM,PX-76498005,PR MRI PROCTOGRAPHY & ENDOANAL,3857.0,2892.75,85.0,6491.0,1352 CDM,PX-76498006,PR MRI PROCTOGRAPHY,2745.5,2059.125,85.0,4636.0,1352 CDM,PX-76498007,PR MRI WHOLE BODY,3095.0,2321.25,85.0,4300.0,1352 CDM,PX-76498016,PR MR LYMPHANGIOGRAM,3571.0,2678.25,85.0,3571.0,676 CDM,PX-76499003,PR BODY COMPOSITION DXA,1400.0,1050.0,70.0,1400.0,676 CDM,PX-76499012,PR CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY,73.0,54.75,3.65,73.0,676 CDM,PX-76499013,PR INJECTION FOR CONTRAST ENHANCED EXAM,75.0,56.25,3.75,75.0,676 CDM,PX-76510,PR OPTHAL US DX QUANT B&A SCAN,515.0,386.25,67.3,515.0,676 CDM,PX-76511,PR OPHTHAL US DX QUANT A SCAN,340.0,255.0,56.24,340.0,676 CDM,PX-76512,PR US OPHTHALMIC DX B-SCAN,272.5,204.375,29.98,364.0,1352 CDM,PX-76513,PR OPHTHAL US DX EYE WATER BATH,324.0,243.0,74.65,324.0,676 CDM,PX-76514,PR OPHTHAL US DX EYE THICKNESS,74.0,55.5,7.55,92.0,1356 CDM,PX-76536,PR US HEAD&NECK SOFT TISS,369.5,277.125,26.02,499.0,1353 CDM,PX-76604,PR US CHEST,341.5,256.125,27.31,510.0,1367 CDM,PX-76641,PR US BREAST COMPLT UNILAT,408.5,306.375,33.27,441.0,1352 CDM,PX-76642,PR US BREAST LTD UNILAT,336.0,252.0,30.96,485.0,1352 CDM,PX-76700,PR US ABD COMPLT,504.0,378.0,36.92,648.0,1367 CDM,PX-76705,PR US ABD LTD,411.0,308.25,27.03,539.0,1368 CDM,PX-76706,PR US ABD AORTA SCREEN AAA,380.0,285.0,25.33,475.0,1352 CDM,PX-76770,PR US RETROPERITONEAL COMPLT,517.0,387.75,33.61,741.0,1366 CDM,PX-76775,PR US RETROPERITONEAL LTD,263.0,197.25,26.69,336.0,1366 CDM,PX-76776,PR US TRANSPLANT KIDNEY W DPLR,527.0,395.25,34.28,814.0,1366 CDM,PX-76801,PR OB US < 14 WKS SINGLE FETUS,440.5,330.375,45.8,533.0,1352 CDM,PX-76802,PR OB US < 14 WKS ADD FETUS,371.0,278.25,38.88,415.0,1352 CDM,PX-76805,PR US OB OVER 14WKS SNGL,538.0,403.5,46.45,668.0,1352 CDM,PX-76815,PR US PREGNANT UTERUS LIMITED,377.5,283.125,30.28,463.0,1352 CDM,PX-76816,PR US OB FU PER FETUS,391.0,293.25,40.19,476.0,1352 CDM,PX-76817,PR US OB TRANSVAGINAL,420.0,315.0,34.91,441.0,1352 CDM,PX-76830,PR US TRANSVAGINAL,378.5,283.875,31.94,513.0,1354 CDM,PX-76831,PR ECHO EXAM UTERUS,336.0,252.0,34.23,430.0,1366 CDM,PX-76856,PR US PELVIS COMPLETE,344.0,258.0,31.94,419.0,1366 CDM,PX-76857,PR US PELVIS LTD/FU,269.0,201.75,23.37,319.0,1366 CDM,PX-76870,PR US SCROTUM,378.5,283.875,29.3,453.0,1366 CDM,PX-76872,PR US TRANSRECTAL,425.5,319.125,31.34,586.0,1355 CDM,PX-76873,PR US TRANSRECTAL PROSTATE VOLUME,610.5,457.875,75.13,792.0,1353 CDM,PX-76881,PR US EXT NON-VASC COMPLETE,336.5,252.375,42.19,453.0,1352 CDM,PX-76882,PR US EXT LTD,218.5,163.875,31.61,233.0,1354 CDM,PX-76883,PR US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,483.0,362.25,57.27,621.0,1352 CDM,PX-76932,PR US ENDOMYOCARDIAL BX S&I,480.0,360.0,33.61,480.0,676 CDM,PX-76937,PR US GUIDE VASC ACCESS,158.0,118.5,13.46,170.0,1354 CDM,PX-76940,PR US GUIDE TISS ABLT,1282.0,961.5,100.29,1282.0,676 CDM,PX-76942,PR US GUIDE PLC NDL,792.0,594.0,30.98,816.0,1185 CDM,PX-76965,PR US GUIDE INTERS RADIOTHER,1028.0,771.0,66.87,1028.0,676 CDM,PX-76978,PR US TRGT DYN MBUBB 1ST LES,1195.0,896.25,73.51,1195.0,683 CDM,PX-76981,PR US PARENCHYMA,362.5,271.875,28.65,521.0,1366 CDM,PX-76998,PR US GUIDE INTRAOPERATIVE,684.5,513.375,47.57,832.0,1352 CDM,PX-77001,PR FLUORO GUIDE PLC CVAD,366.5,274.875,17.39,482.0,1352 CDM,PX-77002,PR FLUORO GUIDE NDL PLC,522.0,391.5,26.65,618.0,1354 CDM,PX-77003,PR FLUORO GUIDE SPINE INJ,623.5,467.625,27.97,829.0,1352 CDM,PX-77011,PR CT GUIDE STERO LOCALIZ,2023.0,1517.25,59.22,2721.0,1352 CDM,PX-77012,PR CT GUIDE NDL PLC,1573.0,1179.75,66.23,2140.0,1352 CDM,PX-77013,PR CT GUIDE TISS ABLT,2859.0,2144.25,174.55,3918.0,1352 CDM,PX-77021,PR MRI GUIDE NDL PLC,1637.0,1227.75,69.25,2300.0,1352 CDM,PX-77046,PR MRI BREAST WO CNTRST UNILAT,1824.5,1368.375,65.28,2473.0,1366 CDM,PX-77047,PR MRI BREAST WO CNTRST BILAT,2123.0,1592.25,72.19,3236.0,1367 CDM,PX-77048,PR MRI BREAST WOW CNTRST W/CAD UNILAT,2628.5,1971.375,95.53,3527.0,1366 CDM,PX-77049,PR MRI BREAST WOW CNTRST W/CAD BILAT,2285.5,1714.125,104.43,3460.0,1366 CDM,PX-77061,PR DIGITAL BREAST TOMO UNILAT,213.0,159.75,27.36,305.0,1352 CDM,PX-77062,PR DIGITAL BREAST TOMO BILAT,274.5,205.875,27.36,388.0,1355 CDM,PX-77063,PR DIGITAL SCRN BRST TOMO BILAT,237.0,177.75,27.36,324.0,1352 CDM,PX-77065,"PR DIAG MAMMO, UNILATERAL, W/CAD",510.5,382.875,37.2,775.0,1352 CDM,PX-77066,"PR DIAG MAMMO, BILATERAL, W/CAD",596.0,447.0,45.78,838.0,1353 CDM,PX-77067,"PR SCREEN MAMMO, BILATERAL, W/CAD",461.0,345.75,34.6,730.0,1352 CDM,PX-77071,PR APP STRESS JOINT RADIOGRAPHY,206.0,154.5,56.79,206.0,677 CDM,PX-77072,PR BONE AGE STUDY,102.0,76.5,8.9,140.0,1352 CDM,PX-77073,PR BONE LENGTH STUDY,197.5,148.125,12.81,299.0,1352 CDM,PX-77075,PR XR BONE SURVEY COMPLETE,351.0,263.25,25.37,480.0,1352 CDM,PX-77080,PR DEXA BONE DENSITY AXIAL,440.5,330.375,9.23,700.0,1352 CDM,PX-77089,PR TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK PROF ONLY,113.0,84.75,38.61,113.0,676 CDM,PX-771000001,HC ADMIN FLU VACC,84.0,63.0,20.5,84.0,915 CDM,PX-771000002,HC ADMIN HEPATITIS B VACCINE,158.0,118.5,32.25,158.0,915 CDM,PX-771000003,HC ADMIN PNEUMOCCAL VACC,96.0,72.0,32.25,96.0,915 CDM,PX-771000005,HC ADMIN VACC ADD,47.0,35.25,23.48,47.0,910 CDM,PX-771000007,HC ADMIN VACC SNGL,63.0,47.25,32.25,88.36,916 CDM,PX-771000031,HC ADMIN FLU VACC ADD,93.0,69.75,20.5,93.0,913 CDM,PX-771000032,HC ADMIN PNEUMOCCAL VACC ADD,87.0,65.25,23.48,87.0,913 CDM,PX-771000033,HC ADMIN HEPATITIS B VACCINE ADD,87.0,65.25,23.48,87.0,913 CDM,PX-771000088,HC ADMIN COVID-19 VACCINE,70.0,52.5,31.5,70.0,915 CDM,PX-77261,PR TX PLANNING THER RAD SIMPLE,594.0,445.5,68.69,594.0,676 CDM,PX-77262,PR TX PLANNING THER RADTN INT,865.0,648.75,105.46,865.0,676 CDM,PX-77263,PR TX PLANNING THER RAD COMPLEX,1707.0,1280.25,165.38,1707.0,677 CDM,PX-77280,PR SET RAD SIM THER FIELD SMPL,1197.0,897.75,36.52,1581.0,2028 CDM,PX-77290,PR SET RAD SIM THER FIELD CMPLX,2335.0,1751.25,80.61,3275.0,2029 CDM,PX-77293,PR RESP MOTION MANAGEMENT SIM,1862.0,1396.5,102.74,2893.0,2029 CDM,PX-77295,PR 3D RAD THER ISODOSE FIELD PLAN,5069.0,3801.75,221.47,8402.0,2029 CDM,PX-77300,PR BASIC CALCULATE RADTN DOSE,280.0,210.0,32.23,491.0,2030 CDM,PX-77301,PR IMRT RADIOTHERAPY PLAN,6231.0,4673.25,412.97,9059.0,2030 CDM,PX-77306,PR TELETHX ISODOSE PLN SMPL,458.0,343.5,72.72,458.0,676 CDM,PX-77307,PR TELETHX ISODOSE PLN CMPLX,1561.5,1171.125,149.74,1571.0,1352 CDM,PX-77316,PR BRACHYTHX ISODOSE PLN SMPL,732.0,549.0,72.4,862.0,2028 CDM,PX-77318,PR BRACHYTX ISODOSE PLAN COMPLEX,892.0,669.0,149.74,1620.0,2028 CDM,PX-77321,PR SPECIAL TELETX PORT PLAN,465.0,348.75,43.33,781.0,2028 CDM,PX-77331,PR SPECIAL DOSIMETRY,280.0,210.0,45.07,280.0,676 CDM,PX-77332,PR RAD TX DEV DESIGN SIMPLE,249.0,186.75,16.47,491.0,2028 CDM,PX-77333,PR RAD TX DEV DESIGN INTERMEDIATE,277.0,207.75,38.51,439.0,2028 CDM,PX-77334,PR RAD TX DEV DESIGN COMPLEX,625.0,468.75,59.23,919.0,2029 CDM,PX-77338,PR DESIGN MLC DEV FOR IMRT,1414.0,1060.5,221.79,2569.0,2030 CDM,PX-77387,PR GUIDANCE FOR LOC RAD TX,185.0,138.75,35.87,185.0,676 CDM,PX-77427,PR RADTN THER MGMT 5 TREATMENTS,1254.0,940.5,191.85,1254.0,676 CDM,PX-77431,PR RADTN THER MGMT 1/2 FRACTONS,598.0,448.5,104.54,598.0,676 CDM,PX-77432,PR RADTN TX MGMT STERETCTC CRNL LSN,3120.0,2340.0,416.73,3120.0,676 CDM,PX-77435,PR STEREOTACTIC BODY RADTN MGMT,4437.0,3327.75,629.92,4437.0,676 CDM,PX-77469,PR RAD TX INTRAOPERATIVE MGMT,2455.0,1841.25,262.42,2455.0,676 CDM,PX-77470,PR SPECIAL TX PROC,1800.0,1350.0,104.67,1800.0,676 CDM,PX-77605,PR HYPERTHERM EXTERNAL GEN DEEP,2945.0,2208.75,101.47,4368.0,2028 CDM,PX-77770,PR HDR RDNCL/ICAV BRACHTX 1 CHNL,938.0,703.5,100.42,1279.0,2028 CDM,PX-77771,PR HDR RDNCL/ICAV BRACHTX 2-12CHNL,2155.0,1616.25,196.46,3306.0,2028 CDM,PX-77772,PR HDR RDNCL/ICAV BRACHTX > 12CHNL,3819.0,2864.25,276.82,4640.0,2028 CDM,PX-77789,PR SURFACE APP RADIATION SOURCE,781.0,585.75,58.89,781.0,676 CDM,PX-78012,PR THYROID UPTAKE SNGL/MULT,262.5,196.875,8.57,402.0,1352 CDM,PX-78014,PR THYROID IMG UPTAKE SNGL/MULT,677.5,508.125,22.4,1127.0,1352 CDM,PX-78018,PR THYROID CARCIN/MET IMG WB,799.0,599.25,37.62,1271.0,1352 CDM,PX-78070,PR PARATHYROID PLANAR IMAGING,549.0,411.75,35.94,878.0,1352 CDM,PX-78072,PR PARATHYRD PLANAR IMG W SPECT/CT,1515.0,1136.25,69.97,2128.0,1352 CDM,PX-78102,PR BONE MARROW IMAGING LTD,536.5,402.375,24.4,774.0,1352 CDM,PX-78104,PR BONE MARROW IMAGING WB,872.5,654.375,35.29,1286.0,1352 CDM,PX-78111,PR PLASMA RADPHARM VOLUME ANALYSIS,348.5,261.375,10.21,551.0,1352 CDM,PX-78121,PR RED CELL VOLUME ANALYSIS,376.5,282.375,14.52,560.0,1352 CDM,PX-78122,PR WHOLE BLOOD VOLUME,436.0,327.0,20.45,546.0,1352 CDM,PX-78195,PR LYMPH NODE IMAGING,1525.5,1144.125,52.77,2591.0,1352 CDM,PX-78226,PR HEPATOBILIARY SYS IMAGING,867.5,650.625,33.28,1457.0,1352 CDM,PX-78227,PR HEPATOBILIARY SYS IMG W DRUG,1340.0,1005.0,40.53,2286.0,1352 CDM,PX-78231,PR SALIVARY GLAND W SERIAL IMAGES,405.0,303.75,20.23,664.0,1352 CDM,PX-78258,PR ESOPHAGEAL MOTILITY STUDY,916.5,687.375,33.28,1308.0,1352 CDM,PX-78261,PR GASTRIC MUCOSA IMAGING,947.0,710.25,26.55,1412.0,1352 CDM,PX-78264,PR GASTRIC EMPTYING,842.5,631.875,35.28,1425.0,1352 CDM,PX-78265,PR GASTRIC EMPTYING W SM BWL,1444.0,1083.0,44.18,2146.0,1352 CDM,PX-78266,PR GASTRIC EMPTY W SM BWL & COLN,1688.0,1266.0,46.9,2587.0,1352 CDM,PX-78267,PR CHG BREATH TEST ACQUIRE/ANALYZE,67.0,50.25,11.06,67.0,676 CDM,PX-78268,CHG UREA BREATH TEST C-14 ISOTOPIC ANALYSIS,420.0,315.0,94.41,420.0,676 CDM,PX-78278,PR ACUTE GI BLEED IMAGING,1158.5,868.875,44.51,1769.0,1352 CDM,PX-78290,PR MECKEL DIVERTICULUM EXAM,707.0,530.25,30.63,1154.0,1352 CDM,PX-78300,PR BONE/JOINT IMAGING LTD,545.0,408.75,27.7,859.0,1352 CDM,PX-78306,PR BONE/JOINT IMAGING WB,809.5,607.125,38.26,1307.0,1366 CDM,PX-78315,PR BONE/JOINT IMAGING 3 PHASE,959.5,719.625,45.5,1465.0,1352 CDM,PX-78428,PR CARDIAC SHUNT DECTECTION,769.0,576.75,34.66,1014.0,1352 CDM,PX-78430,PR MYOCARDIAL PET CT PERFUSION SNGL,1311.5,983.625,73.31,2259.0,1352 CDM,PX-78431,PR MYOCARDIAL PET CT PERFUSION MULT,4277.5,3208.125,85.52,7878.0,1352 CDM,PX-78433,PR MYOCARDIAL PET CT METABOL/PERFUSION,4746.5,3559.875,99.11,8759.0,1352 CDM,PX-78451,PR MYOCARDIAL PERF SPECT SNGL,980.5,735.375,62.38,1423.0,1352 CDM,PX-78452,PR MYOCARDIAL PERF SPECT MULT,1024.5,768.375,73.58,1753.0,1352 CDM,PX-78472,PR CARD BLOOD POOL SNGL,738.5,553.875,44.21,1017.0,1352 CDM,PX-78491,PR MYOCARDIAL PET PERFUSION SNGL,1660.0,1245.0,69.96,2736.0,1352 CDM,PX-78579,PR LUNG VENTILATION IMAGING,661.5,496.125,22.07,1019.0,1352 CDM,PX-78580,PR LUNG PERFUSION IMAGING,882.5,661.875,33.28,1461.0,1352 CDM,PX-78582,PR LUNG VENT/PERF IMAGING,1137.0,852.75,47.78,1814.0,1352 CDM,PX-78597,PR QUANT LUNG PERFUSION DIFF,664.0,498.0,32.68,1019.0,1352 CDM,PX-78598,PR QUANT LUNG VENT/PERFUSION DIFF,1548.5,1161.375,37.28,2443.0,1352 CDM,PX-78606,PR BRAIN IMG < 4 VWS W VASC FLOW,903.5,677.625,28.36,1539.0,1352 CDM,PX-78608,PR PET BRAIN METABOLIC EVAL,2763.0,2072.25,65.98,4850.0,1352 CDM,PX-78630,PR CSF FLOW CISTERNOGRAPHY,1450.5,1087.875,30.31,2393.0,1352 CDM,PX-78645,PR CSF FLOW SHUNT EVAL,966.0,724.5,25.39,1715.0,1352 CDM,PX-78650,PR CSF LEAKAGE DETECTION,1064.0,798.0,23.55,1796.0,1352 CDM,PX-78707,PR KIDNEY VAS FLOW WO DRUG SNGL,777.5,583.125,42.86,1123.0,1352 CDM,PX-78708,PR KIDNEY VAS FLOW W DRUG SNGL,624.5,468.375,53.43,940.0,1352 CDM,PX-78740,PR VOIDING CYSTOGRAM URETERAL REFLUX STUDY,908.0,681.0,26.72,1382.0,1353 CDM,PX-78800,PR TUMOR LOC LIMITED,436.0,327.0,30.15,737.0,1352 CDM,PX-78800001,PR MOLECULAR BREAST IMAGING,271.0,203.25,30.15,369.0,1352 CDM,PX-78802,PR TUMOR LOC WB SNGL DAY,953.0,714.75,35.29,1560.0,1366 CDM,PX-78803,PR TUMOR LOC SPECT,1444.0,1083.0,48.49,2286.0,1366 CDM,PX-78811,PR PET LIMITED,3394.0,2545.5,67.96,6251.0,1352 CDM,PX-78812,PR PET TRUNK,3385.0,2538.75,85.43,6295.0,1352 CDM,PX-78813,PR PET WHOLE BODY,3755.5,2816.625,87.45,6814.0,1352 CDM,PX-78814,PR PET/CT LIMITED,3985.5,2989.125,97.29,7271.0,1352 CDM,PX-78815,PR PET/CT TRUNK,3571.5,2678.625,108.17,6115.0,1352 CDM,PX-78816,PR PET/CT WHOLE BODY,3630.5,2722.875,109.85,6200.0,1352 CDM,PX-78830,PR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,2014.5,1510.875,64.39,3231.0,1352 CDM,PX-78831,PR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3128.0,2346.0,79.86,4980.0,1352 CDM,PX-78832,PR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3925.0,2943.75,92.75,6610.0,1352 CDM,PX-78835,PR QUANT SINGLE AREA,694.0,520.5,87.43,694.0,676 CDM,PX-79005,PR NM RADIOPHARM THRPY ORAL ADMIN,939.0,704.25,129.65,939.0,676 CDM,PX-79101,PR NM RADIOPHARM THRPY IV ADMIN,760.0,570.0,88.78,930.0,1352 CDM,PX-79445,PR RADIOPHARM THPY INTRA ARTERIAL,1662.5,1246.875,104.74,1746.0,1352 CDM,PX-80047,PR BASIC MET PANEL IONIZED CA,225.0,168.75,13.73,225.0,676 CDM,PX-80048,PR BASIC METABOLIC PANEL TOTAL CA,192.0,144.0,8.46,192.0,682 CDM,PX-80050,PR GENERAL HEALTH PANEL,404.0,303.0,181.8,404.0,678 CDM,PX-80051,PR ELECTROLYTE PANEL,109.0,81.75,7.01,109.0,678 CDM,PX-80053,PR COMPREHENSIVE METABOLIC PANEL,375.0,281.25,10.56,375.0,683 CDM,PX-80061,PR LIPID PANEL,101.0,75.75,13.39,101.0,682 CDM,PX-80069,PR RENAL FUNCTION PANEL,121.0,90.75,8.68,121.0,680 CDM,PX-80074,PR ACUTE HEPATITIS PANEL,437.0,327.75,47.63,437.0,676 CDM,PX-80076,PR HEPATIC FUNCTION PANEL,103.0,77.25,8.17,103.0,683 CDM,PX-801000000,HC HEMODIALYSIS TREATMENT IP,2215.0,1661.25,91.11,2215.0,916 CDM,PX-80143,PR DRUG ASSAY ACETAMINOPHEN,191.0,143.25,18.64,191.0,676 CDM,PX-80145,PR DRUG ASSAY ADALIMUMAB,245.0,183.75,38.57,245.0,676 CDM,PX-80150,PR AMIKACIN ASSAY,160.0,120.0,15.08,160.0,676 CDM,PX-80150001,PR AMIKACIN ASSAY RANDOM,160.0,120.0,15.08,160.0,676 CDM,PX-80151,PR DRUG ASSAY AMIODARONE,186.0,139.5,18.64,186.0,676 CDM,PX-80155,PR CAFFEINE ASSAY,98.0,73.5,38.57,98.0,676 CDM,PX-80156,PR CARBAMAZEPINE/TEGRETOL ASSAY,115.0,86.25,14.57,115.0,676 CDM,PX-80157,PR CARBAMAZEPINE FREE ASSAY,141.0,105.75,13.25,141.0,676 CDM,PX-80158,PR CYCLOSPORINE ASSAY,182.0,136.5,18.05,182.0,678 CDM,PX-80158001,PR DRUG ASSAY CYCLOSPORINE,181.0,135.75,18.05,181.0,678 CDM,PX-80162,PR DIGOXIN TOTAL ASSAY,103.0,77.25,13.28,103.0,676 CDM,PX-80164,PR VALPROIC ACID ASSAY,157.0,117.75,13.54,157.0,676 CDM,PX-80165,PR VALPROIC ACID FREE ASSAY,170.0,127.5,13.54,170.0,676 CDM,PX-80167,PR DRUG ASSAY FELBAMATE,172.0,129.0,18.64,172.0,676 CDM,PX-80168,PR ETHOSUXIMIDE ASSAY,169.0,126.75,16.34,169.0,676 CDM,PX-80169,PR EVEROLIMUS ASSAY,250.0,187.5,13.73,250.0,678 CDM,PX-80170,PR GENTAMICIN ASSAY,118.0,88.5,16.38,118.0,676 CDM,PX-80170002,PR GENTAMICIN ASSAY 2,118.0,88.5,16.38,118.0,676 CDM,PX-80171,PR GABAPENTIN ASSAY,162.0,121.5,21.67,162.0,676 CDM,PX-80175,PR LAMOTRIGINE ASSAY,154.0,115.5,13.25,154.0,676 CDM,PX-80176,PR LIDOCAINE ASSAY,52.0,39.0,14.69,52.0,676 CDM,PX-80177,PR LEVETIRACETAM/KEPPRA ASSAY,208.0,156.0,13.25,208.0,676 CDM,PX-80178,PR LITHIUM ASSAY,67.0,50.25,6.61,67.0,676 CDM,PX-80179,PR DRUG ASSAY SALICYLATE,157.0,117.75,18.64,157.0,676 CDM,PX-80180,PR MYCOPHENOLIC ACID ASSAY,199.0,149.25,18.05,199.0,676 CDM,PX-80181,PR DRUG ASSAY FLECAINIDE,178.0,133.5,18.64,178.0,676 CDM,PX-80183,PR OXCARBAZEPINE ASSAY,136.0,102.0,13.25,136.0,676 CDM,PX-80184,PR PHENOBARBITAL ASSAY,106.0,79.5,15.3,106.0,676 CDM,PX-80185,PR PHENYTOIN TOTAL ASSAY,132.0,99.0,13.25,132.0,676 CDM,PX-80186,PR PHENYTOIN FREE ASSAY,146.0,109.5,13.76,146.0,676 CDM,PX-80187,PR DRUG ASSAY POSACONAZOLE,256.0,192.0,27.11,256.0,676 CDM,PX-80188,PR PRIMIDONE ASSAY,155.0,116.25,16.59,155.0,676 CDM,PX-80189,PR DRUG ASSAY ITRACONAZOLE,295.0,221.25,27.11,295.0,676 CDM,PX-80193,PR DRUG ASSAY LEFLUNOMIDE,332.0,249.0,38.57,332.0,676 CDM,PX-80195,PR SIROLIMUS ASSAY,204.0,153.0,13.73,204.0,678 CDM,PX-80197,PR TACROLIMUS ASSAY,203.0,152.25,13.73,203.0,683 CDM,PX-80198,PR THEOPHYLLINE ASSAY,142.0,106.5,14.14,142.0,676 CDM,PX-80200,PR TOBRAMYCIN ASSAY,160.0,120.0,16.13,160.0,676 CDM,PX-80201001,PR TOPIRAMATE ASSAY 2,178.0,133.5,11.92,178.0,676 CDM,PX-80202,PR VANCOMYCIN ASSAY,134.0,100.5,13.54,134.0,676 CDM,PX-80203,PR ZONISAMIDE ASSAY,185.0,138.75,13.25,185.0,676 CDM,PX-80204,PR DRUG ASSAY METHOTREXATE,233.0,174.75,38.57,233.0,676 CDM,PX-80210,PR DRUG ASSAY RUFINAMIDE,251.0,188.25,27.11,251.0,676 CDM,PX-80220,PR DRUG ASSAY HYDROXYCHLOROQUINE,300.0,225.0,18.64,300.0,676 CDM,PX-80230,PR DRUG ASSAY INFLIXIMAB,247.0,185.25,38.57,247.0,676 CDM,PX-80235,PR DRUG ASSAY LACOSAMIDE,247.0,185.25,27.11,247.0,676 CDM,PX-80280,PR DRUG ASSAY VEDOLIZUMAB,255.0,191.25,38.57,255.0,676 CDM,PX-80285,PR DRUG ASSAY VORICONAZOLE,258.0,193.5,27.11,258.0,676 CDM,PX-80299001,PR DRUG THERAPEUTIC DRUG 2,270.0,202.5,18.64,270.0,676 CDM,PX-80299020,PR MEXILETINE SERUM,253.0,189.75,18.64,253.0,676 CDM,PX-80299027,PR THERAPEUTIC DRUG NES,270.0,202.5,18.64,270.0,676 CDM,PX-80299028,PR SULFAMETHOXAZOLE ASSAY,253.0,189.75,18.64,253.0,676 CDM,PX-80299030,PR TRIMETHOPRIM ASSAY,253.0,189.75,18.64,253.0,676 CDM,PX-80299034,PR QUANTITATIVE ASSAY DRUG,270.0,202.5,18.64,270.0,676 CDM,PX-80299036,PR SYN GLUCOCORTICOID SCRN URINE,270.0,202.5,18.64,270.0,676 CDM,PX-80299037,PR SYN GLUCOCORTICOID SCRN,253.0,189.75,18.64,253.0,676 CDM,PX-80299046,PR APIXABAN ANTI-XA,270.0,202.5,18.64,270.0,676 CDM,PX-80299047,PR RIVAROXABAN ANTI-XA,270.0,202.5,18.64,270.0,676 CDM,PX-80299049,PR THERAPEUTIC DRUG NES 1,263.0,197.25,18.64,263.0,676 CDM,PX-80299051,PR NITISINONE (TYRBS-NCCI),253.0,189.75,18.64,253.0,676 CDM,PX-80299052,PR THIOPURINE METABOLITES,270.0,202.5,18.64,270.0,676 CDM,PX-80299053,PR PERAMPANEL,183.0,137.25,18.64,183.0,676 CDM,PX-80299064,PR DRUG THERAPEUTIC DRUG 12,270.0,202.5,18.64,270.0,676 CDM,PX-803000000,HC CAPD TREATMENT IP,1876.0,1407.0,114.0,1876.0,915 CDM,PX-80307041,PR DRUG TEST PRSMV CHEM ANLYZR1,314.0,235.5,62.14,314.0,676 CDM,PX-80307042,PR DRUG TEST PRSMV CHEM ANLYZR2,314.0,235.5,62.14,314.0,676 CDM,PX-80307043,PR DRUG TEST PRSMV CHEM ANLYZR3,314.0,235.5,62.14,314.0,676 CDM,PX-80307045,PR DRUG TEST PRSMV CHEM ANLYZR5,319.0,239.25,62.14,319.0,676 CDM,PX-80307046,PR DRUG TEST PRSMV CHEM ANLYZR6,319.0,239.25,62.14,319.0,676 CDM,PX-80307047,PR DRUG TEST PRSMV CHEM ANLYZR7,314.0,235.5,62.14,314.0,676 CDM,PX-80307048,PR FENTANYL SCREEN,314.0,235.5,62.14,314.0,676 CDM,PX-80307055,PR DRUG TEST PRSMV CHEM ANLYZR12,319.0,239.25,62.14,319.0,676 CDM,PX-80307056,PR DRUG SCRN ANLYZR10 RX MAINT,290.0,217.5,62.14,290.0,676 CDM,PX-80307058,PR DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),316.0,237.0,62.14,316.0,676 CDM,PX-804000000,HC CCPD TREATMENT IP,1885.0,1413.75,114.0,1885.0,915 CDM,PX-80406,"PR ACTH STIM PANEL, 3 BETA-HYDROX",268.0,201.0,78.26,268.0,676 CDM,PX-80430,PR HGH SUPRESSION PANEL,523.0,392.25,129.33,523.0,676 CDM,PX-80503,PR PATH CONSULT LIMITED 5-20 MIN,103.0,77.25,18.17,103.0,690 CDM,PX-80504,PR PATH CONSULT MOD COMPLEX 21-40 MIN,198.0,148.5,50.27,198.0,676 CDM,PX-80505,PR PATH CONSULT HIGH COMPLEX 41-60 MIN,346.0,259.5,92.7,346.0,676 CDM,PX-81001,PR URINALYSIS AUTO W MICRO,35.0,26.25,3.17,35.0,676 CDM,PX-81002,PR URINALYSIS NON AUTO WO MICRO,18.0,13.5,3.48,18.0,679 CDM,PX-81003,PR URINALYSIS AUTO WO MICRO,20.0,15.0,2.25,20.0,676 CDM,PX-81003002,PR URINE AUTO SPECIFIC GRAVITY,20.0,15.0,2.25,20.0,676 CDM,PX-81003004,PR URINE DIP STICK,35.0,26.25,2.25,35.0,676 CDM,PX-81015,PR URINALYSIS MICRO ONLY,23.0,17.25,3.05,23.0,676 CDM,PX-81025,PR PREG TEST URINE VIS COMP,43.0,32.25,8.61,43.0,680 CDM,PX-81050,PR VOLUME MEASUREMENT,29.0,21.75,3.64,29.0,678 CDM,PX-811000002,HC KIDNEY ACQUISITION LRD/LURD,120300.0,90225.0,54135.0,120300.0,909 CDM,PX-811000005,HC LIVER ACQUISITION LIVING,154300.0,115725.0,69435.0,213097.84,910 CDM,PX-81120001,PR GENE IDH1 (NGAMT),535.0,401.25,193.25,535.0,676 CDM,PX-81121001,PR GENE IDH2 (NGAMT),669.0,501.75,295.79,669.0,676 CDM,PX-81161,PR DMD DUPLICATION/DELETION ANALYSIS,700.0,525.0,279.0,700.0,676 CDM,PX-81162008,PR BRCA1/2 FULL GENE,2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81162010,PR BRCA1/BRCA2 (XCP),240.0,180.0,162.41,240.0,676 CDM,PX-81162011,PR BRCA1/BRCA2 (COMCP),263.0,197.25,177.97,263.0,676 CDM,PX-81162013,PR BRCA1/BRCA2 GENE (BRTP),710.0,532.5,480.46,710.0,676 CDM,PX-81162014,PR BRCA1/BRCA2 GENE (T1GS),114.0,85.5,77.14,114.0,676 CDM,PX-81163001,PR BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1200.0,468.0,1600.0,676 CDM,PX-81170,PR ABL1 KD VARIANTS,1100.0,825.0,300.0,1100.0,676 CDM,PX-81174,PR GENE AR (FMTT),500.0,375.0,185.2,500.0,676 CDM,PX-81177,PR ATN1 GENE DETC ABNOR ALLELES,500.0,375.0,137.0,500.0,676 CDM,PX-81178001,PR ATAXIN 1 GENE (SCAP),140.0,105.0,94.74,140.0,676 CDM,PX-81178002,PR ATAXIN 1 GENE (SCARA),500.0,375.0,137.0,500.0,676 CDM,PX-81179001,PR ATAXIN 2 GENE (SCAP),140.0,105.0,94.74,140.0,676 CDM,PX-81179002,PR ATAXIN 2 GENE (SCARA),500.0,375.0,137.0,500.0,676 CDM,PX-81180001,PR ATAXIN 3 GENE (SCAP),140.0,105.0,94.74,140.0,676 CDM,PX-81180002,PR ATAXIN 3 GENE (SCARA),500.0,375.0,137.0,500.0,676 CDM,PX-81181001,PR ATAXIN 7 GENE (SCAP),140.0,105.0,94.74,140.0,676 CDM,PX-81181002,PR ATAXIN 7 GENE (SCARA),500.0,375.0,137.0,500.0,676 CDM,PX-81184001,PR CACNA1A GENE (SCAP),140.0,105.0,94.74,140.0,676 CDM,PX-81184002,PR CACNA1A GENE (SCARA),500.0,375.0,137.0,500.0,676 CDM,PX-81185002,PR CACNA1A FULL GENE (HMEP),363.0,272.25,245.64,363.0,676 CDM,PX-81188002,PR CSTB REPEAT EXPAND ANLYS (CSTB),700.0,525.0,137.0,700.0,676 CDM,PX-81194,PR NTRK TRANSLOC ANALYSIS,2000.0,1500.0,518.28,2000.0,676 CDM,PX-812000000,HC HEART ACQUISITION,273000.0,204750.0,122850.0,273000.0,910 CDM,PX-812000001,HC KIDNEY ACQUISITION CADV,154200.0,115650.0,69390.0,154200.0,909 CDM,PX-812000012,HC LIVER ACQUISITION CADV,352700.0,264525.0,158715.0,352700.0,910 CDM,PX-812000014,HC PANCREAS ACQUISITION,154700.0,116025.0,69615.0,154700.0,910 CDM,PX-812000015,HC LUNG ACQUISITION,257500.0,193125.0,115875.0,257500.0,909 CDM,PX-81201004,PR APC GENE (XCP),110.0,82.5,74.44,110.0,676 CDM,PX-81201005,PR APC GENE SEQ (COMCP),113.0,84.75,76.47,113.0,676 CDM,PX-81202,PR APC FAMILIAL ADNMATUS KNWN MUT,500.0,375.0,280.0,500.0,676 CDM,PX-81204,PR AR GENE CHARAC ALLELES,400.0,300.0,137.0,400.0,676 CDM,PX-81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT,850.0,637.5,163.96,850.0,678 CDM,PX-81206001,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,163.96,850.0,678 CDM,PX-81206002,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,163.96,850.0,678 CDM,PX-81206005,PR BCR/ABL1 P210 QUANT (BCABL),850.0,637.5,163.96,850.0,678 CDM,PX-81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT,850.0,637.5,144.84,850.0,676 CDM,PX-81207001,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,144.84,850.0,676 CDM,PX-81207002,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,144.84,850.0,676 CDM,PX-81208001,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),950.0,712.5,214.62,950.0,676 CDM,PX-81208002,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),950.0,712.5,214.62,950.0,676 CDM,PX-81210001,PR BRAF MUTAION ANALYSIS V600 TUMOR,700.0,525.0,175.4,700.0,676 CDM,PX-81210004,PR CFDNA BRAF V600 TEST,900.0,675.0,175.4,900.0,676 CDM,PX-81210006,PR BRAF MUTATION ANALYSIS V600E 1,900.0,675.0,175.4,900.0,676 CDM,PX-81210008,PR BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,675.0,175.4,900.0,676 CDM,PX-81215,PR GENE BRCA1 KNOWN VARIANT,500.0,375.0,338.35,500.0,676 CDM,PX-81217,PR GENE BRCA2 KNOWN VARIANT,500.0,375.0,338.35,500.0,676 CDM,PX-81219001,PR CALR MUTATION ANALYSIS,510.0,382.5,121.63,510.0,676 CDM,PX-81219002,PR CALR MUTATION ANALYSIS 1,510.0,382.5,121.63,510.0,676 CDM,PX-81220001,PR CTFR COMMON VARIANTS (CFMP),281.0,210.75,190.15,281.0,676 CDM,PX-81220002,PR CTFR COMMON VARIANTS (CFSMN),352.0,264.0,238.2,352.0,676 CDM,PX-81220003,PR CTFR COMMON VARIANTS (CSFP),282.0,211.5,190.83,282.0,676 CDM,PX-81221,PR CFTR GENE KNOWN MUTATION,500.0,375.0,97.22,500.0,676 CDM,PX-81222002,PR CFTR GENE DUP/DEL VARIANTS (HPPAN),859.0,644.25,435.07,859.0,676 CDM,PX-81222004,PR CTFR DUP/DEL (CFMP),219.0,164.25,148.2,219.0,676 CDM,PX-81222005,PR CTFR DUP/DEL (CFSMN),275.0,206.25,186.09,275.0,676 CDM,PX-81222006,PR CTFR DUP/DEL (CSFP),220.0,165.0,148.87,220.0,676 CDM,PX-81223002,PR CFTR GENE FULL SEQUENCE (HPPAN),1616.0,1212.0,499.0,1616.0,676 CDM,PX-81223004,PR CFTR GENE FULL ANALYSIS (CFTRN),1000.0,750.0,499.0,1000.0,676 CDM,PX-81223005,PR CFTR GENE (HPANP),800.0,600.0,499.0,800.0,676 CDM,PX-81223006,PR CFTR GENE FULL SEQUENCE (PANGP),570.0,427.5,385.72,570.0,676 CDM,PX-81223007,PR CFTR GENE FULL SEQUENCE (PHCGD),832.0,624.0,499.0,832.0,676 CDM,PX-81225,PR CYP2C19 GENE ANALYSIS,600.0,450.0,291.36,600.0,676 CDM,PX-81225005,PR CYP2C19 GENOTYPE (CYPR),600.0,450.0,291.36,600.0,676 CDM,PX-81227,PR CYP2C9 GENE COM VARIANTS,600.0,450.0,174.81,600.0,676 CDM,PX-81229001,PR MCR MICROARRAY POC TUMOR FFPE,1700.0,1275.0,1150.39,1700.0,676 CDM,PX-81229002,PR MCR MICROARRAY POC,1700.0,1275.0,1150.39,1700.0,676 CDM,PX-81229003,PR MICROARRAY BLOOD,1700.0,1275.0,1150.39,1700.0,676 CDM,PX-81229005,PR MICROARRAY PRENATAL,1700.0,1275.0,1150.39,1700.0,676 CDM,PX-81230,PR CYP3A4 GENOTYPE,600.0,450.0,174.81,600.0,676 CDM,PX-81231,PR CYP3A5 GENOTYPE,600.0,450.0,174.81,600.0,676 CDM,PX-81232,PR DPYD FULL GENE SEQUENCING,1000.0,750.0,174.81,1000.0,676 CDM,PX-81232001,PR DPYD GENOTYPE,600.0,450.0,174.81,600.0,676 CDM,PX-81235,PR EGFR GENE ANALYSIS COM VAR,1200.0,900.0,324.58,1200.0,676 CDM,PX-81235001,PR CFDNA EGFR T790M,900.0,675.0,324.58,900.0,676 CDM,PX-81235003,PR EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,900.0,324.58,1200.0,676 CDM,PX-81238004,"PR F9 GENE, FULL GENE (GNHMB)",1000.0,750.0,600.0,1000.0,676 CDM,PX-81238005,"PR F9 GENE, FULL GENE (GNBLF)",296.0,222.0,200.3,296.0,676 CDM,PX-81240,PR F2 GENE ANLYS 20210G A/B VAR,400.0,300.0,65.69,400.0,676 CDM,PX-81240005,PR F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,300.0,65.69,400.0,676 CDM,PX-81241,PR F5 LEIDEN VAR,400.0,300.0,73.37,400.0,676 CDM,PX-81241003,PR F5 LEIDEN VAR (F5DNA),400.0,300.0,73.37,400.0,676 CDM,PX-81243,PR FMR1 FRAGL X SYNDRM ANLY,500.0,375.0,57.04,500.0,676 CDM,PX-81244,PR FMR1 FRAGL X SYNDRM ANLY FUP,416.0,312.0,44.89,416.0,676 CDM,PX-81245,PR FLTITD VARIANCE,528.0,396.0,165.51,528.0,676 CDM,PX-81245001,PR FLT3 GENE DUP VAR (NGAMT),528.0,396.0,165.51,528.0,676 CDM,PX-81246,PR FLT3 GENE,528.0,396.0,83.0,528.0,676 CDM,PX-81246001,PR FLT3 GENE DOMAIN VAR (NGAMT),268.0,201.0,83.0,268.0,676 CDM,PX-81248,PR GENE G6PD SEQ,500.0,375.0,338.35,500.0,676 CDM,PX-81249001,PR G6PD FULL GENE ANALYSIS,1100.0,825.0,600.0,1100.0,676 CDM,PX-81249005,"PR G6PD GENE, FULL SEQ (PHCGD)",1001.0,750.75,600.0,1001.0,676 CDM,PX-81253,PR GENE GJB2 SEQ,500.0,375.0,61.52,500.0,676 CDM,PX-81256,PR HFE HEMOCHROMATOSIS GEN ANALYS,400.0,300.0,65.36,400.0,676 CDM,PX-81257002,PR HBA1/HBA2 GENE (CSFP),43.0,32.25,29.1,43.0,676 CDM,PX-81258,PR GENE HBA1/HBA2 SEQ,500.0,375.0,338.35,500.0,676 CDM,PX-81259,PR HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,375.0,338.35,500.0,676 CDM,PX-81261,PR IGH GENE REARRANGE,1000.0,750.0,197.99,1000.0,676 CDM,PX-81263,PR IGH SOMATIC HYPERMUTATION,1050.0,787.5,294.52,1050.0,676 CDM,PX-81264,PR IGK REARRANGE ABN CLONAL POP,935.0,701.25,172.73,935.0,676 CDM,PX-81265,PR COMPARATIVE STR MARKERS,800.0,600.0,233.07,800.0,676 CDM,PX-81265001,PR COMPARATIVE STR MARKERS 2,1300.0,975.0,233.07,1300.0,676 CDM,PX-81266,PR STR MARKERS SPECIMEN ANAL ADD,300.0,225.0,203.01,300.0,676 CDM,PX-81267,PR CHIMERISM ANLYS NO CELL SELECT,1045.0,783.75,207.46,1045.0,676 CDM,PX-81268,PR CHIMERISM ANLYS W CELL SELECT,1000.0,750.0,260.79,1000.0,676 CDM,PX-81269,PR ALPHA GLOBIN GENE SEQUENCE,700.0,525.0,202.4,700.0,676 CDM,PX-81269001,PR ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,525.0,202.4,700.0,676 CDM,PX-81269002,PR ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,525.0,202.4,700.0,676 CDM,PX-81270,PR JAK2 GENE ANALYSIS V617F,400.0,300.0,91.66,400.0,676 CDM,PX-81270001,PR JAK2 GENE ANALYSIS (MPNR),550.0,412.5,91.66,550.0,676 CDM,PX-81270002,PR JAK2 GENE ANALYSIS (PVJAK),550.0,412.5,91.66,550.0,676 CDM,PX-81271,PR HTT GENE DETC ABNOR ALLELES,400.0,300.0,137.0,400.0,676 CDM,PX-81273001,PR KIT ASP816VAL MUT ANALYSIS - 1,560.0,420.0,124.87,560.0,676 CDM,PX-81273004,PR D816V VARIANT ANALYSIS (KITQ),613.0,459.75,124.87,613.0,676 CDM,PX-81275002,"PR KRAS GENE VAR-EXON 2, PANEL",450.0,337.5,193.25,450.0,676 CDM,PX-81275005,"PR KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,367.5,193.25,490.0,676 CDM,PX-81275006,PR KRAS GENE ANALYSIS 2 (KRASW),450.0,337.5,193.25,450.0,676 CDM,PX-81276,"PR KRAS GENE ADDTL VAR, PANEL",450.0,337.5,193.25,450.0,676 CDM,PX-81276001,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,307.5,193.25,410.0,676 CDM,PX-81276002,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,337.5,193.25,450.0,676 CDM,PX-81277,PR CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1650.0,1160.0,2200.0,676 CDM,PX-81277001,PR CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1650.0,1160.0,2200.0,676 CDM,PX-81277002,PR CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1650.0,1160.0,2200.0,676 CDM,PX-81283,PR IL28B POLYMORPHISM GENOTYPE,600.0,450.0,73.37,600.0,676 CDM,PX-81284001,PR FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,525.0,137.0,700.0,676 CDM,PX-81287,PR MGMT METHYLATION ANALYSIS,500.0,375.0,124.64,500.0,676 CDM,PX-81288,PR MLH1 HYPERMETHYLATION ANALYSIS,500.0,375.0,192.32,500.0,676 CDM,PX-81288002,PR MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,375.0,192.32,500.0,676 CDM,PX-81289,PR GENE FXN (FMTT),500.0,375.0,185.2,500.0,676 CDM,PX-81292008,PR MLH1 GENE (XCP),55.0,41.25,37.22,55.0,676 CDM,PX-81292009,PR MLH1 GENE SEQ (COMCP),99.0,74.25,66.99,99.0,676 CDM,PX-81292012,PR MLH1 GENE SEQ (T1GS),42.0,31.5,28.42,42.0,676 CDM,PX-81293,PR MLH1 GENE KNOWN VARIANTS,500.0,375.0,331.0,500.0,676 CDM,PX-81295007,PR MSH2 GENE (XCP),52.0,39.0,35.19,52.0,676 CDM,PX-81295008,PR MSH2 GENE SEQ (COMCP),55.0,41.25,37.22,55.0,676 CDM,PX-81295011,PR MSH2 GENE SEQ (T1GS),24.0,18.0,16.24,24.0,676 CDM,PX-81296,PR MSH2 KNOWN MUTATION,500.0,375.0,337.73,500.0,676 CDM,PX-81298007,PR MSH6 GENE (XCP),170.0,127.5,115.04,170.0,676 CDM,PX-81298008,PR MSH6 GENE SEQ (COMCP),252.0,189.0,170.53,252.0,676 CDM,PX-81298011,PR MSH6 GENE SEQ (T1GS),40.0,30.0,27.07,40.0,676 CDM,PX-81299,PR MSH6 GENE KNOWN VARIANTS,500.0,375.0,308.0,500.0,676 CDM,PX-81301,PR MICROSATELLITE INSTABILITY,1200.0,900.0,348.56,1200.0,676 CDM,PX-81302006,PR MECP2 GENE FULL ANLYS (MCP2Z),1000.0,750.0,527.87,1000.0,676 CDM,PX-81305,PR MYD88 GENE PRO VRNT,500.0,375.0,175.4,500.0,676 CDM,PX-81305001,PR MYD88 GENE PRO VRNT (LPLFX),505.0,378.75,175.4,505.0,676 CDM,PX-81307003,PR PALB2 GENE (XCP),180.0,135.0,121.81,180.0,676 CDM,PX-81307004,PR PALB2 GENE SEQ (COMCP),268.0,201.0,181.36,268.0,676 CDM,PX-81307006,PR PALB2 GENE (BRTP),263.0,197.25,177.97,263.0,676 CDM,PX-81308,PR GENE PALB2 (FMTT),500.0,375.0,301.35,500.0,676 CDM,PX-81309001,PR PIK3CA GENE ANALYSIS (PIK3T),1200.0,900.0,274.83,1200.0,676 CDM,PX-81309002,PR PIK3CA GENE ANALYSIS (PIK3B),1200.0,900.0,274.83,1200.0,676 CDM,PX-81310002,PR NPM1 MUTATION ANALYSIS (NPM1Q),475.0,356.25,246.52,475.0,676 CDM,PX-81315,PR PML/RARALPHA BKPT QUAL/QUANT,700.0,525.0,207.31,700.0,676 CDM,PX-81317005,PR PMS2 GENE FULL SEQ PNL (T1GS),42.0,31.5,28.42,42.0,676 CDM,PX-81317006,PR PMS2 GENE SEQ (COMCP),101.0,75.75,68.35,101.0,676 CDM,PX-81317010,PR PMS2 GENE SEQ (XCP),99.0,74.25,66.99,99.0,676 CDM,PX-81318,PR PMS2 KNOWN FAMILIAL VARIANTS,500.0,375.0,331.0,500.0,676 CDM,PX-81319008,PR PMS2 GENE DUP/DEL (XCP),30.0,22.5,20.3,30.0,676 CDM,PX-81319009,PR PMS2 (DUP/DEL) (COMCP),30.0,22.5,20.3,30.0,676 CDM,PX-81321006,PR PTEN FULL GENE,1000.0,750.0,600.0,1000.0,676 CDM,PX-81321007,PR PTEN GENE (RENCP),284.0,213.0,192.18,284.0,676 CDM,PX-81321008,PR PTEN GENE (XCP),87.0,65.25,58.87,87.0,676 CDM,PX-81321009,PR PTEN GENE SEQ (COMCP),87.0,65.25,58.87,87.0,676 CDM,PX-81321011,PR PTEN GENE (BRTP),233.0,174.75,157.67,233.0,676 CDM,PX-81322,PR PTEN GENE KNOWN MUT,500.0,375.0,46.6,500.0,676 CDM,PX-81324,PR PMP22 GENE DUP/DELETE,500.0,375.0,338.35,500.0,676 CDM,PX-81326001,PR GENE PMP22 SEQ,500.0,375.0,46.6,500.0,676 CDM,PX-81328,PR SLCO1B1 GENOTYPE STATIN,600.0,450.0,174.81,600.0,676 CDM,PX-81329,PR SMN1 GENE DOS/DELETION (SMNCS),400.0,300.0,137.0,400.0,676 CDM,PX-81329001,PR SMN1 GENE DOS/DELETION (SMNDX),400.0,300.0,137.0,400.0,676 CDM,PX-81329003,PR SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,129.75,117.07,173.0,676 CDM,PX-81329004,PR SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,104.25,94.06,139.0,676 CDM,PX-81331,PR SNRPN/UBE3A METHYLATION ANALYSIS,500.0,375.0,51.07,500.0,676 CDM,PX-81336,PR SMN1 GENE FULL GENE SEQ,1000.0,750.0,301.35,1000.0,676 CDM,PX-81339,PR MPL GENE SEQ ALYS EXON 10,545.0,408.75,185.2,545.0,676 CDM,PX-81339001,"PR MPL GENE SEQ ALYS EXON 10, 2",567.0,425.25,185.2,567.0,676 CDM,PX-81340,PR TRB GENE REARRANGE AMPLIFY,865.0,648.75,208.92,865.0,676 CDM,PX-81342,PR TRG GENE REARRANGEMENT ANALYS,900.0,675.0,201.5,900.0,676 CDM,PX-81345004,PR TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,675.0,185.2,900.0,676 CDM,PX-81350,PR UGT1A1 GENE ANALYSIS 3,600.0,450.0,234.0,600.0,676 CDM,PX-81350009,PR UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,750.0,234.0,1000.0,676 CDM,PX-81351005,PR TP53 GENE (RENCP),302.0,226.5,204.36,302.0,676 CDM,PX-81351006,PR TP53 GENE (WILMP),1383.0,1037.25,641.85,1383.0,676 CDM,PX-81351007,PR TP53 GENE (XCP),95.0,71.25,64.29,95.0,676 CDM,PX-81351008,PR TP53 GENE SEQ (COMCP),93.0,69.75,62.93,93.0,676 CDM,PX-81351011,PR TP53 MUTATION ANALYSIS (TP53),1200.0,900.0,641.85,1200.0,676 CDM,PX-81351012,PR TP53 GENE (BRTP),250.0,187.5,169.18,250.0,676 CDM,PX-81352,PR TP53 GENE TARGET SEQ,728.0,546.0,327.6,728.0,676 CDM,PX-81352001,PR TP53 GENE TARGET SEQ (NGAMT),759.0,569.25,329.51,759.0,676 CDM,PX-81361,PR HBB GENE (CSFP),73.0,54.75,49.4,73.0,676 CDM,PX-81362,PR GENE HBB SEQ,500.0,375.0,338.35,500.0,676 CDM,PX-81363001,PR BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,525.0,202.4,700.0,676 CDM,PX-81363002,PR BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,525.0,202.4,700.0,676 CDM,PX-81363003,PR HBB GENE DEL/DUP (CSFP),73.0,54.75,49.4,73.0,676 CDM,PX-81364,PR HBB - BETA-GLOB GEN SEQ,500.0,375.0,324.58,500.0,676 CDM,PX-81364006,PR HBB BETA-GLOB GEN SEQ (WBSQR),500.0,375.0,324.58,500.0,676 CDM,PX-81370002,PR HLA I & II TYPING LR (SSOGP),1632.0,1224.0,402.12,1632.0,676 CDM,PX-81371,PR HLA CONFIRM TYPING LR,1066.0,799.5,404.52,1066.0,676 CDM,PX-81372,PR HLA CL I ABC TYPING LR,945.0,708.75,403.59,945.0,676 CDM,PX-81372001,PR HLA CLASS I TYPING LOW RESOL (HLABD),886.0,664.5,403.59,886.0,676 CDM,PX-81374,PR HLA I TYPING 1 ANTIGEN LR,258.0,193.5,74.33,258.0,676 CDM,PX-81375001,PR HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),622.0,466.5,220.74,622.0,676 CDM,PX-81376001,PR NARCOLEPSY ASSOCIATED HLA AG,475.0,356.25,122.22,475.0,676 CDM,PX-81376003,PR HLA DP TYPING LR,475.0,356.25,122.22,475.0,676 CDM,PX-81376004,PR HLA DQ CONFIRM TYPING LR,485.0,363.75,122.22,485.0,676 CDM,PX-81376011,PR HLA II TYPING 1 LOCUS LR (SSOGP),480.0,360.0,122.22,480.0,676 CDM,PX-81376014,PR CELIAC ASSOCIATED HLA-DQ TYPING,499.0,374.25,122.22,499.0,676 CDM,PX-81378,PR HLA I & II TYPING HR,2065.0,1548.75,345.57,2065.0,676 CDM,PX-81379,PR HLA CL I ABC TYPING HR,1492.0,1119.0,335.38,1492.0,676 CDM,PX-81381001,PR HLAB 5701,600.0,450.0,169.9,600.0,676 CDM,PX-81381003,PR HLAB 5801,600.0,450.0,169.9,600.0,676 CDM,PX-81381005,PR GENOTYPE CARBAMAZEPINE,300.0,225.0,169.9,300.0,676 CDM,PX-81382,PR HLA CL II TYPING HR,530.0,397.5,123.68,530.0,676 CDM,PX-81401002,PR APOB APOLIPOPROTEIN E GENOTYPE,400.0,300.0,137.0,400.0,676 CDM,PX-81401008,PR BWS/RSS MOLECULAR ANALYSIS,386.0,289.5,137.0,386.0,676 CDM,PX-81401032,PR KCNQ1OT1 METHYLATION ANALYSIS,314.0,235.5,137.0,314.0,676 CDM,PX-81401041,PR GALC GENE,700.0,525.0,137.0,700.0,676 CDM,PX-81401047,PR AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,300.0,137.0,400.0,676 CDM,PX-81401048,PR GALACTOSEMIA MUTATION PANEL (GALMP),800.0,600.0,137.0,800.0,676 CDM,PX-81401050,PR INV(16) CBFB-MYH11 QUANT,523.0,392.25,137.0,523.0,676 CDM,PX-81401051,"PR RUNX1/RUNX1T1, QUANT",523.0,392.25,137.0,523.0,676 CDM,PX-81401052,PR MOPATH PROC LEVEL 2 (NEPHP),13.0,9.75,8.8,13.0,676 CDM,PX-81402001,PR CYP21A2 COMMON VARIANTS,356.0,267.0,150.33,356.0,676 CDM,PX-81402004,PR UPD UNIPARENTAL DISOMY,700.0,525.0,150.33,700.0,676 CDM,PX-81403003,PR AMYL KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403005,PR ARSA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403016,PR DAZ/SRY DELETION,400.0,300.0,185.2,400.0,676 CDM,PX-81403018,PR F8 INVERSION ANALYSIS 2,400.0,300.0,185.2,400.0,676 CDM,PX-81403023,PR GAA KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403026,PR GAUCHER DISEASE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403027,PR GLA KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403030,PR HEXA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403033,PR IDS KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403047,PR SDH KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403059,PR VHL KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403060,PR X-ALD KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CDM,PX-81403072,PR DMD GENE MLPA,500.0,375.0,185.2,500.0,676 CDM,PX-81403074,PR KVAR1 SINGLE VARIANT KNOWN GENE,500.0,375.0,185.2,500.0,676 CDM,PX-81403078,"PR NPC1/NPC2 GENES, KNOWN MUTATION",500.0,375.0,185.2,500.0,676 CDM,PX-81403081,PR F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,469.5,185.2,626.0,676 CDM,PX-81403106,PR FLCN GENE KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CDM,PX-81403119,PR AGXT KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CDM,PX-81403124,PR APAOA1 KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CDM,PX-81403136,PR EPCAM GENE DUP/DEL (XCP),26.0,19.5,17.59,26.0,676 CDM,PX-81403137,PR EPCAM (DUP/DEL) (COMCP),23.0,17.25,15.56,23.0,676 CDM,PX-81403141,PR MOPATH PROC LEVEL 4 (LQTSG),220.0,165.0,148.87,220.0,676 CDM,PX-81403142,PR MOPATH PROC LEVEL 4 (SQTSG),435.0,326.25,185.2,435.0,676 CDM,PX-81403143,PR MOPATH PROC LEVEL 4 (AFTDP),69.0,51.75,46.69,69.0,676 CDM,PX-81403144,PR MOPATH PROC LEVEL 4 (PARDP),60.0,45.0,40.6,60.0,676 CDM,PX-81403145,PR MOPATH PROC LEVEL 4 (SMCP),470.0,352.5,185.2,470.0,676 CDM,PX-81403146,PR MOPATH PROC LEVEL 4 (T1GS),11.0,8.25,7.44,11.0,676 CDM,PX-81404003,PR BTD FULL GENE ANALYSIS (BTD),700.0,525.0,274.83,700.0,676 CDM,PX-81404010,PR PRSS1 FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,676 CDM,PX-81404014,PR VHL GENE FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,676 CDM,PX-81404030,PR PRSS1 FULL GENE ANALYSIS (HPPAN),936.0,702.0,274.83,936.0,676 CDM,PX-81404032,PR SPINK1 FULL GENE ANALYSIS (HPPAN),458.0,343.5,274.83,458.0,676 CDM,PX-81404052,PR UGT1A1 FULL GENE SEQ (UGTFG),1000.0,750.0,274.83,1000.0,676 CDM,PX-81404054,PR VHL FULL GENE,1000.0,750.0,274.83,1000.0,676 CDM,PX-81404057,PR MOPATH PROC LEVEL 5 (RENCP),129.0,96.75,87.29,129.0,676 CDM,PX-81404058,PR MOPATH PROC LEVEL 5 (XCP),43.0,32.25,29.1,43.0,676 CDM,PX-81404059,PR MOPATH PROC LEVEL 5 (COMCP),33.0,24.75,22.33,33.0,676 CDM,PX-81404062,PR MOPATH PROC LEVEL 5 (RSCGP),119.0,89.25,80.53,119.0,676 CDM,PX-81404063,PR MOPATH PROC LEVEL 5 (CKDGP),45.0,33.75,30.45,45.0,676 CDM,PX-81404064,PR MOPATH PROC LEVEL 5 (AHUGP),1467.0,1100.25,274.83,1467.0,676 CDM,PX-81404065,PR MOPATH PROC LEVEL 5 (RBART),365.0,273.75,247.0,365.0,676 CDM,PX-81404066,PR MOPATH PROC LEVEL 5 (NEPHP),21.0,15.75,14.21,21.0,676 CDM,PX-81404067,PR MOPATH PROC LEVEL 5 (CHDGG),79.0,59.25,53.46,79.0,676 CDM,PX-81404068,"PR SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,750.0,274.83,1000.0,676 CDM,PX-81404069,"PR TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,750.0,274.83,1000.0,676 CDM,PX-81404070,PR MOPATH PROC LEVEL 5 (AFTDP),102.0,76.5,69.02,102.0,676 CDM,PX-81404071,PR MOPATH PROC LEVEL 5 (EDMDP),573.0,429.75,274.83,573.0,676 CDM,PX-81404072,PR MOPATH PROC LEVEL 5 (IMNP),380.0,285.0,257.15,380.0,676 CDM,PX-81404073,PR MOPATH PROC LEVEL 5 (PARDP),88.0,66.0,59.55,88.0,676 CDM,PX-81404074,PR MOPATH PROC LEVEL 5 (HPANP),400.0,300.0,270.68,400.0,676 CDM,PX-81404075,PR VHL FULL GENE (NHEM),1466.0,1099.5,274.83,1466.0,676 CDM,PX-81404076,PR VHL FULL GENE (NHEP),813.0,609.75,274.83,813.0,676 CDM,PX-81404077,PR VHL GENE (MCFRC),280.0,210.0,189.48,280.0,676 CDM,PX-81404078,PR SDHD GENE (SDHMP),400.0,300.0,270.68,400.0,676 CDM,PX-81404079,PR MOPATH PROC LEVEL 5 (PANGP),314.0,235.5,212.48,314.0,676 CDM,PX-81405003,PR CYP21A2 FULL GENE ANALYSIS,644.0,483.0,301.35,644.0,676 CDM,PX-81405004,PR GLA FULL GENE ANALYSIS (GLA),700.0,525.0,301.35,700.0,676 CDM,PX-81405018,PR X-ALD FULL GENE ANALYSIS (ABCD1),700.0,525.0,301.35,700.0,676 CDM,PX-81405034,PR PKLR FULL GENE AND DELETION,500.0,375.0,301.35,500.0,676 CDM,PX-81405051,PR CTRC FULL GENE ANALYSIS (HPPAN),868.0,651.0,301.35,868.0,676 CDM,PX-81405072,PR MOPATH PROC LEVEL 6 (APGP),623.0,467.25,301.35,623.0,676 CDM,PX-81405073,PR MOPATH PROC LEVEL 6 (PCGP),625.0,468.75,301.35,625.0,676 CDM,PX-81405075,PR MOPATH PROC LEVEL 6 (PHEGP),624.0,468.0,301.35,624.0,676 CDM,PX-81405076,PR MOPATH PROC LEVEL 6 (MSUDP),481.0,360.75,301.35,481.0,676 CDM,PX-81405077,PR FH FULL GENE,1000.0,750.0,301.35,1000.0,676 CDM,PX-81405078,PR STK11 FULL GENE,1000.0,750.0,301.35,1000.0,676 CDM,PX-81405080,PR MOPATH PROC LEVEL 6 (RENCP),142.0,106.5,96.09,142.0,676 CDM,PX-81405081,PR WT1 GENE (WILMP),402.0,301.5,272.03,402.0,676 CDM,PX-81405082,PR MOPATH PROC LEVEL 6 (XCP),49.0,36.75,33.16,49.0,676 CDM,PX-81405083,PR MOPATH PROC LEVEL 6 (COMCP),35.0,26.25,23.68,35.0,676 CDM,PX-81405085,PR MOPATH PROC LEVEL 6 (HMEP),129.0,96.75,87.29,129.0,676 CDM,PX-81405086,PR MOPATH PROC LEVEL 6 (RSCGP),130.0,97.5,87.97,130.0,676 CDM,PX-81405087,PR MOPATH PROC LEVEL 6 (RFSGS),81.0,60.75,54.81,81.0,676 CDM,PX-81405088,PR MOPATH PROC LEVEL 6 (CASRG),1000.0,750.0,301.35,1000.0,676 CDM,PX-81405089,PR MOPATH PROC LEVEL 6 (CKDGP),51.0,38.25,34.51,51.0,676 CDM,PX-81405090,PR MOPATH PROC LEVEL 6 (ADPKP),353.0,264.75,238.88,353.0,676 CDM,PX-81405091,PR MOPATH PROC LEVEL 6 (NEPHP),22.0,16.5,14.89,22.0,676 CDM,PX-81405094,PR MOPATH PROC LEVEL 6 (CHDGG),86.0,64.5,58.2,86.0,676 CDM,PX-81405095,PR MOPATH PROC LEVEL 6 (CPVTG),250.0,187.5,169.18,250.0,676 CDM,PX-81405096,PR MOPATH PROC LEVEL 6 (CVHBG),136.0,102.0,92.03,136.0,676 CDM,PX-81405097,PR MOPATH PROC LEVEL 6 (AFTDP),112.0,84.0,75.79,112.0,676 CDM,PX-81405098,PR MOPATH PROC LEVEL 6 (EDMDP),628.0,471.0,301.35,628.0,676 CDM,PX-81405099,PR MOPATH PROC LEVEL 6 (IMNP),380.0,285.0,257.15,380.0,676 CDM,PX-81405100,PR MOPATH PROC LEVEL 6 (PARDP),98.0,73.5,66.32,98.0,676 CDM,PX-81405101,PR CTRC GENE (HPANP),400.0,300.0,270.68,400.0,676 CDM,PX-81405102,PR SLCA1 FULL GENE SEQ (NMEM),1500.0,1125.0,301.35,1500.0,676 CDM,PX-81405103,PR PKLR FULL GENE (NHEP),892.0,669.0,301.35,892.0,676 CDM,PX-81405104,PR STK11 GENE (BRTP),118.0,88.5,79.85,118.0,676 CDM,PX-81405105,PR FH MUTATION ANALYSIS (TFH),1200.0,900.0,301.35,1200.0,676 CDM,PX-81405106,PR MOPATH PROC LEVEL 6 (SDHMP),400.0,300.0,270.68,400.0,676 CDM,PX-81405107,PR PKLR FULL GENE (PKLRZ),1000.0,750.0,301.35,1000.0,676 CDM,PX-81405108,PR MOPATH PROC LEVEL 6 (PANGP),344.0,258.0,232.78,344.0,676 CDM,PX-81406001,PR ACADV FULL GENE ANALYSIS (ACADV),700.0,525.0,282.88,700.0,676 CDM,PX-81406009,PR GAA FULL GENE SEQUENCE (GAAN),700.0,525.0,282.88,700.0,676 CDM,PX-81406013,PR HEXA FULL GENE ANALYSIS (HEXAN),700.0,525.0,282.88,700.0,676 CDM,PX-81406014,PR IDUA FULL GENE ANALYSIS (IDUA),700.0,525.0,282.88,700.0,676 CDM,PX-81406075,PR MOPATH PROC LEVEL 7 (APGP),585.0,438.75,282.88,585.0,676 CDM,PX-81406076,PR MOPATH PROC LEVEL 7 (PCGP),584.0,438.0,282.88,584.0,676 CDM,PX-81406077,PR MOPATH PROC LEVEL 7 (TYRGP),1478.0,1108.5,282.88,1478.0,676 CDM,PX-81406078,PR MOPATH PROC LEVEL 7 (PHEGP),585.0,438.75,282.88,585.0,676 CDM,PX-81406079,PR MOPATH PROC LEVEL 7 (MSUDP),453.0,339.75,282.88,453.0,676 CDM,PX-81406080,PR GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,750.0,282.88,1000.0,676 CDM,PX-81406081,PR CDH1 FULL GENE,1000.0,750.0,282.88,1000.0,676 CDM,PX-81406082,PR RET FULL GENE,1000.0,750.0,282.88,1000.0,676 CDM,PX-81406083,PR MOPATH PROC LEVEL 7 (RENCP),134.0,100.5,90.68,134.0,676 CDM,PX-81406084,PR MOPATH PROC LEVEL 7 (XCP),42.0,31.5,28.42,42.0,676 CDM,PX-81406085,PR MOPATH PROC LEVEL 7 (COMCP),33.0,24.75,22.33,33.0,676 CDM,PX-81406087,PR MOPATH PROC LEVEL 7 (HMEP),122.0,91.5,82.56,122.0,676 CDM,PX-81406088,PR MOPATH PROC LEVEL 7 (TSCP1),400.0,300.0,270.68,400.0,676 CDM,PX-81406089,PR MOPATH PROC LEVEL 7 (RSCGP),123.0,92.25,83.23,123.0,676 CDM,PX-81406090,PR MOPATH PROC LEVEL 7 (RFSGS),77.0,57.75,52.11,77.0,676 CDM,PX-81406091,PR MOPATH PROC LEVEL 7 (CKDGP),48.0,36.0,32.48,48.0,676 CDM,PX-81406092,PR MOPATH PROC LEVEL 7 (ADPKP),331.0,248.25,223.99,331.0,676 CDM,PX-81406093,PR MOPATH PROC LEVEL 7 (RBART),377.0,282.75,255.12,377.0,676 CDM,PX-81406094,PR MOPATH PROC LEVEL 7 (NEPHP),21.0,15.75,14.21,21.0,676 CDM,PX-81406095,PR MOPATH PROC LEVEL 7 (BRFKT),1600.0,1200.0,282.88,1600.0,676 CDM,PX-81406097,PR MOPATH PROC LEVEL 7 (CHDGG),81.0,60.75,54.81,81.0,676 CDM,PX-81406098,PR MOPATH PROC LEVEL 7 (CVHBG),126.0,94.5,85.26,126.0,676 CDM,PX-81406099,PR MOPATH PROC LEVEL 7 (HCHLG),230.0,172.5,155.64,230.0,676 CDM,PX-81406100,PR MOPATH PROC LEVEL 7 (HHTGG),595.0,446.25,282.88,595.0,676 CDM,PX-81406101,PR MOPATH PROC LEVEL 7 (HYPBG),470.0,352.5,282.88,470.0,676 CDM,PX-81406102,PR MOPATH PROC LEVEL 7 (LIPOG),230.0,172.5,155.64,230.0,676 CDM,PX-81406103,PR MOPATH PROC LEVEL 7 (LQTSG),325.0,243.75,219.93,325.0,676 CDM,PX-81406104,PR MOPATH PROC LEVEL 7 (OIBFG),133.0,99.75,90.0,133.0,676 CDM,PX-81406105,PR MOPATH PROC LEVEL 7 (SQTSG),665.0,498.75,282.88,665.0,676 CDM,PX-81406106,PR MOPATH PROC LEVEL 7 (AFTDP),105.0,78.75,71.05,105.0,676 CDM,PX-81406107,PR MOPATH PROC LEVEL 7 (EDMDP),295.0,221.25,199.63,295.0,676 CDM,PX-81406108,PR MOPATH PROC LEVEL 7 (IMNP),380.0,285.0,257.15,380.0,676 CDM,PX-81406109,PR MOPATH PROC LEVEL 7 (PARDP),92.0,69.0,62.26,92.0,676 CDM,PX-81406110,PR MOPATH PROC LEVEL 7 (SMCP),460.0,345.0,282.88,460.0,676 CDM,PX-81406111,PR ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,750.0,282.88,1000.0,676 CDM,PX-81406112,PR BTK GENE FULL ANALYSIS (BTKSG),1000.0,750.0,282.88,1000.0,676 CDM,PX-81406113,PR CDH1 GENE (BRTP),110.0,82.5,74.44,110.0,676 CDM,PX-81406114,PR TSC1 GENE (MCFRC),290.0,217.5,196.24,290.0,676 CDM,PX-81406115,PR SDHA GENE (SDHMP),400.0,300.0,270.68,400.0,676 CDM,PX-81406116,PR MOPATH PROC LEVEL 7 (T1GS),9.0,6.75,6.09,9.0,676 CDM,PX-81407022,PR MOPATH PROC LEVEL 8 (RENCP),397.0,297.75,268.65,397.0,676 CDM,PX-81407023,PR MOPATH PROC LEVEL 8 (XCP),120.0,90.0,81.2,120.0,676 CDM,PX-81407024,PR MOPATH PROC LEVEL 8 (HMEP),363.0,272.25,245.64,363.0,676 CDM,PX-81407025,PR MOPATH PROC LEVEL 8 (TSCP1),1600.0,1200.0,846.27,1600.0,676 CDM,PX-81407026,PR MOPATH PROC LEVEL 8 (RSCGP),368.0,276.0,249.03,368.0,676 CDM,PX-81407027,PR MOPATH PROC LEVEL 8 (RFSGS),230.0,172.5,155.64,230.0,676 CDM,PX-81407028,PR MOPATH PROC LEVEL 8 (ALAGP),1789.0,1341.75,846.27,1789.0,676 CDM,PX-81407029,PR MOPATH PROC LEVEL 8 (ALPGP),392.0,294.0,265.27,392.0,676 CDM,PX-81407030,PR MOPATH PROC LEVEL 8 (CKDGP),144.0,108.0,97.44,144.0,676 CDM,PX-81407031,PR MOPATH PROC LEVEL 8 (ADPKP),868.0,651.0,587.38,868.0,676 CDM,PX-81407032,PR MOPATH PROC LEVEL 8 (RBART),1125.0,843.75,761.29,1125.0,676 CDM,PX-81407033,PR MOPATH PROC LEVEL 8 (NEPHP),63.0,47.25,42.63,63.0,676 CDM,PX-81407034,"PR BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,750.0,676.7,1000.0,676 CDM,PX-81407035,PR MOPATH PROC LEVEL 8 (CHDGG),242.0,181.5,163.76,242.0,676 CDM,PX-81407036,PR MOPATH PROC LEVEL 8 (HCHLG),1378.0,1033.5,846.27,1378.0,676 CDM,PX-81407037,PR MOPATH PROC LEVEL 8 (HYPBG),1350.0,1012.5,846.27,1350.0,676 CDM,PX-81407038,PR MOPATH PROC LEVEL 8 (LQTSG),1005.0,753.75,680.08,1005.0,676 CDM,PX-81407039,PR MOPATH PROC LEVEL 8 (AFTDP),314.0,235.5,212.48,314.0,676 CDM,PX-81407040,PR MOPATH PROC LEVEL 8 (PARDP),275.0,206.25,186.09,275.0,676 CDM,PX-81407041,"PR F8 GENE, FULL GENE (GNHMA)",1450.0,1087.5,846.27,1450.0,676 CDM,PX-81407042,"PR F8 GENE, FULL GENE (GNBLF)",418.0,313.5,282.86,418.0,676 CDM,PX-81407043,PR TSC2 GENE (MCFRC),850.0,637.5,575.2,850.0,676 CDM,PX-81407044,PR MOPATH PROC LEVEL 8 (T1GS),53.0,39.75,35.87,53.0,676 CDM,PX-81408016,PR NF1 FULL GENE,1000.0,750.0,676.7,1000.0,676 CDM,PX-81408018,PR MOPATH PROC LEVEL 9 (XCP),245.0,183.75,165.79,245.0,676 CDM,PX-81408019,PR MOPATH PROC LEVEL 9 (COMCP),235.0,176.25,159.02,235.0,676 CDM,PX-81408021,PR MOPATH PROC LEVEL 9 (HMEP),858.0,643.5,580.61,858.0,676 CDM,PX-81408022,PR MOPATH PROC LEVEL 9 (RFSGS),542.0,406.5,366.77,542.0,676 CDM,PX-81408023,PR MOPATH PROC LEVEL 9 (ALPGP),737.0,552.75,498.73,737.0,676 CDM,PX-81408024,PR MOPATH PROC LEVEL 9 (CKDGP),341.0,255.75,230.75,341.0,676 CDM,PX-81408025,PR MOPATH PROC LEVEL 9 (NEPHP),151.0,113.25,102.18,151.0,676 CDM,PX-81408026,PR FBN1 FULL GENE ANALYSIS,1000.0,750.0,676.7,1000.0,676 CDM,PX-81408028,PR MOPATH PROC LEVEL 9 (CHDGG),422.0,316.5,285.57,422.0,676 CDM,PX-81408029,PR MOPATH PROC LEVEL 9 (CPVTG),1667.0,1250.25,1128.06,1667.0,676 CDM,PX-81408030,PR MOPATH PROC LEVEL 9 (CVHBG),897.0,672.75,607.0,897.0,676 CDM,PX-81408031,PR MOPATH PROC LEVEL 9 (EDSGG),973.0,729.75,658.43,973.0,676 CDM,PX-81408032,PR MOPATH PROC LEVEL 8 (LIPOG),1440.0,1080.0,974.45,1440.0,676 CDM,PX-81408033,PR MOPATH PROC LEVEL 9 (OIBFG),838.0,628.5,567.07,838.0,676 CDM,PX-81408034,"PR DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,750.0,676.7,1000.0,676 CDM,PX-81408035,PR MOPATH PROC LEVEL 9 (PARDP),649.0,486.75,439.18,649.0,676 CDM,PX-81408036,PR VWF GENE (GNVWD),1900.0,1425.0,1285.73,1900.0,676 CDM,PX-81408037,PR VWF GENE (GNBLF),987.0,740.25,667.9,987.0,676 CDM,PX-81408038,PR ATM GENE (BRTP),777.0,582.75,525.8,777.0,676 CDM,PX-81410002,PR COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1500.0,504.0,2000.0,676 CDM,PX-81410003,PR MARFAN AND RELATED CONDITIONS PANEL,2000.0,1500.0,504.0,2000.0,676 CDM,PX-81410004,PR POSTMORTEM AORTOPATHY PANEL,1900.0,1425.0,504.0,1900.0,676 CDM,PX-81413001,PR COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1500.0,584.9,2000.0,676 CDM,PX-81415,PR EXOME,5334.0,4000.5,3609.52,5334.0,676 CDM,PX-81415002,PR WHOLE EXOME SEQ (WESDX),3000.0,2250.0,2030.1,3000.0,676 CDM,PX-81416,PR EXOME COMPARATOR,1240.0,930.0,839.11,1240.0,676 CDM,PX-81416002,PR EXOME COMPARATOR (G226),1500.0,1125.0,1015.05,1500.0,676 CDM,PX-81416003,PR WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1125.0,1015.05,1500.0,676 CDM,PX-81417,PR WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1125.0,320.0,1500.0,676 CDM,PX-81417001,PR WHOLE EXOME SEQ REANAL (WESPR),1500.0,1125.0,320.0,1500.0,676 CDM,PX-81418,PR PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1125.0,675.0,1500.0,676 CDM,PX-81419003,PR COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81425001,PR GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3000.0,2706.8,4000.0,676 CDM,PX-81425002,PR RAPID WHOLE GENOME SEQ,5500.0,4125.0,3721.85,5500.0,676 CDM,PX-81426001,PR GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81426002,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,2030.1,3000.0,676 CDM,PX-81427001,PR GENOME RE-EVALUATION (WGSR),1500.0,1125.0,1015.05,1500.0,676 CDM,PX-81430002,PR HEARING LOSS GENE PANEL (AHLP),1763.0,1322.25,1193.02,1763.0,676 CDM,PX-81431002,PR HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,552.75,498.73,737.0,676 CDM,PX-81432002,PR HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81432003,PR HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81432004,PR HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81432005,PR RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1875.0,1303.95,2500.0,676 CDM,PX-81432007,PR BREAST CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CDM,PX-81435002,PR HEREDITARY GI CANCER PANEL,2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81435003,PR LYNCH SYNDROME PANEL (LYNCP),2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81435005,PR COLON CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CDM,PX-81437002,PR HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81437003,PR HEREDITARY PGL/PCC PANEL,2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81437004,PR HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1500.0,1303.95,2000.0,676 CDM,PX-81437006,PR NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CDM,PX-81439006,PR CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1875.0,584.9,2500.0,676 CDM,PX-81439007,PR COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1875.0,584.9,2500.0,676 CDM,PX-81439008,PR DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1875.0,584.9,2500.0,676 CDM,PX-81439009,PR HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1500.0,584.9,2000.0,676 CDM,PX-81439010,PR ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1500.0,584.9,2000.0,676 CDM,PX-81439011,PR POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1425.0,584.9,1900.0,676 CDM,PX-81439012,PR POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1425.0,584.9,1900.0,676 CDM,PX-81439013,PR POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1425.0,584.9,1900.0,676 CDM,PX-81440003,PR NUC MITOCHON GENE PANEL (NMITO),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81440004,PR MITOCHON NUCLEAR (CMITO),2996.0,2247.0,2027.39,2996.0,676 CDM,PX-81441001,PR BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81442001,PR NOONAN SYNDROME AND RELATED PANEL,2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443034,PR CDG GENE PANEL (CDGGP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443035,PR CHOLESTASIS GENE PANEL (CHLGP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443036,PR CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,780.0,703.77,1040.0,676 CDM,PX-81443037,PR UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443038,PR METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443039,PR MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1560.0,1407.54,2080.0,676 CDM,PX-81443040,PR 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443041,PR FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443042,PR BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443043,PR LSD GENE PANEL (LSDGP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443044,PR GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443045,PR PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443048,PR ATAXIA GENE PANEL (ATAXP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443049,PR CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443050,PR DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443051,PR LGMD AND CMS GENE PANEL (LGCMP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443052,PR MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443053,PR MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443054,PR NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443055,PR RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443056,PR ALPS GENE PANEL (ALPSG),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443057,PR EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443058,PR HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443059,PR HLH GENE PANEL (HLHGP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443060,PR VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443061,PR DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443062,PR CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443063,PR TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443064,PR RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443065,PR HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443066,PR THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1331.25,1201.14,1775.0,676 CDM,PX-81443067,PR STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1331.25,1201.14,1775.0,676 CDM,PX-81443068,PR PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443070,PR BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443071,PR THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443072,PR PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443073,PR MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1331.25,1201.14,1775.0,676 CDM,PX-81443074,PR AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443075,PR BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443076,PR EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443077,PR SCID GENE PANEL (SCIDP),2000.0,1500.0,1353.4,2000.0,676 CDM,PX-81443078,PR POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1425.0,1285.73,1900.0,676 CDM,PX-81443079,PR POSTMORTEM HLH GENE PANEL,1900.0,1425.0,1285.73,1900.0,676 CDM,PX-81443080,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81443081,PR COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1875.0,1691.75,2500.0,676 CDM,PX-81445016,PR HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1200.0,597.91,1600.0,676 CDM,PX-81445017,PR MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1200.0,597.91,1600.0,676 CDM,PX-81448012,PR MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1875.0,584.9,2500.0,676 CDM,PX-81448013,PR SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1500.0,584.9,2000.0,676 CDM,PX-81448014,PR SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1875.0,584.9,2500.0,676 CDM,PX-81448015,PR PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1875.0,584.9,2500.0,676 CDM,PX-81449,PR MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,900.0,540.0,1200.0,676 CDM,PX-81450001,PR NGS ACUTE MYELOID LEUKEMIA,2828.0,2121.0,759.53,2828.0,676 CDM,PX-81450002,PR ONCOHEME NGS FOR HEMATOLOGIC CANCER,3260.0,2445.0,759.53,3260.0,676 CDM,PX-81450003,PR NEXT GEN AML 8,2926.0,2194.5,759.53,2926.0,676 CDM,PX-81450005,"PR REFLEX ANALYSIS, NGSHM",2392.0,1794.0,759.53,2392.0,676 CDM,PX-81450006,PR T-CELL LYMPHOMA NGS,2250.0,1687.5,759.53,2250.0,676 CDM,PX-81455013,PR NEURO-ONC EXPAND PANEL (NONCP),1800.0,1350.0,1218.06,1800.0,676 CDM,PX-81456,PR SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81456002,PR NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81456003,PR MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81456004,PR MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81456005,PR SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2065.5,1239.3,2754.0,676 CDM,PX-81456006,PR SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1350.0,810.0,1800.0,676 CDM,PX-81457,PR MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457001,PR MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457002,PR MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457003,PR MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457004,PR MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457005,PR MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457006,PR MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457007,PR MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2100.0,896.87,2800.0,676 CDM,PX-81457008,PR MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457009,PR MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457010,PR MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81457012,PR MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,634.5,380.7,846.0,676 CDM,PX-81457013,PR NEURO-ONC PANEL MUT (NONCM),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81459,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2700.0,1620.0,3600.0,676 CDM,PX-81460,PR MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1280.25,1155.13,1707.0,676 CDM,PX-81460003,PR MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,701.25,632.71,935.0,676 CDM,PX-81460004,PR MITOCHON FULL GENOME (CMITO),1160.0,870.0,784.97,1160.0,676 CDM,PX-81463,PR MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2700.0,1345.31,3600.0,676 CDM,PX-81465002,PR WHOLE MITOCHON GENOME (MITOP),793.0,594.75,536.62,793.0,676 CDM,PX-81465003,PR WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,393.75,355.27,525.0,676 CDM,PX-81465004,PR MITOCHON DELETION (CMITO),844.0,633.0,571.13,844.0,676 CDM,PX-81479018,PR C9ORF72 MOLECULAR ANALYSIS,700.0,525.0,315.0,700.0,676 CDM,PX-81479020,PR CDKN1C FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CDM,PX-81479051,PR GAUCHER DISEASE FULL GENE ANA (GBA),700.0,525.0,315.0,700.0,676 CDM,PX-81479060,PR HEREDIATRY ERYTHROCYTOSIS MUT,700.0,525.0,315.0,700.0,676 CDM,PX-81479069,PR MCAD MUTATION SCREEN (ACADM),700.0,525.0,315.0,700.0,676 CDM,PX-81479104,PR TREC IMMUNE RECONSTITUTION,700.0,525.0,315.0,700.0,676 CDM,PX-81479119,PR BPGM FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CDM,PX-81479122,"PR GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,420.75,252.45,561.0,676 CDM,PX-81479143,PR SERPINA1 FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CDM,PX-81479170,"PR CXCR4, GENE MUTATION, REFLEX",808.0,606.0,363.6,808.0,676 CDM,PX-81479171,PR CXCR4 MUTATION,609.0,456.75,274.05,609.0,676 CDM,PX-81479239,PR HEREDITARY PANCREATITIS PANEL (MEC),2929.0,2196.75,1318.05,2929.0,676 CDM,PX-81479240,PR CYP2B6 GENOTYPE (2B6V),600.0,450.0,270.0,600.0,676 CDM,PX-81479249,PR MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479252,PR SERPINC1 FULL GENE NGS,884.0,663.0,397.8,884.0,676 CDM,PX-81479267,PR GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,300.0,180.0,400.0,676 CDM,PX-81479274,PR MOPATH PROC (APGP),207.0,155.25,93.15,207.0,676 CDM,PX-81479275,PR MOPATH PROC (PCGP),207.0,155.25,93.15,207.0,676 CDM,PX-81479276,PR KETONE DISORDERS GENE PANEL (KETGP),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479277,PR HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,750.0,450.0,1000.0,676 CDM,PX-81479278,PR CYSTINURIA GENE PANEL (CYSGP),2080.0,1560.0,936.0,2080.0,676 CDM,PX-81479279,PR MOPATH PROC (TYRGP),522.0,391.5,234.9,522.0,676 CDM,PX-81479280,PR MOPATH PROC (PHEGP),206.0,154.5,92.7,206.0,676 CDM,PX-81479281,PR MOPATH PROC (MSUDP),160.0,120.0,72.0,160.0,676 CDM,PX-81479287,PR APOL1 GENOTYPE,400.0,300.0,180.0,400.0,676 CDM,PX-81479289,PR FMR1 GENE (CSFP),43.0,32.25,19.35,43.0,676 CDM,PX-81479291,PR BAP1 FULL GENE,1000.0,750.0,450.0,1000.0,676 CDM,PX-81479292,PR FLCN FULL GENE,1000.0,750.0,450.0,1000.0,676 CDM,PX-81479293,PR MOPATH PROC (RENCP),65.0,48.75,29.25,65.0,676 CDM,PX-81479294,PR MOPATH PROC (WILMP),215.0,161.25,96.75,215.0,676 CDM,PX-81479295,PR MOPATH PROC (XCP),16.0,12.0,7.2,16.0,676 CDM,PX-81479296,PR MOPATH PROC (COMCP),12.0,9.0,5.4,12.0,676 CDM,PX-81479300,PR NAT2F FULL GENE SEQ (NAT2Q),600.0,450.0,270.0,600.0,676 CDM,PX-81479302,PR NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,750.0,450.0,1000.0,676 CDM,PX-81479303,PR MOPATH PROC (HMEP),43.0,32.25,19.35,43.0,676 CDM,PX-81479305,PR MOPATH PROC (RSCGP),44.0,33.0,19.8,44.0,676 CDM,PX-81479306,PR MOPATH PROC (RFSGS),26.0,19.5,11.7,26.0,676 CDM,PX-81479307,PR MOPATH PROC (ALAGP),211.0,158.25,94.95,211.0,676 CDM,PX-81479308,PR MOPATH PROC (ALPGP),134.0,100.5,60.3,134.0,676 CDM,PX-81479309,PR MOPATH PROC (CKDGP),17.0,12.75,7.65,17.0,676 CDM,PX-81479310,PR MOPATH PROC (ADPKP),117.0,87.75,52.65,117.0,676 CDM,PX-81479311,PR MOPATH PROC (AHUGP),533.0,399.75,239.85,533.0,676 CDM,PX-81479312,PR MOPATH PROC (RBART),133.0,99.75,59.85,133.0,676 CDM,PX-81479313,PR MOPATH PROC (NEPHP),10.0,7.5,4.5,10.0,676 CDM,PX-81479315,PR MOPATH PROC (PKLRG),200.0,150.0,90.0,200.0,676 CDM,PX-81479316,PR ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479318,PR B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479319,PR FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479320,PR MOPATH PROC (BRFKT),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479322,PR IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479323,PR HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479324,PR PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479325,PR PRKAR1A FULL GENE ANALYSIS,1000.0,750.0,450.0,1000.0,676 CDM,PX-81479327,PR MOPATH PROC (CHDGG),29.0,21.75,13.05,29.0,676 CDM,PX-81479328,PR MOPATH PROC (CPVTG),83.0,62.25,37.35,83.0,676 CDM,PX-81479329,PR MOPATH PROC (CVHBG),45.0,33.75,20.25,45.0,676 CDM,PX-81479330,PR MOPATH PROC (EDSGG),54.0,40.5,24.3,54.0,676 CDM,PX-81479331,PR MOPATH PROC (HCHLG),162.0,121.5,72.9,162.0,676 CDM,PX-81479332,PR MOPATH PROC (HHTGG),215.0,161.25,96.75,215.0,676 CDM,PX-81479333,PR MOPATH PROC (HYPBG),180.0,135.0,81.0,180.0,676 CDM,PX-81479334,PR MOPATH PROC (LIPOG),100.0,75.0,45.0,100.0,676 CDM,PX-81479335,PR MOPATH PROC (LQTSG),125.0,93.75,56.25,125.0,676 CDM,PX-81479336,PR MOPATH PROC (OIBFG),58.0,43.5,26.1,58.0,676 CDM,PX-81479337,PR MOPATH PROC (SQTSG),235.0,176.25,105.75,235.0,676 CDM,PX-81479338,PR FOCUSED ADPKD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479339,PR AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479340,PR ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479341,PR ALPORT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479342,PR ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479343,PR BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479345,PR CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,375.0,225.0,500.0,676 CDM,PX-81479346,PR CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,600.0,360.0,800.0,676 CDM,PX-81479347,PR CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479348,PR CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479349,PR HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479350,"PR CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,600.0,360.0,800.0,676 CDM,PX-81479351,"PR CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479352,"PR FLT3 MUTATION ANALYSIS, BLOOD (MEC)",354.0,265.5,159.3,354.0,676 CDM,PX-81479354,PR HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479358,PR MSUD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479359,PR COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479363,PR PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479364,PR PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479367,PR BARTTER SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479368,PR HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479369,PR FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479370,PR RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479371,PR SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,525.0,315.0,700.0,676 CDM,PX-81479372,"PR T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1091.0,818.25,490.95,1091.0,676 CDM,PX-81479374,PR TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479375,PR TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479376,PR HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479377,PR HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479379,PR CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479380,PR CPVT GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479381,PR CEREBROVASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479382,PR EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479383,PR HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479384,PR HHT AND VASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479385,PR HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479386,PR LIPODYSTROPHY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479387,PR LONG QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479388,PR OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479389,PR SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479390,"PR SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479391,PR MOPATH PROC (AFTDP),37.0,27.75,16.65,37.0,676 CDM,PX-81479392,PR FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479393,PR MOPATH PROC (EDMDP),209.0,156.75,94.05,209.0,676 CDM,PX-81479394,PR EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479395,PR MOPATH PROC (IMNP),100.0,75.0,45.0,100.0,676 CDM,PX-81479396,PR MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479397,PR MOPATH PROC (PARDP),32.0,24.0,14.4,32.0,676 CDM,PX-81479398,PR PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479399,PR MOPATH PROC (SMCP),150.0,112.5,67.5,150.0,676 CDM,PX-81479400,PR MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479403,PR AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479404,PR GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,750.0,450.0,1000.0,676 CDM,PX-81479405,PR HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479406,PR CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2662.5,1597.5,3550.0,676 CDM,PX-81479407,PR CDA SEQUENCING NGS (NCDA),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479408,PR MOPATH PROC (NMEM),500.0,375.0,225.0,500.0,676 CDM,PX-81479409,PR RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2662.5,1597.5,3550.0,676 CDM,PX-81479410,PR MOPATH PROC (NHEM),534.0,400.5,240.3,534.0,676 CDM,PX-81479411,PR ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479412,PR MOPATH PROC (NHEP),295.0,221.25,132.75,295.0,676 CDM,PX-81479413,PR ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479414,"PR PROS GENE, FULL GENE (GNPRS)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479415,"PR SERPINC1 GENE, FULL GENE (GNANT)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479416,"PR F7 GENE, FULL GENE (GNF7)",1450.0,1087.5,652.5,1450.0,676 CDM,PX-81479417,"PR F11 GENE, FULL GENE (GNF11)",1450.0,1087.5,652.5,1450.0,676 CDM,PX-81479418,"PR PROC GENE, FULL GENE (GNPRC)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479419,"PR ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,750.0,450.0,1000.0,676 CDM,PX-81479420,"PR MYH9 GENE, FULL GENE (GNMY9)",1450.0,1087.5,652.5,1450.0,676 CDM,PX-81479421,"PR F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479422,"PR FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479423,PR GP1BA GENE (GNVWD),100.0,75.0,45.0,100.0,676 CDM,PX-81479424,PR VWF AND GP1BA GENES (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479425,PR HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479427,PR MOPATH PROC (GNBLF),50.0,37.5,22.5,50.0,676 CDM,PX-81479428,PR BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1312.5,787.5,1750.0,676 CDM,PX-81479429,PR MOPATH PROC (BRTP),39.0,29.25,17.55,39.0,676 CDM,PX-81479430,PR RAPID HERED BREAST CANCER TEST (MEC),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479431,PR DICER1 MUTATION ANALYSIS (DICET),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479432,PR POLE MUTATION ANALYSIS (POLET),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479433,PR MYOD1 MUTATION ANALYSIS (MYODT),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479434,PR ALK MUTATION ANALYSIS (ALKT),1200.0,900.0,540.0,1200.0,676 CDM,PX-81479435,PR MOPATH PROC (MCFRC),180.0,135.0,81.0,180.0,676 CDM,PX-81479436,PR MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479439,PR SDH GENES MUTATION ANALYSIS (MEC),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479441,PR NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1200.0,720.0,1600.0,676 CDM,PX-81479443,PR MITOCHON DELETION HETEROPLASMY (DMITO),500.0,375.0,225.0,500.0,676 CDM,PX-81479445,PR MOPATH PROC (T1GS),6.0,4.5,2.7,6.0,676 CDM,PX-81479446,PR TIER 1 GENOMIC SCREEN (MEC),350.0,262.5,157.5,350.0,676 CDM,PX-81479455,PR KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,621.0,372.6,828.0,676 CDM,PX-81479461,PR COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3750.0,2250.0,5000.0,676 CDM,PX-81479462,PR MOPATH PROC (PANGP),114.0,85.5,51.3,114.0,676 CDM,PX-81479463,PR EXP PANCREATITIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479464,PR ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479465,PR PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479466,PR MOPATH PROC (PHCGD),167.0,125.25,75.15,167.0,676 CDM,PX-81479467,PR CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479468,PR CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,375.0,225.0,500.0,676 CDM,PX-81479470,PR MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1050.0,630.0,1400.0,676 CDM,PX-81479471,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2700.0,1620.0,3600.0,676 CDM,PX-81479473,PR MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1500.0,900.0,2000.0,676 CDM,PX-81479476,PR NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2700.0,1620.0,3600.0,676 CDM,PX-81479477,PR CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,750.0,450.0,1000.0,676 CDM,PX-81479478,PR TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,750.0,450.0,1000.0,676 CDM,PX-81479479,PR MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-81479480,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-815000001,HC BMT ACQUISITION RELATED ALLO,68000.0,51000.0,30600.0,68000.0,909 CDM,PX-815000003,HC NMDP PBSC COLLECTION DONOR,72869.0,54651.75,32791.05,72869.0,909 CDM,PX-815000005,HC BMT ACQUISITION PBSC,135000.0,101250.0,60750.0,135000.0,909 CDM,PX-815000007,HC NMDP CONFIRMATORY TYPING,961.0,720.75,432.45,961.0,909 CDM,PX-81596,PR INFCT DS CHRNC HCV 6 ASSAYS,198.0,148.5,72.19,198.0,676 CDM,PX-81599004,PR CHD GENETIC RISK SCORE,800.0,600.0,40.0,800.0,676 CDM,PX-819000009,HC IOM SAMPLE COLLECT/CL RESULTS,1573.0,1179.75,707.85,1573.0,909 CDM,PX-819000018,HC NMDP INFECTIOUS DISEASE MARKER,559.0,419.25,251.55,559.0,909 CDM,PX-819000024,HC NMDP REGISTRY COORDINATION FEE,3278.0,2458.5,1475.1,3278.0,909 CDM,PX-819000025,HC NMDP PHYSICAL EXAM,4723.0,3542.25,2125.35,4723.0,909 CDM,PX-819000026,HC NMDP PBSC INFORMATION SESSION,1356.0,1017.0,610.2,1356.0,909 CDM,PX-819000027,HC NMDP PRECOLLECTION SAMPLE,961.0,720.75,432.45,961.0,909 CDM,PX-82010,PR KETONE QUANT,98.0,73.5,8.17,98.0,676 CDM,PX-82017,PR ACYLCARNITINE QUANT EA,247.0,185.25,16.87,247.0,676 CDM,PX-82017002,PR ACYLCARNITINE QUANT EA 2,251.0,188.25,16.87,251.0,676 CDM,PX-82024,PR ACTH,315.0,236.25,38.62,315.0,676 CDM,PX-82030,PR URINARY CYCLIC AMPL,189.0,141.75,25.8,189.0,676 CDM,PX-82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD,36.0,27.0,4.95,36.0,682 CDM,PX-82040002,PR ALBUMIN SERUM/PLASMA/WHOLE BLD 2,36.0,27.0,4.95,36.0,682 CDM,PX-82042,PR ALBUMIN URINE/OTHER SOURCE QUANT,83.0,62.25,7.78,83.0,676 CDM,PX-82043,PR MICROALBUMIN QUANT URINE,62.0,46.5,5.78,62.0,676 CDM,PX-82077,PR ASSAY OF ALCOHOL NON-URINE/BREATH,181.0,135.75,17.27,181.0,676 CDM,PX-82085,PR ALDOLASE ASSAY,84.0,63.0,9.71,84.0,676 CDM,PX-82088,PR ALDOSTERONE SERUM,284.0,213.0,40.75,284.0,676 CDM,PX-82088001,PR ALDOSTERONE URINE,287.0,215.25,40.75,287.0,676 CDM,PX-82088002,PR ALDOSTERONE PLASMA,298.0,223.5,40.75,298.0,676 CDM,PX-821000004,HC HEMODIALYSIS TREATMENT,1985.0,1488.75,893.25,1985.0,909 CDM,PX-82103,PR ALPHA 1 ANTITRYPSIN TOTAL,141.0,105.75,13.44,141.0,676 CDM,PX-82103001,PR ALPHA 1 ANTITRYPSIN TOTAL 1,141.0,105.75,13.44,141.0,676 CDM,PX-82104,PR ALPHA1 ANTITRYPSIN PHENOTYPE,170.0,127.5,14.46,170.0,676 CDM,PX-82105,PR ALPHA FETOPROTEIN SERUM,125.0,93.75,16.77,125.0,676 CDM,PX-82107,PR AFP L3 FRACTN ISOFRM TTL AFP,353.0,264.75,64.41,353.0,676 CDM,PX-82108,PR ALUMINUM ASSAY,273.0,204.75,25.48,273.0,676 CDM,PX-82131002,PR METHIONINE (TYRBS-NCCI),169.0,126.75,22.98,169.0,676 CDM,PX-82135,PR AMINOLEVULINIC ACID,172.0,129.0,16.45,172.0,676 CDM,PX-82136,PR AMINO ACIDS 2 TO 5 QUANT EA,208.0,156.0,19.61,208.0,676 CDM,PX-82136003,"PR AMINO ACID, MSUD PANEL",237.0,177.75,19.61,237.0,676 CDM,PX-82136004,PR AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),96.0,72.0,19.61,96.0,676 CDM,PX-82139,PR AMINO ACIDS 6 OR MORE QUANT EA,392.0,294.0,16.87,392.0,676 CDM,PX-82139003,PR AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),392.0,294.0,16.87,392.0,676 CDM,PX-82140,PR AMMONIA ASSAY,137.0,102.75,14.57,137.0,676 CDM,PX-82150,PR AMYLASE ASSAY,52.0,39.0,6.48,52.0,676 CDM,PX-82150001,PR AMYLASE PANCREATIC ASSAY,52.0,39.0,6.48,52.0,676 CDM,PX-82150002,PR AMYLASE ASSAY 2,52.0,39.0,6.48,52.0,676 CDM,PX-82157,PR ANDROSTENEDIONE,261.0,195.75,29.28,261.0,676 CDM,PX-82164,PR ANGIOTENSIN I CONVERT ENZYME,136.0,102.0,14.6,136.0,676 CDM,PX-82166,PR ANTIMULLERIAN HORMONE,245.0,183.75,38.62,245.0,676 CDM,PX-82172,PR APOLIPOPROTEIN EACH,104.0,78.0,21.09,104.0,676 CDM,PX-82175002,PR ARSENIC ASSAY URINE/SERUM/WB EA,193.0,144.75,18.97,193.0,676 CDM,PX-82175003,PR ARSENIC ASSAY URINE/SERUM/WB EA 1,193.0,144.75,18.97,193.0,676 CDM,PX-82180,PR ASCORBIC ACID/VITAMIN C BLOOD,135.0,101.25,9.89,135.0,676 CDM,PX-82232,PR BETA 2 MICROGLOBULIN,162.0,121.5,16.18,162.0,676 CDM,PX-82234,PR BETA-AMYLOID 1-42,154.0,115.5,69.3,154.0,676 CDM,PX-82239,PR BILE ACIDS TOTAL,110.0,82.5,17.12,110.0,676 CDM,PX-82247,PR BILIRUBIN TOTAL,31.0,23.25,5.02,31.0,679 CDM,PX-82248,PR BILIRUBIN DIRECT,31.0,23.25,5.02,31.0,681 CDM,PX-82261,PR BIOTINIDASE EA SPECIMEN,68.0,51.0,16.87,68.0,676 CDM,PX-82271,PR OCCULT BLOOD GASTRIC,20.0,15.0,5.32,20.0,676 CDM,PX-82272,PR OCCULT BLOOD FECES DIAGNOSTIC,22.0,16.5,4.23,22.0,676 CDM,PX-82274,PR OCCULT BLOOD FECES IMMUNOASSAY,81.0,60.75,15.92,81.0,676 CDM,PX-82300001,PR CADMIUM BLOOD,172.0,129.0,23.64,172.0,676 CDM,PX-82300002,PR CADMIUM URINE,172.0,129.0,23.64,172.0,676 CDM,PX-82306,PR VITAMIN D 25 HYDROXY,244.0,183.0,29.6,244.0,676 CDM,PX-82308,PR CALCITONIN SERUM,199.0,149.25,26.79,199.0,676 CDM,PX-82308001,PR CALCITONIN LYMPH NODE,196.0,147.0,26.79,196.0,676 CDM,PX-82310,PR CALCIUM TOTAL,47.0,35.25,5.16,47.0,682 CDM,PX-82330,PR CALCIUM IONIZED,102.0,76.5,13.68,102.0,676 CDM,PX-82340001,PR CA URINE QUANT TIMED SPECIMEN,63.0,47.25,6.03,63.0,676 CDM,PX-82365,PR CALCULUS INFRARED SPECTROSCOPY,130.0,97.5,12.9,130.0,676 CDM,PX-82373,PR CARBOHYDRATE DEF TRANSFERRIN,320.0,240.0,18.06,320.0,676 CDM,PX-82374,PR CO2 ASSAY,31.0,23.25,4.88,31.0,678 CDM,PX-82375,PR CARBOXYHEMOGLOBIN QUANT,106.0,79.5,12.32,106.0,680 CDM,PX-82378,PR CARCINOEMBRYONIC ANTIGEN/CEA,136.0,102.0,18.96,136.0,676 CDM,PX-82378001,PR CARCINOEMBRYONIC ANTIGEN/CEA 1,139.0,104.25,18.96,139.0,676 CDM,PX-82378002,PR CARCINOEMBRYONIC ANTIGEN/CEA 2,139.0,104.25,18.96,139.0,676 CDM,PX-82379,PR CARNITINE QUANT EA SPECIMEN,180.0,135.0,16.87,180.0,676 CDM,PX-82384,PR CATECHOLAMINES FRACTIONATED,287.0,215.25,25.25,287.0,676 CDM,PX-82390,PR CERULOPLASMIN,105.0,78.75,10.74,105.0,676 CDM,PX-82397001,PR ALPHA SUBUNIT/APGH,209.0,156.75,14.12,209.0,676 CDM,PX-82397002,PR CHEMILUMINESCENT ASSAY 1,209.0,156.75,14.12,209.0,676 CDM,PX-82397003,PR PTH RELATED PEPTIDE/PTHRP,209.0,156.75,14.12,209.0,676 CDM,PX-82435,PR CHLORIDE BLOOD,20.0,15.0,4.6,20.0,678 CDM,PX-82436,PR CHLORIDE URINE,42.0,31.5,5.75,42.0,676 CDM,PX-82438,PR CHLORIDE OTHER SOURCE,83.0,62.25,5.0,83.0,676 CDM,PX-82465,PR CHOLESTEROL TOTAL,29.0,21.75,4.35,29.0,677 CDM,PX-82480,PR CHOLINESTERASE SERUM,92.0,69.0,7.87,92.0,676 CDM,PX-82495,PR CHROMIUM ASSAY,119.0,89.25,20.28,119.0,676 CDM,PX-82495001,PR CHROMIUM ASSAY 2,146.0,109.5,20.28,146.0,676 CDM,PX-82495003,PR CHROMIUM ASSAY 3,144.0,108.0,20.28,144.0,676 CDM,PX-82507,PR CITRATE ASSAY,232.0,174.0,27.8,232.0,676 CDM,PX-82523,PR COLLAGEN CROSS LINKS,227.0,170.25,18.68,227.0,676 CDM,PX-82525001,PR COPPER ASSAY SERUM,110.0,82.5,12.41,110.0,676 CDM,PX-82525002,PR COPPER ASSAY TISSUE,111.0,83.25,12.41,111.0,676 CDM,PX-82525003,PR COPPER ASSAY URINE,110.0,82.5,12.41,110.0,676 CDM,PX-82530,PR CORTISOL FREE,209.0,156.75,16.71,209.0,676 CDM,PX-82530001,PR CORTISOL FREE 1,209.0,156.75,16.71,209.0,676 CDM,PX-82533,PR CORTISOL TOTAL,140.0,105.0,16.3,140.0,676 CDM,PX-82540,PR CREATINE ASSAY,110.0,82.5,4.64,110.0,676 CDM,PX-82542001,PR COL CHROMOTOGRAPHY QUAL/QUAN 10,275.0,206.25,24.09,275.0,676 CDM,PX-82542004,PR COL CHR/MS NES,293.0,219.75,24.09,293.0,676 CDM,PX-82542008,PR HYPEROXALURIA,284.0,213.0,24.09,284.0,676 CDM,PX-82542025,PR STEROLS PLASMA QUANT,198.0,148.5,24.09,198.0,676 CDM,PX-82542031,PR PURINE AND PYRIMIDINE PANEL,272.0,204.0,24.09,272.0,676 CDM,PX-82542032,PR COL CHROMOTOGRAPHY QUAL/QUAN 4,223.0,167.25,24.09,223.0,676 CDM,PX-82542033,PR COL CHROMOTOGRAPHY QUAL/QUAN 3,272.0,204.0,24.09,272.0,676 CDM,PX-82542034,PR COENZYME Q10 REDUC&TOTAL,295.0,221.25,24.09,295.0,676 CDM,PX-82542035,PR COL CHR/MS STABLE MULT QUANT,287.0,215.25,24.09,287.0,676 CDM,PX-82542036,PR PORPHYRINS FRACTION,263.0,197.25,24.09,263.0,676 CDM,PX-82542037,PR PYRIDOXIC ACID QUANT,275.0,206.25,24.09,275.0,676 CDM,PX-82542040,PR OXYSTEROLS QUANT,185.0,138.75,24.09,185.0,676 CDM,PX-82542042,PR BILE ACID FRACT AND TOTAL,236.0,177.0,24.09,236.0,676 CDM,PX-82542044,PR PSYCHOSINE QUANT,272.0,204.0,24.09,272.0,676 CDM,PX-82542046,PR LYSOSOMAL DISORDER SN QUANT,235.0,176.25,24.09,235.0,676 CDM,PX-82542047,PR COL CHROMOTOGRAPHY QUAL/QUAN 2,275.0,206.25,24.09,275.0,676 CDM,PX-82542053,PR COL CHROMOTOGRAPHY QUAL/QUAN 8,234.0,175.5,24.09,234.0,676 CDM,PX-82542057,PR A1AT PROTEOTYPE,234.0,175.5,24.09,234.0,676 CDM,PX-82542058,PR ADMA MS QUANT,173.0,129.75,24.09,173.0,676 CDM,PX-82542061,PR COL CHROMOTOGRAPHY QUAL/QUAN 6,275.0,206.25,24.09,275.0,676 CDM,PX-82542062,PR METHYLHISTAMINE QUANT,275.0,206.25,24.09,275.0,676 CDM,PX-82542063,"PR 7AC4, BILE ACID SYNTH",275.0,206.25,24.09,275.0,676 CDM,PX-82542064,PR PORPHOBILINOGEN,276.0,207.0,24.09,276.0,676 CDM,PX-82542068,"PR 24, 25 DIHYDROXY",277.0,207.75,24.09,277.0,676 CDM,PX-82542071,PR COL CHROMOTOGRAPHY QUAL/QUAN 7,236.0,177.0,24.09,236.0,676 CDM,PX-82542072,PR AMYLOID PROTEIN 2,274.0,205.5,24.09,274.0,676 CDM,PX-82542074,PR PORPHYRINS FRACTION 1,287.0,215.25,24.09,287.0,676 CDM,PX-82542075,PR COL CHROMOTOGRAPHY QUAL/QUAN 5,263.0,197.25,24.09,263.0,676 CDM,PX-82542081,PR SUCCINYLACETONE (TYRBS-NCCI),263.0,197.25,24.09,263.0,676 CDM,PX-82542083,PR SUCCINYLACETONE (SUAC-NCCI),263.0,197.25,24.09,263.0,676 CDM,PX-82542085,PR COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),278.0,208.5,24.09,278.0,676 CDM,PX-82542086,PR ACYLGLYCINES QN,300.0,225.0,24.09,300.0,676 CDM,PX-82542088,PR SEROTONIN RELEASE ASSAY,295.0,221.25,24.09,295.0,676 CDM,PX-82542090,PR COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,275.0,206.25,24.09,275.0,676 CDM,PX-82550,PR CREATINE KINASE TOTAL,35.0,26.25,6.51,35.0,676 CDM,PX-82565,PR CREATININE BLOOD,50.0,37.5,5.12,50.0,683 CDM,PX-82570,PR CREATININE OTHER SOURCE,50.0,37.5,5.18,50.0,676 CDM,PX-82575,PR CREATININE CLEARANCE,110.0,82.5,9.46,110.0,677 CDM,PX-82575001,PR SHORT RENAL CLRNCE CREATININE,111.0,83.25,9.46,111.0,677 CDM,PX-82585,PR CRYOFIBRINOGEN ASSAY,94.0,70.5,14.14,94.0,676 CDM,PX-82595,PR CRYOGLOBULIN QUAL,63.0,47.25,6.47,63.0,676 CDM,PX-82607,PR VITAMIN B12 ASSAY,121.0,90.75,15.08,121.0,676 CDM,PX-82610,PR CYSTATIN C,160.0,120.0,18.52,160.0,676 CDM,PX-82610001,PR CYSTATIN C 2,170.0,127.5,18.52,170.0,676 CDM,PX-82626,PR DHEA,283.0,212.25,25.27,283.0,676 CDM,PX-82627,PR DHEA SULFATE,188.0,141.0,22.23,188.0,676 CDM,PX-82633,PR DESOXYCORTICOSTERONE 11,254.0,190.5,30.98,254.0,676 CDM,PX-82634,PR DEOXYCORTISOL 11,193.0,144.75,29.28,193.0,676 CDM,PX-82642,PR DIHYDROTESTOSTERONE,237.0,177.75,29.28,237.0,676 CDM,PX-82652,PR VITAMIN D 1 25 DIHYDROXY,333.0,249.75,38.5,333.0,676 CDM,PX-82653,PR ELASTASE PANCREATIC FECAL QUANT,127.0,95.25,22.97,127.0,676 CDM,PX-82657006,PR ENZYME ACTIVITY IN BLOOD CELLS 3,324.0,243.0,22.17,324.0,676 CDM,PX-82657007,PR ALPHA GALACTOSIDASE LEUKOCYTE,283.0,212.25,22.17,283.0,676 CDM,PX-82657008,PR ALPHA GALACTOSIDASE PLASMA,283.0,212.25,22.17,283.0,676 CDM,PX-82657012,PR ENZYME ACTIVITY IN BLOOD CELLS 4,265.0,198.75,22.17,265.0,676 CDM,PX-82657013,PR ARYLSULFATASE A LEUKOCYTES,283.0,212.25,22.17,283.0,676 CDM,PX-82657018,PR DISACCHARIDES ANALYSIS,312.0,234.0,22.17,312.0,676 CDM,PX-82657020,PR HEXOKINASE,324.0,243.0,22.17,324.0,676 CDM,PX-82657022,PR LYSOSOMAL ACID LIPASE,209.0,156.75,22.17,209.0,676 CDM,PX-82657023,PR METHEMOGLOBIN REDUCTASE,324.0,243.0,22.17,324.0,676 CDM,PX-82657028,PR PBG DEAMINASE,217.0,162.75,22.17,217.0,676 CDM,PX-82657035,PR UPG DECARBOXYLASE,283.0,212.25,22.17,283.0,676 CDM,PX-82664,PR ELECTROPHORETIC TECH NES,147.0,110.25,61.5,147.0,676 CDM,PX-82668,PR ERYTHROPOIETIN ASSAY,178.0,133.5,18.79,178.0,676 CDM,PX-82670,PR ESTRADIOL ASSAY,212.0,159.0,27.94,212.0,676 CDM,PX-82671,PR ESTROGENS FRACTIONATED,418.0,313.5,32.3,418.0,676 CDM,PX-82677,PR ESTRIOL ASSAY,162.0,121.5,24.18,162.0,676 CDM,PX-82679,PR ESTRONE ASSAY,209.0,156.75,24.95,209.0,676 CDM,PX-82710,PR FECAL FAT QUANT,219.0,164.25,16.8,219.0,676 CDM,PX-82725,PR FATTY ACID NONESTERFIED,106.0,79.5,18.77,106.0,676 CDM,PX-82726,PR FATTY ACID VERY LONG CHAIN,157.0,117.75,19.75,157.0,676 CDM,PX-82728,PR FERRITIN ASSAY,101.0,75.75,13.63,101.0,676 CDM,PX-82735,PR FLUORIDE ASSAY,146.0,109.5,18.54,146.0,676 CDM,PX-82746,PR FOLIC ACID SERUM ASSAY,105.0,78.75,14.7,105.0,676 CDM,PX-82759,PR GALACTOKINASE RBC ASSAY,139.0,104.25,21.48,139.0,676 CDM,PX-82775,PR GALT QUANT,237.0,177.75,21.07,237.0,676 CDM,PX-82784,PR IMMUNOGLOBGULINS EA,68.0,51.0,9.3,68.0,676 CDM,PX-82784001,PR IMMUNOGLOBULIN IGD,68.0,51.0,9.3,68.0,676 CDM,PX-82784003,PR IMMUNOGLOBULIN CSF,68.0,51.0,9.3,68.0,676 CDM,PX-82784005,PR ASSAY IGA/IGD/IGG/IGM EACH 2,66.0,49.5,9.3,66.0,676 CDM,PX-82785,PR IMMUNOGLOBULIN IGE ASSAY,114.0,85.5,16.46,114.0,676 CDM,PX-82787,PR IMMUNOGLOBIN SUBCLASSES EA,130.0,97.5,8.02,130.0,676 CDM,PX-82787001,PR IMMUNOGLOBIN SUBCLASSES EA 2,125.0,93.75,8.02,125.0,676 CDM,PX-82803,PR BLD GASES ANY COMBINATION,106.0,79.5,26.07,106.0,680 CDM,PX-829000000,HC EMERGENCY DIALYSIS,2184.0,1638.0,91.11,2184.0,915 CDM,PX-82938,PR GASTRIN AFTER SECRETIN STIMLN,134.0,100.5,17.69,134.0,676 CDM,PX-82941,PR GASTRIN ASSAY,167.0,125.25,17.63,167.0,676 CDM,PX-82943,PR GLUCAGON ASSAY,234.0,175.5,14.29,234.0,676 CDM,PX-82945,PR GLUCOSE BODY FLUID,68.0,51.0,3.93,68.0,676 CDM,PX-82945001,PR GLUCOSE OTHER FLUID,69.0,51.75,3.93,69.0,676 CDM,PX-82947,PR GLUCOSE BLOOD QUANT,42.0,31.5,3.93,42.0,679 CDM,PX-82947002,PR GLUCOSE BLOOD QUANT 2,42.0,31.5,3.93,42.0,679 CDM,PX-82950,PR GLUCOSE POSTDOSE,45.0,33.75,4.75,45.0,676 CDM,PX-82955,PR G6PD QUANT,120.0,90.0,9.7,120.0,676 CDM,PX-82960,PR G6PD ENZYME,17.0,12.75,6.05,17.0,676 CDM,PX-82963,PR ASSAY OF GLUCOSIDASE,207.0,155.25,21.48,207.0,676 CDM,PX-82977,PR GAMMA GLUTAMYL TRANSFERASE,52.0,39.0,7.2,52.0,676 CDM,PX-82978,PR GLUTATHIONE ASSAY,74.0,55.5,15.45,74.0,676 CDM,PX-82985,PR FRUCTOSAMINE ASSAY,71.0,53.25,16.76,71.0,676 CDM,PX-83001,PR FSH/FOLLICLE STIM HORMONE,131.0,98.25,18.58,131.0,676 CDM,PX-83002,PR LUTEINIZING HORMONE,147.0,110.25,18.52,147.0,676 CDM,PX-83003,PR HUMAN GROWTH HORMONE ASSAY,136.0,102.0,16.67,136.0,676 CDM,PX-83010,PR HAPTOGLOBIN ASSAY QUANT,115.0,86.25,12.58,115.0,676 CDM,PX-83013,PR HELICOBACTER PYLORI BREATH TEST,392.0,294.0,67.36,392.0,677 CDM,PX-83014,PR H PYLORI DRUG ADMIN,57.0,42.75,7.86,57.0,676 CDM,PX-83018,PR HEAVY METAL QUANT EA,162.0,121.5,21.96,162.0,676 CDM,PX-83018001,PR HEAVY METAL QUANT EA 2,175.0,131.25,21.96,175.0,676 CDM,PX-83018002,PR HEAVY METAL QUANT EA 3,179.0,134.25,21.96,179.0,676 CDM,PX-83018003,PR HEAVY METAL QUANT EA 4,162.0,121.5,21.96,162.0,676 CDM,PX-83018008,PR HEAVY METAL QUANT EA 8,165.0,123.75,21.96,165.0,676 CDM,PX-83018009,PR HEAVY METAL QUANT EA 9,146.0,109.5,21.96,146.0,676 CDM,PX-83020001,"PR HB VARIANT, A2 AND F QUAN",125.0,93.75,12.87,125.0,676 CDM,PX-83021,PR HEMOGLOBIN CHROMATOGRAPHY QUANT,143.0,107.25,18.06,143.0,676 CDM,PX-83036,PR HEMOGLOBIN GLYCATED A1C,73.0,54.75,9.71,73.0,680 CDM,PX-83036001,PR HEMOGLOBIN GLYCATED A1C 2,76.0,57.0,9.71,76.0,680 CDM,PX-83050,PR METHEMOGLOBIN QUANT,65.0,48.75,8.2,65.0,680 CDM,PX-83051,PR HEMOGLOBIN PLASMA ASSAY,68.0,51.0,7.31,68.0,676 CDM,PX-83060,PR SULFHEMOGLOBIN QUANT,90.0,67.5,8.8,90.0,676 CDM,PX-83068,PR HEMOGLOBIN UNSTABLE SCREEN,89.0,66.75,9.47,89.0,676 CDM,PX-83070,PR HEMOSIDERIN ASSAY QUAL,69.0,51.75,4.75,69.0,676 CDM,PX-83080,PR HEXOSAMINIDASE ASSAY,71.0,53.25,16.87,71.0,676 CDM,PX-83080001,PR HEXOSAMINIDASE LEUKOCYTES,69.0,51.75,16.87,69.0,676 CDM,PX-83080002,PR HEXOSAMINIDASE SERUM,69.0,51.75,16.87,69.0,676 CDM,PX-83090,PR HOMOCYSTEINE ASSAY,183.0,137.25,17.92,183.0,676 CDM,PX-83090001,PR HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),183.0,137.25,17.92,183.0,676 CDM,PX-83150,PR HOMOVANILLIC ACID ASSAY,106.0,79.5,22.41,106.0,676 CDM,PX-83497,PR 5 HIAA ASSAY,110.0,82.5,12.9,110.0,676 CDM,PX-83498,PR HYDROXYPROGESTERONE ASSAY,193.0,144.75,27.17,193.0,676 CDM,PX-83516,CHG IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP,130.0,97.5,11.53,130.0,676 CDM,PX-83516003,PR BULLOUS PEMPHGD EACH,116.0,87.0,11.53,116.0,676 CDM,PX-83516004,PR CENTOMERE AB MULT,117.0,87.75,11.53,117.0,676 CDM,PX-83516006,PR DESMOGLEIN EACH,122.0,91.5,11.53,122.0,676 CDM,PX-83516012,PR MYELOPEROXIDASE AB EACH,117.0,87.75,11.53,117.0,676 CDM,PX-83516014,PR IMMUNOASSAY MULT STEP METHOD A3,117.0,87.75,11.53,117.0,676 CDM,PX-83516015,PR PROTEINASE 3 AB EACH,117.0,87.75,11.53,117.0,676 CDM,PX-83516017,PR IMMUNOASSAY MULT STEP METHOD A2,118.0,88.5,11.53,118.0,676 CDM,PX-83516018,PR IMMUNOASSAY NONANTIBODY,125.0,93.75,11.53,125.0,676 CDM,PX-83516019,PR IMMUNOASSAY MULT STEP METHOD A1,117.0,87.75,11.53,117.0,676 CDM,PX-83516022,PR IMMUNOASSAY MULT STEP METHOD A4,121.0,90.75,11.53,121.0,676 CDM,PX-83518001,PR IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,52.0,39.0,9.64,52.0,676 CDM,PX-83519001,PR ACHR GANGLIONIC AB RIA,333.0,249.75,18.4,333.0,676 CDM,PX-83519018,PR PANCREATIC POLYPEPTIDE QUANT RIA,333.0,249.75,18.4,333.0,676 CDM,PX-83519019,PR PROCOLLAGEN I INTACT TERM RIA,288.0,216.0,18.4,288.0,676 CDM,PX-83519022,PR VGKC COMPLEX AB RIA,320.0,240.0,18.4,320.0,676 CDM,PX-83519027,PR OREXIN A RIA,333.0,249.75,18.4,333.0,676 CDM,PX-83520,PR IMMUNOASSAY QUANT NOS,270.0,202.5,17.27,270.0,676 CDM,PX-83520008,PR C1 ESTERASE INHIBITOR QUANT,271.0,203.25,17.27,271.0,676 CDM,PX-83520016,PR FRATAXIN QUANT,266.0,199.5,17.27,266.0,676 CDM,PX-83520021,PR IGFBP 3 QUANT,271.0,203.25,17.27,271.0,676 CDM,PX-83520023,PR INHIBIN B QUANT,292.0,219.0,17.27,292.0,676 CDM,PX-83520030,PR IMMUNOASSAY QUANT NOS 2,292.0,219.0,17.27,292.0,676 CDM,PX-83520033,PR NEURON SPECIFIC ENOLASE QUANT SERUM,281.0,210.75,17.27,281.0,676 CDM,PX-83520047,PR THYROTROPIN RECEPTOR ANTIBODY QUANT,297.0,222.75,17.27,297.0,676 CDM,PX-83520049,PR TRYPTASE SERUM,292.0,219.0,17.27,292.0,676 CDM,PX-83520052,PR GDF15,271.0,203.25,17.27,271.0,676 CDM,PX-83520055,PR ADALIMUMAB,271.0,203.25,17.27,271.0,676 CDM,PX-83520060,PR IMMUNOASSAY QUANT NOS 4,281.0,210.75,17.27,281.0,676 CDM,PX-83520062,PR IMMUNOASSAY QUANT NOS 1,186.0,139.5,17.27,186.0,676 CDM,PX-83520063,PR IGG/IGM MONOS GM1 TITER,195.0,146.25,17.27,195.0,676 CDM,PX-83520065,PR IGG/IMM DISIALO GD1B TITER,198.0,148.5,17.27,198.0,676 CDM,PX-83520066,PR PHOSPHOLIPASE A2 RECEPT,230.0,172.5,17.27,230.0,676 CDM,PX-83520067,PR INTACT FIBROBLAST GF 23,270.0,202.5,17.27,270.0,676 CDM,PX-83520069,PR IMMUNOASSAY QUANT NOS 5,289.0,216.75,17.27,289.0,676 CDM,PX-83520070,PR CYTOKINE PANEL,50.0,37.5,17.27,50.0,676 CDM,PX-83520072,PR IMMUNOASSAY QUANT NOS 6,266.0,199.5,17.27,266.0,676 CDM,PX-83521001,PR IG LIGHT CHAINS FREE EA 2,161.0,120.75,17.27,161.0,676 CDM,PX-83521002,PR IG LIGHT CHAINS FREE EA 3,167.0,125.25,17.27,167.0,676 CDM,PX-83525,PR INSULIN ASSAY TOTAL,101.0,75.75,11.43,101.0,676 CDM,PX-83527,PR INSULIN ASSAY FREE,138.0,103.5,12.95,138.0,676 CDM,PX-83529,PR ASSAY OF INTERLEUKIN-6 (IL-6),148.0,111.0,17.27,148.0,676 CDM,PX-83529002,PR ASSAY OF INTERLEUKIN-6 (CYPAN),148.0,111.0,17.27,148.0,676 CDM,PX-83540,PR IRON ASSAY TOTAL,40.0,30.0,6.47,40.0,682 CDM,PX-83550,PR IRON BINDING CAPACITY,50.0,37.5,8.74,50.0,682 CDM,PX-83605,PR LACTIC ACID/LACTATE ASSAY,114.0,85.5,11.57,114.0,676 CDM,PX-83605001,PR D-LACTATE,112.0,84.0,11.57,112.0,676 CDM,PX-83605003,PR LACTIC ACID BLOOD,112.0,84.0,11.57,112.0,676 CDM,PX-83615,PR LACTATE DEHYDROGENASE/LDH,54.0,40.5,6.04,54.0,681 CDM,PX-83630,PR FECAL LACTOFERRIN QUAL,165.0,123.75,19.7,165.0,676 CDM,PX-83655001,PR LEAD BLOOD,83.0,62.25,12.11,83.0,676 CDM,PX-83655002,PR LEAD URINE,84.0,63.0,12.11,84.0,676 CDM,PX-83690,PR LIPASE ASSAY,62.0,46.5,6.89,62.0,676 CDM,PX-83695,PR LIPOPROTEIN A,107.0,80.25,14.32,107.0,676 CDM,PX-83700,PR LP CHOLESTEROL,120.0,90.0,11.26,120.0,676 CDM,PX-83701,PR LIPOPROTEIN HIGH RESOLUTION,298.0,223.5,33.86,298.0,676 CDM,PX-83704,PR NMR LIPOPROFILE,185.0,138.75,34.19,185.0,676 CDM,PX-83718,PR HDL CHOLESTEROL,64.0,48.0,8.19,64.0,677 CDM,PX-83722,PR SMALL DENSE LDL CHOLESTEROL,111.0,83.25,34.19,111.0,676 CDM,PX-83735,PR MAGNESIUM ASSAY,56.0,42.0,6.7,56.0,682 CDM,PX-83785002,PR MANGANESE ASSAY 2,116.0,87.0,26.65,116.0,676 CDM,PX-83789008,PR HEMOGLOBIN VAR ANALYSIS QUANT,115.0,86.25,24.11,115.0,676 CDM,PX-83789025,PR SUPPLEMENTAL NB SCREEN,113.0,84.75,24.11,113.0,676 CDM,PX-83789031,PR CDGN,112.0,84.0,24.11,112.0,676 CDM,PX-83789036,PR IODINE LAB,114.0,85.5,24.11,114.0,676 CDM,PX-83789040,PR LYSOSOMAL DISORDER QUANT,112.0,84.0,24.11,112.0,676 CDM,PX-83789042,PR CERAMIDE TRIHEX/SULFATIDE,115.0,86.25,24.11,115.0,676 CDM,PX-83825,PR MERCURY QUANT,172.0,129.0,16.26,172.0,676 CDM,PX-83835,PR METANEPHRINES,302.0,226.5,16.94,302.0,676 CDM,PX-83835001,PR METANEPHRINES URINE,296.0,222.0,16.94,296.0,676 CDM,PX-83861,PR MICROFLUIDIC ANALYSIS TEAR OSMOL,54.0,40.5,22.48,54.0,676 CDM,PX-83864006,PR MUCOPOLYSACCHARIDES QNT,226.0,169.5,28.5,226.0,676 CDM,PX-83874,PR MYOGLOBIN,184.0,138.0,12.92,184.0,676 CDM,PX-83880,PR NATRIURETIC PEPTIDE/BNP,247.0,185.25,39.26,247.0,681 CDM,PX-83880001,PR NATRIURETIC PEPTIDE/BNP 2,216.0,162.0,39.26,216.0,681 CDM,PX-83883,PR NEPHELOMETRY EA ANALYTE NES,105.0,78.75,13.6,105.0,676 CDM,PX-83883003,PR C1 ESTERASE INHIB AG S,260.0,195.0,13.6,260.0,676 CDM,PX-83883005,PR RETINOL BINDING PROTEIN,260.0,195.0,13.6,260.0,676 CDM,PX-83883006,PR TOTAL LIGHT CHAIN EA,260.0,195.0,13.6,260.0,676 CDM,PX-83883011,PR ALPHA 1 MICROGLOBIN 1,260.0,195.0,13.6,260.0,676 CDM,PX-83883012,PR RETINOL BINDING PROTEIN 1,250.0,187.5,13.6,250.0,676 CDM,PX-83884,PR NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,452.25,116.23,603.0,676 CDM,PX-83915,PR NUCLEOTIDASE 5 ASSAY,141.0,105.75,11.15,141.0,676 CDM,PX-83916,PR OLIGOCLONAL BANDS,219.0,164.25,27.39,219.0,676 CDM,PX-83918,PR ORGANIC ACIDS TOTAL QUANT,360.0,270.0,23.6,360.0,676 CDM,PX-83918001,PR ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),468.0,351.0,23.6,468.0,676 CDM,PX-83919,PR ORGANIC ACIDS QUAL,265.0,198.75,16.45,265.0,676 CDM,PX-83921,PR ORGANIC ACID 1 QUANT,247.0,185.25,21.21,247.0,676 CDM,PX-83921001,PR ORGANIC ACID 1 QUANT 2,251.0,188.25,21.21,251.0,676 CDM,PX-83930,PR OSMOLALITY ASSAY BLOOD,73.0,54.75,6.61,73.0,676 CDM,PX-83935,PR OSMOLALITY ASSAY URINE,90.0,67.5,6.82,90.0,676 CDM,PX-83937,PR OSTEOCALCIN ASSAY,199.0,149.25,29.85,199.0,676 CDM,PX-83945,PR OXYLATE ASSAY,105.0,78.75,14.45,105.0,676 CDM,PX-83945002,PR OXYLATE URINE,105.0,78.75,14.45,105.0,676 CDM,PX-83951,PR DES GAMMA CARBOXY PROTHROMBIN,370.0,277.5,64.41,370.0,676 CDM,PX-83970,PR PARATHORMONE/PTH,318.0,238.5,41.28,318.0,682 CDM,PX-83970001,PR PARATHORMONE/PTH 1,318.0,238.5,41.28,318.0,682 CDM,PX-83986,PR PH BODY FLUID,20.0,15.0,3.58,20.0,676 CDM,PX-83986001,PR PH URINE,22.0,16.5,3.58,22.0,676 CDM,PX-83993,PR CALPROTECTIN FECAL,265.0,198.75,19.63,265.0,676 CDM,PX-84030,PR PHENYLALANINE (PKU-NCCI),44.0,33.0,5.5,44.0,676 CDM,PX-84030002,PR PHENYLALANINE (TYRBS-NCCI),44.0,33.0,5.5,44.0,676 CDM,PX-84066,PR PROSTATIC ACID PHOSPHATE,103.0,77.25,9.66,103.0,676 CDM,PX-84075,PR ALK PHOSPHATASE,42.0,31.5,5.18,42.0,678 CDM,PX-84080,PR ALK PHOSPHATASE ISOENZYMES,136.0,102.0,14.78,136.0,676 CDM,PX-84087,PR PHOSPHOHEXOSE ISOMERASE,188.0,141.0,10.73,188.0,676 CDM,PX-84100,PR PHOSPHORUS ASSAY,36.0,27.0,4.74,36.0,682 CDM,PX-84105,PR PHOSPHORUS ASSAY URINE,37.0,27.75,5.78,37.0,676 CDM,PX-84110,PR PORPHOBILINOGEN URINE QUANT,120.0,90.0,8.44,120.0,676 CDM,PX-84120,PR PORPHYRINS URINE QUANT/FRACT,126.0,94.5,14.71,126.0,676 CDM,PX-84126,PR PORPHYRINS FECES QUANT,209.0,156.75,39.11,209.0,676 CDM,PX-84132,PR POTASSIUM SER/PLASMA/WHOLE BLD,40.0,30.0,4.76,40.0,679 CDM,PX-84133,PR POTASSIUM URINE,32.0,24.0,4.73,32.0,676 CDM,PX-84134,PR PREALBUMIN,134.0,100.5,14.59,134.0,676 CDM,PX-84140,PR PREGNENOLONE,162.0,121.5,20.67,162.0,676 CDM,PX-84143,PR 17 HYDROXYPREGNENOLONE,211.0,158.25,22.81,211.0,676 CDM,PX-84143001,PR 17-HYDROXYPREGNENOLONE (17PRN),214.0,160.5,22.81,214.0,676 CDM,PX-84144,PR PROGESTERONE ASSAY,167.0,125.25,20.86,167.0,676 CDM,PX-84145,PR PROCALCITONIN,264.0,198.0,27.22,264.0,676 CDM,PX-84145001,PR PROCALCITONIN 1,286.0,214.5,27.22,286.0,676 CDM,PX-84146,PR PROLACTIN ASSAY,196.0,147.0,19.38,196.0,676 CDM,PX-84150,PR PROSTAGLANDIN ASSAY EACH,298.0,223.5,41.77,298.0,676 CDM,PX-84153,PR PSA TOTAL,122.0,91.5,18.39,122.0,680 CDM,PX-84153001,PR PSA TOTAL ULTRASENSITIVE,124.0,93.0,18.39,124.0,680 CDM,PX-84153003,PR PSA TOTAL 1,125.0,93.75,18.39,125.0,680 CDM,PX-84154,PR PSA FREE,119.0,89.25,18.39,119.0,680 CDM,PX-84155,PR PROTEIN TOTAL SERUM/PLASMA,26.0,19.5,3.67,26.0,678 CDM,PX-84156,PR PROTEIN TOTAL URINE,32.0,24.0,3.67,32.0,677 CDM,PX-84156001,PR PROTEIN RANDOM URINE,32.0,24.0,3.67,32.0,677 CDM,PX-84157001,PR PROTEIN TOTAL BODY FLUID,61.0,45.75,4.0,61.0,676 CDM,PX-84157002,PR PROTEIN TOTAL CSF,61.0,45.75,4.0,61.0,676 CDM,PX-84165,PR PROTEIN ELECTROPHORESIS SERUM,144.0,108.0,10.74,173.0,1358 CDM,PX-84165001,PR PROTEIN ELECTROPHORESIS,147.5,110.625,10.74,170.0,1358 CDM,PX-84166,PR PROTEIN ELECTROPHORESIS OTHER,144.0,108.0,17.83,144.0,676 CDM,PX-84166001,PR PROTEIN ELECTROPHORESIS URINE,141.0,105.75,17.83,141.0,676 CDM,PX-84182,PR WESTERN BLOT TEST BAND ID EA,255.0,191.25,29.21,255.0,676 CDM,PX-84182002,PR CRMP 5 WESTERN BLOT,263.0,197.25,29.21,263.0,676 CDM,PX-84182006,PR PROTEIN WESTERN BLOT TEST 1,255.0,191.25,29.21,255.0,676 CDM,PX-84182008,PR PROTEIN WESTERN BLOT TEST 3,284.0,213.0,29.21,284.0,676 CDM,PX-84206,PR PROINSULIN ASSAY,272.0,204.0,26.69,272.0,676 CDM,PX-84207,PR VITAMIN B6 ASSAY,272.0,204.0,28.1,272.0,676 CDM,PX-84210,PR PYRUVATE ASSAY,83.0,62.25,14.48,83.0,676 CDM,PX-84220,PR PYRUVATE KINASE ASSAY,213.0,159.75,9.44,213.0,676 CDM,PX-84238,PR SOLUBLE TRANSFERRIN RECEPTOR,237.0,177.75,36.57,237.0,676 CDM,PX-84244,PR RENIN ACTIVITY 1 BLOOD,168.0,126.0,21.99,168.0,676 CDM,PX-84252,PR VITAMIN B2 ASSAY,211.0,158.25,20.24,211.0,676 CDM,PX-84252001,PR RIBOFLAVIN B2,209.0,156.75,20.24,209.0,676 CDM,PX-84255,PR SELENIUM ASSAY,162.0,121.5,25.53,162.0,676 CDM,PX-84260,PR SEROTONIN ASSAY,281.0,210.75,30.98,281.0,676 CDM,PX-84270,PR SEX HORMONE BINDING GLOBULIN,168.0,126.0,21.73,168.0,676 CDM,PX-84275001,PR ASSAY OF SIALIC ACID,129.0,96.75,13.44,129.0,676 CDM,PX-84295,PR SODIUM SERUM/PLASMA/WHOLE BLD,42.0,31.5,4.81,42.0,679 CDM,PX-84300,PR SODIUM ASSAY URINE,32.0,24.0,5.06,32.0,677 CDM,PX-84302,PR SODIUM ASSAY OTHER SOURCES,99.0,74.25,4.86,99.0,676 CDM,PX-84305,PR SOMATOMEDIN/IGF1,328.0,246.0,21.26,328.0,676 CDM,PX-84311010,PR CHOLESTEROL NON SERUM,72.0,54.0,8.1,72.0,676 CDM,PX-84311015,PR PORPHYRINS TOTAL,71.0,53.25,8.1,71.0,676 CDM,PX-84311016,PR PORPHYRINS,71.0,53.25,8.1,71.0,676 CDM,PX-84376,PR REDUCING SUBSTANCE URINE OR STOOL,88.0,66.0,5.5,88.0,676 CDM,PX-84377001,PR OLIGOSACCHARIDE,114.0,85.5,5.5,114.0,676 CDM,PX-84392,PR SULFATE ASSAY URINE,21.0,15.75,5.49,21.0,676 CDM,PX-84393,PR TAU PHOSPHORYLATED EA,154.0,115.5,69.3,154.0,676 CDM,PX-84393001,PR TAU PHOSPHORYLATED EA 2,154.0,115.5,69.3,154.0,676 CDM,PX-84394,PR TOTAL TAU,159.0,119.25,71.55,159.0,676 CDM,PX-84394001,PR TOTAL TAU 2,159.0,119.25,71.55,159.0,676 CDM,PX-84402,PR TESTOSTERONE FREE,181.0,135.75,25.47,181.0,676 CDM,PX-84403001,PR TESTOSTERONE TOTAL SERUM,189.0,141.75,25.81,189.0,676 CDM,PX-84410,PR TESTOSTERONE BIOAVAILABLE DRCT MEAS,444.0,333.0,51.28,444.0,676 CDM,PX-84425,PR VITAMIN B1 THIAMINE ASSAY,204.0,153.0,21.23,204.0,676 CDM,PX-84432,PR THYROGLOBULIN SERUM,125.0,93.75,16.06,125.0,676 CDM,PX-84432001,PR THYROGLOBULIN LYMPH NODE,126.0,94.5,16.06,126.0,676 CDM,PX-84432002,PR THYROGLOBULIN MASS SPEC,125.0,93.75,16.06,125.0,676 CDM,PX-84433,PR ASSAY TPMT,106.0,79.5,22.17,106.0,676 CDM,PX-84436,PR T4 TOTAL,52.0,39.0,6.87,52.0,676 CDM,PX-84439,PR T4 FREE,111.0,83.25,9.02,111.0,685 CDM,PX-84442,PR THYROXINE BIND GLOBULIN,152.0,114.0,14.78,152.0,676 CDM,PX-84443,PR THYROID STIMULATING HORMONE,114.0,85.5,16.8,114.0,682 CDM,PX-84445,PR THYROID STIM IMMUNOGLOBIN,387.0,290.25,50.86,387.0,676 CDM,PX-84446,PR VITAMIN E ASSAY,120.0,90.0,14.18,120.0,676 CDM,PX-84446001,PR VITAMIN E ASSAY 2,120.0,90.0,14.18,120.0,676 CDM,PX-84450,PR AST/SGOT,67.0,50.25,5.18,67.0,683 CDM,PX-84460,PR ALT/SGPT,51.0,38.25,5.3,51.0,680 CDM,PX-84466,PR TRANSFERRIN,104.0,78.0,12.76,104.0,677 CDM,PX-84478,PR TRIGLYCERIDES,30.0,22.5,5.74,30.0,677 CDM,PX-84478001,PR TRIGLYCERIDES 1,31.0,23.25,5.74,31.0,677 CDM,PX-84479,PR T3 OR T4 UPTAKE,63.0,47.25,6.47,63.0,676 CDM,PX-84480,PR T3 TOTAL,126.0,94.5,14.18,126.0,676 CDM,PX-84481,PR T3 FREE,182.0,136.5,16.94,182.0,676 CDM,PX-84482,PR T3 REVERSE,286.0,214.5,15.76,286.0,676 CDM,PX-84484,PR TROPONIN QUANT,131.0,98.25,12.47,131.0,676 CDM,PX-84484002,PR TROPONIN I QUANT,133.0,99.75,12.47,133.0,676 CDM,PX-84510,PR TYROSINE (PKU-NCCI),141.0,105.75,10.63,141.0,676 CDM,PX-84510002,PR TYROSINE (TYRBS-NCCI),139.0,104.25,10.63,139.0,676 CDM,PX-84510003,PR TYROSINE (SUAC-NCCI),139.0,104.25,10.63,139.0,676 CDM,PX-84520,PR UREA NITROGEN/BUN,32.0,24.0,3.95,32.0,678 CDM,PX-84540,PR UREA NITROGEN URINE,47.0,35.25,5.56,47.0,676 CDM,PX-84550,PR URIC ACID BLOOD,30.0,22.5,4.52,30.0,680 CDM,PX-84560,PR URIC ACID OTHER SOURCE,26.0,19.5,5.08,26.0,676 CDM,PX-84585,PR VANILLYLMANDELIC ACID URINE,136.0,102.0,15.5,136.0,676 CDM,PX-84586,PR VASOACTIVE INTESTINAL PEPTIDE,383.0,287.25,35.33,383.0,676 CDM,PX-84588001,PR COPEPTIN PROAVP,366.0,274.5,33.94,366.0,676 CDM,PX-84590,PR VITAMIN A ASSAY,146.0,109.5,11.61,146.0,676 CDM,PX-84590001,PR VITAMIN A ASSAY 2,146.0,109.5,11.61,146.0,676 CDM,PX-84591002,PR BIOTIN,72.0,54.0,17.06,72.0,676 CDM,PX-84591003,PR ASSAY OF NOS VITAMIN,71.0,53.25,17.06,71.0,676 CDM,PX-84597,PR VITAMIN K ASSAY,138.0,103.5,13.72,138.0,676 CDM,PX-84630,PR ZINC ASSAY,115.0,86.25,11.39,115.0,676 CDM,PX-84681,PR C PEPTIDE ASSAY,125.0,93.75,20.81,125.0,676 CDM,PX-84702,PR BETA HUMAN CHORIONIC GONADTRPN,130.0,97.5,15.05,130.0,676 CDM,PX-84702001,PR BETA HCG QUANTITATIVE,130.0,97.5,15.05,130.0,676 CDM,PX-84702002,PR HCG INTERFERENCE EVAL,132.0,99.0,15.05,132.0,676 CDM,PX-84999004,PR OSMOLALITY STOOL,54.0,40.5,24.3,54.0,676 CDM,PX-84999007,PR POTASSIUM QUANTITATIVE STOOL,44.0,33.0,19.8,44.0,676 CDM,PX-84999014,PR NITROGEN TOTAL 1,160.0,120.0,72.0,160.0,676 CDM,PX-85007,PR BLOOD MANUAL DIFF,30.0,22.5,3.8,30.0,676 CDM,PX-85014,PR HEMATOCRIT,40.0,30.0,2.37,40.0,680 CDM,PX-85018,PR HEMOGLOBIN,31.0,23.25,2.37,31.0,681 CDM,PX-85018002,PR HEMOGLOBIN 3,31.0,23.25,2.37,31.0,681 CDM,PX-85025,PR CBC W AUTO DIFF,36.0,27.0,7.77,36.0,685 CDM,PX-85027,PR CBC AUTO WO DIFF,41.0,30.75,6.47,41.0,684 CDM,PX-85045,PR RETICULOCYTE COUNT AUTO,42.0,31.5,3.99,42.0,678 CDM,PX-85046,PR RETICYTE/HGB CONCENTRATE,34.0,25.5,5.57,34.0,678 CDM,PX-85046001,PR RETICYTE/HGB CONCENTRATE 2,34.0,25.5,5.57,34.0,678 CDM,PX-85048,PR LEUKOCYTE (WBC) COUNT AUTO,26.0,19.5,2.54,26.0,678 CDM,PX-85049,PR PLATELET COUNT AUTO,47.0,35.25,4.48,47.0,678 CDM,PX-85060,PR BLOOD SMEAR INTERPRETATION,142.0,106.5,18.83,142.0,678 CDM,PX-85097,PR BONE MARROW SMEAR INTERP,437.0,327.75,66.47,437.0,677 CDM,PX-85130003,PR CHROMOGENIC FIX,210.0,157.5,11.89,210.0,676 CDM,PX-85130004,PR CHROMOGENIC FVIII 2,208.0,156.0,11.89,208.0,676 CDM,PX-85210,PR FACTOR II ACTIVITY,244.0,183.0,12.98,244.0,676 CDM,PX-85220,PR FACTOR V ACTIVITY,261.0,195.75,17.65,261.0,676 CDM,PX-85230,PR FACTOR VII ACTIVITY,281.0,210.75,17.9,281.0,676 CDM,PX-85240,PR FACTOR VIII 1 STAGE ASSAY,261.0,195.75,17.9,261.0,676 CDM,PX-85245,PR RISTOCETIN COFACTOR,235.0,176.25,22.94,235.0,676 CDM,PX-85246,PR VON WILLEBRAND FACTOR ANTIGEN,261.0,195.75,22.94,261.0,676 CDM,PX-85247,PR WILLEBRAND FACTOR MULTIMERANALYSIS,308.0,231.0,22.94,308.0,676 CDM,PX-85250,PR FACTOR IX ASSAY,261.0,195.75,19.04,261.0,676 CDM,PX-85260,PR CHROMOGENIC FACTOR X ACTIVITY,272.0,204.0,17.9,272.0,676 CDM,PX-85260001,PR FACTOR X ASSAY,272.0,204.0,17.9,272.0,676 CDM,PX-85270,PR FACTOR XI ASSAY,246.0,184.5,17.9,246.0,676 CDM,PX-85280,PR FACTOR XII ASSAY,261.0,195.75,19.35,261.0,676 CDM,PX-85291,PR CLOT SOLUBILITY FACTOR XIII,177.0,132.75,9.11,177.0,676 CDM,PX-85300,PR ANTITHROMBIN III ACTIVITY,215.0,161.25,11.85,215.0,676 CDM,PX-85301,PR ANTITHROMBIN III ANTIGEN,203.0,152.25,10.81,203.0,676 CDM,PX-85302,PR PROTEIN C ANTIGEN,218.0,163.5,12.01,218.0,676 CDM,PX-85303,PR PROTEIN C ACTIVITY,246.0,184.5,13.84,246.0,676 CDM,PX-85305,PR PROTEIN S TOTAL,239.0,179.25,11.61,239.0,676 CDM,PX-85306,PR PROTEIN S FREE,291.0,218.25,15.32,291.0,676 CDM,PX-85307,PR APC RESISTANCE V,234.0,175.5,15.32,234.0,676 CDM,PX-85335,PR FACTOR INHIBITOR SCREEN,270.0,202.5,12.87,270.0,676 CDM,PX-85335005,PR FACTOR INHIBITOR BETHESDA TITER,244.0,183.0,12.87,244.0,676 CDM,PX-85335007,PR CHROMOGENIC FACTOR VIII INHIBITOR,235.0,176.25,12.87,235.0,676 CDM,PX-85335008,PR FACTOR INHIBITOR TEST,244.0,183.0,12.87,244.0,676 CDM,PX-85347,PR COAGULATION TIME ACTIVATED,26.0,19.5,4.28,26.0,676 CDM,PX-85362,PR FDP SEMIQUANT,111.0,83.25,6.89,111.0,676 CDM,PX-85366,PR SOLUBLE FIBIRIN MONOMER COMPLEX,174.0,130.5,80.46,174.0,676 CDM,PX-85379,PR D-DIMER QUANT,202.0,151.5,10.18,202.0,676 CDM,PX-85384,PR FIBRINOGEN ACTIVITY,130.0,97.5,9.72,130.0,676 CDM,PX-85385,PR FIBRINOGEN ANTIGEN,115.0,86.25,14.46,115.0,676 CDM,PX-85390,PR FIBRINOLYSINS/COAGULOPATHY I&R,130.5,97.875,15.48,140.0,1352 CDM,PX-85397003,PR VON WILLEBRAND FACTOR ACTIVITY,300.0,225.0,30.86,300.0,676 CDM,PX-85397005,PR COAG FUNCTIONAL ACTIVITY NOS 2,302.0,226.5,30.86,302.0,676 CDM,PX-85410,PR ALPHA 2 PLASMIN INHIBITOR,203.0,152.25,7.71,203.0,676 CDM,PX-85415,PR PLASMINOGN ACTIVATR 1 ANTG,270.0,202.5,17.19,270.0,676 CDM,PX-85420,PR PLASMINOGEN ACTIVITY,208.0,156.0,6.53,208.0,676 CDM,PX-85520,PR HEPARIN ASSAY,232.0,174.0,13.09,232.0,676 CDM,PX-85549,PR MURAMIDASE (LYSOZYME),146.0,109.5,18.75,146.0,676 CDM,PX-85557,PR OSMOTIC FRAGILITY INCUBATED,127.0,95.25,13.36,127.0,676 CDM,PX-85576,PR PLATELET AGGREGATION EA,140.0,105.0,17.49,155.0,1352 CDM,PX-85597,PR PLATELET NEUTRALIZATION,156.0,117.0,17.98,156.0,676 CDM,PX-85598,PR HEXAGONAL PHOSPHOLIPID ASSAY,185.0,138.75,17.98,185.0,676 CDM,PX-85610,PR PROTHROMBIN TIME,33.0,24.75,4.29,33.0,676 CDM,PX-85611,PR PROTHROMBIN MIXING STUDIES,65.0,48.75,3.94,65.0,676 CDM,PX-85613,PR RUSSELL VIPER VENOM DILUTED,93.0,69.75,9.58,93.0,676 CDM,PX-85635,PR REPTILASE TEST,141.0,105.75,9.85,141.0,676 CDM,PX-85652,PR SEDIMENTATION RATE AUTOMATED,35.0,26.25,2.7,35.0,676 CDM,PX-85660,PR RBC SICKLING REDUCTION,58.0,43.5,5.51,58.0,676 CDM,PX-85670,PR THROMBIN TIME,87.0,65.25,5.77,87.0,676 CDM,PX-85730,PR THROMBOPLASTIN TIME (APTT),50.0,37.5,6.01,50.0,676 CDM,PX-85732,PR APTT MIXING STUDY EACH,104.0,78.0,6.47,104.0,676 CDM,PX-85810,PR VISCOSITY,90.0,67.5,11.67,90.0,676 CDM,PX-85999002,PR EOSINOPHILS U,103.0,77.25,46.35,103.0,676 CDM,PX-85999003,PR EOSINOPHIL COUNT 1,129.0,96.75,58.05,129.0,676 CDM,PX-86001,PR ALLERGEN IGG QUANT/SEMI EA,57.0,42.75,7.82,57.0,676 CDM,PX-86003,PR ALLERGEN IGE QUANT/SEMI EA,31.0,23.25,5.22,31.0,676 CDM,PX-86008,PR ALLERGEN IGE RECOMB/PURIFY EA,53.0,39.75,17.93,53.0,676 CDM,PX-86015,PR ACTIN SMOOTH MUSCLE AB EA,146.0,109.5,12.05,146.0,676 CDM,PX-86021,PR GRANULOCYTE ANTIBODY,199.0,149.25,15.05,199.0,676 CDM,PX-86022,PR PLATELET ANTIBODIES,383.0,287.25,18.37,383.0,676 CDM,PX-86022001,PR HEPARIN - PF4 ANTIBODY (HIT),374.0,280.5,18.37,374.0,676 CDM,PX-86022003,PR PLATELET ANTIBODY CROSSMATCH,379.0,284.25,18.37,379.0,676 CDM,PX-86036,PR ANCA SCREEN EA AB,159.0,119.25,12.05,159.0,676 CDM,PX-86036001,PR ANCA SCREEN EA AB 2,159.0,119.25,12.05,159.0,676 CDM,PX-86038,PR ANTINUCLEAR ANTIBODIES/ANA,101.0,75.75,12.09,101.0,676 CDM,PX-86039002,PR ANTINUCLEAR ANTIBODIES HEP2,84.0,63.0,11.16,84.0,676 CDM,PX-86041,PR ACH RECP MUSC BINDING AB,217.0,162.75,18.4,217.0,676 CDM,PX-86043,PR ACHR MODULATE FLOW CYTO,132.0,99.0,12.05,132.0,676 CDM,PX-86053,PR AQUAPORIN-4 AB FLOW CYTO EA,197.0,147.75,37.73,197.0,676 CDM,PX-86053001,PR AQUAPORIN-4 AB FLOW CYTO EA 2,197.0,147.75,37.73,197.0,676 CDM,PX-86060,PR ANTISTREPTOLYSIN O TITER,73.0,54.75,7.3,73.0,676 CDM,PX-86077,PR BLD BANK PHYS SVCS DIFF XM,158.0,118.5,50.61,158.0,678 CDM,PX-86078,PR TRANSFUSION REACTION WORKUP,230.0,172.5,50.61,230.0,676 CDM,PX-86140,PR C-REACTIVE PROTEIN,68.0,51.0,5.18,68.0,683 CDM,PX-86141,PR CRP HIGH SENSITIVITY,83.0,62.25,12.95,83.0,676 CDM,PX-86146,PR BETA 2 GLYCOPROTEIN I AB EA,183.0,137.25,25.45,183.0,676 CDM,PX-86147,PR CARDIOLIPIN AB EA IG CLASS,178.0,133.5,25.45,178.0,676 CDM,PX-86148,PR ANTI PHOSPHATIDYLSERINE AB,80.0,60.0,16.07,80.0,676 CDM,PX-86148001,"PR PS/PT AB,IGG/IGM,S",80.0,60.0,16.07,80.0,676 CDM,PX-86156,PR COLD AGGLUTININ SCREEN,41.0,30.75,8.07,41.0,676 CDM,PX-86157,PR COLD AGGLUTININ TITER,88.0,66.0,8.06,88.0,676 CDM,PX-86160001,PR COMPLEMENT COMPONENT C1Q,115.0,86.25,12.0,115.0,676 CDM,PX-86160002,PR COMPLEMENT COMPONENT C5/C2,115.0,86.25,12.0,115.0,676 CDM,PX-86160003,PR COMPLEMENT COMPONENT,115.0,86.25,12.0,115.0,676 CDM,PX-86160004,PR COMPLEMENT AG EA COMPONENT,115.0,86.25,12.0,115.0,676 CDM,PX-86160006,PR COMPLEMENT ANTIGEN EACH 1,115.0,86.25,12.0,115.0,676 CDM,PX-86161,PR COMPLEMENT FUNC ACTVTY EA,183.0,137.25,12.0,183.0,676 CDM,PX-86161001,PR COMPLMENT FUNC ACTVTY EA ALT PATHWAY,192.0,144.0,12.0,192.0,676 CDM,PX-86161003,PR COMPLEMENT FUNC ACTVTY EA 3,183.0,137.25,12.0,183.0,676 CDM,PX-86161004,PR COMPLEMENT FUNC ACTVTY EA 2,183.0,137.25,12.0,183.0,676 CDM,PX-86161008,PR COMPLEMENT FUNC ACTVTY EA 6,183.0,137.25,12.0,183.0,676 CDM,PX-86162,PR COMPLEMENT TOTAL,178.0,133.5,20.32,178.0,676 CDM,PX-86200,PR CYCLIC CITRULLINATED PEPT AB,141.0,105.75,12.95,141.0,676 CDM,PX-86215,PR DEOXYRIBONUCLEASE AB,157.0,117.75,13.25,157.0,676 CDM,PX-86225,PR DNA AB NATIVE/DOUBLE STRANDED,120.0,90.0,13.74,120.0,676 CDM,PX-86231,PR ENDOMYSIAL AB EA IG CLASS,167.0,125.25,12.09,167.0,676 CDM,PX-86231001,PR ENDOMYSIAL AB EA IG CLASS 2,140.0,105.0,12.09,140.0,676 CDM,PX-86235,PR EXTRACT NUC AG EA AB,131.0,98.25,17.93,131.0,676 CDM,PX-86235002,PR NUCLEAR ANTIGEN ANTIBODY,131.0,98.25,17.93,131.0,676 CDM,PX-86235004,PR NUCLEAR ANTIGEN ANTIBODY 2,132.0,99.0,17.93,132.0,676 CDM,PX-86255001,PR AMPA R AB CBA,184.0,138.0,12.05,184.0,676 CDM,PX-86255007,PR FLUORESCENT NONINF AG AB EA 9,180.0,135.0,12.05,180.0,676 CDM,PX-86255009,PR FLUORESCENT NONINF AG AB EA 7,184.0,138.0,12.05,184.0,676 CDM,PX-86255016,PR FLUORESCENT NONINF AG AB EA 6,184.0,138.0,12.05,184.0,676 CDM,PX-86255022,PR AMPHIPHYSIN AB TITER,182.0,136.5,12.05,182.0,676 CDM,PX-86255023,PR CRMP 5 IGG TITER,222.0,166.5,12.05,262.0,1352 CDM,PX-86255024,PR GLIAL NUCLEAR AB TITER,222.0,166.5,12.05,262.0,1352 CDM,PX-86255025,PR PURKINJE CELL AB TITER,222.0,166.5,12.05,262.0,1352 CDM,PX-86255026,PR FLUORESCENT ANTIBODY SCREEN,187.0,140.25,12.05,187.0,676 CDM,PX-86255029,PR CASPR2-IGG AB TITER,227.5,170.625,12.05,266.0,1352 CDM,PX-86255030,PR LGI1-IGG AB CBA TITER,224.0,168.0,12.05,264.0,1352 CDM,PX-86255031,PR FLUORESCENT NONINFCT AG AB EA LEV2,227.5,170.625,12.05,266.0,1352 CDM,PX-86255034,PR THSD7A AB,187.0,140.25,12.05,187.0,676 CDM,PX-86255035,PR PARANEOPLASTIC PEMPHIGUS,180.0,135.0,12.05,180.0,676 CDM,PX-86255036,PR GFAP IFA,189.0,141.75,12.05,189.0,676 CDM,PX-86255037,PR GFAP CBA,182.0,136.5,12.05,182.0,676 CDM,PX-86255038,PR FLUORESCENT NONINF AG AB EA 4,189.0,141.75,12.05,189.0,676 CDM,PX-86255043,PR FLUORESCENT NONINF AG AB EA 8,162.0,121.5,12.05,162.0,676 CDM,PX-86255044,PR CONTACTIN-1 IGG CBA,162.0,121.5,12.05,162.0,676 CDM,PX-86255045,"PR RARE SUBEPI BLISTERING VARIANTS, S",187.0,140.25,12.05,187.0,676 CDM,PX-86255046,PR FLUORESCENT NONINF AG AB EA 10,181.0,135.75,12.05,181.0,676 CDM,PX-86256010,PR FLUORESCENT AB TITER EA 2,125.0,93.75,12.05,125.0,676 CDM,PX-86256019,PR FLUORESCENT AB TITER EA LEV 2,125.0,93.75,12.05,125.0,676 CDM,PX-86256021,PR FLUORESCENT AB TITER EA 3,125.0,93.75,12.05,125.0,676 CDM,PX-86256022,PR GFAP IFA TITER,122.0,91.5,12.05,122.0,676 CDM,PX-86256023,PR SRP IFA TITER,125.0,93.75,12.05,125.0,676 CDM,PX-86258,PR GLIADIN AB EA IG CLASS,156.0,117.0,12.05,156.0,676 CDM,PX-86300,PR IMMUNOASSAY TUMOR CA 15.3,190.0,142.5,20.81,190.0,676 CDM,PX-86300001,PR IMMUNOASSAY TUMOR CA 27.29/CA 15-3,190.0,142.5,20.81,190.0,676 CDM,PX-86301,PR IMMUNOASSAY TUMOR CA 19-9,234.0,175.5,20.81,234.0,676 CDM,PX-86301001,PR IMMUNOASSAY TUMOR CA 19-9 1,232.0,174.0,20.81,232.0,676 CDM,PX-86304,PR IMMUNOASSAY TUMOR CA 125,188.0,141.0,20.81,188.0,679 CDM,PX-86305,PR HUMAN EPIDIDYMIS PROTEIN 4/HE4,350.0,262.5,20.81,350.0,676 CDM,PX-86308,PR HETEROPHILE AB SCREEN,61.0,45.75,5.18,61.0,676 CDM,PX-86316001,PR ALPHA-FETOPROTEIN CSF QUANT,227.0,170.25,20.81,227.0,676 CDM,PX-86316002,PR CHROMOGRANIN A QUANT,234.0,175.5,20.81,234.0,676 CDM,PX-86316004,PR IMMUNOASSAY TUMOR OTHER QUANT,239.0,179.25,20.81,239.0,676 CDM,PX-86317001,PR ANTI-DIPTHERIA TOXOID IGG,78.0,58.5,14.99,78.0,676 CDM,PX-86317002,PR ANTI-TETANUS TOXOID IGG,78.0,58.5,14.99,78.0,676 CDM,PX-86317006,PR HBV SURFACE AB QUANT,77.0,57.75,14.99,77.0,676 CDM,PX-86317014,PR S PNEUMONIAE IGG AB TOTAL,76.0,57.0,14.99,76.0,676 CDM,PX-86334,PR IFE SERUM,153.5,115.125,17.49,180.0,1356 CDM,PX-86334003,PR IFE SERUM 2,194.0,145.5,22.34,194.0,676 CDM,PX-86335,PR IFE URINE,221.0,165.75,29.35,221.0,676 CDM,PX-86335001,PR IFE OTHER FLUIDS,229.0,171.75,29.35,229.0,676 CDM,PX-86336,PR INHIBIN A,130.0,97.5,15.59,130.0,676 CDM,PX-86337,PR INSULIN AB,241.0,180.75,21.41,241.0,676 CDM,PX-86340,PR INTRINSIC FACTOR AB,185.0,138.75,15.08,185.0,676 CDM,PX-86341001,PR GAD65 AB,225.0,168.75,23.57,225.0,676 CDM,PX-86341002,PR IA2 AB,236.0,177.0,23.57,236.0,676 CDM,PX-86341003,"PR ZNT8, AB",236.0,177.0,23.57,236.0,676 CDM,PX-86352003,PR CELLULAR FUNCTION W STIM 1,330.0,247.5,135.86,330.0,676 CDM,PX-86352004,PR CELLULAR FUNCTION W STIM 2,314.0,235.5,135.86,314.0,676 CDM,PX-86353,PR LYMPHOCYTE BLASTOGENESIS MITOGENS,303.0,227.25,49.03,303.0,676 CDM,PX-86353001,PR LYMPHOCYTE BLASTOGENESIS AG,303.0,227.25,49.03,303.0,676 CDM,PX-86353002,PR LYMPHOCYTE BLASTOGENESIS,303.0,227.25,49.03,303.0,676 CDM,PX-86353003,PR LYMPHOCYTE BLASTOGENESIS AG 1,303.0,227.25,49.03,303.0,676 CDM,PX-86353004,PR LYMPHOCYTE BLASTOGENESIS AG 2,303.0,227.25,49.03,303.0,676 CDM,PX-86355,PR B CELL TOTAL COUNT,183.0,137.25,37.73,183.0,676 CDM,PX-86355002,PR B CELL TOTAL COUNT 2,183.0,137.25,37.73,183.0,676 CDM,PX-86356,PR MONONUCLEAR CELL AG EA,174.0,130.5,26.78,174.0,676 CDM,PX-86356001,PR MONONUCLEAR CELL ANTIGEN,169.0,126.75,26.78,169.0,676 CDM,PX-86356005,PR MONONUCLEAR CELL AG EA 1,177.0,132.75,26.78,177.0,676 CDM,PX-86356007,PR MONONUCLEAR CELL AG EA 3,174.0,130.5,26.78,174.0,676 CDM,PX-86356008,PR MONONUCLEAR CELL AG EA 4,174.0,130.5,26.78,174.0,676 CDM,PX-86356011,PR MONONUCLEAR CELL AG EA 7,170.0,127.5,26.78,170.0,676 CDM,PX-86357,PR NATURAL KILLER TOTAL COUNT,45.0,33.75,30.45,45.0,676 CDM,PX-86357002,PR NATURAL KILLER TOTAL COUNT 2,45.0,33.75,30.45,45.0,676 CDM,PX-86359,PR T CELL TOTAL COUNT,192.0,144.0,37.73,192.0,676 CDM,PX-86359001,PR T CELL TOTAL COUNT 1,183.0,137.25,37.73,183.0,676 CDM,PX-86360,PR T CELL ABSOLUTE CD4/CD8 RATIO,275.0,206.25,46.98,275.0,676 CDM,PX-86361001,PR T CELL ABSOLUTE COUNT,189.0,141.75,26.78,189.0,676 CDM,PX-86363,PR MOG-IGG1 AB FLOW CYTO EA,169.0,126.75,37.73,169.0,676 CDM,PX-86364,PR TISSUE TRANSGLUTAMINASE EA IG CLASS,125.0,93.75,11.53,125.0,676 CDM,PX-86366,PR MUSK AUTO AB,217.0,162.75,18.4,217.0,676 CDM,PX-86367,PR STEM CELLS TOTAL COUNT,265.0,198.75,77.78,265.0,676 CDM,PX-86376,PR MICROSOMAL AB EA,111.0,83.25,14.55,111.0,676 CDM,PX-86376001,PR MICROSOMAL AB EA/TPO,116.0,87.0,14.55,116.0,676 CDM,PX-86381,PR MITOCHONDRIAL AB EA,161.0,120.75,25.45,161.0,676 CDM,PX-86431,PR RHEUMATOID FACTOR QUANT,57.0,42.75,5.67,57.0,676 CDM,PX-86480002,PR TB TEST CELL IMMUNITY MEASURE 2,263.0,197.25,61.98,263.0,676 CDM,PX-86580,PR TB INTRADERMAL TEST,49.0,36.75,10.64,49.0,677 CDM,PX-86581,PR STREP PNEUM AB MULTIPLEX,345.0,258.75,92.03,345.0,676 CDM,PX-86592,PR VDRL,42.0,31.5,4.27,42.0,676 CDM,PX-86592004,PR SYPHILIS TEST RPR QUAL,42.0,31.5,4.27,42.0,676 CDM,PX-86593,PR SYPHILIS NON-TREPONEMAL AB QUAN,47.0,35.25,4.4,47.0,676 CDM,PX-86596,PR VOLTAGE-GTD CA CHNL AB EA,202.0,151.5,12.05,202.0,676 CDM,PX-86606,PR ASPERGILLUS AB EACH,99.0,74.25,15.05,99.0,676 CDM,PX-86611,PR BARTONELLA AB EACH,91.0,68.25,10.18,91.0,676 CDM,PX-86612,PR BLASTOMYCES AB,157.0,117.75,12.9,157.0,676 CDM,PX-86612001,PR BLASTOMYCES AB EIA,158.0,118.5,12.9,158.0,676 CDM,PX-86615,PR BORDETELLA AB EACH,157.0,117.75,13.19,157.0,676 CDM,PX-86617,PR LYME DISEASE CONFIRMATORY TEST,126.0,94.5,15.49,126.0,676 CDM,PX-86617002,PR LYME DISEASE CONFIRMATORY TEST 2,115.0,86.25,15.49,115.0,676 CDM,PX-86618,PR LYME DISEASE AB,156.0,117.0,17.03,156.0,676 CDM,PX-86618004,PR LYME DISEASE AB 4,158.0,118.5,17.03,158.0,676 CDM,PX-86622,PR BRUCELLA AB EACH,105.0,78.75,8.93,105.0,676 CDM,PX-86622001,PR BRUCELLA AB EACH AGGLUTINATION,111.0,83.25,8.93,111.0,676 CDM,PX-86631,PR CHLAMYDIA AB,126.0,94.5,11.82,126.0,676 CDM,PX-86631002,PR CHLAMYDIA AB 2,125.0,93.75,11.82,125.0,676 CDM,PX-86632,PR CHLAMYDIA IGM AB,126.0,94.5,12.68,126.0,676 CDM,PX-86632002,PR CHLAMYDIA IGM AB 2,136.0,102.0,12.68,136.0,676 CDM,PX-86635,PR COCCIDIOIDES AB,125.0,93.75,11.47,125.0,676 CDM,PX-86635002,PR COCCIDIOIDES AB 2,125.0,93.75,11.47,125.0,676 CDM,PX-86638002,PR Q FEVER/COXIELLA BRUNETII AB IGG,101.0,75.75,12.12,101.0,676 CDM,PX-86638003,PR Q FEVER/COXIELLA BRUNETII AB IGM,101.0,75.75,12.12,101.0,676 CDM,PX-86638005,PR QFEVER ANTIBODY SCRN,109.0,81.75,12.12,109.0,676 CDM,PX-86644,PR CYTOMEGALOVIRUS AB,157.0,117.75,14.39,157.0,676 CDM,PX-86645,PR CYTOMEGALOVIRUS AB IGM,161.0,120.75,16.85,161.0,676 CDM,PX-86651001,PR ENCEPHALITIS CALIFORNIA AB IGG,115.0,86.25,13.19,115.0,676 CDM,PX-86651002,PR ENCEPHALITIS CALIFORNIA AB IGM,115.0,86.25,13.19,115.0,676 CDM,PX-86652001,PR ENCEPHALITIS EAST EQUINE AB IGG,167.0,125.25,13.19,167.0,676 CDM,PX-86652002,PR ENCEPHALITIS EAST EQUINE AB IGM,167.0,125.25,13.19,167.0,676 CDM,PX-86653001,PR ENCEPHALITIS ST LOUIS AB IGG,136.0,102.0,13.19,136.0,676 CDM,PX-86653002,PR ENCEPHALITIS ST LOUIS AB IGM,136.0,102.0,13.19,136.0,676 CDM,PX-86654001,PR ENCEPHALITIS WEST EQUINE AB IGG,136.0,102.0,13.19,136.0,676 CDM,PX-86654002,PR ENCEPHALITIS WEST EQUINE AB IGM,136.0,102.0,13.19,136.0,676 CDM,PX-86664,PR EPSTEIN-BARR NUCLEAR AG AB,105.0,78.75,15.29,105.0,676 CDM,PX-86665,PR EPSTEIN-BARR VIRAL CAPSID AB EA,141.0,105.75,18.14,141.0,676 CDM,PX-86666,PR EHRLICHIA ANTIBODY,166.0,124.5,10.18,166.0,676 CDM,PX-86666001,PR EHRLICHIA ANTIBODY 1,166.0,124.5,10.18,166.0,676 CDM,PX-86668001,PR FRANCISELLA TULARENSIS 1,94.0,70.5,14.16,94.0,676 CDM,PX-86668002,PR FRANCISELLA TULARENSIS 2,94.0,70.5,14.16,94.0,676 CDM,PX-86671002,PR SPOROTHRIX AB,181.0,135.75,12.25,181.0,676 CDM,PX-86671003,PR FUNGUS AB NES EACH 2,191.0,143.25,12.25,191.0,676 CDM,PX-86682002,PR ECHINOCOCCUS AB IGG,227.0,170.25,13.01,227.0,676 CDM,PX-86682004,PR SCHISTOSOMA AB,227.0,170.25,13.01,227.0,676 CDM,PX-86682006,PR STRONGYLOIDES AB IGG,227.0,170.25,13.01,227.0,676 CDM,PX-86682011,PR HELMINTH AB NES 2,227.0,170.25,13.01,227.0,676 CDM,PX-86682012,PR HELMINTH AB NES 3,176.0,132.0,13.01,176.0,676 CDM,PX-86684001,PR HAEMOPHILUS INFL B AB IGG,209.0,156.75,15.84,209.0,676 CDM,PX-86689,PR HTLV AB CONFIRMATORY TEST,235.0,176.25,19.35,235.0,676 CDM,PX-86692001,"PR HDV TOTAL AB, S",209.0,156.75,17.16,209.0,676 CDM,PX-86695,PR HERPES SIMPLEX TYPE 1 AB,96.0,72.0,13.19,96.0,676 CDM,PX-86696,PR HERPES SIMPLEX TYPE 2 AB,112.0,84.0,19.35,112.0,676 CDM,PX-86698,PR HISTOPLASMA AB EA,141.0,105.75,13.79,141.0,676 CDM,PX-86701,PR HIV 1 AB,121.0,90.75,8.89,121.0,676 CDM,PX-86702,PR HIV 2 AB,195.0,146.25,13.52,195.0,676 CDM,PX-86704,PR HBV CORE AB TOTAL,108.0,81.0,12.05,108.0,676 CDM,PX-86704004,"PR HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,81.75,12.05,109.0,676 CDM,PX-86705,PR HBV CORE IGM AB,115.0,86.25,11.77,115.0,676 CDM,PX-86706,PR HBV SURFACE AB,94.0,70.5,10.74,94.0,676 CDM,PX-86706003,"PR HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",94.0,70.5,10.74,94.0,676 CDM,PX-86707,PR HBV E AB,119.0,89.25,11.57,119.0,676 CDM,PX-86708,PR HAV AB TOTAL,104.0,78.0,12.39,104.0,676 CDM,PX-86709,PR HAV IGM AB,105.0,78.75,11.26,105.0,676 CDM,PX-86713,PR LEGIONELLA AB,167.0,125.25,15.3,167.0,676 CDM,PX-86717,PR LEISHMANIA AB,188.0,141.0,12.25,188.0,676 CDM,PX-86720,PR LEPTOSPIRA AB,188.0,141.0,16.2,188.0,676 CDM,PX-86735001,PR MUMPS AB IGG,110.0,82.5,13.05,110.0,676 CDM,PX-86735002,PR MUMPS AB IGM,110.0,82.5,13.05,110.0,676 CDM,PX-86738,PR M PNEUMONIAE AB,136.0,102.0,13.24,136.0,676 CDM,PX-86738001,PR M PNEUMONIAE AB EIA,136.0,102.0,13.24,136.0,676 CDM,PX-86747,PR PARVOVIRUS AB,125.0,93.75,15.03,125.0,676 CDM,PX-86753,PR PROTOZOA AB NES,153.0,114.75,12.39,153.0,676 CDM,PX-86753006,PR TRYPANOSOMA CRUZI AB IGG,164.0,123.0,12.39,164.0,676 CDM,PX-86753008,PR PRTZA BABESIA MICROTI AB,164.0,123.0,12.39,164.0,676 CDM,PX-86753012,PR PRTZA ENTAMOEBA HISTOLYTICA AB 2,175.0,131.25,12.39,175.0,676 CDM,PX-86757001,PR RICKETTSIA AB IGG,157.0,117.75,19.35,157.0,676 CDM,PX-86757002,PR RICKETTSIA AB IGM,157.0,117.75,19.35,157.0,676 CDM,PX-86762,PR RUBELLA AB,107.0,80.25,14.39,107.0,676 CDM,PX-86762001,PR RUBELLA AB IGG,109.0,81.75,14.39,109.0,676 CDM,PX-86765001,PR RUBEOLA AB IGG,109.0,81.75,12.88,109.0,676 CDM,PX-86765002,PR RUBEOLA AB IGM,110.0,82.5,12.88,110.0,676 CDM,PX-86769005,PR SARS-COV-2 SPIKE AB,88.0,66.0,42.13,88.0,676 CDM,PX-86777,PR TOXOPLASMA AB IGG,137.0,102.75,14.39,137.0,676 CDM,PX-86778,PR TOXOPLASMA IGM AB,145.0,108.75,14.41,145.0,676 CDM,PX-86780001,PR SYPHILIS IGG AB,146.0,109.5,13.24,146.0,676 CDM,PX-86780002,PR SYPHILIS TPPA,146.0,109.5,13.24,146.0,676 CDM,PX-86780005,PR TREPONEMA PALLIDUM AB 2,146.0,109.5,13.24,146.0,676 CDM,PX-86784001,PR TRICHINELLA 2,146.0,109.5,12.56,146.0,676 CDM,PX-86787001,PR VARICELLA ZOSTER AB IGM,104.0,78.0,12.88,104.0,676 CDM,PX-86787002,PR VARICELLA ZOSTER AB,105.0,78.75,12.88,105.0,676 CDM,PX-86788,PR WEST NILE VIRUS AB IGM,156.0,117.0,16.85,156.0,676 CDM,PX-86789,PR WEST NILE VIRUS AB IGG,88.0,66.0,14.39,88.0,676 CDM,PX-86790001,PR CHIKUNGUNYA AB EA,208.0,156.0,12.88,208.0,676 CDM,PX-86790003,PR DENGUE FEVER EA,216.0,162.0,12.88,216.0,676 CDM,PX-86790006,PR HEV AB,207.0,155.25,12.88,207.0,676 CDM,PX-86790007,PR HEV IGM AB CONFIRM,202.0,151.5,12.88,202.0,676 CDM,PX-86790009,PR HTLV I AB,207.0,155.25,12.88,207.0,676 CDM,PX-86790020,PR HEV AB 1,196.0,147.0,12.88,196.0,676 CDM,PX-86794,PR ZIKA VIRUS AB,202.0,151.5,16.85,202.0,676 CDM,PX-86800,PR THYROGLOBULIN AB,120.0,90.0,15.91,120.0,676 CDM,PX-86803001,PR HCV AB SCREEN,140.0,105.0,14.27,140.0,676 CDM,PX-86803002,PR HCV AB W REFLEX,140.0,105.0,14.27,140.0,676 CDM,PX-86804,PR HCV AB CONFIRMATION,277.0,207.75,15.49,277.0,676 CDM,PX-86812,PR HLA TYPING A/B/C SNGL AG,163.0,122.25,25.81,163.0,676 CDM,PX-86825,PR FLOW CYTOMETRIC CROSSMATCH,495.0,371.25,109.49,495.0,676 CDM,PX-86826,PR HLA CROSSMATCH EACH SERUM,273.0,204.75,36.53,273.0,676 CDM,PX-86832,PR HLA AB CLASS I SOLID PHASE,833.0,624.75,323.75,833.0,676 CDM,PX-86833,PR HLA AB CLASS II SOLID PHASE,721.0,540.75,325.8,721.0,676 CDM,PX-86850,PR ANTIBODY SCREEN RBC EA SERUM,71.0,53.25,9.77,71.0,676 CDM,PX-86850001,PR ANTIBODY SCREEN RBC EA SERUM BS,71.0,53.25,9.77,71.0,676 CDM,PX-86860,PR ANTIBODY ELUTION RBC EACH,154.0,115.5,69.3,154.0,676 CDM,PX-86860001,PR ANTIBODY ELUTION RBC EACH BS,152.0,114.0,68.4,152.0,676 CDM,PX-86870,PR ANTIBODY ID RBC EACH PANEL,181.0,135.75,9.05,181.0,676 CDM,PX-86880,PR DIRECT COOMBS EA ANTISERUM,57.0,42.75,5.39,57.0,676 CDM,PX-86880002,PR DIRECT COOMBS C3 EA ANTISERUM,57.0,42.75,5.39,57.0,676 CDM,PX-86886,PR AHG INDIRECT TITER EA,78.0,58.5,5.18,78.0,676 CDM,PX-86886002,PR ALLO ANTIBODY TITER,72.0,54.0,5.18,72.0,676 CDM,PX-86900,PR BLOOD TYPING ABO,45.0,33.75,2.99,45.0,676 CDM,PX-86900001,PR BLOOD TYPING ABO BS,45.0,33.75,2.99,45.0,676 CDM,PX-86901,PR BLOOD TYPING RH(D),45.0,33.75,2.99,45.0,676 CDM,PX-86901001,PR BLOOD TYPING RH(D) BS,45.0,33.75,2.99,45.0,676 CDM,PX-86902,PR BLOOD TYPING DONOR UNIT EA AG,167.0,125.25,6.35,167.0,676 CDM,PX-86902001,PR BLOOD TYPING DONOR UNIT EA AG BS,174.0,130.5,6.35,174.0,676 CDM,PX-86905,PR RBC AG NOT ABO/RH(D) EA,76.0,57.0,3.83,76.0,676 CDM,PX-86905001,PR RBC AG NOT ABO/RH(D) EA BS,75.0,56.25,3.83,75.0,676 CDM,PX-86906001,PR RH PHENOTYPING COMPLETE BS,81.0,60.75,7.75,81.0,676 CDM,PX-86920,PR COMPATIBILITY TEST IMM SPIN EA,201.0,150.75,90.45,201.0,676 CDM,PX-86922,PR COMPATIBILITY TEST AG EA,139.0,104.25,6.95,139.0,676 CDM,PX-86923,PR COMPATIBILITY TEST ELECTRONIC,103.0,77.25,46.35,103.0,676 CDM,PX-86940,PR HEMOLYSINS/AGGLUTININS AUTO,232.0,174.0,8.77,232.0,676 CDM,PX-86941,PR HEMOLYSIN/AGGLUT INCUBATED,165.0,123.75,12.11,165.0,676 CDM,PX-86970,PR PRETREAT RBC AB ID DRUG EA,191.0,143.25,85.95,191.0,676 CDM,PX-86978,PR PRETREAT SERUM AB ID ABSRP EA,200.0,150.0,10.0,200.0,676 CDM,PX-86978001,PR PRETREAT SERUM AB ID ABSRP EA BS,191.0,143.25,9.55,191.0,676 CDM,PX-87015,PR CONC FOR INFECTIOUS AGENT,36.0,27.0,6.68,36.0,676 CDM,PX-87040,PR CULT BLOOD ISOL W PRES ID,98.0,73.5,10.32,98.0,676 CDM,PX-87046001,PR STOOL CULT AEROBIC BACT EA,74.0,55.5,9.44,74.0,676 CDM,PX-87070,PR CULT AEROBIC OTHER PRESUMPT ID,85.0,63.75,8.62,85.0,676 CDM,PX-87075,PR CULT ANAEROBIC ISOL PRES ID,113.0,84.75,9.47,113.0,676 CDM,PX-87076,PR CULT ANAEROBIC DEFIN ID EA ISOL,31.0,23.25,8.08,31.0,676 CDM,PX-87077,PR CULT AEROBIC DEFIN ID EA ISOL,35.0,26.25,8.08,35.0,676 CDM,PX-87077003,PR CULT AEROBIC DEFIN ID EA ISOL 2,36.0,27.0,8.08,36.0,676 CDM,PX-87081,PR CULT SINGLE SPECIFIC ORG EACH,68.0,51.0,6.63,68.0,676 CDM,PX-87081002,PR CULT SINGLE SPECIFIC ORG EACH 1,68.0,51.0,6.63,68.0,676 CDM,PX-87086,PR CULT/COLONY COUNT QUANT URINE,72.0,54.0,8.07,72.0,676 CDM,PX-87088,PR CULT PRESUMPT ID EA ISOL URINE,30.0,22.5,8.09,30.0,676 CDM,PX-871000001,HC CAR-T; HARVESTING CELLS,12990.0,9742.5,5845.5,12990.0,911 CDM,PX-87101,PR CULT FUNGI PRES ID HAIR/SK/NA,103.0,77.25,7.71,103.0,676 CDM,PX-87102,PR CULT FUNGI PRESUMPT ID OTHER,69.0,51.75,8.41,69.0,676 CDM,PX-87103,PR CULT FUNGI PRES ID BLOOD,98.0,73.5,20.46,98.0,676 CDM,PX-87106,PR CULT FUNGI DEFIN ID YEAST,83.0,62.25,10.32,83.0,676 CDM,PX-87107,PR CULT FUNGI DEFIN ID MOLD,47.0,35.25,10.32,47.0,676 CDM,PX-87116,PR CULT AFB PRES ID,67.0,50.25,10.8,67.0,676 CDM,PX-87118,PR CULT MYCOBACTERIA DEFIN ID,76.0,57.0,14.61,76.0,676 CDM,PX-87147002,PR SEROTYPING AGGLUT EA METH 2,26.0,19.5,5.18,26.0,676 CDM,PX-87149,PR CULT TYPE ID BY NUCLEIC ACID,112.0,84.0,20.05,112.0,676 CDM,PX-87150003,PR CULT TYPE ID BY AMPL PROBE,193.0,144.75,35.09,193.0,676 CDM,PX-87150006,PR MYCOBACTERIA BROTH PROBE ID,160.0,120.0,35.09,160.0,676 CDM,PX-87150008,PR CULT TYPE ID BY AMPL PROBE 2,160.0,120.0,35.09,160.0,676 CDM,PX-87150015,PR DNA/RNA AMPLIFIED PROBE EACH 2,186.0,139.5,35.09,186.0,676 CDM,PX-87150023,PR DNA/RNA AMPLIFIED PROBE (BCBS/BCYST-NCCI),202.0,151.5,35.09,202.0,676 CDM,PX-87153001,PR CULT ID BY SEQUENCING ANAEROBE,469.0,351.75,115.36,469.0,676 CDM,PX-87153002,PR CULTURE TYPING BY NUC ACID SEQ 1,469.0,351.75,115.36,469.0,676 CDM,PX-87153003,PR CULTURE TYPING BY NUC ACID SEQ 3,473.0,354.75,115.36,473.0,676 CDM,PX-87153005,PR CULTURE TYPING BY NUC ACID SEQ 2,469.0,351.75,115.36,469.0,676 CDM,PX-87154,PR CULTURE TYPE BLD PATH 6+ TARGET,436.0,327.0,196.2,436.0,676 CDM,PX-87168,PR MACROSCOPIC EXAM ARTHROPOD,71.0,53.25,4.27,71.0,676 CDM,PX-87169,PR MACROSCOPIC EXAM PARASITE,47.0,35.25,4.31,47.0,676 CDM,PX-87172,PR PINWORM EXAM,62.0,46.5,4.27,62.0,676 CDM,PX-87176,PR HOMOGENIZATION TISS FOR CULT,47.0,35.25,5.88,47.0,676 CDM,PX-87177,PR OVA & PARASITE CONC & ID,83.0,62.25,8.9,83.0,676 CDM,PX-87181,PR ANTIMICROBIAL SUSCEPTIBILITY,47.0,35.25,4.75,47.0,676 CDM,PX-87184,PR SUSCEPTIBILITY DISK PER PLATE,36.0,27.0,7.48,36.0,676 CDM,PX-87185001,PR BETA LACTAMASE,46.0,34.5,4.75,46.0,676 CDM,PX-87186,PR SUSCEPTIBILITY PER PLATE 1,87.0,65.25,8.65,87.0,676 CDM,PX-87186001,PR SUSCEPTIBILITY PER PLATE 2,90.0,67.5,8.65,90.0,676 CDM,PX-87186002,PR SUSCEPTIBLITY PANEL YEAST,86.0,64.5,8.65,86.0,676 CDM,PX-87186004,PR SUSCEPTIBILITY PER PLATE 3,91.0,68.25,8.65,91.0,676 CDM,PX-87186005,PR SUSCEPTIBILITY PER PLATE 4,88.0,66.0,8.65,88.0,676 CDM,PX-87188,PR SUSCEPT MACROBROTH EA DRUG,88.0,66.0,6.64,88.0,676 CDM,PX-872000002,HC CAR-T; CRYO FOR TRANSPORT,14985.0,11238.75,6743.25,14985.0,911 CDM,PX-872000003,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,9890.0,7417.5,4450.5,9890.0,911 CDM,PX-87205,PR SMEAR GRAM STAIN,36.0,27.0,4.27,36.0,676 CDM,PX-87206,PR SMEAR ACID FAST ANY SOURCE,37.0,27.75,5.39,37.0,676 CDM,PX-87206001,PR SMEAR PNEUMOCYSTIS,37.0,27.75,5.39,37.0,676 CDM,PX-87207,PR SPECIAL STAIN INCL OR PARASITE,88.0,66.0,5.99,88.0,676 CDM,PX-87207001,PR SMEAR FILARIA BLOOD,87.0,65.25,5.99,87.0,676 CDM,PX-87207002,PR SMEAR MALARIA/BABESIA,83.0,62.25,5.99,83.0,676 CDM,PX-87209,PR SMEAR COMPLEX STAIN O&P,115.0,86.25,17.98,115.0,676 CDM,PX-87209001,PR STAIN SLIDE EXAM,115.0,86.25,17.98,115.0,676 CDM,PX-87210,PR SMEAR WET MOUNT,40.0,30.0,5.82,40.0,676 CDM,PX-87220,PR KOH FUNGI SKIN/HAIR/NAILS,57.0,42.75,4.27,57.0,677 CDM,PX-873000001,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,11565.0,6939.0,15420.0,909 CDM,PX-87305,PR ASPERGILLUS AG EIA,211.0,158.25,11.98,211.0,676 CDM,PX-87324,PR CLOSTRIDIUM TOXIN AG EIA,144.0,108.0,11.98,144.0,676 CDM,PX-87328,PR CRYPTOSPORIDIUM AG EIA,125.0,93.75,13.82,125.0,676 CDM,PX-87329,PR GIARDIA AG EIA,115.0,86.25,11.98,115.0,676 CDM,PX-87338,PR H PYLORI STOOL AG EIA,219.0,164.25,14.38,219.0,676 CDM,PX-87340,PR HEP B SURF AG,83.0,62.25,10.33,83.0,676 CDM,PX-87340003,"PR HEP B SCRN SURF AG IA (HBGPS, HBGSN)",83.0,62.25,10.33,83.0,676 CDM,PX-87341,PR EIA HEP B AG NEUTRALIZATION,110.0,82.5,10.33,110.0,676 CDM,PX-87350,PR HEPATITIS BE AG EIA,113.0,84.75,11.53,113.0,676 CDM,PX-87385,PR HISTOPLASMA CAPSULATUM AG EIA,199.0,149.25,13.25,199.0,676 CDM,PX-87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN,159.0,119.25,24.08,159.0,676 CDM,PX-87389002,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,158.0,118.5,24.08,158.0,676 CDM,PX-87389003,PR HIV-1 AG W/HIV-1 & HIV-2 AB,159.0,119.25,24.08,159.0,676 CDM,PX-874000001,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,10356.75,221.51,13809.0,915 CDM,PX-87449012,PR BLASTOMYCES AG,243.0,182.25,11.98,243.0,676 CDM,PX-87449016,PR FUNGITELL,196.0,147.0,11.98,196.0,676 CDM,PX-87449017,PR BLASTOMYCES AG QUANT EIA,227.0,170.25,11.98,227.0,676 CDM,PX-87449018,PR AG DETECT NOS EIA MULT 2,145.0,108.75,11.98,145.0,676 CDM,PX-87467,PR HEPATITIS B SURFACE AG QUAN,118.0,88.5,25.32,118.0,676 CDM,PX-87468,PR ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),127.0,95.25,35.09,127.0,676 CDM,PX-87469,PR BABESIA (LBAB/LBABP-NCCI),127.0,95.25,35.09,127.0,676 CDM,PX-87476002,PR B BURGDORFERI PCR (PBORB/PBORR-NCCI),393.0,294.75,35.09,393.0,676 CDM,PX-87478,PR BORRELIA MIYAMOTOI AMP PRB,127.0,95.25,35.09,127.0,676 CDM,PX-87478001,PR BORRELIA MIYAMOTOI AMP PRB 2,126.0,94.5,35.09,126.0,676 CDM,PX-87483,PR CNS DNA AMP PROBE TYPE 12-25,834.0,625.5,416.78,834.0,676 CDM,PX-87484,PR EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),117.0,87.75,35.09,117.0,676 CDM,PX-87491,PR CHLAMYDIA TRACH DNA AMPL PROBE,140.0,105.0,35.09,140.0,676 CDM,PX-87491002,PR CHLAMYDIA TRACHOMATIS PCR,139.0,104.25,35.09,139.0,676 CDM,PX-87491004,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGGX-NCCI),141.0,105.75,35.09,141.0,676 CDM,PX-87491005,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),144.0,108.0,35.09,144.0,676 CDM,PX-87493,PR C DIFFICILE TOXIN AMPL PROBE,170.0,127.5,37.27,170.0,676 CDM,PX-87496,PR CYTOMEGALOVIRUS DETECTION/PCR,236.0,177.0,35.09,236.0,676 CDM,PX-87496001,PR CMV DNA AMPL PROBE QUAL,229.0,171.75,35.09,229.0,676 CDM,PX-87497,PR CMV PCR QUANT,453.0,339.75,42.84,453.0,676 CDM,PX-87498,PR ENTEROVIRUS,199.0,149.25,35.09,199.0,676 CDM,PX-87500,PR VANCO RESISTANCE DNA AMPL,101.0,75.75,35.09,101.0,676 CDM,PX-87507,PR GASTROINTESTIONAL PATHOGEN PANEL,834.0,625.5,416.78,834.0,676 CDM,PX-87517,PR HEP B PCR QUANT,631.0,473.25,42.84,631.0,676 CDM,PX-87522,PR HEP C PCR QUANT,499.0,374.25,42.84,499.0,676 CDM,PX-87522001,PR HEP C PCR QUANT 1,495.0,371.25,42.84,495.0,676 CDM,PX-87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),183.0,137.25,35.09,183.0,676 CDM,PX-87529002,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),366.0,274.5,35.09,366.0,676 CDM,PX-87532,PR HHV-6 BY RAPID PCR,187.0,140.25,35.09,187.0,676 CDM,PX-87533001,PR HHV-6 DNA QUANT,518.0,388.5,41.76,518.0,676 CDM,PX-87535004,PR HIV-1 DNA AMPL PROBE 2,392.0,294.0,35.09,392.0,676 CDM,PX-87536,PR HIV 1 PCR QUANT,512.0,384.0,85.1,512.0,676 CDM,PX-87538002,PR HIV-2 PROBE & REVRSE TRNSCR 2,504.0,378.0,35.09,504.0,676 CDM,PX-87556,PR MTB COMPLEX BY RAPID PCR,182.0,136.5,41.68,182.0,676 CDM,PX-87563,PR M GENITALIUM AMP PROBE,129.0,96.75,35.09,129.0,676 CDM,PX-87564,"PR MYCOBACT TUBERC, RIFAMPIN RESIST",488.0,366.0,76.77,488.0,676 CDM,PX-87581,PR MYCOPLASMA PNEUMO AMPL PROBE,196.0,147.0,35.09,196.0,676 CDM,PX-87591,PR NEISSERIA GONORR DNA AMPL,145.0,108.75,35.09,145.0,676 CDM,PX-87591002,PR NEISSERIA GONORRHOEAE PCR,139.0,104.25,35.09,139.0,676 CDM,PX-87591004,PR NEISSERIA GONORR DNA AMPL (CGGX-NCCI),141.0,105.75,35.09,141.0,676 CDM,PX-87591005,PR NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),142.0,106.5,35.09,142.0,676 CDM,PX-87594,PR PNEUMOCYSTIS JIROVECII AMP PROBE,177.0,132.75,35.09,177.0,676 CDM,PX-87624,"PR HPV HIGH RISK, SCREENING",187.0,140.25,35.09,187.0,676 CDM,PX-87624001,PR HPV HIGH RISK,186.0,139.5,35.09,186.0,676 CDM,PX-87626,PR HPV SEPARATE HI-RISK TYPES,194.0,145.5,70.2,194.0,676 CDM,PX-87626001,PR HPV SEPARATE HI-RISK TYPES 2,194.0,145.5,70.2,194.0,676 CDM,PX-87635001,PR SARS-COVID19 2,107.0,80.25,51.31,107.0,676 CDM,PX-87636,PR SARSCOV2 & INF A&B AMP PRB,303.0,227.25,142.63,303.0,676 CDM,PX-87637,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE",433.0,324.75,142.63,433.0,676 CDM,PX-87641,PR MRSA AMPL PROBE,126.0,94.5,35.09,126.0,676 CDM,PX-87651001,"PR GROUP A STREP PCR, THROAT",171.0,128.25,35.09,171.0,676 CDM,PX-87651002,"PR STREP GROUP A, PCR, POCT",164.0,123.0,35.09,164.0,676 CDM,PX-87661,PR TRICHOMONAS VAG AMP PROBE,202.0,151.5,35.09,202.0,676 CDM,PX-87662,PR ZIKA VIRUS AMPL PROBE,455.0,341.25,51.31,455.0,676 CDM,PX-87798001,PR DETECT AGENT NOS DNA AMP,153.0,114.75,35.09,153.0,676 CDM,PX-87798002,PR BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),153.0,114.75,35.09,153.0,676 CDM,PX-87798008,PR COCCIDIOIDES BY RAPID PCR,153.0,114.75,35.09,153.0,676 CDM,PX-87798011,PR COXIELLA BURNETII/Q FEVER PC,153.0,114.75,35.09,153.0,676 CDM,PX-87798013,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),153.0,114.75,35.09,153.0,676 CDM,PX-87798014,PR EPSTEIN BARR AMPL PROBE,153.0,114.75,35.09,153.0,676 CDM,PX-87798018,PR INF AGENT NOS AMPL PROBE EA ORGSM,152.0,114.0,35.09,152.0,676 CDM,PX-87798020,PR JC VIRUS DETECTION BY PCR,153.0,114.75,35.09,153.0,676 CDM,PX-87798023,PR MICROSPORIDIA PCR,153.0,114.75,35.09,153.0,676 CDM,PX-87798026,PR MYCOPLASMA HOMINIS AMP PROBE,153.0,114.75,35.09,153.0,676 CDM,PX-87798030,PR PARVOVIRUS B19 BY RAPID PCR,155.0,116.25,35.09,155.0,676 CDM,PX-87798037,PR TOXOPLASMA GONDII AMPL PB,153.0,114.75,35.09,153.0,676 CDM,PX-87798040,PR UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),155.0,116.25,35.09,155.0,676 CDM,PX-87798041,PR VARICELLA ZOSTER VIRUS DETECT,153.0,114.75,35.09,153.0,676 CDM,PX-87798042,PR WEST NILE AMPL PROBE,152.0,114.0,35.09,152.0,676 CDM,PX-87798043,PR WHIPPLES DISEASE DNA DETECT,153.0,114.75,35.09,153.0,676 CDM,PX-87798047,PR TOXOPLASMA GONDII PCR CSF,149.0,111.75,35.09,149.0,676 CDM,PX-87798048,PR DETECT AGENT NOS DNA AMP 2,144.0,108.0,35.09,144.0,676 CDM,PX-87798063,PR INF AGENT NOS AMPL PROBE EA ORGSM 1,144.0,108.0,35.09,144.0,676 CDM,PX-87798064,"PR CHIKUNGUNYA VIRUS, PCR",147.0,110.25,35.09,147.0,676 CDM,PX-87798065,PR B MAYONII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,676 CDM,PX-87798066,PR B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,676 CDM,PX-87798068,PR DENGUE VIRUS PCR,147.0,110.25,35.09,147.0,676 CDM,PX-87798071,PR BRBS PCR AND SEQUENCING,147.0,110.25,35.09,147.0,676 CDM,PX-87798072,PR H PYLORI+CLARITHRO RESIST,147.0,110.25,35.09,147.0,676 CDM,PX-87798078,PR VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),139.0,104.25,35.09,139.0,676 CDM,PX-87799001,PR DETECT AGENT NOS DNA QUANT 1,299.0,224.25,42.84,299.0,676 CDM,PX-87799002,PR BK VIRUS DNA QN BY RAPID PCR,302.0,226.5,42.84,302.0,676 CDM,PX-87799003,PR DETECT AGENT NOS DNA QUANT,299.0,224.25,42.84,299.0,676 CDM,PX-87799006,PR EBV DNA DETECT QUANT,297.0,222.75,42.84,297.0,676 CDM,PX-87801001,PR BARTONELLA BY RAPID PCR,277.0,207.75,70.2,277.0,676 CDM,PX-87801003,PR LEGIONELLA SPECIES DETECTION,273.0,204.75,70.2,273.0,676 CDM,PX-87801005,PR MULT ORGANISM AMPL PROBE 1,280.0,210.0,70.2,280.0,676 CDM,PX-87801006,PR MULT ORGANISM AMPL PROBE 2,290.0,217.5,70.2,290.0,676 CDM,PX-87801010,PR MULT ORGANISM AMPL PROBE (CGGX-MEC-NCCI),273.0,204.75,70.2,273.0,676 CDM,PX-87808,PR TRICHOMONAS RAPID TEST,83.0,62.25,15.29,83.0,676 CDM,PX-87880,PR STREP A DIRECT,61.0,45.75,16.53,61.0,676 CDM,PX-87899,PR AGENT NOS ASSAY W OPTIC,87.0,65.25,16.07,87.0,676 CDM,PX-87899002,PR CRYPTOCOCCUS AG W OPTIC,87.0,65.25,16.07,87.0,676 CDM,PX-87899003,PR LEGIONELLA AG URINE W OPTIC,87.0,65.25,16.07,87.0,676 CDM,PX-87899004,PR MALARIA AG W OPTIC,87.0,65.25,16.07,87.0,676 CDM,PX-87899006,PR STREP PNEUMONIAE AG W OPTIC,92.0,69.0,16.07,92.0,676 CDM,PX-87899008,PR CRYPTOCOCCAL ANTIGEN,87.0,65.25,16.07,87.0,676 CDM,PX-87899010,"PR CRYPTOCOCCUS AG SCRN, LFA",88.0,66.0,16.07,88.0,676 CDM,PX-87902005,PR HEP C GENOTYPE DNA REVERSE 1,699.0,524.25,257.45,699.0,676 CDM,PX-87999007,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),550.0,412.5,27.5,550.0,676 CDM,PX-87999009,PR BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),433.0,324.75,21.65,433.0,676 CDM,PX-87999010,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),364.0,273.0,18.2,364.0,676 CDM,PX-87999012,PR DNA/RNA AMPLIFIED PROBE (BCBS-MEC NCCI),606.0,454.5,30.3,606.0,676 CDM,PX-87999013,PR DNA/RNA AMPLIFIED PROBE (BCYST-MEC NCCI),1010.0,757.5,50.5,1010.0,676 CDM,PX-87999019,PR HERPES & VARICELLA ZOSTER (HSVZA-MEC NCCI),505.0,378.75,25.25,505.0,676 CDM,PX-881000000,HC CRRT/ULTRAFILTRATION/ ACUTE,1602.0,1201.5,114.0,1602.0,915 CDM,PX-88108,PR CYTOP CONCEN SMEARS & INTERP,375.0,281.25,21.12,540.0,2031 CDM,PX-88112,PR CYTOP NONGYN LIQUID BASED,448.0,336.0,25.78,672.0,2031 CDM,PX-88120,PR FISH BLADDER CA MANUAL,1835.0,1376.25,53.89,2101.0,2028 CDM,PX-88141,PR CYTOP C/V INTERPRET,79.0,59.25,23.52,79.0,678 CDM,PX-88142,PR CYTOP GYN THIN PREP MANUAL,121.0,90.75,20.26,121.0,676 CDM,PX-88161,PR CYTOP SMEAR NONGYN W PREP,118.0,88.5,23.77,210.0,2028 CDM,PX-88172,PR CYTOP FNA IMMEDIATE EVAL,209.0,156.75,20.35,357.0,2028 CDM,PX-88173,PR CYTOP FNA INTERP & REPORT,342.0,256.5,64.77,652.0,2033 CDM,PX-88177,PR CYTOP FNA EVAL ADEQUACY EA ADD,74.0,55.5,8.42,94.0,2028 CDM,PX-88182,PR FLOW CELL CYCLE/DNA ANALYSIS,428.0,321.0,34.72,703.0,2028 CDM,PX-88184,PR FLOW CYTO FIRST MARKER,414.0,310.5,78.57,414.0,680 CDM,PX-88184001,PR FLOW CYTO FIRST MARKER 2,414.0,310.5,78.57,414.0,680 CDM,PX-88185,PR FLOW CYTO EA ADD MARKER,155.0,116.25,22.33,155.0,680 CDM,PX-88187,PR FLOW CYTO INTERP 2-8 MARKERS,361.0,270.75,34.62,361.0,677 CDM,PX-88188,PR FLOW CYTO INTERP 9-15 MARKERS,595.0,446.25,57.62,595.0,678 CDM,PX-88189,PR FLOW CYTO INTERP > 15 MARKERS,610.0,457.5,78.16,610.0,680 CDM,PX-88230,PR TISS CULT LYMPHOCYTE,414.0,310.5,116.49,414.0,676 CDM,PX-88233,PR TISS CULT SKN/OTH SOLID TISS BX,657.0,492.75,140.73,657.0,676 CDM,PX-88235,PR TISS CULT AMNIOTIC/CHR CELLS,693.0,519.75,150.3,693.0,676 CDM,PX-88237,PR TISS CULT BONE MARROW,936.0,702.0,143.75,936.0,676 CDM,PX-88240,PR CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,296.25,13.07,395.0,676 CDM,PX-88262,PR CHROMO ANALYSIS 15-20 CELL BAND,1263.0,947.25,125.49,1263.0,676 CDM,PX-88264,PR CHROMOSOME ANALYSIS 20-25 CELL,1424.0,1068.0,144.61,1424.0,676 CDM,PX-88264001,PR CHROMO ANALYSIS <20 CELLS (REDUC),1512.0,1134.0,144.61,1512.0,676 CDM,PX-88271,PR MOL CYTOG DNA PROBE EA,149.0,111.75,21.42,149.0,676 CDM,PX-88271002,PR MOL CYTOG DNA PROBE CELL SUSP EA,168.0,126.0,21.42,168.0,676 CDM,PX-88273,PR CYTOG CHROMO 10-30CELL,697.0,522.75,34.81,697.0,676 CDM,PX-88274,PR CYTOG INTRPHASE 25-99 CELL,276.0,207.0,42.38,276.0,676 CDM,PX-88275,PR CYTOG INTERPHASE 100-300 ISH,289.0,216.75,51.19,289.0,676 CDM,PX-88275002,PR CYTOG INTERPHASE CELL SUSP 100-300 ISH,286.0,214.5,51.19,286.0,676 CDM,PX-88285,PR CHROMO ANLYS ADD CELL COUNT EA,418.0,313.5,26.91,418.0,676 CDM,PX-88291001,PR CYTOG & MOL INTERP & REPORT 1,308.0,231.0,32.49,308.0,676 CDM,PX-88291003,PR CYTOG & MOL INTERP & REPORT 3,305.0,228.75,32.49,305.0,676 CDM,PX-88291006,PR CYTOG & MOL INTERP & REPORT 6,354.0,265.5,32.49,354.0,676 CDM,PX-88291007,PR CYTOG & MOL INTERP & REPORT 5,364.0,273.0,32.49,364.0,676 CDM,PX-88291008,PR CYTOG & MOL INTERP & REPORT 4,354.0,265.5,32.49,354.0,676 CDM,PX-88300,PR LVL 1 SURG PATH GROSS MICRO,100.0,75.0,4.25,135.0,2028 CDM,PX-88302,PR LVL 2 SURG PATH GROSS MICRO,180.0,135.0,6.57,220.0,2030 CDM,PX-88304,PR LVL 3 SURG PATH GROSS MICRO,133.0,99.75,10.21,253.0,2032 CDM,PX-88305,PR LVL 4 SURG PATH GROSS MICRO,242.0,181.5,33.95,374.0,2037 CDM,PX-88307,PR LVL 5 SURG PATH GROSS MICRO,486.0,364.5,75.61,815.0,2034 CDM,PX-88309,PR LVL 6 SURG PATH GROSS MICRO,737.0,552.75,133.07,1404.0,2028 CDM,PX-88311,PR DECALCIFICATION PROC,109.0,81.75,8.05,140.0,2033 CDM,PX-88312,PR SPECIAL STAIN GROUP 1,192.0,144.0,24.79,334.0,2032 CDM,PX-88313,PR SPECIAL STAIN GROUP 2,212.0,159.0,11.2,273.0,2032 CDM,PX-88314,PR SPECIAL STAIN HISTOCHEMICAL,247.0,185.25,18.54,387.0,2028 CDM,PX-88319,PR HISTOCHEMISTRY FOR ENZYME,273.0,204.75,25.1,410.0,2028 CDM,PX-88321,PR CONSULT SLIDE WO PREP,627.0,470.25,92.33,627.0,682 CDM,PX-88323,PR CONSULT SLIDE W PREP,521.0,390.75,28.77,706.0,2029 CDM,PX-88325,PR CONSULT COMP W RVW RECORDS&SPEC,850.0,637.5,151.02,850.0,681 CDM,PX-88329,PR CONSULT SURG WO FROZEN,303.0,227.25,51.01,303.0,676 CDM,PX-88331,PR FROZEN SECTION 1ST BLOCK,318.0,238.5,38.15,468.0,2031 CDM,PX-88332,PR FROZEN SECTION ADD TISS BLOCK,164.0,123.0,23.59,246.0,2031 CDM,PX-88333,PR CONSULT SURG TOUCH PREP INIT,357.0,267.75,2.03,360.0,2028 CDM,PX-88341,PR IMMUNO STAIN PER SPEC EA ADD AB,156.0,117.0,26.42,301.0,2034 CDM,PX-88342,PR IMMUNO STAIN PER SPEC INITIAL AB,269.0,201.75,32.38,446.0,2036 CDM,PX-88344,PR IMMUNO STAIN EA MULTIPLEX AB,424.0,318.0,35.69,629.0,2030 CDM,PX-88346,PR IF STUDY EA AB DIR METHOD,189.0,141.75,33.07,349.0,2030 CDM,PX-88348,PR ELECTRON MICROSCOPY DX,1396.0,1047.0,71.32,1874.0,2030 CDM,PX-88350,PR IMMUNOFLUORESCENCE EA ADD,222.0,166.5,27.1,393.0,2030 CDM,PX-88356,PR MORPHOMETRIC ANALYSIS NERVE,800.0,600.0,219.41,800.0,676 CDM,PX-88360,PR TUMOR IMMUNOHISTO MANUAL EA AB,341.0,255.75,38.69,601.0,2033 CDM,PX-88361,PR TUMOR IMMUNOHISTO CAT EA AB,483.0,362.25,40.09,735.0,2028 CDM,PX-88362,PR NERVE TEASING PREP,604.0,453.0,103.96,1028.0,2028 CDM,PX-88364,PR INSITU HYBRID EA ADD PROBE,354.0,265.5,31.41,536.0,2032 CDM,PX-88365,PR INSITU HYBRID INITIAL PROBE,392.0,294.0,40.01,600.0,2032 CDM,PX-88377001,PR MORPH INSITU MAN EA MULTIPLEX A1,866.0,649.5,60.29,1207.0,2033 CDM,PX-88377003,PR MORPH INSITU MAN EA MULTIPLEX A2,860.0,645.0,60.29,1201.0,2033 CDM,PX-88377004,PR MORPH INSITU MAN EA MULTIPLEX A3,875.0,656.25,60.29,1224.0,2033 CDM,PX-88377005,PR MORPH INSITU MAN EA MULTIPLEX A4,863.0,647.25,60.29,1201.0,2033 CDM,PX-88377006,PR MORPH INSITU MAN EA MULTIPLEX A5,831.0,623.25,60.29,1172.0,2033 CDM,PX-88377007,PR MORPH INSITU MAN EA MULTIPLEX A6,866.0,649.5,60.29,1207.0,2033 CDM,PX-88377008,PR MORPH INSITU MAN EA MULTIPLEX A7,866.0,649.5,60.29,1207.0,2033 CDM,PX-88377009,PR MORPH INSITU MAN EA MULTIPLEX A8,1263.0,947.25,60.29,1591.0,2033 CDM,PX-88380,PR MICRODISSECTION LASER,266.0,199.5,48.04,478.0,2028 CDM,PX-88381,PR MICRODISSECTION MANUAL,474.0,355.5,21.86,658.0,2028 CDM,PX-89050,PR CELL COUNT BODY FLUID,57.0,42.75,4.72,57.0,676 CDM,PX-89051,PR CELL COUNT FLUID W DIFF COUNT,76.0,57.0,5.6,76.0,676 CDM,PX-89060,PR CRYSTAL EXAM FLUID/TISSUE,82.0,61.5,7.33,82.0,676 CDM,PX-891000000,YESCARTA,2480000.0,548900.0,548900.0,548900.0,18 CDM,PX-891000001,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,1770000.0,410300.0,2360000.0,915 CDM,PX-891000010,BREYANZI,2400000.0,531350.4,531350.4,531350.4,3 CDM,PX-891000011,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,6 CDM,PX-891000015,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,29 CDM,PX-891000016,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,3 CDM,PX-891000017,HC OBECABTAGENE AUROLEUCEL (AUCATZYL),2370000.0,1777500.0,278250.0,2370000.0,915 CDM,PX-89220,PR SPUTUM OBTN SPECIMEN AERO,69.0,51.75,20.35,69.0,676 CDM,PX-89322,PR ANLYS SEMEN VOL/CNT/MOT/DIFF,240.0,180.0,15.5,240.0,676 CDM,PX-89331001,PR POST EJACULATE ANALYSIS,168.0,126.0,19.59,168.0,676 CDM,PX-900000003,HC PSYCH EVAL DX W MED SVCS,736.0,552.0,237.08,736.0,909 CDM,PX-900000004,HC PSYCH EVAL DX,755.0,566.25,205.38,755.0,912 CDM,PX-90380,"PR RSV MONOC ANTIBODY, 0.5 ML DOSAGE IM",622.0,466.5,279.9,622.0,676 CDM,PX-90381,"PR RSV MONOC ANTIBODY, 1 ML DOSAGE IM",616.0,462.0,277.2,616.0,676 CDM,PX-90460,PR IMMUN ADM <=18YR W COUNSL INIT,63.0,47.25,22.82,63.0,678 CDM,PX-90461,PR IMMUN ADM <=18YR W COUNSL ADD,45.0,33.75,8.56,45.0,678 CDM,PX-90471,PR ADMIN VACC SNGL,63.0,47.25,18.28,63.0,692 CDM,PX-90472,PR ADMIN VACC ADD,47.0,35.25,13.3,47.0,692 CDM,PX-90474,PR IMMUN ADM INTRANASAL/ORAL ADD,43.0,32.25,12.09,43.0,676 CDM,PX-90480,PR ADMIN COVID-19 VACCINE,70.0,52.5,44.19,70.0,679 CDM,PX-90586,"PR BCG VACCINE, INTRAVESICAL",526.0,394.5,163.97,526.0,676 CDM,PX-90619,PR MENINGOCOCCAL ACWY-TT VACCINE IM,165.0,123.75,74.25,165.0,679 CDM,PX-90620,PR BEXSERO MENINGOCOCCAL B VACCINE,313.0,234.75,140.85,313.0,678 CDM,PX-90621,PR TRUMENBA MENINGOCOCCAL B-FHBP VACCINE,245.0,183.75,110.25,245.0,676 CDM,PX-90627,PR TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM,479.0,359.25,215.55,479.0,676 CDM,PX-90632,PR HEP A VACCINE ADULT IM,116.0,87.0,73.54,116.0,680 CDM,PX-90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE,48.0,36.0,21.6,48.0,678 CDM,PX-90647,PR HIB VACCINE PRP-OMP 3 DOSE IM,47.0,35.25,21.15,47.0,677 CDM,PX-90648,PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,19.0,14.25,8.55,19.0,676 CDM,PX-90649,PR HPV VACCINE 4 VALENT 3 DOSE IM,382.0,286.5,171.9,382.0,676 CDM,PX-90651,PR HPV VACCINE NON VALENT IM,424.0,318.0,190.8,424.0,679 CDM,PX-90656,PR FLU IIV3 TRIVALENT NO PRESERV IM,24.0,18.0,16.24,24.0,682 CDM,PX-90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,41.0,30.75,27.74,41.0,676 CDM,PX-90662,PR INFLUENZA VACC HIGH DOSE >65 YRS,92.0,69.0,62.26,92.0,679 CDM,PX-90670,PR PNEUMOCOCCAL VACC 13 VAL IM,351.0,263.25,157.95,351.0,676 CDM,PX-90672,PR INFLUENZA VAL 4 INTRANASAL,37.0,27.75,16.65,37.0,676 CDM,PX-90675,"PR RABIES VACCINE, IM",663.0,497.25,319.75,663.0,676 CDM,PX-90677,PR PCV20 VACCINE IM,323.0,242.25,218.57,323.0,682 CDM,PX-90678,PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,357.0,267.75,160.65,357.0,679 CDM,PX-90679,PR RSV VACC PREF RECOMB ADJT IM,359.0,269.25,161.55,359.0,676 CDM,PX-90680,PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE,139.0,104.25,62.55,139.0,677 CDM,PX-90682,PR FLUBLOK RIV4 VACCINE,80.0,60.0,36.0,80.0,676 CDM,PX-90686,PR IIV4 VACC PRESRV FREE 3 YRS & OLDER IM USE,27.0,20.25,12.15,27.0,677 CDM,PX-90691,PR TYPHOID VACCINE IM,162.0,121.5,72.9,162.0,678 CDM,PX-90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,84.0,63.0,37.8,84.0,677 CDM,PX-90697,PR DTAP-IPV-HIB-HEPB VACCINE IM,219.0,164.25,98.55,219.0,677 CDM,PX-90698,PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE,125.0,93.75,56.25,125.0,678 CDM,PX-90700,"PR DTAP IMMUNIZATION, IM, <7 YO",39.0,29.25,17.55,39.0,676 CDM,PX-90707,PR MMR VACCINE SUBQ,148.0,111.0,66.6,148.0,678 CDM,PX-90710,"PR COMBINED VACCINE,MMR+VARICELLA,SUB-Q",389.0,291.75,175.05,389.0,677 CDM,PX-90713,PR POLIOVIRUS IPV SC/IM,418.0,313.5,188.1,418.0,678 CDM,PX-90714,PR TD VACCINE NO PRSRV >/= 7 IM,52.0,39.0,35.19,52.0,677 CDM,PX-90715,PR TDAP VACCINE >7 IM,65.0,48.75,39.69,65.0,680 CDM,PX-90716,PR CHICKEN POX VACCINE SUBQ,261.0,195.75,117.45,261.0,678 CDM,PX-90717,"PR YELLOW FEVER IMMUNIZATN,LIVE,SUB-Q",270.0,202.5,121.5,270.0,678 CDM,PX-90732,PR PNEUMOCOCCAL POLYSAC VACCINE,163.0,122.25,110.3,163.0,678 CDM,PX-90733,PR MENINGOCOCCAL VACCINE SC,260.0,195.0,117.0,260.0,676 CDM,PX-90734,PR MENINGOCOCCAL VACCINE IM,230.0,172.5,103.5,230.0,676 CDM,PX-90738,"PR JAPANESE ENCEPH VACC, INACTIVATED, IM",441.0,330.75,198.45,441.0,678 CDM,PX-90739,PR HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,188.0,141.0,127.22,188.0,678 CDM,PX-90740,PR HEP B VACCINE DIALYSIS DOSE IM,161.0,120.75,108.95,161.0,676 CDM,PX-90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,36.0,27.0,24.36,36.0,676 CDM,PX-90746,PR HEPATITIS VACCINE 3 DOSE ADULT,63.0,47.25,42.63,63.0,677 CDM,PX-90750,PR HZV VACC RECOMBINANT IM,226.0,169.5,101.7,226.0,682 CDM,PX-90791,PR PSYCH EVAL DX,546.0,409.5,171.88,546.0,682 CDM,PX-90792,PR PSYCH EVAL DX W MED SVCS,694.0,520.5,199.48,694.0,676 CDM,PX-90832,PR PSYTX PAT 30 MIN,284.0,213.0,63.86,284.0,678 CDM,PX-90833,PR PSYTX PAT 30 MIN W E&M,255.0,191.25,65.27,255.0,690 CDM,PX-90834,PR PSYTX PAT 45 MIN,426.0,319.5,84.71,426.0,688 CDM,PX-90836,PR PSYTX PAT 45 MIN W E&M,383.0,287.25,101.95,383.0,676 CDM,PX-90837,PR PSYTX PAT 60 MIN,568.0,426.0,124.25,568.0,678 CDM,PX-90839,PR PSYTX CRISIS 60 MIN,505.0,378.75,129.17,505.0,690 CDM,PX-90846,PR FAMILY PSYTX WO PAT,392.0,294.0,105.32,392.0,676 CDM,PX-90847,PR FAMILY PSYTX W PAT,344.0,258.0,81.78,344.0,684 CDM,PX-90853,PR GROUP PSYTX,194.0,145.5,30.11,194.0,677 CDM,PX-90867,PR TMS TX INIT,1500.0,1125.0,127.11,1500.0,677 CDM,PX-90868,PR TMS TX INIT SUBSQ,835.0,626.25,26.06,835.0,677 CDM,PX-90869,PR TMS TX INIT SUBSQ REDETERMN,1690.0,1267.5,112.12,1690.0,677 CDM,PX-90901,PR BIOFEEDBACK TRAINING ANY,216.0,162.0,16.25,216.0,690 CDM,PX-90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN MD/DO/QHP,237.0,177.75,36.99,237.0,690 CDM,PX-90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN MD/DO/QHP,191.0,143.25,20.79,191.0,690 CDM,PX-90935,PR HEMODIALYSIS W SINGLE EVAL,546.0,409.5,51.63,546.0,686 CDM,PX-90937,PR HEMODIALYSIS REPEATED EVAL,594.0,445.5,87.41,594.0,676 CDM,PX-90945,PR OTHER NON HEMO W SINGLE EVAL,720.0,540.0,76.0,720.0,676 CDM,PX-90947,PR OTHER NON HEMO REPEATED EVAL,706.0,529.5,104.83,706.0,676 CDM,PX-90959,PR ESRD SRV 1 VISIT PER MO 12-19,1568.0,1176.0,333.45,1568.0,676 CDM,PX-90962,PR ESRD SRV 1 VISIT PER MO 20+,561.0,420.75,211.3,561.0,677 CDM,PX-90966,PR ESRD HOME PAT SRV PER MO 20+,741.0,555.75,305.03,741.0,677 CDM,PX-91010,PR ESOPH MOTILITY STUDY,1130.0,847.5,66.73,1597.0,2028 CDM,PX-91030,PR ACID PERFUSION TEST ESOPH,439.0,329.25,47.41,714.0,2028 CDM,PX-91034,PR PH STUDY NASL CATH,1007.0,755.25,49.63,1574.0,2029 CDM,PX-91035,PR ESOPH CAPSULE PH MONITOR STUDY,2204.0,1653.0,83.65,2927.0,2031 CDM,PX-91037,PR ESOPH IMPED FUNCTION TEST,763.0,572.25,50.64,1210.0,2030 CDM,PX-91038,PR GERD W IMPED >1HR,1479.0,1109.25,58.85,1744.0,2029 CDM,PX-91040,PR ESOPH BALLOON DISTENSION STUDY,2308.0,1731.0,50.56,2610.0,2028 CDM,PX-91065,PR BREATH HYDROGEN TEST,525.0,393.75,9.56,611.0,2033 CDM,PX-91110,PR CAPSULE ENDO INTRALUMINAL,4822.0,3616.5,116.21,5700.0,2032 CDM,PX-91112,PR CAPSULE ENDO STOMACH COLON,5914.0,4435.5,109.27,6332.0,2028 CDM,PX-91125,PR ANRCT MANO RCT SNSATN & BALO,1016.0,762.0,338.75,1016.0,676 CDM,PX-91200,PR ELASTOGRAPHY LIVER WO IMG I&R,120.0,90.0,10.85,237.0,2028 CDM,PX-91299001,PR AGILE PATENCY CAPSULE PROC,457.0,342.75,22.85,457.0,677 CDM,PX-91299002,PR BALLOON EXPULSION STUDY,1058.0,793.5,52.9,1058.0,679 CDM,PX-91299007,PR HIGH RESOLUTION ESOPHAGEAL MANOMETRY,1916.0,1437.0,95.8,1916.0,679 CDM,PX-91304,"PR NOVAVAX COVID-19 VACCINE, 5 MCG/0.5ML IM",174.0,130.5,117.75,174.0,676 CDM,PX-91321,"PR MODERNA COVID-19 VACCINE, 25MCG/0.25ML IM",179.0,134.25,121.13,179.0,676 CDM,PX-91322,"PR MODERNA COVID-19 VACCINE, 50MCG/0.5ML IM",160.0,120.0,108.27,160.0,679 CDM,PX-914000008,HC PSYTX PAT 30 MIN,497.0,372.75,103.94,497.0,909 CDM,PX-914000010,HC PSYTX PAT 45 MIN,497.0,372.75,137.37,497.0,909 CDM,PX-914000012,HC PSYTX PAT 60 MIN,483.0,362.25,202.38,483.0,909 CDM,PX-914000038,HC HLTH BHV ASSMT/REASSESSMENT,371.0,278.25,129.84,371.0,911 CDM,PX-914000039,HC HLTH BHV IVNTJ INDIV 1ST 30,542.0,406.5,89.43,542.0,909 CDM,PX-914000040,HC HLTH BHV IVNTJ INDIV EA ADDL 15,208.0,156.0,30.5,208.0,909 CDM,PX-915000015,HC HLTH BHV IVNTJ GRP 1ST 30,371.0,278.25,13.91,371.0,911 CDM,PX-915000016,HC HLTH BHV IVNTJ GRP EA ADDL 15,159.0,119.25,6.0,159.0,911 CDM,PX-918000004,HC NEUROBEHAVIORAL EXAM INIT HR,671.0,503.25,107.42,671.0,909 CDM,PX-918000014,HC PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,573.0,429.75,54.81,573.0,909 CDM,PX-918000015,HC PSY OR NSY TST ADMIN BY TECH EA 30 MIN,216.0,162.0,51.47,216.0,909 CDM,PX-918000017,HC PSY TST INTERP & FEEDBACK INIT HR,563.0,422.25,148.14,563.0,909 CDM,PX-920000000,HC ACTIGRAPHY,281.0,210.75,62.95,281.0,916 CDM,PX-920000002,HC ANGIOGRAPHY FLUORESCEIN,2076.0,1557.0,175.2,2076.0,915 CDM,PX-920000005,HC BRONCH DX W CELL WASH FLUOR,6156.0,4617.0,176.91,6156.0,916 CDM,PX-920000016,HC DUP SCAN LWR EXT ARTY BIL,2346.0,1759.5,254.61,2346.0,916 CDM,PX-920000017,HC DUP SCAN LWR EXT ARTY UNILAT/LTD,1592.0,1194.0,111.56,1592.0,915 CDM,PX-920000018,HC DUP SCAN UPR EXT ARTY BIL,2439.0,1829.25,234.81,2439.0,915 CDM,PX-920000019,HC DUP SCAN UPR EXT ARTY UNILAT/LTD,1607.0,1205.25,111.56,1607.0,915 CDM,PX-920000023,HC EXAM VISUAL FIELD EXTENDED,681.0,510.75,54.32,681.0,915 CDM,PX-920000029,HC FUNDUS PHOTOGRAPHY,802.0,601.5,24.21,802.0,915 CDM,PX-920000033,HC ICG ANGIOGRAPHY,3086.0,2314.5,230.41,3086.0,915 CDM,PX-920000035,HC IONM 1-1 ATTND EA 15 MIN,497.0,372.75,39.6,497.0,909 CDM,PX-920000036,HC IONM 1-1 REMOTE EA 15 MIN,152.0,114.0,40.46,152.0,909 CDM,PX-920000037,HC IONM REMOTE >=1 PATIENT PER HR,727.0,545.25,327.15,727.0,910 CDM,PX-920000038,HC MONITOR AMBULATORY BP >=24HR,703.0,527.25,46.55,703.0,915 CDM,PX-920000039,HC MULT SLEEP LATENCY/MAINT TEST,4491.0,3368.25,612.48,4491.0,917 CDM,PX-920000043,HC NEUROSTIM BRAIN WO REPROGRM,839.0,629.25,23.67,839.0,916 CDM,PX-920000050,HC PSG >=6 YRS ATTND,4605.0,3453.75,804.57,4605.0,917 CDM,PX-920000051,HC PSG >=6 YRS W CPAP,4835.0,3626.25,847.67,4835.0,916 CDM,PX-920000056,HC STUDY EXT ARTERY > 2 LVLS BIL,1793.0,1344.75,162.95,1793.0,915 CDM,PX-920000058,HC STUDY EXT ARTERY W EXER,2572.0,1929.0,205.68,2572.0,915 CDM,PX-920000059,HC TRCRAN DPLR INTRCR CMPLT,1069.0,801.75,254.61,1069.0,915 CDM,PX-920000060,HC TRCRAN DPLR INTRCR EMBOLI W IV,689.0,516.75,111.56,689.0,916 CDM,PX-920000061,HC TRCRAN DPLR INTRCR LTD,632.0,474.0,111.56,632.0,915 CDM,PX-920000062,HC TRCRAN EMBOLI DETECT WO IV INJ,700.0,525.0,111.56,700.0,916 CDM,PX-920000064,HC VEP TEST CNS,940.0,705.0,72.29,940.0,915 CDM,PX-920000071,HC MEAS PST VOID RESID US NON IMG,326.0,244.5,18.33,326.0,916 CDM,PX-920000073,HC NERVE CONDCT STUDIES >=13,2305.0,1728.75,163.01,2305.0,915 CDM,PX-920000074,HC NERVE CONDCT STUDIES 11-12,2075.0,1556.25,140.19,2075.0,915 CDM,PX-920000075,HC NERVE CONDCT STUDIES 3-4,1167.0,875.25,74.22,1167.0,916 CDM,PX-920000076,HC NERVE CONDCT STUDIES 5-6,1406.0,1054.5,89.76,1406.0,916 CDM,PX-920000077,HC NERVE CONDCT STUDIES 7-8,1530.0,1147.5,114.03,1530.0,916 CDM,PX-920000078,HC NERVE CONDCT STUDIES 9-10,1884.0,1413.0,127.14,1884.0,916 CDM,PX-920000082,HC NERVE CONDCT STUDIES 1-2,650.0,487.5,59.18,650.0,915 CDM,PX-920000085,HC INTERO VAD IN PERSON,1011.0,758.25,50.3,1011.0,915 CDM,PX-920000090,HC ALYS SMPL CN NPGT PRGRMG,893.0,669.75,39.83,893.0,915 CDM,PX-920000091,HC ALYS CPLX CN NPGT PRGRMG,1190.0,892.5,62.69,1190.0,915 CDM,PX-920000092,HC NEUROFUNCTIONAL TEST,872.0,654.0,392.4,872.0,912 CDM,PX-920000095,HC EYE MUSCLE EVALUATION,237.0,177.75,62.57,237.0,915 CDM,PX-92002,PR EXAM EYE NEW PATIENT INTERMED,264.0,198.0,83.04,264.0,677 CDM,PX-92004,PR EXAM EYE NEW PATIENT COMP,477.0,357.75,146.73,477.0,682 CDM,PX-92012,PR EXAM EYE EST PATIENT INTERMED,284.0,213.0,88.55,284.0,679 CDM,PX-92014,PR EXAM EYE EST PATIENT COMP,358.0,268.5,124.63,358.0,679 CDM,PX-92015,PR DETERMINE REFRACTION STATE,75.0,56.25,18.76,75.0,679 CDM,PX-92018,PR EYE EXAM W ANES COMPLETE,751.0,563.25,111.83,751.0,676 CDM,PX-92019,PR EYE EXAM W ANES LIMITED,316.0,237.0,58.06,316.0,676 CDM,PX-92020,PR GONIOSCOPY,91.0,68.25,26.23,91.0,679 CDM,PX-92025,PR COMP CORNEAL TOPOGRAPHY,196.0,147.0,36.2,196.0,678 CDM,PX-92060,PR SENSORIMOTOR EXAM W MULT MEAS,161.0,120.75,27.15,234.0,2030 CDM,PX-92071,PR FIT CNTCTLENS TX OCLR SURF DIS,138.0,103.5,35.17,138.0,676 CDM,PX-92081,PR EXAM VISUAL FIELD LIMITED,71.0,53.25,15.47,126.0,2029 CDM,PX-92082,PR EXAM VISUAL FIELD INTERMEDIATE,139.0,104.25,46.29,139.0,676 CDM,PX-92083,PR EXAM VISUAL FIELD EXTENDED,139.0,104.25,26.04,239.0,2032 CDM,PX-92100,PR SERIAL TONOMETRY EXAM,156.5,117.375,25.78,206.0,1380 CDM,PX-921000001,HC DUP SCAN ABD PELV COMPLT,1966.0,1474.5,254.61,1966.0,916 CDM,PX-921000002,HC DUP SCAN ABD PELV LTD,1565.0,1173.75,111.56,1565.0,916 CDM,PX-921000003,HC DUP SCAN AORTA IVC COMPLT,1071.0,803.25,207.62,1071.0,915 CDM,PX-921000005,HC DUP SCAN EXT VEIN BIL,1321.0,990.75,220.73,1321.0,918 CDM,PX-921000006,HC DUP SCAN EXT VEIN UNILAT/LTD,1019.0,764.25,111.56,1019.0,915 CDM,PX-921000007,HC DUP SCAN EXTCR ARTY BI,1467.0,1100.25,220.25,1467.0,916 CDM,PX-921000008,HC DUP SCAN HEMO ACCESS,904.0,678.0,111.56,904.0,916 CDM,PX-921000010,HC DUP SCAN PENILE VESSELS,731.0,548.25,88.79,731.0,916 CDM,PX-921000011,HC DUPLEX SCAN EXTRACRAN ARTY UNILAT,807.0,605.25,111.56,807.0,916 CDM,PX-92132,PR COMP OPTH DX IMG ANTERIOR SGMT,108.0,81.0,13.88,206.0,2028 CDM,PX-92133,PR COMP OPTH DX IMG OPTIC NERVE,106.0,79.5,13.88,176.0,2033 CDM,PX-92134,PR COMP OPTH DX IMG RETINA,117.0,87.75,14.53,185.0,2033 CDM,PX-92136,PR OPHTHALMIC BIOMETRY IOL,197.0,147.75,17.44,322.0,2034 CDM,PX-92137,PR CPTRZ OPH IMG PST SG RTA OCT,231.0,173.25,58.5,231.0,678 CDM,PX-922000001,HC AUTONOMIC TEST SUDOMOTOR,1030.0,772.5,114.51,1030.0,915 CDM,PX-922000005,HC CTR MOTOR STDY UPPR/LWR LIMBS,3656.0,2742.0,685.16,3656.0,916 CDM,PX-922000008,HC EMG ANAL/URETHRAL NEEDLE,954.0,715.5,266.61,954.0,915 CDM,PX-922000009,HC EMG NDL EA EXT LTD NRV CONDCT,473.0,354.75,66.99,473.0,909 CDM,PX-922000010,HC EMG NDL EXT CMPLT W NRV CONDCT,584.0,438.0,79.14,584.0,909 CDM,PX-922000011,HC EMG NDL NON-EXT W NRV CONDCT,450.0,337.5,74.28,450.0,910 CDM,PX-922000012,HC EMG NEEDLE 1 EXT,973.0,729.75,98.99,973.0,915 CDM,PX-922000013,HC EMG NEEDLE 2 EXT,1190.0,892.5,117.44,1190.0,916 CDM,PX-922000015,HC EMG NEEDLE 4 EXT,1622.0,1216.5,137.3,1622.0,915 CDM,PX-922000016,HC EMG NEEDLE CRANIAL NRV BIL,1515.0,1136.25,98.01,1515.0,915 CDM,PX-922000017,HC EMG NEEDLE CRANIAL NRV UNILAT,1366.0,1024.5,96.08,1366.0,915 CDM,PX-922000019,HC EMG NEEDLE HEMIDIAPHRAGM,1028.0,771.0,101.42,1028.0,915 CDM,PX-922000020,HC EMG NEEDLE LARYNX,904.0,678.0,102.38,904.0,915 CDM,PX-922000021,HC EMG NEEDLE LIMITED,808.0,606.0,97.04,808.0,915 CDM,PX-922000022,HC EMG NEEDLE SINGLE FIBER QUANT,983.0,737.25,89.76,983.0,915 CDM,PX-922000023,HC EMG NEEDLE THORACIC PARASPINAL,998.0,748.5,109.67,998.0,915 CDM,PX-922000031,HC ORBICULARIS OCULI REFLEX TEST,420.0,315.0,62.95,420.0,915 CDM,PX-922000035,HC SOMATOSENS TEST LOWER EXT,892.0,669.0,159.56,892.0,916 CDM,PX-922000038,HC SOMATOSENS TEST UPPER EXT,875.0,656.25,180.44,875.0,915 CDM,PX-922000039,HC SOMATOSENS UPPR/LWR LIMBS,1906.0,1429.5,515.79,1906.0,916 CDM,PX-922000040,HC TEST ANS PARASYM & SYMP W TILT,442.0,331.5,96.99,442.0,915 CDM,PX-922000041,HC TEST NEURMUSC JUNC EA NRV,638.0,478.5,105.3,638.0,916 CDM,PX-92201,PR OPSCPY EXTND RTA DRAW UNI/BI,114.0,85.5,24.6,114.0,679 CDM,PX-92202,PR OPSCPY EXTND ON/MAC DRAW,88.0,66.0,15.43,88.0,676 CDM,PX-92235,PR ANGIOGRAPHY FLUORESCEIN,229.0,171.75,41.17,421.0,2031 CDM,PX-92240,PR ICG ANGIOGRAPHY,836.0,627.0,238.39,836.0,676 CDM,PX-92242,PR FLUORESCEIN & ICG ANGIOGRAPHY,471.0,353.25,318.73,471.0,678 CDM,PX-92250,PR FUNDUS PHOTOGRAPHY,105.0,78.75,16.14,207.0,2033 CDM,PX-92265,PR EYE MUSCLE EVALUATION,435.0,326.25,44.47,435.0,676 CDM,PX-92285,PR EXTERNAL OCULAR PHOTOGRAPHY,95.0,71.25,2.93,115.0,2031 CDM,PX-92286,PR ANTR SGMT IMG W SPEC MICRO,174.0,130.5,38.52,174.0,677 CDM,PX-92310,PR RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK,181.0,135.75,48.17,181.0,679 CDM,PX-92310003,PR CONTACT LENS FITTING STANDARD,184.0,138.0,48.17,184.0,679 CDM,PX-92313,PR CONTACT LENS FIT CORNEOSCLERAL,688.0,516.0,35.53,688.0,690 CDM,PX-924000007,HC INHALATION BRONCHIAL CHALLENGE,745.0,558.75,57.6,745.0,915 CDM,PX-924000011,HC RAPID DESENSITIZATION EA HOUR,1508.0,1131.0,128.96,1508.0,915 CDM,PX-92499003,PR CONSULT LIPIVIEW,185.0,138.75,9.25,185.0,678 CDM,PX-92499011,PR OCULUS KERATOGRAPH 5M,141.0,105.75,7.05,141.0,678 CDM,PX-92502,PR OTOLARYNGOLOGIC EXAM W ANES,823.0,617.25,84.93,823.0,676 CDM,PX-92504,PR BINOCULAR MICROSCOPY,104.0,78.0,7.59,104.0,692 CDM,PX-92507,PR THRPY SPEECH/LANG/COMM/APD ST,297.0,222.75,75.1,297.0,683 CDM,PX-92508,PR THRPY SPEECH/LANG/COMM GROUP,153.0,114.75,23.61,153.0,683 CDM,PX-92511,PR NASOPHARYNGOSCOPY W ENDO,368.0,276.0,95.85,368.0,677 CDM,PX-92517,PR VEMP TEST I&R CERVICAL,453.0,339.75,33.42,453.0,691 CDM,PX-92518,PR VEMP TEST I&R OCULAR,359.0,269.25,34.32,359.0,691 CDM,PX-92519,PR VEMP TST I&R CERVICAL&OCULAR,636.0,477.0,50.62,636.0,696 CDM,PX-92520,PR LARYNGEAL FUNCTION STUDIES,478.0,358.5,32.07,478.0,690 CDM,PX-92520001,PR VOCAL CORD EXAMINATION,478.0,358.5,32.07,478.0,690 CDM,PX-92521,PR EVAL SPEECH FLUENCY ST,406.0,304.5,131.42,406.0,683 CDM,PX-92522,PR EVAL SPEECH PRODUCTION ST,473.0,354.75,110.26,473.0,690 CDM,PX-92523,PR EVAL SPEECH PRODUCTION W LANG ST,598.0,448.5,223.38,598.0,690 CDM,PX-92524,PR ANALYSIS BEHAV/QUAL VOICE ST,489.0,366.75,108.03,489.0,683 CDM,PX-92526,PR TX SWALLOWING DYSFUNCTION ST,365.0,273.75,82.91,365.0,683 CDM,PX-92532,PR POSITIONAL NYSTAGMUS TEST,154.0,115.5,69.3,154.0,636 CDM,PX-92537,PR CAL VEST TST W REC BILAT BITHERM,73.0,54.75,8.7,136.0,2051 CDM,PX-92538,PR CAL VEST TST W REC BILAT MONOTHERM,260.0,195.0,21.26,260.0,685 CDM,PX-92540,PR BASIC VESTIBULAR EVALUATION,198.0,148.5,28.12,363.0,2053 CDM,PX-92541,PR SPONTANEOUS NYSTAGMUS TEST,333.0,249.75,24.28,333.0,689 CDM,PX-92544,PR OPTOKINETIC NYSTAGMUS TEST,110.0,82.5,17.35,110.0,683 CDM,PX-92545,PR OSCILLATING TRACKNG TEST W REC,248.0,186.0,16.36,248.0,687 CDM,PX-92546,PR SINUSOIDAL VERTL AXIS ROTATION,261.0,195.75,14.49,468.0,2054 CDM,PX-92548,PR COMP DYM PSTRGRPHY SNSRY ORG TEST,374.0,280.5,46.56,374.0,684 CDM,PX-92549,PR CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT,269.0,201.75,61.33,269.0,683 CDM,PX-92550,PR TYMPANOMETRY & REFLEX THRESH,131.0,98.25,21.36,131.0,689 CDM,PX-92551,PR PURE TONE HEARING TEST AIR,47.0,35.25,12.91,47.0,677 CDM,PX-92552,PR PURE TONE AUDIOMETRY AIR,77.0,57.75,39.12,77.0,687 CDM,PX-92553,PR AUDIOMETRY AIR&BONE,140.0,105.0,47.54,140.0,684 CDM,PX-92555,PR SPEECH AUDIOMETRY THRESHOLD,85.0,63.75,28.77,85.0,684 CDM,PX-92556,PR SPEECH AUD THRESHOLD W RECGNIT,99.0,74.25,44.95,99.0,684 CDM,PX-92557,PR COMPREHENSIVE HEARING TEST,175.0,131.25,35.21,175.0,689 CDM,PX-92558,PR EVOKED OAE SCREENING,60.0,45.0,7.26,60.0,679 CDM,PX-92565,PR STENGER TEST PURE TONE,79.0,59.25,21.65,79.0,683 CDM,PX-92567,PR TYMPANOMETRY,60.0,45.0,8.58,60.0,696 CDM,PX-92568,PR ACOUSTIC REFLX TEST THRESHOLD,92.0,69.0,12.56,92.0,690 CDM,PX-92570,PR TYMP/ACOUSTIC REFLEX/DECAY,232.0,174.0,23.51,232.0,691 CDM,PX-92575,PR SENSORINEURAL ACUITY LEVEL,169.0,126.75,71.45,169.0,676 CDM,PX-92579,PR AUDIOMETRY VISUAL REINFORCEMNT,137.0,102.75,29.47,137.0,690 CDM,PX-92582,PR AUDIOMETRY CONDITIONING PLAY,178.0,133.5,84.11,178.0,676 CDM,PX-92584,PR ELECTROCOCHLEOGRAPHY,318.0,238.5,102.85,318.0,683 CDM,PX-92587,PR EVOKED OTOACOUSTIC EMISSNS LTD,122.0,91.5,3.52,128.0,2051 CDM,PX-92588,PR EVOKED AUD TEST COMPREHEN,172.0,129.0,33.18,172.0,685 CDM,PX-92596,PR EAR PROTECT ATTENAUATION MEAS,330.0,247.5,75.7,330.0,676 CDM,PX-92597,PR EVAL PROSTHETIC VOICE ST,525.0,393.75,59.62,525.0,686 CDM,PX-92603,PR ANLYS COCHLEAR IMPLT W PROG>7Y,676.0,507.0,95.18,676.0,692 CDM,PX-92604,PR ANLYS COCLR IMP REPROG>7 SUBSQ,268.0,201.0,53.04,268.0,693 CDM,PX-92607,PR EVAL SPEECH-GEN DEV 1STHR ST,989.0,741.75,120.34,989.0,690 CDM,PX-92608,PR EVAL SPCH-GEN DEV EA ADD 30MIN ST,481.0,360.75,47.01,481.0,683 CDM,PX-92610,PR EVAL SWALLOW FUNC OT,550.0,412.5,57.3,550.0,690 CDM,PX-92610001,PR EVAL SWALLOW FUNC ST,545.0,408.75,57.3,545.0,690 CDM,PX-92611,PR EVAL SWALLOW FUNC FLUORO OT,527.0,395.25,89.85,527.0,683 CDM,PX-92611001,PR EVAL SWALLOW FUNC FLUORO ST,714.0,535.5,89.85,714.0,676 CDM,PX-92612,PR EVAL SWALLOW FBROPT ENDO ST,969.0,726.75,53.53,969.0,690 CDM,PX-92620,PR EVAL CNTRL AUD FUNC INIT 60MIN,477.0,357.75,63.66,477.0,692 CDM,PX-92621,PR EVAL CNTRL AUD FUNC INIT 15MIN,118.0,88.5,14.93,118.0,692 CDM,PX-92622,PR DX ALY AUD OI SND PRCSR INIT 60MIN,321.0,240.75,53.36,321.0,692 CDM,PX-92623,PR DX ALY AUD OI SND PRCSR EACH ADL 15MIN,79.0,59.25,13.94,79.0,691 CDM,PX-92625,PR ASSESSMENT OF TINNITUS,177.0,132.75,49.02,177.0,690 CDM,PX-92626,"PR EVAL AUD FNCTN SURG IMP, 1ST HR",295.0,221.25,59.35,295.0,693 CDM,PX-92627,"PR EVAL AUD FNCTN SURG IMP, EA 15 MIN",78.0,58.5,13.94,78.0,690 CDM,PX-92631,PR HEARING AID SELECT UNI/BIL FIRST 30,500.0,375.0,225.0,500.0,677 CDM,PX-92632,PR HEARING AID SELECT UNI/BIL ADD 15,150.0,112.5,67.5,150.0,676 CDM,PX-92634,PR HEARING AID FITG SVC FIRST 60,525.0,393.75,236.25,525.0,677 CDM,PX-92635,PR HEARING AID FITG SVC ADD 30,150.0,112.5,67.5,150.0,676 CDM,PX-92636,PR HEARING AID POST FITG F/UP FIRST 30,525.0,393.75,236.25,525.0,676 CDM,PX-92637,PR HEARING AID POST FITG F/UP ADD 15,150.0,112.5,67.5,150.0,676 CDM,PX-92639,PR HEARING AID MEAS VERIF,125.0,93.75,56.25,125.0,677 CDM,PX-92650,PR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,525.0,393.75,20.89,525.0,677 CDM,PX-92651,PR AEP HEARING STATUS DETER I&R,412.0,309.0,78.54,412.0,676 CDM,PX-92652,PR AUD EVOKED POTENTIAL THRESHOLD EST,677.0,507.75,105.79,677.0,676 CDM,PX-92653,PR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,497.0,372.75,78.54,497.0,678 CDM,PX-92700005,PR DVA TEST,276.0,207.0,13.8,276.0,681 CDM,PX-92700010,PR ICS TEST,185.0,138.75,9.25,185.0,681 CDM,PX-92700015,PR SACCADIC EYE TEST,248.0,186.0,12.4,248.0,681 CDM,PX-92700022,PR VISUAL VERTICAL MEASUREMENT,263.0,197.25,13.15,263.0,681 CDM,PX-92700027,PR VHIT LATERAL CANALS ONLY,453.0,339.75,22.65,453.0,681 CDM,PX-92920,PR PTCA SNGL MJR ARTY/BRNCH,1890.0,1417.5,188.17,1833.3,683 CDM,PX-92924,PR PTCA W COR ANGIO SNGL MJR,4216.0,3162.0,228.13,4089.52,683 CDM,PX-92928,PR PLC INTRACOR STNT SNGL,4382.0,3286.5,225.49,4250.54,683 CDM,PX-92933,PR PTCA INTRACOR STNT SNGL MJR,6833.0,5124.75,269.02,6628.01,683 CDM,PX-92937,PR PERC REVASC TRANS COR SNGL VESL,4636.0,3477.0,254.57,4496.92,683 CDM,PX-92941,PR PERC REVASC TRANS MI SNGL VESL,4771.0,3578.25,286.57,4627.87,683 CDM,PX-92943,PR PERC REVASC TRANS CHR SNGL VESL,4566.0,3424.5,308.17,4429.02,683 CDM,PX-92950,PR CPR,1400.0,1050.0,369.73,1400.0,676 CDM,PX-92953,PR TEMP EXTERNAL PACING,67.0,50.25,0.94,67.0,676 CDM,PX-92960,PR CARDIOVSN ELECT EXTERNAL,795.0,596.25,151.31,795.0,676 CDM,PX-92973,PR THROMB CRNARY PERC,1805.0,1353.75,79.23,1805.0,676 CDM,PX-92978,PR IVUS HRT EA VSSL INIT W S&I,1222.0,916.5,10.59,1685.0,2028 CDM,PX-92979,PR IVUS HRT EA VSSL ADD W S&I,488.0,366.0,5.75,811.0,2028 CDM,PX-93000,PR EKG 12 LEAD W I&R,102.0,76.5,14.99,102.0,685 CDM,PX-93005,PR EKG 12 LEAD TRACE ONLY,84.0,63.0,6.76,84.0,676 CDM,PX-93010,PR EKG I&R ONLY,96.0,72.0,8.23,96.0,676 CDM,PX-93015,PR CV STRESS TEST W SI&R,566.0,424.5,71.81,566.0,680 CDM,PX-93016,PR CV STRESS TEST SUP ONLY,132.0,99.0,20.48,132.0,676 CDM,PX-93018,PR CV STRESS TEST I&R ONLY,133.0,99.75,13.53,133.0,676 CDM,PX-93224,PR HOLTER MONITOR <=48 HRS GLOBAL,687.0,515.25,68.57,687.0,681 CDM,PX-93225,PR HOLTER MONITR<=48HRS RECORDING,150.0,112.5,17.44,150.0,676 CDM,PX-93226,PR HOLTER MONITR<=48HRS SCN/REPRT,390.0,292.5,33.62,390.0,676 CDM,PX-93227,PR HOLTER MONITR<=48HRS R&I,245.0,183.75,17.51,245.0,676 CDM,PX-93228,PR REMOTE 30 DAY ECG PHYS REV,198.0,148.5,24.65,198.0,680 CDM,PX-93229,PR REMOTE 30 DAY ECG TECH SUPP,3883.0,2912.25,734.76,3883.0,680 CDM,PX-93260,PR PROGR DEV EVAL IMPLT SUBQ ICD,449.0,336.75,33.62,825.0,2030 CDM,PX-93261,PR INTERROGATE DEV IMPLT SUBQ ICD,250.0,187.5,33.3,469.0,2029 CDM,PX-93264,PR REM MNTR WRLS P-ART PRS SNR UP TO 30DAY,283.0,212.25,29.32,283.0,691 CDM,PX-93268,PR EVENT MONITOR 30 DAY GLOBAL,725.0,543.75,164.79,725.0,678 CDM,PX-93272,PR EVENT MONITR 30DAY R&I,177.0,132.75,23.43,177.0,676 CDM,PX-93278,PR EKG SIGNAL AVERAGING,262.0,196.5,12.19,457.0,2028 CDM,PX-93279,PR PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,175.0,131.25,30.35,339.0,2030 CDM,PX-93280,PR PROGR DEV EVAL PCMKR DUAL LEAD,112.0,84.0,36.27,222.0,2030 CDM,PX-93281,PR PROGR DEV EVAL PCMKR MULT LEAD,125.0,93.75,40.23,238.0,2029 CDM,PX-93282,PR PROGR DEV EVAL ICD SNGL LEAD,228.0,171.0,36.86,432.0,2030 CDM,PX-93283,PR PROGR DEV EVAL ICD DUAL LEAD,203.0,152.25,40.74,342.0,2031 CDM,PX-93284,PR PROGR DEV EVAL ICD MULT LEAD,239.0,179.25,43.66,401.0,2030 CDM,PX-93285,PR PROGR DEV EVAL SUBQ CARD MON,131.0,98.25,24.73,228.0,2030 CDM,PX-93286,PR PERI-PROC PCMKR EVAL & PROG,262.0,196.5,14.18,387.0,2029 CDM,PX-93287,PR PERI-PROC ICD LEAD EVAL & PROG,268.0,201.0,21.42,427.0,2029 CDM,PX-93288,PR INTERROGATE DEVICE PACEMAKER,102.0,76.5,19.82,194.0,2030 CDM,PX-93289,PR INTERROGATE DEVICE ICD,215.0,161.25,34.59,307.0,2030 CDM,PX-93291,PR INTERROGATE DEV SUBQ CARD MON,100.0,75.0,17.17,176.0,2029 CDM,PX-93293,PR TELETRACE RHYTM PACE EA 90DAYS,212.0,159.0,13.22,309.0,2028 CDM,PX-93294,PR INTER PCMKR REM PROF EA 90DAYS,169.0,126.75,28.94,169.0,679 CDM,PX-93295,PR INTER ICD REM PROF EA 90DAYS,260.0,195.0,35.51,260.0,680 CDM,PX-93296,PR INTER PCMKR/ICD REM TECH 90DAYS,195.0,146.25,30.71,195.0,679 CDM,PX-93298,PR INTER SUBQ CAR MON REM 30DAYS,142.0,106.5,96.09,142.0,679 CDM,PX-93303,PR ECHO CONGENITAL CARD COMPLETE,1036.0,777.0,59.42,1428.0,2032 CDM,PX-93304,PR ECHO CONGENITAL CARD FU/LTD,482.0,361.5,34.34,632.0,2029 CDM,PX-93306,PR ECHO TTE 2D W DPLR COMPLETE,1257.0,942.75,66.66,2077.0,2035 CDM,PX-93306001,PR ECHO TTE W DPLR CMPLT W CNTRST,2077.0,1557.75,191.8,2077.0,681 CDM,PX-93308,PR ECHO TTE 2D FU/LIMITED,916.0,687.0,24.41,1270.0,2032 CDM,PX-93308002,PR ECHO 2D TTE FU/LTD W CONTRST,1270.0,952.5,98.45,1270.0,679 CDM,PX-93312,PR ECHO TEE 2D COMPLETE,980.0,735.0,104.01,1646.0,2028 CDM,PX-93313,PR ECHO TEE 2D PLC ONLY,496.0,372.0,10.22,496.0,676 CDM,PX-93314,PR ECHO TEE IMG ACQUSIT I&R,976.0,732.0,87.07,976.0,677 CDM,PX-93315,PR TEE CONGENITAL CARD ANOMALIES,1899.0,1424.25,122.16,2897.0,2028 CDM,PX-93318,PR ECHO TRANSESOPH INTRAOP,2267.0,1700.25,100.36,2267.0,676 CDM,PX-93319,PR 3D ECHO IMG CGEN CAR ANOMAL,522.0,391.5,54.41,522.0,678 CDM,PX-93320,PR ECHO DPLR COMPLETE,486.0,364.5,17.18,744.0,2035 CDM,PX-93321,PR ECHO DPLR FU/LIMITED,315.0,236.25,7.24,488.0,2034 CDM,PX-93325,PR ECHO DPLR COLOR FLOW MAP,707.0,530.25,3.31,960.0,2037 CDM,PX-93351,PR ECHO TTE STRESS W CONT ECG,1257.0,942.75,80.19,2230.0,2036 CDM,PX-93352,PR ADMIN ECG CNTRST AGENT,311.0,233.25,34.75,311.0,681 CDM,PX-93355,PR ECHO TEE,1310.0,982.5,189.52,1310.0,676 CDM,PX-93356,PR MYOCARDIAL STRAIN IMAGING,492.0,369.0,35.76,492.0,680 CDM,PX-93451,PR RIGHT HEART CATH,2130.0,1597.5,62.49,2066.1,683 CDM,PX-93452,PR LT HRT CATH W VENTRICULOGRAPHY,4150.0,3112.5,425.05,4025.5,683 CDM,PX-93453,PR RT< HRT CATH W VENTRICLGRPHY,3668.5,2751.375,150.12,5692.93,1366 CDM,PX-93454,PR CATH PLC COR ARTY ANGIO S&I,3068.0,2301.0,113.61,2975.96,683 CDM,PX-93455,PR CATH PLC COR ARTY/GRFT ANGIO,2804.0,2103.0,132.46,2719.88,683 CDM,PX-93456,PR CATH PLC COR ARTY/ANG W RT HRT,2030.0,1522.5,147.66,1969.1,683 CDM,PX-93457,PR CATH PLC ARTY/GRFT ANG W R HRT,1972.0,1479.0,166.18,1912.84,683 CDM,PX-93458,PR CATH PLC ARTY/VENT ANG W L HRT,3234.0,2425.5,139.96,3136.98,683 CDM,PX-93459,PR CATH PLC ARTY/GRFT ANG W L HRT,4256.0,3192.0,158.83,6741.5,1366 CDM,PX-93460,PR CATH PLC ART/VEN ANG W R&L HRT,3089.0,2316.75,177.29,2996.33,683 CDM,PX-93461,PR CATH PLC ART/GRFT ANG W R&L HRT,3226.0,2419.5,195.83,3129.22,683 CDM,PX-93462,PR LT HRT CATH TXSPTL PUNC,1588.0,1191.0,197.95,1588.0,676 CDM,PX-93463,PR DRUG ADMIN AND HEMODYN MEAS,606.0,454.5,94.38,606.0,676 CDM,PX-93464,PR EXERCISE STUDY W HEMODYN MEAS,523.0,392.25,86.39,523.0,676 CDM,PX-93503,PR INS/PLC FLOW DIR CATH,2326.0,1744.5,80.31,2326.0,676 CDM,PX-93505,PR BX ENDOMYOCARDIAL,1621.0,1215.75,107.23,1572.37,683 CDM,PX-93563,PR INJ ANGIO CONG HRT CATH S&I,528.0,396.0,49.28,528.0,676 CDM,PX-93565,PR INJ CATH LT VENT/ATRIAL ANGIO,385.0,288.75,25.62,385.0,676 CDM,PX-93566,PR INJ CATH RT VENT/ATRIAL ANGIO,640.0,480.0,21.89,640.0,690 CDM,PX-93567,PR INJ CATH SUPRVLV AORTOGRAPHY,515.0,386.25,35.7,515.0,676 CDM,PX-93568,PR INJ PULM ANGIO S&I,821.0,615.75,44.55,821.0,676 CDM,PX-93571,PR INTRVAS DPLR ANGIO INIT,725.0,543.75,90.44,725.0,676 CDM,PX-93572,PR INTRVAS DPLR ANGIO ADD,491.0,368.25,71.63,603.0,1352 CDM,PX-93580,PR TX CATH CLSR ASD W IMP,7616.0,5712.0,410.35,7387.52,683 CDM,PX-93582,PR PERC TRANSCATH CLSR PDA,8457.0,6342.75,277.69,8203.29,683 CDM,PX-93590,"PR PARAVALVULAR LEAK CLOSURE, INI",5635.0,4226.25,449.75,5465.95,683 CDM,PX-93591,PR PERC TXCATH CLSR PARAVLVR AORTIC,5163.0,3872.25,370.78,5008.11,683 CDM,PX-93593,PR R HRT CATH CHD NML NT CNJ,803.0,602.25,91.87,778.91,683 CDM,PX-93594,PR R HRT CATH CHD ABNL NT CNJ,967.0,725.25,141.75,937.99,683 CDM,PX-93597,PR R&L HRT CATH CHD ABNL NT CNJ,1842.0,1381.5,202.27,1786.74,683 CDM,PX-93598,PR CAR OUTP MEAS DRG CATH CHD,306.0,229.5,65.31,306.0,676 CDM,PX-93612,PR PACING INTRA VENTRICULAR,802.0,601.5,153.09,982.0,1352 CDM,PX-93613,PR MAP EPS 3D,2881.0,2160.75,240.87,2881.0,676 CDM,PX-93618,PR PACING HRT RHYTHM,1390.5,1042.875,206.04,1948.0,1352 CDM,PX-93619,PR EP EVAL WO ARRHYTHMIA,3013.0,2259.75,183.11,4543.48,1366 CDM,PX-93620,PR EP EVAL W ARRHYTHMIA,2492.0,1869.0,293.85,2417.24,683 CDM,PX-93621,PR EP EVAL W LT ATRL/COR SIN PCNG,970.0,727.5,77.48,970.0,676 CDM,PX-93622,PR EP EVAL W LT VENT PACING,1647.0,1235.25,161.07,2743.0,1352 CDM,PX-93623,PR STIM HRT PACING POST IV INF,461.0,345.75,51.09,461.0,676 CDM,PX-93624,PR EP FOLLOW UP STUDY W ARRYTH,1170.0,877.5,113.88,1134.9,683 CDM,PX-93641,PR EVAL EPS ICD GENERATOR W TEST,2346.0,1759.5,146.58,2275.62,683 CDM,PX-93642,PR EVAL EPS ICD SYS,1315.0,986.25,80.8,1874.04,2042 CDM,PX-93650,PR ABLT AV NODE,4436.0,3327.0,241.53,4302.92,683 CDM,PX-93653,PR EP EVAL W SUPRAVENT ABLATE,12091.0,9068.25,345.76,11728.27,683 CDM,PX-93654,PR EP EVAL W VENT TACHY ABLATE,15797.0,11847.75,416.72,15323.09,683 CDM,PX-93655,PR ABLT ARRHYTHMIA ADD ON,3505.0,2628.75,253.53,3505.0,676 CDM,PX-93656,PR EP EVAL TX ART FIB PULM VEIN,14292.0,10719.0,392.02,13863.24,683 CDM,PX-93657,PR ABLT ATRIUM ADD LINEAR CATH,2652.0,1989.0,253.53,2652.0,676 CDM,PX-93660,PR TILT TABLE EVAL W/WO DRUG,679.0,509.25,44.37,1175.64,2045 CDM,PX-93662,PR ECHO INTRACARDIAC,1682.0,1261.5,67.93,1682.0,676 CDM,PX-93668,PR PAD REHAB PER SES,199.0,149.25,14.85,199.0,676 CDM,PX-93750,PR INTERO VAD IN PERSON,306.0,229.5,44.17,306.0,678 CDM,PX-93784,PR MONITOR AMBULATORY BP >=24HR,532.0,399.0,46.55,532.0,681 CDM,PX-93786,PR AMBULATORY BP RECORDING 24 HR,478.0,358.5,22.94,478.0,676 CDM,PX-93786001,"PR AMBULATORY BLOOD PRESSURE MONITORING, 1 DAY OR LONGER, WITH RECORDING-MAIL OUTS",460.0,345.0,22.94,460.0,676 CDM,PX-93790,PR REV/REPORT AMBULATORY BP>=24,130.0,97.5,17.82,130.0,676 CDM,PX-93793,PR ANTICOAGULANT MGMT FOR PT TAKING WARFARIN,57.0,42.75,9.76,57.0,690 CDM,PX-93797,PR CARDIAC REHAB WO ECG EA SESN,159.0,119.25,7.59,159.0,692 CDM,PX-93798,PR CARDIAC REHAB W CONT ECG MON,278.0,208.5,11.87,278.0,692 CDM,PX-93799001,PR AMBULATORY BP MONITORING 18 HR,399.0,299.25,19.95,399.0,679 CDM,PX-93799002,PR AMBULATORY BP MONITORING 6 HRS,133.0,99.75,6.65,133.0,679 CDM,PX-93799004,PR ART PULSE WAVEFORM ANALYSIS,173.0,129.75,8.65,173.0,679 CDM,PX-93880,PR DUP SCAN EXTCR ARTY BI,524.5,393.375,36.79,803.0,1352 CDM,PX-93882,PR DUPLEX SCAN EXTRACRAN ARTY UNILAT,260.5,195.375,22.94,433.0,1353 CDM,PX-93886,PR TRCRAN DPLR INTRCR CMPLT,911.0,683.25,44.7,1102.0,2029 CDM,PX-93888,PR TRCRAN DPLR INTRCR LTD,598.0,448.5,35.54,721.0,2029 CDM,PX-93892,PR TRCRAN EMBOLI DETECT WO IV INJ,806.0,604.5,57.54,982.0,2029 CDM,PX-93893,PR TRCRAN DPLR INTRCR EMBOLI W IV,937.0,702.75,58.51,1106.0,2032 CDM,PX-93893001,PR HYPOXIC TRCRAN DPLR INTRCR EMBOLI W IV,2212.0,1659.0,162.04,2212.0,680 CDM,PX-93895,PR EVAL CAROTID ATHEROMA BIL,649.0,486.75,292.05,649.0,680 CDM,PX-93896,PR VSRCTV STD TCD ICR ART COMPL,556.0,417.0,182.09,556.0,677 CDM,PX-93922,PR STUDY EXT ARTERY 1-2 LVLS BIL,382.0,286.5,11.46,461.0,2029 CDM,PX-93923,PR STUDY EXT ARTERY > 2 LVLS BIL,636.0,477.0,20.94,754.0,2031 CDM,PX-93924,PR STUDY EXT ARTERY W EXER,461.0,345.75,23.26,614.0,2031 CDM,PX-93925,PR DUP SCAN LWR EXT ARTY BIL,584.0,438.0,36.15,943.0,1352 CDM,PX-93926,PR DUP SCAN LWR EXT ARTY UNILAT/LTD,477.0,357.75,22.0,779.0,1352 CDM,PX-93930,PR DUP SCAN UPR EXT ARTY BIL,702.0,526.5,36.47,954.0,1352 CDM,PX-93931,PR DUP SCAN UPR EXT ARTY UNILAT/LTD,411.0,308.25,22.33,647.0,1352 CDM,PX-93970,PR DUP SCAN EXT VEIN BIL,552.5,414.375,31.55,744.0,1352 CDM,PX-93971,PR DUP SCAN EXT VEIN UNILAT/LTD,409.5,307.125,20.09,621.0,1352 CDM,PX-93975,PR DUP SCAN ABD PELV COMPLT,981.5,736.125,52.29,1460.0,1353 CDM,PX-93976,PR DUP SCAN ABD PELV LTD,494.0,370.5,36.54,963.0,2028 CDM,PX-93978,PR DUP SCAN AORTA IVC COMPLT,381.5,286.125,36.64,618.0,1352 CDM,PX-93979,PR DUP SCAN AORTA IVC LTD,341.5,256.125,22.61,540.0,1352 CDM,PX-93980,PR DUP SCAN PENILE VESSELS,477.0,357.75,59.01,635.0,1354 CDM,PX-93990,PR DUP SCAN HEMO ACCESS,374.5,280.875,21.93,410.0,1352 CDM,PX-93998003,PR US NONIVAS XTR VEINS BIL STUDY,372.0,279.0,18.6,372.0,680 CDM,PX-93998004,PR NAILFOLD VIDEO CAPILLAROSCOPY,461.0,345.75,23.05,461.0,680 CDM,PX-93998005,PR ASSESS ENDOTHELIAL FCT NONINV,571.0,428.25,28.55,571.0,680 CDM,PX-93998008,PR BASIC ARTERIAL STUDY,113.5,85.125,1.85,190.0,1352 CDM,PX-940000036,HC PHLEBOTOMY THERAPEUTIC,1086.0,814.5,141.97,1086.0,916 CDM,PX-94002,PR VENTIL MGMT IP INIT DAY,1059.0,794.25,84.56,1059.0,676 CDM,PX-94003,PR VENT MGMT INPT/OBS SUBSQ DAY,418.0,313.5,58.25,418.0,676 CDM,PX-94010,PR SPIROMETRY,73.0,54.75,8.23,127.0,2043 CDM,PX-94060,PR BRONCHODILATION RESPONSIVENESS,153.0,114.75,10.21,250.0,2044 CDM,PX-94070,PR EVAL BRONCHOSPASM PROVOCATION,285.0,213.75,28.33,498.0,2034 CDM,PX-942000010,HC SMOKING CESSATN >10 MIN,135.0,101.25,32.6,135.0,915 CDM,PX-94452,PR HAST W I&R,188.0,141.0,14.51,263.0,2032 CDM,PX-94453,PR HAST W I&R & O2 TITRATION,343.0,257.25,18.78,624.0,2032 CDM,PX-94617,PR EXERCISE TST BRNCSPSM,390.0,292.5,31.09,610.0,2030 CDM,PX-94618,PR PULMONARY STRESS TESTING,391.0,293.25,13.88,477.0,2033 CDM,PX-94621,PR TEST PULM STRESS CMPLX,335.0,251.25,51.43,411.0,2029 CDM,PX-94625,PR PULM REHAB WO CONT OXIMTRY MNTR PER SESS,227.0,170.25,16.04,227.0,691 CDM,PX-94626,PR PULM REHAB W/CONT OXIMTRY MNTR PER SESS,270.0,202.5,23.94,270.0,690 CDM,PX-94640,PR TX INHAL AERO SPUTUM,69.0,51.75,8.38,69.0,680 CDM,PX-94642,PR PENTAMIDINE TX AERO INHAL,237.0,177.75,35.35,237.0,679 CDM,PX-94660,PR CPAP INIT & MGMT,198.0,148.5,57.41,247.0,1374 CDM,PX-94664,PR DEMO/EVAL PAT USE INHALE,133.0,99.75,19.34,133.0,677 CDM,PX-94667,PR MANIP CHST WALL INIT,130.0,97.5,26.46,130.0,678 CDM,PX-94681,PR O2 UPTAKE INCL CO2 OUTPUT,222.0,166.5,9.56,387.0,2031 CDM,PX-94690,PR O2 UPTAKE EXHAL REST INDIRCT,266.0,199.5,3.05,300.0,2060 CDM,PX-94726,PR PLETHYSMOGRAPHY,306.0,229.5,11.87,393.0,2043 CDM,PX-94727,PR GAS DILUTION LUNG VOLUMES,102.0,76.5,11.87,163.0,2031 CDM,PX-94729,PR DIFFUSING CAPACITY,188.0,141.0,9.22,262.0,2044 CDM,PX-94760,PR PULSE OX O2 SAT SNGL,32.0,24.0,3.85,32.0,676 CDM,PX-94761,PR PULSE OX O2 SAT MULT,108.0,81.0,4.17,108.0,680 CDM,PX-94762,PR MEAS BLD O2 LVL OVNT MONITOR,273.0,204.75,23.27,273.0,681 CDM,PX-94799011,PR RESP MUSCLE STRENGTH,188.0,141.0,3.7,262.0,2035 CDM,PX-94799012,PR CAPNIC CHALLENGE TEST,454.0,340.5,22.7,454.0,679 CDM,PX-949000004,HC APHERESIS THERAPEUTIC WBC,8197.0,6147.75,134.84,8197.0,915 CDM,PX-949000005,HC APHERESIS THERAPEUTIC RBC,6011.0,4508.25,127.13,6011.0,915 CDM,PX-949000006,HC APHERESIS THERAPEUTIC PLT,7571.0,5678.25,130.29,7571.0,915 CDM,PX-949000007,HC APHERESIS THERAPEUTIC PLASMA,7753.0,5814.75,115.43,7753.0,917 CDM,PX-949000008,HC LDL APHERESIS,14813.0,11109.75,108.65,14813.0,916 CDM,PX-949000009,HC PHOTOPHERESIS EXTRACORPOREAL,13716.0,10287.0,115.53,13716.0,916 CDM,PX-95004,PR PERC TESTS ALLERGENIC EXTRACTS,25.0,18.75,3.53,25.0,679 CDM,PX-95012,PR NITRIC OXIDE EXPIRED GAS,133.0,99.75,19.06,133.0,682 CDM,PX-95017,PR PERC/INTDER ALRGY TST VENOM EA,47.0,35.25,2.95,47.0,691 CDM,PX-95018,PR PERC/INTDER ALG TST DRG/BIO EA,107.0,80.25,5.93,107.0,692 CDM,PX-95024,PR INTRADERM ALLERG EXTRACT-EA,26.0,19.5,0.94,26.0,692 CDM,PX-95044,PR ALLERGY PATCH TESTS EA,30.0,22.5,4.82,30.0,678 CDM,PX-95052,PR PHOTO PATCH TEST(S),37.0,27.75,5.79,37.0,677 CDM,PX-95056,PR PHOTO TEST(S),349.0,261.75,50.09,349.0,676 CDM,PX-95070,PR INHALATION BRONCHIAL CHALLENGE,391.0,293.25,38.4,391.0,678 CDM,PX-95076,PR INGEST CHALLENGE INIT 120 MIN,424.0,318.0,61.85,424.0,692 CDM,PX-95079,PR INGEST CHALLENGE EA ADD 60 MIN,378.0,283.5,56.91,378.0,692 CDM,PX-95115,PR ALLERGEN IMMUNOTHRPY 1 INJ,37.0,27.75,8.5,37.0,688 CDM,PX-95117,PR ALLERGEN IMMUNOTHRPY 2+ INJ,53.0,39.75,10.15,53.0,688 CDM,PX-95145,PR ANTIGN IMUNOTHRPY VENOM 1 STNG,65.0,48.75,2.61,65.0,692 CDM,PX-95146,PR ANTIGN IMUNOTHRPY VENOM 2 STNG,114.0,85.5,2.61,114.0,690 CDM,PX-95147,PR ANTIGN IMUNOTHRPY VENOM 3 STNG,120.0,90.0,2.61,120.0,690 CDM,PX-95148,PR ANTIGN IMUNOTHRPY VENOM 4 STNG,209.0,156.75,2.61,209.0,690 CDM,PX-95149,PR ANTIGN IMUNOTHRPY VENOM 5 STNG,281.0,210.75,2.61,281.0,690 CDM,PX-95165,PR ALLRGN IMMUNTHRPY SNGL/MULT EA,45.0,33.75,2.61,45.0,692 CDM,PX-95180,PR RAPID DESENSITIZATION EA HOUR,369.0,276.75,85.97,369.0,692 CDM,PX-95199001,PR ICE CUBE TEST,165.0,123.75,8.25,165.0,676 CDM,PX-95250,PR GLUC CONT MONTR/PLCMNT >72HRS,427.0,320.25,147.72,427.0,677 CDM,PX-95251,PR GLUC CONT MONTR >72HR INTRP&RPT,142.0,106.5,29.33,142.0,680 CDM,PX-95700,PR LONG TERM EEG SET UP,827.0,620.25,251.54,827.0,680 CDM,PX-95705,PR EEG 2-12 HOURS W/OUT VIDEO UNMONITORED,864.0,648.0,226.37,864.0,676 CDM,PX-95708,PR EEG 12-26 HOURS W/OUT VIDEO UNMONITORED,1298.0,973.5,283.13,1298.0,680 CDM,PX-95711,PR VEEG BY TECH 2-12 HOURS UNMONITORED,3049.0,2286.75,226.37,3049.0,676 CDM,PX-95714,PR VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1195.0,896.25,283.13,1195.0,679 CDM,PX-95717,PR EEG 2-12 HOURS CONTINUOUS WITHOUT VIDEO,1061.0,795.75,87.83,1061.0,690 CDM,PX-95718,PR VEEG 2-12 HOURS CONTINUOUS WITH VIDEO,2121.0,1590.75,135.44,2121.0,677 CDM,PX-95719,PR EEG 12-26 HOURS CONTINUOUS WITHOUT VIDEO,1227.0,920.25,131.95,1227.0,693 CDM,PX-95720,PR VEEG 12-26 HOURS CONTINUOUS WITH VIDEO,3194.0,2395.5,208.28,3194.0,679 CDM,PX-95721,PR EEG 36-60 HOURS CONTINUOUS WITHOUT VIDEO,2101.0,1575.75,173.96,2101.0,693 CDM,PX-95722,PR VEEG 36-60 HOURS CONTINUOUS WITH VIDEO,3820.0,2865.0,210.89,3820.0,692 CDM,PX-95723,PR EEG 60-84 HOURS CONTINUOUS WITHOUT VIDEO,2178.0,1633.5,211.99,2178.0,690 CDM,PX-95724,PR VEEG 60-84 HOURS CONTINUOUS WITH VIDEO,4664.0,3498.0,267.93,4664.0,691 CDM,PX-95800,PR SLP STDY UNATTND HRT RATE O2,995.0,746.25,137.54,995.0,676 CDM,PX-95803,PR ACTIGRAPHY,506.5,379.875,42.19,736.0,1352 CDM,PX-95805,PR MULT SLEEP LATENCY/MAINT TEST,753.0,564.75,57.02,803.0,1352 CDM,PX-95806,PR SLEEP STUDY UNATTENDED,619.0,464.25,100.73,619.0,676 CDM,PX-95808,PR POLYSOM ANY AGE 1-3 PARAMETERS,3153.0,2364.75,497.49,3153.0,676 CDM,PX-95810,PR PSG >=6 YRS ATTND,915.0,686.25,117.98,915.0,676 CDM,PX-95811,PR PSG >=6 YRS W CPAP,1225.0,918.75,122.29,1225.0,676 CDM,PX-95812,PR EEG EXTEND MONITOR 41-60MIN,1075.0,806.25,57.57,1285.0,2033 CDM,PX-95813,PR EEG EXTEND MONITOR >60MIN,1594.0,1195.5,86.87,2005.0,2030 CDM,PX-95816,PR EEG INCL AWAKE & DROWSY,818.0,613.5,55.6,958.0,2030 CDM,PX-95819,PR EEG INCL AWAKE & ASLEEP,920.0,690.0,55.92,1055.0,2028 CDM,PX-95822,PR EEG COMA/SLEEP,1845.0,1383.75,55.92,2117.0,2028 CDM,PX-95829,PR ELECTROCORTICOGRAM AT SURGERY,7366.0,5524.5,331.91,8945.0,2028 CDM,PX-95836,PR ECOG IMPLTD BRN NPGT <30 DAYS,664.0,498.0,87.16,664.0,691 CDM,PX-95860,PR EMG NEEDLE 1 EXT,316.0,237.0,50.67,606.0,2029 CDM,PX-95861,PR EMG NEEDLE 2 EXT,525.0,393.75,78.29,1002.0,2028 CDM,PX-95864,PR EMG NEEDLE 4 EXT,909.0,681.75,103.33,1622.0,2028 CDM,PX-95865,PR EMG NEEDLE LARYNX,602.0,451.5,68.25,1143.0,2028 CDM,PX-95866,PR EMG NEEDLE HEMIDIAPHRAGM,371.0,278.25,65.52,721.0,2028 CDM,PX-95867,PR EMG NEEDLE CRANIAL NRV UNILAT,407.0,305.25,40.49,655.0,2029 CDM,PX-95868,PR EMG NEEDLE CRANIAL NRV BIL,583.0,437.25,60.88,1016.0,2028 CDM,PX-95869,PR EMG NEEDLE THORACIC PARASPINAL,289.0,216.75,19.39,364.0,2028 CDM,PX-95870,PR EMG NEEDLE LIMITED,407.0,305.25,19.39,523.0,2028 CDM,PX-95872,PR EMG NEEDLE SINGLE FIBER QUANT,682.0,511.5,59.84,876.0,2032 CDM,PX-95874,PR EMG NEEDLE GUID CHEMODENERV,231.0,173.25,19.43,308.0,2032 CDM,PX-95885,PR EMG NDL EA EXT LTD NRV CONDCT,261.0,195.75,18.12,379.0,2029 CDM,PX-95886,PR EMG NDL EXT CMPLT W NRV CONDCT,299.0,224.25,44.77,590.0,2031 CDM,PX-95887,PR EMG NDL NON-EXT W NRV CONDCT,300.0,225.0,36.53,562.0,2032 CDM,PX-95907,PR NERVE CONDCT STUDIES 1-2,333.0,249.75,39.45,563.0,2031 CDM,PX-95908,PR NERVE CONDCT STUDIES 3-4,596.0,447.0,49.48,960.0,2033 CDM,PX-95909,PR NERVE CONDCT STUDIES 5-6,831.0,623.25,59.84,1338.0,2032 CDM,PX-95910,PR NERVE CONDCT STUDIES 7-8,1108.0,831.0,76.02,1752.0,2033 CDM,PX-95911,PR NERVE CONDCT STUDIES 9-10,1385.0,1038.75,84.76,2121.0,2032 CDM,PX-95912,PR NERVE CONDCT STUDIES 11-12,1679.0,1259.25,93.46,2469.0,2031 CDM,PX-95913,PR NERVE CONDCT STUDIES >=13,1902.0,1426.5,108.67,2773.0,2029 CDM,PX-95921,PR AUTONOMIC NRV FUNCT INERVATN,125.0,93.75,43.52,239.0,2030 CDM,PX-95923,PR AUTONOMIC TEST SUDOMOTOR,520.0,390.0,43.16,859.0,2033 CDM,PX-95924,PR TEST ANS PARASYM & SYMP W TILT,565.0,423.75,64.66,955.0,2029 CDM,PX-95925,PR SOMATOSENS TEST UPPER EXT,844.0,633.0,26.98,1008.0,2030 CDM,PX-95926,PR SOMATOSENS TEST LOWER EXT,840.0,630.0,25.72,1015.0,2030 CDM,PX-95930,PR VEP TEST CNS,612.0,459.0,17.79,869.0,2030 CDM,PX-95933,PR ORBICULARIS OCULI REFLEX TEST,428.0,321.0,31.23,704.0,2031 CDM,PX-95937,PR TEST NEURMUSC JUNC EA NRV,650.0,487.5,33.55,956.0,2032 CDM,PX-95938,PR SOMATOSENS UPPR/LWR LIMBS,2169.0,1626.75,44.41,2464.0,2031 CDM,PX-95939,PR CTR MOTOR STDY UPPR/LWR LIMBS,2260.0,1695.0,115.85,2864.0,2028 CDM,PX-95940,PR IONM 1-1 ATTND EA 15 MIN,450.0,337.5,26.4,640.0,1352 CDM,PX-95941,PR IONM REMOTE >=1 PATIENT PER HR,1685.0,1263.75,84.25,1685.0,676 CDM,PX-95955,PR EEG NONINTRACRANIAL SURG,632.0,474.0,52.32,862.0,2028 CDM,PX-95957,PR DIGITAL ANALYSIS EEG,640.0,480.0,100.13,983.0,2029 CDM,PX-95958,PR WADA ACTIVATION TEST W EEG,984.0,738.0,221.66,1509.0,2028 CDM,PX-95961,PR MAPPING CORTICAL INITIAL HR,1815.0,1361.25,166.17,3361.0,2029 CDM,PX-95962,PR MAPPING CORTICAL EA ADD HR,1889.0,1416.75,122.27,3075.0,2028 CDM,PX-95970,PR NEUROSTIM BRAIN WO REPROGRM,216.0,162.0,19.34,216.0,678 CDM,PX-95971,PR NEUROSTIM SPINAL SIMPLE W PROG,325.0,243.75,49.42,325.0,677 CDM,PX-95972,PR NEUROSTIM ANLYS CMPLX,431.0,323.25,58.5,431.0,677 CDM,PX-95976,PR ALYS SMPL CN NPGT PRGRMG,505.0,378.75,37.41,505.0,677 CDM,PX-95977,PR ALYS CPLX CN NPGT PRGRMG,478.0,358.5,49.88,478.0,676 CDM,PX-95980,PR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG,280.0,210.0,40.22,280.0,676 CDM,PX-95981,PR ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,188.0,141.0,16.26,188.0,690 CDM,PX-95982,PR ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,304.0,228.0,53.24,304.0,686 CDM,PX-95983,PR ALYS BRN NPGT PRGRMG 15 MIN,436.0,327.0,41.42,436.0,693 CDM,PX-95984,PR ALYS BRN NPGT PRGRMG ADDL 15,292.0,219.0,36.49,292.0,692 CDM,PX-95990,PR REFIL&MAINT IMPL PUMP SPN/BRN,373.0,279.75,94.97,373.0,676 CDM,PX-95991,PR REFIL&MAINT IMPL SPN/BRN MD/QHP,450.0,337.5,33.2,450.0,690 CDM,PX-95992,PR CANALITH REPOSITIONING PROC PT,200.0,150.0,29.49,200.0,690 CDM,PX-95992002,PR CANALITH REPOSITIONING PROC OT,200.0,150.0,29.49,200.0,690 CDM,PX-95999002,PR PHYSIOLOGIC RECORDING TREMOR,490.0,367.5,24.5,490.0,678 CDM,PX-960002303,HC ECONSULT INTERNAL,107.0,80.25,29.67,107.0,915 CDM,PX-96002,PR DYNAMIC SURFACE EMG 1-12 MUS,194.0,145.5,17.78,194.0,678 CDM,PX-96004,PR QHP R&I MOTION ANALYSIS,536.0,402.0,104.56,536.0,678 CDM,PX-96020,PR NEUROFUNCTIONAL TEST,2283.0,1712.25,149.83,2283.0,676 CDM,PX-96105,PR ASSESS APHASIA PER HR ST,344.0,258.0,95.81,344.0,683 CDM,PX-96110,PR DEVELPMNTL SCREEN W SCORE,66.0,49.5,11.94,66.0,676 CDM,PX-96116,PR NEUROBEHAVIORAL EXAM INIT HR,404.0,303.0,92.97,404.0,677 CDM,PX-96121,PR NEUROBEHAVIORAL EXAM EA HR,404.0,303.0,61.29,404.0,690 CDM,PX-96125,PR EVAL COGNITIVE TESTING ST,427.0,320.25,101.29,427.0,690 CDM,PX-96127,PR BRIEF EMOT/BEHAV ASSMT,16.0,12.0,4.82,16.0,678 CDM,PX-96130,PR PSY TST INTERP & FEEDBACK INIT HR,688.0,516.0,122.39,688.0,680 CDM,PX-96131,PR PSY TST INTERP & FEEDBACK EA HR,392.0,294.0,69.96,392.0,690 CDM,PX-96132,PR NEUROPSY TST INTERP & FEEDBACK 1ST HR,640.0,480.0,120.84,640.0,682 CDM,PX-96133,PR NEUROPSY TST INTERP & FEEDBACK EA HR,503.0,377.25,96.78,503.0,678 CDM,PX-96136,PR PSY OR NSY TST ADMIN BY PHYS 1ST 30 MIN,247.0,185.25,21.21,247.0,690 CDM,PX-96137,PR PSY OR NSY TST ADMIN BY PHYS EA 30 MIN,225.0,168.75,16.34,225.0,690 CDM,PX-96138,PR PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,210.0,157.5,36.54,210.0,682 CDM,PX-96139,PR PSY OR NSY TST ADMIN BY TECH EA 30 MIN,212.0,159.0,34.31,212.0,682 CDM,PX-96156,PR HLTH BHV ASSMT/REASSESSMENT,495.0,371.25,79.97,495.0,685 CDM,PX-96158,PR HLTH BHV IVNTJ INDIV 1ST 30,292.0,219.0,54.91,292.0,686 CDM,PX-96159,PR HLTH BHV IVNTJ INDIV EA ADDL 15,146.0,109.5,18.89,146.0,686 CDM,PX-96160,PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,16.0,12.0,2.91,16.0,678 CDM,PX-96164,PR HLTH BHV IVNTJ GRP 1ST 30,164.0,123.0,11.54,164.0,677 CDM,PX-96165,PR HLTH BHV IVNTJ GRP EA ADDL 15,82.0,61.5,4.97,82.0,677 CDM,PX-96167,PR HLTH BHV IVNTJ FAM 1ST 30,224.0,168.0,58.15,224.0,678 CDM,PX-96168,PR HLTH BHV IVNTJ FAM EA ADDL 15,57.0,42.75,21.1,57.0,678 CDM,PX-96170,PR HLTH BHV IVNTJ FAM WO PT 1ST 30,514.0,385.5,63.07,514.0,677 CDM,PX-96171,PR HLTH BHV IVNTJ FAM W/O PT EA 15,204.0,153.0,22.78,204.0,677 CDM,PX-96202,PR MULT FAM GRP BHV TRAIN WO PT 1ST 60 MIN,89.0,66.75,17.24,89.0,691 CDM,PX-96203,PR MULT FAM GRP BHV TRAIN WO PT 1ST EA 15 MIN,27.0,20.25,4.94,27.0,690 CDM,PX-96360,PR IV INF HYDRAT INIT 31MIN-1HR,337.0,252.75,32.5,337.0,679 CDM,PX-96361,PR IV INF HYDRAT EA ADD HR,109.0,81.75,12.68,109.0,680 CDM,PX-96365,PR IV INF THER INIT 1ST HR,337.0,252.75,65.12,337.0,681 CDM,PX-96366,PR IV INF THER EA ADD HR,129.0,96.75,20.86,129.0,680 CDM,PX-96367,PR IV INF THER ADD SEQ NEW 1ST HR,167.0,125.25,28.96,167.0,681 CDM,PX-96368,PR IV INF THER CONCURR (MAX 1),124.0,93.0,20.2,124.0,681 CDM,PX-96369,PR SQ INF THER 1 DRUG 1ST HR,568.0,426.0,140.57,568.0,677 CDM,PX-96370,PR SQ INF THER 1 DRUG ADDL HR,94.0,70.5,16.66,94.0,676 CDM,PX-96372,PR INJ THER SUBQ/IM,96.0,72.0,15.03,96.0,681 CDM,PX-96373,PR INJ THER INTRA ARTERIAL,67.0,50.25,19.23,67.0,677 CDM,PX-96374,PR INJ THER IV PUSH SNGL INITIAL,240.0,180.0,36.68,240.0,681 CDM,PX-96375,PR IV PUSH EA ADD SEQ NEW DRUG,136.0,102.0,15.28,136.0,683 CDM,PX-96377,PR APPLICATION OF ON BODY INJECTOR,112.0,84.0,18.59,112.0,677 CDM,PX-96379,PR UNLISTED THER/PROP/DIAG INJ/INF,442.0,331.5,22.1,442.0,676 CDM,PX-96380,PR ADMIN RSV MONOC ANTIB W COUNSEL,64.0,48.0,29.34,64.0,676 CDM,PX-96381,PR ADMIN RSV MONOC ANTIB W/O COUNSEL,63.0,47.25,23.77,63.0,676 CDM,PX-96401,PR CHEMO NON-HORM ANTI-NEO SQ/IM,257.0,192.75,69.65,257.0,680 CDM,PX-96402,PR CHEMO HORM ANTI-NEO SQ/IM,172.0,129.0,37.67,172.0,682 CDM,PX-96405,PR CHEMO INTRALESNAL <=7 LESN,382.0,286.5,11.7,370.54,698 CDM,PX-96406,PR CHEMO INTRALESIONAL >7,620.0,465.0,18.43,601.4,697 CDM,PX-96409,PR CHEMO IV PUSH SNGL,675.0,506.25,101.33,675.0,678 CDM,PX-96411,PR CHEMO IV PUSH EA ADD,308.0,231.0,55.44,308.0,680 CDM,PX-96413,PR CHEMO IV INF 1ST HR,758.0,568.5,129.16,758.0,683 CDM,PX-96415,PR CHEMO IV INF EA ADD HR,183.0,137.25,27.63,183.0,682 CDM,PX-96416,PR CHEMO IV INF > 8HR W PUMP,849.0,636.75,129.09,849.0,679 CDM,PX-96417,PR CHEMO INF SEQ DIF DRUG 1ST HR,487.0,365.25,64.51,487.0,681 CDM,PX-96446,PR CHEMO ADMIN PERIT CAV VIA CATH,1683.0,1262.25,18.38,1683.0,690 CDM,PX-96450,PR CHEMO ADMIN CNS REQ SP PUNC,1159.0,869.25,157.06,1159.0,676 CDM,PX-96521,PR REFILL/MAINT PORTABLE PUMP,433.0,324.75,139.12,433.0,676 CDM,PX-96523,PR IRRIG IMP VAD,144.0,108.0,25.25,144.0,680 CDM,PX-96542,PR CHEMOTX NJX SUBARACH/INTRAVENT,627.0,470.25,130.66,627.0,677 CDM,PX-96547,PR HIPEC INCISION AND CLOSURE FIRST 60 MIN,3804.0,2853.0,190.2,3804.0,676 CDM,PX-96548,PR HIPEC INCISION AND CLOSURE EACH ADTL 30 MIN,1902.0,1426.5,95.1,1902.0,676 CDM,PX-96549,PR CHEMO PROC HIPEC,1631.0,1223.25,81.55,1631.0,676 CDM,PX-96567,PR PHOTODYNAMIC THRPY SKIN DSTRCT,587.0,440.25,125.22,587.0,678 CDM,PX-96900,PR ACTINOTHERAPY UV LIGHT,102.0,76.5,22.94,102.0,678 CDM,PX-96904,PR INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,439.0,329.25,54.44,439.0,687 CDM,PX-96910,PR PHOTOCHEMTHRPY W UV-B GOECKMAN,194.0,145.5,111.26,194.0,676 CDM,PX-96912,PR PHOTOCHEMTHRPY W UV-A PUVA,208.0,156.0,94.11,208.0,676 CDM,PX-96931,PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST,641.0,480.75,160.22,641.0,676 CDM,PX-96932,PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION,439.0,329.25,118.74,439.0,676 CDM,PX-96933,PR RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES,174.0,130.5,41.47,174.0,677 CDM,PX-96999002,PR LASER HAIR RMVL 1 LG BODY SITE,800.0,600.0,40.0,800.0,677 CDM,PX-96999003,PR LASER HAIR RMVL 1 LG FACIAL SITE,400.0,300.0,20.0,400.0,677 CDM,PX-96999004,PR LASER HAIR RMVL 1 MED BODY SITE,400.0,300.0,20.0,400.0,677 CDM,PX-96999005,PR LASER HAIR RMVL 1 SM BODY SITE,200.0,150.0,10.0,200.0,677 CDM,PX-96999006,PR LASER HAIR RMVL 1 SM FACIAL SITE,200.0,150.0,10.0,200.0,677 CDM,PX-96999018,PR COSM REMOVAL HAIR ABD MALE,230.0,172.5,11.5,230.0,677 CDM,PX-96999019,PR COSM REMOVAL HAIR BACK MALE,600.0,450.0,30.0,600.0,677 CDM,PX-96999020,PR COSM REMOVAL HAIR BIKINI LINE,150.0,112.5,7.5,150.0,677 CDM,PX-96999021,PR COSM REMOVAL HAIR CHIN,120.0,90.0,6.0,120.0,677 CDM,PX-96999030,PR COSM REMOVAL HAIR UPPER LIP,140.0,105.0,7.0,140.0,677 CDM,PX-96999034,PR COSM REMOVAL HAIR EARS,200.0,150.0,10.0,200.0,677 CDM,PX-97007,PR SCALP COOLING INITIAL FITTING & CAP,3100.0,2325.0,1642.43,3100.0,676 CDM,PX-97008,PR SCALP COOLING PRE-CHEMO,150.0,112.5,9.67,150.0,678 CDM,PX-97009,PR SCALP COOLING POST-CHEMO ADDL 30 MINS EA,50.0,37.5,6.15,50.0,678 CDM,PX-97010,PR HOT/COLD PACK,48.0,36.0,6.5,48.0,550 CDM,PX-97012,PR PT TRACTION MECHANICAL,69.0,51.75,14.13,69.0,683 CDM,PX-97014,PR ELECTRIC STIMULATION THERAPY PT,63.0,47.25,12.45,63.0,591 CDM,PX-97014001,PR ELECTRIC STIMULATION THERAPY OT,63.0,47.25,12.45,63.0,676 CDM,PX-97016,PR VASOPNEUMATIC DEVICE PT,76.0,57.0,11.8,76.0,596 CDM,PX-97022,PR WHIRLPOOL PT,76.0,57.0,15.35,76.0,596 CDM,PX-97022001,PR WHIRLPOOL OT,76.0,57.0,15.35,76.0,683 CDM,PX-97032,PR E-STIM MANUAL EA 15MIN PT,66.0,49.5,14.46,66.0,683 CDM,PX-97032001,PR E-STIM MANUAL EA 15MIN OT,66.0,49.5,14.46,66.0,683 CDM,PX-97033,PR IONTOPHORESIS EA 15MIN PT,106.0,79.5,18.68,106.0,683 CDM,PX-97033001,PR IONTOPHORESIS EA 15MIN OT,106.0,79.5,18.68,106.0,683 CDM,PX-97034,PR CONTRAST BATH EA 15MIN OT,69.0,51.75,13.77,69.0,683 CDM,PX-97035,PR ULTRASOUND EA 15MIN PT,59.0,44.25,14.1,59.0,683 CDM,PX-97035001,PR ULTRASOUND EA 15MIN OT,59.0,44.25,14.1,59.0,683 CDM,PX-97037,PR LOW LVL LASER THERAPY,93.0,69.75,41.85,93.0,678 CDM,PX-97039,PR UNLISTED MODALITY OT,96.0,72.0,4.8,96.0,676 CDM,PX-97110,PR THERAPEUTIC EXERC EA 15MIN PT,134.0,100.5,28.59,134.0,683 CDM,PX-97110001,PR THERAPEUTIC EXERC EA 15MIN OT,134.0,100.5,28.59,134.0,683 CDM,PX-97112,PR NEUROMUSCULAR RE-ED EA15MIN PT,114.0,85.5,32.2,114.0,683 CDM,PX-97112002,PR NEUROMUSCULAR RE-ED EA15MIN OT,114.0,85.5,32.2,114.0,683 CDM,PX-97113,PR AQUATIC THRPY EA 15MIN,100.0,75.0,36.38,100.0,683 CDM,PX-97116,PR PT GAIT TRAINING EA 15MIN,100.0,75.0,28.59,100.0,683 CDM,PX-97124,PR THER MASSAGE EA 15MIN PT,159.0,119.25,29.13,159.0,596 CDM,PX-97124001,PR THER MASSAGE EA 15MIN OT,159.0,119.25,29.13,159.0,683 CDM,PX-97129001,PR THER INTV COG FUNC INITIAL 15MIN OT,85.0,63.75,19.58,85.0,691 CDM,PX-97129002,PR THER INTV COG FUNC INITIAL 15MIN,85.0,63.75,19.58,85.0,691 CDM,PX-97129003,PR THER INTV COG FUNC INITIAL 15MIN ST,85.0,63.75,22.16,85.0,677 CDM,PX-97130001,PR THER INTV COG FUNC EA ADD15MIN OT,85.0,63.75,18.3,85.0,691 CDM,PX-97130002,PR THER INTV COG FUNC EA ADD15MIN,85.0,63.75,18.3,85.0,691 CDM,PX-97130003,PR THER INTV COG FUNC EA ADD15MIN ST,85.0,63.75,20.89,85.0,677 CDM,PX-97140,PR MANUAL THERAPY EA 15MIN PT,125.0,93.75,27.27,125.0,683 CDM,PX-97140001,PR MANUAL THERAPY EA 15MIN OT,125.0,93.75,27.27,125.0,683 CDM,PX-97161,PR PT EVAL LOW COMPLEX,320.0,240.0,96.39,320.0,683 CDM,PX-97162,PR PT EVAL MOD COMPLEX,336.0,252.0,96.39,336.0,683 CDM,PX-97163,PR PT EVAL HIGH COMPLEX,370.0,277.5,96.39,370.0,683 CDM,PX-97164,PR PT RE-EVAL EST PLAN CARE,209.0,156.75,66.33,209.0,683 CDM,PX-97165,PR OT EVAL LOW COMPLEX,320.0,240.0,98.98,320.0,683 CDM,PX-97166,PR OT EVAL MOD COMPLEX,336.0,252.0,98.98,336.0,683 CDM,PX-97167,PR OT EVAL HIGH COMPLEX,370.0,277.5,98.98,370.0,683 CDM,PX-97168,PR OT RE-EVAL EST PLAN CARE,209.0,156.75,67.31,209.0,683 CDM,PX-97530,PR THER FUNCT ACTVTY EA 15MIN PT,176.0,132.0,34.4,176.0,683 CDM,PX-97530001,PR THER FUNCT ACTVTY EA 15MIN OT,176.0,132.0,34.4,176.0,683 CDM,PX-97533,PR SENSORY INTEG EA 15 MIN OT,114.0,85.5,59.36,114.0,683 CDM,PX-97535,PR HOME MGMT TRAIN EA 15MIN PT,128.0,96.0,31.82,128.0,683 CDM,PX-97535001,PR HOME MGMT TRAIN EA 15MIN OT,128.0,96.0,31.82,128.0,683 CDM,PX-97537,PR COMM/WORK REINTGRT EA 15MIN OT,93.0,69.75,31.53,93.0,683 CDM,PX-97542,PR WHEELCHAIR MGMT EA 15MIN PT,103.0,77.25,30.56,103.0,683 CDM,PX-97542001,PR WHEELCHAIR MGMT EA 15MIN OT,103.0,77.25,30.56,103.0,683 CDM,PX-97550001,PR CAREGIVER TRAINING INITIAL 30 MINS PT,218.0,163.5,39.51,218.0,690 CDM,PX-97550002,PR CAREGIVER TRAINING INITIAL 30 MINS OT,218.0,163.5,39.51,218.0,690 CDM,PX-97550003,PR CAREGIVER TRAINING INITIAL 30 MINS ST,218.0,163.5,39.51,218.0,690 CDM,PX-97551001,PR CAREGIVER TRAINING ADDL 15 MINS PT,109.0,81.75,20.95,109.0,690 CDM,PX-97551002,PR CAREGIVER TRAINING ADDL 15 MINS OT,109.0,81.75,20.95,109.0,690 CDM,PX-97551003,PR CAREGIVER TRAINING ADDL 15 MINS ST,109.0,81.75,20.95,109.0,690 CDM,PX-97597,PR DBRD SEL OPN WND<=20SCM,261.0,195.75,84.13,261.0,688 CDM,PX-97598,PR DBRD SEL OPN WND ADD 20SCM,135.0,101.25,39.58,135.0,686 CDM,PX-97602,PR DBRD WND RMVL TIS NON-SEL,183.0,137.25,82.35,183.0,550 CDM,PX-97605,PR NEG PRESS WND THRPY <=50SCM,187.0,140.25,35.11,187.0,687 CDM,PX-97606,PR NEG PRESS WND THRPY >50SCM,346.0,259.5,42.03,346.0,687 CDM,PX-97607,PR NPW THRPY NON DME <50SCM,883.0,662.25,302.78,883.0,686 CDM,PX-97608,PR NPW THRPY NON DME >50SCM,957.0,717.75,21.2,957.0,691 CDM,PX-97750,PR PHYSICAL PERF TEST EA 15MIN PT,166.0,124.5,33.12,166.0,596 CDM,PX-97750004,PR PHYSICAL PERF TEST EA 15MIN OT,166.0,124.5,33.12,166.0,683 CDM,PX-97760,PR ORTH TRAIN INIT ENC EA 15MIN PT,167.0,125.25,45.14,167.0,683 CDM,PX-97760001,PR ORTH TRAIN INIT ENC EA 15MIN OT,167.0,125.25,45.14,167.0,683 CDM,PX-97761,PR PROSTH TRAIN INIT ENC EA 15MIN OT,137.0,102.75,39.64,137.0,683 CDM,PX-97761001,PR PROSTH TRAIN INIT ENC EA 15MIN PT,137.0,102.75,39.64,137.0,683 CDM,PX-97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,167.0,125.25,49.01,167.0,683 CDM,PX-97763001,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,167.0,125.25,49.01,167.0,683 CDM,PX-97799021,PR INDV PHYSICAL PERF ASSESS,450.0,337.5,22.5,450.0,676 CDM,PX-97802,PR MNT INIT INDV EA 15MIN,114.0,85.5,30.69,114.0,680 CDM,PX-97803,PR MNT REASSESS INDV EA 15MIN,98.0,73.5,26.5,98.0,678 CDM,PX-97804,PR MNT GROUP EA 30MIN,64.0,48.0,12.2,64.0,690 CDM,PX-97810,PR ACUPUNC WO E-STIM INIT 15MIN,145.0,108.75,47.09,145.0,679 CDM,PX-97811,PR ACUPUNC WO E-STIM EA ADD 15MIN,112.0,84.0,27.87,112.0,679 CDM,PX-97813,PR ACUPUNC W E-STIM 1ST 15 MIN,162.0,121.5,32.94,162.0,692 CDM,PX-97814,PR ACUPUNC W E-STIM ADD 15MIN,104.0,78.0,20.76,104.0,692 CDM,PX-98000,PR SYNCH AUDIO-VIDEO NEW SF 15,255.0,191.25,39.58,255.0,677 CDM,PX-98001,PR SYNCH AUDIO-VIDEO NEW LOW 30,376.0,282.0,67.34,376.0,677 CDM,PX-98002,PR SYNCH AUDIO-VIDEO NEW MOD 45,599.0,449.25,109.87,599.0,677 CDM,PX-98003,PR SYNCH AUDIO-VIDEO NEW HI 60,792.0,594.0,147.83,792.0,677 CDM,PX-98004,PR SYNCH AUDIO-VIDEO EST SF 10,176.0,132.0,29.7,176.0,677 CDM,PX-98005,PR SYNCH AUDIO-VIDEO EST LOW 20,265.0,198.75,70.34,265.0,676 CDM,PX-98006,PR SYNCH AUDIO-VIDEO EST MOD 30,370.0,277.5,81.15,370.0,677 CDM,PX-98007,PR SYNCH AUDIO-VIDEO EST HI 40,593.0,444.75,137.7,593.0,676 CDM,PX-98008,PR SYNCH AUDIO-ONLY NEW SF 15,255.0,191.25,38.25,255.0,678 CDM,PX-98009,PR SYNCH AUDIO-ONLY NEW LOW 30,376.0,282.0,65.35,376.0,677 CDM,PX-98010,PR SYNCH AUDIO-ONLY NEW MOD 45,599.0,449.25,102.27,599.0,677 CDM,PX-98011,PR SYNCH AUDIO-ONLY NEW HI 60,792.0,594.0,135.26,792.0,677 CDM,PX-98012,PR SYNCH AUDIO-ONLY EST SF 10,176.0,132.0,27.39,176.0,677 CDM,PX-98013,PR SYNCH AUDIO-ONLY EST LOW 20,265.0,198.75,50.82,265.0,677 CDM,PX-98014,PR SYNCH AUDIO-ONLY EST MOD 30,370.0,277.5,73.9,370.0,677 CDM,PX-98015,PR SYNCH AUDIO-ONLY EST HI 40,593.0,444.75,136.73,593.0,676 CDM,PX-98925,PR OMT 1-2 BODY REGIONS,111.0,83.25,19.45,111.0,691 CDM,PX-98926,PR OMT 3-4 BODY REGIONS,164.0,123.0,29.37,164.0,691 CDM,PX-98927,PR OMT 5-6 BODY REGIONS,202.0,151.5,39.59,202.0,691 CDM,PX-98928,PR OMT 7-8 BODY REGIONS,251.0,188.25,49.51,251.0,692 CDM,PX-98929,PR OMT 9-10 BODY REGIONS,277.0,207.75,58.82,277.0,691 CDM,PX-98960,PR SELF-MGMT EDUC & TRAIN 1 PT,99.0,74.25,32.29,99.0,678 CDM,PX-98961,PR SELF-MGMT EDUC & TRAIN 2-4 PT,80.0,60.0,15.17,80.0,676 CDM,PX-98962,PR SELF-MGMT EDUC & TRAIN 5-8 PT,73.0,54.75,11.61,73.0,676 CDM,PX-98966,PR PHONE ASSESS/MNGMT 5-10 MIN,74.0,55.5,10.25,74.0,690 CDM,PX-98967,PR PHONE ASSESS/MNGMT 11-20 MIN,125.0,93.75,19.86,125.0,690 CDM,PX-98968,PR PHONE ASSESS/MNGMT 21-30 MIN,177.0,132.75,25.77,177.0,691 CDM,PX-98975,PR REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP PT,59.0,44.25,20.96,59.0,676 CDM,PX-98976,PR REM THER MNTR DEV SUPPLY W/REC RESPIR SYS EA 30D,174.0,130.5,50.45,174.0,676 CDM,PX-98980,PR REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN,189.0,141.75,25.45,189.0,690 CDM,PX-98981,PR REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN,125.0,93.75,25.12,125.0,690 CDM,PX-99001,PR SPEC HANDLE &/OR CONVEY OTHER,36.0,27.0,16.2,36.0,676 CDM,PX-99070016,PR CYMETRA PER CC FL,243.0,182.25,109.35,243.0,678 CDM,PX-99070037,PR JUVEDERM ULTRA PLUS RST,494.0,370.5,222.3,494.0,678 CDM,PX-99070038,PR JUVEDERM ULTRA PLUS XC RST,735.0,551.25,330.75,735.0,678 CDM,PX-99070039,PR JUVEDERM ULTRA .4CC,446.0,334.5,200.7,446.0,678 CDM,PX-99070040,PR JUVEDERM ULTRA XC AZ,893.0,669.75,401.85,893.0,678 CDM,PX-99070072,PR RESTYLANE 1 CC RST,510.0,382.5,229.5,510.0,678 CDM,PX-99070073,PR RESTYLANE EYELIGHT 1/2 CC,400.0,300.0,180.0,400.0,678 CDM,PX-99070104,PR VAGINAL DILATOR - TAKE HOME,42.0,31.5,18.9,42.0,678 CDM,PX-99070113,PR AMIELLE DILATOR,131.0,98.25,58.95,131.0,678 CDM,PX-99070114,PR PENILE SELF INJECTION KIT,34.0,25.5,15.3,34.0,678 CDM,PX-99070115,PR FACIAL BANDAGE,54.0,40.5,24.3,54.0,678 CDM,PX-99070124,PR EMST150 TRAINER,330.0,247.5,148.5,330.0,678 CDM,PX-99070125,PR EMST75LITE TRAINER,330.0,247.5,148.5,330.0,678 CDM,PX-99070126,PR IA150 ADAPTER,179.0,134.25,80.55,179.0,678 CDM,PX-99070129,PR RMT TRAINER KIT,262.0,196.5,117.9,262.0,678 CDM,PX-99078,PR PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING,158.0,118.5,71.1,158.0,676 CDM,PX-99091,PR COLL AND INTERP PHYS DATA,161.0,120.75,46.83,161.0,690 CDM,PX-99100,PR ANES PT EXTREME AGE <1YR/ >70,319.0,239.25,143.55,319.0,676 CDM,PX-99116,PR ANES COMPL TOT BODY HYPOTHERM,1671.0,1253.25,751.95,1671.0,676 CDM,PX-99135,PR ANES COMPL CNTRLD HYPOTENSION,1429.0,1071.75,643.05,1429.0,676 CDM,PX-99140,PR ANES COMPL EMERG CONDITIONS,606.0,454.5,272.7,606.0,676 CDM,PX-99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,312.0,234.0,49.99,312.0,676 CDM,PX-99152001,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER-GI,451.0,338.25,49.99,590.0,1352 CDM,PX-99153,PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,105.0,78.75,11.9,105.0,676 CDM,PX-99156,PR MOD SED OTH PHYS/QHP 5/>YRS,649.0,486.75,69.93,649.0,676 CDM,PX-99157,PR MOD SED OTH PHYS/QHP 5/>YRS ADDL 15 MIN,145.0,108.75,53.2,145.0,676 CDM,PX-99173,PR VISUAL ACUITY SCRN,51.0,38.25,3.2,51.0,679 CDM,PX-99195,PR PHLEBOTOMY THERAPEUTIC,236.0,177.0,94.97,236.0,678 CDM,PX-99199009,PR INTERNATIONAL MED SURG/PROC PER DAY,25000.0,18750.0,1250.0,25000.0,676 CDM,PX-99199010,PR INTERNATIONAL MED APP PER DAY,7500.0,5625.0,375.0,7500.0,676 CDM,PX-99199046,PR INTERNATIONAL MED MD PER DAY,15000.0,11250.0,750.0,15000.0,676 CDM,PX-99199085,PR INTERNATIONAL MED AHP PER DAY,5000.0,3750.0,250.0,5000.0,676 CDM,PX-99199094,PR IMH GROUP ACUPUNCTURE,48.0,36.0,2.4,48.0,676 CDM,PX-99199095,PR IMH SELF PAY ACUPUNCTURE,175.0,131.25,8.75,175.0,676 CDM,PX-99202,PR VISIT NEW PATIENT LEVEL 2,255.0,191.25,73.52,255.0,683 CDM,PX-99202,PR VISIT NEW PATIENT LEVEL 2 Consult Adjusted,449.0,336.75,73.52,449.0,678 CDM,PX-99202005,PR TELEPHONE VISIT NEW PATIENT LEVEL 2,255.0,191.25,40.51,255.0,697 CDM,PX-99203,PR VISIT NEW PATIENT LEVEL 3,376.0,282.0,97.73,376.0,693 CDM,PX-99203,PR VISIT NEW PATIENT LEVEL 3 Consult Adjusted,530.0,397.5,97.73,530.0,689 CDM,PX-99204,PR VISIT NEW PATIENT LEVEL 4,599.0,449.25,147.6,599.0,694 CDM,PX-99204,PR VISIT NEW PATIENT LEVEL 4 Consult Adjusted,696.0,522.0,147.6,696.0,688 CDM,PX-99205,PR VISIT NEW PATIENT LEVEL 5,792.0,594.0,231.74,792.0,684 CDM,PX-99205,PR VISIT NEW PATIENT LEVEL 5 Consult Adjusted,850.0,637.5,231.74,850.0,678 CDM,PX-99211,PR VISIT EST PATIENT LEVEL 1,94.0,70.5,20.21,94.0,681 CDM,PX-99212,PR VISIT EST PATIENT LEVEL 2,176.0,132.0,49.39,176.0,683 CDM,PX-99212,PR VISIT EST PATIENT LEVEL 2 Consult Adjusted,388.0,291.0,49.39,449.0,1354 CDM,PX-99212006,PR TELEPHONE VISIT EST PATIENT LEVEL 2,176.0,132.0,49.39,176.0,683 CDM,PX-99213,PR VISIT EST PATIENT LEVEL 3,265.0,198.75,79.26,265.0,684 CDM,PX-99213,PR VISIT EST PATIENT LEVEL 3 Consult Adjusted,530.0,397.5,79.26,530.0,678 CDM,PX-99213011,PR TELEPHONE VISIT EST PATIENT LEVEL 3,265.0,198.75,56.67,265.0,698 CDM,PX-99214,PR VISIT EST PATIENT LEVEL 4,370.0,277.5,112.93,370.0,685 CDM,PX-99214,PR VISIT EST PATIENT LEVEL 4 Consult Adjusted,696.0,522.0,112.93,696.0,678 CDM,PX-99215,PR VISIT EST PATIENT LEVEL 5,593.0,444.75,188.53,593.0,683 CDM,PX-99215,PR VISIT EST PATIENT LEVEL 5 Consult Adjusted,850.0,637.5,188.53,850.0,678 CDM,PX-99221,PR INIT HOSP IP/OBS SF/LOW,515.0,386.25,73.15,515.0,676 CDM,PX-99221,PR INIT HOSP IP/OBS SF/LOW Consult Adjusted,599.0,449.25,73.15,599.0,676 CDM,PX-99222,PR INIT HOSP IP/OBS MODERATE,545.0,408.75,115.1,545.0,676 CDM,PX-99222,PR INIT HOSP IP/OBS MODERATE Consult Adjusted,684.0,513.0,115.1,684.0,676 CDM,PX-99223,PR INIT HOSP IP/OBS HIGH,707.0,530.25,154.04,707.0,676 CDM,PX-99223,PR INIT HOSP IP/OBS HIGH Consult Adjusted,875.0,656.25,154.04,875.0,676 CDM,PX-99231,PR SBSQ HOSP IP/OBS SF/LOW,215.0,161.25,36.94,215.0,686 CDM,PX-99231,PR SBSQ HOSP IP/OBS SF/LOW Consult Adjusted,415.0,311.25,36.94,415.0,686 CDM,PX-99232,PR SBSQ HOSP IP/OBS MODERATE,297.0,222.75,69.48,297.0,676 CDM,PX-99232,PR SBSQ HOSP IP/OBS MODERATE Consult Adjusted,535.0,401.25,69.48,535.0,676 CDM,PX-99233,PR SBSQ HOSP IP/OBS HIGH,426.0,319.5,105.38,426.0,676 CDM,PX-99234,PR HOSP IP/OBS SM DT SF/LOW,520.0,390.0,86.84,520.0,676 CDM,PX-99235,PR HOSP IP/OBS SAME DATE MODERATE,636.0,477.0,119.8,636.0,686 CDM,PX-99236,PR HOSP IP/OBS SAME DATE HIGH,838.0,628.5,186.93,838.0,676 CDM,PX-99238,PR HOSP D/C DAY MGMT <= 30 MIN,357.0,267.75,73.6,357.0,676 CDM,PX-99239,PR HOSP D/C DAY MGMT > 30 MIN,440.0,330.0,89.14,440.0,686 CDM,PX-99242,PR OFFICE CONSULT LEVEL 2,449.0,336.75,73.68,449.0,677 CDM,PX-99243,PR OFFICE CONSULT LEVEL 3,530.0,397.5,110.52,530.0,680 CDM,PX-99244,PR OFFICE CONSULT LEVEL 4,696.0,522.0,158.15,696.0,681 CDM,PX-99245,PR OFFICE CONSULT LEVEL 5,850.0,637.5,205.98,850.0,681 CDM,PX-99252,PR IP/OBS CONSULT SF,535.0,401.25,69.22,535.0,676 CDM,PX-99253,PR IP/OBS CONSULT LOW,599.0,449.25,97.42,599.0,676 CDM,PX-99254,PR IP/OBS CONSULT MODERATE,684.0,513.0,135.52,684.0,676 CDM,PX-99255,PR IP/OBS CONSULT HIGH,875.0,656.25,182.11,875.0,676 CDM,PX-99281,PR ED VISIT LEVEL 1,335.0,251.25,10.83,335.0,676 CDM,PX-99281,PR ED VISIT LEVEL 1 Consult Adjusted,387.5,290.625,10.83,449.0,1352 CDM,PX-99282,PR ED VISIT LEVEL 2,439.0,329.25,39.71,439.0,676 CDM,PX-99282,PR ED VISIT LEVEL 2 Consult Adjusted,530.0,397.5,39.71,530.0,676 CDM,PX-99283,PR ED VISIT LEVEL 3,687.0,515.25,68.22,687.0,676 CDM,PX-99284,PR ED VISIT LEVEL 4,979.0,734.25,116.09,979.0,676 CDM,PX-99284,PR ED VISIT LEVEL 4 Consult Adjusted,696.0,522.0,116.09,696.0,676 CDM,PX-99285,PR ED VISIT LEVEL 5,1354.0,1015.5,168.36,1354.0,676 CDM,PX-99285,PR ED VISIT LEVEL 5 Consult Adjusted,850.0,637.5,168.36,850.0,676 CDM,PX-99291,PR CRITICAL CARE 30-74MIN,1830.0,1372.5,302.3,1830.0,676 CDM,PX-99292,PR CRITICAL CARE ADD 30MIN,849.0,636.75,131.25,849.0,676 CDM,PX-99341,PR IN-HOME VISIT NEW LEVEL 1,176.0,132.0,41.19,176.0,686 CDM,PX-99344,PR IN-HOME VISIT NEW LEVEL 4,525.0,393.75,144.45,525.0,676 CDM,PX-99345,PR IN-HOME VISIT NEW LEVEL 5,586.0,439.5,206.65,586.0,676 CDM,PX-99347,PR IN-HOME VISIT EST LEVEL 1,120.0,90.0,38.63,120.0,686 CDM,PX-99348,PR IN-HOME VISIT EST LEVEL 2,259.0,194.25,77.67,259.0,676 CDM,PX-99349,PR IN-HOME VISIT EST LEVEL 3,367.0,275.25,110.58,367.0,686 CDM,PX-99350,PR IN-HOME VISIT EST LEVEL 4,475.0,356.25,189.89,475.0,676 CDM,PX-99360,PR PHYSICIAN STANDBY SRV 30 MIN,539.0,404.25,50.82,539.0,676 CDM,PX-99366,PR MED TM CONF F2F PAT 30+MIN,212.0,159.0,34.64,212.0,636 CDM,PX-99375,PR HOME HEALTH SUPERVISN >=30MIN,385.0,288.75,91.65,385.0,680 CDM,PX-99381,PR PREV MED NEW PAT INFANT,348.0,261.0,63.07,348.0,677 CDM,PX-99382,PR PREV MED NEW PAT 1-4 YRS,350.0,262.5,67.34,350.0,677 CDM,PX-99383,PR PREV MED NEW PAT 5-11 YRS,355.0,266.25,71.9,355.0,677 CDM,PX-99384,PR PREV MED NEW PAT 12-17YRS,370.0,277.5,84.15,370.0,679 CDM,PX-99385,PR PREV MED NEW PAT 18-39YRS,427.0,320.25,81.15,427.0,679 CDM,PX-99386,PR PREV MED NEW PAT 40-64YRS,503.0,377.25,98.62,503.0,680 CDM,PX-99387,PR PREV MED NEW PAT 65+ YRS,536.0,402.0,105.55,536.0,679 CDM,PX-99391,PR PREV MED EST PAT INFANT,295.0,221.25,57.76,295.0,678 CDM,PX-99392,PR PREV MED EST PAT 1-4 YR,295.0,221.25,63.07,295.0,678 CDM,PX-99393,PR PREV MED EST PAT 5-11YR,301.0,225.75,63.07,301.0,678 CDM,PX-99394,PR PREV MED EST PAT 12-17Y,334.0,250.5,71.9,334.0,679 CDM,PX-99395,PR PREV MED EST PAT 18-39Y,356.0,267.0,73.9,356.0,680 CDM,PX-99396,PR PREV MED EST PAT 40-64Y,393.0,294.75,80.16,393.0,685 CDM,PX-99397,PR PREV MED EST PAT 65>=YR,432.0,324.0,84.15,432.0,680 CDM,PX-99401,PR PREV MED INDV COUNSEL 15 MIN,126.0,94.5,20.45,126.0,677 CDM,PX-99402,PR PREV MED INDV COUNSEL 30 MIN,175.0,131.25,41.57,175.0,679 CDM,PX-99403,PR PREV MED INDV COUNSEL 45 MIN,263.0,197.25,61.41,263.0,678 CDM,PX-99404,PR PREV MED INDV COUNSEL 60 MIN,339.0,254.25,82.16,339.0,677 CDM,PX-99406,PR SMOKING CESSATN 3-10MIN,62.0,46.5,15.06,62.0,678 CDM,PX-99407,PR SMOKING CESSATN >10 MIN,98.0,73.5,24.24,98.0,687 CDM,PX-99417,PR PROLNG OP E/M EA 15 MIN,194.0,145.5,33.46,194.0,683 CDM,PX-99418,PR PROLNG IP/OBS E/M EA 15 MIN,182.0,136.5,28.99,182.0,678 CDM,PX-99421001,PR MY CHART MESSAGING E&M PHYS/QHP 5-10MIN,25.0,18.75,10.86,25.0,692 CDM,PX-99422001,PR MY CHART MESSAGING E&M PHYS/QHP 11-20MIN,35.0,26.25,22.05,35.0,692 CDM,PX-99423001,PR MY CHART MESSAGING E&M PHYS/QHP 21+MIN,50.0,37.5,33.84,50.0,693 CDM,PX-99424,PR PRIN CARE MGMT MD/APP 1ST 30,391.0,293.25,63.88,391.0,690 CDM,PX-99425,PR PRIN CARE MGMT MD/APP EA ADDL,294.0,220.5,43.49,294.0,690 CDM,PX-99426,PR PRIN CARE MGMT CLINICAL STAFF 1ST 30,299.0,224.25,43.49,299.0,693 CDM,PX-99427,PR PRIN CARE MGMT CLINICAL STAFF EA ADDL,252.0,189.0,30.97,252.0,691 CDM,PX-99437,PR CHRONIC CARE EA ADD 30 MIN,204.0,153.0,43.17,204.0,690 CDM,PX-99439,PR CHRNC CARE MGMT SVC EA ADDL,141.0,105.75,30.31,141.0,691 CDM,PX-99445,PR REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,191.0,143.25,50.45,191.0,676 CDM,PX-99446,PR ECONSULT INTERNAL,125.0,93.75,15.75,125.0,690 CDM,PX-99447,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,200.0,150.0,31.53,200.0,690 CDM,PX-99448,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,303.0,227.25,47.03,303.0,690 CDM,PX-99449,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN,426.0,319.5,62.49,426.0,690 CDM,PX-99451,PR ECONSULT INTERNAL,107.0,80.25,29.61,107.0,693 CDM,PX-99452,PR NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN,249.0,186.75,30.64,249.0,690 CDM,PX-99453,PR CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,46.5,17.82,62.0,680 CDM,PX-99454,PR CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,143.25,42.88,191.0,690 CDM,PX-99457,"PR CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,115.5,43.05,154.0,680 CDM,PX-99458,"PR CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,96.75,34.52,129.0,689 CDM,PX-99459,PR PELVIC EXAMINATION,83.0,62.25,14.31,83.0,692 CDM,PX-99470,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN,75.0,56.25,13.19,75.0,690 CDM,PX-99484,PR CARE MGMT SVC BHVL HLTH COND,153.0,114.75,38.28,153.0,690 CDM,PX-99487,PR CMPLX CHRONIC CARE 1ST HR,247.0,185.25,78.09,247.0,690 CDM,PX-99489,PR CMPLX CHRONIC CARE EA ADD 30,126.0,94.5,43.17,126.0,690 CDM,PX-99490,PR CHRONIC CARE MNGMT 20 MIN,141.0,105.75,43.17,141.0,691 CDM,PX-99491,PR CHRONIC CARE FIRST 30 MIN,263.0,197.25,64.65,263.0,690 CDM,PX-99492,PR 1ST PSYC COLLAB CARE MGMT,487.0,365.25,81.04,487.0,690 CDM,PX-99493,PR SBSQ PSYC COLLAB CARE MGMT,416.0,312.0,88.33,416.0,690 CDM,PX-99494,PR 1ST/SBSQ PSYC COLLAB CARE,209.0,156.75,35.58,209.0,690 CDM,PX-99495,PR TRANS CARE MNGMT <=14DAY DSCHG,591.0,443.25,215.45,591.0,678 CDM,PX-99496,PR TRANS CARE MNGMT <=7 DAY DSCHG,740.0,555.0,292.37,740.0,678 CDM,PX-99497,PR ADV CARE PLANNING 30 MIN,279.0,209.25,85.36,279.0,678 CDM,PX-99498,PR ADV CARE PLANNING EA ADD 30MIN,247.0,185.25,76.85,247.0,676 CDM,PX-99499008,PR COSMETIC CONSULTATION,150.0,112.5,7.5,150.0,677 CDM,PX-99499027,PR COSM SALICYLIC FACIAL PEEL COSMETIC,115.0,86.25,5.75,115.0,677 CDM,PX-99499028,PR SUPERFICIAL PEEL,150.0,112.5,7.5,150.0,677 CDM,PX-99499031,PR COSM VASC COSMETIC CONSULT,75.0,56.25,3.75,75.0,677 CDM,PX-99499044,PR FAA EXAM,325.0,243.75,16.25,325.0,677 CDM,PX-99499046,PR SPEC ISS FAA EXAM,425.0,318.75,21.25,425.0,677 CDM,PX-99499093,PR MALE INFERTILITY CONSULTATION,363.0,272.25,18.15,363.0,677 CDM,PX-99499094,"PR WELLNESS/LONGEVITY VISIT-INDV, 30 MIN",375.0,281.25,18.75,375.0,677 CDM,PX-99499095,"PR WELLNESS/LONGEVITY VISIT-INDV, PROLONG EA ADDL 15 MIN",188.0,141.0,9.4,188.0,677 CDM,PX-99499098,"PR WELLNESS/LONGEVITY VISIT-INDV, 45 MIN",563.0,422.25,28.15,563.0,677 CDM,PX-99499099,"PR WELLNESS/LONGEVITY VISIT-INDV, 60 MIN",751.0,563.25,37.55,751.0,677 CDM,PX-99605,PR MED THRPY NEW INITIAL 15 MIN,160.0,120.0,72.0,160.0,676 CDM,PX-99606,PR MED THRPY EST INITIAL 15 MIN,110.0,82.5,49.5,110.0,676 CDM,PX-99607,PR MED THRPY EA ADD 15 MIN,114.0,85.5,51.3,114.0,676 CDM,PX-99999016,PR HABIT PROGRAM,850.0,637.5,382.5,850.0,676 CDM,PX-99999053,PR COSM HAIR RMVL UNDER ARM SINGLE,110.0,82.5,49.5,110.0,676 CDM,PX-99999064,PR COSMETIC BOTOX PER UNIT,15.0,11.25,6.75,15.0,676 CDM,PX-99999065,PR COSMETIC CONSULT,150.0,112.5,67.5,150.0,676 CDM,PX-99999113,PR GOLF ASSESSMENT,500.0,375.0,225.0,500.0,676 CDM,PX-99999145,PR MASSAGE THRPY 30MIN,50.0,37.5,22.5,50.0,676 CDM,PX-99999146,PR MASSAGE THRPY 45MIN,90.0,67.5,40.5,90.0,676 CDM,PX-99999147,PR MASSAGE THRPY 60MIN,100.0,75.0,45.0,100.0,676 CDM,PX-99999206,PR COSM RADIESSE 1.5CC,800.0,600.0,360.0,800.0,676 CDM,PX-99999222,PR COSM SCLEROTHERAPY,500.0,375.0,225.0,500.0,676 CDM,PX-99999229,PR COSM TCA PEEL FULL FACE,450.0,337.5,202.5,450.0,676 CDM,PX-99999230,PR TCA PEEL PER SITE,150.0,112.5,67.5,150.0,676 CDM,PX-99999295,PR COSM PRP HAIR RESTORATION,800.0,600.0,360.0,800.0,676 CDM,PX-99999316,PR COSM IPL FULL ARM/HAND OR LOWER LEGS,900.0,675.0,405.0,900.0,676 CDM,PX-99999317,PR COSM FX PARTIAL FACE,1500.0,1125.0,675.0,1500.0,676 CDM,PX-99999318,PR COSM SIGNATURE FACIAL,195.0,146.25,87.75,195.0,676 CDM,PX-99999324,PR COSM KYBELLA,600.0,450.0,270.0,600.0,676 CDM,PX-99999327,PR COSM PRP FACIAL REJUV MICRONEEDLING,600.0,450.0,270.0,600.0,676 CDM,PX-99999329,PR COSM AEST SKIN CARE CONSULT,50.0,37.5,22.5,50.0,676 CDM,PX-99999334,PR COSM EAR PIERCING,75.0,56.25,33.75,75.0,676 CDM,PX-99999360,PR COSM BELOTERO,650.0,487.5,292.5,650.0,676 CDM,PX-99999376,PR COSM DERMAPLANING,155.0,116.25,69.75,155.0,676 CDM,PX-99999377,PR COSM HAIR REMOVAL HANDS,145.0,108.75,65.25,145.0,676 CDM,PX-99999386,PR COSM SCULPTRA,1000.0,750.0,450.0,1000.0,676 CDM,PX-99999387,PR COSM VOLLURE,770.0,577.5,346.5,770.0,676 CDM,PX-99999388,PR COSM VOLBELLA,850.0,637.5,382.5,850.0,676 CDM,PX-99999391,PR COSM UNILATERAL EARLOBE REPAIR,400.0,300.0,180.0,400.0,676 CDM,PX-99999401,PR COSM CLEAR & BRILLIANT FACE,450.0,337.5,202.5,450.0,676 CDM,PX-99999402,PR COSM CLEAR & BRILLIANT ADD ON,150.0,112.5,67.5,150.0,676 CDM,PX-99999405,PR COSM FRAXEL DUAL FULL FACE,1400.0,1050.0,630.0,1400.0,676 CDM,PX-99999406,PR COSM FRAXEL DUAL NECK,800.0,600.0,360.0,800.0,676 CDM,PX-99999407,PR COSM FRAXEL DUAL CHEST,1200.0,900.0,540.0,1200.0,676 CDM,PX-99999408,PR COSM FRAXEL DUAL ARMS,1600.0,1200.0,720.0,1600.0,676 CDM,PX-99999409,PR COSM FRAXEL DUAL LEGS,1600.0,1200.0,720.0,1600.0,676 CDM,PX-99999410,PR COSM FRAXEL DUAL OR CO2 SMALL SCARS,250.0,187.5,112.5,250.0,676 CDM,PX-99999411,PR COSM FRAXEL DUAL OR CO2 LARGE SCARS/HANDS,500.0,375.0,225.0,500.0,676 CDM,PX-99999412,PR COSM CO2 FX TEST PATCH,200.0,150.0,90.0,200.0,676 CDM,PX-99999413,PR COSM CO2 SUPERFICIAL FX (ACTIVE),2500.0,1875.0,1125.0,2500.0,676 CDM,PX-99999414,PR COSM CO2 FX ADD-ON (PERIORAL OR PERIORBITAL),500.0,375.0,225.0,500.0,676 CDM,PX-99999415,PR COSM MICRONEEDLING LIMITED FACE,200.0,150.0,90.0,200.0,676 CDM,PX-99999416,PR COSM MICRONEEDLING FULL FACE,400.0,300.0,180.0,400.0,676 CDM,PX-99999419,PR COSM RESTYLANE SILK,850.0,637.5,382.5,850.0,676 CDM,PX-99999420,PR COSM RESTYLANE L,700.0,525.0,315.0,700.0,676 CDM,PX-99999421,PR COSM RESTYLANE REFYNE,800.0,600.0,360.0,800.0,676 CDM,PX-99999422,PR COSM RESTYLANE DEFYNE,850.0,637.5,382.5,850.0,676 CDM,PX-99999423,PR COSM RESTYLANE LYFT,800.0,600.0,360.0,800.0,676 CDM,PX-99999424,PR COSM PRP HAIR RESTORATION 4 TRMT PKG,3000.0,2250.0,1350.0,3000.0,676 CDM,PX-99999425,PR COSM PRP ADD-ON,200.0,150.0,90.0,200.0,676 CDM,PX-99999426,PR COSM SUBCISION,500.0,375.0,225.0,500.0,676 CDM,PX-99999428,PR COSM TUMESCENT LIPOSUCTION NECK,4000.0,3000.0,1800.0,4000.0,676 CDM,PX-99999487,PR COSM CUSTOMIZE FACIAL,180.0,135.0,81.0,180.0,676 CDM,PX-99999488,PR COSM HIGH FREQUENCY,60.0,45.0,27.0,60.0,676 CDM,PX-99999489,PR COSM HYDRAFACIAL,195.0,146.25,87.75,195.0,676 CDM,PX-99999490,PR COSM MICROPEEL PLUS 30%,180.0,135.0,81.0,180.0,676 CDM,PX-99999491,PR COSM MICROPEEL PLUS 20%,155.0,116.25,69.75,155.0,676 CDM,PX-99999492,PR COSM MICRODERM,90.0,67.5,40.5,90.0,676 CDM,PX-99999493,PR COSM SMART TCA,240.0,180.0,108.0,240.0,676 CDM,PX-99999494,PR COSM SENSITIVE TCA,120.0,90.0,54.0,120.0,676 CDM,PX-99999516,PR COSM ADD-ON DERMPLANE,45.0,33.75,20.25,45.0,676 CDM,PX-99999517,PR COSM ADD-ON MICRODERMABRASION,35.0,26.25,15.75,35.0,676 CDM,PX-99999518,PR COSM SMALL AREA BODY W/O PRP,250.0,187.5,112.5,250.0,676 CDM,PX-99999520,PR PICOWAY RESOLVE FULL FACE,600.0,450.0,270.0,600.0,676 CDM,PX-99999522,PR COSM TATTOO OR LESION SIZE IS LESS THAN 10 SQ CM,318.0,238.5,143.1,318.0,676 CDM,PX-99999523,PR COSM TATTOO OR LESION SIZE IS 10 - 50 SQ CM,417.0,312.75,187.65,417.0,676 CDM,PX-99999537,PR COSM LIP PERK TREATMENT,50.0,37.5,22.5,50.0,1197 CDM,PX-99999538,PR COSM EYE PERK TREATMENT,50.0,37.5,22.5,50.0,676 CDM,PX-99999541,PR COSM ADD-ON ADDITIONAL BOOSTER,25.0,18.75,11.25,25.0,676 CDM,PX-99999542,PR COSM HYDRAFACIAL BACK FACIAL,210.0,157.5,94.5,210.0,676 CDM,PX-99999543,PR COSM HYDRAFACIAL SCALP KERAVIVE TREATMENT,595.0,446.25,267.75,595.0,676 CDM,PX-99999544,PR COSM DELUXE HYDRAFACIAL,225.0,168.75,101.25,225.0,676 CDM,PX-99999545,PR COSM PLATINUM HYDRAFACIAL,300.0,225.0,135.0,300.0,676 CDM,PX-99999547,PR COSM HAIR REMOVAL CHEEK FEMALE,115.0,86.25,51.75,115.0,676 CDM,PX-99999549,PR COSM HAIR REMOVAL CHEST MALE,460.0,345.0,207.0,460.0,676 CDM,PX-99999551,PR COSM HAIR REMOVAL FOREARMS,175.0,131.25,78.75,175.0,676 CDM,PX-99999555,PR COSM HAIR REMOVAL NOSE,85.0,63.75,38.25,85.0,676 CDM,PX-99999558,PR COSM HAIR REMOVAL UPPER ARM,175.0,131.25,78.75,175.0,676 CDM,PX-99999560,PR COSM AESTHETICAN SERVICE ONLY ADD-ON,50.0,37.5,22.5,50.0,676 CDM,PX-99999562,PR ULTHERA FULL FACE,2495.0,1871.25,1122.75,2495.0,676 CDM,PX-99999563,PR ULTHERA FACE & NECK,3200.0,2400.0,1440.0,3200.0,676 CDM,PX-99999564,PR ULTHERA UPPER FACE,1200.0,900.0,540.0,1200.0,676 CDM,PX-99999565,PR ULTHERA LOWER FACE,1995.0,1496.25,897.75,1995.0,676 CDM,PX-99999566,PR ULTHERA LOWER FACE & NECK,2595.0,1946.25,1167.75,2595.0,676 CDM,PX-99999567,PR ULTHERA NECK,1495.0,1121.25,672.75,1495.0,676 CDM,PX-99999568,PR ULTHERA DECOLLETAGE,995.0,746.25,447.75,995.0,676 CDM,PX-99999569,PR ULTHERA BROW LIFT,495.0,371.25,222.75,495.0,676 CDM,PX-99999570,PR ULTHERA GLABELLA,150.0,112.5,67.5,150.0,676 CDM,PX-99999571,PR ULTHERA CROWS FEET & UNDER EYES,550.0,412.5,247.5,550.0,676 CDM,PX-99999572,PR ULTHERA CROWS FEET,300.0,225.0,135.0,300.0,676 CDM,PX-99999573,PR ULTHERA UNDER EYES,295.0,221.25,132.75,295.0,676 CDM,PX-99999574,PR ULTHERA PERI-ORAL,250.0,187.5,112.5,250.0,676 CDM,PX-99999575,PR ULTHERA CHIN STRAP,795.0,596.25,357.75,795.0,676 CDM,PX-99999576,PR ULTHERA GLOW FACE ONLY,1250.0,937.5,562.5,1250.0,676 CDM,PX-99999594,PR COSM RESTYLANE REFYNE OR KYSSE 1ST SYR,750.0,562.5,337.5,750.0,676 CDM,PX-99999600,PR COSM ADD-ON EYE(S),100.0,75.0,45.0,100.0,676 CDM,PX-99999601,PR COSM ADD-ON LIP(S),100.0,75.0,45.0,100.0,676 CDM,PX-99999602,PR COSM ADD-ON NOSE,100.0,75.0,45.0,100.0,676 CDM,PX-99999603,PR COSM ADD-ON OTHER,100.0,75.0,45.0,100.0,676 CDM,PX-99999604,PR COSM BILATERAL LOWER LID BLEPHAROPLASTY WITH FAT TRANSPOSITIONS,4000.0,3000.0,1800.0,4000.0,676 CDM,PX-99999605,PR COSM LOWER EYELID SKIN REMOVAL ADD-ON WITH BLEPHAROPLASTY,250.0,187.5,112.5,250.0,676 CDM,PX-99999606,PR COSM LATERAL CANTHOPEXY ADD-ON WITH BLEPHAROPLASTY,250.0,187.5,112.5,250.0,676 CDM,PX-99999607,PR COSM PERIOCULAR C02 LASER ADD-ON WITH BLEPHAROPLASTY,750.0,562.5,337.5,750.0,676 CDM,PX-99999608,PR COSM ESTABLISHED,75.0,56.25,33.75,75.0,676 CDM,PX-99999612,PR COSM RHINOPLASTY LEVEL 1,1000.0,750.0,450.0,1000.0,676 CDM,PX-99999613,PR COSM RHINOPLASTY LEVEL 2,2000.0,1500.0,900.0,2000.0,676 CDM,PX-99999614,PR COSM RHINOPLASTY LEVEL 3,3000.0,2250.0,1350.0,3000.0,676 CDM,PX-99999615,PR COSM RHINOPLASTY LEVEL 4,4000.0,3000.0,1800.0,4000.0,676 CDM,PX-99999616,PR COSM RHINOPLASTY LEVEL 5,5000.0,3750.0,2250.0,5000.0,676 CDM,PX-99999617,PR COSM RHINOPLASTY LEVEL 6,6000.0,4500.0,2700.0,6000.0,676 CDM,PX-99999618,PR COSM RHINOPLASTY LEVEL 7,7000.0,5250.0,3150.0,7000.0,676 CDM,PX-99999619,PR COSM EAR GRAFT,1700.0,1275.0,765.0,1700.0,676 CDM,PX-99999620,PR COSM RIB GRAFT,3400.0,2550.0,1530.0,3400.0,676 CDM,PX-99999622,PR COSM RH2,700.0,525.0,315.0,700.0,676 CDM,PX-99999628,PR COSM ADD-ON MASK TREATMENT,25.0,18.75,11.25,25.0,676 CDM,PX-99999629,PR COSM JUVEDERM ULTRA XC 0.55CC,450.0,337.5,202.5,450.0,676 CDM,PX-99999637,PR COSM JUVEDERM VOLUX,860.0,645.0,387.0,860.0,676 CDM,PX-99999641,PR COSM FACETITE SUBMENTAL & JOWLS,4000.0,3000.0,1800.0,4000.0,676 CDM,PX-99999642,PR COSM MORPHEUS FULL FACE,1200.0,900.0,540.0,1200.0,676 CDM,PX-99999643,PR COSM MORPHEUS FACE & NECK,1500.0,1125.0,675.0,1500.0,676 CDM,PX-99999644,PR COSM MORPHEUS SMALL AREA,500.0,375.0,225.0,500.0,676 CDM,PX-99999645,PR COSM MORPHEUS LARGE AREA,750.0,562.5,337.5,750.0,676 CDM,PX-99999646,PR COSM MORPHEUS ADD-ON RESURFACING,750.0,562.5,337.5,750.0,676 CDM,PX-99999647,PR COSM MORPHEUS ADD-ON PRIME (12 PIN),500.0,375.0,225.0,500.0,676 CDM,PX-99999650,PR COSM RHA REDENSITY,700.0,525.0,315.0,700.0,676 CDM,PX-99999651,PR COSM JUVEDERM VOLBELLA 0.55 ML,475.0,356.25,213.75,475.0,676 CDM,PX-99999652,PR COSM RESTYLANE-L 0.55 ML,400.0,300.0,180.0,400.0,676 CDM,PX-99999748,PR SKINVIVE ADMIN,380.0,285.0,171.0,380.0,676 CDM,PX-99999752,PR COSM PRP SMELL LOSS,1600.0,1200.0,720.0,1600.0,676 CDM,PX-99999768,PR COSM RESTYLANE CONTOUR,800.0,600.0,360.0,800.0,676 CDM,PX-99999769,PR COSM RESTYLANE KYSSE,800.0,600.0,360.0,800.0,676 CDM,PX-99999774,PR COSM PICOWAY RESOLVE NECK,300.0,225.0,135.0,300.0,676 CDM,PX-99999782,PR COSM PRP SKIN TREATMENT PARTIAL AREA,450.0,337.5,202.5,450.0,676 CDM,PX-99999794,PR COSM DE RIVE HAIR TRTMNT,500.0,375.0,225.0,500.0,676 CDM,PX-A0042T,PR ANES FOR CT CEREBRAL PERFUSION W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A0071T,PR ANES FOR MR FUS UTERINE ABLATION <200CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0072T,PR ANES FOR MR FUS UTERINE ABLATION >200CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0075T,PR ANES FOR PLC VERT/CAROTID STENT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0076T,PR ANES FOR TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0095T,"PR ANES FOR REMOVE TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A0098T,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A0100T,PR ANES FOR PLC SUBCONJUNCT RETINA PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A0102T,PR ANES FOR ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0164T,PR ANES FOR RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0165T,PR ANES FOR REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0184T,PR ANES FOR EXCISN RECTAL TMR MICROSURG APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A0198T,PR ANES FOR MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A0200T,PR ANES FOR PERC SACRL AUGMNTATION UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0201T,PR ANES FOR PERC SACRL AUGMNTATION BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0202T,PR ANES FOR POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0207T,"PR ANES FOR EVAC MEIBOMIAN GLANDS, AUTO, HEAT/INTERMIT PRESSURE, UNILATERAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A0208T,PR ANES FOR PURE TONE AUDIOMETRY AUTOMATED AIR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0209T,PR ANES FOR PURE TONE AUDIOMETRY AUTOMATED AIR & BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0210T,PR ANES FOR SPEECH AUDIOMETRY THRESHOLD AUTOMATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A0211T,PR ANES FOR SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION,225.0,168.75,152.26,225.0,1324 CDM,PX-A0212T,PR ANES FOR COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG,225.0,168.75,152.26,225.0,1324 CDM,PX-A0213T,PR ANES FOR INJ PARAVERT FCET W US 1ST LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0214T,PR ANES FOR INJ PARAVERT FCET W US 2ND LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0215T,PR ANES FOR INJ PARAVERT FACET CERV/THO 3RD,225.0,168.75,152.26,225.0,1324 CDM,PX-A0216T,PR ANES FOR INJ DX/THER LMB/SAC 1 LVL W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A0217T,PR ANES FOR INJ PARAVERT FACET LUMB/SAC 2ND,225.0,168.75,152.26,225.0,1324 CDM,PX-A0219T,PR ANES FOR PLMT POST FACET IMPLANT UNI/BI W/IMG & GRFT CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0220T,PR ANES FOR PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A0221T,PR ANES FOR PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A0222T,PR ANES FOR PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0232T,PR ANES FOR PRP-1 SITE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0234T,PR ANES FOR TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0235T,PR ANES FOR TLPA VISCERAL ARTY EA VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0236T,PR ANES FOR TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0237T,PR ANES FOR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0238T,PR ANES FOR TLPA ILIAC ARTY EA VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0253T,PR ANES FOR INSERT AQUEOUS DRAIN DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0266T,PR ANES FOR IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A0267T,PR ANES FOR IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0268T,PR ANES FOR IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0269T,PR ANES FOR REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A0270T,PR ANES FOR REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0271T,PR ANES FOR REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0272T,PR ANES FOR INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A0273T,PR ANES FOR INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A0274T,PR ANES FOR PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0275T,PR ANES FOR PERC LAMINOTMY/LAMECTOMY LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A0278T,PR ANES FOR TRANCATH ELE MOD PAIN REPROC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0308T,PR ANES FOR INS OCULAR TELESCOPE PROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A0335T,PR ANES FOR INSERTION SINUS TARSI IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0338T,PR ANES FOR TXCAT RENL SYMP DENERV UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0339T,PR ANES FOR TXCATH RENL SYMP DENERV BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0345T,PR ANES FOR RPR TRANSCATH MITRAL VALVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0394T,PR ANES FOR HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0395T,PR ANES FOR HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0402T,PR ANES FOR COLLAGEN CROSS-LINKING OF CORNEA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0408T,PR ANES FOR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A0409T,PR ANES FOR INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0410T,PR ANES FOR INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0411T,PR ANES FOR INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0412T,PR ANES FOR REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0413T,PR ANES FOR REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0414T,PR ANES FOR RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A0415T,PR ANES FOR REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0416T,PR ANES FOR RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A0419T,PR ANES FOR DESTRUCT NEUROFIBROMATA EXT >50,225.0,168.75,152.26,225.0,1324 CDM,PX-A0420T,PR ANES FOR DESTRUCT NEUROFIBROMATA EXT >100,225.0,168.75,152.26,225.0,1324 CDM,PX-A0421T,PR ANES FOR TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0437T,PR ANES FOR IMPLANTATION OF NON-BIOLOGIC O,225.0,168.75,152.26,225.0,1324 CDM,PX-A0439T,PR ANES FOR MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0440T,PR ANES FOR ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0441T,PR ANES FOR ABLT PERC LWR EXT PERIPH NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0442T,PR ANES FOR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0446T,PR ANES FOR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A0447T,PR ANES FOR RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A0448T,PR ANES FOR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE,225.0,168.75,152.26,225.0,1324 CDM,PX-A0449T,PR ANES FOR INSN AQUEOUS DRN DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0450T,PR ANES FOR INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0483T,PR ANES FOR TMVI PERCUTANEOUS APPROACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A0484T,PR ANES FOR TMVI TRANSTHORACIC EXPOSURE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0515T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; ELECTRODE/GEN",225.0,168.75,101.25,225.0,1352 CDM,PX-A0516T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; ELECTRODE ONLY",225.0,168.75,101.25,225.0,1352 CDM,PX-A0517T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; GEN ONLY",225.0,168.75,101.25,225.0,1352 CDM,PX-A0518T,PR ANES FOR REM PULSE GEN COMP W-LESS STIM LEFT PACE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0519T,PR ANES FOR REM/REP WIRELESS STIM L VENT PACE-GEN,225.0,168.75,101.25,225.0,1352 CDM,PX-A0520T,PR ANES FOR REM/REP W-LESS STIM L VENT PACE-GEN/ELECTRODE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0524T,PR ANES FOR EV CATH DIR CHEM ABLTJ W/IMG,225.0,168.75,101.25,225.0,1352 CDM,PX-A0525T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-COMPLETE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0526T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-ELECTRODE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0527T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-MONITOR,225.0,168.75,101.25,225.0,1352 CDM,PX-A0530T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-COMPLETE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0531T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-ELECTRODE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0532T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-MONITOR,225.0,168.75,101.25,225.0,1352 CDM,PX-A0543T,PR ANES FOR TRANSAPICAL MV RPR W/TTE PLMT ARTIF CHORDAE TEND,225.0,168.75,101.25,225.0,1352 CDM,PX-A0545T,PR ANES FOR TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0569T,"PR ANES FOR TRNSCTH TRICUSP VLV REPAIR, INIT",225.0,168.75,152.26,225.0,1324 CDM,PX-A0571T,PR ANES FOR IMPL ICD W SUBSTERN LEADS,225.0,168.75,152.26,225.0,1324 CDM,PX-A0573T,PR ANES FOR REMOVE SUBSTERN DEFIB ELECTRODE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0574T,PR ANES FOR REPSTN SUBSTERN DEFIB ELECT,225.0,168.75,101.25,225.0,1352 CDM,PX-A0577T,PR ANES FOR PR EP EVAL ICD SUBSTERNAL,225.0,168.75,101.25,225.0,1352 CDM,PX-A0580T,PR ANES FOR REMOVE SUBSTERN DEFIB GENERATOR,225.0,168.75,101.25,225.0,1352 CDM,PX-A0581T,PR ANES FOR ABLAT BREAST TUMOR(S) PERC CRYO UNILAT,225.0,168.75,101.25,225.0,1352 CDM,PX-A0582T,PR ANES FOR ABLAT PROSTATE TRANSURETHRAL THERMO,225.0,168.75,101.25,225.0,1352 CDM,PX-A0594T,PR ANES FOR OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0596T,PR ANES FOR TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ,225.0,168.75,101.25,225.0,1352 CDM,PX-A0597T,PR ANES FOR TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT,225.0,168.75,101.25,225.0,1352 CDM,PX-A0600T,"PR ANES FOR ABLT IRR ELECTROPORATION 1+ TMR, PERC",225.0,168.75,152.26,225.0,1324 CDM,PX-A0601T,PR ANES FOR IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN,225.0,168.75,101.25,225.0,1352 CDM,PX-A0613T,"PR ANES FOR PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",225.0,168.75,101.25,225.0,1352 CDM,PX-A0614T,PR ANES FOR RMV & REPLACE SUBSTERNAL IMPL DEFIB PULS GEN,225.0,168.75,101.25,225.0,1352 CDM,PX-A0619T,PR ANES FOR CYSTO W/ TRURL ANT PROS COMMISSUROTOMY & DRUG DEL,225.0,168.75,101.25,225.0,1352 CDM,PX-A0620T,PR ANES FOR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0621T,PR ANES FOR TRABECULOSTOMY INTERNO LASER,225.0,168.75,101.25,225.0,1352 CDM,PX-A0622T,PR ANES FOR TRABECULOSTOMY INT LSR W/SCP,225.0,168.75,101.25,225.0,1352 CDM,PX-A0627T,PR ANES FOR PERQ NJX ALGC FLUOR LMBR 1ST,225.0,168.75,101.25,225.0,1352 CDM,PX-A0629T,PR ANES FOR PERQ INJ TISSUE LUMBAR W CT 1ST LVL,225.0,168.75,101.25,225.0,1352 CDM,PX-A0632T,PR ANES FOR PERQ TRANSCATH US ABLT NERVES PULM ART,225.0,168.75,101.25,225.0,1352 CDM,PX-A0644T,PR ANES FOR TCAT RMVL/DBLK ICAR MAS PERQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A0645T,PR ANES FOR TCAT IMPLTJ C SINS RDCTJ DEV,225.0,168.75,101.25,225.0,1352 CDM,PX-A0646T,PR ANES FOR TTVI/RPLCMT W/PRSTC VLV PERQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A0652T,PR ANES FOR EGD FLX TRANSNASAL DX BR/WA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0653T,PR ANES FOR EGD FLX TRANSNASAL BX 1/MLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A0654T,PR ANES FOR EGD FLX TRANSNASAL TUBE/CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A0656T,PR ANES FOR VRT BDY TETHERING ANT <7 SEG,225.0,168.75,101.25,225.0,1352 CDM,PX-A0657T,PR ANES FOR VRT BDY TETHERING ANT 8+ SEG,225.0,168.75,101.25,225.0,1352 CDM,PX-A0660T,PR ANES FOR IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS,225.0,168.75,101.25,225.0,1352 CDM,PX-A0671T,PR ANES FOR INSJ ANT SGM AQ DRG DEV 1+,225.0,168.75,101.25,225.0,1352 CDM,PX-A0673T,PR ANES FOR ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,225.0,168.75,101.25,225.0,1352 CDM,PX-A0686T,PR ANES FOR PR HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A0707T,PR ANES FOR NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,225.0,168.75,101.25,225.0,1352 CDM,PX-A0719T,PR ANES FOR PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM,225.0,168.75,101.25,225.0,1352 CDM,PX-A0737T,PR ANES FOR XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE,225.0,168.75,101.25,225.0,1352 CDM,PX-A0795T,PR ANES FOR TCAT INS 2CHMBR LDLS PM CMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A0796T,PR ANES FOR TCAT INS 2CHMBR LDLS PM RA,225.0,168.75,84.38,225.0,1366 CDM,PX-A0797T,PR ANES FOR TCAT INS 2CHMBR LDLS PM RV,225.0,168.75,152.26,225.0,1324 CDM,PX-A0810T,PR ANES FOR SUBRTA NJX RX AGT W/VTRC,225.0,168.75,101.25,225.0,1352 CDM,PX-A0817T,PR ANES FOR PR OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF,225.0,168.75,101.25,225.0,1352 CDM,PX-A0823T,PR ANES FOR TCAT INS 1CHMBR LDLS PM RA,225.0,168.75,152.26,225.0,1324 CDM,PX-A0824T,PR ANES FOR TCAT RMV 1CHMBR LDLS PM RA,225.0,168.75,101.25,225.0,1352 CDM,PX-A0870T,PR ANES FOR PR IMP SUBQ PRTL ASCTS PMP SYS,225.0,168.75,101.25,225.0,1352 CDM,PX-A0913T,PR ANES FOR PRQ TCAT THER RX NTRAC BALO1,225.0,168.75,101.25,225.0,1352 CDM,PX-A0951T,PR ANES FOR TOT IMPL AMEI 1ST PLMT,225.0,168.75,101.25,225.0,1352 CDM,PX-A10005,PR ANES FOR FNA BX W/US GDN 1ST LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A10009,PR ANES FOR FNA BX W/CT GDN 1ST LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A10021,PR ANES FOR FNA BX WO IMG 1ST LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A10030,PR ANES FOR IMG GUIDE FLUID CATH DRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A10035,PR ANES FOR PLC LOC DEV PERC W IMG 1ST LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A10036,PR ANES FOR PLC LOC DEV PERC W IMG ADD LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A1003T,PR ANES FOR ARTHRP 1ST CRP/MTCRPL PROSTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A10040,PR ANES FOR ACNE SURGERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A10060,PR ANES FOR I&D ABSC SMPL/SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A10061,PR ANES FOR I&D ABSC CMPLX/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A10080,PR ANES FOR I&D PILONIDAL CYST SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A10081,PR ANES FOR I&D PILONIDAL CYST CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A10120,PR ANES FOR INCISN/RMVL FB SUBQ SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A10121,PR ANES FOR INCISN/RMVL FB SUBQ CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A10140,PR ANES FOR I&D HEMA/SEROMA/FLUID COLL,225.0,168.75,152.26,225.0,1324 CDM,PX-A10160,PR ANES FOR NDL ASP ABSC/HEMA/BULLA/CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A10180,PR ANES FOR I&D WND POSTOP CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A1019T,PR ANES FOR LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY,225.0,168.75,152.26,225.0,1324 CDM,PX-A11000,PR ANES FOR DBRD EXTEN INFECTED SKIN <=10%,225.0,168.75,152.26,225.0,1324 CDM,PX-A11001,PR ANES FOR DBRD INFECTED SKIN EA ADD 10%,225.0,168.75,152.26,225.0,1324 CDM,PX-A11004,PR ANES FOR DBRD SKIN SUBQ EXTRNL GENT&PERIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11005,PR ANES FOR DBRD SKIN SUBQ TISS ABD WALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11006,PR ANES FOR DBRD SUBQ EXTRNL PERI/ABD WALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11008,PR ANES FOR RMVL PROSTH ABD WALL INFECTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11010,PR ANES FOR DBRD OPN FX SKIN & SUBQ TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A11011,PR ANES FOR DBRD OPN FX SUBQ TISS/MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A11012,PR ANES FOR DBRD OPN FX SUBQ TISS/MUS/BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11042,PR ANES FOR DBRD SKIN & SUBQ TISS<=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11043,PR ANES FOR DBRD MUS/FASCIA<=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11044,PR ANES FOR DBRD BONE MUS/FASCIA<=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11045,PR ANES FOR DBRD SKIN & SUBQ TISS ADD 20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11046,PR ANES FOR DBRD MUS/FASCIA ADD 20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11047,PR ANES FOR DBRD BN MUS/FASC EA ADD 20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11055,PR ANES FOR PAR/CUT BENIGN SKIN LESN SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11056,PR ANES FOR PAR/CUT BENIGN SKIN LESN 2-4,225.0,168.75,152.26,225.0,1324 CDM,PX-A11057,PR ANES FOR PAR/CUT BENIGN SKIN LESN >4,225.0,168.75,152.26,225.0,1324 CDM,PX-A11102,PR ANES FOR TANGNTL BX SKIN SINGLE LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A11104,PR ANES FOR PUNCH BX SKIN SINGLE LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A11106,PR ANES FOR INCAL BX SKN SINGLE LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A11200,PR ANES FOR RMVL SKIN TAGS <=15,225.0,168.75,152.26,225.0,1324 CDM,PX-A11201,PR ANES FOR RMVL SKIN TAGS EA ADD 10,225.0,168.75,152.26,225.0,1324 CDM,PX-A11300,PR ANES FOR SHAVE LESN TR/EXT <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11301,PR ANES FOR SHAVE LESN TR/EXT 0.6-1.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11302,PR ANES FOR SHAVE LESN TR/EXT 1.1-2.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11303,PR ANES FOR SHAVE LESN TR/EXT >2.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11305,PR ANES FOR SHAVE S/N/H/F/G LESN <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11306,PR ANES FOR SHAVE S/N/H/F/G LESN 0.6-1.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11307,PR ANES FOR SHAVE S/N/H/F/G LESN 1.1-2.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11308,PR ANES FOR SHAVE S/N/H/F/G LESN > 2.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11310,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11311,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11312,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11313,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN >2.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11400,PR ANES FOR EXCISN BEN LESN TR/LMB <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11401,PR ANES FOR EXCISN BEN LESN TR/EXT 0.6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11402,PR ANES FOR EXCISN BEN LESN TR/EXT 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11403,PR ANES FOR EXCISN BEN LESN TR/EXT 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11404,PR ANES FOR EXCISN BEN LESN TR/EXT 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11406,PR ANES FOR EXCISN BEN LESN TR/EXT >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11420,PR ANES FOR EXCISN BEN LESN S/N/H/F <=0.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A11421,PR ANES FOR EXCISN BEN LESN S/N/H/F .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11422,PR ANES FOR EXCISN BEN LESN S/N/H 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11423,PR ANES FOR EXCISN BEN LESN S/N/H 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11424,PR ANES FOR EXCISN BEN LESN S/N/H 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11426,PR ANES FOR EXCISN BEN LESN S/N/H/F >4.0CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11440,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11441,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11442,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11443,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11444,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11446,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11450,PR ANES FOR EXCISN SKN HDRDNTS AXLRY SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11451,PR ANES FOR EXCISN SKN HDRDNTS AXLRY CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A11462,PR ANES FOR EXCISN SKN HDRDNTS INGNL SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11463,PR ANES FOR EXCISN SKIN INGNL CMPLX RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A11470,PR ANES FOR EXCISN LESN SWEAT GLAND SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11471,PR ANES FOR EXCISN LESN SWEAT GLAND CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A11600,PR ANES FOR EXCISN LESN MLG TR/LMB <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11601,PR ANES FOR EXCISN LESN MLG TR/LMB .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11602,PR ANES FOR EXCISN LESN MLG TR/LMB 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11603,PR ANES FOR EXCISN LESN MLG TR/LMB 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11604,PR ANES FOR EXCISN LESN MLG TR/LMB 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11606,PR ANES FOR EXCISN LESN MLG TR/LMB >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11620,PR ANES FOR EXCISN LESN MLG NK/EXT <=.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11621,PR ANES FOR EXCISN LESN MLG NK/EXT .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11622,PR ANES FOR EXCISN LESN MLG NK/EXT 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11623,PR ANES FOR EXCISN LESN MLG NK/EXT 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11624,PR ANES FOR EXCISN LESN MLG NK/EXT 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11626,PR ANES FOR EXCISN LESN MLG NK/EXT >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11640,PR ANES FOR EXCISN LESN MLG F/E/EY/NO <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11641,PR ANES FOR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11642,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11643,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11644,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11646,PR ANES FOR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11719,PR ANES FOR TRIM NONDYSTROPHIC NAILS,225.0,168.75,152.26,225.0,1324 CDM,PX-A11720,PR ANES FOR DBRD NAIL(S) 1-5,225.0,168.75,152.26,225.0,1324 CDM,PX-A11721,PR ANES FOR DBRD NAILS >5,225.0,168.75,152.26,225.0,1324 CDM,PX-A11730,PR ANES FOR AVUL NAIL PLATE SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11732,PR ANES FOR AVUL NAIL PLATE SMPL EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A11740,PR ANES FOR EVAC SUBUNGUAL HEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A11750,PR ANES FOR EXCISN NAIL BED PRTL/COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A11755,PR ANES FOR BX NAIL UNIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A11760,PR ANES FOR RPR NAIL BED,225.0,168.75,152.26,225.0,1324 CDM,PX-A11762,PR ANES FOR RCNSTRCT NAIL BED W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A11765,PR ANES FOR EXCISN INGROWN TOENAIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11770,PR ANES FOR EXCISN PILONIDAL CYST SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11771,PR ANES FOR EXCISN PILONIDAL CYST EXTEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11772,PR ANES FOR EXCISN PILONIDAL CYST CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A11900,PR ANES FOR INJ INTRALESN <=7 LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11901,PR ANES FOR INJ INTRALESN >7 LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A11920,PR ANES FOR TATTOO INCL MICROPIG<= 6.0 SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11921,PR ANES FOR TATTOO INCL MICROPIG 6.1-20 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11922,PR ANES FOR TATTOO INCL MPIG EA ADD 20 SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A11950,PR ANES FOR INJ FILL MATERIAL SUBQ <=1CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A11951,PR ANES FOR SUBQ INJ FILLING MATRL >1CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A11952,PR ANES FOR INJ FILL MATRL SUBQ 5.1-10CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A11954,PR ANES FOR INJ SUBQ FILLING >10.0 CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A11960,PR ANES FOR INSN TISS EXPAND NOT BREAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A11970,PR ANES FOR RPLC TISS EXPAND W PERM IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A11971,PR ANES FOR RMVL TISS EXPAND WO INS IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A11976,PR ANES FOR RMVL IMPL CONTRACEPTIVE CAPSULE,225.0,168.75,152.26,225.0,1324 CDM,PX-A11980,PR ANES FOR IMPL SUBQ HORMONE PELLET,225.0,168.75,152.26,225.0,1324 CDM,PX-A11981,PR ANES FOR INS NON-BIODEGRADABLE DRUG DEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11982,PR ANES FOR RMVL DRUG IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A11983,PR ANES FOR RMVL W REINS NONBIO DEL IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A12001,PR ANES FOR SMPL RPR S/NK/TR/EXT <=2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12002,PR ANES FOR SMPL S/NK/TR/EXT 2.6-7.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12004,PR ANES FOR SMPL RPR S/N/TR/EXT 7.6-12.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12005,PR ANES FOR SMPL RPR S/NK/TR/EXT 12.6-20CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12006,PR ANES FOR SMPL RPR S/NK/TR/EXT 20.1-30CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12007,PR ANES FOR SMPL RPR SCLP/NK/TR/EXT >30CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12011,PR ANES FOR SMPL RPR F/E/EY/NO/L/M<=2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12013,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12014,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12015,PR ANES FOR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12016,PR ANES FOR SMPL RPR F/E/EY/N/L/M 12.6-20CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12017,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 20.1-30CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12018,PR ANES FOR RESUPERF WND FACE >30 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12020,PR ANES FOR TX WND DEHIS SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A12021,PR ANES FOR TX WND DEHIS W PACKING,225.0,168.75,152.26,225.0,1324 CDM,PX-A12031,PR ANES FOR INT RPR SCLP/AX/TR/EXT <=2.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12032,PR ANES FOR INT RPR SCLP/AX/TR/EXT 2.6-7.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12034,PR ANES FOR INT RPR SCLP/AX/TR/EXT 7.6-12.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12035,PR ANES FOR INT RPR SCLP/AX/TR/EXT 12.6-20,225.0,168.75,152.26,225.0,1324 CDM,PX-A12036,PR ANES FOR INT RPR SCLP/AX/TR/EXT 20-30,225.0,168.75,152.26,225.0,1324 CDM,PX-A12037,PR ANES FOR INT RPR SCLP/AX/TR/EXT >30.0,225.0,168.75,152.26,225.0,1324 CDM,PX-A12041,PR ANES FOR INT RPR NK/HND/FT/EXG <=2.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12042,PR ANES FOR INT RPR NK/HND/FT/EXG 2.6-7.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12044,PR ANES FOR INT RPR NK/HND/FT/EXG 7.6-12.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12045,PR ANES FOR INT RPR NK/HND/FT/EXG 12.6-20,225.0,168.75,152.26,225.0,1324 CDM,PX-A12046,PR ANES FOR INT RPR NK/HND/FT/EXG 20-30,225.0,168.75,152.26,225.0,1324 CDM,PX-A12047,PR ANES FOR LAYR CLOS WND REST BODY >30 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A12051,PR ANES FOR INT RPR F/E/EY/NO/L/M <=2.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12052,PR ANES FOR INT F/E/EY/NO/L/M 2.6-5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12053,PR ANES FOR INT RPR F/E/EY/NO/L/M 5.1-7.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12054,PR ANES FOR INT RPR F/E/EY/NO/L/M 7.6-12.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A12055,PR ANES FOR INT RPR F/E/EY/NO/L/M 12.6-20,225.0,168.75,152.26,225.0,1324 CDM,PX-A12056,PR ANES FOR INT RPR F/E/EY/NO/L/M 20.1-30,225.0,168.75,152.26,225.0,1324 CDM,PX-A12057,PR ANES FOR INTERMEDIATE RPR FACE >30CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13100,PR ANES FOR CMPLX RPR TRUNK 1.1-2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13101,PR ANES FOR CMPLX RPR TRUNK 2.6-7.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13102,PR ANES FOR CMPLX RPR TRUNK EA <=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13120,PR ANES FOR CMPLX RPR SCLP/LIMB 1.1-2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13121,PR ANES FOR CMPLX RPR SCLP/LIMB 2.6-7.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13122,PR ANES FOR CMPLX RPR SCLP/LIMB ADD 5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13131,PR ANES FOR CMPLX RPR FACE/AX/EXT 1.1-2.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A13132,PR ANES FOR CMPLX RPR FACE/AX/EXT 2.6-7.5,225.0,168.75,152.26,225.0,1324 CDM,PX-A13133,PR ANES FOR CMPLX RPR FACE/AX/EXT ADD 5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13151,PR ANES FOR CMPLX RPR EY/NO/E/L 1.1-2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13152,PR ANES FOR CMPLX RPR EY/NO/E/L 2.6-7.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13153,PR ANES FOR CMPLX RPR EY/NO/E/L ADD<=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A13160,PR ANES FOR RPR WND SURGICAL SECNDRY CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A14000,PR ANES FOR TISS XFER TR DEFECT <=10SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14001,PR ANES FOR TISS XFER TR DEFECT 10-30SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14020,PR ANES FOR TISS XFER SCLP/LIMB <=10SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14021,PR ANES FOR TISS XFER SCLP/LIMB 10-30SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14040,PR ANES FOR TISS XFER FACE/NK/EXT <=10SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14041,PR ANES FOR TISS XFER FACE/NK/EXT 10-30CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14060,PR ANES FOR TISS XFER EAR/EY/N/LIP <=10SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14061,PR ANES FOR TISS XFER EY/N/E/LIP 10.1-30SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14301,PR ANES FOR TISS XFER ADJ 30.1-60SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14302,PR ANES FOR TISS XFER ADJ ADD 30SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A14350,PR ANES FOR FILLETED FGR/TOE FLAP W PREP,225.0,168.75,152.26,225.0,1324 CDM,PX-A15002,PR ANES FOR PREP WND TR/EXT PEDS 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15003,PR ANES FOR PREP WND TR/EXT EA ADD 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15004,PR ANES FOR PREP WND HD/EXT EA ADD 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15005,PR ANES FOR PREP WND HD/EXT >100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15011,PR ANES FOR HARVEST SKIN CELLS FOR SUSP AUTOGRFT CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15012,PR ANES FOR HARVEST SKIN CELLS FOR SUSP AUTOGRFT EA ADDL 25CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15013,PR ANES FOR PREP SKIN CELLS SUSP AUTOGRAFT 25CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15014,PR ANES FOR PREP SKIN CELLS SUSP AUTOGRAFT EA ADDL 25CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15015,PR ANES FOR APPLICATION SKIN CELL SUSP AUTOGRAFT- T/A/L 480CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15016,PR ANES FOR APPLICAT SKIN CELL SUSP AUTOGFT- T/A/L EA ADDL 480CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15017,PR ANES FOR APPLICATION SKIN CELL SUSP AUTOGRAFT- F/N/G/HF 480CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15018,PR ANES FOR APPLICAT SKIN CELL SUSP AUTOGFT-F/N/G/HF EA ADDL 480CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15040,PR ANES FOR HARVEST TISS/SKN GRFT <=100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15050,PR ANES FOR PINCH GRFT SMALL AREA <= 2 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15100,PR ANES FOR GRFT SPLIT SKN TR/LIMB 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15101,PR ANES FOR GRFT SPLIT SKN TR/LIMB ADD 100,225.0,168.75,152.26,225.0,1324 CDM,PX-A15110,PR ANES FOR EPIDRM AUTOGRFT TRNK/ARM/LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A15111,PR ANES FOR EPIDRM AGRFT T/A/L EA 100 CM/E,225.0,168.75,152.26,225.0,1324 CDM,PX-A15115,PR ANES FOR EDERM AUTGRFT F/NK/HF <= 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15116,"PR ANES FOR EPI AUTOGRFT FACE/NCK/HND/FT/GEN , EA 100 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15120,PR ANES FOR SPLIT AUTGRFT F/NK/HF <=100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15121,PR ANES FOR SPLIT AUTGRFT F/NK/HF EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15130,PR ANES FOR DERM AUTOGRFT TR/A/L <= 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15131,"PR ANES FOR DERM AUTOGRFT TRNK/ARM/LEG, EA 100 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15135,PR ANES FOR DERM AUTGRFT F/NK/HF <= 100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15136,"PR ANES FOR DERM AUTOGRAFT FACE/NCK/HND/FT/GEN, EA 100 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15150,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG <26 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15151,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG ADD 26-75 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15152,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG EA 100 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15155,"PR ANES FOR CULT EPIDRM AUTOGRFT,FACE/NCK/HND/FT/GEN <26 SQCM",225.0,168.75,152.26,225.0,1324 CDM,PX-A15156,PR ANES FOR TISS CULT SKIN AUTGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15157,PR ANES FOR CULT EPID AUTOGFT FACE/NCK/HND/FT/GEN EA 100 SQCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15200,PR ANES FOR GRFT FULL THCK TR <=20 SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15201,PR ANES FOR GRFT FULL THCK TR EA ADD 20 SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15220,PR ANES FOR GRFT FULL THCK SCLP <= 20 SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15221,PR ANES FOR GRFT FULL THCK SCLP EA ADD 20 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15240,PR ANES FOR GRFT FULL THCK F/G/HF <=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15241,PR ANES FOR GRFT FULL THCK F/G/HF EA ADD 20CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15260,PR ANES FOR GRFT FULL THCK EY/NO/E/L <=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15261,PR ANES FOR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15271,PR ANES FOR SKN GRFT A/TR/L <=100SCM/1ST 25,225.0,168.75,152.26,225.0,1324 CDM,PX-A15272,PR ANES FOR SKN SUBST GRFT A/TR/L ADD 25SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15273,PR ANES FOR SKN GRFT A/TR/L <=100SCM PEDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15274,PR ANES FOR SKN GRFT A/TR/L ADD 100SCM PEDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15275,PR ANES FOR SKN GRFT F/N/G/HF <=100SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15276,PR ANES FOR SKN GRFT F/N/G/HF ADD 25SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15277,PR ANES FOR GRFT F/N/G/HF <=100SCM 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A15278,PR ANES FOR GRFT F/N/G/HF <=100SCM ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15570,PR ANES FOR FORM DIRECT/TUBED PEDICLE TRUNK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15572,PR ANES FOR FORM PEDCL SCLP/A/L,225.0,168.75,152.26,225.0,1324 CDM,PX-A15574,PR ANES FOR FORM PEDCL FACE/NK/AX/EXG/EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15576,PR ANES FOR FORM PEDCL EY/NO/E/L,225.0,168.75,152.26,225.0,1324 CDM,PX-A15600,PR ANES FOR DELAY FLAP TR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15610,PR ANES FOR DELAY FLAP SCLP/A/L,225.0,168.75,152.26,225.0,1324 CDM,PX-A15620,PR ANES FOR DELAY FLAP FACE/NK/AX/EXG/EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15630,PR ANES FOR DELAY FLAP EY/NO/E/L,225.0,168.75,152.26,225.0,1324 CDM,PX-A15650,PR ANES FOR TRNSF ANY PEDCL FLAP ANY LOCTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A15730,PR ANES FOR MDFC FLAP W/PRSRV VASC PEDCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15731,PR ANES FOR FHD FLAP W VASC PEDCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15733,PR ANES FOR MUSC MYOQ/FSCQ FLP H&N PEDCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15734,PR ANES FOR MUSCLE FLAP TRUNK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15736,PR ANES FOR MUSCLE FLAP UPPER EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15738,PR ANES FOR MUSCLE FLAP LWR EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15740,PR ANES FOR FLAP ISLAND PEDCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15750,PR ANES FOR FLAP NEUR VASC PEDCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15756,PR ANES FOR MUS FLAP W MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A15757,PR ANES FOR SKIN FLAP W MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A15758,PR ANES FOR FCL FLAP W MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A15760,PR ANES FOR COMPOSITE SKIN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15769,PR ANES FOR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,225.0,168.75,152.26,225.0,1324 CDM,PX-A15770,PR ANES FOR DERM FAT FASCIA GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15771,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15772,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A15773,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15774,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,225.0,168.75,152.26,225.0,1324 CDM,PX-A15775,PR ANES FOR HAIR XPLANT PUNCH GRFT 1-15,225.0,168.75,152.26,225.0,1324 CDM,PX-A15776,PR ANES FOR HAIR XPLANT PUNCH GRFT >15,225.0,168.75,152.26,225.0,1324 CDM,PX-A15777,PR ANES FOR IMPLANTATION BIOLOGIC IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15778,PR ANES FOR IMPL ABSRB MSH/PRSTH DLY CLS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15780,PR ANES FOR DERMABRASION TOTAL FACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A15781,PR ANES FOR DERMABRASION SEGM FACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A15782,PR ANES FOR DERMABRASION REGIONAL OTHER,225.0,168.75,152.26,225.0,1324 CDM,PX-A15783,PR ANES FOR DERMABRASION SUPERFICIAL ANY,225.0,168.75,152.26,225.0,1324 CDM,PX-A15786,PR ANES FOR ABRASION SNGL LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A15787,"PR ANES FOR ABRASION, EACH ADDN 4 OR LESS",225.0,168.75,152.26,225.0,1324 CDM,PX-A15788,PR ANES FOR CHEM PEEL FACIAL EPIDERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15789,PR ANES FOR CHEM PEEL FACIAL DERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15792,PR ANES FOR CHEM PEEL NONFACIAL EPIDERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15793,PR ANES FOR CHEMICAL PEEL NONFACIAL DERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15820,PR ANES FOR BLEPH LWR EYELID,225.0,168.75,152.26,225.0,1324 CDM,PX-A15821,PR ANES FOR BLEPH LWR EYELID W FAT PAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15822,PR ANES FOR BLEPH UPR EYELID,225.0,168.75,152.26,225.0,1324 CDM,PX-A15823,PR ANES FOR BLEPH UPR EYELID W EXCESS SKIN LID,225.0,168.75,152.26,225.0,1324 CDM,PX-A15824,PR ANES FOR RHYTIDECTOMY FOREHEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15825,PR ANES FOR RHYTIDECTOMY NK W TGHTNNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A15826,PR ANES FOR RHYTIDECTOMY GLABELLAR FROWN,225.0,168.75,152.26,225.0,1324 CDM,PX-A15828,PR ANES FOR RHYTIDECTOMY CHEEK/CHIN/NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15829,PR ANES FOR RHYTIDECTOMY SUPERFICIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A15830,PR ANES FOR EXCISN EXCESS SKIN/TISS ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15832,PR ANES FOR EXCISN EXCESS SKIN/TISS THIGH,225.0,168.75,152.26,225.0,1324 CDM,PX-A15833,PR ANES FOR EXCISN EXCESS SKIN LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A15834,PR ANES FOR EXCISN EXCESS SKIN/TISS HIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A15835,PR ANES FOR EXCISN EXCESS SKIN/TISS BUTTOCK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15836,PR ANES FOR EXCISN EXCESS SKIN/TISS ARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A15837,PR ANES FOR EXCISN EXCESS SKIN FRARM/HAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A15838,PR ANES FOR EXCISN EXCESS SKN/TISS FAT PAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15839,PR ANES FOR EXCISN EXCESS SKN/TISS OTHER,225.0,168.75,152.26,225.0,1324 CDM,PX-A15840,PR ANES FOR FACE NRV PALSY FASCIA GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15841,PR ANES FOR GRAFT FACIAL NRV PARLYS FREE,225.0,168.75,152.26,225.0,1324 CDM,PX-A15842,PR ANES FOR GRFT FACE NRV PALSY FREE MICRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A15845,PR ANES FOR GRAFT FACIAL NRV PARLYS MUS TR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15847,PR ANES FOR EXCISN EXC SKIN/ SUBQ TISS ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A15851,PR ANES FOR RMVL SUTR W ANES OTHER SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A15852,PR ANES FOR DRSG CHNG W ANES NOT BURN,225.0,168.75,152.26,225.0,1324 CDM,PX-A15853,PR ANES FOR RMVL SUTURES WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A15854,PR ANES FOR RMVL SUTURES & STAPLE WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A15860,PR ANES FOR TEST INJ VASC FLOW FLAP/GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15876,PR ANES FOR SUCTION ASSIS LIPECTOMY HD/NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15877,PR ANES FOR SUCTION ASSIS LIPECTOMY TRUNK,225.0,168.75,152.26,225.0,1324 CDM,PX-A15878,PR ANES FOR SUCT ASSIS LIPECTOMY UPP EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15879,PR ANES FOR SUCT ASSIS LIPECTOMY LWR EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15920,PR ANES FOR EXCISN TAIL BONE ULCER,225.0,168.75,152.26,225.0,1324 CDM,PX-A15922,PR ANES FOR EXC COCCYX/ULCER W FLAP CLOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15931,PR ANES FOR EXCISN ULCER SACRAL W SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15933,PR ANES FOR EXCISN ULCER SAC SUTR OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15934,PR ANES FOR EXCISN SAC PRES ULCER W SKIN FLP,225.0,168.75,152.26,225.0,1324 CDM,PX-A15935,PR ANES FOR EXCISN SAC PRES ULCER W OSTECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A15936,PR ANES FOR EXCISN SAC PRESS ULCER IN PREP,225.0,168.75,152.26,225.0,1324 CDM,PX-A15937,PR ANES FOR EXCISN ULCER PREP GRFT OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15940,PR ANES FOR EXCISN ULCER ISCHL W SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15941,PR ANES FOR EXCISN ISCH DECUB ULCER W OST,225.0,168.75,152.26,225.0,1324 CDM,PX-A15944,PR ANES FOR EXCISN ISCH PRES ULC W FLAP CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15945,PR ANES FOR EX ISCH PRES ULC W FLAP W OSTECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A15946,PR ANES FOR EXCISN ULCER ISCHL PREP GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15950,PR ANES FOR EXCISN ULCER TROCHNT W SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A15951,PR ANES FOR EXCISN ULCER TROCHNT SUTR OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15952,PR ANES FOR EXC TROC PRES ULC W FLAP CLOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A15953,PR ANES FOR EXCISN TROCH PRES ULC W OSTECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A15956,PR ANES FOR EXCISN ULCER TROCHNT CLSR PREP,225.0,168.75,152.26,225.0,1324 CDM,PX-A15958,PR ANES FOR EXCISN ULC TROCHNT GRFT OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A15999,PR ANES FOR UNLISTED PROC EXCISN PRES ULC,225.0,168.75,152.26,225.0,1324 CDM,PX-A16000,PR ANES FOR TX BURN 1ST DEGREE INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A16020,PR ANES FOR DBRD BURN PRTL THCK <5%,225.0,168.75,152.26,225.0,1324 CDM,PX-A16025,PR ANES FOR DBRD BURN PRTL THCK 5-10%,225.0,168.75,152.26,225.0,1324 CDM,PX-A16030,PR ANES FOR DBRD BURN PRTL THCK >10%,225.0,168.75,152.26,225.0,1324 CDM,PX-A16035,PR ANES FOR ESCHAROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A16036,"PR ANES FOR INCISION OF BURN SCAB, EACH ADDNTL",225.0,168.75,152.26,225.0,1324 CDM,PX-A17000,PR ANES FOR DEST PREMALIGNANT LESN 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A17003,PR ANES FOR DEST PREMALIGNANT LESN 2-14,225.0,168.75,152.26,225.0,1324 CDM,PX-A17004,PR ANES FOR DEST PREMALIGNANT LESN =>15,225.0,168.75,152.26,225.0,1324 CDM,PX-A17106,PR ANES FOR DEST CUT LESN PROLIF <10SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17107,PR ANES FOR DEST CUT LESN PROLIF 10-50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17108,PR ANES FOR DEST CUT LESN PROLIF >50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17110,PR ANES FOR DEST BENIGN LESN OTHR<=14,225.0,168.75,152.26,225.0,1324 CDM,PX-A17111,PR ANES FOR DEST BENIGN LESIONS OTHR >=15,225.0,168.75,152.26,225.0,1324 CDM,PX-A17250,PR ANES FOR CAUTERIZE CHEM GRANULATION TIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A17260,PR ANES FOR DEST LESN MLG T/A/L <=0.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17261,PR ANES FOR DEST LESN MLG T/A/L .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17262,PR ANES FOR DEST LESN MLG TR/LIMB 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17263,PR ANES FOR DEST LESN MLG TR/LIMB 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17264,PR ANES FOR DEST LESN MLG TR/LIMB 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17266,PR ANES FOR DEST LESN MLG TR/LIMB >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17270,PR ANES FOR DEST LESN MLG S/NK/EXT<=.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17271,PR ANES FOR DEST LESN MLG S/NK/EXT .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17272,PR ANES FOR DEST LESN MLG S/NK/EXT 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17273,PR ANES FOR DEST LESN MLG S/NK/EXT 2.1-3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17274,PR ANES FOR DEST LESN MLG S/NK/EXT 3.1-4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17276,PR ANES FOR DEST SKIN MAL LES >4.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17280,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17281,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17282,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17283,PR ANES FOR DEST SKIN MLG LESN 2.1-3.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17284,PR ANES FOR DEST SKIN MLG LESN 3.1-4.0 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17286,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A17311,PR ANES FOR MOHS HD/NK/EXDT/EXG 1 STAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A17312,PR ANES FOR MOHS HD/NK/EXDT/EXG ADD STAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A17313,PR ANES FOR MOHS TR/LIMB 1 STAGE 1-5,225.0,168.75,152.26,225.0,1324 CDM,PX-A17314,PR ANES FOR MOHS TR/LIMB EA ADD STAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A17315,PR ANES FOR MOHS EA BLOCK AFTER FIRST 5,225.0,168.75,152.26,225.0,1324 CDM,PX-A17340,PR ANES FOR CRYOTHRAPY FOR ACNE,225.0,168.75,152.26,225.0,1324 CDM,PX-A17360,PR ANES FOR CHEMICAL EXFOLIATION ACNE,225.0,168.75,152.26,225.0,1324 CDM,PX-A17380,PR ANES FOR ELECTROLYSIS EPILATION EA 30 MIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A17999,PR ANES FOR SKIN TISSUE PROCEDURE UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A19000,PR ANES FOR ASP BREAST CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19001,PR ANES FOR ASP BREAST CYST ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19020,PR ANES FOR MASTOTOMY W EXPLR/DRAIN ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19030,PR ANES FOR INJ PROC FOR DUCTOGRAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A19081,PR ANES FOR BX BRST W DEV 1ST LESN STERETCTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19082,PR ANES FOR BX BRST W DEV ADD STRTC GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A19083,PR ANES FOR BX BRST W DEV 1ST LESN US GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A19084,PR ANES FOR BX BRST ADD LESION US GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A19085,PR ANES FOR BX BREAST W LOC MR GUID 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19086,PR ANES FOR BX BREAST W LOC MR GUID ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19100,PR ANES FOR BX BRST PERC WO IMG GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A19101,PR ANES FOR BX BRST OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A19105,PR ANES FOR ABLT CRYOSURG US GUID EA FIBRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A19110,PR ANES FOR EXPLORE NIPPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A19112,PR ANES FOR EXCISN LACTIFEROUS DUCT FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A19120,PR ANES FOR RMVL BREAST LESN 1 OR MORE,225.0,168.75,152.26,225.0,1324 CDM,PX-A19125,PR ANES FOR EXCISN BRST LESN MARKER ID OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A19126,PR ANES FOR EXCISN BRST LESN MARKER ID ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19281,PR ANES FOR PLC BREAST LOC DEV MAMMO 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19282,PR ANES FOR PLC BREAST LOC DEV MAMMO ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19283,PR ANES FOR PERC LOC DEV BRST 1ST STRTCTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19284,PR ANES FOR PERC DEV BRST EA ADD STRTCTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19285,PR ANES FOR PLC BRST LOC DEV 1ST W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A19286,PR ANES FOR PLC BRST LOC DEV EA ADD/US,225.0,168.75,152.26,225.0,1324 CDM,PX-A19287,PR ANES FOR PLC BREAST LOC DEV MR GUID 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19288,PR ANES FOR PLC BREAST LOC DEV MR GUID EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19294,PR ANES FOR PREP TUM CAV IORT PRTL MAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19296,PR ANES FOR PLC RADTH CATH BRST PRTL MAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19297,PR ANES FOR PLC BRST CATH FOR RAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A19298,PR ANES FOR PLC RADIOTHRPY BRCHY CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A19300,PR ANES FOR MASTECTOMY GYNECOMASTIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A19301,PR ANES FOR MASTECTOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A19302,PR ANES FOR MAST PRTL W AXLRY LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19303,PR ANES FOR MASTECT SMPL COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19305,PR ANES FOR MAST RADCL INCL PECT MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A19306,"PR ANES FOR MASTECTOMY, RADICAL, URBAN TYPE",225.0,168.75,152.26,225.0,1324 CDM,PX-A19307,PR ANES FOR MASTECT RADICAL MODIFIED,225.0,168.75,152.26,225.0,1324 CDM,PX-A19316,PR ANES FOR MASTOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A19318,PR ANES FOR BREAST REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A19325,PR ANES FOR BREAST AUGMENT W IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19328,PR ANES FOR RMVL INTACT BRST IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19330,PR ANES FOR RMVL RPTRD BRST IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19340,PR ANES FOR IMMED INSRT BRST IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19342,PR ANES FOR DELAYED INSRT/RPLC BRST IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19350,PR ANES FOR RCNST NIPPLE/AREOLA,225.0,168.75,152.26,225.0,1324 CDM,PX-A19355,PR ANES FOR CORRECTION INVERTED NIPPLES,225.0,168.75,152.26,225.0,1324 CDM,PX-A19357,PR ANES FOR RCNST BRST TISS EXPAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A19361,PR ANES FOR RCNST BRST W LAT DORSI FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A19364,PR ANES FOR RCNST BRST W FREE FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A19367,PR ANES FOR RCNST BRST W TRAM FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A19368,PR ANES FOR RCNST BRST TRAM FLAP ANASTO,225.0,168.75,152.26,225.0,1324 CDM,PX-A19369,PR ANES FOR PR BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A19370,PR ANES FOR REV PERI CAPSULOTOMY BRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19371,PR ANES FOR PERI IMPLT CAPSULECTOMY BRST COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A19380,PR ANES FOR REVISION OF RECONSTRUCTED BRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A19396,PR ANES FOR DESIGN CUSTOM BREAST IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A19499,PR ANES FOR UNLISTED PROC BREAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A20100,PR ANES FOR EXPLR PNTRATE WND NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A20101,PR ANES FOR EXPLR PNTRATE WND CHST,225.0,168.75,152.26,225.0,1324 CDM,PX-A20102,PR ANES FOR EXPLR PNTRATE WND ABD/FLNK/BCK,225.0,168.75,152.26,225.0,1324 CDM,PX-A20103,PR ANES FOR EXPLR PNTRATE WND EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20150,PR ANES FOR EXCISE EPIPHYSEAL BAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A20200,PR ANES FOR BX MUS SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20205,PR ANES FOR BX MUS DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20206,PR ANES FOR BX MUS PERC NDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20220,PR ANES FOR BX BN TROCAR/NDL SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20225,PR ANES FOR BX BN TROCAR/NDL DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20240,PR ANES FOR BX BN OPN SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20245,PR ANES FOR BX BN OPN DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20250,PR ANES FOR BX VERTEBRAL BODY OPEN THORAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A20251,PR ANES FOR BX VERTEBRAL BODY OPEN LUMB/CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A20500,PR ANES FOR INJ SINUS TRACT THERAPEUTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A20501,PR ANES FOR INJ SINUS TRACT DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A20520,PR ANES FOR RMVL FB MUS SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20525,PR ANES FOR RMVL FB MUS DEEP/COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A20526,PR ANES FOR INJ THER CARPAL TUNNEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20527,PR ANES FOR INJ ENZYME PALMAR FASCIAL CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A20550,PR ANES FOR INJ SNGL TNDN/SHTH/LGMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20551,PR ANES FOR INJ SNGL TENDN ORIGIN/INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A20552,PR ANES FOR INJ TRIGGER PNT<=2 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A20553,PR ANES FOR INJ TRIGGER PNT >=3 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A20555,PR ANES FOR NDL PLCMNT MUS RADIOELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A20560,PR ANES FOR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20561,PR ANES FOR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20600,PR ANES FOR ARTHCS ASP/INJ SM JT WO US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20604,PR ANES FOR ARTHCS ASP/INJ JOINT/BURSA W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20605,PR ANES FOR ARTHCS ASP/INJ INT JT WO US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20606,PR ANES FOR ARTHCS ASP/INJ INT JT W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20610,PR ANES FOR ARTHCS ASP/INJ MJR JT WO US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20611,PR ANES FOR ARTHCS ASP/INJ MJR JT W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A20612,PR ANES FOR ASP/INJ CYST GANGLION,225.0,168.75,152.26,225.0,1324 CDM,PX-A20615,PR ANES FOR ASP/INJ CYST BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A20650,PR ANES FOR INS WIRE/PIN APP TRACTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A20660,PR ANES FOR APP TONGS/CALIPER CRAN W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20661,PR ANES FOR APP CRANIAL HALO INCL RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20662,PR ANES FOR APPLY/REMOVE PELVIS BRACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A20663,PR ANES FOR APPLY/REMOVE THIGH BRACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A20664,PR ANES FOR APPL HALO 6/> PINS THIN SKULL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20665,PR ANES FOR REMOVAL TONG/HALO,225.0,168.75,152.26,225.0,1324 CDM,PX-A20670,PR ANES FOR RMVL IMPLANT SUPERFICIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20680,PR ANES FOR RMVL IMPLANT DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20690,PR ANES FOR APP UNIPLN EXTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A20692,PR ANES FOR APP MLTPLN EXTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A20693,PR ANES FOR ADJUST EXTRNL FIX W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A20694,PR ANES FOR RMVL EXTRNL FIX W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A20696,PR ANES FOR APP MLTPLN EXT FIX W SCAA,225.0,168.75,152.26,225.0,1324 CDM,PX-A20697,"PR ANES FOR COMP ASSIST MULTIPLANE EXT FIXATION, CHANGE",225.0,168.75,152.26,225.0,1324 CDM,PX-A20700,"PR ANES FOR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20701,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20702,"PR ANES FOR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20703,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), INTRAMEDULLARY, ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20704,"PR ANES FOR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20705,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",225.0,168.75,152.26,225.0,1324 CDM,PX-A20802,"PR ANES FOR REPLANTATION, ARM, COMPLETE",225.0,168.75,152.26,225.0,1324 CDM,PX-A20805,PR ANES FOR RPLNT FOREARM COMPLT AMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20808,PR ANES FOR REPLANTATION HAND COMP AMPTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A20816,PR ANES FOR RPLNT DGT MCP TO INS FLX TDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A20822,PR ANES FOR RPLNT DGT DIST TIP TO SUB TDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A20824,PR ANES FOR REPLANT THUMB INCLUD CMC JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20827,PR ANES FOR REPLANT THUMB INCLUD DISTL TIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20838,"PR ANES FOR REPLANTATION, FOOT, COMPLETE",225.0,168.75,152.26,225.0,1324 CDM,PX-A20900,PR ANES FOR GRFT BN ANY AREA MINOR/SML,225.0,168.75,152.26,225.0,1324 CDM,PX-A20902,PR ANES FOR GRFT BN ANY AREA MJR/LRG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20910,PR ANES FOR CARTILAGE GRAFT COSTOCHONDRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20912,PR ANES FOR GRFT CRTLG NASAL SEPTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A20920,PR ANES FOR GRFT FASCIA LATA BY STRIPPER,225.0,168.75,152.26,225.0,1324 CDM,PX-A20922,PR ANES FOR GRFT FASCIA LATA INCISN CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A20924,PR ANES FOR GRFT TNDN FROM DISTANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A20930,PR ANES FOR ALLOGRAFT MORSEL SPINE SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20931,PR ANES FOR ALLOGRAFT STRUCTURE SPINE SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20936,PR ANES FOR AUTOGRAFT LOCAL SPINE SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20937,PR ANES FOR AUTOGRAFT MORSEL SPINE SURG SEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A20938,PR ANES FOR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A20939,PR ANES FOR BONE MARROW ASPIR BONE GRFG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20950,PR ANES FOR MONITOR INTERSTITIAL FLUID PRSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A20955,PR ANES FOR GRFT BN FIBULA MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A20956,PR ANES FOR ILIAC BONE GRAFT MICROVASC,225.0,168.75,152.26,225.0,1324 CDM,PX-A20957,PR ANES FOR BONE GRFT W/MICROVASC ANAST MTRSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20962,PR ANES FOR GRFT BN NOT FIBULA MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A20969,PR ANES FOR FREE OSTQ FLAP W MICROVASC GR TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A20970,PR ANES FOR OSTEOCUTANEOUS FLAP W ANAST ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A20972,PR ANES FOR FREE OSTQ FLAP W MICROVASC MTRSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20973,PR ANES FOR OSTEOCUTANEOUS FLAP ANAST GR TOE/WEB,225.0,168.75,152.26,225.0,1324 CDM,PX-A20974,PR ANES FOR E-STIM AID BN HEALING NONINV,225.0,168.75,152.26,225.0,1324 CDM,PX-A20975,PR ANES FOR E-STIM BN INV,225.0,168.75,152.26,225.0,1324 CDM,PX-A20979,PR ANES FOR LOW INTENSITY US STIM BONE HEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A20982,PR ANES FOR ABLATION BN TMR RADIOFREQUENCY,225.0,168.75,152.26,225.0,1324 CDM,PX-A20983,PR ANES FOR ABLATION BN TMR CRYOABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A20985,PR ANES FOR CASN PROC MUSSKL NO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A20999,PR ANES FOR UNLISTED PROC MUSCKELTAL SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21010,PR ANES FOR ARTHROTOMY TMJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A21011,PR ANES FOR EXCISN TMR FACE/SCLP SUBQ <2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21012,PR ANES FOR EXCISN TMR FACE/SCLP SUBQ>=2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21013,PR ANES FOR EXCISN TMR FACE/SCALP SUBFAS <2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21014,PR ANES FOR EXCISN TMR FACE/SCALP SUBFAS >=2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21015,PR ANES FOR RADCL RSECT TMR FACE/SCLP <2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21016,PR ANES FOR RADCL RSECT TMR FACE/SCLP>=2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21025,PR ANES FOR EXCISN BN MAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A21026,PR ANES FOR EXCISN BN FACIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21029,PR ANES FOR RMVL CONTOURING BN TMR FACIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21030,PR ANES FOR EXCISN TMR BEN E&C,225.0,168.75,152.26,225.0,1324 CDM,PX-A21031,PR ANES FOR EXCISN TORUS MANDIBULARIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21032,PR ANES FOR EXCISN MAXILLARY TORUS PALATIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A21034,PR ANES FOR EXCISN TMR MLG MAXILLA/ZYGOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A21040,PR ANES FOR EXCISN TMR MANDIBLE BN ENUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21044,PR ANES FOR EXCISN LESN MLG MAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A21045,PR ANES FOR EXCISN MLG TMR MAND RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21046,PR ANES FOR EXCISN BEN TMR MAND INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21047,PR ANES FOR EXCISN BEN TMR MAND EXTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21048,PR ANES FOR EXCISN TMR BEN MAXL IO OSTEO,225.0,168.75,152.26,225.0,1324 CDM,PX-A21049,PR ANES FOR EXCISN TMR BEN EO/PRTL MAXL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21050,PR ANES FOR REMOVAL OF JAW JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21060,PR ANES FOR MENISCECTOMY JAW JT PRTL/COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21070,PR ANES FOR CORONOIDECTOMY SEPARATE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21073,PR ANES FOR MANIP OF TMJ THER W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A21076,PR ANES FOR IMPRESS&PREP OBTURATOR PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A21077,PR ANES FOR IMPRESS&PREP ORBITAL PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A21079,PR ANES FOR IMPRESS&PREP INTERIM OBTURATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A21080,PR ANES FOR IMPRESS&PREP DEFINIT OBTURATOR - NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A21081,PR ANES FOR IMPRESS&PREP MANDIBULAR RES,225.0,168.75,152.26,225.0,1324 CDM,PX-A21082,PR ANES FOR IMPRESS&PREP PALATAL AUGMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21083,PR ANES FOR IMPRESS&PREP PALATAL LIFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21084,PR ANES FOR IMPRESS&PREP SPEECH AID PROSTH - ADULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21085,PR ANES FOR IMPRESS&CUST ORAL SURG SPLINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21086,PR ANES FOR IMPRESS&PREP AURICULAR PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A21087,PR ANES FOR IMPRESS&PREP NASAL PROSTH - REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A21088,PR ANES FOR IMPRESS&PREP FACIAL PROSTH - NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A21089,PR ANES FOR UNLISTED PROC MAXILLOFAC PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A21100,PR ANES FOR MAXILLOFACIAL FIXATION HALO,225.0,168.75,152.26,225.0,1324 CDM,PX-A21110,PR ANES FOR APP INTERDENTAL FIXATION DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21116,PR ANES FOR INJ TMJ ARTHRGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A21120,PR ANES FOR GENIOPLASTY AUGMENTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21121,PR ANES FOR GENIOPLASTY-SLIDING OSTEOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A21122,PR ANES FOR GENIOPLASTY >=2 SLIDING OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21123,PR ANES FOR GENIOPLASTY AUGM W INTERPOS GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21125,PR ANES FOR AGMNT MANDIB BODY/ANGLE PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A21127,PR ANES FOR AUGMENT MANDIB BDY/ANGL W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21137,PR ANES FOR REDUCT FOREHEAD CONTOUR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A21138,PR ANES FOR RDUCT FRHEAD CONTOUR&PROSTH/GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21139,PR ANES FOR RDUCT FRHEAD CNTR&SETBK FRNT SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21141,PR ANES FOR RCNST MIDFACE WO BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21142,PR ANES FOR LEFORT I-2 PIECE WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21143,PR ANES FOR LEFORT I-3/> PIECE WO GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21145,PR ANES FOR LEFORT I-1 PIECE WO GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21146,PR ANES FOR LEFORT I-2 PIECE W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21147,PR ANES FOR LEFORT I-3/> PIECE W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21150,PR ANES FOR RCNST MIDFACE ANTR INTRUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21151,PR ANES FOR RCNST MIDFACE ANY W BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21154,PR ANES FOR RCNST MIDFACE ANY WO LEFORT I,225.0,168.75,152.26,225.0,1324 CDM,PX-A21155,PR ANES FOR LEFORT III W LEFORT I,225.0,168.75,152.26,225.0,1324 CDM,PX-A21159,PR ANES FOR LEFORT III W FHD WO LEFORT I,225.0,168.75,152.26,225.0,1324 CDM,PX-A21160,PR ANES FOR RCNST MIDFACE ANY W LEFORT I,225.0,168.75,152.26,225.0,1324 CDM,PX-A21172,PR ANES FOR RCNST SUPR LAT ORBT&LWR FHD,225.0,168.75,152.26,225.0,1324 CDM,PX-A21175,PR ANES FOR RCNST BIF SUPR LAT ORB&LWR FHD,225.0,168.75,152.26,225.0,1324 CDM,PX-A21179,PR ANES FOR RCNST ENTIRE FOREHEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A21180,PR ANES FOR RCNST FOREHEAD W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21181,PR ANES FOR RMVL BY CONTOUR BENIGN TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A21182,PR ANES FOR RCNST CRANIAL BN W GRFT<40SQCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21183,PR ANES FOR RCNST CRANL BN W GRFT40-80SQCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21184,PR ANES FOR RCNST CRANIAL BN W GRFT>80SQCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21188,PR ANES FOR RCNST MIDFACE OSTEOT&BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21193,PR ANES FOR RCNST OSTEOT WO BONE GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21194,PR ANES FOR RCNST MAND RAMI W BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21195,PR ANES FOR RCNST LWR JAW WO FIXATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21196,PR ANES FOR RCNST LWR JAW W FIXATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21198,PR ANES FOR OSTEOTOMY MANDIBLE SEGMENTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21199,PR ANES FOR RCNST LWR JAW W ADVANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21206,PR ANES FOR OSTEOTOMY MAXILLA SEGMENTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21208,PR ANES FOR OSTEOPLASTY FACIAL BNS AUG,225.0,168.75,152.26,225.0,1324 CDM,PX-A21209,PR ANES FOR OSTEOPLASTY FACIAL BNS RED,225.0,168.75,152.26,225.0,1324 CDM,PX-A21210,PR ANES FOR GRFT BN NASAL/MAXILLARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A21215,PR ANES FOR GRFT BN MAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A21230,PR ANES FOR GRFT RIB CRTLG AUTOGENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21235,PR ANES FOR GRFT EAR CRTLG AUTOGENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21240,PR ANES FOR ARTHRO TMJ W/WO AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21242,PR ANES FOR ARTHROPLASTY TMJ W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21243,PR ANES FOR ARTHRO TMPMAND JT W PROSTH RPLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21244,PR ANES FOR RCNST EXT MAND W TXOST BN PLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21245,PR ANES FOR RCNST MNDBL SUBOST IMPL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21246,PR ANES FOR ARTHROPLASTY MANDIB/MAX COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21247,PR ANES FOR RCNST MIDFACE >=3PC W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21248,PR ANES FOR RCNST MAND ENDOSTL IMPL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21249,PR ANES FOR RCNST MAND ENDOSTL IMPL COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21255,PR ANES FOR RCNST ZYGOMAT ARCH & GLENOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A21256,PR ANES FOR RCNST ORBIT W OSTEOT & BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21260,PR ANES FOR PERIORBITAL OSTEOTOMIES W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21261,"PR ANES FOR REVISE ORBITS,INTRA/EXTRA",225.0,168.75,152.26,225.0,1324 CDM,PX-A21263,"PR ANES FOR REVISE ORBITS,FOREHD ADVANC",225.0,168.75,152.26,225.0,1324 CDM,PX-A21267,PR ANES FOR ORBITAL REPO W/BONE GRTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21268,"PR ANES FOR REPOSITN ORBITS,INTRA/EXTRA",225.0,168.75,152.26,225.0,1324 CDM,PX-A21270,PR ANES FOR MALAR AUGMENT PROSTH MATRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21275,PR ANES FOR SECNDRY REV ORBITOCRANIOFCL RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A21280,PR ANES FOR MEDIAL CANTHOPEXY SEP PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21282,PR ANES FOR CANTHOPEXY LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21295,"PR ANES FOR REVISN JAW MUSCLE/BONE,EXTRAORAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A21296,PR ANES FOR REDUC MASSETER MUS & BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21299,PR ANES FOR UNLISTED PROC CRANIO & MAXILLOFAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21315,PR ANES FOR CLSD TX NASAL FX WO STABL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21320,PR ANES FOR CLSD TX NASAL FX W STABL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21325,PR ANES FOR OPN TX NASAL FX UNCOMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21330,PR ANES FOR OPN TX NASAL FX COMPLT W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21335,PR ANES FOR OPEN TX NOSE & SEPTAL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21336,PR ANES FOR TX NASAL SEPTAL FX W/WO STABL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21337,PR ANES FOR CLSD TX NSL FX SEPT W/WO STABL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21338,PR ANES FOR OPEN NASOETHMOID FX WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21339,PR ANES FOR OPEN NASOETHMOID FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21340,PR ANES FOR PERC TX NASOETHMOID FX CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21343,PR ANES FOR OPN TX DEPRSD FRNTL SINUS FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21344,PR ANES FOR OPN TX FRNT SINUS FX CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21345,PR ANES FOR CLSD TX NASOMAXILLLARY FX CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21346,PR ANES FOR OPN TX NASOMAX FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21347,PR ANES FOR OPN TX NASOMAXILLLARY FX CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21348,PR ANES FOR OPN TX NASOMAX FX W BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21355,PR ANES FOR PERC TX MALAR AREA FRACTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21356,PR ANES FOR OPN TX ZYGOMATIC ARCH FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21360,PR ANES FOR OPN TX DEPRESSED MALAR FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21365,PR ANES FOR OPN TX CMPLX MALAR FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21366,PR ANES FOR OPN TX CMPLX MALAR W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21385,PR ANES FOR OPN TX ORBIT FX TRANSANTRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21386,PR ANES FOR OPN TX ORBIT FX PERIORBITAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21387,PR ANES FOR OPN TX ORBITAL FLOOR FX COMBIN AP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21390,PR ANES FOR OPN TX ORBIT FLOOR FX W IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21395,PR ANES FOR OPN TX ORBIT FLOOR FX W BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21400,PR ANES FOR CLSD TX ORBIT WO MANIPULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21401,PR ANES FOR CLSD TX ORBIT W MANIPULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21406,PR ANES FOR OPN TX ORBIT FX WO IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21407,PR ANES FOR OPN TX ORBIT FX W IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21408,PR ANES FOR OPN TX FX ORBIT NOT BLWOUT W GRF,225.0,168.75,152.26,225.0,1324 CDM,PX-A21421,PR ANES FOR CLSD TX PALATAL/MAXIL FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21422,PR ANES FOR OPN TX PALATAL/MAXILLARY FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21423,PR ANES FOR OPN TX PALATAL/MAXIL FX CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21431,PR ANES FOR CLOSED RX LEFORTE III+WIRES,225.0,168.75,152.26,225.0,1324 CDM,PX-A21432,PR ANES FOR OPN TX CRANIOFACIAL SEP W WIRE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21433,PR ANES FOR OPEN TX CRANIOFCL SEP MULT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A21435,PR ANES FOR OPN TX CRANIOFACIAL SEP CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21436,"PR ANES FOR OPEN RX LEFORTE III,COMPL+++",225.0,168.75,152.26,225.0,1324 CDM,PX-A21440,PR ANES FOR TX MAND/MAXI FX ALVEOLAR RDGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21445,PR ANES FOR OPN TX MAND/MAXI AVLR RDG FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21450,PR ANES FOR CLSD TX MANDIB FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21451,PR ANES FOR CLSD TX MANDIB FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21452,PR ANES FOR PERC TX MANDIB FX W EXTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21453,PR ANES FOR CLSD TX MANDBL FX INTRDNTL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21454,PR ANES FOR OPN TX MANDIB FX W EXTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21461,PR ANES FOR OPN TX MANDIB FX WO INTDENT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21462,PR ANES FOR OPN TX MANDIB FX W INTDENT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21465,PR ANES FOR OPN TX MANDIBULAR CONDYLAR FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21470,PR ANES FOR OPN TX CMPLX MANDIB FX MLT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A21480,PR ANES FOR CLSD TX DISLOC TMJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A21485,PR ANES FOR CLSD TX TEMPOROMAND DISLC CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21490,PR ANES FOR OPEN REDUCTN TEM-MANDIBLE DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21497,PR ANES FOR WIRING INTERDENTAL NOT FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21499,PR ANES FOR UNLISTED PROC MUSSKL HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A21501,PR ANES FOR I&D DEEP ABSC NK/THORAX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21502,PR ANES FOR I&D DEEP ABSC NK/THRX RIB OST,225.0,168.75,152.26,225.0,1324 CDM,PX-A21510,PR ANES FOR INCISN BN CORTEX THRX DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21550,PR ANES FOR BX SOFT TISS NK/THORAX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21552,PR ANES FOR EXCISN TMR NK/THRX SUBQ >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21554,PR ANES FOR EXCISN TMR THRX SUBFSCL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21555,PR ANES FOR EXCISN TMR NK/THORAX SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21556,PR ANES FOR EXCISN TMR THORAX SUBFSCL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21557,PR ANES FOR RSECT TMR NK/THORAX RADCL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21558,PR ANES FOR RSECT TMR NK/THRX RADCL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21600,PR ANES FOR EXCISN RIB PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21601,PR ANES FOR EXCISION CHEST WALL TUMOR INCLUDING RIBS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21602,PR ANES FOR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21603,PR ANES FOR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21610,PR ANES FOR PARTIAL REMOVAL RIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A21615,PR ANES FOR EXCISION 1ST &/CERVICAL RIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A21616,PR ANES FOR EXCISN 1ST & CERV RIB W SYMPATHECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A21620,PR ANES FOR OSTECTOMY STERNUM PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21627,PR ANES FOR DEBRIDEMENT STERNAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21630,PR ANES FOR RADICAL RESECTION STERNUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21685,PR ANES FOR HYOID MYOTOMY & SUSPENSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A21700,PR ANES FOR DVISN SCAL ANTICUS WO RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21705,PR ANES FOR DVISN SCAL ANTICUS W RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A21720,PR ANES FOR DVISN STNOCLEDMSTOD OP WO CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A21725,PR ANES FOR DIVSN STERNOCLEOMAST OPN W CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A21740,PR ANES FOR RCNST RPECTUS EXCAVATUM OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A21742,PR ANES FOR RCNST PEC EXCISN WO THORSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21743,PR ANES FOR RCNST PEC EXCISN W THORSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A21750,PR ANES FOR CLSR SEP STERNUM W/WO DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A21811,PR ANES FOR OPN TX RIB FX W FIX 1-3 RIBS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21812,PR ANES FOR OPN TX RIB FX W FIX 4-6 RIBS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21813,PR ANES FOR OPN TX RIB FX W FIX >=7 RIBS,225.0,168.75,152.26,225.0,1324 CDM,PX-A21820,PR ANES FOR CLOSED TX STERNUM FRACTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A21825,PR ANES FOR TX STERNUM FX W/WO SKELT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21899,PR ANES FOR UNLISTED PROC NK/THORAX,225.0,168.75,152.26,225.0,1324 CDM,PX-A21920,PR ANES FOR BX SOFT TISS BACK/FLANK SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A21925,PR ANES FOR BX SOFT TISS BACK/FLANK DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A21930,PR ANES FOR EXCISN TMR BACK/FLNK SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21931,PR ANES FOR EXCISN TMR BK/FLNK SUBQ >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21932,PR ANES FOR EXCISN TMR BACK SUBFSCL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21933,PR ANES FOR EXCISN TMR BACK SUBFSCL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21935,PR ANES FOR RSECT TMR BACK RADICAL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A21936,PR ANES FOR RSECT TMR BACK RADICAL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22010,PR ANES FOR I&D OPN DEEP ABSC CERV/THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22015,PR ANES FOR I&D OPN DEEP ABSC LUMB/SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22100,PR ANES FOR EXCISN PRTL POSTR VERT CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22101,PR ANES FOR PRTL EXCISN VERT INTRNSC THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22102,PR ANES FOR PRTL EXCISN VERT INTRNSC LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A22103,PR ANES FOR EXCISN PRTL POSTR VRT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22110,PR ANES FOR PRTL EXCISN VRT WO DCMP CERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22112,PR ANES FOR PRTL EXCISN VRT WO DCMP THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22114,PR ANES FOR PRTL EXCISN VRT WO DCMP LUMBAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22116,PR ANES FOR PRTL EXCISN VRT WO DCMP EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22206,PR ANES FOR OSTEOMY SPINE POSTR 3 COL THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22207,PR ANES FOR OSTEOMY SPINE POSTR 3 COL LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A22208,PR ANES FOR OSTEOMY SP POSTR 3 COL EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22210,PR ANES FOR OST SPINE POSTR 1 VRT SEG CRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22212,PR ANES FOR OST SPINE POSTR 1 VRT SEG THRX,225.0,168.75,152.26,225.0,1324 CDM,PX-A22214,PR ANES FOR OST SPINE POSTR 1 VRT SEG LMBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22216,PR ANES FOR OST SPINE POSTR EA ADD SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22220,PR ANES FOR OST SPINE ANTR 1 VRT SEG CRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22222,PR ANES FOR OSTEOTOMY SPINE DISCECT THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22224,PR ANES FOR OST SPINE ANTR 1 VRT SEG LMBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22226,PR ANES FOR OST SPINE ANTR EA ADD SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A22310,PR ANES FOR CLSD TX VRT WO MANIP REQ CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A22315,PR ANES FOR CLSD TX VRT FX REQ CAST MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A22318,PR ANES FOR OPN TX/RDCT ODONTOID FX WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22319,"PR ANES FOR ODONTOID, FX GRAFTING, OPEN",225.0,168.75,152.26,225.0,1324 CDM,PX-A22325,PR ANES FOR OPN TX FX POSTR 1 VERT LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A22326,PR ANES FOR OPN TX FX POSTR 1 VERT CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22327,PR ANES FOR OPN TX FX POSTR 1 VERT THRX,225.0,168.75,152.26,225.0,1324 CDM,PX-A22328,PR ANES FOR OPN TX FX SPINE EA ADD SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22505,PR ANES FOR MANIPULATION SPINE W ANESTHESIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A22510,PR ANES FOR PERC CERVICOTHORACIC INJECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22511,PR ANES FOR PERC LUMBOSACRAL INJECTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A22512,PR ANES FOR VERTEBROPLASTY ADDL INJECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22513,PR ANES FOR PERC VERTEBPLSTY CAVTY IMG GUID 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A22514,PR ANES FOR PERC VERT AGMNTJ CAV CRTJ LMBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22515,PR ANES FOR PERC VERT AGMNT MECH EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22526,PR ANES FOR IDET ELECTROTHERMAL SNGL LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22527,PR ANES FOR PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22532,PR ANES FOR ARTHRDSIS LATERAL THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22533,PR ANES FOR ARTHRDSIS LUMB W MIN DISC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22534,PR ANES FOR ARTHRDSIS THOR/LUMB EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22548,PR ANES FOR ARTHRDSIS ANT W/WO EXCISN ODONTOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A22551,PR ANES FOR ARTHRDSIS ANTR BOD CRV BEL C2,225.0,168.75,152.26,225.0,1324 CDM,PX-A22552,PR ANES FOR ARTHRDSIS ANTR CRV BEL C2 ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22554,PR ANES FOR ARTHRDSIS DISECT CERV BEL C2,225.0,168.75,152.26,225.0,1324 CDM,PX-A22556,PR ANES FOR ARTHRDSIS ANTR THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22558,PR ANES FOR ARTHRDSIS ANTR LUMBAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22585,PR ANES FOR ARTHRDSIS ANTR INTBODY EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22586,PR ANES FOR ARTHRDSIS PRESACRAL INTRBDY L5-S1,225.0,168.75,152.26,225.0,1324 CDM,PX-A22590,PR ANES FOR ARTHRDSIS CRNCERV POSTR TECH,225.0,168.75,152.26,225.0,1324 CDM,PX-A22595,PR ANES FOR ARTHRDSIS ATLAS AXIS POSTR C1 C2,225.0,168.75,152.26,225.0,1324 CDM,PX-A22600,PR ANES FOR ARTHRDSIS CERV BEL C2 POSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22610,PR ANES FOR ARTHRDSIS THOR POSTR TECHNIQUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22612,PR ANES FOR ARTHRDSIS LUMB POSTR TECHNIQUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22614,PR ANES FOR ARTHRDSIS POSTR TECH EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22630,PR ANES FOR ARTHRDSIS POSTR INTRBDY LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A22632,PR ANES FOR ARTHRDSIS POSTR LUMB EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22633,PR ANES FOR ARTHRDSIS LUMB W POSTR/POSTRLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22634,PR ANES FOR ARTHRDSIS LUMB POSTR/POSTRLT ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A22800,PR ANES FOR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22802,PR ANES FOR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22804,PR ANES FOR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22808,PR ANES FOR ARTHRDSIS ANTR SPINE DFRM 2-3VT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22810,PR ANES FOR ARTHRDSIS ANTR SPINE DFRM 4-7VT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22812,PR ANES FOR ARTHRDSIS POSTR SPINE DFRM 8/>VT,225.0,168.75,152.26,225.0,1324 CDM,PX-A22818,PR ANES FOR KYPHECTOMY SNGL/2 SEGMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22819,PR ANES FOR KYPHECTOMY >=3 SEGMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22830,PR ANES FOR EXPLORATION SPINAL FUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A22836,PR ANES FOR ANT THORACIC VRT BODY TETHERING <7 VRT SEGMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22837,PR ANES FOR PANT THORACIC VRT BODY TETHERING 8+ VRT SEGMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22838,PR ANES FOR REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING,225.0,168.75,152.26,225.0,1324 CDM,PX-A22840,PR ANES FOR POSTR NON SEGM INSTRUMENTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A22841,PR ANES FOR FIX INTRNL SPINAL WIRING,225.0,168.75,152.26,225.0,1324 CDM,PX-A22842,PR ANES FOR INSTRUM POSTR SEGM 3-6 SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22843,PR ANES FOR INSTRUM POSTR SEGM 7-12 SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22844,PR ANES FOR INSTRUM POSTR SEGM >=13 SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22845,PR ANES FOR INSTRUM ANTR 2-3 VERT SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22846,PR ANES FOR INSTRUM ANTR 4-7 VERT SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22847,PR ANES FOR INSTRUM ANTR 8/> VERT SEGMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A22848,PR ANES FOR FIXATION PELVIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A22849,PR ANES FOR REINSERTION SPINAL FIX DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22850,PR ANES FOR RMVL POSTR NON SEGM INSTRUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22852,PR ANES FOR RMVL POSTR SEGM INSTRUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22853,PR ANES FOR INSJ BIOMECHANICAL DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22854,PR ANES FOR INSN BIOMECHANICAL DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22855,PR ANES FOR REMOVAL ANTERIOR INSTRUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22856,PR ANES FOR TOT DISC ARTHRP ANTR APP CRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22857,PR ANES FOR ARTHRO TOTAL DISC LUMB ANTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22858,PR ANES FOR ARTHRO TOTAL DISC CERV ANTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22859,PR ANES FOR INSN INTRVTBL BIOMECHANICAL DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A22860,PR ANES FOR TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22861,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE",225.0,168.75,152.26,225.0,1324 CDM,PX-A22862,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, LUMBAR, SINGLE",225.0,168.75,152.26,225.0,1324 CDM,PX-A22864,PR ANES FOR RMVL TOTL DISC ARTHRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A22865,PR ANES FOR RMVL DISC ARTHRP ANTR LMBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A22867,PR ANES FOR INSN STABLZTN DEV DCMPRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A22868,PR ANES FOR INSN INTRLAM/SPIN STABL W DCMPRN 2ND LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22869,PR ANES FOR INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22870,PR ANES FOR INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A22899,PR ANES FOR UNLISTED PROCEDURE SPINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A22900,PR ANES FOR EXCISN TMR ABD SUBFSCL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22901,PR ANES FOR EXCISN TMR ABD SUBFSCL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22902,PR ANES FOR EXCISN TMR ABD WALL SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22903,PR ANES FOR EXCISN TMR ABD WALL SUBQ >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22904,PR ANES FOR RSECT TMR ABD RADICAL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22905,PR ANES FOR RSECT TMR ABD RADICAL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A22999,PR ANES FOR UNLISTED PROC ABDOMEN MUSKKL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23000,PR ANES FOR RMVL SUBDELTOID CALCAREOUS DEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23020,PR ANES FOR CAPSULAR CONTRACTURE RELEASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A23030,PR ANES FOR I&D SHOULDER DEEP ABSC/HEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A23031,PR ANES FOR I&D SHOULDER INFECTED BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A23035,PR ANES FOR INCISN BN CORTEX SHOULDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A23040,PR ANES FOR ARTHRT GLH JT EXPLR RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A23044,PR ANES FOR ARTHRT AC/SC JT EXPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23065,PR ANES FOR BX SOFT TISS SHLDR SUPERFICIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23066,PR ANES FOR BX SOFT TISS SHOULDER DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23071,PR ANES FOR EXCISN TMR SHOULDER SUBQ >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23073,PR ANES FOR EXCISN TMR SHLDR SUBFSCL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23075,PR ANES FOR EXCISN TMR SHLDR SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23076,PR ANES FOR EXCISN TMR SHLDR SUBFSCL<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23077,PR ANES FOR RSECT TMR SHLDR RADICAL <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23078,PR ANES FOR RSECT TMR SHLDR RADICAL >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23100,PR ANES FOR ARTHRT GLEOHUMERAL JT W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23101,PR ANES FOR ARTHRT AC/SC W BX/EXCISN CRTLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A23105,PR ANES FOR ARTHRT GLH JT W SYNOV W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23106,PR ANES FOR REMOVE STERNOCLAV JT SYNOVIUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23107,PR ANES FOR ARTHRT GLH JT EXPLR W/WO RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23120,PR ANES FOR CLAVICULETOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23125,PR ANES FOR CLAVICULECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23130,PR ANES FOR ACROMIOPLAS/ACROMIONECT PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23140,PR ANES FOR EXCISN BONE LESN CLAV/SCAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23145,PR ANES FOR EXCISN BN LESN CLAV/SCAP W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23146,PR ANES FOR EXCISN BN LESN CLAV/SCAP W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23150,PR ANES FOR EXCISN BEN BONE LESION HUMERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A23155,PR ANES FOR EXCISN BEN BN LESN HUM W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23156,PR ANES FOR EXCISN BEN BN LESN HUM W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23170,PR ANES FOR SEQUESTRECTOMY CLAVICLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A23172,"PR ANES FOR SEQUESTRECTOMY, SCAPULA",225.0,168.75,152.26,225.0,1324 CDM,PX-A23174,"PR ANES FOR SEQUESTRECTOMY,HUMER HEAD-SURG NECK",225.0,168.75,152.26,225.0,1324 CDM,PX-A23180,PR ANES FOR EXCISN BN CLAVICLE PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23182,PR ANES FOR PARTIAL EXCISION BONE SCAPULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A23184,PR ANES FOR PART EXCIS BONE PROX HUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23190,PR ANES FOR OSTECTOMY SCAPULA PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23195,PR ANES FOR RESECTION HUMERAL HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A23200,PR ANES FOR RADCL RSECT CLAVICLE TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23210,PR ANES FOR RSECT TMR SCAPULA RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23220,PR ANES FOR RAD RSECT PROX HUM TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23330,PR ANES FOR RMVL FB SHOULDER SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A23333,PR ANES FOR RMVL FB SHOULDER DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23334,PR ANES FOR PRSTH RMVL HUMERAL OR GLENOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A23335,PR ANES FOR PRSTH RMVL HUMERAL & GLENOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A23350,PR ANES FOR INJ SHOULDER ARTHGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23395,PR ANES FOR TRANSFER MUS SHLDR/UARM SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23397,PR ANES FOR TRANSFER MUS SHLDR/UARM MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23400,PR ANES FOR SCAPULOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A23405,PR ANES FOR TENOTOMY SHOULDER SNGL TENDON,225.0,168.75,152.26,225.0,1324 CDM,PX-A23406,PR ANES FOR INCISN TENDON(S) & MUSCLE(S),225.0,168.75,152.26,225.0,1324 CDM,PX-A23410,PR ANES FOR RPR RUPT MUSCTNDN CUFF ACUTE,225.0,168.75,152.26,225.0,1324 CDM,PX-A23412,PR ANES FOR RPR RUPT MUSCTNDN CUFF CHRONIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A23415,PR ANES FOR RLS CORAC LGMNT W/WO ACPLSTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A23420,PR ANES FOR RCNST AVUL CMPLX SHLDR CHR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23430,PR ANES FOR TENODESIS BICEP LONG TENDON,225.0,168.75,152.26,225.0,1324 CDM,PX-A23440,PR ANES FOR RSECT/TX TENDON BICEPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A23450,PR ANES FOR CAPSULORRHAPHY ANTERIOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23455,PR ANES FOR CPSLRPY ANTR W LABRAL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23460,PR ANES FOR CPSLRPY ANTR W BONE BLOCK,225.0,168.75,152.26,225.0,1324 CDM,PX-A23462,PR ANES FOR CPSLRPY ANTR W CORACOID TRNSFR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23465,PR ANES FOR CAPSULORRHAPHY GLENOHUM PST,225.0,168.75,152.26,225.0,1324 CDM,PX-A23466,PR ANES FOR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A23470,PR ANES FOR ARTHRO GLH JT HEMIARTHRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A23472,PR ANES FOR ARTHRO GLH JT TOTAL SHOULDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A23473,PR ANES FOR REVIS SHLDR ARTHRO HUM OR GLENOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A23474,PR ANES FOR REVIS SHLDR ARTHRO HUM&GLENOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A23480,PR ANES FOR OSTEOTOMY CLAV W/WO INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23485,PR ANES FOR OST CLAVICLE BN GRFT NONUNION,225.0,168.75,152.26,225.0,1324 CDM,PX-A23490,PR ANES FOR REINFORCE CLAVICLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A23491,PR ANES FOR PROPH TX W/WO METHYL PROX HUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A23500,PR ANES FOR CLSD TX CLAVICLE FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23505,PR ANES FOR CLSD TX CLAVICLE FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23515,PR ANES FOR OPN TX CLAVICLE FX W INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23520,PR ANES FOR CLOSED RX STERNO-CLAV DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A23525,PR ANES FOR CLSD TX DISCLOC STERNOCLAV W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23530,PR ANES FOR OPEN TX STERNOCLAV DISCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23532,PR ANES FOR OPEN STERNOCLAV DISLOC W/GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23540,PR ANES FOR CLSD TX DISLOC CLAV WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23545,PR ANES FOR CLSD TX DISCL ACROMIOCLAV W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23550,PR ANES FOR OPN TX DISLOC CLAV ACUTE/CHR,225.0,168.75,152.26,225.0,1324 CDM,PX-A23552,PR ANES FOR OPN TX DISLOC CLAV W FASC GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23570,PR ANES FOR CLSD TX SCAPULAR FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23575,PR ANES FOR CLSD TX SCAPULAR FX W/WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23585,PR ANES FOR OPN TX SCAPULAR FX W INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23600,PR ANES FOR CLSD TX PROX HUMRL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23605,PR ANES FOR CLSD TX PROX HUMRL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23615,PR ANES FOR OPN TX PROX HUMERAL FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23616,PR ANES FOR OPN TX PROX HUM FX W PRSTH RPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A23620,PR ANES FOR CLSD TX GRT TBERSTY FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23625,PR ANES FOR CLSD TX GRT TBERSTY FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23630,PR ANES FOR OPN TX HUM TUBEROSITY FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23650,PR ANES FOR CLSD TX DISLOC SHLDR WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A23655,PR ANES FOR CLSD TX DISLOC SHLDR W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A23660,PR ANES FOR OPEN TX ACUTE SHLDR DISLO,225.0,168.75,152.26,225.0,1324 CDM,PX-A23665,PR ANES FOR CLSD TX DISLOC SHLDR W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23670,PR ANES FOR OPN TX DISLOC SHLDR W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23675,PR ANES FOR CLSD TX DISLOC SHLDR W NECK FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23680,PR ANES FOR OPN TX DISLOC SHLDR W NECK FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23700,PR ANES FOR MANIP W ANES SHLDR INC APP FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A23800,PR ANES FOR ARTHRODESIS GLENOHUMERAL JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23802,PR ANES FOR ARTHRODESIS GLNHMRL JT W AUTO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A23900,PR ANES FOR INTERTHORACOSCAPULAR AMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A23920,PR ANES FOR DISARTICULATION SHOULDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A23921,"PR ANES FOR AMPUTATION SHLDR JT,2ND CLOSURE",225.0,168.75,152.26,225.0,1324 CDM,PX-A23929,PR ANES FOR UNLISTED PROCEDURE SHOULDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A23930,PR ANES FOR I&D UARM/ELB DEEP ABSC/HEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A23931,PR ANES FOR I&D UARM/ELBOW BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A23935,PR ANES FOR DRAIN ARM/ELBOW BONE LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A24000,PR ANES FOR ATHRT ELB W DRAIN/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A24006,PR ANES FOR ARTHRT ELB W CAPSULAR EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A24065,PR ANES FOR BX SOFT TISS ARM/ELBOW SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24066,PR ANES FOR BX SOFT TISS ARM/ELBOW DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24071,PR ANES FOR EXCISN TMR ARM/ELB SUBQ >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24073,PR ANES FOR EXCISN TMR ARM/ELB DEEP >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24075,PR ANES FOR EXCISN TMR ARM/ELBOW SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24076,PR ANES FOR EXCISN TMR ARM/ELB SUBFSCL<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24077,PR ANES FOR RSECT RADCL TMR UARM/ELB<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24079,PR ANES FOR RSECT RADCL TMR UARM/ELB>=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24100,PR ANES FOR ARTHROTOMY ELBOW W SYNOVIAL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24101,PR ANES FOR ATHRT ELB W/WO BX RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A24102,PR ANES FOR ATHRT ELBOW W SYNOVECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A24105,PR ANES FOR EXCISN BURSA OLECRANON,225.0,168.75,152.26,225.0,1324 CDM,PX-A24110,PR ANES FOR EXCISN BN CYST/BEN TMR HUMERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24115,PR ANES FOR EXCISN BONE LESN HUM W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24116,PR ANES FOR EXCISN BONE LESN HUM W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24120,PR ANES FOR EXCISN BN CYST HD/NK RAD/OLEPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A24125,PR ANES FOR EXCISN BN LESN RAD/OLEC W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24126,PR ANES FOR EXCISN BN LESN RAD/OLEC W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24130,PR ANES FOR EXCISN RADIAL HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A24134,PR ANES FOR SEQUESTRECTOMY SHFT/DIST HUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24136,PR ANES FOR SEQUESTRECTOMY RADIAL HD OR NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A24138,PR ANES FOR SEQUESTRECTOMY OLECRANON PRCS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24140,PR ANES FOR EXCISN BONE HUMERUS PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24145,PR ANES FOR EXCISN PRTL BN RADIAL HEAD/NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A24147,PR ANES FOR EXCISN BN OLECRANON PRCS PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24149,PR ANES FOR RSECT RADCL SOFT TISS/BN ELB,225.0,168.75,152.26,225.0,1324 CDM,PX-A24150,PR ANES FOR RAD RSECT DISTAL HUM TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A24152,PR ANES FOR RSECT TMR RADIAL HD/NK RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24155,PR ANES FOR RSECT ELBOW JT ARTHRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A24160,PR ANES FOR RMVL PROSTH HUM&ULN COMPONENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24164,PR ANES FOR PROSTHESIS REMOVAL RADIAL HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A24200,PR ANES FOR RMVL FB UPR ARM/ELBOW SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A24201,PR ANES FOR RMVL FB UPPER ARM/ELBOW DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24220,PR ANES FOR INJ ELBOW ARTHGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24300,PR ANES FOR MANIPULATION ELBOW W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A24301,PR ANES FOR MUS/TNDN TRANSFER UARM/ELB SNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A24305,PR ANES FOR TENDON LENGTHENING UPR ARM/ELB,225.0,168.75,152.26,225.0,1324 CDM,PX-A24310,PR ANES FOR TENOTOMY OPN ELB TO SHLDR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A24320,PR ANES FOR TENOTOMY OPN ELB TO SHLDR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24330,PR ANES FOR FLEXOR-PLASTY ELBOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A24331,"PR ANES FOR FLEXORPLASTY,ELBOW,EXTENSOR ADVANCMT",225.0,168.75,152.26,225.0,1324 CDM,PX-A24332,"PR ANES FOR TENOLYSIS, TRICEPS",225.0,168.75,152.26,225.0,1324 CDM,PX-A24340,PR ANES FOR TENODESIS BICEPS TNDN AT ELBOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A24341,PR ANES FOR RPR TNDN/MUS ELBOW UARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24342,PR ANES FOR REINS TNDN BICEP/TRICEP DISTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24343,PR ANES FOR REPR ELBOW LAT LIGMNT W TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24344,PR ANES FOR RCNST LAT LGMNT ELB W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24345,PR ANES FOR RPR MED COLLAT LGMNT WLOC TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24346,PR ANES FOR RCNST MED COLTRL LIGM ELB W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24357,PR ANES FOR TENOTOMY ELBOW PERCUTANEOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24358,PR ANES FOR TENOTOMY ELB DBRD TISS/BN OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A24359,PR ANES FOR TENOTOMY ELB DBRD OPN TNDN RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A24360,PR ANES FOR ARTHROPLASTY ELBOW W MEMBRANE,225.0,168.75,152.26,225.0,1324 CDM,PX-A24361,PR ANES FOR ARTHR ELB W DISTL HUM PROST RP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24362,PR ANES FOR RECONSTRUCT ELBOW JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24363,PR ANES FOR ARTHRO ELB W DH/PU PROSTH RPLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A24365,PR ANES FOR ARTHROPLASTY RADIAL HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A24366,PR ANES FOR ARTHRO RADIAL HEAD W IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24370,PR ANES FOR REV ELB ARTHRO HUM/ULNA COMPNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24371,PR ANES FOR REV ELB ARTHRO HUM&LNA COMPNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24400,PR ANES FOR OSTEOTOMY HUMERUS W/WO INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24410,PR ANES FOR REVISION OF HUMERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24420,PR ANES FOR OSTEOPLASTY HUMERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A24430,PR ANES FOR RPR NON/MALUNION HUM WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24435,PR ANES FOR RPR NON/MALUNION HUM W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24470,PR ANES FOR HEMIEPIPHYSEAL ARREST,225.0,168.75,152.26,225.0,1324 CDM,PX-A24495,PR ANES FOR DCMPRN FASCIOTOMY OF FOREARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24498,PR ANES FOR TX PROPHX HUM SHAFT W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A24500,PR ANES FOR CLSD TX HUM SHAFT FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24505,PR ANES FOR CLSD TX HUM FX W MANIP W/WO TRCTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A24515,PR ANES FOR OPN TX HUM FX W PLT W/WO CERCLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A24516,PR ANES FOR OPN TX HUM FX W INSRT IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24530,PR ANES FOR CLSD TX SUPRA HUM FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24535,PR ANES FOR CLSD TX SUPRA HUM FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24538,PR ANES FOR FIX SKEL PERC SUPRA HUM FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24545,PR ANES FOR OPN TX HUM SUPRA FX WO EXTENSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A24546,PR ANES FOR OPN TX HUM SUPRA FX W EXTENSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A24560,PR ANES FOR CLSD TX HUM EPICNDY FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24565,PR ANES FOR CLSD TX HUM EPICNDY FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24566,PR ANES FOR PERC SK HUM EPICNDY FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24575,PR ANES FOR OPN TX HUM EPICNDY FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24576,PR ANES FOR CLSD TX HUM CONDYL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24577,PR ANES FOR CLSD TX HUM CONDYLAR FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24579,PR ANES FOR OPN TX HUM CONDYLAR FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24582,PR ANES FOR FIX PRQ FX HUM CNDYLR W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24586,PR ANES FOR OPN TX PERIARTICUL FX &/DISLOC ELB,225.0,168.75,152.26,225.0,1324 CDM,PX-A24587,PR ANES FOR OPN TX PERIART FX &/DISLC ELB W IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24600,PR ANES FOR CLSD TX DISLOC ELBOW WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A24605,PR ANES FOR CLSD TX DISLOC ELBOW W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A24615,PR ANES FOR OPEN TX ACUTE/CHR ELB DISLO,225.0,168.75,152.26,225.0,1324 CDM,PX-A24620,PR ANES FOR CLSD TX ELB FX/DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24635,PR ANES FOR TX MONTEG ELB FX/DISLOC W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24640,PR ANES FOR TX ELBOW NURSEMAID FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24650,PR ANES FOR CLSD TX RADL HD/NK FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24655,PR ANES FOR CL TX RADL HEAD/NK FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24665,PR ANES FOR OPN TX RADIAL HEAD/NK FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24666,PR ANES FOR OPN TX RADL HD/NK FX W PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A24670,PR ANES FOR CLSD TX ULNAR PROX FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24675,PR ANES FOR CLSD TX ULNAR PROX FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24685,PR ANES FOR OPN TX ULNAR FX PROX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A24800,PR ANES FOR ARTHRODESIS ELBOW JOINT LOCAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A24802,PR ANES FOR FUSION/GRAFT OF ELBOW JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24900,PR ANES FOR AMP ARM THRU HUM W PRIM CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A24920,"PR ANES FOR AMPUTATN ARM,THRU HUMERUS,CIRCULAR",225.0,168.75,152.26,225.0,1324 CDM,PX-A24925,PR ANES FOR AMP ARM THRU HUM CLSR/SCAR REV,225.0,168.75,152.26,225.0,1324 CDM,PX-A24930,PR ANES FOR AMP ARM THRU HUM RE-AMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A24931,PR ANES FOR AMP ARM THRU HUM W IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A24935,"PR ANES FOR STUMP ELONGATN,UPPER EXTREM",225.0,168.75,152.26,225.0,1324 CDM,PX-A24940,PR ANES FOR REVISION OF UPPER ARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A24999,PR ANES FOR UNLISTED PROC HUMERUS/ELBOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A25000,PR ANES FOR INCISN EXTENSOR TNDN SHTH WRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25001,PR ANES FOR INCISN FLEXOR TNDN SHTH WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25020,PR ANES FOR DCMPRN FORARM FLEX/EXT WO DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25023,PR ANES FOR DCMPRN FOREARM FLEX/EXT W DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25024,PR ANES FOR DCMPRN FORARM FLEX&EXT WO DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25025,PR ANES FOR DCMPRN FORARM FLEX&EXT W DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25028,PR ANES FOR I&D FOREARM DEEP ABSCESS/HEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25031,PR ANES FOR I&D FOREARM&/WRIST BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25035,PR ANES FOR INCISN DEEP BN CORTEX FRARM/WRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25040,PR ANES FOR ARTHRT RADIO/MIDCARPAL W EXPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A25065,PR ANES FOR BX SOFT TISS FRARM /WRST SUPFC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25066,PR ANES FOR BX SOFT TISS FOREARM/WRST DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25071,PR ANES FOR EXCISN TMR WRST SUBQ>=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25073,PR ANES FOR EXCISN TMR WRST SUBFSCL>=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25075,PR ANES FOR EXCISN TMR WRST SUBQ<3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25076,PR ANES FOR EXCISN TMR WRST SUBFSCL<3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25077,PR ANES FOR RSECT TMR WRIST RADCL <3 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25078,PR ANES FOR RSECT TMR WRST RADCL >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25085,PR ANES FOR CAPSULOTOMY WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25100,PR ANES FOR ARTHROTOMY WRIST JOINT W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25101,PR ANES FOR ARTHRT WRST JT W EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A25105,PR ANES FOR ARTHRT WRST JT W SYNOVECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A25107,PR ANES FOR ARTHRT DSTL RADIOULNR JT W RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A25109,PR ANES FOR EXCISN TNDN FOREARM/WRST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25110,PR ANES FOR EXCISN LESN TNDN SHTH FOREARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25111,PR ANES FOR EXCISN WRST GANGLION PRIMARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A25112,PR ANES FOR EXCISN WRST GANGLION RECURRENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25115,PR ANES FOR EXCISN TNDN SHTH FLEXORS RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25116,PR ANES FOR EXCISN TNDN SHTH EXTNSRS RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25118,PR ANES FOR SYNO EXT TNDN SHTH WRST SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25119,PR ANES FOR SYN EXT TND SHTH WRST W RSCT DU,225.0,168.75,152.26,225.0,1324 CDM,PX-A25120,PR ANES FOR EXCISN BN CYST RADIUS/ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25125,PR ANES FOR EXCISN CYST/TMR RADS/UL W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25126,PR ANES FOR EXCISN CYST/TMR RADS/UL W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25130,PR ANES FOR EXCISN CYST/TMR CARPAL BONES,225.0,168.75,152.26,225.0,1324 CDM,PX-A25135,PR ANES FOR EXCISN CYST/TMR CRPL W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25136,PR ANES FOR EXCISN CYST CARPAL BN W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25145,PR ANES FOR SEQUESTRECTOMY FOREARM &/WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25150,PR ANES FOR EXCISN BN ULNA PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25151,PR ANES FOR EXCISN BN RADIUS PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25170,PR ANES FOR RSECT RADIUS/ULNAR TMR RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25210,PR ANES FOR CARPECTOMY ONE BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A25215,PR ANES FOR CARPECTOMY PROX ROW ALL BONES,225.0,168.75,152.26,225.0,1324 CDM,PX-A25230,PR ANES FOR STYLOIDECTOMY RADIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25240,PR ANES FOR EXCISN DISTAL ULNA PRTL/COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25246,PR ANES FOR INJ WRIST ARTHGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A25248,PR ANES FOR EXPLR FRARM/WRST RMVL FB DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25250,PR ANES FOR REMOVAL OF WRIST PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25251,PR ANES FOR RMVL OF WRIST PROSTH CMPLX TOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25259,PR ANES FOR MANIPULATION WRIST W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A25260,PR ANES FOR RPR TNDN/MS FLX FRARM/WRST PRI EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25263,PR ANES FOR RPR TNDN WRIST FLEX SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25265,PR ANES FOR RPR TNDN/MS FLX FRARM/WRST SEC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25270,PR ANES FOR RPR TNDN/MS EXT FRARM/WRST PRI EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25272,PR ANES FOR RPR TNDN/MS EXT FRARM/WRST SEC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25274,PR ANES FOR RPR TNDN WRST EXTENS EA TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25275,PR ANES FOR RPR TNDN SHTH EXT WRST W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25280,PR ANES FOR LNGTH/SHRT FLXR/EXTSR TNDN EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25290,PR ANES FOR TENOTOMY FLEXOR/EXTNSR WRST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25295,PR ANES FOR TENOLYSIS FLEXR/EXTNSR WRST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25300,PR ANES FOR TENODESIS WRIST FLEXORS FNGRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25301,PR ANES FOR TENODESIS WRIST EXTENSRS FNGRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25310,PR ANES FOR TRNSPL FLX/EXT TNDN SNGL EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25312,PR ANES FOR TRNSPL FLX/EXT SNGL TNDN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25315,PR ANES FOR FLEXOR ORGIN SLIDE FRARM&/WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25316,PR ANES FOR FLEXOR ORGIN SLIDE W TNDN TRANS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25320,PR ANES FOR CPSLRPY/RCNST WRST FOR CARP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25332,PR ANES FOR ARTHRP WRST W/WO INTERPOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25335,PR ANES FOR REALIGNMENT OF WRIST ON ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25337,PR ANES FOR RCNST DISTAL JT W/WO REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25350,PR ANES FOR OSTEOTOMY RADIUS DISTAL THIRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25355,PR ANES FOR OSTEOTOMY RADIUS MID/PRX THIRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A25360,PR ANES FOR OSTEOTOMY ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25365,PR ANES FOR OSTEOTOMY RADIUS & ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25370,"PR ANES FOR OSTEOTOMY+ROD,RADIUS OR ULNA",225.0,168.75,152.26,225.0,1324 CDM,PX-A25375,PR ANES FOR MULT OSTEOTOMY W ROD RAD & ULN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25390,PR ANES FOR OSTEOPLASTY RADIUS/ULNA SHRTNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A25391,PR ANES FOR OSTEOPLST RAD/ULN LNGTH W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25392,PR ANES FOR OSTEOPLASTY RADS/ULNA SHORTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25393,"PR ANES FOR OSTEOPLASTY,RADIUS AND ULNA,LENTH W/GRFT",225.0,168.75,152.26,225.0,1324 CDM,PX-A25394,PR ANES FOR OSTEOPLASTY CARPAL BONE SHRTNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A25400,PR ANES FOR RPR NON/MALUN RAD/ULN WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25405,PR ANES FOR RPR NON/MALUNION RAD/ULN W AUTGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25415,PR ANES FOR RPR NON/MALUN RAD&ULN WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25420,PR ANES FOR RPR NON/MALUN RAD & ULN W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25425,PR ANES FOR RPR DEFECT W AUTOGRFT RADIUS/ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25426,PR ANES FOR RPR DEFECT W AUTOGRFT RADIUS&ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25430,PR ANES FOR INS VASCULAR PEDICLE CRPL BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A25431,PR ANES FOR RPR NONUNION CARPAL BONE EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25440,PR ANES FOR RPR NONUN SCPHD CRPL BN RDL STYL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25441,PR ANES FOR ARTHRO W PROSTH RPLC RADIUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25442,PR ANES FOR ARTHRO W PROSTH RPLC ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25443,PR ANES FOR RECONSTRUCT SCAPHOID CARPAL W PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25444,PR ANES FOR RECONSTRUCT LUNATE W PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A25445,PR ANES FOR ARTHRO W PROSTH RPLC TRAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25446,PR ANES FOR ARTHRO W PROSTH RPLC TOT WRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25447,PR ANES FOR ARTHRO INTERCARP/CMC JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25448,PR ANES FOR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A25449,PR ANES FOR REV ARTHRP W RMVL IMPL WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25450,PR ANES FOR ARR EPIPSL DISTAL RADIUS/UNLA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25455,PR ANES FOR EPIPSL ARST EPIPHS DST RAD&ULN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25490,PR ANES FOR TX PROPHYLACTIC RADS W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25491,PR ANES FOR TX PROPHYLACTIC ULNA W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25492,PR ANES FOR REINFORCE RADIUS AND ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25500,PR ANES FOR TX RADIAL SHAFT FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25505,PR ANES FOR TX RADIAL SHAFT FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25515,PR ANES FOR OPN TX RADIAL SHAFT FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25520,PR ANES FOR TX RDL SHAFT FX W JT DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25525,PR ANES FOR TX FX RADIAL SHAFT OPN W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25526,PR ANES FOR OPN TX RDL SHAFT FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25530,PR ANES FOR CLSD TX ULNAR SHAFT FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25535,PR ANES FOR CLSD TX ULNAR SHAFT FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25545,PR ANES FOR OPN TX ULNAR SHAFT FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25560,PR ANES FOR CLSD TX RDL & ULNAR FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25565,PR ANES FOR CLSD TX RDL & ULNAR FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25574,PR ANES FOR OPN TX RDL&ULN FX W FIX RAD/ULN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25575,PR ANES FOR OPN TX RDL&ULN FX W FIX RAD&ULN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25600,PR ANES FOR CLSD TX DIST RDL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25605,PR ANES FOR CLSD TX DIST RDL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25606,PR ANES FOR FIX FX PERC SKELETAL DIST RDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25607,PR ANES FOR OPN TX DIST RDL EXART FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25608,PR ANES FOR OPN TX DIST RDL INART FX 2 FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25609,PR ANES FOR OPN TX DIST RDL INART FX 3 FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25622,PR ANES FOR CLSD TX CRPL SCPHD FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25624,PR ANES FOR CLSD TX CRPL SCPHD FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25628,PR ANES FOR OPN TX CARPAL SCPHD FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25630,PR ANES FOR CLSD TX CRPL FX WO MANIP EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25635,PR ANES FOR CLSD TX CRPL FX W MANIP EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A25645,PR ANES FOR OPN TX CARPAL BONE FX EA BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A25650,PR ANES FOR CLSD TX ULNAR FX STYLOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A25651,PR ANES FOR FIX PERC SKEL FX ULNAR STYLOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A25652,PR ANES FOR OPN TX ULNAR STYLOID FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A25660,PR ANES FOR CLSD TX DISLOC RADIOCAR>=1 W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25670,PR ANES FOR OPEN WRIST DISCL 1/>BONES,225.0,168.75,152.26,225.0,1324 CDM,PX-A25671,PR ANES FOR PIN RADIOULNAR DISLOCATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A25675,PR ANES FOR CLSD TX DISLOC RADIUS W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25676,PR ANES FOR OPN TX DISLOC DIST RADIOULNAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A25680,PR ANES FOR CLSD TX TRANS-SCAPRLUNAR FX DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25685,PR ANES FOR OPN TX TRANS-SCAPRLUNAR FX DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25690,PR ANES FOR CLSD TX LUNATE DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25695,PR ANES FOR OPEN TREATMENT LUNATE DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A25800,PR ANES FOR ARTHRDSIS WRST COMPLT WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25805,PR ANES FOR ARTHRODESIS WRST W SLIDING GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25810,PR ANES FOR ARTHRDSIS WRST W ILIAC AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25820,PR ANES FOR ARTHRDSIS WRST LTD WO BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25825,PR ANES FOR ARTHRODESIS WRST LTD W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25830,PR ANES FOR ARTHRDSIS DISTAL RADIOU JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A25900,PR ANES FOR AMP FRARM THROUGH RADIUS&ULNA,225.0,168.75,152.26,225.0,1324 CDM,PX-A25905,"PR ANES FOR AMPUTATION FOREARM,CIRCULAR",225.0,168.75,152.26,225.0,1324 CDM,PX-A25907,"PR ANES FOR AMPUTATION FOREARM,SECOND CLOSURE",225.0,168.75,152.26,225.0,1324 CDM,PX-A25909,PR ANES FOR AMP FRARM RADIUS&ULNA RE-AMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A25915,PR ANES FOR KRUKENBERG PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A25920,PR ANES FOR DISARTICULATION THROUGH WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25922,"PR ANES FOR AMPUTATE THRU WRIST,SECOND CLOSE",225.0,168.75,152.26,225.0,1324 CDM,PX-A25924,PR ANES FOR RE-AMPUTATION THRU WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A25927,PR ANES FOR TRANSMETACARPAL AMPUTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A25929,"PR ANES FOR AMPUTATION TRANSMETACARP,SECOND CLOS",225.0,168.75,152.26,225.0,1324 CDM,PX-A25931,PR ANES FOR RE-AMPUTATION TRANSMETACARPAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A25999,PR ANES FOR UNLISTED PROC FOREARM/WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A26010,PR ANES FOR I&D ABSC FGR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26011,PR ANES FOR I&D ABSC FINGER COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A26020,PR ANES FOR DRN TNDN SHEATH DIGIT/PALM EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26025,PR ANES FOR DRN PALMAR BURSA SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26030,PR ANES FOR DRN PALMAR BURSA MULTIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A26034,PR ANES FOR INCISN HAND/FINGER BONE CORTEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26035,PR ANES FOR DCMPRN FINGERS/HAND INJ INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A26037,PR ANES FOR FASCIOTOMY DCMPRN HAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A26040,PR ANES FOR FASCIOTOMY PALMAR PERCUTANEOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26045,PR ANES FOR FASCIOTOMY PALMAR OPEN PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26055,PR ANES FOR INCISN TNDN SHEATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A26060,PR ANES FOR TENOTOMY PERC EACH DIGIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26070,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB CMC JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26075,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB MCP JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26080,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB I-P JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26100,PR ANES FOR ARTHRT BX CMC JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26105,PR ANES FOR ARTHROTOMY BX MTCARPHLNG JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26110,PR ANES FOR ARTHROTOMY I-P JT W BX EACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A26111,PR ANES FOR EXCISN TMR HND/FGR SUBQ >=1.5C,225.0,168.75,152.26,225.0,1324 CDM,PX-A26113,PR ANES FOR EXCISN TMR HND/FGR DEEP>=1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A26115,PR ANES FOR EXCISN TMR HND/FGR SUBQ <1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A26116,PR ANES FOR EXCISN TMR HND/FGR SUBF <1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A26117,PR ANES FOR RADCL RSECT HAND TUMOR < 3 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A26118,PR ANES FOR RADCL RSECT HAND TMR >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A26121,PR ANES FOR FASCTMY PALM W/WO ZPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A26123,PR ANES FOR FASCTMY PALM PRTL W SNGL DIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A26125,PR ANES FOR FASCTMY PALM PRTL EA ADD DIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A26130,PR ANES FOR SYNOVECTOMY CMC JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26135,PR ANES FOR SYNOVTMY MCP INCL RCNST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26140,PR ANES FOR SYNOVTMY I-P INCL RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A26145,PR ANES FOR SYNO FLEXOR TNDN PALM/FGR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26160,PR ANES FOR EXCISN LESN TNDN SHTH HND/FGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26170,PR ANES FOR REMOVAL OF PALM TENDON EACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A26180,PR ANES FOR EXCISN TNDN FGR/FLEXOR/EXTNSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26185,PR ANES FOR SESAMOIDECTOMY THUMB OR FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A26200,PR ANES FOR EXCISN BN CYST/TMR METACARPAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26205,PR ANES FOR EXCISN CYST/TMR MTCAR W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26210,PR ANES FOR EXCISN BN CYST PROX/MID/DIST PHAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26215,PR ANES FOR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26230,PR ANES FOR EXCISN BN METACARPAL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26235,PR ANES FOR EXCISN BN PROX/MID PHAL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26236,PR ANES FOR EXCISN BN DISTAL PHAL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26250,PR ANES FOR RSECT RADCL TUMOR METACARPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26260,PR ANES FOR RSECT TMR PROX/MID PHALANX RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26262,PR ANES FOR RAD RESEC DISTAL PHALANX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26320,PR ANES FOR RMVL IMPLANT FROM FINGER/HAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A26340,PR ANES FOR MANIP FGR JT UNDER ANES EA JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26341,PR ANES FOR MANIP PALMAR FASCIAL POST INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A26350,PR ANES FOR RPR FLEX TNDN NOT Z2 WO GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26352,PR ANES FOR REP FLX TNDN Z2 W FREE GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26356,PR ANES FOR RPR FLEX TNDN ZN 2 PRIM WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26357,PR ANES FOR RPR FLEX TNDN Z2 SECNDRY WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26358,PR ANES FOR RPR FLXR TNDN Z2 SECNDRY W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26370,PR ANES FOR RPR ROFUNDUS TNDN PRIM EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26372,PR ANES FOR RPR/ADVMNT TNDN W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26373,PR ANES FOR RPR/ADVMNT TNDN WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26390,PR ANES FOR EXCISN FLEX TNDN HAND W IMPLN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26392,PR ANES FOR RMVL SYNTH ROD&INSJ FLXR TDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26410,PR ANES FOR RPR EXTNSR TNDN HND WO GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26412,PR ANES FOR RPR EXTNSR TNDN HND W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26415,"PR ANES FOR EXCISN EXTENSOR TENDON W/ROD, EA",225.0,168.75,152.26,225.0,1324 CDM,PX-A26416,PR ANES FOR REMOV ROD & INSERT EX TEND HAND GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26418,PR ANES FOR RPR EXTNSR TNDN FGR WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26420,PR ANES FOR RPR EXTNSR TNDN FGR W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26426,PR ANES FOR RPR EXTNSR TNDN SECNDRY W TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26428,PR ANES FOR RPR EXTNSR TNDN SECNDRY W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26432,PR ANES FOR CLSD TX EXT TNDN DIST W/WO PIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26433,PR ANES FOR RPR EXTNSR TNDN DIST INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26434,PR ANES FOR RPR EXTNSR TNDN DIST W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26437,PR ANES FOR REALIGN EXTNSR TNDN HAND EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26440,PR ANES FOR TENOLYSIS FLEXOR PALM/FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A26442,PR ANES FOR TENOLYSIS FLEXOR PALM&FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A26445,PR ANES FOR TENOLYSIS EXTNSR TNDN HND/FGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26449,PR ANES FOR TENOLYSIS COMPLX EXTNSR FGR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26450,PR ANES FOR TENOTOMY FLEX PALM OPN EA TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26455,PR ANES FOR TENOTOMY FLEXOR FNGR OPN EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26460,PR ANES FOR TENOTOMY EXTNSR HND/FGR OPN EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26471,PR ANES FOR TENODESIS PROX I-P JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26474,PR ANES FOR TENODESIS DISTAL JOINT EACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A26476,PR ANES FOR LENGTHN TNDN EXTNS HND/FNGR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26477,PR ANES FOR LENGTHN TNDN EXTNSR HND/FNGR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26478,PR ANES FOR LENGTHN TNDN FLEXOR HAND/FNGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26479,PR ANES FOR SHORTN TNDN FLEXOR HAND/FNGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26480,PR ANES FOR TRNSF TNDN DORSUM WO GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26483,PR ANES FOR TRANSFER TNDN DORSUM W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26485,PR ANES FOR TRNSPL TNDN PALMAR WO GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26489,PR ANES FOR TRNSPL TNDN PALMAR W GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26490,PR ANES FOR OPPONENSPLASTY SUPER TENDON EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26492,PR ANES FOR OPPONENSPLASTY TNDN W GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26494,PR ANES FOR OPPONENSPLASTY HYPOTHENAR MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26496,PR ANES FOR OPPONENSPLASTY OTHER METHODS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26497,PR ANES FOR TRANSFER TNDN RING&SM FNGRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26498,PR ANES FOR TRANSFER TNDN ALL 4 FNGRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26499,PR ANES FOR CORRECTION CLAW FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A26500,PR ANES FOR RCNST TNDN PULLEY W TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26502,PR ANES FOR RCNST TNDN PULLEY W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26508,PR ANES FOR RLS THENAR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A26510,PR ANES FOR TRNSF TNDN CROSS INTRINSIC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26516,PR ANES FOR CAPSULODESIS MCP JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26517,PR ANES FOR CAPSULODESIS MCP JT 2 DIGITS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26518,"PR ANES FOR FUSION MC-P JOINT,3-4 DIGITS",225.0,168.75,152.26,225.0,1324 CDM,PX-A26520,PR ANES FOR CAPSULECTOMY MCP JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26525,PR ANES FOR CAPSULECTOMY I-P JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26530,PR ANES FOR ARTHROPLASTY MCP JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26531,PR ANES FOR ARTHROPLSTY MCP JT W PROSTH EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26535,PR ANES FOR ARTHROPLASTY I-P JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26536,PR ANES FOR ARTHROPLSTY I-P JT W PROSTH EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26540,PR ANES FOR RPR LGMNT MCP/I-P JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26541,PR ANES FOR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26542,PR ANES FOR RCNST LGMNT MCP W LOCAL TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26545,PR ANES FOR RCNST LGMNT I-P JT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26546,PR ANES FOR RPR NONUNION/METCARP/PHALANX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26548,PR ANES FOR RPR & RCNST FGR VOLAR PLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A26550,PR ANES FOR POLLICIZATION DIGIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26551,PR ANES FOR TRNSF TOE-HAND W ANASTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26553,PR ANES FOR TRNSF TOE-HAND NOT GRT TOE SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26554,PR ANES FOR TRNSF TOE-HAND NOT GRT TOE DOUBLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A26555,PR ANES FOR POSITIONAL CHANGE OF FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A26556,PR ANES FOR FREE TOE JT XFER W MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A26560,PR ANES FOR RPR SYNDACTYLY EA W FLAPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26561,PR ANES FOR RPR SYNDACTYLY EA W FLAPS&GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26562,PR ANES FOR RPR SYNDACTYLY EA CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26565,PR ANES FOR OSTEOTOMY METACARPAL EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26567,PR ANES FOR OSTEOTOMY PHALANX FINGER EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26568,PR ANES FOR OSTEOPLAST LNGTH METCARP/PHLNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26580,PR ANES FOR RPR CLEFT HAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A26587,PR ANES FOR RCNST POLYDACTYLOUS TISS BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26590,"PR ANES FOR REPAIR MACRODACTYLIA,EACH DIGIT",225.0,168.75,152.26,225.0,1324 CDM,PX-A26591,PR ANES FOR RPR INTRINSIC MUS HAND EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26593,PR ANES FOR RLS INTRINSIC MUS HAND EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26596,PR ANES FOR EXCISN FNGR W Z-PLASTIES MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26600,PR ANES FOR CLSD TX METCARP FX WO MANIP EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26605,PR ANES FOR CLSD TX METCARP FX W MANIP EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26607,PR ANES FOR CLSD TX METCARP FX W EXT FIX EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26608,PR ANES FOR FIX PERC METCARP FX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26615,PR ANES FOR OPN TX METCARP FX W FIX SNGL EA BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A26641,PR ANES FOR CLSD TX THUMB DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26645,PR ANES FOR CLSD TX THUMB FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26650,PR ANES FOR FIX PERC THUMB DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26665,PR ANES FOR OPN TX CMC FX THUMB DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A26670,PR ANES FOR CLSD TX CMC DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26675,PR ANES FOR CLSD TX CMC DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A26676,PR ANES FOR FIX CMC DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26685,PR ANES FOR OPN TX CMC DISLOC W FIX EA JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26686,PR ANES FOR OPN TX CMC DISLOC CMPLX EA JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26700,PR ANES FOR CLSD TX MCP DISLOC W MANIP WO ANS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26705,PR ANES FOR CLSD TX MCP DISLOC W MANP W ANS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26706,PR ANES FOR FIX PERC MCP DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26715,PR ANES FOR OPN TX MCP DISLOC W INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26720,PR ANES FOR CLSD TX PHAL SHFT FX WO MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26725,PR ANES FOR CLSD TX PHAL SHFT FX W MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26727,PR ANES FOR TX PERC FGR PROX/MID W MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26735,PR ANES FOR OPN TX PHALANGEAL SHAFT FX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26740,PR ANES FOR CLSD TX ARTICLR FX WO MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26742,PR ANES FOR CLSD TX ARTICULAR FX W MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26746,PR ANES FOR OPN TX ARTICULAR FX W FIX EA JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26750,PR ANES FOR CLSD TX DISTL PHAL WO MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26755,PR ANES FOR CLSD TX DISTL PHAL FX W MANIP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26756,PR ANES FOR FIX PERC SKEL DIST PHAL FX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26765,PR ANES FOR OPN TX DIST PHAL FX W INT FIX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26770,PR ANES FOR CLSD TX I-P DISLOC W MANIP WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A26775,PR ANES FOR TX I-P DISLOC W MANIP W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A26776,PR ANES FOR CLSD TX PERC I-P DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A26785,PR ANES FOR OPN TX I-P DISLOC W FIX SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26820,PR ANES FOR FUSION OPPOS THUMB W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26841,PR ANES FOR ARTHRDSIS CMC W/WO INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26842,PR ANES FOR ARTHRDSIS CMC W/WO INT FIX W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26843,PR ANES FOR ARTHRDSIS CMC OTHER THAN THMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A26844,PR ANES FOR ARTHRDSIS CMC W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26850,PR ANES FOR ARTHRDSIS MCP W/WO INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26852,PR ANES FOR ARTHRDSIS MCP W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26860,PR ANES FOR ARTHRDSIS I-P JT W/WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A26861,PR ANES FOR ARTHRDSIS IP W/WO FIX EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A26862,PR ANES FOR ARTHRDSIS IP W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A26863,PR ANES FOR ARTHRODESIS I-P JT W AUTOGRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26910,PR ANES FOR AMP MTCRPL W FGR OR THUMB SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A26951,PR ANES FOR AMP FGR/THUMB W DIRECT CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A26952,PR ANES FOR AMP FGR/THUMB W ADV FLAPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26989,PR ANES FOR UNLISTED PROC HANDS/FINGERS,225.0,168.75,152.26,225.0,1324 CDM,PX-A26990,PR ANES FOR I&D PELVIS/HIP JT DEEP ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A26991,PR ANES FOR I&D PELVIS/HIP INFECTED BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A26992,PR ANES FOR INCISN BN CORTEX PELV/HIP JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27000,PR ANES FOR TENOTOMY HIP ADDUCTOR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27001,PR ANES FOR TENOTOMY ADDUCTOR HIP OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27003,"PR ANES FOR INCIS HIP ADDUC,OPEN,OBTUR NEUREC",225.0,168.75,152.26,225.0,1324 CDM,PX-A27005,PR ANES FOR TENOTOMY HIP FLEX OPN SEP PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27006,PR ANES FOR TENOTOMY HIP ABD/EXTEN OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27025,PR ANES FOR FASCIOTOMY HIP/THIGH,225.0,168.75,152.26,225.0,1324 CDM,PX-A27027,PR ANES FOR DCMPRN FASCT PELVIC CMPRT UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27030,PR ANES FOR ARTHRT HIP W DRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27033,PR ANES FOR ARTHRT HIP INCL EXPLR RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27035,PR ANES FOR DENERVATION OF HIP JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27036,PR ANES FOR CPSLMY HIP W RLS HIP FLXR MUSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27040,PR ANES FOR BX PELV/HIP AREA SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27041,PR ANES FOR BX PELV/HIP AREA DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27043,PR ANES FOR EXCISN TMR PLV/HIP SUBQ>=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27045,PR ANES FOR EXCISN TMR PLV/HP SUBFSCL>=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27047,PR ANES FOR EXCISN TMR PELVIS/HIP SUBQ<3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27048,PR ANES FOR EXCISN TMR PLV/HIP SUBFSCL<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27049,PR ANES FOR RSECT TMR PELVIS/HIP <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27050,PR ANES FOR ARTHROTOMY SACROILIAC JT W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27052,PR ANES FOR OPEN BIOPSY OF HIP JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27054,PR ANES FOR ARTHROTOMY HIP W SYNOVECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27057,"PR ANES FOR DECOMPRESSION FASCIOTOMY PELVIC COMPART, UNILAT, W DEBRIDE",225.0,168.75,152.26,225.0,1324 CDM,PX-A27059,PR ANES FOR RSECT TMR PELVIS/HIP >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27060,PR ANES FOR EXCISN ISCHIAL BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27062,PR ANES FOR EXCISN TROC BURSA/CALCIFICATN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27065,PR ANES FOR EXCISN BN CYST IL/PU/FM SUPFC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27066,PR ANES FOR EXCISN BN CYST IL/PU/FM DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27067,"PR ANES FOR EXCISISON BONE CYST BENIGN TUMOR,PELVIS/HIP, AUTOGRAFT SEP INCISION",225.0,168.75,152.26,225.0,1324 CDM,PX-A27070,PR ANES FOR EXCISN PRTL ILIUM WING SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27071,PR ANES FOR EXCISN PRTL ILIUM WING DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27075,PR ANES FOR RSECT TUMOR ILIUM WING RAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27076,PR ANES FOR RSECT TMR ILIUM/ISCH/ACET RAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27077,PR ANES FOR RSECT TUMOR INOMINATE BN TOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27078,PR ANES FOR RSECT TMR ISCH TUBR&GRT TRCNTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27080,PR ANES FOR COCCYGECTOMY PRIMARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27086,PR ANES FOR RMVL FB PELVIS/HIP SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A27087,PR ANES FOR RMVL FB PELVIS/HIP DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27090,PR ANES FOR RMVL HIP PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27091,PR ANES FOR RMVL HIP PROSTHESIS CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27093,PR ANES FOR INJ PROC HIP ARTHGRPH WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27095,PR ANES FOR INJ PROC HIP ARTHGRPH W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27096,PR ANES FOR INJ SI JT W IMA W ARTHROGRPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27097,PR ANES FOR RLS HAMSTRING PROXIMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27098,PR ANES FOR ADDUCTOR TRANSFER TO ISCHIUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27100,PR ANES FOR TRNS OBLIQ MUSC TO GRT TRCHNTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27105,PR ANES FOR XFER PARASPINAL MUSC TO HIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27110,PR ANES FOR XFER ILIOPSOAS MUSC TO GREAT TROCHANTER,225.0,168.75,152.26,225.0,1324 CDM,PX-A27111,PR ANES FOR XFER ILIOPSOAS MUSC TO FEM NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A27120,PR ANES FOR ACETABULOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27122,PR ANES FOR ACETABULOPLASTY RSECT FEM HEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27125,PR ANES FOR HEMIARTHROPLASTY HIP PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27130,PR ANES FOR ARTHRO ACETAB&FEM PROSTH (THA),225.0,168.75,152.26,225.0,1324 CDM,PX-A27132,PR ANES FOR CONVERT PREV TOTAL HIP ARTHRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A27134,PR ANES FOR REV TOTAL HIP BOTH COMPONENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27137,PR ANES FOR REV TOTAL HIP ACETABULR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27138,PR ANES FOR REV TOTAL HIP FEMORAL ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27140,PR ANES FOR OST&TRNSF GRT TROCH OF FEMUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27146,PR ANES FOR OSTEOTOMY ILIAC/ACETABULAR BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27147,PR ANES FOR OSTEOT ILIAC ACETAB HIP REDUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27151,PR ANES FOR OSTEOT IL/ACETAB BN W FEM OST,225.0,168.75,152.26,225.0,1324 CDM,PX-A27156,PR ANES FOR OSTEOT IL/ACETAB BN W HIP REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27158,PR ANES FOR OSTEOTOMY PELVIS BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27161,PR ANES FOR OSTEOTOMY FEM NECK SEP PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27165,PR ANES FOR OSTEOT INTER/SUBTROCHANTERIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27170,PR ANES FOR BN GRFT FEM HEAD/NK/INTERTRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A27175,PR ANES FOR TX SLIP FEM EPIPHYSIS WO REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27176,PR ANES FOR TX SLIP FEM EPIPHYSIS IN SITU,225.0,168.75,152.26,225.0,1324 CDM,PX-A27177,PR ANES FOR OPEN RX SLIP EPIPHYSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27178,PR ANES FOR OPN TX SLIPPED FEM CLSD MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27179,"PR ANES FOR OPEN RX SLIP EPIPHY,REVIS FEM NECK",225.0,168.75,152.26,225.0,1324 CDM,PX-A27181,PR ANES FOR OPN TX FEM EPHIPH W OSTEOT&FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27185,PR ANES FOR ARRST EPIPHYSEAL TRCHNTR FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27187,PR ANES FOR TX PROPHX FEM NK&PROX W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27197,PR ANES FOR CLSD TX POST PELVIC RING FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27198,PR ANES FOR CLSD TX POST PELVIC RING FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27200,PR ANES FOR CLSD TX COCCYGEAL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27202,PR ANES FOR OPEN REPAIR COCCYGEAL FRACTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27215,PR ANES FOR OPN TX PELVIC BN FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27216,PR ANES FOR TX PELVIC BN FX PERC SKEL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27217,PR ANES FOR OPN TX PELVIC BN ANTR W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27218,PR ANES FOR OPN TX PELVIC BN POSTR W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27220,PR ANES FOR CLSD TX ACETABULUM FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27222,PR ANES FOR CLSD TX ACETAB HIP FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27226,PR ANES FOR OPN TX ACETAB FX WALL W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27227,PR ANES FOR OPN TX ACETAB FX 1 CLMNS W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27228,PR ANES FOR OPN TX ACETAB FX 2 CLMNS W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27230,PR ANES FOR CLSD TX FEM FX PROX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27232,PR ANES FOR CLSD TX FEM FX PROX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27235,PR ANES FOR TX FEM FX PROX END NK PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27236,PR ANES FOR OPN TX FEM FX PROX END NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A27238,PR ANES FOR CLSD TX FEMORAL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27240,PR ANES FOR CLSD TX FEMORAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27244,PR ANES FOR TX FEM FX W PLATE/SCREW IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27245,PR ANES FOR TX FEM FX W INTRAMEDULLRY IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27246,PR ANES FOR CLSD TX GREATER TROCH WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27248,PR ANES FOR OPN TX GREATER TROCH FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27250,PR ANES FOR CLSD TX DISLOC HIP WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27252,PR ANES FOR CLSD TX HIP DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27253,PR ANES FOR OPN TX HIP DISLOC WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27254,PR ANES FOR OPN TX DISLOC HIP TRAUMATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27256,PR ANES FOR TX HIP DISLOC WO ANES WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27257,PR ANES FOR TX HIP DISLOC W MANIP W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27258,PR ANES FOR OPN TX HIP DISLOC SPONT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27259,PR ANES FOR OPN TX HIP DISLOC W FEM SHORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27265,PR ANES FOR CLSD TX HIP DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27266,PR ANES FOR TX POST HIP ARTHR DISLOC ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27267,PR ANES FOR CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27268,PR ANES FOR CLOSED TX FEMORAL FRACTURE PROX HEAD W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27269,PR ANES FOR OPN TX FEM FX PROX HEAD W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27275,PR ANES FOR MANIP HIP JOINT GEN ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27278,PR ANES FOR ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A27279,PR ANES FOR ARTHRDSIS SACROILIAC PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A27280,PR ANES FOR ARTHRDSIS SACROILIAC JT W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27282,PR ANES FOR ARTHRODESES SYMPH PUBIS W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27284,PR ANES FOR FUSION HIP JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27286,PR ANES FOR FUSION HIP JOINT+SUBTROCH OSTEOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27290,PR ANES FOR AMP INTERPELVIABDOMINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27295,PR ANES FOR DISARTICULATION OF HIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27299,PR ANES FOR UNLISTED PROC PELVIS/HIP JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27301,PR ANES FOR I&D ABSC/BURSA/HEMA THIGH/KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27303,PR ANES FOR INCISN FEM W OPN BN CORTX DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27305,PR ANES FOR FASCIOTOMY ILIOTIBIAL OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27306,PR ANES FOR TENOTOMY ADD/HMSTRNG PERC SNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A27307,PR ANES FOR TENOTOMY ADD/HMSTRNG PERC MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27310,PR ANES FOR ARTHRT KNEE EXPLR/DRN/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27323,PR ANES FOR BX SOFT TISS THIGH/KNEE SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27324,PR ANES FOR BX SOFT TISS THIGH/KNEE DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27325,PR ANES FOR NEURECTOMY HAMSTRING MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27326,"PR ANES FOR NEURECTOMY, POPLITEAL (GASTROCNEMIUS)",225.0,168.75,152.26,225.0,1324 CDM,PX-A27327,PR ANES FOR EXCISN TMR THIGH/KNEE SUBQ<3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27328,PR ANES FOR EXCISN TMR TH/KNE SUBFSCL<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27329,PR ANES FOR RSECT TMR THIGH/KNEE <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27330,PR ANES FOR BX KNEE JOINT LINING,225.0,168.75,152.26,225.0,1324 CDM,PX-A27331,PR ANES FOR ARTHRT KNEE JT EXPLOR/BX/RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27332,PR ANES FOR ARTHRT EXCISN KNEE MED/LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27333,PR ANES FOR RMVL KNEE CARTILAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27334,PR ANES FOR ARTHRT W SYNOVECTOMY KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27335,PR ANES FOR ARTHRT KNEE ANTR&POSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27337,PR ANES FOR EXCISN TMR THIGH/KNE SUBQ>=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27339,PR ANES FOR EXCISN TMR TH/KNE SUBFSCL>=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27340,PR ANES FOR EXCISN PREPATELLAR BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27345,PR ANES FOR EXCISN SYNOVIAL CYST POP SPACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27347,PR ANES FOR EXCISN LESN KNEE MENISC/CAPSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27350,PR ANES FOR PATELLECTOMY/HEMIPATELLECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27355,PR ANES FOR EXCISN BN CYST/BENIGN TMR FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27356,PR ANES FOR EXCISN BN FEMUR W ALLOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27357,PR ANES FOR EXCISN BN FEMUR W AUTOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27358,PR ANES FOR EXCISN BN FEMUR W INTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27360,PR ANES FOR EXCISN BN FEM/TIB/FIB PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27364,PR ANES FOR RSECT TMR THIGH/KNEE >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27365,PR ANES FOR RSECT TUMOR FEMUR/KNEE RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27372,PR ANES FOR RMVL FB THIGH/KNEE DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27380,PR ANES FOR SUTR INFRAPATELLAR TNDN PRIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27381,PR ANES FOR SUTR INFRAPATELLAR TNDN SCNDRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27385,PR ANES FOR SUTR QUAD/HAMSTRNG RUPT PRIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27386,PR ANES FOR SUTR QUAD/HAMSTRNG RUPT SCNDRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27390,PR ANES FOR TENOTOMY HAMSTRING OPN SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27391,PR ANES FOR TENOTOMY HMSTRNG OPN MULT 1 LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A27392,PR ANES FOR TENOTOMY HMSTRNG OPN MULT BI,225.0,168.75,152.26,225.0,1324 CDM,PX-A27393,PR ANES FOR LENGTHENING TNDN SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27394,PR ANES FOR LENGTHENING TNDN MULT 1 LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A27395,PR ANES FOR LENGTHENING TNDN MULT BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27396,PR ANES FOR TRANSPLANT THIGH SNGL TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27397,"PR ANES FOR XPLANT HAMSTR TENDONS-PATELLA,MULTI",225.0,168.75,152.26,225.0,1324 CDM,PX-A27400,"PR ANES FOR TENDON/MUSC XFER,HAMSTR-FEMUR",225.0,168.75,152.26,225.0,1324 CDM,PX-A27403,PR ANES FOR ARTHRT W MENISCUS RPR KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27405,PR ANES FOR RPR KNE TORN LGMNT PRIM COLLAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27407,PR ANES FOR RPR KNE TORN LGMNT PRIM CRUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27409,"PR ANES FOR RPR KNEE LIG, COLL & CRUC",225.0,168.75,152.26,225.0,1324 CDM,PX-A27412,PR ANES FOR IMPL KNEE AUTO CHONDROCYTE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27415,PR ANES FOR ALLOGRAFT OSTEOCHON KNEE OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27416,PR ANES FOR AUTOGRAFT OSTEOCHON KNEE OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27418,PR ANES FOR TUBERCLEPLASTY ANTERIOR TIBIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27420,PR ANES FOR RCNST DISLOC PATELLA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27422,PR ANES FOR RCNST DISLOC PATEL EXTN REALIGN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27424,PR ANES FOR REVISION/REMOVAL OF KNEECAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27425,PR ANES FOR RELEASE LAT RETINACULAR OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27427,PR ANES FOR RCNST LGMNT KNEE EXART,225.0,168.75,152.26,225.0,1324 CDM,PX-A27428,PR ANES FOR RCNST LGMNT KNEE INTRARTCLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27429,PR ANES FOR RCNST LGMNT KNEE INTR/EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27430,PR ANES FOR QUADRICEPSPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27435,PR ANES FOR CAPSULOTOMY KNEE POSTR RELEASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27437,PR ANES FOR ARTHRO PATELLA WO PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27438,PR ANES FOR ARTHRO PATELLA W PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27440,PR ANES FOR ARTHROPLASTY TIBIAL PLATEAU,225.0,168.75,152.26,225.0,1324 CDM,PX-A27441,PR ANES FOR ARTHRO TIB PLATEAU W DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27442,PR ANES FOR ARTHRO FEM CONDYL/TIB PLAT KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27443,PR ANES FOR ARTHRO FEM CONDYLES PRTL DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27445,PR ANES FOR ARTHROPLASTY KNEE HINGE PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A27446,PR ANES FOR ARTHRO KNEE MED/LAT CMPRT (UNILAT),225.0,168.75,152.26,225.0,1324 CDM,PX-A27447,PR ANES FOR ARTHRO KNEE CONDYLE&PLAT (TKA),225.0,168.75,152.26,225.0,1324 CDM,PX-A27448,PR ANES FOR OSTEOTOMY FEM SHAFT WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27450,PR ANES FOR OSTEOTOMY FEM SHAFT W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27454,PR ANES FOR OSTEOTOMY FEM SHAFT MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27455,PR ANES FOR OSTEOTOMY TIB BFR EPIPHYS CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27457,PR ANES FOR OSTEOTOMY TIB AFT EPIPHYS CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27458,PR ANES FOR OSTEOT FEMUR IMED LNGTH DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A27465,PR ANES FOR OSTEOPLASTY FEMUR SHORTENING,225.0,168.75,152.26,225.0,1324 CDM,PX-A27466,PR ANES FOR OSTEOPLASTY FEMUR LENGTHENING,225.0,168.75,152.26,225.0,1324 CDM,PX-A27468,PR ANES FOR COMBINE SHORTEN/LENGTHEN FEMUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27470,PR ANES FOR RPR FEMUR NON/MALUNION WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27472,PR ANES FOR RPR FEMUR NON/MALUNION W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27475,PR ANES FOR ARRST EPIPHYSEAL DISTAL FEMUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27477,PR ANES FOR ARRST EPIPHYSEAL TIB/FIB PROX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27479,PR ANES FOR ARRST EPIPHYSL COMB FM/TIB/FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27485,PR ANES FOR ARRST HEMIEPIPHYSEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27486,PR ANES FOR REV TOT KNEE ARTHRO 1 COMPNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27487,PR ANES FOR REV TOT KNEE ARTHRO FEM&TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27488,PR ANES FOR RMVL PROSTH KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27495,PR ANES FOR PROPHX TX FEMUR W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27496,PR ANES FOR DCMPRN THIGH/KNEE SNGL CMPRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27497,PR ANES FOR DCMPRN THICH/KNEE W DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27498,PR ANES FOR DCMPRN THIGH/KNEE MULT CMPRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27499,PR ANES FOR DCMPRN FASCT THIGH AND/KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27500,PR ANES FOR CLSD TX FEMORAL SHAFT WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27501,PR ANES FOR CLSD TX SPRA/TRNSCNDL WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27502,PR ANES FOR CLSD TX FEM SHAFT FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27503,PR ANES FOR CLSD TX SPRA/TRNSCNDL W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27506,PR ANES FOR OPN TX FEM FX INTRAMEDLRY IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27507,PR ANES FOR OPN TX FEM FX W PLATE/SCREWS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27508,PR ANES FOR CLSD TX FEM FX DIST WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27509,PR ANES FOR FIX SKEL PERC FEM FX W/WO EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27510,PR ANES FOR CLSD TX FEMORAL W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27511,PR ANES FOR TX FEM SUPRACONDYL FX WO EXTSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27513,PR ANES FOR TX FEM SUPRACONDYL FX W EXTSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27514,PR ANES FOR OPN TX FEMORAL FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27516,PR ANES FOR CLSD TX DISTAL FEMORAL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27517,PR ANES FOR CLOSED RX DIST FEM EPIPHYSIS+MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27519,PR ANES FOR OPN TX FEM EPHYSL SEP DISTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27520,PR ANES FOR CLSD TX PATELLA FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27524,PR ANES FOR OPN TX PATELLA FX FIX/PATLCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27530,PR ANES FOR CLSD TX TIB FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27532,PR ANES FOR CLSD TX TIB FX W/WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27535,PR ANES FOR OPN TX TIB FX PROX UNICONDYLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27536,PR ANES FOR OPN TX TIB FX PROX BICONDYLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27538,PR ANES FOR CLSD TX KNEE W/WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27540,PR ANES FOR OPN TX KNEE W/WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27550,PR ANES FOR CLSD TX KNEE DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27552,PR ANES FOR CLSD TX KNEE DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27556,PR ANES FOR OPN TX KNE DISLOC WO LGMNT RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27557,PR ANES FOR TX KNEE DISLOCATION W/LIG RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27558,PR ANES FOR OPN TX KNEE DISLOC W LIG RPR&AUGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27560,PR ANES FOR CLSD TX PATLLR DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27562,PR ANES FOR CLSD TX PATLLR DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27566,PR ANES FOR OPN TX PATLLR DISLC W/WO PTLMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27570,PR ANES FOR MANIP KNEE JT W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27580,PR ANES FOR ARTHRODESIS KNEE ANY TECH,225.0,168.75,152.26,225.0,1324 CDM,PX-A27590,PR ANES FOR AMP THIGH THRU FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27591,PR ANES FOR AMPUTATE THIGH+STAT FITTING,225.0,168.75,152.26,225.0,1324 CDM,PX-A27592,PR ANES FOR AMP THIGH THRU FEM OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27594,PR ANES FOR AMP THIGH THRU FEMUR SEC CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27596,PR ANES FOR AMP THIGH THRU FEM REAMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27598,PR ANES FOR DISARTICULATION AT KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27599,PR ANES FOR UNLISTED PROCEDURE FEMUR/KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27600,PR ANES FOR DCMPRN LEG ANTR/LATERAL CMPRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27601,PR ANES FOR DCMPRN LEG POSTR CMPRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27602,PR ANES FOR DCMPRN LEG ANTR/LATERAL/POSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27603,PR ANES FOR I&D LEG/ANK DEEP ABSC/HEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27604,PR ANES FOR I&D LEG/ANK INFECTED BURSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27605,PR ANES FOR TNTMY ACHIL TNDN PERC LOC ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27606,PR ANES FOR TNTMY ACHIL TNDN PERC GEN ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27607,PR ANES FOR INCISION LEG/ANKLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27610,PR ANES FOR ARTHRT ANKLE EXPLR/DRN/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27612,PR ANES FOR ARTHRT ANK POSTR CAPSULAR RLS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27613,PR ANES FOR BX SOFT TISS LEG/ANKLE SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27614,PR ANES FOR BX SOFT TISS LEG/ANKLE DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27615,PR ANES FOR RSECT TMR LEG/ANK <5CM RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27616,PR ANES FOR RSECT TMR LEG/ANK >=5CM RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27618,PR ANES FOR EXCISN TMR LEG/ANKLE SUBQ <3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27619,PR ANES FOR EXCISN TMR LEG/ANKLE SUBF <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27620,PR ANES FOR ARTHRT ANKLE W JT EXPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A27625,PR ANES FOR ARTHROTOMY ANKLE W SYNOVECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27626,PR ANES FOR ARTHRT ANK SYNO&TNOSYNO,225.0,168.75,152.26,225.0,1324 CDM,PX-A27630,PR ANES FOR EXCISN LESN LEG/ANK TNDN SHTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A27632,PR ANES FOR EXCISN TMR LEG/ANK >=3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27634,PR ANES FOR EXCISN TMR LEG/ANK >=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27635,PR ANES FOR EXCISN BN CYST TIB/FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27637,PR ANES FOR EXCISN CYST TIB/FIB W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27638,PR ANES FOR EXCISN BN CYST TIB/FIB W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27640,PR ANES FOR EXCISN BN TIB PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27641,PR ANES FOR EXCISN BN FIB PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27645,PR ANES FOR RSECT TUMOR TIBIA RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27646,PR ANES FOR RSECT TUMOR FIBULA RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27647,PR ANES FOR RESCT TUMOR TAL/CALC RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27648,PR ANES FOR INJ ANK ARTHROGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27650,PR ANES FOR RPR ACHILLES TNDN PRIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27652,PR ANES FOR RPR ACHILLES TNDN PRIM W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27654,PR ANES FOR RPR ACHILLES TNDN SECNDRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27656,PR ANES FOR RPR FASCIAL DEFECT LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A27658,PR ANES FOR RPR FLEXOR TNDN LEG WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27659,PR ANES FOR RPR FLEXOR TENDON LEG SECNDRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A27664,PR ANES FOR RPR EXTNSR TNDN LEG WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27665,PR ANES FOR RPR EXTNSR TNDN LEG W/WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27675,PR ANES FOR RPR DISLOC PRNEAL TNDN WO OS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27676,PR ANES FOR RPR DISLOC PRNEAL TNDN W OS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27680,PR ANES FOR TNLYS LEG/ANKLE FLEX/EXT SNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A27681,PR ANES FOR TNLYS LEG/ANK FLEX/EXT MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27685,PR ANES FOR LNGTH/SHORT LEG/ANK TNDN SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27686,PR ANES FOR LNGHT/SHORT LEG/ANK TNDN MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27687,PR ANES FOR GASTROCNEMIUS RECESSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A27690,PR ANES FOR TRNSF/TRNSPL TNDN SNGL SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27691,PR ANES FOR TRNSF/TRNSPL TENDON SNGL DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27692,PR ANES FOR TRNSF/TRNSPL TENDON EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27695,PR ANES FOR RPR DISRPTD LGMNT ANK COLAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27696,PR ANES FOR SUTR DISRPTD LGMNT ANK BOTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A27698,PR ANES FOR RPR ANK SECNDRY DISRUP LGMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27700,PR ANES FOR ARTHROPLASTY ANKLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A27702,PR ANES FOR ARTHROPLASTY ANK W IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27703,PR ANES FOR ARTHROPLASTY ANKLE REV TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27704,PR ANES FOR RMVL OF ANKLE IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27705,PR ANES FOR OSTEOTOMY TIBIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27707,PR ANES FOR OSTEOTOMY FIBULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27709,PR ANES FOR OSTEOTOMY TIBIA AND FIBULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27712,PR ANES FOR OSTEOTOMY MULT W RELIGNMT ROD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27713,PR ANES FOR OSTEOT TIBIA IMED LNGTH DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A27715,PR ANES FOR OSTEOPLSTY TIB&FIB LNGTH/SHORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27720,PR ANES FOR RPR NON/MALUNION TIB WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27722,PR ANES FOR RPR NON/MALUNION TIB SLID GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27724,PR ANES FOR RPR NON/MALUNION TIB AUTOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27725,PR ANES FOR RPR NON/MALUNION TIB SYN W FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27726,PR ANES FOR RPR NON/MALUNION FIB W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27727,PR ANES FOR RPR CONG PSEUDOARTHROSIS TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27730,PR ANES FOR ARREST EPHYSL DIST TIB OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27732,PR ANES FOR ARREST EPHYSL DIST FIB OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27734,PR ANES FOR ARREST EPHYSL DIST TIBFIB OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27740,PR ANES FOR ARREST EPIPHYSEAL TIB & FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27742,PR ANES FOR ARREST EPIPHYSEAL TIB/FIB/FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A27745,PR ANES FOR PROPHX TX TIBIA W/WO MMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A27750,PR ANES FOR CLSD TX TIB SHAFT FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27752,PR ANES FOR CLSD TX TIB SHAFT FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27756,PR ANES FOR PERC FIX TIBIAL SHAFT FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27758,PR ANES FOR OPN TX TIB FX PLATE/SCRWS,225.0,168.75,152.26,225.0,1324 CDM,PX-A27759,PR ANES FOR TX TIB FX INTRAMDLRY IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27760,PR ANES FOR CLSD TX MDL MELLEOL WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27762,PR ANES FOR CLSD TX MDL MALLEOL W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27766,PR ANES FOR OPN TX MEDIAL MALLEOL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27767,PR ANES FOR CLSD TX POSTR MALLEOL WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27768,PR ANES FOR CLSD TX POSTR MALLEOL W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27769,PR ANES FOR OPN TX POSTR MALLEOLUS FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27780,PR ANES FOR CLSD TX PROX FIBULA WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27781,PR ANES FOR CLSD TX PROX FIBULA W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27784,PR ANES FOR OPN TX PROX FIBULA FX W/FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27786,PR ANES FOR CLSD TX DIST FIB WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27788,PR ANES FOR CLSD TX DIST FIB FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27792,PR ANES FOR OPN TX DIST FIB FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27808,PR ANES FOR CLSD TX BIMALOR ANK WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27810,PR ANES FOR CLSD TX BIMALOR ANK W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27814,PR ANES FOR OPN TX BIMALOR ANK FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27816,PR ANES FOR CLSD TX TRIMALOR ANK WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27818,PR ANES FOR CLSD TX TRIMALOR ANK FX MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27822,PR ANES FOR OPN TX TRIMALOR ANK FX WO FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27823,PR ANES FOR OPN TX TRIMALOR ANK FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27824,PR ANES FOR CLSD TX TIB W/WO ANES WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27825,PR ANES FOR CLSD TX TIB W/WO ANES W TRACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27826,PR ANES FOR OPN TX DIST TIB W FIB INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27827,PR ANES FOR OPN TX DIST TIBIA FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27828,PR ANES FOR OPN TX DIST TIB W TIB&FIB FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27829,PR ANES FOR OPN TX DIST TIBFIB DISRPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27830,PR ANES FOR CLSD TX PROX TIBFIB DIS WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27831,PR ANES FOR CLSD TX TIBFIB DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27832,PR ANES FOR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27840,PR ANES FOR CLSD TX DISLOC ANKLE WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27842,PR ANES FOR CLSD TX DISLOC ANKLE W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27846,PR ANES FOR OPN TX DISLOC ANK WO RPR/FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27848,PR ANES FOR OPN TX DISLOC ANK W RPR/FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A27860,PR ANES FOR MANIP ANKLE W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A27870,PR ANES FOR ARTHRODESIS ANKLE OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27871,PR ANES FOR ARTHRODESIS TIBFIB PROX/DISTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A27880,PR ANES FOR AMP LEG THRU TIB &FIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A27881,PR ANES FOR AMP LEF THRU TIB&FIB 1ST CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A27882,PR ANES FOR AMP LEG THRU TIB &FIB OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A27884,PR ANES FOR AMP LEG THRU TIB &FIB CLSR/REV,225.0,168.75,152.26,225.0,1324 CDM,PX-A27886,PR ANES FOR AMP LEG THRU TIB &FIB REAMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A27888,PR ANES FOR AMP ANKLE THRU MALL CLSR&RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A27889,PR ANES FOR ANKLE DISARTICULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A27892,PR ANES FOR DCMPRN FASCT LEG ANTR/LAT DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27893,"PR ANES FOR DECOMPRESS FASCIOT LEG,POST ONLY",225.0,168.75,152.26,225.0,1324 CDM,PX-A27894,PR ANES FOR DCMPRN LEG ANTR/LAT/POSTR DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A27899,PR ANES FOR UNLISTED PROCEDURE LEG/ANKLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28001,PR ANES FOR I&D BURSA FOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28002,PR ANES FOR I&D FASCIA FOOT SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28003,PR ANES FOR I&D FASCIA FOOT MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28005,PR ANES FOR INCISION FOOT BN LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28008,PR ANES FOR FASCIOTOMY FOOT&/TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28010,PR ANES FOR TENOTOMY TOE TNDN PERC SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28011,PR ANES FOR TENOTOMY TOE TNDN PERC MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28020,PR ANES FOR ARTHRT INTARS/TARSOMET RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A28022,PR ANES FOR ARTHRT MTRPHL W EXPL RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A28024,PR ANES FOR ARTHRT I-P W EXPL RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A28035,PR ANES FOR RELEASE TARSAL TUNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28039,PR ANES FOR EXCISN TMR FT/TOE SUBQ >=1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A28041,PR ANES FOR EXCISN TMR FT/TOE SUBF >=1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A28043,PR ANES FOR EXCISN TMR FT/TOE SUBQ <1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A28045,PR ANES FOR EXCISN TMR FT/TOE SUBF <1.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A28046,PR ANES FOR RADCL RSECT TUMOR SFT TISS FOOT< 3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A28047,PR ANES FOR EXCISN TMR FT/TOE >=3CM RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28050,PR ANES FOR BX FOOT JOING LINING,225.0,168.75,152.26,225.0,1324 CDM,PX-A28052,PR ANES FOR ARTHROTOMY W BX METATARSLPHL JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28054,PR ANES FOR ARTHROTOMY I-P JOINT W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28055,PR ANES FOR NEURECTOMY FOOT INTRINSIC MUSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A28060,PR ANES FOR FASCIECTOMY PLANTAR PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28062,PR ANES FOR FASCIECTOMY PLANTAR RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28070,PR ANES FOR RMVL FOOT JT LINING,225.0,168.75,152.26,225.0,1324 CDM,PX-A28072,PR ANES FOR SYNOVECTOMY MTP EACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A28080,PR ANES FOR EXCISN INTERDIGITAL NEUROMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A28086,PR ANES FOR SYNO FOOT TNDN SHEATH FLEXOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28088,PR ANES FOR SYNO FOOT TNDN SHEATH EXTENSOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28090,PR ANES FOR EXCISN LESN FT TNDN/SHTH/CPSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28092,PR ANES FOR EXCISN LESN TOE TNDN/SHTH/CPSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28100,PR ANES FOR EXCISN BN CYST/TMR TALUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28102,PR ANES FOR EXCISN TMR TALUS W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28103,PR ANES FOR EXCISN TMR TALUS W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28104,PR ANES FOR EXCISN BN CYST/TMR TARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28106,PR ANES FOR EXCISN BN CYST TRSL W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28107,PR ANES FOR EXCISN BN CYST TRSL W ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28108,PR ANES FOR EXCISN BN CYST/TMR PHAL FT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28110,PR ANES FOR OSTECTOMY EXCISN 5TH MTRSL HD,225.0,168.75,152.26,225.0,1324 CDM,PX-A28111,PR ANES FOR OSTECTOMY EXCISN 1ST MTRSL HD,225.0,168.75,152.26,225.0,1324 CDM,PX-A28112,PR ANES FOR OSTECTOMY EXCISN 2-4TH MTRSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28113,PR ANES FOR OSTECTOMY EXCISN 5TH MTRSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28114,PR ANES FOR OSTECTOMY EXCISN ALL MTRSL HDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28116,PR ANES FOR OSTECTOMY EXCISN TARSL COALITN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28118,PR ANES FOR OSTECTOMY CALCANEUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28119,PR ANES FOR OSTECTOMY CALCANEUS FOR SPUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28120,PR ANES FOR PRTL RMVL ANKLE/HEEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28122,PR ANES FOR RMVL BN FT NOT ANK/HEEL PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28124,PR ANES FOR PRTL RMVL PHALANX TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28126,PR ANES FOR PRTL RMVL PHAL BASE EA TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28130,PR ANES FOR TALECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28140,PR ANES FOR METATARSECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28150,PR ANES FOR RMVL TOE EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A28153,PR ANES FOR RSECT CONDYLE EA TOE DISTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28160,PR ANES FOR EXCISN I-P JT TOE PROX END,225.0,168.75,152.26,225.0,1324 CDM,PX-A28171,PR ANES FOR RSECT TMR RADICAL TARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28173,PR ANES FOR RAD RESEC METATARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28175,PR ANES FOR RSECT TMR PHLX/TOE RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28190,PR ANES FOR RMVL FB FT SUBCUTANEOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28192,PR ANES FOR RMVL FB FT DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28193,PR ANES FOR RMVL FB FOOT COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A28200,PR ANES FOR RPR TNDN FLEXOR FT WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28202,PR ANES FOR RPR TNDN FLX FT W GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A28208,PR ANES FOR RPR TNDN EXTENSOR FT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28210,PR ANES FOR RPR FOOT TENDON,225.0,168.75,152.26,225.0,1324 CDM,PX-A28220,PR ANES FOR TENOLYSIS FLEXOR FT SNGL TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28222,PR ANES FOR TENOLYSIS FLEXOR FT MULT TNDNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28225,PR ANES FOR TENOLYSIS EXTNSR FT SNGL TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28226,"PR ANES FOR RELEASE EXTEN FOOT TENDONS,MULTIPL",225.0,168.75,152.26,225.0,1324 CDM,PX-A28230,PR ANES FOR TENOTOMY TENDON FLEXOR FT OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28232,PR ANES FOR TENOTOMY TNDN FLEXOR TOE OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28234,PR ANES FOR TENOTOMY EXTNSR FT/TOE OPN EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A28238,PR ANES FOR RCNST POSTR TIB TNDN EXCIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28240,PR ANES FOR TENOTOMY ABDUCTOR HALLUC MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28250,PR ANES FOR DIVISION PLANTAR FASCIA & MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28260,PR ANES FOR CAPSULOTOMY MIDFOOT MEDIAL RLS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28261,PR ANES FOR CAPSULOTOMY MIDFOOT W TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28262,PR ANES FOR CAPSULOTOMY MIDFOOT EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28264,PR ANES FOR CAPSULOTOMY MIDTARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28270,PR ANES FOR CAPSULOTOMY METATARSOPHAL JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28272,PR ANES FOR CAPSULOTOMY I-P EACH JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28280,PR ANES FOR SYNDACTYLIZATION TOES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28285,PR ANES FOR CORRECTION HAMMERTOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28286,PR ANES FOR CORR HAMMERTOE W CLOSURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28288,PR ANES FOR OSTECTOMY MTRSL HD PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28289,PR ANES FOR CORR BUNION W CHEILECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28291,PR ANES FOR HALUX RIGDUS CORR W/IMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28292,PR ANES FOR CORR BUNION KELLER/MAYO TYPE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28295,PR ANES FOR CORR BUNION W SESAMDECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28296,PR ANES FOR CORR BUNION W MTRSL OSTEOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28297,PR ANES FOR CORR BUNION LAPIDUS TYPE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A28298,PR ANES FOR CORR BUNION PHALANX OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28299,PR ANES FOR CORR BUNION DOUBLE OSTEOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28300,PR ANES FOR OSTEOTOMY CALCANEUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28302,PR ANES FOR OSTEOTOMY TALUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28304,PR ANES FOR OSTEOTOMY TARSAL BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A28305,PR ANES FOR OSTEOTOMY TARSAL BN W AUTOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28306,PR ANES FOR OSTEOTOMY 1ST METATARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28307,PR ANES FOR OSTEOTOMY 1ST METATARSL W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28308,PR ANES FOR OSTEOTOMY METATARSAL NOT 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28309,PR ANES FOR OSTEOTOMY METATARSAL MULTIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28310,PR ANES FOR OSTEOTOMY PROX PHALANX 1ST TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28312,PR ANES FOR OSTEOTOMY OTHER PHALANGES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28313,PR ANES FOR RCNST DFRM TOE SOFT TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28315,PR ANES FOR SESAMOIDECTOMY 1ST TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28320,PR ANES FOR RPR TARSAL BNS NON/MALUNION,225.0,168.75,152.26,225.0,1324 CDM,PX-A28322,PR ANES FOR RPR METATAR BNS NON/MALUNION,225.0,168.75,152.26,225.0,1324 CDM,PX-A28340,PR ANES FOR RESECT ENLARGED TOE TISSUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28341,PR ANES FOR RCNST TOE MACRODACT BN RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28344,PR ANES FOR RCNST TOE POLYDACTYLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A28345,PR ANES FOR RCNST TOE SYNDACTYLY EA WEB,225.0,168.75,152.26,225.0,1324 CDM,PX-A28360,PR ANES FOR RECONSTRUCT CLEFT FOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28400,PR ANES FOR CLSD TX CALCANEAL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28405,PR ANES FOR CLSD TX CALCANEAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28406,PR ANES FOR PERC FIX CALCANEAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28415,PR ANES FOR OPN TX CALCANEAL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28420,PR ANES FOR OPN TX CALCANEAL FX W BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28430,PR ANES FOR CLSD TX TALUS FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28435,PR ANES FOR CLSD TX TALUS FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28436,PR ANES FOR PERC FIX TALUS FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28445,PR ANES FOR OPN TX TALUS FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28446,PR ANES FOR OPN OSTEOCHON AUTOGRAFT TALUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A28450,PR ANES FOR CLSD TX TARSAL BN WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28455,PR ANES FOR CLSD TX TARSAL BN W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28456,PR ANES FOR PERC SKEL FIX TARSAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28465,PR ANES FOR OPN TX TARSAL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28470,PR ANES FOR CLSD TX METATARSAL FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28475,PR ANES FOR CLSD TX METATARSAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28476,PR ANES FOR PERC FIX METATARSAL FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28485,PR ANES FOR OPN TX METATARSAL FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28490,PR ANES FOR CLSD TX GRT TOE FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28495,PR ANES FOR CLSD TX GRT TOE FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28496,PR ANES FOR PERC FIX GRT TOE FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28505,PR ANES FOR OPN TX PHALANX FX INCL INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28510,PR ANES FOR CLSD TX PHALANX FX WO MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28515,PR ANES FOR CLSD TX PHALANX FX W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28525,PR ANES FOR OPN TX PHALANX FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28530,PR ANES FOR CLSD TX SESAMOID FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28531,PR ANES FOR OPN TX SESAMD FX W/WO INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28540,PR ANES FOR CLSD TX TARSAL DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28545,PR ANES FOR CLSD TX TARSAL DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28546,PR ANES FOR PERC SKEL FIX TRSL BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28555,PR ANES FOR OPN TX TARSAL DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A28570,PR ANES FOR CLSD TX TALTAR DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28575,PR ANES FOR CLSD TX TALTAR DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28576,PR ANES FOR PERC FIX TALTAR DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28585,PR ANES FOR OPN TX TALTAR DISLOC W INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28600,PR ANES FOR CLSD TX TARSMET DISLOC WO ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28605,PR ANES FOR CLSD TX TARSMET DISLOC W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A28606,PR ANES FOR FIX TARSMET DISLOC W MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28615,PR ANES FOR OPN TX TARSMET DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A28630,PR ANES FOR CLSD TX MTRPHL DISLOC WO ANEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28635,PR ANES FOR CLSD TX MTRPHL DISLOC W ANEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28636,PR ANES FOR PERC FIX MTRPHL DISLOC MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28645,PR ANES FOR OPN TX MTRPHL JOINT DISLOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A28660,PR ANES FOR CLSD TX I-P DISLOC WO ANEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28665,PR ANES FOR CLSD TX I-P DISLOC W ANEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28666,PR ANES FOR PERC SKL FIX I-P DISLOC MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A28675,PR ANES FOR OPN TX DISLOC I-P W INTRNL FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A28705,PR ANES FOR ARTHRODESIS PANTALAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28715,PR ANES FOR ARTHRODESIS TRIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28725,PR ANES FOR ARTHRODESIS SUBTALAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28730,PR ANES FOR ARTHRDSIS MIDT/TARSMET MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28735,PR ANES FOR ARTHRODESIS MIDT/TARSMET W OST,225.0,168.75,152.26,225.0,1324 CDM,PX-A28737,PR ANES FOR ARTHRODESIS MIDT W TNDN W LGTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A28740,PR ANES FOR ARTHRODESIS MIDT/TARSMET SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28750,PR ANES FOR ARTHRODESIS GREAT TOE MTRPHL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28755,PR ANES FOR ARTHRODESIS GREAT TOE I-P,225.0,168.75,152.26,225.0,1324 CDM,PX-A28760,PR ANES FOR ARTHRODESIS W EXTNSR TRNSFR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28800,PR ANES FOR AMP FOOT MIDTARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28805,PR ANES FOR AMP FOOT TRANSMETATARSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A28810,PR ANES FOR AMP METATARSAL W TOE SINGLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A28820,PR ANES FOR AMP TOE MTP JOINT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28825,PR ANES FOR AMP TOE INTERPHALANGEAL JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A28890,PR ANES FOR EXTRCORPL SHOCK WAVE PLANTAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A28899,PR ANES FOR UNLISTED PROCEDURE FOOT/TOES,225.0,168.75,152.26,225.0,1324 CDM,PX-A29000,"PR ANES FOR APPLY BODY CAST,HALO",225.0,168.75,152.26,225.0,1324 CDM,PX-A29010,PR ANES FOR APP CAST RISSER JACKET LOCALIZ,225.0,168.75,152.26,225.0,1324 CDM,PX-A29015,"PR ANES FOR APPLY BODY CAST,RISSER+HEAD",225.0,168.75,152.26,225.0,1324 CDM,PX-A29035,PR ANES FOR APP CAST BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29040,"PR ANES FOR APPLY BODY CAST,SHLDR-HIP+HEAD",225.0,168.75,152.26,225.0,1324 CDM,PX-A29044,PR ANES FOR APP CAST SHLDR HIPS W 1 THIGH,225.0,168.75,152.26,225.0,1324 CDM,PX-A29046,PR ANES FOR APP CAST SHLDR HIPS W 2 THIGH,225.0,168.75,152.26,225.0,1324 CDM,PX-A29049,"PR ANES FOR APPLY CAST,FIGURE-OF-EIGHT",225.0,168.75,152.26,225.0,1324 CDM,PX-A29055,PR ANES FOR APP CAST SHOULDER SPICA,225.0,168.75,152.26,225.0,1324 CDM,PX-A29058,"PR ANES FOR APPLY SHOULDER CAST,PLASTR VELPEAU",225.0,168.75,152.26,225.0,1324 CDM,PX-A29065,PR ANES FOR APP CAST LONG ARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A29075,PR ANES FOR APP CAST SHORT ELBOW-FGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29085,PR ANES FOR APP CAST SHORT ARM GAUNTLET,225.0,168.75,152.26,225.0,1324 CDM,PX-A29086,PR ANES FOR APP CAST FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A29105,PR ANES FOR APP SPLINT LONG ARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A29125,PR ANES FOR APP SPLINT SHORT ARM STATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A29126,PR ANES FOR APP SPLINT SHORT ARM DYNAMIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A29130,PR ANES FOR APP SPLINT FINGER STATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A29131,PR ANES FOR APP SPLINT FGR DYNAMIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A29200,PR ANES FOR STRAPPING CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29240,PR ANES FOR STRAPPING SHOULDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A29260,PR ANES FOR STRAPPING ELBOW WRIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29280,PR ANES FOR STRAPPING HAND OR FINGER,225.0,168.75,152.26,225.0,1324 CDM,PX-A29305,PR ANES FOR APP CAST HIP SPICA 1 LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29325,PR ANES FOR APP CAST HIP SPICA 1-1.5/BOTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A29345,PR ANES FOR APP CAST LONG LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29355,PR ANES FOR APP CAST LONG LEG WALK,225.0,168.75,152.26,225.0,1324 CDM,PX-A29358,PR ANES FOR APP CAST LONG LEG BRACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29365,PR ANES FOR APP CAST CYLINDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A29405,PR ANES FOR APP CAST SHORT LEG KNEE-TOE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29425,PR ANES FOR APP CAST SHORT LEG WALK,225.0,168.75,152.26,225.0,1324 CDM,PX-A29435,PR ANES FOR APP PATELLAR TNDN BEAR CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29440,PR ANES FOR ADD WALKER PREV APP CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29445,PR ANES FOR APP CAST LEG RIGID TOT CONTACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29450,PR ANES FOR APP CAST CLUBFOOT W MOLD/MANIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A29505,PR ANES FOR APP SPLINT LONG LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29515,PR ANES FOR APP SPLINT SHORT LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29520,PR ANES FOR STRAPPING HIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A29530,PR ANES FOR STRAPPING KNEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29540,PR ANES FOR STRAPPING ANKLE/FOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29550,PR ANES FOR STRAPPING TOES,225.0,168.75,152.26,225.0,1324 CDM,PX-A29580,PR ANES FOR STRAPPING UNNA BOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29581,PR ANES FOR APP MULTILYR COMPRSN SYS LWR LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29584,PR ANES FOR APP MULTILYR COMPRSN AM/HD/FIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29700,PR ANES FOR RMVL/BIVALV CAST BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29705,PR ANES FOR RMVL/BIVALV CAST FULL ARM/LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29710,PR ANES FOR RMVL/BIVAL SHLDR/HIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A29720,PR ANES FOR RPR SPICA BODY CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29730,PR ANES FOR WINDOWING OF CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29740,PR ANES FOR WEDGING CAST EXCEPT CLUBFOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29750,PR ANES FOR WEDGING CLUBFOOT CAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A29799,"PR ANES FOR UNLISTED PROC, CASTING OR STRAPPING",225.0,168.75,152.26,225.0,1324 CDM,PX-A29800,PR ANES FOR ATHRSCPY TMJ DX W/WO SYNOVL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29804,PR ANES FOR ARTHROSCOPY TMJ SURGICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29805,PR ANES FOR ARTHROSCOPY SHLDR DX W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29806,PR ANES FOR ARTHSC SHLDR CAPSULORRHAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29807,PR ANES FOR ARTHSC SHLDR RPR SLAP LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29819,PR ANES FOR ARTHSC SHLDR W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A29820,PR ANES FOR ARTHSC SHLDR SYNO PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29821,PR ANES FOR ARTHSC SHLDR SYNO COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29822,PR ANES FOR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,225.0,168.75,152.26,225.0,1324 CDM,PX-A29823,PR ANES FOR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,225.0,168.75,152.26,225.0,1324 CDM,PX-A29824,PR ANES FOR ARTHSC SHLDR DISTAL CLAVTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29825,PR ANES FOR ARTHSC SHLDR LYSIS ADHESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A29826,PR ANES FOR ARTHSC SHLDR DCMPRN SUBACR SPC,225.0,168.75,152.26,225.0,1324 CDM,PX-A29827,PR ANES FOR ARTHSC SHLDR W ROTATOR CUFF RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29828,PR ANES FOR ARTHSC SHLDR BICEPS TENODESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A29830,PR ANES FOR ARTHSC ELBOW DX W/WO SYNOV BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29834,PR ANES FOR ARTHSC ELBOW W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A29835,PR ANES FOR ARTHSC ELBOW SYNOVECTOMY PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29836,PR ANES FOR ARTHSC ELBOW SYNOVECTOMY COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29837,PR ANES FOR ARTHSC ELBOW DBRD LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A29838,PR ANES FOR ARTHSC ELBOW DBRD EXTEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29840,PR ANES FOR ARTHSC WRIST DX W/WO SYNOV BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29843,PR ANES FOR ARTHSC WRST INFECT LAVAGE&DRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29844,PR ANES FOR ARTHSC WRST SYNOVECTOMY PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29845,PR ANES FOR ARTHSC WRST SYNOVECTOMY COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29846,PR ANES FOR ARTHSC WRIST EXCISN/REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29847,PR ANES FOR ARTHSC WRST INT FIX FX/INSTBLTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29848,PR ANES FOR ENDO WRST RLS TRNSV CRPL LGMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29850,PR ANES FOR KNEE ARTHROSCOPY/SURGERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29851,PR ANES FOR ARTHSC SPINE&/ KNEE FX W FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29855,PR ANES FOR ARTHSC TIB FX PROX UNICNDYLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29856,PR ANES FOR ARTHSC TIB FX PROX BICONDYLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29860,PR ANES FOR ARTHSC HIP DX W/WO SYNOVIAL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29861,PR ANES FOR ARTHSC HIP W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A29862,PR ANES FOR ARTHSC HIP W DEBRIDEMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29863,PR ANES FOR ARTHSC HIP W SYNOVECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29866,PR ANES FOR ARTHSC KNE OSTEOCHON AUTOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29867,PR ANES FOR ARTHSC KNE OSTEOCHON ALLOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29868,PR ANES FOR ARTHSC KNE MNSC TRANSPL MED/LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29870,PR ANES FOR ARTHSC KNEE DX W/WO SYNOV BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29871,PR ANES FOR ARTHSC KNEE LAVAGE&DRAINAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29873,PR ANES FOR ARTHSC KNEE W LAT RELEASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29874,PR ANES FOR ARTHSC KNEE W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A29875,PR ANES FOR ARTHSC KNEE SYNOVECTOMY LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A29876,PR ANES FOR ARTHSC KNEE SYNOVECTOMY MJR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29877,PR ANES FOR ARTHSC KNEE DBRD/SHAVE CRTLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A29879,PR ANES FOR ARTHSC KNEE ABRASION ARTHRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A29880,PR ANES FOR ARTHSC KNE W MNSCECTOMY MED&LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29881,PR ANES FOR ARTHSC KNE W MNSCECTOMY MED/LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29882,PR ANES FOR ARTHSC KNE W MNSC RPR MED/LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29883,PR ANES FOR ARTHSC KNE W MNSC RPR MED&LAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29884,PR ANES FOR ARTHSC KNEE W LYSIS ADHESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29885,PR ANES FOR ARTHSC KNEE W DRILL GRAFTING,225.0,168.75,152.26,225.0,1324 CDM,PX-A29886,PR ANES FOR ARTHSC KNEE W DRILL LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29887,PR ANES FOR ARTHSC KNEE W DRILL INT FIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29888,PR ANES FOR ARTHSC AID ACL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29889,PR ANES FOR ARTHSC AID PCL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29891,PR ANES FOR ARTHSC ANKLE EXCISN DEFECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29892,PR ANES FOR ARTHSC REPAIR ANKLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A29893,PR ANES FOR ENDOSCOPIC PLANTAR FASCIOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29894,PR ANES FOR ARTHSC ANKLE W RVML FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A29895,PR ANES FOR ARTHSC ANKLE SYNO PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29897,PR ANES FOR ARTHSC ANKLE DRBD LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A29898,PR ANES FOR ARTHSC ANKLE DRBD EXTEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A29899,PR ANES FOR ARTHSC ANKLE W ARTHRODESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A29900,PR ANES FOR ARTHSC MCP JOINT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A29901,PR ANES FOR ARTHSC MCP W DEBRID,225.0,168.75,152.26,225.0,1324 CDM,PX-A29902,PR ANES FOR ARTHSC MCP W REDUC COLAT LGMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A29904,PR ANES FOR SUBTALAR ARTHRO W FB RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A29905,PR ANES FOR ARTHSC SUBTALAR JT W SYNO,225.0,168.75,152.26,225.0,1324 CDM,PX-A29906,PR ANES FOR ARTHSC SUBTALAR JT W DBRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A29907,PR ANES FOR ARTHSC SUBTALAR JT ARTHRODESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A29914,PR ANES FOR ARTHRSC HIP W FEMOROPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29915,PR ANES FOR ARTHRSC HIP W ACETABULOPLSTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A29916,PR ANES FOR ARTHRSC HIP W LABRAL REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A29999,PR ANES FOR UNLISTED PROCEDURE ARTHROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30000,PR ANES FOR DRAIN ABSC/HEM NASAL INT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A30020,PR ANES FOR DRAIN ABSC/HEM NASAL SEPTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A30100,PR ANES FOR BIOPSY INTRANASAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30110,PR ANES FOR EXCISION NASAL POLYP SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A30115,PR ANES FOR EXCISION NASAL POLYP EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A30117,PR ANES FOR EXCISN/DEST INTNASAL LESN INT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A30118,PR ANES FOR EXCISN/DEST INTNASAL LESN EXT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A30120,PR ANES FOR EXC/SURG PLN SKN/NOSE RHINOPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30124,PR ANES FOR EXCISN CYST NOSE SMPL SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A30125,PR ANES FOR EXCISN CYST NOSE CMPLX BN/CRTLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A30130,PR ANES FOR EXCISN TURBINATE PRTL/COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30140,PR ANES FOR SUBMUC RSECT TURB PRTL/COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30150,PR ANES FOR RHINECTOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30160,PR ANES FOR RHINECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30200,PR ANES FOR INJ TURBINATE THERAPEUTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A30210,PR ANES FOR NASAL SINUS THERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30220,PR ANES FOR INS NASAL/SEPTAL PROSTH BUTTON,225.0,168.75,152.26,225.0,1324 CDM,PX-A30300,PR ANES FOR RMVL FB INTRANASAL OFFICE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A30310,PR ANES FOR RMVL FB INTRANASAL GEN ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A30320,PR ANES FOR RMVL FB INTRANASAL LAT RHINTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30400,PR ANES FOR RHINP PRIM/LAT CRTLG NASALTIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A30410,PR ANES FOR RHINP PRIM COMPLT EXTRNL PARTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A30420,PR ANES FOR RHINP PRIM W MJR SEPTAL REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A30430,PR ANES FOR RHINP SECNDRY MINOR REVISION,225.0,168.75,152.26,225.0,1324 CDM,PX-A30435,PR ANES FOR RHINP SECNDRY INT REVISION,225.0,168.75,152.26,225.0,1324 CDM,PX-A30450,PR ANES FOR RHINP SECNDRY MAJOR REVISION,225.0,168.75,152.26,225.0,1324 CDM,PX-A30460,PR ANES FOR RHINOPLASTY TIP ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30462,PR ANES FOR RHINOPLASTY TIP/SEPT/OSTEOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30465,PR ANES FOR RPR NASAL VESTIBULAR STENOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A30468,PR ANES FOR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30469,PR ANES FOR RPR NSL VLV COLLAPSE W/RMDLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A30520,PR ANES FOR SEPTO/SUBM RESEC W/WO CART GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30540,PR ANES FOR RPR CHOANAL ATRESIA INTRANASAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30545,"PR ANES FOR REPAIR CHOANAL ATRESIA,TRANSPALATIN",225.0,168.75,152.26,225.0,1324 CDM,PX-A30560,PR ANES FOR LYSIS INTRANASAL SYNECHIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A30580,PR ANES FOR REPAIR FISTULA OROMAXILLARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30600,PR ANES FOR REPAIR FISTULA ORONASAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30620,PR ANES FOR SEPTAL INTRANASAL DERMAPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A30630,PR ANES FOR RPR NASAL SEPTAL PERFORATIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A30801,PR ANES FOR ABLT TURBINATES UNI/BILAT SUPFC,225.0,168.75,152.26,225.0,1324 CDM,PX-A30802,PR ANES FOR ABLT TURB UNI/BILAT SUPFC INTMURL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30901,PR ANES FOR CTRL NASAL HEMR ANTERIOR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30903,PR ANES FOR CTRL NASAL HEMR ANTERIOR CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A30905,PR ANES FOR CTRL NSL HEMR PST PCK/CAUT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A30906,PR ANES FOR CTRL NSL HEMR PCK&/CAU SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A30915,PR ANES FOR LIGATION ARTERIES ETHMOIDAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30920,PR ANES FOR LIG ARTY INTRN MXLRY TRANSNTRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A30930,PR ANES FOR FX NASAL INFR TURB THERAPEUTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A30999,PR ANES FOR UNLISTED PROCEDURE NOSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31000,PR ANES FOR LAVAGE CANNULATION MXLRY SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31002,PR ANES FOR IRRIGATION SPHENOID SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31020,PR ANES FOR SINUSOTOMY MXLRY ANTR INTNASAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31030,PR ANES FOR SINUSOTOMY MXLRY WO PLYP RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31032,PR ANES FOR SINUSOTOMY MXLRY W PLYP RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31040,PR ANES FOR PTERYGOMXLRY FOSSA SURG ANY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31050,PR ANES FOR SINUSOTOMY SPHENOID W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31051,PR ANES FOR SINUSOT SPHEN W MUCS RMVL PLYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A31070,PR ANES FOR SINUSOT FRONTAL EXTERNAL SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31075,PR ANES FOR SINUSOT FRONTAL TRANSORBT UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31080,PR ANES FOR SINUSOT FRNT OBLIT WO FLAP BROW,225.0,168.75,152.26,225.0,1324 CDM,PX-A31081,PR ANES FOR SINUSOT FRNT OBLIT WO FLAP CRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31084,PR ANES FOR SINUSOT FRNT OBLIT W FLAP BROW,225.0,168.75,152.26,225.0,1324 CDM,PX-A31085,PR ANES FOR SINUSOT FRNT OBLIT W FLAP CRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31086,PR ANES FOR SINUSOT FRNT NONOBLIT W/FLAP BROW INCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31087,PR ANES FOR SINUSOT FRNT NONOBL W FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A31090,PR ANES FOR SINUSOT UNILAT >=3 PARANSL SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31200,PR ANES FOR ETHMOIDECTOMY INTRANASAL ANTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31201,PR ANES FOR ETHMOIDECTOMY INTRANASAL TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31205,PR ANES FOR ETHMOIDECTOMY EXTRANASAL TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31225,PR ANES FOR MAXILLECTOMY WO ORBITAL EXNTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31230,PR ANES FOR MAXILLECTOMY W ORBITAL EXNTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31231,PR ANES FOR NASAL ENDOSCOPY DX UNI/BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31233,PR ANES FOR NSL/SINS NDSC DX MAX SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31235,PR ANES FOR NSL/SINS NDSC DX SPHN SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31237,PR ANES FOR ENDO/POLYPECT NOSE/SINUS SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A31238,PR ANES FOR ENDO/PLYPECT NOSE W CNTRL HEMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31239,PR ANES FOR ENDO NSAL DACRYOCSTORHINOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31240,PR ANES FOR ENDO NSL/SNS W CONCH RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31241,PR ANES FOR NSL/SINS NDSC W/ARTERY LIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A31242,PR ANES FOR NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A31243,PR ANES FOR NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A31253,PR ANES FOR NSL/SINS NDSC TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31254,PR ANES FOR ENDO NSL/SNS W ETHMDCTOMY PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31255,PR ANES FOR ENDO NSL/SNS W ETHMDCTOMY TOTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31256,PR ANES FOR ENDO NSL/SNS W MXLRY ANTROSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31257,PR ANES FOR NSL/SINS NDSC TOT W/SPHENDT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31259,PR ANES FOR NSL/SINS NDSC SPHN TISS RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31267,PR ANES FOR ENDO NSL MAX ANTROST W RMV TIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31276,PR ANES FOR ENDO NSL W FRNTL SINUS EXPLOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31287,PR ANES FOR ENDO NSL/ENDO W SPHENOIDOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31288,PR ANES FOR ENDO NSL SPHENDTMY W TISS RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31290,PR ANES FOR ENDO NSL RPR CSF LEAK ETHMOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A31291,PR ANES FOR ENDO NSL RPR CSF LEAK SPHEMOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A31292,PR ANES FOR NSL/SINS NDSC MED/INF DCMPRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31293,PR ANES FOR NASAL/SINUS ENDSCOPY SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A31294,PR ANES FOR NSL/SINS NDSC SURG ON DCMPRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31295,PR ANES FOR NSL/SINS NDSC SURG MAX SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31296,PR ANES FOR ENDO NSL W DIL FRNTL SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31297,PR ANES FOR NSL/SINS NDSC SURG SPHN SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31298,PR ANES FOR SNS/SINS NDSC SRUG FRONT & SPHN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31299,PR ANES FOR UNLISTED PROC ACCESSORY SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31300,PR ANES FOR LARYNGOT W RMVL TMR CORDECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31360,PR ANES FOR LARYNGECT TOT WO RAD NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31365,PR ANES FOR LARYNGECT TOT W RAD NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31367,PR ANES FOR LARYNGECT SUBTOT WO NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31368,PR ANES FOR LARYNGECT SUBTOT W NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31370,PR ANES FOR LARYNGECT PRTL HORIZONTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31375,PR ANES FOR PRTL REMOVAL OF LARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31380,PR ANES FOR LARYNGECT PRTL ANTEROVERTICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31382,PR ANES FOR LARYNGECT PRTL ANTERO LAT VERT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31390,PR ANES FOR PHARYNGOLARYNGECTOMY WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A31395,PR ANES FOR PHARYNGOLARYNGECTOMY W RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A31400,PR ANES FOR ARYTENOIDECTOMY/ARYTENOIDOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31420,PR ANES FOR EPIGLOTTIDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31500,PR ANES FOR INTUB W ETT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31502,PR ANES FOR TRACHEOTOMY TUBE CHANGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31505,PR ANES FOR LARYNG INDIRECT DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31510,PR ANES FOR LARYNG INDIRECT W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31511,PR ANES FOR LARYNG INDIRECT W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A31512,"PR ANES FOR LARYNGOSCOPY,INDIRECT+REMV LESN",225.0,168.75,152.26,225.0,1324 CDM,PX-A31513,PR ANES FOR LARYNG IND W VOC CORD INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A31515,PR ANES FOR LARYNG W/WO TRACHEO ASP,225.0,168.75,152.26,225.0,1324 CDM,PX-A31520,PR ANES FOR LARYNG W/WO TRACHEO DX NEWBRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31525,PR ANES FOR LARYNG W/WO TRACHEO DX NOT NB,225.0,168.75,152.26,225.0,1324 CDM,PX-A31526,PR ANES FOR LARYNG W/WO TRACHEO W MIC/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31527,PR ANES FOR LARYNG W/WO TRACHEO OBTURATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31528,PR ANES FOR LARYNG W/WO TRACHEO DIL INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31529,PR ANES FOR LARYNG W/WO TRACHEO DIL SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A31530,PR ANES FOR LARYNG DIRECT W FB RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31531,PR ANES FOR LARYNG FB RMVL MICRO/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31535,PR ANES FOR LARYNG DIRECT OP W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31536,PR ANES FOR LARYNG W BX MICRO/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31540,PR ANES FOR LARYNG DIRECT W EXCISN TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31541,PR ANES FOR LARYNG EXCISN TMR W MICRO/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31545,PR ANES FOR LARYNG LESN RMVL VOCAL CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A31546,PR ANES FOR LARYNG LESN RMVL VC W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31551,PR ANES FOR LARYNGPLSTY W GRFT WO STNT <12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31552,PR ANES FOR LARYNGPLSTY W GRFT WO STEN PLC >12 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31553,PR ANES FOR LARYNGPLSTY W GRFT W STEN PLC <12 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31554,PR ANES FOR LARYNGPLSTY W GRFT W STEN PLC >12 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31560,PR ANES FOR LARYNGOSCOPY W/ARYTENOIDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31561,PR ANES FOR LARYNG ARYTENOIDECTMY MIC/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31570,PR ANES FOR LARYNG INJ VOCAL CORD THER,225.0,168.75,152.26,225.0,1324 CDM,PX-A31571,PR ANES FOR LARYNG INJ VOCAL CORD MIC/TEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31572,PR ANES FOR LARYNG W LASER DEST LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31573,PR ANES FOR LARYNG FLEX W THER INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A31574,PR ANES FOR LARYNG FLEX W INJ AUGMENTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A31575,PR ANES FOR LARYNG FLEX FIBEROPTIC DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31576,PR ANES FOR LARYNG FLEX FIBEROPTIC W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31577,PR ANES FOR LARYNG FLEX FBROPTIC RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A31578,PR ANES FOR LARYNG FLEX FBROPTIC RMVL LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A31579,PR ANES FOR LARYNG FBROPTIC W STROBOSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31580,PR ANES FOR LARYNGPLSTY 2 STG W KEEL INSERT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31584,PR ANES FOR LARYNGOPLASTY W OPEN REDUC FX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31587,PR ANES FOR LARYNGOPLASTY CRICOID SPLIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31590,PR ANES FOR LARYNX REINNERVATION NEUROMUSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31591,PR ANES FOR LARYNGOPLASTY MEDIALIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A31592,PR ANES FOR CRICOTRACHEAL RESECTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A31599,PR ANES FOR UNLISTED PROCEDURE LARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31600,PR ANES FOR TRACHEOSTOMY PLANNED SEP PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31601,PR ANES FOR TRACHEOSTOMY PLANNED < 2YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31603,PR ANES FOR TRACHEOSTOMY EMR TRANSTRACHEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31605,PR ANES FOR TRACHEOSTOMY EMR CRICOTHYROID,225.0,168.75,152.26,225.0,1324 CDM,PX-A31610,PR ANES FOR TRACHEOST FENESTRATION W FLAPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31611,PR ANES FOR CNSTRCT TRACHEOESOPHGL FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31612,PR ANES FOR PUNCTURE TRACHEAL ASP/INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A31613,PR ANES FOR TRACHSTOMA REV WO FLAP ROTAT SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31614,PR ANES FOR TRACHSTOMA REV W FLAP ROTAT CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31615,PR ANES FOR TRACHEOBRONCH EST TRACH INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31622,PR ANES FOR BRONCH DX W CELL WASH FLUOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31623,PR ANES FOR BRONCHOSCOPY DX W BRUSHING,225.0,168.75,152.26,225.0,1324 CDM,PX-A31624,PR ANES FOR BRONCHOSCOPY W ALVEOLAR LAVAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31625,PR ANES FOR BRONCHOSCOPY W BX >=1 SITE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31626,PR ANES FOR BRONCH W PLCMT FIDUCIAL MARKER,225.0,168.75,152.26,225.0,1324 CDM,PX-A31627,PR ANES FOR BRONCH W COMP ASST IMG NAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A31628,PR ANES FOR BRONCH TRANSBRONCH LUNG BX SNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A31629,PR ANES FOR BRONCH TRANSBRONCH NDL ASP BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A31630,PR ANES FOR BRONCH W TRACHEAL/BRONCH DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31631,PR ANES FOR BRONCH W TRACH STENT PLCMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31632,PR ANES FOR BRONCH TRANSBRONCH LUNG BX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A31633,PR ANES FOR BRONCH TRANSBRONCH NDL ASP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A31634,PR ANES FOR BRONCHOSCOPY BALLOON OCCLUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A31635,PR ANES FOR BRONCHOSCOPY W REMOVAL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A31636,PR ANES FOR BRONCH W PLC BRNCL STENT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31637,PR ANES FOR BRONCH W PLC BRNCL STENT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A31638,PR ANES FOR BRONCH REV TRACH/BRNCL STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31640,PR ANES FOR BRONCHOSCOPY W EXCISN TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31641,PR ANES FOR BRONCH DEST TMR RLF STENOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A31643,PR ANES FOR BRONCH PLC CATH RADIOELMNT APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A31645,PR ANES FOR BRONCHOSCOPY W ASP THER INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31646,PR ANES FOR BRONCHOSCOPY W ASP THER SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A31647,PR ANES FOR BRONCH W BALN OCC INIT LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31648,PR ANES FOR BRONCH RMVL BRONCHL VALVE INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A31649,PR ANES FOR BRONCH RMVL BRONCHL VALVE ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A31651,PR ANES FOR BRONCH OCCLUS VALVE ADD LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31652,PR ANES FOR BRONCH W EBUS 1-2 NODE SAMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31653,PR ANES FOR BRONCH W EBUS >=3 NODE SAMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31654,PR ANES FOR BRONCH W EBUS DX/TX PERIPH LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A31660,PR ANES FOR BRONCH THERMOPLASTY ONE LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31661,PR ANES FOR BRONCH THERMOPLASTY >=2 LOBES,225.0,168.75,152.26,225.0,1324 CDM,PX-A31717,PR ANES FOR CATH W BRONCHIAL BRUSH BIOPSY,225.0,168.75,152.26,225.0,1324 CDM,PX-A31720,"PR ANES FOR CATHETER ASPIRATN,NASOTRACH",225.0,168.75,152.26,225.0,1324 CDM,PX-A31725,PR ANES FOR CATH ASP TRACHEOBRONCH FIBRSCP,225.0,168.75,152.26,225.0,1324 CDM,PX-A31730,PR ANES FOR INTRO WINDPIPE WIRE/TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A31750,PR ANES FOR TRACHEOPLASTY CERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31755,PR ANES FOR TRACHEOPLST TRACHEOPHARYNGL EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A31760,PR ANES FOR TRACHEOPLASTY INTRATHORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31766,PR ANES FOR CARINAL RECONSTRUCTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A31770,PR ANES FOR BRONCHOPLASTY GRAFT REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31775,PR ANES FOR BRONCHOPLASTY EXC STENOS&ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A31780,PR ANES FOR EXCISN TRACHEA STENOSIS&ANASTO,225.0,168.75,152.26,225.0,1324 CDM,PX-A31781,PR ANES FOR EXCISN TRACH STEN&ANAST CERVICTHOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31785,PR ANES FOR EXCISN TRACHEA TMR CERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31786,PR ANES FOR EXCISN TRACHEA TMR THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31800,PR ANES FOR SUTURE TRACHEAL WOUND CERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A31805,PR ANES FOR SUTR TRACH WND INTRATHORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A31820,PR ANES FOR SURG CLSR TRACH/FSTLA WO RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31825,PR ANES FOR SURG CLSR TRACH/FSTLA W RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31830,PR ANES FOR REVISION TRACHEOSTOMY SCAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A31899,PR ANES FOR UNLISTED PROC TRACHEA BRONCHI,225.0,168.75,152.26,225.0,1324 CDM,PX-A32035,PR ANES FOR THORACOSTOMY EMPYEMA RIB RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32036,PR ANES FOR THORACOSTOMY DRAINAGE EMPYEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A32096,PR ANES FOR THORCTMY BX LUNG INFILTRATE UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32097,PR ANES FOR THORCTMY BX LNG NODL/MASS UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32098,PR ANES FOR THORCTMY W BIOPSY OF PLEURA,225.0,168.75,152.26,225.0,1324 CDM,PX-A32100,PR ANES FOR THORCTMY WITH EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A32110,PR ANES FOR THORCTMY CTRL HEMRG/RPR TEAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A32120,PR ANES FOR THORCTMY POSTOP COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32124,PR ANES FOR THORCTMY OPN INTPLR PNEUMONOLYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32140,PR ANES FOR THORCTMY W REMOVAL OF CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A32141,PR ANES FOR THORCTMY W RESECTION BULLAE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32150,PR ANES FOR THORCTMY W RMVL INTRAPLEURAL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A32151,PR ANES FOR THORCTMY W RMVL INTRAPULM FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A32160,PR ANES FOR THORCTMY W CARDIAC MASSAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32200,PR ANES FOR PNEUMONOSTOMY W OPN DRN ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32215,PR ANES FOR PLEURAL SCARIFICATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A32220,PR ANES FOR DECORTICATION PULMONARY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32225,PR ANES FOR DECORTICATION PULMONARY PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32310,PR ANES FOR PLEURECTOMY PARIETAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32320,PR ANES FOR DECORT & PARIETAL PLEURECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32400,PR ANES FOR BIOPSY PLEURA PERCUTANEOUS NDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32408,PR ANES FOR BX LUNG/MEDIASTINUM PERC NDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32440,PR ANES FOR REMOVAL OF LUNG PNEUMONECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32442,PR ANES FOR RMVL LUNG PNEUMNCTMY RESCT TRACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A32445,PR ANES FOR RMVL LUNG PNEUMNCTMY EXTR PLRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32480,PR ANES FOR RMVL LUNG NOT PNEUMONEC 1 LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32482,PR ANES FOR RMVL LUNG NOT PNEUMONEC 2 LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32484,PR ANES FOR RMVL LUNG SNGL SEGMENTECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32486,PR ANES FOR RMVL LUNG SLEEVE LOBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32488,PR ANES FOR RMVL LUNG COMPLETION PNEUMONEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A32491,PR ANES FOR REMOVAL LUNG VOLUME REDUCTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A32501,PR ANES FOR RESECT & RPR BRONCHUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32503,PR ANES FOR RSECT LUNG TMR WO CW RCNSTRCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32504,PR ANES FOR RSECT LUNG TUM W CW RCNSTRCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32505,PR ANES FOR THORACOTOMY W WEDGE RSECT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32506,PR ANES FOR THORACOTOMY W WEDGE RSECT ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32507,PR ANES FOR THORACOTOMY RSECT DX WEDGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32540,PR ANES FOR EXTRAPLEURAL REMV EMPYEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A32550,PR ANES FOR INSERTION/CATH PLEURAL CAVITY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32551,PR ANES FOR INS TUBE THORACOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32552,PR ANES FOR REMOVAL LUNG/PLEURAL CATHETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A32553,PR ANES FOR INS MARK THOR FOR RT PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A32554,PR ANES FOR THORACENTESIS PLEURA WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A32555,PR ANES FOR THORACENTESIS PLEURA W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A32556,PR ANES FOR PLEURA DRAIN PERC WO IMG GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A32557,PR ANES FOR PLEURA DRAIN PERC W IMG GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A32560,PR ANES FOR INSTILLATION AGT PLEURODESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32561,PR ANES FOR INSTILLATION FIBRINOLYSIS INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32562,PR ANES FOR INSTILLATION FIBRINOLYSIS SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A32601,PR ANES FOR THORSC DX LUNG/MED/PLRL WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A32604,PR ANES FOR THORSC DX PERICARDIAL SAC W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A32606,PR ANES FOR THORSC DX MEDIASTINAL W BIOPSY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32607,PR ANES FOR THORSC DX BX LNG INFILTRAT UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32608,PR ANES FOR THORSC W DX BX LUNG NODULE UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32609,PR ANES FOR THORACOSCOPY W BX OF PLEURA,225.0,168.75,152.26,225.0,1324 CDM,PX-A32650,PR ANES FOR THORACOSCOPY W PLEURODESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32651,PR ANES FOR THORSC W PRTL PULM DECORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32652,PR ANES FOR THORSC TOTAL PULM DECORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32653,PR ANES FOR THORSC REMOVAL INTRAPLEURAL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A32654,PR ANES FOR THORSC HEMR CTRL TRAUMATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A32655,PR ANES FOR THORSC RSECT BULLAE W/WO PLRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32656,PR ANES FOR THORACOSC PARIETAL PLEURECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32658,PR ANES FOR THORSC RMVL FB PERICARDIAL SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A32659,PR ANES FOR THORSC PRTL RSECT PERICARDIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32661,PR ANES FOR THORSC EXCISN PERICARDIAL CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A32662,PR ANES FOR THORSC EXCISN MEDIASTINAL CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A32663,PR ANES FOR THORSC W LOBECTOMY SINGLE LOBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32664,PR ANES FOR THORSC THORACIC SYMPATHECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32665,PR ANES FOR THORSC W ESOPHAGOMYOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32666,PR ANES FOR THORSC THER WEDGE RSECT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32667,PR ANES FOR THORSC THER WEDGE RSECT ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32668,PR ANES FOR THORACOSCOPY DX WEDGE RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32669,PR ANES FOR THORACOSCOPY W SEGMENTECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32670,PR ANES FOR THORACOSCOPY W BILOBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32671,PR ANES FOR THORACOSCOPY W PNEUMONECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32672,PR ANES FOR THORSC RSECT EMPHYSEMA LUNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A32673,PR ANES FOR THORSC RSECT THYMUS UNI/BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32674,PR ANES FOR THORSC MEDI-REG LYMPHDENECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A32701,PR ANES FOR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32800,PR ANES FOR RPR LUNG HERNIA THRU CHEST WAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32810,PR ANES FOR CLSR CHEST WALL W OPN DRAINAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A32815,PR ANES FOR OPEN CLOSURE BRONCHIAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A32820,PR ANES FOR RECONSTRUCT INJURED CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A32850,PR ANES FOR DONOR PNEUMONECTOMY FRM CADAVR,225.0,168.75,152.26,225.0,1324 CDM,PX-A32851,PR ANES FOR LUNG TRNSPL SNG WO CARDPULM BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32852,PR ANES FOR LUNG TRNSPL SNGL W CARDPULM BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32853,PR ANES FOR LUNG TRNSPL 2 WO CARDPULM BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32854,PR ANES FOR LUNG TRNSPL DBL W CARDPULM BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A32855,PR ANES FOR PREP TRNSPL CADAVER DONOR LUNG UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32856,PR ANES FOR PREP TRNSPL CADAVER DONOR LUNG BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32900,PR ANES FOR REMOVAL OF RIB(S),225.0,168.75,152.26,225.0,1324 CDM,PX-A32905,PR ANES FOR REV AND RPR CHEST WALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32906,PR ANES FOR THORACOP SCHEDE TYPE/EXTRAPLRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32940,PR ANES FOR REVISION OF LUNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A32960,PR ANES FOR PNEUMOTHORAX THER INJ AIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A32994,PR ANES FOR ABLATE PULM TUMOR PERQ CRYBL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32997,PR ANES FOR TOTAL LUNG LAVAGE UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A32998,PR ANES FOR RF ABLT PULM TUMORS UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A32999,PR ANES FOR UNLISTED PROC LUNGS & PLEURA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33016,PR ANES FOR PERICARDIOCENTESIS W IMAGE GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A33017,PR ANES FOR PERI DRN W FLUOR/US >6YR W/O CONG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33018,PR ANES FOR PERI DRAIN W FLUOR/US GUIDE CONG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33019,PR ANES FOR PERICARDIAL DRAIN W CT GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A33020,PR ANES FOR PERICARIOTOMY RMVL CLOT/FB PRIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33025,PR ANES FOR CREATE PERICARD WNDW PRTL RESEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33030,PR ANES FOR PERICARDECT SUBTOT/COMP WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33031,PR ANES FOR PERICARDECT SUBTOT/COMP W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33050,PR ANES FOR RESECTION PERICARDIAL CYST/TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33120,PR ANES FOR EXCISN INTRACARDIAC TMR W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33130,PR ANES FOR RESECTION EXTERNAL CARDIAC TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33140,"PR ANES FOR TMR,REVASCULARIZE HEART",225.0,168.75,152.26,225.0,1324 CDM,PX-A33141,PR ANES FOR TRANSMYOCRD REVASCULARIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33202,PR ANES FOR INS EPICARDIAL ELECTRODE OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33203,PR ANES FOR INS EPICARDIAL ELECTRODE ENDO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33206,PR ANES FOR INS/RPLC PCMKR ATRIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33207,PR ANES FOR INS/RPLC PCMKR VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33208,PR ANES FOR INS/RPLC PCMKR ATRIAL & VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33210,PR ANES FOR INS/RPLC TEMP ELEC/PCMKR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33211,PR ANES FOR INS/RPLC TEMP ELEC/PCMKR DUAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33212,PR ANES FOR INS PCMKR PLS GEN EXIST 1 LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33213,PR ANES FOR INS PCMKR PLS GEN EXIST 2 LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33214,PR ANES FOR UPGRADE IMPL PCMKR SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33215,PR ANES FOR REPOSITION PCMKR/LEAD RA/RV,225.0,168.75,152.26,225.0,1324 CDM,PX-A33216,PR ANES FOR INS SNGL ELTRD/PPCMKR/ICD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33217,PR ANES FOR INSERT ELECTRODE IMPLANT DUAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33218,PR ANES FOR RPR SNGL ELTRD/PPCMKR/ICD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33220,PR ANES FOR RPR 2 ELECTRODES/PPCMKR/ICD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33221,PR ANES FOR INS PCMKR/GEN EXIST MULTI LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33222,PR ANES FOR RELOCATION SKIN POCKET PCMKR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33223,PR ANES FOR RELOCATION SKIN POCKET DFIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A33224,PR ANES FOR INS PACING ELCTD LV LEAD CONN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33225,PR ANES FOR INS PACING ELCTD LV LEAD ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33226,PR ANES FOR REPO IMPL LV ELECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33227,PR ANES FOR RPLC PERM GEN SNGL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33228,PR ANES FOR RPLC PERM GEN DUAL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33229,PR ANES FOR RPLC PERM GEN MULT LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33230,PR ANES FOR INS PULSE GEN W EXST DUAL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33231,PR ANES FOR INS PULSE GEN W EXST MULT LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33233,PR ANES FOR RMVL PCMKR PULSE GEN ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33234,PR ANES FOR RMVL PCMKR ELEC 1 LEAD SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33235,PR ANES FOR RMVL PCMKR ELEC DUAL LEAD SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33236,PR ANES FOR RMVL PPCMKR THORCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33237,PR ANES FOR RMVL EPICAR PCMKR&ELEC 2 LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33238,PR ANES FOR RMVL TRANSVENOUS ELEC THRCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33240,PR ANES FOR INS ICD ONLY W EXIST SNGL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33241,PR ANES FOR RMVL ICD GEN ONLY SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A33243,PR ANES FOR RMVL ICD ELEC THORCOM 1/2 CHAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33244,PR ANES FOR RMVL ICD ELEC TRANSVEN EXTRACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33249,PR ANES FOR INS/RPLC DFIB W TRANSVEN LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33250,PR ANES FOR ABLATION SUPRAVENT ARRHYTHMOGENIC FOCUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33251,PR ANES FOR ABLT ARRHYTHMOGENIC FOCI W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33254,PR ANES FOR ABLT TISS/RECONSTCT ATRIA LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33255,PR ANES FOR ABLT TISS/RECON ATRIA EXT WO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33256,PR ANES FOR ABLT TISS/RECON ATRIA EXT W BP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33257,PR ANES FOR ABLT&RCNSTRCT ATRIA W OTH PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33258,PR ANES FOR ABLT&RCNSTRCT ATRIA WO BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33259,PR ANES FOR ABLT&RCNSTRCT ATRIA W BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33261,PR ANES FOR ABLT VENTR ARRHYTHMOGENIC FOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33262,PR ANES FOR RMVL&RPLC ICD GEN SNGL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33263,PR ANES FOR RMVL&RPLC ICD GEN DUAL LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33264,PR ANES FOR RMVL&RPLC ICD GEN MULTI LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33265,"PR ANES FOR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",225.0,168.75,152.26,225.0,1324 CDM,PX-A33266,PR ANES FOR ENDO TISS ABLT/RECST ATRIA EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33267,PR ANES FOR EXCL LAA OPEN ANY METHOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33268,PR ANES FOR EXCL LAA OPN OTH PX ANY METH,225.0,168.75,152.26,225.0,1324 CDM,PX-A33269,PR ANES FOR EXCL LAA THRSCP ANY METHOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33270,PR ANES FOR INS/RPLC SUBQ ICD W SUBQ ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33271,PR ANES FOR INST SQ IPLT DFB ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33272,PR ANES FOR RMVL SQ IPLT DFB ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33273,PR ANES FOR REPOS PREV IMPLT SQ IMPLT DEF,225.0,168.75,152.26,225.0,1324 CDM,PX-A33274,PR ANES FOR RPLC/INSRT TRANSCATH LEADLS PM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33275,PR ANES FOR TRSCTH REM PERM LEADLESS ICD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33276,PR ANES FOR INSERTION PHRENIC NERVE STIMULATOR SYSTEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33277,PR ANES FOR INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33278,PR ANES FOR REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33279,PR ANES FOR RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33280,PR ANES FOR RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33281,PR ANES FOR REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33285,PR ANES FOR IMPL PT ACTV CARD EVENT RECORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33286,PR ANES FOR RMVL IMPL CARDIAC EVENT RECORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33287,PR ANES FOR RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33288,PR ANES FOR RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33289,"PR ANES FOR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",225.0,168.75,152.26,225.0,1324 CDM,PX-A33300,PR ANES FOR RPR CARDIAC WOUND WO BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33305,PR ANES FOR RPR CARDIAC WOUND W BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33310,PR ANES FOR CARDIOTOMY EXPLORATORY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33315,PR ANES FOR CARDIOT RMVL FB/THRMB W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33320,PR ANES FOR SUTR RPR AORTA/GRT VSSL WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33321,PR ANES FOR RPR AORTA/GRT VSSL W SHNT BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33322,PR ANES FOR SUTR RPR AORTA/GRT VSSL W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33330,PR ANES FOR RPR AORTA/GRT VSSL WO SHNT BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33335,PR ANES FOR INS GRAFT AORTA/GRT VSSL W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33340,PR ANES FOR PERC TXCATH CLSR LT ATR APNDG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33361,PR ANES FOR RPLC AORTIC VLV PERC FEM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33362,PR ANES FOR RPLC AORTIC VLV OPEN FEM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33363,PR ANES FOR RPLC AORTIC VLV OPN AXL ARTRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33364,PR ANES FOR RPLC AORTIC VLV OPN ILIAC ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33365,PR ANES FOR RPLC AORTIC VALVE TRANSAORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33366,PR ANES FOR TRANSCATHATER RPLC AORTIC VLV,225.0,168.75,152.26,225.0,1324 CDM,PX-A33367,PR ANES FOR RPLC AORTIC VLV PERC ART/VEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33368,PR ANES FOR RPLC AORTIC VLV W ART/VEN APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33369,PR ANES FOR RPLC AORTIC VLV CNTRL ART/VEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33370,PR ANES FOR TCAT PLMT&RMVL CEPD PERQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A33390,PR ANES FOR VLVPLSTY AORTIC VALVE SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33391,PR ANES FOR VLVPLSTY AORTIC VALVE CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A33404,PR ANES FOR CNSTRCT APICAL-AORTIC CONDUIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33405,PR ANES FOR RPLC AORTIC VLV W PROSTH VLV,225.0,168.75,152.26,225.0,1324 CDM,PX-A33406,PR ANES FOR RPLC AORTIC VLV W BYP ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33410,PR ANES FOR RPLC AORTIC VLV STENTLESS TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33411,PR ANES FOR RPLC AORTIC VLV ANNULUS ENLGMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33412,PR ANES FOR RPLC AORTIC VALVE KONNO PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33413,PR ANES FOR RPLC AV TRNSLOC AUTOLOG PULM VLV,225.0,168.75,152.26,225.0,1324 CDM,PX-A33414,PR ANES FOR RPR VENTR OUTFLOW TRACT OBSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33415,PR ANES FOR RSECT/INC SUBVALVULAR TISSUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A33416,PR ANES FOR VENTRICULOMYOTOMY-MYECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33417,PR ANES FOR AORTOPLASTY SUPRAVALVULAR STNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33418,PR ANES FOR TXCATH MITRAL VALVE REPAIR INI,225.0,168.75,152.26,225.0,1324 CDM,PX-A33419,PR ANES FOR TRNSCATH MITR VLV RPR ADD PROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A33420,PR ANES FOR VALVOTOMY MITRAL VLV CLSD HEART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33422,PR ANES FOR VALVOTOMY MITRAL VLV OPN HEART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33425,PR ANES FOR VLVPLSTYLSTY MITRAL VLV W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33426,PR ANES FOR VLVPLSTYLSTY W BYP W PROSTH RING,225.0,168.75,152.26,225.0,1324 CDM,PX-A33427,PR ANES FOR VLVPLSTYLSTY W BYP WO PROSTH RING,225.0,168.75,152.26,225.0,1324 CDM,PX-A33430,PR ANES FOR RPLC MITRAL VLV W CARDPULM BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33440,PR ANES FOR RPLC AV TRNSLOC AUTOLOG PULM VLV ROSS-KONNO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33460,PR ANES FOR VALVECTOMY TRICUSPID W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33463,PR ANES FOR VLVPLSTY TRICUSPID VLV WO RING INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33464,PR ANES FOR VLVPLSTY TRICUSPID VLV W RING INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33465,PR ANES FOR RPLC TRICUSPID VLV W CARD BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33468,PR ANES FOR TRICUSPID VLV REPO & PLICATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33474,PR ANES FOR VALVOTOMY PULM VLV OPN HEART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33475,PR ANES FOR REPLACEMENT PULMONARY VALVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A33476,PR ANES FOR RESECT RT VENT INFUND STENOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33477,PR ANES FOR TRANSCATH PULM VLV IMPL PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33478,PR ANES FOR OUTFLOW TRACT AUGMENTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33496,PR ANES FOR RPR NONSTRUCT PROSTH VLV DYSFN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33500,PR ANES FOR RPR CORONARY AV/AC FIST W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33501,PR ANES FOR RPR CORONARY AV/AC FIST WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33502,PR ANES FOR RPR ANOM CORONARY ART LIGATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33503,PR ANES FOR RPR ANOM CORONARY ART GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33504,PR ANES FOR RPR COR ART PULM GRFT W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33505,PR ANES FOR RPR COR ART W INTRAPULM TUNNEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33506,PR ANES FOR RPR COR ART FRM PULM TO AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33507,PR ANES FOR RPR AORTIC ORIGIN CORONARY ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33508,PR ANES FOR ENDO SURG W VA HARVEST CABG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33509,PR ANES FOR ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX,225.0,168.75,152.26,225.0,1324 CDM,PX-A33510,PR ANES FOR COR ART BYPASS 1 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33511,PR ANES FOR COR ART BYPASS 2 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33512,PR ANES FOR COR ART BYPASS 3 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33513,PR ANES FOR COR ART BYPASS 4 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33514,PR ANES FOR COR ART BYPASS 5 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33516,PR ANES FOR COR ART BYP >=6 COR VEN GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33517,PR ANES FOR COR ART BYP W VEIN GRFT 1 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33518,PR ANES FOR COR ART BYP W VEIN GRFT 2 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33519,PR ANES FOR COR ART BYP W VEIN GRFT 3 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33521,PR ANES FOR COR ART BYP W VEIN GRFT 4 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33522,PR ANES FOR COR ART BYP W VEIN GRFT 5 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33523,PR ANES FOR COR ART BYP W VEIN GRFT 6 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33530,PR ANES FOR REOP COR ART BYP/VALVE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33533,PR ANES FOR CABG W ARTL GRFT 1 ARTL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33534,PR ANES FOR CABG W ARTL GRFT 2 ARTL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33535,PR ANES FOR CABG W ARTL GRFT 3 ARTL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33536,PR ANES FOR CABG W ARTL GRFT >=4 ARTL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33542,PR ANES FOR MYOCARDIAL RESECTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33545,PR ANES FOR REPAIR POSTINFARCTION VSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33548,PR ANES FOR SURG VENT RESTORATION PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33572,PR ANES FOR ENDARTERCOMY CORONAY ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33600,PR ANES FOR CLSR ATRIOVENT VLV SUTR/PATCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A33602,PR ANES FOR CLSR SEMILUNAR VLV AORTIC/PULM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33606,PR ANES FOR ANAST PULM ARTERY TO AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33608,PR ANES FOR RPR CARD NOT PULM ATRESIA VSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33610,PR ANES FOR RPR CARD SURG ENLGMENT VSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33611,PR ANES FOR RPR RT VENT W INTRAVENT TUN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33612,PR ANES FOR RPR RT VENT W VENT TRACT OBSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33615,PR ANES FOR RPR CMPLX CLSR SEPT DEFECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33617,PR ANES FOR RPR COMPLEX CARDIAC ANOMALY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33619,PR ANES FOR RPR 1 VENT W OUTFLW OBSTRUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33620,PR ANES FOR APP RT< PULM ART BAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A33621,PR ANES FOR TRNSTHORACIC CATH INS STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33622,PR ANES FOR RECONSTRUCTION CARDIAC ANOMALY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33641,PR ANES FOR RPR ATRIAL SEPTAL DEFECT W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33645,PR ANES FOR DIR/PATCH CLSR SINUS VENOSUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33647,PR ANES FOR RPR ATRIAL&VEN SEPTAL DEFECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33660,PR ANES FOR RPR INCOMPLT/PRTL AV CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33665,PR ANES FOR REPAIR INT/TRANSIONAL AV CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33670,PR ANES FOR RPR CMPLX AV CANAL W/WO PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A33675,PR ANES FOR CLSR MULT VEN SEPTAL DEFECTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33676,PR ANES FOR CLSR MULT VSD W RESECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33677,PR ANES FOR CLSR MULT VSD W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33681,PR ANES FOR CLSR SNGL VEN SEPTAL DEFECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33684,PR ANES FOR CLSR V-SEPTL DEFECT W PULM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33688,PR ANES FOR REVSD W REMOV PULM ART BAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A33690,PR ANES FOR BANDING PULMONARY ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33692,PR ANES FOR RPR T-FALLOT WO PULM ATRES,225.0,168.75,152.26,225.0,1324 CDM,PX-A33694,PR ANES FOR RPR T-FALLOT WO PULM ATRES PATCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A33697,PR ANES FOR RPR T-FALLOT W PULM ATRESIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33702,PR ANES FOR REVALSALVA FIST W CP BYPASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33710,PR ANES FOR RPR HEART DEFECTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33720,PR ANES FOR RPR SINUS VALSALVA ANEURYSM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33724,PR ANES FOR RPR ISOLATED PRTL PULM VENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33726,PR ANES FOR RPR PULM VENOUS STENOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33730,PR ANES FOR RPR COMPLT PULM VENOUS RETURN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33732,PR ANES FOR RPR COR TRIATR/SUPRAVAL MTRL RNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33735,PR ANES FOR ATRIAL SEPTECT/SEPTOST CLSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33736,PR ANES FOR ATR SEPTECT/SEPTOST OPN W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33741,PR ANES FOR TAS CONGENITAL CAR ANOMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33745,PR ANES FOR TIS CGEN CAR ANOMAL 1ST SHNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33746,PR ANES FOR TIS CGEN CAR ANOMAL EA ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33750,PR ANES FOR SHUNT SUBCLAVIAN PULM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33755,PR ANES FOR SHUNT ASCEND AORT PULM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33762,PR ANES FOR SHUNT DESCEND AORT PULM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33764,PR ANES FOR SHUNT CENTRAL W PROSTHETIC GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33766,PR ANES FOR SHUNT SUP VENA CAVA SNGL LUNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33767,PR ANES FOR SHUNT SUP VENA CAVA BOTH LUNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33768,PR ANES FOR ANAST CAVOPULM 2ND SUP VEN CAVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33770,PR ANES FOR RPR TRPOS GRT VSL WO ENLGMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33771,PR ANES FOR RPR TRPOS GRT VSL W ENLGMNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33774,PR ANES FOR RPR TRPOS GRT VSL W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33775,PR ANES FOR RPR TRPOS GRT VSL W RMVL BAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A33776,PR ANES FOR RPR TRPOS GRT VSL W CLSR VSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33777,PR ANES FOR RPR TRPOS GRT VSL W BYP OBSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33778,PR ANES FOR RPR TRPOS GRT VSSL AORTIC PULM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33779,PR ANES FOR RPR TGV ART RCNST W RMVL BAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A33780,PR ANES FOR RPR TGV ART RCNST W CLSR VSD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33781,PR ANES FOR RPR TGV ART RCNST RPR OBSTRCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33782,PR ANES FOR AORT ROOT TRANSLOC WO REIMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33783,PR ANES FOR AORT ROOT TRANSLOC W REIMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33786,PR ANES FOR TOTAL RPR TRUNCUS ARTERIOSUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33788,PR ANES FOR REIMPLANTATION PULM ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33800,PR ANES FOR AORT SUSP TRACH DCMPRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33802,PR ANES FOR DIVISION ABERRANT VESSEL VASC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33803,PR ANES FOR DIVISION ABERRANT VSL REANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A33814,PR ANES FOR OBLIT AO-PUL SEPTAL DFCT W CP BYPAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33820,PR ANES FOR RPR PATENT DUCTUS ARTY LIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33822,PR ANES FOR RPR PATENT DUCT ARETERIOS <18,225.0,168.75,152.26,225.0,1324 CDM,PX-A33824,PR ANES FOR RPR PATENT DUCT ARETERIOS >=18,225.0,168.75,152.26,225.0,1324 CDM,PX-A33840,PR ANES FOR EXCISN COARC AORTA W ANASTOM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33845,PR ANES FOR EXCISN COARC AORTA W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33851,PR ANES FOR EXCISION COARCTATION AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33852,PR ANES FOR RPR HYPOPLSTC AORT W GRFT WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33853,PR ANES FOR RPR HYPOPLSTC AORTIC W PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A33858,PR ANES FOR AS-AORT GRF F/AORTIC DSJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A33859,PR ANES FOR AS-AORT GRF F/DS OTH/THN DSJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A33863,PR ANES FOR ASC AORTA GRFT BYP&AORTIC RPLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33864,PR ANES FOR ASC AORTA GRFT VLV ROOT REMODEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33871,PR ANES FOR TRANSVRS A-ARCH GRF HYPTHRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33875,PR ANES FOR DESC THOR AORTA GRFT W/WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33877,PR ANES FOR RPR THORACOABD AORTIC ANEURYSM,225.0,168.75,152.26,225.0,1324 CDM,PX-A33880,PR ANES FOR ENDOVSC RPR W COVRG SUBCL ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33881,PR ANES FOR ENDOVSC RPR WO COVRG SUBCL ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33882,PR ANES FOR EVASC RPR TA DPLMT MLTPC SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33883,PR ANES FOR PLC PROX PROSTH EVASC RPR INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33884,PR ANES FOR PLC PROX PROSTH EVASC RPR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33886,PR ANES FOR PLC DSTL EXTSN PROSTH DELAYED,225.0,168.75,152.26,225.0,1324 CDM,PX-A33889,PR ANES FOR OPN SUBCL CRTD ARTY TRNPOS UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33891,PR ANES FOR BYP GRFT W DTA RPR NECK INCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33894,PR ANES FOR EVASC ST RPR THRC/AA ACRS BR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33895,PR ANES FOR EVASC ST RPR THRC/AA X CRSG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33897,PR ANES FOR PERQ TRLUML ANGP NT/RECR COA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33900,PR ANES FOR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,225.0,168.75,152.26,225.0,1324 CDM,PX-A33901,PR ANES FOR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,225.0,168.75,152.26,225.0,1324 CDM,PX-A33902,PR ANES FOR PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33903,PR ANES FOR PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33904,PR ANES FOR PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33910,PR ANES FOR PULM ARTY EMBOLECTOMY W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33915,PR ANES FOR EMBOLECT PULM ART WO CARD BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33916,PR ANES FOR PULM ENDARTERECT W/WO EMBOLECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33917,PR ANES FOR RPR PULMONARY ART STENOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33920,PR ANES FOR REPAIR ATRESIA PULMONARY ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33922,PR ANES FOR TRANSECTION PULM ARTY W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33924,PR ANES FOR LIGATION PULM ARTERY SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33925,PR ANES FOR REPAIR PULM ARTY ARBORIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A33926,PR ANES FOR RPR PULM ART ARBORIZ ANOM W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33927,PR ANES FOR IMPLTJ TOT RPLCMT HRT SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33928,PR ANES FOR RMVL & RPLCMT TOT HRT SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33929,PR ANES FOR RMVL RPLCMT HRT SYS F/TRNSPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33930,PR ANES FOR CARD-PNEUMONECTOMY DONOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33933,PR ANES FOR BKBENCH PREP CADAV HEART/LUNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33935,PR ANES FOR TRNSPL HRT LNG W CARDECT PNUMEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33940,PR ANES FOR DONOR CARDIECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33944,PR ANES FOR PREP TRNSPL CADAVER DONOR HEART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33945,PR ANES FOR HEART TRNSPL W/WO RCPT CARDIECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A33946,PR ANES FOR ECMO INITIATION VENO-VENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33947,PR ANES FOR ECMO INITIATION VENO-ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33948,PR ANES FOR ECMO DLY MGMT VENO-VENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33949,PR ANES FOR ECMO DLY MGMT VENO-ARTERIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33951,PR ANES FOR ECMO INS PRPH CANNULA <=5YRS PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33952,PR ANES FOR ECMO INSERT CANNULA >=6YR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33953,PR ANES FOR ECMO INS PRPH CANNULA <=5YRS OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33954,PR ANES FOR ECMO INS PRPH CNULA >=6YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33955,PR ANES FOR ECMO INS CNTRL CANNULA <=5YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33956,PR ANES FOR ECMO INSERT CENTRL CANLA >=6YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33957,PR ANES FOR ECMO REPOS CNTRL CANNULA <=5YR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33958,PR ANES FOR ECMO REPOS CANNULA >=6YR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33959,PR ANES FOR ECMO REPOS CNTRL CANNULA <=5YR OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33962,PR ANES FOR ECMO REPOS CANNULA >=6YR OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33963,PR ANES FOR ECMO REPOS PERIPH CANNULA <=5YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33964,PR ANES FOR ECMO REPOS CANNULA >=6YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33965,PR ANES FOR ECMO RMVL CNTRL CANNULA <=5YR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33966,PR ANES FOR ECMO RMVL CANNULA >=6YR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33967,PR ANES FOR INS INTRA AORTIC BLN DEV PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33968,PR ANES FOR RMVL INTRA AORTIC BLN DEV PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A33969,PR ANES FOR ECMO RMVL PERIPH CANNULA <=5YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33970,PR ANES FOR INS INTRA AORTIC BLN FEM ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33971,PR ANES FOR RMVL INTRA AORTIC BLN FEM ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A33973,PR ANES FOR INS INTRA AORTIC BLN ASC AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A33974,PR ANES FOR RMVL INTRA AORTIC BLN DEV W RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33975,PR ANES FOR INS VENT ASSIST DEV SNGL VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33976,PR ANES FOR INS VENT ASSIST DEVICE BIVENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33977,PR ANES FOR RMVL VENT ASSIST DEVICE 1 VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33978,PR ANES FOR RMVL VAD EXTRACORPOREAL BIVENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33979,PR ANES FOR INS VENT ASSIST DEV IMPL 1VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33980,PR ANES FOR RMVL VENT ASST DEV IMPL SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33981,PR ANES FOR RPLC VAD SNGL/BIVENT PUMPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33982,PR ANES FOR RPLC VAD IMPL INTRACORPL SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A33983,PR ANES FOR RPLC VAD IMPL SNGL VENT W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A33984,PR ANES FOR ECMO RMVL PRPH CANNULA >=6YR OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33985,PR ANES FOR ECMO RMVL CNTRL CANNULA <=5YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A33986,PR ANES FOR ECMO RMVL CNTRL CANNULA >=6YR OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33987,PR ANES FOR ARTL EXPOS/GRFT PERFSN ECMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33988,PR ANES FOR INS LT HEART VENT THOR ECMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33989,PR ANES FOR RMVL LT HEART VENT THOR ECMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A33990,PR ANES FOR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A33991,PR ANES FOR INSERT VAD PERC LEFT HEART W S&I ART&VEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A33992,"PR ANES FOR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",225.0,168.75,152.26,225.0,1324 CDM,PX-A33993,PR ANES FOR REPO PERC VENT ASSIST DEV RT OR LT,225.0,168.75,152.26,225.0,1324 CDM,PX-A33995,PR ANES FOR INSERT PERQ VAD R HRT VENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A33997,PR ANES FOR REMOVE PERQ R HRT VAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A33999,PR ANES FOR UNLISTED PROC CARDIAC SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A34001,PR ANES FOR EMBOLECTOMY OR THROMBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A34051,PR ANES FOR EMBLC/THRMBC INNO/SUBCLAV ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A34101,PR ANES FOR EMBLC/THRMBC AX/BRACH ARM INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A34111,PR ANES FOR EMBLC/THRMBC RADIAL/ULNAR ARM,225.0,168.75,152.26,225.0,1324 CDM,PX-A34151,PR ANES FOR EMBLC/THRMBC RNL/CEL/AORTILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A34201,PR ANES FOR EMBLC/THRMBC FEM POP AORTILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A34203,PR ANES FOR EMBLC/THRMBC POPLITEAL TIBIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A34401,PR ANES FOR THRMBC DIR/W CATH VENA ABD INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A34421,PR ANES FOR THRMBC DIR/W CATH VENA FEMPOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A34451,"PR ANES FOR REMV VEIN CLOT CAVA-POP,LEG INCIS",225.0,168.75,152.26,225.0,1324 CDM,PX-A34471,PR ANES FOR THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A34490,"PR ANES FOR REMV VEIN CLOT AXILL-SUBCL,ARM INCIS",225.0,168.75,152.26,225.0,1324 CDM,PX-A34501,PR ANES FOR VALVULOPLASTY FEMORAL VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A34502,PR ANES FOR RCNSTRCT VENA CAVA ANY METHOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A34510,PR ANES FOR TRANSPOSITION OF VEIN VALVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A34520,PR ANES FOR CROSS OVER VEIN GRFT VENUS SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A34530,PR ANES FOR FUSION LEG VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A34701,PR ANES FOR EVASC RPR A-AO NDGFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34702,PR ANES FOR EVASC RPR A-AO NDGFT RPT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34703,PR ANES FOR EVASC RPR A-UNILAC NDGFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34704,PR ANES FOR EVASC RPR A-UNILAC NDGFT RPT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34705,PR ANES FOR EVAC RPR A-BIILIAC NDGFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34706,PR ANES FOR EVASC RPR A-BIILIAC RPT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34707,PR ANES FOR EVASC RPR ILIO-ILIAC NDGFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34708,PR ANES FOR EVASC RPR ILIO-ILIAC RPT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34709,PR ANES FOR PLMT XTN PROSTH EVASC RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A34710,PR ANES FOR DLYD PLMT XTN PROSTH 1ST VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A34711,PR ANES FOR DLYD PLMT XTN PROSTH EA ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A34712,PR ANES FOR TCAT DLVR ENHNCD FIXJ DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A34713,PR ANES FOR PERQ ACCESS & CLSR FEM ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A34714,PR ANES FOR OPN FEM ART EXPOS CNDT CRTJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A34715,PR ANES FOR OPN AX/SUBCLA ART EXPOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A34716,PR ANES FOR OPN AX/SUBCLA ART EXPOS CNDT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34717,PR ANES FOR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,225.0,168.75,152.26,225.0,1324 CDM,PX-A34718,PR ANES FOR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,225.0,168.75,152.26,225.0,1324 CDM,PX-A34808,PR ANES FOR EVASC PLC ILIAC ARTY OCCL DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A34812,PR ANES FOR OPEN FEM ARTY EXPOSURE UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34813,PR ANES FOR PLC FEM-FEM PROSTC GRFT EVASC,225.0,168.75,152.26,225.0,1324 CDM,PX-A34820,PR ANES FOR ILIAC ARTY EXPOS PROSTH/OCCLUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A34830,"PR ANES FOR AAA+TRAUMA REPR,OPEN,TUBE PROSTH",225.0,168.75,152.26,225.0,1324 CDM,PX-A34831,PR ANES FOR RPR ANYSM W AORTOBIILIAC PRSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A34832,PR ANES FOR RPR ANYSM W AORTOBIFEM PRSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A34833,PR ANES FOR ILIAC ART EXPOS W CONDUIT UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34834,PR ANES FOR BRACH ART EXPOS DPL PROSTH UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34841,PR ANES FOR ENDOVASC VISCER AORT RPR 1 GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34842,PR ANES FOR EVASC VISC AORTA RPR 2 GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34843,PR ANES FOR EVASC VISCER AORT RPR 3 GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34844,PR ANES FOR EVASC VISC AORTA RPR 4 GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A34845,PR ANES FOR VISC & INFRAREN ABD 1 PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A34846,PR ANES FOR VISC & INFRAREN ABD 2 PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A34847,PR ANES FOR VISC & INFRAREN ABD 3 PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A34848,PR ANES FOR VISC & INFRAREN ABD 4+ PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A35001,PR ANES FOR DIR RPR ARYSM CAROTID-SUBCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35002,PR ANES FOR DIR RPR RUPT ARYSM CARTD-SUBCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35005,PR ANES FOR RPR ANEURYSM VERTEBRAL ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35011,PR ANES FOR DIR RPR ANEURYSM AX-BRACHIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35013,PR ANES FOR RPR RUPTD ANEURYS AXIL BRACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A35021,PR ANES FOR RPR ANEURYSM SUBCLAV ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35022,PR ANES FOR RPR RUPTD ANEURYSM SUBCLAV ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35045,PR ANES FOR DIR RPR ANEURYSM RAD/ULNR ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35081,PR ANES FOR DIR RPR ARYSM ABDOMINAL AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A35082,PR ANES FOR DIR RPR RUPTD ARYSM ABD AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A35091,PR ANES FOR DIR RPR ARYSM ABD AORTA W VISC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35092,PR ANES FOR DIR RPR RUPT AAA W VISCERA VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35102,PR ANES FOR DIR REPAIR AAA W ILIAC VESSEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35103,PR ANES FOR DIR RPR RUPTD AAA W ILIAC VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35111,PR ANES FOR RPR ANEURYSM SPLENIC ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35112,PR ANES FOR RPR RUPTD ANEURYSM SPLENIC ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35121,PR ANES FOR DIR RPR ARYSM HEP/CEL/RENL/MES,225.0,168.75,152.26,225.0,1324 CDM,PX-A35122,PR ANES FOR RPR RUPTD ANEURYSM HEP/CEL/RNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35131,PR ANES FOR DIR RPR ARYSM& GRFT ILIAC ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35132,PR ANES FOR DIR RPR RUPTD ARYSM&GRFT ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35141,PR ANES FOR DIR RPR ARYSM& GRFT FEM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35142,PR ANES FOR DIR RPR RUPTD ARYSM& GRFT FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35151,PR ANES FOR DIR RPR ARYSM& GRFT POPLT ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35152,PR ANES FOR RPR RUPTD ANEURYSM&GRFT POP ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A35180,"PR ANES FOR RECONG AV FIST,HEAD/NECK",225.0,168.75,152.26,225.0,1324 CDM,PX-A35182,"PR ANES FOR RECONG AV FIST,CHEST/ABD",225.0,168.75,152.26,225.0,1324 CDM,PX-A35184,PR ANES FOR RPR CONGENITAL AV FISTULA EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35188,"PR ANES FOR REACQ AV FIST,HEAD/NECK",225.0,168.75,152.26,225.0,1324 CDM,PX-A35189,PR ANES FOR RPR/TRAUMA AV FSTL THORAX&ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35190,PR ANES FOR RPR/TRAUMATIC AV FISTULA EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35201,PR ANES FOR RPR BLOOD VESSEL DIRECT NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A35206,PR ANES FOR RPR BLOOD VSSL DIR UPR EXTRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35207,PR ANES FOR RPR BLOOD VESSEL DIR HAND FGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35211,PR ANES FOR RPR BLD VSSL INTRATHORA W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35216,PR ANES FOR RPR BLD VSSL INTRATHORA WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35221,PR ANES FOR RPR BLD VSSL DIRECT INTRA ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35226,PR ANES FOR RPR BLD VSSL DIRECT LOWER EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35231,PR ANES FOR RPR BLD VSSL W VEIN GRFT NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A35236,PR ANES FOR RPR BLD VSSL W VEIN GRAFT UE,225.0,168.75,152.26,225.0,1324 CDM,PX-A35241,PR ANES FOR RPR BLD VSL VEIN GRF INTRATHOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35246,PR ANES FOR RPR BLD VSSL VEIN GRFT INTRTHOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35251,PR ANES FOR RPR BLD VSSL VEIN GRFT INTRAABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35256,PR ANES FOR RPR BLD VSSL VEIN GRFT LOWEREXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35261,PR ANES FOR RPR BLD VSL W GRFT NOT VEIN NK,225.0,168.75,152.26,225.0,1324 CDM,PX-A35266,PR ANES FOR RPR BLD VSL NOT VEIN GRFT UE,225.0,168.75,152.26,225.0,1324 CDM,PX-A35271,PR ANES FOR RPR BLD VSL NOT V GRFT IT W BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35276,PR ANES FOR RPR BLDVSL NOT V GRFT IT WO BYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35281,PR ANES FOR RPR BLVSL W GRFT INTRA ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35286,PR ANES FOR RPR BLVSL W GRFT LOWER EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35301,PR ANES FOR TEA CARTD/VERTB/SUBCL NECK INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35302,PR ANES FOR TEA W GRFT SUPERFICIAL FEM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35303,PR ANES FOR TEA W GRAFT POPLITEAL ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35304,PR ANES FOR TEA W GRAFT TIBIOPERONEAL ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35305,PR ANES FOR TEA W GRAFT TIB/PER ARTY 1 VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35306,PR ANES FOR TEA W GRAFT TIB/PER ARTY EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A35311,PR ANES FOR TEA W/WO PATCH GRFT SUBCLAV THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35321,PR ANES FOR TEA W/WO PATCH GRFT AX BRACHIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35331,PR ANES FOR TEA W/WO PATCH GRAFT ABD AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A35341,PR ANES FOR TEA W/WO PATCH GRFT MES/CEL/RNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35351,PR ANES FOR TEA W/WO PATCH GRAFT ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35355,PR ANES FOR TEA W/WO PATCH GRFT ILIOFEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35361,PR ANES FOR TEA W/WO PATCH GRFT AORTOILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35363,PR ANES FOR THROMBOENDARTECTMY AORTOILIOFEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35371,PR ANES FOR TEA W/WO PATCH GRFT COMMON FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35372,PR ANES FOR TEA W/WO P GRAFT PROFUNDA FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35390,PR ANES FOR REOP CARTD TEA >1M AFT ORI OP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35400,PR ANES FOR ANGIOSCOPY NONCORONARY VSL/GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35500,PR ANES FOR HARVEST UE VEIN 1 SGM LE/CABG,225.0,168.75,152.26,225.0,1324 CDM,PX-A35501,PR ANES FOR BYPASS W VEIN IPSILAT CAROTID,225.0,168.75,152.26,225.0,1324 CDM,PX-A35506,PR ANES FOR BYP W VEIN CARTDD-SUBCL/SUBCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35508,PR ANES FOR BYPASS W VEIN CAROTID-VERTEB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35509,PR ANES FOR BYP W VEIN CAROTID-CONTRALAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35510,PR ANES FOR BYPASS W VEIN CAROTID-BRACHIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35511,PR ANES FOR BYPASS W VEIN SUBCLAV-SUBCLAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A35512,PR ANES FOR BYPASS W VEIN SUBCLAV-BRACHIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35515,PR ANES FOR BYPASS W VEIN SUBCLAV-VERTEB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35516,PR ANES FOR BYPASS W VEIN SUBCLAV-AXILLARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35518,PR ANES FOR BYPASS W VEIN AXLRY-AXLRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35521,PR ANES FOR BYPASS W VEIN AXILLARY-FEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35522,PR ANES FOR BYP W VEIN AXILLARY BRACHIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35523,PR ANES FOR BYPASS W VEIN BRACH TO ULN/RAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35525,PR ANES FOR BYP W VEIN BRACHL TO BRACHL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35526,PR ANES FOR BYP W VEIN AORTOSUBCLAV/CARTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35531,PR ANES FOR BYP W VEIN AORTOCEL/AORTOMESEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A35533,PR ANES FOR BYP W VEIN AXLRY FEM FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35535,PR ANES FOR BYPASS W VEIN HEPATORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35536,PR ANES FOR BYPASS W VEIN SPLENORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35537,PR ANES FOR BYPASS W VEIN AORTOILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35538,PR ANES FOR BYPASS W VEIN AORTOBI-ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35539,PR ANES FOR BYPASS W VEIN AORTOFEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35540,PR ANES FOR BYPASS W VEIN AORTOBIFEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35556,PR ANES FOR BYP W VEIN FEMRL TO POPLITEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35558,PR ANES FOR BYPASS W VEIN FEMRL TO FEMRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35560,PR ANES FOR BYPASS W VEIN AORTORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35563,PR ANES FOR BYPASS W VEIN ILIOILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35565,PR ANES FOR BYPASS W VEIN ILIOFEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35566,PR ANES FOR BYP FEM TO ANT/POST TIBIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35570,PR ANES FOR BYP TIB-TIB/PERONEAL-TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35571,PR ANES FOR BYP POP TO TIBL OR PERONEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35572,PR ANES FOR HARVEST FEMPOP VEIN 1 SGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35583,PR ANES FOR IN SITU VEIN BYP FEM TO POP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35585,PR ANES FOR IN SITU BYP FEM TO ANT/PST TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35587,PR ANES FOR IN-SITU VEIN BYP POPLITEAL TIBAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35600,PR ANES FOR HARVEST UE ARTY 1 SEGMENT CABG,225.0,168.75,152.26,225.0,1324 CDM,PX-A35601,PR ANES FOR BYP NOT VEIN CMN IPSLAT CAROTID,225.0,168.75,152.26,225.0,1324 CDM,PX-A35602,PR ANES FOR BPG CRTD-CLAT CRTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35606,PR ANES FOR BYP NOT VEIN CAROTID TO SUBCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35612,PR ANES FOR BYP NOT VEIN SUBCLAV SUBCLAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A35616,PR ANES FOR BYP NOT VEIN SUBCLAV AXILLARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35621,PR ANES FOR BYP NOT VEIN AXILLARY TO FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35623,PR ANES FOR BYP NOT VEIN AXLRY POP TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35626,PR ANES FOR BYP NOT VEIN AORTOSUBCL/CARTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35631,PR ANES FOR BYP NOT VEIN AORTO CEL/MSN/REN,225.0,168.75,152.26,225.0,1324 CDM,PX-A35632,PR ANES FOR BYP GRFT VEIN NOT ILIO-CELIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35633,PR ANES FOR BYP GRFT NOT VEIN ILIO TO MSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A35634,PR ANES FOR BYP GRFT VEIN NOT ILIORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35636,PR ANES FOR BYP GRFT NOT VEIN SPLENORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35637,PR ANES FOR BYP GRF NOT VEIN AORTOILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35638,PR ANES FOR BYP NOT VEIN AORTOBI TO ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35642,PR ANES FOR BYP NOT VEIN CAROTID VERTEBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35645,PR ANES FOR BYP NOT VEIN SUBCLAV VERTEBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A35646,PR ANES FOR BYP NOT VEIN AORTOBI TO FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35647,PR ANES FOR BYP NOT VEIN AORTO TO FEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35650,PR ANES FOR BYP NOT VEIN AXLRY AXLRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35654,PR ANES FOR BYP NOT VEIN AX TO FEM TO FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35656,PR ANES FOR BYP NOT VEIN FEMORAL TO POP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35661,PR ANES FOR BYP NOT VEIN FEM TO FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A35663,PR ANES FOR BYP GRFT NOT VEIN ILIOILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35665,PR ANES FOR BYP GRFT NOT VEIN ILIOFEMORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35666,PR ANES FOR BYP NOT VEIN FEM TO ANT TIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A35671,PR ANES FOR BYP NOT VEIN POP TO TIBIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35681,PR ANES FOR BYP COMPOSITE GRFT PROSTH&VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A35682,PR ANES FOR BYP AUTOG COMPOSIT 2 SEG 2 LOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35683,PR ANES FOR BYP AUTOG CMPST >=3 SEG 2 LOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A35685,PR ANES FOR PLC VEIN PATCH/CUFF DIST ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A35686,"PR ANES FOR CREATION DISTAL AV FIST,LOW EXT BYPASS",225.0,168.75,152.26,225.0,1324 CDM,PX-A35691,PR ANES FOR TRPOS&/RPLC VERT CAROTID ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35693,PR ANES FOR TRPOS&/RPLC VERT SUBCLAV ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35694,PR ANES FOR TRPOS&/RPLC SUBCL CARTD ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35695,PR ANES FOR TRPOS&/RPLC CARTD SUBCL ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35697,PR ANES FOR RIMPL VISC ARTY INFRARNL AORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35700,PR ANES FOR REOP > 1 MO AFTER ORIGINAL OP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35701,PR ANES FOR EXPLR W/WO LYSIS CAROTID ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35702,PR ANES FOR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35703,PR ANES FOR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35800,PR ANES FOR EXPLR PO HEMR THROM/INFC NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A35820,PR ANES FOR EXPLR PO HEMR THROM/INFC CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A35840,PR ANES FOR EXPLR PO HEMR THROM/INFC ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A35860,PR ANES FOR EXPLR PO HEMR THROM/INFC EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35870,PR ANES FOR RPR GRFT ENTERIC FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A35875,PR ANES FOR THROMB ARTL GRFT NOT HEMO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35876,PR ANES FOR THROMB ARTL/VEIN GRFT W REV GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35879,PR ANES FOR REV LE ART BYP OPN VEIN ANGIOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A35881,PR ANES FOR REV LE ART BYP OPN W SEGM VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A35883,PR ANES FOR REV FEM ANAST OPN NONAUTOG GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35884,"PR ANES FOR REVISE FEMORAL GRAFT, AUTOGENOUS GRAFT",225.0,168.75,152.26,225.0,1324 CDM,PX-A35901,PR ANES FOR EXCISION INFECTED NECK GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A35903,PR ANES FOR EXCISN INFECTED GRFT EXTREMITY,225.0,168.75,152.26,225.0,1324 CDM,PX-A35905,PR ANES FOR EXCISION INFECTED GRAFT THORAX,225.0,168.75,152.26,225.0,1324 CDM,PX-A35907,PR ANES FOR EXCISN INFECTED GRAFT ABDOMEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36000,PR ANES FOR INTRO NDL/CATH VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36002,PR ANES FOR INJ PERC TX EXT PSEUDOARYSM,225.0,168.75,152.26,225.0,1324 CDM,PX-A36005,PR ANES FOR INJ EXT VENOGRPH W NDLCATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36010,PR ANES FOR INTRO CATH SUPR/INF VENA CAVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A36011,PR ANES FOR SEL CATH PLC VEN SYS 1ST ORDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A36012,PR ANES FOR SEL CATH PLC VEN SYS 2ND ORDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A36013,PR ANES FOR INTRO CATH RT HEART/PULM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36014,PR ANES FOR SEL CATH PLC LT/RT PULM ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36015,PR ANES FOR PLC CATH SEGM PULM ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36100,PR ANES FOR PLACE CATH CAROT/VERT ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A36140,PR ANES FOR INTRO NDL/CATH EXT ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36160,PR ANES FOR INTRO NDL/INTRACATH AORT TRNSLMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A36200,PR ANES FOR INTRODUCTION CATHETER AORTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A36215,PR ANES FOR SEL CATH EA 1ST ORD THRC/BRCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36216,PR ANES FOR SEL CATH 1ST/2ND ORD THRC/BRCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36217,PR ANES FOR SEL CATH 3RD+ORD SEL THRC/BRCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36218,PR ANES FOR SEL CATH EA 2ND+ ORD THRC/BRCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36221,PR ANES FOR NONSEL CATH THOR AORTA W ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A36222,PR ANES FOR SEL CATH CARTD ANGIO EXTRACRAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36223,PR ANES FOR SEL CATH CARTD ANGIO INTRCR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36224,PR ANES FOR SEL CATH INTRNL CARTD ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36225,PR ANES FOR SEL CATH SUBCL ARTY ANGIO VERT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36226,PR ANES FOR SEL CATH VERT ARTY ANGIO VERT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36227,PR ANES FOR SEL CATH EXT CARTD W ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A36228,PR ANES FOR SEL CATH INT CARTD W ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A36245,PR ANES FOR SEL CATH EA 1ST ORD ABD PLV/LE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36246,PR ANES FOR SEL CATH 2ND ORDER ABD PLV/LE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36247,PR ANES FOR SEL CATH 3RD+ ORD SEL ABD LE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36248,PR ANES FOR SEL CATH EA 2ND+ ORD ABD LE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36251,PR ANES FOR SEL CATH RENAL ARTY&ANGIO UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36252,PR ANES FOR SEL CATH RENAL ARTY&ANGIO BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A36253,PR ANES FOR CATH 2ND+ORD RENAL ARTERY UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36254,PR ANES FOR PLC CATH REN ARTY >=2ND ORD BI,225.0,168.75,152.26,225.0,1324 CDM,PX-A36260,PR ANES FOR INS IMPL IART INFUSION PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36261,PR ANES FOR REVISION OF INFUSION PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36262,PR ANES FOR REMOVAL OF INFUSION PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36299,PR ANES FOR UNLISTED PROC VASCULAR INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A36400,PR ANES FOR VENIPUNC <3 YRS FEM/JUG VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36405,PR ANES FOR VENIPUNCTURE <3 YRS SCALP VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36406,PR ANES FOR VENIPUNCTURE <3 YRS OTHER VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36410,PR ANES FOR VENI >=3 YR W MD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36415,PR ANES FOR VENIPUNCTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36416,PR ANES FOR COLLECTION SPECIMEN CAP BLOOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36420,PR ANES FOR VENIPUNCTURE CUTDOWN <1YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36425,PR ANES FOR VENIPUNCTURE CUTDWN >=1YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36430,PR ANES FOR BLOOD TRANSFUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A36440,"PR ANES FOR BLOOD TRANSFUSION PUSH,<2 Y/O",225.0,168.75,152.26,225.0,1324 CDM,PX-A36450,PR ANES FOR EXCHNG TRANSFUSION BLD NEWBORN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36455,"PR ANES FOR EXCHANGE TRANSFUSION, OTHR",225.0,168.75,152.26,225.0,1324 CDM,PX-A36456,PR ANES FOR PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36460,PR ANES FOR TRANSFUSION INTRAUTERINE FETAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A36465,PR ANES FOR NJX NONCMPND SCLRSNT 1 VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36466,PR ANES FOR NJX NONCMPND SCLRSNT MLT VN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36468,PR ANES FOR INJ SNGL/MULT SPIDER VEIN LIMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A36470,PR ANES FOR INJ SCLEROSING SOLN SNGL VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36471,PR ANES FOR INJ SCLEROSING SOLN MULT VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36473,PR ANES FOR ENDOVEN ABLT MCHNCHEM 1ST VN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36474,PR ANES FOR ENDOVEN ABLT MCHNCHEM EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36475,PR ANES FOR ENDOVENOUS ABLATION 1ST VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36476,PR ANES FOR ENDOVENOUS ABLATION 2ND+ VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36478,PR ANES FOR ENDOVENOUS ABLT LASER 1ST VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36479,PR ANES FOR ENDOVENOUS ABLT LASER 2ND+VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36481,PR ANES FOR CATH PORTAL VEIN PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36482,PR ANES FOR ENDOVEN THER CHEM ADHES 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A36483,PR ANES FOR ENDOVEN THER CHEM ADHES SBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A36500,PR ANES FOR CATH VEN SEL ORGAN BLD SAMPLNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A36510,PR ANES FOR CATH UMBILICAL VEIN DX/THER,225.0,168.75,152.26,225.0,1324 CDM,PX-A36511,PR ANES FOR APHERESIS THERAPEUTIC WBC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36512,PR ANES FOR APHERESIS THERAPEUTIC RBC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36513,PR ANES FOR APHERESIS THERAPEUTIC PLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36514,PR ANES FOR APHERESIS THERAPEUTIC PLASMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A36516,PR ANES FOR LDL APHERESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A36522,PR ANES FOR PHOTOPHERESIS EXTRACORPOREAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A36555,PR ANES FOR INS NONTUNL CVC <5YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36556,PR ANES FOR INS NON-TUN CVC >5YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36557,PR ANES FOR INS TUNL CVC WO PORT < 5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36558,PR ANES FOR INS TUNL CVC WO PORT >=5YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36560,PR ANES FOR INS TUNL CVAD W PORT < 5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36561,PR ANES FOR INS TUNL CVAD W PORT >= 5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36563,PR ANES FOR INS TUNL CVAD W SUBQ PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36565,PR ANES FOR INS TUNL CVAD 2 CATH WO PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36566,PR ANES FOR INS TUNL CVAD 2 CATH W PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36568,PR ANES FOR INS PICC WO SUBQ PORT < 5 YR WO GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36569,PR ANES FOR INS PICC WO PORT/PUMP >=5YR WO GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36570,PR ANES FOR INS PICC W SUBQ PORT < 5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36571,PR ANES FOR INS PICC W SUBQ PORT >= 5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36572,PR ANES FOR INSJ PICC RS&I <5 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36573,PR ANES FOR INSJ PICC RS&I 5 YR+,225.0,168.75,152.26,225.0,1324 CDM,PX-A36575,PR ANES FOR RPR TUN/NON-TUNL CVC WO PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36576,PR ANES FOR REPAIR CV CATH W SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36578,PR ANES FOR RPLC CATH CVAD W SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36580,PR ANES FOR RPLC CVC NONTUNL COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36581,PR ANES FOR RPLC COMPLT TUNL CVC WO PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36582,PR ANES FOR RPLC COMPLT TUNL CVAD W PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36583,PR ANES FOR RPLC COMPLT TUNL CVAD W PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36584,PR ANES FOR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A36585,PR ANES FOR RPLC COMPLT PICC CVC W PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36589,PR ANES FOR RMVL TUN CV CATH WO SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36590,PR ANES FOR RMVL TUNL CVAD W SUBQ PORT/PMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A36591,PR ANES FOR COLLECT BLOOD FROM IMPLANT VAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36592,PR ANES FOR COLLECT BLOOD PICC VENOUS NOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A36593,PR ANES FOR DECLOT IMPL VAD/CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36595,PR ANES FOR MCHNL RMVL PRICATH OBSTR CVAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36596,PR ANES FOR MCHNL RMVL INTRALU OBSTR CVAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A36597,PR ANES FOR REPO PREV PLC CVC FLUORO GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A36598,PR ANES FOR INJ CNTRST RAD EVAL CVAD FLUOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36600,PR ANES FOR ARTERIAL PUNCTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A36620,PR ANES FOR ARTL CATH/CNULA MONITOR PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36625,PR ANES FOR ARTL CATH/CNULA MONITOR CUTDWN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36640,"PR ANES FOR INSERT CATH,ART,CUTDOWN,PROLONG",225.0,168.75,152.26,225.0,1324 CDM,PX-A36660,PR ANES FOR CATH UMBCL ARTY NB DX/THERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36680,PR ANES FOR PLC NEEDLE INTRAOSSEUS INF,225.0,168.75,152.26,225.0,1324 CDM,PX-A36800,PR ANES FOR INS CANNULA HEMODIALYSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A36810,"PR ANES FOR INSERT CANNULA,ART-VEN,EXTERN",225.0,168.75,152.26,225.0,1324 CDM,PX-A36815,PR ANES FOR INS CANNULA HEMODIALYS ARTVEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36818,PR ANES FOR ART VEN ANAST OPN UARM CEPHALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36819,PR ANES FOR ART VEN ANAST OPN UARM BASILIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A36820,PR ANES FOR ART VEN ANAST OPN FORARM VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A36821,PR ANES FOR ARTERIOVENOUS ANAST OPN DIRECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36823,PR ANES FOR INS CNULA W RMVL CNULA RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A36825,PR ANES FOR CREATE ART VEN FSTL AUTOGRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36830,PR ANES FOR CREATE ART VEN FSTL NONAUTGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36831,PR ANES FOR THRMBCT ART VEN FSTL WO REV,225.0,168.75,152.26,225.0,1324 CDM,PX-A36832,PR ANES FOR REV ART VEN FSTL WO THRMBCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36833,PR ANES FOR REV ART VEN FSTL W THRMBCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36835,PR ANES FOR ARTERY TO VEIN SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36836,PR ANES FOR PERQ AV FISTULA CREATION UXTR SINGLE ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A36837,PR ANES FOR PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,225.0,168.75,152.26,225.0,1324 CDM,PX-A36838,PR ANES FOR DSTL REVASC UPEXT HEMO ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A36860,PR ANES FOR DECLOT EXTRNL CNULA WO BALLOON,225.0,168.75,152.26,225.0,1324 CDM,PX-A36861,PR ANES FOR EXT CANNULA DECLOTT W BALLOON CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A36901,PR ANES FOR AV FISTULA IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A36902,PR ANES FOR AV FISTULA PTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A36903,PR ANES FOR AV FISTULA STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A36904,PR ANES FOR AV FISTULA THROMBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36905,PR ANES FOR AV FISTULA PTA THROMBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36906,PR ANES FOR AV FISTULA STENT THROMBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A36907,PR ANES FOR AV FISTULA PTA CENTRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A36908,PR ANES FOR AV FISTULA STENT CENTRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A36909,PR ANES FOR AV FISTULA EMBOLIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A37140,PR ANES FOR VENOUS ANASTOMOSIS OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37145,PR ANES FOR RENOPORTAL SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37160,PR ANES FOR VENOUS ANAST OPN CAVAL-MESEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37180,PR ANES FOR VENOUS ANAST OPN SPLENORENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37181,PR ANES FOR VEN ANAST OPN SPLENORENL DIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37182,PR ANES FOR INS HEPATIC SHUNT (TIPS),225.0,168.75,152.26,225.0,1324 CDM,PX-A37183,PR ANES FOR REVISE HEPATIC SHUNT (TIPS),225.0,168.75,152.26,225.0,1324 CDM,PX-A37184,PR ANES FOR THRMBCT MECH PRIM PERC INIT VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37185,PR ANES FOR THRMBC MECH PRIM PERC SBSQ VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37186,PR ANES FOR THRMBCT PERC TRLUML SEC NONCOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A37187,PR ANES FOR THRMBCT MECH TRLUML VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37188,PR ANES FOR THRMBC PERC MECH TRLUML RPT TX,225.0,168.75,152.26,225.0,1324 CDM,PX-A37191,PR ANES FOR INSERT EVASC VENA CAVA FILTER,225.0,168.75,152.26,225.0,1324 CDM,PX-A37192,PR ANES FOR REPOS INTRAVASC VENA CAVA FLTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A37193,PR ANES FOR RTREV/RMVL EVASC VENACAVA FLTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A37195,PR ANES FOR THROMBOLYSIS CEREBRAL INFUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A37197,PR ANES FOR RTREV/RMVL INTRAVASC FB W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A37200,PR ANES FOR TRANSCATHETER BIOPSY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37211,PR ANES FOR TRANSCATH ARTL THPY W S&I INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37212,PR ANES FOR TRANSCATH VEN THPY W S&I INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37213,PR ANES FOR TRANSCATH ARTL/VEN THPY W S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A37214,PR ANES FOR CESSATION THROMBLYS RMVL CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A37215,PR ANES FOR PLC STENT CAROTID EMBO PROTECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37216,PR ANES FOR PLC STNT CARTD WO EMBO PROTECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37217,PR ANES FOR PLC STENT INTRTHRC CARTD/INNOM,225.0,168.75,152.26,225.0,1324 CDM,PX-A37218,PR ANES FOR PLC STENT PLC ANTEGRADE CARTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A37220,PR ANES FOR REVASC ILIAC ARTERY INIT VESSEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37221,PR ANES FOR REVASC OPN/PERC ILIAC W STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37222,PR ANES FOR REVASC ILIAC ARTY EA IPSI VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37223,PR ANES FOR REVASC ILIAC ARTY STNT ANGPLST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37224,PR ANES FOR REVASC FEM/POP W ANGPLST UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37225,PR ANES FOR REVASC FEM/POP W ATHRC/ANGPLST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37226,PR ANES FOR REVASC FEM/POP W STENT/ANGPLST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37227,PR ANES FOR REVASC FEM/POP W STNT/ATHR/ANG,225.0,168.75,152.26,225.0,1324 CDM,PX-A37228,PR ANES FOR REVASC TIB/PERO W ANGPLST UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37229,PR ANES FOR REVASC TIB/PERONEAL W ATHRC,225.0,168.75,152.26,225.0,1324 CDM,PX-A37230,PR ANES FOR REVASC TIB/PERO W STENT&ANGIOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A37231,PR ANES FOR REVASC TIB/PERO STNT&ARTH&ANGP,225.0,168.75,152.26,225.0,1324 CDM,PX-A37232,PR ANES FOR REVASC TIB/PERO W ANGPLST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37233,PR ANES FOR REVASC TIB/PERO ATHR&ANGIOP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37234,PR ANES FOR REVASC TIB/PERO STNT&ANGIOP EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37235,PR ANES FOR REVASC TIB/PERO STNT&ANTHR EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37236,PR ANES FOR PLC OPN/PERC STENT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37237,PR ANES FOR PLC OPN/PERC STENT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A37238,PR ANES FOR PLC OPN/PERC STENT SAME INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37239,PR ANES FOR PLC OPN/PERC STENT SAME EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A37241,PR ANES FOR VASC EMBL/OCCLUDE VENOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A37242,PR ANES FOR VASC EMBL/OCCLUDE ARTERIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37243,PR ANES FOR VASC EMBL/OCCLUDE TMR INFARCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37244,PR ANES FOR VASC EMBL/OCCLUDE HEMORRHAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A37246,PR ANES FOR PTA ARTERIAL INITIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37247,PR ANES FOR PTA ARTERIAL EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A37248,PR ANES FOR PTA VENOUS INITIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37249,PR ANES FOR PTA VENOUS EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A37252,PR ANES FOR INTRAVASC US NONCORONARY INIT VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37253,PR ANES FOR INTRAVASC US NONCORONARY ADD VSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37254,PR ANES FOR REVSC EVASC IVT ANGIO SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37255,PR ANES FOR REVSC EVASC IVT ANGIO SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37256,PR ANES FOR REVSC EVASC IVT ANGIO CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37257,PR ANES FOR REVSC EVSC IVT ANGIO CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37258,PR ANES FOR REVSC EVASC IVT STENT SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37259,PR ANES FOR REVSC EVASC IVT STENT SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37260,PR ANES FOR REVSC EVASC IVT ST CPLX 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37261,PR ANES FOR REVSC EVASC IVT ST CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37262,PR ANES FOR IV LITHOTRP IVT W/IN SM ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A37263,PR ANES FOR REVSC EVASC FPVT ANGIO SF 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37264,PR ANES FOR REVSC EVASC FPVT ANGIO SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37265,PR ANES FOR REVSC EVSC FPVT ANGIO CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37266,PR ANES FOR RVSC EVSC FPVT ANGIO CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37267,PR ANES FOR REVSC EVSC FPVT STENT SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37268,PR ANES FOR REVSC EVASC FPVT STENT SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37269,PR ANES FOR REVSC EVASC FPVT ST CPLX 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37270,PR ANES FOR REVSC EVASC FPVT ST CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37271,PR ANES FOR REVSC EVSC FPVT ATHRC SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37272,PR ANES FOR REVSC EVSC FPVT ATHRC SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37273,PR ANES FOR REVSC EVSC FPVT ATHRC CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37274,PR ANES FOR RVSC EVSC FPVT ATHRC CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37275,PR ANES FOR RVSC EVSC FPVT ST ATHRC SF 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37276,PR ANES FOR RVSC EVSC FPVT ST ATHR SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37277,PR ANES FOR RVSC EVSC FPVT ST ATHR CPX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37278,PR ANES FOR RVSC EVSC FPVT ST ATH CPX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37279,PR ANES FOR IV LITHOTRP FPVT W/IN SM ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A37280,PR ANES FOR REVSC EVSC TPVT ANGIO SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37281,PR ANES FOR REVSC EVSC TPVT ANGIO SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37282,PR ANES FOR RVSC EVSC TPVT ANGIO CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37283,PR ANES FOR RVSC EVSC TPVT ANGIO CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37284,PR ANES FOR REVSC EVASC TPVT ST SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37285,PR ANES FOR REVSC EVASC TPVT ST SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37286,PR ANES FOR REVSC EVASC TPVT ST CPLX 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37287,PR ANES FOR REVSC EVASC TPVT ST CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37288,PR ANES FOR REVSC EVSC TPVT ATHRC SF 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37289,PR ANES FOR REVSC EVSC TPVT ATHRC SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37290,PR ANES FOR REVSC EVSC TPVT ATHRC CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37291,PR ANES FOR REVSC EVSC TPVT ATHR CPLX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37292,PR ANES FOR RVSC EVSC TPVT ST ATHRC SF 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37293,PR ANES FOR RVSC EVSC TPVT ST ATHR SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37294,PR ANES FOR RVSC EVSC TPVT ST ATHR CPX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37295,PR ANES FOR RVSC EVSC TPVT ST ATH CPX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37296,PR ANES FOR REVSC EVASC IMVT ANGIO SF 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37297,PR ANES FOR REVSC EVASC IMVT ANGIO SF EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37298,PR ANES FOR REVSC EVSC IMVT ANGIO CPLX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A37299,PR ANES FOR REVSC EVSC IMVT ANGIO CPX EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37500,PR ANES FOR VASC ENDOSCOPY SURG W LIG PERF,225.0,168.75,152.26,225.0,1324 CDM,PX-A37501,PR ANES FOR UNLISTED PROC VASC ENDOSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37565,PR ANES FOR LIGATION INTERNAL JUGULAR VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37600,PR ANES FOR LIGATION EXTERNAL CAROTID ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37605,PR ANES FOR LIG INTERNAL/COM CAROTID ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37606,PR ANES FOR LIGAT INT/CMN CAROT ART W OCCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A37607,PR ANES FOR LIG/BANDING ANGIOACCESS AVF,225.0,168.75,152.26,225.0,1324 CDM,PX-A37609,PR ANES FOR LIGATION/BIOPSY TEMPORAL ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37615,PR ANES FOR LIGATION MAJOR ARTERY NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A37616,PR ANES FOR LIGATION MJR ARTERY CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A37617,PR ANES FOR LIGATION MAJOR ARTERY ABDOMEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37618,PR ANES FOR LIGATION MAJOR ARTY EXTREMITY,225.0,168.75,152.26,225.0,1324 CDM,PX-A37619,PR ANES FOR LIGATION OF INFERIOR VENA CAVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A37650,PR ANES FOR LIGATION FEMORAL VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37660,PR ANES FOR LIGATION COMMON ILIAC VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37700,PR ANES FOR LIGATION & DIV SAPHENOUS VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37718,PR ANES FOR LIG & STRIP SHORT SAPH VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37722,PR ANES FOR LIG & STRIP LONG SAPH VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37735,PR ANES FOR REMOVAL OF LEG VEINS/ULCER,225.0,168.75,152.26,225.0,1324 CDM,PX-A37760,PR ANES FOR LIG PRFRATR VEIN RAD GRFT 1LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A37761,PR ANES FOR LIG PRFRATR VEIN OPEN GRFT 1LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A37765,PR ANES FOR PHLEB VEINS 1 EXT 10-20 INCS,225.0,168.75,152.26,225.0,1324 CDM,PX-A37766,PR ANES FOR PHLEB VEINS 1 EXT > 20 INCS,225.0,168.75,152.26,225.0,1324 CDM,PX-A37780,PR ANES FOR LIG&DIV SHRT SAPH VEIN SAPH JN,225.0,168.75,152.26,225.0,1324 CDM,PX-A37785,PR ANES FOR LIG/DIV/EXC VEIN CLUSTR 1 LEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A37788,PR ANES FOR PENILE REVASC ARTY W/WO GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A37790,PR ANES FOR PENILE VENOUS OCCLUSIVE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A37799,PR ANES FOR UNLISTED PROC VASCULAR SURGERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38100,PR ANES FOR SPLENECTOMY TOT SEPARATE PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38101,PR ANES FOR SPLENECTOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38102,PR ANES FOR SPLENECTOMY TOTAL W OTHR PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38115,PR ANES FOR REPAIR RUPTURED SPLEEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A38120,PR ANES FOR LAPAROSCOPIC SURG SPLENECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38129,PR ANES FOR UNLISTED PROC LAP SPLEEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A38200,PR ANES FOR INJECTION FOR SPLEEN X-RAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38204,PR ANES FOR MGMT RCP HPC DONOR SEARCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A38205,PR ANES FOR HPC HARVEST ALLOGENIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38206,PR ANES FOR HPC HARVEST AUTOLOGOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A38207,PR ANES FOR CRYOPRESERVE/STORAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A38208,PR ANES FOR THAW,225.0,168.75,152.26,225.0,1324 CDM,PX-A38209,PR ANES FOR THAW & WASH,225.0,168.75,152.26,225.0,1324 CDM,PX-A38210,PR ANES FOR T CELL DEPLETION,225.0,168.75,152.26,225.0,1324 CDM,PX-A38211,"PR ANES FOR TRANS PREP CELLS,TUMOR CELL DEPLETE",225.0,168.75,152.26,225.0,1324 CDM,PX-A38212,PR ANES FOR RBC DEPLETION,225.0,168.75,152.26,225.0,1324 CDM,PX-A38213,"PR ANES FOR TRANS PREP CELLS,PLATELET DEPLETION",225.0,168.75,152.26,225.0,1324 CDM,PX-A38214,PR ANES FOR PLASMA DEPLETION,225.0,168.75,152.26,225.0,1324 CDM,PX-A38215,PR ANES FOR TRANSPLANT CELL CONCENTRATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A38220,PR ANES FOR BONE MARROW ASPIRATION ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38221,PR ANES FOR BONE MARROW BIOPSY NDL/TROCAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38222,PR ANES FOR DX BONE MARROW BX & ASPIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38230,PR ANES FOR BONE MARROW HARVEST TX ALLOGEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A38232,PR ANES FOR BN MARROW HARVEST TRANPL AUTO,225.0,168.75,152.26,225.0,1324 CDM,PX-A38240,PR ANES FOR TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38241,PR ANES FOR BMT/STEM CELL TX AUTO,225.0,168.75,152.26,225.0,1324 CDM,PX-A38242,PR ANES FOR ALLOGENEIC LYMPHOCYTE INFUSIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A38243,PR ANES FOR TRNSPLJ HEMATOPOIETIC CELL BOOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A38300,PR ANES FOR DRAIN LYMPH NODE ABSCESS SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38305,PR ANES FOR DRAIN LYMPH NODE ABSC EXTNSV,225.0,168.75,152.26,225.0,1324 CDM,PX-A38308,PR ANES FOR LYMPHANGIOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38380,PR ANES FOR SUTR&/LIG THORA DUCT CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38381,PR ANES FOR SUTR&/LIG THORA DUCT THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38382,PR ANES FOR SUTR&/LIG THORA DUCT ABDL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38500,PR ANES FOR BX/EXCISN LYMPH NODE OPN SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38505,PR ANES FOR BX/EXCISN LYMPH NODE NDL SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38510,PR ANES FOR BX/EXC LYMPHNODE OPN DEEP CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A38520,PR ANES FOR BX/EXC LYMPHNODE CERV EXC FAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A38525,PR ANES FOR BX/EXC LYMPHNODE OPN AXILLARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38530,PR ANES FOR BX/EXC LYMPHNODE OPEN MAMMARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38531,"PR ANES FOR BX/EXC LYMPHNODE OPN, INGUINOFEM",225.0,168.75,152.26,225.0,1324 CDM,PX-A38542,PR ANES FOR DISSECTION DEEP JUGULAR NODE,225.0,168.75,152.26,225.0,1324 CDM,PX-A38550,PR ANES FOR EXCISN CYSTIC HYGROMA AX WO DP,225.0,168.75,152.26,225.0,1324 CDM,PX-A38555,PR ANES FOR EXCISN CYSTIC HYGROMA AX W DP,225.0,168.75,152.26,225.0,1324 CDM,PX-A38562,PR ANES FOR LMTD LMPHADEC STAGE PEL&AORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38564,PR ANES FOR LMTD LMPHADEC STAGE RPR AORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38570,PR ANES FOR LAPROSC RETROPERIT LYMPH ND BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A38571,PR ANES FOR LAPROSC BILAT TOT PELV LMPHADEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38572,PR ANES FOR LAP LMPHADC&PERIAORTC LYMPH BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A38573,PR ANES FOR LAPS PELVIC LYMPHADEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38589,PR ANES FOR UNLISTED PROC LAP LYMPH SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A38700,PR ANES FOR SUPRAHYOID LYMPHADENECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38720,PR ANES FOR CERVICAL LYMPHADENECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38724,PR ANES FOR CERV LMPH MOD/RAD NECK DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A38740,PR ANES FOR AXILLARY LYMPHADENECTOMY SUPF,225.0,168.75,152.26,225.0,1324 CDM,PX-A38745,PR ANES FOR AXILLARY LYMPHADENECTOMY COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38746,PR ANES FOR LMPHADEC THOR THORCOM MED®,225.0,168.75,152.26,225.0,1324 CDM,PX-A38747,PR ANES FOR LMPHADEC ABDL REG CELIAC GASTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A38760,PR ANES FOR INGUINOFEM LMPHADEC SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38765,PR ANES FOR INGUINO LMPHDEC W PLVC LMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38770,PR ANES FOR PLVC LMPHDEC ILIAC HYPOGASTRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A38780,PR ANES FOR RPERIT TABDL LMPHDEC PLVC RENL,225.0,168.75,152.26,225.0,1324 CDM,PX-A38790,PR ANES FOR INJ PROCEDURE LYMPHANGIOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A38792,PR ANES FOR INJ RADIOACT TRACE SENTINEL ND,225.0,168.75,152.26,225.0,1324 CDM,PX-A38794,PR ANES FOR CANNULATION THORACIC DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A38900,PR ANES FOR INTRAOP SENTINL LYMPH NODE INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A38999,PR ANES FOR UNLISTED PROC HEMIC/LYMPHATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A39000,PR ANES FOR MEDIAST W EXPL DRAIN CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A39010,PR ANES FOR MEDIAST EXPL DRAIN TTHOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A39200,PR ANES FOR RESECTION OF MEDIASTINAL CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A39220,PR ANES FOR RESECTION MEDIASTINAL TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A39401,PR ANES FOR MEDIASTINOSCOPY W MEDIASTINAL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A39402,PR ANES FOR MEDIASTINOSCOPY W LYMPH ND BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A39499,PR ANES FOR UNLISTED PROC HEM OR LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A39501,PR ANES FOR REPAIR LACERATION DIAPHRAGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A39503,PR ANES FOR RPR NEONATAL DIPHRG HERNIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A39540,PR ANES FOR RPR HERNIA NOT NEONATAL ACUTE,225.0,168.75,152.26,225.0,1324 CDM,PX-A39541,PR ANES FOR RPR HERNIA NOT NEONATAL CHRNC,225.0,168.75,152.26,225.0,1324 CDM,PX-A39545,PR ANES FOR IMBRICATION DIAPHRAGM EVENTRAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A39560,PR ANES FOR RESC DIAPHRAGM W SIMPLE REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A39561,PR ANES FOR RESC DIAPHRAGM W COMPLX REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A39599,PR ANES FOR UNLISTED PROCEDURE DIAPHRAGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A40490,PR ANES FOR BIOPSY LIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A40500,PR ANES FOR VERMILIONECTOMY LIP W MUC ADV,225.0,168.75,152.26,225.0,1324 CDM,PX-A40510,PR ANES FOR EXCISN LIP TRANSV WEDGE W CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A40520,PR ANES FOR EXCISN LIP V-EXCISION W CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A40525,PR ANES FOR EXCISN LIP RCNST W LOCAL FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A40527,PR ANES FOR EXCISN LIP RCNST W CROSS FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A40530,PR ANES FOR RSECT LIP >1/4 WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A40650,PR ANES FOR RPR LIP FULL THICK VERMIL ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A40652,PR ANES FOR RPR LIP F THICK HALF VERTC HT,225.0,168.75,152.26,225.0,1324 CDM,PX-A4066F,PR ANES FOR ELECTROCONVULSIVE THERAPY (ECT) PROVIDED,225.0,168.75,152.26,225.0,1324 CDM,PX-A40700,PR ANES FOR RPR CLEFT LIP PLASTIC PRIM UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A40701,PR ANES FOR RPR CLEFT LIP PLSTC BILAT 1 STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A40702,PR ANES FOR RPR CLEFT LIP PLSTC BILAT 2 STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A40720,PR ANES FOR RPR CLEFT LIP PLSTC SECONDARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A40761,PR ANES FOR LSTC RPR CLFT LIP/NSL DFRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A40799,PR ANES FOR UNLISTED PROCEDURE LIPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A40800,PR ANES FOR DRN MOUTH LESION SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40801,PR ANES FOR DRN MOUTH LESION CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A40804,PR ANES FOR RMVL FB VESTIBULE MOUTH SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40805,PR ANES FOR RMVL FB VESTIBULE MOUTH COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40806,PR ANES FOR INCISION LABIAL FRENUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A40808,PR ANES FOR BIOPSY VESTIBULE OF MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A40810,PR ANES FOR EXCISN LESN MOUTH WO RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A40812,PR ANES FOR EXCISN LESN MOUTH W RPR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40814,PR ANES FOR EXCISN LESN MOUTH W RPR CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A40816,PR ANES FOR EXCISN LESN MOUTH W MUS EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A40818,PR ANES FOR EXCISN MUCOSA MOUTH DONOR GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A40819,PR ANES FOR EXCISN FRENUM LABIAL/BUCCAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40820,PR ANES FOR DEST LESN/SCAR VESTIBULE MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A40830,PR ANES FOR CLSR LAC VEST MOUTH<=2.5 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A40831,PR ANES FOR CLSR LAC VEST MOUTH>2.5 CM/CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A40840,PR ANES FOR VESTIBULOPLASTY ANTERIOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A40842,PR ANES FOR VESTIBULOPLASTY POSTERIOR UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A40843,PR ANES FOR VESTIBULOPLASTY POSTERIOR BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A40844,PR ANES FOR VESTIBULOPLASTY ENTIRE ARCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A40845,PR ANES FOR VESTIBPLSTY CMPLX W RIDGE EXTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A40899,PR ANES FOR UNLISTED PROC VESTIBULE MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A41000,PR ANES FOR I&D INTRAORAL LESN LINGUAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A41005,PR ANES FOR I&D INTRAORAL LESN SUBLINGUAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A41006,PR ANES FOR I&D TONGUE/FLOOR SUBLINGL DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A41007,PR ANES FOR I&D INTRAORAL SUBMENTAL SPACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41008,PR ANES FOR I&D ABSC INTRAORAL SUBMAND SPACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41009,PR ANES FOR I&D ABSC INTRAORAL MASTICAT SPACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41010,PR ANES FOR INCISN LINGUAL FRENUM FRENOTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A41015,PR ANES FOR I&D EXTRAORAL ABSC SUBLINGUAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A41016,PR ANES FOR I&D EXTRAORAL ABSC SUBMENTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A41017,PR ANES FOR I&D EXTRAORAL ABSC SUBMANDIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A41018,PR ANES FOR I&D EXTRAORAL ABSC MASTICATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41019,PR ANES FOR PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A41100,PR ANES FOR BX TONGUE ANTR 2/3,225.0,168.75,152.26,225.0,1324 CDM,PX-A41105,PR ANES FOR BX TONGUE POSTR 1/3,225.0,168.75,152.26,225.0,1324 CDM,PX-A41108,PR ANES FOR BIOPSY FLOOR MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A41110,PR ANES FOR EXCISN LESN TONGUE WO CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41112,PR ANES FOR EXCISN LESN TNG W CLSR ANTR 2/3,225.0,168.75,152.26,225.0,1324 CDM,PX-A41113,PR ANES FOR EXCISN LESN TNG W CLSR POSTR 1/3,225.0,168.75,152.26,225.0,1324 CDM,PX-A41114,PR ANES FOR EXCISN LESN TNG W CLSR W FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A41115,PR ANES FOR EXCISN LINGUAL FRENUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A41116,PR ANES FOR EXCISN LESN FLOOR OF MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A41120,PR ANES FOR GLOSSECTOMY <1/2 TONGUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41130,PR ANES FOR GLOSSECTOMY HEMIGLOSSECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A41135,PR ANES FOR GLSSC PARTL W UNILAT RAD NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41140,PR ANES FOR GLSSC COMPL WO RAD NECK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41145,PR ANES FOR GLSSC COMPL W UNILAT RAD NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41150,PR ANES FOR GLSSC COMPOSITE W MANDIB RESEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41153,PR ANES FOR GLSSC COMPOSITE SUPRAHYD DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41155,PR ANES FOR GLSSC MANDIB RSECT & NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A41250,PR ANES FOR RPR LAC <=2.5CM ANTR 2/3 TNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A41251,PR ANES FOR RPR LAC <=2.5CM POSTR 1/3 TNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A41252,PR ANES FOR RPR LAC TONGUE >2.6CM COMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A41510,PR ANES FOR SUTURE TNG LIP MICROGNATHIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A41512,"PR ANES FOR TONGUE BASE SUSPENSION, PERM SUTURE",225.0,168.75,152.26,225.0,1324 CDM,PX-A41520,PR ANES FOR FRENOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A41530,PR ANES FOR SUBMUC ABLT TNG >=1 SITE/SESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A41599,PR ANES FOR UNLISTED PROC TNG/FLOOR OF MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A41800,PR ANES FOR DRN ABSC HEMA DENTOAVEOLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41805,PR ANES FOR RMVL EMBEDDED FB DENTOALVEOLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41806,PR ANES FOR RMVL FB DENTOALVEOLAR BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41820,PR ANES FOR GINGIVECTOMY EA QUADRANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A41821,PR ANES FOR OPERCULECTOMY PRICORONAL TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A41822,PR ANES FOR EXCISN FIBR TUBEROST DENTOAVEOLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41823,PR ANES FOR EXCISN OSS TUBEROST DENTOAVEOLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41825,PR ANES FOR EXCISN LESN DNTOALVOLR WO RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A41826,PR ANES FOR EXCISN LESN DNTOALVOLR W RPR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A41827,PR ANES FOR EXCISN LESN DNTOALVOLR W RPR CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A41828,PR ANES FOR EXCISN HYPERPLASTIC ALVEOL MUC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A41830,PR ANES FOR ALVEOLECTOMY W CURRETTAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41850,PR ANES FOR DEST LESN DNTOALVOLR STRUCTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A41870,PR ANES FOR PERIODONTAL MUCOSAL GRAFTING,225.0,168.75,152.26,225.0,1324 CDM,PX-A41872,PR ANES FOR GINGIVOPLASTY EACH QUADRANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A41874,PR ANES FOR ALVEOLOPLASTY EACH QUADRANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A41899,PR ANES FOR UNLISTED PROC DENTOALVEOLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42000,PR ANES FOR DRAINAGE ABSCESS PALATE UVULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42100,PR ANES FOR BIOPSY PALATE UVULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42104,PR ANES FOR EXCISN LESN PALATE UVULA WO CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42106,PR ANES FOR EXCISN LESN PALAT UVLA W CLS SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42107,PR ANES FOR EXCISN LESN PALAT UVLA W FLAP CLS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42120,PR ANES FOR RESCT PALATE/EXTENS RESCT LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A42140,PR ANES FOR UVULECTOMY EXCISION UVULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42145,PR ANES FOR PALATOPHARYNGOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42160,PR ANES FOR DEST LESN PALATE UVULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42180,PR ANES FOR RPR LACERATION OF PALATE<=2 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A42182,PR ANES FOR RPR PALATE LAC >2CM CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42200,PR ANES FOR PALATOPLASTY CLEFT PALATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A42205,PR ANES FOR PALATOP CLEFT PALATE W CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42210,PR ANES FOR PALATOP CLEFT PALATE W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A42215,PR ANES FOR PALATOP CLEFT PALATE MJR REV,225.0,168.75,152.26,225.0,1324 CDM,PX-A42220,PR ANES FOR PALATOP CLEFT SECNDRY LENGTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A42225,PR ANES FOR PALATOP CLEFT W PHRYNGL FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42226,PR ANES FOR LENGTHN PALATE PHRYNGL FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42227,PR ANES FOR LENGTHENING PALATE W/ISLAND FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42235,PR ANES FOR RRP ANTR PALATE W VOMER FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42260,PR ANES FOR REPAIR NASOLABIAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42280,PR ANES FOR MAXILL IMPRESSN-PALATE PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42281,PR ANES FOR INSERT PIN RETAIN PALAT PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A42299,PR ANES FOR UNLISTED PROC PALATE UVULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42300,PR ANES FOR DRAINAGE ABSCESS PAROTID SMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A42305,PR ANES FOR DRAINAGE ABSCESS PAROTID COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42310,PR ANES FOR DRN ABSC SUBMAX/SUBLIN INTORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42320,PR ANES FOR DRN ABSC SUBMAX INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42330,PR ANES FOR SIALOLITHTOMY UNCOMP INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42335,PR ANES FOR SIALOLITHOTOMY COMPL INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42340,PR ANES FOR SIALOLITHOTOMY EXT/COMP INTRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42400,PR ANES FOR BX SALIVARY GLAND NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A42405,PR ANES FOR BX SALIVARY GLAND INCISIONAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42408,PR ANES FOR EXCISN SUBLINGUAL SALIVARY CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A42409,PR ANES FOR MARSUP SUBLINGUAL SALIV CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A42410,PR ANES FOR EXCISN PRTD TMR LAT WO NRV DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A42415,PR ANES FOR EXCISN PRTD TMR LAT W NRV DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A42420,PR ANES FOR EXCISN PRTD TMR TOT W NRV DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A42425,PR ANES FOR EXCISN PRTD TMR TOT EN BLOC RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42426,PR ANES FOR EXCISN PRTD TMR TOT RAD NK DISEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A42440,PR ANES FOR EXCISN SUBMANDIB SUBMAX GLAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A42450,PR ANES FOR EXCISN SUBLINGUAL GLAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A42500,PR ANES FOR PLASTIC RPR SALIV DUCT PRIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A42505,PR ANES FOR PLASTIC RPR SALIV DUCT SECNDRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42507,"PR ANES FOR PAROTID DUCT DIVERT,BILAT",225.0,168.75,152.26,225.0,1324 CDM,PX-A42509,"PR ANES FOR PAROTID DUCT DIVERT,EXC BISUBMAND",225.0,168.75,152.26,225.0,1324 CDM,PX-A42510,PR ANES FOR PAROTID DUCT DIVERSION BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A42550,PR ANES FOR INJECTION FOR SALIVARY X-RAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42600,PR ANES FOR CLOSURE SALIVARY FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A42650,PR ANES FOR DILATION SALIVARY DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A42660,PR ANES FOR DILAT&CATH SALIVARY DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A42665,PR ANES FOR LIGATION SALIV DUCT INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42699,PR ANES FOR UNLISTED PROC SALIV GLANDS/DUCTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42700,PR ANES FOR I&D ABSCESS PERITONSILLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42720,PR ANES FOR I&D ABSC PHRYNGL INTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42725,PR ANES FOR I&D ABSC PHRYNGL EXTRAORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42800,PR ANES FOR BIOPSY OROPHARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42804,PR ANES FOR BX NASOPHRYNX VISIBLE LESN SMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42806,PR ANES FOR BX NASOPHRYNX SURVEY PRIM LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A42808,PR ANES FOR EXCISN/DEST LESION PHARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42809,PR ANES FOR REMOVAL FB PHARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42810,PR ANES FOR EXCISN BRANCHL CLEFT CYST CONFIND,225.0,168.75,152.26,225.0,1324 CDM,PX-A42815,PR ANES FOR EXCISN BRANCHL CLEFT CYST EXTEND,225.0,168.75,152.26,225.0,1324 CDM,PX-A42820,PR ANES FOR TONSILLECT&ADENOIDECT <12 YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42821,PR ANES FOR TONSILLECT&ADENOIDECT >=12 YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42825,PR ANES FOR TONSILLECTOMY PRIM/SEC <12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42826,PR ANES FOR TONSILLECTOMY PRIM/SEC >=12YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42830,PR ANES FOR ADENOIDECTOMY PRIMARY <12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42831,PR ANES FOR ADENOIDECTOMY PRIMARY >=12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42835,PR ANES FOR ADENOIDECTOMY SECNDRY <12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42836,PR ANES FOR ADENOIDECTOMY SECNDRY >=12YRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42842,PR ANES FOR RADCL RSECT TONSIL WO CLOSURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A42844,PR ANES FOR RADCL RSECT TONSIL W LOCAL FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42845,PR ANES FOR RADCL RSECT TONSIL W OTHR FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A42860,PR ANES FOR EXCISION TONSIL TAGS,225.0,168.75,152.26,225.0,1324 CDM,PX-A42870,PR ANES FOR EXCISN/DEST LINGUAL TONSIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42890,PR ANES FOR LIMITED PHARYNGECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42892,PR ANES FOR RESCT LAT PHRYNGL WALL/PYRFRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A42894,PR ANES FOR RESCT PHRYNGL WALL REQ CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42900,PR ANES FOR SUTURE PHARYNX WOUND/INJRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42950,PR ANES FOR PHARYNGOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42953,PR ANES FOR PHARYNGOESOPHAGEAL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A42955,PR ANES FOR PHARYNGOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A42960,PR ANES FOR CNTRL OROPHARYNGEAL HEMR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42961,PR ANES FOR CNTRL OROPHARYNGEAL HEMR CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42962,PR ANES FOR CNTRL OROPHARYNGEAL HEMR SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A42970,PR ANES FOR CNTRL NASOPHARYNGEAL HEMR SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A42971,"PR ANES FOR CNTRL NASOPHARYNG BLEED,COMPLICATED",225.0,168.75,152.26,225.0,1324 CDM,PX-A42972,"PR ANES FOR CNTRL NASOPHARYNG BLEED,SURGERY",225.0,168.75,152.26,225.0,1324 CDM,PX-A42975,PR ANES FOR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A42999,PR ANES FOR UNLISTED PROC PHARYNX/ADEN/TONSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43020,"PR ANES FOR INCIS ESOPHAGUS,FOREIGN BODY,CERV",225.0,168.75,152.26,225.0,1324 CDM,PX-A43030,PR ANES FOR CRICOPHARYNGEAL MYOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43045,PR ANES FOR ESOPHAGOTOMY RMVL FB THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43100,PR ANES FOR EXCISN LESN ESOPH RPR CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43101,PR ANES FOR EXCISN LESN ESOPH RPR THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43107,PR ANES FOR TOT ESOPHCTOMY WO THORCTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43108,PR ANES FOR ESOPHAGECT WO THORCOM TOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43112,PR ANES FOR TOT ESOPHCTOMY W THORCTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43113,PR ANES FOR TOT ESOPHCTMY W THORCTMY W COL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43116,PR ANES FOR PRTL ESOPHAGECTOMY CERV W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43117,PR ANES FOR PRTL ESOPHAGECTOMY DSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43118,PR ANES FOR PRTL ESOPHECT W COLON INTERPOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43121,PR ANES FOR PRTL ESOPHECT W/WO PYLOROPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43122,PR ANES FOR PRTL ESOPHAGECTOMY THORACOABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A43123,PR ANES FOR ESOPHAGECT THOACOABD/ABD PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43124,PR ANES FOR TOT/PRTL ESOPHCTMY WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A43130,PR ANES FOR DIVERTICULECTOMY CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43135,PR ANES FOR DIVERTICULECTOMY THORACIC APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43180,PR ANES FOR ESOPHAGOSCOPY RIGID TRANSORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43191,PR ANES FOR ESOPHAGOSCOPY RIGID DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43192,PR ANES FOR ESOPHAGOSCOPY SUBMUCOSAL INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43193,PR ANES FOR ESOPHSCOPY RIGID TXORAL W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43194,PR ANES FOR ESOPHSCOPY RIG TXORAL RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A43195,PR ANES FOR ESOPHSCOPY RIGID TXORAL BALN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43196,PR ANES FOR ESOPHSCOPY RIG TXORAL GUID WIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43197,PR ANES FOR ESOPHSCOPY FLEX TRANSNASAL DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43198,PR ANES FOR ESOPHAGOSCOPY FLEX NASAL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43200,PR ANES FOR ESOPHSCOPY FLEX TRANSORAL DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43201,PR ANES FOR ESOPHSCOPY TXORAL W SUBMUC INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43202,PR ANES FOR ESOPHSCOPY FLEX TXORAL W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43204,PR ANES FOR ESOPHAGOSCOPY W INJ SCLEROSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43205,PR ANES FOR ESOPHAGOSCOPY FLEX LIGATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A43206,PR ANES FOR ESOPHAGOSCOPY W ENDOMICROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43210,PR ANES FOR EGD FLEX TRANSORAL W FUNDOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43211,PR ANES FOR ESOPHAGOSCOPY W EMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43212,PR ANES FOR ESOPHSCOPY TXORAL STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A43213,PR ANES FOR ESOPHAGOSCOPY RETROGRADE BALN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43214,PR ANES FOR ESOPHSCOPY DILATE BALN >=30MM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43215,PR ANES FOR ESOPHAGOSCOPY FLEX RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A43216,PR ANES FOR ESOPHAGOSCOPY W RMVL HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43217,PR ANES FOR ESOPHAGOSCOPY W RMVL SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43220,PR ANES FOR ESOPHSCOPY DILATE BALN <30MM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43226,PR ANES FOR ESOPHSCOPY FLEX GUIDE WIRE DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43227,PR ANES FOR ESOPHAGOSCOPY W CTRL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A43229,PR ANES FOR ESOPHAGOSCOPY LESION W ABLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43231,PR ANES FOR ESOPHAGOSCOPY W EUS EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43232,PR ANES FOR ESOPHAGOSCOPY W EUS FNA/BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43233,PR ANES FOR EGD W BALN DIL > 30MM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43235,PR ANES FOR EGD TRANSORAL DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43236,PR ANES FOR EGD W DIRECT SUBMUCOSAL INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43237,PR ANES FOR EGD W EUS LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A43238,PR ANES FOR EGD W EUS FNA/BX ESOPH ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43239,PR ANES FOR EGD W BIOPSY SNGL/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43240,PR ANES FOR EGD W TRANSMURAL DRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43241,PR ANES FOR EGD INTRALUMINAL TUBE/CATH INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43242,PR ANES FOR EGD W EUS FNA BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43243,PR ANES FOR EGD INJ SCLEROSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43244,PR ANES FOR EGD BAND LIGATION VARICIES,225.0,168.75,152.26,225.0,1324 CDM,PX-A43245,PR ANES FOR EGD DILATION GASTR/DUOD STRICT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43246,PR ANES FOR EGD PERC PLC GASTROTOMY TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43247,PR ANES FOR EGD FLEX RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A43248,PR ANES FOR EGD INSERT GUIDE WIRE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43249,PR ANES FOR EGD BALN DILATION ESOPH <30MM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43250,PR ANES FOR EGD DX W RMVL HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43251,PR ANES FOR EGD W RMVL SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43252,PR ANES FOR EGD W ENDOMICROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43253,PR ANES FOR EGD W EUS TRANSMURAL INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43254,PR ANES FOR EGD W EMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43255,PR ANES FOR EGD CTRL BLEED ANY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43257,PR ANES FOR ENDO UGI W THERMAL GERD TX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43259,PR ANES FOR EGD W EUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43260,PR ANES FOR ERCP DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43261,PR ANES FOR ERCP W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A43262,PR ANES FOR ERCP SPHINC/PAPILLOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43263,PR ANES FOR ERCP W MANOMETRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43264,PR ANES FOR ERCP W RMVL STONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43265,PR ANES FOR ERCP W DESTRUCT CALCULI,225.0,168.75,152.26,225.0,1324 CDM,PX-A43266,PR ANES FOR EGD W STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A43270,PR ANES FOR EGD W LESION ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A43273,PR ANES FOR ENDOSCOPIC PANCREATOSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43274,PR ANES FOR ERCP DUCT STENT PLC W DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43275,PR ANES FOR ERCP W RMVL FB/STNT DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43276,PR ANES FOR ERCP STENT EXCHANGE W DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43277,PR ANES FOR ERCP W TRANS BALN DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43278,PR ANES FOR ERCP ABLATION W DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43279,PR ANES FOR LAPAROSCOPY ESOPHAGOMYOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43280,PR ANES FOR LAPAROSCOPY FUNDOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43281,PR ANES FOR LAP PARAESOPH HERNIA WO MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43282,PR ANES FOR LAP PARAESOPH HERNIA W MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43283,PR ANES FOR LAP ESOPHAGEAL LENGTHN ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43284,PR ANES FOR LAPS ESOPHGL SPHNCTR AGMNTJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43285,PR ANES FOR RMVL ESOPHGL SPHNCTR DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A43286,PR ANES FOR ESPHG TOT W/LABS MOBLJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43287,PR ANES FOR ESPHG DIST 2/3 W/LAPS MBL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43288,PR ANES FOR ESPHG THRSC MOBLJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A43289,PR ANES FOR UNLISTED PROC LAP ESOPHAGUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43290,PR ANES FOR EGD FLX TRNSORL DPLMNT BALLOON,225.0,168.75,152.26,225.0,1324 CDM,PX-A43291,PR ANES FOR EGD FLX TRNSORL RMVL BALLOON,225.0,168.75,152.26,225.0,1324 CDM,PX-A43300,PR ANES FOR ESOPH RPR CERV APPR WO FSTL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43305,PR ANES FOR ESOPH RPR CERV APPR W FSTL RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43310,PR ANES FOR ESOPHPLSTY THOR APPR WO FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43312,PR ANES FOR ESOPHPLSTY THOR APPR W FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43313,PR ANES FOR ESOPHPLSTY CONG DFCT WO RPR FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43314,PR ANES FOR ESOPHPLSTY CONG DFCT W RPR FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43320,PR ANES FOR ESOPHAGOGASTROST TRNABD/TRNTHOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43325,PR ANES FOR ESOPHAGOGASTRIC FUNDOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43327,PR ANES FOR EGST FUNDOPLASTY W LAPAROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43328,PR ANES FOR EGST FUNDOPLASTY W THORACOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43330,PR ANES FOR EGST HELLER TYPE ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43331,PR ANES FOR ESGT HELLER TYPE THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43332,PR ANES FOR RPR HIATAL HERNIA WO MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43333,PR ANES FOR RPR HIATAL HERNIA W MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43334,PR ANES FOR RPR HIAT HERNIA THRCTM WO MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43335,PR ANES FOR RPR HIAT HERNIA THRCTM W MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43336,PR ANES FOR RPR HIAT HERNIA THRABD WO MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43337,PR ANES FOR RPR HIAT HERNIA THORABD W MESH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43338,PR ANES FOR ESOPHAGEAL LENGTHENING PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A43340,PR ANES FOR ESOJEJUNOS WO GSTRCT ABDL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43341,PR ANES FOR ESOJEJUNOS WO GSTRCT THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43351,PR ANES FOR ESPHAGOSTOMY FISTULIZATION EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43352,PR ANES FOR ESOPHAGOSTOMY EXTRNL CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43360,PR ANES FOR RCNST ESOPHAGECTOMY STOMACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43361,PR ANES FOR RCNST ESOPHAGECT INTSTN W COLON,225.0,168.75,152.26,225.0,1324 CDM,PX-A4338,PR INDW FOLEY CATHETER,22.0,16.5,9.9,22.0,636 CDM,PX-A43400,PR ANES FOR LIGATE ESOPHAGUS VARICES,225.0,168.75,152.26,225.0,1324 CDM,PX-A43405,"PR ANES FOR LIGATE/STAPLE ESOPHAGUS,GE JUNC",225.0,168.75,152.26,225.0,1324 CDM,PX-A43410,PR ANES FOR SUTR ESOPH WND CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43415,PR ANES FOR SUTR ESOPH WND THOR/ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43420,PR ANES FOR CLSR ESOPHAGOSTOMY CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43425,PR ANES FOR CLSR ESOPHAGOSTOMY TH/ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43450,PR ANES FOR DIL ESOPHAGUS UNGUIDED SOUND,225.0,168.75,152.26,225.0,1324 CDM,PX-A43453,PR ANES FOR DILATION ESOPHAGUS GUIDE WIRE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43460,PR ANES FOR ESOPHAGOGASTRIC TAMPONADE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43496,PR ANES FOR TRNSF JEJUNM W MICROVASC ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A43497,PR ANES FOR PERORAL ENDOSCOPIC MYOTOMY (POEM),225.0,168.75,152.26,225.0,1324 CDM,PX-A43499,PR ANES FOR UNLISTED PROCEDURE ESOPHAGUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43500,PR ANES FOR GASTROTOMY W EXPLR/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A43501,PR ANES FOR GASTROTOMY SUTR RPR BLEED ULCER,225.0,168.75,152.26,225.0,1324 CDM,PX-A43502,"PR ANES FOR OPEN STOM,REOLD GE LACERATN",225.0,168.75,152.26,225.0,1324 CDM,PX-A43510,"PR ANES FOR GASTROTOMY,ESOPH DIL+PERM TUBE",225.0,168.75,152.26,225.0,1324 CDM,PX-A43520,PR ANES FOR PYLORMYOTOMY CUT PYLORIC MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A4357,PR DRAINAGE BAG,12.0,9.0,5.4,12.0,636 CDM,PX-A43605,PR ANES FOR BIOPSY OF STOMACH LAPAROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43610,PR ANES FOR EXCISN ULCER/BEN TMR STOMACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43611,PR ANES FOR EXCISN TMR MLG STOMACH LOCAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43620,PR ANES FOR GASTRECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43621,PR ANES FOR GASTRECTOMY TOTAL W ROUX-EN-Y,225.0,168.75,152.26,225.0,1324 CDM,PX-A43622,PR ANES FOR GASTRECTOMY TOT W FORM POUCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43631,PR ANES FOR GASTRECT PRTL DSTL W GASTRODUOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A43632,PR ANES FOR GASTRECTOMY DIST PARTL W G-J,225.0,168.75,152.26,225.0,1324 CDM,PX-A43633,PR ANES FOR GASTRECTOMY PARTL W ROUX-EN-Y,225.0,168.75,152.26,225.0,1324 CDM,PX-A43634,PR ANES FOR GASTRECTOMY PRTL W FORM POUCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43635,PR ANES FOR VAGOTOMY W DIST GASTRECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43640,PR ANES FOR VGTMY PYLORPLSTY W/WO GASTROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A43641,PR ANES FOR VAGOTMY W/WO GASTRECTMY PARIETAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43644,PR ANES FOR LAP GASTR BYP&ROUX-EN-Y <150CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43645,PR ANES FOR LAP GSTRC BYPASS&INTSTN RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A43647,PR ANES FOR LAP IMPL/RPLC GASTRIC NSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43648,PR ANES FOR LAP REV/RMVL GASTRIC NSTIM ELC,225.0,168.75,152.26,225.0,1324 CDM,PX-A43651,PR ANES FOR LAP TRNSECT VAGUS NRV TRUNCAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43652,PR ANES FOR LAP TRNSECT VAGUS NRV SELECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43653,PR ANES FOR LAPAROSCOPY SURGICAL GASTRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A43659,PR ANES FOR UNLISTED PROCEDURE LAP STOMACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A43752,PR ANES FOR PLC TUBE NASAL/OROGAST W FLUOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A43753,PR ANES FOR INTUB&ASP/LAVAGE GASTRIC THER,225.0,168.75,152.26,225.0,1324 CDM,PX-A43754,PR ANES FOR GASTRIC INTUBATION DX SINGLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43755,PR ANES FOR GASTRIC INTUBATION DX MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43756,PR ANES FOR DUODENAL INTUBATION DX SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A43757,PR ANES FOR DUODENAL INTUBATION DX MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43761,PR ANES FOR REPOSITION GASTROSTOMY TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43762,PR ANES FOR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A43763,PR ANES FOR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A43770,PR ANES FOR LAP PLCMNT GASTRIC DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43771,PR ANES FOR LAP REVISION GASTRIC DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43772,PR ANES FOR LAP RMVL GASTRIC DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43773,PR ANES FOR LAP RMVL&RPLC GASTRIC DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43774,PR ANES FOR LAP RMVL GASTRIC DEV ALL PARTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A43775,PR ANES FOR LAP LONGITUDINAL GASTRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43800,PR ANES FOR PYLOROPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43810,PR ANES FOR GASTRODUODENOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43820,PR ANES FOR GASTROJEJUNOSTOMY WO VAGOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43825,PR ANES FOR GASTROJEJUNOSTOMY W VAGOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43830,PR ANES FOR GASTROSTOMY WO CNSTRCT G TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A43831,PR ANES FOR GASTROSTOMY NEONATAL FEED OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43832,PR ANES FOR GASTROSTOMY CNSTRCT GASTRC TUB,225.0,168.75,152.26,225.0,1324 CDM,PX-A43840,PR ANES FOR GASTRORRHAPHY SUTR ULCER/WND,225.0,168.75,152.26,225.0,1324 CDM,PX-A43842,PR ANES FOR GASTR RSTCV WO BYP VRT BND,225.0,168.75,152.26,225.0,1324 CDM,PX-A43843,PR ANES FOR GASTR RSTCV WO BYP WO VRT BND,225.0,168.75,152.26,225.0,1324 CDM,PX-A43845,PR ANES FOR GASTRIC RSTCV W BYP 50-100CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43846,PR ANES FOR GASTRIC RSTCV W BYP <=150CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A43847,PR ANES FOR GASTRIC RSTCV W BYP SML INTSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43848,PR ANES FOR REV GASTRIC RSTCV PROC OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43860,PR ANES FOR REV GASTRO/JJNL ANAST WO VGTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43865,PR ANES FOR REV GASTRO/JJNL ANAST W VGTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A43870,PR ANES FOR CLOSURE GASTROSTOMY SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A43880,PR ANES FOR CLOSURE GASTROCOLIC FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A43881,PR ANES FOR IMPL/RPLC GASTR NSTIM ANTRM OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43882,PR ANES FOR RVSN/RMVL GASTR NSTIM ANTRM OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A43886,PR ANES FOR GSTR RSTCV RVSN SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43887,PR ANES FOR GSTR RSTCV RMVL SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43888,PR ANES FOR GSTR RSTCV RMVL&RPLC SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A43889,PR ANES FOR GSTR RSTCV PX TRNSORL ESG,225.0,168.75,152.26,225.0,1324 CDM,PX-A43999,PR ANES FOR UNLISTED PROCEDURE STOMACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A44005,PR ANES FOR ENTEROLYSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44010,PR ANES FOR DUODENOTOMY EXPLR/BX/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A44015,PR ANES FOR INS/INTRO CATH ENTERO/JEJUNUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A44020,PR ANES FOR ENTEROTOMY SM INTSTN EXPLR/BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44021,PR ANES FOR ENTEROTOMY SM INTSTN DCMPRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A44025,PR ANES FOR COLOTOMY EXPLORE/BX/RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A44050,PR ANES FOR REDUC VOLVULUS BY LAPAROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44055,PR ANES FOR CORR MALROTATION BOWEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44100,"PR ANES FOR BIOPSY OF BOWEL, PERORAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A44110,PR ANES FOR EXCISN >=1LESN INTSTN ENTRTMY SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44111,PR ANES FOR EXCISN LES INTSTN ENTRTMY MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44120,PR ANES FOR ENTERCTMY RSECT SM INTSTN SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44121,PR ANES FOR ENTERECT RSECT SM INTST EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A44125,PR ANES FOR ENTERECTMY SM INTSTN ENTERSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44126,PR ANES FOR ENTERECTMY SM INTSTN WO TAPER,225.0,168.75,152.26,225.0,1324 CDM,PX-A44127,PR ANES FOR ENTERECTMY SM INTSTN W TAPER,225.0,168.75,152.26,225.0,1324 CDM,PX-A44128,PR ANES FOR ENTERECTMY SM INTSTN EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A44130,PR ANES FOR ENTEROENTEROSTMY ANAST INTSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A44132,"PR ANES FOR ENTERECTOMY,OPEN,CADAVER DONOR",225.0,168.75,152.26,225.0,1324 CDM,PX-A44133,"PR ANES FOR ENTERECTOMY,PARTIAL,LIVING DONOR",225.0,168.75,152.26,225.0,1324 CDM,PX-A44135,"PR ANES FOR ALLOTRANSPLANT,INTESTINE,CADAVER DNR",225.0,168.75,152.26,225.0,1324 CDM,PX-A44136,"PR ANES FOR ALLOTRANSPLANT,INTESTINE,LIVING DONOR",225.0,168.75,152.26,225.0,1324 CDM,PX-A44137,"PR ANES FOR REMOVE INTESTINAL ALLOGRAFT, CMPLT",225.0,168.75,152.26,225.0,1324 CDM,PX-A44139,PR ANES FOR MOBIL SPLENC FLEX W PRTL COLCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44140,PR ANES FOR COLECTOMY PARTL W ANASTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44141,PR ANES FOR COLECTMY PARTL W CECOST/COLOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44143,PR ANES FOR COLECTOMY PARTL W END CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A44144,PR ANES FOR COLECTMY PARTL W COLOST/ILEOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44145,PR ANES FOR COLECTOMY PARTL COLOPROCTOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44146,PR ANES FOR COLECTOMY PARTL CLPRCT&COLSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44147,PR ANES FOR COLECTOMY PARTL ABD&TXANAL APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A44150,PR ANES FOR COLECTMY TOT ABD W ILEOS/ILEOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A44151,PR ANES FOR COLECTMY TOT W CONTINENT ILEOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44155,PR ANES FOR COLECTOMY TOT ABD PROCT&ILEOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44156,PR ANES FOR COLECTOMY ABD CONTINENT ILEOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44157,PR ANES FOR COLECTOMY ABD PROCTEC ILEOANL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44158,PR ANES FOR COLECTOMY W ILEAL RESERVOIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A44160,PR ANES FOR COLECTOMY PARTL RMVL TRM ILEUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A44180,PR ANES FOR LAPAROSCOPY ENTEROLYSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44186,PR ANES FOR LAPAROSCOPY JEJUNOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44187,PR ANES FOR LAP ILEOST/JEJUNOST NON TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44188,PR ANES FOR LAPAROSCOPY COLOSTMY/CECOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44202,PR ANES FOR LAP ENTERECT RESEC&ANAST SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44203,PR ANES FOR LAP ENTERECT RESEC&ANAST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A44204,PR ANES FOR LAP COLECTOMY PRTL ANASTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44205,PR ANES FOR LAP COLECTOMY W ILEOCOLOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44206,PR ANES FOR LAP COLECTOMY W CLSR DIST SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A44207,PR ANES FOR LAP COLECTMY ANAST COLOPROCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44208,PR ANES FOR LAP COLECTMY COLOPROCT CLSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44210,PR ANES FOR LAP COLECTOMY TOT WO PROCTCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44211,PR ANES FOR LAP COLECTOMY TOT W PROCTCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44212,PR ANES FOR COLCTMY TOT W PROCTMY/ILEOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44213,PR ANES FOR LAPAROSCOPY MOBILE W COLECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44227,PR ANES FOR LAPAROSCOPY CLSR ENTEROSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44238,PR ANES FOR UNLISTED PROC LAP INTESTINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44300,PR ANES FOR PLC ENTEROST/CECOST TUBE OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A44310,PR ANES FOR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44312,PR ANES FOR REVISION ILEOSTOMY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44314,PR ANES FOR REVISION ILEOSTOMY COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A44316,PR ANES FOR CONTINENT ILEOS KOCK PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44320,PR ANES FOR COLOSTOMY OR SKIN LVL CECOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44322,PR ANES FOR COLOSTOMY/CECOSTOMY W MULT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44340,PR ANES FOR REVISION COLOSTOMY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44345,PR ANES FOR REVISION COLOSTOMY COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44346,PR ANES FOR COLOSTOMY RPR PARACLST HERNIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A44360,PR ANES FOR ENDO UPPER SM INTESTINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44361,PR ANES FOR ENDO SM INTESTINE W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44363,PR ANES FOR ENDO SM INTESTINE W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A44364,PR ANES FOR ENTEROSCOPY RMVL POLYP SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44365,PR ANES FOR ENDO SM INTSTN W RMVL HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44366,PR ANES FOR ENDO SM INTESTINE W CTRL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A44369,PR ANES FOR ENDO SM INTESTINE W ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A44370,PR ANES FOR ENDO SM INTESTINE W STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44372,PR ANES FOR ENDO SM INTSTN W PLC TUBE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44373,PR ANES FOR ENDO SM INTSTN W G-J TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44376,PR ANES FOR ENTEROSCOPY W ILEUM W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44377,PR ANES FOR ENDO SM INTESTINE W ILIUM BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44378,PR ANES FOR ENDO SM INTSTN W ILIUM CTRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44379,PR ANES FOR ENDO SM INTSTN W ILIUM STNT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44380,PR ANES FOR ILEOSCOPY STOMA DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44381,PR ANES FOR ILEOSCOPY STOMA W BALN DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44382,PR ANES FOR ILEOSCOPY STOMA W BX SNGL/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44384,PR ANES FOR ILEOSCOPY STOMA W STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44385,PR ANES FOR ENDO EVAL SM INTST POUCH DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44386,PR ANES FOR ENDO EVAL SM INTST POUCH BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44388,PR ANES FOR COLONOSCOPY STOMA DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44389,PR ANES FOR COLONOSCOPY STOMA BX SNGL/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44390,PR ANES FOR COLONSCPY STOMA W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A44391,PR ANES FOR COLONOSCOPY STOMA W CTRL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A44392,PR ANES FOR COLONSCPY STOMA W HOT BX FORCP,225.0,168.75,152.26,225.0,1324 CDM,PX-A44394,PR ANES FOR COLONOSCOPY W RMVL LESN SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44401,PR ANES FOR COLONOSCOPY STOMA ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A44402,PR ANES FOR COLONOSCOPY STENT VIA STOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A44403,PR ANES FOR COLONOSCOPY STOMA EMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A44404,PR ANES FOR COLONOSCOPY STOMA INJ SUBMUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44405,PR ANES FOR COLONOSCOPY STOMA W BAL DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44406,PR ANES FOR COLONOSCOPY W US EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A44407,PR ANES FOR COLONOSCOPY STOMA W US NDL BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A44408,PR ANES FOR COLONOSCOPY STOMA W DECOMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A44500,PR ANES FOR INTRO GI TUBE LONG,225.0,168.75,152.26,225.0,1324 CDM,PX-A44602,PR ANES FOR ENTERORRHAPHY PERFORATION SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44603,PR ANES FOR ENTERORRHAPHY PERFORATION MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44604,PR ANES FOR SUTR LG INTSTN PERF WO COLOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44605,PR ANES FOR SUTR LG INTSTN PERF W COLOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A44615,PR ANES FOR STRICTUROPLASTY INTSTN OBSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A44620,PR ANES FOR CLSR ENTEROSTMY LG/SM INTSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A44625,PR ANES FOR CLSR ENTEROSTMY INTSTN W RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44626,PR ANES FOR CLSR ENTEROSTMY INTSTN COLORCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44640,PR ANES FOR CLSR INTSTN CUTANEOUS FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A44650,PR ANES FOR CLSR ENTEROENTERIC/COLIC FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A44660,PR ANES FOR CLSR ENTEROVESC FSTL WO RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A44661,PR ANES FOR CLSR ENTEROVESC FSTL W RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A4467,PR BELT/STRAP/SLEEVE COVER,56.0,42.0,25.2,56.0,636 CDM,PX-A4467001,PR TENNIS ELBOW DELUX STRAP,17.0,12.75,7.65,17.0,636 CDM,PX-A4467002,PR SHOULDER IMMOBILIZER,9.0,6.75,4.05,9.0,636 CDM,PX-A4467004,PR TENNIS ELBOW STRAP,32.0,24.0,14.4,32.0,636 CDM,PX-A44680,PR ANES FOR INTESTINAL PLICATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A44700,PR ANES FOR EXCLUSION SMALL INTSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A44701,PR ANES FOR INTRAOP COLON LAVAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44705,PR ANES FOR PREPARE FECAL MICROBIOTA,225.0,168.75,152.26,225.0,1324 CDM,PX-A44715,"PR ANES FOR TRANSPLANT, PREP DONOR INTESTINE",225.0,168.75,152.26,225.0,1324 CDM,PX-A44720,"PR ANES FOR TRANSPLANT, RECONS DONOR INTEST VENOUS",225.0,168.75,152.26,225.0,1324 CDM,PX-A44721,"PR ANES FOR TRANSPLANT, RECONS DONOR INTEST ARTER",225.0,168.75,152.26,225.0,1324 CDM,PX-A44799,PR ANES FOR UNLISTED PROC SMALL INTESTINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A44800,PR ANES FOR EXCISN MECKEL DIVERTICULUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A44820,PR ANES FOR EXCISION LESION MESENTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44850,PR ANES FOR SUTURE MESENTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44899,PR ANES FOR UNLISTED PROC DIVRTCLM&MESENTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44900,PR ANES FOR I&D APPENDIX ABSCESS OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A4495,PR THIGH LENGTH SURG STOCKING,12.0,9.0,5.4,12.0,635 CDM,PX-A44950,PR ANES FOR APPENDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44955,PR ANES FOR APPENDECTOMY W OTHR MAJOR PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A44960,PR ANES FOR APPENDECTOMY RUPTR W ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A44970,PR ANES FOR LAPAROSCOPY APPENDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A44979,PR ANES FOR UNLISTED PROC LAP APPENDIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A4500,PR BELOW KNEE SURGICAL STOCKING,7.0,5.25,3.15,7.0,635 CDM,PX-A45000,PR ANES FOR DRN PELVIC ABSCESS TXRECTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45005,PR ANES FOR I&D ABSCESS SUBMUCOSAL RECTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45020,PR ANES FOR I&D SPRAELV PLVRCTL/RTRRCTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45100,PR ANES FOR BX ANORECTAL WALL ANAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45108,PR ANES FOR ANORECTAL MYOMECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45110,PR ANES FOR PROCTECTOMY CMPLT W COLOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45111,PR ANES FOR PROCTECTOMY PARTL RSECT RECTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45112,PR ANES FOR PROCTECTOMY ABDOMINOPERINEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45113,PR ANES FOR PRCTMY W RCTL MUCOSECTMY PARTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45114,PR ANES FOR PRCTMY W ANAST ABD&TRNSAC APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A45116,PR ANES FOR PRCTMY W ANAST TRNSAC APP ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45119,PR ANES FOR PRCTMY PULL THRU W RESERVOIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45120,PR ANES FOR PRCTMY W PULL THROUGH&ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A45121,PR ANES FOR PRCTMY W COLECT W BX COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45123,PR ANES FOR PROCTECTOMY WO ANAST PARTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45126,PR ANES FOR PELV EXENTERATION COLORECT MLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A45130,PR ANES FOR EXCISN RECTL PROCIDENTIA ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A45135,PR ANES FOR EXCISN RECTL PROCIDENTIA ABDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45136,PR ANES FOR EXCISN ILEOANAL RSRVR ILEOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45150,PR ANES FOR DIVISION STRICTURE OF RECTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45160,PR ANES FOR EXCISN RECTAL TMR TRANSAC/TRANSOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A45171,PR ANES FOR EXCISN RCTL TMR PRTL TRNSANAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45172,PR ANES FOR EXCISN RECTAL TMR FULL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45190,PR ANES FOR DEST RECTAL TMR TRANSANAL APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A45300,PR ANES FOR PROCTOSIGMOIDOSCOPY DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45303,PR ANES FOR PROCTOSIGMOID RIGID W DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45305,PR ANES FOR PROCTOSIGMOIDOSCOPY BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45307,PR ANES FOR PROCTOSIGMOID RIGID W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A45308,PR ANES FOR PROCTOSIGMOID W RMVL HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45309,PR ANES FOR PROCTOSIGMOID W RMVL SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45315,PR ANES FOR PROCTOSIGMOIDOSCOPY RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45317,PR ANES FOR PROCTOSIGMOID CONTROL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A45320,PR ANES FOR PROCTOSIGMOIDOSCOPY ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A45321,PR ANES FOR PROCTOSIGMOID DECOMPRESSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A45327,PR ANES FOR PROCTOSIGMOID W STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A45330,PR ANES FOR SIGMOIDOSCOPY FLEXIBLE DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45331,PR ANES FOR SIGMOIDOSCOPY FLEXIBLE W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45332,PR ANES FOR SIGMOID FLEX W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A45333,PR ANES FOR SIGMOID FLEX W RMVL TMR HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45334,PR ANES FOR SIGMOID FLEX W CTRL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A45335,PR ANES FOR SIGMOID FLEX W SUBMUCOSAL INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A45337,PR ANES FOR SIGMOID FLEX W DECOMPRESSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A45338,PR ANES FOR SIGMOID FLEX W RMVL TMR SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45340,PR ANES FOR SIGMOID FLEX W DIL BALN,225.0,168.75,152.26,225.0,1324 CDM,PX-A45341,PR ANES FOR SIGMOID FLEX W EUS EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45342,PR ANES FOR SIGMOID FLEX W EUS FNA/BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45346,PR ANES FOR SIGMOIDOSCOPY W ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A45347,PR ANES FOR SIGMOIDOSCOPY W PLCMT STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A45349,PR ANES FOR SIGMOID FLEX EMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45350,PR ANES FOR SIGMOID FLEX W BAND LIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A45378,PR ANES FOR COLONOSCOPY DIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A45379,PR ANES FOR COLONOSCOPY W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A45380,PR ANES FOR COLONOSCOPY W BIOPSY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45381,PR ANES FOR COLONOSCOPY W SUBMUC INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A45382,PR ANES FOR COLONOSCOPY W CTRL BLEED,225.0,168.75,152.26,225.0,1324 CDM,PX-A45384,PR ANES FOR COLONOSCOPY W RMVL TMR HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45385,PR ANES FOR COLONOSCOPY W RMVL SNARE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45386,PR ANES FOR COLONOSCOPY W BALN DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45388,PR ANES FOR COLONOSCOPY W TMR ABLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45389,PR ANES FOR COLONOSCOPY FLEX STENT PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A45390,PR ANES FOR COLONOSCOPY W EMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45391,PR ANES FOR COLONOSCOPY W EUS EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45392,PR ANES FOR COLONOSCOPY W TRANS EUS FNA/BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A45393,PR ANES FOR COLONOSCOPY W DECOMPRESSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A45395,PR ANES FOR LAP PRCTMY W COLOSTOMY COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A45397,PR ANES FOR LAP PROCTECTOMY W RESERVOIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45398,PR ANES FOR COLONOSCOPY W BAND LIG,225.0,168.75,152.26,225.0,1324 CDM,PX-A45399,PR ANES FOR UNLISTED PROCEDURE COLON,225.0,168.75,152.26,225.0,1324 CDM,PX-A45400,PR ANES FOR LAP PROCTOPEXY PROLAPSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45402,PR ANES FOR LAP PROCTOPEXY W RSECT SIGMOID,225.0,168.75,152.26,225.0,1324 CDM,PX-A45499,PR ANES FOR UNLISTED PROCEDURE LAP RECTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A45500,"PR ANES FOR REPAIR OF RECTUM,STENOSIS",225.0,168.75,152.26,225.0,1324 CDM,PX-A45505,PR ANES FOR PROCTOPLASTY PROLAPSE MUC MEMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A45520,PR ANES FOR INJ RECTUM SCLEROSING SOL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45540,PR ANES FOR PROCTOPEXY ABDOMINAL APPROACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A45541,PR ANES FOR PROCTOPEXY PERINEAL APPROACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A45550,PR ANES FOR PROCTOPEXY RSECT SIGM ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A45560,PR ANES FOR REPAIR OF RECTOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A45562,PR ANES FOR EXPLR/RPR/DRAIN RECTUM INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45563,PR ANES FOR RPR RECTUM INJURY W COLOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A4561,PR PESSARY KIT RUBBER,45.0,33.75,20.25,45.0,636 CDM,PX-A4562,PR PESSARY KIT NON-RUBBER,70.0,52.5,31.5,70.0,637 CDM,PX-A4565001,PR SLING ARM,25.0,18.75,10.98,25.0,637 CDM,PX-A4570,PR SPLINT,61.0,45.75,27.45,61.0,636 CDM,PX-A45800,PR ANES FOR CLSR RECTOVESICAL FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A45805,PR ANES FOR CLOSE REC-BLADD FISTULA; COLOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A45820,PR ANES FOR CLSR RECTOURETHRAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A45825,PR ANES FOR CLSR RECTOURETH FSTL W COLOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A45900,PR ANES FOR REDUC RECTAL PROLAPSE W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A4590002,PR TCC CAST SUPPLIES FIBERGLASS,92.0,69.0,41.4,92.0,635 CDM,PX-A45905,PR ANES FOR DIL ANAL SPHINCTER W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A45910,PR ANES FOR DIL RECTAL STRICTURE W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A45915,PR ANES FOR RMVL FECAL IMPACTION/FB W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A45990,PR ANES FOR EXAM ANORECTAL SURG W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A45999,PR ANES FOR UNLISTED PROCEDURE RECTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A46020,PR ANES FOR PLACEMENT OF SETON,225.0,168.75,152.26,225.0,1324 CDM,PX-A46030,PR ANES FOR RMVL ANAL SETON OTHER MARKER,225.0,168.75,152.26,225.0,1324 CDM,PX-A46040,PR ANES FOR I&D RECTAL ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A46045,PR ANES FOR I&D ABSCESS TRANSANAL W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A46050,PR ANES FOR I&D PERIANAL ABSCESS SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46060,PR ANES FOR I&D ISCHIORECT/INTRAMURAL ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A46070,PR ANES FOR INCISN ANAL SEPTUM INFANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46080,PR ANES FOR SPHINCTEROT ANAL DVISN SPHINCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46083,PR ANES FOR INCISN THROMB HEMM EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A4614,PR PEAK FLOW METER,28.0,21.0,12.6,28.0,636 CDM,PX-A46200,PR ANES FOR FISSURECTOMY W/WO SPHINCTROTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A46220,PR ANES FOR EXCISN EXTRNL PAPILLA ANUS SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46221,PR ANES FOR LIGATION OF HEMORRHOID(S),225.0,168.75,152.26,225.0,1324 CDM,PX-A46230,PR ANES FOR EXCISN EXTRNL PAPILLAE ANUS MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A4625,PR KIT TRACH NEW,44.0,33.0,9.39,44.0,636 CDM,PX-A46250,PR ANES FOR HEMORRHOIDECTOMY EXTERNAL >=2,225.0,168.75,152.26,225.0,1324 CDM,PX-A46255,PR ANES FOR HEMRDECT INT & EXT SNGL GROUP,225.0,168.75,152.26,225.0,1324 CDM,PX-A46257,PR ANES FOR HEMRDECT INT&EXT 1 W FISSURECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46258,PR ANES FOR HEMRDECT W FISTULECT&FISSURECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46260,PR ANES FOR HEMRDECT INT & EXT >=2 GROUPS,225.0,168.75,152.26,225.0,1324 CDM,PX-A46261,PR ANES FOR HEMRDECT INT&EXT >=2 FISSURECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46262,PR ANES FOR HEMRDECT >=2 FISTULEC&FISSUREC,225.0,168.75,152.26,225.0,1324 CDM,PX-A46270,PR ANES FOR TX ANAL FSTL SURG SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A46275,PR ANES FOR TX ANAL FSTL SURG INTERSPHINCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46280,PR ANES FOR TX ANAL FSTL SURG CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A46285,PR ANES FOR TX ANAL FSTL SURG SECOND STAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46288,PR ANES FOR CLSR ANAL FSTL RECTAL FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A46320,PR ANES FOR EXCISN THROMB HEMM EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A4648,PR IMPLANTABLE TISSUE MARKER-WILLOW,495.0,371.25,24.75,495.0,681 CDM,PX-A4648002,PR IMPLANTABLE TISSUE MARKER,125.0,93.75,6.25,125.0,681 CDM,PX-A46500,PR ANES FOR INJ HEMORRHOID SCLEROSING SOLN,225.0,168.75,152.26,225.0,1324 CDM,PX-A46505,PR ANES FOR CHEMODENERV INTRNL ANAL SPHINCTER,225.0,168.75,152.26,225.0,1324 CDM,PX-A46600,PR ANES FOR ANOSCOPY DIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A46601,PR ANES FOR ANOSCOPY DX W HRA & CHEM AGNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46604,PR ANES FOR ANOSCOPY W DILATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A46606,PR ANES FOR ANOSCOPY W BX SINGLE/MULTIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46607,PR ANES FOR ANOSCOPY DX W HRA & CHEM W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A46608,PR ANES FOR ANOSCOPY W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A46610,PR ANES FOR ANOSCOPY W RMVL SNGL TMR HOT BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A46611,PR ANES FOR ANOSCOPY W RMVL SNARE SINGLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46612,PR ANES FOR ANOSCOPY W RMVL MULT TUMORS,225.0,168.75,152.26,225.0,1324 CDM,PX-A46614,PR ANES FOR ANOSCOPY W BLD CONTROL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46615,PR ANES FOR ANOSCOPY ABLATION LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A46700,PR ANES FOR ANOPLASTY PLSTC STRICTURE ADLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46705,PR ANES FOR ANOPLASTY PLSTC STRICTURE INFNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46706,PR ANES FOR REPAIR ANAL FISTULA W FIBRIN GLUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46707,PR ANES FOR RPR ANORECTAL FSTL W PLUG,225.0,168.75,152.26,225.0,1324 CDM,PX-A46710,PR ANES FOR RPR ILEOANAL PCH TRANPERINEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46712,PR ANES FOR RPR ILEOANAL PCH TRNPER/TRNABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A46715,PR ANES FOR RPR LOW IMPERF ANUS W FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A46716,PR ANES FOR RPR LOW IMPERF ANUS W TRNSPSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A46730,PR ANES FOR RPR HIGH IMPERFORATE ANUS W/OUT FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46735,"PR ANES FOR REHI IMPERF ANUS,COMBINED APPRCH",225.0,168.75,152.26,225.0,1324 CDM,PX-A46740,PR ANES FOR RPR IMPRF ANUS W FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A46742,"PR ANES FOR REHI IMPERF ANUS,FIST,COMBINED",225.0,168.75,152.26,225.0,1324 CDM,PX-A46744,"PR ANES FOR RECLOACAL ANOMALY,SACROPERINEAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A46746,"PR ANES FOR RECLOACAL ANOMALY,COMBINED APPRC",225.0,168.75,152.26,225.0,1324 CDM,PX-A46748,PR ANES FOR RPR CLOACAL ANOM W VAGL LNGTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A46750,PR ANES FOR SPHINCTEROPLASTY ANAL ADULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46751,PR ANES FOR SPHINCTEROPLASTY ANAL CHILD,225.0,168.75,152.26,225.0,1324 CDM,PX-A46753,PR ANES FOR GRFT RECTAL INCONT/PROLAPSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46754,PR ANES FOR RMVL THIERSCH SUTURE ANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46760,PR ANES FOR SPHINCTRPLSTY ANAL MUS TRNSPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46761,PR ANES FOR SPHINCTRPLSTY ANAL IMBRICATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A46900,PR ANES FOR DEST LESN ANUS SMPL CHEMICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A46910,PR ANES FOR DEST LESN ANUS SMPL ELECTRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A46916,PR ANES FOR DEST LESN ANUS SMPL CRYOSURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A46917,PR ANES FOR DEST LESN ANUS SMPL LASER SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A46922,PR ANES FOR DEST LESN ANUS SMPL SURG EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A46924,PR ANES FOR DEST LESION ANUS EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46930,PR ANES FOR DEST HEMM INTRNL THERM ENERGY,225.0,168.75,152.26,225.0,1324 CDM,PX-A46940,PR ANES FOR CURETT ANAL FISSURE W DIL INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A46942,PR ANES FOR CURETT ANAL FISSR W DIL SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A46945,PR ANES FOR HEMORRHOID LIG BAND SINGLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46946,PR ANES FOR HEMORRHOID LIG BAND MULTIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A46947,PR ANES FOR HEMORRHOIDOPEXY STAPLING,225.0,168.75,152.26,225.0,1324 CDM,PX-A46948,PR ANES FOR INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A46999,PR ANES FOR UNLISTED PROCEDURE ANUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A47000,PR ANES FOR BX NDL LIVER PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47001,PR ANES FOR BX LIVER NEEDLE W OTHR PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47010,PR ANES FOR HEPATOTOMY OPN DRN ABSC/CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47015,PR ANES FOR LAP INJ ASPIR HEPATIC PARASIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47100,PR ANES FOR BIOPSY LIVER WEDGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A47120,PR ANES FOR HEPATECTMY RESECT PARTL LOBECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47122,PR ANES FOR HEPATECTMY RESECT TRISEGMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47125,PR ANES FOR HEPATECTMY LEFT LOBECT TOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47130,PR ANES FOR HEPATECTMY RIGHT LOBECT TOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47133,PR ANES FOR DONOR HEPATECTOMY CADAVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A47135,PR ANES FOR TRANSPLANT LIVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A47140,PR ANES FOR HEPATECT DNR LIVE LT LAT SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A47141,PR ANES FOR HEPATECTOMY DONOR LIVE TOT LT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47142,PR ANES FOR HEPATECTOMY DONOR LIVE TOT RT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47143,PR ANES FOR BKBENCH PREP CADV DNR WHOLE LVR,225.0,168.75,152.26,225.0,1324 CDM,PX-A47144,PR ANES FOR BKBENCH CADV LIVER TRISEG SPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47145,PR ANES FOR BKBENCH CADV LIVER LOBE SPLIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47146,PR ANES FOR BKBENCH LIVER VEN ANAST EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A47147,PR ANES FOR BKBENCH ARTERIAL ANASTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A47300,PR ANES FOR MARSUPIALIZATN LIVER CYST/ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47350,PR ANES FOR SUTR LIVER HEMORRHAGE SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A47360,PR ANES FOR SUTR LIVER HEMORRHAGE CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A47361,PR ANES FOR EXPLOR HEPATIC WND/DEBRIDEMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47362,PR ANES FOR MGMT LIVER HEMORRHAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A47370,PR ANES FOR LAP ABLAT >=1 LIVER TMR RF,225.0,168.75,152.26,225.0,1324 CDM,PX-A47371,"PR ANES FOR LAP,ABLAT 1+ LIVER TUMOR(S),CRYO",225.0,168.75,152.26,225.0,1324 CDM,PX-A47379,PR ANES FOR UNLISTED PROCEDURE LAP LIVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A47380,PR ANES FOR ABLT OPN LIVER TMR RF,225.0,168.75,152.26,225.0,1324 CDM,PX-A47381,PR ANES FOR ABLT OPN LIVER TMR CRYOSURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A47382,PR ANES FOR ABLT >=1 LVR TMR PERC RADIOFREQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A47383,PR ANES FOR ABLT PERC LIVER TMR CRYOABLAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47384,PR ANES FOR ABLTJ IRE LIVER 1+ TUM PERQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A47399,PR ANES FOR UNLISTED PROCEDURE LIVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A47400,PR ANES FOR HEPATICOTOMY W EXPLR RMVL CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47420,PR ANES FOR CHOLEDOCHOTMY WO DUODNL SPHIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A47425,"PR ANES FOR INCIS BILE DUCT/SPHINC,EXPL/RMV CALC",225.0,168.75,152.26,225.0,1324 CDM,PX-A47460,PR ANES FOR TRANSDUOD SPHNTEROT/SPHNTRPLAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47480,PR ANES FOR CHOLECYSTOTOMY W EXP RMVL CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47490,PR ANES FOR CHOLECYSTOTOMY PERC W CATH PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47531,PR ANES FOR INJ CHOLANGIO PERC EXIST ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A47532,PR ANES FOR INJ CHOLANGIO PERC NEW ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A47533,PR ANES FOR PLC BILIARY DRN CATH EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A47534,PR ANES FOR PLC BILIARY DRN CATH INTRNL-EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A47535,PR ANES FOR CONV EXT BIL DRN CATH INTRNL-EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A47536,PR ANES FOR EXCHG BIL DRN CATH PERC W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A47537,PR ANES FOR RMVL BIL DRN CATH W FLURO,225.0,168.75,152.26,225.0,1324 CDM,PX-A47538,PR ANES FOR PLC STNT BILE DUCT PERC EXIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47539,PR ANES FOR PLC STNT BILE DUCT PERC NEW WO CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A47540,PR ANES FOR PLC STNT BILE DUCT PERC NEW W CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A47541,PR ANES FOR PLC ACCESS BIL TREE SM BOWEL NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A47542,PR ANES FOR BLN DILAT BIL DUCT PERC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A47543,PR ANES FOR ENDOLUMINAL BX BIL TREE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47544,PR ANES FOR RMVL BIL DUCT &/ GALBLDR CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47550,PR ANES FOR BILIARY ENDOSCOPY INTRAOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A47552,PR ANES FOR PERC BILRY ENDO DIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47553,PR ANES FOR BILRY ENDO W DIL W BX SIN/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47554,PR ANES FOR BILRY ENDO PERC VIA T-TUBE W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A47555,PR ANES FOR BILRY ENDO W DIL WO STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47556,PR ANES FOR BILRY ENDO W DIL W STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47562,PR ANES FOR LAPAROSCOPY CHOLECYSTECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A47563,PR ANES FOR LAPAROSCOPY CHOLECYST W CHOLNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A47564,PR ANES FOR LAP CHOLECYST EXPLR COMN DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47570,PR ANES FOR LAP CHOLECYSTOENTEROSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A47579,PR ANES FOR UNLISTED PROC LAP BILIARY TRACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47600,PR ANES FOR CHOLECYSTECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A47605,PR ANES FOR CHOLECYSTECTOMY W CHOLANGIOGR,225.0,168.75,152.26,225.0,1324 CDM,PX-A47610,PR ANES FOR CHOLECYSTECTOMY W EXPLR DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47612,PR ANES FOR CHOLECYSTECT CHOLEDOCHOENTEROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47620,PR ANES FOR CHOLECYS SPHNCTEROT/SPHNCTPLST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47700,PR ANES FOR EXPL CONGEN ATRESIA BILE DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47701,PR ANES FOR PORTOENETEROSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A47711,PR ANES FOR EXCISN BILE DUCT TMR EXTRHPATC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47712,PR ANES FOR EXCISN BILE DUCT TMR INTRHPATC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47715,PR ANES FOR EXCISION CHOLEDOCHAL CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47720,PR ANES FOR CHOLECYSTOENTEROSTOMY DIRECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47721,PR ANES FOR CHOLECYSTOENTEROST GASTROENTEROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47740,PR ANES FOR CHOLECYSTOENTEROST ROUX-EN-Y,225.0,168.75,152.26,225.0,1324 CDM,PX-A47741,PR ANES FOR CHOLECYST ROUX-EN-Y W GASTROENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47760,PR ANES FOR ANASTOMOSIS EXTRHPATC BIL DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47765,PR ANES FOR ANASTOMOSIS INTRHPATC BIL DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47780,PR ANES FOR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47785,PR ANES FOR ANASTOMOSIS ROUX-EN-Y INTRHPTC,225.0,168.75,152.26,225.0,1324 CDM,PX-A47800,PR ANES FOR RCNST BILRY DUCT ANSTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A47801,PR ANES FOR PLACEMENT CHOLEDOCHAL STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A47900,PR ANES FOR SUTR EXTRHPATC BIL DUCT PREXST,225.0,168.75,152.26,225.0,1324 CDM,PX-A47999,PR ANES FOR UNLISTED PROC BILIARY TRACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A48000,PR ANES FOR PLC DRN PERIPANCREATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A48001,PR ANES FOR PLACE DRAIN+OSTOMY FOR PANCREATITIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A48020,PR ANES FOR RMVL PANCREATIC CALCULUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A48100,PR ANES FOR BIOPSY PANCREAS OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A48102,PR ANES FOR BIOPSY PANCREAS PERC NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A48105,PR ANES FOR DBRD PANCREAS NECROTIZING,225.0,168.75,152.26,225.0,1324 CDM,PX-A48120,PR ANES FOR EXCISN LESN PANCREAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A48140,PR ANES FOR PANCREATECT WO PANCROJEJUNOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A48145,PR ANES FOR PANCREATECT W PANCROJEJUNOST,225.0,168.75,152.26,225.0,1324 CDM,PX-A48146,PR ANES FOR PANCREATECT DIST PRESERV DUOD,225.0,168.75,152.26,225.0,1324 CDM,PX-A48148,PR ANES FOR EXCISION AMPULLA VATER,225.0,168.75,152.26,225.0,1324 CDM,PX-A48150,PR ANES FOR PNCRTECT TOT DUOD W PANCRJEJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A48152,PR ANES FOR PNCRTECT TOT DUOD WO PANCRJEJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A48153,PR ANES FOR PNCRTECT NR TOT DUOD W PANCRJEJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A48154,PR ANES FOR PNCRTECT NR TOT DUOD WO PANCRJEJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A48155,PR ANES FOR PANCREATECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A48160,PR ANES FOR PANCREATEC TRANSPL ISLET CELL,225.0,168.75,152.26,225.0,1324 CDM,PX-A48400,"PR ANES FOR INJECT INTRAOPER OF PANCREAS, ADD-ON",225.0,168.75,152.26,225.0,1324 CDM,PX-A48500,PR ANES FOR MARSUPIALIZATION PANCREAT CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A48510,PR ANES FOR DRN EXTRNL PSEUDOCYST PANCREAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A48520,PR ANES FOR ANAST PANCREAS CYST DIRECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A48540,PR ANES FOR ANAST PANCREAS CYST ROUX-EN-Y,225.0,168.75,152.26,225.0,1324 CDM,PX-A48545,PR ANES FOR PANCREATORRHAPHY FOR INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A48547,"PR ANES FOR DUOD EXCLUS W/GASTROJEJUN,PANCREATIC INJ",225.0,168.75,152.26,225.0,1324 CDM,PX-A48548,PR ANES FOR ANAST PANCRJEJUN SIDE-TO-SIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A48550,PR ANES FOR PANCREATECTOMY DONOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A48551,PR ANES FOR BKBENCH DONOR PANCREAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A48552,PR ANES FOR BKBENCH DONOR PANCREAS ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A48554,PR ANES FOR TXPLANT PANCREATIC ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A48556,PR ANES FOR RMVL TXPLANT PANCREATIC ALLO,225.0,168.75,152.26,225.0,1324 CDM,PX-A48999,PR ANES FOR UNLISTED PROCEDURE PANCREAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A49000,PR ANES FOR LAP CELIOTOMY W/WO BX EXPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49002,PR ANES FOR REOPNING OF RECENT LAPAROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A49010,PR ANES FOR EXPLR RETROPERITONEAL W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A49013,PR ANES FOR PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A49014,PR ANES FOR REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING,225.0,168.75,152.26,225.0,1324 CDM,PX-A49020,PR ANES FOR DRN PERITON ABSC OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49040,PR ANES FOR DRN SUBDIAPHRGM/SUBPHRENC ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49060,PR ANES FOR DRN RETROPERITONEAL ABCESS OPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49062,PR ANES FOR DRN EXTRAPERITONEAL LYMPHOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A49082,PR ANES FOR PARACENTESIS ABD WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49083,PR ANES FOR PARACENTESIS ABD W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49084,PR ANES FOR LAVAGE PERITONEAL W IMG GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A49180,PR ANES FOR BX ABD/RETROPERITNL MASS PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49185,PR ANES FOR SCLEROTHERAPY FLUID COLLECT PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49186,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",225.0,168.75,152.26,225.0,1324 CDM,PX-A49187,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",225.0,168.75,152.26,225.0,1324 CDM,PX-A49188,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",225.0,168.75,152.26,225.0,1324 CDM,PX-A49189,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",225.0,168.75,152.26,225.0,1324 CDM,PX-A49190,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",225.0,168.75,152.26,225.0,1324 CDM,PX-A49215,PR ANES FOR EXCISN PRESAC/SACROCOCCYGEAL TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49250,PR ANES FOR UMBILECTOMY OMPHALECTMY EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49255,PR ANES FOR OMENTECTOMY EPIPLOECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A49320,PR ANES FOR LAP ABD/PERITNM/OMENT DX BRUSH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49321,PR ANES FOR LAPAROSCOPY W BX SNGL/MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49322,PR ANES FOR LAPAROSCOPY W ASP CAVITY/CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A49323,PR ANES FOR LAPAROSCOPY DRN LYMPH TO PERIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49324,PR ANES FOR LAPAROSCOPY W INS TUNL CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49325,PR ANES FOR LAP W REV INTRAPERITONEAL CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49326,PR ANES FOR LAPAROSCOPY W OMENTOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A49327,PR ANES FOR LAP W INS INTERSTIT DEV W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49329,PR ANES FOR UNLISTED PROC LAP ABD/PERIT/OMEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49400,PR ANES FOR INJ AIR/CNTRST PERITONEAL CAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A49402,PR ANES FOR RMVL PERITONEAL FOREIGN BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A49405,PR ANES FOR DRN VISC FLUID CATH PERC W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49406,PR ANES FOR DRN PERITNM FLUID CATH W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49407,PR ANES FOR DRN TRANSREC/VAG FL CATH W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49411,PR ANES FOR INS MARK ABD/PEL FOR RT PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49412,PR ANES FOR PLC INTERSTIT DEV OPN W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49418,PR ANES FOR INS INTRAPERITONEAL CATH W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49419,PR ANES FOR INS TUNL IP CATH SUBQ PORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49421,PR ANES FOR INS TUNL IP CATH DIALYSIS OPEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49422,PR ANES FOR RMVL TUNL INTRAPERITONEAL CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49423,PR ANES FOR EXCHNG DRN CATH RAD GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A49424,PR ANES FOR INJ CNTRST EVAL ABSC/CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A49425,PR ANES FOR INSERT PERITONEAL VENOUS SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49426,PR ANES FOR REVIS PERITONEAL VENOUS SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49427,PR ANES FOR INJ EVAL PREV PERI/VENOUS SHNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49428,PR ANES FOR LIGATION PERITNL VENOUS SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49429,PR ANES FOR RMVL PERITONEAL VENOUS SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49435,PR ANES FOR INSN SUBQ EXTSN INTRAPERIT CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49436,"PR ANES FOR CREATE EXIT SITE INTRAPERITONEAL CATH, DELAYED",225.0,168.75,152.26,225.0,1324 CDM,PX-A49440,PR ANES FOR INSERT GASTROSTOMY TUBE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49441,PR ANES FOR INSERT DUODEN/JEJUN TUBE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49442,PR ANES FOR INS TUBE CECOSTOMY W FL,225.0,168.75,152.26,225.0,1324 CDM,PX-A49446,PR ANES FOR CONVERSION TO GASTRO-JEJ TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A49450,PR ANES FOR RPLC GASTROST/CECOST TUBE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49451,PR ANES FOR RPLC DUOD/JEJ TUBE PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49452,PR ANES FOR RPLC TUBE GASTRO-JEJ W FLUORO,225.0,168.75,152.26,225.0,1324 CDM,PX-A49460,PR ANES FOR RMVL OBSTR MATERIAL GI TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A49465,PR ANES FOR INJ CONTRAST RAD EVAL GI TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A49491,PR ANES FOR RPR HERNIA PRETERM REDUC INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49492,PR ANES FOR RPR HERNIA PRETERM INCARC INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49495,PR ANES FOR RPR HERNIA FULLTERM REDUC INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49496,PR ANES FOR RPR HERNIA FULLTERM INCARC INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49500,PR ANES FOR RPR HERNIA 6MO-<5YR REDUC INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49501,PR ANES FOR RPR INGUINL HERNIA 6M-5Y STRNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49505,PR ANES FOR RPR INGUINL HERNIA >5YR REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49507,PR ANES FOR RPR INGUINL HERNIA >5 INCARC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49520,PR ANES FOR RPR RCUR INGUINL HERNIA REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49521,PR ANES FOR RPR RCUR INGUINL HERNIA INCARC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49525,PR ANES FOR RPR INGUINAL HERNIA SLIDING,225.0,168.75,152.26,225.0,1324 CDM,PX-A49540,PR ANES FOR REPAIR LUMBAR HERNIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A49550,PR ANES FOR RPR FEM HERNIA REDUCIBLE INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49553,PR ANES FOR RPR FEMORAL HERNIA INCARC INITIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A49555,PR ANES FOR RPR RCUR FEM HERNIA REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49557,PR ANES FOR RPR FEMORAL HERNIA INCARC RECUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49591,PR ANES FOR RPR AA HRN 1ST < 3 CM RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49592,PR ANES FOR RPR AA HRN 1ST < 3 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49593,PR ANES FOR RPR AA HRN 1ST 3-10 RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49594,PR ANES FOR RPR AA HRN 1ST 3-10 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49595,PR ANES FOR RPR AA HRN 1ST > 10 RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49596,PR ANES FOR RPR AA HRN 1ST > 10 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49600,PR ANES FOR RPR SM OMPHALOCELE W PRIM CLSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49605,PR ANES FOR RPR LG OMPHALOCELE W/WO PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49606,PR ANES FOR RPR OMPHALOCELE W RMVL PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A49610,PR ANES FOR RPR OMPHALOCELE 1ST STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49611,PR ANES FOR RPR OMPHALOCELE 2ND STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A49613,PR ANES FOR RPR AA HRN RCR < 3 RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49614,PR ANES FOR RPR AA HRN RCR < 3 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49615,PR ANES FOR RPR AA HRN RCR 3-10 RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49616,PR ANES FOR RPR AA HRN RCR 3-10 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49617,PR ANES FOR RPR AA HRN RCR > 10 RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49618,PR ANES FOR RPR AA HRN RCR > 10 NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49621,PR ANES FOR RPR PARASTOMAL HERNIA RDC,225.0,168.75,152.26,225.0,1324 CDM,PX-A49622,PR ANES FOR RPR PARASTOMAL HRNA NCR/STRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A49623,PR ANES FOR RMVL NINFCT MESH HERNIA RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49650,PR ANES FOR LAP RPR HERNIA INGUINAL INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A49651,PR ANES FOR LAP RPR HERNIA INGUINAL RECUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A49659,PR ANES FOR UNLISTED PROC LAP HERNIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A49900,PR ANES FOR SUTR ABD WALL EVISC/DEHIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A49904,PR ANES FOR OMENTAL FLAP EXTRA ABDOMINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A49905,PR ANES FOR OMENTAL FLAP INTRA ABDOMINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A49906,PR ANES FOR FREE OMENT FLAP W MICRO ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A49999,PR ANES FOR ABDOMEN SURGERY PROC UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A50010,PR ANES FOR RENAL EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A50020,PR ANES FOR DRAIN PERIRENAL/RENAL ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A50040,PR ANES FOR NEPHROSTOMY NEPHROTOMY W DRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A50045,PR ANES FOR NEPHROTOMY W EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A50060,PR ANES FOR NEPHROLITHOTOMY RMVL CALCULUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A50065,PR ANES FOR NEPHROLITHOTOMY SECNDRY CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50070,PR ANES FOR NEPHROLITHOTOMY CGEN KDN ABN,225.0,168.75,152.26,225.0,1324 CDM,PX-A50075,PR ANES FOR NEPHROLITHOTOMY RMVL LRG CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50080,PR ANES FOR NEPHROSTOLITHOTOMY PERC <=2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A50081,PR ANES FOR NEPHROLITHOTOMY PERC >2CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A50100,PR ANES FOR TRNSX/REPO ABERRANT RENL VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50120,PR ANES FOR PYELOTOMY W EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A50125,PR ANES FOR PYELOTOMY W DRAIN PYELOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50130,PR ANES FOR PYELOTOMY W/REMOVAL CALCULUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A50200,PR ANES FOR BIOPSY RENAL NEEDLE/TROC PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50205,PR ANES FOR BX RENAL SURG EXPOSURE KIDNEY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50220,PR ANES FOR NEPHREC INCL PARTL URETERECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50225,PR ANES FOR NEPHREC PREV SURG SAME KIDNEY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50230,PR ANES FOR NEPHREC RMVL LYMPHDEC/THROMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A50234,PR ANES FOR NEPHREC W TOT URETREC SAME INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50236,PR ANES FOR NEPHREC W TOT URETREC SEP INC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50240,PR ANES FOR NEPHRECTOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50250,PR ANES FOR ABLATION RENAL MASS CRYOSURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50280,PR ANES FOR EXCISION/UNROOFING CYST KIDNEY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50290,PR ANES FOR EXCISION PERINEPHRIC CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50300,PR ANES FOR NEPHRECTOMY CADAVER DONOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A50320,PR ANES FOR NEPHRECTOMY OPEN LIVE DONOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A50323,PR ANES FOR BKBENCH CADAVER RENAL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50325,PR ANES FOR BKBENCH LIVING RENAL GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50327,PR ANES FOR BKBENCH RENAL GRFT VEN ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50328,PR ANES FOR BKBENCH RENAL GRFT ARTL ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50329,PR ANES FOR BKBENCH RENAL GRFT URETERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50340,PR ANES FOR RECIPIENT NEPHRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50360,PR ANES FOR TRANSPLANT RENAL WO NEPHREC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50365,PR ANES FOR TRANSPLANT RENAL W NEPHREC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50370,PR ANES FOR RMVL TXPLANT RENAL ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50380,PR ANES FOR REIMPLANTATION KIDNEY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50382,PR ANES FOR RPLC URETER STNT PERC S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A50384,PR ANES FOR REMOVAL URETER STENT PERC S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A50385,PR ANES FOR RPLC URETR STNT TXURETHRAL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A50386,PR ANES FOR RMVL URETER STNT TXURETHRL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A50387,PR ANES FOR RMVL/RPLC TRANSNEPH STNT W S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A50389,PR ANES FOR RMVL NEPHROSTOMY TUBE W FLUORO,225.0,168.75,152.26,225.0,1324 CDM,PX-A50390,PR ANES FOR ASPIRATION/INJ RENAL CYST PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50391,PR ANES FOR INSTILL THER AGENT RENL/URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50396,PR ANES FOR MANOMETRIC STDS THRU NEPHROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50400,PR ANES FOR PYELOPLASTY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A50405,PR ANES FOR PYELOPLASTY COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A50430,PR ANES FOR INJ ANTEGRD NFROSGRM&/URTGRM NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A50431,PR ANES FOR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50432,PR ANES FOR PLC NEPHROSTOMY CATH PERC NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A50433,PR ANES FOR PLC NEPHROURETERAL CATH PERC NEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A50434,PR ANES FOR CONV NEPHROST TO NEPHROURET CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50435,PR ANES FOR EXCHG NEPHROST CATH PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50436,PR ANES FOR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50500,PR ANES FOR NEPHRORRHAPHY SUTR KIDNEY WND,225.0,168.75,152.26,225.0,1324 CDM,PX-A50520,PR ANES FOR CLSR NEPHROCUTANEOUS FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A50525,PR ANES FOR CLSR NEPHROVISC FSTL ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A50526,PR ANES FOR CLSR NEPHROVISC FSTL THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A50540,PR ANES FOR SYMPHYSIOTOMY HORSESHOE KIDNEY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50541,PR ANES FOR LAPAROSCOPY ABLATION RENL CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50542,PR ANES FOR LAPAROSCOPY ABLATION RENL MASS,225.0,168.75,152.26,225.0,1324 CDM,PX-A50543,PR ANES FOR LAPAROSCOPY PARTL NEPHRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50544,PR ANES FOR LAPAROSCOPY PYELOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50545,PR ANES FOR LAPAROSCOPY RADCL NEPHRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50546,PR ANES FOR LAP NEPHREC W PARTL URETERECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50547,PR ANES FOR LAP LIVING DONOR NEPHRECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50548,PR ANES FOR LAP NEPHREC W TOT URETERECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50549,PR ANES FOR UNLISTED PROC LAP RENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50551,PR ANES FOR ENDO RENAL NEPHROST/PYELSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50553,PR ANES FOR ENDO RENL NEPHROST URETER CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50555,PR ANES FOR ENDO RENL NEPHROST/PYELSTMY BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A50557,PR ANES FOR ENDO RENL NEPHROST/PYELSTMY W FULG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50561,PR ANES FOR ENDO RENAL NEPHROSTOMY RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A50562,PR ANES FOR ENDO RENAL NEPHROST RSECT TUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A50570,PR ANES FOR ENDO RENL NEPHROTOMY W/WO IRRI,225.0,168.75,152.26,225.0,1324 CDM,PX-A50572,PR ANES FOR ENDO RENAL NEPHROTOMY W CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50574,PR ANES FOR ENDO RENAL NEPHROTOMY W BIOPSY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50575,PR ANES FOR ENDO RENL NEPHROTOMY ENDOPYELO,225.0,168.75,152.26,225.0,1324 CDM,PX-A50576,PR ANES FOR ENDO RENAL NEPHROTOMY W FULG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50580,PR ANES FOR ENDO RENAL NEPHROTOMY RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A50590,PR ANES FOR LITHOTRIPSY SHOCK WAVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A50592,PR ANES FOR ABLATION RENAL TUMORS UNILAT RF,225.0,168.75,152.26,225.0,1324 CDM,PX-A50593,PR ANES FOR ABLATION RENAL TUMOR PERC CRYO,225.0,168.75,152.26,225.0,1324 CDM,PX-A50600,PR ANES FOR URETEROTOMY W EXPL/DRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A50605,PR ANES FOR URETEROTOMY INS INDWELLNG STNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50606,PR ANES FOR ENDOLUMINAL BX URTR &/ RNL PELV,225.0,168.75,152.26,225.0,1324 CDM,PX-A50610,PR ANES FOR URTROLITHOTOMY UPR 1/3 URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50620,PR ANES FOR URTROLITHOTOMY MID 1/3 URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50630,PR ANES FOR URTROLITHOTOMY LWR 1/3 URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50650,PR ANES FOR URETERECTOMY W BLADDER CUFF,225.0,168.75,152.26,225.0,1324 CDM,PX-A50660,PR ANES FOR URETERECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50684,PR ANES FOR INJ URETERO/URETEROPYELOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50686,PR ANES FOR MANOMETRIC STDS THRU URETEROST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50688,PR ANES FOR CHANGE URETEROSTOMY TUBE/STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50690,PR ANES FOR INJ ILEAL CON/URETEROPYLGRPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50693,PR ANES FOR PLC URETER STNT PRE-EXIST NEPHROST TRCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50694,PR ANES FOR PLC URETER STNT NEW WO NEPHROST CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50695,PR ANES FOR PLC URETER STNT NEW W NEPHROST CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50700,PR ANES FOR URETROPLASTY PLASTIC OPR URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50705,PR ANES FOR URETER EMBL/OCCL W IMG GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A50706,PR ANES FOR BALN DIL URETER STRICTURE W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50715,PR ANES FOR URETEROLYSIS W/WO REPO URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50722,PR ANES FOR URETEROLYSIS OVARIAN VN SYNDRM,225.0,168.75,152.26,225.0,1324 CDM,PX-A50725,PR ANES FOR URETEROLYSIS RETROCAVAL URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50727,PR ANES FOR REV URINARY CUTNEOUS ANASTOM,225.0,168.75,152.26,225.0,1324 CDM,PX-A50728,PR ANES FOR REV URINARY ANAST W RPR HERNIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A50740,PR ANES FOR URETEROPYELO ANASTMO RENL PELV,225.0,168.75,152.26,225.0,1324 CDM,PX-A50750,PR ANES FOR URETEROPYELO ANAST RENL CALYX,225.0,168.75,152.26,225.0,1324 CDM,PX-A50760,PR ANES FOR URETEROURETEROSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50770,PR ANES FOR TRANSURETEROURETEROSTOMY ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50780,PR ANES FOR URETERONEOCYST ANAST 1 URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50782,PR ANES FOR URETERONEOCYST ANAST DUP URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50783,PR ANES FOR URETERONEOCYST W TAILORING,225.0,168.75,152.26,225.0,1324 CDM,PX-A50785,PR ANES FOR URETERONEOCYST W VESICO HTCH/FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A50800,PR ANES FOR URETEROENTEROSTOMY DIRECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50810,PR ANES FOR URETEROSIGMOIDOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50815,PR ANES FOR URETEROCOLON CONDUIT W ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50820,PR ANES FOR URETEROILEAL CONDUIT W ANAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A50825,PR ANES FOR DIVERT CONTINENT ANAST INTSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A50830,PR ANES FOR URINARY UNDIVERSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A50840,PR ANES FOR RPLC URETER W INTSTN SEGMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50845,PR ANES FOR CUTANEOUS APPENDICO-VESICOSTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50860,PR ANES FOR URETEROSTOMY TXPLNT URETER-SKIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A50900,PR ANES FOR URETERORRHAPHY SUTURE URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50920,PR ANES FOR CLOSURE URETEROCUTANEOUS FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A50930,PR ANES FOR CLSR URETEROCUTN FSTL VISC RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A50940,PR ANES FOR DELIGATION URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50945,PR ANES FOR LAPAROSCOPY URETEROLITHOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50947,PR ANES FOR LAP URETERONEO W CYSTOSC STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A50948,PR ANES FOR LAP URETERONEO WO CYSTOSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A50949,PR ANES FOR UNLISTED PROC LAP URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A50951,PR ANES FOR ENDO URETER THRU URETEROSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50953,PR ANES FOR ENDO URETER URETEROST W CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50955,PR ANES FOR ENDO URETER URETEROST W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A50957,PR ANES FOR ENDO URETER URETEROST W FULG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50961,PR ANES FOR ENDO URETER URETEROST RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A50970,PR ANES FOR ENDO URETER URETEROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A50972,PR ANES FOR ENDO URETER URETEROTOMY W CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A50974,PR ANES FOR ENDO URETER URETEROTOMY W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A50976,PR ANES FOR ENDO URETER URETEROTOMY W FULG,225.0,168.75,152.26,225.0,1324 CDM,PX-A50980,PR ANES FOR ENDO URETER URETEROT W RMVL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A51020,PR ANES FOR CYSTOTOMY/CYSTOSTOMY W FULG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51040,PR ANES FOR CYSTOSTOMY CYSTOTOMY W DRAIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A51045,PR ANES FOR CYSTOTOMY INS URETER CATH/STNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A51050,PR ANES FOR CYSTOLITHOT CYSTO W RMVL CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A51060,PR ANES FOR TRANSVESICAL URETROLITHOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A51065,PR ANES FOR CYSTO W CALC BASKET EXTRACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A51080,PR ANES FOR DRAIN PERIVESICAL SPACE ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A51100,PR ANES FOR ASPIRATION BLADDER NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51101,PR ANES FOR ASPIRATION BLADDER TROCAR/INTRACATHETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A51102,PR ANES FOR ASP BLADDER/INS SUPUBIC CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A51500,PR ANES FOR EXCISION URACHAL CYST/SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A51520,PR ANES FOR CYSTO SMPL EXCISN VESICAL NECK,225.0,168.75,152.26,225.0,1324 CDM,PX-A51525,PR ANES FOR CYSTO EXCISN BLAD DIVERTICULUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A51530,PR ANES FOR CYSTOTOMY EXCISION BLADDER TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A51535,PR ANES FOR CYSTOTOMY EXCISION URETEROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51550,PR ANES FOR CYSTECTOMY PARTIAL SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51555,PR ANES FOR CYSTECTOMY PARTIAL COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A51565,PR ANES FOR CYSTECTOMY PARTL REIMPL URETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A51570,PR ANES FOR CYSTECTOMY COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51575,PR ANES FOR CYSTECTOMY W BILAT PELV LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A51580,PR ANES FOR CYSTECTOMY W URETEROSIG/TX,225.0,168.75,152.26,225.0,1324 CDM,PX-A51585,PR ANES FOR CYSTECT URETROSIG BILAT LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A51590,PR ANES FOR CYSTECT W URETEROILEAL CONDUIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A51595,PR ANES FOR CYSTECT URETEROILEAL LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A51596,PR ANES FOR CYSTECT COMPLT W CONT DIVERSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A51597,PR ANES FOR EXNTR PELV COMPLT UROLOG MLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51600,PR ANES FOR INJ CYSTOGRAPHY/VUCG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51605,PR ANES FOR INJ PLC CHAIN CNTRST/UCG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51610,PR ANES FOR INJ RETROGRADE URCG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51700,PR ANES FOR IRRI BLAD SMPL LAVAGE&/INSTILL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51701,PR ANES FOR INS NON-INDWELLING BLAD CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A51702,PR ANES FOR INS TEMP INDW BLAD CATH SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51703,PR ANES FOR INS TEMP INDWL BLAD CATH COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51705,PR ANES FOR CHANGE CYSTOSTOMY TUBE SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51710,PR ANES FOR CHANGE CYSTOSTOMY TUBE COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51715,PR ANES FOR ENDO INJ IMPL MATRL URETH&/BLAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A51720,PR ANES FOR INSTILL ANTICARCINOGEN BLAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A51721,PR ANES FOR INS TRURL ABLT TRNSDC THR US,225.0,168.75,152.26,225.0,1324 CDM,PX-A51725,PR ANES FOR CYSTOMETROGRAM SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51726,PR ANES FOR CYSTOMETROGRAM COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A51727,PR ANES FOR CMG CMPLX W URETHRAL PRESSURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51728,PR ANES FOR CMG CMPLX W VOIDING PRESSURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51729,PR ANES FOR CMG CMPLX VOID&URETHRAL PRES,225.0,168.75,152.26,225.0,1324 CDM,PX-A51736,PR ANES FOR UROFLOWMETRY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51741,PR ANES FOR UROFLOWMETRY CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A51784,PR ANES FOR EMG ANAL/URETHRAL NOT NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51785,PR ANES FOR EMG ANAL/URETHRAL NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51792,PR ANES FOR STIMULUS EVOKED RESPONSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51797,PR ANES FOR VOIDING PRES STUDY INTRABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A51798,PR ANES FOR MEAS PST VOID RESID US NON IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51800,PR ANES FOR CYSTOPLASTY/CYSTOURETHROPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A51820,PR ANES FOR CYSTOURETHROPLASTY W URETRONEO,225.0,168.75,152.26,225.0,1324 CDM,PX-A51840,PR ANES FOR VESICOURETHROPEXY ANTR SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A51841,PR ANES FOR VESICOURETHROPEXY ANTR CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A51845,PR ANES FOR SUSPEND VESICAL NK ABD-VAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A51860,PR ANES FOR CYSTORRHAPHY SUTURE BLAD SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51865,PR ANES FOR CYSTORRHAPHY SUTURE BLAD COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A51880,PR ANES FOR CLOSURE CYSTOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A51900,PR ANES FOR CLOSURE VESICOVAGINAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A51920,PR ANES FOR CLOSURE VESICOUTERINE FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A51925,PR ANES FOR HYSTERECTOMY W CLSR OF VUF,225.0,168.75,152.26,225.0,1324 CDM,PX-A51940,PR ANES FOR CLOSURE EXSTROPHY BLADDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A51960,PR ANES FOR ENTEROCYSTOPLASTY ANASTOMOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A51980,PR ANES FOR CUTANEOUS VESICOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A51990,PR ANES FOR LAP URETHRAL SUSPENSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A51992,PR ANES FOR LAPAROSCOPY SLING OPERATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A51999,PR ANES FOR UNLISTED PROC LAP BLADDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A52000,PR ANES FOR CYSTOURETHROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A52001,PR ANES FOR CYSTOURETHROSCOPY IRRI CLOTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A52005,PR ANES FOR CYSTOURETHROSCOPY URETER CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A52007,PR ANES FOR CYSTHRSCPY W URETER CATH&BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A52010,PR ANES FOR CYSTHRSCPY W EJACL DUCT CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A52204,PR ANES FOR CYSTOURETHROSCOPY WITH BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A52214,PR ANES FOR CYSTHRSCPY W FULGURATION LESNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A52224,PR ANES FOR CYSTHRSCPY W FULG LESNS MINOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A52234,PR ANES FOR CYSTHRSCPY FULG BLAD TMR SMALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52235,PR ANES FOR CYSTHRSCPY FULG BLAD TMR MED,225.0,168.75,152.26,225.0,1324 CDM,PX-A52240,PR ANES FOR CYSTHRSCPY FULG BLAD TMR LRG,225.0,168.75,152.26,225.0,1324 CDM,PX-A52250,PR ANES FOR CYSTHRSCPY INJ RADIOACTIVE SBS,225.0,168.75,152.26,225.0,1324 CDM,PX-A52260,PR ANES FOR CYSTHRSCPY DIL BLAD GNRL ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A52265,PR ANES FOR CYSTHRSCPY DIL BLAD LOCAL ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A52270,PR ANES FOR CYSTHRSCPY URETHROTOMY FEMALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52275,PR ANES FOR CYSTHRSCPY W URETHROTOMY MALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52276,PR ANES FOR CYSTHRSCPY DIRCT VISN URETHROT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52277,PR ANES FOR CYSTHRSCPY RSECT EXTRNL SPHINC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52281,PR ANES FOR CYSTHRSCPY W CALIB&/DIL URETH,225.0,168.75,152.26,225.0,1324 CDM,PX-A52282,PR ANES FOR CYSTHRSCPY INS PERMANENT STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52283,PR ANES FOR CYSTHRSCPY W STEROID INJ STRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52284,PR ANES FOR CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52285,PR ANES FOR CYSTHRSCPY TX URETH SYND FMALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52287,PR ANES FOR CYSTHRSCPY INJ CHEMODENRVATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A52290,PR ANES FOR CYSTHRSCPY W URETER MEATOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A52300,PR ANES FOR CYSTHRSCPY W RSECT URETEROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52301,PR ANES FOR CYSTHRSCPY RSECT ECTOPC URTRCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52305,PR ANES FOR CYSTHRSCPY RSECT BLAD DVRTCLM,225.0,168.75,152.26,225.0,1324 CDM,PX-A52310,PR ANES FOR CYSTHRSCPY RMVL FB/STENT SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52315,PR ANES FOR CYSTHRSCPY RMVL FB/STENT CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A52317,PR ANES FOR LITHOLAPAXY SMPL <2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A52318,PR ANES FOR LITHOLAPAXY COMPL >2.5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A52320,PR ANES FOR CYSTHRSCPY W RMVL URETER CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52325,PR ANES FOR CYSTHRSCPY FRAGMNT URETER CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52327,PR ANES FOR CYSTHRSCPY W SUBURETERIC INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A52330,PR ANES FOR CYSTHRSCPY MANIP WO RMVL CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52332,PR ANES FOR CYSTHRSCPY W INS URETERAL STNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52334,PR ANES FOR CYSTHRSCPY W INS URETER GWIRE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52341,PR ANES FOR CYSTHRSCPY W TX URETERAL STRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52342,PR ANES FOR CYSTHRSCPY TX URETERPELV STRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52343,PR ANES FOR CYSTHRSCPY TX INTRARENAL STRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52344,PR ANES FOR CYSTHRSCPY/URTRSCPY TX URET STRIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52345,PR ANES FOR CYSTHRSCPY/URTRSCPY TX URETROPELV,225.0,168.75,152.26,225.0,1324 CDM,PX-A52346,PR ANES FOR CYSTHRSCPY/URTRSCPY TX INTRARENAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52351,PR ANES FOR CYSTHRSCPY W URTRSCPY/PYELO DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A52352,PR ANES FOR CYSTHRSCPY/URTRSCPY RMVL CALC,225.0,168.75,152.26,225.0,1324 CDM,PX-A52353,PR ANES FOR CYSTHRSCPY URTRSCPY LITHOTRIP,225.0,168.75,152.26,225.0,1324 CDM,PX-A52354,PR ANES FOR CYSTHRSCPY/URTRSCPY BX PELV LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A52355,PR ANES FOR CYSTHRSCPY URTRSCPY PELV TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A52356,PR ANES FOR CYSTHRSCPY/URTRSCPY LITHO INS STNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52400,PR ANES FOR CYSTHRSCPY INCISN URETHRAL VALVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52402,PR ANES FOR CYSTHRSCPY TRANSURETHRAL RSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52441,PR ANES FOR CYSTHRSCPY INS TP IMPLANT SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52442,PR ANES FOR CYSTHRSCPY INS TP IMPLANT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A52443,PR ANES FOR CYSTO 1ST TRURL PROSTATE COMIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A52450,PR ANES FOR INCISN PROSTATE TRANSURETHRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52500,PR ANES FOR RSECT BLAD NK TRANSURETHRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52597,PR ANES FOR TRANSRECT RBTC WTRJT RESECT PROSTATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52601,PR ANES FOR RSECT PROS CMPLT ELECTROSURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A52630,PR ANES FOR RSECT REGROW PROS TISS TXURETH,225.0,168.75,152.26,225.0,1324 CDM,PX-A52640,PR ANES FOR RSECT POSTOP BLAD NK CONTRCTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A52647,PR ANES FOR LASER COAG PROSTATE COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A52648,PR ANES FOR LASER VAPORIZATION PROS CMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A52649,PR ANES FOR LASER ENUCLEATION PROSTATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A52700,PR ANES FOR TXURETH DRAINAGE PROSTATE ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A53000,PR ANES FOR URETHROTOMY PENDULOUS URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53010,PR ANES FOR URETHROTOMY PERINEAL URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53020,PR ANES FOR MEATOTOMY EXCEPT INFANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53025,PR ANES FOR MEATOTOMY INFANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53040,PR ANES FOR DRAINAGE PERIURETHRAL ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A53060,PR ANES FOR DRAIN SKENE'S GLAND ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A53080,PR ANES FOR DRAIN URETH XTRVASATION UNCMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A53085,PR ANES FOR DRAIN URETH XTRVASATION CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A53200,PR ANES FOR BIOPSY URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53210,PR ANES FOR URETHRECTOMY CYSTOS TOT FEMALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53215,PR ANES FOR URETHRECTOMY CYSTOS TOT MALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53220,PR ANES FOR EXCISION CARCINOMA URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53230,PR ANES FOR EXCISN URETHRAL DVERTCLM FMALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53235,PR ANES FOR EXCISN URETHRAL DVERTCLM MALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53240,PR ANES FOR MARSUPIALIZATION URETH DVRTCLM,225.0,168.75,152.26,225.0,1324 CDM,PX-A53250,PR ANES FOR EXCISION BULBOURETHRAL GLAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A53260,PR ANES FOR EXCISION URETHRAL POLYP DISTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A53265,PR ANES FOR EXCISION URETHRAL CARUNCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53270,PR ANES FOR EXCISN/FULG SKENES GLANDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A53275,PR ANES FOR EXCISN URETHRAL PROLAPSE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53400,PR ANES FOR URTHPLSTY 1 STG FSTL/DVRTCLM,225.0,168.75,152.26,225.0,1324 CDM,PX-A53405,PR ANES FOR URTHPLSTY 2 STG URINARY DIVRSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A53410,PR ANES FOR URTHPLSTY 1 STG RECNST URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53415,PR ANES FOR URTHPLSTY 1 STG RECNST TRNSPUB,225.0,168.75,152.26,225.0,1324 CDM,PX-A53420,PR ANES FOR URTHPLSTY 1ST STG RECNST URETH,225.0,168.75,152.26,225.0,1324 CDM,PX-A53425,PR ANES FOR URTHPLSTY 2ND STG RECNST URETH,225.0,168.75,152.26,225.0,1324 CDM,PX-A53430,PR ANES FOR URTHPLSTY RCNST FEMALE URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53431,PR ANES FOR URTHPLSTY TUBULRZATION URETHRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53440,PR ANES FOR SLING OPR MALE INCONTINENCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53442,PR ANES FOR RMVL/REV SLING MALE INCONT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53444,PR ANES FOR INSERTION TANDEM CUFF,225.0,168.75,152.26,225.0,1324 CDM,PX-A53445,PR ANES FOR INS INFLT BLADDER NK SPHINC,225.0,168.75,152.26,225.0,1324 CDM,PX-A53446,PR ANES FOR RMVL INFLT URETHRAL SPHINCTER,225.0,168.75,152.26,225.0,1324 CDM,PX-A53447,PR ANES FOR RMVL&RPLC INFLT URETH SPHINC,225.0,168.75,152.26,225.0,1324 CDM,PX-A53448,PR ANES FOR RMVL&RPLC SPHINC INFECT FIELD,225.0,168.75,152.26,225.0,1324 CDM,PX-A53449,PR ANES FOR REPAIR INFLT URETHRAL SPHINC,225.0,168.75,152.26,225.0,1324 CDM,PX-A53450,PR ANES FOR URETHROMEATOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A53451,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A53452,PR ANES FOR PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A53453,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A53454,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53460,PR ANES FOR URETHROMEATOPLSTY PARTL EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A53500,PR ANES FOR URETHROLYSIS TV W CYSTHRSCPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A53502,PR ANES FOR URETHRORRHAPHY SUTURE FEMALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53505,PR ANES FOR URETHRORRHAPHY SUTURE PENILE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53510,PR ANES FOR URETHRORRHAPHY SUTURE PERINEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A53515,PR ANES FOR URETHRORRHAPHY PROS-MEMBRANOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A53520,PR ANES FOR CLSR URETHROSTOMY FSTL MALE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53600,PR ANES FOR DIL URETHRAL STRICT MALE INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53601,PR ANES FOR DIL URETHRAL STRICT MALE SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A53605,PR ANES FOR DIL URETH STRICT MALE PASSAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A53620,PR ANES FOR DIL URETH FILIFORM MALE INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53621,PR ANES FOR DIL URETH FILIFORM MALE SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A53660,PR ANES FOR DIL URETHRA FEMALE INITIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A53661,PR ANES FOR DIL URETHRA FEMALE SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A53665,PR ANES FOR DIL FEMALE URETH GNRL/SPNL ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A53850,PR ANES FOR DEST PROSTATE TISS TU MWTHERMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A53852,PR ANES FOR DEST PROSTATE TISS TU RFTHERMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A53854,PR ANES FOR TXURETH PROST TISS RF THERMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A53855,PR ANES FOR INS TEMP PROSTATIC URETH STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A53860,PR ANES FOR MICRO REMOD BLAD NK&URETH FEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A53865,PR ANES FOR CYSTO INSJ DEV ISCHMC RMDLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A53866,PR ANES FOR CATHJ RMVL DEV ISCHMC RMDLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A53899,PR ANES FOR UNLISTED PROC URINARY SYSTEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54000,PR ANES FOR SLITTING PREPUCE DORSAL/LAT NB,225.0,168.75,152.26,225.0,1324 CDM,PX-A54001,PR ANES FOR SLITTING PREPUCE NOT NEWBORN,225.0,168.75,152.26,225.0,1324 CDM,PX-A54015,PR ANES FOR I&D PENIS DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A54050,PR ANES FOR DEST LESN PENIS SMPL CHEMICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54055,PR ANES FOR DEST LESN PENIS SMPL ELECTRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A54056,PR ANES FOR DEST LESN PENIS SMPL CRYOSURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A54057,PR ANES FOR DEST LESN PENIS SMPL LASER,225.0,168.75,152.26,225.0,1324 CDM,PX-A54060,PR ANES FOR DEST LESN PENIS SMPL SURG EXCISN,225.0,168.75,152.26,225.0,1324 CDM,PX-A54065,PR ANES FOR DEST LESN PENIS EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54100,PR ANES FOR BIOPSY PENIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54105,PR ANES FOR BIOPSY PENIS DEEP STRUCTURES,225.0,168.75,152.26,225.0,1324 CDM,PX-A54110,PR ANES FOR EXCISION OF PENILE PLAQUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54111,PR ANES FOR EXCISN PENILE PLAQUE GRFT<=5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54112,PR ANES FOR EXCISN PENILE PLAQUE GRFT >5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54115,PR ANES FOR REMOVAL FB PENILE TISSUE DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A54120,PR ANES FOR AMPUTATION OF PENIS PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54125,PR ANES FOR AMPUTATION OF PENIS COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54130,PR ANES FOR AMP PENIS RAD ING-FEM LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A54135,PR ANES FOR AMP PENIS RADCL W EXTRNL ILIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A54150,PR ANES FOR CIRCUMCISION W CLAMP/BLOCK,225.0,168.75,152.26,225.0,1324 CDM,PX-A54160,PR ANES FOR CIRCUMCISION NOT CLAMP <28 DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54161,PR ANES FOR CIRCUMCISION NOT CLAMP >28DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54162,PR ANES FOR EXCISN PENILE POST CIRC ADHESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A54163,PR ANES FOR REPAIR INCMPLT CIRCUMCISION,225.0,168.75,152.26,225.0,1324 CDM,PX-A54164,PR ANES FOR FRENULOTOMY OF PENIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54200,PR ANES FOR INJECTION PEYRONIE DISEASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54205,PR ANES FOR INJ PEYRONIE SURG EXPOS PLAQUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54220,PR ANES FOR IRRIG CORP CAVERNOSA PRIAPISM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54230,PR ANES FOR INJ CORPORA CAVERNOSOGRAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54231,PR ANES FOR CAVERNOSOMETRY INJ VASOACTIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54235,PR ANES FOR INJ CORPCAV W PHARM AGENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54240,PR ANES FOR PENILE PLETHYSMOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54250,PR ANES FOR NOCTURNAL PENILE TUMESCENCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54300,PR ANES FOR PLASTIC OP PENIS STRT CHORDEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54304,PR ANES FOR PENIS CORR 1ST SG HYPOSPADIAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54308,PR ANES FOR URTHPLSTY 2 SG HYPOSPADIAS<3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54312,PR ANES FOR URTHPLSTY 2 SG HYPOSPADIAS>3CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54316,PR ANES FOR URTHPLSTY 2 SG HYPSPDS W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54318,PR ANES FOR URTHPLSTY 3RD HYPSPDS RLS PNIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54322,PR ANES FOR RPR 1 SG HYPSPDS MEATAL ADV,225.0,168.75,152.26,225.0,1324 CDM,PX-A54324,PR ANES FOR RPR 1 SG HYPSPDS W URTHRPLSTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54326,PR ANES FOR RPR 1ST HYPSPDS URTHRPLSTY&MBL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54328,PR ANES FOR RPR 1 SG HYPSPDS W DISSCT EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54332,PR ANES FOR RPR 1 SG PROX PENL HYPSPDS/DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54336,PR ANES FOR RPR 1 SG PERI HYPSPDS W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54340,PR ANES FOR RPR HYPOSPADIAS COMPL SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54344,PR ANES FOR RPR HYPOSPADIAS COMPL MBL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54348,PR ANES FOR RPR HYPSPDS COMPL W DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54352,PR ANES FOR REV HYPSPDS REPAIR W DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54360,PR ANES FOR PLASTIC OPR PENIS ANGULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A54380,PR ANES FOR PLSTC OPR EPISPDS DIST SPHINC,225.0,168.75,152.26,225.0,1324 CDM,PX-A54385,PR ANES FOR RCNSTRCT EPISPDS DIST W INCONT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54390,PR ANES FOR RCNSTRCT EPISPDS W EXSTROPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54400,PR ANES FOR INS PENILE PROSTH NON-INFLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54401,PR ANES FOR INS PENILE PROSTH INFLATABLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54405,PR ANES FOR INS IPP MULTI COMPONENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54406,PR ANES FOR REMOVAL IPP MULTI COMPONENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54408,PR ANES FOR RPR IPP MULTI COMPONENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54410,PR ANES FOR RMVL&RPLC IPP MULT COMPONENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A54411,PR ANES FOR RMVL&RPLC IPP MULTCOMP INF FLD,225.0,168.75,152.26,225.0,1324 CDM,PX-A54415,PR ANES FOR RMVL NON INFLT PENILE PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A54416,PR ANES FOR RMVL&RPL SEMI/SELF PENL PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A54417,PR ANES FOR RMVL&RPL SEMI/SELF PP INF FLD,225.0,168.75,152.26,225.0,1324 CDM,PX-A54420,PR ANES FOR SHUNT CORPCAV-SAPHENOUS VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A54430,PR ANES FOR SHUNT CORPCAV-CORPUS SPONGOSUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A54435,PR ANES FOR CORPCAV-GLANS PENIS FSTLZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A54437,PR ANES FOR RPR TRAUMETIC CORPOREAL TEAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A54440,PR ANES FOR PLASTIC OPERATION PENIS INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54450,PR ANES FOR MANIP FORESKIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A54500,PR ANES FOR BIOPSY TESTIS NEEDLE PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54505,PR ANES FOR BIOPSY TESTIS INCISIONAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54512,PR ANES FOR EXCISN EXTRAPRL LESION TESTIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54520,PR ANES FOR ORCHIECTOMY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54522,PR ANES FOR ORCHIECTOMY PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54530,PR ANES FOR ORCHIECTOMY RADCL INGUINAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A54535,PR ANES FOR ORCHIECTOMY RADCL W ABD EXPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A54550,PR ANES FOR EXPLR UNDESCENDED TESTIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54560,PR ANES FOR EXPLR UNDESCENDED TESTIS W ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A54600,PR ANES FOR REDUCTION TESTIS TORSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A54620,PR ANES FOR FIXATION CONTRALATERAL TESTIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54640,PR ANES FOR ORCHIOPEXY INGUINAL OR SCROTAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A54650,PR ANES FOR ORCHIOPEXY INTRA ABD TESTIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54660,PR ANES FOR INS OF TESTICULAR PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54670,PR ANES FOR REPAIR TESTICULAR INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A54680,PR ANES FOR TRANSPLANT TESTIS TO THIGH,225.0,168.75,152.26,225.0,1324 CDM,PX-A54690,PR ANES FOR ORCHIECTOMY LAPAROSCOPIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A54692,PR ANES FOR LAP ORCHIOPEXY INTRA-ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A54699,PR ANES FOR UNLISTED PROCEDURE LAP TESTIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54700,PR ANES FOR I&D EPIDIDYMIS TESTIS&/SCRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54800,PR ANES FOR BX EPIDIDYMIS NEEDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54830,PR ANES FOR EXCISN LOCAL LESN EPIDIDYMIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A54840,PR ANES FOR EXCISION OF SPERMATOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A54860,PR ANES FOR EPIDIDYMECTOMY UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54861,PR ANES FOR EPIDIDYMECTOMY BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54865,PR ANES FOR EXPLORATION EPIDIDYMIS W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A54900,PR ANES FOR EPIDIDYMOVASOSTOMY UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A54901,PR ANES FOR EPIDIDYMOVASOSTOMY BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A5500,PR SHOE DIABETIC,139.0,104.25,62.55,139.0,635 CDM,PX-A55000,PR ANES FOR ASP HYDROCELE TUNICA VAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A55040,PR ANES FOR EXCISION HYDROCELE UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55041,PR ANES FOR EXCISION HYDROCELE BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55060,PR ANES FOR RPR TUNICA VAGINALIS HYDROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55100,PR ANES FOR DRAINAGE SCROTUM ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A55110,PR ANES FOR EXPLORATION SCROTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A55120,PR ANES FOR REMOVAL FOREIGN BODY SCROTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A55150,PR ANES FOR RESECTION OF SCROTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A55175,PR ANES FOR SCROTOPLASTY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55180,PR ANES FOR SCROTOPLASTY COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A55200,PR ANES FOR VASOTOMY CANNULIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A55250,PR ANES FOR VASECTOMY INCL SEMEN EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A55300,PR ANES FOR VASOTOMY VASOGRAMS UNI/BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A55400,PR ANES FOR VASOVASOSTOMY VASOVASORRHAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A55500,PR ANES FOR EXCISN HYDROCELE SPRM CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A55520,PR ANES FOR EXCISN LESN SPERMATIC CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A55530,PR ANES FOR EXCISN VARICOCELE SPRM CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A55535,PR ANES FOR EXCISN VARICO SPRM VEINS ABDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55540,PR ANES FOR EXCISN VARICOCELE W HERNIA RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A55550,PR ANES FOR LAP LIG SPERMATIC VEINS VARICO,225.0,168.75,152.26,225.0,1324 CDM,PX-A55559,PR ANES FOR UNLISTED PROC LAP SPRM CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A55600,PR ANES FOR VESICULOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A55605,PR ANES FOR VESICULOTOMY COMPLICATED,225.0,168.75,152.26,225.0,1324 CDM,PX-A55650,PR ANES FOR VESICULECTOMY ANY APPROACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A55680,PR ANES FOR EXCISION MULLERIAN DUCT CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A55700,PR ANES FOR BIOPSY PROSTATE NEEDLE/PUNCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A55705,PR ANES FOR BIOPSY PROSTATE INCISIONAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55706,PR ANES FOR BX PROSTATE NDL TRANSPRNEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55707,PR ANES FOR BX PRST8 TRCT US GUIDED,225.0,168.75,152.26,225.0,1324 CDM,PX-A55708,PR ANES FOR BX PRST8 TRCT US W/MRI FUS 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A55709,PR ANES FOR BX PRST8 TPRNL US GUIDED,225.0,168.75,152.26,225.0,1324 CDM,PX-A55710,PR ANES FOR BX PRST8 TPRN US W/MRI FUS 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A55711,PR ANES FOR BX PRST8 TRCT MRI-US 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A55712,PR ANES FOR BX PRST8 TPRNL MRI-US 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A55713,PR ANES FOR BX PRST8 IN-BORE CT/MRI BX 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A55714,PR ANES FOR BX PRST8 IN-BORE CT/MRI 1,225.0,168.75,152.26,225.0,1324 CDM,PX-A55715,PR ANES FOR BX PRST8 EA ADD MRI-US/CT/MR,225.0,168.75,152.26,225.0,1324 CDM,PX-A55720,PR ANES FOR PROSTATOTOMY DRAIN ABSC SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55725,PR ANES FOR PROSTATOTOMY DRAIN ABSC COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55801,PR ANES FOR PROSTATECTOMY PERI SUBTOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55810,PR ANES FOR PROSTATECTOMY PERI RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55812,PR ANES FOR PROSTATECTOMY RADCL LYMPH NODE BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A55815,PR ANES FOR PROSTATECTOMY RADCL LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A55821,PR ANES FOR PROSTATECTOMY SUPRAPUBIC PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55831,PR ANES FOR PROSTEC RETROPUBIC SUBTOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55840,PR ANES FOR PROSTATECTOMY RETROPUBIC RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55842,PR ANES FOR PROSTATECTOMY W LYMPH NODE BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A55845,PR ANES FOR PROSTEC W BILAT PELV LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A55860,PR ANES FOR EXPOSE PROSTATE INS RADIOACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A55862,PR ANES FOR EXPOSE PROSTATE W LYMPH BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A55865,PR ANES FOR EXPOSE PROSTATE W BILAT LYMPH BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A55866,PR ANES FOR LAP PROSTEC RETROPUBIC RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55867,PR ANES FOR LAPS SURG PRSTECT SMPL STOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A55868,PR ANES FOR LAP SRG PROSTATECTOMY LYMPH NOD BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A55869,PR ANES FOR LAP SRG PROSTATECTOMY BI PELV LMPHAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A55870,PR ANES FOR ELECTROEJACULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A55873,PR ANES FOR CRYOSURG ABLATION PROSTATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55874,PR ANES FOR TPRNL PLMT BIODEGRDABL MATRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A55875,PR ANES FOR PLC CATH TRANSPERI PROSTATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55876,PR ANES FOR PLC INTERS RAD DEVICE PROSTATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55877,PR ANES FOR ABLTJ IRE PROSTATE 1+ TUM PERCUT,225.0,168.75,152.26,225.0,1324 CDM,PX-A55880,PR ANES FOR HIFU ABLATION PROSTATE W US GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55881,PR ANES FOR ABLT TRURL PRST8 TIS THRM US,225.0,168.75,152.26,225.0,1324 CDM,PX-A55882,PR ANES FOR ABLT TRURL PRST8 TIS TRNSDCR,225.0,168.75,152.26,225.0,1324 CDM,PX-A55899,PR ANES FOR UNLISTED PROC MALE GENITAL SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A55920,PR ANES FOR PLACEMENT NDL PELVIC RADIOELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A55970,"PR ANES FOR SEX TRANSFORMATION, M TO F",225.0,168.75,152.26,225.0,1324 CDM,PX-A55980,"PR ANES FOR SEX TRANSFORMATION, F TO M",225.0,168.75,152.26,225.0,1324 CDM,PX-A56405,PR ANES FOR I&D VULVA/PERINEAL ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A56420,PR ANES FOR I&D BARTHOLINS GLAND ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A56440,PR ANES FOR MARSUP BARTHOLINS GLAND CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A56441,PR ANES FOR LYSIS OF LABIAL ADHESIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A56442,PR ANES FOR HYMENOTOMY INCISION SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A56501,PR ANES FOR DESTRUCTION LESION VULVA SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A56515,PR ANES FOR DEST LESN VULVA EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A56605,PR ANES FOR BX VULVA/PERINEUM 1 LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A56606,PR ANES FOR BX VULVA/PERINEUM ADD LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A56620,PR ANES FOR VULVECTMY SIMPLE/PARTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A56625,PR ANES FOR VULVECTOMY SIMPLE COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A56630,PR ANES FOR VULVECTOMY RADICAL PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A56631,PR ANES FOR VULVECT RADCL PRTL UNILAT LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A56632,PR ANES FOR VULVECT RADCL PRTL BILAT LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A56633,PR ANES FOR VULVECTOMY RADICAL COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A56634,PR ANES FOR VULVECT RADCL COMPL UNILAT LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A56637,PR ANES FOR VULVCTMY RADCL COMPLT BILAT LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A56640,PR ANES FOR VULVECT RADCL ILIAC/PELV LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A56700,PR ANES FOR HYMENECTOMY PARTL/REV HYMEN RG,225.0,168.75,152.26,225.0,1324 CDM,PX-A56740,PR ANES FOR EXCISN BARTHOLIN GLAND/CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A56800,PR ANES FOR PLASTIC REPAIR OF INTROITUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A56805,PR ANES FOR CLITOROPLASTY INTERSEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A56810,PR ANES FOR PERINEOPLASTY RPERINEUM NONOB,225.0,168.75,152.26,225.0,1324 CDM,PX-A56820,PR ANES FOR COLPOSCOPY VULVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A56821,PR ANES FOR COLPOSCOPY VULVA W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57000,PR ANES FOR COLPOTOMY WITH EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A57010,PR ANES FOR COLPOTOMY W DRN PELV ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57020,PR ANES FOR COLPOCENTESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57022,PR ANES FOR I&D VAGINAL HEMATOMA OB,225.0,168.75,152.26,225.0,1324 CDM,PX-A57023,PR ANES FOR I&D VAGINAL HEMATOMA NONOB,225.0,168.75,152.26,225.0,1324 CDM,PX-A57061,PR ANES FOR DEST LESN VAGINAL SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57065,PR ANES FOR DEST LESN VAGINAL EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57100,PR ANES FOR BX VAGINAL MUCOSA SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57105,PR ANES FOR BX VAGINAL MUCOSA EXTEN W SUTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57106,PR ANES FOR VAGINECTMY PARTL RMVL VAG WALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57107,PR ANES FOR VAGNC PART W REMV PARAVAG TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57109,PR ANES FOR VAGNC RMVL PVG TISS PELV LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A57110,PR ANES FOR VAGINECTMY CMPLT RMVL VAG WALL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57111,PR ANES FOR VAGINECTMY CMPLT RMVL WALL&TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57120,PR ANES FOR COLPOCLEISIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57130,PR ANES FOR EXCISN OF VAGINAL SEPTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A57135,PR ANES FOR EXCISN OF VAGINAL CYST/TUMOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57150,PR ANES FOR IRRIGATION VAG/APP MED TX DIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57155,PR ANES FOR INS UTERINE TANDEM/VAG OVOIDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A57156,PR ANES FOR INS VAG BRACHYTHRPY DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A57160,PR ANES FOR FIT/INST PESSARY/OTR DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A57170,PR ANES FOR FIT DIAPHRAGM/CERV CAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A57180,PR ANES FOR INTRO AGENT NONOB VAGINAL HEMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57200,PR ANES FOR COLPORRHAPHY VAG SUTURE INJURY,225.0,168.75,152.26,225.0,1324 CDM,PX-A57210,PR ANES FOR COLPOPERINEORRHAPHY RPR VAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A57220,PR ANES FOR SPHINCTER URETHRA VAGINAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57230,PR ANES FOR RPR URETHROCELE PLASTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57240,PR ANES FOR COLPORPHY ANTR RPR CYSTOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57250,PR ANES FOR COLPORPHY POSTR RPR RECTOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57260,PR ANES FOR COLPORRHAPHY ANTEROPOSTERIOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57265,PR ANES FOR COLPORPHY A/P RPR ENTEROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57267,PR ANES FOR INS MESH/PROS FOR PELV FLR DEF,225.0,168.75,152.26,225.0,1324 CDM,PX-A57268,PR ANES FOR REPAIR ENTEROCELE VAGINAL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57270,PR ANES FOR REPAIR ENTEROCELE ABDL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57280,PR ANES FOR COLPOPEXY ABDOMINAL APPROACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A57282,PR ANES FOR COLPOPEXY VAG EXTRPERIT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57283,PR ANES FOR COLPOPEXY VAG INTRPERIT APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57284,PR ANES FOR RPR PARA VAG DEFECT ABDL APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57285,PR ANES FOR RPR PARA VAG DEFECT VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57287,PR ANES FOR RMVL/RVSN SLING STRESS INCONT,225.0,168.75,152.26,225.0,1324 CDM,PX-A57288,PR ANES FOR SLING OPR STRESS INCONTINENCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A57289,PR ANES FOR PEREYA PROC+ANTER COLPORRHAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A57291,PR ANES FOR CONSTRUCTION ARTIFICIAL VAGINA,225.0,168.75,152.26,225.0,1324 CDM,PX-A57292,PR ANES FOR CNSTRCT ARTIFICIAL VAGINA W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A57295,PR ANES FOR REV PROSTH VAG GRFT VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57296,PR ANES FOR REV PROSTH VAG GRFT ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57300,PR ANES FOR CLSR RECTOVAG FSTL VAG/ANL APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A57305,PR ANES FOR CLSR RECTOVAG FSTL ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57307,PR ANES FOR CLSR RECTOVAG FSTL ABD W CLSTM,225.0,168.75,152.26,225.0,1324 CDM,PX-A57308,PR ANES FOR CLSR RECTOVAG FSTL TXPERI APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57310,PR ANES FOR CLOSURE OF URETHROVAGINAL FSTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57311,PR ANES FOR RPR URETHROVAGINAL LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A57320,PR ANES FOR CLSR VESICOVAG FIST VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57330,PR ANES FOR CLSR VESICOVAG FSTL TRNSVG/VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57335,PR ANES FOR VAGINOPLASTY INTERSEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57400,PR ANES FOR DILATION OF VAGINA UNDER ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A57410,PR ANES FOR PELVIC EXAMINATION UNDER ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A57415,PR ANES FOR RMVL IMPACTED VAG FB W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A57420,PR ANES FOR COLPOSCOPY ENTIRE VAG W CERVIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57421,PR ANES FOR COLPOSCOPY ENTIRE VAG CX W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57423,PR ANES FOR PARAVAGINAL DEFECT REPAIR LAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A57425,PR ANES FOR LAPAROSCOPY COLPOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A57426,PR ANES FOR REV PROST VAG GRFT LAPAROSCOPC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57452,PR ANES FOR COLPOSCOPY CERVIX UPR/ADJ VAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A57454,PR ANES FOR COLPOSCOPY CERVIX W BX & ECC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57455,PR ANES FOR COLPOSCOPY CERVIX W BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57456,PR ANES FOR COLPOSCOPY CERVIX W ECC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57460,PR ANES FOR COLPOSCOPY CX W LOOP ELEC BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57461,PR ANES FOR COLPOSCOPY CERVIX W LOOP CONIZ,225.0,168.75,152.26,225.0,1324 CDM,PX-A57465,PR ANES FOR COMPUTER MAPG CERVIX UTERI DRG COLPOSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A57500,PR ANES FOR BIOPSY CERVIX SNGL/MULT LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A57505,PR ANES FOR CURETTAGE ENDOCERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57510,PR ANES FOR CAUTERY CERVIX ELECTRO/THERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A57511,PR ANES FOR CAUTERY CERVIX CRYOCAUTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A57513,PR ANES FOR CAUTERY CERVIX LASER ABLATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A57520,PR ANES FOR CONIZATION CERVIX KNIFE/LASER,225.0,168.75,152.26,225.0,1324 CDM,PX-A57522,PR ANES FOR CONIZATION CX EXCISN LOOP ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57530,PR ANES FOR TRACHELECTOMY AMP CERVIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57531,PR ANES FOR TRACHELECTOMY RADCL LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A57540,PR ANES FOR EXCISN CERVIX STUMP ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57545,"PR ANES FOR REMV CERV STUMP,ABD,FIX PELV FLOOR",225.0,168.75,152.26,225.0,1324 CDM,PX-A57550,PR ANES FOR EXCISN CERVIX STUMP VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57555,PR ANES FOR EXCISN CEX STUMP VAG W A/P RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57556,PR ANES FOR EXCISN CX STUMP ENTEROCELE RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A57558,PR ANES FOR D&C OF CERVIX STUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A57700,PR ANES FOR CERCLAGE UTERINE CERVIX NON OB,225.0,168.75,152.26,225.0,1324 CDM,PX-A57720,PR ANES FOR TRACHELORRHAPHY UTERINE CERVIX,225.0,168.75,152.26,225.0,1324 CDM,PX-A57800,PR ANES FOR DIL CERVIX CANAL INSTRUMENTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58100,PR ANES FOR BX ENDOMETRIAL WO CERVIX DIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58110,PR ANES FOR ENDOMETRIAL SAMPL PERF W COLPO,225.0,168.75,152.26,225.0,1324 CDM,PX-A58120,PR ANES FOR D&C NONOBSTETRICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58140,PR ANES FOR MYOMECTOMY 1-4 MYOMA ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58145,PR ANES FOR MYOMECTOMY 1-4 MYOMA VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58146,PR ANES FOR MYOMECTOMY 5+ MYOMA ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58150,PR ANES FOR HYSTERECTOMY TOTAL ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A58152,PR ANES FOR HYSTERECTOMY TOTAL W TUBE RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58180,PR ANES FOR HYSTERECTOMY SUPRACERV ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A58200,PR ANES FOR HYSTERECTOMY TOT ABD BX LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58210,PR ANES FOR HYSTERECTOMY RADCL ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A58240,PR ANES FOR EXENTERATION PELVIC GYN MLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A58260,PR ANES FOR HYSTERECTOMY VAGINAL <=250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58262,PR ANES FOR HYST VAG <=250G RMVL TUBES/OV,225.0,168.75,152.26,225.0,1324 CDM,PX-A58263,PR ANES FOR HYST VAG <=250G W TUB&/OV W ENTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58267,PR ANES FOR VAG HYST W COLPO-URTCSTOPEXY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58270,PR ANES FOR HYSTERECTOMY W RPR ENTEROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58275,"PR ANES FOR VAG HYST, W/VAGINECTOMY",225.0,168.75,152.26,225.0,1324 CDM,PX-A58280,PR ANES FOR HYSTERECTOMY REVISE VAGINA,225.0,168.75,152.26,225.0,1324 CDM,PX-A58285,PR ANES FOR VAG HYST RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58290,PR ANES FOR HYSTERECTOMY VAG UTERUS>250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58291,PR ANES FOR HYST VAG UTRS>250 G W TUBES/OV,225.0,168.75,152.26,225.0,1324 CDM,PX-A58292,PR ANES FOR HYST VAG >250G W TB/OV RPR ENTCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58294,PR ANES FOR HYST VAG >250 G RPR ENTEROCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58300,PR ANES FOR INSERT OF INTRAUTERINE DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58301,PR ANES FOR REMOVAL OF INTRAUTERINE DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58321,"PR ANES FOR ARTIF INSEMINATION,INTRA-CERVICAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A58322,PR ANES FOR ARTIFICIAL INSEM INTRA-UTERINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58323,PR ANES FOR ARTIFICIAL INSEP SPERM WASH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58340,PR ANES FOR CATH W INJ CNTRST HSG,225.0,168.75,152.26,225.0,1324 CDM,PX-A58345,PR ANES FOR INTRO FALLOPIAN TUBE CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58346,"PR ANES FOR INSERTION,HEYMAN CAPSULES",225.0,168.75,152.26,225.0,1324 CDM,PX-A58350,PR ANES FOR CHROMOTUBATION OVIDUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58353,PR ANES FOR ENDOMETRIAL ABLATION THERMAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58356,PR ANES FOR ENDOMETRIAL CRYOABLAT W US,225.0,168.75,152.26,225.0,1324 CDM,PX-A58400,PR ANES FOR RPR UTERUS SUSPENSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A58410,PR ANES FOR SUSPENSN UTERUS+PRESACRAL SYMPATHEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A58520,PR ANES FOR HYSTERORPHY REPAIR RUPT UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58540,PR ANES FOR HYSTEROPLASTY RPR UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58541,PR ANES FOR LAP SUPRACERVICAL HYST<=250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58542,PR ANES FOR LAP SUPRACERV HYST<=250 W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58543,PR ANES FOR LAP SUPRACERV HYST>250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58544,PR ANES FOR LAP SUPRACERV HYST>250 W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58545,PR ANES FOR LAP MYOMECTOMY 1-4 MYOMA<=250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58546,PR ANES FOR LAP MYOMECTOMY 5+MYOMAS>250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58548,PR ANES FOR LAP RADCL HYST W BILAT LYMPHDEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A58550,PR ANES FOR LAP VAG HYST UTERUS=< 250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58552,PR ANES FOR LAP VAG HYST UTRS=<250 W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58553,PR ANES FOR LAP VAG HYST UTERUS> 250 G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58554,PR ANES FOR LAP VAG HYST UTRS>250 G W RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58555,PR ANES FOR HYSTEROSCOPY DIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A58558,PR ANES FOR HYSTERSCPY W BX ENDOMETR/POLYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A58559,PR ANES FOR HYST W LYSIS INTRAUTER ADHES,225.0,168.75,152.26,225.0,1324 CDM,PX-A58560,PR ANES FOR HYSTEROSCOPY W DIVISION SEPTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A58561,PR ANES FOR HYSTEROSCOPY RMVL LEIOMYOMATA,225.0,168.75,152.26,225.0,1324 CDM,PX-A58562,PR ANES FOR HYSTEROSCOPY RMVL IMPACTED FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A58563,PR ANES FOR HYSTEROSCOPY ENDOMETRIAL ABLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58565,PR ANES FOR HYSTERSCPY OCC BI TUBE W IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58570,PR ANES FOR LAP W TOTAL HYST UTRS<=250G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58571,PR ANES FOR LAP TOT HYST UTRS<=250G W TB/OV,225.0,168.75,152.26,225.0,1324 CDM,PX-A58572,PR ANES FOR LAP W TOTAL HYST UTRS >250G,225.0,168.75,152.26,225.0,1324 CDM,PX-A58573,PR ANES FOR LAP TOT HYST UTRS>250G W TB/OV,225.0,168.75,152.26,225.0,1324 CDM,PX-A58575,PR ANES FOR LAPS TOT HYST RESJ MAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58578,PR ANES FOR UNLISTED PROC LAP UTRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58579,PR ANES FOR UNLISTED PROC HYSTEROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58580,PR ANES FOR TRANSCERVICAL ABLATION UTERINE FIBROID RF,225.0,168.75,152.26,225.0,1324 CDM,PX-A58600,PR ANES FOR LIG/TRANSECTION FALLOPIAN TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58605,PR ANES FOR LIG FALLOPIAN TUBE POST PARTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A58611,PR ANES FOR LIG FALLOPIAN TUBE W OTHR SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A58615,PR ANES FOR OCCL FALLOPIAN TUBE BY DEVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58660,PR ANES FOR LAPAROSCOPY W LYSIS ADHESIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58661,PR ANES FOR LAPAROSCOPY W RMVL ADNEXA,225.0,168.75,152.26,225.0,1324 CDM,PX-A58662,PR ANES FOR LAP W FULG/EXC LESN OV/VISC/PERIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58670,PR ANES FOR LAPAROSCOPY FULGURATN OVIDUCTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58671,PR ANES FOR LAPAROSCOPY OCCL OVIDUCTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58672,"PR ANES FOR LAP,FIMBRIOPLASTY",225.0,168.75,152.26,225.0,1324 CDM,PX-A58673,PR ANES FOR LAPAROSCOPY SALPINGOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58674,PR ANES FOR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A58679,PR ANES FOR UNLISTED PROC LAP OVIDUCT/OVARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58700,PR ANES FOR SALPINGECTMY CMPLT/PRTL UNI/BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58720,PR ANES FOR SALPINGO-OOPHORECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58740,PR ANES FOR LYSIS ADHESIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A58750,PR ANES FOR ANASTOMOSIS TUBOTUBAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58752,PR ANES FOR TUBO-UTERINE IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58760,PR ANES FOR FIMBRIOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58770,PR ANES FOR SALPINGOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58800,PR ANES FOR DRN OVARIAN CYST VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58805,PR ANES FOR DRN OVARIAN CYST ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58820,PR ANES FOR DRAIN OVARIAN ABSC VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58822,PR ANES FOR DRN OVARIAN ABCESS ABD APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A58825,PR ANES FOR TRANSPOSITION OVARY(S),225.0,168.75,152.26,225.0,1324 CDM,PX-A58900,PR ANES FOR BIOPSY OVARY UNI/BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58920,PR ANES FOR WEDGE RESECTION OVARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58925,PR ANES FOR CYSTECTOMY OVARIAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A58940,PR ANES FOR OOPHORECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A58943,PR ANES FOR RSECT OVARIAN MLG SALPING,225.0,168.75,152.26,225.0,1324 CDM,PX-A58950,PR ANES FOR RSECT OVARIAN MLG BSO,225.0,168.75,152.26,225.0,1324 CDM,PX-A58951,PR ANES FOR RSECT OVARIAN MLG SALPING TAH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58952,PR ANES FOR RSECT OVARIAN MLG RADCL DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A58953,PR ANES FOR SALPINGO-OOPHORECTOMY BILAT HYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A58954,PR ANES FOR SALPINGO-OOPHORECTOMY BILAT LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58956,PR ANES FOR SALPINGO-OOPHORECTOMY TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A58958,PR ANES FOR RSECT RCUR OVARY MLG W LYMPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A58960,PR ANES FOR LAPAROTOMY STAGING OVARIAN MLG,225.0,168.75,152.26,225.0,1324 CDM,PX-A58970,PR ANES FOR PUNC FOLLICLE OOCYTE RETRIEVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A58974,PR ANES FOR INTRA-UTERINE EMBRYO TRANSFER,225.0,168.75,152.26,225.0,1324 CDM,PX-A58976,"PR ANES FOR TRANSFER OF EMBRYO,INTRAFALLOPIAN",225.0,168.75,152.26,225.0,1324 CDM,PX-A58999,PR ANES FOR UNLISTED PROC FEMALE GENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A59000,PR ANES FOR AMNIOCENTESIS DIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59001,PR ANES FOR AMNIOCENTESIS THERAPEUTIC AFR,225.0,168.75,152.26,225.0,1324 CDM,PX-A59012,PR ANES FOR CORDOCENTESIS INTRAUTERINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59015,PR ANES FOR SAMPLING CHORIONIC VILLUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A59020,PR ANES FOR FETAL CONTRACT STRESS TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A59025,PR ANES FOR FETAL NON STRESS TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A59030,PR ANES FOR FETAL SCALP BLOOD SAMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59050,PR ANES FOR FETAL MONITOR W REPORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A59051,PR ANES FOR FETAL MONITOR/INTERPRET ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A59070,PR ANES FOR AMNIOINFUSION TRNSABD W GUIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59072,PR ANES FOR FETL UMBIL CORD OCCL W/US GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A59074,PR ANES FOR DRAINAGE FETAL FLUID W US GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A59076,"PR ANES FOR FETAL SHUNT PLACEMENT, W/ US",225.0,168.75,152.26,225.0,1324 CDM,PX-A59100,"PR ANES FOR OPEN UTERUS,ABD FOR MOLE,ABORTN",225.0,168.75,152.26,225.0,1324 CDM,PX-A59120,PR ANES FOR TX ECTOPIC PREG ABD/VAG APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A59121,PR ANES FOR TX ECTOPIC PREG WO SALP/OOPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A59130,PR ANES FOR SURG TX ECTOPIC PREGNANCY ABD,225.0,168.75,152.26,225.0,1324 CDM,PX-A59136,PR ANES FOR TX ECTOPIC PREG INTERSTITAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A59140,PR ANES FOR TX ECTOPIC PREG CERV W EVAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59150,PR ANES FOR LAP TX ECTOPIC PREG WO SALPING,225.0,168.75,152.26,225.0,1324 CDM,PX-A59151,PR ANES FOR LAP ECTOPIC PREG W SALP/OOPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A59160,PR ANES FOR CURRETTAGE POSTPARTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A59200,PR ANES FOR INSERT CERVICAL DILATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A59300,PR ANES FOR EPISIOTOMY/VAGINAL REPAIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A59320,PR ANES FOR CERCLAGE CERVIX VAGINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A59325,PR ANES FOR CERCLAGE CERVIX ABDOMINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A59350,PR ANES FOR HYSTERORRHAPHY RUPT UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A59400,PR ANES FOR ROUTINE VAG ANTE/POSTPRTUM PKG,225.0,168.75,152.26,225.0,1324 CDM,PX-A59409,PR ANES FOR DEL VAG ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A59410,PR ANES FOR DEL VAG ONLY INCL POSTPARTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A59412,PR ANES FOR EXTERNAL CEPHALIC VERSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A59414,PR ANES FOR DELIVERY PLACENTA SEP PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59425,PR ANES FOR ANTEPARTUM CARE ONLY 4-6 VISIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A59426,PR ANES FOR ANTEPARTUM CARE ONLY 7+ VISITS,225.0,168.75,152.26,225.0,1324 CDM,PX-A59430,PR ANES FOR POST PARTUM CARE ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A59510,PR ANES FOR ROUTINE C/S ANTE/POSTPRTUM PKG,225.0,168.75,152.26,225.0,1324 CDM,PX-A59514,PR ANES FOR DELIVERY ONLY CESAREAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A59515,PR ANES FOR DEL ONLY CESAREAN POSTPARTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A59525,PR ANES FOR HYSTERECTOMY AFTER CESAREAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A59610,PR ANES FOR ROUTINE VBAC PACKAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59612,PR ANES FOR VBAC DEL ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A59614,PR ANES FOR VBAC DEL ONLY W PP,225.0,168.75,152.26,225.0,1324 CDM,PX-A59618,PR ANES FOR C/S AFTER ATMPT VBAC PACKAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59620,PR ANES FOR C/S ONLY AFTER ATMPT VBAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59622,PR ANES FOR C/S ONLY AFTER ATMPT VBAC W PP,225.0,168.75,152.26,225.0,1324 CDM,PX-A59812,PR ANES FOR TX INCOMPLETE ABORTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A59820,PR ANES FOR TX MISSED ABORTION SURG 1ST T,225.0,168.75,152.26,225.0,1324 CDM,PX-A59821,PR ANES FOR TX MISSED ABORTION SURG 2ND T,225.0,168.75,152.26,225.0,1324 CDM,PX-A59830,PR ANES FOR TX SEPTIC ABORTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A59840,PR ANES FOR ABORTION INDUCED BY D&C,225.0,168.75,152.26,225.0,1324 CDM,PX-A59841,PR ANES FOR ABORTION INDUCED BY D&E,225.0,168.75,152.26,225.0,1324 CDM,PX-A59850,PR ANES FOR ABORTION INDUC BY AMNIOCEN INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A59851,PR ANES FOR INDUCED ABORTION BY >=1 INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A59852,PR ANES FOR INDUCED AB BY INJECT+OPEN UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A59855,PR ANES FOR ABORT INDUC 1+ VAG SUPP,225.0,168.75,152.26,225.0,1324 CDM,PX-A59856,PR ANES FOR ABORT IND 1+ VAG SUPP D&C EVAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59857,PR ANES FOR INDUCED AB BY VAG SUPP+OPEN UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A59866,PR ANES FOR MULTIFETAL PREGNANCY REDUC,225.0,168.75,152.26,225.0,1324 CDM,PX-A59870,PR ANES FOR EVAC&CURETT UTER MOLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A59871,PR ANES FOR RMVL CERCLAGE SUTR W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A59897,PR ANES FOR UNL FETAL INVASIVE PROC US,225.0,168.75,152.26,225.0,1324 CDM,PX-A59898,"PR ANES FOR LAP,OB CARE/DELIV,UNLIST PROC",225.0,168.75,152.26,225.0,1324 CDM,PX-A59899,PR ANES FOR UNLISTED PROC MATERNITY/DEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A60000,PR ANES FOR I&D THYROGLSL DUCT CYST INFECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A60100,PR ANES FOR BIOPSY THYROID PERC CORE NDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A60200,PR ANES FOR EXCISN CYST/ADENOMA THYROID,225.0,168.75,152.26,225.0,1324 CDM,PX-A60210,PR ANES FOR LBCTMY THYROID UNILAT PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A60212,PR ANES FOR LBCTMY THYRD PRTL W SUB LBCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A60220,PR ANES FOR LBCTMY THYROID TOTAL UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A60225,PR ANES FOR LBCTMY THYRD TOTL W SUB LBCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A60240,PR ANES FOR THYROIDECTOMY TOTAL/COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A60252,PR ANES FOR THYROIDECTOMY W LTD NK DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A60254,PR ANES FOR THYROIDECTOMY W RAD NK DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A60260,PR ANES FOR THYROIDECTOMY RMVL REMAIN TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A60270,PR ANES FOR THYROIDECT SUBSTERNL THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60271,PR ANES FOR THYROIDECT SUBSTERNL CERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60280,PR ANES FOR EXCISN THYROGLOSSAL DUCT CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A60281,PR ANES FOR EXCISN THYROGLOS DUCT CYST RECUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60300,PR ANES FOR ASP INJ THYROID CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A60500,PR ANES FOR PARATHYROIDECTOMY EXPLOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60502,PR ANES FOR PARATHYROIDECTOMY RE-EXPLOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60505,PR ANES FOR PARATHYRDCT MEDIASTINAL EXPLOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60512,PR ANES FOR PARATHYROID AUTOTRANSPLANT ADD-ON,225.0,168.75,152.26,225.0,1324 CDM,PX-A60520,PR ANES FOR THYMECTOMY TXCERV APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60521,PR ANES FOR THYMECTOMY STERNL/THOR APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60522,PR ANES FOR THYMECTOMY STERNL/THOR DISSECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A60540,PR ANES FOR ADRENALECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A60545,PR ANES FOR ADRENALECTOMY W EXCISN TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A60600,PR ANES FOR EXCISN CARTD TMR WO EXCISN ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A60605,PR ANES FOR EXCISN CARTD TMR W EXCISN ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A60650,PR ANES FOR LAPAROSCOPY ADRENALECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A60659,PR ANES FOR UNLISTED PROC LAP ENDOCRINE,225.0,168.75,152.26,225.0,1324 CDM,PX-A60660,PR ANES FOR ABLTJ 1/+THYR NDUL 1LOBE PRQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A60661,PR ANES FOR ABLTJ 1/+THYR NDUL ADDL PRQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A60699,PR ANES FOR UNLISTED PROC ENDOCRINE SYSTEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A61000,PR ANES FOR TAP SUBDURAL FONT INFANT INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61001,PR ANES FOR TAP SUBDURAL FONT INFANT SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A61020,PR ANES FOR VENT PERC BURR HOLE WO INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A61026,PR ANES FOR VENT PERC BURR HOLE W INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A61050,PR ANES FOR PUNC CISTERNAL/LAT C1-C12 WO,225.0,168.75,152.26,225.0,1324 CDM,PX-A61055,PR ANES FOR PUNCTURE C1-C2 W INJECTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A61070,PR ANES FOR PUNC SHUNT TUBE ASP INJ PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61105,PR ANES FOR TWIST DRILL HOLE SUBDURAL/VENT PUNC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61107,PR ANES FOR IMPL TWIST DRILL HOLE VEN CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A61108,PR ANES FOR VENTRICULOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61120,PR ANES FOR BURR HOLE VENTRICULAR PUNCTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A61140,PR ANES FOR BURR HOLE W BX BRAIN LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A61150,PR ANES FOR BURR HOLE W DRNG BRAIN ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61151,PR ANES FOR BURR HOLE ASP INTRACRNL ABSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61154,PR ANES FOR BURR HOLE W EVAC HEMATOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61156,PR ANES FOR BURR HOLE W ASP HEMATOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61210,PR ANES FOR BURR HOLE IMPL CRBRAL MNTR DEV,225.0,168.75,152.26,225.0,1324 CDM,PX-A61215,PR ANES FOR INSRT SUBQ RESERVOIR VENT CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A61250,PR ANES FOR BURR HOLE SUPRTENT WO OTH SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A61253,PR ANES FOR BURR HOLE INFRATENTORIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61304,PR ANES FOR CRNCTMY EXPLOR SUPRATENTORIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61305,PR ANES FOR CRNCTMY EXPLOR INFRATENTORIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61312,PR ANES FOR CRNCTMY HEMA SUPRA EXTRADURAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61313,PR ANES FOR CRNCTMY HEMA SUPRA INTRACEREB,225.0,168.75,152.26,225.0,1324 CDM,PX-A61314,PR ANES FOR CRNCTMY HEMA INFRATENT EXTRDRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61315,PR ANES FOR CRNCTMY HEMA SUPRA INTRACRBLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61316,PR ANES FOR INSICN PLC CRANL BN GRFT SUBQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A61320,PR ANES FOR CRNCTMY DRN ABSC SUPRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61321,PR ANES FOR CRNCTMY DRN ABSC INFRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61322,PR ANES FOR CRNCTMY DCMPRN WO LBCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61323,PR ANES FOR CRNCTMY W/WO DURAPLST W LBCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61330,PR ANES FOR DCMPRN ORBIT TRANSCRANIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61333,PR ANES FOR EXPLORATION ORBIT W RMVL LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61340,PR ANES FOR SUBTEMPORAL CRANIAL DCMPRSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61343,PR ANES FOR CRNCTMY SUBOCIP W CERV LMNCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61345,PR ANES FOR OTHR CRANIAL DCMPRSN PSTR FOSSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61450,PR ANES FOR CRNCTMY SUBTEMP CMPRS/DECMPRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61458,PR ANES FOR CRNCTMY SUBOCIP EXPLR CRNL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A61460,PR ANES FOR CRNCTMY SUBOCIP >=1 CRNL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A61500,PR ANES FOR CRNCTMY EXCISION TMR SKULL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61501,PR ANES FOR CRANIECTOMY OSTEOMYELITIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61510,PR ANES FOR CRNCTMY EXCISN BRAIN TMR SUPRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61512,PR ANES FOR CRNCTMY EXCISN MENINGIOMA SUPRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61514,PR ANES FOR CRNCTMY EXCISN ABSC SUPRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61516,PR ANES FOR CRNCTMY EXCISION CYST SUPRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61517,PR ANES FOR IMPL BRAIN INTRACAVITARY CHEMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A61518,PR ANES FOR CRNCTMY EXCISN BRN TMR INFRATENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61519,PR ANES FOR CRNCTMY EXCISN TMR MENINGIOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61520,PR ANES FOR CRNCTMY EXCISN BRN TMR CEREB ANGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61521,PR ANES FOR CRNCTMY EXCISN BRN TMR SKULL BASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A61522,PR ANES FOR CRNCTMY EXCISN BRAIN ABSCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61524,PR ANES FOR CRNCTMY EXCISN CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A61526,PR ANES FOR CRNCTMY TRANSTEMP EXCISN TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61530,PR ANES FOR CRNCTMY EXCISN TMR W MID/POSTR FOSS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61531,PR ANES FOR IMPL SUBDURAL ELECTRODES,225.0,168.75,152.26,225.0,1324 CDM,PX-A61533,PR ANES FOR CRANIOT SUBDURAL IMPL ELECTRODE,225.0,168.75,152.26,225.0,1324 CDM,PX-A61534,PR ANES FOR CRANIOT EXCISN EPILEPTOGENIC FCS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61535,PR ANES FOR CRANIOT RMVL EPI/SUBDRL ELECTRD,225.0,168.75,152.26,225.0,1324 CDM,PX-A61536,PR ANES FOR CRANIOT EPILEPTOGENIC FOCUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61537,PR ANES FOR CRANIOT LBCTMY TEMP WO ECOG,225.0,168.75,152.26,225.0,1324 CDM,PX-A61538,PR ANES FOR CRANIOT W TEMPORAL LOBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61539,PR ANES FOR CRANIOT WO TEMPORAL LOBECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61540,PR ANES FOR CRANIOT LBCTMY NOT TEMP WO ECOG,225.0,168.75,152.26,225.0,1324 CDM,PX-A61541,PR ANES FOR CRANIOT TRANSEC CORP COLLOSUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A61543,PR ANES FOR CRANIOT PRTL HEMISPHERECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61544,PR ANES FOR CRANIOT EXC/COAG CHORIOID PLEXUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61545,PR ANES FOR CRANIOT EXCISN CRANIOPHARYNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A61546,PR ANES FOR CRANIOT EXCISN PIT TMR INTRACRAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61548,PR ANES FOR HYPOPHYSECTOMY NONSTEREOTACTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61550,PR ANES FOR CRNCTMY CRANIOSYNOSTOSIS SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61552,PR ANES FOR CRNCTMY CRANIOSYNOSTOSIS MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61556,PR ANES FOR CRNCTMY CRANIOSYN FRNT FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A61557,PR ANES FOR CRNCTMY CRANIOSYN BIFRNT FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A61558,PR ANES FOR CRNCTMY EXTENSIVE MLTPL SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61559,PR ANES FOR CRNCTMY EXTENSIVE RECONTOUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61563,PR ANES FOR EXCISN BENIGN TMR CRANIAL BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A61564,PR ANES FOR EXCISN CRAN BN TMR W OPT NRV DCMPRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61566,PR ANES FOR CRNCTMY AMYGDALOHIPPOCAMPECTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A61567,PR ANES FOR CRANIOT SUBPIAL TRANSECT W ECOG,225.0,168.75,152.26,225.0,1324 CDM,PX-A61570,PR ANES FOR CRNCTMY BRAIN EXCISN FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A61571,PR ANES FOR CRNCTMY BRAIN TX WOUND,225.0,168.75,152.26,225.0,1324 CDM,PX-A61575,PR ANES FOR DCMPRN LSN SKL BASE TRANSORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61576,PR ANES FOR TRANSORAL BX/DCMPRS SPLIT TONGUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A61580,PR ANES FOR APP CRNFCL EXTDRL WO ORB EXTRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61581,PR ANES FOR APP CRNFCL ANTR FOSSA EXTRADRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61582,PR ANES FOR APP CRNFCL EXTRADURAL W CRANIOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61583,PR ANES FOR APP CRNFCL INTRADURAL W CRANIOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61584,PR ANES FOR APP ORBTCRNL EXTRDRL WO EXTNSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61585,PR ANES FOR APP ORBTCRNL EXTRDRL W ORB EXENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61586,PR ANES FOR BICORNL TRANSZYG APP WO BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61590,PR ANES FOR APP INFRATEMPRL PRE AURICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61591,PR ANES FOR APP INFRATEMPRL POST AURICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61592,PR ANES FOR APP ORBITOCRANIAL ZYGOMATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61595,PR ANES FOR APPR TRANSTEMPORAL DCMPRN NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A61596,PR ANES FOR APPROACH TRANSCOCHLEAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61597,PR ANES FOR TRANSCONDYLAR PSTR CRNL FOSSA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61598,PR ANES FOR APPROACH TRANSPETROSAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61600,PR ANES FOR RSECT LSN ANTR CRNL FOSSA EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61601,PR ANES FOR RSECT LSN ANTR CRNL FOSSA INTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61605,PR ANES FOR RSECT LSN INFRATMPRL FOSS EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61606,PR ANES FOR RSECT LSN INFRATMPRL FOSS INTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61607,PR ANES FOR RSECT LSN PARASELLAR AREA EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61608,PR ANES FOR RSECT LSN PARASELLAR AREA INTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61611,PR ANES FOR LIGATE CAROTID ART IN PETROUS CANL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61613,PR ANES FOR OBLIT AVM/ANEUR/FISTULA-CAVER SINUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61615,PR ANES FOR RSECT LSN POSTR CRNL FOSS EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61616,PR ANES FOR RSECT LSN POSTR CRNL FOSS INTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61618,PR ANES FOR RPR SECNDRY DURA CSF LEAK GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61619,PR ANES FOR RPR SECNDRY DURA CSF LEAK FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A61623,PR ANES FOR EVASC TEMP BALN ARTL OCCLUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A61624,PR ANES FOR TXCATH OCCL/EMBL CNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61626,PR ANES FOR TXCATH OCCL/EMBL NON CNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61630,PR ANES FOR ANGIO BALN PERC INTRACRANIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61635,PR ANES FOR INS STNT INTRACRANIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61640,PR ANES FOR DIL INTRACRANIAL VSPASM INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61641,PR ANES FOR DIL INTRACRNL VSPASM ADD SAME,225.0,168.75,152.26,225.0,1324 CDM,PX-A61642,PR ANES FOR DIL INTRACRNL VSPASM ADD DIFF,225.0,168.75,152.26,225.0,1324 CDM,PX-A61645,PR ANES FOR PERC ARTL TRNSLUM THRMBCT INTRCRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61650,PR ANES FOR EVASC INTRCRNL PROLNG RX ADMIN INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61651,PR ANES FOR EVASC INTRCRNL PROLNG RX ADMIN ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A61680,PR ANES FOR INTRCR AV MALFORM SUPRA SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61682,PR ANES FOR INTRCR AV MALFORM SUPRA COMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A61684,PR ANES FOR INTRCR AV MALFORM INFRA SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61686,PR ANES FOR INTRCR AV MALFORM INFRA CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A61690,PR ANES FOR INTRCR AV MALFORM DURAL SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61692,PR ANES FOR INTRCR AV MALFORM DURAL CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A61697,PR ANES FOR CMPLX INTRCR ARYSM CARTD CIRC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61698,PR ANES FOR CMPLX INTRCR ARYSM VRTBRBSLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61700,PR ANES FOR SMPL INTRCR ARYSM CARTD CIRC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61702,PR ANES FOR SMPL INTRCR ARYSM VRTBRBSLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61703,PR ANES FOR INTRACRAN ANEURYSM CERV CLAMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A61705,PR ANES FOR ANRYSM MALFORM OCCLUS CRTD ART,225.0,168.75,152.26,225.0,1324 CDM,PX-A61708,PR ANES FOR OCCLN CAROTID ELECTROTHROMBOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61710,PR ANES FOR OCCLN CAROTID EMBOLIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A61711,PR ANES FOR ANAST ARTY EXTRACRNL-INTRACRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61715,PR ANES FOR MRGFUS STRTCTC ABLT TRGT ICR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61720,PR ANES FOR CREATE LESN STRTCTC GLOBUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61735,PR ANES FOR CREATE LESN STRTCTC SUBCORT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61736,PR ANES FOR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A61737,PR ANES FOR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,225.0,168.75,152.26,225.0,1324 CDM,PX-A61750,PR ANES FOR BX STEREOTACTIC INTRACRNL LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A61751,PR ANES FOR BX STRTCTC INTRACRN LSN CT/MRI,225.0,168.75,152.26,225.0,1324 CDM,PX-A61760,PR ANES FOR IMPL STRTCTC ELECTRODES CEREB,225.0,168.75,152.26,225.0,1324 CDM,PX-A61770,PR ANES FOR STEREO LOC W/BURR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61781,PR ANES FOR STRTCTC COMP-ASSIST CRNL INTRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61782,PR ANES FOR STRTCTC COMP-ASSIST CRNL EXTRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61783,PR ANES FOR STRTCTC COMP-ASSIST NAV SPINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61790,PR ANES FOR CREATE LESN PERC NEURO GASSER,225.0,168.75,152.26,225.0,1324 CDM,PX-A61791,PR ANES FOR CREATE LESN PERC NEURO TRIGEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A61796,PR ANES FOR RADIOSURG CRANIAL LESION SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A61797,PR ANES FOR RADIOSURG CRANL LESN SMPL ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A61798,PR ANES FOR RADIOSURG CRANIAL LESION CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A61799,PR ANES FOR RADIOSURG CRANL LESN CMPLX ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A61800,PR ANES FOR APP STEREOTACTIC HEADFRAME,225.0,168.75,152.26,225.0,1324 CDM,PX-A61850,PR ANES FOR IMPL NEUROSTIMULATOR ELCTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A61860,PR ANES FOR CRNCTMY IMPL NEUROSTIM CORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A61863,PR ANES FOR IMPL ELCTD SUBCORT WO REC 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A61864,PR ANES FOR IMPL ELCTD SUBCORT WO REC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61867,PR ANES FOR IMPL ELCTD SUBCORT W REC 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A61868,PR ANES FOR IMPL ELCTD SUBCORT W REC EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A61880,PR ANES FOR REVISN INTRACRN NEURSTIM ELECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61885,PR ANES FOR INS CRNL PULSE GEN 1 CONNECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61886,PR ANES FOR INS CRNL PULSE GEN 2+ CONNECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A61888,PR ANES FOR RMVL CRANIAL NEUROSTIMULATOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A61889,PR ANES FOR INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A61891,PR ANES FOR REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER,225.0,168.75,152.26,225.0,1324 CDM,PX-A61892,PR ANES FOR REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A6197,PR ALGINATE DRSG >16 <=48 SQ IN,35.0,26.25,15.75,35.0,635 CDM,PX-A62000,PR ANES FOR ELEV DPRESD SKL FX SMPL EXTRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A62005,PR ANES FOR ELEV DPRESD SKL FX CMPLX EXTRA,225.0,168.75,152.26,225.0,1324 CDM,PX-A62010,PR ANES FOR ELEV DEPRS SKULL FX RPR DURA,225.0,168.75,152.26,225.0,1324 CDM,PX-A62100,PR ANES FOR CRANIOTOMY RPR CSF LEAK,225.0,168.75,152.26,225.0,1324 CDM,PX-A62115,PR ANES FOR REDUC CRANIOMEGALIC WO GRFT/CRNPLST,225.0,168.75,152.26,225.0,1324 CDM,PX-A62117,PR ANES FOR REDUC CRANIOMEGALIC W/WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A62120,PR ANES FOR RPR OF ENCEPHALOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A62121,PR ANES FOR CRANIOT REPAIR ENCEPHALOCELE,225.0,168.75,152.26,225.0,1324 CDM,PX-A62140,PR ANES FOR CRNPLSTY SKULL DEFECT <5 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A62141,PR ANES FOR CRNPLSTY SKULL DEFECT >5 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A62142,PR ANES FOR REMOVAL BONE FLAP SKULL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62143,PR ANES FOR REPLACEMENT BONE FLAP SKULL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62145,PR ANES FOR CRANIOPLASTY SKULL W RPR BRN SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62146,PR ANES FOR CRANIOPLASTY W AUTOGRAFT<5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A62147,PR ANES FOR CRANIOPLASTY W AUTOGRAFT>5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A62148,PR ANES FOR INCISN SUBQ CRNPLSTY BN GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A62160,PR ANES FOR NEUROENDO INTRACRNL PLC CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A62161,PR ANES FOR NEUROENDO INTRACRNL DSCT ADHES,225.0,168.75,152.26,225.0,1324 CDM,PX-A62162,PR ANES FOR NEUROENDO INTRACRNL W CATH DRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A62164,PR ANES FOR NEUROENDO W RETRIEVAL FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A62165,PR ANES FOR NEUROENDO INTRA EXCISN PIT TMR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62180,PR ANES FOR VENTRICULO-CISTERNOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A62190,PR ANES FOR CREATE SHUNT SUBDURAL-ATRIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62192,PR ANES FOR CREATE SHUNT SUBDRL-PERITONEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62194,"PR ANES FOR REPLACE/IRRIGATE,SUBARACH/DUR CATH",225.0,168.75,152.26,225.0,1324 CDM,PX-A62200,PR ANES FOR VENTRICULOCISTERN 3RD VENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A62201,PR ANES FOR VENTRICULOCISTERN 3 VENT STREO,225.0,168.75,152.26,225.0,1324 CDM,PX-A62220,PR ANES FOR CREATE SHUNT VENTRICULO-ATRIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62223,PR ANES FOR CREATE SHUNT VENTRIC-PERITONL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62225,PR ANES FOR REPLACE VENTRICULAR CATHETER,225.0,168.75,152.26,225.0,1324 CDM,PX-A62230,PR ANES FOR REPLACE/REVISE CSF SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A62252,PR ANES FOR REPROGRAM CSF SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A62256,PR ANES FOR RMVL CSF SHUNT SYSTEM WO RPLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A62258,PR ANES FOR RMVL CSF SHUNT SYSTEM W RPLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A62263,"PR ANES FOR LYSIS,PERQ,EPIDURAL ADHESIONS,2 DAYS/>",225.0,168.75,152.26,225.0,1324 CDM,PX-A62264,PR ANES FOR LYSIS EPIDURAL ADHESIONS PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A62267,PR ANES FOR PERC ASP INTERDISCAL DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A62268,PR ANES FOR PERC ASP SPINAL CORD CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A62269,PR ANES FOR BX SPINAL CORD PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A62270,PR ANES FOR PUNCTURE SPINAL LUMBAR DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A62272,PR ANES FOR PUNCTURE SPINAL THER DRN CSF,225.0,168.75,152.26,225.0,1324 CDM,PX-A62273,PR ANES FOR INJ EPI BLD/CLOT PATCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A62280,"PR ANES FOR INJ,NEUROLYTIC,SUBARACHNOID",225.0,168.75,152.26,225.0,1324 CDM,PX-A62281,PR ANES FOR INJ/INFUS NEUROLYT CERV/THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62282,PR ANES FOR INJ/INF NEUROLYT LUMB/SACRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62284,PR ANES FOR INJ MYELOGRAPHY CT WO C1/C2,225.0,168.75,152.26,225.0,1324 CDM,PX-A62287,PR ANES FOR DCMPRN PERC NUCLEUS MATRL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62290,PR ANES FOR INJ DISCOGRAPHY LUMBAR EA LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62291,PR ANES FOR INJ DISCOGRAPHY CRV/THR EA LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62292,PR ANES FOR INJECT CHEMONUCLEOLYSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A62294,"PR ANES FOR INJECT SPINAL ARTERY,OCCLUDE AVM",225.0,168.75,152.26,225.0,1324 CDM,PX-A62302,PR ANES FOR MYELOGRAPHY LUMB INJ S&I CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A62303,PR ANES FOR MYELOGRAPHY LUMB INJ S&I THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62304,PR ANES FOR MYELOGRAPHY LUMB INJ S&I LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A62305,PR ANES FOR MYELOGRAPHY LUMB INJ >2 RGNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A62320,PR ANES FOR INJ SPINE CERV/THOR WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62321,PR ANES FOR INJ SPINE CERV/THOR W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62322,PR ANES FOR INJ SPINE LUMB/SAC WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62323,PR ANES FOR INJ SPINE LUMB/SAC W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62324,PR ANES FOR INJ INF/BOLUS CERV/THORAC DX WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62325,PR ANES FOR NJX INTRLMNR CRV/THOR W IMG GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A62326,PR ANES FOR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62327,PR ANES FOR INJ INTERLAMINAR LUMBAR/ SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A62328,PR ANES FOR PUNCTURE SPINAL LUMBAR DX W GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A62329,PR ANES FOR PUNCTURE SPINAL THER DRN CSF W GUID,225.0,168.75,152.26,225.0,1324 CDM,PX-A62330,PR ANES FOR PR DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62350,PR ANES FOR IMPL CATH WO LAMINECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A62351,PR ANES FOR IMPL CATH W LAMINECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A62355,PR ANES FOR RMVL PREV IMPL CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A62360,PR ANES FOR IMPL FOR INF SUBQ RESERVOIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62361,"PR ANES FOR INSERT/ PREPLACE INFUSN PUMP,NONPROGRAM",225.0,168.75,152.26,225.0,1324 CDM,PX-A62362,PR ANES FOR IMPL FOR INFUSION PROGRAM PUMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A62365,PR ANES FOR REMOVAL OF SUBQ RESERVOIR,225.0,168.75,152.26,225.0,1324 CDM,PX-A62367,PR ANES FOR ELEC ANLYS PUMP WO RPRG/REFILL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62368,PR ANES FOR ELEC ANLYS PUMP W RPRG,225.0,168.75,152.26,225.0,1324 CDM,PX-A62369,PR ANES FOR ELEC ANALYSIS W REPRG REFIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62370,PR ANES FOR ELEC ANLYS PUMP W RPRG&RFLL,225.0,168.75,152.26,225.0,1324 CDM,PX-A62380,PR ANES FOR ENDOSC DCMPRN FIRST INTRSPC LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63001,PR ANES FOR LAMINECTOMY W EXPLR CERVICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63003,PR ANES FOR LAMINECTOMY W EXPLR THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63005,PR ANES FOR LAMINECTOMY W EXPLR LUMBAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63011,PR ANES FOR LMNCTMY WO FACETECT <=2 SEG SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63012,PR ANES FOR LAMINECTOMY W RMVL FACETS LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63015,PR ANES FOR LMNCTMY W EXPLR 2+ SEG CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63016,PR ANES FOR LMNCTMY W EXPLR 2+ SEG THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63017,PR ANES FOR LMNCTMY W EXPLR 2+ SEG LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63020,PR ANES FOR LMNOTOMY W DCMPRN 1 SPACE CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63030,PR ANES FOR LMNOTOMY W DCMPRN 1 SPACE LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63035,PR ANES FOR LMNOTOMY W DCMPRN EA ADD SPACE,225.0,168.75,152.26,225.0,1324 CDM,PX-A63040,PR ANES FOR LMNOTOMY REEXPLOR 1 SPACE CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63042,PR ANES FOR LMNOTOMY REEXPLOR 1 SPACE LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63043,PR ANES FOR LMNOTOMY REEXPLOR CERV EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63044,PR ANES FOR LMNOTOMY REEXPLOR LUMB EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63045,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63046,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63047,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63048,PR ANES FOR LAMIN/FACE/FORAMIN EA ADD SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63050,PR ANES FOR LMNPLSTY CERV W DCMPRN 2+ SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63051,PR ANES FOR LMNPLSTY CERV W DCMPRN&RECNSTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63052,PR ANES FOR LAM/FAC/FOR POST ARTHR SGL VERT SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63053,PR ANES FOR LAM/FAC/FOR POST ARTHR EA ADD SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63055,PR ANES FOR TRANSPEDIC DCMPRN 1 SEG THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63056,PR ANES FOR TRANSPEDIC DCMPRN 1 SEG LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63057,PR ANES FOR TRANSPEDIC DCMPRN EA ADD SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63064,PR ANES FOR COSTOVERT DCMPRN 1 SEG THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63066,PR ANES FOR COSTOVERT DCMPRN EA ADD SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63075,PR ANES FOR DISCTMY ANT W DCMPRN CERV SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63076,PR ANES FOR DISCECT ANTR W DCMPRN CERV EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63077,PR ANES FOR DISCTMY ANT W DCMPRN THOR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63078,PR ANES FOR DISCECT ANTR W DCMPRN THOR EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63081,PR ANES FOR CRPCTMY ANTR APP CERV SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63082,PR ANES FOR CRPCTMY ANTR APP CERV EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63085,PR ANES FOR CRPCTMY TRNSTHOR APP THOR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63086,PR ANES FOR CRPCTMY TRANSTHOR THOR EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63087,PR ANES FOR CRPCTMY THRCOLMB THOR/LUMB SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63088,PR ANES FOR CRPCTMY THRCOLMB THOR/LUMB ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63090,PR ANES FOR CRPCTMY PERIT THOR/LUMB/SAC SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63091,PR ANES FOR CRPCTMY PERIT THOR/LUMB/SAC ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63101,PR ANES FOR CRPCTMY LAT EXTRCV THOR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63102,PR ANES FOR CRPCTMY LAT EXTRCV LUMB SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63103,PR ANES FOR CRPCTMY LAT EXTRCV TH/LB EA AD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63170,PR ANES FOR LMNCTMY W MYLTMY CRV/THOR/THORCOL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63172,PR ANES FOR LMNCTMY W DRN CYST SUBARACH,225.0,168.75,152.26,225.0,1324 CDM,PX-A63173,PR ANES FOR LMNCTMY W DRN CYST PERITONEAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63185,PR ANES FOR LMNCTMY W RHIZOTOMY <=2 SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63190,PR ANES FOR LMNCTMY W RHIZOTOMY >2 SEG,225.0,168.75,152.26,225.0,1324 CDM,PX-A63191,PR ANES FOR LMNCTMY W SECT SPNL ACSRY NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63197,PR ANES FOR LMNCTMY W CORDOT 2 SPNTHAL THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63200,PR ANES FOR LAMINECTOMY RELEASE CORD LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63250,PR ANES FOR LMNCTMY EXCISN AV MALFORM CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63251,PR ANES FOR LMNCTMY EXCISN AV MALFORM THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63252,PR ANES FOR LMNCTMY EXCISN AV MALF THORCOLUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63265,PR ANES FOR LMNCTMY EXCISN LSN EXTRA CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63266,PR ANES FOR LMNCTMY EXCISN LSN EXTRA THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63267,PR ANES FOR LMNCTMY EXCISN LSN EXTRA LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63268,PR ANES FOR LAMINECT EXCISN INTRSPN LESN SACRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63270,PR ANES FOR LMNCTMY EXCISN LSN INTRA CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63271,PR ANES FOR LMNCTMY EXCISN LSN INTRA THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63272,PR ANES FOR LMNCTMY EXCISN LSN INTRA LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63273,PR ANES FOR EXCISN INTRSPN LESN INTRDUR SACRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63275,PR ANES FOR LMNCTMY BX NEO EXTRADUR CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63276,PR ANES FOR LMNCTMY BX NEO EXTRADUR THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63277,PR ANES FOR LMNCTMY BX NEO EXTRADUR LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63278,PR ANES FOR LMNCTMY BX NEO EXTRADUR SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63280,PR ANES FOR LMNCTMY BX INTRDUR EXTMED CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63281,PR ANES FOR LMNCTMY BX INTRDUR EXTMED THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63282,PR ANES FOR LMNCTMY BX INTRDUR EXTMED LUMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A63283,PR ANES FOR LMNCTMY BX INTRDUR INTMED SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63285,PR ANES FOR LMNCTMY BX INTRDUR INTMED CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63286,PR ANES FOR LMNCTMY BX INTRDUR INTMED THOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63287,PR ANES FOR LMNCTMY BX INTRDR INTRMD THORCOL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63290,PR ANES FOR LMNCTMY BX EXTRA/INTRADUR ANY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63295,PR ANES FOR RCNST OSTPLSTC DORSAL SPN,225.0,168.75,152.26,225.0,1324 CDM,PX-A63300,PR ANES FOR CRPCTMY EXCISN LSN EXTRDUR CERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A63301,PR ANES FOR CRPCTMY EXCISN EXTRDR THOR TRTHOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A63302,PR ANES FOR EXCISN LESN EXDUR THOR THORCOLM AP,225.0,168.75,152.26,225.0,1324 CDM,PX-A63303,PR ANES FOR CRPCTMY EXCISN EXTRDR LUMB/SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63304,PR ANES FOR CRPCTMY EXCISN LESN CERV SINGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63305,PR ANES FOR EXCISN LESN INTDUR THOR TRNSTHOR AP,225.0,168.75,152.26,225.0,1324 CDM,PX-A63306,PR ANES FOR EXCISN LESN INTDUR THOR THORCOLM AP,225.0,168.75,152.26,225.0,1324 CDM,PX-A63307,PR ANES FOR CRPCTMY EXCISN LSN INTRADUR LUMB/SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63308,PR ANES FOR CRPCTMY EXCISN LESN CERV EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63600,"PR ANES FOR CREATE SP CORD LESN,STEREOTAC",225.0,168.75,152.26,225.0,1324 CDM,PX-A63610,PR ANES FOR STEREOTACT STIM SPINAL CORD,225.0,168.75,152.26,225.0,1324 CDM,PX-A63620,PR ANES FOR SRS SPINAL LESION,225.0,168.75,152.26,225.0,1324 CDM,PX-A63621,PR ANES FOR SRS SPINAL LESION ADDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63650,PR ANES FOR IMPL NEUROSTIM ELEC PERC EPI,225.0,168.75,152.26,225.0,1324 CDM,PX-A63655,PR ANES FOR LAMINECTOMY W IMPL NS ELEC EPI,225.0,168.75,152.26,225.0,1324 CDM,PX-A63661,PR ANES FOR REMOVAL SPINE NEUROSTIM ARRAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63662,PR ANES FOR REMOVAL SPINE NEUROSTIM PLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A63663,PR ANES FOR REV SPINE ELEC PERC ARRAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63664,PR ANES FOR REV SPINE NEUROSTIM PLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A63685,PR ANES FOR INS/RPLC SPINAL NS GEN/REC,225.0,168.75,152.26,225.0,1324 CDM,PX-A63688,PR ANES FOR REV IMPLN SPINAL NEUROSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A63700,PR ANES FOR RPR MENINGOCELE <5 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A63702,PR ANES FOR RPR MENINGOCELE >5 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A63704,PR ANES FOR REPAIR MYELOMENINGOCELE <5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A63706,PR ANES FOR REPAIR MYELOMENINGOCELE >5CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A63707,PR ANES FOR REPAIR CSF LEAK WO LAMINECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63709,PR ANES FOR REPAIR CSF LEAK W LAMINECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63710,PR ANES FOR DURAL GRAFT SPINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A63740,PR ANES FOR CREATE SHUNT LUMB W LMNCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63741,PR ANES FOR CREATE SHUNT LUMB WO LMNCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A63744,PR ANES FOR RPLC LUMBOSUBARACHNOID SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A63746,PR ANES FOR RMVL LUMBOSUBARAC SHUNT WO RPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64400,PR ANES FOR INJ ANES TRIGEMINAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64405,PR ANES FOR INJ ANES GREATER OCCIPITAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64408,PR ANES FOR INJ ANES VAGUS NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64415,PR ANES FOR INJ ANES BRACHIAL PLEX W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64416,PR ANES FOR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64417,PR ANES FOR INJ ANES AXILLARY NERVE W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64418,PR ANES FOR INJ ANES SUPRASCAPULAR NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64420,PR ANES FOR INJ ANES INTERCOSTAL NRV SNGL LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64421,PR ANES FOR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64425,PR ANES FOR INJ ANES ILIOINGUINAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64430,PR ANES FOR INJ NRV BLOCK PUDENDAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64435,PR ANES FOR INJ ANES AGENT PARACERV NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64445,PR ANES FOR INJ ANES SCIATIC NERVE W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64446,PR ANES FOR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64447,PR ANES FOR INJ ANES FEM NERVE W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64448,PR ANES FOR INJ ANES FEM NERVE CONT W GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64449,PR ANES FOR INJ ANES LUMB PLEX POSTR CONT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64450,PR ANES FOR INJ ANES OTHER PERIPHERAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64451,PR ANES FOR INJ ANES/STEROID NERVES SACROILIAC JNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64454,PR ANES FOR INJ ANES/STEROID GENICULAR NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64455,PR ANES FOR INJ ANES STEROID PLANTAR NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64461,PR ANES FOR PARAVERTEB BLOCK THOR SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64462,PR ANES FOR PARAVERTEB BLOCK THOR 2ND & ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64463,PR ANES FOR PARAVERTEB BLOCK THOR CONTINUOUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64466,PR ANES FOR THRC FASCIAL PLN BLK UNI NJX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64467,PR ANES FOR THRC FASCIAL PLN BLK UNI NFS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64468,PR ANES FOR THRC FASCIAL PLN BLK BI NJX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64469,PR ANES FOR THRC FASCIAL PLN BLK BI NFS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64473,PR ANES FOR LWR XTR FSCL PLN BLK UNI NJX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64474,PR ANES FOR LWR XTR FSCL PLN BLK UNI NFS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64479,PR ANES FOR INJ ANES FORAMEN SNGL CRV/THRC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64480,PR ANES FOR INJ ANES FORAMEN ADD LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64483,PR ANES FOR INJ ANES FORAMEN EPI LUMB SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64484,PR ANES FOR INJ ANES FORAMEN EPI LUMB ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64486,PR ANES FOR TAP BLOCK UNILAT BY INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A64487,PR ANES FOR TAP BLOCK CONT INFUS UNILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64488,PR ANES FOR INJ ANES TRANSABDOM PLANE BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64489,PR ANES FOR TAP BLOCK CONT INFUS BILATERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A6449,PR LGHT COMPRSN BANDAGE 3 TO 5 IN/YD,3.0,2.25,1.35,3.0,635 CDM,PX-A64490,PR ANES FOR INJ FACET JT CERV/THOR 1 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64491,PR ANES FOR INJ FACET JT CERV/THOR 2 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64492,PR ANES FOR INJ FACET JT CERV/THOR >=3 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64493,PR ANES FOR INJ FACET JT LUMB/SAC 1 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64494,PR ANES FOR INJ FACET JT LUMB/SAC 2 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64495,PR ANES FOR INJ FACET JT LUMB/SAC >= 3 LVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64505,PR ANES FOR INJ ANES SPENOPLTN GANGLION,225.0,168.75,152.26,225.0,1324 CDM,PX-A64510,PR ANES FOR INJ ANES STELLATE GANGLION,225.0,168.75,152.26,225.0,1324 CDM,PX-A64517,PR ANES FOR INJ ANES SUPR HYPOGASTRIC PLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64520,PR ANES FOR INJ ANES AGENT LUMBAR/THORACIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64530,PR ANES FOR INJ ANES AGENT CELIAC PLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64553,PR ANES FOR IMPL NEUROSTIM CRANIAL PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64555,PR ANES FOR IMPL NEUROSTIM PERIPHERAL PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64561,PR ANES FOR IMPL NEUROSTIM SAC NRV W IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64566,PR ANES FOR NEUROSTIM POSTR TIB PERC NDL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64568,PR ANES FOR INCISION IMPL CRANIAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64569,PR ANES FOR REV CRANIAL NERVE NEUROSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64570,PR ANES FOR RMVL CRANIAL NERVE NEUROSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64575,PR ANES FOR INCISN IMPLN NRSTIM PERIPH NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64580,PR ANES FOR INCISN IMPLN NRSTIM NEUROMUSC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64581,PR ANES FOR INCISN IMPLN NRSTIM SACRAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64582,PR ANES FOR OPN MPLTJ HPGLSL NSTM ARY PG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64583,PR ANES FOR REV/RPLCT HPGLSL NSTM ARY PG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64584,PR ANES FOR RMVL HPGLSL NSTIM ARY PG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64585,PR ANES FOR REV/RMVL PERIPH NEUROSTIM ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64590,PR ANES FOR INS/RPLC PERIPH/GASTR NEUROSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64595,PR ANES FOR REV/RMVL PERIPH/GASTR NEUROSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64596,PR ANES FOR INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA,225.0,168.75,152.26,225.0,1324 CDM,PX-A64597,PR ANES FOR INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA,225.0,168.75,152.26,225.0,1324 CDM,PX-A64598,PR ANES FOR REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64600,PR ANES FOR DESTRUCTION NEURO AGNT TRIGEM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64605,PR ANES FOR DESTRCT TRIGEM 2ND/3RD DIV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64610,PR ANES FOR DESTRCT TRIGEM 2/3 DIV RADMNTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64611,PR ANES FOR CHEMODENERV PAROTID SUBMAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A64612,PR ANES FOR CHEMODENERV FACIAL MUS UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64615,PR ANES FOR CHEMODENERV FACIAL TRIGEM BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64616,PR ANES FOR CHEMODENERV NECK MUSCLE UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64617,PR ANES FOR CHEMODENERV LARYNX UNILAT W EMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64620,PR ANES FOR DEST NEURO AGNT INTERCOSTAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64624,PR ANES FOR DEST NEURO AGNT GENICULAR NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64625,PR ANES FOR RF ABLATION NERVES SACROILIAC JNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64628,PR ANES FOR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64629,PR ANES FOR THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A64630,PR ANES FOR DESTRUCT NEURO AGNT PUDENAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64632,PR ANES FOR DEST PLANTAR DIGITAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64633,PR ANES FOR DEST CERV/THOR FACET JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64634,PR ANES FOR DEST CERV/THOR FACET JT ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64635,PR ANES FOR DEST LUMB/SAC FACET JT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64636,PR ANES FOR DEST LUMB/SAC FACET JT ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64640,PR ANES FOR DEST OTHER PERIPHERAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64642,PR ANES FOR CHEMODENERV 1 EXT 1-4 MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64643,PR ANES FOR CHEMODENERV EA ADD EXT 1-4 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64644,PR ANES FOR CHEMODENERV 1 EXT >=5 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64645,PR ANES FOR CHEMODENERV EXT EA ADD > 4 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64646,PR ANES FOR CHEMODENERV TRUNK 1-5 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64647,PR ANES FOR CHEMODENERV TRUNK OVER 5 MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64650,PR ANES FOR CHEMODENERV ECCRINE GLND AXIL BOTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A64653,PR ANES FOR CHEMODENERV ECCRINE GLND OTHR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64680,PR ANES FOR DEST NERVE CELIAC PLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A64681,PR ANES FOR DSTRUCT NEUROLYTIC AGNT HYDROG,225.0,168.75,152.26,225.0,1324 CDM,PX-A64702,PR ANES FOR NEUROPLASTY DIGITAL SAME DIGIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64704,PR ANES FOR NEUROPLASTY HAND/FEET NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64708,PR ANES FOR NEUROPLASTY ARM/LEG MJR NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64712,PR ANES FOR NEUROPLASTY SCIATIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64713,PR ANES FOR NEUROPLASTY BRACHIAL PLEXUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64714,PR ANES FOR NEUROPLASTY LUMBAR PLEXUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64716,PR ANES FOR NEUROPLASTY CRANIAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64718,PR ANES FOR NEUROPLASTY ULNAR NRV AT ELBOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A64719,PR ANES FOR NEUROPLASTYULNAR NERVE AT WRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A64721,PR ANES FOR NEUROPLASTY MEDN NRV CARP TUNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64722,PR ANES FOR DECOMPRESSION UNSPECIFIED NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64726,PR ANES FOR DCMPRN PLANTAR DIGITAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64727,PR ANES FOR NEUROLYSIS INTRNL W MICROSCOPE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64728,PR ANES FOR DCMPRN MEDIAN NRV CARL TUNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64732,PR ANES FOR TRANSECTION/AVUL SUBORBITAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64734,PR ANES FOR TRANSECTION AVUL INFRAORBITAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64736,PR ANES FOR TRANSECT MENTAL NERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64738,PR ANES FOR TRANSECTION/AVUL W/OSTEO,225.0,168.75,152.26,225.0,1324 CDM,PX-A64740,PR ANES FOR TRANSECT OF TONGUE NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64742,PR ANES FOR TRANSECTION/AVUL FCL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64744,PR ANES FOR TRANSECTION GRT OCCIPITAL NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64746,PR ANES FOR TRANSECTION PHRENIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64755,PR ANES FOR TRANSECTION VAGUS NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64760,"PR ANES FOR TRANSECT VAGUS,TRANSABDOMINAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A64763,"PR ANES FOR TRANSECT OBTURATR,XTRAPELV,HIP/LEG",225.0,168.75,152.26,225.0,1324 CDM,PX-A64766,PR ANES FOR TRANSECTION OBTURATOR INTRPELV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64771,PR ANES FOR TRANSECTION OTHR CRNL EXTRADUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64772,PR ANES FOR TRANS/AVUL OTH SPN NRV EXTRADUR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64774,PR ANES FOR EXCISN NEUROMA CUTANEOUS NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64776,PR ANES FOR EXCISN NEUROMA DIGITAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64778,PR ANES FOR EXCISN NEUROMA DGTL NRV EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64782,PR ANES FOR EXCISN NEUROMA HAND/FOOT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64783,PR ANES FOR EXCISN NEUROMA HAND/FT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64784,PR ANES FOR EXCISN NEUROMA MJR PERIPHERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64786,PR ANES FOR EXCISN NEUROMA SCIATIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64787,PR ANES FOR IMPL NERVE END INTO BONE/MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64788,PR ANES FOR EXCISN NEUROFIBROMA CUTAN NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A64790,PR ANES FOR EXCISN NEUROFIBROMA MJR PERIPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A64792,PR ANES FOR EXCISN NEUROFIBROMA EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64795,PR ANES FOR BIOPSY OF NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64802,"PR ANES FOR SYMPATHECTOMY,CERVICAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A64804,"PR ANES FOR SYMPATHECTOMY,CERVICOTHORACIC",225.0,168.75,152.26,225.0,1324 CDM,PX-A64809,"PR ANES FOR SYMPATHECTOMY,THORACOLUMBAR",225.0,168.75,152.26,225.0,1324 CDM,PX-A64818,PR ANES FOR SYMPATHECTOMY LUMBAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64820,PR ANES FOR SYMPATHECTOMY DGTL ARTERIES EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A64821,PR ANES FOR SYMPATHECTOMY RADIAL ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A64822,PR ANES FOR SYMPATHECTOMY ULNAR ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A64823,PR ANES FOR SYMPATHCTMY SUPRFCL PALMR ARCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A64831,PR ANES FOR SUTURE DGTL NRV HAND/FT SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64832,PR ANES FOR SUTURE DGTL NRV HAND/FT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64834,PR ANES FOR SUTURE NERVE HAND/FOOT COMMON,225.0,168.75,152.26,225.0,1324 CDM,PX-A64835,PR ANES FOR SUTURE 1 NRV MED MOTOR THENAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64836,PR ANES FOR SUTURE OF 1 NERVE ULNAR MOTOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64837,PR ANES FOR SUTURE HAND/FOOT EA ADD NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64840,PR ANES FOR SUTURE POSTERIOR TIBIAL NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64856,PR ANES FOR SUTR MJR NRV ARM/LG W TRANSPSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A64857,PR ANES FOR SITR MJR NRV ARM/LG WO TRNSPSTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A64858,PR ANES FOR SUTURE SCIATIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64859,PR ANES FOR SUTURE PERIPH NERVE EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A64861,PR ANES FOR SUTURE BRACHIAL PLEXUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64862,PR ANES FOR SUTURE LUMBAR PLEXUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64864,PR ANES FOR SUTURE FACIAL NRV EXTRACRANIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64865,PR ANES FOR SUTR FACIAL NRV INFRATEMPORAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64866,PR ANES FOR ANAST FACIAL SPINAL ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64868,PR ANES FOR ANAST FACIAL SPINAL HYPOGLOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A64872,PR ANES FOR SUTR NRV REQ SECNDY/DELAY SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A64874,PR ANES FOR SUTR NRV REQ EXTNS MOBL/TRANSP,225.0,168.75,152.26,225.0,1324 CDM,PX-A64876,PR ANES FOR SUTR NRV REQ SHORTEN BN EXTREM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64885,PR ANES FOR NERVE GRAFT HEAD/NECK <=4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64886,PR ANES FOR NERVE GRFT HEAD/NECK>4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64890,PR ANES FOR NERVE GRFT HAND/FT SNGL<=4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64891,PR ANES FOR NERVE GRFT HAND/FT SNGL >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64892,PR ANES FOR NERVE GRFT ARM/LEG SNGL<=4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64893,PR ANES FOR NERVE GRFT ARM/LEG SNGL>4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64895,PR ANES FOR NERVE GRFT HAND/FOOT MULT<=4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64896,PR ANES FOR NERVE GRFT HAND/FT MULT >4CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64897,PR ANES FOR NERVE GRFT ARM/LEG MULT<=4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64898,PR ANES FOR NERVE GRFT ARM/LEG MULT>4 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A64901,PR ANES FOR NERVE GRFT EA NERVE SINGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A64902,PR ANES FOR NERVE GRFT EA NERVE MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A64905,PR ANES FOR NRV PEDICLE TRANSFER 1ST STAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A64907,PR ANES FOR NERVE PEDICLE TRANSFER,225.0,168.75,152.26,225.0,1324 CDM,PX-A64910,PR ANES FOR NRV RPR SYNTH COND ALLOGRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A64911,PR ANES FOR NRV RPR W AUTOGEN VEIN GRFT EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A64912,PR ANES FOR NRV RPR W/NRV ALGRFT 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A64913,PR ANES FOR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A64999,PR ANES FOR UNLISTED PROCEDURE NERVOUS SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65091,PR ANES FOR EVISCERATION OCULAR WO IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65093,PR ANES FOR EVISCERATION OCULAR W IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65101,PR ANES FOR ENUCLEATION EYE WO IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65103,PR ANES FOR ENUCLEATION EYE W IMPL WO MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65105,PR ANES FOR ENUCLEATION EYE W IMPL W MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65110,PR ANES FOR EXENTERATN ORBIT RMVL CONTENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65112,PR ANES FOR EXENTERATN ORBIT RMVL CNTNS&BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A65114,PR ANES FOR EXTERNTN ORBIT W MUSC FLAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A65125,PR ANES FOR MODIFY OCULAR IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65130,PR ANES FOR INS OCLR IMPL SCNDRY EVISCERTN,225.0,168.75,152.26,225.0,1324 CDM,PX-A65135,PR ANES FOR INS OCLR IMPLNT SECNDRY WO MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65140,PR ANES FOR INS OCLR IMPLNT SECNDRY W MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65150,PR ANES FOR REINSERTION OCULAR IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65155,"PR ANES FOR REINSERT OCULAR IMPLANT,REINFORCEMT",225.0,168.75,152.26,225.0,1324 CDM,PX-A65175,PR ANES FOR RMVL OF OCULAR IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65205,PR ANES FOR RMVL FB EYE SUPFCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A65210,PR ANES FOR RMVL FB EYE SUBCONJUNCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65220,PR ANES FOR REMOVAL FB CORNEA WO SLIT LAMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A65222,PR ANES FOR REMOVAL FB CORNEA W SLIT LAMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A65235,PR ANES FOR RMVL FB INTRAOCULAR ANT EYE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65260,PR ANES FOR RMVL FB MAGNETIC EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A65265,PR ANES FOR REMOVAL FB NONMAGNETIC EXTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A65270,PR ANES FOR RPR LACERATION CONJUNCTIVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A65272,"PR ANES FOR REPAIR CONJUNC LAC,REARRANG,NO HOSP",225.0,168.75,152.26,225.0,1324 CDM,PX-A65273,PR ANES FOR RPR LACERATION MOBL&REARGMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65275,PR ANES FOR RPR CORNEA NONPERFARATING,225.0,168.75,152.26,225.0,1324 CDM,PX-A65280,PR ANES FOR REPAIR EYE WOUND,225.0,168.75,152.26,225.0,1324 CDM,PX-A65285,PR ANES FOR RPR EYE WND W RSECT UVEAL TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65286,PR ANES FOR RPR EYE WOUND W TISS GLUE APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A65290,PR ANES FOR RPR WND EXTRAOCCULAR MUS TNDN,225.0,168.75,152.26,225.0,1324 CDM,PX-A65400,PR ANES FOR EXCISION LESION CORNEA,225.0,168.75,152.26,225.0,1324 CDM,PX-A65410,PR ANES FOR BIOPSY CORNEA,225.0,168.75,152.26,225.0,1324 CDM,PX-A65420,PR ANES FOR EXCISN PTERYGIUM WITHOUT GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65426,PR ANES FOR EXCISN PTERYGIUM WITH GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65430,PR ANES FOR SCRAPE CORNEA DX,225.0,168.75,152.26,225.0,1324 CDM,PX-A65435,PR ANES FOR REMOVAL CORNEAL EPITHELIUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A65436,PR ANES FOR RMVL CORNEAL EPITHELM W CHELAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65450,PR ANES FOR DEST LESION CORNEA CRYOTHERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A6550,PR DRSG WND VAC CARE,142.0,106.5,31.35,142.0,635 CDM,PX-A65600,PR ANES FOR PUNCTURES ANTR CORNEA MULTIPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65710,PR ANES FOR KERATOPLASTY ANTERIOR LAMELLAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A65730,PR ANES FOR KERATOPLASTY PENETRATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65750,PR ANES FOR KERATOPLASTY PENETRATE APHAKIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A65755,PR ANES FOR KERATOPLASTY PENETRATE PSEUDO,225.0,168.75,152.26,225.0,1324 CDM,PX-A65756,PR ANES FOR KERATOPLASTY ENDOTHELIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A65757,PR ANES FOR PREP CORNEAL ENDOTHL ALLOGRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A65760,PR ANES FOR KERATOMILEUSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65765,PR ANES FOR KERATOPHAKIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A65767,PR ANES FOR EPIKERATOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A65770,PR ANES FOR KERATOPROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65771,PR ANES FOR RADIAL KERATOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A65772,PR ANES FOR INCISN CORNEAL CORRECT ASTIGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A65775,PR ANES FOR RSECT CORNEAL CORRECT ASTIGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A65778,PR ANES FOR PLC AMNIOTIC MEMB OCLR WO SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A65779,PR ANES FOR PLC AMNIOTIC MEMB OCLR W SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A65780,PR ANES FOR RCNST OCULAR W MEMBRANE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65781,"PR ANES FOR OCULAR SURF RECONST, LIMBAL STEM CELL ALLOGRAFT",225.0,168.75,152.26,225.0,1324 CDM,PX-A65782,"PR ANES FOR OCULAR SURF RECONST, LIMBAL CONJ AUTOGRAFT",225.0,168.75,152.26,225.0,1324 CDM,PX-A65785,PR ANES FOR IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A65800,PR ANES FOR PARACENT ANTR CHAMB EYE W ASP,225.0,168.75,152.26,225.0,1324 CDM,PX-A65810,PR ANES FOR PARACENTSIS EYE HYALOID MEMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A65815,PR ANES FOR PARACENT ANT CHAMB EYE RMV BLD,225.0,168.75,152.26,225.0,1324 CDM,PX-A65820,PR ANES FOR GONIOTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A65850,PR ANES FOR TRABECULOTOMY AB EXTERNO,225.0,168.75,152.26,225.0,1324 CDM,PX-A65855,PR ANES FOR TRABECULOPLASTY LASER SURG,225.0,168.75,152.26,225.0,1324 CDM,PX-A65860,PR ANES FOR SEVER ADHESN EYE SEGMENT LASER,225.0,168.75,152.26,225.0,1324 CDM,PX-A65865,PR ANES FOR SEVER ADHESN EYE GONIOSYNECH,225.0,168.75,152.26,225.0,1324 CDM,PX-A65870,PR ANES FOR SEVER ADHESN EYE ANTR SYNECH,225.0,168.75,152.26,225.0,1324 CDM,PX-A65875,PR ANES FOR SEVER ADHESN EYE POSTR SYNECH,225.0,168.75,152.26,225.0,1324 CDM,PX-A65880,"PR ANES FOR INCISE CORNEO-VITREAL ADHESIONS,EYE",225.0,168.75,152.26,225.0,1324 CDM,PX-A65900,PR ANES FOR RMVL EPITHEALIAL GRWTH ANTR EYE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65920,PR ANES FOR RMVL IMPLNT MATERIAL ANTR EYE,225.0,168.75,152.26,225.0,1324 CDM,PX-A65930,PR ANES FOR RMVL BLOOD CLOT EYE ANTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66020,PR ANES FOR INJ ANTR CHAMBER EYE AIR/LIQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A66030,PR ANES FOR INJ ANTR CHAMBER EYE MED,225.0,168.75,152.26,225.0,1324 CDM,PX-A66130,PR ANES FOR EXCISION LESION SCLERA,225.0,168.75,152.26,225.0,1324 CDM,PX-A66150,"PR ANES FOR GLAUCOMA SURG,TREPHINATN/IRIDECT",225.0,168.75,152.26,225.0,1324 CDM,PX-A66155,"PR ANES FOR GLAUCOMA SURG,THERMOCAUT/IRIDECT",225.0,168.75,152.26,225.0,1324 CDM,PX-A66160,PR ANES FOR SCLERECTOMY W IRIDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66170,PR ANES FOR GLAUCOMA SURG TRABECULECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66172,PR ANES FOR GLAUCOMA SURG W SCARRING,225.0,168.75,152.26,225.0,1324 CDM,PX-A66174,PR ANES FOR TRNSLMN DIL AQUS WO DEV/STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66175,PR ANES FOR TRNSLMN DIL AQUS W DEV/STENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66179,PR ANES FOR SHNT AQUS EXTRAOCL RSRVR WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66180,PR ANES FOR SHNT AQUS EXTRAOCL RSRVR W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66183,PR ANES FOR INS ANTR DRN WO EXTRCLR RSRVR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66184,PR ANES FOR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66185,PR ANES FOR RVISN AQUS SHNT EXTRCLR RSRVR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66225,PR ANES FOR RPR SCLERAL STAPHLOMA W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66250,PR ANES FOR RPR OPERATIVE WND ANTR SEGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A66500,PR ANES FOR IRIDOTOMY EXCP TRANSFIXION,225.0,168.75,152.26,225.0,1324 CDM,PX-A66505,"PR ANES FOR INCISION OF IRIS,W TRANSFIXATN",225.0,168.75,152.26,225.0,1324 CDM,PX-A66600,PR ANES FOR IRIDECTOMY W CORNEAL SECTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A66605,PR ANES FOR IRIDECTOMY W CYCLECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66625,PR ANES FOR IRIDOTOMY PERIPHERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A66630,PR ANES FOR IRIDOTOMY SECTOR FOR GLAUCOMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A66635,PR ANES FOR IRIDOTOMY OPTICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A66680,PR ANES FOR REPAIR IRIS CILIARY BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66682,PR ANES FOR SUTURE IRIS CILIARY BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66683,PR ANES FOR IMPLANTATION IRIS PROSTHESIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A66700,"PR ANES FOR DESTRUC,CILIARY BODY,DIATHERMY",225.0,168.75,152.26,225.0,1324 CDM,PX-A66710,PR ANES FOR DEST CILIARY TRANSSCLERAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A66711,PR ANES FOR DESTRUCTION CILIARY ENDOSCOPIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A66720,PR ANES FOR DEST CILIARY CRYOTHERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66740,"PR ANES FOR DESTRUC,CILIARY BODY,CYCLODIALYSIS",225.0,168.75,152.26,225.0,1324 CDM,PX-A66761,PR ANES FOR IRIDOTOMY LASER PER SESSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A66762,PR ANES FOR IRIDOPLASTY PHOTOCOAGULATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A66770,PR ANES FOR DESTR CYST/LESN IRIS/CILIARY,225.0,168.75,152.26,225.0,1324 CDM,PX-A66820,PR ANES FOR RMVL SECNDRY MEMBRANE CATARACT,225.0,168.75,152.26,225.0,1324 CDM,PX-A66821,PR ANES FOR DISC SECNDRY MEMB CATARACT LSR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66825,PR ANES FOR REPOSIT INTRAOCL LENS PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A66830,PR ANES FOR RMVL SEC MEMB CATARACT CORNEO,225.0,168.75,152.26,225.0,1324 CDM,PX-A66840,PR ANES FOR RMVL LENS MATERIAL ASPIRATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A66850,PR ANES FOR RMVL LENS MATERIAL PHACOFRAGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A66852,PR ANES FOR RMVL LENS MATERIAL PARS PLANA,225.0,168.75,152.26,225.0,1324 CDM,PX-A66920,PR ANES FOR RMVL LENS MATRL INTRACAPSULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66930,PR ANES FOR RMVL LENS INTRACAP DISLOC LENS,225.0,168.75,152.26,225.0,1324 CDM,PX-A66940,PR ANES FOR REMOVAL LENS EXTRACAPSULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A66982,PR ANES FOR RMVL CATARACT EXTRACAP CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A66983,PR ANES FOR INTRACAP CATARACT EXTRCT W IOL INS,225.0,168.75,152.26,225.0,1324 CDM,PX-A66984,PR ANES FOR RMVL CATARACT INSERT LENS,225.0,168.75,152.26,225.0,1324 CDM,PX-A66985,PR ANES FOR INS IOL WO CATARACT RMVL,225.0,168.75,152.26,225.0,1324 CDM,PX-A66986,PR ANES FOR EXCHANGE INTRAOCULAR LENS,225.0,168.75,152.26,225.0,1324 CDM,PX-A66987,PR ANES FOR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP,225.0,168.75,152.26,225.0,1324 CDM,PX-A66988,PR ANES FOR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP,225.0,168.75,152.26,225.0,1324 CDM,PX-A66989,PR ANES FOR XCPSL CTRC RMVL CPLX INSJ 1+,225.0,168.75,152.26,225.0,1324 CDM,PX-A66990,PR ANES FOR USE OPTHALMIC ENDOSCOPE,225.0,168.75,152.26,225.0,1324 CDM,PX-A66991,PR ANES FOR XCAPSL CTRC RMVL INSJ 1+,225.0,168.75,152.26,225.0,1324 CDM,PX-A66999,PR ANES FOR UNLISTED PROC ANTR SEGMENT EYE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67005,PR ANES FOR RMVL VITREOUS ANTR APP PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67010,PR ANES FOR RMVL VITREOUS PRTL W VETRCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67015,PR ANES FOR ASP VITREOUS FLUID PARS PLANA,225.0,168.75,152.26,225.0,1324 CDM,PX-A67025,PR ANES FOR INJECTION VITREOUS SUBSTITUTE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67027,PR ANES FOR IMPL INTRAVITREAL DRUG DELIV,225.0,168.75,152.26,225.0,1324 CDM,PX-A67028,PR ANES FOR INJECTION INTRAVITREAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67030,PR ANES FOR DISCISSION VITREOUS STRANDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67031,PR ANES FOR SEVER VITR STRANDS LASER >=1,225.0,168.75,152.26,225.0,1324 CDM,PX-A67036,PR ANES FOR VITRECTOMY MECH PARS PLANA,225.0,168.75,152.26,225.0,1324 CDM,PX-A67039,PR ANES FOR VITRECTOMY W FOCAL ENDOLASER,225.0,168.75,152.26,225.0,1324 CDM,PX-A67040,PR ANES FOR VITRECTOMY W ENDOLASER PANRET,225.0,168.75,152.26,225.0,1324 CDM,PX-A67041,PR ANES FOR VITRECT W RMVL PRERETINAL MEMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A67042,PR ANES FOR VITRECTOMY W RMVL LIM RET MEMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A67043,PR ANES FOR VITRECTOMY W RMVL SUBRET MEMB,225.0,168.75,152.26,225.0,1324 CDM,PX-A67101,PR ANES FOR RPR DETACHED RETINA CRYOTHRPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67105,PR ANES FOR RPR DETACHED RETINA PHOTOCOAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67107,PR ANES FOR RPR DETACH RET SCLER BUCKLING,225.0,168.75,152.26,225.0,1324 CDM,PX-A67108,PR ANES FOR RPR DETACHED RETINA W VITRECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67110,PR ANES FOR RPR DETACH RETINA W IN AIR/GAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67113,PR ANES FOR RPR DETACH RETINA CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A67115,"PR ANES FOR RELEASE ENCIRCL MATERIAL,POST SGMT",225.0,168.75,152.26,225.0,1324 CDM,PX-A67120,PR ANES FOR RMVL EYE IMPL EXTRAOCULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67121,PR ANES FOR RMVL EYE IMPL INTRAOCULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67141,PR ANES FOR PROPH RETINAL DETACHMENT CRYO,225.0,168.75,152.26,225.0,1324 CDM,PX-A67145,PR ANES FOR PROPH RETINAL DETACH PHOTOCOAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67208,PR ANES FOR DEST RETINA LESION CRYOTHERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67210,PR ANES FOR DEST RETINA LESION PHOTOCOAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67218,PR ANES FOR DEST RETINA LESION RADIATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A67220,PR ANES FOR DEST CHOROID LESION PHOTOCOAG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67221,PR ANES FOR DEST CHOROID LSN PHOTODYNAMIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A67225,PR ANES FOR DEST LESN CHOROID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67227,PR ANES FOR DEST RETINOPATHY CRYOTHRPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67228,PR ANES FOR TX RETINOPATHY PHOTOCOAG EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67229,PR ANES FOR TX RETINOPATHY <= 1 YR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67250,PR ANES FOR REINFORCE SCLERA EYE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67255,PR ANES FOR SCLERAL REINFORCEMENT W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67299,PR ANES FOR UNLISTED PROC POSTR SEGMENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67311,PR ANES FOR STRABISMUS 1 HOR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67312,PR ANES FOR STRABISMUS 2 HOR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67314,PR ANES FOR STRABISMUS 1 VER MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67316,PR ANES FOR STRABISMUS 2 VER MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67318,PR ANES FOR STRABISMUS SUPER OBLIQUE MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67320,PR ANES FOR TXPOSITION EXTRAOCULAR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67331,PR ANES FOR STRABISMUS NOT EXTRAOCULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67332,PR ANES FOR STRABISMUS W SCARRING,225.0,168.75,152.26,225.0,1324 CDM,PX-A67334,PR ANES FOR STRABISMUS W POSTR FIX SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67335,PR ANES FOR PLC EYE SUTURE DURING SURGERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67340,PR ANES FOR STRABISMUS EXTRAOCULAR RPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67343,PR ANES FOR RELEASE EYE TISSUE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67345,PR ANES FOR CHEMDNRV EXTRAOCULAR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67346,PR ANES FOR BX EXTRAOCULAR MUSCLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67399,PR ANES FOR UNLISTED PROC EXTRAOCULAR MUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67400,PR ANES FOR ORBITOTOMY EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A67405,PR ANES FOR ORBITOTOMY W DRAINAGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67412,PR ANES FOR ORBITOTOMY W LESION REMOVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67413,PR ANES FOR ORBITOTOMY W FB REMOVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67414,PR ANES FOR ORBITOTOMY W BONE REMOVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67415,PR ANES FOR FINE NEEDLE ASP ORBTL CONTENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67420,PR ANES FOR ORBITOTOMY W LESN RMVL LAT APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A67430,"PR ANES FOR LAT EXPLOR EYE SOCK,REMV F.B.",225.0,168.75,152.26,225.0,1324 CDM,PX-A67440,PR ANES FOR EXPLORE/DRAIN EYE SOCKET,225.0,168.75,152.26,225.0,1324 CDM,PX-A67445,PR ANES FOR ORBITOTOMY W BONE RMVL LAT APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A67450,PR ANES FOR ORBITMY BN FLAP EXPL W/WO BX,225.0,168.75,152.26,225.0,1324 CDM,PX-A67500,PR ANES FOR INJ RETROBULBAR MEDICATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A67505,PR ANES FOR RETROBULBAR INJ ALCOHOL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67515,PR ANES FOR INJECTION TENONS CAPSULE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67516,PR ANES FOR SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67550,PR ANES FOR INSERT ORBITAL IMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67560,PR ANES FOR RMVL/REVISE ORBITAL IMPLANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67570,PR ANES FOR DECOMPRESSION OPTIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67599,PR ANES FOR UNLISTED PROCEDURE ORBIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67700,PR ANES FOR BLEPHAROTOMY DRN ABSC EYELID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67710,PR ANES FOR SEVERING TARSORRHAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67715,PR ANES FOR CANTHOTOMY SEPARATE PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67800,PR ANES FOR EXCISION CHALAZION SINGLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67801,PR ANES FOR EXCISN CHALAZION MULT SAME LID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67805,PR ANES FOR EXCISN CHALAZION MULT DIFF LID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67808,PR ANES FOR EXCISION CHALAZION W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A67810,PR ANES FOR BX EYELID SKIN & LID MARGIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A67820,PR ANES FOR CORRECT TRICHIASIS EPIL FORCEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A67825,PR ANES FOR CORRECT TRICHIASIS EPILATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A67830,PR ANES FOR CORRECT TRICHIASIS INC LID MRG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67835,PR ANES FOR CORRECT TRICHIASIS W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67840,PR ANES FOR EXCISION LESION EYELID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67850,PR ANES FOR DEST LESN EYELID MARGIN <=1CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A67875,PR ANES FOR TEMPORARY CLSR EYELIDS SUTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67880,PR ANES FOR CNSTRCT EYE INTERMARG ADHSNS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67882,PR ANES FOR CNSTRCT INTERMARG ADSN W TRNSP,225.0,168.75,152.26,225.0,1324 CDM,PX-A67900,PR ANES FOR REPAIR BROW PTOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67901,PR ANES FOR RPR BLEPHAROPT FRNT MUS W SUTR,225.0,168.75,152.26,225.0,1324 CDM,PX-A67902,"PR ANES FOR FIX LID PTOSIS,FRONT MUSC,FAS SLNG",225.0,168.75,152.26,225.0,1324 CDM,PX-A67903,PR ANES FOR RPR BLEPHAROPT LEVAT RSECT INT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67904,PR ANES FOR RPR BLEPHAROPT LEVAT RSECT EXT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67906,"PR ANES FOR FIX LID PTOSIS,SUPER RECTUS TECH",225.0,168.75,152.26,225.0,1324 CDM,PX-A67908,PR ANES FOR RPR BLEPH CONJ-TARSO-MULLER'S,225.0,168.75,152.26,225.0,1324 CDM,PX-A67909,PR ANES FOR REDUCTION OVERCORRECT PTOSIS,225.0,168.75,152.26,225.0,1324 CDM,PX-A67911,PR ANES FOR CORRECTION EYELID RETRACTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A67912,PR ANES FOR CORREC LAGOPHTHALMOS W IMPLNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67914,PR ANES FOR REPAIR OF ECTROPION SUTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67915,PR ANES FOR RPR ECTROPION THERMOCAUT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67916,PR ANES FOR RPR ECTROPION EXCISN TARSAL WEDGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67917,PR ANES FOR REPAIR ECTROPION EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67921,PR ANES FOR REPAIR ENTROPION SUTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67922,PR ANES FOR RPR ENTROPION THERMOCAUT,225.0,168.75,152.26,225.0,1324 CDM,PX-A67923,PR ANES FOR RPR ENTROPION EXCISN TARSAL WEDGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67924,PR ANES FOR REPAIR ENTROPION EXTENSIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67930,PR ANES FOR SUTR EYELID RECENT WOUND PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A67935,PR ANES FOR REPAIR EYELID WOUND FULL THICK,225.0,168.75,152.26,225.0,1324 CDM,PX-A67938,PR ANES FOR REMOVAL EMBEDED FB EYELID,225.0,168.75,152.26,225.0,1324 CDM,PX-A67950,PR ANES FOR CANTHOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A67961,PR ANES FOR EXCISN&RPR EYELID<=1/4 MARGIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A67966,PR ANES FOR EXCISN&RPR EYELID>1/4 MARGIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A67971,PR ANES FOR RCNST EYELID <= 2/3 1ST STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67973,PR ANES FOR RECONSTR EYELID LOWER 1 STGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67974,PR ANES FOR RCNST EYELID FULL THICK 1 STG,225.0,168.75,152.26,225.0,1324 CDM,PX-A67975,PR ANES FOR RECONSTR EYELID SCND STGE,225.0,168.75,152.26,225.0,1324 CDM,PX-A67999,PR ANES FOR UNLISTED PROCEDURE EYELIDS,225.0,168.75,152.26,225.0,1324 CDM,PX-A68020,PR ANES FOR INCISN CONJUNCTIVA DRAINE CYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A68040,PR ANES FOR EXPRESS CONJUNC FOLLICLES,225.0,168.75,152.26,225.0,1324 CDM,PX-A68100,PR ANES FOR BIOPSY OF CONJUNCTIVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68110,PR ANES FOR EXCISN LESN CONJUNCTIVA<= 1 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A68115,PR ANES FOR EXCISN LESN CONJUNCTIVA> 1 CM,225.0,168.75,152.26,225.0,1324 CDM,PX-A68130,PR ANES FOR EXCISN LSN CONJUNCT ADJ SCLERA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68135,PR ANES FOR DESTRUCTION LESION CONJUNCTIVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68200,PR ANES FOR INJECTION SUBCONJUNCTIVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A68320,PR ANES FOR CNJNCTVPLSTY W CNJNCT GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68325,PR ANES FOR CONJNCTIVOPLSTY W/BUCCAL MCUS MEMB GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68326,PR ANES FOR CNJNCTVPLSTY RCNST W GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68328,"PR ANES FOR REVISE CONJUNC,FIX CUL-DE-SAC=BUCCAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A68330,PR ANES FOR RPR SYMBLEPHARON WO GRFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68335,PR ANES FOR RPR SYMBLEPHARON W GRAFT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68340,PR ANES FOR RPR/DIVISION SYMBLEPHARON,225.0,168.75,152.26,225.0,1324 CDM,PX-A68360,PR ANES FOR CONJUNCTIVAL FLAP BRIDGE/PRTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A68362,PR ANES FOR FLAP CONJUNCTIVAL TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A68371,"PR ANES FOR HARVEST EYE TISSUE, ALOGRAFT",225.0,168.75,152.26,225.0,1324 CDM,PX-A68399,PR ANES FOR UNLISTED PROC CONJUNCTIVA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68400,PR ANES FOR I&D LACRIMAL GLAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A68420,PR ANES FOR INCISN/DRN LACRIMAL SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A68440,PR ANES FOR SNIP INCISION LACRIMAL PUNCTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A68500,"PR ANES FOR REMOVAL TEAR GLAND,TOTAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A68505,"PR ANES FOR REMOVAL TEAR GLAND,PARTIAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A68510,PR ANES FOR BIOPSY LACRIMAL GLAND,225.0,168.75,152.26,225.0,1324 CDM,PX-A68520,PR ANES FOR EXCISION LACRIMAL SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A68525,PR ANES FOR BIOPSY LACRIMAL SAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A68530,PR ANES FOR REMOVAL FB LACRIMAL PASSAGES,225.0,168.75,152.26,225.0,1324 CDM,PX-A68540,PR ANES FOR EXCISN LACRIMAL GLND TMR FRNTL,225.0,168.75,152.26,225.0,1324 CDM,PX-A68550,"PR ANES FOR REMV TEAR GLAND LESN,W OSTEOTOMY",225.0,168.75,152.26,225.0,1324 CDM,PX-A68700,PR ANES FOR PLASTIC REPAIR CANALICULI,225.0,168.75,152.26,225.0,1324 CDM,PX-A68705,PR ANES FOR CORRECT EVERTED PUNCTUM CAUT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68720,PR ANES FOR DACRYOCYSTORHINOSTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A68745,PR ANES FOR CREATE CONJUNC-NASAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68750,PR ANES FOR CONJUNCTIVORHINOSTOMY W TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A68760,PR ANES FOR CLOSURE LACRIMAL PUNCTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A68761,PR ANES FOR CLSR LACRIM PUNCTUM BY PLUG EA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68770,PR ANES FOR CLSR LACRIMAL FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A68801,PR ANES FOR DILATION LACRIMAL PUNCTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A68810,PR ANES FOR PROBE NASOLACRIMAL DUCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A68811,PR ANES FOR PROBE NASOLACRIMAL DUCT W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A68815,PR ANES FOR PROBE NASOLACRIMAL DUCT W TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A68816,PR ANES FOR PROBE NASOLACRIMAL DUCT W CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A68840,PR ANES FOR PROBE LACRIMAL CANALICULI,225.0,168.75,152.26,225.0,1324 CDM,PX-A68841,PR ANES FOR INSJ RX ELUT IMPLT LAC CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A68850,PR ANES FOR INJ CNTRST DACRYOCYSTOGRPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A68899,PR ANES FOR UNLISTED PROC LACRIMAL SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A69000,PR ANES FOR DRAIN ABSC EXTERNAL EAR SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69005,PR ANES FOR DRAIN ABSC EAR EXTRNL CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A69020,PR ANES FOR DRAIN LESION EAR CANAL EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69090,PR ANES FOR EAR PIERCING,225.0,168.75,152.26,225.0,1324 CDM,PX-A69100,PR ANES FOR BIOPSY EXTERNAL EAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69105,PR ANES FOR BX EXTERNAL AUDITORY CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69110,PR ANES FOR EXCISN EXTRNL EAR PRTL SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69120,PR ANES FOR EXCISN EXTRNL EAR COMPLETE AMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69140,PR ANES FOR EXCISN EXOSTOSIS EXT AUD CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69145,PR ANES FOR EXCISN SOFT TISS LSN EXTRNL CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69150,PR ANES FOR EXCISN RAD CANAL LSN WO NK DISECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69155,PR ANES FOR EXCISN RAD CANAL LSN W NK DISECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69200,PR ANES FOR RMVL FB EAR CANAL EXTRNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69205,PR ANES FOR RMVL FB EAR CANAL EXTRNL ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A69209,PR ANES FOR RMVL IMPACT CERUMEN IRRIG UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69210,PR ANES FOR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69220,PR ANES FOR DBRD MASTOIDECTOMY SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69222,PR ANES FOR DBRD MASTOIDECTOMY COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A69300,PR ANES FOR OTOPLASTY PROTRUDING EAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69310,PR ANES FOR RCNST EXTR AUDITORY CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69320,PR ANES FOR RCNST CANAL CONGEN ATRESIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A69399,PR ANES FOR UNLISTED PROC EXTERNAL EAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69420,PR ANES FOR MYRINGOT INCL ASP/TUBE INFLATN,225.0,168.75,152.26,225.0,1324 CDM,PX-A69421,PR ANES FOR MYRINGOTOMY W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A69424,PR ANES FOR RMVL VENTILATING TUBE W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A69433,PR ANES FOR TYMPANOSTOMY LOC/TOP ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A69436,PR ANES FOR TYMPANOSTOMY W GEN ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A69440,PR ANES FOR MIDDLE EAR EXPLORATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A69450,PR ANES FOR TYMPANOLYSIS TRANSCANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69501,PR ANES FOR TRANSMASTOID ANTROTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A69502,PR ANES FOR MASTOIDECTOMY COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69505,PR ANES FOR MASTOIDECTOMY MOD RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69511,PR ANES FOR MASTOIDECTOMY RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69530,PR ANES FOR PETROUS ABICECTOMY W MASTDCTMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A69535,PR ANES FOR RSECT TEMPORAL BN EXTERNAL APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69540,PR ANES FOR EXCISION AURAL POLYP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69550,PR ANES FOR EXCISN AURAL GLOMOS TMR TRNSCANL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69552,PR ANES FOR EXCISN AURAL GLOMUS TMR TRNSMASTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A69554,PR ANES FOR EXCISN AURAL GLOMUS TMR EXTENDED,225.0,168.75,152.26,225.0,1324 CDM,PX-A69601,PR ANES FOR REV MASTOIDECTOMY COMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69602,PR ANES FOR REV MASTOIDECTOMY MOD RADCL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69603,PR ANES FOR REVISION MASTOIDECTOMY RADICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69604,PR ANES FOR REV MASTOIDECTOMY TYMPANOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A69610,PR ANES FOR REPAIR TYMPANIC MEMBRANE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69620,PR ANES FOR MYRINGOPLASTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A69631,PR ANES FOR TYMPANOPLASTY WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69632,PR ANES FOR TYMPANOPLASTY W RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69633,PR ANES FOR TYMPANOPLSTY W RCNST&PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A69635,PR ANES FOR TYMPLSTY W ANTROT WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69636,PR ANES FOR TYMPLSTY W ANTROT W RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69637,PR ANES FOR TYMPPLSTY W ANTROT/MAST PROSTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A69641,PR ANES FOR TYMPLSTY W MASTOID WO RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69642,PR ANES FOR TYMPLSTY W MASTOID W RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69643,PR ANES FOR TYMPLSTY WO OSC CHAIN RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69644,PR ANES FOR TYMPLSTY W OSC CHAIN RCNST,225.0,168.75,152.26,225.0,1324 CDM,PX-A69645,PR ANES FOR TYMPLSTY RAD WO OSC CHN RCSTRC,225.0,168.75,152.26,225.0,1324 CDM,PX-A69646,PR ANES FOR TYMPLSTY RAD W OSC CHN RCSTRCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69650,PR ANES FOR STAPES MOBILIZATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A69660,PR ANES FOR STAPEDECTOMY REESTAB OSSICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69661,PR ANES FOR STAPEDECTOMY W FOOTPLATE DRILL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69662,PR ANES FOR REVISION OF STAPEDECTOMY,225.0,168.75,152.26,225.0,1324 CDM,PX-A69666,PR ANES FOR RPR OVAL WINDOW FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A69667,PR ANES FOR REPAIR ROUND WINDOW FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A69670,PR ANES FOR MASTOID OBLITERATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A69676,PR ANES FOR REMOVE MIDDLE EAR NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69700,PR ANES FOR CLOSE MASTOID POSTAURICULAR FISTULA,225.0,168.75,152.26,225.0,1324 CDM,PX-A69705,PR ANES FOR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,225.0,168.75,152.26,225.0,1324 CDM,PX-A69706,PR ANES FOR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,225.0,168.75,152.26,225.0,1324 CDM,PX-A69710,PR ANES FOR IMPL ELECTRO HEARING DEV TEMP BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A69711,PR ANES FOR RMVL ELECTRO HEARING DEV TEMP BN,225.0,168.75,152.26,225.0,1324 CDM,PX-A69714,PR ANES FOR IMPL TEMP BONE WO MASTOIDECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69716,PR ANES FOR IMPLTJ OI IMPLT SKL TC ESP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69717,PR ANES FOR RPL IMPL TEMP BN WO MASTOIDECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69719,PR ANES FOR REVJ/RPLCMT OI IMPLT TC ESP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69720,PR ANES FOR RPL IMPL TEMP BN W MASTOIDECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69725,"PR ANES FOR RELEASE FACIAL NERVE,MED TO GANGLION",225.0,168.75,152.26,225.0,1324 CDM,PX-A69726,PR ANES FOR RMVL OI IMPLT SKL PERQ ESP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69727,PR ANES FOR RMVL OI IMPLT SKL TC ESP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69728,PR ANES FOR RMV NTR OI IMPLT SK TC ESP>=100,225.0,168.75,152.26,225.0,1324 CDM,PX-A69729,PR ANES FOR IMPL OI IMPLT SK TC ESP>=100,225.0,168.75,152.26,225.0,1324 CDM,PX-A69730,PR ANES FOR RPLCM OI IMPLT SK TC ESP>=100,225.0,168.75,152.26,225.0,1324 CDM,PX-A69740,"PR ANES FOR REPAIR FACIAL NERVE,LAT TO GANGLION",225.0,168.75,152.26,225.0,1324 CDM,PX-A69745,"PR ANES FOR REPAIR FACIAL NERVE,MED TO GANGLION",225.0,168.75,152.26,225.0,1324 CDM,PX-A69799,PR ANES FOR UNLISTED PROCEDURE MIDDLE EAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69801,PR ANES FOR TRANSCANAL LABYRINTH PERFUSION,225.0,168.75,152.26,225.0,1324 CDM,PX-A69805,PR ANES FOR ENDOLYMPHATIC SAC OP WO SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69806,PR ANES FOR EDOLYMPHATIC SAC OP W SHUNT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69905,PR ANES FOR LABYRINTHECTOMY TRANSCANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69910,PR ANES FOR LABYRINTHECTOMY W MASTOIDECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A69915,PR ANES FOR VESTIBULAR NRV SEC TRANS APPR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69930,PR ANES FOR COCHLEAR DEVICE IMPLANTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A69949,PR ANES FOR UNLISTED PROC INNER EAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A69950,PR ANES FOR VESTIB NRV SECTN TRANSCRNL APP,225.0,168.75,152.26,225.0,1324 CDM,PX-A69955,PR ANES FOR DCMPRN&/RPR FACIAL NERVE TOTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69960,PR ANES FOR DECOMPRESS INTERN AUDITORY CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A69970,PR ANES FOR RMVL TMR TEMPORAL BONE,225.0,168.75,152.26,225.0,1324 CDM,PX-A69979,PR ANES FOR UNLISTED PROC TEMP BN MID FOS,225.0,168.75,152.26,225.0,1324 CDM,PX-A69990,PR ANES FOR MICROSURG TQS W USE OPER MICRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A70030,PR ANES FOR XR EYE FB,225.0,168.75,152.26,225.0,1324 CDM,PX-A70100,PR ANES FOR XR MANDIBLE PRTL 1-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70110,PR ANES FOR XR MANDIBLE COMPLT MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70120,PR ANES FOR XR MASTOID COMPLT<=3V/SIDE,225.0,168.75,152.26,225.0,1324 CDM,PX-A70130,PR ANES FOR XR MASTOID COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70134,PR ANES FOR XR INTRNL AUD MEAT COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A70140,PR ANES FOR XR FACIAL BONES 1-2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70150,PR ANES FOR XR FACIAL BONES COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70160,PR ANES FOR XR NASAL BONES COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70190,PR ANES FOR XR OPTIC FORAMINA,225.0,168.75,152.26,225.0,1324 CDM,PX-A70200,PR ANES FOR XR ORBITS COMPLT MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70210,PR ANES FOR XR SINUS 1-2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70220,PR ANES FOR XR SINUS COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70240,PR ANES FOR XR SELLA TURCICA,225.0,168.75,152.26,225.0,1324 CDM,PX-A70250,PR ANES FOR XR SKULL 1-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70260,PR ANES FOR XR SKULL COMPLT MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A70300,PR ANES FOR XR TEETH SINGLE VIEW,225.0,168.75,152.26,225.0,1324 CDM,PX-A70310,PR ANES FOR XR TEETH PARTIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A70320,PR ANES FOR XR TEETH COMPLT FULL MOUTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A70328,PR ANES FOR XR TMJ OPEN CLSD UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A70330,PR ANES FOR XR TMJ OPEN CLSD BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A70336,PR ANES FOR MRI TMJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A70350,PR ANES FOR CEPHALOGRAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A70355,PR ANES FOR ORTHOPANTOGRAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A70360,PR ANES FOR XR NECK/SOFT TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A70370,PR ANES FOR XR PHARNX/LARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A70380,PR ANES FOR XR SALIV GLD CALCULUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A70450,PR ANES FOR CT HEAD/BRAIN WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70460,PR ANES FOR CT HEAD/BRAIN W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70470,PR ANES FOR CT HEAD/BRAIN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70471,PR ANES FOR PR CTA H&N C+ W/NONCONTRAST IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A70480,PR ANES FOR CT ORBIT/EAR/FOSSA WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70481,PR ANES FOR CT ORBIT/EAR/FOSSA W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70482,PR ANES FOR CT ORBT/EAR/FOSSA WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70486,PR ANES FOR CT MAXFAC WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70487,PR ANES FOR CT MAXFAC W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70488,PR ANES FOR CT MAXFAC WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70490,PR ANES FOR CT NECK/SOFT TISS WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70491,PR ANES FOR CT NECK/SOFT TISS W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70492,PR ANES FOR CT NECK/SOFT TISS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70496,PR ANES FOR CTA HEAD WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70498,PR ANES FOR CTA NECK WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70540,PR ANES FOR MRI ORBIT/FACE/NCK WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70542,PR ANES FOR MRI ORBIT/FACE/NCK W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70543,PR ANES FOR MRI ORBT/FACE/NCK WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70544,PR ANES FOR MRA HEAD WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70545,PR ANES FOR MRA HEAD W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70546,PR ANES FOR MRA HEAD WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70547,PR ANES FOR MRA NECK WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70548,PR ANES FOR MRA NECK W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70549,PR ANES FOR MRA NECK WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70551,PR ANES FOR MRI BRAIN WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70552,PR ANES FOR MRI BRAIN W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70553,PR ANES FOR MRI BRAIN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70554,PR ANES FOR MRI FUNCT BRAIN NOT REQ MD,225.0,168.75,152.26,225.0,1324 CDM,PX-A70555,PR ANES FOR MRI FUNCTIONAL BRAIN REQ MD,225.0,168.75,152.26,225.0,1324 CDM,PX-A70557,PR ANES FOR MR BRAIN INTCRAN PROC WO CST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70558,PR ANES FOR MR BRAIN INTCRAN PROC W CST,225.0,168.75,152.26,225.0,1324 CDM,PX-A70559,PR ANES FOR MR BRN INTRCR PROC WO/W,225.0,168.75,152.26,225.0,1324 CDM,PX-A71045,PR ANES FOR XR EXAM CHEST 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71100,PR ANES FOR XR RIB UNILAT 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71101,PR ANES FOR XR RIB W PA CHST UNILAT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71110,PR ANES FOR XR RIB BILAT 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71111,PR ANES FOR XR RIB W PA CHST BILAT MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71120,PR ANES FOR XR STERNUM MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71130,PR ANES FOR XR STERNCLAV JT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A71250,PR ANES FOR CT THORAX WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71260,PR ANES FOR CT THORAX W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71270,PR ANES FOR CT THORAX WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71271,PR ANES FOR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71275,PR ANES FOR CTA CHEST WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71550,PR ANES FOR MRI CHEST WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71551,PR ANES FOR MRI CHEST W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71552,PR ANES FOR MRI CHEST WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A71555,PR ANES FOR MRA CHEST W OR WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72020,PR ANES FOR XR SPINE 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72040,PR ANES FOR XR SPINE CERV 2-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72050,PR ANES FOR XR SPINE CERV MIN 4-5V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72052,PR ANES FOR XR SPINE CERV >= 6 VIEWS,225.0,168.75,152.26,225.0,1324 CDM,PX-A72070,PR ANES FOR XR SPINE THORAC 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72072,PR ANES FOR XR SPINE THORAC 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72074,PR ANES FOR XR SPINE THORAC MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72080,PR ANES FOR XR SPINE THORACOLUMBAR 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72081,PR ANES FOR XR SPINE THORACOLUMBAR 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72082,PR ANES FOR XR SPINE THORACOLUMBAR 2-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72083,PR ANES FOR XR SPINE THORACOLUMBAR 4-5V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72084,PR ANES FOR XR SPINE THORACOLUMBAR 6>V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72100,PR ANES FOR XR SPINE LUMBOSACRAL 2-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72110,PR ANES FOR XR SPINE LUMBOSACRAL MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72114,PR ANES FOR XR SPINE LUMBOSACRAL MIN 6V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72120,PR ANES FOR XR LUMBOSACRAL BEND 2-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72125,PR ANES FOR CT CERV SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72126,PR ANES FOR CT CERV SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72127,PR ANES FOR CT CERV SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72128,PR ANES FOR CT THORAC SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72129,PR ANES FOR CT THORAC SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72130,PR ANES FOR CT THORAC SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72131,PR ANES FOR CT LUMBAR SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72132,PR ANES FOR CT LUMBAR SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72133,PR ANES FOR CT LUMBAR SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72141,PR ANES FOR MRI CERV SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72142,PR ANES FOR MRI CERV SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72146,PR ANES FOR MRI THORAC SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72147,PR ANES FOR MRI THORAC SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72148,PR ANES FOR MRI LUMB SPINE WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72149,PR ANES FOR MRI LUMB SPINE W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72156,PR ANES FOR MRI CERV SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72157,PR ANES FOR MRI THORAC SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72158,PR ANES FOR MRI LUMB SPINE WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72159,PR ANES FOR MRA SPINE W/WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72170,PR ANES FOR XR PELVIS 1-2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72190,PR ANES FOR XR PELVIS COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72191,PR ANES FOR CTA PELVIS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72192,PR ANES FOR CT PELVIS WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72193,PR ANES FOR CT PELVIS W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72194,PR ANES FOR CT PELVIS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72195,PR ANES FOR MRI PELVIS WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72196,PR ANES FOR MRI PELVIS W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72197,PR ANES FOR MRI PELVIS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A72200,PR ANES FOR XR SACROILIAC JOINT 1-2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72202,PR ANES FOR XR SACROILIAC JOINT >= 3 V,225.0,168.75,152.26,225.0,1324 CDM,PX-A72220,PR ANES FOR XR SACRUM COCCYX MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73000,PR ANES FOR XR CLAVICLE COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A73010,PR ANES FOR XR SCAPULA COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A73020,PR ANES FOR XR SHOULDER 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73030,PR ANES FOR XR SHOULDER COMPLT MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73050,PR ANES FOR XR AC JOINT BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A73060,PR ANES FOR XR HUMERUS MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73070,PR ANES FOR XR ELBOW 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73080,PR ANES FOR XR ELBOW COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73090,PR ANES FOR XR FOREARM 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73092,PR ANES FOR XR UPR EXT INFANT MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73100,PR ANES FOR XR WRIST 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73110,PR ANES FOR XR WRIST COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73120,PR ANES FOR XR HAND 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73130,PR ANES FOR XR HAND MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73140,PR ANES FOR XR FINGER(S) MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73200,PR ANES FOR CT UPR EXT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73201,PR ANES FOR CT UPR EXT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73202,PR ANES FOR CT UPR EXT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73206,PR ANES FOR CTA UPR EXT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73218,PR ANES FOR MRI UPR EXT NONJOINT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73219,PR ANES FOR MRI UPR EXT NONJOINT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73220,PR ANES FOR MRI UPR EXT NOJNT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73221,PR ANES FOR MRI UPR EXT JOINT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73222,PR ANES FOR MRI UPR EXT JOINT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73223,PR ANES FOR MRI UPR EXT JOINT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73501,PR ANES FOR XR HIP W PELVIS UNILAT 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73502,PR ANES FOR XR HIP W PELVIS UNILAT 2-3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73503,PR ANES FOR XR HIP W PELVIS UNILAT 4>V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73521,PR ANES FOR XR HIP W PELVIS BILAT 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73522,PR ANES FOR XR HIP W PELVIS BILAT 3-4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73523,PR ANES FOR XR HIP W PELVIS BILAT MIN 5V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73551,PR ANES FOR XR FEMUR 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73552,PR ANES FOR XR FEMUR MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73560,PR ANES FOR XR KNEE 1-2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73562,PR ANES FOR XR KNEE 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73564,PR ANES FOR XR KNEE COMPLT MIN 4V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73565,PR ANES FOR XR KNEE BILAT STAND AP,225.0,168.75,152.26,225.0,1324 CDM,PX-A73590,PR ANES FOR XR TIBIA & FIBULA 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73592,PR ANES FOR XR LWR EXT INFANT MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73600,PR ANES FOR XR ANKLE 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73610,PR ANES FOR XR ANKLE COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73620,PR ANES FOR XR FOOT 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73630,PR ANES FOR XR FOOT COMPLT MIN 3V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73650,PR ANES FOR XR CALCANEUS MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73660,PR ANES FOR XR TOE(S) MIN 2V,225.0,168.75,152.26,225.0,1324 CDM,PX-A73700,PR ANES FOR CT LWR EXT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73701,PR ANES FOR CT LWR EXT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73702,PR ANES FOR CT LWR EXT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73706,PR ANES FOR CTA LWR EXT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73718,PR ANES FOR MRI LWR EXT NONJNT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73719,PR ANES FOR MRI LWR EXT NONJOINT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73720,PR ANES FOR MRI LWR EXT NOJNT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73721,PR ANES FOR MRI LWR EXT JOINT WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73722,PR ANES FOR MRI LWR EXT JOINT W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73723,PR ANES FOR MRI LWR EXT JOINT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A73725,PR ANES FOR MRA LWR EXT W OR WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74022,PR ANES FOR XR ABDOMEN COMPLT W 1VW CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74150,PR ANES FOR CT ABDOMEN WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74160,PR ANES FOR CT ABDOMEN W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74170,PR ANES FOR CT ABDOMEN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74174,PR ANES FOR CTA ABD&PELVIS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74175,PR ANES FOR CTA ABDOMEN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74176,PR ANES FOR CT ABD&PELVIS WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74177,PR ANES FOR CT ABD&PELVIS W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74178,PR ANES FOR CT ABD&PELVIS WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74181,PR ANES FOR MRI ABDOMEN WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74182,PR ANES FOR MRI ABDOMEN W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74183,PR ANES FOR MRI ABDOMEN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74185,PR ANES FOR MRA ABDOMEN WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74210,PR ANES FOR XR PHARYNX/ESOP,225.0,168.75,152.26,225.0,1324 CDM,PX-A74220,PR ANES FOR XR ESOPHAGUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A74240,PR ANES FOR XR UGI SINGLE CONTRAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74246,PR ANES FOR XR UGI DOUBLE CONTRAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74250,PR ANES FOR XR SMALL BOWEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A74251,PR ANES FOR XR SMALL BOWEL VIA ENTERO TUBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A74261,PR ANES FOR CT COLONOGRAPHY DX WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74262,PR ANES FOR CT COLONOGRAPHY DX WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74263,PR ANES FOR CT COLONOGRAPHY SCRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A74270,PR ANES FOR XR COLON SINGLE CONTRAST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74280,PR ANES FOR XR COLON AIR CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A74283,PR ANES FOR XR THERAPEUTIC ENEMA,225.0,168.75,152.26,225.0,1324 CDM,PX-A74290,PR ANES FOR CONTRAST XR GALLBLADDER,225.0,168.75,152.26,225.0,1324 CDM,PX-A74400,PR ANES FOR IVP WO OR W KUB/TOMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A74410,PR ANES FOR UROGRAM INF/BOLUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A74415,PR ANES FOR UROGRAM INF/BOLUS W NEPHROTOM,225.0,168.75,152.26,225.0,1324 CDM,PX-A74420,PR ANES FOR UROGRAPHY RETRO WO OR W KUB,225.0,168.75,152.26,225.0,1324 CDM,PX-A74712,PR ANES FOR SINGLE MRI FETAL GESTATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A74775,PR ANES FOR PERINEOGRAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A7520,PR TRACH/LARYNGECT TUBE NONCUFFED,207.0,155.25,67.66,207.0,636 CDM,PX-A7521,PR TRACH/LARYN TUBE CUFFED,530.0,397.5,67.04,530.0,635 CDM,PX-A75557,PR ANES FOR CARD MRI MORPH&FUNC WO CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75559,PR ANES FOR CARD MRI MORPH&FUNC WO W ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75561,PR ANES FOR CARD MRI MORP&FUNC WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75563,PR ANES FOR CARD MRI MORPH&FUNC WO/W ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75565,PR ANES FOR CARD MRI VELOCITY FLOW MAPPING,225.0,168.75,152.26,225.0,1324 CDM,PX-A75571,PR ANES FOR CT HRT WO CNTRST W CA SCORE,225.0,168.75,152.26,225.0,1324 CDM,PX-A75572,PR ANES FOR CT HRT W CNTRST MORPHOLOGY,225.0,168.75,152.26,225.0,1324 CDM,PX-A75573,PR ANES FOR CT HRT MORPHOLOGY CONGENITAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A75574,PR ANES FOR CTA HRT CORONARY W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75625,PR ANES FOR AORTOGRAPHY ABDOMINAL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75630,PR ANES FOR AORTOGRAPHY ABD LWR EXT S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75635,PR ANES FOR CTA ABD ART RUNOF WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-A75705,PR ANES FOR ANGIOGRAPHY SPINAL SEL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75710,PR ANES FOR ANGIOGRAPHY EXT UNILAT S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75716,PR ANES FOR ANGIOGRAPHY EXT BILAT S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75726,PR ANES FOR ANGIOGRAPHY VISCERAL SEL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75736,PR ANES FOR ANGIOGRAPHY PELVIC SEL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75756,PR ANES FOR ANGIOGRAPHY INTRNL MAMMARY S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75774,PR ANES FOR ANGIOGRAPHY SEL ADD VSSL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75820,PR ANES FOR VENOGRAPHY EXT UNILAT S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75822,PR ANES FOR VENOGRAPHY EXT BILAT S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75860,PR ANES FOR VENOGRAPHY SINUS OR JUG S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75894,PR ANES FOR THRPY TXCATH EMBL S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A75898,PR ANES FOR ANGIO FU THRU CATH S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A76000,PR ANES FOR FLUOROSCOPY EXAM UP TO 1 HR,225.0,168.75,152.26,225.0,1324 CDM,PX-A76010,PR ANES FOR XR NOSE TO RECTUM CHILD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76100,PR ANES FOR XR SINGLE PLANE TOMO,225.0,168.75,152.26,225.0,1324 CDM,PX-A76125,PR ANES FOR CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A76380,PR ANES FOR CT LTD FU STDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76390,PR ANES FOR MR SPECTROSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76391,PR ANES FOR MR ELASTOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76496,PR ANES FOR UNLSTD FLUOROSCOPIC PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A76497,PR ANES FOR CT ANG ARTA PREOP/EVAL POSTPRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A76498,PR ANES FOR UNLISTED MR PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A76499,PR ANES FOR UNLISTED PROC DX RAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76506,PR ANES FOR ECHOENCEPHGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76510,PR ANES FOR OPTHAL US DX QUANT B&A SCAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A76511,PR ANES FOR OPHTHAL US DX QUANT A SCAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A76512,PR ANES FOR US OPHTHALMIC DX B-SCAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A76513,PR ANES FOR OPHTHAL US DX EYE WATER BATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A76514,PR ANES FOR OPHTHAL US DX EYE THICKNESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76516,PR ANES FOR US OPHTHAL BIOMETRY ECHO ASCAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A76519,PR ANES FOR OPHTHAL US A SCAN W IO LENS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76529,PR ANES FOR US OPHTHALMIC FB LOC,225.0,168.75,152.26,225.0,1324 CDM,PX-A76536,PR ANES FOR US HEAD&NECK SOFT TISS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76604,PR ANES FOR US CHEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A76700,PR ANES FOR US ABD COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A76705,PR ANES FOR US ABD LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76706,PR ANES FOR US ABD AORTA SCREEN AAA,225.0,168.75,152.26,225.0,1324 CDM,PX-A76770,PR ANES FOR US RETROPERITONEAL COMPLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A76775,PR ANES FOR US RETROPERITONEAL LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76776,PR ANES FOR US TRANSPLANT KIDNEY W DPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A76800,PR ANES FOR US SPINE CANAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76801,PR ANES FOR OB US < 14 WKS SINGLE FETUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76802,PR ANES FOR OB US < 14 WKS ADD FETUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76805,PR ANES FOR US OB OVER 14WKS SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76810,PR ANES FOR US OB OVER 14WKS ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76811,PR ANES FOR US OB DETAILED SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76812,PR ANES FOR US OB DETAILED ADD GEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A76813,PR ANES FOR US OB NUCHAL TRANSLUCENCY SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76814,PR ANES FOR US OB NUCHAL TRANSLUCENCY ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76815,PR ANES FOR US PREGNANT UTERUS LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A76816,PR ANES FOR US OB FU PER FETUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76817,PR ANES FOR US OB TRANSVAGINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76818,PR ANES FOR BPP W NONSTRESS TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A76819,PR ANES FOR FETAL BIOPHYS PROFIL WO NST,225.0,168.75,152.26,225.0,1324 CDM,PX-A76820,PR ANES FOR DPLR VELOC FETAL UMBIL ARTERY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76821,PR ANES FOR DPLR VELOC FETL MID CRBRAL ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76825,PR ANES FOR ECHO FETAL CARDIOVASC,225.0,168.75,152.26,225.0,1324 CDM,PX-A76826,PR ANES FOR SONO FETAL HEART F/U,225.0,168.75,152.26,225.0,1324 CDM,PX-A76827,PR ANES FOR US DPLR FETAL ECHO,225.0,168.75,152.26,225.0,1324 CDM,PX-A76828,PR ANES FOR CHG SONO FETAL HRT DOPPL F/U,225.0,168.75,152.26,225.0,1324 CDM,PX-A76830,PR ANES FOR US TRANSVAGINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76831,PR ANES FOR ECHO EXAM UTERUS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76856,PR ANES FOR US PELVIS COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A76857,PR ANES FOR US PELVIS LTD/FU,225.0,168.75,152.26,225.0,1324 CDM,PX-A76870,PR ANES FOR US SCROTUM,225.0,168.75,152.26,225.0,1324 CDM,PX-A76872,PR ANES FOR US TRANSRECTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A76873,PR ANES FOR US TRANSRECTAL PROSTATE VOLUME,225.0,168.75,152.26,225.0,1324 CDM,PX-A76881,PR ANES FOR US EXT NON-VASC COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A76882,PR ANES FOR US EXT LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A76885,PR ANES FOR US INFANT HIPS DYNAMIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A76886,PR ANES FOR US INFANT HIPS LTD STATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A76936,PR ANES FOR US GUIDE COMPRESSION RPR ARTY,225.0,168.75,152.26,225.0,1324 CDM,PX-A76937,PR ANES FOR US GUIDE VASC ACCESS,225.0,168.75,152.26,225.0,1324 CDM,PX-A76940,PR ANES FOR US GUIDE TISS ABLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A76965,PR ANES FOR US GUIDE INTERS RADIOTHER,225.0,168.75,152.26,225.0,1324 CDM,PX-A76998,PR ANES FOR US GUIDE INTRAOPERATIVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A76999,PR ANES FOR UNLISTED ULTRASOUND PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77001,PR ANES FOR FLUORO GUIDE PLC CVAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A77002,PR ANES FOR FLUORO GUIDE NDL PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A77003,PR ANES FOR FLUORO GUIDE SPINE INJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A77011,PR ANES FOR CT GUIDE STERO LOCALIZ,225.0,168.75,152.26,225.0,1324 CDM,PX-A77012,PR ANES FOR CT GUIDE NDL PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A77013,PR ANES FOR CT GUIDE TISS ABLT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77014,PR ANES FOR CT GUIDE RADTN THERAPY FLD PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A77021,PR ANES FOR MRI GUIDE NDL PLC,225.0,168.75,152.26,225.0,1324 CDM,PX-A77022,PR ANES FOR MRI GUIDE/MONITOR TISS ABLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77046,PR ANES FOR MRI BREAST WO CNTRST UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77047,PR ANES FOR MRI BREAST WO CNTRST BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77048,PR ANES FOR MRI BREAST WOW CNTRST W/CAD UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77049,PR ANES FOR MRI BREAST WOW CNTRST W/CAD BILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77065,"PR ANES FOR DIAG MAMMO, UNILATERAL, W/CAD",225.0,168.75,152.26,225.0,1324 CDM,PX-A77066,"PR ANES FOR DIAG MAMMO, BILATERAL, W/CAD",225.0,168.75,152.26,225.0,1324 CDM,PX-A77067,"PR ANES FOR SCREEN MAMMO, BILATERAL, W/CAD",225.0,168.75,152.26,225.0,1324 CDM,PX-A77071,PR ANES FOR APP STRESS JOINT RADIOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A77072,PR ANES FOR BONE AGE STUDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A77073,PR ANES FOR BONE LENGTH STUDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A77074,PR ANES FOR XR BONE SURVEY LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A77075,PR ANES FOR XR BONE SURVEY COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77076,PR ANES FOR XR BONE SURVEY INFANT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77077,PR ANES FOR XR JOINT SURVEY 2 PLUS JTS 1V,225.0,168.75,152.26,225.0,1324 CDM,PX-A77078,PR ANES FOR CT BN DENSITY 1>= SITES,225.0,168.75,152.26,225.0,1324 CDM,PX-A77080,PR ANES FOR DEXA BONE DENSITY AXIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77081,PR ANES FOR DEXA BONE DENSITY APPENDICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A77084,PR ANES FOR MRI BONE MARROW BLOOD SUPPLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A77263,PR ANES FOR TX PLANNING THER RAD COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77280,PR ANES FOR SET RAD SIM THER FIELD SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77285,PR ANES FOR SET RAD SIM THER FIELD INT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77290,PR ANES FOR SET RAD SIM THER FIELD CMPLX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77301,PR ANES FOR IMRT RADIOTHERAPY PLAN,225.0,168.75,152.26,225.0,1324 CDM,PX-A77334,PR ANES FOR RAD TX DEV DESIGN COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77338,PR ANES FOR DESIGN MLC DEV FOR IMRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77371,PR ANES FOR RADTN STEREOTACTIC CRAN COBALT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77372,PR ANES FOR RADTN STEREOTACTIC CRAN LINEAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A77373,PR ANES FOR STEREOTACTIC BODY RADTN DEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77385,PR ANES FOR IMRT SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77386,PR ANES FOR IMRT COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77387,PR ANES FOR GUIDANCE FOR LOC RAD TX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77399,PR ANES FOR UNLISTED RT SERVICE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77402,PR ANES FOR RADIATION TREATMENT DELIVERY 1 MEV+ SIMPLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77407,PR ANES FOR RADIATION TREATMENT DELIVERY 1 MEV+ INTERMEDIATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77412,PR ANES FOR RADTN TX DEL >=1 MEV COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77417,PR ANES FOR THER RADIOLOGY PORT FILMS,225.0,168.75,152.26,225.0,1324 CDM,PX-A77423,"PR ANES FOR NEUTRON BEAM TREATMENT, COMPLEX",225.0,168.75,152.26,225.0,1324 CDM,PX-A77427,PR ANES FOR RADTN THER MGMT 5 TREATMENTS,225.0,168.75,152.26,225.0,1324 CDM,PX-A77432,PR ANES FOR RADTN TX MGMT STERETCTC CRNL LSN,225.0,168.75,152.26,225.0,1324 CDM,PX-A77435,PR ANES FOR STEREOTACTIC BODY RADTN MGMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77470,PR ANES FOR SPECIAL TX PROC,225.0,168.75,152.26,225.0,1324 CDM,PX-A77520,"PR ANES FOR PROTON BEAM DEL,SIMPLE",225.0,168.75,152.26,225.0,1324 CDM,PX-A77522,"PR ANES FOR PROTON BEAM DEL,SINGLE, W/COMPENSAT",225.0,168.75,152.26,225.0,1324 CDM,PX-A77523,"PR ANES FOR PROTON,BEAM DEL,INTERMED",225.0,168.75,152.26,225.0,1324 CDM,PX-A77525,"PR ANES FOR PROTON BEAM DEL,MULTIPLE,COMPLEX",225.0,168.75,152.26,225.0,1324 CDM,PX-A77600,PR ANES FOR HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77605,PR ANES FOR HYPERTHERM EXTERNAL GEN DEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A77620,PR ANES FOR HYPERTHERMIA RX INTRACAV PROBE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77761,PR ANES FOR INTRACAV RADTN APP SMPL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77762,PR ANES FOR INTRACAV RADTN APP INT,225.0,168.75,152.26,225.0,1324 CDM,PX-A77763,PR ANES FOR INTRACAV RADTN APP COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77767,PR ANES FOR HDR RDNCL SKN SURF BRACHYTX LES 2CM&2CHAN/MLT LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A77770,PR ANES FOR HDR RDNCL/ICAV BRACHTX 1 CHNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77771,PR ANES FOR HDR RDNCL/ICAV BRACHTX 2-12CHNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77772,PR ANES FOR HDR RDNCL/ICAV BRACHTX > 12CHNL,225.0,168.75,152.26,225.0,1324 CDM,PX-A77778,PR ANES FOR INTERS RADTN APP COMPLEX,225.0,168.75,152.26,225.0,1324 CDM,PX-A77789,PR ANES FOR SURFACE APP RADIATION SOURCE,225.0,168.75,152.26,225.0,1324 CDM,PX-A77799,PR ANES FOR RADIUM/RADIOISOTOPE THERAPY UNLIST,225.0,168.75,152.26,225.0,1324 CDM,PX-A78195,PR ANES FOR LYMPH NODE IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A78199,PR ANES FOR BLOOD/LYMPH NUCLEAR EXAM UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78201,PR ANES FOR LIVER IMAGING STATIC ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78202,PR ANES FOR LIVER IMAGING W VASC FLOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A78215,PR ANES FOR LIVER & SPLEEN IMAGING STATIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A78216,"PR ANES FOR LIVER & SPLEEN IMAGE, FLOW",225.0,168.75,152.26,225.0,1324 CDM,PX-A78226,PR ANES FOR HEPATOBILIARY SYS IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A78227,PR ANES FOR HEPATOBILIARY SYS IMG W DRUG,225.0,168.75,152.26,225.0,1324 CDM,PX-A78230,PR ANES FOR SALIVARY GLAND IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A78231,PR ANES FOR SALIVARY GLAND W SERIAL IMAGES,225.0,168.75,152.26,225.0,1324 CDM,PX-A78232,PR ANES FOR SALIVARY GLAND FUNCTION EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A78261,PR ANES FOR GASTRIC MUCOSA IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A78278,PR ANES FOR ACUTE GI BLEED IMAGING,225.0,168.75,152.26,225.0,1324 CDM,PX-A78282,PR ANES FOR GI PROTEIN LOSS EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A78290,PR ANES FOR MECKEL DIVERTICULUM EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A78291,PR ANES FOR PERITONEAL VENOUS SHUNT TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A78299,PR ANES FOR GI NUCLEAR PROCEDURE UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78300,PR ANES FOR BONE/JOINT IMAGING LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A78305,PR ANES FOR BONE/JOINT IMAGING MULT AREAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A78306,PR ANES FOR BONE/JOINT IMAGING WB,225.0,168.75,152.26,225.0,1324 CDM,PX-A78315,PR ANES FOR BONE/JOINT IMAGING 3 PHASE,225.0,168.75,152.26,225.0,1324 CDM,PX-A78350,PR ANES FOR BONE DENSITY STUDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78351,"PR ANES FOR BONE MINERAL, DUAL PHOTON",225.0,168.75,152.26,225.0,1324 CDM,PX-A78399,PR ANES FOR MUSCULOSKELETAL NUCLEAR EXAM,225.0,168.75,152.26,225.0,1324 CDM,PX-A78597,PR ANES FOR QUANT LUNG PERFUSION DIFF,225.0,168.75,152.26,225.0,1324 CDM,PX-A78600,PR ANES FOR BRAIN IMAGING < 4 STATIC VIEWS,225.0,168.75,152.26,225.0,1324 CDM,PX-A78601,PR ANES FOR BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A78605,PR ANES FOR BRAIN IMAGING MIN 4 STATIC VIEWS,225.0,168.75,152.26,225.0,1324 CDM,PX-A78606,PR ANES FOR BRAIN IMG < 4 VWS W VASC FLOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A78608,PR ANES FOR PET BRAIN METABOLIC EVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A78609,PR ANES FOR PET BRAIN PERFUSION EVAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A78610,PR ANES FOR BRAIN IMG VASC FLOW ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78699,PR ANES FOR NERV SYS NUCL EXAM UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78700,PR ANES FOR KIDNEY IMG MORPHLOGY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78701,PR ANES FOR RENAL IMAGING WITH FLOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A78707,PR ANES FOR KIDNEY VAS FLOW WO DRUG SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A78708,PR ANES FOR KIDNEY VAS FLOW W DRUG SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A78709,PR ANES FOR KIDNEY VAS FLOW W DRUG MULT,225.0,168.75,152.26,225.0,1324 CDM,PX-A78725,PR ANES FOR KIDNEY FUNCTION STUDY NON IMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A78730,PR ANES FOR URINARY BLADDER RETENTION,225.0,168.75,152.26,225.0,1324 CDM,PX-A78761,PR ANES FOR TESTICULAR IMAGING W VASC FLOW,225.0,168.75,152.26,225.0,1324 CDM,PX-A78799,PR ANES FOR GU NUCLEAR EXAM UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78800,PR ANES FOR TUMOR LOC LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78802,PR ANES FOR TUMOR LOC WB SNGL DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78803,PR ANES FOR TUMOR LOC SPECT,225.0,168.75,152.26,225.0,1324 CDM,PX-A78811,PR ANES FOR PET LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78812,PR ANES FOR PET TRUNK,225.0,168.75,152.26,225.0,1324 CDM,PX-A78813,PR ANES FOR PET WHOLE BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78814,PR ANES FOR PET/CT LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A78815,PR ANES FOR PET/CT TRUNK,225.0,168.75,152.26,225.0,1324 CDM,PX-A78816,PR ANES FOR PET/CT WHOLE BODY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78830,PR ANES FOR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78831,PR ANES FOR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78832,PR ANES FOR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,225.0,168.75,152.26,225.0,1324 CDM,PX-A78999,PR ANES FOR NUCLEAR DIAGNOSTIC EXAM UNLISTED,225.0,168.75,152.26,225.0,1324 CDM,PX-A79101,PR ANES FOR NM RADIOPHARM THRPY IV ADMIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A79200,PR ANES FOR RADIOPHARM THRPY INTRACAV,225.0,168.75,152.26,225.0,1324 CDM,PX-A79300,"PR ANES FOR NUCLEAR THERAPY, INTERSTITIAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A79403,PR ANES FOR NM RADRX THRPY MONOCLONL AB IV,225.0,168.75,152.26,225.0,1324 CDM,PX-A79440,"PR ANES FOR NUCLEAR THERAPY, INTRA-ARTICULAR",225.0,168.75,152.26,225.0,1324 CDM,PX-A79445,PR ANES FOR RADIOPHARM THPY INTRA ARTERIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A79999,"PR ANES FOR NUCLEAR THERAPY, UNLISTED",225.0,168.75,152.26,225.0,1324 CDM,PX-A90870,PR ANES FOR ELECTROCONVULSIVE THERAPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A91010,PR ANES FOR ESOPH MOTILITY STUDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A91013,PR ANES FOR ESOPH MTLTY STUDY W STIM/PERF,225.0,168.75,152.26,225.0,1324 CDM,PX-A91020,PR ANES FOR GASTRIC MOTILITY STUDY,225.0,168.75,152.26,225.0,1324 CDM,PX-A91030,PR ANES FOR ACID PERFUSION TEST ESOPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A91034,PR ANES FOR PH STUDY NASL CATH,225.0,168.75,152.26,225.0,662 CDM,PX-A91110,PR ANES FOR CAPSULE ENDO INTRALUMINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A91117,PR ANES FOR COLON MOTILITY STUDY MIN 6 HRS,225.0,168.75,152.26,225.0,1324 CDM,PX-A91122,PR ANES FOR MANOMETRY ANORECTAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A91132,"PR ANES FOR ELECTROGASTROGRAPHY, DX, TRANSCUT",225.0,168.75,152.26,225.0,1324 CDM,PX-A91133,"PR ANES FOR ELECTROGASTROGRAPHY, PROVOKED",225.0,168.75,152.26,225.0,1324 CDM,PX-A91299,PR ANES FOR GASTROENTEROLOGY PROCEDURE,225.0,168.75,152.26,225.0,1324 CDM,PX-A92018,PR ANES FOR EYE EXAM W ANES COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A92019,PR ANES FOR EYE EXAM W ANES LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A92025,PR ANES FOR COMP CORNEAL TOPOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92132,PR ANES FOR COMP OPTH DX IMG ANTERIOR SGMT,225.0,168.75,152.26,225.0,1324 CDM,PX-A92133,PR ANES FOR COMP OPTH DX IMG OPTIC NERVE,225.0,168.75,152.26,225.0,1324 CDM,PX-A92134,PR ANES FOR COMP OPTH DX IMG RETINA,225.0,168.75,152.26,225.0,1324 CDM,PX-A92201,PR ANES FOR OPSCPY EXTND RTA DRAW UNI/BI,225.0,168.75,152.26,225.0,1324 CDM,PX-A92230,PR ANES FOR FLUORESCEIN ANGIOSCOPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92235,PR ANES FOR ANGIOGRAPHY FLUORESCEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A92240,PR ANES FOR ICG ANGIOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92242,PR ANES FOR FLUORESCEIN & ICG ANGIOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92250,PR ANES FOR FUNDUS PHOTOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92260,PR ANES FOR OPHTHALMODYNAMOMETRY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92265,PR ANES FOR EYE MUSCLE EVALUATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A92270,PR ANES FOR ELECTRO OCULOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92273,"PR ANES FOR ELECTRORETINOPATHY, FULL FIELD",225.0,168.75,152.26,225.0,1324 CDM,PX-A92274,"PR ANES FOR ELECTRORETINOPATHY, MULTIFOCAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A92284,PR ANES FOR DARK ADAPTATION EXAMINATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A92285,PR ANES FOR EXTERNAL OCULAR PHOTOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92286,PR ANES FOR ANTR SGMT IMG W SPEC MICRO,225.0,168.75,152.26,225.0,1324 CDM,PX-A92287,PR ANES FOR ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A92499,PR ANES FOR UNLISTED PROC OPHTHALMOLOGICAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92502,PR ANES FOR OTOLARYNGOLOGIC EXAM W ANES,225.0,168.75,152.26,225.0,1324 CDM,PX-A92511,PR ANES FOR NASOPHARYNGOSCOPY W ENDO,225.0,168.75,152.26,225.0,1324 CDM,PX-A92512,PR ANES FOR NASAL FUNCTION STUDIES,225.0,168.75,152.26,225.0,1324 CDM,PX-A92516,PR ANES FOR FACIAL NERVE FUNCTION STUDIES,225.0,168.75,152.26,225.0,1324 CDM,PX-A92520,PR ANES FOR LARYNGEAL FUNCTION STUDIES,225.0,168.75,152.26,225.0,1324 CDM,PX-A92558,PR ANES FOR EVOKED OAE SCREENING,225.0,168.75,152.26,225.0,1324 CDM,PX-A92584,PR ANES FOR ELECTROCOCHLEOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A92587,PR ANES FOR EVOKED OTOACOUSTIC EMISSNS LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A92588,PR ANES FOR EVOKED AUD TEST COMPREHEN,225.0,168.75,152.26,225.0,1324 CDM,PX-A92604,PR ANES FOR ANLYS COCLR IMP REPROG>7 SUBSQ,225.0,168.75,152.26,225.0,1324 CDM,PX-A92640,PR ANES FOR DX ANLYS W PROG IMPLT PER HR,225.0,168.75,152.26,225.0,1324 CDM,PX-A92650,PR ANES FOR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A92651,PR ANES FOR AEP HEARING STATUS DETER I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A92652,PR ANES FOR AUD EVOKED POTENTIAL THRESHOLD EST,225.0,168.75,152.26,225.0,1324 CDM,PX-A92653,PR ANES FOR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A9270001,PR NONCOVERED ITEM,83.0,62.25,37.35,83.0,635 CDM,PX-A9283,PR FOOT PRES OFF LOAD DEVICE,57.0,42.75,25.65,57.0,635 CDM,PX-A92920,PR ANES FOR PTCA SNGL MJR ARTY/BRNCH,225.0,168.75,152.26,225.0,1324 CDM,PX-A92921,PR ANES FOR PTCA BRANCH COR ARTY EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A92924,PR ANES FOR PTCA W COR ANGIO SNGL MJR,225.0,168.75,152.26,225.0,1324 CDM,PX-A92925,PR ANES FOR PTCA W COR ANGIO EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A92928,PR ANES FOR PLC INTRACOR STNT SNGL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92929,PR ANES FOR PLC INTRACOR STNT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A92933,PR ANES FOR PTCA INTRACOR STNT SNGL MJR,225.0,168.75,152.26,225.0,1324 CDM,PX-A92934,PR ANES FOR PTCA W INTRACOR STNT EA ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A92937,PR ANES FOR PERC REVASC TRANS COR SNGL VESL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92938,PR ANES FOR PERC REVASC TRANS COR ADD VESL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92941,PR ANES FOR PERC REVASC TRANS MI SNGL VESL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92943,PR ANES FOR PERC REVASC TRANS CHR SNGL VESL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92944,PR ANES FOR PERC REVASC TRANS CHR ADD VESL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92953,PR ANES FOR TEMP EXTERNAL PACING,225.0,168.75,152.26,225.0,1324 CDM,PX-A92960,PR ANES FOR CARDIOVSN ELECT EXTERNAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92961,PR ANES FOR CARDIOVSN ELECT INTERNAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92970,"PR ANES FOR CARDIOASSIST, INTERNAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A92971,PR ANES FOR CARDIOASSIST EXTERNAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92973,PR ANES FOR THROMB CRNARY PERC,225.0,168.75,152.26,225.0,1324 CDM,PX-A92974,PR ANES FOR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,225.0,168.75,152.26,225.0,1324 CDM,PX-A92975,PR ANES FOR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH,225.0,168.75,152.26,225.0,1324 CDM,PX-A92977,PR ANES FOR THROMB CRNARY IV INF,225.0,168.75,152.26,225.0,1324 CDM,PX-A92978,PR ANES FOR IVUS HRT EA VSSL INIT W S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A92979,PR ANES FOR IVUS HRT EA VSSL ADD W S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A92986,PR ANES FOR PERC BALLOON VALVULO AORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A92987,PR ANES FOR PERC BALLOON VALVULO MITRAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92990,PR ANES FOR PERC BALLOON VALVULO PULM,225.0,168.75,152.26,225.0,1324 CDM,PX-A92997,PR ANES FOR PTA PULMONARY ARTY SNGL VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A92998,PR ANES FOR PTA PULMONARY ARTY ADD VSSL,225.0,168.75,152.26,225.0,1324 CDM,PX-A93024,PR ANES FOR ERGONOVINE PROVOCATION TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A93303,PR ANES FOR ECHO CONGENITAL CARD COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93304,PR ANES FOR ECHO CONGENITAL CARD FU/LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A93306,PR ANES FOR ECHO TTE 2D W DPLR COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93307,PR ANES FOR ECHO TTE 2D COMPLETE WO DPLR,225.0,168.75,152.26,225.0,1324 CDM,PX-A93308,PR ANES FOR ECHO TTE 2D FU/LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A93312,PR ANES FOR ECHO TEE 2D COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93313,PR ANES FOR ECHO TEE 2D PLC ONLY,225.0,168.75,152.26,225.0,1324 CDM,PX-A93314,PR ANES FOR ECHO TEE IMG ACQUSIT I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A93315,PR ANES FOR TEE CONGENITAL CARD ANOMALIES,225.0,168.75,152.26,225.0,1324 CDM,PX-A93316,PR ANES FOR TTE TRANSESOPHAGEAL PROBE PLCT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93317,PR ANES FOR TEE IMAGE ACUISITION I&R,225.0,168.75,152.26,225.0,1324 CDM,PX-A93320,PR ANES FOR ECHO DPLR COMPLETE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93321,PR ANES FOR ECHO DPLR FU/LIMITED,225.0,168.75,152.26,225.0,1324 CDM,PX-A93325,PR ANES FOR ECHO DPLR COLOR FLOW MAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A93351,PR ANES FOR ECHO TTE STRESS W CONT ECG,225.0,168.75,152.26,225.0,1324 CDM,PX-A93352,PR ANES FOR ADMIN ECG CNTRST AGENT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93355,PR ANES FOR ECHO TEE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93451,PR ANES FOR RIGHT HEART CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A93452,PR ANES FOR LT HRT CATH W VENTRICULOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A93453,PR ANES FOR RT< HRT CATH W VENTRICLGRPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A93454,PR ANES FOR CATH PLC COR ARTY ANGIO S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A93455,PR ANES FOR CATH PLC COR ARTY/GRFT ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A93456,PR ANES FOR CATH PLC COR ARTY/ANG W RT HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93457,PR ANES FOR CATH PLC ARTY/GRFT ANG W R HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93458,PR ANES FOR CATH PLC ARTY/VENT ANG W L HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93459,PR ANES FOR CATH PLC ARTY/GRFT ANG W L HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93460,PR ANES FOR CATH PLC ART/VEN ANG W R&L HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93461,PR ANES FOR CATH PLC ART/GRFT ANG W R&L HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93462,PR ANES FOR LT HRT CATH TXSPTL PUNC,225.0,168.75,152.26,225.0,1324 CDM,PX-A93463,PR ANES FOR DRUG ADMIN AND HEMODYN MEAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A93464,PR ANES FOR EXERCISE STUDY W HEMODYN MEAS,225.0,168.75,152.26,225.0,1324 CDM,PX-A93503,PR ANES FOR INS/PLC FLOW DIR CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A93505,PR ANES FOR BX ENDOMYOCARDIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A93563,PR ANES FOR INJ ANGIO CONG HRT CATH S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A93564,PR ANES FOR INJ PROC CARD CATH CONG HRT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93565,PR ANES FOR INJ CATH LT VENT/ATRIAL ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A93566,PR ANES FOR INJ CATH RT VENT/ATRIAL ANGIO,225.0,168.75,152.26,225.0,1324 CDM,PX-A93567,PR ANES FOR INJ CATH SUPRVLV AORTOGRAPHY,225.0,168.75,152.26,225.0,1324 CDM,PX-A93568,PR ANES FOR INJ PULM ANGIO S&I,225.0,168.75,152.26,225.0,1324 CDM,PX-A93571,PR ANES FOR INTRVAS DPLR ANGIO INIT,225.0,168.75,152.26,225.0,1324 CDM,PX-A93572,PR ANES FOR INTRVAS DPLR ANGIO ADD,225.0,168.75,152.26,225.0,1324 CDM,PX-A93580,PR ANES FOR TX CATH CLSR ASD W IMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A93581,PR ANES FOR TX CATH CLSR VSD W IMP,225.0,168.75,152.26,225.0,1324 CDM,PX-A93582,PR ANES FOR PERC TRANSCATH CLSR PDA,225.0,168.75,152.26,225.0,1324 CDM,PX-A93583,PR ANES FOR PERC TRANSCATH SEP RED THRPY,225.0,168.75,152.26,225.0,1324 CDM,PX-A93590,"PR ANES FOR PARAVALVULAR LEAK CLOSURE, INI",225.0,168.75,152.26,225.0,1324 CDM,PX-A93591,PR ANES FOR PERC TXCATH CLSR PARAVLVR AORTIC,225.0,168.75,152.26,225.0,1324 CDM,PX-A93592,"PR ANES FOR PARAVLAVULAR LEAK CLOSURE, EA",225.0,168.75,152.26,225.0,1324 CDM,PX-A93593,PR ANES FOR R HRT CATH CHD NML NT CNJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A93594,PR ANES FOR R HRT CATH CHD ABNL NT CNJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A93595,PR ANES FOR L HRT CATH CHD NM/ABN NT CNJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A93596,PR ANES FOR R&L HRT CATH CHD NML NT CNJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A93597,PR ANES FOR R&L HRT CATH CHD ABNL NT CNJ,225.0,168.75,152.26,225.0,1324 CDM,PX-A93600,PR ANES FOR RECORDING HIS BUNDLE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93602,PR ANES FOR RECORDING INTRA-ATRIAL ELEC,225.0,168.75,152.26,225.0,1324 CDM,PX-A93603,PR ANES FOR RECORDING RT VENTRICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A93609,PR ANES FOR INTRAVENT MAPPING TACHYCARDIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A93610,PR ANES FOR PACING INTRA ATRIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A93612,PR ANES FOR PACING INTRA VENTRICULAR,225.0,168.75,152.26,225.0,1324 CDM,PX-A93613,PR ANES FOR MAP EPS 3D,225.0,168.75,152.26,225.0,1324 CDM,PX-A93618,PR ANES FOR PACING HRT RHYTHM,225.0,168.75,152.26,225.0,1324 CDM,PX-A93619,PR ANES FOR EP EVAL WO ARRHYTHMIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A93620,PR ANES FOR EP EVAL W ARRHYTHMIA,225.0,168.75,152.26,225.0,1324 CDM,PX-A93621,PR ANES FOR EP EVAL W LT ATRL/COR SIN PCNG,225.0,168.75,152.26,225.0,1324 CDM,PX-A93622,PR ANES FOR EP EVAL W LT VENT PACING,225.0,168.75,152.26,225.0,1324 CDM,PX-A93623,PR ANES FOR STIM HRT PACING POST IV INF,225.0,168.75,152.26,225.0,1324 CDM,PX-A93624,PR ANES FOR EP FOLLOW UP STUDY W ARRYTH,225.0,168.75,152.26,225.0,1324 CDM,PX-A93631,PR ANES FOR INTRAOP EPI/ENDO CARD PAC/MAP,225.0,168.75,152.26,225.0,1324 CDM,PX-A93640,PR ANES FOR EVAL EPS ICD LEAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A93641,PR ANES FOR EVAL EPS ICD GENERATOR W TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A93642,PR ANES FOR EVAL EPS ICD SYS,225.0,168.75,152.26,225.0,1324 CDM,PX-A93644,PR ANES FOR EP EVAL SUBCUT IMPLT DEFIB,225.0,168.75,152.26,225.0,1324 CDM,PX-A93650,PR ANES FOR ABLT AV NODE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93653,PR ANES FOR EP EVAL W SUPRAVENT ABLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93654,PR ANES FOR EP EVAL W VENT TACHY ABLATE,225.0,168.75,152.26,225.0,1324 CDM,PX-A93655,PR ANES FOR ABLT ARRHYTHMIA ADD ON,225.0,168.75,152.26,225.0,1324 CDM,PX-A93656,PR ANES FOR EP EVAL TX ART FIB PULM VEIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A93657,PR ANES FOR ABLT ATRIUM ADD LINEAR CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A93660,PR ANES FOR TILT TABLE EVAL W/WO DRUG,225.0,168.75,152.26,225.0,1324 CDM,PX-A93662,PR ANES FOR ECHO INTRACARDIAC,225.0,168.75,152.26,225.0,1324 CDM,PX-A93799,PR ANES FOR UNLISTED CARDIOVASCULAR SERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A93926,PR ANES FOR DUP SCAN LWR EXT ARTY UNILAT/LTD,225.0,168.75,152.26,225.0,1324 CDM,PX-A93970,PR ANES FOR DUP SCAN EXT VEIN BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-A9502,PR TC99M TETROFOSMIN,387.0,290.25,97.21,387.0,676 CDM,PX-A9575,PR GADOTERATE MEGLUMI INJ 0.1 ML,,,0.1,2.85,652 CDM,PX-A9581,PR GADOXETATE DISODIUM INJ,55.0,41.25,14.75,55.0,676 CDM,PX-A95812,PR ANES FOR EEG EXTEND MONITOR 41-60MIN,225.0,168.75,152.26,225.0,1324 CDM,PX-A95819,PR ANES FOR EEG INCL AWAKE & ASLEEP,225.0,168.75,152.26,225.0,1324 CDM,PX-A95865,PR ANES FOR EMG NEEDLE LARYNX,225.0,168.75,152.26,225.0,1324 CDM,PX-A95866,PR ANES FOR EMG NEEDLE HEMIDIAPHRAGM,225.0,168.75,152.26,225.0,1324 CDM,PX-A95867,PR ANES FOR EMG NEEDLE CRANIAL NRV UNILAT,225.0,168.75,152.26,225.0,1324 CDM,PX-A95869,PR ANES FOR EMG NEEDLE THORACIC PARASPINAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A95873,PR ANES FOR ELEC STIM W CHEMODENERVATION,225.0,168.75,152.26,225.0,1324 CDM,PX-A95874,PR ANES FOR EMG NEEDLE GUID CHEMODENERV,225.0,168.75,152.26,225.0,1324 CDM,PX-A95905,"PR ANES FOR MOTOR/SENS NERVE CONDUCTION PRECONFIG ELECTRODE ARRAY, EA LIMB",225.0,168.75,152.26,225.0,1324 CDM,PX-A95907,PR ANES FOR NERVE CONDCT STUDIES 1-2,225.0,168.75,152.26,225.0,1324 CDM,PX-A95908,PR ANES FOR NERVE CONDCT STUDIES 3-4,225.0,168.75,152.26,225.0,1324 CDM,PX-A95909,PR ANES FOR NERVE CONDCT STUDIES 5-6,225.0,168.75,152.26,225.0,1324 CDM,PX-A95910,PR ANES FOR NERVE CONDCT STUDIES 7-8,225.0,168.75,152.26,225.0,1324 CDM,PX-A95911,PR ANES FOR NERVE CONDCT STUDIES 9-10,225.0,168.75,152.26,225.0,1324 CDM,PX-A95912,PR ANES FOR NERVE CONDCT STUDIES 11-12,225.0,168.75,152.26,225.0,1324 CDM,PX-A95913,PR ANES FOR NERVE CONDCT STUDIES >=13,225.0,168.75,152.26,225.0,1324 CDM,PX-A95933,PR ANES FOR ORBICULARIS OCULI REFLEX TEST,225.0,168.75,152.26,225.0,1324 CDM,PX-A95937,PR ANES FOR TEST NEURMUSC JUNC EA NRV,225.0,168.75,152.26,225.0,1324 CDM,PX-A95976,PR ANES FOR ALYS SMPL CN NPGT PRGRMG,225.0,168.75,152.26,225.0,1324 CDM,PX-A95980,PR ANES FOR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/ PROG,225.0,168.75,152.26,225.0,1324 CDM,PX-A95981,PR ANES FOR ELEC ALYS NSTIM GEN GASTRIC SUBSEQUENT W/O REPROG,225.0,168.75,152.26,225.0,1324 CDM,PX-A95982,PR ANES FOR ELEC ALYS NSTIM PLS GEN GASTRIC SUBSEQUENT W/REPROG,225.0,168.75,152.26,225.0,1324 CDM,PX-A95990,PR ANES FOR REFIL&MAINT IMPL PUMP SPN/BRN,225.0,168.75,152.26,225.0,1324 CDM,PX-A95991,PR ANES FOR REFIL&MAINT IMPL SPN/BRN MD/QHP,225.0,168.75,152.26,225.0,1324 CDM,PX-A95992,PR ANES FOR CANALITH REPOSITIONING PROC PT,225.0,168.75,152.26,225.0,1324 CDM,PX-A96365,PR ANES FOR IV INF THER INIT 1ST HR,225.0,168.75,152.26,225.0,1324 CDM,PX-A96372,PR ANES FOR INJ THER SUBQ/IM,225.0,168.75,152.26,225.0,1324 CDM,PX-A96374,PR ANES FOR INJ THER IV PUSH SNGL INITIAL,225.0,168.75,152.26,225.0,1324 CDM,PX-A96377,PR ANES FOR APPLICATION OF ON BODY INJECTOR,225.0,168.75,152.26,225.0,1324 CDM,PX-A96405,PR ANES FOR CHEMO INTRALESNAL <=7 LESN,225.0,168.75,152.26,225.0,1324 CDM,PX-A96440,"PR ANES FOR CHEMOTHER,INTRACAVITARY,PLEURAL",225.0,168.75,152.26,225.0,1324 CDM,PX-A96446,PR ANES FOR CHEMO ADMIN PERIT CAV VIA CATH,225.0,168.75,152.26,225.0,1324 CDM,PX-A96450,PR ANES FOR CHEMO ADMIN CNS REQ SP PUNC,225.0,168.75,152.26,225.0,1324 CDM,PX-A96522,PR ANES FOR REFILL/MAINTAIN IMPL PMP SYST,225.0,168.75,152.26,225.0,1324 CDM,PX-A96523,PR ANES FOR IRRIG IMP VAD,225.0,168.75,152.26,225.0,1324 CDM,PX-A96931,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST,225.0,168.75,152.26,225.0,1324 CDM,PX-A96932,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION,225.0,168.75,152.26,225.0,1324 CDM,PX-A96933,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES,225.0,168.75,152.26,225.0,1324 CDM,PX-A97032,PR ANES FOR E-STIM MANUAL EA 15MIN PT,225.0,168.75,152.26,225.0,1324 CDM,PX-A97597,PR ANES FOR DBRD SEL OPN WND<=20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97598,PR ANES FOR DBRD SEL OPN WND ADD 20SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97602,PR ANES FOR DBRD WND RMVL TIS NON-SEL,225.0,168.75,152.26,225.0,1324 CDM,PX-A97605,PR ANES FOR NEG PRESS WND THRPY <=50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97606,PR ANES FOR NEG PRESS WND THRPY >50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97607,PR ANES FOR NPW THRPY NON DME <50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97608,PR ANES FOR NPW THRPY NON DME >50SCM,225.0,168.75,152.26,225.0,1324 CDM,PX-A97610,PR ANES FOR LOW FREQ/NO-CON/NON-THERM US,225.0,168.75,152.26,225.0,1324 CDM,PX-A99170,PR ANES FOR ANOGEN EXAM CHILD SUSPECT TRMA,225.0,168.75,152.26,225.0,1324 CDM,PX-AC8900,PR MRA ABD W CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8901,PR ANES FOR MRA ABD WO CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8902,PR ANES FOR MRA ABD WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-AC8908,PR ANES FOR MRI BREAST BILAT WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-AC8910,PR ANES FOR MRA CHEST WO CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8911,PR ANES FOR MRA CHEST WO/W CNTRST,225.0,168.75,152.26,225.0,1324 CDM,PX-AC8913,PR ANES FOR MRA LWR EXT WO CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8914,PR ANES FOR MRA LWR EXT WO/W CNTRST LWR EXT,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8919,PR ANES FOR MRA PELVIS WO CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8920,PR ANES FOR MRA PELVIS WO/W CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8933,"PR ANES FOR MRA, W/O&W/DYE, SPINAL CANAL",225.0,168.75,101.25,225.0,1352 CDM,PX-AC8935,PR ANES FOR MRA UPR EXT WO CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AC8936,PR ANES FOR MRA UPPER EXT WO/W CNTRST,225.0,168.75,101.25,225.0,1352 CDM,PX-AD6011,PR ANES FOR IMPLANT UNCOVERING,225.0,168.75,101.25,225.0,1352 CDM,PX-AD7140,PR ANES FOR EXTRACTION ERUPTED TOOTH/ROOT,225.0,168.75,152.26,225.0,1324 CDM,PX-AD7210,PR ANES FOR EXTRACTION SURGICAL BONE REMVL/SECTN,225.0,168.75,152.26,225.0,1324 CDM,PX-AD7220,PR ANES FOR RMVL IMPACT TOOTH SOFT TISS,225.0,168.75,101.25,225.0,1352 CDM,PX-AD7230,PR ANES FOR RMVL IMPACT TOOTH PART BONY,225.0,168.75,101.25,225.0,1352 CDM,PX-AD7240,PR ANES FOR RMVL IMPACT TOOTH COMPLT BONY,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0101,PR ANES FOR CANCER SCREEN CERV VAG W EXAM,225.0,168.75,101.25,225.0,1352 CDM,PX-AG0104,PR ANES FOR CANCER SCREEN FLEX SIG,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0105,PR ANES FOR COLONOSCOPY SCREENING HI RI,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0121,PR ANES FOR COLONOSCOPY SCREEN NOT HI RI,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0127,PR ANES FOR TRIM DYSTROPHIC NAILS,225.0,168.75,101.25,225.0,1352 CDM,PX-AG0413,PR ANES FOR PELVIC RING FRACTURE UNI/BIL,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0414,PR ANES FOR PELVIC RING FX TREAT INT FIX,225.0,168.75,101.25,225.0,1352 CDM,PX-AG0415,PR ANES FOR OPEN TX POST PELVIC FXCTURE,225.0,168.75,152.26,225.0,1324 CDM,PX-AG0416,PR ANES FOR PROSTATE BIOPSY GROSS MICRO,225.0,168.75,101.25,225.0,1352 CDM,PX-AG6002,PR ANES FOR STEREOSCOPIC XRAY GUIDANCE,225.0,168.75,152.26,225.0,1324 CDM,PX-AS2400,"PR ANES FOR REPAIR, CONGENITAL DIAPHRAGMAT",225.0,168.75,101.25,225.0,1352 CDM,PX-AS8030,PR ANES FOR TANTALUM RING APPLICATION,225.0,168.75,101.25,225.0,1352 CDM,PX-B4087,"PR GASTRO/JEJUNO TUBE, STD",371.0,278.25,166.95,371.0,676 CDM,PX-B4088,"PR GASTRO/JEJUNO TUBE, LOW-PRO",568.0,426.0,255.6,568.0,676 CDM,PX-C8900,PR MRA ABD W CNTRST,1178.0,883.5,81.35,1178.0,683 CDM,PX-C8901,PR MRA ABD WO CNTRST,1178.0,883.5,81.35,1178.0,683 CDM,PX-C8902,PR MRA ABD WO/W CNTRST,1178.0,883.5,81.35,1178.0,683 CDM,PX-C8905,PR MRI BREAST UNILAT WO/W CNTRST,2628.5,1971.375,95.53,3527.0,1366 CDM,PX-C8908,PR MRI BREAST BILAT WO/W CNTRST,1111.0,833.25,104.43,1111.0,683 CDM,PX-C8910,PR MRA CHEST WO CNTRST,1097.0,822.75,81.43,1097.0,683 CDM,PX-C8911,PR MRA CHEST WO/W CNTRST,1097.0,822.75,81.43,1097.0,683 CDM,PX-C8912,PR MRA LWR EXT W CNTRST,1163.0,872.25,81.68,1163.0,676 CDM,PX-C8913,PR MRA LWR EXT WO CNTRST,1151.0,863.25,81.68,1151.0,676 CDM,PX-C8914,PR MRA LWR EXT WO/W CNTRST LWR EXT,1151.0,863.25,81.68,1151.0,676 CDM,PX-C8918,PR MRA PELVIS W CNTRST,1308.0,981.0,80.78,1308.0,683 CDM,PX-C8919,PR MRA PELVIS WO CNTRST,1308.0,981.0,80.78,1308.0,683 CDM,PX-C8920,PR MRA PELVIS WO/W CNTRST,1308.0,981.0,80.78,1308.0,683 CDM,PX-C8931,"PR MRA, W/DYE, SPINAL CANAL",1165.0,873.75,81.43,1165.0,683 CDM,PX-C8933,"PR MRA, W/O&W/DYE, SPINAL CANAL",1165.0,873.75,81.43,1165.0,683 CDM,PX-C8935,PR MRA UPR EXT WO CNTRST,826.0,619.5,77.07,826.0,676 CDM,PX-C8936,PR MRA UPPER EXT WO/W CNTRST,843.0,632.25,77.07,843.0,676 CDM,PX-D7140,PR EXTRACTION ERUPTED TOOTH/ROOT,324.0,243.0,145.8,324.0,676 CDM,PX-D7210,PR EXTRACTION SURGICAL BONE REMVL/SECTN,525.0,393.75,236.25,525.0,676 CDM,PX-E0114,PR CRUTCHES NON WOOD,53.0,39.75,23.85,53.0,677 CDM,PX-E0135,PR WALKER FOLDING ADJUST/FIXED,84.0,63.0,37.8,84.0,676 CDM,PX-E0190,PR POSITIONING CUSHION,35.0,26.25,15.75,35.0,676 CDM,PX-E0218,PR WATER CIRCLR COLD PAD W PMP,60.0,45.0,27.0,60.0,676 CDM,PX-E0484,PR NON-ELEC OSCILLATORY PEP DVC,54.0,40.5,24.3,54.0,676 CDM,PX-E1399010,PR MALONEY ESOPHAGEAL DILATOR 50,1414.0,1060.5,70.7,1414.0,677 CDM,PX-E1399011,PR MALONEY ESOPHAGEAL DILATOR 46,1298.0,973.5,64.9,1298.0,677 CDM,PX-E1399012,PR MALONEY ESOPHAGEAL DILATOR 44,1310.0,982.5,65.5,1310.0,677 CDM,PX-E1399013,PR MALONEY ESOPHAGEAL DILATOR 42,1226.0,919.5,61.3,1226.0,677 CDM,PX-E1399014,PR MALONEY ESOPHAGEAL DILATOR 40,1163.0,872.25,58.15,1163.0,677 CDM,PX-E1399015,PR MALONEY ESOPHAGEAL DILATOR 38,934.0,700.5,46.7,934.0,677 CDM,PX-E1399017,PR MALONEY ESOPHAGEAL DILATOR 34,938.0,703.5,46.9,938.0,677 CDM,PX-E1399018,PR MALONEY ESOPHAGEAL DILATOR 32,938.0,703.5,46.9,938.0,677 CDM,PX-E1399020,PR MALONEY ESOPHAGEAL DILATOR 28,804.0,603.0,40.2,804.0,677 CDM,PX-E1399022,PR MALONEY ESOPHAGEAL DILATOR 48,636.0,477.0,31.8,636.0,677 CDM,PX-E1700,PR THERABITE JAW MOTION REHAB,1288.0,966.0,579.6,1288.0,676 CDM,PX-E1810,PR ADJUST KNEE EXTSN/FLXN DEVICE,475.0,356.25,213.75,475.0,677 CDM,PX-G0008,PR ADMIN FLU VACC,60.0,45.0,20.5,60.0,682 CDM,PX-G0008001,PR ADMIN FLU VACC ADD,60.0,45.0,13.3,60.0,690 CDM,PX-G0008003,PR ADMIN FLU MIST NASAL VACC,66.0,49.5,16.97,66.0,682 CDM,PX-G0009,PR ADMIN PNEUMOCCAL VACC,67.0,50.25,21.5,67.0,682 CDM,PX-G0009001,PR ADMIN PNEUMOCCAL VACC ADD,66.0,49.5,15.65,66.0,682 CDM,PX-G0010,PR ADMIN HEPATITIS B VACCINE,69.0,51.75,18.28,69.0,686 CDM,PX-G0010001,PR ADMIN HEPATITIS B VACCINE ADD,68.0,51.0,15.65,68.0,678 CDM,PX-G0101,PR CANCER SCREEN CERV VAG W EXAM,163.0,122.25,24.14,163.0,692 CDM,PX-G0102,PR PROS CANCER SCRN DIGTL RECTAL,49.0,36.75,7.59,49.0,690 CDM,PX-G0103,PR PSA SCREENING,122.0,91.5,18.39,122.0,680 CDM,PX-G0104,PR CANCER SCREEN FLEX SIG,864.0,648.0,104.27,1018.5,2049 CDM,PX-G0105,PR COLONOSCOPY SCREENING HI RI,1826.5,1369.875,184.06,1820.69,2049 CDM,PX-G0121,PR COLONOSCOPY SCREEN NOT HI RI,1778.5,1333.875,184.06,1820.69,2049 CDM,PX-G0123,PR CYTOP GYN THIN PREP MANUAL SCRN,121.0,90.75,20.26,121.0,676 CDM,PX-G0124,PR CYTOPATH INTERP SCREENING THIN PREP,79.0,59.25,23.52,79.0,678 CDM,PX-G0168,PR WOUND CLOSURE BY ADHESIVE,288.0,216.0,51.16,279.36,683 CDM,PX-G0179,PR HOME HEALTH PHYS RECERT,160.0,120.0,43.39,160.0,676 CDM,PX-G0180,PR HOME HEALTH INITIAL CERT,206.0,154.5,55.51,206.0,676 CDM,PX-G0238,PR THER PROC FUNC 1-1 EA 15MIN,128.0,96.0,10.97,128.0,678 CDM,PX-G0239,PR RESP THER EXERCISE GROUP,89.0,66.75,13.88,89.0,678 CDM,PX-G0248,PR DEMONSTRATION HOME INR MONITOR,842.0,631.5,102.09,842.0,678 CDM,PX-G0249,PR HOME INR MATERIAL/EQUIPT,550.0,412.5,63.72,550.0,678 CDM,PX-G0268,PR REM IMPACT CERUMEN W/AUDIO TEST,147.0,110.25,13.43,142.59,698 CDM,PX-G0278,PR ANGIO ILIAC ARTY W CATH,134.0,100.5,11.35,134.0,676 CDM,PX-G0289,PR ARTHRO KNEE DIFF COMPARTMENT,945.0,708.75,70.95,945.0,676 CDM,PX-G0296,PR VISIT TO DETERM LDCT ELIG,164.0,123.0,22.11,164.0,691 CDM,PX-G0316,PR PROLONGED INPT EVAL EA 15 MIN,182.0,136.5,28.99,182.0,678 CDM,PX-G0372,PR MD SERV REQ FOR PMD,72.0,54.0,7.58,72.0,690 CDM,PX-G0399,PR HOME SLEEP STUDY,619.0,464.25,100.73,619.0,676 CDM,PX-G0400,PR HOME SLEEP TEST TYPE PORTA 4,995.0,746.25,137.54,995.0,677 CDM,PX-G0402,PR INITIAL PRVENTATIVE PHYS,490.0,367.5,112.74,490.0,691 CDM,PX-G0416,PR PROSTATE BIOPSY GROSS MICRO,242.0,181.5,33.95,374.0,2033 CDM,PX-G0425,PR INPT/ED TELECONSULT 30 MIN,400.0,300.0,82.83,400.0,676 CDM,PX-G0426,PR INPT/ED TELECONSULT 50 MIN,595.0,446.25,115.44,595.0,676 CDM,PX-G0427,PR INPT/ED TELECONSULT 70 MIN,768.0,576.0,166.06,768.0,676 CDM,PX-G0438,PR ANNUAL WELLNESS PPS 1ST VISIT,520.0,390.0,171.0,520.0,678 CDM,PX-G0439,PR ANNUAL WELLNESS PPS SUBQ VISIT,310.0,232.5,134.84,310.0,677 CDM,PX-G0442,PR ANNUAL ALCOHOL SCREEN 15 MIN,59.0,44.25,7.92,59.0,690 CDM,PX-G0443,PR ALCOHOL COUNSELING 15MIN,83.0,62.25,26.04,83.0,690 CDM,PX-G0444,PR ANNUAL DEPRESSION SCREEN 15MIN,59.0,44.25,18.27,59.0,676 CDM,PX-G0446,PR ANNUAL BEHAV THRPY CARD 15MIN,83.0,62.25,33.48,83.0,676 CDM,PX-G0447,PR COUNSELING OBESITY 15 MIN,84.0,63.0,33.48,84.0,677 CDM,PX-G0453,PR IONM 1-1 REMOTE EA 15 MIN,369.0,276.75,26.97,369.0,676 CDM,PX-G0455,PR PREPARE FECAL MICRO INSTILL,539.0,404.25,60.38,539.0,678 CDM,PX-G0480003,PR DRUG TEST DEF 1-3 CLASSES,307.0,230.25,114.43,307.0,676 CDM,PX-G0480004,PR DRUG TEST DEF 4-5 CLASSES,328.0,246.0,114.43,328.0,676 CDM,PX-G0480005,PR DRUG TEST DEF 6-7 CLASSES,343.0,257.25,114.43,343.0,676 CDM,PX-G0481,PR DRUG TEST DEF 8-10 CLASSES,372.0,279.0,156.59,372.0,676 CDM,PX-G0481001,PR DRUG TEST DEF 11-14 CLASSES,382.0,286.5,156.59,382.0,676 CDM,PX-G0482001,PR DRUG TEST DEF 15-17 CLASSES,406.0,304.5,198.74,406.0,676 CDM,PX-G0482002,PR DRUG TEST DEF 18-21 CLASSES,484.0,363.0,198.74,484.0,676 CDM,PX-G0499003,PR HBS ANTIGEN SCREEN CONFIRM,104.0,78.0,10.33,104.0,676 CDM,PX-G0500,PR MOD SEDATION INIT 15 MIN>= 5YRS,446.5,334.875,5.17,584.0,1380 CDM,PX-G0545,PR VISIT COMPLEXITY INHERENT TO INPT/OBS W/ CNFRM SUSPCT INF DIS,123.0,92.25,47.59,123.0,676 CDM,PX-G0550,PR BEH HLTH ECONSULT,107.0,80.25,29.67,107.0,690 CDM,PX-G1001,PR CDSM EVICORE,1.0,0.75,0.45,1.0,676 CDM,PX-G1002,PR CDSM MEDCURRENT,1.0,0.75,0.45,1.0,676 CDM,PX-G1003,PR CDSM MEDICALIS,1.0,0.75,0.45,1.0,676 CDM,PX-G1004,PR CDS MECHANISM NDS CO MC AUC PROG,1.0,0.75,0.45,1.0,675 CDM,PX-G1007,PR CDSM AIM,1.0,0.75,0.45,1.0,676 CDM,PX-G1008,PR CDSM CRANBERRY PK,1.0,0.75,0.45,1.0,676 CDM,PX-G1010,PR CDSM STANSON,1.0,0.75,0.45,1.0,676 CDM,PX-G1011,PR CDSM QUALIFIED NOS,1.0,0.75,0.45,1.0,676 CDM,PX-G1012,PR CDSM AGILEMD,1.0,0.75,0.45,1.0,676 CDM,PX-G1013,PR CDSM EVIDENCECARE,1.0,0.75,0.45,1.0,676 CDM,PX-G1014,PR CDSM INVENIQA,1.0,0.75,0.45,1.0,676 CDM,PX-G1015,PR CDSM RELIANT,1.0,0.75,0.45,1.0,676 CDM,PX-G1016,PR CDSM SPEED OF CARE,1.0,0.75,0.45,1.0,676 CDM,PX-G1017,PR CDSM HEALTHHELP,1.0,0.75,0.45,1.0,676 CDM,PX-G1018,PR CDSM INFINX,1.0,0.75,0.45,1.0,676 CDM,PX-G1019,PR CDSM LOGICNETS,1.0,0.75,0.45,1.0,676 CDM,PX-G1020,PR CDSM CURBSIDE,1.0,0.75,0.45,1.0,676 CDM,PX-G1021,PR CDSM EHEALTHLINE,1.0,0.75,0.45,1.0,676 CDM,PX-G1022,PR CDSM INTERMOUNTAIN,1.0,0.75,0.45,1.0,676 CDM,PX-G1023,PR CDSM PERSIVIA,1.0,0.75,0.45,1.0,676 CDM,PX-G2211,PR VISIT COMPLEXITY INHERENT TO E/M,79.0,59.25,14.54,79.0,607 CDM,PX-G2212,PR PROLONGED E&M EA 15 MIN,194.0,145.5,33.46,194.0,678 CDM,PX-G2214,PR INIT/SUB PSYCH CARE M 1ST 30,234.0,175.5,33.26,234.0,690 CDM,PX-J0134,PR ACETAMINOPHEN -FRESENIUS INJ,60.2,45.15,0.06,60.2,676 CDM,PX-J0166,INJ EPINEPHRINE (BPI),39.29,29.47,1.11,39.29,676 CDM,PX-J0169,INJ EPINEPHRINE (ADRENALIN),492.46000000000004,369.35,1.11,528.34,676 CDM,PX-J0174,"INJECTION, LECANEMAB-IRMB, 1 MG",1699.15,1274.365,1.33,1985.18,676 CDM,PX-J0180,PR AGALSIDASE BETA INJECTION,16430.52,12322.89,230.32,16430.52,676 CDM,PX-J0219,PR INJ AVAL ALFA-NQPT 4MG,134071.975,100553.985,81.3,140212.81,676 CDM,PX-J0222,"INJ., PATISIRAN, 0.1 MG",57713.57,43285.18,99.97,57713.57,676 CDM,PX-J0223,INJECTION GIVOSIRAN 0.5 MG,63383.68,47537.76,120.69,63383.68,676 CDM,PX-J0278,PR AMIKACIN SULFATE INJECTION,43.6,32.7,0.62,43.6,676 CDM,PX-J0290,AMPICILLIN 500 MG INJ,35.31,26.48,0.59,35.31,676 CDM,PX-J0461,PR ATROPINE SULFATE INJECTION,42.815,32.11,0.1,43.32,676 CDM,PX-J0475,PR BACLOFEN 10 MG INJECTION,2365.25,1773.94,181.47,2860.0,676 CDM,PX-J0485,PR BELATACEPT INJECTION,5096.56,3822.42,3.89,5096.56,676 CDM,PX-J0490,PR BELIMUMAB INJECTION,6619.165,4964.375,57.16,6864.02,676 CDM,PX-J0561,PR PENICILLIN G BENZATHINE INJ,2057.41,1543.0549999999998,31.97,2442.14,676 CDM,PX-J0585,"PR INJECTION,ONABOTULINUMTOXINA",4808.0,3606.0,1302.0,4808.0,681 CDM,PX-J0586,PR ABOBOTULINUMTOXINA,2155.615,1616.71,57.64,1945.7,683 CDM,PX-J0587,PR MYOBLOC (RIMABOT-B),1547.77,1160.83,13.29,1771.57,676 CDM,PX-J0588,"PR XEOMIN, PER UNIT",1678.67,1259.0,5.25,1678.67,676 CDM,PX-J0589,INJ DAXIBOTULINUMTOXINA-LANM,1151.79,863.84,3.11,1151.79,676 CDM,PX-J0613,"PR CALCIUM GLUCONATE (WG CRITICAL), 10 MG",204.3,153.23,0.03,204.3,680 CDM,PX-J0640,PR LEUCOVORIN CALCIUM INJECTION,58.68000000000001,44.01,3.84,60.94,676 CDM,PX-J0690,PR CEFAZOLIN SODIUM INJECTION,44.52,33.395,0.83,51.7,676 CDM,PX-J0696,PR CEFTRIAXONE SODIUM INJECTION,40.97,30.73,0.46,40.97,676 CDM,PX-J0701,PR CEFEPIME HCL INJ (BAXTER),198.8,149.1,5.97,198.8,676 CDM,PX-J0702,PR BETAMETHASONE ACET&SOD PHOSP,51.7,38.78,6.91,51.7,680 CDM,PX-J0713,INJ CEFTAZIDIME PER 500 MG,36.56,27.42,1.47,36.56,676 CDM,PX-J0717,PR CERTOLIZUMAB PEGOL INJ 1MG,17413.885,13060.415,3.87,19092.6,676 CDM,PX-J0744,PR CIPROFLOXACIN IV,82.4,61.8,2.0,82.4,676 CDM,PX-J0770,PR COLISTIMETHATE SODIUM INJ,54.0,40.5,12.08,54.0,676 CDM,PX-J0775,"PR COLLAGENASE, CLOST HIST INJ",14616.18,10962.14,75.75,14885.98,676 CDM,PX-J0780,PR PROCHLORPERAZINE INJECTION,41.58,31.19,2.52,41.58,41 CDM,PX-J0870,"INJECTION, IMETELSTAT, 1 MG",21391.33,16043.5,58.3,21391.33,676 CDM,PX-J0878,PR DAPTOMYCIN INJECTION,74.38499999999999,55.78999999999999,0.03,82.28,676 CDM,PX-J0894,PR DECITABINE INJECTION,83.56,62.67,0.65,81.73,676 CDM,PX-J0895,PR DEFEOXAMINE MESYLATE INJ,,,8.47,74.1,652 CDM,PX-J0896,PR INJ LUSPATERCEPT-AAMT 0.25MG,35926.6,26944.95,42.77,36292.47,676 CDM,PX-J1010,"INJ, METHYLPRED ACETATE 1 MG",42.1,31.58,2.4,42.1,681 CDM,PX-J1100,PR DEXAMETHASONE SODIUM PHOS,39.75,29.81,0.11,39.75,676 CDM,PX-J1171,"INJ, HYDROMORPHONE, 0.1 MG",72.5,54.38,0.56,72.5,676 CDM,PX-J1190,PR DEXRAZOXANE HCL INJ 250 MG,786.7149999999999,590.035,58.01,810.54,676 CDM,PX-J1200,PR DIPHENHYDRAMINE HCL INJECTIO,36.0,27.0,0.71,36.0,678 CDM,PX-J1212,PR DIMETHYL SULFOXIDE 50% 50 ML,2089.4,1567.05,749.23,2089.4,676 CDM,PX-J1250,PR INJ DOBUTAMINE HCL/250 MG,98.7,74.03,8.02,98.7,676 CDM,PX-J1271,INJ DOXYCYCLINE HYCLATE 1 MG,81.46,61.1,0.1,81.46,676 CDM,PX-J1302,"PR INJ, SUTIMLIMAB-JOME, 10 MG",24207.629999999997,18155.725,19.03,24736.85,676 CDM,PX-J1323,"INJ, ELRANATAMAB-BCMM, 1 MG",49864.565,37398.425,188.52,51926.3,676 CDM,PX-J1335,PR ERTAPENEM INJECTION,111.41499999999999,83.56,9.16,122.74,676 CDM,PX-J1439,PR INJ FERRIC CARBOXYMALTOS 1MG,4084.5199999999995,3063.395,1.12,4065.18,676 CDM,PX-J1440,FECAL MICROBIOTA JSLM 1 ML,28293.5,21220.13,9693.75,28293.5,678 CDM,PX-J1442,"PR INJ, FILGRASTIM G-CSF 1MCG",822.7,617.03,200.4,822.7,676 CDM,PX-J1455,FOSCARNET SODIUM INJECTION,703.71,527.78,6.71,703.71,676 CDM,PX-J1569,PR GAMMAGARD LIQUID INJ,,,47.29,1359.48,654 CDM,PX-J1570,PR GANCICLOVIR SODIUM INJECTION,224.1,168.08,33.52,224.1,676 CDM,PX-J1571,HEPAGAM B IM INJECTION,1439.98,1079.98,69.59,1439.98,676 CDM,PX-J1580,PR GARAMYCIN GENTAMICIN INJ,48.565,36.425,2.17,55.83,676 CDM,PX-J1602,PR GOLIMUMAB FOR IV USE 1MG,12732.029999999999,9549.02,11.63,13485.92,676 CDM,PX-J1631,PR HALOPERIDOL DECANOATE INJ,62.9,47.18,3.94,62.9,676 CDM,PX-J1640,"HEMIN, 1 MG",41963.02,31472.27,35.31,41963.02,676 CDM,PX-J1644,PR INJ HEPARIN SODIUM PER 1000U,43.695,32.775,0.18,45.09,676 CDM,PX-J1650,PR INJ ENOXAPARIN SODIUM,66.45,49.84,0.53,66.45,676 CDM,PX-J1745,PR INFLIXIMAB INJECTION,7776.6,5832.45,1361.77,7776.6,678 CDM,PX-J1750,PR INJ IRON DEXTRAN,1133.6750000000002,850.255,18.08,1189.72,676 CDM,PX-J1756,PR IRON SUCROSE INJECTION,70.3,52.73,11.8,70.3,676 CDM,PX-J1808,"INJ, FOLIC ACID, 0.1 MG",37.2,27.9,0.05,37.2,676 CDM,PX-J1836,"INJ, METRONIDAZOLE, 10 MG",80.3,60.23,0.03,80.3,676 CDM,PX-J1885,PR KETOROLAC TROMETHAMINE INJ,37.315,27.985,0.33,37.04,676 CDM,PX-J1956,LEVOFLOXACIN INJECTION,86.28,64.71,2.16,86.28,676 CDM,PX-J2060,PR LORAZEPAM INJECTION,75.305,56.480000000000004,1.41,75.5,676 CDM,PX-J2151,"INJ, MANNITOL, 250 MG",52.8,39.6,4.8,52.8,677 CDM,PX-J2185,PR MEROPENEM,40.5,30.38,0.38,40.5,676 CDM,PX-J2246,"INJ, MICAFUNGIN (BAXTER)",267.7,200.78,0.41,267.7,676 CDM,PX-J2248,PR MICAFUNGIN SODIUM INJECTION,128.6,96.45,37.35,128.6,676 CDM,PX-J2274,PR IN MORPHINE PRESERVATIV FREE,645.31,483.98,13.5,645.31,676 CDM,PX-J2280,"PR INJ, MOXIFLOXACIN 100 MG",282.5,211.88,9.16,282.5,676 CDM,PX-J2357,PR OMALIZUMAB INJECTION,10196.045,7647.035,45.5,11375.79,676 CDM,PX-J2371,INJ PHENYLEPHRINE HCL 20 MCG,38.0,28.5,25.99,38.4,672 CDM,PX-J2405,PR ONDANSETRON HCL INJECTION,37.41,28.06,0.09,37.41,676 CDM,PX-J2430,PAMIDRONATE DISODIUM /30 MG,132.21,99.16,11.29,132.21,676 CDM,PX-J2543,PIPERACILLIN/TAZOBACTAM,78.75,59.06,1.09,78.75,676 CDM,PX-J2550,PR PROMETHAZINE HCL INJECTION,41.39,31.045,3.97,41.57,676 CDM,PX-J2562,PLERIXAFOR INJECTION,444.04,333.03,30.66,444.04,676 CDM,PX-J2597,PR INJ DESMOPRESSIN ACETATE,313.5,235.13,78.52,313.5,677 CDM,PX-J2598,"INJECTION, VASOPRESSIN, 1 UNIT",47.75,35.81,0.53,47.75,676 CDM,PX-J2675,PR INJ PROGESTERONE PER 50 MG,106.1,79.58,0.72,106.1,676 CDM,PX-J2680,PR FLUPHENAZINE DECANOATE 25 MG,144.0,108.0,6.2,144.0,676 CDM,PX-J2704,"PR INJ, PROPOFOL, 10 MG",23.75,17.81,0.09,23.75,676 CDM,PX-J2760,PR PHENTOLAINE MESYLATE INJ,47.79,35.84,32.34,47.79,676 CDM,PX-J2785,PR REGADENOSON INJECTION,83.945,62.959999999999994,2.68,85.94,676 CDM,PX-J2795,PR ROPIVACAINE HCL INJECTION,37.6,28.2,0.05,37.6,676 CDM,PX-J2802,"INJ, ROMIPLOSTIM 1 MICROGRAM",5801.12,4350.84,11.05,5903.0,676 CDM,PX-J2860,"INJECTION, SILTUXIMAB",18392.61,13794.46,168.68,18392.61,676 CDM,PX-J2919,"INJ, METHYLPRED SOD SUCC 5MG",47.5,35.63,0.26,47.5,676 CDM,PX-J2997,PR ALTEPLASE RECOMBINANT,667.605,500.70500000000004,93.83,652.27,676 CDM,PX-J3055,INJ TALQUETAMAB-TGVS 0.25 MG,74219.1,55664.33,21575.52,74219.1,676 CDM,PX-J3121,INJ TESTOSTERO ENANTHATE 1MG,132.09,99.07,0.05,132.09,676 CDM,PX-J3247,INJ SECUKINUMAB INTRAV 1MG,9142.04,6856.53,18.07,9142.04,676 CDM,PX-J3260,PR TOBRAMYCIN SULFATE INJECTION,61.0,45.75,2.07,61.0,676 CDM,PX-J3262,PR TOCILIZUMAB INJECTION,6137.389999999999,4603.04,5.61,6998.87,676 CDM,PX-J3299,PR INJ XIPERE 1 MG,35.5,26.63,24.02,35.5,676 CDM,PX-J3300,PR TRIAMCINOLONE A INJ PRS-FREE,268.4,201.3,97.96,268.4,676 CDM,PX-J3301,PR TRIAMCINOLONE ACETONIDE INJ,44.0,33.0,0.74,44.0,683 CDM,PX-J3360,PR DIAZEPAM INJECTION,89.4,67.05,6.69,89.4,676 CDM,PX-J3373,"INJ, VANCOMYCIN HCL, 10 MG",43.21,32.41,0.03,43.21,676 CDM,PX-J3385,PR VELAGLUCERASE ALFA,22827.21,17120.41,386.43,22827.21,676 CDM,PX-J3396,PR VERTEPORFIN INJECTION,5927.0,4445.25,1502.28,5927.0,677 CDM,PX-J3411,PR THIAMINE HCL 100 MG,41.78,31.34,1.81,41.78,676 CDM,PX-J3420,PR VITAMIN B12 INJECTION,38.7,29.03,0.64,38.7,679 CDM,PX-J3473,PR HYALURONIDASE RECOMBINANT,131.35,98.51,0.36,142.87,676 CDM,PX-J3475,PR INJ MAGNESIUM SULFATE,,,0.41,39.4,652 CDM,PX-J3480,PR INJ POTASSIUM CHLORIDE,37.48,28.11,0.12,37.48,676 CDM,PX-J3489,PR ZOLEDRONIC ACID 1MG,52.6,39.45,15.25,52.6,678 CDM,PX-J7030,"PR NORMAL SALINE SOLUTION INFUS, 1000 CC",82.0,61.5,0.66,82.0,684 CDM,PX-J7040,"PR NORMAL SALINE SOLUTION INFUS, 500 ML = 1 UNIT",80.3,60.23,0.66,80.3,684 CDM,PX-J7050,"PR NORMAL SALINE SOLUTION INFUS, 250 CC",80.3,60.23,0.66,80.3,683 CDM,PX-J7060,PR 5% DEXTROSE/WATER,77.19,57.89,1.75,77.19,676 CDM,PX-J7070,PR D5W INFUSION,82.0,61.5,1.75,82.0,681 CDM,PX-J7120,PR RINGERS LACTATE INFUSION,80.3,60.23,2.38,80.3,676 CDM,PX-J7195,PR FACTOR IX RECOMBINANT,4056.0,3042.0,1832.17,4056.0,676 CDM,PX-J7308,PR AMINOLEVULINIC ACID HCL TOP,1239.7,929.78,389.83,1239.7,678 CDM,PX-J7312,PR DEXAMETHASONE INTRA IMPLANT,4260.0,3195.0,1431.77,4260.0,677 CDM,PX-J7313,PR FLUOCINOL ACET INTRAVIT IMP,28779.6,21584.7,9641.28,28779.6,676 CDM,PX-J7354,"CANTHARIDIN TOP, APPLICATOR",2012.3,1509.23,656.5,2012.3,676 CDM,PX-J7509,METHYLPREDNISOLONE ORAL,9.76,7.32,0.14,9.76,676 CDM,PX-J7512,PR PREDNISONE ORAL 1 MG,0.855,0.645,0.01,1.01,676 CDM,PX-J7674,"PR METHACHOLINE CHLORIDE, NEB",811.2,608.4,85.0,811.2,676 CDM,PX-J7682,PR TOBRAMYCIN NON-COMPD U,787.8,590.85,12.47,787.8,676 CDM,PX-J9000,PR DOXORUBIC HCL 10 MG VL CHEMO,125.98499999999999,94.485,2.78,170.26,676 CDM,PX-J9011,"DATOPOTAMAB DERUXTECAN, 1 MG",45069.085,33801.815,51.55,46140.17,676 CDM,PX-J9017,PR ARSENIC TRIOXIDE,225.835,169.375,7.39,246.42,676 CDM,PX-J9025,PR AZACITIDINE INJECTION,58.4,43.8,32.41,58.4,676 CDM,PX-J9026,"INJ, TARLATAMAB-DLLE, 1 MG",52232.384999999995,39174.29,1566.59,59670.0,676 CDM,PX-J9028,"INJ, NOGAPENDEKIN PMLN, 1MCG",,,94.73,143200.0,652 CDM,PX-J9030,PR BCG LIVE INTRAVESICAL 1MG,498.87,374.155,3.28,652.9,676 CDM,PX-J9032,"INJECTION, BELINOSTAT, 10MG",24729.99,18547.49,53.11,24729.99,676 CDM,PX-J9034,PR BENDEKA 1MG INJ,8798.94,6599.205,12.83,9594.49,676 CDM,PX-J9035,PR BEVACIZUMAB INJECTION,8436.305,6327.2300000000005,296.41,16434.58,676 CDM,PX-J9038,INJ AXATILIMAB-CSFR 0.1 MG,37104.9,27828.68,9738.75,37104.9,676 CDM,PX-J9039,PR BLINATUMOMAB INJ,50553.435,37915.075,163.68,52567.84,676 CDM,PX-J9040,PR BLEOMYCIN SULFATE INJECTION,118.4,88.8,23.02,118.4,676 CDM,PX-J9041,PR BORTEZOMIB INJECTION,65.105,48.83,2.68,80.86,676 CDM,PX-J9042,PR BRENTUXIMAB VEDOTIN INJ,73509.595,55132.195,268.45,76611.2,676 CDM,PX-J9043,PR CABAZITAXEL INJECTION,28702.35,21526.76,230.8,28702.35,676 CDM,PX-J9045,PR CARBOPLATIN INJECTION,97.31,72.98,2.93,97.31,676 CDM,PX-J9047,"PR INJECTION, CARFILZOMIB, 1 MG",8181.25,6135.9400000000005,55.61,8202.21,676 CDM,PX-J9055,PR CETUXIMAB INJECTION,1655.6,1241.7,401.72,1655.6,676 CDM,PX-J9060,PR CISPLATIN 10 MG INJECTION,94.56,70.92,2.11,94.56,676 CDM,PX-J9063,"INJ, ELAHERE, 1 MG",83928.1,62946.08,71.17,83928.1,676 CDM,PX-J9065,PR INJ CLADRIBINE PER 1 MG,290.05,217.54000000000002,7.42,305.96,676 CDM,PX-J9071,PR INJ CYCLOPHOSPHAMD AUROMEDIC,530.35,397.765,0.7,551.77,676 CDM,PX-J9075,"INJ, CYCLOPHOSPHAMIDE, NOS",304.41,228.31,0.59,304.41,676 CDM,PX-J9130,PR DACARBAZINE 100 MG INJ,204.83999999999997,153.635,4.12,204.43,676 CDM,PX-J9171,PR DOCETAXEL INJECTION,112.11,84.08,0.65,112.11,676 CDM,PX-J9176,PR INJ ELOTUZUMAB 1 MG,21741.805,16306.355,8.04,23806.59,676 CDM,PX-J9177,PR INJ ENFORT VEDO-EJFV 0.25MG,23719.18,17789.385000000002,36.72,23756.6,676 CDM,PX-J9179,PR ERIBULIN MESYLATE INJECTION,14022.5,10516.88,1815.2,14022.5,677 CDM,PX-J9181,PR ETOPOSIDE 10 MG INJ,126.94,95.205,1.04,127.79,676 CDM,PX-J9190,PR FLUOROURACIL INJECTION,82.38,61.78,1.94,82.38,676 CDM,PX-J9200,FLOXURIDINE INJECTION,14032.57,10524.43,4254.92,14032.57,676 CDM,PX-J9201,PR GEMCITABINE HCL,,,3.59,112.53,653 CDM,PX-J9204,PR MOGAMULIZUMAB-KPKC 1 MG INJ,49416.19,37062.14,253.47,49416.19,676 CDM,PX-J9205,PR INJ IRINOTECAN LIPOSOME 1 MG,25563.63,19172.72,65.96,25563.63,676 CDM,PX-J9206,PR IRINOTECAN INJECTION,126.705,95.03,1.79,135.6,676 CDM,PX-J9209,PR MESNA INJECTION,52.435,39.33,1.7,57.86,676 CDM,PX-J9223,"PR INJ. LURBINECTEDIN, 0.1 MG",53528.0,40146.0,13490.18,53528.0,677 CDM,PX-J9227,PR INJ. ISATUXIMAB-IRFC 10 MG,14024.82,10518.62,84.3,14024.82,676 CDM,PX-J9228,PR IPILIMUMAB INJ 1 MG,39923.009999999995,29942.26,186.91,42667.34,676 CDM,PX-J9229,INJ INOTUZUMAB OZOGAM 0.1 MG,66677.42,50008.07,2816.77,66677.42,676 CDM,PX-J9260,PR METHOTREXATE SODIUM INJ 50 MG,112.75999999999999,84.57,2.58,109.32,676 CDM,PX-J9263,PR OXALIPLATIN,53.43,40.07,0.05,53.43,676 CDM,PX-J9264,PR PACLITAXEL PROTEIN BOUND,5179.9349999999995,3884.955,8.18,5170.45,676 CDM,PX-J9267,PR PACLITAXEL INJECTION,111.3,83.48,17.82,111.3,680 CDM,PX-J9273,"PR INJ TISOTU VEDOTIN-TFTV, 1MG",95681.3,71760.98,25488.84,95681.3,676 CDM,PX-J9274,"PR INJ, TEBENTAFUSP-TEBN, 1 MCG",33629.9,25222.43,222.21,33629.9,676 CDM,PX-J9276,"INJ ZANIDATAMAB-HRII, 2 MG",41098.82,30824.12,25.0,41098.82,676 CDM,PX-J9280,PR MITOMYCIN INJECTION,266.28000000000003,199.71,26.1,266.79,676 CDM,PX-J9281,PR MITOMYCIN INSTILLATION,43944.575,32958.435,323.91,49850.18,676 CDM,PX-J9293,PR MITOXANTRON HCL INJ,432.7,324.52,154.39,432.7,676 CDM,PX-J9299,PR NIVOLUMAB INJ,39190.53,29392.9,33.57,39190.53,676 CDM,PX-J9303,PR PANITUMUMAB INJ 10 MG,18883.44,14162.58,173.67,20447.57,676 CDM,PX-J9305,PR PEMETREXED INJECTION,176.56,132.42,3.59,176.56,676 CDM,PX-J9307,PR PRALATREXATE INJ,18579.3,13934.48,4712.63,18579.3,676 CDM,PX-J9308,PR RAMUCIRUMAB INJ 5 MG,,,75.58,5853.1,652 CDM,PX-J9309,"PR INJ, POLATUZUMAB VEDOTIN 1MG",64373.18,48279.89,136.77,64373.18,676 CDM,PX-J9312,PR RITUXIMAB 10 MG INJ,11070.455,8302.84,74.77,10003.58,676 CDM,PX-J9317,PR SACITUZUMAB GOVITECAN-HZIY,27783.19,20837.39,36.98,27783.19,676 CDM,PX-J9319,PR ROMIDEPSIN LYOPHIL 0.1MG INJ,15243.3,11432.48,4326.84,15243.3,677 CDM,PX-J9325,PR TALIMOGENE INJ,19287.665,14465.75,73.94,27053.37,676 CDM,PX-J9329,"INJ, TISLELIZUMAB-JSGR",22173.4,16630.05,58.37,22173.4,676 CDM,PX-J9332,PR INJ EFGARTIGIMOD 2MG,35802.43,26851.825,32.22,46752.29,676 CDM,PX-J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",12120.17,9090.125,30.53,12567.44,676 CDM,PX-J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",114666.86,86000.15,143.02,164637.9,676 CDM,PX-J9349,"INJECTION, TAFASITAMAB-CXIX, 2 MG",11887.2,8915.4,14.24,11887.2,676 CDM,PX-J9351,PR TOPOTECAN INJECTION,141.01,105.76,1.25,141.01,676 CDM,PX-J9352,PR INJECTION TRABECTEDIN 0.1MG,24383.8,18287.85,391.07,24383.8,676 CDM,PX-J9354,"PR INJ, ADO-TRASTUZUMAB EMT 1MG",21067.12,15800.34,42.19,20663.56,676 CDM,PX-J9355,PR TRASTUZUMAB,,,73.48,5418.4,652 CDM,PX-J9358,PR INJ FAM-TRASTU DERU-NXKI 1MG,36126.09,27094.57,31.3,36126.09,676 CDM,PX-J9359,INJ LON TESIRIN-LPYL 0.075MG,55295.52,41471.64,221.22,55295.52,676 CDM,PX-J9360,PR VINBLASTINE SULFATE INJ,297.665,223.25,5.18,295.78,676 CDM,PX-J9380,INJ TECLISTAMAB CQYV 0.5 MG,17336.465,13002.349999999999,34.58,19377.53,676 CDM,PX-J9390,PR VINORELBINE TARTRATE/10 MG,122.33,91.75,5.44,122.33,676 CDM,PX-L1810,PR KO ELASTIC WITH JOINTS,404.0,303.0,149.29,404.0,676 CDM,PX-L1810002,PR ORTHOSIS KNEE ELASTIC W JOINTS,143.0,107.25,64.35,143.0,676 CDM,PX-L1812,PR BRACE KNEE W JOINTS PRE OTS,107.0,80.25,48.15,107.0,676 CDM,PX-L1820,PR ORTHOSIS KNEE ELASTIC W PADS & JT,400.0,300.0,180.0,400.0,676 CDM,PX-L1821,PR KO ELAS W/ CONDYLE PADS OTF,175.0,131.25,78.75,175.0,676 CDM,PX-L1830,PR IMMOBILIZER KNEE LONG,62.0,46.5,27.9,62.0,676 CDM,PX-L1832,PR KO ADJ JNT POS R SUP PRE CST,800.0,600.0,360.0,800.0,676 CDM,PX-L1832001,PR BRACE KNEE ADJUSTABLE JT CPF,818.0,613.5,368.1,818.0,676 CDM,PX-L1833,PR BRACE KNEE ADJUSTABLE JT OTS,659.0,494.25,296.55,659.0,676 CDM,PX-L1833001,"PR COOL, X-ACT ROM, POST-OP",444.0,333.0,199.8,444.0,676 CDM,PX-L1833002,PR PLAYMAKER II SPACER,444.0,333.0,199.8,444.0,676 CDM,PX-L1833003,"PR DRYTEX, HNGKN, WRAP, POP",444.0,333.0,199.8,444.0,676 CDM,PX-L1902,PR BRACE ANKLE STABILIZER,105.0,78.75,47.25,105.0,676 CDM,PX-L1902001,PR SPEED-LACER BRACE,105.0,78.75,47.25,105.0,676 CDM,PX-L1906,PR BRACE ANKLE/FOOT MULTILIG OTS,180.0,135.0,81.0,180.0,676 CDM,PX-L3060,PR FT ARCH SPRT PREMOLD LONGITUDE/MTRSL EA,85.0,63.75,38.25,85.0,676 CDM,PX-L3100,PR HALLUS VALGUS BUNION NIGHT,56.0,42.0,25.2,56.0,676 CDM,PX-L3260,PR POST OP SHOE/BOOT EA,87.0,65.25,39.15,87.0,677 CDM,PX-L3260002,PR DARBY SHOE,11.0,8.25,4.95,11.0,677 CDM,PX-L3260003,PR R.O.M. BOOT,96.0,72.0,43.2,96.0,677 CDM,PX-L3332,"PR LIFT ELEVATION TAPERED <= .5""",87.0,65.25,39.15,87.0,676 CDM,PX-L3420,PR SHOE HEEL WEDGE FULL SOLE,65.0,48.75,29.25,65.0,676 CDM,PX-L3485,PR SHOE HEEL PAD RMVL FOR SPUR,80.0,60.0,36.0,80.0,676 CDM,PX-L3620,PR TRANS SHOE SOLID STIRRUP EXI,90.0,67.5,40.5,90.0,676 CDM,PX-L3671,PR ORTHO SHLDR JT DESIGN CPF,945.0,708.75,425.25,945.0,676 CDM,PX-L3675,PR ORTHO SHLDR VEST TYPE OTS,313.0,234.75,140.85,313.0,678 CDM,PX-L3675001,PR SLING ULTRA,188.0,141.0,84.6,188.0,678 CDM,PX-L3702,PR ORTHO ELBOW WO JT CPF FIT&ADJUST,316.0,237.0,142.2,316.0,676 CDM,PX-L3740,PR CUFFS ADJ LOCK W/ ACTIVE CON,1535.0,1151.25,690.75,1535.0,676 CDM,PX-L3760,PR ORTHO ELBOW HINGED FIT&ADJUST,546.0,409.5,245.7,546.0,676 CDM,PX-L3760001,"PR BRACE, X-ACT ROM ELBOW",536.0,402.0,241.2,536.0,676 CDM,PX-L3761,"PR EO, ADJ LOCK JOINT PREFAB OT",536.0,402.0,241.2,536.0,676 CDM,PX-L3762,PR EO RIGID W/O JOINTS PRE OTS,116.0,87.0,52.2,116.0,676 CDM,PX-L3763,PR ORHTO EWH RIG WO JT CPF FIT&ADJUST,921.0,690.75,414.45,921.0,677 CDM,PX-L3806,PR ORTHO WHF RIG W JT CPF,496.0,372.0,223.2,496.0,591 CDM,PX-L3807,PR ORTHO WHF WO JT CPF FIT&ADJUST,273.0,204.75,122.85,273.0,676 CDM,PX-L3807001,PR WHFO PREFAB STATIC,273.0,204.75,122.85,273.0,676 CDM,PX-L3808,PR ORTHO WHF RIG WO JT CPF FIT&ADJUST,500.0,375.0,225.0,500.0,676 CDM,PX-L3809,PR PREFAB STATIC WHFO,496.0,372.0,223.2,496.0,678 CDM,PX-L3905,PR ORTHO WH NONTORSN JT CPF FIT&ADJUST,1040.0,780.0,468.0,1040.0,676 CDM,PX-L3906,PR ORTHO WH SPRT WO JT CPF FIT&ADJUST,592.0,444.0,266.4,592.0,676 CDM,PX-L3908,PR ORTHO WRST COCK-UP OTS,90.0,67.5,40.5,90.0,676 CDM,PX-L3912,PR GLOVE FLEXION,142.0,106.5,63.9,142.0,676 CDM,PX-L3913,PR ORTHOSIS HAND/FNGR WO JTS CUSTOM,300.0,225.0,135.0,300.0,676 CDM,PX-L3921,PR ORTHOSIS HAND W JTS CUSTOM,351.0,263.25,157.95,351.0,676 CDM,PX-L3923002,PR HFO W/O JOINTS PRE CST,180.0,135.0,81.0,180.0,676 CDM,PX-L3925002,PR ORTHOSIS FINGER SPRING PREFAB OTS,72.0,54.0,32.4,72.0,676 CDM,PX-L3927,PR FO PIP DIP NO JT SPR PRE OTS,50.0,37.5,22.5,50.0,679 CDM,PX-L3927001,PR ORTHOSIS FNGR WO SPRING PREFAB OTS,44.0,33.0,19.8,44.0,679 CDM,PX-L3930,PR HFO NONTORSION JNTS PRE OTS,180.0,135.0,81.0,180.0,676 CDM,PX-L3933,PR ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,233.0,174.75,104.85,233.0,676 CDM,PX-L3935,PR ORTHOSIS FNGR JT CUST FIT&ADJUST,235.0,176.25,105.75,235.0,676 CDM,PX-L3980,PR BRACE HUMERAL FRACTURE,464.0,348.0,208.8,464.0,676 CDM,PX-L3984,PR BRACE WRIST FRACTURE,500.0,375.0,225.0,500.0,676 CDM,PX-L4350,PR ORTHOSIS ANKLE CTRL PREFAB OTS,135.0,101.25,60.75,135.0,676 CDM,PX-L4360,PR BOOT PNEUMATIC WALK CPF,360.0,270.0,162.0,360.0,676 CDM,PX-L4361,PR BOOT PNEUMATIC/VAC WALK OTS,360.0,270.0,162.0,360.0,676 CDM,PX-L4386,PR BOOT NON-PNEUMATIC WALK CPF,364.0,273.0,163.8,364.0,676 CDM,PX-L4396,PR STATIC OR DYNAMI AFO PRE CST,327.0,245.25,147.15,327.0,676 CDM,PX-L4396003,PR ORTHOSIS ANKLE/FOOT CUSTOM,190.0,142.5,85.5,190.0,676 CDM,PX-L8501,PR TRACH SPEAKING VALVE,349.0,261.75,147.88,349.0,676 CDM,PX-L8509,PR VOICE PROSTH TRACHEO-ESOPH,1980.0,1485.0,131.24,1980.0,678 CDM,PX-L8511,PR INDWELLING TRACH INSERT,165.0,123.75,74.25,165.0,676 CDM,PX-L8513,PR TRACH PROS CLEANING DEVICE,110.0,82.5,6.24,110.0,676 CDM,PX-L8514,PR REPL TRACH PUNCTURE DILATOR,220.0,165.0,99.0,220.0,677 CDM,PX-L8605,PR SOLESTA 1 ML SYRINGE,2935.0,2201.25,860.8,2935.0,677 CDM,PX-L8606,PR IMPL URINARY TRACT SYNTH 1 ML SYR,974.0,730.5,278.74,974.0,677 CDM,PX-L8606001,PR IMPL URINARY TRACT SYNTH 1 KIT,1176.0,882.0,278.74,1176.0,677 CDM,PX-M0076,PR PROLOTHERAPY,625.0,468.75,281.25,625.0,676 CDM,PX-P9012,PR CRYOPRECIPITATE EA UNIT,198.0,148.5,89.1,198.0,676 CDM,PX-P9016,PR RBC LR EA UNIT,718.0,538.5,35.9,718.0,676 CDM,PX-P9017001,PR CONVALESCENT FFP SNGL DONOR,1196.0,897.0,59.8,1196.0,676 CDM,PX-P9023,"PR FROZEN PLASMA, POOLED, SD, EA UNIT",217.0,162.75,97.65,217.0,676 CDM,PX-P9037,PR PLT PHERESIS LR IRRAD EA UNIT,1118.0,838.5,55.9,1118.0,676 CDM,PX-P9040,PR RBC LR IRRAD EA UNIT,520.0,390.0,26.0,520.0,676 CDM,PX-P9041,"PR ALBUMIN (HUMAN),5%, 50ML",36.3,27.23,10.62,36.3,676 CDM,PX-P9045,"PR ALBUMIN (HUMAN), 5%, 250 ML",149.0,111.75,53.08,149.0,676 CDM,PX-P9046,"ALBUMIN (HUMAN), 25%, 20 ML",47.83,35.87,21.23,47.83,676 CDM,PX-P9047,"PR ALBUMIN (HUMAN), 25%, 50ML",373.26,279.95,21.23,373.26,41 CDM,PX-P9052,PR PLT HLA MATCHED LR EA UNIT,1323.0,992.25,66.15,1323.0,676 CDM,PX-P9059,PR FROZEN PLASMA 8-24 HR EA UNIT,204.0,153.0,10.2,204.0,676 CDM,PX-P9073,PR PLT PHERESIS PATHOGEN REDUCED EA UNIT,1011.0,758.25,50.55,1011.0,676 CDM,PX-P9612,PR CATH COLLECT URINE SPECIMEN,145.0,108.75,9.34,145.0,690 CDM,PX-Q0091,PR OBTAIN SCREEN PAP SMEAR,139.0,104.25,15.47,139.0,692 CDM,PX-Q0224,"INJ, PEMIVIBART, 4500 MG",16300.1,12225.08,7239.0,16300.1,676 CDM,PX-Q2028,"PR INJ, SCULPTRA, 0.5MG",7.0,5.25,3.15,7.0,676 CDM,PX-Q2050,PR DOXORUBICIN LIPOSOMAL INJ 10 MG,1208.365,906.275,104.01,1251.2,676 CDM,PX-Q3014,PR TELE ORIG SITE FEE,66.0,49.5,29.7,66.0,676 CDM,PX-Q4010,PR CAST SHORT ARM ADULT FIBERGLASS,73.0,54.75,24.8,73.0,676 CDM,PX-Q4018,PR SPLINT LONG ARM ADULT FIBERGLASS,41.0,30.75,18.45,41.0,635 CDM,PX-Q4021,PR SPLINT SHORT ARM ADULT PLASTER,19.0,14.25,8.55,19.0,635 CDM,PX-Q4038,PR CAST SHORT LEG ADULT FIBERGLASS,124.0,93.0,52.48,124.0,638 CDM,PX-Q4046,PR SPLINT SHORT LEG ADULT FIBERGLASS,75.0,56.25,23.79,75.0,635 CDM,PX-Q4133,PR GRAFIX STRAVIX PRIME PL SQCM,370.0,277.5,104.81,370.0,686 CDM,PX-Q5103,"INJECTION, INFLECTRA",8177.495,6133.125,24.22,9405.66,676 CDM,PX-Q5104,"INJECTION, RENFLEXIS",4881.59,3661.19,27.75,4881.59,676 CDM,PX-Q5106,PR RETACRIT NON-ESRD 1000 UNITS INJ,424.96999999999997,318.725,0.76,580.25,676 CDM,PX-Q5107,PR BEVACIZUMAB-AWWB 10MG INJ,8520.68,6390.51,23.84,9109.25,676 CDM,PX-Q5108,"PR INJECTION, FULPHILA",5033.93,3775.45,98.87,5033.93,676 CDM,PX-Q5111,PR UDENYCA 0.5MG INJ,,,161.99,11313.11,652 CDM,PX-Q5114,PR OGIVRI 10MG INJ,5509.9400000000005,4132.455,37.71,5821.07,676 CDM,PX-Q5115,PR RITUXIMAB-ABBS 10MG INJ,7953.305,5964.98,30.15,8469.05,676 CDM,PX-Q5116,PR TRAZIMERA 10 MG INJ,8785.205,6588.905,8.21,9681.37,676 CDM,PX-Q5117,PR KANJINTI 10 MG INJ,14591.18,10943.39,51.44,14591.18,676 CDM,PX-Q5118,PR ZIRABEV 10 MG INJ,4474.08,3355.56,25.8,4474.08,676 CDM,PX-Q5119,"PR RUXIENCE, 10MG INJ",7346.045,5509.535,13.27,7358.24,676 CDM,PX-Q5121,"PR INJ. AVSOLA, 10 MG",5934.75,4451.0650000000005,23.81,6047.7,676 CDM,PX-Q5122,"PR INJ, NYVEPRIA",7892.6,5919.45,133.05,7892.6,676 CDM,PX-Q5125,"PR INJ, RELEUKO 1 MCG",351.135,263.35,0.34,392.23,676 CDM,PX-Q5128,"INJ, CIMERLI, 0.1 MG",5301.9,3976.43,83.34,5301.9,676 CDM,PX-Q5129,"INJ, VEGZELMA, 10 MG",4216.84,3162.635,38.16,4563.66,676 CDM,PX-Q5135,"INJ, TYENNE, 1 MG",2992.895,2244.67,4.19,3108.75,676 CDM,PX-Q9956,"PR INJ OCTAFLUOROPROPANE MIC,ML",280.1,210.08,40.21,280.1,676 CDM,PX-Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",412.0,309.0,80.41,412.0,682 CDM,PX-Q9958,PR HOCM <=149 MG/ML IODINE PER 1ML,49.80500000000001,37.355000000000004,0.07,74.03,676 CDM,PX-Q9963,"PR HOCM 350-399MG/ML IODINE,1ML",89.37,67.03,0.22,89.37,676 CDM,PX-Q9965,"PR LOCM 100-199MG/ML IOSINW, 1ML",53.16,39.87,1.04,53.16,676 CDM,PX-S0189,PR TESTOSTERONE PELLET 75 MG,2562.6400000000003,1921.98,1191.1,2646.88,676 CDM,PX-S0265,PR GENETIC COUNSEL EA 15 MIN,242.0,181.5,108.9,242.0,679 CDM,PX-S0613,PR ANNUAL BREAST EXAM,235.0,176.25,105.75,235.0,676 CDM,PX-S2083,PR ADJ GASTRIC BND INJ/ASP SALINE,875.0,656.25,393.75,875.0,677 CDM,PX-S9986001,PR ASTIGMATISM IOL SURG,1790.0,1342.5,805.5,1790.0,676 CDM,PX-S9986002,PR DELUXE IOL,2030.0,1522.5,913.5,2030.0,676 CDM,PX-S9986005,PR EXECUTIVE SERVICES FEE,1570.0,1177.5,706.5,1570.0,676 CDM,PX-S9986006,PR LIGHT ADJ LENS IOL SURGE,3641.0,2730.75,1638.45,3641.0,676 CDM,PX-S9986008,PR EXEC RESCHEDULE/CANCEL/NO SHOW 0-14 DAYS,1000.0,750.0,450.0,1000.0,676 CDM,PX-S9986009,PR IMH CANCELLATION FEE,50.0,37.5,22.5,50.0,676 CDM,PX-S9986010,PR EXEC RESCHEDULE/CANCEL/NO SHOW 15-30 DAYS,500.0,375.0,225.0,500.0,676 CDM,PX-S9986018,PR NUTRITION APP FEE,200.0,150.0,90.0,200.0,676 CDM,PX-S9986019,PR LONGEVITY SERVICES FEE,1100.0,825.0,495.0,1100.0,676 CDM,PX-V5010,PR HEARING AID ASSESSMENT,211.0,158.25,94.95,211.0,677 CDM,PX-V5011,PR HEARING AID FITTING,679.0,509.25,305.55,679.0,678 CDM,PX-V5014003,PR LOSS/DAMAGE/REPLACEMENT FEE,250.0,187.5,112.5,250.0,676 CDM,PX-V5014004,PR RECEIVER REPLACEMENT,150.0,112.5,67.5,150.0,676 CDM,PX-V5014011,"PR REPAIR, RECEIVER WIRE",150.0,112.5,67.5,150.0,676 CDM,PX-V5014013,PR REPAIR/RECASE > 5 YEARS,600.0,450.0,270.0,600.0,676 CDM,PX-V5020,PR CONFORMITY EVALUATION,238.0,178.5,107.1,238.0,676 CDM,PX-V5020001,PR CONFORMITY EVALUATION BINAURAL,180.0,135.0,81.0,180.0,676 CDM,PX-V5060,PR HEARING AID MONAURAL BEHIND EAR,6191.0,4643.25,2785.95,6191.0,676 CDM,PX-V5171004,PR CROS/BICROS TRANSMITTER ITE,1050.0,787.5,472.5,1050.0,676 CDM,PX-V5181004,PR CROS/BICROS TRANSMITTER BTE,1050.0,787.5,472.5,1050.0,676 CDM,PX-V5221004,"PR HEARING AID CROS OR BICROS, BTE/BTE- PREMIUM",3950.0,2962.5,1777.5,3950.0,676 CDM,PX-V5221005,"PR HEARING AID CROS OR BICROS, BTE/BTE- ADVANCED",3350.0,2512.5,1507.5,3350.0,676 CDM,PX-V5221006,"PR HEARING AID CROS OR BICROS, BTE/BTE- STANDARD",2350.0,1762.5,1057.5,2350.0,676 CDM,PX-V5254007,"PR HEARING AID, DIGITAL, MONAURAL, CIC - PREMIUM",2900.0,2175.0,1305.0,2900.0,676 CDM,PX-V5254008,"PR HEARING AID, DIGITAL, MONAURAL, CIC - ADVANCED",2300.0,1725.0,1035.0,2300.0,676 CDM,PX-V5254009,"PR HEARING AID, DIGITAL, MONAURAL, CIC - STANDARD",1300.0,975.0,585.0,1300.0,676 CDM,PX-V5255008,"PR HEARING AID, DIGITAL, MONAURAL, ITC - PREMIUM",2900.0,2175.0,1305.0,2900.0,676 CDM,PX-V5255009,"PR HEARING AID, DIGITAL, MONAURAL, ITC - ADVANCED",2300.0,1725.0,1035.0,2300.0,676 CDM,PX-V5255010,"PR HEARING AID, DIGITAL, MONAURAL, ITC - STANDARD",1300.0,975.0,585.0,1300.0,676 CDM,PX-V5256,PR HEARING AID DGTL MONAURAL ITE - PREMIUM,2900.0,2175.0,1305.0,2900.0,676 CDM,PX-V5256005,PR HEARING AID DGTL MONAURAL ITE - ADVANCED,2300.0,1725.0,1035.0,2300.0,676 CDM,PX-V5256006,PR HEARING AID DGTL MONAURAL ITE - STANDARD,1300.0,975.0,585.0,1300.0,676 CDM,PX-V5257,PR HEARING AID DGTL MONAURAL BTE - PREMIUM,2900.0,2175.0,1305.0,2900.0,676 CDM,PX-V5257009,PR HEARING AID DGTL MONAURAL BTE - ADVANCED,2300.0,1725.0,1035.0,2300.0,676 CDM,PX-V5257010,PR HEARING AID DGTL MONAURAL BTE - STANDARD,1300.0,975.0,585.0,1300.0,676 CDM,PX-V5260,PR HEARING AID DGTL BINAURAL ITE - PREMUIM,5800.0,4350.0,2610.0,5800.0,676 CDM,PX-V5260009,PR HEARING AID DGTL BINAURAL ITE - ADVANCED,4600.0,3450.0,2070.0,4600.0,676 CDM,PX-V5260010,PR HEARING AID DGTL BINAURAL ITE - STANDARD,2600.0,1950.0,1170.0,2600.0,676 CDM,PX-V5261,PR HEARING AID DGTL BINAURAL BTE - PREMIUM,5800.0,4350.0,2610.0,5800.0,676 CDM,PX-V5261009,PR HEARING AID DGTL BINAURAL BTE - ADVANCED,4600.0,3450.0,2070.0,4600.0,676 CDM,PX-V5261010,PR HEARING AID DGTL BINAURAL BTE - STANDARD,2600.0,1950.0,1170.0,2600.0,676 CDM,PX-V5264002,PR EAR MOLD/INSERT BINAURAL,163.0,122.25,73.35,163.0,676 CDM,PX-V5264005,PR EAR MOLD/INSERT MONAURAL,161.0,120.75,72.45,161.0,676 CDM,PX-V5264012,"PR EARMOLD, CUSTOM EARMOLD",110.0,82.5,49.5,110.0,676 CDM,PX-V5264016,"PR EARMOLD, INSERT",110.0,82.5,49.5,110.0,676 CDM,PX-V5264017,"PR EARMOLD, MICROMOLD/SLIM TIP MONAURAL",110.0,82.5,49.5,110.0,676 CDM,PX-V5264019,"PR EARMOLD, MUSICIAN'S EARPLUG +1 SET FILTERS",250.0,187.5,112.5,250.0,676 CDM,PX-V5264020,"PR EARMOLD, MUSICIAN'S EARPLUG +2 SET FILTERS",240.0,180.0,108.0,240.0,676 CDM,PX-V5264022,"PR EARMOLD, SLEEP PLUG MONAURAL",110.0,82.5,49.5,110.0,676 CDM,PX-V5264023,"PR EARMOLD, STANDARD",110.0,82.5,49.5,110.0,676 CDM,PX-V5264024,"PR EARMOLD, SWIM MOLD",65.0,48.75,29.25,65.0,676 CDM,PX-V5264025,"PR EARMOLD, SWIM MOLD (PER EAR)",65.0,48.75,29.25,65.0,676 CDM,PX-V5264026,"PR EARMOLD, TRU CUSTOM MUSICIAN EARPLUG",200.0,150.0,90.0,200.0,676 CDM,PX-V5266001,"PR HEARING AID BATTERIES, DISPOSABLE (1 BOX)",15.0,11.25,6.75,15.0,676 CDM,PX-V5266004,"PR HEARING AID BATTERY, RECHARGEABLE (EA)",50.0,37.5,22.5,50.0,676 CDM,PX-V5266007,"PR HEARING AID BATTERY, SIZE 10 (1 BOX)",15.0,11.25,6.75,15.0,676 CDM,PX-V5266009,"PR HEARING AID BATTERY, SIZE 13 (1 BOX)",15.0,11.25,6.75,15.0,676 CDM,PX-V5266011,"PR HEARING AID BATTERY, SIZE 312 (1 BOX)",15.0,11.25,6.75,15.0,676 CDM,PX-V5266013,"PR HEARING AID BATTERY, SIZE 675 (1 BOX)",15.0,11.25,6.75,15.0,676 CDM,PX-V5267015,PR DRI AID JAR (SMALL),18.0,13.5,8.1,18.0,676 CDM,PX-V5267017,PR DRY & STORE,150.0,112.5,67.5,150.0,676 CDM,PX-V5267018,PR DRY AID BRICK,14.0,10.5,6.3,14.0,676 CDM,PX-V5267019,PR DRY CAPS (PKG OF 4),10.0,7.5,4.5,10.0,676 CDM,PX-V5267024,PR HEARING AID CHARGER,300.0,225.0,135.0,300.0,676 CDM,PX-V5267028,PR MUSIC FILTERS (PAIR),40.0,30.0,18.0,40.0,676 CDM,PX-V5267030,PR MUSICIAN'S PLUG FILTERS (SET),40.0,30.0,18.0,40.0,676 CDM,PX-V5267031,PR OTOCLIP,15.0,11.25,6.75,15.0,676 CDM,PX-V5267032,PR OTOEASE,5.0,3.75,2.25,5.0,676 CDM,PX-V5267033,PR PHONE CLIP,300.0,225.0,135.0,300.0,676 CDM,PX-V5267037,PR REMOTE MICROPHONE,300.0,225.0,135.0,300.0,676 CDM,PX-V5267040,PR TV STREAMER,350.0,262.5,157.5,350.0,676 CDM,PX-V5267043,PR ZEPHYR DRY AND STORE,100.0,75.0,45.0,100.0,676 CDM,PX-V5267044,PR STANDARD HEARING AID CHARGER,100.0,75.0,45.0,100.0,676 CDM,PX-V5267045,PR REMOTE MICROPHONE PARTNER MIC,800.0,600.0,360.0,800.0,676 CDM,PX-V5275001,PR EAR IMPRESSION BINAURAL,25.0,18.75,11.25,25.0,676 CDM,PX-V5299007,PR RUSH SERVICE,50.0,37.5,22.5,50.0,676 CDM,RX-10010,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,65.4,59.01,87.2,915 CDM,RX-10011,FAMOTIDINE 20 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-10014,FAT EMULSION 20 % INTRAVENOUS,200.4,150.3,90.18,200.4,909 CDM,RX-10023,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,321.2,240.9,217.36,321.2,915 CDM,RX-10024,FELBAMATE 400 MG TABLET,11.2,8.4,7.58,11.2,915 CDM,RX-10025,FELBAMATE 600 MG TABLET,11.4,8.55,7.71,11.4,915 CDM,RX-100344,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12724.3,9543.23,30.78,12724.3,915 CDM,RX-10036,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1227.9,920.93,1.0,1227.9,915 CDM,RX-100367,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,24.7,18.52,16.71,24.7,915 CDM,RX-10037,FINASTERIDE 5 MG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-10043,FLECAINIDE 50 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-10044,FLUCONAZOLE 100 MG TABLET,9.3,6.98,6.29,9.3,915 CDM,RX-10045,FLUCONAZOLE 200 MG TABLET,10.9,8.18,7.38,10.9,915 CDM,RX-10046,FLUCONAZOLE 50 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-10049,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,88.3,66.22,39.74,88.3,909 CDM,RX-10050,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,89.7,67.28,40.37,89.7,910 CDM,RX-10052,FLUCYTOSINE 500 MG CAPSULE,70.3,52.73,47.57,70.3,915 CDM,RX-10054,FLUDROCORTISONE 0.1 MG TABLET,7.7,5.78,5.21,7.7,915 CDM,RX-10059,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,170.6,127.95,76.77,170.6,910 CDM,RX-10061,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,94.73,56.84,126.3,909 CDM,RX-100611,DICLOFENAC 1 % TOPICAL GEL,66.1,49.58,44.73,66.1,915 CDM,RX-100614,DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL 12 HOUR PATCH,21.3,15.98,14.41,21.3,915 CDM,RX-10065,FLUOROURACIL 5 % TOPICAL CREAM,200.6,150.45,135.75,200.6,915 CDM,RX-10069,FLUOXETINE 10 MG CAPSULE,5.4,4.05,3.65,5.4,915 CDM,RX-10070,FLUOXETINE 20 MG CAPSULE,5.4,4.05,3.65,5.4,915 CDM,RX-100740,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,338.6,253.95,152.37,338.6,915 CDM,RX-100745,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,51.38,46.35,68.5,915 CDM,RX-10085,FLUVOXAMINE 50 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-100992,BARIUM SULFATE 700 MG TABLET,11.8,8.85,5.31,11.8,909 CDM,RX-100995,RITONAVIR 100 MG TABLET,7.6,5.7,5.14,7.6,915 CDM,RX-101,ACETAMINOPHEN 325 MG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-10101,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),117.0,87.75,52.65,117.0,909 CDM,RX-101010,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,29541.0,22155.75,75.91,29541.0,915 CDM,RX-101024,"PRAMIPEXOLE ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR",13.1,9.82,8.86,13.1,915 CDM,RX-101034,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,182.48,109.49,243.3,909 CDM,RX-10106,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,62.33,37.4,83.1,910 CDM,RX-10108,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,62.85,37.71,83.8,910 CDM,RX-10111,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,61.95,37.17,82.6,909 CDM,RX-10116,GLIPIZIDE 10 MG TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-10117,GLIPIZIDE 5 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-10125,GLYBURIDE 1.25 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-10126,GLYBURIDE 2.5 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-10130,GLYCOPYRROLATE 1 MG TABLET,7.8,5.85,5.28,7.8,915 CDM,RX-10131,GLYCOPYRROLATE 2 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-10137,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4716.1,3537.08,733.67,4716.1,915 CDM,RX-10149,GUANFACINE 1 MG TABLET,10.2,7.65,6.9,10.2,915 CDM,RX-10163,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,62.9,47.18,28.31,62.9,909 CDM,RX-10176,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.4,31.8,19.08,42.4,911 CDM,RX-10177,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,31.05,18.63,41.4,909 CDM,RX-10178,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,45.38,27.23,60.5,909 CDM,RX-102,ACETAMINOPHEN 500 MG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-10209,HYDROCORTISONE 5 MG TABLET,10.0,7.5,6.77,10.0,915 CDM,RX-10210,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,22.05,19.89,29.4,915 CDM,RX-10225,HYDROMORPHONE 1 MG/ML ORAL LIQUID,540.1,405.08,365.49,540.1,915 CDM,RX-10226,HYDROMORPHONE 8 MG TABLET,12.5,9.38,8.46,12.5,915 CDM,RX-10235,HYDROXYCHLOROQUINE 200 MG TABLET,9.3,6.98,6.29,9.3,915 CDM,RX-10236,HYDROXYUREA 500 MG CAPSULE,8.0,6.0,5.41,8.0,915 CDM,RX-10239,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,95.1,71.33,42.8,95.1,909 CDM,RX-10246,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.38,0.34,0.5,915 CDM,RX-10248,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),122.4,91.8,55.08,122.4,909 CDM,RX-10249,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),362.3,271.73,163.04,362.3,909 CDM,RX-10253,IMIPRAMINE PAMOATE 150 MG CAPSULE,45.6,34.2,30.86,45.6,915 CDM,RX-10254,IMIPRAMINE PAMOATE 75 MG CAPSULE,45.6,34.2,30.86,45.6,915 CDM,RX-10266,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,588.5,441.38,264.83,588.5,909 CDM,RX-1028,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,124.6,93.45,84.32,124.6,915 CDM,RX-10284,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,129.8,97.35,87.84,129.8,915 CDM,RX-10289,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,129.8,97.35,87.84,129.8,915 CDM,RX-1029,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,185.5,139.13,125.53,185.5,915 CDM,RX-103,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 CDM,RX-10307,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN,20112.9,15084.68,13610.4,20112.9,915 CDM,RX-10318,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,54.15,32.49,72.2,913 CDM,RX-10319,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,114.8,86.1,51.66,114.8,912 CDM,RX-1032,BETAMETHASONE VALERATE 0.1 % LOTION,190.7,143.03,129.05,190.7,915 CDM,RX-10323,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,70.7,53.025,19.98,72.8,5472 CDM,RX-10325,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,42.2,31.65,18.99,42.2,909 CDM,RX-10327,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,183.2,137.4,82.44,183.2,910 CDM,RX-10328,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.7,56.03,33.26,84.2,2727 CDM,RX-10330,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,61.65,36.99,82.2,909 CDM,RX-10333,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 CDM,RX-10356,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,11.25,10.15,15.0,915 CDM,RX-10358,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,389.4,292.05,8.73,389.4,918 CDM,RX-10362,ISRADIPINE 2.5 MG CAPSULE,9.9,7.43,6.7,9.9,915 CDM,RX-10364,ITRACONAZOLE 100 MG CAPSULE,13.8,10.35,9.34,13.8,915 CDM,RX-10368,KETOCONAZOLE 2 % TOPICAL CREAM,66.0,49.5,44.66,66.0,915 CDM,RX-10369,KETOCONAZOLE 200 MG TABLET,7.9,5.93,5.35,7.9,915 CDM,RX-10373,LABETALOL 100 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-10374,LABETALOL 200 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-10375,LABETALOL 300 MG TABLET,7.6,5.7,5.14,7.6,915 CDM,RX-10380,AMMONIUM LACTATE 12 % LOTION,54.9,41.18,37.15,54.9,915 CDM,RX-103890,TAMSULOSIN 0.4 MG CAPSULE,5.9,4.43,3.99,5.9,915 CDM,RX-103926,"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",35.6,26.7,24.09,35.6,915 CDM,RX-103935,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,15928.0,11946.0,25.05,15928.0,916 CDM,RX-10394,LEVOBUNOLOL 0.5 % EYE DROPS,95.8,71.85,64.83,95.8,915 CDM,RX-104,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 CDM,RX-10403,LEVOTHYROXINE 88 MCG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-10404,LEVOTHYROXINE 112 MCG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-10405,LEVOTHYROXINE 137 MCG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-10406,LEVOTHYROXINE 175 MCG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-104159,"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE",161.8,121.35,72.81,161.8,909 CDM,RX-104207,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.6,28.95,17.37,38.6,909 CDM,RX-104208,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.8,26.85,16.11,35.8,909 CDM,RX-104258,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2838.1,2128.57,3.42,2838.1,915 CDM,RX-10426,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",35.9,26.93,16.16,35.9,909 CDM,RX-10427,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",39.4,29.55,17.73,39.4,909 CDM,RX-10428,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",36.6,27.45,16.47,36.6,909 CDM,RX-10429,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",38.2,28.65,17.19,38.2,909 CDM,RX-10430,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",35.9,26.93,16.16,35.9,909 CDM,RX-10431,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",53.2,39.9,23.94,53.2,909 CDM,RX-10434,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,76.9,57.68,34.61,76.9,909 CDM,RX-1044,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-10442,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,3568.2,2676.15,41.19,3568.2,915 CDM,RX-10443,LIOTHYRONINE 5 MCG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-10449,LISINOPRIL 10 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-1045,BETHANECHOL CHLORIDE 5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-10451,LISINOPRIL 5 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-10454,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,4.88,4.4,6.5,915 CDM,RX-10455,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,5.33,4.8,7.1,915 CDM,RX-104555,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,13.95,12.59,18.6,915 CDM,RX-104556,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,38.6,28.95,26.12,38.6,915 CDM,RX-104575,GANCICLOVIR 0.15 % EYE GEL,1411.6,1058.7,955.23,1411.6,915 CDM,RX-104576,TRANEXAMIC ACID 650 MG TABLET,19.3,14.48,13.06,19.3,915 CDM,RX-10459,LOMUSTINE 10 MG CAPSULE,415.4,311.55,281.1,415.4,915 CDM,RX-104604,RIFAXIMIN 550 MG TABLET,194.3,145.73,131.48,194.3,915 CDM,RX-10461,LOMUSTINE 40 MG CAPSULE,1481.4,1111.05,1002.46,1481.4,915 CDM,RX-10466,LORATADINE 10 MG TABLET,2.9,2.17,1.96,2.9,915 CDM,RX-10475,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",19701.3,14775.98,5135.09,19701.3,915 CDM,RX-104764,SIROLIMUS 0.5 MG TABLET,12.3,9.23,8.32,12.3,915 CDM,RX-104852,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION,306944.0,230208.0,55272.32,306944.0,915 CDM,RX-104877,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,15.75,14.21,21.0,915 CDM,RX-10491,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,2.3,1.73,1.56,2.3,915 CDM,RX-105,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 CDM,RX-10512,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,113.63,68.18,151.5,909 CDM,RX-10518,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,3.2,2.4,2.17,3.2,915 CDM,RX-10522,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),563.0,422.25,95.9,563.0,915 CDM,RX-10529,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,30.15,18.09,40.2,912 CDM,RX-10531,MERCAPTOPURINE 50 MG TABLET,8.5,6.38,5.75,8.5,915 CDM,RX-10533,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,11.18,10.08,14.9,915 CDM,RX-10535,MESALAMINE 4 GRAM/60 ML ENEMA,30.2,22.65,20.44,30.2,915 CDM,RX-10537,MESNA 100 MG/ML INTRAVENOUS SOLUTION,66.4,49.8,29.88,66.4,909 CDM,RX-105417,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),435.9,326.93,196.16,435.9,909 CDM,RX-10544,METFORMIN 500 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-10546,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,500.33,300.2,667.1,910 CDM,RX-10549,METHENAMINE HIPPURATE 1 GRAM TABLET,11.9,8.93,8.05,11.9,915 CDM,RX-105502,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,5723.9,4292.93,29.38,5723.9,915 CDM,RX-10552,METHIMAZOLE 10 MG TABLET,8.0,6.0,5.41,8.0,915 CDM,RX-10553,METHIMAZOLE 5 MG TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-105633,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.4,28.8,17.28,38.4,909 CDM,RX-105634,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.1,28.58,17.15,38.1,909 CDM,RX-105637,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 CDM,RX-105638,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,30.98,18.59,41.3,912 CDM,RX-105640,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,39.5,29.63,17.78,39.5,912 CDM,RX-105644,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,58555.6,43916.7,227.28,58555.6,915 CDM,RX-10571,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,61.0,45.75,27.45,61.0,909 CDM,RX-10572,METHYLERGONOVINE 0.2 MG TABLET,167.4,125.55,113.28,167.4,915 CDM,RX-10575,METHYLPREDNISOLONE 32 MG TABLET,18.1,13.58,8.15,18.1,909 CDM,RX-10577,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",126.9,95.18,57.11,126.9,910 CDM,RX-10578,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,43.3,32.48,19.49,43.3,909 CDM,RX-10581,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,55.8,41.85,25.11,55.8,909 CDM,RX-105827,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET,2067.8,1550.85,1399.28,2067.8,915 CDM,RX-10587,METOLAZONE 2.5 MG TABLET,14.6,10.95,9.88,14.6,915 CDM,RX-10588,METOLAZONE 5 MG TABLET,16.4,12.3,11.1,16.4,915 CDM,RX-105899,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,33.3,19.98,44.4,910 CDM,RX-105900,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,34.73,20.84,46.3,913 CDM,RX-105901,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,38.92,23.36,51.9,910 CDM,RX-105902,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,45.0,27.0,60.0,910 CDM,RX-105903,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,49.8,29.88,66.4,910 CDM,RX-105904,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,51.45,30.87,68.6,909 CDM,RX-105906,DONEPEZIL 23 MG TABLET,7.9,5.93,5.35,7.9,915 CDM,RX-10592,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,120.3,90.23,81.41,120.3,915 CDM,RX-105940,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,78.1,58.58,35.15,78.1,909 CDM,RX-10595,MEXILETINE 150 MG CAPSULE,11.0,8.25,7.44,11.0,915 CDM,RX-10596,MEXILETINE 200 MG CAPSULE,6.9,5.18,4.67,6.9,915 CDM,RX-10597,MEXILETINE 250 MG CAPSULE,7.3,5.48,4.94,7.3,915 CDM,RX-105970,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1002.4,751.8,5.57,1002.4,915 CDM,RX-105971,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1911.2,1433.4,5.57,1911.2,915 CDM,RX-10599,MICONAZOLE NITRATE 2 % TOPICAL POWDER,65.5,49.13,29.48,65.5,909 CDM,RX-10608,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.5,56.63,33.98,75.5,910 CDM,RX-10610,MIDODRINE 5 MG TABLET,6.7,5.03,4.53,6.7,915 CDM,RX-10612,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1057.6,793.2,2.67,1057.6,915 CDM,RX-106120,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,4100.0,3075.0,1845.0,4100.0,910 CDM,RX-106176,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,16.5,12.38,11.17,16.5,915 CDM,RX-106249,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",99.9,74.93,44.96,99.9,909 CDM,RX-10628,MISOPROSTOL 100 MCG TABLET,11.4,8.55,7.71,11.4,915 CDM,RX-10629,MISOPROSTOL 200 MCG TABLET,12.6,9.45,8.53,12.6,915 CDM,RX-10630,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),208.3,156.23,20.35,208.3,915 CDM,RX-10631,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),407.8,305.85,20.35,407.8,915 CDM,RX-106317,FINGOLIMOD 0.5 MG CAPSULE,35.6,26.7,24.09,35.6,915 CDM,RX-10632,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),234.0,175.5,20.35,234.0,915 CDM,RX-106348,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,915 CDM,RX-106349,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,26.93,16.16,35.9,909 CDM,RX-106363,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,40.1,30.08,18.05,40.1,909 CDM,RX-106413,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,14.1,10.58,9.54,14.1,915 CDM,RX-10648,MOMETASONE 0.1 % TOPICAL OINTMENT,73.0,54.75,49.4,73.0,915 CDM,RX-106490,DABIGATRAN ETEXILATE 75 MG CAPSULE,15.2,11.4,10.29,15.2,915 CDM,RX-10663,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-10674,MUPIROCIN 2 % TOPICAL OINTMENT,58.2,43.65,39.38,58.2,915 CDM,RX-10676,NABUMETONE 500 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-106761,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,1576.8,1182.6,8.75,1576.8,915 CDM,RX-106773,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,5609.0,4206.75,89.34,5609.0,915 CDM,RX-106783,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,88.9,66.68,40.01,88.9,910 CDM,RX-106804,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,10527.6,7895.7,29.38,10527.6,915 CDM,RX-10685,NALTREXONE 50 MG TABLET,14.0,10.5,9.47,14.0,915 CDM,RX-10708,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",93.8,70.35,63.47,93.8,915 CDM,RX-10713,NICARDIPINE 30 MG CAPSULE,15.7,11.78,10.62,15.7,915 CDM,RX-10717,NICOTINE (POLACRILEX) 2 MG GUM,3.1,2.33,2.1,3.1,915 CDM,RX-10722,NIMODIPINE 30 MG CAPSULE,8.7,6.53,5.89,8.7,915 CDM,RX-10723,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2525.4,2278.58,3367.2,915 CDM,RX-10724,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,4.65,4.2,6.2,915 CDM,RX-10742,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,51.5,38.63,34.85,51.5,915 CDM,RX-10747,NORETHINDRONE ACETATE 5 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-10757,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,519.8,389.85,351.75,519.8,915 CDM,RX-107660,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,117.6,88.2,79.58,117.6,915 CDM,RX-107661,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,94.9,71.18,64.22,94.9,915 CDM,RX-107662,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,276.5,207.38,187.11,276.5,915 CDM,RX-107668,LURASIDONE 40 MG TABLET,18.9,14.18,12.79,18.9,915 CDM,RX-107670,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 CDM,RX-107671,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 CDM,RX-107752,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2373.0,1779.75,48.96,2373.0,915 CDM,RX-107753,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,4746.0,3559.5,48.96,4746.0,915 CDM,RX-107754,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9492.0,7119.0,48.96,9492.0,915 CDM,RX-10778,ONDANSETRON HCL 4 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-107798,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,236.0,177.0,106.2,236.0,909 CDM,RX-107799,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",572.0,429.0,181.22,572.0,915 CDM,RX-107829,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,374.93,338.28,499.9,915 CDM,RX-10784,ELECTROLYTES-DEXTROSE ORAL SOLUTION,5.5,4.13,3.72,5.5,915 CDM,RX-1079,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.58,1.42,2.1,915 CDM,RX-1080,BISACODYL 10 MG RECTAL SUPPOSITORY,2.7,2.03,1.83,2.7,915 CDM,RX-108027,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,59.3,44.48,26.69,59.3,909 CDM,RX-108028,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,118.8,89.1,53.46,118.8,909 CDM,RX-108029,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,117.3,87.98,52.79,117.3,909 CDM,RX-108038,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,26.3,19.73,17.8,26.3,915 CDM,RX-108041,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.3,197.48,2.93,263.3,915 CDM,RX-108042,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,421.2,315.9,2.93,421.2,915 CDM,RX-108043,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,631.8,473.85,2.93,631.8,915 CDM,RX-108044,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1053.0,789.75,2.93,1053.0,915 CDM,RX-108046,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1579.5,1184.63,2.93,1579.5,915 CDM,RX-108047,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,2106.0,1579.5,2.93,2106.0,915 CDM,RX-108048,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,3159.0,2369.25,2.93,3159.0,915 CDM,RX-108049,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1504.9,1128.68,30.01,1504.9,915 CDM,RX-108065,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,6974.599999999999,5230.955,73.2,11159.3,1830 CDM,RX-108072,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6622.4,4966.8,78.37,6622.4,915 CDM,RX-108073,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,61930.9,46448.18,392.63,61930.9,915 CDM,RX-108074,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1955.2,1466.4,1.0,1955.2,915 CDM,RX-108078,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 CDM,RX-108079,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 CDM,RX-108096,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,378.8,284.1,170.46,378.8,909 CDM,RX-10810,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,5.3,3.98,3.59,5.3,915 CDM,RX-108109,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,13278.2,9958.65,15.11,13278.2,915 CDM,RX-10811,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,27.6,20.7,12.42,27.6,909 CDM,RX-108111,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,879.4,659.55,395.73,879.4,909 CDM,RX-108118,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,66.0,39.6,88.0,909 CDM,RX-108119,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.1,68.33,41.0,91.1,910 CDM,RX-108120,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,95.5,71.63,42.98,95.5,910 CDM,RX-108121,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK,192.0,144.0,86.4,192.0,911 CDM,RX-108127,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,52.0,39.0,23.4,52.0,909 CDM,RX-10813,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.3,18.23,16.44,24.3,915 CDM,RX-108130,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,82.4,61.8,37.08,82.4,909 CDM,RX-108131,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,43.9,32.92,19.76,43.9,909 CDM,RX-108132,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,911 CDM,RX-10814,OXYCODONE 5 MG TABLET,11.6,8.7,7.85,11.6,915 CDM,RX-108150,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,124.13,74.48,165.5,909 CDM,RX-10825,OXAPROZIN 600 MG TABLET,7.7,5.78,5.21,7.7,915 CDM,RX-10839,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,62.0,46.5,41.96,62.0,915 CDM,RX-10855,PAROXETINE 20 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-108740,VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK (PREMIX/CNR),204.6,153.45,92.07,204.6,910 CDM,RX-108781,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,6311.0,4733.25,1387.74,6311.0,915 CDM,RX-108842,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,2627.1,1970.33,56.07,2627.1,915 CDM,RX-108843,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,8756.3,6567.23,56.07,8756.3,915 CDM,RX-10895,PENICILLAMINE 250 MG TABLET,150.2,112.65,101.64,150.2,915 CDM,RX-10910,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10262.9,7697.18,2608.16,10262.9,915 CDM,RX-10917,PERMETHRIN 5 % TOPICAL CREAM,123.8,92.85,83.78,123.8,915 CDM,RX-10918,PERMETHRIN 1 % TOPICAL LIQUID,77.5,58.13,52.44,77.5,915 CDM,RX-109395,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,37.7,28.28,16.97,37.7,909 CDM,RX-109401,ROFLUMILAST 500 MCG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-109402,VILAZODONE 10 MG TABLET,9.0,6.75,6.09,9.0,915 CDM,RX-109404,VILAZODONE 40 MG TABLET,8.2,6.15,5.55,8.2,915 CDM,RX-10947,PHENTOLAMINE 5 MG INJECTION SOLUTION,1184.7,888.53,432.02,1184.7,915 CDM,RX-109481,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,1113.0,667.8,1484.0,909 CDM,RX-109776,ABIRATERONE 250 MG TABLET,19.6,14.7,13.26,19.6,915 CDM,RX-109817,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,444.0,333.0,0.8,444.0,915 CDM,RX-109909,RILPIVIRINE HCL 25 MG TABLET,166.7,125.03,112.81,166.7,915 CDM,RX-11018,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,6.53,5.89,8.7,915 CDM,RX-11019,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,7.58,6.83,10.1,915 CDM,RX-11023,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,49.2,36.9,22.14,49.2,909 CDM,RX-11024,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,164.03,147.99,218.7,915 CDM,RX-110250,RIVAROXABAN 10 MG TABLET,52.1,39.08,35.26,52.1,915 CDM,RX-110257,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W),262.8,197.1,118.26,262.8,910 CDM,RX-110258,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",289.1,216.83,130.1,289.1,909 CDM,RX-110360,FIDAXOMICIN 200 MG TABLET,414.6,310.95,280.56,414.6,915 CDM,RX-110427,TICAGRELOR 90 MG TABLET,26.4,19.8,17.86,26.4,915 CDM,RX-11046,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-11067,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-110675,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3665.3,2748.98,3.89,3665.3,915 CDM,RX-11074,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,910 CDM,RX-110751,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4135.6,3101.7,176.45,4135.6,915 CDM,RX-11076,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,909 CDM,RX-11077,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,92.0,69.0,41.4,92.0,911 CDM,RX-11081,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,61.5,36.9,82.0,909 CDM,RX-11082,NACL 0.9% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 CDM,RX-11083,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",5.9,4.43,3.99,5.9,915 CDM,RX-11084,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",5.7,4.28,3.86,5.7,915 CDM,RX-11087,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",6.9,5.18,4.67,6.9,915 CDM,RX-110998,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,5.18,4.67,6.9,915 CDM,RX-11110,PRAVASTATIN 10 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-11113,PRAZIQUANTEL 600 MG TABLET,207.1,155.32,140.14,207.1,915 CDM,RX-111153,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,67.0,50.25,45.34,67.0,915 CDM,RX-111197,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",4065.6000000000004,3049.2,45.31,8131.2,3664 CDM,RX-111216,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,77.3,57.98,34.79,77.3,909 CDM,RX-111224,CENTRUROIDES (SCORPION) POLYVALENT ANTIVENOM 35 MG IV SOLUTION,18569.3,13926.98,4871.94,18569.3,915 CDM,RX-11129,PRIMIDONE 50 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-111325,VEMURAFENIB 240 MG TABLET,185.3,138.98,125.39,185.3,915 CDM,RX-111348,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),52390.9,39293.18,258.64,52390.9,915 CDM,RX-11138,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,31.4,23.55,21.25,31.4,915 CDM,RX-111395,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9665.0,7248.75,6540.31,9665.0,915 CDM,RX-11143,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,13.13,11.84,17.5,915 CDM,RX-111437,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,3885.2,2913.9,5.19,3885.2,915 CDM,RX-11144,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,9.07,8.19,12.1,915 CDM,RX-11146,PROPAFENONE 150 MG TABLET,7.8,5.85,5.28,7.8,915 CDM,RX-11147,PROPAFENONE 225 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-11150,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,42.6,31.95,19.17,42.6,915 CDM,RX-11164,PROTRIPTYLINE 5 MG TABLET,21.3,15.98,14.41,21.3,915 CDM,RX-11218,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,3.7,2.78,2.5,3.7,915 CDM,RX-11238,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,34.3,25.73,23.21,34.3,915 CDM,RX-11239,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,6.45,5.82,8.6,915 CDM,RX-11240,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",27.2,20.4,18.41,27.2,915 CDM,RX-112458,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4342.4,3256.8,1954.08,4342.4,909 CDM,RX-11246,PYRIMETHAMINE 25 MG TABLET,535.5,401.63,362.37,535.5,915 CDM,RX-112480,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,38.7,29.03,17.42,38.7,909 CDM,RX-112481,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,29.4,17.64,39.2,909 CDM,RX-112703,CLOBAZAM 10 MG TABLET,11.3,8.48,7.65,11.3,915 CDM,RX-112781,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,542.6,406.95,1.47,542.6,920 CDM,RX-112834,RIVAROXABAN 15 MG TABLET,52.1,39.08,35.26,52.1,915 CDM,RX-11286,RIBAVIRIN 200 MG CAPSULE,9.5,7.13,6.43,9.5,915 CDM,RX-11290,RIFABUTIN 150 MG CAPSULE,43.9,32.92,29.71,43.9,915 CDM,RX-11291,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,274.4,205.8,123.48,274.4,909 CDM,RX-11292,RIFAMPIN 150 MG CAPSULE,16.4,12.3,11.1,16.4,915 CDM,RX-11293,RIFAMPIN 300 MG CAPSULE,9.1,6.83,6.16,9.1,915 CDM,RX-112936,RUXOLITINIB 5 MG TABLET,964.5,723.38,652.68,964.5,915 CDM,RX-113,ACETAZOLAMIDE 250 MG TABLET,14.7,11.03,9.95,14.7,915 CDM,RX-113060,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,311.8,233.85,140.31,311.8,910 CDM,RX-113082,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,7.95,7.17,10.6,915 CDM,RX-113088,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,205.43,123.26,273.9,909 CDM,RX-113146,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION,11758.0,8818.5,745.62,11758.0,916 CDM,RX-11338,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1226.6,919.95,50.37,1226.6,915 CDM,RX-11340,SELEGILINE 5 MG TABLET,8.0,6.0,5.41,8.0,915 CDM,RX-11349,SENNOSIDES 8.6 MG TABLET,2.2,1.65,1.49,2.2,915 CDM,RX-11350,SERTRALINE 100 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-11351,SERTRALINE 50 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-113577,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,1688.2,1266.15,1142.4,1688.2,915 CDM,RX-11359,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,8.7,6.53,3.92,8.7,909 CDM,RX-11361,SIMETHICONE 125 MG CAPSULE,2.2,1.65,1.49,2.2,915 CDM,RX-11368,SINCALIDE 5 MCG SOLUTION FOR INJECTION,508.2,381.15,228.69,508.2,909 CDM,RX-11395,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,3.98,3.59,5.3,915 CDM,RX-114,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,92.7,69.53,41.72,92.7,910 CDM,RX-114018,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET,2160.1,1620.08,1461.74,2160.1,915 CDM,RX-11403,NACL 0.9% IRRIGATION SOLN,57.0,42.75,25.65,57.0,909 CDM,RX-11404,SODIUM CHLORIDE 2 % EYE DROPS,107.9,80.93,73.02,107.9,915 CDM,RX-11421,SOTALOL 80 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-11426,SPIRONOLACTONE 50 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-11441,SUCRALFATE 100 MG/ML ORAL SUSPENSION,13.3,9.98,9.0,13.3,915 CDM,RX-11442,SUCRALFATE 1 GRAM TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-11443,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,61.88,37.13,82.5,909 CDM,RX-114555,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,1.73,1.56,2.3,915 CDM,RX-11500,TEMAZEPAM 7.5 MG CAPSULE,20.2,15.15,13.67,20.2,915 CDM,RX-11507,TERBUTALINE 1 MG/ML INJECTION SOLUTION,40.9,30.68,18.41,40.9,909 CDM,RX-11508,TERBUTALINE 2.5 MG TABLET,11.3,8.48,7.65,11.3,915 CDM,RX-11510,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,105.6,95.28,140.8,915 CDM,RX-11512,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,92.0,69.0,62.26,92.0,915 CDM,RX-11517,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,42.3,31.73,19.04,42.3,909 CDM,RX-11561,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,47.7,43.04,63.6,915 CDM,RX-11562,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,49.5,44.66,66.0,915 CDM,RX-11565,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,208.2,156.15,93.69,208.2,909 CDM,RX-11566,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,746.93,448.16,995.9,909 CDM,RX-11567,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,100.13,60.08,133.5,909 CDM,RX-11573,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",43.8,32.85,19.71,43.8,909 CDM,RX-11574,TRANYLCYPROMINE 10 MG TABLET,8.5,6.38,5.75,8.5,915 CDM,RX-11584,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,27.98,16.79,37.3,911 CDM,RX-11588,TRIAMTERENE 50 MG CAPSULE,32.8,24.6,22.2,32.8,915 CDM,RX-11595,TRIFLURIDINE 1 % EYE DROPS,678.8,509.1,459.34,678.8,915 CDM,RX-11596,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,52.73,47.57,70.3,915 CDM,RX-116024,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",172932.0,129699.0,427.72,172932.0,915 CDM,RX-116028,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1350.0,1012.5,607.5,1350.0,910 CDM,RX-116035,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,14.4,12.99,19.2,915 CDM,RX-116053,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,74.25,66.99,99.0,915 CDM,RX-116054,ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,74.25,66.99,99.0,915 CDM,RX-11608,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,853.13,511.88,1137.5,909 CDM,RX-116128,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,10198.13,1825.64,13597.5,916 CDM,RX-11624,URSODIOL 300 MG CAPSULE,11.3,8.48,7.65,11.3,915 CDM,RX-11627,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,113.4,85.05,51.03,113.4,909 CDM,RX-11628,VANCOMYCIN 125 MG CAPSULE,9.5,7.13,6.43,9.5,915 CDM,RX-11630,VANCOMYCIN 50 MG/ML ORAL SOLUTION,593.7,445.28,401.76,593.7,915 CDM,RX-11634,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,44.3,33.23,19.94,44.3,909 CDM,RX-116345,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,38.9,29.18,17.51,38.9,915 CDM,RX-116596,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,27403.3,20552.47,17.02,27403.3,915 CDM,RX-116806,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,57.08,34.25,76.1,914 CDM,RX-116809,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,108.6,65.16,144.8,909 CDM,RX-11691,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,113.9,85.43,1.51,113.9,915 CDM,RX-11692,ZIDOVUDINE 100 MG CAPSULE,10.0,7.5,6.77,10.0,915 CDM,RX-11701,ZOLPIDEM 5 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-117032,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,112.5,84.38,50.63,112.5,910 CDM,RX-117047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),14152.6,10614.45,55.65,14152.6,915 CDM,RX-117352,LINACLOTIDE 145 MCG CAPSULE,35.6,26.7,24.09,35.6,915 CDM,RX-117356,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,11.9,8.93,8.05,11.9,915 CDM,RX-117366,BOSUTINIB 500 MG TABLET,2115.6,1586.7,1431.63,2115.6,915 CDM,RX-117842,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,112623.7,84467.78,28424.06,112623.7,915 CDM,RX-11892,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,18.45,16.65,24.6,915 CDM,RX-119040,APIXABAN 2.5 MG TABLET,23.5,17.63,15.9,23.5,915 CDM,RX-119049,ICOSAPENT ETHYL 1 GRAM CAPSULE,13.2,9.9,8.93,13.2,915 CDM,RX-119050,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,24.3,18.23,16.44,24.3,915 CDM,RX-119142,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,52.7,39.53,23.72,52.7,909 CDM,RX-119149,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,44.3,33.23,19.94,44.3,909 CDM,RX-119168,DARUNAVIR 800 MG TABLET,12.0,9.0,8.12,12.0,915 CDM,RX-119246,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,9.53,8.59,12.7,915 CDM,RX-119247,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",13.0,9.75,8.8,13.0,915 CDM,RX-119248,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,15.98,14.41,21.3,915 CDM,RX-119255,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,67.2,50.4,30.24,67.2,909 CDM,RX-11929,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,59.4,44.55,26.73,59.4,909 CDM,RX-119483,PONATINIB 15 MG TABLET,2392.0,1794.0,1618.67,2392.0,915 CDM,RX-119484,PONATINIB 45 MG TABLET,2072.7,1554.53,1402.6,2072.7,915 CDM,RX-119572,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",11.0,8.25,7.44,11.0,915 CDM,RX-119672,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1365.38,819.23,1820.5,909 CDM,RX-119842,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.0,31.5,18.68,115.3,4565 CDM,RX-119843,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,31.35,18.81,41.8,909 CDM,RX-120068,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,910 CDM,RX-120086,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),16505.6,12379.2,42.16,16505.6,915 CDM,RX-120087,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),26409.0,19806.75,42.16,26409.0,915 CDM,RX-120094,LEVOCARNITINE (SUGAR FREE) 100 MG/ML ORAL SOLUTION,93.3,69.97,63.14,93.3,915 CDM,RX-120105,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,52.6,39.45,23.67,52.6,909 CDM,RX-12024,MECLIZINE 12.5 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-120245,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,11.3,8.48,7.65,11.3,915 CDM,RX-12025,MECLIZINE 25 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-120289,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",26.3,19.73,17.8,26.3,915 CDM,RX-120314,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",18.1,13.58,12.25,18.1,915 CDM,RX-120319,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-120350,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,330.83,198.5,441.1,909 CDM,RX-120359,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,5.7,5.14,7.6,915 CDM,RX-120393,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.9,35.17,21.11,46.9,910 CDM,RX-120423,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,49.9,37.42,22.46,49.9,909 CDM,RX-120465,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,66.6,49.95,45.07,66.6,915 CDM,RX-120475,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,65.2,48.9,29.34,65.2,909 CDM,RX-120477,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,73.7,55.28,33.17,73.7,909 CDM,RX-120479,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.38,0.34,0.5,915 CDM,RX-120501,"LACTASE 9,000 UNIT TABLET",3.3,2.48,2.23,3.3,915 CDM,RX-120506,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,362.3,271.73,163.04,362.3,909 CDM,RX-120526,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,64.8,38.88,86.4,909 CDM,RX-120532,PHENYLEPHRINE 1 % NASAL SPRAY,9.5,7.13,6.43,9.5,915 CDM,RX-120537,GELATIN ABSORBABLE IMPLANT FILM,6297.4,4723.05,2833.83,6297.4,909 CDM,RX-120555,LEVOCARNITINE 500 MG TABLET,3.6,2.7,2.44,3.6,915 CDM,RX-120590,"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR",5.4,4.05,3.65,5.4,915 CDM,RX-120624,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,6.1,4.58,4.13,6.1,915 CDM,RX-120651,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,115.43,69.26,153.9,909 CDM,RX-120683,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,50.2,37.65,22.59,50.2,910 CDM,RX-120795,MISCELLANEOUS MEDICAL SUPPLY MISC,16.0,12.0,7.2,16.0,909 CDM,RX-12098,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,6.15,5.55,8.2,915 CDM,RX-121130,"PETROLATUM, WHITE-WATER LOTION",15.6,11.7,10.56,15.6,915 CDM,RX-121493,EVEROLIMUS (ANTINEOPLASTIC) 2 MG TABLET FOR ORAL SUSPENSION,2057.8,1543.35,1392.51,2057.8,915 CDM,RX-121494,EVEROLIMUS (ANTINEOPLASTIC) 3 MG TABLET FOR ORAL SUSPENSION,2077.8,1558.35,1406.05,2077.8,915 CDM,RX-121495,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET FOR ORAL SUSPENSION,2160.1,1620.08,1461.74,2160.1,915 CDM,RX-121505,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,348.3,261.23,156.74,348.3,913 CDM,RX-121529,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,37.5,33.84,50.0,915 CDM,RX-121731,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,100.9,75.68,45.41,100.9,909 CDM,RX-12184,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",5.9,4.43,3.99,5.9,915 CDM,RX-12185,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",6.6,4.95,4.47,6.6,915 CDM,RX-12197,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",20.6,15.45,13.94,20.6,915 CDM,RX-122008,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,35.6,26.7,16.02,35.6,909 CDM,RX-122009,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,271.8,245.24,362.4,915 CDM,RX-12203,VENLAFAXINE 25 MG TABLET,8.5,6.38,5.75,8.5,915 CDM,RX-12205,VENLAFAXINE 100 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-12206,VENLAFAXINE 75 MG TABLET,8.2,6.15,5.55,8.2,915 CDM,RX-12207,VENLAFAXINE 37.5 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-122091,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,7852.5,172.22,10470.0,915 CDM,RX-12211,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,386.4,348.64,515.2,915 CDM,RX-122149,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",7010.400000000001,5257.799999999999,50.74,18694.4,3660 CDM,RX-12218,COLESTIPOL 5 GRAM ORAL PACKET,11.8,8.85,7.99,11.8,915 CDM,RX-122184,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,2039.8,1529.85,917.91,2039.8,909 CDM,RX-122185,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,36.2,27.15,16.29,36.2,910 CDM,RX-122186,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,67.8,40.68,90.4,909 CDM,RX-122190,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,52.8,39.6,23.76,52.8,909 CDM,RX-122196,EMOLLIENT TOPICAL CREAM,29.0,21.75,19.62,29.0,915 CDM,RX-1222,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,27.08,16.25,36.1,913 CDM,RX-122267,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,31.8,19.08,42.4,910 CDM,RX-122363,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,20.1,18.14,26.8,915 CDM,RX-122365,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",34.7,26.03,23.48,34.7,915 CDM,RX-122366,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",41.3,30.98,27.95,41.3,915 CDM,RX-122368,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,52.35,47.23,69.8,915 CDM,RX-12244,CALCIPOTRIENE 0.005 % TOPICAL OINTMENT,488.8,366.6,330.77,488.8,915 CDM,RX-122524,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",44.1,33.08,19.85,44.1,909 CDM,RX-122614,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7793.0,5844.75,11.04,7793.0,915 CDM,RX-122648,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4125.6,3094.2,1.11,4125.6,915 CDM,RX-122752,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,909 CDM,RX-122784,DOLUTEGRAVIR 50 MG TABLET,263.0,197.25,177.97,263.0,915 CDM,RX-122909,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,258.9,194.18,175.2,258.9,915 CDM,RX-123,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,48.7,36.53,21.92,48.7,909 CDM,RX-123049,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,43.4,32.55,19.53,43.4,909 CDM,RX-123070,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),129.8,97.35,58.41,129.8,909 CDM,RX-123144,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,911 CDM,RX-123206,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,11.85,10.69,15.8,915 CDM,RX-123439,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,15.38,9.23,20.5,909 CDM,RX-123518,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,6.3,4.72,4.26,6.3,915 CDM,RX-123560,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,59.0,44.25,39.93,59.0,915 CDM,RX-123563,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,55.9,41.93,37.83,55.9,915 CDM,RX-123587,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,129.8,97.35,58.41,129.8,909 CDM,RX-123662,FENTANYL (PF) 10 MCG/ML IN 0.9 % NACL 100 ML PCA CADD SOLIS (PREMIX/CNR),257.3,192.98,115.79,257.3,909 CDM,RX-123675,MORPHINE 250 MG/50 ML (5 MG/ML) IN 0.9 % SOD. CHLOR IV PUMP RESERVOIR,77.7,58.28,34.97,77.7,909 CDM,RX-12370,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,70.8,53.1,31.86,70.8,909 CDM,RX-123732,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,205.7,154.28,92.57,205.7,909 CDM,RX-123800,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,9.75,8.8,13.0,915 CDM,RX-123851,ORA-BLEND SF (SUGAR FREE),73.1,54.83,32.9,73.1,909 CDM,RX-124116,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,63.75,38.25,85.0,909 CDM,RX-124117,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,63.75,38.25,85.0,909 CDM,RX-124137,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,709.5,532.13,3.26,709.5,915 CDM,RX-124142,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-124253,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",81.0,60.75,54.81,81.0,915 CDM,RX-124262,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",44.9,33.67,20.21,44.9,909 CDM,RX-124313,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",45.9,34.42,20.66,45.9,909 CDM,RX-124411,PRUSSIAN BLUE 0.5 GRAM CAPSULE,14.5,10.88,9.81,14.5,915 CDM,RX-124422,TOBRAMYCIN 0.3 % EYE DROPS,69.7,52.28,31.37,69.7,909 CDM,RX-124441,PERAMPANEL 2 MG TABLET,63.9,47.93,43.24,63.9,915 CDM,RX-124449,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE",5.7,4.28,3.86,5.7,915 CDM,RX-124482,EMOLLIENT COMBIN. NO.15 (BULK) CREAM,5.9,4.43,3.99,5.9,915 CDM,RX-124536,VORTIOXETINE 5 MG TABLET,64.3,48.23,43.51,64.3,915 CDM,RX-124538,VORTIOXETINE 20 MG TABLET,64.3,48.23,43.51,64.3,915 CDM,RX-124571,"VIT A 300 MCG (1,000 UNIT)-C 200 MG-E 60 UNIT-LUTEIN 2 MG AND MINERALS TABLET",2.2,1.65,1.49,2.2,915 CDM,RX-124588,RIOCIGUAT 0.5 MG TABLET,276.5,207.38,187.11,276.5,915 CDM,RX-124589,RIOCIGUAT 1 MG TABLET,565.9,424.43,382.94,565.9,915 CDM,RX-124656,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,88.2,52.92,117.6,909 CDM,RX-124657,MACITENTAN 10 MG TABLET,919.6,689.7,622.29,919.6,915 CDM,RX-124667,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,543.8,407.85,7.95,543.8,915 CDM,RX-124668,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1631.2,1223.4,7.95,1631.2,915 CDM,RX-124690,IRON ASPGL AND PS CMPLX 150 MG-VIT C 50 MG-SUCCINIC ACID 50 MG CAPSULE,5.1,3.83,3.45,5.1,915 CDM,RX-124716,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,740.6,555.45,0.28,740.6,915 CDM,RX-124717,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1185.3,888.98,0.28,1185.3,915 CDM,RX-124722,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.5,1.88,1.69,2.5,915 CDM,RX-124764,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,9.8,7.35,6.63,9.8,915 CDM,RX-124767,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",33834.0,25375.5,79.0,33834.0,915 CDM,RX-124768,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,72.0,43.2,96.0,909 CDM,RX-124833,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,50.4,30.24,67.2,910 CDM,RX-124838,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,57.3,42.98,38.77,57.3,915 CDM,RX-124840,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,68.3,51.23,46.22,68.3,915 CDM,RX-124854,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,49.7,37.28,33.63,49.7,915 CDM,RX-124887,ESLICARBAZEPINE 200 MG TABLET,149.4,112.05,101.1,149.4,915 CDM,RX-124917,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",120.4,90.3,81.47,120.4,915 CDM,RX-124929,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,38.0,28.5,17.1,38.0,909 CDM,RX-124985,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",528.3,396.23,237.74,528.3,909 CDM,RX-124987,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",528.3,396.23,237.74,528.3,910 CDM,RX-125001,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,45.9,34.42,20.66,45.9,910 CDM,RX-125036,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,196.05,176.89,261.4,915 CDM,RX-125074,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,36.75,33.16,49.0,915 CDM,RX-125075,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,59.4,44.55,40.2,59.4,915 CDM,RX-125159,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,6.2,4.65,4.2,6.2,915 CDM,RX-125332,BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE,31.6,23.7,14.22,31.6,909 CDM,RX-125429,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,311.5,233.63,0.21,311.5,915 CDM,RX-125508,TOBRAMYCIN 0.3 % EYE OINTMENT,940.6,705.45,636.5,940.6,915 CDM,RX-12552,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,44.7,33.53,20.12,44.7,912 CDM,RX-12556,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,23.6,17.7,15.97,23.6,915 CDM,RX-125570,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 CDM,RX-12562,CAMPHOR-PHENOL 10.8 %-4.7 % TOPICAL SOLUTION,61.1,45.83,41.35,61.1,915 CDM,RX-125669,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",2525.3,1893.98,636.59,2525.3,915 CDM,RX-125686,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,18179.05,13634.285,74.36,30298.4,1830 CDM,RX-125720,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6532.8,4899.6,165.83,6532.8,915 CDM,RX-125721,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,26131.0,19598.25,165.83,26131.0,915 CDM,RX-12580,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,4.5,4.06,6.0,915 CDM,RX-1259,CAFFEINE 200 MG TABLET,2.4,1.8,1.62,2.4,915 CDM,RX-126113,DROXIDOPA 100 MG CAPSULE,9.2,6.9,6.23,9.2,915 CDM,RX-126160,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,4083.6,3062.7,1837.62,4083.6,909 CDM,RX-126167,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,59687.7,44765.78,40390.67,59687.7,915 CDM,RX-126168,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,119375.2,89531.4,80781.2,119375.2,915 CDM,RX-126190,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4175.7,3131.78,1879.07,4175.7,909 CDM,RX-126194,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,4.65,4.2,6.2,915 CDM,RX-1262,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,68.5,51.38,30.83,68.5,909 CDM,RX-126219,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,40212.4,30159.3,21.31,40212.4,915 CDM,RX-126226,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,57.98,34.79,77.3,910 CDM,RX-126228,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,36.53,21.92,48.7,909 CDM,RX-126244,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,6265.8,4699.35,15.61,6265.8,915 CDM,RX-126248,NILOTINIB HCL 200 MG CAPSULE,653.9,490.43,442.49,653.9,915 CDM,RX-126249,ERLOTINIB 25 MG TABLET,25.0,18.75,16.92,25.0,915 CDM,RX-126251,ERLOTINIB 150 MG TABLET,21.4,16.05,14.48,21.4,915 CDM,RX-126285,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,896.8,672.6,606.86,896.8,915 CDM,RX-126394,TEDIZOLID 200 MG INTRAVENOUS SOLUTION,1455.9,1091.93,1.96,1455.9,915 CDM,RX-126404,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,7.88,4.73,10.5,909 CDM,RX-126405,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,10.73,6.44,14.3,909 CDM,RX-126466,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,64.65,38.79,86.2,913 CDM,RX-126470,BELINOSTAT 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),10216.4,7662.3,52.47,10216.4,915 CDM,RX-126579,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,8617.4,6463.05,3877.83,8617.4,909 CDM,RX-126619,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,31.95,19.17,42.6,912 CDM,RX-126630,EMPAGLIFLOZIN 10 MG TABLET,37.2,27.9,25.17,37.2,915 CDM,RX-126632,EMPAGLIFLOZIN 25 MG TABLET,37.2,27.9,25.17,37.2,915 CDM,RX-12666,DOXEPIN 5 % TOPICAL CREAM,1035.9,776.93,700.99,1035.9,915 CDM,RX-126772,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,451.4,338.55,305.46,451.4,915 CDM,RX-126781,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",521.7,391.28,234.77,521.7,915 CDM,RX-126847,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",3396.25,2547.19,47.53,5164.0,1830 CDM,RX-126885,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2118.7,1589.03,593.0,2118.7,915 CDM,RX-126967,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",40.5,30.38,18.23,40.5,909 CDM,RX-127024,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,63.5,47.63,28.58,63.5,909 CDM,RX-127028,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,127.0,95.25,57.15,127.0,909 CDM,RX-127078,GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) INTRAVENOUS SOLUTION,89.1,66.83,40.1,89.1,909 CDM,RX-127079,GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION,118.8,89.1,53.46,118.8,909 CDM,RX-127190,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2088.9,1566.68,748.85,2088.9,915 CDM,RX-127193,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,22.0,16.5,9.9,22.0,909 CDM,RX-12724,TERBINAFINE HCL 250 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-127261,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,231.3,173.48,104.09,231.3,909 CDM,RX-127262,BICARBONATE HEMODIALYSIS SOLUTION NO.9 K 4 MEQ-CA 2.5 MEQ-MG 1.5 MEQ/L,247.5,185.63,111.38,247.5,909 CDM,RX-127263,BICARBONATE DIALYSIS SOLN 11 (NO POTASSIUM) CALC 2.5 MEQ-MAG 1.5 MEQ/L,231.3,173.48,104.09,231.3,909 CDM,RX-127264,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,231.3,173.48,104.09,231.3,909 CDM,RX-127332,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1764.0,1323.0,1.68,1764.0,915 CDM,RX-127348,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,188.4,113.04,251.2,909 CDM,RX-127350,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,138.53,124.99,184.7,915 CDM,RX-127353,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1119.97,96.91,1493.3,916 CDM,RX-127366,SUVOREXANT 5 MG TABLET,57.9,43.43,39.18,57.9,915 CDM,RX-127367,SUVOREXANT 10 MG TABLET,57.9,43.43,39.18,57.9,915 CDM,RX-127368,SUVOREXANT 15 MG TABLET,57.9,43.43,39.18,57.9,915 CDM,RX-127369,SUVOREXANT 20 MG TABLET,57.9,43.43,39.18,57.9,915 CDM,RX-127374,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,201.98,182.24,269.3,915 CDM,RX-127375,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,255.15,230.21,340.2,915 CDM,RX-127389,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,32.25,19.35,43.0,909 CDM,RX-127395,NALOXEGOL 12.5 MG TABLET,56.1,42.08,37.96,56.1,915 CDM,RX-127401,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,74.63,44.78,99.5,910 CDM,RX-127409,"SILICA GEL, AMORPHOUS SYNTHETIC MICRONIZED (BULK) 100 % POWDER",130.3,97.73,58.64,130.3,909 CDM,RX-127428,FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT,28779.6,21584.7,498.14,28779.6,915 CDM,RX-127467,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,485.48,291.29,647.3,909 CDM,RX-12748,BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION,20.0,15.0,9.0,20.0,909 CDM,RX-127552,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,202.95,183.12,270.6,915 CDM,RX-127556,SPHERULE-DERIV COCCI SKIN TEST 1.27 MCG/0.1 ML (1 ML) INTRADERMAL SOLN,109.4,82.05,49.23,109.4,909 CDM,RX-127653,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,89381.4,67036.05,2429.89,89381.4,915 CDM,RX-127661,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,161.3,120.98,109.15,161.3,915 CDM,RX-127662,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,71.2,53.4,32.04,71.2,909 CDM,RX-127665,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,209.0,156.75,94.05,209.0,909 CDM,RX-127668,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,111.7,83.78,50.27,111.7,909 CDM,RX-127771,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",275.2,206.4,123.84,275.2,910 CDM,RX-127841,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,710.4,532.8,9.07,710.4,916 CDM,RX-127908,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 CDM,RX-127909,"CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 CDM,RX-127910,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 CDM,RX-127911,"CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE",22.0,16.5,14.89,22.0,915 CDM,RX-127928,LISDEXAMFETAMINE 10 MG CAPSULE,59.0,44.25,39.93,59.0,915 CDM,RX-127964,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23930.4,17947.8,60.29,23930.4,915 CDM,RX-127974,ZINC OXIDE 17 %-WHITE PETROLATUM 57 % TOPICAL PASTE,23.0,17.25,15.56,23.0,915 CDM,RX-127980,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-128033,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,195.5,146.63,87.98,195.5,909 CDM,RX-128113,LIDOCAINE HCL (PF) 100 MG/10 ML (1 %) IN 0.9 % SODIUM CHLORIDE SYRINGE,37.9,28.43,17.06,37.9,909 CDM,RX-128130,HYPOCHLOROUS ACID 0.01 %-SODIUM CHLORIDE TOPICAL SPRAY,910.9,683.18,616.41,910.9,915 CDM,RX-128147,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,21.23,19.15,28.3,915 CDM,RX-128163,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1536.0,1152.0,104.73,1536.0,915 CDM,RX-128183,"BARIUM SULFATE 40 % (W/V), 29% (W/W) ORAL SUSPENSION",8.6,6.45,3.87,8.6,909 CDM,RX-128196,THYROID (PORK) 15 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-128197,THYROID (PORK) 30 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-128199,THYROID (PORK) 60 MG TABLET,7.6,5.7,5.14,7.6,915 CDM,RX-128209,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,222.98,201.18,297.3,915 CDM,RX-128211,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1204.8,903.6,1.01,1204.8,915 CDM,RX-128229,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,939.23,563.54,1252.3,909 CDM,RX-128267,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3081.98,2780.76,4109.3,915 CDM,RX-128268,UREA 10 %-ALPHA HYDROXY ACIDS 4 % TOPICAL CREAM,74.6,55.95,50.48,74.6,915 CDM,RX-128288,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,3.8,2.85,2.57,3.8,915 CDM,RX-128328,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,43.3,32.48,19.49,43.3,909 CDM,RX-128434,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,5.1,4.6,6.8,915 CDM,RX-128540,IVABRADINE 5 MG TABLET,12.3,9.23,8.32,12.3,915 CDM,RX-12855,LIDOCAINE (BULK) POWDER,7.4,5.55,5.01,7.4,915 CDM,RX-12858,CADEXOMER IODINE 0.9 % TOPICAL GEL,195.6,146.7,132.36,195.6,915 CDM,RX-128612,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.0,40.5,24.3,54.0,909 CDM,RX-128613,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,49.43,29.66,65.9,910 CDM,RX-128729,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION,410.0,307.5,184.5,410.0,909 CDM,RX-128734,KIT FOR THE PREPARATION OF TC-99M-MEBROFENIN 45 MG IV SOLUTION,558.0,418.5,251.1,558.0,909 CDM,RX-128760,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,189.0,141.75,85.05,189.0,909 CDM,RX-128761,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,92.0,69.0,41.4,92.0,910 CDM,RX-128762,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",744.4,558.3,334.98,744.4,909 CDM,RX-128831,BICARBONATE DIALYSIS SOLN WITHOUT CALCIUM NO15 POT 4 MEQ-MAG 1.2 MEQ/L,231.3,173.48,104.09,231.3,909 CDM,RX-12886,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,600.3,450.23,406.22,600.3,915 CDM,RX-128928,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,4376.0,3282.0,1969.2,4376.0,909 CDM,RX-128957,BICARB HEMODIALYSIS SOLN WITHOUT CALCIUM NO 16 POT 4 MEQ-MAG 1.5 MEQ/L,110.0,82.5,49.5,110.0,909 CDM,RX-129043,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION,451.0,338.25,202.95,451.0,911 CDM,RX-129046,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,398.25,238.95,531.0,912 CDM,RX-129115,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,37.42,22.46,49.9,909 CDM,RX-12912,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,36.08,32.55,48.1,915 CDM,RX-129131,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX & CNR) (PERIPHERAL OR CENTRAL LINE W/O TELEMETRY),190.7,143.03,85.82,190.7,909 CDM,RX-129134,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,410.25,246.15,547.0,909 CDM,RX-12933,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,6.6,3.96,8.8,911 CDM,RX-129337,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,689.3,516.98,176.45,689.3,915 CDM,RX-12935,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,973.9,730.43,263.15,973.9,915 CDM,RX-129471,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,82.2,61.65,36.99,82.2,909 CDM,RX-129513,"HEPARIN (PORCINE) 2,500 UNIT/500 ML (5 UNIT/ML) IN 0.9 % NACL IV SOLN",10.3,7.73,4.64,10.3,909 CDM,RX-129514,"HEPARIN (PORCINE) 5,000 UNIT/500 ML (10 UNIT/ML) IN 0.9 % NACL FLUSH SOLUTION",94.2,70.65,42.39,94.2,909 CDM,RX-129613,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),205.3,153.98,92.39,205.3,909 CDM,RX-1299,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.38,0.34,0.5,915 CDM,RX-129956,ISOFLURANE 99.9 % INHALATION LIQUID,145.4,109.05,65.43,145.4,909 CDM,RX-129963,C10-18 TRIGLYCERIDES (BULK) WAX,149.4,112.05,101.1,149.4,915 CDM,RX-1300,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.38,0.34,0.5,915 CDM,RX-130280,BENZOCAINE MICRONIZED (BULK) 100 % POWDER,165.1,123.83,111.72,165.1,915 CDM,RX-130304,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,2.8,2.1,1.89,2.8,915 CDM,RX-13031,BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION,16.2,12.15,7.29,16.2,909 CDM,RX-130320,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN CNR",90.8,68.1,40.86,90.8,909 CDM,RX-130322,SHAMPOO BASE NO.89 (BULK),23.7,17.77,10.67,23.7,909 CDM,RX-130353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15744.5,11808.38,203.58,15744.5,915 CDM,RX-130355,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",17765.9,13324.43,203.58,17765.9,915 CDM,RX-130356,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12017.2,9012.9,203.58,12017.2,915 CDM,RX-130426,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,41.1,30.83,18.5,41.1,909 CDM,RX-130504,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,52.73,31.64,70.3,910 CDM,RX-1306,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,52.7,39.53,23.72,52.7,909 CDM,RX-13073,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.5,4.13,3.72,5.5,915 CDM,RX-13089,LISINOPRIL 2.5 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-130961,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,79.8,59.85,35.91,79.8,912 CDM,RX-1312,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,128.4,96.3,57.78,128.4,910 CDM,RX-13133,VALACYCLOVIR 500 MG TABLET,9.6,7.2,6.5,9.6,915 CDM,RX-131452,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH,63.3,47.48,42.84,63.3,915 CDM,RX-131571,"ANTITHROMBIN III, HUMAN RECOMBINANT 525 UNIT INTRAVENOUS SOLUTION",46.4,34.8,20.88,46.4,909 CDM,RX-131693,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,271.8,245.24,362.4,915 CDM,RX-13184,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",5.8,4.35,3.92,5.8,915 CDM,RX-131981,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,18076.6,13557.45,89.34,18076.6,915 CDM,RX-13203,CLOBETASOL 0.05 % TOPICAL GEL,122.6,91.95,82.96,122.6,915 CDM,RX-132046,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION,372.0,279.0,167.4,372.0,912 CDM,RX-13545,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,8925.75,2000.94,11901.0,915 CDM,RX-1355,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-1357,CARBAMAZEPINE 200 MG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-13577,FLUCONAZOLE 150 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-1359,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,65.5,49.13,44.32,65.5,915 CDM,RX-13644,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",6.8,5.1,4.6,6.8,915 CDM,RX-13651,MICONAZOLE NITRATE 2 % TOPICAL OINTMENT,26.8,20.1,18.14,26.8,915 CDM,RX-13691,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4346.8,3260.1,1730.32,4346.8,915 CDM,RX-13884,COLESTIPOL 1 GRAM TABLET,18.3,13.73,12.38,18.3,915 CDM,RX-1395,CARISOPRODOL 350 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-13979,ACITRETIN 25 MG CAPSULE,24.2,18.15,16.38,24.2,915 CDM,RX-13980,ACITRETIN 10 MG CAPSULE,22.1,16.58,14.96,22.1,915 CDM,RX-13981,LAMOTRIGINE 25 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-13982,LAMOTRIGINE 100 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-14087,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,9.07,8.19,12.1,915 CDM,RX-14100,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,12.75,11.5,17.0,915 CDM,RX-14101,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",14.5,10.88,9.81,14.5,915 CDM,RX-14123,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,171.75,103.05,229.0,909 CDM,RX-14132,KETOCONAZOLE 2 % SHAMPOO,83.2,62.4,56.3,83.2,915 CDM,RX-14233,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,58.7,44.03,39.72,58.7,915 CDM,RX-14266,LAMOTRIGINE 150 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-14348,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,36.95,27.715,15.93,38.5,1818 CDM,RX-14349,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,26.63,15.98,35.5,910 CDM,RX-1445,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.3,27.98,16.79,37.3,913 CDM,RX-14471,DORZOLAMIDE 2 % EYE DROPS,77.6,58.2,52.51,77.6,915 CDM,RX-14550,TERAZOSIN 1 MG CAPSULE,7.8,5.85,5.28,7.8,915 CDM,RX-14553,TERAZOSIN 5 MG CAPSULE,7.2,5.4,4.87,7.2,915 CDM,RX-14626,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.7,4.28,3.86,5.7,915 CDM,RX-14628,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",13.0,9.75,8.8,13.0,915 CDM,RX-14632,TRAMADOL 50 MG TABLET,10.5,7.88,7.11,10.5,915 CDM,RX-14643,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",562.9,422.18,8.54,562.9,915 CDM,RX-1465,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.5,32.63,19.58,43.5,909 CDM,RX-14702,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),28.7,21.53,19.42,28.7,915 CDM,RX-14719,METFORMIN 850 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-14720,GRANISETRON HCL 1 MG TABLET,9.3,6.98,6.29,9.3,915 CDM,RX-14793,TIZANIDINE 4 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-14823,LOSARTAN 25 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-14824,LOSARTAN 50 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-14825,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,135.38,122.14,180.5,915 CDM,RX-14868,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,65.47,39.29,87.3,909 CDM,RX-14953,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,55.3,41.48,37.42,55.3,915 CDM,RX-15065,FAMOTIDINE 10 MG TABLET,2.3,1.73,1.56,2.3,915 CDM,RX-15113,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,4.88,2.93,6.5,911 CDM,RX-15119,SEVOFLURANE 99.97 % INHALATION LIQUID,263.2,197.4,118.44,263.2,909 CDM,RX-15156,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),203.9,152.93,63.06,203.9,915 CDM,RX-15157,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),450.6,337.95,63.06,450.6,915 CDM,RX-15327,SUMATRIPTAN 25 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-15328,SUMATRIPTAN 50 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-15330,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,76.6,57.45,34.47,76.6,910 CDM,RX-15339,"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE",7.7,5.78,5.21,7.7,915 CDM,RX-15340,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",6.8,5.1,4.6,6.8,915 CDM,RX-15341,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",7.1,5.33,4.8,7.1,915 CDM,RX-15370,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,44.4,33.3,19.98,44.4,909 CDM,RX-15426,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,60.0,45.0,27.0,60.0,909 CDM,RX-15595,BUPIVACAINE (BULK) 100 % POWDER,72.4,54.3,32.58,72.4,909 CDM,RX-15636,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",3.0,2.25,2.03,3.0,915 CDM,RX-15706,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,11.5,8.63,7.78,11.5,915 CDM,RX-15717,GLUCOSAMINE SULFATE 500 MG CAPSULE,2.2,1.65,1.49,2.2,915 CDM,RX-15723,SOTALOL 120 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-15738,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,156.0,140.75,208.0,915 CDM,RX-15746,BICALUTAMIDE 50 MG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-15747,CARVEDILOL 6.25 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-15748,CARVEDILOL 25 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-15797,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,35.3,26.48,23.89,35.3,915 CDM,RX-15847,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",89.0,66.75,40.05,89.0,909 CDM,RX-15852,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,115.05,69.03,153.4,910 CDM,RX-15859,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,141.75,85.05,189.0,910 CDM,RX-15880,LAMIVUDINE 150 MG TABLET,24.2,18.15,16.38,24.2,915 CDM,RX-15881,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,127.43,114.97,169.9,915 CDM,RX-15950,SODIUM HYPOCHLORITE 0.25 % SOLUTION,106.2,79.65,71.87,106.2,915 CDM,RX-15981,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,74.03,44.42,98.7,910 CDM,RX-15996,METHADONE 10 MG/ML ORAL CONCENTRATE,10.6,7.95,7.17,10.6,915 CDM,RX-16005,TRETINOIN 10 MG CAPSULE,92.1,69.08,62.32,92.1,915 CDM,RX-16013,ISOPROPYL ALCOHOL 70 % SOLUTION,146.5,109.88,99.14,146.5,915 CDM,RX-16014,D5LR KCL 20 MEQ/L IV SOLP,198.8,149.1,89.46,198.8,909 CDM,RX-16034,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,226.65,204.5,302.2,915 CDM,RX-16052,DESMOPRESSIN 0.1 MG TABLET,10.6,7.95,7.17,10.6,915 CDM,RX-16053,DESMOPRESSIN 0.2 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-16070,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,93.15,55.89,124.2,909 CDM,RX-16081,FAMCICLOVIR 250 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-16082,FAMCICLOVIR 125 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-16124,RILUZOLE 50 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-16162,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,59.93,35.96,79.9,911 CDM,RX-16169,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,191.6,143.7,86.22,191.6,909 CDM,RX-16205,ANASTROZOLE 1 MG TABLET,7.9,5.93,5.35,7.9,915 CDM,RX-16218,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,9.3,8.39,12.4,915 CDM,RX-1623,CHLORDIAZEPOXIDE 25 MG CAPSULE,7.4,5.55,5.01,7.4,915 CDM,RX-1624,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,4.28,3.86,5.7,915 CDM,RX-16254,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12851.7,9638.78,733.67,12851.7,915 CDM,RX-162657,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",389.2,291.9,49.03,389.2,915 CDM,RX-162678,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15703.6,11777.7,391.07,15703.6,915 CDM,RX-162685,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,108.98,98.32,145.3,915 CDM,RX-162695,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1259.2,944.4,0.46,1259.2,915 CDM,RX-162696,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,787.0,590.25,0.46,787.0,915 CDM,RX-162702,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 CDM,RX-162703,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 CDM,RX-162732,CANGRELOR 50 MG INTRAVENOUS SOLUTION,3886.1,2914.58,19.98,3886.1,915 CDM,RX-162802,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,46.5,34.88,20.93,46.5,909 CDM,RX-162803,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,10.2,7.65,4.59,10.2,909 CDM,RX-162804,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,34.88,20.93,46.5,909 CDM,RX-162828,BREXPIPRAZOLE 0.5 MG TABLET,166.3,124.73,112.54,166.3,915 CDM,RX-162859,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,15.0,13.53,20.0,915 CDM,RX-162860,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,18.68,16.85,24.9,915 CDM,RX-162861,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,62.93,56.78,83.9,915 CDM,RX-16299,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,56.6,42.45,38.3,56.6,915 CDM,RX-163068,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 CDM,RX-163286,PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID,0.5,0.38,0.34,0.5,1830 CDM,RX-163352,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,35.25,20.77,47.0,915 CDM,RX-1634,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,31.65,18.99,42.2,910 CDM,RX-163404,DIMETHICONE 1.2 %-COLLOIDAL OATMEAL LOTION,81.8,61.35,55.35,81.8,915 CDM,RX-163412,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,5168.02,3100.82,6890.7,909 CDM,RX-163432,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,12144.9,9108.67,66.0,12144.9,915 CDM,RX-163450,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,35.7,26.78,24.16,35.7,915 CDM,RX-163451,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,35.7,26.78,24.16,35.7,915 CDM,RX-163452,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.4,43.05,38.84,57.4,915 CDM,RX-163463,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,293.4,220.05,73.94,293.4,915 CDM,RX-163464,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,29337.4,22003.05,73.94,29337.4,915 CDM,RX-163500,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,66.08,59.62,88.1,915 CDM,RX-163511,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,13156.8,9867.6,31.27,13156.8,915 CDM,RX-163518,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,368.48,332.46,491.3,915 CDM,RX-163529,ORA-BLEND,66.9,50.18,30.11,66.9,909 CDM,RX-16355,GLIMEPIRIDE 1 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-163550,COBIMETINIB 20 MG TABLET,457.8,343.35,309.79,457.8,915 CDM,RX-16356,GLIMEPIRIDE 2 MG TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-163563,OSIMERTINIB 40 MG TABLET,1866.0,1399.5,1262.72,1866.0,915 CDM,RX-163564,OSIMERTINIB 80 MG TABLET,1866.0,1399.5,1262.72,1866.0,915 CDM,RX-163597,CARBOXYMETHYLCELLULOSE 1 %-GLYCERIN 0.9 % EYE GEL DROPS,93.1,69.83,63.0,93.1,915 CDM,RX-163649,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9418.3,7063.73,7.89,9418.3,915 CDM,RX-163650,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12557.6,9418.2,7.89,12557.6,915 CDM,RX-163687,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5595.8,4196.85,13.49,5595.8,915 CDM,RX-16369,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 CDM,RX-163690,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,40840.0,30630.0,539.91,40840.0,915 CDM,RX-16371,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,39.75,23.85,53.0,911 CDM,RX-163742,SELEXIPAG 200 MCG TABLET,904.2,678.15,611.87,904.2,915 CDM,RX-163743,SELEXIPAG 400 MCG TABLET,1118.1,838.58,756.62,1118.1,915 CDM,RX-1645,CHLORPHENIRAMINE 4 MG TABLET,2.3,1.73,1.56,2.3,915 CDM,RX-1649,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,86.0,64.5,38.7,86.0,910 CDM,RX-165206,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,529.9,397.43,238.46,529.9,909 CDM,RX-165219,SELENIUM SULFIDE 2.5 % LOTION,93.2,69.9,63.07,93.2,915 CDM,RX-1653,CHLORPROMAZINE 10 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-166055,CARIPRAZINE 1.5 MG CAPSULE,170.1,127.58,115.11,170.1,915 CDM,RX-166069,ZINC SULFATE HEPTAHYDRATE (BULK) 100 % POWDER,2216.7,1662.53,997.52,2216.7,909 CDM,RX-1661,CHLORTHALIDONE 25 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-166105,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,3822.3,2866.73,5.57,3822.3,915 CDM,RX-16632,PAROXETINE 10 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-16646,SODIUM CITRATE DIHYDRATE 46.7 % CONCENTRATE FOR INJECTION,320.1,240.08,144.05,320.1,909 CDM,RX-166601,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1053.7,790.28,713.04,1053.7,915 CDM,RX-167317,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5690.0,4267.5,2560.5,5690.0,909 CDM,RX-167327,PSYLLIUM HUSK 0.4 GRAM CAPSULE,0.5,0.38,0.34,0.5,915 CDM,RX-167336,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,4519.0,3389.25,10.95,4519.0,915 CDM,RX-167382,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,182.03,164.24,242.7,915 CDM,RX-167407,SODIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLUTION CNR,102.2,76.65,45.99,102.2,909 CDM,RX-167446,VENETOCLAX 10 MG TABLET,53.4,40.05,36.14,53.4,915 CDM,RX-167447,VENETOCLAX 50 MG TABLET,226.7,170.03,153.41,226.7,915 CDM,RX-167448,VENETOCLAX 100 MG TABLET,460.0,345.0,311.28,460.0,915 CDM,RX-16830,MELATONIN 3 MG TABLET,2.4,1.8,1.62,2.4,915 CDM,RX-169245,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,39.7,29.78,17.87,39.7,909 CDM,RX-169252,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,54.3,40.73,24.44,54.3,909 CDM,RX-169255,BRIVARACETAM 25 MG TABLET,95.9,71.93,64.9,95.9,915 CDM,RX-169256,BRIVARACETAM 50 MG TABLET,95.9,71.93,64.9,95.9,915 CDM,RX-169321,OXYCODONE ER 9 MG CAPSULE SPRINKLE EXTENDED RELEASE 12 HR(DON'T CRUSH),33.1,24.83,22.4,33.1,915 CDM,RX-169325,OXYCODONE ER 36 MG CAPSULE SPRINKLE EXTENDED RELEASE 12HR(DON'T CRUSH),88.3,66.22,59.75,88.3,915 CDM,RX-17010,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,4.43,3.99,5.9,915 CDM,RX-17012,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),236.7,177.53,106.52,236.7,909 CDM,RX-170144,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,5.18,4.67,6.9,915 CDM,RX-17023,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-170260,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7076.4,5307.3,55.65,7076.4,915 CDM,RX-17037,AMITRIPTYLINE (BULK) POWDER,12.7,9.53,5.72,12.7,909 CDM,RX-17050,BACLOFEN (BULK) 100 % POWDER,223.2,167.4,100.44,223.2,909 CDM,RX-170725,LEECH (MEDICINAL),98.3,73.72,44.24,98.3,909 CDM,RX-170793,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,32.17,1.85,42.9,915 CDM,RX-170794,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,32.17,1.85,42.9,915 CDM,RX-170817,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR,58.7,44.03,39.72,58.7,915 CDM,RX-17085,CLONIDINE HCL (BULK) POWDER,835.2,626.4,375.84,835.2,909 CDM,RX-17111,DICLOFENAC SODIUM (BULK) 100% POWDER,417.1,312.83,187.7,417.1,909 CDM,RX-17121,GEMCITABINE 200 MG/5.26 ML INTRAVENOUS SOLUTION (WETTED),125.6,94.2,56.52,125.6,909 CDM,RX-17122,GEMCITABINE 1 GRAM/26.3 ML INTRAVENOUS SOLUTION (WETTED),46.5,34.88,20.93,46.5,909 CDM,RX-171418,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",9.4,7.05,6.36,9.4,915 CDM,RX-171424,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,236.95,177.715,102.6,245.9,1818 CDM,RX-171881,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,148.13,49.63,197.5,919 CDM,RX-172004,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8849.2,6636.9,12.99,8849.2,915 CDM,RX-172384,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1732.6,1299.45,19.99,1732.6,915 CDM,RX-172405,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,909 CDM,RX-17285,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),106.2,79.65,47.79,106.2,909 CDM,RX-17377,RISPERIDONE 1 MG/ML ORAL SOLUTION,5.6,4.2,3.79,5.6,915 CDM,RX-17378,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2289.3,1716.98,546.29,2289.3,915 CDM,RX-17379,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.5,33.38,20.03,44.5,910 CDM,RX-17380,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,51.7,38.78,23.27,51.7,910 CDM,RX-17387,AZITHROMYCIN 600 MG TABLET,9.6,7.2,6.5,9.6,915 CDM,RX-1740,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,4.35,3.92,5.8,915 CDM,RX-17405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,191.0,143.25,129.25,191.0,915 CDM,RX-1742,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,76.9,57.68,52.04,76.9,915 CDM,RX-17427,MELATONIN 5 MG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-17451,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),664.4,498.3,298.98,664.4,909 CDM,RX-17466,MIRTAZAPINE 15 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-175390,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,392.5,294.38,112.45,392.5,915 CDM,RX-175414,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 CDM,RX-175461,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,129.3,116.66,172.4,915 CDM,RX-1755,CLONIDINE HCL 0.1 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-17560,CALCIPOTRIENE 0.005 % SCALP SOLUTION,741.9,556.42,502.04,741.9,915 CDM,RX-1757,CLONIDINE HCL 0.3 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-17595,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,3640 CDM,RX-17600,SODIUM PHENYLBUTYRATE 500 MG TABLET,46.2,34.65,31.26,46.2,915 CDM,RX-176471,LINACLOTIDE 72 MCG CAPSULE,35.6,26.7,24.09,35.6,915 CDM,RX-1767,CLOTRIMAZOLE 1 % TOPICAL CREAM,57.2,42.9,38.71,57.2,915 CDM,RX-1768,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,204.6,153.45,138.45,204.6,915 CDM,RX-1769,CLOTRIMAZOLE 1 % VAGINAL CREAM,63.1,47.33,42.7,63.1,915 CDM,RX-177126,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1978.4,1483.8,10.54,1978.4,915 CDM,RX-177309,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8494.2,6370.65,100.09,8494.2,915 CDM,RX-177327,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,85515.7,64136.78,59.41,85515.7,915 CDM,RX-177340,DEUTETRABENAZINE 6 MG TABLET,275.0,206.25,186.09,275.0,915 CDM,RX-17801,ACETIC ACID 2 % EAR SOLUTION,123.7,92.78,83.71,123.7,915 CDM,RX-17837,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,106.2,79.65,71.87,106.2,915 CDM,RX-178542,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5455.6,4091.7,75.03,5455.6,915 CDM,RX-178584,MIDOSTAURIN 25 MG CAPSULE,760.6,570.45,514.7,760.6,915 CDM,RX-178590,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,10857.05,8142.79,85.12,17511.3,1830 CDM,RX-178633,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,2630.63,20.99,3507.5,915 CDM,RX-17881,BRIMONIDINE 0.2 % EYE DROPS,69.6,52.2,47.1,69.6,915 CDM,RX-17923,CLOBETASOL 0.05 % LOTION,264.1,198.08,178.72,264.1,915 CDM,RX-179245,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",23022.3,17266.72,36.69,23022.3,915 CDM,RX-179279,UREA 15 GRAM ORAL POWDER PACKET,16.3,12.23,11.03,16.3,915 CDM,RX-179282,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR,164.7,123.53,74.12,164.7,910 CDM,RX-179339,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,45708.7,34281.53,34.18,45708.7,915 CDM,RX-179343,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",26311.2,19733.4,36.69,26311.2,915 CDM,RX-17936,OLANZAPINE 5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-179442,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1536.6,1152.45,27.0,1536.6,915 CDM,RX-179936,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,389.78,351.68,519.7,915 CDM,RX-17997,AMMONIUM LACTATE 12 % TOPICAL CREAM,18.7,14.03,12.65,18.7,915 CDM,RX-179989,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,71.3,53.48,32.09,71.3,909 CDM,RX-180021,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),45627.7,34220.78,256.09,45627.7,915 CDM,RX-180034,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),97040.4,72780.3,2698.05,97040.4,915 CDM,RX-1801,CODEINE SULFATE 15 MG TABLET,12.4,9.3,8.39,12.4,915 CDM,RX-180236,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,584.0,438.0,262.8,584.0,915 CDM,RX-180268,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),41775.2,31331.4,236.62,41775.2,915 CDM,RX-180301,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20903.1,15677.33,9406.4,20903.1,909 CDM,RX-180304,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,16.1,12.08,7.25,16.1,909 CDM,RX-181058,"HYALURONATE SODIUM, STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE",4133.6,3100.2,6.77,4133.6,915 CDM,RX-181078,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,820.5,615.38,2.18,820.5,915 CDM,RX-181122,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,438.45,395.6,584.6,915 CDM,RX-181145,DILTIAZEM HCL 100 MG/100 ML (1 MG/ML) IN SOD CHLORIDE IV SOLN (PREMIX/CNR),231.3,173.48,104.09,231.3,909 CDM,RX-181158,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2789.6,2092.2,18.3,2789.6,915 CDM,RX-181219,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,169.05,101.43,225.4,909 CDM,RX-181221,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,225.4,169.05,101.43,225.4,909 CDM,RX-181229,"HEPARIN(PORCINE) 2,500 UNIT/250 ML(10 UNIT/ML)-0.9 % SOD CHLOR IV SOLN",10.3,7.73,4.64,10.3,909 CDM,RX-181322,LETERMOVIR 480 MG TABLET,903.8,677.85,611.6,903.8,915 CDM,RX-181355,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,65489.9,49117.43,56.1,65489.9,915 CDM,RX-18192,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,30.83,18.5,41.1,910 CDM,RX-18193,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,42.3,31.73,19.04,42.3,909 CDM,RX-18195,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,28.88,17.33,38.5,913 CDM,RX-1821,COLCHICINE 0.6 MG TABLET,16.8,12.6,11.37,16.8,915 CDM,RX-182171,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.7,29.03,1.23,38.7,915 CDM,RX-182747,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6153.9,4615.43,6.97,6153.9,915 CDM,RX-182777,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7554.1,5665.58,3399.35,7554.1,909 CDM,RX-182838,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,147938.25,316.99,197251.0,916 CDM,RX-18288,BISOPROLOL FUMARATE 5 MG TABLET,8.4,6.3,5.68,8.4,915 CDM,RX-18289,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-18290,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-18291,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-18292,TORSEMIDE 10 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-18293,TORSEMIDE 20 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-18294,TORSEMIDE 100 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-18302,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,37.8,22.68,50.4,909 CDM,RX-18303,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,42.7,32.03,19.22,42.7,909 CDM,RX-18304,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,42.3,31.73,19.04,42.3,909 CDM,RX-18307,GABAPENTIN 400 MG CAPSULE,5.6,4.2,3.79,5.6,915 CDM,RX-18308,GABAPENTIN 300 MG CAPSULE,5.5,4.13,3.72,5.5,915 CDM,RX-18309,GABAPENTIN 100 MG CAPSULE,5.4,4.05,3.65,5.4,915 CDM,RX-18313,RISPERIDONE 1 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-18385,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,5.7,5.14,7.6,915 CDM,RX-18386,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,3.9,3.52,5.2,915 CDM,RX-183958,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,353.33,318.79,471.1,915 CDM,RX-18398,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,127.73,76.64,170.3,909 CDM,RX-18399,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,363.3,272.48,163.49,363.3,909 CDM,RX-183990,IBRUTINIB 140 MG TABLET,1116.0,837.0,755.2,1116.0,915 CDM,RX-183991,IBRUTINIB 280 MG TABLET,1116.0,837.0,755.2,1116.0,915 CDM,RX-183992,IBRUTINIB 420 MG TABLET,1116.1,837.08,755.26,1116.1,915 CDM,RX-18400,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,250.6,187.95,112.77,250.6,909 CDM,RX-18551,CARVEDILOL 3.125 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-185995,NETARSUDIL 0.02 % EYE DROPS,1281.3,960.98,867.06,1281.3,915 CDM,RX-186059,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,517.5,388.13,232.88,517.5,909 CDM,RX-186060,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,484.88,290.93,646.5,909 CDM,RX-18621,LATANOPROST 0.005 % EYE DROPS,63.5,47.63,42.97,63.5,915 CDM,RX-18743,PENCICLOVIR 1 % TOPICAL CREAM,2342.7,1757.03,1585.31,2342.7,915 CDM,RX-18786,DONEPEZIL 5 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-188271,COCAINE 4 % NASAL SOLUTION,1088.8,816.6,489.96,1088.8,909 CDM,RX-188272,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,53.48,18.11,71.3,915 CDM,RX-188342,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,8952.5,6714.38,279.85,8952.5,915 CDM,RX-188357,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,133.4,100.05,60.03,133.4,909 CDM,RX-188451,FOSTAMATINIB 100 MG TABLET,853.7,640.28,577.7,853.7,915 CDM,RX-188461,BACLOFEN 5 MG TABLET,9.9,7.43,6.7,9.9,915 CDM,RX-188490,ERENUMAB-AOOE 70 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2902.8,2177.1,1964.32,2902.8,915 CDM,RX-188809,BARICITINIB 2 MG TABLET,306.6,229.95,207.48,306.6,915 CDM,RX-188821,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",72.4,54.3,7.85,72.4,915 CDM,RX-188823,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",144.8,108.6,7.85,144.8,915 CDM,RX-188824,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",361.9,271.43,7.85,361.9,915 CDM,RX-188825,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1447.2,1085.4,7.85,1447.2,915 CDM,RX-188907,ORA-SWEET SYRUP,66.9,50.18,45.27,66.9,915 CDM,RX-18908,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,44.5,33.38,20.03,44.5,909 CDM,RX-189119,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4854.6,3640.95,99.13,4854.6,915 CDM,RX-18918,LEVOFLOXACIN 250 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-18919,LEVOFLOXACIN 500 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-18920,TOPIRAMATE 25 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-18922,TOPIRAMATE 100 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-189704,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,869.0,651.75,391.05,869.0,909 CDM,RX-189705,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,60.3,54.41,80.4,915 CDM,RX-189706,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,60.3,54.41,80.4,915 CDM,RX-189711,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,187.4,140.55,84.33,187.4,910 CDM,RX-189763,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,19512.2,14634.15,248.5,19512.2,915 CDM,RX-189766,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,39140.0,29355.0,99.97,39140.0,915 CDM,RX-190262,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,311.9,233.93,0.3,311.9,915 CDM,RX-190348,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,630.0,378.0,840.0,913 CDM,RX-190637,KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION,6996.0,5247.0,775.52,6996.0,916 CDM,RX-190640,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,7236.0,6528.8,9648.0,915 CDM,RX-190645,RIVAROXABAN 2.5 MG TABLET,27.7,20.78,18.74,27.7,915 CDM,RX-190652,CANNABIDIOL 100 MG/ML ORAL SOLUTION,3306.4,2479.8,2237.44,3306.4,915 CDM,RX-190682,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,45089.3,33816.98,29.29,45089.3,915 CDM,RX-190746,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,122.6,91.95,82.96,122.6,915 CDM,RX-190766,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,534.38,320.63,712.5,909 CDM,RX-191093,LORLATINIB 25 MG TABLET,768.3,576.23,519.91,768.3,915 CDM,RX-191397,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,46.8,35.1,21.06,46.8,910 CDM,RX-191414,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12537.6,9403.2,106.33,12537.6,915 CDM,RX-191751,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,274.3,205.73,123.44,274.3,909 CDM,RX-191752,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,72.3,54.23,32.54,72.3,911 CDM,RX-191759,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",102.9,77.18,46.31,102.9,911 CDM,RX-19176,ATORVASTATIN 10 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-191760,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,108948.0,81711.0,384.85,145264.0,1830 CDM,RX-191765,"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION",8.4,6.3,3.78,8.4,909 CDM,RX-191767,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 800 MG/100 ML SOLN,101.3,75.97,45.59,101.3,909 CDM,RX-19178,ATORVASTATIN 20 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-19179,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,55.65,50.21,74.2,915 CDM,RX-192141,PRUCALOPRIDE 2 MG TABLET,7.6,5.7,5.14,7.6,915 CDM,RX-192158,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,311.9,233.93,0.3,311.9,915 CDM,RX-192159,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,499.0,374.25,0.3,499.0,915 CDM,RX-192180,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,28369.7,21277.28,802.49,28369.7,915 CDM,RX-19226,CABERGOLINE 0.5 MG TABLET,14.5,10.88,9.81,14.5,915 CDM,RX-192456,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,16.43,9.86,21.9,909 CDM,RX-192458,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,22.65,13.59,30.2,909 CDM,RX-192471,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1543.5,1157.63,102.94,1543.5,915 CDM,RX-192795,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9959.9,7469.93,12.07,9959.9,915 CDM,RX-192798,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,168.4,126.3,113.96,168.4,915 CDM,RX-193273,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,529.88,317.93,706.5,909 CDM,RX-19333,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,31.28,18.77,41.7,909 CDM,RX-193545,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,640.5,384.3,854.0,909 CDM,RX-193548,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,926.25,555.75,1235.0,910 CDM,RX-193551,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",204.3,153.23,91.94,204.3,910 CDM,RX-193582,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14661.5,10996.13,47.55,14661.5,915 CDM,RX-193694,DAROLUTAMIDE 300 MG TABLET,366.5,274.88,248.01,366.5,915 CDM,RX-194006,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",95.0,71.25,42.75,95.0,909 CDM,RX-194044,CARDIOPLEGIC SOLUTION (DEL NIDO) FOR PERFUSION (PREMIX/CNR),458.8,344.1,206.46,458.8,909 CDM,RX-194278,MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY,1071.3,803.48,724.95,1071.3,915 CDM,RX-194307,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,144.0,86.4,192.0,909 CDM,RX-19433,WARFARIN 3 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-19436,BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION,21.1,15.83,9.5,21.1,909 CDM,RX-194541,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,121951.8,91463.85,82.08,121951.8,915 CDM,RX-194701,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5236.4,3927.3,47.55,5236.4,915 CDM,RX-19483,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)-VITAMIN D3 5 MCG (200 UNIT) TABLET",0.5,0.38,0.34,0.5,915 CDM,RX-19490,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,105.95,79.465,25.43,155.4,1818 CDM,RX-194908,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,6152.65,4614.49,29.38,10254.4,1830 CDM,RX-194930,BARICITINIB 1 MG TABLET,306.6,229.95,207.48,306.6,915 CDM,RX-194980,LUSPATERCEPT-AAMT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION (WETTED),16689.4,12517.05,41.98,16689.4,915 CDM,RX-194981,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),50067.8,37550.85,41.98,50067.8,915 CDM,RX-195000,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9757.8,7318.35,129.48,9757.8,915 CDM,RX-195263,INSULIN REGULAR U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,67.6,50.7,45.74,67.6,915 CDM,RX-195280,"MINERAL OIL, LIGHT STERILE",19.8,14.85,13.4,19.8,915 CDM,RX-195359,ENFORTUMAB VEDOTIN-EJFV 20 MG/2 ML INTRAVENOUS SOLUTION (WETTED),11174.2,8380.65,36.74,11174.2,915 CDM,RX-195360,ENFORTUMAB VEDOTIN-EJFV 30 MG/3 ML INTRAVENOUS SOLUTION (WETTED),16761.4,12571.05,36.74,16761.4,915 CDM,RX-195531,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,4250.9,3188.175,25.77,6801.4,1830 CDM,RX-195532,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,69.7,52.28,31.37,69.7,909 CDM,RX-195533,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,5081.65,3811.2400000000002,27.85,8469.4,1830 CDM,RX-195632,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,74474.9,55856.18,359.19,74474.9,915 CDM,RX-195821,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9661.2,7245.9,27.99,9661.2,915 CDM,RX-195825,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,915.0,686.25,2.42,915.0,915 CDM,RX-196123,CENOBAMATE 50 MG TABLET,145.7,109.28,98.6,145.7,915 CDM,RX-196125,CENOBAMATE 150 MG TABLET,145.7,109.28,98.6,145.7,915 CDM,RX-196147,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7972.3,5979.23,19.97,7972.3,915 CDM,RX-196157,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,325.35,293.55,433.8,915 CDM,RX-196167,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3685.4,2764.05,81.9,3685.4,915 CDM,RX-19636,PHENYLEPHRINE 10 % EYE DROPS,115.7,86.78,52.07,115.7,909 CDM,RX-196585,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,48960.0,36720.0,318.53,48960.0,915 CDM,RX-196729,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2819.0,2114.25,6.73,2819.0,915 CDM,RX-196785,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1482.3,1111.72,20.41,1482.3,916 CDM,RX-196809,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),160.2,120.15,108.41,160.2,915 CDM,RX-196819,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",44480.9,33360.68,55.57,44480.9,915 CDM,RX-19696,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,113.93,68.36,151.9,909 CDM,RX-19703,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1324.5,993.38,896.29,1324.5,915 CDM,RX-19704,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,54.0,40.5,24.3,54.0,909 CDM,RX-19711,CLINDAMYCIN 1 % LOTION,124.8,93.6,84.45,124.8,915 CDM,RX-19713,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,668.7,501.53,452.51,668.7,915 CDM,RX-19714,DICLOFENAC 0.1 % EYE DROPS,84.2,63.15,56.98,84.2,915 CDM,RX-197214,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,192106.6,144079.95,495.55,192106.6,915 CDM,RX-19722,"FLUOROMETHOLONE 0.25 % EYE DROPS,SUSPENSION",553.3,414.98,374.42,553.3,915 CDM,RX-19733,KETOROLAC 0.5 % EYE DROPS,79.8,59.85,35.91,79.8,909 CDM,RX-19740,METHYLCELLULOSE (LAXATIVE) 500 MG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-19741,METRONIDAZOLE 0.75 % TOPICAL GEL,355.2,266.4,240.36,355.2,915 CDM,RX-197426,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,648.8,486.6,291.96,648.8,909 CDM,RX-19746,OFLOXACIN 0.3 % EYE DROPS,81.2,60.9,54.95,81.2,915 CDM,RX-19749,PRAMOXINE 1 % TOPICAL FOAM,346.7,260.02,234.61,346.7,915 CDM,RX-19770,TRIAMCINOLONE ACETONIDE 0.147 MG/GRAM TOPICAL AEROSOL,507.5,380.63,343.43,507.5,915 CDM,RX-197891,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,455.1,341.33,0.63,963.1,2745 CDM,RX-197894,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1752.9,1051.74,2337.2,909 CDM,RX-197901,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5443.9,4082.93,14.31,5443.9,915 CDM,RX-19791,POVIDONE-IODINE 5 % EYE SOLUTION,36.4,27.3,16.38,36.4,909 CDM,RX-19805,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,112.58,101.57,150.1,915 CDM,RX-19809,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,47.7,35.78,32.28,47.7,915 CDM,RX-198139,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,98.0,73.5,44.1,98.0,909 CDM,RX-198230,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION",171.8,128.85,77.31,171.8,909 CDM,RX-198280,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,6375.0,594.28,8500.0,915 CDM,RX-198294,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",270.3,202.73,121.64,270.3,909 CDM,RX-198317,SORBITOL-MANNITOL-XANTHAN GUM ORAL LIQUID,5.1,3.83,3.45,5.1,915 CDM,RX-198336,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16816.9,12612.68,136.67,16816.9,915 CDM,RX-198343,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,497.0,372.75,1.3,497.0,915 CDM,RX-198548,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,438.45,395.6,584.6,915 CDM,RX-198578,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,882.0,661.5,361.8,960.0,1818 CDM,RX-198592,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,60966.149999999994,45724.615,225.11,95803.9,1830 CDM,RX-19882,SERTRALINE 25 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-198995,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,911 CDM,RX-199017,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",723.6,542.7,7.85,723.6,915 CDM,RX-199018,LUMASIRAN 94.5 MG/0.5 ML SUBCUTANEOUS SOLUTION,105173.3,78879.98,329.05,105173.3,915 CDM,RX-199036,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,443.7,266.22,591.6,915 CDM,RX-199108,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,6623.299999999999,4967.475,26.51,11038.8,1830 CDM,RX-19928,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,512.3,384.23,346.67,512.3,915 CDM,RX-199349,PONATINIB 30 MG TABLET,2072.7,1554.53,1402.6,2072.7,915 CDM,RX-199456,VERICIGUAT 2.5 MG TABLET,70.7,53.03,47.84,70.7,915 CDM,RX-199680,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,1.88,1.69,2.5,915 CDM,RX-199683,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),114719.29999999999,86039.47499999999,193.76,178988.4,1830 CDM,RX-199691,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),6416.7,4812.52,5.46,6416.7,915 CDM,RX-200074,MIDAZOLAM 100 MG/100 ML(1 MG/ML) IN 0.9% NACL CADD PUMP RESERVOIR FOR INFUSION TITRATION (PF PREMIX/PF & PRES. CONTAINING CNR),142.6,106.95,64.17,142.6,909 CDM,RX-20038,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,72.7,54.53,49.2,72.7,915 CDM,RX-20039,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,82.8,62.1,56.03,82.8,915 CDM,RX-200465,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8250.3,6187.73,2116.32,8250.3,915 CDM,RX-200470,ARTESUNATE 110 MG/11 ML INTRAVENOUS SOLUTION (WETTED) (RESTRICTED),21395.7,16046.78,9628.07,21395.7,909 CDM,RX-200613,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),116119.1,87089.33,216.9,116119.1,915 CDM,RX-200621,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,48813.6,36610.2,243.71,48813.6,915 CDM,RX-20077,MESNA 400 MG TABLET,91.4,68.55,61.85,91.4,915 CDM,RX-2008,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-200961,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15143.0,11357.25,22.54,15143.0,915 CDM,RX-2010,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-201100,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,8625.0,346.49,11500.0,915 CDM,RX-2012,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-201275,NIMODIPINE 60 MG/10 ML ORAL SOLUTION,161.0,120.755,103.06,169.7,2745 CDM,RX-201407,FLUORODOPA F-18 0.42 MCI/ML TO 8.33 MCI/ML INTRAVENOUS SOLUTION,28061.9,21046.43,12627.86,28061.9,909 CDM,RX-201497,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,242.18,145.31,322.9,909 CDM,RX-20156,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,46.2,34.65,20.79,46.2,909 CDM,RX-201569,BELUMOSUDIL 200 MG TABLET,1953.9,1465.43,1322.2,1953.9,915 CDM,RX-2017,CYCLOBENZAPRINE 10 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-201765,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21967.6,16475.7,18.08,21967.6,915 CDM,RX-201788,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,8105.9,6079.43,80.91,8105.9,915 CDM,RX-202117,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),29440.4,22080.3,188.76,29440.4,915 CDM,RX-202260,"POLYDIMETHYLSILOXANES 5,000 MILLIPASCAL SECONDS INTRAOCULAR SYRINGE",1839.8,1379.85,827.91,1839.8,909 CDM,RX-202326,AVACOPAN 10 MG CAPSULE,371.2,278.4,251.19,371.2,915 CDM,RX-2025,CYCLOPENTOLATE 1 % EYE DROPS,243.2,182.4,164.57,243.2,915 CDM,RX-202724,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13878.1,10408.58,12.32,13878.1,915 CDM,RX-202754,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,27954.2,20965.65,84.57,27954.2,915 CDM,RX-202759,MARIBAVIR 200 MG TABLET,760.3,570.23,514.5,760.3,915 CDM,RX-202818,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),25256.8,18942.6,32.15,25256.8,915 CDM,RX-202821,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16823.0,12617.25,7.02,16823.0,915 CDM,RX-202990,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,18258.3,13693.73,18.01,18258.3,915 CDM,RX-203033,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,85566.8,64175.1,217.09,85566.8,915 CDM,RX-203169,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,7500.0,362.5,10000.0,918 CDM,RX-2033,CYPROHEPTADINE 4 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-203366,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,121125.0,255.84,161500.0,915 CDM,RX-203379,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,38.78,23.27,51.7,915 CDM,RX-203441,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,257.2,192.9,0.38,257.2,915 CDM,RX-203442,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,391.8,293.85,0.38,391.8,915 CDM,RX-203531,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,1082.03,976.28,1442.7,915 CDM,RX-203539,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,62575.6,46931.7,197.83,62575.6,915 CDM,RX-204132,TIRZEPATIDE (DIABETES) 5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1030.8,773.1,697.54,1030.8,915 CDM,RX-204338,TREPROSTINIL 16 MCG CARTRIDGE,3337.5,2503.13,2258.49,3337.5,915 CDM,RX-204341,TREPROSTINIL 64 MCG CARTRIDGE,3200.1,2400.07,2165.51,3200.1,915 CDM,RX-204409,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,40400.4,30300.3,14.94,40400.4,915 CDM,RX-20446,ANAGRELIDE 0.5 MG CAPSULE,7.4,5.55,5.01,7.4,915 CDM,RX-205029,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,17000.0,12750.0,7650.0,17000.0,909 CDM,RX-205031,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,733.4,550.05,47.97,733.4,915 CDM,RX-20566,MELOXICAM 7.5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-205801,TERLIPRESSIN 0.85 MG/5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),3748.5,2811.38,1686.83,3748.5,909 CDM,RX-205880,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,91408.4,68556.305,140.9,168753.9,1830 CDM,RX-205883,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,36090.0,27067.5,33.58,36090.0,915 CDM,RX-205884,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7076.5,5307.38,33.58,7076.5,915 CDM,RX-206042,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),67.9,50.93,28.85,229.3,2727 CDM,RX-206100,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,27317.5,20488.13,69.49,27317.5,915 CDM,RX-206112,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,59642.8,44732.1,37.66,59642.8,915 CDM,RX-206414,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,8625.0,346.49,11500.0,915 CDM,RX-206435,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,79898.2,59923.65,22.15,79898.2,915 CDM,RX-206437,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,77031.6,57773.7,654.63,77031.6,915 CDM,RX-206683,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,47068.3,35301.23,70.75,47068.3,915 CDM,RX-206740,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1060.1,795.08,1.32,1060.1,915 CDM,RX-207067,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,3390.4,2542.8,39.96,5476.8,1830 CDM,RX-208099,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,246.7,185.03,111.02,246.7,909 CDM,RX-208249,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,66870.1,50152.58,55.84,66870.1,915 CDM,RX-20825001,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 CDM,RX-20825002,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 CDM,RX-20825004,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5572.6,4179.45,55.84,5572.6,915 CDM,RX-208285,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,9221.7,671.22,12295.6,916 CDM,RX-208510,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,8459.0,6344.25,10.63,8459.0,915 CDM,RX-208526,PEDIATRIC MULTIVITAMIN NO.227-FERROUS SULFATE 10 MG CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-208602,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,27358.55,20518.915,2767.88,43773.7,1830 CDM,RX-208615,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",65641.0,49230.75,33.89,65641.0,915 CDM,RX-20887,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,33.08,19.85,44.1,909 CDM,RX-208897,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP",417.4,313.05,187.83,417.4,909 CDM,RX-208898,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,313.05,187.83,417.4,909 CDM,RX-208977,QUIZARTINIB 17.7 MG TABLET,1807.7,1355.78,1223.27,1807.7,915 CDM,RX-2091,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),43.8,32.85,19.71,43.8,909 CDM,RX-209218,ATROPINE 0.4 MG/ML INJECTION SOLUTION,67.3,50.48,30.29,67.3,909 CDM,RX-209236,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,695.4,521.55,312.93,695.4,909 CDM,RX-209350,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,41232.8,30924.6,72.62,41232.8,915 CDM,RX-209351,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3322.2,2491.65,72.62,3322.2,915 CDM,RX-209379,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,40859.0,30644.255,184.07,51926.3,1830 CDM,RX-20943,AZITHROMYCIN 250 MG TABLET,7.3,5.48,4.94,7.3,915 CDM,RX-20954,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,89.8,67.35,40.41,89.8,909 CDM,RX-209967,ATROPINE 0.25 MG/5 ML (0.05 MG/ML) INTRAVENOUS SYRINGE,115.6,86.7,52.02,115.6,909 CDM,RX-210341,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,38161.9,28621.43,43.05,38161.9,915 CDM,RX-210352,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,38814.4,29110.8,39.41,38814.4,915 CDM,RX-210410,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT",48.8,36.6,21.96,48.8,915 CDM,RX-21044,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,13040.4,9780.3,1730.32,13040.4,915 CDM,RX-21045,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2067.8,1550.85,176.45,2067.8,915 CDM,RX-21058,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,78.2,58.65,52.92,78.2,915 CDM,RX-21061,OXCARBAZEPINE 300 MG TABLET,7.7,5.78,5.21,7.7,915 CDM,RX-21062,CITALOPRAM 20 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-210621,ASPIRIN 325 MG-SODIUM BICARBONATE-CITRIC ACID EFFERVESCENT TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-21063,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.1,34.58,20.75,46.1,910 CDM,RX-210658,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,41910.0,31432.5,195.72,41910.0,915 CDM,RX-210875,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,16608.2,12456.15,106.33,16608.2,915 CDM,RX-2110,SODIUM HYPOCHLORITE 0.5 % SOLUTION,110.8,83.1,74.98,110.8,915 CDM,RX-21108,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2757.0,2067.75,176.45,2757.0,915 CDM,RX-211333,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),730000.0,547500.0,795.0,730000.0,915 CDM,RX-21135,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,96.53,87.09,128.7,915 CDM,RX-211413,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2822.3,2116.73,1270.04,2822.3,909 CDM,RX-211540,CENOBAMATE 25 MG TABLET,145.7,109.28,98.6,145.7,915 CDM,RX-211544,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1349.0,1011.75,4.42,1349.0,915 CDM,RX-211545,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3372.4,2529.3,4.42,3372.4,915 CDM,RX-211546,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6744.7,5058.52,4.42,6744.7,915 CDM,RX-211992,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,691.9,518.92,311.36,691.9,909 CDM,RX-212006,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,61460.2,46095.15,1564.64,61460.2,915 CDM,RX-212007,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6146.0,4609.5,1564.64,6146.0,915 CDM,RX-212319,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,312.3,234.23,1.91,312.3,920 CDM,RX-212362,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),10585.3,7938.98,57.03,10585.3,915 CDM,RX-212364,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),42341.1,31755.83,57.03,42341.1,915 CDM,RX-21287,PRAMIPEXOLE 0.125 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-21288,PRAMIPEXOLE 1 MG TABLET,8.8,6.6,5.95,8.8,915 CDM,RX-212894,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION,22173.4,16630.05,57.45,22173.4,915 CDM,RX-21290,PRAMIPEXOLE 0.25 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-21300,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",6.3,4.72,4.26,6.3,915 CDM,RX-2132,DAPSONE 25 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-213274,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,57916.4,43437.3,75.97,57916.4,915 CDM,RX-213287,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",47485.6,35614.2,31.58,47485.6,915 CDM,RX-21372,WARFARIN 4 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-213976,REVUMENIB 110 MG TABLET,2097.8,1573.35,1419.58,2097.8,915 CDM,RX-213977,REVUMENIB 160 MG TABLET,2024.2,1518.15,1369.78,2024.2,915 CDM,RX-213990,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14559.5,10919.63,25.05,14559.5,915 CDM,RX-214256,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,48566.6,36424.95,32.91,48566.6,915 CDM,RX-214809,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,32864.3,24648.225,55.65,46646.1,1830 CDM,RX-214843,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",32229.6,24172.2,27.36,32229.6,915 CDM,RX-214933,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19845.2,14883.9,51.56,19845.2,915 CDM,RX-21509,LETROZOLE 2.5 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-215434,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),12200.0,9150.0,32.33,12200.0,915 CDM,RX-215437,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,2283.2,1712.4,1545.04,2283.2,915 CDM,RX-215439,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2440.0,1830.0,32.33,2440.0,915 CDM,RX-215462,GLUCOSE 3.75 GRAM CHEWABLE TABLET,2.3,1.73,1.56,2.3,915 CDM,RX-215504,SUZETRIGINE 50 MG TABLET,56.7,42.53,38.37,56.7,915 CDM,RX-215999,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,20052.6,15039.45,31.35,20052.6,915 CDM,RX-216005,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,5.93,3.56,7.9,909 CDM,RX-21672,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT,21120.0,15840.0,9504.0,21120.0,909 CDM,RX-21688,ROPINIROLE 0.25 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-21689,ROPINIROLE 1 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-217239,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6702.2,5026.65,27.54,6702.2,915 CDM,RX-217246,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,1373.4,1030.05,1.68,1373.4,915 CDM,RX-217377,TREPROSTINIL SODIUM 26.5 MCG CAPSULE WITH INHALATION DEVICE,19561.3,14670.98,13237.13,19561.3,915 CDM,RX-217379,TREPROSTINIL SODIUM 79.5 MCG CAPSULE WITH INHALATION DEVICE,19561.3,14670.98,13237.13,19561.3,915 CDM,RX-217575,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",189.9,142.43,85.46,189.9,909 CDM,RX-217595,DENOSUMAB-BMWO 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,11602.9,8702.17,28.13,11602.9,915 CDM,RX-217665,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,381.75,229.05,509.0,909 CDM,RX-217951,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,92.5,69.38,41.63,92.5,909 CDM,RX-217955,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,25.3,18.98,11.39,25.3,910 CDM,RX-21823,QUETIAPINE 25 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-21824,QUETIAPINE 100 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-218390,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,31682.4,23761.8,172.22,31682.4,915 CDM,RX-218412,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,118.95,71.37,158.6,909 CDM,RX-21900,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,406.5,304.88,21.48,406.5,915 CDM,RX-219415,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,95472.0,71604.0,42962.4,95472.0,909 CDM,RX-220046,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,664.4,498.3,298.98,664.4,909 CDM,RX-220047,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,909 CDM,RX-220048,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,67.2,50.4,30.24,67.2,909 CDM,RX-220049,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION,860.0,645.0,387.0,860.0,909 CDM,RX-220050,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,236.7,177.53,106.52,236.7,909 CDM,RX-220054,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,129.8,97.35,58.41,129.8,909 CDM,RX-220056,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24041.8,18031.35,139.21,24041.8,915 CDM,RX-220061,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10585.3,7938.98,57.03,10585.3,915 CDM,RX-220460,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,51.0,38.25,22.95,51.0,909 CDM,RX-220592,NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION,146410.3,109807.73,65884.64,146410.3,909 CDM,RX-22120,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,310.13,186.08,413.5,915 CDM,RX-22142,CLOPIDOGREL 75 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-22143,RALOXIFENE 60 MG TABLET,22.5,16.88,15.23,22.5,915 CDM,RX-22148,ACARBOSE 25 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-22149,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",9866.8,7400.1,75.22,16444.6,1830 CDM,RX-22185,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1911.7,1433.78,6.28,1911.7,915 CDM,RX-22240,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,34.05,30.72,45.4,915 CDM,RX-22251,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,136.2,102.15,92.17,136.2,915 CDM,RX-22257,OFLOXACIN 0.3 % EAR DROPS,98.3,73.72,66.52,98.3,915 CDM,RX-22289,CEFDINIR 300 MG CAPSULE,18.2,13.65,12.32,18.2,915 CDM,RX-22409,DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM,64.1,48.08,43.38,64.1,915 CDM,RX-22469,"LACTASE 3,000 UNIT TABLET",3.4,2.55,2.3,3.4,915 CDM,RX-22472,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,28.2,0.3,37.6,920 CDM,RX-22473,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,28.28,0.3,37.7,919 CDM,RX-22509,MONTELUKAST 10 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-22510,MONTELUKAST 5 MG CHEWABLE TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-22560,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,89.35,67.015,39.25,120.7,1830 CDM,RX-22586,REPAGLINIDE 1 MG TABLET,15.3,11.48,10.35,15.3,915 CDM,RX-22660,URSODIOL 250 MG TABLET,12.3,9.23,8.32,12.3,915 CDM,RX-22661,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,131.3,98.48,59.09,131.3,909 CDM,RX-2279,HYDROCORTISONE ACETATE 1 % TOPICAL CREAM,17.2,12.9,11.64,17.2,915 CDM,RX-22837,SILDENAFIL 50 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-2286,DESIPRAMINE 25 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-22953,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",513.5,385.13,347.49,513.5,915 CDM,RX-22982,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,80.4,60.3,54.41,80.4,915 CDM,RX-22986,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,747.83,448.7,997.1,909 CDM,RX-22987,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,422.7,317.02,286.04,422.7,915 CDM,RX-22992,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,11.1,8.32,7.51,11.1,915 CDM,RX-22993,CAPECITABINE 150 MG TABLET,6.7,5.03,0.04,6.7,915 CDM,RX-22994,CAPECITABINE 500 MG TABLET,33.7,25.28,0.04,33.7,915 CDM,RX-23036,POTASSIUM HYDROXIDE (BULK) 10 % SOLUTION,58.8,44.1,26.46,58.8,909 CDM,RX-23050,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,240.8,180.6,108.36,240.8,910 CDM,RX-23063,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,49.8,44.93,66.4,915 CDM,RX-23082,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,17584.6,13188.45,4686.85,17584.6,915 CDM,RX-23101,KETAMINE HCL (BULK) 100 % POWDER,1318.2,988.65,593.19,1318.2,909 CDM,RX-23122,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,4.43,3.99,5.9,915 CDM,RX-23128,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,48.5,36.38,21.83,48.5,910 CDM,RX-2320,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,50.18,45.27,66.9,915 CDM,RX-2322,DEXAMETHASONE 0.5 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-23233,MAFENIDE 50 GRAM TOPICAL PACKET,1023.8,767.85,692.81,1023.8,915 CDM,RX-23234,CIPROFLOXACIN 0.3 % EYE OINTMENT,818.2,613.65,553.68,818.2,915 CDM,RX-2324,DEXAMETHASONE 1 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-2327,DEXAMETHASONE 4 MG TABLET,8.1,6.08,5.48,8.1,915 CDM,RX-2332,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,27.68,16.61,36.9,914 CDM,RX-2335,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,193.3,144.98,130.81,193.3,915 CDM,RX-23365,RIFAPENTINE 150 MG TABLET,21.5,16.13,14.55,21.5,915 CDM,RX-23461,LIDOCAINE 4 % TOPICAL CREAM,60.9,45.68,41.21,60.9,915 CDM,RX-2350,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,900.98,540.59,1201.3,909 CDM,RX-2357,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),80.3,60.23,35.33,82.9,2727 CDM,RX-2359,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,144.23,86.54,192.3,909 CDM,RX-23617,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,292.9,219.68,131.81,292.9,909 CDM,RX-2364,D5W IV SOLP,82.0,61.5,36.9,82.0,909 CDM,RX-2365,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,68.63,41.18,91.5,909 CDM,RX-2367,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,189.0,141.75,85.05,189.0,909 CDM,RX-23796,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1851.6,1388.7,31.09,1851.6,915 CDM,RX-23814,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,14.2,10.65,9.61,14.2,915 CDM,RX-23872,LEFLUNOMIDE 10 MG TABLET,12.5,9.38,8.46,12.5,915 CDM,RX-23968,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),67.2,50.4,30.24,67.2,909 CDM,RX-2403,DIAZEPAM 10 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-2404,DIAZEPAM 2 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-2405,DIAZEPAM 5 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-2417,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,59.7,44.78,26.87,59.7,910 CDM,RX-2418,DICYCLOMINE 10 MG CAPSULE,6.6,4.95,4.47,6.6,915 CDM,RX-24188,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",110.9,83.18,75.05,110.9,915 CDM,RX-2420,DICYCLOMINE 20 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-24216,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-24268,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,4.58,4.13,6.1,915 CDM,RX-24329,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",110.0,82.5,49.5,110.0,911 CDM,RX-24385,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,408.5,306.38,276.43,408.5,915 CDM,RX-24419,LAMIVUDINE 100 MG TABLET,38.1,28.58,25.78,38.1,915 CDM,RX-24425,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,7401.0,5550.75,1323.35,7401.0,915 CDM,RX-24438,ABACAVIR 300 MG TABLET,24.9,18.68,16.85,24.9,915 CDM,RX-2444,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,6.15,5.55,8.2,915 CDM,RX-2445,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,6.68,6.02,8.9,915 CDM,RX-24470,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.0,7.5,6.77,10.0,915 CDM,RX-24473,CILOSTAZOL 50 MG TABLET,7.7,5.78,5.21,7.7,915 CDM,RX-24474,CILOSTAZOL 100 MG TABLET,7.6,5.7,5.14,7.6,915 CDM,RX-24500,CELECOXIB 100 MG CAPSULE,8.4,6.3,5.68,8.4,915 CDM,RX-24513,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2251.4,1688.55,8.54,2251.4,915 CDM,RX-24521,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,4.43,3.99,5.9,915 CDM,RX-24559,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.6,1.95,1.76,2.6,915 CDM,RX-24575,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,530.9,398.18,359.26,530.9,915 CDM,RX-24576,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,494.8,371.1,334.83,494.8,915 CDM,RX-24585,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4589.9,3442.43,999.37,4589.9,915 CDM,RX-24669,METRONIDAZOLE 0.75 % LOTION,521.5,391.13,352.9,521.5,915 CDM,RX-24678,COENZYME Q10 100 MG CAPSULE,3.2,2.4,2.17,3.2,915 CDM,RX-24695,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,124.6,93.45,0.88,124.6,915 CDM,RX-24702,MODAFINIL 100 MG TABLET,26.1,19.58,17.66,26.1,915 CDM,RX-24731,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,75.53,45.32,100.7,909 CDM,RX-2475,DILTIAZEM 30 MG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-2476,DILTIAZEM 60 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-2477,DILTIAZEM 90 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-24844,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,3.6,2.7,2.44,3.6,915 CDM,RX-24914,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,6.0,3.6,8.0,910 CDM,RX-24915,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,8.7,7.85,11.6,915 CDM,RX-24916,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,7.73,6.97,10.3,915 CDM,RX-24932,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,51.0,30.6,68.0,909 CDM,RX-24933,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2647.7,1985.78,1191.47,2647.7,909 CDM,RX-250,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,4.5,4.06,6.0,915 CDM,RX-25005,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,20.4,15.3,9.18,20.4,909 CDM,RX-2508,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,27.75,16.65,37.0,912 CDM,RX-2509,DIPHENHYDRAMINE 25 MG CAPSULE,2.1,1.58,1.42,2.1,915 CDM,RX-2510,DIPHENHYDRAMINE 50 MG CAPSULE,2.1,1.58,1.42,2.1,915 CDM,RX-2511,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,19.7,14.78,13.33,19.7,915 CDM,RX-25118,CIPROFLOXACIN 250 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-25120,CIPROFLOXACIN 750 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-2516,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-25174,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,212.48,127.49,283.3,909 CDM,RX-2528,DIPYRIDAMOLE 25 MG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-253,ALBUTEROL SULFATE 2 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-2530,DIPYRIDAMOLE 75 MG TABLET,8.3,6.23,5.62,8.3,915 CDM,RX-2535,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,8.3,6.23,5.62,8.3,915 CDM,RX-25424,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.7,5.03,4.53,6.7,915 CDM,RX-25471,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,55.43,50.01,73.9,915 CDM,RX-2551,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",8.2,6.15,5.55,8.2,915 CDM,RX-25518,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM/10 ML INTRAVENOUS SOLUTION (WETTED),145.3,108.98,50.26,145.3,915 CDM,RX-25519,RISPERIDONE 0.25 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-2552,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,4.13,3.72,5.5,915 CDM,RX-25528,PIOGLITAZONE 15 MG TABLET,8.3,6.23,5.62,8.3,915 CDM,RX-2566,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.65,1.49,2.2,915 CDM,RX-2568,DOCUSATE SODIUM 50 MG CAPSULE,3.1,2.33,2.1,3.1,915 CDM,RX-25820,IVERMECTIN 3 MG TABLET,15.5,11.63,10.49,15.5,915 CDM,RX-25892,TEMOZOLOMIDE 5 MG CAPSULE,12.7,9.53,8.59,12.7,915 CDM,RX-25893,TEMOZOLOMIDE 20 MG CAPSULE,24.9,18.68,16.85,24.9,915 CDM,RX-25894,TEMOZOLOMIDE 100 MG CAPSULE,25.9,19.43,17.53,25.9,915 CDM,RX-2595,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,34.35,20.61,45.8,909 CDM,RX-2607,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION,196.4,147.3,88.38,196.4,909 CDM,RX-2608,DOXEPIN 10 MG CAPSULE,6.8,5.1,4.6,6.8,915 CDM,RX-2611,DOXEPIN 25 MG CAPSULE,7.3,5.48,4.94,7.3,915 CDM,RX-2612,DOXEPIN 50 MG CAPSULE,8.0,6.0,5.41,8.0,915 CDM,RX-2614,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,5.18,4.67,6.9,915 CDM,RX-2617,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),145.8,109.35,65.61,145.8,909 CDM,RX-2619,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),648.8,486.6,291.96,648.8,909 CDM,RX-2622,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,42.1,31.58,18.95,42.1,910 CDM,RX-26224,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.0,4.5,4.06,6.0,915 CDM,RX-26225,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.6,4.2,3.79,5.6,915 CDM,RX-26226,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,29.48,17.69,39.3,911 CDM,RX-2623,DOXYCYCLINE HYCLATE 100 MG CAPSULE,5.6,4.2,3.79,5.6,915 CDM,RX-2624,DOXYCYCLINE HYCLATE 50 MG CAPSULE,9.6,7.2,6.5,9.6,915 CDM,RX-26336,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,11.33,6.8,15.1,909 CDM,RX-26371,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,5.85,5.28,7.8,915 CDM,RX-26429,ROPINIROLE 4 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-2654,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,46.2,27.72,61.6,910 CDM,RX-26546,OSELTAMIVIR 75 MG CAPSULE,7.6,5.7,5.14,7.6,915 CDM,RX-26547,ENTACAPONE 200 MG TABLET,18.5,13.88,12.52,18.5,915 CDM,RX-26551,EXEMESTANE 25 MG TABLET,8.4,6.3,5.68,8.4,915 CDM,RX-26703,CARBIDOPA 25 MG TABLET,7.3,5.48,4.94,7.3,915 CDM,RX-26816,LEVETIRACETAM 250 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-26817,LEVETIRACETAM 500 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-26854,MOXIFLOXACIN 400 MG TABLET,24.3,18.23,16.44,24.3,915 CDM,RX-26965,DOFETILIDE 125 MCG CAPSULE,14.4,10.8,9.74,14.4,915 CDM,RX-26966,DOFETILIDE 250 MCG CAPSULE,6.0,4.5,4.06,6.0,915 CDM,RX-26967,DOFETILIDE 500 MCG CAPSULE,19.2,14.4,12.99,19.2,915 CDM,RX-27023,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,52.65,47.5,70.2,915 CDM,RX-27038,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",531.0,398.25,359.33,531.0,915 CDM,RX-27046,BUSPIRONE 30 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-27049,OXCARBAZEPINE 150 MG TABLET,6.7,5.03,4.53,6.7,915 CDM,RX-27096,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,425.6,319.2,191.52,425.6,909 CDM,RX-27160,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.4,6.3,5.68,8.4,915 CDM,RX-27253,CEVIMELINE 30 MG CAPSULE,8.2,6.15,5.55,8.2,915 CDM,RX-27322,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES,8.4,6.3,5.68,8.4,915 CDM,RX-27392,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,880.13,528.08,1173.5,909 CDM,RX-27418,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,13.5,12.18,18.0,915 CDM,RX-27419,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,18.23,16.44,24.3,915 CDM,RX-27421,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",28.7,21.53,19.42,28.7,915 CDM,RX-27426,CICLOPIROX 0.77 % TOPICAL GEL,245.9,184.43,166.4,245.9,915 CDM,RX-27430,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,181.7,136.28,81.77,181.7,909 CDM,RX-27431,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",509.0,381.75,108.47,509.0,915 CDM,RX-27456,TESTOSTERONE 75 MG IMPLANT PELLET,343.8,257.85,76.11,343.8,915 CDM,RX-27457,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.3,24.98,22.53,33.3,915 CDM,RX-27458,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,37.8,28.35,25.58,37.8,915 CDM,RX-27459,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,66.2,49.65,44.8,66.2,915 CDM,RX-27460,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,26.03,23.48,34.7,915 CDM,RX-27461,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,25.35,22.87,33.8,915 CDM,RX-27462,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,56.4,42.3,38.17,56.4,915 CDM,RX-27463,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.6,43.2,38.98,57.6,915 CDM,RX-27464,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,110.2,82.65,74.57,110.2,915 CDM,RX-27466,DEXTROSE 40 % ORAL GEL,14.6,10.95,9.88,14.6,915 CDM,RX-27471,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,5.1,4.6,6.8,915 CDM,RX-27472,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,5.48,4.94,7.3,915 CDM,RX-27473,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,169.7,127.28,114.84,169.7,915 CDM,RX-27474,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,5.63,5.08,7.5,915 CDM,RX-27475,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,6.15,5.55,8.2,915 CDM,RX-27489,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.05,3.65,5.4,915 CDM,RX-27490,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",5.5,4.13,3.72,5.5,915 CDM,RX-27505,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,34.0,25.5,23.01,34.0,915 CDM,RX-27506,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.3,39.23,35.39,52.3,915 CDM,RX-27507,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.3,48.98,44.19,65.3,915 CDM,RX-27521,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.3,3.23,2.91,4.3,915 CDM,RX-27631,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,6.0,5.41,8.0,915 CDM,RX-27632,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",13.2,9.9,8.93,13.2,915 CDM,RX-27633,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",8.3,6.23,5.62,8.3,915 CDM,RX-27634,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,4.43,3.99,5.9,915 CDM,RX-27635,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,13.05,11.77,17.4,915 CDM,RX-27642,TOPIRAMATE 25 MG SPRINKLE CAPSULE,6.8,5.1,4.6,6.8,915 CDM,RX-27644,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",8.0,6.0,5.41,8.0,915 CDM,RX-27660,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.93,5.35,7.9,915 CDM,RX-27666,BENZOCAINE 20 % MUCOSAL SPRAY,39.3,29.48,26.59,39.3,915 CDM,RX-27697,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-27735,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,28.2,16.92,37.6,909 CDM,RX-27737,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,68.4,51.3,30.78,68.4,909 CDM,RX-27780,ZONISAMIDE 100 MG CAPSULE,6.8,5.1,4.6,6.8,915 CDM,RX-27796,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,40.05,103.0,3636 CDM,RX-27800,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,92.5,69.375,40.05,96.0,3636 CDM,RX-27804,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,92.5,69.375,40.05,96.0,2727 CDM,RX-27838,NACL 0.9% IV SOLP,80.3,60.23,35.33,90.8,5463 CDM,RX-27857,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",7.0,5.25,4.74,7.0,915 CDM,RX-27858,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,5.33,4.8,7.1,915 CDM,RX-27860,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.03,4.53,6.7,915 CDM,RX-27862,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.03,4.53,6.7,915 CDM,RX-27863,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,4.88,4.4,6.5,915 CDM,RX-27905,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,20.33,18.34,27.1,915 CDM,RX-27906,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,28.8,25.99,38.4,915 CDM,RX-27907,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,32.85,29.64,43.8,915 CDM,RX-27908,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,49.58,44.73,66.1,915 CDM,RX-27931,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,751.5,563.63,338.18,751.5,909 CDM,RX-27933,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION,755.0,566.25,339.75,755.0,909 CDM,RX-27963,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,882.0,661.5,396.9,882.0,909 CDM,RX-27964,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,888.5,666.38,399.83,888.5,909 CDM,RX-27992,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,58.65,52.92,78.2,915 CDM,RX-28011,SERTRALINE 20 MG/ML ORAL CONCENTRATE,7.9,5.93,5.35,7.9,915 CDM,RX-28017,GELATIN ABSORBABLE MUCOSAL POWDER,303.3,227.48,136.49,303.3,909 CDM,RX-28018,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",31.7,23.78,14.27,31.7,909 CDM,RX-28028,GELATIN ABSORBABLE EYE FILM,749.3,561.98,337.19,749.3,909 CDM,RX-28034,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,2.5,1.88,1.69,2.5,915 CDM,RX-28048,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,64.8,48.6,43.85,64.8,915 CDM,RX-28055,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,41.25,37.22,55.0,915 CDM,RX-28113,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,64.13,38.48,85.5,909 CDM,RX-28116,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,62.85,37.71,83.8,909 CDM,RX-28159,OLANZAPINE 5 MG DISINTEGRATING TABLET,10.1,7.58,6.83,10.1,915 CDM,RX-28203,LIDOCAINE 5 % TOPICAL PATCH,12.0,9.0,8.12,12.0,915 CDM,RX-28205,PEPPERMINT SPIRIT ORAL,30.8,23.1,13.86,30.8,909 CDM,RX-28224,LINEZOLID 600 MG TABLET,15.7,11.78,10.62,15.7,915 CDM,RX-28225,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,990.68,893.85,1320.9,915 CDM,RX-28226,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,75.97,45.59,101.3,909 CDM,RX-28228,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,8.3,6.23,5.62,8.3,915 CDM,RX-28235,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,154.88,92.93,206.5,909 CDM,RX-28246,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1262.4,946.8,854.27,1262.4,915 CDM,RX-28278,RIVASTIGMINE 1.5 MG CAPSULE,14.2,10.65,9.61,14.2,915 CDM,RX-28279,RIVASTIGMINE 3 MG CAPSULE,6.0,4.5,4.06,6.0,915 CDM,RX-28282,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,227.4,170.55,153.88,227.4,915 CDM,RX-28384,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.3,9.23,8.32,12.3,915 CDM,RX-28408,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,35.1,31.67,46.8,915 CDM,RX-28409,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,48.1,36.08,32.55,48.1,915 CDM,RX-2850,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.7,48.53,29.12,64.7,910 CDM,RX-28534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,148.3,111.23,100.35,148.3,915 CDM,RX-28558,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,3188.2,2391.15,474.84,3188.2,915 CDM,RX-28572,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-28643,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.4,6.3,5.68,8.4,915 CDM,RX-28774,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,9.0,8.12,12.0,915 CDM,RX-28775,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,12.45,11.23,16.6,915 CDM,RX-28809,WHITE PETROLATUM TOPICAL JELLY,52.7,39.53,35.66,52.7,915 CDM,RX-28810,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",206.1,154.57,139.47,206.1,915 CDM,RX-28815,GLYCERIN (BULK) 100 % LIQUID,46.1,34.58,31.2,46.1,915 CDM,RX-28824,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,56.93,51.36,75.9,915 CDM,RX-28842,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,4.95,4.47,6.6,915 CDM,RX-28843,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.98,6.29,9.3,915 CDM,RX-28844,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,386.7,348.91,515.6,915 CDM,RX-2888,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,27.2,20.4,18.41,27.2,915 CDM,RX-28899,OXYCODONE 15 MG TABLET,12.1,9.07,8.19,12.1,915 CDM,RX-28911,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),407.8,305.85,183.51,407.8,915 CDM,RX-28912,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1431.6,1073.7,328.34,1431.6,915 CDM,RX-28913,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,177.3,132.98,79.79,177.3,909 CDM,RX-28917,CHONDROITIN-SOD HYALURON 4%-3% (0.5 ML)- 1% (0.55 ML) INTRAOCULAR SYRINGE,329.3,246.98,148.19,329.3,909 CDM,RX-2892,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",24.6,18.45,16.65,24.6,915 CDM,RX-28923,CHONDROITIN-SOD HYALURON 4%-3% (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,207.7,155.78,93.47,207.7,909 CDM,RX-28925,SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE,568.3,426.23,255.74,568.3,909 CDM,RX-28929,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,45.53,41.08,60.7,915 CDM,RX-28947,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1449.6,1087.2,0.8,1449.6,915 CDM,RX-28958,SIROLIMUS 1 MG TABLET,33.4,25.05,15.03,33.4,909 CDM,RX-28964,LEVOFLOXACIN 750 MG TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-2899,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,426.3,319.73,288.48,426.3,915 CDM,RX-28995,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.6,4.95,4.47,6.6,915 CDM,RX-2901,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,46.7,35.03,31.6,46.7,915 CDM,RX-2903,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,249.6,187.2,112.32,249.6,909 CDM,RX-29048,ALENDRONATE 70 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-29071,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1435.6,1076.7,646.02,1435.6,909 CDM,RX-29072,ALENDRONATE 35 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-29270,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.72,4.26,6.3,915 CDM,RX-29272,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.2,4.65,4.2,6.2,915 CDM,RX-29274,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,4.8,4.33,6.4,915 CDM,RX-29276,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,7.43,6.7,9.9,915 CDM,RX-29280,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,912 CDM,RX-29287,DOCOSANOL 10 % TOPICAL CREAM,51.3,38.48,34.71,51.3,915 CDM,RX-29299,BALSALAZIDE 750 MG CAPSULE,7.4,5.55,5.01,7.4,915 CDM,RX-29302,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,91.88,82.9,122.5,915 CDM,RX-2931,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,69.4,52.05,31.23,69.4,909 CDM,RX-29313,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,5091.3,3818.48,1828.72,5091.3,915 CDM,RX-2932,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,48.45,29.07,64.6,909 CDM,RX-29335,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,32.1,19.26,42.8,909 CDM,RX-29396,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,145.3,108.98,65.39,145.3,909 CDM,RX-29424,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,76.1,57.08,51.5,76.1,915 CDM,RX-29442,TACROLIMUS 0.03 % TOPICAL OINTMENT,153.7,115.28,104.01,153.7,915 CDM,RX-29443,TACROLIMUS 0.1 % TOPICAL OINTMENT,140.9,105.68,95.35,140.9,915 CDM,RX-29449,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 CDM,RX-29464,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,187.2,140.4,84.24,187.2,909 CDM,RX-2951,ETHYL CHLORIDE 100 % TOPICAL SPRAY,173.5,130.13,117.41,173.5,915 CDM,RX-29676,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,4.2,2.52,5.6,909 CDM,RX-29745,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",5.5,4.13,3.72,5.5,915 CDM,RX-29778,ZIPRASIDONE 20 MG CAPSULE,12.5,9.38,8.46,12.5,915 CDM,RX-29805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",345.9,259.43,155.66,345.9,909 CDM,RX-29806,GALANTAMINE 4 MG TABLET,19.4,14.55,13.13,19.4,915 CDM,RX-29834,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,100.0,75.0,45.0,100.0,909 CDM,RX-29858,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.1,5.33,4.8,7.1,915 CDM,RX-30070,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.9,5.18,4.67,6.9,915 CDM,RX-30148,VALGANCICLOVIR 450 MG TABLET,35.9,26.93,24.29,35.9,915 CDM,RX-30264,CITALOPRAM 10 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-30275,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,289.8,217.35,130.41,289.8,909 CDM,RX-30479,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,202.6,151.95,137.1,202.6,915 CDM,RX-30538,GUAR GUM ORAL PACKET,4.2,3.15,2.84,4.2,915 CDM,RX-3071,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,14.6,10.95,9.88,14.6,915 CDM,RX-30807,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",144.7,108.53,65.12,144.7,909 CDM,RX-30961,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.4,6.3,3.78,8.4,909 CDM,RX-310,ALLOPURINOL 100 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-31025,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",185.4,139.05,83.43,185.4,909 CDM,RX-311,ALLOPURINOL 300 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-31121,GABAPENTIN (BULK) 100 % POWDER,38.3,28.73,25.92,38.3,915 CDM,RX-3123070,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),129.8,97.35,58.41,129.8,909 CDM,RX-31310,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,720.8,540.6,94.45,720.8,916 CDM,RX-31432,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,18439.6,13829.7,5168.23,18439.6,915 CDM,RX-31576,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",49.9,37.42,33.77,49.9,915 CDM,RX-31587,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",12.0,9.0,8.12,12.0,915 CDM,RX-31684,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,17.3,12.98,11.71,17.3,915 CDM,RX-3177,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16708.0,12531.0,4128.02,16708.0,915 CDM,RX-31783,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",38.3,28.73,25.92,38.3,915 CDM,RX-3186,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,121.1,90.83,81.95,121.1,915 CDM,RX-31864,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,17.7,13.28,11.98,17.7,915 CDM,RX-3187,FLUOCINONIDE 0.05 % TOPICAL CREAM,84.9,63.68,57.45,84.9,915 CDM,RX-3188,FLUOCINONIDE 0.05 % TOPICAL GEL,150.4,112.8,101.78,150.4,915 CDM,RX-3189,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,75.7,56.78,51.23,75.7,915 CDM,RX-3190,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,81.75,73.76,109.0,915 CDM,RX-31906,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,211.88,127.13,282.5,909 CDM,RX-31921,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,48.5,36.38,21.83,48.5,909 CDM,RX-31922,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,40.2,30.15,18.09,40.2,910 CDM,RX-32052,PIMECROLIMUS 1 % TOPICAL CREAM,374.8,281.1,253.63,374.8,915 CDM,RX-3208,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,223.2,201.39,297.6,915 CDM,RX-3218,FLUPHENAZINE 1 MG TABLET,12.7,9.53,8.59,12.7,915 CDM,RX-32215,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,43.8,26.28,58.4,909 CDM,RX-32248,NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH,93.5,70.13,63.27,93.5,915 CDM,RX-32267,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,18076.6,13557.45,89.34,18076.6,915 CDM,RX-3232,FOLIC ACID 5 MG/ML INJECTION SOLUTION,111.2,83.4,50.04,111.2,909 CDM,RX-3233,FOLIC ACID 1 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-3234,FOLIC ACID 400 MCG TABLET,2.7,2.03,1.83,2.7,915 CDM,RX-324,ALPRAZOLAM 0.25 MG TABLET,11.0,8.25,7.44,11.0,915 CDM,RX-32416,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",13.9,10.43,9.41,13.9,915 CDM,RX-325,ALPRAZOLAM 0.5 MG TABLET,11.4,8.55,7.71,11.4,915 CDM,RX-32700,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2404.0,1803.0,6.5,2404.0,916 CDM,RX-32855,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,104.1,78.08,46.85,104.1,909 CDM,RX-32893,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,374.0,280.5,168.3,374.0,916 CDM,RX-3291,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,46.2,34.65,17.6,48.0,2730 CDM,RX-32914,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",40.0,30.0,18.0,40.0,909 CDM,RX-3292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,20.33,18.34,27.1,915 CDM,RX-32931,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1613.9,1210.43,54.71,1613.9,915 CDM,RX-3294,FUROSEMIDE 20 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-3295,FUROSEMIDE 40 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-32979,IMATINIB 100 MG TABLET,15.2,11.4,10.29,15.2,915 CDM,RX-33008,VORICONAZOLE 50 MG TABLET,28.1,21.08,19.02,28.1,915 CDM,RX-33009,VORICONAZOLE 200 MG TABLET,79.9,59.93,54.07,79.9,915 CDM,RX-33109,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,193.2,144.9,86.94,193.2,909 CDM,RX-33175,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,42.9,32.17,19.31,42.9,909 CDM,RX-33227,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.2,6.9,6.23,9.2,915 CDM,RX-33228,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.6,7.2,6.5,9.6,915 CDM,RX-33230,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,21.8,16.35,14.75,21.8,915 CDM,RX-33512,ESCITALOPRAM 10 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-33541,VALSARTAN 40 MG TABLET,7.9,5.93,5.35,7.9,915 CDM,RX-33591,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4225.3,3168.98,377.52,4225.3,915 CDM,RX-33669,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1121.8,841.35,176.45,1121.8,916 CDM,RX-3378,GEMFIBROZIL 600 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-33986,CLOTRIMAZOLE 2 % VAGINAL CREAM,73.1,54.83,49.47,73.1,915 CDM,RX-34089,DUTASTERIDE 0.5 MG CAPSULE,5.7,4.28,3.86,5.7,915 CDM,RX-3423,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,73.8,66.59,98.4,915 CDM,RX-3424,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,77.85,70.24,103.8,915 CDM,RX-3425,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,32.1,19.26,42.8,909 CDM,RX-3426,GENTAMICIN 40 MG/ML INJECTION SOLUTION,92.6,69.45,41.67,92.6,911 CDM,RX-3428,GENTAMICIN 0.3 % EYE DROPS,63.9,47.93,43.24,63.9,915 CDM,RX-3430,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,55.95,33.57,74.6,909 CDM,RX-34369,ARIPIPRAZOLE 10 MG TABLET,6.7,5.03,4.53,6.7,915 CDM,RX-34418,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.93,5.35,7.9,915 CDM,RX-34444,ATOMOXETINE 10 MG CAPSULE,9.2,6.9,6.23,9.2,915 CDM,RX-34446,ATOMOXETINE 25 MG CAPSULE,14.0,10.5,9.47,14.0,915 CDM,RX-34447,ATOMOXETINE 40 MG CAPSULE,7.6,5.7,5.14,7.6,915 CDM,RX-34448,ATOMOXETINE 60 MG CAPSULE,7.1,5.33,4.8,7.1,915 CDM,RX-34505,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.5,8.63,7.78,11.5,915 CDM,RX-346,ALUMINUM POTASSIUM SULFATE (ALUM) POWDER (STERILE),251.1,188.33,113.0,251.1,909 CDM,RX-34711,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,12.45,7.47,16.6,909 CDM,RX-34712,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,22.7,17.02,10.22,22.7,910 CDM,RX-34713,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,17.6,13.2,11.91,17.6,915 CDM,RX-34714,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,18.8,14.1,12.72,18.8,915 CDM,RX-34769,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,3.2,2.4,2.17,3.2,915 CDM,RX-3489,GLYBURIDE 5 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-34897,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,7.9,5.93,5.35,7.9,915 CDM,RX-3493,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,61.13,36.68,81.5,909 CDM,RX-35126,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,351.23,316.9,468.3,915 CDM,RX-35135,ROSUVASTATIN 20 MG TABLET,9.0,6.75,6.09,9.0,915 CDM,RX-35168,URSODIOL (BULK) 100 % POWDER,8085.0,6063.75,5471.12,8085.0,915 CDM,RX-35209,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,9.6,8.66,12.8,915 CDM,RX-35236,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1504.0,1128.0,176.45,1504.0,915 CDM,RX-3542,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.38,0.34,0.5,915 CDM,RX-35488,APREPITANT 80 MG CAPSULE,332.2,249.15,149.49,332.2,909 CDM,RX-35489,APREPITANT 125 MG CAPSULE,576.4,432.3,259.38,576.4,909 CDM,RX-35495,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,266.0,199.5,180.0,266.0,915 CDM,RX-35625,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,13.8,10.35,9.34,13.8,915 CDM,RX-35628,CLONAZEPAM 1 MG DISINTEGRATING TABLET,7.9,5.93,5.35,7.9,915 CDM,RX-35640,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,43.8,26.28,58.4,909 CDM,RX-35686,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-35699,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,61.05,36.63,81.4,909 CDM,RX-35771,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",5.3,3.98,3.59,5.3,915 CDM,RX-35775,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,32249.2,24186.9,230.15,32249.2,915 CDM,RX-3583,HALOPERIDOL 5 MG TABLET,7.8,5.85,5.28,7.8,915 CDM,RX-3584,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,912 CDM,RX-3585,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,6.3,4.72,4.26,6.3,915 CDM,RX-35891,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,95.3,71.47,64.49,95.3,915 CDM,RX-36046,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 CDM,RX-36092,IMATINIB 400 MG TABLET,49.4,37.05,33.43,49.4,915 CDM,RX-36252,EMTRICITABINE 200 MG CAPSULE,58.5,43.88,39.59,58.5,915 CDM,RX-36267,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.5,43.13,38.91,57.5,915 CDM,RX-364,AMANTADINE HCL 100 MG CAPSULE,8.8,6.6,5.95,8.8,915 CDM,RX-36438,ARIPIPRAZOLE 5 MG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-365,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,65.4,49.05,44.26,65.4,915 CDM,RX-36576,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",284.4,213.3,127.98,284.4,909 CDM,RX-36578,FERUMOXSIL 175 MCG/ML IRON ORAL SUSPENSION,223.3,167.48,100.49,223.3,909 CDM,RX-36591,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,42.1,31.58,18.95,42.1,909 CDM,RX-36612,ROSUVASTATIN 5 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-3664,HOMATROPINE 5 % EYE DROPS,115.9,86.93,52.16,115.9,909 CDM,RX-36775,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.0,7.5,6.77,10.0,915 CDM,RX-36823,ALPHA LIPOIC ACID 100 MG CAPSULE,2.4,1.8,1.62,2.4,915 CDM,RX-36959,AMIODARONE 100 MG TABLET,14.1,10.58,9.54,14.1,915 CDM,RX-36962,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,5.8,4.35,3.92,5.8,915 CDM,RX-3697,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.6,35.7,21.42,47.6,911 CDM,RX-36976,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,7.58,6.83,10.1,915 CDM,RX-3698,HYDRALAZINE 10 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-36982,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.05,3.65,5.4,915 CDM,RX-36983,EPLERENONE 25 MG TABLET,20.1,15.08,13.6,20.1,915 CDM,RX-36986,TADALAFIL 20 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-36987,ZONISAMIDE 25 MG CAPSULE,5.3,3.98,3.59,5.3,915 CDM,RX-36989,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,89.1,66.83,40.1,89.1,910 CDM,RX-3700,HYDRALAZINE 25 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-37170,MEMANTINE 5 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-3720,HYDROCHLOROTHIAZIDE 25 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-3721,HYDROCHLOROTHIAZIDE 50 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-3725,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,47.33,42.7,63.1,915 CDM,RX-3726,HYDROCORTISONE 1 % TOPICAL CREAM,157.1,117.83,106.31,157.1,915 CDM,RX-3727,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,43.95,39.65,58.6,915 CDM,RX-3728,HYDROCORTISONE 1 % LOTION,68.2,51.15,46.15,68.2,915 CDM,RX-3731,HYDROCORTISONE 1 % TOPICAL OINTMENT,57.3,42.98,38.77,57.3,915 CDM,RX-3732,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,46.95,42.36,62.6,915 CDM,RX-3733,HYDROCORTISONE 10 MG TABLET,10.2,7.65,6.9,10.2,915 CDM,RX-37343,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.5,3.38,3.05,4.5,915 CDM,RX-3735,HYDROCORTISONE (BULK) POWDER,687.6,515.7,309.42,687.6,909 CDM,RX-3738,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,10.5,7.88,7.11,10.5,915 CDM,RX-37400,TADALAFIL 5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-3752,HYDROGEN PEROXIDE 3 % SOLUTION,5.4,4.05,3.65,5.4,915 CDM,RX-3760,HYDROMORPHONE 2 MG TABLET,11.3,8.48,7.65,11.3,915 CDM,RX-3762,HYDROMORPHONE (BULK) 100 % POWDER,36438.5,27328.88,16397.33,36438.5,910 CDM,RX-37635,ESCITALOPRAM 5 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-37637,METOPROLOL TARTRATE 25 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-37643,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",6.7,5.03,4.53,6.7,915 CDM,RX-37644,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,10.58,9.54,14.1,915 CDM,RX-37645,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",7.0,5.25,4.74,7.0,915 CDM,RX-37648,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.7,7.28,6.56,9.7,915 CDM,RX-37649,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",7.5,5.63,5.08,7.5,915 CDM,RX-37651,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.38,0.34,0.5,915 CDM,RX-3770,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,84.7,63.53,38.12,84.7,910 CDM,RX-3771,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,252.9,189.68,171.14,252.9,915 CDM,RX-3772,HYDROXYZINE HCL 10 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-3774,HYDROXYZINE HCL 25 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-3783,HYOSCYAMINE SULFATE 0.125 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-37848,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,24.6,18.45,16.65,24.6,915 CDM,RX-37894,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),191.7,143.78,4.36,191.7,915 CDM,RX-37989,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3311.2,2483.4,78.37,3311.2,915 CDM,RX-38062,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",17.6,13.2,7.92,17.6,910 CDM,RX-38063,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,19.65,17.73,26.2,915 CDM,RX-38092,HYPROMELLOSE 2.5 % EYE DROPS,118.7,89.03,53.42,118.7,909 CDM,RX-38100,CINACALCET 30 MG TABLET,76.6,57.45,34.47,76.6,909 CDM,RX-38103,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,1347.5,1010.63,911.85,1347.5,915 CDM,RX-38213,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",6.0,4.5,4.06,6.0,915 CDM,RX-38224,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,8.85,7.99,11.8,915 CDM,RX-38225,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",12.5,9.38,8.46,12.5,915 CDM,RX-38245,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.4,4.8,3.92,9.6,4575 CDM,RX-38263,OLANZAPINE 10 MG INJECTION SOLUTION,48.8,36.6,21.96,48.8,910 CDM,RX-38285,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.38,0.34,0.5,915 CDM,RX-38303,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,77.0,57.75,34.65,77.0,910 CDM,RX-38321,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.4,2.17,3.2,915 CDM,RX-3841,IBUPROFEN 200 MG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-3843,IBUPROFEN 400 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-3844,IBUPROFEN 600 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-38488,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,12.2,9.15,8.26,12.2,915 CDM,RX-38494,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4606.3,3454.73,230.15,4606.3,915 CDM,RX-3860,IMIPRAMINE 10 MG TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-3861,IMIPRAMINE 25 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-3862,IMIPRAMINE 50 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-3879,INDAPAMIDE 2.5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-38961,SELENIUM SULFIDE 1 % SHAMPOO,59.5,44.63,40.26,59.5,915 CDM,RX-3897,INDOMETHACIN 25 MG CAPSULE,6.0,4.5,4.06,6.0,915 CDM,RX-38977,TROSPIUM 20 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-3898,INDOMETHACIN 50 MG CAPSULE,5.9,4.43,3.99,5.9,915 CDM,RX-39063,RIFAXIMIN 200 MG TABLET,45.9,34.42,31.06,45.9,915 CDM,RX-391,AMILORIDE 5 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-39136,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,50.63,45.68,67.5,915 CDM,RX-39254,NITAZOXANIDE 500 MG TABLET,284.3,213.23,192.39,284.3,915 CDM,RX-39265,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,104.4,78.3,46.98,104.4,909 CDM,RX-39275,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.98,3.59,5.3,915 CDM,RX-39276,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.6,4.2,3.79,5.6,915 CDM,RX-39390,"ARGININE HCL (L-ARGININE) 1,000 MG TABLET",2.4,1.8,1.62,2.4,915 CDM,RX-39522,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,37.8,28.35,25.58,37.8,915 CDM,RX-39575,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,18.52,16.71,24.7,915 CDM,RX-39720,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",8.6,6.45,5.82,8.6,915 CDM,RX-39744,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,45.4,34.05,20.43,45.4,909 CDM,RX-39786,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION",6.0,4.5,2.7,6.0,909 CDM,RX-39918,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,80.9,60.68,36.41,80.9,909 CDM,RX-40009,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.1,6.08,5.48,8.1,915 CDM,RX-40010,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,12.6,9.45,8.53,12.6,915 CDM,RX-400291,NACL 0.9% IV BOLUS,76.05,57.040000000000006,33.84,77.7,5454 CDM,RX-400292,NACL 0.45% IV BOLUS,82.0,61.5,36.9,82.0,909 CDM,RX-400293,D5W IV BOLUS,80.3,60.23,36.14,80.3,909 CDM,RX-400294,D5-NACL 0.9% IV BOLUS,82.0,61.5,36.9,82.0,1818 CDM,RX-400295,D5-NACL 0.45% IV BOLUS,81.15,60.864999999999995,36.14,82.0,1818 CDM,RX-400296,LACTATED RINGERS IV BOLUS,82.0,61.5,36.9,82.0,909 CDM,RX-400297,D5LR IV BOLUS,82.0,61.5,36.9,82.0,909 CDM,RX-400302,DEXTROSE 10 % IV BOLUS,77.7,58.28,34.16,82.9,2727 CDM,RX-400403,HEPATITIS B IMMUNE GLOBULIN > 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,7393.8,66.64,9858.4,915 CDM,RX-400503,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 CDM,RX-400723,IMMUNE GLOB G 20%-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN (WRAPPER),1149.3,861.98,14.34,5746.2,2745 CDM,RX-400801,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,31.35,2.14,41.8,915 CDM,RX-400922,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),191.0,143.25,85.95,191.0,909 CDM,RX-400924,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),102.80000000000001,77.105,25.79,148.3,1818 CDM,RX-400926,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),312.7,234.53,140.72,312.7,909 CDM,RX-400928,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,129.8,97.35,58.41,129.8,909 CDM,RX-400929,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,129.8,97.35,58.41,129.8,909 CDM,RX-40120,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,35516.9,26637.68,24.0,35516.9,915 CDM,RX-4027,ISONIAZID 300 MG TABLET,15.6,11.7,10.56,15.6,915 CDM,RX-403,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,64.7,48.53,29.12,64.7,909 CDM,RX-40320,ESZOPICLONE 1 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-40369,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",11.6,8.7,7.85,11.6,915 CDM,RX-40392,SOLIFENACIN 5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-40404,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,526.9,395.18,4.19,526.9,915 CDM,RX-40446,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,37.6,28.2,25.44,37.6,915 CDM,RX-40475,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3023.3,2267.48,10.54,3023.3,915 CDM,RX-40573,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,23836.3,17877.22,10.14,23836.3,915 CDM,RX-40574,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,14429.7,10822.275000000001,10.14,23836.2,1830 CDM,RX-4064,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-4065,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,5.55,5.01,7.4,915 CDM,RX-4068,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-407,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,46.2,34.65,20.79,46.2,910 CDM,RX-40801,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2256.0,1692.0,176.45,2256.0,917 CDM,RX-408124838,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),57.3,42.98,38.77,57.3,915 CDM,RX-4081712201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION (FOR BLADDER INSTILLATION),46.5,34.88,20.93,46.5,909 CDM,RX-40817405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),191.0,143.25,129.25,191.0,915 CDM,RX-4082619,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),648.8,486.6,291.96,648.8,909 CDM,RX-4082636,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET (WRAPPER),2.4,1.8,1.62,2.4,915 CDM,RX-40828534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),148.3,111.23,100.35,148.3,915 CDM,RX-4083818,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT (WRAPPER),8.5,6.38,5.75,8.5,915 CDM,RX-40840043,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,60.45,36.27,80.6,909 CDM,RX-40840046,PRISMASATE 2/0 DIALYSIS SOLUTION (HIGH BICARBONATE),280.0,210.0,126.0,280.0,909 CDM,RX-40840048,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),200.4,150.3,90.18,200.4,909 CDM,RX-40840065,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,369.0,221.4,492.0,909 CDM,RX-40840090,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),200.4,150.3,90.18,200.4,909 CDM,RX-40841000,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,191.0,143.25,85.95,191.0,909 CDM,RX-40841002,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,312.7,234.53,140.72,312.7,909 CDM,RX-40841003,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,148.3,111.23,66.74,148.3,909 CDM,RX-40841005,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,129.8,97.35,58.41,129.8,909 CDM,RX-4087974,LACTOBACILLUS RHAMNOSUS GG 10-15 BILLION CELL (WRAPPER),3.8,2.85,2.57,3.8,915 CDM,RX-40887889,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),312.7,234.53,140.72,312.7,909 CDM,RX-40891054,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),137.2,102.9,61.74,137.2,909 CDM,RX-4089105401,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.2,102.9,61.74,137.2,909 CDM,RX-4089296,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 CDM,RX-41003,GLYCERIN (ADULT) RECTAL SUPPOSITORY,2.4,1.8,1.62,2.4,915 CDM,RX-41010805501,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),18545.0,13908.75,173.03,29672.0,1830 CDM,RX-41010806201,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),10357.7,7768.28,5.71,10357.7,915 CDM,RX-41010891001,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),379.1,284.33,170.6,379.1,909 CDM,RX-41010895501,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),91850.29999999999,68887.725,183.48,146960.4,1830 CDM,RX-41011063001,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),234.0,175.5,20.35,234.0,915 CDM,RX-41011278701,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),117.8,88.35,53.01,117.8,909 CDM,RX-41011278702,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),176.2,132.15,79.29,176.2,909 CDM,RX-41011694701,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),134.8,101.1,43.92,1613.1,2727 CDM,RX-41011694702,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),134.8,101.1,60.66,134.8,909 CDM,RX-410117162,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),4773.6,3580.2000000000003,7.88,6364.8,1830 CDM,RX-41012724901,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),96.0,72.0,43.2,96.0,909 CDM,RX-41012784401,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13428.9,10071.67,32.96,32229.6,2745 CDM,RX-41012818201,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,89.18,53.51,118.9,909 CDM,RX-4101420301,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),129.7,97.28,58.37,129.7,909 CDM,RX-4101701201,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),236.7,177.53,106.52,236.7,909 CDM,RX-41019253401,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),47485.6,35614.2,91.34,47485.6,915 CDM,RX-41020825002,EPCORITAMAB-BYSP 0.8 MG/ML (CNR),5124.1,3843.08,55.84,5124.1,915 CDM,RX-41020825003,EPCORITAMAB-BYSP 0.16 MG/ML (CNR),2049.8,1537.35,55.84,2049.8,915 CDM,RX-41027136101,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),33367.5,25025.629999999997,143.99,55612.5,1830 CDM,RX-41039265001,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),104.4,78.3,46.98,104.4,909 CDM,RX-41041000013,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),114.9,86.175,23.0,220.4,3636 CDM,RX-41041001901,ETOPOSIDE CHEMO UNDILUTED IVPB,134.0,100.5,52.79,268.2,2727 CDM,RX-4107842001,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),83.4,62.55,37.53,83.4,909 CDM,RX-41082200,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,82.05,49.23,109.4,909 CDM,RX-4108220401,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,80.4,48.24,107.2,909 CDM,RX-410859701,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),139.8,104.85,62.91,139.8,909 CDM,RX-4108800801,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),183.8,137.85,82.71,183.8,909 CDM,RX-410928901,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),63.2,47.4,28.44,63.2,909 CDM,RX-4109961001,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),133.6,100.2,60.12,133.6,909 CDM,RX-41137,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.849999999999994,34.385000000000005,20.61,45.9,2727 CDM,RX-41141,MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE,195.2,146.4,87.84,195.2,909 CDM,RX-41147,ENTECAVIR 0.5 MG TABLET,72.0,54.0,48.72,72.0,915 CDM,RX-41149,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,158.7,119.03,107.39,158.7,915 CDM,RX-41294,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1007.9,755.93,453.56,1007.9,909 CDM,RX-41382,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,72.0,54.0,48.72,72.0,915 CDM,RX-41463,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.3,27.98,16.79,37.3,909 CDM,RX-41497,PARICALCITOL 1 MCG CAPSULE,8.3,6.23,5.62,8.3,915 CDM,RX-41623,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,90.6,67.95,61.31,90.6,915 CDM,RX-41652,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,70.9,53.18,31.91,70.9,909 CDM,RX-41657,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",72.7,54.53,49.2,72.7,915 CDM,RX-41787,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,115.6,86.7,52.02,115.6,910 CDM,RX-41793,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,259.6,194.7,116.82,259.6,909 CDM,RX-41822,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,14.4,10.8,9.74,14.4,915 CDM,RX-41831,LIDOCAINE 5 % TOPICAL OINTMENT,78.7,59.03,35.42,78.7,909 CDM,RX-41832,SILDENAFIL 20 MG TABLET,7.2,5.4,4.87,7.2,915 CDM,RX-41899,METRONIDAZOLE 1 % TOPICAL GEL,256.2,192.15,173.37,256.2,915 CDM,RX-42064,RAMELTEON 8 MG TABLET,17.1,12.83,11.57,17.1,915 CDM,RX-42119,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,6.23,5.62,8.3,915 CDM,RX-42162,PREGABALIN 25 MG CAPSULE,12.3,9.23,8.32,12.3,915 CDM,RX-42163,PREGABALIN 50 MG CAPSULE,11.9,8.93,8.05,11.9,915 CDM,RX-42166,PREGABALIN 150 MG CAPSULE,11.7,8.78,7.92,11.7,915 CDM,RX-42219,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.4,9.3,8.39,12.4,915 CDM,RX-4237,KETAMINE 100 MG/ML INJECTION SOLUTION,97.0,72.75,43.65,97.0,909 CDM,RX-42944,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,129.8,97.35,58.41,129.8,909 CDM,RX-4318,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,60.23,35.33,82.0,2745 CDM,RX-4319,LACTATED RINGERS IRRIGATION SOLUTION,81.5,61.13,27.23,157.5,2727 CDM,RX-432,AMITRIPTYLINE 10 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-43417,DEFERASIROX 500 MG DISPERSIBLE TABLET,19.6,14.7,13.26,19.6,915 CDM,RX-435,AMITRIPTYLINE 25 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-436,AMITRIPTYLINE 50 MG TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-43717,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,25.88,15.53,34.5,909 CDM,RX-4392,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,60.8,45.6,27.36,60.8,909 CDM,RX-4393,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,47.3,35.48,21.29,47.3,909 CDM,RX-4394,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,57.3,42.98,25.79,57.3,909 CDM,RX-4397,LEUCOVORIN CALCIUM 25 MG TABLET,17.6,13.2,11.91,17.6,915 CDM,RX-4398,LEUCOVORIN CALCIUM 5 MG TABLET,8.0,6.0,5.41,8.0,915 CDM,RX-4420,LEVOTHYROXINE 25 MCG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-4421,LEVOTHYROXINE 50 MCG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-4422,LEVOTHYROXINE 75 MCG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-4423,LEVOTHYROXINE 100 MCG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-4424,LEVOTHYROXINE 125 MCG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-4425,LEVOTHYROXINE 150 MCG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-4450,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,63.1,47.33,28.4,63.1,909 CDM,RX-4452,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),35.2,26.4,15.84,35.2,909 CDM,RX-4453,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.6,27.45,16.47,36.6,909 CDM,RX-4455,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.3,27.98,16.79,37.3,909 CDM,RX-4459,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,62.1,46.58,27.95,62.1,909 CDM,RX-450,AMOXICILLIN 250 MG CAPSULE,5.3,3.98,3.59,5.3,915 CDM,RX-4504,LIOTHYRONINE 25 MCG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-451,AMOXICILLIN 500 MG CAPSULE,5.5,4.13,3.72,5.5,915 CDM,RX-4526,LISINOPRIL 20 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-4528,LITHIUM CARBONATE 150 MG CAPSULE,5.5,4.13,3.72,5.5,915 CDM,RX-4531,LITHIUM CARBONATE 300 MG TABLET,6.0,4.5,4.06,6.0,915 CDM,RX-454,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,20.8,15.6,14.08,20.8,915 CDM,RX-4560,LOPERAMIDE 2 MG CAPSULE,7.4,5.55,5.01,7.4,915 CDM,RX-4571,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,11.0,8.25,7.44,11.0,915 CDM,RX-4572,LORAZEPAM 0.5 MG TABLET,10.2,7.65,6.9,10.2,915 CDM,RX-4574,LORAZEPAM 2 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-464,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,140.7,105.53,63.32,140.7,909 CDM,RX-469,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.2,45.9,27.54,61.2,909 CDM,RX-4712,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.38,0.34,0.5,915 CDM,RX-4719,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,910 CDM,RX-472,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 CDM,RX-4720,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,54.0,40.5,24.3,54.0,910 CDM,RX-473,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,28.13,16.88,37.5,909 CDM,RX-474,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,28.5,17.1,38.0,909 CDM,RX-4749,MANNITOL 20 % INTRAVENOUS SOLUTION,103.0,77.25,46.35,103.0,909 CDM,RX-4750,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,38.63,23.18,51.5,910 CDM,RX-4854,MEDROXYPROGESTERONE 10 MG TABLET,9.9,7.43,6.7,9.9,915 CDM,RX-4855,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-4870,MEGESTROL 20 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-4871,MEGESTROL 40 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-4903,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,57.53,34.52,76.7,909 CDM,RX-4953,METHADONE 10 MG TABLET,10.9,8.18,7.38,10.9,915 CDM,RX-4954,METHADONE 5 MG TABLET,11.3,8.48,7.65,11.3,915 CDM,RX-4971,METHOCARBAMOL 500 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-4972,METHOCARBAMOL 750 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-4973,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,9.68,8.73,12.9,915 CDM,RX-4975,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),235.4,176.55,105.93,235.4,909 CDM,RX-4985,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,556.1,417.08,8.73,556.1,918 CDM,RX-4986,METHYLPHENIDATE 10 MG TABLET,15.8,11.85,10.69,15.8,915 CDM,RX-4988,METHYLPHENIDATE 5 MG TABLET,18.9,14.18,12.79,18.9,915 CDM,RX-4993,METHYLPREDNISOLONE 4 MG TABLET,9.7,7.28,4.37,9.7,910 CDM,RX-4995,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,39.2,29.4,17.64,39.2,913 CDM,RX-4996,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,43.88,26.33,58.5,911 CDM,RX-5002,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,911 CDM,RX-500410,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION (WRAPPER),1097.7,823.28,742.81,1097.7,915 CDM,RX-5005,METOCLOPRAMIDE 10 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-5006,METOCLOPRAMIDE 5 MG TABLET,6.9,5.18,4.67,6.9,915 CDM,RX-500677,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,1818 CDM,RX-5008,METOPROLOL TARTRATE 100 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-5009,METOPROLOL TARTRATE 50 MG TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-5015,METRONIDAZOLE 250 MG TABLET,6.3,4.72,4.26,6.3,915 CDM,RX-5016,METRONIDAZOLE 500 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-5018,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,60.45,36.27,80.6,914 CDM,RX-5039,MICONAZOLE NITRATE 2 % TOPICAL CREAM,62.9,47.18,42.56,62.9,915 CDM,RX-5040,MICONAZOLE NITRATE 2 % VAGINAL CREAM,20.5,15.38,13.87,20.5,915 CDM,RX-5086,MINERAL OIL ORAL,5.9,4.43,3.99,5.9,915 CDM,RX-5087,MINERAL OIL ENEMA,8.1,6.08,5.48,8.1,915 CDM,RX-5110,MINOCYCLINE 100 MG CAPSULE,8.0,6.0,5.41,8.0,915 CDM,RX-5111,MINOCYCLINE 50 MG CAPSULE,5.7,4.28,3.86,5.7,915 CDM,RX-5114,MINOXIDIL 10 MG TABLET,7.1,5.33,4.8,7.1,915 CDM,RX-5115,MINOXIDIL 2.5 MG TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-5176,MORPHINE 10 MG/5 ML ORAL SOLUTION,14.2,10.65,9.61,14.2,915 CDM,RX-5178,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,8.32,7.51,11.1,915 CDM,RX-5184,MORPHINE (BULK) 100 % POWDER,3743.3,2807.48,1684.49,3743.3,909 CDM,RX-5330,NADOLOL 20 MG TABLET,13.9,10.43,9.41,13.9,915 CDM,RX-5331,NADOLOL 40 MG TABLET,21.0,15.75,14.21,21.0,915 CDM,RX-5339,NALBUPHINE 10 MG/ML INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 CDM,RX-5373,NALOXONE 0.4 MG/ML INJECTION SOLUTION,44.3,33.23,19.94,44.3,910 CDM,RX-5374,NALOXONE 1 MG/ML INJECTION SYRINGE,42.3,31.73,19.04,42.3,909 CDM,RX-5391,NAPROXEN 250 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-5392,NAPROXEN 375 MG TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-5393,NAPROXEN 500 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-5472,NEOMYCIN 500 MG TABLET,8.5,6.38,5.75,8.5,915 CDM,RX-5474,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS",214.7,161.03,145.29,214.7,915 CDM,RX-5536,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",2.3,1.73,1.56,2.3,915 CDM,RX-5541,NIACIN 50 MG TABLET,2.1,1.58,1.42,2.1,915 CDM,RX-5542,NIACIN 500 MG TABLET,2.1,1.58,1.42,2.1,915 CDM,RX-5548,NIACINAMIDE 500 MG TABLET,2.1,1.58,1.42,2.1,915 CDM,RX-5558,NIFEDIPINE 10 MG CAPSULE,8.2,6.15,5.55,8.2,915 CDM,RX-5593,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,13.6,10.2,9.2,13.6,915 CDM,RX-5595,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,11.6,8.7,7.85,11.6,915 CDM,RX-5599,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,49.1,36.83,22.1,49.1,909 CDM,RX-5604,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,12.15,7.29,16.2,909 CDM,RX-5606,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,12.2,9.15,8.26,12.2,915 CDM,RX-5674,NORTRIPTYLINE 10 MG CAPSULE,5.5,4.13,3.72,5.5,915 CDM,RX-5675,NORTRIPTYLINE 25 MG CAPSULE,5.6,4.2,3.79,5.6,915 CDM,RX-5676,NORTRIPTYLINE 50 MG CAPSULE,6.0,4.5,4.06,6.0,915 CDM,RX-5749,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",64.1,48.08,43.38,64.1,915 CDM,RX-5750,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",60.1,45.08,40.67,60.1,915 CDM,RX-5751,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,5.03,4.53,6.7,915 CDM,RX-5754,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",75.4,56.55,51.02,75.4,915 CDM,RX-5886,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,54.9,41.18,24.71,54.9,909 CDM,RX-5924,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,46.2,34.65,20.79,46.2,909 CDM,RX-5926,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,39.08,23.45,52.1,909 CDM,RX-5938,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,4.65,4.2,6.2,915 CDM,RX-5940,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.4,8.55,7.71,11.4,915 CDM,RX-5943,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.2,6.15,5.55,8.2,915 CDM,RX-5944,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 CDM,RX-6030,PAPAVERINE 30 MG/ML INJECTION SOLUTION,64.9,48.68,43.92,64.9,915 CDM,RX-6085,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,100.4,75.3,45.18,100.4,909 CDM,RX-6086,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,40.13,24.08,53.5,909 CDM,RX-6087,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,146.2,109.65,65.79,146.2,909 CDM,RX-6092,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-6097,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1531.58,27.99,2042.1,915 CDM,RX-6158,PERPHENAZINE 4 MG TABLET,8.3,6.23,5.62,8.3,915 CDM,RX-6193,PHENAZOPYRIDINE 100 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-6194,PHENAZOPYRIDINE 200 MG TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-6216,PHENOBARBITAL 30 MG TABLET,5.5,4.13,3.72,5.5,915 CDM,RX-6218,PHENOBARBITAL 60 MG TABLET,11.4,8.55,7.71,11.4,915 CDM,RX-6221,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.3,138.23,82.94,184.3,910 CDM,RX-6242,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,29.03,17.42,38.7,909 CDM,RX-6243,PHENYLEPHRINE 0.25 % NASAL SPRAY,15.7,11.78,10.62,15.7,915 CDM,RX-6244,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,11.78,7.07,15.7,909 CDM,RX-6246,PHENYLEPHRINE 2.5 % EYE DROPS,215.6,161.7,97.02,215.6,909 CDM,RX-6257,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.7,4.28,3.86,5.7,915 CDM,RX-6279,PILOCARPINE 1 % EYE DROPS,182.7,137.03,123.63,182.7,915 CDM,RX-6280,PILOCARPINE 2 % EYE DROPS,181.0,135.75,122.48,181.0,915 CDM,RX-6282,PILOCARPINE 4 % EYE DROPS,253.7,190.28,171.68,253.7,915 CDM,RX-6393,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",44.6,33.45,20.07,44.6,909 CDM,RX-6420,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,102.8,77.1,46.26,102.8,909 CDM,RX-6429,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,30.08,18.05,40.1,910 CDM,RX-6434,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,9.6,7.2,6.5,9.6,915 CDM,RX-6455,POVIDONE-IODINE 10 % TOPICAL OINTMENT,7.7,5.78,5.21,7.7,915 CDM,RX-6462,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,321.4,241.05,144.63,321.4,909 CDM,RX-6468,PRAZOSIN 1 MG CAPSULE,8.6,6.45,5.82,8.6,915 CDM,RX-6470,PRAZOSIN 5 MG CAPSULE,18.4,13.8,12.45,18.4,915 CDM,RX-6487,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,115.8,104.48,154.4,915 CDM,RX-6493,PREDNISONE 1 MG TABLET,5.4,4.05,2.43,5.4,909 CDM,RX-6494,PREDNISONE 10 MG TABLET,5.5,4.13,2.48,5.5,910 CDM,RX-6495,PREDNISONE 2.5 MG TABLET,5.5,4.13,2.48,5.5,909 CDM,RX-6496,PREDNISONE 20 MG TABLET,5.7,4.28,3.86,5.7,915 CDM,RX-6497,PREDNISONE 5 MG TABLET,5.6,4.2,2.52,5.6,911 CDM,RX-6498,PREDNISONE 50 MG TABLET,6.0,4.5,2.7,6.0,910 CDM,RX-6541,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,9.4,7.05,6.36,9.4,915 CDM,RX-6544,PRIMIDONE 250 MG TABLET,6.8,5.1,4.6,6.8,915 CDM,RX-6561,PROBENECID 500 MG TABLET,9.1,6.83,6.16,9.1,915 CDM,RX-6562,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1508.7,1131.53,294.69,1508.7,915 CDM,RX-6580,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,41.3,30.98,18.59,41.3,914 CDM,RX-6582,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,6.98,6.29,9.3,915 CDM,RX-6583,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,6.38,5.75,8.5,915 CDM,RX-6618,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.7,31.28,18.77,41.7,913 CDM,RX-6620,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,51.38,46.35,68.5,915 CDM,RX-6621,PROMETHAZINE 12.5 MG TABLET,6.7,5.03,4.53,6.7,915 CDM,RX-6622,PROMETHAZINE 25 MG TABLET,5.6,4.2,3.79,5.6,915 CDM,RX-6624,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,90.8,68.1,61.44,90.8,915 CDM,RX-6627,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,5.5,4.13,3.72,5.5,915 CDM,RX-664,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.65,1.49,2.2,915 CDM,RX-6644,PROPARACAINE 0.5 % EYE DROPS,152.1,114.08,68.45,152.1,909 CDM,RX-6654,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,157.9,118.43,106.85,157.9,915 CDM,RX-6656,PROPRANOLOL 10 MG TABLET,5.9,4.43,3.99,5.9,915 CDM,RX-6657,PROPRANOLOL 20 MG TABLET,6.4,4.8,4.33,6.4,915 CDM,RX-6661,"PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) LIQUID",222.0,166.5,34.11,225.8,2745 CDM,RX-6662,PROPYLTHIOURACIL 50 MG TABLET,15.2,11.4,10.29,15.2,915 CDM,RX-6677,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,124.0,93.0,55.8,124.0,911 CDM,RX-6714,PSEUDOEPHEDRINE 30 MG TABLET,2.2,1.65,1.49,2.2,915 CDM,RX-6715,PSEUDOEPHEDRINE 60 MG TABLET,10.3,7.73,6.97,10.3,915 CDM,RX-6716,"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE",3.3,2.48,2.23,3.3,915 CDM,RX-6738,PYRAZINAMIDE 500 MG TABLET,26.2,19.65,17.73,26.2,915 CDM,RX-6744,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,45.0,33.75,20.25,45.0,910 CDM,RX-6746,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.58,1.42,2.1,915 CDM,RX-6748,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,1.88,1.69,2.5,915 CDM,RX-6777,QUINIDINE SULFATE 200 MG TABLET,46.4,34.8,31.4,46.4,915 CDM,RX-6778,QUINIDINE SULFATE 300 MG TABLET,48.4,36.3,32.75,48.4,915 CDM,RX-679,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-681,ASPIRIN 325 MG TABLET,0.5,0.38,0.34,0.5,915 CDM,RX-685,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.38,0.34,0.5,915 CDM,RX-693,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 CDM,RX-700080,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),41.9,31.43,18.86,41.9,910 CDM,RX-700081,WITCH HAZEL TOPICAL PADS (WRAPPER),10.4,7.8,7.04,10.4,915 CDM,RX-700128,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),228.4,171.3,102.78,228.4,910 CDM,RX-700129,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),263.5,197.63,118.58,263.5,909 CDM,RX-700132,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",67.7,50.78,30.47,67.7,909 CDM,RX-700256,"DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM (WRAPPER)",77.7,58.28,34.97,77.7,909 CDM,RX-700257,"DIPH,PERTUSS(ACEL),TET VAC(PF) 0.5 ML IM (WRAPPER)",66.8,50.1,30.06,66.8,909 CDM,RX-700263,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),118.5,88.88,53.33,118.5,909 CDM,RX-700267,TETANUS AND DIPHTHER. TOX (PF) 0.5 ML IM (WRAPPER),53.8,40.35,24.21,53.8,909 CDM,RX-700268,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM (WRAPPER),169.7,127.28,76.37,169.7,909 CDM,RX-700348,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),115.2,86.4,51.84,115.2,909 CDM,RX-700351,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,84.75,50.85,113.0,909 CDM,RX-700355,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),35.7,26.78,16.07,35.7,909 CDM,RX-700359,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,128.4,96.3,57.78,128.4,909 CDM,RX-700366,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,128.4,96.3,57.78,128.4,909 CDM,RX-700375,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.2,56.4,33.84,75.2,909 CDM,RX-700393,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,4.43,3.99,5.9,915 CDM,RX-700397,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),13499.1,10124.33,9134.84,13499.1,915 CDM,RX-700398,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,31.58,18.95,42.1,910 CDM,RX-700400,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),15120.0,11340.0,75.86,15120.0,915 CDM,RX-700401,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION (WRAPPER),19.4,14.55,13.13,19.4,915 CDM,RX-700403,CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),24199.2,18149.4,3.91,24199.2,915 CDM,RX-700404,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),68.5,51.38,46.35,68.5,915 CDM,RX-700405,DIAZEPAM 1 MG/ML ORAL SOLUTION (WRAPPER),22.3,16.73,15.09,22.3,915 CDM,RX-700406,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,128.78,77.27,171.7,910 CDM,RX-700408,DOCUSATE SODIUM 283 MG ENEMA (WRAPPER),9.8,7.35,6.63,9.8,915 CDM,RX-700410,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,44.78,26.87,59.7,912 CDM,RX-700411,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),45.8,34.35,20.61,45.8,909 CDM,RX-700412,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),449.7,337.28,1.47,449.7,915 CDM,RX-700415,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,58.73,35.24,78.3,911 CDM,RX-700416,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,56.33,33.8,75.1,912 CDM,RX-700419,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),81.9,61.43,36.86,81.9,909 CDM,RX-700420,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.5,55.13,33.08,73.5,910 CDM,RX-700425,KETAMINE 10 MG/ML INJECTION (WRAPPER),159.7,119.78,71.87,159.7,909 CDM,RX-700426,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,45.6,27.36,60.8,914 CDM,RX-700429,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,26.4,15.84,35.2,909 CDM,RX-700433,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,27.15,16.29,36.2,909 CDM,RX-700435,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),43.7,32.78,19.67,43.7,909 CDM,RX-700458,AZTREONAM 1 GRAM IM EQUIVALENCY,81.9,61.43,36.86,81.9,909 CDM,RX-700494,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),66.2,49.65,29.79,66.2,909 CDM,RX-700503,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),53.6,40.2,24.12,53.6,909 CDM,RX-700505,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),8.7,6.53,5.89,8.7,915 CDM,RX-700506,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),21.3,15.98,14.41,21.3,915 CDM,RX-700507,DIPHENHYDRAMINE-LIDO-ALUM-MAG HYDROX-SIMETH 25-200-400-400-40 MG/30 ML (CNR),12.9,9.68,5.81,12.9,909 CDM,RX-700610,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,49.58,29.75,66.1,909 CDM,RX-700635,"HEPARIN 10,000 UNITS + ACD-A 1000 ML (APHERESIS)(CNR)",190.9,143.18,85.91,190.9,909 CDM,RX-700646,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,27.15,16.29,36.2,909 CDM,RX-700652,CIPROFLOXACIN IV SYRINGE 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,61.8,37.08,82.4,909 CDM,RX-700678,ASPIRIN DESENSITIZATION 325 MG CAPSULE,0.5,0.38,0.34,0.5,915 CDM,RX-700682,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),338.0,253.5,152.1,338.0,909 CDM,RX-700684,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,27.15,16.29,36.2,910 CDM,RX-700686,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.9,83.93,50.36,111.9,909 CDM,RX-700701,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.3,27.98,16.79,37.3,909 CDM,RX-700702,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,33.53,20.12,44.7,909 CDM,RX-700707,CEFOXITIN 1 GRAM IM EQUIVALENCY,49.5,37.13,22.28,49.5,909 CDM,RX-700709,CEFTAZIDIME 1 GRAM IM EQUIVALENCY,46.0,34.5,20.7,46.0,909 CDM,RX-700718,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,28.28,16.97,37.7,909 CDM,RX-700719,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.7,29.03,17.42,38.7,909 CDM,RX-700720,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.0,31.5,18.9,42.0,909 CDM,RX-700722,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),150.7,113.03,67.82,150.7,909 CDM,RX-700723,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,55.58,33.35,74.1,909 CDM,RX-700725,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),42.1,31.58,18.95,42.1,909 CDM,RX-700728,ERTAPENEM 1 GRAM IM EQUIVALENCY,40.2,30.15,18.09,40.2,909 CDM,RX-700735,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),47.3,35.48,21.29,47.3,909 CDM,RX-700741,METHOHEXITAL 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),397.9,298.43,179.06,397.9,909 CDM,RX-700765,EDTA DISODIUM 0.25 MOLAR OPHTHALMIC SOLUTION (RST PROD LAB),157.0,117.75,106.24,157.0,915 CDM,RX-700800,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),41.6,31.2,18.72,41.6,909 CDM,RX-700802,EPHEDRINE (PF) 5 MG/ML INTRAVENOUS INJECTION (WRAPPER),40.7,30.53,18.32,40.7,909 CDM,RX-700803,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),41.7,31.28,18.77,41.7,914 CDM,RX-700804,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,60.23,36.14,80.3,913 CDM,RX-700827,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,54.75,32.85,73.0,909 CDM,RX-700831,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),43.6,32.7,29.5,43.6,915 CDM,RX-700832,EPHEDRINE SULFATE 50 MG/ML INJECTION (WRAPPER),51.0,38.25,22.95,51.0,909 CDM,RX-700850,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",44.6,33.45,20.07,44.6,909 CDM,RX-700852,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),642.8,482.1,289.26,642.8,909 CDM,RX-700866,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,74.6,55.95,33.57,74.6,909 CDM,RX-700882,AMITRIPTYLINE 2%-GABAPENTIN 6% IN VANICREAM,20.4,15.3,13.8,20.4,915 CDM,RX-700885,AMITRIPTYLINE 2%-GABAPENTIN 5%-KETAMINE 5% IN LIPODERM CREAM,16.8,12.6,11.37,16.8,915 CDM,RX-700887,AMITRIPTYLINE 2%-KETAMINE 0.5%-LIDOCAINE 2% IN LIPODERM CREAM,15.9,11.93,10.76,15.9,915 CDM,RX-700921,TRIAMCINOLONE ACETONIDE 0.1% IN VANICREAM,96.7,72.53,65.44,96.7,915 CDM,RX-700924,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1422.3,1066.72,640.04,1422.3,909 CDM,RX-700961,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% OPHTHALMIC SOLN (DILATING DROPS) IN HYPROMELLOSE,107.7,80.78,48.47,107.7,909 CDM,RX-700963,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BOTTLES),78.0,58.5,35.1,78.0,909 CDM,RX-701151,HYDROMORPHONE 1 MG PARTIAL (1/2) TABLET,10.2,7.65,6.9,10.2,915 CDM,RX-701190,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,7.58,6.83,10.1,915 CDM,RX-701311,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.9,3.52,5.2,915 CDM,RX-701334,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 CDM,RX-701389,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,4.88,4.4,6.5,915 CDM,RX-701471,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,4.95,4.47,6.6,915 CDM,RX-701508,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,5.25,4.74,7.0,915 CDM,RX-701536,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,7.8,7.04,10.4,915 CDM,RX-701592,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,3.98,3.59,5.3,915 CDM,RX-701639,TRAMADOL 25 MG PARTIAL (1/2) TABLET (RESTRICTED),10.3,7.73,6.97,10.3,915 CDM,RX-701646,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 CDM,RX-701693,MIRTAZAPINE 7.5 MG PARTIAL (1/2) TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-701766,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 CDM,RX-701939,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-701969,AMIODARONE 50 MG PARTIAL (1/2) TABLET,9.6,7.2,6.5,9.6,915 CDM,RX-702103,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,16.43,14.82,21.9,915 CDM,RX-702149,CLOBAZAM 5 MG PARTIAL (1/2) TABLET,10.8,8.1,7.31,10.8,915 CDM,RX-702180,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,339.83,203.9,453.1,909 CDM,RX-702225,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,4.35,3.92,5.8,915 CDM,RX-702277,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.83,3.45,5.1,915 CDM,RX-702278,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,3.9,3.52,5.2,915 CDM,RX-702284,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,5.03,4.53,6.7,915 CDM,RX-702304,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,4.05,3.65,5.4,915 CDM,RX-702320,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,29.93,1.49,39.9,915 CDM,RX-702323,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,29.4,1.54,39.2,915 CDM,RX-702324,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,30.45,1.54,40.6,916 CDM,RX-702328,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,29.33,1.85,39.1,915 CDM,RX-702339,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLN (FILTERED),451.0,338.25,202.95,451.0,909 CDM,RX-702353,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,495.75,297.45,661.0,909 CDM,RX-702354,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,31115.63,17771.01,41487.5,915 CDM,RX-702355,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,32152.5,17771.01,42870.0,916 CDM,RX-702356,IODINE-125 (I-125) SEED,495.0,371.25,222.75,495.0,909 CDM,RX-702357,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,5130.0,2516.43,6840.0,916 CDM,RX-702358,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,281.25,168.75,375.0,909 CDM,RX-702359,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,31.88,19.13,42.5,909 CDM,RX-702361,INDIUM-111 CHARCOAL CAPSULE,908.0,681.0,408.6,908.0,909 CDM,RX-702362,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,995.63,597.38,1327.5,911 CDM,RX-702363,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,825.0,495.0,1100.0,909 CDM,RX-702364,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,810.0,278.24,1080.0,915 CDM,RX-702369,INDIUM IN-111 OXYQUINOLINE WBC INTRAVENOUS SOLN,6563.0,4922.25,1103.19,6563.0,915 CDM,RX-702378,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.9,3.52,5.2,915 CDM,RX-702382,AMIKACIN 250 MG/ML SOLUTION FOR INHALATION,39.5,29.63,17.78,39.5,909 CDM,RX-702402,ELASTOMERIC PUMP RESERVOIR (CB6007) 600 ML/750 ML (1 ML/HR),1582.5,1186.88,712.13,1582.5,909 CDM,RX-702406,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,62.85,37.71,83.8,909 CDM,RX-702420,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,27.23,16.34,36.3,909 CDM,RX-702424,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),62.1,46.58,27.95,62.1,909 CDM,RX-702462,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,259.5,155.7,346.0,909 CDM,RX-702480,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1647.0,1235.25,741.15,1647.0,909 CDM,RX-702513,EPINEPHRINE 1 MG-LIDOCAINE 500 MG IN 0.9% NACL 1000 ML (TUMESCENT-VASCULAR)(CNR),78.8,59.1,35.46,78.8,909 CDM,RX-702529,FOSAPREPITANT 150 MG/250 ML IN 0.9% NACL (CNR),257.3,192.98,115.79,257.3,909 CDM,RX-702568,CYANOCOBALAMIN (VIT B-12) 100 MCG/ML INJECTION DILUTION,282.9,212.18,127.31,282.9,909 CDM,RX-702588,"ACD-A 1000 ML + HEPARIN 5,000 UNITS (APHERESIS)",208.5,156.38,93.83,208.5,909 CDM,RX-702589,IODINE 3%-POTASSIUM IODIDE 6% IN ETHYL ALCOHOL TOPICAL SOLUTION,318.1,238.58,143.15,318.1,909 CDM,RX-702597,LIDOCAINE-BUPIVACAINE-HYALURONIDASE (OPHTHALMIC BLOCK SOLUTION #2) CNR,121.1,90.83,54.5,121.1,909 CDM,RX-702606,PAPAVERINE 30 MG-PHENTOLAMINE 1 MG-ALPROSTADIL 10 MCG/ML (TRIPLET AGENT AN1) INJECTION,142.9,107.175,44.66,219.8,1830 CDM,RX-702627,HEPARIN 1000 UNITS/100 ML (10 U/ML) IN NACL 0.9% IRRIGATION FLUSH (CNR),6.1,4.58,2.75,6.1,909 CDM,RX-702633,CEFAZOLIN IRRIGATION 1 G IN NACL 0.9% 1000 ML (BOTTLE) CNR,71.0,53.25,31.95,71.0,909 CDM,RX-702645,"SODIUM BICARBONATE 75 MEQ/1,075 ML IN NACL 0.45% (CNR)",1259.0,944.25,566.55,1259.0,909 CDM,RX-702657,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 CDM,RX-702658,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 CDM,RX-702666,"DIAZEPAM 7.5 MG RECTAL KIT (VARIABLE DOSED KIT, LOCKED AT 7.5 MG)",745.3,558.98,504.34,745.3,915 CDM,RX-70267,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,488.2,366.15,79.86,488.2,915 CDM,RX-702685,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),54.0,40.5,19.22,73.0,2727 CDM,RX-702691,TRANEXAMIC ACID 100 MG/ML IV SOLUTION FOR NASAL SPRAY,354.3,265.73,159.44,354.3,909 CDM,RX-702702,D5W 500 ML FOR IMPELLA,95.15,71.365,36.14,871.5,5454 CDM,RX-702721,EMBOLIZATION QUADRASPHERE 25 MG VIAL (VOLUME=5 ML AFTER DRUG ADDITION),3060.0,2295.0,1377.0,3060.0,909 CDM,RX-702722,SILVER NITRATE 10 % CONC IRRIGATION (STERILE) (RST PROD LAB),219.3,164.48,98.69,219.3,909 CDM,RX-702738,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,29.33,17.6,39.1,909 CDM,RX-702741,ONABOTULINUMTOXINA 11.25 UNITS/0.45 ML (2.5 UNITS/0.1 ML) CNR,270.5,202.88,6.5,270.5,915 CDM,RX-7028,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.0,29.25,17.55,39.0,909 CDM,RX-702802,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,304.0,228.0,136.8,304.0,909 CDM,RX-702803,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 CDM,RX-702805,FENTANYL (PF) 10 MCG/ML IN 0.9 % NACL 100 ML CADD FOR INFUSION TITRATION (PREMIX/CNR),257.3,192.98,115.79,257.3,909 CDM,RX-702817,ROPIVACAINE PNC 0.2% STRAIGHT DRUG (CADD),148.4,111.3,66.78,148.4,909 CDM,RX-702824,SODIUM THIOSULFATE SOLUTION 15% TOPICAL SOLUTION (CNR),105.5,79.13,71.39,105.5,915 CDM,RX-702832,CEFAZOLIN IRRIGATION 2 G IN NACL 0.9% 1000 ML (BAG) CNR,57.0,42.75,25.65,57.0,909 CDM,RX-702834,HEPARIN 5000 UNITS-NITROGLYCERIN 4 MG-VERAPAMIL 10 MG IN NACL 0.9% 1009.8 ML NON-PVC (CNR),202.0,151.5,90.9,202.0,909 CDM,RX-70284,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.1,2.33,2.1,3.1,915 CDM,RX-702841,TRANEXAMIC ACID 2 G/70 ML IN 0.9% NACL (CNR),201.0,150.75,90.45,201.0,909 CDM,RX-702842,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,26.55,15.93,35.4,909 CDM,RX-702845,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL CASSETTE FOR INFUSION TITRATION,214.7,161.03,96.62,214.7,909 CDM,RX-702848,"EMBOLIZATION MICROSPHERES (ONCOZENE) 100 MIC, 3 ML AFTER DRUG ADDITION",6810.0,5107.5,3064.5,6810.0,909 CDM,RX-702857,ONABOTULINUMTOXINA 2 UNITS/0.1 ML (CNR),240.0,180.0,6.5,240.0,915 CDM,RX-702867,"HEPARIN 30,000/1000 ML (30 UNITS/ML) IN 0.9% NACL",51.0,38.25,22.95,51.0,909 CDM,RX-70287,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,6256.6,4692.45,44.11,6256.6,915 CDM,RX-702885,"ONABOTULINUMTOXINA (BOTOX COSMETIC) 4 UNIT/0.1 ML INJ SYRINGE (0.1,0.2,0.25,0.3 ML CNR)",192.4,144.3,6.5,288.5,2745 CDM,RX-702887,LIDOCAINE 0.1%-EPINEPHRINE 0.62 MCG/ML IN NACL 0.9% 1000 ML BAG (CNR),44.0,33.0,19.8,44.0,909 CDM,RX-702889,LIDOCAINE 0.075%-EPINEPHRINE 0.62 MCG/ML IN NACL 0.9% 1000 ML BAG (CNR),44.0,33.0,19.8,44.0,909 CDM,RX-702894,BLOOD CARDIOPLEGIA (HIGH K) SOLUTION (ARZ CNR ONLY),184.2,138.15,82.89,184.2,909 CDM,RX-702895,BLOOD CARDIOPLEGIA (LOW K) ARZ CNR ONLY,96.7,72.53,43.52,96.7,909 CDM,RX-702896,VEIN SOLUTION (ARZ CNR ONLY),85.6,64.2,38.52,85.6,909 CDM,RX-702926,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),70.7,53.03,31.82,70.7,909 CDM,RX-702934,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,735.0,50.37,980.0,915 CDM,RX-702938,ASPIRIN 0.1 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.4,4.05,3.65,5.4,915 CDM,RX-702981,DEXTROSE 10 % IN WATER (D10W) FOR ORAL ADMINISTRATION,10.3,7.73,3.83,12.9,2727 CDM,RX-703000,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",148.7,111.53,66.92,148.7,909 CDM,RX-703033,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,4.2,3.79,5.6,915 CDM,RX-703036,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,4.35,3.92,5.8,915 CDM,RX-703039,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,5.33,4.8,7.1,915 CDM,RX-703042,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.9,3.52,5.2,915 CDM,RX-703048,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.83,3.45,5.1,915 CDM,RX-703051,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,3.83,3.45,5.1,915 CDM,RX-703057,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,4.13,3.72,5.5,915 CDM,RX-703058,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,36.38,21.83,48.5,909 CDM,RX-70306,ARIPIPRAZOLE 2 MG TABLET,8.1,6.08,5.48,8.1,915 CDM,RX-703061,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,42.3,25.38,56.4,909 CDM,RX-703073,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,92.9,69.68,41.81,92.9,909 CDM,RX-703076,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,54.75,32.85,73.0,909 CDM,RX-703088,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,433.7,325.27,195.17,433.7,909 CDM,RX-703093,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,208.7,156.53,93.92,208.7,909 CDM,RX-703100,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),359.0,269.25,94.45,359.0,915 CDM,RX-703105,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,27.38,16.43,36.5,909 CDM,RX-703106,DEXAMETHASONE 400 MCG/0.1 ML (4 MG/ML) INTRAOCULAR INJECTION (1 ML PARABEN-FREE COMMERCIAL VIAL),70.3,52.73,31.64,70.3,909 CDM,RX-703118,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,40.2,30.15,18.09,40.2,909 CDM,RX-703128,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,6.15,5.55,8.2,915 CDM,RX-703130,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,33.83,20.3,45.1,909 CDM,RX-703143,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,3.83,3.45,5.1,915 CDM,RX-703146,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,97.6,73.2,43.92,97.6,909 CDM,RX-703164,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,324.6,243.45,21.48,324.6,915 CDM,RX-703238,CYCLOPENTOLATE-KETOROLAC-PHENYLEPHRINE IN HYPROMELLOSE (CATARACT DILATING SOLN),107.7,80.78,48.47,107.7,909 CDM,RX-703245,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,27.6,16.56,36.8,909 CDM,RX-703249,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,29.25,17.55,39.0,909 CDM,RX-703314,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.7,7.28,6.56,9.7,915 CDM,RX-703315,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),33.6,25.2,22.74,33.6,915 CDM,RX-703316,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),20.0,15.0,13.53,20.0,915 CDM,RX-703318,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),31.2,23.4,11.3,474.4,2745 CDM,RX-703359,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",30.1,22.58,20.37,30.1,915 CDM,RX-703360,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,2.03,1.83,2.7,915 CDM,RX-703362,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.58,1.42,2.1,915 CDM,RX-703363,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.5,28.88,17.33,38.5,915 CDM,RX-703366,GLUCAGON 1 MG/ML INJECTION (WRAPPER),457.4,343.05,148.99,457.4,915 CDM,RX-703367,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),190.4,142.8,85.68,190.4,909 CDM,RX-703374,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),36.4,27.3,16.38,36.4,909 CDM,RX-7034,SALSALATE 500 MG TABLET,6.1,4.58,4.13,6.1,915 CDM,RX-703409,LIDOCAINE 0.9 %-SODIUM BICARBONATE 0.84% BUFFERED (WRAPPER),37.4,28.05,16.83,37.4,909 CDM,RX-703425,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),407.8,305.85,20.35,407.8,915 CDM,RX-703426,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),208.3,156.23,20.35,208.3,915 CDM,RX-703434,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,151.5,90.9,202.0,909 CDM,RX-703437,NITROGLYCERIN 100 MCG/1 ML IN NACL 0.9% DILUTION INJECTION,37.0,27.75,16.65,37.0,909 CDM,RX-703455,LIDOCAINE 1.8 % BUFFERED W/ SODIUM BICARB CNR,35.9,26.93,16.16,35.9,909 CDM,RX-703457,TROPICAMIDE 0.75%-PHENYLEPHRINE 2.5% OPHTHALMIC SOLUTION (CNR),114.7,86.03,51.62,114.7,909 CDM,RX-703459,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.0,31.5,28.42,42.0,915 CDM,RX-703473,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,156.23,93.74,208.3,909 CDM,RX-703477,VANCOMYCIN 2 GRAM/520 ML IN 0.9% NACL (CNR),96.9,72.68,43.61,96.9,909 CDM,RX-703478,TRANEXAMIC ACID 1 G/60 ML 0.9% NACL (CNR),193.5,145.13,87.08,193.5,909 CDM,RX-703482,"BUPIVACAINE 0.25%-LIDOCAINE 1%-EPINEPHRINE 1:200,000 INJ (CNR/MAYO PRD LAB)",42.5,31.88,18.32,44.3,1818 CDM,RX-703484,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.2,3.9,3.52,5.2,915 CDM,RX-703486,MULTIVITAMIN WITH MINERALS TABLET (WRAPPER),0.5,0.38,0.34,0.5,915 CDM,RX-703487,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),52.1,39.08,23.45,52.1,909 CDM,RX-703508,MINERAL OIL USP OTIC DROPS,24.6,18.45,16.65,24.6,915 CDM,RX-703542,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,36.7,27.53,16.52,36.7,909 CDM,RX-703543,PHENYLEPHRINE 500 MCG/ML DILUTION INJECTION (RST PROD LAB/CNR),36.7,27.53,16.52,36.7,909 CDM,RX-703642,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,9.0,6.75,6.09,9.0,1830 CDM,RX-703653,METOPROLOL TARTRATE 10 MG/ML ORAL SUSP,132.3,99.23,89.53,132.3,915 CDM,RX-703676,AMPHOTERICIN B 1.5 MG/ML (0.15%) OPHTHALMIC SOLUTION (CNR),96.3,72.22,65.17,96.3,915 CDM,RX-703678,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),141.0,105.75,63.45,141.0,909 CDM,RX-703683,CEFAZOLIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),92.1,69.08,41.45,92.1,909 CDM,RX-703684,CEFAZOLIN 50 MG/ML OPHTHALMIC SOLUTION (CNR),53.0,39.75,35.87,53.0,915 CDM,RX-703687,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,26.78,16.07,35.7,909 CDM,RX-703692,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),185.7,139.28,83.57,185.7,909 CDM,RX-703694,GENTAMICIN 15 MG/ML (1.5 %) OPHTHALMIC SOLUTION (CNR),62.3,46.73,28.04,62.3,909 CDM,RX-703696,METHYLPREDNISOLONE SOD SUCC (PF) 10 MG/ML (1%) OPHTHALMIC SOLUTION (CNR),79.3,59.48,53.66,79.3,915 CDM,RX-703714,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),270.3,202.73,182.91,270.3,915 CDM,RX-703818,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,310.05,279.75,413.4,915 CDM,RX-703843,TOBRAMYCIN 15 MG/ML (1.5%) OPHTHALMIC SOLUTION (CNR),73.9,55.43,50.01,73.9,915 CDM,RX-703846,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,671.6,503.7,302.22,671.6,909 CDM,RX-703848,VANCOMYCIN 50 MG/ML (5%) OPHTHALMIC SOLUTION (CNR),59.6,44.7,40.33,59.6,915 CDM,RX-703849,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,26.55,15.93,35.4,909 CDM,RX-703851,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.4,83.55,50.13,111.4,909 CDM,RX-703853,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,26.4,15.84,35.2,1818 CDM,RX-703854,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.95,26.965,16.11,36.1,1818 CDM,RX-703855,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,1818 CDM,RX-703856,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 CDM,RX-703857,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,1818 CDM,RX-703858,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.75,26.814999999999998,16.02,35.9,1818 CDM,RX-703859,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.4,28.05,16.83,37.4,909 CDM,RX-703860,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 CDM,RX-703861,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,1818 CDM,RX-703865,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,37.35,22.41,49.8,1818 CDM,RX-703866,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,27.23,16.34,36.3,909 CDM,RX-703873,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.4,37.05,22.23,49.4,909 CDM,RX-703874,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,27.08,16.25,36.1,1818 CDM,RX-703876,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,27.15,16.29,36.2,909 CDM,RX-703877,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,909 CDM,RX-703878,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),640.0,480.0,288.0,640.0,909 CDM,RX-703881,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),35.9,26.93,16.16,35.9,909 CDM,RX-703904,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,39.8,29.85,17.91,39.8,909 CDM,RX-703921,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.2,26.4,15.84,35.2,909 CDM,RX-703923,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,28.28,16.97,37.7,909 CDM,RX-703959,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,148.3,111.23,66.74,148.3,909 CDM,RX-703960,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,312.7,234.53,140.72,312.7,909 CDM,RX-703961,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,191.0,143.25,85.95,191.0,909 CDM,RX-703963,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,129.8,97.35,58.41,129.8,909 CDM,RX-703964,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,33.4,25.05,15.03,33.4,909 CDM,RX-703971,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,26.4,15.84,35.2,909 CDM,RX-704000,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,31.35,2.14,41.8,916 CDM,RX-704013,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,162.23,97.34,216.3,909 CDM,RX-704014,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,16.8,10.08,22.4,909 CDM,RX-704015,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,6.75,4.05,9.0,909 CDM,RX-704016,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 CDM,RX-704017,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 CDM,RX-70403,CAPSAICIN 0.1 % TOPICAL CREAM,96.1,72.08,43.25,96.1,909 CDM,RX-704032,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.8,2.1,1.89,2.8,915 CDM,RX-704036,FENTANYL 2 MCG/ML-ROPIVACAINE 0.2 % EPIDURAL (WRAPPER),137.1,102.83,61.7,137.1,909 CDM,RX-704037,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,29.78,17.87,39.7,909 CDM,RX-704038,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,27.08,16.25,36.1,909 CDM,RX-704039,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,27.0,16.2,36.0,909 CDM,RX-704040,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7757.2,5817.9,86.38,7757.2,915 CDM,RX-704041,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.8,26.85,16.11,35.8,909 CDM,RX-704058,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,2.7,2.03,1.49,290.5,4575 CDM,RX-704064,NACL 0.45% IV SOLP CRRT,85.5,64.125,36.9,89.0,1818 CDM,RX-704111,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,61.43,36.86,81.9,909 CDM,RX-704112,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.1%-NACL INJECTION ANES ONLY,161.1,120.83,72.5,161.1,909 CDM,RX-704113,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,141.75,85.05,189.0,909 CDM,RX-704114,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION (WRAPPER) ANES ONLY,137.1,102.83,61.7,137.1,909 CDM,RX-704115,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,52.95,31.77,70.6,909 CDM,RX-704116,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION ANES ONLY,37.3,27.98,16.79,37.3,909 CDM,RX-704117,KETAMINE 10 MG/ML INFUSION (WRAPPER) ANES ONLY,86.3,64.72,38.84,86.3,909 CDM,RX-704118,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2%-NACL EPIDURAL (WRAPPER) ANES ONLY,137.1,102.83,61.7,137.1,909 CDM,RX-704122,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),14.0,10.5,9.47,14.0,915 CDM,RX-704130,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,24.38,14.63,32.5,909 CDM,RX-704146,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,45.0,33.75,19.98,179.9,2727 CDM,RX-704158,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,31.4,23.55,14.13,31.4,909 CDM,RX-704159,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,85.8,51.48,114.4,909 CDM,RX-704165,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,82.9,62.18,37.31,82.9,909 CDM,RX-704166,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,9.75,5.85,13.0,909 CDM,RX-704176,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,56.63,33.98,75.5,909 CDM,RX-704181,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,70.5,52.88,31.73,70.5,909 CDM,RX-704232,LIDOCAINE 0.3%-EPINEPHRINE 3 MCG/ML IN NACL 0.9% 250 ML BAG (CNR),68.0,51.0,30.6,68.0,909 CDM,RX-704251,ONABOTULINUMTOXINA (BOTOX COSMETIC) 25 UNITS/ML INJ SYRINGE (CNR),601.0,450.75,6.5,601.0,915 CDM,RX-704258,CYCLOPENTOLATE-KETOROLAC-PHENYLEPHRINE (CATARACT DILATING SOLN) IN CARBOXYMETHYLCELLULOSE 1%,61.9,46.43,27.86,61.9,909 CDM,RX-704259,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% IN CARBOXYMETHYLCELLULOSE OPHTHALMIC SOLUTION (DILATING DROPS),63.5,47.63,28.58,63.5,909 CDM,RX-704266,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),39.4,29.55,17.73,39.4,909 CDM,RX-704294,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",52.1,39.08,23.45,52.1,909 CDM,RX-704339,HYDROMORPHONE (PF) 250 MG/250 ML (1 MG/ML) IN NACL 0.9% CADD CASSETTE FOR INFUSION TITRATION (CNR),217.0,162.75,97.65,217.0,909 CDM,RX-70434,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",8.9,6.68,6.02,8.9,915 CDM,RX-704343,MIDAZOLAM 500 MG/100 ML (5 MG/ML) CADD FOR INFUSION TITRATION (CNR),161.8,121.35,72.81,161.8,909 CDM,RX-704346,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,91.65,68.74000000000001,37.08,100.9,1818 CDM,RX-704348,ALPROSTADIL 10.6 MCG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,297.5,223.13,133.88,297.5,909 CDM,RX-704349,ALBUTEROL SULFATE 0.166 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,13.0,9.75,8.8,13.0,915 CDM,RX-704350,ALBUTEROL SULFATE 0.332 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,20.9,15.68,14.14,20.9,915 CDM,RX-704351,ALBUTEROL SULFATE 0.664 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,36.4,27.3,24.63,36.4,915 CDM,RX-704352,ALBUTEROL SULFATE 1 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,53.9,40.42,36.47,53.9,915 CDM,RX-704353,ALBUTEROL SULFATE 1.34 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,68.7,51.53,46.49,68.7,915 CDM,RX-704361,ALPROSTADIL 5.4 MCG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,151.8,113.85,68.31,151.8,909 CDM,RX-704362,ALPROSTADIL 2.6 MCG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,73.4,55.05,33.03,73.4,909 CDM,RX-704366,TRANEXAMIC ACID 500 MG/5 ML (100 MG/ML) ENDOBRONCHIAL SOLUTION (CATH TIP SYRINGE),39.4,29.55,17.73,39.4,909 CDM,RX-704407,REMIFENTANIL 2.5 MG/50 ML (50 MCG/ML) IN NACL 0.9% (CNR OR SYRINGE) (RESTRICTED),538.9,404.18,242.51,538.9,909 CDM,RX-704419,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,144.23,86.54,192.3,909 CDM,RX-704421,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),70.3,52.73,31.64,70.3,909 CDM,RX-704423,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),128.4,96.3,57.78,128.4,909 CDM,RX-704427,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.0,32.25,2.41,43.0,914 CDM,RX-704432,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),129.8,97.35,87.84,129.8,915 CDM,RX-704438,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BAGS),216.0,162.0,97.2,216.0,909 CDM,RX-704475,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",57.4,43.05,25.83,57.4,909 CDM,RX-704492,IRON SUCROSE 300 MG IVPB IN NACL 0.9 % 250 ML (CNR),453.2,339.9,203.94,453.2,909 CDM,RX-704534,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,62.85,37.71,83.8,909 CDM,RX-704535,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME WBC 0.5 MG INTRAVENOUS KIT,225.0,168.75,101.25,1074.25,915 CDM,RX-704542,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",7.0,5.25,4.74,7.0,915 CDM,RX-704544,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.1,27.83,16.7,37.1,909 CDM,RX-704557,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,82.4,61.8,37.08,82.4,909 CDM,RX-704566,ALPHA-1-PROTEINASE INHIBITOR (PROLASTIN C LIQUID)(BRAND SPLIT) 1000 MG +/-/20 ML,36.8,27.6,5.46,36.8,915 CDM,RX-704580,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 CDM,RX-704593,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,108.75,65.25,145.0,909 CDM,RX-704594,KETAMINE (2 MG/ML) 500 MG IN 0.9% NACL 250 ML (CNR),195.9,146.93,88.16,195.9,909 CDM,RX-704612,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),215.1,161.32,66.64,215.1,915 CDM,RX-704615,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,463.88,418.54,618.5,915 CDM,RX-704618,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.2,7.65,6.9,10.2,915 CDM,RX-704619,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 CDM,RX-704620,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 CDM,RX-704643,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.7,2.03,1.83,2.7,915 CDM,RX-704645,MITOMYCIN 1 MG/ML WITH IOHEXOL INTRAVENOUS SOLUTION (FOR OR USE ONLY),234.0,175.5,20.35,234.0,915 CDM,RX-704646,GEMCITABINE 190 MG/5 ML INTRATUMORAL SYRINGE (FOR OR USE ONLY),125.6,94.2,56.52,125.6,909 CDM,RX-704649,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,99.68,59.81,132.9,1830 CDM,RX-704653,ELASTOMERIC PUMP RESERVOIR (CB004) 400 ML/550 ML (2-14 ML/HR),843.6,632.7,379.62,843.6,909 CDM,RX-704657,EPINEPHRINE 1 MG IN NACL 0.9% 3000 ML IRRIGATION SOLUTION (CNR),55.0,41.25,24.75,55.0,909 CDM,RX-704658,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),461.6,346.2,312.36,461.6,915 CDM,RX-704660,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 CDM,RX-704661,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,57.0,34.2,76.0,909 CDM,RX-704662,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,569.25,341.55,759.0,909 CDM,RX-704663,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,31.88,19.13,42.5,909 CDM,RX-704665,SODIUM IODIDE-131 (I-131) 4,236.0,177.0,12.53,228.92,697 CPT,11102,"BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH FACILITY",,,44.36,498.85,7 CPT,11102,HC TANGNTL BX SKIN SINGLE LES,1931.0,1448.25,44.36,1931.0,916 CPT,11102,PR TANGNTL BX SKIN SINGLE LES,357.0,267.75,39.53,346.29,695 CPT,11103,"BIOPSY OF RELATED SKIN GROWTH, EACH ADDITIONAL GROWTH FACILITY",,,26.09,498.85,7 CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,828.0,621.0,26.09,828.0,910 CPT,11103,PR TANGNTL BX SKIN EA SEP/ADDL,186.0,139.5,47.49,186.0,680 CPT,11104,HC PUNCH BX SKIN SINGLE LESION,1156.5,867.375,56.1,1416.2,1836 CPT,11104,PR PUNCH BX SKIN SINGLE LESION,469.0,351.75,50.15,454.93,696 CPT,11104,"PUNCH BIOPSY, FIRST SKIN GROWTH FACILITY",,,56.1,498.85,7 CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,701.5,526.125,31.37,804.0,1820 CPT,11105,PR PUNCH BX SKIN EA SEP/ADDL,214.0,160.5,49.95,214.0,690 CPT,11105,"PUNCH BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,31.37,498.85,7 CPT,11106,HC INCAL BX SKN SINGLE LES,1929.0,1446.75,68.33,1929.0,915 CPT,11106,"INCISION BIOPSY, FIRST SKIN GROWTH FACILITY",,,68.33,2026.75,7 CPT,11106,PR INCAL BX SKN SINGLE LES,579.0,434.25,73.59,561.63,683 CPT,11107,HC INCAL BX SKN EA SEP/ADDL,3381.0,2535.75,36.9,3381.0,909 CPT,11107,PR INCAL BX SKN EA SEP/ADDL,415.0,311.25,24.6,415.0,691 CPT,11200,HC RMVL SKIN TAGS <=15,909.0,681.75,101.28,909.0,916 CPT,11200,PR RMVL SKIN TAGS <=15,330.0,247.5,38.19,320.1,694 CPT,11200,"REMOVAL OF SKIN TAG, 1-15 SKIN TAGS FACILITY",,,101.28,214.09,7 CPT,11201,PR RMVL SKIN TAGS EA ADD 10,74.0,55.5,12.8,74.0,690 CPT,11300,PR SHAVE LESN TR/EXT <=0.5CM,345.0,258.75,13.63,334.65,697 CPT,11301,PR SHAVE LESN TR/EXT 0.6-1.0 CM,407.0,305.25,56.62,394.79,683 CPT,11301,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,61.61,2531.94,7 CPT,11302,PR SHAVE LESN TR/EXT 1.1-2.0CM,418.0,313.5,23.83,405.46,697 CPT,11305,PR SHAVE S/N/H/F/G LESN <=0.5CM,287.0,215.25,16.13,278.39,697 CPT,11306,PR SHAVE S/N/H/F/G LESN 0.6-1.0CM,297.0,222.75,20.08,288.09,697 CPT,11307,PR SHAVE S/N/H/F/G LESN 1.1-2.0CM,379.0,284.25,25.32,367.63,697 CPT,11308,PR SHAVE S/N/H/F/G LESN > 2.0CM,420.0,315.0,29.46,407.4,697 CPT,11310,PR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,379.0,284.25,54.32,367.63,683 CPT,11311,PR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,410.0,307.5,24.95,397.7,697 CPT,11400,PR EXCISN BEN LESN TR/LMB <=0.5CM,437.0,327.75,62.23,423.89,684 CPT,11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,111.92,4192.11,7 CPT,11401,PR EXCISN BEN LESN TR/EXT 0.6-1CM,522.0,391.5,75.44,506.34,684 CPT,11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,138.42,4192.11,7 CPT,11402,PR EXCISN BEN LESN TR/EXT 1.1-2CM,595.0,446.25,83.25,577.15,684 CPT,11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,150.21,7449.87,7 CPT,11403,PR EXCISN BEN LESN TR/EXT 2.1-3CM,728.0,546.0,97.23,706.16,683 CPT,11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,198.47,2026.75,7 CPT,11404,PR EXCISN BEN LESN TR/EXT 3.1-4CM,839.0,629.25,112.37,813.83,683 CPT,11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,222.06,2026.75,7 CPT,11406,PR EXCISN BEN LESN TR/EXT >4CM,1439.0,1079.25,162.24,1395.83,683 CPT,11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,332.81,8148.45,7 CPT,11420,PR EXCISN BEN LESN S/N/H/F <=0.5,509.0,381.75,60.84,493.73,684 CPT,11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,111.62,2026.75,7 CPT,11421,PR EXCISN BEN LESN S/N/H/F .6-1CM,669.0,501.75,77.61,648.93,684 CPT,11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,144.96,2026.75,7 CPT,11422,PR EXCISN BEN LESN S/N/H 1.1-2CM,672.0,504.0,87.52,651.84,684 CPT,11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,181.97,2026.75,7 CPT,11423,PR EXCISN BEN LESN S/N/H 2.1-3CM,766.0,574.5,101.68,743.02,683 CPT,11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,210.35,2026.75,7 CPT,11424,PR EXCISN BEN LESN S/N/H 3.1-4CM,839.0,629.25,118.69,813.83,684 CPT,11426,PR EXCISN BEN LESN S/N/H/F >4.0CM,1349.0,1011.75,165.6,1308.53,684 CPT,11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,358.43,3972.42,7 CPT,11440,PR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,544.0,408.0,69.1,527.68,684 CPT,11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,143.21,7264.49,7 CPT,11441,PR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,654.0,490.5,84.57,634.38,683 CPT,11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,176.01,868.98,7 CPT,11442,PR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,762.0,571.5,94.5,739.14,683 CPT,11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,193.2,2026.75,7 CPT,11443,PR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,814.0,610.5,112.12,789.58,683 CPT,11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,233.42,2026.75,7 CPT,11444,PR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,1220.0,915.0,140.46,1183.4,684 CPT,11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,293.21,2026.75,7 CPT,11446,PR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,2564.0,1923.0,138.05,2487.08,697 CPT,11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,414.14,3564.51,7 CPT,11450,PR EXCISN SKN HDRDNTS AXLRY SMPL,2055.0,1541.25,223.75,1993.35,684 CPT,11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,371.22,3564.51,7 CPT,11451,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR,,,466.14,3564.51,7 CPT,11462,PR EXCISN SKN HDRDNTS INGNL SMPL,1947.0,1460.25,218.13,1888.59,683 CPT,11470,PR EXCISN LESN SWEAT GLAND SMPL,1936.0,1452.0,243.3,1877.92,683 CPT,11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,409.49,3564.51,7 CPT,11600,PR EXCISN LESN MLG TR/LMB <=0.5CM,573.0,429.75,53.02,555.81,697 CPT,11601,PR EXCISN LESN MLG TR/LMB .6-1CM,702.0,526.5,110.64,680.94,683 CPT,11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,188.21,868.98,7 CPT,11602,PR EXCISN LESN MLG TR/LMB 1.1-2CM,926.0,694.5,117.23,898.22,683 CPT,11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,200.69,498.85,7 CPT,11603,PR EXCISN LESN MLG TR/LMB 2.1-3CM,1030.0,772.5,134.63,999.1,684 CPT,11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,239.81,4804.8,7 CPT,11604,PR EXCISN LESN MLG TR/LMB 3.1-4CM,1180.0,885.0,151.51,1144.6,684 CPT,11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,265.67,868.98,7 CPT,11606,PR EXCISN LESN MLG TR/LMB >4CM,1514.0,1135.5,225.57,1468.58,684 CPT,11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,402.87,4804.8,7 CPT,11620,PR EXCISN LESN MLG NK/EXT <=.5CM,783.0,587.25,96.72,759.51,683 CPT,11620,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,160.05,2026.75,7 CPT,11621,PR EXCISN LESN MLG NK/EXT .6-1CM,746.0,559.5,111.29,723.62,684 CPT,11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,189.68,868.98,7 CPT,11622,PR EXCISN LESN MLG NK/EXT 1.1-2CM,886.0,664.5,121.78,859.42,684 CPT,11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,211.43,2026.75,7 CPT,11623,PR EXCISN LESN MLG NK/EXT 2.1-3CM,1070.0,802.5,143.91,1037.9,683 CPT,11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,260.84,8148.45,7 CPT,11624,PR EXCISN LESN MLG NK/EXT 3.1-4CM,1233.0,924.75,165.34,1196.01,683 CPT,11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,297.95,8148.45,7 CPT,11626,PR EXCISN LESN MLG NK/EXT >4CM,1646.0,1234.5,203.99,1596.62,683 CPT,11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,372.12,3564.51,7 CPT,11640,PR EXCISN LESN MLG F/E/EY/NO <=0.5CM,853.0,639.75,98.54,827.41,683 CPT,11640,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,162.59,868.98,7 CPT,11641,PR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,992.0,744.0,115.51,962.24,683 CPT,11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,197.48,868.98,7 CPT,11642,PR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,914.0,685.5,130.06,886.58,683 CPT,11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,227.04,868.98,7 CPT,11643,PR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,1261.0,945.75,154.0,1223.17,683 CPT,11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,283.83,8148.45,7 CPT,11644,PR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,1775.0,1331.25,191.39,1721.75,683 CPT,11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,351.81,2026.75,7 CPT,11646,PR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,2481.0,1860.75,251.07,2406.57,683 CPT,11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,488.12,3564.51,7 CPT,11720,PR DBRD NAIL(S) 1-5,102.0,76.5,12.51,102.0,690 CPT,11730,HC AVUL NAIL PLATE SMPL,750.0,562.5,72.02,727.5,915 CPT,11730,PR AVUL NAIL PLATE SMPL,377.0,282.75,54.43,365.69,683 CPT,11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,72.02,246.21,7 CPT,11732,PR AVUL NAIL PLATE SMPL EA ADD,408.0,306.0,14.83,408.0,690 CPT,11740,HC EVAC SUBUNGUAL HEMA,498.0,373.5,46.02,483.06,915 CPT,11740,PR EVAC SUBUNGUAL HEMA,217.0,162.75,27.97,210.49,683 CPT,11750,HC EXCISN NAIL BED PRTL/COMPLT,995.0,746.25,138.51,965.15,915 CPT,11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,138.51,4015.22,7 CPT,11750,PR EXCISN NAIL BED PRTL/COMPLT,580.0,435.0,76.92,562.6,683 CPT,11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,80.4,868.98,7 CPT,11755,PR BX NAIL UNIT,373.0,279.75,58.36,361.81,684 CPT,11760,HC RPR NAIL BED,2307.0,1730.25,152.39,2237.79,915 CPT,11760,PR RPR NAIL BED,1142.0,856.5,90.93,1107.74,683 CPT,11765,HC EXCISN INGROWN TOENAIL,887.0,665.25,130.97,860.39,915 CPT,11765,PR EXCISN INGROWN TOENAIL,478.0,358.5,43.66,463.66,697 CPT,11770,PR EXCISN PILONIDAL CYST SMPL,1544.0,1158.0,189.21,1497.68,683 CPT,11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,263.7,3564.51,7 CPT,11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,643.43,3564.51,7 CPT,11771,PR EXCISN PILONIDAL CYST EXTEN,1913.0,1434.75,335.85,1855.61,683 CPT,11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,835.08,3564.51,7 CPT,11772,PR EXCISN PILONIDAL CYST CMPLX,2812.0,2109.0,411.06,2727.64,683 CPT,11900,HC INJ INTRALESN <=7 LESN,907.0,680.25,35.46,907.0,917 CPT,11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,35.46,214.09,7 CPT,11900,PR INJ INTRALESN <=7 LESN,203.0,152.25,27.68,196.91,684 CPT,11901,HC INJ INTRALESN >7 LESN,1618.0,1213.5,53.73,1618.0,916 CPT,11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,53.73,246.21,7 CPT,11901,PR INJ INTRALESN >7 LESN,260.0,195.0,33.61,252.2,683 CPT,11920,PR TATTOO INCL MICROPIG<= 6.0 SCM,1902.0,1426.5,49.97,1844.94,697 CPT,11921,PR TATTOO INCL MICROPIG 6.1-20 CM,2348.0,1761.0,113.43,2277.56,684 CPT,11921,"TATTOOING OF SKIN TO CORRECT COLOR ISSUE, 6.1-20.0 SQ CM",,,169.4,10029.93,7 CPT,11922,PR TATTOO INCL MPIG EA ADD 20 SCM,642.0,481.5,64.28,642.0,677 CPT,11922,"TATTOOING OF SKIN TO CORRECT COLOR ISSUE, EACH ADDITIONAL 20.0 SQ CM",,,35.73,4348.66,7 CPT,11950,PR INJ FILL MATERIAL SUBQ <=1CC,974.0,730.5,21.67,944.78,697 CPT,11951,PR SUBQ INJ FILLING MATRL >1CC,1260.0,945.0,30.31,1222.2,697 CPT,11952,PR INJ FILL MATRL SUBQ 5.1-10CC,1475.0,1106.25,42.69,1430.75,697 CPT,11954,PR INJ SUBQ FILLING >10.0 CC,1649.0,1236.75,46.88,1599.53,697 CPT,11960,INSERTION OF TISSUE EXPANDER,,,1384.47,4348.66,7 CPT,11960,PR INSN TISS EXPAND NOT BREAST,7562.0,5671.5,461.49,7335.14,683 CPT,11970,PR RPLC TISS EXPAND W PERM IMPLNT,5870.0,4402.5,251.9,5693.9,683 CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,755.7,8904.43,7 CPT,11971,PR RMVL TISS EXPAND WO INS IMPLNT,3309.0,2481.75,250.99,3209.73,683 CPT,11971,REMOVAL OF TISSUE EXPANDER,,,752.96,3564.51,7 CPT,11980,PR IMPL SUBQ HORMONE PELLET,324.0,243.0,23.74,314.28,698 CPT,11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,80.16,4804.8,7 CPT,11981,PR INS NON-BIODEGRADABLE DRUG DEL,482.0,361.5,44.44,467.54,694 CPT,11982,PR RMVL DRUG IMPL,465.0,348.75,47.39,451.05,694 CPT,11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,92.49,6138.73,7 CPT,11983,PR RMVL W REINS NONBIO DEL IMPL,677.0,507.75,59.84,656.69,694 CPT,11983,REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,130.1,548.2,7 CPT,12001,HC SMPL RPR S/NK/TR/EXT <=2.5CM,738.0,553.5,64.34,715.86,915 CPT,12001,PR SMPL RPR S/NK/TR/EXT <=2.5CM,449.0,336.75,55.27,435.53,684 CPT,12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,64.34,868.98,7 CPT,12002,HC SMPL S/NK/TR/EXT 2.6-7.5CM,831.0,623.25,83.87,912.0,1830 CPT,12002,PR SMPL S/NK/TR/EXT 2.6-7.5CM,599.0,449.25,67.61,581.03,683 CPT,12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,83.87,246.21,7 CPT,12004,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,706.0,529.5,105.17,684.82,915 CPT,12004,PR SMPL RPR S/N/TR/EXT 7.6-12.5CM,699.0,524.25,78.59,678.03,683 CPT,12004,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,105.17,246.21,7 CPT,12005,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,1310.0,982.5,131.15,1270.7,915 CPT,12005,PR SMPL RPR S/NK/TR/EXT 12.6-20CM,1287.0,965.25,102.46,1248.39,683 CPT,12006,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,1221.0,915.75,159.48,1184.37,915 CPT,12006,PR SMPL RPR S/NK/TR/EXT 20.1-30CM,1363.0,1022.25,116.6,1322.11,683 CPT,12007,HC SMPL RPR SCLP/NK/TR/EXT >30CM,603.0,452.25,195.57,584.91,915 CPT,12007,PR SMPL RPR SCLP/NK/TR/EXT >30CM,1467.0,1100.25,65.19,1422.99,697 CPT,12011,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,750.0,562.5,79.44,727.5,916 CPT,12011,PR SMPL RPR F/E/EY/NO/L/M<=2.5CM,640.0,480.0,67.75,620.8,683 CPT,12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,79.44,4068.55,7 CPT,12013,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,714.0,535.5,81.39,692.58,915 CPT,12013,PR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,553.0,414.75,70.67,536.41,683 CPT,12014,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,756.0,567.0,105.2,733.32,915 CPT,12014,PR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,861.0,645.75,83.62,835.17,683 CPT,12015,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,707.0,530.25,131.58,685.79,915 CPT,12015,PR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,1280.0,960.0,102.28,1241.6,683 CPT,12016,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,963.0,722.25,178.29,934.11,915 CPT,12018,PR SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,1319.0,989.25,84.48,1279.43,683 CPT,12020,HC TX WND DEHIS SMPL,1916.0,1437.0,261.33,1858.52,916 CPT,12020,PR TX WND DEHIS SMPL,1260.0,945.0,130.86,1222.2,693 CPT,12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,261.33,906.95,7 CPT,12021,PR TX WND DEHIS W PACKING,601.0,450.75,90.31,582.97,683 CPT,12031,HC INT RPR SCLP/AX/TR/EXT <=2.5,2203.0,1652.25,195.44,3254.0,1830 CPT,12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,195.44,8148.45,7 CPT,12031,PR INT RPR SCLP/AX/TR/EXT <=2.5,956.0,717.0,126.48,927.32,685 CPT,12032,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,3049.5,2287.125,242.18,4612.0,1832 CPT,12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,242.18,2396.28,7 CPT,12032,PR INT RPR SCLP/AX/TR/EXT 2.6-7.5,1147.0,860.25,146.11,1112.59,686 CPT,12034,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,1019.0,764.25,263.97,988.43,916 CPT,12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,263.97,4804.8,7 CPT,12034,PR INT RPR SCLP/AX/TR/EXT 7.6-12.5,1420.0,1065.0,162.92,1377.4,683 CPT,12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,328.04,10029.93,7 CPT,12035,PR INT RPR SCLP/AX/TR/EXT 12.6-20,1779.0,1334.25,201.26,1725.63,684 CPT,12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,394.07,906.95,7 CPT,12036,PR INT RPR SCLP/AX/TR/EXT 20-30,2163.0,1622.25,232.98,2098.11,684 CPT,12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,448.65,3564.51,7 CPT,12037,PR INT RPR SCLP/AX/TR/EXT >30.0,2970.0,2227.5,260.24,2880.9,683 CPT,12041,HC INT RPR NK/HND/FT/EXG <=2.5,1463.0,1097.25,189.65,1419.11,915 CPT,12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,189.65,868.98,7 CPT,12041,PR INT RPR NK/HND/FT/EXG <=2.5,1136.0,852.0,127.95,1101.92,683 CPT,12042,HC INT RPR NK/HND/FT/EXG 2.6-7.5,1470.0,1102.5,247.22,1425.9,915 CPT,12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,247.22,2026.75,7 CPT,12042,PR INT RPR NK/HND/FT/EXG 2.6-7.5,1202.0,901.5,148.59,1165.94,684 CPT,12044,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1544.0,1158.0,279.56,1497.68,915 CPT,12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY-EXPRESS CARE",,,279.56,3564.51,7 CPT,12044,PR INT RPR NK/HND/FT/EXG 7.6-12.5,1400.0,1050.0,188.83,1358.0,683 CPT,12045,PR INT RPR NK/HND/FT/EXG 12.6-20,2102.0,1576.5,130.69,2038.94,697 CPT,12047,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, MORE THAN 30.0 CM",,,502.67,8148.45,7 CPT,12051,HC INT RPR F/E/EY/NO/L/M <=2.5,1494.0,1120.5,218.9,1449.18,915 CPT,12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,218.9,498.85,7 CPT,12051,PR INT RPR F/E/EY/NO/L/M <=2.5,1359.0,1019.25,137.7,1318.23,684 CPT,12052,HC INT F/E/EY/NO/L/M 2.6-5,1493.0,1119.75,253.43,1448.21,915 CPT,12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,253.43,2026.75,7 CPT,12052,PR INT F/E/EY/NO/L/M 2.6-5,1478.0,1108.5,151.96,1433.66,683 CPT,12053,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,1446.0,1084.5,274.46,1402.62,915 CPT,12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,274.46,498.85,7 CPT,12053,PR INT RPR F/E/EY/NO/L/M 5.1-7.5,1605.0,1203.75,175.8,1556.85,683 CPT,12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,288.84,3564.51,7 CPT,12054,PR INT RPR F/E/EY/NO/L/M 7.6-12.5,1714.0,1285.5,96.28,1662.58,697 CPT,12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,429.54,3564.51,7 CPT,12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,509.45,3564.51,7 CPT,13100,"COMPLICATED REPAIR OF WOUND OF TRUNK, 1.1-2.5 CM FACILITY",,,251.57,906.95,7 CPT,13100,PR CMPLX RPR TRUNK 1.1-2.5CM,1195.0,896.25,164.61,1159.15,683 CPT,13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,308.4,2026.75,7 CPT,13101,PR CMPLX RPR TRUNK 2.6-7.5CM,1375.0,1031.25,190.19,1333.75,683 CPT,13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,87.65,2026.75,7 CPT,13102,PR CMPLX RPR TRUNK EA <=5CM,509.0,381.75,117.01,509.0,676 CPT,13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,291.12,498.85,7 CPT,13120,PR CMPLX RPR SCLP/LIMB 1.1-2.5CM,999.0,749.25,171.0,969.03,683 CPT,13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,316.7,498.85,7 CPT,13121,PR CMPLX RPR SCLP/LIMB 2.6-7.5CM,1529.0,1146.75,203.64,1483.13,683 CPT,13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,99.54,868.98,7 CPT,13122,PR CMPLX RPR SCLP/LIMB ADD 5CM,555.0,416.25,124.94,555.0,677 CPT,13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,299.85,498.85,7 CPT,13131,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1499.0,1124.25,299.85,1454.03,915 CPT,13131,PR CMPLX RPR FACE/AX/EXT 1.1-2.5,1262.0,946.5,187.34,1224.14,683 CPT,13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,369.44,498.85,7 CPT,13132,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,2252.0,1689.0,369.44,2184.44,915 CPT,13132,PR CMPLX RPR FACE/AX/EXT 2.6-7.5,2137.0,1602.75,225.42,2072.89,683 CPT,13133,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,150.36,498.85,7 CPT,13133,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1169.0,876.75,150.36,1133.93,909 CPT,13133,PR CMPLX RPR FACE/AX/EXT ADD 5CM,1111.0,833.25,164.0,1111.0,676 CPT,13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,342.6,906.95,7 CPT,13151,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,2252.0,1689.0,342.6,2184.44,916 CPT,13151,PR CMPLX RPR EY/NO/E/L 1.1-2.5CM,1537.0,1152.75,204.34,1490.89,683 CPT,13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,409.53,2026.75,7 CPT,13152,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,2362.0,1771.5,409.53,2291.14,915 CPT,13152,PR CMPLX RPR EY/NO/E/L 2.6-7.5CM,2674.0,2005.5,239.27,2593.78,684 CPT,13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,166.64,2026.75,7 CPT,13153,PR CMPLX RPR EY/NO/E/L ADD<=5CM,1247.0,935.25,184.23,1247.0,676 CPT,13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,1083.15,4348.66,7 CPT,13160,PR RPR WND SURGICAL SECNDRY CMPLX,4878.0,3658.5,361.05,4731.66,683 CPT,14000,PR TISS XFER TR DEFECT <=10SCM,2337.0,1752.75,324.49,2266.89,683 CPT,14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,679.76,2026.75,7 CPT,14001,PR TISS XFER TR DEFECT 10-30SCM,4457.0,3342.75,416.93,4323.29,683 CPT,14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,878.91,10029.93,7 CPT,14020,PR TISS XFER SCLP/LIMB <=10SCM,2819.0,2114.25,349.37,2734.43,683 CPT,14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,738.84,2531.94,7 CPT,14021,PR TISS XFER SCLP/LIMB 10-30SCM,3587.0,2690.25,430.15,3479.39,683 CPT,14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,908.85,2531.94,7 CPT,14040,PR TISS XFER FACE/NK/EXT <=10SCM,3186.0,2389.5,374.04,3090.42,684 CPT,14040,"REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,800.73,2396.28,7 CPT,14041,PR TISS XFER FACE/NK/EXT 10-30CM,3276.0,2457.0,451.8,3177.72,684 CPT,14041,"REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,957.78,2531.94,7 CPT,14060,PR TISS XFER EAR/EY/N/LIP <=10SCM,3109.0,2331.75,376.63,3015.73,683 CPT,14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,841.5,2531.94,7 CPT,14061,PR TISS XFER EY/N/E/LIP 10.1-30SCM,3749.0,2811.75,486.83,3636.53,683 CPT,14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1025.48,2531.94,7 CPT,14301,PR TISS XFER ADJ 30.1-60SCM,11250.0,8437.5,545.31,10912.5,683 CPT,14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,1124.21,2026.75,7 CPT,14302,PR TISS XFER ADJ ADD 30SCM,2600.0,1950.0,216.51,2600.0,676 CPT,14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,267.48,13673.7,7 CPT,14350,REPAIR OF TISSUE LOSS OF FINGER OR TOE,,,904.22,2531.94,7 CPT,15002,PR PREP WND TR/EXT PEDS 100SCM,3328.0,2496.0,353.05,3328.0,676 CPT,15002,"PREPARATION OF SKIN GRAFT SITE OF TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,288.29,906.95,7 CPT,15003,PR PREP WND TR/EXT EA ADD 100SCM,808.0,606.0,72.63,808.0,676 CPT,15003,"PREPARATION OF SKIN GRAFT SITE OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,57.96,4348.66,7 CPT,15004,PR PREP WND HD/EXT EA ADD 100SCM,1818.0,1363.5,394.23,1818.0,676 CPT,15004,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,335.99,498.85,7 CPT,15005,PR PREP WND HD/EXT >100SCM,1032.0,774.0,121.06,1032.0,676 CPT,15005,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, O",,,114.11,13673.7,7 CPT,15011,PR HARVEST SKIN CELLS FOR SUSP AUTOGRFT CM,2979.0,2234.25,74.48,2889.63,683 CPT,15013,PR PREP SKIN CELLS SUSP AUTOGRAFT 25CM,6295.0,4721.25,157.38,6106.15,683 CPT,15015,PR APPLICATION SKIN CELL SUSP AUTOGRAFT- T/A/L 480CM,8736.0,6552.0,218.4,8473.92,683 CPT,15017,PR APPLICATION SKIN CELL SUSP AUTOGRAFT- F/N/G/HF 480CM,7767.0,5825.25,402.59,7533.99,683 CPT,15100,"PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,963.98,2531.94,7 CPT,15100,PR GRFT SPLIT SKN TR/LIMB 100SCM,4678.0,3508.5,448.36,4537.66,683 CPT,15101,"PARTIAL THICKNESS SELF SKIN GRAFT OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,146.6,2531.94,7 CPT,15101,PR GRFT SPLIT SKN TR/LIMB ADD 100,1008.0,756.0,195.47,1008.0,676 CPT,15120,"PARTIAL THICKNESS SELF SKIN GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,899.93,4348.66,7 CPT,15120,PR SPLIT AUTGRFT F/NK/HF <=100SCM,4878.0,3658.5,425.55,4731.66,683 CPT,15121,PR SPLIT AUTGRFT F/NK/HF EA ADD,1887.0,1415.25,214.69,1887.0,676 CPT,15200,"FULL THICKNESS SKIN GRAFT TO TRUNK, 20.0 SQ CM OR LESS",,,885.06,2531.94,7 CPT,15200,PR GRFT FULL THCK TR <=20 SCM,4106.0,3079.5,426.1,3982.82,683 CPT,15201,"FULL THICKNESS SKIN GRAFT TO TRUNK, EACH ADDITIONAL 20.0 SQ CM",,,94.89,2531.94,7 CPT,15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,787.55,8148.45,7 CPT,15220,PR GRFT FULL THCK SCLP <= 20 SCM,3501.0,2625.75,381.3,3395.97,683 CPT,15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,84.66,2531.94,7 CPT,15221,PR GRFT FULL THCK SCLP EA ADD 20 CM,930.0,697.5,130.23,930.0,676 CPT,15240,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 20.0 SQ CM OR LESS FACILITY",,,1022.9,2531.94,7 CPT,15240,PR GRFT FULL THCK F/G/HF <=20SCM,5753.0,4314.75,457.0,5580.41,683 CPT,15241,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,131.28,6579.7,7 CPT,15241,PR GRFT FULL THCK F/G/HF EA ADD 20CM,1444.0,1083.0,174.91,1444.0,677 CPT,15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,1067.6,7264.49,7 CPT,15260,PR GRFT FULL THCK EY/NO/E/L <=20SCM,3745.0,2808.75,488.4,3632.65,683 CPT,15261,PR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,1848.0,1386.0,202.43,1848.0,676 CPT,15271,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK, ARMS, OR LEGS, 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS FACILITY",,,110.31,906.95,7 CPT,15271,HC SKN GRFT A/TR/L <=100SCM/1ST 25,7295.0,5471.25,110.31,7295.0,1832 CPT,15271,PR SKN GRFT A/TR/L <=100SCM/1ST 25,546.0,409.5,65.37,529.62,693 CPT,15272,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS FACILITY",,,21.57,906.95,7 CPT,15272,PR SKN SUBST GRFT A/TR/L ADD 25SCM,334.0,250.5,25.06,334.0,676 CPT,15273,PR SKN GRFT A/TR/L <=100SCM PEDS,1666.0,1249.5,156.6,1616.02,683 CPT,15273,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,251.33,2531.94,7 CPT,15274,PR SKN GRFT A/TR/L ADD 100SCM PEDS,353.0,264.75,84.32,353.0,676 CPT,15274,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,57.05,10769.24,7 CPT,15275,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS FACILITY",,,123.98,7264.49,7 CPT,15275,HC SKN GRFT F/N/G/HF <=100SCM,5186.5,3889.875,123.98,5129.36,1830 CPT,15275,PR SKN GRFT F/N/G/HF <=100SCM,648.0,486.0,78.22,628.56,683 CPT,15276,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS ",,,32.4,906.95,7 CPT,15276,PR SKN GRFT F/N/G/HF ADD 25SCM,261.0,195.75,32.93,261.0,676 CPT,15277,PR GRFT F/N/G/HF <=100SCM 1ST,1988.0,1491.0,175.62,1928.36,683 CPT,15278,PR GRFT F/N/G/HF <=100SCM ADD,628.0,471.0,98.33,628.0,676 CPT,15570,CREATION OF FLAP GRAFT TO TRUNK,,,981.95,8148.45,7 CPT,15570,PR FORM DIRECT/TUBED PEDICLE TRUNK,6089.0,4566.75,327.32,5906.33,697 CPT,15572,"CREATION OF FLAP GRAFT TO SCALP, ARMS, OR LEGS",,,979.25,15754.92,7 CPT,15572,PR FORM PEDCL SCLP/A/L,4958.0,3718.5,454.58,4809.26,683 CPT,15574,PR FORM PEDCL FACE/NK/AX/EXG/EXT,6136.0,4602.0,426.66,5951.92,683 CPT,15576,PR FORM PEDCL EY/NO/E/L,4385.0,3288.75,387.59,4253.45,683 CPT,15600,PR DELAY FLAP TR,3264.0,2448.0,181.24,3166.08,683 CPT,15600,TRANSFER OF SKIN FLAP TO TRUNK,,,310.2,8148.45,7 CPT,15610,PR DELAY FLAP SCLP/A/L,3203.0,2402.25,190.15,3106.91,683 CPT,15610,"TRANSFER OF SKIN FLAP TO SCALP, ARMS, OR LEGS",,,343.71,2531.94,7 CPT,15620,PR DELAY FLAP FACE/NK/AX/EXG/EXT,3385.0,2538.75,225.42,3283.45,683 CPT,15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,445.16,7264.49,7 CPT,15630,PR DELAY FLAP EY/NO/E/L,2948.0,2211.0,228.74,2859.56,683 CPT,15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,455.6,2531.94,7 CPT,15730,CREATION OF FLAP GRAFT TO MIDFACE,,,1149.0,4348.66,7 CPT,15730,PR MDFC FLAP W/PRSRV VASC PEDCL,8685.0,6513.75,701.97,8424.45,683 CPT,15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,1285.02,7264.49,7 CPT,15731,PR FHD FLAP W VASC PEDCL,6507.0,4880.25,559.58,6311.79,683 CPT,15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,1329.17,4068.55,7 CPT,15733,PR MUSC MYOQ/FSCQ FLP H&N PEDCL,8176.0,6132.0,443.06,7930.72,683 CPT,15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,2022.36,4348.66,7 CPT,15734,PR MUSCLE FLAP TRUNK,12480.0,9360.0,674.12,12105.6,683 CPT,15736,CREATION OF MUSCLE GRAFT TO ARM,,,1622.25,2531.94,7 CPT,15736,PR MUSCLE FLAP UPPER EXT,8004.0,6003.0,540.75,7763.88,683 CPT,15738,CREATION OF MUSCLE GRAFT TO LEG,,,1677.42,4348.66,7 CPT,15738,PR MUSCLE FLAP LWR EXT,15583.0,11687.25,559.14,15115.51,683 CPT,15740,CREATION OF SKIN AND TISSUE GRAFT FACILITY,,,1099.31,2531.94,7 CPT,15740,PR FLAP ISLAND PEDCL,5073.0,3804.75,510.95,4920.81,683 CPT,15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,1226.55,4068.55,7 CPT,15750,PR FLAP NEUR VASC PEDCL,7637.0,5727.75,408.85,7407.89,683 CPT,15756,MUSCLE GRAFT WITH REPAIR OF SMALL BLOOD VESSEL-EXPRESS CARE,,,2874.32,7264.49,7 CPT,15756,PR MUS FLAP W MICROVASC ANAST,21210.0,15907.5,958.11,20573.7,683 CPT,15758,PR FCL FLAP W MICROVASC ANAST,20604.0,15453.0,948.36,19985.88,683 CPT,15758,TISSUE GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,,,2845.07,7418.74,7 CPT,15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,895.83,2531.94,7 CPT,15760,PR COMPOSITE SKIN GRAFT,6151.0,4613.25,417.88,5966.47,683 CPT,15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,4335.0,3251.25,221.11,4204.95,683 CPT,15769,SELF SOFT TISSUE GRAFT,,,663.32,4068.55,7 CPT,15771,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, 50.0 CC OR LESS",,,691.64,10029.93,7 CPT,15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,6210.0,4657.5,322.14,6023.7,683 CPT,15772,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, EACH ADDITIONAL 50.0 CC",,,184.76,10029.93,7 CPT,15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,2040.0,1530.0,200.2,2040.0,676 CPT,15773,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, OR FEET, 25.0 CC OR LESS FACILITY",,,664.26,2531.94,7 CPT,15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,4868.0,3651.0,304.76,4721.96,683 CPT,15774,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 25.0 CC",,,177.93,2531.94,7 CPT,15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1649.0,1236.75,195.33,1649.0,676 CPT,15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,266.81,10769.24,7 CPT,15777,PR IMPLANTATION BIOLOGIC IMPLANT,2322.0,1741.5,218.33,2322.0,676 CPT,15778,PR IMPL ABSRB MSH/PRSTH DLY CLS,3092.0,2319.0,171.56,2999.24,683 CPT,15781,PR DERMABRASION SEGM FACE,1730.0,1297.5,253.57,1678.1,683 CPT,15781,SCRAPING OF SKIN OF FACE FACILITY,,,539.81,2917.52,7 CPT,15788,PR CHEM PEEL FACIAL EPIDERMAL,1020.0,765.0,95.47,989.4,697 CPT,15789,PR CHEM PEEL FACIAL DERMAL,1175.0,881.25,174.86,1139.75,697 CPT,15793,PR CHEMICAL PEEL NONFACIAL DERMAL,495.0,371.25,155.21,495.0,697 CPT,15820,PR BLEPH LWR EYELID,6047.0,4535.25,287.24,5865.59,683 CPT,15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,661.7,2531.94,7 CPT,15821,PR BLEPH LWR EYELID W FAT PAD,3395.0,2546.25,236.56,3293.15,697 CPT,15822,PR BLEPH UPR EYELID,3264.0,2448.0,173.75,3166.08,697 CPT,15823,PR BLEPH UPR EYELID W EXCESS SKIN LID,4113.0,3084.75,309.01,3989.61,683 CPT,15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,707.1,2917.52,7 CPT,15824,PR RHYTIDECTOMY FOREHEAD,6921.0,5190.75,2595.38,6713.37,683 CPT,15824,REMOVAL OF WRINKLES AND EXTRA SKIN OF FOREHEAD FACILITY,,,3099.57,3564.51,6 CPT,15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3781.45,4348.66,6 CPT,15825,PR RHYTIDECTOMY NK W TGHTNNG,13752.0,10314.0,5157.0,13339.44,683 CPT,15828,PR RHYTIDECTOMY CHEEK/CHIN/NECK,17190.0,12892.5,6446.25,16674.3,683 CPT,15829,PR RHYTIDECTOMY SUPERFICIAL,15441.0,11580.75,5790.38,14977.77,683 CPT,15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,2536.97,2917.52,6 CPT,15830,PR EXCISN EXCESS SKIN/TISS ABD,7788.0,5841.0,519.35,7554.36,683 CPT,15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,1558.05,8148.45,7 CPT,15832,PR EXCISN EXCESS SKIN/TISS THIGH,6426.0,4819.5,410.16,6233.22,683 CPT,15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,1230.48,3564.51,7 CPT,15833,PR EXCISN EXCESS SKIN LEG,6442.0,4831.5,388.56,6248.74,683 CPT,15835,PR EXCISN EXCESS SKIN/TISS BUTTOCK,7904.0,5928.0,411.39,7666.88,683 CPT,15836,PR EXCISN EXCESS SKIN/TISS ARM,5283.0,3962.25,354.84,5124.51,683 CPT,15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,1064.51,3564.51,7 CPT,15839,PR EXCISN EXCESS SKN/TISS OTHER,5250.0,3937.5,466.27,5092.5,683 CPT,15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,996.33,8148.45,7 CPT,15840,PR FACE NRV PALSY FASCIA GRFT,8284.0,6213.0,432.78,8035.48,683 CPT,15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,1298.33,4824.39,7 CPT,15841,PR GRAFT FACIAL NRV PARLYS FREE,12142.0,9106.5,770.16,11777.74,683 CPT,15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,,,1413.47,4824.39,7 CPT,15845,PR GRAFT FACIAL NRV PARLYS MUS TR,7219.0,5414.25,471.16,7002.43,683 CPT,15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,7085.61,8148.45,6 CPT,15847,PR EXCISN EXC SKIN/ SUBQ TISS ABD,5702.0,4276.5,456.22,5702.0,676 CPT,15851,PR RMVL SUTR W ANES OTHER SURG,315.0,236.25,28.63,305.55,683 CPT,15851,REMOVAL OF SUTURES OR STAPLES UNDER ANESTHESIA,,,85.89,2531.94,7 CPT,15852,DRESSING CHANGE UNDER ANESTHESIA,,,56.94,106.79,7 CPT,15852,PR DRSG CHNG W ANES NOT BURN,314.0,235.5,18.98,304.58,683 CPT,15853,PR RMVL SUTURES WO ANES,93.0,69.75,10.97,93.0,687 CPT,15854,PR RMVL SUTURES & STAPLE WO ANES,102.0,76.5,17.12,102.0,677 CPT,15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,136.31,16911.22,7 CPT,15860,PR TEST INJ VASC FLOW FLAP/GRFT,646.0,484.5,45.44,626.62,683 CPT,15876,PR SUCTION ASSIS LIPECTOMY HD/NK,4455.0,3341.25,1670.63,4321.35,683 CPT,15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3781.45,4348.66,6 CPT,15877,PR SUCTION ASSIS LIPECTOMY TRUNK,6490.0,4867.5,2433.75,6295.3,683 CPT,15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,8721.68,10029.93,6 CPT,15878,PR SUCT ASSIS LIPECTOMY UPP EXT,1150.0,862.5,431.25,1115.5,683 CPT,15878,SUCTION ASSISTED REMOVAL OF FAT OF ARM,,,2201.69,2531.94,6 CPT,15879,PR SUCT ASSIS LIPECTOMY LWR EXT,8911.0,6683.25,3341.63,8643.67,683 CPT,15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,3781.45,4348.66,6 CPT,15931,PR EXCISN ULCER SACRAL W SUTR,3692.0,2769.0,326.78,3581.24,683 CPT,15936,PR EXCISN SAC PRESS ULCER IN PREP,6237.0,4677.75,407.05,6049.89,683 CPT,15937,PR EXCISN ULCER PREP GRFT OSTEOT,7755.0,5816.25,448.02,7522.35,683 CPT,15946,PR EXCISN ULCER ISCHL PREP GRFT,9085.0,6813.75,710.64,8812.45,683 CPT,16000,HC TX BURN 1ST DEGREE INIT,724.0,543.0,61.68,702.28,915 CPT,16000,PR TX BURN 1ST DEGREE INIT,280.0,210.0,43.86,271.6,683 CPT,16020,HC DBRD BURN PRTL THCK <5%,714.0,535.5,79.53,692.58,915 CPT,16020,PR DBRD BURN PRTL THCK <5%,325.0,243.75,38.35,315.25,693 CPT,16025,HC DBRD BURN PRTL THCK 5-10%,587.0,440.25,149.19,569.39,915 CPT,16025,PR DBRD BURN PRTL THCK 5-10%,497.0,372.75,80.64,482.09,683 CPT,17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,70.01,214.09,7 CPT,17000,HC DEST PREMALIGNANT LESN 1ST,480.0,360.0,70.01,480.0,916 CPT,17000,PR DEST PREMALIGNANT LESN 1ST,246.0,184.5,27.54,238.62,696 CPT,17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,2.49,214.09,7 CPT,17003,HC DEST PREMALIGNANT LESN 2-14,234.0,175.5,2.49,234.0,910 CPT,17003,PR DEST PREMALIGNANT LESN 2-14,45.0,33.75,5.26,45.0,691 CPT,17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,121.74,498.85,7 CPT,17004,HC DEST PREMALIGNANT LESN =>15,2000.0,1500.0,121.74,2000.0,915 CPT,17004,PR DEST PREMALIGNANT LESN =>15,907.0,680.25,134.46,907.0,689 CPT,17106,PR DEST CUT LESN PROLIF <10SCM,1591.0,1193.25,117.1,1543.27,697 CPT,17108,HC DEST CUT LESN HCOLIF >50SCM,16199.0,12149.25,665.48,16199.0,915 CPT,17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,91.44,214.09,7 CPT,17110,HC DEST BENIGN LESN OTHR<=14,820.0,615.0,91.44,820.0,916 CPT,17110,PR DEST BENIGN LESN OTHR<=14,405.0,303.75,46.0,392.85,696 CPT,17111,"DESTRUCTION OF SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,108.32,214.09,7 CPT,17111,HC DEST BENIGN LESIONS OTHR >=15,962.0,721.5,108.32,962.0,915 CPT,17111,PR DEST BENIGN LESIONS OTHR >=15,443.0,332.25,36.11,429.71,697 CPT,17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,51.83,4575.22,7 CPT,17250,HC CAUTERIZE CHEM GRANULATION TIS,589.5,442.125,51.83,574.24,1830 CPT,17250,PR CAUTERIZE CHEM GRANULATION TIS,343.0,257.25,37.25,332.71,684 CPT,17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,86.94,214.09,7 CPT,17260,HC DEST LESN MLG T/A/L <=0.5CM,1202.0,901.5,86.94,1202.0,916 CPT,17260,PR DEST LESN MLG T/A/L <=0.5CM,323.0,242.25,47.27,313.31,684 CPT,17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,109.43,246.21,7 CPT,17261,HC DEST LESN MLG T/A/L .6-1CM,1258.0,943.5,109.43,1258.0,916 CPT,17261,PR DEST LESN MLG T/A/L .6-1CM,510.0,382.5,59.76,494.7,695 CPT,17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,137.01,498.85,7 CPT,17262,HC DEST LESN MLG TR/LIMB 1.1-2CM,1378.0,1033.5,137.01,1378.0,916 CPT,17262,PR DEST LESN MLG TR/LIMB 1.1-2CM,630.0,472.5,71.97,611.1,694 CPT,17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,142.07,214.09,7 CPT,17263,HC DEST LESN MLG TR/LIMB 2.1-3CM,1473.0,1104.75,150.81,1473.0,915 CPT,17263,PR DEST LESN MLG TR/LIMB 2.1-3CM,642.0,481.5,91.86,622.74,683 CPT,17264,HC DEST LESN MLG TR/LIMB 3.1-4CM,1669.0,1251.75,160.7,1669.0,915 CPT,17264,PR DEST LESN MLG TR/LIMB 3.1-4CM,676.0,507.0,53.57,655.72,697 CPT,17266,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,187.77,498.85,7 CPT,17266,HC DEST LESN MLG TR/LIMB >4CM,3072.0,2304.0,187.77,3072.0,915 CPT,17266,PR DEST LESN MLG TR/LIMB >4CM,828.0,621.0,112.44,803.16,683 CPT,17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,119.31,246.21,7 CPT,17270,HC DEST LESN MLG S/NK/EXT<=.5CM,1269.0,951.75,119.31,1269.0,915 CPT,17270,PR DEST LESN MLG S/NK/EXT<=.5CM,484.0,363.0,71.65,469.48,684 CPT,17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,131.1,246.21,7 CPT,17271,HC DEST LESN MLG S/NK/EXT .6-1CM,1265.0,948.75,131.1,1265.0,916 CPT,17271,PR DEST LESN MLG S/NK/EXT .6-1CM,602.0,451.5,67.27,583.94,695 CPT,17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,149.31,246.21,7 CPT,17272,HC DEST LESN MLG S/NK/EXT 1.1-2CM,1415.0,1061.25,149.31,1415.0,916 CPT,17272,PR DEST LESN MLG S/NK/EXT 1.1-2CM,669.0,501.75,76.01,648.93,694 CPT,17273,PR DEST LESN MLG S/NK/EXT 2.1-3CM,672.0,504.0,56.19,651.84,697 CPT,17274,PR DEST LESN MLG S/NK/EXT 3.1-4CM,823.0,617.25,68.18,798.31,697 CPT,17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,246.71,498.85,7 CPT,17276,HC DEST SKIN MAL LES >4.0 CM,3813.0,2859.75,246.71,3813.0,915 CPT,17276,PR DEST SKIN MAL LES >4.0 CM,1118.0,838.5,82.24,1084.46,697 CPT,17280,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,109.43,214.09,7 CPT,17280,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,1403.0,1052.25,109.43,1403.0,915 CPT,17280,PR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,507.0,380.25,67.39,491.79,684 CPT,17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,146.4,246.21,7 CPT,17281,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,1791.0,1343.25,146.4,1791.0,916 CPT,17281,PR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,582.0,436.5,72.71,564.54,693 CPT,17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,167.58,246.21,7 CPT,17282,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,1838.0,1378.5,167.58,1838.0,915 CPT,17282,PR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,648.0,486.0,97.78,628.56,684 CPT,17283,PR DEST SKIN MLG LESN 2.1-3.0 CM,780.0,585.0,69.18,756.6,697 CPT,17284,PR DEST SKIN MLG LESN 3.1-4.0 CM,984.0,738.0,81.1,954.48,697 CPT,17286,PR DEST LESN MLG F/E/EY/NO/L/M >4CM,1396.0,1047.0,110.14,1354.12,697 CPT,17311,PR MOHS HD/NK/EXDT/EXG 1 STAGE,2270.0,1702.5,141.03,2201.9,699 CPT,17312,PR MOHS HD/NK/EXDT/EXG ADD STAGE,1379.0,1034.25,150.32,1379.0,692 CPT,17313,PR MOHS TR/LIMB 1 STAGE 1-5,1922.0,1441.5,126.58,1864.34,698 CPT,17314,PR MOHS TR/LIMB EA ADD STAGE,1230.0,922.5,137.28,1230.0,691 CPT,17315,PR MOHS EA BLOCK AFTER FIRST 5,376.0,282.0,39.45,376.0,691 CPT,17380,"HAIR REMOVAL BY ELECTROLYSIS, EACH 30 MINUTES",,,3978.45,4575.22,6 CPT,17380,PR ELECTROLYSIS EPILATION EA 30 MIN,341.0,255.75,127.88,330.77,683 CPT,17999,LASER DEST LESN <10 SQ CM - FACILITY,,,3781.45,4348.66,6 CPT,17999,PR DEEP FX,2000.0,1500.0,50.0,1940.0,685 CPT,17999,PR FIBROBLAST SKIN BX,469.0,351.75,11.73,454.93,685 CPT,17999,PR FRAXEL TEST PATCH,200.0,150.0,5.0,194.0,685 CPT,17999,PR IPL CHEST ONLY 1 TREATMENT,400.0,300.0,10.0,388.0,685 CPT,17999,PR IPL FACE/NECK 1 TREATMENT,600.0,450.0,15.0,582.0,685 CPT,17999,PR IPL FOREARMS ONLY 1 TREATMENT,500.0,375.0,12.5,485.0,685 CPT,17999,PR IPL FULL FACE 1 TREATMENT,400.0,300.0,10.0,388.0,685 CPT,17999,PR IPL HAND 1 TREATMENT,300.0,225.0,7.5,291.0,685 CPT,17999,PR IPL LEGS ONLY 1 TREATMENT,2000.0,1500.0,50.0,1940.0,685 CPT,17999,PR IPL NECK ONLY 1 TREATMENT,300.0,225.0,7.5,291.0,685 CPT,17999,PR IPL NECK/CHEST 1 TREATMENT,600.0,450.0,15.0,582.0,685 CPT,17999,PR IPL OPH DRY EYE,515.0,386.25,12.88,499.55,685 CPT,17999,PR JUVEDERM VOLUMA XC 1CC,860.0,645.0,21.5,834.2,685 CPT,17999,PR LASER 1 - 10 PULSES,200.0,150.0,5.0,194.0,685 CPT,17999,PR LASER 101 - 150 PULSES,450.0,337.5,11.25,436.5,685 CPT,17999,PR LASER 11 - 40 PULSES,300.0,225.0,7.5,291.0,685 CPT,17999,PR LASER 151 - 200 PULSES,500.0,375.0,12.5,485.0,685 CPT,17999,PR LASER 201 - 300 PULSES,600.0,450.0,15.0,582.0,685 CPT,17999,PR LASER 301 - 400 PULSES,700.0,525.0,17.5,679.0,685 CPT,17999,PR LASER 401 - 500 PULSES,800.0,600.0,20.0,776.0,685 CPT,17999,PR LASER 41 - 100 PULSES,350.0,262.5,8.75,339.5,685 CPT,17999,PR LASER 501 - 600 PULSES,900.0,675.0,22.5,873.0,685 CPT,17999,PR LASER 601 - 700 PULSES,1000.0,750.0,25.0,970.0,685 CPT,17999,PR LASER 801 - 900 PULSES,1200.0,900.0,30.0,1164.0,685 CPT,17999,PR LASER TEST SPOT,150.0,112.5,3.75,145.5,685 CPT,17999,PR LASER TX SCAR W PULSEDYE 10-50CM,744.0,558.0,18.6,721.68,685 CPT,17999,PR LASER TX SCAR W PULSEDYE >50CM,1116.0,837.0,27.9,1082.52,685 CPT,17999,PR MIRADRY TREATMENT,2000.0,1500.0,50.0,1940.0,685 CPT,17999,PR TATOO RMVL EXTRA SMALL,150.0,112.5,3.75,145.5,685 CPT,17999,PR TATOO RMVL LARGE,1000.0,750.0,25.0,970.0,685 CPT,17999,PR TATOO RMVL MEDIUM,500.0,375.0,12.5,485.0,685 CPT,17999,PR TATOO RMVL SMALL,250.0,187.5,6.25,242.5,685 CPT,17999,PR TOTAL FX,3500.0,2625.0,87.5,3395.0,685 CPT,19000,"ASPIRATION OF CYST OF BREAST, FIRST CYST FACILITY",,,53.57,4804.8,7 CPT,19000,PR ASP BREAST CYST,440.0,330.0,46.83,426.8,683 CPT,19001,"ASPIRATION OF CYST OF BREAST, EACH ADDITIONAL CYST FACILITY",,,26.57,4804.8,7 CPT,19001,PR ASP BREAST CYST ADD,187.0,140.25,25.8,187.0,676 CPT,19020,PR MASTOTOMY W EXPLR/DRAIN ABSC,2181.0,1635.75,153.45,2115.57,697 CPT,19081,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE, FIRST GROWTH FACILITY",,,204.0,3874.69,7 CPT,19081,PR BX BRST W DEV 1ST LESN STERETCTC,3941.0,2955.75,68.0,3822.77,697 CPT,19082,PR BX BRST W DEV ADD STRTC GUID,2188.0,1641.0,68.35,2188.0,690 CPT,19083,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, FIRST GROWTH FACILITY",,,192.59,2026.75,7 CPT,19083,PR BX BRST W DEV 1ST LESN US GUID,2892.0,2169.0,231.37,2805.24,683 CPT,19084,PR BX BRST ADD LESION US GUID,1919.0,1439.25,347.27,1919.0,676 CPT,19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,223.46,2026.75,7 CPT,19085,HC BX BREAST W LOC MR GUID 1ST,5814.0,4360.5,223.46,5814.0,916 CPT,19085,PR BX BREAST W LOC MR GUID 1ST,3975.0,2981.25,349.43,3855.75,683 CPT,19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,111.51,3564.51,7 CPT,19086,HC BX BREAST W LOC MR GUID ADD,6820.0,5115.0,111.51,6820.0,910 CPT,19086,PR BX BREAST W LOC MR GUID ADD,2021.0,1515.75,537.16,2021.0,676 CPT,19101,PR BX BRST OPN,1839.0,1379.25,169.9,1783.83,683 CPT,19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,517.37,4804.8,7 CPT,19110,PR EXPLORE NIPPLE,2739.0,2054.25,259.04,2656.83,683 CPT,19120,PR RMVL BREAST LESN 1 OR MORE,1876.0,1407.0,236.26,1819.72,693 CPT,19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,593.52,4804.8,7 CPT,19125,PR EXCISN BRST LESN MARKER ID OPN,1380.0,1035.0,307.84,1338.6,683 CPT,19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,658.44,4804.8,7 CPT,19126,PR EXCISN BRST LESN MARKER ID ADD,1405.0,1053.75,139.7,1405.0,676 CPT,19126,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, EACH ADDITIONAL GROWTH",,,209.55,4804.8,7 CPT,19281,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, FIRST GROWTH FACILITY-EXPRESS CARE",,,122.84,4804.8,7 CPT,19281,PR PLC BREAST LOC DEV MAMMO 1ST,966.0,724.5,40.95,937.02,697 CPT,19282,PR PLC BREAST LOC DEV MAMMO ADD,631.0,473.25,40.85,631.0,690 CPT,19283,PR PERC LOC DEV BRST 1ST STRTCTC,1616.0,1212.0,41.4,1567.52,697 CPT,19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,105.95,8148.45,7 CPT,19285,PR PLC BRST LOC DEV 1ST W US,1739.0,1304.25,35.32,1686.83,697 CPT,19286,PR PLC BRST LOC DEV EA ADD/US,1005.0,753.75,35.47,1005.0,690 CPT,19287,HC PLC BREAST LOC DEV MR GUID 1ST,2451.0,1838.25,156.47,2451.0,915 CPT,19287,PR PLC BREAST LOC DEV MR GUID 1ST,3429.0,2571.75,291.18,3326.13,683 CPT,19300,PR MASTECTOMY GYNECOMASTIA,3569.0,2676.75,309.17,3461.93,683 CPT,19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,620.19,4804.8,7 CPT,19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,920.48,4804.8,7 CPT,19301,PR MASTECTOMY PARTIAL,2422.0,1816.5,306.83,2349.34,683 CPT,19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,1262.12,8148.45,7 CPT,19302,PR MAST PRTL W AXLRY LYMPHDEC,5409.0,4056.75,420.71,5246.73,683 CPT,19303,PR MASTECT SMPL COMPLT,5769.0,4326.75,444.23,5595.93,683 CPT,19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,1332.69,10769.24,7 CPT,19305,PR MAST RADCL INCL PECT MUS,7249.0,5436.75,531.81,7031.53,683 CPT,19307,PR MASTECT RADICAL MODIFIED,6047.0,4535.25,546.38,5865.59,683 CPT,19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,1639.13,8148.45,7 CPT,19316,PR MASTOPEXY,7655.0,5741.25,354.85,7425.35,683 CPT,19316,REPAIR FOR SAGGING OF THE BREAST,,,1064.54,8148.45,7 CPT,19318,BREAST REDUCTION PROFESSIONAL,,,1432.41,8148.45,7 CPT,19318,PR BREAST REDUC,11036.0,8277.0,477.47,10704.92,683 CPT,19325,INSERTION OF BREAST IMPLANT,,,826.82,10029.93,7 CPT,19325,PR BREAST AUGMENT W IMPLNT,6344.0,4758.0,275.61,6153.68,683 CPT,19328,PR RMVL INTACT BRST IMPLNT,4342.0,3256.5,249.84,4211.74,683 CPT,19328,REMOVAL OF INTACT BREAST IMPLANT,,,749.52,4804.8,7 CPT,19330,PR RMVL RPTRD BRST IMPLNT,4502.0,3376.5,288.44,4366.94,683 CPT,19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,865.32,8148.45,7 CPT,19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,1023.53,16911.22,7 CPT,19340,PR IMMED INSRT BRST IMPLNT,9090.0,6817.5,341.18,8817.3,683 CPT,19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,1014.38,10029.93,7 CPT,19342,PR DELAYED INSRT/RPLC BRST IMPLNT,10221.0,7665.75,338.13,9914.37,683 CPT,19350,PR RCNST NIPPLE/AREOLA,6717.0,5037.75,434.5,6515.49,683 CPT,19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,899.57,4804.8,7 CPT,19355,PR CORRECTION INVERTED NIPPLES,6173.0,4629.75,395.79,5987.81,683 CPT,19357,PR RCNST BRST TISS EXPAND,14216.0,10662.0,522.15,13789.52,683 CPT,19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,1566.45,16911.22,7 CPT,19361,PR RCNST BRST W LAT DORSI FLAP,16601.0,12450.75,673.34,16102.97,683 CPT,19361,RECONSTRUCTION OF BREAST WITH SHOULDER MUSCLE TISSUE GRAFT,,,1346.68,2020.02,7 CPT,19364,PR RCNST BRST W FREE FLAP,66963.0,50222.25,1154.54,64954.11,683 CPT,19368,PR RCNST BRST TRAM FLAP ANASTO,15683.0,11762.25,919.51,15212.51,683 CPT,19370,PR REV PERI CAPSULOTOMY BRST,6916.0,5187.0,299.87,6708.52,683 CPT,19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,899.61,8148.45,7 CPT,19371,PR PERI IMPLT CAPSULECTOMY BRST COMPL,13480.0,10110.0,316.16,13075.6,683 CPT,19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,948.47,4804.8,7 CPT,19380,PR REVISION OF RECONSTRUCTED BRST,9903.0,7427.25,358.28,9605.91,683 CPT,19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,1074.83,8148.45,7 CPT,19499,PR TOMO GUIDED BREAST BIOPSY,3941.0,2955.75,98.53,3822.77,683 CPT,20103,EXPLORATION OF WOUND OF ARM OR LEG FACILITY,,,462.5,2026.75,7 CPT,20103,PR EXPLR PNTRATE WND EXT,3046.0,2284.5,287.68,2954.62,683 CPT,20200,BIOPSY OF MUSCLE FACILITY,,,131.19,2026.75,7 CPT,20200,HC BX MUS SUPFCL,3093.0,2319.75,131.19,3093.0,915 CPT,20200,PR BX MUS SUPFCL,938.0,703.5,117.2,909.86,683 CPT,20205,DEEP BIOPSY OF MUSCLE,,,213.5,3564.51,7 CPT,20205,PR BX MUS DEEP,1152.0,864.0,164.05,1117.44,683 CPT,20206,HC BX MUS PERC NDL,4097.0,3072.75,75.17,4097.0,917 CPT,20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,75.17,2026.75,7 CPT,20206,PR BX MUS PERC NDL,914.0,685.5,101.92,886.58,683 CPT,20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,112.71,2026.75,7 CPT,20220,HC BX BN TROCAR/NDL SUPFCL,4253.0,3189.75,112.71,4253.0,919 CPT,20220,PR BX BN TROCAR/NDL SUPFCL,1017.0,762.75,108.62,986.49,683 CPT,20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,166.82,2026.75,7 CPT,20225,HC BX BN TROCAR/NDL DEEP,4516.0,3387.0,166.82,4516.0,916 CPT,20225,PR BX BN TROCAR/NDL DEEP,2280.0,1710.0,177.46,2211.6,683 CPT,20240,BIOPSY OF SURFACE BONE,,,186.24,3564.51,7 CPT,20240,PR BX BN OPN SUPFCL,929.0,696.75,62.08,901.13,683 CPT,20245,BIOPSY OF DEEP BONE,,,443.96,3564.51,7 CPT,20245,PR BX BN OPN DEEP,2968.0,2226.0,147.99,2878.96,683 CPT,20250,PR BX VERTEBRAL BODY OPEN THORAC,2602.0,1951.5,187.59,2523.94,683 CPT,20251,BIOPSY OF UPPER OR LOWER SPINE BONE,,,611.46,8904.43,7 CPT,20251,PR BX VERTEBRAL BODY OPEN LUMB/CERV,3955.0,2966.25,203.82,3836.35,683 CPT,20500,HC INJ SINUS TRACT THERAPEUTIC,4640.0,3480.0,122.46,4640.0,915 CPT,20500,INJECTION FOR REPAIR OF ABNORMAL MUSCLE DRAINAGE TRACT FACILITY,,,122.46,1904.02,7 CPT,20500,PR INJ SINUS TRACT THERAPEUTIC,663.0,497.25,62.67,643.11,683 CPT,20501,HC INJ SINUS TRACT DX,1690.0,1267.5,45.9,1690.0,909 CPT,20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,45.9,670.53,7 CPT,20501,PR INJ SINUS TRACT DX,396.0,297.0,65.96,384.12,683 CPT,20520,PR RMVL FB MUS SMPL,814.0,610.5,111.79,789.58,683 CPT,20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON FACILITY,,,207.68,2026.75,7 CPT,20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,340.49,4015.22,7 CPT,20525,PR RMVL FB MUS DEEP/COMPLICATED,2271.0,1703.25,241.34,2202.87,683 CPT,20526,INJECTION OF CARPAL TUNNEL FACILITY,,,72.32,2396.28,7 CPT,20526,PR INJ THER CARPAL TUNNEL,420.0,315.0,36.45,407.4,693 CPT,20527,PR INJ ENZYME PALMAR FASCIAL CORD,334.0,250.5,28.47,323.98,697 CPT,20550,HC INJ SNGL TNDN/SHTH/LGMNT,1246.0,934.5,49.17,1246.0,1832 CPT,20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,49.17,1973.24,7 CPT,20550,PR INJ SNGL TNDN/SHTH/LGMNT,284.0,213.0,25.08,275.48,693 CPT,20551,HC INJ SNGL TENDN ORIGIN/INS,1278.0,958.5,48.75,1278.0,1830 CPT,20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,48.75,4015.22,7 CPT,20551,PR INJ SNGL TENDN ORIGIN/INS,255.0,191.25,16.25,247.35,698 CPT,20552,HC INJ TRIGGER PNT<=2 MUS,1103.0,827.25,52.55,1164.97,3668 CPT,20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY",,,52.55,376.67,7 CPT,20552,PR INJ TRIGGER PNT<=2 MUS,378.0,283.5,21.49,366.66,694 CPT,20553,HC INJ TRIGGER PNT >=3 MUS,3270.5,2452.875,59.91,5141.0,1836 CPT,20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,59.91,376.67,7 CPT,20553,PR INJ TRIGGER PNT >=3 MUS,425.0,318.75,24.82,412.25,694 CPT,20560,PR NDL INSERT W/O INJECT; 1-2 MUSCLES OT,89.0,66.75,12.26,89.0,691 CPT,20560,PR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,89.0,66.75,12.26,89.0,606 CPT,20561,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES OT,130.0,97.5,19.47,130.0,691 CPT,20561,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,131.0,98.25,19.47,131.0,606 CPT,20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,46.17,2396.28,7 CPT,20600,HC ARTHCS ASP/INJ SM JT WO US,1297.0,972.75,46.17,1297.0,915 CPT,20600,PR ARTHCS ASP/INJ SM JT WO US,220.0,165.0,23.26,213.4,693 CPT,20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,58.5,376.67,7 CPT,20604,HC ARTHCS ASP/INJ JOINT/BURSA W US,1515.0,1136.25,58.5,1515.0,915 CPT,20604,PR ARTHCS ASP/INJ JOINT/BURSA W US,871.0,653.25,42.48,844.87,683 CPT,20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY-EXPRESS CARE,,,47.18,376.67,7 CPT,20605,HC ARTHCS ASP/INJ INT JT WO US,1292.5,969.375,47.18,1290.0,2745 CPT,20605,PR ARTHCS ASP/INJ INT JT WO US,256.0,192.0,23.69,248.32,693 CPT,20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,65.9,866.22,7 CPT,20606,HC ARTHCS ASP/INJ INT JT W US,2610.0,1957.5,65.9,3241.0,2745 CPT,20606,PR ARTHCS ASP/INJ INT JT W US,530.0,397.5,45.92,514.1,683 CPT,20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,58.23,376.67,7 CPT,20610,HC ARTHCS ASP/INJ MJR JT WO US,1367.0,1025.25,58.23,1475.0,2745 CPT,20610,PR ARTHCS ASP/INJ MJR JT WO US,350.0,262.5,28.47,339.5,693 CPT,20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,73.7,376.67,7 CPT,20611,HC ARTHCS ASP/INJ MJR JT W US,1409.5,1057.125,73.7,1628.0,2745 CPT,20611,PR ARTHCS ASP/INJ MJR JT W US,703.0,527.25,43.17,681.91,693 CPT,20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,53.96,376.67,7 CPT,20612,HC ASP/INJ CYST GANGLION,1512.0,1134.0,53.96,1512.0,915 CPT,20612,PR ASP/INJ CYST GANGLION,268.0,201.0,33.04,259.96,683 CPT,20615,PR ASP/INJ CYST BN,1148.0,861.0,70.62,1113.56,697 CPT,20660,PLACEMENT OF DEVICE TO SKULL,,,311.09,1973.24,7 CPT,20660,PR APP TONGS/CALIPER CRAN W RMVL,1317.0,987.75,103.7,1277.49,683 CPT,20670,PR RMVL IMPLANT SUPERFICIAL,1906.0,1429.5,179.87,1848.82,683 CPT,20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,204.6,3564.51,7 CPT,20680,PR RMVL IMPLANT DEEP,2724.0,2043.0,307.19,2642.28,683 CPT,20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,576.38,8904.43,7 CPT,20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,796.79,8904.43,7 CPT,20690,PR APP UNIPLN EXTRNL FIX,2793.0,2094.75,265.6,2709.21,683 CPT,20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,1530.03,15754.92,7 CPT,20692,PR APP MLTPLN EXTRNL FIX,6173.0,4629.75,510.01,5987.81,683 CPT,20693,PR ADJUST EXTRNL FIX W ANES,2816.0,2112.0,209.35,2731.52,683 CPT,20694,PR RMVL EXTRNL FIX W ANES,2049.0,1536.75,224.48,1987.53,683 CPT,20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,479.24,4015.22,7 CPT,20700,"PR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",749.0,561.75,82.74,749.0,676 CPT,20701,"PR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",346.0,259.5,53.43,346.0,690 CPT,20702,"PR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",1038.0,778.5,119.78,1038.0,690 CPT,20704,INSERTION OF DRUG-DELIVERY DEVICE IN JOINT,,,187.97,4015.22,7 CPT,20704,"PR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1136.0,852.0,151.53,1136.0,676 CPT,20705,"PR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",868.0,651.0,124.83,868.0,676 CPT,20705,REMOVAL OF DRUG-DELIVERY DEVICES INTO JOINT,,,155.21,15754.92,7 CPT,20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,235.35,15754.92,7 CPT,20900,PR GRFT BN ANY AREA MINOR/SML,1798.0,1348.5,193.51,1744.06,683 CPT,20902,HARVEST OF GRAFT FROM LARGE BONE,,,353.73,15754.92,7 CPT,20902,PR GRFT BN ANY AREA MJR/LRG,1485.0,1113.75,117.91,1440.45,683 CPT,20910,PR CARTILAGE GRAFT COSTOCHONDRAL,3338.0,2503.5,225.4,3237.86,683 CPT,20910,RIB CARTILAGE GRAFT,,,676.2,7264.49,7 CPT,20912,GRAFT OF NOSE CARTILAGE,,,636.83,7264.49,7 CPT,20912,PR GRFT CRTLG NASAL SEPTUM,3194.0,2395.5,212.28,3098.18,683 CPT,20922,INCISION OF DEEP THIGH TISSUE FOR GRAFT,,,686.0,4068.55,7 CPT,20922,PR GRFT FASCIA LATA INCISN CMPLX,3549.0,2661.75,319.13,3442.53,683 CPT,20924,PR GRFT TNDN FROM DISTANCE,3023.0,2267.25,228.74,2932.31,683 CPT,20924,TENDON GRAFT,,,686.22,8904.43,7 CPT,20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,13699.93,15754.92,6 CPT,20930,PR ALLOGRAFT MORSEL SPINE SURG,1258.0,943.5,566.1,1258.0,635 CPT,20931,GRAFT OF DONOR BONE TO SPINE,,,142.13,15754.92,7 CPT,20931,PR ALLOGRAFT STRUCTURE SPINE SURG,890.0,667.5,94.75,890.0,676 CPT,20932,PR OSTEOART ALGRFT W/SURF & B1,5782.0,4336.5,631.48,5782.0,676 CPT,20934,PR INTERCALARY ALGRFT COMPL,5616.0,4212.0,631.48,5616.0,676 CPT,20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,13699.93,15754.92,6 CPT,20936,PR AUTOGRAFT LOCAL SPINE SURG,1314.0,985.5,591.3,1314.0,635 CPT,20937,PR AUTOGRAFT MORSEL SPINE SURG SEP,1643.0,1232.25,142.57,1643.0,676 CPT,20938,PR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,1949.0,1461.75,157.69,1949.0,676 CPT,20939,PR BONE MARROW ASPIR BONE GRFG,466.0,349.5,59.44,466.0,676 CPT,20950,HC MONITOR INTERSTITIAL FLUID PRSR,2273.0,1704.75,122.04,2204.81,915 CPT,20950,PR MONITOR INTERSTITIAL FLUID PRSR,1523.0,1142.25,40.68,1477.31,698 CPT,20955,PR GRFT BN FIBULA MICROVASC ANAST,16611.0,12458.25,1105.35,16112.67,683 CPT,20956,PR ILIAC BONE GRAFT MICROVASC,16800.0,12600.0,1145.8,16296.0,683 CPT,20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,3542.69,8904.43,7 CPT,20962,PR GRFT BN NOT FIBULA MICROVASC ANAST,12169.0,9126.75,1180.9,11803.93,683 CPT,20969,PR FREE OSTQ FLAP W MICROVASC GR TOE,17835.0,13376.25,1135.25,17299.95,683 CPT,20974,PR E-STIM AID BN HEALING NONINV,510.0,382.5,49.21,510.0,691 CPT,20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,472.04,21516.53,7 CPT,20982,HC ABLATION BN TMR RADIOFREQUENCY,20834.0,15625.5,472.04,21516.53,916 CPT,20982,PR ABLATION BN TMR RADIOFREQUENCY,12009.0,9006.75,1688.72,11648.73,683 CPT,20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,445.58,8904.43,7 CPT,20983,HC ABLT THRPY REDUC/ERADCTN BN TMR,20349.0,15261.75,445.58,20349.0,915 CPT,20983,PR ABLATION BN TMR CRYOABLATION,10972.0,8229.0,2378.83,10642.84,683 CPT,20985,PR CASN PROC MUSSKL NO IMG,596.0,447.0,120.72,596.0,676 CPT,20999,PR BARBOTAGE PROC,3328.0,2496.0,83.2,3228.16,683 CPT,20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,263.21,302.7,6 CPT,21011,PR EXCISN TMR FACE/SCLP SUBQ <2CM,1636.0,1227.0,121.72,1586.92,697 CPT,21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,365.16,2026.75,7 CPT,21012,PR EXCISN TMR FACE/SCLP SUBQ>=2CM,1629.0,1221.75,157.5,1580.13,683 CPT,21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,472.5,2026.75,7 CPT,21013,PR EXCISN TMR FACE/SCALP SUBFAS <2CM,2955.0,2216.25,274.86,2866.35,683 CPT,21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,543.0,2026.75,7 CPT,21014,PR EXCISN TMR FACE/SCALP SUBFAS >=2CM,3396.0,2547.0,233.82,3294.12,683 CPT,21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,701.45,3564.51,7 CPT,21015,"EXTENSIVE REMOVAL OF GROWTH OF FACE OR SCALP, LESS THAN 2.0 CM",,,935.1,3564.51,7 CPT,21015,PR RADCL RSECT TMR FACE/SCLP <2CM,3297.0,2472.75,311.7,3198.09,683 CPT,21016,PR RADCL RSECT TMR FACE/SCLP>=2CM,6399.0,4799.25,439.29,6207.03,683 CPT,21025,PR EXCISN BN MAND,3748.0,2811.0,409.59,3635.56,683 CPT,21025,REMOVAL OF LOWER JAW BONE,,,899.61,7264.49,7 CPT,21026,PR EXCISN BN FACIAL,2265.0,1698.75,280.62,2197.05,683 CPT,21026,REMOVAL OF FACE BONE,,,605.42,7264.49,7 CPT,21032,PR EXCISN MAXILLARY TORUS PALATIN,1290.0,967.5,186.82,1251.3,683 CPT,21032,REMOVAL OF BONY GROWTH OF UPPER JAW BONE INSIDE MOUTH,,,357.51,4068.55,7 CPT,21034,PR EXCISN TMR MLG MAXILLA/ZYGOMA,8228.0,6171.0,636.64,7981.16,683 CPT,21034,REMOVAL OF GROWTH OF UPPER JAW OR UPPER CHEEK BONE,,,1448.24,7264.49,7 CPT,21044,PR EXCISN LESN MLG MAND,6066.0,4549.5,373.56,5884.02,683 CPT,21045,PR EXCISN MLG TMR MAND RADICAL,7950.0,5962.5,518.29,7711.5,683 CPT,21046,PR EXCISN BEN TMR MAND INTRAORAL,5337.0,4002.75,439.65,5176.89,683 CPT,21047,PR EXCISN BEN TMR MAND EXTRAORAL,9702.0,7276.5,526.78,9410.94,683 CPT,21049,PR EXCISN TMR BEN EO/PRTL MAXL,8100.0,6075.0,499.82,7857.0,683 CPT,21070,PARTIAL REMOVAL OF LOWER JAW BONE,,,791.1,7264.49,7 CPT,21070,PR CORONOIDECTOMY SEPARATE PROC,4884.0,3663.0,263.7,4737.48,683 CPT,21073,MANIPULATION OF HINGED JOINTS OF UPPER AND LOWER JAW BONES UNDER ANESTHESIA,,,327.29,1904.02,7 CPT,21073,PR MANIP OF TMJ THER W ANES,1558.0,1168.5,209.11,1511.26,683 CPT,21085,PR IMPRESS&CUST ORAL SURG SPLINT,2163.0,1622.25,210.8,2098.11,697 CPT,21110,PR APP INTERDENTAL FIXATION DEVICE,3076.0,2307.0,328.58,2983.72,697 CPT,21120,PR GENIOPLASTY AUGMENTATION,5338.0,4003.5,237.59,5177.86,697 CPT,21193,RECONSTRUCTION OF JAW BONE,,,1624.77,7264.49,7 CPT,21196,PR RCNST LWR JAW W FIXATION,13484.0,10113.0,633.16,13079.48,683 CPT,21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,10811.0,8108.25,444.47,10486.67,683 CPT,21206,PR OSTEOTOMY MAXILLA SEGMENTAL,9427.0,7070.25,427.73,9144.19,683 CPT,21208,PR OSTEOPLASTY FACIAL BNS AUG,4845.0,3633.75,806.12,4699.65,683 CPT,21209,PR OSTEOPLASTY FACIAL BNS RED,5171.0,3878.25,270.34,5015.87,697 CPT,21210,PR GRFT BN NASAL/MAXILLARY,3953.0,2964.75,872.39,3834.41,683 CPT,21215,PR GRFT BN MAND,2528.0,1896.0,948.0,2528.0,683 CPT,21215,REPAIR OF LOWER JAW BONE WITH BONE GRAFT,,,1057.71,7264.49,7 CPT,21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,965.84,7264.49,7 CPT,21230,PR GRFT RIB CRTLG AUTOGENOUS,6847.0,5135.25,321.95,6641.59,683 CPT,21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,741.09,7264.49,7 CPT,21235,PR GRFT EAR CRTLG AUTOGENOUS,3334.0,2500.5,359.02,3233.98,683 CPT,21244,PR RCNST EXT MAND W TXOST BN PLT,9642.0,7231.5,438.05,9352.74,683 CPT,21245,PR RCNST MNDBL SUBOST IMPL PRTL,6960.0,5220.0,423.07,6751.2,697 CPT,21275,"SECONDARY REVISION OF RECONSTRUCTION OF EYE, SKULL, AND FACE BONES",,,1116.54,7264.49,7 CPT,21282,PR CANTHOPEXY LAT,3338.0,2503.5,180.17,3237.86,683 CPT,21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,540.51,4068.55,7 CPT,21315,CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION FACILITY,,,78.72,4068.55,7 CPT,21315,PR CLSD TX NASAL FX WO STABL,1046.0,784.5,77.7,1014.62,683 CPT,21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,120.05,4068.55,7 CPT,21320,PR CLSD TX NASAL FX W STABL,1778.0,1333.5,107.34,1724.66,683 CPT,21325,PR OPN TX NASAL FX UNCOMP,2896.0,2172.0,201.34,2809.12,683 CPT,21330,TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,716.76,7264.49,7 CPT,21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,412.05,4068.55,7 CPT,21343,PR OPN TX DEPRSD FRNTL SINUS FX,7014.0,5260.5,475.57,6803.58,683 CPT,21365,PR OPN TX CMPLX MALAR FX,8558.0,6418.5,469.97,8301.26,683 CPT,21386,PR OPN TX ORBIT FX PERIORBITAL,5045.0,3783.75,307.26,4893.65,683 CPT,21390,PR OPN TX ORBIT FLOOR FX W IMPL,6106.0,4579.5,346.13,5922.82,683 CPT,21453,CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,1300.74,7264.49,7 CPT,21462,PR OPN TX MANDIB FX W INTDENT FIX,9100.0,6825.0,538.65,8827.0,697 CPT,21470,PR OPN TX CMPLX MANDIB FX MLT APPR,11471.0,8603.25,507.63,11126.87,683 CPT,21480,HC CLSD TX DISLOC TMJ,811.0,608.25,44.36,786.67,915 CPT,21480,PR CLSD TX DISLOC TMJ,595.0,446.25,83.4,577.15,683 CPT,21497,PR WIRING INTERDENTAL NOT FX,4347.0,3260.25,273.59,4216.59,697 CPT,21497,WIRING OF JAW OR ORAL SPLINT TO TEETH,,,820.77,1904.02,7 CPT,21499,UNLISTED PROC MUSSKL HEAD,,,252.74,290.65,6 CPT,21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,477.59,10029.93,7 CPT,21501,PR I&D DEEP ABSC NK/THORAX,2355.0,1766.25,251.28,2284.35,683 CPT,21550,PR BX SOFT TISS NK/THORAX,1152.0,864.0,70.09,1117.44,697 CPT,21552,PR EXCISN TMR NK/THRX SUBQ >=3CM,1920.0,1440.0,208.4,1862.4,683 CPT,21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,625.19,3564.51,7 CPT,21554,PR EXCISN TMR THRX SUBFSCL >=5CM,4131.0,3098.25,330.91,4007.07,683 CPT,21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,992.73,3564.51,7 CPT,21555,PR EXCISN TMR NK/THORAX SUBQ <3CM,1710.0,1282.5,224.58,1658.7,684 CPT,21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,433.92,2026.75,7 CPT,21556,PR EXCISN TMR THORAX SUBFSCL <5CM,2672.0,2004.0,239.12,2591.84,683 CPT,21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,717.36,3564.51,7 CPT,21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,1287.32,3564.51,7 CPT,21557,PR RSECT TMR NK/THORAX RADCL <5CM,7118.0,5338.5,429.11,6904.46,683 CPT,21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,1782.62,7264.49,7 CPT,21558,PR RSECT TMR NK/THRX RADCL >=5CM,7912.0,5934.0,594.21,7674.64,683 CPT,21600,PR EXCISN RIB PARTIAL,5137.0,3852.75,275.6,4982.89,683 CPT,21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,8803.0,6602.25,539.16,8538.91,683 CPT,21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,12138.0,9103.5,742.03,11773.86,683 CPT,21610,PR PARTIAL REMOVAL RIB,7729.0,5796.75,585.37,7497.13,683 CPT,21615,PR EXCISION 1ST &/CERVICAL RIB,5508.0,4131.0,282.71,5342.76,683 CPT,21620,PARTIAL REMOVAL OF CHEST BONE,,,728.54,4015.22,7 CPT,21620,PR OSTECTOMY STERNUM PARTIAL,3972.0,2979.0,242.85,3852.84,683 CPT,21627,PR DEBRIDEMENT STERNAL,4721.0,3540.75,269.6,4579.37,683 CPT,21630,PR RADICAL RESECTION STERNUM,8447.0,6335.25,570.34,8193.59,683 CPT,21685,PR HYOID MYOTOMY & SUSPENSION,5875.0,4406.25,421.35,5698.75,683 CPT,21700,PR DVISN SCAL ANTICUS WO RSECT,3012.0,2259.0,161.24,2921.64,683 CPT,21740,PR RCNST RPECTUS EXCAVATUM OPN,11628.0,8721.0,480.23,11279.16,683 CPT,21742,PR RCNST PEC EXCISN WO THORSC,9741.0,7305.75,584.24,9448.77,683 CPT,21743,PR RCNST PEC EXCISN W THORSC,16716.0,12537.0,417.9,16214.52,683 CPT,21743,REPAIR OF BREAST BONE DEPRESSION USING AN ENDOSCOPE-EXPRESS CARE,,,3491.49,4015.22,6 CPT,21750,PR CLSR SEP STERNUM W/WO DBRD,4317.0,3237.75,320.7,4187.49,683 CPT,21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,962.1,8904.43,7 CPT,21811,PR OPN TX RIB FX W FIX 1-3 RIBS,4116.0,3087.0,264.48,3992.52,683 CPT,21811,"TREATMENT OF BROKEN RIBS ON SIDE WITH PLACEMENT OF STABILIZING DEVICE, 1-3 RIBS",,,793.44,8904.43,7 CPT,21812,PR OPN TX RIB FX W FIX 4-6 RIBS,6660.0,4995.0,318.28,6460.2,683 CPT,21825,PR TX STERNUM FX W/WO SKELT FIX,5096.0,3822.0,273.56,4943.12,683 CPT,21899,PR BILATERAL BONE OSTEOPHYTE EXCISION,7706.0,5779.5,192.65,7474.82,683 CPT,21899,PR UNILATERAL BONE OSTEOPHYTE EXCISION,5137.0,3852.75,128.43,4982.89,683 CPT,21899,UNLISTED PROC NK/THORAX - FACILITY,,,252.74,290.65,6 CPT,21925,PR BX SOFT TISS BACK/FLANK DEEP,2086.0,1564.5,263.52,2023.42,683 CPT,21930,PR EXCISN TMR BACK/FLNK SUBQ <3CM,2347.0,1760.25,262.48,2276.59,684 CPT,21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,512.16,2026.75,7 CPT,21931,PR EXCISN TMR BK/FLNK SUBQ >=3CM,1740.0,1305.0,220.11,1687.8,684 CPT,21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,660.32,2026.75,7 CPT,21932,PR EXCISN TMR BACK SUBFSCL <5CM,4098.0,3073.5,304.62,3975.06,683 CPT,21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,913.86,3564.51,7 CPT,21933,PR EXCISN TMR BACK SUBFSCL >=5CM,3462.0,2596.5,339.83,3358.14,683 CPT,21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,1019.48,3564.51,7 CPT,21935,PR RSECT TMR BACK RADICAL <5CM,6361.0,4770.75,464.28,6170.17,683 CPT,21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,1905.69,3564.51,7 CPT,21936,PR RSECT TMR BACK RADICAL >=5CM,8059.0,6044.25,635.23,7817.23,683 CPT,22010,PR I&D OPN DEEP ABSC CERV/THOR,6986.0,5239.5,459.63,6776.42,683 CPT,22015,PR I&D OPN DEEP ABSC LUMB/SAC,5858.0,4393.5,446.19,5682.26,683 CPT,22100,PR EXCISN PRTL POSTR VERT CERV,5304.0,3978.0,478.81,5144.88,683 CPT,22101,PR PRTL EXCISN VERT INTRNSC THOR,5732.0,4299.0,419.55,5560.04,683 CPT,22102,PR PRTL EXCISN VERT INTRNSC LUMB,5349.0,4011.75,342.45,5188.53,683 CPT,22110,PARTIAL REMOVAL OF UPPER SPINE BONE,,,1477.5,8904.43,7 CPT,22110,PR PRTL EXCISN VRT WO DCMP CERVICAL,6177.0,4632.75,492.5,5991.69,683 CPT,22114,PR PRTL EXCISN VRT WO DCMP LUMBAR,6739.0,5054.25,563.58,6536.83,683 CPT,22116,"PARTIAL REMOVAL OF SPINE BONE, EACH ADDITIONAL SEGMENT",,,182.24,8904.43,7 CPT,22116,PR PRTL EXCISN VRT WO DCMP EA ADD,983.0,737.25,121.49,983.0,676 CPT,22206,PR OSTEOMY SPINE POSTR 3 COL THOR,17944.0,13458.0,1103.29,17405.68,683 CPT,22207,PR OSTEOMY SPINE POSTR 3 COL LUMB,15415.0,11561.25,1070.8,14952.55,683 CPT,22208,PR OSTEOMY SP POSTR 3 COL EA ADD,3917.0,2937.75,509.37,3917.0,676 CPT,22210,PR OST SPINE POSTR 1 VRT SEG CRV,13416.0,10062.0,703.53,13013.52,693 CPT,22212,PR OST SPINE POSTR 1 VRT SEG THRX,10576.0,7932.0,704.04,10258.72,683 CPT,22214,INCISION OR REMOVAL OF LOWER SPINE BONE SEGMENT,,,2096.12,33297.37,7 CPT,22214,PR OST SPINE POSTR 1 VRT SEG LMBR,11138.0,8353.5,698.71,10803.86,683 CPT,22216,PR OST SPINE POSTR EA ADD SEGM,3412.0,2559.0,310.12,3412.0,676 CPT,22315,PR CLSD TX VRT FX REQ CAST MANIP,5512.0,4134.0,366.53,5346.64,697 CPT,22318,PR OPN TX/RDCT ODONTOID FX WO GRFT,13457.0,10092.75,781.67,13053.29,683 CPT,22325,PR OPN TX FX POSTR 1 VERT LUMB,7733.0,5799.75,696.94,7501.01,683 CPT,22326,PR OPN TX FX POSTR 1 VERT CERV,10773.0,8079.75,710.48,10449.81,683 CPT,22327,PR OPN TX FX POSTR 1 VERT THRX,11246.0,8434.5,725.26,10908.62,683 CPT,22328,PR OPN TX FX SPINE EA ADD SEGM,2852.0,2139.0,243.44,2852.0,676 CPT,22510,HC PERC CERVICOTHORACIC INJECT,12618.0,9463.5,562.25,12618.0,915 CPT,22510,PR PERC CERVICOTHORACIC INJECT,8601.0,6450.75,187.42,8342.97,697 CPT,22511,HC PERC LUMBOSACRAL INJECTION,12608.0,9456.0,530.34,12608.0,916 CPT,22511,PR PERC LUMBOSACRAL INJECTION,8050.0,6037.5,861.15,7808.5,683 CPT,22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,530.34,8904.43,7 CPT,22512,HC VERTEBROPLASTY ADDL INJECT,14736.0,11052.0,265.61,14736.0,909 CPT,22512,PR VERTEBROPLASTY ADDL INJECT,3883.0,2912.25,177.07,3883.0,690 CPT,22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,265.61,8904.43,7 CPT,22513,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,26000.0,19500.0,663.5,26000.0,916 CPT,22513,PR PERC VERTEBPLSTY CAVTY IMG GUID 1,21476.0,16107.0,2812.02,20831.72,683 CPT,22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,663.5,8904.43,7 CPT,22514,HC PERC VERT AGMNTJ CAV CRTJ LMBR,24175.0,18131.25,620.51,24175.0,916 CPT,22514,PR PERC VERT AGMNTJ CAV CRTJ LMBR,26335.0,19751.25,2814.2,25544.95,683 CPT,22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,620.51,8904.43,7 CPT,22515,HC PERC VERT AGMNT MECH EA ADD,30285.0,22713.75,276.38,30285.0,909 CPT,22515,PR PERC VERT AGMNT MECH EA ADD,11767.0,8825.25,2886.44,11767.0,676 CPT,22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,276.38,15754.92,7 CPT,22532,PR ARTHRDSIS LATERAL THORACIC,13628.0,10221.0,835.85,13219.16,683 CPT,22534,PR ARTHRDSIS THOR/LUMB EA ADD,2975.0,2231.25,312.46,2975.0,676 CPT,22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,2323.95,15754.92,7 CPT,22551,PR ARTHRDSIS ANTR BOD CRV BEL C2,13393.0,10044.75,774.65,12991.21,683 CPT,22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,511.11,15754.92,7 CPT,22552,PR ARTHRDSIS ANTR CRV BEL C2 ADD,3180.0,2385.0,340.74,3180.0,676 CPT,22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,1761.54,15754.92,7 CPT,22554,PR ARTHRDSIS DISECT CERV BEL C2,13393.0,10044.75,587.18,12991.21,683 CPT,22556,PR ARTHRDSIS ANTR THORACIC,12662.0,9496.5,772.59,12282.14,683 CPT,22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,2068.5,33297.37,7 CPT,22558,PR ARTHRDSIS ANTR LUMBAR,12720.0,9540.0,689.5,12338.4,683 CPT,22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,417.24,15754.92,7 CPT,22585,PR ARTHRDSIS ANTR INTBODY EA ADD,3094.0,2320.5,278.16,3094.0,676 CPT,22590,FUSION OF SKULL AND FIRST 2 UPPER SPINE BONES THROUGH BACK,,,2253.62,21516.53,7 CPT,22590,PR ARTHRDSIS CRNCERV POSTR TECH,11883.0,8912.25,751.21,11526.51,683 CPT,22595,PR ARTHRDSIS ATLAS AXIS POSTR C1 C2,11614.0,8710.5,722.23,11265.58,683 CPT,22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,1856.73,21516.53,7 CPT,22600,PR ARTHRDSIS CERV BEL C2 POSTR,9257.0,6942.75,618.91,8979.29,683 CPT,22610,PR ARTHRDSIS THOR POSTR TECHNIQUE,9515.0,7136.25,606.13,9229.55,683 CPT,22612,FUSION OF SPINE IN LOWER BACK,,,2131.37,21516.53,7 CPT,22612,PR ARTHRDSIS LUMB POSTR TECHNIQUE,14006.0,10504.5,710.46,13585.82,683 CPT,22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,,,505.77,21516.53,7 CPT,22614,PR ARTHRDSIS POSTR TECH EA ADD,3388.0,2541.0,337.18,3388.0,676 CPT,22630,"FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, 1 DISC",,,2184.68,33297.37,7 CPT,22630,PR ARTHRDSIS POSTR INTRBDY LUMB,12629.0,9471.75,728.23,12250.13,683 CPT,22632,PR ARTHRDSIS POSTR LUMB EA ADD,3207.0,2405.25,277.18,3207.0,676 CPT,22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,2463.8,33297.37,7 CPT,22633,PR ARTHRDSIS LUMB W POSTR/POSTRLT,14516.0,10887.0,821.27,14080.52,683 CPT,22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,626.15,33297.37,7 CPT,22634,PR ARTHRDSIS LUMB POSTR/POSTRLT ADD,3577.0,2682.75,417.43,3577.0,676 CPT,22800,PR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,12433.0,9324.75,635.12,12060.01,683 CPT,22802,PR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,13442.0,10081.5,937.72,13038.74,683 CPT,22804,PR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,17653.0,13239.75,1076.18,17123.41,683 CPT,22830,EXPLORATION OF SPINE FUSION,,,1148.67,15754.92,7 CPT,22830,PR EXPLORATION SPINAL FUSION,8237.0,6177.75,382.89,7989.89,683 CPT,22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,969.12,33297.37,7 CPT,22840,PR POSTR NON SEGM INSTRUMENTATION,8673.0,6504.75,646.08,8673.0,676 CPT,22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,984.77,33297.37,7 CPT,22842,PR INSTRUM POSTR SEGM 3-6 SEGMS,7517.0,5637.75,656.51,7517.0,676 CPT,22843,PR INSTRUM POSTR SEGM 7-12 SEGMS,8139.0,6104.25,703.19,8139.0,676 CPT,22844,PR INSTRUM POSTR SEGM >=13 SEGMS,7979.0,5984.25,846.17,7979.0,676 CPT,22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,937.64,15754.92,7 CPT,22845,PR INSTRUM ANTR 2-3 VERT SEGMS,6773.0,5079.75,625.09,6773.0,676 CPT,22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,974.81,15754.92,7 CPT,22846,PR INSTRUM ANTR 4-7 VERT SEGMS,6552.0,4914.0,649.87,6552.0,676 CPT,22848,PR FIXATION PELVIC,3027.0,2270.25,307.28,3027.0,676 CPT,22849,PR REINSERTION SPINAL FIX DEVICE,9505.0,7128.75,593.16,9219.85,683 CPT,22849,REINSERTION OF SPINAL FIXATION DEVICE,,,1779.48,15754.92,7 CPT,22850,PR RMVL POSTR NON SEGM INSTRUM,5175.0,3881.25,346.56,5019.75,683 CPT,22852,PR RMVL POSTR SEGM INSTRUM,5879.0,4409.25,334.66,5702.63,683 CPT,22852,REMOVAL OF SEGMENTAL STABILIZING DEVICE FROM BACK OF SPINE,,,1003.98,8904.43,7 CPT,22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,331.46,15754.92,7 CPT,22853,PR INSJ BIOMECHANICAL DEVICE,2121.0,1590.75,220.97,2121.0,676 CPT,22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,434.84,15754.92,7 CPT,22854,PR INSN BIOMECHANICAL DEVICE,6557.0,4917.75,289.89,6557.0,676 CPT,22855,PR REMOVAL ANTERIOR INSTRUM,8098.0,6073.5,507.87,7855.06,683 CPT,22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,2206.88,21516.53,7 CPT,22856,PR TOT DISC ARTHRP ANTR APP CRV,13334.0,10000.5,735.63,12933.98,683 CPT,22858,INSERTION OF ARTIFICIAL UPPER SPINE DISC ANTERIOR APPROACH,,,651.32,21516.53,7 CPT,22858,PR ARTHRO TOTAL DISC CERV ANTR,3700.0,2775.0,434.21,3700.0,676 CPT,22859,PR INSN INTRVTBL BIOMECHANICAL DEV,2308.0,1731.0,289.65,2308.0,676 CPT,22861,"PR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE",11002.0,8251.5,1080.52,10671.94,683 CPT,22864,PR RMVL TOTL DISC ARTHRO,13207.0,9905.25,971.19,12810.79,683 CPT,22864,"REVISION OF ARTIFICIAL UPPER SPINE DISC, CERVICAL",,,2913.57,15754.92,7 CPT,22869,HC INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,45427.0,34070.25,581.24,45427.0,915 CPT,22869,PLACEMENT OF STABILIZING DEVICE TO LOWER SPINE LEVEL FACILITY,,,581.24,15754.92,7 CPT,22869,PR INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,3976.0,2982.0,193.75,3856.72,683 CPT,22870,HC INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,6261.0,4695.75,148.97,6261.0,909 CPT,22870,PLACEMENT OF STABILIZING DEVICE TO SECOND LOWER SPINE LEVEL FACILITY,,,148.97,15754.92,7 CPT,22870,PR INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,1046.0,784.5,99.31,1046.0,676 CPT,22900,PR EXCISN TMR ABD SUBFSCL <5CM,2457.0,1842.75,265.7,2383.29,683 CPT,22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,797.09,3564.51,7 CPT,22901,PR EXCISN TMR ABD SUBFSCL >=5CM,4087.0,3065.25,311.32,3964.39,683 CPT,22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,933.95,3564.51,7 CPT,22902,PR EXCISN TMR ABD WALL SUBQ <3CM,1965.0,1473.75,250.89,1906.05,683 CPT,22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY",,,482.24,3564.51,7 CPT,22903,PR EXCISN TMR ABD WALL SUBQ >=3CM,1787.0,1340.25,208.07,1733.39,683 CPT,22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,624.21,7418.74,7 CPT,22904,PR RSECT TMR ABD RADICAL <5CM,6282.0,4711.5,478.68,6093.54,683 CPT,22905,"EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 5.0 CM OR MORE",,,1804.05,3564.51,7 CPT,22999,CRYOABLATION ABDOMINAL - FACILITY,,,263.21,302.7,6 CPT,22999,HC CRYOABLATION ABDOMINAL,4613.0,3459.75,263.21,4613.0,916 CPT,23030,PR I&D SHOULDER DEEP ABSC/HEMA,2075.0,1556.25,118.57,2012.75,697 CPT,23035,PR INCISN BN CORTEX SHOULDER,4010.0,3007.5,308.63,3889.7,683 CPT,23040,"INCISION OF SHOULDER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,981.92,4015.22,7 CPT,23040,PR ARTHRT GLH JT EXPLR RMVL FB,5304.0,3978.0,278.21,5144.88,693 CPT,23044,PR ARTHRT AC/SC JT EXPLR,3690.0,2767.5,263.87,3579.3,683 CPT,23065,PR BX SOFT TISS SHLDR SUPERFICIAL,763.0,572.25,71.54,740.11,697 CPT,23066,BIOPSY OF DEEP TISSUE OF SHOULDER,,,533.88,3564.51,7 CPT,23066,PR BX SOFT TISS SHOULDER DEEP,2554.0,1915.5,303.54,2477.38,683 CPT,23071,PR EXCISN TMR SHOULDER SUBQ >=3CM,1720.0,1290.0,197.67,1668.4,683 CPT,23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,593.0,2026.75,7 CPT,23073,PR EXCISN TMR SHLDR SUBFSCL >=5CM,4808.0,3606.0,319.96,4663.76,683 CPT,23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,959.87,3564.51,7 CPT,23075,PR EXCISN TMR SHLDR SUBQ <3CM,1958.0,1468.5,156.07,1899.26,697 CPT,23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,468.2,8904.43,7 CPT,23076,PR EXCISN TMR SHLDR SUBFSCL<5CM,3396.0,2547.0,254.25,3294.12,683 CPT,23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,762.74,3564.51,7 CPT,23077,PR RSECT TMR SHLDR RADICAL <5CM,8576.0,6432.0,510.93,8318.72,683 CPT,23078,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, 5.0 CM OR MORE",,,1932.62,3564.51,7 CPT,23078,PR RSECT TMR SHLDR RADICAL >=5CM,10059.0,7544.25,644.21,9757.23,683 CPT,23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,823.77,8904.43,7 CPT,23120,PR CLAVICULETOMY PARTIAL,3217.0,2412.75,274.59,3120.49,683 CPT,23140,PR EXCISN BONE LESN CLAV/SCAP,3099.0,2324.25,258.29,3006.03,683 CPT,23150,PR EXCISN BEN BONE LESION HUMERUS,4853.0,3639.75,307.51,4707.41,683 CPT,23155,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE WITH SELF BONE GRAFT,,,1091.67,8904.43,7 CPT,23180,PARTIAL REMOVAL OF INFECTED COLLAR BONE,,,955.13,21516.53,7 CPT,23180,PR EXCISN BN CLAVICLE PARTIAL,4374.0,3280.5,318.38,4242.78,683 CPT,23182,PR PARTIAL EXCISION BONE SCAPULA,4424.0,3318.0,311.53,4291.28,683 CPT,23184,PR PART EXCIS BONE PROX HUM,3932.0,2949.0,338.56,3814.04,683 CPT,23190,PR OSTECTOMY SCAPULA PARTIAL,3498.0,2623.5,266.59,3393.06,683 CPT,23195,PR RESECTION HUMERAL HEAD,6698.0,5023.5,345.06,6497.06,683 CPT,23210,PR RSECT TMR SCAPULA RADICAL,11963.0,8972.25,773.07,11604.11,683 CPT,23220,PR RAD RSECT PROX HUM TMR,12009.0,9006.75,845.26,11648.73,683 CPT,23333,PR RMVL FB SHOULDER DEEP,2455.0,1841.25,223.35,2381.35,683 CPT,23335,PR PRSTH RMVL HUMERAL & GLENOID,7956.0,5967.0,558.88,7717.32,683 CPT,23350,PR INJ SHOULDER ARTHGM,716.0,537.0,20.73,694.52,697 CPT,23395,PR TRANSFER MUS SHLDR/UARM SNGL,9549.0,7161.75,572.95,9262.53,683 CPT,23397,PR TRANSFER MUS SHLDR/UARM MULT,7592.0,5694.0,507.12,7364.24,683 CPT,23400,PR SCAPULOPEXY,7928.0,5946.0,437.03,7690.16,683 CPT,23405,PR TENOTOMY SHOULDER SNGL TENDON,3618.0,2713.5,279.71,3509.46,683 CPT,23406,PR INCISN TENDON(S) & MUSCLE(S),6500.0,4875.0,329.33,6305.0,683 CPT,23410,PR RPR RUPT MUSCTNDN CUFF ACUTE,6225.0,4668.75,372.0,6038.25,683 CPT,23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,1115.99,8904.43,7 CPT,23412,PR RPR RUPT MUSCTNDN CUFF CHRONIC,6874.0,5155.5,385.01,6667.78,683 CPT,23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,1155.02,8904.43,7 CPT,23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,1016.37,8904.43,7 CPT,23430,PR TENODESIS BICEP LONG TENDON,6189.0,4641.75,338.79,6003.33,683 CPT,23440,REMOVAL OR RELOCATION OF BICEPS TENDON,,,1023.33,8904.43,7 CPT,23455,PR CPSLRPY ANTR W LABRAL RPR,10411.0,7808.25,428.83,10098.67,683 CPT,23460,PR CPSLRPY ANTR W BONE BLOCK,10745.0,8058.75,486.63,10422.65,683 CPT,23460,REPAIR OF SHOULDER JOINT CAPSULE AND SHOULDER BLADE WITH BONE BLOCK,,,1459.89,8904.43,7 CPT,23462,PR CPSLRPY ANTR W CORACOID TRNSFR,6853.0,5139.75,475.29,6647.41,683 CPT,23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,1425.87,8904.43,7 CPT,23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,1588.14,15754.92,7 CPT,23470,PR ARTHRO GLH JT HEMIARTHRO,9907.0,7430.25,529.38,9609.79,683 CPT,23472,PR ARTHRO GLH JT TOTAL SHOULDER,13475.0,10106.25,632.94,13070.75,683 CPT,23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,1898.82,21516.53,7 CPT,23473,PR REVIS SHLDR ARTHRO HUM OR GLENOID,14130.0,10597.5,701.2,13706.1,683 CPT,23473,REVISION OF TOTAL SHOULDER REPAIR,,,2103.59,15754.92,7 CPT,23474,PR REVIS SHLDR ARTHRO HUM&GLENOID,15800.0,11850.0,755.6,15326.0,683 CPT,23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,2266.79,15754.92,7 CPT,23485,PR OST CLAVICLE BN GRFT NONUNION,6797.0,5097.75,424.02,6593.09,683 CPT,23491,PR PROPH TX W/WO METHYL PROX HUM,7159.0,5369.25,455.89,6944.23,683 CPT,23500,HC CLSD TX CLAVICLE FX WO MANIP,783.0,587.25,263.21,759.51,915 CPT,23500,PR CLSD TX CLAVICLE FX WO MANIP,1414.0,1060.5,125.36,1371.58,683 CPT,23515,PR OPN TX CLAVICLE FX W INT FIX,4081.0,3060.75,330.23,3958.57,683 CPT,23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,990.68,8904.43,7 CPT,23550,PR OPN TX DISLOC CLAV ACUTE/CHR,3568.0,2676.0,263.08,3460.96,683 CPT,23552,PR OPN TX DISLOC CLAV W FASC GRFT,4668.0,3501.0,297.9,4527.96,683 CPT,23552,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER WITH TISSUE GRAFT,,,893.69,8904.43,7 CPT,23570,HC CLSD TX SCAPULAR FX WO MANIP,780.0,585.0,263.21,756.6,915 CPT,23570,PR CLSD TX SCAPULAR FX WO MANIP,1185.0,888.75,129.12,1149.45,683 CPT,23575,HC CLSD TX SCAPULAR FX W/WO MANIP,5570.0,4177.5,552.44,5402.9,915 CPT,23575,PR CLSD TX SCAPULAR FX W/WO MANIP,2224.0,1668.0,222.83,2157.28,683 CPT,23585,PR OPN TX SCAPULAR FX W INT FIX,5902.0,4426.5,435.72,5724.94,683 CPT,23585,TREATMENT OF BROKEN SHOULDER BLADE,,,1307.16,8904.43,7 CPT,23600,HC CLSD TX PROX HUMRL FX WO MANIP,811.0,608.25,263.21,786.67,915 CPT,23600,PR CLSD TX PROX HUMRL FX WO MANIP,1741.0,1305.75,185.01,1688.77,683 CPT,23605,HC CLSD TX PROX HUMRL FX W MANIP,13800.0,10350.0,642.38,13386.0,915 CPT,23615,PR OPN TX PROX HUMERAL FX W FIX,5476.0,4107.0,400.58,5311.72,683 CPT,23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,1201.73,15754.92,7 CPT,23616,PR OPN TX PROX HUM FX W PRSTH RPL,9598.0,7198.5,545.71,9310.06,683 CPT,23620,HC CLSD TX GRT TBERSTY FX WO MANIP,784.0,588.0,263.21,760.48,915 CPT,23620,PR CLSD TX GRT TBERSTY FX WO MANIP,1359.0,1019.25,150.36,1318.23,683 CPT,23630,PR OPN TX HUM TUBEROSITY FX W FIX,4516.0,3387.0,357.05,4380.52,683 CPT,23630,"TREATMENT OF UPPER ARM BONE, BROKEN AT SHOULDER JOINT PROFESSIONAL",,,1071.15,15754.92,7 CPT,23650,HC CLSD TX DISLOC SHLDR WO ANES,863.0,647.25,263.21,837.11,915 CPT,23650,PR CLSD TX DISLOC SHLDR WO ANES,2314.0,1735.5,210.45,2244.58,683 CPT,23655,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA FACILITY,,,610.23,1973.24,7 CPT,23655,HC CLSD TX DISLOC SHLDR W ANES,4811.0,3608.25,610.23,4666.67,915 CPT,23655,PR CLSD TX DISLOC SHLDR W ANES,2358.0,1768.5,203.41,2287.26,683 CPT,23660,TREATMENT OF DISLOCATED SHOULDER,,,804.27,8904.43,7 CPT,23665,HC CLSD TX DISLOC SHLDR W MANIP,3665.0,2748.75,606.78,3555.05,915 CPT,23665,PR CLSD TX DISLOC SHLDR W MANIP,2021.0,1515.75,205.63,1960.37,693 CPT,23675,HC CLSD TX DISLOC SHLDR W NECK FX,7868.0,5901.0,744.75,7631.96,915 CPT,23675,PR CLSD TX DISLOC SHLDR W NECK FX,3112.0,2334.0,305.54,3018.64,683 CPT,23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA PROFESSIONAL,,,269.6,1973.24,7 CPT,23800,PR ARTHRODESIS GLENOHUMERAL JT,5925.0,4443.75,460.3,5747.25,683 CPT,23900,PR INTERTHORACOSCAPULAR AMP,9198.0,6898.5,611.3,8922.06,683 CPT,23920,PR DISARTICULATION SHOULDER,7481.0,5610.75,503.03,7256.57,683 CPT,23929,PR TENOTOMY SHLDR TX1 PROCEDURE,3999.0,2999.25,99.98,3879.03,683 CPT,23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,263.21,302.7,6 CPT,23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,299.18,3564.51,7 CPT,23930,PR I&D UARM/ELB DEEP ABSC/HEMA,1961.0,1470.75,185.01,1902.17,683 CPT,23931,PR I&D UARM/ELBOW BURSA,1523.0,1142.25,157.24,1477.31,683 CPT,23935,INCISION OF UPPER ARM OR ELBOW BONE,,,722.27,4015.22,7 CPT,23935,PR DRAIN ARM/ELBOW BONE LESION,2985.0,2238.75,240.76,2895.45,683 CPT,24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,672.75,4015.22,7 CPT,24000,PR ATHRT ELB W DRAIN/RMVL FB,3713.0,2784.75,224.25,3601.61,683 CPT,24006,PR ARTHRT ELB W CAPSULAR EXCISN,4999.0,3749.25,323.15,4849.03,683 CPT,24065,PR BX SOFT TISS ARM/ELBOW SUPFCL,956.0,717.0,72.56,927.32,697 CPT,24066,BIOPSY OF DEEP TISSUE OF UPPER ARM OR ELBOW,,,605.75,3564.51,7 CPT,24066,PR BX SOFT TISS ARM/ELBOW DEEP,2629.0,1971.75,333.0,2550.13,683 CPT,24071,PR EXCISN TMR ARM/ELB SUBQ >=3CM,1926.0,1444.5,190.23,1868.22,683 CPT,24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,570.69,3564.51,7 CPT,24073,PR EXCISN TMR ARM/ELB DEEP >=5CM,4174.0,3130.5,317.41,4048.78,683 CPT,24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,952.22,3564.51,7 CPT,24075,PR EXCISN TMR ARM/ELBOW SUBQ <3CM,2006.0,1504.5,276.36,1945.82,683 CPT,24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,467.39,3564.51,7 CPT,24076,PR EXCISN TMR ARM/ELB SUBFSCL<5CM,3296.0,2472.0,253.25,3197.12,683 CPT,24077,PR RSECT RADCL TMR UARM/ELB<5CM,7695.0,5771.25,465.4,7464.15,683 CPT,24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,1787.25,3564.51,7 CPT,24079,PR RSECT RADCL TMR UARM/ELB>=5CM,7811.0,5858.25,595.75,7576.67,683 CPT,24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,703.98,4015.22,7 CPT,24101,PR ATHRT ELB W/WO BX RMVL FB,4219.0,3164.25,234.66,4092.43,683 CPT,24102,PR ATHRT ELBOW W SYNOVECTOMY,5666.0,4249.5,281.56,5496.02,683 CPT,24102,REMOVAL OF ELBOW JOINT LINING,,,844.67,4015.22,7 CPT,24105,PR EXCISN BURSA OLECRANON,1901.0,1425.75,173.98,1843.97,683 CPT,24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,521.93,4015.22,7 CPT,24110,PR EXCISN BN CYST/BEN TMR HUMERUS,4457.0,3342.75,275.16,4323.29,683 CPT,24130,PR EXCISN RADIAL HEAD,4098.0,3073.5,236.06,3975.06,683 CPT,24130,REMOVAL OF FOREARM BONE AT ELBOW JOINT,,,708.17,4015.22,7 CPT,24140,PR EXCISN BONE HUMERUS PARTIAL,5094.0,3820.5,271.19,4941.18,693 CPT,24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,870.27,4015.22,7 CPT,24147,PR EXCISN BN OLECRANON PRCS PRTL,3650.0,2737.5,290.09,3540.5,683 CPT,24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,1591.17,8904.43,7 CPT,24149,PR RSECT RADCL SOFT TISS/BN ELB,6767.0,5075.25,530.39,6563.99,683 CPT,24150,PR RAD RSECT DISTAL HUM TUMOR,9006.0,6754.5,679.58,8735.82,683 CPT,24160,PR RMVL PROSTH HUM&ULN COMPONENTS,8131.0,6098.25,558.44,7887.07,683 CPT,24164,PR PROSTHESIS REMOVAL RADIAL HEAD,4361.0,3270.75,331.74,4230.17,683 CPT,24220,PR INJ ELBOW ARTHGM,867.0,650.25,27.61,840.99,697 CPT,24300,PR MANIPULATION ELBOW W ANES,2647.0,1985.25,216.81,2567.59,683 CPT,24301,PR MUS/TNDN TRANSFER UARM/ELB SNG,5897.0,4422.75,340.77,5720.09,683 CPT,24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,789.56,4015.22,7 CPT,24305,PR TENDON LENGTHENING UPR ARM/ELB,4370.0,3277.5,263.19,4238.9,683 CPT,24340,ANCHORING OF BICEPS TENDON AT ELBOW,,,851.21,8904.43,7 CPT,24340,PR TENODESIS BICEPS TNDN AT ELBOW,4571.0,3428.25,283.74,4433.87,683 CPT,24341,PR RPR TNDN/MUS ELBOW UARM,5168.0,3876.0,344.41,5012.96,683 CPT,24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,1033.23,8904.43,7 CPT,24342,PR REINS TNDN BICEP/TRICEP DISTAL,4380.0,3285.0,348.46,4248.6,683 CPT,24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,1045.38,8904.43,7 CPT,24343,PR REPR ELBOW LAT LIGMNT W TISS,5748.0,4311.0,279.76,5575.56,693 CPT,24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,987.38,8904.43,7 CPT,24344,PR RCNST LAT LGMNT ELB W GRFT,7097.0,5322.75,500.95,6884.09,683 CPT,24345,PR RPR MED COLLAT LGMNT WLOC TISS,4998.0,3748.5,328.08,4848.06,683 CPT,24346,PR RCNST MED COLTRL LIGM ELB W GRFT,7908.0,5931.0,500.95,7670.76,683 CPT,24346,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW WITH TENDON GRAFT,,,1502.85,15754.92,7 CPT,24357,PR TENOTOMY ELBOW PERCUTANEOUS,2234.0,1675.5,187.84,2166.98,683 CPT,24358,INCISION OF ELBOW TENDON WITH REMOVAL OF TISSUE PROFESSIONAL,,,729.6,4015.22,7 CPT,24358,PR TENOTOMY ELB DBRD TISS/BN OPN,3647.0,2735.25,243.2,3537.59,683 CPT,24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,900.44,4015.22,7 CPT,24359,PR TENOTOMY ELB DBRD OPN TNDN RPR,3214.0,2410.5,300.15,3117.58,683 CPT,24360,PR ARTHROPLASTY ELBOW W MEMBRANE,5038.0,3778.5,407.31,4886.86,683 CPT,24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,1221.93,8904.43,7 CPT,24362,PR RECONSTRUCT ELBOW JOINT,6871.0,5153.25,474.6,6664.87,683 CPT,24362,REPAIR OF ELBOW JOINT WITH IMPLANT WITH AND REPAIR OF LIGAMENT,,,1423.79,15754.92,7 CPT,24363,PR ARTHRO ELB W DH/PU PROSTH RPLC,10835.0,8126.25,633.09,10509.95,683 CPT,24363,PROSTHETIC REPAIR OF ELBOW JOINT,,,1899.27,21516.53,7 CPT,24366,PR ARTHRO RADIAL HEAD W IMPL,4435.0,3326.25,309.03,4301.95,683 CPT,24370,PR REV ELB ARTHRO HUM/ULNA COMPNT,8198.0,6148.5,670.24,7952.06,683 CPT,24370,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM OR FOREARM COMPONENTS",,,2010.72,15754.92,7 CPT,24371,PR REV ELB ARTHRO HUM&LNA COMPNT,8529.0,6396.75,765.17,8273.13,683 CPT,24371,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM AND FOREARM COMPONENTS",,,2295.5,21516.53,7 CPT,24430,PR RPR NON/MALUNION HUM WO GRFT,7731.0,5798.25,400.96,7499.07,693 CPT,24430,REPAIR OF NONHEALED BROKEN UPPER ARM BONE,,,1415.13,15754.92,7 CPT,24435,PR RPR NON/MALUNION HUM W AUTOGRFT,8267.0,6200.25,488.27,8018.99,683 CPT,24498,PR TX PROPHX HUM SHAFT W/WO MMA,5282.0,3961.5,390.15,5123.54,683 CPT,24498,STABILIZATION OF UPPER ARM BONE WITH DEVICE,,,1170.45,15754.92,7 CPT,24500,HC CLSD TX HUM SHAFT FX WO MANIP,811.0,608.25,263.21,786.67,915 CPT,24500,PR CLSD TX HUM SHAFT FX WO MANIP,1773.0,1329.75,201.55,1719.81,683 CPT,24515,PR OPN TX HUM FX W PLT W/WO CERCLG,4717.0,3537.75,399.88,4575.49,683 CPT,24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,1199.63,15754.92,7 CPT,24516,PR OPN TX HUM FX W INSRT IMPLNT,4649.0,3486.75,387.88,4509.53,683 CPT,24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,1163.64,15754.92,7 CPT,24530,HC CLSD TX SUPRA HUM FX WO MANIP,839.0,629.25,263.21,813.83,915 CPT,24530,PR CLSD TX SUPRA HUM FX WO MANIP,1622.0,1216.5,210.83,1573.34,683 CPT,24535,HC CLSD TX SUPRA HUM FX W MANIP,3665.0,2748.75,823.4,3555.05,915 CPT,24546,PR OPN TX HUM SUPRA FX W EXTENSN,6890.0,5167.5,463.89,6683.3,683 CPT,24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,1391.66,15754.92,7 CPT,24560,HC CLSD TX HUM EPICNDY FX WO MANIP,811.0,608.25,263.21,786.67,915 CPT,24560,PR CLSD TX HUM EPICNDY FX WO MANIP,1356.0,1017.0,189.68,1315.32,683 CPT,24575,PR OPN TX HUM EPICNDY FX W FIX,3533.0,2649.75,337.85,3427.01,683 CPT,24576,HC CLSD TX HUM CONDYL FX WO MANIP,657.0,492.75,263.21,637.29,915 CPT,24576,PR CLSD TX HUM CONDYL FX WO MANIP,1472.0,1104.0,198.9,1427.84,683 CPT,24579,PR OPN TX HUM CONDYLAR FX W FIX,4528.0,3396.0,379.46,4392.16,683 CPT,24579,TREATMENT OF BROKEN ELBOW,,,1138.38,15754.92,7 CPT,24586,PR OPN TX PERIARTICUL FX &/DISLOC ELB,7484.0,5613.0,481.38,7259.48,683 CPT,24600,HC CLSD TX DISLOC ELBOW WO ANES,838.0,628.5,263.21,812.86,915 CPT,24600,PR CLSD TX DISLOC ELBOW WO ANES,2567.0,1925.25,231.21,2489.99,683 CPT,24605,HC CLSD TX DISLOC ELBOW W ANES,8355.0,6266.25,465.61,8355.0,897 CPT,24605,PR CLSD TX DISLOC ELBOW W ANES,2302.0,1726.5,232.81,2232.94,683 CPT,24635,PR TX MONTEG ELB FX/DISLOC W FIX,5165.0,3873.75,311.22,5010.05,683 CPT,24635,TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW,,,933.66,8904.43,7 CPT,24640,HC TX ELBOW NURSEMAID FX W MANIP,661.0,495.75,105.39,641.17,915 CPT,24640,PR TX ELBOW NURSEMAID FX W MANIP,574.0,430.5,50.99,556.78,683 CPT,24650,HC CLSD TX RADL HD/NK FX WO MANIP,797.0,597.75,263.21,773.09,915 CPT,24650,PR CLSD TX RADL HD/NK FX WO MANIP,1146.0,859.5,146.45,1111.62,683 CPT,24655,HC CL TX RADL HEAD/NK FX W MANIP,3717.0,2787.75,643.46,3605.49,915 CPT,24655,PR CL TX RADL HEAD/NK FX W MANIP,2207.0,1655.25,258.5,2140.79,683 CPT,24665,PR OPN TX RADIAL HEAD/NK FX W FIX,3194.0,2395.5,257.22,3098.18,693 CPT,24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,907.83,8904.43,7 CPT,24666,PR OPN TX RADL HD/NK FX W PROSTH,4813.0,3609.75,333.21,4668.61,683 CPT,24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,999.62,15754.92,7 CPT,24670,HC CLSD TX ULNAR PROX FX WO MANIP,831.0,623.25,263.21,806.07,915 CPT,24670,PR CLSD TX ULNAR PROX FX WO MANIP,1238.0,928.5,163.46,1200.86,683 CPT,24685,PR OPN TX ULNAR FX PROX W FIX,3803.0,2852.25,302.56,3688.91,683 CPT,24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,907.67,8904.43,7 CPT,24802,PR ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,5630.0,4222.5,450.52,5461.1,683 CPT,24900,PR AMP ARM THRU HUM W PRIM CLSR,3517.0,2637.75,350.06,3411.49,683 CPT,24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,7742.98,8904.43,6 CPT,25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,496.35,1973.24,7 CPT,25000,PR INCISN EXTENSOR TNDN SHTH WRST,2620.0,1965.0,165.45,2541.4,683 CPT,25020,PR DCMPRN FORARM FLEX/EXT WO DBRD,6092.0,4569.0,350.62,5909.24,683 CPT,25023,PR DCMPRN FOREARM FLEX/EXT W DBRD,7095.0,5321.25,614.17,6882.15,683 CPT,25024,PR DCMPRN FORARM FLEX&EXT WO DBRD,4741.0,3555.75,353.45,4598.77,683 CPT,25025,PR DCMPRN FORARM FLEX&EXT W DBRD,6246.0,4684.5,546.75,6058.62,683 CPT,25028,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF FOREARM OR WRIST,,,1002.21,4015.22,7 CPT,25028,PR I&D FOREARM DEEP ABSCESS/HEMA,3860.0,2895.0,334.07,3744.2,683 CPT,25035,INCISION OF FOREARM OR WRIST BONE,,,821.6,8904.43,7 CPT,25035,PR INCISN DEEP BN CORTEX FRARM/WRST,3217.0,2412.75,273.87,3120.49,683 CPT,25040,PR ARTHRT RADIO/MIDCARPAL W EXPLR,3748.0,2811.0,255.28,3635.56,683 CPT,25065,PR BX SOFT TISS FRARM /WRST SUPFC,1252.0,939.0,71.22,1214.44,697 CPT,25066,PR BX SOFT TISS FOREARM/WRST DEEP,2216.0,1662.0,174.25,2149.52,683 CPT,25071,PR EXCISN TMR WRST SUBQ>=3CM,2574.0,1930.5,196.54,2496.78,683 CPT,25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,589.62,3564.51,7 CPT,25073,PR EXCISN TMR WRST SUBFSCL>=3CM,3556.0,2667.0,209.92,3449.32,693 CPT,25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,740.9,3564.51,7 CPT,25075,PR EXCISN TMR WRST SUBQ<3CM,2373.0,1779.75,268.13,2301.81,683 CPT,25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,447.08,2026.75,7 CPT,25076,PR EXCISN TMR WRST SUBFSCL<3CM,3920.0,2940.0,238.84,3802.4,683 CPT,25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,716.51,3564.51,7 CPT,25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,1577.73,3564.51,7 CPT,25078,PR RSECT TMR WRST RADCL >=3CM,7361.0,5520.75,525.91,7140.17,683 CPT,25105,INCISION INTO WRIST JOINT WITH REMOVAL OF JOINT LINING TISSUE,,,677.49,4015.22,7 CPT,25105,PR ARTHRT WRST JT W SYNOVECTOMY,4206.0,3154.5,225.83,4079.82,683 CPT,25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,,,857.91,4015.22,7 CPT,25107,PR ARTHRT DSTL RADIOULNR JT W RPR,3425.0,2568.75,285.97,3322.25,683 CPT,25109,PR EXCISN TNDN FOREARM/WRST EA,3489.0,2616.75,246.24,3384.33,683 CPT,25110,PR EXCISN LESN TNDN SHTH FOREARM,2704.0,2028.0,164.18,2622.88,683 CPT,25110,REMOVAL OF GROWTH OF TENDON COVERING OF FOREARM OR WRIST,,,492.53,1973.24,7 CPT,25111,PR EXCISN WRST GANGLION PRIMARY,1761.0,1320.75,156.05,1708.17,683 CPT,25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,468.15,1973.24,7 CPT,25112,PR EXCISN WRST GANGLION RECURRENT,2620.0,1965.0,183.4,2541.4,683 CPT,25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,550.2,1973.24,7 CPT,25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,1027.07,2396.28,7 CPT,25115,PR EXCISN TNDN SHTH FLEXORS RADCL,6295.0,4721.25,342.36,6106.15,683 CPT,25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,833.64,4015.22,7 CPT,25116,PR EXCISN TNDN SHTH EXTNSRS RADCL,4766.0,3574.5,277.88,4623.02,683 CPT,25118,PR SYNO EXT TNDN SHTH WRST SNGL,2385.0,1788.75,179.84,2313.45,683 CPT,25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,539.51,1973.24,7 CPT,25119,PR SYN EXT TND SHTH WRST W RSCT DU,3234.0,2425.5,236.46,3136.98,683 CPT,25119,REMOVAL OF TENDON LINING ON TOP SIDE OF WRIST AND END OF FOREARM BONE AT WRIST,,,709.38,4015.22,7 CPT,25120,PR EXCISN BN CYST RADIUS/ULNA,4599.0,3449.25,231.18,4461.03,683 CPT,25126,PR EXCISN CYST/TMR RADS/UL W ALLOGRFT,3976.0,2982.0,279.22,3856.72,683 CPT,25126,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE WITH BONE GRAFT,,,837.65,15754.92,7 CPT,25130,PR EXCISN CYST/TMR CARPAL BONES,3407.0,2555.25,209.59,3304.79,683 CPT,25130,REMOVAL OF CYST OR GROWTH OF WRIST BONE,,,628.77,4015.22,7 CPT,25150,PR EXCISN BN ULNA PARTIAL,4811.0,3608.25,260.1,4666.67,683 CPT,25151,PR EXCISN BN RADIUS PARTIAL,6487.0,4865.25,225.73,6292.39,693 CPT,25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE,,,796.7,4015.22,7 CPT,25170,EXTENSIVE REMOVAL OF GROWTH OF FOREARM BONE (RADIUS OR ULNA),,,1940.24,8904.43,7 CPT,25170,PR RSECT RADIUS/ULNAR TMR RADCL,9508.0,7131.0,646.75,9222.76,683 CPT,25210,PR CARPECTOMY ONE BONE,3828.0,2871.0,227.32,3713.16,683 CPT,25210,REMOVAL OF WRIST BONE,,,681.95,4015.22,7 CPT,25215,PR CARPECTOMY PROX ROW ALL BONES,4850.0,3637.5,281.22,4704.5,683 CPT,25215,REMOVAL OF MULTIPLE WRIST BONES,,,843.66,4015.22,7 CPT,25230,PR STYLOIDECTOMY RADIAL,3827.0,2870.25,201.13,3712.19,683 CPT,25240,PR EXCISN DISTAL ULNA PRTL/COMPLT,3311.0,2483.25,199.66,3211.67,683 CPT,25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,598.98,8904.43,7 CPT,25246,PR INJ WRIST ARTHGM,845.0,633.75,30.24,819.65,697 CPT,25259,PR MANIPULATION WRIST W ANES,2185.0,1638.75,212.38,2119.45,683 CPT,25260,PR RPR TNDN/MS FLX FRARM/WRST PRI EA,3494.0,2620.5,291.53,3389.18,683 CPT,25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,874.59,4015.22,7 CPT,25263,PR RPR TNDN WRIST FLEX SNGL,4347.0,3260.25,295.44,4216.59,683 CPT,25263,SECONDARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,886.31,8904.43,7 CPT,25265,PR RPR TNDN/MS FLX FRARM/WRST SEC EA,4878.0,3658.5,334.99,4731.66,683 CPT,25270,PR RPR TNDN/MS EXT FRARM/WRST PRI EA,3868.0,2901.0,229.05,3751.96,683 CPT,25274,PR RPR TNDN WRST EXTENS EA TNDN,4222.0,3166.5,299.83,4095.34,683 CPT,25274,REPAIR OF TENDON OR MUSCLE ON TOP SIDE OF FOREARM OR WRIST WITH GRAFT,,,899.49,4015.22,7 CPT,25275,PR RPR TNDN SHTH EXT WRST W GRFT,4533.0,3399.75,258.13,4397.01,693 CPT,25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,777.08,4015.22,7 CPT,25280,PR LNGTH/SHRT FLXR/EXTSR TNDN EA,6450.0,4837.5,259.03,6256.5,683 CPT,25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,604.98,4015.22,7 CPT,25290,PR TENOTOMY FLEXOR/EXTNSR WRST EA,3344.0,2508.0,201.66,3243.68,683 CPT,25295,PR TENOLYSIS FLEXR/EXTNSR WRST EA,3796.0,2847.0,241.81,3682.12,683 CPT,25295,REMOVAL OF SCAR TISSUE TO RELEASE TENDON OF FOREARM OR WRIST,,,725.43,4015.22,7 CPT,25310,PR TRNSPL FLX/EXT TNDN SNGL EA,5290.0,3967.5,325.21,5131.3,683 CPT,25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,975.63,4015.22,7 CPT,25312,PR TRNSPL FLX/EXT SNGL TNDN GRFT,5408.0,4056.0,323.12,5245.76,683 CPT,25312,RELOCATION OF TENDON OF FOREARM AND/OR WRIST WITH GRAFTS,,,969.36,8904.43,7 CPT,25320,PR CPSLRPY/RCNST WRST FOR CARP,9167.0,6875.25,451.28,8891.99,683 CPT,25320,RECONSTRUCTION OF WRIST JOINT,,,1353.84,8904.43,7 CPT,25332,PR ARTHRP WRST W/WO INTERPOS,6121.0,4590.75,377.18,5937.37,683 CPT,25332,REPAIR OF WRIST JOINT,,,1131.54,8904.43,7 CPT,25337,PR RCNST DISTAL JT W/WO REDUC,6884.0,5163.0,403.12,6677.48,683 CPT,25337,REPAIR OF TENDONS OF OUTER FOREARM AT WRIST JOINT,,,1209.36,8904.43,7 CPT,25360,PR OSTEOTOMY ULNA,3646.0,2734.5,296.76,3536.62,683 CPT,25390,PR OSTEOPLASTY RADIUS/ULNA SHRTNG,6532.0,4899.0,343.08,6336.04,683 CPT,25390,SHORTENING OF ONE OF THE FOREARM BONES,,,1029.24,8904.43,7 CPT,25400,PR RPR NON/MALUN RAD/ULN WO GRFT,6530.0,4897.5,358.77,6334.1,683 CPT,25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,1076.31,8904.43,7 CPT,25405,PR RPR NON/MALUNION RAD/ULN W AUTGRFT,7908.0,5931.0,457.22,7670.76,683 CPT,25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,1371.65,8904.43,7 CPT,25420,PR RPR NON/MALUN RAD & ULN W GRFT,6540.0,4905.0,519.61,6343.8,683 CPT,25430,INSERTION OF VASCULAR BONE GRAFT INTO WRIST BONE,,,1014.05,8904.43,7 CPT,25430,PR INS VASCULAR PEDICLE CRPL BONE,4829.0,3621.75,338.02,4684.13,683 CPT,25431,REPAIR OF NON-HEALED WRIST BONE OTHER THAN (SCAPHOID OR NAVICULAR),,,1077.59,8904.43,7 CPT,25440,PR RPR NONUN SCPHD CRPL BN RDL STYL,4271.0,3203.25,343.07,4142.87,683 CPT,25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,1029.21,8904.43,7 CPT,25441,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE THUMB SIDE AT THE WRIST LEVEL,,,1267.79,21516.53,7 CPT,25441,PR ARTHRO W PROSTH RPLC RADIUS,5765.0,4323.75,422.6,5592.05,683 CPT,25442,PR ARTHRO W PROSTH RPLC ULNA,4420.0,3315.0,360.52,4287.4,683 CPT,25446,ARTHROPLASTY OR REPLACEMENT OF THE ENTIRE WRIST JOINT,,,1536.42,21516.53,7 CPT,25446,PR ARTHRO W PROSTH RPLC TOT WRST,9025.0,6768.75,512.14,8754.25,683 CPT,25447,PR ARTHRO INTERCARP/CMC JT,6699.0,5024.25,361.99,6498.03,683 CPT,25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,1085.97,4015.22,7 CPT,25448,PR ARTHRP INTERCARP/CARP/MTCRPL JT SUSP,8989.0,6741.75,398.79,8719.33,683 CPT,25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,1196.37,4015.22,7 CPT,25449,PR REV ARTHRP W RMVL IMPL WRIST,6201.0,4650.75,453.9,6014.97,683 CPT,25491,PR TX PROPHYLACTIC ULNA W/WO MMA,4352.0,3264.0,337.75,4221.44,683 CPT,25491,STABILIZATION OF FOREARM BONE ON SMALL FINGER SIDE WITH DEVICE,,,1013.24,15754.92,7 CPT,25500,HC TX RADIAL SHAFT FX WO MANIP,806.0,604.5,263.21,781.82,915 CPT,25500,PR TX RADIAL SHAFT FX WO MANIP,1082.0,811.5,158.62,1049.54,683 CPT,25515,PR OPN TX RADIAL SHAFT FX W FIX,3431.0,2573.25,308.31,3328.07,683 CPT,25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,,,924.92,8904.43,7 CPT,25525,PR TX FX RADIAL SHAFT OPN W FIX,3804.0,2853.0,358.43,3689.88,683 CPT,25525,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE AND CLOSED TREATMENT OF DISLOCATED WRIST JOINT,,,1075.29,8904.43,7 CPT,25530,HC CLSD TX ULNAR SHAFT FX WO MANIP,803.0,602.25,263.21,778.91,915 CPT,25530,PR CLSD TX ULNAR SHAFT FX WO MANIP,1339.0,1004.25,146.59,1298.83,683 CPT,25535,PR CLSD TX ULNAR SHAFT FX W MANIP,2492.0,1869.0,266.23,2417.24,683 CPT,25545,PR OPN TX ULNAR SHAFT FX W FIX,3702.0,2776.5,289.28,3590.94,683 CPT,25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,867.84,8904.43,7 CPT,25560,HC CLSD TX RDL & ULNAR FX WO MANIP,811.0,608.25,263.21,786.67,915 CPT,25560,PR CLSD TX RDL & ULNAR FX WO MANIP,1260.0,945.0,132.89,1222.2,697 CPT,25565,HC CLSD TX RDL & ULNAR FX W MANIP,4017.0,3012.75,742.28,3896.49,915 CPT,25565,PR CLSD TX RDL & ULNAR FX W MANIP,3380.0,2535.0,302.61,3278.6,683 CPT,25575,PR OPN TX RDL&ULN FX W FIX RAD&ULN,5172.0,3879.0,411.27,5016.84,683 CPT,25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,1233.81,8904.43,7 CPT,25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION FACILITY,,,498.23,4015.22,7 CPT,25600,HC CLSD TX DIST RDL FX WO MANIP,867.0,650.25,263.21,840.99,915 CPT,25600,PR CLSD TX DIST RDL FX WO MANIP,1501.0,1125.75,159.05,1455.97,693 CPT,25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION FACILITY,,,800.33,8904.43,7 CPT,25605,HC CLSD TX DIST RDL FX W MANIP,3037.0,2277.75,800.33,2945.89,915 CPT,25605,PR CLSD TX DIST RDL FX W MANIP,3656.0,2742.0,308.04,3546.32,683 CPT,25606,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOREARM BONE ON THUMB SIDE AT WRIST,,,935.63,4015.22,7 CPT,25606,PR FIX FX PERC SKELETAL DIST RDL,3372.0,2529.0,311.88,3270.84,683 CPT,25607,PR OPN TX DIST RDL EXART FX W FIX,3810.0,2857.5,339.18,3695.7,683 CPT,25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,1017.53,8904.43,7 CPT,25608,PR OPN TX DIST RDL INART FX 2 FIX,4328.0,3246.0,375.48,4198.16,683 CPT,25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,1126.43,8904.43,7 CPT,25609,PR OPN TX DIST RDL INART FX 3 FIX,5163.0,3872.25,471.21,5008.11,683 CPT,25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,1413.62,8904.43,7 CPT,25622,HC CLSD TX CRPL SCPHD FX WO MANIP,862.0,646.5,263.21,836.14,915 CPT,25622,PR CLSD TX CRPL SCPHD FX WO MANIP,1470.0,1102.5,170.31,1425.9,683 CPT,25628,PR OPN TX CARPAL SCPHD FX W FIX,3533.0,2649.75,325.63,3427.01,683 CPT,25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,,,976.88,8904.43,7 CPT,25630,HC CLSD TX CRPL FX WO MANIP EA BN,795.0,596.25,263.21,771.15,915 CPT,25630,PR CLSD TX CRPL FX WO MANIP EA BN,1493.0,1119.75,167.6,1448.21,683 CPT,25635,HC CLSD TX CRPL FX W MANIP EA BN,13400.0,10050.0,616.65,12998.0,915 CPT,25645,PR OPN TX CARPAL BONE FX EA BONE,2662.0,1996.5,225.63,2582.14,693 CPT,25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,796.34,4015.22,7 CPT,25650,HC CLSD TX ULNAR FX STYLOID,862.0,646.5,263.21,836.14,915 CPT,25650,PR CLSD TX ULNAR FX STYLOID,2121.0,1590.75,184.06,2057.37,683 CPT,25652,PR OPN TX ULNAR STYLOID FX,2870.0,2152.5,287.38,2783.9,683 CPT,25675,PR CLSD TX DISLOC RADIUS W MANIP,1631.0,1223.25,237.42,1582.07,697 CPT,25800,COMPLETE FUSION OF WRIST JOINT,,,983.34,8904.43,7 CPT,25800,PR ARTHRDSIS WRST COMPLT WO GRFT,4376.0,3282.0,327.78,4244.72,683 CPT,25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,1159.64,15754.92,7 CPT,25810,PR ARTHRDSIS WRST W ILIAC AUTOGRFT,5862.0,4396.5,386.55,5686.14,683 CPT,25820,FUSION OF PART OF WRIST JOINT,,,897.62,8904.43,7 CPT,25820,PR ARTHRDSIS WRST LTD WO BN GRFT,4846.0,3634.5,299.21,4700.62,683 CPT,25825,PR ARTHRODESIS WRST LTD W AUTOGRFT,4773.0,3579.75,361.91,4629.81,683 CPT,25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,1415.52,8904.43,7 CPT,25830,PR ARTHRDSIS DISTAL RADIOU JT,6063.0,4547.25,471.84,5881.11,683 CPT,25900,PR AMP FRARM THROUGH RADIUS&ULNA,4172.0,3129.0,325.93,4046.84,683 CPT,25920,PR DISARTICULATION THROUGH WRIST,4103.0,3077.25,338.92,3979.91,683 CPT,25927,PR TRANSMETACARPAL AMPUTATION,4674.0,3505.5,408.0,4533.78,683 CPT,25931,PR TRANSMETACARPAL AMPUTATION RE-AMPUTATION,3899.0,2924.25,379.91,3782.03,683 CPT,25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL,,,7742.98,8904.43,6 CPT,26010,HC I&D ABSC FGR SMPL,700.0,525.0,211.52,679.0,915 CPT,26010,PR I&D ABSC FGR SMPL,994.0,745.5,182.01,964.18,683 CPT,26011,HC I&D ABSC FINGER COMPLICATED,3797.0,2847.75,266.03,3683.09,915 CPT,26011,PR I&D ABSC FINGER COMPLICATED,1714.0,1285.5,250.83,1662.58,683 CPT,26020,DRAINAGE OF TENDON OF FINGER AND/OR PALM,,,776.31,4015.22,7 CPT,26020,PR DRN TNDN SHEATH DIGIT/PALM EA,3020.0,2265.0,258.77,2929.4,683 CPT,26025,PR DRN PALMAR BURSA SNGL,2387.0,1790.25,196.67,2315.39,683 CPT,26037,INCISION OF TISSUE OF HAND TO RELEASE PRESSURE,,,769.4,4015.22,7 CPT,26037,PR FASCIOTOMY DCMPRN HAND,3626.0,2719.5,256.47,3517.22,683 CPT,26040,PR FASCIOTOMY PALMAR PERCUTANEOUS,1959.0,1469.25,150.11,1900.23,683 CPT,26045,PARTIAL RELEASE OF CONNECTIVE TISSUE OF PALM,,,661.2,4015.22,7 CPT,26045,PR FASCIOTOMY PALMAR OPEN PARTIAL,3089.0,2316.75,220.4,2996.33,683 CPT,26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,419.42,1973.24,7 CPT,26055,PR INCISN TNDN SHEATH,2441.0,1830.75,305.52,2367.77,683 CPT,26075,"INCISION OF LOWER FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,481.44,4015.22,7 CPT,26075,PR ARTHRT EXPL DRN LOOSE/FB MCP JT,3007.0,2255.25,160.48,2916.79,683 CPT,26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,565.67,1973.24,7 CPT,26080,PR ARTHRT EXPL DRN LOOSE/FB I-P JT,2728.0,2046.0,188.56,2646.16,683 CPT,26105,PR ARTHROTOMY BX MTCARPHLNG JT EA,2211.0,1658.25,165.33,2144.67,683 CPT,26110,PR ARTHROTOMY I-P JT W BX EACH,2032.0,1524.0,154.62,1971.04,683 CPT,26111,PR EXCISN TMR HND/FGR SUBQ >=1.5C,2600.0,1950.0,191.24,2522.0,683 CPT,26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,573.72,2026.75,7 CPT,26113,PR EXCISN TMR HND/FGR DEEP>=1.5CM,2939.0,2204.25,249.21,2850.83,683 CPT,26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,747.62,2026.75,7 CPT,26115,PR EXCISN TMR HND/FGR SUBQ <1.5CM,2816.0,2112.0,285.56,2731.52,683 CPT,26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,468.78,2026.75,7 CPT,26116,PR EXCISN TMR HND/FGR SUBF <1.5CM,3379.0,2534.25,240.39,3277.63,683 CPT,26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,721.16,2026.75,7 CPT,26117,PR RADCL RSECT HAND TUMOR < 3 CM,5408.0,4056.0,337.82,5245.76,683 CPT,26118,PR RADCL RSECT HAND TMR >=3CM,7597.0,5697.75,473.88,7369.09,683 CPT,26121,PR FASCTMY PALM W/WO ZPLASTY,3800.0,2850.0,273.38,3686.0,683 CPT,26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,820.14,4015.22,7 CPT,26123,PR FASCTMY PALM PRTL W SNGL DIG,6722.0,5041.5,380.2,6520.34,683 CPT,26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,1140.59,4015.22,7 CPT,26125,PR FASCTMY PALM PRTL EA ADD DIG,2497.0,1872.75,222.46,2497.0,676 CPT,26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,333.69,4015.22,7 CPT,26140,PR SYNOVTMY I-P INCL RCNST,3165.0,2373.75,233.83,3070.05,683 CPT,26140,REMOVAL OF JOINT LINING AND REPAIR OF TENDON ON THE TOPSIDE OF FINGER,,,701.48,1973.24,7 CPT,26145,PR SYNO FLEXOR TNDN PALM/FGR EA,4498.0,3373.5,236.94,4363.06,683 CPT,26145,"REPAIR OF TENDON, FINGER, AND/OR PALM OF HAND",,,710.82,4015.22,7 CPT,26160,PR EXCISN LESN TNDN SHTH HND/FGR,2346.0,1759.5,319.2,2275.62,683 CPT,26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,450.26,1973.24,7 CPT,26170,PR REMOVAL OF PALM TENDON EACH,2806.0,2104.5,190.57,2721.82,683 CPT,26180,PR EXCISN TNDN FGR/FLEXOR/EXTNSR,3046.0,2284.5,209.74,2954.62,683 CPT,26180,REMOVAL OF TENDON OF FINGER,,,629.21,1973.24,7 CPT,26185,PR SESAMOIDECTOMY THUMB OR FINGER,2758.0,2068.5,266.0,2675.26,683 CPT,26185,REMOVAL OF BONE AT BASE OF THUMB OR FINGER,,,798.0,4015.22,7 CPT,26200,PR EXCISN BN CYST/TMR METACARPAL,2542.0,1906.5,208.77,2465.74,683 CPT,26210,PR EXCISN BN CYST PROX/MID/DIST PHAL,3164.0,2373.0,208.43,3069.08,683 CPT,26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,625.28,1973.24,7 CPT,26215,PR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,4093.0,3069.75,263.97,3970.21,683 CPT,26230,PR EXCISN BN METACARPAL PRTL,3250.0,2437.5,229.47,3152.5,683 CPT,26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,678.15,1973.24,7 CPT,26235,PR EXCISN BN PROX/MID PHAL PRTL,3287.0,2465.25,226.05,3188.39,683 CPT,26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,616.02,1973.24,7 CPT,26236,PR EXCISN BN DISTAL PHAL PRTL,2917.0,2187.75,205.34,2829.49,683 CPT,26320,PR RMVL IMPLANT FROM FINGER/HAND,2532.0,1899.0,164.21,2456.04,683 CPT,26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,532.53,8904.43,7 CPT,26340,PR MANIP FGR JT UNDER ANES EA JT,1788.0,1341.0,177.51,1734.36,683 CPT,26341,PR MANIP PALMAR FASCIAL POST INJ,676.0,507.0,35.58,655.72,697 CPT,26350,PR RPR FLEX TNDN NOT Z2 WO GRFT EA,5121.0,3840.75,358.85,4967.37,683 CPT,26356,PR RPR FLEX TNDN ZN 2 PRIM WO GRFT,7039.0,5279.25,366.53,6827.83,683 CPT,26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,1099.59,4015.22,7 CPT,26357,PR RPR FLEX TNDN Z2 SECNDRY WO GRFT,4768.0,3576.0,414.72,4624.96,683 CPT,26370,PR RPR ROFUNDUS TNDN PRIM EA,5611.0,4208.25,369.31,5442.67,683 CPT,26390,PR EXCISN FLEX TNDN HAND W IMPLN,4191.0,3143.25,413.56,4065.27,683 CPT,26390,REPAIR OF TENDON ON UNDERSIDE OF FINGER OR HAND WITH IMPLANTED ROD,,,1240.67,8904.43,7 CPT,26410,PR RPR EXTNSR TNDN HND WO GRFT EA,2973.0,2229.75,290.71,2883.81,683 CPT,26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,872.12,1973.24,7 CPT,26418,PR RPR EXTNSR TNDN FGR WO GRFT,3185.0,2388.75,304.73,3089.45,683 CPT,26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,914.18,4015.22,7 CPT,26426,PR RPR EXTNSR TNDN SECNDRY W TISS,4814.0,3610.5,231.59,4669.58,683 CPT,26426,SECONDARY REPAIR OF TENDON OF TOP OF FINGER USING TISSUE,,,694.76,4015.22,7 CPT,26432,CLOSED TREATMENT OF TENDON OF UPPER SIDE OF FINGER,,,790.74,1973.24,7 CPT,26432,PR CLSD TX EXT TNDN DIST W/WO PIN,2701.0,2025.75,263.58,2619.97,683 CPT,26433,PR RPR EXTNSR TNDN DIST INS,3466.0,2599.5,275.8,3362.02,683 CPT,26437,PR REALIGN EXTNSR TNDN HAND EA,4089.0,3066.75,315.67,3966.33,683 CPT,26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,947.0,4015.22,7 CPT,26440,PR TENOLYSIS FLEXOR PALM/FINGER,4404.0,3303.0,312.15,4271.88,683 CPT,26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,936.45,4015.22,7 CPT,26442,PR TENOLYSIS FLEXOR PALM&FINGER,4836.0,3627.0,467.03,4690.92,683 CPT,26445,PR TENOLYSIS EXTNSR TNDN HND/FGR,3457.0,2592.75,293.75,3353.29,683 CPT,26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,881.25,4015.22,7 CPT,26455,INCISION OF TENDON OF FINGER,,,668.85,2396.28,7 CPT,26455,PR TENOTOMY FLEXOR FNGR OPN EA,2490.0,1867.5,222.95,2415.3,683 CPT,26460,PR TENOTOMY EXTNSR HND/FGR OPN EA,2718.0,2038.5,217.92,2636.46,683 CPT,26471,PR TENODESIS PROX I-P JT EA,4569.0,3426.75,312.8,4431.93,683 CPT,26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,938.4,4015.22,7 CPT,26474,PR TENODESIS DISTAL JOINT EACH,3561.0,2670.75,317.96,3454.17,683 CPT,26474,SUTURE OF TENDON TO JOINT OF FINGER NEAR TOP OF FINGER,,,953.88,1973.24,7 CPT,26478,PR LENGTHN TNDN FLEXOR HAND/FNGR,1509.0,1131.75,316.28,1463.73,683 CPT,26480,PR TRNSF TNDN DORSUM WO GRFT EA,4615.0,3461.25,325.07,4476.55,683 CPT,26480,TRANSFER OF TENDON TO BACK OF HAND,,,975.21,4015.22,7 CPT,26485,PR TRNSPL TNDN PALMAR WO GRFT EA,4965.0,3723.75,392.18,4816.05,683 CPT,26485,TRANSFER OF TENDON TO PALM,,,1176.54,4015.22,7 CPT,26489,PR TRNSPL TNDN PALMAR W GRFT EA,6354.0,4765.5,456.81,6163.38,683 CPT,26489,TRANSFER OF TENDON TO PALM WITH GRAFT,,,1370.43,4015.22,7 CPT,26496,PR OPPONENSPLASTY OTHER METHODS,5480.0,4110.0,427.83,5315.6,683 CPT,26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,1283.49,4015.22,7 CPT,26497,TRANSFER OF TENDON TO RING AND SMALL FINGERS,,,1281.99,4015.22,7 CPT,26499,CORRECTION CLAW FINGER,,,1239.11,4015.22,7 CPT,26499,PR CORRECTION CLAW FINGER,5127.0,3845.25,413.04,4973.19,683 CPT,26502,PR RCNST TNDN PULLEY W GRFT,4800.0,3600.0,361.9,4656.0,683 CPT,26502,REPAIR OF LIGAMENT SURROUNDING FINGER TENDON WITH GRAFT,,,1085.69,8904.43,7 CPT,26516,PR CAPSULODESIS MCP JT EA,5152.0,3864.0,348.72,4997.44,683 CPT,26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,1046.15,4015.22,7 CPT,26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,977.36,4015.22,7 CPT,26520,PR CAPSULECTOMY MCP JT EA,4545.0,3408.75,325.79,4408.65,683 CPT,26525,PR CAPSULECTOMY I-P JT EA,4198.0,3148.5,328.84,4072.06,683 CPT,26525,REPAIR OF JOINT CAPSULE OF FINGER,,,986.51,4015.22,7 CPT,26530,PR ARTHROPLASTY MCP JT EA,3820.0,2865.0,248.01,3705.4,683 CPT,26531,PR ARTHROPLSTY MCP JT W PROSTH EA,3697.0,2772.75,286.27,3586.09,683 CPT,26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,858.81,8904.43,7 CPT,26536,PR ARTHROPLSTY I-P JT W PROSTH EA,5000.0,3750.0,355.25,4850.0,683 CPT,26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,1065.75,8904.43,7 CPT,26540,PR RPR LGMNT MCP/I-P JT,3414.0,2560.5,330.15,3311.58,683 CPT,26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,990.45,4015.22,7 CPT,26541,PR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,5860.0,4395.0,388.75,5684.2,683 CPT,26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,1166.25,4015.22,7 CPT,26542,PR RCNST LGMNT MCP W LOCAL TISS,4618.0,3463.5,338.63,4479.46,683 CPT,26542,REPAIR OF LIGAMENT OF HAND TO FINGER JOINT WITH LOCAL TISSUE,,,1015.89,4015.22,7 CPT,26546,PR RPR NONUNION/METCARP/PHALANX,5283.0,3962.25,482.93,5124.51,683 CPT,26548,PR RPR & RCNST FGR VOLAR PLATE,4927.0,3695.25,372.33,4779.19,683 CPT,26565,INCISION OR REMOVAL OF HAND BONE,,,1006.55,8904.43,7 CPT,26565,PR OSTEOTOMY METACARPAL EA,4950.0,3712.5,335.52,4801.5,683 CPT,26567,PARTIAL REMOVAL OF FINGER BONE,,,1020.63,4015.22,7 CPT,26593,PR RLS INTRINSIC MUS HAND EA,4294.0,3220.5,308.77,4165.18,683 CPT,26596,REMOVAL OF CONSTRICTING RING OF SKIN OF FINGER,,,1155.08,4015.22,7 CPT,26600,HC CLSD TX METCARP FX WO MANIP EA BN,839.0,629.25,263.21,813.83,915 CPT,26600,PR CLSD TX METCARP FX WO MANIP EA BN,1124.0,843.0,141.05,1090.28,693 CPT,26605,HC CLSD TX METCARP FX W MANIP EA BN,660.0,495.0,263.21,640.2,915 CPT,26605,PR CLSD TX METCARP FX W MANIP EA BN,1455.0,1091.25,182.76,1411.35,683 CPT,26608,PR FIX PERC METCARP FX EA,2530.0,1897.5,225.72,2454.1,683 CPT,26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,677.16,4015.22,7 CPT,26615,PR OPN TX METCARP FX W FIX SNGL EA BN,3065.0,2298.75,266.46,2973.05,683 CPT,26615,TREATMENT OF BROKEN MIDHAND BONE,,,799.37,4015.22,7 CPT,26645,HC CLSD TX THUMB FX W MANIP,10870.0,8152.5,570.98,10543.9,915 CPT,26645,PR CLSD TX THUMB FX W MANIP,2111.0,1583.25,234.83,2047.67,683 CPT,26650,PR FIX PERC THUMB DISLOC W MANIP,3175.0,2381.25,228.76,3079.75,683 CPT,26665,PR OPN TX CMC FX THUMB DISLOC,3796.0,2847.0,281.48,3682.12,683 CPT,26676,PR FIX CMC DISLOC W MANIP,2951.0,2213.25,237.8,2862.47,683 CPT,26700,HC CLSD TX MCP DISLOC W MANIP WO ANS,640.0,480.0,263.21,620.8,915 CPT,26700,PR CLSD TX MCP DISLOC W MANIP WO ANS,1882.0,1411.5,197.47,1825.54,683 CPT,26720,HC CLSD TX PHAL SHFT FX WO MANIP EA,788.0,591.0,263.21,764.36,915 CPT,26720,PR CLSD TX PHAL SHFT FX WO MANIP EA,1052.0,789.0,97.16,1020.44,693 CPT,26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION FACILITY,,,469.2,8904.43,7 CPT,26725,HC CLSD TX PHAL SHFT FX W MANIP EA,827.0,620.25,263.21,802.19,915 CPT,26725,PR CLSD TX PHAL SHFT FX W MANIP EA,1750.0,1312.5,192.16,1697.5,683 CPT,26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,666.45,4015.22,7 CPT,26727,PR TX PERC FGR PROX/MID W MANIP EA,2384.0,1788.0,222.15,2312.48,683 CPT,26735,PR OPN TX PHALANGEAL SHAFT FX EA,3447.0,2585.25,274.59,3343.59,683 CPT,26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,823.77,4015.22,7 CPT,26742,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER WITH MANIPULATION,,,496.71,8904.43,7 CPT,26742,PR CLSD TX ARTICULAR FX W MANIP EA,1514.0,1135.5,165.57,1468.58,697 CPT,26746,PR OPN TX ARTICULAR FX W FIX EA JT,4525.0,3393.75,335.04,4389.25,683 CPT,26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,1005.12,4015.22,7 CPT,26750,HC CLSD TX DISTL PHAL WO MANIP EA,814.0,610.5,263.21,789.58,915 CPT,26750,PR CLSD TX DISTL PHAL WO MANIP EA,1096.0,822.0,107.02,1063.12,683 CPT,26755,HC CLSD TX DISTL PHAL FX W MANIP EA,2650.0,1987.5,263.21,2570.5,915 CPT,26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,604.98,4015.22,7 CPT,26756,PR FIX PERC SKEL DIST PHAL FX EA,2570.0,1927.5,171.41,2492.9,693 CPT,26765,PR OPN TX DIST PHAL FX W INT FIX EA,3042.0,2281.5,236.63,2950.74,683 CPT,26770,HC CLSD TX I-P DISLOC W MANIP WO ANES,835.0,626.25,263.21,809.95,915 CPT,26770,PR CLSD TX I-P DISLOC W MANIP WO ANES,1894.0,1420.5,175.55,1837.18,683 CPT,26775,PR TX I-P DISLOC W MANIP W ANES,1644.0,1233.0,213.34,1594.68,683 CPT,26776,PR CLSD TX PERC I-P DISLOC W MANIP,2400.0,1800.0,211.47,2328.0,683 CPT,26785,PR OPN TX I-P DISLOC W FIX SNGL,2513.0,1884.75,255.05,2437.61,683 CPT,26841,FUSION OF THUMB AT WRIST,,,1095.0,8904.43,7 CPT,26841,PR ARTHRDSIS CMC W/WO INT FIX,4564.0,3423.0,365.0,4427.08,683 CPT,26843,FUSION OF HAND JOINT,,,1121.18,8904.43,7 CPT,26843,PR ARTHRDSIS CMC OTHER THAN THMB,4307.0,3230.25,373.73,4177.79,683 CPT,26844,FUSION OF FINGER AT HAND JOINT WITH SELF BONE GRAFT,,,1225.04,8904.43,7 CPT,26844,PR ARTHRDSIS CMC W AUTOGRFT,5514.0,4135.5,408.35,5348.58,683 CPT,26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,1030.13,8904.43,7 CPT,26850,PR ARTHRDSIS MCP W/WO INT FIX,4286.0,3214.5,343.38,4157.42,683 CPT,26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,883.88,4015.22,7 CPT,26860,PR ARTHRDSIS I-P JT W/WO FIX,3430.0,2572.5,294.63,3327.1,683 CPT,26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,126.95,8904.43,7 CPT,26861,PR ARTHRDSIS IP W/WO FIX EA ADD,1188.0,891.0,84.63,1188.0,676 CPT,26862,PR ARTHRDSIS IP W AUTOGRFT,4098.0,3073.5,358.51,3975.06,683 CPT,26910,AMPUTATION OF FINGER OR THUMB,,,1079.69,4015.22,7 CPT,26910,PR AMP MTCRPL W FGR OR THUMB SNGL,4369.0,3276.75,359.9,4237.93,683 CPT,26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,1019.13,4015.22,7 CPT,26951,HC AMP FGR/THUMB W DIRECT CLSR,16550.0,12412.5,1019.13,16053.5,915 CPT,26951,PR AMP FGR/THUMB W DIRECT CLSR,4948.0,3711.0,339.71,4799.56,683 CPT,26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,973.34,4015.22,7 CPT,26952,PR AMP FGR/THUMB W ADV FLAPS,4028.0,3021.0,324.45,3907.16,683 CPT,26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,2083.72,2396.28,6 CPT,26990,PR I&D PELVIS/HIP JT DEEP ABSC,4260.0,3195.0,320.94,4132.2,683 CPT,26991,PR I&D PELVIS/HIP INFECTED BURSA,4087.0,3065.25,307.51,3964.39,693 CPT,26992,PR INCISN BN CORTEX PELV/HIP JT,6036.0,4527.0,459.2,5854.92,683 CPT,27000,PR TENOTOMY HIP ADDUCTOR PERC,2380.0,1785.0,177.39,2308.6,683 CPT,27005,INCISION OF TENDON OF HIP,,,3099.57,3564.51,6 CPT,27006,PR TENOTOMY HIP ABD/EXTEN OPEN,5321.0,3990.75,318.52,5161.37,683 CPT,27030,PR ARTHRT HIP W DRN,5595.0,4196.25,418.6,5427.15,683 CPT,27033,PR ARTHRT HIP INCL EXPLR RMVL FB,7228.0,5421.0,434.52,7011.16,683 CPT,27041,BIOPSY OF DEEP TISSUE OF PELVIS AND HIP,,,956.07,2026.75,7 CPT,27043,PR EXCISN TMR PLV/HIP SUBQ>=3CM,2709.0,2031.75,220.29,2627.73,683 CPT,27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,660.86,3564.51,7 CPT,27045,PR EXCISN TMR PLV/HP SUBFSCL>=5CM,4970.0,3727.5,336.18,4820.9,683 CPT,27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,1008.53,3564.51,7 CPT,27047,PR EXCISN TMR PELVIS/HIP SUBQ<3CM,2862.0,2146.5,259.45,2776.14,683 CPT,27047,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, LESS THAN 3.0 CM FACILITY",,,512.3,3564.51,7 CPT,27048,PR EXCISN TMR PLV/HIP SUBFSCL<5CM,3457.0,2592.75,285.01,3353.29,683 CPT,27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,2398.23,3564.51,7 CPT,27059,PR RSECT TMR PELVIS/HIP >=5CM,14724.0,11043.0,799.41,14282.28,683 CPT,27065,PR EXCISN BN CYST IL/PU/FM SUPFC,4808.0,3606.0,247.06,4663.76,683 CPT,27066,PR EXCISN BN CYST IL/PU/FM DEEP,5890.0,4417.5,368.9,5713.3,683 CPT,27070,PR EXCISN PRTL ILIUM WING SUPFCL,5382.0,4036.5,401.79,5220.54,683 CPT,27071,PR EXCISN PRTL ILIUM WING DEEP,6490.0,4867.5,445.34,6295.3,683 CPT,27075,PR RSECT TUMOR ILIUM WING RAD,13594.0,10195.5,904.11,13186.18,683 CPT,27076,PR RSECT TMR ILIUM/ISCH/ACET RAD,16363.0,12272.25,1086.34,15872.11,683 CPT,27077,PR RSECT TUMOR INOMINATE BN TOT,15308.0,11481.0,1208.09,14848.76,683 CPT,27078,PR RSECT TMR ISCH TUBR&GRT TRCNTR,13196.0,9897.0,892.07,12800.12,683 CPT,27080,PR COCCYGECTOMY PRIMARY,3160.0,2370.0,242.87,3065.2,683 CPT,27087,PR RMVL FB PELVIS/HIP DEEP,3016.0,2262.0,289.73,2925.52,683 CPT,27087,REMOVAL OF FOREIGN BODY IN TISSUE OR MUSCLE OF PELVIS OR HIP,,,869.18,4015.22,7 CPT,27091,PR RMVL HIP PROSTHESIS CMPLX,12376.0,9282.0,699.14,12004.72,683 CPT,27093,HC INJ PROC HIP ARTHGRPH WO ANES,1056.0,792.0,85.11,1056.0,909 CPT,27093,PR INJ PROC HIP ARTHGRPH WO ANES,1266.0,949.5,28.37,1228.02,697 CPT,27096,HC INJ SI JT W IMA W ARTHROGRPHY,4500.0,3375.0,72.49,4500.0,1830 CPT,27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,72.49,866.22,7 CPT,27096,PR INJ SI JT W IMA W ARTHROGRPHY,1537.0,1152.75,85.6,1383.3,596 CPT,27122,PR ACETABULOPLASTY RSECT FEM HEAD,8944.0,6708.0,491.53,8675.68,683 CPT,27125,PR HEMIARTHROPLASTY HIP PRTL,8951.0,6713.25,503.75,8682.47,683 CPT,27130,PR ARTHRO ACETAB&FEM PROSTH (THA),12900.0,9675.0,565.25,12513.0,683 CPT,27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,1695.75,15754.92,7 CPT,27132,PR CONVERT PREV TOTAL HIP ARTHRO,15660.0,11745.0,731.66,15190.2,683 CPT,27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,2194.97,15754.92,7 CPT,27134,PR REV TOTAL HIP BOTH COMPONENT,16000.0,12000.0,824.87,15520.0,683 CPT,27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,2474.6,15754.92,7 CPT,27137,PR REV TOTAL HIP ACETABULR ONLY,13136.0,9852.0,640.98,12741.92,683 CPT,27137,REVISION OF HIP SOCKET PART OF HIP PROSTHESIS,,,1922.93,15754.92,7 CPT,27138,PR REV TOTAL HIP FEMORAL ONLY,15212.0,11409.0,665.08,14755.64,683 CPT,27146,PR OSTEOTOMY ILIAC/ACETABULAR BN,12120.0,9090.0,568.53,11756.4,683 CPT,27151,PR OSTEOT IL/ACETAB BN W FEM OST,11702.0,8776.5,694.86,11350.94,683 CPT,27165,PR OSTEOT INTER/SUBTROCHANTERIC,12114.0,9085.5,612.55,11750.58,683 CPT,27187,PR TX PROPHX FEM NK&PROX W/WO MMA,8981.0,6735.75,447.31,8711.57,683 CPT,27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,1341.92,8904.43,7 CPT,27216,PR TX PELVIC BN FX PERC SKEL FIX,5470.0,4102.5,951.24,5470.0,676 CPT,27228,PR OPN TX ACETAB FX 2 CLMNS W FIX,15152.0,11364.0,820.02,14697.44,683 CPT,27230,HC CLSD TX FEM FX PROX WO MANIP,2524.0,1893.0,263.21,2448.28,915 CPT,27230,PR CLSD TX FEM FX PROX WO MANIP,2435.0,1826.25,260.53,2361.95,683 CPT,27235,PR TX FEM FX PROX END NK PERC,4662.0,3496.5,406.8,4522.14,683 CPT,27236,PR OPN TX FEM FX PROX END NK,6276.0,4707.0,530.12,6087.72,683 CPT,27238,HC CLSD TX FEMORAL FX WO MANIP,8670.0,6502.5,666.98,8409.9,915 CPT,27238,PR CLSD TX FEMORAL FX WO MANIP,2320.0,1740.0,222.33,2250.4,683 CPT,27244,PR TX FEM FX W PLATE/SCREW IMPL,8535.0,6401.25,545.36,8278.95,683 CPT,27245,PR TX FEM FX W INTRAMEDULLRY IMPL,6705.0,5028.75,543.98,6503.85,683 CPT,27246,PR CLSD TX GREATER TROCH WO MANIP,1737.0,1302.75,207.84,1684.89,683 CPT,27252,HC CLSD TX HIP DISLOC W ANES,5973.0,4479.75,1047.6,5793.81,915 CPT,27252,PR CLSD TX HIP DISLOC W ANES,4044.0,3033.0,349.2,3922.68,683 CPT,27257,PR TX HIP DISLOC W MANIP W ANES,2095.0,1571.25,160.33,2032.15,683 CPT,27265,HC CLSD TX HIP DISLOC WO ANES,811.0,608.25,263.21,786.67,915 CPT,27265,PR CLSD TX HIP DISLOC WO ANES,2352.0,1764.0,239.35,2281.44,683 CPT,27266,HC TX POST HIP ARTHR DISLOC ANES,5775.0,4331.25,813.38,5601.75,909 CPT,27266,PR TX POST HIP ARTHR DISLOC ANES,3363.0,2522.25,271.13,3262.11,683 CPT,27279,PR ARTHRDSIS SACROILIAC PERC,5055.0,3791.25,368.69,4903.35,683 CPT,27290,PR AMP INTERPELVIABDOMINAL,10157.0,7617.75,713.37,9852.29,683 CPT,27295,PR DISARTICULATION OF HIP,8629.0,6471.75,557.64,8370.13,683 CPT,27299,PR CURETTAGE FEMUR TUMOR,5890.0,4417.5,147.25,5713.3,684 CPT,27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,13699.93,15754.92,6 CPT,27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,707.04,3564.51,7 CPT,27301,PR I&D ABSC/BURSA/HEMA THIGH/KNEE,3856.0,2892.0,349.61,3740.32,683 CPT,27303,PR INCISN FEM W OPN BN CORTX DEEP,4182.0,3136.5,293.66,4056.54,683 CPT,27305,PR FASCIOTOMY ILIOTIBIAL OPEN,2826.0,2119.5,225.71,2741.22,683 CPT,27306,PR TENOTOMY ADD/HMSTRNG PERC SNG,2393.0,1794.75,158.97,2321.21,683 CPT,27310,"INCISION OF KNEE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY PROFESSIONAL",,,1005.09,4015.22,7 CPT,27310,PR ARTHRT KNEE EXPLR/DRN/RMVL FB,5835.0,4376.25,335.03,5659.95,683 CPT,27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,586.23,3564.51,7 CPT,27324,PR BX SOFT TISS THIGH/KNEE DEEP,2791.0,2093.25,195.41,2707.27,683 CPT,27326,PR NEURECTOMY POPLITEAL,3051.0,2288.25,245.12,2959.47,683 CPT,27327,PR EXCISN TMR THIGH/KNEE SUBQ<3CM,2124.0,1593.0,261.71,2060.28,683 CPT,27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,450.14,2026.75,7 CPT,27328,PR EXCISN TMR TH/KNE SUBFSCL<5CM,3128.0,2346.0,286.72,3034.16,683 CPT,27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,860.16,3564.51,7 CPT,27329,PR RSECT TMR THIGH/KNEE <5CM,13502.0,10126.5,469.38,13096.94,683 CPT,27331,PR ARTHRT KNEE JT EXPLOR/BX/RMVL,5446.0,4084.5,223.39,5282.62,683 CPT,27334,PR ARTHRT W SYNOVECTOMY KNEE,6612.0,4959.0,315.97,6413.64,683 CPT,27335,PR ARTHRT KNEE ANTR&POSTR,4995.0,3746.25,349.61,4845.15,683 CPT,27337,PR EXCISN TMR THIGH/KNE SUBQ>=3CM,2144.0,1608.0,198.11,2079.68,683 CPT,27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,594.33,3564.51,7 CPT,27339,PR EXCISN TMR TH/KNE SUBFSCL>=5CM,4543.0,3407.25,347.01,4406.71,683 CPT,27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,1041.03,4015.22,7 CPT,27340,PR EXCISN PREPATELLAR BURSA,4220.0,3165.0,179.66,4093.4,683 CPT,27340,REMOVAL OF FLUID-FILLED SAC FROM JOINT AT FRONT OF KNEE PROFESSIONAL,,,538.98,4015.22,7 CPT,27345,PR EXCISN SYNOVIAL CYST POP SPACE,3120.0,2340.0,227.58,3026.4,683 CPT,27345,REMOVAL OF CYST OF BACK OF KNEE,,,682.74,4015.22,7 CPT,27347,PR EXCISN LESN KNEE MENISC/CAPSL,7104.0,5328.0,247.01,6890.88,683 CPT,27350,PR PATELLECTOMY/HEMIPATELLECTOMY,3892.0,2919.0,301.56,3775.24,683 CPT,27350,REMOVAL OF KNEECAP,,,904.68,8904.43,7 CPT,27355,PR EXCISN BN CYST/BENIGN TMR FEM,5816.0,4362.0,280.75,5641.52,683 CPT,27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,842.24,4015.22,7 CPT,27356,PR EXCISN BN FEMUR W ALLOGRAFT,6340.0,4755.0,338.72,6149.8,683 CPT,27357,PR EXCISN BN FEMUR W AUTOGRAFT,4727.0,3545.25,372.67,4585.19,683 CPT,27358,PR EXCISN BN FEMUR W INTRNL FIX,3569.0,2676.75,195.63,3569.0,686 CPT,27360,PR EXCISN BN FEM/TIB/FIB PRTL,7077.0,5307.75,416.38,6864.69,683 CPT,27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,2086.17,3564.51,7 CPT,27364,PR RSECT TMR THIGH/KNEE >=5CM,13131.0,9848.25,695.39,12737.07,683 CPT,27365,PR RSECT TUMOR FEMUR/KNEE RADICAL,14850.0,11137.5,893.65,14404.5,683 CPT,27369,PR NJX CNTRST KNE ARTHG/CT/MRI,426.0,319.5,16.75,413.22,697 CPT,27372,PR RMVL FB THIGH/KNEE DEEP,4104.0,3078.0,310.19,3980.88,683 CPT,27380,PR SUTR INFRAPATELLAR TNDN PRIM,3297.0,2472.75,290.6,3198.09,683 CPT,27385,PR SUTR QUAD/HAMSTRNG RUPT PRIM,4029.0,3021.75,286.06,3908.13,683 CPT,27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,858.17,8904.43,7 CPT,27386,PR SUTR QUAD/HAMSTRNG RUPT SCNDRY,5872.0,4404.0,392.57,5695.84,683 CPT,27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,1177.7,8904.43,7 CPT,27403,PR ARTHRT W MENISCUS RPR KNEE,3621.0,2715.75,296.85,3512.37,683 CPT,27405,PR RPR KNE TORN LGMNT PRIM COLLAT,4378.0,3283.5,309.95,4246.66,683 CPT,27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,929.85,8904.43,7 CPT,27412,IMPLANTATION OF SELF CARTILAGE INTO KNEE JOINT,,,2180.96,8904.43,7 CPT,27412,PR IMPL KNEE AUTO CHONDROCYTE,13348.0,10011.0,726.99,12947.56,683 CPT,27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,1836.09,15754.92,7 CPT,27415,PR ALLOGRAFT OSTEOCHON KNEE OPN,8274.0,6205.5,612.03,8025.78,683 CPT,27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,1316.58,8904.43,7 CPT,27418,PR TUBERCLEPLASTY ANTERIOR TIBIAL,4651.0,3488.25,371.37,4511.47,683 CPT,27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,1114.1,15754.92,7 CPT,27420,PR RCNST DISLOC PATELLA,4883.0,3662.25,342.78,4736.51,683 CPT,27420,REPAIR OF DISLOCATING KNEECAP,,,1028.33,8904.43,7 CPT,27422,PR RCNST DISLOC PATEL EXTN REALIGN,4628.0,3471.0,339.77,4489.16,683 CPT,27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,1019.31,8904.43,7 CPT,27427,PR RCNST LGMNT KNEE EXART,4825.0,3618.75,322.48,4680.25,683 CPT,27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,967.44,8904.43,7 CPT,27430,PR QUADRICEPSPLASTY,3883.0,2912.25,339.87,3766.51,683 CPT,27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,1019.61,8904.43,7 CPT,27435,INCISION OF BACK PORTION OF KNEE JOINT CAPSULE,,,1109.42,4015.22,7 CPT,27437,PR ARTHRO PATELLA WO PROSTHESIS,5505.0,4128.75,303.82,5339.85,683 CPT,27437,REPAIR OF KNEECAP,,,911.45,8904.43,7 CPT,27438,PR ARTHRO PATELLA W PROSTHESIS,5304.0,3978.0,380.25,5144.88,683 CPT,27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,8.73,10.03,6 CPT,27446,PR ARTHRO KNEE MED/LAT CMPRT (UNILAT),5240.0,3930.0,509.48,5082.8,683 CPT,27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,1528.43,15754.92,7 CPT,27447,PR ARTHRO KNEE CONDYLE&PLAT (TKA),12800.0,9600.0,564.01,12416.0,683 CPT,27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,1692.03,15754.92,7 CPT,27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,1355.18,8904.43,7 CPT,27450,PR OSTEOTOMY FEM SHAFT W FIX,7211.0,5408.25,451.73,6994.67,683 CPT,27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,1284.02,8904.43,7 CPT,27457,PR OSTEOTOMY TIB AFT EPIPHYS CLSR,7259.0,5444.25,428.01,7041.23,683 CPT,27486,PR REV TOT KNEE ARTHRO 1 COMPNT,13755.0,10316.25,620.15,13342.35,683 CPT,27487,PR REV TOT KNEE ARTHRO FEM&TIB,15575.0,11681.25,765.97,15107.75,683 CPT,27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,2297.91,21516.53,7 CPT,27488,PR RMVL PROSTH KNEE,6306.0,4729.5,534.93,6116.82,683 CPT,27495,PR PROPHX TX FEMUR W/WO MMA,7623.0,5717.25,503.71,7394.31,683 CPT,27498,PR DCMPRN THIGH/KNEE MULT CMPRT,2677.0,2007.75,303.77,2596.69,683 CPT,27506,PR OPN TX FEM FX INTRAMEDLRY IMPL,8518.0,6388.5,594.93,8262.46,683 CPT,27507,PR OPN TX FEM FX W PLATE/SCREWS,6208.0,4656.0,429.7,6021.76,683 CPT,27508,HC CLSD TX FEM FX DIST WO MANIP,771.0,578.25,263.21,747.87,915 CPT,27508,PR CLSD TX FEM FX DIST WO MANIP,2656.0,1992.0,282.46,2576.32,683 CPT,27511,PR TX FEM SUPRACONDYL FX WO EXTSN,7485.0,5613.75,438.21,7260.45,683 CPT,27514,PR OPN TX FEMORAL FX W FIX,7877.0,5907.75,425.7,7640.69,683 CPT,27520,HC CLSD TX PATELLA FX WO MANIP,890.0,667.5,263.21,863.3,915 CPT,27520,PR CLSD TX PATELLA FX WO MANIP,1647.0,1235.25,179.53,1597.59,683 CPT,27524,PR OPN TX PATELLA FX FIX/PATLCTMY,4232.0,3174.0,342.87,4105.04,683 CPT,27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,1028.61,8904.43,7 CPT,27530,HC CLSD TX TIB FX WO MANIP,807.0,605.25,263.21,782.79,915 CPT,27530,PR CLSD TX TIB FX WO MANIP,1719.0,1289.25,169.45,1667.43,683 CPT,27532,HC CLSD TX TIB FX W/WO MANIP,9703.0,7277.25,810.56,9411.91,915 CPT,27532,PR CLSD TX TIB FX W/WO MANIP,3569.0,2676.75,270.19,3461.93,697 CPT,27535,PR OPN TX TIB FX PROX UNICONDYLAR,5263.0,3947.25,396.6,5105.11,683 CPT,27552,CLOSED TREATMENT OF DISLOCATED KNEE UNDER ANESTHESIA FACILITY,,,884.04,1973.24,7 CPT,27552,HC CLSD TX KNEE DISLOC W ANES,8501.0,6375.75,884.04,8245.97,915 CPT,27552,PR CLSD TX KNEE DISLOC W ANES,4370.0,3277.5,294.68,4238.9,683 CPT,27560,HC CLSD TX PATLLR DISLOC WO ANES,866.0,649.5,263.21,840.02,915 CPT,27560,PR CLSD TX PATLLR DISLOC WO ANES,2600.0,1950.0,226.37,2522.0,683 CPT,27562,HC CLSD TX PATLLR DISLOC W ANES,847.0,635.25,263.21,821.59,915 CPT,27562,PR CLSD TX PATLLR DISLOC W ANES,3032.0,2274.0,231.43,2941.04,683 CPT,27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,218.61,1973.24,7 CPT,27570,PR MANIP KNEE JT W ANES,2426.0,1819.5,72.87,2353.22,683 CPT,27590,PR AMP THIGH THRU FEM,5006.0,3754.5,350.01,4855.82,683 CPT,27591,PR AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST,7187.0,5390.25,432.33,6971.39,683 CPT,27592,PR AMP THIGH THRU FEM OPN,5301.0,3975.75,305.02,5141.97,683 CPT,27596,PR AMP THIGH THRU FEM REAMP,6151.0,4613.25,320.49,5966.47,683 CPT,27599,PR MANI KNEE JT W REGIONAL/MAC ANES,2426.0,1819.5,60.65,2353.22,683 CPT,27599,PR MARLEX MESH RECON EXTNSR,5872.0,4404.0,146.8,5695.84,683 CPT,27599,PR OPEN ILIOTIBIAL BAND TENODESIS,5397.0,4047.75,134.93,5235.09,683 CPT,27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,3491.49,4015.22,6 CPT,27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,548.4,4015.22,7 CPT,27600,PR DCMPRN LEG ANTR/LATERAL CMPRT,2515.0,1886.25,182.8,2439.55,683 CPT,27601,PR DCMPRN LEG POSTR CMPRT,3115.0,2336.25,203.55,3021.55,683 CPT,27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,646.4,4015.22,7 CPT,27602,PR DCMPRN LEG ANTR/LATERAL/POSTR,3594.0,2695.5,215.47,3486.18,683 CPT,27603,PR I&D LEG/ANK DEEP ABSC/HEMA,2822.0,2116.5,264.85,2737.34,683 CPT,27605,PR TNTMY ACHIL TNDN PERC LOC ANES,1648.0,1236.0,84.94,1598.56,697 CPT,27610,PR ARTHRT ANKLE EXPLR/DRN/RMVL FB,4599.0,3449.25,296.85,4461.03,683 CPT,27612,PR ARTHRT ANK POSTR CAPSULAR RLS,3407.0,2555.25,264.08,3304.79,683 CPT,27613,PR BX SOFT TISS LEG/ANKLE SUPFCL,966.0,724.5,73.64,937.02,697 CPT,27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,573.06,3564.51,7 CPT,27614,PR BX SOFT TISS LEG/ANKLE DEEP,1931.0,1448.25,296.86,1873.07,683 CPT,27616,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, 5.0 CM OR MORE",,,1690.26,3564.51,7 CPT,27616,PR RSECT TMR LEG/ANK >=5CM RADCL,9397.0,7047.75,563.42,9115.09,683 CPT,27618,PR EXCISN TMR LEG/ANKLE SUBQ <3CM,2163.0,1622.25,251.68,2098.11,683 CPT,27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,435.12,8904.43,7 CPT,27619,PR EXCISN TMR LEG/ANKLE SUBF <5CM,3191.0,2393.25,212.71,3095.27,683 CPT,27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,638.12,3564.51,7 CPT,27620,PR ARTHRT ANKLE W JT EXPLR,3914.0,2935.5,212.19,3796.58,683 CPT,27630,PR EXCISN LESN LEG/ANK TNDN SHTH,2501.0,1875.75,275.92,2425.97,683 CPT,27630,REMOVAL OF GROWTH OF LEG AND/OR ANKLE TENDON LINING OR CAPSULE PROFESSIONAL,,,507.35,4015.22,7 CPT,27632,PR EXCISN TMR LEG/ANK >=3CM,1858.0,1393.5,191.15,1802.26,683 CPT,27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,573.45,3564.51,7 CPT,27634,PR EXCISN TMR LEG/ANK >=5CM,4206.0,3154.5,303.46,4079.82,683 CPT,27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,910.38,3564.51,7 CPT,27635,PR EXCISN BN CYST TIB/FIB,3838.0,2878.5,265.86,3722.86,683 CPT,27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,797.57,4015.22,7 CPT,27638,PR EXCISN BN CYST TIB/FIB W GRFT,5614.0,4210.5,340.43,5445.58,683 CPT,27638,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH BONE GRAFT,,,1021.29,8904.43,7 CPT,27640,PR EXCISN BN TIB PRTL,5514.0,4135.5,374.43,5348.58,683 CPT,27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE-EXPRESS CARE,,,892.67,4015.22,7 CPT,27641,PR EXCISN BN FIB PRTL,2981.0,2235.75,297.56,2891.57,683 CPT,27646,PR RSECT TUMOR FIBULA RADICAL,6295.0,4721.25,675.99,6106.15,683 CPT,27650,PR RPR ACHILLES TNDN PRIM,3925.0,2943.75,304.37,3807.25,683 CPT,27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,913.11,8904.43,7 CPT,27652,PR RPR ACHILLES TNDN PRIM W GRFT,4307.0,3230.25,301.55,4177.79,683 CPT,27654,PR RPR ACHILLES TNDN SECNDRY,4678.0,3508.5,329.8,4537.66,683 CPT,27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,989.4,8904.43,7 CPT,27658,PR RPR FLEXOR TNDN LEG WO GRFT,2679.0,2009.25,174.15,2598.63,683 CPT,27658,PRIMARY REPAIR OF TENDON ON BACK OF LEG,,,522.44,4015.22,7 CPT,27659,PR RPR FLEXOR TENDON LEG SECNDRY,2197.0,1647.75,218.08,2131.09,683 CPT,27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,654.23,8904.43,7 CPT,27675,PR RPR DISLOC PRNEAL TNDN WO OS,1551.0,1163.25,229.06,1504.47,683 CPT,27676,PR RPR DISLOC PRNEAL TNDN W OS,4382.0,3286.5,279.8,4250.54,683 CPT,27676,REPAIR OF DISLOCATED LOWER LEG TENDONS BY INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE PROFESSIONAL,,,839.39,8904.43,7 CPT,27680,PR TNLYS LEG/ANKLE FLEX/EXT SNG,1957.0,1467.75,199.07,1898.29,683 CPT,27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,649.64,4015.22,7 CPT,27685,PR LNGTH/SHORT LEG/ANK TNDN SNGL,3656.0,2742.0,331.93,3546.32,683 CPT,27687,PR GASTROCNEMIUS RECESSION,2604.0,1953.0,211.76,2525.88,683 CPT,27690,PR TRNSF/TRNSPL TNDN SNGL SUPFCL,3884.0,2913.0,296.75,3767.48,683 CPT,27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,890.25,8904.43,7 CPT,27691,PR TRNSF/TRNSPL TENDON SNGL DEEP,3757.0,2817.75,342.3,3644.29,683 CPT,27695,PR RPR DISRPTD LGMNT ANK COLAT,2536.0,1902.0,226.95,2459.92,683 CPT,27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,680.85,8904.43,7 CPT,27698,PR RPR ANK SECNDRY DISRUP LGMNT,3975.0,2981.25,291.21,3855.75,683 CPT,27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,873.62,8904.43,7 CPT,27702,PR ARTHROPLASTY ANK W IMPLANT,7411.0,5558.25,431.14,7188.67,683 CPT,27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,1293.42,33297.37,7 CPT,27703,PR ARTHROPLASTY ANKLE REV TOTAL,8843.0,6632.25,495.74,8577.71,683 CPT,27704,REMOVAL OF ANKLE IMPLANT,,,773.9,4015.22,7 CPT,27705,INCISION OR PARTIAL REMOVAL OF SHIN BONE,,,1012.25,8904.43,7 CPT,27705,PR OSTEOTOMY TIBIA,5211.0,3908.25,337.42,5054.67,683 CPT,27707,INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE,,,572.64,8904.43,7 CPT,27724,PR RPR NON/MALUNION TIB AUTOGRAFT,9848.0,7386.0,552.01,9552.56,683 CPT,27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,1656.02,8904.43,7 CPT,27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,991.58,8904.43,7 CPT,27745,PR PROPHX TX TIBIA W/WO MMA,4722.0,3541.5,330.53,4580.34,683 CPT,27750,HC CLSD TX TIB SHAFT FX WO MANIP,838.0,628.5,263.21,812.86,915 CPT,27750,PR CLSD TX TIB SHAFT FX WO MANIP,1750.0,1312.5,192.03,1697.5,683 CPT,27752,PR CLSD TX TIB SHAFT FX W MANIP,3250.0,2437.5,295.32,3152.5,683 CPT,27758,PR OPN TX TIB FX PLATE/SCRWS,5364.0,4023.0,405.24,5203.08,683 CPT,27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,1215.72,15754.92,7 CPT,27759,PR TX TIB FX INTRAMDLRY IMPL,6072.0,4554.0,446.56,5889.84,683 CPT,27760,HC CLSD TX MDL MELLEOL WO MANIP,971.0,728.25,263.21,941.87,915 CPT,27760,PR CLSD TX MDL MELLEOL WO MANIP,1629.0,1221.75,182.89,1580.13,683 CPT,27766,PR OPN TX MEDIAL MALLEOL FX,3315.0,2486.25,282.1,3215.55,683 CPT,27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,846.3,8904.43,7 CPT,27767,HC CLSD TX POSTR MALLEOL WO MANIP,811.0,608.25,263.21,786.67,915 CPT,27767,PR CLSD TX POSTR MALLEOL WO MANIP,1303.0,977.25,146.07,1263.91,697 CPT,27768,PR CLSD TX POSTR MALLEOL W MANIP,2377.0,1782.75,214.84,2305.69,683 CPT,27769,PR OPN TX POSTR MALLEOLUS FX,4220.0,3165.0,328.78,4093.4,683 CPT,27769,TREATMENT OF BROKEN BACK PORTION OF SHIN BONE AT ANKLE,,,986.34,8904.43,7 CPT,27780,HC CLSD TX PROX FIBULA WO MANIP,780.0,585.0,263.21,756.6,915 CPT,27780,PR CLSD TX PROX FIBULA WO MANIP,1322.0,991.5,171.59,1282.34,683 CPT,27784,PR OPN TX PROX FIBULA FX W/FIX,3299.0,2474.25,327.46,3200.03,683 CPT,27786,HC CLSD TX DIST FIB WO MANIP,814.0,610.5,263.21,789.58,915 CPT,27786,PR CLSD TX DIST FIB WO MANIP,1446.0,1084.5,170.1,1402.62,683 CPT,27788,HC CLSD TX DIST FIB FX W MANIP,849.0,636.75,263.21,823.53,915 CPT,27788,PR CLSD TX DIST FIB FX W MANIP,2191.0,1643.25,242.08,2125.27,683 CPT,27792,PR OPN TX DIST FIB FX,3560.0,2670.0,295.91,3453.2,683 CPT,27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,887.72,8904.43,7 CPT,27808,HC CLSD TX BIMALOR ANK WO MANIP,917.0,687.75,263.21,889.49,915 CPT,27808,PR CLSD TX BIMALOR ANK WO MANIP,1811.0,1358.25,185.73,1756.67,683 CPT,27810,HC CLSD TX BIMALOR ANK W MANIP,5613.0,4209.75,676.26,5444.61,915 CPT,27810,PR CLSD TX BIMALOR ANK W MANIP,2926.0,2194.5,272.84,2838.22,683 CPT,27814,PR OPN TX BIMALOR ANK FX,4542.0,3406.5,347.66,4405.74,683 CPT,27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,1042.97,8904.43,7 CPT,27816,HC CLSD TX TRIMALOR ANK WO MANIP,839.0,629.25,263.21,813.83,915 CPT,27816,PR CLSD TX TRIMALOR ANK WO MANIP,1661.0,1245.75,185.51,1611.17,683 CPT,27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,693.84,15754.92,7 CPT,27818,HC CLSD TX TRIMALOR ANK FX MANIP,5451.0,4088.25,693.84,5287.47,915 CPT,27818,PR CLSD TX TRIMALOR ANK FX MANIP,3441.0,2580.75,283.88,3337.77,683 CPT,27822,PR OPN TX TRIMALOR ANK FX WO FIX,4837.0,3627.75,401.98,4691.89,683 CPT,27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,1205.94,8904.43,7 CPT,27823,PR OPN TX TRIMALOR ANK FX W FIX,5454.0,4090.5,449.16,5290.38,683 CPT,27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,1347.48,8904.43,7 CPT,27824,HC CLSD TX TIB W/WO ANES WO MANIP,842.0,631.5,263.21,816.74,915 CPT,27824,PR CLSD TX TIB W/WO ANES WO MANIP,1235.0,926.25,173.28,1197.95,683 CPT,27825,HC CLSD TX TIB W/WO ANES W TRACT,13200.0,9900.0,465.78,13200.0,897 CPT,27827,PR OPN TX DIST TIBIA FX,6163.0,4622.25,512.16,5978.11,683 CPT,27829,PR OPN TX DIST TIBFIB DISRPN,4185.0,3138.75,327.45,4059.45,683 CPT,27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,982.35,8904.43,7 CPT,27832,PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,4280.0,3210.0,348.44,4151.6,683 CPT,27840,HC CLSD TX DISLOC ANKLE WO ANES,846.0,634.5,263.21,820.62,915 CPT,27840,PR CLSD TX DISLOC ANKLE WO ANES,2350.0,1762.5,219.81,2279.5,683 CPT,27842,HC CLSD TX DISLOC ANKLE W ANES,5590.0,4192.5,716.03,5422.3,915 CPT,27842,PR CLSD TX DISLOC ANKLE W ANES,3082.0,2311.5,238.68,2989.54,683 CPT,27860,MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA,,,226.41,4015.22,7 CPT,27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,1356.77,15754.92,7 CPT,27870,PR ARTHRODESIS ANKLE OPN,6387.0,4790.25,452.26,6195.39,683 CPT,27880,PR AMP LEG THRU TIB &FIB,5265.0,3948.75,399.42,5107.05,683 CPT,27882,PR AMP LEG THRU TIB &FIB OPN,4284.0,3213.0,268.12,4155.48,683 CPT,27884,PR AMP LEG THRU TIB &FIB CLSR/REV,4044.0,3033.0,265.95,3922.68,683 CPT,27884,SECONDARY CLOSURE OR REVISION OF SCAR OF LOWER LEG BONE AMPUTATION,,,797.85,4015.22,7 CPT,27886,PR AMP LEG THRU TIB &FIB REAMP,4712.0,3534.0,292.22,4570.64,683 CPT,27894,PR DCMPRN LEG ANTR/LAT/POSTR DBRD,4471.0,3353.25,367.99,4336.87,683 CPT,27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,263.21,302.7,6 CPT,28002,DRAINAGE OF FLUID FILLED SAC BELOW CONNECTIVE TISSUE IN FOOT JOINT,,,187.79,4015.22,7 CPT,28002,PR I&D FASCIA FOOT SNGL,1291.0,968.25,62.6,1252.27,697 CPT,28005,PR INCISION FOOT BN LESN,1768.0,1326.0,262.04,1714.96,683 CPT,28008,PR FASCIOTOMY FOOT&/TOE,1406.0,1054.5,206.06,1363.82,683 CPT,28010,PR TENOTOMY TOE TNDN PERC SNGL,643.0,482.25,115.1,623.71,683 CPT,28010,REPAIR OF TOE TENDON FACILITY,,,290.93,1973.24,7 CPT,28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,388.65,4015.22,7 CPT,28020,PR ARTHRT INTARS/TARSOMET RMVL FB,1979.0,1484.25,171.36,1919.63,697 CPT,28022,PR ARTHRT MTRPHL W EXPL RMVL FB,1695.0,1271.25,242.52,1644.15,683 CPT,28024,PR ARTHRT I-P W EXPL RMVL FB,1309.0,981.75,145.71,1269.73,697 CPT,28035,PR RELEASE TARSAL TUNL,2564.0,1923.0,265.66,2487.08,683 CPT,28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,503.75,4015.22,7 CPT,28039,PR EXCISN TMR FT/TOE SUBQ >=1.5CM,2051.0,1538.25,232.55,1989.47,683 CPT,28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,463.16,3564.51,7 CPT,28041,PR EXCISN TMR FT/TOE SUBF >=1.5CM,2442.0,1831.5,206.1,2368.74,683 CPT,28043,PR EXCISN TMR FT/TOE SUBQ <1.5CM,1653.0,1239.75,121.16,1603.41,697 CPT,28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,363.48,2026.75,7 CPT,28045,PR EXCISN TMR FT/TOE SUBF <1.5CM,1649.0,1236.75,161.29,1599.53,697 CPT,28047,PR EXCISN TMR FT/TOE >=3CM RADCL,6444.0,4833.0,467.49,6250.68,683 CPT,28052,PR ARTHROTOMY W BX METATARSLPHL JT,2458.0,1843.5,118.88,2384.26,697 CPT,28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,,,504.3,4015.22,7 CPT,28060,PR FASCIECTOMY PLANTAR PRTL,1862.0,1396.5,255.97,1806.14,683 CPT,28080,PR EXCISN INTERDIGITAL NEUROMA,2069.0,1551.75,266.65,2006.93,683 CPT,28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,541.68,1973.24,7 CPT,28086,PR SYNO FOOT TNDN SHEATH FLEXOR,3130.0,2347.5,263.1,3036.1,683 CPT,28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,491.69,8904.43,7 CPT,28090,PR EXCISN LESN FT TNDN/SHTH/CPSL,1878.0,1408.5,228.76,1821.66,683 CPT,28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT PROFESSIONAL,,,432.38,1973.24,7 CPT,28092,PR EXCISN LESN TOE TNDN/SHTH/CPSL,1731.0,1298.25,205.89,1679.07,683 CPT,28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,382.68,1973.24,7 CPT,28104,PR EXCISN BN CYST/TMR TARSAL,2817.0,2112.75,263.45,2732.49,683 CPT,28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,497.6,4015.22,7 CPT,28110,PR OSTECTOMY EXCISN 5TH MTRSL HD,1941.0,1455.75,227.66,1882.77,683 CPT,28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,414.02,4015.22,7 CPT,28111,PR OSTECTOMY EXCISN 1ST MTRSL HD,2009.0,1506.75,230.71,1948.73,683 CPT,28111,REMOVAL OF FOOT BONE AT GREAT TOE JOINT,,,444.05,4015.22,7 CPT,28112,PR OSTECTOMY EXCISN 2-4TH MTRSL,1739.0,1304.25,234.93,1686.83,683 CPT,28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,596.69,4015.22,7 CPT,28113,PR OSTECTOMY EXCISN 5TH MTRSL,2381.0,1785.75,285.15,2309.57,683 CPT,28114,PR OSTECTOMY EXCISN ALL MTRSL HDS,4554.0,3415.5,389.31,4417.38,697 CPT,28116,PR OSTECTOMY EXCISN TARSL COALITN,3353.0,2514.75,238.48,3252.41,697 CPT,28118,PR OSTECTOMY CALCANEUS,2553.0,1914.75,307.65,2476.41,683 CPT,28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,594.29,8904.43,7 CPT,28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,686.78,4015.22,7 CPT,28120,PR PRTL RMVL ANKLE/HEEL,3012.0,2259.0,334.6,2921.64,683 CPT,28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,611.39,4015.22,7 CPT,28122,PR RMVL BN FT NOT ANK/HEEL PRTL,2754.0,2065.5,292.32,2671.38,683 CPT,28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,467.1,4015.22,7 CPT,28124,PR PRTL RMVL PHALANX TOE,1674.0,1255.5,231.44,1623.78,683 CPT,28150,PR RMVL TOE EA,2092.0,1569.0,129.98,2029.24,697 CPT,28160,PARTIAL REMOVAL OF TOE AT JOINT PROFESSIONAL,,,375.06,4015.22,7 CPT,28160,PR EXCISN I-P JT TOE PROX END,1894.0,1420.5,198.33,1837.18,683 CPT,28190,HC RMVL FB FT SUBCUTANEOUS,3460.0,2595.0,187.31,3356.2,915 CPT,28190,PR RMVL FB FT SUBCUTANEOUS,1200.0,900.0,116.65,1164.0,683 CPT,28192,PR RMVL FB FT DEEP,1517.0,1137.75,143.79,1471.49,697 CPT,28200,PR RPR TNDN FLEXOR FT WO GRFT,2067.0,1550.25,245.7,2004.99,683 CPT,28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,458.9,8904.43,7 CPT,28202,PR RPR TNDN FLX FT W GRFT EA,2892.0,2169.0,199.26,2805.24,697 CPT,28208,PR RPR TNDN EXTENSOR FT,1843.0,1382.25,242.67,1787.71,683 CPT,28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,453.71,4015.22,7 CPT,28210,PR RPR FOOT TENDON,2784.0,2088.0,194.4,2700.48,697 CPT,28210,REPAIR OF TENDON ON TOP SIDE OF FOOT WITH GRAFT,,,583.19,8904.43,7 CPT,28220,PR TENOLYSIS FLEXOR FT SNGL TNDN,1889.0,1416.75,141.35,1832.33,697 CPT,28222,PR TENOLYSIS FLEXOR FT MULT TNDNS,2440.0,1830.0,170.85,2366.8,697 CPT,28222,REMOVAL OF SCAR TISSUE OF MULTIPLE FOOT TENDONS,,,512.55,8904.43,7 CPT,28230,PR TENOTOMY TENDON FLEXOR FT OPN,1341.0,1005.75,209.99,1300.77,683 CPT,28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,339.35,1973.24,7 CPT,28232,PR TENOTOMY TNDN FLEXOR TOE OPN,1304.0,978.0,182.38,1264.88,683 CPT,28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,382.43,4015.22,7 CPT,28234,PR TENOTOMY EXTNSR FT/TOE OPN EA,860.0,645.0,200.62,834.2,683 CPT,28238,PR RCNST POSTR TIB TNDN EXCIS,3207.0,2405.25,334.3,3110.79,683 CPT,28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE PROFESSIONAL,,,674.21,8904.43,7 CPT,28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,466.82,8904.43,7 CPT,28270,PR CAPSULOTOMY METATARSOPHAL JT,1839.0,1379.25,238.3,1783.83,683 CPT,28272,PR CAPSULOTOMY I-P EACH JOINT,1011.0,758.25,184.02,980.67,683 CPT,28280,CREATION OF WEBBING BETWEEN TOES,,,473.03,8904.43,7 CPT,28280,PR SYNDACTYLIZATION TOES,1832.0,1374.0,242.96,1777.04,683 CPT,28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,543.89,8904.43,7 CPT,28285,PR CORRECTION HAMMERTOE,2730.0,2047.5,267.39,2648.1,683 CPT,28288,PR OSTECTOMY MTRSL HD PRTL,2243.0,1682.25,297.58,2175.71,683 CPT,28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,610.67,4015.22,7 CPT,28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,643.62,4015.22,7 CPT,28289,PR CORR BUNION W CHEILECTOMY,2783.0,2087.25,342.39,2699.51,683 CPT,28292,CORRECTION OF BUNION PROFESSIONAL,,,675.36,8904.43,7 CPT,28292,PR CORR BUNION KELLER/MAYO TYPE,3259.0,2444.25,342.93,3161.23,683 CPT,28295,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD ANKLE,,,824.12,8904.43,7 CPT,28295,PR CORR BUNION W SESAMDECTMY,5267.0,3950.25,518.1,5108.99,683 CPT,28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,711.8,8904.43,7 CPT,28296,PR CORR BUNION W MTRSL OSTEOTOMY,3306.0,2479.5,430.65,3206.82,683 CPT,28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,708.63,8904.43,7 CPT,28298,PR CORR BUNION PHALANX OSTEOT,3453.0,2589.75,418.92,3349.41,683 CPT,28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,826.68,8904.43,7 CPT,28299,PR CORR BUNION DOUBLE OSTEOTOMY,3938.0,2953.5,504.71,3819.86,683 CPT,28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,894.06,15754.92,7 CPT,28300,PR OSTEOTOMY CALCANEUS,3130.0,2347.5,298.02,3036.1,683 CPT,28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,851.21,15754.92,7 CPT,28304,PR OSTEOTOMY TARSAL BN,3156.0,2367.0,424.36,3061.32,683 CPT,28306,PR OSTEOTOMY 1ST METATARSAL,2974.0,2230.5,305.88,2884.78,683 CPT,28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,544.79,4015.22,7 CPT,28308,PR OSTEOTOMY METATARSAL NOT 1ST,2158.0,1618.5,181.6,2093.26,697 CPT,28310,PR OSTEOTOMY PROX PHALANX 1ST TOE,1949.0,1461.75,170.98,1890.53,697 CPT,28315,PR SESAMOIDECTOMY 1ST TOE,2009.0,1506.75,234.7,1948.73,683 CPT,28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,456.51,4015.22,7 CPT,28322,PR RPR METATAR BNS NON/MALUNION,3046.0,2284.5,396.21,2954.62,683 CPT,28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,791.01,8904.43,7 CPT,28400,HC CLSD TX CALCANEAL FX WO MANIP,917.0,687.75,263.21,889.49,915 CPT,28400,PR CLSD TX CALCANEAL FX WO MANIP,1314.0,985.5,131.87,1274.58,683 CPT,28430,HC CLSD TX TALUS FX WO MANIP,909.0,681.75,263.21,881.73,915 CPT,28430,PR CLSD TX TALUS FX WO MANIP,1155.0,866.25,129.24,1120.35,683 CPT,28450,HC CLSD TX TARSAL BN WO MANIP,935.0,701.25,263.21,906.95,915 CPT,28450,PR CLSD TX TARSAL BN WO MANIP,1159.0,869.25,112.65,1124.23,683 CPT,28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,906.2,8904.43,7 CPT,28470,HC CLSD TX METATARSAL FX WO MANIP,952.0,714.0,263.21,923.44,915 CPT,28470,PR CLSD TX METATARSAL FX WO MANIP,1041.0,780.75,115.38,1009.77,683 CPT,28476,PR PERC FIX METATARSAL FX W MANIP,2220.0,1665.0,188.66,2153.4,683 CPT,28485,PR OPN TX METATARSAL FX,2620.0,1965.0,264.48,2541.4,683 CPT,28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,793.43,8904.43,7 CPT,28490,HC CLSD TX GRT TOE FX WO MANIP,761.0,570.75,193.07,738.17,915 CPT,28490,PR CLSD TX GRT TOE FX WO MANIP,757.0,567.75,77.14,734.29,683 CPT,28495,PR CLSD TX GRT TOE FX W MANIP,653.0,489.75,75.24,633.41,697 CPT,28505,PR OPN TX PHALANX FX INCL INT FIX,2465.0,1848.75,229.98,2391.05,697 CPT,28510,HC CLSD TX PHALANX FX WO MANIP,796.0,597.0,182.49,772.12,915 CPT,28510,PR CLSD TX PHALANX FX WO MANIP,712.0,534.0,63.75,690.64,683 CPT,28515,HC CLSD TX PHALANX FX W MANIP,796.0,597.0,212.04,772.12,915 CPT,28515,PR CLSD TX PHALANX FX W MANIP,803.0,602.25,84.92,778.91,683 CPT,28525,TREATMENT OF BROKEN TOE,,,565.34,4015.22,7 CPT,28530,HC CLSD TX SESAMOID FX,2125.0,1593.75,151.01,2061.25,915 CPT,28531,PR OPN TX SESAMD FX W/WO INT FIX,1664.0,1248.0,157.55,1614.08,683 CPT,28555,PR OPN TX TARSAL DISLOC,4719.0,3539.25,298.53,4577.43,697 CPT,28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,895.59,8904.43,7 CPT,28615,PR OPN TX TARSMET DISLOC,4122.0,3091.5,386.27,3998.34,683 CPT,28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,1158.8,8904.43,7 CPT,28630,HC CLSD TX MTRPHL DISLOC WO ANEST,640.0,480.0,162.2,620.8,915 CPT,28630,PR CLSD TX MTRPHL DISLOC WO ANEST,686.0,514.5,54.07,665.42,697 CPT,28645,PR OPN TX MTRPHL JOINT DISLOC,2257.0,1692.75,324.9,2189.29,683 CPT,28645,TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT PROFESSIONAL,,,676.62,15754.92,7 CPT,28660,HC CLSD TX I-P DISLOC WO ANEST,788.0,591.0,147.14,764.36,915 CPT,28660,PR CLSD TX I-P DISLOC WO ANEST,661.0,495.75,72.51,641.17,683 CPT,28665,PR CLSD TX I-P DISLOC W ANEST,710.0,532.5,58.73,688.7,697 CPT,28715,PR ARTHRODESIS TRIPLE,5198.0,3898.5,430.52,5042.06,683 CPT,28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,1066.32,15754.92,7 CPT,28725,PR ARTHRODESIS SUBTALAR,4397.0,3297.75,355.44,4265.09,683 CPT,28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,993.05,15754.92,7 CPT,28730,PR ARTHRDSIS MIDT/TARSMET MULT,3253.0,2439.75,331.02,3155.41,683 CPT,28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,846.17,8904.43,7 CPT,28740,PR ARTHRODESIS MIDT/TARSMET SNGL,3383.0,2537.25,413.3,3281.51,683 CPT,28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,786.32,8904.43,7 CPT,28750,PR ARTHRODESIS GREAT TOE MTRPHL,3195.0,2396.25,506.14,3099.15,683 CPT,28755,PR ARTHRODESIS GREAT TOE I-P,2259.0,1694.25,228.47,2191.23,697 CPT,28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,954.2,4015.22,7 CPT,28805,PR AMP FOOT TRANSMETATARSAL,2865.0,2148.75,318.07,2779.05,683 CPT,28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,581.37,4015.22,7 CPT,28810,PR AMP METATARSAL W TOE SINGLE,1672.0,1254.0,193.79,1621.84,683 CPT,28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,237.9,4015.22,7 CPT,28820,PR AMP TOE MTP JOINT,2082.0,1561.5,145.01,2019.54,683 CPT,28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,230.16,4015.22,7 CPT,28825,PR AMP TOE INTERPHALANGEAL JT,2050.0,1537.5,141.45,1988.5,683 CPT,28899,TX1 PLANT FASC PROC W KIT FACILITY,,,3491.49,4015.22,6 CPT,29065,PR APP CAST LONG ARM,439.0,329.25,31.35,425.83,697 CPT,29075,HC APP CAST SHORT ELBOW-FGR,1032.0,774.0,85.82,1001.04,915 CPT,29075,PR APP CAST SHORT ELBOW-FGR,397.0,297.75,28.61,385.09,697 CPT,29085,PR APP CAST SHORT ARM GAUNTLET,373.0,279.75,30.89,361.81,697 CPT,29105,HC APP SPLINT LONG ARM,745.0,558.75,55.11,722.65,915 CPT,29105,PR APP SPLINT LONG ARM,506.0,379.5,40.1,490.82,693 CPT,29125,HC APP SPLINT SHORT ARM STATIC,520.0,390.0,59.97,504.4,915 CPT,29125,PR APP SPLINT SHORT ARM STATIC,313.0,234.75,32.67,303.61,693 CPT,29126,PR APP SPLINT SHORT ARM DYNAMIC,334.0,250.5,22.18,323.98,697 CPT,29130,HC APP SPLINT FINGER STATIC,450.0,337.5,37.7,436.5,915 CPT,29130,PR APP SPLINT FINGER STATIC,195.0,146.25,22.44,189.15,683 CPT,29345,PR APP CAST LONG LEG,621.0,465.75,44.56,602.37,697 CPT,29355,PR APP CAST LONG LEG WALK,804.0,603.0,47.18,779.88,697 CPT,29365,PR APP CAST CYLINDER,754.0,565.5,39.97,731.38,697 CPT,29405,APPLICATION OF SHORT LEG CAST FACILITY-EXPRESS CARE,,,81.56,8904.43,7 CPT,29405,PR APP CAST SHORT LEG KNEE-TOE,368.0,276.0,36.31,356.96,683 CPT,29425,PR APP CAST SHORT LEG WALK,453.0,339.75,25.0,439.41,697 CPT,29445,PR APP CAST LEG RIGID TOT CONTACT,474.0,355.5,44.38,459.78,697 CPT,29505,HC APP SPLINT LONG LEG,653.0,489.75,79.92,633.41,915 CPT,29505,PR APP SPLINT LONG LEG,433.0,324.75,45.21,420.01,693 CPT,29515,HC APP SPLINT SHORT LEG,684.0,513.0,72.77,663.48,915 CPT,29515,PR APP SPLINT SHORT LEG,357.0,267.75,40.11,346.29,683 CPT,29580,PR STRAPPING UNNA BOOT,274.0,205.5,30.74,265.78,684 CPT,29580,"STRAPPING, UNNA BOOT FACILITY",,,34.43,199.41,7 CPT,29581,PR APP MULTILYR COMPRSN SYS LWR LEG,326.0,244.5,11.46,316.22,697 CPT,29584,PR APP MULTILYR COMPRSN AM/HD/FIN,207.0,155.25,6.63,200.79,697 CPT,29805,PR ARTHROSCOPY SHLDR DX W/WO BX,2433.0,1824.75,218.26,2360.01,683 CPT,29806,PR ARTHSC SHLDR CAPSULORRHAPHY,5893.0,4419.75,473.35,5716.21,683 CPT,29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,1420.04,8904.43,7 CPT,29807,PR ARTHSC SHLDR RPR SLAP LESN,6123.0,4592.25,463.08,5939.31,683 CPT,29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL,,,1389.24,8904.43,7 CPT,29819,PR ARTHSC SHLDR W RMVL FB,4355.0,3266.25,267.64,4224.35,683 CPT,29819,REMOVAL OF LOOSE OR FOREIGN BODY IN SHOULDER JOINT USING AN ENDOSCOPE,,,802.91,4015.22,7 CPT,29820,PR ARTHSC SHLDR SYNO PARTIAL,3343.0,2507.25,244.16,3242.71,683 CPT,29821,PR ARTHSC SHLDR SYNO COMPLETE,4322.0,3241.5,271.17,4192.34,683 CPT,29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,752.73,8904.43,7 CPT,29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,3479.0,2609.25,250.91,3374.63,683 CPT,29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,3324.0,2493.0,271.82,3224.28,683 CPT,29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,815.46,8904.43,7 CPT,29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,932.37,8904.43,7 CPT,29824,PR ARTHSC SHLDR DISTAL CLAVTMY,3682.0,2761.5,310.79,3571.54,683 CPT,29825,PR ARTHSC SHLDR LYSIS ADHESION,4017.0,3012.75,269.22,3896.49,683 CPT,29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,807.65,4015.22,7 CPT,29826,PR ARTHSC SHLDR DCMPRN SUBACR SPC,2682.0,2011.5,143.9,2682.0,676 CPT,29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,215.85,8904.43,7 CPT,29827,PR ARTHSC SHLDR W ROTATOR CUFF RPR,6327.0,4745.25,475.14,6137.19,683 CPT,29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,1425.41,8904.43,7 CPT,29828,PR ARTHSC SHLDR BICEPS TENODESIS,5219.0,3914.25,410.55,5062.43,683 CPT,29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,1231.65,8904.43,7 CPT,29834,PR ARTHSC ELBOW W RMVL FB,3872.0,2904.0,227.91,3755.84,683 CPT,29835,PARTIAL REMOVAL OF ELBOW JOINT LINING USING AN ENDOSCOPE,,,710.15,4015.22,7 CPT,29835,PR ARTHSC ELBOW SYNOVECTOMY PRTL,4566.0,3424.5,236.72,4429.02,683 CPT,29837,PR ARTHSC ELBOW DBRD LIMITED,4326.0,3244.5,246.29,4196.22,683 CPT,29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,738.87,4015.22,7 CPT,29838,PR ARTHSC ELBOW DBRD EXTEN,4930.0,3697.5,271.65,4782.1,683 CPT,29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,814.94,4015.22,7 CPT,29840,PR ARTHSC WRIST DX W/WO SYNOV BX,3028.0,2271.0,214.4,2937.16,683 CPT,29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,687.32,4015.22,7 CPT,29844,PR ARTHSC WRST SYNOVECTOMY PRTL,3574.0,2680.5,229.11,3466.78,683 CPT,29845,PR ARTHSC WRST SYNOVECTOMY COMPLT,4412.0,3309.0,266.06,4279.64,683 CPT,29846,PR ARTHSC WRIST EXCISN/REPAIR,3752.0,2814.0,237.48,3639.44,683 CPT,29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,712.43,4015.22,7 CPT,29848,PR ENDO WRST RLS TRNSV CRPL LGMNT,3468.0,2601.0,236.24,3363.96,683 CPT,29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,,,708.72,1973.24,7 CPT,29850,PR KNEE ARTHROSCOPY/SURGERY,4914.0,3685.5,288.52,4766.58,683 CPT,29850,TREATMENT OF BROKEN KNEE JOINT USING AN ENDOSCOPE,,,865.55,8904.43,7 CPT,29862,PR ARTHSC HIP W DEBRIDEMENT,6106.0,4579.5,369.7,5922.82,683 CPT,29862,REMOVAL OR SHAVING OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,1109.1,8904.43,7 CPT,29868,PR ARTHSC KNE MNSC TRANSPL MED/LAT,11980.0,8985.0,735.63,11620.6,683 CPT,29868,REPAIR OF KNEE CARTILAGE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,2206.89,8904.43,7 CPT,29870,DIAGNOSTIC EXAM OF KNEE USING AN ENDOSCOPE,,,583.16,4015.22,7 CPT,29870,PR ARTHSC KNEE DX W/WO SYNOV BX,3381.0,2535.75,292.78,3279.57,683 CPT,29871,PR ARTHSC KNEE LAVAGE&DRAINAGE,3084.0,2313.0,238.88,2991.48,683 CPT,29873,PR ARTHSC KNEE W LAT RELEASE,3382.0,2536.5,253.22,3280.54,683 CPT,29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,759.66,4015.22,7 CPT,29874,PR ARTHSC KNEE W RMVL FB,3750.0,2812.5,246.12,3637.5,683 CPT,29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,738.36,4015.22,7 CPT,29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,691.74,4015.22,7 CPT,29875,PR ARTHSC KNEE SYNOVECTOMY LTD,2952.0,2214.0,230.58,2863.44,683 CPT,29876,PR ARTHSC KNEE SYNOVECTOMY MJR,4043.0,3032.25,299.06,3921.71,683 CPT,29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,897.18,4015.22,7 CPT,29877,PR ARTHSC KNEE DBRD/SHAVE CRTLG,4002.0,3001.5,285.39,3881.94,683 CPT,29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,856.16,4015.22,7 CPT,29879,PR ARTHSC KNEE ABRASION ARTHRO,4627.0,3470.25,303.08,4488.19,683 CPT,29880,PR ARTHSC KNE W MNSCECTOMY MED&LAT,4938.0,3703.5,259.24,4789.86,683 CPT,29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,777.71,4015.22,7 CPT,29881,PR ARTHSC KNE W MNSCECTOMY MED/LAT,4343.0,3257.25,250.77,4212.71,683 CPT,29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,752.3,4015.22,7 CPT,29882,PR ARTHSC KNE W MNSC RPR MED/LAT,4605.0,3453.75,312.37,4466.85,683 CPT,29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,937.11,4015.22,7 CPT,29883,PR ARTHSC KNE W MNSC RPR MED&LAT,6115.0,4586.25,382.18,5931.55,683 CPT,29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,1146.53,8904.43,7 CPT,29884,PR ARTHSC KNEE W LYSIS ADHESN,4172.0,3129.0,285.05,4046.84,683 CPT,29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,855.15,4015.22,7 CPT,29887,PR ARTHSC KNEE W DRILL INT FIX,6550.0,4912.5,345.36,6353.5,683 CPT,29887,REPAIR OF KNEE JOINT WITH BONE GRAFT AND INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE,,,1036.07,8904.43,7 CPT,29888,PR ARTHSC AID ACL RPR,7456.0,5592.0,432.99,7232.32,683 CPT,29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,1298.97,15754.92,7 CPT,29889,PR ARTHSC AID PCL RPR,8945.0,6708.75,550.57,8676.65,683 CPT,29889,REPAIR OF POSTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,,,1651.71,15754.92,7 CPT,29891,PR ARTHSC ANKLE EXCISN DEFECT,4317.0,3237.75,309.07,4187.49,683 CPT,29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,927.21,8904.43,7 CPT,29892,PR ARTHSC REPAIR ANKLE,4552.0,3414.0,292.32,4415.44,683 CPT,29892,REMOVAL OF LARGE SHIN OR ANKLE BONE DEFECT USING AN ENDOSCOPE,,,876.95,8904.43,7 CPT,29894,PR ARTHSC ANKLE W RVML FB,3329.0,2496.75,231.57,3229.13,683 CPT,29894,REMOVAL OF LOOSE OR FOREIGN BODY IN ANKLE USING AN ENDOSCOPE,,,694.7,8904.43,7 CPT,29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,635.34,8904.43,7 CPT,29895,PR ARTHSC ANKLE SYNO PARTIAL,4002.0,3001.5,211.78,3881.94,683 CPT,29897,PR ARTHSC ANKLE DRBD LIMITED,3077.0,2307.75,226.77,2984.69,683 CPT,29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,680.31,4015.22,7 CPT,29898,PR ARTHSC ANKLE DRBD EXTEN,3212.0,2409.0,255.66,3115.64,683 CPT,29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,766.97,4015.22,7 CPT,29914,PR ARTHRSC HIP W FEMOROPLASTY,6497.0,4872.75,445.47,6302.09,683 CPT,29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,1336.41,8904.43,7 CPT,29915,PR ARTHRSC HIP W ACETABULOPLSTY,7458.0,5593.5,453.75,7234.26,683 CPT,29916,PR ARTHRSC HIP W LABRAL REPAIR,6358.0,4768.5,452.95,6167.26,683 CPT,29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,1358.85,8904.43,7 CPT,29999,PR ARTHSC BICEPS TENOTOMY,3618.0,2713.5,90.45,3509.46,683 CPT,29999,PR ARTHSC CUBITAL TUNNEL RELEASE,4344.0,3258.0,108.6,4213.68,683 CPT,29999,PR ARTHSC EXCN SYN CYST POP SPACE,3120.0,2340.0,78.0,3026.4,683 CPT,29999,PR ARTHSC PSOAS LENGTH W CAPSULE PLICATION,5893.0,4419.75,147.33,5716.21,683 CPT,29999,PR ARTHSC PSOAS TENDON LENGTH,3776.0,2832.0,94.4,3662.72,683 CPT,29999,PR ARTHSC SHLDR REMPLISSAGE,6327.0,4745.25,158.18,6137.19,683 CPT,29999,PR ARTHSC SUBAC BALLOON SHLDR,6161.0,4620.75,154.03,5976.17,683 CPT,29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,7742.98,8904.43,6 CPT,30000,PR DRAIN ABSC/HEM NASAL INT APPR,1044.0,783.0,53.92,1012.68,697 CPT,30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE FACILITY,,,163.2,661.83,7 CPT,30100,PR BIOPSY INTRANASAL,553.0,414.75,29.85,536.41,697 CPT,30117,PR EXCISN/DEST INTNASAL LESN INT APPR,2858.0,2143.5,461.98,2772.26,683 CPT,30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,547.04,4068.55,7 CPT,30118,PR EXCISN/DEST INTNASAL LESN EXT APPR,3468.0,2601.0,310.1,3363.96,683 CPT,30120,PR EXC/SURG PLN SKN/NOSE RHINOPHY,3297.0,2472.75,252.63,3198.09,683 CPT,30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,548.15,4068.55,7 CPT,30130,PR EXCISN TURBINATE PRTL/COMPLT,2033.0,1524.75,191.32,1972.01,683 CPT,30130,REMOVAL OF NASAL AIR PASSAGE,,,573.95,4068.55,7 CPT,30140,PR SUBMUC RSECT TURB PRTL/COMPLT,2856.0,2142.0,143.12,2770.32,683 CPT,30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,224.96,4068.55,7 CPT,30150,PARTIAL REMOVAL OF NOSE,,,1049.3,7264.49,7 CPT,30150,PR RHINECTOMY PARTIAL,4835.0,3626.25,349.77,4689.95,683 CPT,30160,PR RHINECTOMY TOTAL,5087.0,3815.25,355.15,4934.39,683 CPT,30200,INJECTION OF MEDICATION INTO NASAL AIR PASSAGE,,,79.2,661.83,7 CPT,30200,PR INJ TURBINATE THERAPEUTIC,313.0,234.75,26.4,303.61,697 CPT,30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,169.62,4575.22,7 CPT,30220,PR INS NASAL/SEPTAL PROSTH BUTTON,1273.0,954.75,145.39,1234.81,683 CPT,30300,HC RMVL FB INTRANASAL OFFICE PROC,513.0,384.75,141.97,497.61,915 CPT,30300,PR RMVL FB INTRANASAL OFFICE PROC,1053.0,789.75,56.24,1021.41,697 CPT,30310,PR RMVL FB INTRANASAL GEN ANES,1244.0,933.0,92.73,1206.68,683 CPT,30310,REMOVAL OF FOREIGN BODY IN NOSE UNDER ANESTHESIA,,,278.19,4068.55,7 CPT,30400,PR RHINP PRIM/LAT CRTLG NASALTIP,5673.0,4254.75,581.29,5502.81,683 CPT,30400,RESHAPING OF TIP OF NOSE,,,1743.87,7264.49,7 CPT,30410,PR RHINP PRIM COMPLT EXTRNL PARTS,7838.0,5878.5,658.5,7602.86,683 CPT,30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,1975.5,7264.49,7 CPT,30420,PR RHINP PRIM W MJR SEPTAL REPAIR,10072.0,7554.0,639.64,9769.84,683 CPT,30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,1918.91,7264.49,7 CPT,30430,PR RHINP SECNDRY MINOR REVISION,5844.0,4383.0,516.46,5668.68,683 CPT,30435,PR RHINP SECNDRY INT REVISION,7536.0,5652.0,627.37,7309.92,683 CPT,30435,REVISION TO RESHAPE NASAL BONES AFTER PREVIOUS REPAIR,,,1882.1,7264.49,7 CPT,3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,141.97,163.27,6 CPT,30450,PR RHINP SECNDRY MAJOR REVISION,12269.0,9201.75,798.1,11900.93,683 CPT,30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,2394.3,7264.49,7 CPT,30465,PR RPR NASAL VESTIBULAR STENOSIS,4903.0,3677.25,449.99,4755.91,683 CPT,30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,1349.97,7264.49,7 CPT,30468,PR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT,10165.0,7623.75,1160.64,9860.05,683 CPT,30468,REPAIR OF COLLAPSED NOSTRIL USING IMPLANT IN SIDE OF NOSE,,,213.65,7264.49,7 CPT,30469,PR RPR NSL VLV COLLAPSE W/RMDLG,8197.0,6147.75,1125.9,7951.09,683 CPT,30469,REPAIR OF COLLAPSED NASAL VALVE,,,190.02,7264.49,7 CPT,3046F,3046F MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% PROFESSIONAL,,,29.6,44.4,7 CPT,3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,20.81,38.78,7 CPT,30520,PR SEPTO/SUBM RESEC W/WO CART GRFT,3483.0,2612.25,298.75,3378.51,683 CPT,30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,896.24,4575.22,7 CPT,3052F,3052F MOST RECENT HG A1C>EQUAL TO 8.0%&=1 SITE,5830.0,4372.5,207.39,5830.0,915 CPT,31625,HC ROBOTIC BRONCHOSCOPY W BX >=1 SITE,6996.0,5247.0,207.39,6996.0,915 CPT,31625,PR BRONCHOSCOPY W BX >=1 SITE,1499.0,1124.25,187.11,1454.03,684 CPT,31625,PR ROBOTIC BRONCHOSCOPY W BX >=1 SITE,1499.0,1124.25,187.11,1454.03,684 CPT,31626,HC ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,21191.0,15893.25,262.19,21191.0,915 CPT,31626,PR ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,2011.0,1508.25,422.38,1950.67,683 CPT,31627,COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION OF LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,125.7,8660.52,7 CPT,31627,HC BRONCH W COMP ASST IMG NAV,2518.0,1888.5,125.7,2518.0,911 CPT,31627,HC ROBOTIC BRONCH W COMP ASST IMG NAV,3022.0,2266.5,125.7,3022.0,911 CPT,31627,PR BRONCH W COMP ASST IMG NAV,1955.0,1466.25,1120.79,1955.0,676 CPT,31627,PR ROBOTIC BRONCH W COMP ASST IMG NAV,1955.0,1466.25,1120.79,1955.0,676 CPT,31628,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, 1 LOBE FACILITY",,,234.11,8660.52,7 CPT,31628,HC BRONCH TRANSBRONCH LUNG BX SNG,7231.0,5423.25,234.11,7231.0,917 CPT,31628,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,8677.0,6507.75,234.11,8677.0,917 CPT,31628,PR BRONCH TRANSBRONCH LUNG BX SNG,1512.0,1134.0,199.09,1466.64,683 CPT,31628,PR ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,1512.0,1134.0,199.09,1466.64,683 CPT,31629,HC BRONCH TRANSBRONCH NDL ASP BX,8616.0,6462.0,248.33,8616.0,917 CPT,31629,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,10339.0,7754.25,248.33,10339.0,917 CPT,31629,"NEEDLE BIOPSY OF WINDPIPE CARTILAGE, AIRWAY, AND/OR LUNG USING AN ENDOSCOPE FACILITY",,,248.33,8660.52,7 CPT,31629,PR BRONCH TRANSBRONCH NDL ASP BX,1710.0,1282.5,242.02,1658.7,683 CPT,31629,PR ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,1710.0,1282.5,242.02,1658.7,683 CPT,31630,DILATION OF WINDPIPE CARTILAGE OR TREATMENT OF BROKEN WINDPIPE CARTILAGE USING AN ENDOSCOPE FACILITY,,,260.09,4575.22,7 CPT,31630,HC BRONCH W TRACHEAL/BRONCH DIL,8634.0,6475.5,260.09,8374.98,916 CPT,31630,HC ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,10361.0,7770.75,260.09,10361.0,916 CPT,31630,PR BRONCH W TRACHEAL/BRONCH DIL,1292.0,969.0,86.7,1253.24,683 CPT,31630,PR ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,1292.0,969.0,86.7,1253.24,683 CPT,31631,HC BRONCH W TRACH STENT PLCMNT,20094.0,15070.5,294.2,20094.0,915 CPT,31631,PLACEMENT OF STENT INTO WINDPIPE USING AN ENDOSCOPE FACILITY,,,294.2,8660.52,7 CPT,31631,PR BRONCH W TRACH STENT PLCMNT,1672.0,1254.0,98.07,1621.84,683 CPT,31632,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,63.72,8660.52,7 CPT,31632,HC BRONCH TRANSBRONCH LUNG BX EA,2752.0,2064.0,63.72,2752.0,910 CPT,31632,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,3302.0,2476.5,63.72,3302.0,910 CPT,31632,PR BRONCH TRANSBRONCH LUNG BX EA,418.0,313.5,67.41,418.0,676 CPT,31632,PR ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,418.0,313.5,67.41,418.0,676 CPT,31633,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,3150.0,2362.5,82.89,3150.0,910 CPT,31633,"NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,82.89,8660.52,7 CPT,31633,PR ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,579.0,434.25,84.39,579.0,676 CPT,31634,HC BRONCHOSCOPY BALLOON OCCLUSION,14905.0,11178.75,251.24,14905.0,915 CPT,31634,PR BRONCHOSCOPY BALLOON OCCLUSION,6456.0,4842.0,779.45,6262.32,683 CPT,31635,HC BRONCHOSCOPY W REMOVAL FB,6287.0,4715.25,233.25,6287.0,916 CPT,31635,PR BRONCHOSCOPY W REMOVAL FB,2054.0,1540.5,158.02,1992.38,683 CPT,31635,REMOVAL OF FOREIGN BODY IN LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,233.25,8660.52,7 CPT,31636,HC BRONCH W PLC BRNCL STENT INIT,19176.0,14382.0,288.03,19176.0,916 CPT,31636,"PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE, FIRST STENT FACILITY",,,288.03,8660.52,7 CPT,31636,PR BRONCH W PLC BRNCL STENT INIT,1848.0,1386.0,96.01,1792.56,683 CPT,31638,HC BRONCH REV TRACH/BRNCL STENT,15141.0,11355.75,323.15,15141.0,916 CPT,31638,PR BRONCH REV TRACH/BRNCL STENT,1829.0,1371.75,107.72,1774.13,683 CPT,31641,DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,331.07,4575.22,7 CPT,31641,HC BRONCH DEST TMR RLF STENOSIS,12669.0,9501.75,331.07,12288.93,916 CPT,31641,HC ROBOTIC BRONCH DEST TMR RLF STENOSIS,14618.0,10963.5,331.07,14618.0,916 CPT,31641,PR BRONCH DEST TMR RLF STENOSIS,2584.0,1938.0,110.36,2506.48,683 CPT,31641,PR ROBOTIC BRONCH DEST TMR RLF STENOSIS,2584.0,1938.0,110.36,2506.48,683 CPT,31645,ASPIRATION OF INITIAL SECRETION OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,196.43,2184.19,7 CPT,31645,HC BRONCHOSCOPY W ASP THER INIT,6381.0,4785.75,196.43,6381.0,915 CPT,31645,PR BRONCHOSCOPY W ASP THER INIT,1030.0,772.5,150.28,999.1,683 CPT,31646,PR BRONCHOSCOPY W ASP THER SUBSQ,873.0,654.75,63.36,846.81,683 CPT,31647,HC BRONCH W BALN OCC INIT LOBE,15960.0,11970.0,273.09,15960.0,915 CPT,31647,PR BRONCH W BALN OCC INIT LOBE,1326.0,994.5,91.03,1286.22,683 CPT,31648,HC BRONCH RMVL BRONCHL VALVE INIT,12386.0,9289.5,261.2,12386.0,915 CPT,31648,PR BRONCH RMVL BRONCHL VALVE INIT,1311.0,983.25,87.07,1271.67,683 CPT,31648,"REMOVAL OF BRONCHIAL VALVES OF LUNG AIRWAYS OF LOBE OF LUNG USING AN ENDOSCOPE, INITIAL LOBE FACILITY",,,261.2,4575.22,7 CPT,31649,HC BRONCH RMVL BRONCHL VALVE ADD,3968.0,2976.0,91.2,3968.0,915 CPT,31649,PR BRONCH RMVL BRONCHL VALVE ADD,308.0,231.0,60.8,308.0,690 CPT,31651,HC BRONCH OCCLUS VALVE ADD LOBE,3577.0,2682.75,99.12,3577.0,909 CPT,31651,PR BRONCH OCCLUS VALVE ADD LOBE,397.0,297.75,66.08,397.0,690 CPT,31652,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 1-2 LYMPH NODES FACILITY",,,292.22,8660.52,7 CPT,31652,HC BRONCH W EBUS 1-2 NODE SAMPLE,10567.0,7925.25,292.22,10567.0,916 CPT,31652,HC ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,12680.0,9510.0,292.22,12680.0,916 CPT,31652,PR BRONCH W EBUS 1-2 NODE SAMPLE,1401.0,1050.75,525.38,1401.0,683 CPT,31652,PR ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,1401.0,1050.75,525.38,1401.0,683 CPT,31653,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 3 OR MORE LYMPH NODES FACILITY",,,323.34,8660.52,7 CPT,31653,HC BRONCH W EBUS >=3 NODE SAMPLE,10567.0,7925.25,323.34,10567.0,917 CPT,31653,HC ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,12680.0,9510.0,323.34,12680.0,917 CPT,31653,PR BRONCH W EBUS >=3 NODE SAMPLE,1717.0,1287.75,643.88,1717.0,683 CPT,31653,PR ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,1717.0,1287.75,643.88,1717.0,683 CPT,31654,EXAM OF LUNG AIRWAYS WITH DIAGNOSTIC OR THERAPEUTIC PROCEDURE ON GROWTHS USING AN ENDOSCOPE AND ULTRASOUND FACILITY,,,88.29,8660.52,7 CPT,31654,HC BRONCH W EBUS DX/TX PERIPH LESN,6060.0,4545.0,88.29,6060.0,911 CPT,31654,HC ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,7272.0,5454.0,88.29,7272.0,911 CPT,31654,PR BRONCH W EBUS DX/TX PERIPH LESN,1106.0,829.5,128.12,1106.0,676 CPT,31654,PR ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,1106.0,829.5,128.12,1106.0,676 CPT,31720,HC CATH ASPIRATION NASOTRACHEAL,639.0,479.25,67.11,639.0,915 CPT,31750,PR TRACHEOPLASTY CERVICAL,9173.0,6879.75,607.64,8897.81,683 CPT,31770,PR BRONCHOPLASTY GRAFT REPAIR,8968.0,6726.0,608.17,8698.96,683 CPT,31780,PR EXCISN TRACHEA STENOSIS&ANASTO,9086.0,6814.5,503.93,8813.42,683 CPT,31785,PR EXCISN TRACHEA TMR CERVICAL,7307.0,5480.25,449.53,7087.79,683 CPT,31800,PR SUTURE TRACHEAL WOUND CERVICAL,4543.0,3407.25,314.25,4406.71,683 CPT,31820,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT,,,439.56,4068.55,7 CPT,31820,PR SURG CLSR TRACH/FSTLA WO RPR,2498.0,1873.5,217.08,2423.06,683 CPT,31825,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT WITH PLASTIC REPAIR,,,630.12,4068.55,7 CPT,31825,PR SURG CLSR TRACH/FSTLA W RPR,3564.0,2673.0,297.59,3457.08,683 CPT,31899,UNLISTED PROC TRACHEA BRONCHI - FACILITY,,,3978.45,4575.22,6 CPT,32036,CREATION OF OPEN FLAP TRACT FOR DRAINAGE OF INFECTED MATERIAL FROM LINING AROUND LUNG,,,1127.36,4575.22,7 CPT,32036,PR THORACOSTOMY DRAINAGE EMPYEMA,4452.0,3339.0,375.79,4318.44,683 CPT,32096,PR THORCTMY BX LUNG INFILTRATE UNILAT,4570.0,3427.5,370.92,4432.9,683 CPT,32097,PR THORCTMY BX LNG NODL/MASS UNILAT,4818.0,3613.5,373.69,4673.46,683 CPT,32098,PR THORCTMY W BIOPSY OF PLEURA,4353.0,3264.75,350.29,4222.41,683 CPT,32100,PR THORCTMY WITH EXPLORATION,7031.0,5273.25,320.68,6820.07,693 CPT,32110,PR THORCTMY CTRL HEMRG/RPR TEAR,6949.0,5211.75,677.53,6740.53,683 CPT,32120,PR THORCTMY POSTOP COMPL,6189.0,4641.75,412.05,6003.33,683 CPT,32124,PR THORCTMY OPN INTPLR PNEUMONOLYS,6324.0,4743.0,436.38,6134.28,683 CPT,32160,PR THORCTMY W CARDIAC MASSAGE,5692.0,4269.0,374.91,5521.24,683 CPT,32215,PR PLEURAL SCARIFICATION,5048.0,3786.0,380.21,4896.56,683 CPT,32220,PR DECORTICATION PULMONARY TOTAL,8674.0,6505.5,746.62,8413.78,683 CPT,32225,PR DECORTICATION PULMONARY PRTL,6190.0,4642.5,464.74,6004.3,683 CPT,32310,PR PLEURECTOMY PARIETAL,6926.0,5194.5,431.59,6718.22,683 CPT,32310,REMOVAL OF LINING OF CHEST CAVITY,,,1294.76,3874.69,7 CPT,32320,PR DECORT & PARIETAL PLEURECTOMY,8855.0,6641.25,743.93,8589.35,683 CPT,32400,HC BIOPSY PLEURA PERCUTANEOUS NDL,4497.0,3372.75,107.0,4497.0,916 CPT,32400,NEEDLE BIOPSY OF LINING OF LUNG FACILITY,,,107.0,2026.75,7 CPT,32400,PR BIOPSY PLEURA PERCUTANEOUS NDL,669.0,501.75,81.14,648.93,683 CPT,32408,"CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST (MEDIASTINUM), ACCESSED THROUGH SKIN FACILITY",,,192.72,2026.75,7 CPT,32408,HC BX LUNG/MEDIASTINUM PERC NDL,4783.0,3587.25,192.72,4783.0,917 CPT,32408,PR BX LUNG/MEDIASTINUM PERC NDL,1961.0,1470.75,390.65,1902.17,683 CPT,32440,PR REMOVAL OF LUNG PNEUMONECTOMY,9710.0,7282.5,722.9,9418.7,683 CPT,32442,PR RMVL LUNG PNEUMNCTMY RESCT TRACH,17614.0,13210.5,1371.68,17085.58,683 CPT,32445,PR RMVL LUNG PNEUMNCTMY EXTR PLRL,24815.0,18611.25,1599.04,24070.55,683 CPT,32480,PR RMVL LUNG NOT PNEUMONEC 1 LOBE,8244.0,6183.0,680.68,7996.68,683 CPT,32482,PR RMVL LUNG NOT PNEUMONEC 2 LOBE,9827.0,7370.25,729.92,9532.19,683 CPT,32484,PR RMVL LUNG SNGL SEGMENTECTOMY,9888.0,7416.0,656.66,9591.36,683 CPT,32501,PR RESECT & RPR BRONCHUS,1537.0,1152.75,214.32,1537.0,676 CPT,32505,PR THORACOTOMY W WEDGE RSECT INIT,5216.0,3912.0,434.3,5059.52,683 CPT,32506,PR THORACOTOMY W WEDGE RSECT ADDL,1161.0,870.75,137.22,1161.0,676 CPT,32507,PR THORACOTOMY RSECT DX WEDGE,1066.0,799.5,137.22,1066.0,676 CPT,32550,HC INSERTION/CATH PLEURAL CAVITY,11305.0,8478.75,266.66,11305.0,915 CPT,32550,INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID FACILITY,,,266.66,4393.67,7 CPT,32550,PR INSERTION/CATH PLEURAL CAVITY,2935.0,2201.25,761.32,2935.0,676 CPT,32551,HC INS TUBE THORACOSTOMY,5823.0,4367.25,209.27,5648.31,915 CPT,32551,PR INS TUBE THORACOSTOMY,1163.0,872.25,69.76,1128.11,683 CPT,32552,HC REMOVAL LUNG/PLEURAL CATHETER,2948.0,2211.0,216.38,2948.0,1830 CPT,32552,PR REMOVAL LUNG/PLEURAL CATHETER,1420.0,1065.0,93.01,1377.4,683 CPT,32552,REMOVAL OF INDWELLING TUBE IN LINING OF LUNG FACILITY,,,216.38,769.79,7 CPT,32554,ASPIRATION OF FLUID FROM CHEST CAVITY FACILITY,,,116.63,769.79,7 CPT,32554,HC THORACENTESIS PLEURA WO IMG,3071.5,2303.625,116.63,3036.1,2745 CPT,32554,PR THORACENTESIS PLEURA WO IMG,1317.0,987.75,107.74,1277.49,693 CPT,32555,ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE FACILITY,,,138.6,769.79,7 CPT,32555,HC THORACENTESIS PLEURA W IMG,3241.5,2431.125,138.6,3384.0,2748 CPT,32555,PR THORACENTESIS PLEURA W IMG,1841.0,1380.75,128.68,1785.77,693 CPT,32556,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE FACILITY,,,164.33,8660.52,7 CPT,32556,HC PLEURA DRAIN PERC WO IMG GUID,6358.5,4768.875,164.33,6641.59,1830 CPT,32556,PR PLEURA DRAIN PERC WO IMG GUID,2173.0,1629.75,408.05,2107.81,683 CPT,32557,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE USING IMAGING GUIDANCE FACILITY,,,190.74,3874.69,7 CPT,32557,HC PLEURA DRAIN PERC W IMG GUID,4417.0,3312.75,190.74,4417.0,915 CPT,32557,PR PLEURA DRAIN PERC W IMG GUID,3050.0,2287.5,314.9,2958.5,683 CPT,32560,HC INSTILLATION AGT PLEURODESIS,6921.0,5190.75,100.55,6921.0,915 CPT,32560,PR INSTILLATION AGT PLEURODESIS,1121.0,840.75,114.05,1087.37,693 CPT,32601,"DIAGNOSTIC EXAM OF LUNGS, HEART SAC, CHEST CAVITY, OR LUNG LINING USING AN ENDOSCOPE FACILITY",,,419.88,7418.74,7 CPT,32601,PR THORSC DX LUNG/MED/PLRL WO BX,2629.0,1971.75,139.96,2550.13,683 CPT,32604,PR THORSC DX PERICARDIAL SAC W BX,3221.0,2415.75,216.41,3124.37,683 CPT,32606,BIOPSY OF TISSUE OF CHEST USING AN ENDOSCOPE,,,623.97,7418.74,7 CPT,32606,PR THORSC DX MEDIASTINAL W BIOPSY,2783.0,2087.25,207.99,2699.51,683 CPT,32607,PR THORSC DX BX LNG INFILTRAT UNILAT,1990.0,1492.5,140.41,1930.3,683 CPT,32608,PR THORSC W DX BX LUNG NODULE UNILAT,2310.0,1732.5,171.36,2240.7,683 CPT,32609,BIOPSY OF LUNG LINING USING AN ENDOSCOPE FACILITY,,,348.69,7418.74,7 CPT,32609,HC THORACOSCOPY W/BX OF PLEURA,22056.0,16542.0,348.69,21394.32,916 CPT,32609,PR THORACOSCOPY W BX OF PLEURA,1476.0,1107.0,116.23,1431.72,683 CPT,32650,PR THORACOSCOPY W PLEURODESIS,4308.0,3231.0,315.72,4178.76,683 CPT,32651,PR THORSC W PRTL PULM DECORT,7162.0,5371.5,428.96,6947.14,693 CPT,32652,PR THORSC TOTAL PULM DECORT,8687.0,6515.25,761.88,8426.39,683 CPT,32653,PR THORSC REMOVAL INTRAPLEURAL FB,6544.0,4908.0,488.78,6347.68,683 CPT,32655,PR THORSC RSECT BULLAE W/WO PLRL,5803.0,4352.25,444.44,5628.91,683 CPT,32656,PR THORACOSC PARIETAL PLEURECTOMY,5112.0,3834.0,378.13,4958.64,683 CPT,32656,REMOVAL OF LINING OF LUNG USING AN ENDOSCOPE,,,756.25,1134.38,7 CPT,32658,PR THORSC RMVL FB PERICARDIAL SAC,4556.0,3417.0,337.42,4419.32,683 CPT,32659,PR THORSC PRTL RSECT PERICARDIAL,5160.0,3870.0,347.66,5005.2,683 CPT,32661,PR THORSC EXCISN PERICARDIAL CYST,5373.0,4029.75,374.4,5211.81,683 CPT,32661,REMOVAL OF CYST OR GROWTH OF HEART SAC USING AN ENDOSCOPE,,,748.8,1123.2,7 CPT,32662,PR THORSC EXCISN MEDIASTINAL CYST,7396.0,5547.0,417.69,7174.12,683 CPT,32662,REMOVAL OF CYST OR GROWTH OF CHEST CAVITY USING AN ENDOSCOPE,,,835.38,1253.07,7 CPT,32663,PR THORSC W LOBECTOMY SINGLE LOBE,8109.0,6081.75,639.95,7865.73,683 CPT,32664,PR THORSC THORACIC SYMPATHECTOMY,7613.0,5709.75,396.11,7384.61,683 CPT,32664,REMOVAL OF NERVES TO CHEST CAVITY USING AN ENDOSCOPE,,,792.22,1188.33,7 CPT,32666,INITIAL REMOVAL OF WEDGE OF LUNG TISSUE USING AN ENDOSCOPE,,,814.23,1221.35,7 CPT,32666,PR THORSC THER WEDGE RSECT INIT,7277.0,5457.75,407.12,7058.69,683 CPT,32667,PR THORSC THER WEDGE RSECT ADDL,1217.0,912.75,137.51,1217.0,676 CPT,32667,"REMOVAL OF WEDGE OF TISSUE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL REMOVAL",,,137.51,206.27,7 CPT,32668,PR THORACOSCOPY DX WEDGE RSECT,1150.0,862.5,137.83,1150.0,676 CPT,32669,PR THORACOSCOPY W SEGMENTECTOMY,10450.0,7837.5,615.12,10136.5,683 CPT,32669,REMOVAL OF SEGMENT OF LUNG TISSUE USING AN ENDOSCOPE,,,1230.24,1845.36,7 CPT,32670,PR THORACOSCOPY W BILOBECTOMY,11022.0,8266.5,728.07,10691.34,683 CPT,32671,PR THORACOSCOPY W PNEUMONECTOMY,12601.0,9450.75,805.58,12222.97,683 CPT,32673,PR THORSC RSECT THYMUS UNI/BILAT,7393.0,5544.75,558.59,7171.21,683 CPT,32673,REMOVAL OF THYMUS GLAND USING AN ENDOSCOPE,,,1117.17,1675.76,7 CPT,32674,PR THORSC MEDI-REG LYMPHDENECTOMY,1089.0,816.75,189.65,1089.0,676 CPT,32674,REMOVAL OF LYMPH NODES OF CHEST CAVITY USING AN ENDOSCOPE,,,189.65,284.48,7 CPT,32800,PR RPR LUNG HERNIA THRU CHEST WAL,5580.0,4185.0,378.38,5412.6,693 CPT,32810,PR CLSR CHEST WALL W OPN DRAINAGE,5976.0,4482.0,423.98,5796.72,683 CPT,32820,PR RECONSTRUCT INJURED CHEST,7644.0,5733.0,637.63,7414.68,683 CPT,32850,PR DONOR PNEUMONECTOMY FRM CADAVR,8977.0,6732.75,4039.65,8977.0,676 CPT,32851,PR LUNG TRNSPL SNG WO CARDPULM BYPASS,32667.0,24500.25,1479.53,31686.99,683 CPT,32852,PR LUNG TRNSPL SNGL W CARDPULM BYPASS,35714.0,26785.5,1616.42,34642.58,683 CPT,32853,PR LUNG TRNSPL 2 WO CARDPULM BYPASS,59348.0,44511.0,2057.52,57567.56,683 CPT,32854,PR LUNG TRNSPL DBL W CARDPULM BYPASS,65808.0,49356.0,2181.63,63833.76,683 CPT,32855,PR PREP TRNSPL CADAVER DONOR LUNG UNILAT,3461.0,2595.75,98.8,3357.17,683 CPT,32856,PR PREP TRNSPL CADAVER DONOR LUNG BIL,3461.0,2595.75,100.9,3357.17,683 CPT,32994,DESTRUCTION OF GROWTH OF LUNG USING EXTREME COLD FACILITY,,,561.45,13044.35,7 CPT,32994,HC ABLATE PULM TUMOR PERQ CRYBL,16968.0,12726.0,561.45,16968.0,915 CPT,32994,PR ABLATE PULM TUMOR PERQ CRYBL,15838.0,11878.5,2204.49,15362.86,683 CPT,32999,UNLISTED PROC LUNGS & PLEURA - FACILITY,,,669.38,769.79,6 CPT,33016,HC PERICARDIOCENTESIS W IMAGE GUIDE,10997.0,8247.75,297.69,10997.0,915 CPT,33016,PR PERICARDIOCENTESIS W IMAGE GUIDE,1839.0,1379.25,99.23,1783.83,683 CPT,33017,DRAINAGE OF HEART SAC USING TUBE AND IMAGING GUIDANCE (6 YEARS OR OLDER) FACILITY,,,208.2,312.3,7 CPT,33017,HC PERI DRN W FLUOR/US >6YR W/O CONG,12012.0,9009.0,208.2,12012.0,915 CPT,33017,PR PERI DRN W FLUOR/US >6YR W/O CONG,2324.0,1743.0,104.1,2254.28,683 CPT,33020,PR PERICARIOTOMY RMVL CLOT/FB PRIM,8549.0,6411.75,380.44,8292.53,683 CPT,33025,PR CREATE PERICARD WNDW PRTL RESEC,6277.0,4707.75,359.27,6088.69,683 CPT,33030,PR PERICARDECT SUBTOT/COMP WO BYP,12393.0,9294.75,911.55,12021.21,683 CPT,33031,PR PERICARDECT SUBTOT/COMP W BYP,20183.0,15137.25,1122.19,19577.51,683 CPT,33050,PR RESECTION PERICARDIAL CYST/TMR,7803.0,5852.25,470.32,7568.91,683 CPT,33120,PR EXCISN INTRACARDIAC TMR W BYP,19068.0,14301.0,805.4,18495.96,693 CPT,33202,PR INS EPICARDIAL ELECTRODE OPEN,7124.0,5343.0,359.78,6910.28,683 CPT,33206,HC INS/RPLC PCMKR ATRIAL,35654.0,26740.5,586.1,35654.0,915 CPT,33206,INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE FACILITY,,,586.1,23636.89,7 CPT,33206,PR INS/RPLC PCMKR ATRIAL,3853.0,2889.75,195.37,3737.41,683 CPT,33207,HC INS/RPLC PCMKR VENT,30901.0,23175.75,615.39,30901.0,915 CPT,33207,INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,615.39,12826.11,7 CPT,33207,PR INS/RPLC PCMKR VENT,4012.0,3009.0,205.13,3891.64,683 CPT,33208,HC INS/RPLC PCMKR ATRIAL & VENT,37345.0,28008.75,664.55,37345.0,916 CPT,33208,INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,664.55,12826.11,7 CPT,33208,PR INS/RPLC PCMKR ATRIAL & VENT,1862.0,1396.5,221.52,1806.14,683 CPT,33210,HC INS/RPLC TEMP ELEC/PCMKR SNGL,22708.5,17031.375,205.32,25996.0,1830 CPT,33210,PR INS/RPLC TEMP ELEC/PCMKR SNGL,661.0,495.75,68.44,641.17,683 CPT,33212,HC INS PCMKR PLS GEN EXIST 1 LEAD,36157.0,27117.75,425.81,36157.0,915 CPT,33212,PR INS PCMKR PLS GEN EXIST 1 LEAD,2756.0,2067.0,141.94,2673.32,683 CPT,33213,HC INS PCMKR PLS GEN EXIST 2 LEAD,44431.0,33323.25,442.4,44431.0,915 CPT,33213,PR INS PCMKR PLS GEN EXIST 2 LEAD,2939.0,2204.25,147.47,2850.83,683 CPT,33214,HC UPGRADE IMPL PCMKR SYS,50619.0,37964.25,620.31,50619.0,915 CPT,33214,INSERTION OF 2 CHAMBER PACEMAKER SYSTEM FACILITY,,,620.31,12826.11,7 CPT,33214,PR UPGRADE IMPL PCMKR SYS,3451.0,2588.25,206.77,3347.47,683 CPT,33215,HC REPOSITION PCMKR/LEAD RA/RV,13645.0,10233.75,401.04,13645.0,915 CPT,33215,PR REPOSITION PCMKR/LEAD RA/RV,2044.0,1533.0,133.68,1982.68,683 CPT,33215,REPOSITIONING OF PACEMAKER OR DEFIBRILLATOR ELECTRODE FACILITY,,,401.04,3874.69,7 CPT,33216,HC INS SNGL ELTRD/PPCMKR/ICD,31183.0,23387.25,482.81,31183.0,1832 CPT,33216,INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,482.81,10155.1,7 CPT,33216,PR INS SNGL ELTRD/PPCMKR/ICD,2902.0,2176.5,160.94,2814.94,683 CPT,33217,HC INSERT ELECTRODE IMPLANT DUAL,36157.0,27117.75,481.31,36157.0,915 CPT,33217,INSERTION OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,481.31,10155.1,7 CPT,33217,PR INSERT ELECTRODE IMPLANT DUAL,3080.0,2310.0,160.44,2987.6,683 CPT,33218,HC RPR SNGL ELTRD/PPCMKR/ICD,22668.0,17001.0,507.63,22668.0,915 CPT,33218,PR RPR SNGL ELTRD/PPCMKR/ICD,3370.0,2527.5,169.21,3268.9,683 CPT,33218,REPAIR OF ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,507.63,27296.09,7 CPT,33220,REPAIR OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,497.4,12826.11,7 CPT,33221,HC INS PCMKR/GEN EXIST MULTI LEAD,38976.0,29232.0,464.25,38976.0,915 CPT,33221,INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING MULTIPLE LEADS FACILITY,,,464.25,23636.89,7 CPT,33221,PR INS PCMKR/GEN EXIST MULTI LEAD,3400.0,2550.0,154.75,3298.0,683 CPT,33222,HC RELOCATION SKIN POCKET PCMKR,8726.0,6544.5,452.03,8726.0,915 CPT,33222,PR RELOCATION SKIN POCKET PCMKR,2488.0,1866.0,150.68,2413.36,683 CPT,33222,RELOCATION OF PACEMAKER SKIN POCKET FACILITY,,,452.03,2531.94,7 CPT,33223,HC RELOCATION SKIN POCKET DFIB,17081.0,12810.75,530.57,17081.0,915 CPT,33223,PR RELOCATION SKIN POCKET DFIB,3057.0,2292.75,176.86,2965.29,683 CPT,33223,RELOCATION OF DEFIBRILLATOR SKIN POCKET FACILITY,,,530.57,38518.68,7 CPT,33224,HC INS PACING ELCTD LV LEAD CONN,58942.0,44206.5,643.71,58942.0,915 CPT,33224,INSERTION OF LEFT LOWER HEART ELECTRODE AND ATTACHMENT TO PACEMAKER OR DEFIBRILLATOR FACILITY,,,643.71,12826.11,7 CPT,33224,PR INS PACING ELCTD LV LEAD CONN,3820.0,2865.0,214.57,3705.4,683 CPT,33225,HC INS PACING ELCTD LV LEAD ADD,33025.0,24768.75,575.15,33025.0,910 CPT,33225,INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR FACILITY,,,575.15,23636.89,7 CPT,33225,PR INS PACING ELCTD LV LEAD ADD,2448.0,1836.0,383.43,2448.0,676 CPT,33226,HC REPO IMPL LV ELECT,23038.0,17278.5,616.86,23038.0,915 CPT,33226,PR REPO IMPL LV ELECT,3620.0,2715.0,205.62,3511.4,683 CPT,33227,HC RPLC PERM GEN SNGL LEAD,36014.0,27010.5,439.98,36014.0,915 CPT,33227,PR RPLC PERM GEN SNGL LEAD,2703.0,2027.25,146.66,2621.91,683 CPT,33227,REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER FACILITY,,,439.98,10155.1,7 CPT,33228,HC RPLC PERM GEN DUAL LEAD,36051.0,27038.25,459.41,36051.0,916 CPT,33228,PR RPLC PERM GEN DUAL LEAD,2141.0,1605.75,153.14,2076.77,683 CPT,33228,REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER FACILITY,,,459.41,12826.11,7 CPT,33229,HC RPLC PERM GEN MULT LEAD,38609.0,28956.75,480.42,38609.0,916 CPT,33229,PR RPLC PERM GEN MULT LEAD,2483.0,1862.25,160.14,2408.51,683 CPT,33229,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER FACILITY,,,480.42,23636.89,7 CPT,33231,HC INS PULSE GEN W EXST MULT LEAD,100578.0,75433.5,517.46,100578.0,915 CPT,33233,HC RMVL PCMKR PULSE GEN ONLY,27134.0,20350.5,309.45,27134.0,915 CPT,33233,PR RMVL PCMKR PULSE GEN ONLY,1757.0,1317.75,103.15,1704.29,683 CPT,33233,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR FACILITY,,,309.45,12826.11,7 CPT,33234,HC RMVL PCMKR ELEC 1 LEAD SYS,14409.0,10806.75,625.49,14409.0,915 CPT,33234,PR RMVL PCMKR ELEC 1 LEAD SYS,3380.0,2535.0,208.5,3278.6,683 CPT,33234,REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART FACILITY,,,625.49,10155.1,7 CPT,33235,HC RMVL PCMKR ELEC DUAL LEAD SYS,14986.0,11239.5,827.4,14986.0,916 CPT,33235,PR RMVL PCMKR ELEC DUAL LEAD SYS,4475.0,3356.25,275.8,4340.75,683 CPT,33235,REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART FACILITY,,,827.4,12826.11,7 CPT,33236,PR RMVL PPCMKR THORCTMY,6692.0,5019.0,377.88,6491.24,683 CPT,33236,"REMOVAL OF PERMANENT PACEMAKER AND ELECTRODES, SINGLE LEAD",,,755.76,1133.64,7 CPT,33238,PR RMVL TRANSVENOUS ELEC THRCTMY,7569.0,5676.75,455.07,7341.93,683 CPT,33238,REMOVAL OF PERMANENT PACEMAKER VENOUS ELECTRODES,,,1365.21,4015.22,7 CPT,33240,INSERTION OF DEFIBRILLATOR WITH EXISTING SINGLE LEAD FACILITY,,,33494.51,38518.68,6 CPT,33241,HC RMVL ICD GEN ONLY SUBQ,15058.0,11293.5,288.05,15058.0,915 CPT,33241,PR RMVL ICD GEN ONLY SUBQ,1943.0,1457.25,96.02,1884.71,683 CPT,33241,REMOVAL OF DEFIBRILLATOR FACILITY,,,288.05,38518.68,7 CPT,33243,PR RMVL ICD ELEC THORCOM 1/2 CHAM,15651.0,11738.25,632.6,15181.47,683 CPT,33244,HC RMVL ICD ELEC TRANSVEN EXTRACT,13825.0,10368.75,1116.99,13825.0,915 CPT,33244,PR RMVL ICD ELEC TRANSVEN EXTRACT,5682.0,4261.5,372.33,5511.54,683 CPT,33244,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN FACILITY,,,1116.99,23636.89,7 CPT,33249,HC INS/RPLC DFIB W TRANSVEN LEAD,78250.0,58687.5,1163.0,78250.0,916 CPT,33249,INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM FACILITY,,,1163.0,38518.68,7 CPT,33249,PR INS/RPLC DFIB W TRANSVEN LEAD,4361.0,3270.75,387.67,4230.17,683 CPT,33254,PR ABLT TISS/RECONSTCT ATRIA LTD,10535.0,7901.25,533.67,10218.95,693 CPT,33256,PR ABLT TISS/RECON ATRIA EXT W BP,15330.0,11497.5,887.44,14870.1,683 CPT,33257,PR ABLT&RCNSTRCT ATRIA W OTH PROC,6168.0,4626.0,552.44,6168.0,676 CPT,33259,PR ABLT&RCNSTRCT ATRIA W BYPASS,7189.0,5391.75,797.14,7189.0,676 CPT,33261,PR ABLT VENTR ARRHYTHMOGENIC FOC,12863.0,9647.25,744.98,12477.11,683 CPT,33262,HC RMVL&RPLC ICD GEN SNGL LEAD,74925.0,56193.75,479.94,74925.0,915 CPT,33262,PR RMVL&RPLC ICD GEN SNGL LEAD,2981.0,2235.75,159.98,2891.57,683 CPT,33262,REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR FACILITY,,,479.94,27296.09,7 CPT,33263,HC RMVL&RPLC ICD GEN DUAL LEAD,73091.0,54818.25,498.9,73091.0,916 CPT,33263,PR RMVL&RPLC ICD GEN DUAL LEAD,3204.0,2403.0,166.3,3107.88,683 CPT,33263,REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR FACILITY,,,498.9,27296.09,7 CPT,33264,HC RMVL&RPLC ICD GEN MULTI LEAD,82978.0,62233.5,517.91,82978.0,916 CPT,33264,PR RMVL&RPLC ICD GEN MULTI LEAD,3041.0,2280.75,172.64,2949.77,683 CPT,33264,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR FACILITY,,,517.91,38518.68,7 CPT,33265,"PR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",10913.0,8184.75,628.32,10585.61,683 CPT,33266,PR ENDO TISS ABLT/RECST ATRIA EXT,14732.0,11049.0,845.06,14290.04,683 CPT,33267,PR EXCL LAA OPEN ANY METHOD,9675.0,7256.25,479.99,9384.75,683 CPT,33268,PR EXCL LAA OPN OTH PX ANY METH,1554.0,1165.5,113.9,1554.0,676 CPT,33270,HC INS/RPLC SUBQ ICD W SUBQ ELEC,116655.0,87491.25,718.58,116655.0,917 CPT,33270,INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE FACILITY,,,718.58,38518.68,7 CPT,33270,PR INS/RPLC SUBQ ICD W SUBQ ELEC,5360.0,4020.0,239.53,5199.2,683 CPT,33272,HC RMVL SQ IPLT DFB ELEC,20043.0,15032.25,452.25,20043.0,916 CPT,33272,PR RMVL SQ IPLT DFB ELEC,3915.0,2936.25,150.75,3797.55,683 CPT,33272,REMOVAL OF DEFIBRILLATOR ELECTRODE FACILITY,,,452.25,4585.79,7 CPT,33274,HC RPLC/INSRT TRANSCATH LEADLS PM,66610.0,49957.5,611.57,66610.0,915 CPT,33274,INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE FACILITY,,,611.57,23636.89,7 CPT,33274,PR RPLC/INSRT TRANSCATH LEADLS PM,4410.0,3307.5,203.86,4277.7,683 CPT,33276,HC INSN PHRNC NRV STIM SYS,50294.0,37720.5,736.97,54051.41,916 CPT,33285,HC IMPL PT ACTV CARD EVENT RECORD,31407.0,23555.25,110.48,31407.0,916 CPT,33285,INSERTION OF HEART RHYTHM MONITOR UNDER SKIN FACILITY,,,110.48,10155.1,7 CPT,33285,PR IMPL PT ACTV CARD EVENT RECORD,9884.0,7413.0,1943.96,9587.48,683 CPT,33286,HC RMVL IMPL CARDIAC EVENT RECORD,3448.0,2586.0,108.98,3448.0,916 CPT,33286,PR RMVL IMPL CARDIAC EVENT RECORD,1056.0,792.0,62.54,1024.32,683 CPT,33286,REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN FACILITY,,,108.98,868.98,7 CPT,33289,"HC TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",100225.0,75168.75,415.5,100225.0,916 CPT,33289,INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST FACILITY,,,415.5,35198.63,7 CPT,33289,"PR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",2989.0,2241.75,138.5,2899.33,683 CPT,33300,PR RPR CARDIAC WOUND WO BYPASS,12856.0,9642.0,1101.52,12470.32,683 CPT,33305,PR RPR CARDIAC WOUND W BYPASS,27683.0,20762.25,1829.03,26852.51,683 CPT,33315,PR CARDIOT RMVL FB/THRMB W BYP,15568.0,11676.0,866.07,15100.96,683 CPT,33320,PR SUTR RPR AORTA/GRT VSSL WO BYP,8295.0,6221.25,493.7,8046.15,683 CPT,33330,PR RPR AORTA/GRT VSSL WO SHNT BYP,12552.0,9414.0,662.2,12175.44,683 CPT,33335,PR INS GRAFT AORTA/GRT VSSL W BYP,11952.0,8964.0,859.19,11593.44,683 CPT,33340,HC PERC TXCATH CLSR LT ATR APNDG,42777.0,32082.75,600.88,42777.0,916 CPT,33340,PR PERC TXCATH CLSR LT ATR APNDG,6503.0,4877.25,300.44,6307.91,683 CPT,33340,REPAIR OF LEFT UPPER HEART CHAMBER WITH IMPLANT WITH REVIEW BY RADIOLOGIST FACILITY,,,600.88,901.32,7 CPT,33361,HC RPLC AORTIC VLV PERC FEM ARTY,79977.0,59982.75,1048.56,79977.0,915 CPT,33361,PR RPLC AORTIC VLV PERC FEM ARTY,4943.0,3707.25,524.28,4794.71,683 CPT,33361,REPLACEMENT OF AORTIC VALVE THROUGH THE SKIN AND FEMORAL ARTERY FACILITY,,,1048.56,1572.84,7 CPT,33362,HC RPLC AORTIC VLV OPEN FEM ARTY,16578.0,12433.5,1141.9,16578.0,915 CPT,33362,PR RPLC AORTIC VLV OPEN FEM ARTY,11600.0,8700.0,570.95,11252.0,683 CPT,33363,HC RPLC AORTIC VLV OPEN AXIL ARTY,81120.0,60840.0,1186.27,81120.0,915 CPT,33365,HC RPLC AORTIC VALVE TRANSAORTIC,79560.0,59670.0,1237.89,79560.0,915 CPT,33365,REPLACEMENT OF AORTIC VALVE BY TUBE THROUGH AORTA FACILITY,,,1237.89,1856.84,7 CPT,33370,HC TCAT PLMT&RMVL CEPD PERQ,4339.5,3254.625,169.02,7057.0,1818 CPT,33370,PR TCAT PLMT&RMVL CEPD PERQ,1470.0,1102.5,112.68,1470.0,676 CPT,33390,PR VLVPLSTY AORTIC VALVE SMPL,16923.0,12692.25,860.65,16415.31,683 CPT,33405,PR RPLC AORTIC VLV W PROSTH VLV,13586.0,10189.5,1032.06,13178.42,683 CPT,33411,PR RPLC AORTIC VLV ANNULUS ENLGMT,25985.0,19488.75,1286.59,25205.45,693 CPT,33415,PR RSECT/INC SUBVALVULAR TISSUE,17830.0,13372.5,785.75,17295.1,693 CPT,33416,PR VENTRICULOMYOTOMY-MYECTOMY,24051.0,18038.25,923.52,23329.47,683 CPT,33418,PR TXCATH MITRAL VALVE REPAIR INI,14924.0,11193.0,768.19,14476.28,683 CPT,33419,HC TRNSCATH MITR VLV RPR ADD PROST,10185.0,7638.75,536.7,10185.0,909 CPT,33419,PR TRNSCATH MITR VLV RPR ADD PROST,3795.0,2846.25,357.8,3795.0,676 CPT,33425,PR VLVPLSTYLSTY MITRAL VLV W BYP,28436.0,21327.0,1237.98,27582.92,683 CPT,33426,PR VLVPLSTYLSTY W BYP W PROSTH RING,25662.0,19246.5,1083.5,24892.14,683 CPT,33427,PR VLVPLSTYLSTY W BYP WO PROSTH RING,21993.0,16494.75,1104.19,21333.21,683 CPT,33430,PR RPLC MITRAL VLV W CARDPULM BYP,16766.0,12574.5,1273.42,16263.02,683 CPT,33463,PR VLVPLSTY TRICUSPID VLV WO RING INS,33386.0,25039.5,1391.54,32384.42,683 CPT,33464,PR VLVPLSTY TRICUSPID VLV W RING INS,20499.0,15374.25,1104.06,19884.03,683 CPT,33465,PR RPLC TRICUSPID VLV W CARD BYP,23699.0,17774.25,1244.96,22988.03,683 CPT,33475,PR REPLACEMENT PULMONARY VALVE,30952.0,23214.0,1043.95,30023.44,683 CPT,33477,HC TRANSCATH PULM VLV IMPL PERC,72478.0,54358.5,1100.64,72478.0,915 CPT,33477,PR TRANSCATH PULM VLV IMPL PERC,11064.0,8298.0,550.32,10732.08,683 CPT,33500,PR RPR CORONARY AV/AC FIST W BYP,13794.0,10345.5,722.72,13380.18,683 CPT,33504,PR RPR COR ART PULM GRFT W BYP,11621.0,8715.75,677.82,11272.37,683 CPT,33507,PR RPR AORTIC ORIGIN CORONARY ART,17912.0,13434.0,661.49,17374.64,693 CPT,33508,PR ENDO SURG W VA HARVEST CABG,348.0,261.0,13.96,348.0,676 CPT,33510,PR COR ART BYPASS 1 COR VEN GRAFT,14867.0,11150.25,748.91,14420.99,693 CPT,33511,PR COR ART BYPASS 2 COR VEN GRAFT,18464.0,13848.0,823.11,17910.08,693 CPT,33512,PR COR ART BYPASS 3 COR VEN GRAFT,20098.0,15073.5,1096.46,19495.06,683 CPT,33513,PR COR ART BYPASS 4 COR VEN GRAFT,20297.0,15222.75,950.91,19688.09,693 CPT,33517,PR COR ART BYP W VEIN GRFT 1 VEIN,1155.0,866.25,165.42,1155.0,676 CPT,33518,PR COR ART BYP W VEIN GRFT 2 VEIN,2166.0,1624.5,362.96,2166.0,676 CPT,33519,PR COR ART BYP W VEIN GRFT 3 VEIN,3712.0,2784.0,479.77,3712.0,676 CPT,33521,PR COR ART BYP W VEIN GRFT 4 VEIN,4774.0,3580.5,576.09,4774.0,676 CPT,33522,PR COR ART BYP W VEIN GRFT 5 VEIN,7075.0,5306.25,549.27,7075.0,686 CPT,33530,PR REOP COR ART BYP/VALVE PROC,4737.0,3552.75,463.6,4737.0,676 CPT,33533,PR CABG W ARTL GRFT 1 ARTL GRFT,11492.0,8619.0,853.4,11147.24,683 CPT,33534,PR CABG W ARTL GRFT 2 ARTL GRFT,14352.0,10764.0,1000.63,13921.44,683 CPT,33535,PR CABG W ARTL GRFT 3 ARTL GRFT,22346.0,16759.5,1109.74,21675.62,683 CPT,33542,PR MYOCARDIAL RESECTION,21402.0,16051.5,1192.16,20759.94,683 CPT,33548,PR SURG VENT RESTORATION PROC,23242.0,17431.5,1348.19,22544.74,683 CPT,33572,PR ENDARTERCOMY CORONAY ARTERY,2911.0,2183.25,203.38,2911.0,676 CPT,33608,PR RPR CARD NOT PULM ATRESIA VSD,19032.0,14274.0,825.0,18461.04,683 CPT,33620,APPLICATION OF RIGHT AND LEFT PULMONARY ARTERY BANDS,,,1492.21,2238.32,7 CPT,33641,PR RPR ATRIAL SEPTAL DEFECT W BYP,14666.0,10999.5,744.47,14226.02,683 CPT,33675,PR CLSR MULT VEN SEPTAL DEFECTS,20984.0,15738.0,890.71,20354.48,683 CPT,33681,PR CLSR SNGL VEN SEPTAL DEFECT,16709.0,12531.75,847.19,16207.73,683 CPT,33720,PR RPR SINUS VALSALVA ANEURYSM,12265.0,9198.75,710.91,11897.05,683 CPT,33724,PR RPR ISOLATED PRTL PULM VENOUS,13633.0,10224.75,699.76,13224.01,683 CPT,33858,PR AS-AORT GRF F/AORTIC DSJ,30953.0,23214.75,1293.17,30024.41,693 CPT,33859,PR AS-AORT GRF F/DS OTH/THN DSJ,17586.0,13189.5,1098.18,17058.42,683 CPT,33863,PR ASC AORTA GRFT BYP&AORTIC RPLC,17517.0,13137.75,1410.89,16991.49,683 CPT,33864,PR ASC AORTA GRFT VLV ROOT REMODEL,30889.0,23166.75,1224.26,29962.33,693 CPT,33866,PR AORTIC HEMIARCH GRAFT W CIRC ARREST-ADD ON,9610.0,7207.5,812.56,9610.0,676 CPT,33871,PR TRANSVRS A-ARCH GRF HYPTHRM,29785.0,22338.75,1239.39,28891.45,693 CPT,33880,PR ENDOVSC RPR W COVRG SUBCL ART,17472.0,13104.0,624.9,16947.84,683 CPT,33881,PR ENDOVSC RPR WO COVRG SUBCL ART,13554.0,10165.5,524.69,13147.38,683 CPT,33883,PR PLC PROX PROSTH EVASC RPR INIT,9614.0,7210.5,466.93,9325.58,683 CPT,33886,PR PLC DSTL EXTSN PROSTH DELAYED,8518.0,6388.5,466.33,8262.46,683 CPT,33895,HC EVASC ST RPR THRC/AA X CRSG,9282.0,6961.5,655.99,9282.0,915 CPT,33910,PR PULM ARTY EMBOLECTOMY W BYP,21263.0,15947.25,1192.3,20625.11,683 CPT,33915,PR EMBOLECT PULM ART WO CARD BYP,15347.0,11510.25,633.05,14886.59,683 CPT,33917,PR RPR PULMONARY ART STENOSIS,11842.0,8881.5,674.26,11486.74,683 CPT,33922,PR TRANSECTION PULM ARTY W BYP,11182.0,8386.5,641.33,10846.54,683 CPT,33940,PR DONOR CARDIECTOMY,8585.0,6438.75,3863.25,8585.0,676 CPT,33944,PR PREP TRNSPL CADAVER DONOR HEART,3606.0,2704.5,105.09,3497.82,683 CPT,33945,PR HEART TRNSPL W/WO RCPT CARDIECTOMY,45329.0,33996.75,2192.84,43969.13,683 CPT,33946,PR ECMO INITIATION VENO-VENOUS,5323.0,3992.25,272.2,5323.0,676 CPT,33947,PR ECMO INITIATION VENO-ART,5323.0,3992.25,300.1,5323.0,676 CPT,33948,PR ECMO DLY MGMT VENO-VENOUS,3020.0,2265.0,212.09,3020.0,676 CPT,33949,PR ECMO DLY MGMT VENO-ARTERIAL,3020.0,2265.0,204.43,3020.0,676 CPT,33952,PR ECMO INSERT CANNULA >=6YR PERC,4184.0,3138.0,187.11,4058.48,683 CPT,33954,PR ECMO INS PRPH CNULA >=6YR,5259.0,3944.25,209.88,5101.23,683 CPT,33956,PR ECMO INSERT CENTRL CANLA >=6YR,8616.0,6462.0,312.26,8357.52,693 CPT,33958,PR ECMO REPOS CANNULA >=6YR PERC,1761.0,1320.75,82.6,1708.17,683 CPT,33966,PR ECMO RMVL CANNULA >=6YR PERC,2604.0,1953.0,89.14,2525.88,693 CPT,33967,HC INS INTRA AORTIC BLN DEV PERC,12018.0,9013.5,218.59,12018.0,915 CPT,33967,PR INS INTRA AORTIC BLN DEV PERC,2137.0,1602.75,109.3,2072.89,683 CPT,33968,PR RMVL INTRA AORTIC BLN DEV PERC,313.0,234.75,28.92,313.0,676 CPT,33970,PR INS INTRA AORTIC BLN FEM ART,3168.0,2376.0,152.72,3072.96,683 CPT,33971,PR RMVL INTRA AORTIC BLN FEM ART,5085.0,3813.75,326.1,4932.45,683 CPT,33975,PR INS VENT ASSIST DEV SNGL VENT,11907.0,8930.25,572.03,11549.79,683 CPT,33977,PR RMVL VENT ASSIST DEVICE 1 VENT,9643.0,7232.25,502.86,9353.71,683 CPT,33979,PR INS VENT ASSIST DEV IMPL 1VENT,31295.0,23471.25,858.8,30356.15,683 CPT,33980,PR RMVL VENT ASST DEV IMPL SNGL,26455.0,19841.25,794.47,25661.35,683 CPT,33983,PR RPLC VAD IMPL SNGL VENT W BYP,12863.0,9647.25,1018.9,12477.11,683 CPT,33984,PR ECMO RMVL PRPH CANNULA >=6YR OPN,3027.0,2270.25,106.71,2936.19,693 CPT,33986,PR ECMO RMVL CNTRL CANNULA >=6YR OPN,5057.0,3792.75,231.75,4905.29,683 CPT,33987,PR ARTL EXPOS/GRFT PERFSN ECMO,2166.0,1624.5,184.98,2166.0,676 CPT,33988,PR INS LT HEART VENT THOR ECMO,7307.0,5480.25,345.36,7087.79,683 CPT,33989,PR RMVL LT HEART VENT THOR ECMO,4086.0,3064.5,219.42,3963.42,683 CPT,33990,HC INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,18352.0,13764.0,304.3,18352.0,916 CPT,33990,PR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,3606.0,2704.5,152.15,3497.82,683 CPT,33991,PR INSERT VAD PERC LEFT HEART W S&I ART&VEN,5557.0,4167.75,202.05,5390.29,683 CPT,33992,"PR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",1965.0,1473.75,80.19,1906.05,683 CPT,33993,PR REPO PERC VENT ASSIST DEV RT OR LT,1611.0,1208.25,69.41,1562.67,683 CPT,33995,HC INSERT PERQ VAD R HRT VENOUS,18172.0,13629.0,304.09,18172.0,915 CPT,33995,PR INSERT PERQ VAD R HRT VENOUS,3589.0,2691.75,152.05,3481.33,683 CPT,33997,PR REMOVE PERQ R HRT VAD,1381.0,1035.75,57.71,1339.57,693 CPT,33999,HC TRANSCAROTID TAVR,2676.0,2007.0,669.38,2676.0,915 CPT,33999,PR TRANSCAROTID TAVR,11993.0,8994.75,299.83,11633.21,683 CPT,34101,PR EMBLC/THRMBC AX/BRACH ARM INC,6006.0,4504.5,263.84,5825.82,683 CPT,34151,PR EMBLC/THRMBC RNL/CEL/AORTILIAC,15288.0,11466.0,613.04,14829.36,683 CPT,34201,PR EMBLC/THRMBC FEM POP AORTILIAC,7546.0,5659.5,449.93,7319.62,683 CPT,34203,PR EMBLC/THRMBC POPLITEAL TIBIO,8529.0,6396.75,418.48,8273.13,683 CPT,34401,PR THRMBC DIR/W CATH VENA ABD INC,11383.0,8537.25,591.44,11041.51,683 CPT,34502,PR RCNSTRCT VENA CAVA ANY METHOD,19471.0,14603.25,688.37,18886.87,683 CPT,34701,PR EVASC RPR A-AO NDGFT,11493.0,8619.75,541.73,11148.21,683 CPT,34705,PR EVAC RPR A-BIILIAC NDGFT,11305.0,8478.75,667.39,10965.85,683 CPT,34705,REPAIR OF INFRARENAL AORTA AND GROIN ARTERY WITH GRAFT FOR OTHER THAN RUPTURE ON BOTH SIDES WITH REVIEW BY RADIOLOGIST,,,1334.77,2002.16,7 CPT,34707,PR EVASC RPR ILIO-ILIAC NDGFT,10789.0,8091.75,510.11,10465.33,683 CPT,34709,PR PLMT XTN PROSTH EVASC RPR,2612.0,1959.0,280.2,2612.0,676 CPT,34710,PR DLYD PLMT XTN PROSTH 1ST VSL,6942.0,5206.5,350.72,6733.74,683 CPT,34711,PR DLYD PLMT XTN PROSTH EA ADDL,3249.0,2436.75,256.56,3249.0,676 CPT,34713,PR PERQ ACCESS & CLSR FEM ART,778.0,583.5,107.07,778.0,676 CPT,34714,PR OPN FEM ART EXPOS CNDT CRTJ,2600.0,1950.0,238.03,2600.0,676 CPT,34715,PR OPN AX/SUBCLA ART EXPOS,2799.0,2099.25,222.41,2799.0,686 CPT,34716,HC OPN AX/SUBCLA ART EXPOS CNDT,4774.0,3580.5,492.89,4774.0,909 CPT,34716,PR OPN AX/SUBCLA ART EXPOS CNDT,3706.0,2779.5,328.59,3706.0,676 CPT,34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,5294.0,3970.5,385.25,5294.0,676 CPT,34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,14850.0,11137.5,540.05,14404.5,683 CPT,34812,PR OPEN FEM ARTY EXPOSURE UNILAT,3288.0,2466.0,179.55,3288.0,676 CPT,34831,PR RPR ANYSM W AORTOBIILIAC PRSTH,17532.0,13149.0,851.31,17006.04,683 CPT,34833,PR ILIAC ART EXPOS W CONDUIT UNILAT,4516.0,3387.0,344.59,4516.0,676 CPT,34834,PR BRACH ART EXPOS DPL PROSTH UNILAT,2507.0,1880.25,113.17,2507.0,676 CPT,34842,PR EVASC VISC AORTA RPR 2 GRAFT,17554.0,13165.5,756.24,17027.38,683 CPT,34843,PR EVASC VISCER AORT RPR 3 GRFT,17588.0,13191.0,816.73,17060.36,683 CPT,34845,PR VISC & INFRAREN ABD 1 PROSTH,22917.0,17187.75,756.24,22229.49,683 CPT,34846,PR VISC & INFRAREN ABD 2 PROSTH,24024.0,18018.0,786.48,23303.28,683 CPT,34847,PR VISC & INFRAREN ABD 3 PROSTH,31883.0,23912.25,786.48,30926.51,683 CPT,34848,PR VISC & INFRAREN ABD 4+ PROSTH,35774.0,26830.5,816.73,34700.78,683 CPT,35045,PR DIR RPR ANEURYSM RAD/ULNR ARTY,9966.0,7474.5,422.84,9667.02,683 CPT,35045,REPAIR OF ANEURYSM OR FOREARM ARTERY WITH GRAFT,,,1268.51,6828.43,7 CPT,35081,PR DIR RPR ARYSM ABDOMINAL AORTA,17508.0,13131.0,763.74,16982.76,683 CPT,35082,PR DIR RPR RUPTD ARYSM ABD AORTA,23659.0,17744.25,948.94,22949.23,683 CPT,35102,PR DIR REPAIR AAA W ILIAC VESSEL,15860.0,11895.0,825.35,15384.2,683 CPT,35121,PR DIR RPR ARYSM HEP/CEL/RENL/MES,12878.0,9658.5,697.24,12491.66,683 CPT,35131,PR DIR RPR ARYSM& GRFT ILIAC ARTY,13535.0,10151.25,611.04,13128.95,683 CPT,35141,PR DIR RPR ARYSM& GRFT FEM ARTY,10582.0,7936.5,480.78,10264.54,683 CPT,35151,PR DIR RPR ARYSM& GRFT POPLT ARTY,9625.0,7218.75,544.91,9336.25,683 CPT,35190,PR RPR/TRAUMATIC AV FISTULA EXT,6297.0,4722.75,332.86,6108.09,683 CPT,35201,PR RPR BLOOD VESSEL DIRECT NECK,9689.0,7266.75,410.71,9398.33,683 CPT,35206,PR RPR BLOOD VSSL DIR UPR EXTRM,8250.0,6187.5,351.92,8002.5,683 CPT,35206,REPAIR OF BLOOD VESSEL OF ARM,,,1055.76,3874.69,7 CPT,35207,PR RPR BLOOD VESSEL DIR HAND FGR,8034.0,6025.5,332.74,7792.98,683 CPT,35211,PR RPR BLD VSSL INTRATHORA W BYP,15324.0,11493.0,640.92,14864.28,683 CPT,35216,PR RPR BLD VSSL INTRATHORA WO BYP,18358.0,13768.5,926.45,17807.26,683 CPT,35221,PR RPR BLD VSSL DIRECT INTRA ABD,13185.0,9888.75,649.68,12789.45,683 CPT,35226,PR RPR BLD VSSL DIRECT LOWER EXT,9195.0,6896.25,367.19,8919.15,683 CPT,35236,PR RPR BLD VSSL W VEIN GRAFT UE,11836.0,8877.0,445.49,11480.92,683 CPT,35236,REPAIR OF BLOOD VESSEL OF ARM WITH VEIN GRAFT,,,1336.47,8148.45,7 CPT,35241,PR RPR BLD VSL VEIN GRF INTRATHOR,12075.0,9056.25,665.44,11712.75,683 CPT,35256,PR RPR BLD VSSL VEIN GRFT LOWEREXT,9920.0,7440.0,450.49,9622.4,683 CPT,35266,PR RPR BLD VSL NOT VEIN GRFT UE,8796.0,6597.0,382.34,8532.12,683 CPT,35271,PR RPR BLD VSL NOT V GRFT IT W BYP,12664.0,9498.0,642.27,12284.08,683 CPT,35281,PR RPR BLVSL W GRFT INTRA ABD,17842.0,13381.5,720.89,17306.74,683 CPT,35286,PR RPR BLVSL W GRFT LOWER EXT,8440.0,6330.0,408.45,8186.8,683 CPT,35301,PR TEA CARTD/VERTB/SUBCL NECK INC,6354.0,4765.5,497.54,6163.38,683 CPT,35302,PR TEA W GRFT SUPERFICIAL FEM ARTY,8716.0,6537.0,491.28,8454.52,683 CPT,35351,PR TEA W/WO PATCH GRAFT ILIAC,11357.0,8517.75,567.52,11016.29,683 CPT,35371,PR TEA W/WO PATCH GRFT COMMON FEM,7051.0,5288.25,359.01,6839.47,683 CPT,35371,REMOVAL OF BLOOD CLOT AND PORTION OF UPPER THIGH ARTERY,,,718.01,1077.02,7 CPT,35556,PR BYP W VEIN FEMRL TO POPLITEAL,11521.0,8640.75,612.4,11175.37,683 CPT,35566,PR BYP FEM TO ANT/POST TIBIAL,12662.0,9496.5,728.7,12282.14,683 CPT,35570,PR BYP TIB-TIB/PERONEAL-TIB,12724.0,9543.0,650.55,12342.28,683 CPT,35571,PR BYP POP TO TIBL OR PERONEAL,13157.0,9867.75,582.47,12762.29,683 CPT,35600,PR HARVEST UE ARTY 1 SEGMENT CABG,2511.0,1883.25,164.15,2511.0,676 CPT,35606,PR BYP NOT VEIN CAROTID TO SUBCL,11034.0,8275.5,516.73,10702.98,683 CPT,35626,PR BYP NOT VEIN AORTOSUBCL/CARTD,16879.0,12659.25,719.11,16372.63,683 CPT,35631,PR BYP NOT VEIN AORTO CEL/MSN/REN,22154.0,16615.5,812.42,21489.38,683 CPT,35633,PR BYP GRFT NOT VEIN ILIO TO MSN,22207.0,16655.25,874.62,21540.79,683 CPT,35634,PR BYP GRFT VEIN NOT ILIORENAL,19514.0,14635.5,779.28,18928.58,683 CPT,35638,PR BYP NOT VEIN AORTOBI TO ILIAC,19307.0,14480.25,767.43,18727.79,683 CPT,35646,PR BYP NOT VEIN AORTOBI TO FEM,14645.0,10983.75,748.88,14205.65,683 CPT,35656,PR BYP NOT VEIN FEMORAL TO POP,11124.0,8343.0,471.69,10790.28,683 CPT,35661,PR BYP NOT VEIN FEM TO FEM,11357.0,8517.75,476.7,11016.29,683 CPT,35665,PR BYP GRFT NOT VEIN ILIOFEMORAL,11492.0,8619.0,517.44,11147.24,683 CPT,35666,PR BYP NOT VEIN FEM TO ANT TIB,12492.0,9369.0,566.58,12117.24,683 CPT,35682,PR BYP AUTOG COMPOSIT 2 SEG 2 LOC,3265.0,2448.75,306.07,3265.0,676 CPT,35694,PR TRPOS&/RPLC SUBCL CARTD ARTY,9603.0,7202.25,437.29,9314.91,683 CPT,35700,PR REOP > 1 MO AFTER ORIGINAL OP,1604.0,1203.0,132.54,1604.0,676 CPT,35701,EXPLORATION OF NECK ARTERY,,,374.22,561.33,7 CPT,35701,PR EXPLR W/WO LYSIS CAROTID ARTY,4965.0,3723.75,187.11,4816.05,683 CPT,35702,EXPLORATION OF ARM ARTERY,,,542.27,3564.51,7 CPT,35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3445.0,2583.75,180.76,3341.65,683 CPT,35703,EXPLORATION OF LEG ARTERY,,,553.38,3564.51,7 CPT,35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,4594.0,3445.5,184.46,4456.18,683 CPT,35800,PR EXPLR PO HEMR THROM/INFC NECK,4186.0,3139.5,322.06,4060.42,683 CPT,35820,"EXPLORATION OF CHEST FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,2725.13,10769.24,7 CPT,35820,PR EXPLR PO HEMR THROM/INFC CHEST,12793.0,9594.75,908.38,12409.21,683 CPT,35840,PR EXPLR PO HEMR THROM/INFC ABD,6365.0,4773.75,545.23,6174.05,683 CPT,35860,"EXPLORATION OF ARM OR LEG FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,1129.5,3874.69,7 CPT,35860,PR EXPLR PO HEMR THROM/INFC EXT,4484.0,3363.0,376.5,4349.48,683 CPT,35875,PR THROMB ARTL GRFT NOT HEMO GRFT,5727.0,4295.25,261.3,5555.19,683 CPT,35875,REMOVAL OF BLOOD CLOT OF ARTERY OR VEIN GRAFT,,,783.89,6828.43,7 CPT,35876,PR THROMB ARTL/VEIN GRFT W REV GRFT,10374.0,7780.5,415.75,10062.78,683 CPT,35879,REVISION OF LEG ARTERY BYPASS WITH VEIN PATCH,,,1224.35,6828.43,7 CPT,35903,PR EXCISN INFECTED GRFT EXTREMITY,6020.0,4515.0,251.33,5839.4,683 CPT,35905,PR EXCISION INFECTED GRAFT THORAX,10069.0,7551.75,740.71,9766.93,683 CPT,35907,PR EXCISN INFECTED GRAFT ABDOMEN,18750.0,14062.5,836.25,18187.5,683 CPT,36000,HC INTRO NDL/CATH VEIN,164.0,123.0,73.8,164.0,910 CPT,36000,INSERTION OF NEEDLE OR TUBE INTO VEIN FACILITY,,,583.07,961.98,6 CPT,36000,PR INTRO NDL/CATH VEIN,166.0,124.5,8.3,166.0,635 CPT,36002,HC INJ PERC TX EXT PSEUDOARYSM,2568.0,1926.0,134.78,2568.0,915 CPT,36002,INJECTION TO CAUSE BLOOD CLOT IN DISEASED OR PSEUDOANEURYSM OF ARM OR LEG FACILITY,,,134.78,769.79,7 CPT,36002,PR INJ PERC TX EXT PSEUDOARYSM,1263.0,947.25,73.73,1225.11,683 CPT,36005,HC INJ EXT VENOGRPH W NDLCATH,2993.0,2244.75,61.23,2993.0,1820 CPT,36005,INJECTION FOR X-RAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG FACILITY,,,61.23,1931.72,7 CPT,36005,PR INJ EXT VENOGRPH W NDLCATH,1464.0,1098.0,118.64,1420.08,683 CPT,36010,HC INTRO CATH SUPR/INF VENA CAVA,2643.0,1982.25,139.35,2643.0,910 CPT,36010,INSERTION OF TUBE INTO VENA CAVA FACILITY,,,139.35,14166.39,7 CPT,36010,PR INTRO CATH SUPR/INF VENA CAVA,2537.0,1902.75,248.57,2460.89,683 CPT,36011,HC SEL CATH PLC VEN SYS 1ST ORDER,4921.0,3690.75,200.27,4921.0,911 CPT,36011,"INSERTION OF TUBE INTO VEIN, FIRST ORDER BRANCH FACILITY",,,200.27,6828.43,7 CPT,36011,PR SEL CATH PLC VEN SYS 1ST ORDER,3934.0,2950.5,379.41,3815.98,683 CPT,36012,HC SEL CATH PLC VEN SYS 2ND ORDER,4489.0,3366.75,225.12,4489.0,909 CPT,36012,"INSERTION OF TUBE INTO VEIN, SECOND ORDER BRANCH FACILITY",,,225.12,3874.69,7 CPT,36012,PR SEL CATH PLC VEN SYS 2ND ORDER,4150.0,3112.5,392.23,4025.5,683 CPT,36013,HC INTRO CATH RT HEART/PULM ARTY,957.0,717.75,164.69,957.0,909 CPT,36013,PR INTRO CATH RT HEART/PULM ARTY,3176.0,2382.0,54.9,3080.72,697 CPT,36014,HC SEL CATH PLC LT/RT PULM ARTERY,1611.0,1208.25,191.67,1611.0,909 CPT,36014,INSERTION OF TUBE INTO LEFT OR RIGHT PULMONARY ARTERY FACILITY,,,191.67,22495.57,7 CPT,36014,PR SEL CATH PLC LT/RT PULM ARTERY,2701.0,2025.75,364.41,2619.97,683 CPT,36015,HC PLC CATH SEGM PULM ARTY,4246.0,3184.5,219.06,4246.0,909 CPT,36015,INSERTION OF TUBE INTO ARTERY OF LOBE OF LUNG FACILITY,,,219.06,6828.43,7 CPT,36015,PR PLC CATH SEGM PULM ARTY,3668.0,2751.0,385.67,3557.96,683 CPT,36140,HC INTRO NDL/CATH EXT ARTY,4232.0,3174.0,115.16,4232.0,909 CPT,36140,INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG FACILITY,,,115.16,14166.39,7 CPT,36140,PR INTRO NDL/CATH EXT ARTY,2058.0,1543.5,242.29,1996.26,683 CPT,36200,HC INTRODUCTION CATHETER AORTA,4036.0,3027.0,179.34,4036.0,910 CPT,36200,INSERTION OF TUBE INTO AORTA FACILITY,,,179.34,3874.69,7 CPT,36200,PR INTRODUCTION CATHETER AORTA,2475.0,1856.25,274.69,2400.75,683 CPT,36215,HC SEL CATH EA 1ST ORD THRC/BRCH,4945.0,3708.75,276.14,4945.0,1818 CPT,36215,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,276.14,6828.43,7 CPT,36215,PR SEL CATH EA 1ST ORD THRC/BRCH,3502.0,2626.5,516.52,3396.94,683 CPT,36216,HC SEL CATH 1ST/2ND ORD THRC/BRCH,4532.0,3399.0,355.5,4532.0,909 CPT,36216,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,355.5,6984.37,7 CPT,36216,PR SEL CATH 1ST/2ND ORD THRC/BRCH,3903.0,2927.25,524.04,3785.91,683 CPT,36217,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4686.0,3514.5,439.25,4686.0,910 CPT,36217,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,439.25,22495.57,7 CPT,36217,PR SEL CATH 3RD+ORD SEL THRC/BRCH,5836.0,4377.0,957.66,5660.92,683 CPT,36218,HC SEL CATH EA 2ND+ ORD THRC/BRCH,3117.0,2337.75,67.82,3117.0,910 CPT,36218,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, ADDITIONAL SECOND, THIRD ORDER AND BEYOND FACILITY",,,67.82,6828.43,7 CPT,36218,PR SEL CATH EA 2ND+ ORD THRC/BRCH,972.0,729.0,222.9,972.0,676 CPT,36221,HC NONSEL CATH THOR AORTA W ANGIO,25907.0,19430.25,259.61,25907.0,915 CPT,36221,INSERTION OF TUBE INTO CHEST AORTA FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,259.61,3874.69,7 CPT,36221,PR NONSEL CATH THOR AORTA W ANGIO,4717.0,3537.75,461.98,4575.49,683 CPT,36222,HC SEL CATH CARTD ANGIO EXTRACRAN,11299.0,8474.25,367.61,11299.0,915 CPT,36222,INSERTION OF TUBE INTO EXTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,367.61,6984.37,7 CPT,36222,PR SEL CATH CARTD ANGIO EXTRACRAN,4523.0,3392.25,610.45,4387.31,683 CPT,36223,HC SEL CATH CARTD ANGIO INTRCR,16538.0,12403.5,431.12,16538.0,915 CPT,36223,INSERTION OF TUBE INTO INTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY-EXPRESS CARE,,,431.12,6828.43,7 CPT,36223,PR SEL CATH CARTD ANGIO INTRCR,5578.0,4183.5,927.76,5410.66,683 CPT,36224,HC SEL CATH INTRNL CARTD ARTERY,20034.0,15025.5,480.93,20034.0,917 CPT,36224,INSERTION OF TUBE INTO INTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,480.93,6828.43,7 CPT,36224,PR SEL CATH INTRNL CARTD ARTERY,6524.0,4893.0,1138.24,6328.28,683 CPT,36225,HC SEL CATH SUBCL ARTY ANGIO VERT,19414.0,14560.5,426.86,19414.0,915 CPT,36225,INSERTION OF TUBE INTO CHEST ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY-EXPRESS CARE,,,426.86,6828.43,7 CPT,36225,PR SEL CATH SUBCL ARTY ANGIO VERT,5103.0,3827.25,868.08,4949.91,683 CPT,36226,HC SEL CATH VERT ARTY ANGIO VERT,16695.0,12521.25,477.27,16695.0,917 CPT,36226,INSERTION OF TUBE INTO BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,477.27,6828.43,7 CPT,36226,PR SEL CATH VERT ARTY ANGIO VERT,6850.0,5137.5,1107.08,6644.5,683 CPT,36227,HC SEL CATH EXT CARTD W ANGIO,9238.0,6928.5,156.78,9238.0,910 CPT,36227,INSERTION OF TUBE INTO EXTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,156.78,6828.43,7 CPT,36227,PR SEL CATH EXT CARTD W ANGIO,2140.0,1605.0,264.73,2140.0,676 CPT,36228,HC SEL CATH INT CARTD W ANGIO,8036.0,6027.0,325.07,8036.0,909 CPT,36228,INSERTION OF TUBE INTO NECK OR BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,325.07,6828.43,7 CPT,36228,PR SEL CATH INT CARTD W ANGIO,5452.0,4089.0,1492.23,5452.0,676 CPT,36245,HC SEL CATH EA 1ST ORD ABD PLV/LE,5464.0,4098.0,303.17,5464.0,909 CPT,36245,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,303.17,6984.37,7 CPT,36245,PR SEL CATH EA 1ST ORD ABD PLV/LE,4276.0,3207.0,581.52,4147.72,683 CPT,36246,HC SEL CATH 2ND ORDER ABD PLV/LE,6057.0,4542.75,323.52,6057.0,910 CPT,36246,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,323.52,22495.57,7 CPT,36246,PR SEL CATH 2ND ORDER ABD PLV/LE,3437.0,2577.75,387.16,3333.89,683 CPT,36247,HC SEL CATH 3RD+ ORD SEL ABD LE,6618.0,4963.5,379.79,6618.0,910 CPT,36247,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,379.79,6828.43,7 CPT,36247,PR SEL CATH 3RD+ ORD SEL ABD LE,5287.0,3965.25,658.2,5128.39,683 CPT,36248,HC SEL CATH EA 2ND+ ORD ABD LE,4349.0,3261.75,61.04,4349.0,910 CPT,36248,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, ADDITIONAL SECOND, THIRD, AND BEYOND FACILITY",,,61.04,22495.57,7 CPT,36248,PR SEL CATH EA 2ND+ ORD ABD LE,726.0,544.5,109.31,726.0,676 CPT,36251,HC SEL CATH RENAL ARTY&ANGIO UNILAT,12012.0,9009.0,328.59,12012.0,916 CPT,36251,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,328.59,3874.69,7 CPT,36251,PR SEL CATH RENAL ARTY&ANGIO UNILAT,5268.0,3951.0,594.85,5109.96,683 CPT,36252,HC SEL CATH RENAL ARTY&ANGIO BIL,20840.0,15630.0,451.86,20840.0,915 CPT,36252,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF BOTH KIDNEYS FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,451.86,3874.69,7 CPT,36252,PR SEL CATH RENAL ARTY&ANGIO BIL,6396.0,4797.0,150.62,6204.12,697 CPT,36253,HC CATH 2ND+ORD RENAL ARTERY UNILAT,18810.0,14107.5,449.33,18810.0,916 CPT,36253,INSERTION OF TUBE INTO SECOND OR THIRD ORDER BRANCHES OF ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,449.33,14166.39,7 CPT,36253,PR CATH 2ND+ORD RENAL ARTERY UNILAT,7769.0,5826.75,921.37,7535.93,683 CPT,36254,INSERTION OF TUBE INTO SECOND OR THIRD ORDER BRANCHES OF ARTERIES OF BOTH KIDNEYS FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,528.92,14166.39,7 CPT,36299,HC UNLISTED PROC VASCULAR INJ,1387.0,1040.25,624.15,1387.0,910 CPT,36299,UNLISTED PROC VASCULAR INJ - FACILITY,,,3369.29,3874.69,6 CPT,36410,HC VENI >=3 YR W RN,151.0,113.25,11.82,146.47,909 CPT,36410,INSERTION OF NEEDLE INTO VEIN (3 YEARS OR OLDER) FACILITY,,,11.82,261.02,7 CPT,36410,PR VENI >=3 YR W MD,28.0,21.0,9.28,27.84,683 CPT,36415,HC VENIPUNCTURE,29.0,21.75,9.34,29.0,876 CPT,36415,INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE FACILITY,,,14.01,128.29,7 CPT,36415,PR VENIPUNCTURE,29.0,21.75,9.34,28.13,615 CPT,36430,HC BLOOD TRANSFUSION,1531.0,1148.25,68.78,1531.0,918 CPT,36430,PR BLOOD TRANSFUSION,365.0,273.75,45.85,365.0,676 CPT,36430,TRANSFUSION OF BLOOD OR BLOOD PRODUCTS FACILITY,,,68.78,541.38,7 CPT,36455,PR EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,1196.0,897.0,55.46,1160.12,683 CPT,36465,PR NJX NONCMPND SCLRSNT 1 VEIN,2704.0,2028.0,51.42,2622.88,697 CPT,36468,HC INJ SNGL/MULT SPIDER VEIN LIMB,1144.0,858.0,433.79,1144.0,915 CPT,36468,"INJECTION OF CHEMICAL AGENT INTO SPIDER VEIN OF ARM, LEG, OR TRUNK FACILITY",,,5937.77,6828.43,6 CPT,36468,PR INJ SNGL/MULT SPIDER VEIN LIMB,806.0,604.5,302.25,781.82,683 CPT,36470,INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN FACILITY,,,49.32,498.85,7 CPT,36470,PR INJ SCLEROSING SOLN SNGL VEIN,434.0,325.5,58.68,420.98,683 CPT,36471,HC INJ SCLEROSING SOLN MULT VEIN,2479.0,1859.25,97.73,2479.0,916 CPT,36471,INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF LEG FACILITY,,,97.73,6828.43,7 CPT,36471,PR INJ SCLEROSING SOLN MULT VEIN,699.0,524.25,99.57,678.03,684 CPT,36473,MECHANOCHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,231.17,3874.69,7 CPT,36473,PR ENDOVEN ABLT MCHNCHEM 1ST VN,8007.0,6005.25,569.18,7766.79,683 CPT,36475,DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE FACILITY,,,359.81,6828.43,7 CPT,36475,PR ENDOVENOUS ABLATION 1ST VEIN,6726.0,5044.5,512.21,6524.22,683 CPT,36478,PR ENDOVENOUS ABLT LASER 1ST VEIN,4398.0,3298.5,475.59,4266.06,683 CPT,36481,HC CATH PORTAL VEIN PERC,6290.0,4717.5,414.72,6290.0,910 CPT,36481,INSERTION OF TUBE INTO PORTAL VEIN OF LIVER FACILITY,,,414.72,1113.0,7 CPT,36481,PR CATH PORTAL VEIN PERC,5541.0,4155.75,796.07,5374.77,683 CPT,36482,CHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,231.66,6828.43,7 CPT,36500,HC CATH VEN SEL ORGAN BLD SAMPLNG,4603.0,3452.25,234.56,4603.0,910 CPT,36500,INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE FACILITY,,,234.56,6828.43,7 CPT,36500,PR CATH VEN SEL ORGAN BLD SAMPLNG,1130.0,847.5,78.19,1096.1,683 CPT,36511,HC APHERESIS THERAPEUTIC WBC,8197.0,6147.75,134.84,8197.0,915 CPT,36511,PR APHERESIS THERAPEUTIC WBC,530.0,397.5,44.95,514.1,683 CPT,36512,HC APHERESIS THERAPEUTIC RBC,6011.0,4508.25,127.13,6011.0,915 CPT,36512,MECHANICAL SEPARATION OF RED BLOOD CELLS FROM BLOOD FACILITY,,,127.13,1911.19,7 CPT,36512,PR APHERESIS THERAPEUTIC RBC,530.0,397.5,42.38,514.1,683 CPT,36513,HC APHERESIS THERAPEUTIC PLT,7571.0,5678.25,130.29,7571.0,915 CPT,36513,PR APHERESIS THERAPEUTIC PLT,530.0,397.5,43.43,514.1,683 CPT,36514,HC APHERESIS THERAPEUTIC PLASMA,7753.0,5814.75,115.43,7753.0,917 CPT,36514,MECHANICAL SEPARATION OF PLASMA FROM BLOOD FACILITY,,,115.43,1911.19,7 CPT,36514,PR APHERESIS THERAPEUTIC PLASMA,530.0,397.5,198.75,530.0,683 CPT,36516,HC LDL APHERESIS,14813.0,11109.75,108.65,14813.0,916 CPT,36516,MECHANICAL SEPARATION OF PLASMA AND ABNORMAL ANTIBODIES FROM BLOOD FACILITY,,,108.65,5344.83,7 CPT,36516,PR LDL APHERESIS,530.0,397.5,198.75,530.0,683 CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,13716.0,10287.0,115.53,13716.0,916 CPT,36522,MECHANICAL SEPARATION OF WHITE BLOOD CELLS AND PLATELETS FROM BLOOD FACILITY,,,115.53,5344.83,7 CPT,36522,PR PHOTOPHERESIS EXTRACORPOREAL,530.0,397.5,198.75,530.0,683 CPT,36556,HC INS NON-TUN CVC >5YR,5410.0,4057.5,113.99,5724.0,1832 CPT,36556,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,113.99,3874.69,7 CPT,36556,PR INS NON-TUN CVC >5YR,1330.0,997.5,231.34,1330.0,676 CPT,36557,HC INS TUNL CVC WO PORT < 5 YR,12215.0,9161.25,448.26,12215.0,915 CPT,36558,HC INS TUNL CVC WO PORT >=5YR,8484.0,6363.0,341.24,8484.0,916 CPT,36558,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,341.24,3874.69,7 CPT,36558,PR INS TUNL CVC WO PORT >=5YR,4035.0,3026.25,382.7,3913.95,683 CPT,36561,HC INS TUNL CVAD W PORT >= 5 YR,11357.0,8517.75,439.37,11357.0,917 CPT,36561,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER) FACILITY,,,439.37,3874.69,7 CPT,36561,PR INS TUNL CVAD W PORT >= 5 YR,4721.0,3540.75,467.52,4579.37,683 CPT,36569,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3884.0,2913.0,126.26,3884.0,2745 CPT,36569,INSERTION OF TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,126.26,1931.72,7 CPT,36569,PR INS PICC WO PORT/PUMP >=5YR WO GUIDE,1308.0,981.0,71.54,1308.0,686 CPT,36573,HC INSJ PICC RS&I 5 YR+,4516.0,3387.0,106.43,4516.0,1832 CPT,36573,"INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST, PATIENT 5 YEARS OR OLDER FACILITY",,,106.43,1931.72,7 CPT,36573,PR INSJ PICC RS&I 5 YR+,4506.0,3379.5,355.44,4506.0,676 CPT,36575,HC RPR TUN/NON-TUNL CVC WO PORT,1888.0,1416.0,43.82,1888.0,916 CPT,36575,PR RPR TUN/NON-TUNL CVC WO PORT,953.0,714.75,71.73,924.41,683 CPT,36575,REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION FACILITY,,,43.82,769.79,7 CPT,36576,PR REPAIR CV CATH W SUBQ PORT,2095.0,1571.25,172.14,2032.15,683 CPT,36578,PR RPLC CATH CVAD W SUBQ PORT,3494.0,2620.5,92.03,3389.18,697 CPT,36580,HC RPLC CVC NONTUNL COMPLT,4708.0,3531.0,84.47,4708.0,915 CPT,36580,PR RPLC CVC NONTUNL COMPLT,1330.0,997.5,187.72,1330.0,676 CPT,36581,HC RPLC COMPLT TUNL CVC WO PORT,9438.0,7078.5,241.8,9438.0,916 CPT,36581,PR RPLC COMPLT TUNL CVC WO PORT,3710.0,2782.5,368.01,3598.7,683 CPT,36581,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,241.8,3874.69,7 CPT,36582,HC RPLC COMPLT TUNL CVAD W PORT,9904.0,7428.0,379.61,9904.0,916 CPT,36582,PR RPLC COMPLT TUNL CVAD W PORT,5378.0,4033.5,416.53,5216.66,683 CPT,36582,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PORT FACILITY,,,379.61,3874.69,7 CPT,36584,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,5883.0,4412.25,74.88,5883.0,916 CPT,36584,PR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,947.0,710.25,298.81,947.0,676 CPT,36584,REPLACEMENT OF PERIPHERALLY INSERTED CENTRAL VENOUS TUBE (PICC) WITH REVIEW BY RADIOLOGIST FACILITY,,,74.88,1931.72,7 CPT,36589,HC RMVL TUN CV CATH WO SUBQ PORT,2957.5,2218.125,183.53,3317.0,2748 CPT,36589,PR RMVL TUN CV CATH WO SUBQ PORT,1591.0,1193.25,68.92,1543.27,684 CPT,36589,REMOVAL OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,183.53,769.79,7 CPT,36590,HC RMVL TUNL CVAD W SUBQ PORT/PMP,4844.0,3633.0,252.69,4844.0,918 CPT,36590,PR RMVL TUNL CVAD W SUBQ PORT/PMP,1964.0,1473.0,93.19,1905.08,693 CPT,36590,REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP FACILITY,,,252.69,1931.72,7 CPT,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE FACILITY,,,44.12,163.27,7 CPT,36591,HC COLLECT BLOOD FROM IMPLANT VAD,392.0,294.0,44.12,474.33,1836 CPT,36591,PR COLLECT BLOOD FROM IMPLANT VAD,135.0,101.25,29.41,135.0,683 CPT,36592,COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE FACILITY,,,48.98,261.02,7 CPT,36592,HC COLLECT BLOOD PICC VENOUS NOS,379.0,284.25,48.98,432.62,1836 CPT,36592,PR COLLECT BLOOD PICC VENOUS NOS,124.0,93.0,32.65,124.0,679 CPT,36593,DECLOTTING OF CENTRAL VENOUS TUBE FACILITY,,,55.23,405.33,7 CPT,36593,HC DECLOT IMPL VAD/CATH,1002.0,751.5,55.23,1002.0,1832 CPT,36593,PR DECLOT IMPL VAD/CATH,200.0,150.0,36.82,200.0,680 CPT,36595,MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE FACILITY,,,232.2,6984.37,7 CPT,36597,HC REPO PREV PLC CVC FLUORO GUID,5716.0,4287.0,76.73,5716.0,915 CPT,36597,PR REPO PREV PLC CVC FLUORO GUID,601.0,450.75,55.03,582.97,683 CPT,36598,CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE FACILITY,,,44.9,261.02,7 CPT,36598,HC INJ CNTRST RAD EVAL CVAD FLUOR,1506.0,1129.5,44.9,1506.0,915 CPT,36598,PR INJ CNTRST RAD EVAL CVAD FLUOR,1000.0,750.0,56.4,970.0,683 CPT,36600,ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE FACILITY,,,19.31,428.12,7 CPT,36600,HC ARTERIAL PUNCTURE,441.0,330.75,19.31,454.0,1830 CPT,36600,PR ARTERIAL PUNCTURE,148.0,111.0,6.44,143.56,699 CPT,36620,HC ARTL CATH/CNULA MONITOR PERC,1470.0,1102.5,60.3,2088.41,1818 CPT,36620,INSERTION OF ARTERY TUBE FOR BLOOD SAMPLING OR INFUSION THROUGH SKIN FACILITY,,,60.3,60.3,1 CPT,36620,PR ARTL CATH/CNULA MONITOR PERC,922.0,691.5,40.2,922.0,676 CPT,36680,HC PLC NEEDLE INTRAOSSEUS INF,1192.0,894.0,84.51,1156.24,916 CPT,36680,INSERTION OF NEEDLE FOR INFUSION INTO BONE FACILITY,,,84.51,15754.92,7 CPT,36680,PR PLC NEEDLE INTRAOSSEUS INF,653.0,489.75,28.17,633.41,683 CPT,36818,PR ART VEN ANAST OPN UARM CEPHALC,5329.0,3996.75,305.06,5169.13,683 CPT,36819,PR ART VEN ANAST OPN UARM BASILIC,7548.0,5661.0,322.02,7321.56,683 CPT,36819,RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,966.05,6828.43,7 CPT,36821,PR ARTERIOVENOUS ANAST OPN DIRECT,3836.0,2877.0,291.57,3720.92,683 CPT,36821,RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,874.7,3874.69,7 CPT,36825,CREATION OF ARTERY-VEIN CONNECTION USING VEIN GRAFT FOR HEMODIALYSIS,,,1049.52,6828.43,7 CPT,36825,PR CREATE ART VEN FSTL AUTOGRAFT,7248.0,5436.0,349.84,7030.56,683 CPT,36830,CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS,,,883.85,6828.43,7 CPT,36830,PR CREATE ART VEN FSTL NONAUTGRFT,6060.0,4545.0,294.62,5878.2,683 CPT,36832,PR REV ART VEN FSTL WO THRMBCT,5891.0,4418.25,334.08,5714.27,683 CPT,36832,REVISION OF HEMODIALYSIS GRAFT FACILITY,,,1002.23,6828.43,7 CPT,36833,PR REV ART VEN FSTL W THRMBCT,6092.0,4569.0,357.34,5909.24,683 CPT,36833,REVISION OF HEMODIALYSIS GRAFT WITH REMOVAL OF BLOOD CLOT,,,1072.01,6828.43,7 CPT,36901,HC AV FISTULA IMAGING,4914.0,3685.5,216.3,4914.0,916 CPT,36901,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST FACILITY,,,216.3,3874.69,7 CPT,36901,PR AV FISTULA IMAGING,3259.0,2444.25,333.29,3161.23,683 CPT,36902,HC AV FISTULA PTA,23042.0,17281.5,308.61,23042.0,915 CPT,36902,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,308.61,6984.37,7 CPT,36902,PR AV FISTULA PTA,4148.0,3111.0,578.0,4023.56,683 CPT,36903,HC AV FISTULA STENT,57553.0,43164.75,407.28,57553.0,915 CPT,36903,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,407.28,14166.39,7 CPT,36903,PR AV FISTULA STENT,30972.0,23229.0,135.76,30042.84,697 CPT,36904,HC AV FISTULA THROMBECTOMY,21417.0,16062.75,471.02,21417.0,915 CPT,36904,PR AV FISTULA THROMBECTOMY,8301.0,6225.75,845.1,8051.97,683 CPT,36904,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,471.02,6984.37,7 CPT,36905,HC AV FISTULA PTA THROMBECTOMY,36400.0,27300.0,567.06,36400.0,915 CPT,36905,PR AV FISTULA PTA THROMBECTOMY,8928.0,6696.0,1070.5,8660.16,683 CPT,36905,"REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH IMAGING REVIEW BY RADIOLOGIST, WITH BALLOON TUBE FACILITY",,,567.06,14166.39,7 CPT,36906,HC AV FISTULA STENT THROMBECTOMY,51917.0,38937.75,654.44,51917.0,915 CPT,36906,PR AV FISTULA STENT THROMBECTOMY,27647.0,20735.25,2868.23,26817.59,683 CPT,36907,BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,187.46,3874.69,7 CPT,36907,HC AV FISTULA PTA CENTRAL,15536.0,11652.0,187.46,15536.0,910 CPT,36907,PR AV FISTULA PTA CENTRAL,4250.0,3187.5,561.91,4250.0,676 CPT,36908,HC AV FISTULA STENT CENTRAL,14972.0,11229.0,266.63,14972.0,909 CPT,37140,PR VENOUS ANASTOMOSIS OPEN,17620.0,13215.0,1036.17,17091.4,683 CPT,37180,PR VENOUS ANAST OPN SPLENORENAL,16873.0,12654.75,950.67,16366.81,683 CPT,37181,PR VEN ANAST OPN SPLENORENL DIST,22823.0,17117.25,1036.17,22138.31,683 CPT,37182,HC INS HEPATIC SHUNT (TIPS),15201.0,11400.75,1034.27,22495.57,916 CPT,37182,INSERTION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,1034.27,22495.57,7 CPT,37182,PR INS HEPATIC SHUNT (TIPS),7873.0,5904.75,344.76,7636.81,683 CPT,37183,HC REVISE HEPATIC SHUNT (TIPS),33663.0,25247.25,474.92,33663.0,916 CPT,37183,PR REVISE HEPATIC SHUNT (TIPS),8347.0,6260.25,2620.67,8096.59,683 CPT,37183,REVISION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,474.92,6984.37,7 CPT,37184,HC THRMBCT MECH PRIM PERC INIT VSL,32604.0,24453.0,551.33,32604.0,915 CPT,37184,PR THRMBCT MECH PRIM PERC INIT VSL,10832.0,8124.0,791.6,10507.04,683 CPT,37185,HC THRMBC MECH PRIM PERC SBSQ VSL,17280.0,12960.0,206.99,17280.0,909 CPT,37185,PR THRMBC MECH PRIM PERC SBSQ VSL,2689.0,2016.75,445.79,2689.0,676 CPT,37186,PR THRMBCT PERC TRLUML SEC NONCOR,9623.0,7217.25,211.99,9623.0,690 CPT,37187,HC THRMBCT MECH TRLUML VEIN,30285.0,22713.75,506.85,30285.0,916 CPT,37187,PR THRMBCT MECH TRLUML VEIN,7738.0,5803.5,776.77,7505.86,683 CPT,37187,"REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE, INITIAL TREATMENT FACILITY",,,506.85,22495.57,7 CPT,37191,HC INSERT EVASC VENA CAVA FILTER,17640.0,13230.0,280.83,17640.0,916 CPT,37191,INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,280.83,6828.43,7 CPT,37191,PR INSERT EVASC VENA CAVA FILTER,6010.0,4507.5,914.4,5829.7,683 CPT,37193,HC RTREV/RMVL EVASC VENACAVA FLTR,10389.0,7791.75,443.57,10389.0,917 CPT,37193,PR RTREV/RMVL EVASC VENACAVA FLTR,6697.0,5022.75,685.77,6496.09,683 CPT,37193,REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,443.57,3874.69,7 CPT,37195,HC THROMBOLYSIS CEREBRAL INFUS,1377.0,1032.75,352.46,1335.69,915 CPT,37197,HC RTREV/RMVL INTRAVASC FB W IMG,9194.0,6895.5,387.65,9194.0,915 CPT,37197,PR RTREV/RMVL INTRAVASC FB W IMG,9245.0,6933.75,129.22,8967.65,697 CPT,37200,BIOPSY OF BLOOD VESSEL USING TUBE FACILITY,,,273.14,6828.43,7 CPT,37200,HC TRANSCATHETER BIOPSY,13167.0,9875.25,273.14,13167.0,917 CPT,37200,PR TRANSCATHETER BIOPSY,2408.0,1806.0,91.05,2335.76,683 CPT,37211,HC TRANSCATH ARTL THPY W S&I INIT,15756.0,11817.0,495.05,15756.0,915 CPT,37211,PR TRANSCATH ARTL THPY W S&I INIT,3336.0,2502.0,165.02,3235.92,683 CPT,37212,HC TRANSCATH VEN THPY W S&I INIT,8757.0,6567.75,431.66,8757.0,915 CPT,37212,PR TRANSCATH VEN THPY W S&I INIT,3724.0,2793.0,143.89,3612.28,683 CPT,37213,PR TRANSCATH ARTL/VEN THPY W S&I,2101.0,1575.75,98.86,2037.97,683 CPT,37214,HC CESSATION THROMBLYS RMVL CATH,12559.0,9419.25,156.96,12559.0,915 CPT,37214,PR CESSATION THROMBLYS RMVL CATH,1248.0,936.0,52.32,1210.56,683 CPT,37215,HC PLC STENT CAROTID EMBO PROTECT,27040.0,20280.0,862.38,27040.0,915 CPT,37215,INSERTION OF STENT AND BLOOD CLOT PROTECTION DEVICE IN NECK ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,862.38,1293.57,7 CPT,37215,PR PLC STENT CAROTID EMBO PROTECT,7784.0,5838.0,431.19,7550.48,683 CPT,37216,HC PLC STNT CARTD WO EMBO PROTECT,27040.0,20280.0,12168.0,27040.0,909 CPT,37217,PR PLC STENT INTRTHRC CARTD/INNOM,12266.0,9199.5,475.29,11898.02,683 CPT,37220,"BALLOON DILATION OF GROIN ARTERY, INITIAL VESSEL FACILITY",,,3369.29,3874.69,6 CPT,37221,"INSERTION OF STENT IN GROIN ARTERY, INITIAL VESSEL FACILITY",,,92.86,106.79,4 CPT,37222,"BALLOON DILATION OF GROIN ARTERY, EACH ADDITIONAL VESSEL FACILITY",,,12.84,14.77,6 CPT,37223,"INSERTION OF STENT IN GROIN ARTERY, ADDITIONAL VESSEL FACILITY",,,141.97,163.27,6 CPT,37224,BALLOON DILATION OF ARTERY OF LEG FACILITY,,,15.72,18.08,6 CPT,37226,INSERTION OF STENT IN ARTERIES OF LEG FACILITY,,,141.97,163.27,6 CPT,37228,"BALLOON DILATION OF ARTERY OF LEG, INITIAL VESSEL FACILITY",,,433.79,498.85,6 CPT,37232,"BALLOON DILATION OF ARTERY OF LEG, EACH ADDITIONAL VESSEL FACILITY",,,3369.29,3874.69,6 CPT,37236,HC PLC OPN/PERC STENT INIT,35277.0,26457.75,569.15,35277.0,1830 CPT,37236,"INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY, CHEST, HEART, NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,569.15,14166.39,7 CPT,37236,PR PLC OPN/PERC STENT INIT,9702.0,7276.5,1260.04,9410.94,683 CPT,37237,PR PLC OPN/PERC STENT EA ADD,4455.0,3341.25,1178.94,4455.0,676 CPT,37238,HC PLC OPN/PERC STENT SAME INIT,35443.0,26582.25,395.85,35443.0,1832 CPT,37238,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,395.85,14166.39,7 CPT,37238,PR PLC OPN/PERC STENT SAME INIT,14180.0,10635.0,1587.27,13754.6,683 CPT,37239,HC PLC OPN/PERC STENT SAME EA ADD,34663.0,25997.25,192.45,34663.0,909 CPT,37239,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,192.45,14166.39,7 CPT,37239,PR PLC OPN/PERC STENT SAME EA ADD,6950.0,5212.5,1609.02,6950.0,676 CPT,37241,HC VASC EMBL/OCCLUDE VENOUS,37307.0,27980.25,545.43,37307.0,1832 CPT,37241,OCCLUSION OF VEIN WITH REVIEW BY RADIOLOGIST FACILITY,,,545.43,14166.39,7 CPT,37241,PR VASC EMBL/OCCLUDE VENOUS,15402.0,11551.5,2130.54,14939.94,683 CPT,37242,HC VASC EMBL/OCCLUDE ARTERIAL,35864.0,26898.0,607.5,35864.0,916 CPT,37242,OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,607.5,22495.57,7 CPT,37242,PR VASC EMBL/OCCLUDE ARTERIAL,15124.0,11343.0,3236.28,14670.28,683 CPT,37243,HC VASC EMBL/OCCLUDE TMR INFARCT,36209.0,27156.75,711.47,36209.0,918 CPT,37243,OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST FACILITY,,,711.47,14166.39,7 CPT,37243,PR VASC EMBL/OCCLUDE TMR INFARCT,23736.0,17802.0,3877.14,23023.92,683 CPT,37244,HC VASC EMBL/OCCLUDE HEMORRHAGE,34340.0,25755.0,835.07,34340.0,915 CPT,37244,PR VASC EMBL/OCCLUDE HEMORRHAGE,17808.0,13356.0,2962.91,17273.76,683 CPT,37246,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,451.13,6984.37,7 CPT,37246,HC PTA ARTERIAL INITIAL,20649.0,15486.75,451.13,20649.0,1830 CPT,37246,PR PTA ARTERIAL INITIAL,10114.0,7585.5,847.2,9810.58,683 CPT,37247,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL ARTERY FACILITY",,,222.68,6984.37,7 CPT,37247,HC PTA ARTERIAL EA ADD,15325.0,11493.75,222.68,15325.0,909 CPT,37247,PR PTA ARTERIAL EA ADD,5510.0,4132.5,581.83,5510.0,676 CPT,37248,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,382.01,6984.37,7 CPT,37248,HC PTA VENOUS INITIAL,19180.0,14385.0,382.01,19180.0,1832 CPT,37248,PR PTA VENOUS INITIAL,8110.0,6082.5,633.7,7866.7,683 CPT,37249,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,187.88,6984.37,7 CPT,37249,HC PTA VENOUS EA ADD,11993.0,8994.75,187.88,11993.0,910 CPT,37249,PR PTA VENOUS EA ADD,3203.0,2402.25,415.24,3203.0,676 CPT,37252,HC INTRAVASC US NONCORONARY INIT VSL,10275.0,7706.25,115.7,10275.0,911 CPT,37252,PR INTRAVASC US NONCORONARY INIT VSL,5255.0,3941.25,868.14,5255.0,676 CPT,37252,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, INITIAL VESSEL FACILITY",,,115.7,14166.39,7 CPT,37253,HC INTRAVASC US NONCORONARY ADD VSL,6902.0,5176.5,91.38,6902.0,911 CPT,37253,PR INTRAVASC US NONCORONARY ADD VSL,844.0,633.0,164.81,844.0,676 CPT,37253,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VESSEL FACILITY",,,91.38,3874.69,7 CPT,37258,PR REVSC EVASC IVT STENT SF 1ST,39566.0,29674.5,194.94,38379.02,697 CPT,37263,PR REVSC EVASC FPVT ANGIO SF 1,31602.0,23701.5,2631.23,30653.94,683 CPT,37265,PR REVSC EVSC FPVT ANGIO CPLX 1,72280.0,54210.0,234.11,70111.6,697 CPT,37267,PR REVSC EVSC FPVT STENT SF 1ST,11028.0,8271.0,2524.12,10697.16,683 CPT,37269,PR REVSC EVASC FPVT ST CPLX 1ST,24460.0,18345.0,5598.59,23726.2,683 CPT,37280,PR REVSC EVSC TPVT ANGIO SF 1ST,30582.0,22936.5,217.57,29664.54,697 CPT,37281,PR REVSC EVSC TPVT ANGIO SF EA,4068.0,3051.0,131.05,4068.0,690 CPT,37282,PR RVSC EVSC TPVT ANGIO CPLX 1,27673.0,20754.75,272.93,26842.81,697 CPT,37289,PR REVSC EVSC TPVT ATHRC SF EA,5091.0,3818.25,209.22,5091.0,690 CPT,37565,PR LIGATION INTERNAL JUGULAR VEIN,6658.0,4993.5,316.97,6458.26,683 CPT,37600,PR LIGATION EXTERNAL CAROTID ARTY,5708.0,4281.0,323.16,5536.76,683 CPT,37605,PR LIG INTERNAL/COM CAROTID ARTY,7699.0,5774.25,327.71,7468.03,683 CPT,37607,PR LIG/BANDING ANGIOACCESS AVF,3260.0,2445.0,168.02,3162.2,683 CPT,37607,TYING OR BANDING OF SURGICALLY CREATED ARTERY-VEIN CONNECTION FACILITY,,,504.05,3874.69,7 CPT,37609,PR LIGATION/BIOPSY TEMPORAL ARTY,1832.0,1374.0,153.24,1777.04,683 CPT,37609,TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL FACILITY,,,274.26,3564.51,7 CPT,37616,PR LIGATION MJR ARTERY CHEST,8638.0,6478.5,519.79,8378.86,683 CPT,37617,PR LIGATION MAJOR ARTERY ABDOMEN,9670.0,7252.5,585.2,9379.9,683 CPT,37618,PR LIGATION MAJOR ARTY EXTREMITY,3592.0,2694.0,179.35,3484.24,683 CPT,37700,PR LIGATION & DIV SAPHENOUS VEIN,2785.0,2088.75,110.5,2701.45,683 CPT,37700,TYING AND DIVISION OF LONG LEG VEIN,,,331.5,3874.69,7 CPT,37722,PR LIG & STRIP LONG SAPH VEIN,6246.0,4684.5,205.79,6058.62,683 CPT,37761,"TYING OF VARICOSE VEINS, SIMPLE PROCEDURE USING ULTRASOUND",,,710.06,3874.69,7 CPT,37765,PR PHLEB VEINS 1 EXT 10-20 INCS,1825.0,1368.75,201.03,1770.25,683 CPT,37765,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, 10-20 INCISIONS FACILITY",,,357.93,6828.43,7 CPT,37766,PR PHLEB VEINS 1 EXT > 20 INCS,2565.0,1923.75,239.14,2488.05,683 CPT,37766,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, MORE THAN 20 INCISIONS FACILITY",,,439.73,6828.43,7 CPT,37799,HC PHLEB VARICOSE VEIN 10 OR LESS UNILAT,5031.0,3773.25,669.38,5031.0,916 CPT,37799,PR LIGATION OF FACIAL/LINGUAL ARTERIES,5708.0,4281.0,142.7,5536.76,684 CPT,37799,PR PHLEB VARICOSE VEIN 10 OR LESS UNILAT,913.0,684.75,22.83,885.61,684 CPT,37799,PR PORTAL VEIN THROMBECTOMY,11383.0,8537.25,284.58,11041.51,684 CPT,37799,SPEC COLLECT ARTERIAL LINE - FACILITY,,,669.38,769.79,6 CPT,38100,PR SPLENECTOMY TOT SEPARATE PROC,6484.0,4863.0,521.09,6289.48,683 CPT,38102,PR SPLENECTOMY TOTAL W OTHR PROC,2727.0,2045.25,229.39,2727.0,676 CPT,38120,PR LAPAROSCOPIC SURG SPLENECTOMY,7119.0,5339.25,484.48,6905.43,683 CPT,38129,UNLISTED PROC LAP SPLEEN,,,6451.08,7418.74,6 CPT,38200,INJECTION PROCEDURE FOR IMAGING OF SPLEEN FACILITY,,,161.39,3874.69,7 CPT,38200,PR INJECTION FOR SPLEEN X-RAY,754.0,565.5,53.8,731.38,683 CPT,38205,HC HPC HARVEST ALLOGENIC,8944.0,6708.0,67.88,8944.0,915 CPT,38205,PR HPC HARVEST ALLOGENIC,530.0,397.5,33.94,514.1,683 CPT,38206,COLLECTION OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,99.83,1911.19,7 CPT,38206,HC HPC HARVEST AUTOLOGOUS,8820.0,6615.0,99.83,8820.0,916 CPT,38206,PR HPC HARVEST AUTOLOGOUS,530.0,397.5,33.28,514.1,683 CPT,38207,HC 2 TX CRYOPRESERVE/STORAGE,7001.0,5250.75,470.77,7001.0,916 CPT,38207,HC CRYOPRESERVE/STORAGE,6575.0,4931.25,470.77,6575.0,916 CPT,38207,PR CRYOPRESERVE/STORAGE,6575.0,4931.25,37.5,6575.0,676 CPT,38207,PRESERVATION AND STORAGE OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,470.77,541.38,6 CPT,38208,HC THAW,3859.0,2894.25,470.77,3859.0,915 CPT,38208,THAWING OF FROZEN STEM CELLS FOR TRANSPLANTATION FACILITY,,,470.77,541.38,6 CPT,38209,HC THAW & WASH,3988.0,2991.0,470.77,3988.0,915 CPT,38209,THAWING AND WASHING OF FROZEN STEM CELLS FOR TRANSPLANTATION FACILITY,,,470.77,541.38,6 CPT,38212,HC RBC DEPLETION,2586.0,1939.5,470.77,2586.0,915 CPT,38214,HC PLASMA DEPLETION,4608.0,3456.0,470.77,4608.0,916 CPT,38214,PR PLASMA DEPLETION,4565.0,3423.75,34.21,4565.0,676 CPT,38214,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH REDUCTION OF BLOOD FLUID (PLASMA) VOLUME FACILITY,,,470.77,541.38,6 CPT,38220,ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS FACILITY,,,81.9,2026.75,7 CPT,38220,HC BONE MARROW ASPIRATION ONLY,6618.0,4963.5,81.9,6419.46,915 CPT,38221,BIOPSY OF BONE MARROW FACILITY,,,85.31,2026.75,7 CPT,38221,HC BONE MARROW BIOPSY NDL/TROCAR,2696.0,2022.0,85.31,2615.12,917 CPT,38221,PR BONE MARROW BIOPSY NDL/TROCAR,1096.0,822.0,81.36,1063.12,683 CPT,38222,BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS FACILITY,,,92.22,3564.51,7 CPT,38222,HC DX BONE MARROW BX & ASPIR,4851.0,3638.25,92.22,4851.0,1836 CPT,38222,PR DX BONE MARROW BX & ASPIR,338.0,253.5,86.25,327.86,683 CPT,38225,"HARVESTING OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY, PER DAY FACILITY",,,226.97,261.02,6 CPT,38225,HC CAR-T; HARVESTING CELLS,12990.0,9742.5,5845.5,12990.0,911 CPT,38226,HC CAR-T; CRYO FOR TRANSPORT,14985.0,11238.75,6743.25,14985.0,911 CPT,38226,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,9890.0,7417.5,4450.5,9890.0,911 CPT,38226,PREPARATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR TRANSPORTATION FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,226.97,261.02,6 CPT,38227,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,11565.0,6939.0,15420.0,909 CPT,38227,RECEIPT AND PREPARATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,352.46,650749.29,6 CPT,38228,ADMINISTRATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,221.51,405.33,7 CPT,38228,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,10356.75,221.51,13809.0,915 CPT,38230,PR BONE MARROW HARVEST TX ALLOGEN,3355.0,2516.25,84.72,3254.35,683 CPT,38232,HARVEST OF PATIENT BONE MARROW FOR TRANSPLANTATION,,,232.38,8904.43,7 CPT,38232,PR BN MARROW HARVEST TRANPL AUTO,1395.0,1046.25,77.46,1353.15,683 CPT,38240,HC BMT/STEM CELL TX ALLO,48049.0,36036.75,297.87,77188.78,915 CPT,38241,HC BMT/STEM CELL TX AUTO,7976.0,5982.0,219.95,7736.72,915 CPT,38241,TRANSPLANTATION OF PATIENT-DERIVED STEM CELLS FACILITY,,,219.95,1911.19,7 CPT,38242,TRANSPLANTATION OF DONOR WHITE BLOOD CELLS FACILITY,,,156.3,1911.19,7 CPT,38243,TRANSPLANTATION OF DONOR STEM CELLS FACILITY,,,150.03,1911.19,7 CPT,38308,INCISION OR OTHER OPERATION ON LYMPHATIC CHANNELS,,,652.31,8148.45,7 CPT,38308,PR LYMPHANGIOTOMY,3232.0,2424.0,217.44,3135.04,683 CPT,38380,PR SUTR&/LIG THORA DUCT CERV APPR,4074.0,3055.5,252.92,3951.78,683 CPT,38381,PR SUTR&/LIG THORA DUCT THOR APPR,9151.0,6863.25,374.52,8876.47,683 CPT,38500,BIOPSY OR REMOVAL OF LYMPH NODES PROFESSIONAL,,,357.48,4804.8,7 CPT,38500,PR BX/EXCISN LYMPH NODE OPN SUPFCL,2470.0,1852.5,179.2,2395.9,683 CPT,38505,HC BX/EXCISN LYMPH NODE NDL SUPFCL,4213.0,3159.75,110.19,4213.0,916 CPT,38505,NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES FACILITY,,,110.19,2026.75,7 CPT,38505,PR BX/EXCISN LYMPH NODE NDL SUPFCL,1005.0,753.75,83.02,974.85,683 CPT,38510,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF NECK,,,552.59,4804.8,7 CPT,38510,PR BX/EXC LYMPHNODE OPN DEEP CERV,2309.0,1731.75,268.02,2239.73,683 CPT,38525,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF UNDERARM PROFESSIONAL,,,626.42,8148.45,7 CPT,38525,PR BX/EXC LYMPHNODE OPN AXILLARY,2664.0,1998.0,208.81,2584.08,683 CPT,38530,PR BX/EXC LYMPHNODE OPEN MAMMARY,6117.0,4587.75,258.11,5933.49,683 CPT,38531,BIOPSY OR REMOVAL OF LYMPH NODES OF GROIN PROFESSIONAL,,,629.67,4804.8,7 CPT,38531,"PR BX/EXC LYMPHNODE OPN, INGUINOFEM",3427.0,2570.25,209.89,3324.19,683 CPT,38542,REMOVAL OF DEEP LYMPH NODES OF NECK,,,687.09,7418.74,7 CPT,38562,PARTIAL REMOVAL OF PELVIC AND AORTIC LYMPH NODES,,,977.4,10029.93,7 CPT,38562,PR LMTD LMPHADEC STAGE PEL&AORTIC,4529.0,3396.75,325.8,4393.13,683 CPT,38564,PR LMTD LMPHADEC STAGE RPR AORTIC,5304.0,3978.0,321.99,5144.88,683 CPT,38570,BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE,,,701.67,13044.35,7 CPT,38570,PR LAPROSC RETROPERIT LYMPH ND BX,8059.0,6044.25,233.89,7817.23,683 CPT,38571,PR LAPROSC BILAT TOT PELV LMPHADEC,8846.0,6634.5,291.93,8580.62,683 CPT,38571,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE,,,875.79,13044.35,7 CPT,38572,PR LAP LMPHADC&PERIAORTC LYMPH BX,8859.0,6644.25,402.4,8593.23,683 CPT,38572,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS AND ABDOMINAL LYMPH NODE BIOPSY USING AN ENDOSCOPE,,,1207.2,13044.35,7 CPT,38573,PR LAPS PELVIC LYMPHADEC,9304.0,6978.0,525.81,9024.88,683 CPT,38589,PR LAP RESEC RETROPERITONEL LYM NODES,11425.0,8568.75,285.63,11082.25,683 CPT,38589,PR LAPAROSCOPIC ABDOMINAL LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CPT,38589,PR ROBOTIC ASSISTED ABDOMINAL LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CPT,38589,UNLISTED PROC LAP LYMPH SYS,,,6451.08,7418.74,6 CPT,38700,PR SUPRAHYOID LYMPHADENECTOMY,5810.0,4357.5,346.87,5635.7,683 CPT,38700,REMOVAL OF LYMPH NODES FROM CHIN TO THYROID CARTILAGE,,,1040.61,8148.45,7 CPT,38720,PR CERVICAL LYMPHADENECTOMY,7847.0,5885.25,582.91,7611.59,683 CPT,38720,REMOVAL OF LYMPH NODES OF NECK,,,1748.72,8148.45,7 CPT,38724,PR CERV LMPH MOD/RAD NECK DISSECT,14393.0,10794.75,616.83,13961.21,683 CPT,38724,"REMOVAL OF LYMPH NODES, MUSCLE, AND TISSUE OF NECK",,,1850.49,7418.74,7 CPT,38740,PARTIAL REMOVAL OF LYMPH NODES OF UNDERARM,,,980.25,7418.74,7 CPT,38740,PR AXILLARY LYMPHADENECTOMY SUPF,4077.0,3057.75,326.75,3954.69,683 CPT,38745,PR AXILLARY LYMPHADENECTOMY COMPL,5928.0,4446.0,407.56,5750.16,683 CPT,38745,REMOVAL OF LYMPH NODES OF UNDERARM PROFESSIONAL,,,1222.68,7418.74,7 CPT,38746,PR LMPHADEC THOR THORCOM MED®,1791.0,1343.25,189.65,1791.0,676 CPT,38747,PR LMPHADEC ABDL REG CELIAC GASTR,2288.0,1716.0,232.5,2288.0,676 CPT,38760,PR INGUINOFEM LMPHADEC SUPFCL,5304.0,3978.0,379.54,5144.88,683 CPT,38760,REMOVAL OF LYMPH NODES OF GROIN,,,1138.61,8148.45,7 CPT,38765,PR INGUINO LMPHDEC W PLVC LMPHDEC,8812.0,6609.0,595.69,8547.64,683 CPT,38770,PR PLVC LMPHDEC ILIAC HYPOGASTRIC,6280.0,4710.0,360.86,6091.6,683 CPT,38780,PR RPERIT TABDL LMPHDEC PLVC RENL,11425.0,8568.75,476.52,11082.25,683 CPT,38790,HC INJ PROCEDURE LYMPHANGIOGRAPHY,1674.0,1255.5,111.03,1674.0,909 CPT,38790,INJECTION PROCEDURE FOR IMAGING OF LYMPHATIC SYSTEM FACILITY,,,111.03,111.03,1 CPT,38790,PR INJ PROCEDURE LYMPHANGIOGRAPHY,622.0,466.5,37.01,603.34,683 CPT,38792,HC INJ RADIOACT TRACE SENTINEL ND,1695.0,1271.25,40.4,1695.0,917 CPT,38792,INJECTION OF RADIOACTIVE MATERIAL FOR X-RAY IDENTIFICATION OF LYMPH NODE FACILITY,,,40.4,490.58,7 CPT,38792,PR INJ RADIOACT TRACE SENTINEL ND,409.0,306.75,40.01,396.73,683 CPT,38794,EXPOSURE OF LYMPH DUCT OF CHEST CAVITY FACILITY,,,379.76,3874.69,7 CPT,38794,HC CANNULATION THORACIC DUCT,1692.0,1269.0,379.76,1692.0,909 CPT,38794,PR CANNULATION THORACIC DUCT,1814.0,1360.5,126.59,1759.58,683 CPT,38900,IMAGING OF LYMPH NODES DURING SURGERY PROFESSIONAL,,,179.1,8148.45,7 CPT,38900,PR INTRAOP SENTINL LYMPH NODE INJ,773.0,579.75,140.77,773.0,676 CPT,38999,HC FRESH CELL ADMIN PREPARATION,2240.0,1680.0,470.77,2240.0,916 CPT,38999,PR LYMPH NODE ABLATION,1428.0,1071.0,35.7,1385.16,683 CPT,38999,PR MESENTERIC LYMPHADENECTOMY,2288.0,1716.0,57.2,2219.36,683 CPT,38999,UNLISTED PROC HEMIC/LYMPHATIC - FACILITY,,,7085.61,8148.45,6 CPT,39000,PR MEDIAST W EXPL DRAIN CERV APPR,3697.0,2772.75,239.01,3586.09,683 CPT,39010,PR MEDIAST EXPL DRAIN TTHOR APPR,6226.0,4669.5,370.02,6039.22,683 CPT,39200,PR RESECTION OF MEDIASTINAL CYST,8352.0,6264.0,403.59,8101.44,683 CPT,39220,PR RESECTION MEDIASTINAL TUMOR,7234.0,5425.5,518.85,7016.98,683 CPT,39401,PR MEDIASTINOSCOPY W MEDIASTINAL BX,2128.0,1596.0,142.02,2064.16,683 CPT,39402,EXAM OF CHEST WITH BIOPSY OF LYMPH NODE USING AN ENDOSCOPE,,,550.1,7418.74,7 CPT,39402,PR MEDIASTINOSCOPY W LYMPH ND BX,2583.0,1937.25,183.37,2505.51,683 CPT,39501,PR REPAIR LACERATION DIAPHRAGM,8046.0,6034.5,393.24,7804.62,683 CPT,39540,PR RPR HERNIA NOT NEONATAL ACUTE,10667.0,8000.25,397.02,10346.99,683 CPT,39541,PR RPR HERNIA NOT NEONATAL CHRNC,8264.0,6198.0,430.74,8016.08,683 CPT,39545,PR IMBRICATION DIAPHRAGM EVENTRAT,7440.0,5580.0,423.49,7216.8,683 CPT,39560,PR RESC DIAPHRAGM W SIMPLE REPAIR,7705.0,5778.75,368.55,7473.85,683 CPT,39561,PR RESC DIAPHRAGM W COMPLX REPAIR,10517.0,7887.75,502.14,10201.49,693 CPT,39599,PR VATS DIAPHRAGM PLICATION,7440.0,5580.0,186.0,7216.8,683 CPT,39599,PR VATS DIAPHRAGMATIC/MORGAGNI HERNIA REPAIR,8264.0,6198.0,206.6,8016.08,683 CPT,39599,UNLISTED PROCEDURE DIAPHRAGM,,,1.47,1.69,6 CPT,40490,BIOPSY OF LIP FACILITY,,,82.73,290.65,7 CPT,40490,HC BIOPSY LIP,2324.0,1743.0,82.73,2324.0,915 CPT,40490,PR BIOPSY LIP,428.0,321.0,58.65,415.16,683 CPT,40510,PR EXCISN LIP TRANSV WEDGE W CLSR,2396.0,1797.0,242.58,2324.12,683 CPT,40510,REMOVAL OF WEDGE OF LIP TISSUE WITH CLOSURE FACILITY,,,464.6,4068.55,7 CPT,40520,PR EXCISN LIP V-EXCISION W CLSR,2184.0,1638.0,159.49,2118.48,697 CPT,40525,PR EXCISN LIP RCNST W LOCAL FLAP,3851.0,2888.25,242.92,3735.47,683 CPT,40525,REMOVAL OF LIP WITH REPAIR USING LOCAL TISSUE GRAFT,,,728.76,4068.55,7 CPT,40527,PR EXCISN LIP RCNST W CROSS FLAP,4559.0,3419.25,270.37,4422.23,683 CPT,40530,PARTIAL REMOVAL OF LIP,,,537.06,4068.55,7 CPT,40530,PR RSECT LIP >1/4 WO RCNST,3294.0,2470.5,275.31,3195.18,683 CPT,40650,HC RPR LIP FULL THICK VERMIL ONLY,1770.0,1327.5,509.39,1716.9,915 CPT,40650,PR RPR LIP FULL THICK VERMIL ONLY,1869.0,1401.75,278.22,1812.93,683 CPT,40652,HC RPR LIP F THICK HALF VERTC HT,5826.0,4369.5,192.59,5651.22,697 CPT,40799,PR MICRO NEEDLING,405.0,303.75,10.13,392.85,683 CPT,40800,HC DRN MOUTH LESION SMPL,2749.0,2061.75,169.43,2666.53,915 CPT,40800,PR DRN MOUTH LESION SMPL,795.0,596.25,101.95,771.15,683 CPT,40808,BIOPSY OF MOUTH FACILITY,,,120.71,661.83,7 CPT,40808,PR BIOPSY VESTIBULE OF MOUTH,891.0,668.25,69.42,864.27,694 CPT,40810,PR EXCISN LESN MOUTH WO RPR,930.0,697.5,105.05,902.1,683 CPT,40810,REMOVAL OF GROWTH OF TISSUE OF MOUTH FACILITY,,,168.05,4068.55,7 CPT,40812,PR EXCISN LESN MOUTH W RPR SMPL,1027.0,770.25,136.91,996.19,683 CPT,40812,REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR FACILITY,,,246.63,1904.02,7 CPT,40814,PR EXCISN LESN MOUTH W RPR CMPLX,1549.0,1161.75,129.12,1502.53,697 CPT,40816,PR EXCISN LESN MOUTH W MUS EXCISN,1901.0,1425.75,198.9,1843.97,683 CPT,40818,PR EXCISN MUCOSA MOUTH DONOR GRFT,1641.0,1230.75,177.32,1591.77,683 CPT,40818,REMOVAL OF MOUTH TISSUE FOR GRAFTING,,,360.59,7264.49,7 CPT,40820,DESTRUCTION OF GROWTH OR SCAR OF MOUTH FACILITY,,,224.03,7418.74,7 CPT,40820,PR DEST LESN/SCAR VESTIBULE MOUTH,1113.0,834.75,122.58,1079.61,683 CPT,40840,PR VESTIBULOPLASTY ANTERIOR,4748.0,3561.0,430.09,4605.56,683 CPT,40842,PR VESTIBULOPLASTY POSTERIOR UNILAT,4338.0,3253.5,265.89,4207.86,697 CPT,40842,REPAIR TO INCREASE DEPTH ON SIDE OF MOUTH,,,797.66,7264.49,7 CPT,40845,PR VESTIBPLSTY CMPLX W RIDGE EXTN,7669.0,5751.75,512.89,7438.93,697 CPT,41007,PR I&D INTRAORAL SUBMENTAL SPACE,2049.0,1536.75,100.95,1987.53,697 CPT,41008,PR I&D ABSC INTRAORAL SUBMAND SPACE,2158.0,1618.5,119.44,2093.26,697 CPT,41009,"DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION UNDER LOWER TEETH FROM INSIDE MOUTH",,,386.93,4068.55,7 CPT,41009,PR I&D ABSC INTRAORAL MASTICAT SPACE,1568.0,1176.0,128.98,1520.96,697 CPT,41015,PR I&D EXTRAORAL ABSC SUBLINGUAL,3080.0,2310.0,136.83,2987.6,697 CPT,41017,"DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION UNDER JAW BONE FROM OUTSIDE MOUTH",,,470.27,4068.55,7 CPT,41017,PR I&D EXTRAORAL ABSC SUBMANDIB,2139.0,1604.25,156.76,2074.83,697 CPT,41018,PR I&D EXTRAORAL ABSC MASTICATOR,2785.0,2088.75,182.87,2701.45,697 CPT,41100,BIOPSY OF FRONT 2/3 OF TONGUE FACILITY,,,142.83,661.83,7 CPT,41100,PR BX TONGUE ANTR 2/3,709.0,531.75,91.47,687.73,684 CPT,41105,BIOPSY OF BACK 1/3 OF TONGUE,,,147.23,4068.55,7 CPT,41105,PR BX TONGUE POSTR 1/3,802.0,601.5,78.3,777.94,694 CPT,41108,BIOPSY OF FLOOR OF MOUTH FACILITY,,,123.15,4068.55,7 CPT,41108,PR BIOPSY FLOOR MOUTH,676.0,507.0,82.64,655.72,683 CPT,41110,PR EXCISN LESN TONGUE WO CLSR,886.0,664.5,110.27,859.42,683 CPT,41110,REMOVAL OF GROWTH OF TONGUE WITHOUT CLOSURE FACILITY,,,174.0,4068.55,7 CPT,41112,PR EXCISN LESN TNG W CLSR ANTR 2/3,1353.0,1014.75,166.59,1312.41,683 CPT,41112,REMOVAL OF GROWTH OF FRONT 2/3 OF TONGUE WITH SWITCHES FACILITY,,,330.32,4068.55,7 CPT,41113,PR EXCISN LESN TNG W CLSR POSTR 1/3,1697.0,1272.75,119.47,1646.09,697 CPT,41113,REMOVAL OF GROWTH OF BACK 1/3 OF TONGUE WITH SUTURING,,,358.41,4068.55,7 CPT,41116,PR EXCISN LESN FLOOR OF MOUTH,1607.0,1205.25,163.07,1558.79,683 CPT,41116,REMOVAL OF GROWTH OF FLOOR OF MOUTH,,,294.53,4068.55,7 CPT,41120,PR GLOSSECTOMY <1/2 TONGUE,4914.0,3685.5,476.26,4766.58,683 CPT,41120,REMOVAL OF LESS THAN HALF OF TONGUE,,,1428.77,7264.49,7 CPT,41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,6976.0,5232.0,577.65,6766.72,683 CPT,41140,PR GLSSC COMPL WO RAD NECK DISEC,17821.0,13365.75,940.65,17286.37,683 CPT,41150,PR GLSSC COMPOSITE W MANDIB RESEC,17365.0,13023.75,947.97,16844.05,683 CPT,41153,PR GLSSC COMPOSITE SUPRAHYD DISEC,16901.0,12675.75,1026.04,16393.97,683 CPT,41155,PR GLSSC MANDIB RSECT & NK DISEC,21814.0,16360.5,1276.35,21159.58,683 CPT,41250,HC RPR LAC <=2.5CM ANTR 2/3 TNG,418.0,313.5,242.85,548.2,915 CPT,41250,PR RPR LAC <=2.5CM ANTR 2/3 TNG,1082.0,811.5,163.32,1049.54,683 CPT,41530,"DESTRUCTION OF TONGUE TISSUE, PER SESSION",,,528.36,4068.55,7 CPT,41530,PR SUBMUC ABLT TNG >=1 SITE/SESN,10748.0,8061.0,176.12,10425.56,697 CPT,41599,UNLISTED PROC TNG/FLOOR OF MOUTH,,,252.74,290.65,6 CPT,41800,HC DRN ABSC HEMA DENTOAVEOLAR,437.0,327.75,141.97,423.89,915 CPT,41800,PR DRN ABSC HEMA DENTOAVEOLAR,1013.0,759.75,185.93,982.61,683 CPT,41820,PR GINGIVECTOMY EA QUADRANT,1362.0,1021.5,510.75,1321.14,683 CPT,41825,PR EXCISN LESN DNTOALVOLR WO RPR,1068.0,801.0,104.75,1035.96,683 CPT,41825,REMOVAL OF DENTAL BONE GROWTH,,,162.29,4068.55,7 CPT,41826,PR EXCISN LESN DNTOALVOLR W RPR SMPL,1345.0,1008.75,87.41,1304.65,697 CPT,41827,REMOVAL OF GROWTH OF DENTAL BONE GROWTH WITH COMPLEX REPAIR,,,387.15,7418.74,7 CPT,41830,PR ALVEOLECTOMY W CURRETTAGE,1435.0,1076.25,244.93,1391.95,683 CPT,41830,REMOVAL OF TISSUE OVERGROWTH AT TEETH OR TOOTH SOCKET,,,430.4,4068.55,7 CPT,41899,PR GINGIVAL BIOPSY,833.0,624.75,20.83,808.01,683 CPT,41899,UNLISTED PROC DENTOALVEOLAR - FACILITY,,,252.74,290.65,6 CPT,42100,PR BIOPSY PALATE UVULA,719.0,539.25,62.06,697.43,694 CPT,42104,PR EXCISN LESN PALATE UVULA WO CLSR,958.0,718.5,106.28,929.26,683 CPT,42104,REMOVAL OF GROWTH OF ROOF OF MOUTH FACILITY,,,179.49,4804.8,7 CPT,42106,PR EXCISN LESN PALAT UVLA W CLS SMPL,1111.0,833.25,127.29,1077.67,683 CPT,42120,PARTIAL REMOVAL OF ROOF OF MOUTH,,,1334.24,7264.49,7 CPT,42120,PR RESCT PALATE/EXTENS RESCT LESN,5678.0,4258.5,444.75,5507.66,683 CPT,42140,PR UVULECTOMY EXCISION UVULA,1357.0,1017.75,74.06,1316.29,697 CPT,42145,COMPLEX REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,,,891.5,7264.49,7 CPT,42145,PR PALATOPHARYNGOPLASTY,5127.0,3845.25,297.17,4973.19,683 CPT,42160,DESTRUCTION OF GROWTH OR SOFT TISSUE OF ROOF OF MOUTH FACILITY,,,188.94,4068.55,7 CPT,42160,PR DEST LESN PALATE UVULA,1032.0,774.0,62.98,1001.04,697 CPT,42180,"REPAIR OF LACERATED ROOF OF MOUTH, 2.0 CM OR LESS FACILITY",,,247.01,13044.35,7 CPT,42215,PR PALATOP CLEFT PALATE MJR REV,6629.0,4971.75,315.9,6430.13,683 CPT,42330,PR SIALOLITHTOMY UNCOMP INTRAORAL,1114.0,835.5,115.74,1080.58,684 CPT,42330,UNCOMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH FACILITY,,,220.02,4068.55,7 CPT,42400,HC BX SALIVARY GLAND NEEDLE,4182.0,3136.5,70.16,4182.0,916 CPT,42400,NEEDLE BIOPSY OF SALIVA GLAND FACILITY,,,70.16,868.98,7 CPT,42400,PR BX SALIVARY GLAND NEEDLE,457.0,342.75,39.14,443.29,694 CPT,42405,PR BX SALIVARY GLAND INCISIONAL,1285.0,963.75,127.11,1246.45,694 CPT,42408,PR EXCISN SUBLINGUAL SALIVARY CYST,2098.0,1573.5,277.37,2035.06,683 CPT,42410,PR EXCISN PRTD TMR LAT WO NRV DISEC,3844.0,2883.0,272.02,3728.68,683 CPT,42410,"REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND, LATERAL LOBE",,,816.06,7264.49,7 CPT,42415,PR EXCISN PRTD TMR LAT W NRV DISEC,5789.0,4341.75,449.76,5615.33,683 CPT,42415,REMOVAL OF GROWTH OF SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,1349.28,7264.49,7 CPT,42420,PR EXCISN PRTD TMR TOT W NRV DISEC,8021.0,6015.75,501.49,7780.37,683 CPT,42420,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,1504.47,7264.49,7 CPT,42425,PR EXCISN PRTD TMR TOT EN BLOC RMVL,6659.0,4994.25,357.03,6459.23,683 CPT,42425,"REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND, AND FACIAL NERVE",,,1071.08,7264.49,7 CPT,42426,PR EXCISN PRTD TMR TOT RAD NK DISEC,11243.0,8432.25,569.81,10905.71,683 CPT,42440,PR EXCISN SUBMANDIB SUBMAX GLAND,3216.0,2412.0,180.89,3119.52,683 CPT,42440,REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH,,,542.67,7264.49,7 CPT,42450,PR EXCISN SUBLINGUAL GLAND,3520.0,2640.0,229.81,3414.4,683 CPT,42450,REMOVAL OF SALIVA GLAND UNDER TONGUE,,,482.13,8148.45,7 CPT,42500,PR PLASTIC RPR SALIV DUCT PRIM,2594.0,1945.5,218.56,2516.18,683 CPT,42500,SIMPLE REPAIR OF SALIVARY DUCT,,,458.57,7264.49,7 CPT,42510,PR PAROTID DUCT DIVERSION BILAT,4134.0,3100.5,262.33,4009.98,683 CPT,42650,PR DILATION SALIVARY DUCT,417.0,312.75,26.08,404.49,697 CPT,42660,PR DILAT&CATH SALIVARY DUCT,602.0,451.5,34.25,583.94,697 CPT,42699,UNLISTED PROC SALIV GLANDS/DUCTS,,,252.74,290.65,6 CPT,42700,HC I&D ABSCESS PERITONSILLAR,841.0,630.75,124.99,841.0,897 CPT,42700,PR I&D ABSCESS PERITONSILLAR,1112.0,834.0,82.28,1078.64,693 CPT,42720,PR I&D ABSC PHRYNGL INTRAORAL,2155.0,1616.25,217.83,2090.35,683 CPT,42800,BIOPSY OF BACK OF THROAT FACILITY,,,155.37,1904.02,7 CPT,42800,PR BIOPSY OROPHARYNX,799.0,599.25,77.68,775.03,683 CPT,42804,PR BX NASOPHRYNX VISIBLE LESN SMP,921.0,690.75,104.69,893.37,683 CPT,42804,SIMPLE BIOPSY OF GROWTH OF THROAT BEHIND NOSE FACILITY-EXPRESS CARE,,,165.03,4068.55,7 CPT,42806,COMPLEX BIOPSY OF GROWTH OF THROAT BEHIND NOSE,,,188.13,8660.52,7 CPT,42806,PR BX NASOPHRYNX SURVEY PRIM LESN,1135.0,851.25,116.93,1100.95,683 CPT,42808,PR EXCISN/DEST LESION PHARYNX,1225.0,918.75,114.13,1188.25,683 CPT,42808,REMOVAL OR DESTRUCTION OF GROWTH OF THROAT,,,217.13,4575.22,7 CPT,42809,PR REMOVAL FB PHARYNX,838.0,628.5,57.05,812.86,697 CPT,42810,PR EXCISN BRANCHL CLEFT CYST CONFIND,2598.0,1948.5,125.75,2520.06,697 CPT,42810,REMOVAL OF CONGENITAL SKIN AND TISSUE CYST OF NECK,,,377.25,4068.55,7 CPT,42815,PR EXCISN BRANCHL CLEFT CYST EXTEND,4054.0,3040.5,233.45,3932.38,683 CPT,42815,REMOVAL OF CONGENITAL CYST OR ABNORMAL DRAINAGE TRACT OF NECK AND/OR THROAT,,,700.34,7264.49,7 CPT,42821,PR TONSILLECT&ADENOIDECT >=12 YRS,965.0,723.75,132.94,936.05,683 CPT,42826,PR TONSILLECTOMY PRIM/SEC >=12YR,867.0,650.25,112.98,840.99,683 CPT,42826,REMOVAL OF TONSILS (12 YEARS OR OLDER),,,338.94,4068.55,7 CPT,42831,PR ADENOIDECTOMY PRIMARY >=12YRS,1392.0,1044.0,103.75,1350.24,683 CPT,42831,PRIMARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER) PROFESSIONAL,,,311.25,8660.52,7 CPT,42842,"EXTENSIVE REMOVAL OF TONSILS, TISSUE, MUSCLE, AND BONE",,,1332.41,7264.49,7 CPT,42842,PR RADCL RSECT TONSIL WO CLOSURE,5921.0,4440.75,444.14,5743.37,683 CPT,42844,PR RADCL RSECT TONSIL W LOCAL FLAP,9580.0,7185.0,599.26,9292.6,683 CPT,42870,PR EXCISN/DEST LINGUAL TONSIL,2754.0,2065.5,226.97,2671.38,693 CPT,42870,REMOVAL OR DESTRUCTION OF GROWTH OF TONGUE LYMPH NODE,,,801.05,7264.49,7 CPT,42890,PARTIAL REMOVAL OF THROAT,,,1837.79,7264.49,7 CPT,42890,PR LIMITED PHARYNGECTOMY,8802.0,6601.5,612.6,8537.94,683 CPT,42892,PR RESCT LAT PHRYNGL WALL/PYRFRM,10239.0,7679.25,801.38,9931.83,683 CPT,42950,PLASTIC OR RECONSTRUCTIVE REPAIR OF THROAT-EXPRESS CARE,,,1071.36,7264.49,7 CPT,42950,PR PHARYNGOPLASTY,5733.0,4299.75,357.12,5561.01,683 CPT,42953,PR PHARYNGOESOPHAGEAL RPR,6179.0,4634.25,435.28,5993.63,683 CPT,42960,PR CNTRL OROPHARYNGEAL HEMR SMPL,1067.0,800.25,71.06,1034.99,683 CPT,42962,PR CNTRL OROPHARYNGEAL HEMR SURG,2953.0,2214.75,223.61,2864.41,683 CPT,42975,EVALUATION OF SLEEP-DISORDERED BREATHING BY EXAMINATION OF UPPER AIRWAY USING AN ENDOSCOPE PROFESSIONAL,,,122.58,2184.19,7 CPT,42975,PR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,1061.0,795.75,40.86,1029.17,683 CPT,42999,UNLISTED PROC PHARYNX/ADEN/TONSL,,,252.74,290.65,6 CPT,43030,INCISION OF MUSCLE AT UPPER ESOPHAGUS,,,683.42,7264.49,7 CPT,43030,PR CRICOPHARYNGEAL MYOTOMY,3309.0,2481.75,227.81,3209.73,683 CPT,43101,PR EXCISN LESN ESOPH RPR THOR APPR,6367.0,4775.25,470.01,6175.99,683 CPT,43117,PR PRTL ESOPHAGECTOMY DSTL,17550.0,13162.5,1469.65,17023.5,683 CPT,43124,PR TOT/PRTL ESOPHCTMY WO RCNST,25020.0,18765.0,1724.51,24269.4,683 CPT,43130,PR DIVERTICULECTOMY CERV APPR,5348.0,4011.0,348.29,5187.56,683 CPT,43130,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS THROUGH NECK,,,1044.86,7264.49,7 CPT,43180,HC ESOPHAGOSCOPY RIGID TRANSORAL,23580.0,17685.0,702.44,23580.0,916 CPT,43180,PR ESOPHAGOSCOPY RIGID TRANSORAL,4012.0,3009.0,234.15,3891.64,683 CPT,43180,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS USING A RIGID ENDOSCOPE FACILITY,,,702.44,7264.49,7 CPT,43191,DIAGNOSTIC EXAM OF ESOPHAGUS USING AN ENDOSCOPE,,,198.78,4731.22,7 CPT,43191,PR ESOPHAGOSCOPY RIGID DX,907.0,680.25,66.26,879.79,683 CPT,43192,INJECTION INTO ESOPHAGUS USING AN ENDOSCOPE,,,215.57,4731.22,7 CPT,43192,PR ESOPHAGOSCOPY SUBMUCOSAL INJ,1099.0,824.25,71.86,1066.03,683 CPT,43195,"BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE, LESS THAN 3.0 CM",,,233.79,4731.22,7 CPT,43195,PR ESOPHSCOPY RIGID TXORAL BALN,1252.0,939.0,77.93,1214.44,683 CPT,43196,INSERTION OF WIRE AND DILATION OF ESOPHAGUS USING AN ENDOSCOPE,,,252.0,4575.22,7 CPT,43196,PR ESOPHSCOPY RIG TXORAL GUID WIR,1356.0,1017.0,84.0,1315.32,683 CPT,43197,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE FACILITY,,,100.64,1113.0,7 CPT,43197,HC ESOPHSCOPY FLEX TRANSNASAL DX,5706.0,4279.5,100.64,5706.0,915 CPT,43197,PR ESOPHSCOPY FLEX TRANSNASAL DX,833.0,624.75,95.85,808.01,684 CPT,43198,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE FACILITY,,,120.27,1113.0,7 CPT,43198,PR ESOPHAGOSCOPY FLEX NASAL BX,1477.0,1107.75,106.12,1432.69,683 CPT,43200,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,116.51,1113.0,7 CPT,43200,HC ESOPHSCOPY FLEX TRANSORAL DX,5460.0,4095.0,116.51,5460.0,915 CPT,43200,PR ESOPHSCOPY FLEX TRANSORAL DX,1391.0,1043.25,139.33,1757.64,2049 CPT,43201,HC ESOPHSCOPY TXORAL W SUBMUC INJ,6342.0,4756.5,135.36,6342.0,915 CPT,43201,INJECTION INTO ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,135.36,4731.22,7 CPT,43201,PR ESOPHSCOPY TXORAL W SUBMUC INJ,2451.0,1838.25,135.26,3286.36,1366 CPT,43202,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,136.88,2354.78,7 CPT,43202,HC ESOPHSCOPY FLEX TXORAL W BX,7968.0,5976.0,136.88,7968.0,915 CPT,43202,PR ESOPHSCOPY FLEX TXORAL W BX,2084.0,1563.0,190.95,2739.28,1366 CPT,43205,HC ESOPHAGOSCOPY FLEX LIGATION,6399.0,4799.25,185.25,6399.0,915 CPT,43205,PR ESOPHAGOSCOPY FLEX LIGATION,1401.0,1050.75,61.75,1358.97,683 CPT,43205,TYING OF DILATED VEINS OF ESOPHAGUS WITH BANDS USING A FLEXIBLE ENDOSCOPE FACILITY,,,185.25,2354.78,7 CPT,43210,HC EGD FLEX TRANSORAL W FUNDOPLASTY,24178.0,18133.5,557.03,24178.0,915 CPT,43210,PR EGD FLEX TRANSORAL W FUNDOPLASTY,2263.0,1697.25,185.68,2195.11,683 CPT,43210,REPAIR OF MUSCLE AT ESOPHAGUS AND STOMACH USING A FLEXIBLE ENDOSCOPE FACILITY,,,557.03,13044.35,7 CPT,43211,HC ESOPHAGOSCOPY W EMR,5633.0,4224.75,304.34,5633.0,915 CPT,43211,PR ESOPHAGOSCOPY W EMR,1465.0,1098.75,101.45,1421.05,683 CPT,43212,HC ESOPHSCOPY TXORAL STENT PLC,8532.0,6399.0,248.9,8532.0,915 CPT,43212,PLACEMENT OF STENT IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,248.9,7449.87,7 CPT,43212,PR ESOPHSCOPY TXORAL STENT PLC,1487.0,1115.25,82.97,1442.39,683 CPT,43213,DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,330.92,2354.78,7 CPT,43213,PR ESOPHAGOSCOPY RETROGRADE BALN,2829.0,2121.75,608.73,2744.13,683 CPT,43214,"BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE, 3.0 CM OR MORE",,,247.01,2354.78,7 CPT,43214,PR ESOPHSCOPY DILATE BALN >=30MM,1336.0,1002.0,82.34,1295.92,683 CPT,43215,HC ESOPHAGOSCOPY FLEX RMVL FB,8085.0,6063.75,187.11,8085.0,915 CPT,43215,PR ESOPHAGOSCOPY FLEX RMVL FB,1496.0,1122.0,212.06,1451.12,683 CPT,43215,REMOVAL OF FOREIGN BODIES IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,187.11,4731.22,7 CPT,43220,"BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,155.46,2354.78,7 CPT,43220,HC ESOPHSCOPY DILATE BALN <30MM,8722.0,6541.5,155.46,8722.0,915 CPT,43220,PR ESOPHSCOPY DILATE BALN <30MM,2147.5,1610.625,464.64,2545.28,1366 CPT,43226,DILATION OF ESOPHAGUS WITH INSERTION OF GUIDE WIRE USING A FLEXIBLE ENDOSCOPE FACILITY,,,171.75,2354.78,7 CPT,43226,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,8328.0,6246.0,171.75,8328.0,916 CPT,43226,PR ESOPHSCOPY FLEX GUIDE WIRE DIL,1993.5,1495.125,201.6,2673.32,1366 CPT,43227,HC ESOPHAGOSCOPY W CTRL BLEED,6483.0,4862.25,215.96,6483.0,915 CPT,43227,PR ESOPHAGOSCOPY W CTRL BLEED,1537.0,1152.75,71.99,1490.89,697 CPT,43229,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,256.86,4731.22,7 CPT,43229,HC ESOPHAGOSCOPY LESION W ABLT,14682.0,11011.5,256.86,14682.0,915 CPT,43229,PR ESOPHAGOSCOPY LESION W ABLT,2243.0,1682.25,379.83,2175.71,683 CPT,43231,HC ESOPHAGOSCOPY W EUS EXAM,9626.0,7219.5,203.22,9626.0,915 CPT,43231,PR ESOPHAGOSCOPY W EUS EXAM,1322.0,991.5,67.74,1282.34,683 CPT,43231,ULTRASOUND EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,203.22,2354.78,7 CPT,43232,HC ESOPHAGOSCOPY W EUS FNA/BX,3790.0,2842.5,261.02,3790.0,915 CPT,43232,PR ESOPHAGOSCOPY W EUS FNA/BX,1479.0,1109.25,87.01,1434.63,683 CPT,43233,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, 3.0 CM OR MORE FACILITY",,,299.28,2354.78,7 CPT,43233,HC EGD W BALN DIL > 30MM,8855.0,6641.25,299.28,8855.0,916 CPT,43233,PR EGD W BALN DIL > 30MM,1399.0,1049.25,99.76,1357.03,683 CPT,43235,"DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,162.51,1113.0,7 CPT,43235,HC EGD TRANSORAL DX,3729.0,2796.75,162.51,3729.0,918 CPT,43235,PR EGD TRANSORAL DX,1502.5,1126.875,156.93,1800.32,2050 CPT,43236,HC EGD W DIRECT SUBMUCOSAL INJ,4720.0,3540.0,181.73,4720.0,916 CPT,43236,"INJECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,181.73,1113.0,7 CPT,43236,PR EGD W DIRECT SUBMUCOSAL INJ,1723.5,1292.625,216.9,1800.32,2049 CPT,43237,HC EGD W EUS LTD,5522.0,4141.5,254.58,5522.0,918 CPT,43237,PR EGD W EUS LTD,1322.0,991.5,84.86,1282.34,683 CPT,43237,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY",,,254.58,2354.78,7 CPT,43238,HC EGD W EUS FNA/BX ESOPH ONLY,6829.0,5121.75,300.93,6829.0,916 CPT,43238,PR EGD W EUS FNA/BX ESOPH ONLY,1900.0,1425.0,100.31,1843.0,683 CPT,43238,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,300.93,2354.78,7 CPT,43239,"BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,181.73,1113.0,7 CPT,43239,HC EGD W BIOPSY SNGL/MULT,3736.0,2802.0,181.73,3736.0,919 CPT,43239,PR EGD W BIOPSY SNGL/MULT,1616.0,1212.0,203.63,1809.05,2049 CPT,43240,"DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,503.49,7449.87,7 CPT,43240,HC EGD W TRANSMURAL DRN,12476.0,9357.0,503.49,12476.0,915 CPT,43240,PR EGD W TRANSMURAL DRN,2105.0,1578.75,167.83,2041.85,683 CPT,43241,HC EGD INTRALUMINAL TUBE/CATH INS,9810.0,7357.5,186.56,9810.0,915 CPT,43241,"INSERTION OF TUBE OR TUBE IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,186.56,2354.78,7 CPT,43241,PR EGD INTRALUMINAL TUBE/CATH INS,1641.5,1231.125,62.19,1915.75,1366 CPT,43242,HC EGD W EUS FNA BX,6994.0,5245.5,338.4,6994.0,916 CPT,43242,PR EGD W EUS FNA BX,1978.0,1483.5,112.8,1918.66,683 CPT,43242,"ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,338.4,2354.78,7 CPT,43243,HC EGD INJ SCLEROSIS,7944.0,5958.0,307.37,7944.0,915 CPT,43243,INJECTION OF DILATED VEIN OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,307.37,2354.78,7 CPT,43243,PR EGD INJ SCLEROSIS,1863.0,1397.25,102.46,1807.11,683 CPT,43244,HC EGD BAND LIGATION VARICIES,6663.0,4997.25,317.15,6663.0,916 CPT,43244,PR EGD BAND LIGATION VARICIES,2327.0,1745.25,105.72,2765.47,1366 CPT,43244,TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,317.15,2354.78,7 CPT,43245,DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,230.46,2354.78,7 CPT,43245,HC EGD DILATION GASTR/DUOD STRICT,5638.0,4228.5,230.46,5638.0,916 CPT,43245,PR EGD DILATION GASTR/DUOD STRICT,2263.0,1697.25,318.11,2753.83,2049 CPT,43246,HC EGD PERC PLC GASTROTOMY TUBE,6368.0,4776.0,261.63,6368.0,916 CPT,43246,INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE FACILITY,,,261.63,2354.78,7 CPT,43246,PR EGD PERC PLC GASTROTOMY TUBE,1932.0,1449.0,87.21,2753.83,1366 CPT,43247,HC EGD FLEX RMVL FB,6686.0,5014.5,231.21,6686.0,916 CPT,43247,PR EGD FLEX RMVL FB,1545.0,1158.75,207.35,1778.01,1366 CPT,43247,"REMOVAL OF FOREIGN BODIES OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,231.21,2354.78,7 CPT,43248,HC EGD INSERT GUIDE WIRE,3703.0,2777.25,217.56,3703.0,918 CPT,43248,INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,217.56,1113.0,7 CPT,43248,PR EGD INSERT GUIDE WIRE,1663.0,1247.25,222.7,1757.64,2049 CPT,43249,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,200.42,2354.78,7 CPT,43249,HC EGD BALN DILATION ESOPH <30MM,5834.0,4375.5,200.42,5834.0,917 CPT,43249,PR EGD BALN DILATION ESOPH <30MM,2207.0,1655.25,572.68,2753.83,2049 CPT,43250,HC EGD DX W RMVL HOT BX,7856.0,5892.0,224.0,7856.0,915 CPT,43250,PR EGD DX W RMVL HOT BX,1722.0,1291.5,242.32,1670.34,683 CPT,43250,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY",,,224.0,2354.78,7 CPT,43251,HC EGD W RMVL SNARE,5925.0,4443.75,254.52,5925.0,916 CPT,43251,PR EGD W RMVL SNARE,2086.0,1564.5,265.44,2753.83,2049 CPT,43251,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY",,,254.52,2354.78,7 CPT,43252,HC EGD W ENDOMICROSCOPY,11493.0,8619.75,220.49,11493.0,915 CPT,43252,"MICROSCOPIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,220.49,2354.78,7 CPT,43252,PR EGD W ENDOMICROSCOPY,1722.0,1291.5,183.54,1670.34,683 CPT,43253,HC EGD W EUS TRANSMURAL INJ,6669.0,5001.75,338.82,6669.0,915 CPT,43253,PR EGD W EUS TRANSMURAL INJ,1569.0,1176.75,112.94,1521.93,683 CPT,43254,HC EGD W EMR,7747.0,5810.25,348.59,7747.0,916 CPT,43254,PR EGD W EMR,2291.5,1718.625,116.2,2855.68,1366 CPT,43254,"REMOVAL OF TISSUE LINING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,348.59,4731.22,7 CPT,43255,"CONTROL OF BLEEDING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,260.49,2354.78,7 CPT,43255,HC EGD CTRL BLEED ANY,5409.5,4057.125,260.49,6284.0,1832 CPT,43255,PR EGD CTRL BLEED ANY,2126.0,1594.5,334.91,2675.26,1366 CPT,43259,HC EGD W EUS,5774.0,4330.5,292.55,5774.0,917 CPT,43259,PR EGD W EUS,1314.0,985.5,97.52,1274.58,683 CPT,43259,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,292.55,2354.78,7 CPT,43260,"DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC, LIVER, AND BILE DUCTS USING AN ENDOSCOPE FACILITY",,,413.64,4731.22,7 CPT,43260,HC ERCP DX,13586.0,10189.5,413.64,13586.0,916 CPT,43260,PR ERCP DX,1834.0,1375.5,137.88,1778.98,683 CPT,43261,"BIOPSY OF GALLBLADDER, PANCREATIC, LIVER, AND BILE DUCTS USING A FLEXIBLE ENDOSCOPE FACILITY",,,435.18,4731.22,7 CPT,43261,HC ERCP W BX,9366.0,7024.5,435.18,9366.0,915 CPT,43261,PR ERCP W BX,1893.0,1419.75,145.06,1836.21,683 CPT,43262,HC ERCP SPHINC/PAPILLOT,9437.0,7077.75,458.36,9437.0,916 CPT,43262,INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,458.36,7449.87,7 CPT,43262,PR ERCP SPHINC/PAPILLOT,1921.0,1440.75,152.79,1863.37,683 CPT,43264,HC ERCP W RMVL STONE,9077.0,6807.75,467.16,9077.0,917 CPT,43264,PR ERCP W RMVL STONE,3155.0,2366.25,155.72,3060.35,683 CPT,43264,REMOVAL OF STONE OR DEBRIS FROM BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,467.16,7449.87,7 CPT,43265,DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,554.7,7449.87,7 CPT,43265,HC ERCP W DESTRUCT CALCULI,16716.0,12537.0,554.7,16716.0,916 CPT,43265,PR ERCP W DESTRUCT CALCULI,2736.0,2052.0,184.9,2653.92,683 CPT,43266,HC EGD W STENT PLC,16005.0,12003.75,282.86,16005.0,916 CPT,43266,"PLACEMENT OF STENT IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,282.86,7449.87,7 CPT,43266,PR EGD W STENT PLC,1217.0,912.75,94.29,1180.49,683 CPT,43270,"DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,290.99,4731.22,7 CPT,43270,HC EGD W LESION ABLATION,5288.0,3966.0,290.99,5288.0,916 CPT,43270,PR EGD W LESION ABLATION,2537.5,1903.125,390.07,2650.04,2049 CPT,43273,EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,150.15,7449.87,7 CPT,43273,HC ENDOSCOPIC PANCREATOSCOPY,6171.0,4628.25,150.15,6171.0,910 CPT,43273,PR ENDOSCOPIC PANCREATOSCOPY,456.0,342.0,100.1,456.0,676 CPT,43274,HC ERCP DUCT STENT PLC W DIL,9392.0,7044.0,592.16,9392.0,916 CPT,43274,INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,592.16,7449.87,7 CPT,43274,PR ERCP DUCT STENT PLC W DIL,4141.0,3105.75,197.39,4016.77,683 CPT,43275,HC ERCP W RMVL FB/STNT DUCT,8997.0,6747.75,483.32,8997.0,916 CPT,43275,PR ERCP W RMVL FB/STNT DUCT,2225.0,1668.75,161.11,2158.25,683 CPT,43275,REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,483.32,2354.78,7 CPT,43276,HC ERCP STENT EXCHANGE W DIL,9392.0,7044.0,617.12,9392.0,917 CPT,43276,PR ERCP STENT EXCHANGE W DIL,2652.0,1989.0,205.71,2572.44,683 CPT,43276,REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,617.12,7449.87,7 CPT,43277,BALLOON DILATION OF PANCREATIC OR BILE DUCT OR SPHINCTER USING A FLEXIBLE ENDOSCOPE FACILITY,,,485.87,4731.22,7 CPT,43277,HC ERCP W TRANS BALN DIL,12581.0,9435.75,485.87,12581.0,916 CPT,43277,PR ERCP W TRANS BALN DIL,1677.0,1257.75,161.96,1626.69,683 CPT,43278,DESTRUCTION OF POLYP OR GROWTH OF GALLBLADDER AND/OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,554.21,7449.87,7 CPT,43278,HC ERCP ABLATION W DIL,14511.0,10883.25,554.21,14511.0,916 CPT,43278,PR ERCP ABLATION W DIL,2823.0,2117.25,184.74,2738.31,683 CPT,43279,PR LAPAROSCOPY ESOPHAGOMYOTOMY,9927.0,7445.25,581.91,9629.19,683 CPT,43280,PR LAPAROSCOPY FUNDOPLASTY,6729.0,5046.75,490.8,6527.13,683 CPT,43281,PR LAP PARAESOPH HERNIA WO MESH,12120.0,9090.0,691.05,11756.4,683 CPT,43281,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,,,2073.14,13044.35,7 CPT,43282,PR LAP PARAESOPH HERNIA W MESH,12120.0,9090.0,776.79,11756.4,683 CPT,43282,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE,,,2330.37,13044.35,7 CPT,43283,PR LAP ESOPHAGEAL LENGTHN ADDL,1150.0,862.5,117.11,1150.0,686 CPT,43285,PR RMVL ESOPHGL SPHNCTR DEV,4867.0,3650.25,311.98,4720.99,683 CPT,43285,REMOVAL OF MAGNETIC BAND FROM BASE OF ESOPHAGUS USING AN ENDOSCOPE,,,935.93,7418.74,7 CPT,43287,PR ESPHG DIST 2/3 W/LAPS MBL,18722.0,14041.5,1598.42,18160.34,683 CPT,43288,PR ESPHG THRSC MOBLJ,22249.0,16686.75,1680.64,21581.53,683 CPT,43300,PR ESOPH RPR CERV APPR WO FSTL RPR,4967.0,3725.25,269.56,4817.99,683 CPT,43305,PR ESOPH RPR CERV APPR W FSTL RPR,9067.0,6800.25,461.43,8794.99,683 CPT,43305,REPAIR OF DEFECT OF ESOPHAGUS WITH REPAIR OF ABNORMAL DRAINAGE TRACT THOUGH NECK,,,922.86,1384.29,7 CPT,43310,PR ESOPHPLSTY THOR APPR WO FSTL,8492.0,6369.0,679.64,8237.24,683 CPT,43312,PR ESOPHPLSTY THOR APPR W FSTL,10639.0,7979.25,717.59,10319.83,683 CPT,43328,PR EGST FUNDOPLASTY W THORACOTOMY,7320.0,5490.0,514.97,7100.4,683 CPT,43332,PR RPR HIATAL HERNIA WO MESH,7950.0,5962.5,522.91,7711.5,683 CPT,43333,PR RPR HIATAL HERNIA W MESH,9271.0,6953.25,570.26,8992.87,683 CPT,43337,PR RPR HIAT HERNIA THORABD W MESH,9248.0,6936.0,704.14,8970.56,683 CPT,43338,PR ESOPHAGEAL LENGTHENING PROC,718.0,538.5,100.56,718.0,676 CPT,43340,PR ESOJEJUNOS WO GSTRCT ABDL APPR,8335.0,6251.25,626.4,8084.95,683 CPT,43352,PR ESOPHAGOSTOMY EXTRNL CERV APPR,6608.0,4956.0,501.78,6409.76,683 CPT,43360,PR RCNST ESOPHAGECTOMY STOMACH,15274.0,11455.5,1029.55,14815.78,683 CPT,43410,PR SUTR ESOPH WND CERV APPR,6551.0,4913.25,440.97,6354.47,683 CPT,43415,PR SUTR ESOPH WND THOR/ABD APPR,9664.0,7248.0,1171.73,9374.08,683 CPT,43450,DILATION OF ESOPHAGUS,,,107.42,1113.0,7 CPT,43450,PR DIL ESOPHAGUS UNGUIDED SOUND,930.0,697.5,103.13,1337.63,1366 CPT,43453,PR DILATION ESOPHAGUS GUIDE WIRE,1037.0,777.75,37.92,1037.0,697 CPT,43460,PR ESOPHAGOGASTRIC TAMPONADE,1381.0,1035.75,92.07,1339.57,683 CPT,43497,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),10797.0,8097.75,1054.22,10797.0,916 CPT,43497,INCISION OF MUSCLE OF LOWER ESOPHAGUS USING AN ENDOSCOPE FACILITY,,,1054.22,7449.87,7 CPT,43497,PR PERORAL ENDOSCOPIC MYOTOMY (POEM),11620.0,8715.0,351.41,11271.4,683 CPT,43499,HC ESD ESOPHAGUS,5633.0,4224.75,967.83,5633.0,916 CPT,43499,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),10797.0,8097.75,967.83,10797.0,916 CPT,43499,PR ENDOSCOPIC SUTURING PROCEDURE,1494.0,1120.5,37.35,1449.18,683 CPT,43499,PR ESD ESOPHAGUS,1758.0,1318.5,43.95,1705.26,683 CPT,43499,PR ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),11620.0,8715.0,290.5,11271.4,683 CPT,43499,UNLISTED PROCEDURE ESOPHAGUS - FACILITY,,,3537.87,4068.55,6 CPT,43500,PR GASTROTOMY W EXPLR/RMVL FB,4392.0,3294.0,364.6,4260.24,683 CPT,43610,PR EXCISN ULCER/BEN TMR STOMACH,8134.0,6100.5,446.24,7889.98,683 CPT,43611,PR EXCISN TMR MLG STOMACH LOCAL,8554.0,6415.5,557.62,8297.38,683 CPT,43621,PR GASTRECTOMY TOTAL W ROUX-EN-Y,17647.0,13235.25,1014.86,17117.59,683 CPT,43631,PR GASTRECT PRTL DSTL W GASTRODUOD,8001.0,6000.75,657.65,7760.97,683 CPT,43632,PR GASTRECTOMY DIST PARTL W G-J,12614.0,9460.5,909.94,12235.58,683 CPT,43633,PR GASTRECTOMY PARTL W ROUX-EN-Y,12168.0,9126.0,861.67,11802.96,683 CPT,43644,BYPASS OF STOMACH USING AN ENDOSCOPE,,,1568.96,2353.44,7 CPT,43644,PR LAP GASTR BYP&ROUX-EN-Y <150CM,10478.0,7858.5,784.48,10163.66,683 CPT,43647,IMPLANTATION OR REPLACEMENT OF NEUROSTIMULATOR ELECTRODES IN UPPER STOMACH USING AN ENDOSCOPE,,,20701.52,23806.75,6 CPT,43647,PR LAP IMPL/RPLC GASTRIC NSTIM,4570.0,3427.5,114.25,4432.9,683 CPT,43653,PR LAPAROSCOPY SURGICAL GASTRO,3087.0,2315.25,274.02,2994.39,683 CPT,43659,PR LAPAROSCOPIC REVISION OF GASTRIC BYPASS,16462.0,12346.5,411.55,15968.14,683 CPT,43659,PR ROBOTIC ASSISTED EXCISN STOMACH MALIGNANT,8554.0,6415.5,213.85,8297.38,683 CPT,43659,PR ROBOTIC ASSISTED REVISION OF GASTRIC BYPASS,16462.0,12346.5,411.55,15968.14,683 CPT,43659,PR ROBOTIC ASSISTED TOTAL GAST W/ ROUX EN Y RECONSTRUCTION,17647.0,13235.25,441.18,17117.59,683 CPT,43659,UNLISTED PROCEDURE LAP STOMACH,,,11342.91,13044.35,6 CPT,43752,HC PLC TUBE NASAL/OROGAST W FLUOR,1528.0,1146.0,50.72,1594.0,2745 CPT,43752,PR PLC TUBE NASAL/OROGAST W FLUOR,1208.5,906.375,28.74,1912.0,1373 CPT,43753,HC INTUB&ASP/LAVAGE GASTRIC THER,700.0,525.0,29.85,679.0,915 CPT,43753,PR INTUB&ASP/LAVAGE GASTRIC THER,157.0,117.75,19.9,157.0,676 CPT,43761,HC REPOSITION GASTROSTOMY TUBE,2107.0,1580.25,130.11,2107.0,915 CPT,43761,PR REPOSITION GASTROSTOMY TUBE,679.0,509.25,51.04,658.63,693 CPT,43762,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1182.5,886.875,50.3,1206.0,2745 CPT,43762,PR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1141.0,855.75,131.99,1106.77,683 CPT,43763,PR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,2612.0,1959.0,40.48,2533.64,697 CPT,43772,PR LAP RMVL GASTRIC DEVICE,7950.0,5962.5,433.97,7711.5,683 CPT,43772,REMOVAL OF STOMACH REDUCTION DEVICE USING AN ENDOSCOPE,,,1301.91,4731.22,7 CPT,43773,PR LAP RMVL&RPLC GASTRIC DEVICE,15808.0,11856.0,584.63,15333.76,683 CPT,43774,PR LAP RMVL GASTRIC DEV ALL PARTS,5412.0,4059.0,439.96,5249.64,683 CPT,43774,REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE,,,1319.88,4731.22,7 CPT,43775,PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE,,,969.74,1454.61,7 CPT,43775,PR LAP LONGITUDINAL GASTRECTOMY,11358.0,8518.5,484.87,11017.26,683 CPT,43820,PR GASTROJEJUNOSTOMY WO VAGOTOMY,9559.0,7169.25,609.72,9272.23,683 CPT,43830,PR GASTROSTOMY WO CNSTRCT G TUBE,4608.0,3456.0,278.77,4469.76,693 CPT,43840,PR GASTRORRHAPHY SUTR ULCER/WND,6237.0,4677.75,617.28,6049.89,683 CPT,43843,PR GASTR RSTCV WO BYP WO VRT BND,7473.0,5604.75,584.79,7248.81,683 CPT,43846,PR GASTRIC RSTCV W BYP <=150CM,12283.0,9212.25,750.07,11914.51,683 CPT,43848,PR REV GASTRIC RSTCV PROC OPN,16462.0,12346.5,869.04,15968.14,683 CPT,43860,PR REV GASTRO/JJNL ANAST WO VGTMY,10120.0,7590.0,735.57,9816.4,683 CPT,43870,PR CLOSURE GASTROSTOMY SURG,4470.0,3352.5,327.05,4335.9,683 CPT,43882,REMOVAL OR REVISION OF STIMULATOR ELECTRODES IN UPPER STOMACH,,,3730.63,4290.23,6 CPT,43887,PR GSTR RSTCV RMVL SUBQ PORT,2082.0,1561.5,162.52,2019.54,683 CPT,43999,HC ESD STOMACH,9296.0,6972.0,967.83,9296.0,917 CPT,43999,HC EUS GUIDED GASTROJEJUNOSTOMY,9104.0,6828.0,967.83,9104.0,917 CPT,43999,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),10797.0,8097.75,967.83,10797.0,917 CPT,43999,HC TORE PROCEDURE,9296.0,6972.0,967.83,13044.35,917 CPT,43999,PR ESD STOMACH,1967.0,1475.25,49.18,1907.99,683 CPT,43999,PR EUS GUIDED GASTROJEJUNOSTOMY,11471.0,8603.25,286.78,11126.87,683 CPT,43999,PR GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),11620.0,8715.0,290.5,11271.4,683 CPT,43999,PR TORE PROCEDURE,1967.0,1475.25,49.18,1907.99,683 CPT,43999,UNLISTED PROCEDURE STOMACH - FACILITY,,,2047.63,2354.78,6 CPT,44005,PR ENTEROLYSIS,4963.0,3722.25,495.14,4814.11,683 CPT,44010,PR DUODENOTOMY EXPLR/BX/RMVL FB,4526.0,3394.5,381.38,4390.22,683 CPT,44015,PR INS/INTRO CATH ENTERO/JEJUNUM,1461.0,1095.75,122.97,1461.0,676 CPT,44020,PR ENTEROTOMY SM INTSTN EXPLR/BX,12013.0,9009.75,443.99,11652.61,683 CPT,44021,PR ENTEROTOMY SM INTSTN DCMPRN,4514.0,3385.5,441.09,4378.58,683 CPT,44025,BIOPSY OR REMOVAL OF FOREIGN BODY IN LARGE BOWEL,,,1339.29,7418.74,7 CPT,44050,PR REDUC VOLVULUS BY LAPAROTOMY,9914.0,7435.5,427.59,9616.58,683 CPT,44055,PR CORR MALROTATION BOWEL,9872.0,7404.0,668.51,9575.84,683 CPT,44110,PR EXCISN >=1LESN INTSTN ENTRTMY SNGL,4657.0,3492.75,387.37,4517.29,683 CPT,44110,REMOVAL OF GROWTH OF SMALL OR LARGE BOWELS,,,1162.11,13044.35,7 CPT,44111,PR EXCISN LES INTSTN ENTRTMY MULT,5786.0,4339.5,440.58,5612.42,683 CPT,44120,PR ENTERCTMY RSECT SM INTSTN SNGL,7644.0,5733.0,551.42,7414.68,683 CPT,44121,PR ENTERECT RSECT SM INTST EA ADD,2083.0,1562.25,210.17,2083.0,676 CPT,44125,PR ENTERECTMY SM INTSTN ENTERSTMY,7497.0,5622.75,533.01,7272.09,683 CPT,44130,PR ENTEROENTEROSTMY ANAST INTSTN,7644.0,5733.0,597.42,7414.68,683 CPT,44139,PR MOBIL SPLENC FLEX W PRTL COLCTMY,737.0,552.75,103.97,737.0,676 CPT,44140,PR COLECTOMY PARTL W ANASTOMOSIS,6503.0,4877.25,606.94,6307.91,683 CPT,44141,PR COLECTMY PARTL W CECOST/COLOST,9069.0,6801.75,820.92,8796.93,683 CPT,44143,PR COLECTOMY PARTL W END CLSR,8171.0,6128.25,743.23,7925.87,683 CPT,44144,PR COLECTMY PARTL W COLOST/ILEOST,8941.0,6705.75,793.83,8672.77,683 CPT,44145,PR COLECTOMY PARTL COLOPROCTOSTMY,8997.0,6747.75,737.0,8727.09,683 CPT,44146,PR COLECTOMY PARTL CLPRCT&COLSTMY,13672.0,10254.0,943.78,13261.84,683 CPT,44150,PR COLECTMY TOT ABD W ILEOS/ILEOP,9706.0,7279.5,840.85,9414.82,683 CPT,44155,PR COLECTOMY TOT ABD PROCT&ILEOST,12440.0,9330.0,933.63,12066.8,683 CPT,44160,PR COLECTOMY PARTL RMVL TRM ILEUM,7323.0,5492.25,562.03,7103.31,683 CPT,44180,PR LAPAROSCOPY ENTEROLYSIS,4572.0,3429.0,419.37,4434.84,683 CPT,44180,RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE,,,1258.1,7418.74,7 CPT,44186,PR LAPAROSCOPY JEJUNOSTOMY,3815.0,2861.25,303.13,3700.55,683 CPT,44187,PR LAP ILEOST/JEJUNOST NON TUBE,6231.0,4673.25,498.86,6044.07,683 CPT,44188,PR LAPAROSCOPY COLOSTMY/CECOSTMY,7963.0,5972.25,553.98,7724.11,683 CPT,44202,PR LAP ENTERECT RESEC&ANAST SNGL,9318.0,6988.5,625.75,9038.46,683 CPT,44203,PR LAP ENTERECT RESEC&ANAST EA,1538.0,1153.5,209.85,1538.0,676 CPT,44204,PR LAP COLECTOMY PRTL ANASTOMOSIS,6747.0,5060.25,687.18,6544.59,683 CPT,44205,PR LAP COLECTOMY W ILEOCOLOSTOMY,6333.0,4749.75,596.64,6143.01,683 CPT,44206,PR LAP COLECTOMY W CLSR DIST SEGM,8421.0,6315.75,778.14,8168.37,683 CPT,44207,PARTIAL REMOVAL OF LARGE BOWEL AND REATTACHMENT TO RECTUM USING AN ENDOSCOPE,,,2409.63,7418.74,7 CPT,44207,PR LAP COLECTMY ANAST COLOPROCT,7867.0,5900.25,803.21,7630.99,683 CPT,44208,PR LAP COLECTMY COLOPROCT CLSTMY,11589.0,8691.75,877.56,11241.33,683 CPT,44210,PR LAP COLECTOMY TOT WO PROCTCTMY,11899.0,8924.25,793.34,11542.03,683 CPT,44211,PR LAP COLECTOMY TOT W PROCTCTMY,14926.0,11194.5,942.67,14478.22,683 CPT,44212,PR COLCTMY TOT W PROCTMY/ILEOSTMY,12183.0,9137.25,908.29,11817.51,683 CPT,44213,PR LAPAROSCOPY MOBILE W COLECTOMY,865.0,648.75,160.77,865.0,676 CPT,44227,PR LAPAROSCOPY CLSR ENTEROSTOMY,8662.0,6496.5,738.9,8402.14,683 CPT,44238,PR LAP REDUCTION/INTUSSUSCEPTION INTERNAL HENIA,9872.0,7404.0,246.8,9575.84,683 CPT,44238,UNLISTED PROC LAP INTESTINE,,,6451.08,7418.74,6 CPT,44300,PR PLC ENTEROST/CECOST TUBE OPN,4707.0,3530.25,386.34,4565.79,683 CPT,44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,6406.0,4804.5,470.43,6213.82,683 CPT,44312,PR REVISION ILEOSTOMY SIMPLE,3182.0,2386.5,276.27,3086.54,683 CPT,44314,PR REVISION ILEOSTOMY COMPLICATED,5551.0,4163.25,455.39,5384.47,683 CPT,44320,PR COLOSTOMY OR SKIN LVL CECOSTMY,6235.0,4676.25,545.14,6047.95,683 CPT,44340,PR REVISION COLOSTOMY SIMPLE,3211.0,2408.25,295.1,3114.67,683 CPT,44340,SIMPLE REVISION OF SUPERFICIAL SCAR TISSUE FROM SURGICALLY CREATED OPENING OF LARGE BOWEL TO SKIN,,,885.29,4348.66,7 CPT,44345,PR REVISION COLOSTOMY COMPLEX,6701.0,5025.75,479.66,6499.97,683 CPT,44346,PR COLOSTOMY RPR PARACLST HERNIA,6336.0,4752.0,535.01,6145.92,683 CPT,44360,DIAGNOSTIC EXAM OF SMALL BOWEL (EXCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,187.76,2354.78,7 CPT,44360,HC ENDO UPPER SM INTESTINE,8785.0,6588.75,187.76,8785.0,916 CPT,44360,PR ENDO UPPER SM INTESTINE,1649.0,1236.75,62.59,2229.06,1366 CPT,44361,BIOPSY OF SMALL BOWEL (EXCEPT ILEUM) USING AN ENDOSCOPE FACILITY,,,206.94,2354.78,7 CPT,44361,HC ENDO SM INTESTINE W BX,8653.0,6489.75,206.94,8653.0,917 CPT,44361,PR ENDO SM INTESTINE W BX,2005.5,1504.125,68.98,2687.87,1366 CPT,44363,HC ENDO SM INTESTINE W RMVL FB,5554.0,4165.5,249.62,5554.0,915 CPT,44363,PR ENDO SM INTESTINE W RMVL FB,1467.0,1100.25,83.21,1422.99,683 CPT,44363,REMOVAL OF FOREIGN BODIES FROM SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,249.62,2354.78,7 CPT,44364,HC ENTEROSCOPY RMVL POLYP SNARE,8228.0,6171.0,265.46,8228.0,917 CPT,44364,PR ENTEROSCOPY RMVL POLYP SNARE,2009.0,1506.75,88.49,1948.73,683 CPT,44364,REMOVAL OF SMALL BOWEL POLYPS OR GROWTHS USING AN ENDOSCOPE FACILITY,,,265.46,2354.78,7 CPT,44366,CONTROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,309.81,2354.78,7 CPT,44366,HC ENDO SM INTESTINE W CTRL BLEED,10548.0,7911.0,309.81,10548.0,916 CPT,44366,PR ENDO SM INTESTINE W CTRL BLEED,2131.0,1598.25,103.27,2067.07,683 CPT,44369,DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,317.64,2354.78,7 CPT,44369,HC ENDO SM INTESTINE W ABLATION,10767.0,8075.25,317.64,10767.0,915 CPT,44369,PR ENDO SM INTESTINE W ABLATION,2217.0,1662.75,105.88,2150.49,683 CPT,44372,HC ENDO SM INTSTN W PLC TUBE PERC,9875.0,7406.25,311.67,9875.0,916 CPT,44372,INSERTION OF TUBE INTO MIDDLE SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,311.67,2354.78,7 CPT,44372,PR ENDO SM INTSTN W PLC TUBE PERC,2222.0,1666.5,103.89,2155.34,683 CPT,44373,CONVERSION OF STOMACH TUBE TO TUBE IN MIDDLE SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,250.31,2354.78,7 CPT,44373,HC ENDO SM INTSTN W G-J TUBE,11248.0,8436.0,250.31,11248.0,915 CPT,44373,PR ENDO SM INTSTN W G-J TUBE,2564.0,1923.0,83.44,3264.05,1366 CPT,44376,DIAGNOSTIC EXAM OF SMALL BOWEL (INCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,365.94,2354.78,7 CPT,44376,HC ENTEROSCOPY W ILEUM W/WO BX,7373.0,5529.75,365.94,7373.0,915 CPT,44376,PR ENTEROSCOPY W ILEUM W/WO BX,1878.0,1408.5,121.98,1821.66,683 CPT,44377,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,384.02,2354.78,7 CPT,44377,HC ENDO SM INTESTINE W ILIUM BX,9875.0,7406.25,384.02,9875.0,916 CPT,44377,PR ENDO SM INTESTINE W ILIUM BX,2421.0,1815.75,128.01,2348.37,683 CPT,44378,CONTROL OF BLEEDING OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,493.26,2354.78,7 CPT,44378,HC ENDO SM INTSTN W ILIUM CTRL,11442.0,8581.5,493.26,11442.0,915 CPT,44378,PR ENDO SM INTSTN W ILIUM CTRL,2654.0,1990.5,164.42,2574.38,683 CPT,44380,DIAGNOSTIC EXAM OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM SMALL BOWEL TO SKIN FACILITY,,,78.0,1113.0,7 CPT,44380,HC ILEOSCOPY STOMA DX,6527.0,4895.25,78.0,6527.0,916 CPT,44380,PR ILEOSCOPY STOMA DX,1415.0,1061.25,108.7,1809.05,2049 CPT,44381,BALLOON DILATION OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,113.76,2354.78,7 CPT,44381,HC ILEOSCOPY STOMA W BALN DIL,5217.0,3912.75,113.76,5217.0,916 CPT,44381,PR ILEOSCOPY STOMA W BALN DIL,3460.5,2595.375,517.58,4084.67,1366 CPT,44382,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LOWER SMALL BOWEL TO SKIN FACILITY,,,99.59,1113.0,7 CPT,44382,HC ILEOSCOPY STOMA W BX SNGL/MULT,4417.0,3312.75,99.59,4417.0,916 CPT,44382,PR ILEOSCOPY STOMA W BX SNGL/MULT,1545.0,1158.75,162.5,1809.05,2049 CPT,44385,DIAGNOSTIC EXAM OF SURGICALLY CREATED POUCH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,98.93,1141.19,7 CPT,44385,HC ENDO EVAL SM INTST POUCH DX,6629.0,4971.75,98.93,6629.0,916 CPT,44385,PR ENDO EVAL SM INTST POUCH DX,1588.0,1191.0,119.07,1703.32,2049 CPT,44386,BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE FACILITY,,,119.22,1141.19,7 CPT,44386,HC ENDO EVAL SM INTST POUCH BX,6665.0,4998.75,119.22,6665.0,918 CPT,44386,PR ENDO EVAL SM INTST POUCH BX,2029.5,1522.125,168.88,2116.54,2050 CPT,44388,DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,206.67,1141.19,7 CPT,44388,HC COLONOSCOPY STOMA DX,6578.0,4933.5,206.67,6578.0,915 CPT,44388,PR COLONOSCOPY STOMA DX,1714.0,1285.5,171.98,1703.32,2049 CPT,44389,BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,225.63,1468.45,7 CPT,44389,HC COLONOSCOPY STOMA BX SNGL/MULT,7456.0,5592.0,225.63,7456.0,916 CPT,44389,PR COLONOSCOPY STOMA BX SNGL/MULT,2367.5,1775.625,222.47,2422.09,2049 CPT,44391,HC COLONOSCOPY STOMA W CTRL BLEED,11336.0,8502.0,298.76,11336.0,915 CPT,44391,PR COLONOSCOPY STOMA W CTRL BLEED,2246.0,1684.5,341.2,2178.62,683 CPT,44394,HC COLONOSCOPY W RMVL LESN SNARE,4333.0,3249.75,293.54,4333.0,916 CPT,44394,PR COLONOSCOPY W RMVL LESN SNARE,2197.0,1647.75,235.4,2131.09,683 CPT,44394,REMOVAL OF GROWTHS OR POLYPS OF LARGE BOWEL BY MECHANICAL SNARE USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING INTO LARGE BOWEL TO SKIN FACILITY,,,293.54,1468.45,7 CPT,44403,HC COLONOSCOPY STOMA EMR,3500.0,2625.0,391.43,3500.0,915 CPT,44403,PR COLONOSCOPY STOMA EMR,2493.0,1869.75,130.48,2418.21,683 CPT,44404,PR COLONOSCOPY STOMA INJ SUBMUC,2033.0,1524.75,74.91,1972.01,697 CPT,44405,BALLOON DILATION OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,239.28,1468.45,7 CPT,44500,DILATION OF STOMACH AND/OR SMALL BOWEL USING LONG GASTROINTESTINAL TUBE FACILITY,,,24.15,1113.0,7 CPT,44500,HC INTRO GI TUBE LONG,2723.0,2042.25,24.15,2723.0,916 CPT,44500,PR INTRO GI TUBE LONG,923.0,692.25,13.69,1627.0,2058 CPT,44602,PR ENTERORRHAPHY PERFORATION SNGL,6427.0,4820.25,626.3,6234.19,683 CPT,44603,PR ENTERORRHAPHY PERFORATION MULT,7797.0,5847.75,720.81,7563.09,683 CPT,44604,PR SUTR LG INTSTN PERF WO COLOST,5894.0,4420.5,473.33,5717.18,683 CPT,44605,PR SUTR LG INTSTN PERF W COLOST,9375.0,7031.25,590.32,9093.75,683 CPT,44615,PR STRICTUROPLASTY INTSTN OBSTR,8026.0,6019.5,483.44,7785.22,683 CPT,44620,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING,,,782.13,1173.2,7 CPT,44620,PR CLSR ENTEROSTMY LG/SM INTSTN,4608.0,3456.0,391.07,4469.76,683 CPT,44625,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING WITH BOWEL REMOVAL AND REATTACHMENT,,,908.93,1363.4,7 CPT,44625,PR CLSR ENTEROSTMY INTSTN W RSECT,5355.0,4016.25,454.47,5194.35,683 CPT,44626,PR CLSR ENTEROSTMY INTSTN COLORCT,7014.0,5260.5,707.91,6803.58,683 CPT,44640,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM SMALL BOWEL TO SKIN,,,1872.11,7418.74,7 CPT,44640,PR CLSR INTSTN CUTANEOUS FISTULA,7699.0,5774.25,624.04,7468.03,683 CPT,44650,PR CLSR ENTEROENTERIC/COLIC FSTL,8988.0,6741.0,643.46,8718.36,683 CPT,44661,PR CLSR ENTEROVESC FSTL W RSECT,8972.0,6729.0,688.0,8702.84,683 CPT,44705,ASSESSMENT AND OVERSEEING PREPARATION OF DONOR FECAL SPECIMEN FACILITY,,,992.34,1141.19,6 CPT,44705,HC PREPARE FECAL MICROBIOTA,3238.0,2428.5,992.34,3238.0,916 CPT,44705,PR PREPARE FECAL MICROBIOTA,508.0,381.0,142.59,508.0,676 CPT,44799,HC DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),10284.0,7713.0,967.83,10284.0,917 CPT,44799,HC ESD SMALL INTESTINE,9296.0,6972.0,967.83,9296.0,917 CPT,44799,HC LOWER DBL BALLOON,9875.0,7406.25,967.83,9875.0,917 CPT,44799,HC LOWER DBL BALLOON W/ BIOPSY,7373.0,5529.75,967.83,7373.0,917 CPT,44799,PR CHANGE OF JEJUNOSTOMY TUBE,2285.0,1713.75,57.13,2216.45,683 CPT,44799,PR DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),11620.0,8715.0,290.5,11271.4,683 CPT,44799,PR ESD SMALL INTESTINE,2217.0,1662.75,55.43,2150.49,683 CPT,44799,PR LOWER DBL BALLOON,2421.0,1815.75,60.53,2348.37,683 CPT,44799,PR LOWER DBL BALLOON W/BIOPSY,2421.0,1815.75,60.53,2348.37,683 CPT,44799,UNLISTED PROC SMALL INTESTINE - FACILITY,,,967.83,1113.0,6 CPT,44800,PR EXCISN MECKEL DIVERTICULUM,4430.0,3322.5,359.04,4297.1,683 CPT,44820,PR EXCISION LESION MESENTERY,6127.0,4595.25,391.8,5943.19,683 CPT,44850,PR SUTURE MESENTERY,4187.0,3140.25,344.35,4061.39,683 CPT,44950,PR APPENDECTOMY,4178.0,3133.5,293.82,4052.66,683 CPT,44955,PR APPENDECTOMY W OTHR MAJOR PROC,1293.0,969.75,72.68,1293.0,676 CPT,44955,REMOVAL OF APPENDIX DURING OTHER MAJOR PROCEDURE,,,1.47,109.02,7 CPT,44970,PR LAPAROSCOPY APPENDECTOMY,3050.0,2287.5,280.4,2958.5,683 CPT,44970,REMOVAL OF APPENDIX USING AN ENDOSCOPE PROFESSIONAL,,,841.2,7418.74,7 CPT,44979,UNLISTED PROC LAP APPENDIX,,,11342.91,13044.35,6 CPT,45005,PR I&D ABSCESS SUBMUCOSAL RECTUM,939.0,704.25,84.21,910.83,697 CPT,45100,BIOPSY OF ANAL AND/OR RECTAL WALL THROUGH ANUS PROFESSIONAL,,,441.06,3406.14,7 CPT,45100,PR BX ANORECTAL WALL ANAL APPR,1915.0,1436.25,147.02,1857.55,683 CPT,45110,PR PROCTECTOMY CMPLT W COLOSTOMY,10049.0,7536.75,815.36,9747.53,683 CPT,45112,PR PROCTECTOMY ABDOMINOPERINEAL,12972.0,9729.0,802.85,12582.84,683 CPT,45123,PR PROCTECTOMY WO ANAST PARTL,6128.0,4596.0,503.7,5944.16,683 CPT,45130,PR EXCISN RECTL PROCIDENTIA ANAST,6364.0,4773.0,490.0,6173.08,683 CPT,45136,PR EXCISN ILEOANAL RSRVR ILEOSTMY,10879.0,8159.25,799.55,10552.63,683 CPT,45171,PR EXCISN RCTL TMR PRTL TRNSANAL APPR,3404.0,2553.0,297.63,3301.88,683 CPT,45171,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS,,,892.89,3406.14,7 CPT,45172,PR EXCISN RECTAL TMR FULL,4836.0,3627.0,387.2,4690.92,683 CPT,45172,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS WITH REMOVAL OF A PORTION OF MUSCLE,,,1161.59,3406.14,7 CPT,45300,PR PROCTOSIGMOIDOSCOPY DX,395.0,296.25,72.17,383.15,683 CPT,45330,DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,78.75,1141.19,7 CPT,45330,HC SIGMOIDOSCOPY FLEXIBLE DX,4872.0,3654.0,78.75,4872.0,917 CPT,45330,PR SIGMOIDOSCOPY FLEXIBLE DX,615.0,461.25,104.42,635.35,2050 CPT,45331,BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,98.03,1141.19,7 CPT,45331,HC SIGMOIDOSCOPY FLEXIBLE W BX,4366.0,3274.5,98.03,4366.0,916 CPT,45331,PR SIGMOIDOSCOPY FLEXIBLE W BX,1494.0,1120.5,156.8,1802.26,2050 CPT,45332,HC SIGMOID FLEX W RMVL FB,10075.0,7556.25,140.76,10075.0,916 CPT,45332,PR SIGMOID FLEX W RMVL FB,1432.5,1074.375,152.11,1692.65,1366 CPT,45332,SIGMOIDOSCOPY FLEXIBLE WITH REMOVAL OF FOREIGN BODY FACILITY,,,140.76,1468.45,7 CPT,45334,CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,155.69,1468.45,7 CPT,45334,HC SIGMOID FLEX W CTRL BLEED,7032.0,5274.0,155.69,7032.0,916 CPT,45334,PR SIGMOID FLEX W CTRL BLEED,1667.5,1250.625,264.21,2009.84,2049 CPT,45335,HC SIGMOID FLEX W SUBMUCOSAL INJ,4673.0,3504.75,91.56,4673.0,915 CPT,45335,INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,91.56,1141.19,7 CPT,45335,PR SIGMOID FLEX W SUBMUCOSAL INJ,1454.0,1090.5,159.18,1821.66,2049 CPT,45337,HC SIGMOID FLEX W DECOMPRESSION,6600.0,4950.0,146.99,6600.0,915 CPT,45337,PR SIGMOID FLEX W DECOMPRESSION,1455.5,1091.625,49.0,1794.5,1366 CPT,45338,HC SIGMOID FLEX W RMVL TMR SNARE,6540.0,4905.0,159.96,6540.0,916 CPT,45338,PR SIGMOID FLEX W RMVL TMR SNARE,1862.5,1396.875,162.88,2182.5,2049 CPT,45338,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,159.96,2354.78,7 CPT,45340,BALLOON DILATION OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,106.28,1468.45,7 CPT,45340,HC SIGMOID FLEX W DIL BALN,7461.0,5595.75,106.28,7461.0,915 CPT,45340,PR SIGMOID FLEX W DIL BALN,1806.0,1354.5,246.13,2182.5,1366 CPT,45341,HC SIGMOID FLEX W EUS EXAM,6256.0,4692.0,164.07,6256.0,916 CPT,45341,PR SIGMOID FLEX W EUS EXAM,1085.0,813.75,54.69,1052.45,683 CPT,45341,ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,164.07,1141.19,7 CPT,45342,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LOWER LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,222.89,1468.45,7 CPT,45342,HC SIGMOID FLEX W EUS FNA/BX,10259.0,7694.25,222.89,10259.0,916 CPT,45342,PR SIGMOID FLEX W EUS FNA/BX,1220.0,915.0,74.3,1183.4,683 CPT,45346,DESTRUCTION OF POLYP OR GROWTH OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,210.6,1468.45,7 CPT,45346,HC SIGMOIDOSCOPY W ABLATION,6759.0,5069.25,210.6,6759.0,916 CPT,45346,PR SIGMOIDOSCOPY W ABLATION,2445.5,1834.125,680.63,3076.0,1366 CPT,45347,HC SIGMOIDOSCOPY W PLCMT STENT,15926.0,11944.5,200.99,15926.0,916 CPT,45347,INSERTION OF STENT INTO LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,200.99,7449.87,7 CPT,45347,PR SIGMOIDOSCOPY W PLCMT STENT,1190.0,892.5,67.0,1154.3,683 CPT,45349,HC SIGMOID FLEX EMR,7790.0,5842.5,258.0,7790.0,916 CPT,45349,PR SIGMOID FLEX EMR,1991.5,1493.625,86.0,2131.09,1366 CPT,45349,REMOVAL OF LOWER PORTION OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,258.0,3406.14,7 CPT,45350,HC SIGMOID FLEX W BAND LIG,7320.0,5490.0,134.87,7320.0,915 CPT,45350,PR SIGMOID FLEX W BAND LIG,1787.0,1340.25,360.68,2119.45,2049 CPT,45378,DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,241.97,1141.19,7 CPT,45378,HC COLONOSCOPY DIAGNOSTIC,3628.0,2721.0,241.97,3628.0,918 CPT,45378,PR COLONOSCOPY DIAGNOSTIC,1671.0,1253.25,184.06,1820.69,2049 CPT,45379,HC COLONOSCOPY W RMVL FB,8516.0,6387.0,309.08,8516.0,916 CPT,45379,PR COLONOSCOPY W RMVL FB,2175.5,1631.625,233.46,2163.1,2049 CPT,45379,REMOVAL OF FOREIGN BODIES IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,309.08,1468.45,7 CPT,45380,BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,261.29,1468.45,7 CPT,45380,HC COLONOSCOPY W BIOPSY,4173.0,3129.75,261.29,4173.0,921 CPT,45380,PR COLONOSCOPY W BIOPSY,2042.0,1531.5,233.55,2182.5,2049 CPT,45381,HC COLONOSCOPY W SUBMUC INJ,4477.0,3357.75,261.29,4477.0,916 CPT,45381,INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,261.29,1468.45,7 CPT,45381,PR COLONOSCOPY W SUBMUC INJ,2037.0,1527.75,238.57,2170.86,2049 CPT,45382,CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,333.87,1468.45,7 CPT,45382,HC COLONOSCOPY W CTRL BLEED,5450.0,4087.5,333.87,5450.0,916 CPT,45382,PR COLONOSCOPY W CTRL BLEED,2396.0,1797.0,355.16,2477.38,2049 CPT,45384,HC COLONOSCOPY W RMVL TMR HOT BX,7658.0,5743.5,298.37,7658.0,915 CPT,45384,PR COLONOSCOPY W RMVL TMR HOT BX,2178.5,1633.875,262.26,2119.45,2049 CPT,45384,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY,,,298.37,1468.45,7 CPT,45385,HC COLONOSCOPY W RMVL SNARE,5282.0,3961.5,328.83,5282.0,919 CPT,45385,PR COLONOSCOPY W RMVL SNARE,2282.5,1711.875,243.6,2234.88,2049 CPT,45385,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY,,,328.83,1468.45,7 CPT,45386,BALLOON DILATION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,275.58,1468.45,7 CPT,45386,HC COLONOSCOPY W BALN DIL,7586.0,5689.5,275.58,7586.0,916 CPT,45386,PR COLONOSCOPY W BALN DIL,2423.0,1817.25,325.86,2518.12,2049 CPT,45388,DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,350.63,1468.45,7 CPT,45388,HC COLONOSCOPY W TMR ABLATE,4708.0,3531.0,350.63,4708.0,916 CPT,45388,PR COLONOSCOPY W TMR ABLATE,2473.5,1855.125,815.63,2772.0,2049 CPT,45389,HC COLONOSCOPY FLEX STENT PLC,16248.0,12186.0,372.65,16248.0,915 CPT,45389,PR COLONOSCOPY FLEX STENT PLC,2458.0,1843.5,124.22,2384.26,683 CPT,45390,HC COLONOSCOPY W EMR,8570.0,6427.5,427.35,8570.0,916 CPT,45390,PR COLONOSCOPY W EMR,3193.5,2395.125,142.45,4833.51,2049 CPT,45390,REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,427.35,3406.14,7 CPT,45391,HC COLONOSCOPY W EUS EXAM,5764.0,4323.0,332.91,5764.0,916 CPT,45391,PR COLONOSCOPY W EUS EXAM,1914.0,1435.5,110.97,1856.58,683 CPT,45391,ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,332.91,1468.45,7 CPT,45392,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,391.32,1468.45,7 CPT,45392,HC COLONOSCOPY W TRANS EUS FNA/BX,3544.0,2658.0,391.32,3544.0,916 CPT,45392,PR COLONOSCOPY W TRANS EUS FNA/BX,2094.0,1570.5,130.44,2031.18,683 CPT,45393,HC COLONOSCOPY W DECOMPRESSION,5266.0,3949.5,321.42,5266.0,915 CPT,45393,PR COLONOSCOPY W DECOMPRESSION,2337.0,1752.75,107.14,2266.89,683 CPT,45395,PR LAP PRCTMY W COLOSTOMY COMPLT,10709.0,8031.75,877.1,10387.73,683 CPT,45397,PR LAP PROCTECTOMY W RESERVOIR,14847.0,11135.25,947.67,14401.59,683 CPT,45398,PR COLONOSCOPY W BAND LIG,2230.5,1672.875,102.46,2271.74,1394 CPT,45399,HC ESD COLON,8570.0,6427.5,992.34,8570.0,917 CPT,45399,PR ESD COLON,1404.0,1053.0,35.1,1361.88,683 CPT,45399,UNLISTED PROCEDURE COLON - FACILITY,,,992.34,1141.19,6 CPT,45400,PR LAP PROCTOPEXY PROLAPSE,7745.0,5808.75,509.51,7512.65,683 CPT,45400,REPAIR OF RECTAL PROLAPSE USING AN ENDOSCOPE,,,1019.01,1528.52,7 CPT,45402,PR LAP PROCTOPEXY W RSECT SIGMOID,8711.0,6533.25,678.75,8449.67,683 CPT,45499,UNLISTED PROCEDURE LAP RECTUM,,,6451.08,7418.74,6 CPT,45560,PR REPAIR OF RECTOCELE,2479.0,1859.25,309.17,2404.63,683 CPT,45820,PR CLSR RECTOURETHRAL FISTULA,8222.0,6166.5,587.55,7975.34,683 CPT,45905,DILATION OF SPHINCTER OF ANUS UNDER ANESTHESIA,,,246.84,1468.45,7 CPT,45905,PR DIL ANAL SPHINCTER W ANES,1075.0,806.25,82.28,1042.75,683 CPT,45910,PR DIL RECTAL STRICTURE W ANES,1338.0,1003.5,91.64,1297.86,683 CPT,45915,PR RMVL FECAL IMPACTION/FB W ANES,1482.0,1111.5,195.93,1437.54,683 CPT,45990,DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA FACILITY,,,145.43,3406.14,7 CPT,45990,PR EXAM ANORECTAL SURG W ANES,481.0,360.75,48.48,466.57,683 CPT,45999,HC ESD RECTUM,8570.0,6427.5,992.34,8570.0,916 CPT,45999,PR ESD RECTUM,2143.0,1607.25,53.58,2078.71,683 CPT,45999,UNLISTED PROCEDURE RECTUM - FACILITY,,,992.34,1141.19,6 CPT,46020,INSERTION OF DRAIN (SETON) INTO ANUS,,,161.96,3406.14,7 CPT,46020,PR PLACEMENT OF SETON,1273.0,954.75,53.99,1234.81,683 CPT,46030,PR RMVL ANAL SETON OTHER MARKER,808.0,606.0,137.85,783.76,683 CPT,46030,REMOVAL OF DRAIN (SETON) FROM ANUS,,,117.89,3406.14,7 CPT,46040,DRAINAGE OF DEEP ABSCESS IN RECTUM FACILITY,,,633.44,1468.45,7 CPT,46040,HC I&D RECTAL ABSCESS,4960.0,3720.0,422.29,4960.0,897 CPT,46040,PR I&D RECTAL ABSCESS,2064.0,1548.0,305.82,2002.08,683 CPT,46045,INCISION AND DRAINAGE OF ABSCESS WITHIN WALL OF RECTUM UNDER ANESTHESIA,,,652.35,3406.14,7 CPT,46045,PR I&D ABSCESS TRANSANAL W ANES,2096.0,1572.0,217.45,2033.12,683 CPT,46050,DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS FACILITY,,,151.02,3406.14,7 CPT,46050,HC I&D PERIANAL ABSCESS SUPFCL,3707.0,2780.25,151.02,3595.79,918 CPT,46050,PR I&D PERIANAL ABSCESS SUPFCL,1190.0,892.5,129.64,1154.3,683 CPT,46060,INCISION AND DRAINAGE OF ABSCESS IN WALL OF RECTUM OR BETWEEN RECTUM AND MUSCLE WITH INCISION OR REMOVAL OF ABNORMAL DRAINAGE TRACT PROFESSIONAL,,,717.48,3406.14,7 CPT,46060,PR I&D ISCHIORECT/INTRAMURAL ABSC,2284.0,1713.0,239.16,2215.48,683 CPT,46080,INCISION OF SPHINCTER OF ANUS,,,219.03,3406.14,7 CPT,46080,PR SPHINCTEROT ANAL DVISN SPHINCT,1433.0,1074.75,153.28,1390.01,683 CPT,46083,HC INCISN THROMB HEMM EXTRNL,1219.0,914.25,156.93,1182.43,915 CPT,46083,PR INCISN THROMB HEMM EXTRNL,681.0,510.75,109.44,660.57,683 CPT,46200,PR FISSURECTOMY W/WO SPHINCTROTMY,1753.0,1314.75,169.14,1700.41,697 CPT,46220,PR EXCISN EXTRNL PAPILLA ANUS SNGL,811.0,608.25,133.78,786.67,683 CPT,46220,REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS FACILITY,,,174.6,1468.45,7 CPT,46221,HC LIGATION OF HEMORRHOID(S),3183.0,2387.25,287.97,3183.0,915 CPT,46221,PR LIGATION OF HEMORRHOID(S),1045.5,784.125,158.3,1059.24,2050 CPT,46230,PR EXCISN EXTRNL PAPILLAE ANUS MULT,1189.0,891.75,166.29,1153.33,683 CPT,46230,REMOVAL OF MULTIPLE EXTERNAL NONCANCER GROWTHS OF ANUS FACILITY,,,243.02,3406.14,7 CPT,46250,PR HEMORRHOIDECTOMY EXTERNAL >=2,1758.0,1318.5,260.62,1705.26,683 CPT,46250,REMOVAL OF MULTIPLE EXTERNAL HEMORRHOIDS,,,464.82,3406.14,7 CPT,46255,PR HEMRDECT INT & EXT SNGL GROUP,2179.0,1634.25,282.21,2113.63,683 CPT,46255,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP PROFESSIONAL,,,512.12,3406.14,7 CPT,46260,PR HEMRDECT INT & EXT >=2 GROUPS,1887.0,1415.25,233.25,1830.39,683 CPT,46260,REMOVAL OF MULTIPLE HEMORRHOID GROUPS PROFESSIONAL,,,699.75,3406.14,7 CPT,46270,PR TX ANAL FSTL SURG SUBQ,2228.0,1671.0,291.26,2161.16,683 CPT,46270,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT PROFESSIONAL,,,595.11,3406.14,7 CPT,46275,PR TX ANAL FSTL SURG INTERSPHINCT,2284.0,1713.0,306.42,2215.48,683 CPT,46275,REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER,,,620.67,3406.14,7 CPT,46280,PR TX ANAL FSTL SURG CMPLX,1968.0,1476.0,234.88,1908.96,683 CPT,46280,REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER,,,704.63,3406.14,7 CPT,46288,PR CLSR ANAL FSTL RECTAL FLAP,3394.0,2545.5,268.91,3292.18,683 CPT,46288,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH RECTAL TISSUE FLAP,,,806.72,3406.14,7 CPT,46320,HC EXCISN THROMB HEMM EXTRNL,3468.0,2601.0,158.19,3363.96,915 CPT,46320,PR EXCISN THROMB HEMM EXTRNL,841.0,630.75,52.73,815.77,697 CPT,46505,INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS FACILITY,,,359.99,1468.45,7 CPT,46505,PR CHEMODENERV INTRNL ANAL SPHINCTER,1630.0,1222.5,166.6,1581.1,683 CPT,46600,HC ANOSCOPY DIAGNOSTIC,471.0,353.25,59.13,471.0,915 CPT,46600,PR ANOSCOPY DIAGNOSTIC,398.0,298.5,62.6,386.06,684 CPT,46601,DIAGNOSTIC EXAM OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE FACILITY,,,125.52,548.2,7 CPT,46604,PR ANOSCOPY W DILATION,1932.0,1449.0,30.44,1874.04,697 CPT,46606,BIOPSY OF ANUS USING AN ENDOSCOPE FACILITY,,,104.1,1468.45,7 CPT,46606,PR ANOSCOPY W BX SINGLE/MULTIPLE,933.0,699.75,148.95,905.01,683 CPT,46610,PR ANOSCOPY W RMVL SNGL TMR HOT BX,885.0,663.75,37.11,858.45,697 CPT,46614,CONTROL OF BLEEDING OF ANUS USING AN ENDOSCOPE,,,89.94,3406.14,7 CPT,46614,PR ANOSCOPY W BLD CONTROL,958.0,718.5,29.98,929.26,697 CPT,46706,PR REPAIR ANAL FISTULA W FIBRIN GLUE,917.0,687.75,86.32,889.49,683 CPT,46706,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH TISSUE GLUE,,,258.95,3406.14,7 CPT,46750,PR SPHINCTEROPLASTY ANAL ADULT,4080.0,3060.0,335.13,3957.6,683 CPT,46750,"REPAIR OF ANAL MUSCLE FOR INCONTINENCE OR PROLAPSE, ADULT",,,1005.38,3406.14,7 CPT,46753,PR GRFT RECTAL INCONT/PROLAPSE,4477.0,3357.75,297.86,4342.69,683 CPT,46753,"REPAIR OF MUSCLE OF ANUS FOR INCONTINENCE AND/OR PROLAPSE USING WIRE, GRAFT, OR SUTURE",,,893.57,3406.14,7 CPT,46761,PR SPHINCTRPLSTY ANAL IMBRICATION,3942.0,2956.5,404.99,3823.74,683 CPT,46761,"REPAIR OF ANAL MUSCLE TO CORRECT INCONTINENCE WITH MUSCLE TIGHTENING, ADULT",,,1214.97,3406.14,7 CPT,46900,PR DEST LESN ANUS SMPL CHEMICAL,654.0,490.5,64.56,634.38,697 CPT,46910,PR DEST LESN ANUS SMPL ELECTRO,1178.0,883.5,144.1,1142.66,683 CPT,46910,SIMPLE DESTRUCTION OF GROWTH OF ANUS,,,190.05,2531.94,7 CPT,46916,PR DEST LESN ANUS SMPL CRYOSURG,925.0,693.75,59.82,897.25,697 CPT,46917,LASER DESTRUCTION OF GROWTH OF ANUS,,,176.99,3406.14,7 CPT,46917,PR DEST LESN ANUS SMPL LASER SURG,2208.0,1656.0,225.36,2141.76,683 CPT,46922,PR DEST LESN ANUS SMPL SURG EXCISN,1184.0,888.0,167.13,1148.48,683 CPT,46922,SIMPLE REMOVAL OF GROWTH OF ANUS PROFESSIONAL,,,196.02,3406.14,7 CPT,46924,EXTENSIVE DESTRUCTION OF GROWTH OF ANUS,,,251.85,3406.14,7 CPT,46924,PR DEST LESION ANUS EXTENSIVE,2237.0,1677.75,301.77,2169.89,683 CPT,46945,PR HEMORRHOID LIG BAND SINGLE,1482.0,1111.5,170.45,1437.54,684 CPT,46945,TYING OF SINGLE INTERNAL HEMORRHOID GROUP,,,511.35,3406.14,7 CPT,46946,PR HEMORRHOID LIG BAND MULTIPLE,1562.5,1171.875,186.95,1609.23,1367 CPT,46946,TYING OF MULTIPLE INTERNAL HEMORRHOID GROUPS FACILITY,,,560.85,3406.14,7 CPT,46947,PR HEMORRHOIDOPEXY STAPLING,1586.0,1189.5,184.35,1538.42,683 CPT,46947,STAPLING OF INTERNAL HEMORRHOID,,,553.04,3406.14,7 CPT,46999,PR ANAL MAPPING,933.0,699.75,23.33,905.01,684 CPT,46999,UNLISTED PROCEDURE ANUS - PROFESSIONAL,,,992.34,1141.19,6 CPT,47000,HC BX NDL LIVER PERC,4299.0,3224.25,112.71,4299.0,918 CPT,47000,NEEDLE BIOPSY OF LIVER THROUGH SKIN FACILITY,,,112.71,2026.75,7 CPT,47000,PR BX NDL LIVER PERC,1673.0,1254.75,140.01,1622.81,683 CPT,47001,PR BX LIVER NEEDLE W OTHR PROC,714.0,535.5,89.79,714.0,676 CPT,47010,PR HEPATOTOMY OPN DRN ABSC/CYST,9636.0,7227.0,554.4,9346.92,683 CPT,47100,PR BIOPSY LIVER WEDGE,4787.0,3590.25,395.22,4643.39,683 CPT,47120,PR HEPATECTMY RESECT PARTL LOBECT,12342.0,9256.5,1051.48,11971.74,683 CPT,47122,PR HEPATECTMY RESECT TRISEGMENT,23025.0,17268.75,1526.92,22334.25,683 CPT,47125,PR HEPATECTMY LEFT LOBECT TOT,26386.0,19789.5,1371.11,25594.42,683 CPT,47130,PR HEPATECTMY RIGHT LOBECT TOT,29120.0,21840.0,1466.79,28246.4,683 CPT,47133,PR DONOR HEPATECTOMY CADAVER,16707.0,12530.25,7518.15,16707.0,676 CPT,47135,PR TRANSPLANT LIVER,55692.0,41769.0,2442.98,54021.24,683 CPT,47143,PR BKBENCH PREP CADV DNR WHOLE LVR,4915.0,3686.25,105.09,4767.55,683 CPT,47144,PR BKBENCH CADV LIVER TRISEG SPLT,6490.0,4867.5,179.72,6295.3,683 CPT,47145,PR BKBENCH CADV LIVER LOBE SPLIT,18544.0,13908.0,463.6,17987.68,683 CPT,47146,PR BKBENCH LIVER VEN ANAST EA,2465.0,1848.75,142.98,2391.05,683 CPT,47147,PR BKBENCH ARTERIAL ANASTOMOSIS,4121.0,3090.75,166.68,3997.37,683 CPT,47350,PR SUTR LIVER HEMORRHAGE SMPL,7950.0,5962.5,624.15,7711.5,683 CPT,47361,PR EXPLOR HEPATIC WND/DEBRIDEMENT,15691.0,11768.25,1343.88,15220.27,683 CPT,47362,PR MGMT LIVER HEMORRHAGE,8859.0,6644.25,649.65,8593.23,683 CPT,47370,PR LAP ABLAT >=1 LIVER TMR RF,6866.0,5149.5,568.78,6660.02,683 CPT,47379,PR LAP LIVER CYST FENEST,9636.0,7227.0,240.9,9346.92,683 CPT,47379,PR LAPAROSCOPIC BX LIVER WEDGE,4787.0,3590.25,119.68,4643.39,683 CPT,47379,PR LAPAROSCOPIC HEPATECTOMY PARTIAL,12342.0,9256.5,308.55,11971.74,683 CPT,47379,PR LAPAROSCOPIC LIVER BIOPSY,1673.0,1254.75,41.83,1622.81,683 CPT,47379,UNLISTED PROCEDURE LAP LIVER,,,6451.08,7418.74,6 CPT,47380,HC ABLT OPN LIVER TMR RF,8518.0,6388.5,1305.39,8518.0,915 CPT,47380,PR ABLT OPN LIVER TMR RF,11629.0,8721.75,652.7,11280.13,683 CPT,47382,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY FACILITY,,,944.55,7418.74,7 CPT,47382,HC ABLT >=1 LVR TMR PERC RADIOFREQ,24398.0,18298.5,944.55,24398.0,916 CPT,47382,PR ABLT >=1 LVR TMR PERC RADIOFREQ,10833.0,8124.75,1666.43,10508.01,683 CPT,47383,HC ABLT PERC LIVER TMR CRYOABLAT,22136.0,16602.0,593.09,22136.0,915 CPT,47383,PR ABLT PERC LIVER TMR CRYOABLAT,15184.0,11388.0,2823.67,14728.48,683 CPT,47420,PR CHOLEDOCHOTMY WO DUODNL SPHIN,6826.0,5119.5,601.19,6621.22,683 CPT,47490,HC CHOLECYSTOSTOMY PERC W CATH PLC,13018.0,9763.5,437.97,13018.0,915 CPT,47490,INSERTION OF TUBE INTO GALLBLADDER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,437.97,4393.67,7 CPT,47490,PR CHOLECYSTOSTOMY PERC W CATH PLC,5156.0,3867.0,145.99,5001.32,683 CPT,47531,HC INJ CHOLANGIO PERC EXIST ACCESS,10241.0,7680.75,90.99,10241.0,916 CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,90.99,4393.67,7 CPT,47531,PR INJ CHOLANGIO PERC EXIST ACCESS,1502.0,1126.5,193.46,1456.94,683 CPT,47532,HC INJ CHOLANGIO PERC NEW ACCESS,10905.0,8178.75,269.22,10905.0,915 CPT,47532,PR INJ CHOLANGIO PERC NEW ACCESS,1955.0,1466.25,393.33,1896.35,683 CPT,47533,HC PLC BILIARY DRN CATH EXTRNL,12728.0,9546.0,334.58,12728.0,915 CPT,47533,PR PLC BILIARY DRN CATH EXTRNL,5202.0,3901.5,539.88,5045.94,683 CPT,47534,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,12667.0,9500.25,467.6,12667.0,915 CPT,47534,PLACEMENT OF INTERNAL-EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,467.6,4393.67,7 CPT,47534,PR PLC BILIARY DRN CATH INTRNL-EXTRNL,6131.0,4598.25,592.48,5947.07,683 CPT,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 FACILITY,,,249.69,4731.22,7 CPT,47535,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,10207.0,7655.25,249.69,10207.0,915 CPT,47535,PR CONV EXT BIL DRN CATH INTRNL-EXTRNL,4128.0,3096.0,83.23,4004.16,697 CPT,47536,HC EXCHG BIL DRN CATH PERC W IMG,10316.0,7737.0,168.89,10316.0,916 CPT,47536,PR EXCHG BIL DRN CATH PERC W IMG,2937.0,2202.75,293.7,2848.89,683 CPT,47536,REPLACEMENT OF LIVER DUCT DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,168.89,4393.67,7 CPT,47537,HC RMVL BIL DRN CATH W FLURO,4608.0,3456.0,123.51,4608.0,915 CPT,47537,PR RMVL BIL DRN CATH W FLURO,1604.0,1203.0,224.68,1555.88,683 CPT,47537,REMOVAL OF BILIARY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,123.51,1113.0,7 CPT,47538,HC PLC STNT BILE DUCT PERC EXIST,19469.0,14601.75,298.08,19469.0,916 CPT,47538,PLACEMENT OF STENT OF BILIARY DUCT THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,298.08,7418.74,7 CPT,47538,PR PLC STNT BILE DUCT PERC EXIST,12537.0,9402.75,1694.82,12160.89,683 CPT,47539,PR PLC STNT BILE DUCT PERC NEW WO CATH,8393.0,6294.75,180.24,8141.21,697 CPT,47541,HC PLC ACCESS BIL TREE SM BOWEL NEW,10600.0,7950.0,432.15,10600.0,1830 CPT,47541,PR PLC ACCESS BIL TREE SM BOWEL NEW,4677.0,3507.75,574.84,4536.69,683 CPT,47542,BALLOON DILATION OF BILE DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,172.86,4393.67,7 CPT,47542,HC BLN DILAT BIL DUCT PERC EA,10600.0,7950.0,172.86,10600.0,909 CPT,47542,PR BLN DILAT BIL DUCT PERC EA,2169.0,1626.75,462.84,2169.0,676 CPT,47543,BIOPSY OF BILE DUCT OR LIVER DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,181.34,4393.67,7 CPT,47543,HC ENDOLUMINAL BX BIL TREE PERC,7151.0,5363.25,181.34,7151.0,909 CPT,47543,PR ENDOLUMINAL BX BIL TREE PERC,2483.0,1862.25,363.96,2483.0,676 CPT,47544,HC RMVL BIL DUCT &/ GALBLDR CALC,4505.0,3378.75,198.53,4505.0,909 CPT,47544,PR RMVL BIL DUCT &/ GALBLDR CALC,2218.0,1663.5,132.35,2218.0,690 CPT,47544,REMOVAL OF BILIARY DUCT OR GALLBLADDER STONE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,198.53,7449.87,7 CPT,47550,EXAM OF BILE DUCT DURING SURGERY USING AN ENDOSCOPE,,,211.25,7418.74,7 CPT,47550,PR BILIARY ENDOSCOPY INTRAOP,1113.0,834.75,140.83,1113.0,676 CPT,47552,DIAGNOSTIC EXAM OF BILE DUCT USING AN ENDOSCOPE FACILITY,,,375.14,7944.32,7 CPT,47554,HC BILRY ENDO PERC VIA T-TUBE W RMVL,16458.0,12343.5,582.89,16458.0,915 CPT,47554,PR BILRY ENDO PERC VIA T-TUBE W RMVL,2894.0,2170.5,194.3,2807.18,683 CPT,47562,PR LAPAROSCOPY CHOLECYSTECTOMY,3315.0,2486.25,306.43,3215.55,683 CPT,47562,REMOVAL OF GALLBLADDER USING AN ENDOSCOPE PROFESSIONAL,,,919.28,7418.74,7 CPT,47563,PR LAPAROSCOPY CHOLECYST W CHOLNG,3848.0,2886.0,331.83,3732.56,683 CPT,47563,REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE PROFESSIONAL,,,995.48,7418.74,7 CPT,47564,PR LAP CHOLECYST EXPLR COMN DUCT,5747.0,4310.25,514.69,5574.59,683 CPT,47564,REMOVAL OF GALLBLADDER WITH EXPLORATION OF COMMON BILE DUCT USING AN ENDOSCOPE,,,1544.07,13044.35,7 CPT,47600,PR CHOLECYSTECTOMY,6139.0,4604.25,490.14,5954.83,683 CPT,47605,PR CHOLECYSTECTOMY W CHOLANGIOGR,6319.0,4739.25,514.82,6129.43,683 CPT,47610,PR CHOLECYSTECTOMY W EXPLR DUCT,5854.0,4390.5,569.22,5678.38,683 CPT,47701,PR PORTOENETEROSTOMY,13908.0,10431.0,785.41,13490.76,683 CPT,47711,PR EXCISN BILE DUCT TMR EXTRHPATC,8902.0,6676.5,702.33,8634.94,683 CPT,47760,PR ANASTOMOSIS EXTRHPATC BIL DUCT,16120.0,12090.0,1008.3,15636.4,683 CPT,47780,PR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,15231.0,11423.25,1107.87,14774.07,683 CPT,47785,PR ANASTOMOSIS ROUX-EN-Y INTRHPTC,20366.0,15274.5,1441.99,19755.02,683 CPT,47800,PR RCNST BILRY DUCT ANSTOMOSIS,13520.0,10140.0,710.32,13114.4,683 CPT,47900,PR SUTR EXTRHPATC BIL DUCT PREXST,14573.0,10929.75,629.15,14135.81,683 CPT,47999,UNLISTED PROC BILIARY TRACT - FACILITY,,,6478.15,7449.87,6 CPT,48100,PR BIOPSY PANCREAS OPEN,5480.0,4110.0,409.52,5315.6,683 CPT,48102,HC BIOPSY PANCREAS PERC NEEDLE,5901.0,4425.75,300.48,5901.0,916 CPT,48102,NEEDLE BIOPSY OF PANCREAS FACILITY,,,300.48,2026.75,7 CPT,48102,PR BIOPSY PANCREAS PERC NEEDLE,2080.0,1560.0,240.14,2017.6,683 CPT,48105,PR DBRD PANCREAS NECROTIZING,27547.0,20660.25,1243.53,26720.59,683 CPT,48120,PR EXCISN LESN PANCREAS,6609.0,4956.75,507.57,6410.73,683 CPT,48140,PR PANCREATECT WO PANCROJEJUNOST,8907.0,6680.25,706.86,8639.79,683 CPT,48150,PR PNCRTECT TOT DUOD W PANCRJEJ,17195.0,12896.25,1393.36,16679.15,683 CPT,48152,PR PNCRTECT TOT DUOD WO PANCRJEJ,19399.0,14549.25,1295.7,18817.03,683 CPT,48153,PR PNCRTECT NR TOT DUOD W PANCRJEJ,20557.0,15417.75,1388.5,19940.29,683 CPT,48154,PR PNCRTECT NR TOT DUOD WO PANCRJEJ,18611.0,13958.25,1301.2,18052.67,683 CPT,48155,PR PANCREATECTOMY TOTAL,11030.0,8272.5,830.31,10699.1,683 CPT,48550,PR PANCREATECTOMY DONOR,7247.0,5435.25,3261.15,7247.0,676 CPT,48551,PR BKBENCH DONOR PANCREAS,4326.0,3244.5,121.86,4196.22,683 CPT,48551,PREPARATION OF DONOR PANCREAS FOR TRANSPLANTATION,,,732.35,842.21,6 CPT,48552,PR BKBENCH DONOR PANCREAS ANAST,2153.0,1614.75,102.49,2088.41,683 CPT,48554,PR TXPLANT PANCREATIC ALLOGRFT,31512.0,23634.0,1241.45,30566.64,683 CPT,48556,PR RMVL TXPLANT PANCREATIC ALLO,10767.0,8075.25,604.06,10443.99,683 CPT,48999,ENDO PANCREATIC NECROSECTOMY - FACILITY,,,755.64,868.98,6 CPT,48999,HC ENDO PANCREATIC NECROSECTOMY,1231.0,923.25,553.95,1231.0,915 CPT,48999,HC EUS RADIO FREQUENCY ABLATION,24398.0,18298.5,755.64,24398.0,915 CPT,48999,PR ENDO PANCREATIC NECROSECTOMY,27547.0,20660.25,1450.0,26720.59,683 CPT,48999,PR EUS RADIO FREQUENCY ABLATION,13000.0,9750.0,1450.0,12610.0,683 CPT,48999,PR LAPAROSCOPIC DISTAL PANCREATECTOMY,8907.0,6680.25,1450.0,8639.79,683 CPT,48999,"PR LAPAROSCOPIC PANCREATECTOMY, PRO TOTAL",20557.0,15417.75,1450.0,19940.29,683 CPT,48999,"PR ROBOTIC PANCREATECTOMY, WHIPPLE STANDARD",20634.0,15475.5,1450.0,20014.98,683 CPT,48999,PR ROBOTIC-ASSISTED DISTAL PANCREATECTOMY,8907.0,6680.25,1450.0,8639.79,683 CPT,49000,EXPLORATION OF ABDOMINAL CAVITY,,,707.52,1061.28,7 CPT,49000,PR LAP CELIOTOMY W/WO BX EXPLR,3642.0,2731.5,353.76,3532.74,683 CPT,49002,PR REOPNING OF RECENT LAPAROTOMY,6365.0,4773.75,472.89,6174.05,683 CPT,49002,REOPENING OF RECENT ABDOMINAL INCISION,,,945.78,1418.67,7 CPT,49010,PR EXPLR RETROPERITONEAL W/WO BX,5084.0,3813.0,419.6,4931.48,683 CPT,49020,PR DRN PERITON ABSC OPN,7846.0,5884.5,722.44,7610.62,683 CPT,49060,PR DRN RETROPERITONEAL ABCESS OPN,5986.0,4489.5,498.49,5806.42,683 CPT,49062,PR DRN EXTRAPERITONEAL LYMPHOCELE,5062.0,3796.5,355.54,4910.14,683 CPT,49082,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY FACILITY,,,104.16,1113.0,7 CPT,49082,HC PARACENTESIS ABD WO IMG,3026.0,2269.5,104.16,3238.83,1830 CPT,49082,PR PARACENTESIS ABD WO IMG,843.0,632.25,101.18,817.71,693 CPT,49083,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE FACILITY,,,136.8,1113.0,7 CPT,49083,HC PARACENTESIS ABD W IMG,3694.0,2770.5,136.8,3694.0,917 CPT,49083,PR PARACENTESIS ABD W IMG,1793.0,1344.75,117.58,1739.21,693 CPT,49180,HC BX ABD/RETROPERITNL MASS PERC,3532.0,2649.0,105.02,3532.0,917 CPT,49180,NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY FACILITY,,,105.02,2026.75,7 CPT,49180,PR BX ABD/RETROPERITNL MASS PERC,1651.0,1238.25,83.07,1601.47,683 CPT,49185,HC SCLEROTHERAPY FLUID COLLECT PERC,4891.0,3668.25,154.79,4891.0,916 CPT,49185,INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE FACILITY,,,154.79,2026.75,7 CPT,49185,PR SCLEROTHERAPY FLUID COLLECT PERC,2855.0,2141.25,994.74,2855.0,686 CPT,49186,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",7370.0,5527.5,593.78,7148.9,683 CPT,49186,"REMOVAL OR DESTRUCTION OF GROWTH(S) IN THE ABDOMEN, 5.0 CM OR LESS",,,1187.55,1781.33,7 CPT,49187,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",9419.0,7064.25,751.61,9136.43,683 CPT,49187,"REMOVAL OR DESTRUCTION OF GROWTH(S) IN THE ABDOMEN, 5.1 TO 10.0 CM",,,2254.82,10029.93,7 CPT,49188,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",11255.0,8441.25,900.24,10917.35,683 CPT,49189,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",13094.0,9820.5,1043.6,12701.18,683 CPT,49190,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",16140.0,12105.0,1283.65,15655.8,683 CPT,49203,"REMOVAL OR DESTRUCTION OF CYSTS OR GROWTHS OF ABDOMINAL CAVITY, 5.0 CM OR LESS",,,55.61,63.95,6 CPT,49215,PR EXCISN PRESAC/SACROCOCCYGEAL TMR,12054.0,9040.5,974.48,11692.38,683 CPT,49215,REMOVAL OF GROWTH OF PELVIS OR SACRUM,,,2923.43,4482.59,7 CPT,49250,REMOVAL OF NAVEL AND SURROUNDING TISSUE,,,827.55,4393.67,7 CPT,49255,PR OMENTECTOMY EPIPLOECTOMY,4046.0,3034.5,365.22,3924.62,683 CPT,49320,DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE,,,460.58,7418.74,7 CPT,49320,PR LAP ABD/PERITNM/OMENT DX BRUSH,1955.0,1466.25,153.53,1896.35,683 CPT,49321,BIOPSY OF ABDOMEN USING AN ENDOSCOPE,,,479.79,7418.74,7 CPT,49321,PR LAPAROSCOPY W BX SNGL/MULT,2624.0,1968.0,159.93,2545.28,683 CPT,49322,ASPIRATION OF ABDOMINAL CAVITY OR CYST USING AN ENDOSCOPE,,,517.62,7418.74,7 CPT,49322,PR LAPAROSCOPY W ASP CAVITY/CYST,2334.0,1750.5,172.54,2263.98,683 CPT,49323,DRAINAGE OF LYMPH FLUID TO ABDOMINAL CAVITY USING AN ENDOSCOPE,,,880.53,7418.74,7 CPT,49323,PR LAPAROSCOPY DRN LYMPH TO PERIT,3432.0,2574.0,293.51,3329.04,683 CPT,49324,INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,,,532.55,7418.74,7 CPT,49324,PR LAPAROSCOPY W INS TUNL CATH,2700.0,2025.0,177.52,2619.0,683 CPT,49325,PR LAP W REV INTRAPERITONEAL CATH,4951.0,3713.25,188.55,4802.47,683 CPT,49329,LAP REMOVAL IUD PROFESSIONAL,,,6451.08,7418.74,6 CPT,49329,PR LAP REMOVAL IUD,4730.0,3547.5,118.25,4588.1,683 CPT,49329,PR LAPAROSCOPIC GRAHAM PATCH,2637.0,1977.75,65.93,2557.89,683 CPT,49329,PR ROBOTIC LAPAROSCOPIC GRAHAM PATCH,2637.0,1977.75,65.93,2557.89,683 CPT,49400,HC INJ AIR/CNTRST PERITONEAL CAV,941.0,705.75,115.74,941.0,909 CPT,49400,PR INJ AIR/CNTRST PERITONEAL CAV,746.0,559.5,38.58,723.62,697 CPT,49402,HC RMVL PERITONEAL FOREIGN BODY,22734.0,17050.5,1164.8,22734.0,915 CPT,49402,PR RMVL PERITONEAL FOREIGN BODY,4730.0,3547.5,388.27,4588.1,683 CPT,49402,REMOVAL OF FOREIGN BODY IN ABDOMINAL CAVITY,,,1164.8,4393.67,7 CPT,49405,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE FACILITY,,,245.94,3564.51,7 CPT,49405,HC DRN VISC FLUID CATH PERC W IMG,6588.0,4941.0,245.94,6588.0,915 CPT,49405,PR DRN VISC FLUID CATH PERC W IMG,2738.0,2053.5,407.09,2655.86,683 CPT,49406,DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING GUIDANCE FACILITY,,,245.94,2026.75,7 CPT,49406,HC DRN PERITNM FLUID CATH W IMG,7132.0,5349.0,245.94,7132.0,916 CPT,49406,PR DRN PERITNM FLUID CATH W IMG,3408.0,2556.0,406.77,3305.76,683 CPT,49407,HC DRN TRANSREC/VAG FL CATH W IMG,3970.0,2977.5,265.22,3970.0,915 CPT,49407,PR DRN TRANSREC/VAG FL CATH W IMG,3303.0,2477.25,358.17,3203.91,683 CPT,49411,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,4985.0,3738.75,233.49,4985.0,915 CPT,49411,INSERTION OF DEVICE IN ABDOMINAL CAVITY THROUGH SKIN FOR RADIATION THERAPY GUIDANCE FACILITY,,,233.49,1698.53,7 CPT,49411,PR INS MARK ABD/PEL FOR RT PERC,1596.0,1197.0,229.14,1548.12,683 CPT,49418,HC INS INTRAPERITONEAL CATH W IMG,12789.0,9591.75,257.42,12789.0,916 CPT,49418,INSERTION OF ABDOMINAL TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,257.42,4393.67,7 CPT,49418,PR INS INTRAPERITONEAL CATH W IMG,3106.0,2329.5,456.39,3012.82,683 CPT,49419,PR INS TUNL IP CATH SUBQ PORT,2541.0,1905.75,190.24,2464.77,683 CPT,49422,HC RMVL TUNL INTRAPERITONEAL CATH,10474.0,7855.5,293.85,10474.0,915 CPT,49422,PR RMVL TUNL INTRAPERITONEAL CATH,2439.0,1829.25,97.95,2365.83,683 CPT,49422,REMOVAL OF ABDOMINAL CAVITY TUBE FACILITY,,,293.85,3874.69,7 CPT,49423,EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE FACILITY,,,89.66,2354.78,7 CPT,49423,HC EXCHNG DRN CATH RAD GUIDANCE,6583.0,4937.25,89.66,6583.0,917 CPT,49423,PR EXCHNG DRN CATH RAD GUIDANCE,1329.0,996.75,266.64,1289.13,683 CPT,49424,HC INJ CNTRST EVAL ABSC/CYST,1652.0,1239.0,47.36,1652.0,911 CPT,49424,INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR X-RAY STUDY FACILITY,,,47.36,670.53,7 CPT,49424,PR INJ CNTRST EVAL ABSC/CYST,546.0,409.5,83.11,529.62,683 CPT,49428,PR LIGATION PERITNL VENOUS SHUNT,2745.0,2058.75,199.48,2662.65,683 CPT,49440,HC INSERT GASTROSTOMY TUBE PERC,5226.0,3919.5,262.76,5226.0,916 CPT,49440,INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,262.76,2354.78,7 CPT,49440,PR INSERT GASTROSTOMY TUBE PERC,4563.0,3422.25,383.09,4426.11,683 CPT,49441,HC INSERT DUODEN/JEJUN TUBE PERC,9776.0,7332.0,318.89,9776.0,915 CPT,49441,INSERTION OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY-EXPRESS CARE,,,318.89,2354.78,7 CPT,49441,PR INSERT DUODEN/JEJUN TUBE PERC,3051.0,2288.25,476.56,2959.47,683 CPT,49446,CONVERSION OF STOMACH TUBE TO STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,186.17,2354.78,7 CPT,49446,HC CONVERSION TO GASTRO-JEJ TUBE,5730.0,4297.5,186.17,5730.0,1832 CPT,49446,PR CONVERSION TO GASTRO-JEJ TUBE,2360.0,1770.0,370.82,2289.2,683 CPT,49450,HC RPLC GASTROST/CECOST TUBE PERC,3032.0,2274.0,83.27,3032.0,916 CPT,49450,PR RPLC GASTROST/CECOST TUBE PERC,2899.0,2174.25,273.73,2812.03,683 CPT,49450,REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,83.27,1113.0,7 CPT,49451,HC RPLC DUOD/JEJ TUBE PERC,3359.0,2519.25,112.28,3359.0,916 CPT,49451,PR RPLC DUOD/JEJ TUBE PERC,2285.0,1713.75,292.15,2216.45,683 CPT,49451,REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,112.28,1113.0,7 CPT,49452,HC RPLC TUBE GASTRO-JEJ W FLUORO,4412.0,3309.0,172.56,4412.0,916 CPT,49452,PR RPLC TUBE GASTRO-JEJ W FLUORO,6026.0,4519.5,353.34,5845.22,683 CPT,49452,REPLACEMENT OF STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,172.56,1113.0,7 CPT,49465,"CONTRAST INJECTION FOR X-RAY IMAGING THROUGH EXISTING TUBE IN STOMACH, SMALL BOWEL OR LARGE BOWEL FACILITY",,,37.98,292.8,7 CPT,49465,HC INJ CONTRAST RAD EVAL GI TUBE,935.0,701.25,37.98,935.0,916 CPT,49465,PR INJ CONTRAST RAD EVAL GI TUBE,585.0,438.75,63.15,567.45,683 CPT,49505,PR RPR INGUINL HERNIA >5YR REDUC,2475.0,1856.25,246.29,2400.75,683 CPT,49505,REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,738.87,4393.67,7 CPT,49507,PR RPR INGUINL HERNIA >5 INCARC,3136.0,2352.0,275.48,3041.92,683 CPT,49507,REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,826.43,4393.67,7 CPT,49520,PR RPR RCUR INGUINL HERNIA REDUC,3849.0,2886.75,294.9,3733.53,683 CPT,49520,REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED PROFESSIONAL,,,884.7,4393.67,7 CPT,49521,PR RPR RCUR INGUINL HERNIA INCARC,4555.0,3416.25,332.19,4418.35,683 CPT,49521,REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA PROFESSIONAL,,,996.57,7944.32,7 CPT,49525,PR RPR INGUINAL HERNIA SLIDING,4081.0,3060.75,228.52,3958.57,693 CPT,49525,REPAIR OF SLIDING GROIN HERNIA,,,806.52,4393.67,7 CPT,49550,PR RPR FEM HERNIA REDUCIBLE INIT,3085.0,2313.75,270.78,2992.45,683 CPT,49553,PR RPR FEMORAL HERNIA INCARC INITIAL,3620.0,2715.0,295.26,3511.4,683 CPT,49591,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,459.38,4393.67,7 CPT,49591,PR RPR AA HRN 1ST < 3 CM RDC,2525.0,1893.75,153.13,2449.25,683 CPT,49592,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,635.6,7418.74,7 CPT,49592,PR RPR AA HRN 1ST < 3 NCR/STRN,3822.0,2866.5,211.87,3707.34,683 CPT,49593,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,763.94,7944.32,7 CPT,49593,PR RPR AA HRN 1ST 3-10 RDC,4417.0,3312.75,254.65,4284.49,683 CPT,49594,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,992.69,7418.74,7 CPT,49594,PR RPR AA HRN 1ST 3-10 NCR/STRN,5224.0,3918.0,330.9,5067.28,683 CPT,49595,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,1025.34,7944.32,7 CPT,49595,PR RPR AA HRN 1ST > 10 RDC,5611.0,4208.25,341.78,5442.67,683 CPT,49596,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,1362.78,7418.74,7 CPT,49596,PR RPR AA HRN 1ST > 10 NCR/STRN,7460.0,5595.0,454.26,7236.2,683 CPT,49613,PR RPR AA HRN RCR < 3 RDC,3501.0,2625.75,187.79,3395.97,683 CPT,49613,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,563.37,4393.67,7 CPT,49614,PR RPR AA HRN RCR < 3 NCR/STRN,4541.0,3405.75,254.16,4404.77,683 CPT,49614,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,762.47,7418.74,7 CPT,49615,PR RPR AA HRN RCR 3-10 RDC,4970.0,3727.5,283.17,4820.9,683 CPT,49615,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH",,,849.5,7944.32,7 CPT,49616,PR RPR AA HRN RCR 3-10 NCR/STRN,6220.0,4665.0,379.88,6033.4,683 CPT,49616,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,759.76,1139.64,7 CPT,49617,PR RPR AA HRN RCR > 10 RDC,6395.0,4796.25,392.17,6203.15,683 CPT,49617,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,784.33,1176.5,7 CPT,49618,PR RPR AA HRN RCR > 10 NCR/STRN,9137.0,6852.75,548.98,8862.89,683 CPT,49618,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,1646.93,7418.74,7 CPT,49621,PR RPR PARASTOMAL HERNIA RDC,6025.0,4518.75,332.05,5844.25,683 CPT,49621,REPAIR OF SLIDING HERNIA NEXT TO STOMA,,,664.1,996.15,7 CPT,49622,PR RPR PARASTOMAL HRNA NCR/STRN,6361.0,4770.75,412.56,6170.17,683 CPT,49623,PR RMVL NINFCT MESH HERNIA RPR,1842.0,1381.5,178.54,1842.0,676 CPT,49623,REMOVAL OF MESH AT SAME TIME AS HERNIA REPAIR PROFESSIONAL,,,55.61,267.81,7 CPT,49650,PR LAP RPR HERNIA INGUINAL INIT,3137.0,2352.75,205.66,3042.89,683 CPT,49650,REPAIR OF GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,616.97,7418.74,7 CPT,49651,PR LAP RPR HERNIA INGUINAL RECUR,2400.0,1800.0,266.7,2328.0,683 CPT,49651,REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,800.1,7418.74,7 CPT,49652,REPAIR OF HERNIA USING AN ENDOSCOPE,,,137.3,157.9,6 CPT,49655,REPAIR OF TRAPPED INCISIONAL HERNIA USING AN ENDOSCOPE,,,4.81,5.53,6 CPT,49659,PR LAP RECTUS MYOFASCIAL RELEAS X2,24960.0,18720.0,624.0,24211.2,683 CPT,49659,PR LAP RECTUS MYOFASCIAL RELEAS X4,49920.0,37440.0,1248.0,48422.4,683 CPT,49659,PR ROBOTIC OR LAP FEM HERNIA RPR BIILAT,4628.0,3471.0,115.7,4489.16,683 CPT,49659,PR ROBOTIC OR LAP FEM HERNIA RPR UNILAT,3085.0,2313.75,77.13,2992.45,683 CPT,49659,PR ROBOTIC RECTUS MYOFASCIAL RELEAS X2,24960.0,18720.0,624.0,24211.2,683 CPT,49659,PR ROBOTIC RECTUS MYOFASCIAL RELEAS X4,49920.0,37440.0,1248.0,48422.4,683 CPT,49659,UNLISTED PROC LAP HERNIA,,,11342.91,13044.35,6 CPT,49900,PR SUTR ABD WALL EVISC/DEHIS,4344.0,3258.0,388.27,4213.68,683 CPT,49900,SUTURE OF POSTSURGICAL OPENING IN ABDOMINAL WALL,,,776.53,1164.8,7 CPT,49904,HARVEST OF ABDOMINAL CAVITY LINING FOR GRAFTING,,,1877.99,7418.74,7 CPT,49904,PR OMENTAL FLAP EXTRA ABDOMINAL,9085.0,6813.75,626.0,8812.45,683 CPT,49905,PR OMENTAL FLAP INTRA ABDOMINAL,2637.0,1977.75,306.23,2637.0,676 CPT,49905,REPAIR OF ABDOMEN USING ABDOMINAL LINING GRAFT,,,459.35,7418.74,7 CPT,49906,HARVESTING OF GRAFT FROM LINING OF ABDOMINAL CAVITY AND BLOOD VESSELS,,,8.73,10.03,6 CPT,49906,PR FREE OMENT FLAP W MICRO ANAST,11860.0,8895.0,795.22,11504.2,683 CPT,49999,PR ABDOMINAL PEDICLED ROUND LIGAMENT FLAP,2637.0,1977.75,65.93,2557.89,683 CPT,49999,PR PERC ABLAT ABD/RETROPERTNEAL,15184.0,11388.0,379.6,14728.48,683 CPT,49999,UNLISTED PROC ABD/PERIT/OMEN - FACILITY,,,967.83,1113.0,6 CPT,50080,PR NEPHROSTOLITHOTOMY PERC <=2CM,6788.0,5091.0,307.88,6584.36,683 CPT,50080,SIMPLE SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,923.64,11616.72,7 CPT,50081,COMPLEX SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,1472.85,11616.72,7 CPT,50081,PR NEPHROLITHOTOMY PERC >2CM,6777.0,5082.75,490.95,6573.69,683 CPT,50200,HC BIOPSY RENAL NEEDLE/TROC PERC,3785.0,2838.75,162.45,3785.0,915 CPT,50200,NEEDLE BIOPSY OF KIDNEY FACILITY,,,162.45,2026.75,7 CPT,50200,PR BIOPSY RENAL NEEDLE/TROC PERC,2106.0,1579.5,239.12,2042.82,683 CPT,50205,PR BX RENAL SURG EXPOSURE KIDNEY,5705.0,4278.75,346.08,5533.85,683 CPT,50220,PR NEPHREC INCL PARTL URETERECT,7034.0,5275.5,470.4,6822.98,683 CPT,50230,PR NEPHREC RMVL LYMPHDEC/THROMB,8853.0,6639.75,559.46,8587.41,683 CPT,50234,PR NEPHREC W TOT URETREC SAME INC,8923.0,6692.25,568.53,8655.31,683 CPT,50240,PR NEPHRECTOMY PARTIAL,8089.0,6066.75,583.13,7846.33,683 CPT,50300,PR NEPHRECTOMY CADAVER DONOR,11221.0,8415.75,5049.45,11221.0,676 CPT,50320,PR NEPHRECTOMY OPEN LIVE DONOR,9125.0,6843.75,718.8,8851.25,683 CPT,50323,PR BKBENCH CADAVER RENAL GRFT,3432.0,2574.0,100.9,3329.04,683 CPT,50323,PREPARATION OF DONOR KIDNEY FOR TRANSPLANTATION,,,732.35,842.21,6 CPT,50325,PR BKBENCH LIVING RENAL GRFT,4202.0,3151.5,100.9,4075.94,683 CPT,50327,PR BKBENCH RENAL GRFT VEN ANAST,1928.0,1446.0,94.48,1870.16,683 CPT,50328,PR BKBENCH RENAL GRFT ARTL ANAST,1546.0,1159.5,82.52,1499.62,683 CPT,50329,PR BKBENCH RENAL GRFT URETERAL,1136.0,852.0,78.93,1101.92,683 CPT,50360,PR TRANSPLANT RENAL WO NEPHREC,19469.0,14601.75,1112.31,18884.93,683 CPT,50365,PR TRANSPLANT RENAL W NEPHREC,28879.0,21659.25,1356.97,28012.63,683 CPT,50370,PR RMVL TXPLANT RENAL ALLOGRFT,12679.0,9509.25,567.62,12298.63,683 CPT,50380,PR REIMPLANTATION KIDNEY,9140.0,6855.0,959.02,8865.8,683 CPT,50384,HC REMOVAL URETER STENT PERC S&I,6232.0,4674.0,289.65,6232.0,915 CPT,50384,PR REMOVAL URETER STENT PERC S&I,3227.0,2420.25,96.55,3130.19,697 CPT,50384,REMOVAL OF STENT IN URETER THROUGH SKIN WITH REVIEW BY RADIOLOGIST FACILITY,,,289.65,4325.66,7 CPT,50387,HC RMVL/RPLC TRANSNEPH STNT W S&I,5860.0,4395.0,105.96,5860.0,915 CPT,50387,PR RMVL/RPLC TRANSNEPH STNT W S&I,1175.0,881.25,252.33,1139.75,683 CPT,50387,REMOVAL AND REPLACEMENT OF STENT IN KIDNEY AND URETER USING FLUOROSCOPIC GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,105.96,2565.2,7 CPT,50389,HC RMVL NEPHROSTOMY TUBE W FLUORO,3129.0,2346.75,67.5,3129.0,916 CPT,50389,PR RMVL NEPHROSTOMY TUBE W FLUORO,1268.0,951.0,192.26,1229.96,683 CPT,50389,REMOVAL OF KIDNEY DRAINAGE TUBE USING FLUOROSCOPIC GUIDANCE FACILITY,,,67.5,6579.7,7 CPT,50390,ASPIRATION AND/OR INJECTION OF CYST OF KIDNEY FACILITY,,,119.27,2026.75,7 CPT,50390,HC ASPIRATION/INJ RENAL CYST PERC,4536.0,3402.0,119.27,4536.0,915 CPT,50390,PR ASPIRATION/INJ RENAL CYST PERC,805.0,603.75,39.76,780.85,683 CPT,50391,INSTILLATION OF DRUG INTO KIDNEY AND/OR URETER FACILITY,,,124.92,306.6,7 CPT,50391,PR INSTILL THER AGENT RENL/URETER,915.0,686.25,41.64,887.55,697 CPT,50430,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,3819.0,2864.25,199.58,3819.0,915 CPT,50430,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,199.58,4325.66,7 CPT,50430,PR INJ ANTEGRD NFROSGRM&/URTGRM NEW,2203.0,1652.25,299.72,2136.91,683 CPT,50431,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,2475.0,1856.25,86.91,2475.0,915 CPT,50431,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,86.91,3874.69,7 CPT,50431,PR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1238.0,928.5,149.53,1200.86,683 CPT,50432,HC PLC NEPHROSTOMY CATH PERC NEW,8245.0,6183.75,261.9,8245.0,915 CPT,50432,PLACEMENT OF TUBE OF KIDNEY USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,261.9,2565.2,7 CPT,50432,PR PLC NEPHROSTOMY CATH PERC NEW,3399.0,2549.25,419.86,3297.03,683 CPT,50433,HC PLC NEPHROURETERAL CATH PERC NEW,10066.0,7549.5,323.61,10066.0,915 CPT,50433,PLACEMENT OF TUBE OF KIDNEY AND URINARY TUBE THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,323.61,4325.66,7 CPT,50433,PR PLC NEPHROURETERAL CATH PERC NEW,3127.0,2345.25,522.31,3033.19,683 CPT,50434,CONVERSION OF KIDNEY TUBE TO NEPHROURETERAL TUBE USING IMAGING GUIDANCE AND STUDY OF KIDNEY AND URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,245.63,2565.2,7 CPT,50434,HC CONV NEPHROST TO NEPHROURET CATH,7260.0,5445.0,245.63,7260.0,915 CPT,50434,PR CONV NEPHROST TO NEPHROURET CATH,3553.0,2664.75,420.26,3446.41,683 CPT,50435,HC EXCHG NEPHROST CATH PERC,5835.0,4376.25,129.3,5835.0,916 CPT,50435,PR EXCHG NEPHROST CATH PERC,2021.0,1515.75,273.54,1960.37,683 CPT,50435,REPLACEMENT OF KIDNEY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,129.3,2565.2,7 CPT,50436,DILATION OF EXISTING OPENING INTO URINARY TRACT USING IMAGING GUIDANCE FACILITY,,,200.31,11616.72,7 CPT,50436,PR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,1156.0,867.0,66.77,1121.32,683 CPT,50437,DILATION OF EXISTING OPENING INTO URINARY TRACT AND CREATION OF NEW ACCESS INTO URINE COLLECTING SYSTEM OF KIDNEY USING IMAGING GUIDANCE FACILITY,,,329.88,11616.72,7 CPT,50437,PR PERQ DIL XST TRC NEW ACS REN COLTJ SYS,1981.0,1485.75,109.96,1921.57,683 CPT,50540,PR SYMPHYSIOTOMY HORSESHOE KIDNEY,6624.0,4968.0,502.48,6425.28,683 CPT,50543,PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE,,,1954.62,13044.35,7 CPT,50543,PR LAPAROSCOPY PARTL NEPHRECTOMY,9000.0,6750.0,651.54,8730.0,683 CPT,50544,PR LAPAROSCOPY PYELOPLASTY,7730.0,5797.5,540.75,7498.1,683 CPT,50544,REPAIR OF KIDNEY USING AN ENDOSCOPE,,,1622.24,13044.35,7 CPT,50545,PR LAPAROSCOPY RADCL NEPHRECTOMY,9800.0,7350.0,581.46,9506.0,683 CPT,50545,REMOVAL OF KIDNEY AND LYMPH NODES USING AN ENDOSCOPE,,,1162.91,1744.37,7 CPT,50546,PR LAP NEPHREC W PARTL URETERECT,8026.0,6019.5,528.32,7785.22,683 CPT,50546,REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE,,,1056.63,1584.95,7 CPT,50547,PR LAP LIVING DONOR NEPHRECTOMY,14188.0,10641.0,747.58,13762.36,683 CPT,50548,PR LAP NEPHREC W TOT URETERECT,7733.0,5799.75,583.81,7501.01,683 CPT,50549,PR ROBOTIC ASSISTED KIDNEY TRANSPLANT,19469.0,14601.75,486.73,18884.93,683 CPT,50551,EXAM OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,381.72,6579.7,7 CPT,50551,PR ENDO RENAL NEPHROST/PYELSTMY,1967.0,1475.25,184.21,1907.99,683 CPT,50553,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,406.79,6579.7,7 CPT,50553,PR ENDO RENL NEPHROST URETER CATH,2191.0,1643.25,196.77,2125.27,683 CPT,50555,BIOPSY OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,441.2,11616.72,7 CPT,50555,PR ENDO RENL NEPHROST/PYELSTMY BX,2241.0,1680.75,209.86,2173.77,683 CPT,50557,PR ENDO RENL NEPHROST/PYELSTMY W FULG,2532.0,1899.0,148.87,2456.04,697 CPT,50561,PR ENDO RENAL NEPHROSTOMY RMVL FB,3453.0,2589.75,241.84,3349.41,683 CPT,50561,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,509.49,6579.7,7 CPT,50562,PR ENDO RENAL NEPHROST RSECT TUM,3893.0,2919.75,251.2,3776.21,683 CPT,50562,REMOVAL OF GROWTH OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,753.6,11616.72,7 CPT,50574,BIOPSY OF KIDNEY USING AN ENDOSCOPE,,,725.97,4325.66,7 CPT,50574,PR ENDO RENAL NEPHROTOMY W BIOPSY,2704.0,2028.0,241.99,2622.88,683 CPT,50590,PR LITHOTRIPSY SHOCK WAVE,3286.0,2464.5,370.93,3187.42,683 CPT,50590,SHOCK WAVE CRUSHING OF KIDNEY STONES,,,765.2,4325.66,7 CPT,50592,HC ABLATION RENAL TUMORS UNILAT RF,21416.0,16062.0,438.59,21416.0,915 CPT,50592,PR ABLATION RENAL TUMORS UNILAT RF,5940.0,4455.0,146.2,5761.8,697 CPT,50593,DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING FACILITY,,,587.73,13044.35,7 CPT,50593,HC ABLATION RENAL TUMOR PERC CRYO,20349.0,15261.75,587.73,20349.0,915 CPT,50593,PR ABLATION RENAL TUMOR PERC CRYO,6445.0,4833.75,1701.56,6251.65,683 CPT,50650,PR URETERECTOMY W BLADDER CUFF,7016.0,5262.0,455.98,6805.52,683 CPT,50688,CHANGE OF TUBE OR STENT IN URETER FACILITY,,,104.49,2565.2,7 CPT,50688,HC CHANGE URETEROSTOMY TUBE/STENT,5657.0,4242.75,104.49,5657.0,915 CPT,50688,PR CHANGE URETEROSTOMY TUBE/STENT,474.0,355.5,34.83,459.78,683 CPT,50690,HC INJ ILEAL CON/URETEROPYLGRPHY,2053.0,1539.75,91.38,2053.0,910 CPT,50690,PR INJ ILEAL CON/URETEROPYLGRPHY,559.0,419.25,57.0,542.23,683 CPT,50693,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,10424.0,7818.0,259.95,10424.0,915 CPT,50693,PLACEMENT OF STENT OF URETER THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,259.95,4325.66,7 CPT,50693,PR PLC URETER STNT PRE-EXIST NEPHROST TRCT,2573.0,1929.75,459.83,2495.81,683 CPT,50706,BALLOON DILATION TREATMENT OF STRICTURE OF URETER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,229.19,4325.66,7 CPT,50706,HC BALN DIL URETER STRICTURE W IMG,9194.0,6895.5,229.19,9194.0,909 CPT,50706,PR BALN DIL URETER STRICTURE W IMG,3139.0,2354.25,152.79,3139.0,690 CPT,50725,PR URETEROLYSIS RETROCAVAL URETER,6241.0,4680.75,483.3,6053.77,683 CPT,50727,PR REV URINARY CUTNEOUS ANASTOM,7252.0,5439.0,231.56,7034.44,683 CPT,50727,REVISION OF OPENING FROM URINARY TRACT TO SKIN,,,694.67,4325.66,7 CPT,50728,PR REV URINARY ANAST W RPR HERNIA,4088.0,3066.0,311.91,3965.36,683 CPT,50760,PR URETEROURETEROSTOMY,6906.0,5179.5,501.49,6698.82,683 CPT,50770,PR TRANSURETEROURETEROSTOMY ANAST,7562.0,5671.5,504.95,7335.14,683 CPT,50780,PR URETERONEOCYST ANAST 1 URETER,7609.0,5706.75,492.06,7380.73,683 CPT,50785,PR URETERONEOCYST W VESICO HTCH/FLAP,9041.0,6780.75,531.23,8769.77,683 CPT,50785,REPOSITIONING OF URETER WITH CREATION OF BLADDER OR MUSCLE FLAP,,,744.07,1593.69,7 CPT,50800,PR URETEROENTEROSTOMY DIRECT,5991.0,4493.25,407.67,5811.27,683 CPT,50820,PR URETEROILEAL CONDUIT W ANAST,9612.0,7209.0,577.11,9323.64,683 CPT,50825,PR DIVERT CONTINENT ANAST INTSTN,10582.0,7936.5,717.67,10264.54,683 CPT,50830,PR URINARY UNDIVERSION,11955.0,8966.25,783.57,11596.35,683 CPT,50840,PR RPLC URETER W INTSTN SEGMENT,6832.0,5124.0,540.68,6627.04,683 CPT,50845,PR CUTANEOUS APPENDICO-VESICOSTMY,7088.0,5316.0,552.83,6875.36,683 CPT,50900,PR URETERORRHAPHY SUTURE URETER,5573.0,4179.75,372.85,5405.81,683 CPT,50947,PR LAP URETERONEO W CYSTOSC STENT,8498.0,6373.5,604.54,8243.06,683 CPT,50947,REPOSITIONING OF URETER AND INSERTION OF STENT USING AN ENDOSCOPE,,,1813.62,13044.35,7 CPT,50948,PR LAP URETERONEO WO CYSTOSC,6966.0,5224.5,554.43,6757.02,683 CPT,50948,REPOSITIONING OF URETER USING AN ENDOSCOPE,,,1663.29,13044.35,7 CPT,50949,PR ROBOT ASSISTED URETEROURETEROSTOMY,6906.0,5179.5,172.65,6698.82,683 CPT,50949,UNLISTED PROC LAP URETER,,,6451.08,7418.74,6 CPT,50951,PR ENDO URETER THRU URETEROSTOMY,1920.0,1440.0,132.02,1862.4,697 CPT,50953,PR ENDO URETER URETEROST W CATH,2156.0,1617.0,203.78,2091.32,683 CPT,50955,PR ENDO URETER URETEROST W BX,2224.0,1668.0,217.03,2157.28,683 CPT,50957,PR ENDO URETER URETEROST W FULG,2703.0,2027.25,152.64,2621.91,697 CPT,50961,PR ENDO URETER URETEROST RMVL FB,2371.0,1778.25,197.91,2299.87,683 CPT,50961,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,410.72,6579.7,7 CPT,50970,EXAM OF KIDNEY AND URETER USING AN ENDOSCOPE,,,478.08,4325.66,7 CPT,50970,PR ENDO URETER URETEROTOMY,2470.0,1852.5,159.36,2395.9,683 CPT,51020,PR CYSTOTOMY/CYSTOSTOMY W FULG,4660.0,3495.0,213.06,4520.2,683 CPT,51040,INCISION OF BLADDER WITH DRAINAGE,,,400.28,2565.2,7 CPT,51040,PR CYSTOSTOMY CYSTOTOMY W DRAIN,2644.0,1983.0,133.43,2564.68,683 CPT,51050,PR CYSTOLITHOT CYSTO W RMVL CALC,6864.0,5148.0,212.33,6658.08,683 CPT,51102,ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN FACILITY,,,185.25,2565.2,7 CPT,51102,HC ASP BLADDER/INS SUPUBIC CATH,6749.0,5061.75,185.25,6749.0,916 CPT,51102,PR ASP BLADDER/INS SUPUBIC CATH,1618.0,1213.5,117.58,1569.46,683 CPT,51500,PR EXCISION URACHAL CYST/SINUS,4848.0,3636.0,284.09,4702.56,683 CPT,51525,PR CYSTO EXCISN BLAD DIVERTICULUM,5741.0,4305.75,378.64,5568.77,683 CPT,51530,PR CYSTOTOMY EXCISION BLADDER TMR,6197.0,4647.75,341.09,6011.09,683 CPT,51550,PR CYSTECTOMY PARTIAL SIMPLE,11528.0,8646.0,426.21,11182.16,683 CPT,51555,PR CYSTECTOMY PARTIAL COMPLICATED,11607.0,8705.25,552.97,11258.79,683 CPT,51565,PR CYSTECTOMY PARTL REIMPL URETER,15966.0,11974.5,564.01,15487.02,683 CPT,51570,PR CYSTECTOMY COMPLETE,17997.0,13497.75,639.29,17457.09,683 CPT,51575,PR CYSTECTOMY W BILAT PELV LYMPHDEC,21830.0,16372.5,788.87,21175.1,683 CPT,51580,PR CYSTECTOMY W URETEROSIG/TX,11544.0,8658.0,825.09,11197.68,683 CPT,51590,PR CYSTECT W URETEROILEAL CONDUIT,18983.0,14237.25,838.82,18413.51,683 CPT,51595,PR CYSTECT URETEROILEAL LYMPHDEC,21436.0,16077.0,948.34,20792.92,683 CPT,51596,PR CYSTECT COMPLT W CONT DIVERSN,25823.0,19367.25,1023.35,25048.31,683 CPT,51597,PR EXNTR PELV COMPLT UROLOG MLG,33550.0,25162.5,999.27,32543.5,683 CPT,51600,HC INJ CYSTOGRAPHY/VUCG,1138.0,853.5,55.2,1138.0,910 CPT,51600,INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING FACILITY,,,55.2,128.29,7 CPT,51600,PR INJ CYSTOGRAPHY/VUCG,940.0,705.0,100.77,911.8,683 CPT,51610,INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR X-RAY IMAGING FACILITY,,,84.9,4325.66,7 CPT,51610,PR INJ RETROGRADE URCG,789.0,591.75,62.45,765.33,684 CPT,51700,HC IRRI BLAD SMPL LAVAGE&/INSTILL,888.0,666.0,38.39,861.36,915 CPT,51700,PR IRRI BLAD SMPL LAVAGE&/INSTILL,323.0,242.25,38.04,313.31,685 CPT,51700,SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION FACILITY,,,38.39,25433.95,7 CPT,51701,HC INS NON-INDWELLING BLAD CATH,376.0,282.0,32.4,364.72,916 CPT,51701,PR INS NON-INDWELLING BLAD CATH,260.0,195.0,22.13,252.2,685 CPT,51702,HC INS TEMP INDW BLAD CATH SMPL,511.0,383.25,33.38,495.67,916 CPT,51702,PR INS TEMP INDW BLAD CATH SMPL,359.0,269.25,31.84,348.23,684 CPT,51702,SIMPLE INSERTION OF TEMPORARY BLADDER TUBE FACILITY,,,33.38,13044.35,7 CPT,51703,COMPLICATED INSERTION OF BLADDER TUBE FACILITY,,,99.21,157.9,7 CPT,51703,HC INS TEMP INDWL BLAD CATH COMPL,706.0,529.5,99.21,684.82,916 CPT,51703,PR INS TEMP INDWL BLAD CATH COMPL,526.0,394.5,75.15,510.22,683 CPT,51705,HC CHANGE CYSTOSTOMY TUBE SIMPLE,1520.0,1140.0,69.14,1803.0,1832 CPT,51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,421.0,315.75,49.27,408.37,684 CPT,51705,SIMPLE CHANGE OF BLADDER TUBE FACILITY,,,69.14,306.6,7 CPT,51710,HC CHANGE CYSTOSTOMY TUBE COMPL,6681.0,5010.75,107.42,6681.0,915 CPT,51710,PR CHANGE CYSTOSTOMY TUBE COMPL,856.0,642.0,68.49,830.32,683 CPT,51715,INJECTION OF IMPLANT MATERIAL BENEATH LINING OF BLADDER AND/OR URETHRA USING AN ENDOSCOPE FACILITY,,,258.99,6138.73,7 CPT,51715,PR ENDO INJ IMPL MATRL URETH&/BLAD,2100.0,1575.0,168.7,2037.0,683 CPT,51720,HC INSTILL ANTICARCINOGEN BLAD,2718.0,2038.5,56.04,2636.46,915 CPT,51720,INSTILLATION OF ANTI-CANCER DRUG INTO BLADDER FACILITY,,,56.04,855.68,7 CPT,51720,PR INSTILL ANTICARCINOGEN BLAD,1067.0,800.25,44.74,1034.99,685 CPT,51725,PR CYSTOMETROGRAM SIMPLE,598.0,448.5,37.32,998.13,2049 CPT,51725,SIMPLE MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER,,,177.57,855.68,7 CPT,51726,PR CYSTOMETROGRAM COMPLEX,944.0,708.0,41.36,1406.5,2050 CPT,51727,PR CMG CMPLX W URETHRAL PRESSURE,1073.0,804.75,51.92,1687.8,2049 CPT,51728,HC CMG CMPLX W VOIDING PRESSURE,1785.0,1338.75,337.79,1785.0,915 CPT,51728,PR CMG CMPLX W VOIDING PRESSURE,1182.0,886.5,51.18,1745.03,2050 CPT,51729,PR CMG CMPLX VOID&URETHRAL PRES,942.0,706.5,61.75,1570.43,2050 CPT,51736,PR UROFLOWMETRY SIMPLE,152.0,114.0,2.9,230.86,2050 CPT,51741,ELECTRONIC ASSESSMENT OF BLADDER EMPTYING FACILITY,,,9.66,261.02,7 CPT,51741,HC UROFLOWMETRY CMPLX,596.0,447.0,9.66,596.0,915 CPT,51741,PR UROFLOWMETRY CMPLX,266.0,199.5,3.22,436.5,2055 CPT,51784,HC EMG ANAL/URETHRAL NOT NEEDLE,1767.0,1325.25,42.66,1767.0,915 CPT,51784,PR EMG ANAL/URETHRAL NOT NEEDLE,341.0,255.75,14.22,642.14,2050 CPT,51785,HC EMG ANAL/URETHRAL NEEDLE,954.0,715.5,266.61,954.0,915 CPT,51785,NEEDLE MEASUREMENT AND RECORDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER AND BOWEL OPENINGS FACILITY,,,434.34,8904.43,7 CPT,51785,PR EMG ANAL/URETHRAL NEEDLE,800.0,600.0,45.18,1244.51,2050 CPT,51797,HC VOIDING PRES STUDY INTRABD,1038.0,778.5,167.97,1038.0,909 CPT,51797,PR VOIDING PRES STUDY INTRABD,524.0,393.0,38.73,906.0,2031 CPT,51798,HC MEAS PST VOID RESID US NON IMG,303.0,227.25,18.33,326.0,3664 CPT,51798,PR MEAS PST VOID RESID US NON IMG,113.0,84.75,12.22,113.0,682 CPT,51798,ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING FACILITY,,,18.33,88.36,7 CPT,51840,PR VESICOURETHROPEXY ANTR SIMPLE,3867.0,2900.25,304.15,3750.99,683 CPT,51860,PR CYSTORRHAPHY SUTURE BLAD SMPL,4664.0,3498.0,333.06,4524.08,683 CPT,51865,PR CYSTORRHAPHY SUTURE BLAD COMPL,5319.0,3989.25,396.24,5159.43,683 CPT,51900,PR CLOSURE VESICOVAGINAL FISTULA,6207.0,4655.25,364.97,6020.79,683 CPT,51960,PR ENTEROCYSTOPLASTY ANASTOMOSIS,9385.0,7038.75,606.07,9103.45,683 CPT,51990,PR LAP URETHRAL SUSPENSION,4413.0,3309.75,328.63,4280.61,683 CPT,51999,PR ROBOT ASSIST CYSTECTOMY,21596.0,16197.0,2100.0,21596.0,676 CPT,51999,PR ROBOT ASST CYST W CONT DIVER/NEOBLADDER,30988.0,23241.0,2100.0,30988.0,676 CPT,51999,PR ROBOT ASST CYSTECTOMY W CONDUIT,22780.0,17085.0,2100.0,22780.0,676 CPT,51999,PR ROBOTIC BLADDER DIVERTICULECTOMY,10728.0,8046.0,2100.0,10728.0,676 CPT,52000,DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE FACILITY,,,104.6,855.68,7 CPT,52000,HC CYSTOURETHROSCOPY,2804.0,2103.0,104.6,2719.88,916 CPT,52000,PR CYSTOURETHROSCOPY,879.0,659.25,104.94,852.63,684 CPT,52001,IRRIGATION AND REMOVAL OF MULTIPLE BLOOD CLOTS FROM BLADDER AND URETHRA USING AN ENDOSCOPE FACILITY,,,371.9,4325.66,7 CPT,52001,PR CYSTOURETHROSCOPY IRRI CLOTS,1502.0,1126.5,204.72,1456.94,683 CPT,52005,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,,,175.76,13044.35,7 CPT,52005,PR CYSTOURETHROSCOPY URETER CATH,1333.0,999.75,136.59,1293.01,683 CPT,52007,INSERTION OF TUBE INTO URETER AND BIOPSY OF URETER AND/OR RENAL PELVIS USING AN ENDOSCOPE,,,217.37,4325.66,7 CPT,52204,BIOPSY OF BLADDER USING AN ENDOSCOPE FACILITY,,,186.5,4325.66,7 CPT,52204,PR CYSTOURETHROSCOPY WITH BX,1890.0,1417.5,172.85,1833.3,683 CPT,52214,"DESTRUCTION OF TISSUE OF BLADDER, URETHRA, OR SURROUNDING GLANDS USING AN ENDOSCOPE FACILITY",,,223.76,4325.66,7 CPT,52214,PR CYSTHRSCPY W FULGURATION LESNS,2956.0,2217.0,353.42,2867.32,683 CPT,52224,"DESTRUCTION OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, LESS THAN 0.5 CM FACILITY",,,258.72,4325.66,7 CPT,52224,PR CYSTHRSCPY W FULG LESNS MINOR,3413.0,2559.75,369.44,3310.61,684 CPT,52234,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 0.5-2.0 CM FACILITY",,,318.84,4325.66,7 CPT,52234,PR CYSTHRSCPY FULG BLAD TMR SMALL,1804.0,1353.0,106.28,1749.88,683 CPT,52235,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 2.0-5.0 CM PROFESSIONAL",,,374.33,4325.66,7 CPT,52235,PR CYSTHRSCPY FULG BLAD TMR MED,1525.0,1143.75,124.78,1479.25,683 CPT,52240,DESTRUCTION AND/OR REMOVAL OF LARGE GROWTH OF BLADDER USING AN ENDOSCOPE PROFESSIONAL,,,506.51,6579.7,7 CPT,52240,PR CYSTHRSCPY FULG BLAD TMR LRG,3031.0,2273.25,168.84,2940.07,683 CPT,52260,DILATION OF BLADDER USING AN ENDOSCOPE UNDER GENERAL OR SPINAL ANESTHESIA FACILITY,,,272.96,2565.2,7 CPT,52260,PR CYSTHRSCPY DIL BLAD GNRL ANES,1360.0,1020.0,90.99,1319.2,683 CPT,52275,INCISION OF URETHRA IN MALE USING AN ENDOSCOPE,,,322.29,6579.7,7 CPT,52275,PR CYSTHRSCPY W URETHROTOMY MALE,2467.0,1850.25,107.43,2392.99,697 CPT,52276,INCISION OF URETHRA USING AN ENDOSCOPE,,,343.41,6579.7,7 CPT,52276,PR CYSTHRSCPY DIRCT VISN URETHROT,1844.0,1383.0,114.47,1788.68,683 CPT,52281,DILATION OF URETHRA USING AN ENDOSCOPE FACILITY,,,200.69,2565.2,7 CPT,52281,PR CYSTHRSCPY W CALIB&/DIL URETH,1064.0,798.0,151.05,1032.08,684 CPT,52283,PR CYSTHRSCPY W STEROID INJ STRIC,1261.0,945.75,161.86,1223.17,683 CPT,52283,STEROID INJECTION INTO URETHRA STRICTURE USING AN ENDOSCOPE,,,262.73,4325.66,7 CPT,52284,DRUG DELIVERY USING A DRUG-COATED BALLOON FOR MALE TREATMENT OF URETHRAL STRICTURE USING AN ENDOSCOPE PROFESSIONAL,,,214.64,6579.7,7 CPT,52284,PR CYSTO RX BALO CATH URTL STRX,15618.0,11713.5,1300.63,15149.46,683 CPT,52287,EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE FACILITY,,,218.94,2565.2,7 CPT,52287,PR CYSTHRSCPY INJ CHEMODENRVATION,1144.0,858.0,177.04,1109.68,684 CPT,52290,INCISION OF URETER USING AN ENDOSCOPE,,,316.85,2565.2,7 CPT,52300,PR CYSTHRSCPY W RSECT URETEROCELE,1942.0,1456.5,121.19,1883.74,683 CPT,52305,PR CYSTHRSCPY RSECT BLAD DVRTCLM,1625.0,1218.75,120.05,1576.25,683 CPT,52310,PR CYSTHRSCPY RMVL FB/STENT SMPL,1493.0,1119.75,145.42,1448.21,684 CPT,52310,"SIMPLE REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,197.87,2565.2,7 CPT,52315,"COMPLICATED REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,356.54,2565.2,7 CPT,52315,PR CYSTHRSCPY RMVL FB/STENT CMPLX,2357.0,1767.75,223.07,2286.29,683 CPT,52317,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, LESS THAN 2.5 CM PROFESSIONAL",,,447.62,6579.7,7 CPT,52317,PR LITHOLAPAXY SMPL <2.5CM,4085.0,3063.75,422.54,3962.45,683 CPT,52318,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, MORE THAN 2.5 CM PROFESSIONAL",,,609.33,6579.7,7 CPT,52318,PR LITHOLAPAXY COMPL >2.5CM,2973.0,2229.75,203.11,2883.81,683 CPT,52332,INSERTION OF STENT IN URETER USING AN ENDOSCOPE PROFESSIONAL,,,205.17,4325.66,7 CPT,52332,PR CYSTHRSCPY W INS URETERAL STNT,2147.0,1610.25,181.35,2082.59,683 CPT,52341,DILATION OF BLADDER AND URETHRA USING AN ENDOSCOPE,,,368.48,4325.66,7 CPT,52341,PR CYSTHRSCPY W TX URETERAL STRIC,1781.0,1335.75,122.83,1727.57,683 CPT,52342,REPAIR OF STRICTURE AT JUNCTION OF KIDNEY AND URETER USING AN ENDOSCOPE,,,400.4,4325.66,7 CPT,52344,PR CYSTHRSCPY/URTRSCPY TX URET STRIC,1514.0,1135.5,159.18,1468.58,683 CPT,52344,REPAIR OF STRICTURE OF URETER USING AN ENDOSCOPE,,,477.53,4325.66,7 CPT,52345,PR CYSTHRSCPY/URTRSCPY TX URETROPELV,3180.0,2385.0,169.84,3084.6,683 CPT,52345,REPAIR OF STRICTURE OF UPPER ATTACHMENT OF URETER TO KIDNEY USING AN ENDOSCOPE,,,509.51,4325.66,7 CPT,52346,PR CYSTHRSCPY/URTRSCPY TX INTRARENAL,3944.0,2958.0,191.96,3825.68,683 CPT,52346,REPAIR OF STRICTURE IN KIDNEY WITH EXAM OF URINARY TRACT USING AN ENDOSCOPE,,,575.87,6579.7,7 CPT,52351,"DIAGNOSTIC EXAM OF BLADDER, URETHRA, AND URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL",,,392.12,4325.66,7 CPT,52351,PR CYSTHRSCPY W URTRSCPY/PYELO DX,2048.0,1536.0,130.71,1986.56,683 CPT,52352,PR CYSTHRSCPY/URTRSCPY RMVL CALC,2842.0,2131.5,152.79,2756.74,683 CPT,52352,REMOVAL OR MANIPULATION OF STONE IN URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,458.36,4325.66,7 CPT,52353,CRUSHING OF STONE OF URETER USING AN ENDOSCOPE PROFESSIONAL,,,505.65,6579.7,7 CPT,52353,PR CYSTHRSCPY URTRSCPY LITHOTRIP,2882.0,2161.5,168.55,2795.54,683 CPT,52354,BIOPSY AND/OR DESTRUCTION OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,538.92,6579.7,7 CPT,52354,PR CYSTHRSCPY/URTRSCPY BX PELV LESN,3067.0,2300.25,179.64,2974.99,683 CPT,52355,PR CYSTHRSCPY URTRSCPY PELV TMR,3430.0,2572.5,200.98,3327.1,683 CPT,52355,REMOVAL OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE,,,602.93,6579.7,7 CPT,52356,CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE PROFESSIONAL,,,536.97,6579.7,7 CPT,52356,PR CYSTHRSCPY/URTRSCPY LITHO INS STNT,4736.0,3552.0,178.99,4593.92,683 CPT,52400,"INCISION, DESTRUCTION, OR REMOVAL OF CONGENITAL DEFECTS OF BLADDER AND URETHRA USING AN ENDOSCOPE",,,629.37,6579.7,7 CPT,52400,PR CYSTHRSCPY INCISN URETHRAL VALVE,3474.0,2605.5,209.79,3369.78,683 CPT,52441,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, 1 IMPLANT",,,180.56,270.84,7 CPT,52441,PR CYSTHRSCPY INS TP IMPLANT SNGL,3773.0,2829.75,604.41,3659.81,683 CPT,52442,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, EACH ADDITIONAL IMPLANT",,,64.88,149.21,7 CPT,52442,PR CYSTHRSCPY INS TP IMPLANT EA,2685.0,2013.75,838.14,2685.0,676 CPT,52450,INCISION OF PROSTATE PROFESSIONAL,,,642.65,4325.66,7 CPT,52450,PR INCISN PROSTATE TRANSURETHRAL,2787.0,2090.25,214.22,2703.39,683 CPT,52500,PR RSECT BLAD NK TRANSURETHRAL,3154.0,2365.5,172.32,3059.38,683 CPT,52500,REMOVAL OF BLADDER NECK THROUGH URETHRA,,,516.96,4325.66,7 CPT,52601,PR RSECT PROS CMPLT ELECTROSURG,2958.0,2218.5,257.55,2869.26,683 CPT,52601,REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,772.65,6579.7,7 CPT,52630,PR RSECT REGROW PROS TISS TXURETH,2589.0,1941.75,183.96,2511.33,683 CPT,52640,PR RSECT POSTOP BLAD NK CONTRCTR,2201.0,1650.75,147.76,2134.97,683 CPT,52640,REMOVAL OF POSTSURGICAL TIGHTENING OF BLADDER NECK,,,443.28,4325.66,7 CPT,52648,COMPLETE LASER VAPORIZATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE,,,776.07,6579.7,7 CPT,52648,PR LASER VAPORIZATION PROS CMPLT,7006.0,5254.5,258.69,6795.82,683 CPT,52649,COMPLETE LASER FRAGMENTATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,965.42,6579.7,7 CPT,52649,PR LASER ENUCLEATION PROSTATE,5115.0,3836.25,321.81,4961.55,683 CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,595.46,6579.7,7 CPT,52700,PR TXURETH DRAINAGE PROSTATE ABSC,2653.0,1989.75,198.49,2573.41,683 CPT,53010,INCISION OR REPAIR OF ABNORMAL URETHRA,,,412.29,6579.7,7 CPT,53010,PR URETHROTOMY PERINEAL URETHRA,1712.0,1284.0,137.43,1660.64,683 CPT,53020,PR MEATOTOMY EXCEPT INFANT,863.0,647.25,42.25,837.11,683 CPT,53200,BIOPSY OF URETHRA,,,187.73,2565.2,7 CPT,53200,PR BIOPSY URETHRA,1017.0,762.75,81.02,986.49,683 CPT,53215,PR URETHRECTOMY CYSTOS TOT MALE,5468.0,4101.0,407.92,5303.96,683 CPT,53215,REMOVAL OF BLADDER AND URETHRA IN MALE,,,1223.76,6579.7,7 CPT,53220,PR EXCISION CARCINOMA URETHRA,2686.0,2014.5,203.52,2605.42,683 CPT,53230,PR EXCISN URETHRAL DVERTCLM FMALE,3514.0,2635.5,270.97,3408.58,683 CPT,53230,REMOVAL OF POUCH OF URETHRA IN FEMALE,,,812.91,6579.7,7 CPT,53260,PR EXCISION URETHRAL POLYP DISTAL,1103.0,827.25,104.29,1069.91,683 CPT,53260,REMOVAL OR DESTRUCTION OF POLYPS OF URETHRA,,,242.94,4325.66,7 CPT,53265,PR EXCISION URETHRAL CARUNCLE,1314.0,985.5,112.88,1274.58,683 CPT,53265,REMOVAL OR DESTRUCTION OF GROWTH OF URETHRA,,,249.8,2565.2,7 CPT,53270,PR EXCISN/FULG SKENES GLANDS,1342.0,1006.5,106.99,1301.74,683 CPT,53270,REMOVAL OR DESTRUCTION OF MUCOUS GLANDS OF URETHRA,,,248.63,6579.7,7 CPT,53275,PR EXCISN URETHRAL PROLAPSE,1556.0,1167.0,116.69,1509.32,683 CPT,53400,PR URTHPLSTY 1 STG FSTL/DVRTCLM,4740.0,3555.0,354.36,4597.8,683 CPT,53410,PR URTHPLSTY 1 STG RECNST URETHRA,7521.0,5640.75,430.83,7295.37,683 CPT,53410,RECONSTRUCTION OF URETHRA IN MALE,,,1292.48,6579.7,7 CPT,53415,PR URTHPLSTY 1 STG RECNST TRNSPUB,7933.0,5949.75,495.54,7695.01,683 CPT,53430,PR URTHPLSTY RCNST FEMALE URETHRA,6077.0,4557.75,427.21,5894.69,683 CPT,53430,RECONSTRUCTION OF URETHRA IN FEMALE,,,1281.63,6579.7,7 CPT,53440,CREATION OF SLING AROUND URETHRA IN MALE TO CONTROL LEAKAGE,,,1001.16,16190.28,7 CPT,53440,PR SLING OPR MALE INCONTINENCE,5418.0,4063.5,333.72,5255.46,683 CPT,53442,PR RMVL/REV SLING MALE INCONT,5226.0,3919.5,350.74,5069.22,683 CPT,53442,REMOVAL OR REVISION OF SLING IN MALE FOR URINARY INCONTINENCE,,,1052.22,6579.7,7 CPT,53445,INSERTION OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,1012.5,25433.95,7 CPT,53445,PR INS INFLT BLADDER NK SPHINC,5541.0,4155.75,337.5,5374.77,683 CPT,53446,PR RMVL INFLT URETHRAL SPHINCTER,3957.0,2967.75,287.47,3838.29,683 CPT,53446,REMOVAL OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,862.4,6579.7,7 CPT,53447,PR RMVL&RPLC INFLT URETH SPHINC,6293.0,4719.75,357.93,6104.21,683 CPT,53447,REMOVAL AND REPLACEMENT OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,1073.78,25433.95,7 CPT,53448,PR RMVL&RPLC SPHINC INFECT FIELD,8199.0,6149.25,560.06,7953.03,683 CPT,53449,PR REPAIR INFLT URETHRAL SPHINC,3609.0,2706.75,273.89,3500.73,683 CPT,53449,REPAIR OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,821.66,11616.72,7 CPT,53450,PR URETHROMEATOPLASTY,2419.0,1814.25,185.47,2346.43,683 CPT,53450,REPAIR OF URETHRA AND URINARY OPENING,,,556.41,6579.7,7 CPT,53451,INSERTION OF ADJUSTABLE BALLOON CONTINENCE DEVICE ON BOTH SIDES OF URETHRA USING IMAGING GUIDANCE,,,14078.51,16190.28,6 CPT,53451,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,9006.0,6754.5,658.63,9006.0,676 CPT,53460,PR URETHROMEATOPLSTY PARTL EXCISN,3288.0,2466.0,206.27,3189.36,683 CPT,53460,REPAIR AND PARTIAL REMOVAL OF URETHRA AND URINARY OPENING,,,618.81,4325.66,7 CPT,53500,PR URETHROLYSIS TV W CYSTHRSCPY,4204.0,3153.0,328.85,4077.88,683 CPT,53500,RELEASE OF SCAR TISSUE OF URETHRA USING AN ENDOSCOPE,,,986.54,4325.66,7 CPT,53502,PR URETHRORRHAPHY SUTURE FEMALE,2915.0,2186.25,218.71,2827.55,683 CPT,53502,SUTURE OF WOUND OR INJURY OF URETHRA IN FEMALE,,,656.13,6138.73,7 CPT,53505,PR URETHRORRHAPHY SUTURE PENILE,3234.0,2425.5,218.55,3136.98,683 CPT,53505,SUTURE OF WOUND OR INJURY OF URETHRA IN PENIS,,,655.65,6579.7,7 CPT,53510,SUTURE OF URETHRA WOUND OR INJURY,,,846.36,6579.7,7 CPT,53515,PR URETHRORRHAPHY PROS-MEMBRANOUS,4655.0,3491.25,351.6,4515.35,683 CPT,53520,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO SKIN IN MALE,,,752.28,6579.7,7 CPT,53520,PR CLSR URETHROSTOMY FSTL MALE,3277.0,2457.75,250.76,3178.69,683 CPT,53600,PR DIL URETHRAL STRICT MALE INIT,452.0,339.0,44.51,438.44,683 CPT,53601,PR DIL URETHRAL STRICT MALE SUBSQ,421.0,315.75,23.41,408.37,697 CPT,53605,PR DIL URETH STRICT MALE PASSAGE,426.0,319.5,27.37,413.22,683 CPT,53660,PR DIL URETHRA FEMALE INITIAL,376.0,282.0,18.33,364.72,697 CPT,53661,PR DIL URETHRA FEMALE SUBSQ,384.0,288.0,17.69,372.48,697 CPT,53854,PR TXURETH PROST TISS RF THERMO,8239.0,6179.25,1646.72,7991.83,683 CPT,53855,PR INS TEMP PROSTATIC URETH STENT,3157.0,2367.75,35.23,3062.29,697 CPT,53865,INSERTION OF A TEMPORARY DEVICE FOR PRESSURE NECROSIS OF BLADDER NECK AND PROSTATE USING AN ENDOSCOPE,,,214.16,11616.72,7 CPT,53866,PR CATHJ RMVL DEV ISCHMC RMDLG,1154.0,865.5,36.15,1119.38,697 CPT,53899,PR BUD CATHETER VIA ILEAL CONDUIT,474.0,355.5,11.85,459.78,684 CPT,53899,UNLISTED PROC URINARY SYSTEM - FACILITY,,,5721.48,6579.7,6 CPT,54001,INCISION OF FORESKIN,,,190.23,2565.2,7 CPT,54001,PR SLITTING PREPUCE NOT NEWBORN,884.0,663.0,99.17,857.48,683 CPT,54015,INCISION AND DRAINAGE OF PENIS,,,407.34,2026.75,7 CPT,54015,PR I&D PENIS DEEP,1290.0,967.5,135.78,1251.3,683 CPT,54055,PR DEST LESN PENIS SMPL ELECTRO,400.0,300.0,42.45,388.0,697 CPT,54056,HC DEST LESN PENIS SMPL CRYOSURG,1221.0,915.75,145.41,1221.0,915 CPT,54056,PR DEST LESN PENIS SMPL CRYOSURG,489.0,366.75,59.63,474.33,693 CPT,54056,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING FREEZING FACILITY,,,145.41,246.21,7 CPT,54057,PR DEST LESN PENIS SMPL LASER,714.0,535.5,44.53,692.58,697 CPT,54057,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING LASER,,,133.59,2531.94,7 CPT,54060,PR DEST LESN PENIS SMPL SURG EXCISN,806.0,604.5,59.94,781.82,697 CPT,54065,PR DEST LESN PENIS EXTENSIVE,1058.0,793.5,92.41,1026.26,693 CPT,54100,BIOPSY OF PENIS FACILITY,,,152.73,2026.75,7 CPT,54100,HC BIOPSY PENIS,11226.0,8419.5,152.73,11226.0,916 CPT,54100,PR BIOPSY PENIS,690.0,517.5,98.97,669.3,684 CPT,54110,REMOVAL OF THICKENED TISSUE OF PENIS,,,835.13,4325.66,7 CPT,54111,PR EXCISN PENILE PLAQUE GRFT<=5CM,5496.0,4122.0,352.95,5331.12,683 CPT,54111,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, 5.0 CM OR LESS",,,1058.84,6579.7,7 CPT,54112,PR EXCISN PENILE PLAQUE GRFT >5CM,5434.0,4075.5,413.17,5270.98,683 CPT,54112,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, MORE THAN 5.0 CM",,,1239.51,11616.72,7 CPT,54115,PR REMOVAL FB PENILE TISSUE DEEP,2122.0,1591.5,193.78,2058.34,697 CPT,54115,REMOVAL OF FOREIGN BODY IN PENIS,,,581.33,3564.51,7 CPT,54120,PARTIAL AMPUTATION OF PENIS,,,846.74,4325.66,7 CPT,54120,PR AMPUTATION OF PENIS PARTIAL,3256.0,2442.0,282.25,3158.32,683 CPT,54125,PR AMPUTATION OF PENIS COMPLETE,4654.0,3490.5,365.66,4514.38,683 CPT,54161,PR CIRCUMCISION NOT CLAMP >28DAY,1174.0,880.5,88.6,1138.78,683 CPT,54161,REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) FACILITY,,,265.79,2565.2,7 CPT,54162,PR EXCISN PENILE POST CIRC ADHESN,1053.0,789.75,90.22,1021.41,697 CPT,54163,PR REPAIR INCMPLT CIRCUMCISION,1037.0,777.75,101.22,1005.89,683 CPT,54163,REPAIR OF INCOMPLETE REMOVAL OF FORESKIN,,,303.66,2565.2,7 CPT,54164,PR FRENULOTOMY OF PENIS,1015.0,761.25,90.56,984.55,683 CPT,54200,PR INJECTION PEYRONIE DISEASE,349.0,261.75,40.75,338.53,698 CPT,54220,HC IRRIG CORP CAVERNOSA PRIAPISM,3175.0,2381.25,189.6,3079.75,915 CPT,54220,PR IRRIG CORP CAVERNOSA PRIAPISM,824.0,618.0,122.59,799.28,683 CPT,54235,HC INJ CORPCAV W PHARM AGENT,2179.5,1634.625,99.99,2211.0,1832 CPT,54235,INJECTION PROCEDURE TO CAUSE ERECTION FACILITY,,,99.99,4325.66,7 CPT,54235,PR INJ CORPCAV W PHARM AGENT,305.0,228.75,46.28,295.85,684 CPT,54300,PR PLASTIC OP PENIS STRT CHORDEE,2823.0,2117.25,288.1,2738.31,683 CPT,54344,PR RPR HYPOSPADIAS COMPL MBL,6287.0,4715.25,416.1,6098.39,683 CPT,54344,REPAIR OF COMPLICATION OF URINARY OUTLET OF PENIS AT UNDERSIDE OF PENIS WITH MOBILIZATION OF SKIN GRAFT OR FLAP,,,1248.3,11616.72,7 CPT,54352,EXTENSIVE REVISION OF PREVIOUS REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH SKIN GRAFTS AND FLAPS,,,1852.79,6579.7,7 CPT,54352,PR REV HYPSPDS REPAIR W DISSECT,8221.0,6165.75,617.6,7974.37,683 CPT,54360,PR PLASTIC OPR PENIS ANGULATION,3281.0,2460.75,319.79,3182.57,683 CPT,54360,SURGERY TO CORRECT ABNORMAL PENIS ANGLE,,,959.36,4325.66,7 CPT,54400,PR INS PENILE PROSTH NON-INFLT,2741.0,2055.75,237.43,2658.77,683 CPT,54405,INSERTION OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,,,1071.02,25433.95,7 CPT,54405,PR INS IPP MULTI COMPONENT,5004.0,3753.0,357.01,4853.88,683 CPT,54406,PR REMOVAL IPP MULTI COMPONENT,3487.0,2615.25,325.15,3382.39,683 CPT,54406,REMOVAL OF ALL COMPONENTS OF INFLATABLE PENILE IMPLANT,,,744.07,975.44,7 CPT,54408,PR RPR IPP MULTI COMPONENT,4234.0,3175.5,351.65,4106.98,683 CPT,54410,PR RMVL&RPLC IPP MULT COMPONENT,4732.0,3549.0,383.06,4590.04,683 CPT,54410,REMOVAL AND REPLACEMENT OF MULTICOMPONENT INFLATABLE PENILE IMPLANT DURING SAME SURGERY,,,1149.17,25433.95,7 CPT,54430,PR SHUNT CORPCAV-CORPUS SPONGOSUM,2980.0,2235.0,284.74,2890.6,683 CPT,54437,PR RPR TRAUMETIC CORPOREAL TEAR,3912.0,2934.0,303.28,3794.64,683 CPT,54440,PR PLASTIC OPERATION PENIS INJURY,3219.0,2414.25,357.81,3122.43,683 CPT,54450,PR MANIP FORESKIN,269.0,201.75,35.08,260.93,683 CPT,54450,REPOSITIONING OF FORESKIN INCLUDING SCAR TISSUE REMOVAL FACILITY,,,74.15,6579.7,7 CPT,54512,PR EXCISN EXTRAPRL LESION TESTIS,2417.0,1812.75,240.03,2344.49,683 CPT,54512,REMOVAL OF GROWTH OF TESTICLE,,,720.09,4393.67,7 CPT,54520,PR ORCHIECTOMY SIMPLE,1887.0,1415.25,149.37,1830.39,683 CPT,54520,SIMPLE REMOVAL OF TESTICLE,,,448.11,4325.66,7 CPT,54522,PR ORCHIECTOMY PARTIAL,3274.0,2455.5,261.99,3175.78,683 CPT,54530,PR ORCHIECTOMY RADCL INGUINAL APPR,2681.0,2010.75,229.55,2600.57,683 CPT,54530,REMOVAL OF GROWTH OF TESTICLE THROUGH GROIN,,,688.64,4393.67,7 CPT,54600,PR REDUCTION TESTIS TORSION,2389.0,1791.75,204.17,2317.33,683 CPT,54620,PR FIXATION CONTRALATERAL TESTIS,1713.0,1284.75,133.46,1661.61,683 CPT,54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPR,3319.0,2489.25,192.72,3219.43,683 CPT,54640,REPOSITIONING AND SUTURE OF MISPLACED TESTICLE PROFESSIONAL,,,578.15,6579.7,7 CPT,54660,INSERTION OF TESTICULAR IMPLANT,,,490.65,6579.7,7 CPT,54660,PR INS OF TESTICULAR PROSTHESIS,1810.0,1357.5,163.55,1755.7,683 CPT,54700,PR I&D EPIDIDYMIS TESTIS&/SCRTL,964.0,723.0,97.78,935.08,683 CPT,54830,PR EXCISN LOCAL LESN EPIDIDYMIS,2276.0,1707.0,170.03,2207.72,683 CPT,54830,REMOVAL OF GROWTH OF SPERM DUCT,,,510.08,4325.66,7 CPT,54840,PR EXCISION OF SPERMATOCELE,1551.0,1163.25,146.09,1504.47,683 CPT,54840,REMOVAL OF FLUID ACCUMULATION IN SPERM RESERVOIR,,,438.27,2565.2,7 CPT,54901,CONNECTION OF BOTH SPERM RESERVOIRS TO SPERM DUCTS,,,1397.99,4325.66,7 CPT,54901,PR EPIDIDYMOVASOSTOMY BILATERAL,6261.0,4695.75,466.0,6073.17,683 CPT,55000,ASPIRATION OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR FACILITY,,,113.28,2565.2,7 CPT,55000,HC ASP HYDROCELE TUNICA VAG,2488.0,1866.0,113.28,2413.36,915 CPT,55000,PR ASP HYDROCELE TUNICA VAG,501.0,375.75,61.55,485.97,683 CPT,55040,PR EXCISION HYDROCELE UNILATERAL,1653.0,1239.75,154.01,1603.41,683 CPT,55040,REMOVAL OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR PROFESSIONAL,,,462.03,4393.67,7 CPT,55041,PR EXCISION HYDROCELE BILATERAL,2888.0,2166.0,230.42,2801.36,683 CPT,55041,REMOVAL OF FLUID COLLECTION IN BOTH TESTICLES AND SPERM RESERVOIRS,,,691.25,4393.67,7 CPT,55060,PR RPR TUNICA VAGINALIS HYDROCELE,1922.0,1441.5,173.15,1864.34,683 CPT,55060,REPAIR OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,,,519.45,4325.66,7 CPT,55100,HC DRAINAGE SCROTUM ABSCESS,3743.0,2807.25,239.93,3630.71,915 CPT,55100,PR DRAINAGE SCROTUM ABSCESS,1207.0,905.25,120.76,1170.79,683 CPT,55110,PR EXPLORATION SCROTUM,1607.0,1205.25,177.48,1558.79,683 CPT,55120,PR REMOVAL FOREIGN BODY SCROTUM,1280.0,960.0,162.08,1241.6,683 CPT,55120,REMOVAL OF FOREIGN BODY IN SCROTUM,,,486.24,2565.2,7 CPT,55150,PR RESECTION OF SCROTUM,2619.0,1964.25,222.81,2540.43,683 CPT,55175,PR SCROTOPLASTY SIMPLE,1822.0,1366.5,166.13,1767.34,683 CPT,55180,COMPLICATED REPAIR OF SCROTUM,,,916.23,6579.7,7 CPT,55180,PR SCROTOPLASTY COMPLICATED,3453.0,2589.75,305.41,3349.41,683 CPT,55250,PR VASECTOMY INCL SEMEN EXAM,1480.0,1110.0,168.89,1435.6,684 CPT,55250,REMOVAL OF SPERM DUCT FACILITY,,,319.76,2565.2,7 CPT,55400,INCISION OR REPAIR OF SPERM DUCT,,,670.58,4325.66,7 CPT,55400,PR VASOVASOSTOMY VASOVASORRHAPHY,4636.0,3477.0,223.53,4496.92,683 CPT,55500,PR EXCISN HYDROCELE SPRM CORD,1893.0,1419.75,179.56,1836.21,683 CPT,55500,REMOVAL OF FLUID COLLECTION IN SPERM CORD,,,538.67,4325.66,7 CPT,55520,PR EXCISN LESN SPERMATIC CORD,1978.0,1483.5,218.09,1918.66,683 CPT,55520,REMOVAL OF GROWTH OF SPERM CORD,,,654.26,4325.66,7 CPT,55530,PR EXCISN VARICOCELE SPRM CORD,2128.0,1596.0,159.8,2064.16,683 CPT,55530,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR TYING OF SPERMATIC VEINS,,,479.39,4325.66,7 CPT,55700,BIOPSY OF PROSTATE GLAND FACILITY,,,382.49,439.87,6 CPT,55706,PR BX PROSTATE NDL TRANSPRNEAL,1888.0,1416.0,99.71,1831.36,683 CPT,55707,PR BX PRST8 TRCT US GUIDED,2460.0,1845.0,66.73,2386.2,697 CPT,55708,PR BX PRST8 TRCT US W/MRI FUS 1,3514.0,2635.5,83.15,3408.58,698 CPT,55709,PR BX PRST8 TPRNL US GUIDED,3400.0,2550.0,282.79,3298.0,683 CPT,55710,PR BX PRST8 TPRN US W/MRI FUS 1,3810.0,2857.5,317.12,3695.7,683 CPT,55711,PR BX PRST8 TRCT MRI-US 1ST,2842.0,2131.5,66.4,2756.74,697 CPT,55712,PR BX PRST8 TPRNL MRI-US 1ST,3540.0,2655.0,77.38,3433.8,697 CPT,55715,PR BX PRST8 EA ADD MRI-US/CT/MR,475.0,356.25,79.21,475.0,677 CPT,55831,PR PROSTEC RETROPUBIC SUBTOTAL,4701.0,3525.75,379.54,4559.97,683 CPT,55840,PR PROSTATECTOMY RETROPUBIC RADCL,7499.0,5624.25,512.01,7274.03,683 CPT,55845,PR PROSTEC W BILAT PELV LYMPHDEC,10213.0,7659.75,592.71,9906.61,683 CPT,55866,PR LAP PROSTEC RETROPUBIC RADCL,11730.0,8797.5,530.16,11378.1,683 CPT,55866,SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE,,,1590.47,13044.35,7 CPT,55867,PR LAPS SURG PRSTECT SMPL STOT,7030.0,5272.5,463.51,6819.1,683 CPT,55869,PR LAP SRG PROSTATECTOMY BI PELV LMPHAD,20576.0,15432.0,651.24,19958.72,683 CPT,55873,PR CRYOSURG ABLATION PROSTATE,11412.0,8559.0,337.2,11069.64,697 CPT,55874,INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE FACILITY,,,210.02,6579.7,7 CPT,55874,PR TPRNL PLMT BIODEGRDABL MATRL,10593.0,7944.75,1795.73,10275.21,683 CPT,55875,PR PLC CATH TRANSPERI PROSTATE,3357.0,2517.75,337.32,3256.29,683 CPT,55876,HC PLC INTERS RAD DEVICE PROSTATE,6865.0,5148.75,133.61,6865.0,917 CPT,55876,PLACEMENT OF DEVICE IN PROSTATE FOR RADIATION THERAPY FACILITY,,,133.61,6579.7,7 CPT,55876,PR PLC INTERS RAD DEVICE PROSTATE,530.0,397.5,73.83,514.1,684 CPT,55877,PR ABLTJ IRE PROSTATE 1+ TUM PERCUT,5289.0,3966.75,329.23,5130.33,683 CPT,55880,"HIGH-INTENSITY ULTRASOUND DESTRUCTION OF CANCEROUS TISSUE IN PROSTATE GLAND, ACCESSED THROUGH RECTUM USING ULTRASOUND GUIDANCE",,,1292.61,11616.72,7 CPT,55880,PR HIFU ABLATION PROSTATE W US GUIDE,3746.0,2809.5,430.87,3633.62,683 CPT,55899,PR MICRO TEST SPRMEXTR(MICROTESE) BILATERAL,2303.0,1727.25,57.58,2233.91,684 CPT,55899,PR MICRO TEST SPRMEXTR(MICROTESE) UNILATERAL,1535.0,1151.25,38.38,1488.95,684 CPT,55899,PR TESTICULAR SPERM EXTRACT(TESE) BILATERAL,1842.0,1381.5,46.05,1786.74,684 CPT,55899,PR TESTICULAR SPERM EXTRACT(TESE) UNILATERAL,1228.0,921.0,30.7,1191.16,684 CPT,55899,UNLISTED PROC MALE GENITAL SYS - FACILITY,,,3761.45,4325.66,6 CPT,56405,HC I&D VULVA/PERINEAL ABSCESS,1315.0,986.25,170.7,1275.55,916 CPT,56405,INCISION AND DRAINAGE OF ABSCESS OF EXTERNAL FEMALE GENITALS FACILITY,,,170.7,373.95,7 CPT,56405,PR I&D VULVA/PERINEAL ABSCESS,595.0,446.25,70.98,577.15,684 CPT,56420,HC I&D BARTHOLINS GLAND ABSCESS,829.0,621.75,146.46,804.13,915 CPT,56420,PR I&D BARTHOLINS GLAND ABSCESS,618.0,463.5,88.47,599.46,683 CPT,56440,CREATION OF DRAINAGE TRACT FOR GLAND CYST OF FEMALE GENITALS FACILITY,,,239.55,3972.42,7 CPT,56440,PR MARSUP BARTHOLINS GLAND CYST,994.0,745.5,79.85,964.18,683 CPT,56441,PR LYSIS OF LABIAL ADHESIONS,733.0,549.75,88.74,711.01,683 CPT,56441,REMOVAL OF SCAR TISSUE OF FEMALE GENITALS FACILITY,,,205.53,4804.8,7 CPT,56442,PR HYMENOTOMY INCISION SIMPLE,325.0,243.75,21.32,315.25,683 CPT,56501,PR DESTRUCTION LESION VULVA SMPL,603.0,452.25,76.49,584.91,694 CPT,56501,SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS FACILITY,,,175.26,2531.94,7 CPT,56515,EXTENSIVE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS FACILITY,,,278.01,2531.94,7 CPT,56515,PR DEST LESN VULVA EXTENSIVE,968.0,726.0,132.97,938.96,683 CPT,56605,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, FIRST GROWTH FACILITY",,,75.84,3972.42,7 CPT,56605,HC BX VULVA/PERINEUM 1 LESN,5443.0,4082.25,75.84,5443.0,916 CPT,56605,PR BX VULVA/PERINEUM 1 LESN,358.0,268.5,38.68,347.26,693 CPT,56606,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, EACH ADDITIONAL GROWTH FACILITY",,,37.23,2026.75,7 CPT,56606,PR BX VULVA/PERINEUM ADD LESN,187.0,140.25,32.38,187.0,687 CPT,56620,PR VULVECTMY SIMPLE/PARTL,2885.0,2163.75,265.86,2798.45,683 CPT,56620,SIMPLE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS PROFESSIONAL,,,797.58,3972.42,7 CPT,56630,EXTENSIVE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS,,,1309.38,6138.73,7 CPT,56630,PR VULVECTOMY RADICAL PARTIAL,5601.0,4200.75,436.46,5432.97,683 CPT,56632,PR VULVECT RADCL PRTL BILAT LYMPHDEC,6757.0,5067.75,650.24,6554.29,683 CPT,56633,PR VULVECTOMY RADICAL COMPLETE,6999.0,5249.25,559.49,6789.03,683 CPT,56634,PR VULVECT RADCL COMPL UNILAT LYMPHDEC,6381.0,4785.75,597.0,6189.57,683 CPT,56740,PR EXCISN BARTHOLIN GLAND/CYST,1453.0,1089.75,137.89,1409.41,683 CPT,56740,REMOVAL OF CYST OF FEMALE GENITAL GLAND,,,413.67,3972.42,7 CPT,56810,PR PERINEOPLASTY RPERINEUM NONOB,1501.0,1125.75,117.67,1455.97,683 CPT,56810,REPAIR OF SKIN IN AREA BETWEEN ANUS AND GENITALS PROFESSIONAL,,,353.0,3972.42,7 CPT,56820,EXAM OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE FACILITY,,,110.46,248.09,7 CPT,56820,PR COLPOSCOPY VULVA,528.0,396.0,52.89,512.16,694 CPT,56821,PR COLPOSCOPY VULVA W BX,758.0,568.5,49.35,735.26,698 CPT,57000,INCISION AND EXPLORATION OF VAGINA,,,260.99,7418.74,7 CPT,57000,PR COLPOTOMY WITH EXPLORATION,1061.0,795.75,87.0,1029.17,683 CPT,57010,INCISION AND DRAINAGE OF ABSCESS OF PELVIS,,,597.48,3972.42,7 CPT,57010,PR COLPOTOMY W DRN PELV ABSC,2075.0,1556.25,199.16,2012.75,683 CPT,57023,PR I&D VAGINAL HEMATOMA NONOB,1298.0,973.5,138.17,1259.06,683 CPT,57061,PR DEST LESN VAGINAL SIMPLE,601.0,450.75,51.38,582.97,697 CPT,57065,PR DEST LESN VAGINAL EXTENSIVE,1298.0,973.5,80.92,1259.06,697 CPT,57100,PR BX VAGINAL MUCOSA SMPL,463.0,347.25,51.17,449.11,683 CPT,57100,SIMPLE BIOPSY OF VAGINAL MUCOUS MEMBRANE FACILITY,,,85.53,4325.66,7 CPT,57105,BIOPSY OF EXTENSIVE AREA OF VAGINAL MUCOUS MEMBRANE-EXPRESS CARE,,,197.88,3972.42,7 CPT,57105,PR BX VAGINAL MUCOSA EXTEN W SUTURE,872.0,654.0,65.96,845.84,697 CPT,57106,PARTIAL REMOVAL OF VAGINAL WALL,,,719.31,3972.42,7 CPT,57106,PR VAGINECTMY PARTL RMVL VAG WALL,3303.0,2477.25,239.77,3203.91,683 CPT,57107,PR VAGNC PART W REMV PARAVAG TISS,7214.0,5410.5,643.58,6997.58,683 CPT,57120,PR COLPOCLEISIS,3179.0,2384.25,231.14,3083.63,683 CPT,57120,SUTURE CLOSURE OF VAGINA AND VAGINAL OPENING,,,693.42,6138.73,7 CPT,57130,PR EXCISN OF VAGINAL SEPTUM,1310.0,982.5,108.07,1270.7,683 CPT,57130,REMOVAL OF ABNORMAL TISSUE DIVIDING VAGINA FACILITY,,,225.15,7418.74,7 CPT,57135,PR EXCISN OF VAGINAL CYST/TUMOR,1305.0,978.75,118.31,1265.85,683 CPT,57135,REMOVAL OF CYST OR GROWTH OF VAGINAL FACILITY,,,246.17,7418.74,7 CPT,57155,HC INS UTERINE TANDEM/VAG OVOIDS,15696.0,11772.0,351.83,15696.0,916 CPT,57155,INSERTION OF DEVICE INTO UTERUS FOR RADIATION THERAPY FACILITY,,,351.83,6138.73,7 CPT,57155,PR INS UTERINE TANDEM/VAG OVOIDS,1891.0,1418.25,194.31,1834.27,683 CPT,57156,HC INS VAG BRACHYTHRPY DEV,5771.0,4328.25,187.37,5771.0,915 CPT,57156,PR INS VAG BRACHYTHRPY DEV,1089.0,816.75,109.39,1056.33,683 CPT,57160,PR FIT/INST PESSARY/OTR DEV,260.0,195.0,19.75,252.2,697 CPT,57170,PR FIT DIAPHRAGM/CERV CAP,292.0,219.0,20.23,283.24,697 CPT,57200,PR COLPORRHAPHY VAG SUTURE INJURY,1662.0,1246.5,148.31,1612.14,683 CPT,57200,SUTURE OF NONOBSTETRICAL INJURY OF VAGINA,,,444.93,3972.42,7 CPT,57240,PR COLPORPHY ANTR RPR CYSTOCELE,3060.0,2295.0,266.16,2968.2,683 CPT,57240,REPAIR OF BLADDER HERNIA INTO VAGINAL WALL,,,798.47,9099.81,7 CPT,57250,PR COLPORPHY POSTR RPR RECTOCELE,2690.0,2017.5,266.24,2609.3,683 CPT,57250,REPAIR OF HERNIATED RECTUM INTO VAGINAL WALL,,,798.72,9099.81,7 CPT,57260,"PLASTIC REPAIR OF VAGINA AND TISSUE SEPARATING VAGINA, RECTUM, AND BLADDER",,,1006.91,9099.81,7 CPT,57260,PR COLPORRHAPHY ANTEROPOSTERIOR,3153.0,2364.75,335.64,3058.41,683 CPT,57265,PR COLPORPHY A/P RPR ENTEROCELE,4349.0,3261.75,375.1,4218.53,683 CPT,57268,PR REPAIR ENTEROCELE VAGINAL APPR,2596.0,1947.0,222.64,2518.12,683 CPT,57268,REPAIR OF PROTRUSION OF INTESTINE INTO RECTUM OR VAGINA THROUGH VAGINA,,,667.92,6138.73,7 CPT,57280,PR COLPOPEXY ABDOMINAL APPROACH,3017.0,2262.75,418.45,2926.49,683 CPT,57282,PR COLPOPEXY VAG EXTRPERIT APPR,2202.0,1651.5,300.43,2135.94,683 CPT,57282,REPAIR OF PELVIC LIGAMENTS THROUGH VAGINA,,,901.29,9099.81,7 CPT,57283,PR COLPOPEXY VAG INTRPERIT APPR,3288.0,2466.0,302.08,3189.36,683 CPT,57283,REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA,,,906.23,9099.81,7 CPT,57285,PR RPR PARA VAG DEFECT VAG APPR,2768.0,2076.0,300.2,2684.96,683 CPT,57287,PR RMVL/RVSN SLING STRESS INCONT,3430.0,2572.5,322.16,3327.1,683 CPT,57287,REMOVAL OR REVISION OF INCONTINENCE SLING,,,966.47,3972.42,7 CPT,57288,CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE,,,972.21,9099.81,7 CPT,57288,PR SLING OPR STRESS INCONTINENCE,4360.0,3270.0,324.07,4229.2,683 CPT,57295,PR REV PROSTH VAG GRFT VAG APPR,2560.0,1920.0,218.94,2483.2,684 CPT,57295,REVISION OF PROSTHETIC VAGINAL GRAFT,,,656.82,3972.42,7 CPT,57296,PR REV PROSTH VAG GRFT ABD APPR,4792.0,3594.0,411.48,4648.24,683 CPT,57296,REVISION OR REMOVAL OF PROSTHETIC VAGINAL GRAFT,,,822.95,1234.43,7 CPT,57300,PR CLSR RECTOVAG FSTL VAG/ANL APP,3342.0,2506.5,274.69,3241.74,683 CPT,57308,PR CLSR RECTOVAG FSTL TXPERI APPR,3860.0,2895.0,308.09,3744.2,683 CPT,57311,PR RPR URETHROVAGINAL LESN,2708.0,2031.0,246.59,2626.76,683 CPT,57320,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM BLADDER TO VAGINA THROUGH VAGINA,,,734.15,6138.73,7 CPT,57320,PR CLSR VESICOVAG FIST VAG APPR,4308.0,3231.0,244.72,4178.76,683 CPT,57400,DILATION OF VAGINA UNDER ANESTHESIA,,,169.2,3972.42,7 CPT,57400,PR DILATION OF VAGINA UNDER ANES,884.0,663.0,56.4,857.48,683 CPT,57410,PELVIC EXAM UNDER ANESTHESIA FACILITY,,,141.26,3972.42,7 CPT,57410,PR PELVIC EXAMINATION UNDER ANES,552.0,414.0,47.09,535.44,683 CPT,57420,EXAM OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,118.7,373.95,7 CPT,57420,PR COLPOSCOPY ENTIRE VAG W CERVIX,657.0,492.75,56.88,637.29,694 CPT,57421,BIOPSY OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,159.72,1130.26,7 CPT,57421,PR COLPOSCOPY ENTIRE VAG CX W BX,891.0,668.25,88.52,864.27,684 CPT,57425,PR LAPAROSCOPY COLPOPEXY,4212.0,3159.0,420.11,4085.64,683 CPT,57425,SURGICAL REPAIR OF VAGINAL DEFECT USING AN ENDOSCOPE,,,1260.33,13044.35,7 CPT,57426,PR REV PROST VAG GRFT LAPAROSCOPC,5190.0,3892.5,378.75,5034.3,683 CPT,57426,REVISION OR REMOVAL OF PROSTHETIC VAGINAL GRAFT USING AN ENDOSCOPE,,,1136.24,13044.35,7 CPT,57452,PR COLPOSCOPY CERVIX UPR/ADJ VAG,484.0,363.0,40.24,469.48,698 CPT,57454,BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE FACILITY,,,174.09,3406.14,7 CPT,57454,PR COLPOSCOPY CERVIX W BX & ECC,683.0,512.25,80.85,662.51,684 CPT,57455,BIOPSY OF CERVIX USING AN ENDOSCOPE FACILITY,,,141.29,373.95,7 CPT,57455,PR COLPOSCOPY CERVIX W BX,458.0,343.5,78.33,444.26,683 CPT,57456,PR COLPOSCOPY CERVIX W ECC,632.0,474.0,43.52,613.04,698 CPT,57460,BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE FACILITY,,,207.42,3972.42,7 CPT,57460,PR COLPOSCOPY CX W LOOP ELEC BX,1106.0,829.5,150.22,1072.82,683 CPT,57461,CONE BIOPSY OF CERVIX AND VAGINA USING AN ENDOSCOPE WITH LOOP ELECTRODE FACILITY,,,236.76,3972.42,7 CPT,57461,PR COLPOSCOPY CERVIX W LOOP CONIZ,1881.0,1410.75,78.92,1824.57,697 CPT,57500,BIOPSY OF CERVIX OR REMOVAL OF GROWTH FACILITY,,,100.16,7418.74,7 CPT,57500,PR BIOPSY CERVIX SNGL/MULT LESN,504.0,378.0,73.52,488.88,683 CPT,57505,PR CURETTAGE ENDOCERVICAL,514.0,385.5,72.38,498.58,684 CPT,57505,SCRAPING OF TISSUE OF CERVIX FACILITY,,,145.29,3972.42,7 CPT,57510,PR CAUTERY CERVIX ELECTRO/THERMAL,685.0,513.75,49.84,664.45,697 CPT,57513,PR CAUTERY CERVIX LASER ABLATION,1406.0,1054.5,63.78,1363.82,697 CPT,57520,PR CONIZATION CERVIX KNIFE/LASER,1485.0,1113.75,175.2,1440.45,683 CPT,57520,REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER FACILITY,,,399.36,3972.42,7 CPT,57522,PR CONIZATION CX EXCISN LOOP ELEC,1208.0,906.0,146.29,1171.76,684 CPT,57522,REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE FACILITY,,,338.37,3972.42,7 CPT,57530,AMPUTATION OF CERVIX,,,496.34,9099.81,7 CPT,57530,PR TRACHELECTOMY AMP CERVIX,1861.0,1395.75,165.45,1805.17,683 CPT,57700,PR CERCLAGE UTERINE CERVIX NON OB,1739.0,1304.25,155.17,1686.83,683 CPT,57700,SUTURE OF CERVIX,,,465.5,7418.74,7 CPT,57800,PR DIL CERVIX CANAL INSTRUMENTAL,283.0,212.25,21.16,274.51,697 CPT,58100,BIOPSY OF LINING OF UTERUS FACILITY,,,80.75,7418.74,7 CPT,58100,HC BX ENDOMETRIAL WO CERVIX DIL,957.0,717.75,80.75,928.29,916 CPT,58100,PR BX ENDOMETRIAL WO CERVIX DIL,414.0,310.5,47.79,401.58,685 CPT,58110,PR ENDOMETRIAL SAMPL PERF W COLPO,196.0,147.0,34.56,196.0,691 CPT,58120,DILATION AND SCRAPING OF UTERUS FACILITY,,,306.65,3972.42,7 CPT,58120,HC D&C NONOBSTETRICAL,14948.0,11211.0,306.65,14499.56,915 CPT,58120,PR D&C NONOBSTETRICAL,982.0,736.5,123.33,952.54,694 CPT,58140,PR MYOMECTOMY 1-4 MYOMA ABD APPR,4728.0,3546.0,396.77,4586.16,683 CPT,58140,"REMOVAL OF GROWTH OF UTERUS THROUGH ABDOMEN, 1-4 GROWTHS",,,1190.3,7418.74,7 CPT,58145,PR MYOMECTOMY 1-4 MYOMA VAG APPR,3540.0,2655.0,243.42,3433.8,683 CPT,58145,"REMOVAL OF GROWTH OF UTERUS THROUGH VAGINA, 1-4 GROWTHS FACILITY",,,730.26,3972.42,7 CPT,58146,PR MYOMECTOMY 5+ MYOMA ABD APPR,6147.0,4610.25,495.35,5962.59,683 CPT,58146,REMOVAL OF 5 OR MORE GROWTHS OF UTERUS THROUGH ABDOMEN,,,990.7,1486.05,7 CPT,58150,PR HYSTERECTOMY TOTAL ABD,4880.0,3660.0,454.45,4733.6,683 CPT,58150,REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN,,,908.9,1363.35,7 CPT,58180,PR HYSTERECTOMY SUPRACERV ABD,4867.0,3650.25,422.61,4720.99,683 CPT,58200,PR HYSTERECTOMY TOT ABD BX LYMPH,7323.0,5492.25,611.17,7103.31,683 CPT,58210,PR HYSTERECTOMY RADCL ABD,10154.0,7615.5,816.14,9849.38,683 CPT,58240,PR EXENTERATION PELVIC GYN MLG,16602.0,12451.5,1303.74,16103.94,683 CPT,58260,PR HYSTERECTOMY VAGINAL <=250 G,4444.0,3333.0,362.04,4310.68,683 CPT,58260,"REMOVAL OF UTERUS THROUGH VAGINA, 250.0 G OR LESS",,,1086.11,7418.74,7 CPT,58262,PR HYST VAG <=250G RMVL TUBES/OV,4450.0,3337.5,399.63,4316.5,683 CPT,58262,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, 250.0 G OR LESS",,,1198.88,9099.81,7 CPT,58291,PR HYST VAG UTRS>250 G W TUBES/OV,7060.0,5295.0,533.36,6848.2,683 CPT,58291,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, MORE THAN 250.0 G",,,1600.08,6138.73,7 CPT,58300,INSERTION OF IUD FOR PREGNANCY PREVENTION FACILITY,,,3454.28,3972.42,6 CPT,58300,PR INSERT OF INTRAUTERINE DEVICE,465.0,348.75,102.87,465.0,680 CPT,58301,PR REMOVAL OF INTRAUTERINE DEVICE,389.0,291.75,46.15,377.33,694 CPT,58301,REMOVAL OF IUD FACILITY,,,84.72,7418.74,7 CPT,58340,HC CATH W INJ CNTRST HSG,1358.0,1018.5,76.28,1358.0,910 CPT,58340,INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES FACILITY,,,76.28,292.8,7 CPT,58340,PR CATH W INJ CNTRST HSG,713.0,534.75,97.68,691.61,693 CPT,58345,INSERTION OF TUBE INTO FALLOPIAN TUBE,,,373.44,7418.74,7 CPT,58345,PR INTRO FALLOPIAN TUBE CATH,1108.0,831.0,124.48,1074.76,683 CPT,58350,INJECTION OF X-RAY CONTRAST INTO FALLOPIAN TUBE,,,122.43,7418.74,7 CPT,58350,PR CHROMOTUBATION OVIDUCT,629.0,471.75,69.62,610.13,683 CPT,58353,DESTRUCTION OF LINING OF UTERUS FACILITY,,,298.14,6138.73,7 CPT,58353,PR ENDOMETRIAL ABLATION THERMAL,3894.0,2920.5,99.38,3777.18,697 CPT,58410,PR UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY,4597.0,3447.75,351.58,4459.09,683 CPT,58410,REPOSITIONING OF UTERUS WITH REMOVAL OF NERVE,,,1054.73,7418.74,7 CPT,58540,PR HYSTEROPLASTY RPR UTERUS,5043.0,3782.25,394.97,4891.71,683 CPT,58540,REPAIR OF ABNORMAL UTERUS,,,1184.9,7418.74,7 CPT,58541,"PARTIAL REMOVAL OF UTERUS WITH RETENTION OF CERVIX USING AN ENDOSCOPE, 250.0 G OR LESS",,,950.31,13044.35,7 CPT,58541,PR LAP SUPRACERVICAL HYST<=250 G,4897.0,3672.75,316.77,4750.09,683 CPT,58542,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, 250.0 G OR LESS",,,1074.21,13044.35,7 CPT,58542,PR LAP SUPRACERV HYST<=250 W RMVL,4895.0,3671.25,358.07,4748.15,683 CPT,58543,"PARTIAL REMOVAL OF UTERUS WITH RETENTION OF CERVIX USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1087.04,13044.35,7 CPT,58543,PR LAP SUPRACERV HYST>250 G,5300.0,3975.0,362.35,5141.0,683 CPT,58544,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1174.38,13044.35,7 CPT,58544,PR LAP SUPRACERV HYST>250 W RMVL,5684.0,4263.0,391.46,5513.48,683 CPT,58545,PR LAP MYOMECTOMY 1-4 MYOMA<=250 G,4782.0,3586.5,393.91,4638.54,683 CPT,58545,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, 250.0 G OR LESS",,,1181.73,7418.74,7 CPT,58546,PR LAP MYOMECTOMY 5+MYOMAS>250 G,6387.0,4790.25,478.29,6195.39,683 CPT,58546,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1434.87,13044.35,7 CPT,58548,PR LAP RADCL HYST W BILAT LYMPHDEC,8997.0,6747.75,840.53,8727.09,683 CPT,58548,"REMOVAL OF UTERUS, CERVIX, AND LYMPH NODES OF PELVIS WITH BIOPSY OF AORTIC LYMPH NODE USING AN ENDOSCOPE",,,2521.59,7418.74,7 CPT,58552,PR LAP VAG HYST UTRS=<250 W RMVL,3744.0,2808.0,427.96,3631.68,683 CPT,58552,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE, 250.0 G OR LESS",,,1283.88,13044.35,7 CPT,58554,PR LAP VAG HYST UTRS>250 G W RMVL,7084.0,5313.0,566.73,6871.48,683 CPT,58554,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1700.18,13044.35,7 CPT,58555,DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE FACILITY,,,197.12,7418.74,7 CPT,58555,PR HYSTEROSCOPY DIAGNOSTIC,1483.0,1112.25,159.4,1438.51,684 CPT,58558,BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE FACILITY,,,299.36,3972.42,7 CPT,58558,PR HYSTERSCPY W BX ENDOMETR/POLYP,4295.0,3221.25,616.02,4166.15,684 CPT,58559,PR HYST W LYSIS INTRAUTER ADHES,2509.0,1881.75,121.67,2433.73,683 CPT,58559,RELEASE OF SCAR TISSUE OF UTERUS USING AN ENDOSCOPE FACILITY,,,365.01,6138.73,7 CPT,58560,PR HYSTEROSCOPY W DIVISION SEPTUM,2908.0,2181.0,134.2,2820.76,683 CPT,58560,RELEASE OF SCAR TISSUE OF UTERUS AND RELEASE OR REMOVAL AND SEPTUM USING AN ENDOSCOPE,,,402.6,7418.74,7 CPT,58561,PR HYSTEROSCOPY RMVL LEIOMYOMATA,4500.0,3375.0,153.28,4365.0,683 CPT,58561,REMOVAL OF GROWTH OF MUSCLE OF UTERUS USING AN ENDOSCOPE FACILITY,,,459.84,6138.73,7 CPT,58562,PR HYSTEROSCOPY RMVL IMPACTED FB,1700.0,1275.0,193.8,1649.0,684 CPT,58562,REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE FACILITY,,,285.74,3972.42,7 CPT,58563,EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE FACILITY,,,317.93,6138.73,7 CPT,58563,PR HYSTEROSCOPY ENDOMETRIAL ABLT,6093.0,4569.75,974.18,5910.21,683 CPT,58565,PLACEMENT OF IMPLANTS TO BLOCK FALLOPIAN TUBES USING AN ENDOSCOPE,,,591.3,7418.74,7 CPT,58565,PR HYSTERSCPY OCC BI TUBE W IMPL,7630.0,5722.5,197.1,7401.1,697 CPT,58570,PR LAP W TOTAL HYST UTRS<=250G,4224.0,3168.0,354.37,4097.28,683 CPT,58570,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS",,,1063.1,13044.35,7 CPT,58571,PR LAP TOT HYST UTRS<=250G W TB/OV,5203.0,3902.25,403.47,5046.91,683 CPT,58571,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS PROFESSIONAL",,,1210.4,13044.35,7 CPT,58572,PR LAP W TOTAL HYST UTRS >250G,5838.0,4378.5,460.53,5662.86,683 CPT,58572,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1381.58,13044.35,7 CPT,58573,PR LAP TOT HYST UTRS>250G W TB/OV,6173.0,4629.75,538.43,5987.81,683 CPT,58573,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G PROFESSIONAL",,,1615.28,13044.35,7 CPT,58575,PR LAPS TOT HYST RESJ MAL,8694.0,6520.5,863.81,8433.18,683 CPT,58575,REMOVAL OF UTERUS FOR REMOVAL OF GROWTH USING AN ENDOSCOPE,,,1727.61,2591.42,7 CPT,58578,UNLISTED PROC LAP UTRS,,,6451.08,7418.74,6 CPT,58579,UNLISTED PROC HYSTEROSCOPY,,,6451.08,7418.74,6 CPT,58580,DESTRUCTION OF UTERINE FIBROID(S) USING HEAT WITH ULTRASOUND GUIDANCE AND MONITORING FACILITY,,,528.23,9099.81,7 CPT,58580,PR TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF,16848.0,12636.0,1269.7,16342.56,683 CPT,58660,PR LAPAROSCOPY W LYSIS ADHESIONS,3676.0,2757.0,305.45,3565.72,683 CPT,58661,PR LAPAROSCOPY W RMVL ADNEXA,3786.0,2839.5,285.72,3672.42,683 CPT,58661,REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE PROFESSIONAL,,,857.16,7418.74,7 CPT,58662,DESTRUCTION OR REMOVAL OF OVARY OR GROWTH OF PELVIS USING AN ENDOSCOPE PROFESSIONAL,,,945.27,13044.35,7 CPT,58662,PR LAP W FULG/EXC LESN OV/VISC/PERIT,4867.0,3650.25,315.09,4720.99,683 CPT,58672,"PR LAP,FIMBRIOPLASTY",4255.0,3191.25,314.7,4127.35,683 CPT,58672,REPAIR OF UTERINE TUBE TISSUE NEAR OVARY USING AN ENDOSCOPE,,,944.09,7418.74,7 CPT,58674,DESTRUCTION OF GROWTH OF UTERUS USING AN ENDOSCOPE WITH ULTRASOUND GUIDANCE AND MONITORING,,,1054.86,13044.35,7 CPT,58674,PR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,4002.0,3001.5,351.62,3881.94,683 CPT,58679,UNLISTED PROC LAP OVIDUCT/OVARY,,,6451.08,7418.74,6 CPT,58700,PR SALPINGECTMY CMPLT/PRTL UNI/BILAT,3770.0,2827.5,355.76,3656.9,683 CPT,58720,PR SALPINGO-OOPHORECTOMY,3791.0,2843.25,339.94,3677.27,683 CPT,58720,REMOVAL OF UTERINE TUBES AND OVARIES,,,1019.81,10029.93,7 CPT,58740,REMOVAL OF SCAR TISSUE OF OVARIES OR FALLOPIAN TUBES,,,803.45,1205.18,7 CPT,58822,PR DRN OVARIAN ABCESS ABD APPR,4636.0,3477.0,308.65,4496.92,683 CPT,58825,PR TRANSPOSITION OVARY(S),3759.0,2819.25,306.23,3646.23,683 CPT,58925,PR CYSTECTOMY OVARIAN,4062.0,3046.5,339.95,3940.14,683 CPT,58940,PR OOPHORECTOMY,3246.0,2434.5,250.7,3148.62,683 CPT,58950,PR RSECT OVARIAN MLG BSO,5763.0,4322.25,519.58,5590.11,683 CPT,58951,PR RSECT OVARIAN MLG SALPING TAH,9764.0,7323.0,647.3,9471.08,683 CPT,58951,"REMOVAL OF LINING OF ABDOMEN, UTERUS, OVARIES, FALLOPIAN TUBES, AND LYMPH NODES OF PELVIS AND AORTA",,,1294.6,1941.9,7 CPT,58952,PR RSECT OVARIAN MLG RADCL DISSECT,10433.0,7824.75,739.11,10120.01,683 CPT,58953,PR SALPINGO-OOPHORECTOMY BILAT HYST,10018.0,7513.5,897.67,9717.46,683 CPT,58954,PR SALPINGO-OOPHORECTOMY BILAT LYMPH,11677.0,8757.75,970.38,11326.69,683 CPT,58956,PR SALPINGO-OOPHORECTOMY TOTAL,7530.0,5647.5,613.26,7304.1,683 CPT,58956,"REMOVAL OF LINING OF ABDOMEN, UTERUS, OVARIES, AND FALLOPIAN TUBES",,,1226.52,1839.78,7 CPT,58958,PR RSECT RCUR OVARY MLG W LYMPH,9927.0,7445.25,709.45,9629.19,683 CPT,58999,HC UNLISTED PROC FEMALE GENT,553.0,414.75,215.73,553.0,916 CPT,58999,PR MONALISA TOUCH VAGINAL LASER TX PKG,1500.0,1125.0,37.5,1455.0,683 CPT,58999,"PR VAG LASER TX, EACH TX",500.0,375.0,12.5,485.0,683 CPT,58999,PR VAGINAL CUFF REPAIR/REVISION,1662.0,1246.5,41.55,1612.14,683 CPT,58999,UNLISTED PROC FEMALE GENT - FACILITY,,,215.73,248.09,6 CPT,59025,PR FETAL NON STRESS TEST,146.0,109.5,48.88,146.0,676 CPT,59150,PR LAP TX ECTOPIC PREG WO SALPING,3886.0,2914.5,344.46,3769.42,683 CPT,59150,REMOVAL OF OVARIAN OR TUBAL PREGNANCY USING AN ENDOSCOPE,,,1033.37,7418.74,7 CPT,59151,PR LAP ECTOPIC PREG W SALP/OOPH,3713.0,2784.75,335.42,3601.61,683 CPT,59160,PR CURRETTAGE POSTPARTUM,1209.0,906.75,127.44,1172.73,683 CPT,59160,SCRAPING OF LINING OF UTERUS AFTER DELIVERY,,,242.97,3972.42,7 CPT,59325,PR CERCLAGE CERVIX ABDOMINAL,2299.0,1724.25,104.03,2230.03,683 CPT,59325,SUTURE OF CERVIX DURING PREGNANCY THROUGH ABDOMEN,,,208.06,312.09,7 CPT,59812,PR TX INCOMPLETE ABORTION,1470.0,1102.5,173.79,1425.9,683 CPT,59812,TREATMENT OF MISCARRIAGE FACILITY,,,405.32,3972.42,7 CPT,59820,PR TX MISSED ABORTION SURG 1ST T,1435.0,1076.25,208.7,1391.95,683 CPT,59898,UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY,,,6451.08,7418.74,6 CPT,59899,UNLISTED PROC MATERNITY/DEL,,,215.73,248.09,6 CPT,60100,HC BIOPSY THYROID PERC CORE NDL,2845.0,2133.75,96.56,2845.0,915 CPT,60100,NEEDLE BIOPSY OF THYROID THROUGH SKIN FACILITY,,,96.56,868.98,7 CPT,60100,PR BIOPSY THYROID PERC CORE NDL,975.0,731.25,53.06,945.75,683 CPT,60200,INCISION OF CYST OR GROWTH OF THYROID,,,907.11,7418.74,7 CPT,60200,PR EXCISN CYST/ADENOMA THYROID,3860.0,2895.0,302.37,3744.2,683 CPT,60210,PARTIAL REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,944.97,7418.74,7 CPT,60210,PR LBCTMY THYROID UNILAT PARTIAL,4661.0,3495.75,314.99,4521.17,683 CPT,60220,PR LBCTMY THYROID TOTAL UNILAT,4837.0,3627.75,311.85,4691.89,683 CPT,60220,REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,935.55,7418.74,7 CPT,60225,PR LBCTMY THYRD TOTL W SUB LBCTMY,6879.0,5159.25,413.52,6672.63,683 CPT,60240,PR THYROIDECTOMY TOTAL/COMPLETE,5356.0,4017.0,403.85,5195.32,683 CPT,60240,REMOVAL OF THYROID,,,1211.55,13044.35,7 CPT,60252,PR THYROIDECTOMY W LTD NK DISSECT,6867.0,5150.25,574.14,6660.99,683 CPT,60252,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH LIMITED NECK REMOVAL,,,1722.42,7264.49,7 CPT,60254,PR THYROIDECTOMY W RAD NK DISSECT,12199.0,9149.25,721.8,11833.03,683 CPT,60254,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH EXTENSIVE NECK REMOVAL,,,1443.59,2165.39,7 CPT,60260,PR THYROIDECTOMY RMVL REMAIN TISS,6825.0,5118.75,472.62,6620.25,683 CPT,60260,REMOVAL OF REMAINING THYROID TISSUE FROM PRIOR OPERATION,,,1417.85,7264.49,7 CPT,60270,PR THYROIDECT SUBSTERNL THOR APPR,8839.0,6629.25,598.23,8573.83,683 CPT,60271,PR THYROIDECT SUBSTERNL CERV APPR,6032.0,4524.0,460.97,5851.04,683 CPT,60271,REMOVAL OF THYROID THROUGH CHEST OR BACK,,,1382.9,7264.49,7 CPT,60280,PR EXCISN THYROGLOSSAL DUCT CYST,3531.0,2648.25,199.92,3425.07,683 CPT,60280,REMOVAL OF CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,,,599.76,7418.74,7 CPT,60281,PR EXCISN THYROGLOS DUCT CYST RECUR,5656.0,4242.0,256.63,5486.32,683 CPT,60300,ASPIRATION AND/OR INJECTION OF CYST OF THYROID FACILITY,,,61.55,2026.75,7 CPT,60300,HC ASP INJ THYROID CYST,2242.0,1681.5,61.55,2242.0,916 CPT,60300,PR ASP INJ THYROID CYST,493.0,369.75,50.29,478.21,683 CPT,60500,PR PARATHYROIDECTOMY EXPLOR,5750.0,4312.5,433.4,5577.5,683 CPT,60500,REMOVAL OR EXPLORATION OF PARATHYROID GLANDS,,,1300.19,7264.49,7 CPT,60502,PR PARATHYROIDECTOMY RE-EXPLOR,8810.0,6607.5,584.23,8545.7,683 CPT,60502,REMOVAL OR RE-EXPLORATION OF PARATHYROID GLANDS,,,1752.68,7264.49,7 CPT,60512,PR PARATHYROID AUTOTRANSPLANT ADD-ON,1580.0,1185.0,205.6,1580.0,676 CPT,60512,REMOVAL AND REIMPLANTATION OF PARATHYROID TISSUE,,,308.4,7264.49,7 CPT,60520,PR THYMECTOMY TXCERV APPR,8137.0,6102.75,477.24,7892.89,683 CPT,60521,PR THYMECTOMY STERNL/THOR APPR,7769.0,5826.75,524.69,7535.93,683 CPT,60522,PR THYMECTOMY STERNL/THOR DISSECT,9164.0,6873.0,631.17,8889.08,683 CPT,60540,PR ADRENALECTOMY,7719.0,5789.25,491.44,7487.43,683 CPT,60545,PR ADRENALECTOMY W EXCISN TMR,9467.0,7100.25,570.34,9182.99,683 CPT,60600,PR EXCISN CARTD TMR WO EXCISN ART,10093.0,7569.75,595.2,9790.21,683 CPT,60650,PR LAPAROSCOPY ADRENALECTOMY,8474.0,6355.5,536.62,8219.78,683 CPT,60650,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN USING AN ENDOSCOPE,,,1073.24,1609.86,7 CPT,60659,UNLISTED PROC LAP ENDOCRINE,,,6451.08,7418.74,6 CPT,60660,DESTRUCTION USING HEAT OF ONE OR MORE NODULES ON ONE THYROID LOBE FACILITY,,,408.23,2026.75,7 CPT,60660,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,6739.0,5054.25,408.23,6739.0,916 CPT,60660,PR ABLTJ 1/+THYR NDUL 1LOBE PRQ,1212.0,909.0,454.5,1212.0,683 CPT,60699,PR PERC ABLATION THYROID,2970.0,2227.5,74.25,2880.9,683 CPT,60699,UNLISTED PROC ENDOCRINE - FACILITY,,,6451.08,7418.74,6 CPT,61020,PR VENT PERC BURR HOLE WO INJ,821.0,615.75,47.54,796.37,684 CPT,61026,PR VENT PERC BURR HOLE W INJ,1227.0,920.25,43.15,1190.19,694 CPT,61050,PR PUNC CISTERNAL/LAT C1-C12 WO,602.0,451.5,34.0,583.94,683 CPT,61055,PR PUNCTURE C1-C2 W INJECTION,1223.0,917.25,96.62,1223.0,676 CPT,61055,SPINAL PUNCTURE IN UPPER SPINE WITH INJECTION OF SUBSTANCE FACILITY,,,144.93,376.67,7 CPT,61070,HC PUNC SHUNT TUBE ASP INJ PROC,2936.0,2202.0,75.27,2847.92,915 CPT,61070,PR PUNC SHUNT TUBE ASP INJ PROC,472.0,354.0,21.33,457.84,693 CPT,61105,PR TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,4335.0,3251.25,239.99,4204.95,683 CPT,61107,PR IMPL TWIST DRILL HOLE VEN CATH,4512.0,3384.0,276.01,4512.0,676 CPT,61140,PR BURR HOLE W BX BRAIN LESION,11227.0,8420.25,609.75,10890.19,683 CPT,61150,PR BURR HOLE W DRNG BRAIN ABSCESS,11322.0,8491.5,642.37,10982.34,683 CPT,61154,PR BURR HOLE W EVAC HEMATOMA,9754.0,7315.5,618.79,9461.38,683 CPT,61156,PR BURR HOLE W ASP HEMATOMA,8480.0,6360.0,588.47,8225.6,683 CPT,61210,BURR HOLE FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE,,,322.17,483.26,7 CPT,61210,PR BURR HOLE IMPL CRBRAL MNTR DEV,4151.0,3113.25,161.09,4026.47,683 CPT,61215,PR INSRT SUBQ RESERVOIR VENT CATH,5152.0,3864.0,228.24,4997.44,693 CPT,61304,PR CRNCTMY EXPLOR SUPRATENTORIAL,12465.0,9348.75,773.35,12091.05,683 CPT,61304,REMOVAL OF SKULL BONE FOR EXPLORATION OF UPPER BRAIN,,,2320.05,3557.41,7 CPT,61305,PR CRNCTMY EXPLOR INFRATENTORIAL,13044.0,9783.0,941.77,12652.68,683 CPT,61312,PR CRNCTMY HEMA SUPRA EXTRADURAL,12110.0,9082.5,963.36,11746.7,683 CPT,61313,PR CRNCTMY HEMA SUPRA INTRACEREB,16248.0,12186.0,936.1,15760.56,683 CPT,61314,PR CRNCTMY HEMA INFRATENT EXTRDRL,13738.0,10303.5,859.78,13325.86,683 CPT,61320,PR CRNCTMY DRN ABSC SUPRA,15315.0,11486.25,883.01,14855.55,683 CPT,61321,PR CRNCTMY DRN ABSC INFRA,16561.0,12420.75,994.19,16064.17,683 CPT,61322,PR CRNCTMY DCMPRN WO LBCTMY,16837.0,12627.75,1106.92,16331.89,683 CPT,61323,PR CRNCTMY W/WO DURAPLST W LBCTMY,18947.0,14210.25,1104.18,18378.59,683 CPT,61343,PR CRNCTMY SUBOCIP W CERV LMNCTMY,20336.0,15252.0,1015.42,19725.92,683 CPT,61343,REMOVAL OF SKULL BASE BONE AND UPPER SPINE BONE TO RELEASE SPINAL CORD,,,3046.25,21516.53,7 CPT,61345,PR OTHR CRANIAL DCMPRSN PSTR FOSSA,14258.0,10693.5,956.04,13830.26,683 CPT,61458,PR CRNCTMY SUBOCIP EXPLR CRNL NRV,16644.0,12483.0,943.62,16144.68,683 CPT,61458,REMOVAL OF SKULL BASE BONE FOR EXPLORATION OR RELEASE OF CRANIAL NERVES,,,1887.23,2830.85,7 CPT,61500,PR CRNCTMY EXCISION TMR SKULL,12284.0,9213.0,579.97,11915.48,683 CPT,61500,REMOVAL OF GROWTH OF BRAIN OR OTHER GROWTH OF SKULL BONE,,,1159.94,1739.91,7 CPT,61501,PR CRANIECTOMY OSTEOMYELITIS,7836.0,5877.0,511.1,7600.92,683 CPT,61510,PR CRNCTMY EXCISN BRAIN TMR SUPRA,16160.0,12120.0,1038.9,15675.2,683 CPT,61512,PR CRNCTMY EXCISN MENINGIOMA SUPRA,16604.0,12453.0,1183.68,16105.88,683 CPT,61514,PR CRNCTMY EXCISN ABSC SUPRA,16771.0,12578.25,892.82,16267.87,683 CPT,61516,REMOVAL OF SKULL BONE FOR REMOVAL OR DRAINAGE OF CYST OF UPPER BRAIN,,,1751.54,2627.31,7 CPT,61518,PR CRNCTMY EXCISN BRN TMR INFRATENT,20963.0,15722.25,1290.16,20334.11,683 CPT,61519,PR CRNCTMY EXCISN TMR MENINGIOMA,25565.0,19173.75,1355.9,24798.05,683 CPT,61520,PR CRNCTMY EXCISN BRN TMR CEREB ANGL,28090.0,21067.5,1684.17,27247.3,683 CPT,61521,PR CRNCTMY EXCISN BRN TMR SKULL BASE,20523.0,15392.25,1446.9,19907.31,683 CPT,61522,PR CRNCTMY EXCISN BRAIN ABSCESS,19418.0,14563.5,1019.84,18835.46,683 CPT,61524,PR CRNCTMY EXCISN CYST,16146.0,12109.5,974.45,15661.62,683 CPT,61526,PR CRNCTMY TRANSTEMP EXCISN TMR,30233.0,22674.75,1465.44,29326.01,683 CPT,61536,PR CRANIOT EPILEPTOGENIC FOCUS,25803.0,19352.25,1191.3,25028.91,683 CPT,61537,PR CRANIOT LBCTMY TEMP WO ECOG,20868.0,15651.0,1131.12,20241.96,683 CPT,61538,PR CRANIOT W TEMPORAL LOBECTOMY,23018.0,17263.5,1221.91,22327.46,683 CPT,61543,PR CRANIOT PRTL HEMISPHERECTOMY,18438.0,13828.5,1013.75,17884.86,683 CPT,61545,PR CRANIOT EXCISN CRANIOPHARYNG,21967.0,16475.25,1474.1,21307.99,683 CPT,61570,PR CRNCTMY BRAIN EXCISN FB,13085.0,9813.75,880.87,12692.45,683 CPT,61575,PR DCMPRN LSN SKL BASE TRANSORAL,15697.0,11772.75,1159.1,15226.09,683 CPT,61576,PR TRANSORAL BX/DCMPRS SPLIT TONGUE,30213.0,22659.75,2017.22,29306.61,683 CPT,61580,PR APP CRNFCL EXTDRL WO ORB EXTRN,26723.0,20042.25,1079.03,25921.31,683 CPT,61583,PR APP CRNFCL INTRADURAL W CRANIOT,30096.0,22572.0,1406.91,29193.12,683 CPT,61584,PR APP ORBTCRNL EXTRDRL WO EXTNSN,23121.0,17340.75,1363.78,22427.37,683 CPT,61585,PR APP ORBTCRNL EXTRDRL W ORB EXENT,25458.0,19093.5,1565.6,24694.26,683 CPT,61586,PR BICORNL TRANSZYG APP WO BN GRFT,17958.0,13468.5,1271.27,17419.26,683 CPT,61590,PR APP INFRATEMPRL PRE AURICULAR,32184.0,24138.0,1297.98,31218.48,683 CPT,61592,PR APP ORBITOCRANIAL ZYGOMATIC,30303.0,22727.25,1461.04,29393.91,683 CPT,61597,PR TRANSCONDYLAR PSTR CRNL FOSSA,22781.0,17085.75,1425.75,22097.57,683 CPT,61600,PR RSECT LSN ANTR CRNL FOSSA EXTR,23161.0,17370.75,930.66,22466.17,683 CPT,61601,PR RSECT LSN ANTR CRNL FOSSA INTR,21482.0,16111.5,1156.22,20837.54,683 CPT,61605,PR RSECT LSN INFRATMPRL FOSS EXTR,13935.0,10451.25,932.56,13516.95,683 CPT,61606,PR RSECT LSN INFRATMPRL FOSS INTR,26261.0,19695.75,1316.48,25473.17,683 CPT,61608,PR RSECT LSN PARASELLAR AREA INTR,25855.0,19391.25,1520.55,25079.35,683 CPT,61616,PR RSECT LSN POSTR CRNL FOSS INTR,28933.0,21699.75,1520.84,28065.01,683 CPT,61619,PR RPR SECNDRY DURA CSF LEAK FLAP,25688.0,19266.0,752.45,24917.36,683 CPT,61623,HC EVASC TEMP BALN ARTL OCCLUSION,38402.0,28801.5,751.83,38402.0,915 CPT,61623,PR EVASC TEMP BALN ARTL OCCLUSION,5501.0,4125.75,250.61,5335.97,683 CPT,61624,HC TXCATH OCCL/EMBL CNS,37087.0,27815.25,1512.81,37087.0,916 CPT,61624,OCCLUSION OF CENTRAL NERVOUS SYSTEM OR SPINAL CORD ARTERY FACILITY,,,1512.81,22495.57,7 CPT,61624,PR TXCATH OCCL/EMBL CNS,12951.0,9713.25,504.27,12562.47,683 CPT,61626,HC TXCATH OCCL/EMBL NON CNS,39499.0,29624.25,1096.49,39499.0,915 CPT,61626,OCCLUSION OF HEAD OR NECK ARTERY FACILITY,,,1096.49,22495.57,7 CPT,61626,PR TXCATH OCCL/EMBL NON CNS,9648.0,7236.0,3618.0,9648.0,683 CPT,61630,PR ANGIO BALN PERC INTRACRANIAL,10463.0,7847.25,606.1,10149.11,683 CPT,61635,HC INS STNT INTRACRANIAL,9409.0,7056.75,1311.39,9409.0,915 CPT,61635,PR INS STNT INTRACRANIAL,11554.0,8665.5,655.7,11207.38,683 CPT,61645,HC PERC ARTL M-THROMB &/NFS INTRCR,5189.0,3891.75,731.31,5189.0,915 CPT,61645,PR PERC ARTL TRNSLUM THRMBCT INTRCRNL,5328.0,3996.0,731.31,5328.0,676 CPT,61650,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,4472.0,3354.0,505.22,4472.0,915 CPT,61650,PR EVASC INTRCRNL PROLNG RX ADMIN INIT,3434.0,2575.5,252.61,3330.98,683 CPT,61651,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,3631.0,2723.25,215.96,3631.0,915 CPT,61651,PR EVASC INTRCRNL PROLNG RX ADMIN ADD,1747.0,1310.25,215.96,1747.0,676 CPT,61680,PR INTRCR AV MALFORM SUPRA SMPL,18946.0,14209.5,1060.63,18377.62,683 CPT,61682,PR INTRCR AV MALFORM SUPRA COMPLX,31953.0,23964.75,1865.05,30994.41,683 CPT,61684,PR INTRCR AV MALFORM INFRA SMPL,20433.0,15324.75,1311.96,19820.01,683 CPT,61686,PR INTRCR AV MALFORM INFRA CMPLX,31314.0,23485.5,2040.09,30374.58,683 CPT,61697,PR CMPLX INTRCR ARYSM CARTD CIRC,31718.0,23788.5,1923.05,30766.46,683 CPT,61700,PR SMPL INTRCR ARYSM CARTD CIRC,24944.0,18708.0,1543.34,24195.68,683 CPT,61711,PR ANAST ARTY EXTRACRNL-INTRACRNL,22834.0,17125.5,1198.77,22148.98,683 CPT,61720,COMPUTER-ASSISTED CREATION OF GROWTH OF BRAIN OF GLOBUS PALLIDUS OR THALAMUS,,,1821.24,10769.24,7 CPT,61720,PR CREATE LESN STRTCTC GLOBUS,9000.0,6750.0,607.08,8730.0,683 CPT,61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,11504.0,8628.0,1095.86,11504.0,676 CPT,61737,LASER INTERSTITIAL THERMAL THERAPY (LITT) OF MULTIPLE OR COMPLEX GROWTH WITHIN SKULL,,,1295.88,1943.82,7 CPT,61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13852.0,10389.0,1295.88,13852.0,676 CPT,61750,"COMPUTER-ASSISTED BIOPSY, ASPIRATION, OR EXCISION OF GROWTH OF BRAIN",,,1331.89,1997.84,7 CPT,61750,PR BX STEREOTACTIC INTRACRNL LESN,12606.0,9454.5,665.95,12227.82,683 CPT,61751,"COMPUTER-ASSISTED BIOPSY, ASPIRATION, OR EXCISION OF GROWTH OF BRAIN USING CT AND/OR MRI GUIDANCE",,,1333.4,2000.1,7 CPT,61751,PR BX STRTCTC INTRACRN LSN CT/MRI,12538.0,9403.5,666.7,12161.86,683 CPT,61760,COMPUTER-ASSISTED IMPLANTATION OF BRAIN ELECTRODES FOR SEIZURE MONITORING,,,1493.81,2240.72,7 CPT,61760,PR IMPL STRTCTC ELECTRODES CEREB,15315.0,11486.25,746.91,14855.55,683 CPT,61781,COMPUTER-ASSISTED PROCEDURE INSIDE BRAIN,,,309.78,2269.48,7 CPT,61781,PR STRTCTC COMP-ASSIST CRNL INTRA,2065.0,1548.75,206.52,2065.0,676 CPT,61782,COMPUTER-ASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,,,211.94,8660.52,7 CPT,61782,PR STRTCTC COMP-ASSIST CRNL EXTRA,1533.0,1149.75,141.29,1533.0,676 CPT,61783,COMPUTER-ASSISTED SPINAL PROCEDURE,,,299.75,33297.37,7 CPT,61783,PR STRTCTC COMP-ASSIST NAV SPINAL,2187.0,1640.25,199.83,2187.0,676 CPT,61790,COMPUTER-ASSISTED CREATION OF GROWTH OF FACE NERVE,,,1296.05,2396.28,7 CPT,61790,PR CREATE LESN PERC NEURO GASSER,8492.0,6369.0,432.02,8237.24,683 CPT,61796,"COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN, FIRST GROWTH",,,1421.04,2194.2,7 CPT,61796,PR RADIOSURG CRANIAL LESION SMPL,14702.0,11026.5,973.94,14702.0,676 CPT,61797,"COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN, EACH ADDITIONAL GROWTH",,,1421.04,2194.2,7 CPT,61797,PR RADIOSURG CRANL LESN SMPL ADD,3049.0,2286.75,192.02,3049.0,676 CPT,61798,"COMPUTER-ASSISTED RADIOSURGERY OF COMPLEX GROWTH OF BRAIN, FIRST GROWTH",,,1930.32,9038.28,7 CPT,61798,PR RADIOSURG CRANIAL LESION CMPLX,15782.0,11836.5,1286.88,15782.0,676 CPT,61800,COMPUTER-ASSISTED RADIOSURGERY APPLICATION OF HEADFRAME FACILITY,,,2237.97,9038.28,7 CPT,61800,HC APP STEREOTACTIC HEADFRAME,8233.0,6174.75,139.91,7986.01,915 CPT,61800,PR APP STEREOTACTIC HEADFRAME,1168.0,876.0,139.91,1168.0,676 CPT,61860,PR CRNCTMY IMPL NEUROSTIM CORTIC,11163.0,8372.25,735.75,10828.11,683 CPT,61863,PR IMPL ELCTD SUBCORT WO REC 1ST,9718.0,7288.5,719.18,9426.46,683 CPT,61864,PR IMPL ELCTD SUBCORT WO REC EA,3120.0,2340.0,211.44,3120.0,686 CPT,61867,PR IMPL ELCTD SUBCORT W REC 1ST,18029.0,13521.75,1060.04,17488.13,683 CPT,61868,PR IMPL ELCTD SUBCORT W REC EA,5041.0,3780.75,437.54,5041.0,676 CPT,61880,PR REVISN INTRACRN NEURSTIM ELECT,5041.0,3780.75,298.34,4889.77,683 CPT,61880,REVISION OR REMOVAL OF BRAIN NEUROSTIMULATOR ELECTRODES,,,895.02,13673.7,7 CPT,61885,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE ARRAY,,,806.01,37866.86,7 CPT,61885,PR INS CRNL PULSE GEN 1 CONNECT,4588.0,3441.0,268.67,4450.36,683 CPT,61886,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS,,,1345.74,37866.86,7 CPT,61886,PR INS CRNL PULSE GEN 2+ CONNECT,4570.0,3427.5,448.58,4432.9,683 CPT,61888,PR RMVL CRANIAL NEUROSTIMULATOR,3591.0,2693.25,194.12,3483.27,683 CPT,61888,REMOVAL OF BRAIN NEUROSTIMULATOR DEVICE,,,582.35,13673.7,7 CPT,61889,PR INS SK-MNT CRNL NSTM PG/RCVR,5303.0,3977.25,840.95,5143.91,683 CPT,61891,PR REV/RPLCMT SK-MNT CRNL NSTM,8412.0,6309.0,403.34,8159.64,683 CPT,61891,REVISION OR REPLACEMENT OF SKULL-MOUNTED CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,1210.02,37866.86,7 CPT,61892,PR RMV SK-MNT CRNL NSTM PG/RCVR,11032.0,8274.0,527.07,10701.04,683 CPT,62100,PR CRANIOTOMY RPR CSF LEAK,14285.0,10713.75,703.42,13856.45,683 CPT,62120,PR RPR OF ENCEPHALOCELE,16358.0,12268.5,1032.39,15867.26,683 CPT,62121,PR CRANIOT REPAIR ENCEPHALOCELE,11597.0,8697.75,694.82,11249.09,683 CPT,62140,PR CRNPLSTY SKULL DEFECT <5 CM,10408.0,7806.0,472.42,10095.76,683 CPT,62140,"REPAIR OF SKULL BONE DEFECT, 5 CM OR LESS",,,944.83,1417.25,7 CPT,62141,PR CRNPLSTY SKULL DEFECT >5 CM,12823.0,9617.25,537.35,12438.31,683 CPT,62141,"REPAIR OF SKULL BONE DEFECT, MORE THAN 5.0 CM",,,1612.05,8904.43,7 CPT,62142,PR REMOVAL BONE FLAP SKULL,7979.0,5984.25,433.83,7739.63,683 CPT,62142,REMOVAL OF SKULL BONE FLAP OR SKULL PLATE,,,867.65,1301.48,7 CPT,62143,PR REPLACEMENT BONE FLAP SKULL,9319.0,6989.25,501.75,9039.43,683 CPT,62146,PR CRANIOPLASTY W AUTOGRAFT<5CM,9137.0,6852.75,597.65,8862.89,683 CPT,62147,PR CRANIOPLASTY W AUTOGRAFT>5CM,20689.0,15516.75,655.71,20068.33,683 CPT,62160,INSERTION OF TUBE IN BRAIN USING AN ENDOSCOPE,,,248.21,370.5,7 CPT,62160,PR NEUROENDO INTRACRNL PLC CATH,2090.0,1567.5,165.47,2090.0,676 CPT,62165,PR NEUROENDO INTRA EXCISN PIT TMR,14604.0,10953.0,677.78,14165.88,683 CPT,62165,REMOVAL OF GROWTH OF PITUITARY USING AN ENDOSCOPE,,,181.8,209.07,6 CPT,62200,PR VENTRICULOCISTERN 3RD VENT,13250.0,9937.5,653.41,12852.5,683 CPT,62201,PR VENTRICULOCISTERN 3 VENT STREO,13053.0,9789.75,589.97,12661.41,683 CPT,62223,"CREATION OF BRAIN FLUID DRAINAGE SHUNT, VENTRICULO-PERITONEAL, -PLEURAL, OTHER TERMINUS",,,1480.1,2269.48,7 CPT,62223,PR CREATE SHUNT VENTRIC-PERITONL,7676.0,5757.0,493.37,7445.72,683 CPT,62225,PR REPLACE VENTRICULAR CATHETER,5207.0,3905.25,275.6,5050.79,683 CPT,62230,INSERTION OR REVISION OF CEREBROSPINAL FLUID DRAINAGE SHUNT VALVE OR TUBE,,,1212.63,10769.24,7 CPT,62230,PR REPLACE/REVISE CSF SHUNT,10525.0,7893.75,404.21,10209.25,683 CPT,62252,PR REPROGRAM CSF SHUNT,423.0,317.25,40.49,576.0,2029 CPT,62256,PR RMVL CSF SHUNT SYSTEM WO RPLC,5130.0,3847.5,308.17,4976.1,683 CPT,62258,PR RMVL CSF SHUNT SYSTEM W RPLC,12216.0,9162.0,531.93,11849.52,683 CPT,62258,REMOVAL AND INSERTION OF CEREBROSPINAL FLUID SHUNT SYSTEM,,,1595.78,2446.86,7 CPT,62267,ASPIRATION OF SPINAL DISC TISSUE FOR DIAGNOSTIC PURPOSES FACILITY,,,198.81,868.98,7 CPT,62267,HC PERC ASP INTERDISCAL DX,4291.0,3218.25,198.81,4291.0,915 CPT,62267,PR PERC ASP INTERDISCAL DX,1416.0,1062.0,126.31,1373.52,683 CPT,62270,HC PUNCTURE SPINAL LUMBAR DX,2425.0,1818.75,85.65,2425.0,2748 CPT,62270,PR PUNCTURE SPINAL LUMBAR DX,1025.0,768.75,80.01,994.25,686 CPT,62272,PR PUNCTURE SPINAL THER DRN CSF,1038.0,778.5,104.94,1006.86,683 CPT,62273,HC INJ EPI BLD/CLOT PATCH,2523.0,1892.25,150.63,2744.0,2748 CPT,62273,INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL FACILITY,,,150.63,866.22,7 CPT,62273,PR INJ EPI BLD/CLOT PATCH,1485.0,1113.75,84.03,1440.45,683 CPT,62284,HC INJ MYELOGRAPHY CT WO C1/C2,1802.0,1351.5,105.81,1802.0,911 CPT,62284,INJECTION OF CONTRAST FOR IMAGING OF LOWER SPINAL CANAL FACILITY,,,105.81,105.81,1 CPT,62284,PR INJ MYELOGRAPHY CT WO C1/C2,1297.0,972.75,87.7,1258.09,683 CPT,62290,HC INJ DISCOGRAPHY LUMBAR EA LVL,4493.0,3369.75,210.38,4493.0,909 CPT,62290,INJECTION OF CONTRAST FOR IMAGING OF EACH LEVEL OF LOWER SPINE FACILITY,,,210.38,2396.28,7 CPT,62290,PR INJ DISCOGRAPHY LUMBAR EA LVL,2193.0,1644.75,180.33,2127.21,683 CPT,62303,HC MYELOGRAPHY LUMB INJ S&I THOR,2914.0,2185.5,150.35,2914.0,915 CPT,62303,PR MYELOGRAPHY LUMB INJ S&I THOR,1831.0,1373.25,121.32,1776.07,683 CPT,62304,HC MYELOGRAPHY LUMB INJ S&I LUMB,3431.0,2573.25,148.77,3431.0,916 CPT,62304,PR MYELOGRAPHY LUMB INJ S&I LUMB,1626.0,1219.5,118.21,1577.22,683 CPT,62304,X-RAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,148.77,961.98,7 CPT,62305,HC MYELOGRAPHY LUMB INJ >2 RGNS,3634.0,2725.5,154.76,3634.0,916 CPT,62305,PR MYELOGRAPHY LUMB INJ >2 RGNS,1487.0,1115.25,128.94,1442.39,683 CPT,62305,X-RAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,154.76,961.98,7 CPT,62320,HC INJ SPINE CERV/THOR WO IMG,2704.0,2028.0,129.23,2622.88,916 CPT,62320,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL FACILITY,,,129.23,866.22,7 CPT,62320,PR INJ SPINE CERV/THOR WO IMG,1632.0,1224.0,79.81,1583.04,683 CPT,62321,HC INJ SPINE CERV/THOR W IMG,2921.0,2190.75,140.78,2921.0,1836 CPT,62321,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,140.78,866.22,7 CPT,62321,PR INJ SPINE CERV/THOR W IMG,1800.0,1350.0,134.64,1746.0,683 CPT,62322,HC INJ SPINE LUMB/SAC WO IMG,3386.0,2539.5,109.28,3284.42,915 CPT,62322,PR INJ SPINE LUMB/SAC WO IMG,473.0,354.75,71.06,458.81,683 CPT,62323,HC INJ SPINE LUMB/SAC W IMG,2348.0,1761.0,131.4,2348.0,2754 CPT,62323,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,131.4,866.22,7 CPT,62323,PR INJ SPINE LUMB/SAC W IMG,1985.0,1488.75,132.97,1786.5,597 CPT,62324,PR INJ INF/BOLUS CERV/THORAC DX WO IMG,1392.0,1044.0,75.09,1350.24,683 CPT,62326,PR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,1364.0,1023.0,74.9,1323.08,683 CPT,62327,PR INJ INTERLAMINAR LUMBAR/ SAC,1793.0,1344.75,45.75,1739.21,697 CPT,62328,HC PUNCTURE SPINAL LUMBAR DX W GUID,2525.0,1893.75,108.41,2525.0,917 CPT,62328,PR PUNCTURE SPINAL LUMBAR DX W GUID,1563.0,1172.25,104.92,1516.11,683 CPT,62328,REMOVAL OF SPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST USING IMAGING GUIDANCE FACILITY,,,108.41,866.22,7 CPT,62329,HC PUNCTURE SPINAL THER DRN CSF W GUID,2880.0,2160.0,136.07,2880.0,1830 CPT,62329,PR PUNCTURE SPINAL THER DRN CSF W GUID,2510.0,1882.5,132.9,2434.7,683 CPT,62350,PR IMPL CATH WO LAMINECTOMY,4042.0,3031.5,183.88,3920.74,683 CPT,62355,PR RMVL PREV IMPL CATH,3482.0,2611.5,136.27,3377.54,683 CPT,62360,INSERTION OF SPINAL CANAL DRUG INFUSION DEVICE BENEATH SKIN,,,452.45,22117.88,7 CPT,62360,PR IMPL FOR INF SUBQ RESERVOIR,3450.0,2587.5,150.82,3346.5,683 CPT,62362,INSERTION OF PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,,,541.7,22117.88,7 CPT,62362,PR IMPL FOR INFUSION PROGRAM PUMP,5470.0,4102.5,180.57,5305.9,683 CPT,62365,PR REMOVAL OF SUBQ RESERVOIR,2961.0,2220.75,143.51,2872.17,683 CPT,62367,HC ELEC ANLYS PUMP WO RPRG/REFILL,1225.0,918.75,31.52,1188.25,915 CPT,62367,PR ELEC ANLYS PUMP WO RPRG/REFILL,326.0,244.5,21.01,326.0,690 CPT,62368,ELECTRONIC ANALYSIS AND REPROGRAMMING OF SPINAL CANAL DRUG INFUSION PUMP FACILITY,,,43.34,376.9,7 CPT,62368,HC ELEC ANLYS PUMP W RPRG,1379.0,1034.25,43.34,1337.63,915 CPT,62368,PR ELEC ANLYS PUMP W RPRG,276.0,207.0,45.4,276.0,676 CPT,62369,HC ELEC ANALYSIS W REPRG REFIL,1326.0,994.5,43.82,1326.0,915 CPT,62369,PR ELEC ANALYSIS W REPRG REFIL,775.0,581.25,29.21,775.0,690 CPT,62370,ELECTRONIC ANALYSIS REPROGRAMMING AND REFILL OF SPINAL CANAL DRUG INFUSION PUMP BY PHYSICIAN FACILITY,,,58.2,376.9,7 CPT,62370,HC ELEC ANLYS PUMP W RPRG&RFLL,1353.0,1014.75,58.2,1312.41,916 CPT,62370,PR ELEC ANLYS PUMP W RPRG&RFLL,496.0,372.0,94.79,496.0,676 CPT,62380,PR ENDOSC DCMPRN FIRST INTRSPC LUMB,9827.0,7370.25,245.68,9532.19,683 CPT,62380,RELEASE OF LOWER SPINAL CORD AND/OR NERVE ROOT USING ENDOSCOPE,,,7742.98,8904.43,6 CPT,63001,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF UPPER SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,1725.27,8904.43,7 CPT,63001,PR LAMINECTOMY W EXPLR CERVICAL,11711.0,8783.25,575.09,11359.67,683 CPT,63003,PR LAMINECTOMY W EXPLR THORACIC,10795.0,8096.25,577.24,10471.15,683 CPT,63005,PR LAMINECTOMY W EXPLR LUMBAR,9494.0,7120.5,488.3,9209.18,693 CPT,63011,PR LMNCTMY WO FACETECT <=2 SEG SAC,8630.0,6472.5,490.12,8371.1,683 CPT,63012,PR LAMINECTOMY W RMVL FACETS LUMB,9380.0,7035.0,554.91,9098.6,683 CPT,63015,PR LMNCTMY W EXPLR 2+ SEG CERV,13220.0,9915.0,695.64,12823.4,683 CPT,63016,PR LMNCTMY W EXPLR 2+ SEG THOR,15978.0,11983.5,705.1,15498.66,683 CPT,63017,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES, MORE THAN 2 SEGMENTS",,,1799.39,8904.43,7 CPT,63017,PR LMNCTMY W EXPLR 2+ SEG LUMB,10763.0,8072.25,599.8,10440.11,683 CPT,63020,PR LMNOTOMY W DCMPRN 1 SPACE CERV,18278.0,13708.5,514.13,17729.66,683 CPT,63030,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC,,,1301.9,8904.43,7 CPT,63030,PR LMNOTOMY W DCMPRN 1 SPACE LUMB,10605.0,7953.75,433.97,10286.85,683 CPT,63035,PR LMNOTOMY W DCMPRN EA ADD SPACE,2012.0,1509.0,169.58,2012.0,686 CPT,63042,"PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION, RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,1770.26,8904.43,7 CPT,63042,PR LMNOTOMY REEXPLOR 1 SPACE LUMB,12774.0,9580.5,590.09,12390.78,683 CPT,63044,"PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION, RELEASE OF UPPER OR LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, EACH ADDITIONAL INTERSPACE",,,7742.98,8904.43,6 CPT,63044,PR LMNOTOMY REEXPLOR LUMB EA ADD,4334.0,3250.5,176.2,4334.0,676 CPT,63045,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,1807.53,8904.43,7 CPT,63045,PR LAMIN/FACE/FORAMIN 1 SEG CERV,12617.0,9462.75,512.14,12238.49,693 CPT,63046,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF MIDDLE SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,1715.15,8904.43,7 CPT,63046,PR LAMIN/FACE/FORAMIN 1 SEG THOR,12824.0,9618.0,571.72,12439.28,683 CPT,63047,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,1544.34,8904.43,7 CPT,63047,PR LAMIN/FACE/FORAMIN 1 SEG LUMB,15273.0,11454.75,514.78,14814.81,683 CPT,63048,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, EACH ADDITIONAL SEGMENT",,,271.38,8904.43,7 CPT,63048,PR LAMIN/FACE/FORAMIN EA ADD SEG,3169.0,2376.75,180.92,3169.0,676 CPT,63051,PR LMNPLSTY CERV W DCMPRN&RECNSTR,15769.0,11826.75,761.65,15295.93,683 CPT,63052,PARTIAL REMOVAL OF BONE OF SINGLE SEGMENT OF SPINE IN LOWER BACK WITH RELEASE OF SPINAL CORD AND/OR NERVES DURING FUSION OF SPINE IN LOWER BACK,,,332.81,33297.37,7 CPT,63052,PR LAM/FAC/FOR POST ARTHR SGL VERT SEG,3750.0,2812.5,221.87,3750.0,676 CPT,63053,PARTIAL REMOVAL OF BONE OF ADDITIONAL SEGMENT OF SPINE IN LOWER BACK WITH RELEASE OF SPINAL CORD AND/OR NERVES DURING FUSION OF SPINE IN LOWER BACK,,,296.48,33297.37,7 CPT,63053,PR LAM/FAC/FOR POST ARTHR EA ADD SEG,2520.0,1890.0,197.65,2520.0,676 CPT,63055,PR TRANSPEDIC DCMPRN 1 SEG THOR,15398.0,11548.5,748.23,14936.06,683 CPT,63055,"RELEASE OF MIDDLE SPINAL CORD AND/OR NERVES, SINGLE SEGMENT",,,2244.69,8904.43,7 CPT,63056,PR TRANSPEDIC DCMPRN 1 SEG LUMB,18420.0,13815.0,576.44,17867.4,693 CPT,63056,"RELEASE OF LOWER SPINAL CORD AND/OR NERVES, SINGLE SEGMENT",,,2034.5,8904.43,7 CPT,63057,PR TRANSPEDIC DCMPRN EA ADD SEG,4732.0,3549.0,277.33,4732.0,676 CPT,63075,PR DISCTMY ANT W DCMPRN CERV SNGL,13170.0,9877.5,622.1,12774.9,683 CPT,63077,PR DISCTMY ANT W DCMPRN THOR SNGL,12631.0,9473.25,638.08,12252.07,683 CPT,63081,PR CRPCTMY ANTR APP CERV SNGL,12962.0,9721.5,801.16,12573.14,683 CPT,63081,"REMOVAL OF UPPER SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, ANTERIOR APPROACH, SINGLE SEGMENT",,,2403.47,15754.92,7 CPT,63082,PR CRPCTMY ANTR APP CERV EA ADD,3905.0,2928.75,229.12,3905.0,676 CPT,63085,PR CRPCTMY TRNSTHOR APP THOR SNGL,15673.0,11754.75,878.5,15202.81,683 CPT,63087,PR CRPCTMY THRCOLMB THOR/LUMB SNGL,17683.0,13262.25,1093.06,17152.51,683 CPT,63101,PR CRPCTMY LAT EXTRCV THOR SNGL,19997.0,14997.75,1068.53,19397.09,683 CPT,63102,PR CRPCTMY LAT EXTRCV LUMB SNGL,16194.0,12145.5,1048.74,15708.18,683 CPT,63103,PR CRPCTMY LAT EXTRCV TH/LB EA AD,3841.0,2880.75,253.58,3841.0,676 CPT,63170,PR LMNCTMY W MYLTMY CRV/THOR/THORCOL,12738.0,9553.5,757.59,12355.86,683 CPT,63200,PR LAMINECTOMY RELEASE CORD LUMB,11597.0,8697.75,738.11,11249.09,683 CPT,63200,REMOVAL OF LOWER SPINE BONE WITH RELEASE OF FRAYED SPINAL CORD,,,1476.21,2214.32,7 CPT,63265,PR LMNCTMY EXCISN LSN EXTRA CERV,12267.0,9200.25,776.83,11898.99,683 CPT,63265,REMOVAL OF UPPER SPINE BONE AND GROWTH OUTSIDE SPINE MEMBRANE,,,2330.48,8904.43,7 CPT,63266,PR LMNCTMY EXCISN LSN EXTRA THOR,12972.0,9729.0,798.31,12582.84,683 CPT,63266,REMOVAL OF GROWTH OF MIDDLE SPINE BONE OUTSIDE SPINE MEMBRANE,,,2394.93,8904.43,7 CPT,63267,PR LMNCTMY EXCISN LSN EXTRA LUMB,9145.0,6858.75,637.99,8870.65,683 CPT,63267,REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE,,,1913.97,8904.43,7 CPT,63271,PR LMNCTMY EXCISN LSN INTRA THOR,15924.0,11943.0,967.37,15446.28,683 CPT,63272,PR LMNCTMY EXCISN LSN INTRA LUMB,14873.0,11154.75,880.32,14426.81,683 CPT,63275,PR LMNCTMY BX NEO EXTRADUR CERV,13696.0,10272.0,708.62,13285.12,693 CPT,63276,PR LMNCTMY BX NEO EXTRADUR THOR,13133.0,9849.75,831.25,12739.01,683 CPT,63276,REMOVAL OR BIOPSY OF GROWTH OF MIDDLE SPINE BONE OUTSIDE SPINE MEMBRANE,,,1662.49,2493.74,7 CPT,63277,PR LMNCTMY BX NEO EXTRADUR LUMB,12652.0,9489.0,723.94,12272.44,683 CPT,63278,PR LMNCTMY BX NEO EXTRADUR SAC,11843.0,8882.25,759.24,11487.71,683 CPT,63280,PR LMNCTMY BX INTRDUR EXTMED CERV,20988.0,15741.0,991.4,20358.36,683 CPT,63281,PR LMNCTMY BX INTRDUR EXTMED THOR,20321.0,15240.75,983.63,19711.37,683 CPT,63282,PR LMNCTMY BX INTRDUR EXTMED LUMB,14701.0,11025.75,931.6,14259.97,683 CPT,63285,PR LMNCTMY BX INTRDUR INTMED CERV,23641.0,17730.75,1030.7,22931.77,693 CPT,63286,PR LMNCTMY BX INTRDUR INTMED THOR,16287.0,12215.25,1198.48,15798.39,683 CPT,63286,"REMOVAL OR BIOPSY OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE, INTRAMEDULLARY",,,3595.43,5512.99,7 CPT,63295,PR RCNST OSTPLSTC DORSAL SPN,2475.0,1856.25,290.42,2475.0,676 CPT,63300,PR CRPCTMY EXCISN LSN EXTRDUR CERV,15147.0,11360.25,839.15,14692.59,683 CPT,63301,PR CRPCTMY EXCISN EXTRDR THOR TRTHOR,14511.0,10883.25,1032.94,14075.67,683 CPT,63302,PR EXCISN LESN EXDUR THOR THORCOLM AP,14337.0,10752.75,1021.54,13906.89,683 CPT,63303,PR CRPCTMY EXCISN EXTRDR LUMB/SAC,15057.0,11292.75,1075.75,14605.29,683 CPT,63308,PR CRPCTMY EXCISN LESN CERV EA ADD,2475.0,1856.25,278.35,2475.0,676 CPT,63620,PR SRS SPINAL LESION,10591.0,7943.25,1070.33,10591.0,676 CPT,63650,HC IMPL NEUROSTIM ELEC PERC EPI,23748.0,17811.0,552.03,23035.56,917 CPT,63650,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN FACILITY,,,552.03,7820.59,7 CPT,63650,PR IMPL NEUROSTIM ELEC PERC EPI,10627.0,7970.25,1159.35,10308.19,683 CPT,63655,PR LAMINECTOMY W IMPL NS ELEC EPI,10260.0,7695.0,404.64,9952.2,683 CPT,63655,REMOVAL OF SPINE BONE FOR INSERTION OF NEUROSTIMULATOR ELECTRODE PLATE IN SPINE,,,1213.91,37866.86,7 CPT,63661,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE PROFESSIONAL,,,451.22,4290.23,7 CPT,63661,PR REMOVAL SPINE NEUROSTIM ARRAY,4954.0,3715.5,360.94,4805.38,683 CPT,63662,PR REMOVAL SPINE NEUROSTIM PLATE,5443.0,4082.25,409.94,5279.71,683 CPT,63662,REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,,,1229.82,4290.23,7 CPT,63663,PR REV SPINE ELEC PERC ARRAY,5480.0,4110.0,200.28,5315.6,697 CPT,63663,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,,,600.83,7820.59,7 CPT,63664,PR REV SPINE NEUROSTIM PLATE,6890.0,5167.5,427.55,6683.3,683 CPT,63685,INSERTION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,465.06,37866.86,7 CPT,63685,PR INS/RPLCMT SPI NPGR POCKET,3437.0,2577.75,155.02,3333.89,683 CPT,63688,PR REV/RMV IMP SPI NPGR DTCH CN,4445.0,3333.75,148.27,4311.65,683 CPT,63688,REMOVAL OR REVISION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,444.8,4290.23,7 CPT,63700,PR RPR MENINGOCELE <5 CM,8330.0,6247.5,636.41,8080.1,683 CPT,63707,PR REPAIR CSF LEAK WO LAMINECTOMY,8874.0,6655.5,447.75,8607.78,683 CPT,63709,PR REPAIR CSF LEAK W LAMINECTOMY,12744.0,9558.0,523.65,12361.68,683 CPT,63741,PR CREATE SHUNT LUMB WO LMNCTMY,6062.0,4546.5,343.78,5880.14,690 CPT,63744,PR RPLC LUMBOSUBARACHNOID SHUNT,6165.0,4623.75,354.26,5980.05,683 CPT,64400,HC INJ ANES TRIGEMINAL NRV,1329.0,996.75,68.88,1431.72,1830 CPT,64400,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE FACILITY,,,68.88,376.67,7 CPT,64400,PR INJ ANES TRIGEMINAL NRV,1162.0,871.5,50.2,1127.14,693 CPT,64405,HC INJ ANES GREATER OCCIPITAL NRV,1765.5,1324.125,67.23,2340.0,2745 CPT,64405,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE FACILITY,,,67.23,376.67,7 CPT,64405,PR INJ ANES GREATER OCCIPITAL NRV,761.0,570.75,32.53,738.17,683 CPT,64408,PR INJ ANES VAGUS NRV,812.0,609.0,33.02,787.64,684 CPT,64415,HC INJ ANES BRACHIAL PLEX W GUIDANCE,3775.0,2831.25,98.21,3661.75,915 CPT,64415,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE (BRACHIAL PLEXUS) PROFESSIONAL,,,98.21,1085.38,7 CPT,64415,PR INJ ANES BRACHIAL PLEX W GUIDANCE,1597.0,1197.75,75.62,1549.09,683 CPT,64416,CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE THROUGH CATHETER FACILITY,,,107.24,1085.38,7 CPT,64416,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,3963.0,2972.25,107.24,3844.11,915 CPT,64416,PR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2401.0,1800.75,35.75,2328.97,683 CPT,64417,HC INJ ANES AXILLARY NERVE W GUIDANCE,3812.0,2859.0,90.59,3697.64,915 CPT,64417,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE (AXILLARY NERVE) FACILITY,,,90.59,1085.38,7 CPT,64417,PR INJ ANES AXILLARY NERVE W GUIDANCE,1879.0,1409.25,90.56,1822.63,684 CPT,64418,HC INJ ANES SUPRASCAPULAR NERVE,2730.0,2047.5,70.95,2648.1,915 CPT,64418,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SUPRASCAPULAR SHOULDER NERVE FACILITY,,,70.95,866.22,7 CPT,64418,PR INJ ANES SUPRASCAPULAR NERVE,601.0,450.75,43.88,540.9,596 CPT,64420,HC INJ ANES INTERCOSTAL NRV SNGL,2894.0,2170.5,77.34,2894.0,915 CPT,64420,HC INJ ANES INTERCOSTAL NRV SNGL LVL,2837.0,2127.75,77.34,2751.89,915 CPT,64420,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE FACILITY,,,77.34,866.22,7 CPT,64420,PR INJ ANES INTERCOSTAL NRV SNGL LVL,1273.0,954.75,51.68,1145.7,596 CPT,64421,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,3996.0,2997.0,32.04,3876.12,915 CPT,64421,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO MULTIPLE RIB NERVES FOR REGIONAL NERVE BLOCK FACILITY,,,32.04,1085.38,7 CPT,64421,PR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,1248.0,936.0,34.3,1248.0,591 CPT,64425,HC INJ ANES ILIOINGUINAL NRV,2894.0,2170.5,73.35,2807.18,915 CPT,64425,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER ABDOMEN AND GROIN NERVE FACILITY,,,73.35,866.22,7 CPT,64425,PR INJ ANES ILIOINGUINAL NRV,763.0,572.25,58.92,740.11,683 CPT,64430,HC INJ NRV BLOCK PUDENDAL,3848.0,2886.0,71.78,3732.56,915 CPT,64430,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO EXTERNAL GENITALS AND ANUS NERVE FACILITY,,,71.78,1085.38,7 CPT,64430,PR INJ NRV BLOCK PUDENDAL,1020.0,765.0,46.75,989.4,683 CPT,64435,PR INJ ANES AGENT PARACERV NRV,534.0,400.5,18.91,517.98,697 CPT,64445,HC INJ ANES SCIATIC NERVE W GUIDANCE,2782.0,2086.5,97.4,2698.54,915 CPT,64445,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE (SCIATIC NERVE) PROFESSIONAL,,,97.4,866.22,7 CPT,64445,PR INJ ANES SCIATIC NERVE W GUIDANCE,1391.0,1043.25,84.41,1251.9,596 CPT,64446,CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE (SCIATIC NERVE) THROUGH CATHETER FACILITY,,,104.73,1085.38,7 CPT,64446,PR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2499.0,1874.25,34.91,2424.03,683 CPT,64447,HC INJ ANES FEM NERVE W GUIDANCE,2704.0,2028.0,89.72,2622.88,915 CPT,64447,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE (FEMORAL NERVE) PROFESSIONAL,,,89.72,866.22,7 CPT,64447,PR INJ ANES FEM NERVE W GUIDANCE,2704.0,2028.0,65.51,2433.6,596 CPT,64448,PR INJ ANES FEM NERVE CONT W GUIDANCE,1698.0,1273.5,33.44,1647.06,683 CPT,64449,INJECTION BY CONTINUOUS INFUSION OF ANESTHETIC AGENT INTO LOWER BACK NERVE BUNDLE FACILITY,,,89.01,1085.38,7 CPT,64450,HC INJ ANES OTHER PERIPHERAL NRV,2537.0,1902.75,56.57,2692.72,2748 CPT,64450,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH FACILITY,,,56.57,866.22,7 CPT,64450,PR INJ ANES OTHER PERIPHERAL NRV,694.0,520.5,33.5,673.18,693 CPT,64451,HC INJ ANES/STEROID NERVES SACROILIAC JNT,2822.0,2116.5,106.86,2737.34,915 CPT,64451,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SPINE AND PELVIS NERVE USING IMAGING GUIDANCE FACILITY,,,106.86,866.22,7 CPT,64451,PR INJ ANES/STEROID NERVES SACROILIAC JNT,1414.0,1060.5,117.51,1371.58,683 CPT,64454,HC INJ ANES/STEROID GENICULAR NERVE,2717.0,2037.75,107.88,2635.49,915 CPT,64454,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO KNEE NERVE BRANCH USING IMAGING GUIDANCE FACILITY,,,107.88,866.22,7 CPT,64454,PR INJ ANES/STEROID GENICULAR NERVE,1536.0,1152.0,114.29,1489.92,683 CPT,64455,PR INJ ANES STEROID PLANTAR NRV,243.0,182.25,14.81,235.71,697 CPT,64461,PR PARAVERTEB BLOCK THOR SNGL,1030.0,772.5,73.08,999.1,683 CPT,64466,PR THRC FASCIAL PLN BLK UNI NJX,1700.0,1275.0,69.27,1649.0,683 CPT,64468,BILATERAL THORACIC FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,100.73,290.65,7 CPT,64468,PR THRC FASCIAL PLN BLK BI NJX,2550.0,1912.5,80.18,2473.5,683 CPT,64473,PR LWR XTR FSCL PLN BLK UNI NJX,1300.0,975.0,65.67,1261.0,683 CPT,64473,UNILATERAL LOWER EXTREMITY FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,80.97,8904.43,7 CPT,64479,HC INJ ANES FORAMEN SNGL CRV/THRC,4056.0,3042.0,171.77,4056.0,1832 CPT,64479,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,171.77,1085.38,7 CPT,64479,PR INJ ANES FORAMEN SNGL CRV/THRC,1648.0,1236.0,138.98,1598.56,683 CPT,64480,HC INJ ANES FORAMEN ADD LVL,2752.0,2064.0,78.39,2752.0,1818 CPT,64480,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY",,,78.39,1085.38,7 CPT,64480,PR INJ ANES FORAMEN ADD LVL,896.0,672.0,139.32,896.0,676 CPT,64483,HC INJ ANES FORAMEN EPI LUMB SNGL,3981.0,2985.75,146.58,3981.0,1832 CPT,64483,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,146.58,1085.38,7 CPT,64483,PR INJ ANES FORAMEN EPI LUMB SNGL,1616.0,1212.0,128.97,1454.4,596 CPT,64484,HC INJ ANES FORAMEN EPI LUMB ADD,2320.0,1740.0,64.67,2320.0,1818 CPT,64484,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY",,,64.67,1085.38,7 CPT,64484,PR INJ ANES FORAMEN EPI LUMB ADD,776.0,582.0,114.64,776.0,591 CPT,64486,HC TAP BLOCK UNILAT BY INJ,1803.0,1352.25,71.7,1748.91,909 CPT,64486,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON SIDE USING IMAGING GUIDANCE PROFESSIONAL,,,71.7,71.7,1 CPT,64486,PR TAP BLOCK UNILAT BY INJ,1313.0,984.75,61.29,1181.7,596 CPT,64488,HC INJ ANES TRANSABDOM PLANE BIL,1296.0,972.0,83.99,1257.12,910 CPT,64488,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON BOTH SIDES USING IMAGING GUIDANCE FACILITY,,,83.99,83.99,1 CPT,64488,PR INJ ANES TRANSABDOM PLANE BIL,1919.0,1439.25,61.21,1861.43,693 CPT,64490,HC INJ FACET JT CERV/THOR 1 LVL,4124.0,3093.0,138.69,4124.0,1832 CPT,64490,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,138.69,1085.38,7 CPT,64490,PR INJ FACET JT CERV/THOR 1 LVL,1850.0,1387.5,99.96,1794.5,683 CPT,64491,HC INJ FACET JT CERV/THOR 2 LVL,2238.0,1678.5,74.93,2238.0,1820 CPT,64491,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,74.93,1085.38,7 CPT,64491,PR INJ FACET JT CERV/THOR 2 LVL,950.0,712.5,99.47,950.0,676 CPT,64492,HC INJ FACET JT CERV/THOR >=3 LVL,1843.0,1382.25,75.53,1787.71,909 CPT,64492,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,75.53,1085.38,7 CPT,64492,PR INJ FACET JT CERV/THOR >=3 LVL,950.0,712.5,99.87,950.0,676 CPT,64493,HC INJ FACET JT LUMB/SAC 1 LVL,4124.0,3093.0,119.97,4124.0,1832 CPT,64493,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,119.97,1085.38,7 CPT,64493,PR INJ FACET JT LUMB/SAC 1 LVL,1308.0,981.0,92.75,1268.76,683 CPT,64494,HC INJ FACET JT LUMB/SAC 2 LVL,2249.0,1686.75,64.67,2249.0,1822 CPT,64494,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,64.67,1085.38,7 CPT,64494,PR INJ FACET JT LUMB/SAC 2 LVL,1020.0,765.0,93.6,1020.0,676 CPT,64495,HC INJ FACET JT LUMB/SAC >= 3 LVL,1843.0,1382.25,66.62,1843.0,1818 CPT,64495,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,66.62,1085.38,7 CPT,64495,PR INJ FACET JT LUMB/SAC >= 3 LVL,900.0,675.0,96.51,900.0,676 CPT,64505,HC INJ ANES SPENOPLTN GANGLION,1271.0,953.25,141.68,1519.0,2745 CPT,64505,"INJECTION OF ANESTHETIC AGENT, TRIGEMINAL NERVE BUNDLE FACILITY",,,141.68,376.67,7 CPT,64505,PR INJ ANES SPENOPLTN GANGLION,788.0,591.0,61.88,764.36,693 CPT,64510,HC INJ ANES STELLATE GANGLION,3958.0,2968.5,102.69,3839.26,916 CPT,64510,INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE FACILITY,,,102.69,1085.38,7 CPT,64510,PR INJ ANES STELLATE GANGLION,1222.0,916.5,75.01,1185.34,683 CPT,64517,HC INJ ANES SUPR HYPOGASTRIC PLEX,3922.0,2941.5,167.76,3804.34,915 CPT,64517,INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE FACILITY,,,167.76,1085.38,7 CPT,64517,PR INJ ANES SUPR HYPOGASTRIC PLEX,1425.0,1068.75,98.97,1382.25,683 CPT,64520,HC INJ ANES AGENT LUMBAR/THORACIC,3902.0,2926.5,113.03,3784.94,917 CPT,64520,INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE FACILITY,,,113.03,1085.38,7 CPT,64520,PR INJ ANES AGENT LUMBAR/THORACIC,1485.0,1113.75,117.78,1440.45,683 CPT,64530,HC INJ ANES AGENT CELIAC PLEX,3958.0,2968.5,125.82,3958.0,917 CPT,64530,INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE FACILITY,,,125.82,1085.38,7 CPT,64530,PR INJ ANES AGENT CELIAC PLEX,2030.0,1522.5,114.77,1969.1,683 CPT,64553,PR IMPL NEUROSTIM CRANIAL PERC,1436.0,1077.0,216.81,1436.0,697 CPT,64555,HC IMPL NEUROSTIM PERIPHERAL PERC,28257.0,21192.75,432.68,27409.29,916 CPT,64555,INSERTION OF PERIPHERAL NERVE NEUROSTIMULATOR ELECTRODE THROUGH SKIN FACILITY,,,432.68,13673.7,7 CPT,64555,PR IMPL NEUROSTIM PERIPHERAL PERC,4209.0,3156.75,1079.1,4082.73,683 CPT,64561,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY FACILITY,,,398.19,7820.59,7 CPT,64561,PR IMPL NEUROSTIM SAC NRV W IMG,5568.0,4176.0,361.24,5400.96,684 CPT,64566,PR NEUROSTIM POSTR TIB PERC NDL,460.0,345.0,12.8,446.2,698 CPT,64568,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR,,,955.4,54051.41,7 CPT,64568,PR INCISION IMPL CRANIAL NERVE,4366.0,3274.5,318.47,4235.02,683 CPT,64569,PR REV CRANIAL NERVE NEUROSTIM,7217.0,5412.75,360.06,7000.49,683 CPT,64570,PR RMVL CRANIAL NERVE NEUROSTIM,4669.0,3501.75,368.77,4528.93,683 CPT,64570,REMOVAL OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODES,,,1106.3,4192.11,7 CPT,64575,INSERTION OF PERIPHERAL NERVE NEUROSTIMULATOR ELECTRODE,,,429.53,13673.7,7 CPT,64575,PR INCISN IMPLN NRSTIM PERIPH NRV,4590.0,3442.5,143.18,4452.3,683 CPT,64581,PR INCISN IMPLN NRSTIM SACRAL NRV,3677.0,2757.75,287.71,3566.69,683 CPT,64582,INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE PROFESSIONAL,,,1060.52,37866.86,7 CPT,64582,PR OPN MPLTJ HPGLSL NSTM ARY PG,4939.0,3704.25,353.51,4790.83,683 CPT,64583,PR REV/RPLCT HPGLSL NSTM ARY PG,6228.0,4671.0,364.47,6041.16,683 CPT,64584,REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE,,,926.6,4192.11,7 CPT,64585,PR REV/RMVL PERIPH NEUROSTIM ELEC,1865.0,1398.75,122.54,1809.05,683 CPT,64585,REVISION OF PERIPHERAL NEUROSTIMULATOR ELECTRODES FACILITY,,,199.16,4290.23,7 CPT,64590,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL",,,391.49,23806.75,7 CPT,64590,PR INS/RPLC PERIPH/GASTR NEUROSTIM,1800.0,1350.0,208.66,1746.0,683 CPT,64595,PR REV/RMVL PERIPH/GASTR NEUROSTIM,2089.0,1566.75,169.5,2026.33,683 CPT,64595,"REMOVAL OR REVISION OF A PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER FACILITY",,,307.52,4290.23,7 CPT,64596,PR INS/RPLCMT PRQ ELTRD RA PN 1,6057.0,4542.75,158.23,5875.29,684 CPT,64597,PR INS/RPLCM PRQ ELTRD RA PN EA,4240.0,3180.0,316.46,4240.0,677 CPT,64600,HC DESTRUCTION NEURO AGNT TRIGEM,3775.0,2831.25,330.2,3775.0,915 CPT,64600,PR DESTRUCTION NEURO AGNT TRIGEM,2212.0,1659.0,110.07,2145.64,697 CPT,64605,DESTRUCTION OF SECOND AND THIRD DIVISION OF FACE NERVE BRANCH FACILITY,,,611.45,2396.28,7 CPT,64610,DESTRUCTION OF FACE NERVE BRANCH UNDER X-RAY MONITORING FACILITY,,,651.42,2396.28,7 CPT,64610,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,7471.0,5603.25,651.42,7471.0,915 CPT,64610,PR DESTRCT TRIGEM 2/3 DIV RADMNTR,4074.0,3055.5,416.03,3951.78,683 CPT,64611,INJECTION OF CHEMICAL FOR PARALYSIS OF SALIVARY GLANDS ON BOTH SIDES OF MOUTH FACILITY,,,156.65,2184.19,7 CPT,64611,PR CHEMODENERV PAROTID SUBMAN,596.0,447.0,66.94,578.12,684 CPT,64612,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE FACILITY,,,157.79,2917.52,7 CPT,64612,PR CHEMODENERV FACIAL MUS UNILAT,779.0,584.25,68.78,755.63,684 CPT,64615,HC CHEMODENERV FACIAL TRIGEM BIL,805.0,603.75,158.04,780.85,916 CPT,64615,INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE FACILITY,,,158.04,376.67,7 CPT,64615,PR CHEMODENERV FACIAL TRIGEM BIL,1400.0,1050.0,64.45,1652.88,1390 CPT,64616,HC CHEMODENERV NECK MUSCLE UNILAT,890.0,667.5,144.15,890.0,1832 CPT,64616,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF NECK EXCLUDING VOICE BOX FACILITY,,,144.15,376.67,7 CPT,64616,PR CHEMODENERV NECK MUSCLE UNILAT,828.0,621.0,69.42,803.16,684 CPT,64617,PR CHEMODENERV LARYNX UNILAT W EMG,1467.0,1100.25,44.97,1422.99,697 CPT,64620,PR DEST NEURO AGNT INTERCOSTAL NRV,1681.0,1260.75,110.18,1630.57,683 CPT,64624,DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE FACILITY,,,196.25,2396.28,7 CPT,64624,HC DEST NEURO AGNT GENICULAR NERVE,7729.0,5796.75,196.25,7497.13,915 CPT,64624,PR DEST NEURO AGNT GENICULAR NERVE,2289.0,1716.75,200.06,2220.33,683 CPT,64625,DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE AND PELVIS USING IMAGING GUIDANCE FACILITY,,,260.1,2396.28,7 CPT,64625,HC RF ABLATION NERVES SACROILIAC JNT,7770.0,5827.5,260.1,7536.9,915 CPT,64625,PR RF ABLATION NERVES SACROILIAC JNT,2880.0,2160.0,241.25,2793.6,683 CPT,64628,HC THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,80000.0,60000.0,536.9,77600.0,915 CPT,64628,"HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK, FIRST TWO BONES FACILITY",,,536.9,15754.92,7 CPT,64628,PR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,7800.0,5850.0,178.97,7566.0,683 CPT,64633,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,254.33,2396.28,7 CPT,64633,HC DEST CERV/THOR FACET JT,6968.0,5226.0,254.33,6968.0,1830 CPT,64633,PR DEST CERV/THOR FACET JT,2940.0,2205.0,223.46,2851.8,683 CPT,64634,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,85.32,2396.28,7 CPT,64634,HC DEST CERV/THOR FACET JT ADD,2088.0,1566.0,85.32,2025.36,909 CPT,64634,PR DEST CERV/THOR FACET JT ADD,1430.0,1072.5,259.16,1430.0,676 CPT,64635,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,254.87,2396.28,7 CPT,64635,HC DEST LUMB/SAC FACET JT,6732.0,5049.0,254.87,6530.04,915 CPT,64635,PR DEST LUMB/SAC FACET JT,2812.0,2109.0,226.4,2727.64,683 CPT,64636,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,74.93,2396.28,7 CPT,64636,HC DEST LUMB/SAC FACET JT ADD,2100.0,1575.0,74.93,2037.0,909 CPT,64636,PR DEST LUMB/SAC FACET JT ADD,1377.0,1032.75,244.47,1377.0,676 CPT,64640,DESTRUCTION OF PERIPHERAL NERVE OR BRANCH FACILITY,,,163.91,1085.38,7 CPT,64640,HC DEST OTHER PERIPHERAL NERVE,3419.0,2564.25,163.91,3316.43,915 CPT,64640,PR DEST OTHER PERIPHERAL NERVE,1345.0,1008.75,130.21,1304.65,683 CPT,64642,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 1-4 MUSCLES, FIRST EXTREMITY FACILITY",,,140.12,866.22,7 CPT,64642,PR CHEMODENERV 1 EXT 1-4 MUSCLE,737.0,552.75,79.23,714.89,685 CPT,64643,PR CHEMODENERV EA ADD EXT 1-4 MUS,412.0,309.0,58.3,412.0,693 CPT,64644,PR CHEMODENERV 1 EXT >=5 MUS,723.0,542.25,50.33,701.31,698 CPT,64645,PR CHEMODENERV EXT EA ADD > 4 MUS,390.0,292.5,68.42,390.0,690 CPT,64646,HC CHEMODENERV TRUNK 1-5 MUS,3147.0,2360.25,151.01,3147.0,1832 CPT,64646,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 1-5 MUSCLES FACILITY",,,151.01,866.22,7 CPT,64646,PR CHEMODENERV TRUNK 1-5 MUS,723.0,542.25,82.54,701.31,683 CPT,64647,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 6 OR MORE MUSCLES FACILITY",,,169.32,866.22,7 CPT,64647,PR CHEMODENERV TRUNK OVER 5 MUS,998.0,748.5,91.88,968.06,684 CPT,64650,PR CHEMODENERV ECCRINE GLND AXIL BOTH,328.0,246.0,16.33,318.16,698 CPT,64653,PR CHEMODENERV ECCRINE GLND OTHR,1254.0,940.5,21.0,1216.38,698 CPT,64680,HC DEST NERVE CELIAC PLEX,3804.0,2853.0,215.7,3689.88,917 CPT,64680,INJECTION OF AGENT TO DESTROY ABDOMINAL NERVE BUNDLE FACILITY,,,215.7,1085.38,7 CPT,64680,PR DEST NERVE CELIAC PLEX,2414.0,1810.5,168.83,2341.58,683 CPT,64681,INJECTION OF AGENT TO DESTROY PRESACRAL NERVE BUNDLE FACILITY,,,284.64,1085.38,7 CPT,64702,PR NEUROPLASTY DIGITAL SAME DIGIT,3340.0,2505.0,237.86,3239.8,683 CPT,64702,RELEASE OF FINGER NERVE,,,713.57,2396.28,7 CPT,64704,PR NEUROPLASTY HAND/FEET NERVE,2266.0,1699.5,150.68,2198.02,683 CPT,64704,RELEASE OF HAND OR FOOT NERVE,,,452.03,2396.28,7 CPT,64708,PR NEUROPLASTY ARM/LEG MJR NERVE,4015.0,3011.25,226.55,3894.55,683 CPT,64708,RELEASE OF ARM OR LEG NERVE PROFESSIONAL,,,679.64,4015.22,7 CPT,64712,PR NEUROPLASTY SCIATIC NERVE,5946.0,4459.5,271.0,5767.62,683 CPT,64712,RELEASE OF SCIATIC NERVE,,,812.99,2396.28,7 CPT,64713,PR NEUROPLASTY BRACHIAL PLEXUS,6581.0,4935.75,361.93,6383.57,683 CPT,64713,RELEASE OF MAJOR ARM OR LEG NERVE,,,1085.78,3564.51,7 CPT,64714,PR NEUROPLASTY LUMBAR PLEXUS,6645.0,4983.75,347.58,6445.65,683 CPT,64716,PR NEUROPLASTY CRANIAL NERVE,3209.0,2406.75,229.05,3112.73,683 CPT,64718,PR NEUROPLASTY ULNAR NRV AT ELBOW,4344.0,3258.0,237.69,4213.68,693 CPT,64718,RELEASE AND/OR RELOCATION OF ELBOW NERVE PROFESSIONAL,,,838.91,4015.22,7 CPT,64719,PR NEUROPLASTYULNAR NERVE AT WRST,2811.0,2108.25,188.58,2726.67,683 CPT,64719,RELEASE AND/OR RELOCATION OF WRIST NERVE,,,565.74,2396.28,7 CPT,64721,PR NEUROPLASTY MEDN NRV CARP TUNL,2695.0,2021.25,234.49,2614.15,683 CPT,64721,RELEASE AND/OR RELOCATION OF HAND NERVE PROFESSIONAL,,,617.04,2396.28,7 CPT,64722,PR DECOMPRESSION UNSPECIFIED NRV,2850.0,2137.5,181.1,2764.5,683 CPT,64722,RELEASE OF UNSPECIFIED NERVE,,,543.3,4015.22,7 CPT,64727,PR NEUROLYSIS INTRNL W MICROSCOPE,1980.0,1485.0,142.61,1980.0,676 CPT,64727,RELEASE OF NERVE USING OPERATING MICROSCOPE,,,213.92,2396.28,7 CPT,64732,"INCISION OR REMOVAL OF FOREHEAD, SCALP AND UPPER EYELID NERVE",,,714.54,2396.28,7 CPT,64734,PR TRANSECTION AVUL INFRAORBITAL NRV,3440.0,2580.0,268.43,3336.8,683 CPT,64742,INCISION OR REMOVAL OF FACE NERVE,,,626.0,2396.28,7 CPT,64744,PR TRANSECTION GRT OCCIPITAL NRV,3803.0,2852.25,261.1,3688.91,683 CPT,64772,INCISION OR REMOVAL OF SPINAL NERVE PROFESSIONAL,,,754.32,2396.28,7 CPT,64772,PR TRANS/AVUL OTH SPN NRV EXTRADUR,3050.0,2287.5,251.44,2958.5,683 CPT,64774,PR EXCISN NEUROMA CUTANEOUS NERVE,2927.0,2195.25,200.22,2839.19,683 CPT,64774,REMOVAL OF GROWTH OF SKIN NERVE,,,600.66,4015.22,7 CPT,64776,PR EXCISN NEUROMA DIGITAL NERVE,2002.0,1501.5,182.52,1941.94,683 CPT,64776,"REMOVAL OF GROWTH OF FINGER OR TOE NERVE, SAME DIGIT",,,547.56,2396.28,7 CPT,64782,PR EXCISN NEUROMA HAND/FOOT,2376.0,1782.0,212.81,2304.72,683 CPT,64784,PR EXCISN NEUROMA MJR PERIPHERAL,6384.0,4788.0,278.39,6192.48,693 CPT,64784,REMOVAL OF GROWTH OF PERIPHERAL NERVE,,,982.55,2396.28,7 CPT,64786,PR EXCISN NEUROMA SCIATIC NERVE,7320.0,5490.0,461.1,7100.4,683 CPT,64787,PR IMPL NERVE END INTO BONE/MUS,2030.0,1522.5,198.93,2030.0,676 CPT,64788,PR EXCISN NEUROFIBROMA CUTAN NRV,2800.0,2100.0,190.13,2716.0,683 CPT,64788,REMOVAL OF GROWTH OF SKIN NERVE OR NERVE LINING FACILITY,,,570.38,2396.28,7 CPT,64790,PR EXCISN NEUROFIBROMA MJR PERIPH,5399.0,4049.25,389.76,5237.03,683 CPT,64790,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING,,,1169.28,3564.51,7 CPT,64792,PR EXCISN NEUROFIBROMA EXTENSIVE,8324.0,6243.0,583.46,8074.28,683 CPT,64792,"REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING, EXTENSIVE INCLUDING GROWTH",,,1750.37,4192.11,7 CPT,64795,BIOPSY OF NERVE FACILITY,,,270.47,2396.28,7 CPT,64795,PR BIOPSY OF NERVE,1502.0,1126.5,90.16,1456.94,683 CPT,64820,PR SYMPATHECTOMY DGTL ARTERIES EA,5478.0,4108.5,340.44,5313.66,683 CPT,64821,PR SYMPATHECTOMY RADIAL ARTERY,4753.0,3564.75,320.99,4610.41,683 CPT,64821,REMOVAL OF LOWER ARM RADIAL ARTERY SYMPATHETIC NERVE,,,962.96,4015.22,7 CPT,64822,PR SYMPATHECTOMY ULNAR ARTERY,4991.0,3743.25,320.99,4841.27,683 CPT,64822,REMOVAL OF LOWER ARM ULNAR ARTERY SYMPATHETIC NERVE,,,962.96,4015.22,7 CPT,64831,PR SUTURE DGTL NRV HAND/FT SNGL,4222.0,3166.5,313.26,4095.34,683 CPT,64834,PR SUTURE NERVE HAND/FOOT COMMON,5020.0,3765.0,322.18,4869.4,683 CPT,64834,SUTURE OF HAND OR FOOT COMMON SENSORY NERVE,,,966.53,4192.11,7 CPT,64856,PR SUTR MJR NRV ARM/LG W TRANSPSTN,7424.0,5568.0,446.57,7201.28,683 CPT,64857,PR SITR MJR NRV ARM/LG WO TRNSPSTN,9059.0,6794.25,459.66,8787.23,683 CPT,64857,SUTURE OF ARM OR LEG PERIPHERAL NERVE,,,1378.98,4192.11,7 CPT,64859,PR SUTURE PERIPH NERVE EA ADD,2546.0,1909.5,206.45,2546.0,676 CPT,64864,PR SUTURE FACIAL NRV EXTRACRANIAL,8436.0,6327.0,368.53,8182.92,683 CPT,64885,PR NERVE GRAFT HEAD/NECK <=4CM,9085.0,6813.75,454.21,8812.45,683 CPT,64886,PR NERVE GRFT HEAD/NECK>4 CM,14581.0,10935.75,546.07,14143.57,683 CPT,64892,PR NERVE GRFT ARM/LEG SNGL<=4 CM,7054.0,5290.5,464.46,6842.38,683 CPT,64901,PR NERVE GRFT EA NERVE SINGL,4498.0,3373.5,495.55,4498.0,676 CPT,64905,PR NRV PEDICLE TRANSFER 1ST STAGE,11730.0,8797.5,433.79,11378.1,683 CPT,64905,"TRANSFER OF NERVE TO INJURED NERVE, STAGE 1 OF 2",,,1301.36,10769.24,7 CPT,64910,PR NRV RPR SYNTH COND ALLOGRFT EA,6751.0,5063.25,339.73,6548.47,683 CPT,64910,REPAIR OF NERVE WITH GRAFT,,,1019.18,10769.24,7 CPT,64912,PR NRV RPR W/NRV ALGRFT 1ST,7878.0,5908.5,398.6,7641.66,683 CPT,64912,"REPAIR OF NERVE USING NERVE GRAFT, FIRST STRAND",,,1195.79,10769.24,7 CPT,64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1362.0,1021.5,143.08,1362.0,676 CPT,64913,"REPAIR OF NERVE USING NERVE GRAFT, EACH ADDITIONAL STRAND",,,214.62,10769.24,7 CPT,64999,HC PULSED RF ANY PERIPHERAL NRV,3419.0,2564.25,327.54,3316.43,917 CPT,64999,HC PULSED RF CERV/THOR FAC JT,6968.0,5226.0,327.54,6758.96,917 CPT,64999,HC PULSED RF CERV/THOR FAC JT ADD,3158.0,2368.5,327.54,3063.26,917 CPT,64999,HC SYNOVIAL CYST ASPIRATION/INJECTION,4124.0,3093.0,327.54,4124.0,917 CPT,64999,PR BILATERAL CRYOABLATION OF INTERCOSTAL NERVES,2522.0,1891.5,63.05,2446.34,685 CPT,64999,PR CAPSAICIN PROCEDURE,717.0,537.75,17.93,695.49,685 CPT,64999,PR CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,540.0,405.0,13.5,523.8,685 CPT,64999,PR CRANIAL FIDUCIAL MARKER PLACEMENT,4833.0,3624.75,120.83,4688.01,685 CPT,64999,PR ENDOSCOPIC BIOPSY OF SKULL-BASED TUMOR,23161.0,17370.75,579.03,22466.17,685 CPT,64999,PR ENDOSCOPIC ENDONASAL SKULL BASE TUMOR RESECTION,31026.0,23269.5,775.65,30095.22,685 CPT,64999,PR ENDOSCOPIC TRANSNASAL RESECTION OF SKULL-BASED TUMOR,27793.0,20844.75,694.83,26959.21,685 CPT,64999,PR ERECTOR SPINAE PLANE BLOCK BILATERAL,1041.0,780.75,26.03,1009.77,685 CPT,64999,PR ERECTOR SPINAE PLANE BLOCK UNILATERAL,694.0,520.5,17.35,673.18,685 CPT,64999,PR INTRACRANIAL EEG RF ABLATION,13157.0,9867.75,328.93,12762.29,685 CPT,64999,PR LAMINECTOMY WITH SECTIONING OF DENTATE LIGAMENTS,9043.0,6782.25,226.08,8771.71,685 CPT,64999,PR PULSED RF ANY PERIPHERAL NERVE,1345.0,1008.75,33.63,1304.65,685 CPT,64999,PR PULSED RF CERV/THOR FAC JT,2940.0,2205.0,73.5,2851.8,685 CPT,64999,PR SPG BLK W/CATH,788.0,591.0,19.7,764.36,685 CPT,64999,PR SYNOVIAL CYST ASPIRATION/INJECTION,1308.0,981.0,32.7,1268.76,685 CPT,64999,PR UNILATERAL CRYOABLATION OF INTERCOSTAL NERVES,1681.0,1260.75,42.03,1630.57,685 CPT,64999,UNLISTED PROCEDURE NERVOUS SYS - FACILITY,,,327.54,376.67,6 CPT,65105,PR ENUCLEATION EYE W IMPL W MUS,5354.0,4015.5,414.24,5193.38,683 CPT,65110,PR EXENTERATN ORBIT RMVL CONTENTS,7568.0,5676.0,560.84,7340.96,683 CPT,65110,REMOVAL OF EYE CONTENTS AND EYE SOCKET BONE,,,1682.51,4824.39,7 CPT,65112,PR EXENTERATN ORBIT RMVL CNTNS&BN,9129.0,6846.75,543.74,8855.13,693 CPT,65114,PR EXTERNTN ORBIT W MUSC FLAP,10930.0,8197.5,665.55,10602.1,683 CPT,65205,HC RMVL FB EYE SUPFCL,535.0,401.25,36.08,518.95,915 CPT,65205,PR RMVL FB EYE SUPFCL,224.0,168.0,13.81,217.28,683 CPT,65210,PR RMVL FB EYE SUBCONJUNCT,289.0,216.75,14.82,280.33,697 CPT,65220,HC REMOVAL FB CORNEA WO SLIT LAMP,1015.0,761.25,55.43,984.55,915 CPT,65220,PR REMOVAL FB CORNEA WO SLIT LAMP,350.0,262.5,18.48,339.5,697 CPT,65222,HC REMOVAL FB CORNEA W SLIT LAMP,518.0,388.5,61.73,502.46,915 CPT,65222,PR REMOVAL FB CORNEA W SLIT LAMP,262.0,196.5,20.58,254.14,697 CPT,65260,PR RMVL FB MAGNETIC EXTR,5539.0,4154.25,411.46,5372.83,683 CPT,65270,PR RPR LACERATION CONJUNCTIVA,926.0,694.5,58.15,898.22,697 CPT,65280,PR REPAIR EYE WOUND,3697.0,2772.75,277.41,3586.09,683 CPT,65285,PR RPR EYE WND W RSECT UVEAL TISS,5277.0,3957.75,455.68,5118.69,683 CPT,65400,PR EXCISION LESION CORNEA,2882.0,2161.5,256.24,2795.54,697 CPT,65426,PR EXCISN PTERYGIUM WITH GRAFT,2172.0,1629.0,327.14,2106.84,683 CPT,65426,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT PROFESSIONAL,,,607.1,2917.52,7 CPT,65430,PR SCRAPE CORNEA DX,692.0,519.0,41.96,671.24,697 CPT,65435,PR REMOVAL CORNEAL EPITHELIUM,259.0,194.25,40.79,251.23,683 CPT,65435,REMOVAL OF OUTER LAYER OF CORNEA FACILITY,,,88.88,6530.01,7 CPT,65436,PR RMVL CORNEAL EPITHELM W CHELAT,1612.0,1209.0,191.7,1563.64,683 CPT,65436,REMOVAL OF OUTER LAYER OF CORNEA WITH APPLICATION OF CHELATING AGENT FACILITY,,,467.33,2917.52,7 CPT,65600,PR PUNCTURES ANTR CORNEA MULTIPLE,1340.0,1005.0,146.82,1299.8,697 CPT,65710,PR KERATOPLASTY ANTERIOR LAMELLAR,6906.0,5179.5,481.42,6698.82,683 CPT,65730,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,1569.6,5072.31,7 CPT,65730,PR KERATOPLASTY PENETRATE,7077.0,5307.75,523.2,6864.69,683 CPT,65750,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN APHAKIA),,,1573.19,17801.09,7 CPT,65750,PR KERATOPLASTY PENETRATE APHAKIA,8158.0,6118.5,524.4,7913.26,683 CPT,65755,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN PSEUDOPHAKIA) PROFESSIONAL,,,1565.73,5072.31,7 CPT,65755,PR KERATOPLASTY PENETRATE PSEUDO,6840.0,5130.0,521.91,6634.8,683 CPT,65756,PR KERATOPLASTY ENDOTHELIAL,5670.0,4252.5,486.5,5499.9,683 CPT,65756,TRANSPLANTATION OF OUTER LAYER OF CORNEAL TISSUE PROFESSIONAL,,,1459.49,5072.31,7 CPT,65770,INSERTION OF CORNEA PROSTHESIS,,,1739.85,17801.09,7 CPT,65770,PR KERATOPROSTHESIS,8554.0,6415.5,579.95,8297.38,683 CPT,65772,PR INCISN CORNEAL CORRECT ASTIGM,2226.0,1669.5,171.9,2159.22,697 CPT,65778,HC PLC AMNIOTIC MEMB OCLR WO SUTR,12126.0,9094.5,53.0,11762.22,916 CPT,65778,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE FOR WOUND HEALING FACILITY,,,53.0,2917.52,7 CPT,65778,PR PLC AMNIOTIC MEMB OCLR WO SUTR,3030.0,2272.5,617.72,2939.1,683 CPT,65779,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE WITH SUTURES FOR WOUND HEALING,,,125.18,6530.01,7 CPT,65779,PR PLC AMNIOTIC MEMB OCLR W SUTR,4326.0,3244.5,552.94,4196.22,683 CPT,65780,PR RCNST OCULAR W MEMBRANE,3894.0,2920.5,252.55,3777.18,683 CPT,65800,HC PARACENT ANTR CHAMB EYE W ASP,10137.0,7602.75,105.05,9832.89,915 CPT,65800,PR PARACENT ANTR CHAMB EYE W ASP,500.0,375.0,58.97,485.0,683 CPT,65800,REMOVAL OF EYE FLUID FACILITY,,,105.05,2832.03,7 CPT,65810,COMPLEX REMOVAL OF EYE FLUID FACILITY,,,588.9,2832.03,7 CPT,65810,PR PARACENTSIS EYE HYALOID MEMB,1967.0,1475.25,196.3,1907.99,683 CPT,65815,PR PARACENT ANT CHAMB EYE RMV BLD,2575.0,1931.25,201.53,2497.75,697 CPT,65820,INCISION TO IMPROVE EYE FLUID FLOW,,,1061.21,5072.31,7 CPT,65820,PR GONIOTOMY,2830.0,2122.5,353.74,2745.1,683 CPT,65855,PR TRABECULOPLASTY LASER SURG,1875.0,1406.25,84.12,1818.75,697 CPT,65865,PR SEVER ADHESN EYE GONIOSYNECH,2689.0,2016.75,202.59,2608.33,683 CPT,65870,PR SEVER ADHESN EYE ANTR SYNECH,3272.0,2454.0,251.23,3173.84,683 CPT,65875,PR SEVER ADHESN EYE POSTR SYNECH,2962.0,2221.5,268.37,2873.14,683 CPT,65920,PR RMVL IMPLNT MATERIAL ANTR EYE,3676.0,2757.0,333.52,3565.72,683 CPT,66020,PR INJ ANTR CHAMBER EYE AIR/LIQ,780.0,585.0,55.77,756.6,697 CPT,66130,PR EXCISION LESION SCLERA,2754.0,2065.5,233.71,2671.38,697 CPT,66170,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA PROFESSIONAL,,,1378.65,2832.03,7 CPT,66170,PR GLAUCOMA SURG TRABECULECTOMY,4862.0,3646.5,459.55,4716.14,683 CPT,66174,PR TRNSLMN DIL AQUS WO DEV/STENT,4939.0,3704.25,264.59,4790.83,683 CPT,66175,PR TRNSLMN DIL AQUS W DEV/STENT,5624.0,4218.0,303.87,5455.28,683 CPT,66179,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW PROFESSIONAL,,,1357.38,6530.01,7 CPT,66179,PR SHNT AQUS EXTRAOCL RSRVR WO GRFT,7866.0,5899.5,452.46,7630.02,683 CPT,66180,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW USING TISSUE GRAFT PROFESSIONAL,,,1426.91,6530.01,7 CPT,66180,PR SHNT AQUS EXTRAOCL RSRVR W GRFT,7494.0,5620.5,475.64,7269.18,683 CPT,66183,INSERTION OF EYE FLUID DRAINAGE DEVICE PROFESSIONAL,,,1295.3,5072.31,7 CPT,66183,PR INS ANTR DRN WO EXTRCLR RSRVR,5566.0,4174.5,431.77,5399.02,683 CPT,66184,PR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,4435.0,3326.25,336.14,4301.95,683 CPT,66250,PR RPR OPERATIVE WND ANTR SEGM,2895.0,2171.25,366.66,2808.15,683 CPT,66250,REVISION OR REPAIR OF OPERATIVE WOUND OF EYE PROFESSIONAL,,,702.36,2917.52,7 CPT,66630,PR IRIDOTOMY SECTOR FOR GLAUCOMA,3409.0,2556.75,238.24,3306.73,683 CPT,66680,PR REPAIR IRIS CILIARY BODY,2897.0,2172.75,248.69,2810.09,683 CPT,66682,PR SUTURE IRIS CILIARY BODY,3113.0,2334.75,277.61,3019.61,683 CPT,66683,IMPLANTATION OF IRIS PROSTHESIS,,,972.23,20199.82,7 CPT,66683,PR IMPLANTATION IRIS PROSTHESIS,4827.0,3620.25,324.08,4682.19,683 CPT,66710,DESTRUCTION OF LENS TISSUE USING LASER PROFESSIONAL,,,492.95,5072.31,7 CPT,66710,PR DEST CILIARY TRANSSCLERAL,2360.0,1770.0,217.56,2289.2,683 CPT,66711,DESTRUCTION OF TISSUE ENCIRCLING LENS USING AN ENDOSCOPE,,,654.68,6530.01,7 CPT,66711,PR DESTRUCTION CILIARY ENDOSCOPIC,2812.0,2109.0,218.23,2727.64,683 CPT,66761,PR IRIDOTOMY LASER PER SESSION,1783.0,1337.25,99.01,1729.51,697 CPT,66762,PR IRIDOPLASTY PHOTOCOAGULATION,2426.0,1819.5,179.78,2353.22,697 CPT,66820,PR RMVL SECNDRY MEMBRANE CATARACT,1196.0,897.0,205.54,1160.12,683 CPT,66821,PR DISC SECNDRY MEMB CATARACT LSR,1411.0,1058.25,134.6,1368.67,697 CPT,66825,PR REPOSIT INTRAOCL LENS PROSTH,3194.0,2395.5,357.0,3098.18,683 CPT,66825,REPOSITIONING OF LENS PROSTHESIS,,,1071.0,2832.03,7 CPT,66840,ASPIRATION OF LENS MATERIAL BY ASPIRATION PROFESSIONAL,,,868.22,2832.03,7 CPT,66840,PR RMVL LENS MATERIAL ASPIRATION,3856.0,2892.0,289.41,3740.32,683 CPT,66850,ASPIRATION OF LENS MATERIAL BY FRAGMENTING AND ASPIRATION PROFESSIONAL,,,985.22,5072.31,7 CPT,66850,PR RMVL LENS MATERIAL PHACOFRAGM,3927.0,2945.25,328.41,3809.19,683 CPT,66852,PR RMVL LENS MATERIAL PARS PLANA,4310.0,3232.5,348.12,4180.7,683 CPT,66982,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,927.63,2832.03,7 CPT,66982,PR RMVL CATARACT EXTRACAP CMPLX,4723.0,3542.25,309.21,4581.31,683 CPT,66984,PR RMVL CATARACT INSERT LENS,4182.0,3136.5,226.83,4056.54,683 CPT,66984,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,680.48,2832.03,7 CPT,66985,INSERTION OF PROSTHETIC LENS,,,968.01,2832.03,7 CPT,66985,PR INS IOL WO CATARACT RMVL,3815.0,2861.25,322.67,3700.55,683 CPT,66986,EXCHANGE OF PROSTHETIC LENS PROFESSIONAL,,,1123.97,2832.03,7 CPT,66986,PR EXCHANGE INTRAOCULAR LENS,3773.0,2829.75,374.66,3659.81,683 CPT,66987,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS AND LASER TREATMENT TO DECREASE FLUID PRODUCTION IN EYE,,,4410.7,5072.31,6 CPT,66987,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP,6512.0,4884.0,438.41,6316.64,683 CPT,66988,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP,4846.0,3634.5,358.02,4700.62,683 CPT,66988,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS AND LASER TREATMENT TO DECREASE FLUID PRODUCTION IN EYE,,,4410.7,5072.31,6 CPT,66989,PR XCPSL CTRC RMVL CPLX INSJ 1+,5983.0,4487.25,352.64,5803.51,683 CPT,66991,EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE PROFESSIONAL-EXPRESS CARE,,,856.26,6530.01,7 CPT,66991,PR XCAPSL CTRC RMVL INSJ 1+,4424.0,3318.0,285.42,4291.28,683 CPT,66999,PR AMNIOTIC MEMBRANE PLACEMENT,3030.0,2272.5,75.75,2939.1,683 CPT,66999,UNLISTED PROC ANTR SEGMENT EYE,,,2462.64,2832.03,6 CPT,67005,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA PROFESSIONAL,,,607.4,2832.03,7 CPT,67005,PR RMVL VITREOUS ANTR APP PRTL,3040.0,2280.0,202.47,2948.8,683 CPT,67010,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA WITH MECHANICAL REMOVAL OF EYE FLUID,,,688.28,6530.01,7 CPT,67010,PR RMVL VITREOUS PRTL W VETRCTMY,3718.0,2788.5,229.43,3606.46,683 CPT,67015,PR ASP VITREOUS FLUID PARS PLANA,3943.0,2957.25,256.64,3824.71,683 CPT,67025,PR INJECTION VITREOUS SUBSTITUTE,3959.0,2969.25,264.6,3840.23,697 CPT,67028,INJECTION OF DRUG INTO EYE FACILITY,,,111.27,405.33,7 CPT,67028,PR INJECTION INTRAVITREAL,842.0,631.5,55.86,816.74,683 CPT,67031,PR SEVER VITR STRANDS LASER >=1,1949.0,1461.75,149.67,1890.53,697 CPT,67036,PR VITRECTOMY MECH PARS PLANA,3825.0,2868.75,372.17,3710.25,683 CPT,67036,REMOVAL OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA,,,1116.5,5072.31,7 CPT,67039,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA USING A LASER,,,1190.43,5072.31,7 CPT,67039,PR VITRECTOMY W FOCAL ENDOLASER,5505.0,4128.75,396.81,5339.85,683 CPT,67040,PR VITRECTOMY W ENDOLASER PANRET,6201.0,4650.75,426.59,6014.97,683 CPT,67041,REMOVAL OF MEMBRANE OF RETINA,,,1405.53,5072.31,7 CPT,67042,PR VITRECTOMY W RMVL LIM RET MEMB,4632.0,3474.0,468.35,4493.04,683 CPT,67042,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA,,,1405.05,5072.31,7 CPT,67101,PR RPR DETACHED RETINA CRYOTHRPY,3958.0,2968.5,163.75,3839.26,683 CPT,67101,REPAIR OF DETACHED RETINA BY COLD TREATMENT,,,361.14,2832.03,7 CPT,67105,PR RPR DETACHED RETINA PHOTOCOAG,3426.0,2569.5,116.14,3323.22,697 CPT,67107,PR RPR DETACH RET SCLER BUCKLING,6863.0,5147.25,460.94,6657.11,683 CPT,67107,REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,1382.82,5072.31,7 CPT,67108,PR RPR DETACHED RETINA W VITRECT,5422.0,4066.5,486.77,5259.34,683 CPT,67108,REPAIR OF DETACHED RETINA WITH DRAINAGE AND REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,,,1460.3,5072.31,7 CPT,67110,PR RPR DETACH RETINA W IN AIR/GAS,4350.0,3262.5,435.58,4219.5,683 CPT,67110,REPAIR OF DETACHED RETINA BY INJECTION OF AIR OR GAS,,,1026.14,2832.03,7 CPT,67113,COMPLEX REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,1634.21,6530.01,7 CPT,67113,PR RPR DETACH RETINA CMPLX,5651.0,4238.25,544.74,5481.47,683 CPT,67121,PR RMVL EYE IMPL INTRAOCULAR,4110.0,3082.5,374.8,3986.7,683 CPT,67121,REMOVAL OF IMPLANT MATERIAL FROM INSIDE OF EYE,,,1124.39,20199.82,7 CPT,67141,HC PROPH RETINAL DETACHMENT CRYO,5708.0,4281.0,277.01,5536.76,915 CPT,67141,HEAT OR FREEZING TREATMENT TO PREVENT DETACHMENT OF RETINA FACILITY,,,277.01,2832.03,7 CPT,67141,PR PROPH RETINAL DETACHMENT CRYO,2388.0,1791.0,131.82,2316.36,683 CPT,67145,PR PROPH RETINAL DETACH PHOTOCOAG,1861.0,1395.75,119.85,1805.17,683 CPT,67208,PR DEST RETINA LESION CRYOTHERAPY,3937.0,2952.75,240.96,3818.89,697 CPT,67210,PR DEST RETINA LESION PHOTOCOAG,1644.0,1233.0,209.75,1594.68,697 CPT,67218,DESTRUCTION OF GROWTH OF RETINA BY IMPLANTATION OF RADIATION SOURCE,,,1700.69,4824.39,7 CPT,67218,PR DEST RETINA LESION RADIATION,8443.0,6332.25,566.9,8189.71,683 CPT,67221,PR DEST CHOROID LSN PHOTODYNAMIC,2028.0,1521.0,82.81,1967.16,697 CPT,67228,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA USING LASER FACILITY,,,373.64,674.93,7 CPT,67228,PR TX RETINOPATHY PHOTOCOAG EXT,3113.0,2334.75,166.78,3019.61,683 CPT,67255,PR SCLERAL REINFORCEMENT W GRAFT,4145.0,3108.75,292.03,4020.65,683 CPT,67299,UNLISTED PROC POSTR SEGMENT,,,4410.7,5072.31,6 CPT,67343,PR RELEASE EYE TISSUE,2958.0,2218.5,285.4,2869.26,683 CPT,67345,PR CHEMDNRV EXTRAOCULAR MUSCLE,1267.0,950.25,92.92,1228.99,697 CPT,67400,PR ORBITOTOMY EXPLORATION,6359.0,4769.25,445.44,6168.23,683 CPT,67405,PR ORBITOTOMY W DRAINAGE,4729.0,3546.75,391.69,4587.13,683 CPT,67412,PR ORBITOTOMY W LESION REMOVAL,7390.0,5542.5,426.96,7168.3,683 CPT,67412,REMOVAL OF GROWTH OF CAVITY BEHIND EYE,,,1280.87,4068.55,7 CPT,67413,PR ORBITOTOMY W FB REMOVAL,5042.0,3781.5,414.05,4890.74,683 CPT,67414,PR ORBITOTOMY W BONE REMOVAL,6473.0,4854.75,611.35,6278.81,683 CPT,67414,REMOVAL OF BONE CAVITY BEHIND EYE FOR DECOMPRESSION,,,1834.04,7264.49,7 CPT,67415,PR FINE NEEDLE ASP ORBTL CONTENTS,703.0,527.25,40.44,681.91,683 CPT,67420,PR ORBITOTOMY W LESN RMVL LAT APP,7576.0,5682.0,735.88,7348.72,683 CPT,67500,PR INJ RETROBULBAR MEDICATION,518.0,388.5,27.15,502.46,697 CPT,67515,PR INJECTION TENONS CAPSULE,330.0,247.5,18.88,320.1,697 CPT,67516,PR SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,506.0,379.5,39.22,490.82,697 CPT,67550,INSERTION OF IMPLANT OUTSIDE EYE MUSCLES,,,1401.74,4824.39,7 CPT,67550,PR INSERT ORBITAL IMPL,4859.0,3644.25,467.25,4713.23,683 CPT,67560,PR RMVL/REVISE ORBITAL IMPLANT,4905.0,3678.75,476.85,4757.85,683 CPT,67700,HC BLEPHAROTOMY DRN ABSC EYELID,903.0,677.25,150.56,875.91,915 CPT,67700,INCISION AND DRAINAGE OF ABSCESS OF EYELID FACILITY,,,150.56,2832.03,7 CPT,67700,PR BLEPHAROTOMY DRN ABSC EYELID,1099.0,824.25,136.44,1066.03,683 CPT,67710,PR SEVERING TARSORRHAPHY,1030.0,772.5,116.42,999.1,683 CPT,67710,REMOVAL OF SUTURES BETWEEN UPPER AND LOWER EYELIDS FACILITY,,,127.4,4824.39,7 CPT,67715,PR CANTHOTOMY SEPARATE PROCEDURE,1335.0,1001.25,133.33,1294.95,683 CPT,67800,PR EXCISION CHALAZION SINGLE,500.0,375.0,42.58,485.0,697 CPT,67801,PR EXCISN CHALAZION MULT SAME LID,839.0,629.25,54.09,813.83,697 CPT,67805,PR EXCISN CHALAZION MULT DIFF LID,1003.0,752.25,67.97,972.91,697 CPT,67810,BIOPSY OF EYELID FACILITY,,,81.27,389.5,7 CPT,67810,HC BX EYELID SKIN & LID MARGIN,3347.0,2510.25,81.27,3347.0,915 CPT,67810,PR BX EYELID SKIN & LID MARGIN,532.0,399.0,27.09,516.04,698 CPT,67820,HC CORRECT TRICHIASIS EPIL FORCEP,898.0,673.5,28.04,871.06,915 CPT,67820,PR CORRECT TRICHIASIS EPIL FORCEP,184.0,138.0,9.19,178.48,683 CPT,67820,REMOVAL OF EYELASHES USING FORCEPS FACILITY,,,28.04,163.38,7 CPT,67825,PR CORRECT TRICHIASIS EPILATION,607.0,455.25,52.62,588.79,697 CPT,67830,PR CORRECT TRICHIASIS INC LID MRG,883.0,662.25,58.4,856.51,697 CPT,67840,PR EXCISION LESION EYELID,770.0,577.5,65.79,746.9,697 CPT,67850,"DESTRUCTION OF GROWTH OF EYELID MARGIN, 1.0 CM OR LESS FACILITY",,,165.41,2832.03,7 CPT,67850,PR DEST LESN EYELID MARGIN <=1CM,893.0,669.75,55.14,866.21,697 CPT,67875,PR TEMPORARY CLSR EYELIDS SUTURE,1359.0,1019.25,88.03,1318.23,683 CPT,67875,TEMPORARY CLOSURE OF EYELIDS BY SUTURE FACILITY,,,119.4,2917.52,7 CPT,67880,PR CNSTRCT EYE INTERMARG ADHSNS,1920.0,1440.0,156.48,1862.4,697 CPT,67882,PR CNSTRCT INTERMARG ADSN W TRNSP,2705.0,2028.75,198.79,2623.85,697 CPT,67900,PR REPAIR BROW PTOSIS,3817.0,2862.75,320.95,3702.49,683 CPT,67900,REPAIR OF BROW PARALYSIS PROFESSIONAL,,,636.12,2917.52,7 CPT,67901,PR RPR BLEPHAROPT FRNT MUS W SUTR,5401.0,4050.75,246.05,5238.97,697 CPT,67902,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING INTERNAL TISSUES,,,904.71,4824.39,7 CPT,67903,PR RPR BLEPHAROPT LEVAT RSECT INT,3639.0,2729.25,200.26,3529.83,697 CPT,67904,PR RPR BLEPHAROPT LEVAT RSECT EXT,4862.0,3646.5,363.67,4716.14,683 CPT,67904,REPAIR OF TENDON OF UPPER EYELID FACILITY,,,746.81,2917.52,7 CPT,67908,PR RPR BLEPH CONJ-TARSO-MULLER'S,3000.0,2250.0,183.62,2910.0,697 CPT,67908,"REMOVAL OF TISSUE, MUSCLE, AND MEMBRANE TO CORRECT EYELID DROOPING OR PARALYSIS PROFESSIONAL",,,550.85,2917.52,7 CPT,67911,PR CORRECTION EYELID RETRACTION,3168.0,2376.0,233.91,3072.96,683 CPT,67912,PR CORREC LAGOPHTHALMOS W IMPLNT,4640.0,3480.0,435.3,4500.8,683 CPT,67912,RESTORATION OF EYELID BLINKING FUNCTION WITH IMPLANT FACILITY,,,621.86,2917.52,7 CPT,67914,PR REPAIR OF ECTROPION SUTURE,2250.0,1687.5,238.66,2182.5,683 CPT,67917,EXTENSIVE REPAIR OF TURNING-OUTWARD EYELID DEFECT PROFESSIONAL,,,576.21,2917.52,7 CPT,67917,PR REPAIR ECTROPION EXTENSIVE,3844.0,2883.0,305.19,3728.68,683 CPT,67921,PR REPAIR ENTROPION SUTURE,1768.0,1326.0,135.25,1714.96,697 CPT,67924,EXTENSIVE REPAIR OF TURNING-INWARD EYELID DEFECT PROFESSIONAL,,,576.27,2917.52,7 CPT,67924,PR REPAIR ENTROPION EXTENSIVE,3735.0,2801.25,317.51,3622.95,683 CPT,67930,PR SUTR EYELID RECENT WOUND PRTL,1558.0,1168.5,96.54,1511.26,697 CPT,67935,PR REPAIR EYELID WOUND FULL THICK,2747.0,2060.25,295.85,2664.59,683 CPT,67938,PR REMOVAL EMBEDED FB EYELID,990.0,742.5,122.77,960.3,683 CPT,67938,REMOVAL OF EMBEDDED FOREIGN BODY IN EYELID FACILITY,,,147.41,389.5,7 CPT,67950,PR CANTHOPLASTY,3513.0,2634.75,287.38,3407.61,683 CPT,67950,RECONSTRUCTION OF EYELID MARGIN FACILITY,,,583.97,4824.39,7 CPT,67961,PR EXCISN&RPR EYELID<=1/4 MARGIN,2738.0,2053.5,191.25,2655.86,697 CPT,67966,PR EXCISN&RPR EYELID>1/4 MARGIN,3957.0,2967.75,271.95,3838.29,697 CPT,67966,REMOVAL OF OVER 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,,,815.85,4068.55,7 CPT,67971,PR RCNST EYELID <= 2/3 1ST STG,4493.0,3369.75,297.89,4358.21,683 CPT,67973,PR RECONSTR EYELID LOWER 1 STGE,6333.0,4749.75,381.02,6143.01,683 CPT,67975,PR RECONSTR EYELID SCND STGE,3132.0,2349.0,283.52,3038.04,683 CPT,67999,PR BLEPHEX,250.0,187.5,6.25,242.5,683 CPT,67999,PR ENDOSCOPIC BROW LIFT,3817.0,2862.75,95.43,3702.49,683 CPT,67999,UNLISTED PROCEDURE EYELIDS FACILITY,,,338.7,389.5,6 CPT,68020,PR INCISN CONJUNCTIVA DRAINE CYST,545.0,408.75,46.51,528.65,697 CPT,68100,BIOPSY OF EYELID LINING FACILITY,,,119.4,2917.52,7 CPT,68100,PR BIOPSY OF CONJUNCTIVA,809.0,606.75,87.54,784.73,683 CPT,68110,PR EXCISN LESN CONJUNCTIVA<= 1 CM,960.0,720.0,115.71,931.2,683 CPT,68110,"REMOVAL OF GROWTH OF EYELID LINING, 1.0 CM OR LESS FACILITY",,,189.36,2917.52,7 CPT,68115,PR EXCISN LESN CONJUNCTIVA> 1 CM,1114.0,835.5,161.23,1080.58,683 CPT,68130,PR EXCISN LSN CONJUNCT ADJ SCLERA,2142.0,1606.5,270.45,2077.74,683 CPT,68135,PR DESTRUCTION LESION CONJUNCTIVA,792.0,594.0,63.62,768.24,697 CPT,68200,PR INJECTION SUBCONJUNCTIVAL,209.0,156.75,14.25,202.73,697 CPT,68320,PR CNJNCTVPLSTY W CNJNCT GRFT,2958.0,2218.5,364.4,2869.26,683 CPT,68326,PR CNJNCTVPLSTY RCNST W GRFT,4136.0,3102.0,270.49,4011.92,683 CPT,68326,RECONSTRUCTION OF CONJUNCTIVA WITH GRAFT FROM OUTER EYE OR REARRANGEMENT PROFESSIONAL,,,811.46,5072.31,7 CPT,68330,RELEASE OF SCAR TISSUE FROM CONJUNCTIVA,,,584.0,2832.03,7 CPT,68340,PR RPR/DIVISION SYMBLEPHARON,2942.0,2206.5,173.94,2853.74,697 CPT,68340,RELEASE OF SCAR TISSUE FROM EYELIDS,,,521.81,2832.03,7 CPT,68362,PR FLAP CONJUNCTIVAL TOTAL,2932.0,2199.0,274.16,2844.04,683 CPT,68420,PR INCISN/DRN LACRIMAL SAC,1342.0,1006.5,69.14,1301.74,697 CPT,68440,PR SNIP INCISION LACRIMAL PUNCTUM,693.0,519.75,44.39,672.21,697 CPT,68525,PR BIOPSY LACRIMAL SAC,1285.0,963.75,101.56,1246.45,683 CPT,68700,PR PLASTIC REPAIR CANALICULI,2834.0,2125.5,252.99,2748.98,683 CPT,68720,PR DACRYOCYSTORHINOSTOMY,4260.0,3195.0,343.97,4132.2,683 CPT,68750,PR CONJUNCTIVORHINOSTOMY W TUBE,5000.0,3750.0,366.37,4850.0,683 CPT,68760,PR CLOSURE LACRIMAL PUNCTUM,889.0,666.75,106.96,862.33,683 CPT,68760,"REPAIR TEAR DUCT OPENING BY HEAT, TYING, OR LASER SURGERY FACILITY",,,187.37,2832.03,7 CPT,68761,CLOSURE OF TEAR DUCT OPENING USING PLUG FACILITY,,,152.24,389.5,7 CPT,68761,HC CLSR LACRIM PUNCTUM BY PLUG EA,2177.0,1632.75,152.24,2111.69,915 CPT,68761,PR CLSR LACRIM PUNCTUM BY PLUG EA,454.0,340.5,70.0,440.38,683 CPT,68801,DILATION OF TEAR DRAINAGE OPENING FACILITY,,,105.35,4575.22,7 CPT,68801,PR DILATION LACRIMAL PUNCTUM,389.0,291.75,46.12,377.33,683 CPT,68810,PR PROBE NASOLACRIMAL DUCT,724.0,543.0,78.39,702.28,683 CPT,68811,INSERTION OF PROBE INTO NASAL TEAR DUCT UNDER ANESTHESIA,,,172.68,2917.52,7 CPT,68811,PR PROBE NASOLACRIMAL DUCT W ANES,921.0,690.75,57.56,893.37,683 CPT,68815,PR PROBE NASOLACRIMAL DUCT W TUBE,1707.0,1280.25,181.73,1655.79,683 CPT,68815,PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,,,283.5,2917.52,7 CPT,68840,PR PROBE LACRIMAL CANALICULI,454.0,340.5,51.14,440.38,697 CPT,68841,INSERTION OF DRUG DELIVERY IMPLANT INTO TEAR DUCT OF EYE,,,40.34,6530.01,7 CPT,68841,PR INSJ RX ELUT IMPLT LAC CANAL,339.0,254.25,18.95,328.83,683 CPT,69000,HC DRAIN ABSC EXTERNAL EAR SIMPLE,2815.0,2111.25,171.86,2730.55,915 CPT,69000,PR DRAIN ABSC EXTERNAL EAR SIMPLE,703.0,527.25,93.21,681.91,683 CPT,69020,PR DRAIN LESION EAR CANAL EXTRNL,737.0,552.75,64.78,714.89,697 CPT,69090,PR EAR PIERCING,167.0,125.25,75.15,167.0,676 CPT,69100,BIOPSY OF EAR FACILITY,,,55.2,290.65,7 CPT,69100,HC BIOPSY EXTERNAL EAR,2845.0,2133.75,55.2,2845.0,915 CPT,69100,PR BIOPSY EXTERNAL EAR,424.0,318.0,38.34,411.28,693 CPT,69105,BIOPSY OF EAR CANAL FACILITY-EXPRESS CARE,,,84.17,7264.49,7 CPT,69105,PR BX EXTERNAL AUDITORY CANAL,709.0,531.75,28.06,687.73,697 CPT,69110,PARTIAL REMOVAL OF EXTERNAL EAR WITH SIMPLE REPAIR,,,439.44,3564.51,7 CPT,69110,PR EXCISN EXTRNL EAR PRTL SMPL,2488.0,1866.0,228.21,2413.36,683 CPT,69120,PR EXCISN EXTRNL EAR COMPLETE AMP,1875.0,1406.25,175.79,1818.75,683 CPT,69120,REMOVAL OF ENTIRE EAR,,,527.37,7264.49,7 CPT,69140,PR EXCISN EXOSTOSIS EXT AUD CANAL,5036.0,3777.0,410.21,4884.92,683 CPT,69145,PR EXCISN SOFT TISS LSN EXTRNL CANAL,1650.0,1237.5,196.76,1600.5,683 CPT,69145,REMOVAL OF GROWTH IN SOFT TISSUE OF EAR CANAL FACILITY,,,346.58,3564.51,7 CPT,69200,HC RMVL FB EAR CANAL EXTRNL,428.0,321.0,61.23,415.16,915 CPT,69200,PR RMVL FB EAR CANAL EXTRNL,501.0,375.75,33.86,485.97,693 CPT,69209,HC RMVL IMPACT CERUMEN IRRIG UNILAT,275.0,206.25,24.71,266.75,915 CPT,69209,PR RMVL IMPACT CERUMEN IRRIG UNILAT,100.0,75.0,8.24,97.0,683 CPT,69210,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,257.0,192.75,39.84,249.29,915 CPT,69210,PR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,158.0,118.5,19.82,153.26,694 CPT,69220,PR DBRD MASTOIDECTOMY SIMPLE,324.0,243.0,32.49,314.28,693 CPT,69220,SIMPLE REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY FACILITY,,,65.15,15754.92,7 CPT,69222,COMPLEX REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY,,,184.04,661.83,7 CPT,69222,PR DBRD MASTOIDECTOMY COMPLEX,816.0,612.0,61.35,791.52,697 CPT,69300,PR OTOPLASTY PROTRUDING EAR,4963.0,3722.25,317.95,4814.11,683 CPT,69300,REPAIR OF PROTRUDING EAR FACILITY,,,625.67,4068.55,7 CPT,69310,PR RCNST EXTR AUDITORY CANAL,6812.0,5109.0,504.94,6607.64,683 CPT,69310,RECONSTRUCTION OF EAR CANAL,,,1514.81,7264.49,7 CPT,69420,PR MYRINGOT INCL ASP/TUBE INFLATN,603.0,452.25,53.89,584.91,697 CPT,69421,PR MYRINGOTOMY W ANES,1033.0,774.75,67.27,1002.01,683 CPT,69424,PR RMVL VENTILATING TUBE W ANES,673.0,504.75,27.13,652.81,697 CPT,69424,REMOVAL OF IMPLANTED EARDRUM TUBE UNDER ANESTHESIA-EXPRESS CARE,,,81.38,7264.49,7 CPT,69433,PR TYMPANOSTOMY LOC/TOP ANES,781.0,585.75,58.33,757.57,697 CPT,69436,INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA,,,211.68,7264.49,7 CPT,69436,PR TYMPANOSTOMY W GEN ANES,890.0,667.5,70.56,863.3,683 CPT,69440,PR MIDDLE EAR EXPLORATION,4322.0,3241.5,304.26,4192.34,683 CPT,69450,INCISION OF EAR CANAL WITH RELEASE OF SCAR TISSUE,,,726.44,4068.55,7 CPT,69450,PR TYMPANOLYSIS TRANSCANAL,3505.0,2628.75,242.15,3399.85,683 CPT,69501,PR TRANSMASTOID ANTROTOMY,4632.0,3474.0,310.14,4493.04,683 CPT,69502,PR MASTOIDECTOMY COMPLETE,6130.0,4597.5,410.11,5946.1,683 CPT,69502,REMOVAL OF MIDDLE EAR (MASTOID) BONE,,,1230.32,7264.49,7 CPT,69530,PR PETROUS ABICECTOMY W MASTDCTMY,9950.0,7462.5,742.16,9651.5,683 CPT,69535,PR RSECT TEMPORAL BN EXTERNAL APP,16380.0,12285.0,1154.12,15888.6,683 CPT,69535,REMOVAL OF SKULL BONE SURROUNDING EAR,,,2308.24,3462.36,7 CPT,69550,PR EXCISN AURAL GLOMOS TMR TRNSCANL,6944.0,5208.0,476.96,6735.68,683 CPT,69550,REMOVAL OF GROWTH OF OUTER EAR THROUGH EAR CANAL,,,1430.88,7264.49,7 CPT,69610,PR REPAIR TYMPANIC MEMBRANE,1440.0,1080.0,186.22,1396.8,683 CPT,69610,REPAIR OF EARDRUM,,,365.91,7264.49,7 CPT,69620,PR MYRINGOPLASTY,3990.0,2992.5,360.5,3870.3,683 CPT,69631,PR TYMPANOPLASTY WO RCNST,6074.0,4555.5,389.61,5891.78,683 CPT,69631,REPAIR OF EARDRUM AND EAR CANAL WITH OPENING TO EAR BONES,,,1168.83,7264.49,7 CPT,69632,PR TYMPANOPLASTY W RCNST,8823.0,6617.25,472.56,8558.31,683 CPT,69632,"REPAIR OF EARDRUM, EAR CANAL, AND BONES",,,1417.68,7264.49,7 CPT,69633,PR TYMPANOPLSTY W RCNST&PROSTH,7572.0,5679.0,459.71,7344.84,683 CPT,69633,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH INSERTION OF PROSTHESIS",,,1379.12,7264.49,7 CPT,69635,PR TYMPLSTY W ANTROT WO RCNST,8706.0,6529.5,572.22,8444.82,683 CPT,69641,COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE,,,1358.21,7264.49,7 CPT,69641,PR TYMPLSTY W MASTOID WO RCNST,7458.0,5593.5,452.74,7234.26,683 CPT,69642,PR TYMPLSTY W MASTOID W RCNST,9388.0,7041.0,578.03,9106.36,683 CPT,69642,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MIDDLE EAR BONE",,,1734.08,7264.49,7 CPT,69643,PR TYMPLSTY WO OSC CHAIN RCNST,9519.0,7139.25,530.5,9233.43,683 CPT,69643,REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,1591.49,7264.49,7 CPT,69644,PR TYMPLSTY W OSC CHAIN RCNST,10661.0,7995.75,668.52,10341.17,683 CPT,69644,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MASTOID BONE, WITH INTACT CANAL WALL",,,2005.56,7264.49,7 CPT,69645,EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,1974.89,7264.49,7 CPT,69645,PR TYMPLSTY RAD WO OSC CHN RCSTRC,9830.0,7372.5,658.3,9535.1,683 CPT,69646,EXTENSIVE REPAIR AND RECONSTRUCTION OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,2092.65,7264.49,7 CPT,69646,PR TYMPLSTY RAD W OSC CHN RCSTRCT,12684.0,9513.0,697.55,12303.48,683 CPT,69660,INCISION OR REMOVAL OF MIDDLE EAR BONE,,,1198.89,7264.49,7 CPT,69660,PR STAPEDECTOMY REESTAB OSSICULAR,6756.0,5067.0,399.63,6553.32,683 CPT,69661,INCISION OR REMOVAL OF EAR BONE WITH DRILLING,,,1558.55,7264.49,7 CPT,69661,PR STAPEDECTOMY W FOOTPLATE DRILL,9129.0,6846.75,519.52,8855.13,683 CPT,69662,PR REVISION OF STAPEDECTOMY,8916.0,6687.0,497.88,8648.52,683 CPT,69666,REPAIR OF OPENING OF MIDDLE TO INNER EAR,,,1055.21,7264.49,7 CPT,69667,PR REPAIR ROUND WINDOW FISTULA,8442.0,6331.5,352.96,8188.74,683 CPT,69670,PR MASTOID OBLITERATION,7678.0,5758.5,409.77,7447.66,683 CPT,69705,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON ONE SIDE OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,217.67,7264.49,7 CPT,69705,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,18207.0,13655.25,1245.81,17660.79,683 CPT,69706,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON BOTH SIDES OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,301.64,7264.49,7 CPT,69706,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,17307.0,12980.25,1290.14,16787.79,683 CPT,69714,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO SKULL WITH ATTACHMENT THROUGH SKIN TO EXTERNAL SPEECH PROCESSOR,,,640.65,15754.92,7 CPT,69714,PR IMPL TEMP BONE WO MASTOIDECT,6649.0,4986.75,213.55,6449.53,683 CPT,69716,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO MASTOID BONE OF SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,,,797.58,15754.92,7 CPT,69716,PR IMPLTJ OI IMPLT SKL TC ESP,4859.0,3644.25,265.86,4713.23,683 CPT,69719,PR REVJ/RPLCMT OI IMPLT TC ESP,3435.0,2576.25,274.62,3331.95,683 CPT,69801,PR TRANSCANAL LABYRINTH PERFUSION,1616.0,1212.0,52.6,1567.52,698 CPT,69805,OPERATION OF INNER EAR,,,1328.52,7264.49,7 CPT,69805,PR ENDOLYMPHATIC SAC OP WO SHUNT,8532.0,6399.0,442.84,8276.04,683 CPT,69905,PR LABYRINTHECTOMY TRANSCANAL,5721.0,4290.75,399.29,5549.37,683 CPT,69910,PR LABYRINTHECTOMY W MASTOIDECT,8823.0,6617.25,426.79,8558.31,683 CPT,69910,REMOVAL OF INNER EAR CANAL AND MASTOID BONE,,,1280.36,40461.57,7 CPT,69930,INSERTION OF COCHLEAR DEVICE,,,1552.91,40461.57,7 CPT,69930,PR COCHLEAR DEVICE IMPLANTATION,9405.0,7053.75,517.64,9122.85,683 CPT,69949,PR COCHLEAR IMPLANT REMOVAL,7079.0,5309.25,176.98,6866.63,683 CPT,69949,PR REPAIR OF SEMI-CIRCULAR CANAL DEHISCENCE,8532.0,6399.0,213.3,8276.04,683 CPT,69949,UNLISTED PROC INNER EAR,,,252.74,290.65,6 CPT,69990,PR MICROSURG TQS W USE OPER MICRO,2253.0,1689.75,190.17,2253.0,676 CPT,69990,USE OF OPERATING MICROSCOPE PROFESSIONAL,,,285.26,8904.43,7 CPT,70030,HC XR EYE FB,293.0,219.75,34.91,293.0,915 CPT,70030,PR XR EYE FB,110.5,82.875,8.56,169.0,1352 CPT,70100,PR XR MANDIBLE PRTL 1-3V,124.0,93.0,8.89,172.0,1352 CPT,70110,HC XR MANDIBLE COMPLT MIN 4V,351.0,263.25,45.59,351.0,915 CPT,70110,PR XR MANDIBLE COMPLT MIN 4V,185.5,139.125,11.54,232.0,1352 CPT,70140,PR XR FACIAL BONES 1-2V,76.5,57.375,9.54,115.0,1352 CPT,70150,HC XR FACIAL BONES COMPLT MIN 3V,349.0,261.75,49.95,349.0,915 CPT,70150,PR XR FACIAL BONES COMPLT MIN 3V,180.5,135.375,12.2,204.0,1352 CPT,70160,HC XR NASAL BONES COMPLT MIN 3V,274.0,205.5,42.18,274.0,915 CPT,70160,PR XR NASAL BONES COMPLT MIN 3V,130.5,97.875,8.23,191.0,1352 CPT,70200,HC XR ORBITS COMPLT MIN 4V,346.0,259.5,48.98,346.0,915 CPT,70200,PR XR ORBITS COMPLT MIN 4V,195.0,146.25,12.86,223.0,1352 CPT,70210,PR XR SINUS 1-2V,114.0,85.5,8.23,135.0,1352 CPT,70220,PR XR SINUS COMPLT MIN 3V,127.5,95.625,10.21,145.0,1352 CPT,70250,HC XR SKULL 1-3V,330.0,247.5,39.27,330.0,917 CPT,70250,PR XR SKULL 1-3V,137.0,102.75,8.56,174.0,1352 CPT,70260,PR XR SKULL COMPLT MIN 4V,161.0,120.75,12.86,196.0,1352 CPT,70336,HC MRI TMJ,1946.0,1459.5,254.61,1946.0,916 CPT,70336,PR MRI TMJ,1461.0,1095.75,65.96,1645.0,1366 CPT,70355,HC ORTHOPANTOGRAM,287.0,215.25,13.53,287.0,915 CPT,70355,PR ORTHOPANTOGRAM,91.0,68.25,9.88,104.0,1352 CPT,70360,HC XR NECK/SOFT TISS,323.0,242.25,32.48,323.0,916 CPT,70360,PR XR NECK/SOFT TISS,98.5,73.875,8.56,131.0,1352 CPT,70371,PR SPEECH EVAL CMPLX W VIDEO,596.0,447.0,108.44,596.0,683 CPT,70450,HC CT HEAD/BRAIN WO CNTRST,860.0,645.0,97.53,860.0,918 CPT,70450,PR CT HEAD/BRAIN WO CNTRST,699.5,524.625,38.86,994.0,1366 CPT,70460,HC CT HEAD/BRAIN W CNTRST,939.0,704.25,139.71,939.0,917 CPT,70460,PR CT HEAD/BRAIN W CNTRST,1020.5,765.375,51.36,1384.0,1366 CPT,70470,HC CT HEAD/BRAIN WO/W CNTRST,1096.0,822.0,166.41,1096.0,916 CPT,70470,PR CT HEAD/BRAIN WO/W CNTRST,833.5,625.125,57.66,1094.0,1366 CPT,70471,PR CTA H&N C+ W/NONCONTRAST IMG,3200.0,2400.0,116.6,5000.0,1366 CPT,70472,PR CT CERE PRFU ALYS C+W/CT/CTA,995.0,746.25,35.89,1372.0,1352 CPT,70473,PR CT CERE PRFU ALY C+WO CT/CTA,3262.0,2446.5,46.77,5517.0,1366 CPT,70480,HC CT ORBIT/EAR/FOSSA WO CNTRST,817.0,612.75,111.56,817.0,918 CPT,70480,PR CT ORBIT/EAR/FOSSA WO CNTRST,879.5,659.625,58.32,1289.0,1366 CPT,70481,HC CT ORBIT/EAR/FOSSA W CNTRST,1108.0,831.0,185.34,1108.0,916 CPT,70481,PR CT ORBIT/EAR/FOSSA W CNTRST,1073.5,805.125,51.36,1531.0,1366 CPT,70482,PR CT ORBT/EAR/FOSSA WO/W CNTRST,1376.5,1032.375,57.34,1779.0,1366 CPT,70486,HC CT MAXFAC WO CNTRST,1087.0,815.25,111.56,1087.0,917 CPT,70486,PR CT MAXFAC WO CNTRST,770.0,577.5,39.19,1030.0,1366 CPT,70487,HC CT MAXFAC W CNTRST,1101.0,825.75,144.56,1101.0,916 CPT,70487,PR CT MAXFAC W CNTRST,938.0,703.5,51.36,1244.0,1366 CPT,70488,PR CT MAXFAC WO/W CNTRST,1164.5,873.375,57.66,1473.0,1366 CPT,70490,HC CT NECK/SOFT TISS WO CNTRST,891.0,668.25,111.56,891.0,916 CPT,70490,PR CT NECK/SOFT TISS WO CNTRST,795.5,596.625,58.32,980.0,1366 CPT,70491,HC CT NECK/SOFT TISS W CNTRST,2052.0,1539.0,174.18,2052.0,919 CPT,70491,PR CT NECK/SOFT TISS W CNTRST,1174.0,880.5,62.63,1709.0,1366 CPT,70492,PR CT NECK/SOFT TISS WO/W CNTRST,844.0,633.0,72.86,972.0,1366 CPT,70496,HC CTA HEAD WO/W CNTRST,1837.0,1377.75,187.17,1837.0,920 CPT,70496,PR CTA HEAD WO/W CNTRST,1652.0,1239.0,79.11,2454.0,1366 CPT,70498,HC CTA NECK WO/W CNTRST,1837.0,1377.75,187.17,1837.0,920 CPT,70498,PR CTA NECK WO/W CNTRST,1601.5,1201.125,79.11,2414.0,1366 CPT,70540,HC MRI ORBIT/FACE/NCK WO CNTRST,2394.0,1795.5,236.31,2394.0,916 CPT,70540,PR MRI ORBIT/FACE/NCK WO CNTRST,1566.0,1174.5,60.98,2211.0,1366 CPT,70542,HC MRI ORBIT/FACE/NCK W CNTRST,3288.0,2466.0,278.99,3288.0,915 CPT,70542,PR MRI ORBIT/FACE/NCK W CNTRST,2579.0,1934.25,73.51,3576.0,1366 CPT,70543,HC MRI ORBT/FACE/NCK WO/W CNTRST,3606.0,2704.5,345.98,3606.0,918 CPT,70543,PR MRI ORBT/FACE/NCK WO/W CNTRST,2584.0,1938.0,97.52,3880.0,1366 CPT,70544,HC MRA HEAD WO CNTRST,2391.0,1793.25,231.89,2391.0,918 CPT,70544,PR MRA HEAD WO CNTRST,1326.0,994.5,54.35,2066.0,1366 CPT,70545,HC MRA HEAD W CNTRST,2571.0,1928.25,248.88,2571.0,917 CPT,70545,PR MRA HEAD W CNTRST,1727.0,1295.25,54.35,2980.0,1366 CPT,70546,HC MRA HEAD WO/W CNTRST,3563.0,2672.25,372.28,3563.0,917 CPT,70546,PR MRA HEAD WO/W CNTRST,2103.0,1577.25,66.89,3388.0,1366 CPT,70547,HC MRA NECK WO CNTRST,1888.0,1416.0,231.89,1888.0,917 CPT,70547,PR MRA NECK WO CNTRST,1311.5,983.625,54.35,1909.0,1366 CPT,70548,PR MRA NECK W CNTRST,1615.5,1211.625,67.88,2895.0,1366 CPT,70549,HC MRA NECK WO/W CNTRST,3407.0,2555.25,372.28,3407.0,918 CPT,70549,PR MRA NECK WO/W CNTRST,2245.5,1684.125,81.43,3563.0,1366 CPT,70551,HC MRI BRAIN WO CNTRST,1975.0,1481.25,185.34,1975.0,919 CPT,70551,PR MRI BRAIN WO CNTRST,1675.5,1256.625,66.89,2311.0,1366 CPT,70552,HC MRI BRAIN W CNTRST,2460.0,1845.0,271.7,2460.0,916 CPT,70552,PR MRI BRAIN W CNTRST,1941.0,1455.75,80.76,2960.0,1366 CPT,70553,HC MRI BRAIN WO/W CNTRST,3394.0,2545.5,307.62,3394.0,921 CPT,70553,PR MRI BRAIN WO/W CNTRST,2514.5,1885.875,103.77,3495.0,1366 CPT,70554,HC MRI FUNCT BRAIN NOT REQ MD,2449.0,1836.75,254.61,2449.0,915 CPT,70554,PR MRI FUNCT BRAIN NOT REQ MD,2699.5,2024.625,96.47,3499.0,1366 CPT,70555,HC MRI FUNCTIONAL BRAIN REQ MD,2919.0,2189.25,254.61,2919.0,917 CPT,70555,PR MRI FUNCTIONAL BRAIN REQ MD,3372.0,2529.0,112.8,5178.0,1352 CPT,70557,PR MR BRAIN INTCRAN PROC WO CST,4904.0,3678.0,151.64,7594.0,1352 CPT,70559,PR MR BRN INTRCR PROC WO/W,3884.0,2913.0,153.97,6350.0,1352 CPT,71045,HC XR EXAM CHEST 1V,160.0,120.0,24.71,160.0,921 CPT,71045,PR XR EXAM CHEST 1V,118.0,88.5,8.24,135.0,1352 CPT,71046,HC XR EXAM CHEST 2V,237.0,177.75,33.44,237.0,919 CPT,71046,PR XR EXAM CHEST 2V,157.0,117.75,9.89,217.0,1352 CPT,71047,PR XR EXAM CHEST 3V,189.0,141.75,12.53,224.0,1352 CPT,71048,PR XR EXAM CHEST 4+V,240.0,180.0,43.89,240.0,676 CPT,71100,HC XR RIB UNILAT 2V,281.0,210.75,37.32,281.0,915 CPT,71100,PR XR RIB UNILAT 2V,164.0,123.0,10.21,226.0,1352 CPT,71101,PR XR RIB W PA CHST UNILAT MIN 3V,158.0,118.5,12.49,219.0,1352 CPT,71110,HC XR RIB BILAT 3V,338.0,253.5,42.66,338.0,915 CPT,71110,PR XR RIB BILAT 3V,152.5,114.375,13.2,180.0,1352 CPT,71120,HC XR STERNUM MIN 2V,251.0,188.25,34.41,251.0,915 CPT,71120,PR XR STERNUM MIN 2V,118.5,88.875,9.23,140.0,1352 CPT,71130,PR XR STERNCLAV JT MIN 3V,188.0,141.0,10.21,218.0,1352 CPT,71250,HC CT THORAX WO CNTRST,920.0,690.0,111.56,920.0,919 CPT,71250,PR CT THORAX WO CNTRST,1190.5,892.875,48.76,1717.0,1366 CPT,71260,HC CT THORAX W CNTRST,1351.0,1013.25,163.98,1351.0,918 CPT,71260,PR CT THORAX W CNTRST,1308.0,981.0,53.01,2006.0,1366 CPT,71270,HC CT THORAX WO/W CNTRST,1803.0,1352.25,187.17,1803.0,915 CPT,71270,PR CT THORAX WO/W CNTRST,1151.5,863.625,56.67,1568.0,1366 CPT,71271,PR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,604.0,453.0,48.76,900.0,1366 CPT,71275,HC CTA CHEST WO/W CNTRST,2008.0,1506.0,187.17,2008.0,918 CPT,71275,PR CTA CHEST WO/W CNTRST,1994.0,1495.5,82.33,2980.0,1366 CPT,71550,HC MRI CHEST WO CNTRST,2183.0,1637.25,254.61,2183.0,916 CPT,71550,PR MRI CHEST WO CNTRST,1345.5,1009.125,65.61,1823.0,1192 CPT,71551,PR MRI CHEST W CNTRST,1883.0,1412.25,78.44,2578.0,1366 CPT,71552,HC MRI CHEST WO/W CNTRST,3182.0,2386.5,372.28,3182.0,916 CPT,71552,PR MRI CHEST WO/W CNTRST,2402.0,1801.5,102.44,3393.0,1366 CPT,71555,PR MRA CHEST W OR WO CNTRST,2129.0,1596.75,81.43,3161.0,1366 CPT,72020,HC XR SPINE 1V,237.0,177.75,23.25,237.0,916 CPT,72020,PR XR SPINE 1V,92.0,69.0,7.57,109.0,1352 CPT,72040,HC XR SPINE CERV 2-3V,285.0,213.75,42.66,285.0,917 CPT,72040,PR XR SPINE CERV 2-3V,162.5,121.875,10.21,227.0,1352 CPT,72050,HC XR SPINE CERV MIN 4-5V,384.0,288.0,61.11,384.0,916 CPT,72050,PR XR SPINE CERV MIN 4-5V,187.0,140.25,12.82,237.0,1352 CPT,72052,HC XR SPINE CERV >= 6 VIEWS,437.0,327.75,70.34,437.0,916 CPT,72052,PR XR SPINE CERV >= 6 VIEWS,193.5,145.125,14.14,273.0,1352 CPT,72070,HC XR SPINE THORAC 2V,406.0,304.5,33.93,406.0,916 CPT,72070,PR XR SPINE THORAC 2V,155.0,116.25,9.56,215.0,1352 CPT,72072,HC XR SPINE THORAC 3V,462.0,346.5,41.21,462.0,915 CPT,72072,PR XR SPINE THORAC 3V,143.0,107.25,10.22,205.0,1352 CPT,72080,PR XR SPINE THORACOLUMBAR 2V,145.0,108.75,9.88,200.0,1352 CPT,72081,PR XR SPINE THORACOLUMBAR 1V,121.0,90.75,12.48,174.0,1352 CPT,72082,HC XR SPINE THORACOLUMBAR 2-3V,352.0,264.0,82.47,352.0,917 CPT,72082,PR XR SPINE THORACOLUMBAR 2-3V,191.5,143.625,14.8,300.0,1352 CPT,72083,PR XR SPINE THORACOLUMBAR 4-5V,279.0,209.25,16.78,374.0,1352 CPT,72084,PR XR SPINE THORACOLUMBAR 6>V,264.0,198.0,19.43,354.0,1352 CPT,72100,HC XR SPINE LUMBOSACRAL 2-3V,357.0,267.75,43.16,357.0,917 CPT,72100,PR XR SPINE LUMBOSACRAL 2-3V,154.5,115.875,10.54,223.0,1352 CPT,72110,HC XR SPINE LUMBOSACRAL MIN 4V,381.0,285.75,59.18,381.0,915 CPT,72110,PR XR SPINE LUMBOSACRAL MIN 4V,197.5,148.125,12.48,259.0,1352 CPT,72114,HC XR SPINE LUMBOSACRAL MIN 6V,408.0,306.0,68.88,408.0,915 CPT,72114,PR XR SPINE LUMBOSACRAL MIN 6V,213.5,160.125,14.14,293.0,1352 CPT,72120,PR XR LUMBOSACRAL BEND 2-3V,153.5,115.125,10.54,164.0,1352 CPT,72125,HC CT CERV SPINE WO CNTRST,1022.0,766.5,111.56,1022.0,917 CPT,72125,PR CT CERV SPINE WO CNTRST,827.0,620.25,45.78,1184.0,1366 CPT,72126,HC CT CERV SPINE W CNTRST,1669.0,1251.75,163.01,1669.0,917 CPT,72126,PR CT CERV SPINE W CNTRST,1165.5,874.125,55.34,1754.0,1366 CPT,72127,HC CT CERV SPINE WO/W CNTRST,1750.0,1312.5,187.17,1750.0,915 CPT,72127,PR CT CERV SPINE WO/W CNTRST,1522.0,1141.5,57.34,2047.0,1366 CPT,72128,HC CT THORAC SPINE WO CNTRST,1162.0,871.5,111.56,1162.0,917 CPT,72128,PR CT THORAC SPINE WO CNTRST,648.5,486.375,45.78,802.0,1366 CPT,72129,HC CT THORAC SPINE W CNTRST,1336.0,1002.0,164.46,1336.0,916 CPT,72129,PR CT THORAC SPINE W CNTRST,1269.0,951.75,55.34,1957.0,1366 CPT,72130,HC CT THORAC SPINE WO/W CNTRST,1584.0,1188.0,187.17,1584.0,915 CPT,72130,PR CT THORAC SPINE WO/W CNTRST,1727.5,1295.625,57.66,2250.0,1366 CPT,72131,HC CT LUMBAR SPINE WO CNTRST,1050.0,787.5,111.56,1050.0,917 CPT,72131,PR CT LUMBAR SPINE WO CNTRST,812.0,609.0,45.78,1117.0,1366 CPT,72132,HC CT LUMBAR SPINE W CNTRST,1669.0,1251.75,163.5,1669.0,916 CPT,72132,PR CT LUMBAR SPINE W CNTRST,1269.5,952.125,55.34,1957.0,1366 CPT,72133,PR CT LUMBAR SPINE WO/W CNTRST,1341.5,1006.125,57.66,1779.0,1366 CPT,72141,HC MRI CERV SPINE WO CNTRST,2023.0,1517.25,178.07,2023.0,917 CPT,72141,PR MRI CERV SPINE WO CNTRST,1634.0,1225.5,67.21,2250.0,1366 CPT,72142,HC MRI CERV SPINE W CNTRST,2436.0,1827.0,277.53,2436.0,915 CPT,72142,PR MRI CERV SPINE W CNTRST,2307.5,1730.625,81.65,3226.0,1366 CPT,72146,HC MRI THORAC SPINE WO CNTRST,1687.0,1265.25,177.57,1687.0,918 CPT,72146,PR MRI THORAC SPINE WO CNTRST,1517.5,1138.125,67.21,2094.0,1366 CPT,72147,HC MRI THORAC SPINE W CNTRST,2439.0,1829.25,274.62,2439.0,915 CPT,72147,PR MRI THORAC SPINE W CNTRST,2636.5,1977.375,81.08,3583.0,1366 CPT,72148,HC MRI LUMB SPINE WO CNTRST,1926.0,1444.5,179.03,1926.0,919 CPT,72148,PR MRI LUMB SPINE WO CNTRST,1694.0,1270.5,67.54,2388.0,1366 CPT,72149,HC MRI LUMB SPINE W CNTRST,2364.0,1773.0,272.19,2364.0,916 CPT,72149,PR MRI LUMB SPINE W CNTRST,2482.5,1861.875,81.08,3286.0,1366 CPT,72156,HC MRI CERV SPINE WO/W CNTRST,2885.0,2163.75,308.6,2885.0,918 CPT,72156,PR MRI CERV SPINE WO/W CNTRST,2482.0,1861.5,104.09,3373.0,1366 CPT,72157,HC MRI THORAC SPINE WO/W CNTRST,3096.0,2322.0,309.57,3096.0,918 CPT,72157,PR MRI THORAC SPINE WO/W CNTRST,3055.5,2291.625,104.09,4652.0,1366 CPT,72158,HC MRI LUMB SPINE WO/W CNTRST,2918.0,2188.5,309.08,2918.0,918 CPT,72158,PR MRI LUMB SPINE WO/W CNTRST,2453.0,1839.75,104.09,3616.0,1366 CPT,72159,PR MRA SPINE W/WO CNTRST,1986.0,1489.5,81.43,2807.0,1366 CPT,72170,HC XR PELVIS 1-2V,357.0,267.75,28.59,357.0,917 CPT,72170,PR XR PELVIS 1-2V,105.5,79.125,8.23,140.0,1352 CPT,72190,PR XR PELVIS COMPLT MIN 3V,137.5,103.125,12.15,166.0,1352 CPT,72191,HC CTA PELVIS WO/W CNTRST,1437.0,1077.75,187.17,1437.0,916 CPT,72191,PR CTA PELVIS WO/W CNTRST,1924.0,1443.0,81.35,2469.0,1366 CPT,72192,HC CT PELVIS WO CNTRST,925.0,693.75,111.56,925.0,917 CPT,72192,PR CT PELVIS WO CNTRST,834.5,625.875,49.1,1178.0,1366 CPT,72193,HC CT PELVIS W CNTRST,1309.0,981.75,187.17,1309.0,916 CPT,72193,PR CT PELVIS W CNTRST,1283.0,962.25,52.69,2037.0,1366 CPT,72194,HC CT PELVIS WO/W CNTRST,1432.0,1074.0,187.17,1432.0,915 CPT,72194,PR CT PELVIS WO/W CNTRST,1133.5,850.125,55.34,1391.0,1366 CPT,72195,HC MRI PELVIS WO CNTRST,2000.0,1500.0,233.4,2000.0,917 CPT,72195,PR MRI PELVIS WO CNTRST,1283.5,962.625,65.94,1855.0,1192 CPT,72196,HC MRI PELVIS W CNTRST,2860.0,2145.0,274.13,2860.0,915 CPT,72196,PR MRI PELVIS W CNTRST,2021.5,1516.125,78.44,2763.0,1366 CPT,72197,HC MRI PELVIS WO/W CNTRST,3495.0,2621.25,338.21,3495.0,918 CPT,72197,PR MRI PELVIS WO/W CNTRST,3021.0,2265.75,100.13,4636.0,1366 CPT,72198,PR MRA PELVIS W/WO CNTRST,2185.5,1639.125,80.78,3063.0,1366 CPT,72200,HC XR SACROILIAC JOINT 1-2V,332.0,249.0,36.84,332.0,915 CPT,72200,PR XR SACROILIAC JOINT 1-2V,178.0,133.5,8.23,250.0,1352 CPT,72202,PR XR SACROILIAC JOINT >= 3 V,94.0,70.5,37.7,94.0,676 CPT,72220,HC XR SACRUM COCCYX MIN 2V,306.0,229.5,34.41,306.0,915 CPT,72220,PR XR SACRUM COCCYX MIN 2V,122.5,91.875,8.23,178.0,1352 CPT,72295,PR DISCOGRAPHY LUMB S&I,1436.5,1077.375,39.85,2030.0,1352 CPT,73000,HC XR CLAVICLE COMPLT,293.0,219.75,36.84,293.0,916 CPT,73000,PR XR CLAVICLE COMPLT,101.0,75.75,7.9,130.0,1352 CPT,73010,HC XR SCAPULA COMPLT,345.0,258.75,23.25,345.0,915 CPT,73010,PR XR SCAPULA COMPLT,106.0,79.5,8.88,140.0,1352 CPT,73020,HC XR SHOULDER 1V,282.0,211.5,20.82,282.0,915 CPT,73020,PR XR SHOULDER 1V,89.5,67.125,7.24,108.0,1352 CPT,73030,HC XR SHOULDER COMPLT MIN 2V,257.0,192.75,38.78,257.0,915 CPT,73030,PR XR SHOULDER COMPLT MIN 2V,106.5,79.875,8.89,140.0,1352 CPT,73050,HC XR AC JOINT BILAT,317.0,237.75,30.53,317.0,915 CPT,73050,PR XR AC JOINT BILAT,128.5,96.375,9.21,148.0,1352 CPT,73060,HC XR HUMERUS MIN 1V,317.0,237.75,34.91,317.0,916 CPT,73060,HC XR HUMERUS MIN 2V,323.0,242.25,34.91,323.0,916 CPT,73060,PR XR HUMERUS MIN 2V,123.0,92.25,7.9,166.0,1352 CPT,73070,HC XR ELBOW 2V,302.0,226.5,31.02,309.0,1830 CPT,73070,PR XR ELBOW 2V,85.5,64.125,7.9,108.0,1352 CPT,73080,HC XR ELBOW COMPLT MIN 3V,299.0,224.25,35.87,299.0,915 CPT,73080,PR XR ELBOW COMPLT MIN 3V,118.5,88.875,8.23,161.0,1352 CPT,73090,HC XR FOREARM 2V,309.0,231.75,31.02,309.0,915 CPT,73090,PR XR FOREARM 2V,103.0,77.25,7.57,142.0,1352 CPT,73100,HC XR WRIST 2V,256.0,192.0,37.82,256.0,915 CPT,73100,PR XR WRIST 2V,103.5,77.625,8.22,143.0,1352 CPT,73110,HC XR WRIST COMPLT MIN 3V,252.0,189.0,49.47,252.0,915 CPT,73110,PR XR WRIST COMPLT MIN 3V,103.5,77.625,8.55,146.0,1352 CPT,73120,HC XR HAND 1V,362.0,271.5,33.93,362.0,915 CPT,73120,HC XR HAND 2V,353.0,264.75,33.93,353.0,915 CPT,73120,PR XR HAND 2V,127.0,95.25,7.9,171.0,1352 CPT,73130,HC XR HAND MIN 3V,293.0,219.75,42.66,293.0,915 CPT,73130,PR XR HAND MIN 3V,161.5,121.125,8.55,229.0,1352 CPT,73140,HC XR FINGER(S) MIN 2V,281.0,210.75,47.52,281.0,915 CPT,73140,PR XR FINGER(S) MIN 2V,97.0,72.75,6.57,136.0,1352 CPT,73200,HC CT UPR EXT WO CNTRST,919.0,689.25,111.56,919.0,916 CPT,73200,PR CT UPR EXT WO CNTRST,691.5,518.625,45.78,950.0,1366 CPT,73201,HC CT UPR EXT W CNTRST,1263.0,947.25,212.04,1263.0,915 CPT,73201,PR CT UPR EXT W CNTRST,997.5,748.125,52.69,1301.0,1366 CPT,73202,PR CT UPR EXT WO/W CNTRST,1266.5,949.875,55.02,1722.0,1366 CPT,73206,HC CTA UPR EXT WO/W CNTRST,1279.0,959.25,187.17,1279.0,915 CPT,73206,PR CTA UPR EXT WO/W CNTRST,1581.0,1185.75,81.35,2105.0,1366 CPT,73218,HC MRI UPR EXT NONJOINT WO CNTRST,1692.0,1269.0,254.61,1692.0,915 CPT,73218,PR MRI UPR EXT NONJOINT WO CNTRST,1301.0,975.75,61.95,1924.0,1192 CPT,73219,PR MRI UPR EXT NONJOINT W CNTRST,2201.0,1650.75,73.83,3103.0,1366 CPT,73220,HC MRI UPR EXT NOJNT WO/W CNTRST,2785.0,2088.75,372.28,2785.0,916 CPT,73220,PR MRI UPR EXT NOJNT WO/W CNTRST,2076.5,1557.375,98.17,2929.0,1366 CPT,73221,HC MRI UPR EXT JOINT WO CNTRST,1868.0,1401.0,206.22,1868.0,916 CPT,73221,PR MRI UPR EXT JOINT WO CNTRST,1357.5,1018.125,62.27,1883.0,1192 CPT,73222,HC MRI UPR EXT JOINT W CNTRST,2760.0,2070.0,345.02,2760.0,915 CPT,73222,PR MRI UPR EXT JOINT W CNTRST,1569.5,1177.125,74.16,2221.0,1366 CPT,73223,HC MRI UPR EXT JOINT WO/W CNTRST,2948.0,2211.0,372.28,2948.0,915 CPT,73223,PR MRI UPR EXT JOINT WO/W CNTRST,1778.5,1333.875,98.17,2517.0,1366 CPT,73501,HC XR HIP W PELVIS UNILAT 1V,253.0,189.75,35.87,253.0,915 CPT,73501,PR XR HIP W PELVIS UNILAT 1V,98.0,73.5,8.89,114.0,1352 CPT,73502,HC XR HIP W PELVIS UNILAT 2-3V,285.0,213.75,55.29,285.0,915 CPT,73502,PR XR HIP W PELVIS UNILAT 2-3V,178.0,133.5,10.54,245.0,1352 CPT,73503,HC XR HIP W PELVIS UNILAT 4>V,341.0,255.75,71.79,341.0,915 CPT,73503,PR XR HIP W PELVIS UNILAT 4>V,221.5,166.125,13.14,308.0,1352 CPT,73521,PR XR HIP W PELVIS BILAT 2V,135.5,101.625,10.54,210.0,1352 CPT,73522,PR XR HIP W PELVIS BILAT 3-4V,150.5,112.875,13.81,181.0,1352 CPT,73523,PR XR HIP W PELVIS BILAT MIN 5V,174.5,130.875,14.48,233.0,1352 CPT,73551,HC XR FEMUR 1V,242.0,181.5,31.02,242.0,915 CPT,73551,PR XR FEMUR 1V,107.0,80.25,7.9,128.0,1352 CPT,73552,HC XR FEMUR MIN 2V,311.0,233.25,39.27,311.0,915 CPT,73552,PR XR FEMUR MIN 2V,113.5,85.125,8.56,150.0,1352 CPT,73560,HC XR KNEE 1-2V,243.0,182.25,38.3,243.0,916 CPT,73560,PR XR KNEE 1-2V,110.5,82.875,7.9,141.0,1352 CPT,73562,HC XR KNEE 3V,251.0,188.25,48.0,251.0,915 CPT,73562,PR XR KNEE 3V,128.0,96.0,9.21,184.0,1352 CPT,73564,HC XR KNEE COMPLT MIN 4V,334.0,250.5,55.77,334.0,915 CPT,73564,PR XR KNEE COMPLT MIN 4V,179.0,134.25,10.86,247.0,1352 CPT,73590,HC XR TIBIA & FIBULA 2V,276.0,207.0,34.41,276.0,915 CPT,73590,PR XR TIBIA & FIBULA 2V,97.0,72.75,7.57,126.0,1352 CPT,73600,HC XR ANKLE 1V,270.0,202.5,35.39,270.0,915 CPT,73600,HC XR ANKLE 2V,291.0,218.25,35.39,291.0,915 CPT,73600,PR XR ANKLE 2V,101.5,76.125,7.9,128.0,1352 CPT,73610,HC XR ANKLE COMPLT MIN 3V,318.0,238.5,41.7,318.0,915 CPT,73610,PR XR ANKLE COMPLT MIN 3V,116.0,87.0,8.23,160.0,1352 CPT,73620,HC XR FOOT 1V,270.0,202.5,30.53,270.0,915 CPT,73620,HC XR FOOT 2V,284.0,213.0,30.53,284.0,915 CPT,73620,PR XR FOOT 2V,91.5,68.625,7.57,116.0,1352 CPT,73630,HC XR FOOT COMPLT MIN 3V,300.0,225.0,37.82,300.0,915 CPT,73630,PR XR FOOT COMPLT MIN 3V,105.5,79.125,7.91,144.0,1352 CPT,73650,HC XR CALCANEUS MIN 1V,297.0,222.75,30.05,297.0,915 CPT,73650,HC XR CALCANEUS MIN 2V,306.0,229.5,30.05,306.0,915 CPT,73650,PR XR CALCANEUS MIN 2V,94.0,70.5,7.57,125.0,1352 CPT,73660,HC XR TOE(S) MIN 2V,281.0,210.75,32.48,281.0,915 CPT,73660,PR XR TOE(S) MIN 2V,103.5,77.625,6.25,148.0,1352 CPT,73700,HC CT LWR EXT WO CNTRST,888.0,666.0,111.56,888.0,917 CPT,73700,PR CT LWR EXT WO CNTRST,622.5,466.875,45.78,780.0,1366 CPT,73701,HC CT LWR EXT W CNTRST,1108.0,831.0,163.5,1108.0,915 CPT,73701,PR CT LWR EXT W CNTRST,929.0,696.75,52.69,1360.0,1366 CPT,73702,HC CT LWR EXT WO/W CNTRST,1108.0,831.0,187.17,1108.0,915 CPT,73702,PR CT LWR EXT WO/W CNTRST,1541.0,1155.75,55.02,1958.0,1366 CPT,73706,HC CTA LWR EXT WO/W CNTRST,1345.0,1008.75,187.17,1345.0,915 CPT,73706,PR CTA LWR EXT WO/W CNTRST,1538.0,1153.5,85.61,2022.0,1366 CPT,73718,HC MRI LWR EXT NONJNT WO CNTRST,1758.0,1318.5,232.92,1758.0,915 CPT,73718,PR MRI LWR EXT NONJNT WO CNTRST,1326.5,994.875,61.3,2019.0,1192 CPT,73719,PR MRI LWR EXT NONJOINT W CNTRST,2015.5,1511.625,73.19,2731.0,1366 CPT,73720,HC MRI LWR EXT NOJNT WO/W CNTRST,2452.0,1839.0,342.59,2452.0,917 CPT,73720,PR MRI LWR EXT NOJNT WO/W CNTRST,1886.0,1414.5,97.85,2895.0,1366 CPT,73721,HC MRI LWR EXT JOINT WO CNTRST,1562.0,1171.5,205.73,1562.0,917 CPT,73721,PR MRI LWR EXT JOINT WO CNTRST,1245.5,934.125,61.95,1669.0,1192 CPT,73722,HC MRI LWR EXT JOINT W CNTRST,2682.0,2011.5,348.41,2682.0,915 CPT,73722,PR MRI LWR EXT JOINT W CNTRST,1636.5,1227.375,74.16,2195.0,1366 CPT,73723,HC MRI LWR EXT JOINT WO/W CNTRST,2969.0,2226.75,372.28,2969.0,916 CPT,73723,PR MRI LWR EXT JOINT WO/W CNTRST,2007.0,1505.25,97.85,2885.0,1366 CPT,74018,HC XR EXAM ABDOMEN 1V,317.0,237.75,30.53,317.0,917 CPT,74018,PR XR EXAM ABDOMEN 1V,111.0,83.25,8.56,139.0,1352 CPT,74019,HC XR EXAM ABDOMEN 2V,347.0,260.25,36.84,347.0,916 CPT,74019,PR XR EXAM ABDOMEN 2V,132.5,99.375,10.55,172.0,1352 CPT,74021,PR XR EXAM ABDOMEN 3+V,186.0,139.5,12.21,258.0,1352 CPT,74150,HC CT ABDOMEN WO CNTRST,853.0,639.75,111.56,853.0,916 CPT,74150,PR CT ABDOMEN WO CNTRST,662.0,496.5,54.02,736.0,1366 CPT,74160,HC CT ABDOMEN W CNTRST,1474.0,1105.5,187.17,1474.0,918 CPT,74160,PR CT ABDOMEN W CNTRST,1372.5,1029.375,57.66,2079.0,1366 CPT,74170,HC CT ABDOMEN WO/W CNTRST,1822.0,1366.5,187.17,1822.0,916 CPT,74170,PR CT ABDOMEN WO/W CNTRST,990.0,742.5,63.3,1403.0,1366 CPT,74174,HC CTA ABD&PELVIS WO/W CNTRST,3379.0,2534.25,372.28,3379.0,918 CPT,74174,PR CTA ABD&PELVIS WO/W CNTRST,3260.0,2445.0,99.48,5040.0,1366 CPT,74175,HC CTA ABDOMEN WO/W CNTRST,2245.0,1683.75,187.17,2245.0,917 CPT,74175,PR CTA ABDOMEN WO/W CNTRST,2365.5,1774.125,82.01,3600.0,1366 CPT,74176,HC CT ABD&PELVIS WO CNTRST,1688.0,1266.0,149.9,1688.0,919 CPT,74176,PR CT ABD&PELVIS WO CNTRST,1699.0,1274.25,78.77,2348.0,1366 CPT,74177,HC CT ABD&PELVIS W CNTRST,2126.0,1594.5,314.48,2126.0,919 CPT,74177,PR CT ABD&PELVIS W CNTRST,1889.0,1416.75,82.65,2748.0,1366 CPT,74178,HC CT ABD&PELVIS WO/W CNTRST,2309.0,1731.75,356.18,2309.0,918 CPT,74178,PR CT ABD&PELVIS WO/W CNTRST,2198.0,1648.5,91.55,3296.0,1366 CPT,74181,HC MRI ABDOMEN WO CNTRST,2356.0,1767.0,184.86,2356.0,916 CPT,74181,PR MRI ABDOMEN WO CNTRST,1704.5,1278.375,65.61,2646.0,1366 CPT,74182,HC MRI ABDOMEN W CNTRST,2596.0,1947.0,321.23,2596.0,915 CPT,74182,PR MRI ABDOMEN W CNTRST,2259.5,1694.625,78.12,3232.0,1366 CPT,74183,HC MRI ABDOMEN WO/W CNTRST,3511.0,2633.25,340.64,3511.0,918 CPT,74183,PR MRI ABDOMEN WO/W CNTRST,3258.5,2443.875,100.13,4998.0,1366 CPT,74185,PR MRA ABDOMEN WO/W CNTRST,2045.5,1534.125,81.35,2913.0,1366 CPT,74190,PR PERITONEOGRAM S&I,377.0,282.75,21.41,401.0,1352 CPT,74220,HC XR ESOPHAGUS,574.0,430.5,96.56,574.0,918 CPT,74220,PR XR ESOPHAGUS,299.0,224.25,27.36,445.0,1352 CPT,74221,PR XR ESOPHAGUS DBL CONTRAST,444.5,333.375,31.62,551.0,1353 CPT,74230,HC SWALLOWING STUDY W VIDEO,655.0,491.25,138.8,655.0,917 CPT,74230,PR SWALLOWING STUDY W VIDEO,382.0,286.5,24.38,574.0,1352 CPT,74240,HC XR UGI SINGLE CONTRAST,658.0,493.5,122.28,658.0,916 CPT,74240,PR XR UGI SINGLE CONTRAST,336.0,252.0,37.23,478.0,1352 CPT,74246,PR XR UGI DOUBLE CONTRAST,368.0,276.0,41.18,524.0,1352 CPT,74248,PR XR SMALL BOWEL FOLLOW THROUGH,386.0,289.5,31.62,408.0,1352 CPT,74250,HC XR SMALL BOWEL,579.0,434.25,117.44,579.0,916 CPT,74250,PR XR SMALL BOWEL,341.5,256.125,36.88,492.0,1352 CPT,74261,HC CT COLONOGRAPHY DX WO CNTRST,842.0,631.5,111.56,842.0,916 CPT,74261,PR CT COLONOGRAPHY DX WO CNTRST,1579.5,1184.625,109.35,2031.0,1366 CPT,74262,HC CT COLONOGRAPHY DX WO/W CNTRST,1385.0,1038.75,187.17,1385.0,916 CPT,74262,PR CT COLONOGRAPHY DX WO/W CNTRST,1471.5,1103.625,113.98,1940.0,1366 CPT,74263,PR CT COLONOGRAPHY SCRN,1558.5,1168.875,118.51,2464.0,1366 CPT,74270,HC XR COLON SINGLE CONTRAST,581.0,435.75,146.57,581.0,917 CPT,74270,PR XR COLON SINGLE CONTRAST,464.5,348.375,47.1,730.0,1352 CPT,74300,PR CHOLANG OR S&I,285.5,214.125,12.78,365.0,1352 CPT,74328,HC ERCP CATH BILIARY S&I,843.0,632.25,379.35,843.0,911 CPT,74328,PR ERCP CATH BILIARY S&I,325.0,243.75,23.7,325.0,676 CPT,74329,HC ENDO CATH PANCREATIC SYSTEM,783.0,587.25,352.35,783.0,910 CPT,74329,PR ENDO CATH PANCREATIC SYSTEM,572.5,429.375,24.03,818.0,1352 CPT,74330,PR ERCP CATH BILIARY&PANCREAS S&I,654.5,490.875,27.32,975.0,1352 CPT,74340,PR INTRO LONG G TUBE W FL S&I,573.5,430.125,21.0,762.0,1362 CPT,74360,HC INTRALUMINAL DILATION S&I,852.0,639.0,383.4,852.0,910 CPT,74360,PR INTRALUMINAL DILATION S&I,479.0,359.25,28.52,578.0,1352 CPT,74420,HC UROGRAPHY RETRO WO OR W KUB,747.0,560.25,81.99,747.0,917 CPT,74420,PR UROGRAPHY RETRO WO OR W KUB,520.5,390.375,24.4,687.0,1353 CPT,74425,HC UROGRAPHY ANTEGRADE S&I,1146.0,859.5,160.16,1146.0,915 CPT,74425,PR UROGRAPHY ANTEGRADE S&I,462.0,346.5,23.38,597.0,1352 CPT,74430,HC CYSTOGRAPHY MIN 3VWS S&I,1230.0,922.5,38.78,1230.0,915 CPT,74430,PR CYSTOGRAPHY MIN 3VWS S&I,388.0,291.0,14.81,456.0,1353 CPT,74450,PR URETHROCYSTOGRAPHY RETRO S&I,444.0,333.0,15.14,677.0,1353 CPT,74455,PR URETHROCYSTOGRAPHY VOIDING S&I,496.5,372.375,15.47,801.0,1353 CPT,74740,HC HSG S&I,792.0,594.0,105.3,792.0,916 CPT,74740,PR HSG S&I,242.5,181.875,17.46,311.0,1352 CPT,74775,PR PERINEOGRAM,534.5,400.875,28.3,583.0,1352 CPT,75557,HC CARD MRI MORPH&FUNC WO CNTRST,1979.0,1484.25,249.92,1979.0,916 CPT,75557,PR CARD MRI MORPH&FUNC WO CNTRST,2695.0,2021.25,106.25,3627.0,1366 CPT,75559,PR CARD MRI MORPH&FUNC WO W ST,2790.0,2092.5,133.72,3822.0,1366 CPT,75561,HC CARD MRI MORP&FUNC WO/W CNTRST,2836.0,2127.0,356.18,2836.0,918 CPT,75561,PR CARD MRI MORP&FUNC WO/W CNTRST,2861.5,2146.125,118.37,4068.0,1366 CPT,75563,HC CARD MRI MORPH&FUNC WO/W ST,3639.0,2729.25,424.14,3639.0,915 CPT,75563,PR CARD MRI MORPH&FUNC WO/W ST,4795.5,3596.625,136.25,6619.0,1366 CPT,75565,PR CARD MRI VELOCITY FLOW MAPPING,432.0,324.0,11.22,651.0,1352 CPT,75571,HC CT HRT WO CNTRST W CA SCORE,509.0,381.75,92.86,509.0,916 CPT,75571,PR CT HRT WO CNTRST W CA SCORE,427.5,320.625,26.37,620.0,1366 CPT,75572,PR CT HRT W CNTRST MORPHOLOGY,1359.5,1019.625,79.18,1382.0,1366 CPT,75574,PR CTA HRT CORONARY W CNTRST,1588.0,1191.0,109.1,2168.0,1366 CPT,75580,PR N-INVAS EST C FFR SW ALY CTA,1473.0,1104.75,33.98,2837.0,1352 CPT,75605,HC AORTOGRAPHY THORACIC S&I,10337.0,7752.75,99.9,10337.0,915 CPT,75605,PR AORTOGRAPHY THORACIC S&I,1169.5,877.125,51.19,1191.0,1352 CPT,75625,HC AORTOGRAPHY ABDOMINAL S&I,9394.0,7045.5,86.36,9394.0,915 CPT,75625,PR AORTOGRAPHY ABDOMINAL S&I,489.0,366.75,64.42,645.0,1352 CPT,75630,HC AORTOGRAPHY ABD LWR EXT S&I,13409.0,10056.75,93.59,13409.0,915 CPT,75630,PR AORTOGRAPHY ABD LWR EXT S&I,804.0,603.0,89.58,804.0,676 CPT,75635,HC CTA ABD ART RUNOF WO/W CNTRST,2443.0,1832.25,187.17,2443.0,916 CPT,75635,PR CTA ABD ART RUNOF WO/W CNTRST,2144.0,1608.0,108.02,2960.0,1366 CPT,75705,HC ANGIOGRAPHY SPINAL SEL S&I,16462.0,12346.5,244.04,16462.0,915 CPT,75705,PR ANGIOGRAPHY SPINAL SEL S&I,1934.0,1450.5,119.54,2333.0,1352 CPT,75710,HC ANGIOGRAPHY EXT UNILAT S&I,8845.0,6633.75,99.9,8845.0,915 CPT,75710,PR ANGIOGRAPHY EXT UNILAT S&I,321.0,240.75,78.9,321.0,676 CPT,75716,HC ANGIOGRAPHY EXT BILAT S&I,11194.0,8395.5,105.24,11194.0,916 CPT,75716,PR ANGIOGRAPHY EXT BILAT S&I,942.5,706.875,88.58,947.0,1352 CPT,75726,HC ANGIOGRAPHY VISCERAL SEL S&I,13586.0,10189.5,111.56,13586.0,916 CPT,75726,PR ANGIOGRAPHY VISCERAL SEL S&I,590.0,442.5,89.5,590.0,676 CPT,75731,PR ANGIO ADRENAL UNILAT SEL S&I,1529.5,1147.125,51.7,2253.0,1352 CPT,75736,HC ANGIOGRAPHY PELVIC SEL S&I,15142.0,11356.5,135.29,15142.0,916 CPT,75736,PR ANGIOGRAPHY PELVIC SEL S&I,1030.5,772.875,49.4,1402.0,1352 CPT,75741,HC ANGIO PULMONARY UNILAT SEL S&I,9527.0,7145.25,100.86,9527.0,915 CPT,75741,PR ANGIO PULMONARY UNILAT SEL S&I,1262.5,946.875,57.63,1589.0,1352 CPT,75743,HC ANGIO PULMONARY BILAT SEL S&I,9211.0,6908.25,103.79,9211.0,915 CPT,75743,PR ANGIO PULMONARY BILAT SEL S&I,1659.5,1244.625,73.4,1948.0,1352 CPT,75746,PR ANGIO PULMONARY NONSEL S&I,1283.5,962.625,50.4,1720.0,1352 CPT,75756,PR ANGIOGRAPHY INTRNL MAMMARY S&I,508.0,381.0,162.73,508.0,676 CPT,75774,HC ANGIOGRAPHY SEL ADD VSSL S&I,3515.0,2636.25,73.74,3515.0,910 CPT,75774,PR ANGIOGRAPHY SEL ADD VSSL S&I,852.0,639.0,43.8,1316.0,1352 CPT,75801,PR LYMPHANGIOGRPH EXT ONLY UNILAT,583.0,437.25,42.76,583.0,676 CPT,75803,PR LYMPHANGIOGRPH EXT ONLY BILAT,1153.5,865.125,53.35,1374.0,1352 CPT,75805,HC LYMPHANGIOGRPH PELV/ABD UNILAT,8592.0,6444.0,3369.29,8592.0,915 CPT,75805,PR LYMPHANGIOGRPH PELV/ABD UNILAT,965.0,723.75,37.2,1340.0,1352 CPT,75807,HC LYMPHANGIOGRPH PELV/ABD BILAT,9405.0,7053.75,3369.29,9405.0,915 CPT,75807,PR LYMPHANGIOGRPH PELV/ABD BILAT,742.0,556.5,50.4,1108.0,1352 CPT,75810,PR SPLENOPORTOGRAPHY S&I,1862.5,1396.875,46.44,3044.0,1352 CPT,75820,HC VENOGRAPHY EXT UNILAT S&I,4409.0,3306.75,85.88,4409.0,916 CPT,75820,PR VENOGRAPHY EXT UNILAT S&I,461.0,345.75,47.36,590.0,1352 CPT,75822,HC VENOGRAPHY EXT BILAT S&I,4873.0,3654.75,95.58,4873.0,917 CPT,75822,PR VENOGRAPHY EXT BILAT S&I,587.0,440.25,66.38,587.0,676 CPT,75825,HC VENOGRAPHY IVC S&I,9377.0,7032.75,89.27,9377.0,917 CPT,75825,PR VENOGRAPHY IVC S&I,746.0,559.5,51.15,746.0,676 CPT,75827,HC VENOGRAPHY SVC S&I,4785.0,3588.75,96.08,4785.0,915 CPT,75827,PR VENOGRAPHY SVC S&I,1006.0,754.5,51.76,1006.0,676 CPT,75831,HC VENO RENAL UNILAT SEL S&I,9151.0,6863.25,99.9,9151.0,915 CPT,75831,PR VENO RENAL UNILAT SEL S&I,1309.0,981.75,49.36,1600.0,1352 CPT,75833,PR VENO RENAL BILAT SEL S&I,632.0,474.0,70.33,632.0,676 CPT,75860,HC VENOGRAPHY SINUS OR JUG S&I,8841.0,6630.75,110.58,8841.0,916 CPT,75860,PR VENOGRAPHY SINUS OR JUG S&I,1094.0,820.5,52.52,1127.0,1352 CPT,75870,HC VENOGRAPHY SUPERIOR SAG SINUS,3699.0,2774.25,176.6,3874.69,915 CPT,75870,PR VENOGRAPHY SUPERIOR SAG SINUS,884.5,663.375,60.84,943.0,1352 CPT,75885,HC TXHEP PORT PERC W HEMO EVAL,9426.0,7069.5,104.27,9426.0,915 CPT,75885,PR TXHEP PORT PERC W HEMO EVAL,1509.5,1132.125,62.53,1987.0,1352 CPT,75887,HC TXHEP PORT PERC WO HEMO EVAL,8332.0,6249.0,104.75,8332.0,915 CPT,75887,PR TXHEP PORT PERC WO HEMO EVAL,1460.0,1095.0,62.53,1883.0,1352 CPT,75889,HC VENO HEPATIC W HEMODYN S&I,9733.0,7299.75,104.75,9733.0,916 CPT,75889,PR VENO HEPATIC W HEMODYN S&I,1763.5,1322.625,49.43,2521.0,1352 CPT,75891,HC VENO HEPATIC WO HEMODYN S&I,9119.0,6839.25,105.24,9119.0,915 CPT,75891,PR VENO HEPATIC WO HEMODYN S&I,1817.5,1363.125,49.76,1824.0,1352 CPT,75893,HC VENOUS SAMPLING THRU CATH S&I,16695.0,12521.25,122.72,16695.0,916 CPT,75893,PR VENOUS SAMPLING THRU CATH S&I,338.0,253.5,25.57,452.0,1352 CPT,75894,HC THRPY TXCATH EMBL S&I,5434.0,4075.5,274.62,5434.0,909 CPT,75894,PR THRPY TXCATH EMBL S&I,669.0,501.75,124.09,669.0,676 CPT,75898,HC ANGIO FU THRU CATH S&I,7132.0,5349.0,242.15,7132.0,916 CPT,75898,PR ANGIO FU THRU CATH S&I,959.0,719.25,103.24,959.0,676 CPT,75970,PR BX TRANSCATH S&I,2064.0,1548.0,36.21,3461.0,1352 CPT,75984,PR CHG DRN CATH W CNTRST S&I,609.0,456.75,36.54,798.0,1352 CPT,75989,PR GUIDE DRN PERC PLC CATH S&I,1004.0,753.0,53.65,1241.0,1352 CPT,76000,HC FLUOROSCOPY EXAM UP TO 1 HR,741.0,555.75,41.7,741.0,918 CPT,76000,PR FLUOROSCOPY EXAM UP TO 1 HR,319.5,239.625,15.09,428.0,1352 CPT,76080,HC XR FISTULA/ABSC/SINUS TRCT S&I,1558.0,1168.5,50.43,1558.0,917 CPT,76080,PR XR FISTULA/ABSC/SINUS TRCT S&I,406.0,304.5,23.7,489.0,1352 CPT,76098,HC XR SURG SPECIMEN,1372.0,1029.0,41.21,1372.0,918 CPT,76098,PR XR SURG SPECIMEN,146.0,109.5,14.48,185.0,1352 CPT,76376,HC 3D WO IND WORKSTATION,878.0,658.5,23.25,878.0,911 CPT,76376,PR 3D WO IND WORKSTATION,742.0,556.5,9.23,1090.0,1358 CPT,76377,HC 3D W IND WORKSTATION,578.0,433.5,60.57,578.0,912 CPT,76377,PR 3D W IND WORKSTATION,801.5,601.125,36.53,1056.0,1354 CPT,76380,PR CT LTD FU STDY,731.5,548.625,44.1,939.0,1352 CPT,76390,PR MR SPECTROSCOPY,900.0,675.0,68.3,900.0,676 CPT,76391,PR MR ELASTOGRAPHY,1121.0,840.75,49.43,1479.0,1366 CPT,76496,HC VENOGRM SEL EA ADD VSSL STUDY,571.0,428.25,92.86,571.0,915 CPT,76496,PR VENOGRM SEL EA ADD VSSL STUDY,748.0,561.0,9.0,1316.0,1352 CPT,76497,HC CT SKELETAL SURVEY LDWB,870.0,652.5,92.86,870.0,916 CPT,76497,PR CT SKELETAL SURVEY LDWB,1079.0,809.25,25.95,1639.0,1352 CPT,76498,HC MRI PROCTOGRAPHY & ENDOANAL,5803.0,4352.25,92.86,5803.0,917 CPT,76498,PR MR LYMPHANGIOGRAM,3571.0,2678.25,85.0,3571.0,676 CPT,76498,PR MRI PROCTOGRAPHY,2745.5,2059.125,85.0,4636.0,1352 CPT,76498,PR MRI PROCTOGRAPHY & ENDOANAL,3857.0,2892.75,85.0,6491.0,1352 CPT,76498,PR MRI WHOLE BODY,3095.0,2321.25,85.0,4300.0,1352 CPT,76499,PR BODY COMPOSITION DXA,1400.0,1050.0,70.0,1400.0,676 CPT,76499,PR CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY,73.0,54.75,3.65,73.0,676 CPT,76499,PR INJECTION FOR CONTRAST ENHANCED EXAM,75.0,56.25,3.75,75.0,676 CPT,76510,PR OPTHAL US DX QUANT B&A SCAN,515.0,386.25,67.3,515.0,676 CPT,76511,PR OPHTHAL US DX QUANT A SCAN,340.0,255.0,56.24,340.0,676 CPT,76512,HC US OPHTHALMIC DX B-SCAN,1042.0,781.5,26.64,1042.0,915 CPT,76512,PR US OPHTHALMIC DX B-SCAN,272.5,204.375,29.98,364.0,1352 CPT,76513,PR OPHTHAL US DX EYE WATER BATH,324.0,243.0,74.65,324.0,676 CPT,76514,HC OPHTHAL US DX EYE THICKNESS,318.0,238.5,5.78,318.0,915 CPT,76514,PR OPHTHAL US DX EYE THICKNESS,74.0,55.5,7.55,92.0,1356 CPT,76536,HC US HEAD&NECK SOFT TISS,510.0,382.5,111.56,510.0,918 CPT,76536,PR US HEAD&NECK SOFT TISS,369.5,277.125,26.02,499.0,1353 CPT,76604,HC US CHEST,424.0,318.0,48.5,424.0,916 CPT,76604,PR US CHEST,341.5,256.125,27.31,510.0,1367 CPT,76641,PR US BREAST COMPLT UNILAT,408.5,306.375,33.27,441.0,1352 CPT,76642,HC US BREAST LTD UNILAT,418.0,313.5,75.68,418.0,915 CPT,76642,PR US BREAST LTD UNILAT,336.0,252.0,30.96,485.0,1352 CPT,76700,HC US ABD COMPLT,646.0,484.5,111.56,646.0,919 CPT,76700,PR US ABD COMPLT,504.0,378.0,36.92,648.0,1367 CPT,76705,HC US ABD LTD,544.0,408.0,85.4,544.0,916 CPT,76705,PR US ABD LTD,411.0,308.25,27.03,539.0,1368 CPT,76706,HC US ABD AORTA SCREEN AAA,533.0,399.75,111.56,533.0,915 CPT,76706,PR US ABD AORTA SCREEN AAA,380.0,285.0,25.33,475.0,1352 CPT,76770,HC US RETROPERITONEAL COMPLT,598.0,448.5,104.81,598.0,917 CPT,76770,PR US RETROPERITONEAL COMPLT,517.0,387.75,33.61,741.0,1366 CPT,76775,HC US RETROPERITONEAL LTD,435.0,326.25,48.98,435.0,916 CPT,76775,PR US RETROPERITONEAL LTD,263.0,197.25,26.69,336.0,1366 CPT,76776,HC US TRANSPLANT KIDNEY W DPLR,659.0,494.25,111.56,659.0,916 CPT,76776,PR US TRANSPLANT KIDNEY W DPLR,527.0,395.25,34.28,814.0,1366 CPT,76801,HC OB US < 14 WKS SINGLE FETUS,555.0,416.25,102.38,555.0,916 CPT,76801,PR OB US < 14 WKS SINGLE FETUS,440.5,330.375,45.8,533.0,1352 CPT,76802,PR OB US < 14 WKS ADD FETUS,371.0,278.25,38.88,415.0,1352 CPT,76805,PR US OB OVER 14WKS SNGL,538.0,403.5,46.45,668.0,1352 CPT,76815,PR US PREGNANT UTERUS LIMITED,377.5,283.125,30.28,463.0,1352 CPT,76816,PR US OB FU PER FETUS,391.0,293.25,40.19,476.0,1352 CPT,76817,HC US OB TRANSVAGINAL,410.0,307.5,83.45,410.0,916 CPT,76817,PR US OB TRANSVAGINAL,420.0,315.0,34.91,441.0,1352 CPT,76830,HC US TRANSVAGINAL,590.0,442.5,111.56,590.0,917 CPT,76830,PR US TRANSVAGINAL,378.5,283.875,31.94,513.0,1354 CPT,76831,PR ECHO EXAM UTERUS,336.0,252.0,34.23,430.0,1366 CPT,76856,HC US PELVIS COMPLETE,478.0,358.5,105.78,478.0,917 CPT,76856,PR US PELVIS COMPLETE,344.0,258.0,31.94,419.0,1366 CPT,76857,HC US PELVIS LTD/FU,392.0,294.0,39.75,392.0,916 CPT,76857,PR US PELVIS LTD/FU,269.0,201.75,23.37,319.0,1366 CPT,76870,HC US SCROTUM,492.0,369.0,99.96,492.0,916 CPT,76870,PR US SCROTUM,378.5,283.875,29.3,453.0,1366 CPT,76872,PR US TRANSRECTAL,425.5,319.125,31.34,586.0,1355 CPT,76873,PR US TRANSRECTAL PROSTATE VOLUME,610.5,457.875,75.13,792.0,1353 CPT,76881,HC US EXT NON-VASC COMPLETE,473.0,354.75,15.96,473.0,915 CPT,76881,PR US EXT NON-VASC COMPLETE,336.5,252.375,42.19,453.0,1352 CPT,76882,HC US EXT LTD,381.0,285.75,46.55,381.0,916 CPT,76882,PR US EXT LTD,218.5,163.875,31.61,233.0,1354 CPT,76883,PR US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,483.0,362.25,57.27,621.0,1352 CPT,76932,PR US ENDOMYOCARDIAL BX S&I,480.0,360.0,33.61,480.0,676 CPT,76937,HC US GUIDE VASC ACCESS,435.0,326.25,38.78,521.86,1828 CPT,76937,PR US GUIDE VASC ACCESS,158.0,118.5,13.46,170.0,1354 CPT,76940,PR US GUIDE TISS ABLT,1282.0,961.5,100.29,1282.0,676 CPT,76942,HC US GUIDE PLC NDL,843.0,632.25,47.52,843.0,911 CPT,76942,PR US GUIDE PLC NDL,792.0,594.0,30.98,816.0,1185 CPT,76965,PR US GUIDE INTERS RADIOTHER,1028.0,771.0,66.87,1028.0,676 CPT,76978,HC US TRGT DYN MBUBB 1ST LES,1063.0,797.25,140.67,1063.0,916 CPT,76978,PR US TRGT DYN MBUBB 1ST LES,1195.0,896.25,73.51,1195.0,683 CPT,76981,PR US PARENCHYMA,362.5,271.875,28.65,521.0,1366 CPT,76998,PR US GUIDE INTRAOPERATIVE,684.5,513.375,47.57,832.0,1352 CPT,77001,PR FLUORO GUIDE PLC CVAD,366.5,274.875,17.39,482.0,1352 CPT,77002,HC FLUORO GUIDE NDL PLC,728.0,546.0,136.85,728.0,911 CPT,77002,PR FLUORO GUIDE NDL PLC,522.0,391.5,26.65,618.0,1354 CPT,77003,HC FLUORO GUIDE SPINE INJ,600.0,450.0,110.64,600.0,911 CPT,77003,PR FLUORO GUIDE SPINE INJ,623.5,467.625,27.97,829.0,1352 CPT,77011,PR CT GUIDE STERO LOCALIZ,2023.0,1517.25,59.22,2721.0,1352 CPT,77012,HC CT GUIDE NDL PLC,1975.0,1481.25,81.02,1975.0,913 CPT,77012,PR CT GUIDE NDL PLC,1573.0,1179.75,66.23,2140.0,1352 CPT,77013,PR CT GUIDE TISS ABLT,2859.0,2144.25,174.55,3918.0,1352 CPT,77021,PR MRI GUIDE NDL PLC,1637.0,1227.75,69.25,2300.0,1352 CPT,77046,HC MRI BREAST WO CNTRST UNILAT,2600.0,1950.0,213.5,2600.0,915 CPT,77046,PR MRI BREAST WO CNTRST UNILAT,1824.5,1368.375,65.28,2473.0,1366 CPT,77047,HC MRI BREAST WO CNTRST BILAT,2757.0,2067.75,208.16,2757.0,916 CPT,77047,PR MRI BREAST WO CNTRST BILAT,2123.0,1592.25,72.19,3236.0,1367 CPT,77048,PR MRI BREAST WOW CNTRST W/CAD UNILAT,2628.5,1971.375,95.53,3527.0,1366 CPT,77049,PR MRI BREAST WOW CNTRST W/CAD BILAT,2285.5,1714.125,104.43,3460.0,1366 CPT,77061,PR DIGITAL BREAST TOMO UNILAT,213.0,159.75,27.36,305.0,1352 CPT,77062,PR DIGITAL BREAST TOMO BILAT,274.5,205.875,27.36,388.0,1355 CPT,77063,PR DIGITAL SCRN BRST TOMO BILAT,237.0,177.75,27.36,324.0,1352 CPT,77065,"PR DIAG MAMMO, UNILATERAL, W/CAD",510.5,382.875,37.2,775.0,1352 CPT,77066,"PR DIAG MAMMO, BILATERAL, W/CAD",596.0,447.0,45.78,838.0,1353 CPT,77067,"PR SCREEN MAMMO, BILATERAL, W/CAD",461.0,345.75,34.6,730.0,1352 CPT,77071,PR APP STRESS JOINT RADIOGRAPHY,206.0,154.5,56.79,206.0,677 CPT,77072,PR BONE AGE STUDY,102.0,76.5,8.9,140.0,1352 CPT,77073,HC BONE LENGTH STUDY,341.0,255.75,48.5,341.0,916 CPT,77073,PR BONE LENGTH STUDY,197.5,148.125,12.81,299.0,1352 CPT,77075,HC XR BONE SURVEY COMPLETE,371.0,278.25,104.75,371.0,915 CPT,77075,PR XR BONE SURVEY COMPLETE,351.0,263.25,25.37,480.0,1352 CPT,77080,HC DEXA BONE DENSITY AXIAL,537.0,402.75,43.64,537.0,915 CPT,77080,PR DEXA BONE DENSITY AXIAL,440.5,330.375,9.23,700.0,1352 CPT,77089,PR TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK PROF ONLY,113.0,84.75,38.61,113.0,676 CPT,77261,PR TX PLANNING THER RAD SIMPLE,594.0,445.5,68.69,594.0,676 CPT,77262,PR TX PLANNING THER RADTN INT,865.0,648.75,105.46,865.0,676 CPT,77263,PR TX PLANNING THER RAD COMPLEX,1707.0,1280.25,165.38,1707.0,677 CPT,77280,HC SET RAD SIM THER FIELD SMPL,1054.0,790.5,143.43,1054.0,917 CPT,77280,PR SET RAD SIM THER FIELD SMPL,1197.0,897.75,36.52,1581.0,2028 CPT,77290,HC SET RAD SIM THER FIELD CMPLX,3198.0,2398.5,399.55,3198.0,918 CPT,77290,PR SET RAD SIM THER FIELD CMPLX,2335.0,1751.25,80.61,3275.0,2029 CPT,77293,HC RESP MOTION MANAGEMENT SIM,1924.0,1443.0,432.39,1924.0,911 CPT,77293,PR RESP MOTION MANAGEMENT SIM,1862.0,1396.5,102.74,2893.0,2029 CPT,77295,HC 3D RAD THER ISODOSE FIELD PLAN,5769.0,4326.75,378.29,5769.0,919 CPT,77295,PR 3D RAD THER ISODOSE FIELD PLAN,5069.0,3801.75,221.47,8402.0,2029 CPT,77300,HC BASIC CALCULATE RADTN DOSE,707.0,530.25,49.95,707.0,919 CPT,77300,PR BASIC CALCULATE RADTN DOSE,280.0,210.0,32.23,491.0,2030 CPT,77301,HC IMRT RADIOTHERAPY PLAN,8400.0,6300.0,1476.98,8400.0,919 CPT,77301,PR IMRT RADIOTHERAPY PLAN,6231.0,4673.25,412.97,9059.0,2030 CPT,77306,HC TELETHX ISODOSE PLN SMPL,1213.0,909.75,111.06,1213.0,915 CPT,77306,PR TELETHX ISODOSE PLN SMPL,458.0,343.5,72.72,458.0,676 CPT,77307,HC TELETHX ISODOSE PLN CMPLX,1248.0,936.0,200.76,1248.0,916 CPT,77307,PR TELETHX ISODOSE PLN CMPLX,1561.5,1171.125,149.74,1571.0,1352 CPT,77316,HC BRACHYTHX ISODOSE PLN SMPL,1310.0,982.5,254.6,1310.0,915 CPT,77316,PR BRACHYTHX ISODOSE PLN SMPL,732.0,549.0,72.4,862.0,2028 CPT,77318,HC BRACHYTX ISODOSE PLAN COMPLEX,658.0,493.5,399.55,658.0,916 CPT,77318,PR BRACHYTX ISODOSE PLAN COMPLEX,892.0,669.0,149.74,1620.0,2028 CPT,77321,HC SPECIAL TELETX PORT PLAN,810.0,607.5,65.0,810.0,916 CPT,77321,PR SPECIAL TELETX PORT PLAN,465.0,348.75,43.33,781.0,2028 CPT,77331,HC SPECIAL DOSIMETRY,657.0,492.75,28.1,657.0,915 CPT,77331,PR SPECIAL DOSIMETRY,280.0,210.0,45.07,280.0,676 CPT,77332,HC RAD TX DEV DESIGN SIMPLE,578.0,433.5,24.71,578.0,918 CPT,77332,PR RAD TX DEV DESIGN SIMPLE,249.0,186.75,16.47,491.0,2028 CPT,77333,HC RAD TX DEV DESIGN INTERMEDIATE,715.0,536.25,143.16,715.0,918 CPT,77333,PR RAD TX DEV DESIGN INTERMEDIATE,277.0,207.75,38.51,439.0,2028 CPT,77334,HC RAD TX DEV DESIGN COMPLEX,1654.0,1240.5,96.08,1654.0,919 CPT,77334,PR RAD TX DEV DESIGN COMPLEX,625.0,468.75,59.23,919.0,2029 CPT,77336,HC CONSULT RAD PHYSICS/ WEEK,683.0,512.25,133.59,683.0,919 CPT,77338,HC DESIGN MLC DEV FOR IMRT,1702.0,1276.5,362.75,1702.0,918 CPT,77338,PR DESIGN MLC DEV FOR IMRT,1414.0,1060.5,221.79,2569.0,2030 CPT,77370,HC CONSULT RAD PHYSICS SPECIAL,984.0,738.0,143.43,984.0,917 CPT,77372,HC RADTN STEREOTACTIC CRAN LINEAR,18979.0,14234.25,1356.23,18979.0,916 CPT,77373,HC STEREOTACTIC BODY RADTN DEL,13482.0,10111.5,1421.04,13482.0,918 CPT,77387,HC GUIDANCE FOR LOC RAD TX,323.0,242.25,53.81,323.0,913 CPT,77387,PR GUIDANCE FOR LOC RAD TX,185.0,138.75,35.87,185.0,676 CPT,77402,HC RADTN TX DEL >=1 MEV SMPL,680.0,510.0,108.87,680.0,915 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D,1230.0,922.5,411.57,1230.0,915 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D HYPO,1538.0,1153.5,411.57,1538.0,915 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT,4718.0,3538.5,411.57,4718.0,915 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,5898.0,4423.5,411.57,5898.0,915 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 2D,1317.0,987.75,589.61,1317.0,919 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D,1317.0,987.75,589.61,1317.0,919 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,1646.0,1234.5,589.61,1646.0,919 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,4718.0,3538.5,589.61,4718.0,919 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,5898.0,4423.5,589.61,5898.0,919 CPT,77417,HC THER RADIOLOGY PORT FILMS,226.0,169.5,101.7,226.0,912 CPT,77425,HC INTRAOP RADTN ELECTRON SNGL TX,18979.0,14234.25,7859.37,18979.0,915 CPT,77427,PR RADTN THER MGMT 5 TREATMENTS,1254.0,940.5,191.85,1254.0,676 CPT,77431,PR RADTN THER MGMT 1/2 FRACTONS,598.0,448.5,104.54,598.0,676 CPT,77432,PR RADTN TX MGMT STERETCTC CRNL LSN,3120.0,2340.0,416.73,3120.0,676 CPT,77435,PR STEREOTACTIC BODY RADTN MGMT,4437.0,3327.75,629.92,4437.0,676 CPT,77469,PR RAD TX INTRAOPERATIVE MGMT,2455.0,1841.25,262.42,2455.0,676 CPT,77470,HC SPECIAL TX PROC,1801.0,1350.75,56.21,1801.0,918 CPT,77470,PR SPECIAL TX PROC,1800.0,1350.0,104.67,1800.0,676 CPT,77522,HC PROTON TX SMPL W COMPENSATION,4718.0,3538.5,1333.58,4718.0,915 CPT,77523,HC PROTON TX DEL INTERMEDIATE,4718.0,3538.5,1333.58,4718.0,919 CPT,77523,HC PROTON TX DEL INTERMEDIATE - HYPOFRACTIONATION,5898.0,4423.5,1333.58,5898.0,919 CPT,77525,HC PROTON TX DEL COMPLEX,4718.0,3538.5,1333.58,4718.0,916 CPT,77525,HC PROTON TX DEL COMPLEX - HYPOFRACTIONATION,5898.0,4423.5,1333.58,5898.0,916 CPT,77605,PR HYPERTHERM EXTERNAL GEN DEEP,2945.0,2208.75,101.47,4368.0,2028 CPT,77770,HC HDR RDNCL/ICAV BRACHTX 1 CHNL,2823.0,2117.25,359.4,2823.0,916 CPT,77770,PR HDR RDNCL/ICAV BRACHTX 1 CHNL,938.0,703.5,100.42,1279.0,2028 CPT,77771,HC HDR RDNCL/ICAV BRACHTX 2-12CHNL,3104.0,2328.0,597.5,3104.0,916 CPT,77771,PR HDR RDNCL/ICAV BRACHTX 2-12CHNL,2155.0,1616.25,196.46,3306.0,2028 CPT,77772,HC HDR RDNCL/ICAV BRACHTX > 12CHNL,1152.0,864.0,743.2,1152.0,915 CPT,77772,PR HDR RDNCL/ICAV BRACHTX > 12CHNL,3819.0,2864.25,276.82,4640.0,2028 CPT,77789,PR SURFACE APP RADIATION SOURCE,781.0,585.75,58.89,781.0,676 CPT,77790,HC SUPERVISION/HANDLING RADTN,440.0,330.0,27.08,440.0,909 CPT,78012,PR THYROID UPTAKE SNGL/MULT,262.5,196.875,8.57,402.0,1352 CPT,78014,PR THYROID IMG UPTAKE SNGL/MULT,677.5,508.125,22.4,1127.0,1352 CPT,78018,PR THYROID CARCIN/MET IMG WB,799.0,599.25,37.62,1271.0,1352 CPT,78070,PR PARATHYROID PLANAR IMAGING,549.0,411.75,35.94,878.0,1352 CPT,78072,PR PARATHYRD PLANAR IMG W SPECT/CT,1515.0,1136.25,69.97,2128.0,1352 CPT,78102,PR BONE MARROW IMAGING LTD,536.5,402.375,24.4,774.0,1352 CPT,78104,HC BONE MARROW IMAGING WB,1333.0,999.75,269.22,1333.0,915 CPT,78104,PR BONE MARROW IMAGING WB,872.5,654.375,35.29,1286.0,1352 CPT,78111,HC PLASMA RADPHARM VOLUME ANALYSIS,10336.0,7752.0,125.52,10336.0,915 CPT,78111,PR PLASMA RADPHARM VOLUME ANALYSIS,348.5,261.375,10.21,551.0,1352 CPT,78121,HC RED CELL VOLUME ANALYSIS,4539.0,3404.25,120.18,4539.0,915 CPT,78121,PR RED CELL VOLUME ANALYSIS,376.5,282.375,14.52,560.0,1352 CPT,78122,HC WHOLE BLOOD VOLUME,4750.0,3562.5,116.78,4750.0,915 CPT,78122,PR WHOLE BLOOD VOLUME,436.0,327.0,20.45,546.0,1352 CPT,78195,HC LYMPH NODE IMAGING,1646.0,1234.5,375.0,1646.0,915 CPT,78195,PR LYMPH NODE IMAGING,1525.5,1144.125,52.77,2591.0,1352 CPT,78226,HC HEPATOBILIARY SYS IMAGING,1565.0,1173.75,364.8,1565.0,916 CPT,78226,PR HEPATOBILIARY SYS IMAGING,867.5,650.625,33.28,1457.0,1352 CPT,78227,HC HEPATOBILIARY SYS IMG W DRUG,2088.0,1566.0,496.25,2088.0,916 CPT,78227,PR HEPATOBILIARY SYS IMG W DRUG,1340.0,1005.0,40.53,2286.0,1352 CPT,78231,PR SALIVARY GLAND W SERIAL IMAGES,405.0,303.75,20.23,664.0,1352 CPT,78258,PR ESOPHAGEAL MOTILITY STUDY,916.5,687.375,33.28,1308.0,1352 CPT,78261,PR GASTRIC MUCOSA IMAGING,947.0,710.25,26.55,1412.0,1352 CPT,78264,HC GASTRIC EMPTYING,1224.0,918.0,369.17,1224.0,915 CPT,78264,PR GASTRIC EMPTYING,842.5,631.875,35.28,1425.0,1352 CPT,78265,HC GASTRIC EMPTYING W SM BWL,1324.0,993.0,426.59,1324.0,915 CPT,78265,PR GASTRIC EMPTYING W SM BWL,1444.0,1083.0,44.18,2146.0,1352 CPT,78266,PR GASTRIC EMPTY W SM BWL & COLN,1688.0,1266.0,46.9,2587.0,1352 CPT,78267,PR CHG BREATH TEST ACQUIRE/ANALYZE,67.0,50.25,11.06,67.0,676 CPT,78268,CHG UREA BREATH TEST C-14 ISOTOPIC ANALYSIS,420.0,315.0,94.41,420.0,676 CPT,78278,HC ACUTE GI BLEED IMAGING,1487.0,1115.25,378.39,1487.0,915 CPT,78278,PR ACUTE GI BLEED IMAGING,1158.5,868.875,44.51,1769.0,1352 CPT,78290,HC MECKEL DIVERTICULUM EXAM,1316.0,987.0,377.42,1316.0,916 CPT,78290,PR MECKEL DIVERTICULUM EXAM,707.0,530.25,30.63,1154.0,1352 CPT,78300,PR BONE/JOINT IMAGING LTD,545.0,408.75,27.7,859.0,1352 CPT,78306,HC BONE/JOINT IMAGING WB,1316.0,987.0,320.19,1316.0,915 CPT,78306,PR BONE/JOINT IMAGING WB,809.5,607.125,38.26,1307.0,1366 CPT,78315,HC BONE/JOINT IMAGING 3 PHASE,1325.0,993.75,373.55,1325.0,915 CPT,78315,PR BONE/JOINT IMAGING 3 PHASE,959.5,719.625,45.5,1465.0,1352 CPT,78428,HC CARDIAC SHUNT DECTECTION,1325.0,993.75,197.37,1325.0,915 CPT,78428,PR CARDIAC SHUNT DECTECTION,769.0,576.75,34.66,1014.0,1352 CPT,78430,PR MYOCARDIAL PET CT PERFUSION SNGL,1311.5,983.625,73.31,2259.0,1352 CPT,78431,PR MYOCARDIAL PET CT PERFUSION MULT,4277.5,3208.125,85.52,7878.0,1352 CPT,78433,PR MYOCARDIAL PET CT METABOL/PERFUSION,4746.5,3559.875,99.11,8759.0,1352 CPT,78451,HC MYOCARDIAL PERF SPECT SNGL,3968.0,2976.0,360.44,3968.0,915 CPT,78451,PR MYOCARDIAL PERF SPECT SNGL,980.5,735.375,62.38,1423.0,1352 CPT,78452,HC MYOCARDIAL PERF SPECT MULT,4820.0,3615.0,513.24,4820.0,918 CPT,78452,PR MYOCARDIAL PERF SPECT MULT,1024.5,768.375,73.58,1753.0,1352 CPT,78472,PR CARD BLOOD POOL SNGL,738.5,553.875,44.21,1017.0,1352 CPT,78491,PR MYOCARDIAL PET PERFUSION SNGL,1660.0,1245.0,69.96,2736.0,1352 CPT,78579,PR LUNG VENTILATION IMAGING,661.5,496.125,22.07,1019.0,1352 CPT,78580,PR LUNG PERFUSION IMAGING,882.5,661.875,33.28,1461.0,1352 CPT,78582,HC LUNG VENT/PERF IMAGING,1626.0,1219.5,351.69,1626.0,916 CPT,78582,PR LUNG VENT/PERF IMAGING,1137.0,852.75,47.78,1814.0,1352 CPT,78597,PR QUANT LUNG PERFUSION DIFF,664.0,498.0,32.68,1019.0,1352 CPT,78598,HC QUANT LUNG VENT/PERFUSION DIFF,1666.0,1249.5,329.85,1666.0,916 CPT,78598,PR QUANT LUNG VENT/PERFUSION DIFF,1548.5,1161.375,37.28,2443.0,1352 CPT,78606,PR BRAIN IMG < 4 VWS W VASC FLOW,903.5,677.625,28.36,1539.0,1352 CPT,78608,HC PET BRAIN METABOLIC EVAL,5370.0,4027.5,1525.87,5370.0,917 CPT,78608,PR PET BRAIN METABOLIC EVAL,2763.0,2072.25,65.98,4850.0,1352 CPT,78630,HC CSF FLOW CISTERNOGRAPHY,1666.0,1249.5,383.19,1666.0,915 CPT,78630,PR CSF FLOW CISTERNOGRAPHY,1450.5,1087.875,30.31,2393.0,1352 CPT,78645,PR CSF FLOW SHUNT EVAL,966.0,724.5,25.39,1715.0,1352 CPT,78650,HC CSF LEAKAGE DETECTION,3288.0,2466.0,321.54,3288.0,916 CPT,78650,PR CSF LEAKAGE DETECTION,1064.0,798.0,23.55,1796.0,1352 CPT,78707,HC KIDNEY VAS FLOW WO DRUG SNGL,1562.0,1171.5,241.07,1562.0,915 CPT,78707,PR KIDNEY VAS FLOW WO DRUG SNGL,777.5,583.125,42.86,1123.0,1352 CPT,78708,HC KIDNEY VAS FLOW W DRUG SNGL,1596.0,1197.0,171.59,1596.0,916 CPT,78708,PR KIDNEY VAS FLOW W DRUG SNGL,624.5,468.375,53.43,940.0,1352 CPT,78740,PR VOIDING CYSTOGRAM URETERAL REFLUX STUDY,908.0,681.0,26.72,1382.0,1353 CPT,78800,HC MOLECULAR BREAST IMAGING,801.0,600.75,292.1,801.0,918 CPT,78800,PR MOLECULAR BREAST IMAGING,271.0,203.25,30.15,369.0,1352 CPT,78800,PR TUMOR LOC LIMITED,436.0,327.0,30.15,737.0,1352 CPT,78802,PR TUMOR LOC WB SNGL DAY,953.0,714.75,35.29,1560.0,1366 CPT,78803,HC TUMOR LOC SPECT,4022.0,3016.5,416.27,4022.0,915 CPT,78803,PR TUMOR LOC SPECT,1444.0,1083.0,48.49,2286.0,1366 CPT,78811,HC PET LIMITED,4596.0,3447.0,1381.5,4596.0,915 CPT,78811,PR PET LIMITED,3394.0,2545.5,67.96,6251.0,1352 CPT,78812,HC PET TRUNK,5951.0,4463.25,1525.87,5951.0,915 CPT,78812,PR PET TRUNK,3385.0,2538.75,85.43,6295.0,1352 CPT,78813,HC PET WHOLE BODY,6292.0,4719.0,1525.87,6292.0,915 CPT,78813,PR PET WHOLE BODY,3755.5,2816.625,87.45,6814.0,1352 CPT,78814,PR PET/CT LIMITED,3985.5,2989.125,97.29,7271.0,1352 CPT,78815,HC PET/CT TRUNK,6516.0,4887.0,1525.87,6516.0,917 CPT,78815,PR PET/CT TRUNK,3571.5,2678.625,108.17,6115.0,1352 CPT,78816,HC PET/CT WHOLE BODY,6803.0,5102.25,1525.87,6803.0,917 CPT,78816,PR PET/CT WHOLE BODY,3630.5,2722.875,109.85,6200.0,1352 CPT,78830,PR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,2014.5,1510.875,64.39,3231.0,1352 CPT,78831,PR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3128.0,2346.0,79.86,4980.0,1352 CPT,78832,PR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3925.0,2943.75,92.75,6610.0,1352 CPT,78835,PR QUANT SINGLE AREA,694.0,520.5,87.43,694.0,676 CPT,79005,PR NM RADIOPHARM THRPY ORAL ADMIN,939.0,704.25,129.65,939.0,676 CPT,79101,HC NM RADIOPHARM THRPY IV ADMIN,855.0,641.25,77.09,855.0,916 CPT,79101,PR NM RADIOPHARM THRPY IV ADMIN,760.0,570.0,88.78,930.0,1352 CPT,79445,HC RADIOPHARM THPY INTRA ARTERIAL,1634.0,1225.5,248.99,1634.0,916 CPT,79445,PR RADIOPHARM THPY INTRA ARTERIAL,1662.5,1246.875,104.74,1746.0,1352 CPT,80047,HC BASIC MET PANEL IONIZED CA,225.0,168.75,13.73,225.0,917 CPT,80047,PR BASIC MET PANEL IONIZED CA,225.0,168.75,13.73,225.0,676 CPT,80048,HC BASIC METABOLIC PANEL TOTAL CA,192.0,144.0,8.46,192.0,921 CPT,80048,PR BASIC METABOLIC PANEL TOTAL CA,192.0,144.0,8.46,192.0,682 CPT,80050,HC GENERAL HEALTH PANEL,404.0,303.0,181.8,404.0,910 CPT,80050,PR GENERAL HEALTH PANEL,404.0,303.0,181.8,404.0,678 CPT,80051,HC ELECTROLYTE PANEL,109.0,81.75,7.01,109.0,917 CPT,80051,PR ELECTROLYTE PANEL,109.0,81.75,7.01,109.0,678 CPT,80053,HC COMPREHENSIVE METABOLIC PANEL,375.0,281.25,10.56,375.0,920 CPT,80053,PR COMPREHENSIVE METABOLIC PANEL,375.0,281.25,10.56,375.0,683 CPT,80061,HC LIPID PANEL,101.0,75.75,13.39,101.0,921 CPT,80061,PR LIPID PANEL,101.0,75.75,13.39,101.0,682 CPT,80069,HC RENAL FUNCTION PANEL,121.0,90.75,8.68,121.0,918 CPT,80069,PR RENAL FUNCTION PANEL,121.0,90.75,8.68,121.0,680 CPT,80074,HC ACUTE HEPATITIS PANEL,437.0,327.75,47.63,437.0,917 CPT,80074,PR ACUTE HEPATITIS PANEL,437.0,327.75,47.63,437.0,676 CPT,80076,HC HEPATIC FUNCTION PANEL,103.0,77.25,8.17,103.0,917 CPT,80076,PR HEPATIC FUNCTION PANEL,103.0,77.25,8.17,103.0,683 CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,191.0,143.25,18.64,191.0,916 CPT,80143,PR DRUG ASSAY ACETAMINOPHEN,191.0,143.25,18.64,191.0,676 CPT,80145,HC DRUG ASSAY ADALIMUMAB,245.0,183.75,38.57,245.0,916 CPT,80145,PR DRUG ASSAY ADALIMUMAB,245.0,183.75,38.57,245.0,676 CPT,80150,HC AMIKACIN ASSAY,160.0,120.0,15.08,160.0,916 CPT,80150,HC AMIKACIN ASSAY RANDOM,160.0,120.0,15.08,160.0,916 CPT,80150,PR AMIKACIN ASSAY,160.0,120.0,15.08,160.0,676 CPT,80150,PR AMIKACIN ASSAY RANDOM,160.0,120.0,15.08,160.0,676 CPT,80151,HC DRUG ASSAY AMIODARONE,186.0,139.5,18.64,186.0,916 CPT,80151,PR DRUG ASSAY AMIODARONE,186.0,139.5,18.64,186.0,676 CPT,80155,HC CAFFEINE ASSAY,98.0,73.5,38.57,98.0,915 CPT,80155,PR CAFFEINE ASSAY,98.0,73.5,38.57,98.0,676 CPT,80156,HC CARBAMAZEPINE/TEGRETOL ASSAY,115.0,86.25,14.57,115.0,916 CPT,80156,PR CARBAMAZEPINE/TEGRETOL ASSAY,115.0,86.25,14.57,115.0,676 CPT,80157,HC CARBAMAZEPINE FREE ASSAY,141.0,105.75,13.25,141.0,915 CPT,80157,PR CARBAMAZEPINE FREE ASSAY,141.0,105.75,13.25,141.0,676 CPT,80158,HC CYCLOSPORINE ASSAY,182.0,136.5,18.05,182.0,917 CPT,80158,HC DRUG ASSAY CYCLOSPORINE,181.0,135.75,18.05,181.0,917 CPT,80158,PR CYCLOSPORINE ASSAY,182.0,136.5,18.05,182.0,678 CPT,80158,PR DRUG ASSAY CYCLOSPORINE,181.0,135.75,18.05,181.0,678 CPT,80159,HC CLOZAPINE ASSAY,134.0,100.5,20.15,134.0,915 CPT,80162,HC DIGOXIN TOTAL ASSAY,103.0,77.25,13.28,103.0,916 CPT,80162,PR DIGOXIN TOTAL ASSAY,103.0,77.25,13.28,103.0,676 CPT,80164,HC VALPROIC ACID ASSAY,157.0,117.75,13.54,157.0,916 CPT,80164,PR VALPROIC ACID ASSAY,157.0,117.75,13.54,157.0,676 CPT,80165,HC VALPROIC ACID FREE ASSAY,170.0,127.5,13.54,170.0,916 CPT,80165,PR VALPROIC ACID FREE ASSAY,170.0,127.5,13.54,170.0,676 CPT,80167,HC DRUG ASSAY FELBAMATE,172.0,129.0,18.64,172.0,915 CPT,80167,PR DRUG ASSAY FELBAMATE,172.0,129.0,18.64,172.0,676 CPT,80168,HC ETHOSUXIMIDE ASSAY,169.0,126.75,16.34,169.0,915 CPT,80168,PR ETHOSUXIMIDE ASSAY,169.0,126.75,16.34,169.0,676 CPT,80169,HC EVEROLIMUS ASSAY,250.0,187.5,13.73,250.0,916 CPT,80169,PR EVEROLIMUS ASSAY,250.0,187.5,13.73,250.0,678 CPT,80170,HC GENTAMICIN ASSAY,118.0,88.5,16.38,118.0,915 CPT,80170,HC GENTAMICIN ASSAY 2,118.0,88.5,16.38,118.0,915 CPT,80170,PR GENTAMICIN ASSAY,118.0,88.5,16.38,118.0,676 CPT,80170,PR GENTAMICIN ASSAY 2,118.0,88.5,16.38,118.0,676 CPT,80171,HC GABAPENTIN ASSAY,162.0,121.5,21.67,162.0,916 CPT,80171,PR GABAPENTIN ASSAY,162.0,121.5,21.67,162.0,676 CPT,80175,HC LAMOTRIGINE ASSAY,154.0,115.5,13.25,154.0,916 CPT,80175,PR LAMOTRIGINE ASSAY,154.0,115.5,13.25,154.0,676 CPT,80176,HC LIDOCAINE ASSAY,52.0,39.0,14.69,52.0,915 CPT,80176,PR LIDOCAINE ASSAY,52.0,39.0,14.69,52.0,676 CPT,80177,HC LEVETIRACETAM/KEPPRA ASSAY,208.0,156.0,13.25,208.0,916 CPT,80177,PR LEVETIRACETAM/KEPPRA ASSAY,208.0,156.0,13.25,208.0,676 CPT,80178,HC LITHIUM ASSAY,67.0,50.25,6.61,67.0,917 CPT,80178,PR LITHIUM ASSAY,67.0,50.25,6.61,67.0,676 CPT,80179,HC DRUG ASSAY SALICYLATE,157.0,117.75,18.64,157.0,916 CPT,80179,PR DRUG ASSAY SALICYLATE,157.0,117.75,18.64,157.0,676 CPT,80180,HC MYCOPHENOLIC ACID ASSAY,199.0,149.25,18.05,199.0,917 CPT,80180,PR MYCOPHENOLIC ACID ASSAY,199.0,149.25,18.05,199.0,676 CPT,80181,HC DRUG ASSAY FLECAINIDE,178.0,133.5,18.64,178.0,915 CPT,80181,PR DRUG ASSAY FLECAINIDE,178.0,133.5,18.64,178.0,676 CPT,80183,HC OXCARBAZEPINE ASSAY,136.0,102.0,13.25,136.0,916 CPT,80183,PR OXCARBAZEPINE ASSAY,136.0,102.0,13.25,136.0,676 CPT,80184,HC PHENOBARBITAL ASSAY,106.0,79.5,15.3,106.0,915 CPT,80184,PR PHENOBARBITAL ASSAY,106.0,79.5,15.3,106.0,676 CPT,80185,HC PHENYTOIN TOTAL ASSAY,132.0,99.0,13.25,132.0,915 CPT,80185,PR PHENYTOIN TOTAL ASSAY,132.0,99.0,13.25,132.0,676 CPT,80186,HC PHENYTOIN FREE ASSAY,146.0,109.5,13.76,146.0,916 CPT,80186,PR PHENYTOIN FREE ASSAY,146.0,109.5,13.76,146.0,676 CPT,80187,HC DRUG ASSAY POSACONAZOLE,256.0,192.0,27.11,256.0,916 CPT,80187,PR DRUG ASSAY POSACONAZOLE,256.0,192.0,27.11,256.0,676 CPT,80188,HC PRIMIDONE ASSAY,155.0,116.25,16.59,155.0,915 CPT,80188,PR PRIMIDONE ASSAY,155.0,116.25,16.59,155.0,676 CPT,80189,HC DRUG ASSAY ITRACONAZOLE,295.0,221.25,27.11,295.0,916 CPT,80189,PR DRUG ASSAY ITRACONAZOLE,295.0,221.25,27.11,295.0,676 CPT,80193,PR DRUG ASSAY LEFLUNOMIDE,332.0,249.0,38.57,332.0,676 CPT,80195,HC SIROLIMUS ASSAY,204.0,153.0,13.73,204.0,916 CPT,80195,PR SIROLIMUS ASSAY,204.0,153.0,13.73,204.0,678 CPT,80197,HC TACROLIMUS ASSAY,203.0,152.25,13.73,203.0,919 CPT,80197,PR TACROLIMUS ASSAY,203.0,152.25,13.73,203.0,683 CPT,80198,HC THEOPHYLLINE ASSAY,142.0,106.5,14.14,142.0,915 CPT,80198,PR THEOPHYLLINE ASSAY,142.0,106.5,14.14,142.0,676 CPT,80200,HC TOBRAMYCIN ASSAY,160.0,120.0,16.13,160.0,916 CPT,80200,PR TOBRAMYCIN ASSAY,160.0,120.0,16.13,160.0,676 CPT,80201,HC TOPIRAMATE ASSAY 2,178.0,133.5,11.92,178.0,915 CPT,80201,PR TOPIRAMATE ASSAY 2,178.0,133.5,11.92,178.0,676 CPT,80202,HC VANCOMYCIN ASSAY,134.0,100.5,13.54,134.0,916 CPT,80202,PR VANCOMYCIN ASSAY,134.0,100.5,13.54,134.0,676 CPT,80203,HC ZONISAMIDE ASSAY,185.0,138.75,13.25,185.0,916 CPT,80203,PR ZONISAMIDE ASSAY,185.0,138.75,13.25,185.0,676 CPT,80204,HC DRUG ASSAY METHOTREXATE,233.0,174.75,38.57,233.0,915 CPT,80204,PR DRUG ASSAY METHOTREXATE,233.0,174.75,38.57,233.0,676 CPT,80210,HC DRUG ASSAY RUFINAMIDE,251.0,188.25,27.11,251.0,915 CPT,80210,PR DRUG ASSAY RUFINAMIDE,251.0,188.25,27.11,251.0,676 CPT,80220,HC DRUG ASSAY HYDROXYCHLOROQUINE,300.0,225.0,18.64,300.0,916 CPT,80220,PR DRUG ASSAY HYDROXYCHLOROQUINE,300.0,225.0,18.64,300.0,676 CPT,80230,HC DRUG ASSAY INFLIXIMAB,247.0,185.25,38.57,247.0,916 CPT,80230,PR DRUG ASSAY INFLIXIMAB,247.0,185.25,38.57,247.0,676 CPT,80235,HC DRUG ASSAY LACOSAMIDE,247.0,185.25,27.11,247.0,917 CPT,80235,PR DRUG ASSAY LACOSAMIDE,247.0,185.25,27.11,247.0,676 CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,255.0,191.25,38.57,255.0,916 CPT,80280,PR DRUG ASSAY VEDOLIZUMAB,255.0,191.25,38.57,255.0,676 CPT,80285,HC DRUG ASSAY VORICONAZOLE,258.0,193.5,27.11,258.0,916 CPT,80285,PR DRUG ASSAY VORICONAZOLE,258.0,193.5,27.11,258.0,676 CPT,80299,HC APIXABAN ANTI-XA,270.0,202.5,18.64,270.0,916 CPT,80299,HC DRUG THERAPEUTIC DRUG 12,270.0,202.5,18.64,270.0,916 CPT,80299,HC DRUG THERAPEUTIC DRUG 2,270.0,202.5,18.64,270.0,916 CPT,80299,HC ECULIZUMAB ASSAY,270.0,202.5,18.64,270.0,916 CPT,80299,HC FLUCYTOSINE ASSAY,263.0,197.25,18.64,263.0,916 CPT,80299,HC MEXILETINE SERUM,253.0,189.75,18.64,253.0,916 CPT,80299,HC NITISINONE (TYRBS-NCCI),253.0,189.75,18.64,253.0,916 CPT,80299,HC PERAMPANEL,183.0,137.25,18.64,183.0,916 CPT,80299,HC QUANTITATIVE ASSAY DRUG,270.0,202.5,18.64,270.0,916 CPT,80299,HC RIVAROXABAN ANTI-XA,270.0,202.5,18.64,270.0,916 CPT,80299,HC SULFAMETHOXAZOLE ASSAY,253.0,189.75,18.64,253.0,916 CPT,80299,HC SYN GLUCOCORTICOID SCRN,253.0,189.75,18.64,253.0,916 CPT,80299,HC SYN GLUCOCORTICOID SCRN URINE,270.0,202.5,18.64,270.0,916 CPT,80299,HC THERAPEUTIC DRUG NES,270.0,202.5,18.64,270.0,916 CPT,80299,HC THERAPEUTIC DRUG NES 1,263.0,197.25,18.64,263.0,916 CPT,80299,HC THIOPURINE METABOLITES,270.0,202.5,18.64,270.0,916 CPT,80299,HC TRIMETHOPRIM ASSAY,253.0,189.75,18.64,253.0,916 CPT,80299,PR APIXABAN ANTI-XA,270.0,202.5,18.64,270.0,676 CPT,80299,PR DRUG THERAPEUTIC DRUG 12,270.0,202.5,18.64,270.0,676 CPT,80299,PR DRUG THERAPEUTIC DRUG 2,270.0,202.5,18.64,270.0,676 CPT,80299,PR MEXILETINE SERUM,253.0,189.75,18.64,253.0,676 CPT,80299,PR NITISINONE (TYRBS-NCCI),253.0,189.75,18.64,253.0,676 CPT,80299,PR PERAMPANEL,183.0,137.25,18.64,183.0,676 CPT,80299,PR QUANTITATIVE ASSAY DRUG,270.0,202.5,18.64,270.0,676 CPT,80299,PR RIVAROXABAN ANTI-XA,270.0,202.5,18.64,270.0,676 CPT,80299,PR SULFAMETHOXAZOLE ASSAY,253.0,189.75,18.64,253.0,676 CPT,80299,PR SYN GLUCOCORTICOID SCRN,253.0,189.75,18.64,253.0,676 CPT,80299,PR SYN GLUCOCORTICOID SCRN URINE,270.0,202.5,18.64,270.0,676 CPT,80299,PR THERAPEUTIC DRUG NES,270.0,202.5,18.64,270.0,676 CPT,80299,PR THERAPEUTIC DRUG NES 1,263.0,197.25,18.64,263.0,676 CPT,80299,PR THIOPURINE METABOLITES,270.0,202.5,18.64,270.0,676 CPT,80299,PR TRIMETHOPRIM ASSAY,253.0,189.75,18.64,253.0,676 CPT,80307,HC DRUG SCRN ANLYZR10 RX MAINT,290.0,217.5,62.14,290.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR1,314.0,235.5,62.14,314.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR12,319.0,239.25,62.14,319.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),316.0,237.0,62.14,316.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR2,314.0,235.5,62.14,314.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR3,314.0,235.5,62.14,314.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR5,319.0,239.25,62.14,319.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR6,319.0,239.25,62.14,319.0,918 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR7,314.0,235.5,62.14,314.0,918 CPT,80307,HC FENTANYL SCREEN,314.0,235.5,62.14,314.0,918 CPT,80307,PR DRUG SCRN ANLYZR10 RX MAINT,290.0,217.5,62.14,290.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR1,314.0,235.5,62.14,314.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR12,319.0,239.25,62.14,319.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),316.0,237.0,62.14,316.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR2,314.0,235.5,62.14,314.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR3,314.0,235.5,62.14,314.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR5,319.0,239.25,62.14,319.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR6,319.0,239.25,62.14,319.0,676 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR7,314.0,235.5,62.14,314.0,676 CPT,80307,PR FENTANYL SCREEN,314.0,235.5,62.14,314.0,676 CPT,80400,HC ACTH STIMULATION PANEL ADRENAL,235.0,176.25,32.62,235.0,919 CPT,80406,"HC ACTH STIM PANEL, 3 BETA-HYDROX",268.0,201.0,78.26,268.0,916 CPT,80406,"PR ACTH STIM PANEL, 3 BETA-HYDROX",268.0,201.0,78.26,268.0,676 CPT,80430,HC HGH SUPRESSION PANEL,523.0,392.25,129.33,523.0,915 CPT,80430,PR HGH SUPRESSION PANEL,523.0,392.25,129.33,523.0,676 CPT,80503,HC PATH CONSULT LIMITED 5-20 MIN,206.0,154.5,27.26,206.0,915 CPT,80503,PR PATH CONSULT LIMITED 5-20 MIN,103.0,77.25,18.17,103.0,690 CPT,80504,HC PATH CONSULT MOD COMPLEX 21-40 MIN,624.0,468.0,57.45,624.0,918 CPT,80504,PR PATH CONSULT MOD COMPLEX 21-40 MIN,198.0,148.5,50.27,198.0,676 CPT,80505,HC PATH CONSULT HIGH COMPLEX 41-60 MIN,728.0,546.0,108.95,728.0,915 CPT,80505,PR PATH CONSULT HIGH COMPLEX 41-60 MIN,346.0,259.5,92.7,346.0,676 CPT,81001,HC URINALYSIS AUTO W MICRO,35.0,26.25,3.17,35.0,920 CPT,81001,PR URINALYSIS AUTO W MICRO,35.0,26.25,3.17,35.0,676 CPT,81002,PR URINALYSIS NON AUTO WO MICRO,18.0,13.5,3.48,18.0,679 CPT,81003,HC URINALYSIS AUTO WO MICRO,20.0,15.0,2.25,20.0,917 CPT,81003,HC URINE AUTO SPECIFIC GRAVITY,20.0,15.0,2.25,20.0,917 CPT,81003,PR URINALYSIS AUTO WO MICRO,20.0,15.0,2.25,20.0,676 CPT,81003,PR URINE AUTO SPECIFIC GRAVITY,20.0,15.0,2.25,20.0,676 CPT,81003,PR URINE DIP STICK,35.0,26.25,2.25,35.0,676 CPT,81015,PR URINALYSIS MICRO ONLY,23.0,17.25,3.05,23.0,676 CPT,81025,HC PREG TEST URINE VIS COMP,43.0,32.25,8.61,43.0,919 CPT,81025,PR PREG TEST URINE VIS COMP,43.0,32.25,8.61,43.0,680 CPT,81050,HC VOLUME MEASUREMENT,29.0,21.75,3.64,29.0,916 CPT,81050,PR VOLUME MEASUREMENT,29.0,21.75,3.64,29.0,678 CPT,81120,HC GENE IDH1 (NGAMT),535.0,401.25,193.25,535.0,915 CPT,81120,HC IDH1 GENE (IDHQ),505.0,378.75,193.25,505.0,915 CPT,81120,PR GENE IDH1 (NGAMT),535.0,401.25,193.25,535.0,676 CPT,81121,HC GENE IDH2 (NGAMT),669.0,501.75,295.79,669.0,915 CPT,81121,HC IDH2 GENE (IDHQ),650.0,487.5,295.79,650.0,915 CPT,81121,PR GENE IDH2 (NGAMT),669.0,501.75,295.79,669.0,676 CPT,81161,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,525.0,279.0,700.0,915 CPT,81161,PR DMD DUPLICATION/DELETION ANALYSIS,700.0,525.0,279.0,700.0,676 CPT,81162,HC BRCA1/2 FULL GENE,2000.0,1500.0,1353.4,2737.32,915 CPT,81162,HC BRCA1/BRCA2 (COMCP),263.0,197.25,177.97,2737.32,915 CPT,81162,HC BRCA1/BRCA2 (XCP),240.0,180.0,162.41,2737.32,915 CPT,81162,HC BRCA1/BRCA2 GENE (BRTP),710.0,532.5,480.46,2737.32,915 CPT,81162,HC BRCA1/BRCA2 GENE (T1GS),114.0,85.5,77.14,2737.32,915 CPT,81162,PR BRCA1/2 FULL GENE,2000.0,1500.0,1353.4,2000.0,676 CPT,81162,PR BRCA1/BRCA2 (COMCP),263.0,197.25,177.97,263.0,676 CPT,81162,PR BRCA1/BRCA2 (XCP),240.0,180.0,162.41,240.0,676 CPT,81162,PR BRCA1/BRCA2 GENE (BRTP),710.0,532.5,480.46,710.0,676 CPT,81162,PR BRCA1/BRCA2 GENE (T1GS),114.0,85.5,77.14,114.0,676 CPT,81163,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1200.0,468.0,1600.0,915 CPT,81163,PR BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1200.0,468.0,1600.0,676 CPT,81170,HC ABL1 KD VARIANTS,1100.0,825.0,300.0,1100.0,915 CPT,81170,PR ABL1 KD VARIANTS,1100.0,825.0,300.0,1100.0,676 CPT,81174,HC GENE AR (FMTT),500.0,375.0,185.2,500.0,915 CPT,81174,PR GENE AR (FMTT),500.0,375.0,185.2,500.0,676 CPT,81177,HC ATN1 GENE DETC ABNOR ALLELES,500.0,375.0,137.0,500.0,915 CPT,81177,PR ATN1 GENE DETC ABNOR ALLELES,500.0,375.0,137.0,500.0,676 CPT,81178,HC ATAXIN 1 GENE (SCAP),140.0,105.0,94.74,205.5,915 CPT,81178,HC ATAXIN 1 GENE (SCARA),500.0,375.0,137.0,500.0,915 CPT,81178,PR ATAXIN 1 GENE (SCAP),140.0,105.0,94.74,140.0,676 CPT,81178,PR ATAXIN 1 GENE (SCARA),500.0,375.0,137.0,500.0,676 CPT,81179,HC ATAXIN 2 GENE (SCAP),140.0,105.0,94.74,205.5,915 CPT,81179,HC ATAXIN 2 GENE (SCARA),500.0,375.0,137.0,500.0,915 CPT,81179,PR ATAXIN 2 GENE (SCAP),140.0,105.0,94.74,140.0,676 CPT,81179,PR ATAXIN 2 GENE (SCARA),500.0,375.0,137.0,500.0,676 CPT,81180,HC ATAXIN 3 GENE (SCAP),140.0,105.0,94.74,205.5,915 CPT,81180,HC ATAXIN 3 GENE (SCARA),500.0,375.0,137.0,500.0,915 CPT,81180,PR ATAXIN 3 GENE (SCAP),140.0,105.0,94.74,140.0,676 CPT,81180,PR ATAXIN 3 GENE (SCARA),500.0,375.0,137.0,500.0,676 CPT,81181,HC ATAXIN 7 GENE (SCAP),140.0,105.0,94.74,205.5,915 CPT,81181,HC ATAXIN 7 GENE (SCARA),500.0,375.0,137.0,500.0,915 CPT,81181,PR ATAXIN 7 GENE (SCAP),140.0,105.0,94.74,140.0,676 CPT,81181,PR ATAXIN 7 GENE (SCARA),500.0,375.0,137.0,500.0,676 CPT,81184,PR CACNA1A GENE (SCAP),140.0,105.0,94.74,140.0,676 CPT,81184,PR CACNA1A GENE (SCARA),500.0,375.0,137.0,500.0,676 CPT,81185,PR CACNA1A FULL GENE (HMEP),363.0,272.25,245.64,363.0,676 CPT,81188,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,525.0,137.0,700.0,915 CPT,81188,PR CSTB REPEAT EXPAND ANLYS (CSTB),700.0,525.0,137.0,700.0,676 CPT,81194,HC NTRK TRANSLOC ANALYSIS,2000.0,1500.0,518.28,2000.0,915 CPT,81194,PR NTRK TRANSLOC ANALYSIS,2000.0,1500.0,518.28,2000.0,676 CPT,81201,HC APC GENE (XCP),110.0,82.5,74.44,1170.0,915 CPT,81201,HC APC GENE SEQ (COMCP),113.0,84.75,76.47,1170.0,915 CPT,81201,PR APC GENE (XCP),110.0,82.5,74.44,110.0,676 CPT,81201,PR APC GENE SEQ (COMCP),113.0,84.75,76.47,113.0,676 CPT,81202,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,375.0,280.0,500.0,915 CPT,81202,PR APC FAMILIAL ADNMATUS KNWN MUT,500.0,375.0,280.0,500.0,676 CPT,81204,HC AR GENE CHARAC ALLELES,400.0,300.0,137.0,400.0,915 CPT,81204,PR AR GENE CHARAC ALLELES,400.0,300.0,137.0,400.0,676 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,850.0,637.5,163.96,850.0,916 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,163.96,850.0,916 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,163.96,850.0,916 CPT,81206,HC BCR/ABL1 P210 QUANT (BCABL),850.0,637.5,163.96,850.0,916 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT,850.0,637.5,163.96,850.0,678 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,163.96,850.0,678 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,163.96,850.0,678 CPT,81206,PR BCR/ABL1 P210 QUANT (BCABL),850.0,637.5,163.96,850.0,678 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,850.0,637.5,144.84,850.0,916 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,144.84,850.0,916 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,144.84,850.0,916 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT,850.0,637.5,144.84,850.0,676 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),850.0,637.5,144.84,850.0,676 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),850.0,637.5,144.84,850.0,676 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),950.0,712.5,214.62,950.0,916 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),950.0,712.5,214.62,950.0,916 CPT,81208,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),950.0,712.5,214.62,950.0,676 CPT,81208,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),950.0,712.5,214.62,950.0,676 CPT,81210,HC BRAF MUTAION ANALYSIS V600 TUMOR,700.0,525.0,175.4,700.0,915 CPT,81210,HC BRAF MUTATION ANALYSIS V600E 1,900.0,675.0,175.4,900.0,915 CPT,81210,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,675.0,175.4,900.0,915 CPT,81210,HC CFDNA BRAF V600 TEST,900.0,675.0,175.4,900.0,915 CPT,81210,PR BRAF MUTAION ANALYSIS V600 TUMOR,700.0,525.0,175.4,700.0,676 CPT,81210,PR BRAF MUTATION ANALYSIS V600E 1,900.0,675.0,175.4,900.0,676 CPT,81210,PR BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,675.0,175.4,900.0,676 CPT,81210,PR CFDNA BRAF V600 TEST,900.0,675.0,175.4,900.0,676 CPT,81215,PR GENE BRCA1 KNOWN VARIANT,500.0,375.0,338.35,500.0,676 CPT,81217,PR GENE BRCA2 KNOWN VARIANT,500.0,375.0,338.35,500.0,676 CPT,81219,HC CALR MUTATION ANALYSIS,510.0,382.5,121.63,510.0,916 CPT,81219,HC CALR MUTATION ANALYSIS 1,510.0,382.5,121.63,510.0,916 CPT,81219,PR CALR MUTATION ANALYSIS,510.0,382.5,121.63,510.0,676 CPT,81219,PR CALR MUTATION ANALYSIS 1,510.0,382.5,121.63,510.0,676 CPT,81220,HC CTFR COMMON VARIANTS (CFMP),281.0,210.75,190.15,834.9,915 CPT,81220,HC CTFR COMMON VARIANTS (CFSMN),352.0,264.0,238.2,834.9,915 CPT,81220,HC CTFR COMMON VARIANTS (CSFP),282.0,211.5,190.83,834.9,915 CPT,81220,PR CTFR COMMON VARIANTS (CFMP),281.0,210.75,190.15,281.0,676 CPT,81220,PR CTFR COMMON VARIANTS (CFSMN),352.0,264.0,238.2,352.0,676 CPT,81220,PR CTFR COMMON VARIANTS (CSFP),282.0,211.5,190.83,282.0,676 CPT,81221,HC CFTR GENE KNOWN MUTATION,500.0,375.0,97.22,500.0,897 CPT,81221,PR CFTR GENE KNOWN MUTATION,500.0,375.0,97.22,500.0,676 CPT,81222,HC CFTR GENE DUP/DEL VARIANTS (HPPAN),859.0,644.25,435.07,859.0,915 CPT,81222,HC CTFR DUP/DEL (CFMP),219.0,164.25,148.2,652.61,915 CPT,81222,HC CTFR DUP/DEL (CFSMN),275.0,206.25,186.09,652.61,915 CPT,81222,HC CTFR DUP/DEL (CSFP),220.0,165.0,148.87,652.61,915 CPT,81222,PR CFTR GENE DUP/DEL VARIANTS (HPPAN),859.0,644.25,435.07,859.0,676 CPT,81222,PR CTFR DUP/DEL (CFMP),219.0,164.25,148.2,219.0,676 CPT,81222,PR CTFR DUP/DEL (CFSMN),275.0,206.25,186.09,275.0,676 CPT,81222,PR CTFR DUP/DEL (CSFP),220.0,165.0,148.87,220.0,676 CPT,81223,HC CFTR GENE (HPANP),800.0,600.0,499.0,800.0,915 CPT,81223,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,750.0,499.0,1000.0,915 CPT,81223,HC CFTR GENE FULL SEQUENCE (HPPAN),1616.0,1212.0,499.0,1616.0,915 CPT,81223,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,427.5,385.72,748.5,915 CPT,81223,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,624.0,499.0,832.0,915 CPT,81223,PR CFTR GENE (HPANP),800.0,600.0,499.0,800.0,676 CPT,81223,PR CFTR GENE FULL ANALYSIS (CFTRN),1000.0,750.0,499.0,1000.0,676 CPT,81223,PR CFTR GENE FULL SEQUENCE (HPPAN),1616.0,1212.0,499.0,1616.0,676 CPT,81223,PR CFTR GENE FULL SEQUENCE (PANGP),570.0,427.5,385.72,570.0,676 CPT,81223,PR CFTR GENE FULL SEQUENCE (PHCGD),832.0,624.0,499.0,832.0,676 CPT,81225,HC CYP2C19 GENE ANALYSIS,600.0,450.0,291.36,600.0,916 CPT,81225,HC CYP2C19 GENOTYPE (CYPR),600.0,450.0,291.36,600.0,916 CPT,81225,PR CYP2C19 GENE ANALYSIS,600.0,450.0,291.36,600.0,676 CPT,81225,PR CYP2C19 GENOTYPE (CYPR),600.0,450.0,291.36,600.0,676 CPT,81227,HC CYP2C9 GENE COM VARIANTS,600.0,450.0,174.81,600.0,915 CPT,81227,PR CYP2C9 GENE COM VARIANTS,600.0,450.0,174.81,600.0,676 CPT,81229,HC MCR MICROARRAY POC,1700.0,1275.0,1150.39,1740.0,915 CPT,81229,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1275.0,1150.39,1740.0,915 CPT,81229,HC MICROARRAY BLOOD,1700.0,1275.0,1150.39,1740.0,915 CPT,81229,HC MICROARRAY PRENATAL,1700.0,1275.0,1150.39,1740.0,915 CPT,81229,PR MCR MICROARRAY POC,1700.0,1275.0,1150.39,1700.0,676 CPT,81229,PR MCR MICROARRAY POC TUMOR FFPE,1700.0,1275.0,1150.39,1700.0,676 CPT,81229,PR MICROARRAY BLOOD,1700.0,1275.0,1150.39,1700.0,676 CPT,81229,PR MICROARRAY PRENATAL,1700.0,1275.0,1150.39,1700.0,676 CPT,81230,HC CYP3A4 GENOTYPE,600.0,450.0,174.81,600.0,897 CPT,81230,PR CYP3A4 GENOTYPE,600.0,450.0,174.81,600.0,676 CPT,81231,HC CYP3A5 GENOTYPE,600.0,450.0,174.81,600.0,915 CPT,81231,PR CYP3A5 GENOTYPE,600.0,450.0,174.81,600.0,676 CPT,81232,HC DPYD FULL GENE SEQUENCING,1000.0,750.0,174.81,1000.0,916 CPT,81232,HC DPYD GENOTYPE,600.0,450.0,174.81,600.0,916 CPT,81232,PR DPYD FULL GENE SEQUENCING,1000.0,750.0,174.81,1000.0,676 CPT,81232,PR DPYD GENOTYPE,600.0,450.0,174.81,600.0,676 CPT,81235,HC CFDNA EGFR T790M,900.0,675.0,324.58,900.0,916 CPT,81235,HC EGFR GENE ANALYSIS COM VAR,1200.0,900.0,324.58,1200.0,916 CPT,81235,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,900.0,324.58,1200.0,916 CPT,81235,PR CFDNA EGFR T790M,900.0,675.0,324.58,900.0,676 CPT,81235,PR EGFR GENE ANALYSIS COM VAR,1200.0,900.0,324.58,1200.0,676 CPT,81235,PR EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,900.0,324.58,1200.0,676 CPT,81238,"HC F9 GENE, FULL GENE (GNBLF)",296.0,222.0,200.3,900.0,915 CPT,81238,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,750.0,600.0,1000.0,915 CPT,81238,"PR F9 GENE, FULL GENE (GNBLF)",296.0,222.0,200.3,296.0,676 CPT,81238,"PR F9 GENE, FULL GENE (GNHMB)",1000.0,750.0,600.0,1000.0,676 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR,400.0,300.0,65.69,400.0,917 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,300.0,65.69,400.0,917 CPT,81240,PR F2 GENE ANLYS 20210G A/B VAR,400.0,300.0,65.69,400.0,676 CPT,81240,PR F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,300.0,65.69,400.0,676 CPT,81241,HC F5 LEIDEN VAR,400.0,300.0,73.37,400.0,917 CPT,81241,HC F5 LEIDEN VAR (F5DNA),400.0,300.0,73.37,400.0,917 CPT,81241,PR F5 LEIDEN VAR,400.0,300.0,73.37,400.0,676 CPT,81241,PR F5 LEIDEN VAR (F5DNA),400.0,300.0,73.37,400.0,676 CPT,81243,HC FMR1 FRAGL X SYNDRM ANLY,500.0,375.0,57.04,500.0,915 CPT,81243,PR FMR1 FRAGL X SYNDRM ANLY,500.0,375.0,57.04,500.0,676 CPT,81244,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,312.0,44.89,416.0,915 CPT,81244,PR FMR1 FRAGL X SYNDRM ANLY FUP,416.0,312.0,44.89,416.0,676 CPT,81245,HC FLT3 GENE DUP VAR (NGAMT),528.0,396.0,165.51,528.0,916 CPT,81245,HC FLTITD VARIANCE,528.0,396.0,165.51,528.0,916 CPT,81245,PR FLT3 GENE DUP VAR (NGAMT),528.0,396.0,165.51,528.0,676 CPT,81245,PR FLTITD VARIANCE,528.0,396.0,165.51,528.0,676 CPT,81246,HC FLT3 GENE,528.0,396.0,83.0,528.0,916 CPT,81246,HC FLT3 GENE DOMAIN VAR (NGAMT),268.0,201.0,83.0,268.0,916 CPT,81246,PR FLT3 GENE,528.0,396.0,83.0,528.0,676 CPT,81246,PR FLT3 GENE DOMAIN VAR (NGAMT),268.0,201.0,83.0,268.0,676 CPT,81248,HC GENE G6PD SEQ,500.0,375.0,338.35,562.88,915 CPT,81248,PR GENE G6PD SEQ,500.0,375.0,338.35,500.0,676 CPT,81249,HC G6PD FULL GENE ANALYSIS,1100.0,825.0,600.0,1100.0,915 CPT,81249,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,750.75,600.0,1001.0,915 CPT,81249,PR G6PD FULL GENE ANALYSIS,1100.0,825.0,600.0,1100.0,676 CPT,81249,"PR G6PD GENE, FULL SEQ (PHCGD)",1001.0,750.75,600.0,1001.0,676 CPT,81253,HC GENE GJB2 SEQ,500.0,375.0,61.52,500.0,915 CPT,81253,PR GENE GJB2 SEQ,500.0,375.0,61.52,500.0,676 CPT,81256,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,300.0,65.36,400.0,916 CPT,81256,PR HFE HEMOCHROMATOSIS GEN ANALYS,400.0,300.0,65.36,400.0,676 CPT,81257,HC HBA1/HBA2 GENE (CSFP),43.0,32.25,29.1,153.39,915 CPT,81257,PR HBA1/HBA2 GENE (CSFP),43.0,32.25,29.1,43.0,676 CPT,81258,HC GENE HBA1/HBA2 SEQ,500.0,375.0,338.35,562.88,915 CPT,81258,PR GENE HBA1/HBA2 SEQ,500.0,375.0,338.35,500.0,676 CPT,81259,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,375.0,338.35,900.0,915 CPT,81259,PR HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,375.0,338.35,500.0,676 CPT,81261,HC IGH GENE REARRANGE,1000.0,750.0,197.99,1000.0,916 CPT,81261,PR IGH GENE REARRANGE,1000.0,750.0,197.99,1000.0,676 CPT,81263,HC IGH SOMATIC HYPERMUTATION,1050.0,787.5,294.52,1050.0,915 CPT,81263,PR IGH SOMATIC HYPERMUTATION,1050.0,787.5,294.52,1050.0,676 CPT,81264,HC IGK REARRANGE ABN CLONAL POP,935.0,701.25,172.73,935.0,916 CPT,81264,PR IGK REARRANGE ABN CLONAL POP,935.0,701.25,172.73,935.0,676 CPT,81265,HC COMPARATIVE STR MARKERS,800.0,600.0,233.07,800.0,915 CPT,81265,HC COMPARATIVE STR MARKERS 2,1300.0,975.0,233.07,1300.0,915 CPT,81265,PR COMPARATIVE STR MARKERS,800.0,600.0,233.07,800.0,676 CPT,81265,PR COMPARATIVE STR MARKERS 2,1300.0,975.0,233.07,1300.0,676 CPT,81266,HC STR MARKERS SPECIMEN ANAL ADD,300.0,225.0,203.01,457.22,915 CPT,81266,PR STR MARKERS SPECIMEN ANAL ADD,300.0,225.0,203.01,300.0,676 CPT,81267,HC CHIMERISM ANLYS NO CELL SELECT,1045.0,783.75,207.46,1045.0,916 CPT,81267,PR CHIMERISM ANLYS NO CELL SELECT,1045.0,783.75,207.46,1045.0,676 CPT,81268,HC CHIMERISM ANLYS W CELL SELECT,1000.0,750.0,260.79,1000.0,916 CPT,81268,PR CHIMERISM ANLYS W CELL SELECT,1000.0,750.0,260.79,1000.0,676 CPT,81269,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,525.0,202.4,700.0,915 CPT,81269,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,525.0,202.4,700.0,915 CPT,81269,HC ALPHA GLOBIN GENE SEQUENCE,700.0,525.0,202.4,700.0,915 CPT,81269,PR ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,525.0,202.4,700.0,676 CPT,81269,PR ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,525.0,202.4,700.0,676 CPT,81269,PR ALPHA GLOBIN GENE SEQUENCE,700.0,525.0,202.4,700.0,676 CPT,81270,HC JAK2 GENE ANALYSIS (MPNR),550.0,412.5,91.66,550.0,917 CPT,81270,HC JAK2 GENE ANALYSIS (PVJAK),550.0,412.5,91.66,550.0,917 CPT,81270,HC JAK2 GENE ANALYSIS V617F,400.0,300.0,91.66,400.0,917 CPT,81270,PR JAK2 GENE ANALYSIS (MPNR),550.0,412.5,91.66,550.0,676 CPT,81270,PR JAK2 GENE ANALYSIS (PVJAK),550.0,412.5,91.66,550.0,676 CPT,81270,PR JAK2 GENE ANALYSIS V617F,400.0,300.0,91.66,400.0,676 CPT,81271,HC HTT GENE DETC ABNOR ALLELES,400.0,300.0,137.0,400.0,915 CPT,81271,PR HTT GENE DETC ABNOR ALLELES,400.0,300.0,137.0,400.0,676 CPT,81273,HC D816V VARIANT ANALYSIS (KITQ),613.0,459.75,124.87,613.0,917 CPT,81273,HC KIT ASP816VAL MUT ANALYSIS - 1,560.0,420.0,124.87,560.0,917 CPT,81273,PR D816V VARIANT ANALYSIS (KITQ),613.0,459.75,124.87,613.0,676 CPT,81273,PR KIT ASP816VAL MUT ANALYSIS - 1,560.0,420.0,124.87,560.0,676 CPT,81275,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,337.5,193.25,450.0,915 CPT,81275,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,367.5,193.25,490.0,915 CPT,81275,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,337.5,193.25,450.0,915 CPT,81275,PR KRAS GENE ANALYSIS 2 (KRASW),450.0,337.5,193.25,450.0,676 CPT,81275,"PR KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,367.5,193.25,490.0,676 CPT,81275,"PR KRAS GENE VAR-EXON 2, PANEL",450.0,337.5,193.25,450.0,676 CPT,81276,"HC KRAS GENE ADDTL VAR, PANEL",450.0,337.5,193.25,450.0,915 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,307.5,193.25,410.0,915 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,337.5,193.25,450.0,915 CPT,81276,"PR KRAS GENE ADDTL VAR, PANEL",450.0,337.5,193.25,450.0,676 CPT,81276,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,307.5,193.25,410.0,676 CPT,81276,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,337.5,193.25,450.0,676 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1650.0,1160.0,2200.0,916 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1650.0,1160.0,2200.0,916 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1650.0,1160.0,2200.0,916 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1650.0,1160.0,2200.0,676 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1650.0,1160.0,2200.0,676 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1650.0,1160.0,2200.0,676 CPT,81283,HC IL28B POLYMORPHISM GENOTYPE,600.0,450.0,73.37,600.0,915 CPT,81283,PR IL28B POLYMORPHISM GENOTYPE,600.0,450.0,73.37,600.0,676 CPT,81284,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,525.0,137.0,700.0,915 CPT,81284,PR FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,525.0,137.0,700.0,676 CPT,81287,HC MGMT METHYLATION ANALYSIS,500.0,375.0,124.64,500.0,915 CPT,81287,PR MGMT METHYLATION ANALYSIS,500.0,375.0,124.64,500.0,676 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,375.0,192.32,500.0,915 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,375.0,192.32,500.0,915 CPT,81288,PR MLH1 HYPERMETHYLATION ANALYSIS,500.0,375.0,192.32,500.0,676 CPT,81288,PR MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,375.0,192.32,500.0,676 CPT,81289,HC GENE FXN (FMTT),500.0,375.0,185.2,500.0,915 CPT,81289,PR GENE FXN (FMTT),500.0,375.0,185.2,500.0,676 CPT,81292,HC MLH1 GENE (XCP),55.0,41.25,37.22,1013.1,915 CPT,81292,HC MLH1 GENE SEQ (COMCP),99.0,74.25,66.99,1013.1,915 CPT,81292,HC MLH1 GENE SEQ (T1GS),42.0,31.5,28.42,1013.1,915 CPT,81292,PR MLH1 GENE (XCP),55.0,41.25,37.22,55.0,676 CPT,81292,PR MLH1 GENE SEQ (COMCP),99.0,74.25,66.99,99.0,676 CPT,81292,PR MLH1 GENE SEQ (T1GS),42.0,31.5,28.42,42.0,676 CPT,81293,HC MLH1 GENE KNOWN VARIANTS,500.0,375.0,331.0,500.0,915 CPT,81293,PR MLH1 GENE KNOWN VARIANTS,500.0,375.0,331.0,500.0,676 CPT,81295,HC MSH2 GENE (XCP),52.0,39.0,35.19,572.55,915 CPT,81295,HC MSH2 GENE SEQ (COMCP),55.0,41.25,37.22,572.55,915 CPT,81295,HC MSH2 GENE SEQ (T1GS),24.0,18.0,16.24,572.55,915 CPT,81295,PR MSH2 GENE (XCP),52.0,39.0,35.19,52.0,676 CPT,81295,PR MSH2 GENE SEQ (COMCP),55.0,41.25,37.22,55.0,676 CPT,81295,PR MSH2 GENE SEQ (T1GS),24.0,18.0,16.24,24.0,676 CPT,81296,HC MSH2 KNOWN MUTATION,500.0,375.0,337.73,506.6,915 CPT,81296,PR MSH2 KNOWN MUTATION,500.0,375.0,337.73,500.0,676 CPT,81298,HC MSH6 GENE (XCP),170.0,127.5,115.04,962.78,915 CPT,81298,HC MSH6 GENE SEQ (COMCP),252.0,189.0,170.53,962.78,915 CPT,81298,HC MSH6 GENE SEQ (T1GS),40.0,30.0,27.07,962.78,915 CPT,81298,PR MSH6 GENE (XCP),170.0,127.5,115.04,170.0,676 CPT,81298,PR MSH6 GENE SEQ (COMCP),252.0,189.0,170.53,252.0,676 CPT,81298,PR MSH6 GENE SEQ (T1GS),40.0,30.0,27.07,40.0,676 CPT,81299,HC MSH6 GENE KNOWN VARIANTS,500.0,375.0,308.0,500.0,897 CPT,81299,PR MSH6 GENE KNOWN VARIANTS,500.0,375.0,308.0,500.0,676 CPT,81301,HC MICROSATELLITE INSTABILITY,1200.0,900.0,348.56,1200.0,915 CPT,81301,PR MICROSATELLITE INSTABILITY,1200.0,900.0,348.56,1200.0,676 CPT,81302,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,750.0,527.87,1000.0,915 CPT,81302,PR MECP2 GENE FULL ANLYS (MCP2Z),1000.0,750.0,527.87,1000.0,676 CPT,81305,HC MYD88 GENE PRO VRNT,500.0,375.0,175.4,500.0,916 CPT,81305,HC MYD88 GENE PRO VRNT (LPLFX),505.0,378.75,175.4,505.0,916 CPT,81305,PR MYD88 GENE PRO VRNT,500.0,375.0,175.4,500.0,676 CPT,81305,PR MYD88 GENE PRO VRNT (LPLFX),505.0,378.75,175.4,505.0,676 CPT,81307,HC PALB2 GENE (BRTP),263.0,197.25,177.97,1014.75,915 CPT,81307,HC PALB2 GENE (XCP),180.0,135.0,121.81,1014.75,915 CPT,81307,HC PALB2 GENE SEQ (COMCP),268.0,201.0,181.36,1014.75,915 CPT,81307,PR PALB2 GENE (BRTP),263.0,197.25,177.97,263.0,676 CPT,81307,PR PALB2 GENE (XCP),180.0,135.0,121.81,180.0,676 CPT,81307,PR PALB2 GENE SEQ (COMCP),268.0,201.0,181.36,268.0,676 CPT,81308,HC GENE PALB2 (FMTT),500.0,375.0,301.35,500.0,915 CPT,81308,PR GENE PALB2 (FMTT),500.0,375.0,301.35,500.0,676 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,900.0,274.83,1200.0,915 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,900.0,274.83,1200.0,915 CPT,81309,PR PIK3CA GENE ANALYSIS (PIK3B),1200.0,900.0,274.83,1200.0,676 CPT,81309,PR PIK3CA GENE ANALYSIS (PIK3T),1200.0,900.0,274.83,1200.0,676 CPT,81310,HC NPM1 MUTATION ANALYSIS (NPM1Q),475.0,356.25,246.52,475.0,915 CPT,81310,PR NPM1 MUTATION ANALYSIS (NPM1Q),475.0,356.25,246.52,475.0,676 CPT,81315,HC PML/RARALPHA BKPT QUAL/QUANT,700.0,525.0,207.31,700.0,915 CPT,81315,PR PML/RARALPHA BKPT QUAL/QUANT,700.0,525.0,207.31,700.0,676 CPT,81317,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,31.5,28.42,1014.75,915 CPT,81317,HC PMS2 GENE SEQ (COMCP),101.0,75.75,68.35,1014.75,915 CPT,81317,HC PMS2 GENE SEQ (XCP),99.0,74.25,66.99,1014.75,915 CPT,81317,PR PMS2 GENE FULL SEQ PNL (T1GS),42.0,31.5,28.42,42.0,676 CPT,81317,PR PMS2 GENE SEQ (COMCP),101.0,75.75,68.35,101.0,676 CPT,81317,PR PMS2 GENE SEQ (XCP),99.0,74.25,66.99,99.0,676 CPT,81318,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,375.0,331.0,500.0,915 CPT,81318,PR PMS2 KNOWN FAMILIAL VARIANTS,500.0,375.0,331.0,500.0,676 CPT,81319,HC PMS2 (DUP/DEL) (COMCP),30.0,22.5,20.3,305.25,915 CPT,81319,HC PMS2 GENE DUP/DEL (XCP),30.0,22.5,20.3,305.25,915 CPT,81319,PR PMS2 (DUP/DEL) (COMCP),30.0,22.5,20.3,30.0,676 CPT,81319,PR PMS2 GENE DUP/DEL (XCP),30.0,22.5,20.3,30.0,676 CPT,81321,HC PTEN FULL GENE,1000.0,750.0,600.0,1000.0,915 CPT,81321,HC PTEN GENE (XCP),87.0,65.25,58.87,900.0,915 CPT,81321,HC PTEN GENE (BRTP),233.0,174.75,157.67,900.0,915 CPT,81321,HC PTEN GENE (RENCP),284.0,213.0,192.18,900.0,915 CPT,81321,HC PTEN GENE SEQ (COMCP),87.0,65.25,58.87,900.0,915 CPT,81321,PR PTEN FULL GENE,1000.0,750.0,600.0,1000.0,676 CPT,81321,PR PTEN GENE (XCP),87.0,65.25,58.87,87.0,676 CPT,81321,PR PTEN GENE (BRTP),233.0,174.75,157.67,233.0,676 CPT,81321,PR PTEN GENE (RENCP),284.0,213.0,192.18,284.0,676 CPT,81321,PR PTEN GENE SEQ (COMCP),87.0,65.25,58.87,87.0,676 CPT,81322,PR PTEN GENE KNOWN MUT,500.0,375.0,46.6,500.0,676 CPT,81324,PR PMP22 GENE DUP/DELETE,500.0,375.0,338.35,500.0,676 CPT,81326,PR GENE PMP22 SEQ,500.0,375.0,46.6,500.0,676 CPT,81328,HC SLCO1B1 GENOTYPE STATIN,600.0,450.0,174.81,600.0,915 CPT,81328,PR SLCO1B1 GENOTYPE STATIN,600.0,450.0,174.81,600.0,676 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,300.0,137.0,400.0,915 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,300.0,137.0,400.0,915 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,129.75,117.07,205.5,915 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,104.25,94.06,205.5,915 CPT,81329,PR SMN1 GENE DOS/DELETION (SMNCS),400.0,300.0,137.0,400.0,676 CPT,81329,PR SMN1 GENE DOS/DELETION (SMNDX),400.0,300.0,137.0,400.0,676 CPT,81329,PR SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,129.75,117.07,173.0,676 CPT,81329,PR SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,104.25,94.06,139.0,676 CPT,81331,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,375.0,51.07,500.0,915 CPT,81331,PR SNRPN/UBE3A METHYLATION ANALYSIS,500.0,375.0,51.07,500.0,676 CPT,81336,HC SMN1 GENE FULL GENE SEQ,1000.0,750.0,301.35,1000.0,915 CPT,81336,PR SMN1 GENE FULL GENE SEQ,1000.0,750.0,301.35,1000.0,676 CPT,81339,HC MPL GENE SEQ ALYS EXON 10,545.0,408.75,185.2,545.0,916 CPT,81339,"HC MPL GENE SEQ ALYS EXON 10, 2",567.0,425.25,185.2,567.0,916 CPT,81339,PR MPL GENE SEQ ALYS EXON 10,545.0,408.75,185.2,545.0,676 CPT,81339,"PR MPL GENE SEQ ALYS EXON 10, 2",567.0,425.25,185.2,567.0,676 CPT,81340,HC TRB GENE REARRANGE AMPLIFY,865.0,648.75,208.92,865.0,916 CPT,81340,PR TRB GENE REARRANGE AMPLIFY,865.0,648.75,208.92,865.0,676 CPT,81342,HC TRG GENE REARRANGEMENT ANALYS,900.0,675.0,201.5,900.0,916 CPT,81342,PR TRG GENE REARRANGEMENT ANALYS,900.0,675.0,201.5,900.0,676 CPT,81345,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,675.0,185.2,900.0,915 CPT,81345,PR TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,675.0,185.2,900.0,676 CPT,81350,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,750.0,234.0,1000.0,915 CPT,81350,HC UGT1A1 GENE ANALYSIS 3,600.0,450.0,234.0,600.0,915 CPT,81350,PR UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,750.0,234.0,1000.0,676 CPT,81350,PR UGT1A1 GENE ANALYSIS 3,600.0,450.0,234.0,600.0,676 CPT,81351,HC TP53 GENE (BRTP),250.0,187.5,169.18,962.78,916 CPT,81351,HC TP53 GENE (RENCP),302.0,226.5,204.36,962.78,916 CPT,81351,HC TP53 GENE (WILMP),1383.0,1037.25,641.85,1383.0,916 CPT,81351,HC TP53 GENE (XCP),95.0,71.25,64.29,962.78,916 CPT,81351,HC TP53 GENE SEQ (COMCP),93.0,69.75,62.93,962.78,916 CPT,81351,HC TP53 MUTATION ANALYSIS (TP53),1200.0,900.0,641.85,1200.0,916 CPT,81351,PR TP53 GENE (BRTP),250.0,187.5,169.18,250.0,676 CPT,81351,PR TP53 GENE (RENCP),302.0,226.5,204.36,302.0,676 CPT,81351,PR TP53 GENE (WILMP),1383.0,1037.25,641.85,1383.0,676 CPT,81351,PR TP53 GENE (XCP),95.0,71.25,64.29,95.0,676 CPT,81351,PR TP53 GENE SEQ (COMCP),93.0,69.75,62.93,93.0,676 CPT,81351,PR TP53 MUTATION ANALYSIS (TP53),1200.0,900.0,641.85,1200.0,676 CPT,81352,HC TP53 GENE TARGET SEQ,728.0,546.0,329.51,728.0,916 CPT,81352,HC TP53 GENE TARGET SEQ (NGAMT),759.0,569.25,329.51,759.0,916 CPT,81352,PR TP53 GENE TARGET SEQ,728.0,546.0,327.6,728.0,676 CPT,81352,PR TP53 GENE TARGET SEQ (NGAMT),759.0,569.25,329.51,759.0,676 CPT,81361,HC HBB GENE (CSFP),73.0,54.75,49.4,262.22,915 CPT,81361,PR HBB GENE (CSFP),73.0,54.75,49.4,73.0,676 CPT,81362,HC GENE HBB SEQ,500.0,375.0,338.35,562.88,915 CPT,81362,PR GENE HBB SEQ,500.0,375.0,338.35,500.0,676 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,525.0,202.4,700.0,915 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,525.0,202.4,700.0,915 CPT,81363,HC HBB GENE DEL/DUP (CSFP),73.0,54.75,49.4,303.6,915 CPT,81363,PR BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,525.0,202.4,700.0,676 CPT,81363,PR BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,525.0,202.4,700.0,676 CPT,81363,PR HBB GENE DEL/DUP (CSFP),73.0,54.75,49.4,73.0,676 CPT,81364,HC HBB - BETA-GLOB GEN SEQ,500.0,375.0,324.58,500.0,915 CPT,81364,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,375.0,324.58,500.0,915 CPT,81364,PR HBB - BETA-GLOB GEN SEQ,500.0,375.0,324.58,500.0,676 CPT,81364,PR HBB BETA-GLOB GEN SEQ (WBSQR),500.0,375.0,324.58,500.0,676 CPT,81370,HC HLA I & II TYPING LR (SSOGP),1632.0,1224.0,402.12,1632.0,918 CPT,81370,PR HLA I & II TYPING LR (SSOGP),1632.0,1224.0,402.12,1632.0,676 CPT,81371,HC HLA CONFIRM TYPING LR,1066.0,799.5,404.52,1066.0,915 CPT,81371,PR HLA CONFIRM TYPING LR,1066.0,799.5,404.52,1066.0,676 CPT,81372,HC HLA CL I ABC TYPING LR,945.0,708.75,403.59,945.0,915 CPT,81372,HC HLA CLASS I TYPING LOW RESOL (HLABD),886.0,664.5,403.59,886.0,915 CPT,81372,PR HLA CL I ABC TYPING LR,945.0,708.75,403.59,945.0,676 CPT,81372,PR HLA CLASS I TYPING LOW RESOL (HLABD),886.0,664.5,403.59,886.0,676 CPT,81374,HC HLA I TYPING 1 ANTIGEN LR,258.0,193.5,74.33,258.0,916 CPT,81374,PR HLA I TYPING 1 ANTIGEN LR,258.0,193.5,74.33,258.0,676 CPT,81375,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),622.0,466.5,220.74,622.0,915 CPT,81375,PR HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),622.0,466.5,220.74,622.0,676 CPT,81376,HC CELIAC ASSOCIATED HLA-DQ TYPING,499.0,374.25,122.22,499.0,918 CPT,81376,HC HLA DP TYPING LR,475.0,356.25,122.22,475.0,918 CPT,81376,HC HLA DQ CONFIRM TYPING LR,485.0,363.75,122.22,485.0,918 CPT,81376,HC HLA II TYPING 1 LOCUS LR (SSOGP),480.0,360.0,122.22,480.0,918 CPT,81376,HC NARCOLEPSY ASSOCIATED HLA AG,475.0,356.25,122.22,475.0,918 CPT,81376,PR CELIAC ASSOCIATED HLA-DQ TYPING,499.0,374.25,122.22,499.0,676 CPT,81376,PR HLA DP TYPING LR,475.0,356.25,122.22,475.0,676 CPT,81376,PR HLA DQ CONFIRM TYPING LR,485.0,363.75,122.22,485.0,676 CPT,81376,PR HLA II TYPING 1 LOCUS LR (SSOGP),480.0,360.0,122.22,480.0,676 CPT,81376,PR NARCOLEPSY ASSOCIATED HLA AG,475.0,356.25,122.22,475.0,676 CPT,81378,HC HLA I & II TYPING HR,2065.0,1548.75,345.57,2065.0,916 CPT,81378,PR HLA I & II TYPING HR,2065.0,1548.75,345.57,2065.0,676 CPT,81379,HC HLA CL I ABC TYPING HR,1492.0,1119.0,335.38,1492.0,915 CPT,81379,PR HLA CL I ABC TYPING HR,1492.0,1119.0,335.38,1492.0,676 CPT,81381,HC GENOTYPE CARBAMAZEPINE,300.0,225.0,169.9,300.0,916 CPT,81381,HC HLAB 5701,600.0,450.0,169.9,600.0,916 CPT,81381,HC HLAB 5801,600.0,450.0,169.9,600.0,916 CPT,81381,PR GENOTYPE CARBAMAZEPINE,300.0,225.0,169.9,300.0,676 CPT,81381,PR HLAB 5701,600.0,450.0,169.9,600.0,676 CPT,81381,PR HLAB 5801,600.0,450.0,169.9,600.0,676 CPT,81382,HC HLA CL II TYPING HR,530.0,397.5,123.68,530.0,915 CPT,81382,PR HLA CL II TYPING HR,530.0,397.5,123.68,530.0,676 CPT,81401,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,300.0,137.0,400.0,916 CPT,81401,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,300.0,137.0,400.0,916 CPT,81401,HC BWS/RSS MOLECULAR ANALYSIS,386.0,289.5,137.0,386.0,916 CPT,81401,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,600.0,137.0,800.0,916 CPT,81401,HC GALC GENE,700.0,525.0,137.0,700.0,916 CPT,81401,HC INV(16) CBFB-MYH11 QUANT,523.0,392.25,137.0,523.0,916 CPT,81401,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,235.5,137.0,314.0,916 CPT,81401,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,9.75,8.8,205.5,916 CPT,81401,"HC RUNX1/RUNX1T1, QUANT",523.0,392.25,137.0,523.0,916 CPT,81401,PR AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,300.0,137.0,400.0,676 CPT,81401,PR APOB APOLIPOPROTEIN E GENOTYPE,400.0,300.0,137.0,400.0,676 CPT,81401,PR BWS/RSS MOLECULAR ANALYSIS,386.0,289.5,137.0,386.0,676 CPT,81401,PR GALACTOSEMIA MUTATION PANEL (GALMP),800.0,600.0,137.0,800.0,676 CPT,81401,PR GALC GENE,700.0,525.0,137.0,700.0,676 CPT,81401,PR INV(16) CBFB-MYH11 QUANT,523.0,392.25,137.0,523.0,676 CPT,81401,PR KCNQ1OT1 METHYLATION ANALYSIS,314.0,235.5,137.0,314.0,676 CPT,81401,PR MOPATH PROC LEVEL 2 (NEPHP),13.0,9.75,8.8,13.0,676 CPT,81401,"PR RUNX1/RUNX1T1, QUANT",523.0,392.25,137.0,523.0,676 CPT,81402,HC CYP21A2 COMMON VARIANTS,356.0,267.0,150.33,356.0,915 CPT,81402,HC UPD UNIPARENTAL DISOMY,700.0,525.0,150.33,700.0,915 CPT,81402,PR CYP21A2 COMMON VARIANTS,356.0,267.0,150.33,356.0,676 CPT,81402,PR UPD UNIPARENTAL DISOMY,700.0,525.0,150.33,700.0,676 CPT,81403,HC AGXT KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CPT,81403,HC AMYL KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC APAOA1 KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CPT,81403,HC ARSA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC DAZ/SRY DELETION,400.0,300.0,185.2,400.0,916 CPT,81403,HC DMD GENE MLPA,500.0,375.0,185.2,500.0,916 CPT,81403,HC EPCAM (DUP/DEL) (COMCP),23.0,17.25,15.56,277.8,916 CPT,81403,HC EPCAM GENE DUP/DEL (XCP),26.0,19.5,17.59,277.8,916 CPT,81403,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,469.5,185.2,626.0,916 CPT,81403,HC F8 INVERSION ANALYSIS 2,400.0,300.0,185.2,400.0,916 CPT,81403,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,916 CPT,81403,HC GAA KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC GAUCHER DISEASE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC GLA KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC HEXA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC IDS KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,375.0,185.2,500.0,916 CPT,81403,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,51.75,46.69,277.8,916 CPT,81403,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,165.0,148.87,277.8,916 CPT,81403,HC MOPATH PROC LEVEL 4 (PARDP),60.0,45.0,40.6,277.8,916 CPT,81403,HC MOPATH PROC LEVEL 4 (SMCP),470.0,352.5,185.2,470.0,916 CPT,81403,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,326.25,185.2,435.0,916 CPT,81403,HC MOPATH PROC LEVEL 4 (T1GS),11.0,8.25,7.44,277.8,916 CPT,81403,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,375.0,185.2,500.0,916 CPT,81403,HC SDH KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC VHL KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,HC X-ALD KNOWN MUTATION,500.0,375.0,185.2,500.0,916 CPT,81403,PR AGXT KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CPT,81403,PR AMYL KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR APAOA1 KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CPT,81403,PR ARSA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR DAZ/SRY DELETION,400.0,300.0,185.2,400.0,676 CPT,81403,PR DMD GENE MLPA,500.0,375.0,185.2,500.0,676 CPT,81403,PR EPCAM (DUP/DEL) (COMCP),23.0,17.25,15.56,23.0,676 CPT,81403,PR EPCAM GENE DUP/DEL (XCP),26.0,19.5,17.59,26.0,676 CPT,81403,PR F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,469.5,185.2,626.0,676 CPT,81403,PR F8 INVERSION ANALYSIS 2,400.0,300.0,185.2,400.0,676 CPT,81403,PR FLCN GENE KNOWN MUTATION (FMTT),500.0,375.0,185.2,500.0,676 CPT,81403,PR GAA KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR GAUCHER DISEASE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR GLA KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR HEXA GENE KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR IDS KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR KVAR1 SINGLE VARIANT KNOWN GENE,500.0,375.0,185.2,500.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (AFTDP),69.0,51.75,46.69,69.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (LQTSG),220.0,165.0,148.87,220.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (PARDP),60.0,45.0,40.6,60.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (SMCP),470.0,352.5,185.2,470.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (SQTSG),435.0,326.25,185.2,435.0,676 CPT,81403,PR MOPATH PROC LEVEL 4 (T1GS),11.0,8.25,7.44,11.0,676 CPT,81403,"PR NPC1/NPC2 GENES, KNOWN MUTATION",500.0,375.0,185.2,500.0,676 CPT,81403,PR SDH KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR VHL KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81403,PR X-ALD KNOWN MUTATION,500.0,375.0,185.2,500.0,676 CPT,81404,HC BTD FULL GENE ANALYSIS (BTD),700.0,525.0,274.83,700.0,916 CPT,81404,HC MOPATH PROC LEVEL 5 (COMCP),33.0,24.75,22.33,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (RENCP),129.0,96.75,87.29,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (XCP),43.0,32.25,29.1,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,76.5,69.02,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,1100.25,274.83,1467.0,916 CPT,81404,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,59.25,53.46,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,33.75,30.45,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,429.75,274.83,573.0,916 CPT,81404,HC MOPATH PROC LEVEL 5 (HPANP),400.0,300.0,270.68,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (IMNP),380.0,285.0,257.15,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,15.75,14.21,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (PANGP),314.0,235.5,212.48,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (PARDP),88.0,66.0,59.55,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (RBART),365.0,273.75,247.0,412.25,916 CPT,81404,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,89.25,80.53,412.25,916 CPT,81404,HC PRSS1 FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,916 CPT,81404,HC PRSS1 FULL GENE ANALYSIS (HPPAN),936.0,702.0,274.83,936.0,916 CPT,81404,HC SDHD GENE (SDHMP),400.0,300.0,270.68,412.25,916 CPT,81404,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,750.0,274.83,1000.0,916 CPT,81404,HC SPINK1 FULL GENE ANALYSIS (HPPAN),458.0,343.5,274.83,458.0,916 CPT,81404,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,750.0,274.83,1000.0,916 CPT,81404,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,750.0,274.83,1000.0,916 CPT,81404,HC VHL FULL GENE,1000.0,750.0,274.83,1000.0,916 CPT,81404,HC VHL FULL GENE (NHEM),1466.0,1099.5,274.83,1466.0,916 CPT,81404,HC VHL FULL GENE (NHEP),813.0,609.75,274.83,813.0,916 CPT,81404,HC VHL GENE (MCFRC),280.0,210.0,189.48,412.25,916 CPT,81404,HC VHL GENE FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,916 CPT,81404,PR BTD FULL GENE ANALYSIS (BTD),700.0,525.0,274.83,700.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (COMCP),33.0,24.75,22.33,33.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (RENCP),129.0,96.75,87.29,129.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (XCP),43.0,32.25,29.1,43.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (AFTDP),102.0,76.5,69.02,102.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (AHUGP),1467.0,1100.25,274.83,1467.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (CHDGG),79.0,59.25,53.46,79.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (CKDGP),45.0,33.75,30.45,45.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (EDMDP),573.0,429.75,274.83,573.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (HPANP),400.0,300.0,270.68,400.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (IMNP),380.0,285.0,257.15,380.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (NEPHP),21.0,15.75,14.21,21.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (PANGP),314.0,235.5,212.48,314.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (PARDP),88.0,66.0,59.55,88.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (RBART),365.0,273.75,247.0,365.0,676 CPT,81404,PR MOPATH PROC LEVEL 5 (RSCGP),119.0,89.25,80.53,119.0,676 CPT,81404,PR PRSS1 FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,676 CPT,81404,PR PRSS1 FULL GENE ANALYSIS (HPPAN),936.0,702.0,274.83,936.0,676 CPT,81404,PR SDHD GENE (SDHMP),400.0,300.0,270.68,400.0,676 CPT,81404,"PR SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,750.0,274.83,1000.0,676 CPT,81404,PR SPINK1 FULL GENE ANALYSIS (HPPAN),458.0,343.5,274.83,458.0,676 CPT,81404,"PR TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,750.0,274.83,1000.0,676 CPT,81404,PR UGT1A1 FULL GENE SEQ (UGTFG),1000.0,750.0,274.83,1000.0,676 CPT,81404,PR VHL FULL GENE,1000.0,750.0,274.83,1000.0,676 CPT,81404,PR VHL FULL GENE (NHEM),1466.0,1099.5,274.83,1466.0,676 CPT,81404,PR VHL FULL GENE (NHEP),813.0,609.75,274.83,813.0,676 CPT,81404,PR VHL GENE (MCFRC),280.0,210.0,189.48,280.0,676 CPT,81404,PR VHL GENE FULL GENE ANALYSIS,700.0,525.0,274.83,700.0,676 CPT,81405,HC CTRC FULL GENE ANALYSIS (HPPAN),868.0,651.0,301.35,868.0,916 CPT,81405,HC CTRC GENE (HPANP),400.0,300.0,270.68,452.03,916 CPT,81405,HC CYP21A2 FULL GENE ANALYSIS,644.0,483.0,301.35,644.0,916 CPT,81405,HC FH FULL GENE,1000.0,750.0,301.35,1000.0,916 CPT,81405,HC FH MUTATION ANALYSIS (TFH),1200.0,900.0,301.35,1200.0,916 CPT,81405,HC GLA FULL GENE ANALYSIS (GLA),700.0,525.0,301.35,700.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,264.75,238.88,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,84.0,75.79,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (APGP),623.0,467.25,301.35,623.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,750.0,301.35,1000.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,64.5,58.2,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,38.25,34.51,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (COMCP),35.0,26.25,23.68,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,187.5,169.18,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,102.0,92.03,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,471.0,301.35,628.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (HMEP),129.0,96.75,87.29,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (IMNP),380.0,285.0,257.15,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,360.75,301.35,481.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,16.5,14.89,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (PANGP),344.0,258.0,232.78,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (PARDP),98.0,73.5,66.32,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (PCGP),625.0,468.75,301.35,625.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,468.0,301.35,624.0,916 CPT,81405,HC MOPATH PROC LEVEL 6 (RENCP),142.0,106.5,96.09,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,60.75,54.81,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,97.5,87.97,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,300.0,270.68,452.03,916 CPT,81405,HC MOPATH PROC LEVEL 6 (XCP),49.0,36.75,33.16,452.03,916 CPT,81405,HC PKLR FULL GENE (NHEP),892.0,669.0,301.35,892.0,916 CPT,81405,HC PKLR FULL GENE (PKLRZ),1000.0,750.0,301.35,1000.0,916 CPT,81405,HC PKLR FULL GENE AND DELETION,500.0,375.0,301.35,500.0,916 CPT,81405,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,1125.0,301.35,1500.0,916 CPT,81405,HC STK11 FULL GENE,1000.0,750.0,301.35,1000.0,916 CPT,81405,HC STK11 GENE (BRTP),118.0,88.5,79.85,452.03,916 CPT,81405,HC WT1 GENE (WILMP),402.0,301.5,272.03,452.03,916 CPT,81405,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,525.0,301.35,700.0,916 CPT,81405,PR CTRC FULL GENE ANALYSIS (HPPAN),868.0,651.0,301.35,868.0,676 CPT,81405,PR CTRC GENE (HPANP),400.0,300.0,270.68,400.0,676 CPT,81405,PR CYP21A2 FULL GENE ANALYSIS,644.0,483.0,301.35,644.0,676 CPT,81405,PR FH FULL GENE,1000.0,750.0,301.35,1000.0,676 CPT,81405,PR FH MUTATION ANALYSIS (TFH),1200.0,900.0,301.35,1200.0,676 CPT,81405,PR GLA FULL GENE ANALYSIS (GLA),700.0,525.0,301.35,700.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (ADPKP),353.0,264.75,238.88,353.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (AFTDP),112.0,84.0,75.79,112.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (APGP),623.0,467.25,301.35,623.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (CASRG),1000.0,750.0,301.35,1000.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (CHDGG),86.0,64.5,58.2,86.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (CKDGP),51.0,38.25,34.51,51.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (COMCP),35.0,26.25,23.68,35.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (CPVTG),250.0,187.5,169.18,250.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (CVHBG),136.0,102.0,92.03,136.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (EDMDP),628.0,471.0,301.35,628.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (HMEP),129.0,96.75,87.29,129.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (IMNP),380.0,285.0,257.15,380.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (MSUDP),481.0,360.75,301.35,481.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (NEPHP),22.0,16.5,14.89,22.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (PANGP),344.0,258.0,232.78,344.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (PARDP),98.0,73.5,66.32,98.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (PCGP),625.0,468.75,301.35,625.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (PHEGP),624.0,468.0,301.35,624.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (RENCP),142.0,106.5,96.09,142.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (RFSGS),81.0,60.75,54.81,81.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (RSCGP),130.0,97.5,87.97,130.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (SDHMP),400.0,300.0,270.68,400.0,676 CPT,81405,PR MOPATH PROC LEVEL 6 (XCP),49.0,36.75,33.16,49.0,676 CPT,81405,PR PKLR FULL GENE (NHEP),892.0,669.0,301.35,892.0,676 CPT,81405,PR PKLR FULL GENE (PKLRZ),1000.0,750.0,301.35,1000.0,676 CPT,81405,PR PKLR FULL GENE AND DELETION,500.0,375.0,301.35,500.0,676 CPT,81405,PR SLCA1 FULL GENE SEQ (NMEM),1500.0,1125.0,301.35,1500.0,676 CPT,81405,PR STK11 FULL GENE,1000.0,750.0,301.35,1000.0,676 CPT,81405,PR STK11 GENE (BRTP),118.0,88.5,79.85,118.0,676 CPT,81405,PR WT1 GENE (WILMP),402.0,301.5,272.03,402.0,676 CPT,81405,PR X-ALD FULL GENE ANALYSIS (ABCD1),700.0,525.0,301.35,700.0,676 CPT,81406,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,525.0,282.88,700.0,916 CPT,81406,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,750.0,282.88,1000.0,916 CPT,81406,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,750.0,282.88,1000.0,916 CPT,81406,HC CDH1 FULL GENE,1000.0,750.0,282.88,1000.0,916 CPT,81406,HC CDH1 GENE (BRTP),110.0,82.5,74.44,424.32,916 CPT,81406,HC GAA FULL GENE SEQUENCE (GAAN),700.0,525.0,282.88,700.0,916 CPT,81406,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,750.0,282.88,1000.0,916 CPT,81406,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,525.0,282.88,700.0,916 CPT,81406,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,525.0,282.88,700.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,248.25,223.99,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,78.75,71.05,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (APGP),585.0,438.75,282.88,585.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1200.0,282.88,1600.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,60.75,54.81,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,36.0,32.48,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (COMCP),33.0,24.75,22.33,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,94.5,85.26,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,221.25,199.63,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,172.5,155.64,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,446.25,282.88,595.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (HMEP),122.0,91.5,82.56,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,352.5,282.88,470.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (IMNP),380.0,285.0,257.15,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,172.5,155.64,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,243.75,219.93,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,339.75,282.88,453.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,15.75,14.21,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,99.75,90.0,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (PARDP),92.0,69.0,62.26,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (PCGP),584.0,438.0,282.88,584.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,438.75,282.88,585.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (RBART),377.0,282.75,255.12,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (RENCP),134.0,100.5,90.68,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,57.75,52.11,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,92.25,83.23,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (SMCP),460.0,345.0,282.88,460.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,498.75,282.88,665.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (T1GS),9.0,6.75,6.09,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,300.0,270.68,424.32,916 CPT,81406,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,1108.5,282.88,1478.0,916 CPT,81406,HC MOPATH PROC LEVEL 7 (XCP),42.0,31.5,28.42,424.32,916 CPT,81406,HC RET FULL GENE,1000.0,750.0,282.88,1000.0,916 CPT,81406,HC SDHA GENE (SDHMP),400.0,300.0,270.68,424.32,916 CPT,81406,HC TSC1 GENE (MCFRC),290.0,217.5,196.24,424.32,916 CPT,81406,PR ACADV FULL GENE ANALYSIS (ACADV),700.0,525.0,282.88,700.0,676 CPT,81406,PR ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,750.0,282.88,1000.0,676 CPT,81406,PR BTK GENE FULL ANALYSIS (BTKSG),1000.0,750.0,282.88,1000.0,676 CPT,81406,PR CDH1 FULL GENE,1000.0,750.0,282.88,1000.0,676 CPT,81406,PR CDH1 GENE (BRTP),110.0,82.5,74.44,110.0,676 CPT,81406,PR GAA FULL GENE SEQUENCE (GAAN),700.0,525.0,282.88,700.0,676 CPT,81406,PR GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,750.0,282.88,1000.0,676 CPT,81406,PR HEXA FULL GENE ANALYSIS (HEXAN),700.0,525.0,282.88,700.0,676 CPT,81406,PR IDUA FULL GENE ANALYSIS (IDUA),700.0,525.0,282.88,700.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (ADPKP),331.0,248.25,223.99,331.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (AFTDP),105.0,78.75,71.05,105.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (APGP),585.0,438.75,282.88,585.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (BRFKT),1600.0,1200.0,282.88,1600.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (CHDGG),81.0,60.75,54.81,81.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (CKDGP),48.0,36.0,32.48,48.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (COMCP),33.0,24.75,22.33,33.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (CVHBG),126.0,94.5,85.26,126.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (EDMDP),295.0,221.25,199.63,295.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (HCHLG),230.0,172.5,155.64,230.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (HHTGG),595.0,446.25,282.88,595.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (HMEP),122.0,91.5,82.56,122.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (HYPBG),470.0,352.5,282.88,470.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (IMNP),380.0,285.0,257.15,380.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (LIPOG),230.0,172.5,155.64,230.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (LQTSG),325.0,243.75,219.93,325.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (MSUDP),453.0,339.75,282.88,453.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (NEPHP),21.0,15.75,14.21,21.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (OIBFG),133.0,99.75,90.0,133.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (PARDP),92.0,69.0,62.26,92.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (PCGP),584.0,438.0,282.88,584.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (PHEGP),585.0,438.75,282.88,585.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (RBART),377.0,282.75,255.12,377.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (RENCP),134.0,100.5,90.68,134.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (RFSGS),77.0,57.75,52.11,77.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (RSCGP),123.0,92.25,83.23,123.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (SMCP),460.0,345.0,282.88,460.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (SQTSG),665.0,498.75,282.88,665.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (T1GS),9.0,6.75,6.09,9.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (TSCP1),400.0,300.0,270.68,400.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (TYRGP),1478.0,1108.5,282.88,1478.0,676 CPT,81406,PR MOPATH PROC LEVEL 7 (XCP),42.0,31.5,28.42,42.0,676 CPT,81406,PR RET FULL GENE,1000.0,750.0,282.88,1000.0,676 CPT,81406,PR SDHA GENE (SDHMP),400.0,300.0,270.68,400.0,676 CPT,81406,PR TSC1 GENE (MCFRC),290.0,217.5,196.24,290.0,676 CPT,81407,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,750.0,676.7,1269.41,916 CPT,81407,"HC F8 GENE, FULL GENE (GNBLF)",418.0,313.5,282.86,1269.41,916 CPT,81407,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,1087.5,846.27,1450.0,916 CPT,81407,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,651.0,587.38,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,235.5,212.48,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1341.75,846.27,1789.0,916 CPT,81407,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,294.0,265.27,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,181.5,163.76,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,108.0,97.44,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,1033.5,846.27,1378.0,916 CPT,81407,HC MOPATH PROC LEVEL 8 (HMEP),363.0,272.25,245.64,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,1012.5,846.27,1350.0,916 CPT,81407,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,753.75,680.08,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,47.25,42.63,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (PARDP),275.0,206.25,186.09,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (RBART),1125.0,843.75,761.29,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (RENCP),397.0,297.75,268.65,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,172.5,155.64,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,276.0,249.03,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (T1GS),53.0,39.75,35.87,1269.41,916 CPT,81407,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1200.0,846.27,1600.0,916 CPT,81407,HC MOPATH PROC LEVEL 8 (XCP),120.0,90.0,81.2,1269.41,916 CPT,81407,HC TSC2 GENE (MCFRC),850.0,637.5,575.2,1269.41,916 CPT,81407,"PR BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,750.0,676.7,1000.0,676 CPT,81407,"PR F8 GENE, FULL GENE (GNBLF)",418.0,313.5,282.86,418.0,676 CPT,81407,"PR F8 GENE, FULL GENE (GNHMA)",1450.0,1087.5,846.27,1450.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (ADPKP),868.0,651.0,587.38,868.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (AFTDP),314.0,235.5,212.48,314.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (ALAGP),1789.0,1341.75,846.27,1789.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (ALPGP),392.0,294.0,265.27,392.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (CHDGG),242.0,181.5,163.76,242.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (CKDGP),144.0,108.0,97.44,144.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (HCHLG),1378.0,1033.5,846.27,1378.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (HMEP),363.0,272.25,245.64,363.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (HYPBG),1350.0,1012.5,846.27,1350.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (LQTSG),1005.0,753.75,680.08,1005.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (NEPHP),63.0,47.25,42.63,63.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (PARDP),275.0,206.25,186.09,275.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (RBART),1125.0,843.75,761.29,1125.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (RENCP),397.0,297.75,268.65,397.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (RFSGS),230.0,172.5,155.64,230.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (RSCGP),368.0,276.0,249.03,368.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (T1GS),53.0,39.75,35.87,53.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (TSCP1),1600.0,1200.0,846.27,1600.0,676 CPT,81407,PR MOPATH PROC LEVEL 8 (XCP),120.0,90.0,81.2,120.0,676 CPT,81407,PR TSC2 GENE (MCFRC),850.0,637.5,575.2,850.0,676 CPT,81408,HC ATM GENE (BRTP),777.0,582.75,525.8,3000.0,916 CPT,81408,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,750.0,676.7,3000.0,916 CPT,81408,HC FBN1 FULL GENE ANALYSIS,1000.0,750.0,676.7,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,1080.0,974.45,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,552.75,498.73,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,316.5,285.57,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,255.75,230.75,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (COMCP),235.0,176.25,159.02,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1250.25,1128.06,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,672.75,607.0,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,729.75,658.43,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (HMEP),858.0,643.5,580.61,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,113.25,102.18,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,628.5,567.07,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (PARDP),649.0,486.75,439.18,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,406.5,366.77,3000.0,916 CPT,81408,HC MOPATH PROC LEVEL 9 (XCP),245.0,183.75,165.79,3000.0,916 CPT,81408,HC NF1 FULL GENE,1000.0,750.0,676.7,3000.0,916 CPT,81408,HC VWF GENE (GNBLF),987.0,740.25,667.9,3000.0,916 CPT,81408,HC VWF GENE (GNVWD),1900.0,1425.0,1285.73,3000.0,916 CPT,81408,PR ATM GENE (BRTP),777.0,582.75,525.8,777.0,676 CPT,81408,"PR DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,750.0,676.7,1000.0,676 CPT,81408,PR FBN1 FULL GENE ANALYSIS,1000.0,750.0,676.7,1000.0,676 CPT,81408,PR MOPATH PROC LEVEL 8 (LIPOG),1440.0,1080.0,974.45,1440.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (ALPGP),737.0,552.75,498.73,737.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (CHDGG),422.0,316.5,285.57,422.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (CKDGP),341.0,255.75,230.75,341.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (COMCP),235.0,176.25,159.02,235.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (CPVTG),1667.0,1250.25,1128.06,1667.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (CVHBG),897.0,672.75,607.0,897.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (EDSGG),973.0,729.75,658.43,973.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (HMEP),858.0,643.5,580.61,858.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (NEPHP),151.0,113.25,102.18,151.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (OIBFG),838.0,628.5,567.07,838.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (PARDP),649.0,486.75,439.18,649.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (RFSGS),542.0,406.5,366.77,542.0,676 CPT,81408,PR MOPATH PROC LEVEL 9 (XCP),245.0,183.75,165.79,245.0,676 CPT,81408,PR NF1 FULL GENE,1000.0,750.0,676.7,1000.0,676 CPT,81408,PR VWF GENE (GNBLF),987.0,740.25,667.9,987.0,676 CPT,81408,PR VWF GENE (GNVWD),1900.0,1425.0,1285.73,1900.0,676 CPT,81410,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1500.0,504.0,2000.0,915 CPT,81410,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1500.0,504.0,2000.0,915 CPT,81410,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1425.0,504.0,1900.0,915 CPT,81410,PR COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1500.0,504.0,2000.0,676 CPT,81410,PR MARFAN AND RELATED CONDITIONS PANEL,2000.0,1500.0,504.0,2000.0,676 CPT,81410,PR POSTMORTEM AORTOPATHY PANEL,1900.0,1425.0,504.0,1900.0,676 CPT,81413,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1500.0,584.9,2000.0,915 CPT,81413,PR COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1500.0,584.9,2000.0,676 CPT,81415,HC EXOME,5334.0,4000.5,3609.52,7170.0,915 CPT,81415,HC WHOLE EXOME SEQ (WESDX),3000.0,2250.0,2030.1,7170.0,915 CPT,81415,PR EXOME,5334.0,4000.5,3609.52,5334.0,676 CPT,81415,PR WHOLE EXOME SEQ (WESDX),3000.0,2250.0,2030.1,3000.0,676 CPT,81416,HC EXOME COMPARATOR,1240.0,930.0,839.11,18000.0,915 CPT,81416,HC EXOME COMPARATOR (G226),1500.0,1125.0,1015.05,18000.0,915 CPT,81416,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1125.0,1015.05,18000.0,915 CPT,81416,PR EXOME COMPARATOR,1240.0,930.0,839.11,1240.0,676 CPT,81416,PR EXOME COMPARATOR (G226),1500.0,1125.0,1015.05,1500.0,676 CPT,81416,PR WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1125.0,1015.05,1500.0,676 CPT,81417,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,1125.0,320.0,1500.0,915 CPT,81417,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1125.0,320.0,1500.0,915 CPT,81417,PR WHOLE EXOME SEQ REANAL (WESPR),1500.0,1125.0,320.0,1500.0,676 CPT,81417,PR WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1125.0,320.0,1500.0,676 CPT,81418,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1125.0,917.08,1500.0,916 CPT,81418,PR PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1125.0,675.0,1500.0,676 CPT,81419,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1875.0,1691.75,3672.84,915 CPT,81419,PR COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1875.0,1125.0,2500.0,676 CPT,81425,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3000.0,2706.8,7546.8,915 CPT,81425,HC RAPID WHOLE GENOME SEQ,5500.0,4125.0,3721.85,7546.8,915 CPT,81425,PR GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3000.0,2706.8,4000.0,676 CPT,81425,PR RAPID WHOLE GENOME SEQ,5500.0,4125.0,3721.85,5500.0,676 CPT,81426,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1500.0,1353.4,4064.93,915 CPT,81426,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,2030.1,4064.93,915 CPT,81426,PR GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1500.0,1353.4,2000.0,676 CPT,81426,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2250.0,2030.1,3000.0,676 CPT,81427,HC GENOME RE-EVALUATION (WGSR),1500.0,1125.0,1015.05,3506.48,915 CPT,81427,PR GENOME RE-EVALUATION (WGSR),1500.0,1125.0,1015.05,1500.0,676 CPT,81430,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1322.25,1193.02,2437.5,915 CPT,81430,PR HEARING LOSS GENE PANEL (AHLP),1763.0,1322.25,1193.02,1763.0,676 CPT,81431,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,552.75,498.73,1019.36,915 CPT,81431,PR HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,552.75,498.73,737.0,676 CPT,81432,HC BREAST CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,897 CPT,81432,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1500.0,1303.95,2000.0,897 CPT,81432,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1500.0,1303.95,2000.0,897 CPT,81432,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1500.0,1303.95,2000.0,897 CPT,81432,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1875.0,1303.95,2500.0,897 CPT,81432,PR BREAST CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CPT,81432,PR HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1500.0,1303.95,2000.0,676 CPT,81432,PR HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1500.0,1303.95,2000.0,676 CPT,81432,PR HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1500.0,1303.95,2000.0,676 CPT,81432,PR RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1875.0,1303.95,2500.0,676 CPT,81435,HC COLON CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,915 CPT,81435,HC HEREDITARY GI CANCER PANEL,2000.0,1500.0,1303.95,2000.0,915 CPT,81435,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1500.0,1303.95,2000.0,915 CPT,81435,PR COLON CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CPT,81435,PR HEREDITARY GI CANCER PANEL,2000.0,1500.0,1303.95,2000.0,676 CPT,81435,PR LYNCH SYNDROME PANEL (LYNCP),2000.0,1500.0,1303.95,2000.0,676 CPT,81437,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1500.0,1303.95,2000.0,915 CPT,81437,HC HEREDITARY PGL/PCC PANEL,2000.0,1500.0,1303.95,2000.0,915 CPT,81437,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1500.0,1303.95,2000.0,915 CPT,81437,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,915 CPT,81437,PR HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1500.0,1303.95,2000.0,676 CPT,81437,PR HEREDITARY PGL/PCC PANEL,2000.0,1500.0,1303.95,2000.0,676 CPT,81437,PR HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1500.0,1303.95,2000.0,676 CPT,81437,PR NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1875.0,1303.95,2500.0,676 CPT,81439,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1500.0,584.9,2000.0,915 CPT,81439,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1875.0,584.9,2500.0,915 CPT,81439,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1875.0,584.9,2500.0,915 CPT,81439,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1875.0,584.9,2500.0,915 CPT,81439,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1500.0,584.9,2000.0,915 CPT,81439,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1425.0,584.9,1900.0,915 CPT,81439,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1425.0,584.9,1900.0,915 CPT,81439,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1425.0,584.9,1900.0,915 CPT,81439,PR ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1500.0,584.9,2000.0,676 CPT,81439,PR CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1875.0,584.9,2500.0,676 CPT,81439,PR COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1875.0,584.9,2500.0,676 CPT,81439,PR DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1875.0,584.9,2500.0,676 CPT,81439,PR HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1500.0,584.9,2000.0,676 CPT,81439,PR POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1425.0,584.9,1900.0,676 CPT,81439,PR POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1425.0,584.9,1900.0,676 CPT,81439,PR POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1425.0,584.9,1900.0,676 CPT,81440,HC MITOCHON NUCLEAR (CMITO),2996.0,2247.0,2027.39,4986.0,915 CPT,81440,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,1875.0,1691.75,4986.0,915 CPT,81440,PR MITOCHON NUCLEAR (CMITO),2996.0,2247.0,2027.39,2996.0,676 CPT,81440,PR NUC MITOCHON GENE PANEL (NMITO),2500.0,1875.0,1691.75,2500.0,676 CPT,81441,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1875.0,1691.75,3672.84,915 CPT,81441,PR BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1875.0,1125.0,2500.0,676 CPT,81442,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1500.0,1353.4,3215.4,915 CPT,81442,PR NOONAN SYNDROME AND RELATED PANEL,2000.0,1500.0,1353.4,2000.0,676 CPT,81443,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC ALPS GENE PANEL (ALPSG),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC ATAXIA GENE PANEL (ATAXP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC CDG GENE PANEL (CDGGP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,780.0,703.77,3672.84,916 CPT,81443,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC HLH GENE PANEL (HLHGP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC LSD GENE PANEL (LSDGP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1331.25,1201.14,3672.84,916 CPT,81443,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1560.0,1407.54,3672.84,916 CPT,81443,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC POSTMORTEM HLH GENE PANEL,1900.0,1425.0,1285.73,3672.84,916 CPT,81443,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1425.0,1285.73,3672.84,916 CPT,81443,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1875.0,1691.75,3672.84,916 CPT,81443,HC SCID GENE PANEL (SCIDP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1331.25,1201.14,3672.84,916 CPT,81443,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1331.25,1201.14,3672.84,916 CPT,81443,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1500.0,1353.4,3672.84,916 CPT,81443,PR 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR ALPS GENE PANEL (ALPSG),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR ATAXIA GENE PANEL (ATAXP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR CDG GENE PANEL (CDGGP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR CHOLESTASIS GENE PANEL (CHLGP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,780.0,703.77,1040.0,676 CPT,81443,PR CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR HLH GENE PANEL (HLHGP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR LGMD AND CMS GENE PANEL (LGCMP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR LSD GENE PANEL (LSDGP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1331.25,1201.14,1775.0,676 CPT,81443,PR METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1560.0,1407.54,2080.0,676 CPT,81443,PR MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR POSTMORTEM HLH GENE PANEL,1900.0,1425.0,1285.73,1900.0,676 CPT,81443,PR POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1425.0,1285.73,1900.0,676 CPT,81443,PR RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1875.0,1691.75,2500.0,676 CPT,81443,PR SCID GENE PANEL (SCIDP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1331.25,1201.14,1775.0,676 CPT,81443,PR TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1331.25,1201.14,1775.0,676 CPT,81443,PR THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1500.0,1353.4,2000.0,676 CPT,81443,PR VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1500.0,1353.4,2000.0,676 CPT,81445,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1200.0,597.91,1600.0,915 CPT,81445,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1200.0,597.91,1600.0,915 CPT,81445,PR HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1200.0,597.91,1600.0,676 CPT,81445,PR MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1200.0,597.91,1600.0,676 CPT,81448,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1875.0,584.9,2500.0,915 CPT,81448,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1875.0,584.9,2500.0,915 CPT,81448,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1500.0,584.9,2000.0,915 CPT,81448,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1875.0,584.9,2500.0,915 CPT,81448,PR MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1875.0,584.9,2500.0,676 CPT,81448,PR PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1875.0,584.9,2500.0,676 CPT,81448,PR SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1500.0,584.9,2000.0,676 CPT,81448,PR SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1875.0,584.9,2500.0,676 CPT,81449,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,900.0,597.91,1200.0,916 CPT,81449,PR MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,900.0,540.0,1200.0,676 CPT,81450,HC B-CELL LYMPHOMA NGS,2558.0,1918.5,759.53,2558.0,918 CPT,81450,HC CHRONIC LYMPHOID NEOPLASM NGS,2153.0,1614.75,759.53,2153.0,918 CPT,81450,HC NEXT GEN AML 8,2926.0,2194.5,759.53,2926.0,918 CPT,81450,HC NGS ACUTE MYELOID LEUKEMIA,2828.0,2121.0,759.53,2828.0,918 CPT,81450,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,3260.0,2445.0,759.53,3260.0,918 CPT,81450,HC PLASMA CELL MYELOMA NGS,2163.0,1622.25,759.53,2163.0,918 CPT,81450,"HC REFLEX ANALYSIS, NGSHM",2392.0,1794.0,759.53,2392.0,918 CPT,81450,HC T-CELL LYMPHOMA NGS,2250.0,1687.5,759.53,2250.0,918 CPT,81450,PR NEXT GEN AML 8,2926.0,2194.5,759.53,2926.0,676 CPT,81450,PR NGS ACUTE MYELOID LEUKEMIA,2828.0,2121.0,759.53,2828.0,676 CPT,81450,PR ONCOHEME NGS FOR HEMATOLOGIC CANCER,3260.0,2445.0,759.53,3260.0,676 CPT,81450,"PR REFLEX ANALYSIS, NGSHM",2392.0,1794.0,759.53,2392.0,676 CPT,81450,PR T-CELL LYMPHOMA NGS,2250.0,1687.5,759.53,2250.0,676 CPT,81455,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1350.0,1218.06,4379.4,915 CPT,81455,PR NEURO-ONC EXPAND PANEL (NONCP),1800.0,1350.0,1218.06,1800.0,676 CPT,81456,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1500.0,1353.4,4379.4,916 CPT,81456,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1500.0,1353.4,4379.4,916 CPT,81456,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1500.0,1353.4,4379.4,916 CPT,81456,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1500.0,1353.4,4379.4,916 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2065.5,1863.63,4379.4,916 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1350.0,1218.06,4379.4,916 CPT,81456,PR MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1500.0,900.0,2000.0,676 CPT,81456,PR MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1500.0,900.0,2000.0,676 CPT,81456,PR NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1500.0,900.0,2000.0,676 CPT,81456,PR SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1500.0,900.0,2000.0,676 CPT,81456,PR SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2065.5,1239.3,2754.0,676 CPT,81456,PR SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1350.0,810.0,1800.0,676 CPT,81457,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2100.0,896.87,2800.0,916 CPT,81457,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1200.0,896.87,1600.0,916 CPT,81457,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,634.5,572.49,1345.31,916 CPT,81457,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1200.0,896.87,1600.0,916 CPT,81457,PR MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2100.0,896.87,2800.0,676 CPT,81457,PR MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1200.0,720.0,1600.0,676 CPT,81457,PR MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,634.5,380.7,846.0,676 CPT,81457,PR NEURO-ONC PANEL MUT (NONCM),1600.0,1200.0,720.0,1600.0,676 CPT,81459,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2700.0,2436.12,4484.33,916 CPT,81459,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2700.0,1620.0,3600.0,676 CPT,81460,HC MITOCHON FULL GENOME (CMITO),1160.0,870.0,784.97,1930.5,915 CPT,81460,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,701.25,632.71,1930.5,915 CPT,81460,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1280.25,1155.13,1930.5,915 CPT,81460,PR MITOCHON FULL GENOME (CMITO),1160.0,870.0,784.97,1160.0,676 CPT,81460,PR MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,701.25,632.71,935.0,676 CPT,81460,PR MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1280.25,1155.13,1707.0,676 CPT,81463,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2700.0,1345.31,3600.0,915 CPT,81463,PR MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2700.0,1345.31,3600.0,676 CPT,81465,HC MITOCHON DELETION (CMITO),844.0,633.0,571.13,1404.0,915 CPT,81465,HC WHOLE MITOCHON GENOME (MITOP),793.0,594.75,536.62,1404.0,915 CPT,81465,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,393.75,355.27,1404.0,915 CPT,81465,PR MITOCHON DELETION (CMITO),844.0,633.0,571.13,844.0,676 CPT,81465,PR WHOLE MITOCHON GENOME (MITOP),793.0,594.75,536.62,793.0,676 CPT,81465,PR WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,393.75,355.27,525.0,676 CPT,81479,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,750.0,450.0,1000.0,910 CPT,81479,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ALK MUTATION ANALYSIS (ALKT),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC APOL1 GENOTYPE,400.0,300.0,180.0,400.0,910 CPT,81479,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC BAP1 FULL GENE,1000.0,750.0,450.0,1000.0,910 CPT,81479,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1312.5,787.5,1750.0,910 CPT,81479,HC BPGM FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CPT,81479,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1200.0,720.0,1600.0,910 CPT,81479,HC C9ORF72 MOLECULAR ANALYSIS,700.0,525.0,315.0,700.0,910 CPT,81479,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,600.0,360.0,800.0,910 CPT,81479,HC CDA SEQUENCING NGS (NCDA),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC CDKN1C FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CPT,81479,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,600.0,360.0,800.0,910 CPT,81479,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,750.0,450.0,1000.0,910 CPT,81479,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3750.0,2250.0,5000.0,910 CPT,81479,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC CPVT GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC CXCR4 MUTATION,609.0,456.75,274.05,609.0,910 CPT,81479,"HC CXCR4, GENE MUTATION, REFLEX",808.0,606.0,363.6,808.0,910 CPT,81479,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2662.5,1597.5,3550.0,910 CPT,81479,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,750.0,450.0,1000.0,910 CPT,81479,HC CYP2B6 GENOTYPE (2B6V),600.0,450.0,270.0,600.0,910 CPT,81479,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,375.0,225.0,500.0,910 CPT,81479,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,375.0,225.0,500.0,910 CPT,81479,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1560.0,936.0,2080.0,910 CPT,81479,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,"HC F11 GENE, FULL GENE (GNF11)",1450.0,1087.5,652.5,1450.0,910 CPT,81479,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1500.0,900.0,2000.0,910 CPT,81479,"HC F7 GENE, FULL GENE (GNF7)",1450.0,1087.5,652.5,1450.0,910 CPT,81479,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC FLCN FULL GENE,1000.0,750.0,450.0,1000.0,910 CPT,81479,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",354.0,265.5,159.3,354.0,910 CPT,81479,HC FMR1 GENE (CSFP),43.0,32.25,19.35,43.0,910 CPT,81479,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,300.0,180.0,400.0,910 CPT,81479,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,420.75,252.45,561.0,910 CPT,81479,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,750.0,450.0,1000.0,910 CPT,81479,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,525.0,315.0,700.0,910 CPT,81479,HC GP1BA GENE (GNVWD),100.0,75.0,45.0,100.0,910 CPT,81479,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,525.0,315.0,700.0,910 CPT,81479,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,750.0,450.0,1000.0,910 CPT,81479,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1200.0,720.0,1600.0,910 CPT,81479,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,621.0,372.6,828.0,910 CPT,81479,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1200.0,720.0,1600.0,910 CPT,81479,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2700.0,1620.0,3600.0,910 CPT,81479,HC MCAD MUTATION SCREEN (ACADM),700.0,525.0,315.0,700.0,910 CPT,81479,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,375.0,225.0,500.0,910 CPT,81479,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1050.0,630.0,1400.0,910 CPT,81479,HC MOPATH PROC (ADPKP),117.0,87.75,52.65,117.0,910 CPT,81479,HC MOPATH PROC (AFTDP),37.0,27.75,16.65,37.0,910 CPT,81479,HC MOPATH PROC (AHUGP),533.0,399.75,239.85,533.0,910 CPT,81479,HC MOPATH PROC (ALAGP),211.0,158.25,94.95,211.0,910 CPT,81479,HC MOPATH PROC (ALPGP),134.0,100.5,60.3,134.0,910 CPT,81479,HC MOPATH PROC (APGP),207.0,155.25,93.15,207.0,910 CPT,81479,HC MOPATH PROC (BRFKT),1600.0,1200.0,720.0,1600.0,910 CPT,81479,HC MOPATH PROC (BRTP),39.0,29.25,17.55,39.0,910 CPT,81479,HC MOPATH PROC (CHDGG),29.0,21.75,13.05,29.0,910 CPT,81479,HC MOPATH PROC (CKDGP),17.0,12.75,7.65,17.0,910 CPT,81479,HC MOPATH PROC (COMCP),12.0,9.0,5.4,12.0,910 CPT,81479,HC MOPATH PROC (CPVTG),83.0,62.25,37.35,83.0,910 CPT,81479,HC MOPATH PROC (CVHBG),45.0,33.75,20.25,45.0,910 CPT,81479,HC MOPATH PROC (EDMDP),209.0,156.75,94.05,209.0,910 CPT,81479,HC MOPATH PROC (EDSGG),54.0,40.5,24.3,54.0,910 CPT,81479,HC MOPATH PROC (GNBLF),50.0,37.5,22.5,50.0,910 CPT,81479,HC MOPATH PROC (HCHLG),162.0,121.5,72.9,162.0,910 CPT,81479,HC MOPATH PROC (HHTGG),215.0,161.25,96.75,215.0,910 CPT,81479,HC MOPATH PROC (HMEP),43.0,32.25,19.35,43.0,910 CPT,81479,HC MOPATH PROC (HYPBG),180.0,135.0,81.0,180.0,910 CPT,81479,HC MOPATH PROC (IMNP),100.0,75.0,45.0,100.0,910 CPT,81479,HC MOPATH PROC (LIPOG),100.0,75.0,45.0,100.0,910 CPT,81479,HC MOPATH PROC (LQTSG),125.0,93.75,56.25,125.0,910 CPT,81479,HC MOPATH PROC (MCFRC),180.0,135.0,81.0,180.0,910 CPT,81479,HC MOPATH PROC (MSUDP),160.0,120.0,72.0,160.0,910 CPT,81479,HC MOPATH PROC (NEPHP),10.0,7.5,4.5,10.0,910 CPT,81479,HC MOPATH PROC (NHEM),534.0,400.5,240.3,534.0,910 CPT,81479,HC MOPATH PROC (NHEP),295.0,221.25,132.75,295.0,910 CPT,81479,HC MOPATH PROC (NMEM),500.0,375.0,225.0,500.0,910 CPT,81479,HC MOPATH PROC (OIBFG),58.0,43.5,26.1,58.0,910 CPT,81479,HC MOPATH PROC (PANGP),114.0,85.5,51.3,114.0,910 CPT,81479,HC MOPATH PROC (PARDP),32.0,24.0,14.4,32.0,910 CPT,81479,HC MOPATH PROC (PCGP),207.0,155.25,93.15,207.0,910 CPT,81479,HC MOPATH PROC (PHCGD),167.0,125.25,75.15,167.0,910 CPT,81479,HC MOPATH PROC (PHEGP),206.0,154.5,92.7,206.0,910 CPT,81479,HC MOPATH PROC (PKLRG),200.0,150.0,90.0,200.0,910 CPT,81479,HC MOPATH PROC (RBART),133.0,99.75,59.85,133.0,910 CPT,81479,HC MOPATH PROC (RENCP),65.0,48.75,29.25,65.0,910 CPT,81479,HC MOPATH PROC (RFSGS),26.0,19.5,11.7,26.0,910 CPT,81479,HC MOPATH PROC (RSCGP),44.0,33.0,19.8,44.0,910 CPT,81479,HC MOPATH PROC (SMCP),150.0,112.5,67.5,150.0,910 CPT,81479,HC MOPATH PROC (SQTSG),235.0,176.25,105.75,235.0,910 CPT,81479,HC MOPATH PROC (T1GS),6.0,4.5,2.7,6.0,910 CPT,81479,HC MOPATH PROC (TYRGP),522.0,391.5,234.9,522.0,910 CPT,81479,HC MOPATH PROC (WILMP),215.0,161.25,96.75,215.0,910 CPT,81479,HC MOPATH PROC (XCP),16.0,12.0,7.2,16.0,910 CPT,81479,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC MSUD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,1087.5,652.5,1450.0,910 CPT,81479,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,450.0,270.0,600.0,910 CPT,81479,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2700.0,1620.0,3600.0,910 CPT,81479,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,750.0,450.0,1000.0,910 CPT,81479,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1200.0,720.0,1600.0,910 CPT,81479,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC POLE MUTATION ANALYSIS (POLET),1200.0,900.0,540.0,1200.0,910 CPT,81479,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC PRKAR1A FULL GENE ANALYSIS,1000.0,750.0,450.0,1000.0,910 CPT,81479,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,750.0,450.0,1000.0,910 CPT,81479,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,750.0,450.0,1000.0,910 CPT,81479,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2662.5,1597.5,3550.0,910 CPT,81479,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,910 CPT,81479,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1200.0,720.0,1600.0,910 CPT,81479,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,750.0,450.0,1000.0,910 CPT,81479,HC SERPINA1 FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,910 CPT,81479,HC SERPINC1 FULL GENE NGS,884.0,663.0,397.8,884.0,910 CPT,81479,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,750.0,450.0,1000.0,910 CPT,81479,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,525.0,315.0,700.0,910 CPT,81479,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1091.0,818.25,490.95,1091.0,910 CPT,81479,HC TIER 1 GENOMIC SCREEN (MEC),350.0,262.5,157.5,350.0,910 CPT,81479,HC TREC IMMUNE RECONSTITUTION,700.0,525.0,315.0,700.0,910 CPT,81479,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,750.0,450.0,1000.0,910 CPT,81479,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,HC VWF AND GP1BA GENES (MEC),2000.0,1500.0,900.0,2000.0,910 CPT,81479,PR ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,"PR ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,750.0,450.0,1000.0,676 CPT,81479,PR AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ALK MUTATION ANALYSIS (ALKT),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR ALPORT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR APOL1 GENOTYPE,400.0,300.0,180.0,400.0,676 CPT,81479,PR AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR BAP1 FULL GENE,1000.0,750.0,450.0,1000.0,676 CPT,81479,PR BARTTER SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1312.5,787.5,1750.0,676 CPT,81479,PR BPGM FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CPT,81479,PR BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1200.0,720.0,1600.0,676 CPT,81479,PR C9ORF72 MOLECULAR ANALYSIS,700.0,525.0,315.0,700.0,676 CPT,81479,"PR CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,600.0,360.0,800.0,676 CPT,81479,PR CDA SEQUENCING NGS (NCDA),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR CDKN1C FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CPT,81479,PR CEREBROVASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,600.0,360.0,800.0,676 CPT,81479,PR CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,750.0,450.0,1000.0,676 CPT,81479,PR CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3750.0,2250.0,5000.0,676 CPT,81479,PR COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR CPVT GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR CXCR4 MUTATION,609.0,456.75,274.05,609.0,676 CPT,81479,"PR CXCR4, GENE MUTATION, REFLEX",808.0,606.0,363.6,808.0,676 CPT,81479,PR CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2662.5,1597.5,3550.0,676 CPT,81479,"PR CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,750.0,450.0,1000.0,676 CPT,81479,PR CYP2B6 GENOTYPE (2B6V),600.0,450.0,270.0,600.0,676 CPT,81479,PR CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,375.0,225.0,500.0,676 CPT,81479,PR CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,375.0,225.0,500.0,676 CPT,81479,PR CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR CYSTINURIA GENE PANEL (CYSGP),2080.0,1560.0,936.0,2080.0,676 CPT,81479,PR DICER1 MUTATION ANALYSIS (DICET),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR EXP PANCREATITIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,"PR F11 GENE, FULL GENE (GNF11)",1450.0,1087.5,652.5,1450.0,676 CPT,81479,"PR F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1500.0,900.0,2000.0,676 CPT,81479,"PR F7 GENE, FULL GENE (GNF7)",1450.0,1087.5,652.5,1450.0,676 CPT,81479,"PR FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR FLCN FULL GENE,1000.0,750.0,450.0,1000.0,676 CPT,81479,"PR FLT3 MUTATION ANALYSIS, BLOOD (MEC)",354.0,265.5,159.3,354.0,676 CPT,81479,PR FMR1 GENE (CSFP),43.0,32.25,19.35,43.0,676 CPT,81479,PR FOCUSED ADPKD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,300.0,180.0,400.0,676 CPT,81479,"PR GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,420.75,252.45,561.0,676 CPT,81479,PR GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,750.0,450.0,1000.0,676 CPT,81479,PR GAUCHER DISEASE FULL GENE ANA (GBA),700.0,525.0,315.0,700.0,676 CPT,81479,PR GP1BA GENE (GNVWD),100.0,75.0,45.0,100.0,676 CPT,81479,PR HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEREDIATRY ERYTHROCYTOSIS MUT,700.0,525.0,315.0,700.0,676 CPT,81479,PR HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEREDITARY PANCREATITIS PANEL (MEC),2929.0,2196.75,1318.05,2929.0,676 CPT,81479,PR HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,750.0,450.0,1000.0,676 CPT,81479,PR HHT AND VASCULAR GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1200.0,720.0,1600.0,676 CPT,81479,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR KETONE DISORDERS GENE PANEL (KETGP),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,621.0,372.6,828.0,676 CPT,81479,PR LIPODYSTROPHY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR LONG QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1200.0,720.0,1600.0,676 CPT,81479,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2700.0,1620.0,3600.0,676 CPT,81479,PR MCAD MUTATION SCREEN (ACADM),700.0,525.0,315.0,700.0,676 CPT,81479,PR MITOCHON DELETION HETEROPLASMY (DMITO),500.0,375.0,225.0,500.0,676 CPT,81479,PR MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1050.0,630.0,1400.0,676 CPT,81479,PR MOPATH PROC (ADPKP),117.0,87.75,52.65,117.0,676 CPT,81479,PR MOPATH PROC (AFTDP),37.0,27.75,16.65,37.0,676 CPT,81479,PR MOPATH PROC (AHUGP),533.0,399.75,239.85,533.0,676 CPT,81479,PR MOPATH PROC (ALAGP),211.0,158.25,94.95,211.0,676 CPT,81479,PR MOPATH PROC (ALPGP),134.0,100.5,60.3,134.0,676 CPT,81479,PR MOPATH PROC (APGP),207.0,155.25,93.15,207.0,676 CPT,81479,PR MOPATH PROC (BRFKT),1600.0,1200.0,720.0,1600.0,676 CPT,81479,PR MOPATH PROC (BRTP),39.0,29.25,17.55,39.0,676 CPT,81479,PR MOPATH PROC (CHDGG),29.0,21.75,13.05,29.0,676 CPT,81479,PR MOPATH PROC (CKDGP),17.0,12.75,7.65,17.0,676 CPT,81479,PR MOPATH PROC (COMCP),12.0,9.0,5.4,12.0,676 CPT,81479,PR MOPATH PROC (CPVTG),83.0,62.25,37.35,83.0,676 CPT,81479,PR MOPATH PROC (CVHBG),45.0,33.75,20.25,45.0,676 CPT,81479,PR MOPATH PROC (EDMDP),209.0,156.75,94.05,209.0,676 CPT,81479,PR MOPATH PROC (EDSGG),54.0,40.5,24.3,54.0,676 CPT,81479,PR MOPATH PROC (GNBLF),50.0,37.5,22.5,50.0,676 CPT,81479,PR MOPATH PROC (HCHLG),162.0,121.5,72.9,162.0,676 CPT,81479,PR MOPATH PROC (HHTGG),215.0,161.25,96.75,215.0,676 CPT,81479,PR MOPATH PROC (HMEP),43.0,32.25,19.35,43.0,676 CPT,81479,PR MOPATH PROC (HYPBG),180.0,135.0,81.0,180.0,676 CPT,81479,PR MOPATH PROC (IMNP),100.0,75.0,45.0,100.0,676 CPT,81479,PR MOPATH PROC (LIPOG),100.0,75.0,45.0,100.0,676 CPT,81479,PR MOPATH PROC (LQTSG),125.0,93.75,56.25,125.0,676 CPT,81479,PR MOPATH PROC (MCFRC),180.0,135.0,81.0,180.0,676 CPT,81479,PR MOPATH PROC (MSUDP),160.0,120.0,72.0,160.0,676 CPT,81479,PR MOPATH PROC (NEPHP),10.0,7.5,4.5,10.0,676 CPT,81479,PR MOPATH PROC (NHEM),534.0,400.5,240.3,534.0,676 CPT,81479,PR MOPATH PROC (NHEP),295.0,221.25,132.75,295.0,676 CPT,81479,PR MOPATH PROC (NMEM),500.0,375.0,225.0,500.0,676 CPT,81479,PR MOPATH PROC (OIBFG),58.0,43.5,26.1,58.0,676 CPT,81479,PR MOPATH PROC (PANGP),114.0,85.5,51.3,114.0,676 CPT,81479,PR MOPATH PROC (PARDP),32.0,24.0,14.4,32.0,676 CPT,81479,PR MOPATH PROC (PCGP),207.0,155.25,93.15,207.0,676 CPT,81479,PR MOPATH PROC (PHCGD),167.0,125.25,75.15,167.0,676 CPT,81479,PR MOPATH PROC (PHEGP),206.0,154.5,92.7,206.0,676 CPT,81479,PR MOPATH PROC (PKLRG),200.0,150.0,90.0,200.0,676 CPT,81479,PR MOPATH PROC (RBART),133.0,99.75,59.85,133.0,676 CPT,81479,PR MOPATH PROC (RENCP),65.0,48.75,29.25,65.0,676 CPT,81479,PR MOPATH PROC (RFSGS),26.0,19.5,11.7,26.0,676 CPT,81479,PR MOPATH PROC (RSCGP),44.0,33.0,19.8,44.0,676 CPT,81479,PR MOPATH PROC (SMCP),150.0,112.5,67.5,150.0,676 CPT,81479,PR MOPATH PROC (SQTSG),235.0,176.25,105.75,235.0,676 CPT,81479,PR MOPATH PROC (T1GS),6.0,4.5,2.7,6.0,676 CPT,81479,PR MOPATH PROC (TYRGP),522.0,391.5,234.9,522.0,676 CPT,81479,PR MOPATH PROC (WILMP),215.0,161.25,96.75,215.0,676 CPT,81479,PR MOPATH PROC (XCP),16.0,12.0,7.2,16.0,676 CPT,81479,PR MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR MSUD GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,"PR MYH9 GENE, FULL GENE (GNMY9)",1450.0,1087.5,652.5,1450.0,676 CPT,81479,PR MYOD1 MUTATION ANALYSIS (MYODT),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR NAT2F FULL GENE SEQ (NAT2Q),600.0,450.0,270.0,600.0,676 CPT,81479,PR NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2700.0,1620.0,3600.0,676 CPT,81479,PR NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,750.0,450.0,1000.0,676 CPT,81479,PR NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1200.0,720.0,1600.0,676 CPT,81479,PR OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR POLE MUTATION ANALYSIS (POLET),1200.0,900.0,540.0,1200.0,676 CPT,81479,PR PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR PRKAR1A FULL GENE ANALYSIS,1000.0,750.0,450.0,1000.0,676 CPT,81479,"PR PROC GENE, FULL GENE (GNPRC)",1000.0,750.0,450.0,1000.0,676 CPT,81479,"PR PROS GENE, FULL GENE (GNPRS)",1000.0,750.0,450.0,1000.0,676 CPT,81479,PR PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR RAPID HERED BREAST CANCER TEST (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2662.5,1597.5,3550.0,676 CPT,81479,PR RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1875.0,1125.0,2500.0,676 CPT,81479,PR SDH GENES MUTATION ANALYSIS (MEC),1600.0,1200.0,720.0,1600.0,676 CPT,81479,"PR SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,750.0,450.0,1000.0,676 CPT,81479,PR SERPINA1 FULL GENE ANALYSIS,700.0,525.0,315.0,700.0,676 CPT,81479,PR SERPINC1 FULL GENE NGS,884.0,663.0,397.8,884.0,676 CPT,81479,"PR SERPINC1 GENE, FULL GENE (GNANT)",1000.0,750.0,450.0,1000.0,676 CPT,81479,PR SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,525.0,315.0,700.0,676 CPT,81479,"PR T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1091.0,818.25,490.95,1091.0,676 CPT,81479,PR TIER 1 GENOMIC SCREEN (MEC),350.0,262.5,157.5,350.0,676 CPT,81479,PR TREC IMMUNE RECONSTITUTION,700.0,525.0,315.0,700.0,676 CPT,81479,PR TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,750.0,450.0,1000.0,676 CPT,81479,PR TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81479,PR VWF AND GP1BA GENES (MEC),2000.0,1500.0,900.0,2000.0,676 CPT,81596,HC INFCT DS CHRNC HCV 6 ASSAYS,198.0,148.5,72.19,198.0,915 CPT,81596,PR INFCT DS CHRNC HCV 6 ASSAYS,198.0,148.5,72.19,198.0,676 CPT,81599,HC CHD GENETIC RISK SCORE,800.0,600.0,360.0,800.0,909 CPT,81599,PR CHD GENETIC RISK SCORE,800.0,600.0,40.0,800.0,676 CPT,82010,HC KETONE QUANT,98.0,73.5,8.17,98.0,916 CPT,82010,PR KETONE QUANT,98.0,73.5,8.17,98.0,676 CPT,82017,HC ACYLCARNITINE QUANT EA 2,251.0,188.25,16.87,251.0,915 CPT,82017,PR ACYLCARNITINE QUANT EA,247.0,185.25,16.87,247.0,676 CPT,82017,PR ACYLCARNITINE QUANT EA 2,251.0,188.25,16.87,251.0,676 CPT,82024,HC ACTH,315.0,236.25,38.62,315.0,917 CPT,82024,PR ACTH,315.0,236.25,38.62,315.0,676 CPT,82030,HC URINARY CYCLIC AMPL,189.0,141.75,25.8,189.0,915 CPT,82030,PR URINARY CYCLIC AMPL,189.0,141.75,25.8,189.0,676 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,36.0,27.0,4.95,36.0,918 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,36.0,27.0,4.95,36.0,918 CPT,82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD,36.0,27.0,4.95,36.0,682 CPT,82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD 2,36.0,27.0,4.95,36.0,682 CPT,82042,HC ALBUMIN URINE/OTHER SOURCE QUANT,83.0,62.25,7.78,83.0,916 CPT,82042,PR ALBUMIN URINE/OTHER SOURCE QUANT,83.0,62.25,7.78,83.0,676 CPT,82043,HC MICROALBUMIN QUANT URINE,62.0,46.5,5.78,62.0,919 CPT,82043,PR MICROALBUMIN QUANT URINE,62.0,46.5,5.78,62.0,676 CPT,82077,HC ASSAY OF ALCOHOL NON-URINE/BREATH,181.0,135.75,17.27,181.0,916 CPT,82077,PR ASSAY OF ALCOHOL NON-URINE/BREATH,181.0,135.75,17.27,181.0,676 CPT,82085,HC ALDOLASE ASSAY,84.0,63.0,9.71,84.0,916 CPT,82085,PR ALDOLASE ASSAY,84.0,63.0,9.71,84.0,676 CPT,82088,HC ALDOSTERONE PLASMA,298.0,223.5,40.75,298.0,916 CPT,82088,HC ALDOSTERONE SERUM,284.0,213.0,40.75,284.0,916 CPT,82088,HC ALDOSTERONE URINE,287.0,215.25,40.75,287.0,916 CPT,82088,PR ALDOSTERONE PLASMA,298.0,223.5,40.75,298.0,676 CPT,82088,PR ALDOSTERONE SERUM,284.0,213.0,40.75,284.0,676 CPT,82088,PR ALDOSTERONE URINE,287.0,215.25,40.75,287.0,676 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL,141.0,105.75,13.44,141.0,916 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL 1,141.0,105.75,13.44,141.0,916 CPT,82103,PR ALPHA 1 ANTITRYPSIN TOTAL,141.0,105.75,13.44,141.0,676 CPT,82103,PR ALPHA 1 ANTITRYPSIN TOTAL 1,141.0,105.75,13.44,141.0,676 CPT,82104,HC ALPHA1 ANTITRYPSIN PHENOTYPE,170.0,127.5,14.46,170.0,916 CPT,82104,PR ALPHA1 ANTITRYPSIN PHENOTYPE,170.0,127.5,14.46,170.0,676 CPT,82105,HC ALPHA FETOPROTEIN SERUM,125.0,93.75,16.77,125.0,917 CPT,82105,PR ALPHA FETOPROTEIN SERUM,125.0,93.75,16.77,125.0,676 CPT,82107,HC AFP L3 FRACTN ISOFRM TTL AFP,353.0,264.75,64.41,353.0,916 CPT,82107,PR AFP L3 FRACTN ISOFRM TTL AFP,353.0,264.75,64.41,353.0,676 CPT,82108,HC ALUMINUM ASSAY,273.0,204.75,25.48,273.0,915 CPT,82108,PR ALUMINUM ASSAY,273.0,204.75,25.48,273.0,676 CPT,82131,HC METHIONINE (TYRBS-NCCI),169.0,126.75,22.98,169.0,915 CPT,82131,PR METHIONINE (TYRBS-NCCI),169.0,126.75,22.98,169.0,676 CPT,82135,HC AMINOLEVULINIC ACID,172.0,129.0,16.45,172.0,915 CPT,82135,PR AMINOLEVULINIC ACID,172.0,129.0,16.45,172.0,676 CPT,82136,"HC AMINO ACID, MSUD PANEL",237.0,177.75,19.61,237.0,916 CPT,82136,HC AMINO ACIDS 2 TO 5 QUANT EA,208.0,156.0,19.61,208.0,916 CPT,82136,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),96.0,72.0,19.61,96.0,916 CPT,82136,"PR AMINO ACID, MSUD PANEL",237.0,177.75,19.61,237.0,676 CPT,82136,PR AMINO ACIDS 2 TO 5 QUANT EA,208.0,156.0,19.61,208.0,676 CPT,82136,PR AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),96.0,72.0,19.61,96.0,676 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA,392.0,294.0,16.87,392.0,915 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),392.0,294.0,16.87,392.0,915 CPT,82139,PR AMINO ACIDS 6 OR MORE QUANT EA,392.0,294.0,16.87,392.0,676 CPT,82139,PR AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),392.0,294.0,16.87,392.0,676 CPT,82140,HC AMMONIA ASSAY,137.0,102.75,14.57,137.0,917 CPT,82140,PR AMMONIA ASSAY,137.0,102.75,14.57,137.0,676 CPT,82150,HC AMYLASE ASSAY,52.0,39.0,6.48,52.0,917 CPT,82150,HC AMYLASE ASSAY 2,52.0,39.0,6.48,52.0,917 CPT,82150,HC AMYLASE PANCREATIC ASSAY,52.0,39.0,6.48,52.0,917 CPT,82150,PR AMYLASE ASSAY,52.0,39.0,6.48,52.0,676 CPT,82150,PR AMYLASE ASSAY 2,52.0,39.0,6.48,52.0,676 CPT,82150,PR AMYLASE PANCREATIC ASSAY,52.0,39.0,6.48,52.0,676 CPT,82157,HC ANDROSTENEDIONE,261.0,195.75,29.28,261.0,916 CPT,82157,PR ANDROSTENEDIONE,261.0,195.75,29.28,261.0,676 CPT,82164,HC ANGIOTENSIN I CONVERT ENZYME,136.0,102.0,14.6,136.0,916 CPT,82164,PR ANGIOTENSIN I CONVERT ENZYME,136.0,102.0,14.6,136.0,676 CPT,82166,HC ANTIMULLERIAN HORMONE,245.0,183.75,38.62,245.0,916 CPT,82166,PR ANTIMULLERIAN HORMONE,245.0,183.75,38.62,245.0,676 CPT,82172,HC APOLIPOPROTEIN EACH,104.0,78.0,21.09,104.0,916 CPT,82172,PR APOLIPOPROTEIN EACH,104.0,78.0,21.09,104.0,676 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA,193.0,144.75,18.97,193.0,916 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,193.0,144.75,18.97,193.0,916 CPT,82175,PR ARSENIC ASSAY URINE/SERUM/WB EA,193.0,144.75,18.97,193.0,676 CPT,82175,PR ARSENIC ASSAY URINE/SERUM/WB EA 1,193.0,144.75,18.97,193.0,676 CPT,82180,HC ASCORBIC ACID/VITAMIN C BLOOD,135.0,101.25,9.89,135.0,916 CPT,82180,PR ASCORBIC ACID/VITAMIN C BLOOD,135.0,101.25,9.89,135.0,676 CPT,82232,HC BETA 2 MICROGLOBULIN,162.0,121.5,16.18,162.0,916 CPT,82232,PR BETA 2 MICROGLOBULIN,162.0,121.5,16.18,162.0,676 CPT,82234,HC BETA-AMYLOID 1-42,154.0,115.5,104.21,193.38,915 CPT,82234,PR BETA-AMYLOID 1-42,154.0,115.5,69.3,154.0,676 CPT,82239,HC BILE ACIDS TOTAL,110.0,82.5,17.12,110.0,916 CPT,82239,PR BILE ACIDS TOTAL,110.0,82.5,17.12,110.0,676 CPT,82247,HC BILIRUBIN TOTAL,31.0,23.25,5.02,31.0,917 CPT,82247,PR BILIRUBIN TOTAL,31.0,23.25,5.02,31.0,679 CPT,82248,HC BILIRUBIN DIRECT,31.0,23.25,5.02,31.0,920 CPT,82248,PR BILIRUBIN DIRECT,31.0,23.25,5.02,31.0,681 CPT,82261,HC BIOTINIDASE EA SPECIMEN,68.0,51.0,16.87,68.0,916 CPT,82261,PR BIOTINIDASE EA SPECIMEN,68.0,51.0,16.87,68.0,676 CPT,82271,HC OCCULT BLOOD GASTRIC,20.0,15.0,5.32,20.0,915 CPT,82271,PR OCCULT BLOOD GASTRIC,20.0,15.0,5.32,20.0,676 CPT,82272,HC OCCULT BLOOD FECES DIAGNOSTIC,22.0,16.5,4.23,22.0,915 CPT,82272,PR OCCULT BLOOD FECES DIAGNOSTIC,22.0,16.5,4.23,22.0,676 CPT,82274,HC OCCULT BLOOD FECES IMMUNOASSAY,81.0,60.75,15.92,81.0,915 CPT,82274,PR OCCULT BLOOD FECES IMMUNOASSAY,81.0,60.75,15.92,81.0,676 CPT,82300,HC CADMIUM BLOOD,172.0,129.0,23.64,172.0,916 CPT,82300,HC CADMIUM URINE,172.0,129.0,23.64,172.0,916 CPT,82300,PR CADMIUM BLOOD,172.0,129.0,23.64,172.0,676 CPT,82300,PR CADMIUM URINE,172.0,129.0,23.64,172.0,676 CPT,82306,HC VITAMIN D 25 HYDROXY,244.0,183.0,29.6,244.0,918 CPT,82306,PR VITAMIN D 25 HYDROXY,244.0,183.0,29.6,244.0,676 CPT,82308,HC CALCITONIN LYMPH NODE,196.0,147.0,26.79,196.0,916 CPT,82308,HC CALCITONIN SERUM,199.0,149.25,26.79,199.0,916 CPT,82308,PR CALCITONIN LYMPH NODE,196.0,147.0,26.79,196.0,676 CPT,82308,PR CALCITONIN SERUM,199.0,149.25,26.79,199.0,676 CPT,82310,HC CALCIUM TOTAL,47.0,35.25,5.16,47.0,919 CPT,82310,PR CALCIUM TOTAL,47.0,35.25,5.16,47.0,682 CPT,82330,HC CALCIUM IONIZED,102.0,76.5,13.68,102.0,918 CPT,82330,PR CALCIUM IONIZED,102.0,76.5,13.68,102.0,676 CPT,82340,HC CA URINE QUANT TIMED SPECIMEN,63.0,47.25,6.03,63.0,916 CPT,82340,PR CA URINE QUANT TIMED SPECIMEN,63.0,47.25,6.03,63.0,676 CPT,82365,HC CALCULUS INFRARED SPECTROSCOPY,130.0,97.5,12.9,130.0,916 CPT,82365,PR CALCULUS INFRARED SPECTROSCOPY,130.0,97.5,12.9,130.0,676 CPT,82373,HC CARBOHYDRATE DEF TRANSFERRIN,320.0,240.0,18.06,320.0,915 CPT,82373,PR CARBOHYDRATE DEF TRANSFERRIN,320.0,240.0,18.06,320.0,676 CPT,82374,HC CO2 ASSAY,31.0,23.25,4.88,31.0,917 CPT,82374,PR CO2 ASSAY,31.0,23.25,4.88,31.0,678 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT,106.0,79.5,12.32,106.0,917 CPT,82375,PR CARBOXYHEMOGLOBIN QUANT,106.0,79.5,12.32,106.0,680 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA,136.0,102.0,18.96,136.0,916 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,139.0,104.25,18.96,139.0,916 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,139.0,104.25,18.96,139.0,916 CPT,82378,PR CARCINOEMBRYONIC ANTIGEN/CEA,136.0,102.0,18.96,136.0,676 CPT,82378,PR CARCINOEMBRYONIC ANTIGEN/CEA 1,139.0,104.25,18.96,139.0,676 CPT,82378,PR CARCINOEMBRYONIC ANTIGEN/CEA 2,139.0,104.25,18.96,139.0,676 CPT,82379,HC CARNITINE QUANT EA SPECIMEN,180.0,135.0,16.87,180.0,915 CPT,82379,PR CARNITINE QUANT EA SPECIMEN,180.0,135.0,16.87,180.0,676 CPT,82384,HC CATECHOLAMINES FRACTIONATED,287.0,215.25,25.25,287.0,916 CPT,82384,PR CATECHOLAMINES FRACTIONATED,287.0,215.25,25.25,287.0,676 CPT,82390,HC CERULOPLASMIN,105.0,78.75,10.74,105.0,916 CPT,82390,PR CERULOPLASMIN,105.0,78.75,10.74,105.0,676 CPT,82397,HC ALPHA SUBUNIT/APGH,209.0,156.75,14.12,209.0,916 CPT,82397,HC CHEMILUMINESCENT ASSAY 1,209.0,156.75,14.12,209.0,916 CPT,82397,HC PTH RELATED PEPTIDE/PTHRP,209.0,156.75,14.12,209.0,916 CPT,82397,PR ALPHA SUBUNIT/APGH,209.0,156.75,14.12,209.0,676 CPT,82397,PR CHEMILUMINESCENT ASSAY 1,209.0,156.75,14.12,209.0,676 CPT,82397,PR PTH RELATED PEPTIDE/PTHRP,209.0,156.75,14.12,209.0,676 CPT,82435,HC CHLORIDE BLOOD,20.0,15.0,4.6,20.0,918 CPT,82435,PR CHLORIDE BLOOD,20.0,15.0,4.6,20.0,678 CPT,82436,HC CHLORIDE URINE,42.0,31.5,5.75,42.0,916 CPT,82436,PR CHLORIDE URINE,42.0,31.5,5.75,42.0,676 CPT,82438,HC CHLORIDE OTHER SOURCE,83.0,62.25,5.0,83.0,915 CPT,82438,PR CHLORIDE OTHER SOURCE,83.0,62.25,5.0,83.0,676 CPT,82465,HC CHOLESTEROL TOTAL,29.0,21.75,4.35,29.0,916 CPT,82465,PR CHOLESTEROL TOTAL,29.0,21.75,4.35,29.0,677 CPT,82480,HC CHOLINESTERASE SERUM,92.0,69.0,7.87,92.0,915 CPT,82480,PR CHOLINESTERASE SERUM,92.0,69.0,7.87,92.0,676 CPT,82495,HC CHROMIUM ASSAY,119.0,89.25,20.28,119.0,916 CPT,82495,HC CHROMIUM ASSAY 2,146.0,109.5,20.28,146.0,916 CPT,82495,HC CHROMIUM ASSAY 3,144.0,108.0,20.28,144.0,916 CPT,82495,PR CHROMIUM ASSAY,119.0,89.25,20.28,119.0,676 CPT,82495,PR CHROMIUM ASSAY 2,146.0,109.5,20.28,146.0,676 CPT,82495,PR CHROMIUM ASSAY 3,144.0,108.0,20.28,144.0,676 CPT,82507,HC CITRATE ASSAY,232.0,174.0,27.8,232.0,916 CPT,82507,PR CITRATE ASSAY,232.0,174.0,27.8,232.0,676 CPT,82523,HC COLLAGEN CROSS LINKS,227.0,170.25,18.68,227.0,915 CPT,82523,PR COLLAGEN CROSS LINKS,227.0,170.25,18.68,227.0,676 CPT,82525,HC COPPER ASSAY SERUM,110.0,82.5,12.41,110.0,917 CPT,82525,HC COPPER ASSAY TISSUE,111.0,83.25,12.41,111.0,917 CPT,82525,HC COPPER ASSAY URINE,110.0,82.5,12.41,110.0,917 CPT,82525,PR COPPER ASSAY SERUM,110.0,82.5,12.41,110.0,676 CPT,82525,PR COPPER ASSAY TISSUE,111.0,83.25,12.41,111.0,676 CPT,82525,PR COPPER ASSAY URINE,110.0,82.5,12.41,110.0,676 CPT,82530,HC CORTISOL FREE,209.0,156.75,16.71,209.0,916 CPT,82530,HC CORTISOL FREE 1,209.0,156.75,16.71,209.0,916 CPT,82530,PR CORTISOL FREE,209.0,156.75,16.71,209.0,676 CPT,82530,PR CORTISOL FREE 1,209.0,156.75,16.71,209.0,676 CPT,82533,HC CORTISOL TOTAL,140.0,105.0,16.3,140.0,920 CPT,82533,PR CORTISOL TOTAL,140.0,105.0,16.3,140.0,676 CPT,82540,HC CREATINE ASSAY,110.0,82.5,4.64,110.0,915 CPT,82540,PR CREATINE ASSAY,110.0,82.5,4.64,110.0,676 CPT,82542,"HC 24, 25 DIHYDROXY",277.0,207.75,24.09,277.0,916 CPT,82542,"HC 7AC4, BILE ACID SYNTH",275.0,206.25,24.09,275.0,916 CPT,82542,HC A1AT PROTEOTYPE,234.0,175.5,24.09,234.0,916 CPT,82542,HC ACYLGLYCINES QN,300.0,225.0,24.09,300.0,916 CPT,82542,HC ADMA MS QUANT,173.0,129.75,24.09,173.0,916 CPT,82542,HC AMYLOID PROTEIN 2,274.0,205.5,24.09,274.0,916 CPT,82542,HC BILE ACID FRACT AND TOTAL,236.0,177.0,24.09,236.0,916 CPT,82542,HC COENZYME Q10 REDUC&TOTAL,295.0,221.25,24.09,295.0,916 CPT,82542,HC COL CHR/MS NES,293.0,219.75,24.09,293.0,916 CPT,82542,HC COL CHR/MS STABLE MULT QUANT,287.0,215.25,24.09,287.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,275.0,206.25,24.09,275.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,275.0,206.25,24.09,275.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,272.0,204.0,24.09,272.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,223.0,167.25,24.09,223.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,263.0,197.25,24.09,263.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,275.0,206.25,24.09,275.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,236.0,177.0,24.09,236.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,234.0,175.5,24.09,234.0,916 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,275.0,206.25,24.09,275.0,916 CPT,82542,HC HYPEROXALURIA,284.0,213.0,24.09,284.0,916 CPT,82542,HC LYSOSOMAL DISORDER SN QUANT,235.0,176.25,24.09,235.0,916 CPT,82542,HC METHYLHISTAMINE QUANT,275.0,206.25,24.09,275.0,916 CPT,82542,HC OXYSTEROLS QUANT,185.0,138.75,24.09,185.0,916 CPT,82542,HC PORPHOBILINOGEN,276.0,207.0,24.09,276.0,916 CPT,82542,HC PORPHYRINS FRACTION,263.0,197.25,24.09,263.0,916 CPT,82542,HC PORPHYRINS FRACTION 1,287.0,215.25,24.09,287.0,916 CPT,82542,HC PSYCHOSINE QUANT,272.0,204.0,24.09,272.0,916 CPT,82542,HC PURINE AND PYRIMIDINE PANEL,272.0,204.0,24.09,272.0,916 CPT,82542,HC PYRIDOXIC ACID QUANT,275.0,206.25,24.09,275.0,916 CPT,82542,HC SEROTONIN RELEASE ASSAY,295.0,221.25,24.09,295.0,916 CPT,82542,HC STEROLS PLASMA QUANT,198.0,148.5,24.09,198.0,916 CPT,82542,HC SUCCINYLACETONE (SUAC-NCCI),263.0,197.25,24.09,263.0,916 CPT,82542,HC SUCCINYLACETONE (TYRBS-NCCI),263.0,197.25,24.09,263.0,916 CPT,82542,"PR 24, 25 DIHYDROXY",277.0,207.75,24.09,277.0,676 CPT,82542,"PR 7AC4, BILE ACID SYNTH",275.0,206.25,24.09,275.0,676 CPT,82542,PR A1AT PROTEOTYPE,234.0,175.5,24.09,234.0,676 CPT,82542,PR ACYLGLYCINES QN,300.0,225.0,24.09,300.0,676 CPT,82542,PR ADMA MS QUANT,173.0,129.75,24.09,173.0,676 CPT,82542,PR AMYLOID PROTEIN 2,274.0,205.5,24.09,274.0,676 CPT,82542,PR BILE ACID FRACT AND TOTAL,236.0,177.0,24.09,236.0,676 CPT,82542,PR COENZYME Q10 REDUC&TOTAL,295.0,221.25,24.09,295.0,676 CPT,82542,PR COL CHR/MS NES,293.0,219.75,24.09,293.0,676 CPT,82542,PR COL CHR/MS STABLE MULT QUANT,287.0,215.25,24.09,287.0,676 CPT,82542,PR COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),278.0,208.5,24.09,278.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 10,275.0,206.25,24.09,275.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 2,275.0,206.25,24.09,275.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 3,272.0,204.0,24.09,272.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 4,223.0,167.25,24.09,223.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 5,263.0,197.25,24.09,263.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 6,275.0,206.25,24.09,275.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 7,236.0,177.0,24.09,236.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 8,234.0,175.5,24.09,234.0,676 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,275.0,206.25,24.09,275.0,676 CPT,82542,PR HYPEROXALURIA,284.0,213.0,24.09,284.0,676 CPT,82542,PR LYSOSOMAL DISORDER SN QUANT,235.0,176.25,24.09,235.0,676 CPT,82542,PR METHYLHISTAMINE QUANT,275.0,206.25,24.09,275.0,676 CPT,82542,PR OXYSTEROLS QUANT,185.0,138.75,24.09,185.0,676 CPT,82542,PR PORPHOBILINOGEN,276.0,207.0,24.09,276.0,676 CPT,82542,PR PORPHYRINS FRACTION,263.0,197.25,24.09,263.0,676 CPT,82542,PR PORPHYRINS FRACTION 1,287.0,215.25,24.09,287.0,676 CPT,82542,PR PSYCHOSINE QUANT,272.0,204.0,24.09,272.0,676 CPT,82542,PR PURINE AND PYRIMIDINE PANEL,272.0,204.0,24.09,272.0,676 CPT,82542,PR PYRIDOXIC ACID QUANT,275.0,206.25,24.09,275.0,676 CPT,82542,PR SEROTONIN RELEASE ASSAY,295.0,221.25,24.09,295.0,676 CPT,82542,PR STEROLS PLASMA QUANT,198.0,148.5,24.09,198.0,676 CPT,82542,PR SUCCINYLACETONE (SUAC-NCCI),263.0,197.25,24.09,263.0,676 CPT,82542,PR SUCCINYLACETONE (TYRBS-NCCI),263.0,197.25,24.09,263.0,676 CPT,82550,HC CREATINE KINASE TOTAL,35.0,26.25,6.51,35.0,920 CPT,82550,PR CREATINE KINASE TOTAL,35.0,26.25,6.51,35.0,676 CPT,82565,HC CREATININE BLOOD,50.0,37.5,5.12,50.0,919 CPT,82565,PR CREATININE BLOOD,50.0,37.5,5.12,50.0,683 CPT,82570,HC CREATININE OTHER SOURCE,50.0,37.5,5.18,50.0,920 CPT,82570,PR CREATININE OTHER SOURCE,50.0,37.5,5.18,50.0,676 CPT,82575,HC CREATININE CLEARANCE,110.0,82.5,9.46,110.0,916 CPT,82575,HC SHORT RENAL CLRNCE CREATININE,111.0,83.25,9.46,111.0,916 CPT,82575,PR CREATININE CLEARANCE,110.0,82.5,9.46,110.0,677 CPT,82575,PR SHORT RENAL CLRNCE CREATININE,111.0,83.25,9.46,111.0,677 CPT,82585,HC CRYOFIBRINOGEN ASSAY,94.0,70.5,14.14,94.0,916 CPT,82585,PR CRYOFIBRINOGEN ASSAY,94.0,70.5,14.14,94.0,676 CPT,82595,HC CRYOGLOBULIN QUAL,63.0,47.25,6.47,63.0,916 CPT,82595,PR CRYOGLOBULIN QUAL,63.0,47.25,6.47,63.0,676 CPT,82607,HC VITAMIN B12 ASSAY,121.0,90.75,15.08,121.0,919 CPT,82607,PR VITAMIN B12 ASSAY,121.0,90.75,15.08,121.0,676 CPT,82610,HC CYSTATIN C,160.0,120.0,18.52,160.0,918 CPT,82610,HC CYSTATIN C 2,170.0,127.5,18.52,170.0,918 CPT,82610,PR CYSTATIN C,160.0,120.0,18.52,160.0,676 CPT,82610,PR CYSTATIN C 2,170.0,127.5,18.52,170.0,676 CPT,82626,HC DHEA,283.0,212.25,25.27,283.0,916 CPT,82626,PR DHEA,283.0,212.25,25.27,283.0,676 CPT,82627,HC DHEA SULFATE,188.0,141.0,22.23,188.0,916 CPT,82627,PR DHEA SULFATE,188.0,141.0,22.23,188.0,676 CPT,82633,HC DESOXYCORTICOSTERONE 11,254.0,190.5,30.98,254.0,915 CPT,82633,PR DESOXYCORTICOSTERONE 11,254.0,190.5,30.98,254.0,676 CPT,82634,HC DEOXYCORTISOL 11,193.0,144.75,29.28,193.0,915 CPT,82634,PR DEOXYCORTISOL 11,193.0,144.75,29.28,193.0,676 CPT,82642,HC DIHYDROTESTOSTERONE,237.0,177.75,29.28,237.0,916 CPT,82642,PR DIHYDROTESTOSTERONE,237.0,177.75,29.28,237.0,676 CPT,82652,HC VITAMIN D 1 25 DIHYDROXY,333.0,249.75,38.5,333.0,916 CPT,82652,PR VITAMIN D 1 25 DIHYDROXY,333.0,249.75,38.5,333.0,676 CPT,82653,HC ELASTASE PANCREATIC FECAL QUANT,127.0,95.25,22.97,127.0,916 CPT,82653,PR ELASTASE PANCREATIC FECAL QUANT,127.0,95.25,22.97,127.0,676 CPT,82657,HC ALPHA GALACTOSIDASE LEUKOCYTE,283.0,212.25,22.17,283.0,916 CPT,82657,HC ALPHA GALACTOSIDASE PLASMA,283.0,212.25,22.17,283.0,916 CPT,82657,HC ARYLSULFATASE A LEUKOCYTES,283.0,212.25,22.17,283.0,916 CPT,82657,HC DISACCHARIDES ANALYSIS,312.0,234.0,22.17,312.0,916 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 3,324.0,243.0,22.17,324.0,916 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 4,265.0,198.75,22.17,265.0,916 CPT,82657,HC HEXOKINASE,324.0,243.0,22.17,324.0,916 CPT,82657,HC LYSOSOMAL ACID LIPASE,209.0,156.75,22.17,209.0,916 CPT,82657,HC METHEMOGLOBIN REDUCTASE,324.0,243.0,22.17,324.0,916 CPT,82657,HC PBG DEAMINASE,217.0,162.75,22.17,217.0,916 CPT,82657,HC UPG DECARBOXYLASE,283.0,212.25,22.17,283.0,916 CPT,82657,PR ALPHA GALACTOSIDASE LEUKOCYTE,283.0,212.25,22.17,283.0,676 CPT,82657,PR ALPHA GALACTOSIDASE PLASMA,283.0,212.25,22.17,283.0,676 CPT,82657,PR ARYLSULFATASE A LEUKOCYTES,283.0,212.25,22.17,283.0,676 CPT,82657,PR DISACCHARIDES ANALYSIS,312.0,234.0,22.17,312.0,676 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 3,324.0,243.0,22.17,324.0,676 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 4,265.0,198.75,22.17,265.0,676 CPT,82657,PR HEXOKINASE,324.0,243.0,22.17,324.0,676 CPT,82657,PR LYSOSOMAL ACID LIPASE,209.0,156.75,22.17,209.0,676 CPT,82657,PR METHEMOGLOBIN REDUCTASE,324.0,243.0,22.17,324.0,676 CPT,82657,PR PBG DEAMINASE,217.0,162.75,22.17,217.0,676 CPT,82657,PR UPG DECARBOXYLASE,283.0,212.25,22.17,283.0,676 CPT,82664,HC ELECTROPHORETIC TECH NES,147.0,110.25,61.5,147.0,915 CPT,82664,PR ELECTROPHORETIC TECH NES,147.0,110.25,61.5,147.0,676 CPT,82668,HC ERYTHROPOIETIN ASSAY,178.0,133.5,18.79,178.0,916 CPT,82668,PR ERYTHROPOIETIN ASSAY,178.0,133.5,18.79,178.0,676 CPT,82670,HC ESTRADIOL ASSAY,212.0,159.0,27.94,212.0,916 CPT,82670,PR ESTRADIOL ASSAY,212.0,159.0,27.94,212.0,676 CPT,82671,HC ESTROGENS FRACTIONATED,418.0,313.5,32.3,418.0,916 CPT,82671,PR ESTROGENS FRACTIONATED,418.0,313.5,32.3,418.0,676 CPT,82677,HC ESTRIOL ASSAY,162.0,121.5,24.18,162.0,915 CPT,82677,PR ESTRIOL ASSAY,162.0,121.5,24.18,162.0,676 CPT,82679,HC ESTRONE ASSAY,209.0,156.75,24.95,209.0,915 CPT,82679,PR ESTRONE ASSAY,209.0,156.75,24.95,209.0,676 CPT,82710,HC FECAL FAT QUANT,219.0,164.25,16.8,219.0,915 CPT,82710,PR FECAL FAT QUANT,219.0,164.25,16.8,219.0,676 CPT,82725,HC FATTY ACID NONESTERFIED,106.0,79.5,18.77,106.0,916 CPT,82725,PR FATTY ACID NONESTERFIED,106.0,79.5,18.77,106.0,676 CPT,82726,HC FATTY ACID VERY LONG CHAIN,157.0,117.75,19.75,157.0,915 CPT,82726,PR FATTY ACID VERY LONG CHAIN,157.0,117.75,19.75,157.0,676 CPT,82728,HC FERRITIN ASSAY,101.0,75.75,13.63,101.0,921 CPT,82728,PR FERRITIN ASSAY,101.0,75.75,13.63,101.0,676 CPT,82735,HC FLUORIDE ASSAY,146.0,109.5,18.54,146.0,915 CPT,82735,PR FLUORIDE ASSAY,146.0,109.5,18.54,146.0,676 CPT,82746,HC FOLIC ACID SERUM ASSAY,105.0,78.75,14.7,105.0,918 CPT,82746,PR FOLIC ACID SERUM ASSAY,105.0,78.75,14.7,105.0,676 CPT,82759,HC GALACTOKINASE RBC ASSAY,139.0,104.25,21.48,139.0,915 CPT,82759,PR GALACTOKINASE RBC ASSAY,139.0,104.25,21.48,139.0,676 CPT,82775,HC GALT QUANT,237.0,177.75,21.07,237.0,915 CPT,82775,PR GALT QUANT,237.0,177.75,21.07,237.0,676 CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH 2,66.0,49.5,9.3,66.0,919 CPT,82784,HC IMMUNOGLOBGULINS EA,68.0,51.0,9.3,68.0,919 CPT,82784,HC IMMUNOGLOBULIN CSF,68.0,51.0,9.3,68.0,919 CPT,82784,HC IMMUNOGLOBULIN IGD,68.0,51.0,9.3,68.0,919 CPT,82784,PR ASSAY IGA/IGD/IGG/IGM EACH 2,66.0,49.5,9.3,66.0,676 CPT,82784,PR IMMUNOGLOBGULINS EA,68.0,51.0,9.3,68.0,676 CPT,82784,PR IMMUNOGLOBULIN CSF,68.0,51.0,9.3,68.0,676 CPT,82784,PR IMMUNOGLOBULIN IGD,68.0,51.0,9.3,68.0,676 CPT,82785,HC IMMUNOGLOBULIN IGE ASSAY,114.0,85.5,16.46,114.0,916 CPT,82785,PR IMMUNOGLOBULIN IGE ASSAY,114.0,85.5,16.46,114.0,676 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA,130.0,97.5,8.02,130.0,916 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA 2,125.0,93.75,8.02,125.0,916 CPT,82787,PR IMMUNOGLOBIN SUBCLASSES EA,130.0,97.5,8.02,130.0,676 CPT,82787,PR IMMUNOGLOBIN SUBCLASSES EA 2,125.0,93.75,8.02,125.0,676 CPT,82803,HC BLD GASES ANY COMBINATION,106.0,79.5,26.07,106.0,917 CPT,82803,PR BLD GASES ANY COMBINATION,106.0,79.5,26.07,106.0,680 CPT,82938,HC GASTRIN AFTER SECRETIN STIMLN,134.0,100.5,17.69,134.0,915 CPT,82938,PR GASTRIN AFTER SECRETIN STIMLN,134.0,100.5,17.69,134.0,676 CPT,82941,HC GASTRIN ASSAY,167.0,125.25,17.63,167.0,916 CPT,82941,PR GASTRIN ASSAY,167.0,125.25,17.63,167.0,676 CPT,82943,HC GLUCAGON ASSAY,234.0,175.5,14.29,234.0,916 CPT,82943,PR GLUCAGON ASSAY,234.0,175.5,14.29,234.0,676 CPT,82945,HC GLUCOSE BODY FLUID,68.0,51.0,3.93,68.0,918 CPT,82945,HC GLUCOSE OTHER FLUID,69.0,51.75,3.93,69.0,918 CPT,82945,PR GLUCOSE BODY FLUID,68.0,51.0,3.93,68.0,676 CPT,82945,PR GLUCOSE OTHER FLUID,69.0,51.75,3.93,69.0,676 CPT,82947,HC GLUCOSE BLOOD QUANT,42.0,31.5,3.93,42.0,918 CPT,82947,HC GLUCOSE BLOOD QUANT 2,42.0,31.5,3.93,42.0,918 CPT,82947,PR GLUCOSE BLOOD QUANT,42.0,31.5,3.93,42.0,679 CPT,82947,PR GLUCOSE BLOOD QUANT 2,42.0,31.5,3.93,42.0,679 CPT,82950,HC GLUCOSE POSTDOSE,45.0,33.75,4.75,45.0,915 CPT,82950,PR GLUCOSE POSTDOSE,45.0,33.75,4.75,45.0,676 CPT,82955,HC G6PD QUANT,120.0,90.0,9.7,120.0,915 CPT,82955,PR G6PD QUANT,120.0,90.0,9.7,120.0,676 CPT,82960,HC G6PD ENZYME,17.0,12.75,6.05,17.0,915 CPT,82960,PR G6PD ENZYME,17.0,12.75,6.05,17.0,676 CPT,82963,PR ASSAY OF GLUCOSIDASE,207.0,155.25,21.48,207.0,676 CPT,82977,HC GAMMA GLUTAMYL TRANSFERASE,52.0,39.0,7.2,52.0,918 CPT,82977,PR GAMMA GLUTAMYL TRANSFERASE,52.0,39.0,7.2,52.0,676 CPT,82978,HC GLUTATHIONE ASSAY,74.0,55.5,15.45,74.0,915 CPT,82978,PR GLUTATHIONE ASSAY,74.0,55.5,15.45,74.0,676 CPT,82985,HC FRUCTOSAMINE ASSAY,71.0,53.25,16.76,71.0,915 CPT,82985,PR FRUCTOSAMINE ASSAY,71.0,53.25,16.76,71.0,676 CPT,83001,HC FSH/FOLLICLE STIM HORMONE,131.0,98.25,18.58,131.0,917 CPT,83001,PR FSH/FOLLICLE STIM HORMONE,131.0,98.25,18.58,131.0,676 CPT,83002,HC LUTEINIZING HORMONE,147.0,110.25,18.52,147.0,917 CPT,83002,PR LUTEINIZING HORMONE,147.0,110.25,18.52,147.0,676 CPT,83003,HC HUMAN GROWTH HORMONE ASSAY,136.0,102.0,16.67,136.0,917 CPT,83003,PR HUMAN GROWTH HORMONE ASSAY,136.0,102.0,16.67,136.0,676 CPT,83010,HC HAPTOGLOBIN ASSAY QUANT,115.0,86.25,12.58,115.0,917 CPT,83010,PR HAPTOGLOBIN ASSAY QUANT,115.0,86.25,12.58,115.0,676 CPT,83013,HC HELICOBACTER PYLORI BREATH TEST,392.0,294.0,67.36,392.0,915 CPT,83013,PR HELICOBACTER PYLORI BREATH TEST,392.0,294.0,67.36,392.0,677 CPT,83014,PR H PYLORI DRUG ADMIN,57.0,42.75,7.86,57.0,676 CPT,83018,HC HEAVY METAL QUANT EA,162.0,121.5,21.96,162.0,916 CPT,83018,HC HEAVY METAL QUANT EA 2,175.0,131.25,21.96,175.0,916 CPT,83018,HC HEAVY METAL QUANT EA 3,179.0,134.25,21.96,179.0,916 CPT,83018,HC HEAVY METAL QUANT EA 4,162.0,121.5,21.96,162.0,916 CPT,83018,HC HEAVY METAL QUANT EA 8,165.0,123.75,21.96,165.0,916 CPT,83018,HC HEAVY METAL QUANT EA 9,146.0,109.5,21.96,146.0,916 CPT,83018,PR HEAVY METAL QUANT EA,162.0,121.5,21.96,162.0,676 CPT,83018,PR HEAVY METAL QUANT EA 2,175.0,131.25,21.96,175.0,676 CPT,83018,PR HEAVY METAL QUANT EA 3,179.0,134.25,21.96,179.0,676 CPT,83018,PR HEAVY METAL QUANT EA 4,162.0,121.5,21.96,162.0,676 CPT,83018,PR HEAVY METAL QUANT EA 8,165.0,123.75,21.96,165.0,676 CPT,83018,PR HEAVY METAL QUANT EA 9,146.0,109.5,21.96,146.0,676 CPT,83020,"HC HB VARIANT, A2 AND F QUAN",125.0,93.75,12.87,125.0,916 CPT,83020,"PR HB VARIANT, A2 AND F QUAN",125.0,93.75,12.87,125.0,676 CPT,83021,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,143.0,107.25,18.06,143.0,916 CPT,83021,PR HEMOGLOBIN CHROMATOGRAPHY QUANT,143.0,107.25,18.06,143.0,676 CPT,83036,HC HEMOGLOBIN GLYCATED A1C,73.0,54.75,9.71,73.0,919 CPT,83036,HC HEMOGLOBIN GLYCATED A1C 2,76.0,57.0,9.71,76.0,919 CPT,83036,PR HEMOGLOBIN GLYCATED A1C,73.0,54.75,9.71,73.0,680 CPT,83036,PR HEMOGLOBIN GLYCATED A1C 2,76.0,57.0,9.71,76.0,680 CPT,83050,HC METHEMOGLOBIN QUANT,65.0,48.75,8.2,65.0,917 CPT,83050,PR METHEMOGLOBIN QUANT,65.0,48.75,8.2,65.0,680 CPT,83051,HC HEMOGLOBIN PLASMA ASSAY,68.0,51.0,7.31,68.0,916 CPT,83051,PR HEMOGLOBIN PLASMA ASSAY,68.0,51.0,7.31,68.0,676 CPT,83060,HC SULFHEMOGLOBIN QUANT,90.0,67.5,8.8,90.0,915 CPT,83060,PR SULFHEMOGLOBIN QUANT,90.0,67.5,8.8,90.0,676 CPT,83068,HC HEMOGLOBIN UNSTABLE SCREEN,89.0,66.75,9.47,89.0,915 CPT,83068,PR HEMOGLOBIN UNSTABLE SCREEN,89.0,66.75,9.47,89.0,676 CPT,83070,HC HEMOSIDERIN ASSAY QUAL,69.0,51.75,4.75,69.0,915 CPT,83070,PR HEMOSIDERIN ASSAY QUAL,69.0,51.75,4.75,69.0,676 CPT,83080,HC HEXOSAMINIDASE ASSAY,71.0,53.25,16.87,71.0,915 CPT,83080,HC HEXOSAMINIDASE LEUKOCYTES,69.0,51.75,16.87,69.0,915 CPT,83080,HC HEXOSAMINIDASE SERUM,69.0,51.75,16.87,69.0,915 CPT,83080,PR HEXOSAMINIDASE ASSAY,71.0,53.25,16.87,71.0,676 CPT,83080,PR HEXOSAMINIDASE LEUKOCYTES,69.0,51.75,16.87,69.0,676 CPT,83080,PR HEXOSAMINIDASE SERUM,69.0,51.75,16.87,69.0,676 CPT,83090,HC HOMOCYSTEINE ASSAY,183.0,137.25,17.92,183.0,916 CPT,83090,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),183.0,137.25,17.92,183.0,916 CPT,83090,PR HOMOCYSTEINE ASSAY,183.0,137.25,17.92,183.0,676 CPT,83090,PR HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),183.0,137.25,17.92,183.0,676 CPT,83150,HC HOMOVANILLIC ACID ASSAY,106.0,79.5,22.41,106.0,915 CPT,83150,PR HOMOVANILLIC ACID ASSAY,106.0,79.5,22.41,106.0,676 CPT,83497,HC 5 HIAA ASSAY,110.0,82.5,12.9,110.0,916 CPT,83497,PR 5 HIAA ASSAY,110.0,82.5,12.9,110.0,676 CPT,83498,HC HYDROXYPROGESTERONE ASSAY,193.0,144.75,27.17,193.0,916 CPT,83498,PR HYDROXYPROGESTERONE ASSAY,193.0,144.75,27.17,193.0,676 CPT,83516,CHG IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP,130.0,97.5,11.53,130.0,676 CPT,83516,HC BULLOUS PEMPHGD EACH,116.0,87.0,11.53,116.0,916 CPT,83516,HC CENTOMERE AB MULT,117.0,87.75,11.53,117.0,916 CPT,83516,HC DESMOGLEIN EACH,122.0,91.5,11.53,122.0,916 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A1,117.0,87.75,11.53,117.0,916 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A2,118.0,88.5,11.53,118.0,916 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A3,117.0,87.75,11.53,117.0,916 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A4,121.0,90.75,11.53,121.0,916 CPT,83516,HC MYELOPEROXIDASE AB EACH,117.0,87.75,11.53,117.0,916 CPT,83516,HC PROTEINASE 3 AB EACH,117.0,87.75,11.53,117.0,916 CPT,83516,PR BULLOUS PEMPHGD EACH,116.0,87.0,11.53,116.0,676 CPT,83516,PR CENTOMERE AB MULT,117.0,87.75,11.53,117.0,676 CPT,83516,PR DESMOGLEIN EACH,122.0,91.5,11.53,122.0,676 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A1,117.0,87.75,11.53,117.0,676 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A2,118.0,88.5,11.53,118.0,676 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A3,117.0,87.75,11.53,117.0,676 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A4,121.0,90.75,11.53,121.0,676 CPT,83516,PR IMMUNOASSAY NONANTIBODY,125.0,93.75,11.53,125.0,676 CPT,83516,PR MYELOPEROXIDASE AB EACH,117.0,87.75,11.53,117.0,676 CPT,83516,PR PROTEINASE 3 AB EACH,117.0,87.75,11.53,117.0,676 CPT,83518,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,52.0,39.0,9.64,52.0,916 CPT,83518,PR IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,52.0,39.0,9.64,52.0,676 CPT,83519,HC ACHR GANGLIONIC AB RIA,333.0,249.75,18.4,333.0,916 CPT,83519,HC OREXIN A RIA,333.0,249.75,18.4,333.0,916 CPT,83519,HC PANCREATIC POLYPEPTIDE QUANT RIA,333.0,249.75,18.4,333.0,916 CPT,83519,HC PROCOLLAGEN I INTACT TERM RIA,288.0,216.0,18.4,288.0,916 CPT,83519,HC VGKC COMPLEX AB RIA,320.0,240.0,18.4,320.0,916 CPT,83519,PR ACHR GANGLIONIC AB RIA,333.0,249.75,18.4,333.0,676 CPT,83519,PR OREXIN A RIA,333.0,249.75,18.4,333.0,676 CPT,83519,PR PANCREATIC POLYPEPTIDE QUANT RIA,333.0,249.75,18.4,333.0,676 CPT,83519,PR PROCOLLAGEN I INTACT TERM RIA,288.0,216.0,18.4,288.0,676 CPT,83519,PR VGKC COMPLEX AB RIA,320.0,240.0,18.4,320.0,676 CPT,83520,HC ADALIMUMAB,271.0,203.25,17.27,271.0,917 CPT,83520,HC C1 ESTERASE INHIBITOR QUANT,271.0,203.25,17.27,271.0,917 CPT,83520,HC CYTOKINE PANEL,50.0,37.5,17.27,50.0,917 CPT,83520,HC FRATAXIN QUANT,266.0,199.5,17.27,266.0,917 CPT,83520,HC GDF15,271.0,203.25,17.27,271.0,917 CPT,83520,HC IGFBP 3 QUANT,271.0,203.25,17.27,271.0,917 CPT,83520,HC IGG/IGM MONOS GM1 TITER,195.0,146.25,17.27,195.0,917 CPT,83520,HC IGG/IMM DISIALO GD1B TITER,198.0,148.5,17.27,198.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS,270.0,202.5,17.27,270.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS 1,186.0,139.5,17.27,186.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS 2,292.0,219.0,17.27,292.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS 4,281.0,210.75,17.27,281.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS 5,289.0,216.75,17.27,289.0,917 CPT,83520,HC IMMUNOASSAY QUANT NOS 6,266.0,199.5,17.27,266.0,917 CPT,83520,HC INHIBIN B QUANT,292.0,219.0,17.27,292.0,917 CPT,83520,HC INTACT FIBROBLAST GF 23,270.0,202.5,17.27,270.0,917 CPT,83520,HC NEURON SPECIFIC ENOLASE QUANT SERUM,281.0,210.75,17.27,281.0,917 CPT,83520,HC PHOSPHOLIPASE A2 RECEPT,230.0,172.5,17.27,230.0,917 CPT,83520,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,297.0,222.75,17.27,297.0,917 CPT,83520,HC TRYPTASE SERUM,292.0,219.0,17.27,292.0,917 CPT,83520,PR ADALIMUMAB,271.0,203.25,17.27,271.0,676 CPT,83520,PR C1 ESTERASE INHIBITOR QUANT,271.0,203.25,17.27,271.0,676 CPT,83520,PR CYTOKINE PANEL,50.0,37.5,17.27,50.0,676 CPT,83520,PR FRATAXIN QUANT,266.0,199.5,17.27,266.0,676 CPT,83520,PR GDF15,271.0,203.25,17.27,271.0,676 CPT,83520,PR IGFBP 3 QUANT,271.0,203.25,17.27,271.0,676 CPT,83520,PR IGG/IGM MONOS GM1 TITER,195.0,146.25,17.27,195.0,676 CPT,83520,PR IGG/IMM DISIALO GD1B TITER,198.0,148.5,17.27,198.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS,270.0,202.5,17.27,270.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS 1,186.0,139.5,17.27,186.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS 2,292.0,219.0,17.27,292.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS 4,281.0,210.75,17.27,281.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS 5,289.0,216.75,17.27,289.0,676 CPT,83520,PR IMMUNOASSAY QUANT NOS 6,266.0,199.5,17.27,266.0,676 CPT,83520,PR INHIBIN B QUANT,292.0,219.0,17.27,292.0,676 CPT,83520,PR INTACT FIBROBLAST GF 23,270.0,202.5,17.27,270.0,676 CPT,83520,PR NEURON SPECIFIC ENOLASE QUANT SERUM,281.0,210.75,17.27,281.0,676 CPT,83520,PR PHOSPHOLIPASE A2 RECEPT,230.0,172.5,17.27,230.0,676 CPT,83520,PR THYROTROPIN RECEPTOR ANTIBODY QUANT,297.0,222.75,17.27,297.0,676 CPT,83520,PR TRYPTASE SERUM,292.0,219.0,17.27,292.0,676 CPT,83521,HC IG LIGHT CHAINS FREE EA 2,161.0,120.75,17.27,161.0,917 CPT,83521,HC IG LIGHT CHAINS FREE EA 3,167.0,125.25,17.27,167.0,917 CPT,83521,PR IG LIGHT CHAINS FREE EA 2,161.0,120.75,17.27,161.0,676 CPT,83521,PR IG LIGHT CHAINS FREE EA 3,167.0,125.25,17.27,167.0,676 CPT,83525,HC INSULIN ASSAY TOTAL,101.0,75.75,11.43,101.0,916 CPT,83525,PR INSULIN ASSAY TOTAL,101.0,75.75,11.43,101.0,676 CPT,83527,HC INSULIN ASSAY FREE,138.0,103.5,12.95,138.0,915 CPT,83527,PR INSULIN ASSAY FREE,138.0,103.5,12.95,138.0,676 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (CYPAN),148.0,111.0,17.27,148.0,916 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6),148.0,111.0,17.27,148.0,916 CPT,83529,PR ASSAY OF INTERLEUKIN-6 (CYPAN),148.0,111.0,17.27,148.0,676 CPT,83529,PR ASSAY OF INTERLEUKIN-6 (IL-6),148.0,111.0,17.27,148.0,676 CPT,83540,HC IRON ASSAY TOTAL,40.0,30.0,6.47,40.0,918 CPT,83540,PR IRON ASSAY TOTAL,40.0,30.0,6.47,40.0,682 CPT,83550,HC IRON BINDING CAPACITY,50.0,37.5,8.74,50.0,918 CPT,83550,PR IRON BINDING CAPACITY,50.0,37.5,8.74,50.0,682 CPT,83605,HC D-LACTATE,112.0,84.0,11.57,112.0,919 CPT,83605,HC LACTIC ACID BLOOD,112.0,84.0,11.57,112.0,919 CPT,83605,HC LACTIC ACID/LACTATE ASSAY,114.0,85.5,11.57,114.0,919 CPT,83605,PR D-LACTATE,112.0,84.0,11.57,112.0,676 CPT,83605,PR LACTIC ACID BLOOD,112.0,84.0,11.57,112.0,676 CPT,83605,PR LACTIC ACID/LACTATE ASSAY,114.0,85.5,11.57,114.0,676 CPT,83615,HC LACTATE DEHYDROGENASE/LDH,54.0,40.5,6.04,54.0,919 CPT,83615,PR LACTATE DEHYDROGENASE/LDH,54.0,40.5,6.04,54.0,681 CPT,83630,HC FECAL LACTOFERRIN QUAL,165.0,123.75,19.7,165.0,916 CPT,83630,PR FECAL LACTOFERRIN QUAL,165.0,123.75,19.7,165.0,676 CPT,83655,HC LEAD BLOOD,83.0,62.25,12.11,83.0,916 CPT,83655,HC LEAD URINE,84.0,63.0,12.11,84.0,916 CPT,83655,PR LEAD BLOOD,83.0,62.25,12.11,83.0,676 CPT,83655,PR LEAD URINE,84.0,63.0,12.11,84.0,676 CPT,83690,HC LIPASE ASSAY,62.0,46.5,6.89,62.0,920 CPT,83690,PR LIPASE ASSAY,62.0,46.5,6.89,62.0,676 CPT,83695,HC LIPOPROTEIN A,107.0,80.25,14.32,107.0,916 CPT,83695,PR LIPOPROTEIN A,107.0,80.25,14.32,107.0,676 CPT,83700,HC LP CHOLESTEROL,120.0,90.0,11.26,120.0,915 CPT,83700,PR LP CHOLESTEROL,120.0,90.0,11.26,120.0,676 CPT,83701,HC LIPOPROTEIN HIGH RESOLUTION,298.0,223.5,33.86,298.0,916 CPT,83701,PR LIPOPROTEIN HIGH RESOLUTION,298.0,223.5,33.86,298.0,676 CPT,83704,HC NMR LIPOPROFILE,185.0,138.75,34.19,185.0,916 CPT,83704,PR NMR LIPOPROFILE,185.0,138.75,34.19,185.0,676 CPT,83718,HC HDL CHOLESTEROL,64.0,48.0,8.19,64.0,916 CPT,83718,PR HDL CHOLESTEROL,64.0,48.0,8.19,64.0,677 CPT,83722,HC SMALL DENSE LDL CHOLESTEROL,111.0,83.25,34.19,111.0,915 CPT,83722,PR SMALL DENSE LDL CHOLESTEROL,111.0,83.25,34.19,111.0,676 CPT,83735,HC MAGNESIUM ASSAY,56.0,42.0,6.7,56.0,921 CPT,83735,PR MAGNESIUM ASSAY,56.0,42.0,6.7,56.0,682 CPT,83785,HC MANGANESE ASSAY 2,116.0,87.0,26.65,116.0,915 CPT,83785,PR MANGANESE ASSAY 2,116.0,87.0,26.65,116.0,676 CPT,83789,HC CDGN,112.0,84.0,24.11,112.0,915 CPT,83789,HC CERAMIDE TRIHEX/SULFATIDE,115.0,86.25,24.11,115.0,915 CPT,83789,HC HEMOGLOBIN VAR ANALYSIS QUANT,115.0,86.25,24.11,115.0,915 CPT,83789,HC IODINE LAB,114.0,85.5,24.11,114.0,915 CPT,83789,HC LYSOSOMAL DISORDER QUANT,112.0,84.0,24.11,112.0,915 CPT,83789,PR CDGN,112.0,84.0,24.11,112.0,676 CPT,83789,PR CERAMIDE TRIHEX/SULFATIDE,115.0,86.25,24.11,115.0,676 CPT,83789,PR HEMOGLOBIN VAR ANALYSIS QUANT,115.0,86.25,24.11,115.0,676 CPT,83789,PR IODINE LAB,114.0,85.5,24.11,114.0,676 CPT,83789,PR LYSOSOMAL DISORDER QUANT,112.0,84.0,24.11,112.0,676 CPT,83789,PR SUPPLEMENTAL NB SCREEN,113.0,84.75,24.11,113.0,676 CPT,83825,HC MERCURY QUANT,172.0,129.0,16.26,172.0,916 CPT,83825,PR MERCURY QUANT,172.0,129.0,16.26,172.0,676 CPT,83835,HC METANEPHRINES,302.0,226.5,16.94,302.0,916 CPT,83835,HC METANEPHRINES URINE,296.0,222.0,16.94,296.0,916 CPT,83835,PR METANEPHRINES,302.0,226.5,16.94,302.0,676 CPT,83835,PR METANEPHRINES URINE,296.0,222.0,16.94,296.0,676 CPT,83861,PR MICROFLUIDIC ANALYSIS TEAR OSMOL,54.0,40.5,22.48,54.0,676 CPT,83864,PR MUCOPOLYSACCHARIDES QNT,226.0,169.5,28.5,226.0,676 CPT,83874,HC MYOGLOBIN,184.0,138.0,12.92,184.0,915 CPT,83874,PR MYOGLOBIN,184.0,138.0,12.92,184.0,676 CPT,83880,HC NATRIURETIC PEPTIDE/BNP,247.0,185.25,39.26,247.0,917 CPT,83880,HC NATRIURETIC PEPTIDE/BNP 2,216.0,162.0,39.26,216.0,917 CPT,83880,PR NATRIURETIC PEPTIDE/BNP,247.0,185.25,39.26,247.0,681 CPT,83880,PR NATRIURETIC PEPTIDE/BNP 2,216.0,162.0,39.26,216.0,681 CPT,83883,HC ALPHA 1 MICROGLOBIN 1,260.0,195.0,13.6,260.0,916 CPT,83883,HC C1 ESTERASE INHIB AG S,260.0,195.0,13.6,260.0,916 CPT,83883,HC NEPHELOMETRY EA ANALYTE NES,105.0,78.75,13.6,105.0,916 CPT,83883,HC RETINOL BINDING PROTEIN,260.0,195.0,13.6,260.0,916 CPT,83883,HC RETINOL BINDING PROTEIN 1,250.0,187.5,13.6,250.0,916 CPT,83883,HC TOTAL LIGHT CHAIN EA,260.0,195.0,13.6,260.0,916 CPT,83883,PR ALPHA 1 MICROGLOBIN 1,260.0,195.0,13.6,260.0,676 CPT,83883,PR C1 ESTERASE INHIB AG S,260.0,195.0,13.6,260.0,676 CPT,83883,PR NEPHELOMETRY EA ANALYTE NES,105.0,78.75,13.6,105.0,676 CPT,83883,PR RETINOL BINDING PROTEIN,260.0,195.0,13.6,260.0,676 CPT,83883,PR RETINOL BINDING PROTEIN 1,250.0,187.5,13.6,250.0,676 CPT,83883,PR TOTAL LIGHT CHAIN EA,260.0,195.0,13.6,260.0,676 CPT,83884,HC NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,452.25,116.23,603.0,916 CPT,83884,PR NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,452.25,116.23,603.0,676 CPT,83915,HC NUCLEOTIDASE 5 ASSAY,141.0,105.75,11.15,141.0,915 CPT,83915,PR NUCLEOTIDASE 5 ASSAY,141.0,105.75,11.15,141.0,676 CPT,83916,HC OLIGOCLONAL BANDS,219.0,164.25,27.39,219.0,916 CPT,83916,PR OLIGOCLONAL BANDS,219.0,164.25,27.39,219.0,676 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT,360.0,270.0,23.6,360.0,916 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),468.0,351.0,23.6,468.0,916 CPT,83918,PR ORGANIC ACIDS TOTAL QUANT,360.0,270.0,23.6,360.0,676 CPT,83918,PR ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),468.0,351.0,23.6,468.0,676 CPT,83919,HC ORGANIC ACIDS QUAL,265.0,198.75,16.45,265.0,915 CPT,83919,PR ORGANIC ACIDS QUAL,265.0,198.75,16.45,265.0,676 CPT,83921,HC ORGANIC ACID 1 QUANT,247.0,185.25,21.21,247.0,916 CPT,83921,HC ORGANIC ACID 1 QUANT 2,251.0,188.25,21.21,251.0,916 CPT,83921,PR ORGANIC ACID 1 QUANT,247.0,185.25,21.21,247.0,676 CPT,83921,PR ORGANIC ACID 1 QUANT 2,251.0,188.25,21.21,251.0,676 CPT,83930,HC OSMOLALITY ASSAY BLOOD,73.0,54.75,6.61,73.0,916 CPT,83930,PR OSMOLALITY ASSAY BLOOD,73.0,54.75,6.61,73.0,676 CPT,83935,HC OSMOLALITY ASSAY URINE,90.0,67.5,6.82,90.0,917 CPT,83935,PR OSMOLALITY ASSAY URINE,90.0,67.5,6.82,90.0,676 CPT,83937,HC OSTEOCALCIN ASSAY,199.0,149.25,29.85,199.0,915 CPT,83937,PR OSTEOCALCIN ASSAY,199.0,149.25,29.85,199.0,676 CPT,83945,HC OXYLATE ASSAY,105.0,78.75,14.45,105.0,916 CPT,83945,HC OXYLATE URINE,105.0,78.75,14.45,105.0,916 CPT,83945,PR OXYLATE ASSAY,105.0,78.75,14.45,105.0,676 CPT,83945,PR OXYLATE URINE,105.0,78.75,14.45,105.0,676 CPT,83951,HC DES GAMMA CARBOXY PROTHROMBIN,370.0,277.5,64.41,370.0,915 CPT,83951,PR DES GAMMA CARBOXY PROTHROMBIN,370.0,277.5,64.41,370.0,676 CPT,83970,HC PARATHORMONE/PTH,318.0,238.5,41.28,318.0,918 CPT,83970,HC PARATHORMONE/PTH 1,318.0,238.5,41.28,318.0,918 CPT,83970,PR PARATHORMONE/PTH,318.0,238.5,41.28,318.0,682 CPT,83970,PR PARATHORMONE/PTH 1,318.0,238.5,41.28,318.0,682 CPT,83986,HC PH BODY FLUID,20.0,15.0,3.58,20.0,916 CPT,83986,HC PH URINE,22.0,16.5,3.58,22.0,916 CPT,83986,PR PH BODY FLUID,20.0,15.0,3.58,20.0,676 CPT,83986,PR PH URINE,22.0,16.5,3.58,22.0,676 CPT,83993,HC CALPROTECTIN FECAL,265.0,198.75,19.63,265.0,917 CPT,83993,PR CALPROTECTIN FECAL,265.0,198.75,19.63,265.0,676 CPT,84030,HC PHENYLALANINE (PKU-NCCI),44.0,33.0,5.5,44.0,915 CPT,84030,HC PHENYLALANINE (TYRBS-NCCI),44.0,33.0,5.5,44.0,915 CPT,84030,PR PHENYLALANINE (PKU-NCCI),44.0,33.0,5.5,44.0,676 CPT,84030,PR PHENYLALANINE (TYRBS-NCCI),44.0,33.0,5.5,44.0,676 CPT,84066,HC PROSTATIC ACID PHOSPHATE,103.0,77.25,9.66,103.0,915 CPT,84066,PR PROSTATIC ACID PHOSPHATE,103.0,77.25,9.66,103.0,676 CPT,84075,HC ALK PHOSPHATASE,42.0,31.5,5.18,42.0,918 CPT,84075,PR ALK PHOSPHATASE,42.0,31.5,5.18,42.0,678 CPT,84080,HC ALK PHOSPHATASE ISOENZYMES,136.0,102.0,14.78,136.0,916 CPT,84080,PR ALK PHOSPHATASE ISOENZYMES,136.0,102.0,14.78,136.0,676 CPT,84087,HC PHOSPHOHEXOSE ISOMERASE,188.0,141.0,10.73,188.0,915 CPT,84087,PR PHOSPHOHEXOSE ISOMERASE,188.0,141.0,10.73,188.0,676 CPT,84100,HC PHOSPHORUS ASSAY,36.0,27.0,4.74,36.0,921 CPT,84100,PR PHOSPHORUS ASSAY,36.0,27.0,4.74,36.0,682 CPT,84105,HC PHOSPHORUS ASSAY URINE,37.0,27.75,5.78,37.0,916 CPT,84105,PR PHOSPHORUS ASSAY URINE,37.0,27.75,5.78,37.0,676 CPT,84110,HC PORPHOBILINOGEN URINE QUANT,120.0,90.0,8.44,120.0,915 CPT,84110,PR PORPHOBILINOGEN URINE QUANT,120.0,90.0,8.44,120.0,676 CPT,84120,HC PORPHYRINS URINE QUANT/FRACT,126.0,94.5,14.71,126.0,915 CPT,84120,PR PORPHYRINS URINE QUANT/FRACT,126.0,94.5,14.71,126.0,676 CPT,84126,HC PORPHYRINS FECES QUANT,209.0,156.75,39.11,209.0,915 CPT,84126,PR PORPHYRINS FECES QUANT,209.0,156.75,39.11,209.0,676 CPT,84132,HC POTASSIUM SER/PLASMA/WHOLE BLD,40.0,30.0,4.76,40.0,917 CPT,84132,PR POTASSIUM SER/PLASMA/WHOLE BLD,40.0,30.0,4.76,40.0,679 CPT,84133,HC POTASSIUM URINE,32.0,24.0,4.73,32.0,916 CPT,84133,PR POTASSIUM URINE,32.0,24.0,4.73,32.0,676 CPT,84134,HC PREALBUMIN,134.0,100.5,14.59,134.0,916 CPT,84134,PR PREALBUMIN,134.0,100.5,14.59,134.0,676 CPT,84140,HC PREGNENOLONE,162.0,121.5,20.67,162.0,916 CPT,84140,PR PREGNENOLONE,162.0,121.5,20.67,162.0,676 CPT,84143,HC 17 HYDROXYPREGNENOLONE,211.0,158.25,22.81,211.0,916 CPT,84143,HC 17-HYDROXYPREGNENOLONE (17PRN),214.0,160.5,22.81,214.0,916 CPT,84143,PR 17 HYDROXYPREGNENOLONE,211.0,158.25,22.81,211.0,676 CPT,84143,PR 17-HYDROXYPREGNENOLONE (17PRN),214.0,160.5,22.81,214.0,676 CPT,84144,HC PROGESTERONE ASSAY,167.0,125.25,20.86,167.0,916 CPT,84144,PR PROGESTERONE ASSAY,167.0,125.25,20.86,167.0,676 CPT,84145,HC PROCALCITONIN,264.0,198.0,27.22,264.0,916 CPT,84145,HC PROCALCITONIN 1,286.0,214.5,27.22,286.0,916 CPT,84145,PR PROCALCITONIN,264.0,198.0,27.22,264.0,676 CPT,84145,PR PROCALCITONIN 1,286.0,214.5,27.22,286.0,676 CPT,84146,HC PROLACTIN ASSAY,196.0,147.0,19.38,196.0,917 CPT,84146,PR PROLACTIN ASSAY,196.0,147.0,19.38,196.0,676 CPT,84150,HC PROSTAGLANDIN ASSAY EACH,298.0,223.5,41.77,298.0,916 CPT,84150,PR PROSTAGLANDIN ASSAY EACH,298.0,223.5,41.77,298.0,676 CPT,84153,HC PSA TOTAL,122.0,91.5,18.39,122.0,919 CPT,84153,HC PSA TOTAL 1,125.0,93.75,18.39,125.0,919 CPT,84153,HC PSA TOTAL ULTRASENSITIVE,124.0,93.0,18.39,124.0,919 CPT,84153,PR PSA TOTAL,122.0,91.5,18.39,122.0,680 CPT,84153,PR PSA TOTAL 1,125.0,93.75,18.39,125.0,680 CPT,84153,PR PSA TOTAL ULTRASENSITIVE,124.0,93.0,18.39,124.0,680 CPT,84154,HC PSA FREE,119.0,89.25,18.39,119.0,916 CPT,84154,PR PSA FREE,119.0,89.25,18.39,119.0,680 CPT,84155,HC PROTEIN TOTAL SERUM/PLASMA,26.0,19.5,3.67,26.0,918 CPT,84155,PR PROTEIN TOTAL SERUM/PLASMA,26.0,19.5,3.67,26.0,678 CPT,84156,HC PROTEIN RANDOM URINE,32.0,24.0,3.67,32.0,919 CPT,84156,HC PROTEIN TOTAL URINE,32.0,24.0,3.67,32.0,919 CPT,84156,PR PROTEIN RANDOM URINE,32.0,24.0,3.67,32.0,677 CPT,84156,PR PROTEIN TOTAL URINE,32.0,24.0,3.67,32.0,677 CPT,84157,HC PROTEIN TOTAL BODY FLUID,61.0,45.75,4.0,61.0,918 CPT,84157,HC PROTEIN TOTAL CSF,61.0,45.75,4.0,61.0,918 CPT,84157,PR PROTEIN TOTAL BODY FLUID,61.0,45.75,4.0,61.0,676 CPT,84157,PR PROTEIN TOTAL CSF,61.0,45.75,4.0,61.0,676 CPT,84165,HC PROTEIN ELECTROPHORESIS SERUM,115.0,86.25,10.74,115.0,917 CPT,84165,PR PROTEIN ELECTROPHORESIS,147.5,110.625,10.74,170.0,1358 CPT,84165,PR PROTEIN ELECTROPHORESIS SERUM,144.0,108.0,10.74,173.0,1358 CPT,84166,HC PROTEIN ELECTROPHORESIS OTHER,144.0,108.0,17.83,144.0,917 CPT,84166,HC PROTEIN ELECTROPHORESIS URINE,141.0,105.75,17.83,141.0,917 CPT,84166,PR PROTEIN ELECTROPHORESIS OTHER,144.0,108.0,17.83,144.0,676 CPT,84166,PR PROTEIN ELECTROPHORESIS URINE,141.0,105.75,17.83,141.0,676 CPT,84182,HC CRMP 5 WESTERN BLOT,263.0,197.25,29.21,263.0,917 CPT,84182,HC PROTEIN WESTERN BLOT TEST 1,255.0,191.25,29.21,255.0,917 CPT,84182,HC WESTERN BLOT TEST BAND ID EA,255.0,191.25,29.21,255.0,917 CPT,84182,PR CRMP 5 WESTERN BLOT,263.0,197.25,29.21,263.0,676 CPT,84182,PR PROTEIN WESTERN BLOT TEST 1,255.0,191.25,29.21,255.0,676 CPT,84182,PR PROTEIN WESTERN BLOT TEST 3,284.0,213.0,29.21,284.0,676 CPT,84182,PR WESTERN BLOT TEST BAND ID EA,255.0,191.25,29.21,255.0,676 CPT,84206,HC PROINSULIN ASSAY,272.0,204.0,26.69,272.0,916 CPT,84206,PR PROINSULIN ASSAY,272.0,204.0,26.69,272.0,676 CPT,84207,HC VITAMIN B6 ASSAY,272.0,204.0,28.1,272.0,916 CPT,84207,PR VITAMIN B6 ASSAY,272.0,204.0,28.1,272.0,676 CPT,84210,HC PYRUVATE ASSAY,83.0,62.25,14.48,83.0,916 CPT,84210,PR PYRUVATE ASSAY,83.0,62.25,14.48,83.0,676 CPT,84220,HC PYRUVATE KINASE ASSAY,213.0,159.75,9.44,213.0,915 CPT,84220,PR PYRUVATE KINASE ASSAY,213.0,159.75,9.44,213.0,676 CPT,84238,HC SOLUBLE TRANSFERRIN RECEPTOR,237.0,177.75,36.57,237.0,916 CPT,84238,PR SOLUBLE TRANSFERRIN RECEPTOR,237.0,177.75,36.57,237.0,676 CPT,84244,HC RENIN ACTIVITY 1 BLOOD,168.0,126.0,21.99,168.0,916 CPT,84244,PR RENIN ACTIVITY 1 BLOOD,168.0,126.0,21.99,168.0,676 CPT,84252,HC RIBOFLAVIN B2,209.0,156.75,20.24,209.0,915 CPT,84252,HC VITAMIN B2 ASSAY,211.0,158.25,20.24,211.0,915 CPT,84252,PR RIBOFLAVIN B2,209.0,156.75,20.24,209.0,676 CPT,84252,PR VITAMIN B2 ASSAY,211.0,158.25,20.24,211.0,676 CPT,84255,HC SELENIUM ASSAY,162.0,121.5,25.53,162.0,917 CPT,84255,PR SELENIUM ASSAY,162.0,121.5,25.53,162.0,676 CPT,84260,HC SEROTONIN ASSAY,281.0,210.75,30.98,281.0,915 CPT,84260,PR SEROTONIN ASSAY,281.0,210.75,30.98,281.0,676 CPT,84270,HC SEX HORMONE BINDING GLOBULIN,168.0,126.0,21.73,168.0,916 CPT,84270,PR SEX HORMONE BINDING GLOBULIN,168.0,126.0,21.73,168.0,676 CPT,84275,HC ASSAY OF SIALIC ACID,129.0,96.75,13.44,129.0,915 CPT,84275,PR ASSAY OF SIALIC ACID,129.0,96.75,13.44,129.0,676 CPT,84295,HC SODIUM SERUM/PLASMA/WHOLE BLD,42.0,31.5,4.81,42.0,918 CPT,84295,PR SODIUM SERUM/PLASMA/WHOLE BLD,42.0,31.5,4.81,42.0,679 CPT,84300,HC SODIUM ASSAY URINE,32.0,24.0,5.06,32.0,917 CPT,84300,PR SODIUM ASSAY URINE,32.0,24.0,5.06,32.0,677 CPT,84302,HC SODIUM ASSAY OTHER SOURCES,99.0,74.25,4.86,99.0,915 CPT,84302,PR SODIUM ASSAY OTHER SOURCES,99.0,74.25,4.86,99.0,676 CPT,84305,HC SOMATOMEDIN/IGF1,328.0,246.0,21.26,328.0,917 CPT,84305,PR SOMATOMEDIN/IGF1,328.0,246.0,21.26,328.0,676 CPT,84311,HC CHOLESTEROL NON SERUM,72.0,54.0,8.1,72.0,916 CPT,84311,HC PORPHYRINS,71.0,53.25,8.1,71.0,916 CPT,84311,HC PORPHYRINS TOTAL,71.0,53.25,8.1,71.0,916 CPT,84311,PR CHOLESTEROL NON SERUM,72.0,54.0,8.1,72.0,676 CPT,84311,PR PORPHYRINS,71.0,53.25,8.1,71.0,676 CPT,84311,PR PORPHYRINS TOTAL,71.0,53.25,8.1,71.0,676 CPT,84376,HC REDUCING SUBSTANCE URINE OR STOOL,88.0,66.0,5.5,88.0,915 CPT,84376,PR REDUCING SUBSTANCE URINE OR STOOL,88.0,66.0,5.5,88.0,676 CPT,84377,HC SUGARS MULT QUAL,126.0,94.5,5.5,126.0,915 CPT,84377,PR OLIGOSACCHARIDE,114.0,85.5,5.5,114.0,676 CPT,84392,HC SULFATE ASSAY URINE,21.0,15.75,5.49,21.0,916 CPT,84392,PR SULFATE ASSAY URINE,21.0,15.75,5.49,21.0,676 CPT,84393,HC TAU PHOSPHORYLATED EA,154.0,115.5,104.21,193.38,915 CPT,84393,HC TAU PHOSPHORYLATED EA 2,154.0,115.5,104.21,193.38,915 CPT,84393,PR TAU PHOSPHORYLATED EA,154.0,115.5,69.3,154.0,676 CPT,84393,PR TAU PHOSPHORYLATED EA 2,154.0,115.5,69.3,154.0,676 CPT,84394,HC TOTAL TAU,159.0,119.25,107.6,193.38,915 CPT,84394,HC TOTAL TAU 2,159.0,119.25,107.6,193.38,915 CPT,84394,PR TOTAL TAU,159.0,119.25,71.55,159.0,676 CPT,84394,PR TOTAL TAU 2,159.0,119.25,71.55,159.0,676 CPT,84402,HC TESTOSTERONE FREE,181.0,135.75,25.47,181.0,916 CPT,84402,PR TESTOSTERONE FREE,181.0,135.75,25.47,181.0,676 CPT,84403,HC TESTOSTERONE TOTAL SERUM,189.0,141.75,25.81,189.0,917 CPT,84403,PR TESTOSTERONE TOTAL SERUM,189.0,141.75,25.81,189.0,676 CPT,84410,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,444.0,333.0,51.28,444.0,917 CPT,84410,PR TESTOSTERONE BIOAVAILABLE DRCT MEAS,444.0,333.0,51.28,444.0,676 CPT,84425,HC VITAMIN B1 THIAMINE ASSAY,204.0,153.0,21.23,204.0,917 CPT,84425,PR VITAMIN B1 THIAMINE ASSAY,204.0,153.0,21.23,204.0,676 CPT,84432,HC THYROGLOBULIN LYMPH NODE,126.0,94.5,16.06,126.0,917 CPT,84432,HC THYROGLOBULIN MASS SPEC,125.0,93.75,16.06,125.0,917 CPT,84432,HC THYROGLOBULIN SERUM,125.0,93.75,16.06,125.0,917 CPT,84432,PR THYROGLOBULIN LYMPH NODE,126.0,94.5,16.06,126.0,676 CPT,84432,PR THYROGLOBULIN MASS SPEC,125.0,93.75,16.06,125.0,676 CPT,84432,PR THYROGLOBULIN SERUM,125.0,93.75,16.06,125.0,676 CPT,84433,HC ASSAY TPMT,106.0,79.5,22.17,106.0,916 CPT,84433,PR ASSAY TPMT,106.0,79.5,22.17,106.0,676 CPT,84436,HC T4 TOTAL,52.0,39.0,6.87,52.0,916 CPT,84436,PR T4 TOTAL,52.0,39.0,6.87,52.0,676 CPT,84439,HC T4 FREE,111.0,83.25,9.02,111.0,919 CPT,84439,PR T4 FREE,111.0,83.25,9.02,111.0,685 CPT,84442,HC THYROXINE BIND GLOBULIN,152.0,114.0,14.78,152.0,915 CPT,84442,PR THYROXINE BIND GLOBULIN,152.0,114.0,14.78,152.0,676 CPT,84443,HC THYROID STIMULATING HORMONE,114.0,85.5,16.8,114.0,920 CPT,84443,PR THYROID STIMULATING HORMONE,114.0,85.5,16.8,114.0,682 CPT,84445,HC THYROID STIM IMMUNOGLOBIN,387.0,290.25,50.86,387.0,915 CPT,84445,PR THYROID STIM IMMUNOGLOBIN,387.0,290.25,50.86,387.0,676 CPT,84446,HC VITAMIN E ASSAY,120.0,90.0,14.18,120.0,917 CPT,84446,HC VITAMIN E ASSAY 2,120.0,90.0,14.18,120.0,917 CPT,84446,PR VITAMIN E ASSAY,120.0,90.0,14.18,120.0,676 CPT,84446,PR VITAMIN E ASSAY 2,120.0,90.0,14.18,120.0,676 CPT,84450,HC AST/SGOT,67.0,50.25,5.18,67.0,920 CPT,84450,PR AST/SGOT,67.0,50.25,5.18,67.0,683 CPT,84460,HC ALT/SGPT,51.0,38.25,5.3,51.0,919 CPT,84460,PR ALT/SGPT,51.0,38.25,5.3,51.0,680 CPT,84466,HC TRANSFERRIN,104.0,78.0,12.76,104.0,915 CPT,84466,PR TRANSFERRIN,104.0,78.0,12.76,104.0,677 CPT,84478,HC TRIGLYCERIDES,30.0,22.5,5.74,30.0,916 CPT,84478,HC TRIGLYCERIDES 1,31.0,23.25,5.74,31.0,916 CPT,84478,PR TRIGLYCERIDES,30.0,22.5,5.74,30.0,677 CPT,84478,PR TRIGLYCERIDES 1,31.0,23.25,5.74,31.0,677 CPT,84479,HC T3 OR T4 UPTAKE,63.0,47.25,6.47,63.0,897 CPT,84479,PR T3 OR T4 UPTAKE,63.0,47.25,6.47,63.0,676 CPT,84480,HC T3 TOTAL,126.0,94.5,14.18,126.0,917 CPT,84480,PR T3 TOTAL,126.0,94.5,14.18,126.0,676 CPT,84481,HC T3 FREE,182.0,136.5,16.94,182.0,916 CPT,84481,PR T3 FREE,182.0,136.5,16.94,182.0,676 CPT,84482,HC T3 REVERSE,286.0,214.5,15.76,286.0,916 CPT,84482,PR T3 REVERSE,286.0,214.5,15.76,286.0,676 CPT,84484,HC TROPONIN I QUANT,133.0,99.75,12.47,133.0,921 CPT,84484,HC TROPONIN QUANT,131.0,98.25,12.47,131.0,921 CPT,84484,PR TROPONIN I QUANT,133.0,99.75,12.47,133.0,676 CPT,84484,PR TROPONIN QUANT,131.0,98.25,12.47,131.0,676 CPT,84510,HC TYROSINE (PKU-NCCI),141.0,105.75,10.63,141.0,915 CPT,84510,HC TYROSINE (SUAC-NCCI),139.0,104.25,10.63,139.0,915 CPT,84510,HC TYROSINE (TYRBS-NCCI),139.0,104.25,10.63,139.0,915 CPT,84510,PR TYROSINE (PKU-NCCI),141.0,105.75,10.63,141.0,676 CPT,84510,PR TYROSINE (SUAC-NCCI),139.0,104.25,10.63,139.0,676 CPT,84510,PR TYROSINE (TYRBS-NCCI),139.0,104.25,10.63,139.0,676 CPT,84520,HC UREA NITROGEN/BUN,32.0,24.0,3.95,32.0,917 CPT,84520,PR UREA NITROGEN/BUN,32.0,24.0,3.95,32.0,678 CPT,84540,HC UREA NITROGEN URINE,47.0,35.25,5.56,47.0,915 CPT,84540,PR UREA NITROGEN URINE,47.0,35.25,5.56,47.0,676 CPT,84550,HC URIC ACID BLOOD,30.0,22.5,4.52,30.0,919 CPT,84550,PR URIC ACID BLOOD,30.0,22.5,4.52,30.0,680 CPT,84560,HC URIC ACID OTHER SOURCE,26.0,19.5,5.08,26.0,916 CPT,84560,PR URIC ACID OTHER SOURCE,26.0,19.5,5.08,26.0,676 CPT,84585,HC VANILLYLMANDELIC ACID URINE,136.0,102.0,15.5,136.0,915 CPT,84585,PR VANILLYLMANDELIC ACID URINE,136.0,102.0,15.5,136.0,676 CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE,383.0,287.25,35.33,383.0,916 CPT,84586,PR VASOACTIVE INTESTINAL PEPTIDE,383.0,287.25,35.33,383.0,676 CPT,84588,HC COPEPTIN PROAVP,366.0,274.5,33.94,366.0,915 CPT,84588,PR COPEPTIN PROAVP,366.0,274.5,33.94,366.0,676 CPT,84590,HC VITAMIN A ASSAY,146.0,109.5,11.61,146.0,917 CPT,84590,HC VITAMIN A ASSAY 2,146.0,109.5,11.61,146.0,917 CPT,84590,PR VITAMIN A ASSAY,146.0,109.5,11.61,146.0,676 CPT,84590,PR VITAMIN A ASSAY 2,146.0,109.5,11.61,146.0,676 CPT,84591,HC ASSAY OF NOS VITAMIN,71.0,53.25,17.06,71.0,915 CPT,84591,HC BIOTIN,72.0,54.0,17.06,72.0,915 CPT,84591,PR ASSAY OF NOS VITAMIN,71.0,53.25,17.06,71.0,676 CPT,84591,PR BIOTIN,72.0,54.0,17.06,72.0,676 CPT,84597,HC VITAMIN K ASSAY,138.0,103.5,13.72,138.0,916 CPT,84597,PR VITAMIN K ASSAY,138.0,103.5,13.72,138.0,676 CPT,84630,HC ZINC ASSAY,115.0,86.25,11.39,115.0,917 CPT,84630,PR ZINC ASSAY,115.0,86.25,11.39,115.0,676 CPT,84681,HC C PEPTIDE ASSAY,125.0,93.75,20.81,125.0,917 CPT,84681,PR C PEPTIDE ASSAY,125.0,93.75,20.81,125.0,676 CPT,84702,HC BETA HCG QUANTITATIVE,130.0,97.5,15.05,130.0,920 CPT,84702,HC BETA HUMAN CHORIONIC GONADTRPN,130.0,97.5,15.05,130.0,920 CPT,84702,HC HCG INTERFERENCE EVAL,132.0,99.0,15.05,132.0,920 CPT,84702,PR BETA HCG QUANTITATIVE,130.0,97.5,15.05,130.0,676 CPT,84702,PR BETA HUMAN CHORIONIC GONADTRPN,130.0,97.5,15.05,130.0,676 CPT,84702,PR HCG INTERFERENCE EVAL,132.0,99.0,15.05,132.0,676 CPT,84999,HC NITROGEN TOTAL 1,160.0,120.0,72.0,160.0,909 CPT,84999,HC OSMOLALITY STOOL,54.0,40.5,24.3,54.0,909 CPT,84999,HC POTASSIUM QUANTITATIVE STOOL,44.0,33.0,19.8,44.0,909 CPT,84999,PR NITROGEN TOTAL 1,160.0,120.0,72.0,160.0,676 CPT,84999,PR OSMOLALITY STOOL,54.0,40.5,24.3,54.0,676 CPT,84999,PR POTASSIUM QUANTITATIVE STOOL,44.0,33.0,19.8,44.0,676 CPT,85007,HC BLOOD MANUAL DIFF,30.0,22.5,3.8,30.0,917 CPT,85007,PR BLOOD MANUAL DIFF,30.0,22.5,3.8,30.0,676 CPT,85014,HC HEMATOCRIT,40.0,30.0,2.37,40.0,918 CPT,85014,PR HEMATOCRIT,40.0,30.0,2.37,40.0,680 CPT,85018,HC HEMOGLOBIN,31.0,23.25,2.37,31.0,918 CPT,85018,HC HEMOGLOBIN 3,31.0,23.25,2.37,31.0,918 CPT,85018,PR HEMOGLOBIN,31.0,23.25,2.37,31.0,681 CPT,85018,PR HEMOGLOBIN 3,31.0,23.25,2.37,31.0,681 CPT,85025,HC CBC W AUTO DIFF,36.0,27.0,7.77,36.0,919 CPT,85025,PR CBC W AUTO DIFF,36.0,27.0,7.77,36.0,685 CPT,85027,HC CBC AUTO WO DIFF,41.0,30.75,6.47,41.0,921 CPT,85027,PR CBC AUTO WO DIFF,41.0,30.75,6.47,41.0,684 CPT,85045,HC RETICULOCYTE COUNT AUTO,42.0,31.5,3.99,42.0,916 CPT,85045,PR RETICULOCYTE COUNT AUTO,42.0,31.5,3.99,42.0,678 CPT,85046,HC RETICYTE/HGB CONCENTRATE,34.0,25.5,5.57,34.0,917 CPT,85046,HC RETICYTE/HGB CONCENTRATE 2,34.0,25.5,5.57,34.0,917 CPT,85046,PR RETICYTE/HGB CONCENTRATE,34.0,25.5,5.57,34.0,678 CPT,85046,PR RETICYTE/HGB CONCENTRATE 2,34.0,25.5,5.57,34.0,678 CPT,85048,HC LEUKOCYTE (WBC) COUNT AUTO,26.0,19.5,2.54,26.0,916 CPT,85048,PR LEUKOCYTE (WBC) COUNT AUTO,26.0,19.5,2.54,26.0,678 CPT,85049,HC PLATELET COUNT AUTO,47.0,35.25,4.48,47.0,918 CPT,85049,PR PLATELET COUNT AUTO,47.0,35.25,4.48,47.0,678 CPT,85060,PR BLOOD SMEAR INTERPRETATION,142.0,106.5,18.83,142.0,678 CPT,85097,HC BONE MARROW SMEAR INTERP,1976.0,1482.0,57.95,1976.0,918 CPT,85097,PR BONE MARROW SMEAR INTERP,437.0,327.75,66.47,437.0,677 CPT,85130,HC CHROMOGENIC FVIII 2,208.0,156.0,11.89,208.0,915 CPT,85130,PR CHROMOGENIC FIX,210.0,157.5,11.89,210.0,676 CPT,85130,PR CHROMOGENIC FVIII 2,208.0,156.0,11.89,208.0,676 CPT,85210,HC FACTOR II ACTIVITY,244.0,183.0,12.98,244.0,917 CPT,85210,PR FACTOR II ACTIVITY,244.0,183.0,12.98,244.0,676 CPT,85220,HC FACTOR V ACTIVITY,261.0,195.75,17.65,261.0,915 CPT,85220,PR FACTOR V ACTIVITY,261.0,195.75,17.65,261.0,676 CPT,85230,HC FACTOR VII ACTIVITY,281.0,210.75,17.9,281.0,917 CPT,85230,PR FACTOR VII ACTIVITY,281.0,210.75,17.9,281.0,676 CPT,85240,HC FACTOR VIII 1 STAGE ASSAY,261.0,195.75,17.9,261.0,916 CPT,85240,PR FACTOR VIII 1 STAGE ASSAY,261.0,195.75,17.9,261.0,676 CPT,85245,HC RISTOCETIN COFACTOR,235.0,176.25,22.94,235.0,915 CPT,85245,PR RISTOCETIN COFACTOR,235.0,176.25,22.94,235.0,676 CPT,85246,HC VON WILLEBRAND FACTOR ANTIGEN,261.0,195.75,22.94,261.0,916 CPT,85246,PR VON WILLEBRAND FACTOR ANTIGEN,261.0,195.75,22.94,261.0,676 CPT,85247,HC WILLEBRAND FACTOR MULTIMERANALYSIS,308.0,231.0,22.94,308.0,915 CPT,85247,PR WILLEBRAND FACTOR MULTIMERANALYSIS,308.0,231.0,22.94,308.0,676 CPT,85250,HC FACTOR IX ASSAY,261.0,195.75,19.04,261.0,917 CPT,85250,PR FACTOR IX ASSAY,261.0,195.75,19.04,261.0,676 CPT,85260,HC CHROMOGENIC FACTOR X ACTIVITY,272.0,204.0,17.9,272.0,917 CPT,85260,HC FACTOR X ASSAY,272.0,204.0,17.9,272.0,917 CPT,85260,PR CHROMOGENIC FACTOR X ACTIVITY,272.0,204.0,17.9,272.0,676 CPT,85260,PR FACTOR X ASSAY,272.0,204.0,17.9,272.0,676 CPT,85270,HC FACTOR XI ASSAY,246.0,184.5,17.9,246.0,917 CPT,85270,PR FACTOR XI ASSAY,246.0,184.5,17.9,246.0,676 CPT,85280,HC FACTOR XII ASSAY,261.0,195.75,19.35,261.0,915 CPT,85280,PR FACTOR XII ASSAY,261.0,195.75,19.35,261.0,676 CPT,85291,HC CLOT SOLUBILITY FACTOR XIII,177.0,132.75,9.11,177.0,916 CPT,85291,PR CLOT SOLUBILITY FACTOR XIII,177.0,132.75,9.11,177.0,676 CPT,85300,HC ANTITHROMBIN III ACTIVITY,215.0,161.25,11.85,215.0,917 CPT,85300,PR ANTITHROMBIN III ACTIVITY,215.0,161.25,11.85,215.0,676 CPT,85301,HC ANTITHROMBIN III ANTIGEN,203.0,152.25,10.81,203.0,916 CPT,85301,PR ANTITHROMBIN III ANTIGEN,203.0,152.25,10.81,203.0,676 CPT,85302,HC PROTEIN C ANTIGEN,218.0,163.5,12.01,218.0,915 CPT,85302,PR PROTEIN C ANTIGEN,218.0,163.5,12.01,218.0,676 CPT,85303,HC PROTEIN C ACTIVITY,246.0,184.5,13.84,246.0,917 CPT,85303,PR PROTEIN C ACTIVITY,246.0,184.5,13.84,246.0,676 CPT,85305,HC PROTEIN S TOTAL,239.0,179.25,11.61,239.0,916 CPT,85305,PR PROTEIN S TOTAL,239.0,179.25,11.61,239.0,676 CPT,85306,HC PROTEIN S FREE,291.0,218.25,15.32,291.0,917 CPT,85306,PR PROTEIN S FREE,291.0,218.25,15.32,291.0,676 CPT,85307,HC APC RESISTANCE V,234.0,175.5,15.32,234.0,917 CPT,85307,PR APC RESISTANCE V,234.0,175.5,15.32,234.0,676 CPT,85335,HC CHROMOGENIC FACTOR VIII INHIBITOR,235.0,176.25,12.87,235.0,915 CPT,85335,HC FACTOR INHIBITOR BETHESDA TITER,244.0,183.0,12.87,244.0,915 CPT,85335,HC FACTOR INHIBITOR SCREEN,270.0,202.5,12.87,270.0,915 CPT,85335,HC FACTOR INHIBITOR TEST,244.0,183.0,12.87,244.0,915 CPT,85335,PR CHROMOGENIC FACTOR VIII INHIBITOR,235.0,176.25,12.87,235.0,676 CPT,85335,PR FACTOR INHIBITOR BETHESDA TITER,244.0,183.0,12.87,244.0,676 CPT,85335,PR FACTOR INHIBITOR SCREEN,270.0,202.5,12.87,270.0,676 CPT,85335,PR FACTOR INHIBITOR TEST,244.0,183.0,12.87,244.0,676 CPT,85347,HC COAGULATION TIME ACTIVATED,26.0,19.5,4.28,26.0,917 CPT,85347,PR COAGULATION TIME ACTIVATED,26.0,19.5,4.28,26.0,676 CPT,85362,HC FDP SEMIQUANT,111.0,83.25,6.89,111.0,915 CPT,85362,PR FDP SEMIQUANT,111.0,83.25,6.89,111.0,676 CPT,85366,HC SOLUBLE FIBIRIN MONOMER COMPLEX,174.0,130.5,80.46,174.0,916 CPT,85366,PR SOLUBLE FIBIRIN MONOMER COMPLEX,174.0,130.5,80.46,174.0,676 CPT,85379,HC D-DIMER QUANT,202.0,151.5,10.18,202.0,920 CPT,85379,PR D-DIMER QUANT,202.0,151.5,10.18,202.0,676 CPT,85384,HC FIBRINOGEN ACTIVITY,130.0,97.5,9.72,130.0,919 CPT,85384,PR FIBRINOGEN ACTIVITY,130.0,97.5,9.72,130.0,676 CPT,85385,HC FIBRINOGEN ANTIGEN,115.0,86.25,14.46,115.0,915 CPT,85385,PR FIBRINOGEN ANTIGEN,115.0,86.25,14.46,115.0,676 CPT,85390,HC FIBRINOLYSINS/COAGULOPATHY I&R,121.0,90.75,15.48,121.0,916 CPT,85390,PR FIBRINOLYSINS/COAGULOPATHY I&R,130.5,97.875,15.48,140.0,1352 CPT,85397,HC COAG FUNCTIONAL ACTIVITY NOS 2,302.0,226.5,30.86,302.0,916 CPT,85397,HC VON WILLEBRAND FACTOR ACTIVITY,300.0,225.0,30.86,300.0,916 CPT,85397,PR COAG FUNCTIONAL ACTIVITY NOS 2,302.0,226.5,30.86,302.0,676 CPT,85397,PR VON WILLEBRAND FACTOR ACTIVITY,300.0,225.0,30.86,300.0,676 CPT,85410,HC ALPHA 2 PLASMIN INHIBITOR,203.0,152.25,7.71,203.0,915 CPT,85410,PR ALPHA 2 PLASMIN INHIBITOR,203.0,152.25,7.71,203.0,676 CPT,85415,HC PLASMINOGN ACTIVATR 1 ANTG,270.0,202.5,17.19,270.0,915 CPT,85415,PR PLASMINOGN ACTIVATR 1 ANTG,270.0,202.5,17.19,270.0,676 CPT,85420,HC PLASMINOGEN ACTIVITY,208.0,156.0,6.53,208.0,915 CPT,85420,PR PLASMINOGEN ACTIVITY,208.0,156.0,6.53,208.0,676 CPT,85520,HC HEPARIN ASSAY,232.0,174.0,13.09,232.0,917 CPT,85520,PR HEPARIN ASSAY,232.0,174.0,13.09,232.0,676 CPT,85530,HC HEPARIN-PROTAMINE TOL,137.0,102.75,13.09,137.0,915 CPT,85549,HC MURAMIDASE (LYSOZYME),146.0,109.5,18.75,146.0,915 CPT,85549,PR MURAMIDASE (LYSOZYME),146.0,109.5,18.75,146.0,676 CPT,85557,HC OSMOTIC FRAGILITY INCUBATED,127.0,95.25,13.36,127.0,915 CPT,85557,PR OSMOTIC FRAGILITY INCUBATED,127.0,95.25,13.36,127.0,676 CPT,85576,HC PLATELET AGGREGATION EA,125.0,93.75,24.91,125.0,916 CPT,85576,PR PLATELET AGGREGATION EA,140.0,105.0,17.49,155.0,1352 CPT,85597,HC PLATELET NEUTRALIZATION,156.0,117.0,17.98,156.0,916 CPT,85597,PR PLATELET NEUTRALIZATION,156.0,117.0,17.98,156.0,676 CPT,85598,HC HEXAGONAL PHOSPHOLIPID ASSAY,185.0,138.75,17.98,185.0,915 CPT,85598,PR HEXAGONAL PHOSPHOLIPID ASSAY,185.0,138.75,17.98,185.0,676 CPT,85610,HC PROTHROMBIN TIME,33.0,24.75,4.29,33.0,921 CPT,85610,PR PROTHROMBIN TIME,33.0,24.75,4.29,33.0,676 CPT,85611,HC PROTHROMBIN MIXING STUDIES,65.0,48.75,3.94,65.0,916 CPT,85611,PR PROTHROMBIN MIXING STUDIES,65.0,48.75,3.94,65.0,676 CPT,85613,HC RUSSELL VIPER VENOM DILUTED,93.0,69.75,9.58,93.0,917 CPT,85613,PR RUSSELL VIPER VENOM DILUTED,93.0,69.75,9.58,93.0,676 CPT,85635,HC REPTILASE TEST,141.0,105.75,9.85,141.0,915 CPT,85635,PR REPTILASE TEST,141.0,105.75,9.85,141.0,676 CPT,85652,HC SEDIMENTATION RATE AUTOMATED,35.0,26.25,2.7,35.0,919 CPT,85652,PR SEDIMENTATION RATE AUTOMATED,35.0,26.25,2.7,35.0,676 CPT,85660,HC RBC SICKLING REDUCTION,58.0,43.5,5.51,58.0,916 CPT,85660,PR RBC SICKLING REDUCTION,58.0,43.5,5.51,58.0,676 CPT,85670,HC THROMBIN TIME,87.0,65.25,5.77,87.0,917 CPT,85670,PR THROMBIN TIME,87.0,65.25,5.77,87.0,676 CPT,85730,HC THROMBOPLASTIN TIME (APTT),50.0,37.5,6.01,50.0,919 CPT,85730,PR THROMBOPLASTIN TIME (APTT),50.0,37.5,6.01,50.0,676 CPT,85732,HC APTT MIXING STUDY EACH,104.0,78.0,6.47,104.0,916 CPT,85732,PR APTT MIXING STUDY EACH,104.0,78.0,6.47,104.0,676 CPT,85810,HC VISCOSITY,90.0,67.5,11.67,90.0,916 CPT,85810,PR VISCOSITY,90.0,67.5,11.67,90.0,676 CPT,85999,HC EOSINOPHIL COUNT 1,129.0,96.75,58.05,129.0,910 CPT,85999,HC EOSINOPHILS U,103.0,77.25,46.35,103.0,910 CPT,85999,PR EOSINOPHIL COUNT 1,129.0,96.75,58.05,129.0,676 CPT,85999,PR EOSINOPHILS U,103.0,77.25,46.35,103.0,676 CPT,86001,HC ALLERGEN IGG QUANT/SEMI EA,57.0,42.75,7.82,57.0,916 CPT,86001,PR ALLERGEN IGG QUANT/SEMI EA,57.0,42.75,7.82,57.0,676 CPT,86003,HC ALLERGEN IGE QUANT/SEMI EA,31.0,23.25,5.22,31.0,916 CPT,86003,PR ALLERGEN IGE QUANT/SEMI EA,31.0,23.25,5.22,31.0,676 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA,53.0,39.75,17.93,53.0,915 CPT,86008,PR ALLERGEN IGE RECOMB/PURIFY EA,53.0,39.75,17.93,53.0,676 CPT,86015,HC ACTIN SMOOTH MUSCLE AB EA,146.0,109.5,12.05,146.0,916 CPT,86015,PR ACTIN SMOOTH MUSCLE AB EA,146.0,109.5,12.05,146.0,676 CPT,86021,HC GRANULOCYTE ANTIBODY,199.0,149.25,15.05,199.0,915 CPT,86021,PR GRANULOCYTE ANTIBODY,199.0,149.25,15.05,199.0,676 CPT,86022,HC HEPARIN - PF4 ANTIBODY (HIT),374.0,280.5,18.37,374.0,915 CPT,86022,HC PLATELET ANTIBODIES,383.0,287.25,18.37,383.0,915 CPT,86022,HC PLATELET ANTIBODY CROSSMATCH,379.0,284.25,18.37,379.0,915 CPT,86022,PR HEPARIN - PF4 ANTIBODY (HIT),374.0,280.5,18.37,374.0,676 CPT,86022,PR PLATELET ANTIBODIES,383.0,287.25,18.37,383.0,676 CPT,86022,PR PLATELET ANTIBODY CROSSMATCH,379.0,284.25,18.37,379.0,676 CPT,86036,HC ANCA SCREEN EA AB,159.0,119.25,12.05,159.0,916 CPT,86036,HC ANCA SCREEN EA AB 2,159.0,119.25,12.05,159.0,916 CPT,86036,PR ANCA SCREEN EA AB,159.0,119.25,12.05,159.0,676 CPT,86036,PR ANCA SCREEN EA AB 2,159.0,119.25,12.05,159.0,676 CPT,86038,HC ANTINUCLEAR ANTIBODIES/ANA,101.0,75.75,12.09,101.0,916 CPT,86038,PR ANTINUCLEAR ANTIBODIES/ANA,101.0,75.75,12.09,101.0,676 CPT,86039,HC ANTINUCLEAR ANTIBODIES HEP2,84.0,63.0,11.16,84.0,916 CPT,86039,PR ANTINUCLEAR ANTIBODIES HEP2,84.0,63.0,11.16,84.0,676 CPT,86041,HC ACH RECP MUSC BINDING AB,217.0,162.75,18.4,217.0,916 CPT,86041,PR ACH RECP MUSC BINDING AB,217.0,162.75,18.4,217.0,676 CPT,86043,HC ACHR MODULATE FLOW CYTO,132.0,99.0,12.05,132.0,916 CPT,86043,PR ACHR MODULATE FLOW CYTO,132.0,99.0,12.05,132.0,676 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA,197.0,147.75,37.73,197.0,916 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA 2,197.0,147.75,37.73,197.0,916 CPT,86053,PR AQUAPORIN-4 AB FLOW CYTO EA,197.0,147.75,37.73,197.0,676 CPT,86053,PR AQUAPORIN-4 AB FLOW CYTO EA 2,197.0,147.75,37.73,197.0,676 CPT,86060,HC ANTISTREPTOLYSIN O TITER,73.0,54.75,7.3,73.0,915 CPT,86060,PR ANTISTREPTOLYSIN O TITER,73.0,54.75,7.3,73.0,676 CPT,86077,PR BLD BANK PHYS SVCS DIFF XM,158.0,118.5,50.61,158.0,678 CPT,86078,PR TRANSFUSION REACTION WORKUP,230.0,172.5,50.61,230.0,676 CPT,86140,HC C-REACTIVE PROTEIN,68.0,51.0,5.18,68.0,919 CPT,86140,PR C-REACTIVE PROTEIN,68.0,51.0,5.18,68.0,683 CPT,86141,HC CRP HIGH SENSITIVITY,83.0,62.25,12.95,83.0,916 CPT,86141,PR CRP HIGH SENSITIVITY,83.0,62.25,12.95,83.0,676 CPT,86146,HC BETA 2 GLYCOPROTEIN I AB EA,183.0,137.25,25.45,183.0,916 CPT,86146,PR BETA 2 GLYCOPROTEIN I AB EA,183.0,137.25,25.45,183.0,676 CPT,86147,HC CARDIOLIPIN AB EA IG CLASS,178.0,133.5,25.45,178.0,916 CPT,86147,PR CARDIOLIPIN AB EA IG CLASS,178.0,133.5,25.45,178.0,676 CPT,86148,HC ANTI PHOSPHATIDYLSERINE AB,80.0,60.0,16.07,80.0,916 CPT,86148,"HC PS/PT AB,IGG/IGM,S",80.0,60.0,16.07,80.0,916 CPT,86148,PR ANTI PHOSPHATIDYLSERINE AB,80.0,60.0,16.07,80.0,676 CPT,86148,"PR PS/PT AB,IGG/IGM,S",80.0,60.0,16.07,80.0,676 CPT,86156,HC COLD AGGLUTININ SCREEN,41.0,30.75,8.07,41.0,916 CPT,86156,PR COLD AGGLUTININ SCREEN,41.0,30.75,8.07,41.0,676 CPT,86157,HC COLD AGGLUTININ TITER,88.0,66.0,8.06,88.0,915 CPT,86157,PR COLD AGGLUTININ TITER,88.0,66.0,8.06,88.0,676 CPT,86160,HC COMPLEMENT AG EA COMPONENT,115.0,86.25,12.0,115.0,916 CPT,86160,HC COMPLEMENT ANTIGEN EACH 1,115.0,86.25,12.0,115.0,916 CPT,86160,HC COMPLEMENT COMPONENT,115.0,86.25,12.0,115.0,916 CPT,86160,HC COMPLEMENT COMPONENT C1Q,115.0,86.25,12.0,115.0,916 CPT,86160,HC COMPLEMENT COMPONENT C5/C2,115.0,86.25,12.0,115.0,916 CPT,86160,PR COMPLEMENT AG EA COMPONENT,115.0,86.25,12.0,115.0,676 CPT,86160,PR COMPLEMENT ANTIGEN EACH 1,115.0,86.25,12.0,115.0,676 CPT,86160,PR COMPLEMENT COMPONENT,115.0,86.25,12.0,115.0,676 CPT,86160,PR COMPLEMENT COMPONENT C1Q,115.0,86.25,12.0,115.0,676 CPT,86160,PR COMPLEMENT COMPONENT C5/C2,115.0,86.25,12.0,115.0,676 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA,183.0,137.25,12.0,183.0,916 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 2,183.0,137.25,12.0,183.0,916 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 3,183.0,137.25,12.0,183.0,916 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 6,183.0,137.25,12.0,183.0,916 CPT,86161,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,192.0,144.0,12.0,192.0,916 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA,183.0,137.25,12.0,183.0,676 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 2,183.0,137.25,12.0,183.0,676 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 3,183.0,137.25,12.0,183.0,676 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 6,183.0,137.25,12.0,183.0,676 CPT,86161,PR COMPLMENT FUNC ACTVTY EA ALT PATHWAY,192.0,144.0,12.0,192.0,676 CPT,86162,HC COMPLEMENT TOTAL,178.0,133.5,20.32,178.0,916 CPT,86162,PR COMPLEMENT TOTAL,178.0,133.5,20.32,178.0,676 CPT,86200,HC CYCLIC CITRULLINATED PEPT AB,141.0,105.75,12.95,141.0,917 CPT,86200,PR CYCLIC CITRULLINATED PEPT AB,141.0,105.75,12.95,141.0,676 CPT,86215,HC DEOXYRIBONUCLEASE AB,157.0,117.75,13.25,157.0,915 CPT,86215,PR DEOXYRIBONUCLEASE AB,157.0,117.75,13.25,157.0,676 CPT,86225,HC DNA AB NATIVE/DOUBLE STRANDED,120.0,90.0,13.74,120.0,916 CPT,86225,PR DNA AB NATIVE/DOUBLE STRANDED,120.0,90.0,13.74,120.0,676 CPT,86231,HC ENDOMYSIAL AB EA IG CLASS,167.0,125.25,12.09,167.0,916 CPT,86231,HC ENDOMYSIAL AB EA IG CLASS 2,140.0,105.0,12.09,140.0,916 CPT,86231,PR ENDOMYSIAL AB EA IG CLASS,167.0,125.25,12.09,167.0,676 CPT,86231,PR ENDOMYSIAL AB EA IG CLASS 2,140.0,105.0,12.09,140.0,676 CPT,86235,HC EXTRACT NUC AG EA AB,131.0,98.25,17.93,131.0,916 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,131.0,98.25,17.93,131.0,916 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 2,132.0,99.0,17.93,132.0,916 CPT,86235,PR EXTRACT NUC AG EA AB,131.0,98.25,17.93,131.0,676 CPT,86235,PR NUCLEAR ANTIGEN ANTIBODY,131.0,98.25,17.93,131.0,676 CPT,86235,PR NUCLEAR ANTIGEN ANTIBODY 2,132.0,99.0,17.93,132.0,676 CPT,86255,HC AMPA R AB CBA,184.0,138.0,12.05,184.0,918 CPT,86255,HC AMPHIPHYSIN AB TITER,182.0,136.5,12.05,182.0,918 CPT,86255,HC CASPR2-IGG AB TITER,189.0,141.75,12.05,189.0,918 CPT,86255,HC CONTACTIN-1 IGG CBA,162.0,121.5,12.05,162.0,918 CPT,86255,HC CRMP 5 IGG TITER,182.0,136.5,12.05,182.0,918 CPT,86255,HC FLUORESCENT ANTIBODY SCREEN,187.0,140.25,12.05,187.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 10,181.0,135.75,12.05,181.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 4,189.0,141.75,12.05,189.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 6,184.0,138.0,12.05,184.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 7,184.0,138.0,12.05,184.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 8,162.0,121.5,12.05,162.0,918 CPT,86255,HC FLUORESCENT NONINF AG AB EA 9,180.0,135.0,12.05,180.0,918 CPT,86255,HC FLUORESCENT NONINFCT AG AB EA LEV2,189.0,141.75,12.05,189.0,918 CPT,86255,HC GFAP CBA,182.0,136.5,12.05,182.0,918 CPT,86255,HC GFAP IFA,189.0,141.75,12.05,189.0,918 CPT,86255,HC GLIAL NUCLEAR AB TITER,182.0,136.5,12.05,182.0,918 CPT,86255,HC LGI1-IGG AB CBA TITER,184.0,138.0,12.05,184.0,918 CPT,86255,HC PARANEOPLASTIC PEMPHIGUS,180.0,135.0,12.05,180.0,918 CPT,86255,HC PURKINJE CELL AB TITER,182.0,136.5,12.05,182.0,918 CPT,86255,"HC RARE SUBEPI BLISTERING VARIANTS, S",187.0,140.25,12.05,187.0,918 CPT,86255,HC THSD7A AB,187.0,140.25,12.05,187.0,918 CPT,86255,PR AMPA R AB CBA,184.0,138.0,12.05,184.0,676 CPT,86255,PR AMPHIPHYSIN AB TITER,182.0,136.5,12.05,182.0,676 CPT,86255,PR CASPR2-IGG AB TITER,227.5,170.625,12.05,266.0,1352 CPT,86255,PR CONTACTIN-1 IGG CBA,162.0,121.5,12.05,162.0,676 CPT,86255,PR CRMP 5 IGG TITER,222.0,166.5,12.05,262.0,1352 CPT,86255,PR FLUORESCENT ANTIBODY SCREEN,187.0,140.25,12.05,187.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 10,181.0,135.75,12.05,181.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 4,189.0,141.75,12.05,189.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 6,184.0,138.0,12.05,184.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 7,184.0,138.0,12.05,184.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 8,162.0,121.5,12.05,162.0,676 CPT,86255,PR FLUORESCENT NONINF AG AB EA 9,180.0,135.0,12.05,180.0,676 CPT,86255,PR FLUORESCENT NONINFCT AG AB EA LEV2,227.5,170.625,12.05,266.0,1352 CPT,86255,PR GFAP CBA,182.0,136.5,12.05,182.0,676 CPT,86255,PR GFAP IFA,189.0,141.75,12.05,189.0,676 CPT,86255,PR GLIAL NUCLEAR AB TITER,222.0,166.5,12.05,262.0,1352 CPT,86255,PR LGI1-IGG AB CBA TITER,224.0,168.0,12.05,264.0,1352 CPT,86255,PR PARANEOPLASTIC PEMPHIGUS,180.0,135.0,12.05,180.0,676 CPT,86255,PR PURKINJE CELL AB TITER,222.0,166.5,12.05,262.0,1352 CPT,86255,"PR RARE SUBEPI BLISTERING VARIANTS, S",187.0,140.25,12.05,187.0,676 CPT,86255,PR THSD7A AB,187.0,140.25,12.05,187.0,676 CPT,86256,HC FLUORESCENT AB TITER EA 2,125.0,93.75,12.05,125.0,915 CPT,86256,HC FLUORESCENT AB TITER EA LEV 2,125.0,93.75,12.05,125.0,915 CPT,86256,HC GFAP IFA TITER,122.0,91.5,12.05,122.0,915 CPT,86256,HC SRP IFA TITER,125.0,93.75,12.05,125.0,915 CPT,86256,PR FLUORESCENT AB TITER EA 2,125.0,93.75,12.05,125.0,676 CPT,86256,PR FLUORESCENT AB TITER EA 3,125.0,93.75,12.05,125.0,676 CPT,86256,PR FLUORESCENT AB TITER EA LEV 2,125.0,93.75,12.05,125.0,676 CPT,86256,PR GFAP IFA TITER,122.0,91.5,12.05,122.0,676 CPT,86256,PR SRP IFA TITER,125.0,93.75,12.05,125.0,676 CPT,86258,HC GLIADIN AB EA IG CLASS,156.0,117.0,12.05,156.0,916 CPT,86258,PR GLIADIN AB EA IG CLASS,156.0,117.0,12.05,156.0,676 CPT,86300,HC IMMUNOASSAY TUMOR CA 15.3,190.0,142.5,20.81,190.0,916 CPT,86300,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,190.0,142.5,20.81,190.0,916 CPT,86300,PR IMMUNOASSAY TUMOR CA 15.3,190.0,142.5,20.81,190.0,676 CPT,86300,PR IMMUNOASSAY TUMOR CA 27.29/CA 15-3,190.0,142.5,20.81,190.0,676 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9,234.0,175.5,20.81,234.0,917 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9 1,232.0,174.0,20.81,232.0,917 CPT,86301,PR IMMUNOASSAY TUMOR CA 19-9,234.0,175.5,20.81,234.0,676 CPT,86301,PR IMMUNOASSAY TUMOR CA 19-9 1,232.0,174.0,20.81,232.0,676 CPT,86304,HC IMMUNOASSAY TUMOR CA 125,188.0,141.0,20.81,188.0,916 CPT,86304,PR IMMUNOASSAY TUMOR CA 125,188.0,141.0,20.81,188.0,679 CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,350.0,262.5,20.81,350.0,916 CPT,86305,PR HUMAN EPIDIDYMIS PROTEIN 4/HE4,350.0,262.5,20.81,350.0,676 CPT,86308,HC HETEROPHILE AB SCREEN,61.0,45.75,5.18,61.0,917 CPT,86308,PR HETEROPHILE AB SCREEN,61.0,45.75,5.18,61.0,676 CPT,86316,HC ALPHA-FETOPROTEIN CSF QUANT,227.0,170.25,20.81,227.0,917 CPT,86316,HC CHROMOGRANIN A QUANT,234.0,175.5,20.81,234.0,917 CPT,86316,HC IMMUNOASSAY TUMOR OTHER QUANT,239.0,179.25,20.81,239.0,917 CPT,86316,PR ALPHA-FETOPROTEIN CSF QUANT,227.0,170.25,20.81,227.0,676 CPT,86316,PR CHROMOGRANIN A QUANT,234.0,175.5,20.81,234.0,676 CPT,86316,PR IMMUNOASSAY TUMOR OTHER QUANT,239.0,179.25,20.81,239.0,676 CPT,86317,HC ANTI-DIPTHERIA TOXOID IGG,78.0,58.5,14.99,78.0,916 CPT,86317,HC ANTI-TETANUS TOXOID IGG,78.0,58.5,14.99,78.0,916 CPT,86317,HC HBV SURFACE AB QUANT,77.0,57.75,14.99,77.0,916 CPT,86317,HC S PNEUMONIAE IGG AB TOTAL,76.0,57.0,14.99,76.0,916 CPT,86317,PR ANTI-DIPTHERIA TOXOID IGG,78.0,58.5,14.99,78.0,676 CPT,86317,PR ANTI-TETANUS TOXOID IGG,78.0,58.5,14.99,78.0,676 CPT,86317,PR HBV SURFACE AB QUANT,77.0,57.75,14.99,77.0,676 CPT,86317,PR S PNEUMONIAE IGG AB TOTAL,76.0,57.0,14.99,76.0,676 CPT,86334,HC IFE SERUM,180.0,135.0,22.34,180.0,917 CPT,86334,HC IFE SERUM 2,194.0,145.5,22.34,194.0,917 CPT,86334,PR IFE SERUM,153.5,115.125,17.49,180.0,1356 CPT,86334,PR IFE SERUM 2,194.0,145.5,22.34,194.0,676 CPT,86335,HC IFE OTHER FLUIDS,229.0,171.75,29.35,229.0,915 CPT,86335,HC IFE URINE,221.0,165.75,29.35,221.0,915 CPT,86335,PR IFE OTHER FLUIDS,229.0,171.75,29.35,229.0,676 CPT,86335,PR IFE URINE,221.0,165.75,29.35,221.0,676 CPT,86336,HC INHIBIN A,130.0,97.5,15.59,130.0,916 CPT,86336,PR INHIBIN A,130.0,97.5,15.59,130.0,676 CPT,86337,HC INSULIN AB,241.0,180.75,21.41,241.0,915 CPT,86337,PR INSULIN AB,241.0,180.75,21.41,241.0,676 CPT,86340,HC INTRINSIC FACTOR AB,185.0,138.75,15.08,185.0,916 CPT,86340,PR INTRINSIC FACTOR AB,185.0,138.75,15.08,185.0,676 CPT,86341,HC GAD65 AB,225.0,168.75,23.57,225.0,918 CPT,86341,HC IA2 AB,236.0,177.0,23.57,236.0,918 CPT,86341,"HC ZNT8, AB",236.0,177.0,23.57,236.0,918 CPT,86341,PR GAD65 AB,225.0,168.75,23.57,225.0,676 CPT,86341,PR IA2 AB,236.0,177.0,23.57,236.0,676 CPT,86341,"PR ZNT8, AB",236.0,177.0,23.57,236.0,676 CPT,86352,HC CELLULAR FUNCTION W STIM 1,330.0,247.5,135.86,330.0,915 CPT,86352,HC CELLULAR FUNCTION W STIM 2,314.0,235.5,135.86,314.0,915 CPT,86352,PR CELLULAR FUNCTION W STIM 1,330.0,247.5,135.86,330.0,676 CPT,86352,PR CELLULAR FUNCTION W STIM 2,314.0,235.5,135.86,314.0,676 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS,303.0,227.25,49.03,303.0,916 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG,303.0,227.25,49.03,303.0,916 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG 1,303.0,227.25,49.03,303.0,916 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG 2,303.0,227.25,49.03,303.0,916 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,303.0,227.25,49.03,303.0,916 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS,303.0,227.25,49.03,303.0,676 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG,303.0,227.25,49.03,303.0,676 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG 1,303.0,227.25,49.03,303.0,676 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG 2,303.0,227.25,49.03,303.0,676 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS MITOGENS,303.0,227.25,49.03,303.0,676 CPT,86355,HC B CELL TOTAL COUNT,183.0,137.25,37.73,183.0,917 CPT,86355,HC B CELL TOTAL COUNT 2,183.0,137.25,37.73,183.0,917 CPT,86355,PR B CELL TOTAL COUNT,183.0,137.25,37.73,183.0,676 CPT,86355,PR B CELL TOTAL COUNT 2,183.0,137.25,37.73,183.0,676 CPT,86356,HC MONONUCLEAR CELL AG EA,174.0,130.5,26.78,174.0,916 CPT,86356,HC MONONUCLEAR CELL AG EA 1,177.0,132.75,26.78,177.0,916 CPT,86356,HC MONONUCLEAR CELL AG EA 3,174.0,130.5,26.78,174.0,916 CPT,86356,HC MONONUCLEAR CELL AG EA 4,174.0,130.5,26.78,174.0,916 CPT,86356,HC MONONUCLEAR CELL ANTIGEN,169.0,126.75,26.78,169.0,916 CPT,86356,PR MONONUCLEAR CELL AG EA,174.0,130.5,26.78,174.0,676 CPT,86356,PR MONONUCLEAR CELL AG EA 1,177.0,132.75,26.78,177.0,676 CPT,86356,PR MONONUCLEAR CELL AG EA 3,174.0,130.5,26.78,174.0,676 CPT,86356,PR MONONUCLEAR CELL AG EA 4,174.0,130.5,26.78,174.0,676 CPT,86356,PR MONONUCLEAR CELL AG EA 7,170.0,127.5,26.78,170.0,676 CPT,86356,PR MONONUCLEAR CELL ANTIGEN,169.0,126.75,26.78,169.0,676 CPT,86357,HC NATURAL KILLER TOTAL COUNT,45.0,33.75,30.45,56.6,917 CPT,86357,HC NATURAL KILLER TOTAL COUNT 2,45.0,33.75,30.45,56.6,917 CPT,86357,PR NATURAL KILLER TOTAL COUNT,45.0,33.75,30.45,45.0,676 CPT,86357,PR NATURAL KILLER TOTAL COUNT 2,45.0,33.75,30.45,45.0,676 CPT,86359,HC T CELL TOTAL COUNT,192.0,144.0,37.73,192.0,917 CPT,86359,HC T CELL TOTAL COUNT 1,183.0,137.25,37.73,183.0,917 CPT,86359,PR T CELL TOTAL COUNT,192.0,144.0,37.73,192.0,676 CPT,86359,PR T CELL TOTAL COUNT 1,183.0,137.25,37.73,183.0,676 CPT,86360,HC T CELL ABSOLUTE CD4/CD8 RATIO,275.0,206.25,46.98,275.0,917 CPT,86360,PR T CELL ABSOLUTE CD4/CD8 RATIO,275.0,206.25,46.98,275.0,676 CPT,86361,HC T CELL ABSOLUTE COUNT,189.0,141.75,26.78,189.0,915 CPT,86361,PR T CELL ABSOLUTE COUNT,189.0,141.75,26.78,189.0,676 CPT,86363,HC MOG-IGG1 AB FLOW CYTO EA,169.0,126.75,37.73,169.0,916 CPT,86363,PR MOG-IGG1 AB FLOW CYTO EA,169.0,126.75,37.73,169.0,676 CPT,86364,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,125.0,93.75,11.53,125.0,916 CPT,86364,PR TISSUE TRANSGLUTAMINASE EA IG CLASS,125.0,93.75,11.53,125.0,676 CPT,86366,HC MUSK AUTO AB,217.0,162.75,18.4,217.0,915 CPT,86366,PR MUSK AUTO AB,217.0,162.75,18.4,217.0,676 CPT,86367,HC STEM CELLS TOTAL COUNT,265.0,198.75,77.78,265.0,916 CPT,86367,PR STEM CELLS TOTAL COUNT,265.0,198.75,77.78,265.0,676 CPT,86376,HC MICROSOMAL AB EA,111.0,83.25,14.55,111.0,918 CPT,86376,HC MICROSOMAL AB EA/TPO,116.0,87.0,14.55,116.0,918 CPT,86376,PR MICROSOMAL AB EA,111.0,83.25,14.55,111.0,676 CPT,86376,PR MICROSOMAL AB EA/TPO,116.0,87.0,14.55,116.0,676 CPT,86381,HC MITOCHONDRIAL AB EA,161.0,120.75,25.45,161.0,916 CPT,86381,PR MITOCHONDRIAL AB EA,161.0,120.75,25.45,161.0,676 CPT,86431,HC RHEUMATOID FACTOR QUANT,57.0,42.75,5.67,57.0,917 CPT,86431,PR RHEUMATOID FACTOR QUANT,57.0,42.75,5.67,57.0,676 CPT,86480,HC TB TEST CELL IMMUNITY MEASURE 2,263.0,197.25,61.98,263.0,916 CPT,86480,PR TB TEST CELL IMMUNITY MEASURE 2,263.0,197.25,61.98,263.0,676 CPT,86580,PR TB INTRADERMAL TEST,49.0,36.75,10.64,49.0,677 CPT,86581,HC STREP PNEUM AB MULTIPLEX,345.0,258.75,92.03,345.0,916 CPT,86581,PR STREP PNEUM AB MULTIPLEX,345.0,258.75,92.03,345.0,676 CPT,86592,HC SYPHILIS TEST RPR QUAL,42.0,31.5,4.27,42.0,917 CPT,86592,HC VDRL,42.0,31.5,4.27,42.0,917 CPT,86592,PR SYPHILIS TEST RPR QUAL,42.0,31.5,4.27,42.0,676 CPT,86592,PR VDRL,42.0,31.5,4.27,42.0,676 CPT,86593,HC SYPHILIS NON-TREPONEMAL AB QUAN,47.0,35.25,4.4,47.0,916 CPT,86593,PR SYPHILIS NON-TREPONEMAL AB QUAN,47.0,35.25,4.4,47.0,676 CPT,86596,HC VOLTAGE-GTD CA CHNL AB EA,202.0,151.5,12.05,202.0,916 CPT,86596,PR VOLTAGE-GTD CA CHNL AB EA,202.0,151.5,12.05,202.0,676 CPT,86606,HC ASPERGILLUS AB EACH,99.0,74.25,15.05,99.0,916 CPT,86606,PR ASPERGILLUS AB EACH,99.0,74.25,15.05,99.0,676 CPT,86611,HC BARTONELLA AB EACH,91.0,68.25,10.18,91.0,916 CPT,86611,PR BARTONELLA AB EACH,91.0,68.25,10.18,91.0,676 CPT,86612,HC BLASTOMYCES AB,157.0,117.75,12.9,157.0,916 CPT,86612,HC BLASTOMYCES AB EIA,158.0,118.5,12.9,158.0,916 CPT,86612,PR BLASTOMYCES AB,157.0,117.75,12.9,157.0,676 CPT,86612,PR BLASTOMYCES AB EIA,158.0,118.5,12.9,158.0,676 CPT,86615,HC BORDETELLA AB EACH,157.0,117.75,13.19,157.0,915 CPT,86615,PR BORDETELLA AB EACH,157.0,117.75,13.19,157.0,676 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST,126.0,94.5,15.49,126.0,915 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST 2,115.0,86.25,15.49,115.0,915 CPT,86617,PR LYME DISEASE CONFIRMATORY TEST,126.0,94.5,15.49,126.0,676 CPT,86617,PR LYME DISEASE CONFIRMATORY TEST 2,115.0,86.25,15.49,115.0,676 CPT,86618,HC LYME DISEASE AB,156.0,117.0,17.03,156.0,916 CPT,86618,HC LYME DISEASE AB 4,158.0,118.5,17.03,158.0,916 CPT,86618,PR LYME DISEASE AB,156.0,117.0,17.03,156.0,676 CPT,86618,PR LYME DISEASE AB 4,158.0,118.5,17.03,158.0,676 CPT,86622,HC BRUCELLA AB EACH,105.0,78.75,8.93,105.0,915 CPT,86622,HC BRUCELLA AB EACH AGGLUTINATION,111.0,83.25,8.93,111.0,915 CPT,86622,PR BRUCELLA AB EACH,105.0,78.75,8.93,105.0,676 CPT,86622,PR BRUCELLA AB EACH AGGLUTINATION,111.0,83.25,8.93,111.0,676 CPT,86631,HC CHLAMYDIA AB,126.0,94.5,11.82,126.0,915 CPT,86631,HC CHLAMYDIA AB 2,125.0,93.75,11.82,125.0,915 CPT,86631,PR CHLAMYDIA AB,126.0,94.5,11.82,126.0,676 CPT,86631,PR CHLAMYDIA AB 2,125.0,93.75,11.82,125.0,676 CPT,86632,HC CHLAMYDIA IGM AB,126.0,94.5,12.68,126.0,915 CPT,86632,HC CHLAMYDIA IGM AB 2,136.0,102.0,12.68,136.0,915 CPT,86632,PR CHLAMYDIA IGM AB,126.0,94.5,12.68,126.0,676 CPT,86632,PR CHLAMYDIA IGM AB 2,136.0,102.0,12.68,136.0,676 CPT,86635,HC COCCIDIOIDES AB,125.0,93.75,11.47,125.0,918 CPT,86635,HC COCCIDIOIDES AB 2,125.0,93.75,11.47,125.0,918 CPT,86635,PR COCCIDIOIDES AB,125.0,93.75,11.47,125.0,676 CPT,86635,PR COCCIDIOIDES AB 2,125.0,93.75,11.47,125.0,676 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGG,101.0,75.75,12.12,101.0,915 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGM,101.0,75.75,12.12,101.0,915 CPT,86638,HC QFEVER ANTIBODY SCRN,109.0,81.75,12.12,109.0,915 CPT,86638,PR Q FEVER/COXIELLA BRUNETII AB IGG,101.0,75.75,12.12,101.0,676 CPT,86638,PR Q FEVER/COXIELLA BRUNETII AB IGM,101.0,75.75,12.12,101.0,676 CPT,86638,PR QFEVER ANTIBODY SCRN,109.0,81.75,12.12,109.0,676 CPT,86644,HC CYTOMEGALOVIRUS AB,157.0,117.75,14.39,157.0,917 CPT,86644,PR CYTOMEGALOVIRUS AB,157.0,117.75,14.39,157.0,676 CPT,86645,HC CYTOMEGALOVIRUS AB IGM,161.0,120.75,16.85,161.0,917 CPT,86645,PR CYTOMEGALOVIRUS AB IGM,161.0,120.75,16.85,161.0,676 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGG,115.0,86.25,13.19,115.0,916 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGM,115.0,86.25,13.19,115.0,916 CPT,86651,PR ENCEPHALITIS CALIFORNIA AB IGG,115.0,86.25,13.19,115.0,676 CPT,86651,PR ENCEPHALITIS CALIFORNIA AB IGM,115.0,86.25,13.19,115.0,676 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGG,167.0,125.25,13.19,167.0,916 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGM,167.0,125.25,13.19,167.0,916 CPT,86652,PR ENCEPHALITIS EAST EQUINE AB IGG,167.0,125.25,13.19,167.0,676 CPT,86652,PR ENCEPHALITIS EAST EQUINE AB IGM,167.0,125.25,13.19,167.0,676 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGG,136.0,102.0,13.19,136.0,916 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGM,136.0,102.0,13.19,136.0,916 CPT,86653,PR ENCEPHALITIS ST LOUIS AB IGG,136.0,102.0,13.19,136.0,676 CPT,86653,PR ENCEPHALITIS ST LOUIS AB IGM,136.0,102.0,13.19,136.0,676 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGG,136.0,102.0,13.19,136.0,916 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGM,136.0,102.0,13.19,136.0,916 CPT,86654,PR ENCEPHALITIS WEST EQUINE AB IGG,136.0,102.0,13.19,136.0,676 CPT,86654,PR ENCEPHALITIS WEST EQUINE AB IGM,136.0,102.0,13.19,136.0,676 CPT,86664,HC EPSTEIN-BARR NUCLEAR AG AB,105.0,78.75,15.29,105.0,917 CPT,86664,PR EPSTEIN-BARR NUCLEAR AG AB,105.0,78.75,15.29,105.0,676 CPT,86665,HC EPSTEIN-BARR VIRAL CAPSID AB EA,141.0,105.75,18.14,141.0,917 CPT,86665,PR EPSTEIN-BARR VIRAL CAPSID AB EA,141.0,105.75,18.14,141.0,676 CPT,86666,HC EHRLICHIA ANTIBODY,166.0,124.5,10.18,166.0,915 CPT,86666,HC EHRLICHIA ANTIBODY 1,166.0,124.5,10.18,166.0,915 CPT,86666,PR EHRLICHIA ANTIBODY,166.0,124.5,10.18,166.0,676 CPT,86666,PR EHRLICHIA ANTIBODY 1,166.0,124.5,10.18,166.0,676 CPT,86668,HC FRANCISELLA TULARENSIS 1,94.0,70.5,14.16,94.0,915 CPT,86668,HC FRANCISELLA TULARENSIS 2,94.0,70.5,14.16,94.0,915 CPT,86668,PR FRANCISELLA TULARENSIS 1,94.0,70.5,14.16,94.0,676 CPT,86668,PR FRANCISELLA TULARENSIS 2,94.0,70.5,14.16,94.0,676 CPT,86671,HC FUNGUS AB NES EACH 2,191.0,143.25,12.25,191.0,915 CPT,86671,HC SPOROTHRIX AB,181.0,135.75,12.25,181.0,915 CPT,86671,PR FUNGUS AB NES EACH 2,191.0,143.25,12.25,191.0,676 CPT,86671,PR SPOROTHRIX AB,181.0,135.75,12.25,181.0,676 CPT,86682,HC ECHINOCOCCUS AB IGG,227.0,170.25,13.01,227.0,916 CPT,86682,HC HELMINTH AB NES 2,227.0,170.25,13.01,227.0,916 CPT,86682,HC HELMINTH AB NES 3,176.0,132.0,13.01,176.0,916 CPT,86682,HC SCHISTOSOMA AB,227.0,170.25,13.01,227.0,916 CPT,86682,HC STRONGYLOIDES AB IGG,227.0,170.25,13.01,227.0,916 CPT,86682,PR ECHINOCOCCUS AB IGG,227.0,170.25,13.01,227.0,676 CPT,86682,PR HELMINTH AB NES 2,227.0,170.25,13.01,227.0,676 CPT,86682,PR HELMINTH AB NES 3,176.0,132.0,13.01,176.0,676 CPT,86682,PR SCHISTOSOMA AB,227.0,170.25,13.01,227.0,676 CPT,86682,PR STRONGYLOIDES AB IGG,227.0,170.25,13.01,227.0,676 CPT,86684,HC HAEMOPHILUS INFL B AB IGG,209.0,156.75,15.84,209.0,915 CPT,86684,PR HAEMOPHILUS INFL B AB IGG,209.0,156.75,15.84,209.0,676 CPT,86689,HC HTLV AB CONFIRMATORY TEST,235.0,176.25,19.35,235.0,915 CPT,86689,PR HTLV AB CONFIRMATORY TEST,235.0,176.25,19.35,235.0,676 CPT,86692,"HC HDV TOTAL AB, S",209.0,156.75,17.16,209.0,915 CPT,86692,"PR HDV TOTAL AB, S",209.0,156.75,17.16,209.0,676 CPT,86695,HC HERPES SIMPLEX TYPE 1 AB,96.0,72.0,13.19,96.0,917 CPT,86695,PR HERPES SIMPLEX TYPE 1 AB,96.0,72.0,13.19,96.0,676 CPT,86696,HC HERPES SIMPLEX TYPE 2 AB,112.0,84.0,19.35,112.0,917 CPT,86696,PR HERPES SIMPLEX TYPE 2 AB,112.0,84.0,19.35,112.0,676 CPT,86698,HC HISTOPLASMA AB EA,141.0,105.75,13.79,141.0,916 CPT,86698,PR HISTOPLASMA AB EA,141.0,105.75,13.79,141.0,676 CPT,86701,HC HIV 1 AB,121.0,90.75,8.89,121.0,915 CPT,86701,PR HIV 1 AB,121.0,90.75,8.89,121.0,676 CPT,86702,HC HIV 2 AB,195.0,146.25,13.52,195.0,915 CPT,86702,PR HIV 2 AB,195.0,146.25,13.52,195.0,676 CPT,86704,HC HBV CORE AB TOTAL,108.0,81.0,12.05,108.0,921 CPT,86704,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,81.75,12.05,109.0,921 CPT,86704,PR HBV CORE AB TOTAL,108.0,81.0,12.05,108.0,676 CPT,86704,"PR HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,81.75,12.05,109.0,676 CPT,86705,HC HBV CORE IGM AB,115.0,86.25,11.77,115.0,917 CPT,86705,PR HBV CORE IGM AB,115.0,86.25,11.77,115.0,676 CPT,86706,HC HBV SURFACE AB,94.0,70.5,10.74,94.0,921 CPT,86706,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",94.0,70.5,10.74,94.0,921 CPT,86706,PR HBV SURFACE AB,94.0,70.5,10.74,94.0,676 CPT,86706,"PR HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",94.0,70.5,10.74,94.0,676 CPT,86707,HC HBV E AB,119.0,89.25,11.57,119.0,916 CPT,86707,PR HBV E AB,119.0,89.25,11.57,119.0,676 CPT,86708,HC HAV AB TOTAL,104.0,78.0,12.39,104.0,919 CPT,86708,PR HAV AB TOTAL,104.0,78.0,12.39,104.0,676 CPT,86709,HC HAV IGM AB,105.0,78.75,11.26,105.0,917 CPT,86709,PR HAV IGM AB,105.0,78.75,11.26,105.0,676 CPT,86713,HC LEGIONELLA AB,167.0,125.25,15.3,167.0,915 CPT,86713,PR LEGIONELLA AB,167.0,125.25,15.3,167.0,676 CPT,86717,HC LEISHMANIA AB,188.0,141.0,12.25,188.0,897 CPT,86717,PR LEISHMANIA AB,188.0,141.0,12.25,188.0,676 CPT,86720,HC LEPTOSPIRA AB,188.0,141.0,16.2,188.0,897 CPT,86720,PR LEPTOSPIRA AB,188.0,141.0,16.2,188.0,676 CPT,86735,HC MUMPS AB IGG,110.0,82.5,13.05,110.0,916 CPT,86735,HC MUMPS AB IGM,110.0,82.5,13.05,110.0,916 CPT,86735,PR MUMPS AB IGG,110.0,82.5,13.05,110.0,676 CPT,86735,PR MUMPS AB IGM,110.0,82.5,13.05,110.0,676 CPT,86738,HC M PNEUMONIAE AB,136.0,102.0,13.24,136.0,916 CPT,86738,HC M PNEUMONIAE AB EIA,136.0,102.0,13.24,136.0,916 CPT,86738,PR M PNEUMONIAE AB,136.0,102.0,13.24,136.0,676 CPT,86738,PR M PNEUMONIAE AB EIA,136.0,102.0,13.24,136.0,676 CPT,86747,HC PARVOVIRUS AB,125.0,93.75,15.03,125.0,915 CPT,86747,PR PARVOVIRUS AB,125.0,93.75,15.03,125.0,676 CPT,86753,HC PROTOZOA AB NES,153.0,114.75,12.39,153.0,917 CPT,86753,HC PRTZA BABESIA MICROTI AB,164.0,123.0,12.39,164.0,917 CPT,86753,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,175.0,131.25,12.39,175.0,917 CPT,86753,HC TRYPANOSOMA CRUZI AB IGG,164.0,123.0,12.39,164.0,917 CPT,86753,PR PROTOZOA AB NES,153.0,114.75,12.39,153.0,676 CPT,86753,PR PRTZA BABESIA MICROTI AB,164.0,123.0,12.39,164.0,676 CPT,86753,PR PRTZA ENTAMOEBA HISTOLYTICA AB 2,175.0,131.25,12.39,175.0,676 CPT,86753,PR TRYPANOSOMA CRUZI AB IGG,164.0,123.0,12.39,164.0,676 CPT,86757,HC RICKETTSIA AB IGG,157.0,117.75,19.35,157.0,916 CPT,86757,HC RICKETTSIA AB IGM,157.0,117.75,19.35,157.0,916 CPT,86757,PR RICKETTSIA AB IGG,157.0,117.75,19.35,157.0,676 CPT,86757,PR RICKETTSIA AB IGM,157.0,117.75,19.35,157.0,676 CPT,86762,HC RUBELLA AB,107.0,80.25,14.39,107.0,916 CPT,86762,HC RUBELLA AB IGG,109.0,81.75,14.39,109.0,916 CPT,86762,PR RUBELLA AB,107.0,80.25,14.39,107.0,676 CPT,86762,PR RUBELLA AB IGG,109.0,81.75,14.39,109.0,676 CPT,86765,HC RUBEOLA AB IGG,109.0,81.75,12.88,109.0,916 CPT,86765,HC RUBEOLA AB IGM,110.0,82.5,12.88,110.0,916 CPT,86765,PR RUBEOLA AB IGG,109.0,81.75,12.88,109.0,676 CPT,86765,PR RUBEOLA AB IGM,110.0,82.5,12.88,110.0,676 CPT,86769,HC SARS-COV-2 ANTIBODY,92.0,69.0,42.13,92.0,916 CPT,86769,HC SARS-COV-2 SPIKE AB,88.0,66.0,42.13,88.0,916 CPT,86769,PR SARS-COV-2 SPIKE AB,88.0,66.0,42.13,88.0,676 CPT,86777,HC TOXOPLASMA AB IGG,137.0,102.75,14.39,137.0,916 CPT,86777,PR TOXOPLASMA AB IGG,137.0,102.75,14.39,137.0,676 CPT,86778,HC TOXOPLASMA IGM AB,145.0,108.75,14.41,145.0,916 CPT,86778,PR TOXOPLASMA IGM AB,145.0,108.75,14.41,145.0,676 CPT,86780,HC SYPHILIS IGG AB,146.0,109.5,13.24,146.0,916 CPT,86780,HC SYPHILIS TPPA,146.0,109.5,13.24,146.0,916 CPT,86780,HC TREPONEMA PALLIDUM AB 2,146.0,109.5,13.24,146.0,916 CPT,86780,PR SYPHILIS IGG AB,146.0,109.5,13.24,146.0,676 CPT,86780,PR SYPHILIS TPPA,146.0,109.5,13.24,146.0,676 CPT,86780,PR TREPONEMA PALLIDUM AB 2,146.0,109.5,13.24,146.0,676 CPT,86784,HC TRICHINELLA 2,146.0,109.5,12.56,146.0,916 CPT,86784,PR TRICHINELLA 2,146.0,109.5,12.56,146.0,676 CPT,86787,HC VARICELLA ZOSTER AB,105.0,78.75,12.88,105.0,917 CPT,86787,HC VARICELLA ZOSTER AB IGM,104.0,78.0,12.88,104.0,917 CPT,86787,PR VARICELLA ZOSTER AB,105.0,78.75,12.88,105.0,676 CPT,86787,PR VARICELLA ZOSTER AB IGM,104.0,78.0,12.88,104.0,676 CPT,86788,HC WEST NILE VIRUS AB IGM,156.0,117.0,16.85,156.0,916 CPT,86788,PR WEST NILE VIRUS AB IGM,156.0,117.0,16.85,156.0,676 CPT,86789,HC WEST NILE VIRUS AB IGG,88.0,66.0,14.39,88.0,916 CPT,86789,PR WEST NILE VIRUS AB IGG,88.0,66.0,14.39,88.0,676 CPT,86790,HC CHIKUNGUNYA AB EA,208.0,156.0,12.88,208.0,916 CPT,86790,HC DENGUE FEVER EA,216.0,162.0,12.88,216.0,916 CPT,86790,HC HEV AB,207.0,155.25,12.88,207.0,916 CPT,86790,HC HEV AB 1,196.0,147.0,12.88,196.0,916 CPT,86790,HC HEV IGM AB CONFIRM,202.0,151.5,12.88,202.0,916 CPT,86790,HC HTLV I AB,207.0,155.25,12.88,207.0,916 CPT,86790,HC POWASSAN VIRUS IGM,189.0,141.75,12.88,189.0,916 CPT,86790,PR CHIKUNGUNYA AB EA,208.0,156.0,12.88,208.0,676 CPT,86790,PR DENGUE FEVER EA,216.0,162.0,12.88,216.0,676 CPT,86790,PR HEV AB,207.0,155.25,12.88,207.0,676 CPT,86790,PR HEV AB 1,196.0,147.0,12.88,196.0,676 CPT,86790,PR HEV IGM AB CONFIRM,202.0,151.5,12.88,202.0,676 CPT,86790,PR HTLV I AB,207.0,155.25,12.88,207.0,676 CPT,86794,HC ZIKA VIRUS AB,202.0,151.5,16.85,202.0,915 CPT,86794,PR ZIKA VIRUS AB,202.0,151.5,16.85,202.0,676 CPT,86800,HC THYROGLOBULIN AB,120.0,90.0,15.91,120.0,917 CPT,86800,PR THYROGLOBULIN AB,120.0,90.0,15.91,120.0,676 CPT,86803,HC HCV AB SCREEN,140.0,105.0,14.27,140.0,921 CPT,86803,HC HCV AB W REFLEX,140.0,105.0,14.27,140.0,921 CPT,86803,PR HCV AB SCREEN,140.0,105.0,14.27,140.0,676 CPT,86803,PR HCV AB W REFLEX,140.0,105.0,14.27,140.0,676 CPT,86804,HC HCV AB CONFIRMATION,277.0,207.75,15.49,277.0,915 CPT,86804,PR HCV AB CONFIRMATION,277.0,207.75,15.49,277.0,676 CPT,86812,HC HLA TYPING A/B/C SNGL AG,163.0,122.25,25.81,163.0,916 CPT,86812,PR HLA TYPING A/B/C SNGL AG,163.0,122.25,25.81,163.0,676 CPT,86825,HC FLOW CYTOMETRIC CROSSMATCH,495.0,371.25,109.49,495.0,915 CPT,86825,PR FLOW CYTOMETRIC CROSSMATCH,495.0,371.25,109.49,495.0,676 CPT,86826,HC HLA CROSSMATCH EACH SERUM,273.0,204.75,36.53,273.0,915 CPT,86826,PR HLA CROSSMATCH EACH SERUM,273.0,204.75,36.53,273.0,676 CPT,86832,HC HLA AB CLASS I SOLID PHASE,833.0,624.75,323.75,833.0,921 CPT,86832,PR HLA AB CLASS I SOLID PHASE,833.0,624.75,323.75,833.0,676 CPT,86833,HC HLA AB CLASS II SOLID PHASE,721.0,540.75,325.8,721.0,921 CPT,86833,PR HLA AB CLASS II SOLID PHASE,721.0,540.75,325.8,721.0,676 CPT,86850,HC ANTIBODY SCREEN RBC EA SERUM,71.0,53.25,14.66,71.0,919 CPT,86850,HC ANTIBODY SCREEN RBC EA SERUM BS,71.0,53.25,14.66,71.0,919 CPT,86850,PR ANTIBODY SCREEN RBC EA SERUM,71.0,53.25,9.77,71.0,676 CPT,86850,PR ANTIBODY SCREEN RBC EA SERUM BS,71.0,53.25,9.77,71.0,676 CPT,86860,HC ANTIBODY ELUTION RBC EACH,154.0,115.5,69.3,209.07,916 CPT,86860,HC ANTIBODY ELUTION RBC EACH BS,152.0,114.0,68.4,209.07,916 CPT,86860,PR ANTIBODY ELUTION RBC EACH,154.0,115.5,69.3,154.0,676 CPT,86860,PR ANTIBODY ELUTION RBC EACH BS,152.0,114.0,68.4,152.0,676 CPT,86870,HC ANTIBODY ID RBC EACH PANEL,181.0,135.75,81.45,439.87,917 CPT,86870,PR ANTIBODY ID RBC EACH PANEL,181.0,135.75,9.05,181.0,676 CPT,86880,HC DIRECT COOMBS EA ANTISERUM,57.0,42.75,8.09,72.39,918 CPT,86880,PR DIRECT COOMBS C3 EA ANTISERUM,57.0,42.75,5.39,57.0,676 CPT,86880,PR DIRECT COOMBS EA ANTISERUM,57.0,42.75,5.39,57.0,676 CPT,86886,HC AHG INDIRECT TITER EA,78.0,58.5,7.77,209.07,916 CPT,86886,HC ALLO ANTIBODY TITER,72.0,54.0,7.77,209.07,916 CPT,86886,PR AHG INDIRECT TITER EA,78.0,58.5,5.18,78.0,676 CPT,86886,PR ALLO ANTIBODY TITER,72.0,54.0,5.18,72.0,676 CPT,86890,HC AUTOLOGOUS BLOOD PROCESSING,354.0,265.5,159.3,354.0,915 CPT,86900,HC BLOOD TYPING ABO,45.0,33.75,4.49,163.27,918 CPT,86900,HC BLOOD TYPING ABO BS,45.0,33.75,4.49,163.27,918 CPT,86900,PR BLOOD TYPING ABO,45.0,33.75,2.99,45.0,676 CPT,86900,PR BLOOD TYPING ABO BS,45.0,33.75,2.99,45.0,676 CPT,86901,HC BLOOD TYPING RH(D),45.0,33.75,4.49,45.84,918 CPT,86901,HC BLOOD TYPING RH(D) BS,45.0,33.75,4.49,45.84,918 CPT,86901,PR BLOOD TYPING RH(D),45.0,33.75,2.99,45.0,676 CPT,86901,PR BLOOD TYPING RH(D) BS,45.0,33.75,2.99,45.0,676 CPT,86902,HC BLOOD TYPING DONOR UNIT EA AG,167.0,125.25,9.53,439.87,916 CPT,86902,HC BLOOD TYPING DONOR UNIT EA AG BS,174.0,130.5,9.53,439.87,916 CPT,86902,PR BLOOD TYPING DONOR UNIT EA AG,167.0,125.25,6.35,167.0,676 CPT,86902,PR BLOOD TYPING DONOR UNIT EA AG BS,174.0,130.5,6.35,174.0,676 CPT,86905,HC RBC AG NOT ABO/RH(D) EA,76.0,57.0,5.75,439.87,916 CPT,86905,HC RBC AG NOT ABO/RH(D) EA BS,75.0,56.25,5.75,439.87,916 CPT,86905,PR RBC AG NOT ABO/RH(D) EA,76.0,57.0,3.83,76.0,676 CPT,86905,PR RBC AG NOT ABO/RH(D) EA BS,75.0,56.25,3.83,75.0,676 CPT,86906,HC RH PHENOTYPING COMPLETE BS,81.0,60.75,11.63,81.0,915 CPT,86906,PR RH PHENOTYPING COMPLETE BS,81.0,60.75,7.75,81.0,676 CPT,86920,HC COMPATIBILITY TEST IMM SPIN EA,201.0,150.75,90.45,209.07,916 CPT,86920,PR COMPATIBILITY TEST IMM SPIN EA,201.0,150.75,90.45,201.0,676 CPT,86922,HC COMPATIBILITY TEST AG EA,139.0,104.25,62.55,209.07,916 CPT,86922,PR COMPATIBILITY TEST AG EA,139.0,104.25,6.95,139.0,676 CPT,86923,HC COMPATIBILITY TEST ELECTRONIC,103.0,77.25,46.35,209.07,918 CPT,86923,PR COMPATIBILITY TEST ELECTRONIC,103.0,77.25,46.35,103.0,676 CPT,86940,HC HEMOLYSINS/AGGLUTININS AUTO,232.0,174.0,8.77,232.0,915 CPT,86940,PR HEMOLYSINS/AGGLUTININS AUTO,232.0,174.0,8.77,232.0,676 CPT,86941,HC HEMOLYSIN/AGGLUT INCUBATED,165.0,123.75,12.11,165.0,915 CPT,86941,PR HEMOLYSIN/AGGLUT INCUBATED,165.0,123.75,12.11,165.0,676 CPT,86970,HC PRETREAT RBC AB ID DRUG EA,191.0,143.25,62.95,191.0,916 CPT,86970,PR PRETREAT RBC AB ID DRUG EA,191.0,143.25,85.95,191.0,676 CPT,86978,HC PRETREAT SERUM AB ID ABSRP EA,200.0,150.0,62.95,200.0,916 CPT,86978,HC PRETREAT SERUM AB ID ABSRP EA BS,191.0,143.25,62.95,191.0,916 CPT,86978,PR PRETREAT SERUM AB ID ABSRP EA,200.0,150.0,10.0,200.0,676 CPT,86978,PR PRETREAT SERUM AB ID ABSRP EA BS,191.0,143.25,9.55,191.0,676 CPT,87015,HC CONC FOR INFECTIOUS AGENT,36.0,27.0,6.68,36.0,919 CPT,87015,PR CONC FOR INFECTIOUS AGENT,36.0,27.0,6.68,36.0,676 CPT,87040,HC CULT BLOOD ISOL W PRES ID,98.0,73.5,10.32,98.0,917 CPT,87040,PR CULT BLOOD ISOL W PRES ID,98.0,73.5,10.32,98.0,676 CPT,87046,HC STOOL CULT AEROBIC BACT EA,74.0,55.5,9.44,74.0,918 CPT,87046,PR STOOL CULT AEROBIC BACT EA,74.0,55.5,9.44,74.0,676 CPT,87070,HC CULT AEROBIC OTHER PRESUMPT ID,85.0,63.75,8.62,85.0,920 CPT,87070,PR CULT AEROBIC OTHER PRESUMPT ID,85.0,63.75,8.62,85.0,676 CPT,87075,HC CULT ANAEROBIC ISOL PRES ID,113.0,84.75,9.47,113.0,920 CPT,87075,PR CULT ANAEROBIC ISOL PRES ID,113.0,84.75,9.47,113.0,676 CPT,87076,HC CULT ANAEROBIC DEFIN ID EA ISOL,31.0,23.25,8.08,31.0,915 CPT,87076,PR CULT ANAEROBIC DEFIN ID EA ISOL,31.0,23.25,8.08,31.0,676 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL,35.0,26.25,8.08,35.0,920 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL 2,36.0,27.0,8.08,36.0,920 CPT,87077,PR CULT AEROBIC DEFIN ID EA ISOL,35.0,26.25,8.08,35.0,676 CPT,87077,PR CULT AEROBIC DEFIN ID EA ISOL 2,36.0,27.0,8.08,36.0,676 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH,68.0,51.0,6.63,68.0,917 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH 1,68.0,51.0,6.63,68.0,917 CPT,87081,PR CULT SINGLE SPECIFIC ORG EACH,68.0,51.0,6.63,68.0,676 CPT,87081,PR CULT SINGLE SPECIFIC ORG EACH 1,68.0,51.0,6.63,68.0,676 CPT,87086,HC CULT/COLONY COUNT QUANT URINE,72.0,54.0,8.07,72.0,922 CPT,87086,PR CULT/COLONY COUNT QUANT URINE,72.0,54.0,8.07,72.0,676 CPT,87088,HC CULT PRESUMPT ID EA ISOL URINE,30.0,22.5,8.09,30.0,915 CPT,87088,PR CULT PRESUMPT ID EA ISOL URINE,30.0,22.5,8.09,30.0,676 CPT,87101,HC CULT FUNGI PRES ID HAIR/SK/NA,103.0,77.25,7.71,103.0,916 CPT,87101,PR CULT FUNGI PRES ID HAIR/SK/NA,103.0,77.25,7.71,103.0,676 CPT,87102,HC CULT FUNGI PRESUMPT ID OTHER,69.0,51.75,8.41,69.0,918 CPT,87102,PR CULT FUNGI PRESUMPT ID OTHER,69.0,51.75,8.41,69.0,676 CPT,87103,HC CULT FUNGI PRES ID BLOOD,98.0,73.5,20.46,98.0,917 CPT,87103,PR CULT FUNGI PRES ID BLOOD,98.0,73.5,20.46,98.0,676 CPT,87106,HC CULT FUNGI DEFIN ID YEAST,83.0,62.25,10.32,83.0,915 CPT,87106,PR CULT FUNGI DEFIN ID YEAST,83.0,62.25,10.32,83.0,676 CPT,87107,HC CULT FUNGI DEFIN ID MOLD,47.0,35.25,10.32,47.0,916 CPT,87107,PR CULT FUNGI DEFIN ID MOLD,47.0,35.25,10.32,47.0,676 CPT,87116,HC CULT AFB PRES ID,67.0,50.25,10.8,67.0,918 CPT,87116,PR CULT AFB PRES ID,67.0,50.25,10.8,67.0,676 CPT,87118,HC CULT MYCOBACTERIA DEFIN ID,76.0,57.0,14.61,76.0,917 CPT,87118,PR CULT MYCOBACTERIA DEFIN ID,76.0,57.0,14.61,76.0,676 CPT,87147,HC SEROTYPING AGGLUT EA METH 2,26.0,19.5,5.18,26.0,916 CPT,87147,PR SEROTYPING AGGLUT EA METH 2,26.0,19.5,5.18,26.0,676 CPT,87149,HC CULT TYPE ID BY NUCLEIC ACID,112.0,84.0,20.05,112.0,915 CPT,87149,PR CULT TYPE ID BY NUCLEIC ACID,112.0,84.0,20.05,112.0,676 CPT,87150,HC CULT TYPE ID BY AMPL PROBE,193.0,144.75,35.09,193.0,917 CPT,87150,HC CULT TYPE ID BY AMPL PROBE 2,160.0,120.0,35.09,160.0,917 CPT,87150,HC DNA/RNA AMPLIFIED PROBE (BCBS/BCYST-NCCI),202.0,151.5,35.09,202.0,917 CPT,87150,HC DNA/RNA AMPLIFIED PROBE EACH 2,186.0,139.5,35.09,186.0,917 CPT,87150,HC MYCOBACTERIA BROTH PROBE ID,160.0,120.0,35.09,160.0,917 CPT,87150,PR CULT TYPE ID BY AMPL PROBE,193.0,144.75,35.09,193.0,676 CPT,87150,PR CULT TYPE ID BY AMPL PROBE 2,160.0,120.0,35.09,160.0,676 CPT,87150,PR DNA/RNA AMPLIFIED PROBE (BCBS/BCYST-NCCI),202.0,151.5,35.09,202.0,676 CPT,87150,PR DNA/RNA AMPLIFIED PROBE EACH 2,186.0,139.5,35.09,186.0,676 CPT,87150,PR MYCOBACTERIA BROTH PROBE ID,160.0,120.0,35.09,160.0,676 CPT,87153,HC CULT ID BY SEQUENCING ANAEROBE,469.0,351.75,115.36,469.0,916 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 1,469.0,351.75,115.36,469.0,916 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 2,469.0,351.75,115.36,469.0,916 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 3,473.0,354.75,115.36,473.0,916 CPT,87153,PR CULT ID BY SEQUENCING ANAEROBE,469.0,351.75,115.36,469.0,676 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 1,469.0,351.75,115.36,469.0,676 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 2,469.0,351.75,115.36,469.0,676 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 3,473.0,354.75,115.36,473.0,676 CPT,87154,HC CULTURE TYPE BLD PATH 6+ TARGET,654.0,490.5,218.06,654.0,916 CPT,87154,PR CULTURE TYPE BLD PATH 6+ TARGET,436.0,327.0,196.2,436.0,676 CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,71.0,53.25,4.27,71.0,915 CPT,87168,PR MACROSCOPIC EXAM ARTHROPOD,71.0,53.25,4.27,71.0,676 CPT,87169,HC MACROSCOPIC EXAM PARASITE,47.0,35.25,4.31,47.0,915 CPT,87169,PR MACROSCOPIC EXAM PARASITE,47.0,35.25,4.31,47.0,676 CPT,87172,HC PINWORM EXAM,62.0,46.5,4.27,62.0,915 CPT,87172,PR PINWORM EXAM,62.0,46.5,4.27,62.0,676 CPT,87176,HC HOMOGENIZATION TISS FOR CULT,47.0,35.25,5.88,47.0,917 CPT,87176,PR HOMOGENIZATION TISS FOR CULT,47.0,35.25,5.88,47.0,676 CPT,87177,HC OVA & PARASITE CONC & ID,83.0,62.25,8.9,83.0,916 CPT,87177,PR OVA & PARASITE CONC & ID,83.0,62.25,8.9,83.0,676 CPT,87181,HC ANTIMICROBIAL SUSCEPTIBILITY,47.0,35.25,4.75,47.0,916 CPT,87181,PR ANTIMICROBIAL SUSCEPTIBILITY,47.0,35.25,4.75,47.0,676 CPT,87184,HC SUSCEPTIBILITY DISK PER PLATE,36.0,27.0,7.48,36.0,916 CPT,87184,PR SUSCEPTIBILITY DISK PER PLATE,36.0,27.0,7.48,36.0,676 CPT,87185,HC BETA LACTAMASE,46.0,34.5,4.75,46.0,916 CPT,87185,PR BETA LACTAMASE,46.0,34.5,4.75,46.0,676 CPT,87186,HC SUSCEPTIBILITY PER PLATE 1,87.0,65.25,8.65,87.0,919 CPT,87186,HC SUSCEPTIBILITY PER PLATE 2,90.0,67.5,8.65,90.0,919 CPT,87186,HC SUSCEPTIBILITY PER PLATE 3,91.0,68.25,8.65,91.0,919 CPT,87186,HC SUSCEPTIBILITY PER PLATE 4,88.0,66.0,8.65,88.0,919 CPT,87186,HC SUSCEPTIBLITY PANEL YEAST,86.0,64.5,8.65,86.0,919 CPT,87186,PR SUSCEPTIBILITY PER PLATE 1,87.0,65.25,8.65,87.0,676 CPT,87186,PR SUSCEPTIBILITY PER PLATE 2,90.0,67.5,8.65,90.0,676 CPT,87186,PR SUSCEPTIBILITY PER PLATE 3,91.0,68.25,8.65,91.0,676 CPT,87186,PR SUSCEPTIBILITY PER PLATE 4,88.0,66.0,8.65,88.0,676 CPT,87186,PR SUSCEPTIBLITY PANEL YEAST,86.0,64.5,8.65,86.0,676 CPT,87188,HC SUSCEPT MACROBROTH EA DRUG,88.0,66.0,6.64,88.0,916 CPT,87188,PR SUSCEPT MACROBROTH EA DRUG,88.0,66.0,6.64,88.0,676 CPT,87205,HC SMEAR GRAM STAIN,36.0,27.0,4.27,36.0,918 CPT,87205,PR SMEAR GRAM STAIN,36.0,27.0,4.27,36.0,676 CPT,87206,HC SMEAR ACID FAST ANY SOURCE,37.0,27.75,5.39,37.0,918 CPT,87206,HC SMEAR PNEUMOCYSTIS,37.0,27.75,5.39,37.0,918 CPT,87206,PR SMEAR ACID FAST ANY SOURCE,37.0,27.75,5.39,37.0,676 CPT,87206,PR SMEAR PNEUMOCYSTIS,37.0,27.75,5.39,37.0,676 CPT,87207,HC SMEAR FILARIA BLOOD,87.0,65.25,5.99,87.0,916 CPT,87207,HC SMEAR MALARIA/BABESIA,83.0,62.25,5.99,83.0,916 CPT,87207,HC SPECIAL STAIN INCL OR PARASITE,88.0,66.0,5.99,88.0,916 CPT,87207,PR SMEAR FILARIA BLOOD,87.0,65.25,5.99,87.0,676 CPT,87207,PR SMEAR MALARIA/BABESIA,83.0,62.25,5.99,83.0,676 CPT,87207,PR SPECIAL STAIN INCL OR PARASITE,88.0,66.0,5.99,88.0,676 CPT,87209,HC SMEAR COMPLEX STAIN O&P,115.0,86.25,17.98,115.0,916 CPT,87209,HC STAIN SLIDE EXAM,115.0,86.25,17.98,115.0,916 CPT,87209,PR SMEAR COMPLEX STAIN O&P,115.0,86.25,17.98,115.0,676 CPT,87209,PR STAIN SLIDE EXAM,115.0,86.25,17.98,115.0,676 CPT,87210,HC SMEAR WET MOUNT,40.0,30.0,5.82,40.0,915 CPT,87210,PR SMEAR WET MOUNT,40.0,30.0,5.82,40.0,676 CPT,87220,HC KOH FUNGI SKIN/HAIR/NAILS,57.0,42.75,4.27,57.0,915 CPT,87220,PR KOH FUNGI SKIN/HAIR/NAILS,57.0,42.75,4.27,57.0,677 CPT,87305,HC ASPERGILLUS AG EIA,211.0,158.25,11.98,211.0,917 CPT,87305,PR ASPERGILLUS AG EIA,211.0,158.25,11.98,211.0,676 CPT,87324,HC CLOSTRIDIUM TOXIN AG EIA,144.0,108.0,11.98,144.0,919 CPT,87324,PR CLOSTRIDIUM TOXIN AG EIA,144.0,108.0,11.98,144.0,676 CPT,87328,HC CRYPTOSPORIDIUM AG EIA,125.0,93.75,13.82,125.0,915 CPT,87328,PR CRYPTOSPORIDIUM AG EIA,125.0,93.75,13.82,125.0,676 CPT,87329,HC GIARDIA AG EIA,115.0,86.25,11.98,115.0,915 CPT,87329,PR GIARDIA AG EIA,115.0,86.25,11.98,115.0,676 CPT,87338,HC H PYLORI STOOL AG EIA,219.0,164.25,14.38,219.0,917 CPT,87338,PR H PYLORI STOOL AG EIA,219.0,164.25,14.38,219.0,676 CPT,87340,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",83.0,62.25,10.33,83.0,921 CPT,87340,HC HEP B SURF AG,83.0,62.25,10.33,83.0,921 CPT,87340,"PR HEP B SCRN SURF AG IA (HBGPS, HBGSN)",83.0,62.25,10.33,83.0,676 CPT,87340,PR HEP B SURF AG,83.0,62.25,10.33,83.0,676 CPT,87341,HC EIA HEP B AG NEUTRALIZATION,110.0,82.5,10.33,110.0,916 CPT,87341,PR EIA HEP B AG NEUTRALIZATION,110.0,82.5,10.33,110.0,676 CPT,87350,HC HEPATITIS BE AG EIA,113.0,84.75,11.53,113.0,916 CPT,87350,PR HEPATITIS BE AG EIA,113.0,84.75,11.53,113.0,676 CPT,87385,HC HISTOPLASMA CAPSULATUM AG EIA,199.0,149.25,13.25,199.0,915 CPT,87385,PR HISTOPLASMA CAPSULATUM AG EIA,199.0,149.25,13.25,199.0,676 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,159.0,119.25,24.08,159.0,920 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,158.0,118.5,24.08,158.0,920 CPT,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB,159.0,119.25,24.08,159.0,920 CPT,87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN,159.0,119.25,24.08,159.0,676 CPT,87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,158.0,118.5,24.08,158.0,676 CPT,87389,PR HIV-1 AG W/HIV-1 & HIV-2 AB,159.0,119.25,24.08,159.0,676 CPT,87449,HC AG DETECT NOS EIA MULT,234.0,175.5,11.98,234.0,917 CPT,87449,HC AG DETECT NOS EIA MULT 2,145.0,108.75,11.98,145.0,917 CPT,87449,HC BLASTOMYCES AG,243.0,182.25,11.98,243.0,917 CPT,87449,HC BLASTOMYCES AG QUANT EIA,227.0,170.25,11.98,227.0,917 CPT,87449,HC FUNGITELL,196.0,147.0,11.98,196.0,917 CPT,87449,PR AG DETECT NOS EIA MULT 2,145.0,108.75,11.98,145.0,676 CPT,87449,PR BLASTOMYCES AG,243.0,182.25,11.98,243.0,676 CPT,87449,PR BLASTOMYCES AG QUANT EIA,227.0,170.25,11.98,227.0,676 CPT,87449,PR FUNGITELL,196.0,147.0,11.98,196.0,676 CPT,87467,PR HEPATITIS B SURFACE AG QUAN,118.0,88.5,25.32,118.0,676 CPT,87468,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),127.0,95.25,35.09,127.0,916 CPT,87468,PR ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),127.0,95.25,35.09,127.0,676 CPT,87469,HC BABESIA (LBAB/LBABP-NCCI),127.0,95.25,35.09,127.0,916 CPT,87469,PR BABESIA (LBAB/LBABP-NCCI),127.0,95.25,35.09,127.0,676 CPT,87476,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),393.0,294.75,35.09,393.0,916 CPT,87476,PR B BURGDORFERI PCR (PBORB/PBORR-NCCI),393.0,294.75,35.09,393.0,676 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,127.0,95.25,35.09,127.0,916 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB 2,126.0,94.5,35.09,126.0,916 CPT,87478,PR BORRELIA MIYAMOTOI AMP PRB,127.0,95.25,35.09,127.0,676 CPT,87478,PR BORRELIA MIYAMOTOI AMP PRB 2,126.0,94.5,35.09,126.0,676 CPT,87481,HC CANDIDA DNA AMP PROBE 2,132.0,99.0,35.09,132.0,915 CPT,87483,HC CNS DNA AMP PROBE TYPE 12-25,834.0,625.5,416.78,834.0,917 CPT,87483,PR CNS DNA AMP PROBE TYPE 12-25,834.0,625.5,416.78,834.0,676 CPT,87484,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),117.0,87.75,35.09,117.0,916 CPT,87484,PR EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),117.0,87.75,35.09,117.0,676 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE,140.0,105.0,35.09,140.0,918 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGGX-NCCI),141.0,105.75,35.09,141.0,918 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),144.0,108.0,35.09,144.0,918 CPT,87491,HC CHLAMYDIA TRACHOMATIS PCR,139.0,104.25,35.09,139.0,918 CPT,87491,PR CHLAMYDIA TRACH DNA AMPL PROBE,140.0,105.0,35.09,140.0,676 CPT,87491,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGGX-NCCI),141.0,105.75,35.09,141.0,676 CPT,87491,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),144.0,108.0,35.09,144.0,676 CPT,87491,PR CHLAMYDIA TRACHOMATIS PCR,139.0,104.25,35.09,139.0,676 CPT,87493,HC C DIFFICILE TOXIN AMPL PROBE,170.0,127.5,37.27,170.0,916 CPT,87493,PR C DIFFICILE TOXIN AMPL PROBE,170.0,127.5,37.27,170.0,676 CPT,87494,HC INFECT AGENT CHLAM/GONORR MULTIPLEX 2,439.0,329.25,70.18,439.0,916 CPT,87496,HC CMV DNA AMPL PROBE QUAL,229.0,171.75,35.09,229.0,916 CPT,87496,HC CYTOMEGALOVIRUS DETECTION/PCR,236.0,177.0,35.09,236.0,916 CPT,87496,PR CMV DNA AMPL PROBE QUAL,229.0,171.75,35.09,229.0,676 CPT,87496,PR CYTOMEGALOVIRUS DETECTION/PCR,236.0,177.0,35.09,236.0,676 CPT,87497,HC CMV PCR QUANT,453.0,339.75,42.84,453.0,918 CPT,87497,PR CMV PCR QUANT,453.0,339.75,42.84,453.0,676 CPT,87498,HC ENTEROVIRUS,199.0,149.25,35.09,199.0,915 CPT,87498,PR ENTEROVIRUS,199.0,149.25,35.09,199.0,676 CPT,87500,HC VANCO RESISTANCE DNA AMPL,101.0,75.75,35.09,101.0,916 CPT,87500,PR VANCO RESISTANCE DNA AMPL,101.0,75.75,35.09,101.0,676 CPT,87507,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,625.5,416.78,834.0,918 CPT,87507,PR GASTROINTESTIONAL PATHOGEN PANEL,834.0,625.5,416.78,834.0,676 CPT,87517,HC HEP B PCR QUANT,631.0,473.25,42.84,631.0,916 CPT,87517,PR HEP B PCR QUANT,631.0,473.25,42.84,631.0,676 CPT,87522,HC HEP C PCR QUANT,499.0,374.25,42.84,499.0,917 CPT,87522,HC HEP C PCR QUANT 1,495.0,371.25,42.84,495.0,917 CPT,87522,PR HEP C PCR QUANT,499.0,374.25,42.84,499.0,676 CPT,87522,PR HEP C PCR QUANT 1,495.0,371.25,42.84,495.0,676 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),183.0,137.25,35.09,183.0,917 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),366.0,274.5,35.09,366.0,917 CPT,87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),183.0,137.25,35.09,183.0,676 CPT,87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),366.0,274.5,35.09,366.0,676 CPT,87532,HC HHV-6 BY RAPID PCR,187.0,140.25,35.09,187.0,915 CPT,87532,PR HHV-6 BY RAPID PCR,187.0,140.25,35.09,187.0,676 CPT,87533,HC HHV-6 DNA QUANT,518.0,388.5,41.76,518.0,916 CPT,87533,PR HHV-6 DNA QUANT,518.0,388.5,41.76,518.0,676 CPT,87535,HC HIV-1 DNA AMPL PROBE 2,392.0,294.0,35.09,392.0,917 CPT,87535,PR HIV-1 DNA AMPL PROBE 2,392.0,294.0,35.09,392.0,676 CPT,87536,HC HIV 1 PCR QUANT,512.0,384.0,85.1,512.0,916 CPT,87536,PR HIV 1 PCR QUANT,512.0,384.0,85.1,512.0,676 CPT,87538,HC HIV-2 PROBE & REVRSE TRNSCR 2,504.0,378.0,35.09,504.0,915 CPT,87538,PR HIV-2 PROBE & REVRSE TRNSCR 2,504.0,378.0,35.09,504.0,676 CPT,87556,HC MTB COMPLEX BY RAPID PCR,182.0,136.5,41.68,182.0,916 CPT,87556,PR MTB COMPLEX BY RAPID PCR,182.0,136.5,41.68,182.0,676 CPT,87563,HC M GENITALIUM AMP PROBE,129.0,96.75,35.09,129.0,915 CPT,87563,PR M GENITALIUM AMP PROBE,129.0,96.75,35.09,129.0,676 CPT,87564,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",488.0,366.0,76.77,488.0,916 CPT,87564,"PR MYCOBACT TUBERC, RIFAMPIN RESIST",488.0,366.0,76.77,488.0,676 CPT,87581,HC MYCOPLASMA PNEUMO AMPL PROBE,196.0,147.0,35.09,196.0,915 CPT,87581,PR MYCOPLASMA PNEUMO AMPL PROBE,196.0,147.0,35.09,196.0,676 CPT,87591,HC NEISSERIA GONORR DNA AMPL,145.0,108.75,35.09,145.0,918 CPT,87591,HC NEISSERIA GONORR DNA AMPL (CGGX-NCCI),141.0,105.75,35.09,141.0,918 CPT,87591,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),142.0,106.5,35.09,142.0,918 CPT,87591,HC NEISSERIA GONORRHOEAE PCR,139.0,104.25,35.09,139.0,918 CPT,87591,PR NEISSERIA GONORR DNA AMPL,145.0,108.75,35.09,145.0,676 CPT,87591,PR NEISSERIA GONORR DNA AMPL (CGGX-NCCI),141.0,105.75,35.09,141.0,676 CPT,87591,PR NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),142.0,106.5,35.09,142.0,676 CPT,87591,PR NEISSERIA GONORRHOEAE PCR,139.0,104.25,35.09,139.0,676 CPT,87594,HC PNEUMOCYSTIS JIROVECII AMP PROBE,177.0,132.75,35.09,177.0,917 CPT,87594,PR PNEUMOCYSTIS JIROVECII AMP PROBE,177.0,132.75,35.09,177.0,676 CPT,87624,HC HPV HIGH RISK,186.0,139.5,35.09,186.0,915 CPT,87624,"HC HPV HIGH RISK, SCREENING",187.0,140.25,35.09,187.0,915 CPT,87624,PR HPV HIGH RISK,186.0,139.5,35.09,186.0,676 CPT,87624,"PR HPV HIGH RISK, SCREENING",187.0,140.25,35.09,187.0,676 CPT,87626,HC HPV SEPARATE HI-RISK TYPES,194.0,145.5,70.2,194.0,918 CPT,87626,HC HPV SEPARATE HI-RISK TYPES 2,194.0,145.5,70.2,194.0,918 CPT,87626,PR HPV SEPARATE HI-RISK TYPES,194.0,145.5,70.2,194.0,676 CPT,87626,PR HPV SEPARATE HI-RISK TYPES 2,194.0,145.5,70.2,194.0,676 CPT,87633,HC RESP VIRUS 12 TO 25 TARGETS,834.0,625.5,416.78,834.0,915 CPT,87635,HC SARS-COVID19 2,107.0,80.25,51.31,107.0,916 CPT,87635,PR SARS-COVID19 2,107.0,80.25,51.31,107.0,676 CPT,87636,HC SARSCOV2 & INF A&B AMP PRB,303.0,227.25,142.63,303.0,916 CPT,87636,PR SARSCOV2 & INF A&B AMP PRB,303.0,227.25,142.63,303.0,676 CPT,87637,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",433.0,324.75,142.63,433.0,917 CPT,87637,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE",433.0,324.75,142.63,433.0,676 CPT,87641,HC MRSA AMPL PROBE,126.0,94.5,35.09,126.0,917 CPT,87641,PR MRSA AMPL PROBE,126.0,94.5,35.09,126.0,676 CPT,87651,"HC GROUP A STREP PCR, THROAT",171.0,128.25,35.09,171.0,916 CPT,87651,"HC STREP GROUP A, PCR, POCT",164.0,123.0,35.09,164.0,916 CPT,87651,"PR GROUP A STREP PCR, THROAT",171.0,128.25,35.09,171.0,676 CPT,87651,"PR STREP GROUP A, PCR, POCT",164.0,123.0,35.09,164.0,676 CPT,87661,HC TRICHOMONAS VAG AMP PROBE,202.0,151.5,35.09,202.0,917 CPT,87661,PR TRICHOMONAS VAG AMP PROBE,202.0,151.5,35.09,202.0,676 CPT,87662,HC ZIKA VIRUS AMPL PROBE,455.0,341.25,51.31,455.0,915 CPT,87662,PR ZIKA VIRUS AMPL PROBE,455.0,341.25,51.31,455.0,676 CPT,87798,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,918 CPT,87798,HC B MAYONII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,918 CPT,87798,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),153.0,114.75,35.09,153.0,918 CPT,87798,HC BRBS PCR AND SEQUENCING,147.0,110.25,35.09,147.0,918 CPT,87798,"HC CHIKUNGUNYA VIRUS, PCR",147.0,110.25,35.09,147.0,918 CPT,87798,HC COCCIDIOIDES BY RAPID PCR,153.0,114.75,35.09,153.0,918 CPT,87798,HC COXIELLA BURNETII/Q FEVER PC,153.0,114.75,35.09,153.0,918 CPT,87798,HC DENGUE VIRUS PCR,147.0,110.25,35.09,147.0,918 CPT,87798,HC DETECT AGENT NOS DNA AMP,153.0,114.75,35.09,153.0,918 CPT,87798,HC DETECT AGENT NOS DNA AMP 2,144.0,108.0,35.09,144.0,918 CPT,87798,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),153.0,114.75,35.09,153.0,918 CPT,87798,HC EPSTEIN BARR AMPL PROBE,153.0,114.75,35.09,153.0,918 CPT,87798,HC H PYLORI+CLARITHRO RESIST,147.0,110.25,35.09,147.0,918 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM,152.0,114.0,35.09,152.0,918 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM 1,144.0,108.0,35.09,144.0,918 CPT,87798,HC JC VIRUS DETECTION BY PCR,153.0,114.75,35.09,153.0,918 CPT,87798,HC MICROSPORIDIA PCR,153.0,114.75,35.09,153.0,918 CPT,87798,HC MYCOPLASMA HOMINIS AMP PROBE,153.0,114.75,35.09,153.0,918 CPT,87798,HC PARVOVIRUS B19 BY RAPID PCR,155.0,116.25,35.09,155.0,918 CPT,87798,HC TOXOPLASMA GONDII AMPL PB,153.0,114.75,35.09,153.0,918 CPT,87798,HC TOXOPLASMA GONDII PCR CSF,149.0,111.75,35.09,149.0,918 CPT,87798,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),155.0,116.25,35.09,155.0,918 CPT,87798,HC VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),139.0,104.25,35.09,139.0,918 CPT,87798,HC VARICELLA ZOSTER VIRUS DETECT,153.0,114.75,35.09,153.0,918 CPT,87798,HC WEST NILE AMPL PROBE,152.0,114.0,35.09,152.0,918 CPT,87798,HC WHIPPLES DISEASE DNA DETECT,153.0,114.75,35.09,153.0,918 CPT,87798,PR B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,676 CPT,87798,PR B MAYONII PCR (PBORB/PBORR-NCCI),153.0,114.75,35.09,153.0,676 CPT,87798,PR BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),153.0,114.75,35.09,153.0,676 CPT,87798,PR BRBS PCR AND SEQUENCING,147.0,110.25,35.09,147.0,676 CPT,87798,"PR CHIKUNGUNYA VIRUS, PCR",147.0,110.25,35.09,147.0,676 CPT,87798,PR COCCIDIOIDES BY RAPID PCR,153.0,114.75,35.09,153.0,676 CPT,87798,PR COXIELLA BURNETII/Q FEVER PC,153.0,114.75,35.09,153.0,676 CPT,87798,PR DENGUE VIRUS PCR,147.0,110.25,35.09,147.0,676 CPT,87798,PR DETECT AGENT NOS DNA AMP,153.0,114.75,35.09,153.0,676 CPT,87798,PR DETECT AGENT NOS DNA AMP 2,144.0,108.0,35.09,144.0,676 CPT,87798,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),153.0,114.75,35.09,153.0,676 CPT,87798,PR EPSTEIN BARR AMPL PROBE,153.0,114.75,35.09,153.0,676 CPT,87798,PR H PYLORI+CLARITHRO RESIST,147.0,110.25,35.09,147.0,676 CPT,87798,PR INF AGENT NOS AMPL PROBE EA ORGSM,152.0,114.0,35.09,152.0,676 CPT,87798,PR INF AGENT NOS AMPL PROBE EA ORGSM 1,144.0,108.0,35.09,144.0,676 CPT,87798,PR JC VIRUS DETECTION BY PCR,153.0,114.75,35.09,153.0,676 CPT,87798,PR MICROSPORIDIA PCR,153.0,114.75,35.09,153.0,676 CPT,87798,PR MYCOPLASMA HOMINIS AMP PROBE,153.0,114.75,35.09,153.0,676 CPT,87798,PR PARVOVIRUS B19 BY RAPID PCR,155.0,116.25,35.09,155.0,676 CPT,87798,PR TOXOPLASMA GONDII AMPL PB,153.0,114.75,35.09,153.0,676 CPT,87798,PR TOXOPLASMA GONDII PCR CSF,149.0,111.75,35.09,149.0,676 CPT,87798,PR UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),155.0,116.25,35.09,155.0,676 CPT,87798,PR VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),139.0,104.25,35.09,139.0,676 CPT,87798,PR VARICELLA ZOSTER VIRUS DETECT,153.0,114.75,35.09,153.0,676 CPT,87798,PR WEST NILE AMPL PROBE,152.0,114.0,35.09,152.0,676 CPT,87798,PR WHIPPLES DISEASE DNA DETECT,153.0,114.75,35.09,153.0,676 CPT,87799,HC BK VIRUS DNA QN BY RAPID PCR,302.0,226.5,42.84,302.0,919 CPT,87799,HC DETECT AGENT NOS DNA QUANT,299.0,224.25,42.84,299.0,919 CPT,87799,HC DETECT AGENT NOS DNA QUANT 1,299.0,224.25,42.84,299.0,919 CPT,87799,HC EBV DNA DETECT QUANT,297.0,222.75,42.84,297.0,919 CPT,87799,PR BK VIRUS DNA QN BY RAPID PCR,302.0,226.5,42.84,302.0,676 CPT,87799,PR DETECT AGENT NOS DNA QUANT,299.0,224.25,42.84,299.0,676 CPT,87799,PR DETECT AGENT NOS DNA QUANT 1,299.0,224.25,42.84,299.0,676 CPT,87799,PR EBV DNA DETECT QUANT,297.0,222.75,42.84,297.0,676 CPT,87801,HC BARTONELLA BY RAPID PCR,277.0,207.75,70.2,277.0,917 CPT,87801,HC LEGIONELLA SPECIES DETECTION,273.0,204.75,70.2,273.0,917 CPT,87801,HC MULT ORGANISM AMPL PROBE (CGGX-MEC-NCCI),282.0,211.5,70.2,282.0,917 CPT,87801,HC MULT ORGANISM AMPL PROBE 1,280.0,210.0,70.2,280.0,917 CPT,87801,HC MULT ORGANISM AMPL PROBE 2,290.0,217.5,70.2,290.0,917 CPT,87801,PR BARTONELLA BY RAPID PCR,277.0,207.75,70.2,277.0,676 CPT,87801,PR LEGIONELLA SPECIES DETECTION,273.0,204.75,70.2,273.0,676 CPT,87801,PR MULT ORGANISM AMPL PROBE (CGGX-MEC-NCCI),273.0,204.75,70.2,273.0,676 CPT,87801,PR MULT ORGANISM AMPL PROBE 1,280.0,210.0,70.2,280.0,676 CPT,87801,PR MULT ORGANISM AMPL PROBE 2,290.0,217.5,70.2,290.0,676 CPT,87808,HC TRICHOMONAS RAPID TEST,83.0,62.25,15.29,83.0,916 CPT,87808,PR TRICHOMONAS RAPID TEST,83.0,62.25,15.29,83.0,676 CPT,87880,HC STREP A DIRECT,61.0,45.75,16.53,61.0,915 CPT,87880,PR STREP A DIRECT,61.0,45.75,16.53,61.0,676 CPT,87899,HC AGENT NOS ASSAY W OPTIC,87.0,65.25,16.07,87.0,918 CPT,87899,HC CRYPTOCOCCAL ANTIGEN,87.0,65.25,16.07,87.0,918 CPT,87899,"HC CRYPTOCOCCUS AG SCRN, LFA",88.0,66.0,16.07,88.0,918 CPT,87899,HC CRYPTOCOCCUS AG W OPTIC,87.0,65.25,16.07,87.0,918 CPT,87899,HC LEGIONELLA AG URINE W OPTIC,87.0,65.25,16.07,87.0,918 CPT,87899,HC MALARIA AG W OPTIC,87.0,65.25,16.07,87.0,918 CPT,87899,HC STREP PNEUMONIAE AG W OPTIC,92.0,69.0,16.07,92.0,918 CPT,87899,PR AGENT NOS ASSAY W OPTIC,87.0,65.25,16.07,87.0,676 CPT,87899,PR CRYPTOCOCCAL ANTIGEN,87.0,65.25,16.07,87.0,676 CPT,87899,"PR CRYPTOCOCCUS AG SCRN, LFA",88.0,66.0,16.07,88.0,676 CPT,87899,PR CRYPTOCOCCUS AG W OPTIC,87.0,65.25,16.07,87.0,676 CPT,87899,PR LEGIONELLA AG URINE W OPTIC,87.0,65.25,16.07,87.0,676 CPT,87899,PR MALARIA AG W OPTIC,87.0,65.25,16.07,87.0,676 CPT,87899,PR STREP PNEUMONIAE AG W OPTIC,92.0,69.0,16.07,92.0,676 CPT,87902,HC HEP C GENOTYPE DNA REVERSE 1,699.0,524.25,257.45,699.0,915 CPT,87902,PR HEP C GENOTYPE DNA REVERSE 1,699.0,524.25,257.45,699.0,676 CPT,87999,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),433.0,324.75,194.85,433.0,909 CPT,87999,HC DNA/RNA AMPLIFIED PROBE (BCBS-MEC NCCI),606.0,454.5,272.7,606.0,909 CPT,87999,HC DNA/RNA AMPLIFIED PROBE (BCYST-MEC NCCI),1010.0,757.5,454.5,1010.0,909 CPT,87999,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),550.0,412.5,247.5,550.0,909 CPT,87999,HC HERPES & VARICELLA ZOSTER (HSVZA-MEC NCCI),505.0,378.75,227.25,505.0,909 CPT,87999,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),364.0,273.0,163.8,364.0,909 CPT,87999,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),310.0,232.5,139.5,310.0,909 CPT,87999,PR BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),433.0,324.75,21.65,433.0,676 CPT,87999,PR DNA/RNA AMPLIFIED PROBE (BCBS-MEC NCCI),606.0,454.5,30.3,606.0,676 CPT,87999,PR DNA/RNA AMPLIFIED PROBE (BCYST-MEC NCCI),1010.0,757.5,50.5,1010.0,676 CPT,87999,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),550.0,412.5,27.5,550.0,676 CPT,87999,PR HERPES & VARICELLA ZOSTER (HSVZA-MEC NCCI),505.0,378.75,25.25,505.0,676 CPT,87999,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),364.0,273.0,18.2,364.0,676 CPT,88108,HC CYTOP CONCEN SMEARS & INTERP,400.0,300.0,39.86,400.0,916 CPT,88108,PR CYTOP CONCEN SMEARS & INTERP,375.0,281.25,21.12,540.0,2031 CPT,88112,HC CYTOP NONGYN LIQUID BASED,450.0,337.5,55.61,450.0,917 CPT,88112,PR CYTOP NONGYN LIQUID BASED,448.0,336.0,25.78,672.0,2031 CPT,88120,HC FISH BLADDER CA MANUAL,1893.0,1419.75,181.8,1893.0,915 CPT,88120,PR FISH BLADDER CA MANUAL,1835.0,1376.25,53.89,2101.0,2028 CPT,88141,PR CYTOP C/V INTERPRET,79.0,59.25,23.52,79.0,678 CPT,88142,HC CYTOP GYN THIN PREP MANUAL,121.0,90.75,20.26,121.0,916 CPT,88142,PR CYTOP GYN THIN PREP MANUAL,121.0,90.75,20.26,121.0,676 CPT,88161,HC CYTOP SMEAR NONGYN W PREP,146.0,109.5,30.86,146.0,915 CPT,88161,PR CYTOP SMEAR NONGYN W PREP,118.0,88.5,23.77,210.0,2028 CPT,88172,HC CYTOP FNA IMMEDIATE EVAL,242.0,181.5,30.53,242.0,916 CPT,88172,PR CYTOP FNA IMMEDIATE EVAL,209.0,156.75,20.35,357.0,2028 CPT,88173,HC CYTOP FNA INTERP & REPORT,424.0,318.0,55.61,424.0,919 CPT,88173,PR CYTOP FNA INTERP & REPORT,342.0,256.5,64.77,652.0,2033 CPT,88177,HC CYTOP FNA EVAL ADEQUACY EA ADD,94.0,70.5,12.63,94.0,909 CPT,88177,PR CYTOP FNA EVAL ADEQUACY EA ADD,74.0,55.5,8.42,94.0,2028 CPT,88182,HC FLOW CELL CYCLE/DNA ANALYSIS,703.0,527.25,55.61,703.0,917 CPT,88182,PR FLOW CELL CYCLE/DNA ANALYSIS,428.0,321.0,34.72,703.0,2028 CPT,88184,HC FLOW CYTO FIRST MARKER,414.0,310.5,117.86,439.87,919 CPT,88184,HC FLOW CYTO FIRST MARKER 2,414.0,310.5,117.86,439.87,919 CPT,88184,PR FLOW CYTO FIRST MARKER,414.0,310.5,78.57,414.0,680 CPT,88184,PR FLOW CYTO FIRST MARKER 2,414.0,310.5,78.57,414.0,680 CPT,88185,HC FLOW CYTO EA ADD MARKER,155.0,116.25,33.5,155.0,913 CPT,88185,PR FLOW CYTO EA ADD MARKER,155.0,116.25,22.33,155.0,680 CPT,88187,PR FLOW CYTO INTERP 2-8 MARKERS,361.0,270.75,34.62,361.0,677 CPT,88188,PR FLOW CYTO INTERP 9-15 MARKERS,595.0,446.25,57.62,595.0,678 CPT,88189,PR FLOW CYTO INTERP > 15 MARKERS,610.0,457.5,78.16,610.0,680 CPT,88230,HC TISS CULT LYMPHOCYTE,414.0,310.5,116.49,414.0,916 CPT,88230,PR TISS CULT LYMPHOCYTE,414.0,310.5,116.49,414.0,676 CPT,88233,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,492.75,140.73,657.0,915 CPT,88233,PR TISS CULT SKN/OTH SOLID TISS BX,657.0,492.75,140.73,657.0,676 CPT,88235,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,519.75,150.3,693.0,915 CPT,88235,PR TISS CULT AMNIOTIC/CHR CELLS,693.0,519.75,150.3,693.0,676 CPT,88237,HC TISS CULT BONE MARROW,936.0,702.0,143.75,936.0,919 CPT,88237,PR TISS CULT BONE MARROW,936.0,702.0,143.75,936.0,676 CPT,88240,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,296.25,13.07,395.0,915 CPT,88240,PR CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,296.25,13.07,395.0,676 CPT,88262,HC CHROMO ANALYSIS 15-20 CELL BAND,1263.0,947.25,125.49,1263.0,916 CPT,88262,PR CHROMO ANALYSIS 15-20 CELL BAND,1263.0,947.25,125.49,1263.0,676 CPT,88264,HC CHROMO ANALYSIS <20 CELLS (REDUC),1512.0,1134.0,144.61,1512.0,919 CPT,88264,HC CHROMOSOME ANALYSIS 20-25 CELL,1424.0,1068.0,144.61,1424.0,919 CPT,88264,PR CHROMO ANALYSIS <20 CELLS (REDUC),1512.0,1134.0,144.61,1512.0,676 CPT,88264,PR CHROMOSOME ANALYSIS 20-25 CELL,1424.0,1068.0,144.61,1424.0,676 CPT,88271,HC MOL CYTOG DNA PROBE CELL SUSP EA,168.0,126.0,21.42,168.0,918 CPT,88271,HC MOL CYTOG DNA PROBE EA,149.0,111.75,21.42,149.0,918 CPT,88271,HC MOL CYTOG DNA PROBE SORT CELL EA,172.0,129.0,21.42,172.0,918 CPT,88271,PR MOL CYTOG DNA PROBE CELL SUSP EA,168.0,126.0,21.42,168.0,676 CPT,88271,PR MOL CYTOG DNA PROBE EA,149.0,111.75,21.42,149.0,676 CPT,88273,PR CYTOG CHROMO 10-30CELL,697.0,522.75,34.81,697.0,676 CPT,88274,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,335.0,251.25,42.38,335.0,917 CPT,88274,HC CYTOG INTRPHASE 25-99 CELL,276.0,207.0,42.38,276.0,917 CPT,88274,PR CYTOG INTRPHASE 25-99 CELL,276.0,207.0,42.38,276.0,676 CPT,88275,HC CYTOG INTERPHASE 100-300 ISH,289.0,216.75,51.19,289.0,917 CPT,88275,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,286.0,214.5,51.19,286.0,917 CPT,88275,PR CYTOG INTERPHASE 100-300 ISH,289.0,216.75,51.19,289.0,676 CPT,88275,PR CYTOG INTERPHASE CELL SUSP 100-300 ISH,286.0,214.5,51.19,286.0,676 CPT,88285,HC CHROMO ANLYS ADD CELL COUNT EA,418.0,313.5,26.91,418.0,915 CPT,88285,PR CHROMO ANLYS ADD CELL COUNT EA,418.0,313.5,26.91,418.0,676 CPT,88291,PR CYTOG & MOL INTERP & REPORT 1,308.0,231.0,32.49,308.0,676 CPT,88291,PR CYTOG & MOL INTERP & REPORT 3,305.0,228.75,32.49,305.0,676 CPT,88291,PR CYTOG & MOL INTERP & REPORT 4,354.0,265.5,32.49,354.0,676 CPT,88291,PR CYTOG & MOL INTERP & REPORT 5,364.0,273.0,32.49,364.0,676 CPT,88291,PR CYTOG & MOL INTERP & REPORT 6,354.0,265.5,32.49,354.0,676 CPT,88300,HC LVL 1 SURG PATH GROSS MICRO,109.0,81.75,17.42,109.0,916 CPT,88300,PR LVL 1 SURG PATH GROSS MICRO,100.0,75.0,4.25,135.0,2028 CPT,88302,HC LVL 2 SURG PATH GROSS MICRO,197.0,147.75,37.32,197.0,917 CPT,88302,PR LVL 2 SURG PATH GROSS MICRO,180.0,135.0,6.57,220.0,2030 CPT,88304,HC LVL 3 SURG PATH GROSS MICRO,185.0,138.75,44.61,185.0,919 CPT,88304,PR LVL 3 SURG PATH GROSS MICRO,133.0,99.75,10.21,253.0,2032 CPT,88305,HC LVL 4 SURG PATH GROSS MICRO,226.0,169.5,50.93,226.0,921 CPT,88305,PR LVL 4 SURG PATH GROSS MICRO,242.0,181.5,33.95,374.0,2037 CPT,88307,HC LVL 5 SURG PATH GROSS MICRO,824.0,618.0,292.52,824.0,920 CPT,88307,PR LVL 5 SURG PATH GROSS MICRO,486.0,364.5,75.61,815.0,2034 CPT,88309,HC LVL 6 SURG PATH GROSS MICRO,1490.0,1117.5,405.09,1490.0,919 CPT,88309,PR LVL 6 SURG PATH GROSS MICRO,737.0,552.75,133.07,1404.0,2028 CPT,88311,HC DECALCIFICATION PROC,73.0,54.75,12.08,73.0,912 CPT,88311,PR DECALCIFICATION PROC,109.0,81.75,8.05,140.0,2033 CPT,88312,HC SPECIAL STAIN GROUP 1,247.0,185.25,55.61,247.0,918 CPT,88312,PR SPECIAL STAIN GROUP 1,192.0,144.0,24.79,334.0,2032 CPT,88313,HC SPECIAL STAIN GROUP 2,243.0,182.25,100.92,243.0,920 CPT,88313,PR SPECIAL STAIN GROUP 2,212.0,159.0,11.2,273.0,2032 CPT,88314,HC SPECIAL STAIN HISTOCHEMICAL,254.0,190.5,91.65,254.0,910 CPT,88314,PR SPECIAL STAIN HISTOCHEMICAL,247.0,185.25,18.54,387.0,2028 CPT,88319,HC HISTOCHEMISTRY FOR ENZYME,268.0,201.0,154.76,988.69,916 CPT,88319,PR HISTOCHEMISTRY FOR ENZYME,273.0,204.75,25.1,410.0,2028 CPT,88321,PR CONSULT SLIDE WO PREP,627.0,470.25,92.33,627.0,682 CPT,88323,HC CONSULT SLIDE W PREP,706.0,529.5,43.16,706.0,915 CPT,88323,PR CONSULT SLIDE W PREP,521.0,390.75,28.77,706.0,2029 CPT,88325,PR CONSULT COMP W RVW RECORDS&SPEC,850.0,637.5,151.02,850.0,681 CPT,88329,HC CONSULT SURG WO FROZEN,303.0,227.25,41.57,303.0,917 CPT,88329,PR CONSULT SURG WO FROZEN,303.0,227.25,51.01,303.0,676 CPT,88331,HC FROZEN SECTION 1ST BLOCK,382.0,286.5,57.23,382.0,920 CPT,88331,PR FROZEN SECTION 1ST BLOCK,318.0,238.5,38.15,468.0,2031 CPT,88332,HC FROZEN SECTION ADD TISS BLOCK,138.0,103.5,35.39,138.0,914 CPT,88332,PR FROZEN SECTION ADD TISS BLOCK,164.0,123.0,23.59,246.0,2031 CPT,88333,HC CONSULT SURG TOUCH PREP INIT,549.0,411.75,44.61,988.69,915 CPT,88333,PR CONSULT SURG TOUCH PREP INIT,357.0,267.75,2.03,360.0,2028 CPT,88341,HC IMMUNO STAIN PER SPEC EA ADD AB,243.0,182.25,98.07,243.0,914 CPT,88341,PR IMMUNO STAIN PER SPEC EA ADD AB,156.0,117.0,26.42,301.0,2034 CPT,88342,HC IMMUNO STAIN PER SPEC INITIAL AB,312.0,234.0,112.58,312.0,920 CPT,88342,PR IMMUNO STAIN PER SPEC INITIAL AB,269.0,201.75,32.38,446.0,2036 CPT,88344,HC IMMUNO STAIN EA MULTIPLEX AB,487.0,365.25,199.47,487.0,916 CPT,88344,PR IMMUNO STAIN EA MULTIPLEX AB,424.0,318.0,35.69,629.0,2030 CPT,88346,HC IF STUDY EA AB DIR METHOD,478.0,358.5,150.39,478.0,916 CPT,88346,PR IF STUDY EA AB DIR METHOD,189.0,141.75,33.07,349.0,2030 CPT,88348,HC ELECTRON MICROSCOPY DX,1536.0,1152.0,589.35,1536.0,916 CPT,88348,PR ELECTRON MICROSCOPY DX,1396.0,1047.0,71.32,1874.0,2030 CPT,88350,HC IMMUNOFLUORESCENCE EA ADD,225.0,168.75,115.49,225.0,910 CPT,88350,PR IMMUNOFLUORESCENCE EA ADD,222.0,166.5,27.1,393.0,2030 CPT,88356,PR MORPHOMETRIC ANALYSIS NERVE,800.0,600.0,219.41,800.0,676 CPT,88360,HC TUMOR IMMUNOHISTO MANUAL EA AB,389.0,291.75,117.92,389.0,919 CPT,88360,PR TUMOR IMMUNOHISTO MANUAL EA AB,341.0,255.75,38.69,601.0,2033 CPT,88361,HC TUMOR IMMUNOHISTO CAT EA AB,735.0,551.25,107.72,735.0,917 CPT,88361,PR TUMOR IMMUNOHISTO CAT EA AB,483.0,362.25,40.09,735.0,2028 CPT,88362,HC NERVE TEASING PREP,506.0,379.5,164.42,988.69,916 CPT,88362,PR NERVE TEASING PREP,604.0,453.0,103.96,1028.0,2028 CPT,88364,HC INSITU HYBRID EA ADD PROBE,389.0,291.75,137.82,389.0,911 CPT,88364,PR INSITU HYBRID EA ADD PROBE,354.0,265.5,31.41,536.0,2032 CPT,88365,HC INSITU HYBRID INITIAL PROBE,483.0,362.25,181.8,483.0,918 CPT,88365,PR INSITU HYBRID INITIAL PROBE,392.0,294.0,40.01,600.0,2032 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A1,866.0,649.5,181.8,866.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A2,806.0,604.5,181.8,806.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A3,806.0,604.5,181.8,806.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A4,830.0,622.5,181.8,830.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A5,818.0,613.5,181.8,818.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A6,858.0,643.5,181.8,858.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A7,858.0,643.5,181.8,858.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A8,1591.0,1193.25,181.8,1591.0,919 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A9,1196.0,897.0,181.8,1196.0,919 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A1,866.0,649.5,60.29,1207.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A2,860.0,645.0,60.29,1201.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A3,875.0,656.25,60.29,1224.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A4,863.0,647.25,60.29,1201.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A5,831.0,623.25,60.29,1172.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A6,866.0,649.5,60.29,1207.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A7,866.0,649.5,60.29,1207.0,2033 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A8,1263.0,947.25,60.29,1591.0,2033 CPT,88380,HC MICRODISSECTION LASER,318.0,238.5,100.32,318.0,910 CPT,88380,PR MICRODISSECTION LASER,266.0,199.5,48.04,478.0,2028 CPT,88381,HC MICRODISSECTION MANUAL,474.0,355.5,240.57,474.0,910 CPT,88381,PR MICRODISSECTION MANUAL,474.0,355.5,21.86,658.0,2028 CPT,89050,HC CELL COUNT BODY FLUID,57.0,42.75,4.72,57.0,915 CPT,89050,PR CELL COUNT BODY FLUID,57.0,42.75,4.72,57.0,676 CPT,89051,HC CELL COUNT FLUID W DIFF COUNT,76.0,57.0,5.6,76.0,918 CPT,89051,PR CELL COUNT FLUID W DIFF COUNT,76.0,57.0,5.6,76.0,676 CPT,89060,HC CRYSTAL EXAM FLUID/TISSUE,82.0,61.5,7.33,82.0,918 CPT,89060,PR CRYSTAL EXAM FLUID/TISSUE,82.0,61.5,7.33,82.0,676 CPT,89220,PR SPUTUM OBTN SPECIMEN AERO,69.0,51.75,20.35,69.0,676 CPT,89322,HC ANLYS SEMEN VOL/CNT/MOT/DIFF,240.0,180.0,15.5,240.0,915 CPT,89322,PR ANLYS SEMEN VOL/CNT/MOT/DIFF,240.0,180.0,15.5,240.0,676 CPT,89331,HC POST EJACULATE ANALYSIS,168.0,126.0,19.59,168.0,915 CPT,89331,PR POST EJACULATE ANALYSIS,168.0,126.0,19.59,168.0,676 CPT,90380,"PR RSV MONOC ANTIBODY, 0.5 ML DOSAGE IM",622.0,466.5,279.9,622.0,676 CPT,90381,"PR RSV MONOC ANTIBODY, 1 ML DOSAGE IM",616.0,462.0,277.2,616.0,676 CPT,90460,PR IMMUN ADM <=18YR W COUNSL INIT,63.0,47.25,22.82,63.0,678 CPT,90461,PR IMMUN ADM <=18YR W COUNSL ADD,45.0,33.75,8.56,45.0,678 CPT,90471,HC ADMIN VACC SNGL,63.0,47.25,32.25,88.36,916 CPT,90471,PR ADMIN VACC SNGL,63.0,47.25,18.28,63.0,692 CPT,90472,HC ADMIN VACC ADD,47.0,35.25,23.48,47.0,910 CPT,90472,PR ADMIN VACC ADD,47.0,35.25,13.3,47.0,692 CPT,90474,PR IMMUN ADM INTRANASAL/ORAL ADD,43.0,32.25,12.09,43.0,676 CPT,90480,HC ADMIN COVID-19 VACCINE,70.0,52.5,31.5,70.0,915 CPT,90480,PR ADMIN COVID-19 VACCINE,70.0,52.5,44.19,70.0,679 CPT,90586,"PR BCG VACCINE, INTRAVESICAL",526.0,394.5,163.97,526.0,676 CPT,90619,PR MENINGOCOCCAL ACWY-TT VACCINE IM,165.0,123.75,74.25,165.0,679 CPT,90620,PR BEXSERO MENINGOCOCCAL B VACCINE,313.0,234.75,140.85,313.0,678 CPT,90621,PR TRUMENBA MENINGOCOCCAL B-FHBP VACCINE,245.0,183.75,110.25,245.0,676 CPT,90627,PR TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM,479.0,359.25,215.55,479.0,676 CPT,90632,PR HEP A VACCINE ADULT IM,116.0,87.0,73.54,116.0,680 CPT,90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE,48.0,36.0,21.6,48.0,678 CPT,90647,PR HIB VACCINE PRP-OMP 3 DOSE IM,47.0,35.25,21.15,47.0,677 CPT,90648,PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,19.0,14.25,8.55,19.0,676 CPT,90649,PR HPV VACCINE 4 VALENT 3 DOSE IM,382.0,286.5,171.9,382.0,676 CPT,90651,PR HPV VACCINE NON VALENT IM,424.0,318.0,190.8,424.0,679 CPT,90656,PR FLU IIV3 TRIVALENT NO PRESERV IM,24.0,18.0,16.24,24.0,682 CPT,90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,41.0,30.75,27.74,41.0,676 CPT,90662,PR INFLUENZA VACC HIGH DOSE >65 YRS,92.0,69.0,62.26,92.0,679 CPT,90670,PR PNEUMOCOCCAL VACC 13 VAL IM,351.0,263.25,157.95,351.0,676 CPT,90672,PR INFLUENZA VAL 4 INTRANASAL,37.0,27.75,16.65,37.0,676 CPT,90675,"PR RABIES VACCINE, IM",663.0,497.25,319.75,663.0,676 CPT,90677,PR PCV20 VACCINE IM,323.0,242.25,218.57,323.0,682 CPT,90678,PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,357.0,267.75,160.65,357.0,679 CPT,90679,PR RSV VACC PREF RECOMB ADJT IM,359.0,269.25,161.55,359.0,676 CPT,90680,PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE,139.0,104.25,62.55,139.0,677 CPT,90682,PR FLUBLOK RIV4 VACCINE,80.0,60.0,36.0,80.0,676 CPT,90686,PR IIV4 VACC PRESRV FREE 3 YRS & OLDER IM USE,27.0,20.25,12.15,27.0,677 CPT,90691,PR TYPHOID VACCINE IM,162.0,121.5,72.9,162.0,678 CPT,90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,84.0,63.0,37.8,84.0,677 CPT,90697,PR DTAP-IPV-HIB-HEPB VACCINE IM,219.0,164.25,98.55,219.0,677 CPT,90698,PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE,125.0,93.75,56.25,125.0,678 CPT,90700,"PR DTAP IMMUNIZATION, IM, <7 YO",39.0,29.25,17.55,39.0,676 CPT,90707,PR MMR VACCINE SUBQ,148.0,111.0,66.6,148.0,678 CPT,90710,"PR COMBINED VACCINE,MMR+VARICELLA,SUB-Q",389.0,291.75,175.05,389.0,677 CPT,90713,PR POLIOVIRUS IPV SC/IM,418.0,313.5,188.1,418.0,678 CPT,90714,PR TD VACCINE NO PRSRV >/= 7 IM,52.0,39.0,35.19,52.0,677 CPT,90715,PR TDAP VACCINE >7 IM,65.0,48.75,39.69,65.0,680 CPT,90716,PR CHICKEN POX VACCINE SUBQ,261.0,195.75,117.45,261.0,678 CPT,90717,"PR YELLOW FEVER IMMUNIZATN,LIVE,SUB-Q",270.0,202.5,121.5,270.0,678 CPT,90732,PR PNEUMOCOCCAL POLYSAC VACCINE,163.0,122.25,110.3,163.0,678 CPT,90733,PR MENINGOCOCCAL VACCINE SC,260.0,195.0,117.0,260.0,676 CPT,90734,PR MENINGOCOCCAL VACCINE IM,230.0,172.5,103.5,230.0,676 CPT,90738,"PR JAPANESE ENCEPH VACC, INACTIVATED, IM",441.0,330.75,198.45,441.0,678 CPT,90739,PR HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,188.0,141.0,127.22,188.0,678 CPT,90740,PR HEP B VACCINE DIALYSIS DOSE IM,161.0,120.75,108.95,161.0,676 CPT,90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,36.0,27.0,24.36,36.0,676 CPT,90746,PR HEPATITIS VACCINE 3 DOSE ADULT,63.0,47.25,42.63,63.0,677 CPT,90750,PR HZV VACC RECOMBINANT IM,226.0,169.5,101.7,226.0,682 CPT,90791,HC PSYCH EVAL DX,755.0,566.25,205.38,755.0,912 CPT,90791,PR PSYCH EVAL DX,546.0,409.5,171.88,546.0,682 CPT,90792,HC PSYCH EVAL DX W MED SVCS,736.0,552.0,237.08,736.0,909 CPT,90792,PR PSYCH EVAL DX W MED SVCS,694.0,520.5,199.48,694.0,676 CPT,90832,HC PSYTX PAT 30 MIN,497.0,372.75,103.94,497.0,909 CPT,90832,PR PSYTX PAT 30 MIN,284.0,213.0,63.86,284.0,678 CPT,90833,PR PSYTX PAT 30 MIN W E&M,255.0,191.25,65.27,255.0,690 CPT,90834,HC PSYTX PAT 45 MIN,497.0,372.75,137.37,497.0,909 CPT,90834,PR PSYTX PAT 45 MIN,426.0,319.5,84.71,426.0,688 CPT,90836,PR PSYTX PAT 45 MIN W E&M,383.0,287.25,101.95,383.0,676 CPT,90837,HC PSYTX PAT 60 MIN,483.0,362.25,202.38,483.0,909 CPT,90837,PR PSYTX PAT 60 MIN,568.0,426.0,124.25,568.0,678 CPT,90839,PR PSYTX CRISIS 60 MIN,505.0,378.75,129.17,505.0,690 CPT,90846,PR FAMILY PSYTX WO PAT,392.0,294.0,105.32,392.0,676 CPT,90847,PR FAMILY PSYTX W PAT,344.0,258.0,81.78,344.0,684 CPT,90853,PR GROUP PSYTX,194.0,145.5,30.11,194.0,677 CPT,90867,PR TMS TX INIT,1500.0,1125.0,127.11,1500.0,677 CPT,90868,PR TMS TX INIT SUBSQ,835.0,626.25,26.06,835.0,677 CPT,90869,PR TMS TX INIT SUBSQ REDETERMN,1690.0,1267.5,112.12,1690.0,677 CPT,90901,HC BIOFEEDBACK TRAINING ANY OT,407.0,305.25,16.25,407.0,915 CPT,90901,HC BIOFEEDBACK TRAINING ANY PT,487.0,365.25,16.25,487.0,915 CPT,90901,PR BIOFEEDBACK TRAINING ANY,216.0,162.0,16.25,216.0,690 CPT,90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN MD/DO/QHP,237.0,177.75,36.99,237.0,690 CPT,90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN MD/DO/QHP,191.0,143.25,20.79,191.0,690 CPT,90935,HC HEMODIALYSIS TREATMENT IP,2215.0,1661.25,91.11,2215.0,916 CPT,90935,PR HEMODIALYSIS W SINGLE EVAL,546.0,409.5,51.63,546.0,686 CPT,90937,PR HEMODIALYSIS REPEATED EVAL,594.0,445.5,87.41,594.0,676 CPT,90945,HC CAPD TREATMENT IP,1876.0,1407.0,114.0,1876.0,915 CPT,90945,HC CCPD TREATMENT IP,1885.0,1413.75,114.0,1885.0,915 CPT,90945,HC CRRT/ULTRAFILTRATION/ ACUTE,1602.0,1201.5,114.0,1602.0,915 CPT,90945,PR OTHER NON HEMO W SINGLE EVAL,720.0,540.0,76.0,720.0,676 CPT,90947,PR OTHER NON HEMO REPEATED EVAL,706.0,529.5,104.83,706.0,676 CPT,90959,PR ESRD SRV 1 VISIT PER MO 12-19,1568.0,1176.0,333.45,1568.0,676 CPT,90962,PR ESRD SRV 1 VISIT PER MO 20+,561.0,420.75,211.3,561.0,677 CPT,90966,PR ESRD HOME PAT SRV PER MO 20+,741.0,555.75,305.03,741.0,677 CPT,90999,HC HEMODIALYSIS TREATMENT,1985.0,1488.75,893.25,1985.0,909 CPT,91010,PR ESOPH MOTILITY STUDY,1130.0,847.5,66.73,1597.0,2028 CPT,91030,PR ACID PERFUSION TEST ESOPH,439.0,329.25,47.41,714.0,2028 CPT,91034,PR PH STUDY NASL CATH,1007.0,755.25,49.63,1574.0,2029 CPT,91035,PR ESOPH CAPSULE PH MONITOR STUDY,2204.0,1653.0,83.65,2927.0,2031 CPT,91037,HC ESOPH IMPED FUNCTION TEST,1078.0,808.5,197.48,1078.0,915 CPT,91037,PR ESOPH IMPED FUNCTION TEST,763.0,572.25,50.64,1210.0,2030 CPT,91038,PR GERD W IMPED >1HR,1479.0,1109.25,58.85,1744.0,2029 CPT,91040,HC ESOPH BALLOON DISTENSION STUDY,3210.0,2407.5,398.19,3210.0,916 CPT,91040,PR ESOPH BALLOON DISTENSION STUDY,2308.0,1731.0,50.56,2610.0,2028 CPT,91065,HC BREATH HYDROGEN TEST,761.0,570.75,79.56,761.0,915 CPT,91065,PR BREATH HYDROGEN TEST,525.0,393.75,9.56,611.0,2033 CPT,91110,HC CAPSULE ENDO INTRALUMINAL,4443.0,3332.25,967.83,4443.0,916 CPT,91110,PR CAPSULE ENDO INTRALUMINAL,4822.0,3616.5,116.21,5700.0,2032 CPT,91112,PR CAPSULE ENDO STOMACH COLON,5914.0,4435.5,109.27,6332.0,2028 CPT,91125,PR ANRCT MANO RCT SNSATN & BALO,1016.0,762.0,338.75,1016.0,676 CPT,91200,HC ELASTOGRAPHY LIVER WO IMG I&R,601.0,450.75,32.96,582.97,920 CPT,91200,PR ELASTOGRAPHY LIVER WO IMG I&R,120.0,90.0,10.85,237.0,2028 CPT,91299,HC BALLOON EXPULSION STUDY,259.0,194.25,116.55,259.0,915 CPT,91299,PR AGILE PATENCY CAPSULE PROC,457.0,342.75,22.85,457.0,677 CPT,91299,PR BALLOON EXPULSION STUDY,1058.0,793.5,52.9,1058.0,679 CPT,91299,PR HIGH RESOLUTION ESOPHAGEAL MANOMETRY,1916.0,1437.0,95.8,1916.0,679 CPT,91304,"PR NOVAVAX COVID-19 VACCINE, 5 MCG/0.5ML IM",174.0,130.5,117.75,174.0,676 CPT,91321,"PR MODERNA COVID-19 VACCINE, 25MCG/0.25ML IM",179.0,134.25,121.13,179.0,676 CPT,91322,"PR MODERNA COVID-19 VACCINE, 50MCG/0.5ML IM",160.0,120.0,108.27,160.0,679 CPT,92002,HC EXAM EYE NEW PATIENT INTERMED,698.0,523.5,56.12,677.06,915 CPT,92002,PR EXAM EYE NEW PATIENT INTERMED,264.0,198.0,83.04,264.0,677 CPT,92004,HC EXAM EYE NEW PATIENT COMP,695.0,521.25,115.73,674.15,915 CPT,92004,PR EXAM EYE NEW PATIENT COMP,477.0,357.75,146.73,477.0,682 CPT,92012,HC EXAM EYE EST PATIENT INTERMED,540.0,405.0,61.46,523.8,916 CPT,92012,PR EXAM EYE EST PATIENT INTERMED,284.0,213.0,88.55,284.0,679 CPT,92014,HC EXAM EYE EST PATIENT COMP,590.0,442.5,92.28,572.3,916 CPT,92014,PR EXAM EYE EST PATIENT COMP,358.0,268.5,124.63,358.0,679 CPT,92015,PR DETERMINE REFRACTION STATE,75.0,56.25,18.76,75.0,679 CPT,92018,PR EYE EXAM W ANES COMPLETE,751.0,563.25,111.83,751.0,676 CPT,92019,PR EYE EXAM W ANES LIMITED,316.0,237.0,58.06,316.0,676 CPT,92020,HC GONIOSCOPY,405.0,303.75,24.29,392.85,915 CPT,92020,PR GONIOSCOPY,91.0,68.25,26.23,91.0,679 CPT,92025,PR COMP CORNEAL TOPOGRAPHY,196.0,147.0,36.2,196.0,678 CPT,92060,PR SENSORIMOTOR EXAM W MULT MEAS,161.0,120.75,27.15,234.0,2030 CPT,92071,PR FIT CNTCTLENS TX OCLR SURF DIS,138.0,103.5,35.17,138.0,676 CPT,92081,PR EXAM VISUAL FIELD LIMITED,71.0,53.25,15.47,126.0,2029 CPT,92082,PR EXAM VISUAL FIELD INTERMEDIATE,139.0,104.25,46.29,139.0,676 CPT,92083,HC EXAM VISUAL FIELD EXTENDED,681.0,510.75,54.32,681.0,915 CPT,92083,PR EXAM VISUAL FIELD EXTENDED,139.0,104.25,26.04,239.0,2032 CPT,92100,PR SERIAL TONOMETRY EXAM,156.5,117.375,25.78,206.0,1380 CPT,92132,HC COMP OPTH DX IMG ANTERIOR SGMT,544.0,408.0,20.82,527.68,915 CPT,92132,PR COMP OPTH DX IMG ANTERIOR SGMT,108.0,81.0,13.88,206.0,2028 CPT,92133,HC COMP OPTH DX IMG OPTIC NERVE,482.0,361.5,20.82,558.0,1830 CPT,92133,PR COMP OPTH DX IMG OPTIC NERVE,106.0,79.5,13.88,176.0,2033 CPT,92134,HC COMP OPTH DX IMG RETINA,293.0,219.75,21.8,459.0,1830 CPT,92134,PR COMP OPTH DX IMG RETINA,117.0,87.75,14.53,185.0,2033 CPT,92136,PR OPHTHALMIC BIOMETRY IOL,197.0,147.75,17.44,322.0,2034 CPT,92137,PR CPTRZ OPH IMG PST SG RTA OCT,231.0,173.25,58.5,231.0,678 CPT,92201,HC OPSCPY EXTND RTA DRAW UNI/BI,532.0,399.0,27.2,516.04,915 CPT,92201,PR OPSCPY EXTND RTA DRAW UNI/BI,114.0,85.5,24.6,114.0,679 CPT,92202,PR OPSCPY EXTND ON/MAC DRAW,88.0,66.0,15.43,88.0,676 CPT,92235,HC ANGIOGRAPHY FLUORESCEIN,2076.0,1557.0,175.2,2076.0,915 CPT,92235,PR ANGIOGRAPHY FLUORESCEIN,229.0,171.75,41.17,421.0,2031 CPT,92240,HC ICG ANGIOGRAPHY,3086.0,2314.5,230.41,3086.0,915 CPT,92240,PR ICG ANGIOGRAPHY,836.0,627.0,238.39,836.0,676 CPT,92242,PR FLUORESCEIN & ICG ANGIOGRAPHY,471.0,353.25,318.73,471.0,678 CPT,92250,HC FUNDUS PHOTOGRAPHY,727.0,545.25,24.21,802.0,1830 CPT,92250,PR FUNDUS PHOTOGRAPHY,105.0,78.75,16.14,207.0,2033 CPT,92265,HC EYE MUSCLE EVALUATION,237.0,177.75,62.57,237.0,915 CPT,92265,PR EYE MUSCLE EVALUATION,435.0,326.25,44.47,435.0,676 CPT,92285,HC EXTERNAL OCULAR PHOTOGRAPHY,693.0,519.75,30.05,693.0,915 CPT,92285,PR EXTERNAL OCULAR PHOTOGRAPHY,95.0,71.25,2.93,115.0,2031 CPT,92286,PR ANTR SGMT IMG W SPEC MICRO,174.0,130.5,38.52,174.0,677 CPT,92310,PR CONTACT LENS FITTING STANDARD,184.0,138.0,48.17,184.0,679 CPT,92310,PR RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK,181.0,135.75,48.17,181.0,679 CPT,92313,PR CONTACT LENS FIT CORNEOSCLERAL,688.0,516.0,35.53,688.0,690 CPT,92499,PR CONSULT LIPIVIEW,185.0,138.75,9.25,185.0,678 CPT,92499,PR OCULUS KERATOGRAPH 5M,141.0,105.75,7.05,141.0,678 CPT,92502,PR OTOLARYNGOLOGIC EXAM W ANES,823.0,617.25,84.93,823.0,676 CPT,92504,PR BINOCULAR MICROSCOPY,104.0,78.0,7.59,104.0,692 CPT,92507,HC THRPY SPEECH/LANG/COMM/APD ST,672.0,504.0,75.1,672.0,915 CPT,92507,PR THRPY SPEECH/LANG/COMM/APD ST,297.0,222.75,75.1,297.0,683 CPT,92508,HC THRPY SPEECH/LANG/COMM GROUP ST,213.0,159.75,23.61,213.0,915 CPT,92508,PR THRPY SPEECH/LANG/COMM GROUP,153.0,114.75,23.61,153.0,683 CPT,92511,HC NASOPHARYNGOSCOPY W ENDO,766.5,574.875,48.27,782.79,1830 CPT,92511,PR NASOPHARYNGOSCOPY W ENDO,368.0,276.0,95.85,368.0,677 CPT,92517,PR VEMP TEST I&R CERVICAL,453.0,339.75,33.42,453.0,691 CPT,92518,PR VEMP TEST I&R OCULAR,359.0,269.25,34.32,359.0,691 CPT,92519,PR VEMP TST I&R CERVICAL&OCULAR,636.0,477.0,50.62,636.0,696 CPT,92520,PR LARYNGEAL FUNCTION STUDIES,478.0,358.5,32.07,478.0,690 CPT,92520,PR VOCAL CORD EXAMINATION,478.0,358.5,32.07,478.0,690 CPT,92521,HC EVAL SPEECH FLUENCY ST,441.0,330.75,131.42,441.0,915 CPT,92521,PR EVAL SPEECH FLUENCY ST,406.0,304.5,131.42,406.0,683 CPT,92522,HC EVAL SPEECH PRODUCTION ST,750.0,562.5,110.26,750.0,915 CPT,92522,PR EVAL SPEECH PRODUCTION ST,473.0,354.75,110.26,473.0,690 CPT,92523,HC EVAL SPEECH PRODUCTN W LANG ST,1300.0,975.0,223.38,1300.0,915 CPT,92523,PR EVAL SPEECH PRODUCTION W LANG ST,598.0,448.5,223.38,598.0,690 CPT,92524,HC ANALYSIS BEHAV/QUAL VOICE ST,639.0,479.25,108.03,639.0,915 CPT,92524,PR ANALYSIS BEHAV/QUAL VOICE ST,489.0,366.75,108.03,489.0,683 CPT,92526,HC TX SWALLOWING DYSFUNCTION ST,530.0,397.5,82.91,530.0,915 CPT,92526,PR TX SWALLOWING DYSFUNCTION ST,365.0,273.75,82.91,365.0,683 CPT,92532,PR POSITIONAL NYSTAGMUS TEST,154.0,115.5,69.3,154.0,636 CPT,92537,PR CAL VEST TST W REC BILAT BITHERM,73.0,54.75,8.7,136.0,2051 CPT,92538,PR CAL VEST TST W REC BILAT MONOTHERM,260.0,195.0,21.26,260.0,685 CPT,92540,PR BASIC VESTIBULAR EVALUATION,198.0,148.5,28.12,363.0,2053 CPT,92541,HC SPONTANEOUS NYSTAGMUS TEST,810.0,607.5,6.26,810.0,915 CPT,92541,PR SPONTANEOUS NYSTAGMUS TEST,333.0,249.75,24.28,333.0,689 CPT,92542,HC POSITIONAL NYSTAGMUS TEST >=4,792.0,594.0,5.78,792.0,915 CPT,92544,PR OPTOKINETIC NYSTAGMUS TEST,110.0,82.5,17.35,110.0,683 CPT,92545,PR OSCILLATING TRACKNG TEST W REC,248.0,186.0,16.36,248.0,687 CPT,92546,PR SINUSOIDAL VERTL AXIS ROTATION,261.0,195.75,14.49,468.0,2054 CPT,92548,PR COMP DYM PSTRGRPHY SNSRY ORG TEST,374.0,280.5,46.56,374.0,684 CPT,92549,PR CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT,269.0,201.75,61.33,269.0,683 CPT,92550,PR TYMPANOMETRY & REFLEX THRESH,131.0,98.25,21.36,131.0,689 CPT,92551,PR PURE TONE HEARING TEST AIR,47.0,35.25,12.91,47.0,677 CPT,92552,HC PURE TONE AUDIOMETRY AIR,201.0,150.75,58.68,201.0,915 CPT,92552,PR PURE TONE AUDIOMETRY AIR,77.0,57.75,39.12,77.0,687 CPT,92553,PR AUDIOMETRY AIR&BONE,140.0,105.0,47.54,140.0,684 CPT,92555,PR SPEECH AUDIOMETRY THRESHOLD,85.0,63.75,28.77,85.0,684 CPT,92556,PR SPEECH AUD THRESHOLD W RECGNIT,99.0,74.25,44.95,99.0,684 CPT,92557,HC COMPREHENSIVE HEARING TEST,750.0,562.5,38.25,750.0,915 CPT,92557,PR COMPREHENSIVE HEARING TEST,175.0,131.25,35.21,175.0,689 CPT,92558,PR EVOKED OAE SCREENING,60.0,45.0,7.26,60.0,679 CPT,92565,PR STENGER TEST PURE TONE,79.0,59.25,21.65,79.0,683 CPT,92567,HC TYMPANOMETRY,137.0,102.75,12.87,137.0,915 CPT,92567,PR TYMPANOMETRY,60.0,45.0,8.58,60.0,696 CPT,92568,PR ACOUSTIC REFLX TEST THRESHOLD,92.0,69.0,12.56,92.0,690 CPT,92570,PR TYMP/ACOUSTIC REFLEX/DECAY,232.0,174.0,23.51,232.0,691 CPT,92575,PR SENSORINEURAL ACUITY LEVEL,169.0,126.75,71.45,169.0,676 CPT,92579,PR AUDIOMETRY VISUAL REINFORCEMNT,137.0,102.75,29.47,137.0,690 CPT,92582,PR AUDIOMETRY CONDITIONING PLAY,178.0,133.5,84.11,178.0,676 CPT,92584,PR ELECTROCOCHLEOGRAPHY,318.0,238.5,102.85,318.0,683 CPT,92587,PR EVOKED OTOACOUSTIC EMISSNS LTD,122.0,91.5,3.52,128.0,2051 CPT,92588,PR EVOKED AUD TEST COMPREHEN,172.0,129.0,33.18,172.0,685 CPT,92596,PR EAR PROTECT ATTENAUATION MEAS,330.0,247.5,75.7,330.0,676 CPT,92597,HC EVAL PROSTHETIC VOICE ST,737.0,552.75,70.14,737.0,915 CPT,92597,PR EVAL PROSTHETIC VOICE ST,525.0,393.75,59.62,525.0,686 CPT,92603,PR ANLYS COCHLEAR IMPLT W PROG>7Y,676.0,507.0,95.18,676.0,692 CPT,92604,HC ANLYS COCLR IMP REPROG>7 SUBSQ,1291.0,968.25,79.56,1291.0,915 CPT,92604,PR ANLYS COCLR IMP REPROG>7 SUBSQ,268.0,201.0,53.04,268.0,693 CPT,92607,HC EVAL SPEECH-GEN DEV 1STHR ST,509.0,381.75,120.34,509.0,915 CPT,92607,PR EVAL SPEECH-GEN DEV 1STHR ST,989.0,741.75,120.34,989.0,690 CPT,92608,PR EVAL SPCH-GEN DEV EA ADD 30MIN ST,481.0,360.75,47.01,481.0,683 CPT,92610,HC EVAL SWALLOW FUNC ST,746.0,559.5,57.3,746.0,915 CPT,92610,PR EVAL SWALLOW FUNC OT,550.0,412.5,57.3,550.0,690 CPT,92610,PR EVAL SWALLOW FUNC ST,545.0,408.75,57.3,545.0,690 CPT,92611,HC EVAL SWALLOW FUNC FLUORO ST,869.0,651.75,89.85,869.0,915 CPT,92611,PR EVAL SWALLOW FUNC FLUORO OT,527.0,395.25,89.85,527.0,683 CPT,92611,PR EVAL SWALLOW FUNC FLUORO ST,714.0,535.5,89.85,714.0,676 CPT,92612,HC EVAL SWALLOW FBROPT ENDO ST,1204.0,903.0,53.53,1204.0,915 CPT,92612,PR EVAL SWALLOW FBROPT ENDO ST,969.0,726.75,53.53,969.0,690 CPT,92614,HC EVAL LARYG SWALL FBROPT ENDO ST,806.0,604.5,53.49,806.0,915 CPT,92620,PR EVAL CNTRL AUD FUNC INIT 60MIN,477.0,357.75,63.66,477.0,692 CPT,92621,PR EVAL CNTRL AUD FUNC INIT 15MIN,118.0,88.5,14.93,118.0,692 CPT,92622,PR DX ALY AUD OI SND PRCSR INIT 60MIN,321.0,240.75,53.36,321.0,692 CPT,92623,PR DX ALY AUD OI SND PRCSR EACH ADL 15MIN,79.0,59.25,13.94,79.0,691 CPT,92625,PR ASSESSMENT OF TINNITUS,177.0,132.75,49.02,177.0,690 CPT,92626,"PR EVAL AUD FNCTN SURG IMP, 1ST HR",295.0,221.25,59.35,295.0,693 CPT,92627,"PR EVAL AUD FNCTN SURG IMP, EA 15 MIN",78.0,58.5,13.94,78.0,690 CPT,92631,PR HEARING AID SELECT UNI/BIL FIRST 30,500.0,375.0,225.0,500.0,677 CPT,92632,PR HEARING AID SELECT UNI/BIL ADD 15,150.0,112.5,67.5,150.0,676 CPT,92634,PR HEARING AID FITG SVC FIRST 60,525.0,393.75,236.25,525.0,677 CPT,92635,PR HEARING AID FITG SVC ADD 30,150.0,112.5,67.5,150.0,676 CPT,92636,PR HEARING AID POST FITG F/UP FIRST 30,525.0,393.75,236.25,525.0,676 CPT,92637,PR HEARING AID POST FITG F/UP ADD 15,150.0,112.5,67.5,150.0,676 CPT,92639,PR HEARING AID MEAS VERIF,125.0,93.75,56.25,125.0,677 CPT,92650,PR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,525.0,393.75,20.89,525.0,677 CPT,92651,PR AEP HEARING STATUS DETER I&R,412.0,309.0,78.54,412.0,676 CPT,92652,HC AUD EVOKED POTENTIAL THRESHOLD EST,1087.0,815.25,158.69,1087.0,915 CPT,92652,PR AUD EVOKED POTENTIAL THRESHOLD EST,677.0,507.75,105.79,677.0,676 CPT,92653,HC AUD EVOKED POTENTIAL NEURODIAGNOSTIC,1118.0,838.5,117.81,1118.0,915 CPT,92653,PR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,497.0,372.75,78.54,497.0,678 CPT,92700,PR DVA TEST,276.0,207.0,13.8,276.0,681 CPT,92700,PR ICS TEST,185.0,138.75,9.25,185.0,681 CPT,92700,PR SACCADIC EYE TEST,248.0,186.0,12.4,248.0,681 CPT,92700,PR VHIT LATERAL CANALS ONLY,453.0,339.75,22.65,453.0,681 CPT,92700,PR VISUAL VERTICAL MEASUREMENT,263.0,197.25,13.15,263.0,681 CPT,92920,HC PTCA SNGL MJR ARTY/BRNCH,23369.0,17526.75,564.51,23369.0,915 CPT,92920,PR PTCA SNGL MJR ARTY/BRNCH,1890.0,1417.5,188.17,1833.3,683 CPT,92924,HC PTCA W COR ANGIO SNGL MJR,43048.0,32286.0,684.38,43048.0,915 CPT,92924,PR PTCA W COR ANGIO SNGL MJR,4216.0,3162.0,228.13,4089.52,683 CPT,92928,HC PLC INTRACOR STNT SNGL,30934.0,23200.5,676.46,30934.0,915 CPT,92928,PR PLC INTRACOR STNT SNGL,4382.0,3286.5,225.49,4250.54,683 CPT,92930,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,78244.0,58683.0,748.31,78244.0,915 CPT,92933,HC PTCA INTRACOR STNT SNGL MJR,61703.0,46277.25,807.06,61703.0,915 CPT,92933,PR PTCA INTRACOR STNT SNGL MJR,6833.0,5124.75,269.02,6628.01,683 CPT,92937,HC PERC REVASC TRANS COR SNGL VESL,45602.0,34201.5,763.7,45602.0,915 CPT,92937,PR PERC REVASC TRANS COR SNGL VESL,4636.0,3477.0,254.57,4496.92,683 CPT,92941,HC PERC REVASC TRANS MI SNGL VESL,47266.0,35449.5,573.14,47266.0,915 CPT,92941,PR PERC REVASC TRANS MI SNGL VESL,4771.0,3578.25,286.57,4627.87,683 CPT,92943,HC PERC REVASC TRANS CHR SNGL VESL,53458.0,40093.5,924.51,53458.0,915 CPT,92943,PR PERC REVASC TRANS CHR SNGL VESL,4566.0,3424.5,308.17,4429.02,683 CPT,92950,HC CPR,1293.0,969.75,230.41,1296.0,1832 CPT,92950,PR CPR,1400.0,1050.0,369.73,1400.0,676 CPT,92953,PR TEMP EXTERNAL PACING,67.0,50.25,0.94,67.0,676 CPT,92960,HC CARDIOVSN ELECT EXTERNAL,2604.5,1953.375,140.06,2580.0,2748 CPT,92960,PR CARDIOVSN ELECT EXTERNAL,795.0,596.25,151.31,795.0,676 CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3325.0,2493.75,181.01,3325.0,909 CPT,92973,HC THROMB CRNARY PERC,16018.0,12013.5,118.85,16018.0,909 CPT,92973,PR THROMB CRNARY PERC,1805.0,1353.75,79.23,1805.0,676 CPT,92978,HC IVUS HRT EA VSSL INIT W S&I,5044.0,3783.0,2269.8,5044.0,910 CPT,92978,PR IVUS HRT EA VSSL INIT W S&I,1222.0,916.5,10.59,1685.0,2028 CPT,92979,HC IVUS HRT EA VSSL ADD W S&I,2985.0,2238.75,1343.25,2985.0,909 CPT,92979,PR IVUS HRT EA VSSL ADD W S&I,488.0,366.0,5.75,811.0,2028 CPT,93000,PR EKG 12 LEAD W I&R,102.0,76.5,14.99,102.0,685 CPT,93005,HC EKG 12 LEAD TRACE ONLY,286.0,214.5,10.14,286.0,921 CPT,93005,PR EKG 12 LEAD TRACE ONLY,84.0,63.0,6.76,84.0,676 CPT,93010,PR EKG I&R ONLY,96.0,72.0,8.23,96.0,676 CPT,93015,PR CV STRESS TEST W SI&R,566.0,424.5,71.81,566.0,680 CPT,93016,PR CV STRESS TEST SUP ONLY,132.0,99.0,20.48,132.0,676 CPT,93017,HC CV STRESS TEST TRACE ONLY,1229.0,921.75,56.69,1229.0,920 CPT,93018,PR CV STRESS TEST I&R ONLY,133.0,99.75,13.53,133.0,676 CPT,93224,PR HOLTER MONITOR <=48 HRS GLOBAL,687.0,515.25,68.57,687.0,681 CPT,93225,HC HOLTER MONITR<=48HRS RECORDING,483.0,362.25,26.16,483.0,918 CPT,93225,PR HOLTER MONITR<=48HRS RECORDING,150.0,112.5,17.44,150.0,676 CPT,93226,HC HOLTER MONITR<=48HRS SCN/REPRT,488.0,366.0,50.43,488.0,918 CPT,93226,PR HOLTER MONITR<=48HRS SCN/REPRT,390.0,292.5,33.62,390.0,676 CPT,93227,PR HOLTER MONITR<=48HRS R&I,245.0,183.75,17.51,245.0,676 CPT,93228,PR REMOTE 30 DAY ECG PHYS REV,198.0,148.5,24.65,198.0,680 CPT,93229,HC REMOTE 30 DAY ECG TECH SUPP,3997.0,2997.75,398.19,3997.0,917 CPT,93229,PR REMOTE 30 DAY ECG TECH SUPP,3883.0,2912.25,734.76,3883.0,680 CPT,93260,HC PROGR DEV EVAL IMPLT SUBQ ICD,352.0,264.0,39.83,352.0,916 CPT,93260,PR PROGR DEV EVAL IMPLT SUBQ ICD,449.0,336.75,33.62,825.0,2030 CPT,93261,HC INTERROGATE DEV IMPLT SUBQ ICD,348.0,261.0,39.83,348.0,916 CPT,93261,PR INTERROGATE DEV IMPLT SUBQ ICD,250.0,187.5,33.3,469.0,2029 CPT,93264,PR REM MNTR WRLS P-ART PRS SNR UP TO 30DAY,283.0,212.25,29.32,283.0,691 CPT,93268,PR EVENT MONITOR 30 DAY GLOBAL,725.0,543.75,164.79,725.0,678 CPT,93270,HC EVENT MONITOR 30DAY RECORDING,673.0,504.75,12.08,673.0,916 CPT,93271,HC EVENT MONITR 30DAY TRANS/ANLYS,1473.0,1104.75,101.45,1473.0,916 CPT,93272,PR EVENT MONITR 30DAY R&I,177.0,132.75,23.43,177.0,676 CPT,93278,HC EKG SIGNAL AVERAGING,755.0,566.25,30.05,755.0,915 CPT,93278,PR EKG SIGNAL AVERAGING,262.0,196.5,12.19,457.0,2028 CPT,93279,HC PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,307.0,230.25,39.83,307.0,916 CPT,93279,PR PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,175.0,131.25,30.35,339.0,2030 CPT,93280,HC PROGR DEV EVAL PCMKR DUAL LEAD,307.0,230.25,39.83,307.0,916 CPT,93280,PR PROGR DEV EVAL PCMKR DUAL LEAD,112.0,84.0,36.27,222.0,2030 CPT,93281,HC PROGR DEV EVAL PCMKR MULT LEAD,357.0,267.75,39.83,357.0,916 CPT,93281,PR PROGR DEV EVAL PCMKR MULT LEAD,125.0,93.75,40.23,238.0,2029 CPT,93282,HC PROGR DEV EVAL ICD SNGL LEAD,339.0,254.25,39.83,339.0,916 CPT,93282,PR PROGR DEV EVAL ICD SNGL LEAD,228.0,171.0,36.86,432.0,2030 CPT,93283,HC PROGR DEV EVAL ICD DUAL LEAD,327.0,245.25,39.83,327.0,916 CPT,93283,PR PROGR DEV EVAL ICD DUAL LEAD,203.0,152.25,40.74,342.0,2031 CPT,93284,HC PROGR DEV EVAL ICD MULT LEAD,391.0,293.25,39.83,391.0,916 CPT,93284,PR PROGR DEV EVAL ICD MULT LEAD,239.0,179.25,43.66,401.0,2030 CPT,93285,HC PROGR DEV EVAL SUBQ CARD MON,320.0,240.0,39.83,320.0,916 CPT,93285,PR PROGR DEV EVAL SUBQ CARD MON,131.0,98.25,24.73,228.0,2030 CPT,93286,HC PERI-PROC PCMKR EVAL & PROG,211.0,158.25,43.64,211.0,912 CPT,93286,PR PERI-PROC PCMKR EVAL & PROG,262.0,196.5,14.18,387.0,2029 CPT,93287,HC PERI-PROC ICD LEAD EVAL & PROG,329.0,246.75,43.64,329.0,910 CPT,93287,PR PERI-PROC ICD LEAD EVAL & PROG,268.0,201.0,21.42,427.0,2029 CPT,93288,HC INTERROGATE DEVICE PACEMAKER,263.0,197.25,39.83,263.0,915 CPT,93288,PR INTERROGATE DEVICE PACEMAKER,102.0,76.5,19.82,194.0,2030 CPT,93289,HC INTERROGATE DEVICE ICD,279.0,209.25,39.83,279.0,916 CPT,93289,PR INTERROGATE DEVICE ICD,215.0,161.25,34.59,307.0,2030 CPT,93291,HC INTERROGATE DEV SUBQ CARD MON,259.0,194.25,30.86,259.0,916 CPT,93291,PR INTERROGATE DEV SUBQ CARD MON,100.0,75.0,17.17,176.0,2029 CPT,93293,HC TELETRACE RHYTM PACE EA 90DAYS,379.0,284.25,38.3,379.0,915 CPT,93293,PR TELETRACE RHYTM PACE EA 90DAYS,212.0,159.0,13.22,309.0,2028 CPT,93294,PR INTER PCMKR REM PROF EA 90DAYS,169.0,126.75,28.94,169.0,679 CPT,93295,PR INTER ICD REM PROF EA 90DAYS,260.0,195.0,35.51,260.0,680 CPT,93296,HC INTER PCMKR/ICD REM TECH 90DAYS,351.0,263.25,39.83,351.0,915 CPT,93296,PR INTER PCMKR/ICD REM TECH 90DAYS,195.0,146.25,30.71,195.0,679 CPT,93298,PR INTER SUBQ CAR MON REM 30DAYS,142.0,106.5,96.09,142.0,679 CPT,93303,HC ECHO CONGENITAL CARD COMPLETE,2633.0,1974.75,232.86,2633.0,915 CPT,93303,PR ECHO CONGENITAL CARD COMPLETE,1036.0,777.0,59.42,1428.0,2032 CPT,93304,HC ECHO CONGENITAL CARD FU/LTD,2488.0,1866.0,172.73,2488.0,915 CPT,93304,PR ECHO CONGENITAL CARD FU/LTD,482.0,361.5,34.34,632.0,2029 CPT,93306,HC ECHO TTE 2D W DPLR COMPLETE,3027.0,2270.25,187.71,3027.0,920 CPT,93306,PR ECHO TTE 2D W DPLR COMPLETE,1257.0,942.75,66.66,2077.0,2035 CPT,93306,PR ECHO TTE W DPLR CMPLT W CNTRST,2077.0,1557.75,191.8,2077.0,681 CPT,93308,HC ECHO TTE 2D FU/LIMITED,1481.0,1110.75,111.06,1481.0,919 CPT,93308,PR ECHO 2D TTE FU/LTD W CONTRST,1270.0,952.5,98.45,1270.0,679 CPT,93308,PR ECHO TTE 2D FU/LIMITED,916.0,687.0,24.41,1270.0,2032 CPT,93312,HC ECHO TEE 2D COMPLETE,2500.0,1875.0,195.0,2500.0,918 CPT,93312,PR ECHO TEE 2D COMPLETE,980.0,735.0,104.01,1646.0,2028 CPT,93313,PR ECHO TEE 2D PLC ONLY,496.0,372.0,10.22,496.0,676 CPT,93314,PR ECHO TEE IMG ACQUSIT I&R,976.0,732.0,87.07,976.0,677 CPT,93315,HC TEE CONGENITAL CARD ANOMALIES,4844.0,3633.0,583.07,4844.0,916 CPT,93315,PR TEE CONGENITAL CARD ANOMALIES,1899.0,1424.25,122.16,2897.0,2028 CPT,93318,PR ECHO TRANSESOPH INTRAOP,2267.0,1700.25,100.36,2267.0,676 CPT,93319,HC 3D ECHO IMG CGEN CAR ANOMAL,1566.0,1174.5,30.63,1566.0,912 CPT,93319,PR 3D ECHO IMG CGEN CAR ANOMAL,522.0,391.5,54.41,522.0,678 CPT,93320,HC ECHO DPLR COMPLETE,888.0,666.0,49.47,888.0,913 CPT,93320,PR ECHO DPLR COMPLETE,486.0,364.5,17.18,744.0,2035 CPT,93321,HC ECHO DPLR FU/LIMITED,789.0,591.75,26.22,789.0,914 CPT,93321,PR ECHO DPLR FU/LIMITED,315.0,236.25,7.24,488.0,2034 CPT,93325,HC ECHO DPLR COLOR FLOW MAP,1157.0,867.75,29.61,1157.0,914 CPT,93325,PR ECHO DPLR COLOR FLOW MAP,707.0,530.25,3.31,960.0,2037 CPT,93351,HC ECHO TTE STRESS W CONT ECG,2560.0,1920.0,221.16,2560.0,918 CPT,93351,PR ECHO TTE STRESS W CONT ECG,1257.0,942.75,80.19,2230.0,2036 CPT,93352,PR ADMIN ECG CNTRST AGENT,311.0,233.25,34.75,311.0,681 CPT,93355,HC ECHO TEE,3852.0,2889.0,284.28,3852.0,910 CPT,93355,PR ECHO TEE,1310.0,982.5,189.52,1310.0,676 CPT,93356,HC MYOCARDIAL STRAIN IMAGING,557.0,417.75,14.81,557.0,914 CPT,93356,PR MYOCARDIAL STRAIN IMAGING,492.0,369.0,35.76,492.0,680 CPT,93451,HC RIGHT HEART CATH,14713.0,11034.75,1051.38,14713.0,917 CPT,93451,PR RIGHT HEART CATH,2130.0,1597.5,62.49,2066.1,683 CPT,93452,HC LT HRT CATH W VENTRICULOGRAPHY,15651.0,11738.25,937.19,15651.0,915 CPT,93452,PR LT HRT CATH W VENTRICULOGRAPHY,4150.0,3112.5,425.05,4025.5,683 CPT,93453,HC RT< HRT CATH W VENTRICLGRPHY,16381.0,12285.75,1172.64,16381.0,915 CPT,93453,PR RT< HRT CATH W VENTRICLGRPHY,3668.5,2751.375,150.12,5692.93,1366 CPT,93454,HC CATH PLC COR ARTY ANGIO S&I,13803.0,10352.25,936.69,13803.0,916 CPT,93454,PR CATH PLC COR ARTY ANGIO S&I,3068.0,2301.0,113.61,2975.96,683 CPT,93455,HC CATH PLC COR ARTY/GRFT ANGIO,13892.0,10419.0,1027.97,13892.0,916 CPT,93455,PR CATH PLC COR ARTY/GRFT ANGIO,2804.0,2103.0,132.46,2719.88,683 CPT,93456,HC CATH PLC COR ARTY/ANG W RT HRT,14459.0,10844.25,1148.85,14459.0,916 CPT,93456,PR CATH PLC COR ARTY/ANG W RT HRT,2030.0,1522.5,147.66,1969.1,683 CPT,93457,HC CATH PLC ARTY/GRFT ANG W R HRT,13500.0,10125.0,1238.61,13500.0,915 CPT,93457,PR CATH PLC ARTY/GRFT ANG W R HRT,1972.0,1479.0,166.18,1912.84,683 CPT,93458,HC CATH PLC ARTY/VENT ANG W L HRT,14134.0,10600.5,1050.3,14134.0,916 CPT,93458,PR CATH PLC ARTY/VENT ANG W L HRT,3234.0,2425.5,139.96,3136.98,683 CPT,93459,HC CATH PLC ARTY/GRFT ANG W L HRT,14773.0,11079.75,1106.57,14773.0,916 CPT,93459,PR CATH PLC ARTY/GRFT ANG W L HRT,4256.0,3192.0,158.83,6741.5,1366 CPT,93460,HC CATH PLC ART/VEN ANG W R&L HRT,13389.0,10041.75,1223.57,13389.0,916 CPT,93460,PR CATH PLC ART/VEN ANG W R&L HRT,3089.0,2316.75,177.29,2996.33,683 CPT,93461,HC CATH PLC ART/GRFT ANG W R&L HRT,14007.0,10505.25,1347.3,14007.0,915 CPT,93461,PR CATH PLC ART/GRFT ANG W R&L HRT,3226.0,2419.5,195.83,3129.22,683 CPT,93462,HC LT HRT CATH TXSPTL PUNC,13706.0,10279.5,258.09,13706.0,910 CPT,93462,PR LT HRT CATH TXSPTL PUNC,1588.0,1191.0,197.95,1588.0,676 CPT,93463,HC DRUG ADMIN AND HEMODYN MEAS,1990.0,1492.5,122.64,1990.0,910 CPT,93463,PR DRUG ADMIN AND HEMODYN MEAS,606.0,454.5,94.38,606.0,676 CPT,93464,HC EXERCISE STUDY W HEMODYN MEAS,1989.0,1491.75,197.06,1989.0,910 CPT,93464,PR EXERCISE STUDY W HEMODYN MEAS,523.0,392.25,86.39,523.0,676 CPT,93503,HC INS/PLC FLOW DIR CATH,10794.0,8095.5,120.47,10794.0,915 CPT,93503,PR INS/PLC FLOW DIR CATH,2326.0,1744.5,80.31,2326.0,676 CPT,93505,HC BX ENDOMYOCARDIAL,13031.0,9773.25,624.71,13031.0,1832 CPT,93505,PR BX ENDOMYOCARDIAL,1621.0,1215.75,107.23,1572.37,683 CPT,93563,HC INJ ANGIO CONG HRT CATH S&I,7891.0,5918.25,65.19,7891.0,909 CPT,93563,PR INJ ANGIO CONG HRT CATH S&I,528.0,396.0,49.28,528.0,676 CPT,93565,HC INJ CATH LT VENT/ATRIAL ANGIO,4838.0,3628.5,34.07,4838.0,909 CPT,93565,PR INJ CATH LT VENT/ATRIAL ANGIO,385.0,288.75,25.62,385.0,676 CPT,93566,HC INJ CATH RT VENT/ATRIAL ANGIO,5506.0,4129.5,32.84,5506.0,909 CPT,93566,PR INJ CATH RT VENT/ATRIAL ANGIO,640.0,480.0,21.89,640.0,690 CPT,93567,HC INJ CATH SUPRVLV AORTOGRAPHY,2077.0,1557.75,47.24,2077.0,909 CPT,93567,PR INJ CATH SUPRVLV AORTOGRAPHY,515.0,386.25,35.7,515.0,676 CPT,93568,HC INJ PULM ANGIO S&I,4478.0,3358.5,59.06,4478.0,909 CPT,93568,PR INJ PULM ANGIO S&I,821.0,615.75,44.55,821.0,676 CPT,93571,HC INTRVAS DPLR ANGIO INIT,3944.0,2958.0,1774.8,3944.0,909 CPT,93571,PR INTRVAS DPLR ANGIO INIT,725.0,543.75,90.44,725.0,676 CPT,93572,HC INTRVAS DPLR ANGIO ADD,8360.0,6270.0,3762.0,8360.0,909 CPT,93572,PR INTRVAS DPLR ANGIO ADD,491.0,368.25,71.63,603.0,1352 CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,9170.0,6877.5,78.71,9170.0,909 CPT,93580,HC TX CATH CLSR ASD W IMP,60262.0,45196.5,1231.04,60262.0,917 CPT,93580,PR TX CATH CLSR ASD W IMP,7616.0,5712.0,410.35,7387.52,683 CPT,93582,PR PERC TRANSCATH CLSR PDA,8457.0,6342.75,277.69,8203.29,683 CPT,93590,"HC PARAVALVULAR LEAK CLOSURE, INI",66578.0,49933.5,1349.24,66578.0,915 CPT,93590,"PR PARAVALVULAR LEAK CLOSURE, INI",5635.0,4226.25,449.75,5465.95,683 CPT,93591,HC PERC TRANSCATH CLSR AORTIC,67538.0,50653.5,1112.33,67538.0,915 CPT,93591,PR PERC TXCATH CLSR PARAVLVR AORTIC,5163.0,3872.25,370.78,5008.11,683 CPT,93593,HC R HRT CATH CHD NML NT CNJ,16857.0,12642.75,3459.41,16857.0,915 CPT,93593,PR R HRT CATH CHD NML NT CNJ,803.0,602.25,91.87,778.91,683 CPT,93594,HC R HRT CATH CHD ABNL NT CNJ,16460.0,12345.0,3459.41,16460.0,915 CPT,93594,PR R HRT CATH CHD ABNL NT CNJ,967.0,725.25,141.75,937.99,683 CPT,93596,HC R&L HRT CATH CHD NML NT CNJ,16138.0,12103.5,3459.41,16138.0,915 CPT,93597,HC R&L HRT CATH CHD ABNL NT CNJ,16697.0,12522.75,3459.41,16697.0,916 CPT,93597,PR R&L HRT CATH CHD ABNL NT CNJ,1842.0,1381.5,202.27,1786.74,683 CPT,93598,HC CAR OUTP MEAS DRG CATH CHD,3215.0,2411.25,1446.75,3215.0,909 CPT,93598,PR CAR OUTP MEAS DRG CATH CHD,306.0,229.5,65.31,306.0,676 CPT,93612,HC PACING INTRA VENTRICULAR,22647.0,16985.25,8322.88,22647.0,915 CPT,93612,PR PACING INTRA VENTRICULAR,802.0,601.5,153.09,982.0,1352 CPT,93613,HC MAP EPS 3D,8190.0,6142.5,361.31,8190.0,910 CPT,93613,PR MAP EPS 3D,2881.0,2160.75,240.87,2881.0,676 CPT,93618,HC PACING HRT RHYTHM,6187.0,4640.25,1299.21,6187.0,915 CPT,93618,PR PACING HRT RHYTHM,1390.5,1042.875,206.04,1948.0,1352 CPT,93619,HC EP EVAL WO ARRHYTHMIA,26499.0,19874.25,8322.88,26499.0,915 CPT,93619,PR EP EVAL WO ARRHYTHMIA,3013.0,2259.75,183.11,4543.48,1366 CPT,93620,HC EP EVAL W ARRHYTHMIA,25480.0,19110.0,8322.88,25480.0,916 CPT,93620,PR EP EVAL W ARRHYTHMIA,2492.0,1869.0,293.85,2417.24,683 CPT,93621,HC EP EVAL W LT ATRL/COR SIN PCNG,11120.0,8340.0,5004.0,11120.0,909 CPT,93621,PR EP EVAL W LT ATRL/COR SIN PCNG,970.0,727.5,77.48,970.0,676 CPT,93622,HC EP EVAL W LT VENT PACING,11494.0,8620.5,5172.3,11494.0,909 CPT,93622,PR EP EVAL W LT VENT PACING,1647.0,1235.25,161.07,2743.0,1352 CPT,93623,HC STIM HRT PACING POST IV INF,11682.0,8761.5,5256.9,11682.0,910 CPT,93623,PR STIM HRT PACING POST IV INF,461.0,345.75,51.09,461.0,676 CPT,93624,HC EP FOLLOW UP STUDY W ARRYTH,22968.0,17226.0,8322.88,22968.0,915 CPT,93624,PR EP FOLLOW UP STUDY W ARRYTH,1170.0,877.5,113.88,1134.9,683 CPT,93641,HC EVAL EPS ICD GENERATOR W TEST,7695.0,5771.25,3462.75,7695.0,910 CPT,93641,PR EVAL EPS ICD GENERATOR W TEST,2346.0,1759.5,146.58,2275.62,683 CPT,93642,HC EVAL EPS ICD SYS,8538.0,6403.5,121.2,8538.0,915 CPT,93642,PR EVAL EPS ICD SYS,1315.0,986.25,80.8,1874.04,2042 CPT,93650,HC ABLT AV NODE,24440.0,18330.0,724.59,24440.0,915 CPT,93650,PR ABLT AV NODE,4436.0,3327.0,241.53,4302.92,683 CPT,93653,HC EP EVAL W SUPRAVENT ABLATE,59032.0,44274.0,1037.27,59032.0,916 CPT,93653,PR EP EVAL W SUPRAVENT ABLATE,12091.0,9068.25,345.76,11728.27,683 CPT,93654,HC EP EVAL W VENT TACHY ABLATE,68297.0,51222.75,1250.15,68297.0,916 CPT,93654,PR EP EVAL W VENT TACHY ABLATE,15797.0,11847.75,416.72,15323.09,683 CPT,93655,HC ABLT ARRHYTHMIA ADD ON,23482.0,17611.5,380.3,23482.0,910 CPT,93655,PR ABLT ARRHYTHMIA ADD ON,3505.0,2628.75,253.53,3505.0,676 CPT,93656,HC EP EVAL TX ART FIB PULM VEIN,58140.0,43605.0,1176.06,58140.0,916 CPT,93656,PR EP EVAL TX ART FIB PULM VEIN,14292.0,10719.0,392.02,13863.24,683 CPT,93657,HC ABLT ATRIUM ADD LINEAR CATH,18375.0,13781.25,380.3,18375.0,910 CPT,93657,PR ABLT ATRIUM ADD LINEAR CATH,2652.0,1989.0,253.53,2652.0,676 CPT,93660,HC TILT TABLE EVAL W/WO DRUG,2910.0,2182.5,113.93,2910.0,916 CPT,93660,PR TILT TABLE EVAL W/WO DRUG,679.0,509.25,44.37,1175.64,2045 CPT,93662,HC ECHO INTRACARDIAC,7155.0,5366.25,3219.75,7155.0,910 CPT,93662,PR ECHO INTRACARDIAC,1682.0,1261.5,67.93,1682.0,676 CPT,93668,PR PAD REHAB PER SES,199.0,149.25,14.85,199.0,676 CPT,93750,HC INTERO VAD IN PERSON,2266.5,1699.875,50.3,3522.0,1830 CPT,93750,PR INTERO VAD IN PERSON,306.0,229.5,44.17,306.0,678 CPT,93784,HC MONITOR AMBULATORY BP >=24HR,703.0,527.25,46.55,703.0,915 CPT,93784,PR MONITOR AMBULATORY BP >=24HR,532.0,399.0,46.55,532.0,681 CPT,93786,HC AMBULATORY BP RECORDING 24 HR,1108.0,831.0,34.41,1108.0,915 CPT,93786,"PR AMBULATORY BLOOD PRESSURE MONITORING, 1 DAY OR LONGER, WITH RECORDING-MAIL OUTS",460.0,345.0,22.94,460.0,676 CPT,93786,PR AMBULATORY BP RECORDING 24 HR,478.0,358.5,22.94,478.0,676 CPT,93788,HC AMBULATORY BP ANALYSIS 24 HR,1108.0,831.0,8.69,1108.0,915 CPT,93790,PR REV/REPORT AMBULATORY BP>=24,130.0,97.5,17.82,130.0,676 CPT,93793,PR ANTICOAGULANT MGMT FOR PT TAKING WARFARIN,57.0,42.75,9.76,57.0,690 CPT,93797,PR CARDIAC REHAB WO ECG EA SESN,159.0,119.25,7.59,159.0,692 CPT,93798,PR CARDIAC REHAB W CONT ECG MON,278.0,208.5,11.87,278.0,692 CPT,93799,HC INTRVAS DPLR ANGIO INIT IFR,5747.0,4310.25,137.3,5747.0,916 CPT,93799,PR AMBULATORY BP MONITORING 18 HR,399.0,299.25,19.95,399.0,679 CPT,93799,PR AMBULATORY BP MONITORING 6 HRS,133.0,99.75,6.65,133.0,679 CPT,93799,PR ART PULSE WAVEFORM ANALYSIS,173.0,129.75,8.65,173.0,679 CPT,93880,HC DUP SCAN EXTCR ARTY BI,1467.0,1100.25,220.25,1467.0,916 CPT,93880,PR DUP SCAN EXTCR ARTY BI,524.5,393.375,36.79,803.0,1352 CPT,93882,HC DUPLEX SCAN EXTRACRAN ARTY UNILAT,807.0,605.25,111.56,807.0,916 CPT,93882,PR DUPLEX SCAN EXTRACRAN ARTY UNILAT,260.5,195.375,22.94,433.0,1353 CPT,93886,HC TRCRAN DPLR INTRCR CMPLT,1069.0,801.75,254.61,1069.0,915 CPT,93886,PR TRCRAN DPLR INTRCR CMPLT,911.0,683.25,44.7,1102.0,2029 CPT,93888,HC TRCRAN DPLR INTRCR LTD,632.0,474.0,111.56,632.0,915 CPT,93888,PR TRCRAN DPLR INTRCR LTD,598.0,448.5,35.54,721.0,2029 CPT,93892,HC TRCRAN EMBOLI DETECT WO IV INJ,700.0,525.0,111.56,700.0,916 CPT,93892,PR TRCRAN EMBOLI DETECT WO IV INJ,806.0,604.5,57.54,982.0,2029 CPT,93893,HC TRCRAN DPLR INTRCR EMBOLI W IV,689.0,516.75,111.56,689.0,916 CPT,93893,PR HYPOXIC TRCRAN DPLR INTRCR EMBOLI W IV,2212.0,1659.0,162.04,2212.0,680 CPT,93893,PR TRCRAN DPLR INTRCR EMBOLI W IV,937.0,702.75,58.51,1106.0,2032 CPT,93895,PR EVAL CAROTID ATHEROMA BIL,649.0,486.75,292.05,649.0,680 CPT,93896,PR VSRCTV STD TCD ICR ART COMPL,556.0,417.0,182.09,556.0,677 CPT,93922,PR STUDY EXT ARTERY 1-2 LVLS BIL,382.0,286.5,11.46,461.0,2029 CPT,93923,HC STUDY EXT ARTERY > 2 LVLS BIL,1793.0,1344.75,162.95,1793.0,915 CPT,93923,PR STUDY EXT ARTERY > 2 LVLS BIL,636.0,477.0,20.94,754.0,2031 CPT,93924,HC STUDY EXT ARTERY W EXER,2572.0,1929.0,205.68,2572.0,915 CPT,93924,PR STUDY EXT ARTERY W EXER,461.0,345.75,23.26,614.0,2031 CPT,93925,HC DUP SCAN LWR EXT ARTY BIL,2346.0,1759.5,254.61,2346.0,916 CPT,93925,PR DUP SCAN LWR EXT ARTY BIL,584.0,438.0,36.15,943.0,1352 CPT,93926,HC DUP SCAN LWR EXT ARTY UNILAT/LTD,1592.0,1194.0,111.56,1592.0,915 CPT,93926,PR DUP SCAN LWR EXT ARTY UNILAT/LTD,477.0,357.75,22.0,779.0,1352 CPT,93930,HC DUP SCAN UPR EXT ARTY BIL,2439.0,1829.25,234.81,2439.0,915 CPT,93930,PR DUP SCAN UPR EXT ARTY BIL,702.0,526.5,36.47,954.0,1352 CPT,93931,HC DUP SCAN UPR EXT ARTY UNILAT/LTD,1607.0,1205.25,111.56,1607.0,915 CPT,93931,PR DUP SCAN UPR EXT ARTY UNILAT/LTD,411.0,308.25,22.33,647.0,1352 CPT,93970,HC DUP SCAN EXT VEIN BIL,1321.0,990.75,220.73,1321.0,918 CPT,93970,PR DUP SCAN EXT VEIN BIL,552.5,414.375,31.55,744.0,1352 CPT,93971,HC DUP SCAN EXT VEIN UNILAT/LTD,1019.0,764.25,111.56,1019.0,915 CPT,93971,PR DUP SCAN EXT VEIN UNILAT/LTD,409.5,307.125,20.09,621.0,1352 CPT,93975,HC DUP SCAN ABD PELV COMPLT,1966.0,1474.5,254.61,1966.0,916 CPT,93975,PR DUP SCAN ABD PELV COMPLT,981.5,736.125,52.29,1460.0,1353 CPT,93976,HC DUP SCAN ABD PELV LTD,1565.0,1173.75,111.56,1565.0,916 CPT,93976,PR DUP SCAN ABD PELV LTD,494.0,370.5,36.54,963.0,2028 CPT,93978,HC DUP SCAN AORTA IVC COMPLT,1071.0,803.25,207.62,1071.0,915 CPT,93978,PR DUP SCAN AORTA IVC COMPLT,381.5,286.125,36.64,618.0,1352 CPT,93979,PR DUP SCAN AORTA IVC LTD,341.5,256.125,22.61,540.0,1352 CPT,93980,HC DUP SCAN PENILE VESSELS,731.0,548.25,88.79,731.0,916 CPT,93980,PR DUP SCAN PENILE VESSELS,477.0,357.75,59.01,635.0,1354 CPT,93990,HC DUP SCAN HEMO ACCESS,904.0,678.0,111.56,904.0,916 CPT,93990,PR DUP SCAN HEMO ACCESS,374.5,280.875,21.93,410.0,1352 CPT,93998,PR ASSESS ENDOTHELIAL FCT NONINV,571.0,428.25,28.55,571.0,680 CPT,93998,PR BASIC ARTERIAL STUDY,113.5,85.125,1.85,190.0,1352 CPT,93998,PR NAILFOLD VIDEO CAPILLAROSCOPY,461.0,345.75,23.05,461.0,680 CPT,93998,PR US NONIVAS XTR VEINS BIL STUDY,372.0,279.0,18.6,372.0,680 CPT,94002,HC VENTIL MGMT IP INIT DAY,2022.0,1516.5,126.84,2022.0,915 CPT,94002,PR VENTIL MGMT IP INIT DAY,1059.0,794.25,84.56,1059.0,676 CPT,94003,HC VENT MGMT INPT/OBS SUBSQ DAY,1919.0,1439.25,87.38,1919.0,915 CPT,94003,PR VENT MGMT INPT/OBS SUBSQ DAY,418.0,313.5,58.25,418.0,676 CPT,94010,HC SPIROMETRY,522.0,391.5,31.02,522.0,916 CPT,94010,PR SPIROMETRY,73.0,54.75,8.23,127.0,2043 CPT,94060,HC BRONCHODILATION RESPONSIVENESS,794.0,595.5,48.0,794.0,916 CPT,94060,PR BRONCHODILATION RESPONSIVENESS,153.0,114.75,10.21,250.0,2044 CPT,94070,HC EVAL BRONCHOSPASM PROVOCATION,506.0,379.5,59.6,506.0,915 CPT,94070,PR EVAL BRONCHOSPASM PROVOCATION,285.0,213.75,28.33,498.0,2034 CPT,94150,HC VITAL CAPACITY TOTAL,475.0,356.25,137.3,475.0,916 CPT,94452,PR HAST W I&R,188.0,141.0,14.51,263.0,2032 CPT,94453,PR HAST W I&R & O2 TITRATION,343.0,257.25,18.78,624.0,2032 CPT,94617,PR EXERCISE TST BRNCSPSM,390.0,292.5,31.09,610.0,2030 CPT,94618,HC PULMONARY STRESS TESTING,548.0,411.0,20.82,548.0,915 CPT,94618,PR PULMONARY STRESS TESTING,391.0,293.25,13.88,477.0,2033 CPT,94621,PR TEST PULM STRESS CMPLX,335.0,251.25,51.43,411.0,2029 CPT,94625,PR PULM REHAB WO CONT OXIMTRY MNTR PER SESS,227.0,170.25,16.04,227.0,691 CPT,94626,PR PULM REHAB W/CONT OXIMTRY MNTR PER SESS,270.0,202.5,23.94,270.0,690 CPT,94640,HC TX INHAL AERO SPUTUM,487.0,365.25,12.57,497.61,1836 CPT,94640,PR TX INHAL AERO SPUTUM,69.0,51.75,8.38,69.0,680 CPT,94642,HC PENTAMIDINE TX AERO INHAL,656.0,492.0,233.67,656.0,916 CPT,94642,PR PENTAMIDINE TX AERO INHAL,237.0,177.75,35.35,237.0,679 CPT,94644,HC TX CONT AERO AAO 1ST HR,461.0,345.75,90.68,463.0,1830 CPT,94645,HC TX CONT AERO AAO EA ADD HR,127.0,95.25,24.21,128.0,1818 CPT,94660,HC CPAP INIT & MGMT,874.0,655.5,47.9,874.0,917 CPT,94660,PR CPAP INIT & MGMT,198.0,148.5,57.41,247.0,1374 CPT,94664,HC DEMO/EVAL PAT USE INHALE,595.0,446.25,29.01,595.0,915 CPT,94664,PR DEMO/EVAL PAT USE INHALE,133.0,99.75,19.34,133.0,677 CPT,94667,HC MANIP CHST WALL INIT,407.0,305.25,39.69,407.0,916 CPT,94667,PR MANIP CHST WALL INIT,130.0,97.5,26.46,130.0,678 CPT,94668,HC MANIP CHST WALL SUBSQ,316.0,237.0,56.69,316.0,916 CPT,94681,HC O2 UPTAKE INCL CO2 OUTPUT,829.0,621.75,58.64,829.0,919 CPT,94681,PR O2 UPTAKE INCL CO2 OUTPUT,222.0,166.5,9.56,387.0,2031 CPT,94690,PR O2 UPTAKE EXHAL REST INDIRCT,266.0,199.5,3.05,300.0,2060 CPT,94726,HC PLETHYSMOGRAPHY,742.5,556.875,75.14,745.0,1832 CPT,94726,PR PLETHYSMOGRAPHY,306.0,229.5,11.87,393.0,2043 CPT,94727,HC GAS DILUTION LUNG VOLUMES,415.0,311.25,54.81,415.0,915 CPT,94727,PR GAS DILUTION LUNG VOLUMES,102.0,76.5,11.87,163.0,2031 CPT,94729,HC DIFFUSING CAPACITY,412.0,309.0,78.59,412.0,911 CPT,94729,PR DIFFUSING CAPACITY,188.0,141.0,9.22,262.0,2044 CPT,94760,HC PULSE OX O2 SAT SNGL,70.0,52.5,5.78,70.0,909 CPT,94760,PR PULSE OX O2 SAT SNGL,32.0,24.0,3.85,32.0,676 CPT,94761,HC PULSE OX O2 SAT MULT,198.0,148.5,6.26,198.0,912 CPT,94761,PR PULSE OX O2 SAT MULT,108.0,81.0,4.17,108.0,680 CPT,94762,HC MEAS BLD O2 LVL OVNT MONITOR,466.0,349.5,34.91,466.0,915 CPT,94762,PR MEAS BLD O2 LVL OVNT MONITOR,273.0,204.75,23.27,273.0,681 CPT,94799,HC CO2 EXPIRED GAS DETRMN INFRARD,538.0,403.5,137.3,538.0,916 CPT,94799,HC RESP MUSCLE STRENGTH,497.0,372.75,137.3,497.0,916 CPT,94799,HC RESP THRPY ADMN/MONT NITRIC,570.0,427.5,137.3,570.0,916 CPT,94799,PR CAPNIC CHALLENGE TEST,454.0,340.5,22.7,454.0,679 CPT,94799,PR RESP MUSCLE STRENGTH,188.0,141.0,3.7,262.0,2035 CPT,95004,PR PERC TESTS ALLERGENIC EXTRACTS,25.0,18.75,3.53,25.0,679 CPT,95012,HC NITRIC OXIDE EXPIRED GAS,129.0,96.75,28.59,129.0,916 CPT,95012,PR NITRIC OXIDE EXPIRED GAS,133.0,99.75,19.06,133.0,682 CPT,95017,PR PERC/INTDER ALRGY TST VENOM EA,47.0,35.25,2.95,47.0,691 CPT,95018,PR PERC/INTDER ALG TST DRG/BIO EA,107.0,80.25,5.93,107.0,692 CPT,95024,PR INTRADERM ALLERG EXTRACT-EA,26.0,19.5,0.94,26.0,692 CPT,95044,PR ALLERGY PATCH TESTS EA,30.0,22.5,4.82,30.0,678 CPT,95052,PR PHOTO PATCH TEST(S),37.0,27.75,5.79,37.0,677 CPT,95056,PR PHOTO TEST(S),349.0,261.75,50.09,349.0,676 CPT,95070,HC INHALATION BRONCHIAL CHALLENGE,745.0,558.75,57.6,745.0,915 CPT,95070,PR INHALATION BRONCHIAL CHALLENGE,391.0,293.25,38.4,391.0,678 CPT,95076,PR INGEST CHALLENGE INIT 120 MIN,424.0,318.0,61.85,424.0,692 CPT,95079,PR INGEST CHALLENGE EA ADD 60 MIN,378.0,283.5,56.91,378.0,692 CPT,95115,PR ALLERGEN IMMUNOTHRPY 1 INJ,37.0,27.75,8.5,37.0,688 CPT,95117,PR ALLERGEN IMMUNOTHRPY 2+ INJ,53.0,39.75,10.15,53.0,688 CPT,95145,PR ANTIGN IMUNOTHRPY VENOM 1 STNG,65.0,48.75,2.61,65.0,692 CPT,95146,PR ANTIGN IMUNOTHRPY VENOM 2 STNG,114.0,85.5,2.61,114.0,690 CPT,95147,PR ANTIGN IMUNOTHRPY VENOM 3 STNG,120.0,90.0,2.61,120.0,690 CPT,95148,PR ANTIGN IMUNOTHRPY VENOM 4 STNG,209.0,156.75,2.61,209.0,690 CPT,95149,PR ANTIGN IMUNOTHRPY VENOM 5 STNG,281.0,210.75,2.61,281.0,690 CPT,95165,PR ALLRGN IMMUNTHRPY SNGL/MULT EA,45.0,33.75,2.61,45.0,692 CPT,95180,HC RAPID DESENSITIZATION EA HOUR,1508.0,1131.0,128.96,1508.0,915 CPT,95180,PR RAPID DESENSITIZATION EA HOUR,369.0,276.75,85.97,369.0,692 CPT,95199,PR ICE CUBE TEST,165.0,123.75,8.25,165.0,676 CPT,95250,PR GLUC CONT MONTR/PLCMNT >72HRS,427.0,320.25,147.72,427.0,677 CPT,95251,PR GLUC CONT MONTR >72HR INTRP&RPT,142.0,106.5,29.33,142.0,680 CPT,95700,HC LONG TERM EEG SET UP,1369.0,1026.75,230.41,1369.0,915 CPT,95700,PR LONG TERM EEG SET UP,827.0,620.25,251.54,827.0,680 CPT,95705,PR EEG 2-12 HOURS W/OUT VIDEO UNMONITORED,864.0,648.0,226.37,864.0,676 CPT,95707,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,3903.0,2927.25,230.41,3903.0,915 CPT,95708,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,3732.0,2799.0,398.19,3732.0,915 CPT,95708,PR EEG 12-26 HOURS W/OUT VIDEO UNMONITORED,1298.0,973.5,283.13,1298.0,680 CPT,95711,HC VEEG 2-12 HOURS WITH VIDEO UNMONITORED,1883.0,1412.25,230.41,1883.0,916 CPT,95711,PR VEEG BY TECH 2-12 HOURS UNMONITORED,3049.0,2286.75,226.37,3049.0,676 CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,2293.0,1719.75,398.19,2293.0,915 CPT,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,3713.0,2784.75,398.19,3713.0,915 CPT,95714,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,2327.0,1745.25,398.19,2327.0,916 CPT,95714,PR VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1195.0,896.25,283.13,1195.0,679 CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3569.0,2676.75,398.19,3569.0,916 CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,5267.0,3950.25,916.35,5267.0,915 CPT,95717,PR EEG 2-12 HOURS CONTINUOUS WITHOUT VIDEO,1061.0,795.75,87.83,1061.0,690 CPT,95718,PR VEEG 2-12 HOURS CONTINUOUS WITH VIDEO,2121.0,1590.75,135.44,2121.0,677 CPT,95719,PR EEG 12-26 HOURS CONTINUOUS WITHOUT VIDEO,1227.0,920.25,131.95,1227.0,693 CPT,95720,PR VEEG 12-26 HOURS CONTINUOUS WITH VIDEO,3194.0,2395.5,208.28,3194.0,679 CPT,95721,PR EEG 36-60 HOURS CONTINUOUS WITHOUT VIDEO,2101.0,1575.75,173.96,2101.0,693 CPT,95722,PR VEEG 36-60 HOURS CONTINUOUS WITH VIDEO,3820.0,2865.0,210.89,3820.0,692 CPT,95723,PR EEG 60-84 HOURS CONTINUOUS WITHOUT VIDEO,2178.0,1633.5,211.99,2178.0,690 CPT,95724,PR VEEG 60-84 HOURS CONTINUOUS WITH VIDEO,4664.0,3498.0,267.93,4664.0,691 CPT,95800,PR SLP STDY UNATTND HRT RATE O2,995.0,746.25,137.54,995.0,676 CPT,95803,HC ACTIGRAPHY,281.0,210.75,62.95,281.0,916 CPT,95803,PR ACTIGRAPHY,506.5,379.875,42.19,736.0,1352 CPT,95805,HC MULT SLEEP LATENCY/MAINT TEST,4491.0,3368.25,612.48,4491.0,917 CPT,95805,PR MULT SLEEP LATENCY/MAINT TEST,753.0,564.75,57.02,803.0,1352 CPT,95806,PR SLEEP STUDY UNATTENDED,619.0,464.25,100.73,619.0,676 CPT,95808,PR POLYSOM ANY AGE 1-3 PARAMETERS,3153.0,2364.75,497.49,3153.0,676 CPT,95810,HC PSG >=6 YRS ATTND,4605.0,3453.75,804.57,4605.0,917 CPT,95810,PR PSG >=6 YRS ATTND,915.0,686.25,117.98,915.0,676 CPT,95811,HC PSG >=6 YRS W CPAP,4835.0,3626.25,847.67,4835.0,916 CPT,95811,PR PSG >=6 YRS W CPAP,1225.0,918.75,122.29,1225.0,676 CPT,95812,HC EEG EXTEND MONITOR 41-60MIN,1485.0,1113.75,230.41,1485.0,917 CPT,95812,PR EEG EXTEND MONITOR 41-60MIN,1075.0,806.25,57.57,1285.0,2033 CPT,95813,HC EEG EXTEND MONITOR >60MIN,2363.0,1772.25,230.41,2363.0,915 CPT,95813,PR EEG EXTEND MONITOR >60MIN,1594.0,1195.5,86.87,2005.0,2030 CPT,95816,HC EEG INCL AWAKE & DROWSY,1515.0,1136.25,230.41,1515.0,916 CPT,95816,PR EEG INCL AWAKE & DROWSY,818.0,613.5,55.6,958.0,2030 CPT,95819,HC EEG INCL AWAKE & ASLEEP,1522.0,1141.5,230.41,1522.0,916 CPT,95819,PR EEG INCL AWAKE & ASLEEP,920.0,690.0,55.92,1055.0,2028 CPT,95822,HC EEG COMA/SLEEP,3328.0,2496.0,230.41,3328.0,915 CPT,95822,PR EEG COMA/SLEEP,1845.0,1383.75,55.92,2117.0,2028 CPT,95829,HC ELECTROCORTICOGRAM AT SURGERY,5610.0,4207.5,2377.38,5610.0,909 CPT,95829,PR ELECTROCORTICOGRAM AT SURGERY,7366.0,5524.5,331.91,8945.0,2028 CPT,95836,PR ECOG IMPLTD BRN NPGT <30 DAYS,664.0,498.0,87.16,664.0,691 CPT,95860,HC EMG NEEDLE 1 EXT,973.0,729.75,98.99,973.0,915 CPT,95860,PR EMG NEEDLE 1 EXT,316.0,237.0,50.67,606.0,2029 CPT,95861,HC EMG NEEDLE 2 EXT,1190.0,892.5,117.44,1190.0,916 CPT,95861,PR EMG NEEDLE 2 EXT,525.0,393.75,78.29,1002.0,2028 CPT,95864,HC EMG NEEDLE 4 EXT,1622.0,1216.5,137.3,1622.0,915 CPT,95864,PR EMG NEEDLE 4 EXT,909.0,681.75,103.33,1622.0,2028 CPT,95865,HC EMG NEEDLE LARYNX,904.0,678.0,102.38,904.0,915 CPT,95865,PR EMG NEEDLE LARYNX,602.0,451.5,68.25,1143.0,2028 CPT,95866,HC EMG NEEDLE HEMIDIAPHRAGM,1028.0,771.0,101.42,1028.0,915 CPT,95866,PR EMG NEEDLE HEMIDIAPHRAGM,371.0,278.25,65.52,721.0,2028 CPT,95867,HC EMG NEEDLE CRANIAL NRV UNILAT,1366.0,1024.5,96.08,1366.0,915 CPT,95867,PR EMG NEEDLE CRANIAL NRV UNILAT,407.0,305.25,40.49,655.0,2029 CPT,95868,HC EMG NEEDLE CRANIAL NRV BIL,1515.0,1136.25,98.01,1515.0,915 CPT,95868,PR EMG NEEDLE CRANIAL NRV BIL,583.0,437.25,60.88,1016.0,2028 CPT,95869,HC EMG NEEDLE THORACIC PARASPINAL,998.0,748.5,109.67,998.0,915 CPT,95869,PR EMG NEEDLE THORACIC PARASPINAL,289.0,216.75,19.39,364.0,2028 CPT,95870,HC EMG NEEDLE LIMITED,808.0,606.0,97.04,808.0,915 CPT,95870,PR EMG NEEDLE LIMITED,407.0,305.25,19.39,523.0,2028 CPT,95872,HC EMG NEEDLE SINGLE FIBER QUANT,983.0,737.25,89.76,983.0,915 CPT,95872,PR EMG NEEDLE SINGLE FIBER QUANT,682.0,511.5,59.84,876.0,2032 CPT,95874,PR EMG NEEDLE GUID CHEMODENERV,231.0,173.25,19.43,308.0,2032 CPT,95885,HC EMG NDL EA EXT LTD NRV CONDCT,473.0,354.75,66.99,473.0,909 CPT,95885,PR EMG NDL EA EXT LTD NRV CONDCT,261.0,195.75,18.12,379.0,2029 CPT,95886,HC EMG NDL EXT CMPLT W NRV CONDCT,584.0,438.0,79.14,584.0,909 CPT,95886,PR EMG NDL EXT CMPLT W NRV CONDCT,299.0,224.25,44.77,590.0,2031 CPT,95887,HC EMG NDL NON-EXT W NRV CONDCT,450.0,337.5,74.28,450.0,910 CPT,95887,PR EMG NDL NON-EXT W NRV CONDCT,300.0,225.0,36.53,562.0,2032 CPT,95907,HC NERVE CONDCT STUDIES 1-2,650.0,487.5,59.18,650.0,915 CPT,95907,PR NERVE CONDCT STUDIES 1-2,333.0,249.75,39.45,563.0,2031 CPT,95908,HC NERVE CONDCT STUDIES 3-4,1167.0,875.25,74.22,1167.0,916 CPT,95908,PR NERVE CONDCT STUDIES 3-4,596.0,447.0,49.48,960.0,2033 CPT,95909,HC NERVE CONDCT STUDIES 5-6,1406.0,1054.5,89.76,1406.0,916 CPT,95909,PR NERVE CONDCT STUDIES 5-6,831.0,623.25,59.84,1338.0,2032 CPT,95910,HC NERVE CONDCT STUDIES 7-8,1530.0,1147.5,114.03,1530.0,916 CPT,95910,PR NERVE CONDCT STUDIES 7-8,1108.0,831.0,76.02,1752.0,2033 CPT,95911,HC NERVE CONDCT STUDIES 9-10,1884.0,1413.0,127.14,1884.0,916 CPT,95911,PR NERVE CONDCT STUDIES 9-10,1385.0,1038.75,84.76,2121.0,2032 CPT,95912,HC NERVE CONDCT STUDIES 11-12,2075.0,1556.25,140.19,2075.0,915 CPT,95912,PR NERVE CONDCT STUDIES 11-12,1679.0,1259.25,93.46,2469.0,2031 CPT,95913,HC NERVE CONDCT STUDIES >=13,2305.0,1728.75,163.01,2305.0,915 CPT,95913,PR NERVE CONDCT STUDIES >=13,1902.0,1426.5,108.67,2773.0,2029 CPT,95921,PR AUTONOMIC NRV FUNCT INERVATN,125.0,93.75,43.52,239.0,2030 CPT,95923,HC AUTONOMIC TEST SUDOMOTOR,1030.0,772.5,114.51,1030.0,915 CPT,95923,PR AUTONOMIC TEST SUDOMOTOR,520.0,390.0,43.16,859.0,2033 CPT,95924,HC TEST ANS PARASYM & SYMP W TILT,442.0,331.5,96.99,442.0,915 CPT,95924,PR TEST ANS PARASYM & SYMP W TILT,565.0,423.75,64.66,955.0,2029 CPT,95925,HC SOMATOSENS TEST UPPER EXT,875.0,656.25,180.44,875.0,915 CPT,95925,PR SOMATOSENS TEST UPPER EXT,844.0,633.0,26.98,1008.0,2030 CPT,95926,HC SOMATOSENS TEST LOWER EXT,892.0,669.0,159.56,892.0,916 CPT,95926,PR SOMATOSENS TEST LOWER EXT,840.0,630.0,25.72,1015.0,2030 CPT,95930,HC VEP TEST CNS,940.0,705.0,72.29,940.0,915 CPT,95930,PR VEP TEST CNS,612.0,459.0,17.79,869.0,2030 CPT,95933,HC ORBICULARIS OCULI REFLEX TEST,420.0,315.0,62.95,420.0,915 CPT,95933,PR ORBICULARIS OCULI REFLEX TEST,428.0,321.0,31.23,704.0,2031 CPT,95937,HC TEST NEURMUSC JUNC EA NRV,638.0,478.5,105.3,638.0,916 CPT,95937,PR TEST NEURMUSC JUNC EA NRV,650.0,487.5,33.55,956.0,2032 CPT,95938,HC SOMATOSENS UPPR/LWR LIMBS,1906.0,1429.5,515.79,1906.0,916 CPT,95938,PR SOMATOSENS UPPR/LWR LIMBS,2169.0,1626.75,44.41,2464.0,2031 CPT,95939,HC CTR MOTOR STDY UPPR/LWR LIMBS,3656.0,2742.0,685.16,3656.0,916 CPT,95939,PR CTR MOTOR STDY UPPR/LWR LIMBS,2260.0,1695.0,115.85,2864.0,2028 CPT,95940,HC IONM 1-1 ATTND EA 15 MIN,497.0,372.75,39.6,497.0,909 CPT,95940,PR IONM 1-1 ATTND EA 15 MIN,450.0,337.5,26.4,640.0,1352 CPT,95941,HC IONM REMOTE >=1 PATIENT PER HR,727.0,545.25,327.15,727.0,910 CPT,95941,PR IONM REMOTE >=1 PATIENT PER HR,1685.0,1263.75,84.25,1685.0,676 CPT,95955,HC EEG NONINTRACRANIAL SURG,3505.0,2628.75,210.15,3505.0,910 CPT,95955,PR EEG NONINTRACRANIAL SURG,632.0,474.0,52.32,862.0,2028 CPT,95957,PR DIGITAL ANALYSIS EEG,640.0,480.0,100.13,983.0,2029 CPT,95958,HC WADA ACTIVATION TEST W EEG,3676.0,2757.0,783.6,3676.0,916 CPT,95958,PR WADA ACTIVATION TEST W EEG,984.0,738.0,221.66,1509.0,2028 CPT,95961,HC MAPPING CORTICAL INITIAL HR,3764.0,2823.0,283.89,3764.0,915 CPT,95961,PR MAPPING CORTICAL INITIAL HR,1815.0,1361.25,166.17,3361.0,2029 CPT,95962,HC MAPPING CORTICAL EA ADD HR,1785.0,1338.75,183.41,1785.0,909 CPT,95962,PR MAPPING CORTICAL EA ADD HR,1889.0,1416.75,122.27,3075.0,2028 CPT,95970,HC NEUROSTIM BRAIN WO REPROGRM,839.0,629.25,23.67,839.0,916 CPT,95970,PR NEUROSTIM BRAIN WO REPROGRM,216.0,162.0,19.34,216.0,678 CPT,95971,HC NEUROSTIM SPINAL SIMPLE W PROG,2380.0,1785.0,50.82,2308.6,916 CPT,95971,PR NEUROSTIM SPINAL SIMPLE W PROG,325.0,243.75,49.42,325.0,677 CPT,95972,PR NEUROSTIM ANLYS CMPLX,431.0,323.25,58.5,431.0,677 CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,893.0,669.75,39.83,893.0,915 CPT,95976,PR ALYS SMPL CN NPGT PRGRMG,505.0,378.75,37.41,505.0,677 CPT,95977,HC ALYS CPLX CN NPGT PRGRMG,1190.0,892.5,62.69,1190.0,915 CPT,95977,PR ALYS CPLX CN NPGT PRGRMG,478.0,358.5,49.88,478.0,676 CPT,95980,PR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG,280.0,210.0,40.22,280.0,676 CPT,95981,PR ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,188.0,141.0,16.26,188.0,690 CPT,95982,PR ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,304.0,228.0,53.24,304.0,686 CPT,95983,PR ALYS BRN NPGT PRGRMG 15 MIN,436.0,327.0,41.42,436.0,693 CPT,95984,PR ALYS BRN NPGT PRGRMG ADDL 15,292.0,219.0,36.49,292.0,692 CPT,95990,PR REFIL&MAINT IMPL PUMP SPN/BRN,373.0,279.75,94.97,373.0,676 CPT,95991,HC REFIL&MAINT IMPL SPN/BRN MD/QHP,1266.0,949.5,49.8,1228.02,915 CPT,95991,PR REFIL&MAINT IMPL SPN/BRN MD/QHP,450.0,337.5,33.2,450.0,690 CPT,95992,HC CANALITH REPOSITIONING PROC OT,453.0,339.75,29.49,453.0,915 CPT,95992,HC CANALITH REPOSITIONING PROC PT,455.0,341.25,29.49,455.0,915 CPT,95992,PR CANALITH REPOSITIONING PROC OT,200.0,150.0,29.49,200.0,690 CPT,95992,PR CANALITH REPOSITIONING PROC PT,200.0,150.0,29.49,200.0,690 CPT,95999,PR PHYSIOLOGIC RECORDING TREMOR,490.0,367.5,24.5,490.0,678 CPT,96002,PR DYNAMIC SURFACE EMG 1-12 MUS,194.0,145.5,17.78,194.0,678 CPT,96004,PR QHP R&I MOTION ANALYSIS,536.0,402.0,104.56,536.0,678 CPT,96020,HC NEUROFUNCTIONAL TEST,872.0,654.0,392.4,872.0,912 CPT,96020,PR NEUROFUNCTIONAL TEST,2283.0,1712.25,149.83,2283.0,676 CPT,96105,HC ASSESS APHASIA PER HR ST,566.0,424.5,95.81,566.0,915 CPT,96105,PR ASSESS APHASIA PER HR ST,344.0,258.0,95.81,344.0,683 CPT,96110,PR DEVELPMNTL SCREEN W SCORE,66.0,49.5,11.94,66.0,676 CPT,96116,HC NEUROBEHAVIORAL EXAM INIT HR,671.0,503.25,107.42,671.0,909 CPT,96116,PR NEUROBEHAVIORAL EXAM INIT HR,404.0,303.0,92.97,404.0,677 CPT,96121,PR NEUROBEHAVIORAL EXAM EA HR,404.0,303.0,61.29,404.0,690 CPT,96125,HC EVAL COGNITIVE TESTING OT,594.0,445.5,101.29,594.0,915 CPT,96125,HC EVAL COGNITIVE TESTING ST,618.0,463.5,101.29,618.0,915 CPT,96125,PR EVAL COGNITIVE TESTING ST,427.0,320.25,101.29,427.0,690 CPT,96127,PR BRIEF EMOT/BEHAV ASSMT,16.0,12.0,4.82,16.0,678 CPT,96130,HC PSY TST INTERP & FEEDBACK INIT HR,563.0,422.25,148.14,563.0,909 CPT,96130,PR PSY TST INTERP & FEEDBACK INIT HR,688.0,516.0,122.39,688.0,680 CPT,96131,PR PSY TST INTERP & FEEDBACK EA HR,392.0,294.0,69.96,392.0,690 CPT,96132,PR NEUROPSY TST INTERP & FEEDBACK 1ST HR,640.0,480.0,120.84,640.0,682 CPT,96133,PR NEUROPSY TST INTERP & FEEDBACK EA HR,503.0,377.25,96.78,503.0,678 CPT,96136,PR PSY OR NSY TST ADMIN BY PHYS 1ST 30 MIN,247.0,185.25,21.21,247.0,690 CPT,96137,PR PSY OR NSY TST ADMIN BY PHYS EA 30 MIN,225.0,168.75,16.34,225.0,690 CPT,96138,HC PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,573.0,429.75,54.81,573.0,909 CPT,96138,PR PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,210.0,157.5,36.54,210.0,682 CPT,96139,HC PSY OR NSY TST ADMIN BY TECH EA 30 MIN,216.0,162.0,51.47,216.0,909 CPT,96139,PR PSY OR NSY TST ADMIN BY TECH EA 30 MIN,212.0,159.0,34.31,212.0,682 CPT,96156,HC HLTH BHV ASSMT/REASSESSMENT,371.0,278.25,129.84,371.0,911 CPT,96156,PR HLTH BHV ASSMT/REASSESSMENT,495.0,371.25,79.97,495.0,685 CPT,96158,HC HLTH BHV IVNTJ INDIV 1ST 30,542.0,406.5,89.43,542.0,909 CPT,96158,PR HLTH BHV IVNTJ INDIV 1ST 30,292.0,219.0,54.91,292.0,686 CPT,96159,HC HLTH BHV IVNTJ INDIV EA ADDL 15,208.0,156.0,30.5,208.0,909 CPT,96159,PR HLTH BHV IVNTJ INDIV EA ADDL 15,146.0,109.5,18.89,146.0,686 CPT,96160,PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,16.0,12.0,2.91,16.0,678 CPT,96164,HC HLTH BHV IVNTJ GRP 1ST 30,371.0,278.25,13.91,371.0,911 CPT,96164,HC PAIN REHAB CTR HALF DAY,372.0,279.0,13.91,372.0,911 CPT,96164,PR HLTH BHV IVNTJ GRP 1ST 30,164.0,123.0,11.54,164.0,677 CPT,96165,HC HLTH BHV IVNTJ GRP EA ADDL 15,161.5,121.125,6.0,164.0,1822 CPT,96165,PR HLTH BHV IVNTJ GRP EA ADDL 15,82.0,61.5,4.97,82.0,677 CPT,96167,PR HLTH BHV IVNTJ FAM 1ST 30,224.0,168.0,58.15,224.0,678 CPT,96168,PR HLTH BHV IVNTJ FAM EA ADDL 15,57.0,42.75,21.1,57.0,678 CPT,96170,PR HLTH BHV IVNTJ FAM WO PT 1ST 30,514.0,385.5,63.07,514.0,677 CPT,96171,PR HLTH BHV IVNTJ FAM W/O PT EA 15,204.0,153.0,22.78,204.0,677 CPT,96202,PR MULT FAM GRP BHV TRAIN WO PT 1ST 60 MIN,89.0,66.75,17.24,89.0,691 CPT,96203,PR MULT FAM GRP BHV TRAIN WO PT 1ST EA 15 MIN,27.0,20.25,4.94,27.0,690 CPT,96360,HC IV INF HYDRAT INIT 31MIN-1HR,486.0,364.5,48.75,615.95,1834 CPT,96360,PR IV INF HYDRAT INIT 31MIN-1HR,337.0,252.75,32.5,337.0,679 CPT,96361,HC IV INF HYDRAT EA ADD HR,155.5,116.625,19.02,195.94,1842 CPT,96361,PR IV INF HYDRAT EA ADD HR,109.0,81.75,12.68,109.0,680 CPT,96365,HC IV INF THER INIT 1ST HR,519.5,389.625,97.68,680.94,1844 CPT,96365,PR IV INF THER INIT 1ST HR,337.0,252.75,65.12,337.0,681 CPT,96366,HC IV INF THER EA ADD HR,182.0,136.5,31.29,227.95,1838 CPT,96366,PR IV INF THER EA ADD HR,129.0,96.75,20.86,129.0,680 CPT,96367,HC IV INF THER ADD SEQ NEW 1ST HR,200.5,150.375,43.44,226.98,1832 CPT,96367,PR IV INF THER ADD SEQ NEW 1ST HR,167.0,125.25,28.96,167.0,681 CPT,96368,HC IV INF THER CONCURR (MAX 1),168.0,126.0,30.3,205.64,1820 CPT,96368,PR IV INF THER CONCURR (MAX 1),124.0,93.0,20.2,124.0,681 CPT,96369,HC SQ INF THER 1 DRUG 1ST HR,568.0,426.0,210.86,568.0,915 CPT,96369,PR SQ INF THER 1 DRUG 1ST HR,568.0,426.0,140.57,568.0,677 CPT,96370,HC SQ INF THER 1 DRUG ADDL HR,233.0,174.75,24.99,233.0,915 CPT,96370,PR SQ INF THER 1 DRUG ADDL HR,94.0,70.5,16.66,94.0,676 CPT,96372,HC INJ THER SUBQ/IM,178.5,133.875,22.55,253.17,1842 CPT,96372,PR INJ THER SUBQ/IM,96.0,72.0,15.03,96.0,681 CPT,96373,PR INJ THER INTRA ARTERIAL,67.0,50.25,19.23,67.0,677 CPT,96374,HC INJ THER IV PUSH SNGL INITIAL,417.5,313.125,55.02,577.15,1842 CPT,96374,PR INJ THER IV PUSH SNGL INITIAL,240.0,180.0,36.68,240.0,681 CPT,96375,HC IV PUSH EA ADD SEQ NEW DRUG,184.0,138.0,22.92,225.04,1842 CPT,96375,PR IV PUSH EA ADD SEQ NEW DRUG,136.0,102.0,15.28,136.0,683 CPT,96376,HC IV PUSH EA ADD SEQ DRUG,302.0,226.5,95.85,391.0,1826 CPT,96377,HC APPLICATION OF ON BODY INJECTOR,112.0,84.0,27.89,112.0,916 CPT,96377,PR APPLICATION OF ON BODY INJECTOR,112.0,84.0,18.59,112.0,677 CPT,96379,PR UNLISTED THER/PROP/DIAG INJ/INF,442.0,331.5,22.1,442.0,676 CPT,96380,PR ADMIN RSV MONOC ANTIB W COUNSEL,64.0,48.0,29.34,64.0,676 CPT,96381,PR ADMIN RSV MONOC ANTIB W/O COUNSEL,63.0,47.25,23.77,63.0,676 CPT,96401,HC CHEMO NON-HORM ANTI-NEO SQ/IM,257.0,192.75,76.83,257.0,916 CPT,96401,PR CHEMO NON-HORM ANTI-NEO SQ/IM,257.0,192.75,69.65,257.0,680 CPT,96402,HC CHEMO HORM ANTI-NEO SQ/IM,172.0,129.0,56.51,172.0,917 CPT,96402,PR CHEMO HORM ANTI-NEO SQ/IM,172.0,129.0,37.67,172.0,682 CPT,96405,HC CHEMO INTRALESNAL <=7 LESN,725.0,543.75,35.1,725.0,915 CPT,96405,PR CHEMO INTRALESNAL <=7 LESN,382.0,286.5,11.7,370.54,698 CPT,96406,PR CHEMO INTRALESIONAL >7,620.0,465.0,18.43,601.4,697 CPT,96409,HC CHEMO IV PUSH SNGL,675.0,506.25,152.0,675.0,917 CPT,96409,PR CHEMO IV PUSH SNGL,675.0,506.25,101.33,675.0,678 CPT,96411,HC CHEMO IV PUSH EA ADD,308.0,231.0,76.83,308.0,915 CPT,96411,PR CHEMO IV PUSH EA ADD,308.0,231.0,55.44,308.0,680 CPT,96413,HC CHEMO IV INF 1ST HR,758.0,568.5,193.74,758.0,918 CPT,96413,PR CHEMO IV INF 1ST HR,758.0,568.5,129.16,758.0,683 CPT,96415,HC CHEMO IV INF EA ADD HR,183.0,137.25,41.45,183.0,917 CPT,96415,PR CHEMO IV INF EA ADD HR,183.0,137.25,27.63,183.0,682 CPT,96416,PR CHEMO IV INF > 8HR W PUMP,849.0,636.75,129.09,849.0,679 CPT,96417,HC CHEMO INF SEQ DIF DRUG 1ST HR,487.0,365.25,76.83,487.0,916 CPT,96417,PR CHEMO INF SEQ DIF DRUG 1ST HR,487.0,365.25,64.51,487.0,681 CPT,96420,HC ADMIN CHEMO ARTERY PUSH,649.0,486.75,152.85,649.0,915 CPT,96446,PR CHEMO ADMIN PERIT CAV VIA CATH,1683.0,1262.25,18.38,1683.0,690 CPT,96450,HC CHEMO ADMIN CNS REQ SP PUNC,1159.0,869.25,98.19,1159.0,916 CPT,96450,PR CHEMO ADMIN CNS REQ SP PUNC,1159.0,869.25,157.06,1159.0,676 CPT,96521,HC REFILL/MAINT PORTABLE PUMP,433.0,324.75,208.68,420.01,915 CPT,96521,PR REFILL/MAINT PORTABLE PUMP,433.0,324.75,139.12,433.0,676 CPT,96523,HC IRRIG IMP VAD,636.0,477.0,37.88,616.92,916 CPT,96523,PR IRRIG IMP VAD,144.0,108.0,25.25,144.0,680 CPT,96542,HC CHEMOTX NJX SUBARACH/INTRAVENT,666.0,499.5,52.77,666.0,915 CPT,96542,PR CHEMOTX NJX SUBARACH/INTRAVENT,627.0,470.25,130.66,627.0,677 CPT,96547,PR HIPEC INCISION AND CLOSURE FIRST 60 MIN,3804.0,2853.0,190.2,3804.0,676 CPT,96548,PR HIPEC INCISION AND CLOSURE EACH ADTL 30 MIN,1902.0,1426.5,95.1,1902.0,676 CPT,96549,PR CHEMO PROC HIPEC,1631.0,1223.25,81.55,1631.0,676 CPT,96567,PR PHOTODYNAMIC THRPY SKIN DSTRCT,587.0,440.25,125.22,587.0,678 CPT,96900,PR ACTINOTHERAPY UV LIGHT,102.0,76.5,22.94,102.0,678 CPT,96904,PR INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,439.0,329.25,54.44,439.0,687 CPT,96910,PR PHOTOCHEMTHRPY W UV-B GOECKMAN,194.0,145.5,111.26,194.0,676 CPT,96912,PR PHOTOCHEMTHRPY W UV-A PUVA,208.0,156.0,94.11,208.0,676 CPT,96931,PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST,641.0,480.75,160.22,641.0,676 CPT,96932,PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION,439.0,329.25,118.74,439.0,676 CPT,96933,PR RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES,174.0,130.5,41.47,174.0,677 CPT,96999,PR COSM REMOVAL HAIR ABD MALE,230.0,172.5,11.5,230.0,677 CPT,96999,PR COSM REMOVAL HAIR BACK MALE,600.0,450.0,30.0,600.0,677 CPT,96999,PR COSM REMOVAL HAIR BIKINI LINE,150.0,112.5,7.5,150.0,677 CPT,96999,PR COSM REMOVAL HAIR CHIN,120.0,90.0,6.0,120.0,677 CPT,96999,PR COSM REMOVAL HAIR EARS,200.0,150.0,10.0,200.0,677 CPT,96999,PR COSM REMOVAL HAIR UPPER LIP,140.0,105.0,7.0,140.0,677 CPT,96999,PR LASER HAIR RMVL 1 LG BODY SITE,800.0,600.0,40.0,800.0,677 CPT,96999,PR LASER HAIR RMVL 1 LG FACIAL SITE,400.0,300.0,20.0,400.0,677 CPT,96999,PR LASER HAIR RMVL 1 MED BODY SITE,400.0,300.0,20.0,400.0,677 CPT,96999,PR LASER HAIR RMVL 1 SM BODY SITE,200.0,150.0,10.0,200.0,677 CPT,96999,PR LASER HAIR RMVL 1 SM FACIAL SITE,200.0,150.0,10.0,200.0,677 CPT,97007,PR SCALP COOLING INITIAL FITTING & CAP,3100.0,2325.0,1642.43,3100.0,676 CPT,97008,PR SCALP COOLING PRE-CHEMO,150.0,112.5,9.67,150.0,678 CPT,97009,PR SCALP COOLING POST-CHEMO ADDL 30 MINS EA,50.0,37.5,6.15,50.0,678 CPT,97010,HC HOT/COLD PACK PT,23.0,17.25,10.35,23.0,909 CPT,97010,PR HOT/COLD PACK,48.0,36.0,6.5,48.0,550 CPT,97012,HC TRACTION MECHANICAL PT,132.0,99.0,14.13,132.0,915 CPT,97012,PR PT TRACTION MECHANICAL,69.0,51.75,14.13,69.0,683 CPT,97014,HC ELECTRIC STIMULATION THERAPY OT,72.0,54.0,12.45,72.0,913 CPT,97014,PR ELECTRIC STIMULATION THERAPY OT,63.0,47.25,12.45,63.0,676 CPT,97014,PR ELECTRIC STIMULATION THERAPY PT,63.0,47.25,12.45,63.0,591 CPT,97016,PR VASOPNEUMATIC DEVICE PT,76.0,57.0,11.8,76.0,596 CPT,97022,HC WHIRLPOOL OT,78.0,58.5,15.35,78.0,915 CPT,97022,HC WHIRLPOOL PT,78.0,58.5,15.35,78.0,915 CPT,97022,PR WHIRLPOOL OT,76.0,57.0,15.35,76.0,683 CPT,97022,PR WHIRLPOOL PT,76.0,57.0,15.35,76.0,596 CPT,97032,HC E-STIM MANUAL EA 15MIN OT,152.0,114.0,14.46,152.0,915 CPT,97032,HC E-STIM MANUAL EA 15MIN PT,152.0,114.0,14.46,152.0,915 CPT,97032,PR E-STIM MANUAL EA 15MIN OT,66.0,49.5,14.46,66.0,683 CPT,97032,PR E-STIM MANUAL EA 15MIN PT,66.0,49.5,14.46,66.0,683 CPT,97033,HC IONTOPHORESIS EA 15MIN PT,109.0,81.75,18.68,109.0,915 CPT,97033,PR IONTOPHORESIS EA 15MIN OT,106.0,79.5,18.68,106.0,683 CPT,97033,PR IONTOPHORESIS EA 15MIN PT,106.0,79.5,18.68,106.0,683 CPT,97034,HC CONTRAST BATH EA 15MIN OT,134.0,100.5,13.77,134.0,915 CPT,97034,PR CONTRAST BATH EA 15MIN OT,69.0,51.75,13.77,69.0,683 CPT,97035,HC ULTRASOUND EA 15MIN OT,59.0,44.25,14.1,59.0,915 CPT,97035,HC ULTRASOUND EA 15MIN PT,59.0,44.25,14.1,59.0,915 CPT,97035,PR ULTRASOUND EA 15MIN OT,59.0,44.25,14.1,59.0,683 CPT,97035,PR ULTRASOUND EA 15MIN PT,59.0,44.25,14.1,59.0,683 CPT,97037,PR LOW LVL LASER THERAPY,93.0,69.75,41.85,93.0,678 CPT,97039,PR UNLISTED MODALITY OT,96.0,72.0,4.8,96.0,676 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN OT,233.0,174.75,28.59,233.0,916 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN PT,233.0,174.75,28.59,233.0,916 CPT,97110,PR THERAPEUTIC EXERC EA 15MIN OT,134.0,100.5,28.59,134.0,683 CPT,97110,PR THERAPEUTIC EXERC EA 15MIN PT,134.0,100.5,28.59,134.0,683 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN OT,240.0,180.0,32.2,240.0,915 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN PT,240.0,180.0,32.2,240.0,915 CPT,97112,PR NEUROMUSCULAR RE-ED EA15MIN OT,114.0,85.5,32.2,114.0,683 CPT,97112,PR NEUROMUSCULAR RE-ED EA15MIN PT,114.0,85.5,32.2,114.0,683 CPT,97113,PR AQUATIC THRPY EA 15MIN,100.0,75.0,36.38,100.0,683 CPT,97116,HC GAIT TRAINING EA 15MIN PT,242.0,181.5,28.59,242.0,916 CPT,97116,PR PT GAIT TRAINING EA 15MIN,100.0,75.0,28.59,100.0,683 CPT,97124,HC THER MASSAGE EA 15MIN OT,86.0,64.5,29.13,86.0,915 CPT,97124,PR THER MASSAGE EA 15MIN OT,159.0,119.25,29.13,159.0,683 CPT,97124,PR THER MASSAGE EA 15MIN PT,159.0,119.25,29.13,159.0,596 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN OT,142.0,106.5,19.58,142.0,915 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN PT,142.0,106.5,19.58,142.0,915 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN ST,142.0,106.5,19.58,142.0,915 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN,85.0,63.75,19.58,85.0,691 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN OT,85.0,63.75,19.58,85.0,691 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN ST,85.0,63.75,22.16,85.0,677 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN OT,142.0,106.5,18.3,142.0,915 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN ST,142.0,106.5,18.3,142.0,915 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN,85.0,63.75,18.3,85.0,691 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN OT,85.0,63.75,18.3,85.0,691 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN ST,85.0,63.75,20.89,85.0,677 CPT,97140,HC MANUAL THERAPY EA 15MIN OT,253.0,189.75,27.27,253.0,915 CPT,97140,HC MANUAL THERAPY EA 15MIN PT,253.0,189.75,27.27,253.0,915 CPT,97140,PR MANUAL THERAPY EA 15MIN OT,125.0,93.75,27.27,125.0,683 CPT,97140,PR MANUAL THERAPY EA 15MIN PT,125.0,93.75,27.27,125.0,683 CPT,97150,HC GROUP THERAPY OT,116.0,87.0,17.74,116.0,916 CPT,97150,HC GROUP THERAPY PT,116.0,87.0,17.74,116.0,916 CPT,97161,HC PT EVAL LOW COMPLEX,458.0,343.5,96.39,458.0,917 CPT,97161,PR PT EVAL LOW COMPLEX,320.0,240.0,96.39,320.0,683 CPT,97162,HC PT EVAL MOD COMPLEX,504.0,378.0,96.39,504.0,915 CPT,97162,PR PT EVAL MOD COMPLEX,336.0,252.0,96.39,336.0,683 CPT,97163,HC PT EVAL HIGH COMPLEX,545.0,408.75,96.39,545.0,915 CPT,97163,PR PT EVAL HIGH COMPLEX,370.0,277.5,96.39,370.0,683 CPT,97164,HC PT RE-EVAL EST PLAN CARE,231.0,173.25,66.33,231.0,915 CPT,97164,PR PT RE-EVAL EST PLAN CARE,209.0,156.75,66.33,209.0,683 CPT,97165,HC OT EVAL LOW COMPLEX,458.0,343.5,98.98,458.0,915 CPT,97165,PR OT EVAL LOW COMPLEX,320.0,240.0,98.98,320.0,683 CPT,97166,HC OT EVAL MOD COMPLEX,504.0,378.0,98.98,504.0,915 CPT,97166,PR OT EVAL MOD COMPLEX,336.0,252.0,98.98,336.0,683 CPT,97167,HC OT EVAL HIGH COMPLEX,545.0,408.75,98.98,545.0,915 CPT,97167,PR OT EVAL HIGH COMPLEX,370.0,277.5,98.98,370.0,683 CPT,97168,HC OT RE-EVAL EST PLAN CARE,231.0,173.25,67.31,231.0,915 CPT,97168,PR OT RE-EVAL EST PLAN CARE,209.0,156.75,67.31,209.0,683 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN OT,205.0,153.75,34.4,205.0,916 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN PT,209.0,156.75,34.4,209.0,916 CPT,97530,PR THER FUNCT ACTVTY EA 15MIN OT,176.0,132.0,34.4,176.0,683 CPT,97530,PR THER FUNCT ACTVTY EA 15MIN PT,176.0,132.0,34.4,176.0,683 CPT,97533,HC SENSORY INTEG EA 15 MIN OT,157.0,117.75,59.36,157.0,915 CPT,97533,HC SENSORY INTEG EA 15 MIN PT,157.0,117.75,59.36,157.0,915 CPT,97533,PR SENSORY INTEG EA 15 MIN OT,114.0,85.5,59.36,114.0,683 CPT,97535,HC HOME MGMT TRAIN EA 15MIN OT,268.0,201.0,31.82,268.0,915 CPT,97535,HC HOME MGMT TRAIN EA 15MIN PT,261.0,195.75,31.82,261.0,915 CPT,97535,PR HOME MGMT TRAIN EA 15MIN OT,128.0,96.0,31.82,128.0,683 CPT,97535,PR HOME MGMT TRAIN EA 15MIN PT,128.0,96.0,31.82,128.0,683 CPT,97537,HC COMM/WORK REINTGRT EA 15MIN OT,118.0,88.5,31.53,118.0,915 CPT,97537,PR COMM/WORK REINTGRT EA 15MIN OT,93.0,69.75,31.53,93.0,683 CPT,97542,HC WHEELCHAIR MGMT EA 15MIN PT,106.0,79.5,30.56,106.0,915 CPT,97542,PR WHEELCHAIR MGMT EA 15MIN OT,103.0,77.25,30.56,103.0,683 CPT,97542,PR WHEELCHAIR MGMT EA 15MIN PT,103.0,77.25,30.56,103.0,683 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS OT,228.0,171.0,39.51,228.0,915 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS PT,227.0,170.25,39.51,227.0,915 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS ST,227.0,170.25,39.51,227.0,915 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS OT,218.0,163.5,39.51,218.0,690 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS PT,218.0,163.5,39.51,218.0,690 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS ST,218.0,163.5,39.51,218.0,690 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS ST,113.0,84.75,20.95,113.0,915 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS OT,109.0,81.75,20.95,109.0,690 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS PT,109.0,81.75,20.95,109.0,690 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS ST,109.0,81.75,20.95,109.0,690 CPT,97597,PR DBRD SEL OPN WND<=20SCM,261.0,195.75,84.13,261.0,688 CPT,97598,PR DBRD SEL OPN WND ADD 20SCM,135.0,101.25,39.58,135.0,686 CPT,97602,PR DBRD WND RMVL TIS NON-SEL,183.0,137.25,82.35,183.0,550 CPT,97605,HC NEG PRESS WND THRPY <=50SCM,534.0,400.5,31.37,517.98,916 CPT,97605,PR NEG PRESS WND THRPY <=50SCM,187.0,140.25,35.11,187.0,687 CPT,97606,PR NEG PRESS WND THRPY >50SCM,346.0,259.5,42.03,346.0,687 CPT,97607,PR NPW THRPY NON DME <50SCM,883.0,662.25,302.78,883.0,686 CPT,97608,PR NPW THRPY NON DME >50SCM,957.0,717.75,21.2,957.0,691 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN OT,266.0,199.5,33.12,266.0,915 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN PT,266.0,199.5,33.12,266.0,915 CPT,97750,PR PHYSICAL PERF TEST EA 15MIN OT,166.0,124.5,33.12,166.0,683 CPT,97750,PR PHYSICAL PERF TEST EA 15MIN PT,166.0,124.5,33.12,166.0,596 CPT,97760,HC ORTH TRAIN INIT ENC EA 15MIN OT,222.0,166.5,45.14,222.0,915 CPT,97760,HC ORTH TRAIN INIT ENC EA 15MIN PT,222.0,166.5,45.14,222.0,915 CPT,97760,PR ORTH TRAIN INIT ENC EA 15MIN OT,167.0,125.25,45.14,167.0,683 CPT,97760,PR ORTH TRAIN INIT ENC EA 15MIN PT,167.0,125.25,45.14,167.0,683 CPT,97761,HC PROSTH TRAIN INIT ENC EA 15MIN OT,211.0,158.25,39.64,211.0,915 CPT,97761,HC PROSTH TRAIN INIT ENC EA 15MIN PT,211.0,158.25,39.64,211.0,915 CPT,97761,PR PROSTH TRAIN INIT ENC EA 15MIN OT,137.0,102.75,39.64,137.0,683 CPT,97761,PR PROSTH TRAIN INIT ENC EA 15MIN PT,137.0,102.75,39.64,137.0,683 CPT,97763,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,147.0,110.25,49.01,147.0,915 CPT,97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,167.0,125.25,49.01,167.0,683 CPT,97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,167.0,125.25,49.01,167.0,683 CPT,97799,PR INDV PHYSICAL PERF ASSESS,450.0,337.5,22.5,450.0,676 CPT,97802,PR MNT INIT INDV EA 15MIN,114.0,85.5,30.69,114.0,680 CPT,97803,PR MNT REASSESS INDV EA 15MIN,98.0,73.5,26.5,98.0,678 CPT,97804,PR MNT GROUP EA 30MIN,64.0,48.0,12.2,64.0,690 CPT,97810,PR ACUPUNC WO E-STIM INIT 15MIN,145.0,108.75,47.09,145.0,679 CPT,97811,PR ACUPUNC WO E-STIM EA ADD 15MIN,112.0,84.0,27.87,112.0,679 CPT,97813,PR ACUPUNC W E-STIM 1ST 15 MIN,162.0,121.5,32.94,162.0,692 CPT,97814,PR ACUPUNC W E-STIM ADD 15MIN,104.0,78.0,20.76,104.0,692 CPT,98000,PR SYNCH AUDIO-VIDEO NEW SF 15,255.0,191.25,39.58,255.0,677 CPT,98001,PR SYNCH AUDIO-VIDEO NEW LOW 30,376.0,282.0,67.34,376.0,677 CPT,98002,PR SYNCH AUDIO-VIDEO NEW MOD 45,599.0,449.25,109.87,599.0,677 CPT,98003,PR SYNCH AUDIO-VIDEO NEW HI 60,792.0,594.0,147.83,792.0,677 CPT,98004,PR SYNCH AUDIO-VIDEO EST SF 10,176.0,132.0,29.7,176.0,677 CPT,98005,PR SYNCH AUDIO-VIDEO EST LOW 20,265.0,198.75,70.34,265.0,676 CPT,98006,PR SYNCH AUDIO-VIDEO EST MOD 30,370.0,277.5,81.15,370.0,677 CPT,98007,PR SYNCH AUDIO-VIDEO EST HI 40,593.0,444.75,137.7,593.0,676 CPT,98008,PR SYNCH AUDIO-ONLY NEW SF 15,255.0,191.25,38.25,255.0,678 CPT,98009,PR SYNCH AUDIO-ONLY NEW LOW 30,376.0,282.0,65.35,376.0,677 CPT,98010,PR SYNCH AUDIO-ONLY NEW MOD 45,599.0,449.25,102.27,599.0,677 CPT,98011,PR SYNCH AUDIO-ONLY NEW HI 60,792.0,594.0,135.26,792.0,677 CPT,98012,PR SYNCH AUDIO-ONLY EST SF 10,176.0,132.0,27.39,176.0,677 CPT,98013,PR SYNCH AUDIO-ONLY EST LOW 20,265.0,198.75,50.82,265.0,677 CPT,98014,PR SYNCH AUDIO-ONLY EST MOD 30,370.0,277.5,73.9,370.0,677 CPT,98015,PR SYNCH AUDIO-ONLY EST HI 40,593.0,444.75,136.73,593.0,676 CPT,98925,PR OMT 1-2 BODY REGIONS,111.0,83.25,19.45,111.0,691 CPT,98926,PR OMT 3-4 BODY REGIONS,164.0,123.0,29.37,164.0,691 CPT,98927,PR OMT 5-6 BODY REGIONS,202.0,151.5,39.59,202.0,691 CPT,98928,PR OMT 7-8 BODY REGIONS,251.0,188.25,49.51,251.0,692 CPT,98929,PR OMT 9-10 BODY REGIONS,277.0,207.75,58.82,277.0,691 CPT,98960,PR SELF-MGMT EDUC & TRAIN 1 PT,99.0,74.25,32.29,99.0,678 CPT,98961,PR SELF-MGMT EDUC & TRAIN 2-4 PT,80.0,60.0,15.17,80.0,676 CPT,98962,PR SELF-MGMT EDUC & TRAIN 5-8 PT,73.0,54.75,11.61,73.0,676 CPT,98966,PR PHONE ASSESS/MNGMT 5-10 MIN,74.0,55.5,10.25,74.0,690 CPT,98967,PR PHONE ASSESS/MNGMT 11-20 MIN,125.0,93.75,19.86,125.0,690 CPT,98968,PR PHONE ASSESS/MNGMT 21-30 MIN,177.0,132.75,25.77,177.0,691 CPT,98975,PR REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP PT,59.0,44.25,20.96,59.0,676 CPT,98976,PR REM THER MNTR DEV SUPPLY W/REC RESPIR SYS EA 30D,174.0,130.5,50.45,174.0,676 CPT,98980,PR REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN,189.0,141.75,25.45,189.0,690 CPT,98981,PR REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN,125.0,93.75,25.12,125.0,690 CPT,99001,HC SPEC HANDLE &/OR CONVEY OTHER,36.0,27.0,16.2,36.0,910 CPT,99001,PR SPEC HANDLE &/OR CONVEY OTHER,36.0,27.0,16.2,36.0,676 CPT,99024,HC POSTOPERATIVE FOLLOW-UP VISIT,201.0,150.75,90.45,201.0,914 CPT,99070,HC DRINKING CUP ASSISTIVE 10ML,214.0,160.5,96.3,214.0,909 CPT,99070,HC DRINKING CUP ASSISTIVE 5ML,214.0,160.5,96.3,214.0,909 CPT,99070,HC EMST150 TRAINER,330.0,247.5,148.5,330.0,909 CPT,99070,HC EMST75LITE TRAINER,330.0,247.5,148.5,330.0,909 CPT,99070,HC IA150 ADAPTER,180.0,135.0,81.0,180.0,909 CPT,99070,HC RMT TRAINER KIT,252.0,189.0,113.4,252.0,909 CPT,99070,PR AMIELLE DILATOR,131.0,98.25,58.95,131.0,678 CPT,99070,PR CYMETRA PER CC FL,243.0,182.25,109.35,243.0,678 CPT,99070,PR EMST150 TRAINER,330.0,247.5,148.5,330.0,678 CPT,99070,PR EMST75LITE TRAINER,330.0,247.5,148.5,330.0,678 CPT,99070,PR FACIAL BANDAGE,54.0,40.5,24.3,54.0,678 CPT,99070,PR IA150 ADAPTER,179.0,134.25,80.55,179.0,678 CPT,99070,PR JUVEDERM ULTRA .4CC,446.0,334.5,200.7,446.0,678 CPT,99070,PR JUVEDERM ULTRA PLUS RST,494.0,370.5,222.3,494.0,678 CPT,99070,PR JUVEDERM ULTRA PLUS XC RST,735.0,551.25,330.75,735.0,678 CPT,99070,PR JUVEDERM ULTRA XC AZ,893.0,669.75,401.85,893.0,678 CPT,99070,PR PENILE SELF INJECTION KIT,34.0,25.5,15.3,34.0,678 CPT,99070,PR RESTYLANE 1 CC RST,510.0,382.5,229.5,510.0,678 CPT,99070,PR RESTYLANE EYELIGHT 1/2 CC,400.0,300.0,180.0,400.0,678 CPT,99070,PR RMT TRAINER KIT,262.0,196.5,117.9,262.0,678 CPT,99070,PR VAGINAL DILATOR - TAKE HOME,42.0,31.5,18.9,42.0,678 CPT,99078,PR PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING,158.0,118.5,71.1,158.0,676 CPT,99091,PR COLL AND INTERP PHYS DATA,161.0,120.75,46.83,161.0,690 CPT,99100,PR ANES PT EXTREME AGE <1YR/ >70,319.0,239.25,143.55,319.0,676 CPT,99116,PR ANES COMPL TOT BODY HYPOTHERM,1671.0,1253.25,751.95,1671.0,676 CPT,99135,PR ANES COMPL CNTRLD HYPOTENSION,1429.0,1071.75,643.05,1429.0,676 CPT,99140,PR ANES COMPL EMERG CONDITIONS,606.0,454.5,272.7,606.0,676 CPT,99152,HC MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,663.0,497.25,298.35,663.0,909 CPT,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,312.0,234.0,49.99,312.0,676 CPT,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER-GI,451.0,338.25,49.99,590.0,1352 CPT,99153,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,125.0,93.75,56.25,125.0,909 CPT,99153,PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,105.0,78.75,11.9,105.0,676 CPT,99156,PR MOD SED OTH PHYS/QHP 5/>YRS,649.0,486.75,69.93,649.0,676 CPT,99157,PR MOD SED OTH PHYS/QHP 5/>YRS ADDL 15 MIN,145.0,108.75,53.2,145.0,676 CPT,99173,PR VISUAL ACUITY SCRN,51.0,38.25,3.2,51.0,679 CPT,99195,HC PHLEBOTOMY THERAPEUTIC,1086.0,814.5,141.97,1086.0,916 CPT,99195,PR PHLEBOTOMY THERAPEUTIC,236.0,177.0,94.97,236.0,678 CPT,99199,PR IMH GROUP ACUPUNCTURE,48.0,36.0,2.4,48.0,676 CPT,99199,PR IMH SELF PAY ACUPUNCTURE,175.0,131.25,8.75,175.0,676 CPT,99199,PR INTERNATIONAL MED AHP PER DAY,5000.0,3750.0,250.0,5000.0,676 CPT,99199,PR INTERNATIONAL MED APP PER DAY,7500.0,5625.0,375.0,7500.0,676 CPT,99199,PR INTERNATIONAL MED MD PER DAY,15000.0,11250.0,750.0,15000.0,676 CPT,99199,PR INTERNATIONAL MED SURG/PROC PER DAY,25000.0,18750.0,1250.0,25000.0,676 CPT,99202,HC VISIT NEW PATIENT LEVEL 2,300.0,225.0,40.51,300.0,916 CPT,99202,PR TELEPHONE VISIT NEW PATIENT LEVEL 2,255.0,191.25,40.51,255.0,697 CPT,99202,PR VISIT NEW PATIENT LEVEL 2,255.0,191.25,73.52,255.0,683 CPT,99202,PR VISIT NEW PATIENT LEVEL 2 Consult Adjusted,449.0,336.75,73.52,449.0,678 CPT,99203,HC VISIT NEW PATIENT LEVEL 3,341.0,255.75,70.31,341.0,916 CPT,99203,PR VISIT NEW PATIENT LEVEL 3,376.0,282.0,97.73,376.0,693 CPT,99203,PR VISIT NEW PATIENT LEVEL 3 Consult Adjusted,530.0,397.5,97.73,530.0,689 CPT,99204,HC VISIT NEW PATIENT LEVEL 4,387.0,290.25,115.07,387.0,917 CPT,99204,PR VISIT NEW PATIENT LEVEL 4,599.0,449.25,147.6,599.0,694 CPT,99204,PR VISIT NEW PATIENT LEVEL 4 Consult Adjusted,696.0,522.0,147.6,696.0,688 CPT,99205,HC VISIT NEW PATIENT LEVEL 5,477.0,357.75,142.07,477.0,915 CPT,99205,PR VISIT NEW PATIENT LEVEL 5,792.0,594.0,231.74,792.0,684 CPT,99205,PR VISIT NEW PATIENT LEVEL 5 Consult Adjusted,850.0,637.5,231.74,850.0,678 CPT,99211,HC IP PICC REMOVAL,272.0,204.0,7.59,263.84,918 CPT,99211,HC VISIT EST PATIENT LEVEL 1,240.0,180.0,7.59,240.0,1836 CPT,99211,PR VISIT EST PATIENT LEVEL 1,94.0,70.5,20.21,94.0,681 CPT,99212,HC VISIT EST PATIENT LEVEL 2,265.0,198.75,30.6,265.0,1834 CPT,99212,PR TELEPHONE VISIT EST PATIENT LEVEL 2,176.0,132.0,49.39,176.0,683 CPT,99212,PR VISIT EST PATIENT LEVEL 2,176.0,132.0,49.39,176.0,683 CPT,99212,PR VISIT EST PATIENT LEVEL 2 Consult Adjusted,388.0,291.0,49.39,449.0,1354 CPT,99213,HC VISIT EST PATIENT LEVEL 3,277.0,207.75,56.67,277.0,1838 CPT,99213,PR TELEPHONE VISIT EST PATIENT LEVEL 3,265.0,198.75,56.67,265.0,698 CPT,99213,PR VISIT EST PATIENT LEVEL 3,265.0,198.75,79.26,265.0,684 CPT,99213,PR VISIT EST PATIENT LEVEL 3 Consult Adjusted,530.0,397.5,79.26,530.0,678 CPT,99214,HC VISIT EST PATIENT LEVEL 4,310.0,232.5,83.34,310.0,1834 CPT,99214,PR VISIT EST PATIENT LEVEL 4,370.0,277.5,112.93,370.0,685 CPT,99214,PR VISIT EST PATIENT LEVEL 4 Consult Adjusted,696.0,522.0,112.93,696.0,678 CPT,99215,HC VISIT EST PATIENT LEVEL 5,373.0,279.75,123.8,382.0,1834 CPT,99215,PR VISIT EST PATIENT LEVEL 5,593.0,444.75,188.53,593.0,683 CPT,99215,PR VISIT EST PATIENT LEVEL 5 Consult Adjusted,850.0,637.5,188.53,850.0,678 CPT,99221,PR INIT HOSP IP/OBS SF/LOW,515.0,386.25,73.15,515.0,676 CPT,99221,PR INIT HOSP IP/OBS SF/LOW Consult Adjusted,599.0,449.25,73.15,599.0,676 CPT,99222,PR INIT HOSP IP/OBS MODERATE,545.0,408.75,115.1,545.0,676 CPT,99222,PR INIT HOSP IP/OBS MODERATE Consult Adjusted,684.0,513.0,115.1,684.0,676 CPT,99223,PR INIT HOSP IP/OBS HIGH,707.0,530.25,154.04,707.0,676 CPT,99223,PR INIT HOSP IP/OBS HIGH Consult Adjusted,875.0,656.25,154.04,875.0,676 CPT,99231,PR SBSQ HOSP IP/OBS SF/LOW,215.0,161.25,36.94,215.0,686 CPT,99231,PR SBSQ HOSP IP/OBS SF/LOW Consult Adjusted,415.0,311.25,36.94,415.0,686 CPT,99232,PR SBSQ HOSP IP/OBS MODERATE,297.0,222.75,69.48,297.0,676 CPT,99232,PR SBSQ HOSP IP/OBS MODERATE Consult Adjusted,535.0,401.25,69.48,535.0,676 CPT,99233,PR SBSQ HOSP IP/OBS HIGH,426.0,319.5,105.38,426.0,676 CPT,99234,PR HOSP IP/OBS SM DT SF/LOW,520.0,390.0,86.84,520.0,676 CPT,99235,PR HOSP IP/OBS SAME DATE MODERATE,636.0,477.0,119.8,636.0,686 CPT,99236,PR HOSP IP/OBS SAME DATE HIGH,838.0,628.5,186.93,838.0,676 CPT,99238,PR HOSP D/C DAY MGMT <= 30 MIN,357.0,267.75,73.6,357.0,676 CPT,99239,PR HOSP D/C DAY MGMT > 30 MIN,440.0,330.0,89.14,440.0,686 CPT,99242,HC OFFICE CONSULT LEVEL 2,331.0,248.25,142.07,331.0,914 CPT,99242,PR OFFICE CONSULT LEVEL 2,449.0,336.75,73.68,449.0,677 CPT,99243,HC OFFICE CONSULT LEVEL 3,388.0,291.0,142.07,388.0,915 CPT,99243,PR OFFICE CONSULT LEVEL 3,530.0,397.5,110.52,530.0,680 CPT,99244,HC OFFICE CONSULT LEVEL 4,453.0,339.75,142.07,453.0,914 CPT,99244,PR OFFICE CONSULT LEVEL 4,696.0,522.0,158.15,696.0,681 CPT,99245,HC OFFICE CONSULT LEVEL 5,526.0,394.5,142.07,526.0,915 CPT,99245,PR OFFICE CONSULT LEVEL 5,850.0,637.5,205.98,850.0,681 CPT,99252,PR IP/OBS CONSULT SF,535.0,401.25,69.22,535.0,676 CPT,99253,PR IP/OBS CONSULT LOW,599.0,449.25,97.42,599.0,676 CPT,99254,PR IP/OBS CONSULT MODERATE,684.0,513.0,135.52,684.0,676 CPT,99255,PR IP/OBS CONSULT HIGH,875.0,656.25,182.11,875.0,676 CPT,99281,HC ED VISIT LEVEL 1,429.0,321.75,16.25,416.13,915 CPT,99281,PR ED VISIT LEVEL 1,335.0,251.25,10.83,335.0,676 CPT,99281,PR ED VISIT LEVEL 1 Consult Adjusted,387.5,290.625,10.83,449.0,1352 CPT,99282,HC ED VISIT LEVEL 2,750.0,562.5,59.57,727.5,916 CPT,99282,PR ED VISIT LEVEL 2,439.0,329.25,39.71,439.0,676 CPT,99282,PR ED VISIT LEVEL 2 Consult Adjusted,530.0,397.5,39.71,530.0,676 CPT,99283,HC ED VISIT LEVEL 3,1395.0,1046.25,102.33,1353.15,916 CPT,99283,PR ED VISIT LEVEL 3,687.0,515.25,68.22,687.0,676 CPT,99284,HC ED VISIT LEVEL 4,2658.0,1993.5,174.14,2578.26,917 CPT,99284,PR ED VISIT LEVEL 4,979.0,734.25,116.09,979.0,676 CPT,99284,PR ED VISIT LEVEL 4 Consult Adjusted,696.0,522.0,116.09,696.0,676 CPT,99285,HC ED VISIT LEVEL 5,4369.0,3276.75,252.54,4237.93,919 CPT,99285,PR ED VISIT LEVEL 5,1354.0,1015.5,168.36,1354.0,676 CPT,99285,PR ED VISIT LEVEL 5 Consult Adjusted,850.0,637.5,168.36,850.0,676 CPT,99291,HC CRITICAL CARE 30-74MIN,9416.0,7062.0,293.73,9133.52,916 CPT,99291,PR CRITICAL CARE 30-74MIN,1830.0,1372.5,302.3,1830.0,676 CPT,99292,HC CRITICAL CARE ADD 30MIN,2919.0,2189.25,147.84,2831.43,910 CPT,99292,PR CRITICAL CARE ADD 30MIN,849.0,636.75,131.25,849.0,676 CPT,99341,PR IN-HOME VISIT NEW LEVEL 1,176.0,132.0,41.19,176.0,686 CPT,99344,PR IN-HOME VISIT NEW LEVEL 4,525.0,393.75,144.45,525.0,676 CPT,99345,PR IN-HOME VISIT NEW LEVEL 5,586.0,439.5,206.65,586.0,676 CPT,99347,PR IN-HOME VISIT EST LEVEL 1,120.0,90.0,38.63,120.0,686 CPT,99348,PR IN-HOME VISIT EST LEVEL 2,259.0,194.25,77.67,259.0,676 CPT,99349,PR IN-HOME VISIT EST LEVEL 3,367.0,275.25,110.58,367.0,686 CPT,99350,PR IN-HOME VISIT EST LEVEL 4,475.0,356.25,189.89,475.0,676 CPT,99360,PR PHYSICIAN STANDBY SRV 30 MIN,539.0,404.25,50.82,539.0,676 CPT,99366,PR MED TM CONF F2F PAT 30+MIN,212.0,159.0,34.64,212.0,636 CPT,99375,PR HOME HEALTH SUPERVISN >=30MIN,385.0,288.75,91.65,385.0,680 CPT,99381,PR PREV MED NEW PAT INFANT,348.0,261.0,63.07,348.0,677 CPT,99382,PR PREV MED NEW PAT 1-4 YRS,350.0,262.5,67.34,350.0,677 CPT,99383,PR PREV MED NEW PAT 5-11 YRS,355.0,266.25,71.9,355.0,677 CPT,99384,PR PREV MED NEW PAT 12-17YRS,370.0,277.5,84.15,370.0,679 CPT,99385,PR PREV MED NEW PAT 18-39YRS,427.0,320.25,81.15,427.0,679 CPT,99386,PR PREV MED NEW PAT 40-64YRS,503.0,377.25,98.62,503.0,680 CPT,99387,PR PREV MED NEW PAT 65+ YRS,536.0,402.0,105.55,536.0,679 CPT,99391,PR PREV MED EST PAT INFANT,295.0,221.25,57.76,295.0,678 CPT,99392,PR PREV MED EST PAT 1-4 YR,295.0,221.25,63.07,295.0,678 CPT,99393,PR PREV MED EST PAT 5-11YR,301.0,225.75,63.07,301.0,678 CPT,99394,PR PREV MED EST PAT 12-17Y,334.0,250.5,71.9,334.0,679 CPT,99395,PR PREV MED EST PAT 18-39Y,356.0,267.0,73.9,356.0,680 CPT,99396,PR PREV MED EST PAT 40-64Y,393.0,294.75,80.16,393.0,685 CPT,99397,PR PREV MED EST PAT 65>=YR,432.0,324.0,84.15,432.0,680 CPT,99401,PR PREV MED INDV COUNSEL 15 MIN,126.0,94.5,20.45,126.0,677 CPT,99402,PR PREV MED INDV COUNSEL 30 MIN,175.0,131.25,41.57,175.0,679 CPT,99403,PR PREV MED INDV COUNSEL 45 MIN,263.0,197.25,61.41,263.0,678 CPT,99404,PR PREV MED INDV COUNSEL 60 MIN,339.0,254.25,82.16,339.0,677 CPT,99406,PR SMOKING CESSATN 3-10MIN,62.0,46.5,15.06,62.0,678 CPT,99407,HC SMOKING CESSATN >10 MIN,135.0,101.25,32.6,135.0,915 CPT,99407,PR SMOKING CESSATN >10 MIN,98.0,73.5,24.24,98.0,687 CPT,99417,PR PROLNG OP E/M EA 15 MIN,194.0,145.5,33.46,194.0,683 CPT,99418,PR PROLNG IP/OBS E/M EA 15 MIN,182.0,136.5,28.99,182.0,678 CPT,99421,PR MY CHART MESSAGING E&M PHYS/QHP 5-10MIN,25.0,18.75,10.86,25.0,692 CPT,99422,PR MY CHART MESSAGING E&M PHYS/QHP 11-20MIN,35.0,26.25,22.05,35.0,692 CPT,99423,PR MY CHART MESSAGING E&M PHYS/QHP 21+MIN,50.0,37.5,33.84,50.0,693 CPT,99424,PR PRIN CARE MGMT MD/APP 1ST 30,391.0,293.25,63.88,391.0,690 CPT,99425,PR PRIN CARE MGMT MD/APP EA ADDL,294.0,220.5,43.49,294.0,690 CPT,99426,PR PRIN CARE MGMT CLINICAL STAFF 1ST 30,299.0,224.25,43.49,299.0,693 CPT,99427,PR PRIN CARE MGMT CLINICAL STAFF EA ADDL,252.0,189.0,30.97,252.0,691 CPT,99437,PR CHRONIC CARE EA ADD 30 MIN,204.0,153.0,43.17,204.0,690 CPT,99439,PR CHRNC CARE MGMT SVC EA ADDL,141.0,105.75,30.31,141.0,691 CPT,99445,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,143.25,39.83,191.0,915 CPT,99445,PR REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,191.0,143.25,50.45,191.0,676 CPT,99446,PR ECONSULT INTERNAL,125.0,93.75,15.75,125.0,690 CPT,99447,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,200.0,150.0,31.53,200.0,690 CPT,99448,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,303.0,227.25,47.03,303.0,690 CPT,99449,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN,426.0,319.5,62.49,426.0,690 CPT,99451,HC ECONSULT INTERNAL,107.0,80.25,29.67,107.0,915 CPT,99451,PR ECONSULT INTERNAL,107.0,80.25,29.61,107.0,693 CPT,99452,PR NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN,249.0,186.75,30.64,249.0,690 CPT,99453,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,46.5,31.44,163.38,915 CPT,99453,PR CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,46.5,17.82,62.0,680 CPT,99454,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,143.25,39.83,191.0,915 CPT,99454,PR CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,143.25,42.88,191.0,690 CPT,99457,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,115.5,26.05,154.0,915 CPT,99457,"PR CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,115.5,43.05,154.0,680 CPT,99458,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,96.75,26.05,129.0,915 CPT,99458,"PR CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,96.75,34.52,129.0,689 CPT,99459,PR PELVIC EXAMINATION,83.0,62.25,14.31,83.0,692 CPT,99470,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,56.25,13.19,75.0,915 CPT,99470,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN,75.0,56.25,13.19,75.0,690 CPT,99484,PR CARE MGMT SVC BHVL HLTH COND,153.0,114.75,38.28,153.0,690 CPT,99487,PR CMPLX CHRONIC CARE 1ST HR,247.0,185.25,78.09,247.0,690 CPT,99489,PR CMPLX CHRONIC CARE EA ADD 30,126.0,94.5,43.17,126.0,690 CPT,99490,PR CHRONIC CARE MNGMT 20 MIN,141.0,105.75,43.17,141.0,691 CPT,99491,PR CHRONIC CARE FIRST 30 MIN,263.0,197.25,64.65,263.0,690 CPT,99492,PR 1ST PSYC COLLAB CARE MGMT,487.0,365.25,81.04,487.0,690 CPT,99493,PR SBSQ PSYC COLLAB CARE MGMT,416.0,312.0,88.33,416.0,690 CPT,99494,PR 1ST/SBSQ PSYC COLLAB CARE,209.0,156.75,35.58,209.0,690 CPT,99495,PR TRANS CARE MNGMT <=14DAY DSCHG,591.0,443.25,215.45,591.0,678 CPT,99496,PR TRANS CARE MNGMT <=7 DAY DSCHG,740.0,555.0,292.37,740.0,678 CPT,99497,PR ADV CARE PLANNING 30 MIN,279.0,209.25,85.36,279.0,678 CPT,99498,PR ADV CARE PLANNING EA ADD 30MIN,247.0,185.25,76.85,247.0,676 CPT,99499,PR COSM SALICYLIC FACIAL PEEL COSMETIC,115.0,86.25,5.75,115.0,677 CPT,99499,PR COSM VASC COSMETIC CONSULT,75.0,56.25,3.75,75.0,677 CPT,99499,PR COSMETIC CONSULTATION,150.0,112.5,7.5,150.0,677 CPT,99499,PR FAA EXAM,325.0,243.75,16.25,325.0,677 CPT,99499,PR MALE INFERTILITY CONSULTATION,363.0,272.25,18.15,363.0,677 CPT,99499,PR SPEC ISS FAA EXAM,425.0,318.75,21.25,425.0,677 CPT,99499,PR SUPERFICIAL PEEL,150.0,112.5,7.5,150.0,677 CPT,99499,"PR WELLNESS/LONGEVITY VISIT-INDV, 30 MIN",375.0,281.25,18.75,375.0,677 CPT,99499,"PR WELLNESS/LONGEVITY VISIT-INDV, 45 MIN",563.0,422.25,28.15,563.0,677 CPT,99499,"PR WELLNESS/LONGEVITY VISIT-INDV, 60 MIN",751.0,563.25,37.55,751.0,677 CPT,99499,"PR WELLNESS/LONGEVITY VISIT-INDV, PROLONG EA ADDL 15 MIN",188.0,141.0,9.4,188.0,677 CPT,99605,PR MED THRPY NEW INITIAL 15 MIN,160.0,120.0,72.0,160.0,676 CPT,99606,PR MED THRPY EST INITIAL 15 MIN,110.0,82.5,49.5,110.0,676 CPT,99607,PR MED THRPY EA ADD 15 MIN,114.0,85.5,51.3,114.0,676 CPT,99999,PR COSM DE RIVE HAIR TRTMNT,500.0,375.0,225.0,500.0,676 CPT,C1778,HC NALU SYSTEM (2 LEAD KIT),3200.0,2400.0,1440.0,3200.0,911 CPT,C1889,HC INTRACEPT BASIVERTEBRAL NERVE ABLATION PER 1,26400.0,19800.0,11880.0,26400.0,913 CPT,C8005,HC PEF BRONCH ABLT 3D NAV EBUS,55950.0,41962.5,18278.57,55950.0,915 CPT,C9797,HC VASC EMB/OCC W/PRS CATH W IMAGING,43890.0,32917.5,19561.37,43890.0,915 CPT,M0224,"HC IV INJ PEMIVIBART, INCL INJ AND POST ADMIN MONITORING",936.0,702.0,421.2,936.0,915 CPT,Q2058,HC OBECABTAGENE AUROLEUCEL (AUCATZYL),2370000.0,1777500.0,278250.0,2370000.0,915 HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,8952.5,6714.38,279.85,8952.5,915 HCPCS,90619,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION",171.8,128.85,77.31,171.8,909 HCPCS,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,188.4,113.04,251.2,909 HCPCS,90632,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),118.5,88.88,53.33,118.5,909 HCPCS,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,36.53,21.92,48.7,909 HCPCS,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,339.83,203.9,453.1,909 HCPCS,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,25.3,18.98,11.39,25.3,910 HCPCS,90662,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,92.5,69.38,41.63,92.5,909 HCPCS,90675,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,310.13,186.08,413.5,915 HCPCS,90675,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",521.7,391.28,234.77,521.7,915 HCPCS,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,242.18,145.31,322.9,909 HCPCS,90691,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM (WRAPPER),169.7,127.28,76.37,169.7,909 HCPCS,90696,"DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM (WRAPPER)",77.7,58.28,34.97,77.7,909 HCPCS,90700,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",40.0,30.0,18.0,40.0,909 HCPCS,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,113.63,68.18,151.5,909 HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,52.0,39.0,23.4,52.0,909 HCPCS,90714,TETANUS AND DIPHTHER. TOX (PF) 0.5 ML IM (WRAPPER),53.8,40.35,24.21,53.8,909 HCPCS,90715,"DIPH,PERTUSS(ACEL),TET VAC(PF) 0.5 ML IM (WRAPPER)",66.8,50.1,30.06,66.8,909 HCPCS,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,205.43,123.26,273.9,909 HCPCS,90717,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,293.3,219.98,131.99,293.3,909 HCPCS,90734,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,182.48,109.49,243.3,909 HCPCS,90738,JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE,453.0,339.75,203.85,453.0,909 HCPCS,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,187.4,140.55,84.33,187.4,910 HCPCS,90740,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,124.13,74.48,165.5,909 HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),35.7,26.78,16.07,35.7,909 HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),62.1,46.58,27.95,62.1,909 HCPCS,90750,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,169.05,101.43,225.4,909 HCPCS,90750,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,225.4,169.05,101.43,225.4,909 HCPCS,91322,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,118.95,71.37,158.6,909 HCPCS,A4300,KIT INTRATHECAL PORT 10ML,156.0,117.0,70.2,156.0,641 HCPCS,A4301,VENTRICULAR L23CM STANDARD BARIUM IMPREGNATED RIGHT ANGLED CLIP STAINLESS STEEL STYLET,214.0,160.5,96.3,214.0,641 HCPCS,A4306,KIT PUMP INFUSION 5INL SILVER COATED FILL VOLUMEX4ML/HR FLOW RATE ANTIMICROBIAL DUAL SITE W/SOAKER F/DELIVERING LOCAL ANESTHETIC LATEX-FREE -SILVERSOAKER 400ML,1039.17,779.38,467.63,1039.17,642 HCPCS,A4306,"PAINBUSTER KIT W/ SILVERSOAKER - 270 MLX5 ML/HR 2.5"" SOAKER -SILVERSOAKER 270ML",734.53,550.9,330.54,734.53,642 HCPCS,A4306,PUMP PAIN ADMINISTRATION FIXED NERVE BLOCK PROGRAMMABLE PORTABLE RESERVOIR A FLOW 5 DAY 600ML,1580.0,1185.0,711.0,1580.0,642 HCPCS,A4306,PUMP PAIN ADMINISTRATION PAINBUSTER 4 DAY DELIVERY TIME KIT SOAKER NEEDLE 400ML,857.51,643.13,385.88,857.51,642 HCPCS,A4338,PR INDW FOLEY CATHETER,22.0,16.5,9.9,22.0,636 HCPCS,A4338,TRAY CATHETERIZATION OD16FR FOLEY SYSTEM FOR USE WITH IC,232.92,174.69,21.85,232.92,641 HCPCS,A4357,PR DRAINAGE BAG,12.0,9.0,5.4,12.0,636 HCPCS,A4467,HC BELT/STRAP/SLEEVE COVER,35.0,26.25,15.75,35.0,909 HCPCS,A4467,PR BELT/STRAP/SLEEVE COVER,56.0,42.0,25.2,56.0,636 HCPCS,A4467,PR SHOULDER IMMOBILIZER,9.0,6.75,4.05,9.0,636 HCPCS,A4467,PR TENNIS ELBOW DELUX STRAP,17.0,12.75,7.65,17.0,636 HCPCS,A4467,PR TENNIS ELBOW STRAP,32.0,24.0,14.4,32.0,636 HCPCS,A4495,PR THIGH LENGTH SURG STOCKING,12.0,9.0,5.4,12.0,635 HCPCS,A4500,PR BELOW KNEE SURGICAL STOCKING,7.0,5.25,3.15,7.0,635 HCPCS,A4550,LIGATOR HEMORROID WO ANOSCOPE LATEX,441.0,330.75,198.45,441.0,641 HCPCS,A4561,PR PESSARY KIT RUBBER,45.0,33.75,20.25,45.0,636 HCPCS,A4562,PR PESSARY KIT NON-RUBBER,70.0,52.5,31.5,70.0,637 HCPCS,A4565,HC SLING ARM,52.0,39.0,13.73,52.0,909 HCPCS,A4565,PR SLING ARM,25.0,18.75,10.98,25.0,637 HCPCS,A4570,HC SPLINT,44.0,33.0,19.8,44.0,909 HCPCS,A4570,PR SPLINT,61.0,45.75,27.45,61.0,636 HCPCS,A4590,PR TCC CAST SUPPLIES FIBERGLASS,92.0,69.0,41.4,92.0,635 HCPCS,A4614,HC PEAK FLOW METER,27.0,20.25,12.15,42.36,909 HCPCS,A4614,PR PEAK FLOW METER,28.0,21.0,12.6,28.0,636 HCPCS,A4625,PR KIT TRACH NEW,44.0,33.0,9.39,44.0,636 HCPCS,A4641,INDIUM-111 CHARCOAL CAPSULE,908.0,681.0,408.6,908.0,909 HCPCS,A4648,FLEXIBLE 10G T3,185.64,139.23,83.54,185.64,643 HCPCS,A4648,FLEXIBLE 10G T4,185.64,139.23,83.54,185.64,643 HCPCS,A4648,IMPLANT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE STERILE,26714.0,20035.5,12021.3,26714.0,643 HCPCS,A4648,IODINE-125 (I-125) SEED,495.0,371.25,222.75,495.0,909 HCPCS,A4648,MARKER BIOPSY BREVERA STANDARD 18GA,162.34,121.76,73.05,162.34,643 HCPCS,A4648,MARKER BIOPSY SITE TITANIUM CORK WITH INTRODUCER DEPLOYMENT FOR GUIDED BREAST SYSTEM,113.4,85.05,51.03,113.4,643 HCPCS,A4648,MARKER BIOPSY TITANIUM GUIDED,113.4,85.05,51.03,113.4,643 HCPCS,A4648,MARKER BREAST BIOPSY 12GA STAINLESS STEEL RIGID END DEPLOY BIOCOMPATIBLE FOR 0914-20MR/ 0914-12MR,116.72,87.54,52.52,116.72,643 HCPCS,A4648,MARKER BREAST BIOPSY ENHANCED IMPLANTABLE 18GAX1X3MM,162.22,121.67,73.0,162.22,643 HCPCS,A4648,MARKER BREAST BIOPSY FOR STAINLESS STEEL 2,116.72,87.54,52.52,116.72,643 HCPCS,A4648,MARKER BREAST BIOPSY FOR STAINLESS STEEL BUCKLE,116.72,87.54,52.52,116.72,643 HCPCS,A4648,MARKER BREAST BIOPSY L12CM OD18GA NITINOL Q INTRODUCER FREE HAND FOR ULTRASOUND CELERO AND SERTERA PROFESSIONAL,116.96,87.72,52.63,116.96,643 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM COAXIAL RIBBON CLIP ULTRACLIP2 17GAX3MM 10CM 3MM,153.58,115.19,69.11,153.58,643 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM HOURGLASS WITH INTRODUCER DEPLOYMENT FOR STEREOTACTIC GUIDED BREAST SYSTEM,108.5,81.38,48.83,108.5,643 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM MINI CORK BIOABSORBABLE WITH INTRODUCER DEPLOYMENT FOR STEREOTACTIC GUIDED BREAST SYSTEM,108.2,81.15,48.69,108.2,643 HCPCS,A4648,MARKER BREAST CERAMIC BARBELL FLEXIBLE BLUNT END DEPLOY APPLICATOR 2X4MM,144.72,108.54,65.12,144.72,643 HCPCS,A4648,MARKER BREAST TISSUE 17GA L10CM NEEDLE ULTRASOUND ENHANCED WING DUAL,126.18,94.64,56.78,126.18,643 HCPCS,A4648,MARKER BREAST TISSUE NEEDLE 17GA L10CM ULTRASOUND ENHANCED 108 COIL DUAL WITH INTERWOVEN POLY VINYL ALCOHOL POLYMER,126.18,94.64,56.78,126.18,643 HCPCS,A4648,MARKER BREVERA STANDARD,162.34,121.76,73.05,162.34,643 HCPCS,A4648,MARKER FIDUCIAL 0.8MMX3.5MM,485.6,364.2,218.52,485.6,643 HCPCS,A4648,MARKER LOCALIZATION 0.75MMX1CM,315.0,236.25,141.75,315.0,643 HCPCS,A4648,MARKER RADIOLOGY 10CM DELIVERY NEEDLE AND REFLECTOR SCOUT,1100.0,825.0,495.0,1100.0,643 HCPCS,A4648,MARKER RADIOLOGY FIDUCIAL SINGLE USE FOR LESION LOCALIZATION W0.35MMXL0.5CM,286.66,215.0,129.0,286.66,643 HCPCS,A4648,MARKER RADIOLOGY W0.5MMXL0.5CM LOOSE SINGLE USE FOR LESION LOCALIZATION,278.0,208.5,125.1,278.0,643 HCPCS,A4648,MARKER TISSUE BREAST BIOPSY DUAL ULTRASOUND ENHANCED 10CMX3MM POLYMER,126.18,94.64,56.78,126.18,643 HCPCS,A4648,MARKER TISSUE BREAST BIOPSY NEEDLE L10CM DIA17GA TITANIUM HEART DUAL ULTRASOUND ENHANCED,126.1,94.58,56.75,126.1,643 HCPCS,A4648,MARKER TISSUE SHAPED 18GAX10CM,157.62,118.22,70.93,157.62,643 HCPCS,A4648,MARKER TISSUE TITANIUM DEPLOYMENT DEVICE TOP HAT D BIOABSORBABLE 13CM,108.2,81.15,48.69,108.2,643 HCPCS,A4648,PR IMPLANTABLE TISSUE MARKER,125.0,93.75,6.25,125.0,681 HCPCS,A4648,PR IMPLANTABLE TISSUE MARKER-WILLOW,495.0,371.25,24.75,495.0,681 HCPCS,A4648,SET INTRODUCER LOCALIZATION FOR BREAST BIOPSY DEVICE,282.0,211.5,126.9,282.0,643 HCPCS,A4648,SYSTEM BREAST LOCALIZATION 7.5CM DELIVERY NEEDLE REFLECTOR SCOUT,1100.0,825.0,495.0,1100.0,643 HCPCS,A4648,SYSTEM DELIVERY 7.5CM SINGLE HAND DISPOSABLE SCOUT,1100.0,825.0,495.0,1100.0,643 HCPCS,A4649,ABTMNT HL 3.2X3.0,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABTMNT HL NBL RP 4.5X7,85.4,64.05,38.43,85.4,642 HCPCS,A4649,ABTMNT HL NP 3.6X7.0,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABTMNT HL RP 5X7.0,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE PURPLE NARROW-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 3.6X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE PURPLE NARROW-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 5X3MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE PURPLE NARROW-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 5X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE PURPLE NARROW-PLATFORM TEMPORARY TAPERED-DRILLING 3.6X3MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE YELLOW REGULAR-PLATFORM TEMPORARY 4.3X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE YELLOW REGULAR-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 3.6X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE YELLOW REGULAR-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 5X3MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE YELLOW REGULAR-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 5X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE YELLOW REGULAR-PLATFORM TEMPORARY STRAIGHT TAPERED-DRILLING CONICAL-CONNECTION 6X5MM,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING NARROW LATEX FREE CONICAL 2.0X3.6MM,84.5,63.38,38.03,84.5,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING NARROW LATEX FREE CONICAL 3.5X3.6MM,84.5,63.38,38.03,84.5,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING NARROW LATEX FREE CONICAL 5.0X3.6MM,84.5,63.38,38.03,84.5,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE 4X11.5MM,621.6,466.2,279.72,621.6,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL MANDIBULAR TITANIUM STERILE HEALING CONICAL 2X5MM,97.5,73.13,43.88,97.5,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL MANDIBULAR TITANIUM STERILE HEALING CONICAL 4X5MM,97.5,73.13,43.88,97.5,642 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL MANDIBULAR TITANIUM STERILE HEALING CONICAL 5X6MM,97.5,73.13,43.88,97.5,642 HCPCS,A4649,ABUTMENT HEALING H7MM DIA3.2MM PLATFORM 3.0 TITANIUM CONICAL CONNECTION NONENGAGING,94.8,71.1,42.66,94.8,642 HCPCS,A4649,ABUTMENT HEALING H7MM DIA3.8MM PLATFORM 3.0 TITANIUM CONICAL CONNECTION NONENGAGING,94.8,71.1,42.66,94.8,642 HCPCS,A4649,CAP RC CLS TI,52.0,39.0,23.4,52.0,642 HCPCS,A4649,COVER CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE BLUE NARROW-PLATFORM 3.5MM,81.6,61.2,36.72,81.6,642 HCPCS,A4649,COVER-SCREW CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE PURPLE NARROW-PLATFORM,81.6,61.2,36.72,81.6,642 HCPCS,A4649,COVER-SCREW CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE YELLOW REGULAR-PLATFORM,81.6,61.2,36.72,81.6,642 HCPCS,A4649,COVER-SCREW CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE YELLOW REGULAR-PLATFORM 4.3MM,81.6,61.2,36.72,81.6,642 HCPCS,A4649,HC COOLIEF COOLED RADIO FREQUENCY KIT OF (1),750.0,562.5,337.5,750.0,910 HCPCS,A4649,HC COOLIEF COOLED RADIO FREQUENCY KIT OF (2),1330.0,997.5,598.5,1330.0,910 HCPCS,A4649,IMPLANT BONE OD10MM ODSEC3.3MM TITANIUM ZIRCONIUM YELLOW ROXOLID MAXILLA MANDIBLE NARROW CONNECTION LOXIM IMPLANTABLE NONSTERILE,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT BONE OD12MM ODSEC3.3MM TITANIUM ZIRCONIUM YELLOW ROXOLID MAXILLA MANDIBLE NARROW CONNECTION LOXIM IMPLANTABLE NONSTERILE,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT BONE OD12MM ODSEC4.1MM TITANIUM ZIRCONIUM RED ROXOLID MAXILLA MANDIBLE NARROW CONNECTION LOXIM IMPLANTABLE NONSTERILE,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT BONE OD14 MM ODSEC4.1 MM TITANIUM ZIRCONIUM RED ROXOLID MAXILLA MANDIBLE NARROW CONNECTION LOXIM IMPLANTABLE NONSTERILE,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT BONE OD8 MM ODSEC3.3 MM TITANIUM ZIRCONIUM YELLOW ROXOLID MAXILLA MANDIBLE NARROW CONNECTION LOXIM IMPLANTABLE NONSTERILE,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL 10MM 4.1MM BONE LEVEL ROXOLID,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM BONE LEVEL LATEX FREE NON STERILE REGULAR CONNECTION 3.3X10MM,585.0,438.75,263.25,585.0,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM BONE LEVEL LATEX FREE NON STERILE REGULAR CONNECTION 4.1X10MM,552.5,414.38,248.63,552.5,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM BONE LEVEL LATEX FREE NON STERILE REGULAR CONNECTION 4.1X12MM,533.0,399.75,239.85,533.0,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM BONE LEVEL LATEX FREE NON STERILE REGULAR CONNECTION 4.8X8MM,533.0,399.75,239.85,533.0,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM LATEX FREE STERILE REGULAR CONNECTION BONE LEVEL ROXOLID 4.8X12MM,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM LATEX FREE STERILE REGULAR CONNECTION ROXOLID 3.3X14MM,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL CRANIOMAXILLOFACIAL TITANIUM LATEX FREE STERILE REGULAR CONNECTION ROXOLID 4.8X8MM,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL DIA4.1MM 8MM BONE LEVEL ROXOLID GUIDED REGULAR,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT DENTAL L10MM DIA4.8MM BONE LEVEL REGULAR ROXOLID,674.7,506.03,303.62,674.7,642 HCPCS,A4649,IMPLANT-DENTAL CRANIOMAXILLOFACIAL ORAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 3.5X10MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,IMPLANT-DENTAL CRANIOMAXILLOFACIAL ORAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 3.5X11.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,IMPLANT-DENTAL CRANIOMAXILLOFACIAL ORAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 3.5X13MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,IMPLANT-DENTAL CRANIOMAXILLOFACIAL ORAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 3.5X8.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,IMPLANT-DENTAL CRANIOMAXILLOFACIAL ORAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 5.0X8.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCREW BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM STERILE REGULAR PLATFORM 5X10MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCREW-BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE NARROW-PLATFORM 10X3.5MM,621.6,466.2,279.72,621.6,642 HCPCS,A4649,SCREW-BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE REGULAR-PLATFORM 4.3X10MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCREW-BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE REGULAR-PLATFORM 4.3X11.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCREW-BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE REGULAR-PLATFORM 4.3X8.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCREW-BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE REGULAR-PLATFORM 5X11.5MM,666.0,499.5,299.7,666.0,642 HCPCS,A4649,SCRW CAP NC CLS,52.0,39.0,23.4,52.0,642 HCPCS,A4649,SCRW NBL NP 4X13,621.6,466.2,279.72,621.6,642 HCPCS,A4649,SPN DISC CERV SMP,10400.0,7800.0,4680.0,10400.0,642 HCPCS,A4649,TREPHINE OPHTHALMIC CORNEAL TREPHINE SELF CONTAINED VACUUM CROSS HAIR CORNEAL TRANSPLANT STERILE DISPOSABLE,172.0,129.0,77.4,172.0,642 HCPCS,A4649,WRENCH SURGICAL TORQUE FOR,60.0,45.0,27.0,60.0,642 HCPCS,A5500,PR SHOE DIABETIC,139.0,104.25,62.55,139.0,635 HCPCS,A6197,PR ALGINATE DRSG >16 <=48 SQ IN,35.0,26.25,15.75,35.0,635 HCPCS,A6449,PR LGHT COMPRSN BANDAGE 3 TO 5 IN/YD,3.0,2.25,1.35,3.0,635 HCPCS,A6550,DRESSING KIT WITH FOAM -10 KIT CASE,260.22,195.17,39.9,260.22,643 HCPCS,A6550,DRESSING NEG PRESSURE,295.74,221.81,39.9,295.74,643 HCPCS,A6550,DRESSING NEG PRESSURE M 18X12.5X3.3CM POLYURETHANE FOR WOUND 10 PER CASE,234.48,175.86,39.9,234.48,643 HCPCS,A6550,DRESSING NEG PRESSURE M 18X12.5X3.3CM SILVER,373.8,280.35,39.9,373.8,643 HCPCS,A6550,DRESSING NEG PRESSURE SM SPIRAL CUT FOAM PRECUT AREA,528.22,396.17,39.9,528.22,643 HCPCS,A6550,DRESSING THK3.3CM SMALL 10X7.5CM OPEN PORE HYDROPHOBIC NEGATIVE PRESSURE KIT POLYURETHANE STERILE FOAM BLACK 3.3X10X7.5CM DISPOSABLE,189.78,142.34,39.9,189.78,643 HCPCS,A6550,KIT DRESSING ABDOMINAL,2109.74,1582.31,39.9,2109.74,643 HCPCS,A6550,KIT DRESSING LG 26X15X3.2CM WITH 2 DRAPE PAD CONNECTOR DISPOSABLE RULER 5 PER CASE,318.48,238.86,39.9,318.48,643 HCPCS,A6550,KIT NEGATIVE PRESSURE W15XH1.6XL26CM THIN 1 PERFORATED DRESSING 2 SHEET STANDARD DRAPE 1 SENSAT.R.A.C. PAD WITH CONNECTOR 1 DISPOSABLE RULER V.A.C.,337.32,252.99,39.9,337.32,643 HCPCS,A6550,KIT WOUND DRESSING BLUE FOAM LARGE PAD TUBING DRAPE CLEANSE,1293.4,970.05,39.9,1293.4,643 HCPCS,A6550,KIT WOUND DRESSING NEGATIVE PRESSURE MEDIUM FOAM BLACK SPIRAL WITH DUAL TRACK PAD AND DRAPE STERILE MEDIUM,619.85,464.89,39.9,619.85,643 HCPCS,A6550,PLUS CARTRIDGE - 125 MM HG - 10 IN A CASE,1024.1,768.08,39.9,1024.1,643 HCPCS,A6550,PR DRSG WND VAC CARE,142.0,106.5,31.35,142.0,635 HCPCS,A6550,SPONGE WOUND DRESSING FOAM NEGATIVE PRESSURE UUM ASSISTED CLOSURE OPEN PORE LG HYDROPHOBIC BLACK 3.3X15X26MM,288.78,216.59,39.9,288.78,643 HCPCS,A7041,DRAIN CHEST SINGLE COLLECTION 1 PATIENT TUBE FOR BAG COMPATIBLE OCEAN,286.86,215.15,129.09,286.86,642 HCPCS,A7520,PR TRACH/LARYNGECT TUBE NONCUFFED,207.0,155.25,67.66,207.0,636 HCPCS,A7520,TB TRACH MNT XLNG 12,1025.0,768.75,84.58,1025.0,641 HCPCS,A7520,TB TRACH MNT XLNG 14,1025.0,768.75,84.58,1025.0,641 HCPCS,A7520,TUBE TRACHEOSTOMY ADULT L120MM OD10.6MM ID7MM SILICONE CUFFED ADJUSTABLE NECK FLANGE HYPERFLEX TTS,856.13,642.1,84.58,856.13,641 HCPCS,A7520,TUBE TRACHEOSTOMY ADULT L130MM OD11.7MM ID8MM SILICONE CUFFED ADJUSTABLE NECK FLANGE HYPERFLEX TTS,898.92,674.19,84.58,898.92,641 HCPCS,A7520,TUBE TRACHEOSTOMY UNCUFFED PVC ADULT INNER CANNULA ROUND TIP FENESTRATED FOR UPPER AIRWAY OBSTRUCTION STERILE 6.4X10.4X76MM DISPOSABLE,254.76,191.07,84.58,254.76,641 HCPCS,A7520,TUBE TRACHEOSTOMY UNCUFFED PVC ADULT TRANSPARENT BEVELED TIP SMOOTH FLEXIBLE UPPER AIRWAY OBSTRUCTION STERILE 6.5X9.4X62MM FLEXIBLE DISPOSABLE,237.78,178.34,84.58,237.78,641 HCPCS,A7520,TUBE TRACHEOSTOMY UNCUFFED PVC PEDIATRIC INNER CANNULA ROUND TIP NON FENESTRATED FOR UPPER AIRWAY OBSTRUCTION STERILE 6.4X10.4X76MM DISPOSABLE,233.94,175.46,84.58,233.94,641 HCPCS,A7521,PR TRACH/LARYN TUBE CUFFED,530.0,397.5,67.04,530.0,635 HCPCS,A7521,TUBE TRACHEOSTOMY ADULT L110MM OD9.2MM ID6MM SILICONE CUFFED ADJUSTABLE NECK FLANGE HYPERFLEX TTS,898.92,674.19,83.8,898.92,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT INNER CANNULA ROUND TIP FENESTRATED FOR UPPER AIRWAY OBSTRUCTION LATEX FREE STERILE SINGLE USE 7.6X12.2X79MM,237.36,178.02,83.8,237.36,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT INNER CANNULA ROUND TIP FENESTRATED LATEX FREE STERILE SINGLE USE 6.4X10.8X74MM,237.36,178.02,83.8,237.36,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT SWIVEL NECK PROXIMAL FLANGE STERILE 6X11X95MM DISPOSABLE,366.66,275.0,83.8,366.66,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT TRANSPARENT BEVELED TIP SMOOTH FLEXIBLE UPPER AIRWAY OBSTRUCTION LATEX FREE STERILE SINGLE USE 10X13.8X79MM,266.4,199.8,83.8,266.4,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT TRANSPARENT BEVELED TIP SMOOTH FLEXIBLE UPPER AIRWAY OBSTRUCTION STERILE 7.5X10.8X74MM FLEXIBLE DISPOSABLE,266.4,199.8,83.8,266.4,641 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT TRANSPARENT BEVELED TIP SMOOTH FLEXIBLE UPPER AIRWAY OBSTRUCTION STERILE SINGLE USE 6.5X9.4X62MM FLEXIBLE EA,266.4,199.8,83.8,266.4,641 HCPCS,A9270,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,12.2,9.15,8.26,12.2,915 HCPCS,A9270,PR NONCOVERED ITEM,83.0,62.25,37.35,83.0,635 HCPCS,A9283,PR FOOT PRES OFF LOAD DEVICE,57.0,42.75,25.65,57.0,635 HCPCS,A9500,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,398.25,238.95,531.0,912 HCPCS,A9500,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,108.75,65.25,145.0,909 HCPCS,A9502,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION,372.0,279.0,167.4,372.0,912 HCPCS,A9502,PR TC99M TETROFOSMIN,387.0,290.25,97.21,387.0,676 HCPCS,A9503,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION,410.0,307.5,184.5,410.0,909 HCPCS,A9503,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,410.25,246.15,547.0,909 HCPCS,A9505,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,305.0,228.75,137.25,305.0,909 HCPCS,A9509,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 HCPCS,A9509,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,569.25,341.55,759.0,909 HCPCS,A9513,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,364.53,6 HCPCS,A9513,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,364.53,6 HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,147938.25,316.99,197251.0,916 HCPCS,A9515,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,5130.0,2516.43,6840.0,916 HCPCS,A9516,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,115.0,86.25,51.75,115.0,909 HCPCS,A9516,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,114.5,85.88,51.53,114.5,909 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,57.0,34.2,76.0,909 HCPCS,A9517,SODIUM IODIDE-131 (I-131) THERAPY CAPSULE,150.0,112.5,24.07,150.0,915 HCPCS,A9520,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,534.38,320.63,712.5,909 HCPCS,A9521,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT,225.0,168.75,101.25,1066.87,915 HCPCS,A9526,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,995.63,597.38,1327.5,911 HCPCS,A9528,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,31.88,19.13,42.5,909 HCPCS,A9529,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,31.88,19.13,42.5,909 HCPCS,A9530,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,35.25,20.77,47.0,915 HCPCS,A9531,SODIUM IODIDE-131 (I-131) = 5YRS,446.5,334.875,5.17,584.0,1380 HCPCS,G0545,PR VISIT COMPLEXITY INHERENT TO INPT/OBS W/ CNFRM SUSPCT INF DIS,123.0,92.25,47.59,123.0,676 HCPCS,G0550,PR BEH HLTH ECONSULT,107.0,80.25,29.67,107.0,690 HCPCS,G1001,HC CDSM EVICORE,1.0,0.75,0.45,1.0,909 HCPCS,G1001,PR CDSM EVICORE,1.0,0.75,0.45,1.0,676 HCPCS,G1002,HC CDSM MEDCURRENT,1.0,0.75,0.45,1.0,909 HCPCS,G1002,PR CDSM MEDCURRENT,1.0,0.75,0.45,1.0,676 HCPCS,G1003,HC CDSM MEDICALIS,1.0,0.75,0.45,1.0,909 HCPCS,G1003,PR CDSM MEDICALIS,1.0,0.75,0.45,1.0,676 HCPCS,G1004,HC CDS MECHANISM NDS CO MC AUC PROG,1.0,0.75,0.45,1.0,909 HCPCS,G1004,PR CDS MECHANISM NDS CO MC AUC PROG,1.0,0.75,0.45,1.0,675 HCPCS,G1007,HC CDSM AIM,1.0,0.75,0.45,1.0,909 HCPCS,G1007,PR CDSM AIM,1.0,0.75,0.45,1.0,676 HCPCS,G1008,HC CDSM CRANBERRY PK,1.0,0.75,0.45,1.0,909 HCPCS,G1008,PR CDSM CRANBERRY PK,1.0,0.75,0.45,1.0,676 HCPCS,G1010,HC CDSM STANSON,1.0,0.75,0.45,1.0,909 HCPCS,G1010,PR CDSM STANSON,1.0,0.75,0.45,1.0,676 HCPCS,G1011,HC CDSM QUALIFIED NOS,1.0,0.75,0.45,1.0,909 HCPCS,G1011,PR CDSM QUALIFIED NOS,1.0,0.75,0.45,1.0,676 HCPCS,G1012,HC CDSM AGILEMD,1.0,0.75,0.45,1.0,909 HCPCS,G1012,PR CDSM AGILEMD,1.0,0.75,0.45,1.0,676 HCPCS,G1013,HC CDSM EVIDENCECARE,1.0,0.75,0.45,1.0,909 HCPCS,G1013,PR CDSM EVIDENCECARE,1.0,0.75,0.45,1.0,676 HCPCS,G1014,HC CDSM INVENIQA,1.0,0.75,0.45,1.0,909 HCPCS,G1014,PR CDSM INVENIQA,1.0,0.75,0.45,1.0,676 HCPCS,G1015,HC CDSM RELIANT,1.0,0.75,0.45,1.0,909 HCPCS,G1015,PR CDSM RELIANT,1.0,0.75,0.45,1.0,676 HCPCS,G1016,HC CDSM SPEED OF CARE,1.0,0.75,0.45,1.0,909 HCPCS,G1016,PR CDSM SPEED OF CARE,1.0,0.75,0.45,1.0,676 HCPCS,G1017,HC CDSM HEALTHHELP,1.0,0.75,0.45,1.0,909 HCPCS,G1017,PR CDSM HEALTHHELP,1.0,0.75,0.45,1.0,676 HCPCS,G1018,HC CDSM INFINX,1.0,0.75,0.45,1.0,909 HCPCS,G1018,PR CDSM INFINX,1.0,0.75,0.45,1.0,676 HCPCS,G1019,HC CDSM LOGICNETS,1.0,0.75,0.45,1.0,909 HCPCS,G1019,PR CDSM LOGICNETS,1.0,0.75,0.45,1.0,676 HCPCS,G1020,HC CDSM CURBSIDE,1.0,0.75,0.45,1.0,909 HCPCS,G1020,PR CDSM CURBSIDE,1.0,0.75,0.45,1.0,676 HCPCS,G1021,HC CDSM EHEALTHLINE,1.0,0.75,0.45,1.0,909 HCPCS,G1021,PR CDSM EHEALTHLINE,1.0,0.75,0.45,1.0,676 HCPCS,G1022,HC CDSM INTERMOUNTAIN,1.0,0.75,0.45,1.0,909 HCPCS,G1022,PR CDSM INTERMOUNTAIN,1.0,0.75,0.45,1.0,676 HCPCS,G1023,HC CDSM PERSIVIA,1.0,0.75,0.45,1.0,909 HCPCS,G1023,PR CDSM PERSIVIA,1.0,0.75,0.45,1.0,676 HCPCS,G2211,PR VISIT COMPLEXITY INHERENT TO E/M,79.0,59.25,14.54,79.0,607 HCPCS,G2212,PR PROLONGED E&M EA 15 MIN,194.0,145.5,33.46,194.0,678 HCPCS,G2214,PR INIT/SUB PSYCH CARE M 1ST 30,234.0,175.5,33.26,234.0,690 HCPCS,G8907,HC PATIENT DOC NOT EXP FALL,1.0,0.75,0.45,1.0,909 HCPCS,G8918,HC PATIENT WO IV ANTIBIO ORDER,1.0,0.75,0.45,1.0,909 HCPCS,J0122,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,497.0,372.75,1.3,497.0,915 HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,6256.6,4692.45,44.11,6256.6,915 HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,77.0,57.75,34.65,77.0,910 HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,48.5,36.38,21.83,48.5,910 HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",57.4,43.05,25.83,57.4,909 HCPCS,J0134,ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION (DRAWN FROM VIAL) (RESTRICTED),57.4,43.05,25.83,57.4,909 HCPCS,J0134,PR ACETAMINOPHEN -FRESENIUS INJ,60.2,45.15,0.06,60.2,676 HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),13499.1,10124.33,9134.84,13499.1,915 HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,76.6,57.45,34.47,76.6,910 HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,31.58,18.95,42.1,910 HCPCS,J0153,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,26.4,15.84,35.2,909 HCPCS,J0163,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,246.7,185.03,111.02,246.7,909 HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,348.3,261.23,156.74,348.3,913 HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,50.4,30.24,67.2,910 HCPCS,J0166,INJ EPINEPHRINE (BPI),39.29,29.47,1.11,39.29,676 HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION ANES ONLY,45.9,34.42,20.66,45.9,909 HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,45.9,34.42,20.66,45.9,910 HCPCS,J0169,"EPINEPHRINE (ADRENACLICK) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",452.7,339.53,203.72,452.7,909 HCPCS,J0169,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",528.3,396.23,237.74,528.3,909 HCPCS,J0169,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",528.3,396.23,237.74,528.3,910 HCPCS,J0169,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.7,48.53,29.12,64.7,910 HCPCS,J0169,INJ EPINEPHRINE (ADRENALIN),492.46000000000004,369.35,1.11,528.34,676 HCPCS,J0174,"INJECTION, LECANEMAB-IRMB, 1 MG",1699.15,1274.365,1.33,1985.18,676 HCPCS,J0174,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1060.1,795.08,1.32,1060.1,915 HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER),7958.4,5968.8,771.56,7958.4,915 HCPCS,J0180,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,32249.2,24186.9,230.15,32249.2,915 HCPCS,J0180,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4606.3,3454.73,230.15,4606.3,915 HCPCS,J0180,PR AGALSIDASE BETA INJECTION,16430.52,12322.89,230.32,16430.52,676 HCPCS,J0202,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,89381.4,67036.05,2429.89,89381.4,915 HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,396.0,297.0,178.2,396.0,909 HCPCS,J0219,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,8105.9,6079.43,80.91,8105.9,915 HCPCS,J0219,PR INJ AVAL ALFA-NQPT 4MG,134071.975,100553.985,81.3,140212.81,676 HCPCS,J0221,ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLUTION,4053.0,3039.75,206.59,4053.0,915 HCPCS,J0222,"INJ., PATISIRAN, 0.1 MG",57713.57,43285.18,99.97,57713.57,676 HCPCS,J0222,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,39140.0,29355.0,99.97,39140.0,915 HCPCS,J0223,INJECTION GIVOSIRAN 0.5 MG,63383.68,47537.76,120.69,63383.68,676 HCPCS,J0224,LUMASIRAN 94.5 MG/0.5 ML SUBCUTANEOUS SOLUTION,105173.3,78879.98,329.05,105173.3,915 HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2819.0,2114.25,6.73,2819.0,915 HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR (PROLASTIN C LIQUID)(BRAND SPLIT) 1000 MG +/-/20 ML,36.8,27.6,5.46,36.8,915 HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,487.8,365.85,219.51,487.8,909 HCPCS,J0278,AMIKACIN 250 MG/ML SOLUTION FOR INHALATION,39.5,29.63,17.78,39.5,909 HCPCS,J0278,AMIKACIN 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.3,26.48,15.89,35.3,909 HCPCS,J0278,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,27.08,16.25,36.1,1818 HCPCS,J0278,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,43.9,32.92,19.76,43.9,909 HCPCS,J0278,PR AMIKACIN SULFATE INJECTION,43.6,32.7,0.62,43.6,676 HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,46.2,34.65,20.79,46.2,910 HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,909 HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,64.7,48.53,29.12,64.7,909 HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,42.3,31.725,18.45,43.6,1820 HCPCS,J0283,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W),262.8,197.1,118.26,262.8,910 HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",289.1,216.83,130.1,289.1,909 HCPCS,J0285,AMPHOTERICIN 50 MG POWDER VIAL OSM,124.4,93.3,55.98,124.4,909 HCPCS,J0285,AMPHOTERICIN B 0.005 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.025 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.05 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.1 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.15 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.2 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.25 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,47.48,28.49,63.3,909 HCPCS,J0285,AMPHOTERICIN B 0.5 MG/ML INJECTION DILUTION STOCK VIAL (INTRATHECAL INGREDIENT),141.4,106.05,63.63,141.4,909 HCPCS,J0285,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,37.35,22.41,49.8,1818 HCPCS,J0285,AMPHOTERICIN B 3.5 MG/ML RETROBULBAR INJECTION (CNR),141.0,105.75,63.45,141.0,909 HCPCS,J0285,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),141.0,105.75,63.45,141.0,909 HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,140.7,105.53,63.32,140.7,909 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 25 MG/6.3 ML (4 MG/ML) SUSPENSION FOR NEBULIZATION,406.5,304.88,21.48,406.5,915 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,324.6,243.45,21.48,324.6,915 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,406.5,304.88,21.48,406.5,915 HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.2,45.9,27.54,61.2,909 HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,28.13,16.88,37.5,909 HCPCS,J0290,AMPICILLIN 500 MG INJ,35.31,26.48,0.59,35.31,676 HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,28.5,17.1,38.0,909 HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,43.4,32.55,19.53,43.4,910 HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,49.0,36.75,22.05,49.0,910 HCPCS,J0349,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,8459.0,6344.25,10.63,8459.0,915 HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.6,35.7,21.42,47.6,911 HCPCS,J0456,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,33.83,20.3,45.1,909 HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.1,34.58,20.75,46.1,910 HCPCS,J0456,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,62.85,37.71,83.8,909 HCPCS,J0457,AZTREONAM 1 GRAM IM EQUIVALENCY,81.9,61.43,36.86,81.9,909 HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,81.9,61.43,36.86,81.9,909 HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,167.2,125.4,75.24,167.2,909 HCPCS,J0458,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,1373.4,1030.05,1.68,1373.4,915 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE,73.8,55.35,33.21,73.8,910 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE (PEDIATRIC),73.8,55.35,33.21,73.8,909 HCPCS,J0461,ATROPINE 0.25 MG/5 ML (0.05 MG/ML) INTRAVENOUS SYRINGE,115.6,86.7,52.02,115.6,909 HCPCS,J0461,ATROPINE 0.4 MG/ML INJECTION SOLUTION,67.3,50.48,30.29,67.3,909 HCPCS,J0461,PR ATROPINE SULFATE INJECTION,42.815,32.11,0.1,43.32,676 HCPCS,J0462,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION (WRAPPER),52.0,39.0,23.4,52.0,909 HCPCS,J0462,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION (WRAPPER),62.8,47.1,28.26,62.8,909 HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",572.0,429.0,181.22,572.0,915 HCPCS,J0475,PR BACLOFEN 10 MG INJECTION,2365.25,1773.94,181.47,2860.0,676 HCPCS,J0476,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,236.0,177.0,106.2,236.0,909 HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,17584.6,13188.45,4686.85,17584.6,915 HCPCS,J0485,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3665.3,2748.98,3.89,3665.3,915 HCPCS,J0485,PR BELATACEPT INJECTION,5096.56,3822.42,3.89,5096.56,676 HCPCS,J0490,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,2627.1,1970.33,56.07,2627.1,915 HCPCS,J0490,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,8756.3,6567.23,56.07,8756.3,915 HCPCS,J0490,PR BELIMUMAB INJECTION,6619.165,4964.375,57.16,6864.02,676 HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21967.6,16475.7,18.08,21967.6,915 HCPCS,J0500,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,59.7,44.78,26.87,59.7,910 HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION,100.1,75.08,45.05,100.1,910 HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1504.9,1128.68,30.01,1504.9,915 HCPCS,J0561,PR PENICILLIN G BENZATHINE INJ,2057.41,1543.0549999999998,31.97,2442.14,676 HCPCS,J0571,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,12.45,7.47,16.6,909 HCPCS,J0571,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,22.7,17.02,10.22,22.7,910 HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,16.5,12.38,11.17,16.5,915 HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,145.3,108.98,65.39,145.3,909 HCPCS,J0585,ONABOTULINUMTOXINA (BOTOX COSMETIC) 25 UNITS/ML INJ SYRINGE (CNR),601.0,450.75,6.5,601.0,915 HCPCS,J0585,"ONABOTULINUMTOXINA (BOTOX COSMETIC) 4 UNIT/0.1 ML INJ SYRINGE (0.1,0.2,0.25,0.3 ML CNR)",192.4,144.3,6.5,288.5,2745 HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1324.0,993.0,6.5,1324.0,917 HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2404.0,1803.0,6.5,2404.0,916 HCPCS,J0585,ONABOTULINUMTOXINA 11.25 UNITS/0.45 ML (2.5 UNITS/0.1 ML) CNR,270.5,202.88,6.5,270.5,915 HCPCS,J0585,ONABOTULINUMTOXINA 2 UNITS/0.1 ML (CNR),240.0,180.0,6.5,240.0,915 HCPCS,J0585,"PR INJECTION,ONABOTULINUMTOXINA",4808.0,3606.0,1302.0,4808.0,681 HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,1576.8,1182.6,8.75,1576.8,915 HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,2627.0,1970.25,8.75,2627.0,915 HCPCS,J0586,PR ABOBOTULINUMTOXINA,2155.615,1616.71,57.64,1945.7,683 HCPCS,J0587,PR MYOBLOC (RIMABOT-B),1547.77,1160.83,13.29,1771.57,676 HCPCS,J0587,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 HCPCS,J0587,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 HCPCS,J0587,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION",1270.2,952.65,13.29,1270.2,915 HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1911.2,1433.4,5.57,1911.2,915 HCPCS,J0588,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,3822.3,2866.73,5.57,3822.3,915 HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1002.4,751.8,5.57,1002.4,915 HCPCS,J0588,"PR XEOMIN, PER UNIT",1678.67,1259.0,5.25,1678.67,676 HCPCS,J0589,INJ DAXIBOTULINUMTOXINA-LANM,1151.79,863.84,3.11,1151.79,676 HCPCS,J0594,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,124.6,93.45,0.88,124.6,915 HCPCS,J0595,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,101.9,76.43,45.86,101.9,909 HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),15120.0,11340.0,75.86,15120.0,915 HCPCS,J0600,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,24862.5,18646.88,6408.38,24862.5,915 HCPCS,J0601,SEVELAMER CARBONATE 800 MG TABLET,11.2,8.4,5.04,11.2,909 HCPCS,J0602,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,11.2,8.4,5.04,11.2,909 HCPCS,J0604,CINACALCET 30 MG TABLET,76.6,57.45,34.47,76.6,909 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,128.4,96.3,57.78,128.4,910 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),128.4,96.3,57.78,128.4,909 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,85.8,51.48,114.4,909 HCPCS,J0612,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,128.4,96.3,57.78,128.4,909 HCPCS,J0612,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,128.4,96.3,57.78,128.4,909 HCPCS,J0613,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",102.9,77.18,46.31,102.9,911 HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",204.3,153.23,91.94,204.3,910 HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION FOR CONTINUOUS INFUSION (PREMIX)",204.3,153.23,91.94,204.3,909 HCPCS,J0613,"PR CALCIUM GLUCONATE (WG CRITICAL), 10 MG",204.3,153.23,0.03,204.3,680 HCPCS,J0614,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2440.0,1830.0,32.33,2440.0,915 HCPCS,J0614,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),12200.0,9150.0,32.33,12200.0,915 HCPCS,J0615,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.4,6.3,3.78,8.4,909 HCPCS,J0616,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,27.15,16.29,36.2,910 HCPCS,J0640,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,44.4,33.3,19.98,44.4,909 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,60.8,45.6,27.36,60.8,909 HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,60.0,45.0,27.0,60.0,909 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,47.3,35.48,21.29,47.3,909 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),47.3,35.48,21.29,47.3,909 HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,57.3,42.98,25.79,57.3,909 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,292.9,219.68,131.81,292.9,909 HCPCS,J0640,PR LEUCOVORIN CALCIUM INJECTION,58.68000000000001,44.01,3.84,60.94,676 HCPCS,J0650,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,311.8,233.85,140.31,311.8,910 HCPCS,J0654,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,3568.2,2676.15,41.19,3568.2,915 HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,27.08,16.25,36.1,913 HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,39.5,29.63,17.78,39.5,912 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,47.6,35.7,21.42,47.6,911 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,36.2,27.15,16.29,36.2,910 HCPCS,J0665,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,27.08,16.25,36.1,909 HCPCS,J0665,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,27.0,16.2,36.0,909 HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,542.6,406.95,1.47,542.6,920 HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 HCPCS,J0670,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,30.15,18.09,40.2,912 HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,30.98,18.59,41.3,912 HCPCS,J0675,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,150.7,113.03,51.05,150.7,915 HCPCS,J0690,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.3,27.98,16.79,37.3,909 HCPCS,J0690,CEFAZOLIN 1 GRAM POWDER VIAL OSM,7.0,5.25,3.15,7.0,909 HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.3,27.98,16.79,37.3,913 HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,38.78,23.27,51.7,915 HCPCS,J0690,CEFAZOLIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),92.1,69.08,41.45,92.1,909 HCPCS,J0690,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,36.38,21.83,48.5,909 HCPCS,J0690,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,27.15,16.29,36.2,909 HCPCS,J0690,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,26.4,15.84,35.2,1818 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.95,26.965,16.11,36.1,1818 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,1818 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 HCPCS,J0690,PR CEFAZOLIN SODIUM INJECTION,44.52,33.395,0.83,51.7,676 HCPCS,J0692,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,33.53,20.12,44.7,909 HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 HCPCS,J0692,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,42.3,25.38,56.4,909 HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,39.75,23.85,53.0,911 HCPCS,J0692,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,1818 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,1818 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.75,26.814999999999998,16.02,35.9,1818 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.4,28.05,16.83,37.4,909 HCPCS,J0694,CEFOXITIN 1 GRAM IM EQUIVALENCY,49.5,37.13,22.28,49.5,909 HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,49.5,37.13,22.28,49.5,909 HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,63.2,47.4,28.44,63.2,910 HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,710.4,532.8,9.07,710.4,916 HCPCS,J0696,CEFTRIAXONE 1 GRAM POWDER VIAL OSM,8.2,6.15,3.69,8.2,909 HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,38.7,29.03,17.42,38.7,911 HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.7,29.03,17.42,38.7,1818 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,42.0,31.5,18.9,42.0,913 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.0,31.5,18.9,42.0,1818 HCPCS,J0696,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,37.1,27.83,16.7,37.1,909 HCPCS,J0696,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.1,27.83,16.7,37.1,1818 HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,37.6,28.2,16.92,37.6,909 HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,28.28,16.97,37.7,1818 HCPCS,J0696,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,54.75,32.85,73.0,909 HCPCS,J0696,CEFTRIAXONE IM 1000 MG IN NACL RX COMPOUND,38.7,29.03,17.42,38.7,909 HCPCS,J0696,CEFTRIAXONE IM 2000 MG IN NACL RX COMPOUND,42.0,31.5,18.9,42.0,909 HCPCS,J0696,CEFTRIAXONE IM 250 MG IN NACL RX COMPOUND,37.1,27.83,16.7,37.1,909 HCPCS,J0696,CEFTRIAXONE IM 500 MG IN NACL RX COMPOUND,37.7,28.28,16.97,37.7,909 HCPCS,J0696,PR CEFTRIAXONE SODIUM INJECTION,40.97,30.73,0.46,40.97,676 HCPCS,J0697,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),338.0,253.5,152.1,338.0,909 HCPCS,J0697,CEFUROXIME 1.5 GRAM POWDER VIAL OSM,24.9,18.68,11.21,24.9,909 HCPCS,J0697,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,27.15,16.29,36.2,909 HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,50.2,37.65,22.59,50.2,910 HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.5,32.63,19.58,43.5,909 HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,915.0,686.25,2.42,915.0,915 HCPCS,J0701,PR CEFEPIME HCL INJ (BAXTER),198.8,149.1,5.97,198.8,676 HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,141.7,106.28,63.77,141.7,912 HCPCS,J0702,PR BETAMETHASONE ACET&SOD PHOSP,51.7,38.78,6.91,51.7,680 HCPCS,J0712,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 HCPCS,J0713,CEFTAZIDIME 1 GRAM IM EQUIVALENCY,46.0,34.5,20.7,46.0,909 HCPCS,J0713,CEFTAZIDIME 1 GRAM POWDER VIAL OSM,14.5,10.88,6.53,14.5,909 HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,45.9,34.42,20.66,45.9,909 HCPCS,J0713,CEFTAZIDIME 100 MG/ML SOLUTION FOR INHALATION,14.5,10.88,6.53,14.5,909 HCPCS,J0713,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,92.9,69.68,41.81,92.9,909 HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,56.8,42.6,25.56,56.8,909 HCPCS,J0713,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,27.38,16.43,36.5,909 HCPCS,J0713,INJ CEFTAZIDIME PER 500 MG,36.56,27.42,1.47,36.56,676 HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1536.0,1152.0,104.73,1536.0,915 HCPCS,J0716,CENTRUROIDES (SCORPION) POLYVALENT ANTIVENOM 35 MG IV SOLUTION,18569.3,13926.98,4871.94,18569.3,915 HCPCS,J0717,CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),24199.2,18149.4,3.91,24199.2,915 HCPCS,J0717,PR CERTOLIZUMAB PEGOL INJ 1MG,17413.885,13060.415,3.87,19092.6,676 HCPCS,J0720,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM/10 ML INTRAVENOUS SOLUTION (WETTED),145.3,108.98,50.26,145.3,915 HCPCS,J0735,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,31.28,18.77,41.7,909 HCPCS,J0736,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,26.78,16.07,35.7,909 HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,48.6,36.45,21.87,48.6,910 HCPCS,J0736,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.6,70.2,42.12,93.6,909 HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.4,69.3,41.58,92.4,910 HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,96.4,72.3,43.38,96.4,911 HCPCS,J0739,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16823.0,12617.25,7.02,16823.0,915 HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2289.3,1716.98,546.29,2289.3,915 HCPCS,J0743,IMIPENEM-CILASTATIN 4 MG/ML IN D5W BAG (CNR FOR DOSES BETWEEN 500 & 1000 MG),224.8,168.6,101.16,224.8,909 HCPCS,J0743,IMIPENEM-CILASTATIN 4 MG/ML IN NACL 0.9% BAG (CNR FOR DOSES BETWEEN 500 MG-1000 MG),224.0,168.0,100.8,224.0,909 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN D5W BAG (CNR FOR DOSES LESS THAN 500 MG),186.4,139.8,83.88,186.4,909 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN NACL 0.9% BAG (CNR FOR DOSES LESS THAN 500 MG),186.1,139.57,83.75,186.1,909 HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,40.5,30.38,18.23,40.5,909 HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,82.4,61.8,37.08,82.4,909 HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,911 HCPCS,J0744,CIPROFLOXACIN IV SYRINGE 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,61.8,37.08,82.4,909 HCPCS,J0744,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,91.65,68.74000000000001,37.08,100.9,1818 HCPCS,J0744,LEVOFLOXACIN 2 MG/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,1818 HCPCS,J0744,PR CIPROFLOXACIN IV,82.4,61.8,2.0,82.4,676 HCPCS,J0759,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,347.0,260.25,2.85,347.0,916 HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG POWDER VIAL,73.0,54.75,32.85,73.0,909 HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG/2 ML (75 MG/ML) VIAL RECONSTITUTED,73.0,54.75,32.85,73.0,909 HCPCS,J0770,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,54.75,32.85,73.0,909 HCPCS,J0770,PR COLISTIMETHATE SODIUM INJ,54.0,40.5,12.08,54.0,676 HCPCS,J0775,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,29541.0,22155.75,75.91,29541.0,915 HCPCS,J0775,"PR COLLAGENASE, CLOST HIST INJ",14616.18,10962.14,75.75,14885.98,676 HCPCS,J0780,PR PROCHLORPERAZINE INJECTION,41.58,31.19,2.52,41.58,41 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,41.3,30.98,18.59,41.3,914 HCPCS,J0791,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9757.8,7318.35,129.48,9757.8,915 HCPCS,J0834,COSYNTROPIN 0.25 MG (0.25 MG/ML) (IM EQUIVALENCY),74.2,55.65,33.39,74.2,909 HCPCS,J0834,COSYNTROPIN 0.25 MG (50 MCG/ML) IV EQUIVALENCY,74.2,55.65,33.39,74.2,909 HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,296.6,222.45,133.47,296.6,910 HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,5091.3,3818.48,1828.72,5091.3,915 HCPCS,J0870,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),42341.1,31755.83,57.03,42341.1,915 HCPCS,J0870,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10585.3,7938.98,57.03,10585.3,915 HCPCS,J0870,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),10585.3,7938.98,57.03,10585.3,915 HCPCS,J0870,"INJECTION, IMETELSTAT, 1 MG",21391.33,16043.5,58.3,21391.33,676 HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,6265.8,4699.35,15.61,6265.8,915 HCPCS,J0878,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,27.23,16.34,36.3,909 HCPCS,J0878,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.4,37.05,22.23,49.4,909 HCPCS,J0878,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,28.28,16.97,37.7,909 HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,89.1,66.83,40.1,89.1,910 HCPCS,J0878,DAPTOMYCIN 500 MG POWDER VIAL OSM,82.4,61.8,37.08,82.4,909 HCPCS,J0878,PR DAPTOMYCIN INJECTION,74.38499999999999,55.78999999999999,0.03,82.28,676 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1053.0,789.75,2.93,1053.0,915 HCPCS,J0881,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1579.5,1184.63,2.93,1579.5,915 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,2106.0,1579.5,2.93,2106.0,915 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.3,197.48,2.93,263.3,915 HCPCS,J0881,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,3159.0,2369.25,2.93,3159.0,915 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,421.2,315.9,2.93,421.2,915 HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,1579.5,1184.63,2.93,1579.5,915 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,631.8,473.85,2.93,631.8,915 HCPCS,J0883,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,444.0,333.0,0.8,444.0,915 HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1449.6,1087.2,0.8,1449.6,915 HCPCS,J0885,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",640.2,480.15,8.54,640.2,915 HCPCS,J0885,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",128.1,96.08,8.54,128.1,915 HCPCS,J0885,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",562.9,422.18,8.54,562.9,915 HCPCS,J0885,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",192.1,144.07,8.54,192.1,915 HCPCS,J0885,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",256.1,192.08,8.54,256.1,915 HCPCS,J0885,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2251.4,1688.55,8.54,2251.4,915 HCPCS,J0894,DECITABINE 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),749.9,562.42,337.46,749.9,909 HCPCS,J0894,PR DECITABINE INJECTION,83.56,62.67,0.65,81.73,676 HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,153.8,115.35,69.21,153.8,909 HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),150.7,113.03,67.82,150.7,909 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,74.4,55.8,33.48,74.4,909 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,55.58,33.35,74.1,909 HCPCS,J0895,PR DEFEOXAMINE MESYLATE INJ,,,8.47,74.1,652 HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION (WETTED),16689.4,12517.05,41.98,16689.4,915 HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),50067.8,37550.85,41.98,50067.8,915 HCPCS,J0896,PR INJ LUSPATERCEPT-AAMT 0.25MG,35926.6,26944.95,42.77,36292.47,676 HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,10527.6,7895.7,29.38,10527.6,915 HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,5723.9,4292.93,29.38,5723.9,915 HCPCS,J1010,"INJ, METHYLPRED ACETATE 1 MG",42.1,31.58,2.4,42.1,681 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,39.2,29.4,17.64,39.2,913 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,43.88,26.33,58.5,911 HCPCS,J1050,MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE,195.2,146.4,87.84,195.2,909 HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),52.1,39.08,23.45,52.1,909 HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,57.98,34.79,77.3,910 HCPCS,J1073,TESTOSTERONE 75 MG IMPLANT PELLET,343.8,257.85,76.11,343.8,915 HCPCS,J1096,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1543.5,1157.63,102.94,1543.5,915 HCPCS,J1097,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1119.97,96.91,1493.3,916 HCPCS,J1100,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,29.78,17.87,39.7,909 HCPCS,J1100,DEXAMETHASONE 4 MG/ML INJECTION SOLUTION ANES ONLY,36.9,27.68,16.61,36.9,909 HCPCS,J1100,DEXAMETHASONE 400 MCG/0.1 ML (4 MG/ML) INTRAOCULAR INJECTION (1 ML PARABEN-FREE COMMERCIAL VIAL),70.3,52.73,31.64,70.3,909 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,38.9,29.18,17.51,38.9,915 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,27.68,16.61,36.9,914 HCPCS,J1100,PR DEXAMETHASONE SODIUM PHOS,39.75,29.81,0.11,39.75,676 HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,166.9,125.18,75.11,166.9,909 HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,92.7,69.53,41.72,92.7,910 HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.9,35.17,21.11,46.9,910 HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,18439.6,13829.7,5168.23,18439.6,915 HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.7,27.53,16.52,36.7,910 HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),70.7,53.03,31.82,70.7,909 HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,108.6,65.16,144.8,909 HCPCS,J1171,HYDROMORPHONE (PF) 100 MCG/1 ML INJECTION DILUTION (CNR),101.1,75.83,45.5,101.1,909 HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION (WRAPPER),75.7,56.78,34.07,75.7,909 HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION REGIONAL SOLUTION,75.7,56.78,34.07,75.7,909 HCPCS,J1171,HYDROMORPHONE (PF) 250 MG/250 ML (1 MG/ML) IN NACL 0.9% CADD CASSETTE FOR INFUSION TITRATION (CNR),217.0,162.75,97.65,217.0,909 HCPCS,J1171,HYDROMORPHONE (PF) 250 MG/250 ML (1 MG/ML) IN NACL 0.9% PCA (CADD-SOLIS) CNR,217.0,162.75,97.65,217.0,909 HCPCS,J1171,HYDROMORPHONE 0.2 MG/ML INJECTION ARZ ANES,83.4,62.55,37.53,83.4,909 HCPCS,J1171,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,79.8,59.85,35.91,79.8,912 HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,57.08,34.25,76.1,914 HCPCS,J1171,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL CASSETTE FOR INFUSION TITRATION,214.7,161.03,96.62,214.7,909 HCPCS,J1171,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR,164.7,123.53,74.12,164.7,910 HCPCS,J1171,"INJ, HYDROMORPHONE, 0.1 MG",72.5,54.38,0.56,72.5,676 HCPCS,J1190,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),203.9,152.93,63.06,203.9,915 HCPCS,J1190,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),450.6,337.95,63.06,450.6,915 HCPCS,J1190,PR DEXRAZOXANE HCL INJ 250 MG,786.7149999999999,590.035,58.01,810.54,676 HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,27.75,16.65,37.0,912 HCPCS,J1200,PR DIPHENHYDRAMINE HCL INJECTIO,36.0,27.0,0.71,36.0,678 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,119.8,89.85,53.91,119.8,909 HCPCS,J1212,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2088.9,1566.68,748.85,2088.9,915 HCPCS,J1212,PR DIMETHYL SULFOXIDE 50% 50 ML,2089.4,1567.05,749.23,2089.4,676 HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,500.33,300.2,667.1,910 HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,48.0,36.0,21.6,48.0,909 HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,74.03,44.42,98.7,910 HCPCS,J1250,PR INJ DOBUTAMINE HCL/250 MG,98.7,74.03,8.02,98.7,676 HCPCS,J1265,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,74.63,44.78,99.5,910 HCPCS,J1265,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,34.35,20.61,45.8,909 HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,32.25,19.35,43.0,909 HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,42.1,31.58,18.95,42.1,910 HCPCS,J1271,INJ DOXYCYCLINE HYCLATE 1 MG,81.46,61.1,0.1,81.46,676 HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,24265.6,18199.2,44.82,24265.6,915 HCPCS,J1301,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,2630.63,20.99,3507.5,915 HCPCS,J1302,"PR INJ, SUTIMLIMAB-JOME, 10 MG",24207.629999999997,18155.725,19.03,24736.85,676 HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,60966.149999999994,45724.615,225.11,95803.9,1830 HCPCS,J1305,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),114719.29999999999,86039.47499999999,193.76,178988.4,1830 HCPCS,J1306,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13878.1,10408.58,12.32,13878.1,915 HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,27.23,16.34,36.3,909 HCPCS,J1323,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,40859.0,30644.255,184.07,51926.3,1830 HCPCS,J1323,"INJ, ELRANATAMAB-BCMM, 1 MG",49864.565,37398.425,188.52,51926.3,676 HCPCS,J1325,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,41.1,30.83,18.5,41.1,909 HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,82.2,61.65,36.99,82.2,909 HCPCS,J1335,ERTAPENEM 1 GRAM IM EQUIVALENCY,40.2,30.15,18.09,40.2,909 HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,40.2,30.15,18.09,40.2,910 HCPCS,J1335,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,97.6,73.2,43.92,97.6,909 HCPCS,J1335,PR ERTAPENEM INJECTION,111.41499999999999,83.56,9.16,122.74,676 HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,249.6,187.2,112.32,249.6,909 HCPCS,J1380,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,69.4,52.05,31.23,69.4,909 HCPCS,J1380,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,48.45,29.07,64.6,909 HCPCS,J1410,CONJUGATED ESTROGENS 25 MG/5 ML SOLUTION FOR INJECTION (WETTED),1435.0,1076.25,392.06,1435.0,915 HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4175.7,3131.78,1879.07,4175.7,909 HCPCS,J1439,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4125.6,3094.2,1.11,4125.6,915 HCPCS,J1439,PR INJ FERRIC CARBOXYMALTOS 1MG,4084.5199999999995,3063.395,1.12,4065.18,676 HCPCS,J1440,FECAL MICROBIOTA JSLM 1 ML,28293.5,21220.13,9693.75,28293.5,678 HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1227.9,920.93,1.0,1227.9,915 HCPCS,J1442,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1955.2,1466.4,1.0,1955.2,915 HCPCS,J1442,"PR INJ, FILGRASTIM G-CSF 1MCG",822.7,617.03,200.4,822.7,676 HCPCS,J1447,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,740.6,555.45,0.28,740.6,915 HCPCS,J1447,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1185.3,888.98,0.28,1185.3,915 HCPCS,J1448,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),6416.7,4812.52,5.46,6416.7,915 HCPCS,J1450,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,82.4,61.8,37.08,82.4,909 HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,88.3,66.22,39.74,88.3,909 HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,89.7,67.28,40.37,89.7,910 HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1911.7,1433.78,6.28,1911.7,915 HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,88.9,66.68,40.01,88.9,910 HCPCS,J1453,FOSAPREPITANT 150 MG/250 ML IN 0.9% NACL (CNR),257.3,192.98,115.79,257.3,909 HCPCS,J1455,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1647.0,1235.25,741.15,1647.0,909 HCPCS,J1455,FOSCARNET SODIUM INJECTION,703.71,527.78,6.71,703.71,676 HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",7010.400000000001,5257.799999999999,50.74,18694.4,3660 HCPCS,J1460,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",389.2,291.9,49.03,389.2,915 HCPCS,J1559,IMMUNE GLOB G 20%-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN (WRAPPER),1149.3,861.98,14.34,5746.2,2745 HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,4746.0,3559.5,48.96,4746.0,915 HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9492.0,7119.0,48.96,9492.0,915 HCPCS,J1561,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2373.0,1779.75,48.96,2373.0,915 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",3396.25,2547.19,47.53,5164.0,1830 HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",4065.6000000000004,3049.2,45.31,8131.2,3664 HCPCS,J1569,PR GAMMAGARD LIQUID INJ,,,47.29,1359.48,654 HCPCS,J1570,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),185.7,139.28,83.57,185.7,909 HCPCS,J1570,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,133.4,100.05,60.03,133.4,909 HCPCS,J1570,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),117.0,87.75,52.65,117.0,909 HCPCS,J1570,PR GANCICLOVIR SODIUM INJECTION,224.1,168.08,33.52,224.1,676 HCPCS,J1571,HEPAGAM B IM INJECTION,1439.98,1079.98,69.59,1439.98,676 HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),215.1,161.32,66.64,215.1,915 HCPCS,J1573,HEPATITIS B IMMUNE GLOBULIN > 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,7393.8,66.64,9858.4,915 HCPCS,J1580,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,29.25,17.55,39.0,909 HCPCS,J1580,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,909 HCPCS,J1580,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,62.85,37.71,83.8,910 HCPCS,J1580,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,911 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION,92.6,69.45,41.67,92.6,911 HCPCS,J1580,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,27.15,16.29,36.2,909 HCPCS,J1580,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,62.33,37.4,83.1,910 HCPCS,J1580,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,61.95,37.17,82.6,909 HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,32.1,19.26,42.8,909 HCPCS,J1580,PR GARAMYCIN GENTAMICIN INJ,48.565,36.425,2.17,55.83,676 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),41.7,31.28,18.77,41.7,914 HCPCS,J1602,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7793.0,5844.75,11.04,7793.0,915 HCPCS,J1602,PR GOLIMUMAB FOR IV USE 1MG,12732.029999999999,9549.02,11.63,13485.92,676 HCPCS,J1611,GLUCAGON 1 MG/ML INJECTION (WRAPPER),457.4,343.05,148.99,457.4,915 HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,31.95,19.17,42.6,912 HCPCS,J1626,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,44.7,33.53,20.12,44.7,912 HCPCS,J1626,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,38.1,28.58,17.15,38.1,909 HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,57916.4,43437.3,75.97,57916.4,915 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,912 HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,62.9,47.18,28.31,62.9,909 HCPCS,J1631,PR HALOPERIDOL DECANOATE INJ,62.9,47.18,3.94,62.9,676 HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,45708.7,34281.53,34.18,45708.7,915 HCPCS,J1640,"HEMIN, 1 MG",41963.02,31472.27,35.31,41963.02,676 HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",89.0,66.75,40.05,89.0,909 HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.4,31.8,19.08,42.4,911 HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,31.05,18.63,41.4,909 HCPCS,J1644,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER FOR ARZ)",92.5,69.38,41.63,92.5,909 HCPCS,J1644,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",92.5,69.38,41.63,92.5,910 HCPCS,J1644,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,45.38,27.23,60.5,909 HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",110.0,82.5,49.5,110.0,911 HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN CNR",90.8,68.1,40.86,90.8,909 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/500 ML (10 UNIT/ML) IN 0.9 % NACL FLUSH SOLUTION",94.2,70.65,42.39,94.2,909 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.5,28.88,17.33,38.5,915 HCPCS,J1644,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN D5W IV SOLN",110.0,82.5,49.5,110.0,909 HCPCS,J1644,"HEPARIN 30,000/1000 ML (30 UNITS/ML) IN 0.9% NACL",51.0,38.25,22.95,51.0,909 HCPCS,J1644,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",44.9,33.67,20.21,44.9,909 HCPCS,J1644,PR INJ HEPARIN SODIUM PER 1000U,43.695,32.775,0.18,45.09,676 HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,49.8,29.88,66.4,910 HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,51.45,30.87,68.6,909 HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,48.5,36.38,21.83,48.5,909 HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,33.3,19.98,44.4,910 HCPCS,J1650,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,78.1,58.58,35.15,78.1,909 HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,34.73,20.84,46.3,913 HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,38.92,23.36,51.9,910 HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,45.0,27.0,60.0,910 HCPCS,J1650,PR INJ ENOXAPARIN SODIUM,66.45,49.84,0.53,66.45,676 HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,117.3,87.98,52.79,117.3,909 HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,43.8,26.28,58.4,909 HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,59.3,44.48,26.69,59.3,909 HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,118.8,89.1,53.46,118.8,909 HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2118.7,1589.03,593.0,2118.7,915 HCPCS,J1720,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",744.4,558.3,334.98,744.4,909 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,92.0,69.0,41.4,92.0,910 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,189.0,141.75,85.05,189.0,909 HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,73.7,55.28,33.17,73.7,909 HCPCS,J1742,IBUTILIDE 1 MG/50 ML IVPB ARZ ANES,1693.0,1269.75,172.31,1693.0,915 HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,338.6,253.95,152.37,338.6,915 HCPCS,J1743,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION,13169.8,9877.35,558.46,13169.8,915 HCPCS,J1744,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9665.0,7248.75,6540.31,9665.0,915 HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1851.6,1388.7,31.09,1851.6,915 HCPCS,J1745,PR INFLIXIMAB INJECTION,7776.6,5832.45,1361.77,7776.6,678 HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,53.48,18.11,71.3,915 HCPCS,J1750,PR INJ IRON DEXTRAN,1133.6750000000002,850.255,18.08,1189.72,676 HCPCS,J1756,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,70.5,52.88,31.73,70.5,909 HCPCS,J1756,IRON SUCROSE 300 MG IVPB IN NACL 0.9 % 250 ML (CNR),453.2,339.9,203.94,453.2,909 HCPCS,J1756,PR IRON SUCROSE INJECTION,70.3,52.73,11.8,70.3,676 HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,46.2,27.72,61.6,910 HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,32.1,19.26,42.8,909 HCPCS,J1805,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,44.78,26.87,59.7,912 HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",345.9,259.43,155.66,345.9,909 HCPCS,J1807,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1835.1,1376.33,20.97,1835.1,915 HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION,111.2,83.4,50.04,111.2,909 HCPCS,J1808,"INJ, FOLIC ACID, 0.1 MG",37.2,27.9,0.05,37.2,676 HCPCS,J1815,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,57.3,42.98,38.77,57.3,915 HCPCS,J1815,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),102.80000000000001,77.105,25.79,148.3,1818 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),57.3,42.98,38.77,57.3,915 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,148.3,111.23,100.35,148.3,915 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),148.3,111.23,100.35,148.3,915 HCPCS,J1815,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,108.98,98.32,145.3,915 HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,68.3,51.23,46.22,68.3,915 HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,227.4,170.55,153.88,227.4,915 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,312.7,234.53,211.6,312.7,915 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),312.7,234.53,140.72,312.7,909 HCPCS,J1815,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),312.7,234.53,140.72,312.7,909 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,191.0,143.25,129.25,191.0,915 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),191.0,143.25,129.25,191.0,915 HCPCS,J1815,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),191.0,143.25,85.95,191.0,909 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,49.7,37.28,33.63,49.7,915 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,129.8,97.35,87.84,129.8,915 HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1053.7,790.28,713.04,1053.7,915 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,129.8,97.35,87.84,129.8,915 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),129.8,97.35,87.84,129.8,915 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION ARZ ANES,129.8,97.35,87.84,129.8,915 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,129.8,97.35,58.41,129.8,909 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,129.8,97.35,58.41,129.8,909 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,148.3,111.23,66.74,148.3,909 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,148.3,111.23,66.74,148.3,909 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,312.7,234.53,140.72,312.7,909 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,312.7,234.53,140.72,312.7,909 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,191.0,143.25,85.95,191.0,909 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,191.0,143.25,85.95,191.0,909 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,129.8,97.35,58.41,129.8,909 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,129.8,97.35,58.41,129.8,909 HCPCS,J1823,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,192106.6,144079.95,495.55,192106.6,915 HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1204.8,903.6,1.01,1204.8,915 HCPCS,J1836,"INJ, METRONIDAZOLE, 10 MG",80.3,60.23,0.03,80.3,676 HCPCS,J1836,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,60.45,36.27,80.6,909 HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,60.45,36.27,80.6,914 HCPCS,J1837,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,311.5,233.63,0.21,311.5,915 HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,28.2,0.3,37.6,920 HCPCS,J1885,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,28.28,0.3,37.7,919 HCPCS,J1885,PR KETOROLAC TROMETHAMINE INJ,37.315,27.985,0.33,37.04,676 HCPCS,J1920,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,45.6,27.36,60.8,914 HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,39557.3,29667.98,34.05,39557.3,915 HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE,33542.5,25156.88,34.05,33542.5,915 HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),10437.0,7827.75,29.84,10437.0,915 HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,46.2,34.65,17.6,48.0,2730 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,42.8,32.1,19.26,42.8,909 HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4346.8,3260.1,1730.32,4346.8,915 HCPCS,J1950,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,13040.4,9780.3,1730.32,13040.4,915 HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.0,30.0,18.0,40.0,910 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,82.9,62.18,37.31,82.9,909 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,89.8,67.35,40.41,89.8,909 HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,66.0,39.6,88.0,909 HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.1,68.33,41.0,91.1,910 HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,95.5,71.63,42.98,95.5,910 HCPCS,J1956,LEVOFLOXACIN INJECTION,86.28,64.71,2.16,86.28,676 HCPCS,J1961,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,79898.2,59923.65,22.15,79898.2,915 HCPCS,J1980,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,95.1,71.33,42.8,95.1,909 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,65.47,39.29,87.3,909 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,65.47,39.29,87.3,909 HCPCS,J2020,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.2,26.4,15.84,35.2,909 HCPCS,J2020,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),35.9,26.93,16.16,35.9,909 HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,75.97,45.59,101.3,909 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.5,55.13,33.08,73.5,910 HCPCS,J2060,PR LORAZEPAM INJECTION,75.305,56.480000000000004,1.41,75.5,676 HCPCS,J2151,"INJ, MANNITOL, 250 MG",52.8,39.6,4.8,52.8,677 HCPCS,J2151,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,38.63,23.18,51.5,910 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,57.53,34.52,76.7,909 HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,13156.8,9867.6,31.27,13156.8,915 HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,51.7,38.78,23.27,51.7,910 HCPCS,J2185,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,40.2,30.15,18.09,40.2,909 HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.5,33.38,20.03,44.5,910 HCPCS,J2185,PR MEROPENEM,40.5,30.38,0.38,40.5,676 HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,820.5,615.38,2.18,820.5,915 HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,61.0,45.75,27.45,61.0,909 HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),461.6,346.2,312.36,461.6,915 HCPCS,J2246,"INJ, MICAFUNGIN (BAXTER)",267.7,200.78,0.41,267.7,676 HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,77.9,58.43,35.06,77.9,909 HCPCS,J2248,PR MICAFUNGIN SODIUM INJECTION,128.6,96.45,37.35,128.6,676 HCPCS,J2249,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,911 HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,60.23,36.14,80.3,913 HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,52.73,31.64,70.3,910 HCPCS,J2250,MIDAZOLAM 100 MG/100 ML(1 MG/ML) IN 0.9% NACL CADD PUMP RESERVOIR FOR INFUSION TITRATION (PF PREMIX/PF & PRES. CONTAINING CNR),142.6,106.95,64.17,142.6,909 HCPCS,J2250,MIDAZOLAM 200 MG/100 ML (2 MG/ML) IN NACL 0.9% CADD PUMP RESERVOIR FOR INFUSION TITRATION (CNR),97.0,72.75,43.65,97.0,909 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,56.63,33.98,75.5,909 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.5,56.63,33.98,75.5,910 HCPCS,J2250,MIDAZOLAM 500 MG/100 ML (5 MG/ML) CADD FOR INFUSION TITRATION (CNR),161.8,121.35,72.81,161.8,909 HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,52.8,39.6,23.76,52.8,909 HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,67.8,40.68,90.4,909 HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1057.6,793.2,2.67,1057.6,915 HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,38161.9,28621.43,43.05,38161.9,915 HCPCS,J2270,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,58.73,35.24,78.3,911 HCPCS,J2270,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,56.33,33.8,75.1,912 HCPCS,J2270,MORPHINE 250 MG/50 ML (5 MG/ML) IN 0.9 % SOD. CHLOR IV PUMP RESERVOIR,77.7,58.28,34.97,77.7,909 HCPCS,J2270,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,362.3,271.73,163.04,362.3,909 HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION REGIONAL ANES ONLY,187.2,140.4,84.24,187.2,909 HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,187.2,140.4,84.24,187.2,909 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,174.98,104.99,233.3,909 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,115.05,69.03,153.4,910 HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,880.13,528.08,1173.5,909 HCPCS,J2274,PR IN MORPHINE PRESERVATIV FREE,645.31,483.98,13.5,645.31,676 HCPCS,J2278,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,14429.7,10822.275000000001,10.14,23836.2,1830 HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,23836.3,17877.22,10.14,23836.3,915 HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,211.88,127.13,282.5,909 HCPCS,J2280,"PR INJ, MOXIFLOXACIN 100 MG",282.5,211.88,9.16,282.5,676 HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 HCPCS,J2305,NITROGLYCERIN 40 MCG/ML INJECTION ARZ ANES,189.0,141.75,85.05,189.0,909 HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,49.1,36.83,22.1,49.1,909 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,141.75,85.05,189.0,910 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,141.75,85.05,189.0,909 HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION,44.3,33.23,19.94,44.3,910 HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE,42.3,31.73,19.04,42.3,909 HCPCS,J2323,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,35516.9,26637.68,24.0,35516.9,915 HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,40400.4,30300.3,14.94,40400.4,915 HCPCS,J2329,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,47068.3,35301.23,70.75,47068.3,915 HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,85515.7,64136.78,59.41,85515.7,915 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12017.2,9012.9,203.58,12017.2,915 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15744.5,11808.38,203.58,15744.5,915 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",17765.9,13324.43,203.58,17765.9,915 HCPCS,J2356,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,18258.3,13693.73,18.01,18258.3,915 HCPCS,J2357,PR OMALIZUMAB INJECTION,10196.045,7647.035,45.5,11375.79,676 HCPCS,J2359,OLANZAPINE 10 MG INJECTION SOLUTION,48.8,36.6,21.96,48.8,910 HCPCS,J2360,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,54.9,41.18,24.71,54.9,909 HCPCS,J2370,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,29.03,17.42,38.7,909 HCPCS,J2370,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),205.3,153.98,92.39,205.3,909 HCPCS,J2371,INJ PHENYLEPHRINE HCL 20 MCG,38.0,28.5,25.99,38.4,672 HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),36.4,27.3,16.38,36.4,909 HCPCS,J2371,PHENYLEPHRINE 500 MCG/ML DILUTION INJECTION (RST PROD LAB/CNR),36.7,27.53,16.52,36.7,909 HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,31.65,18.99,42.2,910 HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,70.8,53.1,31.86,70.8,909 HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,339.2,254.4,152.64,339.2,910 HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,915 HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,26.93,16.16,35.9,909 HCPCS,J2405,PR ONDANSETRON HCL INJECTION,37.41,28.06,0.09,37.41,676 HCPCS,J2426,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,13278.2,9958.65,15.11,13278.2,915 HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,104.1,78.08,46.85,104.1,909 HCPCS,J2430,PAMIDRONATE DISODIUM /30 MG,132.21,99.16,11.29,132.21,676 HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,42.1,31.58,18.95,42.1,909 HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,29.48,17.69,39.3,911 HCPCS,J2501,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,49.9,37.42,22.46,49.9,909 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,18076.6,13557.45,89.34,18076.6,915 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,18076.6,13557.45,89.34,18076.6,915 HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1531.58,27.99,2042.1,915 HCPCS,J2516,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,181.7,136.28,81.77,181.7,909 HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,100.4,75.3,45.18,100.4,909 HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,40.13,24.08,53.5,909 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,42.3,31.73,19.04,42.3,909 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,208.7,156.53,93.92,208.7,909 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,42.7,32.03,19.22,42.7,909 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,37.8,22.68,50.4,909 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK,192.0,144.0,86.4,192.0,911 HCPCS,J2543,PIPERACILLIN/TAZOBACTAM,78.75,59.06,1.09,78.75,676 HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,154.88,92.93,206.5,909 HCPCS,J2547,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1764.0,1323.0,1.68,1764.0,915 HCPCS,J2550,PR PROMETHAZINE HCL INJECTION,41.39,31.045,3.97,41.57,676 HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.7,31.28,18.77,41.7,913 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.3,138.23,82.94,184.3,910 HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,737.8,553.35,25.33,737.8,915 HCPCS,J2562,PLERIXAFOR INJECTION,444.04,333.03,30.66,444.04,676 HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,323.04999999999995,242.29000000000002,36.59,564.8,1820 HCPCS,J2597,PR INJ DESMOPRESSIN ACETATE,313.5,235.13,78.52,313.5,677 HCPCS,J2598,"INJECTION, VASOPRESSIN, 1 UNIT",47.75,35.81,0.53,47.75,676 HCPCS,J2598,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN DEXTROSE 5 % INTRAVENOUS (WRAPPER),217.0,162.75,97.65,217.0,909 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),41.9,31.43,18.86,41.9,910 HCPCS,J2675,PR INJ PROGESTERONE PER 50 MG,106.1,79.58,0.72,106.1,676 HCPCS,J2680,PR FLUPHENAZINE DECANOATE 25 MG,144.0,108.0,6.2,144.0,676 HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1508.7,1131.53,294.69,1508.7,915 HCPCS,J2700,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,46.2,34.65,20.79,46.2,909 HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,39.08,23.45,52.1,909 HCPCS,J2704,"PR INJ, PROPOFOL, 10 MG",23.75,17.81,0.09,23.75,676 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,42.6,31.95,19.17,42.6,915 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,73.0,54.75,32.85,73.0,909 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),54.0,40.5,19.22,73.0,2727 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,31.8,19.08,42.4,910 HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,124.0,93.0,55.8,124.0,911 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,321.4,241.05,144.63,321.4,909 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),642.8,482.1,289.26,642.8,909 HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION,1184.7,888.53,432.02,1184.7,915 HCPCS,J2760,PR PHENTOLAINE MESYLATE INJ,47.79,35.84,32.34,47.79,676 HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,911 HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7757.2,5817.9,86.38,7757.2,915 HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4225.3,3168.98,377.52,4225.3,915 HCPCS,J2785,PR REGADENOSON INJECTION,83.945,62.959999999999994,2.68,85.94,676 HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,49.0,36.75,22.05,49.0,909 HCPCS,J2786,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,4519.0,3389.25,10.95,4519.0,915 HCPCS,J2790,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",275.2,206.4,123.84,275.2,910 HCPCS,J2795,PR ROPIVACAINE HCL INJECTION,37.6,28.2,0.05,37.6,676 HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,30.83,18.5,41.1,910 HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,28.88,17.33,38.5,913 HCPCS,J2795,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,42.3,31.73,19.04,42.3,909 HCPCS,J2795,ROPIVACAINE PNC 0.2% STRAIGHT DRUG (CADD),148.4,111.3,66.78,148.4,909 HCPCS,J2802,"INJ, ROMIPLOSTIM 1 MICROGRAM",5801.12,4350.84,11.05,5903.0,676 HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11498.0,8623.5,11.01,11498.0,915 HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,22995.8,17246.85,11.01,22995.8,915 HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,274.4,205.8,123.48,274.4,909 HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,508.2,381.15,228.69,508.2,909 HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1226.6,919.95,50.37,1226.6,915 HCPCS,J2820,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,735.0,50.37,980.0,915 HCPCS,J2840,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,40840.0,30630.0,539.91,40840.0,915 HCPCS,J2850,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2800.0,2100.0,40.52,2800.0,915 HCPCS,J2860,"INJECTION, SILTUXIMAB",18392.61,13794.46,168.68,18392.61,676 HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6532.8,4899.6,165.83,6532.8,915 HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,26131.0,19598.25,165.83,26131.0,915 HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,51.1,38.33,23.0,51.1,910 HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,51.0,30.6,68.0,909 HCPCS,J2919,"INJ, METHYLPRED SOD SUCC 5MG",47.5,35.63,0.26,47.5,676 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,49.43,29.66,65.9,910 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.0,40.5,24.3,54.0,909 HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",126.9,95.18,57.11,126.9,910 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,43.3,32.48,19.49,43.3,909 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,55.8,41.85,25.11,55.8,909 HCPCS,J2997,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,720.8,540.6,94.45,720.8,915 HCPCS,J2997,ALTEPLASE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),568.4,426.3,94.45,568.4,915 HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,32624.7,24468.53,94.45,32624.7,915 HCPCS,J2997,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),359.0,269.25,94.45,359.0,915 HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,720.8,540.6,94.45,720.8,916 HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,16312.4,12234.3,94.45,16312.4,915 HCPCS,J2997,PR ALTEPLASE RECOMBINANT,667.605,500.70500000000004,93.83,652.27,676 HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,278.6,208.95,125.37,278.6,909 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,81.9,61.43,36.86,81.9,909 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INTRAFETAL INJECTION (WRAPPER) (ANES),81.9,61.43,36.86,81.9,909 HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,50.0,37.5,22.5,50.0,910 HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7972.3,5979.23,19.97,7972.3,915 HCPCS,J3055,INJ TALQUETAMAB-TGVS 0.25 MG,74219.1,55664.33,21575.52,74219.1,676 HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3322.2,2491.65,72.62,3322.2,915 HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,41232.8,30924.6,72.62,41232.8,915 HCPCS,J3090,TEDIZOLID 200 MG INTRAVENOUS SOLUTION,1455.9,1091.93,1.96,1455.9,915 HCPCS,J3101,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,31682.4,23761.8,172.22,31682.4,915 HCPCS,J3105,TERBUTALINE 1 MG/ML INJECTION SOLUTION,40.9,30.68,18.41,40.9,909 HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9959.9,7469.93,12.07,9959.9,915 HCPCS,J3121,INJ TESTOSTERO ENANTHATE 1MG,132.09,99.07,0.05,132.09,676 HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,86.0,64.5,38.7,86.0,910 HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8250.3,6187.73,2116.32,8250.3,915 HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,74474.9,55856.18,359.19,74474.9,915 HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,70.9,53.18,31.91,70.9,909 HCPCS,J3246,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,485.48,291.29,647.3,909 HCPCS,J3246,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,240.8,180.6,108.36,240.8,910 HCPCS,J3247,INJ SECUKINUMAB INTRAV 1MG,9142.04,6856.53,18.07,9142.04,676 HCPCS,J3250,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION,225.4,169.05,101.43,225.4,909 HCPCS,J3260,PR TOBRAMYCIN SULFATE INJECTION,61.0,45.75,2.07,61.0,676 HCPCS,J3260,TOBRAMYCIN 1.2 G POWDER VIAL OSM,179.2,134.4,80.64,179.2,909 HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,208.2,156.15,93.69,208.2,909 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,80.9,60.68,36.41,80.9,909 HCPCS,J3262,PR TOCILIZUMAB INJECTION,6137.389999999999,4603.04,5.61,6998.87,676 HCPCS,J3262,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),10357.7,7768.28,5.71,10357.7,915 HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,38814.4,29110.8,39.41,38814.4,915 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1613.9,1210.43,54.71,1613.9,915 HCPCS,J3299,PR INJ XIPERE 1 MG,35.5,26.63,24.02,35.5,676 HCPCS,J3299,TRIAMCINOLONE ACETONIDE (PF) 30 MG/ML IN BSS INTRAOCULAR INJECTION (KENALOG WASHING PROCEDURE),44.1,33.08,19.85,55.17,915 HCPCS,J3299,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,733.4,550.05,47.97,733.4,915 HCPCS,J3300,PR TRIAMCINOLONE A INJ PRS-FREE,268.4,201.3,97.96,268.4,676 HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,268.4,201.3,24.5,268.4,916 HCPCS,J3301,PR TRIAMCINOLONE ACETONIDE INJ,44.0,33.0,0.74,44.0,683 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,27.98,16.79,37.3,911 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,42.2,31.65,18.99,42.2,913 HCPCS,J3304,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2789.6,2092.2,18.3,2789.6,915 HCPCS,J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,3188.2,2391.15,474.84,3188.2,915 HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,59687.7,44765.78,40390.67,59687.7,915 HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,119375.2,89531.4,80781.2,119375.2,915 HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8849.2,6636.9,12.99,8849.2,915 HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,128.78,77.27,171.7,910 HCPCS,J3360,PR DIAZEPAM INJECTION,89.4,67.05,6.69,89.4,676 HCPCS,J3373,"INJ, VANCOMYCIN HCL, 10 MG",43.21,32.41,0.03,43.21,676 HCPCS,J3373,VANCOMYCIN 1 G POWDER VIAL OSM,12.3,9.23,5.54,12.3,909 HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK (PREMIX/CNR),100.2,75.15,45.09,100.2,910 HCPCS,J3373,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,26.4,15.84,35.2,909 HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",41.1,30.83,18.5,41.1,910 HCPCS,J3373,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,46.8,35.1,21.06,46.8,910 HCPCS,J3373,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,156.23,93.74,208.3,909 HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,113.4,85.05,51.03,113.4,909 HCPCS,J3373,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,26.55,15.93,35.4,909 HCPCS,J3373,VANCOMYCIN 2 GRAM/520 ML IN 0.9% NACL (CNR),96.9,72.68,43.61,96.9,909 HCPCS,J3373,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,27.6,16.56,36.8,909 HCPCS,J3373,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,671.6,503.7,302.22,671.6,909 HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,64.9,48.68,29.21,64.9,909 HCPCS,J3373,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 HCPCS,J3373,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,1818 HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,43.8,32.85,19.71,43.8,910 HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,62.7,47.03,28.22,62.7,909 HCPCS,J3373,VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK (PREMIX/CNR),204.6,153.45,92.07,204.6,910 HCPCS,J3373,VANCOMYCIN-GELFOAM BALL,298.1,223.58,134.15,298.1,909 HCPCS,J3374,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,72.3,54.23,32.54,72.3,911 HCPCS,J3379,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,33.08,19.85,44.1,909 HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,40212.4,30159.3,21.31,40212.4,915 HCPCS,J3385,PR VELAGLUCERASE ALFA,22827.21,17120.41,386.43,22827.21,676 HCPCS,J3396,PR VERTEPORFIN INJECTION,5927.0,4445.25,1502.28,5927.0,677 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,84.7,63.53,38.12,84.7,910 HCPCS,J3411,PR THIAMINE HCL 100 MG,41.78,31.34,1.81,41.78,676 HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.2,28.65,17.19,38.2,910 HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,45.0,33.75,20.25,45.0,910 HCPCS,J3420,CYANOCOBALAMIN (VIT B-12) 100 MCG/ML INJECTION DILUTION,282.9,212.18,127.31,282.9,909 HCPCS,J3420,PR VITAMIN B12 INJECTION,38.7,29.03,0.64,38.7,679 HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,3885.2,2913.9,5.19,3885.2,915 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,49.58,29.75,66.1,909 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,49.2,36.9,22.14,49.2,909 HCPCS,J3465,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.4,83.55,50.13,111.4,909 HCPCS,J3473,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),190.4,142.8,85.68,190.4,909 HCPCS,J3473,PR HYALURONIDASE RECOMBINANT,131.35,98.51,0.36,142.87,676 HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,59.93,35.96,79.9,911 HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,64.65,38.79,86.2,913 HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,910 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,54.0,40.5,24.3,54.0,910 HCPCS,J3475,PR INJ MAGNESIUM SULFATE,,,0.41,39.4,652 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,910 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,30.08,18.05,40.1,910 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,909 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,92.0,69.0,41.4,92.0,911 HCPCS,J3480,PR INJ POTASSIUM CHLORIDE,37.48,28.11,0.12,37.48,676 HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,113.9,85.43,1.51,113.9,915 HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,42.9,32.17,19.31,42.9,909 HCPCS,J3489,PR ZOLEDRONIC ACID 1MG,52.6,39.45,15.25,52.6,678 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),228.4,171.3,102.78,228.4,910 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,43.8,26.28,58.4,909 HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),263.5,197.63,118.58,263.5,909 HCPCS,J3490,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7554.1,5665.58,3399.35,7554.1,909 HCPCS,J3490,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,29.33,17.6,39.1,909 HCPCS,J3490,BACLOFEN (BULK) 100 % POWDER,223.2,167.4,100.44,223.2,909 HCPCS,J3490,BUPIVACAINE (BULK) 100 % POWDER,72.4,54.3,32.58,72.4,909 HCPCS,J3490,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,68.5,51.38,30.83,68.5,909 HCPCS,J3490,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,69.3,41.58,92.4,909 HCPCS,J3490,CLONIDINE HCL (BULK) POWDER,835.2,626.4,375.84,835.2,909 HCPCS,J3490,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),115.2,86.4,51.84,115.2,909 HCPCS,J3490,D5-NACL 0.2% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,D5-NACL 0.45% KCL 10 MEQ/L IV SOLP,92.5,69.38,41.63,92.5,909 HCPCS,J3490,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,96.0,72.0,43.2,96.0,909 HCPCS,J3490,D5-NACL 0.45% KCL 30 MEQ/L IV SOLP,103.0,77.25,46.35,103.0,909 HCPCS,J3490,D5-NACL 0.45% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,D5-NACL 0.9% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,D5LR KCL 20 MEQ/L IV SOLP,198.8,149.1,89.46,198.8,909 HCPCS,J3490,D5W KCL 20 MEQ/L IV SOLP,110.0,82.5,49.5,110.0,909 HCPCS,J3490,DOXYCYCLINE 100 MG POWDER VIAL OSM,44.2,33.15,19.89,44.2,909 HCPCS,J3490,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,64.13,38.48,85.5,909 HCPCS,J3490,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),85.5,64.13,38.48,85.5,909 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.3,27.98,16.79,37.3,909 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),39.5,29.63,17.78,39.5,909 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.3,28.73,17.24,38.3,909 HCPCS,J3490,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,170.6,127.95,76.77,170.6,910 HCPCS,J3490,FLUORODOPA F-18 0.42 MCI/ML TO 8.33 MCI/ML INTRAVENOUS SOLUTION,28061.9,21046.43,12627.86,28061.9,909 HCPCS,J3490,HC NITRIC OXIDE PER HOUR,413.0,309.75,185.85,413.0,913 HCPCS,J3490,HYDROMORPHONE (BULK) 100 % POWDER,36438.5,27328.88,16397.33,36438.5,910 HCPCS,J3490,INDOCYANINE GREEN 2.5 MG/ML SOLUTION FOR INJECTION,588.5,441.38,264.83,588.5,909 HCPCS,J3490,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION ARZ ANES,588.5,441.38,264.83,588.5,909 HCPCS,J3490,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,151.5,90.9,202.0,909 HCPCS,J3490,INSULIN REGULAR IV SYRINGE 1 UNIT/ML IN NACL 0.9% (NEO/PED)-DRAWN UP FROM PREMIX BAG/CNR DURING SHORTAGE,202.0,151.5,90.9,202.0,909 HCPCS,J3490,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,910 HCPCS,J3490,KETAMINE 100 MG/ML INJECTION SOLUTION,97.0,72.75,43.65,97.0,909 HCPCS,J3490,MORPHINE (BULK) 100 % POWDER,3743.3,2807.48,1684.49,3743.3,909 HCPCS,J3490,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",67.7,50.78,30.47,67.7,909 HCPCS,J3490,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,61.5,36.9,82.0,909 HCPCS,J3490,NACL 0.9% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 HCPCS,J3490,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4342.4,3256.8,1954.08,4342.4,909 HCPCS,J3490,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",148.7,111.53,66.92,148.7,909 HCPCS,J3490,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,29.4,17.64,39.2,909 HCPCS,J3490,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,209.0,156.75,94.05,209.0,909 HCPCS,J3490,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),66.2,49.65,29.79,66.2,909 HCPCS,J3490,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,193.2,144.9,86.94,193.2,909 HCPCS,J3490,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,72.8,54.6,32.76,72.8,909 HCPCS,J3490,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,115.6,86.7,52.02,115.6,910 HCPCS,J3490,SPHERULE-DERIV COCCI SKIN TEST 1.27 MCG/0.1 ML (1 ML) INTRADERMAL SOLN,109.4,82.05,49.23,109.4,909 HCPCS,J3490,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,9.75,5.85,13.0,909 HCPCS,J3490,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION ARZ ANES,44.3,33.23,19.94,44.3,909 HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,44.1,33.08,19.85,44.1,910 HCPCS,J3590,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,129.8,97.35,58.41,129.8,909 HCPCS,J7030,NACL 0.9 % IV FREE DRIP,82.0,61.5,36.9,82.0,909 HCPCS,J7030,NACL 0.9 % TABLE SOLUTION OSM,8.5,6.38,3.83,8.5,909 HCPCS,J7030,NACL 0.9% IV BOLUS,75.2,56.4,33.84,75.2,909 HCPCS,J7030,NACL 0.9% IV SOLP,78.5,58.88,35.33,78.5,911 HCPCS,J7030,NACL 0.9% IV SOLP (PERFUSION ONLY),82.0,61.5,36.9,82.0,909 HCPCS,J7030,"PR NORMAL SALINE SOLUTION INFUS, 1000 CC",82.0,61.5,0.66,82.0,684 HCPCS,J7030,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.2,56.4,33.84,75.2,909 HCPCS,J7040,NACL 0.9 % IV FREE DRIP,80.3,60.23,36.14,80.3,909 HCPCS,J7040,NACL 0.9% IV BOLUS,75.3,56.48,33.89,75.3,909 HCPCS,J7040,NACL 0.9% IV SOLP,81.85,61.39,36.05,90.8,3640 HCPCS,J7040,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,62.85,37.71,83.8,909 HCPCS,J7040,NACL 0.9% IV SOLP (PERFUSION ONLY),80.3,60.23,36.14,80.3,909 HCPCS,J7040,"PR NORMAL SALINE SOLUTION INFUS, 500 ML = 1 UNIT",80.3,60.23,0.66,80.3,684 HCPCS,J7042,D5-NACL 0.9% IV BOLUS,82.0,61.5,36.9,82.0,1818 HCPCS,J7042,D5-NACL 0.9% IV SOLP,82.0,61.5,36.9,82.0,910 HCPCS,J7050,NACL 0.9 % IV FREE DRIP,80.3,60.23,36.14,80.3,909 HCPCS,J7050,NACL 0.9% IV BOLUS,77.05,57.790000000000006,34.02,77.7,3636 HCPCS,J7050,NACL 0.9% IV SOLP,80.3,60.23,36.14,80.3,912 HCPCS,J7050,NACL 0.9% IV SOLP (PERFUSION ONLY),80.3,60.23,36.14,80.3,909 HCPCS,J7050,"PR NORMAL SALINE SOLUTION INFUS, 250 CC",80.3,60.23,0.66,80.3,683 HCPCS,J7060,D5W 500 ML FOR IMPELLA,82.9,62.17999999999999,36.14,85.5,1818 HCPCS,J7060,D5W IV BOLUS,80.3,60.23,36.14,80.3,909 HCPCS,J7060,D5W IV FIXED RATE (ANES ONLY),80.75,60.565,36.14,81.0,4545 HCPCS,J7060,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,63.75,38.25,85.0,909 HCPCS,J7060,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,65.47,39.29,87.3,910 HCPCS,J7060,DEXTROSE 5% IN WATER FLUSH BAG,80.3,60.23,36.14,80.3,1818 HCPCS,J7060,PR 5% DEXTROSE/WATER,77.19,57.89,1.75,77.19,676 HCPCS,J7070,D5W 500 ML FOR IMPELLA,82.0,61.5,36.9,82.0,909 HCPCS,J7070,D5W IV FIXED RATE (ANES ONLY),82.0,61.5,36.9,82.0,909 HCPCS,J7070,D5W IV SOLP,82.0,61.5,36.9,82.0,909 HCPCS,J7070,DEXTROSE 5% IN WATER FLUSH BAG,82.0,61.5,36.9,82.0,909 HCPCS,J7070,PR D5W INFUSION,82.0,61.5,1.75,82.0,681 HCPCS,J7100,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,900.98,540.59,1201.3,909 HCPCS,J7120,LACTATED RINGERS FIXED RATE,82.0,61.5,36.9,82.0,909 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,60.23,35.33,82.0,2745 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,65.47,39.29,87.3,909 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,61.5,36.9,82.0,909 HCPCS,J7120,LACTATED RINGERS IRRIGATION SOLUTION,81.5,61.13,27.23,157.5,2727 HCPCS,J7120,LACTATED RINGERS IV BOLUS,82.0,61.5,36.9,82.0,909 HCPCS,J7120,PR RINGERS LACTATE INFUSION,80.3,60.23,2.38,80.3,676 HCPCS,J7121,D5LR BOLUS (ANES),75.4,56.55,33.93,75.4,909 HCPCS,J7121,D5LR FREE DRIP (ANES),81.15,60.864999999999995,36.14,82.0,1818 HCPCS,J7121,D5LR IV BOLUS,82.0,61.5,36.9,82.0,909 HCPCS,J7121,D5LR IV SOLP,82.0,61.5,36.9,82.0,910 HCPCS,J7131,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,62.85,37.71,83.8,909 HCPCS,J7131,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,85.5,64.13,38.48,85.5,909 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,31.35,2.14,41.8,916 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,31.35,2.14,41.8,915 HCPCS,J7170,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,65489.9,49117.43,56.1,65489.9,915 HCPCS,J7171,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT",48.8,36.6,21.96,48.8,915 HCPCS,J7177,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.7,29.03,1.23,38.7,915 HCPCS,J7179,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,32.17,1.85,42.9,915 HCPCS,J7179,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,32.17,1.85,42.9,915 HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,29.93,1.49,39.9,915 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",9640.0,7230.0,2.66,9640.0,915 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",19280.0,14460.0,2.66,19280.0,915 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",48200.0,36150.0,2.66,48200.0,915 HCPCS,J7192,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,30.45,1.54,40.6,916 HCPCS,J7192,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,29.4,1.54,39.2,915 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,29.33,1.85,39.1,915 HCPCS,J7195,PR FACTOR IX RECOMBINANT,4056.0,3042.0,1832.17,4056.0,676 HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,50.2,37.65,4.1,50.2,916 HCPCS,J7198,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.0,32.25,2.41,43.0,914 HCPCS,J7200,COAGULATION FACTOR IX (RECOMB) -- RIXUBIS (BRAND SPLIT) (RESTRICTED),39.3,29.48,1.69,39.3,914 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,909 HCPCS,J7297,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,939.23,563.54,1252.3,909 HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,912 HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,2039.8,1529.85,917.91,2039.8,909 HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1365.38,819.23,1820.5,909 HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,838.95,503.37,1118.6,909 HCPCS,J7308,PR AMINOLEVULINIC ACID HCL TOP,1239.7,929.78,389.83,1239.7,678 HCPCS,J7312,PR DEXAMETHASONE INTRA IMPLANT,4260.0,3195.0,1431.77,4260.0,677 HCPCS,J7313,FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT,28779.6,21584.7,498.14,28779.6,915 HCPCS,J7313,PR FLUOCINOL ACET INTRAVIT IMP,28779.6,21584.7,9641.28,28779.6,676 HCPCS,J7315,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1350.0,1012.5,607.5,1350.0,910 HCPCS,J7318,"HYALURONATE SODIUM, STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE",4133.6,3100.2,6.77,4133.6,915 HCPCS,J7321,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,879.4,659.55,395.73,879.4,909 HCPCS,J7323,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,392.5,294.38,112.45,392.5,915 HCPCS,J7325,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1631.2,1223.4,7.95,1631.2,915 HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,543.8,407.85,7.95,543.8,915 HCPCS,J7327,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",2525.3,1893.98,636.59,2525.3,915 HCPCS,J7330,GRAFT CARTILAGE MEMBRANE COLLAGEN STERILE MACI 3X5CM,121330.0,90997.5,54598.5,121330.0,641 HCPCS,J7336,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2838.1,2128.57,3.42,2838.1,915 HCPCS,J7354,"CANTHARIDIN TOP, APPLICATOR",2012.3,1509.23,656.5,2012.3,676 HCPCS,J7355,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,41910.0,31432.5,195.72,41910.0,915 HCPCS,J7500,AZATHIOPRINE 50 MG TABLET,7.3,5.48,3.29,7.3,910 HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE,64.6,48.45,29.07,64.6,910 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.98,6.29,9.3,915 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,386.7,348.91,515.6,915 HCPCS,J7503,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,15.0,13.53,20.0,915 HCPCS,J7503,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,18.68,16.85,24.9,915 HCPCS,J7503,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,62.93,56.78,83.9,915 HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",19701.3,14775.98,5135.09,19701.3,915 HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,6.0,3.6,8.0,910 HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,6.6,3.96,8.8,911 HCPCS,J7507,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,22.65,13.59,30.2,909 HCPCS,J7509,METHYLPREDNISOLONE 32 MG TABLET,18.1,13.58,8.15,18.1,909 HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET,9.7,7.28,4.37,9.7,910 HCPCS,J7509,METHYLPREDNISOLONE ORAL,9.76,7.32,0.14,9.76,676 HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,91.88,82.9,122.5,915 HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4589.9,3442.43,999.37,4589.9,915 HCPCS,J7512,PR PREDNISONE ORAL 1 MG,0.855,0.645,0.01,1.01,676 HCPCS,J7512,PREDNISONE 1 MG TABLET,5.4,4.05,2.43,5.4,909 HCPCS,J7512,PREDNISONE 10 MG TABLET,5.5,4.13,2.48,5.5,910 HCPCS,J7512,PREDNISONE 2.5 MG TABLET,5.5,4.13,2.48,5.5,909 HCPCS,J7512,PREDNISONE 20 MG TABLET,5.7,4.28,3.86,5.7,915 HCPCS,J7512,PREDNISONE 5 MG TABLET,5.6,4.2,2.52,5.6,911 HCPCS,J7512,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,330.83,198.5,441.1,909 HCPCS,J7512,PREDNISONE 50 MG TABLET,6.0,4.5,2.7,6.0,910 HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE,21.8,16.35,9.81,21.8,910 HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,4.95,4.47,6.6,915 HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,269.2,201.9,121.14,269.2,909 HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,4.88,2.93,6.5,911 HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",17.6,13.2,7.92,17.6,910 HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,19.65,17.73,26.2,915 HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,67.2,50.4,30.24,67.2,909 HCPCS,J7519,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),67.2,50.4,30.24,67.2,909 HCPCS,J7520,SIROLIMUS 0.5 MG TABLET,12.3,9.23,8.32,12.3,915 HCPCS,J7520,SIROLIMUS 1 MG TABLET,33.4,25.05,15.03,33.4,909 HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,11.33,6.8,15.1,909 HCPCS,J7521,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,16.43,9.86,21.9,909 HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,973.9,730.43,263.15,973.9,915 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,13.95,12.59,18.6,915 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,15.75,14.21,21.0,915 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,38.6,28.95,26.12,38.6,915 HCPCS,J7528,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,20.4,15.3,9.18,20.4,909 HCPCS,J7605,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,9.45,8.53,12.6,915 HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,6.3,4.72,4.26,6.3,915 HCPCS,J7613,ALBUTEROL SULFATE 0.166 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,13.0,9.75,8.8,13.0,915 HCPCS,J7613,ALBUTEROL SULFATE 0.332 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,20.9,15.68,14.14,20.9,915 HCPCS,J7613,ALBUTEROL SULFATE 0.664 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,36.4,27.3,24.63,36.4,915 HCPCS,J7613,ALBUTEROL SULFATE 1 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,53.9,40.42,36.47,53.9,915 HCPCS,J7613,ALBUTEROL SULFATE 1.34 MG/ML IN NACL 0.9% (INGREDIENT FOR DISPENSE PREPPING CONT NEB) CNR,68.7,51.53,46.49,68.7,915 HCPCS,J7613,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,4.5,4.06,6.0,915 HCPCS,J7614,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,8.7,7.85,11.6,915 HCPCS,J7614,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,7.73,6.97,10.3,915 HCPCS,J7620,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.7,5.03,4.53,6.7,915 HCPCS,J7626,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,9.0,8.12,12.0,915 HCPCS,J7626,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,12.45,11.23,16.6,915 HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,386.4,348.64,515.2,915 HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,4.5,4.06,6.0,915 HCPCS,J7674,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 HCPCS,J7674,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 HCPCS,J7674,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,16.8,10.08,22.4,909 HCPCS,J7674,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,6.75,4.05,9.0,909 HCPCS,J7674,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,162.23,97.34,216.3,909 HCPCS,J7674,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,125.7,75.42,167.6,909 HCPCS,J7674,"PR METHACHOLINE CHLORIDE, NEB",811.2,608.4,85.0,811.2,676 HCPCS,J7682,PR TOBRAMYCIN NON-COMPD U,787.8,590.85,12.47,787.8,676 HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,34.05,30.72,45.4,915 HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3081.98,2780.76,4109.3,915 HCPCS,J7999,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,890.63,534.38,1187.5,909 HCPCS,J7999,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1752.9,1051.74,2337.2,909 HCPCS,J8501,APREPITANT 125 MG CAPSULE,576.4,432.3,259.38,576.4,909 HCPCS,J8501,APREPITANT 40 MG CAPSULE,181.6,136.2,81.72,181.6,913 HCPCS,J8501,APREPITANT 80 MG CAPSULE,332.2,249.15,149.49,332.2,909 HCPCS,J8522,CAPECITABINE 150 MG TABLET,6.7,5.03,0.04,6.7,915 HCPCS,J8522,CAPECITABINE 500 MG TABLET,33.7,25.28,0.04,33.7,915 HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,7.88,4.73,10.5,909 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,10.73,6.44,14.3,909 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,9.68,8.73,12.9,915 HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE,25.9,19.43,17.53,25.9,915 HCPCS,J8700,TEMOZOLOMIDE 140 MG CAPSULE,36.5,27.38,24.7,36.5,915 HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE,24.9,18.68,16.85,24.9,915 HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE,12.7,9.53,8.59,12.7,915 HCPCS,J9000,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),145.8,109.35,65.61,145.8,909 HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),96.0,72.0,43.2,96.0,909 HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),648.8,486.6,291.96,648.8,909 HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),648.8,486.6,291.96,648.8,909 HCPCS,J9000,PR DOXORUBIC HCL 10 MG VL CHEMO,125.98499999999999,94.485,2.78,170.26,676 HCPCS,J9011,"DATOPOTAMAB DERUXTECAN, 1 MG",45069.085,33801.815,51.55,46140.17,676 HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19845.2,14883.9,51.56,19845.2,915 HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,24106.7,18080.03,3338.87,24106.7,915 HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1435.6,1076.7,646.02,1435.6,909 HCPCS,J9017,PR ARSENIC TRIOXIDE,225.835,169.375,7.39,246.42,676 HCPCS,J9022,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),47485.6,35614.2,91.34,47485.6,915 HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8494.2,6370.65,100.09,8494.2,915 HCPCS,J9024,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",47485.6,35614.2,31.58,47485.6,915 HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),83.4,62.55,37.53,83.4,909 HCPCS,J9025,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),83.4,62.55,37.53,83.4,909 HCPCS,J9025,PR AZACITIDINE INJECTION,58.4,43.8,32.41,58.4,676 HCPCS,J9026,"INJ, TARLATAMAB-DLLE, 1 MG",52232.384999999995,39174.29,1566.59,59670.0,676 HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6146.0,4609.5,1564.64,6146.0,915 HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,61460.2,46095.15,1564.64,61460.2,915 HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,526.9,395.18,4.19,526.9,915 HCPCS,J9028,"INJ, NOGAPENDEKIN PMLN, 1MCG",,,94.73,143200.0,652 HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,709.5,532.13,3.26,709.5,915 HCPCS,J9030,PR BCG LIVE INTRAVESICAL 1MG,498.87,374.155,3.28,652.9,676 HCPCS,J9032,BELINOSTAT 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),10216.4,7662.3,52.47,10216.4,915 HCPCS,J9032,"INJECTION, BELINOSTAT, 10MG",24729.99,18547.49,53.11,24729.99,676 HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5595.8,4196.85,13.49,5595.8,915 HCPCS,J9034,PR BENDEKA 1MG INJ,8798.94,6599.205,12.83,9594.49,676 HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,6974.599999999999,5230.955,73.2,11159.3,1830 HCPCS,J9035,PR BEVACIZUMAB INJECTION,8436.305,6327.2300000000005,296.41,16434.58,676 HCPCS,J9036,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION (BELRAPZO),8610.7,6458.03,12.28,8610.7,915 HCPCS,J9038,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,32864.3,24648.225,55.65,46646.1,1830 HCPCS,J9038,INJ AXATILIMAB-CSFR 0.1 MG,37104.9,27828.68,9738.75,37104.9,676 HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),23428.8,17571.6,164.25,23428.8,915 HCPCS,J9039,PR BLINATUMOMAB INJ,50553.435,37915.075,163.68,52567.84,676 HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),63.2,47.4,28.44,63.2,909 HCPCS,J9040,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),63.2,47.4,28.44,63.2,909 HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,236.7,177.53,106.52,236.7,909 HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),236.7,177.53,106.52,236.7,909 HCPCS,J9040,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),236.7,177.53,106.52,236.7,909 HCPCS,J9040,PR BLEOMYCIN SULFATE INJECTION,118.4,88.8,23.02,118.4,676 HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,129.8,97.35,58.41,129.8,909 HCPCS,J9041,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),129.8,97.35,58.41,129.8,909 HCPCS,J9041,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),129.8,97.35,58.41,129.8,909 HCPCS,J9041,PR BORTEZOMIB INJECTION,65.105,48.83,2.68,80.86,676 HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),52390.9,39293.18,258.64,52390.9,915 HCPCS,J9042,PR BRENTUXIMAB VEDOTIN INJ,73509.595,55132.195,268.45,76611.2,676 HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,58555.6,43916.7,227.28,58555.6,915 HCPCS,J9043,PR CABAZITAXEL INJECTION,28702.35,21526.76,230.8,28702.35,676 HCPCS,J9045,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,118.0,88.5,53.1,118.0,909 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,104.4,78.3,46.98,104.4,909 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),104.4,78.3,46.98,104.4,909 HCPCS,J9045,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION,860.0,645.0,387.0,860.0,909 HCPCS,J9045,CARBOPLATIN 150 MG/15 ML INTRAVENOUS SOLUTION (WETTED),860.0,645.0,387.0,860.0,909 HCPCS,J9045,PR CARBOPLATIN INJECTION,97.31,72.98,2.93,97.31,676 HCPCS,J9047,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7076.4,5307.3,55.65,7076.4,915 HCPCS,J9047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),14152.6,10614.45,55.65,14152.6,915 HCPCS,J9047,"PR INJECTION, CARFILZOMIB, 1 MG",8181.25,6135.9400000000005,55.61,8202.21,676 HCPCS,J9048,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6153.9,4615.43,6.97,6153.9,915 HCPCS,J9050,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),407.8,305.85,183.51,407.8,915 HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3311.2,2483.4,78.37,3311.2,915 HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6622.4,4966.8,78.37,6622.4,915 HCPCS,J9055,PR CETUXIMAB INJECTION,1655.6,1241.7,401.72,1655.6,676 HCPCS,J9057,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20903.1,15677.33,9406.4,20903.1,909 HCPCS,J9060,CISPLATIN 0.01 MG/ML INJECTION DESENSITIZATION (CNR),105.6,79.2,47.52,105.6,909 HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,140.0,105.0,63.0,140.0,909 HCPCS,J9060,PR CISPLATIN 10 MG INJECTION,94.56,70.92,2.11,94.56,676 HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15143.0,11357.25,22.54,15143.0,915 HCPCS,J9063,"INJ, ELAHERE, 1 MG",83928.1,62946.08,71.17,83928.1,676 HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,27317.5,20488.13,69.49,27317.5,915 HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,263.2,197.4,10.68,263.2,915 HCPCS,J9065,PR INJ CLADRIBINE PER 1 MG,290.05,217.54000000000002,7.42,305.96,676 HCPCS,J9071,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,455.1,341.33,0.63,963.1,2745 HCPCS,J9071,PR INJ CYCLOPHOSPHAMD AUROMEDIC,530.35,397.765,0.7,551.77,676 HCPCS,J9075,"INJ, CYCLOPHOSPHAMIDE, NOS",304.41,228.31,0.59,304.41,676 HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,46.2,34.65,20.79,46.2,909 HCPCS,J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,89.18,53.51,118.9,909 HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,121951.8,91463.85,82.08,121951.8,915 HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,45089.3,33816.98,29.29,45089.3,915 HCPCS,J9120,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1431.6,1073.7,328.34,1431.6,915 HCPCS,J9130,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),43.8,32.85,19.71,43.8,909 HCPCS,J9130,PR DACARBAZINE 100 MG INJ,204.83999999999997,153.635,4.12,204.43,676 HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",44480.9,33360.68,55.57,44480.9,915 HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,131.3,98.48,59.09,131.3,909 HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),45627.7,34220.78,256.09,45627.7,915 HCPCS,J9155,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),2011.2,1508.4,4.45,2011.2,915 HCPCS,J9155,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1293.8,970.35,4.45,1293.8,915 HCPCS,J9171,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),379.1,284.33,170.6,379.1,909 HCPCS,J9171,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),134.8,101.1,43.92,1613.1,2727 HCPCS,J9171,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),134.8,101.1,60.66,134.8,909 HCPCS,J9171,PR DOCETAXEL INJECTION,112.11,84.08,0.65,112.11,676 HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,10857.05,8142.79,85.12,17511.3,1830 HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9418.3,7063.73,7.89,9418.3,915 HCPCS,J9176,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12557.6,9418.2,7.89,12557.6,915 HCPCS,J9176,PR INJ ELOTUZUMAB 1 MG,21741.805,16306.355,8.04,23806.59,676 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG/2 ML INTRAVENOUS SOLUTION (WETTED),11174.2,8380.65,36.74,11174.2,915 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG/3 ML INTRAVENOUS SOLUTION (WETTED),16761.4,12571.05,36.74,16761.4,915 HCPCS,J9177,PR INJ ENFORT VEDO-EJFV 0.25MG,23719.18,17789.385000000002,36.72,23756.6,676 HCPCS,J9178,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),183.8,137.85,82.71,183.8,909 HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,5609.0,4206.75,89.34,5609.0,915 HCPCS,J9179,PR ERIBULIN MESYLATE INJECTION,14022.5,10516.88,1815.2,14022.5,677 HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,88.2,52.92,117.6,909 HCPCS,J9181,ETOPOSIDE CHEMO UNDILUTED IVPB,134.0,100.5,52.79,268.2,2727 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,664.4,498.3,298.98,664.4,909 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),664.4,498.3,298.98,664.4,909 HCPCS,J9181,PR ETOPOSIDE 10 MG INJ,126.94,95.205,1.04,127.79,676 HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1007.9,755.93,453.56,1007.9,909 HCPCS,J9190,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,80.4,48.24,107.2,909 HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,107.2,80.4,48.24,107.2,909 HCPCS,J9190,FLUOROURACIL 7.5 MG/0.15 ML SUBCONJUNCTIVAL INJECTION,100.8,75.6,45.36,100.8,909 HCPCS,J9190,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),114.9,86.175,23.0,220.4,3636 HCPCS,J9190,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,82.05,49.23,109.4,909 HCPCS,J9190,PR FLUOROURACIL INJECTION,82.38,61.78,1.94,82.38,676 HCPCS,J9200,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16708.0,12531.0,4128.02,16708.0,915 HCPCS,J9200,FLOXURIDINE INJECTION,14032.57,10524.43,4254.92,14032.57,676 HCPCS,J9201,GEMCITABINE 1 GRAM/26.3 ML INTRAVENOUS SOLUTION (WETTED),46.5,34.88,20.93,46.5,909 HCPCS,J9201,GEMCITABINE 190 MG/5 ML INTRATUMORAL SYRINGE (FOR OR USE ONLY),125.6,94.2,56.52,125.6,909 HCPCS,J9201,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),435.9,326.93,196.16,435.9,909 HCPCS,J9201,GEMCITABINE 200 MG/5.26 ML INTRAVENOUS SOLUTION (WETTED),125.6,94.2,56.52,125.6,909 HCPCS,J9201,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),117.8,88.35,53.01,117.8,909 HCPCS,J9201,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),176.2,132.15,79.29,176.2,909 HCPCS,J9201,PR GEMCITABINE HCL,,,3.59,112.53,653 HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12851.7,9638.78,733.67,12851.7,915 HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4716.1,3537.08,733.67,4716.1,915 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),41775.2,31331.4,236.62,41775.2,915 HCPCS,J9204,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,19512.2,14634.15,248.5,19512.2,915 HCPCS,J9204,PR MOGAMULIZUMAB-KPKC 1 MG INJ,49416.19,37062.14,253.47,49416.19,676 HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,12144.9,9108.67,66.0,12144.9,915 HCPCS,J9205,PR INJ IRINOTECAN LIPOSOME 1 MG,25563.63,19172.72,65.96,25563.63,676 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),137.2,102.9,61.74,137.2,909 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.2,102.9,61.74,137.2,909 HCPCS,J9206,PR IRINOTECAN INJECTION,126.705,95.03,1.79,135.6,676 HCPCS,J9207,IXABEPILONE 15 MG/7.5 ML INTRAVENOUS SOLUTION (WETTED),8014.0,6010.5,139.21,8014.0,915 HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24041.8,18031.35,139.21,24041.8,915 HCPCS,J9207,IXABEPILONE 45 MG/22.5 ML INTRAVENOUS SOLUTION (WETTED),24041.8,18031.35,139.21,24041.8,915 HCPCS,J9208,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),122.4,91.8,55.08,122.4,909 HCPCS,J9208,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),362.3,271.73,163.04,362.3,909 HCPCS,J9209,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,24.38,14.63,32.5,909 HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION,66.4,49.8,29.88,66.4,909 HCPCS,J9209,PR MESNA INJECTION,52.435,39.33,1.7,57.86,676 HCPCS,J9210,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,108948.0,81711.0,384.85,145264.0,1830 HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,389.0,291.75,175.05,389.0,909 HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2757.0,2067.75,176.45,2757.0,915 HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1504.0,1128.0,176.45,1504.0,915 HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,374.0,280.5,168.3,374.0,916 HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,689.3,516.98,176.45,689.3,915 HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4135.6,3101.7,176.45,4135.6,915 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2067.8,1550.85,176.45,2067.8,915 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1121.8,841.35,176.45,1121.8,916 HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2256.0,1692.0,176.45,2256.0,917 HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),1360.0,1020.0,9.96,1360.0,915 HCPCS,J9223,"PR INJ. LURBINECTEDIN, 0.1 MG",53528.0,40146.0,13490.18,53528.0,677 HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3685.4,2764.05,81.9,3685.4,915 HCPCS,J9227,PR INJ. ISATUXIMAB-IRFC 10 MG,14024.82,10518.62,84.3,14024.82,676 HCPCS,J9228,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),91850.29999999999,68887.725,183.48,146960.4,1830 HCPCS,J9228,PR IPILIMUMAB INJ 1 MG,39923.009999999995,29942.26,186.91,42667.34,676 HCPCS,J9229,INJ INOTUZUMAB OZOGAM 0.1 MG,66677.42,50008.07,2816.77,66677.42,676 HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),97040.4,72780.3,2698.05,97040.4,915 HCPCS,J9245,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),563.0,422.25,95.9,563.0,915 HCPCS,J9248,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),730000.0,547500.0,795.0,730000.0,915 HCPCS,J9260,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.9,83.93,50.36,111.9,909 HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),235.4,176.55,105.93,235.4,909 HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,112.5,84.38,50.63,112.5,910 HCPCS,J9260,PR METHOTREXATE SODIUM INJ 50 MG,112.75999999999999,84.57,2.58,109.32,676 HCPCS,J9261,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,488.2,366.15,79.86,488.2,915 HCPCS,J9263,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,102.8,77.1,46.26,102.8,909 HCPCS,J9263,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),133.6,100.2,60.12,133.6,909 HCPCS,J9263,PR OXALIPLATIN,53.43,40.07,0.05,53.43,676 HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3023.3,2267.48,10.54,3023.3,915 HCPCS,J9264,PR PACLITAXEL PROTEIN BOUND,5179.9349999999995,3884.955,8.18,5170.45,676 HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,112623.7,84467.78,28424.06,112623.7,915 HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",185.4,139.05,83.43,185.4,909 HCPCS,J9267,PR PACLITAXEL INJECTION,111.3,83.48,17.82,111.3,680 HCPCS,J9268,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10262.9,7697.18,2608.16,10262.9,915 HCPCS,J9271,PEMBROLIZUMAB 200 MG/108 ML IN NACL 0.9% (CNR),41947.2,31460.4,60.29,41947.2,915 HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23930.4,17947.8,60.29,23930.4,915 HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,48813.6,36610.2,243.71,48813.6,915 HCPCS,J9273,"PR INJ TISOTU VEDOTIN-TFTV, 1MG",95681.3,71760.98,25488.84,95681.3,676 HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),29440.4,22080.3,188.76,29440.4,915 HCPCS,J9274,"PR INJ, TEBENTAFUSP-TEBN, 1 MCG",33629.9,25222.43,222.21,33629.9,676 HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,85566.8,64175.1,217.09,85566.8,915 HCPCS,J9276,"INJ ZANIDATAMAB-HRII, 2 MG",41098.82,30824.12,25.0,41098.82,676 HCPCS,J9276,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14559.5,10919.63,25.05,14559.5,915 HCPCS,J9280,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),234.0,175.5,20.35,234.0,915 HCPCS,J9280,MITOMYCIN 1 MG/ML WITH IOHEXOL INTRAVENOUS SOLUTION (FOR OR USE ONLY),234.0,175.5,20.35,234.0,915 HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),208.3,156.23,20.35,208.3,915 HCPCS,J9280,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),208.3,156.23,20.35,208.3,915 HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),407.8,305.85,20.35,407.8,915 HCPCS,J9280,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),407.8,305.85,20.35,407.8,915 HCPCS,J9280,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),234.0,175.5,20.35,234.0,915 HCPCS,J9280,PR MITOMYCIN INJECTION,266.28000000000003,199.71,26.1,266.79,676 HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,48960.0,36720.0,318.53,48960.0,915 HCPCS,J9281,PR MITOMYCIN INSTILLATION,43944.575,32958.435,323.91,49850.18,676 HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,27358.55,20518.915,2767.88,43773.7,1830 HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",32229.6,24172.2,27.36,32229.6,915 HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",799.5,599.63,23.88,799.5,915 HCPCS,J9293,PR MITOXANTRON HCL INJ,432.7,324.52,154.39,432.7,676 HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,62575.6,46931.7,197.83,62575.6,915 HCPCS,J9299,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13428.9,10071.67,32.96,32229.6,2745 HCPCS,J9299,PR NIVOLUMAB INJ,39190.53,29392.9,33.57,39190.53,676 HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",33834.0,25375.5,79.0,33834.0,915 HCPCS,J9303,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),18545.0,13908.75,173.03,29672.0,1830 HCPCS,J9303,PR PANITUMUMAB INJ 10 MG,18883.44,14162.58,173.67,20447.57,676 HCPCS,J9305,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),44.5,33.38,4.36,44.5,915 HCPCS,J9305,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),191.7,143.78,4.36,191.7,915 HCPCS,J9305,PR PEMETREXED INJECTION,176.56,132.42,3.59,176.56,676 HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,27403.3,20552.47,17.02,27403.3,915 HCPCS,J9307,PR PRALATREXATE INJ,18579.3,13934.48,4712.63,18579.3,676 HCPCS,J9307,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,30965.5,23224.13,392.63,30965.5,915 HCPCS,J9307,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,61930.9,46448.18,392.63,61930.9,915 HCPCS,J9308,PR RAMUCIRUMAB INJ 5 MG,,,75.58,5853.1,652 HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,18179.05,13634.285,74.36,30298.4,1830 HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16816.9,12612.68,136.67,16816.9,915 HCPCS,J9309,"PR INJ, POLATUZUMAB VEDOTIN 1MG",64373.18,48279.89,136.77,64373.18,676 HCPCS,J9311,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",23022.3,17266.72,36.69,23022.3,915 HCPCS,J9311,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",26311.2,19733.4,36.69,26311.2,915 HCPCS,J9312,PR RITUXIMAB 10 MG INJ,11070.455,8302.84,74.77,10003.58,676 HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",9866.8,7400.1,75.22,16444.6,1830 HCPCS,J9312,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,99.68,59.81,132.9,1830 HCPCS,J9317,PR SACITUZUMAB GOVITECAN-HZIY,27783.19,20837.39,36.98,27783.19,676 HCPCS,J9319,PR ROMIDEPSIN LYOPHIL 0.1MG INJ,15243.3,11432.48,4326.84,15243.3,677 HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12724.3,9543.23,30.78,12724.3,915 HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML (CNR),2049.8,1537.35,55.84,2049.8,915 HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML (CNR),5124.1,3843.08,55.84,5124.1,915 HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 HCPCS,J9321,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5572.6,4179.45,55.84,5572.6,915 HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,66870.1,50152.58,55.84,66870.1,915 HCPCS,J9325,PR TALIMOGENE INJ,19287.665,14465.75,73.94,27053.37,676 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,293.4,220.05,73.94,293.4,915 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,29337.4,22003.05,73.94,29337.4,915 HCPCS,J9326,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),33367.5,25025.629999999997,143.99,55612.5,1830 HCPCS,J9328,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),3912.2,2934.15,10.39,3912.2,915 HCPCS,J9329,"INJ, TISLELIZUMAB-JSGR",22173.4,16630.05,58.37,22173.4,676 HCPCS,J9329,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION,22173.4,16630.05,57.45,22173.4,915 HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1227.9,920.93,26.71,1227.9,915 HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,27954.2,20965.65,84.57,27954.2,915 HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),25256.8,18942.6,32.15,25256.8,915 HCPCS,J9332,PR INJ EFGARTIGIMOD 2MG,35802.43,26851.825,32.22,46752.29,676 HCPCS,J9334,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",65641.0,49230.75,33.89,65641.0,915 HCPCS,J9342,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1978.4,1483.8,10.54,1978.4,915 HCPCS,J9342,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),203.0,152.25,10.54,203.0,915 HCPCS,J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",12120.17,9090.125,30.53,12567.44,676 HCPCS,J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",114666.86,86000.15,143.02,164637.9,676 HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,91408.4,68556.305,140.9,168753.9,1830 HCPCS,J9349,"INJECTION, TAFASITAMAB-CXIX, 2 MG",11887.2,8915.4,14.24,11887.2,676 HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5443.9,4082.93,14.31,5443.9,915 HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,77031.6,57773.7,654.63,77031.6,915 HCPCS,J9351,PR TOPOTECAN INJECTION,141.01,105.76,1.25,141.01,676 HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,909 HCPCS,J9351,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),106.2,79.65,47.79,106.2,909 HCPCS,J9352,PR INJECTION TRABECTEDIN 0.1MG,24383.8,18287.85,391.07,24383.8,676 HCPCS,J9352,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15703.6,11777.7,391.07,15703.6,915 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),16505.6,12379.2,42.16,16505.6,915 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),26409.0,19806.75,42.16,26409.0,915 HCPCS,J9354,"PR INJ, ADO-TRASTUZUMAB EMT 1MG",21067.12,15800.34,42.19,20663.56,676 HCPCS,J9355,PR TRASTUZUMAB,,,73.48,5418.4,652 HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5455.6,4091.7,75.03,5455.6,915 HCPCS,J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,7401.0,5550.75,1323.35,7401.0,915 HCPCS,J9358,PR INJ FAM-TRASTU DERU-NXKI 1MG,36126.09,27094.57,31.3,36126.09,676 HCPCS,J9359,INJ LON TESIRIN-LPYL 0.075MG,55295.52,41471.64,221.22,55295.52,676 HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),116119.1,87089.33,216.9,116119.1,915 HCPCS,J9360,PR VINBLASTINE SULFATE INJ,297.665,223.25,5.18,295.78,676 HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,197.3,147.98,88.79,197.3,909 HCPCS,J9370,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),139.8,104.85,62.91,139.8,909 HCPCS,J9380,INJ TECLISTAMAB CQYV 0.5 MG,17336.465,13002.349999999999,34.58,19377.53,676 HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7076.5,5307.38,33.58,7076.5,915 HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,36090.0,27067.5,33.58,36090.0,915 HCPCS,J9381,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,59642.8,44732.1,37.66,59642.8,915 HCPCS,J9381,TEPLIZUMAB-MZWV 100 MCG/ML DILUTION INJECTION (CNR STOCK INGREDIENT),55123.1,41342.32,37.66,55123.1,915 HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,48566.6,36424.95,32.91,48566.6,915 HCPCS,J9390,PR VINORELBINE TARTRATE/10 MG,122.33,91.75,5.44,122.33,676 HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),129.7,97.28,58.37,129.7,909 HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,378.8,284.1,170.46,378.8,909 HCPCS,J9400,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),4773.6,3580.2000000000003,7.88,6364.8,1830 HCPCS,L0120,HC COLLAR CERVICAL FOAM NON-ADJ OTS,45.0,33.75,20.25,45.0,915 HCPCS,L0140,HC COLLAR CERVICAL PLASTIC SEMI ADJ,236.0,177.0,91.95,236.0,909 HCPCS,L1810,PR KO ELASTIC WITH JOINTS,404.0,303.0,149.29,404.0,676 HCPCS,L1810,PR ORTHOSIS KNEE ELASTIC W JOINTS,143.0,107.25,64.35,143.0,676 HCPCS,L1812,PR BRACE KNEE W JOINTS PRE OTS,107.0,80.25,48.15,107.0,676 HCPCS,L1820,PR ORTHOSIS KNEE ELASTIC W PADS & JT,400.0,300.0,180.0,400.0,676 HCPCS,L1821,PR KO ELAS W/ CONDYLE PADS OTF,175.0,131.25,78.75,175.0,676 HCPCS,L1830,HC IMMOBILIZER KNEE LONG,148.0,111.0,66.6,148.0,915 HCPCS,L1830,PR IMMOBILIZER KNEE LONG,62.0,46.5,27.9,62.0,676 HCPCS,L1832,BRACE KNEE L19-25IN BLACK GRAY ALUMINUM FOAM FOR 71CM THIGH HOOK LOOP CLOSURE X-ACT ROM,167.8,125.85,75.51,1058.14,648 HCPCS,L1832,BRACE ORTHOPEDIC KNEE XLARGE TELESCOPING FOAM HINGE POST OP STRAP LOCK QUICK CLIP BUCKLE T SCOPE 17 27X30.5IN,159.16,119.37,71.62,1058.14,648 HCPCS,L1832,HC BRACE KNEE ADJUSTABLE JT CPF,154.0,115.5,69.3,1058.14,916 HCPCS,L1832,PR BRACE KNEE ADJUSTABLE JT CPF,818.0,613.5,368.1,818.0,676 HCPCS,L1832,PR KO ADJ JNT POS R SUP PRE CST,800.0,600.0,360.0,800.0,676 HCPCS,L1833,PR BRACE KNEE ADJUSTABLE JT OTS,659.0,494.25,296.55,659.0,676 HCPCS,L1833,"PR COOL, X-ACT ROM, POST-OP",444.0,333.0,199.8,444.0,676 HCPCS,L1833,"PR DRYTEX, HNGKN, WRAP, POP",444.0,333.0,199.8,444.0,676 HCPCS,L1833,PR PLAYMAKER II SPACER,444.0,333.0,199.8,444.0,676 HCPCS,L1845,BRACE KNEE ADULT FOR 16-32IN THIGH POST OP COOL,203.32,152.49,91.49,1286.85,648 HCPCS,L1902,PR BRACE ANKLE STABILIZER,105.0,78.75,47.25,105.0,676 HCPCS,L1902,PR SPEED-LACER BRACE,105.0,78.75,47.25,105.0,676 HCPCS,L1906,PR BRACE ANKLE/FOOT MULTILIG OTS,180.0,135.0,81.0,180.0,676 HCPCS,L3060,PR FT ARCH SPRT PREMOLD LONGITUDE/MTRSL EA,85.0,63.75,38.25,85.0,676 HCPCS,L3100,PR HALLUS VALGUS BUNION NIGHT,56.0,42.0,25.2,56.0,676 HCPCS,L3260,HC POST OP SHOE/BOOT EA,22.0,16.5,9.9,22.0,909 HCPCS,L3260,PR DARBY SHOE,11.0,8.25,4.95,11.0,677 HCPCS,L3260,PR POST OP SHOE/BOOT EA,87.0,65.25,39.15,87.0,677 HCPCS,L3260,PR R.O.M. BOOT,96.0,72.0,43.2,96.0,677 HCPCS,L3332,"HC LIFT ELEVATION TAPERED <= .5""",87.0,65.25,39.15,113.31,915 HCPCS,L3332,"PR LIFT ELEVATION TAPERED <= .5""",87.0,65.25,39.15,87.0,676 HCPCS,L3420,PR SHOE HEEL WEDGE FULL SOLE,65.0,48.75,29.25,65.0,676 HCPCS,L3485,PR SHOE HEEL PAD RMVL FOR SPUR,80.0,60.0,36.0,80.0,676 HCPCS,L3620,PR TRANS SHOE SOLID STIRRUP EXI,90.0,67.5,40.5,90.0,676 HCPCS,L3670,SLING ARM L 33-38IN BLACK UNISEX WITH PILLOW ULTRASLING II,94.46,70.85,42.51,158.94,648 HCPCS,L3670,SLING ORTHOPEDIC XLG ARM BREATHABLE EASY OPEN FRONT PANEL BLACK ULTRASLING III 15IN,94.46,70.85,42.51,158.94,648 HCPCS,L3671,PR ORTHO SHLDR JT DESIGN CPF,945.0,708.75,425.25,945.0,676 HCPCS,L3675,PR ORTHO SHLDR VEST TYPE OTS,313.0,234.75,140.85,313.0,678 HCPCS,L3675,PR SLING ULTRA,188.0,141.0,84.6,188.0,678 HCPCS,L3702,HC ORTHO ELBOW WO JT CPF FIT&ADJUST,545.0,408.75,245.25,545.0,915 HCPCS,L3702,PR ORTHO ELBOW WO JT CPF FIT&ADJUST,316.0,237.0,142.2,316.0,676 HCPCS,L3740,PR CUFFS ADJ LOCK W/ ACTIVE CON,1535.0,1151.25,690.75,1535.0,676 HCPCS,L3760,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM LEFT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,179.12,134.34,80.6,699.2,647 HCPCS,L3760,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM RIGHT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,164.48,123.36,74.02,699.2,647 HCPCS,L3760,HC ORTHO ELBOW HINGED FIT&ADJUST,432.0,324.0,194.4,699.2,915 HCPCS,L3760,"PR BRACE, X-ACT ROM ELBOW",536.0,402.0,241.2,536.0,676 HCPCS,L3760,PR ORTHO ELBOW HINGED FIT&ADJUST,546.0,409.5,245.7,546.0,676 HCPCS,L3761,"PR EO, ADJ LOCK JOINT PREFAB OT",536.0,402.0,241.2,536.0,676 HCPCS,L3762,PR EO RIGID W/O JOINTS PRE OTS,116.0,87.0,52.2,116.0,676 HCPCS,L3763,HC ORHTO EWH RIG WO JT CPF FIT&ADJUST,728.0,546.0,327.6,1046.24,915 HCPCS,L3763,PR ORHTO EWH RIG WO JT CPF FIT&ADJUST,921.0,690.75,414.45,921.0,677 HCPCS,L3806,HC ORTHO WHF RIG W JT CPF,392.0,294.0,176.4,635.04,915 HCPCS,L3806,PR ORTHO WHF RIG W JT CPF,496.0,372.0,223.2,496.0,591 HCPCS,L3807,HC ORTHO WHF WO JT CPF FIT&ADJUST,219.0,164.25,98.55,349.59,915 HCPCS,L3807,PR ORTHO WHF WO JT CPF FIT&ADJUST,273.0,204.75,122.85,273.0,676 HCPCS,L3807,PR WHFO PREFAB STATIC,273.0,204.75,122.85,273.0,676 HCPCS,L3808,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,393.0,294.75,176.85,498.04,915 HCPCS,L3808,PR ORTHO WHF RIG WO JT CPF FIT&ADJUST,500.0,375.0,225.0,500.0,676 HCPCS,L3809,PR PREFAB STATIC WHFO,496.0,372.0,223.2,496.0,678 HCPCS,L3905,HC ORTHO WH NONTORSN JT CPF FIT&ADJUST,855.0,641.25,384.75,1386.45,909 HCPCS,L3905,PR ORTHO WH NONTORSN JT CPF FIT&ADJUST,1040.0,780.0,468.0,1040.0,676 HCPCS,L3906,HC ORTHO WH SPRT WO JT CPF FIT&ADJUST,468.0,351.0,210.6,708.49,915 HCPCS,L3906,PR ORTHO WH SPRT WO JT CPF FIT&ADJUST,592.0,444.0,266.4,592.0,676 HCPCS,L3908,HC ORTHO WRST COCK-UP OTS,71.0,53.25,31.95,102.5,915 HCPCS,L3908,PR ORTHO WRST COCK-UP OTS,90.0,67.5,40.5,90.0,676 HCPCS,L3912,HC GLOVE FLEXION,40.0,30.0,18.0,147.3,915 HCPCS,L3912,PR GLOVE FLEXION,142.0,106.5,63.9,142.0,676 HCPCS,L3913,HC ORTHOSIS HAND/FNGR WO JTS CUSTOM,234.0,175.5,105.3,378.63,915 HCPCS,L3913,PR ORTHOSIS HAND/FNGR WO JTS CUSTOM,300.0,225.0,135.0,300.0,676 HCPCS,L3921,HC ORTHOSIS HAND W JTS CUSTOM,277.0,207.75,124.65,449.1,915 HCPCS,L3921,PR ORTHOSIS HAND W JTS CUSTOM,351.0,263.25,157.95,351.0,676 HCPCS,L3923,HC HFO W/O JOINTS PRE CST,78.0,58.5,35.1,135.05,915 HCPCS,L3923,PR HFO W/O JOINTS PRE CST,180.0,135.0,81.0,180.0,676 HCPCS,L3925,HC ORTHOSIS FINGER SPRING PREFAB OTS,57.0,42.75,25.65,91.84,915 HCPCS,L3925,PR ORTHOSIS FINGER SPRING PREFAB OTS,72.0,54.0,32.4,72.0,676 HCPCS,L3927,HC ORTHOSIS FNGR WO SPRING PREFAB OTS,31.0,23.25,13.95,48.94,915 HCPCS,L3927,PR FO PIP DIP NO JT SPR PRE OTS,50.0,37.5,22.5,50.0,679 HCPCS,L3927,PR ORTHOSIS FNGR WO SPRING PREFAB OTS,44.0,33.0,19.8,44.0,679 HCPCS,L3930,PR HFO NONTORSION JNTS PRE OTS,180.0,135.0,81.0,180.0,676 HCPCS,L3933,HC ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,184.0,138.0,82.8,298.3,915 HCPCS,L3933,PR ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,233.0,174.75,104.85,233.0,676 HCPCS,L3935,PR ORTHOSIS FNGR JT CUST FIT&ADJUST,235.0,176.25,105.75,235.0,676 HCPCS,L3980,HC BRACE HUMERAL FRACTURE,113.0,84.75,50.85,540.86,915 HCPCS,L3980,PR BRACE HUMERAL FRACTURE,464.0,348.0,208.8,464.0,676 HCPCS,L3984,PR BRACE WRIST FRACTURE,500.0,375.0,225.0,500.0,676 HCPCS,L4350,HC ORTHOSIS ANKLE CTRL PREFAB OTS,109.0,81.75,49.05,148.63,915 HCPCS,L4350,PR ORTHOSIS ANKLE CTRL PREFAB OTS,135.0,101.25,60.75,135.0,676 HCPCS,L4360,HC BOOT PNEUMATIC WALK CPF,294.0,220.5,132.3,397.73,915 HCPCS,L4360,PR BOOT PNEUMATIC WALK CPF,360.0,270.0,162.0,360.0,676 HCPCS,L4361,HC BOOT PNEUMATIC/VAC WALK OTS,290.0,217.5,130.5,397.73,915 HCPCS,L4361,PR BOOT PNEUMATIC/VAC WALK OTS,360.0,270.0,162.0,360.0,676 HCPCS,L4386,PR BOOT NON-PNEUMATIC WALK CPF,364.0,273.0,163.8,364.0,676 HCPCS,L4396,HC ORTHOSIS ANKLE/FOOT CUSTOM,162.0,121.5,72.9,257.79,909 HCPCS,L4396,PR ORTHOSIS ANKLE/FOOT CUSTOM,190.0,142.5,85.5,190.0,676 HCPCS,L4396,PR STATIC OR DYNAMI AFO PRE CST,327.0,245.25,147.15,327.0,676 HCPCS,L4396,SPLINT FOOT MALE FEMALE PLANTER FASCIITIS DORSIFLEXION DESIGN EXTRA SUPPORT POLYETHYLENE IUM 5DEG PADDED STRAP BLACK MED NONSTERILE,67.98,50.99,30.59,257.79,641 HCPCS,L4396,SPLINT FOOT MALE FEMALE PLANTER FASCIITIS DORSIFLEXION DESIGN EXTRA SUPPORT POLYETHYLENE LARGE 5 DEGREE PADDED STRAP NON STERILE BLACK LG,67.98,50.99,30.59,257.79,641 HCPCS,L8501,HC TRACH SPEAKING VALVE,498.0,373.5,184.85,498.0,909 HCPCS,L8501,PR TRACH SPEAKING VALVE,349.0,261.75,147.88,349.0,676 HCPCS,L8507,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL SILICONE LOW RESISTANCE STERILE X RAY DETECTABLE 2 12.5MM,708.8,531.6,64.44,708.8,647 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS SPEECH VALVE TRACHEOESOPHAGEAL SILICONE INDWELLING LOW RESISTANCE NONSTERILE X RAY DETECTABLE 2 10MM,730.06,547.54,168.1,730.06,648 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL SILICONE LOW RESISTANCE STERILE X RAY DETECTABLE 2 4.5MM,730.06,547.54,168.1,730.06,648 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL SILICONE LOW RESISTANCE STERILE X RAY DETECTABLE 2 6MM,708.8,531.6,168.1,708.8,648 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL SILICONE LOW RESISTANCE STERILE X RAY DETECTABLE 2 8MM,730.06,547.54,168.1,730.06,648 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL SILICONE LOW RESISTANCE XRAY DETECTABLE 15MM,624.18,468.14,168.1,624.18,648 HCPCS,L8509,OTLR BLM VOICE PRSTHSS 16FX10,494.0,370.5,168.1,494.0,648 HCPCS,L8509,PR VOICE PROSTH TRACHEO-ESOPH,1980.0,1485.0,131.24,1980.0,678 HCPCS,L8509,PROSTHESIS VOICE L10MM OD16FR TRACHEOESOPHAGEAL INDWELLING,484.5,363.38,168.1,484.5,648 HCPCS,L8511,PR INDWELLING TRACH INSERT,165.0,123.75,74.25,165.0,676 HCPCS,L8513,PR TRACH PROS CLEANING DEVICE,110.0,82.5,6.24,110.0,676 HCPCS,L8514,PR REPL TRACH PUNCTURE DILATOR,220.0,165.0,99.0,220.0,677 HCPCS,L8600,BREAST SMO RND ULT HIGH 135CC,1700.0,1275.0,765.0,1700.0,641 HCPCS,L8600,BREAST SMO RND ULT HIGH 160CC,1700.0,1275.0,765.0,1700.0,641 HCPCS,L8600,BREAST SMO RND ULT HIGH 270CC,1700.0,1275.0,765.0,1700.0,641 HCPCS,L8600,IMPLANT BREAST 100CC P2.7-5.1CM DIA8.2-16.5CM GEL FILLED MODERATE PLUS FILLED SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 125CC P2.8CM DIA8.9CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 125CC P3.5CM DIA8.3CM GEL FILLED HIGH SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 140ML 9X8.5CM 3.8CM PROJECTION SILICONE GEL MD HEIGHT CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 150CC P2.9CM DIA9.5CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 150CC P3.7CM DIA8.8CM GEL FILLED HIGH SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 165CC W9XH8.5CM P4.6CM SILICONE GEL HIGH MEDIUM HEIGHT CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 165ML 9.5X8.9CM 4CM PROJECTION SILICONE GEL MD HEIGHT CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 175CC P3.9CM DIA9.3CM GEL FILLED HIGH SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 195CC W9.5XH8.9CM P4.8CM SILICONE GEL HIGH MEDIUM HEIGHT CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 200CC P3.2CM DIA10.5CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 215CC W11XH10.3CM P3.9CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 225CC W10XH9.4CM P5.1CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 255CC DIA12.2CM P2.9CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 255CC W11XH10.3CM P4.7CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 260CC W10.5XH9.9CM P5.3CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 270CC P4.7CM W11XH11.5CM SILICONE GEL FILLED TM PLUS TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 275CC DIA12.5CM P3CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 295CC DIA9.7CM P5CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 295CC W11.5XH10.8CM P4.9CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 300CC W11XH10.3CM P5.6CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 305CC P4.9CM W11.5XH12CM SILICONE GEL FILLED TM PLUS TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 310CC DIA11-10.7CM P4.8-6CM SILICONE SALINE ROUND SMOOTH MODERATE PLUS,800.0,600.0,360.0,1274.13,641 HCPCS,L8600,IMPLANT BREAST 320CC DIA9.8CM P5.1CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 330CC W12XH11.3CM P5.1CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 345CC W11.5XH10.8CM P5.8CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 355CC W13XH12.2CM P4.6CM COHESIVE III SILICONE GEL MODERATE MEDIUM HEIGHT STYLE 321 RETENTION CPG,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 375CC W12.5XH11.8CM P5.3CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 380C DIA11.7-11.4CM P5.2-6.4CM SILICONE SALINE SMOOTH ROUND HIGH,800.0,600.0,360.0,1274.13,641 HCPCS,L8600,IMPLANT BREAST 390CC W12XH11.3CM P6CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 400CC DIA10.6CM P5.4CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 420CC W13XH12.2CM P5.5CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 430CC DIA10.9CM P5.6CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 445CC W13XH13.5CM P5.5CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 455CC DIA11.2CM P5.7CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 475CC W13.5XH12.7CM P5.7CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 495CC W13.5XH14.1CM P5.7CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 525CC W14XH13.2CM P5.9CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 535CC DIA12CM P6.1CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 550CC DIA14.6CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS COHESIVE I,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 555CC W14XH14.6CM P5.9CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 575CC DIA14.8CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 590CC DIA12.5CM P6.3CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 620CC W14XH13.2CM P6.9CM SILICONE GEL M HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 650CC W15XH14.1CM P6.3CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 700CC DIA13.3CM P6.5CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 750CC 16.3CM 4.9CM PROJECTION ROUND HIGH SMOOTH COHESIVE I SILICONE GEL,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST 775CC W17XH16CM P5.9CM SILICONE GEL MODERATE M HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST 800-960CC DIA16.1-15.5CM P6-7CM SALINE MODERATE PLUS ROUND SMOOTH,800.0,600.0,360.0,1274.13,641 HCPCS,L8600,IMPLANT BREAST DIA11.8CM P2.9CM 235CC SILICONE ROUND SMOOTH MODERATE,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST DIA15-14.8CM P4.5-5.1CM 575-625CC SILICONE SALINE FILLED PLASTIC SHELL ROUND SMOOTH MODERATE ANTERIOR DIAPHRAGM VALVE,800.0,600.0,360.0,1274.13,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 215CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 240CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 350CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 375CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 480CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND MODERATE PLUS SMOOTH STERILE 175CC,1500.0,1125.0,675.0,1500.0,641 HCPCS,L8600,IMPLANT BREAST W10.5XH10.9CM 235ML P4.4CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W10.5XH9.9CM 180ML P3.8CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W10.5XH9.9CM P4.4CM 225CC SILICONE GEL M HEIGHT MODERATE PLUS CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W10XH10.4CM 205ML P4.2CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W10XH9.4CM 195ML P4.2CM SILICONE GEL MODERATE PLUS MEDIUM HEIGHT CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W10XH9.4CM P3.7CM 155CC SILICONE GEL M HEIGHT MODERATE CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W11.5XH10.8CM 245ML P4CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W12.5XH11.8CM 315ML P4.4CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W12.5XH13CM P5.3CM 395CC SILICONE GEL TALL HEIGHT MODERATE PLUS CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W12XH11.3CM 280ML P4.2CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W12XH12.5CM P5.1CM 350CC SILICONE GEL TALL HEIGHT MODERATE PLUS CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W13.5XH12.7CM 395ML P4.7CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W14.5XH13.6CM 480ML P5CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W14.5XH13.6CM 585ML P6.1CM SILICONE GEL MODERATE PLUS M HEIGHT CPG 322 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W14.5XH15.1CM 615ML P6.1CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W14XH13.2CM P4.9CM 440CC SILICONE GEL M HEIGHT MODERATE CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W15XH14.1CM 530ML P5.2CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W15XH15.6CM 680ML P6.3CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W16XH15CM 640ML P5.6CM SILICONE GEL MODERATE M HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W9.5XH8.9CM 135ML P3.5CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W9.5XH9.9CM 175ML P4CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W9XH8.5CM 120ML P3.3CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8600,IMPLANT BREAST W9XH9.4CM 145ML P3.8CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1800.0,1080.0,2400.0,641 HCPCS,L8604,DEFLUX IMPLANT UROLOGICAL PROSTHESIS BLADDER VESICOURETERAL REFLUX SILICONE GEL INJECTABLE PREFILLED STERILE DISPOSABLE PEDIATRIC 1CC,7270.0,5452.5,3271.5,7270.0,641 HCPCS,L8605,PR SOLESTA 1 ML SYRINGE,2935.0,2201.25,860.8,2935.0,677 HCPCS,L8606,KT BULKAMID URETHRAL,2600.0,1950.0,316.1,2600.0,642 HCPCS,L8606,PR IMPL URINARY TRACT SYNTH 1 KIT,1176.0,882.0,278.74,1176.0,677 HCPCS,L8606,PR IMPL URINARY TRACT SYNTH 1 ML SYR,974.0,730.5,278.74,974.0,677 HCPCS,L8610,CONFORMER OPHTHALMIC 26MM LENG,70.0,52.5,31.5,1046.28,641 HCPCS,L8610,CONFORMER OPHTHALMIC M W21XL24MM BILATERAL CLEAR VENTED ACRYLIC CUP PREVENT CLOSURE DURING HEALING PROCESS,144.0,108.0,64.8,1046.28,641 HCPCS,L8610,CONFORMER OPHTHALMIC SM W19XL22MM BILATERAL CLEAR VENTED ACRYLIC CUP PREVENT CLOSURE DURING HEALING PROCESS,144.0,108.0,64.8,1046.28,641 HCPCS,L8610,EYE LID WEIGHTS 0.8GA GOLD,480.0,360.0,216.0,1046.28,641 HCPCS,L8610,EYE LID WEIGHTS 1.4GA GOLD,1400.0,1050.0,630.0,1400.0,641 HCPCS,L8610,EYE LID WEIGHTS 1.6GA GOLD,1650.0,1237.5,742.5,1650.0,641 HCPCS,L8610,IMPLANT EYELID 0.8GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,800.0,600.0,360.0,1046.28,641 HCPCS,L8610,IMPLANT EYELID 1.2GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,880.0,660.0,396.0,1046.28,641 HCPCS,L8610,IMPLANT EYELID 1.2GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED LOWER CORNER SMOOTHLY BLENDED SURFACE,880.0,660.0,396.0,1046.28,641 HCPCS,L8610,IMPLANT EYELID 1.4GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,970.0,727.5,436.5,1046.28,641 HCPCS,L8610,IMPLANT EYELID 1.6GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,1130.0,847.5,508.5,1130.0,641 HCPCS,L8610,IMPLANT EYELID 1.8GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,1200.0,900.0,540.0,1200.0,641 HCPCS,L8610,IMPLANT EYELID 1GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED LOWER CORNER SMOOTHLY BLENDED SURFACE,840.0,630.0,378.0,1046.28,641 HCPCS,L8610,IMPLANT OPHTHALMIC DIA2MM TRAN,110.0,82.5,49.5,1046.28,641 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE ORBITAL LATEX FREE STERILE 20MM,1050.04,787.53,472.52,1050.04,641 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 20MM,110.0,82.5,49.5,1046.28,641 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT STERILE SILICONE 18MM,110.0,82.5,49.5,1046.28,641 HCPCS,L8610,IMPLANT OPHTHALMIC STENT CATARACT INTRACOCULAR PRESSURE INJECT,5700.0,4275.0,1046.28,5700.0,641 HCPCS,L8610,IMPLANT TISSUE SYNTHETIC POLYETHYLENE LOWER EYELID SPACER STERILE 42X20X0.35IN,1146.04,859.53,515.72,1146.04,641 HCPCS,L8610,IMPLANT-TISSUE SYNTHETIC-POLYETHYLENE CRANIOMAXILLOFACIAL-ORBITAL BIOCOMPATIBLE-POROUS-SPHERE LATEX-FREE STERILE 18MM,1131.34,848.51,509.1,1131.34,641 HCPCS,L8610,LENS INTRAOCULAR +10.5 DIOPTER 5DEG L13M,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR +12.5 DIOPTER 5DEG,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR +13.5 DIOPTER L13MM,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,140.0,105.0,63.0,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D,150.0,112.5,67.5,1046.28,641 HCPCS,L8610,PLATE-BONE CRANIOMAXILLOFACIAL MESH-SHEET TITANIUM-POLYETHYLENE LATEX-FREE STERILE BTB 41X42X0.6MM,2044.8,1533.6,920.16,2044.8,641 HCPCS,L8610,SYNTHETIC POLYETHYLENE IMPLANT TISSUE CRANIOMAXILLOFACIAL ORBITAL FLOOR LEFT LG WEDGE ENOPHTHALMOS POROUS STERILE 7.5X28X40MM,1298.08,973.56,584.14,1298.08,641 HCPCS,L8610,SYNTHETIC POLYETHYLENE IMPLANT TISSUE CRANIOMAXILLOFACIAL ORBITAL FLOOR RIGHT LG WEDGE ENOPHTHALMOS POROUS STERILE 7.5X28X40MM,1298.08,973.56,584.14,1298.08,641 HCPCS,L8610,WEIGHT EYELID GOLD LAGOPHTHALMOS CORNEAL PROTECTION 1GM,700.0,525.0,315.0,1046.28,641 HCPCS,L8610,WEIGHT EYELID GOLD LAGOPHTHALMOS PROPORTIONAL 0.6GA,460.0,345.0,207.0,1046.28,641 HCPCS,L8610,WEIGHT EYELID GOLD LAGOPHTHALMOS PROPORTIONAL 1.8GA,692.0,519.0,311.4,1046.28,641 HCPCS,L8610,WEIGHT EYELID PLATINUM 1.0G,810.0,607.5,364.5,1046.28,641 HCPCS,L8610,WT EYLD GLD 0.6GM,440.0,330.0,198.0,1046.28,641 HCPCS,L8610,WT EYLD GLD 0.8GM,480.0,360.0,216.0,1046.28,641 HCPCS,L8610,WT EYLD GLD 1.6GM,600.0,450.0,270.0,1046.28,641 HCPCS,L8610,WT EYLD GLD 1.8GM,640.0,480.0,288.0,1046.28,641 HCPCS,L8613,CENTERED NYTEBYTE 1.50MM L 1.5MM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8613,CENTERED NYTEBYTE 2.00MM L 2.0MM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8613,CENTERED NYTEBYTE 2.50MM L 2.5MM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8613,CENTERED NYTEBYTE 3.00MM L 3.0MM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8613,CENTERED NYTEBYTE L 1.75MM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8613,EAR TTP AERIAL VARIO 0.2X3X7,904.0,678.0,406.8,904.0,642 HCPCS,L8613,EAR TTP BELL VARIO 0.2X10.75 4,904.0,678.0,406.8,904.0,642 HCPCS,L8613,IMPLANT L3.75MM PISTON DIA0.6MM PLATINUM FLUOROPLASTIC,298.74,224.06,134.43,523.08,642 HCPCS,L8613,IMPLANT L4.25MM SHAFT DIA0.6MM MIDDLE EAR STAPES NITINOL FLUOROPLASTIC PISTON 360,509.56,382.17,229.3,523.08,642 HCPCS,L8613,IMPLANT L4.50MM SHAFT DIA0.6MM MIDDLE EAR STAPES NITINOL FLUOROPLASTIC PISTON 360,509.56,382.17,229.3,523.08,642 HCPCS,L8613,IMPLANT L4.75MM SHAFT DIA0.6MM MIDDLE EAR STAPES NITINOL FLUOROPLASTIC PISTON 360,509.56,382.17,229.3,523.08,642 HCPCS,L8613,IMPLANT L4MM PISTON DIA0.6MM NITINOL FLUOROPLASTIC,480.32,360.24,216.14,523.08,642 HCPCS,L8613,IMPLANT L4MM PISTON DIA0.6MM PLATINUM FLUOROPLASTIC,298.74,224.06,134.43,523.08,642 HCPCS,L8613,IMPLANT OSSICULAR L4.25MM PISTON DIA0.6MM STAPES PLATINUM FLUOROPLASTIC RIBBON LOOP,298.74,224.06,134.43,523.08,642 HCPCS,L8613,IMPLANT OSSICULAR L4.5MM PISTON DIA0.6MM STAPES PLATINUM FLUOROPLASTIC RIBBON LOOP,298.74,224.06,134.43,523.08,642 HCPCS,L8613,IMPLANT OSSICULAR L4.75MM PISTON DIA0.6MM STAPES PLATINUM FLUOROPLASTIC RIBBON LOOP,298.74,224.06,134.43,523.08,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY HEARING DEVICE PROSTHESIS OSSICULAR TITANIUM CENTERED WILDCAT PRO 3.00MM,860.0,645.0,387.0,860.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY HEARING DEVICE PROSTHESIS OSSICULAR TITANIUM CENTERED WILDCAT PRO 4.00MM,860.0,645.0,387.0,860.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY HEARING DEVICE PROSTHESIS OSSICULAR TITANIUM CENTERED WILDCAT PRO 4.50MM,860.0,645.0,387.0,860.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X2.75X3.0MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X3.0X3.75MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X3.0X4.25MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X3.0X4.5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X3X3.5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PARTIAL PROSTHESIS EAR TITANIUM CENTERED CONDITIONAL LATEX FREE STERILE 0.2X1.45X3X4MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON PROSTHESIS STAPES NITINOL FLUOROPLASTIC ENCIRCLING LOOP STERILE BUCKET HANDLE COMPATIBLE 0.6X4.75MM,485.9,364.43,218.66,523.08,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON PROSTHESIS STAPES NITINOL FLUOROPLASTIC STERILE BUCKET HANDLE 0.6X4.25MM,480.32,360.24,216.14,523.08,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS MYRINGOPEXY TITANIUM HEAD MALLEABLE CENTERED LATEX FREE STERILE PARTIAL 0.5X1.17X3MM,623.12,467.34,280.4,623.12,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X3.25MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X3.75MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X4.25MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X4.5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X4.75MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X5.25MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X5.5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X5.75MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X6.25MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X6.5MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR TOTAL PROSTHESIS EAR TITANIUM HYDROXYAPATITE CENTERED CONDITIONAL LATEX FREE STERILE SHOE 0.2X0.8X6MM CENTERED,818.0,613.5,368.1,818.0,642 HCPCS,L8613,IMPLANT PARTIAL OSSICULAR DIA3.0MM L1.5MM HEAD MALLEABLE CENTERED TITANIUM,623.12,467.34,280.4,623.12,642 HCPCS,L8613,IMPLANT STAPES L4.50MM DIA0.6MM NITINOL MIDDLE EAR STAPES WIRE PISTON FLUOROPLASTIC LOOP,480.32,360.24,216.14,523.08,642 HCPCS,L8613,K PISTON 0.6X40.5,506.0,379.5,227.7,523.08,642 HCPCS,L8613,PROSTHESIS EAR L6MM SHAFT DIA0.6MM MALLEUS PISTON NITINOL/FLUOROPLASTIC,880.0,660.0,396.0,880.0,642 HCPCS,L8613,PROSTHESIS L3.25MM TITANIUM ANGULAR CLIP,930.0,697.5,418.5,930.0,642 HCPCS,L8613,PROSTHESIS L4.25MM SHAFT OD0.6MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC DE LA CRUZ,702.0,526.5,315.9,702.0,642 HCPCS,L8613,PROSTHESIS L4.5MM SHAFT OD0.6MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC DE LA CRUZ,702.0,526.5,315.9,702.0,642 HCPCS,L8613,PROSTHESIS L4.75MM SHAFT OD0.6MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC DE LA CRUZ,702.0,526.5,315.9,702.0,642 HCPCS,L8613,PROSTHESIS L4MM SHAFT OD0.6MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC DE LA CRUZ,702.0,526.5,315.9,702.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR COIL L2.75MM DISTAL END DIA1.45MM TITANIUM K CROWN,1026.0,769.5,461.7,1026.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L1.50MM SHAFT DIA0.2MM DISTAL END DIA1.45MM TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L1.75MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L1MM HEAD 3MM DISTAL END DIA1.17MM TITANIUM PARTIAL,623.12,467.34,280.4,623.12,642 HCPCS,L8613,PROSTHESIS OSSICULAR L2.25MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L2.50MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L2MM HEAD DIA3MM DISTAL END DIA1.17MM TITANIUM PARTIAL,796.0,597.0,358.2,796.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L2MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L3.25MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L3.50MM SHAFT OD0.2MM DISTAL END OD0.8MM TITANIUM CENTERED TOTAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L3MM SHAFT OD0.2MM DISTAL END OD0.8MM TITANIUM CENTERED TOTAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L3MM SHAFT OD0.2MM DISTAL END OD1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4.25MM SHAFT OD0.6MM TITANIUM STAPES NOTCHED BUCKET HANDLE,516.0,387.0,232.2,523.08,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4.5MM SHAFT OD0.6MM TITANIUM STAPES NOTCHED BUCKET HANDLE,516.0,387.0,232.2,523.08,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4.75MM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4.75MM SHAFT OD0.6MM TITANIUM STAPES NOTCHED BUCKET HANDLE,516.0,387.0,232.2,523.08,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4MM SHAFT OD0.2MM DISTAL END OD0.8MM TITANIUM CENTERED TOTAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L4MM SHAFT OD0.6MM TITANIUM STAPES NOTCHED BUCKET HANDLE,516.0,387.0,232.2,523.08,642 HCPCS,L8613,PROSTHESIS OSSICULAR L5.25MM SHAFT DIA0.2MM DISTAL END DIA1.45MM CUP TITANIUM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L5.5MM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L5MM CENTERED PARTIAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L6.75MM SHAFT OD0.2MM DISTAL END OD0.8MM TITANIUM CENTERED TOTAL,818.0,613.5,368.1,818.0,642 HCPCS,L8613,PROSTHESIS OSSICULAR L7MM SHAFT OD0.2MM DISTAL END OD0.8MM TITANIUM CENTERED TOTAL,818.0,613.5,368.1,818.0,642 HCPCS,L8614,ELCTRD CI CNC FLEX 28 SLIM,33610.0,25207.5,15124.5,33610.0,642 HCPCS,L8614,ELCTRD CI CNC FLEX 31.5 TI,33610.0,25207.5,15124.5,33610.0,642 HCPCS,L8614,ELCTRD CI CNC MED 24,33610.0,25207.5,15124.5,33610.0,642 HCPCS,L8614,ELCTRD CI SNT PRC AUD,30290.0,22717.5,13630.5,30290.0,642 HCPCS,L8614,ELCTRD CI SNT PULSAR SPLIT,30290.0,22717.5,13630.5,30290.0,642 HCPCS,L8614,ELCTRD HIRES CI 90K,67000.0,50250.0,30137.26,67000.0,642 HCPCS,L8614,IMPLANT ABUTMENT 12MM FOR BA300,3126.6,2344.95,1406.97,30137.26,642 HCPCS,L8614,IMPLANT COCHLEAR CI24RE,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT COCHLEAR ELECTRODE,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT COCHLEAR WITH SLIM STRAIGHT ELECTRODE CI422,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT HEARING AID WITH SLIM STRAIGHT ELECTRODE,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT KIT OTOLARYNGOLOGY HEARING AID ABUTMENT BONE ANCHORED TITANIUM BONE CONDUCTION STERILE,9800.0,7350.0,4410.0,30137.26,642 HCPCS,L8614,IMPLANT L15MM COMPRESSED ARRAY ELECTRODE FOR PARTIAL OSSIFICATION/MALFORMATION OF COCHLEA,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY ABUTMENT HEARING AID ELECTRODE MID SCALA LATEX FREE STERILE,25222.0,18916.5,11349.9,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY ABUTMENT HEARING AID FIXTURE AND ABUTMENT BONE ANCHORED HYDROXYAPATITE COATED AUDITORY OSSEOINTEGRATED PRE MOUNTED LATEX FREE STERILE SURGERY 4X14MM W ABUT 14MM,5410.8,4058.1,2434.86,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE ARRAY COCHLEAR PLATINUM LATEX FREE STERILE 2 FLEXSOFT 0.5X1.3X26.4MM,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE ARRAY COCHLEAR PLATINUM PIN LATEX FREE STERILE 2 FLEX24 0.5X0.8X20.9MM,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE ARRAY COCHLEAR PLATINUM STERILE 2 FLEX26 0.5X0.8X20.9MM,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 28MM,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D MID SCALA,29222.0,21916.5,13149.9,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D SLIMJ HI SLIM J,29222.0,21916.5,13149.9,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR PERIMODIOLAR STERILE,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR SLIM STRAIGHT STERILE,28000.0,21000.0,12600.0,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE MID SCALA LATEX FREE STERILE,25222.0,18916.5,11349.9,30137.26,1284 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE SCALA TYMPANI SLIM MODIOLAR STERILE,29000.0,21750.0,13050.0,30137.26,642 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING DEVICE ELECTRODE ARRAY COCHLEAR PLATINUM SOFT 2 FLEX 28,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLOGY L24MM FLEX TIP TECHNOLOGY ARRAY ELECTRODE FOR COMBINED ELECTRIC ACOUSTIC STIMULATION,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,IMPLANT OTOLOGY L28MM FLEX TIP TECHNOLOGY ARRAY ELECTRODE FOR NORMAL COCHLEAR DUCT,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,KIT PROCESSOR HEARING DEVICE COCHLEAR IMPLANT DUAL COLORED NON STERILE APP KANSO,22000.0,16500.0,9900.0,30137.26,642 HCPCS,L8614,KIT PROCESSOR HEARING DEVICE COCHLEAR IMPLANT DUAL LATEX FREE NON STERILE 7,23700.0,17775.0,10665.0,30137.26,642 HCPCS,L8614,KIT PROCESSOR HEARING DEVICE COCHLEAR IMPLANT SINGLE M90 CI,13778.0,10333.5,6200.1,30137.26,642 HCPCS,L8614,KIT PROCESSOR HEARING DEVICE EXTERNAL DUAL MICROPHONE NON STERILE,13548.32,10161.24,6096.74,30137.26,642 HCPCS,L8614,KT BLA CI BAHA SNGL USE 4,691.16,518.37,311.02,30137.26,642 HCPCS,L8614,MAGNET HEARING AID TITANIUM CONICAL FOR 4 ATTRACT ONE STAGE SURGERY BIM400,3726.0,2794.5,1676.7,30137.26,642 HCPCS,L8614,MI1250 2 PIN FLEX28 S-VECTOR MAGNET,38000.0,28500.0,17100.0,38000.0,642 HCPCS,L8614,NEXA WITH ELECTRODE (CI1012),29779.3,22334.48,13400.69,30137.26,642 HCPCS,L8614,NEXA WITH SLIM MODIOLAR ELECTRODE (CI1032),30816.76,23112.57,13867.54,30816.76,642 HCPCS,L8614,NEXA WITH SLIM STRAIGHT ELECTRODE (CI1022),29779.3,22334.48,13400.69,30137.26,642 HCPCS,L8614,PROC HD CI SNT CI BLK,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROC HD CI SNT CI BRN,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROC HD CI SNT CI STL GRY,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROC HD CI SNT CI TRCTA,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED CHROMA BEIGE LATEX FREE NON STERILE MINI,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED SILVER LATEX FREE NON STERILE MINI,11200.0,8400.0,5040.0,30137.26,642 HCPCS,L8614,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED SINGLE LATEX FREE NON STERILE 7,19500.0,14625.0,8775.0,30137.26,642 HCPCS,L8614,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED SINGLE NONSTERILE 5,6966.0,5224.5,3134.7,30137.26,642 HCPCS,L8614,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED SINGLE NONSTERILE KIT KANSO 2,18000.0,13500.0,8100.0,30137.26,642 HCPCS,L8681,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT SPINAL CORD ENTENDED LATEX FREE STERILE 74X79MM,589.0,441.75,265.05,1755.48,648 HCPCS,L8681,KIT REMOTE 3 FOR DEEP BRAIN STIMULATOR,1200.0,900.0,540.0,1755.48,648 HCPCS,L8681,KIT-REMOTE-CONTROL-4-NEUROSTIMULATOR DEEP-BRAIN-STIMULATION SLLEVE-HOLDER-USB SKIP,1200.0,900.0,540.0,1755.48,648 HCPCS,L8681,PROGRAMMER FOR PERCEPT PC NEUROSTIMULATOR,2995.74,2246.8,1348.08,2995.74,648 HCPCS,L8681,REMOTE PATIENT IMPLANTABLE PULSE GENERATOR SAFE OMNIA,2000.0,1500.0,900.0,2000.0,648 HCPCS,L8689,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT PERMANENT LEAD COMPATIBLE STERILE,2565.0,1923.75,1154.25,2655.04,647 HCPCS,L8689,KIT ACCESSORY NEUROSTIMULATOR PAIN MANAGEMENT SPINE PERMANENT TITANIUM COMPATIBLE MULTIPROGRAM NON RECHARGEABLE LATEX FREE STERILE,3000.0,2250.0,1350.0,3000.0,647 HCPCS,L8689,KIT NERVE STIMULATOR SPINAL,2000.0,1500.0,900.0,2655.04,647 HCPCS,L8689,TOOL NERVE STIMULATOR KIT SPINAL EXTERNAL,2000.0,1500.0,900.0,2655.04,647 HCPCS,L8690,IMPLANT 9MM ABUTMENT TITANIUM 3 BA300,3126.6,2344.95,1406.97,7322.18,642 HCPCS,L8690,IMPLANT OTOLARYNGOLOGY HEARING AID FIXTURE AND ABUTMENT BONE ANCHORED TITANIUM AUDITORY OSSEO INTEGRATED STERILE BHX 3X9MM,7488.8,5616.6,3369.96,7488.8,642 HCPCS,L8690,KIT IMPLANT INCLUDES 4 BCI LIFT 10MM CORTICAL SCREW AND 10MM EMERGENCY SCREW,500.0,375.0,225.0,7322.18,642 HCPCS,L8690,KIT SIZER BCI 602,11400.0,8550.0,5130.0,11400.0,642 HCPCS,L8690,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED ASSORTED COLORS LATEX FREE NON STERILE,8533.3,6399.98,3839.99,8533.3,642 HCPCS,L8690,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT STERILE OSI300,9318.88,6989.16,4193.5,9318.88,642 HCPCS,L8693,GRAFT HUMAN TISSUE 3CC ADIPOSE,2060.0,1545.0,927.0,2333.91,641 HCPCS,L8699,CHN ANAT SM,450.0,337.5,202.5,450.0,642 HCPCS,L8699,COIL EMBOLIZATION 10 L20CM LOOP OD5MM RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2310.0,1732.5,1039.5,2310.0,642 HCPCS,L8699,COIL EMBOLIZATION 10 L6CM OD4MM ADVANCED RESISTANT FINISHING,2310.0,1732.5,1039.5,2310.0,642 HCPCS,L8699,COIL EMBOLIZATION L12CM DIA3MM 0.018IN STANDARD PLATINUM 2D RESISTANT DETACHABLE OCCLUSION SYSTEM INTERLOCK-18 FIBERED,554.0,415.5,249.3,554.0,642 HCPCS,L8699,COIL EMBOLIZATION L12CM DIA4MM MICROCATHETER COMPATIBILITY 0.0165IN PERIPHERAL PGLA FIBERED 3D DETACHABLE,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION L15CM DIA5MM MICROCATHETER COMPATIBILITY 0.0165IN PERIPHERAL PGLA FIBERED 3D DETACHABLE,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION L4CM DIA2MM 0.018IN STANDARD PLATINUM 2D RESISTANT DETACHABLE OCCLUSION SYSTEM INTERLOCK-18 FIBERED,554.0,415.5,249.3,554.0,642 HCPCS,L8699,COIL EMBOLIZATION L6CM DIA3MM MICROCATHETER COMPATIBILITY 0.0165IN PERIPHERAL PGLA FIBERED 3D DETACHABLE,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NON COATED DETACHABLE LATEX FREE STERILE EXTRA SOFT G3 2MMX1.5CM,2100.0,1575.0,945.0,2100.0,642 HCPCS,L8699,COIL EMBOLIZATION NON COATED DETACHABLE LATEX FREE STERILE EXTRA SOFT G3 2MMX2CM,2100.0,1575.0,945.0,2100.0,642 HCPCS,L8699,COIL EMBOLIZATION NON COATED LATEX FREE STERILE 3D DETACHABLE 6MMX20CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM DETACHABLE LATEX FREE STERILE EXTRA SOFT G3 3.5MMX5CM,2100.0,1575.0,945.0,2100.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 10MMX30 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 12MMX40 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 14MMX40 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 18MMX40 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 7MMX30 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 8MMX30 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION NONCOATED STERILE 3D DETACHABLE 9MMX30 CM,1060.0,795.0,477.0,1060.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L10CM LOOP DIA3MM ADVANCED RESISTANT FOR FILLING/FINISHING,2310.0,1732.5,1039.5,2310.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L12CM LOOP DIA4MM ADVANCED RESISTANT FOR FRAMING/FILLING/FINISHING V-TRACK,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L15CM LOOP DIA5MM ADVANCED RESISTANT FOR FILLING/FINISHING,2310.0,1732.5,1039.5,2310.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L22CM L LOOP DIA5MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L26CM L LOOP DIA6MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L31CM L LOOP DIA7MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L37CM LOOP DIA8MM ADVANCED RESISTANT FOR FRAMING/FILLING/FINISHING V-TRACK,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L4CM L LOOP DIA2.5MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1492.5,895.5,1990.0,642 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L36CM L LOOP DIA10MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,2100.0,1575.0,945.0,2100.0,642 HCPCS,L8699,COIL VASCULAR 4MMX6CM ADVANCED,1550.0,1162.5,697.5,1550.0,642 HCPCS,L8699,ENDCAP SPINAL OD22MM 8DEG TITANIUM CHROME NITINOL ALTITUDE,360.0,270.0,162.0,360.0,642 HCPCS,L8699,EXPANDER CHIN SALINE EXTENDED SMALL STERILE 5.5CM,630.0,472.5,283.5,630.0,642 HCPCS,L8699,IMPLANT CHIN CRANIOMAXILLOFACIAL SILICONE STERILE EXTENDED ANATOMICAL,630.0,472.5,283.5,630.0,642 HCPCS,L8699,IMPLANT CHIN CRANIOMAXILLOFACIAL SILICONE STERILE EXTENDED ANATOMICAL 1.2X5.6CM,450.0,337.5,202.5,450.0,642 HCPCS,L8699,IMPLANT DENTAL CRANIOMAXILLOFACIAL CHIN STERILE SILICONE 6.8CM,700.0,525.0,315.0,700.0,642 HCPCS,L8699,IMPLANT DENTAL CRANIOMAXILLOFACIAL CHIN STERILE SILICONE MEDIUM,700.0,525.0,315.0,700.0,642 HCPCS,L8699,IMPLANT HEAD RADIAL ELBOW CHROMIUM POLY ASSEMBLY LATEX FREE STERILE 18MM,4961.2,3720.9,2232.54,4961.2,642 HCPCS,L8699,IMPLANT HEAD RADIAL ELBOW CHROMIUM POLY ASSEMBLY LATEX FREE STERILE 21MM,4961.2,3720.9,2232.54,4961.2,642 HCPCS,L8699,IMPLANT HEAD RADIAL ELBOW CHROMIUM POLY ASSEMBLY LATEX FREE STERILE 24MM,4961.2,3720.9,2232.54,4961.2,642 HCPCS,L8699,IMPLANT PROSTHESIS UROLOGICAL PROSTATE URETHRA CARTRIDGE STERILE UROLIFT2,2300.0,1725.0,1035.0,2300.0,642 HCPCS,L8699,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL LATEX FREE STERILE 6.5MM,4961.2,3720.9,2232.54,4961.2,642 HCPCS,L8699,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL LATEX FREE STERILE 7.5MM,4961.2,3720.9,2232.54,4961.2,642 HCPCS,L8699,IMPLANT TISSUE SYNTHETIC POLYETHYLENE CRANIOMAXILLOFACIAL CHIN 2 PIECE POROUS STERILE LARGE PROJECTION TAPERED 9X33X57MM,984.6,738.45,443.07,984.6,642 HCPCS,L8699,IMPLANT-TISSUE SYNTHETIC-POLYETHYLENE CRANIOMAXILLOFACIAL-CHIN 2-PIECE POROUS LATEX-FREE STERILE MEDIUM-PROJECTION TAPERED-WINGS 7X36X56MM,984.6,738.45,443.07,984.6,642 HCPCS,L8699,SPINAL XVBR TITANIUM COCR NITINOL 4 DEG L22 MM ENDCAP,360.0,270.0,162.0,360.0,642 HCPCS,M0076,PR PROLOTHERAPY,625.0,468.75,281.25,625.0,676 HCPCS,P9012,HC CRYOPRECIPITATE EA UNIT,213.0,159.75,71.95,213.0,916 HCPCS,P9012,PR CRYOPRECIPITATE EA UNIT,198.0,148.5,89.1,198.0,676 HCPCS,P9016,HC RBC LR EA UNIT,735.0,551.25,184.91,735.0,918 HCPCS,P9016,PR RBC LR EA UNIT,718.0,538.5,35.9,718.0,676 HCPCS,P9017,HC CONVALESCENT FFP SNGL DONOR,1196.0,897.0,85.98,1196.0,916 HCPCS,P9017,HC FFP SNGL DONOR,264.0,198.0,85.98,264.0,916 HCPCS,P9017,PR CONVALESCENT FFP SNGL DONOR,1196.0,897.0,59.8,1196.0,676 HCPCS,P9022,HC IAT RBC WASHED INITIAL UNIT,703.0,527.25,316.35,703.0,915 HCPCS,P9023,"HC FROZEN PLASMA, POOLED, SD, EA UNIT",291.0,218.25,55.96,291.0,916 HCPCS,P9023,"PR FROZEN PLASMA, POOLED, SD, EA UNIT",217.0,162.75,97.65,217.0,676 HCPCS,P9037,HC PLT PHERESIS LR IRRAD EA UNIT,2169.0,1626.75,680.61,2169.0,916 HCPCS,P9037,PR PLT PHERESIS LR IRRAD EA UNIT,1118.0,838.5,55.9,1118.0,676 HCPCS,P9040,HC RBC LR IRRAD EA UNIT,870.0,652.5,265.41,870.0,917 HCPCS,P9040,PR RBC LR IRRAD EA UNIT,520.0,390.0,26.0,520.0,676 HCPCS,P9041,"PR ALBUMIN (HUMAN),5%, 50ML",36.3,27.23,10.62,36.3,676 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",121.0,90.75,53.08,121.0,919 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",121.0,90.75,53.08,121.0,915 HCPCS,P9045,"PR ALBUMIN (HUMAN), 5%, 250 ML",149.0,111.75,53.08,149.0,676 HCPCS,P9046,"ALBUMIN (HUMAN), 25%, 20 ML",47.83,35.87,21.23,47.83,676 HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",242.0,181.5,53.08,242.0,917 HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",242.0,181.5,53.08,242.0,915 HCPCS,P9047,"ALBUMIN, HUMAN 25 % NON-INTRAVENOUS SOLUTION OSM",48.3,36.23,21.74,61.04,1830 HCPCS,P9047,"PR ALBUMIN (HUMAN), 25%, 50ML",373.26,279.95,21.23,373.26,41 HCPCS,P9050,HC GRANULOCYTES PHER PROC EA UNIT,4650.0,3487.5,2092.5,4650.0,909 HCPCS,P9052,HC PLT HLA MATCHED LR EA UNIT,2589.0,1941.75,708.06,2589.0,916 HCPCS,P9052,PR PLT HLA MATCHED LR EA UNIT,1323.0,992.25,66.15,1323.0,676 HCPCS,P9054,HC RED BLD CELLS DEGLYCEROLIZD LR,840.0,630.0,265.19,840.0,915 HCPCS,P9059,HC FROZEN PLASMA 8-24 HR EA UNIT,213.0,159.75,73.77,213.0,916 HCPCS,P9059,PR FROZEN PLASMA 8-24 HR EA UNIT,204.0,153.0,10.2,204.0,676 HCPCS,P9073,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,2226.0,1669.5,607.43,2226.0,917 HCPCS,P9073,PR PLT PHERESIS PATHOGEN REDUCED EA UNIT,1011.0,758.25,50.55,1011.0,676 HCPCS,P9612,HC CATH COLLECT URINE SPECIMEN,221.0,165.75,9.34,221.0,915 HCPCS,P9612,PR CATH COLLECT URINE SPECIMEN,145.0,108.75,9.34,145.0,690 HCPCS,Q0091,PR OBTAIN SCREEN PAP SMEAR,139.0,104.25,15.47,139.0,692 HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,545.7,409.28,0.32,545.7,915 HCPCS,Q0162,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.88,4.4,6.5,915 HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET,6.1,4.58,4.13,6.1,915 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,6.98,6.29,9.3,915 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,6.38,5.75,8.5,915 HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET,9.3,6.98,6.29,9.3,915 HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE,15.8,11.85,10.69,15.8,915 HCPCS,Q0224,"INJ, PEMIVIBART, 4500 MG",16300.1,12225.08,7239.0,16300.1,676 HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2822.3,2116.73,1270.04,2822.3,909 HCPCS,Q0479,DEVICE VENTRICULAR ASSIST MODULE POWER 14 VOLT II,17280.0,12960.0,7776.0,18476.11,641 HCPCS,Q0479,UNIT VENTRICULAR ASSIST POWER MOBILE LEFT II,17280.0,12960.0,7776.0,18476.11,641 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST LEFT POCKET II,11000.0,8250.0,4950.0,22365.94,641 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST WITH EMERGENCY BACK BATTERY FOR 3 SYSTEM,11880.0,8910.0,5346.0,22365.94,641 HCPCS,Q0484,MODULE DISPLAY LEFT VAD FOR II AND XVE,5600.0,4200.0,2520.0,5604.35,641 HCPCS,Q0495,BATTERY AC-ADAPTER POWER-CORD,12200.0,9150.0,5490.0,12200.0,641 HCPCS,Q0495,BATTERY FOR VENTRICULAR ASSIST DEVICE II,15552.0,11664.0,6429.34,15552.0,641 HCPCS,Q0497,CLIP BATTERY FOR 14V LITHIUM VENTRICULAR ASSIST DEVICE II,2376.0,1782.0,720.55,2376.0,641 HCPCS,Q0498,HOLSTER BATTERY LEFT VENTRICULAR ASSIST DEVICE POCKET CONTROLLER II GOGEAR,853.2,639.9,383.94,853.2,647 HCPCS,Q0498,PACK PATIENT VENTRICULAR ASSIST DEVICE CONTROLLER BATTERY,850.0,637.5,382.5,850.0,647 HCPCS,Q0498,PACK SHOULDER NYLON DURABLE ADJUSTABLE,900.0,675.0,405.0,900.0,647 HCPCS,Q0498,PACK WAIST VENTRICULAR ASSIST DEVICE CONTROLLER,850.0,637.5,382.5,850.0,647 HCPCS,Q0499,BAG SHOWER RIGHT VENTRICULAR ASSIST DEVICE CONSOLIDATED II GOGEAR,702.0,526.5,256.89,702.0,641 HCPCS,Q0499,BAG VENTRICULAR ASSIST LEFT CONSOLIDATED POCKET CONTROLLER II,702.0,526.5,256.89,702.0,641 HCPCS,Q0501,BAG SHOWER LEFT VENTRICULAR ASSIST II GOGEAR,486.0,364.5,218.7,786.05,641 HCPCS,Q0501,BAG SHOWER VENTRICULAR ASSIST DEVICE CONTROLLER BATTERY,600.0,450.0,270.0,786.05,641 HCPCS,Q0506,BATTERY LITHIUM 11V LEFT VENTRICULAR ASSIST CONTROLLER BACKUP II,1000.0,750.0,450.0,1314.64,641 HCPCS,Q0506,BATTERY REPLACEMENT LITHIUM-ION VENTRICULAR-ASSIST-DEVICE RECHARGEABLE,1500.0,1125.0,675.0,1500.0,641 HCPCS,Q0506,SET BATTERY VENTRICULAR ASSIST DEVICE LITHIUM PRODUCT SPECIFIC II,5400.0,4050.0,1314.64,5400.0,641 HCPCS,Q0508,ADAPTER DC VENTRICULAR ASSIST DEVICE CONTROLLER,4000.0,3000.0,1800.0,4000.0,647 HCPCS,Q0508,BAG EQUIPMENT LEFT VENTRICULAR ASSIST TRAVEL FOR XVE LVAS CONTROLLER ALARM,320.0,240.0,144.0,320.0,647 HCPCS,Q0508,BATTERY SLA 12V VENTRICULAR ASSIST CONTROLLER BACKUP LEFT II,150.0,112.5,67.5,150.0,647 HCPCS,Q0508,CAP LVAD MODULAR,331.74,248.81,149.28,331.74,647 HCPCS,Q0508,KIT VENTRICULAR ASSIST LEFT WEARABLE II,340.0,255.0,153.0,340.0,647 HCPCS,Q0508,VENTRICULAR ASSIST 14V LEFT POWER MODULE FOR II SYSTEM,2500.0,1875.0,1125.0,2500.0,647 HCPCS,Q0508,VENTRICULAR ASSIST DEVICE LEFT EXTENSION,5200.0,3900.0,2340.0,5200.0,647 HCPCS,Q0508,VENTRICULAR ASSIST LEFT ADAPTER AUTOMOBILE DC II,450.0,337.5,202.5,450.0,647 HCPCS,Q0508,VENTRICULAR ASSIST LEFT POWER MODULE II,70.0,52.5,31.5,70.0,647 HCPCS,Q0508,VENTRICULAR DEVICE MODULAR FOR 3 SYSTEM,10371.24,7778.43,4667.06,10371.24,647 HCPCS,Q2009,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),449.7,337.28,1.47,449.7,915 HCPCS,Q2026,IMPLANT-OTOLARYNGOLOGY VOICE-PROSTHESIS VOCAL-CHORD TRACHEOESOPHAGEAL CALCIUM-HYDROXLYAPATITE INJECTABLE LATEX-FREE STERILE 1ML,2812.5,2109.38,1265.63,2812.5,641 HCPCS,Q2028,"PR INJ, SCULPTRA, 0.5MG",7.0,5.25,3.15,7.0,676 HCPCS,Q2041,YESCARTA,2480000.0,548900.0,548900.0,548900.0,18 HCPCS,Q2042,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,1770000.0,410300.0,2360000.0,915 HCPCS,Q2043,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION,306944.0,230208.0,55272.32,306944.0,915 HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",509.0,381.75,108.47,509.0,915 HCPCS,Q2050,PR DOXORUBICIN LIPOSOMAL INJ 10 MG,1208.365,906.275,104.01,1251.2,676 HCPCS,Q2053,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,6 HCPCS,Q2054,BREYANZI,2400000.0,531350.4,531350.4,531350.4,3 HCPCS,Q2056,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,29 HCPCS,Q3014,PR TELE ORIG SITE FEE,66.0,49.5,29.7,66.0,676 HCPCS,Q4010,PR CAST SHORT ARM ADULT FIBERGLASS,73.0,54.75,24.8,73.0,676 HCPCS,Q4018,PR SPLINT LONG ARM ADULT FIBERGLASS,41.0,30.75,18.45,41.0,635 HCPCS,Q4021,PR SPLINT SHORT ARM ADULT PLASTER,19.0,14.25,8.55,19.0,635 HCPCS,Q4038,PR CAST SHORT LEG ADULT FIBERGLASS,124.0,93.0,52.48,124.0,638 HCPCS,Q4046,PR SPLINT SHORT LEG ADULT FIBERGLASS,75.0,56.25,23.79,75.0,635 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN RECTANGLE LATEX FREE STERILE CONFORMABLE RESORBABLE DURAPLASTY DURA 2.5X2.5CM,394.3,295.73,177.44,394.3,641 HCPCS,Q4100,GRAFT DURAL W2XL2IN THK0.6MM PURIFIED TYPE 1 COLLAGEN HIGHLY ABSORBABLE CONFORMABLE VERSATILE ONLAY,692.92,519.69,311.81,692.92,641 HCPCS,Q4100,GRAFT WOUND THIN 4X5IN BOVINE,5760.0,4320.0,2592.0,5760.0,641 HCPCS,Q4100,GRFT DRF 1X3,702.68,527.01,316.21,702.68,641 HCPCS,Q4100,GRFT DRF 3X3,1506.9,1130.18,678.11,1506.9,641 HCPCS,Q4100,GRFT DRF 4X5,2292.06,1719.05,1031.43,2292.06,641 HCPCS,Q4114,GRAFT BIOLOGICAL BOVINE STERILE CROSS LINKED TENDON COLLAGEN AND GLYCOSAMINOGLYCAN. 3CC,6511.16,4883.37,2930.02,6511.16,641 HCPCS,Q4115,GRAFT 4X5CM BOVINE PERICARDIUM BIOLOGICAL SUTURABLE 2 PIECES,197.22,147.91,132.79,197.22,647 HCPCS,Q4115,GRAFT DURAL 1X3IN EASY VERSATILE RELIABLE,564.24,423.18,132.79,564.24,647 HCPCS,Q4115,GRAFT DURAL 3X3IN EASY VERSATILE RELIABLE,1128.48,846.36,132.79,1128.48,647 HCPCS,Q4115,GRAFT DURAL 4X5IN EASY VERSATILE RELIABLE,2029.84,1522.38,132.79,2029.84,647 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS FREEZE DRIED REGENERATIVE STERILE EXTRA THICK 2.3MM 8X16CM,7484.0,5613.0,132.79,7484.0,649 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS REGENERATIVE BREAST STERILE MEDIUM THICK 0.4MM PERFORATED 9.6X19.3CM,7950.0,5962.5,132.79,7950.0,649 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS RTU REGENERATIVE STERILE EXTRA THIN 0.55+/ 0.25MM 2X4CM,1989.0,1491.75,132.79,1989.0,649 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS RTU REGENERATIVE STERILE MEDIUM 1X2CM,830.5,622.88,132.79,830.5,649 HCPCS,Q4116,GRAFT TISSUE ACELLULAR PERFORATED READY TO USE REGENERATIVE STERILE THICK 2.4MM 16X20CM RECT,19272.0,14454.0,132.79,19272.0,649 HCPCS,Q4116,GRAFT TISSUE DERMIS REGENERATIVE STERILE THIN 0.8 1.2MM 5X10CM,5532.0,4149.0,132.79,5532.0,649 HCPCS,Q4116,GRAFT TISSUE PERFORATED REGENERATIVE STERILE LARGE THICK 2.4+/ 0.4MM 10.7X21.5CM,9876.0,7407.0,132.79,9876.0,649 HCPCS,Q4118,DRESSING BIOLOGICAL 100MG FINE PORCINE EXTRACELLULAR MICRONIZED PARTICLE MICRO,1164.9,873.68,524.21,1164.9,641 HCPCS,Q4125,ARTHROFLEX GRAFT TENDON SKIN DERMIS STERILE 40X70MM THICK,10500.0,7875.0,132.79,10500.0,648 HCPCS,Q4125,GRAFT TENDON DECELLULARIZED DERMIS ACHILLES STERILE THICK 0.9 1.99MM ARTHROFLEX 1.75X40X70MM,7400.0,5550.0,132.79,7400.0,648 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS REGENERATIVE LATEX FREE STERILE ARTHROFLEX 4X40X70MM,12540.0,9405.0,132.79,12540.0,648 HCPCS,Q4128,GRAFT TISSUE ACELLUAR DERMIS HYDRATED REGENERATIVE STERILE THIN 7 1.4MM PLIABLE 19X20CM,39000.0,29250.0,132.79,39000.0,648 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE RECTANGLE STERILE FIRM DOUBLE POUCHED 6X10CM,9618.0,7213.5,132.79,9618.0,647 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE RECONSTRUCTIVE 6X10CM,15390.0,11542.5,132.79,15390.0,647 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE RECONSTRUCTIVE 6X8CM,2310.0,1732.5,132.79,2310.0,647 HCPCS,Q4133,PR GRAFIX STRAVIX PRIME PL SQCM,370.0,277.5,104.81,370.0,686 HCPCS,Q4166,DRESSING GRAFT BIOLOGICAL SOFT TISSUE PORCINE FENESTRATED SHEET 6 LAYER RESORBABLE 5X5CM,4220.16,3165.12,132.79,4220.16,647 HCPCS,Q4166,DRESSING WOUND BIOLOGICAL W5XL5CM EPITHELIAL BASEMENT MEMBRANE NUMEROUS COLLAGEN 2 LAYER,2804.81,2103.61,132.79,2804.81,647 HCPCS,Q4166,DRESSING WOUND PORCINE POWDER 30MG,431.64,323.73,132.79,431.64,647 HCPCS,Q4166,GRAFT BIOLOGICAL SOFT TISSUE PORCINE FENESTRATED SHEET 3 LAYER RESORBABLE 5X5CM,3569.58,2677.19,132.79,3569.58,647 HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,787.0,590.25,0.46,787.0,915 HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1259.2,944.4,0.46,1259.2,915 HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1732.6,1299.45,19.99,1732.6,915 HCPCS,Q5103,"INJECTION, INFLECTRA",8177.495,6133.125,24.22,9405.66,676 HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1536.6,1152.45,27.0,1536.6,915 HCPCS,Q5104,"INJECTION, RENFLEXIS",4881.59,3661.19,27.75,4881.59,676 HCPCS,Q5106,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",361.9,271.43,7.85,361.9,915 HCPCS,Q5106,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",72.4,54.3,7.85,72.4,915 HCPCS,Q5106,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",723.6,542.7,7.85,723.6,915 HCPCS,Q5106,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",144.8,108.6,7.85,144.8,915 HCPCS,Q5106,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1447.2,1085.4,7.85,1447.2,915 HCPCS,Q5106,PR RETACRIT NON-ESRD 1000 UNITS INJ,424.96999999999997,318.725,0.76,580.25,676 HCPCS,Q5107,PR BEVACIZUMAB-AWWB 10MG INJ,8520.68,6390.51,23.84,9109.25,676 HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4854.6,3640.95,99.13,4854.6,915 HCPCS,Q5108,"PR INJECTION, FULPHILA",5033.93,3775.45,98.87,5033.93,676 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,311.9,233.93,0.3,311.9,915 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,311.9,233.93,0.3,311.9,915 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,499.0,374.25,0.3,499.0,915 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,16608.2,12456.15,106.33,16608.2,915 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12537.6,9403.2,106.33,12537.6,915 HCPCS,Q5111,PR UDENYCA 0.5MG INJ,,,161.99,11313.11,652 HCPCS,Q5114,PR OGIVRI 10MG INJ,5509.9400000000005,4132.455,37.71,5821.07,676 HCPCS,Q5115,PR RITUXIMAB-ABBS 10MG INJ,7953.305,5964.98,30.15,8469.05,676 HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,6152.65,4614.49,29.38,10254.4,1830 HCPCS,Q5116,PR TRAZIMERA 10 MG INJ,8785.205,6588.905,8.21,9681.37,676 HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9661.2,7245.9,27.99,9661.2,915 HCPCS,Q5117,PR KANJINTI 10 MG INJ,14591.18,10943.39,51.44,14591.18,676 HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5236.4,3927.3,47.55,5236.4,915 HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14661.5,10996.13,47.55,14661.5,915 HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,4250.9,3188.175,25.77,6801.4,1830 HCPCS,Q5118,PR ZIRABEV 10 MG INJ,4474.08,3355.56,25.8,4474.08,676 HCPCS,Q5119,"PR RUXIENCE, 10MG INJ",7346.045,5509.535,13.27,7358.24,676 HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,5081.65,3811.2400000000002,27.85,8469.4,1830 HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1482.3,1111.72,20.41,1482.3,916 HCPCS,Q5121,"PR INJ. AVSOLA, 10 MG",5934.75,4451.0650000000005,23.81,6047.7,676 HCPCS,Q5122,"PR INJ, NYVEPRIA",7892.6,5919.45,133.05,7892.6,676 HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,6623.299999999999,4967.475,26.51,11038.8,1830 HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,257.2,192.9,0.38,257.2,915 HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,391.8,293.85,0.38,391.8,915 HCPCS,Q5125,"PR INJ, RELEUKO 1 MCG",351.135,263.35,0.34,392.23,676 HCPCS,Q5128,"INJ, CIMERLI, 0.1 MG",5301.9,3976.43,83.34,5301.9,676 HCPCS,Q5129,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,3390.4,2542.8,39.96,5476.8,1830 HCPCS,Q5129,"INJ, VEGZELMA, 10 MG",4216.84,3162.635,38.16,4563.66,676 HCPCS,Q5135,"INJ, TYENNE, 1 MG",2992.895,2244.67,4.19,3108.75,676 HCPCS,Q5135,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3372.4,2529.3,4.42,3372.4,915 HCPCS,Q5135,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6744.7,5058.52,4.42,6744.7,915 HCPCS,Q5135,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1349.0,1011.75,4.42,1349.0,915 HCPCS,Q5136,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6702.2,5026.65,27.54,6702.2,915 HCPCS,Q5151,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,20052.6,15039.45,31.35,20052.6,915 HCPCS,Q5157,DENOSUMAB-BMWO 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,11602.9,8702.17,28.13,11602.9,915 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,304.0,228.0,136.8,304.0,909 HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,304.0,228.0,136.8,304.0,909 HCPCS,Q9956,"PR INJ OCTAFLUOROPROPANE MIC,ML",280.1,210.08,40.21,280.1,676 HCPCS,Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",412.0,309.0,80.41,412.0,682 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,78.3,58.73,35.24,78.3,910 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,28.2,16.92,37.6,909 HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,61.65,36.99,82.2,909 HCPCS,Q9958,PR HOCM <=149 MG/ML IODINE PER 1ML,49.80500000000001,37.355000000000004,0.07,74.03,676 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,26.55,15.93,35.4,909 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,35.75,26.815,9.9,49.5,1820 HCPCS,Q9963,"DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 9,175 MG IODINE/1,000 ML WATER ORAL SOL",43.0,32.25,19.35,43.0,909 HCPCS,Q9963,"PR HOCM 350-399MG/ML IODINE,1ML",89.37,67.03,0.22,89.37,676 HCPCS,Q9965,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,54.15,32.49,72.2,913 HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,114.8,86.1,51.66,114.8,912 HCPCS,Q9965,"PR LOCM 100-199MG/ML IOSINW, 1ML",53.16,39.87,1.04,53.16,676 HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,31.35,18.81,41.8,909 HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,42.2,31.65,18.99,42.2,909 HCPCS,Q9967,CONTRAST MEDIA INJECTION ISOVUE 61 IOPAMIDOL NON PEDIATRIC ADULT ISOVUE 300MG 15ML,341.22,255.92,153.55,341.22,653 HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,3640 HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.0,31.5,18.68,115.3,4565 HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,70.7,53.025,19.98,72.8,5472 HCPCS,Q9967,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",52.1,39.08,19.85,288.1,5454 HCPCS,Q9967,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.449999999999999,4.84,2.7,21.7,4545 HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,183.2,137.4,82.44,183.2,910 HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,68.4,51.3,30.78,68.4,909 HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.7,56.03,33.26,84.2,2727 HCPCS,Q9967,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,36.95,27.715,15.93,38.5,1818 HCPCS,Q9967,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,26.63,15.98,35.5,910 HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,389.4,292.05,8.73,389.4,918 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,556.1,417.08,8.73,556.1,918 HCPCS,S0189,PR TESTOSTERONE PELLET 75 MG,2562.6400000000003,1921.98,1191.1,2646.88,676 HCPCS,S0265,PR GENETIC COUNSEL EA 15 MIN,242.0,181.5,108.9,242.0,679 HCPCS,S0613,PR ANNUAL BREAST EXAM,235.0,176.25,105.75,235.0,676 HCPCS,S2083,PR ADJ GASTRIC BND INJ/ASP SALINE,875.0,656.25,393.75,875.0,677 HCPCS,S9986,PR ASTIGMATISM IOL SURG,1790.0,1342.5,805.5,1790.0,676 HCPCS,S9986,PR DELUXE IOL,2030.0,1522.5,913.5,2030.0,676 HCPCS,S9986,PR EXEC RESCHEDULE/CANCEL/NO SHOW 0-14 DAYS,1000.0,750.0,450.0,1000.0,676 HCPCS,S9986,PR EXEC RESCHEDULE/CANCEL/NO SHOW 15-30 DAYS,500.0,375.0,225.0,500.0,676 HCPCS,S9986,PR EXECUTIVE SERVICES FEE,1570.0,1177.5,706.5,1570.0,676 HCPCS,S9986,PR IMH CANCELLATION FEE,50.0,37.5,22.5,50.0,676 HCPCS,S9986,PR LIGHT ADJ LENS IOL SURGE,3641.0,2730.75,1638.45,3641.0,676 HCPCS,S9986,PR LONGEVITY SERVICES FEE,1100.0,825.0,495.0,1100.0,676 HCPCS,S9986,PR NUTRITION APP FEE,200.0,150.0,90.0,200.0,676 HCPCS,V2623,SPHERE OPHTHALMIC DIA20MM SMOOTH POROUS SUTURE SURFACE TUNNEL,1098.46,823.85,494.31,1443.04,647 HCPCS,V2630,BRUSH CLEANING L18IN DIA15MM POLYPROPYLENE STIFFLINE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,BRUSH CLEANING L24IN DIA7MM NYLON BRISTLE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST 150 450CC W7XL12CM P3.2 7.2CM SILICONE SALINE ELLIPTICAL SMOOTH SHELL,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 650CC,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 850CC,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S SXT ROUND SHORT HEIGHT EXTRA PROJECTION SMOOTH 350CC WITH,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST TISSUE LOW POLE PLUS TEXTURED FULL HEIGHT 360 430CC 13CMX11.9CMX5.4 6.3CM,170.0,127.5,76.5,182.16,641 HCPCS,V2630,EXPANDER BREAST W15.7XH11.2CM P7.9CM 650CC LOW HEIGHT BUFFERZONE PATCH STYLE 8100 CPX 4,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 10.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 10.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 10.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 10.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 11.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 11.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 11.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 12.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 12.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 12.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 12.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 13.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 13.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 13.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 13.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 14.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 14.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 14.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 15.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 15.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 15.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 16.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 16.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 16.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 17.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 17.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 17.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 17.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 18.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 18.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 19.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 19.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 19.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 19.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 20.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 20.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 20.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 20.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 21.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 21.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 21.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 21.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 22.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 22.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 22.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 22.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 23.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 23.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 23.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 23.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 24.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 24.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 24.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 24.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 25.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 25.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 25.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 25.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 26.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 26.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 26.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 27.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 27.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 27.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 27.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 28.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 28.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 28.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 28.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 29.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 29.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 29.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 29.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 30.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 30.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 7.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 7.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 7.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 7.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 8.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 8.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 8.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 8.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 9.0 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 9.0 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 9.5 EQUICONVEX 6MM OPTIC SIZE 12.50MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS ANTERIOR CHAMBER ONE PIECE PMMA S LOOP 9.5 EQUICONVEX 6MM OPTIC SIZE 13.75MML 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS INTRAOCULAR +10.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +10.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +11.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +11.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +12.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +12.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +13.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +13.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +14.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +14.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +15.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +15.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +16.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +16.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +17.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +17.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +18.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +18.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +19.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +19.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +20.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +20.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +21.0 DIOPTER L13.5MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO OPTIC C UV ABSORBING III,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +21.0 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE PMMA CONVEXOPLANO OPTIC HAPTIC ANGULATION FOLDABLE ULTRAVIOLET ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +21.5 DIOPTER L13.5MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO OPTIC C UV ABSORBING III,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +21.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +22.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +22.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +22.5 DIOPTER L13.5MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO OPTIC C UV ABSORBING III,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +22.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +23.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +23.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +23.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +23.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +24.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +24.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +24.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +24.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +25.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +25.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +25.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +25.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +26.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +26.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +26.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +26.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +27.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +27.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +27.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +27.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +28.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +28.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +29.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +29.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +30.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +5.0 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +5.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +5.5 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +5.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +5.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +6.0 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +6.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +6.5 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +6.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +6.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +7.0 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +7.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +7.5 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +7.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +8.0 DIOPTER L12.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX UV ABSORBING FOLDABLE SINGLE PIECE,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +8.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +8.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +8.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +9.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +9.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR 11.5 DIOPTER L13.75MM OD6MM PMMA ANTERIOR CHAMBER ONE PIECE S LOOP EQUICONVEX 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS INTRAOCULAR 14.0 DIOPTER L13.75MM OD6MM PMMA ANTERIOR CHAMBER ONE PIECE S LOOP EQUICONVEX 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS INTRAOCULAR 18.0 DIOPTER L13.75MM OD6MM PMMA ANTERIOR CHAMBER ONE PIECE S LOOP EQUICONVEX 4 FIXATION,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.0D 23000C+11.00,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.0D 23000C+23.00,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +06.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC FOLDABLE UV ABSORBING CLAREON +16.5D CC60WF.165,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D 8U265,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X11.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +0.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 6.0X12.75 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +15.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.5 SINGLE PIECE UV LIGHT ABSORBING +26.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +10.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +10.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +11.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +11.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +12.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +12.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +13.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +13.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +14.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +14.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +15.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +15.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +16.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +16.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +17.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +17.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +18.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +18.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +19.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +19.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +20.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +20.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +5.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +6.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +7.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +7.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +8.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR CONVEXOPLANO OPTIC 5.5X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING 115.3 A CONSTANT +9.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE MULTIPIECE UV LIGHT FILTERING +27.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING NATURAL +30.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 09.5D CYL3.00,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 12.0D CYL3.75,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SND1T5U115,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SND1T6U290,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 5.75X11.0 SINGLE PIECE UV LIGHT ABSORBING SBL 3 +21.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SND1T3U120,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SV25T6U240,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T3U290,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T5U290,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SND1T3U070,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +8.5D ZLU150U085,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE ASPHERIC WAVEFRONT SHAPING POSTERIOR CHAMBER INTRAOCULAR LENS DFT015.155,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT7U105,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT8.170,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT5.215,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT4.220,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT6.225,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT3.275,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT40.130,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT40.165,170.0,127.5,76.5,182.16,641 HCPCS,V2630,LENS L122UV ANT +15.5D,600.0,450.0,182.16,600.0,641 HCPCS,V2630,LENS S122UV ANT +18.0D,600.0,450.0,182.16,600.0,641 HCPCS,V2630,REAGENT CYTOLOGY 5GM 96PCT BOVINE SERUM ALBUMIN FOR CELL CULTURE DRY LYOPHILIZED POWDER AGAROSE GEL ELECTROPHORESIS LOW ENDOTOXIN,170.0,127.5,76.5,182.16,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 04.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 04.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 05.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 05.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 06.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 06.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 07.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 07.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 08.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 08.53,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 09.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 09.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 10.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 10.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 11.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 11.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 12.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 12.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 13.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 13.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 14.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 14.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 15.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 15.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 16.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 16.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 17.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 17.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 18.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 18.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 19.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 20.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 20.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 21.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 21.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 22.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 22.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 23.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 23.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 24.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 24.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 25.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 25.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 26.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 26.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 27.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 27.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 28.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 28.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 29.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 29.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 30.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 30.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 31.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 31.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 32.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 32.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 33.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 33.5,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS CT LUCIA 602.US DPT 34.0,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS INTRAOCULAR +10.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +10.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +11.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER 10DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER MULTIPIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,298.0,223.5,134.1,298.0,641 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +13.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +14.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +2.5 DIOPTER L13.5MM DIA6MM AC D5.2MM 5DEG UV BLOCKING PMMA/HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX OPTIEDGE DESIGN MODIFIED C LOOP ANGLED HAPTIC,140.0,105.0,63.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +26.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +27.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +27.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +28.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +28.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +29.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +29.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +3.5 DIOPTER L13.5MM DIA6MM AC D5.2MM 5DEG UV BLOCKING PMMA/HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX OPTIEDGE DESIGN MODIFIED C LOOP ANGLED HAPTIC,140.0,105.0,63.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA6MM 10DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC HYDROPHOBIC BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBING,298.0,223.5,134.1,298.0,641 HCPCS,V2632,LENS INTRAOCULAR +30.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +31.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +31.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +32.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +32.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +33.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +33.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +34.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +4.0 DIOPTER L13MM DIA6MM 5DEG A CONSTANT 118.4 ACRYLIC PMMA 3 PIECE LOW DIOPTER MODIFIED C OPTIEDGE,140.0,105.0,63.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +6.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +6.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +7.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +8.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +8.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +9.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,148.5,89.1,198.0,641 HCPCS,V2632,LENS INTRAOCULAR 20.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER 1 PIECE ASPHERIC ACRYLIC FOLDABLE UV ABSORBING ANTERIOR ASYMMETRIC BICONVEX PLANAR,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +10.0D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +10.5D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +11.0D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +11.5D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +8.0D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +8.5D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +9.0D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC SINGLE PIECE +9.5D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL ACRYLIC POSTERIOR ANTERIOR ASYMMETRIC BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE ULTRAVIOLET BLUE LIGHT FILTERING NONTORIC MODIFIED CLOOP +11.0D,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.0D 23000C+10.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.0D 25000C+10.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.5D 23000C+10.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.5D 25000C+10.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.0D 23000C+11.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.0D 25000C+11.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.5D 23000C+11.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.5D 25000C+11.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +12.0D 23000C+12.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +12.0D 25000C+12.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +12.5D 23000C+12.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +12.5D 25000C+12.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +13.0D 23000C+13.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +13.0D 25000C+13.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +13.5D 23000C+13.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +13.5D 25000C+13.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +14.0D 23000C+14.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +14.0D 25000C+14.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +14.5D 23000C+14.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +14.5D 25000C+14.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +15.0D 23000C+15.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +15.0D 25000C+15.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +15.5D 23000C+15.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +15.5D 25000C+15.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +16.0D 23000C+16.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +16.0D 25000C+16.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +16.5D 23000C+16.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +16.5D 25000C+16.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +17.0D 23000C+17.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +17.0D 25000C+17.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +17.5D 23000C+17.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +17.5D 25000C+17.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +18.0D 23000C+18.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +18.0D 25000C+18.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +18.5D 23000C+18.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +18.5D 25000C+18.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +19.0D 23000C+19.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +19.0D 25000C+19.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +19.5D 23000C+19.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +19.5D 25000C+19.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +20.0D 23000C+20.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +20.0D 25000C+20.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +20.5D 23000C+20.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +20.5D 25000C+20.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +21.0D 23000C+21.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +21.0D 25000C+21.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +21.5D 23000C+21.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +21.5D 25000C+21.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.0D 23000C+22.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.0D 25000C+22.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.5D 23000C+22.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.5D 25000C+22.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.0D 23000C+23.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.0D 25000C+23.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.5D 23000C+23.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.5D 25000C+23.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +24.0D 23000C+24.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +24.0D 25000C+24.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +24.5D 23000C+24.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +24.5D 25000C+24.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +25.0D 23000C+25.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +25.0D 25000C+25.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +25.5D 23000C+25.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +25.5D 25000C+25.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +26.0D 23000C+26.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +26.0D 25000C+26.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +26.5D 23000C+26.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +26.5D 25000C+26.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +27.0D 23000C+27.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +27.0D 25000C+27.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +27.5D 23000C+27.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +27.5D 25000C+27.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +28.0D 23000C+28.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +28.0D 25000C+28.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +28.5D 23000C+28.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +28.5D 25000C+28.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +29.0D 23000C+29.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +29.0D 25000C+29.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +29.5D 23000C+29.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +29.5D 25000C+29.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +30.0D 23000C+30.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +30.0D 25000C+30.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +6.0D 23000C+6.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +6.0D 25000C+6.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +6.5D 23000C+6.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +6.5D 25000C+6.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +7.0D 23000C+7.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +7.0D 25000C+7.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +7.5D 23000C+7.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +7.5D 25000C+7.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +8.0D 23000C+8.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +8.0D 25000C+8.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +8.5D 23000C+8.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +8.5D 25000C+8.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +9.0D 23000C+9.00,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +9.0D 25000C+9.00,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +9.5D 23000C+9.50,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +9.5D 25000C+9.50,230.0,172.5,103.5,230.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X13.0 SINGLE PIECE CLAREON +23.5D,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE ULTRAVIOLET LIGHT FILTER +12.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE ULTRAVIOLET LIGHT FILTER +16.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE ULTRAVIOLET LIGHT FILTER +2.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE ULTRAVIOLET LIGHT FILTER +30.0D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE ULTRAVIOLET LIGHT FILTER +9.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.5D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +11.0D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +11.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.5D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.0D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.5D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +16.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +6.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.0D,190.0,142.5,85.5,190.0,1282 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +10.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +10.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +11.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +11.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +12.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +12.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +13.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +13.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +14.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +14.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +15.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +15.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +16.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +16.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +17.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +17.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +18.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +18.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +19.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +19.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +20.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +20.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +21.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +22.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +22.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +23.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +23.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +24.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +24.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +25.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +25.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +26.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +26.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +27.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +27.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +28.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +28.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +29.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +29.5D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING EMV +30.0D,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +30.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +31.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +32.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +33.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +6.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +7.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +8.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +9.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING C +06.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +06.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +07.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +07.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +08.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +08.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +09.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +09.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +10.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +10.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +11.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +11.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +12.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +12.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +13.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +13.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +14.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +14.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +15.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +15.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +16.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +16.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +17.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +17.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +18.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +18.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +19.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +19.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +20.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +20.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +22.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +22.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +23.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +23.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +24.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +24.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +25.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +25.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +26.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +26.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +27.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +27.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +28.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +28.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +29.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +29.5D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +30.0D,296.0,222.0,133.2,296.0,641 HCPCS,V2632,LENS INTRAOCULAR BIASPHERICAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.75X12.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING HD +16.5D BIASPHERIC ACRYLIC,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR BIASPHERICAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.75X12.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING HD +22.75D BIASPHERIC ACRYLIC,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR EMV +21.5,280.0,210.0,126.0,280.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV ABSORBING +01.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV ABSORBING +32.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV ABSORBING +5.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +11.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +12.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +13.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.0D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.5D,190.0,142.5,85.5,190.0,641 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E 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FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN60WF.100,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN60WF.105,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN60WF.115,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN60WF.120,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN60WF.125,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN60WF.130,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN60WF.135,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN60WF.140,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN60WF.145,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN60WF.150,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN60WF.155,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN60WF.160,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN60WF.165,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN60WF.170,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN60WF.180,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN60WF.185,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN60WF.190,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN60WF.195,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN60WF.200,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN60WF.205,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN60WF.210,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN60WF.215,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN60WF.220,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN60WF.225,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN60WF.230,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN60WF.235,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SN60WF.240,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN60WF.245,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN60WF.250,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN60WF.255,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SN60WF.260,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SN60WF.265,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN60WF.270,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN60WF.275,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN60WF.280,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN60WF.285,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN60WF.290,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SN60WF.295,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN60WF.300,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SN60WF.060,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SN60WF.065,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SN60WF.070,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN60WF.075,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SN60WF.080,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN60WF.085,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SN60WF.090,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SN60WF.095,290.0,217.5,130.5,290.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 MULTIPIECE CT LUCIA +19.5D,350.0,262.5,157.5,350.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING -1.0D,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING -3.0D,210.0,157.5,94.5,210.0,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING 0.0D,150.0,112.5,67.5,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D,100.0,75.0,45.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D,100.0,75.0,45.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,100.0,75.0,45.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D,100.0,75.0,45.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,100.0,75.0,45.0,182.16,641 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D,100.0,75.0,45.0,182.16,641 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HCPCS,V2632,LENS SFT EQL CONIC +33.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +34.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +35.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +36.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +6.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +7.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +8.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC +9.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC 15.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC 17.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT EQL CONIC 25.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +11.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +12.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +13.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +15.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +15.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +15.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +16.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +16.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +17.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +17.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +17.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +18.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +18.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +18.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +18.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +19.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +19.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +19.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +19.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +20.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +20.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +20.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +20.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +21.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +21.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +21.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +21.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +22.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +22.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +22.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +23.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +23.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +23.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +24.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +24.25,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +24.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +24.75,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +25.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +25.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +26.0,270.0,202.5,121.5,270.0,641 HCPCS,V2632,LENS SFT MNFCL +26.5,270.0,202.5,121.5,270.0,641 HCPCS,V2632,PACK PICK DR SHUSKO INTRAOCULAR LENS,215.62,161.72,97.03,215.62,641 HCPCS,V2632,ZZ LENS TCN TRC ZCT300 +23.5D,930.0,697.5,182.16,930.0,641 HCPCS,V2785,GRAFT EYE CORNEAL LIVE CELL STERILE,6900.0,5175.0,2829.0,6900.0,644 HCPCS,V2785,GRAFT OCULAR CORNEA WHOLE MOON WITH RIM STERILE FULL THICKNESS 16.0MM,3300.0,2475.0,1353.0,3300.0,644 HCPCS,V2785,GRAFT OPHTHALMIC CORNEA DMEK/PDEK LIVE CELL EYE STERILE,8900.0,6675.0,3649.0,8900.0,644 HCPCS,V2785,GRAFT OPHTHALMIC CORNEA DMEK/PDEK LIVE CELL PRELOADED EYE STERILE,9500.0,7125.0,3895.0,9500.0,644 HCPCS,V2785,GRAFT OPHTHALMIC CORNEA DSAEK LIVE CELL EYE STERILE,8500.0,6375.0,3485.0,8500.0,644 HCPCS,V2785,GRAFT OPHTHALMIC CORNEA DSAEK LIVE CELL PRELOADED EYE STERILE,9100.0,6825.0,3731.0,9100.0,644 HCPCS,V2785,GRAFT TISSUE OCULAR STERILE,3040.0,2280.0,1246.4,3040.0,644 HCPCS,V2785,GRAFT-TISSUE OCULAR LATEX-FREE STERILE,3040.0,2280.0,1246.4,3040.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE DMAEK WHOLE RIGHT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,8800.0,6600.0,3608.0,8800.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE DSAEK WHOLE LEFT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,8500.0,6375.0,3485.0,8500.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE DSAEK WHOLE RIGHT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,8500.0,6375.0,3485.0,8500.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE PENETRATING KERATOPLASTY WHOLE LEFT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,7000.0,5250.0,2870.0,7000.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE PENETRATING KERATOPLASTY WHOLE RIGHT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,7000.0,5250.0,2870.0,7000.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE POSTERIOR LAYER LEFT STERILE EVERSIGHT,9100.0,6825.0,3731.0,9100.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE POSTERIOR LAYER RIGHT STERILE EVERSIGHT,10000.0,7500.0,4100.0,10000.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC CORNEA EYE WHOLE LEFT STERILE HYPOTHERMIC PRESERVATION EVERSIGHT,8800.0,6600.0,3608.0,8800.0,644 HCPCS,V2785,IMPLANT OPHTHALMIC SCLERA EYE HALF LEFT STERILE EVERSIGHT,900.0,675.0,369.0,900.0,644 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 10.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 10.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 11.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 11.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 12.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 12.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 13.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 13.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 14.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 14.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 15.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 15.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 16.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 16.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 17.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 17.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 18.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 18.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 19.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 19.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 20.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 20.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 21.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 21.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 22.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 22.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 23.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 23.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 24.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 24.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 25.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 25.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 26.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 26.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 27.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 27.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 28.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 28.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 29.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 29.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 30.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 30.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 31.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 31.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 32.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 32.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 33.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 33.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 34.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 5.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 5.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 6.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 6.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 7.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 7.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 8.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 8.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 9.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 9.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 10.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 10.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 11.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 11.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 12.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 12.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 13.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 13.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 14.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 14.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 15.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 15.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 16.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 16.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 17.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 17.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 18.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 18.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 19.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 19.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 20.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 20.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 21.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 21.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 22.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 22.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 23.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 23.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 24.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 24.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 25.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 25.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 26.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 26.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 27.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 27.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 28.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 28.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 29.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 29.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 30.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 30.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 31.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 31.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 32.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 32.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 33.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 33.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 34.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 5.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 5.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 6.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 6.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 7.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 7.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 8.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 8.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 9.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 9.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 10.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 10.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 11.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 11.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 12.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 12.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 13.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 13.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 14.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 14.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 15.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 15.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 16.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 16.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 17.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 17.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 18.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 18.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 19.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 20.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 20.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 21.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 21.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 22.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 22.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 23.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 23.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 24.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 24.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 25.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 25.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 26.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 26.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 27.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 27.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 28.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 28.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 29.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 29.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 30.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 30.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 31.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 31.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 32.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 32.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 33.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 33.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 34.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 5.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 5.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 6.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 6.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 7.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 7.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 8.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 8.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 9.00 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 9.50 DIOPTER,850.0,637.5,382.5,850.0,641 HCPCS,V2787,26.0D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +10.5 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +12.0 DIOPTER L13MM DIA6MM 118.8 A CONSTANT SOFT FOLDABLE HYDROPHOBIC ACRYLIC 1 PIECE TRIFIX UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC AND POSTERIOR ACHROMATIC DIFFRACT,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +13.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM POSTERIOR ACRYLATE UV WITH BLUE LIGHT FILTER SINGLE PIECE FOLDABLE BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +16.5 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR +18.5 DIOPTER CYLINDER POWER +1.5 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER ACRYLATE METHACRYLATE COPOLYMER BICONVEX TORIC ASPHERIC UV BLUE LIGHT FILTERING BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +18.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MULTIFOCAL SYMFONY FOLDABLE ACRYLIC HYDROPHOBIC UV ABSORBING,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +19.0 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER POWER 2.25 DIOPTER L13MM DIA6MM A CONSTANT 119 0DEG BICONVEX TORIC ASPHERIC UV/BLUE LIGHT FILTERING ACRYLATE/METHACRYLATE COPOLYMER FOLDABLE,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER 1.50 DIOPTER L13MM DIA6MM A CONSTANT 119 0DEG BICONVEX TORIC ASPHERIC UV/BLUE LIGHT FILTERING ACRYLATE/METHACRYLATE COPOLYMER FOLDABLE,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +24.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +25.0 DIOPTER DIA6MM A CONSTANT 118.8 ANTERIOR CHAMBER BICONVEX SYMFONY HYDROPHOBIC ACRYLIC UV BLOCKING,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER POWER 1.50 DIOPTER L13MM DIA6MM A CONSTANT 119 0DEG BICONVEX TORIC ASPHERIC UV/BLUE LIGHT FILTERING ACRYLATE/METHACRYLATE COPOLYMER FOLDABLE,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +26.0 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +26.5 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +27.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +27.0 DIOPTER L13MM DIA6MM C STYLE HYDROPHOBIC ACRYLIC BICONVEX POSTERIOR ACHROMATIC DIFFRACTIVE SURFACE UV-BLOCKING HYDROPHOBIC ACRYLIC SYMFONY,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +28.0 DIOPTER CYLINDER POWER +2.25 DIOPTER DIA6MM A CONSTANT 119.3 SINGLE PIECE BICONVEX WAVEFRONT DESIGNED ANTERIOR TORIC II ASPHERIC POSTERIOR SURFACE ACRYLIC HYDROPHOBIC UV,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR +28.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +29.0 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM POSTERIOR ACRYLATE UV WITH BLUE LIGHT FILTER SINGLE PIECE FOLDABLE BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +29.5 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +29.5 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC AS,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +30.0 DIOPTER CYLINDER POWER +1.5 DIOPTER L13MM DIA6MM 0DEG POSTERIOR ACRYLIC TORIC BICONVEX ASPHERIC UV BLUE LIGHT ABSORBING 1 PIECE FOLDABLE,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +6.0 DIOPTER CYLINDER POWER 3.00 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +6.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 0DEG ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR ACHROMATIC DIFFRACTI,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR +6.5 DIOPTER CYLINDER POWER 3.00 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +8.5 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +9.0 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC ASP,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER POWER +3.00 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC ASP,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 16.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 19.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 19.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 19.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 19.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 21.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 21.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 30.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 31.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 31.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 32.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 32.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 33.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 33.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 34.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 5.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 5.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 10.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 11.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 12.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 13.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 14.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 15.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 16.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 17.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 18.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 19.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 20.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 21.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 22.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 23.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 24.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 25.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 26.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 27.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 28.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 29.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 30.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 31.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 32.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 33.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 34.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 6.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 7.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 8.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.0X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X125,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X150,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X200,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X250,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X300,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X350,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X425,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X500,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC TORIC ENVY 9.5X575,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL ASTIGMATISM CORRECTION RXLAL 20.5D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL ASTIGMATISM CORRECTION RXLAL 21.5D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +24.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +25.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +25.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +26.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +26.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +27.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +28.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +28.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +29.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +29.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET200 12.5MM +30.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +06.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +08.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +09.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +09.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +10.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +11.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +11.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +12.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +13.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +14.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +15.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +16.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR MX60UET275 12.5MM +16.5,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 26.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 27.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 28.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 29.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 30.0,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 4.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 5.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 6.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 7.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 8.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR RXSIGHT LIGHT ADJUSTABLE PLUS 9.0D,2000.0,1500.0,900.0,2000.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X1.50 SINGLE PIECE +19.5D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X1.50 SINGLE PIECE +21.0D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +12.0D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +16.5D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +20.0D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X3.00 SINGLE PIECE +19.0D,850.0,637.5,382.5,850.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT3.100,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT4.100,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT5.100,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT6U100,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT3.105,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT5.105,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT6U105,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT3.110,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT4.110,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT5.110,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT6U110,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT3.115,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT4.115,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT5.115,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT6U115,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT3.120,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT4.120,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT5.120,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT6U120,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT3.125,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT4.125,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT5.125,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT6U125,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT3.130,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT5.130,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT6U130,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT3.135,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT4.135,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT5.135,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT6U135,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT3.140,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT4.140,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT5.140,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT6U140,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT3.145,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT4.145,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT5.145,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT6U145,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT3.150,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT4.150,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT5.150,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT6U150,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT3.155,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT4.155,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT5.155,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT6U155,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT3.160,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT4.160,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT5.160,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT6U160,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT3.165,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT4.165,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT6U165,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT3.170,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT4.170,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT5.170,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT6U170,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT3.175,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT4.175,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT5.175,990.0,742.5,445.5,990.0,641 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D 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HCPCS,V2788,32.5D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,33.0D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,33.5D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,34.0D,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,CCWET5.100 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.105 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.110 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.115 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.120 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.125 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.130 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.135 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.140 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.145 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 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UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.225 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.230 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.235 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.240 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.245 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.250 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.255 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.260 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.265 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.270 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.275 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.280 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.285 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.290 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.295 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET5.300 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.100 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.105 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.110 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.115 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.120 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.125 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.130 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.135 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.140 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.145 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.150 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.155 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.160 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.165 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.170 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.175 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.180 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.185 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.190 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.195 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.200 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.205 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.210 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.215 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.220 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.225 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.230 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.235 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.240 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.245 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.250 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.255 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.260 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.265 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.270 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.275 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.280 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.285 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.290 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.295 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CCWET6.300 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,CLAREON PANOPTIX TORIC (UV),2030.0,1522.5,913.5,2030.0,13461 HCPCS,V2788,IOL HEMA 1PC 5.7511.0MM BF,1800.0,1350.0,810.0,1800.0,1923 HCPCS,V2788,LENS INTRAOCULAR +10.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA13MM A CONSTANT 119.3 POSTERIOR HYDROPHOBIC ACRYLIC UV BLOCKING ERV FOLDABLE BICONVEX TORIC ASPHERIC SYMFONY,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +10.5 DIOPTER CYLINDER POWER 3 DIOPTER L13MM DIA6MM 0DEG ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL TORIC 1 PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR DIFFR,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +11.0 DIOPTER CYLINDRICAL POWER 6.0 DIOPTER L13MM DIA6MM 0DEG UV ABSORBING HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER BICONVEX TORIC ASPHERIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +11.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +11.5 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +11.5 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER 2.00 CYLINDRICAL TRULIGN,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER DXW150U120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER DXW225U120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER DXW300U120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER DXW375U120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER TFNT00U120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER L13MM DIA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER L13MM DIA6MM 0DEG CLEAR POSTERIOR ACRYLIC BICONVEX TORIC APODIZED DIFFRACTIVE ASPHERIC UV ABSORBING SINGLE PIECE MULTIFOCAL FOLDABLE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.0 DIOPTER POSTERIOR CHAMBER WAVEFRONT SHAPING VIVITY TORIC ACRYLIC FOLDABLE ASPHERIC UV AND BLUE LIGHT FILTERING STERILE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER CYLINDER DXW150U125,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER CYLINDER DXW225U125,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER CYLINDER DXW300U125,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER CYLINDER DXW375U125,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER POSTERIOR,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +12.5 DIOPTER POSTERIOR ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE WITH PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +16.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM A CONSTANT 119.3 360DEG POSTERIOR CHAMBER ACRYLIC HYDROPHOBIC 1 PIECE HAPTIC OFFSET BICONVEX ASPHERIC TORIC UV BLOCKING,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +18.0 DIOPTER CYLINDER DXW225U180,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +18.0 DIOPTER CYLINDER POWER +2.25 DIOPTER L13MM DIA6MM A CONSTANT 119.3 360DEG POSTERIOR CHAMBER ACRYLIC HYDROPHOBIC 1 PIECE HAPTIC OFFSET BICONVEX ASPHERIC TORIC UV BLOCKING,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +19.0 DIOPTER CYLINDER POWER 2.25 DIOPTER L13MM DIA6MM 0DEG ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL TORIC 1 PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR DI,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +2.00 DIOPTER POSTERIOR CHAMBER IOL ACRYLIC HYDROPHOBIC UV ABSORBING NONPRELOADED,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +2.5 TO 19.0 DIOPTER,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.0 DIOPTER CYLINDER DXW150U200,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.0 DIOPTER CYLINDER DXW225U200,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.0 DIOPTER CYLINDER POWER 3 DIOPTER L13MM DIA6MM 0DEG ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL TORIC 1 PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR DIFFR,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.0 DIOPTER L13MM DIA6MM 0DEG A CONSTANT 118.9 NATURAL ACRYLIC POSTERIOR CHAMBER ONE PIECE MULTIFOCAL APODIZED DIFFRACTIVE ASPHERIC BICONVEX FOLDABLE UV ABSORBING DISPOSABLE,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER +3.75 DIOPTER UV ABSORBING HYDROPHOBIC ACRYLIC FOLDABLE SINGLE PIECE APODIZED DIFFRACTIVE ASPHERIC MULTIFOCAL TORIC POSTERIOR CHAMBER,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER DXW150U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER DXW225U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER DXW300U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER DXW375U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER TFNT00U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER TFNT30U205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER L13MM DIA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +20.5 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER DXW150U210,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER DXW225U210,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER DXW300U210,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER DXW375U210,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.0 DIOPTER L13MM DIA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +22.0 DIOPTER CYLINDER POWER 3.0 DIOPTER L13MM DIA6MM ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL TORIC SINGLE PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR DIF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +23.0 DIOPTER L13MM DIA6MM APODIZED DIFFRACTIVE ASPHERIC 0DEG HAPTIC ANGULATION,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +23.5 DIOPTER 1.5 CYLINDER DIA13MM UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFONY,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +25.0 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 360DEG POSTERIOR BICONVEX UV BLOCKING HYDROPHOBIC ACRYLIC TORIC ASPHERIC,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +25.0 DIOPTER L13MM DIA6MM ACRYLIC 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC MULTIFOCAL FOLDABLE A-CONSTANT 119.1,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +25.5 DIOPTER 3.75 CYLINDER DIA13MM UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFONY,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX TORIC SYMFONY FOLDABLE ACRYLIC HYDROPHOBIC UV BLOCKING,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER DXW225U275,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER DXW300U275,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +29.5 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +3.0 DIOPTER 2.00 CYLINDRICAL TRULIGN,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +3.00 DIOPTER POSTERIOR,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA6MM 0DEG CLEAR POSTERIOR ACRYLIC BICONVEX TORIC APODIZED DIFFRACTIVE ASPHERIC UV ABSORBING SINGLE PIECE MULTIFOCAL FOLDABLE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER DXW150U305,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER DXW225U305,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER DXW300U305,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER DXW375U305,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER DXW150U310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER DXW225U310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER DXW300U310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER DXW375U310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER SN6AT4.310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER SN6AT7.310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDRIC SN6AT6.310,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER CYLINDRICAL POWER +5.25 DIOPTER L13MM DIA6MM A CONSTANT 119 0DEG BICONVEX UV BLUE LIGHT TORIC ASPHERIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.0 DIOPTER L13MM DIA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER DXW150U315,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER DXW225U315,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER DXW300U315,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER DXW375U315,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +32.0 DIOPTER CYLINDER DXW150U320,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +6.0 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +6.0 TO +34.0 DIOPTER L13MM DIA6MM ANTERIOR ASYMMETRIC BICONVEX 0DEG A CONSTANT 118.4 UV ABSORBING FOLDABLE SINGLE PIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +6.5 DIOPTER CYLINDER POWER +3.75 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER BICONVEX MULTIFOCAL ASPHERIC FOLDABLE ACRYLATE/METHACRYLATE COPOLYMER UV BLUE LIGHT FILTERING,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +6.5 DIOPTER CYLINDER POWER +3.75 DIOPTER L13MM DIA6MM 0DEG POSTERIOR ACRYLIC TORIC BICONVEX ASPHERIC UV BLUE LIGHT 1 PIECE MULTIFOCAL FOLDABLE,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +7.0 DIOPTER CYLINDER POWER +3.75 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER BICONVEX MULTIFOCAL ASPHERIC FOLDABLE ACRYLATE/METHACRYLATE COPOLYMER UV BLUE LIGHT FILTERING,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +7.5 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +8.0 DIOPTER CYLINDER POWER +3.75 DIOPTER L13MM DIA6MM 0DEG POSTERIOR ACRYLIC TORIC BICONVEX ASPHERIC UV BLUE LIGHT 1 PIECE MULTIFOCAL FOLDABLE,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +8.0 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +8.5 DIOPTER CYLINDER DXW375U085,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +8.5 DIOPTER CYLINDER POWER 3.75 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING MULTIFOCAL ASPHERIC TORIC STABLEFORCE HAPTIC,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +8.5 DIOPTER CYLINDRICAL POWER +3.75 DIOPTER L13MM DIA6MM 0DEG YELLOW BICONVEX APODIZED DIFFRACTIVE TORIC ASPHERIC MULTIFOCAL RESOR,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.0 DIOPTER CYLINDER POWER +3.75 DIOPTER L13MM DIA6MM 0DEG POSTERIOR ACRYLIC TORIC BICONVEX ASPHERIC UV BLUE LIGHT 1 PIECE MULTIFOCAL FOLDABLE,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.0 DIOPTER CYLINDER POWER 3 DIOPTER L13MM DIA6MM 0DEG ANGLED HAPTIC HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER MONOFOCAL TORIC 1 PIECE BICONVEX ANTERIOR ASPHERIC POSTERIOR DIFFRA,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER DXW150U095,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER DXW225U095,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER DXW375U095,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER POWER +3.75 DIOPTER L13MM DIA6MM 0DEG POSTERIOR ACRYLIC TORIC BICONVEX ASPHERIC UV BLUE LIGHT 1 PIECE MULTIFOCAL FOLDABLE,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0.0 DIOPTER L13.5MM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CCWET0,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CCWET3,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CCWET4,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CCWET6,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CCWTT3,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 0DEG L13MM DIA6MM A CON CNWET0,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 1.0 TO 5.0 DIOPTER 5DEG ANGLED HAPTIC L13MM DIA6MM D5.2MM OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 10 TO +1.5 DIOPTER L13,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER 6.0 DIOPTER,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.0 DIOPTER POSTERIOR,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 10.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 11.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.0 DIOPTER 2.25 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 2.25 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 12.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.5 DIOPTER 3.0 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 13.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 14.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 15.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 16.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 16.0 DIOPTER 3.75 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 16.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 16.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 16.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 17.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.0 DIOPTER 3.0 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.5 DIOPTER 2.25 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 18.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 19.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 19.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 19.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 19.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 19.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.0 DIOPTER 2.25 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 20.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.0 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.0 DIOPTER 2.25 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.0 DIOPTER CYLINDER POWER 2.25 DIOPTER L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL TORIC 1 PIECE BICONVEX ANTERIOR ASPHERIC/POSTERIOR DIFFRACTIVE SURFACE HYD,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 21.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 22.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 22.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 22.5 DIOPTER 2.25 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.0 DIOPTER 3.0 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.5 DIOPTER 118.8 A CONSTANT L13MM DIA6MM THK0.46MM 0DEG ANGLED HAPTIC ACRYLIC HYDROPHOBIC UV BLOCKING BICONVEX WAVEFRONT ANTERIOR ASPHERIC SURFACE PROTEC FROSTED C STYLE 360,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 23.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.0 DIOPTER 1.5 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YELL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.0 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 24.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 25.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 25.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 25.5 DIOPTER 2.25 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 25.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 25.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 26.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 26.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 27.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 27.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMF,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 27.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 27.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 28.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 28.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 28.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 28.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 29.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 29.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 3.00D 13.5D TORIC SYMFONY,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 30.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 30.0 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YEL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 30.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 31.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 31.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 32.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 32.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 33.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 33.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 34.0 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 5.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 5.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 6.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 6.0 DIOPTER 3.75 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 6.0 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 6.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 7.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 7.0 DIOPTER 3.75 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 7.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 7.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLD,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 8.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 8.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 8.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 8.5 DIOPTER 3.75 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFO,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 9.0 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 9.0 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YELL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR 9.5 DIOPTER 1.5 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 9.5 DIOPTER 3.0 DIOPTER CYLINDER POWER L13MM DIA6MM 0DEG ANGLED HAPTIC UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFON,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR 9.5 DIOPTER 3.75 DIOPTER CYLINDER POWER 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC 1 PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABLE ACRYLIC YELL,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 11.5 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 16.5 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 19.0 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 20.0 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 23.0 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR ACU0T0 24.0 STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE SINGLE PIECE POSTERIOR CHAMBER WITH THE PRELOADED DELIVERY SYSTEM,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.105,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.135,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.140,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.155,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.165,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.170,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.185,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.190,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.200,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.205,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T3.245,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.065,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.070,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.135,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.140,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.170,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.185,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.200,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.215,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.220,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.240,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.260,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.265,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T4.295,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.065,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.070,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.095,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.100,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.115,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.120,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.145,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.155,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.170,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.180,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.190,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.270,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.280,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.285,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T5.300,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.080,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.095,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.160,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.175,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.190,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.230,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.255,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.260,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.270,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.275,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.280,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCA0T6.295,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.060 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.105 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.110 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.115 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.140 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.150 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.155 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.195 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.255 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.270 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.290 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T7.295 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.060 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.085 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.100 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.130 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.150 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.180 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.185 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.205 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.260 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.290 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T8.295 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.065 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.070 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.080 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.115 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.125 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.135 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.140 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.190 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCW0T9.290 CLAREON TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.105 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.120 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.140 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.155 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.170 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.175 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.225 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.240 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.245 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.280 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.290 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.295 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET5.300 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.100 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.145 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.155 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.170 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.175 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.195 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.205 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CCWET6.225 CLAREON VIVITY TORIC UVA,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.060 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.085 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.115 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.200 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.205 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T7.215 CLAREON TORIC,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.180 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.185 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.195 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.200 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.210 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.220 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNW0T8.235 CLAREON TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.195 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.200 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.215 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.220 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.225 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.230 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.240 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.250 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.255 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.260 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.265 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.270 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.275 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET6.280 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET7.105 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWET7.150 CLAREON VIVITY TORIC,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR CNWTT5.230 CLAREON PANOPTIX TORIC (BLF),2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR HEMA SINGLE PIECE 5.7511.0MM BF +22.25 DIOPTER,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR HEMA SINGLE PIECE 5.7511.0MM BF +22.75 DIOPTER,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR HEMA SINGLE PIECE 5.7511.0MM BF +23.25 DIOPTER,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR HEMA SINGLE PIECE 5.7511.0MM BF +24.75 DIOPTER,1800.0,1350.0,810.0,1800.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +10.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +10.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +11.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +11.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +12.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +12.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +13.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +13.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +14.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +14.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +15.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +15.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +16.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +16.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +17.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +17.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +18.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +18.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +19.00D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC +19.50D,1900.0,1425.0,855.0,1900.0,641 HCPCS,V2788,LENS INTRAOCULAR HYRDOPHOBIC ACRYLIC POSTERIOR CHAMBER PSEUDOPHAKIC 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HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 14.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 14.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 15.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 15.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 16.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 16.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 17.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 18.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 19.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 19.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 20.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 21.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 22.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 22.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 23.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 23.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 24.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 24.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 25.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 25.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 26.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 26.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 27.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 27.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 28.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 28.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 29.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 29.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 30.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 30.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 31.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 31.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 32.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 32.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 33.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 05.0D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 10.0D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 10.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 11.0D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 12.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 13.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 14.0D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.0D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.0D CYLINDER 3.75,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.5D CYLINDER 3.00,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 16.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 17.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 18.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 18.5D CYLINDER 3.75,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 20.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 20.5D CYLINDER 3.00,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 22.0D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 22.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 23.0D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 23.0D CYLINDER 3.75,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 24.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 25.5D CYLINDER 1.50,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 26.0D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 26.5D CYLINDER 2.25,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR ODYSSEYSIMPLICITY 34.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR SA25T3 16.0 STERILE UV ABSORBING HYDROPHOBIC ACRYLIC FOLDABLE SINGLE PIECE APODIZED DIFFRACTIVE ASPHERIC MULTIFOCAL TORIC POSTERIOR CHAMBER,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR SV25T0U065 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR SV25T0U310 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR SV25T0U320 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR SV25T0U330 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR SV25T0U340 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,LENS INTRAOCULAR SYMF ERV OB 13.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +34.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.0D DFW375U070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +7.5D CNW0T3.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +9.00D SE / +4.25D CYL,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +9.00D SE / +5.00D CYL,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +10.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +10.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +11.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +11.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +12.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +12.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +13.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +13.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +14.0D,2030.0,1522.5,913.5,2030.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +14.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +15.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +15.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +16.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +16.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +17.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +17.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +18.0D,2030.0,1522.5,913.5,2030.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +18.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +19.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +19.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +20.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +20.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +21.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +21.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +22.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +22.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +23.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +23.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +24.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +25.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +25.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +26.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +26.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +27.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +27.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +28.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +28.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +29.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +29.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +30.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +31.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +32.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +33.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +34.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +6.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +6.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +7.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +7.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +8.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +8.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +9.0D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +9.5D,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON VIVITY +18.0D CCWET0.180,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +10.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +10.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +11.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +11.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +12.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +12.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +13.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +13.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +15.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +15.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +16.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +16.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +17.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +17.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +18.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +18.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +19.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +19.5D,1990.0,1492.5,895.5,1990.0,2564 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +20.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +20.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +21.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +21.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +22.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +22.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +23.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +23.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +24.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +24.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +25.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +25.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +26.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +26.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +27.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +27.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +28.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +28.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +29.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +29.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +30.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +30.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +31.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +31.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +32.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +32.5D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +33.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +33.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +34.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +5.0D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +5.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +6.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +6.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +7.0D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +7.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +8.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +8.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +9.0D,1990.0,1492.5,895.5,1990.0,1923 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +9.5D,1990.0,1492.5,895.5,1990.0,1282 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.0D TFAT30.100,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.0D TFAT40.100,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.0D TFAT50.100,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT30.105,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT40.105,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT50.105,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT60.105,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.0D TFAT30.110,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.0D TFAT40.110,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.0D TFAT50.110,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.5D TFAT30.115,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.5D TFAT40.115,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.5D TFAT50.115,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.5D TFAT60.115,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.0D TFAT30.120,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.0D TFAT40.120,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.0D TFAT50.120,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.5D TFAT30.125,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.5D TFAT40.125,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.5D TFAT50.125,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +12.5D TFNT40.125,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT30.130,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT40.130,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT50.130,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT60.130,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.5D TFAT30.135,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.5D TFAT40.135,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.5D TFAT50.135,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.5D TFAT60.135,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.0D TFAT30.140,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.0D TFAT40.140,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.0D TFAT50.140,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.5D TFAT30.145,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.5D TFAT40.145,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +14.5D TFAT50.145,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.0D TFAT30.150,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.0D TFAT40.150,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.5D TFAT30.155,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.5D TFAT40.155,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.5D TFAT50.155,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +15.5D TFAT60.155,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.0D TFAT30.160,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.0D TFAT40.160,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT30.165,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT40.165,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT50.165,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT30.170,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT40.170,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT60.170,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.5D TFAT30.175,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.5D TFAT40.175,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.0D TFAT30.180,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.0D TFAT40.180,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.0D TFAT50.180,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.0D TFAT60.180,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.5D TFAT30.185,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.5D TFAT40.185,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.5D TFAT50.185,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +18.5D TFAT60.185,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.0D TFAT30.190,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.0D TFAT40.190,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.0D TFAT50.190,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.5D TFAT30.195,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.5D TFAT40.195,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.5D TFAT60.195,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.0D TFAT30.200,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.0D TFAT40.200,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.0D TFAT60.200,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.5D TFAT30.205,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.5D TFAT40.205,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +20.5D TFAT50.205,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.0D TFAT30.210,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.0D TFAT40.210,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.0D TFAT60.210,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.0D TFNT30.210,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.5D TFAT30.215,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.5D TFAT40.215,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +21.5D TFAT50.215,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.0D TFAT30.220,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.0D TFAT40.220,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.0D TFAT50.220,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.0D TFAT60.220,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.5D TFAT30.225,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +22.5D TFAT40.225,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.0D TFAT30.230,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.0D TFAT40.230,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.0D TFAT60.230,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.5D TFAT30.235,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.5D TFAT40.235,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +23.5D TFAT50.235,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.0D TFAT30.240,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.0D TFAT40.240,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.5D TFAT30.245,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.5D TFAT40.245,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.5D TFAT50.245,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +24.5D TFAT60.245,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +25.0D TFAT30.250,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +25.0D TFAT40.250,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +25.5D TFAT30.255,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +25.5D TFAT40.255,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +25.5D TFAT50.255,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.0D TFAT30.260,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.0D TFAT40.260,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.0D TFAT60.260,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.5D TFAT30.265,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.5D TFAT40.265,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.5D TFAT50.265,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +26.5D TFAT60.265,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.0D TFAT30.270,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.0D TFAT40.270,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.0D TFAT60.270,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.5D TFAT30.275,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.5D TFAT40.275,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.5D TFAT50.275,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +28.0D TFAT30.280,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +28.0D TFAT40.280,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +28.5D TFAT30.285,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +28.5D TFAT40.285,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +28.5D TFAT60.285,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.0D TFAT30.290,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.0D TFAT40.290,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.0D TFAT50.290,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.5D TFAT30.295,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.5D TFAT40.295,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +29.5D TFAT50.295,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +30.0D TFAT30.300,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +30.0D TFAT40.300,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +31.0D TFAT40.310,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +31.0D TFAT50.310,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +31.0D TFAT60.310,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +31.5D,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +32.0D TFAT30.320,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +32.0D TFAT40.320,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +33.0D TFAT30.330,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +33.0D TFAT40.330,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +33.0D TFAT50.330,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +34.0D TFAT30.340,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +34.0D TFAT40.340,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.0D TFAT30.060,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.0D TFAT40.060,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.0D TFAT50.060,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.0D TFAT60.060,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.5D TFAT30.065,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.5D TFAT40.065,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.5D TFAT50.065,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.0D TFAT30.070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.0D TFAT40.070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.0D TFAT50.070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.5D TFAT30.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.5D TFAT40.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.5D TFAT50.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.5D TFAT60.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.0D TFAT30.080,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.0D TFAT40.080,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.0D TFAT50.080,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT30.085,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT40.085,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT50.085,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT60.085,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.0D TFAT30.090,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.0D TFAT40.090,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.0D TFAT50.090,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.0D TFAT60.090,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.5D TFAT30.095,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.5D TFAT40.095,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.5D TFAT50.095,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +10.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +10.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +11.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +11.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +12.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +12.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +13.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +13.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +14.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +15.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +15.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +16.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +16.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +17.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +17.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +18.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +18.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +19.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +19.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +20.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +20.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +21.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +21.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +22.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +22.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +23.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +24.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +25.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +25.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +26.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +26.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +27.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +27.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +28.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +28.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +29.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +29.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +30.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +31.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +32.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +33.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +34.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +6.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +6.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +7.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +7.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +8.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +8.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +9.0D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +9.5D,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +10.0D TFAT00.100,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +10.0D TFAT60.100,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT00.105,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +11.0D TFAT00.110,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +11.0D TFAT60.110,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +11.5D TFAT00.115,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +12.0D TFAT00.120,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +12.0D TFAT60.120,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +12.5D TFAT00.125,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +12.5D TFAT60.125,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT00.130,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +13.5D TFAT00.135,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.0D TFAT00.140,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.0D TFAT60.140,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.5D TFAT00.145,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.5D TFAT60.145,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +15.0D TFAT00.150,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +15.0D TFAT50.150,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +15.0D TFAT60.150,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +15.5D TFAT00.155,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.0D TFAT00.160,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.0D TFAT50.160,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.0D TFAT60.160,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT00.165,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT60.165,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT00.170,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT50.170,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.5D TFAT00.175,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.5D TFAT50.175,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.5D TFAT60.175,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +18.0D TFAT00.180,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +18.5D TFAT00.185,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +19.0D TFAT00.190,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +19.0D TFAT60.190,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +19.5D TFAT00.195,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +19.5D TFAT50.195,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +20.0D TFAT00.200,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +20.0D TFAT50.200,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +20.5D TFAT00.205,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +20.5D TFAT60.205,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +21.0D TFAT00.210,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +21.0D TFAT50.210,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +21.5D TFAT00.215,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +21.5D TFAT60.215,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +22.0D TFAT00.220,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +22.5D TFAT00.225,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +22.5D TFAT50.225,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +22.5D TFAT60.225,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +23.0D TFAT00.230,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +23.0D TFAT50.230,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +23.5D TFAT00.235,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +23.5D TFAT60.235,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.0D TFAT00.240,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.0D TFAT50.240,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.0D TFAT60.240,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.5D TFAT00.245,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.5D TFNT60U245,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.0D TFAT00.250,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.0D TFAT50.250,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.0D TFAT60.250,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.5D TFAT00.255,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.5D TFAT60.255,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.5D TFNT60U255,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +26.0D TFAT00.260,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +26.0D TFAT50.260,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +26.5D TFAT00.265,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +27.0D TFAT00.270,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +27.0D TFAT50.270,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +27.5D TFAT00.275,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +27.5D TFAT60.275,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +27.5D TFNT60U275,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.0D TFAT00.280,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.0D TFAT50.280,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.0D TFAT60.280,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.0D TFNT60U280,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.5D TFAT00.285,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.5D TFAT50.285,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.5D TFNT60U285,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +29.0D TFAT00.290,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +29.0D TFAT60.290,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +29.5D TFAT00.295,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +29.5D TFAT60.295,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +30.0D TFAT00.300,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +30.0D TFAT50.300,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +30.0D TFAT60.300,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +31.0D TFAT00.310,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +32.0D TFAT00.320,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +32.0D TFAT50.320,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +32.0D TFAT60.320,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +33.0D TFAT00.330,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +33.0D TFAT60.330,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +34.0D TFAT00.340,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +34.0D TFAT50.340,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +34.0D TFAT60.340,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +6.0D TFAT00.060,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +6.0D TFNT60U060,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +6.5D TFAT00.065,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +6.5D TFAT60.065,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +7.0D TFAT00.070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +7.0D TFAT60.070,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +7.0D TFNT60U070,2030.0,1522.5,913.5,2030.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +7.5D TFAT00.075,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +8.0D TFAT00.080,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +8.0D TFAT60.080,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT00.085,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +9.0D TFAT00.090,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +9.5D TFAT00.095,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +9.5D TFAT60.095,1990.0,1492.5,895.5,1990.0,641 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +10.0D,2130.0,1597.5,958.5,2130.0,2564 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +10.5D,2130.0,1597.5,958.5,2130.0,2564 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +11.0D,2130.0,1597.5,958.5,2130.0,2564 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +11.5D,2130.0,1597.5,958.5,2130.0,2564 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO +12.0D,2130.0,1597.5,958.5,2130.0,2564 HCPCS,V2788,LENS INTRAOCULAR TRIFOCAL TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX PRO 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HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +19.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +20.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +21.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +21.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +22.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +22.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +23.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +23.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +24.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +26.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +26.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +27.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +27.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +28.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +28.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +29.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +29.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +30.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +30.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +31.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +31.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +32.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +32.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +33.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +33.5D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +34.0D,1968.0,1476.0,885.6,1968.0,1282 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +5.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +5.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +6.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +7.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +7.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +8.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +9.0D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +9.5D,1968.0,1476.0,885.6,1968.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.0D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.0D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.5D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.5D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 05.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.0D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.0D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.5D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.5D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 06.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.0D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.0D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.5D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.5D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 07.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.0D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.0D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.5D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.5D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 08.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.0D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.0D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.5D CYL1.50,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.5D CYL3.00,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 09.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 10.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 10.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 11.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 11.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 12.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 12.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 13.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 13.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 14.0D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,MULTIFOCAL +3.25D TORIC II IOL 14.5D CYL3.75,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,PXCAT0.240 CLAREON PANOPTIX PRO AUTONOME,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,PXCAT3.210 CLAREON PANOPTIX PRO AUTONOME TORIC,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,PXCAT3.230 CLAREON PANOPTIX PRO AUTONOME TORIC,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,PXCAT3.235 CLAREON PANOPTIX PRO AUTONOME TORIC,2130.0,1597.5,958.5,2130.0,641 HCPCS,V2788,SV25T0U060 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,SV25T0U075 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2788,SV25T0U080 -SP N,1790.0,1342.5,805.5,1790.0,641 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 1X1.5CM,1290.0,967.5,580.5,1290.0,642 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 2X1.5CM,1620.0,1215.0,729.0,1620.0,642 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 3.5X3.5CM,2450.0,1837.5,1102.5,2450.0,642 HCPCS,V5010,PR HEARING AID ASSESSMENT,211.0,158.25,94.95,211.0,677 HCPCS,V5011,PR HEARING AID FITTING,679.0,509.25,305.55,679.0,678 HCPCS,V5014,PR LOSS/DAMAGE/REPLACEMENT FEE,250.0,187.5,112.5,250.0,676 HCPCS,V5014,PR RECEIVER REPLACEMENT,150.0,112.5,67.5,150.0,676 HCPCS,V5014,"PR REPAIR, RECEIVER WIRE",150.0,112.5,67.5,150.0,676 HCPCS,V5014,PR REPAIR/RECASE > 5 YEARS,600.0,450.0,270.0,600.0,676 HCPCS,V5020,PR CONFORMITY EVALUATION,238.0,178.5,107.1,238.0,676 HCPCS,V5020,PR CONFORMITY EVALUATION BINAURAL,180.0,135.0,81.0,180.0,676 HCPCS,V5060,PR HEARING AID MONAURAL BEHIND EAR,6191.0,4643.25,2785.95,6191.0,676 HCPCS,V5171,PR CROS/BICROS TRANSMITTER ITE,1050.0,787.5,472.5,1050.0,676 HCPCS,V5181,PR CROS/BICROS TRANSMITTER BTE,1050.0,787.5,472.5,1050.0,676 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- ADVANCED",3350.0,2512.5,1507.5,3350.0,676 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- PREMIUM",3950.0,2962.5,1777.5,3950.0,676 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- STANDARD",2350.0,1762.5,1057.5,2350.0,676 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - ADVANCED",2300.0,1725.0,1035.0,2300.0,676 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - PREMIUM",2900.0,2175.0,1305.0,2900.0,676 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - STANDARD",1300.0,975.0,585.0,1300.0,676 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - ADVANCED",2300.0,1725.0,1035.0,2300.0,676 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - PREMIUM",2900.0,2175.0,1305.0,2900.0,676 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - STANDARD",1300.0,975.0,585.0,1300.0,676 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - ADVANCED,2300.0,1725.0,1035.0,2300.0,676 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - PREMIUM,2900.0,2175.0,1305.0,2900.0,676 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - STANDARD,1300.0,975.0,585.0,1300.0,676 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - ADVANCED,2300.0,1725.0,1035.0,2300.0,676 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - PREMIUM,2900.0,2175.0,1305.0,2900.0,676 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - STANDARD,1300.0,975.0,585.0,1300.0,676 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - ADVANCED,4600.0,3450.0,2070.0,4600.0,676 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - PREMUIM,5800.0,4350.0,2610.0,5800.0,676 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - STANDARD,2600.0,1950.0,1170.0,2600.0,676 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - ADVANCED,4600.0,3450.0,2070.0,4600.0,676 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - PREMIUM,5800.0,4350.0,2610.0,5800.0,676 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - STANDARD,2600.0,1950.0,1170.0,2600.0,676 HCPCS,V5264,PR EAR MOLD/INSERT BINAURAL,163.0,122.25,73.35,163.0,676 HCPCS,V5264,PR EAR MOLD/INSERT MONAURAL,161.0,120.75,72.45,161.0,676 HCPCS,V5264,"PR EARMOLD, CUSTOM EARMOLD",110.0,82.5,49.5,110.0,676 HCPCS,V5264,"PR EARMOLD, INSERT",110.0,82.5,49.5,110.0,676 HCPCS,V5264,"PR EARMOLD, MICROMOLD/SLIM TIP MONAURAL",110.0,82.5,49.5,110.0,676 HCPCS,V5264,"PR EARMOLD, MUSICIAN'S EARPLUG +1 SET FILTERS",250.0,187.5,112.5,250.0,676 HCPCS,V5264,"PR EARMOLD, MUSICIAN'S EARPLUG +2 SET FILTERS",240.0,180.0,108.0,240.0,676 HCPCS,V5264,"PR EARMOLD, SLEEP PLUG MONAURAL",110.0,82.5,49.5,110.0,676 HCPCS,V5264,"PR EARMOLD, STANDARD",110.0,82.5,49.5,110.0,676 HCPCS,V5264,"PR EARMOLD, SWIM MOLD",65.0,48.75,29.25,65.0,676 HCPCS,V5264,"PR EARMOLD, SWIM MOLD (PER EAR)",65.0,48.75,29.25,65.0,676 HCPCS,V5264,"PR EARMOLD, TRU CUSTOM MUSICIAN EARPLUG",200.0,150.0,90.0,200.0,676 HCPCS,V5266,"PR HEARING AID BATTERIES, DISPOSABLE (1 BOX)",15.0,11.25,6.75,15.0,676 HCPCS,V5266,"PR HEARING AID BATTERY, RECHARGEABLE (EA)",50.0,37.5,22.5,50.0,676 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 10 (1 BOX)",15.0,11.25,6.75,15.0,676 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 13 (1 BOX)",15.0,11.25,6.75,15.0,676 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 312 (1 BOX)",15.0,11.25,6.75,15.0,676 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 675 (1 BOX)",15.0,11.25,6.75,15.0,676 HCPCS,V5267,PR DRI AID JAR (SMALL),18.0,13.5,8.1,18.0,676 HCPCS,V5267,PR DRY & STORE,150.0,112.5,67.5,150.0,676 HCPCS,V5267,PR DRY AID BRICK,14.0,10.5,6.3,14.0,676 HCPCS,V5267,PR DRY CAPS (PKG OF 4),10.0,7.5,4.5,10.0,676 HCPCS,V5267,PR HEARING AID CHARGER,300.0,225.0,135.0,300.0,676 HCPCS,V5267,PR MUSIC FILTERS (PAIR),40.0,30.0,18.0,40.0,676 HCPCS,V5267,PR MUSICIAN'S PLUG FILTERS (SET),40.0,30.0,18.0,40.0,676 HCPCS,V5267,PR OTOCLIP,15.0,11.25,6.75,15.0,676 HCPCS,V5267,PR OTOEASE,5.0,3.75,2.25,5.0,676 HCPCS,V5267,PR PHONE CLIP,300.0,225.0,135.0,300.0,676 HCPCS,V5267,PR REMOTE MICROPHONE,300.0,225.0,135.0,300.0,676 HCPCS,V5267,PR REMOTE MICROPHONE PARTNER MIC,800.0,600.0,360.0,800.0,676 HCPCS,V5267,PR STANDARD HEARING AID CHARGER,100.0,75.0,45.0,100.0,676 HCPCS,V5267,PR TV STREAMER,350.0,262.5,157.5,350.0,676 HCPCS,V5267,PR ZEPHYR DRY AND STORE,100.0,75.0,45.0,100.0,676 HCPCS,V5275,PR EAR IMPRESSION BINAURAL,25.0,18.75,11.25,25.0,676 HCPCS,V5299,PR RUSH SERVICE,50.0,37.5,22.5,50.0,676 LOCAL,CASE-0191T,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT,,,4410.7,5072.31,6 LOCAL,CASE-0232T,0232T HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE FACILITY,,,476.69,548.2,6 LOCAL,CASE-10004,"FINE NEEDLE ASPIRATION BIOPSY, EACH ADDITIONAL GROWTH FACILITY",,,53.88,498.85,7 LOCAL,CASE-10005,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,92.03,868.98,7 LOCAL,CASE-10006,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,63.53,868.98,7 LOCAL,CASE-10007,"FINE NEEDLE ASPIRATION BIOPSY USING FLUOROSCOPIC GUIDANCE, FIRST GROWTH FACILITY",,,117.72,868.98,7 LOCAL,CASE-10009,"FINE NEEDLE ASPIRATION BIOPSY OF GROWTH USING CT GUIDANCE, FIRST GROWTH FACILITY",,,137.57,868.98,7 LOCAL,CASE-10021,"FINE NEEDLE ASPIRATION BIOPSY, FIRST GROWTH FACILITY",,,67.76,498.85,7 LOCAL,CASE-10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE FACILITY,,,174.05,868.98,7 LOCAL,CASE-10035,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, FIRST GROWTH FACILITY",,,105.03,3406.14,7 LOCAL,CASE-10040,ACNE SURGERY FACILITY,,,62.58,246.21,7 LOCAL,CASE-10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS FACILITY,,,147.24,246.21,7 LOCAL,CASE-10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS FACILITY,,,253.82,498.85,7 LOCAL,CASE-10120,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, SIMPLE FACILITY",,,149.61,498.85,7 LOCAL,CASE-10121,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, COMPLEX FACILITY",,,251.54,4804.8,7 LOCAL,CASE-10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION FACILITY,,,169.19,2026.75,7 LOCAL,CASE-10160,"ASPIRATION OF ABSCESS, BLOOD, OR CYST FACILITY",,,134.01,498.85,7 LOCAL,CASE-10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY FACILITY,,,256.01,3564.51,7 LOCAL,CASE-11008,REMOVAL OF INFECTED ARTIFICIAL MATERIAL OR MESH FROM ABDOMEN,,,355.88,3564.51,7 LOCAL,CASE-11011,"REMOVAL OF FOREIGN MATERIAL FROM SKIN, TISSUE, AND MUSCLE AT OPEN BROKEN AND/OR DISLOCATED BONE",,,387.09,4015.22,7 LOCAL,CASE-11012,"REMOVAL OF FOREIGN MATERIAL FROM SKIN, TISSUE, MUSCLE, AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE FACILITY",,,529.68,8904.43,7 LOCAL,CASE-11042,"REMOVAL OF SKIN AND TISSUE, 20.0 SQ CM OR LESS FACILITY",,,81.86,498.85,7 LOCAL,CASE-11043,"REMOVAL OF MUSCLE AND/OR TISSUE, 20.0 SQ CM OR LESS FACILITY",,,202.7,906.95,7 LOCAL,CASE-11044,"REMOVAL OF BONE, 20.0 SQ CM OR LESS FACILITY",,,294.86,2026.75,7 LOCAL,CASE-11045,"REMOVAL OF SKIN AND TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,32.4,3564.51,7 LOCAL,CASE-11046,"REMOVAL OF MUSCLE AND/OR TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,69.9,906.95,7 LOCAL,CASE-11047,"REMOVAL OF BONE, EACH ADDITIONAL 20.0 SQ CM OR LESS",,,124.55,2026.75,7 LOCAL,CASE-11055,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 1 GROWTH FACILITY",,,20.27,214.09,7 LOCAL,CASE-11102,"BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH FACILITY",,,44.36,498.85,7 LOCAL,CASE-11103,"BIOPSY OF RELATED SKIN GROWTH, EACH ADDITIONAL GROWTH FACILITY",,,26.09,498.85,7 LOCAL,CASE-11104,"PUNCH BIOPSY, FIRST SKIN GROWTH FACILITY",,,56.1,498.85,7 LOCAL,CASE-11105,"PUNCH BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,31.37,498.85,7 LOCAL,CASE-11106,"INCISION BIOPSY, FIRST SKIN GROWTH FACILITY",,,68.33,2026.75,7 LOCAL,CASE-11200,"REMOVAL OF SKIN TAG, 1-15 SKIN TAGS FACILITY",,,101.28,214.09,7 LOCAL,CASE-11301,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,61.61,2531.94,7 LOCAL,CASE-11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,111.92,4192.11,7 LOCAL,CASE-11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,138.42,4192.11,7 LOCAL,CASE-11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,150.21,7449.87,7 LOCAL,CASE-11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,198.47,2026.75,7 LOCAL,CASE-11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,222.06,2026.75,7 LOCAL,CASE-11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,332.81,8148.45,7 LOCAL,CASE-11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,111.62,2026.75,7 LOCAL,CASE-11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,144.96,2026.75,7 LOCAL,CASE-11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,181.97,2026.75,7 LOCAL,CASE-11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,210.35,2026.75,7 LOCAL,CASE-11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,358.43,3972.42,7 LOCAL,CASE-11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,143.21,7264.49,7 LOCAL,CASE-11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,176.01,868.98,7 LOCAL,CASE-11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,193.2,2026.75,7 LOCAL,CASE-11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,233.42,2026.75,7 LOCAL,CASE-11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,293.21,2026.75,7 LOCAL,CASE-11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,414.14,3564.51,7 LOCAL,CASE-11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,371.22,3564.51,7 LOCAL,CASE-11451,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR,,,466.14,3564.51,7 LOCAL,CASE-11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,409.49,3564.51,7 LOCAL,CASE-11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,188.21,868.98,7 LOCAL,CASE-11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,200.69,498.85,7 LOCAL,CASE-11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,239.81,4804.8,7 LOCAL,CASE-11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,265.67,868.98,7 LOCAL,CASE-11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,402.87,4804.8,7 LOCAL,CASE-11620,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,160.05,2026.75,7 LOCAL,CASE-11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,189.68,868.98,7 LOCAL,CASE-11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,211.43,2026.75,7 LOCAL,CASE-11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,260.84,8148.45,7 LOCAL,CASE-11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,297.95,8148.45,7 LOCAL,CASE-11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,372.12,3564.51,7 LOCAL,CASE-11640,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,162.59,868.98,7 LOCAL,CASE-11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,197.48,868.98,7 LOCAL,CASE-11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,227.04,868.98,7 LOCAL,CASE-11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,283.83,8148.45,7 LOCAL,CASE-11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,351.81,2026.75,7 LOCAL,CASE-11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,488.12,3564.51,7 LOCAL,CASE-11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,72.02,246.21,7 LOCAL,CASE-11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,138.51,4015.22,7 LOCAL,CASE-11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,80.4,868.98,7 LOCAL,CASE-11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,263.7,3564.51,7 LOCAL,CASE-11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,643.43,3564.51,7 LOCAL,CASE-11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,835.08,3564.51,7 LOCAL,CASE-11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,35.46,214.09,7 LOCAL,CASE-11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,53.73,246.21,7 LOCAL,CASE-11921,"TATTOOING OF SKIN TO CORRECT COLOR ISSUE, 6.1-20.0 SQ CM",,,169.4,10029.93,7 LOCAL,CASE-11922,"TATTOOING OF SKIN TO CORRECT COLOR ISSUE, EACH ADDITIONAL 20.0 SQ CM",,,35.73,4348.66,7 LOCAL,CASE-11960,INSERTION OF TISSUE EXPANDER,,,1384.47,4348.66,7 LOCAL,CASE-11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,755.7,8904.43,7 LOCAL,CASE-11971,REMOVAL OF TISSUE EXPANDER,,,752.96,3564.51,7 LOCAL,CASE-11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,80.16,4804.8,7 LOCAL,CASE-11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,92.49,6138.73,7 LOCAL,CASE-11983,REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,130.1,548.2,7 LOCAL,CASE-12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,64.34,868.98,7 LOCAL,CASE-12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,83.87,246.21,7 LOCAL,CASE-12004,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,105.17,246.21,7 LOCAL,CASE-12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,79.44,4068.55,7 LOCAL,CASE-12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,261.33,906.95,7 LOCAL,CASE-12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,195.44,8148.45,7 LOCAL,CASE-12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,242.18,2396.28,7 LOCAL,CASE-12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,263.97,4804.8,7 LOCAL,CASE-12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,328.04,10029.93,7 LOCAL,CASE-12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,394.07,906.95,7 LOCAL,CASE-12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,448.65,3564.51,7 LOCAL,CASE-12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,189.65,868.98,7 LOCAL,CASE-12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,247.22,2026.75,7 LOCAL,CASE-12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY-EXPRESS CARE",,,279.56,3564.51,7 LOCAL,CASE-12047,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, MORE THAN 30.0 CM",,,502.67,8148.45,7 LOCAL,CASE-12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,218.9,498.85,7 LOCAL,CASE-12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,253.43,2026.75,7 LOCAL,CASE-12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,274.46,498.85,7 LOCAL,CASE-12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,288.84,3564.51,7 LOCAL,CASE-12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,429.54,3564.51,7 LOCAL,CASE-12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,509.45,3564.51,7 LOCAL,CASE-13100,"COMPLICATED REPAIR OF WOUND OF TRUNK, 1.1-2.5 CM FACILITY",,,251.57,906.95,7 LOCAL,CASE-13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,308.4,2026.75,7 LOCAL,CASE-13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,87.65,2026.75,7 LOCAL,CASE-13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,291.12,498.85,7 LOCAL,CASE-13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,316.7,498.85,7 LOCAL,CASE-13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,99.54,868.98,7 LOCAL,CASE-13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,299.85,498.85,7 LOCAL,CASE-13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,369.44,498.85,7 LOCAL,CASE-13133,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,150.36,498.85,7 LOCAL,CASE-13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,342.6,906.95,7 LOCAL,CASE-13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,409.53,2026.75,7 LOCAL,CASE-13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,166.64,2026.75,7 LOCAL,CASE-13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,1083.15,4348.66,7 LOCAL,CASE-14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,679.76,2026.75,7 LOCAL,CASE-14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,878.91,10029.93,7 LOCAL,CASE-14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,738.84,2531.94,7 LOCAL,CASE-14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,908.85,2531.94,7 LOCAL,CASE-14040,"REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,800.73,2396.28,7 LOCAL,CASE-14041,"REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,957.78,2531.94,7 LOCAL,CASE-14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,841.5,2531.94,7 LOCAL,CASE-14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1025.48,2531.94,7 LOCAL,CASE-14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,1124.21,2026.75,7 LOCAL,CASE-14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,267.48,13673.7,7 LOCAL,CASE-14350,REPAIR OF TISSUE LOSS OF FINGER OR TOE,,,904.22,2531.94,7 LOCAL,CASE-15002,"PREPARATION OF SKIN GRAFT SITE OF TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,288.29,906.95,7 LOCAL,CASE-15003,"PREPARATION OF SKIN GRAFT SITE OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,57.96,4348.66,7 LOCAL,CASE-15004,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,335.99,498.85,7 LOCAL,CASE-15005,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, O",,,114.11,13673.7,7 LOCAL,CASE-15100,"PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,963.98,2531.94,7 LOCAL,CASE-15101,"PARTIAL THICKNESS SELF SKIN GRAFT OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,146.6,2531.94,7 LOCAL,CASE-15120,"PARTIAL THICKNESS SELF SKIN GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS",,,899.93,4348.66,7 LOCAL,CASE-15200,"FULL THICKNESS SKIN GRAFT TO TRUNK, 20.0 SQ CM OR LESS",,,885.06,2531.94,7 LOCAL,CASE-15201,"FULL THICKNESS SKIN GRAFT TO TRUNK, EACH ADDITIONAL 20.0 SQ CM",,,94.89,2531.94,7 LOCAL,CASE-15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,787.55,8148.45,7 LOCAL,CASE-15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,84.66,2531.94,7 LOCAL,CASE-15240,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 20.0 SQ CM OR LESS FACILITY",,,1022.9,2531.94,7 LOCAL,CASE-15241,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,131.28,6579.7,7 LOCAL,CASE-15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,1067.6,7264.49,7 LOCAL,CASE-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 FACILITY",,,110.31,906.95,7 LOCAL,CASE-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 FACILITY",,,21.57,906.95,7 LOCAL,CASE-15273,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK, ARMS, OR LEGS, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,251.33,2531.94,7 LOCAL,CASE-15274,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, OR LESS FACILITY",,,57.05,10769.24,7 LOCAL,CASE-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 FACILITY",,,123.98,7264.49,7 LOCAL,CASE-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 ",,,32.4,906.95,7 LOCAL,CASE-15570,CREATION OF FLAP GRAFT TO TRUNK,,,981.95,8148.45,7 LOCAL,CASE-15572,"CREATION OF FLAP GRAFT TO SCALP, ARMS, OR LEGS",,,979.25,15754.92,7 LOCAL,CASE-15600,TRANSFER OF SKIN FLAP TO TRUNK,,,310.2,8148.45,7 LOCAL,CASE-15610,"TRANSFER OF SKIN FLAP TO SCALP, ARMS, OR LEGS",,,343.71,2531.94,7 LOCAL,CASE-15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,445.16,7264.49,7 LOCAL,CASE-15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,455.6,2531.94,7 LOCAL,CASE-15730,CREATION OF FLAP GRAFT TO MIDFACE,,,1149.0,4348.66,7 LOCAL,CASE-15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,1285.02,7264.49,7 LOCAL,CASE-15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,1329.17,4068.55,7 LOCAL,CASE-15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,2022.36,4348.66,7 LOCAL,CASE-15736,CREATION OF MUSCLE GRAFT TO ARM,,,1622.25,2531.94,7 LOCAL,CASE-15738,CREATION OF MUSCLE GRAFT TO LEG,,,1677.42,4348.66,7 LOCAL,CASE-15740,CREATION OF SKIN AND TISSUE GRAFT FACILITY,,,1099.31,2531.94,7 LOCAL,CASE-15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,1226.55,4068.55,7 LOCAL,CASE-15756,MUSCLE GRAFT WITH REPAIR OF SMALL BLOOD VESSEL-EXPRESS CARE,,,2874.32,7264.49,7 LOCAL,CASE-15758,TISSUE GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,,,2845.07,7418.74,7 LOCAL,CASE-15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,895.83,2531.94,7 LOCAL,CASE-15769,SELF SOFT TISSUE GRAFT,,,663.32,4068.55,7 LOCAL,CASE-15771,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, 50.0 CC OR LESS",,,691.64,10029.93,7 LOCAL,CASE-15772,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, EACH ADDITIONAL 50.0 CC",,,184.76,10029.93,7 LOCAL,CASE-15773,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, OR FEET, 25.0 CC OR LESS FACILITY",,,664.26,2531.94,7 LOCAL,CASE-15774,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 25.0 CC",,,177.93,2531.94,7 LOCAL,CASE-15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,266.81,10769.24,7 LOCAL,CASE-15781,SCRAPING OF SKIN OF FACE FACILITY,,,539.81,2917.52,7 LOCAL,CASE-15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,661.7,2531.94,7 LOCAL,CASE-15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,707.1,2917.52,7 LOCAL,CASE-15824,REMOVAL OF WRINKLES AND EXTRA SKIN OF FOREHEAD FACILITY,,,3099.57,3564.51,6 LOCAL,CASE-15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3781.45,4348.66,6 LOCAL,CASE-15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,2536.97,2917.52,6 LOCAL,CASE-15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,1558.05,8148.45,7 LOCAL,CASE-15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,1230.48,3564.51,7 LOCAL,CASE-15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,1064.51,3564.51,7 LOCAL,CASE-15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,996.33,8148.45,7 LOCAL,CASE-15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,1298.33,4824.39,7 LOCAL,CASE-15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,,,1413.47,4824.39,7 LOCAL,CASE-15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,7085.61,8148.45,6 LOCAL,CASE-15851,REMOVAL OF SUTURES OR STAPLES UNDER ANESTHESIA,,,85.89,2531.94,7 LOCAL,CASE-15852,DRESSING CHANGE UNDER ANESTHESIA,,,56.94,106.79,7 LOCAL,CASE-15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,136.31,16911.22,7 LOCAL,CASE-15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3781.45,4348.66,6 LOCAL,CASE-15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,8721.68,10029.93,6 LOCAL,CASE-15878,SUCTION ASSISTED REMOVAL OF FAT OF ARM,,,2201.69,2531.94,6 LOCAL,CASE-15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,3781.45,4348.66,6 LOCAL,CASE-17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,70.01,214.09,7 LOCAL,CASE-17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,2.49,214.09,7 LOCAL,CASE-17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,121.74,498.85,7 LOCAL,CASE-17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,91.44,214.09,7 LOCAL,CASE-17111,"DESTRUCTION OF SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,108.32,214.09,7 LOCAL,CASE-17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,51.83,4575.22,7 LOCAL,CASE-17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,86.94,214.09,7 LOCAL,CASE-17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,109.43,246.21,7 LOCAL,CASE-17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,137.01,498.85,7 LOCAL,CASE-17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,142.07,214.09,7 LOCAL,CASE-17266,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,187.77,498.85,7 LOCAL,CASE-17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,119.31,246.21,7 LOCAL,CASE-17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,131.1,246.21,7 LOCAL,CASE-17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,149.31,246.21,7 LOCAL,CASE-17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,246.71,498.85,7 LOCAL,CASE-17280,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,109.43,214.09,7 LOCAL,CASE-17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,146.4,246.21,7 LOCAL,CASE-17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,167.58,246.21,7 LOCAL,CASE-17380,"HAIR REMOVAL BY ELECTROLYSIS, EACH 30 MINUTES",,,3978.45,4575.22,6 LOCAL,CASE-17999,LASER DEST LESN <10 SQ CM - FACILITY,,,3781.45,4348.66,6 LOCAL,CASE-19000,"ASPIRATION OF CYST OF BREAST, FIRST CYST FACILITY",,,53.57,4804.8,7 LOCAL,CASE-19001,"ASPIRATION OF CYST OF BREAST, EACH ADDITIONAL CYST FACILITY",,,26.57,4804.8,7 LOCAL,CASE-19081,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE, FIRST GROWTH FACILITY",,,204.0,3874.69,7 LOCAL,CASE-19083,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, FIRST GROWTH FACILITY",,,192.59,2026.75,7 LOCAL,CASE-19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,223.46,2026.75,7 LOCAL,CASE-19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,111.51,3564.51,7 LOCAL,CASE-19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,517.37,4804.8,7 LOCAL,CASE-19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,593.52,4804.8,7 LOCAL,CASE-19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,658.44,4804.8,7 LOCAL,CASE-19126,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, EACH ADDITIONAL GROWTH",,,209.55,4804.8,7 LOCAL,CASE-19281,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, FIRST GROWTH FACILITY-EXPRESS CARE",,,122.84,4804.8,7 LOCAL,CASE-19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,105.95,8148.45,7 LOCAL,CASE-19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,620.19,4804.8,7 LOCAL,CASE-19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,920.48,4804.8,7 LOCAL,CASE-19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,1262.12,8148.45,7 LOCAL,CASE-19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,1332.69,10769.24,7 LOCAL,CASE-19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,1639.13,8148.45,7 LOCAL,CASE-19316,REPAIR FOR SAGGING OF THE BREAST,,,1064.54,8148.45,7 LOCAL,CASE-19318,BREAST REDUCTION PROFESSIONAL,,,1432.41,8148.45,7 LOCAL,CASE-19325,INSERTION OF BREAST IMPLANT,,,826.82,10029.93,7 LOCAL,CASE-19328,REMOVAL OF INTACT BREAST IMPLANT,,,749.52,4804.8,7 LOCAL,CASE-19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,865.32,8148.45,7 LOCAL,CASE-19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,1023.53,16911.22,7 LOCAL,CASE-19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,1014.38,10029.93,7 LOCAL,CASE-19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,899.57,4804.8,7 LOCAL,CASE-19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,1566.45,16911.22,7 LOCAL,CASE-19361,RECONSTRUCTION OF BREAST WITH SHOULDER MUSCLE TISSUE GRAFT,,,1346.68,2020.02,7 LOCAL,CASE-19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,899.61,8148.45,7 LOCAL,CASE-19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,948.47,4804.8,7 LOCAL,CASE-19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,1074.83,8148.45,7 LOCAL,CASE-20103,EXPLORATION OF WOUND OF ARM OR LEG FACILITY,,,462.5,2026.75,7 LOCAL,CASE-20200,BIOPSY OF MUSCLE FACILITY,,,131.19,2026.75,7 LOCAL,CASE-20205,DEEP BIOPSY OF MUSCLE,,,213.5,3564.51,7 LOCAL,CASE-20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,75.17,2026.75,7 LOCAL,CASE-20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,112.71,2026.75,7 LOCAL,CASE-20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,166.82,2026.75,7 LOCAL,CASE-20240,BIOPSY OF SURFACE BONE,,,186.24,3564.51,7 LOCAL,CASE-20245,BIOPSY OF DEEP BONE,,,443.96,3564.51,7 LOCAL,CASE-20251,BIOPSY OF UPPER OR LOWER SPINE BONE,,,611.46,8904.43,7 LOCAL,CASE-20500,INJECTION FOR REPAIR OF ABNORMAL MUSCLE DRAINAGE TRACT FACILITY,,,122.46,1904.02,7 LOCAL,CASE-20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,45.9,670.53,7 LOCAL,CASE-20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON FACILITY,,,207.68,2026.75,7 LOCAL,CASE-20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,340.49,4015.22,7 LOCAL,CASE-20526,INJECTION OF CARPAL TUNNEL FACILITY,,,72.32,2396.28,7 LOCAL,CASE-20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,49.17,1973.24,7 LOCAL,CASE-20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,48.75,4015.22,7 LOCAL,CASE-20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY",,,52.55,376.67,7 LOCAL,CASE-20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,59.91,376.67,7 LOCAL,CASE-20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,46.17,2396.28,7 LOCAL,CASE-20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,58.5,376.67,7 LOCAL,CASE-20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY-EXPRESS CARE,,,47.18,376.67,7 LOCAL,CASE-20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,65.9,866.22,7 LOCAL,CASE-20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,58.23,376.67,7 LOCAL,CASE-20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,73.7,376.67,7 LOCAL,CASE-20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,53.96,376.67,7 LOCAL,CASE-20660,PLACEMENT OF DEVICE TO SKULL,,,311.09,1973.24,7 LOCAL,CASE-20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,204.6,3564.51,7 LOCAL,CASE-20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,576.38,8904.43,7 LOCAL,CASE-20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,796.79,8904.43,7 LOCAL,CASE-20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,1530.03,15754.92,7 LOCAL,CASE-20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,479.24,4015.22,7 LOCAL,CASE-20704,INSERTION OF DRUG-DELIVERY DEVICE IN JOINT,,,187.97,4015.22,7 LOCAL,CASE-20705,REMOVAL OF DRUG-DELIVERY DEVICES INTO JOINT,,,155.21,15754.92,7 LOCAL,CASE-20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,235.35,15754.92,7 LOCAL,CASE-20902,HARVEST OF GRAFT FROM LARGE BONE,,,353.73,15754.92,7 LOCAL,CASE-20910,RIB CARTILAGE GRAFT,,,676.2,7264.49,7 LOCAL,CASE-20912,GRAFT OF NOSE CARTILAGE,,,636.83,7264.49,7 LOCAL,CASE-20922,INCISION OF DEEP THIGH TISSUE FOR GRAFT,,,686.0,4068.55,7 LOCAL,CASE-20924,TENDON GRAFT,,,686.22,8904.43,7 LOCAL,CASE-20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,13699.93,15754.92,6 LOCAL,CASE-20931,GRAFT OF DONOR BONE TO SPINE,,,142.13,15754.92,7 LOCAL,CASE-20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,13699.93,15754.92,6 LOCAL,CASE-20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,3542.69,8904.43,7 LOCAL,CASE-20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,472.04,21516.53,7 LOCAL,CASE-20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,445.58,8904.43,7 LOCAL,CASE-20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,263.21,302.7,6 LOCAL,CASE-21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,365.16,2026.75,7 LOCAL,CASE-21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,472.5,2026.75,7 LOCAL,CASE-21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,543.0,2026.75,7 LOCAL,CASE-21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,701.45,3564.51,7 LOCAL,CASE-21015,"EXTENSIVE REMOVAL OF GROWTH OF FACE OR SCALP, LESS THAN 2.0 CM",,,935.1,3564.51,7 LOCAL,CASE-21025,REMOVAL OF LOWER JAW BONE,,,899.61,7264.49,7 LOCAL,CASE-21026,REMOVAL OF FACE BONE,,,605.42,7264.49,7 LOCAL,CASE-21032,REMOVAL OF BONY GROWTH OF UPPER JAW BONE INSIDE MOUTH,,,357.51,4068.55,7 LOCAL,CASE-21034,REMOVAL OF GROWTH OF UPPER JAW OR UPPER CHEEK BONE,,,1448.24,7264.49,7 LOCAL,CASE-21070,PARTIAL REMOVAL OF LOWER JAW BONE,,,791.1,7264.49,7 LOCAL,CASE-21073,MANIPULATION OF HINGED JOINTS OF UPPER AND LOWER JAW BONES UNDER ANESTHESIA,,,327.29,1904.02,7 LOCAL,CASE-21193,RECONSTRUCTION OF JAW BONE,,,1624.77,7264.49,7 LOCAL,CASE-21215,REPAIR OF LOWER JAW BONE WITH BONE GRAFT,,,1057.71,7264.49,7 LOCAL,CASE-21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,965.84,7264.49,7 LOCAL,CASE-21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,741.09,7264.49,7 LOCAL,CASE-21275,"SECONDARY REVISION OF RECONSTRUCTION OF EYE, SKULL, AND FACE BONES",,,1116.54,7264.49,7 LOCAL,CASE-21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,540.51,4068.55,7 LOCAL,CASE-21315,CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION FACILITY,,,78.72,4068.55,7 LOCAL,CASE-21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,120.05,4068.55,7 LOCAL,CASE-21330,TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,716.76,7264.49,7 LOCAL,CASE-21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,412.05,4068.55,7 LOCAL,CASE-21453,CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,1300.74,7264.49,7 LOCAL,CASE-21497,WIRING OF JAW OR ORAL SPLINT TO TEETH,,,820.77,1904.02,7 LOCAL,CASE-21499,UNLISTED PROC MUSSKL HEAD,,,252.74,290.65,6 LOCAL,CASE-21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,477.59,10029.93,7 LOCAL,CASE-21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,625.19,3564.51,7 LOCAL,CASE-21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,992.73,3564.51,7 LOCAL,CASE-21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,433.92,2026.75,7 LOCAL,CASE-21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,717.36,3564.51,7 LOCAL,CASE-21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,1287.32,3564.51,7 LOCAL,CASE-21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,1782.62,7264.49,7 LOCAL,CASE-21620,PARTIAL REMOVAL OF CHEST BONE,,,728.54,4015.22,7 LOCAL,CASE-21743,REPAIR OF BREAST BONE DEPRESSION USING AN ENDOSCOPE-EXPRESS CARE,,,3491.49,4015.22,6 LOCAL,CASE-21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,962.1,8904.43,7 LOCAL,CASE-21811,"TREATMENT OF BROKEN RIBS ON SIDE WITH PLACEMENT OF STABILIZING DEVICE, 1-3 RIBS",,,793.44,8904.43,7 LOCAL,CASE-21899,UNLISTED PROC NK/THORAX - FACILITY,,,252.74,290.65,6 LOCAL,CASE-21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,512.16,2026.75,7 LOCAL,CASE-21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,660.32,2026.75,7 LOCAL,CASE-21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,913.86,3564.51,7 LOCAL,CASE-21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,1019.48,3564.51,7 LOCAL,CASE-21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,1905.69,3564.51,7 LOCAL,CASE-22110,PARTIAL REMOVAL OF UPPER SPINE BONE,,,1477.5,8904.43,7 LOCAL,CASE-22116,"PARTIAL REMOVAL OF SPINE BONE, EACH ADDITIONAL SEGMENT",,,182.24,8904.43,7 LOCAL,CASE-22214,INCISION OR REMOVAL OF LOWER SPINE BONE SEGMENT,,,2096.12,33297.37,7 LOCAL,CASE-22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,530.34,8904.43,7 LOCAL,CASE-22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,265.61,8904.43,7 LOCAL,CASE-22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,663.5,8904.43,7 LOCAL,CASE-22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,620.51,8904.43,7 LOCAL,CASE-22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,276.38,15754.92,7 LOCAL,CASE-22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,2323.95,15754.92,7 LOCAL,CASE-22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,511.11,15754.92,7 LOCAL,CASE-22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,1761.54,15754.92,7 LOCAL,CASE-22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,2068.5,33297.37,7 LOCAL,CASE-22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,417.24,15754.92,7 LOCAL,CASE-22590,FUSION OF SKULL AND FIRST 2 UPPER SPINE BONES THROUGH BACK,,,2253.62,21516.53,7 LOCAL,CASE-22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,1856.73,21516.53,7 LOCAL,CASE-22612,FUSION OF SPINE IN LOWER BACK,,,2131.37,21516.53,7 LOCAL,CASE-22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,,,505.77,21516.53,7 LOCAL,CASE-22630,"FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, 1 DISC",,,2184.68,33297.37,7 LOCAL,CASE-22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,2463.8,33297.37,7 LOCAL,CASE-22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,626.15,33297.37,7 LOCAL,CASE-22830,EXPLORATION OF SPINE FUSION,,,1148.67,15754.92,7 LOCAL,CASE-22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,969.12,33297.37,7 LOCAL,CASE-22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,984.77,33297.37,7 LOCAL,CASE-22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,937.64,15754.92,7 LOCAL,CASE-22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,974.81,15754.92,7 LOCAL,CASE-22849,REINSERTION OF SPINAL FIXATION DEVICE,,,1779.48,15754.92,7 LOCAL,CASE-22852,REMOVAL OF SEGMENTAL STABILIZING DEVICE FROM BACK OF SPINE,,,1003.98,8904.43,7 LOCAL,CASE-22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,331.46,15754.92,7 LOCAL,CASE-22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,434.84,15754.92,7 LOCAL,CASE-22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,2206.88,21516.53,7 LOCAL,CASE-22858,INSERTION OF ARTIFICIAL UPPER SPINE DISC ANTERIOR APPROACH,,,651.32,21516.53,7 LOCAL,CASE-22864,"REVISION OF ARTIFICIAL UPPER SPINE DISC, CERVICAL",,,2913.57,15754.92,7 LOCAL,CASE-22869,PLACEMENT OF STABILIZING DEVICE TO LOWER SPINE LEVEL FACILITY,,,581.24,15754.92,7 LOCAL,CASE-22870,PLACEMENT OF STABILIZING DEVICE TO SECOND LOWER SPINE LEVEL FACILITY,,,148.97,15754.92,7 LOCAL,CASE-22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,797.09,3564.51,7 LOCAL,CASE-22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,933.95,3564.51,7 LOCAL,CASE-22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY",,,482.24,3564.51,7 LOCAL,CASE-22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,624.21,7418.74,7 LOCAL,CASE-22905,"EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 5.0 CM OR MORE",,,1804.05,3564.51,7 LOCAL,CASE-22999,CRYOABLATION ABDOMINAL - FACILITY,,,263.21,302.7,6 LOCAL,CASE-23040,"INCISION OF SHOULDER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,981.92,4015.22,7 LOCAL,CASE-23066,BIOPSY OF DEEP TISSUE OF SHOULDER,,,533.88,3564.51,7 LOCAL,CASE-23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,593.0,2026.75,7 LOCAL,CASE-23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,959.87,3564.51,7 LOCAL,CASE-23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,468.2,8904.43,7 LOCAL,CASE-23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,762.74,3564.51,7 LOCAL,CASE-23078,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, 5.0 CM OR MORE",,,1932.62,3564.51,7 LOCAL,CASE-23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,823.77,8904.43,7 LOCAL,CASE-23155,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE WITH SELF BONE GRAFT,,,1091.67,8904.43,7 LOCAL,CASE-23180,PARTIAL REMOVAL OF INFECTED COLLAR BONE,,,955.13,21516.53,7 LOCAL,CASE-23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,1115.99,8904.43,7 LOCAL,CASE-23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,1155.02,8904.43,7 LOCAL,CASE-23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,1016.37,8904.43,7 LOCAL,CASE-23440,REMOVAL OR RELOCATION OF BICEPS TENDON,,,1023.33,8904.43,7 LOCAL,CASE-23460,REPAIR OF SHOULDER JOINT CAPSULE AND SHOULDER BLADE WITH BONE BLOCK,,,1459.89,8904.43,7 LOCAL,CASE-23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,1425.87,8904.43,7 LOCAL,CASE-23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,1588.14,15754.92,7 LOCAL,CASE-23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,1898.82,21516.53,7 LOCAL,CASE-23473,REVISION OF TOTAL SHOULDER REPAIR,,,2103.59,15754.92,7 LOCAL,CASE-23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,2266.79,15754.92,7 LOCAL,CASE-23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,990.68,8904.43,7 LOCAL,CASE-23552,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER WITH TISSUE GRAFT,,,893.69,8904.43,7 LOCAL,CASE-23585,TREATMENT OF BROKEN SHOULDER BLADE,,,1307.16,8904.43,7 LOCAL,CASE-23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,1201.73,15754.92,7 LOCAL,CASE-23630,"TREATMENT OF UPPER ARM BONE, BROKEN AT SHOULDER JOINT PROFESSIONAL",,,1071.15,15754.92,7 LOCAL,CASE-23655,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA FACILITY,,,610.23,1973.24,7 LOCAL,CASE-23660,TREATMENT OF DISLOCATED SHOULDER,,,804.27,8904.43,7 LOCAL,CASE-23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA PROFESSIONAL,,,269.6,1973.24,7 LOCAL,CASE-23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,263.21,302.7,6 LOCAL,CASE-23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,299.18,3564.51,7 LOCAL,CASE-23935,INCISION OF UPPER ARM OR ELBOW BONE,,,722.27,4015.22,7 LOCAL,CASE-24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,672.75,4015.22,7 LOCAL,CASE-24066,BIOPSY OF DEEP TISSUE OF UPPER ARM OR ELBOW,,,605.75,3564.51,7 LOCAL,CASE-24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,570.69,3564.51,7 LOCAL,CASE-24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,952.22,3564.51,7 LOCAL,CASE-24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,467.39,3564.51,7 LOCAL,CASE-24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,1787.25,3564.51,7 LOCAL,CASE-24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,703.98,4015.22,7 LOCAL,CASE-24102,REMOVAL OF ELBOW JOINT LINING,,,844.67,4015.22,7 LOCAL,CASE-24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,521.93,4015.22,7 LOCAL,CASE-24130,REMOVAL OF FOREARM BONE AT ELBOW JOINT,,,708.17,4015.22,7 LOCAL,CASE-24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,870.27,4015.22,7 LOCAL,CASE-24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,1591.17,8904.43,7 LOCAL,CASE-24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,789.56,4015.22,7 LOCAL,CASE-24340,ANCHORING OF BICEPS TENDON AT ELBOW,,,851.21,8904.43,7 LOCAL,CASE-24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,1033.23,8904.43,7 LOCAL,CASE-24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,1045.38,8904.43,7 LOCAL,CASE-24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,987.38,8904.43,7 LOCAL,CASE-24346,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW WITH TENDON GRAFT,,,1502.85,15754.92,7 LOCAL,CASE-24358,INCISION OF ELBOW TENDON WITH REMOVAL OF TISSUE PROFESSIONAL,,,729.6,4015.22,7 LOCAL,CASE-24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,900.44,4015.22,7 LOCAL,CASE-24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,1221.93,8904.43,7 LOCAL,CASE-24362,REPAIR OF ELBOW JOINT WITH IMPLANT WITH AND REPAIR OF LIGAMENT,,,1423.79,15754.92,7 LOCAL,CASE-24363,PROSTHETIC REPAIR OF ELBOW JOINT,,,1899.27,21516.53,7 LOCAL,CASE-24370,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM OR FOREARM COMPONENTS",,,2010.72,15754.92,7 LOCAL,CASE-24371,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM AND FOREARM COMPONENTS",,,2295.5,21516.53,7 LOCAL,CASE-24430,REPAIR OF NONHEALED BROKEN UPPER ARM BONE,,,1415.13,15754.92,7 LOCAL,CASE-24498,STABILIZATION OF UPPER ARM BONE WITH DEVICE,,,1170.45,15754.92,7 LOCAL,CASE-24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,1199.63,15754.92,7 LOCAL,CASE-24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,1163.64,15754.92,7 LOCAL,CASE-24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,1391.66,15754.92,7 LOCAL,CASE-24579,TREATMENT OF BROKEN ELBOW,,,1138.38,15754.92,7 LOCAL,CASE-24635,TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW,,,933.66,8904.43,7 LOCAL,CASE-24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,907.83,8904.43,7 LOCAL,CASE-24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,999.62,15754.92,7 LOCAL,CASE-24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,907.67,8904.43,7 LOCAL,CASE-24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,7742.98,8904.43,6 LOCAL,CASE-25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,496.35,1973.24,7 LOCAL,CASE-25028,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF FOREARM OR WRIST,,,1002.21,4015.22,7 LOCAL,CASE-25035,INCISION OF FOREARM OR WRIST BONE,,,821.6,8904.43,7 LOCAL,CASE-25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,589.62,3564.51,7 LOCAL,CASE-25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,740.9,3564.51,7 LOCAL,CASE-25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,447.08,2026.75,7 LOCAL,CASE-25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,716.51,3564.51,7 LOCAL,CASE-25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,1577.73,3564.51,7 LOCAL,CASE-25105,INCISION INTO WRIST JOINT WITH REMOVAL OF JOINT LINING TISSUE,,,677.49,4015.22,7 LOCAL,CASE-25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,,,857.91,4015.22,7 LOCAL,CASE-25110,REMOVAL OF GROWTH OF TENDON COVERING OF FOREARM OR WRIST,,,492.53,1973.24,7 LOCAL,CASE-25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,468.15,1973.24,7 LOCAL,CASE-25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,550.2,1973.24,7 LOCAL,CASE-25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,1027.07,2396.28,7 LOCAL,CASE-25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,833.64,4015.22,7 LOCAL,CASE-25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,539.51,1973.24,7 LOCAL,CASE-25119,REMOVAL OF TENDON LINING ON TOP SIDE OF WRIST AND END OF FOREARM BONE AT WRIST,,,709.38,4015.22,7 LOCAL,CASE-25126,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE WITH BONE GRAFT,,,837.65,15754.92,7 LOCAL,CASE-25130,REMOVAL OF CYST OR GROWTH OF WRIST BONE,,,628.77,4015.22,7 LOCAL,CASE-25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE,,,796.7,4015.22,7 LOCAL,CASE-25170,EXTENSIVE REMOVAL OF GROWTH OF FOREARM BONE (RADIUS OR ULNA),,,1940.24,8904.43,7 LOCAL,CASE-25210,REMOVAL OF WRIST BONE,,,681.95,4015.22,7 LOCAL,CASE-25215,REMOVAL OF MULTIPLE WRIST BONES,,,843.66,4015.22,7 LOCAL,CASE-25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,598.98,8904.43,7 LOCAL,CASE-25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,874.59,4015.22,7 LOCAL,CASE-25263,SECONDARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,886.31,8904.43,7 LOCAL,CASE-25274,REPAIR OF TENDON OR MUSCLE ON TOP SIDE OF FOREARM OR WRIST WITH GRAFT,,,899.49,4015.22,7 LOCAL,CASE-25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,777.08,4015.22,7 LOCAL,CASE-25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,604.98,4015.22,7 LOCAL,CASE-25295,REMOVAL OF SCAR TISSUE TO RELEASE TENDON OF FOREARM OR WRIST,,,725.43,4015.22,7 LOCAL,CASE-25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,975.63,4015.22,7 LOCAL,CASE-25312,RELOCATION OF TENDON OF FOREARM AND/OR WRIST WITH GRAFTS,,,969.36,8904.43,7 LOCAL,CASE-25320,RECONSTRUCTION OF WRIST JOINT,,,1353.84,8904.43,7 LOCAL,CASE-25332,REPAIR OF WRIST JOINT,,,1131.54,8904.43,7 LOCAL,CASE-25337,REPAIR OF TENDONS OF OUTER FOREARM AT WRIST JOINT,,,1209.36,8904.43,7 LOCAL,CASE-25390,SHORTENING OF ONE OF THE FOREARM BONES,,,1029.24,8904.43,7 LOCAL,CASE-25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,1076.31,8904.43,7 LOCAL,CASE-25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,1371.65,8904.43,7 LOCAL,CASE-25430,INSERTION OF VASCULAR BONE GRAFT INTO WRIST BONE,,,1014.05,8904.43,7 LOCAL,CASE-25431,REPAIR OF NON-HEALED WRIST BONE OTHER THAN (SCAPHOID OR NAVICULAR),,,1077.59,8904.43,7 LOCAL,CASE-25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,1029.21,8904.43,7 LOCAL,CASE-25441,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE THUMB SIDE AT THE WRIST LEVEL,,,1267.79,21516.53,7 LOCAL,CASE-25446,ARTHROPLASTY OR REPLACEMENT OF THE ENTIRE WRIST JOINT,,,1536.42,21516.53,7 LOCAL,CASE-25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,1085.97,4015.22,7 LOCAL,CASE-25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,1196.37,4015.22,7 LOCAL,CASE-25491,STABILIZATION OF FOREARM BONE ON SMALL FINGER SIDE WITH DEVICE,,,1013.24,15754.92,7 LOCAL,CASE-25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,,,924.92,8904.43,7 LOCAL,CASE-25525,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE AND CLOSED TREATMENT OF DISLOCATED WRIST JOINT,,,1075.29,8904.43,7 LOCAL,CASE-25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,867.84,8904.43,7 LOCAL,CASE-25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,1233.81,8904.43,7 LOCAL,CASE-25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION FACILITY,,,498.23,4015.22,7 LOCAL,CASE-25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION FACILITY,,,800.33,8904.43,7 LOCAL,CASE-25606,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOREARM BONE ON THUMB SIDE AT WRIST,,,935.63,4015.22,7 LOCAL,CASE-25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,1017.53,8904.43,7 LOCAL,CASE-25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,1126.43,8904.43,7 LOCAL,CASE-25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,1413.62,8904.43,7 LOCAL,CASE-25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,,,976.88,8904.43,7 LOCAL,CASE-25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,796.34,4015.22,7 LOCAL,CASE-25800,COMPLETE FUSION OF WRIST JOINT,,,983.34,8904.43,7 LOCAL,CASE-25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,1159.64,15754.92,7 LOCAL,CASE-25820,FUSION OF PART OF WRIST JOINT,,,897.62,8904.43,7 LOCAL,CASE-25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,1415.52,8904.43,7 LOCAL,CASE-25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL,,,7742.98,8904.43,6 LOCAL,CASE-26020,DRAINAGE OF TENDON OF FINGER AND/OR PALM,,,776.31,4015.22,7 LOCAL,CASE-26037,INCISION OF TISSUE OF HAND TO RELEASE PRESSURE,,,769.4,4015.22,7 LOCAL,CASE-26045,PARTIAL RELEASE OF CONNECTIVE TISSUE OF PALM,,,661.2,4015.22,7 LOCAL,CASE-26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,419.42,1973.24,7 LOCAL,CASE-26075,"INCISION OF LOWER FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,481.44,4015.22,7 LOCAL,CASE-26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,565.67,1973.24,7 LOCAL,CASE-26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,573.72,2026.75,7 LOCAL,CASE-26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,747.62,2026.75,7 LOCAL,CASE-26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,468.78,2026.75,7 LOCAL,CASE-26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,721.16,2026.75,7 LOCAL,CASE-26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,820.14,4015.22,7 LOCAL,CASE-26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,1140.59,4015.22,7 LOCAL,CASE-26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,333.69,4015.22,7 LOCAL,CASE-26140,REMOVAL OF JOINT LINING AND REPAIR OF TENDON ON THE TOPSIDE OF FINGER,,,701.48,1973.24,7 LOCAL,CASE-26145,"REPAIR OF TENDON, FINGER, AND/OR PALM OF HAND",,,710.82,4015.22,7 LOCAL,CASE-26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,450.26,1973.24,7 LOCAL,CASE-26180,REMOVAL OF TENDON OF FINGER,,,629.21,1973.24,7 LOCAL,CASE-26185,REMOVAL OF BONE AT BASE OF THUMB OR FINGER,,,798.0,4015.22,7 LOCAL,CASE-26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,625.28,1973.24,7 LOCAL,CASE-26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,678.15,1973.24,7 LOCAL,CASE-26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,616.02,1973.24,7 LOCAL,CASE-26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,532.53,8904.43,7 LOCAL,CASE-26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,1099.59,4015.22,7 LOCAL,CASE-26390,REPAIR OF TENDON ON UNDERSIDE OF FINGER OR HAND WITH IMPLANTED ROD,,,1240.67,8904.43,7 LOCAL,CASE-26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,872.12,1973.24,7 LOCAL,CASE-26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,914.18,4015.22,7 LOCAL,CASE-26426,SECONDARY REPAIR OF TENDON OF TOP OF FINGER USING TISSUE,,,694.76,4015.22,7 LOCAL,CASE-26432,CLOSED TREATMENT OF TENDON OF UPPER SIDE OF FINGER,,,790.74,1973.24,7 LOCAL,CASE-26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,947.0,4015.22,7 LOCAL,CASE-26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,936.45,4015.22,7 LOCAL,CASE-26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,881.25,4015.22,7 LOCAL,CASE-26455,INCISION OF TENDON OF FINGER,,,668.85,2396.28,7 LOCAL,CASE-26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,938.4,4015.22,7 LOCAL,CASE-26474,SUTURE OF TENDON TO JOINT OF FINGER NEAR TOP OF FINGER,,,953.88,1973.24,7 LOCAL,CASE-26480,TRANSFER OF TENDON TO BACK OF HAND,,,975.21,4015.22,7 LOCAL,CASE-26485,TRANSFER OF TENDON TO PALM,,,1176.54,4015.22,7 LOCAL,CASE-26489,TRANSFER OF TENDON TO PALM WITH GRAFT,,,1370.43,4015.22,7 LOCAL,CASE-26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,1283.49,4015.22,7 LOCAL,CASE-26497,TRANSFER OF TENDON TO RING AND SMALL FINGERS,,,1281.99,4015.22,7 LOCAL,CASE-26499,CORRECTION CLAW FINGER,,,1239.11,4015.22,7 LOCAL,CASE-26502,REPAIR OF LIGAMENT SURROUNDING FINGER TENDON WITH GRAFT,,,1085.69,8904.43,7 LOCAL,CASE-26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,1046.15,4015.22,7 LOCAL,CASE-26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,977.36,4015.22,7 LOCAL,CASE-26525,REPAIR OF JOINT CAPSULE OF FINGER,,,986.51,4015.22,7 LOCAL,CASE-26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,858.81,8904.43,7 LOCAL,CASE-26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,1065.75,8904.43,7 LOCAL,CASE-26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,990.45,4015.22,7 LOCAL,CASE-26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,1166.25,4015.22,7 LOCAL,CASE-26542,REPAIR OF LIGAMENT OF HAND TO FINGER JOINT WITH LOCAL TISSUE,,,1015.89,4015.22,7 LOCAL,CASE-26565,INCISION OR REMOVAL OF HAND BONE,,,1006.55,8904.43,7 LOCAL,CASE-26567,PARTIAL REMOVAL OF FINGER BONE,,,1020.63,4015.22,7 LOCAL,CASE-26596,REMOVAL OF CONSTRICTING RING OF SKIN OF FINGER,,,1155.08,4015.22,7 LOCAL,CASE-26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,677.16,4015.22,7 LOCAL,CASE-26615,TREATMENT OF BROKEN MIDHAND BONE,,,799.37,4015.22,7 LOCAL,CASE-26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION FACILITY,,,469.2,8904.43,7 LOCAL,CASE-26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,666.45,4015.22,7 LOCAL,CASE-26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,823.77,4015.22,7 LOCAL,CASE-26742,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER WITH MANIPULATION,,,496.71,8904.43,7 LOCAL,CASE-26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,1005.12,4015.22,7 LOCAL,CASE-26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,604.98,4015.22,7 LOCAL,CASE-26841,FUSION OF THUMB AT WRIST,,,1095.0,8904.43,7 LOCAL,CASE-26843,FUSION OF HAND JOINT,,,1121.18,8904.43,7 LOCAL,CASE-26844,FUSION OF FINGER AT HAND JOINT WITH SELF BONE GRAFT,,,1225.04,8904.43,7 LOCAL,CASE-26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,1030.13,8904.43,7 LOCAL,CASE-26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,883.88,4015.22,7 LOCAL,CASE-26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,126.95,8904.43,7 LOCAL,CASE-26910,AMPUTATION OF FINGER OR THUMB,,,1079.69,4015.22,7 LOCAL,CASE-26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,1019.13,4015.22,7 LOCAL,CASE-26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,973.34,4015.22,7 LOCAL,CASE-26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,2083.72,2396.28,6 LOCAL,CASE-27005,INCISION OF TENDON OF HIP,,,3099.57,3564.51,6 LOCAL,CASE-27041,BIOPSY OF DEEP TISSUE OF PELVIS AND HIP,,,956.07,2026.75,7 LOCAL,CASE-27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,660.86,3564.51,7 LOCAL,CASE-27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,1008.53,3564.51,7 LOCAL,CASE-27047,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, LESS THAN 3.0 CM FACILITY",,,512.3,3564.51,7 LOCAL,CASE-27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,2398.23,3564.51,7 LOCAL,CASE-27087,REMOVAL OF FOREIGN BODY IN TISSUE OR MUSCLE OF PELVIS OR HIP,,,869.18,4015.22,7 LOCAL,CASE-27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,72.49,866.22,7 LOCAL,CASE-27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,1695.75,15754.92,7 LOCAL,CASE-27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,2194.97,15754.92,7 LOCAL,CASE-27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,2474.6,15754.92,7 LOCAL,CASE-27137,REVISION OF HIP SOCKET PART OF HIP PROSTHESIS,,,1922.93,15754.92,7 LOCAL,CASE-27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,1341.92,8904.43,7 LOCAL,CASE-27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,13699.93,15754.92,6 LOCAL,CASE-27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,707.04,3564.51,7 LOCAL,CASE-27310,"INCISION OF KNEE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY PROFESSIONAL",,,1005.09,4015.22,7 LOCAL,CASE-27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,586.23,3564.51,7 LOCAL,CASE-27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,450.14,2026.75,7 LOCAL,CASE-27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,860.16,3564.51,7 LOCAL,CASE-27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,594.33,3564.51,7 LOCAL,CASE-27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,1041.03,4015.22,7 LOCAL,CASE-27340,REMOVAL OF FLUID-FILLED SAC FROM JOINT AT FRONT OF KNEE PROFESSIONAL,,,538.98,4015.22,7 LOCAL,CASE-27345,REMOVAL OF CYST OF BACK OF KNEE,,,682.74,4015.22,7 LOCAL,CASE-27350,REMOVAL OF KNEECAP,,,904.68,8904.43,7 LOCAL,CASE-27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,842.24,4015.22,7 LOCAL,CASE-27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,2086.17,3564.51,7 LOCAL,CASE-27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,858.17,8904.43,7 LOCAL,CASE-27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,1177.7,8904.43,7 LOCAL,CASE-27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,929.85,8904.43,7 LOCAL,CASE-27412,IMPLANTATION OF SELF CARTILAGE INTO KNEE JOINT,,,2180.96,8904.43,7 LOCAL,CASE-27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,1836.09,15754.92,7 LOCAL,CASE-27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,1316.58,8904.43,7 LOCAL,CASE-27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,1114.1,15754.92,7 LOCAL,CASE-27420,REPAIR OF DISLOCATING KNEECAP,,,1028.33,8904.43,7 LOCAL,CASE-27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,1019.31,8904.43,7 LOCAL,CASE-27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,967.44,8904.43,7 LOCAL,CASE-27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,1019.61,8904.43,7 LOCAL,CASE-27435,INCISION OF BACK PORTION OF KNEE JOINT CAPSULE,,,1109.42,4015.22,7 LOCAL,CASE-27437,REPAIR OF KNEECAP,,,911.45,8904.43,7 LOCAL,CASE-27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,8.73,10.03,6 LOCAL,CASE-27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,1528.43,15754.92,7 LOCAL,CASE-27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,1692.03,15754.92,7 LOCAL,CASE-27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,1355.18,8904.43,7 LOCAL,CASE-27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,1284.02,8904.43,7 LOCAL,CASE-27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,2297.91,21516.53,7 LOCAL,CASE-27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,1028.61,8904.43,7 LOCAL,CASE-27552,CLOSED TREATMENT OF DISLOCATED KNEE UNDER ANESTHESIA FACILITY,,,884.04,1973.24,7 LOCAL,CASE-27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,218.61,1973.24,7 LOCAL,CASE-27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,3491.49,4015.22,6 LOCAL,CASE-27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,548.4,4015.22,7 LOCAL,CASE-27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,646.4,4015.22,7 LOCAL,CASE-27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,573.06,3564.51,7 LOCAL,CASE-27616,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, 5.0 CM OR MORE",,,1690.26,3564.51,7 LOCAL,CASE-27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,435.12,8904.43,7 LOCAL,CASE-27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,638.12,3564.51,7 LOCAL,CASE-27630,REMOVAL OF GROWTH OF LEG AND/OR ANKLE TENDON LINING OR CAPSULE PROFESSIONAL,,,507.35,4015.22,7 LOCAL,CASE-27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,573.45,3564.51,7 LOCAL,CASE-27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,910.38,3564.51,7 LOCAL,CASE-27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,797.57,4015.22,7 LOCAL,CASE-27638,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH BONE GRAFT,,,1021.29,8904.43,7 LOCAL,CASE-27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE-EXPRESS CARE,,,892.67,4015.22,7 LOCAL,CASE-27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,913.11,8904.43,7 LOCAL,CASE-27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,989.4,8904.43,7 LOCAL,CASE-27658,PRIMARY REPAIR OF TENDON ON BACK OF LEG,,,522.44,4015.22,7 LOCAL,CASE-27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,654.23,8904.43,7 LOCAL,CASE-27676,REPAIR OF DISLOCATED LOWER LEG TENDONS BY INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE PROFESSIONAL,,,839.39,8904.43,7 LOCAL,CASE-27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,649.64,4015.22,7 LOCAL,CASE-27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,890.25,8904.43,7 LOCAL,CASE-27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,680.85,8904.43,7 LOCAL,CASE-27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,873.62,8904.43,7 LOCAL,CASE-27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,1293.42,33297.37,7 LOCAL,CASE-27704,REMOVAL OF ANKLE IMPLANT,,,773.9,4015.22,7 LOCAL,CASE-27705,INCISION OR PARTIAL REMOVAL OF SHIN BONE,,,1012.25,8904.43,7 LOCAL,CASE-27707,INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE,,,572.64,8904.43,7 LOCAL,CASE-27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,1656.02,8904.43,7 LOCAL,CASE-27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,991.58,8904.43,7 LOCAL,CASE-27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,1215.72,15754.92,7 LOCAL,CASE-27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,846.3,8904.43,7 LOCAL,CASE-27769,TREATMENT OF BROKEN BACK PORTION OF SHIN BONE AT ANKLE,,,986.34,8904.43,7 LOCAL,CASE-27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,887.72,8904.43,7 LOCAL,CASE-27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,1042.97,8904.43,7 LOCAL,CASE-27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,693.84,15754.92,7 LOCAL,CASE-27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,1205.94,8904.43,7 LOCAL,CASE-27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,1347.48,8904.43,7 LOCAL,CASE-27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,982.35,8904.43,7 LOCAL,CASE-27860,MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA,,,226.41,4015.22,7 LOCAL,CASE-27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,1356.77,15754.92,7 LOCAL,CASE-27884,SECONDARY CLOSURE OR REVISION OF SCAR OF LOWER LEG BONE AMPUTATION,,,797.85,4015.22,7 LOCAL,CASE-27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,263.21,302.7,6 LOCAL,CASE-28002,DRAINAGE OF FLUID FILLED SAC BELOW CONNECTIVE TISSUE IN FOOT JOINT,,,187.79,4015.22,7 LOCAL,CASE-28010,REPAIR OF TOE TENDON FACILITY,,,290.93,1973.24,7 LOCAL,CASE-28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,388.65,4015.22,7 LOCAL,CASE-28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,503.75,4015.22,7 LOCAL,CASE-28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,463.16,3564.51,7 LOCAL,CASE-28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,363.48,2026.75,7 LOCAL,CASE-28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,,,504.3,4015.22,7 LOCAL,CASE-28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,541.68,1973.24,7 LOCAL,CASE-28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,491.69,8904.43,7 LOCAL,CASE-28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT PROFESSIONAL,,,432.38,1973.24,7 LOCAL,CASE-28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,382.68,1973.24,7 LOCAL,CASE-28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,497.6,4015.22,7 LOCAL,CASE-28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,414.02,4015.22,7 LOCAL,CASE-28111,REMOVAL OF FOOT BONE AT GREAT TOE JOINT,,,444.05,4015.22,7 LOCAL,CASE-28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,596.69,4015.22,7 LOCAL,CASE-28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,594.29,8904.43,7 LOCAL,CASE-28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,686.78,4015.22,7 LOCAL,CASE-28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,611.39,4015.22,7 LOCAL,CASE-28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,467.1,4015.22,7 LOCAL,CASE-28160,PARTIAL REMOVAL OF TOE AT JOINT PROFESSIONAL,,,375.06,4015.22,7 LOCAL,CASE-28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,458.9,8904.43,7 LOCAL,CASE-28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,453.71,4015.22,7 LOCAL,CASE-28210,REPAIR OF TENDON ON TOP SIDE OF FOOT WITH GRAFT,,,583.19,8904.43,7 LOCAL,CASE-28222,REMOVAL OF SCAR TISSUE OF MULTIPLE FOOT TENDONS,,,512.55,8904.43,7 LOCAL,CASE-28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,339.35,1973.24,7 LOCAL,CASE-28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,382.43,4015.22,7 LOCAL,CASE-28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE PROFESSIONAL,,,674.21,8904.43,7 LOCAL,CASE-28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,466.82,8904.43,7 LOCAL,CASE-28280,CREATION OF WEBBING BETWEEN TOES,,,473.03,8904.43,7 LOCAL,CASE-28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,543.89,8904.43,7 LOCAL,CASE-28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,610.67,4015.22,7 LOCAL,CASE-28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,643.62,4015.22,7 LOCAL,CASE-28292,CORRECTION OF BUNION PROFESSIONAL,,,675.36,8904.43,7 LOCAL,CASE-28295,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD ANKLE,,,824.12,8904.43,7 LOCAL,CASE-28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,711.8,8904.43,7 LOCAL,CASE-28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,708.63,8904.43,7 LOCAL,CASE-28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,826.68,8904.43,7 LOCAL,CASE-28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,894.06,15754.92,7 LOCAL,CASE-28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,851.21,15754.92,7 LOCAL,CASE-28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,544.79,4015.22,7 LOCAL,CASE-28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,456.51,4015.22,7 LOCAL,CASE-28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,791.01,8904.43,7 LOCAL,CASE-28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,906.2,8904.43,7 LOCAL,CASE-28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,793.43,8904.43,7 LOCAL,CASE-28525,TREATMENT OF BROKEN TOE,,,565.34,4015.22,7 LOCAL,CASE-28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,895.59,8904.43,7 LOCAL,CASE-28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,1158.8,8904.43,7 LOCAL,CASE-28645,TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT PROFESSIONAL,,,676.62,15754.92,7 LOCAL,CASE-28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,1066.32,15754.92,7 LOCAL,CASE-28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,993.05,15754.92,7 LOCAL,CASE-28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,846.17,8904.43,7 LOCAL,CASE-28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,786.32,8904.43,7 LOCAL,CASE-28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,954.2,4015.22,7 LOCAL,CASE-28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,581.37,4015.22,7 LOCAL,CASE-28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,237.9,4015.22,7 LOCAL,CASE-28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,230.16,4015.22,7 LOCAL,CASE-28899,TX1 PLANT FASC PROC W KIT FACILITY,,,3491.49,4015.22,6 LOCAL,CASE-29405,APPLICATION OF SHORT LEG CAST FACILITY-EXPRESS CARE,,,81.56,8904.43,7 LOCAL,CASE-29580,"STRAPPING, UNNA BOOT FACILITY",,,34.43,199.41,7 LOCAL,CASE-29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,1420.04,8904.43,7 LOCAL,CASE-29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL,,,1389.24,8904.43,7 LOCAL,CASE-29819,REMOVAL OF LOOSE OR FOREIGN BODY IN SHOULDER JOINT USING AN ENDOSCOPE,,,802.91,4015.22,7 LOCAL,CASE-29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,752.73,8904.43,7 LOCAL,CASE-29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,815.46,8904.43,7 LOCAL,CASE-29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,932.37,8904.43,7 LOCAL,CASE-29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,807.65,4015.22,7 LOCAL,CASE-29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,215.85,8904.43,7 LOCAL,CASE-29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,1425.41,8904.43,7 LOCAL,CASE-29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,1231.65,8904.43,7 LOCAL,CASE-29835,PARTIAL REMOVAL OF ELBOW JOINT LINING USING AN ENDOSCOPE,,,710.15,4015.22,7 LOCAL,CASE-29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,738.87,4015.22,7 LOCAL,CASE-29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,814.94,4015.22,7 LOCAL,CASE-29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,687.32,4015.22,7 LOCAL,CASE-29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,712.43,4015.22,7 LOCAL,CASE-29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,,,708.72,1973.24,7 LOCAL,CASE-29850,TREATMENT OF BROKEN KNEE JOINT USING AN ENDOSCOPE,,,865.55,8904.43,7 LOCAL,CASE-29862,REMOVAL OR SHAVING OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,1109.1,8904.43,7 LOCAL,CASE-29868,REPAIR OF KNEE CARTILAGE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,2206.89,8904.43,7 LOCAL,CASE-29870,DIAGNOSTIC EXAM OF KNEE USING AN ENDOSCOPE,,,583.16,4015.22,7 LOCAL,CASE-29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,759.66,4015.22,7 LOCAL,CASE-29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,738.36,4015.22,7 LOCAL,CASE-29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,691.74,4015.22,7 LOCAL,CASE-29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,897.18,4015.22,7 LOCAL,CASE-29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,856.16,4015.22,7 LOCAL,CASE-29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,777.71,4015.22,7 LOCAL,CASE-29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,752.3,4015.22,7 LOCAL,CASE-29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,937.11,4015.22,7 LOCAL,CASE-29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,1146.53,8904.43,7 LOCAL,CASE-29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,855.15,4015.22,7 LOCAL,CASE-29887,REPAIR OF KNEE JOINT WITH BONE GRAFT AND INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE,,,1036.07,8904.43,7 LOCAL,CASE-29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,1298.97,15754.92,7 LOCAL,CASE-29889,REPAIR OF POSTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,,,1651.71,15754.92,7 LOCAL,CASE-29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,927.21,8904.43,7 LOCAL,CASE-29892,REMOVAL OF LARGE SHIN OR ANKLE BONE DEFECT USING AN ENDOSCOPE,,,876.95,8904.43,7 LOCAL,CASE-29894,REMOVAL OF LOOSE OR FOREIGN BODY IN ANKLE USING AN ENDOSCOPE,,,694.7,8904.43,7 LOCAL,CASE-29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,635.34,8904.43,7 LOCAL,CASE-29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,680.31,4015.22,7 LOCAL,CASE-29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,766.97,4015.22,7 LOCAL,CASE-29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,1336.41,8904.43,7 LOCAL,CASE-29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,1358.85,8904.43,7 LOCAL,CASE-29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,7742.98,8904.43,6 LOCAL,CASE-30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE FACILITY,,,163.2,661.83,7 LOCAL,CASE-30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,547.04,4068.55,7 LOCAL,CASE-30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,548.15,4068.55,7 LOCAL,CASE-30130,REMOVAL OF NASAL AIR PASSAGE,,,573.95,4068.55,7 LOCAL,CASE-30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,224.96,4068.55,7 LOCAL,CASE-30150,PARTIAL REMOVAL OF NOSE,,,1049.3,7264.49,7 LOCAL,CASE-30200,INJECTION OF MEDICATION INTO NASAL AIR PASSAGE,,,79.2,661.83,7 LOCAL,CASE-30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,169.62,4575.22,7 LOCAL,CASE-30310,REMOVAL OF FOREIGN BODY IN NOSE UNDER ANESTHESIA,,,278.19,4068.55,7 LOCAL,CASE-30400,RESHAPING OF TIP OF NOSE,,,1743.87,7264.49,7 LOCAL,CASE-30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,1975.5,7264.49,7 LOCAL,CASE-30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,1918.91,7264.49,7 LOCAL,CASE-30435,REVISION TO RESHAPE NASAL BONES AFTER PREVIOUS REPAIR,,,1882.1,7264.49,7 LOCAL,CASE-3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,141.97,163.27,6 LOCAL,CASE-30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,2394.3,7264.49,7 LOCAL,CASE-30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,1349.97,7264.49,7 LOCAL,CASE-30468,REPAIR OF COLLAPSED NOSTRIL USING IMPLANT IN SIDE OF NOSE,,,213.65,7264.49,7 LOCAL,CASE-30469,REPAIR OF COLLAPSED NASAL VALVE,,,190.02,7264.49,7 LOCAL,CASE-3046F,3046F MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% PROFESSIONAL,,,29.6,44.4,7 LOCAL,CASE-3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,20.81,38.78,7 LOCAL,CASE-30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,896.24,4575.22,7 LOCAL,CASE-3052F,3052F MOST RECENT HG A1C>EQUAL TO 8.0%&96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,191578.18,396998.47,37 MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,125022.43,239920.36,57 MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,93062.35,145650.9,37 MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,41853.46,145648.43,37 MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,50587.01,93633.18,37 MS-DRG,010,PANCREAS TRANSPLANT,,,64767.69,83228.57,57 MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,49228.59,86005.02,37 MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,38053.52,67324.61,37 MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,26011.06,55483.11,37 MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,108473.3,114436.35,57 MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,53521.35,78025.73,57 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,97043.73,409078.04,57 MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,64396.75,93629.61,57 MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,71023.61,216316.61,57 MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,47781.74,188099.6,37 MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,51721.55,122917.97,37 MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,35308.71,101860.29,57 MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,41038.42,136220.27,37 MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,28063.58,101553.66,37 MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,22771.64,74790.57,37 MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,54230.78,116099.72,57 MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,30793.02,77756.98,37 MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,19813.82,48306.55,37 MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,40440.9,98149.71,37 MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,19234.36,53326.35,37 MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,15009.31,38625.26,37 MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,34936.85,74814.69,57 MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,21576.6,55868.98,37 MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,17535.68,49932.73,37 MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,29714.41,54852.62,37 MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,14645.55,35600.28,37 MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,10610.04,26442.68,37 MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,34851.11,64516.69,57 MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,19845.41,46769.95,37 MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,15594.17,37085.21,37 MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,16348.76,34566.69,57 MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,13781.78,30163.6,57 MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,9202.89,23772.57,37 MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,20968.26,26701.08,57 MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,11694.06,18642.52,57 MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,15429.92,28844.05,57 MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,11200.33,21002.55,57 MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,8302.1,18577.06,57 MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,24885.52,62304.81,57 MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,15860.44,50949.1,57 MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,12670.68,45474.51,57 MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,18151.23,38094.68,57 MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,9118.95,29305.72,57 MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6177.37,24220.46,37 MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,13256.46,22118.83,57 MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,7802.07,16561.56,37 MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,7209.95,17836.32,57 MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,15026.44,31710.54,57 MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,9260.66,24492.64,57 MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6825.43,18749.32,57 MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,14480.39,23910.38,57 MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,9303.98,18273.87,57 MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,17307.32,23517.62,57 MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,7448.23,17505.57,57 MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,16337.03,21436.66,57 MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,8083.65,17030.12,57 MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,20629.78,42921.55,57 MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,12598.48,34208.38,57 MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,20506.11,37202.35,57 MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,11758.13,27083.5,57 MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,8256.07,20272.15,57 MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,15851.42,26618.39,57 MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,9233.57,19152.42,57 MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,7187.39,15496.96,57 MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,31766.04,59028.32,57 MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,23279.81,48120.51,57 MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,23279.81,44003.37,57 MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,32600.04,45918.96,57 MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,20713.73,35421.13,37 MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC-EXPRESS CARE,,,12297.0,31300.55,57 MS-DRG,100,SEIZURES WITH MCC,,,17481.51,23924.16,57 MS-DRG,101,SEIZURES WITHOUT MCC,,,8146.84,15803.59,37 MS-DRG,102,HEADACHES WITH MCC,,,10117.21,17040.45,57 MS-DRG,103,HEADACHES WITHOUT MCC,,,7548.42,13064.58,57 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,21220.97,25102.46,37 MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,12212.16,18266.98,57 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,13853.96,18769.99,57 MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,16319.88,18869.91,57 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,10499.91,15979.3,57 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,7092.6,11999.98,57 MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,7208.15,18866.46,57 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,11942.28,15059.41,57 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6930.13,10987.06,57 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,19586.37,29929.32,37 MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,9164.06,21674.38,37 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,13477.59,22835.45,37 MS-DRG,139,SALIVARY GLAND PROCEDURES,,,11153.4,16761.38,57 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,38498.49,69140.28,37 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,19686.56,38511.56,37 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,14409.07,28020.62,37 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,33816.74,50997.33,37 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,15641.12,30198.05,37 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,10851.94,20981.88,57 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,19111.6,30797.54,37 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,11476.53,21154.14,57 MS-DRG,149,DYSEQUILIBRIUM,,,6783.92,13061.13,57 MS-DRG,150,EPISTAXIS WITH MCC,,,12018.09,17894.89,57 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,6625.07,11235.12,57 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,10670.52,11199.19,57 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,6662.97,8392.75,57 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,14112.12,20744.15,57 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,8272.3,15848.38,57 MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,6237.85,13612.38,37 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,15495.79,24075.76,57 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,8211.84,17491.79,57 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6394.9,14880.25,37 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,40452.62,87517.51,37 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,22781.57,60750.97,37 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,17277.52,52154.95,37 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,33736.39,72802.63,57 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,16277.45,53808.7,37 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12333.09,40506.39,37 MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,26864.93,59031.77,37 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,12398.1,29229.93,57 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,7265.92,22659.74,57 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,14104.9,39968.93,57 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,8809.35,31748.44,57 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,6814.61,25884.54,57 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,15939.89,38931.89,57 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,9666.83,32864.72,57 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,13808.86,28585.65,57 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,9604.54,21695.05,57 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,14067.0,29326.39,57 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,8927.59,24092.98,57 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,11150.7,29140.35,57 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,9998.09,23269.56,57 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,7608.91,19648.55,57 MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,5794.69,17016.34,57 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,11863.76,22914.69,57 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,7274.05,17443.55,57 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,5672.82,14621.85,57 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,17033.82,24375.5,57 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,8566.55,20265.25,57 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6464.4,17074.91,57 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,15922.74,31782.89,57 MS-DRG,200,PNEUMOTHORAX WITH CC,,,9922.26,23252.33,57 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6454.47,18570.17,57 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,8766.04,12730.38,57 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,6047.4,10001.71,57 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,7287.57,14249.76,57 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,16526.57,23121.41,57 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,8494.35,17061.13,37 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,58079.45,132695.73,57 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,24809.72,49601.98,37 MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,98149.38,144172.02,37 MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,89871.66,296492.18,57 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,88299.32,194504.41,37 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,59348.5,158487.25,37 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,69304.16,168034.17,37 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,48133.74,128981.7,37 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,45492.75,122315.04,37 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,44655.13,150759.44,57 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,28427.33,118976.54,37 MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,76088.08,167431.24,37 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,69005.41,159314.12,37 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,49306.19,125219.43,57 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,52969.85,128685.4,37 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,37808.02,93436.54,37 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,44423.17,73570.94,37 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,25728.55,55910.33,37 MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,12495.56,46077.44,37 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,28818.14,76620.03,57 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,19233.45,59917.21,57 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,16314.48,50239.36,57 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,19699.2,56234.19,57 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,13489.32,36196.32,57 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,31485.32,64203.17,57 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,23427.82,52492.59,37 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,16081.59,39100.71,37 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,24346.67,46515.0,57 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,15325.21,36471.95,37 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,18251.43,39028.36,57 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,29359.7,41788.04,57 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,17063.61,25529.67,57 MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,30152.17,46011.98,57 MS-DRG,265,AICD LEAD PROCEDURES,,,32657.79,76464.99,57 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,55314.8,183644.83,37 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,42970.89,169067.76,37 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,62079.77,116533.83,37 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,38118.5,76303.06,37 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,47623.77,87851.7,57 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,32099.09,61419.36,57 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,23043.32,43989.59,57 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,37236.68,74005.04,57 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,29710.83,51941.34,37 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,64358.82,210066.83,57 MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,54215.43,126845.61,57 MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,41686.49,109460.63,37 MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,50240.4,57381.47,57 MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,32551.28,41285.03,57 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,14478.57,40251.44,57 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,8295.78,30377.21,57 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6526.69,24571.88,37 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,17878.67,36172.2,57 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,19972.68,38532.24,57 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,9658.7,26384.11,57 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,24426.09,47166.16,57 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,15406.44,37347.05,57 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,11587.55,25240.27,57 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,7663.06,20323.82,57 MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,5108.7,17577.92,57 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,14097.69,27018.04,57 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,14736.71,23903.49,57 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,9635.23,18487.48,57 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6495.99,14049.93,37 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,10800.49,15937.96,57 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,6076.29,11717.47,57 MS-DRG,304,HYPERTENSION WITH MCC,,,10740.92,18966.38,57 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,6815.51,13557.26,57 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,14223.14,25801.85,57 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,8242.52,17030.12,57 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,10867.28,22577.05,57 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6640.41,17147.26,57 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,5109.61,13409.11,37 MS-DRG,312,SYNCOPE AND COLLAPSE,,,7867.04,16482.32,57 MS-DRG,313,CHEST PAIN,,,6498.7,12906.09,57 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,18820.96,30001.67,57 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,8694.72,22528.82,57 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6156.62,17447.0,37 MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,60352.21,79458.95,37 MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,21710.19,71724.26,37 MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,24557.88,80371.96,57 MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,15912.81,63769.06,57 MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,39059.0,69140.28,37 MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,28440.86,49636.44,57 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,45016.16,102601.03,57 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,22061.29,65422.8,37 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,14462.34,35782.89,37 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,41487.92,91627.75,57 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,21637.08,58838.83,57 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,15189.81,37446.97,37 MS-DRG,332,RECTAL RESECTION WITH MCC,,,32680.36,69284.98,37 MS-DRG,333,RECTAL RESECTION WITH CC,,,21140.66,47062.8,57 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,32230.88,67972.32,57 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,19033.08,48416.8,37 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,13854.87,34163.59,37 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,23312.29,57746.67,57 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,13581.39,39086.93,57 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,10706.62,28961.19,37 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,20720.03,33739.82,57 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,11813.2,24420.29,57 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,7858.01,16485.76,37 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,22491.84,40368.58,57 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,13760.1,27417.7,37 MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,10540.53,19748.46,37 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,26193.4,46883.64,57 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,15185.3,32644.22,37 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,12139.94,23503.84,37 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,39649.32,67717.37,37 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,20989.9,49994.75,37 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12617.41,34735.51,37 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,14368.45,27438.37,57 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,9027.78,21567.58,57 MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6325.4,19018.06,57 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,16003.95,33167.9,37 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,9215.51,26632.17,57 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6565.5,22652.85,57 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,19303.85,33071.43,57 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,10917.82,25598.58,57 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,16499.5,26952.58,57 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,8851.77,20558.11,57 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,5689.98,17088.69,57 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,17710.77,28654.56,57 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,9779.65,22590.83,37 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,7226.19,19314.35,57 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,12462.17,22005.13,57 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,7715.41,16437.53,57 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,14281.8,30291.08,57 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,8812.06,21832.87,57 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,6149.4,19242.0,57 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,13329.56,26077.48,57 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,7128.74,19331.58,57 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4910.13,14721.77,57 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,11447.65,18246.31,57 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,7036.65,13584.82,57 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,14435.24,28337.59,37 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,8445.61,21960.34,57 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5857.86,16857.85,57 MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,21616.31,43627.83,57 MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,13661.74,33946.54,57 MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,10332.04,23924.16,57 MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,36288.95,118518.32,37 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,49376.62,103675.97,37 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,26177.14,69756.99,37 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,20034.06,48203.19,37 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,32183.03,84657.91,57 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,19652.28,63979.22,37 MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,14330.55,45677.79,57 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,29815.51,76578.68,37 MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,18977.13,59197.14,57 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,14987.65,45491.74,57 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,32155.96,63386.63,57 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,18653.98,46604.57,57 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,21539.6,36640.77,57 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,15268.34,29336.73,37 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,12327.68,21267.84,57 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,30752.4,73915.47,57 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,15682.64,47841.44,37 MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,12631.85,41212.68,37 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,37484.89,79648.45,57 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,19747.94,60561.48,57 MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,13541.68,51924.12,37 MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,99477.12,172454.49,37 MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,65154.92,159579.41,37 MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,50744.05,138270.22,37 MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,81320.46,152637.13,37 MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,52053.72,138270.22,37 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,17764.92,35035.26,37 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,9533.25,26642.5,37 MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,6431.0,23596.86,57 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,16578.02,31658.86,57 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,10209.29,26087.81,57 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,14714.15,34766.52,57 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,7592.66,23610.64,57 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,5608.73,19834.59,57 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,16198.92,30304.86,37 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,8712.77,23717.45,57 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6315.48,19689.89,37 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,15081.5,25347.07,57 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,9878.03,20344.5,57 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,7467.19,15714.01,57 MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,60307.98,103265.98,37 MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,38277.35,73970.59,37 MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,48104.85,100892.17,37 MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,29157.51,70645.88,37 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,75848.92,143613.89,37 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,53822.81,111341.76,57 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,37661.8,103868.9,37 MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,49850.46,119110.91,57 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,51443.56,76585.57,37 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,28113.22,55717.39,37 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,16460.69,45267.8,37 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,46983.83,85533.02,57 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,31831.01,66487.4,37 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC-EXPRESS CARE,,,24803.37,59290.17,37 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,27377.6,63362.51,37 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,17410.23,50280.71,37 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,43583.75,73691.52,37 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,26591.44,52671.75,37 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,22035.1,41267.8,37 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,38747.62,58694.13,57 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,20540.41,43986.15,57 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,10652.45,34680.39,37 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,31181.13,57853.48,57 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,22196.69,43214.4,57 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,16778.39,36564.97,37 MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,26286.34,57570.96,57 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,18904.92,44292.78,57 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,14721.37,37484.86,37 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,25019.11,49522.74,37 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,29127.73,57002.49,57 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,18874.21,45391.83,57 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,14136.47,34501.23,57 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,10080.21,32468.51,37 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,33139.78,54073.98,57 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,22890.78,40682.1,57 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,18110.61,30477.12,37 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,32725.49,52403.01,37 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,16281.96,36185.99,57 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,10906.08,25019.77,37 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,27229.56,33502.1,37 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,18185.54,22673.52,37 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC-EXPRESS CARE,,,28565.41,50191.13,57 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,15778.32,32492.62,37 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,12148.06,21543.46,37 MS-DRG,504,FOOT PROCEDURES WITH CC,,,16871.35,30080.91,57 MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,12177.84,23589.97,37 MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,27262.97,40251.44,57 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,18768.61,30308.3,37 MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,14941.61,23259.22,37 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,14209.6,24537.43,37 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,28764.88,61295.33,37 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,18756.89,45140.32,37 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,13870.22,38142.92,37 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,33732.78,36947.4,37 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,18053.76,33691.59,37 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,13483.91,23314.35,37 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,25906.37,63362.51,57 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,19114.31,51307.41,57 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,7275.85,16378.96,57 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,11571.31,20399.62,57 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,7289.38,13815.65,57 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,8613.5,12833.74,57 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,17778.48,26883.68,57 MS-DRG,540,OSTEOMYELITIS WITH CC,,,11700.36,21364.31,57 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,15944.38,30745.86,57 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,9278.71,23045.61,57 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6811.0,19417.71,57 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC-EXPRESS CARE,,,22399.77,39810.44,57 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,10410.56,26263.52,37 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,7547.53,19665.77,57 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,17428.26,28144.66,57 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,10896.16,21095.57,57 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,15128.43,29054.21,57 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,8676.67,18332.44,57 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,11700.36,20530.54,57 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,7492.47,14449.59,57 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,11930.55,16093.0,57 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,7496.98,12158.46,57 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,13420.72,20609.78,57 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,8061.99,14356.57,57 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,16832.55,32130.87,57 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,10164.16,18490.93,57 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,7255.98,13581.37,57 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,12860.22,23014.6,57 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,8082.76,14391.02,57 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,13932.49,21136.92,57 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,8794.91,16396.18,57 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6763.16,14187.75,37 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,26546.29,47937.9,57 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,15249.4,29398.74,37 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,10346.47,18811.34,37 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,59132.79,63362.51,37 MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,31332.77,49922.4,37 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,44238.12,64633.83,37 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,23925.16,33519.32,37 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,14499.32,19765.69,37 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,29230.63,48592.51,57 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,15596.89,30918.12,37 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,13025.39,20964.65,37 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,17389.45,31076.61,37 MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,15564.4,26328.98,37 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,19321.91,40471.94,37 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,17412.01,36899.16,37 MS-DRG,592,SKIN ULCERS WITH MCC,,,17467.98,23565.85,57 MS-DRG,593,SKIN ULCERS WITH CC,,,10707.51,17908.67,57 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,19141.41,27913.82,57 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,9770.62,17481.45,37 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,15047.21,29564.12,57 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,10211.09,22528.82,57 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,9401.46,16878.52,57 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5460.72,13378.1,57 MS-DRG,602,CELLULITIS WITH MCC,,,12828.62,21178.26,57 MS-DRG,603,CELLULITIS WITHOUT MCC,,,7860.73,14863.02,57 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,13287.15,22487.47,57 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,8267.79,15941.4,57 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,13658.11,17305.74,57 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,8181.15,12206.7,57 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,19783.14,63310.83,37 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,12630.06,47035.24,37 MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,31477.19,61395.25,57 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,16881.29,43086.92,57 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,26061.6,62087.75,37 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,14444.26,43362.55,37 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,13614.79,37929.31,37 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,27259.35,37539.99,37 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,13533.55,23999.96,37 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,11989.2,19252.34,37 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,33638.03,50962.88,37 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,19665.81,41181.67,57 MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,13173.4,29588.24,37 MS-DRG,637,DIABETES WITH MCC,,,12967.62,21791.52,57 MS-DRG,638,DIABETES WITH CC,,,8089.08,16048.21,57 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,5606.94,13491.79,57 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,12055.11,18687.31,57 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,7024.02,13832.88,57 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,12835.84,17161.04,57 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,14857.67,25736.39,57 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,9251.61,19658.88,57 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6934.66,15355.7,57 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,42434.72,62420.97,37 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,33448.47,62419.23,37 MS-DRG,652,KIDNEY TRANSPLANT,,,29149.4,62421.31,37 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,46902.59,99924.04,37 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,25266.43,69646.74,37 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,19104.39,59186.81,37 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,28736.91,60916.35,37 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,16517.54,43500.36,57 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,14006.51,37908.64,37 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,22934.11,54497.76,57 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,11929.65,39934.47,57 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,9345.5,27142.07,37 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,27633.03,43214.4,57 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,13721.28,30232.51,57 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,9449.31,22032.69,37 MS-DRG,665,PROSTATECTOMY WITH MCC,,,28171.88,42077.45,61 MS-DRG,666,PROSTATECTOMY WITH CC,,,15789.14,41000.0,61 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,26355.86,36644.21,37 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,14008.32,25722.61,57 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,16201.63,27696.77,57 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,37923.55,40651.09,37 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,21108.15,31610.63,57 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,14815.23,27948.27,37 MS-DRG,682,RENAL FAILURE WITH MCC,,,13367.47,30322.09,57 MS-DRG,683,RENAL FAILURE WITH CC,,,7904.94,23148.97,57 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,5418.29,19066.29,57 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,16280.16,25109.35,57 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,9457.4,19286.79,57 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,10472.83,19979.29,57 MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,7306.54,15097.3,57 MS-DRG,693,URINARY STONES WITH MCC,,,12135.43,20723.48,57 MS-DRG,694,URINARY STONES WITHOUT MCC,,,7055.62,14087.83,57 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,10323.93,17450.44,57 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,6218.91,11624.44,57 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,14932.57,27579.63,57 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,9161.38,21932.78,57 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6227.02,17440.11,37 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,18054.68,40072.28,37 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,21004.37,33147.23,57 MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,12647.19,26680.4,37 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,18808.33,30697.62,57 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,13569.67,21808.75,37 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,20193.83,32354.81,37 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,17063.61,31696.76,57 MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,12122.79,20916.42,57 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,16334.31,23217.88,57 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,10313.98,22387.56,37 MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,10562.19,18852.68,37 MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,6516.75,13023.23,57 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,13384.63,25384.97,57 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,7321.88,18229.08,57 MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,9555.8,23252.33,57 MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,19225.32,41161.0,37 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,32263.35,76899.1,37 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,18598.94,50346.17,57 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,13254.65,40123.96,37 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,32338.29,49846.6,37 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,16333.4,32906.06,37 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,16560.87,29681.26,37 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,11198.54,20720.03,37 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,18495.13,24403.06,37 MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,10267.05,17763.97,37 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,15679.02,25405.64,37 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,7759.64,20585.67,57 MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,12521.74,18742.43,37 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,23175.1,31682.98,37 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,13320.53,20823.39,37 MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,16623.15,33140.34,57 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,9818.46,24664.9,37 MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,12924.31,19851.82,37 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8836.43,15445.28,57 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5989.65,13312.64,37 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,9093.67,17894.89,37 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,5149.32,14422.03,37 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,9050.36,11321.26,57 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5909.29,11948.3,57 MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,18074.04,39499.34,57 MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,40877.74,70528.74,37 MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,25357.58,49295.35,57 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,35960.4,58032.63,57 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,16778.39,37925.86,37 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,19928.45,38980.12,37 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,11425.99,29002.54,57 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,12675.17,22077.48,57 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,8287.64,17167.93,57 MS-DRG,813,COAGULATION DISORDERS,,,13767.32,24327.26,57 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,19195.55,28368.6,57 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,9152.34,21950.01,37 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,5704.41,17136.92,37 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,20593.67,42983.56,57 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,52935.56,111648.39,57 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,20205.55,66652.77,37 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,10867.28,39696.75,37 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,41382.3,76254.82,57 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,20449.27,54532.21,37 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,12179.64,35107.61,37 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,42221.72,102886.99,37 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,20860.85,62666.56,37 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,15378.47,39076.59,37 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,28522.09,50180.79,37 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,13584.1,33050.76,37 MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,49551.69,104609.64,57 MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,18826.37,73722.53,57 MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,11007.18,62673.45,57 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,43363.52,90180.73,57 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,18840.84,56389.23,37 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,29198.13,51848.32,57 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,14724.98,39741.54,57 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,9119.85,29453.87,57 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,18005.02,32737.24,37 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,10988.24,24847.5,57 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,23399.86,35707.09,37 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC-EXPRESS CARE,,,11807.79,22249.75,37 MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,7666.68,19700.23,37 MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,78160.46,114383.96,57 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,44575.69,109660.45,57 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,18034.81,76234.15,57 MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,13513.68,52196.3,57 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,41056.45,72361.64,57 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,19329.14,45932.74,37 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,12572.28,35217.86,37 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,16460.69,30783.76,57 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,9007.04,21033.56,37 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,8012.37,15903.5,57 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,13523.63,18018.92,57 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,7848.99,11600.33,37 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,18893.19,34942.23,57 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,9306.7,24265.25,57 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,62385.76,149233.17,37 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,17532.96,33481.43,57 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,9236.27,26956.03,57 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,34884.5,50962.88,37 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,8666.75,14084.39,57 MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,9692.1,13436.67,37 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,14521.9,23517.62,57 MS-DRG,885,PSYCHOSES,,,12607.48,20086.1,37 MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,9665.92,17660.61,37 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,5568.13,8968.12,57 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,15751.23,29064.55,57 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,7968.13,13464.23,57 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,37878.4,56533.93,37 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,17280.23,36871.6,57 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,10556.77,29650.25,37 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,33153.33,47707.07,57 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,34653.44,61074.83,57 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,18008.62,43035.24,37 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,11848.39,27776.01,57 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7992.5,14521.94,57 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,15178.09,16533.99,57 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,6013.99,9522.81,57 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,14156.35,20299.71,57 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7736.15,11927.63,57 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,16524.76,28168.77,37 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,9046.73,21509.01,57 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6213.51,15589.98,57 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,15790.05,20713.14,57 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,9185.75,12916.43,57 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,64740.63,124458.02,57 MS-DRG,935,NON-EXTENSIVE BURNS,,,18593.52,24630.45,57 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,32750.76,49846.6,57 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,21092.81,38694.16,37 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,18301.97,31121.39,37 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,11457.57,16161.9,57 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,7225.3,12062.0,57 MS-DRG,949,AFTERCARE WITH CC/MCC,,,9205.84,11270.24,57 MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,5665.62,7476.3,37 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,5018.45,10329.01,57 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,33964.76,94759.53,57 MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,68777.05,123007.55,57 MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,38034.56,95048.94,57 MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,23805.13,77667.4,57 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,26048.97,58204.9,57 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,42348.08,80458.09,57 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,22190.37,60309.98,57 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,15470.52,45264.35,37 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,30944.66,52051.59,57 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,14835.09,36771.69,57 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,10823.95,29788.06,57 NDC,00002-1200-01,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,10198.13,1825.64,13597.5,916 NDC,00002-1495-80,TIRZEPATIDE (DIABETES) 5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1030.8,773.1,697.54,1030.8,915 NDC,00002-4182-30,BARICITINIB 2 MG TABLET,306.6,229.95,207.48,306.6,915 NDC,00002-4732-30,BARICITINIB 1 MG TABLET,306.6,229.95,207.48,306.6,915 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,191.0,143.25,129.25,191.0,915 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),191.0,143.25,129.25,191.0,915 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),191.0,143.25,85.95,191.0,909 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,191.0,143.25,85.95,191.0,909 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,191.0,143.25,85.95,191.0,909 NDC,00002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,38161.9,28621.43,43.05,38161.9,915 NDC,00002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6059.7,4544.77,74.36,6059.7,915 NDC,00002-7678-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,30298.4,22723.8,74.36,30298.4,915 NDC,00002-8805-59,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,49.7,37.28,33.63,49.7,915 NDC,00002-8824-27,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1053.7,790.28,713.04,1053.7,915 NDC,00003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3665.3,2748.98,3.89,3665.3,915 NDC,00003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,27.98,16.79,37.3,911 NDC,00003-0852-22,DASATINIB 100 MG TABLET,1839.1,1379.33,1244.52,1839.1,915 NDC,00003-0893-31,APIXABAN 2.5 MG TABLET,23.5,17.63,15.9,23.5,915 NDC,00003-1614-12,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,158.7,119.03,107.39,158.7,915 NDC,00003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,6256.6,4692.45,44.11,6256.6,915 NDC,00003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9418.3,7063.73,7.89,9418.3,915 NDC,00003-2327-11,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36740.2,27555.15,183.48,36740.2,915 NDC,00003-2328-22,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),146960.4,110220.3,183.48,146960.4,915 NDC,00003-3734-13,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),32229.6,24172.2,32.96,32229.6,915 NDC,00003-3772-11,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),5371.6,4028.7,32.96,5371.6,915 NDC,00003-3774-12,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13428.9,10071.67,32.96,13428.9,915 NDC,00003-4522-11,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12557.6,9418.2,7.89,12557.6,915 NDC,00003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",32229.6,24172.2,27.36,32229.6,915 NDC,00003-7125-11,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,62575.6,46931.7,197.83,62575.6,915 NDC,00005-2000-01,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,242.18,145.31,322.9,909 NDC,00005-4344-62,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID (WRAPPER),0.5,0.38,0.34,0.5,915 NDC,00006-0005-10,SUVOREXANT 5 MG TABLET,57.9,43.43,39.18,57.9,915 NDC,00006-0033-30,SUVOREXANT 10 MG TABLET,57.9,43.43,39.18,57.9,915 NDC,00006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG TABLET,60.0,45.0,40.6,60.0,915 NDC,00006-0227-61,RALTEGRAVIR 400 MG TABLET,122.6,91.95,82.96,122.6,915 NDC,00006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET,43.2,32.4,29.23,43.2,915 NDC,00006-0325-10,SUVOREXANT 15 MG TABLET,57.9,43.43,39.18,57.9,915 NDC,00006-0335-30,SUVOREXANT 20 MG TABLET,57.9,43.43,39.18,57.9,915 NDC,00006-3026-02,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23930.4,17947.8,60.29,23930.4,915 NDC,00006-3076-04,LETERMOVIR 480 MG TABLET,903.8,677.85,611.6,903.8,915 NDC,00006-4096-01,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),118.5,88.88,53.33,118.5,909 NDC,00006-4121-02,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,339.83,203.9,453.1,909 NDC,00006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,113.63,68.18,151.5,909 NDC,00006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,205.43,123.26,273.9,909 NDC,00006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,36.53,21.92,48.7,909 NDC,00006-4981-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),35.7,26.78,16.07,35.7,909 NDC,00006-4992-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,124.13,74.48,165.5,909 NDC,00006-4995-41,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),62.1,46.58,27.95,62.1,909 NDC,00006-5028-02,VERICIGUAT 2.5 MG TABLET,70.7,53.03,47.84,70.7,915 NDC,00006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,529.9,397.43,238.46,529.9,909 NDC,00006-5424-02,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",110.9,83.18,75.05,110.9,915 NDC,00008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),97040.4,72780.3,2698.05,97040.4,915 NDC,00008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),41775.2,31331.4,236.62,41775.2,915 NDC,00009-0005-01,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",744.4,558.3,334.98,744.4,909 NDC,00009-0011-04,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,92.0,69.0,41.4,92.0,910 NDC,00009-0013-05,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,189.0,141.75,85.05,189.0,909 NDC,00009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.0,40.5,24.3,54.0,909 NDC,00009-0047-26,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,49.43,29.66,65.9,910 NDC,00009-0283-01,GELATIN ABSORBABLE IMPLANT FILM,6297.4,4723.05,2833.83,6297.4,909 NDC,00009-0297-03,GELATIN ABSORBABLE EYE FILM,749.3,561.98,337.19,749.3,909 NDC,00009-0433-04,GELATIN ABSORBABLE MUCOSAL POWDER,303.3,227.48,136.49,303.3,909 NDC,00009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,275.8,206.85,124.11,275.8,909 NDC,00009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,73.7,55.28,33.17,73.7,909 NDC,00009-0870-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,48.6,36.45,21.87,48.6,910 NDC,00009-3073-23,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,39.2,29.4,17.64,39.2,913 NDC,00009-3169-06,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,487.8,365.85,219.51,487.8,909 NDC,00009-3794-22,IBUTILIDE 1 MG/50 ML IVPB ARZ ANES,1693.0,1269.75,172.31,1693.0,915 NDC,00009-3794-22,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,338.6,253.95,152.37,338.6,915 NDC,00009-4709-13,MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE,195.2,146.4,87.84,195.2,909 NDC,00009-5091-01,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),183.8,137.85,82.71,183.8,909 NDC,00009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",19701.3,14775.98,5135.09,19701.3,915 NDC,00013-2586-10,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,389.0,291.75,175.05,389.0,909 NDC,00019-0862-50,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,61.65,36.99,82.2,909 NDC,00019-0953-05,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 NDC,00019-1120-06,FERUMOXSIL 175 MCG/ML IRON ORAL SUSPENSION,223.3,167.48,100.49,223.3,909 NDC,00019-9050-40,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,8925.75,2000.94,11901.0,915 NDC,00023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2404.0,1803.0,6.5,2404.0,916 NDC,00023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1324.0,993.0,6.5,1324.0,917 NDC,00023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.4,2.17,3.2,915 NDC,00023-5459-10,CARBOXYMETHYLCELLULOSE 1 %-GLYCERIN 0.9 % EYE GEL DROPS,93.1,69.83,63.0,93.1,915 NDC,00023-5858-01,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,939.23,563.54,1252.3,909 NDC,00023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,53.48,18.11,71.3,915 NDC,00023-6153-08,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,266.0,199.5,180.0,266.0,915 NDC,00023-9205-15,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,58.65,52.92,78.2,915 NDC,00024-0654-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3685.4,2764.05,81.9,3685.4,915 NDC,00024-4142-60,DRONEDARONE 400 MG TABLET,50.7,38.03,34.31,50.7,915 NDC,00024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4225.3,3168.98,377.52,4225.3,915 NDC,00024-5824-11,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,58555.6,43916.7,227.28,58555.6,915 NDC,00024-5840-01,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),3182.4,2386.8,7.88,3182.4,915 NDC,00024-5841-01,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),6364.8,4773.6,7.88,6364.8,915 NDC,00026-3782-25,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,29.4,1.54,39.2,915 NDC,00032-0047-70,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",19.3,14.48,13.06,19.3,915 NDC,00032-2636-01,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",33.4,25.05,22.6,33.4,915 NDC,00032-3016-13,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,37.5,33.84,50.0,915 NDC,00037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,463.88,418.54,618.5,915 NDC,00037-6823-15,PRAMOXINE 1 % TOPICAL FOAM,346.7,260.02,234.61,346.7,915 NDC,00046-0749-05,CONJUGATED ESTROGENS 25 MG/5 ML SOLUTION FOR INJECTION (WETTED),1435.0,1076.25,392.06,1435.0,915 NDC,00046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,1401.0,1050.75,630.45,1401.0,909 NDC,00046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET,28.6,21.45,19.35,28.6,915 NDC,00046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET,28.6,21.45,19.35,28.6,915 NDC,00046-1103-81,CONJUGATED ESTROGENS 0.9 MG TABLET,28.6,21.45,19.35,28.6,915 NDC,00049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,40.13,24.08,53.5,909 NDC,00049-0530-22,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,100.4,75.3,45.18,100.4,909 NDC,00052-0602-02,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,709.5,532.13,3.26,709.5,915 NDC,00054-0010-20,FLECAINIDE 50 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,00054-0057-46,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,310.05,279.75,413.4,915 NDC,00054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,8.32,7.51,11.1,915 NDC,00054-0243-24,CODEINE SULFATE 15 MG TABLET,12.4,9.3,8.39,12.4,915 NDC,00054-0273-13,IMIPRAMINE PAMOATE 75 MG CAPSULE,45.6,34.2,30.86,45.6,915 NDC,00054-0276-13,IMIPRAMINE PAMOATE 150 MG CAPSULE,45.6,34.2,30.86,45.6,915 NDC,00054-0451-71,MULTIVITAMIN WITH MINERALS TABLET (WRAPPER),0.5,0.38,0.34,0.5,915 NDC,00054-0742-87,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,106.2,79.65,71.87,106.2,915 NDC,00054-2526-25,LITHIUM CARBONATE 150 MG CAPSULE,5.5,4.13,3.72,5.5,915 NDC,00054-3090-36,BUTORPHANOL 10 MG/ML NASAL SPRAY,172.3,129.23,77.54,172.3,909 NDC,00054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,9.3,8.39,12.4,915 NDC,00054-3177-63,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,50.18,45.27,66.9,915 NDC,00054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,20.33,18.34,27.1,915 NDC,00054-3566-99,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),474.4,355.8,321.03,474.4,915 NDC,00054-3721-44,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,330.83,198.5,441.1,909 NDC,00054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,157.9,118.43,106.85,157.9,915 NDC,00054-4179-25,DEXAMETHASONE 0.5 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,00054-4181-25,DEXAMETHASONE 1 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00054-4581-11,MERCAPTOPURINE 50 MG TABLET,8.5,6.38,5.75,8.5,915 NDC,00054-8528-25,LITHIUM CARBONATE 300 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,54.0,40.5,24.3,54.0,909 NDC,00065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,166.4,124.8,74.88,166.4,909 NDC,00065-0359-05,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,247.1,185.33,111.2,247.1,909 NDC,00065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS,351.1,263.33,158.0,351.1,909 NDC,00065-0396-05,CYCLOPENTOLATE 1 % EYE DROPS,243.2,182.4,164.57,243.2,915 NDC,00065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS,193.3,144.98,86.99,193.3,909 NDC,00065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION,36.4,27.3,16.38,36.4,909 NDC,00065-0429-15,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,95.3,71.47,64.49,95.3,915 NDC,00065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,37.42,22.46,49.9,909 NDC,00065-0795-15,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,15.38,9.23,20.5,909 NDC,00065-0800-94,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,171.75,103.05,229.0,909 NDC,00065-8064-01,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,78.2,58.65,52.92,78.2,915 NDC,00065-9305-01,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,3.8,2.85,2.57,3.8,915 NDC,00068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,274.4,205.8,123.48,274.4,909 NDC,00069-0136-01,BOSUTINIB 500 MG TABLET,2115.6,1586.7,1431.63,2115.6,915 NDC,00069-0227-01,LORLATINIB 25 MG TABLET,768.3,576.23,519.91,768.3,915 NDC,00069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,1693.9,1270.43,27.85,1693.9,915 NDC,00069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,8469.4,6352.05,27.85,8469.4,915 NDC,00069-0291-01,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,311.9,233.93,0.3,311.9,915 NDC,00069-0293-10,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,311.9,233.93,0.3,311.9,915 NDC,00069-0294-10,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,499.0,374.25,0.3,499.0,915 NDC,00069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9661.2,7245.9,27.99,9661.2,915 NDC,00069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,1700.4,1275.3,25.77,1700.4,915 NDC,00069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,6801.4,5101.05,25.77,6801.4,915 NDC,00069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1732.6,1299.45,19.99,1732.6,915 NDC,00069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",72.4,54.3,7.85,72.4,915 NDC,00069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",144.8,108.6,7.85,144.8,915 NDC,00069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",361.9,271.43,7.85,361.9,915 NDC,00069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1447.2,1085.4,7.85,1447.2,915 NDC,00069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",723.6,542.7,7.85,723.6,915 NDC,00069-2522-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,29791.7,22343.78,184.07,29791.7,915 NDC,00069-4494-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,51926.3,38944.73,184.07,51926.3,915 NDC,00069-6001-21,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),449.7,337.28,1.47,449.7,915 NDC,00074-0561-14,VENETOCLAX 10 MG TABLET,53.4,40.05,36.14,53.4,915 NDC,00074-0566-11,VENETOCLAX 50 MG TABLET,226.7,170.03,153.41,226.7,915 NDC,00074-0576-11,VENETOCLAX 100 MG TABLET,460.0,345.0,311.28,460.0,915 NDC,00074-1043-28,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,1082.03,976.28,1442.7,915 NDC,00074-1044-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),11122.5,8341.88,143.99,11122.5,915 NDC,00074-1055-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),55612.5,41709.38,143.99,55612.5,915 NDC,00074-2625-28,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,389.78,351.68,519.7,915 NDC,00074-3346-03,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2067.8,1550.85,176.45,2067.8,915 NDC,00074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4135.6,3101.7,176.45,4135.6,915 NDC,00074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4346.8,3260.1,1730.32,4346.8,915 NDC,00074-3642-03,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,689.3,516.98,176.45,689.3,915 NDC,00074-3663-03,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,13040.4,9780.3,1730.32,13040.4,915 NDC,00074-3683-03,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2757.0,2067.75,176.45,2757.0,915 NDC,00074-3799-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),13499.1,10124.33,9134.84,13499.1,915 NDC,00074-3878-10,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,1373.4,1030.05,1.68,1373.4,915 NDC,00074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,45.53,41.08,60.7,915 NDC,00074-4456-51,SEVOFLURANE 99.97 % INHALATION LIQUID,263.2,197.4,118.44,263.2,909 NDC,00074-4637-01,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,49.9,37.42,22.46,49.9,909 NDC,00074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,40400.4,30300.3,14.94,40400.4,915 NDC,00078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,269.2,201.9,121.14,269.2,909 NDC,00078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,17584.6,13188.45,4686.85,17584.6,915 NDC,00078-0526-87,NILOTINIB HCL 200 MG CAPSULE,653.9,490.43,442.49,653.9,915 NDC,00078-0567-51,EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET,2160.1,1620.08,1461.74,2160.1,915 NDC,00078-0594-51,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET,2067.8,1550.85,1399.28,2067.8,915 NDC,00078-0620-51,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET,2160.1,1620.08,1461.74,2160.1,915 NDC,00078-0626-61,EVEROLIMUS (ANTINEOPLASTIC) 2 MG TABLET FOR ORAL SUSPENSION,2057.8,1543.35,1392.51,2057.8,915 NDC,00078-0627-61,EVEROLIMUS (ANTINEOPLASTIC) 3 MG TABLET FOR ORAL SUSPENSION,2077.8,1558.35,1406.05,2077.8,915 NDC,00078-0628-61,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET FOR ORAL SUSPENSION,2160.1,1620.08,1461.74,2160.1,915 NDC,00078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,46.5,34.88,20.93,46.5,909 NDC,00078-0685-15,ELTROMBOPAG OLAMINE 25 MG TABLET,838.4,628.8,567.35,838.4,915 NDC,00078-0686-15,ELTROMBOPAG OLAMINE 50 MG TABLET,1468.6,1101.45,993.8,1468.6,915 NDC,00078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,34.88,20.93,46.5,909 NDC,00078-0698-99,MIDOSTAURIN 25 MG CAPSULE,760.6,570.45,514.7,760.6,915 NDC,00078-0729-10,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1324.5,993.38,896.29,1324.5,915 NDC,00078-0811-81,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12017.2,9012.9,203.58,12017.2,915 NDC,00078-0813-01,TOBRAMYCIN 0.3 % EYE OINTMENT,940.6,705.45,636.5,940.6,915 NDC,00078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15744.5,11808.38,203.58,15744.5,915 NDC,00078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,746.93,448.16,995.9,909 NDC,00078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9757.8,7318.35,129.48,9757.8,915 NDC,00078-0897-78,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,268.4,201.3,24.5,268.4,916 NDC,00078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13878.1,10408.58,12.32,13878.1,915 NDC,00078-1217-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,121125.0,255.84,161500.0,915 NDC,00085-1381-01,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),3912.2,2934.15,10.39,3912.2,915 NDC,00088-2102-24,RIFAPENTINE 150 MG TABLET,21.5,16.13,14.55,21.5,915 NDC,00088-2219-05,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,68.3,51.23,46.22,68.3,915 NDC,00088-2220-33,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,227.4,170.55,153.88,227.4,915 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,312.7,234.53,211.6,312.7,915 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),312.7,234.53,140.72,312.7,909 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),312.7,234.53,140.72,312.7,909 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,312.7,234.53,140.72,312.7,909 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,312.7,234.53,140.72,312.7,909 NDC,00093-0810-01,NORTRIPTYLINE 10 MG CAPSULE,5.5,4.13,3.72,5.5,915 NDC,00093-0811-01,NORTRIPTYLINE 25 MG CAPSULE,5.6,4.2,3.79,5.6,915 NDC,00093-0812-01,NORTRIPTYLINE 50 MG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,00093-1177-01,NEOMYCIN 500 MG TABLET,8.5,6.38,5.75,8.5,915 NDC,00093-1715-01,WARFARIN 3 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00093-1716-01,WARFARIN 4 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00093-3066-93,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9665.0,7248.75,6540.31,9665.0,915 NDC,00093-3223-08,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,51.38,46.35,68.5,915 NDC,00093-3243-56,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,00093-3560-26,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,261.0,195.75,176.62,261.0,915 NDC,00093-3656-40,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,117.6,88.2,79.58,117.6,915 NDC,00093-3657-40,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,94.9,71.18,64.22,94.9,915 NDC,00093-3658-40,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,258.9,194.18,175.2,258.9,915 NDC,00093-3659-40,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,276.5,207.38,187.11,276.5,915 NDC,00093-5416-01,CLOZAPINE 12.5 MG DISINTEGRATING TABLET,10.8,8.1,7.31,10.8,915 NDC,00093-6815-55,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,9.0,8.12,12.0,915 NDC,00093-6816-55,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,12.45,11.23,16.6,915 NDC,00093-7662-56,ERLOTINIB 25 MG TABLET,25.0,18.75,16.92,25.0,915 NDC,00093-7664-56,ERLOTINIB 150 MG TABLET,21.4,16.05,14.48,21.4,915 NDC,00093-7767-24,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,76.8,57.6,51.97,76.8,915 NDC,00093-9020-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.98,6.29,9.3,915 NDC,00115-1694-49,"EPINEPHRINE (ADRENACLICK) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",452.7,339.53,203.72,452.7,909 NDC,00115-1750-08,ACITRETIN 10 MG CAPSULE,22.1,16.58,14.96,22.1,915 NDC,00115-1753-08,ACITRETIN 25 MG CAPSULE,24.2,18.15,16.38,24.2,915 NDC,00115-2611-01,TERBUTALINE 2.5 MG TABLET,11.3,8.48,7.65,11.3,915 NDC,00115-4433-01,DANTROLENE 100 MG CAPSULE,9.9,7.43,6.7,9.9,915 NDC,00116-4005-11,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.3,5.48,4.94,7.3,915 NDC,00116-4005-15,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.6,7.2,6.5,9.6,915 NDC,00121-0581-05,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,6.3,4.72,4.26,6.3,915 NDC,00121-0646-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,65.4,49.05,44.26,65.4,915 NDC,00121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,91.88,82.9,122.5,915 NDC,00121-0853-40,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,58.0,43.5,39.25,58.0,915 NDC,00121-0873-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.4,4.8,4.33,6.4,915 NDC,00121-0893-00,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.4,6.3,5.68,8.4,915 NDC,00121-0904-94,MORPHINE 10 MG/5 ML ORAL SOLUTION,14.2,10.65,9.61,14.2,915 NDC,00121-0905-94,DIAZEPAM 1 MG/ML ORAL SOLUTION (WRAPPER),22.3,16.73,15.09,22.3,915 NDC,00121-0978-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,19.7,14.78,13.33,19.7,915 NDC,00121-1488-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.38,0.34,0.5,915 NDC,00121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,16.5,12.38,11.17,16.5,915 NDC,00121-1775-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,20.8,15.6,14.08,20.8,915 NDC,00121-1781-05,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.38,0.34,0.5,915 NDC,00121-4675-00,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.7,7.28,6.56,9.7,915 NDC,00121-4766-05,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.38,0.34,0.5,915 NDC,00121-4967-40,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,5.7,5.14,7.6,915 NDC,00132-0201-40,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,3.98,3.59,5.3,915 NDC,00132-0202-20,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,6.2,4.65,4.2,6.2,915 NDC,00132-0301-40,MINERAL OIL ENEMA,8.1,6.08,5.48,8.1,915 NDC,00135-0199-02,METHYLCELLULOSE (LAXATIVE) 500 MG TABLET,2.6,1.95,1.76,2.6,915 NDC,00143-1455-01,PHENOBARBITAL 60 MG TABLET,11.4,8.55,7.71,11.4,915 NDC,00143-1500-01,PHENOBARBITAL 30 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00143-9092-01,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),145.8,109.35,65.61,145.8,909 NDC,00143-9135-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),208.3,156.23,20.35,208.3,915 NDC,00143-9135-01,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),208.3,156.23,20.35,208.3,915 NDC,00143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,48.0,36.0,21.6,48.0,909 NDC,00143-9209-10,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,31.65,18.99,42.2,910 NDC,00143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),63.2,47.4,28.44,63.2,909 NDC,00143-9240-01,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),63.2,47.4,28.44,63.2,909 NDC,00143-9280-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),407.8,305.85,20.35,407.8,915 NDC,00143-9280-01,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),407.8,305.85,20.35,407.8,915 NDC,00143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,51.0,30.6,68.0,909 NDC,00143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,88.2,52.92,117.6,909 NDC,00143-9428-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,88.9,66.68,40.01,88.9,910 NDC,00143-9503-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,92.7,69.53,41.72,92.7,910 NDC,00143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),45.8,34.35,20.61,45.8,909 NDC,00143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER) ARZ ANES,45.8,34.35,20.61,45.8,909 NDC,00143-9510-01,ETOPOSIDE CHEMO UNDILUTED IVPB,117.3,87.98,52.79,117.3,909 NDC,00143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,112.5,84.38,50.63,112.5,910 NDC,00143-9555-01,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,57.3,42.98,25.79,57.3,909 NDC,00143-9559-01,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,444.0,333.0,0.8,444.0,915 NDC,00143-9637-10,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,9.75,5.85,13.0,909 NDC,00143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,33.08,19.85,44.1,909 NDC,00143-9684-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,45.4,34.05,20.43,45.4,909 NDC,00143-9719-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,67.8,40.68,90.4,909 NDC,00143-9744-10,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,44.7,33.53,20.12,44.7,912 NDC,00143-9786-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,66.7,50.03,30.02,66.7,909 NDC,00143-9803-50,DOXYCYCLINE HYCLATE 100 MG CAPSULE,5.6,4.2,3.79,5.6,915 NDC,00143-9924-90,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.3,27.98,16.79,37.3,909 NDC,00143-9924-90,CEFAZOLIN 1 GRAM POWDER VIAL OSM,7.0,5.25,3.15,7.0,909 NDC,00143-9924-90,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.3,27.98,16.79,37.3,913 NDC,00143-9977-22,CEFUROXIME 1.5 GRAM POWDER VIAL OSM,24.9,18.68,11.21,24.9,909 NDC,00143-9977-22,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,50.2,37.65,22.59,50.2,910 NDC,00143-9983-03,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,51.0,38.25,22.95,51.0,909 NDC,00168-0003-15,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,57.3,42.98,38.77,57.3,915 NDC,00168-0041-60,BETAMETHASONE VALERATE 0.1 % LOTION,190.7,143.03,129.05,190.7,915 NDC,00168-0057-60,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,124.6,93.45,84.32,124.6,915 NDC,00168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,43.95,39.65,58.6,915 NDC,00168-0099-15,KETOCONAZOLE 2 % TOPICAL CREAM,66.0,49.5,44.66,66.0,915 NDC,00168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,46.95,42.36,62.6,915 NDC,00168-0258-15,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,76.1,57.08,51.5,76.1,915 NDC,00168-0277-40,CLINDAMYCIN 2 % VAGINAL CREAM,287.2,215.4,194.35,287.2,915 NDC,00168-0323-46,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,112.58,101.57,150.1,915 NDC,00168-0357-55,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,76.9,57.68,34.61,76.9,909 NDC,00168-0383-60,METRONIDAZOLE 0.75 % LOTION,521.5,391.13,352.9,521.5,915 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,129.8,97.35,58.41,129.8,909 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,129.8,97.35,58.41,129.8,909 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,129.8,97.35,87.84,129.8,915 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),129.8,97.35,87.84,129.8,915 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION ARZ ANES,129.8,97.35,87.84,129.8,915 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,129.8,97.35,58.41,129.8,909 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,129.8,97.35,58.41,129.8,909 NDC,00169-1834-11,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,129.8,97.35,87.84,129.8,915 NDC,00169-2660-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,108.98,98.32,145.3,915 NDC,00169-3003-15,INSULIN REGULAR U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,67.6,50.7,45.74,67.6,915 NDC,00169-6339-10,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,57.3,42.98,38.77,57.3,915 NDC,00169-6339-10,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),57.3,42.98,25.79,57.3,909 NDC,00169-6339-10,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),57.3,42.98,38.77,57.3,915 NDC,00169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",9640.0,7230.0,2.66,9640.0,915 NDC,00169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",19280.0,14460.0,2.66,19280.0,915 NDC,00169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",48200.0,36150.0,2.66,48200.0,915 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),148.3,111.23,66.74,148.3,909 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,148.3,111.23,66.74,148.3,909 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,148.3,111.23,66.74,148.3,909 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,148.3,111.23,100.35,148.3,915 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),148.3,111.23,100.35,148.3,915 NDC,00172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,386.7,348.91,515.6,915 NDC,00173-0521-00,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1262.4,946.8,854.27,1262.4,915 NDC,00173-0859-14,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,271.8,245.24,362.4,915 NDC,00173-0869-06,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,196.05,176.89,261.4,915 NDC,00173-0873-06,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,138.53,124.99,184.7,915 NDC,00173-0874-14,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,201.98,182.24,269.3,915 NDC,00173-0876-14,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,255.15,230.21,340.2,915 NDC,00173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,13156.8,9867.6,31.27,13156.8,915 NDC,00173-0882-14,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,271.8,245.24,362.4,915 NDC,00173-0887-14,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,438.45,395.6,584.6,915 NDC,00173-0893-14,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,438.45,395.6,584.6,915 NDC,00173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,48813.6,36610.2,243.71,48813.6,915 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,95472.0,71604.0,42962.4,95472.0,909 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG/1.4 ML INTRAVENOUS SOLUTION (WETTED),95472.0,71604.0,42962.4,95472.0,909 NDC,00186-0777-39,TICAGRELOR 90 MG TABLET,26.4,19.8,17.86,26.4,915 NDC,00225-0525-47,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,9.75,8.8,13.0,915 NDC,00225-0800-47,PHENYLEPHRINE 0.25 % NASAL SPRAY,15.7,11.78,10.62,15.7,915 NDC,00225-0805-47,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,11.78,7.07,15.7,909 NDC,00228-2076-10,TEMAZEPAM 15 MG CAPSULE,10.3,7.73,6.97,10.3,915 NDC,00228-2129-10,CLONIDINE HCL 0.3 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00245-5315-01,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",6.6,4.95,4.47,6.6,915 NDC,00254-1010-19,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,668.7,501.53,452.51,668.7,915 NDC,00254-1016-36,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,68.6,51.45,46.42,68.6,915 NDC,00254-2000-01,PENICILLAMINE 250 MG TABLET,150.2,112.65,101.64,150.2,915 NDC,00259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1002.4,751.8,5.57,1002.4,915 NDC,00259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1911.2,1433.4,5.57,1911.2,915 NDC,00259-1620-01,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,3822.3,2866.73,5.57,3822.3,915 NDC,00264-1800-32,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,62.85,37.71,83.8,909 NDC,00264-2101-10,"WATER FOR IRRIGATION, STERILE SOLUTION",55.3,41.48,24.89,55.3,909 NDC,00264-2203-00,LACTATED RINGERS IRRIGATION SOLUTION,60.5,45.38,27.23,60.5,909 NDC,00264-7510-20,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,65.47,39.29,87.3,910 NDC,00264-7625-00,D5W KCL 20 MEQ/L IV SOLP,110.0,82.5,49.5,110.0,909 NDC,00264-7750-10,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,65.47,39.29,87.3,909 NDC,00264-9872-10,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",89.0,66.75,40.05,89.0,909 NDC,00270-0091-01,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,495.75,297.45,661.0,909 NDC,00270-0149-57,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,28.2,16.92,37.6,909 NDC,00270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,49.5,37.13,22.28,49.5,910 NDC,00270-0445-35,"DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 9,175 MG IODINE/1,000 ML WATER ORAL SOL",43.0,32.25,19.35,43.0,909 NDC,00270-0445-40,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,22.0,16.5,9.9,22.0,910 NDC,00270-0556-15,SINCALIDE 5 MCG SOLUTION FOR INJECTION,508.2,381.15,228.69,508.2,909 NDC,00270-1315-30,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,68.4,51.3,30.78,68.4,909 NDC,00270-1316-35,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,73.9,55.43,33.26,73.9,909 NDC,00270-1316-37,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,84.2,63.15,37.89,84.2,909 NDC,00270-1316-52,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.7,56.03,33.62,74.7,909 NDC,00270-1410-30,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,78.3,58.73,35.24,78.3,910 NDC,00270-5164-12,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.9,34.42,20.66,45.9,909 NDC,00270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.9,34.42,20.66,45.9,909 NDC,00270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.8,34.35,20.61,45.8,909 NDC,00270-7030-42,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),229.3,171.98,103.19,229.3,909 NDC,00270-7097-08,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 NDC,00270-7097-08,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,550.1,412.58,247.55,550.1,909 NDC,00281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,12.2,9.15,8.26,12.2,915 NDC,00283-0610-26,BENZOCAINE 20 % MUCOSAL SPRAY,39.3,29.48,26.59,39.3,915 NDC,00283-0679-02,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,113.93,68.36,151.9,909 NDC,00310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,60.3,54.41,80.4,915 NDC,00310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,60.3,54.41,80.4,915 NDC,00310-1349-30,OSIMERTINIB 40 MG TABLET,1866.0,1399.5,1262.72,1866.0,915 NDC,00310-1350-30,OSIMERTINIB 80 MG TABLET,1866.0,1399.5,1262.72,1866.0,915 NDC,00310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21967.6,16475.7,18.08,21967.6,915 NDC,00310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,4202.8,3152.1,85.12,4202.8,915 NDC,00310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,14062.9,10547.18,140.9,14062.9,915 NDC,00310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,168753.9,126565.43,140.9,168753.9,915 NDC,00310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,17511.3,13133.48,85.12,17511.3,915 NDC,00310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,59.4,44.55,40.2,59.4,915 NDC,00327-0001-10,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,27.6,20.7,12.42,27.6,909 NDC,00338-0003-47,"WATER FOR IRRIGATION, STERILE SOLUTION",71.0,53.25,31.95,71.0,909 NDC,00338-0004-02,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,42.75,25.65,57.0,909 NDC,00338-0017-02,D5W 500 ML FOR IMPELLA,85.5,64.13,38.48,85.5,909 NDC,00338-0017-02,D5W IV BOLUS,80.3,60.23,36.14,80.3,909 NDC,00338-0017-02,D5W IV FIXED RATE (ANES ONLY),80.3,60.23,36.14,80.3,909 NDC,00338-0017-02,DEXTROSE 5% IN WATER FLUSH BAG,80.3,60.23,36.14,80.3,909 NDC,00338-0017-03,D5W 500 ML FOR IMPELLA,80.3,60.23,36.14,80.3,909 NDC,00338-0017-03,D5W IV FIXED RATE (ANES ONLY),80.3,60.23,36.14,80.3,909 NDC,00338-0017-03,DEXTROSE 5% IN WATER FLUSH BAG,80.3,60.23,36.14,80.3,909 NDC,00338-0017-04,D5W 500 ML FOR IMPELLA,82.0,61.5,36.9,82.0,909 NDC,00338-0017-04,D5W IV FIXED RATE (ANES ONLY),82.0,61.5,36.9,82.0,909 NDC,00338-0017-04,D5W IV SOLP,82.0,61.5,36.9,82.0,909 NDC,00338-0017-04,DEXTROSE 5% IN WATER FLUSH BAG,82.0,61.5,36.9,82.0,909 NDC,00338-0017-10,D5W IV FIXED RATE (ANES ONLY),80.7,60.53,36.32,80.7,909 NDC,00338-0017-11,DEXTROSE 5% IN WATER FLUSH BAG,80.5,60.38,36.23,80.5,909 NDC,00338-0017-41,D5W 500 ML FOR IMPELLA,203.7,152.78,91.67,203.7,909 NDC,00338-0017-41,D5W IV FIXED RATE (ANES ONLY),80.8,60.6,36.36,80.8,909 NDC,00338-0017-48,D5W 500 ML FOR IMPELLA,104.8,78.6,47.16,104.8,909 NDC,00338-0017-48,D5W IV FIXED RATE (ANES ONLY),81.0,60.75,36.45,81.0,909 NDC,00338-0017-48,DEXTROSE 5% IN WATER FLUSH BAG,81.0,60.75,36.45,81.0,909 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) FOR ORAL ADMINISTRATION,12.9,9.68,5.81,12.9,909 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),82.9,62.18,37.31,82.9,909 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),82.9,62.18,37.31,82.9,909 NDC,00338-0023-02,DEXTROSE 10 % IV BOLUS,82.9,62.18,37.31,82.9,909 NDC,00338-0023-03,DEXTROSE 10 % IN WATER (D10W) FOR ORAL ADMINISTRATION,10.3,7.73,4.64,10.3,909 NDC,00338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),80.3,60.23,36.14,80.3,909 NDC,00338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),80.3,60.23,36.14,80.3,909 NDC,00338-0023-03,DEXTROSE 10 % IV BOLUS,77.7,58.28,34.97,77.7,909 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) FOR ORAL ADMINISTRATION,8.5,6.38,3.83,8.5,909 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),78.5,58.88,35.33,78.5,909 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),78.5,58.88,35.33,78.5,909 NDC,00338-0023-04,DEXTROSE 10 % IV BOLUS,75.9,56.93,34.16,75.9,909 NDC,00338-0043-03,NACL 0.45% IV SOLP CRRT,89.0,66.75,40.05,89.0,909 NDC,00338-0043-04,NACL 0.45% FREE DRIP,82.0,61.5,36.9,82.0,909 NDC,00338-0043-04,NACL 0.45% IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0043-04,NACL 0.45% IV SOLP,82.0,61.5,36.9,82.0,909 NDC,00338-0043-04,NACL 0.45% IV SOLP CRRT,82.0,61.5,36.9,82.0,909 NDC,00338-0048-02,NACL 0.9% IRRIGATION SOLN,57.0,42.75,25.65,57.0,909 NDC,00338-0049-02,NACL 0.9 % IV FREE DRIP,80.3,60.23,36.14,80.3,909 NDC,00338-0049-02,NACL 0.9% IV BOLUS,75.6,56.7,34.02,75.6,909 NDC,00338-0049-02,NACL 0.9% IV SOLP,80.3,60.23,36.14,80.3,912 NDC,00338-0049-02,NACL 0.9% IV SOLP (PERFUSION ONLY),80.3,60.23,36.14,80.3,909 NDC,00338-0049-03,NACL 0.9 % IV FREE DRIP,80.3,60.23,36.14,80.3,909 NDC,00338-0049-03,NACL 0.9% IV BOLUS,75.3,56.48,33.89,75.3,909 NDC,00338-0049-03,NACL 0.9% IV SOLP,80.3,60.23,36.14,80.3,910 NDC,00338-0049-03,NACL 0.9% IV SOLP (PERFUSION ONLY),80.3,60.23,36.14,80.3,909 NDC,00338-0049-04,NACL 0.9 % IV FREE DRIP,82.0,61.5,36.9,82.0,909 NDC,00338-0049-04,NACL 0.9 % TABLE SOLUTION OSM,8.5,6.38,3.83,8.5,909 NDC,00338-0049-04,NACL 0.9% IV BOLUS,75.2,56.4,33.84,75.2,909 NDC,00338-0049-04,NACL 0.9% IV SOLP (PERFUSION ONLY),82.0,61.5,36.9,82.0,909 NDC,00338-0049-18,NACL 0.9% IV SOLP,83.4,62.55,37.53,83.4,910 NDC,00338-0049-31,NACL 0.9 % IV FREE DRIP,80.1,60.08,36.05,80.1,909 NDC,00338-0049-31,NACL 0.9% IV BOLUS,77.6,58.2,34.92,77.6,909 NDC,00338-0049-31,NACL 0.9% IV SOLP,80.1,60.08,36.05,80.1,910 NDC,00338-0049-31,NACL 0.9% IV SOLP (PERFUSION ONLY),80.1,60.08,36.05,80.1,909 NDC,00338-0049-48,NACL 0.9 % IV FREE DRIP,81.0,60.75,36.45,81.0,909 NDC,00338-0049-48,NACL 0.9% IV BOLUS,76.5,57.38,34.43,76.5,909 NDC,00338-0049-48,NACL 0.9% IV SOLP (PERFUSION ONLY),81.0,60.75,36.45,81.0,909 NDC,00338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,62.85,37.71,83.8,909 NDC,00338-0054-03,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,62.85,37.71,83.8,909 NDC,00338-0056-03,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,85.5,64.13,38.48,85.5,909 NDC,00338-0077-04,D5-NACL 0.2% IV SOLP,82.0,61.5,36.9,82.0,909 NDC,00338-0085-03,D5-NACL 0.45% IV BOLUS,80.3,60.23,36.14,80.3,909 NDC,00338-0085-04,D5-NACL 0.45% IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0085-04,D5-NACL 0.45% IV SOLP,82.0,61.5,36.9,82.0,909 NDC,00338-0089-03,D5-NACL 0.9% IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0089-04,D5-NACL 0.9% IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0089-04,D5-NACL 0.9% IV SOLP,82.0,61.5,36.9,82.0,910 NDC,00338-0112-20,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,195.5,146.63,87.98,195.5,909 NDC,00338-0117-02,LACTATED RINGERS INTRAVENOUS SOLUTION,78.5,58.88,35.33,78.5,915 NDC,00338-0117-03,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,60.23,36.14,80.3,915 NDC,00338-0117-04,LACTATED RINGERS FIXED RATE,82.0,61.5,36.9,82.0,909 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION,82.0,61.5,36.9,82.0,915 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,61.5,36.9,82.0,909 NDC,00338-0117-04,LACTATED RINGERS IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0125-03,D5LR FREE DRIP (ANES),80.3,60.23,36.14,80.3,909 NDC,00338-0125-04,D5LR BOLUS (ANES),75.4,56.55,33.93,75.4,909 NDC,00338-0125-04,D5LR FREE DRIP (ANES),82.0,61.5,36.9,82.0,909 NDC,00338-0125-04,D5LR IV BOLUS,82.0,61.5,36.9,82.0,909 NDC,00338-0125-04,D5LR IV SOLP,82.0,61.5,36.9,82.0,910 NDC,00338-0126-12,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,151.5,90.9,202.0,909 NDC,00338-0126-12,INSULIN REGULAR IV SYRINGE 1 UNIT/ML IN NACL 0.9% (NEO/PED)-DRAWN UP FROM PREMIX BAG/CNR DURING SHORTAGE,202.0,151.5,90.9,202.0,909 NDC,00338-0137-27,LACTATED RINGERS IRRIGATION SOLUTION,81.5,61.13,36.68,81.5,909 NDC,00338-0137-29,LACTATED RINGERS IRRIGATION SOLUTION,157.5,118.13,70.88,157.5,909 NDC,00338-0180-01,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,804.0,603.0,361.8,804.0,909 NDC,00338-0184-04,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,960.0,720.0,432.0,960.0,909 NDC,00338-0221-04,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,64.13,38.48,85.5,909 NDC,00338-0221-04,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),85.5,64.13,38.48,85.5,909 NDC,00338-0289-47,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,61.13,36.68,81.5,909 NDC,00338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",132.1,99.08,59.45,132.1,909 NDC,00338-0330-01,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",517.4,388.05,232.83,517.4,909 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,65.47,39.29,87.3,909 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,65.47,39.29,87.3,909 NDC,00338-0433-04,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER FOR ARZ)",92.5,69.38,41.63,92.5,909 NDC,00338-0433-04,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",92.5,69.38,41.63,92.5,910 NDC,00338-0502-06,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,869.0,651.75,391.05,869.0,909 NDC,00338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,62.33,37.4,83.1,910 NDC,00338-0505-48,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,62.85,37.71,83.8,910 NDC,00338-0507-48,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,911 NDC,00338-0509-41,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,61.95,37.17,82.6,909 NDC,00338-0551-11,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,63.75,38.25,85.0,909 NDC,00338-0553-11,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,63.75,38.25,85.0,909 NDC,00338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION (STERILE),15.5,11.63,6.98,15.5,909 NDC,00338-0663-04,D5-NACL 0.2% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-0675-04,D5-NACL 0.45% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-0691-04,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,61.5,36.9,82.0,909 NDC,00338-0695-04,NACL 0.9% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-0704-34,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,909 NDC,00338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,63.38,38.03,84.5,910 NDC,00338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,189.0,141.75,85.05,189.0,909 NDC,00338-0803-04,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-0807-04,D5-NACL 0.9% KCL 40 MEQ/L IV SOLP,85.5,64.13,38.48,85.5,909 NDC,00338-1005-02,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,74.63,44.78,99.5,910 NDC,00338-1049-02,NITROGLYCERIN 40 MCG/ML INJECTION ARZ ANES,189.0,141.75,85.05,189.0,909 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,141.75,85.05,189.0,910 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,141.75,85.05,189.0,909 NDC,00338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,74.03,44.42,98.7,910 NDC,00338-1099-04,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,751.5,563.63,338.18,751.5,909 NDC,00338-1101-04,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION,755.0,566.25,339.75,755.0,909 NDC,00338-1123-04,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,882.0,661.5,396.9,882.0,909 NDC,00338-1125-04,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,888.5,666.38,399.83,888.5,909 NDC,00338-1305-01,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,24.38,14.63,32.5,909 NDC,00338-1305-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,66.4,49.8,29.88,66.4,909 NDC,00338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,59.93,35.96,79.9,911 NDC,00338-3552-48,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK (PREMIX/CNR),100.2,75.15,45.09,100.2,910 NDC,00338-3580-48,VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK (PREMIX/CNR),204.6,153.45,92.07,204.6,910 NDC,00338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.4,69.3,41.58,92.4,910 NDC,00338-3612-24,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,69.3,41.58,92.4,909 NDC,00338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,96.4,72.3,43.38,96.4,911 NDC,00338-9540-06,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",189.9,142.43,85.46,189.9,909 NDC,00338-9555-24,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,100.9,75.68,45.41,100.9,909 NDC,00338-9638-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK,192.0,144.0,86.4,192.0,911 NDC,00338-9667-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",509.0,381.75,108.47,509.0,915 NDC,00362-0557-05,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",45.9,34.42,20.66,45.9,909 NDC,00378-0501-01,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,00378-0503-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,00378-0612-01,THIORIDAZINE 10 MG TABLET,6.6,4.95,4.47,6.6,915 NDC,00378-0618-01,THIORIDAZINE 100 MG TABLET,8.1,6.08,5.48,8.1,915 NDC,00378-6090-01,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",14.5,10.88,9.81,14.5,915 NDC,00378-6998-89,SODIUM CHLORIDE 10 % FOR NEBULIZATION,5.7,4.28,3.86,5.7,915 NDC,00378-8760-58,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,9.6,8.66,12.8,915 NDC,00378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,5.1,4.6,6.8,915 NDC,00378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,5.48,4.94,7.3,915 NDC,00378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,5.63,5.08,7.5,915 NDC,00378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,6.15,5.55,8.2,915 NDC,00378-9119-98,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,72.0,54.0,48.72,72.0,915 NDC,00378-9720-55,PENCICLOVIR 1 % TOPICAL CREAM,2342.7,1757.03,1585.31,2342.7,915 NDC,00386-0001-04,ETHYL CHLORIDE 100 % TOPICAL SPRAY,173.5,130.13,117.41,173.5,915 NDC,00395-0243-92,BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE,31.6,23.7,14.22,31.6,909 NDC,00395-0247-92,BENZOIN (BULK) TOPICAL TINCTURE,35.4,26.55,23.96,35.4,915 NDC,00395-1003-92,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,55.95,33.57,74.6,909 NDC,00395-1031-16,GLYCERIN 99.5 % TOPICAL SOLUTION,83.3,62.48,37.49,83.3,909 NDC,00395-1213-16,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,155.4,116.55,69.93,155.4,909 NDC,00395-1249-28,ISOPROPYL ALCOHOL 70 % SOLUTION,146.5,109.88,99.14,146.5,915 NDC,00395-2243-91,PEPPERMINT SPIRIT ORAL,30.8,23.1,13.86,30.8,909 NDC,00395-2685-01,SODIUM BICARBONATE (BULK) POWDER,73.5,55.13,33.08,73.5,909 NDC,00406-0125-62,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.3,9.23,8.32,12.3,915 NDC,00406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,9.07,8.19,12.1,915 NDC,00406-0523-62,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,17.7,13.28,11.98,17.7,915 NDC,00406-0552-62,OXYCODONE 5 MG TABLET,11.6,8.7,7.85,11.6,915 NDC,00406-5755-62,METHADONE 5 MG TABLET,11.3,8.48,7.65,11.3,915 NDC,00406-8510-62,OXYCODONE 10 MG TABLET,12.9,9.68,8.73,12.9,915 NDC,00407-0690-10,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,59.4,44.55,26.73,59.4,909 NDC,00407-0690-15,GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) INTRAVENOUS SOLUTION,89.1,66.83,40.1,89.1,909 NDC,00407-0690-20,GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION,118.8,89.1,53.46,118.8,909 NDC,00407-1401-52,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,54.15,32.49,72.2,913 NDC,00407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,114.8,86.1,51.66,114.8,912 NDC,00407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,31.35,18.81,41.8,909 NDC,00407-1413-10,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,115.3,86.48,51.89,115.3,913 NDC,00407-1413-10,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",288.1,216.08,129.65,288.1,909 NDC,00407-1413-10,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),21.7,16.27,9.77,21.7,909 NDC,00407-1413-59,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,47.0,35.25,21.15,47.0,913 NDC,00407-1413-59,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",64.8,48.6,29.16,64.8,909 NDC,00407-1413-59,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.8,5.1,3.06,6.8,909 NDC,00407-1413-61,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.0,31.5,18.9,42.0,913 NDC,00407-1413-61,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",52.5,39.38,23.63,52.5,909 NDC,00407-1413-61,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.1,4.58,2.75,6.1,909 NDC,00407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,41.7,31.28,18.77,41.7,913 NDC,00407-1413-63,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.7,38.78,23.27,51.7,909 NDC,00407-1413-63,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.0,4.5,2.7,6.0,909 NDC,00407-1413-65,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,41.5,31.13,18.68,41.5,913 NDC,00407-1413-65,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.2,38.4,23.04,51.2,909 NDC,00407-1413-65,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.0,4.5,2.7,6.0,909 NDC,00407-1414-72,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,67.8,50.85,30.51,67.8,912 NDC,00407-1414-89,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,72.8,54.6,32.76,72.8,912 NDC,00407-1414-90,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,44.4,33.3,19.98,44.4,912 NDC,00407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,54.15,32.49,72.2,912 NDC,00407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,69.2,51.9,31.14,69.2,912 NDC,00407-1414-94,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,72.4,54.3,32.58,72.4,912 NDC,00407-2223-16,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,910 NDC,00407-2223-17,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,910 NDC,00407-2223-19,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,910 NDC,00407-2223-21,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,910 NDC,00407-2707-18,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,304.0,228.0,136.8,304.0,909 NDC,00407-2707-18,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,304.0,228.0,136.8,304.0,909 NDC,00409-0016-01,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),379.1,284.33,170.6,379.1,909 NDC,00409-0152-24,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,60.45,36.27,80.6,909 NDC,00409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,60.45,36.27,80.6,914 NDC,00409-0183-25,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),117.8,88.35,53.01,117.8,909 NDC,00409-0183-25,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),176.2,132.15,79.29,176.2,909 NDC,00409-0187-01,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),435.9,326.93,196.16,435.9,909 NDC,00409-0212-02,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,52.8,39.6,23.76,52.8,909 NDC,00409-0323-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,236.7,177.53,106.52,236.7,909 NDC,00409-0323-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),236.7,177.53,106.52,236.7,909 NDC,00409-0323-20,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),236.7,177.53,106.52,236.7,909 NDC,00409-0801-01,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10262.9,7697.18,2608.16,10262.9,915 NDC,00409-1141-02,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INTRAVENOUS SOLUTION,64.0,48.0,28.8,64.0,909 NDC,00409-1162-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,39.5,29.63,17.78,39.5,912 NDC,00409-1273-32,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,128.78,77.27,171.7,910 NDC,00409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,57.08,34.25,76.1,914 NDC,00409-1403-10,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),41.6,31.2,18.72,41.6,909 NDC,00409-1434-01,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",270.3,202.73,121.64,270.3,909 NDC,00409-1463-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,47.8,35.85,21.51,47.8,909 NDC,00409-1626-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,101.9,76.43,45.86,101.9,909 NDC,00409-1746-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.4,28.8,17.28,38.4,909 NDC,00409-1778-05,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,27.15,16.29,36.2,910 NDC,00409-1886-02,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.0,30.0,18.0,40.0,910 NDC,00409-1890-01,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,56.33,33.8,75.1,912 NDC,00409-1896-20,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,362.3,271.73,163.04,362.3,909 NDC,00409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1508.7,1131.53,294.69,1508.7,915 NDC,00409-1966-07,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.0,29.25,17.55,39.0,909 NDC,00409-2051-05,KETAMINE 100 MG/ML INJECTION SOLUTION,97.0,72.75,43.65,97.0,909 NDC,00409-2308-01,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,52.73,31.64,70.3,910 NDC,00409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,153.8,115.35,69.21,153.8,909 NDC,00409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),150.7,113.03,67.82,150.7,909 NDC,00409-2339-34,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,45.6,27.36,60.8,914 NDC,00409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,108.6,65.16,144.8,909 NDC,00409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",35.9,26.93,16.16,35.9,909 NDC,00409-3299-05,SODIUM ACETATE 16.4% (2 MEQ/ML) INTRAVENOUS SOLUTION,52.0,39.0,23.4,52.0,909 NDC,00409-3299-16,SODIUM ACETATE 16.4% (2 MEQ/ML) INTRAVENOUS SOLUTION,58.2,43.65,26.19,58.2,909 NDC,00409-3300-24,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,100.9,75.68,45.41,100.9,909 NDC,00409-3365-10,HYDROMORPHONE 0.2 MG/ML INJECTION ARZ ANES,83.4,62.55,37.53,83.4,909 NDC,00409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,61.88,37.13,82.5,909 NDC,00409-3515-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,46.8,35.1,21.06,46.8,910 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,174.98,104.99,233.3,909 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,115.05,69.03,153.4,910 NDC,00409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,38.63,23.18,51.5,910 NDC,00409-4091-01,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,84.75,50.85,113.0,909 NDC,00409-4092-01,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),115.2,86.4,51.84,115.2,909 NDC,00409-4093-01,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,71.2,53.4,32.04,71.2,909 NDC,00409-4208-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.1,28.58,17.15,38.1,909 NDC,00409-4276-01,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),35.2,26.4,15.84,35.2,909 NDC,00409-4282-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.8,26.85,16.11,35.8,909 NDC,00409-4282-02,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.8,26.85,16.11,35.8,909 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION ANES ONLY,37.3,27.98,16.79,37.3,909 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.3,27.98,16.79,37.3,909 NDC,00409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,43.8,32.85,19.71,43.8,910 NDC,00409-4520-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",110.0,82.5,49.5,110.0,911 NDC,00409-4520-30,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN D5W IV SOLN",110.0,82.5,49.5,110.0,909 NDC,00409-4776-01,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.6,27.45,16.47,36.6,909 NDC,00409-4887-10,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",52.1,39.08,23.45,52.1,909 NDC,00409-5017-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,113.4,85.05,51.03,113.4,909 NDC,00409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,34.35,20.61,45.8,909 NDC,00409-5921-01,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,46.2,34.65,20.79,46.2,910 NDC,00409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,48.6,29.16,64.8,909 NDC,00409-6102-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,39.1,29.33,17.6,39.1,910 NDC,00409-6102-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,48.0,36.0,21.6,48.0,910 NDC,00409-6102-36,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,46.2,34.65,20.79,46.2,910 NDC,00409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,249.6,187.2,112.32,249.6,909 NDC,00409-6509-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,64.9,48.68,29.21,64.9,909 NDC,00409-6531-02,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,62.7,47.03,28.22,62.7,909 NDC,00409-6533-21,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",41.1,30.83,18.5,41.1,910 NDC,00409-6625-14,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,33.4,25.05,15.03,33.4,909 NDC,00409-6648-02,DEXTROSE 2.5 % IN 0.9 % NACL BOLUS (ANES),91.5,68.63,41.18,91.5,909 NDC,00409-6648-02,DEXTROSE 2.5 % IN 0.9 % NACL FIXED RATE (ANES),91.5,68.63,41.18,91.5,909 NDC,00409-6648-02,DEXTROSE 2.5 % IN 0.9 % NACL FREE DRIP (ANES),91.5,68.63,41.18,91.5,909 NDC,00409-6648-02,DEXTROSE 2.5 % IN LR BOLUS (ANES),83.3,62.48,37.49,83.3,909 NDC,00409-6648-02,DEXTROSE 2.5 % IN LR FIXED RATE (ANES),91.5,68.63,41.18,91.5,909 NDC,00409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,68.63,41.18,91.5,909 NDC,00409-7248-03,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,212.48,127.49,283.3,909 NDC,00409-7295-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,45.0,33.75,20.25,45.0,909 NDC,00409-7299-73,SODIUM ACETATE 16.4% (2 MEQ/ML) INTRAVENOUS SOLUTION,46.7,35.03,21.02,46.7,909 NDC,00409-7332-01,CEFTRIAXONE 1 GRAM POWDER VIAL OSM,8.2,6.15,3.69,8.2,909 NDC,00409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,38.7,29.03,17.42,38.7,911 NDC,00409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.7,29.03,17.42,38.7,1818 NDC,00409-7332-01,CEFTRIAXONE IM 1000 MG IN NACL RX COMPOUND,38.7,29.03,17.42,38.7,909 NDC,00409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,42.0,31.5,18.9,42.0,913 NDC,00409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.0,31.5,18.9,42.0,1818 NDC,00409-7335-03,CEFTRIAXONE IM 2000 MG IN NACL RX COMPOUND,42.0,31.5,18.9,42.0,909 NDC,00409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,37.1,27.83,16.7,37.1,909 NDC,00409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.1,27.83,16.7,37.1,1818 NDC,00409-7337-01,CEFTRIAXONE IM 250 MG IN NACL RX COMPOUND,37.1,27.83,16.7,37.1,909 NDC,00409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,37.6,28.2,16.92,37.6,909 NDC,00409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,28.28,16.97,37.7,1818 NDC,00409-7338-20,CEFTRIAXONE IM 500 MG IN NACL RX COMPOUND,37.7,28.28,16.97,37.7,909 NDC,00409-7419-03,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,900.98,540.59,1201.3,909 NDC,00409-9104-20,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,32.25,19.35,43.0,909 NDC,00409-9157-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,49.58,29.75,66.1,909 NDC,00409-9630-05,ATROPINE 0.25 MG/5 ML (0.05 MG/ML) INTRAVENOUS SYRINGE,115.6,86.7,52.02,115.6,909 NDC,00450-0537-04,PHENYLEPHRINE 2.5 MG/5 ML ORAL SOLUTION,72.8,54.6,49.26,72.8,915 NDC,00450-0910-12,"LACTASE 9,000 UNIT TABLET",3.3,2.48,2.23,3.3,915 NDC,00456-0400-10,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 NDC,00456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,791.8,593.85,4.23,791.8,915 NDC,00456-1201-30,LINACLOTIDE 145 MCG CAPSULE,35.6,26.7,24.09,35.6,915 NDC,00456-1203-30,LINACLOTIDE 72 MCG CAPSULE,35.6,26.7,24.09,35.6,915 NDC,00456-1550-60,MILNACIPRAN 50 MG TABLET,32.7,24.53,22.13,32.7,915 NDC,00456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1536.0,1152.0,104.73,1536.0,915 NDC,00469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1204.8,903.6,1.01,1204.8,915 NDC,00469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,222.98,201.18,297.3,915 NDC,00469-1230-50,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,16.43,9.86,21.9,909 NDC,00469-1330-50,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,22.65,13.59,30.2,909 NDC,00469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,973.9,730.43,263.15,973.9,915 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 25 MG/6.3 ML (4 MG/ML) SUSPENSION FOR NEBULIZATION,406.5,304.88,21.48,406.5,915 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,406.5,304.88,21.48,406.5,915 NDC,00472-1738-03,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,115.43,69.26,153.9,909 NDC,00480-7062-56,PERAMPANEL 2 MG TABLET,63.9,47.93,43.24,63.9,915 NDC,00480-9262-08,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",17765.9,13324.43,203.58,17765.9,915 NDC,00486-1111-01,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",6.9,5.18,4.67,6.9,915 NDC,00487-2784-01,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,7.95,7.17,10.6,915 NDC,00487-9901-30,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,6.3,4.72,4.26,6.3,915 NDC,00517-0440-01,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,48.45,29.07,64.6,909 NDC,00517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4125.6,3094.2,1.11,4125.6,915 NDC,00517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1911.7,1433.78,6.28,1911.7,915 NDC,00517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,141.7,106.28,63.77,141.7,912 NDC,00517-1001-25,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION (WRAPPER),62.8,47.1,28.26,62.8,909 NDC,00517-1004-25,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION (WRAPPER),52.0,39.0,23.4,52.0,909 NDC,00517-1980-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,59.7,44.78,26.87,59.7,910 NDC,00517-2340-25,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,70.5,52.88,31.73,70.5,909 NDC,00517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,68.5,51.38,30.83,68.5,909 NDC,00517-4300-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3023.3,2267.48,10.54,3023.3,915 NDC,00517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,49.1,36.83,22.1,49.1,909 NDC,00517-5601-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,84.7,63.53,38.12,84.7,910 NDC,00517-6560-05,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,529.88,317.93,706.5,909 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,65.2,48.9,29.34,65.2,909 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,31.4,23.55,14.13,31.4,909 NDC,00517-9120-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,64.7,48.53,29.12,64.7,909 NDC,00517-9305-25,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,98.0,73.5,44.1,98.0,909 NDC,00517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,46.2,27.72,61.6,910 NDC,00527-1368-01,DANAZOL 100 MG CAPSULE,16.0,12.0,10.83,16.0,915 NDC,00527-1392-01,DANAZOL 50 MG CAPSULE,12.2,9.15,8.26,12.2,915 NDC,00527-5125-78,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.8,4.35,3.92,5.8,915 NDC,00536-1046-10,SODIUM BICARBONATE 325 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,00536-1050-22,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 NDC,00536-1161-37,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,3.6,2.7,2.44,3.6,915 NDC,00536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.38,0.34,0.5,915 NDC,00536-1252-40,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,55.43,50.01,73.9,915 NDC,00536-1253-91,SODIUM CHLORIDE 5 % EYE OINTMENT,35.3,26.48,23.89,35.3,915 NDC,00536-1254-94,SODIUM CHLORIDE 5 % EYE DROPS,15.9,11.93,10.76,15.9,915 NDC,00536-1264-56,CAPSAICIN 0.1 % TOPICAL CREAM,96.1,72.08,43.25,96.1,909 NDC,00536-1265-95,CLOTRIMAZOLE 1 % TOPICAL CREAM,57.2,42.9,38.71,57.2,915 NDC,00536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,49.8,44.93,66.4,915 NDC,00536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT,7.7,5.78,5.21,7.7,915 NDC,00536-1288-06,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,9.8,7.35,6.63,9.8,915 NDC,00536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",9.2,6.9,6.23,9.2,915 NDC,00536-1315-43,TOLNAFTATE 1 % TOPICAL CREAM,7.3,5.48,4.94,7.3,915 NDC,00536-1316-28,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),8.7,6.53,5.89,8.7,915 NDC,00536-1317-83,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.38,0.34,0.5,915 NDC,00536-1326-01,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET,2.2,1.65,1.49,2.2,915 NDC,00536-1337-09,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,3.2,2.4,2.17,3.2,915 NDC,00536-1349-57,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM,11.3,8.48,7.65,11.3,915 NDC,00536-1401-17,ELECTROLYTES-DEXTROSE ORAL SOLUTION,5.5,4.13,3.72,5.5,915 NDC,00536-1434-07,COENZYME Q10 100 MG CAPSULE,3.2,2.4,2.17,3.2,915 NDC,00536-1995-53,SELENIUM SULFIDE 1 % SHAMPOO,59.5,44.63,40.26,59.5,915 NDC,00536-3029-06,NICOTINE (POLACRILEX) 2 MG GUM,3.1,2.33,2.1,3.1,915 NDC,00536-4085-01,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.2,3.9,3.52,5.2,915 NDC,00536-4406-01,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,00536-5090-08,"VIT A 300 MCG (1,000 UNIT)-C 200 MG-E 60 UNIT-LUTEIN 2 MG AND MINERALS TABLET",2.2,1.65,1.49,2.2,915 NDC,00536-5894-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.03,4.53,6.7,915 NDC,00536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.03,4.53,6.7,915 NDC,00536-5896-88,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,4.88,4.4,6.5,915 NDC,00548-5900-00,COSYNTROPIN 0.25 MG (0.25 MG/ML) (IM EQUIVALENCY),74.2,55.65,33.39,74.2,909 NDC,00548-5900-00,COSYNTROPIN 0.25 MG (50 MCG/ML) IV EQUIVALENCY,74.2,55.65,33.39,74.2,909 NDC,00548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,296.6,222.45,133.47,296.6,910 NDC,00555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,4.28,3.86,5.7,915 NDC,00555-0606-02,MEGESTROL 20 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00555-9010-58,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,51.5,38.63,34.85,51.5,915 NDC,00562-7805-05,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",275.2,206.4,123.84,275.2,910 NDC,00574-0070-30,DEXTROSE 40 % ORAL GEL,14.6,10.95,9.88,14.6,915 NDC,00574-0106-03,BROMOCRIPTINE 2.5 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,00574-0107-70,CLOTRIMAZOLE 10 MG TROCHE,6.8,5.1,4.6,6.8,915 NDC,00574-0292-01,AMILORIDE 5 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00574-0303-16,ORA-PLUS/FLAVOR PLUS (WRAPPED FOR CNR COMPOUNDING),66.9,50.18,30.11,66.9,909 NDC,00574-0304-16,ORA-SWEET SYRUP,66.9,50.18,45.27,66.9,915 NDC,00574-0311-16,ORA-BLEND,66.9,50.18,30.11,66.9,909 NDC,00574-0312-16,ORA-BLEND SF (SUGAR FREE),73.1,54.83,32.9,73.1,909 NDC,00574-0520-74,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,59.0,44.25,39.93,59.0,915 NDC,00574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,55.9,41.93,37.83,55.9,915 NDC,00574-4031-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,100.13,60.08,133.5,909 NDC,00574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 NDC,00574-7040-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,75.53,45.32,100.7,909 NDC,00574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,64.8,38.88,86.4,909 NDC,00574-7050-50,BISACODYL 10 MG RECTAL SUPPOSITORY,2.7,2.03,1.83,2.7,915 NDC,00574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,31.4,23.55,21.25,31.4,915 NDC,00591-2312-15,ALVIMOPAN 12 MG CAPSULE,423.1,317.33,286.31,423.1,915 NDC,00591-2472-60,TAMOXIFEN 10 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00591-2712-02,ALBENDAZOLE 200 MG TABLET,53.5,40.13,36.2,53.5,915 NDC,00591-2944-30,PIMECROLIMUS 1 % TOPICAL CREAM,374.8,281.1,253.63,374.8,915 NDC,00591-5335-01,TRIHEXYPHENIDYL 2 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00597-0152-37,EMPAGLIFLOZIN 10 MG TABLET,37.2,27.9,25.17,37.2,915 NDC,00597-0153-37,EMPAGLIFLOZIN 25 MG TABLET,37.2,27.9,25.17,37.2,915 NDC,00597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,5168.02,3100.82,6890.7,909 NDC,00597-0355-56,DABIGATRAN ETEXILATE 75 MG CAPSULE,15.2,11.4,10.29,15.2,915 NDC,00603-1880-16,LIDOCAINE 5 % TOPICAL PATCH,12.0,9.0,8.12,12.0,915 NDC,00603-5336-21,PREDNISONE 2.5 MG TABLET,5.5,4.13,2.48,5.5,909 NDC,00641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,27.75,16.65,37.0,912 NDC,00641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,86.0,64.5,38.7,86.0,910 NDC,00641-1495-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.7,31.28,18.77,41.7,913 NDC,00641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,42.8,32.1,19.26,42.8,909 NDC,00641-6018-01,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION,196.4,147.3,88.38,196.4,909 NDC,00641-6020-01,MORPHINE (PF) 0.5 MG/ML INJECTION REGIONAL ANES ONLY,187.2,140.4,84.24,187.2,909 NDC,00641-6020-10,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,187.2,140.4,84.24,187.2,909 NDC,00641-6040-01,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,880.13,528.08,1173.5,909 NDC,00641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.5,55.13,33.08,73.5,910 NDC,00641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,57.53,34.52,76.7,909 NDC,00641-6060-10,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,56.63,33.98,75.5,909 NDC,00641-6060-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.5,56.63,33.98,75.5,910 NDC,00641-6080-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,915 NDC,00641-6127-25,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,58.73,35.24,78.3,911 NDC,00641-6149-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,31.8,19.08,42.4,910 NDC,00641-6182-25,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,54.9,41.18,24.71,54.9,909 NDC,00641-6184-25,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.9,35.17,21.11,46.9,910 NDC,00641-6205-10,NALOXONE 1 MG/ML INJECTION SYRINGE,42.3,31.73,19.04,42.3,909 NDC,00641-6251-10,ATROPINE 0.4 MG/ML INJECTION SOLUTION,67.3,50.48,30.29,67.3,909 NDC,00641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.7,27.53,16.52,36.7,910 NDC,00703-0666-01,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1613.9,1210.43,54.71,1613.9,915 NDC,00703-3018-11,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),137.8,103.35,62.01,137.8,909 NDC,00703-4502-04,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,911 NDC,00703-9514-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,51.1,38.33,23.0,51.1,910 NDC,00713-0132-12,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,90.8,68.1,61.44,90.8,915 NDC,00713-0318-53,CALCIPOTRIENE 0.005 % SCALP SOLUTION,741.9,556.42,502.04,741.9,915 NDC,00713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,9.07,8.19,12.1,915 NDC,00713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,13.13,11.84,17.5,915 NDC,00713-0552-73,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,92.0,69.0,62.26,92.0,915 NDC,00713-0564-31,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,1688.2,1266.15,1142.4,1688.2,915 NDC,00713-0637-37,METRONIDAZOLE 0.75 % TOPICAL GEL,355.2,266.4,240.36,355.2,915 NDC,00713-0682-15,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,77.85,70.24,103.8,915 NDC,00713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,73.8,66.59,98.4,915 NDC,00713-0686-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",60.1,45.08,40.67,60.1,915 NDC,00781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,11.1,8.32,7.51,11.1,915 NDC,00781-2020-01,AMOXICILLIN 250 MG CAPSULE,5.3,3.98,3.59,5.3,915 NDC,00781-2270-01,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,13.5,10.13,9.14,13.5,915 NDC,00781-2613-01,AMOXICILLIN 500 MG CAPSULE,5.5,4.13,3.72,5.5,915 NDC,00781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,111.7,83.78,50.27,111.7,909 NDC,00781-3110-95,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,42.3,31.73,19.04,42.3,909 NDC,00781-3234-34,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,161.3,120.98,109.15,161.3,915 NDC,00781-3288-09,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.6,70.2,42.12,93.6,909 NDC,00781-3402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,28.13,16.88,37.5,909 NDC,00781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,28.5,17.1,38.0,909 NDC,00781-3408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 NDC,00781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,600.3,450.23,406.22,600.3,915 NDC,00781-6041-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,20.8,15.6,14.08,20.8,915 NDC,00781-6153-95,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,146.2,109.65,65.79,146.2,909 NDC,00781-7104-54,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,48.1,36.08,32.55,48.1,915 NDC,00781-7119-54,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,56.4,42.3,38.17,56.4,915 NDC,00781-7122-54,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.5,43.13,38.91,57.5,915 NDC,00781-7133-54,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,35.1,31.67,46.8,915 NDC,00781-7136-54,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.6,43.2,38.98,57.6,915 NDC,00781-9053-95,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),53.6,40.2,24.12,53.6,909 NDC,00781-9055-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,378.8,284.1,170.46,378.8,909 NDC,00781-9404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.2,45.9,27.54,61.2,909 NDC,00799-0001-04,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,21.4,16.05,14.48,21.4,915 NDC,00832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,00832-0580-11,CLOBAZAM 10 MG TABLET,11.3,8.48,7.65,11.3,915 NDC,00832-0741-60,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,10.58,9.54,14.1,915 NDC,00832-6017-00,CHLORPROMAZINE 10 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-0012-61,CHLORPHENIRAMINE 4 MG TABLET,2.3,1.73,1.56,2.3,915 NDC,00904-0523-61,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.65,1.49,2.2,915 NDC,00904-0539-61,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.5,0.38,0.34,0.5,915 NDC,00904-1883-61,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.38,0.34,0.5,915 NDC,00904-2085-60,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",2.2,1.65,1.49,2.2,915 NDC,00904-2272-60,NIACIN 500 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,00904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,41.25,37.22,55.0,915 NDC,00904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,4.2,2.52,5.6,909 NDC,00904-5354-31,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,56.6,42.45,38.3,56.6,915 NDC,00904-5522-61,DOXAZOSIN 1 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,00904-5523-61,DOXAZOSIN 2 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-5529-52,FAMOTIDINE 10 MG TABLET,2.3,1.73,1.56,2.3,915 NDC,00904-5676-61,PAROXETINE 10 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,00904-5677-61,PAROXETINE 20 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-5833-48,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.3,3.23,2.91,4.3,915 NDC,00904-5891-61,PRAVASTATIN 10 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,00904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,6.15,5.55,8.2,915 NDC,00904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,6.68,6.02,8.9,915 NDC,00904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,4.35,3.92,5.8,915 NDC,00904-5983-48,AMMONIUM LACTATE 12 % TOPICAL CREAM,18.7,14.03,12.65,18.7,915 NDC,00904-6082-61,ZOLPIDEM 5 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,00904-6084-61,CITALOPRAM 10 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-6085-61,CITALOPRAM 20 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-6172-61,CARBAMAZEPINE 200 MG TABLET,6.9,5.18,4.67,6.9,915 NDC,00904-6221-06,URSODIOL 300 MG CAPSULE,11.3,8.48,7.65,11.3,915 NDC,00904-6269-08,ZIPRASIDONE 20 MG CAPSULE,12.5,9.38,8.46,12.5,915 NDC,00904-6290-61,ATORVASTATIN 10 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-6291-61,ATORVASTATIN 20 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,7.58,6.83,10.1,915 NDC,00904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.1,5.33,4.8,7.1,915 NDC,00904-6323-61,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.9,5.18,4.67,6.9,915 NDC,00904-6351-61,LEVOFLOXACIN 250 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-6352-61,LEVOFLOXACIN 500 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-6353-61,LEVOFLOXACIN 750 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,00904-6363-61,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.93,5.35,7.9,915 NDC,00904-6369-61,AMLODIPINE 2.5 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,00904-6370-61,AMLODIPINE 5 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-6373-61,ROPINIROLE 0.25 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,00904-6374-61,ROPINIROLE 1 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-6377-61,OLANZAPINE 5 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.58,1.42,2.1,915 NDC,00904-6418-61,TIZANIDINE 4 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-6426-61,ESCITALOPRAM 10 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-6436-04,TEMAZEPAM 7.5 MG CAPSULE,20.2,15.15,13.67,20.2,915 NDC,00904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,4.43,3.99,5.9,915 NDC,00904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,4.58,4.13,6.1,915 NDC,00904-6467-10,CLOPIDOGREL 300 MG TABLET,23.1,17.33,15.63,23.1,915 NDC,00904-6477-61,DONEPEZIL 5 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,00904-6500-61,FLUCONAZOLE 100 MG TABLET,9.3,6.98,6.29,9.3,915 NDC,00904-6501-61,FLUCONAZOLE 200 MG TABLET,10.9,8.18,7.38,10.9,915 NDC,00904-6505-61,MEMANTINE 5 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00904-6519-61,MIRTAZAPINE 15 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-6551-61,ONDANSETRON HCL 4 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,00904-6553-04,LINEZOLID 600 MG TABLET,15.7,11.78,10.62,15.7,915 NDC,00904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,9.53,8.59,12.7,915 NDC,00904-6560-61,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,15.98,14.41,21.3,915 NDC,00904-6565-61,VALACYCLOVIR 500 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,00904-6570-61,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.0,7.5,6.77,10.0,915 NDC,00904-6572-61,ALLOPURINOL 300 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-6583-04,LAMIVUDINE 150 MG TABLET,24.2,18.15,16.38,24.2,915 NDC,00904-6596-04,VORICONAZOLE 50 MG TABLET,28.1,21.08,19.02,28.1,915 NDC,00904-6600-61,PERPHENAZINE 4 MG TABLET,8.3,6.23,5.62,8.3,915 NDC,00904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,6.0,5.41,8.0,915 NDC,00904-6619-61,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,5.18,4.67,6.9,915 NDC,00904-6620-61,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,5.55,5.01,7.4,915 NDC,00904-6621-04,IMATINIB 400 MG TABLET,49.4,37.05,33.43,49.4,915 NDC,00904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,6.45,5.82,8.6,915 NDC,00904-6623-61,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,6.0,3.6,8.0,910 NDC,00904-6635-61,BUPROPION HCL 75 MG TABLET,8.0,6.0,5.41,8.0,915 NDC,00904-6636-61,BUPROPION HCL 100 MG TABLET,8.8,6.6,5.95,8.8,915 NDC,00904-6637-61,GLIPIZIDE 5 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-6638-61,QUETIAPINE 25 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-6640-61,QUETIAPINE 100 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-6663-61,ACETAZOLAMIDE 250 MG TABLET,14.7,11.03,9.95,14.7,915 NDC,00904-6665-61,GABAPENTIN 100 MG CAPSULE,5.4,4.05,3.65,5.4,915 NDC,00904-6666-61,GABAPENTIN 300 MG CAPSULE,5.5,4.13,3.72,5.5,915 NDC,00904-6667-61,GABAPENTIN 400 MG CAPSULE,5.6,4.2,3.79,5.6,915 NDC,00904-6671-04,SILDENAFIL 20 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,00904-6704-61,PRAMIPEXOLE 0.25 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-6709-61,GLYCOPYRROLATE 1 MG TABLET,7.8,5.85,5.28,7.8,915 NDC,00904-6730-61,ACETAMINOPHEN 500 MG TABLET,0.5,0.38,0.34,0.5,915 NDC,00904-6773-61,ACETAMINOPHEN 325 MG TABLET,0.5,0.38,0.34,0.5,915 NDC,00904-6782-61,HALOPERIDOL 5 MG TABLET,7.8,5.85,5.28,7.8,915 NDC,00904-6783-70,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.5,0.38,0.34,0.5,915 NDC,00904-6785-61,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",17.6,13.2,7.92,17.6,910 NDC,00904-6786-04,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,19.65,17.73,26.2,915 NDC,00904-6791-04,MODAFINIL 100 MG TABLET,26.1,19.58,17.66,26.1,915 NDC,00904-6796-10,VALGANCICLOVIR 450 MG TABLET,35.9,26.93,24.29,35.9,915 NDC,00904-6797-61,LISINOPRIL 5 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-6798-61,LISINOPRIL 10 MG TABLET,5.2,3.9,3.52,5.2,915 NDC,00904-6799-61,LISINOPRIL 20 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-6808-61,MONTELUKAST 10 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-6818-61,MIDODRINE 5 MG TABLET,6.7,5.03,4.53,6.7,915 NDC,00904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,17.3,12.98,11.71,17.3,915 NDC,00904-6828-92,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.3,18.23,16.44,24.3,915 NDC,00904-6830-61,FINASTERIDE 5 MG TABLET,6.9,5.18,4.67,6.9,915 NDC,00904-6832-04,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",43.8,32.85,29.64,43.8,915 NDC,00904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,4.13,3.72,5.5,915 NDC,00904-6867-04,TRETINOIN 10 MG CAPSULE,92.1,69.08,62.32,92.1,915 NDC,00904-6868-61,TRAZODONE 50 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,00904-6874-04,ABACAVIR 300 MG TABLET,24.9,18.68,16.85,24.9,915 NDC,00904-6882-10,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,164.03,147.99,218.7,915 NDC,00904-6885-04,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",13.2,9.9,8.93,13.2,915 NDC,00904-6888-06,MINOCYCLINE 100 MG CAPSULE,8.0,6.0,5.41,8.0,915 NDC,00904-6890-04,URSODIOL 250 MG TABLET,12.3,9.23,8.32,12.3,915 NDC,00904-6901-04,IMATINIB 100 MG TABLET,15.2,11.4,10.29,15.2,915 NDC,00904-6902-04,RALOXIFENE 60 MG TABLET,22.5,16.88,15.23,22.5,915 NDC,00904-6907-06,PSEUDOEPHEDRINE 60 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,00904-6914-61,METHYLPREDNISOLONE 4 MG TABLET,9.7,7.28,4.37,9.7,910 NDC,00904-6920-93,DOCUSATE SODIUM 283 MG ENEMA (WRAPPER),9.8,7.35,6.63,9.8,915 NDC,00904-6923-61,PREDNISONE 10 MG TABLET,5.5,4.13,2.48,5.5,910 NDC,00904-6924-61,SERTRALINE 25 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00904-6926-61,SERTRALINE 100 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-6927-61,SPIRONOLACTONE 25 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-6928-61,TOPIRAMATE 25 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-6929-61,TOPIRAMATE 100 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-6931-26,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.7,5.03,4.53,6.7,915 NDC,00904-6939-61,HYDROXYUREA 500 MG CAPSULE,8.0,6.0,5.41,8.0,915 NDC,00904-6948-04,ABIRATERONE 250 MG TABLET,19.6,14.7,13.26,19.6,915 NDC,00904-6949-61,LEVOTHYROXINE 25 MCG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-6950-61,LEVOTHYROXINE 50 MCG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-6951-61,LEVOTHYROXINE 75 MCG TABLET,6.6,4.95,4.47,6.6,915 NDC,00904-6952-61,LEVOTHYROXINE 88 MCG TABLET,6.5,4.88,4.4,6.5,915 NDC,00904-6953-61,LEVOTHYROXINE 100 MCG TABLET,6.6,4.95,4.47,6.6,915 NDC,00904-6954-61,LEVOTHYROXINE 112 MCG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-6955-61,LEVOTHYROXINE 125 MCG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-6956-61,LEVOTHYROXINE 150 MCG TABLET,6.9,5.18,4.67,6.9,915 NDC,00904-6957-61,LEVOTHYROXINE 175 MCG TABLET,7.2,5.4,4.87,7.2,915 NDC,00904-6987-61,DICYCLOMINE 10 MG CAPSULE,6.6,4.95,4.47,6.6,915 NDC,00904-6988-61,DICYCLOMINE 20 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,00904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET,2.2,1.65,1.49,2.2,915 NDC,00904-6991-61,PREGABALIN 25 MG CAPSULE,12.3,9.23,8.32,12.3,915 NDC,00904-6992-61,PREGABALIN 50 MG CAPSULE,11.9,8.93,8.05,11.9,915 NDC,00904-6994-46,SIMETHICONE 125 MG CAPSULE,2.2,1.65,1.49,2.2,915 NDC,00904-7002-61,PREGABALIN 150 MG CAPSULE,11.7,8.78,7.92,11.7,915 NDC,00904-7007-61,LAMOTRIGINE 25 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-7008-61,LAMOTRIGINE 100 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-7009-06,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,17.6,13.2,11.91,17.6,915 NDC,00904-7010-06,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,18.8,14.1,12.72,18.8,915 NDC,00904-7016-06,BUMETANIDE 1 MG TABLET,7.7,5.78,5.21,7.7,915 NDC,00904-7020-61,PRAZOSIN 1 MG CAPSULE,8.6,6.45,5.82,8.6,915 NDC,00904-7022-61,PRAZOSIN 5 MG CAPSULE,18.4,13.8,12.45,18.4,915 NDC,00904-7024-04,VORICONAZOLE 200 MG TABLET,79.9,59.93,54.07,79.9,915 NDC,00904-7026-61,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,11.6,8.7,7.85,11.6,915 NDC,00904-7027-61,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-7038-07,CLOMIPRAMINE 25 MG CAPSULE,39.1,29.33,26.46,39.1,915 NDC,00904-7041-61,ALLOPURINOL 100 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-7042-06,AMANTADINE HCL 100 MG CAPSULE,8.8,6.6,5.95,8.8,915 NDC,00904-7046-61,HYDROXYCHLOROQUINE 200 MG TABLET,9.3,6.98,6.29,9.3,915 NDC,00904-7047-61,LOSARTAN 25 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-7048-61,LOSARTAN 50 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-7052-61,DOXEPIN 10 MG CAPSULE,6.8,5.1,4.6,6.8,915 NDC,00904-7053-61,DOXEPIN 25 MG CAPSULE,7.3,5.48,4.94,7.3,915 NDC,00904-7054-61,DOXEPIN 50 MG CAPSULE,8.0,6.0,5.41,8.0,915 NDC,00904-7057-61,METHOCARBAMOL 500 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-7058-61,METHOCARBAMOL 750 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,00904-7082-06,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.93,5.35,7.9,915 NDC,00904-7089-61,CLOZAPINE 25 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,00904-7090-61,PIOGLITAZONE 15 MG TABLET,8.3,6.23,5.62,8.3,915 NDC,00904-7097-61,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,6.6,3.96,8.8,911 NDC,00904-7105-61,CAPTOPRIL 12.5 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,00904-7106-61,CAPTOPRIL 25 MG TABLET,10.1,7.58,6.83,10.1,915 NDC,00904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE,14.2,10.65,9.61,14.2,915 NDC,00904-7119-61,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.4,6.3,3.78,8.4,909 NDC,00904-7120-04,COLCHICINE 0.6 MG TABLET,16.8,12.6,11.37,16.8,915 NDC,00904-7121-61,BUSPIRONE 10 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-7122-61,BUSPIRONE 5 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,00904-7123-61,LEVETIRACETAM 250 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7124-61,LEVETIRACETAM 500 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7126-61,METRONIDAZOLE 500 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-7140-04,GUANFACINE 1 MG TABLET,10.2,7.65,6.9,10.2,915 NDC,00904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,9.68,8.73,12.9,915 NDC,00904-7149-04,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",120.4,90.3,81.47,120.4,915 NDC,00904-7154-04,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,12.45,7.47,16.6,909 NDC,00904-7157-61,FLUPHENAZINE 1 MG TABLET,12.7,9.53,8.59,12.7,915 NDC,00904-7161-61,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,12.6,9.45,8.53,12.6,915 NDC,00904-7162-61,METFORMIN 500 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7163-61,METFORMIN 850 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-7177-61,FUROSEMIDE 20 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7178-61,FUROSEMIDE 40 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7183-61,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.65,1.49,2.2,915 NDC,00904-7187-61,ATENOLOL 25 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7188-61,HYDROCORTISONE 10 MG TABLET,10.2,7.65,6.9,10.2,915 NDC,00904-7193-61,FAMOTIDINE 20 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7199-07,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,6.53,5.89,8.7,915 NDC,00904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 NDC,00904-7216-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",5.9,4.43,3.99,5.9,915 NDC,00904-7217-61,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.72,4.26,6.3,915 NDC,00904-7218-61,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.2,4.65,4.2,6.2,915 NDC,00904-7219-61,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,4.8,4.33,6.4,915 NDC,00904-7220-61,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,7.43,6.7,9.9,915 NDC,00904-7224-61,FOLIC ACID 1 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,00904-7229-61,NIFEDIPINE 10 MG CAPSULE,8.2,6.15,5.55,8.2,915 NDC,00904-7236-61,MEGESTROL 40 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,00904-7244-68,LACOSAMIDE 50 MG TABLET,13.6,10.2,9.2,13.6,915 NDC,00904-7248-04,SIROLIMUS 1 MG TABLET,33.4,25.05,15.03,33.4,909 NDC,00904-7252-61,SENNOSIDES 8.6 MG TABLET,2.2,1.65,1.49,2.2,915 NDC,00904-7262-61,OXCARBAZEPINE 150 MG TABLET,6.7,5.03,4.53,6.7,915 NDC,00904-7263-61,OXCARBAZEPINE 300 MG TABLET,7.7,5.78,5.21,7.7,915 NDC,00904-7265-94,LEVETIRACETAM 100 MG/ML ORAL SOLUTION (WRAPPER),7.9,5.93,5.35,7.9,915 NDC,00904-7266-61,DEXAMETHASONE 4 MG TABLET,8.1,6.08,5.48,8.1,915 NDC,00904-7276-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,5.03,4.53,6.7,915 NDC,00904-7279-72,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,5.8,4.35,3.92,5.8,915 NDC,00904-7282-10,METHYLERGONOVINE 0.2 MG TABLET,167.4,125.55,113.28,167.4,915 NDC,00904-7283-06,TORSEMIDE 20 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00904-7288-61,BENZTROPINE 0.5 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,00904-7304-61,PROMETHAZINE 25 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7305-61,CARVEDILOL 3.125 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7306-61,CARVEDILOL 6.25 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7308-61,CARVEDILOL 25 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,00904-7313-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",49.9,37.42,33.77,49.9,915 NDC,00904-7315-61,RIFAMPIN 300 MG CAPSULE,9.1,6.83,6.16,9.1,915 NDC,00904-7317-61,FLUDROCORTISONE 0.1 MG TABLET,7.7,5.78,5.21,7.7,915 NDC,00904-7320-71,ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (WRAPPER),0.5,0.38,0.34,0.5,915 NDC,00904-7336-61,CEPHALEXIN 250 MG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,00904-7337-61,CEPHALEXIN 500 MG CAPSULE,6.3,4.72,4.26,6.3,915 NDC,00904-7345-61,FLUOXETINE 10 MG CAPSULE,5.4,4.05,3.65,5.4,915 NDC,00904-7346-61,FLUOXETINE 20 MG CAPSULE,5.4,4.05,3.65,5.4,915 NDC,00904-7350-06,AZITHROMYCIN 250 MG TABLET,7.3,5.48,4.94,7.3,915 NDC,00904-7360-61,RISPERIDONE 0.25 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-7362-61,RISPERIDONE 1 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,00904-7367-06,ARIPIPRAZOLE 5 MG TABLET,6.6,4.95,4.47,6.6,915 NDC,00904-7368-06,ARIPIPRAZOLE 10 MG TABLET,6.7,5.03,4.53,6.7,915 NDC,00904-7376-61,MECLIZINE 25 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,00904-7381-06,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,6.38,5.75,8.5,915 NDC,00904-7382-06,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,6.98,6.29,9.3,915 NDC,00904-7383-61,TAMSULOSIN 0.4 MG CAPSULE,5.9,4.43,3.99,5.9,915 NDC,00904-7401-61,CYCLOBENZAPRINE 10 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7407-04,MOXIFLOXACIN 400 MG TABLET,24.3,18.23,16.44,24.3,915 NDC,00904-7410-61,AMITRIPTYLINE 25 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,00904-7417-61,METHADONE 10 MG TABLET,10.9,8.18,7.38,10.9,915 NDC,00904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.38,0.34,0.5,915 NDC,00904-7435-35,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.2,6.15,5.55,8.2,915 NDC,00904-7442-61,CLONIDINE HCL 0.1 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00904-7447-61,HYDRALAZINE 10 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,00904-7448-61,HYDRALAZINE 25 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-7451-61,LABETALOL 100 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,00904-7452-61,LABETALOL 200 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,00904-7453-61,LABETALOL 300 MG TABLET,7.6,5.7,5.14,7.6,915 NDC,00904-7459-53,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,55.3,41.48,37.42,55.3,915 NDC,00904-7468-06,PROPRANOLOL 20 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,00904-7470-18,SUCRALFATE 100 MG/ML ORAL SUSPENSION,13.3,9.98,9.0,13.3,915 NDC,00904-7495-06,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,14.4,10.8,9.74,14.4,915 NDC,00904-7496-61,TRAMADOL 50 MG TABLET,10.5,7.88,7.11,10.5,915 NDC,00904-7497-04,NEBIVOLOL 2.5 MG TABLET,11.9,8.93,8.05,11.9,915 NDC,00904-7501-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,00904-7502-04,CINACALCET 30 MG TABLET,76.6,57.45,34.47,76.6,909 NDC,00904-7505-61,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.0,7.5,6.77,10.0,915 NDC,00904-7506-04,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",8.9,6.68,6.02,8.9,915 NDC,00904-7507-61,ACYCLOVIR 400 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,00904-7510-61,CETIRIZINE 10 MG TABLET,2.4,1.8,1.62,2.4,915 NDC,00904-7522-08,DOFETILIDE 125 MCG CAPSULE,14.4,10.8,9.74,14.4,915 NDC,00904-7524-08,DOFETILIDE 500 MCG CAPSULE,19.2,14.4,12.99,19.2,915 NDC,00904-7591-61,FERROUS SULFATE 325 MG (65 MG IRON) TABLET (WRAPPER),2.2,1.65,1.49,2.2,915 NDC,00904-7914-61,IBUPROFEN 200 MG TABLET,0.5,0.38,0.34,0.5,915 NDC,00941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,66.75,40.05,89.0,909 NDC,00941-0409-05,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00941-0424-52,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,103.0,77.25,46.35,103.0,909 NDC,00941-0424-53,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00941-0430-53,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00941-0433-53,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,66.75,40.05,89.0,909 NDC,00941-0457-02,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,66.75,40.05,89.0,909 NDC,00941-0457-08,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00941-0459-01,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,66.75,40.05,89.0,909 NDC,00941-0459-02,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,72.0,43.2,96.0,909 NDC,00942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,72.0,43.2,96.0,909 NDC,00944-0493-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",242.0,181.5,53.08,242.0,917 NDC,00944-0493-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",242.0,181.5,53.08,242.0,915 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",121.0,90.75,53.08,121.0,919 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",121.0,90.75,53.08,121.0,915 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,1767.53,78.8,2356.7,915 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",6101.5,4576.13,78.8,6101.5,915 NDC,00944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1355.2,1016.4,45.31,1355.2,916 NDC,00944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2710.4,2032.8,45.31,2710.4,916 NDC,00944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",5420.8,4065.6,45.31,5420.8,916 NDC,00944-2700-07,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",8131.2,6098.4,45.31,8131.2,916 NDC,00944-3026-02,COAGULATION FACTOR IX (RECOMB) -- RIXUBIS (BRAND SPLIT) (RESTRICTED),39.3,29.48,1.69,39.3,914 NDC,00944-3053-02,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,30.45,1.54,40.6,916 NDC,00944-7551-02,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,32.17,1.85,42.9,915 NDC,00944-7553-02,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,32.17,1.85,42.9,915 NDC,00955-1021-04,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1613.1,1209.83,725.9,1613.1,909 NDC,00990-7077-14,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,92.0,69.0,41.4,92.0,911 NDC,00990-7111-09,D5LR KCL 20 MEQ/L IV SOLP,198.8,149.1,89.46,198.8,909 NDC,00990-7139-09,"WATER FOR IRRIGATION, STERILE SOLUTION",71.0,53.25,31.95,71.0,909 NDC,00990-7670-09,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,62.85,37.71,83.8,909 NDC,00990-7902-09,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,96.0,72.0,43.2,96.0,909 NDC,00990-7903-09,D5-NACL 0.45% KCL 30 MEQ/L IV SOLP,103.0,77.25,46.35,103.0,909 NDC,00990-7923-20,D5W 500 ML FOR IMPELLA,871.5,653.63,392.18,871.5,909 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,144.23,86.54,192.3,909 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,144.23,86.54,192.3,909 NDC,00990-7983-61,NACL 0.9 % IV FREE DRIP,90.8,68.1,40.86,90.8,909 NDC,00990-7983-61,NACL 0.9% IV BOLUS,77.7,58.28,34.97,77.7,909 NDC,00990-7983-61,NACL 0.9% IV SOLP,90.8,68.1,40.86,90.8,910 NDC,00990-7983-61,NACL 0.9% IV SOLP (PERFUSION ONLY),90.8,68.1,40.86,90.8,909 NDC,05105-0105-00,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,1.88,1.69,2.5,915 NDC,05732-0868-93,PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM,31.3,23.48,21.18,31.3,915 NDC,05928-0003-08,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",72.7,54.53,49.2,72.7,915 NDC,08065-1830-85,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,177.3,132.98,79.79,177.3,909 NDC,08065-1831-50,CHONDROITIN-SOD HYALURON 4%-3% (0.5 ML)- 1% (0.55 ML) INTRAOCULAR SYRINGE,329.3,246.98,148.19,329.3,909 NDC,08065-1839-05,CHONDROITIN-SOD HYALURON 4%-3% (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,207.7,155.78,93.47,207.7,909 NDC,08880-1504-01,INVESTIGATIONAL FLUOROESTRADIOL F 18 INJECTION USP,,,460.42,529.48,6 NDC,08880-1615-01,INVESTIGATIONAL FLORBETAPIR F-18 INJECTION,,,1825.64,2099.49,6 NDC,08880-1723-01,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,364.53,6 NDC,08880-2618-01,INVESTIGATIONAL FLUCICLOVINE F18 INTRAVENOUS SOLUTION,,,322.27,370.61,6 NDC,08880-2929-01,INVESTIGATIONAL RADIUM RA 223 INJECTION,,,172.22,198.05,4 NDC,08880-3419-01,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,364.53,6 NDC,08880-4431-01,INVESTIGATIONAL IOBENGUANE I-123 INJECTION,,,2317.5,2665.13,6 NDC,08880-4501-01,INVESTIGATIONAL IOFLUPANE I 123 INJECTION,,,1387.74,1595.9,6 NDC,08888-0000-88,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,4.88,4.4,6.5,915 NDC,08888-0001-33,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,16.43,14.82,21.9,915 NDC,08888-0001-76,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,4.95,4.47,6.6,915 NDC,08888-0001-85,HYDROMORPHONE 1 MG PARTIAL (1/2) TABLET,10.2,7.65,6.9,10.2,915 NDC,08888-0002-30,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,7.58,6.83,10.1,915 NDC,08888-0002-31,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 NDC,08888-0002-45,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,5.25,4.74,7.0,915 NDC,08888-0002-60,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 NDC,08888-0002-61,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,4.43,3.99,5.9,915 NDC,08888-0002-68,MIRTAZAPINE 7.5 MG PARTIAL (1/2) TABLET,5.4,4.05,3.65,5.4,915 NDC,08888-0002-93,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,7.8,7.04,10.4,915 NDC,08888-0003-34,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 NDC,08888-0003-65,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.9,3.52,5.2,915 NDC,08888-0003-85,TRAMADOL 25 MG PARTIAL (1/2) TABLET (RESTRICTED),10.3,7.73,6.97,10.3,915 NDC,08888-0003-87,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,3.83,3.45,5.1,915 NDC,08888-0003-97,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,4.05,3.65,5.4,915 NDC,08888-0004-06,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,3.98,3.59,5.3,915 NDC,08888-0004-28,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,4.35,3.92,5.8,915 NDC,08888-0004-80,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.83,3.45,5.1,915 NDC,08888-0004-81,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,3.9,3.52,5.2,915 NDC,08888-0004-87,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,5.03,4.53,6.7,915 NDC,08888-0005-07,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,4.05,3.65,5.4,915 NDC,08888-0005-22,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,26.4,15.84,35.2,909 NDC,08888-0005-23,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,27.15,16.29,36.2,909 NDC,08888-0005-24,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),43.7,32.78,19.67,43.7,909 NDC,08888-0005-44,PRISMASATE 2/0 DIALYSIS SOLUTION (HIGH BICARBONATE),280.0,210.0,126.0,280.0,909 NDC,08888-0006-27,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),359.0,269.25,94.45,359.0,915 NDC,08888-0006-28,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,27.38,16.43,36.5,909 NDC,08888-0006-32,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,74.6,55.95,33.57,74.6,909 NDC,08888-0006-46,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1422.3,1066.72,640.04,1422.3,909 NDC,08888-0006-50,AMITRIPTYLINE 2%-KETAMINE 0.5%-LIDOCAINE 2% IN LIPODERM CREAM,15.9,11.93,10.76,15.9,915 NDC,08888-0006-52,AMITRIPTYLINE 2%-GABAPENTIN 5%-KETAMINE 5% IN LIPODERM CREAM,16.8,12.6,11.37,16.8,915 NDC,08888-0006-77,ASPIRIN DESENSITIZATION 325 MG CAPSULE,0.5,0.38,0.34,0.5,915 NDC,08888-0007-63,EDTA DISODIUM 0.25 MOLAR OPHTHALMIC SOLUTION (RST PROD LAB),157.0,117.75,106.24,157.0,915 NDC,08888-0008-22,MINERAL OIL USP OTIC DROPS,24.6,18.45,16.65,24.6,915 NDC,08888-0009-12,TRIAMCINOLONE ACETONIDE 0.1% IN VANICREAM,96.7,72.53,65.44,96.7,915 NDC,08888-0009-31,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,909 NDC,08888-0009-32,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,909 NDC,08888-0009-99,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,9.0,6.75,6.09,9.0,915 NDC,08888-0010-71,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,26.4,15.84,35.2,909 NDC,08888-0010-74,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,31115.63,17771.01,41487.5,915 NDC,08888-0010-75,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,32152.5,17771.01,42870.0,916 NDC,08888-0010-76,IODINE-125 (I-125) SEED,495.0,371.25,222.75,495.0,909 NDC,08888-0010-77,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,31.88,19.13,42.5,909 NDC,08888-0010-78,INDIUM-111 CHARCOAL CAPSULE,908.0,681.0,408.6,908.0,909 NDC,08888-0010-79,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,115.0,86.25,51.75,115.0,909 NDC,08888-0011-05,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION (WRAPPER),19.4,14.55,13.13,19.4,915 NDC,08888-0011-21,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,2.1,1.58,1.42,2.1,915 NDC,08888-0011-76,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.2,7.65,6.9,10.2,915 NDC,08888-0011-77,GABAPENTIN 50 MG/ML ORAL SOLUTION (WRAPPER),7.2,5.4,4.87,7.2,915 NDC,08888-0011-78,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),14.0,10.5,9.47,14.0,915 NDC,08888-0011-83,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,63.1,47.33,28.4,63.1,909 NDC,08888-0011-90,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,71.3,53.48,32.09,71.3,909 NDC,08888-0011-97,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,14.1,10.58,9.54,14.1,915 NDC,08888-0012-03,LEECH (MEDICINAL),98.3,73.72,44.24,98.3,909 NDC,08888-0012-04,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,11.0,8.25,7.44,11.0,915 NDC,08888-0012-08,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% OPHTHALMIC SOLN (DILATING DROPS) IN HYPROMELLOSE,107.7,80.78,48.47,107.7,909 NDC,08888-0012-86,CYCLOPENTOLATE-KETOROLAC-PHENYLEPHRINE IN HYPROMELLOSE (CATARACT DILATING SOLN),107.7,80.78,48.47,107.7,909 NDC,08888-0012-92,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN CNR",90.8,68.1,40.86,90.8,909 NDC,08888-0012-97,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),141.0,105.75,63.45,141.0,909 NDC,08888-0012-99,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,26.78,16.07,35.7,909 NDC,08888-0013-06,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,909 NDC,08888-0013-07,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,909 NDC,08888-0013-21,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.9,83.93,50.36,111.9,909 NDC,08888-0013-22,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,26.55,15.93,35.4,909 NDC,08888-0013-24,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),111.4,83.55,50.13,111.4,909 NDC,08888-0013-44,LIDOCAINE 1.8 % BUFFERED W/ SODIUM BICARB CNR,35.9,26.93,16.16,35.9,909 NDC,08888-0013-49,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 NDC,08888-0013-50,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1647.0,1235.25,741.15,1647.0,909 NDC,08888-0013-65,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,156.23,93.74,208.3,909 NDC,08888-0014-02,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.9,3.52,5.2,915 NDC,08888-0014-04,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,324.6,243.45,21.48,324.6,915 NDC,08888-0014-13,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,33.83,20.3,45.1,909 NDC,08888-0014-14,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,6.15,5.55,8.2,915 NDC,08888-0014-19,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,433.7,325.27,195.17,433.7,909 NDC,08888-0014-22,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,36.38,21.83,48.5,909 NDC,08888-0014-25,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,42.3,25.38,56.4,909 NDC,08888-0014-31,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,5.33,4.8,7.1,915 NDC,08888-0014-34,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,92.9,69.68,41.81,92.9,909 NDC,08888-0014-37,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,54.75,32.85,73.0,909 NDC,08888-0014-43,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.83,3.45,5.1,915 NDC,08888-0014-47,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,4.35,3.92,5.8,915 NDC,08888-0014-52,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,3.83,3.45,5.1,915 NDC,08888-0014-55,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,4.2,3.79,5.6,915 NDC,08888-0014-60,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,97.6,73.2,43.92,97.6,909 NDC,08888-0014-65,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,40.2,30.15,18.09,40.2,909 NDC,08888-0014-74,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",148.7,111.53,66.92,148.7,909 NDC,08888-0014-77,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,3.83,3.45,5.1,915 NDC,08888-0014-82,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,208.7,156.53,93.92,208.7,909 NDC,08888-0014-86,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,4.13,3.72,5.5,915 NDC,08888-0018-76,NACL 0.9% IV SOLP,78.5,58.88,35.33,78.5,911 NDC,08888-0018-79,VANCOMYCIN 2 GRAM/520 ML IN 0.9% NACL (CNR),96.9,72.68,43.61,96.9,909 NDC,08888-0018-80,TRANEXAMIC ACID 1 G/60 ML 0.9% NACL (CNR),193.5,145.13,87.08,193.5,909 NDC,08888-0018-84,"BUPIVACAINE 0.25%-LIDOCAINE 1%-EPINEPHRINE 1:200,000 INJ (CNR/MAYO PRD LAB)",40.7,30.53,18.32,40.7,909 NDC,08888-0019-27,ELASTOMERIC PUMP RESERVOIR (CB6007) 600 ML/750 ML (1 ML/HR),1582.5,1186.88,712.13,1582.5,909 NDC,08888-0019-30,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,62.85,37.71,83.8,909 NDC,08888-0019-44,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,27.23,16.34,36.3,909 NDC,08888-0019-49,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,16.8,10.08,22.4,909 NDC,08888-0019-50,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,6.75,4.05,9.0,909 NDC,08888-0019-51,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 NDC,08888-0019-52,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.13,2.48,5.5,909 NDC,08888-0019-67,PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID,0.5,0.38,0.34,0.5,915 NDC,08888-0019-70,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,15.1,11.33,6.8,15.1,909 NDC,08888-0019-84,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,27.08,16.25,36.1,909 NDC,08888-0019-85,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,27.08,16.25,36.1,909 NDC,08888-0019-90,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX & CNR) (CENTRAL LINE W/ TELEMETRY),190.7,143.03,85.82,190.7,909 NDC,08888-0019-90,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX & CNR) (PERIPHERAL OR CENTRAL LINE W/O TELEMETRY),190.7,143.03,85.82,190.7,909 NDC,08888-0019-96,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,29.25,17.55,39.0,909 NDC,08888-0020-05,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 NDC,08888-0020-25,CEFAZOLIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),92.1,69.08,41.45,92.1,909 NDC,08888-0020-27,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.6,26.7,16.02,35.6,909 NDC,08888-0020-28,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.9,26.93,16.16,35.9,909 NDC,08888-0020-33,DIPHENHYDRAMINE-LIDO-ALUM-MAG HYDROX-SIMETH 25-200-400-400-40 MG/30 ML (CNR),12.9,9.68,5.81,12.9,909 NDC,08888-0020-41,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,37.35,22.41,49.8,909 NDC,08888-0020-42,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,37.35,22.41,49.8,909 NDC,08888-0020-43,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,118.0,88.5,53.1,118.0,909 NDC,08888-0020-46,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,26.4,15.84,35.2,909 NDC,08888-0020-47,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,26.4,15.84,35.2,909 NDC,08888-0020-48,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.8,26.85,16.11,35.8,909 NDC,08888-0020-49,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,909 NDC,08888-0020-50,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,909 NDC,08888-0020-51,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,27.23,16.34,36.3,909 NDC,08888-0020-52,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,909 NDC,08888-0020-53,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,26.78,16.07,35.7,909 NDC,08888-0020-54,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.4,28.05,16.83,37.4,909 NDC,08888-0020-57,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,27.15,16.29,36.2,909 NDC,08888-0020-58,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.9,3.52,5.2,915 NDC,08888-0020-64,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.4,37.05,22.23,49.4,909 NDC,08888-0020-65,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,28.28,16.97,37.7,909 NDC,08888-0020-70,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),185.7,139.28,83.57,185.7,909 NDC,08888-0020-72,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,26.55,15.93,35.4,909 NDC,08888-0020-74,GENTAMICIN 1.2 G POWDER VIAL OSM,62.8,47.1,28.26,62.8,909 NDC,08888-0020-77,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,27.15,16.29,36.2,909 NDC,08888-0020-83,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),35.9,26.93,16.16,35.9,909 NDC,08888-0020-89,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,102.8,77.1,46.26,102.8,909 NDC,08888-0020-97,SODIUM BICARBONATE 0.25 MEQ/ML INTRAFETAL INTRAVENOUS DILUTION (ANES),38.9,29.18,17.51,38.9,909 NDC,08888-0021-05,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,27.6,16.56,36.8,909 NDC,08888-0021-10,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,671.6,503.7,302.22,671.6,909 NDC,08888-0021-23,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),338.0,253.5,152.1,338.0,909 NDC,08888-0021-28,HYDROMORPHONE (PF) 100 MCG/1 ML INJECTION DILUTION (CNR),101.1,75.83,45.5,101.1,909 NDC,08888-0021-41,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,108.75,65.25,145.0,909 NDC,08888-0021-54,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,82.05,49.23,109.4,909 NDC,08888-0022-43,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,259.5,155.7,346.0,909 NDC,08888-0022-45,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,36.7,27.53,16.52,36.7,909 NDC,08888-0022-67,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,162.23,97.34,216.3,909 NDC,08888-0022-68,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,125.7,75.42,167.6,909 NDC,08888-0022-70,EPINEPHRINE 1 MG-LIDOCAINE 500 MG IN 0.9% NACL 1000 ML (TUMESCENT-VASCULAR)(CNR),78.8,59.1,35.46,78.8,909 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,52.95,31.77,70.6,909 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,61.43,36.86,81.9,909 NDC,08888-0022-82,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),70.7,53.03,31.82,70.7,909 NDC,08888-0022-86,FOSAPREPITANT 150 MG/250 ML IN 0.9% NACL (CNR),257.3,192.98,115.79,257.3,909 NDC,08888-0022-95,DEXAMETHASONE 400 MCG/0.1 ML (4 MG/ML) INTRAOCULAR INJECTION (1 ML PARABEN-FREE COMMERCIAL VIAL),70.3,52.73,31.64,70.3,909 NDC,08888-0022-98,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),640.0,480.0,288.0,640.0,909 NDC,08888-0024-26,METHADONE 10 MG/ML ORAL CONCENTRATE,10.6,7.95,7.17,10.6,915 NDC,08888-0024-39,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),16.7,12.53,11.3,16.7,915 NDC,08888-0024-51,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,20.4,15.3,9.18,20.4,909 NDC,08888-0025-29,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,8.1,6.08,5.48,8.1,915 NDC,08888-0025-43,ELASTOMERIC PUMP RESERVOIR (CB004) 400 ML/550 ML (2-14 ML/HR),843.6,632.7,379.62,843.6,909 NDC,08888-0025-57,"ACD-A 1000 ML + HEPARIN 5,000 UNITS (APHERESIS)",208.5,156.38,93.83,208.5,909 NDC,08888-0025-58,IODINE 3%-POTASSIUM IODIDE 6% IN ETHYL ALCOHOL TOPICAL SOLUTION,318.1,238.58,143.15,318.1,909 NDC,08888-0025-65,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,290.5,217.88,196.58,290.5,915 NDC,08888-0025-66,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,57.0,34.2,76.0,909 NDC,08888-0025-67,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,57.0,34.2,76.0,909 NDC,08888-0025-68,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,569.25,341.55,759.0,909 NDC,08888-0025-69,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,31.88,19.13,42.5,909 NDC,08888-0025-71,SODIUM IODIDE-131 (I-131) 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,7393.8,66.64,9858.4,915 NDC,49591-0051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),215.1,161.32,66.64,215.1,915 NDC,49702-0213-26,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,113.9,85.43,1.51,113.9,915 NDC,49702-0228-13,DOLUTEGRAVIR 50 MG TABLET,263.0,197.25,177.97,263.0,915 NDC,49702-0231-13,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,451.4,338.55,305.46,451.4,915 NDC,49702-0264-23,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16823.0,12617.25,7.02,16823.0,915 NDC,49771-0002-03,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1350.0,1012.5,607.5,1350.0,910 NDC,49884-0161-11,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,156.0,140.75,208.0,915 NDC,49884-0212-55,RISPERIDONE 0.25 MG DISINTEGRATING TABLET,15.2,11.4,10.29,15.2,915 NDC,49884-0231-83,PRAZIQUANTEL 600 MG TABLET,207.1,155.32,140.14,207.1,915 NDC,49884-0424-11,ALISKIREN 150 MG TABLET,16.4,12.3,11.1,16.4,915 NDC,50227-1030-05,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",40.5,30.38,18.23,40.5,909 NDC,50227-1080-05,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,39.7,29.78,17.87,39.7,909 NDC,50228-0109-01,CARISOPRODOL 350 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,50228-0175-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,3.9,3.52,5.2,915 NDC,50228-0334-10,ETHACRYNIC ACID 25 MG TABLET,9.8,7.35,6.63,9.8,915 NDC,50228-0483-01,DILTIAZEM 90 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,50242-0014-03,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,31682.4,23761.8,172.22,31682.4,915 NDC,50242-0041-64,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,720.8,540.6,94.45,720.8,915 NDC,50242-0041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,720.8,540.6,94.45,720.8,916 NDC,50242-0044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,16312.4,12234.3,94.45,16312.4,915 NDC,50242-0051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",3289.0,2466.75,75.22,3289.0,915 NDC,50242-0051-21,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,99.68,59.81,132.9,915 NDC,50242-0053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",16444.6,12333.45,75.22,16444.6,915 NDC,50242-0053-06,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,99.68,59.81,132.9,915 NDC,50242-0060-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,2789.9,2092.43,73.2,2789.9,915 NDC,50242-0061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,11159.3,8369.48,73.2,11159.3,915 NDC,50242-0070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",33834.0,25375.5,79.0,33834.0,915 NDC,50242-0080-03,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7757.2,5817.9,86.38,7757.2,915 NDC,50242-0085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,32624.7,24468.53,94.45,32624.7,915 NDC,50242-0087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),26409.0,19806.75,42.16,26409.0,915 NDC,50242-0088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),16505.6,12379.2,42.16,16505.6,915 NDC,50242-0090-02,VEMURAFENIB 240 MG TABLET,185.3,138.98,125.39,185.3,915 NDC,50242-0100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,386.4,348.64,515.2,915 NDC,50242-0103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16816.9,12612.68,136.67,16816.9,915 NDC,50242-0108-01,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",23022.3,17266.72,36.69,23022.3,915 NDC,50242-0109-01,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",26311.2,19733.4,36.69,26311.2,915 NDC,50242-0125-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,10943.4,8207.55,2767.88,10943.4,915 NDC,50242-0127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,43773.7,32830.28,2767.88,43773.7,915 NDC,50242-0132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5455.6,4091.7,75.03,5455.6,915 NDC,50242-0137-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),10357.7,7768.28,5.71,10357.7,915 NDC,50242-0142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,77031.6,57773.7,654.63,77031.6,915 NDC,50242-0145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,27403.3,20552.47,17.02,27403.3,915 NDC,50242-0150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,85515.7,64136.78,59.41,85515.7,915 NDC,50242-0717-01,COBIMETINIB 20 MG TABLET,457.8,343.35,309.79,457.8,915 NDC,50242-0917-01,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),47485.6,35614.2,91.34,47485.6,915 NDC,50242-0923-01,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,65489.9,49117.43,56.1,65489.9,915 NDC,50242-0933-01,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",47485.6,35614.2,31.58,47485.6,915 NDC,50268-0037-15,AMITRIPTYLINE 10 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,50268-0039-15,AMITRIPTYLINE 50 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,50268-0050-15,ACEBUTOLOL 200 MG CAPSULE,9.6,7.2,6.5,9.6,915 NDC,50268-0057-13,ATOMOXETINE 25 MG CAPSULE,14.0,10.5,9.47,14.0,915 NDC,50268-0087-12,ARIPIPRAZOLE 2 MG TABLET,8.1,6.08,5.48,8.1,915 NDC,50268-0105-15,BACLOFEN 5 MG TABLET,9.9,7.43,6.7,9.9,915 NDC,50268-0106-15,BACLOFEN 10 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,50268-0127-15,BISOPROLOL FUMARATE 5 MG TABLET,8.4,6.3,5.68,8.4,915 NDC,50268-0129-15,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,22.7,17.02,10.22,22.7,910 NDC,50268-0173-15,CLONAZEPAM 0.5 MG TABLET,11.7,8.78,7.92,11.7,915 NDC,50268-0176-15,CILOSTAZOL 50 MG TABLET,7.7,5.78,5.21,7.7,915 NDC,50268-0177-15,CILOSTAZOL 100 MG TABLET,7.6,5.7,5.14,7.6,915 NDC,50268-0178-15,CLARITHROMYCIN 250 MG TABLET,13.3,9.98,9.0,13.3,915 NDC,50268-0277-15,DOXYCYCLINE HYCLATE 50 MG CAPSULE,9.6,7.2,6.5,9.6,915 NDC,50268-0336-24,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,14.6,10.95,9.88,14.6,915 NDC,50268-0346-15,FOLIC ACID 400 MCG TABLET,2.7,2.03,1.83,2.7,915 NDC,50268-0405-15,HYDROCORTISONE 5 MG TABLET,10.0,7.5,6.77,10.0,915 NDC,50268-0430-15,INDOMETHACIN 25 MG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,50268-0431-15,INDOMETHACIN 50 MG CAPSULE,5.9,4.43,3.99,5.9,915 NDC,50268-0447-15,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,50268-0450-12,ITRACONAZOLE 100 MG CAPSULE,13.8,10.35,9.34,13.8,915 NDC,50268-0476-15,LETROZOLE 2.5 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,50268-0477-15,LEFLUNOMIDE 10 MG TABLET,12.5,9.38,8.46,12.5,915 NDC,50268-0522-15,MECLIZINE 12.5 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,50268-0525-15,MELOXICAM 7.5 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,50268-0549-15,METHENAMINE HIPPURATE 1 GRAM TABLET,11.9,8.93,8.05,11.9,915 NDC,50268-0550-15,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.6,4.95,4.47,6.6,915 NDC,50268-0557-15,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,4.88,2.93,6.5,911 NDC,50268-0585-15,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.0,4.5,4.06,6.0,915 NDC,50268-0594-15,NAPROXEN 250 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,50268-0595-15,NAPROXEN 375 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,50268-0624-15,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,13.6,10.2,9.2,13.6,915 NDC,50268-0639-15,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.6,4.2,3.79,5.6,915 NDC,50268-0686-15,PRIMIDONE 50 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,50268-0687-15,PRIMIDONE 250 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,50268-0724-15,SOTALOL 80 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,50268-0728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,50268-0755-15,TORSEMIDE 10 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,50268-0757-15,TORSEMIDE 100 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,50268-0764-15,TERAZOSIN 1 MG CAPSULE,7.8,5.85,5.28,7.8,915 NDC,50268-0766-15,TERAZOSIN 5 MG CAPSULE,7.2,5.4,4.87,7.2,915 NDC,50268-0769-15,SERTRALINE 50 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,50268-0816-15,ZONISAMIDE 100 MG CAPSULE,6.8,5.1,4.6,6.8,915 NDC,50268-0852-15,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.6,1.95,1.76,2.6,915 NDC,50268-0853-15,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.6,1.95,1.76,2.6,915 NDC,50268-0868-15,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",3.0,2.25,2.03,3.0,915 NDC,50289-3250-01,WITCH HAZEL TOPICAL PADS (WRAPPER),10.4,7.8,7.04,10.4,915 NDC,50419-0188-82,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,63.5,47.63,28.58,63.5,909 NDC,50419-0188-84,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,127.0,95.25,57.15,127.0,909 NDC,50419-0208-01,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,7852.5,172.22,10470.0,915 NDC,50419-0250-91,RIOCIGUAT 0.5 MG TABLET,276.5,207.38,187.11,276.5,915 NDC,50419-0251-01,RIOCIGUAT 1 MG TABLET,565.9,424.43,382.94,565.9,915 NDC,50419-0320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,40.7,30.53,18.32,40.7,909 NDC,50419-0325-01,GADOBUTROL IN NACL 0.9% 250 ML (FOR ARTHROGRAM),43.4,32.55,19.53,43.4,909 NDC,50419-0325-11,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 NDC,50419-0325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 NDC,50419-0325-12,GADOBUTROL IN NACL 0.9% 250 ML (FOR ARTHROGRAM),43.4,32.55,19.53,43.4,909 NDC,50419-0325-13,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,27.53,16.52,36.7,909 NDC,50419-0325-14,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,37.7,28.28,16.97,37.7,909 NDC,50419-0344-10,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,38.5,28.88,17.33,38.5,909 NDC,50419-0344-15,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,35.4,26.55,15.93,35.4,909 NDC,50419-0346-05,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,26.63,15.98,35.5,910 NDC,50419-0385-01,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20903.1,15677.33,9406.4,20903.1,909 NDC,50419-0395-01,DAROLUTAMIDE 300 MG TABLET,366.5,274.88,248.01,366.5,915 NDC,50419-0422-01,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1365.38,819.23,1820.5,909 NDC,50419-0423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,912 NDC,50419-0424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1257.15,754.29,1676.2,909 NDC,50419-0777-01,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,422.7,317.02,286.04,422.7,915 NDC,50458-0098-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,36.08,32.55,48.1,915 NDC,50458-0564-01,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,13278.2,9958.65,15.11,13278.2,915 NDC,50458-0577-10,RIVAROXABAN 2.5 MG TABLET,27.7,20.78,18.74,27.7,915 NDC,50458-0578-10,RIVAROXABAN 15 MG TABLET,52.1,39.08,35.26,52.1,915 NDC,50458-0580-10,RIVAROXABAN 10 MG TABLET,52.1,39.08,35.26,52.1,915 NDC,50474-0470-66,BRIVARACETAM 25 MG TABLET,95.9,71.93,64.9,95.9,915 NDC,50474-0500-15,MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY,1071.3,803.48,724.95,1071.3,915 NDC,50474-0570-09,BRIVARACETAM 50 MG TABLET,95.9,71.93,64.9,95.9,915 NDC,50474-0710-79,CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),24199.2,18149.4,3.91,24199.2,915 NDC,50474-0802-03,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,74.25,66.99,99.0,915 NDC,50474-0803-03,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,74.25,66.99,99.0,915 NDC,50474-0806-03,ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,74.25,66.99,99.0,915 NDC,50474-0970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,54.3,40.73,24.44,54.3,909 NDC,50484-0010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,1011.9,758.93,455.36,1011.9,909 NDC,50632-0010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,310.13,186.08,413.5,915 NDC,50633-0110-12,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,5091.3,3818.48,1828.72,5091.3,915 NDC,50633-0120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,18439.6,13829.7,5168.23,18439.6,915 NDC,50633-0210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",172932.0,129699.0,427.72,172932.0,915 NDC,50633-0310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,3885.2,2913.9,5.19,3885.2,915 NDC,50742-0118-08,CABERGOLINE 0.5 MG TABLET,14.5,10.88,9.81,14.5,915 NDC,50742-0240-01,MEXILETINE 200 MG CAPSULE,6.9,5.18,4.67,6.9,915 NDC,50742-0241-01,MEXILETINE 250 MG CAPSULE,7.3,5.48,4.94,7.3,915 NDC,50742-0257-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,4.43,3.99,5.9,915 NDC,50742-0278-01,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.4,6.3,5.68,8.4,915 NDC,50742-0310-25,MAFENIDE 50 GRAM TOPICAL PACKET,1023.8,767.85,692.81,1023.8,915 NDC,50742-0505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,21.23,19.15,28.3,915 NDC,50742-0515-30,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,169.7,127.28,114.84,169.7,915 NDC,50742-0550-05,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,20.33,18.34,27.1,915 NDC,50742-0552-05,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,28.8,25.99,38.4,915 NDC,50742-0554-05,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,32.85,29.64,43.8,915 NDC,50742-0556-05,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,49.58,44.73,66.1,915 NDC,50881-0005-60,RUXOLITINIB 5 MG TABLET,964.5,723.38,652.68,964.5,915 NDC,50881-0023-11,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,46646.1,34984.57,55.65,46646.1,915 NDC,50881-0034-12,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,19082.5,14311.88,55.65,19082.5,915 NDC,50914-7720-08,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,381.75,229.05,509.0,909 NDC,51079-0023-20,METOLAZONE 2.5 MG TABLET,14.6,10.95,9.88,14.6,915 NDC,51079-0024-20,METOLAZONE 5 MG TABLET,16.4,12.3,11.1,16.4,915 NDC,51079-0246-20,LORATADINE 10 MG TABLET,2.9,2.17,1.96,2.9,915 NDC,51079-0255-20,METOPROLOL TARTRATE 25 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,51079-0284-20,DIAZEPAM 2 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,51079-0285-20,DIAZEPAM 5 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,51079-0286-20,DIAZEPAM 10 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,51079-0566-20,THIORIDAZINE 25 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,51079-0599-20,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.1,6.08,5.48,8.1,915 NDC,51079-0684-20,ATENOLOL 50 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,51079-0753-20,SUCRALFATE 1 GRAM TABLET,6.3,4.72,4.26,6.3,915 NDC,51079-0801-20,METOPROLOL TARTRATE 50 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,51079-0923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,5.85,5.28,7.8,915 NDC,51079-0924-20,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,12.75,11.5,17.0,915 NDC,51079-0926-20,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,18.45,16.65,24.6,915 NDC,51079-0978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,4.65,4.2,6.2,915 NDC,51144-0003-01,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),29440.4,22080.3,188.76,29440.4,915 NDC,51144-0020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG/2 ML INTRAVENOUS SOLUTION (WETTED),11174.2,8380.65,36.74,11174.2,915 NDC,51144-0030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG/3 ML INTRAVENOUS SOLUTION (WETTED),16761.4,12571.05,36.74,16761.4,915 NDC,51144-0050-01,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),52390.9,39293.18,258.64,52390.9,915 NDC,51167-0548-34,SUZETRIGINE 50 MG TABLET,56.7,42.53,38.37,56.7,915 NDC,51525-0115-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,4.43,3.99,5.9,915 NDC,51552-0055-03,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),28.7,21.53,19.42,28.7,915 NDC,51552-0071-05,POTASSIUM HYDROXIDE (BULK) 10 % SOLUTION,58.8,44.1,26.46,58.8,909 NDC,51552-0205-06,FORMALDEHYDE 37% (STERILE) SOLUTION (FILTERED USING BUBBLE TECHNIQUE),140.0,105.0,63.0,140.0,909 NDC,51552-1156-05,C10-18 TRIGLYCERIDES (BULK) WAX,149.4,112.05,101.1,149.4,915 NDC,51672-1259-02,CLOBETASOL 0.05 % TOPICAL OINTMENT,71.5,53.63,48.38,71.5,915 NDC,51672-1264-01,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,75.7,56.78,51.23,75.7,915 NDC,51672-1273-04,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,81.75,73.76,109.0,915 NDC,51672-1279-01,FLUOCINONIDE 0.05 % TOPICAL GEL,150.4,112.8,101.78,150.4,915 NDC,51672-1293-03,CLOBETASOL 0.05 % SCALP SOLUTION,186.6,139.95,126.27,186.6,915 NDC,51672-1294-01,CLOBETASOL 0.05 % TOPICAL GEL,122.6,91.95,82.96,122.6,915 NDC,51672-1300-05,AMMONIUM LACTATE 12 % LOTION,54.9,41.18,37.15,54.9,915 NDC,51672-1304-06,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,105.6,95.28,140.8,915 NDC,51672-1309-01,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL GEL",208.2,156.15,140.89,208.2,915 NDC,51672-1350-08,CLOBETASOL 0.05 % LOTION,264.1,198.08,178.72,264.1,915 NDC,51672-1386-01,FLUOCINONIDE 0.05 % TOPICAL CREAM,84.9,63.68,57.45,84.9,915 NDC,51672-2001-02,MICONAZOLE NITRATE 2 % TOPICAL CREAM,62.9,47.18,42.56,62.9,915 NDC,51672-2003-06,CLOTRIMAZOLE 1 % VAGINAL CREAM,63.1,47.33,42.7,63.1,915 NDC,51672-2010-02,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,47.33,42.7,63.1,915 NDC,51672-2035-06,MICONAZOLE NITRATE 2 % VAGINAL CREAM,20.5,15.38,13.87,20.5,915 NDC,51672-2062-00,CLOTRIMAZOLE 2 % VAGINAL CREAM,73.1,54.83,49.47,73.1,915 NDC,51672-2080-01,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,52.65,47.5,70.2,915 NDC,51672-2114-02,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 NDC,51672-2115-02,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 NDC,51672-2116-02,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.38,0.34,0.5,915 NDC,51672-2131-08,LORATADINE 5 MG/5 ML ORAL SOLUTION,2.6,1.95,1.76,2.6,915 NDC,51672-4111-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.7,4.28,3.86,5.7,915 NDC,51672-4118-06,FLUOROURACIL 5 % TOPICAL CREAM,200.6,150.45,135.75,200.6,915 NDC,51672-4215-03,METRONIDAZOLE 1 % TOPICAL GEL,256.2,192.15,173.37,256.2,915 NDC,51672-5316-09,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,374.93,338.28,499.9,915 NDC,51754-0108-03,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",95.0,71.25,42.75,95.0,909 NDC,51754-2004-04,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,102.8,77.1,46.26,102.8,909 NDC,51754-5012-04,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INJECTION (WRAPPER),57.4,43.05,25.83,57.4,909 NDC,51759-0208-13,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,20052.6,15039.45,31.35,20052.6,915 NDC,51801-0011-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,6.8,5.1,4.6,6.8,915 NDC,51801-0014-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,6.6,4.95,4.47,6.6,915 NDC,51808-0127-01,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,825.0,495.0,1100.0,909 NDC,51808-0128-01,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,810.0,278.24,1080.0,915 NDC,51927-1031-00,LIDOCAINE (BULK) POWDER,7.4,5.55,5.01,7.4,915 NDC,51927-1055-00,"PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) LIQUID",50.4,37.8,34.11,50.4,915 NDC,51927-1326-00,TRIAMCINOLONE ACETONIDE (BULK) 100 % POWDER,30.5,22.88,13.73,30.5,909 NDC,51927-1603-00,AMITRIPTYLINE (BULK) POWDER,12.7,9.53,5.72,12.7,909 NDC,51927-3338-00,EMOLLIENT COMBIN. NO.15 (BULK) CREAM,5.9,4.43,3.99,5.9,915 NDC,51927-4213-00,GABAPENTIN (BULK) 100 % POWDER,38.3,28.73,25.92,38.3,915 NDC,51991-0002-98,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,500.33,300.2,667.1,910 NDC,51991-0006-33,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,5.1,4.6,6.8,915 NDC,51991-0144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,61.0,45.75,27.45,61.0,909 NDC,51991-0198-99,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,2.5,1.88,1.69,2.5,915 NDC,51991-0311-90,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",7.0,5.25,4.74,7.0,915 NDC,51991-0543-90,IRON ASP-C-B12-CALCIUM-SA-STOMACH 70 MG-150 MG-10 MCG-2 MG-75MG TABLET,4.9,3.68,3.32,4.9,915 NDC,51991-0703-90,IRON ASPGL AND PS CMPLX 150 MG-VIT C 50 MG-SUCCINIC ACID 50 MG CAPSULE,5.1,3.83,3.45,5.1,915 NDC,52015-0080-01,FIDAXOMICIN 200 MG TABLET,414.6,310.95,280.56,414.6,915 NDC,52244-0100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,13.5,12.18,18.0,915 NDC,52244-0200-10,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,18.23,16.44,24.3,915 NDC,52244-0300-10,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",28.7,21.53,19.42,28.7,915 NDC,52244-0400-10,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",38.3,28.73,25.92,38.3,915 NDC,52670-0550-30,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,281.25,168.75,375.0,909 NDC,52670-0551-30,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,630.0,378.0,840.0,913 NDC,52670-0552-30,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,995.63,597.38,1327.5,911 NDC,52670-0556-30,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,5130.0,2516.43,6840.0,916 NDC,52817-0800-30,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,204.6,153.45,138.45,204.6,915 NDC,52817-0816-15,ACETIC ACID 2 % EAR SOLUTION,123.7,92.78,83.71,123.7,915 NDC,53329-0068-01,WHITE PETROLATUM TOPICAL JELLY,52.7,39.53,35.66,52.7,915 NDC,53329-0144-44,ZINC OXIDE 17 %-WHITE PETROLATUM 57 % TOPICAL PASTE,23.0,17.25,15.56,23.0,915 NDC,53329-0169-79,MICONAZOLE NITRATE 2 % TOPICAL POWDER,65.5,49.13,29.48,65.5,909 NDC,53436-0084-30,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,66.08,59.62,88.1,915 NDC,53489-0141-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",20.6,15.45,13.94,20.6,915 NDC,53746-0734-90,FELBAMATE 400 MG TABLET,11.2,8.4,7.58,11.2,915 NDC,53746-0735-90,FELBAMATE 600 MG TABLET,11.4,8.55,7.71,11.4,915 NDC,54092-0189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,11.18,10.08,14.9,915 NDC,54092-0191-12,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,18.52,16.71,24.7,915 NDC,54092-0700-01,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION,13169.8,9877.35,558.46,13169.8,915 NDC,54288-0103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,50.4,30.24,67.2,910 NDC,54288-0105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,274.3,205.73,123.44,274.3,909 NDC,54288-0111-05,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,95.1,71.33,42.8,95.1,909 NDC,54288-0127-10,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,42.3,31.73,19.04,42.3,909 NDC,54288-0142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION,64.9,48.68,43.92,64.9,915 NDC,54288-0147-01,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,556.1,417.08,8.73,556.1,918 NDC,54482-0147-01,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,82.9,62.18,37.31,82.9,909 NDC,54482-0147-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,89.8,67.35,40.41,89.8,909 NDC,54629-0110-76,ALPHA LIPOIC ACID 100 MG CAPSULE,2.4,1.8,1.62,2.4,915 NDC,54629-0163-00,SELENIUM 200 MCG TABLET,2.2,1.65,1.49,2.2,915 NDC,54629-4097-60,ACETYLCYSTEINE 600 MG CAPSULE,2.3,1.73,1.56,2.3,915 NDC,54643-5650-02,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",67.7,50.78,30.47,67.7,909 NDC,54838-0502-80,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,252.9,189.68,171.14,252.9,915 NDC,54838-0510-80,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,5.3,3.98,3.59,5.3,915 NDC,54838-0512-40,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,5.18,4.67,6.9,915 NDC,55111-0262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET,10.1,7.58,6.83,10.1,915 NDC,55111-0320-01,GLIMEPIRIDE 1 MG TABLET,5.2,3.9,3.52,5.2,915 NDC,55111-0612-30,"PRAMIPEXOLE ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR",13.1,9.82,8.86,13.1,915 NDC,55111-0678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,43.8,26.28,58.4,909 NDC,55111-0679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,59.3,44.48,26.69,59.3,909 NDC,55111-0681-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,117.3,87.98,52.79,117.3,909 NDC,55111-0685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,43.8,26.28,58.4,909 NDC,55111-0717-30,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.3,5.48,4.94,7.3,915 NDC,55111-0719-30,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.6,6.45,5.82,8.6,915 NDC,55150-0120-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,42.7,32.03,19.22,42.7,909 NDC,55150-0154-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,48.5,36.38,21.83,48.5,910 NDC,55150-0168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,27.08,16.25,36.1,913 NDC,55150-0168-30,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,27.08,16.25,36.1,909 NDC,55150-0170-30,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,27.0,16.2,36.0,909 NDC,55150-0172-30,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,36.2,27.15,16.29,36.2,910 NDC,55150-0173-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,50.0,37.5,22.5,50.0,910 NDC,55150-0183-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,70.8,53.1,31.86,70.8,909 NDC,55150-0235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,44.3,33.23,19.94,44.3,909 NDC,55150-0235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION ARZ ANES,44.3,33.23,19.94,44.3,909 NDC,55150-0270-99,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,205.8,154.35,0.63,205.8,915 NDC,55150-0271-99,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,455.1,341.33,0.63,455.1,915 NDC,55150-0272-01,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,963.1,722.33,0.63,963.1,915 NDC,55150-0282-09,ERTAPENEM 1 GRAM IM EQUIVALENCY,40.2,30.15,18.09,40.2,909 NDC,55150-0282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,40.2,30.15,18.09,40.2,910 NDC,55150-0330-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),52.1,39.08,23.45,52.1,909 NDC,55150-0337-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,129.8,97.35,58.41,129.8,909 NDC,55150-0337-01,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),129.8,97.35,58.41,129.8,909 NDC,55150-0337-01,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),129.8,97.35,58.41,129.8,909 NDC,55150-0354-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),137.2,102.9,61.74,137.2,909 NDC,55150-0354-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.2,102.9,61.74,137.2,909 NDC,55150-0370-24,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),41.9,31.43,18.86,41.9,910 NDC,55150-0928-02,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1431.6,1073.7,328.34,1431.6,915 NDC,55292-0702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,45708.7,34281.53,34.18,45708.7,915 NDC,55513-0021-04,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,421.2,315.9,2.93,421.2,915 NDC,55513-0023-04,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,631.8,473.85,2.93,631.8,915 NDC,55513-0025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1053.0,789.75,2.93,1053.0,915 NDC,55513-0027-04,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1579.5,1184.63,2.93,1579.5,915 NDC,55513-0028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,2106.0,1579.5,2.93,2106.0,915 NDC,55513-0032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,1579.5,1184.63,2.93,1579.5,915 NDC,55513-0057-04,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.3,197.48,2.93,263.3,915 NDC,55513-0059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6146.0,4609.5,1564.64,6146.0,915 NDC,55513-0069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,61460.2,46095.15,1564.64,61460.2,915 NDC,55513-0078-01,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,293.4,220.05,73.94,293.4,915 NDC,55513-0079-01,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,29337.4,22003.05,73.94,29337.4,915 NDC,55513-0111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,3159.0,2369.25,2.93,3159.0,915 NDC,55513-0112-01,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,18258.3,13693.73,18.01,18258.3,915 NDC,55513-0126-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",128.1,96.08,8.54,128.1,915 NDC,55513-0132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14661.5,10996.13,47.55,14661.5,915 NDC,55513-0141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5236.4,3927.3,47.55,5236.4,915 NDC,55513-0144-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",640.2,480.15,8.54,640.2,915 NDC,55513-0148-10,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",256.1,192.08,8.54,256.1,915 NDC,55513-0150-01,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),23428.8,17571.6,164.25,23428.8,915 NDC,55513-0190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,18076.6,13557.45,89.34,18076.6,915 NDC,55513-0192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,18076.6,13557.45,89.34,18076.6,915 NDC,55513-0221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11498.0,8623.5,11.01,11498.0,915 NDC,55513-0222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,22995.8,17246.85,11.01,22995.8,915 NDC,55513-0224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,2207.8,1655.85,26.51,2207.8,915 NDC,55513-0267-10,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",192.1,144.07,8.54,192.1,915 NDC,55513-0326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,11038.8,8279.1,26.51,11038.8,915 NDC,55513-0530-10,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1227.9,920.93,1.0,1227.9,915 NDC,55513-0546-10,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1955.2,1466.4,1.0,1955.2,915 NDC,55513-0670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1482.3,1111.72,20.41,1482.3,916 NDC,55513-0710-21,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,5723.9,4292.93,29.38,5723.9,915 NDC,55513-0730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,10527.6,7895.7,29.38,10527.6,915 NDC,55513-0841-01,ERENUMAB-AOOE 70 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2902.8,2177.1,1964.32,2902.8,915 NDC,55513-0880-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9959.9,7469.93,12.07,9959.9,915 NDC,55513-0954-01,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),7418.0,5563.5,173.03,7418.0,915 NDC,55513-0956-01,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),29672.0,22254.0,173.03,29672.0,915 NDC,55566-4100-01,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,392.5,294.38,112.45,392.5,915 NDC,55566-8303-01,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1293.8,970.35,4.45,1293.8,915 NDC,55566-8403-01,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),2011.2,1508.4,4.45,2011.2,915 NDC,56151-1610-51,GLUCOSE 3.75 GRAM CHEWABLE TABLET,2.3,1.73,1.56,2.3,915 NDC,57005-0004-03,HYPOCHLOROUS ACID 0.01 %-SODIUM CHLORIDE TOPICAL SPRAY,910.9,683.18,616.41,910.9,915 NDC,57237-0005-11,FLUCONAZOLE 150 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,57237-0045-60,CLARITHROMYCIN 500 MG TABLET,6.9,5.18,4.67,6.9,915 NDC,57237-0114-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.05,3.65,5.4,915 NDC,57237-0150-35,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,58.7,44.03,39.72,58.7,915 NDC,57237-0173-01,VENLAFAXINE 37.5 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,57237-0176-01,VENLAFAXINE 100 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,57237-0305-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,23.6,17.7,15.97,23.6,915 NDC,57237-0314-31,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.38,0.34,0.5,915 NDC,57237-0319-31,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,11.5,8.63,7.78,11.5,915 NDC,57664-0683-57,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.2,26.4,15.84,35.2,909 NDC,57770-0055-00,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,100.0,75.0,45.0,100.0,909 NDC,57770-0516-31,"POLYDIMETHYLSILOXANES 5,000 MILLIPASCAL SECONDS INTRAOCULAR SYRINGE",1839.8,1379.85,827.91,1839.8,909 NDC,57894-0054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8849.2,6636.9,12.99,8849.2,915 NDC,57894-0060-03,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,59687.7,44765.78,40390.67,59687.7,915 NDC,57894-0061-03,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,119375.2,89531.4,80781.2,119375.2,915 NDC,57894-0111-01,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,28 NDC,57894-0111-01,YESCARTA,2480000.0,548900.0,548900.0,548900.0,3 NDC,57894-0111-02,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,1 NDC,57894-0160-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1851.6,1388.7,31.09,1851.6,915 NDC,57894-0350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7793.0,5844.75,11.04,7793.0,915 NDC,57894-0449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7076.5,5307.38,33.58,7076.5,915 NDC,57894-0450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,36090.0,27067.5,33.58,36090.0,915 NDC,57894-0469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3322.2,2491.65,72.62,3322.2,915 NDC,57894-0470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,41232.8,30924.6,72.62,41232.8,915 NDC,57894-0501-01,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15143.0,11357.25,22.54,15143.0,915 NDC,57894-0503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",44480.9,33360.68,55.57,44480.9,915 NDC,57894-0650-02,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,57916.4,43437.3,75.97,57916.4,915 NDC,57962-0014-28,IBRUTINIB 140 MG TABLET,1116.0,837.0,755.2,1116.0,915 NDC,57962-0280-28,IBRUTINIB 280 MG TABLET,1116.0,837.0,755.2,1116.0,915 NDC,57962-0420-28,IBRUTINIB 420 MG TABLET,1116.1,837.08,755.26,1116.1,915 NDC,57970-0100-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,6265.8,4699.35,15.61,6265.8,915 NDC,58060-0002-02,PRUSSIAN BLUE 0.5 GRAM CAPSULE,14.5,10.88,9.81,14.5,915 NDC,58151-0118-01,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,7.58,6.83,10.1,915 NDC,58160-0723-03,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP",417.4,313.05,187.83,417.4,909 NDC,58160-0823-11,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,169.05,101.43,225.4,909 NDC,58160-0828-03,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,225.4,169.05,101.43,225.4,909 NDC,58160-0848-11,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,313.05,187.83,417.4,909 NDC,58160-0955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,182.48,109.49,243.3,909 NDC,58160-0976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,188.4,113.04,251.2,909 NDC,58181-3040-05,LOMUSTINE 10 MG CAPSULE,415.4,311.55,281.1,415.4,915 NDC,58181-3041-05,LOMUSTINE 40 MG CAPSULE,1481.4,1111.05,1002.46,1481.4,915 NDC,58394-0635-03,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,29.33,1.85,39.1,915 NDC,58406-0010-04,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4175.7,3131.78,1879.07,4175.7,909 NDC,58468-0030-02,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8250.3,6187.73,2116.32,8250.3,915 NDC,58468-0040-01,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,32249.2,24186.9,230.15,32249.2,915 NDC,58468-0041-01,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4606.3,3454.73,230.15,4606.3,915 NDC,58468-0080-01,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4589.9,3442.43,999.37,4589.9,915 NDC,58468-0090-01,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,543.8,407.85,7.95,543.8,915 NDC,58468-0090-03,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1631.2,1223.4,7.95,1631.2,915 NDC,58468-0160-01,ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLUTION,4053.0,3039.75,206.59,4053.0,915 NDC,58468-0200-01,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,89381.4,67036.05,2429.89,89381.4,915 NDC,58468-0225-01,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,28369.7,21277.28,802.49,28369.7,915 NDC,58468-0426-01,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,8105.9,6079.43,80.91,8105.9,915 NDC,58980-0012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,11.85,10.69,15.8,915 NDC,58980-0350-50,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,2.8,2.1,1.89,2.8,915 NDC,58980-0409-25,GLYCERIN (CHILD) RECTAL SUPPOSITORY,3.2,2.4,2.17,3.2,915 NDC,58980-0824-15,LIDOCAINE 4 % TOPICAL CREAM,60.9,45.68,41.21,60.9,915 NDC,58980-0960-12,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,129.8,97.35,58.41,129.8,909 NDC,59011-0410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,20.1,18.14,26.8,915 NDC,59011-0415-20,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",34.7,26.03,23.48,34.7,915 NDC,59011-0420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",41.3,30.98,27.95,41.3,915 NDC,59011-0440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,52.35,47.23,69.8,915 NDC,59137-0231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,7236.0,6528.8,9648.0,915 NDC,59137-0335-00,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2440.0,1830.0,32.33,2440.0,915 NDC,59137-0365-00,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),12200.0,9150.0,32.33,12200.0,915 NDC,59148-0036-13,BREXPIPRAZOLE 0.5 MG TABLET,166.3,124.73,112.54,166.3,915 NDC,59310-0610-31,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,4519.0,3389.25,10.95,4519.0,915 NDC,59338-0775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,545.7,409.28,0.32,545.7,915 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.3,27.98,16.79,37.3,909 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),39.5,29.63,17.78,39.5,909 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.3,28.73,17.24,38.3,909 NDC,59365-5128-01,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,2039.8,1529.85,917.91,2039.8,909 NDC,59385-0021-60,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,35.7,26.78,24.16,35.7,915 NDC,59385-0022-60,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,35.7,26.78,24.16,35.7,915 NDC,59385-0023-60,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.4,43.05,38.84,57.4,915 NDC,59390-0192-05,HOMATROPINE 5 % EYE DROPS,115.9,86.93,52.16,115.9,909 NDC,59390-0218-05,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,94.73,56.84,126.3,909 NDC,59417-0101-10,LISDEXAMFETAMINE 10 MG CAPSULE,59.0,44.25,39.93,59.0,915 NDC,59417-0104-10,LISDEXAMFETAMINE 40 MG CAPSULE,49.0,36.75,33.16,49.0,915 NDC,59417-0106-10,LISDEXAMFETAMINE 60 MG CAPSULE,49.0,36.75,33.16,49.0,915 NDC,59572-0711-01,LUSPATERCEPT-AAMT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION (WETTED),16689.4,12517.05,41.98,16689.4,915 NDC,59572-0775-01,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),50067.8,37550.85,41.98,50067.8,915 NDC,59572-0984-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12724.3,9543.23,30.78,12724.3,915 NDC,59584-0138-01,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,129.8,97.35,58.41,129.8,909 NDC,59584-0140-01,SPHERULE-DERIV COCCI SKIN TEST 1.27 MCG/0.1 ML (1 ML) INTRADERMAL SOLN,109.4,82.05,49.23,109.4,909 NDC,59630-0266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,915.0,686.25,2.42,915.0,915 NDC,59651-0085-60,DARUNAVIR 600 MG TABLET,9.0,6.75,6.09,9.0,915 NDC,59651-0086-30,DARUNAVIR 800 MG TABLET,12.0,9.0,8.12,12.0,915 NDC,59651-0214-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,55.65,50.21,74.2,915 NDC,59651-0257-01,PROPAFENONE 225 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,59651-0332-01,FLUCYTOSINE 500 MG CAPSULE,70.3,52.73,47.57,70.3,915 NDC,59651-0422-01,CEVIMELINE 30 MG CAPSULE,8.2,6.15,5.55,8.2,915 NDC,59651-0484-01,PREDNISONE 1 MG TABLET,5.4,4.05,2.43,5.4,909 NDC,59651-0616-08,RUFINAMIDE 200 MG TABLET,10.9,8.18,7.38,10.9,915 NDC,59651-0866-01,CIPROFLOXACIN 250 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,59651-0873-50,CIPROFLOXACIN 750 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,59676-0278-01,RILPIVIRINE HCL 25 MG TABLET,166.7,125.03,112.81,166.7,915 NDC,59676-0320-04,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",562.9,422.18,8.54,562.9,915 NDC,59676-0340-01,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2251.4,1688.55,8.54,2251.4,915 NDC,59676-0575-30,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,202.95,183.12,270.6,915 NDC,59676-0610-01,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15703.6,11777.7,391.07,15703.6,915 NDC,59676-0820-01,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",2525.3,1893.98,636.59,2525.3,915 NDC,59746-0010-32,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,7.1,5.33,4.8,7.1,915 NDC,59762-0051-01,METHYLPREDNISOLONE 32 MG TABLET,18.1,13.58,8.15,18.1,909 NDC,59762-0104-05,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",6.0,4.5,4.06,6.0,915 NDC,59762-0260-01,COLESTIPOL 5 GRAM ORAL PACKET,11.8,8.85,7.99,11.8,915 NDC,59762-1308-04,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,990.68,893.85,1320.9,915 NDC,59762-1350-01,RIFABUTIN 150 MG CAPSULE,43.9,32.92,29.71,43.9,915 NDC,59762-5000-05,SULFASALAZINE 500 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,60219-1503-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,426.3,319.73,288.48,426.3,915 NDC,60219-1522-01,TETRACYCLINE 250 MG CAPSULE,9.1,6.83,6.16,9.1,915 NDC,60219-1748-02,ATROPINE 1 % EYE DROPS,178.9,134.18,80.51,178.9,909 NDC,60219-1749-03,ATROPINE 1 % EYE DROPS,202.7,152.03,91.22,202.7,909 NDC,60267-0705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,396.0,297.0,178.2,396.0,909 NDC,60505-0040-01,ETODOLAC 300 MG CAPSULE,6.8,5.1,4.6,6.8,915 NDC,60505-0159-00,SOTALOL 120 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,60505-0815-00,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,96.53,87.09,128.7,915 NDC,60505-0829-01,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",70.3,52.73,47.57,70.3,915 NDC,60505-2575-07,BALSALAZIDE 750 MG CAPSULE,7.4,5.55,5.01,7.4,915 NDC,60505-2807-07,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",8.3,6.23,5.62,8.3,915 NDC,60505-3250-06,LAMIVUDINE 100 MG TABLET,38.1,28.58,25.78,38.1,915 NDC,60505-3438-03,SELEGILINE 5 MG TABLET,8.0,6.0,5.41,8.0,915 NDC,60505-4033-01,ICOSAPENT ETHYL 1 GRAM CAPSULE,13.2,9.9,8.93,13.2,915 NDC,60505-4372-03,VILAZODONE 10 MG TABLET,9.0,6.75,6.09,9.0,915 NDC,60505-4374-03,VILAZODONE 40 MG TABLET,8.2,6.15,5.55,8.2,915 NDC,60505-4642-03,PRASUGREL HCL 5 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,60505-4643-03,PRASUGREL HCL 10 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,60505-6132-07,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),133.6,100.2,60.12,133.6,909 NDC,60505-6144-04,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,33.53,20.12,44.7,909 NDC,60505-6144-04,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,33.45,20.07,44.6,910 NDC,60505-6145-04,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,39.75,23.85,53.0,911 NDC,60505-6159-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,37.8,22.68,50.4,909 NDC,60505-6197-02,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,11.33,6.8,15.1,909 NDC,60505-6231-05,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,38.78,23.27,51.7,915 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,74.4,55.8,33.48,74.4,909 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,55.58,33.35,74.1,909 NDC,60687-0105-21,MEDROXYPROGESTERONE 10 MG TABLET,9.9,7.43,6.7,9.9,915 NDC,60687-0112-21,ANASTROZOLE 1 MG TABLET,7.9,5.93,5.35,7.9,915 NDC,60687-0122-01,PREDNISONE 5 MG TABLET,5.6,4.2,2.52,5.6,911 NDC,60687-0145-01,PREDNISONE 20 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,60687-0149-94,CAPECITABINE 500 MG TABLET,33.7,25.28,0.04,33.7,915 NDC,60687-0188-21,ENTACAPONE 200 MG TABLET,18.5,13.88,12.52,18.5,915 NDC,60687-0215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,8.85,7.99,11.8,915 NDC,60687-0216-25,ENTECAVIR 0.5 MG TABLET,72.0,54.0,48.72,72.0,915 NDC,60687-0224-01,GEMFIBROZIL 600 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,60687-0226-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",12.5,9.38,8.46,12.5,915 NDC,60687-0229-01,LOPERAMIDE 2 MG CAPSULE,7.4,5.55,5.01,7.4,915 NDC,60687-0256-01,ROSUVASTATIN 20 MG TABLET,9.0,6.75,6.09,9.0,915 NDC,60687-0272-94,CEFUROXIME AXETIL 250 MG TABLET,20.4,15.3,13.8,20.4,915 NDC,60687-0275-66,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),33.6,25.2,22.74,33.6,915 NDC,60687-0345-01,CALCITRIOL 0.25 MCG CAPSULE,7.9,5.93,5.35,7.9,915 NDC,60687-0377-01,ALPRAZOLAM 0.25 MG TABLET,11.0,8.25,7.44,11.0,915 NDC,60687-0388-01,ALPRAZOLAM 0.5 MG TABLET,11.4,8.55,7.71,11.4,915 NDC,60687-0394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,4.5,4.06,6.0,915 NDC,60687-0395-83,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,4.5,4.06,6.0,915 NDC,60687-0396-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.5,8.63,7.78,11.5,915 NDC,60687-0405-83,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.7,5.03,4.53,6.7,915 NDC,60687-0408-25,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",55.9,41.93,37.83,55.9,915 NDC,60687-0417-71,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,24.6,18.45,16.65,24.6,915 NDC,60687-0436-01,CELECOXIB 100 MG CAPSULE,8.4,6.3,5.68,8.4,915 NDC,60687-0446-01,IBUPROFEN 400 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,60687-0451-21,EPLERENONE 25 MG TABLET,20.1,15.08,13.6,20.1,915 NDC,60687-0457-01,IBUPROFEN 600 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,60687-0476-01,SPIRONOLACTONE 50 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,60687-0491-01,NAPROXEN 500 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,60687-0526-01,METRONIDAZOLE 250 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,60687-0556-32,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",30.1,22.58,20.37,30.1,915 NDC,60687-0560-21,REPAGLINIDE 1 MG TABLET,15.3,11.48,10.35,15.3,915 NDC,60687-0563-01,LEVOTHYROXINE 137 MCG TABLET,6.9,5.18,4.67,6.9,915 NDC,60687-0575-21,RIFAMPIN 150 MG CAPSULE,16.4,12.3,11.1,16.4,915 NDC,60687-0579-01,HYDROMORPHONE 2 MG TABLET,11.3,8.48,7.65,11.3,915 NDC,60687-0583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,13.05,11.77,17.4,915 NDC,60687-0587-01,PROPRANOLOL 10 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,60687-0592-21,PRAMIPEXOLE 1 MG TABLET,8.8,6.6,5.95,8.8,915 NDC,60687-0593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,60687-0606-01,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",6.8,5.1,4.6,6.8,915 NDC,60687-0612-21,VALSARTAN 40 MG TABLET,7.9,5.93,5.35,7.9,915 NDC,60687-0620-01,METOCLOPRAMIDE 5 MG TABLET,6.9,5.18,4.67,6.9,915 NDC,60687-0622-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.6,1.95,1.76,2.6,915 NDC,60687-0631-01,METOCLOPRAMIDE 10 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,60687-0642-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.4,8.55,7.71,11.4,915 NDC,60687-0650-32,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",16.0,12.0,10.83,16.0,915 NDC,60687-0653-21,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",6.8,5.1,4.6,6.8,915 NDC,60687-0656-21,LISINOPRIL 2.5 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,60687-0658-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",7.1,5.33,4.8,7.1,915 NDC,60687-0660-01,PROMETHAZINE 12.5 MG TABLET,6.7,5.03,4.53,6.7,915 NDC,60687-0664-01,HYDROXYZINE HCL 10 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,60687-0669-01,METHIMAZOLE 5 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,60687-0675-01,HYDROXYZINE HCL 25 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,60687-0680-01,METHIMAZOLE 10 MG TABLET,8.0,6.0,5.41,8.0,915 NDC,60687-0692-65,RAMELTEON 8 MG TABLET,17.1,12.83,11.57,17.1,915 NDC,60687-0693-01,LAMOTRIGINE 150 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,60687-0699-21,CEFDINIR 300 MG CAPSULE,18.2,13.65,12.32,18.2,915 NDC,60687-0701-01,GLIPIZIDE 10 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,60687-0715-21,COLESTIPOL 1 GRAM TABLET,18.3,13.73,12.38,18.3,915 NDC,60687-0717-01,DILTIAZEM 30 MG TABLET,6.6,4.95,4.47,6.6,915 NDC,60687-0721-21,DESMOPRESSIN 0.1 MG TABLET,10.6,7.95,7.17,10.6,915 NDC,60687-0728-01,DILTIAZEM 60 MG TABLET,6.8,5.1,4.6,6.8,915 NDC,60687-0735-01,MISOPROSTOL 100 MCG TABLET,11.4,8.55,7.71,11.4,915 NDC,60687-0746-01,MISOPROSTOL 200 MCG TABLET,12.6,9.45,8.53,12.6,915 NDC,60687-0750-21,TRANEXAMIC ACID 650 MG TABLET,19.3,14.48,13.06,19.3,915 NDC,60687-0758-21,LURASIDONE 40 MG TABLET,18.9,14.18,12.79,18.9,915 NDC,60687-0768-21,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.7,7.28,6.56,9.7,915 NDC,60687-0778-21,MEXILETINE 150 MG CAPSULE,11.0,8.25,7.44,11.0,915 NDC,60687-0789-01,PYRAZINAMIDE 500 MG TABLET,26.2,19.65,17.73,26.2,915 NDC,60687-0792-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.2,6.9,6.23,9.2,915 NDC,60687-0803-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,60687-0807-01,CHLORDIAZEPOXIDE 25 MG CAPSULE,7.4,5.55,5.01,7.4,915 NDC,60687-0836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,6.4,4.8,4.33,6.4,915 NDC,60687-0845-77,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,12.2,9.15,8.26,12.2,915 NDC,60687-0857-21,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",8.2,6.15,5.55,8.2,915 NDC,60687-0881-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",7.5,5.63,5.08,7.5,915 NDC,60687-0887-21,NADOLOL 20 MG TABLET,13.9,10.43,9.41,13.9,915 NDC,60687-0898-21,NADOLOL 40 MG TABLET,21.0,15.75,14.21,21.0,915 NDC,60687-0930-01,PROPAFENONE 150 MG TABLET,7.8,5.85,5.28,7.8,915 NDC,60758-0880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,223.2,201.39,297.6,915 NDC,60793-0701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1504.9,1128.68,30.01,1504.9,915 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,321.4,241.05,144.63,321.4,909 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),642.8,482.1,289.26,642.8,909 NDC,61269-0410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,664.4,498.3,298.98,664.4,909 NDC,61269-0410-20,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),664.4,498.3,298.98,664.4,909 NDC,61269-0989-37,DOCOSANOL 10 % TOPICAL CREAM,51.3,38.48,34.71,51.3,915 NDC,61314-0014-25,DICLOFENAC 0.1 % EYE DROPS,84.2,63.15,56.98,84.2,915 NDC,61314-0016-01,PROPARACAINE 0.5 % EYE DROPS,152.1,114.08,68.45,152.1,909 NDC,61314-0044-75,TRIFLURIDINE 1 % EYE DROPS,678.8,509.1,459.34,678.8,915 NDC,61314-0143-05,BRIMONIDINE 0.2 % EYE DROPS,69.6,52.2,47.1,69.6,915 NDC,61314-0203-15,PILOCARPINE 1 % EYE DROPS,182.7,137.03,123.63,182.7,915 NDC,61314-0204-15,PILOCARPINE 2 % EYE DROPS,181.0,135.75,122.48,181.0,915 NDC,61314-0206-15,PILOCARPINE 4 % EYE DROPS,253.7,190.28,171.68,253.7,915 NDC,61314-0226-05,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,47.7,43.04,63.6,915 NDC,61314-0227-05,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,49.5,44.66,66.0,915 NDC,61314-0237-10,CROMOLYN 4 % EYE DROPS,68.9,51.68,46.62,68.9,915 NDC,61314-0238-05,CARTEOLOL 1 % EYE DROPS,77.7,58.28,52.58,77.7,915 NDC,61314-0240-63,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6702.2,5026.65,27.54,6702.2,915 NDC,61314-0245-01,BETAXOLOL 0.5 % EYE DROPS,220.8,165.6,149.42,220.8,915 NDC,61314-0318-10,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,787.0,590.25,0.46,787.0,915 NDC,61314-0326-01,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1259.2,944.4,0.46,1259.2,915 NDC,61314-0354-01,TROPICAMIDE 0.5 % EYE DROPS,124.4,93.3,84.18,124.4,915 NDC,61314-0355-01,TROPICAMIDE 1 % EYE DROPS,83.6,62.7,37.62,83.6,909 NDC,61314-0547-01,LATANOPROST 0.005 % EYE DROPS,63.5,47.63,42.97,63.5,915 NDC,61314-0628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,52.73,47.57,70.3,915 NDC,61314-0630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",93.8,70.35,63.47,93.8,915 NDC,61314-0633-05,GENTAMICIN 0.3 % EYE DROPS,63.9,47.93,43.24,63.9,915 NDC,61314-0637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,115.8,104.48,154.4,915 NDC,61314-0641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,351.23,316.9,468.3,915 NDC,61314-0665-05,APRACLONIDINE 0.5 % EYE DROPS,197.7,148.28,133.78,197.7,915 NDC,61364-0181-03,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1764.0,1323.0,1.68,1764.0,915 NDC,61703-0305-38,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,89.18,53.51,118.9,909 NDC,61703-0309-25,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),139.8,104.85,62.91,139.8,909 NDC,61703-0343-65,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",799.5,599.63,23.88,799.5,915 NDC,61703-0600-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,104.4,78.3,46.98,104.4,909 NDC,61703-0600-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),104.4,78.3,46.98,104.4,909 NDC,61755-0005-02,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER),7958.4,5968.8,771.56,7958.4,915 NDC,61755-0008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,45089.3,33816.98,29.29,45089.3,915 NDC,61755-0010-01,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),178988.4,134241.3,193.76,178988.4,915 NDC,61755-0013-01,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),50450.2,37837.65,193.76,50450.2,915 NDC,61772-0600-81,SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE,568.3,426.23,255.74,568.3,909 NDC,61874-0115-11,CARIPRAZINE 1.5 MG CAPSULE,170.1,127.58,115.11,170.1,915 NDC,61958-1901-01,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,368.48,332.46,491.3,915 NDC,61958-2002-01,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,182.03,164.24,242.7,915 NDC,61958-2301-01,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,129.3,116.66,172.4,915 NDC,61958-2501-03,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,353.33,318.79,471.1,915 NDC,61958-2901-02,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2819.0,2114.25,6.73,2819.0,915 NDC,61958-3005-01,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,79898.2,59923.65,22.15,79898.2,915 NDC,62144-5510-05,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,168.4,126.3,113.96,168.4,915 NDC,62225-0300-00,NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION,146410.3,109807.73,65884.64,146410.3,909 NDC,62327-0333-03,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,517.5,388.13,232.88,517.5,909 NDC,62327-0444-04,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,484.88,290.93,646.5,909 NDC,62332-0025-31,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,6.15,5.55,8.2,915 NDC,62332-0107-30,"ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",7.7,5.78,5.21,7.7,915 NDC,62332-0253-30,AZITHROMYCIN 600 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,62332-0364-06,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,13.8,10.35,9.34,13.8,915 NDC,62332-0367-06,CLONAZEPAM 1 MG DISINTEGRATING TABLET,7.9,5.93,5.35,7.9,915 NDC,62332-0518-05,TOBRAMYCIN 0.3 % EYE DROPS,69.7,52.28,31.37,69.7,909 NDC,62332-0550-18,DESONIDE 0.05 % LOTION,330.0,247.5,223.31,330.0,915 NDC,62332-0618-31,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,7.88,4.73,10.5,909 NDC,62332-0619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,10.73,6.44,14.3,909 NDC,62332-0679-60,IVABRADINE 5 MG TABLET,12.3,9.23,8.32,12.3,915 NDC,62464-3038-01,URSODIOL (BULK) 100 % POWDER,8085.0,6063.75,5471.12,8085.0,915 NDC,62464-3068-46,"SILICA GEL, AMORPHOUS SYNTHETIC MICRONIZED (BULK) 100 % POWDER",130.3,97.73,58.64,130.3,909 NDC,62464-3070-09,HYDROMORPHONE (BULK) 100 % POWDER,36438.5,27328.88,16397.33,36438.5,910 NDC,62484-0015-05,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,2283.2,1712.4,1545.04,2283.2,915 NDC,62484-0020-02,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,4083.6,3062.7,1837.62,4083.6,909 NDC,62530-0000-11,UREA 15 GRAM ORAL POWDER PACKET,16.3,12.23,11.03,16.3,915 NDC,62559-0138-07,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,22.05,19.89,29.4,915 NDC,62559-0149-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,14.8,11.1,10.02,14.8,915 NDC,62559-0159-01,FLUVOXAMINE 50 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,62559-0421-01,HYOSCYAMINE SULFATE 0.125 MG TABLET,5.6,4.2,3.79,5.6,915 NDC,62559-0424-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,4.2,3.79,5.6,915 NDC,62559-0511-01,INDAPAMIDE 2.5 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,62559-0740-01,THYROID (PORK) 15 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,62559-0741-01,THYROID (PORK) 30 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,62559-0742-01,THYROID (PORK) 60 MG TABLET,7.6,5.7,5.14,7.6,915 NDC,62559-0830-55,VANCOMYCIN 50 MG/ML ORAL SOLUTION,593.7,445.28,401.76,593.7,915 NDC,62584-0267-01,METOPROLOL TARTRATE 100 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,62584-0984-01,WARFARIN 2 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,62584-0994-01,WARFARIN 5 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,62756-0059-40,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,41.1,30.83,18.5,41.1,909 NDC,62756-0060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,82.2,61.65,36.99,82.2,909 NDC,62756-0570-83,DEFERASIROX 500 MG DISPERSIBLE TABLET,19.6,14.7,13.26,19.6,915 NDC,62856-0212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1060.1,795.08,1.32,1060.1,915 NDC,62856-0389-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,5609.0,4206.75,89.34,5609.0,915 NDC,62935-0227-10,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1121.8,841.35,176.45,1121.8,916 NDC,62935-0306-40,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1504.0,1128.0,176.45,1504.0,915 NDC,62935-0461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2256.0,1692.0,176.45,2256.0,917 NDC,62935-0756-80,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,374.0,280.5,168.3,374.0,916 NDC,63020-0533-30,PONATINIB 30 MG TABLET,2072.7,1554.53,1402.6,2072.7,915 NDC,63020-0534-30,PONATINIB 45 MG TABLET,2072.7,1554.53,1402.6,2072.7,915 NDC,63020-0535-30,PONATINIB 15 MG TABLET,2392.0,1794.0,1618.67,2392.0,915 NDC,63323-0010-20,GENTAMICIN 40 MG/ML INJECTION SOLUTION,92.6,69.45,41.67,92.6,911 NDC,63323-0011-15,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM/10 ML INTRAVENOUS SOLUTION (WETTED),145.3,108.98,50.26,145.3,915 NDC,63323-0012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 NDC,63323-0013-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.2,28.65,17.19,38.2,910 NDC,63323-0032-04,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,38.7,29.03,17.42,38.7,909 NDC,63323-0083-05,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INJECTION (WRAPPER),87.2,65.4,39.24,87.2,909 NDC,63323-0093-01,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INTRAVENOUS SOLUTION,58.7,44.03,26.42,58.7,909 NDC,63323-0099-63,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INTRAVENOUS SOLUTION,100.0,75.0,45.0,100.0,909 NDC,63323-0103-65,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,140.0,105.0,63.0,140.0,909 NDC,63323-0106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,64.65,38.79,86.2,913 NDC,63323-0113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,181.7,136.28,81.77,181.7,909 NDC,63323-0117-10,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,80.4,48.24,107.2,909 NDC,63323-0117-10,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,107.2,80.4,48.24,107.2,909 NDC,63323-0117-10,FLUOROURACIL 7.5 MG/0.15 ML SUBCONJUNCTIVAL INJECTION,100.8,75.6,45.36,100.8,909 NDC,63323-0120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,46.2,34.65,20.79,46.2,909 NDC,63323-0122-50,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),235.4,176.55,105.93,235.4,909 NDC,63323-0128-20,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),43.8,32.85,19.71,43.8,909 NDC,63323-0130-13,DOXYCYCLINE 100 MG POWDER VIAL OSM,44.2,33.15,19.89,44.2,909 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,42.1,31.58,18.95,42.1,910 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),42.1,31.58,18.95,42.1,909 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG/2.5 ML RECON SOLUTION (SCLEROSING) OSM,42.1,31.58,18.95,42.1,909 NDC,63323-0161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,28.2,0.3,37.6,920 NDC,63323-0162-12,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,28.28,0.3,37.7,919 NDC,63323-0167-21,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION,860.0,645.0,387.0,860.0,909 NDC,63323-0167-21,CARBOPLATIN 150 MG/15 ML INTRAVENOUS SOLUTION (WETTED),860.0,645.0,387.0,860.0,909 NDC,63323-0173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,32.1,19.26,42.8,909 NDC,63323-0180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,45.0,33.75,20.25,45.0,910 NDC,63323-0186-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.3,27.98,16.79,37.3,909 NDC,63323-0186-10,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,39.8,29.85,17.91,39.8,909 NDC,63323-0192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1007.9,755.93,453.56,1007.9,909 NDC,63323-0229-35,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,124.0,93.0,55.8,124.0,911 NDC,63323-0254-10,"MINERAL OIL, LIGHT STERILE",19.8,14.85,13.4,19.8,915 NDC,63323-0258-03,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,43.3,32.48,19.49,43.3,909 NDC,63323-0260-37,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,29.1,17.46,38.8,909 NDC,63323-0262-06,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.5,28.88,17.33,38.5,915 NDC,63323-0265-30,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",126.9,95.18,57.11,126.9,910 NDC,63323-0269-29,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,42.6,31.95,19.17,42.6,915 NDC,63323-0269-37,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),42.7,32.03,19.22,42.7,909 NDC,63323-0269-57,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),54.0,40.5,24.3,54.0,909 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,73.0,54.75,32.85,73.0,909 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),73.0,54.75,32.85,73.0,909 NDC,63323-0276-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",44.9,33.67,20.21,44.9,909 NDC,63323-0278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,197.3,147.98,88.79,197.3,909 NDC,63323-0285-23,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,30.83,18.5,41.1,910 NDC,63323-0286-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,28.88,17.33,38.5,913 NDC,63323-0287-20,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,42.3,31.73,19.04,42.3,909 NDC,63323-0293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,30.15,18.09,40.2,912 NDC,63323-0294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,30.98,18.59,41.3,912 NDC,63323-0303-51,TOBRAMYCIN 1.2 G POWDER VIAL OSM,179.2,134.4,80.64,179.2,909 NDC,63323-0303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,208.2,156.15,93.69,208.2,909 NDC,63323-0321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",44.6,33.45,20.07,44.6,909 NDC,63323-0321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",44.6,33.45,20.07,44.6,909 NDC,63323-0322-93,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,40.5,30.38,18.23,40.5,909 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,128.4,96.3,57.78,128.4,910 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),128.4,96.3,57.78,128.4,909 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,85.8,51.48,114.4,909 NDC,63323-0360-61,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,128.4,96.3,57.78,128.4,909 NDC,63323-0360-61,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,128.4,96.3,57.78,128.4,909 NDC,63323-0376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.0,31.5,28.42,42.0,915 NDC,63323-0377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),43.6,32.7,29.5,43.6,915 NDC,63323-0385-01,CEFOTETAN 1 GRAM SOLUTION FOR IV INJECTION,73.9,55.43,33.26,73.9,909 NDC,63323-0386-01,CEFOTETAN 2 GRAM SOLUTION FOR IV INJECTION,76.1,57.08,34.25,76.1,909 NDC,63323-0401-20,AZTREONAM 1 GRAM IM EQUIVALENCY,81.9,61.43,36.86,81.9,909 NDC,63323-0401-20,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,81.9,61.43,36.86,81.9,909 NDC,63323-0402-20,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,167.2,125.4,75.24,167.2,909 NDC,63323-0418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,191.6,143.7,86.22,191.6,909 NDC,63323-0434-00,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",57.4,43.05,25.83,57.4,909 NDC,63323-0434-00,ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION (DRAWN FROM VIAL) (RESTRICTED),57.4,43.05,25.83,57.4,909 NDC,63323-0460-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",44.1,33.08,19.85,44.1,909 NDC,63323-0463-57,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",42.7,32.03,19.22,42.7,909 NDC,63323-0469-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,62.9,47.18,28.31,62.9,909 NDC,63323-0474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,28.5,17.1,38.0,912 NDC,63323-0482-27,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",39.4,29.55,17.73,39.4,909 NDC,63323-0483-27,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",35.9,26.93,16.16,35.9,909 NDC,63323-0487-37,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",36.6,27.45,16.47,36.6,909 NDC,63323-0488-37,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",38.2,28.65,17.19,38.2,909 NDC,63323-0489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",53.2,39.9,23.94,53.2,909 NDC,63323-0491-57,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,40.1,30.08,18.05,40.1,909 NDC,63323-0492-27,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.6,28.95,17.37,38.6,909 NDC,63323-0506-01,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,29.78,17.87,39.7,909 NDC,63323-0507-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.5,33.38,20.03,44.5,910 NDC,63323-0508-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,51.7,38.78,23.27,51.7,910 NDC,63323-0540-15,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.4,31.8,19.08,42.4,911 NDC,63323-0542-13,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,31.05,18.63,41.4,909 NDC,63323-0559-65,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,33.3,19.98,44.4,910 NDC,63323-0564-65,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,34.73,20.84,46.3,913 NDC,63323-0566-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,38.92,23.36,51.9,910 NDC,63323-0584-99,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,45.0,27.0,60.0,910 NDC,63323-0586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,49.8,29.88,66.4,910 NDC,63323-0589-94,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,48.5,36.38,21.83,48.5,909 NDC,63323-0593-03,GLUCAGON 1 MG/ML INJECTION (WRAPPER),457.4,343.05,148.99,457.4,915 NDC,63323-0604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,32.1,19.26,42.8,909 NDC,63323-0614-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.6,35.7,21.42,47.6,911 NDC,63323-0616-01,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,41.0,30.75,18.45,41.0,910 NDC,63323-0626-05,NACL 0.45% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,61.5,36.9,82.0,909 NDC,63323-0642-50,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,54.0,40.5,24.3,54.0,910 NDC,63323-0649-07,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,311.8,233.85,140.31,311.8,910 NDC,63323-0651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,76.6,57.45,34.47,76.6,910 NDC,63323-0655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,51.45,30.87,68.6,909 NDC,63323-0665-01,TERBUTALINE 1 MG/ML INJECTION SOLUTION,40.9,30.68,18.41,40.9,909 NDC,63323-0710-50,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,60.0,45.0,27.0,60.0,909 NDC,63323-0721-10,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6153.9,4615.43,6.97,6153.9,915 NDC,63323-0739-12,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,27.23,16.34,36.3,909 NDC,63323-0751-13,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,29.03,17.42,38.7,909 NDC,63323-0762-10,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,909 NDC,63323-0762-10,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),106.2,79.65,47.79,106.2,909 NDC,63323-0810-20,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),81.9,61.43,36.86,81.9,909 NDC,63323-0810-20,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,81.9,61.43,36.86,81.9,909 NDC,63323-0810-20,FENTANYL (PF) 50 MCG/ML INTRAFETAL INJECTION (WRAPPER) (ANES),81.9,61.43,36.86,81.9,909 NDC,63323-0812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,39.08,23.45,52.1,909 NDC,63323-0813-20,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,46.2,34.65,20.79,46.2,909 NDC,63323-0820-04,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,228.0,171.0,102.6,228.0,909 NDC,63323-0820-50,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,245.9,184.43,110.66,245.9,909 NDC,63323-0853-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION (WRAPPER),75.7,56.78,34.07,75.7,909 NDC,63323-0853-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION REGIONAL SOLUTION,75.7,56.78,34.07,75.7,909 NDC,63323-0881-16,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,72.8,54.6,32.76,72.8,909 NDC,63323-0915-13,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,45.38,27.23,60.5,909 NDC,63323-0965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,30.08,18.05,40.1,910 NDC,63402-0202-30,ESLICARBAZEPINE 200 MG TABLET,149.4,112.05,101.1,149.4,915 NDC,63459-0103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,2050.9,1538.18,29.38,2050.9,915 NDC,63459-0104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,10254.4,7690.8,29.38,10254.4,915 NDC,63459-0348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5595.8,4196.85,13.49,5595.8,915 NDC,63459-0910-11,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,740.6,555.45,0.28,740.6,915 NDC,63459-0912-11,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1185.3,888.98,0.28,1185.3,915 NDC,63713-0019-72,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",31.7,23.78,14.27,31.7,909 NDC,63736-0120-02,PERMETHRIN 1 % TOPICAL LIQUID,77.5,58.13,52.44,77.5,915 NDC,63736-0143-08,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),21.3,15.98,14.41,21.3,915 NDC,63736-0339-42,HYDROCORTISONE 1 % LOTION,68.2,51.15,46.15,68.2,915 NDC,63833-0386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,31.35,2.14,41.8,915 NDC,63833-0387-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,31.35,2.14,41.8,916 NDC,63833-0615-02,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,29.93,1.49,39.9,915 NDC,63833-0825-02,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),15120.0,11340.0,75.86,15120.0,915 NDC,64067-0216-01,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2647.7,1985.78,1191.47,2647.7,909 NDC,64193-0326-01,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.0,32.25,2.41,43.0,914 NDC,64253-0111-30,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,35.4,26.55,15.93,35.4,909 NDC,64281-0110-06,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1752.9,1051.74,2337.2,909 NDC,64380-0170-01,IMIPRAMINE 25 MG TABLET,5.8,4.35,3.92,5.8,915 NDC,64380-0171-01,IMIPRAMINE 50 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,64380-0878-06,ETHOSUXIMIDE 250 MG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,64380-0880-80,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,11.2,8.4,5.04,11.2,909 NDC,64380-0949-06,PREDNISONE 50 MG TABLET,6.0,4.5,2.7,6.0,910 NDC,64406-0008-01,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,35516.9,26637.68,24.0,35516.9,915 NDC,64764-0140-05,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT",48.8,36.6,21.96,48.8,915 NDC,64764-0300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,40212.4,30159.3,21.31,40212.4,915 NDC,64764-0720-30,VORTIOXETINE 5 MG TABLET,64.3,48.23,43.51,64.3,915 NDC,64764-0750-30,VORTIOXETINE 20 MG TABLET,64.3,48.23,43.51,64.3,915 NDC,64764-0800-28,MARIBAVIR 200 MG TABLET,760.3,570.23,514.5,760.3,915 NDC,64896-0661-01,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 NDC,64896-0662-01,"CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 NDC,64896-0663-01,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",18.5,13.88,12.52,18.5,915 NDC,64896-0664-01,"CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE",22.0,16.5,14.89,22.0,915 NDC,64980-0104-01,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,64980-0320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,121.1,90.83,81.95,121.1,915 NDC,64980-0373-03,ATOMOXETINE 10 MG CAPSULE,9.2,6.9,6.23,9.2,915 NDC,64980-0376-03,ATOMOXETINE 40 MG CAPSULE,7.6,5.7,5.14,7.6,915 NDC,64980-0377-03,ATOMOXETINE 60 MG CAPSULE,7.1,5.33,4.8,7.1,915 NDC,64980-0379-03,ATOMOXETINE 100 MG CAPSULE,7.9,5.93,5.35,7.9,915 NDC,64980-0409-06,SERTRALINE 20 MG/ML ORAL CONCENTRATE,7.9,5.93,5.35,7.9,915 NDC,64980-0442-01,ALBUTEROL SULFATE 2 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,64980-0511-10,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,66.6,49.95,45.07,66.6,915 NDC,64980-0526-60,NITAZOXANIDE 500 MG TABLET,284.3,213.23,192.39,284.3,915 NDC,64980-0588-51,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,24862.5,18646.88,6408.38,24862.5,915 NDC,65145-0151-10,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,49.2,36.9,22.14,49.2,909 NDC,65162-0126-08,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.3,24.98,22.53,33.3,915 NDC,65162-0281-03,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",11.2,8.4,7.58,11.2,915 NDC,65162-0283-03,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",11.1,8.32,7.51,11.1,915 NDC,65162-0358-03,NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH,93.5,70.13,63.27,93.5,915 NDC,65162-0438-06,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",11.0,8.25,7.44,11.0,915 NDC,65162-0596-06,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",8.0,6.0,5.41,8.0,915 NDC,65162-0681-10,PHENAZOPYRIDINE 100 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,65162-0682-10,PHENAZOPYRIDINE 200 MG TABLET,6.6,4.95,4.47,6.6,915 NDC,65162-0749-34,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,11.9,8.93,8.05,11.9,915 NDC,65162-0803-51,TEMOZOLOMIDE 100 MG CAPSULE,25.9,19.43,17.53,25.9,915 NDC,65162-0804-51,TEMOZOLOMIDE 140 MG CAPSULE,36.5,27.38,24.7,36.5,915 NDC,65162-0825-34,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,12.9,9.68,8.73,12.9,915 NDC,65162-0826-34,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,11.3,8.48,7.65,11.3,915 NDC,65162-0992-08,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,37.8,28.35,25.58,37.8,915 NDC,65162-0995-08,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,26.03,23.48,34.7,915 NDC,65162-0997-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,25.35,22.87,33.8,915 NDC,65174-0270-30,KIT FOR PREPARATION OF TC 99M-ALBUMIN INTRAVENOUS SOLUTION (WRAPPER),850.0,637.5,382.5,850.0,909 NDC,65174-0288-30,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,1113.0,667.8,1484.0,909 NDC,65174-0288-30,TECHNETIUM TC 99M PENTETATE UP TO 75 MILLICURIE,1484.0,1113.0,667.8,1484.0,909 NDC,65174-0660-30,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,410.25,246.15,547.0,909 NDC,65174-0880-00,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,35.25,20.77,47.0,915 NDC,65219-0052-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,44.4,33.3,19.98,44.4,909 NDC,65219-0056-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,179.9,134.93,80.96,179.9,909 NDC,65219-0056-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,209.0,156.75,94.05,209.0,909 NDC,65219-0142-10,D5-NACL 0.45% KCL 10 MEQ/L IV SOLP,92.5,69.38,41.63,92.5,909 NDC,65219-0258-10,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,289.8,217.35,130.41,289.8,909 NDC,65219-0533-25,FAT EMULSION 20 % INTRAVENOUS,200.4,150.3,90.18,200.4,909 NDC,65219-0533-25,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),200.4,150.3,90.18,200.4,909 NDC,65219-0533-25,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),200.4,150.3,90.18,200.4,909 NDC,65219-0546-05,EPHEDRINE (PF) 5 MG/ML INTRAVENOUS INJECTION (WRAPPER),40.7,30.53,18.32,40.7,909 NDC,65219-0590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1349.0,1011.75,4.42,1349.0,915 NDC,65219-0592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3372.4,2529.3,4.42,3372.4,915 NDC,65219-0594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6744.7,5058.52,4.42,6744.7,915 NDC,65250-0003-01,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2789.6,2092.2,18.3,2789.6,915 NDC,65250-0266-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,542.6,406.95,1.47,542.6,920 NDC,65597-0504-28,QUIZARTINIB 17.7 MG TABLET,1807.7,1355.78,1223.27,1807.7,915 NDC,65597-0801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19845.2,14883.9,51.56,19845.2,915 NDC,65628-0230-03,METOPROLOL TARTRATE 10 MG/ML ORAL SUSP,132.3,99.23,89.53,132.3,915 NDC,65628-0272-10,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION (WRAPPER),1097.7,823.28,742.81,1097.7,915 NDC,65649-0301-03,RIFAXIMIN 200 MG TABLET,45.9,34.42,31.06,45.9,915 NDC,65649-0303-03,RIFAXIMIN 550 MG TABLET,194.3,145.73,131.48,194.3,915 NDC,65649-0311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,238.0,178.5,161.05,238.0,915 NDC,65649-0551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),461.6,346.2,312.36,461.6,915 NDC,65857-0400-01,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,534.38,320.63,712.5,909 NDC,65862-0055-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,127.43,114.97,169.9,915 NDC,65862-0096-20,CEFPODOXIME 200 MG TABLET,14.1,10.58,9.54,14.1,915 NDC,65862-0107-01,ZIDOVUDINE 100 MG CAPSULE,10.0,7.5,6.77,10.0,915 NDC,65862-0146-36,SUMATRIPTAN 25 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,65862-0147-36,SUMATRIPTAN 50 MG TABLET,6.5,4.88,4.4,6.5,915 NDC,65862-0175-01,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,65862-0290-84,RIBAVIRIN 200 MG CAPSULE,9.5,7.13,6.43,9.5,915 NDC,65862-0301-30,EMTRICITABINE 200 MG CAPSULE,58.5,43.88,39.59,58.5,915 NDC,65862-0534-50,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,21.8,16.35,14.75,21.8,915 NDC,65862-0649-60,RIVASTIGMINE 3 MG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,65862-0687-30,RITONAVIR 100 MG TABLET,7.6,5.7,5.14,7.6,915 NDC,65862-0880-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,5.18,4.67,6.9,915 NDC,66215-0501-30,MACITENTAN 10 MG TABLET,919.6,689.7,622.29,919.6,915 NDC,66215-0602-06,SELEXIPAG 200 MCG TABLET,904.2,678.15,611.87,904.2,915 NDC,66215-0604-06,SELEXIPAG 400 MCG TABLET,1118.1,838.58,756.62,1118.1,915 NDC,66302-0206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3081.98,2780.76,4109.3,915 NDC,66302-0616-01,TREPROSTINIL 16 MCG CARTRIDGE,3337.5,2503.13,2258.49,3337.5,915 NDC,66302-0664-01,TREPROSTINIL 64 MCG CARTRIDGE,3200.1,2400.07,2165.51,3200.1,915 NDC,66553-0001-01,ASPIRIN 325 MG TABLET,0.5,0.38,0.34,0.5,915 NDC,66553-0004-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 NDC,66621-0150-02,CENTRUROIDES (SCORPION) POLYVALENT ANTIVENOM 35 MG IV SOLUTION,18569.3,13926.98,4871.94,18569.3,915 NDC,66658-0234-07,ANAKINRA 100 MG/0.67 ML IV SYRINGE,896.8,672.6,606.86,896.8,915 NDC,66658-0234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,896.8,672.6,606.86,896.8,915 NDC,66658-0505-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,72632.0,54474.0,384.85,72632.0,915 NDC,66658-0510-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,145264.0,108948.0,384.85,145264.0,915 NDC,66689-0735-05,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,37.6,28.2,25.44,37.6,915 NDC,66733-0948-23,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3311.2,2483.4,78.37,3311.2,915 NDC,66733-0958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6622.4,4966.8,78.37,6622.4,915 NDC,66758-0071-38,CIPROFLOXACIN 0.3 % EYE OINTMENT,818.2,613.65,553.68,818.2,915 NDC,66758-0087-70,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,747.83,448.7,997.1,909 NDC,66758-0147-83,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,66.2,49.65,44.8,66.2,915 NDC,66794-0019-25,ISOFLURANE 99.9 % INHALATION LIQUID,145.4,109.05,65.43,145.4,909 NDC,66794-0151-01,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,236.0,177.0,106.2,236.0,909 NDC,66794-0155-02,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",572.0,429.0,181.22,572.0,915 NDC,66794-0219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,75.97,45.59,101.3,909 NDC,66794-0230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,43.4,32.55,19.53,43.4,909 NDC,66794-0230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION ANES ONLY,43.4,32.55,19.53,43.4,909 NDC,66887-0003-01,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,29541.0,22155.75,75.91,29541.0,915 NDC,66887-0004-10,TESTOSTERONE 75 MG IMPLANT PELLET,343.8,257.85,76.11,343.8,915 NDC,66993-0002-10,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,137.3,102.98,92.91,137.3,915 NDC,66993-0241-50,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,425.6,319.2,191.52,425.6,909 NDC,66993-0456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,36.75,33.16,49.0,915 NDC,66993-0877-61,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,226.65,204.5,302.2,915 NDC,67066-0005-01,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2800.0,2100.0,40.52,2800.0,915 NDC,67108-3565-09,MESNA 400 MG TABLET,91.4,68.55,61.85,91.4,915 NDC,67157-0101-50,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,29.33,17.6,39.1,909 NDC,67386-0130-51,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7972.3,5979.23,19.97,7972.3,915 NDC,67457-0153-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,43.6,32.7,19.62,43.6,910 NDC,67457-0162-02,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,115.6,86.7,52.02,115.6,910 NDC,67457-0177-50,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2088.9,1566.68,748.85,2088.9,915 NDC,67457-0182-10,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,44.78,26.87,59.7,912 NDC,67457-0218-10,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,31.28,18.77,41.7,909 NDC,67457-0220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,389.4,292.05,8.73,389.4,918 NDC,67457-0292-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,44.3,33.23,19.94,44.3,910 NDC,67457-0323-25,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,211.88,127.13,282.5,909 NDC,67457-0423-12,DEXAMETHASONE 4 MG/ML INJECTION SOLUTION ANES ONLY,36.9,27.68,16.61,36.9,909 NDC,67457-0423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,27.68,16.61,36.9,914 NDC,67457-0428-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,80.9,60.68,36.41,80.9,909 NDC,67457-0436-50,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),648.8,486.6,291.96,648.8,909 NDC,67457-0436-50,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),648.8,486.6,291.96,648.8,909 NDC,67457-0446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,104.1,78.08,46.85,104.1,909 NDC,67457-0584-06,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,118.8,89.1,53.46,118.8,909 NDC,67457-0675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,1807.4,1355.55,1223.07,1807.4,915 NDC,67457-0781-08,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),134.8,101.1,60.66,134.8,909 NDC,67457-0781-08,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),134.8,101.1,60.66,134.8,909 NDC,67457-0823-99,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,72.3,54.23,32.54,72.3,911 NDC,67457-0863-01,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,31.95,19.17,42.6,912 NDC,67457-0864-04,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,38.1,28.58,17.15,38.1,909 NDC,67618-0111-28,DOCUSATE SODIUM 50 MG CAPSULE,3.1,2.33,2.1,3.1,915 NDC,67684-1901-01,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,4376.0,3282.0,1969.2,4376.0,909 NDC,67684-2001-03,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,38.0,28.5,17.1,38.0,909 NDC,67684-4230-02,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),67.9,50.93,30.56,67.9,909 NDC,67684-4231-02,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),64.1,48.08,28.85,64.1,909 NDC,67850-0140-05,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,38.7,29.03,17.42,38.7,909 NDC,67850-0141-05,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,29.4,17.64,39.2,909 NDC,67877-0124-05,SILVER SULFADIAZINE 1 % TOPICAL CREAM,84.5,63.38,57.18,84.5,915 NDC,67877-0286-60,RILUZOLE 50 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,67877-0318-15,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,64.6,48.45,43.71,64.6,915 NDC,67877-0414-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",5.3,3.98,3.59,5.3,915 NDC,67877-0532-58,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,202.6,151.95,137.1,202.6,915 NDC,67877-0548-98,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,37.8,28.35,25.58,37.8,915 NDC,67877-0635-33,TOLVAPTAN 15 MG TABLET,194.6,145.95,131.69,194.6,915 NDC,67877-0704-90,DROXIDOPA 100 MG CAPSULE,9.2,6.9,6.23,9.2,915 NDC,67877-0718-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,13.95,12.59,18.6,915 NDC,67877-0719-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,15.75,14.21,21.0,915 NDC,67877-0720-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,38.6,28.95,26.12,38.6,915 NDC,67877-0753-60,DRONABINOL 2.5 MG CAPSULE,15.8,11.85,10.69,15.8,915 NDC,67919-0030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,710.4,532.8,9.07,710.4,916 NDC,67919-0040-02,TEDIZOLID 200 MG INTRAVENOUS SOLUTION,1455.9,1091.93,1.96,1455.9,915 NDC,67979-0001-01,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,7401.0,5550.75,1323.35,7401.0,915 NDC,68084-0204-01,MINOXIDIL 2.5 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,68084-0205-01,MINOXIDIL 10 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,68084-0229-01,AZATHIOPRINE 50 MG TABLET,7.3,5.48,3.29,7.3,910 NDC,68084-0280-01,ETHAMBUTOL 400 MG TABLET,9.4,7.05,6.36,9.4,915 NDC,68084-0291-21,NALTREXONE 50 MG TABLET,14.0,10.5,9.47,14.0,915 NDC,68084-0300-21,DANTROLENE 25 MG CAPSULE,10.1,7.58,6.83,10.1,915 NDC,68084-0326-01,GLIMEPIRIDE 2 MG TABLET,7.1,5.33,4.8,7.1,915 NDC,68084-0411-21,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",13.0,9.75,8.8,13.0,915 NDC,68084-0536-01,CLOPIDOGREL 75 MG TABLET,6.0,4.5,4.06,6.0,915 NDC,68084-0572-01,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.38,0.34,0.5,915 NDC,68084-0597-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.4,6.3,5.68,8.4,915 NDC,68084-0640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,4.88,4.4,6.5,915 NDC,68084-0655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,5.33,4.8,7.1,915 NDC,68084-0697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,5.7,5.14,7.6,915 NDC,68084-0698-01,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",7.0,5.25,4.74,7.0,915 NDC,68084-0709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,5.33,4.8,7.1,915 NDC,68084-0729-21,GALANTAMINE 4 MG TABLET,19.4,14.55,13.13,19.4,915 NDC,68084-0750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,8.0,6.0,5.41,8.0,915 NDC,68084-0805-21,METHYLPHENIDATE 5 MG TABLET,18.9,14.18,12.79,18.9,915 NDC,68084-0823-21,METHYLPHENIDATE 10 MG TABLET,15.8,11.85,10.69,15.8,915 NDC,68084-0856-01,VENLAFAXINE 75 MG TABLET,8.2,6.15,5.55,8.2,915 NDC,68084-0879-25,CYCLOSPORINE 25 MG CAPSULE,21.8,16.35,9.81,21.8,910 NDC,68084-0896-25,VENLAFAXINE 25 MG TABLET,8.5,6.38,5.75,8.5,915 NDC,68084-0921-25,CYCLOSPORINE 100 MG CAPSULE,64.6,48.45,29.07,64.6,910 NDC,68084-0964-25,PROPYLTHIOURACIL 50 MG TABLET,15.2,11.4,10.29,15.2,915 NDC,68094-0005-61,OXYCODONE 15 MG TABLET,12.1,9.07,8.19,12.1,915 NDC,68094-0034-64,SEVELAMER CARBONATE 800 MG TABLET,11.2,8.4,5.04,11.2,909 NDC,68094-0074-58,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION (WRAPPER),15.1,11.33,6.8,15.1,909 NDC,68094-0101-20,PHENTOLAMINE 5 MG INJECTION SOLUTION,1184.7,888.53,432.02,1184.7,915 NDC,68094-0116-61,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.7,2.03,1.83,2.7,915 NDC,68094-0129-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.4,9.3,8.39,12.4,915 NDC,68094-0494-62,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.38,0.34,0.5,915 NDC,68094-0764-59,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),31.2,23.4,21.11,31.2,915 NDC,68180-0180-01,CEFADROXIL 500 MG CAPSULE,5.8,4.35,3.92,5.8,915 NDC,68180-0280-01,ETHAMBUTOL 100 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,68180-0294-07,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.98,3.59,5.3,915 NDC,68180-0295-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.6,4.2,3.79,5.6,915 NDC,68180-0422-01,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,61.05,36.63,81.4,909 NDC,68180-0441-01,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,53.3,39.98,36.07,53.3,915 NDC,68180-0657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,11.9,8.93,8.05,11.9,915 NDC,68180-0675-11,OSELTAMIVIR 30 MG CAPSULE,9.7,7.28,6.56,9.7,915 NDC,68180-0677-11,OSELTAMIVIR 75 MG CAPSULE,7.6,5.7,5.14,7.6,915 NDC,68180-0678-01,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,5.18,4.67,6.9,915 NDC,68180-0852-11,LEVONORGESTREL 1.5 MG TABLET,45.8,34.35,30.99,45.8,915 NDC,68382-0183-14,BUSPIRONE 30 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,68382-0187-01,DIPYRIDAMOLE 25 MG TABLET,6.6,4.95,4.47,6.6,915 NDC,68382-0189-01,DIPYRIDAMOLE 75 MG TABLET,8.3,6.23,5.62,8.3,915 NDC,68382-0316-01,MINOCYCLINE 50 MG CAPSULE,5.7,4.28,3.86,5.7,915 NDC,68382-0383-06,EXEMESTANE 25 MG TABLET,8.4,6.3,5.68,8.4,915 NDC,68382-0529-60,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,5.93,3.56,7.9,909 NDC,68382-0860-10,BENZTROPINE 1 MG/ML INJECTION SOLUTION,100.1,75.08,45.05,100.1,910 NDC,68462-0101-30,FLUCONAZOLE 50 MG TABLET,7.2,5.4,4.87,7.2,915 NDC,68462-0157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.88,4.4,6.5,915 NDC,68462-0260-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.5,4.13,3.72,5.5,915 NDC,68462-0261-90,ROSUVASTATIN 5 MG TABLET,5.2,3.9,3.52,5.2,915 NDC,68462-0292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",5.8,4.35,3.92,5.8,915 NDC,68462-0293-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.7,4.28,3.86,5.7,915 NDC,68462-0304-50,NORETHINDRONE ACETATE 5 MG TABLET,6.3,4.72,4.26,6.3,915 NDC,68462-0310-65,CALCIPOTRIENE 0.005 % TOPICAL OINTMENT,488.8,366.6,330.77,488.8,915 NDC,68462-0380-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",9.4,7.05,6.36,9.4,915 NDC,68462-0386-90,SOLIFENACIN 5 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,68462-0404-67,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,14.2,10.65,9.61,14.2,915 NDC,68462-0408-60,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",6.7,5.03,4.53,6.7,915 NDC,68462-0410-60,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",7.0,5.25,4.74,7.0,915 NDC,68462-0435-18,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",8.6,6.45,5.82,8.6,915 NDC,68462-0455-35,CICLOPIROX 0.77 % TOPICAL GEL,245.9,184.43,166.4,245.9,915 NDC,68462-0620-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,24.7,18.52,16.71,24.7,915 NDC,68462-0682-01,SIROLIMUS 0.5 MG TABLET,12.3,9.23,8.32,12.3,915 NDC,68462-0746-35,ACYCLOVIR 5 % TOPICAL OINTMENT,137.2,102.9,92.84,137.2,915 NDC,68462-0853-20,SODIUM PHENYLBUTYRATE 500 MG TABLET,46.2,34.65,31.26,46.2,915 NDC,68462-0904-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,311.5,233.63,0.21,311.5,915 NDC,68546-0170-60,DEUTETRABENAZINE 6 MG TABLET,275.0,206.25,186.09,275.0,915 NDC,68547-0111-10,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,695.4,521.55,312.93,695.4,909 NDC,68547-0211-20,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,691.9,518.92,311.36,691.9,909 NDC,68547-0501-02,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7554.1,5665.58,3399.35,7554.1,909 NDC,68585-0005-75,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,1.73,1.56,2.3,915 NDC,68611-0190-02,FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT,28779.6,21584.7,498.14,28779.6,915 NDC,68682-0200-25,CARBIDOPA 25 MG TABLET,7.3,5.48,4.94,7.3,915 NDC,68682-0652-20,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,963.7,722.78,652.14,963.7,915 NDC,68727-0745-02,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),45627.7,34220.78,256.09,45627.7,915 NDC,68727-0800-01,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5690.0,4267.5,2560.5,5690.0,909 NDC,68727-0950-01,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14559.5,10919.63,25.05,14559.5,915 NDC,68803-0612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,331.6,248.7,149.22,331.6,909 NDC,68803-0722-05,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,648.8,486.6,291.96,648.8,909 NDC,68968-0514-08,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,110.2,82.65,74.57,110.2,915 NDC,68982-0347-01,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.7,29.03,1.23,38.7,915 NDC,68982-0850-02,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",1628.5,1221.38,47.53,1628.5,915 NDC,68982-0850-04,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",5164.0,3873.0,47.53,5164.0,915 NDC,68992-3010-03,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,18.68,16.85,24.9,915 NDC,68992-3040-03,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,62.93,56.78,83.9,915 NDC,68992-3075-03,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,15.0,13.53,20.0,915 NDC,69097-0219-02,PRUCALOPRIDE 2 MG TABLET,7.6,5.7,5.14,7.6,915 NDC,69097-0223-16,ALENDRONATE 35 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,69097-0224-76,ALENDRONATE 70 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,69097-0720-44,DICLOFENAC 1 % TOPICAL GEL,66.1,49.58,44.73,66.1,915 NDC,69097-0859-07,TERBINAFINE HCL 250 MG TABLET,5.5,4.13,3.72,5.5,915 NDC,69097-0870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),10437.0,7827.75,29.84,10437.0,915 NDC,69097-0965-07,NABUMETONE 500 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,69238-1120-01,OXAPROZIN 600 MG TABLET,7.7,5.78,5.21,7.7,915 NDC,69238-1615-03,OFLOXACIN 0.3 % EAR DROPS,98.3,73.72,66.52,98.3,915 NDC,69238-1637-03,AMINOCAPROIC ACID 500 MG TABLET,16.3,12.23,11.03,16.3,915 NDC,69238-1731-02,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,34.3,25.73,23.21,34.3,915 NDC,69238-1733-06,DOXEPIN 5 % TOPICAL CREAM,1035.9,776.93,700.99,1035.9,915 NDC,69315-0306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,50.63,45.68,67.5,915 NDC,69315-0308-02,CIPROFLOXACIN 0.3 % EYE DROPS,67.2,50.4,45.47,67.2,915 NDC,69315-0312-28,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,56.93,51.36,75.9,915 NDC,69315-0701-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1835.1,1376.33,20.97,1835.1,915 NDC,69315-0904-01,LORAZEPAM 0.5 MG TABLET,10.2,7.65,6.9,10.2,915 NDC,69315-0906-01,LORAZEPAM 2 MG TABLET,10.3,7.73,6.97,10.3,915 NDC,69315-0910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,4.65,4.2,6.2,915 NDC,69339-0150-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.5,0.38,0.34,0.5,915 NDC,69339-0160-17,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),20.0,15.0,13.53,20.0,915 NDC,69339-0162-17,LUBIPROSTONE 8 MCG CAPSULE,49.8,37.35,33.7,49.8,915 NDC,69339-0163-17,LUBIPROSTONE 24 MCG CAPSULE,49.8,37.35,33.7,49.8,915 NDC,69367-0615-01,SALSALATE 500 MG TABLET,6.1,4.58,4.13,6.1,915 NDC,69374-0984-10,CARDIOPLEGIC SOLUTION (DEL NIDO) FOR PERFUSION (PREMIX/CNR),458.8,344.1,206.46,458.8,909 NDC,69452-0150-20,VALPROIC ACID 250 MG CAPSULE,5.7,4.28,3.86,5.7,915 NDC,69452-0209-20,NIMODIPINE 30 MG CAPSULE,8.7,6.53,5.89,8.7,915 NDC,69452-0233-20,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,4.43,3.99,5.9,915 NDC,69452-0350-92,GRANISETRON HCL 1 MG TABLET,9.3,6.98,6.29,9.3,915 NDC,69488-0001-40,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,148.13,49.63,197.5,919 NDC,69488-0003-01,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,147938.25,316.99,197251.0,916 NDC,69488-0017-61,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,7500.0,362.5,10000.0,918 NDC,69536-0110-75,CAMPHOR-PHENOL 10.8 %-4.7 % TOPICAL SOLUTION,61.1,45.83,41.35,61.1,915 NDC,69584-0425-10,IMIPRAMINE 10 MG TABLET,5.2,3.9,3.52,5.2,915 NDC,69724-0112-10,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,15928.0,11946.0,25.05,15928.0,916 NDC,69918-0735-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,27.98,16.79,37.3,910 NDC,69918-0899-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,81.3,60.98,36.59,81.3,910 NDC,69918-0901-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,564.8,423.6,254.16,564.8,910 NDC,69932-0001-30,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,584.0,438.0,262.8,584.0,915 NDC,69932-0002-01,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,9221.7,671.22,12295.6,916 NDC,69945-0064-01,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,6375.0,594.28,8500.0,915 NDC,69945-0068-20,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,640.5,384.3,854.0,909 NDC,69945-0091-20,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,144.0,86.4,192.0,909 NDC,69945-0096-20,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,926.25,555.75,1235.0,910 NDC,69945-0120-99,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,305.0,228.75,137.25,305.0,909 NDC,69945-0602-20,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,114.5,85.88,51.53,114.5,909 NDC,70000-0021-01,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES,8.4,6.3,5.68,8.4,915 NDC,70000-0079-01,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),68.5,51.38,46.35,68.5,915 NDC,70000-0132-01,PHENYLEPHRINE 1 % NASAL SPRAY,9.5,7.13,6.43,9.5,915 NDC,70000-0401-01,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,56.5,42.38,25.43,56.5,909 NDC,70000-0409-01,CAFFEINE 200 MG TABLET,2.4,1.8,1.62,2.4,915 NDC,70000-0500-02,HYDROGEN PEROXIDE 3 % SOLUTION,5.4,4.05,3.65,5.4,915 NDC,70000-0572-01,GLYCERIN (ADULT) RECTAL SUPPOSITORY,2.4,1.8,1.62,2.4,915 NDC,70010-0030-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",12.0,9.0,8.12,12.0,915 NDC,70010-0149-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.7,4.28,3.86,5.7,915 NDC,70020-1910-01,IXABEPILONE 15 MG/7.5 ML INTRAVENOUS SOLUTION (WETTED),8014.0,6010.5,139.21,8014.0,915 NDC,70020-1911-01,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24041.8,18031.35,139.21,24041.8,915 NDC,70020-1911-01,IXABEPILONE 45 MG/22.5 ML INTRAVENOUS SOLUTION (WETTED),24041.8,18031.35,139.21,24041.8,915 NDC,70069-0021-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,38.9,29.18,17.51,38.9,915 NDC,70069-0501-01,DORZOLAMIDE 2 % EYE DROPS,77.6,58.2,52.51,77.6,915 NDC,70092-1042-05,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),205.3,153.98,92.39,205.3,909 NDC,70092-1116-75,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL CASSETTE FOR INFUSION TITRATION,214.7,161.03,96.62,214.7,909 NDC,70092-1116-75,HYDROMORPHONE(PF) 20 MG/100 ML(0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR,164.7,123.53,74.12,164.7,910 NDC,70092-1119-44,KETAMINE 10 MG/ML INFUSION (WRAPPER) ANES ONLY,86.3,64.72,38.84,86.3,909 NDC,70092-1169-46,LIDOCAINE HCL (PF) 100 MG/10 ML (1 %) IN 0.9 % SODIUM CHLORIDE SYRINGE,37.9,28.43,17.06,37.9,909 NDC,70092-1192-05,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",144.7,108.53,65.12,144.7,909 NDC,70092-1207-37,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.1%-NACL INJECTION ANES ONLY,161.1,120.83,72.5,161.1,909 NDC,70092-1250-75,FENTANYL (PF) 10 MCG/ML IN 0.9 % NACL 100 ML CADD FOR INFUSION TITRATION (PREMIX/CNR),257.3,192.98,115.79,257.3,909 NDC,70092-1250-75,FENTANYL (PF) 10 MCG/ML IN 0.9 % NACL 100 ML PCA CADD SOLIS (PREMIX/CNR),257.3,192.98,115.79,257.3,909 NDC,70092-1575-36,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,205.7,154.28,92.57,205.7,909 NDC,70100-0424-02,INDOCYANINE GREEN 2.5 MG/ML SOLUTION FOR INJECTION,588.5,441.38,264.83,588.5,909 NDC,70100-0424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,588.5,441.38,264.83,588.5,909 NDC,70100-0424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION ARZ ANES,588.5,441.38,264.83,588.5,909 NDC,70114-0101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12537.6,9403.2,106.33,12537.6,915 NDC,70114-0130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,16608.2,12456.15,106.33,16608.2,915 NDC,70114-0340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,38814.4,29110.8,39.41,38814.4,915 NDC,70121-1049-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,42.2,31.65,18.99,42.2,913 NDC,70121-1568-07,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,257.2,192.9,0.38,257.2,915 NDC,70121-1570-07,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,391.8,293.85,0.38,391.8,915 NDC,70121-1574-05,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,43.88,26.33,58.5,911 NDC,70121-1631-01,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1978.4,1483.8,10.54,1978.4,915 NDC,70121-1647-07,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,70.9,53.18,31.91,70.9,909 NDC,70121-1694-02,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,737.8,553.35,25.33,737.8,915 NDC,70121-1720-09,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,84.1,63.08,37.85,84.1,910 NDC,70127-0100-60,CANNABIDIOL 100 MG/ML ORAL SOLUTION,3306.4,2479.8,2237.44,3306.4,915 NDC,70377-0114-12,LIOTHYRONINE 5 MCG TABLET,6.1,4.58,4.13,6.1,915 NDC,70377-0115-12,LIOTHYRONINE 25 MCG TABLET,7.0,5.25,4.74,7.0,915 NDC,70377-0138-12,TRIAMTERENE 50 MG CAPSULE,32.8,24.6,22.2,32.8,915 NDC,70382-0204-10,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1543.5,1157.63,102.94,1543.5,915 NDC,70436-0089-55,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),117.0,87.75,52.65,117.0,909 NDC,70436-0124-82,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,42.2,31.65,18.99,42.2,909 NDC,70436-0126-82,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,183.2,137.4,82.44,183.2,910 NDC,70510-2171-01,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,2630.63,20.99,3507.5,915 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG POWDER VIAL,73.0,54.75,32.85,73.0,909 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG/2 ML (75 MG/ML) VIAL RECONSTITUTED,73.0,54.75,32.85,73.0,909 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,54.75,32.85,73.0,909 NDC,70700-0268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,135.38,122.14,180.5,915 NDC,70700-0289-22,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,57.98,34.79,77.3,910 NDC,70710-1359-06,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,45.2,33.9,20.34,45.2,910 NDC,70710-1743-06,DASATINIB 70 MG TABLET,72.0,54.0,48.72,72.0,915 NDC,70710-1877-07,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,69.7,52.28,31.37,69.7,909 NDC,70710-1895-06,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1435.6,1076.7,646.02,1435.6,909 NDC,70710-1937-07,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,44.1,33.08,19.85,44.1,910 NDC,70720-0720-10,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,5023.2,3767.4,10.14,5023.2,915 NDC,70720-0722-10,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,23836.2,17877.15,10.14,23836.2,915 NDC,70720-0723-10,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,23836.3,17877.22,10.14,23836.3,915 NDC,70720-0950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4716.1,3537.08,733.67,4716.1,915 NDC,70720-0951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12851.7,9638.78,733.67,12851.7,915 NDC,70727-0497-25,NETARSUDIL 0.02 % EYE DROPS,1281.3,960.98,867.06,1281.3,915 NDC,70752-0107-10,CYPROHEPTADINE 4 MG TABLET,5.4,4.05,3.65,5.4,915 NDC,70752-0113-03,LIDOCAINE 5 % TOPICAL OINTMENT,78.7,59.03,35.42,78.7,909 NDC,70752-0130-05,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,104.9,78.68,70.99,104.9,915 NDC,70752-0138-12,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,51.38,46.35,68.5,915 NDC,70756-0011-11,CHLORTHALIDONE 25 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,70756-0014-02,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,12.15,7.29,16.2,909 NDC,70756-0404-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,4.65,4.2,6.2,915 NDC,70756-0607-30,OFLOXACIN 0.3 % EYE DROPS,81.2,60.9,54.95,81.2,915 NDC,70756-0612-70,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,9.45,8.53,12.6,915 NDC,70756-0614-30,PHENYLEPHRINE 10 % EYE DROPS,115.7,86.78,52.07,115.7,909 NDC,70756-0649-35,PHENYLEPHRINE 2.5 % EYE DROPS,215.6,161.7,97.02,215.6,909 NDC,70756-0661-99,NACL 0.9% INHALATION SOLUTION,6.0,4.5,2.7,6.0,909 NDC,70756-0663-60,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.3,4.72,2.84,6.3,909 NDC,70756-0815-60,CAPECITABINE 150 MG TABLET,6.7,5.03,0.04,6.7,915 NDC,70842-0120-06,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,820.5,615.38,2.18,820.5,915 NDC,70842-0160-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1057.6,793.2,2.67,1057.6,915 NDC,70842-0240-01,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,8459.0,6344.25,10.63,8459.0,915 NDC,70954-0014-10,THIOTHIXENE 1 MG CAPSULE,7.3,5.48,4.94,7.3,915 NDC,70954-0016-10,THIOTHIXENE 5 MG CAPSULE,10.2,7.65,6.9,10.2,915 NDC,70954-0051-10,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,321.2,240.9,217.36,321.2,915 NDC,70954-0135-10,DAPSONE 25 MG TABLET,7.0,5.25,4.74,7.0,915 NDC,70954-0139-10,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,90.6,67.95,61.31,90.6,915 NDC,70954-0140-10,LEVOCARNITINE (SUGAR FREE) 100 MG/ML ORAL SOLUTION,93.3,69.97,63.14,93.3,915 NDC,70954-0258-10,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,120.7,90.53,81.68,120.7,915 NDC,70954-0261-10,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,6.23,5.62,8.3,915 NDC,70954-0316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,65.4,59.01,87.2,915 NDC,70954-0496-10,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2525.4,2278.58,3367.2,915 NDC,70954-0538-10,TRANYLCYPROMINE 10 MG TABLET,8.5,6.38,5.75,8.5,915 NDC,70954-0565-10,ESTRADIOL 1 MG TABLET,5.3,3.98,3.59,5.3,915 NDC,70954-0662-10,KETOCONAZOLE 2 % SHAMPOO,83.2,62.4,56.3,83.2,915 NDC,70954-0668-10,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",6.3,4.72,4.26,6.3,915 NDC,71083-0020-05,KIT FOR PREPARATION TC-99M-SUCCIMER 1 MG INTRAVENOUS SOLUTION,2490.0,1867.5,659.93,2490.0,915 NDC,71104-0944-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 NDC,71104-0977-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",49.3,36.98,3.59,49.3,915 NDC,71258-0022-00,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,8625.0,346.49,11500.0,915 NDC,71258-0022-01,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,8625.0,346.49,11500.0,915 NDC,71287-0119-01,YESCARTA,2480000.0,548900.0,548900.0,548900.0,12 NDC,71287-0119-02,YESCARTA,2480000.0,548900.0,548900.0,548900.0,3 NDC,71287-0220-01,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,6 NDC,71288-0023-21,VANCOMYCIN 1 G POWDER VIAL OSM,12.3,9.23,5.54,12.3,909 NDC,71288-0031-21,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,43.4,32.55,19.53,43.4,910 NDC,71288-0032-92,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,49.0,36.75,22.05,49.0,910 NDC,71288-0116-11,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,124.6,93.45,0.88,124.6,915 NDC,71288-0128-20,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,526.9,395.18,4.19,526.9,915 NDC,71288-0153-95,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),83.4,62.55,37.53,83.4,909 NDC,71288-0153-95,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),83.4,62.55,37.53,83.4,909 NDC,71288-0166-91,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),44.5,33.38,4.36,44.5,915 NDC,71288-0167-95,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),191.7,143.78,4.36,191.7,915 NDC,71288-0201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,49.0,36.75,22.05,49.0,909 NDC,71288-0409-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,42.1,31.58,18.95,42.1,909 NDC,71288-0426-91,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,78.1,58.58,35.15,78.1,909 NDC,71288-0427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,145.3,108.98,65.39,145.3,909 NDC,71288-0600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,29.48,17.69,39.3,911 NDC,71288-0702-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,52.7,39.53,23.72,52.7,909 NDC,71288-0712-06,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,44.3,33.23,19.94,44.3,909 NDC,71288-0712-06,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION ARZ/FL ANES (RESTRICTED),44.3,33.23,19.94,44.3,909 NDC,71288-0803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,67.2,50.4,30.24,67.2,909 NDC,71288-0803-21,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),67.2,50.4,30.24,67.2,909 NDC,71321-0802-30,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",81.0,60.75,54.81,81.0,915 NDC,71332-0001-01,FOSTAMATINIB 100 MG TABLET,853.7,640.28,577.7,853.7,915 NDC,71336-1000-01,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,39140.0,29355.0,99.97,39140.0,915 NDC,71336-1002-01,LUMASIRAN 94.5 MG/0.5 ML SUBCUTANEOUS SOLUTION,105173.3,78879.98,329.05,105173.3,915 NDC,71351-0022-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,47.6,35.7,21.42,47.6,911 NDC,71357-0001-06,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,853.13,511.88,1137.5,909 NDC,71390-0011-11,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,106.2,79.65,47.79,106.2,911 NDC,71399-1027-01,DIPHENHYDRAMINE 25 MG CAPSULE,2.1,1.58,1.42,2.1,915 NDC,71399-1028-01,DIPHENHYDRAMINE 50 MG CAPSULE,2.1,1.58,1.42,2.1,915 NDC,71656-0064-10,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,408.5,306.38,276.43,408.5,915 NDC,71699-0025-30,CENOBAMATE 25 MG TABLET,145.7,109.28,98.6,145.7,915 NDC,71699-0050-30,CENOBAMATE 50 MG TABLET,145.7,109.28,98.6,145.7,915 NDC,71699-0150-30,CENOBAMATE 150 MG TABLET,145.7,109.28,98.6,145.7,915 NDC,71773-0100-12,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,497.0,372.75,1.3,497.0,915 NDC,71837-1000-01,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,48566.6,36424.95,32.91,48566.6,915 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1226.6,919.95,50.37,1226.6,915 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,735.0,50.37,980.0,915 NDC,72078-0002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,43.3,32.48,19.49,43.3,909 NDC,72078-0033-02,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,31.58,18.95,42.1,910 NDC,72078-0034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,127.73,76.64,170.3,909 NDC,72078-0035-02,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,250.6,187.95,112.77,250.6,909 NDC,72078-0036-05,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,363.3,272.48,163.49,363.3,909 NDC,72205-0019-01,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1509.1,1131.83,1021.21,1509.1,915 NDC,72205-0036-01,DECITABINE 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),749.9,562.42,337.46,749.9,909 NDC,72205-0040-60,DOFETILIDE 250 MCG CAPSULE,6.0,4.5,4.06,6.0,915 NDC,72205-0045-01,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),203.0,152.25,10.54,203.0,915 NDC,72205-0154-04,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,488.2,366.15,79.86,488.2,915 NDC,72205-0170-72,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,171.5,128.63,116.05,171.5,915 NDC,72205-0200-30,ROFLUMILAST 500 MCG TABLET,6.9,5.18,4.67,6.9,915 NDC,72205-0281-60,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,10.2,7.65,4.59,10.2,909 NDC,72266-0124-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,26.93,16.16,35.9,909 NDC,72266-0160-10,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,42.9,32.17,19.31,42.9,909 NDC,72266-0235-01,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),203.9,152.93,63.06,203.9,915 NDC,72485-0105-01,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,44.5,33.38,20.03,44.5,909 NDC,72485-0670-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,27.2,20.4,18.41,27.2,915 NDC,72493-0103-03,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,48960.0,36720.0,318.53,48960.0,915 NDC,72512-0928-01,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2838.1,2128.57,3.42,2838.1,915 NDC,72572-0158-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,89.1,66.83,40.1,89.1,910 NDC,72572-0158-01,DAPTOMYCIN 500 MG POWDER VIAL OSM,82.4,61.8,37.08,82.4,909 NDC,72578-0002-01,ACYCLOVIR 200 MG CAPSULE,5.5,4.13,3.72,5.5,915 NDC,72578-0040-01,ZONISAMIDE 25 MG CAPSULE,5.3,3.98,3.59,5.3,915 NDC,72578-0093-06,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,185.5,139.13,125.53,185.5,915 NDC,72579-0121-01,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION,22173.4,16630.05,57.45,22173.4,915 NDC,72606-0011-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,1304.0,978.0,39.96,1304.0,915 NDC,72606-0012-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,5476.8,4107.6,39.96,5476.8,915 NDC,72606-0038-01,DENOSUMAB-BMWO 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,11602.9,8702.17,28.13,11602.9,915 NDC,72611-0716-01,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),450.6,337.95,63.06,450.6,915 NDC,72611-0785-02,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1227.9,920.93,26.71,1227.9,915 NDC,72618-3000-02,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,325.35,293.55,433.8,915 NDC,72682-2625-00,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,890.63,534.38,1187.5,909 NDC,72694-0515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,121951.8,91463.85,82.08,121951.8,915 NDC,72694-0954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,112623.7,84467.78,28424.06,112623.7,915 NDC,72874-0001-01,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",1612.1,1209.08,460.42,1612.1,917 NDC,72888-0024-10,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,9.6,7.2,6.5,9.6,915 NDC,72888-0076-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE",5.7,4.28,3.86,5.7,915 NDC,72888-0149-38,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,93.15,55.89,124.2,909 NDC,72888-0157-39,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,519.8,389.85,351.75,519.8,915 NDC,72893-0002-01,BELINOSTAT 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),10216.4,7662.3,52.47,10216.4,915 NDC,72893-0003-01,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,30965.5,23224.13,392.63,30965.5,915 NDC,72893-0005-01,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,61930.9,46448.18,392.63,61930.9,915 NDC,72903-0853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,27317.5,20488.13,69.49,27317.5,915 NDC,72964-0011-01,TREPROSTINIL SODIUM 26.5 MCG CAPSULE WITH INHALATION DEVICE,19561.3,14670.98,13237.13,19561.3,915 NDC,72964-0013-01,TREPROSTINIL SODIUM 79.5 MCG CAPSULE WITH INHALATION DEVICE,19561.3,14670.98,13237.13,19561.3,915 NDC,73090-0420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6532.8,4899.6,165.83,6532.8,915 NDC,73090-0421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,26131.0,19598.25,165.83,26131.0,915 NDC,73150-0150-06,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,47068.3,35301.23,70.75,47068.3,915 NDC,73153-0901-08,BREYANZI,2400000.0,531350.4,531350.4,531350.4,3 NDC,73462-0101-01,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),6416.7,4812.52,5.46,6416.7,915 NDC,73473-0303-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,120.3,90.23,81.41,120.3,915 NDC,73475-3041-05,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),25256.8,18942.6,32.15,25256.8,915 NDC,73475-3102-03,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",65641.0,49230.75,33.89,65641.0,915 NDC,73535-0208-01,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5443.9,4082.93,14.31,5443.9,915 NDC,73555-0501-00,REVUMENIB 110 MG TABLET,2097.8,1573.35,1419.58,2097.8,915 NDC,73555-0502-00,REVUMENIB 160 MG TABLET,2024.2,1518.15,1369.78,2024.2,915 NDC,73556-0168-02,AVACOPAN 10 MG CAPSULE,371.2,278.4,251.19,371.2,915 NDC,73562-0104-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,14.4,12.99,19.2,915 NDC,73607-0011-11,ARTESUNATE 110 MG/11 ML INTRAVENOUS SOLUTION (WETTED) (RESTRICTED),21395.7,16046.78,9628.07,21395.7,909 NDC,73650-0316-01,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,59642.8,44732.1,37.66,59642.8,915 NDC,73776-0001-11,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,3 NDC,73776-0022-01,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,24106.7,18080.03,3338.87,24106.7,915 NDC,74300-0000-70,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,67.0,50.25,45.34,67.0,915 NDC,74312-0016-83,LEVOCARNITINE 500 MG TABLET,3.6,2.7,2.44,3.6,915 NDC,74312-0134-30,BIOTIN 5 MG CAPSULE,2.5,1.88,1.69,2.5,915 NDC,74676-5902-01,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,3188.2,2391.15,474.84,3188.2,915 NDC,75833-0601-02,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),730000.0,547500.0,795.0,730000.0,915 NDC,75907-0005-30,AMIODARONE 100 MG TABLET,14.1,10.58,9.54,14.1,915 NDC,75907-0022-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,5.9,4.43,3.99,5.9,915 NDC,75907-0023-48,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,34.0,25.5,23.01,34.0,915 NDC,75907-0024-48,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.3,39.23,35.39,52.3,915 NDC,75907-0025-48,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.3,48.98,44.19,65.3,915 NDC,75907-0027-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,8.3,6.23,5.62,8.3,915 NDC,75907-0043-01,TRIMETHOPRIM 100 MG TABLET,9.6,7.2,6.5,9.6,915 NDC,75907-0167-21,IVERMECTIN 3 MG TABLET,15.5,11.63,10.49,15.5,915 NDC,75987-0111-10,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN,20112.9,15084.68,13610.4,20112.9,915 NDC,75987-0130-15,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,74474.9,55856.18,359.19,74474.9,915 NDC,75987-0150-01,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,192106.6,144079.95,495.55,192106.6,915 NDC,76045-0009-06,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,79.8,59.85,35.91,79.8,912 NDC,76045-0211-20,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,60.23,36.14,80.3,913 NDC,76075-0101-01,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),14152.6,10614.45,55.65,14152.6,915 NDC,76075-0102-01,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7076.4,5307.3,55.65,7076.4,915 NDC,76204-0021-60,SODIUM CHLORIDE 7 % FOR NEBULIZATION,7.0,5.25,3.15,7.0,909 NDC,76204-0800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,8.7,7.85,11.6,915 NDC,76204-0900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,7.73,6.97,10.3,915 NDC,76329-3012-05,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,22.0,16.5,9.9,22.0,909 NDC,76329-3304-01,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,52.7,39.53,23.72,52.7,909 NDC,76329-3304-01,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),70.3,52.73,31.64,70.3,909 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION ANES ONLY,45.9,34.42,20.66,45.9,909 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,45.9,34.42,20.66,45.9,910 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE,73.8,55.35,33.21,73.8,910 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE (PEDIATRIC),73.8,55.35,33.21,73.8,909 NDC,76329-3352-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) ANES ONLY,66.2,49.65,29.79,66.2,909 NDC,76329-3352-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),66.2,49.65,29.79,66.2,909 NDC,76329-3390-01,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,62.1,46.58,27.95,62.1,909 NDC,76329-6300-05,LIDOCAINE 4 % LARYNGOTRACHEAL SOLUTION ARZ ANES ONLY,34.5,25.88,15.53,34.5,909 NDC,76329-6300-05,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,25.88,15.53,34.5,909 NDC,76385-0102-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,9.4,7.05,6.36,9.4,915 NDC,76394-2642-03,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,443.7,266.22,591.6,915 NDC,77333-0049-20,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.38,0.34,0.5,915 NDC,77333-0120-50,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.38,0.34,0.5,915 NDC,77333-0308-10,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,2.03,1.83,2.7,915 NDC,77333-0430-50,"LACTASE 3,000 UNIT TABLET",3.4,2.55,2.3,3.4,915 NDC,77333-0800-50,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.5,3.38,3.05,4.5,915 NDC,77333-0812-10,SIMETHICONE 80 MG CHEWABLE TABLET,2.7,2.03,1.83,2.7,915 NDC,77333-0844-10,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.8,2.1,1.89,2.8,915 NDC,77333-0937-10,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.6,1.95,1.76,2.6,915 NDC,77333-0940-10,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,1.88,1.69,2.5,915 NDC,77333-0948-10,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.6,1.95,1.76,2.6,915 NDC,77790-0022-15,HYPROMELLOSE 2.5 % EYE DROPS,118.7,89.03,53.42,118.7,909 NDC,78206-0145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,838.95,503.37,1118.6,909 NDC,78206-0162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1536.6,1152.45,27.0,1536.6,915 NDC,79802-0200-30,BELUMOSUDIL 200 MG TABLET,1953.9,1465.43,1322.2,1953.9,915 NDC,79854-0080-09,PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID,0.5,0.38,0.34,0.5,915 NDC,79854-0201-25,NIACIN 50 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,79952-0110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),116119.1,87089.33,216.9,116119.1,915 NDC,80005-0161-08,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,46.7,35.03,31.6,46.7,915 NDC,80446-0401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,85566.8,64175.1,217.09,85566.8,915 NDC,80681-0002-00,ZINC 50 MG (AS GLUCONATE) TABLET,2.1,1.58,1.42,2.1,915 NDC,80681-0019-00,NIACINAMIDE 500 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,80681-0041-00,MELATONIN 1 MG TABLET,2.1,1.58,1.42,2.1,915 NDC,80681-0115-00,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.38,0.34,0.5,915 NDC,80681-0134-00,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.58,1.42,2.1,915 NDC,80681-0172-00,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.1,2.33,2.1,3.1,915 NDC,80681-0174-00,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",2.6,1.95,1.76,2.6,915 NDC,80777-0112-96,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,118.95,71.37,158.6,909 NDC,80803-0153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,27954.2,20965.65,84.57,27954.2,915 NDC,81033-0032-50,MUPIROCIN 2 % TOPICAL OINTMENT,58.2,43.65,39.38,58.2,915 NDC,81033-0042-50,MINERAL OIL ORAL,5.9,4.43,3.99,5.9,915 NDC,81052-0138-10,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,17000.0,12750.0,7650.0,17000.0,909 NDC,81284-0315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),1360.0,1020.0,9.96,1360.0,915 NDC,81284-0411-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,166.9,125.18,75.11,166.9,909 NDC,81284-0612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",43.8,32.85,19.71,43.8,909 NDC,81284-0612-10,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),39.4,29.55,17.73,39.4,909 NDC,81284-0612-10,TRANEXAMIC ACID 500 MG/5 ML (100 MG/ML) ENDOBRONCHIAL SOLUTION (CATH TIP SYRINGE),39.4,29.55,17.73,39.4,909 NDC,81370-0036-01,DIMETHICONE 1.2 %-COLLOIDAL OATMEAL LOTION,81.8,61.35,55.35,81.8,915 NDC,81643-9270-01,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16708.0,12531.0,4128.02,16708.0,915 NDC,81665-0102-10,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,11.25,10.15,15.0,915 NDC,81665-0108-10,ISONIAZID 300 MG TABLET,15.6,11.7,10.56,15.6,915 NDC,81665-0301-02,COCAINE 4 % NASAL SOLUTION,1088.8,816.6,489.96,1088.8,909 NDC,81960-0031-03,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2822.3,2116.73,1270.04,2822.3,909 NDC,82154-0451-04,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4342.4,3256.8,1954.08,4342.4,909 NDC,82347-0405-05,DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL 12 HOUR PATCH,21.3,15.98,14.41,21.3,915 NDC,82604-0600-04,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1119.97,96.91,1493.3,916 NDC,82625-8801-01,NALOXEGOL 12.5 MG TABLET,56.1,42.08,37.96,56.1,915 NDC,82667-0200-01,APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE,93.6,70.2,63.34,93.6,915 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5572.6,4179.45,55.84,5572.6,915 NDC,82705-0002-01,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5572.6,4179.45,55.84,5572.6,915 NDC,82705-0010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,66870.1,50152.58,55.84,66870.1,915 NDC,82959-0111-01,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),42341.1,31755.83,57.03,42341.1,915 NDC,82959-0112-01,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10585.3,7938.98,57.03,10585.3,915 NDC,82959-0112-01,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),10585.3,7938.98,57.03,10585.3,915 NDC,83257-0005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4854.6,3640.95,99.13,4854.6,915 NDC,83634-0202-61,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),563.0,422.25,95.9,563.0,915 NDC,85446-0369-91,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,193.2,144.9,86.94,193.2,909 NDC,88888-1000-01,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.2,56.4,33.84,75.2,909 NDC,89130-2020-01,"HYALURONATE SODIUM, STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE",4133.6,3100.2,6.77,4133.6,915 NDC,89130-4444-01,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,879.4,659.55,395.73,879.4,909 NDC,96295-0127-82,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.38,0.34,0.5,915 NDC,99999-4084-44,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,369.0,221.4,492.0,909